Zotsatira zoyipa: kuopsa kwa shuga m'magazi ndi momwe mungapewere zovuta

Aliyense atha kukhala ndi funso loti chizindikiritso monga shuga wambiri chimatanthawuza chiyani, choti achite kuti abwezeretse moyenera, ndipo zotsatira zake zingakhale ndi zotsatilazi ziti? Komabe sianthu onse omwe angapeze yankho loyenera lavutoli. Monga ziwonetsero zachipatala zikusonyezera, ngakhale munthu ataphunzira kuchokera kwa dokotala kuti wapitilira muyeso wamagazi, samayankha izi moyenera. Zotsatira za kudzinyalanyaza kotero zitha kukhala zowopsa mtsogolo. Mulimonsemo, aliyense ayenera kudziwa chomwe chizindikiritso cha thupi chimatsogolera. Choyamba, shuga wambiri amawonetsa kupezeka kwa matenda monga matenda a shuga.

Zokayikitsa zam'mwazi wambiri :atani?

Mwachiwonekere, kuti mudziwe zolondola kwambiri, ndikofunikira kuchita njira zingapo - kuyesa mayeso a zinthu panthawi zosiyanasiyana, musanachite masewera olimbitsa thupi, ndi zina zotere. n`zotheka kunena kupezeka kwa hyperglycemia. Nthawi zambiri, chizindikirochi chimayenera kukhala pamtundu wa mitengo kuyambira 4.5 mpaka 5.5 mmol / lita. Zimatsimikiziridwa kuti shuga imayambitsa kuwonongeka pang'onopang'ono kwa mtima, komanso kuphwanya kapangidwe ka impso, maso, dongosolo lamanjenje ndi dongosolo la mitsempha ndi mitsempha yam'munsi. Ngakhale izi zisanachitike, munthu amakhalabe pachiwopsezo. Mwachitsanzo, palibe chomwe chimayambitsa kusokonekera kwa chitetezo chamthupi monga shuga wambiri. Kuchiza thupi chifukwa cha vutoli ndi njira yayitali komanso yodula, choncho ndibwino kuti muzipewa nthawi.

Inde, mutha kuphunzirapo za vutoli popita ku chipatala komwe akukhalako, koma sichingakhale chopanda pake kudziwa zazikulu zomwe zikuwonetsa. Ndiye, kodi shuga wamagazi ambiri amadziwika bwanji? Choyamba, chizindikiro choyamba cha matenda oterewa chimapita kawiri kawiri kupita kuchimbudzi. Kachiwiri, munthu amazunzidwa ndikumva ludzu louma khosi, komwe kumatha kusandulika pakhungu. Palibe chizindikiro chofunikanso kwambiri chomwe chingatengedwe kutopa mwachangu ndi kugona nthawi zonse. Ndipo - ndipo pomaliza - kumverera kwamphamvu kwa njala, komwe kumapangitsa kuti pakhale chakudya chamagulu ambiri komanso kudya kwambiri, komwe pakokha kumabweretsa kuwonjezeka kwa mafuta m'thupi.

Popeza tazindikira chimodzi mwazizindikiro zomwe tafotokozazi, munthu aliyense wamisala amafunsira nthawi yomweyo mafunso amomwe angachite kuti achepetse magazi ambiri, zomwe angachite kuti izi zisachitike kachiwiri mtsogolo. Inde, muyenera kutembenuka kwa katswiri wodziwa bwino zamankhwala ndipo, kutengera malingaliro ake, kuchita zochitika zosiyanasiyana. Ngati izi sizotsalira za shuga zomwe zimadalira insulin, ndiye kuti palibe chodandaula: mutha kuchita ndi mankhwala omwe amapezeka popanda kugwiritsa ntchito mankhwala.

Zakudya za shuga

Choyamba, ziyenera kudziwika kuti zakudya zosankhidwa bwino zimachepetsa shuga la magazi. Zakudya ziyenera kukhazikitsidwa ndi zakudya zomwe zimakhala ndi ma carbohydrate okhala ndi index yotsika ya glycemic komanso kuchuluka kwakukulu kwama protein. Mwachitsanzo, ikhoza kukhala zakudya zam'madzi, mkaka ndi nyama, komanso masamba ndi zipatso, timadziti tothiriridwa bwino, etc. Chofunikira kwambiri ndicho zakudya zoyenera - muyenera kudya pafupipafupi (kangapo ka 6 patsiku), koma pang'ono ndi pang'ono, kudya kwambiri

Inde, posankha njira yochepetsera shuga wambiri, zomwe mungachite kuti muchepetse, zolimbitsa thupi zimagwira ntchito yayikulu. Chifukwa cha izi, minofu yambiri imayendetsedwa, yomwe ngakhale ikapuma, imayendetsa mafuta ochulukirapo m'thupi.

Ngati shuga wamwazi ndiwokwera, amatanthauza chiyani?

Ngati shuga wamwazi wadutsa pang'ono, mpaka 7 -10 mmol / l, palibe glucose mumkodzo.

Kubwezera pang'ono kwa hyperglycemia kumachitika, kusintha kwakung'ono kumawonedwa kuchokera ku impso, mitsempha yamagazi, maso, miyendo.

Ndi kuwonjezereka kwa shuga, zovuta zamagulu, zomwe zimafunikira chithandizo chamankhwala cham'tsogolo. Mlingowo ukakwera 13 mg mmol / l mumkodzo, shuga ndi mapuloteni amapezeka, ziwalo zamkati zimakhudzidwa kwambiri.

Magawo 10-20

Ngati shuga la magazi alumphira pa 20 mayunitsi, masomphenyawo amayamba kutsika kwambiri, matenda oopsa oopsa, kuchuluka kwa zotulukapo kumachitika.

Mivuto yayikulu ikayamba, impso zimakana kugwira ntchito moyenera. Zilonda za matenda ashuga zimawonekera.

Zachilengedwe

Wodwala akapezeka kuti alibe matenda ashuga, ndiye kuti shuga atuluka chifukwa cha:

• Zakudya zovuta zopatsa mphamvu zopatsa mphamvu
• kusowa zolimbitsa thupi,
• uchidakwa
• Nthawi zambiri amakhala pamavuto.

Mwa akazi, shuga amadumpha asanakwane msambo.

Zamatsenga

Dongosolo lamunthu la endocrine ngati likulephera pantchito yake limagwirizana ndi zovuta zina za m'magazi.

Kusintha kwa ntchito ya chiwindi, kapamba kumayambitsa kukwera kwa chinthu m'magazi.

Kugwiritsa ntchito molakwika mankhwala a okodzetsa ndi kugwiritsa ntchito mahomoni mosalekeza, njira zakulera zimatha kuyambitsa. Amayi oyembekezera amakhala ndi vuto la matenda ashuga.

Matenda owopsa omwe angasonyeze kuwonjezeka kwa shuga

Matenda a shuga amawopa mankhwalawa, ngati moto!

Muyenera kungolemba ...

Kuwonjezeka kwa glucose wa plasma ndi chizindikiro cha kukhalapo kwa matenda a endocrine, mavuto aumoyo a impso kapena chiwindi, kapamba. Vuto lomwe mwapezeka nalo munthawi yake lithandiza kupewa matenda a mtima komanso sitiroko.

Matenda a shuga

Zina mwazomwe zimayambitsa kuchuluka kwa shuga m'magazi ndi matenda a shuga. Matendawa ndi owopsa m'mitsempha yamagazi.

Kugonjetsedwa kwawo kumabweretsa khungu. Kuphwanya magazi kumakhudza ntchito ya erectile, impso.

Anthu odwala matenda ashuga amadwala matenda opumira komanso matenda a mtima.

Kodi nchiyani chomwe chikuwopseza kuchuluka kwa glucose wokwanira kwa munthu wathanzi?

Kuchuluka kwa glucose okwanira kumayambitsa matenda a shuga, kunenepa kwambiri, komanso mavuto a mtima.

Matenda azitsamba amafalikira.

Kafukufuku wasonyeza kuti pali mgwirizano pakati pa kudumpha mu shuga ndi khansa ya m'mawere.

Zotsatira za shuga wambiri mu odwala matenda ashuga

Zotsatira zosasinthika za kukwera kwa glucose ovuta kwambiri ndi kuperewera kwa hyperglycemic. Chifukwa chosowa mphamvu, maselo sangathe kupanga mapuloteni ndi lipids. Hyperglycemia isanachitike kholo.

Vutoli limadziwika ndi ludzu mkamwa, kukodza pafupipafupi, kupweteka mutu, kuyabwa m'dera lamtundu. Wodwala amakhala ndi mseru komanso kusanza, atha kuzindikira.

Pa odwala matenda ashuga anati:

1. retinopathy. Ndi matendawa, retina imakhudzidwa, yomwe nthawi zina imabweretsa khungu lathunthu,
2. matenda ashuga. Gangrene amakula. Woopsa, phazi limadulidwa,
3. nephropathy. Kulephera kwamkati kumayamba.

Mwa anthu odwala matenda ashuga, khungu limakhala louma, kununkhira kwa acetone kuchokera mkamwa kumawonekera, miyendo imalephera. Mukapanda kuyamba mankhwala mankhwala munthawi yake, zotsatira zakupha ndizotheka.

Zoyenera kuchita

Ndi kuchuluka kwa shuga m'magazi, chithandizo chiyenera kuyambika nthawi yomweyo.

