Kodi shuga ya magazi imatha kuchuluka chifukwa cha mavuto amitsempha?

Kupsinjika kwambiri ndi mayeso ovuta thupi lonse. Zitha kubweretsa kusokonezeka kwakukulu pakugwira ntchito kwa ziwalo zamkati ndikuyambitsa matenda ambiri, monga matenda oopsa, zilonda zam'mimbazi, ngakhalenso oncology. Ena a endocrinologists amakhulupirira kuti kupsinjika kungayambitse kukula kwa matenda oopsa monga matenda a shuga.

Koma kodi zochitika zakuthupi komanso zamaganizidwe zimakhudza bwanji kapamba ndipo shuga imatha kuchuluka chifukwa cha kuwonongeka kwa mitsempha? Kuti mumvetsetse nkhaniyi, muyenera kudziwa zomwe zimachitika munthu akamapanikizika komanso momwe zimakhudzira kuchuluka kwa shuga komanso kuchuluka kwa shuga.

Mitundu ya nkhawa

Asanalankhule za momwe kupsinjika kwa thupi la munthu, kuyenera kufotokozedwera komwe kumakhala nkhawa. Malinga ndi gulu lazachipatala, lagawidwa m'magulu otsatirawa.

Kupsinjika mtima. Zimachitika chifukwa champhamvu zomwe zakhudzidwa. Ndikofunika kudziwa kuti zitha kukhala zabwino komanso zoipa. Zochitika zoyipa zimaphatikizira: chiwopsezo cha moyo ndi thanzi, kutayika kwa wokondedwa, kutayika kwa katundu wodula. Mbali yabwino: kukhala ndi mwana, ukwati, kupambana kwakukulu.

Kupsinjika kwa thupi. Kuvulala kwambiri, kuwawa kupweteka, kulimbitsa thupi kwambiri, kudwala kwambiri, opaleshoni.

Zamasamba Zovuta m'mayanjano ndi anthu ena, kukangana pafupipafupi, mikangano, kusamvana.

Kupanikizika kwamankhwala. Kufunika kopanga zisankho zovuta zomwe ndizofunikira pamoyo wa munthu ndi banja lake.

Zotsatira za chisangalalo pa glycemia

Anthu ambiri amafunsa kuti: kodi magazi amawonjezeka ndi chisangalalo champhamvu? Hyperglycemia wopsinjika kwambiri ndi yemwe amachititsa anthu ambiri kufa kuposa matenda ashuga. Madokotala am'banja nthawi zambiri samalankhula za kuopsa kwa hyporrlycemia. Kwa wodwala ku chipatala, atangopanga opaleshoni, shuga wa magazi amatha kuchuluka kuposa 200 mg / dl, monga kafukufuku waposachedwa wasonyezera.

Odwala omwe amatha kusinthasintha mosalekeza mu shuga ali ndi chiopsezo chopezeka katatu. Chifukwa kusinthasintha kwadzidzidzi komanso kwachiwawa kumatha kusokoneza kagayidwe kakang'ono ka minofu. Mwazi wamagazi amachepetsedwa kwambiri mukapanikizika, koma kuwonongeka kosasintha kwa ziwalo nthawi zina kumachitika.

M'magawo othandizira kwambiri, oposa 90% ya odwala onse nthawi zambiri amakhala ndi glucose woposa 110 mg / dl. Kupsinjika kwa hyperglycemia imadziwika ndi kuzimiririka mosintha pambuyo pobwerera ku "moyo wabwinobwino". Komabe, izi sizikugwira ntchito kwa odwala onse. Aliyense wachitatu wodwala matenda ashuga samadziwa za matenda ake.

Osati kale kwambiri, madokotala amakhulupirira kuti kuwonjezeka kwa shuga m'magazi panthawi yovuta. Makamaka kwa odwala omwe ali ndi matenda oopsa, zovuta za glycemia zimachitika kawirikawiri. Ngakhale panali maphunziro akulu pamutuwu, sizikudziwika ngati kupsinjika konse kumayambitsa hyperglycemia kapena ngati matendawa amakhudza zochita za insulin.

Mtundu wa 2 wodwala matenda ashuga amakhala ndi kuphatikiza kwa insulin komanso kusokonekera kwa khungu la beta. Ntchito yayikulu pakukula kwa acute hyperglycemia imaseweredwa ndi catecholamines, cortisol, mahomoni okula komanso ma cytokines angapo. Kuyanjana kwawo kumayambitsa kukoka kwa shuga kwa chiwindi ndipo, nthawi zambiri, kukana insulin kwakanthawi. Kafukufuku waposachedwa akuwonetseranso kuti kutsogola kwa cholowa kukhala ndi gawo limodzi kumathandizira kwambiri pakukula kwa nkhawa ya hyperglycemia. Kusintha kwa gawo logwirizanitsa la protein ya UCP2 mitochondrial kumalumikizana kwambiri ndi misinkhu yokhala ndi shuga.

