Dokotala Yokha ya Dongosolo Losamala

Kuphatikiza apo, pofuna kuthana ndi kuchuluka kwa shuga m'magazi, buku loziyang'anira pawokha liyenera kusungidwa, popanda chithandizo chake lingakhale lolephera. Kupanga zolemba zatsiku ndi tsiku ndi udindo wa aliyense wodwala matenda ashuga.

Cholemba chodziyang'anira chokha chizisungidwa pazifukwa izi:

imakulolani kuti muthane ndi matendawa, ndikuwonetsa ngati milingo ya insulini idasankhidwa molondola, imakuthandizani kuti muwone kusinthasintha kwa shuga omwe odwala matenda ashuga akukumana nawo, zimapangitsa kuti adotolo asankhe njira yoyenera yothandizira.

Miyeso ya tsiku ndi tsiku ya shuga imalola wodwalayo kukhala ndi moyo wambiri. Kudziyang'anira ndikofunikira kwambiri pothandizira matenda a shuga, chifukwa ndikuthokoza kuti chithandizo ndichotheka. Werengani zambiri za kukhalabe ndi diary ya momwe mungadziyang'anire matenda a shuga omwe amawerengedwa m'munsimu muzinthu zomwe ndinapeza pamutuwu.

Buku Lodziletsa

Kwa anthu ambiri, mawu akuti "kujambula momwemo" amadzetsa mayanjano ndi sukulu, mwachitsanzo, ndi kufunika kochita ntchito yanthawi zonse, lembani mosamala manambala, sonyezani nthawi, tsatanetsatane wa zomwe mudadya ndi chifukwa. Amavutikira mwachangu. Zitatha izi simukufuna kuti muwonetse zamankhwala kwa a dotolo, ngati ma glucose abwino ndi "anayi" ndi "asanu", ndipo oyipa ndi "deuces" ndi "atatu".

Koma izi sizitero! ” Ndipo ngakhale kuti adotolo sangayamikire ndi kumunyoza. Malingaliro awa ndi olakwika, ngakhale, sindikutsutsana, amapezeka pakati pa madokotala. Cholemba chodzilamulira sichili kwa wina aliyense, ndi cha inu. Inde, mumamuwonetsa dokotala wanu mukapangana. Koma cholemba ndi chothandizira kwambiri komanso maziko a ntchito ya wodwala ndi adotolo!

Ndi gwero lofunikira lazambiri pazomwe zimachitika ndi matenda anu a shuga. Amatha kuwonetsa zolakwika zambiri pamankhwala, ndikuwonetsa momwe izi kapena chinthucho chimakhudzira kuchuluka kwa shuga m'magazi, kuchenjeza m'tsogolo kuchokera ku chinthu chomwe chitha kutsitsa shuga m'magazi.

Chifukwa chiyani?

Ingoganizirani kuti ndinu dokotala. Inde, komanso endocrinologist. Ndikubwera kwa inu ndikuti: "China chake ndatopa kwambiri posachedwapa. Ndipo masomphenya anga anagwa. ” Ndizomveka kuti mumandifunsa kuti: "Kodi magazi anu ndi otani?" Ndipo ndikukuuzani: "Chifukwa chake, lero anali 11.0 asanadye, dzulo anali 15, ndipo kumadzulo kunagwera 3.0. Ndipo panali mwanjira 22,5, wina 2.1 mmol / l. Liti? Komabe, masana. ”

Kodi zonse zili zomveka? Ndipo inali nthawi yanji musanadye kapena mutatha? Ndipo mudalowa magawo angati a insulin / omwe ndi ati ndipo mumamwa mapilisi otani ndipo mudadya chiyani? Mwina panali mtundu wina wolimbitsa thupi mwamphamvu? Makalasi ovina kapena kodi mumakonzanso m'nyumba? Kapena panali vuto lodana mano tsiku lomwelo? Kodi zakakamizazi zakwera? Pali china chake cholakwika ndipo mukudwala? Kodi mukukumbukira zonsezi? Ndipo mukukumbukira ndendende?

Mudadya chiyani m'mbale / zidutswa / magalasi / magalamu? Kodi adatenga izi kapena nthawi yayitali motani? Kodi munamva bwanji? Chifukwa chake sindingakumbukire. Sindikutsutsana, kusungabe zonse mwatsatanetsatane sikotopetsa, koma kungosatheka!

