Hemoglobin yamtundu wa 2 shuga: momwe mungakulitsire otsika?

Pochizira mafupa, owerenga athu adagwiritsa ntchito DiabeNot bwino. Kuwona kutchuka kwa malonda, tidaganiza zoperekera chidwi chanu.

Hypoglycemia ndi pamene shuga m'magazi amatsika pansi pazenera. Hypoflycemia yofatsa imayambitsa zizindikiro zosasangalatsa, zomwe zalongosoledwa pansipa. Ngati hypoglycemia itayamba, ndiye kuti munthuyo amasiya kuzindikira, ndipo izi zimatha kubweretsa imfa kapena kulumala chifukwa chakuwonongeka kwa ubongo kosasinthika. Tanthauzo la hypoglycemia: kuchepa kwa shuga m'magazi mpaka kutsika 2.8 mmol / l, komwe kumayendera limodzi ndi zovuta ndipo kungayambitse kuda nkhawa. Komanso, hypoglycemia ndi kuchepa kwa shuga m'magazi mpaka kufika pansi pa 2.2 mmol / l, ngakhale munthu samva zizindikiro.

Tanthauzo lathu la hypoglycemia: Apa ndi pamene wodwala yemwe ali ndi matenda a shuga amatsitsa magazi ake kwambiri kotero kuti ndi 0,6 mmol / L pansi pazomwe akufuna. Hypoflycemia yofatsa ndi shuga wamagazi 0,6-1.1 mmol / L pansi pa gawo lazomwe mukufuna. Ngati shuga akupitilizabe kugwa, ndiye kuti hypoglycemia imakula kwambiri pamene shuga ayamba kukhala wosakwanira kudyetsa ubongo. Chosangalatsa ndichakuti wodwala aliyense amakhala ndi shuga. Monga lamulo, muyenera kuyesetsa kukhala ndi shuga wamagazi, monga mwa anthu athanzi opanda shuga. Koma ovuta kwambiri a shuga, odwala ayenera kukhala ndi shuga wambiri kwa nthawi yoyamba. Kuti mumve zambiri, onani nkhani yakuti “Zolinga za chisamaliro cha matenda ashuga. Zomwe shuga amafunika kuti azisamalidwa. ”

• Zizindikiro za hypoglycemia
• Nocturnal hypoglycemia m'maloto
• Ngati zizindikiro za hypoglycemia zimakhala zosalimba
• Zimayambitsa hypoglycemia mu shuga
• Momwe mungamvetsetse zomwe zimayambitsa hypoglycemia
• Chithandizo (kuyimitsa) cha hypoglycemia
• Momwe mungachiritsire hypoglycemia popanda kukweza shuga kuposa zabwinobwino
• Mapiritsi a glucose
• Zoyenera kuchita ngati shuga m'magazi asanakudya
• Momwe mungathanirane ndi kuukira kwa kususuka ndi hypoglycemia
• Shuga wokhazikika bwino, ndipo zizindikiro za hypoglycemia sizimatha
• Khalidwe lonyansa la odwala matenda ashuga ali ndi vuto la hypoglycemia
• Zoyenera kuchita ngati wodwala matenda ashuga ali kale pafupi kutaya chikumbumtima
• Kusamalira mwadzidzidzi ngati wodwala matenda ashuga atha
• Sungani ku hypoglycemia pasadakhale
• Zibongo zakuzindikiritsa odwala omwe ali ndi matenda ashuga
• Hypoglycemia mu shuga: mawu omaliza

Hypoglycemia mu shuga angayambitse zifukwa zazikulu ziwiri:

• jakisoni wa insulin
• kumwa mapiritsi omwe amachititsa kuti kapamba apange zambiri za insulin yake.

Jakisoni wa insulin pochiza matenda amtundu wa 2 komanso matenda amitundu iwiri ndizofunikira kwambiri, ndipo maubwino awo amapitilira chiwopsezo cha hypoglycemia. Kuphatikiza apo, mukatha kudziwa njira zazing'ono zomwe mungagwiritse ntchito ndipo mutha kuyang'anira ndi insulin yaying'ono, chiopsezo cha hypoglycemia chingakhale chotsika kwambiri.

Tikukulimbikitsani kuti mutaye mapiritsi omwe amachititsa kuti kapamba apange insulin yambiri. Izi zimaphatikizapo mankhwala onse a shuga ochokera ku sulfonylurea zotumphukira ndi makalasi a meglitinides. Mapiritsi awa sangangoyambitsa hypoglycemia, komanso amathanso kuvulaza munjira zina. Werengani: "Ndi mankhwala ati a shuga omwe amapweteketsa kuposa abwino." Madotolo omwe ali kuseri kwa nthawi akupitilizabe kuwapatsa mankhwala kwa odwala omwe ali ndi matenda ashuga a 2. Njira zina, zomwe zikufotokozedwa mu pulogalamu yachiwiri yothandizira odwala matenda ashuga, zimathandiza kuthana ndi magazi popanda chiopsezo cha hypoglycemia.

Zizindikiro za hypoglycemia

Zizindikiro za hypoglycemia zimawonekera bwino, kutsika kwamphamvu kwa glucose kumachitika.

Zizindikiro zoyambirira za hypoglycemia (kufunika kodya zakudya zopatsa mphamvu mwachangu, makamaka mapiritsi a shuga):

• kukopa kwa pakhungu
• thukuta
• kunjenjemera, palpitations
• njala yayikulu
• kulephera kulolera
• nseru
• kuda nkhawa, kukwiya.

Zizindikiro za hypoglycemia, pamene shuga m'magazi ndi otsika kwambiri, ndipo hypoglycemic coma ili pafupi kwambiri:

• kufooka
• chizungulire, kupweteka mutu,
• kumverera kwa mantha
• zolankhula ndi zowonekera pamachitidwe,
• chisokonezo,
• mgwirizano wolakwika,
• kutayika kwa malo mu malo,
• miyendo yanjenjemera, kukokana.

Sizizindikiro zonse za glycemic zomwe zimawoneka nthawi imodzi. Momwemonso matenda ashuga omwewo, zizindikiro za hypoglycemia zimatha kusintha nthawi iliyonse. Odwala ambiri, kumvetsetsa kwa zizindikiro za hypoglycemia ndi "kuzimiririka". Odwala matenda ashuga oterewa amadzidzimuka nthawi iliyonse chifukwa cha chikomokere. Amakhala ndi chiopsezo chachikulu cha kulumala kapena kufa chifukwa cha kwambiri hypoglycemia. Chifukwa cha izi zikuchitika:

• shuga wambiri wotsika kwambiri
• munthu wakhala akudwala matenda a shuga kwa nthawi yayitali,
• ukalamba
• ngati hypoglycemia imachitika kawirikawiri, ndiye kuti sizikutchulidwa.

Anthu otere sayenera kuvulaza ena panthawi ya hypoglycemia mwadzidzidzi. Izi zikutanthauza kuti amaphatikizika kwa iwo kuti agwire ntchito yomwe miyoyo ya anthu ena imadalira. Makamaka, odwala matenda ashuga samaloledwa kuyendetsa galimoto ndi zoyendera pagulu.

Odwala ena omwe ali ndi matenda a shuga amazindikira kuti ali ndi hypoglycemia. Amakhala ndi malingaliro okwanira kuti athe kupeza glucometer, kuyeza shuga awo ndikuletsa kugwidwa kwa hypoglycemia. Tsoka ilo, odwala matenda ashuga ambiri omwe amazindikira kuti ali ndi hypoglycemia ali ndi mavuto akulu. Ubongo ukasowa shuga, munthu amatha kuyamba kuchita zosayenera. Odwala oterowo amakhalabe ndi chidaliro chakuti ali ndi shuga wabwinobwino, mpaka pano mpaka atha kuzindikira. Ngati wodwalayo adakumana ndi zovuta zingapo za hypoglycemia, ndiye kuti atha kukhala ndi mavuto pozindikira nthawi yotsatira. Ichi ndichifukwa cha kukomoka kwa adrenergic receptors. Komanso, mankhwala ena amasokoneza kuzindikira kwa hypoglycemia pa nthawi. Awa ndi ma beta blockers omwe amachepetsa kuthamanga kwa magazi ndi kugunda kwa mtima.

Nayi mndandanda wina wa zizindikiro za hypoglycemia, womwe umayamba kuwuma:

• Kuyankha pang'onopang'ono pazinthu zozungulira - mwachitsanzo, mumkhalidwe wa hypoglycemia, munthu sangathe kuwongolera panthawi yoyendetsa galimoto.
• Khalidwe lonyansa, lankhanza. Pakadali pano, wodwala matenda ashuga ali ndi chidaliro kuti ali ndi shuga wabwinobwino, ndipo amakana mwamphamvu zoyeserera za ena kuti amukakamize kuyeza shuga kapena kudya zakudya zopatsa mphamvu.
• Kukhazikika kwa chikumbumtima, kuyankhula kovuta, kufooka, kuchepa. Zizindikiro zimatha kupitilira pomwe shuga wabwereranso mwakale, ngakhale mpaka mphindi 45-60.
• Kugona, ulesi.
• Kuwonongeka kwa chikumbumtima (osowa kwambiri ngati simukubaya insulin).
• Kutembenuka.
• Imfa.

• Mtundu woyamba wa chithandizo cha matenda a shuga kwa akulu ndi ana
• Nthawi ya tchuthi ndi momwe mungakulitsire
• Matenda a shuga 1 amtundu wa mwana amathandizidwa popanda insulin pogwiritsa ntchito zakudya zoyenera. Mafunso ndi banja.
• Momwe mungachepetse kuwonongeka kwa impso

Nocturnal hypoglycemia m'maloto

Zizindikiro za noogurnal hypoglycemia m'maloto:

• wodwala amakhala ndi khungu lozizira, lotupa, makamaka pakhosi,
• Kusokoneza kupuma
• kugona osagona.

Ngati mwana wanu ali ndi matenda ashuga amtundu woyamba, ndiye kuti muyenera kumuyang'ana nthawi zina usiku, kuyang'ana khosi lake pakukhudza, mutha kumudzutsanso, mwina mungatero, kuyeza shuga m'magazi pakati pausiku. Kuti muchepetse mulingo wa insulin, ndipo mutakhala ndi vuto la hypoglycemia, tsatirani pulogalamu ya matenda a shuga 1. Tumizani mwana yemwe ali ndi matenda a shuga 1 kukhala zakudya zamagulu ochepa mukamaliza kuyamwitsa.

Ngati zizindikiro za hypoglycemia zimakhala zosalimba

Mwa odwala ena omwe ali ndi matenda ashuga, Zizindikiro zoyambirira za hypoglycemia ndizopepuka. Ndi hypoglycemia, manja akunjenjemera, pallor of the khungu, kufulumira kwamkati, ndi zizindikiro zina zimayambitsa mahomoni epinephrine (adrenaline). M'mitundu yambiri ya ashuga, kupanga kwake kumakhala kofooka kapena ma receptors samvera kwenikweni. Vutoli limayamba nthawi yayitali odwala omwe ali ndi shuga yochepa kwambiri kapena amene amalumpha kuchokera shuga wambiri kupita ku hypoglycemia. Tsoka ilo, awa ndi magulu a odwala omwe nthawi zambiri amakhala ndi vuto la hypoglycemia ndipo angafunike kuzindikira kwa adrenaline kuposa ena.

Pali zifukwa zisanu ndi zina zomwe zingapangitse kuwongolera kwa ziwonetsero za hypoglycemia:

• Sever autonomic diabetesic neuropathy ndi zovuta za shuga zomwe zimayambitsa kuphwanya kwamitsempha.
• Adrenal minofu yam'mimba. Uku ndi kufa kwa minofu ya adrenal - tiziwalo timene timatulutsa adrenaline. Zimayamba kudwala ngati wodwala amakhala ndi matenda a shuga kwa nthawi yayitali, ndipo adam'thandizira mwaulesi kapena molakwika.
• Mwazi wa m'magazi umakhala wotsika kwambiri.
• Wodwala matenda a shuga amwe mankhwala - beta-blockers - chifukwa cha kuthamanga kwa magazi, matenda a mtima, kapena kupewa.
• Mwa odwala matenda ashuga omwe amadya zakudya zoyenera, odzaza ndi mafuta, motero amakakamizidwa kubaya Mlingo waukulu wa insulin.

Odwala ena omwe ali ndi matenda a shuga amakana kumwa mapiritsi a glucose ngakhale atayetsa shuga awo ndi kupeza kuti ndi yochepa. Amati akumva bwino ngakhale alibe mapiritsi. Anthu oterewa ndi omwe amakhala "makasitomala" akulu kwa madotolo azadzidzidzi, kuti athe kuyeseza kuchotsa munthu pakhungu. Amakhalanso ndi ngozi zapamsewu. Mukamayendetsa, yeretsani shuga la magazi anu ndi mita ya glucose ola lililonse, ngakhale mutakhala ndi hypoglycemia kapena ayi.

Anthu omwe amakhala ndi gawo la hypoglycemia kapena shuga m'magazi nthawi zambiri amakhala "osokoneza" izi. Adrenaline m'magazi awo nthawi zambiri amawoneka ochulukirapo. Izi zimabweretsa kuti chidwi cha zolandilira ku adrenaline chifooke. Momwemonso, Mlingo wa insulin yambiri m'magazi umapangitsa chidwi cha insulin zolandirira khungu.

Zizindikiro zoyambirira za hypoglycemia - kunjenjemera kwa khungu, kuthamanga kwa mtima, ndi zina - ndizizindikiro zochokera m'thupi zomwe wodwala matenda ashuga ayenera kulowererapo kuti apulumutse moyo wake. Ngati chizindikirocho sichikugwira ntchito, ndiye kuti mwadzidzidzi wamkulu amadzimva chifukwa chayamba kupsa mtima. Anthu oterewa amakhala ndi chiopsezo chachikulu cha kulumala kapena kufa chifukwa cha kwambiri hypoglycemia. Njira yokhayo yothanirana ndi vutoli ngati ikukula ndikuyeza magazi anu pafupipafupi ndikuwongolera. Werengani werengani zonse zomwe zimayimira shuga m'magazi ndi momwe mungayang'anire ngati mita yanu ili yolondola.

Zimayambitsa hypoglycemia mu shuga

Hypoglycemia imayamba m'magazi momwe insulin yochulukirapo imazungulira m'magazi, molingana ndi kudya kwa glucose kuchokera ku chakudya komanso m'masitolo a chiwindi.

Zimayambitsa hypoglycemia

A. Mwachindunji amagwirizana ndi mankhwala othandizira kuti muchepetse shuga

Mankhwala osokoneza bongo a insulin, sulfonylurea kapena ma dongo

• Kulakwitsa kwa wodwala (cholakwika cha mlingo, kuchuluka kwakukulu, kusadziletsa, odwala matenda ashuga osaphunzitsidwa bwino)
• Choipa cholakwika cha insulin
• Mamita siolondola, amawonetsa kuchuluka kwambiri
• Zolakwika za dotolo - wodwalayo adakhazikitsa shuga yotsika kwambiri, kuchuluka kwa mapiritsi a insulin kapena mapiritsi ochepetsa shuga
• Kwambiri bongo kuti udziphe kapena kudziyesa

• Kusintha kwa insulin
• Kuchepetsa kwa insulini m'thupi - chifukwa cha kulephera kwaimpso kapena chiwindi
• Kuzama kwa jakisoni wa insulini - amafuna kulowa osabisalira, koma kunapezeka
• Kusintha kwa tsamba la jakisoni
• Kubisa kwa jakisoni malo kapena kuwonetsedwa ndi kutentha kwambiri - insulin imayamwa mwachangu kwambiri
• Zochita Zamankhwala a Sulfonylureas

• Kuchita masewera olimbitsa thupi kwa nthawi yayitali
• Nthawi yoyambirira isanakwane
• Kusokonekera koyipa kapena kusowa kwa pituitary

1. Dumphani chakudya
2. Zakudya zopatsa thanzi zokwanira kugwira insulin
3. Kuchita zinthu zolimbitsa thupi kwakanthawi kochepa, osamwa zakudya zamagulu musanayambe kuchita masewera olimbitsa thupi
4. Kumwa mowa
5. Kuyesera kuchepetsa thupi pochepetsa kudya zama calorie kapena kufa ndi njala, popanda kuchepetsa kufanana kwa insulini kapena mapiritsi ochepetsa shuga
6. Kuchepetsa kwa m'mimba (gastroparesis) chifukwa cha matenda ashuga ozungulira
7. Malabsorption syndrome - chakudya sichingoyamwa. Mwachitsanzo, chifukwa chakuti palibe ma enzyme okwanira a pancreatic omwe amathandizira kugaya chakudya.
8. Mimba (1 trimester) ndi kuyamwitsa

Chithandizo cha boma chimati ngati wodwala matenda ashuga amathandizidwa bwino ndi mapiritsi a insulin kapena kuchepetsa shuga, ndiye kuti adzakumana ndi zovuta za hypoglycemia 1-2 kawiri pa sabata ndipo palibe cholakwika ndi izi. Tikulengeza kuti ngati mutsatira mtundu wa chithandizo cha matenda a shuga 1 kapena mtundu wa 2 wodwala, ndiye kuti hypoglycemia imachitika kangapo. Chifukwa ndi matenda amtundu wa 2 shuga, tidakana mapiritsi oyipa (sulfonylureas ndi ma dongo) omwe angayambitse. Ponena za jakisoni wa insulin, njira ya katundu wocheperako wa mtundu 1 ndi mtundu wa 2 wa shuga umalola kangapo kuchepetsa ma insulin ndipo motero amachepetsa chiopsezo cha hypoglycemia.