Kafukufuku waposachedwa kwambiri adakhudza odwala 1900. Zinapezeka kuti kufa kwa odwala omwe ali ndi kanthawi kochepa komanso koopsa la hyperglycemia kumawonjezeka nthawi 18. Odwala omwe ali ndi matenda ashuga, chiwopsezochi chinakwera pafupifupi katatu. Kuwunika kwa meta kwa odwala pambuyo poti adwala matenda opha ziwopsezo mu 2001 adapeza zotsatira zofananira: poyerekeza ndi matenda a shuga, odwala omwe ali ndi "mwadzidzidzi" hyperglycemia, chiwerengero chaimfa chimakwezeka katatu.

Osati kufa kokha komwe kumatha kufotokozera kuopsa kwa kupsinjika kwa hyperglycemia. Kafukufuku watsopano kuchokera ku Amsterdam adanenanso kuchuluka kwakukulu kwa venous thrombosis wokhala ndi glycemia wamkulu popanda matenda a shuga. Kuyesa kwelebhu kwawonetsa kuti shuga sikuti amangokulitsa chiwopsezo cha thrombosis, komanso amatenga nawo mbali pakukula kwake.

Ndikangophulika shuga mwadzidzidzi, kugwiritsa ntchito mankhwala a insulin mwachangu kungapulumutse miyoyo. Asayansi aku Belgian adaganiza kuti ndi mankhwala a insulin, kuchepa thupi ndi kufa kumachepa kwambiri. Kusindikiza kwina kolemba magazini wotchuka wa zamankhwala van den Berghe kunawonetsa kuti zofunikira za 190-215 mg / dl zimathandizira kwambiri kukulitsa kufa kwa anthu kuposa momwe zimakhalira 80-110 mg. Kafukufuku wokhudza VISEP ya ku Germany m'malo 18, momwe odwala pafupifupi 500 adachitapo kanthu, adawonetsa kuti insulin ikhoza kusokoneza kupsinjika kwa hyperglycemia.

Zomwe zimayambitsa kupsinjika kwa shuga

Pachilankhulidwe chamankhwala, kulumpha kwakuthwa m'magazi amwazi mumkhalidwe wopsinjika kumatchedwa "kupsyinjika kochititsa chidwi kwa hyperglycemia." Cholinga chachikulu cha izi ndi yogwira ma adrenal mahomoni opanga corticosteroids ndi adrenaline.

Adrenaline imathandiza kwambiri kagayidwe kamunthu, imapangitsa kuchuluka kwakukulu kwa shuga m'magazi ndikuwonjezera kagayidwe kazakudya. Komabe, ntchito ya adrenaline pakuchulukitsa shuga sichitha pamenepo.

Kuwululidwa kwa nthawi yayitali pakukhumudwa kwa munthu, kuchuluka kwa adrenaline m'magazi ake kumachulukirachulukira, komwe kumakhudza hypothalamus ndikuyamba dongosolo la hypothalamic-pituitary-adrenal. Izi zimayambitsa kupanga kwa kupsinjika kwa mahomoni acortisol.

Cortisol ndi glucocorticosteroid mahomoni omwe ntchito yake yayikulu ndikuwongolera kagayidwe ka munthu mumikhalidwe yovuta, makamaka kagayidwe kazakudya.

Pogwira maselo a chiwindi, cortisol imapangitsa kuchuluka kwa shuga, omwe amatulutsidwa nthawi yomweyo m'magazi. Nthawi yomweyo, timadzi tating'onoting'ono timachepetsa mphamvu ya minofu yopukusa shuga, potero kukhalabe ndi mphamvu yayikulu mthupi.

Chowonadi ndi chakuti mosasamala kanthu zomwe zimayambitsa kupsinjika, thupi limakumana nalo ngati ngozi yayikulu yomwe imasokoneza thanzi la munthu komanso moyo. Pachifukwachi, amayamba kupanga mphamvu, zomwe zimayenera kuthandiza munthu kubisala kuti asakuwopsezeni kapena ayambe kulimbana nayo.

Komabe, nthawi zambiri zomwe zimayambitsa kupsinjika kwambiri mwa munthu ndi zochitika zomwe sizimafuna mphamvu yayikulu kapena kupirira. Anthu ambiri amakhala ndi nkhawa kwambiri asanakhale ndi mayeso kapena opaleshoni, ali ndi nkhawa kuti ataya ntchito kapena mavuto ena.

Mwanjira ina, munthu samachita masewera olimbitsa thupi kwambiri ndipo samapanga glucose yemwe wadzaza magazi ake kukhala ndi mphamvu. Ngakhale munthu wathanzi labwino pamenepa angamve kudwala.

Ndipo ngati munthu ali ndi vuto la matenda a shuga kapena akudwala kwambiri, ndiye kuti kulimba mtima kotereku kumatha kubweretsa kukula kwa hyperglycemia, yomwe imayambitsanso zovuta monga glycemic coma.

Kupanikizika ndizowopsa makamaka kwa anthu omwe adapezeka kuti ali ndi matenda ashuga, chifukwa mu nkhani iyi mseru wa shuga ukhoza kukwera mpaka pamlingo wovuta chifukwa chophwanya kapangidwe ka insulin. Chifukwa chake, anthu onse omwe ali ndi shuga ochulukirapo, makamaka okhala ndi matenda amtundu wa 2, ayenera kusamalira dongosolo lawo lamanjenje ndikupewanso kupsinjika.