Poganizira mtundu wa moyo, ntchito komanso zinthu zambiri zomwe zikufunika kuchitika mwanjira iliyonse. Zambiri mwatsatanetsatane, komanso kuwunika pafupipafupi magazi a glucose, zimafunikira kwakanthawi pazotsatirazi:

Matenda oyamba a shuga Munayamba ntchito yatsopano: kuvina, masewera, kuyendetsa galimoto

Munthawi zonsezi, diary mwatsatanetsatane imakhala yothandiza kwambiri. Koma muyenera kusunganso dayala moyenera. Siyenera kungokhala chidule chabe chamagazi a glucose onse omwe munawayeza. Cholinga chake chachikulu ndikupereka chidziwitso chomwe chitha kugwiritsidwa ntchito kukonza thanzi lanu. Ndikofunikira kuti zolemba ziyankhule za china chake.

Zomwe zikuphatikizidwa ndizofunikira kuti mulowe m'mabuku a kudziletsa:

Miyezo yonse ya shuga m'magazi imabweretsa. Sonyezani chakudya musanadye kapena itatha. Ndi muyeso wowonjezera usiku, ndibwino kuti musonyeze nthawi
Ndi chithandizo cha insulini, kuchuluka kwa insulini komanso nthawi iti. Mlingo wa insulin yocheperako komanso yayitali imatha kuwonetsedwa kudzera mu mzere wa diagonal (waufupi / wautali), mwachitsanzo: 10/15 m'mawa, 7/0 masana, 5/0 madzulo, 0/18 usiku.
Mukamachiza ndi mapiritsi omwe amachepetsa magazi a m'magazi, mutha kuwonetsa mwachidule mankhwala omwe mumamwa komanso nthawi yomwe mukumwa. Izi ndizofunikira kwambiri ngati mwawalembera posachedwa kapena m'malo mwamankhwala ena.
Hypoglycemia iyenera kudziwika padera
Sonyezani mudongosolo lanu la zomwe mudadya - mwatsatanetsatane kumayambiriro kwa matendawa kapena kusinthasintha kwamitundu yamagazi. Ndi chithandizo cha insulini, kuchuluka kwa magawo a mkate omwe amadyedwa (XE) kumatha kuzindikirika.
Fotokozani zowona zenizeni zolimbitsa thupi: zomwe zinali ndi nthawi yayitali bwanji
Ndi kuwonjezeka kwa kuthamanga kwa magazi: zinali chiyani m'mawa ndi madzulo
Zolemba zamasiku: glycated hemoglobin level (HbA1c), kulemera, kusintha kwakukulu muumoyo: kutentha thupi, nseru, kusanza, ndi zina zambiri, kwa amayi: masiku osamba.

Mutha kupanga zolemba zina zomwe mumaziona kuti ndizofunikira! Kupatula apo, iyi ndi buku lanu. Chifukwa chake, inunso mutha kusanthula kuchokera m'malemba awa momwe zinthu izi kapena zomwe zimapangidwira zimakuchitirani, ngati pali kusinthasintha kowopsa m'magazi a magazi musanayambe komanso mutatha kudya, zomwe zimachitika ndi zochitika zolimbitsa thupi zosiyanasiyana.

Zonsezi ndizosatheka kukumbukira, ndipo zolemba zikuthandizira kupenda zomwe zidachitika kale komanso zomwe zikuchitika pakadali pano. Izi ndi zomwe buku likulemba:

Ngati simungathe kuthana ndi vutoli nokha, ndiye kuti ndi diary ya kudziletsa yomwe idzakhale wothandizira kwa dokotala. Malinga ndi izi, adotolo azitha kuwona komwe kuli zovuta pakuwerengera mlingo wa mankhwalawo, kwinakwake adzakuwuzani kuti muyenera kusintha pang'ono zakudya kapena zakudya. Mutha kutsutsa kuti: "Ndili ndi shuga wamagazi ambiri, ndikudziwa chifukwa chake ndimawononga nthawi?"

Ngati m'moyo wanu mulibe kusintha kwakukulu komwe kumakhudza kuchuluka kwa shuga wamagazi, ndiye kuti simungasunge zonse zatsatanetsatane. Koma, kuwonjezera pakupereka chidziwitso pa nthawi ya matenda ashuga, zenizeni zomwe zimapangitsa kusunga diary ndiyabwino kwambiri. Chizolowezi cholowetsa chidziwitso mu diary yowunikira nokha chikuthandizani kukumbukira kuti muyenera kuyeza glucose wamagazi.

Kungakukumbutseni kuti mudzilembe kapena kukuwuzani kuti ndi nthawi yopereka magazi ku hemoglobin ya glycated. Kuchokera pazomwezolemba, mutha kuwona momwe matendawa adasinthira kwakanthawi. Mwachitsanzo, hypoglycemia inayamba kuchitika pafupipafupi, munayamba kulemera pang'ono, kapena posachedwa pakufunika mlingo waukulu wa mankhwala.

Kodi ndimauni odziwonera pawokha ndi ati?

