Shuga wabwinobwino atatha kudya mwa munthu wathanzi
Kugwira kwathunthu kwa thupi la munthu ndikosatheka popanda glucose. Nthawi yomweyo, ndikofunikira kwambiri kuti zitsimikizire bwino. Kuchuluka kapena kuchepa kwa chinthuchi kumatha kubweretsa mavuto akulu azaumoyo. Pofuna kupewa zoyipa zomwe zikuchitika, ndikokwanira kuti tisanyalanyaza mayeso azachipatala azaka zathu. Chizindikiro monga kuchuluka kwa shuga m'magazi mukatha kudya chimapangitsa kudziwa matenda ashuga komanso matenda ena owopsa koyambirira. Izi zikuthandizani kuti muyambe kulandira chithandizo munthawi yake komanso kupewa zovuta zazikulu.
Nkhani Zina:Zizindikiro ndi zizindikiro za matenda ashuga mwa akazi Kodi zakudya zamtundu wa 2 shuga - chithandizo Piritsi lotchulidwa shuga Njira zochepetsera shuga zamwazi mwachangu komanso mosamala Kodi ndingathe kumwa mowa wamagulu a shuga?
Shuga wamagazi mwa amuna, akazi ndi ana
Kuyesedwa koyenera kwa shuga kumatha kutengedwa ku chipatala chilichonse kuchokera ku chala kapena mtsempha, koma nthawi zonse m'mawa komanso pamimba yopanda kanthu. Chakudya chotsatira chikuyenera kumalizidwa maola 8-14 musanapereke magazi (mutha kumwa madzi).
Kuchuluka kwa shuga m'magazi a capillary (kuyambira chala) cha wodwala wathanzi - kuyambira 3,3 mpaka 5.5 mmol / l, kwa venous - Zizindikiro zimawonjezeka ndi 12% ndipo ndizovomerezeka kuyambira 3.5 mpaka 6.1. Madzulo a chizindikirocho, ndizoletsedwa kudya kwambiri ndikumwa zakumwa zoledzeretsa. Kulephera kutsatira malamulowa kungakhudze kuwunika kwa kusanthula. Mulingo wa shuga umasiyana mwa anthu amisinkhu yosiyanasiyana, ngakhale atakhala kuti ndi amuna kapena akazi. Kuphatikiza apo, kuchuluka kwa zodziwika bwino zimadalira mtundu wa labotale ndi njira yofufuzira, chifukwa chake mfundo zamagulu a shuga ziyenera kuwonetsedwa pamafomu azotsatira.
Kwa ana, amawoneka motere:
- kuyambira kubadwa mpaka masiku 30 - 2.8-4.4 mmol / l,
- kuyambira mwezi umodzi mpaka zaka 14 - kuyambira 3.3 mpaka 5.6 mmol / l.
Kwa akuluakulu, chizolowezi ndi shuga:
- kuyambira wazaka 14 mpaka 59 - kuyambira 4.1 mpaka 5.9 mmol / l,
- wamkulu kuposa zaka 60 - kuchokera 4.6 mpaka 6.4 mmol / l.
Yang'anani! Mkhalidwe wa prediabetesic umawonetsedwa ngati glucose kudya m'magazi kudutsa 6.2 mmol / L, ndipo zotsatira za 7 mmol / L zimawonetsa matenda ashuga.
Mukamayesa anthu azaka 60, ndikulimbikitsidwa kuti chaka chilichonse chotsatira, chisonyezo chokhazikika chimasinthidwa ndi 0.056. Mwa mayi woyembekezera, thupi limakonzedwanso, shuga kuyambira 3,3 mpaka 6.6 mmol / l amadziwika kuti ndivomerezeka. Kuchuluka kwa shuga mkati mwa kubereka kumatha kuchitika chifukwa cha kuperewera kwa zakudya m'thupi. Mkulu - imayimira shuga wodwala wakale ndipo imafunika kuphunzira ndi kuwongolera. Udindo wofunikira umachitika osati ndi zomwe zili zokha zokha zokha, komanso ndi thupi zomwe zimatha kuzichita.
Shuga nditangodya
Kulumpha m'magazi a glucose mukatha kudya mwa munthu wathanzi labwino ndi njira yachilendo. M'mphindi 60 zoyambirira pali kuwonongeka kwakukulu kwa chakudya cham'mimba komanso kumasulidwa kwa shuga. Izi zimachitika ndi thandizo la mahomoni opangidwa ndi kapamba, ndipo mwa akazi amathamanga kuposa amuna.