Kuchepetsa kuchuluka kwa shuga panthawi yopsinjika, ndikofunikira kuti muchepetse zomwe zimayambitsa zomwezo komanso kuti muchepetse mitsempha poyambira. Ndipo kuti shuga asayambenso kutuluka, ndikofunikira kuphunzira kukhala wodekha nthawi zonse, komwe mungayesere kuchita masewera olimbitsa thupi, kusinkhasinkha komanso njira zina zopumulira.

Kuphatikiza apo, odwala matenda a shuga ayenera kukhala ndi mlingo wa insulin nthawi zonse, ngakhale kuti jekeseni wotsatira sayenera kuchitika posachedwa. Izi zimachepetsa msanga shuga pagulu la nkhawa ndikutchinjiriza kukula kwa zovuta zoopsa.

Ndikofunikanso kudziwa kuti nthawi zina njira zobisika zotupa, zomwe wodwalayo sangakayikire, zimakhala nkhawa yayikulu kwa thupi.

Komabe, zimathandizanso kudwala, monga hyperglycemia mu shuga mellitus, pomwe shuga imakhazikika kwambiri.

Kupsinjika kwakanthawi

Kupsinjika ndi gawo la moyo watsiku ndi tsiku ndipo ndiwothandiza kwambiri pakulimbitsa thupi ndi malingaliro. M'mikhalidwe yovuta kwambiri, mwachitsanzo, mahomoni amatulutsidwa mayeso asanachitike, kuyankhulana, kapena zochitika zina. Zotsatira zake, zimangowonjezera kwakanthawi mayankho a chitetezo cha m'thupi, kuchuluka kwa glucose kumawonjezeka, komanso katulutsidwe ka mahomoni osiyanasiyana - adrenaline, norepinephrine, ndi cortisol - amakula. Hyperglycemia imachitika pakanthawi kochepa ndipo imapereka mphamvu yochepa yosakhalitsa.

Thupi likamavutika maganizo nthawi ndi nthawi, limakhala ndi zotsatira zabwino pa thanzi. Zinthu zopsinjitsa zotere nthawi zambiri zimakhala kwa mphindi zochepa mpaka maola angapo ndipo zimachitika mwanjira yina ku zovuta zam'mutu kapena zathupi. Komabe, ngati thupi lilibe mphamvu yakuchira mokwanira panthawi yopuma, chiopsezo chazovuta komanso zovuta kuzolowera hyperglycemia chikuchulukirachulukira.

Ndi nkhawa yayikulu, thupi limakhala lokonzekera, lomwe limakhudza kagayidwe kazakudya ndipo limathandizira kukulitsa matenda osiyanasiyana. Kupanikizika kosalekeza kumapangitsa izi kutulutsa mthupi kugwira ntchito bwino. Kuchita pafupipafupi kwa cortisol kumangowonjezera katemera wa insulin, komanso kumachepetsa kuthamanga kwa magazi ziwalo zonse, kumawonjezera kuthamanga kwa magazi kwa nthawi yayitali ndikuletsa ma cell a immune. Kuphatikiza apo, milingo yayikulu ya cortisol imathandizira pakupanga zotupa motero zimagwirizananso ndi chiwopsezo cha khansa.

Kuwonongeka kwa dongosolo lamanjenje

Mphamvu yamanjenje yaumunthu imatha kudwala matenda ashuga, osangoyang'aniridwa ndi kupsinjika kwambiri, komanso mwachindunji chifukwa cha shuga wambiri. Kuwonongeka kwa dongosolo lamanjenje m'matenda a shuga ndizovuta zambiri za matendawa, omwe kumlingo wina wake umapezeka mwa anthu onse okhala ndi shuga wambiri.

Nthawi zambiri, zotumphukira zam'mitsempha zimadwala chifukwa chosowa insulini kapena kusamva bwino mkati. Izi zimatchedwa peripheral diabetesic neuropathy ndipo zimagawika m'magulu awiri akuluakulu - distal symmetric neuropathy ndikupatsa autonomic neuropathy.

Ndi distal symmetric neuropathy, mitsempha yam'mphepete yam'munsi komanso yotsika imakhudzidwa makamaka, chifukwa chomwe amasiya kumva komanso kuyenda.

Distal symmetric neuropathy ndi mitundu inayi ikulu:

Mawonekedwe achisoni, akuwoneka ndi kuwonongeka kwa mitsempha yamamva,
Fomu yamagalimoto yomwe minyewa yamagalimoto imakhudzidwa kwambiri,
Mawonekedwe a Sensomotor, okhudza mitsempha yamagalimoto ndi yam'mutu,
Proximal amyotrophy, imaphatikizapo magulu osiyanasiyana a zotumphukira zamitsempha yamagazi.

Diffuse autonomic neuropathy imasokoneza kugwira ntchito kwa ziwalo zamkati ndi kachitidwe ka thupi ndipo pazovuta kwambiri zimayambitsa kulephera kwathunthu. Ndi matenda awa, zowonongeka ndizotheka:

Mtima wamtima. Imadziwoneka mwa mawonekedwe a arrhasmia, kuthamanga kwa magazi komanso kuphatikizika kwa myocardial,
Matumbo. Zimatithandizira kukulira kwa atony m'mimba ndi chikhodzodzo, komanso kutsegula m'mimba usiku.
Dongosolo la genitourinary. Amayambitsa kukodza kwamkodzo komanso kukodza pafupipafupi. Nthawi zambiri kumabweretsa kusabala,
Kuwonongeka pang'ono kwa ziwalo zina ndi machitidwe ena (kusowa kwa chidwi cha ana, kuchuluka thukuta, ndi zina zambiri).