"Wonyamula zapa mapepala" - zolemba zilizonse, zolembalemba, zolemba, zolemba. Ikhozanso kukhala cholembera chapadera chokhala ndi matebulo opangidwa ndiukadaulo kujambula kuchuluka kwa shuga wamagazi kapena zolemba zina. Mutha kugula m'masitolo ogulitsa mabuku, pa intaneti, m'masitolo ogulitsa zamankhwala, kapena nthawi zina dokotala angakupatseni diary yotere. Zolemba pakompyuta zamagetsi. Kwa ogwiritsa ntchito makompyuta ambiri, njirayi imakhala yosavuta - simufunikira zolemba zowonjezera, cholembera. Zotsatira za diary yotereyi zitha kusungidwa pa USB kungoyendetsa galimoto ndikubweretsa kwa adotolo kuti atisonkhane, ngati izi zitha kulola zida zamaofesi, kapena tumizani kwa endocrinologist ndi imelo. Zolemba zoterezi zimapezeka pamasamba osiyanasiyana, kuphatikiza masamba opanga a mita yanu. Mapulogalamu a Smartphone ndi piritsi yamtundu wa diary yomwe imayang'anira pawokha.

Zachidziwikire, kusunga chidziwitso cha kudziletsa kapena ayi ndikusankha kwanu. Monga ngati mukufuna kukhala wathanzi komanso kumva bwino kapena ayi. Dokotala akhoza kungokulangizani kapena kukulangizani, koma zonse zili ndi inu. "The dijiti yodziletsa kudziletsa" - sizothandiza pachabe kuti imatchedwa choncho. Zimathandizira kuthana ndi matenda anu a shuga. Zomwe zikutanthauza kuti zimathandiza ndikuchiza.

Zolemba za odwala matenda ashuga. Kudziletsa.

Moni kwa onse amene ayang'ana patsamba langa. Chifukwa chake, lero tikambirana za momwe diaryic ilili ndi chifukwa chake iyenera kusungidwa. Anthu ambiri amaganiza kuti odwala matenda ashuga ayenera kuiwala zomwe moyo wathunthu umatanthauza. Ndikutsimikizirani: sichoncho. Matenda a shuga si chiganizo; mutha kukhala ndi moyo nacho.

Ngati muli ndi vutoli, izi sizitanthauza kuti simudzatha kupita ku maphunziro, kupeza ntchito, kuyambitsa banja, ana, kupita kumasewera, kuyenda kuzungulira dziko lapansi, ndi zina zambiri. Kulamulira matenda a shuga sikungadzetse vuto m'moyo wanu. Kodi mungathane bwanji ndi matenda ashuga? Yankho lake ndi losavuta. Sungani zolemba za odwala omwe amayenda pawokha.

Kodi mungasunge bwanji zolemba za odwala matenda ashuga ndipo zimakhala bwanji?

Cholemba ndi chofunikira kuyang'anira shuga. Ngati matenda anu a shuga amalipiridwa, mulibe chifukwa chofunikira chokhalira ndi dilesi. Koma pakuyamba kwa matendawa kapena kuwonongeka, buku loziyang'anira nokha liyenera kukhala lanu.

Ikuthandizani kumvetsetsa komwe munalakwitsa mwangozi, komwe muyenera kukonza mlingo wa insulin, ndi zina zambiri. Zithandizanso othandizira anu azaumoyo kuti azilinganiza momwe matenda anu azikhala ndi shuga ndipo ngati kuli kotheka, akuthandizani kusintha insulin kapena zakudya zanu.

Anthu odwala matenda ashuga ayenera kutsatira zomwe amachita tsiku ndi tsiku, zomwe zili ndi mfundo izi:

Kugona mokwanira ndi thanzi (maola 6-8). Amabwezeretsa mphamvu, kupuma, kupumula, kutalikitsa moyo. Zochita zolimbitsa thupi. Munthu adapangidwa mwachilengedwe m'njira yoti azikhala ndi cholinga chokhala moyo wokangalika. Palibe chifukwa chomwe muyenera kugona pakama kwa masiku kapena kukhala pakompyuta, etc. Kuchita masewera olimbitsa thupi kumathandizanso kukhala wathanzi, kumapangitsa kuti mukhale wolimba kwambiri, mudziteteze kuonda kwambiri, ndikuthandizira odwala matenda ashuga kuti shuga azikhala bwino. Zakudya zamafuta ndi zofunika

Popanda chakudya, thupi limafa. Ndipo kudumpha mankhwala omwe mumalandira kumakhala ndi zotsatira zoyipa. Kuyeza shuga m'magazi kangapo patsiku. Amakhulupirira kuti shuga amayenera kuwezedwa kangapo pa sabata. Uwu ndi Dongosolo Labwino! Shuga ayenera kuyezedwa osachepera 4-5 patsiku.

