Tip 1: Momwe Mungadziyese Kuti Mupeze Matenda A shuga
Mitundu yonse iwiri ya matenda a shuga ndi osachiritsika, amawononga thupi pang'onopang'ono, kusokoneza ntchito zamagulu ndi ziwalo zambiri. Chifukwa chake, ndikofunikira kuzindikira matendawa munthawi yake. Koma kodi matenda ashuga angayesedwe kwaulere ndipo ndi njira ziti zomwe mungadziwe?
Zizindikiro Zowonetsa Matenda A shuga
Pali zizindikiro zingapo zokhala ndi matenda oopsa a hyperglycemia. Zizindikiro zoyambirira ndi ludzu lalikulu. Ngati usiku kuli pakamwa pouma ndipo mumangokhala ndi ludzu nthawi iliyonse masana, ndiye kuti muyenera kupita ku chipatala chakomweko ndikukapereka magazi a shuga kwaulere.
Kukodza pafupipafupi kumathandizanso ndi matenda a shuga. Kuchokera mthupi, shuga amatsitsidwa ndi impso, zomwe zimakoka madzi limodzi nawo.
Anthu ambiri omwe ali ndi vuto la shuga atha kumakhala ndi njala. Kulakalaka kwambiri kumachitika chifukwa cha njala ya glucose chifukwa chosowa kwa mayendedwe a glucose m'maselo.
Mtundu woyamba wa matenda ashuga, odwala amachepetsa thupi mosavuta pakudya. Kuyabwa kwa nembanemba ndi khungu - zizindikiro zomwe zimayamba ndi matenda a endocrine. Ngati mungatembenukire kwa dokotala pamlingo wa prediabetes, mutha kupewa matenda kapena kuwonongera.
Ndi matenda ashuga, odwala ambiri amakhala ndi kusawuka bwino kwa minofu. Kuchiritsa kwa mabala nthawi yayitali kumayambitsidwa ndi mtima.
Hyperglycemia imasokoneza endothelium, ndipo kuwonongeka kwamitsempha yamagetsi kumayambitsa kusakwanira kwa magazi kwa ziwalo ndi ziwalo, kuphatikiza mabala ndi kukanda. Choipa chinanso chosagwiritsa ntchito bwino magazi ndimakhungu a khungu loyipa nthawi zonse komanso matenda opatsirana omwe amakhala nthawi yayitali.
Kukhala wonenepa kwambiri ndi chizindikiro chodziwika bwino cha matenda ashuga 2. Anthu azaka zopitilira 40, omwe BMI yawo ili pamwamba 25, ndikofunikira kupereka magazi kuti azindikire kuchuluka kwa shuga kamodzi pachaka.
Mu matenda a shuga, kuwonongeka kowonekera kumachitika nthawi zambiri. Ngati chophimba chikuwonekera pamaso panu ndikuwona bwino, ndiye kuti ndikofunikira kuti mupange nthawi yoonana ndi ophthalmologist ndi endocrinologist.
Matenda a glycemia amachititsa kuti azikhala ndi vuto lochepa komanso amachepetsa chilakolako chogonana. Kupezeka kwa zizindikiro izi kumachitika chifukwa cha kuwonongeka kwa mtima komanso mphamvu yanjala yamaselo.
Kutopa ndi kutopa kumawonetsa kufa kwa maselo mu minofu ndi minyewa yamanjenje. Maselo sangathe kuyamwa glucose, mphamvu yake imakhala yopanda ntchito ndipo khungu limayamba kuonekera.
Matenda a shuga amaphatikizidwanso ndi kuchepa kwa kutentha kwa thupi kwa matenda ashuga. Kuphatikiza pa zisonyezo zomwe zili pamwambapa, cholowa chamaguluchi chiyenera kulingaliridwa. Ngati m'modzi mwa makolo ali ndi matenda a shuga, ndiye kuti matendawa amadalira ana awo ndi 10%, ndipo mu mtundu wachiwiri wa matendawa, mwayiwo umakwera mpaka 80%.
Amayi oyembekezera amatha kukhala ndi mtundu wina wapadera wa matenda a hyperglycemia - matenda a shuga. Matendawa ndi owopsa kwa mwana. Gawo lomwe lili pachiwopsezo chachikulu ndi akazi:
- onenepa kwambiri
- wokhala ndi mwana zaka 30,
- kuchuluka msanga pa mimba.
Momwe mungadziyese nokha matenda ashuga
- - Kuyesa kwa shuga,
- - Urinalysis kwa shuga,
- - Mayeso a kulolera a glucose.
Samalani kupezeka kwa zizindikiro zazikulu za matendawa. Ngakhale kugawidwa kwa matenda am'magulu amitundu m'mitundu ingapo, pali zizindikiro za shuga zomwe zimapezeka kawirikawiri mumtundu wa 1 ndi mtundu wa 2 shuga.
Poyambirira, kukodza pafupipafupi kumadziwika, kuphatikizapo usiku. Ndizotheka kuti kusowa kwamadzi kumalumikizidwa ndi kuchepa kwamadzi. Khungu kumaso limakhala louma, kutanuka kwa epithelium kumachepa, ndipo pakamwa pouma pamachitika.
Munthu amakhala ndi ludzu nthawi zonse.
Nthawi zambiri matenda a shuga amakhala ndi chidwi. Komabe, chakudya chochuluka sichimabweretsa mpumulo.
Kodi mukumva kutopa kosalekeza, kukwiya, kuchepa kwa chidwi? Onani matenda ashuga! Komanso, chimodzi mwazizindikiro za matendawa kumayambiriro ndi kuwonongeka kwakanthawi.
Ndi chitukuko cha matenda a pathology, kuwonongeka kwa mitsempha ya miyendo ndi manja kumawonekera, komwe kumanenedwa pamaso pa "zikopa zazikulu", dzanzi ndi kuzizira. Nthawi zambiri usiku, miyendo ikapuma, kukokana kumachitika.
Zizindikiro za matenda ashuga kwambiri zimaphatikizira kuchepa kwamawonedwe ndikupanga ming'alu yosachiritsa ndi zilonda pamiyendo. Chithandizo chithandiza kupewa khungu komanso kudula miyendo.
Pamaso pa gawo la zomwe zalembedwa, ndikofunikira kuyang'ana matenda ashuga polumikizana ndi GP kapena endocrinologist wakomweko.
Matendawa amadziwika ndi zotsatira za magazi ndi mkodzo poyesa shuga.
Onjezerani kusala komanso mukatha kudya. Izi ziwonetsa kusiyana pakati pa zomwe zikuwonetsa. Magazi ndi mkodzo amayenera kumwedwa kangapo. Nthawi zambiri, shuga wamagazi amakhala m'magazi 70-99 mg / dl. Ngati misempha ya glucose imachokera ku 100 mpaka 125 mg / dl, ndiye kuti matendawa ndi oti angayambitse matenda. Kuwerenga pamwambapa 126 mg / dl kumawonetsa kukhalapo kwa matenda a shuga.
Tengani mayeso okhudzana ndi shuga a maola atatu. Namwino amatenga zitsanzo zamagazi kuti aziwunika. Kenako, imwani yankho la glucose ndikuperekanso magazi pambuyo pa maola awiri. Pankhaniyi, shuga wambiri mpaka 139 mg / dl amadziwika kuti ndi wabwinobwino. Kuyambira 149 mpaka 200 mg / dl ndi boma la prediabetes. Koposa 200 - shuga.
Kumbukirani kuti prediabetesic boma limatha kupitilira zaka zingapo. Nthawi zambiri, matendawa sapereka matchulidwe amawu.
Kuyesedwa kopatsa glucose ndikwabwino, chifukwa shuga amatha kuyesedwa pankhaniyi makamaka poganizira kusintha kwa ndende yamagazi. Kusanthula kwanthawi zonse kumangokuthandizani kudziwa kuchuluka kwa shuga pakadali pano.
- Zizindikiro za matenda ashuga
- Kodi mungayesedwe bwanji matenda a shuga?
- Momwe mungayesedwe matenda a shuga
Momwe mungazindikire shuga: 18 zizindikiro
Novembara 14th ndi Tsiku la World Diabetes. Momwe mungayikirere matenda a shuga kapena okondedwa anu komanso momwe mungayang'anire kupezeka kwa matendawa - izi ndi zathu.
