Glucose m'magazi: momwe akazi, abambo, msinkhu, zomwe zimayambitsa shuga wambiri kapena wotsika, momwe angapangire matenda ake m'magazi
Glucose (shuga), kutsata kwake monga momwe zimakhalira - ichi ndiye chisonyezo chomwe chimanena kuti m'thupi mwake ziwalo zake zonse komanso machitidwe ake amagwira ntchito bwino.
Pazomwe zimayenera kukhala kuchuluka kwa shuga m'magazi, muyezo wa akazi pofika zaka, tebulo ndi kufananizira ndi zomwe amuna azikambirana pambuyo pake.
Tikuwunikanso zifukwa zomwe zimapangitsa kuti ziwonjezeke komanso kuchepa kwake, momwe mungapangire mulingo wake.
Chikhalidwe cha shuga mwa akazi
Kuyesedwa kwa magazi ndi kuyeserera kwa zasayansi kuti muone kuchuluka kwa shuga m'thupi kumachitidwa pamimba yopanda kanthu, makamaka m'mawa.
Palibe chifukwa chosinthira kwambiri zakudya zanu patsiku loyambirira.
Matenda a shuga mwa akazi ndi 3.3 - 5.5 micromol / l.
Kusintha kokhudzana ndi ukalamba mwa akazi azaka 50 kumasiya kuwonekera kwawo pazowonetsa za shuga, mulingo wake m'magazi.
Ngati tilingalira za tebulo lolingana la zofunikira za glucose zopangidwa ndi madokotala, ndiye kuti shuga ndi yofanana:
- ali ndi zaka 50 mpaka zaka 60 - 3.8 - 5.9 micromol / l.
- mwa azimayi atakwanitsa zaka 60 - mpaka 90 wazaka - zofunikira ndi 4.2 - 6.4 micromol / l.
- pa zaka 90 - zofunikira ndi 4.6 ndi mpaka 6.9 micromol / l.
Chikhalidwe cha shuga mwa amuna
Matenda a shuga m'magazi amapezeka mwa amuna amachokera ku 3,9 mpaka 5.6 micromol / l. Ngati musanawerengetse wodwalayo sanadye kwa maola 7-8, mutatha kudya - zodziwika zimasiyana pakati pa 4.1 - 8.2 micromol / l.
Panthawi yosakanikirana, yosankha magazi, osakhudzidwa ndi zakudya, zizindikirozo zimasiyana kuchokera pa 4.1 mpaka 7.1 micromol / l.
Popeza m'badwo, zomwe zikuwonetsedwa mwa amuna zitha kukhala motere:
- bambo akakhala wamgulu la zaka zapakati pa 15 mpaka 50, shuga m'magazi amasiyana kuchokera pa 4.1 mpaka 5.9 micromol / l.
- shuga m'magazi mwa amuna pambuyo pa zaka 50 - mpaka 60 - mkati mwazosiyana kuyambira 4,4 mpaka 6.2 micromol / l.
- Kwa bambo wamkulu wazaka zopitilira 60 - muyezo umakhala mulingo kuyambira 4,6 - mpaka 6.4 micromol / l.
Ndikofunika kukumbukira kuti zisonyezo zonse zimatha kusiyana kutengera komwe othandizira ma labotore amatengera.
Miyezi yachilengedwe ya shuga mwa akulu imatha kusiyanasiyana kutengera komwe magazi adatengedwa.
Pankhaniyi, zotsatira za mayeso a labotale zimasiyana ndipo zimasiyana ndi 12%. Zotsatira zolondola zowonjezereka zikuwonetsedwa pakuphunzira magazi a venous.
Zoyambitsa Hyperglycemia
Hyperglycemia (kuchuluka kwa glucose mu seramu yamagazi) ndi chizindikiro choopsa cha thupi chokhudza matenda oyamba omwe amapezekamo.
Kuwonjezeka kwakanthawi kwamagazi a shuga kungakhudzidwe ndi kupsinjika, kusuta, zakudya zosayenera komanso zosagwirizana, komanso kupsinjika kwa thupi.
Ngati kuchuluka kwa shuga ndikokhalitsa, zifukwa zingakhale izi:
- Matenda a chithokomiro ndimatenda a adrenal,
- chotupa
- khunyu
- kumwa mankhwala
- matenda am'mimba thirakiti ndi kapamba, kuphika,
- poizoni wa monoxide
- kukula kwa matenda a shuga kudzawonekeranso ngati chizindikiro chosokoneza bongo cha hyperglycemia.
Mwa zina, shuga wambiri m'thupi amatha kupatsa thupi thupi, ngakhale kufa.
Miyezi ya shuga m'magazi ikachulukira pang'ono - simuyenera kuda nkhawa, ingosintha zakudya zanu zokha, kuchotsamo zinthu zoyipa kuchokera pamenepo, kusintha kugona kwanu komanso kupsinjika (maganizidwe, zamaganizidwe), potero kubweretsanso kuchuluka kwa shuga.
Zizindikiro za Hyperglycemia
Pakakhala vuto la chiwindi, shuga wambiri m'magazi amalowa m'magazi, nkumayambitsa hyperglycemia.