Nthawi zambiri ndimamva mawu ofanana akuti "ngati muyeza shuga kangapo, ndiye kuti palibe magazi." Ndithamangira kukutsimikizirani: magazi amapangidwanso ndikukonzanso. Popeza kuti mudzataya madontho 4-5 amwazi patsiku, palibe chowopsa chomwe chidzakuchitikireni.

Kutsimikiza kwa shuga ndi ma ketoni mumkodzo. Izi zikuthandizani kuti mudziwe zambiri zokhudzana ndi thupi. Ndikofunikanso kuyendera pafupipafupi endocrinologist ndikupeza kuyankhulana ndi kupereka magazi kuti atsimikizidwe glycated hemoglobin (kuchuluka kwa shuga m'miyezi itatu).

Kuti tiwunikire odwala matenda ashuga tikufunika:

Glucometer / chingwe choyesera chofuna kudziwa shuga. Ndimagwiritsa ntchito mizere ya Betachek ndi mita ya Accu-Chek Performa Nano.
Yesani mayeso kutsimikiza kwa shuga ndi ma ketoni mkodzo. Nthawi zambiri ndimagwiritsa ntchito makulidwe a Ketogluk ndi Penta Phan.
Diayala yodziyang'anira pawokha. Kupeza kuti? Wophunzira wanu wa endocrinologist ayenera kukupatsani zolemba zodziyang'anira nokha. Koma mutha kujambula nokha mu kope / notepad, komanso kusunga zolemba zodziletsa pa intaneti kapena kusindikiza tebulo lokonzedwa kale pansi pazofunikira.

Moona mtima, sindimakonda kusunga zolemba zodziletsa, koma ndikasankha, ndimakonda zolemba zamakalata. Ndizodalirika kwambiri, chifukwa chipangizo chanu chamagetsi chitha kugwira bwino ntchito (batire imatha kukhala yopanda pake), mwayi wogwiritsa ntchito intaneti ukhoza kusokonezedwa, ndi zina zambiri. etc.

Ndazindikira zotsatirazi: ana akhoza kujambula zolemba zawo, chifukwa izi zimapereka ntchito yawo kwaulere. Atsikana amakonda kudzaza ndi zolembera zokongola, anyamata amakonda kuzikongoletsa ndi zomata. Chifukwa chake, yesani kujambula zolemba zanu zodziyimira pawekha ndi mwana wanu, adzakhala osangalatsa kwambiri kudzaza mtsogolo.

Akuluakulu nthawi zambiri sakonda kudzaza zolemba, koma ngati atero, amasiya kusankha pazomwe amagwiritsa ntchito pafoni, maspredishithi apakompyuta. Chofunikira ndi kuwonjezera patebulo:

Chilichonse chomwe mumadya, Masewera a shuga, magazi ndi zidakwa, kuchuluka kwa mphamvu zolimbitsa thupi patsiku, Mlingo weniweni wa insulin.

Kodi kudziletsa kumatanthauza chiyani?

Kudziletsa - magawo omwe amafunikira kuti azitha kugwiritsira ntchito shuga m'magazi mkati mwa zovomerezeka. Chaposachedwa, wodwalayo amaphunzitsidwa pafupipafupi pakuwongolera buku lodziyang'anira lokha, lomwe limatha kukulitsa mphamvu ya mankhwalawo ndikuchotsa kuthekera kwa glucose kukwera kwambiri.

Mwambiri, titha kunena kuti kudziletsa ndi mtundu wa kuphatikiza zakudya ndi moyo. Kuti wodwala yemwe ali ndi matenda ashuga azilamulira molondola kuchuluka kwa shuga m'magazi, muyenera kugula mankhwala apadera omwe amawunika mwachangu.

Ndi nthawi ziti komwe kumalimbikitsidwa kuyambitsa diary yomwe ikufunsidwa?