Zizindikiro zoyambirira za neuropathy zimayamba kuonekera mwa wodwala pafupifupi zaka 5 atazindikira. Kuwonongeka kwa dongosolo lamanjenje kumachitika ngakhale ndi chithandizo chamankhwala choyenera komanso jakisoni wokwanira wa insulin.

Matenda a shuga ndi matenda osachiritsika omwe amakhalabe osachiritsika ngakhale mutakhala kuti mulibe chidwi nawo. Chifukwa chake, munthu sayenera kumenya nkhondo ndi nephropathy, koma yesetsani kupewa zovuta zake, mwayi wake womwe ungakulitse kwambiri kusakhalapo kwa chisamaliro choyenera cha thupi komanso mlingo woyipa wa insulin. Kanemayo munkhaniyi akukamba za kupsinjika kwa shuga.

Kupewa koopsa kwa hyperglycemia

Hyperglycemic ikugwidwa chifukwa cha zochitika zam'maganizo komanso zovuta zina zokhudzana ndi (myocardial infarction) zitha kupewedwa ndi moyo wathanzi. Ngati glycemia ikukwera kwambiri, ndikofunikira kuchita molingana ndi algorithm yochizira yomwe dokotala amatulutsa. Mavuto amatha kuchiritsidwa ngati atapezeka koyambirira.

Uphungu! Kuzindikira koyambirira kwa matenda ashuga (panthawi yomwe ali ndi pakati kapena kunja) kumathandizira kupewa kuwonjezereka kwa glycemia. Ndikulimbikitsidwa kuchitira hyperglycemia moyang'aniridwa ndi dokotala. Ndi nkhawa yayikulu, wodwala (mwana kapena wamkulu) angafunikire bata. Ena mwa iwo amatha kuwonjezera glycemia, motero, ndikofunikira kutsatira malingaliro a katswiri woyenera.

Zotsatira zakusokonezeka kwa shuga m'magazi

Sayansi yatsimikizira kuti ndikasokonezeka kwamanjenje pafupipafupi komanso zokumana nazo zamphamvu m'magazi, kuchuluka kwa shuga kumawonjezeka. Njirayi imagwirizanitsidwa ndi mawonekedwe a kugwira ntchito kwa thupi la munthu komanso ntchito yamagulu ake achitetezo. Pakakhala kupsinjika, thupi limaponya mphamvu kwambiri kuthana ndi vuto linalake. Mlingo wa mahomoni ena opangidwa ndi thupi amatsika. Kuphatikiza ndi mahomoni omwe amapanga insulin, yomwe imayambitsa matenda osokoneza bongo. Chifukwa cha izi, kuchuluka kwa shuga m'magazi kumachulukanso.

Mlingo wa insulini umachepa panthawi yamanjenje, koma kupanga mahomoni omwe amayambitsa kupanga shuga m'magazi kumawonjezeka. Awa ndi ma glucocorticoid mahomoni adrenaline ndi cortisol. Thupi limafunikira cortisol kuti likonzenso mwachangu minofu ya khungu, liwonjezere ntchito. Koma zikafika zambiri, zimadzaza thupi. Zochita za adrenaline ndizotsutsana ndi insulin. Hormon iyi imasinthira zinthu zopindulitsa glycogen zopangidwa ndi insulin kuti zibwererenso shuga.

Matenda a shuga ndi kupsinjika kumachitika kawirikawiri. Komabe, sizimalumikizidwa osati ndi mitsempha, koma ndi kuwonjezeka kwa shuga wamagazi chifukwa chovuta. Ngati wina ali ndi vuto lotengera matenda ashuga, ndiye kuti izi zitha kupangitsa kuti pakhale zovuta pambuyo pamavuto aliwonse. Kupsinjika kumakhala kusokonezeka kwa malingaliro, ndipo nthawi yobwezeretsa itadwala kwambiri, chitetezo zikachepa.

Zoyenera kuchita ndi kupsinjika kwamagazi m'magazi?

Vuto la kuchuluka kwa shuga m'magazi mukapanikizika liyenera kuthetsedwa mwachangu.Ngati kulephera kwamalingaliro mwa anthu athanzi kukhala chinthu chimodzi, thupi nthawi zambiri limadzichira lokha. Koma ngati munthu akudwala kale matenda a shuga kapena thanzi lake silikuyenda bwino chifukwa chapanthawi zonse, ndiye kuti simungathe kuchita popanda kulandira chithandizo.

Wodwala amatchulidwa kuti apatsidwe mankhwala, omwe muyezo wake ungafanane ndi omwe amachitika musanakhale wopsinjika, popeza kuchuluka kwa mankhwalawa kumachepetsa mphamvu ya mankhwalawo. Limodzi ndi kukonzekera kwa mankhwala, wodwalayo amapatsidwa njira zolimbitsa thupi ndi zakudya zapadera.