Ngati mwadzidzidzi munayamba kudzuka usiku kuchokera pakamwa lowuma ndipo mukumva ludzu, masana mumamvanso ludzu, zimakhala zomveka kuyang'ana magazi anu. Nthawi zambiri ludzu losasunthika limakhala chizindikiro choyamba cha matenda ashuga.
Matenda A shuga Oyembekezera
Mimba imatha kuyambitsa matenda ashuga. Chiwopsezo chachikulu kwa azimayi onenepa kwambiri, komanso ochedwa, okhala ndi kulemera kwakukulu panthawi yapakati. Malinga ndi mapulani owunikira amayi apakati, azimayi onse owonedwa ndi dokotala wazachipazi nthawi zina amapereka magazi kwa shuga.
Mavuto a Potency
Kuwonongeka kwa potency, kutsika kwa kugonana komwe kuchepetsedwa ndizizindikiro za matenda ashuga, omwe amayamba chifukwa cha njala yama cell komanso kuwonongeka kwa mtima.
Kufooka, kutopa ndi kutopa ndi chizindikiro cha kufa ndi njala kwa maselo amanjenje ndi minyewa. Pokhapokha pakutha kuyamwa glucose, maselo sangathe kugwira ntchito moyenera, ndipo kufooka kumachitika.
Kuyesa kwa shuga
Njira yosavuta yodziwira matenda ashuga ndiyo kukayezetsa magazi a shuga.
Kusanthula kumaperekedwa pamimba yopanda kanthu (pafupifupi maola 8 mutatha chakudya chatha), pomwe msambowo suyenera kupitirira 5.5 mmol / l. Pa mfundo za 5.5 - 6.1 mmol / L, kusanthula kuyenera kubwerezedwa.
Ndi mtengo wopitilira 6.1 mmol / l, kuyesa kwa glucose, mayeso a glycosylated hemoglobin ndi kuyesa kwa mkodzo kwa shuga kumayikidwa.
Mayeso a kulolera a glucose
Ngakhale kusala kwothira shuga m'magazi sikukwera, minofu imatha kutaya chidwi ndi insulin - iyi ndiye yotchedwa prediabetes.
Kuti muzindikire izi, ndikofunikira kuyesa kuyeserera kwa glucose - kuyezetsa magazi shuga pambuyo wodwalayo akamwa kapu yamadzi ofunda ndi shuga ophatikizidwa mkati mwake.
Glycosylated hemoglobin
Magazi a hemoglobin amatha kuphatikiza shuga. Chifukwa chake, shuga wambiri m'magazi, hemoglobin yambiri imalumikizidwa nawo. Ngati kuchuluka kwa hemoglobin yokhudzana ndi glucose ikuposa 5.9%, titha kulankhula za kuchuluka kwa glucose m'magazi, komwe kuphatikiza ndi zotsatira za kuyesedwa kwina kumatilola kufufuza matenda a shuga.
Urinalysis
Shuga mumkodzo amawoneka pamene kuchuluka kwa glucose m'magazi kumadutsa 10 mmol / l, omwe ali kale ndi kuchuluka kwakukulu. Kuphatikiza apo, zomwe zimakhala mu mkodzo zimayendera. Maonekedwe a acetone mu mkodzo ndi chizindikiro chosavomerezeka cha kuwonongeka kwa mapuloteni. Izi zikutanthauza kuti thupi silingalandire mphamvu kuchokera kwa chakudya ndipo limakakamizika kuphwanya mapuloteni.
Momwe mungadziwire shuga popanda mayeso kunyumba
Matenda a shuga sangakhale ndi zisonyezo zilizonse, koma amatha kuonekera, mwachitsanzo, mukapita ku ophthalmologist, yemwe azindikire mtundu wake. Komabe, pali mndandanda wonse wazizindikiro zomwe zimathandiza kudziwa ndikumvetsetsa ngati pali matenda ashuga.
Kuphatikiza apo, mtundu wa matenda osokoneza bongo omwe amadza ndi zizindikiro zotere ungathe kutsimikizika kunyumba ngakhale, komanso molondola.
Kuopsa kwa matenda ashuga kumachitika chifukwa cha kuchuluka kwa insulin, zaka za matendawa, momwe chitetezo chamthupi cha wodwalayo chimadwalirana komanso matenda ena okhala nawo.
Zomwe muyenera kulabadira
Ngati thupi lilibe ma pathologies, chakudya chikatha kudya m'magazi a m'magazi, shuga amakwera. Kwa izi, kusanthula sikofunikira, ichi ndi chowonadi chodziwika.
Koma patatha maola awiri ndi awiri, chizindikirochi chimabwereranso komwe chimayambira, ngakhale mutadya kwambiri. Kuchita kwa thupi koteroko kumawonedwa ngati kwachilengedwe, koma ndi metabolism yoyipa ya glucose, imasokonekera.
Ndipo apa inu, owerenga okondedwa, mutha kukhala ndi zizindikiro zomwe mungadziwe ngati pali matenda ashuga, ndi mtundu uti womwe umakula.
Zotsatira zake ndikukula kwa matenda ashuga ndi zizindikiro zake:
- kamwa yowuma
- ludzu losasunthika, pakadali pano madzi akumwa amatha kufikira malita asanu ndi atatu mpaka asanu ndi anayi patsiku, vuto limatchedwa polydipsia,
- kukodza pafupipafupi komwe sikuima ngakhale usiku,
- Kuuma ndi kusenda kwa khungu,
- anjala yosalekeza,
- kusamva bwino, kutopa, kutopa, kufooka kwa minofu,
- spasms mu ng'ombe,
- osadandaula
- nebula wa masomphenya
Kuphatikiza apo, mutha kuphunzira za kuyambika kwa mavuto kunyumba chifukwa chakuti zambiri zodabwitsa zimayamba kuwonekera pakhungu ndi thupi lokha, popanda kusanthula, zimayimira vuto:
- kusanza ndi kusanza
- machiritso olakwika bwino omwe ali ndi matenda a shuga a "uchimo" awa,
- Matenda a 2 a shuga amakhalanso onenepa kwambiri,
- Koma lembani 1, izi zimapangitsa kuti muchepetse thupi, ngakhale mutafuna kudya zochuluka motani.
- matenda apakhungu
- kuyabwa kwa khungu m'manja, m'miyendo, pamimba, kumaliseche.
- Kutha kwa zomera kumalire,
- dzanzi ndi kupweteka kwa miyendo,
- kukula kwa tsitsi
- zizindikiro ngati chimfine
- chikasu chaching'ono pamatumbo (xanthomas),
- balanoposthitis - kutupa kwa khungu la khungu chifukwa cha kukodza pafupipafupi.
Pafupifupi zizindikiro zonse ndizoyenera mtundu 1 komanso matenda ashuga 2. Lero, funso lalikulu kwa madotolo ndi: momwe mungadziwire shuga? Koma mutha kudzifunsa funso ili kunyumba.
Mtundu woyamba wa shuga
Zizindikiro zambiri pamwambapa ndi zofanana ndi matenda amtundu 1. Kusiyanitsa ndiko kusiyana kwa zizindikirazo. Chofunikira komanso zizindikiro zomwe zimathandiza kuyankha funso la momwe mungadziwire matenda amtundu wa 1 kusinthasintha kwakukali kwamlingo wama glucose m'magazi: kuyambira wotsika kupita pamtunda komanso mosiyanasiyana. Ndikofunikira kwambiri kuzindikira mtundu woyamba wa matenda ashuga mu ana!
Chizindikiro chofananira cha matenda amtundu woyamba ndicho kuchepa thupi msanga. M'miyezi yoyambirira, imatha kufika ma kilogalamu 10-15. Mwachilengedwe, kuchepa thupi kwambiri kumayendetsedwa ndi kusayenda bwino, kufooka kwambiri, kugona. Kuphatikiza apo, kumayambiriro komwe chilakolako cha wodwalayo chili chambiri, amapitilizabe kudya kwambiri. Izi ndi zizindikiro zokuthandizani kudziwa matenda ashuga osayesa.