Kusunga tsikulo ndikulimbikitsidwa pazotsatirazi:

Atangozindikira. Mu mtundu 2 wa shuga kapena woyamba, moyo wa wodwalayo umasintha kwambiri. Ndikosavuta kuzolowera mankhwala omwe mumalandira komanso zakudya nthawi yomweyo; ambiri amalakwitsa zinthu zomwe zimayambitsa zovuta. Ichi ndichifukwa chake madokotala amalimbikitsa kuti apange diary yomweyo kuti aziwunika zomwe akuchita. Ngakhale ndi malingaliro onse a madotolo, pali kuthekera kwakukulu kwa kuchuluka kwakukulu kwa shuga m'magazi. Kuti mudziwe zifukwa zomwe zikuwonjezera kuchuluka kwa shuga, muyeneranso kupanga zolemba zowunika. Ndi chitukuko cha hypoglycemia. Mankhwala ambiri amatha kuyambitsa shuga. Komabe, pochiza matenda, osakhalitsa kapena osakhalitsa, wodwala matenda ashuga akuyenera kuwatenga. Mukamamwa mankhwala omwe dokotala amakupatsani poganiza za matenda omwe mukufunsidwa, muyenera kusunganso cholembedwa chodzilamulira, chomwe chingachepetse misempha ya shuga ndikukhometsa zakudya panthawi ya mankhwala. Amayi omwe akukonzekera kutenga pakati ayenera kusunganso diary ndikuwongolera kwambiri shuga. Izi ndichifukwa choti panthawi yoyembekezera pali kuthekera kwa kusintha kwa mahomoni - chifukwa chake glucose amachulukirachulukira osasintha zakudya kapena moyo. Mukamachita masewera atsopano, muyenera kuyang'ananso kuchuluka kwa shuga. Kuchita masewera olimbitsa thupi kumayambitsa kutseguka kwa njira zambiri mthupi.

Ndikofunika kukumbukira kuti wodwala wodwala matenda a shuga ayenera kupewa kupatuka kwa magawo a thupi.

Kodi tebulo limakhala ndi mzati uti?

Pali mitundu ingapo ya diary yosiyanasiyana. Ndikulimbikitsidwa kuti kudziyang'anira pawokha mellitus ya shuga kumachitika molingana ndi zizindikiro zomwe zimapereka chidziwitso chothandiza. Ndikofunika kukumbukira kuti ndikofunikira kulemba zidziwitso zokhazokha, kujambula kwake komwe kumapangitsa kuti thanzi likhale labwino kapena kuchepetsa kuwonongeka kwake.

Chidziwitso chofunikira kwambiri chikuphatikiza mfundo izi:

Chizindikiro choyamba komanso chofunikira kwambiri ndikusintha kwamagulu a glucose mukamadya chakudya. Mukakonza gawo ili, phindu limawonetsedwa musanadye chakudya. Ena amalimbikitsanso kukonza nthawi, popeza kagayidwe kake mthupi kamadutsa kuthamanga kosiyana kutengera nthawi yakudya.
Nthawi zambiri, chithandizo chimachitika pobweretsa insulin. Mfundoyi imalimbikitsidwanso kuti iwonetsedwe mu diary yopangidwa.
Nthawi zina, matenda ashupi amtundu 1 amatha kuthandizidwa ndimankhwala. Poterepa, tikulimbikitsidwanso kujambula mankhwala ndi kuchuluka kotani komwe kwakhudza thupi. Onetsetsani kuti mwayambitsa kuwunika kotereku kuyenera kukhala komweko ngati mankhwala atsopano ayikidwa.
Mlandu wosiyana wa hypoglycemia umachitika.
Ndikulimbikitsidwa kuzindikira zakudya zanu mwatsatanetsatane mpaka kukhazikika kwa glucose m'magazi kumakhazikika. Pankhani ya matenda a matenda omwe amafunsidwa popereka insulin, XE - magawo a mkate amawonekera.
Kuchita masewera olimbitsa thupi kumayambitsa kuwonjezeka kwa kufunika kwa thupi kwa glucose. Mfundo imeneyi nthawi zambiri imayambitsa kukhathamiritsa kwa mapangidwe a insulin. Mu shuga 1, tikulimbikitsidwa kuwonetsa kutalika kwa katundu ndi mtundu wake.
Kupsinjika kwa magazi pamene ichulukanso kumafunikiranso kuyikidwira mu tebulo lopangidwa: mtengo ndi nthawi yoyeza.

Palinso zikhulupiliro zazakanthawi zomwe zikulimbikitsidwa kuti ziwonetsedwe patebulopo: kusintha kwa kukhala bwino, kulemera kapena kuchepa, amayi amalangizidwa kuti azisonyeza kusamba. Izi ndichifukwa choti njira zina zachilengedwe zomwe zimachitika mthupi zimatha kusintha kwambiri milingo ya shuga.