Matenda a shuga a digiri yachiwiri amawongoleredwa potsatira zakudya zamafuta ochepa, chifukwa nthawi zambiri zimagwirizanitsidwa ndi kunenepa kwambiri. Ndi mtundu woyamba wa matenda, muyenera kugwiritsa ntchito mankhwala a insulin.

Khalani ndi moyo wathanzi

Mu mawonekedwe a plasma glucose indices, dosed zolimbitsa thupi zimagwira ntchito yofunika kwambiri, yomwe imasankhidwa malinga ndi momwe wodwalayo alili.

Kukhala ndi moyo wogwira ntchito kumathandizira kuthana ndi kunenepa kwambiri komanso kulimbitsa minofu. Nthawi zambiri amakalasi ndi mphindi 30 tsiku lililonse.

Odwala ayenera kuyenda mu mpweya wabwino, kuyenda masitepe, kuchita madzi aerobics.

Anthu odwala matenda ashuga amalephera kumwa mowa.

Idyani zakudya zopatsa thanzi

Pazakudya, ndikofunikira kutsatira lamulo la kusankha zakudya zokhala ndi index yotsika ya glycemic. Izi zikuphatikiza:

• tofu tchizi
• zakudya zam'nyanja: nkhanu, nkhanu,
• masamba: dzungu, kabichi, zukini, tsabola wa belu, anyezi,
• masamba ndi letesi,
• selari, sipinachi,
• mitundu yazipatso (maapulo, mapeyala),
• bowa
• mtedza wocheperako (mtedza, ma almond),
• sinamoni
• nyemba
• oat ndi buckwheat.

Zopangira mkaka zizisankha yogurts zamafuta ochepa, opanda shuga. Ndikwabwino kugwiritsa ntchito mafuta a maolivi kapena opangidwapo kuvala.

Zotsatirazi ziyenera kupewedwa:

• shuga woyengetsa ndi chakudya pogwiritsa ntchito,
• mayonesi ndi msuzi wina,
• masoseji,
• batala
• mikate yoyera
• kirimu yogurt yabwino
• mankhwala achokoleti
• makeke ndi buns.

Ndikofunikira kwathunthu kukana yokazinga, zokometsera, mafuta mafuta.

Gwiritsani ntchito mankhwala azitsamba

Chida chabwino kwambiri polimbana ndi matendawa ndi maphikidwe a mankhwala azikhalidwe, omwe angagwiritsidwe ntchito kunyumba:

1. decoction wa assen bark. Mitundu iwiri yotsekemera ya mbewuyi imawonjezeredwa ndi theka la madzi, owiritsa kwa mphindi makumi atatu. Msuzi umapanikizidwa kwa maola atatu, umasefa ndi kumwa chikho cha kotala katatu patsiku. Njira ya mankhwala ndi milungu itatu. Pa mankhwala, muyenera kutsatira zakudya,
2. kulowetsa nyemba zofiira. Chipatso chimodzi chimathiridwa ndi kapu yamadzi, amadzimadzi amatsalira m'malo amdima usiku. Khalani ndi chakumwa m'mawa.

Makanema okhudzana nawo

Kodi chiwopsezo cha shuga wambiri ndi chiyani? Mayankho mu kanema:

Shuga wowonjezereka wa m'madzi amenya thupi lonse, amawononga mitsempha yamagazi, chiwindi, ndi impso. Kupatuka kuchoka ku mtundu wa 5.5 mmol / L - njira yolunjika ku matenda ashuga, hypoglycemia, ketoacidosis, lactic acidosis. Anthu omwe ali ndi shuga ambiri amakhala ndi vuto lamanjenje, ubongo, komanso mafupa.

Odwala amachepa miyendo chifukwa cha matenda ashuga oyamba. Kuopsa kwa stroke komanso matenda a mtima ndikwabwino. Zinthu zoterezi zitha kupewedwa ngati, ngati mukulumikizana ndi shuga m'magazi, kutsatira zakudya zamafuta ochepa, kusewera masewera, ndikugwiritsa ntchito insulin mankhwala pazizindikiro zamankhwala.

Re: Ndi zovuta zanji zama shuga osiyanasiyana zomwe zimawoneka

Re: Ndi zovuta zanji zama shuga osiyanasiyana zomwe zimawoneka

Ndikuganiza kuti wolemba akufuna kudziwa momwe zimachitika kuti mavuto azikhala ndi chiphuphu chake, zomwe nthawi zambiri zimakhala zabwinobwino, koma sizoyenera. Izi ndizosangalatsa kwa ine, kudzera njira.

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Mwa uthengawu, wolemba MayiKosti adathokoza: Megavirus74 (Aug 28, 2014 10:29 AM)
Kukonda: 1.22%

Re: Ndi zovuta zanji zama shuga osiyanasiyana zomwe zimawoneka

Re: Ndi zovuta zanji zama shuga osiyanasiyana zomwe zimawoneka

Re: Ndi zovuta zanji zama shuga osiyanasiyana zomwe zimawoneka

Inde, chimodzimodzi, zikomo.

Zaka zinayi zapitazo, neuropathy idapezeka, koma popita nthawi anayesanso mayeso ndipo madotolo akuti zinthu zikuyenda bwino.
Eya, pali kuwonongeka kwa msomali pachala chala, ndikuganiza, kogwirizana ndi matenda ashuga, chifukwa othandizira antifungal samathandiza.
Kupanda kutero, zonse zili mu dongosolo.

Ndikudziwa zambiri za odwala matenda ashuga okhudza matenda anga, mwachidziwikire mumangowerenga funso langa molakwika.
Zimachitika

Ndiye, kodi wina angandiyankhe funso?
Kapena ndiyenera kungodikira chipongwe kuchokera kwa anthu omwe sanadziwe zomwe zachitika?

Mavuto a shuga ndizomwe zikuyambitsa matenda olumala komanso kufa kwa anthu ambiri. Kodi kukula ndi mtundu wa nthawi zovuta za matenda ashuga zimatengera mtundu? Chifukwa chiyani zovuta izi zimayamba ndipo zingapewe matenda ashuga? Mafunso awa ndi enanso amafunsa wodwala aliyense omwe ali ndi matendawa.

Munkhani yanga yaposachedwa, "Chifukwa chiyani anthu omwe amadwala matenda ashuga amafa?" Ndinafotokoza zovuta zomwe zikufunika komanso zomwe zikuyenera kuchitika kuti izi zisachitike. Tsopano ndikukonzekera kuyambitsa mndandanda wonse wazophatikizira zovuta zokha. Lero ndilongosola zovuta zomwe zili, ndikumbutsa chifukwa chomwe zimakhalira ndikulankhula za mfundo za kupewa zovuta zosakonzekera.

Monga ndanenera m'nkhaniyi “Kodi chiwopsezo cha matenda ashuga ndi chiani? Ndipo kodi nzoopsa nkomwe? ", Odwala samwalira ndi matenda monga awa, koma chifukwa zovuta. Ichi ndichifukwa chake ndikofunikira kuzizindikira koyambirira, komanso kupewa kuti zisachitike. Koma yachiwiri nthawi zina imakhala yovuta kwambiri, ndipo ndifotokoza chifukwa chake zili choncho. Kafukufuku akuwonetsa kuti panthawi yopezeka ndi matenda ashuga amitundu iwiri, pafupifupi theka la odwala amakhala ndi zovuta panthawi inayake. Izi ndichifukwa matendawa amapezeka mochedwa mgulu la anthu. Poyamba, kuwonjezeka kwa shuga m'magazi sikungadziwike konse, osatchula zochitika monga kuloleza kwa glucose kapena shuga wothamanga, omwe ndi prediabetes.

Asayansi pakuwona kwawo adazindikira kuti mpaka chizindikiritso cha matenda a shuga chikuchitika, munthu amatha kukhala moyo ndikugwira ntchito ndi shuga wambiri osayikira za zaka 5. Nthawiyi yomwe ndi yokwanira kuyambitsa zovuta za matenda ashuga. Kuphatikiza apo, asayansi akukhulupirira kuti kale pamlingo wa prediabetes, njira zam'magazi mu ziwonetsero zimayambira, ndipo ndikupanga matenda owonekeratu, kusintha kumeneku kumangokulitsidwa.

Ichi ndichifukwa chake ndalama zabwino zimagawidwa padziko lonse lapansi kuti anthu azindikire kuti ali ndi malire ndi matenda ashuga. Mdziko lathu, kuyezetsa kuchipatala komweko kunachitikanso, komwe endocrinologist adazindikira anthu omwe ali pachiwopsezo chachikulu chotenga matenda am'mimba ndikumutumiza kukamuwonjezera. Monga momwe ndikudziwira, izi zinali kumayambiriro kwa pulogalamu ya Zaumoyo, momwe ndinaliri ndi mwayi wokwanira nawo nthawi yanga, ndipo tsopano endocrinologist sawerengedwa mndandanda wazomwe zimakhudzidwa ndikuyesa kwa madokotala.

Ndizomvetsa chisoni kuti zonsezi zinachitika, koma mukudziwa kale za zomwe zimayambitsa matendawa, zomwe ndidalemba munkhani ija "Kodi kulekerera shuga kumatha bwanji?" Kumeneku ndidalemba zoyenera kuchita ngati zikapezeka kunyumba kapena kwa abale anga.

