Kuyesedwa kwam'minwe chala: kuchuluka kwa shuga mwa amuna, akazi ndi ana

Anthu omwe amapezeka kuti ali ndi matenda ashuga kapena shuga wambiri amalangizidwa kuti azizitsatira pafupipafupi - kangapo patsiku.

Zachidziwikire, simuthamangira kuchipatala kapena ku labotale, ndipo ma glucometer akunyumba amapulumutsidwa: adakulula chala chanu, ndikukhetsa dontho la magazi, ndipo zotsatira zake zimadziwika nthawi yomweyo.

Mwachilengedwe, kuti tiwone zotsatira zake, ndikofunikira kudziwa tanthauzo la shuga m'magazi a capillary, kuti ngati shuga achulukitsidwa kwambiri kapena kuchepetsedwa, chitanipo kanthu.

Kusiyana pakati pa kusanthula kwa magazi a capillary ndi venous

Mwinanso kuyesedwa kwa magazi ndiye kuyesa kofala kwambiri. Kuchita kafukufukuyu kumatithandizira kuzindikira osati zovuta za dongosolo lamagazi, komanso matenda a ziwalo zosiyanasiyana (mwina osazindikirika ndi wodwalayo), komanso njira zobisika zotupa mthupi.

Mwa kusanthula, zinthu - magazi - zitha kutengedwa m'njira ziwiri:

• kuyambira zala zakumanja (nthawi zambiri chala chakumanzere cha dzanja lamanzere) - magazi oterewa amatchedwa capillary,
• kuchokera kumitsempha (makamaka pamphepete mwa nsonga) - zinthuzo zimatchedwa venous.

Kukonzekera kusonkhanitsa zakuthupi mwanjira iliyonse sikusiyana: tikulimbikitsidwa kuti mupereke magazi pamimba yopanda kanthu, tsiku loti lisanachitike kuyesedwa ndikofunikira kuti musamapanikizike kwambiri, kupsinjika, kumwa mowa.

Capillary imagwiritsidwa ntchito makamaka popanga kuyezetsa magazi, komanso venous - maphunziro ena mwachindunji, mwachitsanzo, kusanthula kwa zamankhwala amuzolengedwa, kusanthula kwa ziwengo, mankhwala, mahomoni.

Potengera kapangidwe kake ka mankhwala, magazi omwe amatengedwa kuchokera mu chala ndi osiyana kwambiri ndi zomwe zimatengedwa kuchokera mu mtsempha: capillary imakhala ndi leukocytes yocheperako, "imakhala yosauka" poyerekeza ndi venous.
Kuphatikiza apo, pakuwunikira, magazi a capillary amagwiritsidwa ntchito mu mawonekedwe "oyera" - monga momwe adapangidwira, ndipo plasma imadzipatula kuchokera ku venous ndipo kapangidwe kake kamapendedwa kale.

Izi ndichifukwa choti magazi a venous samakhazikika komanso amasintha kapangidwe kake pakapita nthawi, zomwe zimatha kupotoza zotsatira zoyesedwa.

Chifukwa cha kusiyana pakati pa mitundu iwiri ya magazi, zotsatira za kuwunika komweko komwe kumachitika pa capillary ndi venous magazi ndizosiyana, koma zikhalidwe zabwino zimasiyana.

Chifukwa chake kuchuluka kwa shuga m'mwazi wotengedwa kuchokera kumunwe kumasiyana kwambiri ndi kuchuluka kwa shuga mu plasma ya venous magazi.

Kuchuluka kwa shuga m'magazi kuchokera pachala cham'mimba chopanda: tebulo ndi zaka

Ubwino wazizindikiro wamba zamagulu a shuga sizimadalira jenda: kwa amuna ndi akazi omwe ali ofanana.

Koma zizolowezi ndizosiyana kwa anthu amisinkhu yosiyanasiyana: mwa ana obadwa kumene, chikhalidwe chokhazikika chimakhala chotsika kuposa achinyamata kapena achikulire (izi zimachitika chifukwa chakuti mwa ana kapamba sanakonzekere mokwanira ndipo sagwira ntchito mwamphamvu zonse), ndipo mwa okalamba, msuzi wa shuga wabwino magazi amaloledwa kukhala okwera kuposa omwe achinyamata.

Tebulo likuwonetsa momwe shuga yochepa m'magazi a capillary amasinthira pamimba yopanda kanthu pamoyo:

Mukatha kudya, msuzi wa shuga umakwera, ndipo malire apamwamba abwinobwino kwa munthu wamkulu ndi 7.8 mmol / L.

Kuphatikiza apo, mwa amayi panthawi yomwe ali ndi pakati, mawonekedwe "abwinobwino" amasunthika pang'ono: panthawiyi, kuchuluka kwa glucose kumatha kuwonjezeka pang'ono, ndipo mfundo kuchokera ku 4.6 mpaka 6.7 mmol / L zimawonedwa ngati zabwinobwino.

Chizindikiro chowonjezeka chikuwonetsa kukula kwa matenda osokoneza bongo - mkhalidwe womwe ndi wowopsa kwa mayi ndi mwana wosabadwa.

