Zobisika zakukonzekera mayeso: momwe mungaperekere magazi a shuga kuchokera kumunwe komanso kuchokera mu mtsempha

Magazi a shuga amayenera kuperekedwa panthawi yopima kafukufuku wopangidwa kuti azindikire achikulire ndi ana matenda monga matenda a shuga.

Mothandizidwa ndi mayeso a labotale, onse a shuga 1, omwe amapezeka kwambiri mwa achinyamata, komanso shuga 2, yomwe imadziwika kwambiri ndi okalamba, imawululidwa.

Kuyesa kwa labotale kwa shuga kumathandizanso kupewa matenda ashuga. Mwa kuchuluka kwa kupatuka kwa kusanthula kumachitika kuchokera kwazizoloŵezi, zizindikiro zoyambirira za vuto losagwirizana ndi shuga zimapezeka, zomwe zimathandiza kupewa kapena kufikisa kukula kwa matenda ashuga.

Kuphatikiza pa kuzindikiridwa kwa matenda ashuga, monga chifukwa chachikulu chothandizira kupatuka kwa shuga kuchokera ku chizolowezi, kuyesedwa kumayesedwa kuti kupezeke ngati matenda a endocrine dongosolo, kuwunika kwa matenda a mtima, kugwidwa.

Kupereka kwa magazi kwa shuga ndikofunikira pamavuto a mahomoni:

• kuperewera kwa adrenal,
• hypothyroidism
• matenda a hypothalamic-pituitary dongosolo la ubongo.

Zomwe zimapangitsa kuti ayesedwe magazi mwina ndi mwina:

• matenda a shuga
• matenda a chiwindi
• kunenepa.

Momwe mungaperekere magazi a shuga

Kafukufuku yemwe amazindikira kuchuluka kwa shuga m'magazi amawayikidwa mosasamala chakudya kapena pamimba yopanda kanthu. Kuyesedwa kumachitika:

• pamimba yopanda kanthu
  • pakutsimikiza kwa shuga,
  • glucose kulolerana mayeso (GTT),
• ngakhale chakudyacho - glycated hemoglobin.

Malamulo okonzera wodwala kuyezetsa magazi kuti asala kudya shuga kuchokera m'mitsempha komanso kuchokera pachala ndi chimodzimodzi.

Kuti muwonjezere shuga molondola, simungadye chakudya kwa maola 8 mpaka 14 musanamwe magazi, kumwa zakumwa monga tiyi, koloko, khofi, msuzi.

Zimaloledwa, komabe, ndikosayenera kumwa ngakhale madzi ochepa. Kugwiritsa ntchito zakumwa zilizonse kumaletsedwa.

Kuyesedwa kwa glucose kumachitika poyamba ngati kuphunzira mwachizolowezi. Kenako, kuyezetsa magazi kumabwerezedwa pambuyo pa ola limodzi ndi pambuyo pa maola awiri.

Palibe vuto ngati nkotheka kudya ngati magazi aperekedwa chifukwa cha glycated hemoglobin, yomwe imadziwika ndi shuga miyezi 3 isanachitike.

• kuwunika machitidwe a hyperglycemic pamene misinkhu ya shuga imakwezedwa,
• kudziwa hypoglycemia shuga atachepetsedwa.

Kukhazikitsidwa kwa mayeso kumakuthandizani kuzindikira kusintha koopsa kwa glycemia.

Ngati ndizosatheka kuyeserera m'mawa pamimba yopanda kanthu, ndiye kuti mutha kufufuza magazi kuti mukhale ndi shuga pambuyo maola 6 akusala kudya, kupatula zakudya zamafuta pazakudya.

Zachidziwikire, zotsatira za kafukufukuyu sizingatchulidwe kuti ndizodalirika. Posachedwa, muyenera kukonzekera bwino mayesowo, ndikupatsanso magazi mayeso a shuga.

Momwe mungakonzekerere kuphunzira kopanda m'mimba

Mukamadutsa pamimba yopanda kanthu kuti mupeze shuga, tikulimbikitsidwa kuti muzitsatira zakudya zabwino, kupewa kudya kwambiri, kuchuluka kwa thupi, mantha.

Simungathe mwachindunji, kuti mupange kusanthula, muchepetse zopatsa mphamvu za zakudya, ndipo musafe ndi njala. Menyuyi muyenera kukhala ndi zopatsa mphamvu zamafuta (chimanga, masamba, mkate) zosachepera 150 g.

Komabe, simuyenera kuwonjezera kuchuluka kwa chakudya. M'malo mwake, zakudya zama calorie ambiri sizimachotsedwa pakadali masiku atatu kuyezetsa magazi.

Mitundu yayikulu ya glycemic index (GI) yomwe imathandizira kuti shuga iwonjezeke imatha kupotoza zotsatira zakuwunika.

Kuti muzitha kukonzekera bwino mayeso okhudza kuchuluka kwa shuga m'magazi, zinthu zomwe zili ndi GI yayikulu ziyenera kupatula masiku 3 zisanachitike kusanthula, monga:

• mpunga
• mikate yoyera
• masiku
• shuga
• mbatata zosenda
• chokoleti cha mkaka, etc.

Otsatirawa saloledwa pokonzekera phunzirolo:

• khofi wamphamvu, tiyi,
• mowa
• chakudya chofulumira
• chakudya chamafuta,
• madzi m'matumba
• mandimu, zakumwa zochokera mu kaboni, kvass,
• kuphika, kuphika.

Zakudya zonsezi zimachulukitsa glycemia, yomwe imasokoneza kukula kwake kwenikweni.

Simuyenera kuchuluka musanayambe kuyesedwa, m'zakudya, zakudya zomwe zimachepetsa glycemia. Pali malingaliro ambiri okhudza ngati zakudya zimatha kutsitsa glycemia ndikuchiza matenda ashuga.

Komabe, mu mankhwala azikhalidwe anthu amakhulupirira kuti zinthu zomwe zimathandizira kuthana ndi shuga m'magazi zimaphatikizapo Yerusalemu artichoke, rasipiberi, mabulosi abulu, zitsamba zina, anyezi ndi adyo.

Asanayezedwe magazi pazopezeka shuga, zakudya izi zimaphatikizidwa kwakanthawi. Izi zikuthandizani.

Kodi ndingadye chiyani ndisanatenge sampa yamagazi kuti ndidziwe kuchuluka kwa shuga, ndizofunikira kudya zomwe ndizisamalira?

Pamaso kusanthula, chakudya chamadzulo chimatha kukhala ndi mbale imodzi yomwe mungasankhe:

• Nyama yophika, nkhuku kapena nsomba,
• kefir kapena yogati yopanda shuga,
• gawo laling'ono la phala
• tchizi chamafuta ochepa.

Kuchokera pa zipatso, mumatha kudya apulo, peyala, maula.