Matenda a shuga akamakula, matenda a anorexia amakula, omwe amayambitsa ketoacidosis. Zizindikiro za ketoacidosis ndi mseru, kusanza, kupuma kwa zipatso, ndi kupweteka pamimba. Matenda a shuga amtundu woyamba amakhala othandiza kwambiri kwa achinyamata, koma mwa anthu okulirapo kuposa 40 sakutchulidwa kwenikweni.
Chifukwa chake, odwala omwe ali ndi zaka zakubadwa amapezeka ndi matenda a shuga a 2 ndipo amapatsidwa mankhwala oyenera, omwe cholinga chake ndi kuchepetsa shuga. Matenda a shuga akayamba kukula, wodwalayo amayamba kuchepa thupi komanso kugwira ntchito. Mankhwala omwe adalembedwa kale sanathandizenso. Ketoacidosis imayamba.
Type 2 shuga
Matendawa nthawi zambiri amakhudzidwa ndi anthu opitilira zaka 40. Nthawi zambiri, kutchulidwa kwa matendawa kulibe. Kuzindikira kumachitika mwangozi mutatenga magazi pamimba yopanda kanthu. Gulu lalikulu lomwe limakhala pachiwopsezo limaphatikizapo anthu onenepa kwambiri, matenda oopsa ndi mitundu ina ya mawonekedwe a metabolic.
Zidandaulo monga kudana ndi kukodza pafupipafupi komanso ludzu nthawi zambiri kulibe. Choyambitsa chachikulu chomwe chimakhala ndi nkhawa ndikakhala kuyabwa pakhungu ndi ziwalo. Chifukwa chake, matenda a shuga a 2 amapezeka kawirikawiri muofesi ya dermatologist.
Chifukwa cha chithunzithunzi chobisika cha nthendayi, matenda ake atha kutha kwakanthawi kwa zaka zingapo, ngakhale zizindikilo sizowoneka. Chifukwa chake, panthawi yopezeka ndi mtundu wachiwiri wa matenda ashuga, madokotala amawona mitundu yonse yamavuto, ndipo ndicho chifukwa chachikulu chothandizira wodwalayo kuchipatala.
Kuzindikira matenda a shuga kungakhale mu ofesi ya dokotala wa opaleshoni (matendawa ndi phazi la matenda ashuga). Anthu odwala matenda ashuga amatchulidwa kwa opaleshoni chifukwa cha kuwonongeka kwa mawonekedwe (retinopathy). Mfundo yoti ali ndi hyperglycemia nthawi zambiri imadziwika ndi odwala pambuyo poti adwala matenda a mtima kapena a mtima.
Pofuna kudziwa molondola kuchuluka kwa shuga m'madzi am'magazi, mayeso angapo a labotale amachitidwa:
- Zitsanzo za magazi a shuga.
- Urinalysis kwa shuga ndi matupi a ketone.
- Kuyesa kwa gluluose.
- Kudziwitsa hemoglobin, insulin ndi C-peptide.
Mwazi wamagazi
Chiyeso chopanda kanthu m'mimba sikokwanira kuti mupange kuzindikira koyenera. Kuphatikiza apo, muyenera kudziwa zamtundu wa glucose maola 2 mutatha kudya.
Nthawi zina (nthawi zambiri kumayambiriro kwa matendawa) mwa odwala kumakhala kuphwanya kwa mayamwidwe basi, ndipo mulingo wake m'magazi umatha kukhala malire. Izi ndichifukwa choti thupi limagwiritsa ntchito nkhokwe zake zamkati ndipo likuyang'anirani lokha.
Mukasala kuyezetsa magazi, malamulo otsatirawa akuyenera kuonedwa:
- wodwalayo ayenera kudya osachepera maola 10 asanafike mayeso a magazi,
- Simungamwe mankhwala omwe angasinthe zotsatira za mayeso,
- Sizoletsedwa kugwiritsa ntchito vitamini C,
- zochitika zam'malingaliro ndi zolimbitsa thupi siziyenera kupitirira.
Ngati palibe matenda, ndiye kuti shuga akusala ayenera kukhala m'magulu 3.3 - 3.5 mmol / L.
Dziwani matenda ashuga kunyumba
Masiku ano, anthu ambiri amasamala za funso, momwe mungadziwire shuga kunyumba, chifukwa cha kuchuluka chaka chilichonse anthu omwe atenga kachilomboka.
Choyamba, muyenera kulabadira zamtundu waumoyo ndikuwonetsedwa kwa zizindikiro zosasangalatsa.
Ambiri sadziwa za vuto, chifukwa sadziwa tanthauzo lakelo, chifukwa chake, kudandaula kumachitika pakadokotala chifukwa chosadziwa komanso kusayembekezeka. Chifukwa chake, muyenera kukonzekera njira yolondola yodziyimira nokha ndi thupi lanu.
Mabala omwe sanachiritse nthawi yayitali komanso mabala angathenso kuyang'ana, kuphatikiza chilichonse, kuthana ndi chimfine ndi matenda osiyanasiyana.
M'madera ena odwala matenda ashuga, kuona kumacheperachepera ndipo kuchepa kwa zochitika zolimbitsa thupi komanso kusowa kulakalaka zochitika zatsiku ndi tsiku.Mphamvu yowonetsera ikhoza kusiyanasiyana, koma pazowonjezera, zizindikirazi zikuyenera kupereka kukhalapo kwa ngozi yayikulu.
Wodwala matenda amakhala ndi vuto la kugona, ndipo "chinjenjemera" chingam'gwire modzidzimutsa. Izi zimachitika chifukwa cha kuchuluka kwa insulin. Zomwezi zimaperekanso ludzu: zimadziwika kwambiri pamene madzi ambiri akufunika kuposa masiku onse. Izi zimayimira bwino mawonetseredwe a matendawa ngakhale osapita kuchipatala.
Shuga akamatuluka, maselo am'mitsempha mu ubongo amayamba "kuvutika", izi zimayambitsa kukwiya kwambiri, nthawi zina kukwiya, zachilendo kwa munthu uyu. Mkhalidwe wamaganizidwe omwe wakhudzidwa ndi matendawa amatha kutengeka ndi china chakunja, ndichifukwa chake odwala matenda ashuga amakhala ndi nkhawa komanso amakhala ndi nkhawa.
Kodi matenda ashuga angadziwike kunyumba
Mukazindikira zizindikiro zomwe zili pamwambapa, mutha kunena nthawi yomweyo kuti mwakuwopseza kwakukulu ngoziyo ilipo. Palibe kusanthula Mutha kudziwa matendawo kunyumba. Izi zikuthandizira kuonetsetsa gawo lomwe lingachitike pachiwopsezo cha thupi ndipo limathandizira kuti athandizire pacangu thandizo.
Ndikofunika kwambiri kuganizira ngati banjali lili kale ndi anthu omwe akudwala matendawa. Pankhaniyi, muyenera kukonzekera chilichonse ndikutenga zomwe zofunikira kwambiri momwe mungathere. Izi zimadzetsa kubwezera kuti mudziwitse nokha matendawa, makamaka popeza matekinolo amakono apita patsogolo kwambiri ndipo zida zonse zofunikira zitha kugulidwa ku pharmacy yokhazikika.
Sizitengera khama kuti njira zodziyimira pawokha zisachitike. Masiku ano, pali njira zingapo zodziwira ngati chamoyo chikudwala kapena ayi.
Zomwe mukufunikira kudziwa za shuga kunja kuchipatala
Ngati pali chikhumbo komanso kuthekera koyezetsa matenda a shuga, ndiye njira zitatu:
- kuwerenga kwa glucometer
- zingwe zoyeserera
- zida zoyambira A1C.
Mokulira, sipadzakhala mavuto ndi kugwiritsa ntchito. M'malamulo ophatikizidwa, chilichonse chimafotokozedwa mchilankhulo chofikira, ndi masitepe pang'onopang'ono. Zokhudza mtengo wake, zilinso zomveka. Zowerengera zapakatikati ndizofanana ndi ziwerengero kuchokera ku ruble 500 mpaka 2 500. Zonse zimatengera zida ndi wopanga.