Odwala omwe ali ndi matenda amtundu woyamba amakhala osavuta pankhaniyi. Matenda awo amabwera pomwepo, ndipo njira zothetsera shuga wambiri zimangotengedwa nthawi yomweyo. Mgulu ili la anthu, ngati mulingo wambiri wa glucose suwoneka, zovuta zimayamba kukula mkati mwa zaka 5 kuyambira matenda atangoyambika. Ngati musungitsa shuga mwanjira yabwinobwino, komanso kupewa kusinthasintha kwakukulu m'magazi a shuga masana (osaposa 5 mmol / l), ndiye kuti popanda zovuta zovuta mutha kukhala ndi moyo motalika monga momwe zimaperekedwera.

Chifukwa chake, ndikuganiza kuti ndakukhulupirirani kuti simuyenera kuopa matenda ashuga, koma zovuta zake. Tsopano kodi zovuta ndizotani.

Mavuto onse amatha kugawidwa m'magulu awiri akulu:

Zovuta zazovuta - Awa ndi mikhalidwe yomwe imafunika kulowererapo ndi kuthandizidwa pompopompo, chifukwa ngati izi sizinachitike, munthuyo akhoza kufa. Mavuto owopsa amayamba chifukwa cha kuchuluka kwa shuga m'magazi ndipo amagawidwa kukhala:

• Mikhalidwe yokhudzana ndi kuchepa kwa shuga wamagazi (hypoglycemia ya kusiyanasiyana kwa matendawa ndi chifuwa cha hypoglycemic)
• Mikhalidwe yokhudzana ndi kuchuluka kwa shuga m'magazi (ketosis, ketoacidosis, ketoacidotic chikomokere, matenda a hyperosmolar)

Pazokhudzana ndi shuga wochepa, ndalemba kale kakalata, "Amayambitsa ndi Zizindikiro za Kutha kwa Magazi A shuga," ndipo titha kuwerenga. Ndiyenera kulembabe za mikhalidwe yokhala ndi shuga wambiri.

Mavuto aakulu - Awa ndi mikhalidwe yomwe imayamba pang'onopang'ono zaka zingapo mothandizidwa ndi kuchuluka kwa shuga m'magazi.Kuchuluka kwa shuga m'magazi kumakhala ndi poizoni m'thupi ndi m'thupi, ndipo pang'onopang'ono kumapangitsa kusintha kosasintha. Zida za matenda a shuga ndi khoma lamkati la ziwiya (intima), gawo la malekezero amitsempha, ndi ziwalo zomwe zikulunjikirane, ndizo ziwiya za maso, impso, malekezero am'munsi, mtima, ubongo, komanso mathero amitsempha am'munsi ndi ziwalo zamkati.

Pachifukwa ichi, pakati pazovuta zovuta zitha kudziwika:

• matenda ashuga retinopathy (kuwonongeka kwa maso)
• matenda ashuga nephropathy (kuwonongeka kwa impso)
• matenda ashuga macroangioangiopathy a m'munsi malekezero (pang'onopang'ono, phokoso la matenda ashuga)
• diabetesic encephalopathy (kuwonongeka kwa ubongo)
• diabetesic zotumphukira polyneuropathy (kuwonongeka kwa malekezero amitsempha am'munsi komanso otsika)
• diabetesic autonomic neuropathy (kuwonongeka kwa mathero a mitsempha ya Autonomic mantha a ziwalo zamkati)
• diabetesic osteoarthropathy (kuwonongeka kozungulira)

Kuphatikiza apo, matenda oopsa a hyperglycemia (monga momwe madokotala amachitcha kuti chiwonjezeko cha shuga) ndi chimodzi mwazomwe zimatsogolera pakupanga matenda a mtima ndi zovuta zake (kulowerera kwa myocardial), chifukwa zimawononga kwambiri khoma la ziwiya zam'magazi.

Ngati palinso matenda oopsa oopsa, ndiye kuti matenda a shuga amakhalanso limodzi amayamba kuwonongeka koyambirira, komanso imathandizira kukulitsa kwamitsempha yamagazi.

Monga mukuwonera, pali zovuta zambiri. Mashuga okwatsidwa amakhudza pafupifupi machitidwe ndi ziwalo zonse. Ndipo mtsogolomo ndidzalankhula zambiri mwatsatanetsatane, motero ndikukulimbikitsani lembetsani ku zosintha za blogkuti musaphonye mfundo zofunika.

Koma kodi masiku ano mungatani? Kupatula apo, gawo lirilonse laling'ono ndi chiyambi cha njira yayikulu, muyenera kungopanga. Choyamba, muyenera kuchotsa zomwe zimayambitsa - shuga wambiri. Mtsogolomo, munkhani iliyonse yokhudza zovuta zina, ndilankhula za mtundu wina wa chithandizo, koma sizimapatula mwayi wogwira ntchito m'magazi anga a shuga. Kumbukirani, palibe mankhwala atsopano omwe angakupulumutseni ku zovuta zomwe muli nazo ngati muli ndi shuga.

Tiyeneranso kukumbukira kuti vuto lililonse la matenda ashuga silikhala ndi vuto lililonse, i.e., gawo, pambuyo pake palibe lomwe lingathandize, ngakhale kuphatikiza shuga. Pakadali pano, kukana kokha kupititsa patsogolo kumakhalabe kotheka, kuti sikukufika poipa, koma sikungobwezeretsanso otaika.

Chifukwa chake, musataye nthawi, yambani kuchita zinthu zothandiza kuti muchepetse shuga, ngati alipo, lero. Mawa mwina zachedwa kwambiri.

Kodi chikufunika kuchitidwa ndi chiyani kuti shuga azitha kukhala wathanzi? Ndalankhula mobwerezabwereza za izi m'malemba anga, koma ndizibwereza.

Ndi pomwe mungayambire. Pomaliza, ndikufuna kunena kuti munthu aliyense wodwala matenda ashuga ayenera kupezeka chaka chilichonse ndi zovuta za matenda ashuga. Munali liti komaliza kudutsa akatswiri?

Masana abwino Chonde ndiuzeni komwe matenda a shuga amayambira mthupi. Zikomo

Yankho la funso:
Masana abwino

Mukamayesa magazi, wodwalayo amatha kudziwa kuti ali ndi shuga wambiri. Kodi izi zikutanthauza kuti munthu ali ndi matenda a shuga komanso nthawi zonse pamakhala kuchuluka kwa shuga m'magazi a shuga?

Monga mukudziwa, matenda a shuga ndi matenda omwe amapezeka ngati pali kusochera kwa insulini ndi thupi kapena chifukwa cholowetsedwa bwino ndi timadzi ta ma cell.

Insulin, nayonso, imapangidwa pogwiritsa ntchito kapamba, imathandiza kukonza ndikuphwanya shuga m'magazi.

Pakadali pano, ndikofunikira kumvetsetsa pamene shuga ikhoza kuchuluka osati chifukwa cha kukhalapo kwa matendawa. Izi zimatha kuchitika ndi chifukwa cham'mimba, ndi nkhawa kwambiri, kapena mutadwala kwambiri.

Pankhaniyi, shuga wowonjezereka amakhala ndi kwakanthawi, pambuyo pake zizindikirazo zimabwereranso. Njira zoterezi zimatha kukhala chisonyezo cha matendawa, koma odwala sazindikira.

Wodwala akayamba kukweza shuga m'magazi, thupi limayesa kunena kuti ndikofunikira kuchepetsa zakudya zomwe zili ndi chakudya.

M'pofunikanso kukayezetsa kuti muwone ngati pali kapamba. Kuti muchite izi, adotolo amafotokozera ma ultrasound, kuyezetsa magazi kwa kupezeka kwa ma pancreatic enzyme ndi urinalysis pamlingo wa matupi a ketone.

Popewa kukula kwa matenda ashuga munthawi yake, ndikofunikira kusintha zakudya ndikupitiliza kudya pazizindikiro zoyambirira za matenda.

Patatha sabata limodzi kuchokera kuwonjezeka kwa shuga, muyenera kuyesanso magazi. Ngati zizindikirozo zikadapitilirabe ndipo zimapitilira 7.0 mmol / lita, dokotala amatha kudziwa matenda a prediabetes kapena shuga.

Kuphatikiza pali zochitika pamene wodwala amakhala ndi matenda ashuga, pomwe kuthamanga kwa shuga m'magazi kumadutsa malire.

Mutha kukayikira matenda ngati munthu akumva ululu pamimba, nthawi zambiri amamwa, pomwe wodwalayo amachepetsa kwambiri,, kapena, kuwonjezera kuchuluka.

Kuti mupeze matenda am'mawa, muyenera kupatsa mayeso okhudzana ndi glucose. Pankhaniyi, kuwunika kumachitika pamimba yopanda kanthu ndikatha kumwa njira ya shuga. Kuwunikira kwachiwiri sikuyenera kupitirira 10 mmol / lita.

Kukula kwa matenda ashuga kungayambitse:

• Kuchulukitsa thupi
• Matenda a kapamba
• Kupezeka kwa matenda akulu,
• Zakudya zopanda pake, kudya mafuta ambiri, yokazinga, kusuta,
• Munakumana ndi zovuta zopsinja
• Kusiya nthawi. Mimba, zovuta zakuchotsa mimba,
• Mowa woledzera
• Kukhalapo kwa kachilombo koyambitsa matenda kapena kuledzera,
• Kudziletsa.