Zomwe zimayambitsa hypoglycemia mwa omwe amathandizidwa malinga ndi njira ya tsamba la Diabetes-Med.Com:

• Sanadikire maola 5 mpaka mlingo wofulumira wa insulin atamaliza kuchita, ndikuyika jekeseni yotsatira kuti athetse shuga wowonjezereka m'magazi. Izi ndizowopsa usiku.
• Iwo adabayira insulin mwachangu asanadye, kenako adayamba kudya kwambiri. Chimodzimodzi ngati mumamwa mapiritsi musanadye, ndikupangitsa kuti kapamba apange insulin yambiri. Ndikokwanira kuyamba kudya mphindi 10-15 pambuyo poti muyenera kumva zizindikiro za hypoglycemia.
• Matenda a shuga a gastroparesis - anachedwetsa kuchotsa m'mimba mutatha kudya.
• Matendawa atatha, kukana insulini kumafooka, ndipo wodwala matenda ashuga amayiwala kuti abwerere kuchokera ku mapiritsi a insulini kapena mapiritsi ochepetsera shuga mpaka masiku ake.
• Wodwala matenda ashuga kwa nthawi yayitali adadziyambitsa "kufooka" insulin kuchokera m'botolo kapena katoni, komwe kamasungidwa molakwika kapena kutha ntchito, kenako ndikuyamba kubayirira insulin yatsopano “popanda kutsitsa.
• Kusintha kuchokera pampu ya insulini ndikupanga jakisoni ndi ma insulin syringes komanso mosemphana ndi zina ngati zingachitike popanda kuwunikira nokha shuga.
• Wodwalayo adadzipaka yekha ndi ultrashort insulin yowonjezera mphamvu muyezo womwewo womwe nthawi zambiri umalandira jekeseni.
• Mlingo wa insulin sufanana ndi kuchuluka kwa chakudya chomwe wadya. Muzidya zakudya zochepa komanso / kapena mapuloteni kuposa momwe mumapezera chakudya cham'mawa, nkhomaliro kapena chakudya chamadzulo. Kapenanso adadya mochuluka momwe iwo amafunira, koma pazifukwa zina adabayira insulin yambiri.
• Munthu wodwala matenda ashuga amachita masewera olimbitsa thupi osakonzekera kapena amaiwala kuyamwa shuga tsiku lililonse pochita zolimbitsa thupi.
• Mowa, makamaka musanadye komanso nthawi ya chakudya.
• Wodwala wodwala matenda ashuga yemwe amadzibaya jekeseni wa NPH-insulin wodzivulaza yekha ndi vial, adayiwala kugwedeza bwino vial asanatengere insulin.
• Intramuscularly jekeseni insulin m'malo subcutaneous.
• Adapanga jakisoni woyenera wa insulin, koma m'gawo ilo la thupi lomwe limakhudzidwa kwambiri.
• Chithandizo cha nthawi yayitali ndi mtsempha wa gamma globulin. Zimayambitsa kuchira mwangozi komanso kosayembekezereka kwa gawo la maselo a beta mwa odwala omwe ali ndi matenda a shuga 1, omwe amachepetsa kufunika kwa insulin.
• Kumwa mankhwala awa: aspirin mu waukulu Mlingo, anticoagulants, barbiturates, antihistamines ndi ena ambiri. Mankhwalawa amachepetsa shuga m'magazi kapena kuletsa kupanga kwa shuga ndi chiwindi.
• Kutentha kwanyengo. Pakadali pano, odwala ambiri omwe ali ndi matenda ashuga amafunikira insulini yochepa.

• Kuchiza Matenda A shuga a Type 1 ndi Insulin: Yambirani Apa. Mitundu ya insulin ndi malamulo ake kuti isungidwe.
• Insulin yamtundu wanji kuti mupeze jakisoni, munthawi yanji komanso mulingo uti. Njira za matenda ashuga amtundu 1 ndi matenda amitundu iwiri.
• Lantus ndi Levemir - insulin yokwanira
• Kuwerengera kwa insulin yofulumira musanadye
• Ma insulin, ma syringe zolembera ndi singano kwa iwo. Ndi ma syringe omwe ndi bwino kugwiritsa ntchito.
• Ultrashort insulin Humalog, NovoRapid ndi Apidra. Insulin yochepa yaumunthu
• Momwe mungapangire insulin kuti mupeze molondola Mlingo wotsika
• Chithandizo cha mwana wa matenda a shuga 1 amachepetsa insulin Humalog

Njala ndi chizindikiro chodziwika bwino cha malo oyamba a hypoglycemia. Ngati mukutsatira pulogalamu yothana ndi matenda a shuga 1 kapena pulogalamu ya 2 yokhala ndi matenda a shuga ndipo mukuwongolera matenda anu, ndiye kuti simuyenera kumakhala ndi njala yayikulu. Musanadye chakudya, muyenera kukhala ndi njala pang'ono. Komabe, nthawi zambiri njala imangokhala chizindikiro cha kutopa kapena kupsinjika, koma osati hypoglycemia. Komanso, shuga m'magazi akakhala kwambiri, m'malo mwake, maselo sikhala ndi glucose, ndipo amatumiza ma njaa mwamphamvu. Kutsiliza: ngati mukumva njala - yikani magazi anu ndi glucometer.

Zowopsa za hypoglycemia:

• wodwala kale anali ndi vuto la hypoglycemia,
• wodwalayo samva zizindikiro za hypoglycemia munthawi yake, motero amakhala ndi chikomokere mwadzidzidzi,
• pancreatic insulin secretion palibe,
• otsika mayendedwe wodwala.

Momwe mungamvetsetse zomwe zimayambitsa hypoglycemia

Muyenera kubwereza zochitika zonse zomwe zimatsogolera ku gawo pamene shuga ya magazi anu ndi yotsika kwambiri. Izi zimayenera kuchitika nthawi iliyonse, ngakhale ngati pakadakhala kuti palibe chizindikiro chowoneka kuti mupeze zomwe mumalakwitsa. Kuti zochitika zithandizike, odwala matenda a shuga omwe amadalira insulin amafunikira kupitiliza kukhazikika pakulamulira kwazonse za shuga, i.e., nthawi zambiri amayeza, amalemba zotsatira zake komanso zochitika zina.

Hypoglycemia yayikulu imatha kubweretsa ku zomwe zimachitika maola angapo zisanathetsedwe konse kuchokera kukumbukira kwa wodwala matenda ashuga. Ngati asungabe chidule chake cha kudziletsa, pamenepo pazomwezi zingakhale zothandiza. Sikokwanira kungolemba zotsatira za shuga wa magazi, ndikofunikira kulemba zochitika. Ngati muli ndi zigawo zingapo za hypoglycemia, koma osamvetsetsa chifukwa chake, onetsani kwa adotolo. Mwina adzakufunsani mafunso momveka bwino.

Chithandizo (kuyimitsa) cha hypoglycemia

Ngati mukukumana ndi zilizonse za zizindikiro za hypoglycemia zomwe taziwonetsa pamwambapa - makamaka njala yayikulu - nthawi yomweyo yikani magazi anu ndi glucometer. Ngati ndi 0,6 mmol / L pansi pazomwe mukufuna kapena kutsika, ndiye kuchitapo kanthu kuti muimitse hypoglycemia. Idyani chakudya chamagulu ochulukirapo, makamaka mapiritsi a shuga, kuti mukweze shuga yanu mpaka mulingo womwe mukufuna. Ngati palibe zizindikiro, koma mwayeza shuga m'magazi ndikuwona kuti ndi otsika, chinthu chomwecho ndikofunika kudya mapiritsi a glucose mu mlingo wowerengeka. Ngati shuga ndiwotsika, koma palibe zizindikiro, ndiye kuti mafuta ochulukirapo amafunika kudya.Chifukwa hypoglycemia yopanda zizindikiro ndiyowopsa kuposa yomwe imayambitsa zisonyezo zoonekeratu.

Momwe mita ingakulowereni - yeretsani shuga. Imatha kukwezedwa kapena kutsitsidwa. Mubwezereni ku zoyenera ndipo osachimwanso, ndiye kuti, sungani mita nthawi zonse nanu.

Chovuta kwambiri ndikuti ngati shuga lanu lamwazi latsika chifukwa cha kupaka jakisoni wambiri kapena kumwa mankhwala oopsa a mapiritsi a shuga. Zikakhala zotere, shuga amatha kugwiritsidwanso ntchito atamwa mapiritsi a shuga. Chifukwa chake, onaninso shuga wanu ndi glucometer Mphindi 45 mutatha kutenga mankhwala a hypoglycemic. Onetsetsani kuti chilichonse ndichabwino. Ngati shuga alinso wotsika, imwani mapiritsi ena, kenako mubwerezenso pambuyo pamphindi 45 zilizonse. Ndipo zina zotero, mpaka chilichonse chimadzayamba bwino.

Momwe mungachiritsire hypoglycemia popanda kukweza shuga kuposa zabwinobwino

Pachikhalidwe, odwala omwe ali ndi matenda ashuga kusiya hypoglycemia amadya ufa, zipatso ndi maswiti, amamwa misuzi ya zipatso kapena koloko yabwino. Njira zamankhwala izi sizigwira ntchito pazifukwa ziwiri. Mbali imodzi, imagwira pang'onopang'ono kuposa zofunika. Chifukwa zakudya zopezeka m'zakudya, thupi limafunikabe kugaya usanayambe kukweza shuga m'magazi. Komabe, "chithandizo" choterechi chimachulukitsa shuga wamagazi kwambiri, chifukwa ndizosatheka kuwerengera molondola kuchuluka kwa chakudya, ndipo mwamantha, wodwala matenda ashuga amadya kwambiri.

Hypoglycemia imatha kuwononga kwambiri matenda ashuga. Kuukira kwambiri kungachititse kuti wodwala matenda ashuga kapena wolumala chifukwa cha kuwonongeka kwa ubongo kosasinthika, ndipo sizivuta kudziwa kuti izi ndi ziti zomwe zili zoyipa kwambiri. Chifukwa chake, timayesetsa kukweza shuga m'magazi kuti akhale abwinobwino msanga. Zakudya zomanga thupi, fructose, mkaka wa shuga, lactose - onsewa amayenera kugwiritsidwa ntchito popukusa thupi asanayambe kukweza shuga. Zomwezi zimagwiranso ngakhale kwa wowuma ndi shuga a pagome, ngakhale njira yovomerezeka ili yachangu kwambiri kwa iwo.

Zinthu zomwe talemba pamwambazi zimakhala ndi mafuta osakanikirana othamanga komanso osakwiya, omwe amachitika pang'onopang'ono, kenako amawonjezera shuga m'magazi osakonzekera. Nthawi zonse zimatha ndi chakuti atayimitsa kuukira kwa hypoglycemia, shuga mwa wodwala yemwe ali ndi matenda ashuga "amapitilira". Madokotala osazindikira amakhulupirirabe kuti pambuyo pa gawo la hypoglycemia ndizosatheka kupewa kuchuluka kwa shuga m'magazi. Amawona kuti ndizabwinobwino ngati pambuyo maola ochepa shuga m'magazi odwala matenda a shuga ndi 15-16 mmol / L. Koma izi sizowona ngati uchita mwanzeru. Ndi njira yanji yomwe imatulutsa shuga m'magazi mwachangu ndipo ikulosera? Yankho: shuga mu mawonekedwe ake oyera.

Mapiritsi a glucose

Glucose ndiye chinthu chomwe chimazungulira m'magazi chomwe timachitcha "shuga wamagazi". Glucose wa chakudya amatengedwa kulowa m'magazi ndikuyamba kuchitapo kanthu. Thupi silifunikira kuligaya; silimagwira chiwindi chilichonse. Ngati mukutafuna piritsi la glucose mkamwa mwanu ndikumwa madzi, ndiye kuti ambiri amadzalowetsa m'magazi kuchokera pakamwa panu kamkamwa, ngakhale kumeza sikofunikira. Zina zimalowa m'mimba ndi m'matumbo ndipo zimayamwa nthawi yomweyo.

Kuphatikiza kuthamanga, mwayi wachiwiri wama mapiritsi a glucose ndikudziwikiratu. Pakati pa hypoglycemia wodwala wokhala ndi matenda amtundu wa 1 kapena mtundu wa 2 wolemera makilogalamu 64, gramu imodzi ya glucose imakweza shuga la magazi ndi 0.28 mmol / L. Munthawi imeneyi, wodwala yemwe ali ndi matenda a shuga a 2, kupanga insulin ndi kapamba kumazimiririka, pomwe wodwala wokhala ndi matenda amtundu wa 1 sapezeka konse. Ngati shuga m'magazi siwotsika kuposa masiku onse, ndiye kuti wodwala yemwe ali ndi matenda a shuga a 2 sangayambitse shuga, chifukwa kapamba "amamaliza" ndi insulin yake.Kwa wodwala yemwe ali ndi matenda a shuga 1, komabe gramu imodzi ya glucose imawonjezera shuga m'magazi ndi 0.28 mmol / L, chifukwa alibe kupanga insulin.

Munthu akayamba kulemera, mphamvu ya glucose imam'chepetsera, komanso amachepetsa thupi. Kuti muwerenge kuchuluka kwa gramu imodzi ya glucose yomwe ingakulitse shuga m'magazi anu kulemera kwanu, muyenera kupanga gawo. Mwachitsanzo, kwa munthu amene ali ndi thupi lolemera makilogalamu 80, padzakhala 0.28 mmol / L * 64 kg / 80 kg = 0.22 mmol / L, ndipo kwa mwana wolemera 48 kg, 0.28 mmol / L * 64 kg / 48 kg = 0,37 mmol / l.

Chifukwa chake, poletsa hypoglycemia, mapiritsi a shuga ndi chisankho chabwino kwambiri. Amagulitsidwa muma pharmacies ambiri ndipo ndi otsika mtengo kwambiri. Komanso, m'misika yamagolosale komwe amakhala, mapiritsi a ascorbic acid (vitamini C) okhala ndi shuga amagulitsidwa nthawi zambiri. Itha kugwiritsidwanso ntchito motsutsana ndi hypoglycemia. Mlingo wa vitamini C mwa iwo nthawi zambiri amakhala wotsika kwambiri. Ngati ndinu aulesi kuti musunge mapiritsi a shuga - tengani magawo a shuga abwino. Zambiri 2-3 zokha, osati zochulukirapo. Maswiti, zipatso, timadziti, ufa - siabwino kwa odwala omwe amachita pulogalamu yothana ndi matenda a shuga 1 kapena mtundu wa 2 wa matenda a shuga ..

Ngati mwakhudza mapiritsi a shuga, sambani m'manja musanayeze shuga ndi magazi. Ngati kulibe madzi, gwiritsani ntchito nsalu yonyowa. Monga chomaliza, nyambita chala chomwe mukufuna kubaya, kenako ndikupukuta ndi nsalu yoyera kapena mpango. Ngati pali shuga pakhungu la chala, zotsatira za kuyeza shuga m'magazi zidzasokonekera. Sungani mapiritsi a glucose kutali ndi mita ndikuwonetsetsa kuti akupita.

Funso lofunika kwambiri ndilakuti ndiyenera kudya mapiritsi angati a shuga? Ikulume zokwanira kukweza shuga m'magazi anuwo, koma osatinso. Tiyeni titenge chitsanzo chothandiza. Tinene kuti mumalemera 80 kg. Pamwambapa, tidawerengera kuti gramu imodzi ya glucose iwonjezera shuga m'magazi anu ndi 0.22 mmol / L. Tsopano muli ndi shuga wamagazi a 3.3 mmol / L, ndipo mulingo wotsogola ndi 4.6 mmol / L, i.e. muyenera kuwonjezera shuga ndi 4.6 mmol / L - 3.3 mmol / L = 1.3 mmol / l. Kuti muchite izi, tengani 1.3 mmol / L / 0.22 mmol / L = 6 magalamu a shuga. Mukamagwiritsa ntchito mapiritsi a glucose olemera gramu imodzi iliyonse, amatuluka mapiritsi 6, osatinso pang'ono.