Kupanga kwa insulin kumayamba munthu akangoyamba kudya, kufika pachimake patatha mphindi 10, wachiwiri - 20. Izi zikufotokoza kusintha kwa shuga. Akuluakulu, amadzuka patatha ola limodzi mpaka 9 mmol / l, kenako mwachangu amayamba kutsika ndikubwerera mwakale pafupifupi maola atatu.
Masana, kuchuluka kwa shuga kumasiyana motere:
- usiku (kuyambira 2 mpaka 4 maola) - ochepera 3.9,
- musanadye kadzutsa - kuyambira 3.9 mpaka 5.8,
- masana (asanadye nkhomaliro ndi chakudya chamadzulo) - kuyambira 3.9 mpaka 6.1,
- ola limodzi mutatha kudya - osakwana 8.9,
- patatha maola awiri, osakwana 6.7.
Muyezo wa ana m'miyezi 60 yoyambirira ukufika 8 mmol / l. Nthawi zina zimachitika mpaka 7 mmol / l, pomwe zibwezeretsedwa pamilingo yovomerezeka pambuyo maola angapo - osadandaula. Zomwe zimachitika mofulumira, poyerekeza ndi akulu, kagayidwe.
Kagayidwe kabwino ka chakudya kamene kamayambitsa matenda a shuga kumatha kukhudza kuchuluka kwa shuga mwa anthu amisinkhu iliyonse, koma pamenepa, kuwerenga kwa glucose kumathandizanso kukhazikika. Ngati ndi kotheka, zomwe zili mu shuga zitha kuyesedwa mu labotore ina.
Pambuyo kudya ndi shuga
Pa gawo loyamba, matenda a shuga amawonekera pang'ono, komabe ali ndi zizindikiro zina. Posachedwa muyenera kulumikizana ndi katswiri ngati mungazindikire zotsatirazi:
- ludzu losalekeza
- kufooka
- mabala osachiritsa
- mutu
- dzanzi la miyendo
- kukodza pafupipafupi.
Chizindikiro cha matendawa ndi chakudya champhamvu pakati pa kuwonda modzidzimutsa komanso ludzu lalikulu. Wodwala wodwala matenda ashuga amtundu wa 2, shuga atatha kudya adzakhala:
- itatha mphindi 60 - kuchokera 11 mol / l,
- pambuyo pa mphindi 120, oposa 7.8 mol / l.
Yang'anani! Mwa munthu wathanzi, shuga amatha kuwonjezera chifukwa chovuta.
Ngati zotsatira zake zili pamalire, wodwalayo adayesedwa mayeso a kulolera kwa glucose. Choyamba, amasanthula pamimba yopanda kanthu. Kenako mupatseni yankho la 75 g la glucose pa kapu imodzi ya madzi (kwa ana - 1,75 g pa 1 makilogalamu). Kubwereza magazi mobwerezabwereza kumachitika pambuyo pa mphindi 30, 60 ndi 120. Wodwala amaletsedwa panthawiyi: chakudya, chakumwa, kusuta, kuchita masewera olimbitsa thupi.
Pankhani yamavuto akulolerana, zotsatira zoyambirira zimakhala mkati mwa malire, omwe ali mkati amawonetsa 11.1 mmol / L mu plasma ndi 10,0 m'magazi a venous. Kuchuluka kwa ma data pambuyo pa maola awiri kumawonetsa kuti glucose sanakonzedwe ndipo amakhalabe m'magazi. Pakadali pano, mukamayesa mayeso okhudzana ndi shuga, shuga amawunika kawiri - pamimba yopanda kanthu komanso mphindi 120 mutamwa njira yotsekemera.
Chitsimikizo chowonjezera cha chizindikirocho ndi glucosuria - kumasulidwa kwa shuga mumkodzo kudzera mu impso. Ngati pali matenda a shuga, pakati pa zoyeserera kuchipatala muyenera kupitiliza kuyeza kunyumba (masabata awiri, kangapo patsiku) ndikulowetsa zomwezo pagome lapadera. Amuthandiza adotolo pakuzindikira. Mkulu kapena shuga wochepa amatha kukhala chizindikiro cha matenda ambiri oyipa.
Endocrinologists amalimbikitsa kugwiritsa ntchito glucometer (pakuyeza nyumba) pokhapokha pali chitsimikiziro cha matenda ashuga. Pakulingo wodziwitsa, zotsatira zolondola ndizofunikira. Kwa wodwala uyu, amatumizidwa kukayezetsa - kudziwa kuchuluka kwa hemoglobin ya glycated. Kusanthula kumawonetsa kusinthasintha kwa glucose m'miyezi itatu yapitayo.