Ngati shuga amatuluka mosayembekezereka, ndiye kuti zotsatirazi zikuwonetsa izi:

kamwa yowuma
ludzu lalikulu
kukodza pafupipafupi.

Muzochitika zotere, ndikofunikira kupatsa munthuyo mtendere. Zakudya zokhala ndi index yayikulu ya glycemic, zakudya zamafuta, mowa siziyenera kulekedwera kuchokera kuzakudya. Chakudya sichingatengedwe musanagone, komanso musamadye kwambiri. Ndikofunika kusiya zizolowezi zoipa. Mankhwala amathandizira kuchepetsa kuchuluka kwa shuga, koma ayenera kuikidwa ndi dokotala yemwe amaganizira zomwe zimayambitsa matendawa komanso zomwe zimayenderana ndi matendawa. Chifukwa chake, ngati mupeza shuga wambiri, ndikofunikira kukaonana ndi dokotala nthawi yomweyo.

Matenda a shuga

Zotsatira zake, ndikukhala ndi nkhawa kwanthawi yayitali, glycemia imakulanso. Pang'onopang'ono, chuma cha kapamba chimayamba kuchepa. Zotsatira zake, shuga imayamba kupita patsogolo.

Osati othandizira a hypoglycemic okha omwe amathandizira kuti pasakhale shuga wokwanira. Zakudya zapadera ndi zolimbitsa thupi zimayikidwa. Wodwalayo amapatsidwanso malingaliro pazokhudza mavuto.

Akakhala ndi nkhawa komanso nkhawa, wodwala amavutika kulipira matenda ashuga. Popeza ndi chithandizo choyenera, Zizindikiro zimatha kuchuluka, mwina kumachepa pakuyenda bwino kwa mankhwala.

Kupsinjika mtima chifukwa cha matendawa kumabweretsa nkhawa. Pazaka izi, kuchuluka kwa shuga kumatha kuchitika zazing'ono. Kuphatikiza apo, kuyimitsa mulingo wa glycemia wopsinjika kwamalingaliro kwa achinyamata omwe ali ndi matenda ashuga kumakhala kovuta kwambiri. Zimatengera mkhalidwe wamomwe timakhazikika m'maganizo pakatha nthawi yakutha kapena kutha. Pankhaniyi, njira yapadera ndiyofunikira. Kuti muchepetse kupsinjika, mungafunike thandizo la katswiri wazamisala.

Kanema kochokera kwa Dr. Malysheva:

Zinthu za kagayidwe kazakudya munyengo yachisangalalo chachikulu

Carbohydrate metabolism imayang'aniridwa ndi kubwezeretsanso kwa mphamvu ya insulin yomwe imapangidwa m'matumbo, ma mahomoni a gululi komanso ma adrenal gland.

Zambiri mwazigawo za endocrine zimagwira ntchito yama malo apamwamba aubongo.

Claude Bernard kumbuyo mu 1849 adatsimikizira kuti kukwiya kwa hypothalamic kumatsatiridwa ndikuwonjezeka kwa glycogen komanso kuwonjezeka kwa ndende ya seramu.

Kodi shuga ya magazi imatha kuchuluka chifukwa cha mitsempha?

Pali kuchuluka kwa glycemia mwa odwala matenda ashuga.

Madokotala amatsimikizira kuti panthawi ya nkhawa, kuchuluka kwa shuga kumatha kuchuluka mpaka 9,7 mmol / L. Kusokonezeka kwamanjenje pafupipafupi, zokumana nazo, kusokonezeka kwa m'maganizo kumayambitsa kusagwira bwino ntchito kwa kapamba.

Zotsatira zake, kupanga insulin kumachepa, ndipo kuchuluka kwa shuga m'madzi a m'magazi kumakulanso. Izi ndizofunikira pakupanga matenda a shuga. Panthawi yakusokonekera kwamanjenje, kuphatikizira kwa adrenaline kumayambitsidwa. Hormone iyi imakhudza njira za metabolic, kuphatikizapo chifukwa cha kuchuluka kwa shuga m'magazi

Mothandizidwa ndi insulin, shuga amasinthidwa kukhala glycogen ndikudziunjikira m'chiwindi. Mothandizidwa ndi adrenaline, glycogen imawonongeka ndikusandulika glucose. Chifukwa chake pali kuponderezana ndi zochita za insulin.

Popanga mah anti-nkhawa mahomoni (glucocorticoids) ndi adrenal cortex

Mu adrenal cortex, glucocorticosteroids amapangidwa, omwe amakhudza kagayidwe kazakudya zamagalimoto komanso kuchuluka kwa ma electrolyte.

Komanso, zinthu izi zimakhala ndi mphamvu yothana ndi nkhawa komanso anti-nkhawa. Mlingo wawo umachuluka kwambiri ndi magazi kwambiri, kuvulala, kupsinjika.

Mwanjira imeneyi, thupi limagwirizana ndi zovuta. Glucocorticoids imachulukitsa chidwi cha makoma amitsempha yamagazi kupita ku makatekolamine, kuonjezera kuthamanga kwa magazi, ndikulimbikitsa erythropoiesis m'mphepete.

Kodi kupsinjika kwanthawi yayitali kumakhudza bwanji matenda ashuga ndipo kumabweretsa zovuta zanji?