Malamulo okonzekera phunziroli

Chifukwa chake, kuti zotsatira zake zikhale zodalirika momwe tingathere, tikupangira kuti mutsatire malamulo osavuta musanapereke biomaterial:

1. chakudya chotsiriza sichikhala choyambirira kuposa maola 8-12 musanapatse mayeso. Njirayi imathetsa kuchuluka kwa glucose mwadzidzidzi, chifukwa chotsatira chake chitha kupotozedwa.
2. Pakupewa zakumwa zomwe mumatha kumwa. Koma zizikhala madzi wamba opanda mipweya, zotsekemera, zonunkhira, zonunkhira ndi zinthu zina zomwe zimakhudza shuga. Madzi akumwa amatha kuthiridwa mu kuchuluka konse,
3. Maola 48 asanafike mayeso ndikofunikira kusiya mowa ndi zakumwa zoziziritsa kukhosi,
4. m'mawa musanalandire magazi, ndikofunikira kupatula kusuta,
5. Musanapereke magazi, musataye mano kapena kutsitsimula mpweya wanu ndi chingamu. Chowonadi ndi chakuti, chingamu ndi mano ophatikizira mano zimakhala ndi shuga, yemwe, kulowa m'magazi, amapotoza zotsatira zake,
6. siyani kumwa mankhwala omwe angakhudze shuga yanu,
7. tsiku lomaliza la chopereka cha magazi, yesetsani kudziteteza ku nkhawa ndikupewa kuchita masewera olimbitsa thupi. Zinthu izi zimatha kutsitsa ndikuwonjezera kuchuluka kwa shuga. Chifukwa chake, mulimonsemo, mudzapeza zotsatira zolakwika.

Ngati mukukumana ndi njira zolimbitsa thupi, kuthiridwa magazi, magazi, ndikukhala ndi nkhawa, ndibwino kuchedwetsa kusinthaku kwa masiku awiri kapena atatu.

Kutsatira malingaliro onse kungakuthandizeni kudutsa mayeso ndikupeza zotsatira zodalirika.

Kodi kusanthula kumachitika pamimba yopanda kanthu kapena ayi?

Kuyesedwa kwa shuga kumaperekedwa m'mawa ndipo nthawi zonse pamimba yopanda kanthu. Uwu ndi njira yabwino kwambiri pomwe akatswiri amatha kupeza chidziwitso cha kuchuluka kwa shuga m'magazi.

Kupatula apo, kuchuluka kwakuthwa mu shuga kumawonedwa m'thupi pachifukwa, ndipo pambuyo pobayira chakudya.

Ndikosatheka kupewa zoterezi, chifukwa mwachibadwa kwa odwala matenda ashuga komanso anthu athanzi.

Asanapereke magazi, kugwiritsa ntchito madzi wamba akadaloledwa. Izi sizingakhudze kuchuluka kwa shuga.

Momwe mungaperekere magazi a shuga?

Monga lamulo, kuyezetsa magazi kwa shuga kumachitika kuti muzindikire, onani momwe mankhwalawo alili othandizira kapena ngati gawo la mayeso a zamankhwala.

Kutengera momwe kuliri kofunikira kupeza zotsatira, komanso cholinga chomwe dokotala amafunafuna, wodwalayo atha kutumizidwa kumayeso amtundu wa Laborator. Pazomwe kusiyana kwake kuli, werengani pansipa.

Magazi a shuga kuchokera pachala ndimalingaliro ofotokozera. Ndime yake imaperekedwa kwa onse odwala matenda ashuga komanso anthu athanzi omwe amayesedwa.

Njira iyi yoyeserera nthawi zambiri imapereka zotsatira zolondola. Komabe, zolakwitsa zina nthawi zina zimakhala zotheka.

Pachifukwa ichi, kutengera zotsatira zakuwunika kwa magazi kuchokera kumunwe wa munthu, kuzindikira komaliza sikunapangidwe konse. Kuti mupeze zambiri zodalirika, wodwalayo amapatsidwa mitundu yowonjezera yoyeserera yothandizira.

Iyi ndi njira yolondola yozindikira, yomwe imapangidwa makamaka ndi odwala matenda ashuga kapena odwala omwe ali ndi vuto la carbohydrate metabolism kapena prediabetes.

Zotsatira za kafukufuku wamagazi omwe amachokera mu mtsempha ndizolondola. Izi zimachitika chifukwa cha kusakhazikika kwa kapangidwe ka magazi a venous.

Mosiyana ndi magazi a capillary, zinthu zamtunduwu sizisintha momwe zimapangidwira komanso momwe zimapangidwira mwachangu ngati zomwe zatulutsidwa kuchokera chala. Chifukwa chake, ndizotheka kudziwa momwe wodwalayo alili pankhaniyi moyenera.

Kukonzekera zopereka zamagazi kuchokera m'mitsempha ndi chala kuti muwone mulingo wofanana ndi shuga. Kuti mupeze zotsatira zoyenera, zidzakhala zokwanira kutsatira malamulowa.

Momwe mungakonzekerere kusanthula pakumeta?

Matenda a shuga amawopa mankhwalawa, ngati moto!

Muyenera kungolemba ...

Amayi oyembekezera omwe amalandila mayeso kukalandira magazi kuti akhale ndi shuga amafunikanso kukonzekera. Izi zikuthandizani kuti mupange zotsatira zolondola kwambiri.

Chifukwa chake, kuti mayi woyembekezera alandire deta pafupi ndi chowonadi, malamulo otsatirawa ayenera kusamalidwa:

1. Maola 12 asanafike mayeso, muyenera kukana chakudya,
2. Pakupewa kudya komanso musanawunike lokha, ndikofunikira kumwa madzi wamba, osanunkhira, okoma ndi owawa,
3. tsiku lomwe mwapambana mayeso, muyenera kudziteteza ku nkhawa ndi kulimbitsa thupi, komwe kumatha kudumphitsa shuga.
4. m'mawa wa mayeso, musatsotse mano anu kapena kutafuna chingamu chotsitsimutsa. Mwazi womwe uli mu phala komanso kutafuna umalowera nthawi yomweyo m'magazi, ndipo zotsatira zake zidzasokonekera.
5. perekani magazi m'malo abata. Kuti muchite izi, muyenera kukhala m'chipinda chachipatala chocheperako pafupifupi mphindi 10-15.

Musanayambe kuyesa, simungadye chakudya ndi kumwa zakumwa zilizonse kupatula madzi. Magazi a shuga kuchokera pachala ndi m'msempha amaperekedwa mosataya pamimba yopanda kanthu!

Kodi magazi amatengedwa bwanji ndi shuga kwa mwana wazaka chimodzi?

Nthawi zambiri funsoli limakhala losangalatsa kwa makolo onse omwe ana awo ali ndi matenda ashuga kapena okonzeka kukula.

Mwazi umaperekedwa pamimba yopanda kanthu m'mawa asanadye chakudya cham'mawa, chifukwa chakudya chomwe chakudyidwa chingakhudze shuga. Zakudya zonse ziyenera kuyimitsidwa osachepera maola 8-12 njira isanayambike

Monga odwala achikulire, madzi abwinobwino okha ndi omwe amatha kumwa nthawi imeneyi popanda zina.

Mutha kutsuka mano musanatenge mankhwala! Muyeneranso kuonetsetsa kuti mwana sasewera masewera olimbitsa thupi, chifukwa kuchita masewera olimbitsa thupi kwambiri kungakhudze kuchuluka kwa shuga.

Mwachizolowezi, magazi a capillary ndi okwanira pakufufuza. Njira yotengera zinthu ndiofanana ndi kuyezetsa magazi konse.

Momwe mungayesere moyenera mulingo wa glycemia kunyumba?