Zotheka
Hyperglycemia sinyalanyazidwa. Kuwonjezeka kwa shuga, ngakhale pang'ono, kungawonetse matenda oopsa. Kuphatikiza pa matenda ashuga, akhoza kukhala:
- matenda a chiwindi
- kunenepa
- kutupa kapena kutupa kwa kapamba,
- matenda a impso
- vuto la mtima
- zovuta za endocrine,
- sitiroko
- cystic fibrosis.
Matenda am'mimba komanso endocrine machitidwe angayambitsenso hypoglycemia, yomwe siinanso yangozi chifukwa cha zotsatira zake. Kuchepetsa shuga:
- kukomoka
- mapangidwe kapamba kupanga insulin,
- matenda a chithokomiro
- kulephera kwa aimpso
- matenda opatsirana
- matenda a chiwindi,
- matumbo
- bulimia
- chotupa.
Zofunika! Kulekerera kwa shuga wambiri kumayambitsa vuto la uchidakwa komanso kusowa zakudya m'thupi.
Momwe mungasinthire zizindikiro
Popewa, kapena kupatuka pang'ono, kuchuluka kwa shuga kumatha kusinthidwa popanda mankhwala.
Kuti muchite izi:
- Imwani madzi okwanira malita awiri patsiku,
- kuchita masewera
- onetsetsani kuti mukukhala wonenepa
- kusiya mowa ndi fodya,
- perekani magazi pafupipafupi: zaka 40 - kawiri pachaka. Ngati pali vuto la matenda ashuga - kamodzi pa miyezi 1-3.
Kuti shuga asakhale wabwinobwino, chinthu chachikulu ndikusintha zakudya zanu. Zakudya zotsatirazi ziyenera kuphatikizidwa ndi zakudya:
- Jerusalem artichoke, ndikofunikira kudya m'malo mwa mbatata,
- masamba: kabichi, beets, nkhaka,
- chicory, ayenera m'malo khofi,
- anyezi ndi adyo
- nyemba
- chipatso cha mphesa
- buledi wathunthu
- mtedza
- Buckwheat ndi oatmeal
- nyama ndi nsomba (mitundu yamafuta ochepa),
- maapulo ndi mapeyala
- zipatso: sitiroberi, rasipiberi, mabulosi akutchire ndi mabulosi abuluu,
- compote wosakhudzidwa ndi zipatso za hawthorn.
Kugwiritsa ntchito timadziti tofinya kumene kumayenera kukhala kwachizolowezi. Koma osati zipatso, koma masamba: kabichi, mbatata, beetroot. Amayenera kumwa 100 g m'mawa komanso madzulo pamimba yopanda kanthu. Muyenera kudya pafupipafupi pang'onopang'ono - chinthu chachikulu sikuti kudya kwambiri. Ndikulimbikitsidwa kuti muwonjezere mankhwala ena aliwonse azitsamba muzakudya zazikulu zamadzulo ndikudya kwamadzulo - izi zimapangitsa kuti shuga asadye kwambiri.
Kudya zakudya kuchokera pamndandanda wotsatirawu kuyenera kukhala kwa anthu athanzi, ndipo shuga iyenera kuthetsedwa. Izi ndi:
- nyama zamafuta
- masiku
- masoseji,
- shuga ndi zakumwa naye (mwachitsanzo, kaboni),
- nthochi
- mafuta amkaka,
- chokoleti
- mpunga woyera, mbatata zosenda,
- ma pickles ndi ma pickles,
- kuphika.
Akatswiri adziwa kuti zinthu zomwe zili pamwambapa zimakhudza zotsatira zoyesa ngakhale atatha maola eyiti.
Zithandizo za anthu
Phytotherapy potengera mankhwala azitsamba ingathandize matenda a shuga.
Nayi maphikidwe:
- 1 tbsp. l onjezani Mizu wosemedwa ku 500 ml ya madzi. Wiritsani ndi simmer kwa pafupifupi theka la ola. Unikani ndi kudya 75 ga katatu patsiku musanadye.
- Wiritsani 20 g wa nyemba zosankhwima 1 lita imodzi ya madzi. Lolani kuti aleke kwa maola angapo, kumwa theka kapu musanadye kadzutsa, nkhomaliro kapena chakudya chamadzulo. Maphunzirowa amatha mpaka miyezi 4.