Zoyenera kuchita ngati shuga m'magazi asanakudya

Zitha kuchitika kuti mumapezeka kuti muli ndi shuga ochepa musanayambe kudya. Ngati mutsatira zakudya zamagulu ochulukirapo kuti muchepetse matenda a shuga 1 kapena mtundu wa 2, ndiye kuti mumadya mapiritsi a glucose nthawi yomweyo, kenako ndikudya "zenizeni". Chifukwa chakuti zakudya zamagulu ochepa zimapangidwa pang'onopang'ono. Ngati simuletsa hypoglycemia, ndiye kuti izi zitha kudzetsa kudya kwambiri komanso kulumpha mu shuga m'maola ochepa, zomwe zimakhala zovuta kutulutsa.

Momwe mungathanirane ndi kuukira kwa kususuka ndi hypoglycemia

Hypoglycemia yofatsa komanso yofatsa imatha kuyambitsa mavuto osaneneka komanso nkhawa. Kulakalaka kudya zakudya zodzaza ndi zomanga thupi kumatha kukhala kosalamulirika. Zikakhala zotere, wodwala matenda ashuga amatha kudya kilogalamu imodzi ya ayisi kapena ufa wa zipatso kapena kumwa lita imodzi ya zipatso. Zotsatira zake, shuga m'magazi ochepa amatha kukhala ochulukirapo. Pansipa muphunzira zoyenera kuchita ndi hypoglycemia kuti muchepetse kuvulaza kwa thanzi lanu chifukwa cha mantha komanso kudya kwambiri.

Choyamba, yesani kudziwiratu ndikuwonetsetsa kuti mapiritsi a glucose amalosera kwambiri, makamaka ndi matenda amtundu wa 1 shuga. Ndi magalamu angati a shuga omwe mwadya - momwemonso shuga yanu yamagazi imakwera, osatinso mochepera. Dziyang'anireni nokha, mudzionere nokha pasadakhale. Izi ndizofunikira kuti mukakhala ndi vuto la hypoglycemia musachite mantha. Mutatha kumwa mapiritsi a glucose, mudzakhala otsimikiza kuti kusiya kuzindikira ndi kufa sizowopsa.

Chifukwa chake, tidalamulira mantha, chifukwa tidakonzekeratu pasadakhale vuto la hypoglycemia. Izi zimathandiza wodwala matenda ashuga kuti akhale chete, asamaganize, ndipo pali mwayi wochepa woti chidwi chofuna kususuka chingathe kuchoka. Koma bwanji ngati mutatha kumwa mapiritsi a glucose, simungathe kuletsa njala yakuthengo? Izi zitha kukhala chifukwa chakuti theka la moyo wa adrenaline m'mwazi ndi wautali kwambiri, monga tafotokozera m'gawo lapita. Pankhaniyi, kutafuna ndikudya zakudya zamafuta ochepa pamndandanda wololedwa.

Kuphatikiza apo, ndikofunikira kugwiritsa ntchito zinthu zomwe sizikhala ndi mafuta konse. Mwachitsanzo, kudula nyama. Muno, simungathe kudya mtedza chifukwa simungathe kukana ndikudya zambiri zake. Mtedza umakhala ndi chakudya chamagulu angapo, ndipo zochulukirapo zimawonjezera shuga m'magazi, zomwe zimapangitsa zotsatira za malo odyera achi China. Chifukwa chake, ngati njala siyingalekerere, ndiye kuti mumamiza ndi zakudya zamafuta ochepa.

Shuga wokhazikika bwino, ndipo zizindikiro za hypoglycemia sizimatha

Mu vuto la hypoglycemia, kutulutsa kwakatulu kwa timadzi ta epinephrine (adrenaline) kumachitika m'magazi. Ndiye amene amayambitsa zambiri zosasangalatsa. Mwazi wa magazi ukatsika kwambiri, tiziwalo timene timatulutsa adrenaline potengera izi ndikuchulukitsa kuchuluka kwake m'magazi. Izi zimachitika mwa odwala onse omwe ali ndi matenda ashuga, kupatula okhawo omwe adalepheretsa kuzindikira kwa hypoglycemia. Monga glucagon, adrenaline imapatsa chiwindi chizindikilo kuti glycogen iyenera kusinthidwa kukhala glucose. Zimawonjezeranso kugunda kwa mtima, zimayambitsa pallor, manja akunjenjemera ndi zizindikiro zina.

Adrenaline ali ndi theka la moyo pafupifupi mphindi 30. Izi zikutanthauza kuti ngakhale ola limodzi pambuyo poti vuto la hypoglycemia lithe, ¼ adrenaline akadali m'magazi ndikupitilizabe kuchita. Pazifukwa izi, Zizindikiro zitha kupitiliza kwakanthawi. Ndikofunikira kuvutika ola limodzi mutatha kutenga mapiritsi a shuga. Munthawi imeneyi, chinthu chofunikira kwambiri ndikupewa chiyeso chofuna kudya kwambiri. Ngati patatha ola limodzi, zizindikiro za hypoglycemia sizikuchoka, yeretsaninso shuga ndi glucometer ndikuchitanso zina.

Khalidwe lonyansa la wodwala matenda ashuga mu mtundu wa hypoglycemia

Ngati wodwala yemwe ali ndi matenda ashuga ali ndi hypoglycemia, ndiye kuti izi zimasokoneza kwambiri moyo wa abale ake, abwenzi ndi anzawo. Pali zifukwa ziwiri izi:

• mu mkhalidwe wa hypoglycemia, odwala matenda ashuga nthawi zambiri amakhala mwamwano komanso mwamwano,
• wodwalayo atha kuzindikira mwadzidzidzi ndipo akufunika chithandizo chamankhwala mwadzidzidzi.

Momwe mungachite ngati wodwala matenda ashuga ali ndi vuto lalikulu la hypoglycemia kapena atayika, tikambirana m'gawo lotsatira. Tsopano tiyeni tikambirane zomwe zimayambitsa khwawa komanso momwe mungakhalire ndi wodwala matenda ashuga popanda kusamvana.

Pa vuto la hypoglycemia, wodwala matenda ashuga amatha kuchita zachilendo, mwamwano komanso mwamwano pazifukwa ziwiri zazikulu:

• adalephera kudziletsa
• Kuyesa kwa ena kuti amudyetse maswiti kumatha kuvulaza.

Tiyeni tiwone zomwe zimachitika mu ubongo wa wodwala yemwe ali ndi matenda ashuga pakamenyane ndi hypoglycemia. Ubongo umasowa glucose wogwira ntchito bwino, ndipo chifukwa cha izi, munthu amakhala ngati waledzera. Zochita zamisili zimalephera. Izi zitha kuwonetsedwa ndi zizindikiro zosiyanasiyana - kupha mphamvu kapena, m'malo mwake, kusakwiya, kukoma mtima kopitirira muyeso kapena kuipidwa nayo. Mulimonsemo, zizindikiro za hypoglycemia zimafanana ndi kuledzera. Wodwalayo akutsimikiza kuti tsopano ali ndi shuga wabwinobwino, monganso munthu woledzera amakhala ndi chitsimikizo kuti ali wodekha. Mowa woledzera komanso hypoglycemia amasokoneza ntchito zomwe zimachitika m'magawo amodzimodzi a ubongo.

Pochizira mafupa, owerenga athu adagwiritsa ntchito DiabeNot bwino. Kuwona kutchuka kwa malonda, tidaganiza zoperekera chidwi chanu.

Wodwala matenda ashuga aphunzira kuti shuga wambiri ndi wowopsa, amawononga thanzi, motero ayenera kupewedwa. Ngakhale atakhala kuti ali ndi hypoglycemia, amakumbukirabe izi. Ndipo pakadali pano, akutsimikiza kuti shuga ake ndi abwinobwino ndipo, mwanjira zonse, amakhala wozama. Ndipo kenako wina akufuna kumudyetsa zakudya zamafuta owopsa ... Mwachidziwikire, m'mikhalidwe yotere, wodwala matenda ashuga angaganize kuti ndiwachiwiri yemwe akuchita nawo zomwe zikuyenda bwino ndikuyesera kuti zimupweteke. Izi zimachitika makamaka ngati wokwatirana naye, kholo kapena mnzake kale anayesanso kuchita zomwezo, kenako zidapezeka kuti wodwalayo ali ndi shuga wabwinobwino.

Choyipa chachikulu chodzetsa mkwiyo wa wodwala matenda ashuga ndikuyesetsa kuponya maswiti mkamwa mwake. Ngakhale, monga lamulo, kukopa pakamwa ndikwanira izi. Ubongo, wokwiyitsidwa ndi kusowa kwa glucose, amauza mwini wake malingaliro opusitsawo kuti mnzawo, kholo kapena mnzake amamufunira zabwino ngakhalenso kumupha, kumuyesa chakudya chabwino chovulaza. Muzochitika zoterezi, woyera mtima yekha ndi amene akadakana kutsutsa ... Anthu ozungulira ife nthawi zambiri amakhumudwa ndikuwopsezedwa ndi zovuta za wodwala matenda ashuga poyesa kumuthandiza.

Mnzake kapena makolo a wodwala matenda ashuga amatha kuopa kwambiri matenda opatsirana, makamaka ngati wodwala matenda ashuga atalephera. Nthawi zambiri maswiti amasungidwa m'malo osiyanasiyana m nyumbayo kuti akhale pafupi ndipo odwala matenda ashuga amawadyera nthawi yomweyo zikafunika. Vuto ndiloti theka la milandu, anthu omwe amakhala nawo amawayikira hypoglycemia wodwala matenda a shuga, pomwe shuga yake ndiyabwino. Izi zimachitika nthawi zambiri pamilandu yabanja chifukwa chazifukwa zina. Otsutsa akuganiza kuti wodwala wodwala matenda ashuga ndiwosokonekera chifukwa ali ndi hypoglycemia tsopano. Mwanjira imeneyi amayesetsa kupewa zifukwa zenizeni, zovuta kwambiri zomwe zimachititsa kuti anthu ena azinyinyirika. Koma mu theka lachiwiri la milandu yachilendo, hypoglycemia ilipo, ndipo ngati wodwala matenda ashuga akutsimikiza kuti ali ndi shuga yokhazikika, ndiye kuti akudziika pachiswe.

Chifukwa chake, mu theka la milandu pamene anthu pafupi ayesa kudyetsa wodwala matenda a shuga ndi maswiti, akulakwitsa, chifukwa kwenikweni alibe hypoglycemia. Kudya zakudya zopatsa thanzi kumayambitsa kudumpha m'magazi, ndipo izi zimapweteketsa thanzi la munthu wodwala matenda ashuga. Koma mu theka lachiwiri la milandu pomwe hypoglycemia ilipo, ndipo munthu akakana, amapanga mavuto osafunikira kwa ena, amadziika pachiwopsezo chachikulu. Momwe mungakhalire kwa onse? Ngati wodwala yemwe ali ndi matenda ashuga amachita mosazolowereka, ndiye muyenera kumunyengerera kuti asadye maswiti, koma kuyeza shuga lake la magazi. Pambuyo pake, theka la milandu limapezeka kuti palibe hypoglycemia. Ndipo ngati zili choncho, ndiye kuti mapiritsi a shuga amapulumutsidwa, omwe tawasungitsa kale ndipo taphunzira kuwerengera bwino momwe awerengetsera. Komanso onetsetsani kuti mita ndi yolondola (momwe mungachitire izi). Zitapezeka kuti mita yanu yagona, ndiye siyani yomweyo ndikulondola.

Njira yachikhalidwe, pamene wodwala matenda ashuga akakamizidwa kudya maswiti, sizivuta ngakhale pang'ono. Njira zomwe tanena m'ndime yapitayi ziyenera kubweretsa mtendere m'mabanja ndikuwonetsetsa kuti onse akukhudzidwa. Zachidziwikire, ngati simupulumutsa pamiyeso ya glucometer ndi lancets. Kukhala ndi wodwala matenda ashuga kuli ndi mavuto ambiri monga omwe wodwala matenda ashuga ali nawo. Kuyeza shuga panu pokhapokha ngati anthu am'banja lanu kapena omwe mukugwira nawo ntchito yanu ndiudindo wa odwala matenda ashuga. Kenako ziwoneka kale ngati hypoglycemia iyenera kuyimitsidwa pakumwa mapiritsi a shuga. Ngati mwadzidzidzi mulibe glucometer pafupi kapena mizere yoyeserera yatha, ndiye idyani mapiritsi a glucose okwanira kuti akweze shuga lanu la magazi ndi 2.2 mmol / L. Izi ndizotsimikizika kuti muteteze ku hypoglycemia yayikulu.Ndipo ndi shuga wowonjezereka, mudzamvetsetsa momwe kupezeka kwa mita kumawonekera.

Zoyenera kuchita ngati wodwala matenda ashuga ali kale pafupi kutaya chikumbumtima

Ngati munthu wodwala matenda ashuga ali kale pafupi kufa, ndiye kuti uku ndikumachepetsa kwambiri. Panthawi imeneyi, wodwalayo amawoneka wotopa kwambiri, wopanda nkhawa. Samayankha pazopempha, chifukwa sangathe kuyankha mafunso. Wodwalayo akadali wamantha, koma salinso wokhoza kudzithandiza. Tsopano zonse zimatengera omwe ali pafupi nanu - kodi amadziwa momwe angathandizire ndi hypoglycemia? Komanso, ngati hypoglycemia sikulinso kosavuta, koma kwambiri.

Zikakhala zotere, ndikachedwa kuyesa shuga ndi glucometer, mungotaya nthawi yamtengo wapatali. Mukapatsa wodwala mapiritsi a shuga kapena maswiti, ndiye kuti sangayendetse. Nthawi zambiri, amatha kulavulira chakudya cholimba kapena kutsamwitsa kwambiri. Pa nthawi iyi ya hypoglycemia, ndikulondola kuthira wodwala matenda ashuga ndi yankho la glucose. Ngati sichoncho, ndiye kuti yankho la shuga. Maupangiri a matenda ashuga aku America amalimbikitsa kuti magwiritsidwe ntchito a ma glucose a gel, omwe amapaka mafuta m'mkamwa kapena m'matumbo, chifukwa kulibe chiopsezo choti wodwala wa shuga angatsetsere madzi ndi kutsamwa. M'mayiko olankhula Chirasha, tili ndi njira yothetsera shuga wa mankhwala osokoneza bongo kapena yankho lomwe limapangidwa kunyumba mwachangu.

Njira yothetsera shuga imagulitsidwa ku malo ogulitsa mankhwala, ndipo odwala omwe ali ndi matenda ashuga kwambiri amakhala nawo kunyumba. Amatulutsidwa kuti athe kuyesa mayeso okhudzana ndi glucose a maola 2 m'magulu azachipatala. Mukamamwa munthu wodwala matenda ashuga ndi shuga kapena njira ya shuga, ndikofunikira kuti muwonetsetse kuti wodwalayo sakutsamwa, koma akameza madziwo. Ngati mutha kuchita izi, ndiye kuti zizindikiro zoopsa za hypoglycemia zitha mofulumira. Pakatha mphindi 5, odwala matendawa azitha kuyankha mafunso. Pambuyo pake, amafunika kuyeza shuga ndi glucometer ndikuchepetsa kuti ikhale yofanana ndi jakisoni wa insulin.

Kusamalira mwadzidzidzi ngati wodwala matenda ashuga atha

Muyenera kudziwa kuti wodwala matenda ashuga amatha kukhala osazindikira chifukwa cha hypoglycemia yokha. Zomwe zimayambitsa zingakhalenso vuto la mtima, kugunda, kugwa kwamwadzidzidzi magazi. Nthawi zina odwala matenda ashuga samatha kudziwa ngati ali ndi shuga wambiri (22 mmol / L kapena kwambiri) masiku angapo motsatana, ndipo izi zimaphatikizidwa ndi kusowa kwamadzi. Izi zimatchedwa hyperglycemic coma, zimachitika kwa wodwala wosakwatiwa amene ali ndi matenda ashuga. Ngati mungalangize pulogalamu yanu yothana ndi matenda a shuga 1 kapena pulogalamu yachiwiri ya matenda ashuga, ndizokayikitsa kwambiri kuti shuga yanu imakwera kwambiri.

Monga lamulo, ngati muwona kuti wodwalayo wasowa chikumbumtima, palibe nthawi yoti mudziwe zifukwa zake, koma chithandizo chiyenera kuyambika nthawi yomweyo. Wodwala wodwala matenda ashuga akamwalira, ndiye kuti ayenera kupeza jakisoni wa glucagon, kenako ayenera kudziwa zifukwa zake. Glucagon ndi timadzi tomwe timadzutsa shuga m'magazi, zomwe zimapangitsa kuti chiwindi ndi minofu zisinthe m'masitolo awo a glycogen kukhala glucose ndikudzaza magazi ndi shuga. Anthu omwe amadwala matenda ashuga ayenera kudziwa:

• komwe zida zamwadzidzidzi zimasungidwa,
• momwe mungapangire jakisoni.