Miyezo yopitilira muyeso imayambitsa matenda ena m'thupi mpaka matenda a shuga. Ngati kuchuluka kwa shuga m'magazi a capillary kukwezedwa, maphunziro owonjezera amalembedwa, omwe magazi a venous angagwiritsidwe ntchito kale.

Kuyesedwa kopanda magazi m'mimba kuchokera m'mitsempha, kuchuluka kwa glucose kumakhala okwera kuposa kuchokera kumunwe. Pankhaniyi, kwa munthu wamkulu, shuga sayenera kupitirira 6.1 mmol / L.

Mlingo wovomerezeka wa m'madzi a m'magazi a shuga m'mamawa musanadye

Malingaliro abwinobwino ndiowona kwa wathanzi. Pankhani ya kuchuluka kwa shuga m'magazi a capillary a 7.0 mmol / l, matenda a shuga atha kunena zambiri.

Kuyesedwa kwa shuga m'magazi komanso kuwunika kwa hemoglobin kumathandizira kumveketsa bwino matendawa. Kutengera kutengera kwazotsatira za mayesowa, mutha kupanga kapena kukana kuzindikirika kwa matenda a shuga.

Tebulo likuwonetsa zoyeserera zofananira (zapakati) za odwala matenda ashuga komanso anthu athanzi:

Kuchulukitsa

Nthawi zambiri, shuga m'magazi amapitilira muyeso wabwino. Potere, amalankhula za hyperglycemia.

Zizindikiro za hyperglycemia ndi:

• ludzu losalekeza
• kukodza pafupipafupi komanso kopatsa chidwi,
• kamwa yowuma, kulephera kuledzera,
• kuyabwa kwa khungu, kuuma ndi kuwonongeka kwa khungu,
• kuthamanga kwadzidzidzi, kufulumira
• kufooka.

Kuti mupeze zizindikiro zowopsa, muyenera kufunsa dokotala: mwina mwanjira imeneyi thupi limayimira matenda ashuga.

Hyperglycemia ndiyowopsa chifukwa imatha kuyamba msanga kwambiri ndipo imakhala yofanana kwambiri: chifukwa chake matenda amtundu 1 wa ana amapezeka nthawi zambiri pokhapokha akagonekedwa mu chipatala cha hyperglycemic coma.

Kuchepetsa

Ngati kuchuluka kwa shuga kulibe bwino, matendawa amatchedwa hypoglycemia. Zakudya zoperewera, kupsinjika, kuchuluka kwa masewera olimbitsa thupi, komanso kudya mosamalitsa wokhala ndi chakudya chochepa cha thupi kumayambitsa kutsika kwa shuga.

Mu odwala matenda ashuga, hypoglycemia imatheka chifukwa chamadongosolo mopitilira muyeso a mapiritsi ochepetsa shuga kapena kapamba.

Zizindikiro za hypoglycemia ndi:

• kutopa, mphwayi,
• kumva kufooka, chizungulire,
• kukwiya, miliri yaukali,
• nseru
• kumva kwamphamvu njala.

Chifukwa chake, ubongo umayimira kusowa kwa michere, yomwe glucose yake ndi yake.

Ngati, ndi zizindikiro zotere, njira zowonjezera kuchuluka kwa shuga sizinatengedwe (mwachitsanzo, masyiti), ndiye kuti vuto la munthuyo layamba kufooka: kukomoka, kusowa chikumbumtima, munthu akhoza kugwa.

Kuwunika kuchuluka kwa shuga ndi glucometer kunyumba

Mitsempha yamagazi am'magazi, oyenera kuyeza kuchuluka kwa shuga m'magazi a capillary nthawi iliyonse, kulikonse, tsopano ndiofala kwambiri.

Kuwona kwawo kuli poti munthu yemwe amakakamizidwa kuwunika kuchuluka kwa shuga amatha kuchita izi kunyumba kapena kuntchito, safunikira kuthamangira tsiku lililonse kupita ku chipatala kapena ku labotale, ndipo zotsatira zake zimadziwika m'mphindi zochepa.

Kuti umboni ukhale wodalirika, ndikofunikira kutsatira malamulo ena:

• Musanatenge magazi, sambani m'manja,
• ndikofunika kusunga mawayilesi oyesa ndikuwonetsetsa masiku ake atha ntchito (kotero, mutatsegula chidebe ndi mizere ayenera kugwiritsidwa ntchito mkati mwa miyezi itatu),
• njira yoperekera magazi ndikuyiyika pa analyzer imafotokozedwa mwatsatanetsatane mu malangizo a chipangizocho: muyenera kutsatira mosamala,
• ngati mita sangakumbukire zotsatira zake, ndibwino kuti alembe m'bukhu lowonetsera tsiku ndi nthawi ya muyeso,
• Sungani chipangizocho poteteza kutali, kutali ndi dzuwa.

Kwa odwala matenda a shuga, m`pofunika kuyeza shuga kangapo patsiku: m'mawa mutangodzuka (osamwa kanthu), musanadye chakudya chilichonse, maola 2 mutadya, musanayambe kugona.