- Sakanizani 400 g wa mitengo yodulidwa ya maluwa akavalo ndi anyezi wobiriwira ndi masamba a dandelion (50 g iliyonse), onjezani 20 g ya sorelo. Osakaniza amapaka mchere pang'ono ndi kusakanizidwa ndi mafuta a masamba.
- Tengani masamba a masamba a burdock ndi nyemba zosankhwima (3 tbsp. L.), Onjezani 1 tbsp. l mizu ya burdock, chicory komanso mbewu zambiri za fulakesi. Muziganiza, kutsanulira 35 ml ya madzi mu 35 g wa osakaniza, kusiya usiku. M'mawa, wiritsani kwa mphindi pafupifupi khumi pamoto wabata. Unasi, imwani katatu patsiku.
- Pogaya 1 makilogalamu a mandimu mu chopukusira nyama ndi parsley ndi adyo (300 g iliyonse). Kuumirira masiku asanu, ndiye kutenga 1 tsp. theka la ola musanadye.
- Pogaya buckwheat mu chopukusira cha khofi ndipo madzulo amwera kapu ya kefir yamafuta ochepa ndi 1 tbsp. l njere zosankhidwa
- Imwani msuzi wa sauerkraut katatu patsiku pamimba yopanda kanthu kwa milungu iwiri. Kenako pumulani.
Kuganiza motere sikungothandiza kukhazikika kwa shuga. Adzakhala ndi zotsatira zabwino pakupanga metabolic ndikupatsa thupi mavitamini ndi mchere wofunikira.
Malinga ndi ziwerengero, pafupifupi 25% ya anthuwa amakhala ndi matenda ashuga, osadziwa za izi, mpaka atachedwa kwambiri. Pakadali pano, kusungidwa kwa malamulo osavuta a kakhalidwe kakhalidwe ndi kagwiritsidwe ntchito ka moyo wanu zikuthandizira kuti asalowe m'gulu lachiwopsezo, kapena kusintha magwiritsidwe a shuga kukhala oyandikira kwambiri. Kuyesedwa kwa magazi lero ndi njira yothandiza anthu, choncho musanyalanyaze njira zodziwira matenda. Pokhapokha mutayang'anitsitsa thupi lanu pokhapokha matupi awo amatha kupeweka.
Shuga wamagazi atatha kudya
Mulingo wa glucose pamimba yopanda kanthu kuchokera pa 3.3 mpaka 5.5 mmol / l, mfundozi zimagwira ntchito kwa anthu onse kuyambira zaka zoyambira kusukulu. Mu makanda, zizindikirozi ndizotsika pang'ono (kuchokera pa 2.8 mpaka 4.4), zomwe zimagwirizanitsidwa ndi kugwiritsa ntchito mphamvu kwambiri.
Kuchuluka kwa shuga kumasintha tsiku lonse., ndipo izi zimachitika chifukwa chakudya kwambiri komanso kuchuluka kwa ntchito zolimbitsa thupi. Kodi shuga mumagazi masana ndi chiyani?
Mwa abambo, kukula kwa matenda a shuga sikuchitika nthawi zambiri, komanso amafunikira kuwunika zomwe akutsatira. Pambuyo pachakudya, kuchuluka kwa shuga pambuyo pa ola limodzi kumakwera mpaka 8,9 mmol / L. Koma pang'onopang'ono msinkhu wake umayenera kukhala wachilendo.
Pambuyo pa maola awiri, magwiridwewo amatsika mpaka 6,6 mmol / L. Ndipo pambuyo pa maola 3 - 3.5, kuchuluka kwa shuga ndi chimodzimodzi pamimba yopanda kanthu. Chifukwa chake, nthawi yayitali pakati pa chakudya sayenera kupitirira maola 3-4.
Tiyeneranso kudziwa kuti azimayi kuchuluka kwa shuga kumatsika msanga, popeza kuledzera kumawonjezeka. Ichi ndichifukwa chake posakhalitsa amafuna kudya china chake chinkadya. Zophatikizidwa ndi mfundo iyi ndizowonjezera zawo pazazinthu zapa confectionery ndi ophika buledi. Mphindi 60 mutatha kudya, zizindikirazo zimachulukitsidwa kufika pa 8.8 mmol / L, ndipo simawu a matenda.