Mwachitsanzo, ma ntchafu pakupimidwa mkodzo ali ndi mtengo wokwera wa ma ruble mazana asanu, ma glucometer ndi okwera mtengo kwambiri.
Ndalama zochepa zingagwiritsidwe ntchito pazotsatira ndi mtendere wanu wamalingaliro, komanso zamakhalidwe anu, ndipo mtsogolomo mutha kukhala ndi chidaliro mumayendedwe anu: ndikofunikira kupita kukapangana ndi katswiri kapena kuyang'ana matenda ena omwe amafanana ndi zomwe mwazindikira.
Kodi kutsimikizira kwake ndi kotani?
Ngati tikulankhula za kulondola kwa zida zoyesedwa ndi zida, ndiye kuti pokhapokha tifunika kuyimitsa m'mbali zomwe zimasanthula mkodzo wa wodwalayo. Satha kuzindikira kachigawo kakang'ono ka shuga kochepera 190 mg / dl. Chifukwa chake, kutanthauziraku kumabweretsa malingaliro olakwika.
Ngati shuga atulukapo, ndiye kuti chikhala chokwanira kwambiri kugwiritsa ntchito chipangizocho molondola kwambiri. Pogula zida za A1C, muyenera kuonetsetsa kuti zikuwonetsa zotsatira mpaka mphindi 10, apo ayi simuyenera kuyembekeza kuti mudzachita bwino kwambiri.
Ponena za glucometer, ndiye kuti chilichonse chimatsimikiziridwa ndi mulingo woyenera.
Lamulo lalikulu ndikuwunikira pamimba yopanda kanthu, apo ayi kuwerenga sikungakhale kolondola.
Kuphatikiza apo, ndikulakwitsa, muyenera kusamala: malingana ndi deta yakuchipatala, zotsatira zake zenizeni ndizokhudza 20% ya kupatuka kuchokera ku mtundu wa zida. Chifukwa chake, chiwerengerochi sichingakhudze kusintha kwapadziko lonse mtsogolomo.
Wopanga amapereka mayeso apadera ndi chipangizocho, kutengera nthawi ndi nthawi momwe mungathere kuyang'ana momwe ntchitoyo ikuyendera. Amawonetsa zinthu zoyenera chifukwa cha enzyme yoyikidwa kumtunda wapamwamba, womwe umagwirizana bwino ndi maselo amwazi, kufalitsa zomwe zili ndi shuga.
Tanthauzo popanda kusanthula
Tichulukitsa funso, momwe mungadziwire molondola komanso kutengera zida zomwe zawunikiridwa shuga kunyumba, muyenera kuyang'ana pa machitidwe oyenera a njira.
Glucometer imayesa shuga m'magazi, imakhala ndi mikwingwirima yapadera komanso chipangizo chowunikira. Ndikofunikira kutsatira malamulo oyera aukhondo ndikuwonetsetsa kuti manja anu asadetsedwe mwangozi mwanjira yotsalira ya zinthu zomwe zili ndi shuga zomwe zingathe kusintha chithunzithunzi chomaliza.
Mtengo wabwinoko uli pafupifupi 6%. Njira zonsezi pamwambazi zodziyimira pawokha zithandizira kutsimikizira ngati zili zoyenera kudandaula zaumoyo wanu, koma osakana kuzindikira kwa akatswiri ndikuzindikiritsa chizindikiro cholondola kwambiri.
Tidzaphunzira momwe tingazindikire matenda ashuwarawa m'nthawi yotsatirayi:
Axamwali! Ngati nkhaniyo inali yothandiza kwa inu, chonde gawanani ndi anzanu kapena siyani ndemanga.
Momwe mungadziwire shuga kunyumba
Anthu ambiri amadziwa za matenda oopsa monga matenda ashuga, chifukwa matendawa amatengedwa kuti ndi amodzi mwa mavuto omwe anthu ambiri amakhala nawo. Matenda a zida za endocrine amayamba mosazindikira, popeza magawo oyambilira amakhala ndi mphamvu yamkati ya thupi. Nthawi zambiri kuzindikiritsa kumatsimikiziridwa kale mkati mwazidziwitso zamankhwala.
Kudziwitsa momwe mungadziwire matenda osokoneza bongo kunyumba kungaloleze kuyamba kwakanthawi kokwanira, komanso kuwongolera momwe wodwalayo alili, komanso kukwaniritsa chikhazikitso chokhazikika, osatsogolera pakukula kwa zovuta.
Mitundu ya Matenda A shuga
Tiyenera kukumbukira kuti pali mitundu ingapo ya matendawa, koma iliyonse yaiwo imayenda ndi hyperglycemia (mkhalidwe womwe kuchuluka kwa glucose m'magazi kumakwera). Pakhoza kukhala zifukwa zingapo, pamaziko omwe magawidwe a endocrine pathology amangidwa:
- Matenda a shuga omwe amadalira insulin (mtundu 1) - matendawa amafala kwambiri mwa achinyamata, limodzi ndi kulephera kwa ma cell a pancreatic. Chiwalocho sichingapangitse insulini yokwanira, momwe imalumikizirana ndi kulowerera kwa glucose m'maselo ndi kuchepa kwa glycemia.
- Matenda a shuga osadalira insulin (mtundu 2) - ochulukirapo mwa anthu okalamba. Kasitomala amatulutsa timadzi tokwanira, koma minyewa ndi maselo amthupi "siziwona", kutaya chidwi.
- Matenda a gestational - amapezeka munthawi ya bere, nthawi zambiri amapita pambuyo pobereka. Malinga ndi makina a chitukuko, ndi zofanana ndi matenda amtundu wa 2.
- Matenda a Neonatal - amakula mwa ana obadwa kumene, amagwirizanitsidwa ndi matenda obadwa nawo.
Zofunika! Kugawidwa koteroko kumakupatsani mwayi wofanizira zaka za wodwalayo, kupezeka kwa zinthu zomwe zimayambitsa chidwi ndi zina zokhudzana ndi izi kuti musangodziwa kukhalapo kwa matendawa, komanso kudziwa mtundu wake.
Anthu ambiri sakudziwa zida zomwe zingagwiritsidwe ntchito kuzindikira matenda ashuga, komabe, amadziwa zomwe zimawonetsa.
Kuwunikiridwa kwa kukhalapo kwa chithunzi cha matenda matendawa ndi gawo limodzi lazidziwitso za "kunyumba"
Kutengera zowonetsera zina, mutha kuganiza za kukhalapo kwa endocrine pathology:
- ludzu
- kamwa yowuma
- kuchuluka kwamkodzo
- kuyabwa pakhungu,
- kudya kwambiri, limodzi ndi kuchepa kwa thupi,
- mabala osachiritsika osachiritsa, zotupa, zotupa,
- kukwiya, kusakwiya, kusokonezeka kwa tulo.
Ndikofunikanso kuwunika anthu omwe ali ndi abale omwe ali ndi matenda ashuga, makamaka mzere wobadwira.
Kuyesetsa kambiri kudziwa matenda ashuga kunyumba sikofunikira. Kuti muchite izi, ingogulani mu pharmacy:
- mzere wowoyesa,
- magazi shuga mita
- dongosolo loyesa A1C (glycosylated hemoglobin).
Zida zonsezi ndi zida zothandizira zomwe zimagwiritsidwa ntchito pozindikira munthu wamkulu kapena mwana ndizosavuta kugwiritsa ntchito. Zovuta zimakhala ndi malangizo. Mtengo umasiyanasiyana kuchokera ku ruble 500 mpaka 6000, kutengera kampani ndi dziko lakapangidwe.
Mikwingwirima Yoyeserera Shuga
Malamba apadera okhala ndi ma reagents amathandizira kudziwa matenda a shuga. Amaonedwa ngati osavuta kugwiritsa ntchito. Mafuta kapena kuipitsidwa kwa magazi kumapangitsa khungu la tester. Zizindikiro zimayesedwa ndi mtundu womaliza.
Zida za Mayeso a shuga - Njira Yotsika Mtengo Yoyesera
Zofunika! Nthawi zambiri, shuga wofulumira azikhala pamitundu 3, 33-5,55 mmol / L. Zakudya zitatha kudya mthupi, ziwerengero zimachulukana, koma kubwerera kwazonse mkati mwa maola awiri.