Matenda a shuga (ngakhale kutsatira kwambiri malangizo a endocrinologist ndikusunganso shuga wambiri) kumabweretsa zovuta.

Ngati wodwalayo ali ndi vuto la kusokonezeka m'maganizo, zotsatirapo zoyipa za matendawo zimachitika kale.

Matenda a kupsinjika amalepheretsa kuphatikizira kwa insulin mu kapamba, komwe ndikofunikira kuti muchepetse shuga wambiri m'madzi a m'magazi. Zinthu zina zopangidwa nthawi ya mantha zimathandizira kukana insulin.

Pamavuto osaneneka, munthu yemwe ali ndi matenda a shuga amatha kusiya kusamalira thanzi lake: ayambe kudya zakudya zosaloledwa, osayang'anira kuchuluka kwa glycemia. Pakupsinjika, kaphatikizidwe ka cortisol imakonzedwa, komwe kumawonjezera kulakalaka.

Mapaundi owonjezera amawonjezera ngozi ya kugunda kwa mtima. Komanso, kupsinjika kwa malingaliro kumayambitsa kusokonezeka pantchito ya ziwalo zambiri ndi machitidwe, zomwe zimatsogolera pakupanga matenda owopsa.

Kupsinjika kwakanthawi kumatha kukhudza munthu chifukwa cha izi:

Afobazole, mankhwala ena osokoneza bongo komanso osokoneza bongo a shuga

Pamavuto, wodwala matenda ashuga nthawi zambiri amasokonezedwa ndi kugona. Pofuna kuthana ndi zokumana nazo, madokotala amalimbikitsa kumwa mapiritsi ogona komanso zinthu zina zokuthandizani. Chimodzi mwazomwe amadziwika ndi mankhwala ndi Afobazole..

Mankhwalawa akuwonetsedwa chifukwa cha kusokonezeka kwa mitsempha, kupweteka mutu, kuwonjezeka kukwiya ndi nkhawa, kutopa ndi zotsatira zina zakukhumudwa kwamphamvu.

Mapiritsi a Afobazole

Afobazole, mosiyana ndi mankhwala ena ambiri, amaloledwa kumwa ndi matenda oopsa, mtima ischemia. Ngati wodwala matenda ashuga sangathe kumwa mapiritsiwa pazifukwa zina, ayenera kusinthidwa ndi mankhwala omwe ali ofanana ndi kapangidwe kake ndikuchiritsa.

Analogue yokha ya Afobazole ndi Neurophazole. Koma amathandizidwa ndikuyika ma dropper (omwe samakonda kwa wodwalayo).

Zotsatira zofanana ndi thupi zimakhala ndi mapiritsi:

Phenibut
Divaza
Adaptol,
Mebaker,
Phezipam
Tranquesipam
Stresam
Elsepam
Tenothen
Noofen
Phenorelaxane
Phenazepam.

Kutetezeka kwambiri ndi mankhwalawa Novo-Passit. Muli ndi wort wa St. John, guaifesin, valerian, mankhwala a mandimu ndi zitsamba zina zingapo zomwe zimakhala ndi mphamvu yosintha.

Mankhwalawa amathandiza ndi kusowa tulo, amachepetsa nkhawa. Ubwino wake ndi kuthamanga, kuchita bwino komanso chitetezo. Pansi pake ndikuwoneka ngati kugona tulo masana.

Zovomerezeka zosankha mtundu 1 ndi mtundu wa 2 matenda a shuga

Madokotala amapatsa anthu omwe ali ndi matenda amtundu wa 1 mitundu yosiyanasiyana ya zomwe angachite.

Ma Sedatives, kutengera mawonekedwe a zochita, agawika m'magulu:

tranquilizer (Mezapam, Rudotel, Grandaxin, Oxazepam),
antidepressants (amitriptyline, pyrazidol, imizin, azafen),
mankhwala a nootropic (Piracet, Nootropil),
antipsychotic (Eglonil, Sonapaks, Frenolon).

Pali mankhwala azitsamba, homeopathic.

Mwachitsanzo, Sedistress, Corvalol, Valocordin, masisitere a hawthorn, peony, mamawort, mapiritsi a valerian. Amathandizira mitsempha, amakhudza thupi pang'ono, kuchepetsa kuphipha.

Amaloledwa kutengedwa ndi mwana, komanso nthawi yomwe ali ndi pakati. Mankhwala omwewo amagwiritsidwa ntchito pochiritsa psychomotor, kusinthasintha kwa mtima.

Kusankha kwamankhwala kumatengera kuzindikira. Pankhani ya kukhumudwa-hypochondriac syndrome, odwala matenda ashuga amawayikira antidepressants ndi othandizira kuti azitha kupumula, pomwe akuwonetsa-phobic syndrome, antipsychotic.

Momwe mungasinthire zikhalidwe pogwiritsa ntchito wowerengeka azitsamba?

Maphikidwe osinthika amatha kuthandizira kukhazikitsa mitsempha komanso kuchepetsa shuga ya seramu. Zitsamba zosiyanasiyana zimachepetsa shuga wa plasma mu mawonekedwe a infusions, tiyi, decoctions.

Zothandiza kwambiri ndi masamba a mabulosi, zitsamba zamaluwa, maluwa a linden, tsamba la bay, clover, dandelion ndi masamba a nyemba.