Chithandizo chadzidzidzi cha jakisoni wa glucagon chimagulitsidwa ku malo ogulitsa mankhwala. Umu ndi vuto lomwe syringe yokhala ndi madzi imasungidwa, komanso botolo lokhala ndi ufa oyera. Palinso malangizo omveka bwino pazithunzi momwe angapangere jakisoni. Ndikofunikira kupaka jakisoni kuchokera mu syringe kulowa kudzera pachivindikizo, kenako ndikuchotsa singano pachikuto, ndikugwedeza vial bwino kuti yankho lithe, ndikubwezeretsanso syringe. Wachikulire amafunika kubaya buku lonse la syringe, subcutaneally kapena intramuscularly. Jakisoni itha kuchitika m'malo onse omwe insulin nthawi zambiri imabayidwa.Wodwala yemwe ali ndi matenda a shuga amalandira jakisoni wa insulin, ndiye kuti am'banja akhoza kuyeseza pasadakhale, ndikumupangira jakisoni, kuti pambuyo pake athe kupirira ngati angafunike jekeseni wa glucagon.

Ngati palibe zida zadzidzidzi zomwe zili ndi glucagon pafupi, muyenera kuyimbira ambulansi kapena kuperekera wodwala yemwe ali ndi matenda osowa shuga kuchipatala. Ngati munthu wasowa chikumbumtima, ndiye kuti musayesetse kuyika kenakake kudzera pakamwa pake. Osayika mapiritsi a shuga kapena chakudya cholimba pakamwa pake, kapena yesani kuthira zakumwa zilizonse. Zonsezi zimatha kulowa mumtundu wa kupuma, ndipo munthu amadzaza. Wosazindikira, wodwala matenda ashuga sangathe kutafuna kapena kumeza, chifukwa chake simungamuthandize motere.

Wodwala wodwala matenda ashuga akamwalira chifukwa cha hypoglycemia, akhoza kukomoka. Pankhaniyi, malovu amamasulidwa kwambiri, ndipo mano akung'ung'udza ndikumeta. Mutha kuyesa kulowetsa ndodo m'm mano a wodwala wosazindikira kuti asathe kuluma lilime lake. Ndikofunika kuti mumulepheretse kuluma zala zanu. Iikeni mbali yake kuti malovu amatuluka mkamwa, ndipo osakakamira.

Glucagon imatha kuyambitsa mseru komanso kusanza mu matenda ashuga. Chifukwa chake, wodwalayo ayenera kugona mbali yake kuti masanzi asalowe m'mapazi. Wodwala shuga, wodwala matenda ashuga ayenera kuyamba kupanga mkati mwa mphindi 5. Pasanathe mphindi 20, ayenera kuyankha mafunso kale. Ngati pakadutsa mphindi 10 palibe umboni wowoneka bwino, wodwala yemwe ali ndi vuto la matenda ashuga osafunikira ayenera kuthandizidwa mwachangu. Dokotala wa ambulansi amupatsa shuga m'magazi.

Jekeseni imodzi ya glucagon imatha kuwonjezera magazi mpaka 22 mmol / L, kutengera kuchuluka kwa glycogen yomwe yasungidwa m'chiwindi. Munthu akazindikira bwino, wodwala matenda ashuga ayenera kuyeza shuga m'magazi ndi glucometer. Ngati maola 5 kapena kupitirira adadutsa kuyambira jakisoni womaliza wa insulin yothamanga, ndiye kuti muyenera kupaka insulin kuti mubwezeretse shuga. Izi ndizofunikira chifukwa iyi ndi njira yokhayo chiwindi chimayambiranso kubwezeretsa malo ake ogulitsira. Iwo adzachira pasanathe maola 24. Ngati wodwala yemwe ali ndi matenda ashuga ataya kawiri kawiri mzere kwa maola angapo, ndiye kuti jekeseni wachiwiri wa glucagon sangathandize, chifukwa chiwindi sichinabwezeretse malo ake ogulitsa glycogen.

Wodwala wodwala matenda ashuga atatsitsimutsidwa ndi jakisoni wa glucagon, tsiku lotsatira amafunika kuyeza shuga ndi glucometer maola 2,5 onse, kuphatikiza usiku. Onetsetsani kuti hypoglycemia siyikuchitikanso. Ngati shuga wa magazi atsika, nthawi yomweyo gwiritsani ntchito mapiritsi a glucose kuti achulukitse. Kuwunikira mosamala ndikofunikira kwambiri, chifukwa ngati wodwala matenda ashuga ayambiranso, ndiye kuti jekeseni wachiwiri wa glucagon sangamuthandize kudzuka. Chifukwa - tidafotokozera pamwambapa. Nthawi yomweyo, shuga wokwezeka amafunika kusinthidwa pafupipafupi. Jekeseni wachiwiri wa insulin yothamanga sangathe kutero osapitirira maola 5 mutatha.

Ngati hypoglycemia ili yoopsa kwambiri mwakuti mumalephera kudziwa bwino, muyenera kuunikanso njira yanu yothandizira anthu odwala matenda ashuga kuti mumve molakwika. Werengani werengani mndandanda wazomwe zimayambitsa hypoglycemia, zomwe zimaperekedwa pamwambapa.

Sungani ku hypoglycemia pasadakhale

Masheya a hypoglycemia ndi magome a glucose, zida zamwadzidzidzi, zomwe zili ndi shuga, komanso makamaka njira yothetsera shuga. Kugula zonsezi pamankhwala ndikosavuta, osati mtengo, ndipo kungapulumutse moyo wa wodwala matenda ashuga. Nthawi yomweyo, zinthu zothandizira pa vuto la hypoglycemia sizithandiza ngati anthu omwe akuzungulirani sadziwa komwe asungidwa, kapena sakudziwa momwe angathandizire mwadzidzidzi.

Sungani zothandizira za hypoglycemia nthawi yomweyo m'malo angapo oyenera kunyumba ndi kuntchito, ndipo lolani abale ndi abale kudziwa komwe asungidwa. Sungani mapiritsi a glucose m'moto wanu, chikwama chanu, chikwama chanu chaching'ono ndi chikwama chanu chonyamula m'manja. Mukamayenda pa ndege, sungani zofunikira pazovala zanu mu katundu wanu, komanso zongobwereza zomwe muli nazo. Izi ndizofunikira ngati katundu aliyense atayika kapena kuba kwa inu.

Sinthani zida zodzidzimutsa ndi glucagon nthawi yake ikatha. Koma mukakhala mu vuto la hypoglycemia, mutha kupanga jakisoni, ngakhale itatha. Glucagon ndi ufa pang'ono. Popeza ndi youma, imakhalabe yogwira ntchito kwa zaka zingapo pambuyo poti ithe. Inde, izi zimachitika pokhapokha ngati sizinawonekere kutentha kwambiri, monga zimachitika mchilimwe mgalimoto yotsekedwa padzuwa. Ndikofunika kusunga zida zadzidzidzi ndi glucagon mufiriji pamoto wa + 2-8 digiri Celsius. Njira yokhazikika ya glucagon itha kugwiritsidwa ntchito pokhapokha maola 24.

Ngati mugwiritsa ntchito china chake kuchokera m'matangadza anu, azibwezereni mwachangu. Sungani miyala yambiri ya glucose ndi mizere yama glucose mita. Nthawi yomweyo, mabakiteriya amakonda kwambiri shuga. Ngati simugwiritsa ntchito mapiritsi a glucose kwa miyezi 6-12, ndiye kuti atha kukumbidwa ndi mawanga akuda. Izi zikutanthauza kuti mabakiteriya akhazikitsa. Ndikofunika nthawi yomweyo kusintha magomewo ndi atsopano.

Zibongo zakuzindikiritsa odwala omwe ali ndi matenda ashuga

Zibangiri za ID, zingwe ndi ma medallions a odwala matenda ashuga ndizodziwika bwino m'maiko olankhula Chingerezi. Ndiwothandiza kwambiri ngati munthu wodwala matenda ashuga afafaniza chifukwa amapereka chidziwitso chofunikira kwa akatswiri azachipatala. Wodwala matenda a shuga a ku Russia sayenera kuyitanitsa izi kuchokera kunja. Chifukwa sizokayikitsa kuti dokotala wadzidzidzi amvetsetsa zomwe zalembedwa mu Chingerezi.

Mutha kudzipangira kukhala chibangili chazidziwitso polamula cholemba. Chingwe ndichabwinoko kuposa loko, chifukwa mwina akatswiri azachipatala amazindikira.

Hypoglycemia mu shuga: mawu omaliza

Mwina mwamvapo nkhani zambiri zowonetsa kuti odwala omwe ali ndi matenda ashuga 1, hypoglycemia imachitika ndipo imakhala yovuta kwambiri. Nkhani yabwino ndiyakuti vutoli limangokhudza anthu omwe ali ndi matenda ashuga omwe amatsata zakudya zoyenera ", kudya zakudya zambiri ndipo chifukwa chake amafunika kubaya insulini yambiri. Ngati mukutsatira pulogalamu yathu yothandizira odwala matenda ashuga amtundu wa 1, chiopsezo cha hypoglycemia chotsika kwambiri. Kuchepetsa kambiri pachiwopsezo cha hypoglycemia ndikofunikira, koma osakhala chifukwa chofunikira kwambiri chosinthira mtundu wathu 1 wodwala matenda a shuga.

Ngati mupita zakudya zamafuta ochepa, insulin yanu imatsika kwambiri. Komanso, odwala athu samamwa mapiritsi owononga a shuga omwe amayambitsa hypoglycemia. Pambuyo pa izi, hypoglycemia imatha kupezeka kamodzi mwa milandu iwiri: munadzivulaza mwangozi insulin kuposa momwe mukufunikira, kapena jekeseni wa insulin yofulumira osadikirira maola 5 mpaka mlingo watha. Khalani omasuka kufunsa am'banja mwanu ndi ogwira nawo ntchito kuti aphunzire nkhaniyi. Ngakhale chiwopsezo chimachepetsedwa, mutha kukhalabe mu vuto la hypoglycemia, pomwe simungathe kudzipulumutsa nokha, ndipo anthu okhawo omwe akuzungulirani ndi omwe angakupulumutseni kuti musataye chikumbumtima, imfa kapena kulumala.

Hemoglobin yamtundu wa 2 shuga: momwe mungakulitsire otsika?

• Imakhazikika pamisempha ya shuga kwa nthawi yayitali
• Imabwezeretsa kapangidwe ka insulin

Hemoglobin m'thupi ndi yomwe imayendetsa mpweya kuchokera m'mapapu kupita ku zimakhala. Ili mu maselo ofiira a m'magazi - maselo ofiira a m'magazi. Ndikusowa kwa zomwe zili m'magazi, kuchepa kwa magazi kumachitika.

Pozindikira, magazi amawunika maselo ofiira am'magazi, mapulateleti, maselo oyera am'magazi ndi hemoglobin.

Mtundu wa hemoglobin kwa amuna ndi 130-160 g / l, kwa akazi 120-140 g / l. Mu matenda a shuga, kuperewera kwa magazi kumayamba ngati kuperewera kwa impso ndipo kumafunikira chithandizo ndi mankhwala apadera, erythropoietin.

Zizindikiro za hemoglobin wotsika

Kuwonetsera kuchepa kwa hemoglobin mu shuga ndi ofanana ndi zizindikiro zakuchepa kwa magazi. Ndizotheka kukayikira kuti hemoglobin imatsitsidwa ndi izi:

• Chizungulire
• Khungu loyera ndi mucous nembanemba.
• Kufooka ndi kufupika kwapafupifupi popanda kuchita zolimbitsa thupi pang'ono.
• Zosangalatsa pamtima.
• Kutopa nthawi zonse.
• Kuika chidwi ndi kukumbukira.
• Kuzindikira kuzizira.
• Kuchepetsa thupi.
• Kusowa tulo
• Khungu lowuma, ming'alu m'makona amlomo.

Zomwe zimachepera hemoglobin mu shuga zingakhale zosiyana. Mu shuga yayikulu, minofu ya impso imasiya kugwira ntchito ndipo imasinthidwa ndi minofu yolumikizana yolimba.

Pankhaniyi, erythropetin, yomwe impso imatulutsa, simalowa m'mafupa. Kusasinthika kwa maselo ofiira am'magazi ndikuwapanga kwawo m'mitsempha. Mapulatifomu amatha kukhala abwinobwino.

Malinga ndi ziwerengero, mmodzi mwa anayi ali ndi vuto la kuchepa magazi. Kuphatikiza pa vuto la impso, kuchepa kwachitsulo, kuwononga maselo ofiira, kutuluka magazi kwambiri (mwachitsanzo, ndi hemorrhoids kapena nthawi yayitali), kuchepa kwa oxygen kumapangitsa kuchepa kwa hemoglobin.

Zonsezi mwa anthu athanzi zimayambitsa kupangika kwa maselo ofiira am'magazi ndi hemoglobin, koma izi sizimachitika mu shuga mellitus.

Chifukwa chake, njira ya kuchepa kwa magazi m'thupi mwa odwalayo imakhala yovuta kwambiri kuposa matenda ena.

Kodi ndimatenda ati omwe angayambitse magazi?

Kuphatikiza pa matenda ashuga okha, ma pathologies amenewa angayambitse kuchepa kwa hemoglobin:

1. Kuperewera kwa kufufuza zinthu ndi mavitamini - chitsulo, vitamini B12, folic acid kapena mapuloteni. Imachitika ndi yunifolomu zakudya, kapena ndi kuchuluka pakukula pa nthawi ya kukula, nthawi yapakati, nthawi yochita masewera olimbitsa thupi.
2. Matenda owopsa kapena osachiritsika (diphtheria, malungo ofiira, chifuwa chachikulu, chifuwa)
3. Kutuluka kwa kuvulala kapena kutupikana kwamatumbo (nthawi yayitali ndi matenda am'mimba, ma polyp a chiberekero kapena matumbo, zilonda zam'mimba, kukokoloka kwa m'mimba kapena matumbo, zotupa)
4. Matenda a oncological.
5. Matenda amkati (nephritis, zotupa za autoimmune)

Kodi chimayambitsa matenda a shuga ndi chiyani? Kuphatikiza pa kuwonekera kwa kuchepa kwa magazi m'thupi, komwe kumachepetsa moyo wa anthu odwala matenda ashuga (kufooka, pallor, chizungulire), kuchepa kwa mpweya kumabweretsa kukula kwa ziwalo zamkati. Mitundu yodziwika kwambiri ndi iyi:

• Kukula kwa kulephera kwa mtima.
• Kupita patsogolo kwa matenda a mtima.
• Kulimbikitsa kuwonetsa kuwonongeka kwa ziwiya zazing'ono za retina, impso.
• Kuwonongeka kwa dongosolo lamanjenje.

Njira yotere ya kuchepa kwa magazi imachitika chifukwa ziwalo zomwe zimakhala ndi matenda osokoneza bongo zimasowa kale chakudya, motero zimavuta kulipira kuwonjezera kwa kufera kwa mpweya m'thupi.

Kusowa koopsa kwa mpweya ndi glucose pamtima ndi ubongo.

Chifukwa chake, nthawi zambiri motsutsana ndi maziko awa, kugunda kwamtima kumayamba.

Momwe mungapezere magazi m'thupi mwa matenda ashuga

Chizindikiro chachikulu cha kuchepa kwa magazi ndi hemoglobin wochepa m'mwazi. Kuti mudziwe izi, ndikokwanira kuwunikira mosiyanasiyana. Koma posankha njira yochizira matenda a shuga, mayeso ena owonjezera amachitika. Pendani mapulateleti, milingo yazitsulo, maselo oyera amwazi, maselo ofiira amwazi.

Mapulatifomu amachepetsedwa ndi kuchepa kwa magazi m'thupi, matenda a chiwindi. Kuwonongeka kwa maselo ofiira a m'magazi ndikutupa kumawonjezera zomwe zili.

Kuti muwone kutayika kwakubisika kwa magazi, kupenda kwa chopondapo kumachitika. Kupatula zotupa ndi zotupa za m'mimba, magazi amafufuzidwa kuti akhale ndi mapuloteni othandizira.

Chithandizo cha Matenda a shuga

Zikachitika kuti kuchepa kwa magazi m'thupi la impso kumatsimikiziridwa, ndiye kuti hemoglobin imangokulitsidwa mwachangu ndi erythropoietin. Mankhwalawa amaperekedwa moyang'aniridwa ndi achipatala ndipo amawathandizira kudzera m'mitsempha kapena mozungulira. Nthawi zonse pamafunika magazi. Mankhwala, kuperewera kwachuma ndi mavitamini, motero, limodzi ndi mankhwala, zakudya zapadera zimawonetsedwa.