Kodi shuga amawongolera bwanji?

Amachepetsa insulin ya shuga m'magazi. Kupanga kwake kumachitika m'maselo a kapamba. Komabe, mahomoni omwe amawonjezera amakhala opanga thupi la munthu - norepinephrine, adrenaline, cortisol, corticosterone, glucagon. Yotsirizirayi ndi malo osungirako mafuta, omwe amamwa omwe amachitika popanda shuga komanso pakati pa chakudya. Kukondoweza kwa njira ya mahomoni kumadalira dongosolo lamanjenje la autonomic: magawidwe achifundo amawonjezeka, ndipo magawo a parasympathetic amachepetsa kuchuluka kwa shuga. Mwazi umatengedwa kuti ukapimidwe m'mawa kuyambira chala. Kuchuluka kwa shuga sikudalira mtundu kapena msinkhu wa munthu. Mawu oti "glycemia" amatanthauza kuchuluka kwa shuga m'magazi. Chifukwa cha kukhazikika kwa mankhwalawa, kuphatikiza kwakanthawi kam shuga kumakhalabe m'thupi la munthuyo. Ma pathologies ena amathandizira kuchepetsa shuga ndikuyambitsa hypoglycemia, ena, m'malo mwake, hyperglycemia. Poyambirira, ndi:

• Kuperewera kwa glycogen chifukwa chamadongosolo okhwima, kuletsa zakudya zamagulu ambiri, kuchita zolimbitsa thupi kwa nthawi yayitali.
• Mankhwala ochulukirapo a salicylates ndi antihistamines.
• Kulephera kwa chiwindi.
• Kuperewera kwa glucagon chifukwa cha pancreatic resection.
• Kulephera kwa mayamwidwe a glucose m'mimba.
• Kumwa mankhwala a anabolic, amphetamines, kapena Anaprilin.
• Zina mwa endocrine.
• Poizoni ndi ziphe ndi zakumwa zoledzeretsa.
• Ma neoplasms omwe amapanga mahomoni omwe amalimbikitsa zochitika za insulin.

Ngati mukuyesa biomaterial kuchokera pachala kuti munthu akhale ndi shuga, mavutowo ndi okwera kwambiri, ndiye kuti ndi hyperglycemia, yomwe imakwiyitsa:

• Matenda a shuga ndi chifukwa chachikulu cha glucose owonjezera. Kuopsa kwa kuchitika kumeneku ndikokwera kwambiri kwa anthu omwe awoloka gawo lopambana lazaka 60. Cholinga chachikulu ndikusintha kwakukuru kwakulu mu mahomoni.
• Kumwa mankhwala ena a mahomoni ndi antihypertensive.
• Njira zotupa ndi zotupa mu kapamba.
• Hyperthyroidism, hypercorticism syndrome, acromegaly.
• Kumwa madzi akumwa a khofi. Pakatha zaka makumi asanu ndi limodzi, mphamvu ya zinthu za thupi m'thupi limakulirakulira.
• Matenda a chiwindi, impso.
• Kukula kwakanthawi kochepa kwa shuga ndi chikhalidwe cha zinthu monga kugwedezeka, kuvulala, kuwotcha, stroke, kugunda kwamtima.
• Ena amilandu obadwa nawo.
• Ma neoplasms akhazikika omwe amapanga somatostatin kapena catecholamines.

Kukula pang'ono kwa shuga pambuyo pogwira ntchito mwamphamvu komanso kwakuthupi sikumadziwika ngati matenda.

Matenda a shuga (mmol / l)

Mosasamala kanthu za jenda, zaka, ndi mtundu, kuchuluka kwa shuga m'magazi kuchokera chala kumakhala kofanana kwa anthu onse. Mulingo wovomerezeka ndiwotalikirapo, wocheperako ndi 3.3 ndipo waukulu ndi 5.5.

Mothandizidwa ndi kusintha kwa thupi kwa okalamba ndi okalamba, akazi amatha kusintha. Mwachitsanzo, kuyambira zaka khumi ndi zinayi mpaka makumi asanu ndi limodzi, njira yolandirika ndiyoyambira 4.1 mpaka 5.9, pambuyo pa makumi asanu ndi limodzi - 6.0 idzawonedwanso monga momwe zimakhalira. Pankhaniyi, kusinthasintha pang'ono mbali zonse ziwiri ndizotheka.

Ngati, malinga ndi zotsatira za kafukufuku, kuchuluka kwa shuga musanadye kadzutsa 6.7, izi zikuwonetsa matenda ashuga. Kuti mutsimikizire, tikulimbikitsidwa kuti muyeze magazi ena owonjezera:

• kulolerana kwa shuga
• glycosylated hemoglobin,
• pa shuga (mobwerezabwereza).

Pakupereka biomaterial ku chala, kuchuluka kwa shuga kwa amuna pambuyo pa 60 pamimba yopanda kanthu kumayambira pa 5.5 mpaka 6.0.