Kuti mudziwe kuchuluka kwa shuga m'magazi, sikofunikira kufunsa ogwira ntchito. Maphunziro onse ofunikira angathe kuchitidwa kunyumba pogwiritsa ntchito glucometer.

Miyeso yotereyi ndiyofunika kwa anthu omwe ali ndi matenda amtundu uliwonse kapena ali ndi vuto lotere.

Kuti mupeze zotsatira zodalirika kunyumba, muyenera kutsatira malamulo awa:

1. Pafupifupi maola 6 isanakwane kudya kwakanthawi kochepa, siyani kudya,
2. ndikofunika kuti muike miyeso pamimba yopanda kanthu. Koma ngati mukufuna kutsata mphamvu zake, mutha kuyang'ana kuchuluka kwa shuga mutatha kudya,
3. osabaya chala chanu kuti mudzatenge magazi a capillary pamalo omwewo. Kupanda kutero, kupeza zotsimikizira kuti kupimidwa kumatha kupweteka kwambiri,
4. Musanatenge magazi, sambani m'manja ndi sopo. Ndikwabwino osamwa mowa, chifukwa zingasokoneze zotsatira za phunzirolo.

Popeza kuti zingwe zoyeserera zimakonda chinyezi, ndikofunika kukhudza pamtunda pokhapokha ndi manja owuma ndi malo osungika ku chinyezi.

Njira zodziwira kuchuluka kwa shuga m'magazi (amaperekedwa bwanji magazi)

Pali njira zingapo zodziwonera kuchuluka kwa shuga:

• Shuga wamagazi (m'magazi kuchokera chala). Magazi a capillary ndi chisakanizo cha gawo lamadzimadzi lamagazi (plasma) ndi maselo amwazi. Mu labotale, magazi amatengedwa pambuyo pokhomerera chala cha mphete kapena chala chilichonse.
• Kudziwitsa kuchuluka kwa shuga m'magazi a venous. Pankhaniyi, magazi amatengedwa kuchokera mumtsempha, ndiye kuti amakonzedwa, ndipo madzi a m'magazi amamasulidwa. Kuyesedwa kwa magazi kuchokera m'mitsempha ndikodalirika kuposa chala chala, chifukwa plasma yopanda maselo amwazi imagwiritsidwa ntchito.
• Kugwiritsa ntchito mita. Mita ndi chida chaching'ono poyeza shuga. Amagwiritsidwa ntchito ndi odwala omwe ali ndi matenda ashuga kuti azitha kudziletsa. Pozindikira matenda ashuga, simungathe kugwiritsa ntchito kuwerenga kwa mita, chifukwa ali ndi cholakwika chaching'ono, kutengera nyengo yakunja.

Zomwe muyenera kudziwa kuti mupereke bwino magazi chifukwa cha shuga

Kuti mupereke mayeso a shuga, kukonzekera kwina koyambirira sikofunikira. Ndikofunikira kuti mukhale ndi moyo womwe mumawudziwa bwino, idyani mwachizolowezi, idyani chakudya chokwanira, ndiko kuti, musafe ndi njala. Pakusala kudya, thupi limayamba kumasula glucose m'masitolo ake m'chiwindi, ndipo izi zimatha kuyambitsa kuwonjezeka kwabodza pamlingo wake pakuwunikira.

Munali m'mawa m'mawa (mpaka 8 koloko) kuti thupi la munthu linali lisanayambe kugwira ntchito mwamphamvu, ziwalo komanso magawo "amagona" mwamtendere, osawonjezera zochitika zawo. Pambuyo pake, njira zomwe zimayambitsa kuyambitsa kwawo, kudzutsidwa kumayambitsidwa. Chimodzi mwazinthuzi ndi monga kuchuluka kwa mahomoni omwe amalimbikitsa shuga.

Ambiri ali ndi chidwi ndi chifukwa chake kuyezetsa magazi kwa shuga kuyenera kumwedwa pamimba yopanda kanthu. Chowonadi ndi chakuti ngakhale madzi ochepa amayambitsa chimbudzi chathu, m'mimba, kapamba, ndi chiwindi amayamba kugwira ntchito, ndipo zonsezi zimakhudza kuchuluka kwa shuga m'magazi.

Sikuti akuluakulu onse amadziwa kuti m'mimba mulibe chiyani. Mimba yopanda kanthu si kudya chakudya ndi madzi maola 8-14 musanayesedwe. Monga mukuwonera, izi sizitanthauza kuti mukufunika kukhala ndi njala kuyambira 6 madzulo, kapena koyipa kwambiri, tsiku lonse ngati mudzayesa mayeso 8 mmawa.

Malamulo oyambira kukonzekera

1. musakhale ndi njala m'mbuyomu, khalani ndi moyo wokhazikika.
2. musanayesedwe, musadye kapena kumwa kalikonse kwa maola 8 mpaka 14,
3. osamwa mowa pasanathe masiku atatu mayeso asanachitike
4. Ndikofunika kuti mudzabweranso m'mawa kwambiri (8 koloko m'mawa),
5. masiku angapo mayeso asanachitike, ndikofunikira kusiya kumwa mankhwala omwe amalimbikitsa shuga. Izi zimangogwiritsa ntchito mankhwala omwe atengedwa kwakanthawi, simuyenera kuletsa zomwe mumamwa mosalekeza.

Musanapange mayeso a shuga, simungathe:

1. Kusuta. Mukamasuta, thupi limapanga mahomoni ndi zinthu zina zomwe zimapanga thupi zomwe zimachulukitsa shuga. Kuphatikiza apo, chikonga chimapangika m'mitsempha yamagazi, yomwe imasakaniza maselo a magazi.
2. Tsitsani mano anu. Zopangira mano zambiri zimakhala ndi shuga, ma alcohols, kapena mankhwala azitsamba omwe amalimbikitsa magazi.
3. Chitani zinthu zazikulu zolimbitsa thupi, kuchita masewera olimbitsa thupi. Zomwezi zimagwiranso ntchito pamsewu wopita ku labotale yokha - palibe chifukwa chothamangira kuthamanga, kukakamiza minofu kugwira ntchito mwachangu, izi zidzasokoneza zotsatira zowunikira.
4. Tsatirani njira zodziwitsira matenda (FGDS, colonoscopy, radiography yosiyanitsa, komanso kwambiri, zovuta, monga angiography).
5. Chitani zithandizo zamankhwala (kutikita minofu, kulimbitsa thupi, physiotherapy), zimachulukitsa shuga.
6. Pitani ku bafa, sauna, solarium. Zochita izi zimapangidwanso bwino mukatha kusanthula.
7. Khalani amanjenje. Kupsinjika kumayambitsa kutulutsa kwa adrenaline ndi cortisol, ndipo amakulitsa shuga.

Mayeso a kulolera a glucose

Kwa odwala ena, kuyesedwa kwa glucose, kapena kumapindikira shuga, kumafotokozedwa kuti kumveketse bwino matendawa. Imachitika m'magawo angapo. Choyamba, wodwalayo amayesa magazi kuti asale shuga. Kenako amamwa yankho lomwe lili ndi 75 g ya shuga kwa mphindi zingapo. Pambuyo maora 2, kuchuluka kwa shuga kumatsimikizidwanso.