Zochizira kuchepa kwa magazi m'thupi ndi chitsulo chochepa kwambiri, chimagwiritsidwa ntchito limodzi ndi mavitamini kapena ngati mankhwala odziyimira pawokha. Mankhwala omwe amakonda kwambiri ndi kukonzekera zachitsulo (Ferroplex, Totem, Actiferrin, Ferrum Lek, Sorbifer durules, Ferrum Lek, Tardiferon).

Vitamini amawumba ndi chitsulo chachikulu - Vitrum, Centrum kuchokera A mpaka Zn, AlfaVit Classic, Complivit Iron.

Ndi matenda am'mimba kapena zakudya zam'mimba, vuto la vitamini B 12, lomwe limayikidwa mu hematopoiesis, limakula. Zikatero, amapatsidwa mapiritsi kapena jekeseni wa cyanocobalamin.

Kuperewera kwa folic acid ndi mapuloteni nthawi zambiri sikufunikira kukonzanso kwakukulu kwa mankhwala ndipo amangochotsa mosavuta pakudya koyenera.

Ndi zakudya ziti zomwe zimawonjezera hemoglobin?

Kuti mukhale ndi thanzi komanso kusintha momwe kagayidwe kazinthu zimafunikira, muyenera kudziwa momwe mungakulitsire hemoglobin mu shuga. Kuti muchite izi, zakudya ziyenera kuphatikizapo zinthu monga izi:

• Ng'ombe ndi chiwindi cha nkhuku.
• Nyama ndi ng'ombe.
• Turkey
• Dzira yolk.
• Amphaka, maussel.
• Leamu - nyemba, nandolo zobiriwira
• Parsley, sipinachi.
• Mbeu za Sesame, mbewu za mpendadzuwa ndi maungu.
• Walnuts.
• Blueberries
• Ma apricots ndi ma plums.
• Zipatso zouma
• Rabulosi.
• Buckwheat groats ndi tirigu tirigu.

Zakudya zonsezi zimakhala ndi chitsulo chambiri, koma zimatengedwa bwino pazinthu zanyama. Ascorbic acid kuchokera ku msuzi wa rosehip, msuzi wa apulosi kapena wakuda umapitilira kuyamwa kwake, ndipo umalepheretsa khofi, tiyi ndi mkaka.

Ma Leamu ali ndi chitsulo komanso mapuloteni ambiri, koma chifukwa cha kuyamwa bwino ndikofunikira kuwanyowetsa usiku, kenako nkumatsuka. Chifukwa chake phytic acid, yomwe imalepheretsa kuyamwa kwa chitsulo, imachoka.

Mutha kukonza chisakanizo cha zipatso zouma ndi ma walnuts, ophwanyika mu blender, mandimu. Chilichonse chiyenera kutengedwa m'magulu ofanana. Tengani supuni m'mawa pamimba yopanda kanthu, wotsukidwa ndi msuzi wa rosehip.

Zakudya kuwonjezera hemoglobin

Matenda a shuga amafunika zakudya zopatsa thanzi, komanso zakudya zopatsa mphamvu kwa odwala matenda ashuga. Mutha kukulitsa kuchuluka kwa hemoglobin pogwiritsa ntchito mndandanda wazitsanzo:

Chakudya cham'mawa: oatmeal pamadzi ndi prunes yonyowa, msuzi wa apulo.

Chakudya cham'mawa chachiwiri: mkate wa chinangwa, tchizi cha Adyghe, compc ya blackcurrant ndi xylitol.

Chakudya chamadzulo: msuzi wa mphodza ndi karoti, chiwindi cha nkhuku, letesi, msuzi wa phwetekere.

Chakudya chamadzulo: soseji yophika squid ndi amadyera, phala la buckwheat, msuzi wa rosehip.

Zithandizo za Folk zowonjezera hemoglobin Phytotherapists ndi ochiritsa achikhalidwe amadziwa momwe angaukitsire hemoglobin mwanjira zachilengedwe:

1. Tengani supuni ya tiyi yam'mawa.
2. Konzani kulowetsedwa kwa nettle ndi yarrow. Tengani supuni ya tiyi iliyonse ndikuthira madzi otentha. Kuumirira mphindi 25 ndi kumwa gawo limodzi mwa magawo atatu agalasi.
3. M'malo momwa tiyi, bulutsani pepala la msondodzi.
4. Imwani madzi a mbatata yaiwisi mu theka lagalasi musanadye. Zokonzedwa zatsopano zomwe zimagwiritsidwa ntchito.
5. Kulowetsedwa kwa dambo clover. Mitu khumi yamaluwa pa 200 ml ya madzi otentha. Kuumirira ola. Imwani 30 ml 4 pa tsiku.
6. Sakanizani m'malo ofanana ananyamuka m'chiuno ndi phulusa laphiri. Thirani supuni ya osakaniza wosweka ndi madzi otentha (250 ml) mu thermos usiku umodzi. Imwani kapu imodzi ya theka musanadye m'mawa.
7. Idyani theka makangaza tsiku lililonse.
8. Patulani tirigu, pukutani ndi kutenga supuni kapena kuwonjezera pa phala.

Kupewa kuchepa kwa magazi m'thupi

Ndikotheka kupewa matenda oopsa ngati kuchepa kwa magazi ngati mukupimidwa pafupipafupi, kuwongolera kadyedwe kanu ndikumwa mankhwala, onetsetsani kuti mukuyenda mumlengalenga wopitilira theka la ola, kuchita masewera olimbitsa thupi, kusambira, ndi yoga.

Kusiya kusuta fodya komanso kumwa mowa kumathandizira kuti muchepetse kuwonongeka kwa chiwindi ndi mitsempha yamagazi, zomwe zikutanthauza kuti kupewa zovuta za matenda ashuga. Kuchepetsa thupi kumathandizanso kagayidwe ka mafuta ndikuthandizira njira ya matenda ashuga.

Kodi glycated hemoglobin ndi chiyani? Pali chizindikiro cha hemoglobin mu matenda a shuga a mellitus, omwe mlingo wake ndiwopanda pake. Ili ndiye mulingo wa hemoglobin wa glycated (glucose-bind).

Maselo ofiira amakhala ndi moyo kwa miyezi itatu, kotero kuwunika kwake kudzawonetsa shuga wapakati pamasiku 120. Zenizeni ndi 4-6%. Chilichonse choposa 6.5% ndi matenda ashuga, kuyambira 6 mpaka 6,5% prediabetes, m'munsimu 4% ndi hypoglycemia (shuga wotsika). Mitengo yotsika imatha kukhala ndi bongo wa insulin kapena mankhwala a hypoglycemic omwe ali mu mtundu 2 wa matenda ashuga.

Chifukwa chiani kuyeza hemoglobin wa glycated? Kuyeza kwa shuga wamagazi kumawonetsa mkhalidwe wa kagayidwe kazakudya panthawi ya muyeso. Mtundu wachiwiri wa matenda ashuga, miyezo nthawi zambiri imatengedwa pamwezi.

Ndipo kuti mudziwe momwe zakudya ndi zakudya zimasankhidwira, muyenera kudziwa kuchuluka kwa tsiku lililonse.

Chifukwa chake, kuphunzira kwa hemoglobin ya glycated kumawonetsa njira ya matenda ashuga komanso mulingo wolipirira shuga wowonjezera. Muyenera kuti mufufuze kaye kamodzi miyezi itatu iliyonse. Izi sizilowa m'malo mwa tanthauzo la shuga wamagazi, omwe amayenera kuchitika tsiku ndi tsiku.

Kuti muchepetse hemoglobin yokhala ndi glycated, muyenera kumayesedwa pafupipafupi, imwani mankhwalawa ndikudya moyenera. Moyo wakhama ndimomwe umatsitsa mapuloteni awa. Elena Malysheva apitiliza zokambirana za vuto la hemoglobin lomwe lili mu vidiyoyi.

Zojambula ndi Ubwino

Kwa odwala matenda ashuga, iyi ndi njira yabwino yowunikira momwe muliri, kuwongolera msanga wanu msanga, ndikusintha momwe mumafunira.

Glycated hemoglobin (HG) imawerengedwa ngati mayeso abwino kwa madokotala iwowo komanso odwala awo. Potengera mawonekedwe ndi kuthekera kwake, imadutsa njira zofufuzira zofananira, ndiye kuti, kuyesa kulolerana komanso pamimba yopanda kanthu. Mapindu ake ndi awa:

• Kutumiza kwa GG sikutanthauza kuti mukhale ndi njala, chifukwa chake, zitsanzo zitha kutengedwa nthawi iliyonse osati pamimba yopanda kanthu,
• GG imatenga nthawi yocheperako ndipo imakhala yosavuta poyerekeza ndi mayeso ololera a maola awiri,
• Zotsatira zake ndizolondola, ndizotheka kudziwa matenda ashuga koyambirira,
• imapereka yankho lenileni lokhudza kupezeka kapena kusapezeka kwa matenda ashuga,
• ndi matenda a shuga a mtundu woyamba 1 kapena 2, mutha kudziwa kuchuluka kwa momwe munthu amalamulirira shuga, komanso ngati pakhala kusintha kwakukulu m'miyezi itatu yapitayo,
• zinthu zakunja ndi zamkati sizimakhudza zotsatira.

Chifukwa chake, ngati mukukayikira kuti muli ndi shuga wambiri kapena kutsika komwe kungachitike ngati simukuyenera kuyesedwa, koma simunayesedwe matenda a shuga, mukamayesa magazi pafupipafupi, tikulimbikitsanso kutenga GG.

Kafukufuku wamtunduwu wa hemoglobin amagwiritsidwa ntchito pofufuza mitundu iwiri ya matenda ashuga ndikuwunika chithandizo chomwe chikuchitika kuti atsimikizire kuti ali ndi matendawa.

Mitundu ina ya mayeso imayendetsedwa ndi zinthu zosiyanasiyana zomwe zingasokoneze zotsatira zomaliza, kutsitsa ziwerengero ndikuwonetsa otsika kwambiri, ngakhale kwenikweni shuga ikuwonjezeka. Pankhani ya hemoglobin ya glycated, izi sizimachitika konse. Zinthu izi sizikhudza zotsatira zake:

• kusanthula nthawi (zitsanzo zingatengedwe nthawi ina iliyonse masana),
• zomwe zidasamutsidwa kale,
• kumwa mankhwala (kupatula mapiritsi omwe amagwiritsidwa ntchito pochiza matenda ashuga),
• musanadye kapena mutatha kudya, mudasanthula,
• chimfine, matenda osiyanasiyana opatsirana,
• psycho-m'maganizo a munthu panthawi yoperekera zitsanzo.

Koma nthawi zonse pamakhala china chotsutsa ngakhale njira zothandiza kwambiri za matenda. Chifukwa chake, mwachilungamo, timaganizira zolakwa zingapo zomwe zimapangidwa ndi glycated hemoglobin monga chida chowerengera kuchuluka kwa shuga m'magazi.

Zoyipa za mayesowa ndi monga:

• Kusanthula mtengo ndikokwera mtengo kuposa njira zina zowerengera,
• mwa anthu ena, kuphatikiza pakati pa magawo a GH ndi kuchuluka kwa glucose kungachepe
• akukhulupirira kuti mukatenga kuchuluka kwa vitamini C kapena E, zizindikiro zimatsitsidwa mwachinyengo (koma izi sizinatsimikizidwe),
• ndi kuchepa kwa magazi m'thupi komanso matenda ena, kuwunika kukuwonetsa zotsatira zosokoneza pang'ono,
• kuchuluka kwa mahomoni a chithokomiro m'thupi akamachepa, kuchuluka kwa GH kumakulirakulira, ngakhale shuga yemweyo mulibe kuchuluka m'magazi,
• M'madera ena, kuthekera kochita ndi magazi amtunduwu ndi kotheka.

Ngati munthu wasonyeza zotsatira zabwinobwino, izi sizitanthauza kuti tsopano amatha kupumuliratu ndikuiwala zakufunika kolamulira thanzi lake. Matenda a shuga amakula pang'onopang'ono, mothandizidwa ndi zinthu zingapo zoyambitsa, zakudya komanso moyo.

Pali nthawi zina pamene, pamaso pa matenda a shuga wodwala, hemoglobin imachuluka ngati zotsatira zimachepetsedwa kapena kuchepetsedwa. Amakhulupirira kuti ndi matenda oterewa, chithandizo chimangoyambira kutsitsa hemoglobin. Mwakuchita izi, anthu ena omwe ali ndi matenda ashuga ayenera kukweza mitengo. Izi zimachitika chifukwa cha kupezeka kwa matenda ofanana ndi anemia, omwe amapezeka limodzi ndi matenda a shuga.

Izi matenda amachititsa kuti hemoglobin achepetse kwambiri. Ndipo apa pali kufunika kumvetsetsa momwe mungamakulitsire hemoglobin mu shuga. Ndikulimbikitsidwa kuchita izi pokhapokha ngati mukumana ndi adokotala.

Choyamba, onani ngati hemoglobin yanu yachepetsedwa kapena kukwezedwa. Izi zimakupatsani mwayi wofufuzira komanso kukulitsa njira zina zowonjezera zochita zanu. Choyamba, timaphunzira za zisonyezo zomwe zimadziwika kuti ndizabwino kwa munthu.

Zizindikiro zofananira

Pakuwona momwe gawo la hemoglobin lomwe limakhazikika, munthu amathetsa mavuto awiri ofunika.

1. Dziwani kupezeka kwa shuga. Kumva osasangalala sikumakhudzidwa nthawi zonse ndi kutopa kantchito kapena zotsatira za maphunziro akhama, monga ambiri achibale athu amakhulupirira. Zizindikiro zina zimawonetsa kusintha koyipa ndi machitidwe mkati mwa thupi. Ena mwa iwo akuwonetsa mwayi wokhala ndi matenda ashuga. Kupenda kwa GH kumakupatsani mwayi wotsimikizira zokayikira kapena kudzitsimikizira nokha kuti palibe zizindikiro za matenda ashuga. Kuphatikiza apo, kuyesaku kukuwonetsa kukwera kwakukulu kwa matenda.
2. Yang'anirani njira yamatendawa. Ngati matenda a shuga adapezeka kale, kuwunika kwa GG kumathandizira kudziwa momwe wodwalayo amayang'aniridwa molondola komanso molondola. Ngati pali zopatuka, mutha kusintha ma hemoglobin ndi zizindikiro za shuga posintha njira yazakudya, moyo kapena kuyambiranso mankhwala.

Pali mfundo zina zomwe ndizothandiza kwa azaka zilizonse. Malinga ndi iwo, munthu amawongoleredwa, kuchita prophylaxis, kusintha moyo kapena kumwa mankhwala osiyanasiyana.

1. Chizindikiro pansipa 5.7% chikuwonetsa kuti zonse zili bwino ndi kuwunika, mkhalidwe wa wodwalayo ndi wabwinobwino, ndipo pali chiwopsezo chochepa chokhacho chodwala matenda ashuga.
2. Ndi mitengo yochokera ku 5.7 mpaka 6%, matenda a shuga kulibe, koma chiwopsezo chake chikuwonjezeka. Apa muyenera kusinthira ku zakudya zoyenera ndi chakudya chochepa cha carb. Izi zimachitika kupewa matenda.
3. Maparamende osanthula kuchokera pa 6.1 mpaka 6.4% amawonetsa chiopsezo chachikulu kwambiri chokhala ndi matenda osokoneza bongo kwa wodwala.Ndikofunika kuti musinthe ndikukhala ndi moyo wathanzi, muzidya zakudya zochepa zamafuta ndikutsatira malangizo ena a dokotala.
4. Ngati chizindikirocho chikufanana kapena kupitirira 6.5%, ndiye kuti matenda a shuga amatsimikizika kwa wodwala. Kuunikira kowonjezereka kumafunikira kuti mumvetse bwino momwe zinthu zilili.

Ngati glycated hemoglobin ndi yotsika, izi zikuwonetsa kubwezera kwabwino m'miyezi ingapo yapitayo. Koma zotsatira zotsika kwambiri zitha kuwonetsa kukula kwa ma pathologies owopsa, monga kuchepa magazi. Chifukwa chake, ndikofunikira kufotokoza bwino za matendawa ndipo ngati kuli koyenera, chitani kanthu kuti mukulitse hemoglobin.

Kodi matenda ashuga ndi chiani?

Kodi hemoglobin ya glycated imawonetsa chiyani? Kusanthula kumeneku kumapangitsa kuchuluka kwa hemoglobin mwa munthu wolumikizidwa ndi glucose. Kuchuluka kwa glucose m'magazi, ndizomwe zimakwera kwambiri. Kafukufukuyu akukhudzana ndi zida zoyambira matenda ndipo ndioyenera kupenda ana. Hemoglobin yathunthu imatsimikiziridwa pakamayesedwe magazi.

Ndi chithandizo chokwanira komanso kuchuluka kwa nthawi yayitali m'magazi a shuga, matenda a shuga amachititsa kuti ziwalo zonse zamkati ziwonongeke. Mitsempha yaying'ono yamagazi ya arterioles ndi capillaries, yomwe imadyetsa ziwalo zathu zonse ndi minyewa ndi magazi, ndiyo yoyamba kudwala matenda ashuga.