Mulingo wa shuga m'magazi umawukanso chakudya. Kuchuluka kwa zinthuzi kumawonjezeka kufika pa 7.9 - 8 mmol / l, pang'onopang'ono zizindikilo zake ziyenera kubwerera mwakale (pambuyo pa maola 2-3). Mu mwana, monga momwe zimakhalira ndi amayi akuluakulu, mphamvu zamagetsi, ndipo, motero, shuga amawonjezedwa, chifukwa nawonso alibe nkhawa kudya maswiti tsiku lonse.
Kusintha kwa glucose, komwe kumawoneka ngati kwabwino, kumawonedwa tsiku lonse. Pamagona usiku, munthu akapanda kudya kwa nthawi yayitali, kutsika kwakukulu kumachitika. Pafupifupi 3 - 4 maola ausiku, kuchuluka kwa glucose sikupitilira 3.9 mmol / l.
Zakudya zoyenera
Ndikofunikira kuti pasakhale kusinthasintha kwa zizindikiro, zazing'ono komanso zazikulu. Pofuna kupewa komanso kuthetsa matenda omwe amaphatikizidwa ndi kusintha kwa shuga, akatswiri amalimbikitsa kutsatira zakudya zoyenera. Zimakhala ndi chiyani?
Ganizirani mfundo zoyambirira zomwe zingakuthandizeni kusintha zakudya:
- Ndikofunikira kusinthana ndi zakudya 4-5 patsiku. Izi zikuthandizira kupewa kuchepa kwambiri komanso kwakanthawi kwa shuga m'magazi, chifukwa nthawi yopuma nthawi yayitali kumagwiritsa ntchito mphamvu zonse zomwe zimapangidwa ndi thupi,
- Kudyetsa magazi kuyenera kuphatikizidwanso pambali, kumalimbikitsidwa kudya magawo ochepa, koma nthawi zambiri,
- Chepetsani kugwiritsa ntchito zakudya zomwe zili ndi chakudya chambiri. Iwo, mwachidziwikire, athandizira kuwonjezera shuga, koma kwakanthawi kochepa. Komabe, okonda okoma sayenera kutaya mtima. Confectionery monga marshmallows, marmalade, chokoleti, halva amathanso kudyedwa pang'ono. Koma simuyenera kuwazunza. Uchi wathanzi ndi zipatso zouma zimapangitsanso moyo.
- Patsani zakudya ndi zakudya zopatsa mphamvu zovuta. Amathandizira pang'onopang'ono kutulutsa shuga m'magazi, komwe kumalepheretsa kuchepa kwake,
- Zosankha ziyenera kuphatikizapo zipatso ndi ndiwo zamasamba zambiri, zonse zatsopano ndi kukonzedwa. Awonetsetse kuti zinthu zopindulitsa ziyenda mthupi ndi kusintha chitetezo chokwanira,
- Kanani zakudya zamafuta ndi zokazinga. Ndi bwino kudya mafuta owiritsa, ophika ndi ophika,
- Zakudya zamafuta siziyenera kukhala zambiri, koma zakudya zopanda mafuta sizingabweretse phindu. Izi ndizofunikira kwambiri kwa anthu onenepa kwambiri,
- Kanani kapena muchepetse kugwiritsa ntchito zakumwa zoledzeretsa ndi shuga,
- Kuchulukitsa kuchuluka kwa mapuloteni muzakudya. Amakwaniritsa bwino njala komanso kudyetsa thupi, ndiye zida zomangira zazikulu.
Zakudyazo ziyenera kuphatikizapo tirigu wa tsiku ndi tsiku kapena msuzi wa tirigu wa durum, nyama yopanda kapena nkhuku, masamba, zipatso, mkaka, mafuta a masamba.
Mankhwala
Ndi chitukuko cha matenda a shuga omwe amadalira insulin, jakisoni wa insulin akuwonetsedwa. Mankhwalawa amaperekedwa pang'onopang'ono, wodwalayo amatha kudzipangira yekha jakisoni. Kugwiritsa ntchito mankhwalawa kwa moyo wonse.
Mankhwala a antidiabetesic monga mapiritsi amagwiritsidwanso ntchito. Amawalembera odwala okalamba omwe ali ndi matenda osokoneza bongo omwe amadalira shuga. Nthawi zambiri zotchulidwa mankhwala zochokera burdock.
Mankhwala osagwiritsa ntchito mankhwala
Njira zosagwiritsidwa ntchito ndi mankhwalawa zimagwiritsidwa ntchito popewa komanso zovuta kuchitira odwala shuga. Ndi chithandizo chawo, mutha kuthana ndi kuchuluka kwakuchulukirapo kwa shuga:
- Khazikitsani zakudya zoyenera. Ngati munthu ali ndi vuto la hyperglycemia, ndiye kuti zakudya zina ziyenera kuperekedwa kuchakudya:
- Zonse popanda kupatula, confectionery ndi shuga. Mutha kugwiritsa ntchito zotsekemera, koma osatengere nawo.