Amuna ndi akazi oposa makumi anayi akuyenera kuwunika thanzi lawo, chifukwa nthawi zambiri matendawa amakula nthawi imeneyi. Mkhalidwe womwe umatchedwa "prediabetes" umakhala kwambiri asymptomatic. Chowoneka bwino ndikuti pang'onopang'ono chimayambitsa matenda a shuga, momwe mitengo yabwino kwambiri imayambira 4 mpaka 6. Ngakhale kuti kuyezetsa magazi pambuyo pa kudya sikuchitika, koma chifukwa chofufuza ngati "prediabetes" kapena "shuga mellitus" , biomaterial imatengedwa mphindi zana limodzi makumi awiri atatha kudya kuchokera kumunwe. Mwanjira iyi, kuchuluka kwa shuga kwa magazi ndi kufikira 7. Pa mfundo monga 7.8 ochepera ndi 11 pazambiri, kulephera kwa glucose kulembedwa. Zizindikiro zikakhala zapamwamba, izi zikuwonetsa kukhalapo kwa mtundu woyamba kapena wachiwiri wa matenda ashuga.

Zizindikiro zamagazi akulu

Chiwopsezo cha matenda a shuga chikuwonjezereka ndi ukalamba mwa amuna ndi akazi. Cholinga chake ndikuchepa kwa kayendetsedwe ka metabolic, ntchito zochepa zamagalimoto, kugwiritsa ntchito madzi ambiri okhala ndi zakumwa zoledzeretsa, komanso zakudya zosayenera. Njira yosavuta yodziwira zowonetsa zanu ndikudutsa mayeso a labotale ndikuwonetsetsa ngati pali kupatuka kwa shuga wamba. Biomaterial imatengedwa kuchokera ku chala kapena kuchokera mu mtsempha; zilibe kanthu. M'magulu onse awiri, wokhala ndi shuga wambiri, chithunzi chotsatira chachipatala chimawonedwa:

• kugona
• kukodza pafupipafupi,
• kufooka
• dermis youma
• ludzu losalekeza
• kusintha kwamatenda mu chiwindi ndi impso,
• zosokoneza mu ubongo chifukwa chosowa mpweya,
• kukula kwa magazi, zomwe zimapangitsa kuti maselo asapeze michere yokwanira, kusokonekera kwa magazi ndi magazi.

Ngati zizindikiro zomwe zili pamwambazi zikuwoneka, muyenera kukaonana ndi dokotala yemwe angakupatseni mwayi woti mukayezetse magazi ndi kufunsa ndi endocrinologist.

Kukonzekera kwa kusanthula

Kuti mupeze zotsatira zodalirika, ndikofunikira kukonzekera phunzirolo. Musanagonjere zotsatsa:

• osatenga mowa m'masiku atatu,
• Sizoletsedwa kudya chakudya, komanso madzi aliwonse kwa maola asanu ndi atatu mpaka khumi,
• gonani bwino
• musamatsotse mano anu kapena kugwiritsa ntchito mpweya wowuma,
• musamwe mankhwala (monga momwe adavomerezera ndi adotolo omwe akupezekapo),
• musamatafuna chingamu, popeza ili ndi sucrose,
• Pewani zochitika zovuta komanso zolimbitsa thupi.

Kusanthula kumalimbikitsidwa kuyimitsidwa ngati mudadwala matenda opatsirana posachedwapa kapena mwachita kafukufuku wa X-ray, physiotherapy kapena rectal.

Mlingo wa shuga wa mkazi

Chifukwa cha zochitika zina zakuthupi, kusala kudya kuchokera kumunwe kuchokera mwa chala mwa akazi kumakwera nthawi ndi nthawi. Komabe, njirayi sitha kutchedwa yopanda nzeru. Mwachitsanzo, podikirira mwana, matenda osokoneza bongo amatha kuyamba, omwe amatha pambuyo pobereka ndi chithandizo chokwanira. Pakusamba, zotsatira za phunzirolo zimasokonezedwa nthawi zambiri. Pa nthawi ya kusamba, kusowa kwa mahomoni kumakhudzanso kagayidwe kazakudya, kamene kamakhudza thanzi la glucose. Mitundu yonse ya zovuta, zovuta zosiyanasiyana zimawonjezera mwayi wokhala ndi matenda ashuga pambuyo zaka makumi asanu. Mukasamukira ku msinkhu wokhwima kwambiri, dongosolo la endocrine siligwirizana bwino ndi kaphatikizidwe ndi kayendetsedwe ka zinthu za m'thupi. Munthawi imeneyi, kuyang'anira glycemia ndikofunikira.

Akuluakulu, amachepetsa mphamvu zomwe zimafunikira kuti azichirikiza moyo, komanso amachepetsa kufunikira kwa chakudya chamafuta ndi zopatsa mphamvu. Motere, kuchuluka kwa shuga kuchokera pachala mwa akazi pambuyo pa zaka makumi asanu ndi limodzi ndi kwakukulu kuposa poimira achichepere. Glucose amalowa m'thupi kuchokera pachakudya ndipo patatha maola awiri gawo lake lalikulu limatuluka m'matumbo, ndikulowera mu minofu. Mukakalamba, izi zimafunikira nthawi yochulukirapo, zomwe zimabweretsa kuwonjezeka pang'ono.