Odwala omwe ali ndi matenda ashuga (pomwe akukhalabe ndi kuchuluka kwa glucose m'magazi kwa nthawi yayitali), makoma a arterioles amakhala ndi mafuta ndi ma carbohydrate zovuta, zomwe zimapangitsa kufa kwa cell m'makoma a ziwiya izi ndi kukula kwa minyewa yolumikizika mwa iwo.

Ma arterioles omwe akhudzidwa atseka, ndipo chiwalo chomwe chimadyetsa chimayamba kuperewera ndi mpweya ndi michere. Kuwonongeka kwa impso mu matenda ashuga (matenda ashuga nephropathy) amakula ndendende ndi njira imeneyi.

Kuwonongeka kwakukulu kwa ziwiya za impso pamaso pa shuga kumayambitsa kufa kwa minofu yogwira impso ndikusinthidwa ndi minofu yolumikizika. Pomwe nephropathy imayamba, impso zimalephera polephera kusefa magazi ndikupanga mkodzo - umayamba kukula.

Glycated hemoglobin ndi hemoglobin wa chinthu chapadera chomwe chimapezeka m'magazi a munthu wathanzi. Glycated hemoglobin: chizolowezi cha anthu odwala matenda ashuga ayenera kuyang'aniridwa ndi dokotala.

Cholinga cha mankhwala a shuga ndikubwezeretsa kuchuluka kwa shuga m'magazi nthawi yayitali. Mu 1993, gawo latsopano lazachipatala lofufuza matendawa lidayamba. Nthawi yomweyo, zidakhazikitsidwa kuti chiopsezo chowonekera komanso kupitilira kwa zovuta pambuyo pa matenda a shuga a mellitus amafanana ndi kugwiriridwa kwa glycated hemoglobin.

Glycated hemoglobin mu shuga iyenera kuyesedwa mosalephera, popeza imakhala ndi gawo lofunikira kwambiri mu chithandizo, ndipo kuyesa wamba pakupeza shuga kumakhala kosakwanira kuti athe kudziwa momwe matendawo amalipiridwira ndi thupi.

Izi ndizofunikira! M'mbuyomu, ngakhale odwala omwe amawunikira kuchuluka kwa shuga m'magazi awo ndi zizindikiro zawo amakhalanso ndi vuto, zovuta za matendawa zimayamba. Pankhaniyi, monga njira yayikulu yodziwira ndi kuwunika momwe odwala alili, muyeso wa ma glycated hemoglobin wayamba kugwiritsidwa ntchito.

Mlingo wa kulumikizana kwa hemoglobin ndi glucose umachuluka ndi glycemia yayikulu, ndiye kuti, ndim shuga ambiri. Kutalika kwa moyo wa maselo ofiira ndi masiku 90 - 120, ndiye munthawi imeneyi mutha kuwona kuchuluka kwa glycation. Kupenda kumeneku kumakupatsani mwayi wokhazikika wopanga glucose wa tsiku ndi tsiku m'magazi kwa miyezi itatu yapitayo.

Pambuyo pa miyezi itatu, maselo ofiira a m'magazi amapita m'malo mwatsopano ndi ena atsopano omwe amadziwika kuti glycemia m'miyezi itatu yotsatira.

Kukhazikitsa mayeso a hemoglobin wa glycated mu shuga adzafunika kwa odwala omwe ali ndi mtundu woyamba komanso wachiwiri wa matenda. Kusanthula kwa ma labotale kumapangitsa kuti chiwonjezeke chokwanira chikhale chotsatira komanso kukhazikitsa mlingo wa mankhwala - insulin, ndi zina zambiri.

Zomwe zili mu glycemic hemoglobin m'magazi ndizofanana kwa amuna ndi akazi.

Amachokera ku zinayi ndi theka kupita ku zisanu ndi chimodzi za zinthu zonse zomwe zimatengedwa kuti zifufuzidwe. Ngati mulingo wa glycemic hemoglobin wapezeka pakuwunikira udapitilira zomwe akutchulazi, ndiye kuti wodwalayo ali pachiwopsezo chachikulu chokhala ndi matenda ashuga.

Kuti muchepetse kutenga matendawa, zowonjezera ziyenera kuchitika pofuna kuthandiza kudziwa zomwe zimayambitsa vuto la wodwalayo.

Monga mukudziwa, matenda a shuga ndi amitundu iwiri. Matenda a shuga a mtundu woyamba amatchedwa "matenda a achichepere", monga momwe amadziwonekera nthawi zambiri mwa anthu omwe sanadutsepo zaka makumi atatu.

Chifukwa cha glycated hemoglobin amachepetsa: zofala zoyambira

Chifukwa chachikulu chomwe chitukuko cha zovuta zilizonse zimakhalira ndi shuga.

Mu odwala matenda ashuga, glycated hemoglobin nthawi zambiri imakwezedwa. Kuperewera kwa mankhwala a insulin, kusatetezeka kwa maselo m'thupi kumapangitsa kupezeka kwa shuga mu seramu, zomwe Mayer amachita ndi mapangidwe a HbA1C.

Koma pali zochitika zina pomwe kusanthula kumawonetsa kuchepa kwa gawo ili.

Nthawi zambiri, izi zimachitika chifukwa chamankhwala osankhidwa molakwika, osagwirizana ndi malangizo a dokotala. Zomwe zimayambitsa HbA1C yotsika kwa anthu omwe ali ndi ma pathologies a mitundu yoyamba ndi yachiwiri ndi yosiyana.

Mtundu woyamba wa matenda ashuga amaonedwa ngati wodalira insulini. Ndi matenda awa, munthu amakakamizika kubaya jakisi tsiku ndi tsiku, zomwe kapamba samatulutsa.

Mtundu wachiwiri wa shuga ndi mtundu wodziyimira pawokha wa insulin. Pankhaniyi, kapamba amatulutsa mahomoni, koma osakwanira. Munthu ayenera kutsatira kwambiri zakudya kapena kumwa mankhwala ochepetsa shuga.

Kuwonongeka kochepa kwa HbA1C kumawonedwa ndi:

• mankhwala osokoneza bongo omwe amachepetsa glucose wa plasma,
• insulinoma (zotupa za kapamba),
• kuperewera kwa zakudya m'thupi (kudya zakudya zochepa zopatsa mphamvu),
• kulephera kwa aimpso.

Mitundu ya hemoglobin

Endocrinologists ndi akatswiri ena amagawa gawo la glycated hemoglobin m'mitundu itatu:

Mwa izi, hba1c yokha imawonetsa kuti ndizotheka kudziwa za kuopsa kwa matendawa. Ngati palibe matenda, ndiye kuti chizindikiritsochi m'magazi chili chochepa kwambiri. Mu odwala matenda ashuga, zotsatira zoyesa kwambiri zimawululidwa.

Dziwani kuchuluka kwa ma protein omwe glycosylation amatha kukhala katswiri.

• Mlingo uwu mwachindunji umatengera kuchuluka kwa shuga omwe amapezeka pakuzindikira.
• Mitengo ya kusintha kwa mapuloteni imatsimikizidwanso.
• Nthawi zomwe kuwonjezeredwa kwa sucrose ndi mapuloteni kumachitika, endocrinologist amati kuphwanya kukhazikitsa ntchito zotsatirazi.
• Chifukwa chake, titha kulankhula pakadali pano zovuta zina.

Kuyesedwa kwa hemoglobin ya glycated: zomwe zimachitika mwa amuna ndi akazi omwe ali ndi matenda ashuga

Nyuzipepala yaku Britain yofalitsa zotsatira za kuyesera komwe kumayenera kukhazikitsa kudalirika kwa hemoglobin ya glycosylated ndi chiopsezo cha kufa pakati pa amuna. HbA1C idayendetsedwa mu odzipereka a mibadwo yosiyana: kuchokera pa zaka 45 mpaka 79. Kwenikweni, anali anthu athanzi (opanda matenda ashuga).

Mwa amuna omwe amawerengera glucose mpaka 5% (pafupifupi), kuphedwa kwamunthu kunali kochepa kwambiri (makamaka kuchokera ku kugunda kwa mtima ndi stroko).

Kuchulukitsa chizindikirochi ndi 1% chokha komwe kumawonjezera mwayi waimfa ndi 28%! Malinga ndi zotsatira za lipotilo, mtengo wa HbA1C wa 7% umawonjezera chiopsezo cha kufa ndi 63% (mukayerekeza ndi chizolowezi), ndipo 7% ya anthu odwala matenda ashuga nthawi zonse amawonedwa ngati zotsatira zabwino!

Kuyesedwa kwa hemoglobin ya glycated ndi kafukufuku wofunikira, mtundu wa zilembo zam'magazi zomwe zimakupatsani mwayi wofufuza bwino matenda ashuga. Zimathandizira kuyendetsa bwino ntchito ya chithandizo chake.

Ntchito yayikulu ya hemoglobin ndikupereka mpweya m'maselo. Puloteni iyi imagwirizana ndi mamolekyulu a shuga.

Ndizomwe zimatchedwa glycosylated hemoglobin.

Kuwunikira Mimba

Glycated hemoglobin pa nthawi yomwe ali ndi pakati ndi imodzi mwazomwe angathe kuyesa magazi a shuga. Komabe, uku ndikusankha koyipa. Pa nthawi yomwe muli ndi pakati, ndibwino kuti musapereke hemoglobin wa glycated, koma kuyang'ana shuga wamagazi ake m'njira zina. Tiyeni tifotokozere chifukwa chake zili choncho, ndikuyankhula pazina zolondola.

Kodi chiwopsezo chochuluka cha shuga mu amayi apakati ndi chiyani? Choyamba, chakuti mwana wosabadwayo amakula kwambiri, ndipo chifukwa cha izi padzakhala kubadwa kovuta. Kuopsa kwa mayi ndi mwana kumachuluka.

Osanenapo zoyipa zazitali za onsewo. Kuchulukitsa kwa magazi panthawi yomwe ali ndi pakati kumawononga mitsempha yamagazi, impso, mawonekedwe amaso, ndi zina zambiri. Zotsatira za izi ziwonekera pambuyo pake.

Kukhala ndi mwana ndi theka nkhondo. Ndikofunikira kuti akadali ndi thanzi lokwanira kuti akulitse ....

Ngakhale zili ndi zabwino zonse, ndibwino kuti musayese mayeso a hemoglobin wa glycated mwa amayi nthawi yapakati. Kuchuluka kwa shuga m'magazi ndi kofunikira kuphunzira kwa amayi oyembekezera, koma madokotala amalimbikitsa kuti adziwe njira zina pobweretsa mwana.

Choyamba, ziyenera kunenedwa za kuopsa kwa shuga wambiri kwa mayi woyembekezera komanso mwana wake. Kukula kwa shuga m'magazi, mwana wosabadwayo amayamba kukula mwachangu, zomwe zimabweretsa zovuta pakubala, chifukwa kubereka mwana woleza oposa 4 kg nkovuta.

Kuphatikiza apo, kuchuluka kwa shuga kumakhudza thanzi la mayi wachichepere, pamene mwana akuvutika. Zombo zimawonongeka, matenda a impso amakula, masomphenya amachepetsedwa, etc.

Zoterezi zimatha kubadwa mwana, kenako amayi sangathe kulera bwino mwana wawo.

Komabe, kuwongolera shuga m'magazi amayi apakati sikophweka. Chowonadi ndi chakuti nthawi zambiri mwa akazi omwe ali ndi udindo, shuga amadzuka pambuyo chakudya. Mu maola 3-4 omwe amakwezedwa, shuga amawononga thanzi la mayi woyembekezera. Pachifukwa ichi, kupeleka magazi kwa shuga m'njira yanthawi zonse pamimba yopanda kanthu kwa amayi apakati ndikosathandiza. Kuwerenga uku sikuwonetsa chithunzi chenicheni cha momwe mayi aliri.

Kuyesa kwa hemoglobin ya glycosylated sikulinso koyenera kwa amayi apakati. Chifukwa chiyani? Kungoti amayi apakati nthawi zambiri amakumana ndi vuto la kuchuluka kwa glucose m'magazi osati kale kuposa mwezi wa 6 wa bere. Potere, kuwunikaku kukuwonetsa kuwonjezeka pokhapokha miyezi iwiri, ndiye kuti, kuyandikira kwambiri kubadwa kwa mwana. Pakadali pano, njira zochepetsera shuga sizibweretsanso zotsatira zomwe mukufuna.

Njira yokhayo yapakati pa nthawi yoyembekezera ndikuwongolera shuga mutatha kudya kunyumba. Kuti muchite izi, muyenera kugula katswiri wophatikizira mankhwala osokoneza bongo ndikuyesa mphindi 30, 60 ndi 120 mutatha kudya.

Zomwe zimachitika mwa akazi pamenepa sizipita 7.9 mmol / l. Ngati chizindikiro chanu chiri pamwamba pa chizindikiro ichi, muyenera kufunsa dokotala.

Kuti mupeze chithunzi chonse, kuyesaku kuyenera kuchitika pambuyo pa chakudya chilichonse, lembani zizindikirozo pabokosi losiyanako.

Pa nthawi ya pakati, hemoglobin wa glycated nthawi zambiri imakwezedwa, ndipo shuga inkakhala yopanda malire. Ngakhale ali ndi thanzi labwino, matendawa ali ndi mavuto akulu azaumoyo kwa mayi ndi mwana wake wosabadwa. Mwachitsanzo, izi zimawonetsedwa poti ana amabadwa ndi kulemera kwakukulu kwa thupi - pafupifupi 5 kilogalamu.Zotsatira zake zidzakhala kubadwa kovuta, komwe kumakhala ndi zotsatirapo zake:

1. kuvulala kubala
2. chiopsezo chowonjezereka ku thanzi la azimayi.

Mukamawunikira hemoglobin ya glycated, chizolowezi kwa amayi apakati chimatha kupitilira, koma phunziroli palokha silingatchulidwe mwatsatanetsatane. Zodabwitsazi zimachitika chifukwa choti magazi a mwana nthawi yobala mwana amatha kuchuluka kwambiri atatha kudya, koma m'mawa umasiyana pang'ono ndi chizolowezi.

Mu kanema mu nkhaniyi, Elena Malysha apitiliza kuwulula mutu wa hemoglobin wa glycated.

diabetik.guru

Glycated hemoglobin (A1c) ndi gawo linalake la erythrocyte hemoglobin wokhala ndi glucose, ndende yomwe imawonetsa kuchuluka kwa shuga kwazaka pafupifupi miyezi itatu.

Glycohemoglobin, hemoglobin A1c, HbA1c, hemoglobin wa glycosylated.

Glycated hemoglobin, hemoglobin A1c, HbA1c, glycohemoglobin, glycosylated hemoglobin.

> Njira Zofufuzira

Kukakamizidwa kwakukulu kwa cation kusinthana ndi chromatography.

> Ndi zida ziti zomwe zingagwiritsidwe ntchito kafukufuku?

> Momwe mungakonzekerere phunziroli?

1. Osamadya kwa maola 2-3 musanapereke magazi, mutha kumamwa madzi oyera.
2. Chotsani kupsinjika kwakuthupi ndi kwamalingaliro ndipo musasute kwa mphindi 30 phunzirolo lisanachitike.

> Zambiri zofufuza

Kuyesedwa kwa glycated hemoglobin (A1c) kumathandizira kuyeza kuchuluka kwa shuga m'miyezi itatu yapitayo.

Hemoglobin ndi puloteni yomwe imanyamula oxygen m'maselo ofiira a m'magazi (maselo ofiira amwazi) Pali mitundu ingapo ya hemoglobin yabwinoko, kuphatikiza apo, mitundu yambiri yachilendo yazindikiritsidwa, ngakhale mawonekedwe oyamba ndi hemoglobin A, omwe amapanga 95-98% ya hemoglobin yonse.

Hemoglobin A imagawidwa m'magawo angapo, imodzi ndi A1c. Gawo la glucose woyenda m'magazi limamangika ku hemoglobin, ndikupanga hemoglobin yotchedwa glycated hemoglobin.

Mukamakwera shuga m'magazi, hemoglobin yambiri imapangidwa. Akaphatikizidwa ndi hemoglobin, glucose amakhalabe "mogwirizana" mpaka kumapeto kwenikweni kwa moyo wa maselo ofiira, amenewo ndi masiku 120.

Kuphatikiza kwa shuga ndi hemoglobin A kumatchedwa HbA1c kapena A1c. Glycated hemoglobin imapangika m'magazi ndikuwonekeranso tsiku ndi tsiku, maselo ofiira akale akamwalira, ndipo achinyamata (omwe sanakhalepo glycated) amatenga malo awo.

Kuyesa kwa hemoglobin A1c kumagwiritsidwa ntchito kuwunika momwe odwala apezeka ndi matenda a shuga. Zimathandizira kuwunika momwe glucose amayendetsedwera moyenera pakumwa.