Kukonzekera kuyesedwa kwamtundu woterewu sikusiyana ndikukonzekera kuyezetsa magazi pafupipafupi. Pa kusanthula, pakadali pakati pa zitsanzo zamwazi, ndikofunikira kukhala modekha, osayenda mwachangu komanso osachita mantha. Njira yothetsera shuga aledzera msanga, osaposa mphindi 5. Popeza mwa odwala ena zotsekemera zotere zimatha kuyambitsa kusanza, mutha kuwonjezera mandimu pang'ono kapena citric acid, ngakhale izi sizabwino.

Kodi kafukufukuyu amamuchitira chiyani?

Kutumiza shuga kwa magazi a venous kapena capillary miyezi isanu ndi umodzi iliyonse ndikofunikira kwa anthu azaka zopitilira 40. Phunziroli ndilothandizanso kwa anthu omwe ali onenepa kwambiri kapena omwe ali ndi vuto la matenda ashuga. Kuzindikira koyambira kwa matenda a zam'mimba kumakupatsani mwayi wosankha chithandizo choyenera munthawi yake: chithandizo cha zakudya, jakisoni wa insulin, mankhwala.

Kuyeza magazi kwa shuga wokhala ndi kapena popanda katundu (kuyesa kwa glucose test) (kuyesa kwamagazi kwa shuga) ndi njira yotsika mtengo komanso yolondola yovomerezeka yodziwira matenda. Ku Russia, anthu pafupifupi 9 miliyoni amapezeka ndi matenda ashuga. Ofufuzawo amalosera kuwonjezeka kawiri kwa odwala m'zaka khumi ndi zinayi. Kufunika kodziwitsidwa koyambirira ndikusankhidwa kwa mankhwala oyenera kumachitika chifukwa chakuti matenda ashuga ali m'malo 4th pakati pa pathologies okhala ndi zotsatira zakupha.

Kuyesa kwa shuga wamagazi ndi katundu

Kuyesedwa kwa shuga ndimagazi kapena kuyesedwa kwa glucose kumayesedwa poyesa kuchuluka kwa shuga. Algorithm yofufuza: wodwalayo amapereka magazi a venous kapena capillary mosamala pamimba yopanda kanthu, ndiye kuti amampatsa kapu yamadzi yokhala ndi shuga wosungunuka m'mimba mwake (mankhwalawo amawerengedwa potengera kulemera kwa thupi la wodwalayo), kenako biomaterial imabwezedwanso theka lililonse la ola (kanayi).

Kupereka kwa magazi ndi kulemera kwa glucose kumapereka lingaliro la wodekha wodekha pambuyo kapu yamadzi okoma. Pakadutsa pakati pa miyeso, simuyenera kuyenda masitepe, ndibwino kuti mukhale pansi kapena mutagona modekha.

Kukonzekera kuyezetsa magazi kwa anthu omwe ali ndi shuga pamtunduwu sikumaphatikizapo kudya kwa maola 12, komanso zakumwa zoledzeretsa zilizonse ndi mankhwala osachepera tsiku limodzi. Kuchita masewera olimbitsa thupi kuyeneranso kuthetsedwa, kuti muchepetse kukhumudwa kwambiri.

Kodi kuyezetsa magazi kwa shuga ndi mitundu yake ndi kotani?

Wodwala atha kulandila kuchokera kwa dokotala wamkulu, endocrinologist, gynecologist kapena dokotala wa ana. Mwanjira yotumizira, adokotala akuwonetsa mtundu wa kafukufuku. Zofananira:

• Kutsimikiza kwa shuga m'magazi,
• kusintha kwa shuga wamagazi (pamimba yopanda kanthu),
• kuthamanga kwa shuga m'magazi (FBS),
• kuyesa kwa shuga
• kusala magazi m'magazi (FBG),
• kusala madzi am'magazi,
• shuga wamagazi.

Kuphatikiza pa kuwunika kwa shuga komwe kumachitika pansi pa katundu, njira zina zodziwonetseratu zasayansi zimadziwika. Amachitika kuti adziwe chithunzi chachipatala chodziwika komanso kuzindikira zolephera mu kagayidwe kazachilengedwe:

• kuyezetsa magazi kwa biochemistry ndiyo njira yosinthasintha kwambiri yomwe imawonetsa chithunzi chonse chaumoyo wa wodwala yemwe akuwunikidwa. Zimachitika pakuwunika pachaka, komanso koyambirira koyambitsa matenda. Phunziroli limaphatikizapo kupereka magazi kwa bilirubin, ALAT, ASAT, mapuloteni onse, creatinine, cholesterol, phosphatase ndi shuga,
• kuyezetsa kwa C-peptide kumachitika ngati kuli kofunikira kumaliza ziphuphu zam'mimba zomwe zimapanga insulin. Imalola kuti azindikire mitundu ya matenda ashuga,
• Kutsimikiza kwa glycated hemoglobin wambiri - hemoglobin yokhala ndi shuga. Mkulu wama glucose amalumikizana mwachindunji ndi kuwonjezeka kwa glycated hemoglobin. Malinga ndi malingaliro a WHO, njirayi imawonedwa ngati yoyenera ndi yokwanira kuyang'anira momwe anthu omwe ali ndi matenda ashuga onse amakhalira. Ubwino wa mayesowo ndikuti mungathe kuwunikiranso za kuchuluka kwa glucose m'miyezi 1-3 yapitayi kafukufukuyu asanachitike,
• Kutsimikiza kwa fructosamine ndende (shuga + mapuloteni) amawonetsa phindu la glucose masabata angapo isanachitike kusanthula. Izi zimatipangitsa kuti tiwunikenso bwino momwe njira zamankhwala zosankhidwira zimafunikira komanso kufunika kwake kukonza,
• kuwonetsa kufotokozera kumaphatikizira kuperekera kwa magazi a capillary a shuga kunyumba pogwiritsa ntchito zingwe ndi glucometer. Njira zowonetsera sizingakhale njira yabwinoko yothandizira njira zodziwitsira matenda.

Kodi shuga m'magazi amayeza chiyani?

Magawo a shuga wamagazi ndi millimol pa lita imodzi (mmol / l), njira ina ndi milligram pa mamililita 100 (mg / 100 ml). Pomasulira, muyenera kugwiritsa ntchito fomula: mg / 100 ml * pa 0.0555 = mmol / L.

Kunja kwa Russia, gawo latengedwa kutiayeza mtengo wake - mamiligalamu pa desilita (mg / dts).

Kukonzekera malamulo

Wodwala wamkulu amapereka magazi m'mawa pamimba yopanda kanthu, atatha kudya maola 12, kwa ana ndizovomerezeka kuti achepetse nthawi yotalikirana mpaka maola 6-8. Sizoletsedwa kumwa khofi ndi tiyi, makamaka zotsekemera. Mutha kumwa madzi oyera osapanda kaboni. Kugwiritsa ntchito madzi ambiri kumachepetsa chiwonongeko cha maselo ofiira a m'magazi (hemolysis) ndikuthandizira kwambiri njira yotengera biomaterial. Chofunika kwambiri ndi lamulo la ana.