Kuti muzindikire kuchuluka kwa shuga pogwiritsa ntchito zingwe zoyeserera, muyenera kutsatira malamulo osavuta:
- Sambani manja ndi sopo, lowume bwino, ofunda.
- Ikani zida zofunika pa chokoleti choyera kapena chopukutira.
- Chala chomwe malembawo amayendetsedwera chiyenera kukonzedwa, ndikuchiritsidwa ndi mowa.
- Kuboola matendawa kumachitika ndi singano yosalala kapena mankhwala ochepetsera mankhwala.
- Dontho la magazi liyenera kuyikidwa pa pepala pamalo omwe amachitidwa ndi reagent (akuwonetsedwa mu malangizo).
- Chala chimayenera kukanikizidwa ndi chidutswa cha thonje.
Zotsatira zake zitha kudziwika mkati mwa mphindi imodzi (m'mayikidwe osiyanasiyana). Kutengera zisonyezo za glycemic, mtundu wina umawonekera, womwe uyenera kufananizidwa ndi muyeso womwe umatsata malangizowo. Mthunzi uliwonse umafanana ndi ziwerengero zenizeni za glycemic.
Maonekedwe a shuga mumkodzo ndi njira imodzi yofunika kwambiri yomwe munthu akadali ndi matenda ashuga. Glucosuria imatsimikizidwanso kugwiritsa ntchito zingwe zoyeserera.
Zofunika! Mtundu wa matenda okhathamira ndi matenda a insulin okalamba sangaonetse kukhalapo kwa shuga mkodzo ndi njira yofananira, popeza kuti cholowera pomwe impso zimadutsa glucose mumkodzo umawonjezereka mwa odwala.
Kuti mupeze zotsatira zoyenera ndikuchotsa matendawa munthawi yake, kuzindikira kuyenera kuchitika kawiri pa tsiku. Nthawi yoyamba iyenera kukhala pamimba yopanda kanthu, yachiwiri - itatha maola 1.5-2 chakudya chitalowetsedwa.
Glucosuria - chiwonetsero cha matenda ashuga
Mikhodzo imayenera kusungidwa mu chidebe ndipo Mzere umayenera kutsitsidwamo, ukangokhalamo kwa nthawi yayitali malinga ndi malangizo. Wowonongera samaphwanyidwa, osapukutidwa. Amayikidwa pang'onopang'ono, ndipo patadutsa mphindi zochepa, yeretsani zotsatira zake malinga ndi mtundu womwe mwalandira.
Magazi a shuga m'magazi
Momwe mungayesere shuga m'magazi ndi glucometer
Zipangizozi zimakuthandizani kuti mumve zambiri molondola zokhudzana ndi matenda anu a shuga, chithandizo cha mankhwala omwe amayenera kuyamba atangozindikira. Ma Glucometer ndi zida zosunthika zomwe zimakhala ndi nyumba yokhala ndi chophimba ndi mabatani angapo owongolera, batiri, malolo (zida zamakono chala) ndi zingwe zoyesa.
Mudziwa bwanji ngati pali matenda ashuga?
Booger Guru (2593) Zaka 7 zapitazo
Zizindikiro zazikuluzikulu ndi matendawa ndi: ludzu lotopetsa, kukodza pafupipafupi, kuchuluka kwambiri kwamkodzo (mpaka malita 9 patsiku).
Chizindikiro chokhala ndi matenda amtundu wa 1 ndikuwonongeka kwakukulu kwa odwala (mpaka 15 makilogalamu pamwezi). Zizindikiro za matenda ashuga zimatha kufooka. Chimodzi mwazizindikiro zamatendawa ndikuwoneka kwa kununkhira kwa acetone kuchokera mkamwa.
Chizindikiro cha matenda a shuga ndimatopa a wodwalayo. Nthawi zina chizindikiro cha nthendayo chimakhala chovuta kuona. Kumverera kolemetsa m'miyendo, chizungulire chambiri chingakhalenso chizindikiro cha matenda ashuga.
Chizindikiro chosalunjika cha matenda monga matenda ashuga chimatha kukhala njira yochizira matenda. Kuchiritsa mabala pang'onopang'ono kumatanthauzidwanso ngati chizindikiro cha matenda ashuga. Nthawi zina, matenda a shuga amatsimikizidwanso ndi zizindikiro zina, mwachitsanzo, amachepetsa kutentha kwa thupi.
Kupunthwa m'misempha ya ng'ombe kungakhale chizindikiro cha matendawa. Ngati zizindikiro ndi zizindikiro za matenda oopsa monga matenda osokoneza bongo sananyalanyazidwe ndi wodwalayo, ndiye osalandira chithandizo chamankhwala a mtundu woyamba wa 1, wodwala matenda ashuga amatha.
Choyera ndi chofiyira Master (2290) zaka 7 zapitazo
sungathe kuchita popanda glucometer
Olesya Yashkova Sage (16614) Zaka 7 zapitazo
Zizindikiro za matenda ashuga, kukodza pafupipafupi, kenako ludzu, kumwa kwambiri ndi matenda ashuga, koma ndili ndi vuto lomweli, ndimamwa kwambiri, chizolowezi, ndimatha kumwa makapu atatu a tiyi panthawi, ndimamwa madzi, abale anga adayamba kukangana, akuti, mwadzidzidzi shuga, magazi adaperekedwa, kasanu , kwa miyezi isanu ndi umodzi, shuga ndiwabwinobwino, kotero, izi sizisonyeza kuti muli ndi matenda ashuga, kupereka magazi, ichi ndi chiyembekezo cha zana limodzi, zabwino zonse !!
Nyusha Sage (12817) zaka 7 zapitazo
Ndakhala ndikumwa tiyi ndi supuni 6 za shuga ndi shuga kwa theka la moyo wanga .. pah-pah ...
NIXIE Oganiza (8881) zaka 7 zapitazo
Kungoyesa magazi!
Tanya Pigaleva Master (1506) zaka 7 zapitazo
mugule chida mu mankhwala (ngakhale sichotsika mtengo), koma chizikhala chiri pafupi, chinthu chofunikira kwambiri. yeretsani magazi anu omwe.
ngati mpaka 4 khedinits ndichizolowezi, ngati chapamwamba, chimani mawu. tangotsala pang'ono kutha musadye zilizonse zokoma. ngati padzakhala magawo 5-6. -Siwo shuga osadetsedwa, musachite mantha! Ingochepetsa lokoma muzakudya zanu. Sindikudziwa.
mayi wazaka 69 amadziyesa wokha, ngakhale sanadwalidwepo. zabwino zonse!
Kanema kakang'ono Guru (3266) zaka 7 zapitazo
ludzu losalekeza, mabala amthawi yayitali-amadula, koma ichi sichizindikiro, shuga yambiri mu khofi kapena tiyi sapereka chilichonse.
Ingoyang'anani ndi dokotala wamankhwala, mumayesere shuga ndipo zonse, sizipweteka komanso mwachangu, pafupifupi mphindi 1!, Ndipo amayi anga amayenda mozungulira adotolo, mnzake ndi wodwala matenda ashuga, amayenda nthawi zonse ndi glucometer, amawunika zida zake ndipo adamuwonetsa 10k , uku ndikuyamba, adachita mantha kwambiri pomwepo adathamangira kwa adotolo, kuwunikira kudawonetsa kuti palibe wodwala, atangoyang'ana pa mita, adamwa makapu angapo a tiyi wokoma ndikudya makeke. Tsopano taganizirani momwe mungapangire popanda kuyesedwa kwa shuga ndi othandizira?!))
Dedpichto Sage (10348) Zaka 7 Mpaka musakayezetsedwe magazi, simudziwa kapena anthu omwe ali ndi matenda ashuga ali ndi chida choyeza nthawi yomweyo shuga. Glucometer samakhala wouma pakamwa pokha, koma ichi ndi chimodzi mwazomwe zimapereka magazi a shuga
Tatyana Zowunikiridwa (48532) zaka 7 zapitazo
Pali mitundu iwiri ya matenda ashuga: Mtundu 1 (wachinyamata kapena wachichepere) kuyambira pakubadwa mpaka zaka 40, umadalira insulin. Matenda a shuga a 2 (okalamba komanso onenepa kwambiri) kuyambira azaka 40 mpaka kukalamba, osadalira insulin, odwala pamapiritsi.