Kodi ndi dokotala liti amene amadwala matenda ashuga?

1. Kuthamanga shuga wamagazi kumayesedwa kuti ndikuchokera 3.3 mpaka 5.5 mmol / lita, maola awiri mutatha kudya, glucose amatha kukwera mpaka 7.8 mmol / lita.
2. Ngati kusanthula kwawonetsa zotsatira za 5.5 mpaka 6.7 mmol / lita pamimba yopanda kanthu ndipo kuyambira 7.8 mpaka 11.1 mmol / lita imodzi mukatha kudya, kupezeka kwa vuto la shuga.
3. Matenda a shuga amakhalapo ngati zizindikirozo pamimba yopanda kanthu zikuposa 6.7 mmol ndi maola awiri mutatha kudya zoposa 11.1 mmol / lita.

Kutengera ndi zomwe zaperekedwa, ndikotheka kudziwa kuchuluka kwa shuga mellitus osati m'makoma a chipatala, komanso kunyumba, ngati mukuyesa magazi pogwiritsa ntchito glucometer.

Momwemonso, zizindikirozi zimagwiritsidwa ntchito kuti zitsimikizire momwe chithandizo cha matenda a shuga chikugwirira ntchito. Kwa matenda, amaonedwa kuti ndi abwino ngati magazi a shuga ali pansi pa 7.0 mmol / lita.

Wodzipereka, Guseva Yu.A.

Ngati muwerenga izi, mutha kuzindikira kuti inu kapena okondedwa anu mukudwala matenda ashuga.

Tinachita kafukufuku, tinaphunzira zambiri za zida ndipo koposa zonse tinayang'ana njira ndi mankhwala ambiri a shuga. Chigamulochi ndi motere:

Ngati mankhwalawa onse akaperekedwa, zinali zotsatira zosakhalitsa, atangomaliza kudya, matendawa amakula kwambiri.

Chithandizo chokhacho chomwe chapereka zotsatira zabwino ndi Dianormil.

Pakadali pano, awa ndiye mankhwala okhawo omwe amachiritsiratu matenda ashuga. Dianormil adawonetsa chidwi chachikulu magawo a shuga.

Tidafunsa Unduna wa Zaumoyo:

Ndipo kwa owerenga tsamba lathu lino mwayi
khalani ndi dianormil ZAULERE!

Yang'anani! Milandu yogulitsa Dianormil yabodza tsopano.
Mukayika lamulo pogwiritsa ntchito maulalo pamwambapa, mumatsimikiziridwa kuti mudzalandira malonda kuchokera kwa wopanga wamkulu. Kuphatikiza apo, mukamayitanitsa pa tsamba lovomerezeka, mumalandira chitsimikizo cha kubweza (kuphatikizapo ndalama zoyendera) ngati mankhwalawo alibe.

Shuga wambiri m'magazi a shuga kwa odwala matenda ashuga: malire oyenera

Matenda a shuga amakhalapo nthawi zonse amapezeka ndi shuga wambiri. Komabe, mwa odwala ena, kuchuluka kwa shuga kumatha kupitilira pang'ono pazomwe zimakhazikitsidwa, pomwe mwa ena kumatha kufikira gawo lovuta.

Kuchuluka kwa shuga m'thupi ndi chofunikira kwambiri pothandizira bwino matenda a shuga - ndikamakulirapo, matendawo akamakula. Mkulu shuga wambiri amachititsa kuti pakhale zovuta zambiri, zomwe zimapangitsa kuti pakhale nthawi yambiri kuti masomphenyawo asamaonekere, azidulidwa mathetsedwe, kulephera kwa impso, kapena mtima.

Chifukwa chake, munthu aliyense yemwe ali ndi matenda oopsawa ayenera kukumbukira kuchuluka kwa shuga m'magazi omwe angayambitse wodwala komanso zomwe zingachitike chifukwa chotsatira.

Monga mukudziwa, kuchuluka kwa shuga musanadye kuchokera pa 3.2 mpaka 5.5 mmol / L, mutatha kudya - 7.8 mmol / L. Chifukwa chake, kwa munthu wathanzi, zofunikira zilizonse za glucose wamagazi pamwamba pa 7.8 ndi pansi pa 2.8 mmol / l zimawerengedwa kale kuti ndizovuta ndipo zimatha kuyambitsa zovuta zina mthupi.

Komabe, mwa anthu odwala matenda ashuga, kuchuluka kwa shuga m'magazi kumakhala kotalikirapo ndipo makamaka zimadalira kuopsa kwa matendawa ndi zina zomwe wodwalayo ali nazo. Koma malinga ndi ambiri a endocrinologists, chizindikiritso cha glucose m'thupi pafupi ndi 10 mmol / L ndizofunikira kwa odwala ambiri omwe ali ndi matenda ashuga, ndipo owonjezera ake ndi osayenera.

Ngati magazi a munthu wodwala matenda ashuga aposa mulingo wabwinobwino ndikukwera pamwamba pa 10 mmol / l, ndiye kuti izi zimamuwopseza ndi matenda a hyperglycemia, omwe ali oopsa kwambiri. Kuphatikizidwa kwa glucose 13 mpaka 17 mmol / l kale kumabweretsa chiopsezo m'moyo wa wodwalayo, chifukwa zimapangitsa kuchuluka kwakukulu mu magazi a acetone komanso kukula kwa ketoacidosis.

Vutoli limapatsa chidwi kwambiri mtima ndi impso za wodwalayo, ndipo zimapangitsa kuti madzi ake achepetse madzi. Mutha kudziwa mulingo wa acetone ndi fungo lokhazikika la mkamwa kuchokera pakamwa kapena ndi zomwe zili mkodzo pogwiritsa ntchito zingwe zoyeserera, zomwe tsopano zikugulitsidwa m'mafakitala ambiri.

Mulingo woyenerera wa shuga wamagazi pomwe wodwala matenda ashuga amatha kusokonezeka kwambiri:

1. Kuyambira 10 mmol / l - hyperglycemia,
2. Kuyambira 13 mmol / l - pachimodzimodzi,
3. Kuyambira 15 mmol / l - hyperglycemic chikomokere,
4. Kuyambira 28 mmol / l - ketoacidotic chikomokere,
5. Kuyambira 55 mmol / l - hyperosmolar chikomokere.

Wodwala aliyense wodwala matenda a shuga ali ndi shuga wawo wambiri. Mwa odwala ena, kukula kwa hyperglycemia kumayamba kale pa 11-12 mmol / L, mwa ena, zizindikiro zoyambirira za izi zimawonedwa pambuyo pa chizindikiro cha 17 mmol / L. Chifukwa chake, mumankhwala palibe chinthu monga limodzi, kwa odwala matenda ashuga onse, kuchuluka koopsa m'magazi.

Kuphatikiza apo, kuuma kwa mkhalidwe wa wodwalayo sikungotengera kuchuluka kwa shuga mthupi, komanso mtundu wa shuga womwe ali nawo. Chifukwa chake shuga yotsika mu mtundu woyamba wa shuga imathandizira kwambiri kuchuluka kwa acetone m'magazi komanso kukula kwa ketoacidosis.

Odwala omwe ali ndi matenda a shuga a mtundu wachiwiri, shuga wokwezeka nthawi zambiri sayambitsa kuchuluka kwa acetone, koma zimapweteka kwambiri, ndipo zimavuta kusiya.

Ngati mulingo wa shuga wodwala wodwala matenda a shuga atha kukhala wofunikira 28 mm mm / l, ndiye kuti atha kukhala wovuta kwambiri matenda ashuga - ketoacidotic chikomokere. Pa mulingo wa shugawu, supuni 1 imodzi ya shuga imakhala mu lita imodzi ya magazi a wodwala.

Nthawi zambiri zotsatira za matenda opatsirana aposachedwa, kuvulala kwambiri kapena opaleshoni, yomwe imafooketsanso thupi la wodwalayo, imatsogolera pamenepa.

Komanso ketoacidotic coma imatha kuchitika chifukwa chosowa insulini, mwachitsanzo, ndi mankhwala osankhidwa molakwika kapena ngati wodwala wasowa jekeseni nthawi. Kuphatikiza apo, chomwe chimayambitsa vutoli chimatha kukhala mowa.

Ketoacidotic chikomacho chimadziwika ndi chitukuko cha pang'onopang'ono, chomwe chimatha kutenga maola angapo mpaka masiku angapo. Zizindikiro zotsatirazi ndizoyambitsa izi:

• Kukoka pafupipafupi ndi kuphatikiza mpaka malita atatu. patsiku. Izi ndichifukwa choti thupi limayesetsa kupaka ma acetone ochuluka momwe angathere kuchokera mkodzo,
• Kuthetsa madzi m'thupi kwambiri. Chifukwa chokodza kwambiri, wodwalayo amataya madzi,
• Masewera okwera amthupi a ketone. Chifukwa chosowa insulini, glucose amasiya kutengeka ndi thupi, zomwe zimapangitsa kuti akonze mafuta kuti akhale ndi mphamvu. Zopangidwa ndi njirayi ndi matupi a ketone omwe amatulutsidwa kulowa m'magazi,
• Kupanda mphamvu kwathunthu, kugona,
• Matenda a shuga ndi nseru, kusanza,
• Khungu lowuma kwambiri, lomwe limatha kutuluka ndi kusweka,
• Pakamwa kowuma, mamasukidwe owoneka bwino, kupweteka m'maso chifukwa chosowa madzi akumwa,
• Fungo lonena za acetone kuchokera mkamwa,
• Kupuma mwamphamvu, koopsa, komwe kumawoneka ngati chifukwa cha kuchepa kwa mpweya.