Amadziwika kuti panthawi yopanikizika kuchuluka kwa shuga m'magazi kumakwera kwambiri. Izi ndichifukwa choti pakukhumudwa mu thupi la munthu, zida zoteteza zimayendetsedwa, pomwe gawo logaya chakudya ndi zogonana limaletsedwa. Mphamvu zazikuluzikulu zathupi zimalimbana ndi kuthana ndi vuto lakunja. Kuphatikiza pamodzi kwa insulin ndi kapamba ndi kutulutsa shuga wambiri (gwero lalikulu lamphamvu) m'magazi kumathandizira kukulitsa kwa hyperglycemia.

Kutengera izi, magazi a shuga okhala ndi kapena opanda katundu amaperekedwa m'malo opanda phokoso. Kunyalanyaza dongosololi sikukuteteza kuti mupeze zotsatira zoyipa zabodza zomwe zili ndi shuga wambiri. Pewani kukhala ndi nkhawa kwambiri pakatha masiku 1 musanabadwe, ndipo mutabwera ku labotale muyenera kukhala osachepera mphindi 15.

Ndi kulimbitsa thupi kulikonse, mphamvu yosunga thupi la munthu imadyedwa, zomwe zikutanthauza kuti shuga ya magazi imachepetsedwa. Masewera olimbitsa thupi musanapite ku labotale amabweretsa zotsatira zabodza. Chifukwa chake, tsiku lisanaperekedwe kwa biomaterial, masewera olimbitsa thupi ayenera kudumpha, ndipo mu ola limodzi kuti muchepetse zovuta zilizonse zolimbitsa thupi.

Osachepera tsiku limodzi, ndikofunikira kupatula kugwiritsa ntchito mankhwala aliwonse mwagwirizana ndi dokotala wanu. Ngati ndizosatheka kusiya mankhwalawa, wogwira ntchito akuyenera kuchenjezedwa za kumwa kwake, afotokozereni kuti mankhwalawo adatengedwa liti ndi dzina lake lenileni.

Kufunika kwa mankhwala osuta komanso kusuta fodya musanaunike

Zimadziwika kuti magulu ena a mankhwala amatha kuwonjezera kuchuluka kwa zomwe zimaganiziridwa ndipo ndi chifukwa chopezera zotsatira zabodza. Izi zikuphatikiza:

• mahomoni a steroid
• psychotropic mankhwala (antidepressants),
• okodzetsa
• mankhwala a mahomoni, kuphatikizapo njira zakulera za pakamwa,
• Kukonzekera kwamu
• othandizira ena oyambitsa matenda
• antiepileptic mankhwala
• magulu ena a ma pinkiller ndi antipyretic mankhwala, mwachitsanzo, sodium salicylate.

Chifukwa chake, muyenera kukana kumwa magulu omwe ali pamwambawa (atakumana ndi dokotala).

Musanapereke magazi kwa shuga, nkoletsedwa kusuta kwa theka la ola. Pambuyo pa ndudu mwa anthu, kuchuluka kwa shuga kumawonjezeka kwakanthawi. Ichi ndi chifukwa cha kutseguka kwa katulutsidwe ka mahomoni opsinjika (cortisol ndi catecholamines), omwe ndi insulin antagonists. Mwanjira ina, iwo amalepheretsa magwiridwe antchito a insulin, omwe amasokoneza kagayidwe kake ka shuga.

Kusuta kumakhala kowopsa makamaka kwa anthu omwe ali ndi mtundu wachiwiri wa matenda ashuga. Popeza maselo awo amatha kulolerana kwambiri ndi zochita za insulin, ndipo chikonga chimawonjezera njirayi.

Ndi zakudya ziti zomwe sizingadyedwe musanapereke magazi a shuga?

Ngakhale kuti kusanthula kumaperekedwa pamimba yopanda kanthu, chifukwa tsiku 1 wodwalayo ayenera kusintha kwathunthu chakudya chake. Ndikofunika kusiya zakudya zamagetsi zomwe zimapezeka mosavuta:

• makeke
• makeke
• kupanikizana
• Zinthu zophika buledi
• chakudya chofulumira
• ndi zakudya wowuma kwambiri.

Popeza zimachulukitsa kuchuluka kwa shuga m'magazi, ndipo ngakhale thupi lamunthu wathanzi limafunikira nthawi yayitali kuti bweretsere chizindikirocho.

Mwa zakumwa, ndibwino kumwa madzi abwino kapena tiyi wopepuka wopanda shuga. Zoletsedwa: zakumwa zoziziritsa kukhosi komanso zopangidwa ndi zakumwa zoledzeretsa, kuphatikizapo zakumwa zamagetsi, misuzi m'matumba ndi khofi. Nthawi yomweyo, mowa samachotsedwa masiku osachepera atatu, chifukwa Mowa ndi zinthu zake zowonongeka zimachotsedwa m'thupi kwa nthawi yayitali.

Kodi kuwunika kumawonetsa chiyani?

Zotsatira zomwe zimapezeka zimawonetsa mkhalidwe waumoyo wodwalayo. Monga lamulo, shuga wambiri amawonetsa shuga mellitus, komabe, kupatula kwawonekeratu, kuyesedwa kowonjezera kotsimikizika kumayikidwa. Zifukwa zomwe zingakhalepo pakupatuka kwa chizindikirocho zikuphatikiza:

• acromegaly
• Hyperfunction a adrenal glands komanso kuchuluka kwa mahomoni awo kumthupi,
• khansa ya kapamba
• kapamba
• kuchuluka kwa chithokomiro,
• kupsinjika mtima
• sitiroko.

Kuzindikiritsidwa kwa hypoglycemia kumatheka pokhapokha kutsimikiziridwa kwa Whipple triad:

• shuga ndende zosakwana 2.2 mmol / l,
• chithunzi cha matenda a hypoglycemia: kusokonezeka m'maganizo, kumangokhala ndi njala, kunachepetsa kupenyerera, kutuluka kwambiri,
• kukhathamiritsa kwathunthu kwa mavuto osokoneza pambuyo matenda a shuga.

Zofanana zitha kuchitika chifukwa cha zinthu zakale komanso zinthu zina, pakati pawo:

• matenda amtundu wa adrenal, chiwindi, komanso kapamba kapena chithokomiro.
• uchidakwa wambiri,
• panhypopituitarism,
• kusala kudya kwanthawi yayitali.

Mwachidule, ndikofunikira kufotokoza mfundo zofunika:

• kukonzekera koyenera ndikomwe kumatsimikizira kuti mupeze zotsatira zolondola, kuthetsa kufunikira kwa mayeso obwereza,
• kupeza zotsatira zomwe zikupatuka pazomwe zimakhazikika, ndizomwe zimafunikira pakuwonjezera mayeso pogwiritsa ntchito njira zosiyanasiyana,
• perekani magazi kwa shuga pafupipafupi kamodzi pachaka, popeza matenda ashuga koyambira amatha kuchitika popanda zizindikiro zamankhwala. Komabe, kupezeka kwake koyambirira kumathandizira kwambiri kukonza chithandizo ndikuwongolera kudwala.

Julia Martynovich (Peshkova)

Omaliza maphunziro, mu 2014 adachita maphunziro apamwamba ku Federal State Budget Educational Institution of Higher Education ku Orenburg State University ndi digiri ya Microbiology. Omaliza maphunziro a digiri yoyamba FSBEI HE Orenburg State Agrarian University.

Mu 2015 Institute of Cellular and Intracellular Symbiosis of the Ural Branch of the Russian Academy of Sciences apitilanso maphunziro apansi pa pulogalamu yowonjezera yaukadaulo "Bacteriology".