Mitundu ya Zolemba

Tiyenera kudziwa kuti pali mitundu ingapo ya diaries, kutengera mtundu wa sing'anga. Zodziwika bwino zimaphatikizapo:

Zolemba zamakalata zasungidwa kwazaka zambiri. Kuti mulenge, mutha kugwiritsa ntchito kope, notepad, diary. Pankhaniyi, mutha kupanga nokha matebulo ndi magawo. Ndikofunikira kuzindikira kuti muyenera kusankha masamba osiyana kuti muloweze zofunikira kwambiri, chifukwa kuyang'ana kwakanthawi kungayambitse chisokonezo pazotsatira. Ma Spreadsheets akhoza kukhala amitundu yosiyanasiyana. Mwachitsanzo, mutha kugwiritsa ntchito Mawu kapena Excel. Mutha kuphatikizanso m'magulu osiyana omwe amakonzedwa kuti athe kuwunika wodwala omwe ali ndi matenda ashuga. Ubwino wa pulogalamu yapadera ndi monga kuti amatha kumasulira mayunitsi, ali ndi nkhokwe yachakudya kapena mankhwala osokoneza bongo, khalani ndi magawo ena. Palinso ntchito zapadera pa intaneti. Matebulo opangidwa amatha kusindikizidwa kuti apereke kwa adokotala. Mapulogalamu ambiri a mafoni apangidwa posachedwapa. Ena amakhala odzipereka ku vuto la anthu omwe akudwala matenda osachiritsika omwe afunsidwa. Mapulogalamu oterewa ndi othandiza kwambiri, chifukwa mutha kuyika chidziwitso mukangodya chakudya kapena kusewera masewera - foni yam'manja, monga lamulo, imakhala pafupi.

Pali mapulogalamu angapo owonera pawokha odwala matenda ashuga. Amasiyana mu magwiridwe antchito ndi kukhazikika, amatha kulipidwa ndiulere. Pomaliza, taona kuti anthu ena amadzifunsa ngati kuli koyenera kuwonongera nthawi kusunga zolemba.

Tekinolo yamakono imatha kupewetsa ntchito iyi, ndipo adotolo angafunikire chidziwitso chopatsidwa kuti apereke mankhwala othandiza kwambiri. Ndiye chifukwa chake kuti boma lisinthe kapena kuti lizitha kuyendetsa bwino kwambiri magazi m'thupi, tikulimbikitsidwa kuyambitsa kuzipenya. Nthawi zina, kupanga ndi kusunga diary ndi gawo lofunikira la chithandizo chamankhwala, monga adokotala adanenera.

Kudziyang'anira pawokha matenda ashuga

Kudziletsa kwa wodwalayo pakadutsa matenda ashuga ndikofunikira pakulipiritsa kwabwino kwamatendawa ndipo cholinga chake ndicho kupewa zovuta komanso matenda osaneneka. Kudziletsa kumaphatikizapo:

kudziwa za kuchuluka kwa zovuta zamatenda a shuga ndi miyeso yolepheretsa; kutsimikiza kwakumagawo a glucose m'magazi; kudziyimira pawokha kwamlingo wa glucose ndi acetone mu mkodzo; kuwerengera kwamphamvu yamakudya ndi zakudya zake, mapuloteni ndi mafuta; zakudya kuchepetsa magazi kuthamanga ndi zina zambiri

Kuphunzitsa kudziletsa kumachitika kusukulu ya odwala matenda ashuga, okonzedwa ku chipatala ndipo ndikofunikira pakuthandizira matenda amtundu uliwonse. Kudziwa mulingo wa glycemia - kuchuluka kwa glucose m'magazi.

Chifukwa chake, kudziletsa kumatanthawuza, choyambirira, kutsimikiza kwa glycemia kuti akwaniritse gawo lake lofunikira ndikupewa onse hypoglycemia, kuphatikizapo asymptomatic kapena nocturnal, komanso hyperglycemia yayikulu. HAsthota shuga kutsimikiza mtima:

kwambiri insulin mankhwala, kudziletsa glycemia 3 kapena kangapo patsiku
Ndi chikhalidwe insulin mankhwala a mtundu 1 shuga, kudziwa kuchuluka kwa shuga m'magazi nthawi zambiri zokwanira 2-3 pa sabata
odwala 2 a shuga omwe amalandila insulin, kudzipenda kwa glycemic kuyenera kuchitika katatu pa sabata, kuphatikiza zosankha ziwiri komanso awiri atatha kudya.
pakulipira mtundu wachiwiri wa matenda a shuga ndi mtundu wovomerezeka wa glycemia, wotsimikiziridwa ndi kusanthula kwa hemoglobin wa glycated, kudziwunikira pafupipafupi kwa glycemia sikofunikira, pokhapokha ngati kusintha kwakukulu pakudya ndi zochita zolimbitsa thupi, matenda opweteka kwambiri, kupsinjika kwamisala.

Ndikusintha kwa odwala omwe ali ndi matenda a shuga a mtundu wachiwiri kuti atenge mapiritsi ochepetsa shuga, kudziyang'anira nokha kwamatenda kumathandizira kusankha mtundu woyenera ndi mlingo wa mankhwalawo, komanso zakudya zoyenera. Mwachitsanzo, kupitiliza kwa hyperglycemia usiku kumatha kuwonetsa kupangika kwa shuga mu chiwindi.