Chiyeso cha hemoglobin A1c chimalembedwa kuti odwala ena azindikire matenda ashuga komanso mkhalidwe wa matenda ashuga kuphatikiza kuyesedwa kopanda shuga m'mimba ndi mayeso ololera a glucose.

Chowonetsera chomwe chimayesedwa peresenti. Odwala omwe ali ndi matenda ashuga ayenera kuyesetsa kuti asakhale ndi gawo lokwanira 7%.

A1c iyenera kuwonetsedwa mu imodzi mwanjira zitatu:

• monga kuchuluka kwa hemoglobin yonse,
• mu mmol / mol, malinga ndi International Federation of Clinical Chemistry and Laboratory Medicine,
• monga momwe shuga wamkulu amakhala ndi mg / dl kapena mmol / l.

> Phunziro limagwiritsa ntchito chiyani?

• Kuwongolera glucose kwa odwala omwe ali ndi matenda a shuga - kwa iwo, kukhala ndi magazi ake pafupipafupi monga momwe kungathekere ndikofunika kwambiri. Izi zimathandiza kuchepetsa zovuta mu impso, maso, mtima ndi mantha.
• Kuti mudziwe shuga wambiri m'magazi a wodwalayo miyezi ingapo yapitayo.
• Kuti mutsimikizire kulondola kwa njira zomwe zimatengedwa pochiza matenda ashuga ndikuwona ngati akufunika kusintha.
• Kuti mudziwe mwa odwala omwe ali ndi matenda osokoneza bongo omwe amapezeka mosavuta m'magazi a magazi.Kuphatikiza apo, mayesowo amatha kukhazikitsidwa kangapo mpaka kuchuluka kwa glucose komwe mukufuna, ndiye kuti kumafunikira kubwerezedwa kangapo pachaka kuwonetsetsa kuti mulingo woyenera umasamalidwa.
• Monga njira yoteteza, kuzindikira matenda ashuga kumayambiriro.

Kutengera mtundu wa shuga komanso momwe matendawa angachiritsidwire, kuyezetsa kwa A1c kumachitika kawiri mpaka 4 pachaka. Pafupifupi, odwala matenda a shuga amalangizidwa kuti ayesedwe A1c kawiri pachaka. Ngati wodwala wapezeka ndi matenda ashuga koyamba kapena muyeso wowongolera sunaphule, kuwunikiranso kumathandizidwanso.

Kuphatikiza apo, kusanthula kumeneku kumayikidwa ngati wodwala akuwakayikira kuti ali ndi matenda ashuga, chifukwa pali zovuta zamagazi am'magazi:

• ludzu lalikulu
• kukodza kwambiri pafupipafupi,
• kutopa,
• kuwonongeka kwamawonekedwe
• kuchuluka kwa matenda.

Mfundo zofunikira: 4.8 - 5.9%.

Kuyandikira kwambiri kwa A1c ndi 7% mwa odwala omwe ali ndi matenda ashuga, ndizosavuta kuwongolera matendawa. Chifukwa chake, pakuwonjezeka kwa kuchuluka kwa hemoglobin ya glycated, chiopsezo cha zovuta zimakulanso.

Zotsatira zakuwunika pa A1c zikutanthauziridwa motere.

Glycated hemoglobin

Wodwala alibe matenda ashuga

Wodwala matenda a shuga

Matenda a shuga (kuleza mtima kwa shuga wophatikizana ndi chiwopsezo chowonjezereka cha matenda a shuga)

> Zingakhudze chiyani?

Odwala omwe ali ndi mitundu yachilendo ya hemoglobin, mwachitsanzo, odwala omwe ali ndi maselo ofiira amitsempha, gawo la hemoglobin silidzayesedwa. Kuphatikiza apo, ngati munthu ali ndi vuto la kuchepa magazi, kuchepa magazi, kuchepa magazi kwambiri, ndiye kuti zotsatira zake zimawunikanso.

Osatengera izi, mfundo za A1c zimachulukidwa chifukwa chosowa chitsulo komanso kuthiridwa magazi kwaposachedwa (popeza magazi amadzimadzi amakhala ndi kuchuluka kwa shuga).

> Zolemba zofunika

Kuyesedwa kwa A1c sikuwonetsa kusintha kwamwadzidzidzi m'magazi a magazi. Kusintha kwa shuga kwa odwala omwe ali ndi matenda ashuga nawonso sikungawonekere poyesedwa.

• Madzi a m'magazi a Plasma
• Mayeso a kulolera a glucose
• Fructosamine

Zizindikiro zake

Hemoglobin yayikulu imapereka chakudya chokwanira komanso mpweya wabwino ku cell iliyonse mthupi. Hemoglobin wochepa amawonetsa kupezeka kwa matenda omwe amakhudza machitidwe a hematopoiesis. Kuphatikiza apo, chifukwa cha hemoglobin wochepa, wodwala matenda ashuga amakhala ndi zotsatirazi:

• kutopa kwambiri, kufooka,
• Hypothermia wa mikono ndi miyendo,
• mutu, chizungulire,
• kupuma movutikira
• kusadya bwino
• kusowa pogonana
• kuchepa kwa malingaliro.

Glycated hemoglobin pakuwona matenda a shuga

Matenda a anemia ndi matenda ovuta, ndipo kuti aphunzire ndi kudziwa chomwe chimayambitsa, odwala matenda ashuga ayenera kukayezetsa. Hogulobini wochepetsedwa amatsimikiza pogwiritsa ntchito kuyezetsa magazi konse, koma zifukwa zomwe zimatsitsidwa ndizosiyana. Nthawi zambiri, shuga wambiri amakhumudwitsa matenda a impso, zomwe zimayambitsa magazi m'thupi. Chifukwa chake, monga gawo lazodziwikiratu, maphunziro otsatirawa angafunike:

• Mulingo wa Hba1C. Glycosylated hemoglobin akuwonetsa kukhalapo, kuopsa kwa vuto la shuga, komanso kumawonetsa kuchuluka kwa zovuta. Cholinga chake ndi 7%. Anthu odwala matenda ashuga amafunika kuchita mayesowa maulendo 4 pachaka.
• Urinalysis Chimawonetsa kusayenda bwino mu chiwalo chophatikizika.
• Ultrasound a impso. Amazindikira kukhalapo kwa organic zotupa za impso parenchyma chiberekero cha shuga.
• Kuzunza kwa erythropoietin. Amawonetsa chikhalidwe cha kuchepa magazi. Mulingo wabwinobwino wa timadzi tokhala ndi hemoglobin yotsika timawonetsa kuchepa kwa magazi m'thupi. Ngati mankhwalawa ali m'magazi ochepa kwambiri, ndi kuwonongeka kwambiri kwa impso. Chithandizo chinanso chimadalira zotsatira za kafukufukuyu.

Matenda a shuga ku matenda a shuga amawonjezera mwayi wokhala ndi matenda a mtima.

Kutha kulipirira matenda a kagayidwe kazakudya ndiko njira yokhayo yoteteza kulumala ndi kufa kwa odwala matenda ashuga.

Chiwopsezo chokhala ndi angiopathies okhala ndi milingo yayikulu ya glycemic chatsimikiziridwa kalekale. Mlingo wolipiriridwa kwa "matenda okoma" ungowunikidwa pokhapokha pakuwunika kwa glycated hemoglobin (HbA1c).

Pafupipafupi wazidziwitso umakhala mpaka kanayi pachaka.

Glycated hemoglobin imatchedwa chisonyezero cha magazi amomwe amodzi amodzi amodzi omwe amawonetsa kuchuluka kwa shuga kwa kotala lotsiriza.

Ndi nthawi yoti zotsatira zitha kuwerengedwa ndikuwunika kofunikira pofufuza, mosiyana ndi kuwunika komwe kumachitika, pomwe chizindikirocho chimalumikizidwa ndi nthawi yakumwa zitsanzo.

Mlingo wa hemoglobin wa glycated mu shuga mellitus ndi kutanthauzira kwa zotsatira zakumbukiridwa m'nkhaniyi.

Mawonekedwe Ozindikira

Maselo ofiira amakhala ndi hemoglobin A. Ndiye amene, akaphatikizana ndi glucose ndikukumana ndi zotsatirapo zosiyanasiyana za mankhwala, amakhala glycosylated hemoglobin.

Kuthamanga kwa "kutembenuka" kumeneku kumadalira kuchuluka kwa shuga mu nthawi yomwe maselo ofiira ali moyo. Nthawi yokhala ndi maselo ofiira a m'magazi mpaka masiku 120.

Ndi munthawi imeneyi kuti manambala a HbA1c amawerengedwa, koma nthawi zina, kuti athe kupeza zotsatira zolondola kwambiri, amayang'ana theka la moyo wam'magazi ofiira - masiku 60.

Malinga ndi ziwerengero, kuchuluka kwa mayeso a chizindikirochi sikupitirira 10% yazochitika zonse zamankhwala, zomwe sizowona pakufunika kofunikira.

Ichi ndichifukwa chosazindikira zambiri za odwalawa za kufunikira kwa kusanthula, kugwiritsa ntchito kwa osanthula osunthika omwe ali ndi zotsatira zochepa komanso kuchuluka kwakanapezeke m'malo ena, komwe kumakulitsa kusakhulupirika kwa akatswiri pakuyesa.

Hyperglycemia - Mgwirizano Wofunika Kwambiri HbA1c Milingo

Kupotoza kusanthula: kwabwinobwino

Zachilengedwe zomwe zimaphunziridwazo ndi magazi ochokera m'mitsempha m'milingo 3 ml.

Odwala matenda ashuga amayenera kuunika magazi a glycated hemoglobin miyezi itatu iliyonse, kuti adokotala adziwe momwe alili, mwachangu amupatse mankhwala kapena asinthe momwe amathandizira.

Ngati zotsatira za mayeserowa zimayambitsa kukayika pazomwe zimachitika mwa odwala omwe ali ndi magazi enaake (hemolytic anemia), muyenera kutengera njira zina zochizira matenda a shuga, mwachitsanzo, kuti mupange kafukufuku wa glycosylated albumin (fructosamine).

Fructosamine akuwonetsa mkhalidwe wa kagayidwe kazakudya kwa wodwalayo masabata awiri omaliza asanakunitsidwe. Zocheperapo, inde, kuposa glycated hemoglobin (miyezi iwiri), komabe ... Nthawi zambiri mumafunikira kupereka magazi kuti muyeze.

Osati odwala matenda ashuga omwe akufuna kudziwa ngati ali ndi zofunikira pakukula kwa "matenda okoma" omwe ali pano akhoza kulumikizana ndi labotale ya zamankhwala pamalonda. Pafupifupi madera onse (ndi zigawo zambiri), ndizotheka kuyesa hemoglobin ya glycated, mtengo wake umatengera madera ndi malo achipatala (kuchokera ma ruble 400-500 ku Bryansk ndi Makhachkala mpaka 700 - 800 ruble ku Moscow ndi St. Petersburg).

Komabe, chizindikiro chotere monga mtengo sichinthu chofunikira nthawi zonse, chifukwa chake ndibwino kufunsa zavuto lantchito yomwe yachita ntchito yopanga kafukufuku wotere.

Choyamba, kuti mupeze matenda ashuga kapena kuwunika kuti munthu akhale ndi matenda ashuga. Kachiwiri, pofuna kuwunika ndi matenda ashuga momwe wodwalayo amatha kutsata matenda ndikusunga shuga pafupi ndi masiku abwinobwino.

Pozindikira matenda ashuga, chizindikirochi chakhala chikugwiritsidwa ntchito (pamalangizo a World Health Organisation) kuyambira 2011, ndipo chakhala chokwanira kwa odwala komanso madokotala.

Mitundu ya glycated hemoglobin

Kutsika kwa hemoglobin m'magazi, momwemo shuga yakeyo idalipidwa m'miyezi itatu yapitayo.

Makulidwe a HbA1C pa kuchuluka kwa shuga m'magazi atatu kwa miyezi itatu

Kuyesedwa kwa magazi kwa HbA1C, kuyerekeza ndi kusanthula shuga wosala kudya, kuli ndi maubwino angapo:

• munthu samayenera kukhala ndi mimba yopanda kanthu
• magazi amasungidwa mosavuta mu chubu choyeserera kufikira atasanthula posachedwa (preanalytical solid),
• kusala shuga wa plasma kumatha kusiyanasiyana chifukwa cha kupsinjika ndi matenda opatsirana, ndipo hemoglobin ya glycated imakhazikika

Kuyesedwa kwa magazi kwa hemoglobin ya glycated kumakupatsani mwayi woti muzindikire matenda ashuga kumayambiriro, pamene kupenda shuga kosala kudya kumasonyezabe kuti zonse zili bwino.

Zovuta zoyesa magazi a hemoglobin glycated:

• mtengo wokwera kwambiri poyerekeza ndi kuyesa kwa shuga m'magazi am'madzi (koma mwachangu komanso osavuta!),
• mwa anthu ena, kuphatikiza pakati pa HbA1C ndi kuchuluka kwa shuga kumachepa
• Odwala omwe ali ndi magazi m'thupi komanso hemoglobinopathies, amawunika amasintha,
• M'madera ena a dziko, odwala sangakhale ndi kochita kuyesa,
• zimaganiziridwa kuti ngati munthu atenga waukulu mavitamini C ndi / kapena E, ndiye kuti kuchuluka kwa hemoglobin ya glycated kumakhala kotsika mwachinyengo (sizinatsimikizidwe!),
• kuchepa kwa mahomoni a chithokomiro kungachititse kuti HbA1C iwonjezeke, koma magazi a magazi samachuluka.

Kuwunikira mayesowa sikukutenga nthawi yayitali komanso ntchito zamaganizidwe. Popeza ukadaulo wofufuza shuga ndimagulu osiyanasiyana, muyenera kupenda kangapo. Ndi ma shuga omwewo mwa anthu awiri, pakhoza kukhala kusiyana pakati pa 1%.

Kuyesaku kungawonetse cholakwika, chifukwa fetal hemoglobin yabodza ikhoza kuchuluka kapena kuchepa. Chifukwa cha izo, kusiyana kwake kungakhale 1%. Kukha magazi, kuchepa kwa magazi m'thupi komanso uremia kungayambitse kuchepa.

Madokotala a matenda ashuga komanso endocrinologists apeza zifukwa zomwe kuchuluka kwa hemoglobin m'magazi kumadalira:

• Dongosolo la m'badwo
• Gawo laz kulemera
• Thupi

Kutanthauzira kwa zizindikiro zosanthula

• 5.7-6.0%. Mwayi wokhala ndi matenda ashuga ndiwambiri. Muyenera kutsatira zakudya kuti mubwezeretse glucose kuti ikhale yachilendo.
• 6.1-6.4%. Mwayi wokhala ndi matenda ashuga kwambiri. Zakudya zokhala ndi chizindikiro choterocho chiyenera kukhala chokhwima kwambiri, ndikofunikira kutsatira regimen komanso zakudya zabwino.

Burashi wofiyira - chomera chothandiza kwa odwala matenda ashuga

Brashi wofiira wozizira kapena rhodiola (waminayi) ndi mbewu ya herbaceous yomwe imapezeka m'malo otsetsereka ndi Altai. Mulinso ma phytohormones, chifukwa chomeracho chimakhala ndi diuretic, anti-yotupa, antiseptic ndi immunostimulating. Chifukwa cha izi, imagwiritsidwa ntchito mosamala mu mankhwala, kuphatikizapo kusunga thanzi la odwala matenda ashuga.

• Chifukwa chiyani imagwiritsidwa ntchito pochiza matenda ashuga?
• Kukonzekera kwa mankhwala
• Maphikidwe apanyumba
• Kutenga burashi yofiira mpaka liti?
• Contraindication

Chifukwa chiyani imagwiritsidwa ntchito pochiza matenda ashuga?

Pochiza matenda a shuga omwe amadalira insulin, kukonza machitidwe a chithokomiro kumathandiza kwambiri, chifukwa ndi kugonjetsedwa kwake komwe kumayambitsa kukula kwa matendawa. Pachifukwa ichi, mankhwala azitsamba amasankhidwa, momwe amathandizira kubwezeretsa chithokomiro, motero, kuchepetsa shuga. Chomera ndi burashi wofiyira.

Pazifukwa zochizira, muzu wake umagwiritsidwa ntchito, chifukwa cha kukhalapo kwa salidroside glycoside pakupanga kwake. Izi zili ndi zotsatirazi:

• antibacterial
• antitumor
• odana ndi yotupa.

Chifukwa cha izi, kugwiritsa ntchito burashi wofiira kumatha kusintha momwe odwala matenda ashuga:

• yeretsani magazi, mubwezeretse njira zake,
• kuwonjezera hemoglobin pochepetsa cholesterol,
• Tithandizireni kumasulira kwa bongo,
• khazikitsani kuthamanga kwa magazi ndi matenda oopsa,
• khazikitsani mtima wamanjenje
• yambitsa zochitika zam'mutu ndi zolimbitsa thupi,
• onjezerani chitetezo chamthupi, chomwe chingapangitse matenda osapatsirana,
• yeretsani thupi la poizoni,
• sinthani mahomoni ena.