Laureate mpikisano wa All-Russian pantchito yabwino yasayansi mukutchedwa "Biological Sayansi" wa 2017.

Ntchito ya shuga m'magazi ndi kufunika kwakepi

Kuwunikira kuchuluka kwa shuga mthupi ndikofunikira kwambiri ndipo kumakhudza kwambiri thanzi la anthu, chifukwa chake madokotala amalimbikitsa mwamphamvu kuti mphindi ino isanyalanyazidwe. Mthupi la munthu aliyense pali zisonyezo zingapo za shuga nthawi imodzi, pakati pawo, ma hemoglobin, kuphatikizapo mawonekedwe ake, komanso, glucose ndiomwe amadziwika kwambiri.

Shuga womwe umadyedwa ndi anthu, monga mtundu wina uliwonse wamafuta, sungatengeke mwachindunji ndi thupi; izi zimafunikira zochita za michere yapadera yomwe imaphwanya shuga woyamba. Gulu lama mahomoni ambiri lotere limatchedwa glycosides.

Kudzera m'magazi, shuga amapatsidwa minofu ndi ziwalo zonse, kuwapatsa mphamvu yofunikira. Chachikulu kwambiri, ubongo, mtima ndi minofu ya mafupa amafunikira izi: Kutalikirana kuchokera ku nthawi yayitali, mpaka yaying'ono mpaka mbali yayikulu, kumabweretsa kuwoneka kwa zovuta zingapo mthupi ndi matenda.

Ndi kuperewera kwa glucose m'maselo onse amthupi, mphamvu yanjala imayamba, yomwe singathe koma kugwira ntchito. Pogwiritsa ntchito shuga wambiri, kuchuluka kwake kumayikidwa mu mapuloteni a m'maso, impso, dongosolo lamanjenje, mitsempha yamagazi ndi ziwalo zina, zomwe zimawapangitsa kuwonongeka.

Zizindikiro zakusanthula

Zisonyezo kuti ndikofunikira kuyesedwa magazi kuti mupeze kuchuluka kwa shuga nthawi zambiri:

• Kuphwanya gawo la adrenal gland, chithokomiro, zotupa ndi ziwalo zina za endocrine.
• Matenda a shuga a mitundu yodziyimira pawokha ndi insulin. Pankhaniyi, kuyezetsa kwa shuga kumayesedwa kuti athe kupeza matenda ndikuwongolera matendawa.
• Kunenepa kwamitundu yosiyanasiyana.
• Matenda a chiwindi.
• Matenda a mtundu wa Gestational, omwe amapezeka kwakanthawi panthawi yoyembekezera.
• Kuzindikiritsa kupirira kwa shuga. Otumizidwa kwa anthu omwe ali pachiwopsezo cha matenda ashuga.
• Kukhalapo kwa kusokonezeka kwa shuga.

Kuphatikiza apo, kuchuluka kwa glucose komanso kutsimikiza kwake ndikofunikira kwambiri pakuwonetsa matenda ena.

Pankhaniyi, kusanthula kumachitika kawiri kawiri m'magawo awiri, momwe sampling yoyamba imachitikira pamimba yopanda kanthu, ndipo chachiwiri ndi kuyesa kwa shuga ndi katundu m'njira yoyambitsa kuyamwa kwa shuga. Kukonzanso kumachitika pambuyo pa maola awiri

Kukonzekera kuyesedwa kwa magazi

Kuti zotsatira zake zikhale zodalirika komanso zothandiza momwe zingathere, ndikofunikira kukonzekera mayeso ndikudziwa momwe mungayesere magazi kuti mupeze shuga.

Kukonzekera kudutsa mayeso a shuga kuli ndi zofunikira zingapo kuti mupeze zotsatira zodalirika:

• Pakati pa masiku 1 - 2 musanayesedwe, simuyenera kudya kwambiri, ndikofunikira kusiya kumwa, kudya mwachangu komanso zakudya zamafuta.
• Palibenso chifukwa choyesera kudya zakudya zochepetsa shuga; muyenera kudya zakudya zonse, chifukwa ndikofunikira kudziwa kuchuluka kwa shuga m'magazi ndikuwunika momwe munthu alili.
• Pakati pa chakudya chamadzulo mpaka nthawi yoyesa magazi, osachepera 8, makamaka maola 12, ziyenera kudutsa. Panthawiyi, simungathe kudya, kumamwa timadziti, zakumwa zoziziritsa kukhosi. Amaloledwa kumwa madzi oyera okha opanda mpweya. Koma, kupatula izi, simuyenera kusuta m'maora 12 awa.
• Muyenera kupewa kugwira ntchito zolimbitsa thupi, kusewera masewera ndi katundu wina masana tsiku lotsatira lisanachitike.
• Pankhani ya kumwa mankhwala aliwonse, makamaka pofuna kukonza matenda osachiritsika kapena chithandizo cha matenda, ndikofunikira kudziwitsa dokotala. Potere, adotolo amawerengera mankhwalawa pozindikira zotsatira za kafukufukuyu, kapena amangosintha tsiku la kusanthula tsiku lina.
• Madzulo a njirayi, ndikofunikira kwambiri kupewa kupsinjika, kuda nkhawa, kusakhala amantha komanso kusakhumudwitsidwa, chifukwa mawonekedwe amakhudzidwa amakhudzidwa ndi magazi ndipo amatha kupotoza zotsatira zake.
• Pamaso pa matenda opatsirana, tsiku la kafukufuku liyenera kusunthidwa pambuyo pake, popeza pamenepa zotsatira za kusanthula zidzakhala ndi zizindikiro zabodza.

Tsopano mukudziwa momwe mungaperekere magazi moyenera a shuga, ndizofunikira ziti pokonzekera, musanapereke magazi musanadye shuga kuchokera mu chala kapena mtsempha, ndikotheka kutsuka mano, zomwe zingadyedwe musanapereke magazi kuti mufufuzidwe, ndi chiyani palibe.

• Patsani magazi pambuyo pa X-ray, ultrasound, physiotherapy, kutikita minofu.
• Komanso, musamatafuna chingamu, popeza ili ndi shuga. Ndipo ndibwino kutsuka mano musanapereke magazi osagwiritsa ntchito mano, chifukwa pafupifupi chilichonse chimakhala ndi shuga.

Kuyesedwa kwa shuga panthawi yamayi

Mayi aliyense woyembekezera, polembetsa, komanso kangapo panthawi yoyembekezera, amayenera kukayezetsa magazi a shuga.

Kukonzekera kuyesedwa kwa magazi pa nthawi ya pakati sikusiyana ndi zomwe tafotokozazi. Zomwe zimachitika ndizakuti mayi woyembekezera sayenera kukhala ndi njala kwa nthawi yayitali, chifukwa cha mawonekedwe a kagayidwe, amatha kukomoka mwadzidzidzi. Chifukwa chake, kuchokera pachakudya chotsiriza mpaka kukayezetsa, sayenera kupitirira maola 10.

Ndi bwinonso kukana kupititsa mayeso kwa amayi apakati omwe ali ndi vuto lalikulu la poyizoni, limodzi ndi kusanza pafupipafupi. Simuyenera kuchita kuyezetsa magazi mukatha kusanza, muyenera kudikirira kuti mukhale ndi thanzi labwino.