Muzochitika izi, ndikofunikira kutenga metformin (siofor, glucophage), yomwe imalepheretsa kupanga usiku wa chiwindi ndi chiwindi. Wodwala wokhala ndi hyperglycemia wopitiliza kudya atatha kudya mapiritsi ochepa a shuga ndi chakudya kapena mapiritsi omwe amachepetsa kuyamwa kwa matumbo.

Kusiyanitsa kovomerezeka kumawerengedwa kuti ndi 10-15% mbali imodzi kapena ina. Kupeza dontho la magazi, zida zapadera zoboola khungu la chala zimagwiritsidwa ntchito. Poganizira kuchuluka kokwanira kwa kuyezetsa magazi kwa glucose kunyumba kwa chaka chimodzi, zomwe zikutanthauza kuti pobowola khungu kokwanira, zida zamtengo wapatali ndizomwe zimasinthidwa mwakuya.

Mwazi kuchokera pachala umatha kupakidwa pakhungu ndi singano ya insulin, singano yodzipaka nokha, kapena lancet. M'pofunika kuboola kuchokera kumbali za phalanges zam'mapeto zala pakati pa khushoni yawo ndi msomali, pamtunda wa 3-5 mm kuchokera pabedi la misomali. Osalipira “antchito” ndi dzanja lamanja la dzanja lamanzere (lamanzere).

Musanayambe kumwa magazi, sambani m'manja ndi sopo ndi madzi pansi pa madzi ofunda, pukuta ndi pukutikirani kangapo. Kuwotha ndi madzi ofunda ndikugwedezeka kumawonjezera kutuluka kwa magazi kupita ku zala. Musanaperekedweko, pukuta chala ndi zakumwa zoledzeretsa, ndiye ziume bwino.

Kumbukirani! Kuphatikizika kwa mowa kukhala dontho la magazi lomwe limagwiritsidwa ntchito kudziwa shuga mkati mwake kungakhale chifukwa cha kuchuluka kwa glycemia. Pambuyo pakukwapula, chala chake chimayenera kugwiridwa pansi, ndikuchifinya kuti apange dontho lalikulu lokwanira magazi kuti lisanthule.

Nthawi zina, dontho lachiwiri kapena magazi ochepa kwambiri amagwiritsidwa ntchito kupenda, omwe amatha kuchokera kumanja kapena mbali zina za thupi ngati wodwalayo salola kupweteka pakumwa magazi kuchokera pachala. Njira yowunikira nthawi zonse imafotokozedwa mu buku la ogwiritsira ntchito mita.

Kutsimikiza kwa glucosuria - kwamikodzo glucose

Nthawi zambiri, impso sizidutsa shuga mu mkodzo. Kulowera kwa shuga mkodzo kumawonedwa pokhapokha m'magazi. Gawo lachepera shuga m'magazi pomwe glucose amayamba kulowa mkodzo limatchedwa chimbudzi. Munthu aliyense akhoza kukhala ndi cholowa chaimpso.

Mwa anthu achichepere komanso azaka zapakati, glucose amawonekera mkodzo ndi magazi ochulukirapo 10 mmol / l, ndipo mwa okalamba oposa 14 mmol / l. Chifukwa chake, kupezeka kwa shuga m'magazi osafunikira a 8-10 mmol / l sikokhazikika.

Chifukwa chake, tanthauzo la glucosuria limangowonetsa kuwunika kolondola kwa chithandizo cha matenda ashuga tsiku lililonse. Pofuna kutsimikiza kwambiri kapena mopanda kuchuluka kwa shuga m'magazi panthawi yake, kafukufukuyo ayenera kuchitika mkodzo womwe watenga mkati mwa theka la ola.

Kuti musonkhe mkodzo, ndikofunikira kuthira chikhodzodzo ndipo mutatha mphindi 30, mgawo lotsatira la mkodzo, muzindikire kuchuluka kwa shuga. Kuti mupeze shuga mumkodzo, pamakhala timiyeso tomwe timagwiritsidwa ntchito poyesa, mkatikati mwa mkodzo kapena pansi pa mkodzo, amatenga utoto, poyerekeza ndi muyeso wamtundu womwe unalumikizidwa ndi mizere.

Ngati mkodzo wa theka la ola uli ndi shuga aliyense peresenti, ndiye kuti shuga ya magazi imaposa mulingo wa impso, motero lidzakhala pamwamba pa 9 mmol / l. Mwachitsanzo: 1% shuga mumkodzo amafanana ndi 10 mmol / l m'magazi, shuga 3% mumkodzo amafanana ndi 15 mol / l m'magazi.