Matenda a shuga amapezeka pamene mahomoni a pancreatic (insulin) sangathe kunyamula glycogen. Mafuta omwe amapangidwa amakhala osakwanira, ndipo glucose owonjezera amakhalira m'magazi. Pankhaniyi, kuchuluka kwa kudya kwa shuga kuchokera mu chala mwa akazi, monga amuna ndi ana, ndi okwera kuposa anthu athanzi. Tsoka ilo, thupi limasintha mwachangu kuwonjezereka kwapang'onopang'ono kwa kuchuluka kwa shuga m'magazi. Chifukwa chake, matendawa kwakanthawi ndi asymptomatic. Matendawa ndi owawa, chifukwa kusowa bwino kumabweretsa zotsatira zoyipa zomwe zimapangitsa kuti munthu akhale wolumala.

Mlingo wa glucose mwa amuna

Kuwongolera chizindikiro ichi ndikofunikira ngakhale ndi thanzi langwiro, chifukwa chake, kafukufuku pa kusala kudya kwa zala, chizolowezi chomwe amuna ndi akazi onse amakhala kuyambira 3,3 mpaka 5.5 mmol / l, amachitika panthawi ya mayeso okhudzana ndi kupewa, komanso mayeso azachipatala. Kupatuka pazinthu zovomerezeka kumawonedwa ndi kusintha kokhudzana ndi zaka, kusokonezeka kwa dongosolo la endocrine ndi mavuto ena azaumoyo. Mukakalamba, malire otsika komanso apamwamba pazowonjezereka. Nthawi zambiri, zizindikiro zomwe zimakhala ndi matenda ashuga, amuna samvera. Izi zimachitika chifukwa cha zizolowezi zoipa kapena kunyalanyaza thanzi lanu kuchokera ku kugonana kwamphamvu.

Mlingo wa glycemia kangapo ungasinthe patsiku, monga zimatengera chikhalidwe chamatsenga, zakudya, masewera olimbitsa thupi. Mwachitsanzo, mphindi makumi asanu ndi limodzi atatha kudya, shuga wamba chala chimakhala kuyambira 6.2 mpaka 8.7, ndipo patatha mphindi zana limodzi ndi makumi awiri, kuyambira 6.2 mpaka 7.2 mmol / L. Komabe, patatha maola atatu, ziwerengerozi siziyenera kupitirira 5.5. Ngati zikwangwani za nthawi ino sizikubwerera, ndiye kuti muyenera kuwazindikira ena. Zomwe zimayambitsa kwambiri shuga wamphongo wamwamuna ndi izi:

• kupsinjika
• kudumpha mu testosterone
• zochita zolimbitsa thupi,
• kuperewera kwa zakudya m'thupi
• zizolowezi zoipa.

Ngati, mukutenga biomaterial kuchokera pachala, shuga mwa amuna (mukudziwa kale zofunikira) ndiwopamwamba kuposa zovomerezeka, ndiye kuti kafukufuku wobwerezedwa komanso kuyesa kwina kwamu laboratenti kwawonetsedwa. Hyperglycemia ndi chiopsezo cha matenda a shuga. Mwa amuna, uchidakwa wambiri ndi kunenepa kwambiri zimawerengedwa kuti ndi zoyambitsa zake. Zina zomwe zimayambitsa izi ndi izi:

• kapamba
• kutenga mahomoni kuchitira zina matenda,
• hyperthyroidism
• oncology
• mbiri ya kuwonongeka kwa mtima ndi matenda a mtima.

Choyimira chenicheni chimadziwika pambuyo pofufuza mosamalitsa.

Ngati, mukamayesa biomaterial kuchokera pachala kuti munthu akhale ndi shuga (chizolowezi chiyenera kudziwika ndi aliyense kuti azilamulira thanzi lawo), mulingo wawo suchepetsedwa, ndiye kuti ndiwowopsa, popeza hypoglycemia imasokoneza ntchito zogonana ndikuchepetsa erection. Kukula kwake kumathandizidwa ndi:

• kupsinjika kwa malingaliro
• masewera olimbitsa thupi osagwirizana ndi mphamvu ya thupi,
• kuperewera kwa zakudya m'thupi - zakudya zochepa za mavitamini, zazikulu ndi zazikulu,
• kumwa mosafunikira kwa chakudya chambiri,
• kusowa kwamadzi
• kuledzera.

Glucose wocheperapo chifukwa cha matenda ashuga amalipitsidwa ndi kuchepa kwa zochitika zolimbitsa thupi ndi kugwiritsa ntchito zakudya zamtundu wa shuga.