Kuyesedwa kwa shuga kwa ana mpaka chaka

Pakubadwa kwake koyamba, mwanayo ayenera kuyezetsa magazi. Izi nthawi zambiri zimakhala zovuta kwambiri, chifukwa mwana wakhanda amadya kangapo usiku.

Mutha kuperekanso magazi kwa shuga mwana wakhanda akamakhala nthawi yayifupi. Kutenga nthawi yayitali bwanji, amayi adzaganiza, koma ayenera kukhala osachepera maola 3-4. Poterepa, munthu sayenera kuyiwala kuchenjeza ana kuti nthawi yosala kudya yayifupi. Ngati mukukayika, mwana adzapatsidwa njira zowonjezerera zowunikira.

Madeti a mayeso a shuga wamagazi

Kuyesa kwa shuga kumachitika mwachangu mokwanira, simuyenera kudikira masiku ochepa.

Mukamamwa magazi kuchokera pachala, zotsatira zake zimakhala zokonzekera patadutsa mphindi zochepa. Mukamatulutsa mtsempha, muyenera kudikirira pafupifupi ola limodzi. Nthawi zambiri m'makiriniki, nthawi yowunikira izi ndiyitali. Izi ndichifukwa chakufunika kuchita kafukufuku mu unyinji wa anthu, mayendedwe awo ndi kulembetsa. Koma pazonse, zotsatira zake zimatha kupezeka tsiku lomwelo.

Miyezo ya shuga wamagazi ndi kusanthula kwa mawu

Magazi othamanga a shuga othamanga ndi:

• 3.3-5,5 mmol / l - mutatenga magazi kuchokera chala.
• 3.3-6.1 mmol / l - ndi zitsanzo za magazi kuchokera m'mitsempha.

Kwa amayi apakati, ziwerengerozi ndizosiyana pang'ono:

• 3.3-4.4 mmol / L - kuchokera pachala,
• mpaka 5.1 - kuchokera ku mtsempha.

Mlingo wa shuga sungagwirizane ndi miyambo, kukwezedwa, mochepera - kutsitsidwa.

Cholinga chachikulu cha shuga m'magazi ndi shuga, matenda omwe ali ndi zotsatirapo zoyipa. Kuti mupewe izi, musaiwale kuyesa magazi kwa shuga kamodzi pachaka.

Kukonzekera kwa kusanthula panthawi yapakati

Mimba imakhala pachiwopsezo cha matenda ashuga. Izi zikutanthauza kuti glycemia imayendetsedwa, kuyambira gawo lakukonzekera kutenga pakati, komanso nthawi yonse ya bere.

Pakadutsa masabata 8-12 ndi masabata 30, azimayi amapereka magazi kuchokera chala / mtsempha pamimba yopanda kanthu. Ngati zikwangwani zoposa 5.1 mmol / l zapezeka, GTT imayikidwa.

Ngati mayi ali ndi toxosis yayikulu, ndiye kuti kuyesako sikulimbikitsidwa, chifukwa zotsatira zake zimakhala zosadalirika. Dokotala amatha kuchedwetsa mayesowo ngati mayiyo sakumva bwino, pomwe amakakamizidwa kuti agone pabedi.

Kulemba zotsatira

Kupititsa kuyezetsa magazi pamlingo wa shuga, munthu amalandira chidziwitso cha kuchuluka kwa shuga, komwe m'thupi limagwira ntchito yofunika kwambiri popereka mphamvu ku maselo onse, ndipo kukonzekera koyenera kumathandizira kupititsa patsogolo kusanthula kwathunthu mpaka 100%.

Thupi limalandira shuga m'mitundu yosiyanasiyana kuchokera kuzakudya zomwe timadya: maswiti, zipatso, zipatso, makeke, masamba ena, chokoleti, uchi, timadziti ndi zakumwa zoziziritsa kukhosi, komanso kuchokera kuzakudya zambiri zopukutidwa komanso zinthu zam'chitini.

Ngati hypoglycemia yapezeka pazotsatira za kusanthula, ndiye kuti, yotsika kwambiri shuga, izi zitha kuwonetsa kulakwika kwa ziwalo zina ndi machitidwe, makamaka, hypothalamus, gland ya adrenal, kapamba, impso kapena chiwindi.

Nthawi zina, kutsika kwa chizindikirocho kumawonedwa munthu akaona zakudya zomwe zimachepetsa kapena kupatula kumamwa maswiti, zopangidwa ndi ufa, ma muffins, mkate. Potere, kuchepa kwakukulu kwa glucose kumawonedwa m'magazi, omwe amakhala ndi zotsatira zoyipa pantchito ya ziwalo zambiri, makamaka ubongo.

Mkhalidwe wa hyperglycemia, pamene mseru uli wambiri kwambiri, umawonedwa kwambiri pamene munthu ali ndi matenda a shuga, komanso mavuto ena a endocrine system, pathologies a chiwindi ndi mavuto mu hypothalamus.

Mkulu wa glucose akakwera, kapamba amakakamizidwa kuti ayambe kupanga insulin mwachangu, popeza mamolekyulu a shuga samatengedwa ndi thupi mwa njira yodziyimira payokha, ndipo ndi insulin yomwe imawathandiza kuphwanya iwo kuti apange mankhwala osavuta. Komabe, gawo locheperako la chinthuchi limapangidwa m'thupi, chifukwa chake shuga amene samalowetsedwa ndi thupi amayamba kudzikundikira mu minofu munjira yama deposits yamafuta, zomwe zimayambitsa kuwoneka kwakulemera kwambiri komanso kunenepa kwambiri, zomwe zimayambitsa matenda ambiri.

Mwazi wamagazi

Mulingo wa glucose m'magazi umasiyana ndi zikhalidwe za munthu wamkulu komanso zimatengera zaka komanso nthawi yoyesedwa (pamimba yopanda kanthu, ola limodzi mutatha kudya, ndi zina zambiri). Ngati mungapereke kusanthula musanagone, Zizindikiro ziwonjezereka ndikusiyana ndi zomwe zikanapezeka ndi zotsatira za kusanthula pamimba yopanda kanthu.

Tiyeni tikambirane mwatsatanetsatane miyambo ya shuga m'magazi mwa ana.

• Mwa ana ochepera zaka 6, magazi amatengedwa kuti athe kusunthidwa mwachangu, mtengo wa 5 mpaka 10 mmol / L kapena 90 mpaka 180 mg / dl umawerengedwa monga chizindikiro chokhazikika. Ngati zitsanzo zamagazi zimachitidwa musanagone madzulo, chizolowezi chimasintha pang'ono ndipo chimayambira pa 5.5 mpaka 10 mmol / l kapena kuchokera 100 mpaka 180 mg / dl.
• Mwa ana a zaka zapakati pa 6 ndi 12, chizindikirocho chimawoneka chabwinobwino ngati chikufanana ndi cha anthu am'mbuyomu gulu, ndiye kuti, mpaka zaka 12 mwa ana, malingaliro abwinobwino a shuga amatha kuganiziridwa kuti ndiofala.
• Mu achinyamata azaka zopitilira 13, Zizindikiro zimawerengedwa kukhala zisonyezo zofanana ndi zachikulire.