Kodi pali mtundu woyamba wa matenda osokoneza bongo othekera ngati mungadutse mayeso: magazi a shuga ndi ma antibodies ku GAD.
kufa mwachangu Pupil (137) 1 chaka chapitacho
Nditadwala, mwadzidzidzi ndinataya makilogalamu 7, popeza ndinadya kwambiri ndikumwa malita 4-5 a madzi patsiku. Adali ofooka, amapemphera mobwerezabwereza kunyumba ndikudzigoneka pabedi, kudali koyipa kwambiri. Wadutsa shuga, 17, 5, ikani endo.
Pitani mukayang'anire kuchipatalachi) Gutuluyu samakhala wolondola nthawi zonse, koma chinthu chachikulu ndikutsuka manja anu ndi sopo musanatenge mita, kapena kuchiritsa zala zanu ndi mowa kapena peroxide, chifukwa ngati tinthu tating'onoting'ono timakhalabe pazala, ndiye kuti shugayo adzakhala pamwamba kwambiri.
Ruslan Fathutdinov Pupil (106) miyezi 9 yapitayo
Adadwala matenda a shuga, pakamwa pouma, kumwa malita 5 amadzi usiku, ma acetone adatuluka, othandizira sanathe kudziwa chifukwa chomwe ndimadwala, kudwala (shuga 23,5 pachikopa), adanditengera kumalo osamalirira odwala kwambiri, ndikuyika dontho la madzi, ndowe, ndipo masomphenyawo adatayika (nthawi ya mwezi ukadakhala utachira) shuga yamagazi sayenera kukhala ochepera 4.5 akhoza kutaya maso. Muyenera kutsatira zakudya, kuwerengera chilichonse, ndi kupera momwe mungafunire, ngati mugwedeza ndipo shuga sachita chidwi, ndiye kuti muyenera kutsitsa mankhwala, amachiritsa enawo
Zambiri mtengo wa shuga komanso momwe mungazipezere
Zaka zinayi zapitazo, ndidadwala matenda a shuga mosadabwitsa. Sanalabadire zomwe zikuwonetsa ndipo ndinatsala pang'ono kuseka.
Wothandizira wakuchipatala amayenera kundiitanira ambulansi. M'malo mwake, adati pali zochepa zotsekemera ndipo adapereka sabata kuti adikire mayeso. Chifukwa chake, dokotala wa endocrinologist kuchokera ku chipatala cholipira adandipulumutsa.Adanenanso momwe angayankhulirane ndi madotolo ku chipatalacho, adabwezeretsa shuga yanga mwachikhalidwe ndipo adandiphunzitsa momwe ndingapewere matenda ashuga. Kuyambira pamenepo ndakhala ndikugwiriridwa ndikugwiritsidwa ntchito ndi boma ndipo sindikhala woipa kwambiri kuposa matendawo.
Ndinali ndi mwayi kuti Zizindikiro zikuwoneka koyambirira. Nthawi zambiri, matenda ashuga samadziwonetsa. Malinga ndi ziwerengero, ngati anthu 5,000 atawerenga nkhaniyi, padzakhala odwala matenda ashuga 250 mwa iwo omwe sakudziwa za matenda awo. Chilichonse chizitseguka pomwe shuga ayala impso zawo kapena kuwapangitsa khungu.
Kuti mupewe izi, ndikokwanira kuyang'ana kuchuluka kwa shuga m'magazi kamodzi pachaka.
Koma si maselo onse omwe amalowerera glucose yokha. Ma cell a minofu ndi mafuta ayenera kulandira lamulo kuchokera ku insulin - mahomoni a kapamba. Insulin imamatirira ndi cholandirira pamwamba pa khungu, khungu limakhala ndi omwe amayendetsa glucose, ndipo shuga amalowa.
Ingoganizirani kuti mwayitanitsa pizza. Kuti adze patebulo lanu, wotumizira amubweretse, ndipo inu - kuti mumve belu ndikutsegula chitseko.
Titha kupulumuka kufa ndi njala. Makolo athu akutali nthawi zambiri ankangokhala osadya nkhomaliro, ndipo thupi linaphunzira kugawa zofunikira. Ngati shuga wocheperako wafika pamaselo, thupi limakhala ndi dzira ndikuyang'anira zakudya zina - sitimamvetsetsa kuti china chake chalakwika.
Koma simungabise shuga wambiri: kuyezetsa magazi kumawonetsera nthawi zonse, ngakhale palibe.
Mulingo wa glucose wamagazi ndizosavuta kuyeza ndi glucometer. Ichi ndi chipangizo chochitira ntchito chomwe chimapereka zotsatira za dontho limodzi la magazi.
Mamita ali ndi magawo atatu: zolembera okhala ndi lancet, mizere yoyesera ndi chipangacho chokha. Cholembera chimatenga magazi kuchokera pachala, magazi amawaza pamalopo, chipangizocho chimawerengera mzerewo ndikumapereka.
Ngakhale palibe matenda a shuga, ndikokwanira kuyang'ana shuga kamodzi miyezi isanu ndi umodzi kapena kamodzi pachaka. Mtundu uliwonse wa mita ndi woyenera: ngati mungayang'anire kamodzi miyezi isanu ndi umodzi, zilibe kanthu kuti chipangizocho ndi chosavuta chotani, mapepala oyeserera ndi okwera mtengo bwanji, komanso ngati mungathe kutsitsa zotsatirazo pakompyuta. Koma ngati mumayang'ana shuga tsiku lililonse, zinthu zazing'onong'ono zimasankha, ndiye muyenera kudziwa zamtsogolo zomwe ndizofunika kwambiri kwa inu.
Ma mita anga oyamba ndi katundu wa Accu-cheke. Chipangizocho chomwe chili ndi mizere 10 choyesera chimatenga ma ruble 900-1500. Mzere umodzi woyeserera ungawononge ma ruble 20
Ubwino. Zingwe zazitali zoyesa zomwe ndi zosavuta kuchotsa m'botolo komanso zovuta kuziwaza. Bokosi lirilonse limakhala ndi zingwe 50.
Magazi amawaika pamalo akulu pakatikati pa mzere. Ngati dontho lafalikira, zili bwino.
Kwa zaka 4, ndidagwetsera chipangizocho mobwerezabwereza, koma sichidasweka.
Chidwi Pazigawo zilizonse zamagetsi, chipangizocho chimayenera kusungunuka - ikani chip yapadera kuchokera m'botolo.
Mlanduwo mulibe botolo lomwe lili ndi zingwe zoyeserera, ndipo mthumba silivuta kwambiri kulinyamula.
Limodzi mwa ma glucometer anga ndi "One Touch Select". Chida chomwe chili ndi 25 mizere yoyesera chimadula ma ruble 1800-2500. Mzere umodzi woyeserera udzagulanso ma ruble 20
Ubwino. Chipangizocho sichiyenera kukhala chowongolera pamtundu uliwonse wamayeso. Wopanga amalangiza mwezi uliwonse kuti ayang'ane kulondola kwake ndi njira zowerengera zomwe zimagulitsidwa m'mafakisi, koma pakadali pano sizinasokonekere pazaka ziwiri.
Chophimbacho chili ndi phiri losavuta pansi pa botolo ndi mikwingwirima.
Chidwi Zingwezo zoyesa ndizifupi komanso zazingwe - zidutswa 25 zokha zomwe zimayikidwa m'botolo, ndizosavuta kuzitulutsa, ndizosavuta kubalalitsa.
Dontho la magazi liyenera kubweretsedwa ndendende ndi capillary kumapeto kwa mzere. Mukasowa kapena dontho likufalikira, magaziwo sangatengeredwe mu chipangizocho ndipo strip yake ingowonongera.