Ngati kuchuluka kwa shuga m'magazi kukupitilirabe, wodwalayo amapanga njira yoopsa kwambiri yoopsa yodwala matenda ashuga - hyperosmolar coma.

Imadziwulula ndi zizindikiro zowopsa kwambiri:

Muzovuta kwambiri:

• Mitsempha yamagazi ili m'mitsempha,
• Kulephera kwina
• Pancreatitis

Popanda chithandizo chanthawi yake, chikomokere chimatha kumwalira. Chifukwa chake, pamene zizindikiro zoyambirira za kupsinjika izi zikuwoneka, kugonekedwa kuchipatala kwa wodwala kuchipatala ndikofunikira.

Chithandizo cha hyperosmolar chikomokereni chimachitika pokhapokha mwa njira zotsitsimutsa.

Chofunikira kwambiri pochiza matenda a hyperglycemia ndiko kupewa kwake. Osamabweretsa shuga wamagazi kwambiri. Ngati munthu ali ndi matenda a shuga, ndiye kuti sayenera kuyiwala za izi ndipo nthawi zonse aziwonetsetsa kuchuluka kwa shuga panthawi.

Kusunga shuga wambiri wabwinobwino, anthu odwala matenda ashuga atha kukhala moyo wathunthu kwa zaka zambiri, osakumana ndi zovuta zazikulu zamatendawa.

Popeza mseru, kusanza, ndi kutsegula m'mimba ndi zina mwazizindikiro za hyperglycemia, ambiri amatenga izi poyizoni wazakudya, zomwe zimakhala ndi zotsatirapo zoopsa.

Ndikofunika kukumbukira kuti ngati zizindikiro zoterezi zikuwoneka mwa wodwala yemwe ali ndi matenda ashuga, ndiye kuti vuto silikhala matenda am'mimba, koma kuchuluka kwa shuga m'magazi. Kuti muthandizire wodwala, jakisoni wa insulin ndi wofunika msanga.

Kuti athane ndi bwino ndi zizindikiro za hyperglycemia, wodwalayo ayenera kuphunzira kudziimira payekha mlingo woyenera wa insulin. Kuti muchite izi, kumbukirani njira yosavuta iyi:

• Ngati magazi a shuga ndi 11-12,5 mmol / l, ndiye kuti gawo lina liyenera kuwonjezeredwa pamankhwala amtundu wa insulin,
• Ngati zomwe glucose aposa 13 mmol / l, ndipo fungo la acetone lilipo mu mpweya wa wodwalayo, ndiye kuti ziwalo ziwiri ziyenera kuwonjezeredwa ku mlingo wa insulin.

Ngati kuchuluka kwa glucose kumatsika kwambiri pambuyo pobayidwa jakisoni wa insulin, muyenera kudya chakudya cham'mimba mwachangu, mwachitsanzo, imwani msuzi wa zipatso kapena tiyi ndi shuga.

Izi zikuthandizira kuteteza wodwala kuti asafe ndi matenda a ketosis, ndiye kuti, nthawi yomwe matupi a ketone m'magazi ayamba kuchuluka, koma zomwe zili m'magaziwo zimakhala zotsika.

Mankhwala, hypoglycemia imawerengedwa ngati kuchepa kwa shuga m'magazi ochepera 2.8 mmol / L. Komabe, izi ndi zoona kwa anthu athanzi okha.

Monga momwe zilili ndi hyperglycemia, wodwala aliyense yemwe ali ndi matenda a shuga amakhala ndi gawo lake lotsika la shuga, pambuyo pake amayamba kukhala ndi hyperglycemia. Nthawi zambiri zimakhala zapamwamba kwambiri kuposa momwe zimakhalira ndi anthu athanzi. Mlozera wa 2.8 mmol / L siliwotsutsa kokha, koma wopha anthu ambiri odwala matenda ashuga.

Kuti mudziwe kuchuluka kwa shuga m'magazi momwe hyperglycemia ingayambire wodwala, ndikofunikira kuchotsa kuchokera ku 0.6 mpaka 1.1 mmol / l kuchokera pamlingo wake womwe akufuna - ichi chizikhala chofunikira kwambiri.

Odwala ambiri odwala matenda ashuga, kuchuluka kwa shuga ndi pafupifupi 4-7 mmol / L pamimba yopanda kanthu komanso pafupifupi 10 mmol / L atatha kudya. Kuphatikiza apo, mwa anthu omwe alibe matenda ashuga, siziposa kuchuluka kwa 6.5 mmol / L.

Pali zifukwa ziwiri zazikulu zomwe zimapangitsa wodwala matenda ashuga:

• Kuchuluka kwa insulin
• Kumwa mankhwala omwe amalimbikitsa kupanga insulin.

Vutoli limatha kukhudza odwala onse omwe ali ndi matenda amtundu 1 komanso mtundu 2. Makamaka nthawi zambiri imawonekera mwa ana, kuphatikiza usiku. Kuti mupewe izi, ndikofunikira kuwerengetsa moyenera kuchuluka kwa insulin tsiku lililonse ndikuyesera kuti osapitirire.

Hypoglycemia imawonetsedwa ndi zizindikiro zotsatirazi:

1. Khungu lakhungu,
2. Kuchuluka thukuta,
3. Kugwedezeka thupi lonse
4. Zosangalatsa pamtima
5. Njala yayikulu
6. Kuwonongeka kwa chidwi, kulephera kuyang'ana,
7. Kusanza, kusanza,
8. Kuda nkhawa, kuchita zinthu mwankhanza.

Pa gawo lowopsa, zizindikiro zotsatirazi zimawonekera:

• Zofooka zazikulu
• Chizungulire ndi matenda ashuga, ululu m'mutu,
• Nkhawa, mantha osasinthika,
• Kusokonekera kwa mawu
• Masomphenya olakwika, masomphenya apawiri
• Chisokonezo, kulephera kuganiza mokwanira,
• Kuyendetsa bwino galimoto, kuvulala kwamatayala,
• Kulephera kuyenda pamtunda nthawi zambiri,
• Kutupa m'miyendo ndi manja.

Izi sizinganyalanyazidwe, chifukwa shuga wochepa kwambiri m'magazi ndiowopsa kwa wodwala, komanso wokwera kwambiri. Ndi hypoglycemia, wodwalayo ali pachiwopsezo chachikulu cha kutaya chikumbumtima ndikugwera mu kuphwanya kwa hypoglycemic.

Vutoli limafunikira wodwala kuchipatala. Chithandizo cha hypoglycemic coma chimachitika pogwiritsa ntchito mankhwala osiyanasiyana, kuphatikizapo glucocorticosteroids, omwe amalimbikitsa msanga shuga m'thupi.

Mankhwala osokoneza bongo a hypoglycemia atha kudwala, amatha kuwononga ubongo komanso kuwononga olumala. Izi ndichifukwa choti glucose ndiye chakudya chokha cha maselo aubongo. Chifukwa chake, ndi kuchepa kwake kwakukulu, amayamba kufa ndi njala, zomwe zimawachititsa kufa mwachangu.

Chifukwa chake, anthu omwe ali ndi matenda ashuga ayenera kuyang'ana kuchuluka kwa shuga m'magazi awo pafupipafupi kuti asaphonye kapena kuwonjezeka kwambiri. Kanemayo munkhaniyi ayang'ana shuga wokwezeka wamwazi.

Kodi kuchuluka kwa shuga kwamwazi ndi kotani?

Anthu ambiri adamva za matenda ashuga, koma alipo ochepa omwe amatenga matendawa mozama ndikudziwa za zotsatirapo zake.

Matenda a shuga ndi matenda opatsirana kwambiri, nthawi zambiri zizindikiro zake sizigwirizana kwenikweni ndi matendawa, koma amaganiza kuti amangokhala akugwira ntchito, agona kapena awononga poizoni.

Anthu zikwizikwi saganiza kuti akudwala nthendayi.

Kuwonjezeka kwa shuga m'magazi ndi chizindikiro chapadera komanso chofunikira kwambiri cha gawo loyambirira la matendawa. Kafukufuku wazachipatala awonetsa kuti theka la anthu omwe ali ndi matenda ashuga amadziwa za matenda a m'mimba pokhapokha atayamba kupita patsogolo ndikukula kwambiri.

Mlingo wa shuga mthupi uyenera kuyang'aniridwa nthawi zonse ndi anthu omwe akudwala matendawa (kuyeza ndikuyerekeza zizindikiro).

Hormon ya pancreatic monga insulin imagwirizanitsa kuchuluka kwa shuga m'thupi. Mu matenda a shuga, insulini imapangidwa mwina ochepa kapena ma cell samayankha motero. Kuchulukitsa ndi kutsika kwa shuga m'magazi kumavulaza mthupi chimodzimodzi.

Koma ngati kusowa kwa glucose nthawi zambiri kumatha kuchotsedwa, ndiye kuti kuchuluka kwa chakudya chamagulu kwambiri kumakhala kovuta kwambiri. Pa gawo loyambirira la matendawa, zizindikilo zimatha kuchotsedwa mothandizidwa ndi zakudya zomwe zimagwirizana ndi adokotala ndikuchita masewera olimbitsa thupi moyenera.