- Mpunga wopukutidwa woyera, utha kusinthidwa ndi bulauni kapena kuthengo,
- Zipatso zatsopano ndi zouma komanso zipatso: zipatso, maapulosi owuma, nthochi, nkhuyu, mphesa zouma,
- Zakudya zamafuta,
- Masoseji ndi zinthu zomalizidwa,
- Zisamba zokhazikitsidwa, zakumwa za kaboni.
- Siyiranitu zizolowezi zoipa (kusuta, kumwa). Zakumwa zoledzeretsa zimadzetsa kuwonjezereka ndi kuchepa kwa zizindikiro,
- Kuchita masewera. Zochita zolimbitsa thupi siziyenera kukhala zochulukirapo, koma kusakhalapo kwathunthu kumakhudza thupi lililonse. Akatswiri amalimbikitsa kuti azisamalira masewera abata, mwachitsanzo, kusambira, kuyenda, masewera olimbitsa thupi, masewera olimbitsa thupi m'mawa, yoga. Ngati pali ma contraindication, ndiye kuti ndikofunikira kuyenda maulendo ataliatali. Amaphunzitsanso minofu yonse ya thupi, kuphatikizapo mtima.
Woopsa milandu, chisamaliro chofunikira kwambiri chitha kukhala chofunikira podzisangalatsa. Izi zitha kuchitika ngati wodwalayo samatsatira zomwe wapatsidwa. Pankhaniyi, kulowetsedwa kwamankhwala kumachitika (mankhwalawa amaperekedwa kudzera mu mtsempha wa magazi) komanso ndi chithandizo chamankhwala.
Zizindikiro za hypoglycemia ndi njira zake
Ndi chitukuko cha hypoglycemia (zizindikiro za shuga m'munsimu), munthu amakhala ndi zodandaula:
- Mutu
- Kumva kwamphamvu njala
- Chivomerezero chala
- Kumva nseru
- Lethargy mthupi lonse,
- Chizungulire
- Kusokonezeka, kusokonezeka kwa chikumbumtima kumadziwika mwa anthu omwe ali ndi matenda a shuga.
Ngati munthu wazindikira yekha zomwe zili pamwambazi, ndiye kuti ndikofunikira kuchitapo kanthu kuti athedwe. Pankhaniyi, munthu akhoza kudzithandiza yekha.
Njira zothetsera hypoglycemia:
- Tiyi wokhala ndi shuga ndi chida chothandiza chomwe chimatha kuthana ndi matendawa. Njirayi ndi yoyenera ngati munthuyo ali kunyumba,
- Ndibwino kuti mutenge mapiritsi a shuga,
- Madzi othira zipatso, chakumwa chokoma cha kaboni
- Mutha kudya zopindika: chokoleti, caramel, maswiti ndi mipiringidzo, ndi zina zambiri,
- Zipatso zouma: mphesa zouma, nkhuyu ndi zina zotero,
- Mapeto ake, mutha kudya supuni kapena khungubwe la shuga woyengetsa.
Kuti mafuta osavuta azakudya azitha kumamwa mwachangu, ndikofunikira kumwa ndi madzi. Zomwe zathetsa vutoli, ayenera kuchitapo kanthu kuti akhale ndi shuga. Izi ndizofunikira kuti hypoglycemia isayambenso. Kupatula apo, mafuta osavuta owonjezera amachulukitsa shuga omwe ali nawo kwakanthawi kochepa.
Ngati wodwala yemwe ali ndi matenda ashuga akhazikika kwambiri mu hypoglycemia, ndiye kuti njira yokhazikika yothetsera shuga ndi insulin imayikidwa. Ndi chitukuko cha chikomokere, wodwalayo amaikidwa m'chipinda chothandizira kwambiri, momwe amathandizira amathandizira.
Kusintha kwa shuga m'magazi musanadye komanso pambuyo pake
Shuga wocheperako pang'ono m'magazi amatsimikizika mwa anthu usiku, pomwe zosungirako zazikuluzikuluzi zimatha. Monga tafotokozera pamwambapa, mutatha kudya, zizindikiro zimasintha m'mwamba. Monga lamulo, kusiyana kwakotsatira kumatha mukatha kudya komanso kukhala ndi njala kumakhala pafupifupi 2 mmol / L.