Bonasi yopanda pake yamamita aliwonse ndi kutchuka kwake ndi alendo. Ndinkayesa shuga a anzanu onse komanso anzanga. Chokhacho chomangocheza ndi anzanu, onetsetsani kuti mwatenga chatsopano. Ikani mu cholembera m'malo mwanu, ndipo pambuyo pa njirayi, isinthaninso ndikutaya lancet ya mnzake. Nthawi zambiri pamakhala malamba 10 osalala omwe amakhala ndi glucometer - ngati amatha, mugule ku pharmacy.
Kuti kuchuluka kwa shuga kunene china chake chokhudza matenda ashuga, mukatha kudya muyenera kudikirira osachepera maola awiri, kapena kupitilirabe, zisanu ndi zitatu. Ngati mungayezedwe kale, zotsatira zake zimatengera zomwe mudadya. Chifuwa cha nkhuku chimakhala ndi shuga wochepa kuposa chidutswa cha keke.
Endocrinologists amagawana magawo atatu a mfundo: wamba, prediabetes ndi matenda ashuga.
Ma glucometer ambiri amawonetsa zotsatira za mamilimita pa lita, ena mamiligalamu pa desilita (mg / dl, kapena mg%). Kutembenuza zotsatira kuchokera mmol / L mpaka mg%, kuchulukitsa ndi 18. Mwachitsanzo, 3.3 mmol / L = 59.4 mg%.
Ngati shuga ndiwopanda zofunikira - pitani kwa dokotala. Matenda a shuga siabwinobwino, thupi limakhala kuti lilibe shuga. Izi sizimawerengedwa kuti ndi matenda a shuga kokha chifukwa mwayi udalipo wobwereza chilichonse osadwala.
Sindinayang'ane shuga yanga komanso sindinapite kwa dotolo, motero kuchuluka kwa glucose m'magazi anga kunkakulirakulira. Popita nthawi, zizindikiro zidawonekera: Ndidali ndi ludzu nthawi zonse ndipo nthawi zambiri ndimathamangira kuchimbudzi.
Zonse zimamveka zowopsa, koma sindimadwala. Ndinamvetsetsa kuti sindikumva bwino, koma ndinali wotsimikiza kuti izi zitha. Nditayamba kuyeza shuga, mita ija idawonetsa 21 mmol / L. Pokhapokha nditangomvera mawu ndi kupita ku chipatala - inali nthawi yoyitanira ambulansi.
Mankhwala onse a shuga amathiridwa ndi boma. Malingana ngati mukulamulira matenda ashuga, mutha kugwira ntchito molimbika, kupereka misonkho, ndikupindula.
Kuyeza uku ndi njira yodalirika kwambiri yodziwira matenda ashuga. Zimawonetsa kuchuluka kwa shuga m'miyezi itatu yapitayo. Gluu m'magazi amatsamira mapuloteni, ndipo izi sizingasinthe. Ngati mungawerenge kuchuluka kwa hemoglobin amene amachepetsedwa, zidzadziwika kuti magazi anu akhala okoma bwanji posachedwapa. M'miyezi itatu, maselo onse am'magazi amasinthidwa ndi atsopano, ndipo zomwe zinali m'mbuyomu sizingadziwike.
Zotsatira zoyeserera sizitengera kuti mudadya liti. Mu ma labotale, mumalangizidwa kuti muchite mayeso pamimba yopanda kanthu chifukwa mukatha kudya michere yama microscopic yamagazi mumawonekera m'magazi. Zitha kuwononga sampuli, ndipo magazi amayeneranso kuperekedwanso.
Ngati simunalumikizidwe ku chipatala, wothandizirayo amakulangizani, koma kupita kukawunikira sikutero. Kuti mupeze matenda othamanga ndi mankhwala aulere, muyenera kumamatira. Idzatenga masiku ena 7-10 kudzera mu chipatalacho kapena masiku atatu kudzera pa tsamba la ntchito za anthu.
Kuti mupeze mankhwala aulere, mufunika pasipoti ndi SNILS. Komanso khalani ndi ndondomeko ya zamankhwala ndi inu: popanda iyo, simungathe kusaina mayeso ndi endocrinologist.
Nthawi zonse tengani zikalata nanu mukapita kwa dokotala.
Ndi matenda a shuga, kumwa mankhwala sikokwanira. Muyenera kuyang'anira zakudya zanu, kusuntha kwambiri ndikuwongolera shuga lanu lamagazi.
Madokotala ku chipatala sangakuphunzitseni izi, chifukwa amangokupatsani mphindi 15. Kuti muphunzire momwe mungakhalire ndi matenda ashuga, bwerani ku sukulu ya shuga, makalasi ndiulere.
Funsani kwa endocrinologist wanu momwe angapangire nthawi yokumana.
Ngati mukufuna kuti dokotala akupatseni nthawi yambiri ndikuuza zonse nokha, muyenera kulipira endocrinologist kuchipatala chayokha.
Njira yolumikizira imayamba ndi labotale yachinsinsi. Kuti endocrinologist muchipatala chaokha atakuzindikirani, ibwere kwa iye ndi zotsatira za kusanthula kwa hemoglobin wa glycated. Amapangidwa ndi labotale iliyonse.
Pali ma labotoreti achinsinsi ambiri, mumzinda uliwonse amakhala ndi yawo. Ku Moscow, ndinapereka magazi ku Invitro ndi Center for Molecular Diagnostics - CMD. Ku Invitro, kuwunika kwa hemoglobin wa glycated kumawononga ma ruble 630, mu CMD - 585 rubles. Zotsatira zake nthawi zambiri zimakonzeka patsiku limodzi.
Ndidapereka magazi ku Invitro, koma ndidazindikira kuti madokotala ena sakhulupirira zotsatira za labotaleyi. Funsani dokotala komwe mungatenge.
Dokotala wa endocrinologist pachipatala chayekha adzakupatsani kuyambira mphindi 25 mpaka ola limodzi.
Adzakuwuzani choti muchite, mankhwala omwe muyenera kumwa komanso momwe mungayang'anire momwe muliri. The endocrinologist adandipatsa jakisoni wa insulin ndipo adandipatsa kuti nthawi yomweyo ndidayamba kuthandizidwa.
Anandipatsanso mkate ndi maswiti, ngati magazi a shuga atagwera kwambiri panjira yobwerera.
Kuvomerezedwa kwa endocrinologist waumwini ku Moscow kumawononga ma ruble 1,000-3,000.
Pofuna kuti musamapite ku chipatala mwezi uliwonse, mungadzigulire mankhwala. Zogulitsidwa pa counter, koma muyenera kudziwa dzinalo. Ngati kuzipatala mukapempha kugulitsa insulin, mudzalangizidwa kukaonana ndi dokotala. Ndipo ngati mutatchula dzina linalake, amathyola cheke popanda mafunso ena.
Ma syringes a insulin amalowetsedwa m'zipatala, mafilimu ndi madera ena. Adasinthidwa ndi zolembera za syringe: amatha kutulutsidwa ndi insulin mumdima, ndikuyika jekeseni popita.
Ndimagwiritsa ntchito zolembera 10 za insulin pamwezi. Mu shopu, pamafunika 4400 R. Ma singano a zolembera zama syringe amagulitsidwa padera pa 7 R pachidutswa chilichonse
Chithandizo cholipidwa chitha kuphatikizidwa ndi mfulu. Mutha kubwera kwa othandizira am'madera mwanu ndikuwunikira kuchokera ku labotale yangayokha.
Izi zimasunga nthawi pakuwunika, ndipo nthawi yomweyo mudzazindikira. The endocrinologist m'chipatalachi atha kuwonetsedwa kutha kwa dokotala wazinsinsi kuti athe kugwiritsa ntchito nthawi yochepa posankha chithandizo chamankhwala.
Ndipo ngati mwaphonya nthawi yachipatala, mutha kugula mankhwala ena ku pharmacy.
Koma ngakhale mutaganiza zokhala ndi chipatala, boma sililipira chilichonse.
Ngati simunazolowere kusunga zaumoyo ndipo mukukhulupirira kuti mutha kulipira matenda ashuga, lingalirani izi. Tsopano matenda ashuga ndi osachiritsika, koma amatha kuwongolera. Iyenera kulamulidwa mpaka kumapeto kwa moyo. Njira zothandizirana payokha zimatha kukhala zotsika mtengo, koma ngati muwonjezerera ndalama zonsezi pakapita nthawi, mumapeza ndalama zonse.