Ntchito yofunikira ya shuga m'thupi ndikupereka maselo ndi minyewa yamphamvu kwambiri m'njira zofunika. Thupi limasinthasintha kuchuluka kwa glucose, kukhalabe bwino, koma izi sizigwira ntchito nthawi zonse. Hyperglycemia ndi vuto lomwe likuwonjezera shuga mthupi, ndipo shuga wochepetsedwa amatchedwa hypoglycemia. Anthu ambiri amafunsa funso kuti: "Kodi shuga yochepa bwanji?"

Kuwerengera kwa shuga kwa magazi kwa anthu athanzi:

Koma ndi matenda ashuga, izi zimatha kusiyanasiyana kwambiri m'njira zotsika, komanso m'njira zowonjezera. Chizindikiro chovuta chimawerengedwa ngati mulingo wa shuga pamwamba pa 7.6 mmol / L ndipo m'munsi mwake ndi 2.3 mmol / L, popeza pamlingo uwu njira zosasinthika zimayamba kuyamba.

Koma izi ndizofunikira chabe, chifukwa mwa anthu omwe amakhala ndi shuga yambiri, phindu la chizindikiro cha hypoglycemia limakulanso. Poyamba, imatha kukhala 3,4-4 mmol / L, ndipo patatha zaka 15 imatha kukula mpaka 8-14 mmol / L. Ichi ndichifukwa chake kwa munthu aliyense pali gawo laku kuda nkhawa.

Palibe tanthauzo lomwe lingatchedwe kuti limupha motsimikiza. M'madera ena odwala matenda ashuga, kuchuluka kwa shuga kumakwera mpaka 15-17 mmol / L ndipo izi zimatha kubweretsa kukomoka kwa hyperglycemic, pomwe ena omwe ali ndi mtengo wapamwamba amamva bwino. Zomwezo zimagwiranso ntchito pakuchepetsa shuga.

Chilichonse ndichachuma payekha ndipo, kuti mudziwe malire omwe amapha komanso ovuta kwa munthu winawake, muyenera kuwunika nthawi zonse kusintha kwa glucose.

Reactive hypoglycemia imadziwika kuti ndi yakufa, chifukwa imayamba pakadutsa mphindi (nthawi zambiri mkati mwa mphindi 2-5). Ngati ma ambulansi saperekedwa nthawi yomweyo, zotsatira zake zimakhala zomvetsa chisoni.

Kusala komwe kumayambitsa matenda ashuga ndi chinthu choopsa komanso chovuta kwambiri chomwe chimalepheretsa njira zonse zofunika.

Hypoglycemia ndi chinthu chofunikira kwambiri m'moyo, ndiko kuponya kwakuthwa kapena kosalala m'magazi. Anthu omwe akumamwa insulini ali pachiwopsezo chachikulu chotenga chikomokere kuposa ena. Izi ndichifukwa choti insulini yotengedwa kuchokera kunja imakhudza mwachindunji kuchuluka kwa shuga m'magazi, omwe othandizira a hypoglycemic, mankhwala azakudya, kapena zitsamba satero.

Kuwomba kwakukulu kwa hypoglycemic coma kumabweretsa bongo. Minofu ya muubongo ndimapangidwe ovuta kwambiri, chifukwa ndikuthokoza ubongo kuti munthu amaganiza ndikupanga zinthu mozama, komanso amawongolera thupi lonse pamlingo wothandiza.

Poyembekezera kukomoka (kawirikawiri ndi index ya shuga yopanda 3 mmol), munthu amalowa m'malo osawoneka bwino, chifukwa chake amalephera kuwongolera zochita zake komanso malingaliro omveka. Kenako amadziona kuti wodetsa nkhawa.

Kutalika kwa kukhalabe mdziko lino kutengera zovuta zomwe zili mtsogolomo (zosintha zantchito zokha zidzachitika kapena kuphwanya kwina kwakukulu komwe kumachitika).

Palibe malire ofunika kwenikweni, koma zizindikiro za matendawa ziyenera kuthandizidwa munthawi yake, osanyalanyazidwa. Ndikwabwino kuzikaniza m'nthawi yoyamba kuti mudziteteze ku zovuta zazikulu.

Magawo a maphunziro a hypoglycemia:

1. Gawo zero - kumverera kwanjala. Nthawi yomweyo ndikofunikira kukonza ndikutsimikizira dontho la shuga ndi glucometer.
2. Gawo loyamba - pali kumva kwamphamvu njala, khungu limanyowa, nthawi zambiri limagona, pali chofooka chowonjezereka. Mutu umayamba kupweteka, kugunda kwa mtima kumathandizira, pamakhala mantha, kutsekeka kwa khungu. Kusunthika kumakhala kwachisokonezo, kosalamulirika, kunjenjemera kumawonekera m'mabondo ndi manja.
3. Gawo lachiwiri - vutoli ndi lovuta. Pali kugawanika m'maso, dzanzi lilime, ndi thukuta limakulirakulira. Munthu amakhala wankhanza komanso amachita zinthu zosayenera.
4. Gawo lachitatu ndi gawo lomaliza. Wodwala sangathe kuwongolera zomwe akuchita ndikuzimitsa - kupuma kwa hypoglycemic kumayamba. Thandizo loyambirira limafunikira (njira yokhazikika ya glucose kapena Glucagon imaperekedwa kwa kholo pa mlingo wa 1 mg wa munthu wamkulu ndi 0,5 mg kwa mwana).

Chochita ndi chiyambi cha hyperglycemic chikomokere?

Hyperglycemia ndi vuto pamene glucose zomwe zili m'madzi am'magazi zimachuluka kwambiri. Nthawi zambiri, matendawa amakhala ndi matenda osakwanira kapena osakwanira. Ngakhale kuti matendawa sangayambike nthawi yomweyo, kusokonezeka kwa ziwalo zamkati kumachitika pachimake pa 7 mmol / l shuga m'magazi.

Zizindikiro zoyambirira za matendawa zimaphatikizapo kuwoneka kwa ludzu, ziwalo zowuma zamkati ndi khungu, kutopa kwambiri. Pambuyo pake, kuwona kumachepa, kunenepa kumachepa, komanso nseru ndi kusokonekera kumawonekera. Odwala omwe ali ndi matenda ashuga, hyperglycemia imabweretsa kuchepa thupi, komwe kumayambitsa kukomoka.

Ngati wodwala akuwona zizindikiro za hyperglycemia, ndiye kuti ayenera kuwunika kudya kwa insulin ndi mankhwala amkamwa. Ngati palibe kusintha, muyenera kufunsa dokotala.

Kuchipatala, insulin imayendetsedwa kudzera mu kuwunika pafupipafupi kuchuluka kwa shuga m'magazi (ola lililonse liyenera kuchepa ndi 3-4 mmol / l).

Kenako, voliyumu yamagazi yoyendayenda imabwezeretseka - maola oyamba, malita 1 mpaka 2 amadzibayidwa, m'maola atatu otsatira, 500 ml amabayidwa, kenako 250 ml. Zotsatira zake ziyenera kukhala malita 4-5 amadzimadzi.

Pachifukwa ichi, timadzi tokhala ndi potaziyamu ndi zinthu zina, ndi michere yomwe imathandizira kubwezeretsanso kwazinthu zachilendo za osmotic zimayambitsidwa.

Kanema kuchokera kwa katswiri:

Popewa matenda akuluakulu a shuga, zotsatirazi ziyenera kuonedwa:

Matenda a shuga si sentensi; mutha kuphunzirapo kuti muzikhala ndi moyo wabwino. Ndikoyenera kuyang'anira ndi kusamalira thupi lanu, adzakuyankhaninso chimodzimodzi.

1. 
   Zizindikiro za Kolyadich Maria Depression monga wolosera za zovuta za matenda ashuga, LAP Lambert Academic Publishing - M., 2011. - 168 p.
2. 
   Nataliya, Aleksandrovna Lyubavina Chitetezo cha matenda a m'mapapo am'mimba komanso mtundu wa 2 matenda osokoneza bongo / Natalya Aleksandrovna Lyubavina, Galina Nikolaevna Varvarina und Viktor Vladimirovich Novikov. - M: LAP Lambert Academic Publishing, 2012 .-- 132 c.
3. 
   Itsenko-Cushing's syndrome: monograph. , Mankhwala - M., 2015 .-- 224 p.
4. Berger M., Starostina EG, Jorgens V., Dedov I. Mchitidwe wa insulin, Springer, 1994.

Ndiloleni ndidziwitse. Dzina langa ndi Elena. Ndakhala ndikugwira ntchito ya endocrinologist kwa zaka zoposa 10. Ndikukhulupirira kuti pakadali pano ndili katswiri pantchito yanga ndipo ndikufuna kuthandiza alendo onse omwe amapezeka pamalowo kuti athetse zovuta osati ntchito. Zinthu zonse za tsambalo amazisonkhanitsa ndikuzikonza mosamala kuti athe kufotokoza zambiri zofunikira. Musanagwiritse ntchito zomwe zikufotokozedwa pa webusayiti, kukambirana ndi akatswiri ndizofunikira nthawi zonse.