Zotsatira pa thupi lamunthu la shuga kwambiri

Ngati, malinga ndi zotsatira za kuyesedwa mobwerezabwereza kwa magazi komwe kumatenga pamimba yopanda chala, shuga (zomwezo ndi zofanana kwa onse amuna ndi akazi) zikachulukitsidwa, izi zimabweretsa zotsatirapo zowopsa:

• Kusokonezeka mu ntchito ya impso - kuchuluka kwa zinthu zamafuta zomwe zimakhudzana ndi ludzu losalekeza kumakulitsa katundu pazinthu izi, zomwe zimapangitsa kuti pang'onopang'ono pakhale njira zamagetsi.
• Thrombosis - hyperglycemia imakulitsa magazi, omwe amapanga kuyenda kwake kudzera m'mitsempha. Zisoti zimapangidwa chifukwa chadzandandi.
• Mavuto ndi potency - kukonzekera kwathunthu sikumachitika chifukwa cha kusakwanira kwa mpweya ndi magazi kwa ziwalo zogonana zachimuna. Kuphatikizika kwa testosterone kumatsitsidwa chifukwa cha hyperglycemia, chifukwa cha chilakolako chogonana chimalepheretsa. Pamapeto pake, kusokonekera kwa erectile kumawonedwa.
• Mikwingwirima, vuto la mtima - kusokoneza magazi kupita ku ubongo ndi mtima, ma cholesterol amana ndi magazi akhungu.

Matenda a shuga mu 90% ya milandu amabweretsa zovuta.

Momwe mungasungire zowerengera za shuga?

Simuyenera kunyalanyaza ngakhale kupendekera nthawi imodzi kuchokera ku shuga m'magazi pamimba yopanda kanthu kuchokera ku chala, chifukwa izi mwina zingakhale zovuta kwambiri za kusokonekera kwa endocrine. Popewa matenda ashuga, muyenera kutsatira moyo wokangalika. Kuphatikiza apo, muyenera:

• Zakudya zoyenera - zokonda zimaperekedwa ku zakudya zopatsidwa fiber, pectin, fiber. Ndikulimbikitsidwa kuti muchepetse kapena kukana chakudya chamafuta ndi mafuta. Kuchulukitsa kumwa kwa madzi mpaka malita awiri patsiku. Tengani mavitamini - E, magulu B, A, komanso kufufuza zinthu - magnesium, chromium, manganese ndi zinc.
• Katundu wambiri wamasewera, kuyenda tsiku lililonse pamsewu.
• Kukana kwathunthu zolaula.
• Kuyendera pafupipafupi kwa adotolo ndikuwonetsetsa momwe ma glucose amawerengera.

Amayi ndi abambo omwe ali ndi zaka zopitilira makumi asanu ndi limodzi ndipo ali pachiwopsezo, chifukwa ali ndi vuto lotengera chibadwa, kunenepa kwambiri, kupezeka ndi matenda atherosclerosis, matenda oopsa, kupewa matenda ashuga ndikosavuta kuposa kuchiza. Komabe, Zizindikiro zoyambirira za matenda ashuga zitawonekera komanso kuchuluka kwa shuga m'magazi kumatha, ndikofunikira kukaonana ndi dokotala. Komanso, kuchezaku sikuyenera kuchedweratu kwa nthawi yayitali. Kumbukirani kuti matenda omwe amapezeka koyambirira amatha kuthandizidwa ndipo kwa nthawi yayitali sikuyambitsa zovuta zilizonse, koma pokhapokha pokhapokha - kuvomerezedwa kwa kuvomerezedwa ndi dokotala.

Kudziwitsa shuga wamagazi kunyumba

Pakadali pano, pafupifupi anthu onse omwe ali ndi matenda ashuga ali ndi mwayi kunyumba wowunikira mayendedwe a glucose kuti athe kudziwa kuwonjezeka kapena kuchepa kwa kusanthula kwa magazi kuchokera chala. Gluceter (muyezo wama glucose omwe amadalira padziko lonse lapansi pokhapokha ngati ali ndi malire) ndi chida chachipatala chomwe amachitiramo izi. Maluso a zochita ali motere:

1. Werengani malangizo omwe adabwera ndi chipangizocho.
2. Phunziroli limachitika pamimba yopanda kanthu.
3. Sambani manja ndikuuma pogwiritsa ntchito thaulo musanayambe kugwira.
4. Kanda chala chako kuti uchulukitse magazi.
5. Chithandizo ndi nsalu.
6. Kuboola ndi chocheperako chomwe chimabwera ndi mzere wapakati, mndandanda kapena chala.
7. Chotsani dontho loyambalo la magazi ndi swab ya thonje youma.
8. Ikani dontho lachiwiri pamzere woyeserera.
9. Ikani mita ndikuwerenga zotsatirazo pazenera.

Kuchuluka kwa shuga pamimba yopanda kanthu kuchokera pachala kumadalira nyengo zina. Kuti mupeze zotsatira zodalirika, ndikofunikira kukwaniritsa zinthu zingapo zomwe zafotokozedwa pamwambapa.