Kukonzekera kulowetsedwa, muyenera supuni ziwiri zokhala ndi slide kutsanulira kapu yamadzi otentha. Lolani kapangidwe kake kuzizirira kwa maola angapo pa kutentha kwa firiji ndi kupsinjika. Imwani mankhwalawa katatu patsiku, 150 ml iliyonse.

Magawo onse a dandelion ndi burdock, makamaka mizu, ali ndi insulin. Chifukwa chake, ndikofunikira kuphatikizira mbewu zotere mu mankhwala azitsamba kuti muchepetse glycemia. Tiyi yokhala ndi rosehip, masamba a hawthorn kapena masamba a currant imathandizanso wodwala matenda ashuga kusintha matenda amitsempha komanso kukhala bata.

Ochiritsa achikhalidwe amalimbikitsa anthu omwe ali ndi vuto la endocrine monga njira yothandiza:

Tengani magawo anayi a mizu ya burdock, masamba a lanonberry ndi mabulosi am'madzi, ma stigmas a chimanga, mbali ziwiri za St. wort ndi timbewu tonunkhira, sinamoni ndi zipatso zingapo zamtchire.
sakaniza zosakaniza zonse
kutsanulira supuni ziwiri ndi slide mu thermos ndikutsanulira malita 1.5 a madzi otentha,
kunena maola 9 ndi mavuto,
kumwa 125 ml mphindi 25 asanadutse chakudya chachikulu,
Njira ya mankhwala - miyezi 2-3.

Ayurveda wa kulolera kupsinjika

Malinga ndi Ayurveda, matenda osokoneza bongo ndi chifukwa cha kusazindikira, zochitika zamkati, komanso kupsinjika ndi mkhalidwe womwe malingaliro amunthu amakhala osagwirizana.

Kuti muwonjezere kukana kupsinjika, njira zingapo zama Ayurvedic zimagwiritsidwa ntchito:

Abhyanga - kupumula ndi kubwezeretsa kutikita thupi ndi kuzola thupi,
Shirodhara - njira yomwe mafuta ofunda amawathira pamphumi ndi mitsinje yopyapyala. Kuthandiza bwino nkhawa ndi mantha,
Pranayama - Seti ya masewera apadera olimbitsa thupi kuti muchepetse kupsinjika.

Makanema okhudzana nawo

Zokhudzana ndi kupsinjika kwa shuga wamagazi mu kanema:

Chifukwa chake, pazomwe takumana nazo, kuchuluka kwa shuga wa plasma kumatha kuwonjezeka ndipo matenda a shuga amatha. Chifukwa chake, ndikofunikira kuti anthu makamaka omwe amakonda vutoli la endocrine apewe kupsinjika. Kwa izi, mapiritsi osokoneza bongo, zitsamba, njira zama Ayurvedic zimagwiritsidwa ntchito.

Imakhazikika pamisempha ya shuga kwa nthawi yayitali
Imabwezeretsa kapangidwe ka insulin

Phunzirani zambiri. Osati mankhwala. ->

Kupsinjika ndi Mwazi

Mphamvu yamanjenje ndi shuga zimalumikizana. Mukapanikizika kwambiri, mahomoni opsinjika amatulutsidwa m'thupi zomwe zimakhudza kuchuluka kwa shuga. Izi zimayambitsa ntchito yoteteza thupi. Mphamvu zambiri zimapangidwa kuti mudziteteze, kuti muthawe pamalo owopsa. Mlingo wa glucose ukhoza kukhala 9,7 mmol / L. ngakhale zodziwika ndizoti kuyambira 3 mpaka 5.5 mmol / l.

Mu kagayidwe kachakudya njira zosiyanasiyana thupi, monga:

zodabwisa
gren adrenal
hypothalamus
kapamba
zachisoni kugawa kwamanjenje.

Panthawi yovuta, tiziwalo timene timatulutsidwa m'mimba timatulutsa timadzi timene timatulutsa - adrenaline, cortisol, norepinephrine. Cortisol imathandizira kupanga kwa shuga kwa chiwindi ndikulepheretsa kuyamwa kwake, kumakulitsa chilakolako chofuna kudya, mtima wofuna kudya zakudya zotsekemera, zamafuta. Kupsinjika kumawonjezera kuchuluka kwa cortisol ndi shuga wamagazi. Homoniyo akakhala wabwinobwino, ndiye kuti kupanikizika kumatha, kuchiritsa kwa mabala kumathandizira, ndipo chitetezo cha mthupi chimalimbitsa. Kuchulukitsa kwa cortisol kumayambitsa chitukuko cha matenda ashuga, matenda oopsa, matenda a chithokomiro, komanso kuchepa thupi.

Adrenaline amalimbikitsa kutembenuka kwa glycogen kukhala mphamvu; norepinephrine imagwira ntchito ndi mafuta.

Cholesterol imapangidwa mochuluka, zomwe zimatsogolera ku thrombosis.

Ngati mphamvu imagwiritsidwa ntchito panthawiyi, ndiye kuti njira za pathogenic siziyamba mthupi.