Momwe thupi limayang'anira shuga

Chakudya chikalowa m'thupi, machitidwe awo a kukonzekera amayambira. Mafuta, mafuta ndi mapuloteni amawonongeka pang'onopang'ono m'magulu ang'onoang'ono, omwe amodzi ndi glucose monosaccharide.

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Pambuyo pake, shuga, chifukwa cha kupopera kwa matumbo a matumbo, amalowa m'magazi. Chifukwa cha njirayi, kuchuluka kwa shuga wamagazi mukatha kudya kumachuluka.

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Kuwonjezeka kofananako kwa shuga m'magumbo mukatha kudya kumawerengedwa kuti ndiwachilengedwe.

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Koma, kuyimirira kotereku kumakhala kwa nthawi yayitali, pokhapokha kuchititsa kachitidwe kobwezeretsa thupi.

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Zikondwererozo zimalandira chisonyezo chakufunika kwakutukuka kwa insulin, yomwe imayendetsa glucose m'misempha ndi maselo.

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Chifukwa cha kusintha kwina kwa pathological, insulin nthawi zina imalephera kusuntha shuga m'magulu a ma cell.

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Vutoli limatha kuonedwa motsutsana ndi mbiri yakuchepa kwa chidwi cha maselo kwa chinthu chogwira ntchito kapena chifukwa cha kuchuluka kwa mahomoni.

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Zonsezi ndizikhalidwe za matenda a shuga - mitundu yake iwiri. Pamaso pa kuphwanya kulikonse komwe kumayambitsa kuti shuga asalowe m'maselo, mbali zingapo za sekondale zimayamba zomwe zingayambitse ziwalo zosiyanasiyana komanso machitidwe awo.

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Chifukwa chiyani shuga wambiri umakhala wovulaza

Kuchuluka kwa glucose m'magazi sikungadziwonetse kwa nthawi yayitali.

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Odwala ambiri amayamba kuda nkhawa pambuyo poti shuga afika 10 mmol / L.

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Komabe, ngakhale kuwonjezeka pang'ono kwa shuga m'magazi kumatha kukhala ndi zotsatirapo zoopsa, monga momwe thupi limapangidwira pang'onopang'ono.

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Kuzungulira kwa glucose ochulukirapo, komwe sikungatheke, kumayenda m'magazi, chifukwa - zotengera ndizoyambirira kuthana ndi zovuta zake.

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Chifukwa chake, kuchuluka kwa magwiridwe antchito ndi ziwalo zina za thupi kumachepetsedwa - chifukwa chosakwanira kuwapezera michere ndi mpweya.

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Zomwe zimapangidwa ndi shuga wambiri ndi izi:

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1. Ngati mitsempha yayikulu ya magazi yawonongeka, atherosulinosis imayamba, zomwe zimapangitsa kuti minyewa ya mtima isalephereke, chiwopsezo cha matenda a mtima ndi sitiroko.
2. Nthawi zambiri ziwiya zazing'onoting'ono zam'maso zimawonongeka, zomwe zimayambitsa kuchepa kwakukulu, mpaka kutsiriza khungu muzosasamala.
3. Ngati zotupa za impso sizikhudzidwa, ndiye kuti kuchepa kwake kumayamba.

Kuphatikiza pazomwe tafotokozazi, shuga wamagazi ambiri amatsogolera pakusintha kwazomwe zimachitika mu mitsempha ya conduction.

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Wanjala

Ludzu losalekeza lolimba ndi chimodzi mwazizindikiro zakumayambiriro kwa matenda ashuga. Zizindikirozi zimachitika chifukwa cha shuga wambiri, yemwe amasokoneza kugwira ntchito kwa impso.

Pachifukwachi, ayenera kugwira ntchito mopitilira muyeso, zomwe zimapangitsa kuti madzi azichotsa mthupi komanso kuchepa kwa madzi pang'onopang'ono.

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M ludzu umatha kutchuka utagwiritsidwa ntchito mankhwala ena, zomwe zimakhudzanso kugwira ntchito kwa impso komanso kuwonekera kwa thupi lonse.

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Komabe, pali zinthu zina zosakhudza zomwe zimatsogolera ludzu pakati pa odwala omwe ali ndi mpweya wokwanira wamagazi:

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1. Matenda a m'mimba dongosolo - kuwonongeka kwa matumbo mucosa kumabweretsa malabsorption.
2. Pakamwa pakamwa pakhoza kubwera chifukwa cha kuvutika kwa lilime.
3. Kuphwanya kagayidwe kachakudya, kamene kamayambitsa kukwiya kwa zamagetsi.
4. Zovuta za poizoni, nthawi zambiri zimakhala zofunika zamatenda omwe alipo.
5. Kuledzera kwapang'onopang'ono kwa thupi chifukwa cha zovuta zomwe zimatchedwa "phazi la matenda ashuga". Ndi mtundu wouma, thupi limatha kupirira, koma ndikasungunuka ndikumatha kufa.
6. Kusokonekera kwa malamulo amanjenje ndi kusokonekera kwa mahomoni, omwe ndi ma satellites a shuga mellitus, kumayambitsanso ludzu.

Ludzu sikuti chizindikiro chokhazikika cha matenda a shuga, komanso chizindikiro chofunikira pakuwazindikira.

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Nthawi zambiri, matenda a shuga sawayang'aniridwa kwa miyezi ingapo, komabe, ludzu lomwe limakhalapo komanso kuwuma kwa mkamwa, zomwe ndi zizindikiro zoyambirira, ziyenera kukhala chifukwa chopita kwa dokotala ndikupita kukayezetsa - kuti muwone shuga ya magazi ndikuyamba kulandira chithandizo munthawi yake kuganizira.

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Zizindikiro za kuchuluka kwa shuga m'magazi zimaphatikizaponso kutopa kwa munthu.

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Chizindikiro ichi chimayambitsidwa ndi kusakwanira kapena kukana kwa ma cell receptors ku insulin, zomwe zimapangitsa kuti pakhale kusowa kwamphamvu mthupi kuti zochita za thupi zizichitika mulingo woyenera. Komanso, kuchuluka kwa shuga m'magazi ndi momwe kumawakhudzira mtima kuyenera kukumbukiridwa.

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Mwazi wamagazi ukapitilira chizolowezi, kutopa kwambiri kumachitika ngakhale motsutsana ndi maziko osowa masewera olimbitsa thupi, kufooka kwa minofu kumamveka - kutsika kwapafupipafupi kwa mphamvu ya munthu kumachitika.

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Mawonetsedwe awa ndi chizindikiro cha kusowa kwa minofu yachilengedwe. Ndi chithandizo chosayembekezereka, ma hypoxia a ubongo amapanga pang'onopang'ono, ndipo mosiyana kwambiri, zimakhala ndi GM zimafa.

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Mitundu ina yamalingaliro yomwe imatha kufotokozedwa ngati kutopa ingasonyeze kuyambika kwa matenda ashuga, monga matenda ashuga, kuwonongeka kwamitsempha, kapena phazi la matenda ashuga.

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Malingaliro amene ayenera kuchenjeza munthu akuphatikizapo izi:

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• kuwonda kwamiyendo,
• kufooka kwa minofu
• kuphwanya zamkati.

Kusintha kwatsoka m'magazi a mitsempha ya mitsempha ndi mawonekedwe awo amatsogolera pakupangidwe kwa zilonda zam'mimba zopanda machiritso ndi kupunduka kwamapazi.

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Monga chizindikiro cha shuga chamagazi mwa amuna, kuchepa kwa libido ndi vuto la kugonana zitha kuwoneka.

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Zizindikiro za ulalo wowonjezereka_webnavozsugar m'mwazi wa mkazi / link_webnavoz zimaphatikizanso kulephera kwa msambo.

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Mawonetsedwe awa amathanso kuchitika chifukwa cha kutopa, koma kutopa kwa thupi lonse, ngakhale kumakhala kwakukulu chifukwa cha kuphwanya kuchuluka kwa mahomoni chifukwa cha matenda ashuga.

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Chizungulire

Chizungulire mu matenda a shuga amayamba chifukwa cha kutopa ndi mitsempha yambiri, yomwe imatha kuwonetsedwa ndi kuthinitsidwa pang'ono.

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Komanso, zotsatirazi zotsatirazi zoipa zimawonjezera chizungulire:

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• arrhasmia,
• kumva kwamakutu
• kuda ndi "ntchentche" pamaso,
• zokonda mtima.

Komanso, chomwe chimayambitsa chizungulire chitha kuphwanya kuchuluka kwa mahomoni amthupi, ndikulimbikitsidwa ndi kulephera kwa kapamba kuti apange kuchuluka kwa insulini.

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Hyperglycemia imatha kuyambitsa ketoacidosis, mkhalidwe womwe umachitika ngati palibe kuwongolera kupititsa kwa matenda. Ndiye kuti, chifukwa cha kuchepa kwa glucose m'maselo, thupi liyenera kuphwanya mafuta ndikupanga matupi a ketone.

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Ndi kuchuluka kwa ketone mthupi, kuchuluka kwa magazi m'thupi kumachuluka, komwe kumayambitsa zovuta zotere:

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• ludzu
• kuwonongeka kwamawonekedwe
• kulumikizana
• kugwira ntchito mopitirira muyeso
• kufooka wamba
• fungo la acetone.

Popewa vutoli, kuwunikira mosamala ndikofunikira ndipo osanyalanyaza jakisoni wa insulin.