Mukamayesa ndi glucometer, ndikofunikira kuwunika masiku omwe amatha ntchito ndikuwonetsetsa momwe malo osungira amayeserera. Chubu lamamita liyenera kutsekedwa kwathunthu pakunyengeza. Magawo awa amakhudza zotsatira zake ndipo amatha kupotoza zotsatira zake. Kuphatikiza apo, zinthu zotsatirazi zomwe zikuwonjezera kuchuluka kwa shuga ziyenera kulingaliridwa:

• kupsinjika
• kumwa mapiritsi ogona, mankhwalawa ndi psychotropic,
• kutupa ndi kutupa mu kapamba,
• onenepa kwambiri
• kulakwitsa kwa pituitary gland, adrenal gland ndi chithokomiro, chiwindi ndi impso,
• kumwa kwambiri maswiti,
• phwando lakumwa zakumwa zoledzeretsa,
• zolimbitsa thupi. Kukhazikitsa pafupipafupi zolimbitsa thupi kosavuta, m'malo mwake, kumathandizira shuga.

Mlingo wa shuga wamafuta kuchokera pachala chala chakumaphunziro mukatha kudya suyenera kupitirira malire ovomerezeka - 7.8 ndikukhala otsika kuposa 4,5 mmol / L.

Amayi oyembekezera

Munthawi imeneyi, thupi la mkazi limamangidwanso, mphamvu zonse zimayendetsedwa kuti zizinyamula zinyalala komanso kubereka pambuyo pake. Chifukwa chake, zinthu zina zomwe zimadziwika kuti ndi za pathological pokhapokha ngati pali pakati, pomwe kudikirira mwana sikumvekanso kupatuka kuchoka pachizolowezi. Izi ndi monga kupuma movutikira, kutupa, kupweteka kumbuyo Komabe, zikawoneka, ndikofunikira kudziwitsa dokotala.

Kudziwa kuchuluka kwa glucose ndi kuyeserera komwe amalembera azimayi onse oyembekezera mpaka eyiti mpaka khumi ndi iwiri komanso pa masabata makumi atatu. Pangozi ndiye azimayi amtsogolo omwe ali ndi:

• muubwenzi wapakati pali odwala matenda a shuga kapena omwe ali ndi zovuta zina za endocrine,
• onenepa kwambiri
• mimba yoyamba yoposa zaka makumi atatu,
• polyhydramnios
• awiri kapena kupitilira apo, mbiri yabadwa,
• ana akulu adabadwa kale kapena osabadwa,
• pali zizindikiro monga kuyabwa ndi kuwuma kwa dermis, kukokoloka kwambiri komanso pafupipafupi, ludzu losalekeza, kulemera thupi popanda chifukwa.

Shuga mu amayi oyembekezera pamimba yopanda kanthu kuchokera kumunwe (mmol / l) amachokera pa 3,3 mpaka 5.5. Komabe, kuwonjezeka pang'ono kwa malire kumaloledwanso - 3.8-5.8 mu theka lachiwiri la kutenga pakati. Chomwe chimapangitsa izi ndizoti kapamba sangathe kuthana ndi katundu. Dokotala yekha ndi amene angadziwe matenda am'mimba, chifukwa chake, munthu sayenera kuchita mantha asanapeze zotsatira za kafukufukuyu, i.e., asanakumane ndi dokotala.

Kupatuka kuzololedwa

Woyamba adazindikira kuchuluka kwa shuga kwa amayi apakati omwe ali ndi chala chotchedwa "gestationalabetes." Nthawi zambiri, zimadutsa nthawi yobereka. Chifukwa chakuti vutoli limakhudza mwana wamtsogolo, chifukwa limapangitsa kulemera kwakukulu ndi fetal hypoxia, azimayi amawonedwa pa endocrinologist asanabadwe. Nthawi zina, matenda enieni a shuga amakula, pamene kuchuluka kwa ma amino acid m'magazi kumachepera, ndipo kuchuluka kwa matupi a ketone kumawonjezeka. Kuti muchepetse shuga, ndikulimbikitsidwa:

1. Kusintha zakudya - monga oats, mpunga, buckwheat, nsomba, tchizi tchizi, nyama, masamba, mazira, zipatso. Kupatula chokoleti, koloko wokoma, chakudya pompano. Chepetsani magawo ndikudya pafupipafupi.
2. Zochita zolimbitsa thupi - wophunzitsa mu chipatala amalimbikitsa masewera apadera angapo.
3. Makulidwe a insulini akuwonetseredwa ngati chiwopsezo chambiri cha glucose.

Zomwe zimapangitsa kuti phunziroli lisakhale lolakwika:

• matenda opatsirana
• kuphwanya malamulo okonzekera kusanthula,
• mkhalidwe wopsinjika.

Kupatuka pang'ono kuchokera ku chizolowezi cha shuga panthawi yapakati kuyambira pachala mpaka kumunsi kumasewera nthawi zambiri. Cholinga chake - shuga ndi yofunikira kwa mayi woyembekezera komanso mwana. Zizindikiro zodziwika bwino za izi ndi kutopa, komwe kumadutsa mukatha kudya, kufooka. Popewa, tikulimbikitsidwa kudya magawo asanu ndi limodzi patsiku ndikumwa malita awiri a madzi. Komabe, mndandanda wotsika kwambiri wa shuga, i.e.oochepera 3.2 mmol / L, ndi chizindikiro chododometsa. Ngati masitepe sanatengedwe munthawi yake, mwana akhoza kukhala ndi ma pathologies osiyanasiyana, kuphatikizapo kubwezeretsa m'maganizo.