Anthu omwe ali ndi matenda a shuga amatha pakati pa ruble 10,000 ndi 90,000 pachaka pakuwongolera shuga yawo. Ndikukulangizani kuti mutenge kuchuluka kuchokera ku boma ndikulandila mankhwala ndi njira zonse zaulere zomwe mungathe.
Kuti muchepetse matenda a shuga, chithandizo chokha sichokwanira. Muyenera kuyang'ana shuga wanu wamagazi ndikuyezetsa. Tsoka ilo, boma limalipira kuyesa mayeso kwa glucometer ndi mayeso aulere nthawi zina.
Ku chipatalako, amandipatsa mayeso 50 mu kotala, ndipo kuti ndikwaniritse bwino ndimafunikira 120 pamwezi - ndiyenera kugula kusiyana. Mutha kuyang'ana hemoglobin ya glycated kwaulere kawiri pachaka, koma muyenera anayi.
Wophunzira endocrinologist angakuuzeni zomwe mungapeze kwaulere. Musaiwale kumufunsa za izi.
Boma sikuti nthawi zonse limalipira kupewa matenda ashuga. Ngati mukufuna upangiri kuchokera kwa katswiri wa zamitsempha, endocrinologist angakupatseni malangizo. Ndipo zikakhala kuti muli ndi cholesterol yayikulu, muyenera kuyitsitsa ndi mapiritsi nokha.
Izi ndi ndalama zondichitira umboni. Mtengo wa matenda a shuga umadalira kwambiri kuzindikira kwanu. Kuti shuga isamayendetsedwe, ndimayenera kupaka jakisoni 4 kawiri patsiku ndikuwona shuga yanga yamagazi. Ngati dokotala wanena kuti simukufunikira insulini pakadali pano, ndipo mutha kuyang'ana magazi anu kamodzi patsiku, mankhwalawo adzakhala otsika mtengo.
Pali vuto la matenda ashuga: ndizowopsa ngati simutsatira. Kuti mumutsatire, muyenera kulangidwa.
Palibe amene angakuthamangireni ndikupempha jekeseni wa insulin, kumwa mapiritsi, kuyezetsa magazi anu kapena kuyezetsa magazi. Palibe amene amasamala zomwe mumadya komanso kuchuluka kwa masewera olimbitsa thupi.
Ndiwe amene muyenera kuvutitsa madotolo, kukambirana za zomwe muli nazo, kufunsa mafunso. Vuto la mtima - pemphani kuti mutumize kwa asing'anga.
Simunayesere mahomoni a chithokomiro kwa nthawi yayitali - pemphani kuti mutumizidwe kuti muunikenso.
Ngati muli ndi matenda ashuga, ndipo simuli katswiri pa izo, ndiye nthawi yakwana. Funsani sukulu ya matenda ashuga, werengani mabuku ndi akatswiri otchuka a endocrinologists, mwachitsanzo, "Matenda A shuga" a Olga Demicheva.
Koma choyamba, yang'anani shuga yanu yamagazi kamodzi pachaka. Palibe amene angakuchitire izi.
Kukonzekereratu kwa matenda ashuga
Gulu lachiwopsezo cha shuga limaphatikizapo:
- anthu opitirira zaka 45,
- anthu onenepa kwambiri,
-anthu omwe m'mabanja mwawo muli odwala matenda ashuga.
Ngati muli m'gulu lachiwopsezo, onetsetsani kuti mumayang'anira kuchuluka kwa shuga m'magazi. Izi zikuthandizani kuzindikira gawo loyambirira la chitukuko cha matenda ashuga ndikuyamba kulandira chithandizo chanthawi yake.
Koma ngakhale mutakhala kuti mulibe vuto la matenda ashuga, pali zinthu zingapo zomwe zingachitike pangozi zomwe zingachitike. Uwu ndimkhalidwe wokhalitsa, ndi matenda amtima, komanso matenda oopsa, komanso kuchuluka kwa ma triglycerides, komanso otsika kwambiri a lipoproteins. Amayi amayeneranso kukayezetsa matenda ashuga ngati ali ndi vuto la matenda ashuga panthawi yoyembekezera kapena ngati abereka mwana wolemera oposa 4 kg.
Zizindikiro za matenda ashuga ndi ludzu kwambiri, kutopa nthawi zonse, kukoka pafupipafupi, kuchepa thupi mwadzidzidzi, kulakalaka kudya komanso kusawona bwino. Kuphatikiza apo, muyenera kuchenjezedwa ndi kupweteka kosalekeza m'miyendo, matenda kumiyendo kapena misomali, kupunthwa komanso kuyambitsa khungu. Ngati mabala anu samachiritsa kwanthawi yayitali, ndiye kuti sakusokonezani ndikuwona kuchuluka kwa shuga.
Kuyesa kwa shuga m'magazi
Kusanthula kumeneku kumaperekedwa pamimba yopanda kanthu, i.e. Musanapereke magazi, simuyenera kudya kapena kumwa kwa maola osachepera 8. Mukafuna ludzu lalikulu, mutha kumwa madzi, koma ndi bwino kungopukuta milomo ndi pakamwa panu kuti mupumule. Kuphatikiza pa kuchuluka kwa shuga, kuwunikaku kumawonetsa cholesterol ndi ma enzyme opangidwa ndi impso ndi chiwindi. Zizindikiro zonsezi ndizofunikira kwambiri. Ngati kuchuluka kwa shuga kukuwonetsa kukhalapo kwa matenda ashuga, ndiye kuti zotsalazo zimatilola kuti tiwone kuchuluka kwa matendawo.
Chikhalidwe cha shuga m'magazi ndi 70-99 mg / dl.
Ngati kusanthula kunawonetsa kuchuluka kwa 100 mpaka 125 mg / dl, ndiye kuti mudzapezeka ndi prediabetes. Izi zikutanthauza kuti muli pachiwopsezo chotenga matendawa. Izi zitha kupewedwa ndikusintha moyo wanu. Pewani kunenepa kwambiri, tsatirani zakudya zapadera, onjezani zolimbitsa thupi, ndi zina zambiri.
Chizindikiro cha shuga ndi shuga wamagazi pamwamba pa 126 mg / dl. Kuti mumveke bwino zomwe zachitika ndikuchotsa zolakwika zasayansi, dokotala angakuyesereni kuyezetsanso magazi, komanso kuchitanso kuyesedwa kowonjezera komwe kumatsimikizira kapena kukana kukhalapo kwa matendawa.
Mayeso a kulolera a glucose
Kusanthula uku kumafunikira kukonzekera. Zoyenera, mutuwu uyenera kudya zakudya zosachepera 150 g zamankhwala kwa masiku atatu musanayambe kumwa magazi. Ngati zakudya zama carb otsika zimasungidwa, zotsatira za kusanthula sizinayende bwino. Komanso, magwiridwe amakhudzidwa ndi njira yolerera pakamwa, thiazide diuretics ndi glucocorticosteroids. Zonsezi ziyenera kupatulidwa kwa masiku angapo mayeso asanayesedwe. Maola 10-12 asanafike mayeso, simungathe kumwa mowa, kusuta ndi kudya. Madzi ochepa amaloledwa.
M'mawa pa chopanda kanthu m'mimba magazi amaperekedwa kuti akhale ndi shuga. Pambuyo pa izi, phunziroli liyenera kumwa shuga yothetsera shuga yolembedwa ndi dokotala mu mphindi 5. Yendani kwa maola awiri. Kuchita masewera olimbitsa thupi mwachizolowezi kumalimbikitsidwa panthawiyi. Nthawi yoikika itatha, perekanso magazi. Malinga ndi zomwe zapezeka, kuchuluka kwa glucose komanso kupezeka kwa shuga ndikuyerekeza.
Mankhwalawa ndi ochepera 140 mg / dl maola awiri atatha kugwiritsa ntchito shuga. Izi zikuwonetsa kuchitidwa kwakuthupi. Ngati mulingo wa glucose umachokera ku 140 mpaka 199 mg / dl, ndiye kuti phunziroli limapatsidwa prediabetes, komanso matenda a shuga kuposa 200 mg / dl.