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Kudzera ndi kumva zowawa

Kuchulukana ndi kumva kukoma ndi kuchuluka kwa shuga ndi chifukwa cha zovuta zomwe zimachitika m'magazi kupita ku thupi.

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Kuphatikiza pa zomwe tafotokozazi, mothandizidwa ndi kuchuluka kwa shuga wamagazi, mathero amtsempha ndi ulusi zimawonongeka, zomwe zimapangitsa kuti kufooketsa mphamvu ya mitsempha.

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Komanso, ndi matenda a shuga, kufooka kwa mphamvu zosinthanso thupi kumawonedwa, zomwe zingayambitsenso dzanzi ndikung'ung'udza - madera omwe amachititsa chidwi ndi kubwezeretsa pang'onopang'ono.

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Matenda a shuga amachititsa kuti matenda ena azigwira ntchito mwa munthu:

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1. Kuchepetsa kusintha kwina kulikonse,
2. Kugwira kwa ziwalo zonse kukuipiraipira,
3. "Phazi la matenda ashuga" limayamba.

Chochitika chotsirizirachi nthawi zambiri chimayambitsa kudula, chomwe ndicho chotsatira chovuta kwambiri cha dzanzi.

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Pang'onopang'ono, polyneuropathy imatha kukhazikika, yomwe imatsogolera pakupangidwe kwa zinthu zambiri zomwe zimapezeka pamalo onse a thupi la odwala matenda ashuga.

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Pakakhala chithandizo chokwanira komanso chapanthawi yake, chitha kubweretsa chisokonezo chonse kapena pang'ono pang'onopang'ono, ndipo nthawi zina kufa ziwalo.

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Miyendo ndi manja atupa

Kutupa ndi mpweya wokwanira wamagazi kumatha kufalikira m'malo osiyanasiyana a thupi komanso ziwalo zamkati.

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Nthawi zambiri yemwe ali ndi matenda a shuga, amatha kudziwa kuti edema yafalikira ku ziwalo zotsatirazi:

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Edema sikuti ndikubwezera komweko, amatsogolera pakupita patsogolo kwamatenda a ziwalo zamkati, ndipo zilonda zam'mimba zimawonekera pakhungu la malo otupa.

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Kutupa mu kuphwanya magazi okhudzana ndi shuga kungayambitse zovuta zotsatirazi:

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1. Nephropathy - kumwalira kwa mitsempha yopita kumapeto, komwe kumapangitsa kufooka kapena kuwonongeka kwathunthu kwa malo otupa.
2. Kuphwanya njira za madzi amchere amchere chifukwa cha madzi osungira.
3. Kunenepa kwambiri chifukwa chophwanya njira za chilengedwe.
4. Mitundu yosiyanasiyana yamatenda a impso - urolithiasis, kulephera kwa impso, pyelonephritis, ovary polycystic.
5. Mwa azimayi, nthawi yomwe mayi ali ndi pakati ngati ali ndi vuto la matenda ashuga asanafike, mwayi woti amatha kubereka mwadzidzidzi kapena kupezeka kwa maliseche osagwirizana ndi moyo ukuwonjezeka.

Kuti mupeze panthawi yake shuga wokwanira, mukakhala kuti ndi wotupa, ndikofunikira kukayezetsa magazi ndikutsatira malangizo a katswiri - tsatirani njira yochizira, imwani mankhwala omwe mumalandira ndikuchita masewera olimbitsa thupi pafupipafupi.

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Mukuyiwala

Ndi kuwonongeka msanga kwa masomphenyawo, muyenera kuganizira zofunikira kuti izi zimapangitsa kuti shuga achulukane.

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Kutsimikizira kapena kutsutsa chomwe chimayambitsa kutsika kwamawonekedwe abwino, ndikofunikira kuyeza shuga.

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Choyambitsa chachikulu cha kutayika kwamawonedwe nthawi zambiri chimakhala ndi matenda ashuga retinopathy, omwe ndi zovuta za matenda a shuga. Glaucoma ndi mphaka zingachitike.

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Nthawi zambiri, matenda a shuga a retinopathy amapezeka mwa odwala a mtundu 1. Ndi matenda amtundu wa 2, odwala 77%, amapezeka zaka 20 zapitazo. Koma, munthu akakhala ndi matenda ashuga, nthawi zambiri zimakhala zovuta kumuwona.

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Glucose kutsitsa njira

Pali njira zingapo zothanirana ndi kuwonjezeka kwa shuga m'magazi. Njira yabwino ndikupewa kuwonjezeka kwa magwiridwe ake, omwe amatheka chifukwa chotsatira zakudya zina.

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Komanso, ndizotheka kuyendetsa pang'ono magawo a shuga pogwiritsa ntchito maphikidwe a wowerengeka. Komanso, ndizotheka kusintha mkhalidwe wa munthu mwakuchita zolimbitsa thupi zolimbitsa thupi.

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Mankhwala, omwe ndi njira yothandiza kwambiri kuti pakhale zovuta, kugwiritsa ntchito mankhwala osagwiritsa ntchito mwachindunji ndi dokotala amathana ndi zovuta zingapo.

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Zakudya Zam'magazi Zamoyo

Monga gawo la zakudya kuti muchepetse shuga wabwinobwino, amachepetsa kuchuluka kwa mafuta omwe anthu amamwa, ambiri othamanga.

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Kuwongolera kwa shuga wamagazi kumatanthauza kupatula pang'ono kapena kwathunthu zinthu zotere ndi zinthu zina zatsopano:

Ndikofunika kupatula zomwe zalembedwa mpaka pomwe kuwerenga kwa shuga kumakhala kochepera 6.1 mmol / l.

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Kuchuluka kwa shuga m'magazi kumatha kuchepa motsogozedwa ndi zinthu zingapo zomwe zimayenera kupezeka pazakudya za munthu yemwe akuvutika ndi shuga.

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Zogulitsa zotere zimaphatikizapo masamba. Zimathandizanso kubweretsa glucose pazomwe zili 9 patebulo la mankhwala.

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Ngati kukana kwambiri maswiti ndikovuta, ndikothekera kusinthaku pogwiritsa ntchito zotsekemera. Zotsika mtengo komanso zotchuka kwambiri ndizojambula za Saccharin ndi Aspartame.

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Komabe, ngakhale ali ndi phindu, ali ndi zotsatira zoyanjana zowonjezereka. Mwa zina zachilengedwe zomwe zimalowa m'malo, ndizotheka kudziwa fructose, uchi ndi sorbitol.

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Koma ogwiritsa ntchito akuyenera kufikiridwa mosamala ndipo osawazunza. Mavoliyumu ovomerezeka a tsiku ayenera kuvomerezedwa ndi katswiri wopezekapo.

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Zithandizo zapakhomo

Ndikothekanso kubweretsa shuga yambiri yamagazi popanda kugwiritsa ntchito mankhwala opatsirana zama cellicological pazikhalidwe zabwino pogwiritsa ntchito mankhwala achikhalidwe.

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Kuchuluka kwa shuga m'magazi kungathe kuchepetsedwa pakudya zinthu izi:

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Chachilendo cha mankhwala omwe ali m'gulu la anthu ndikuti amachepetsa shuga wamagazi chifukwa cha kupezeka kwa zinthu monga insulin monga chilengedwe kuchokera mwaizi.

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Komabe, izi sizikulimbikitsidwa kuti zigwiritsidwe ntchito musanapemphedwe kaye ndi dokotala, chifukwa zovuta zomwe zimapangidwa ndi zigawo zikuluzikulu kapena kutsika kwambiri kwa shuga ndizotheka.

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Chitani masewera olimbitsa thupi

Zochita zina zolimbitsa thupi zimafunikira pang'onopang'ono komanso kutsika pang'ono kwama glucose m'magazi.

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Kukula kwa makalasi kovomerezeka kuyenera kuwerengeredwa ndi adokotala, omwe azitsogozedwa ndi zomwe zikuchitika masiku ano zaumoyo komanso zomwe zikuwonetsa munthu payekha.

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Komabe, kuyenda pamalo oyendera mzindawo amaloledwa - samangololeza kutsika kwa shuga, komanso kulimbitsa thupi lamunthu.

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Mankhwala

Kugwiritsa ntchito mapiritsi ochepetsera shuga kumachitika pokhapokha kuwonjezeka kwa shuga. Pali mitundu iwiri ya mapiritsi ochepetsa shuga.

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Glibenclamide imatsitsa glucose pang'onopang'ono ndipo imalepheretsa kudumpha mwachangu tsiku lonse.

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Mlingo wokhazikika ndi mapiritsi 2 / tsiku. Gliformin ndi Siofor amagwiritsidwa ntchito mu Mlingo wosiyanasiyana, womwe umathandizira kusankha kwamankhwala ena kwa wodwala wina.

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Mankhwalawa amawononga thupi kwambiri chifukwa chakuti sakwiyitsa kupanga insulin.

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M'mitundu yoopsa kwambiri ya hyperglycemia, jakisoni wa insulin amafunikira kuti achepetse shuga.

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Insulin ndiye njira yabwino kwambiri yochepetsera shuga ku shuga.

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Koma, amangokonzekera pokhapokha ngati pali kuphwanya chilengedwe cha mahomoni. Kusankhidwa kwa mlingo wa insulin kumachitika ndi dokotala pamaziko a zowunikira, zambiri zokhudzana ndi zochitika za thupi ndi wodwalayo.