Mukamaphunzira mu munthu wachikulire, mfundo yofunika ndi mkhalidwe wake, komanso nthawi yopereka magazi ndi dongosolo lazakudya.

Mndandanda wamagulu a shuga omwe amayesedwa nthawi zosiyanasiyana:

Ngati, pakuyesa kopanda kanthu m'mimba, munthu wamkulu amakhala ndi shuga pakati pa 6 mpaka 7 mmol / l, izi zimatengedwa ngati mtengo wamalire ndi chiwopsezo chachikulu cha matenda a shuga. Ngati chizindikirocho ndichoposa 7 mmol / l, izi zikuwonetsa kukhalapo kwa matenda ashuga.

Ndikofunika kukumbukira kuti ndi matenda ashuga ndikofunikira kuyang'anitsitsa momwe mulili komanso kuchuluka kwa shuga, kuisunga malinga ndi momwe imakhalira, popeza kuwonjezeka kwa zizindikiro kungayambitse zovuta zingapo zamatenda.

Kodi mumakonda nkhaniyo? Gawani izi ndi anzanu pa malo ochezera a pa Intaneti:

Zizolowezi zabwino

Osamawatsuka mano musanayesedwe. Kuthira mano kumakhala ndi mankhwala osiyanasiyana, kuphatikizapo shuga. Pamodzi ndi malovu, amatha kulowa mgonero ndikuwononga zotsatira za kusanthula.

Simuyenera kusamba moto m'mawa musanapendeke kapena basiki mu sauna, pitani ku solarium. Mikhalidwe iyi yokonzekera, ponseponse, aliyense amakwaniritsa, kuyambira nthawi yomwe muyenera kuyesa magazi kuti mupeze shuga limagwa m'mawa kwambiri.

Amakana masewera masiku awiri asanaunike. Simungathe kulipiritsa patsiku la kusanthula.

Mankhwala

M'mawa, mayeso akachitika, musamwe mankhwala. Masabata angapo asanafike phunziroli, mankhwala omwe amakhudza glucose amathetsedwa, mwachitsanzo, maantibayotiki.

Mndandanda wa mankhwala omwe wodwala amatenga ayenera kufotokozeredwa kwa dokotala musanawunikidwe. Zotsatira zake zimatha kukhudzidwa osati ndi mankhwala okha, komanso ndi makapisozi kapena zipolopolo momwe mankhwalawa adatsekera.

Kuphatikizika kwa zipolopolozi kumaphatikizapo zinthu zomwe zingasokoneze zotsatira za kafukufukuyu.

Mapiritsi azala zam'manja, ngati magazi a capillary amatengedwa kuti athe kupenda shuga, ayenera kukhala oyera. Sayenera kukhala zodzola, mafuta odzola.

Zizolowezi zoipa

Kusuta sikuyenera kuperekedwa kwa ola limodzi chisanachitike kusanthula. Ndudu zamagetsi zimaletsedwanso musanadutse mayeso kwa ola limodzi.

Mowa umaphatikizidwa ndi zakudya usanawunikidwe kwa masiku atatu. Izi ndichifukwa choti mowa wa ethyl umakhudza mwachindunji mphamvu ya chiwindi kuti ipange shuga wake.

Zotsatira zake zimatha kulimbikira, kutengera mlingo wa mowa, kwa maola angapo mpaka masiku angapo. Mndandanda wazoletsedwa umaphatikizapo zakumwa zonse zokhala ndi zakumwa zoledzeretsa - vinyo, mowa, vodka, peyala.

Musanapereke mayeso a magazi a shuga, simuyenera kudya chilichonse chomwe chili ndi mowa. Mowa wa Ethyl mwanjira yovomerezeka kapena yopopera amatha kupezeka m'maswiti, chokoleti, zophika, ndi zophika.

Njira zonse zodziwonera komanso zolimbitsa thupi siziphatikizidwa kusanachitike. Njira ndi maphunziro a physiotherapeutic, monga ultrasound, radiography, UHF, zimachitika masiku angapo magazi asanayesedwe.

Malangizo oyendetsera asanafufuze

Pamaso kusanthula, simungathe:

• kuthamanga
• kukwera masitepe
• kuda nkhawa komanso kuda nkhawa.

Kuthamangira mayesowo, simungathe kuthamanga, kukhala ndi mantha, chifukwa kupsinjika ndi mahomoni opsinjika (cortisol, adrenaline), omwe amalimbikitsa kuchuluka kwa glycemia, amamasulidwa panthawi yopsinjika ndi zochita zolimbitsa thupi.

Musanalowe mu ofesi kuti mukawunikidwe, muyenera kukhala modekha kwa mphindi 10, kukhazikika. Kupanda kutero, zotsatira zake zidzakhala zochulukirapo.

Ndipo akapitirira muyeso wabwinobwino, adzayambiranso, komanso kukayezetsa mayeso a glucose, ngati dokotala akuwona kuti kuphunziraku nkofunika.

Tsiku lowerengera

Kusanthula kwa magazi a capillary kuchokera chala kumakonzedwa mwachangu, patangopita mphindi zochepa.

Kusanthula kwakanthawi pang'ono kumachitika kuti mupeze kuchuluka kwa glucose m'magazi otengedwa kuchokera mu mtsempha. Zitha kutenga ola limodzi kuti izi zidziwike.

Patsogolo, zotsatira zake kuchipatala zimaperekedwa ndikuchedwa, zomwe zimagwirizanitsidwa ndi kuchuluka kwa maphunziro omwe akupitilira.

Mukamaganiza za kusanthula, munthu asachite mantha ndi zotsatira zake. Kumbukirani kuti kuwonjezeka kumodzi kapena kuchepa kwa glycemia sikokwanira kuti muzitsimikizira.

Kuzindikira kumachitika pokhapokha pakuwunika kwathunthu, kutsimikiziridwa ndi zotsatira za mayeso angapo pakutsimikiza kwa shuga m'magazi, GTT, hemoglobin ya glycated.

Kutsimikiza kwa magazi ndi glucometer

Kutenga kuyesa kwa shuga kuchokera kumunwe wanu, sikofunikira kupita kuchipatala, chifukwa mutha kuwunika magazi a glycemia kunyumba ndi glucometer.

Ndikudziyesa nokha shuga, zotsatira zoyeserera zakonzeka nthawi yomweyo. Kugwiritsa ntchito chipangizo chomwe mungafufuzire:

1. Mlingo wa Glycemia
2. Mphamvu pakusintha - kuchuluka, kuchepa kwa kuchuluka kwa shuga
3. Sinthani shuga m'magazi pazakudya - kuyeza shuga m'mawa m'mimba yopanda ola limodzi, maola awiri mutatha kudya

Asanayeze kuchuluka kwa glucose kunyumba, kukonzekera komweku kumachitika ngati musanalowe kuchipatala.

Ndikofunikira, komabe, kukumbukira kuti mita ya glucose yakunyumba imangopereka kuchuluka koyesa kwa shuga. Ngati chipangizocho chadutsa kale momwe mumayezera shuga m'magazi a capillary, musachite mantha.

Chipangizocho chili ndi cholakwika chokwanira mokwanira, ndipo matenda a shuga sapezeka muyezo umodzi. Mutha kuwerengera za miyezo ya shuga mwa akulu ndi ana m'magazi pamasamba osiyana a tsamba.