Muzu wa burashi wofiira ndi chida chabwino kwambiri chobwezeretsanso magwiridwe antchito a ma cell a pancreatic, omwe ali ndi udindo wopanga insulin.

Ndizofunikira kudziwa kuti burashi yofiira ikhoza kugulidwa ku pharmacie ngati mankhwala, ndikugwiritsanso ntchito muzu wa mbewuyo maphikidwe apanyumba. Ndikofunika kudziwa kuti kuchuluka kwa mankhwala osokoneza bongo kungayambitse kuchepa kwambiri kwa shuga m'magazi ndi mkodzo, motero ndikofunikira kutsatira njira yabwino yolembetsera.

Kukonzekera kwa mankhwala

Wodwala matenda ashuga amatha kugula zotsatirazi pogwiritsa ntchito burashi yofiyira ku pharmacy:

• Mowa tincture. Amapezeka m'mabotolo a 30, 50 ndi 100 ml. Muli mpweya wa mbewu ndi mowa wa ethyl. Imwani katatu patsiku, madontho 30. Kulandila makulidwe kumakuthandizani kuti muchepetse ma spasms aubongo, komanso mumakhala ndi chidwi.
• Tiyi Mutha kusankha tiyi wamtundu umodzi (wokhala ndi burashi wofiyira) kapena chinthu chimodzi. Mulimonsemo, chakumwa choterechi chimakhala chothandiza kuponderezana, chimapukusira pang'ono ndikuyambitsa mphamvu. Mukhozanso kumwa kuti muchepetse kuthamanga kwa magazi.
• Mafuta Ndi mankhwala osokoneza bongo omwe amamwa pakamwa Mlingo wochepa - supuni 1 katatu patsiku, koma maphunzirowa amakhala osapitilira milungu isanu ndi umodzi. Anthu odwala matenda ashuga angathe kutengedwa ngati chisononkho cha zotupa ndi maubongo aubongo.
• Mapiritsi Amawalemba ngati zakudya zowonjezera pofuna kulimbitsa thupi. Mulinso mavitamini, kufufuza zinthu ndi flavonoids. M`pofunika kumwa mapiritsi 2 nthawi imodzi patsiku ndi chakudya. Iyenera kutsukidwa ndi magalasi ochepa amadzi.
• Mwana wamkazi. Awa ndi madontho okhala ndi zotulutsira za Rhodiola kuchokera ku chiberekero chazizira ndi boron. Amathandizira kulimbitsa chitetezo chathupi, kukulitsa kukana kwake. Amatengedwa masiku 30, ndipo katatu patsiku musanadye. Pa mlingo umodzi, madontho 20-30 ayenera kuchepetsedwa mu theka la kapu yamadzi.

Mankhwalawo amagulitsanso madzi kuchokera pamwambo wa burashi wofiyira, koma sikuletsedwa kwa odwala matenda ashuga, chifukwa amakhala ndi shuga yambiri.

Maphikidwe apanyumba

Pamankhwala mutha kugula therere la mbewu, pomwe ma infusions, tinctures ndi decoctions zakonzedwa. Pa njira yonse ya chithandizo, ndikokwanira kugula kuchokera pamapake atatu mpaka 6 (pafupifupi 100-150 g ya zinthu zopangira). Mosasamala za njira yokhayo, kumbukirani malamulo awa:

• Grass ikhoza kuwotchera kapena kusungidwa mumadzi osamba.
• Udzu umafunika kupangidwa ndi madzi owiritsa, kutentha kwake osaposa 80 ° C.
• Mukamakonzekera tinctures mowa, ndikofunikira kuti musagwiritse ntchito vodka 40%, koma mowa.
• Ma decoctions ndi infusions amaloledwa kusungidwa kwa masiku awiri, komanso mufiriji. Ngati ikusungidwa nthawi yayitali, mankhwalawo amawonongeka.
• Ma tinolo a mowa amaloledwa kuti asungidwe kwa miyezi yopitilira 12 mu botolo lagalasi lotsekeka mwamphamvu. Sungani pamalo abwino amdima, koma osati mufiriji.

Kukumbukira malangizowa, kuti mukhale okhazikika, wodwala matenda ashuga amatha kukonza zotsatirazi:

Amakonzedwa motere:

1. Pogaya 100 g yaiwisi ndikupita ku chidebe chagalasi.
2. Thirani 1 lita imodzi ya mowa 40% ndikutseka chivindikiro.
3. Sakani chogulitsacho pamalo amdima pakupitilira kwa firiji ndikugwiritsitsa kwa masabata atatu, ndipo tsiku lililonse chidebe chake chizigwedezeka.

Pakatha milungu itatu, mankhwala ofiira okhala ndi fungo labwino la tart adzatuluka. Patsiku la 31 pamafunika kusefedwa. Muyenera kukhazikitsa katatu pa tsiku theka la ola musanadye. Kuti muchite izi, mu kapu yamadzi muyenera kuthira madontho 40 a chinthucho. Njira yovomerezeka ndi mwezi umodzi. Pambuyo pake muyenera kupuma pafupifupi masabata awiri.

1. Pogaya supuni 1 ya zopangira ndi kusinthira ku poto.
2. Thirani 300 ml ya madzi ndikotseka chivindikiro.
3. Wiritsani kwa mphindi 5 mpaka 10.
4. Siyani msuzi kwa maola 1-2, kenako mavuto.

Muyenera kumwa mankhwalawa katatu patsiku mphindi 30 musanadye gawo limodzi mwa magalasi atatu. Ngati mukufuna, mutha kuchepetsa supuni 1 ya uchi wachilengedwe mu msuzi. Njira yovomerezedwa ndikuyambira masiku 5 mpaka 45.

Chida chabwino kwambiri chothandizira kutukusira, sinthanso magwiridwe antchito a chiwindi ndi impso.

Kupititsa patsogolo zotsatira za decoction, pamodzi ndi burashi wofiira, mutha kugwiritsa ntchito muzu wa sinquefoil yoyera.

Amakonzedwa motere:

1. Supuni 1 yamtundu wosweka wa zoponderezedwa umasinthidwa ku mbale zoumba.
2. Imadzaza ndi kapu imodzi ya madzi owiritsa ndi kutentha mpaka 80 ° C.
3. Chotetezacho chimakutidwa ndi chivindikiro ndikuyika madzi osamba.
4. Mphamvuyo imachotsedwa pakusamba pambuyo pa mphindi 15.
5. The kulowetsedwa umasefedwa ndi utakhazikika.
6. Madzi owonjezera amatsanulidwa kuti apezeke kulowetsedwa kwa 200 ml.

Chogwiritsidwacho chikuyenera kumwedwa katatu pa tsiku kwa 50 ml osapitilira masiku atatu.

Ndikofunika kwambiri kumwa kulowetsedwa kwa amayi omwe ali ndi matenda ashuga, omwe kusamba kumayambitsa kupweteka kwambiri, kapena kuzungulira kumachitika nthawi zambiri.

Kutenga burashi yofiira mpaka liti?

Popewa kuvulaza thanzi, ndizotheka kutenga zopangidwa kuchokera kumera mumaphunziro okha. Kutalika kwawo nthawi zambiri kumawerengeredwa payekhapayekha ndipo, monga lamulo, kuyambira 1 mpaka 3 miyezi. Wodwala matenda ashuga awona kusintha kwakuthupi pakatha milungu 2-4 kuyambira pomwe adayamba kumwa.

Maphunziro olandila akhoza kubwerezedwa, koma ndikofunikira kuti pakhale masiku 15 pakati pawo. Chiwerengero choyenera cha maphunziro ndi 3. Ngati akukonzedwanso kuti apite ku maphunziro achinayi, ndikofunikira kupirira kupumula kwa masiku 30.

Contraindication

Anthu odwala matenda ashuga ayenera kusiya kugwiritsa ntchito burashi wofiyira ngati:

• Kusalolera payekha kumadziwika.
• Mankhwala a Hormonal ndi mankhwala oletsa kubereka amatengedwa.
• Zomera zomwe zimakhala ndi phytohormones zimatengedwa. Izi zikuphatikiza hops, tambala zipatso, licorice ndi zina. Chokhacho chokha ndi chiberekero cha boron.
• Kuthamanga kwa magazi kumadziwika - zoposa 180/100.
• Pali kusokonezeka kwa malingaliro, kutentha thupi.
• Kusamba, msambo, kuyamwa (zoyenera azimayi) kunayamba.

Zitsamba zimathandizira wodwala matenda ashuga kukhala okhazikika. Amaphatikizanso burashi wofiyira. Pamaziko a nthangala yake, mankhwala osiyanasiyana amakonzekera. Zachidziwikire, mutha kugula udzu kuti uzikonzekera nokha tincture, decoction kapena kulowetsedwa. Mulimonsemo, musanamwe mankhwala aliwonse, muyenera kufunsa dokotala.

Mawonekedwe Akuzindikira

Kutsatira miyezo ya hemoglobin ya glycated ya matenda a shuga sikovuta. Zambiri zimatengera momwe wodwalayo aliri komanso kuchuluka kwa zinthu zomwe zikuwonetsedwa monga mbali ya mayeso.

Zizindikiro zocheperako komanso zowonjezereka zimafunikira njira ina ychithandizo, popeza kusintha kumeneku kumachitika chifukwa cha matenda oyambitsidwa ndi matenda.

Kwa odwala matenda ashuga, chizolowezi chovomerezeka ndi chizindikiritso cha 7% kapena chotsika. Izi zimakuthandizani kuti musamadalire kukhala ndi thanzi labwino komanso kuti muchepetse kuopsa kwa zovuta. M'munsi mumatha kusintha mulingo ndikuwubweretsa pafupi ndi abwino, abwino.

Akatswiri akukhulupirira kuti kwa odwala matenda ashuga gawo labwino kwambiri ndilotsika 6.5%. Koma katswiri wotsogola Bernstein sagwirizana nawo, yemwe akutsimikiza kuti ndi matenda ashuga a 6.5% akadali osalipiridwa bwino, ndipo zovuta zikupitilirabe m'bomali.

Anthu athanzi okhala ndi thupi lofooka komanso okhala ndi metabolism wamagulu owonjezera amawonetsa zotsatira za 4,2 - 4,6%. Dr. Bernstein amakhulupirira kuti magawo otere ayenera kufunidwa. Palibe chovuta kukwaniritsa cholinga ichi. Chida chachikulu chotsitsira GH chimawonedwa ngati chakudya chochepa kwambiri. Ndizofunikira pa matenda amtundu 1 komanso matenda ashuga 2.

Vuto lalikulu la odwala matenda ashuga ndilofunikira kusungabe kuchuluka kwa hemoglobin mkati mwa yopapatiza. Kuchulukitsa, komanso kutsika, zofanana ndi zomwe zimawonongeka kumatha kuwononga thanzi komanso kumabweretsa zovuta zosavomerezeka. Anthu amafunika kuphunzira mosamala momwe thupi lawo limayendera, onani momwe zinthu zosiyanasiyana zingagwiritsidwire ntchito, kusankha mtundu woyenera wa mankhwala ndi kutumikiridwa kwa chakudya.

Yesani kudya zakudya zochepa zomwe zimakhala ndi mafuta ochulukirapo. Uyu ndiye mdani wowopsa kwa odwala matenda ashuga. Inde, kudya zakudya zopatsa mphamvu kumatha kulipidwa mwa kumwa mapiritsi oyenera kuti muchepetse shuga. Koma mankhwala monga insulin, akagwiritsidwa ntchito pafupipafupi, amabweretsa hypoglycemia pafupi. Chifukwa chake, ndibwino kukana maswiti ena, koma tengani piritsi limodzi patsiku.

Okalamba sayenera kuchita mantha ngati kuchuluka kwawo kwa hemoglobin kumakhala kosavuta kuyambira pa 7.5 mpaka 8.0%. Ena amakhala nawo pamwamba. Kwa odwala matenda ashuga am'badwo uno, zotsatira zoyesa zotere sizimachita bwino kusintha.

Ndipo anthu omwe akukumana ndi matenda a shuga ali aang'ono, ndikulimbikitsidwa kuyesa kukhalabe ndi zotsatira zoyenera osati kupitirira chizindikiro cha 6.5%.

Malangizo Oyesera

Kafukufuku monga glycated hemoglobin cholinga chake ndi kulosera za matenda omwe angayambitse matenda ashuga kapena zovuta zake ngati ali ndi vuto lomwe ali nalo kale.

Akatswiri amapereka upangiri wa nthawi, momwe ndi momwe angatengere zitsanzo zosakira.

1. Ndi zizindikiro zosakwana 5.7%, vuto lanu limawoneka labwino, chifukwa mwayi wokhala ndi matenda ashuga ndi wochepa. Ndikokwanira kuchita zoyeserera mobwerezabwereza zaka zitatu zilizonse kuonetsetsa kuti izi zikuchitika.
2. Ngati kusanthula sikunakhale kokweza kwambiri, koma kukhala mu dongosolo la 5.7 - 6.4%, chiwopsezo cha matendawa chikuwonjezeka, kotero kuyesedwa mobwerezabwereza kuyenera kuchitika kamodzi pachaka. Tsopano, ndibwino kuyamba kutsatira zakudya zamafuta ochepa.
3. Ngati muli ndi matenda, mupitiliza kuwongolera GH yoyenera, ndiye kuti, imakhala 7%. Kenako yesetsani kuyesa miyezi isanu ndi umodzi. Chifukwa chake mudzazindikira kusakhazikika kwakanthawi munthawi yake ndipo mudzatha kusintha machitidwe oyendetsa matenda mwachangu.
4. Ndi pafupipafupi kwa miyezi itatu, kuyezetsa mobwerezabwereza kumaperekedwa ngati mutangopeza kumene matenda ndikuyamba kuwachiritsa, kusintha njira zochiritsira kapena mpaka mutaphunzira kuyendetsa bwino shuga.
5. Malo operekera. Malingaliro ena ofunikira ndikusankha komwe wodwala amagawanira zitsanzo kuti aphunzire kuphatikizidwa kwa magazi. Ambiri amapita kuzipatala za boma nthawi zonse. Izi sizikulimbikitsidwa, koma ndibwino kukayendera malo odziimira pawokha.Masiku ano ndi bungwe lomwe lili ndi anthu ambiri ogwira ntchito, zida zamakono ndipo amathandizira pa mitengo yabwino. Popeza kufunikira kotenga zitsanzo kumapeto kwa miyezi itatu iliyonse mpaka 48, mtengo wake udzakhala wochepa.

Kuunika koyenera komanso pafupipafupi, molingana ndi momwe muli momwe zilili, zikuthandizira kuwunika thanzi lanu ndikuyankha moyenera kusintha komwe kukuwunika.

Kuyendera zipatala sikuti nthawi zonse kumadzilungamitsa. Ngakhale awa ndi malo azachipatala aulere komwe anthu opuma pantchito komanso anthu omwe amalandira ndalama zochepa amapita pafupipafupi chifukwa cholephera kulipira chithandizo kuchipatala, ali ndi zovuta zawo.

Kuchita kwawonetsa kuti zipatala za boma sizimapereka zotsatira zoyeserera nthawi zonse. Izi ndichifukwa cha zinthu zingapo nthawi imodzi:

• Zotsatira zake zitha kukhala zabodza ndikukuitanani kuti mukhale athanzi kuti muchepetse kuchuluka kwa antchito, muchepetse kuchuluka kwa odwala,
• Kupeka kwa zotsatirapo kumachitika kuti tipeze ziwonetsero zabwino zachaka,
• nthawi zina amangomaliza ndi mawu, omwe amafotokozedwa ndi chikhumbo chofuna kusunga zowonjezera mu labotale.

Chifukwa chake, zipatala zachinsinsi ndi ma labotale, makamaka zophatikizika ndi zomwe zimafalitsidwa m'mizinda ndi mayiko, zikhala ndi zotsatira za kafukufuku. Koma kusankha ndi kwanu.

Kuphunzira kwa hemoglobin wa glycated kwa anthu odwala matenda ashuga, ndikukaikira, kumakupatsani chithunzi chokwanira komanso cholondola cha zomwe zikuchitika m'thupi la wodwalayo. Kuwunika kumeneku sikuyenera kuthandizidwa osati kokha chifukwa cha chithandizo, komanso cholinga chopewa, kuonetsetsa kuti palibe zomwe zingachitike ndikuwopseza matenda a shuga.

Zikomo nonse chifukwa chamadongosolo anu! Onetsetsani kuti mwalembetsa patsamba lathu, kusiya ndemanga kapena kufunsa funso, komanso musaiwale kuitana anzanu kwa ife!