Magazi a shuga a urine amagwiritsidwa ntchito kuwunika momwe shuga imaperekera shuga kwa mtundu 1 wa shuga ngati glycemia sikutheka. Zikatero, kuchuluka kwa shuga mumkodzo kumatsimikiziridwa katatu: pamimba yopanda kanthu, pambuyo pa chakudya chachikulu komanso musanagone.

Kutsimikiza kwa acetonuria - acetone mu mkodzo

Izi zimachitika:

Ndi glucosuria wokhazikika (wopitilira 3%) Wokhala ndi shuga wofika 15 mmol / l, yemwe amakhalapo kwa maola 24 Pa nthawi ya matenda ndi kutentha kwambiri Ngati nseru ndi kusanza zikuwoneka Nthawi yapakati mukakhala kuti simusangalala, musataye mtima, kapena muchepetse thupi.

Kukhalapo kwa acetone ndikuyang'anitsitsa kwake kumatsimikiziridwa ndikugwiritsa ntchito mayeso apadera ndi / kapena mapiritsi a chizindikiro. Izi zimakuthandizani kudziwa nthawi yomwe matenda azikhala ndi shuga komanso kuwonjezereka kwa ketoacidosis komanso kupewa matenda a shuga. Pali zingwe zoyeserera zomwe zimazindikira nthawi yomweyo kuchuluka kwa glucose ndi acetone mu mkodzo.

Kupsinjika kwa magazi

Kuyang'anira kuthamanga kwa magazi kumachitika pogwiritsa ntchito zida zapadera - tonometer. Chosavuta kwambiri pakuziyang'anira nokha kuthamanga kwa magazi ndi maukonde ndi owunikira othamanga magazi. Zipangizo zoterezi zimapompesa kutulutsa ndi mpweya wambiri kulowa mu cuff.

Odwala omwe ali ndi matenda a shuga, ziwonetsero zamagazi zimasiyana, makamaka ndi kudziyimira kwina kwa shuga. Chifukwa chake, ndikofunikira kuwayeza mu supine udindo, ndikukhala ndikuyimirira 2 pa tsiku - m'mawa ndi madzulo. Kufunika kwa miyeso iwiri kapena kupitilira apo pam mkono umodzi kumawonetsa bwino kuchuluka kwa kuthamanga kwa magazi kuposa muyeso umodzi.

Kumbukirani:

Odwala omwe ali ndi vuto la kuthamanga kwa magazi ayenera kuwayeza kawiri pa tsiku tsiku lililonse. Odwala omwe alibe mavuto ndi kuthamanga kwa magazi ayenera kuyeza mulingo wake osachepera 1 pamwezi.

Ndipo mwa anthu athanzi, kuthamanga kwa magazi kumasinthasintha tsiku lonse komanso kwa nthawi yochepa, nthawi zina mphindi zochepa. Zinthu zambiri zimathandizira kuchuluka kwa kuthamanga kwa magazi: ngakhale kulimbitsa thupi pang'ono, kumva kukhumudwa, ululu uliwonse (mwachitsanzo, kupweteka kwa mano), kuyankhula, kusuta, kudya, khofi wamphamvu, mowa, chikhodzodzo chambiri, ndi zina zambiri.

Chifukwa chake, miyezo ya kuthamanga kwa magazi iyenera kumwedwa musanadye kapena pambuyo pake maola 2-3 mutadya. Osasuta kapena kumwa khofi mkati 1 ora musanayesedwe. Mukamamwa mankhwala atsopano a antihypertensive kapena kusintha kwakukulu pa Mlingo wamankhwala am'mbuyomu, tikulimbikitsidwa kuti magazi azitha kuwunika mkati mwa sabata limodzi ndi (osachepera) miyezo iwiri ya kuthamanga kwa magazi masana.

Komabe, musatengeke ndi miyeso yambiri yamagazi masana. Mwa anthu okayikira, "masewera" oterewa omwe ali ndi zida amatha kuyambitsa matenda oopsa, omwe, amawonjezera kuthamanga kwa magazi. Simuyenera kuchita mantha ngati, atakuyikani ndi adotolo, magazi ake anali okwera pang'ono kuposa momwe anali kunyumba. Vutoli limatchedwa "chizindikiro cha malaya oyera".

D-Katswiri - pulogalamu yoletsa matenda ashuga

Kufotokozera kwapfupi: pulogalamuyi idapangidwa kuti isungire zolemba zodziwunika za matenda ashuga. Kufotokozera: Pulogalamuyi idapangidwa kuti izisungirako zolemba za matenda ashuga.