Kuyang'anira kuchuluka kwa shuga m'magazi panthawi yomwe mwana akuyembekezera kumakuthandizani kuti musatengere zovuta zomwe zimachitika mwa mayi woyembekezera komanso zinyenyeswazi, komanso munthawi yoyenera kudziwa matenda a shuga. Chifukwa chake, muyenera kudya molondola ndikutsatira malingaliro onse a dokotala. Muyenera kuyang'ana miyezo yotsatira ya shuga mwa amayi apakati kuyambira chala (mmol / l):

• mutatha kudya (nditatha maola 2) - osapitirira 6.7,
• musanagone - kuyambira 5.0 mpaka 7.0,
• usiku - osachepera 3.5.

Njira yayikulu yodzitetezera ku ma pathologies omwe amachitika chifukwa cha kusintha kwa kuchuluka kwa shuga m'magazi ndi moyo wathanzi, ndiko kuti, kukana zosokoneza bongo, kuchita masewera olimbitsa thupi, kudya mokwanira.

Kuyesedwa kwa shuga kwa ana

Dokotala wa ana akuvomereza kupendedwa koteroko ndi chithunzi chotsatira cha matenda:

• kuwonda mwadzidzidzi
• ludzu losalekeza
• polyuria
• kulemera kwakukulu
• chizungulire ndi kufooka patapita nthawi yochepa mutadyetsa.

Maonekedwe a zizindikiro zomwe zili pamwambapa zikuwonetsa kusowa kwa insulin mthupi, komanso kulephera kwa endocrine.

Ngati mwana wabadwa ndi kulemera kambiri, ndiye kuti amawonetsedwa kuyezetsa magazi kwa shuga. Chitani izi mpaka atakwanitsa chaka chimodzi. Ndi kulemera kwamtundu, kafukufuku wowongolera amachitika kuti asatenge zovuta za endocrine, zomwe zimapangitsa kuti metabolism yolakwika ikhale yolakwika.

Pa kudalirika kwa zotulukapo, ndikofunikira kuti musadyetse mwana kwa maola eyiti mpaka khumi musanayikidwe biometiat ya shuga kuchokera pachala (zikhalidwe zimaperekedwa pansipa). Amaloledwa kumwa khandalo ndi madzi opanda kanthu. Inde, kuli kovuta kwa makolo kufotokozera mwana chifukwa chake sayenera kudya asanagone. Chifukwa chake, madokotala a ana amathandizira kuti asokoneze masewera kapena kugona pang'onopang'ono kuti athetse njala. M'mawa mutha kupatsa madzi.

Ana okalamba sayenera kutsuka mano patsiku lokonzanso, popeza mano onse ali ndi zotsekemera.

Ngati khanda likuyamwa, nthawi pakati pa kudyetsa komaliza komanso kuyimitsa kachulukidwe kamachepetsa mpaka maola atatu, i.e. nthawi iyi ndikwanira mkaka kuti ugwirizane ndi kusakhudza zotsatira za kusanthula.

Mukamamwa mankhwala, makamaka glucocorticoids, onetsetsani kuti muchenjeze dokotala wanu za izi, chifukwa zimabweretsa kuchuluka kwa shuga m'magazi. Imasokoneza zotsatira ndi kukhalapo kwa matenda ndi chimfine. Kuphatikiza apo, kulumpha mu shuga kumawonedwa pakukhumudwa kapena kutopa, komanso kupsinjika. Tsiku lisanaperekedwe zoperekera zakudya, munthu ayenera kuyesa kuchepetsa kuchuluka kwa zochita za mwana pomupatsa masewera ambiri omasuka, ndiye kuti, kuti awonongeke. Ntchito ya makolo ndi kukhazika mtima pansi khanda ndikuwonetsetsa kuti sachita mantha kupita ku chipatala ndi malo othandizira ogwira ntchito. Mukamaliza kudya, mungapatse mwana wanu zinthu zabwino kuti asangalale komanso kuti asamasuke. Mulingo wa shuga kuchokera chala mwa ana (mmol / l):

• mpaka miyezi khumi ndi iwiri ali pamtunda kuchokera pa 2.8 mpaka 4.4,
• mpaka zaka zisanu - kuyambira 3.3 mpaka 5.0,
• kupitilira kuchokera pa 3.3 mpaka 5.5.

Kuchulukitsa malire kumatanthauza kuyambika kwa matenda ashuga. Zifukwa zake ndi cholowa, kuphwanya kapangidwe ka zinthu zamafuta ndi chithokomiro. Mayeso owonjezera amachitidwa kuti atsimikizire.

Potsika kwambiri, m'mimba mumayendera, chifukwa zomwe zimayambitsa hypoglycemia zimagwirizanitsidwa ndi michere ya m'mimba.