Ngati munthu alibe matenda a kapamba ndi endocrine, ndiye kuti kulumpha mu shuga sikumakhudza thanzi komanso sikuwonekere kunja. Koma ngati pali zovuta zaumoyo, pali mwayi wa matenda ashuga. Mkhalidwe wodwala matenda ashuga amatha kuwoneka mwa kupenda magazi pamimba yopanda kanthu ndikatha kudya.
Zizindikiro zamagalasi am'magazi, zomwe ndi chizindikiro cha dziko la prediabetesic (mmol / l):
- Pamimba yopanda kanthu - kuyambira 5.7 mpaka 6.1,
- Mukatha kudya, kuyambira 7.9 mpaka 11.
Ngati mfundo zoterezi zapezeka patadutsa masiku angapo, ndiye kuti ndichizindikiro. Ndikofunikira kufunsa dokotala yemwe azindikire zomwe zikuyambitsa ndikukupatsirani mankhwala oyenera. Izi zikuthandizira kupewa kukula kwa matenda ashuga.
Chifukwa mukatha kudya, shuga amakhala pansi pa 5 mmol / l
Nthawi zambiri, madokotala amakumana ndi chododometsa chotere mwa odwala shuga apamwamba akamaliza kudya. Komanso, Zizindikirozi sizichepa kwa nthawi yayitali. Koma ndikofunikira kudziwa kuti hypoglycemia ingachitike.
Mtundu wa shuga wosala kudya ndi mtengo wochepera 3.2 mmol / L, ndipo mutatha kudya mulingo wake umachuluka, komabe umakhala wotsika (osaposa 5 mmol / L).
Zomwe zimayambitsa hypoglycemia zitha kukhala:
- Matenda obadwa nako kwa kapamba (omwe siofala kwambiri)
- Zolakwika Zamphamvu. Kudya zakudya zopatsa mphamvu zamagulu ochulukirapo, makamaka zosavuta, kumabweretsa kupanikizana kwapancreatic. Amayamba kupanga ma insulini ambiri kuti achepetse michere yambiri. Zikatero, munthu akadya kwakanthawi kochepa amakhala ndi njala,
- Kukana kwa zinthu zomwe zimakhala ndi chakudya. Pali zakudya zambiri zochepetsa thupi zolembetsedwa motengera mfundo iyi.
- Kupsinjika kwambiri
- Insulinoma ndi kapangidwe kazotupa kamene kamapanga insulin kwambiri.
Izi zimafuna kukonza. Monga lamulo, nthawi zambiri ndikofunikira kusintha zakudya ndikukhala ndi moyo wathanzi.
Zotsatira za kupatuka kuzolowera
Kukweza ndi kutsitsa shuga msanga popanda chithandizo choyenera kumatha kubweretsa zovuta zazikulu. Ena mwa iwo atha kupha.
Zotsatira za shuga wambiri:
- Matenda a pakhungu,
- Anachepetsa chitetezo chamthupi. Ichi ndichifukwa chake njira iliyonse ya pathological yomwe imapezeka mwa odwala imatenga nthawi yayitali komanso yovuta. Ma virus ndi mabakiteriya amalowa mthupi mosavuta. Nthawi ya postoperative, komanso mabala osiyanasiyana, amachira kwakanthawi ndipo amayenda ndi supplement,
- Pali kuthekera kwakukulu kwamatayala amiyala
- Matenda a metabolism m'thupi la munthu,
- Kutseka magazi, komwe kumayambitsa magazi,
- Zotengera zimasandulika, ma hemorrhages angapo,
- Supomboembolism ya zombo zama diameter zosiyanasiyana. Pangakhale kuchepa kwa chidwi, komanso zovuta kwambiri za pathologies (myocardial infarction, stroke, infarction ya impso, pulmonary thromboembolism),
- Kuchepa kwamaso owoneka bwino, m'malo ovuta kwambiri,
- Hyperglycemic chikomokere.
Zovuta za hypoglycemia:
- Kuphwanya zinthu wamba,
- Popita nthawi, ma psychoses amakula,
- Kuchepa kwa ntchito zamaganizidwe ndi luso laukadaulo, izi zimachitika chifukwa chakuti ubongo uli mumtundu wanthawi yayitali yanjala.
- Kusokonekera kwa minofu ya mtima (ma arrhythmias a chikhalidwe china),
- Kulephera kwa mtima ndi matenda a mtima,
- Kuukira kwa mtundu wa khunyu,
- Cerebral edema,
- Hypoglycemic chikomokere.