Mukuvutikira, njira zonse zimagwira ntchito mwachangu, kapamba alibe nthawi yopangira shuga, yomwe imaperekedwa mwachangu kuchokera m'matangadza. Chifukwa chake, kuchuluka kwa insulini kumayamba ndipo mitundu yachiwiri ya matenda a shuga imayamba.

Kupsinjika kwa mtundu wa 2 shuga kumapangitsa kuti shuga azikula kwambiri.

Ku funso loti shuga limatuluka m'mitsempha, yankho lenileni lingaperekedwe. Ngakhale atakhala onenepa kwambiri kapena ngati ali ndi pretiabetesic state, hypoglycemia imatha kuchitika ndipo munthu amatha kugwa.

Popeza matenda ashuga amakhudza dongosolo lamanjenje, matenda amtundu wotchedwa peripheral diabetesic neuropathy amakula. Mchitidwe wamanjenje umakhudzidwa ndi mlingo woyenera wa insulin komanso ndi chithandizo chokwanira cha endocrine matenda. Pambuyo pazaka 5, zizindikiro zoyambirira za neuropathy zimawonekera.

Kuzindikira kwa shuga - ingomwani tsiku lililonse.

Kodi ndingadandaule ndi matenda ashuga?

Insulin ndi adrenaline ndi mahomoni otsutsana omwe amalimbitsa ntchito ya wina ndi mnzake. Insulin imasinthira glucose kukhala glycogen, adrenaline imagwira ntchito njira inayo. Kukula kwa matenda ashuga mu dongosolo lamanjenje kumachitika ndi kufa kwa ma pancreatic islets.

Kupanikizika kwamitsempha kumalepheretsa kupanga insulin, pomwe zida zam'mimba ndi kubereka zimavutika. Kuchepetsa milingo ya insulin, kupsinjika kochepa kwamaganizidwe, kufa ndi njala, kupsinjika kwakuthupi ndikokwanira. Fomu yotalikilapo imayambitsa kukula kwa matenda ashuga amtundu wa 2. Pamavuto, kuchuluka kwa shuga m'magazi kumayambitsa kuperewera kwa shuga.

Ndi chisangalalo, munthu amatha kunyalanyaza malangizo ndikuyamba kudya zakudya zoletsedwa, pambuyo pake shuga ya magazi ikwera.

Momwe mungasinthire kuchuluka kwa glucose panthawi yachisangalalo

Ndi kuchuluka kwa glucose, ndikofunikira kuzindikira zomwe zimayambitsa ndikuchepetsa mphamvu ya vuto. Ndikofunika kuchita masewera olimbitsa thupi kupuma, gwiritsani ntchito njira zopumira. Ngati ndi kotheka, imwani kuyamwa. Chisamaliro chikuyenera kuthandizidwa kuti chakudya chikhale chochepa m'thupi. Ngakhale kwa munthu wathanzi, munthawi yamavuto ndikofunikira kupewa zakudya zomwe zili ndi shuga wokwanira.

Ndikulimbikitsidwa kuti mukhale ndi muyeso wa insulin nanu. Mosasamala dongosolo la jakisoni, popanga jakisoni wosakonzekereratu, amalimbitsa shuga ndipo potero amachepetsa chiopsezo chotsatira.

Kusasinthika kwa mahomoni opsinjika kumachitika pogwiritsa ntchito zolimbitsa thupi. Mwachitsanzo, kuyenda pamtunda wothamanga kwa mphindi 45 kumakhazikika pamlingo wamahomoni, motsatana, ndi shuga. Kuphatikiza apo, kuyenda mumlengalenga kumatha kubwezeretsa thupi lonse. Kuti asakhale otopa kwambiri, amalimbikitsa kumvetsera nyimbo. Kumvera nyimbo zomwe mumakonda kumapangitsa kuti zochita za mankhwala zisamachitike zomwe zimapangitsa munthu kukhala wosangalala komanso wosangalala.

Ndizosapeweka konse kupewa zinthu zovuta. Mu shuga mellitus, ndikofunikira kuti mulamulire kuchuluka kwa shuga ndikuwonetsa mu kope lapadera, pomwe chizindikiro chimadziwika panthawi ya kupsinjika.

Kukhala wakhama pantchito, kukhala ndi malingaliro abwino kumatha kuchepetsa nkhawa. Njira yothandiza ndi:

Pitani kwa katswiri wazamisala, psychotherapist, neuropsychiatrist wa matenda okhumudwitsa,
zosangalatsa
imwani mavitamini okhala ndi zinc,
ngati kuli kotheka, sinthani ntchito kapena malo,
sedative, anti-nkhawa, kugona mapiritsi.

Kugula mankhwala kuti muthe kukhazikitsa dongosolo lamanjenje kumachitika pokhapokha ngati dokotala akuwauza, chifukwa si mankhwala onse omwe ali oyenera kwa odwala matenda ashuga. Iyenera kukhala yosankha posankha zosangalatsa (mabuku, mafilimu, kuonera TV, nkhani).

Matenda a shuga mu achinyamata amatenga mwanjira yapadera. Shuga amatha kutuluka kuchokera pazinthu zazing'ono. Mkhalidwe wamalingaliro am'maganizo mu achinyamata pa nthawi yakutha sakhazikika, chifukwa chake, kuti muchepetse kupsinjika, thandizo la katswiri wama zamaganizo ndilofunikira.