Kukonzekera mayesowo
Kuyesedwa kwa shuga kumatha kutengedwa ku chipatala kapena ku labotale yolipira. Mwazi umachotsedwa kuchokera ku chala kapena kuchokera mu mtsempha.
Kuti zotsatira zake zikhale zokwanira, malamulo ena okonzekera ayenera kusamalidwa:
- Kumbukirani kuti musanapite ku labotale simungathe kudya m'mawa. Magazi amatengedwa m'mawa komanso pamimba yopanda kanthu,
- Tsiku loti azindikire matenda anu, muyenera kupewa kumwa,
- Zakudya zam'mawa tsiku lotsatira ziyenera kukhala zofanana ndi nthawi zonse, osafunikira kukana kapena kuchepetsa kudya zamafuta. Izi zitha kutsogolera zotsatira zake ndikuwongolera pang'ono,
- Ngati munthu akuchita nawo masewera, ndiye kuti tsiku loti ayesedwe, kuchita masewera olimbitsa thupi moyenera kuyenera kusiyidwa. Ndikwabwino kukhazikitsanso zolemba zolimbitsa thupi tsiku lina,
- Pewani zochitika zodetsa nkhawa, musadere nkhawa musanatenge magazi,
- M'mawa mutha kumwa kapu imodzi yamadzi, ndibwino kukana kutsuka mano. Zida zam'maso zimakhala ndi shuga kapena choloweza, chomwe chimapangitsa kuti magwiridwe antchito awonjezeke.
Malowa amapangira nkhonya moledzera. Wothandizira labotale amatenga kuchuluka kofunikira kwachilengedwe, pambuyo pake mowa wosalala umayikidwa pamalo opangira. Ngati magazi amatengedwa kuchokera m'mitsempha, ndiye kuti ndikofunikira kuti mugwade nkono ndi m'chiuno ndikumugwira kwa mphindi 10.
Kuzindikira matenda ashuga
Pa chithandizo choyambirira cha wodwalayo, ndikofunikira kusonkhanitsa mbiri yatsatanetsatane ya moyo ndi matenda. Ziyenera kudziwidwa ngati munthu ali ndi chibadwire. Ngati achibale omwe ali ndi matendawa amakhala ndi matendawa, ndiye kuti mwayi wokukula kwake umakula kwambiri. Ndikofunikanso kufunsa mafunso okhudza matenda akale.
Dziwani zizindikiro za matenda a shuga poyesa ndi kufunsa wodwalayo:
- Zouma zam'mimba,
- Kuchulukitsa ludzu
- Polyuria (kukodza pafupipafupi komanso kopanda tanthauzo),
- Khungu loyera
- Azimayi amatha kuvutitsidwa ndi kukhumudwa kwakanthawi,
- Zilonda, ma pustules pakhungu.
Laboratory matenda a shuga:
- Kuyesa kwa shuga,
- Kuyesedwa kwa kutsimikiza kwa shuga. Imachitika ndi katundu. Choyamba, wodwalayo amatenga magazi pamimba yopanda kanthu, kenako ndikupereka madzi akumwa ndi shuga. Kusintha kwa magazi mobwerezabwereza kumachitika pambuyo pa maola 1 ndi 2,
- Kuyesa kwamkodzo kwamtundu wonse komwe kungathandize kuwona kukhalapo kwa glucose, maselo oyera am'magazi, komanso mapuloteni mumkodzo. Nthawi zambiri, zizindikirozi ndi 0,
- Urinalysis kuti mupeze matupi a ketone (acetone),
- Kuyesa kwamwazi wamagazi. Njira yodziwikirayi imakuthandizani kuti mufufuze ndikuzindikira zovuta zamagulu amkati,
- Kuyang'anira tsiku ndi tsiku m'magazi. Masana panthawi inayake, magazi amatengedwa kuti adziwe kuchuluka kwa shuga m'menemo,
- Kulumikizana ndi ophthalmologist kuti muwone momwe zida zamagetsi zimawonera,
- Angiografia yamadzi am'munsi - kafukufukuyu cholinga chake ndi kuzindikira zizindikiro zoyambira za "phazi la matenda ashuga",
- Electrocardiography (ECG) cholinga chake ndicho kuzindikira za mtima wazomwe zimayambira motsutsana ndi matendawa.
- Ultrasound yam'mimba ndi kwamikodzo kachitidwe.
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