Pankhaniyi, madokotala azindikira zizindikiro zoyambirira, zomwe zimawonetsa kuchuluka kwa shuga m'magazi:
- Choyambirira, kuchuluka kwa shuga m'magazi kungakhudze mawonekedwe ndi maso - ngati mulingo wambiri wa wodwalayo sabwereranso mwakale, wodwalayo amakumana ndikuwonongeka kwa retina, njira za atrophic. Zotsatira zake - khungu pang'ono kapena lathunthu.
- Sinthani mkhalidwe ndi ntchito ya impso. Ndi impso, monga gawo lalikulu la kwamikodzo, ndiyo yoyamba kusokonezedwa ndikuvutika ndi shuga wambiri.
- Mawonekedwe ndi manja ndi miyendo zikusintha - kuzizira kozizira ndi kunjenjemera, kukulira kwa mabala osapweteka komanso osachiritsika.
Wodwala wambiri ndi shuga wamagazi adzasokonezedwa ndi ludzu losatha komanso kutopa kwambiri, kugona nthawi zonse, kulimbikitsidwa kupita kuchimbudzi, makamaka usiku. Wodwala ndi chitukuko cha mtundu wachiwiri wa hyperglycemia, kukumbukira kumachepa, khungu ndi misomali zimakhudza bowa wa msomali, mwa akazi - kupweteka kwamankhwala am'mimba.
Zoyambitsa Hypoglycemia
Hypoglycemia (kutsika kwa kuchuluka kwa shuga m'magazi) kumakhala kochepa kwambiri mwa odwala pakuwunika kuposa hyperglycemia, komanso kumakhudza thupi.
Zifukwa zotsatirazi zimayambitsa hypoglycemia:
- kusala ndi kuledzera, kuyamwa kwa thupi ndi zitsulo zolemera ndi ziphe, zomwe zimakhudza kunja komanso kamodzi mkati mwa thupi,
- matenda okhudza m'mimba thirakiti - kapamba kapena enteritis, zilonda zam'mimba. Zonsezi zimakhudza thupi kuphatikiza shuga, zomwe zimapangitsa kuti pakhale vuto lalikulu kwambiri,
- Kulephera kwa kagayidwe kazakudya kagayidwe kachakudya, mavuto a chiwindi - matenda enaake kapena kuchuluka kwake kunenepa,
- kunenepa kwambiri, mavuto amalemu komanso kupweteka kwakhungu komwe kumakhudza kapamba,
- mavuto ndi mafupa am'mimba komanso ophatikizika amanjenje, mavuto amitsempha yamagazi, poyizoni wakupha ndi mankhwala, ziphe, zitsulo zolemera.
Mosasamala kanthu za zifukwa zomwe zidapangitsa kuti shuga achepetse, madokotala amalimbikitsa kuti nthawi zonse muzikhala ndi maswiti otsekemera, kapu ya chokoleti.
Zizindikiro za hypoglycemia
Chizindikiro choyamba chomwe chikuwonetsa kukula kwa hypoglycemia kuchulukitsa, kutopa kwambiri, ngakhale kuchita masewera olimbitsa thupi pang'ono.
Kukhala ndi ludzu pafupipafupi komanso kuchita zinthu mwankhanza, mantha amathandizanso kudziwa magazi achesi.
Mndandandawu umathandizira ndi zizindikiro zotsatirazi:
- Kugona kwakanthawi, ngakhale wodwalayo atagona mokwanira, ambiri atha kunena kuti izi zasintha mu nyengo, koma ichi ndichizindikiro cha hypoglycemia.
- Matenda a migraine osatha komanso chizungulire chambiri, kukomoka (syncope) ndi zizindikiro zazikulu za hypoglycemia.
- Mavuto amaso ndi kukhumudwa kwa mtima (tachycardia ya mtima), kumva bwino kwa njala, ngakhale mutadya kadzutsa kambiri komanso kosangalatsa.
Poganizira zomwe wodwalayo amagwira, zizindikilo zake zimatha kusintha, kukulira kapena kuwoneka bwino. Dokotala amayenera kukulemberani maphunziro ake, malinga ndi zotsatira zake.
Njira Zodziwitsira
Mulingo wa shuga wamagazi, wokhazikika komanso wopatuka kuchokera pamenepo, umatanthauzidwa ngati kugwiritsa ntchito glucometer - chipangizo chonyamulika chomwe mungayang'anire kunyumba.
Komabe, zikuwonetsa zotsatira zosasamala za kuchuluka kwa glucose motero ndikofunikira kwambiri kuyezetsa magazi pamalo ochitiramo chipatala.
Kuti adziwe molondola komanso molondola kuchuluka kwa shuga m'magazi, dokotalayo amalembera kuyesedwa kwa magazi kwa ma glucose.
Kuphatikiza apo, madokotala amapereka chithandizo kuti adziwe kulolera kwa glucose komanso kafukufuku wa hemoglobin wa glycated.
Mukamayang'ana kulolera kwa glucose, chidwi cha insulin komanso momwe thupi limafunira kuti azindikire kuti wapezeka.
Momwe mungakwezere ndikuchepetsa shuga.
Ponena za nkhani yochepetsera shuga ndi magazi ake okwera kwambiri, wodwalayo ayenera kutsatira izi:
- Tsatirani zakudya ndi zakudya zotchulidwa ndi dokotala - chotsani maswiti, uchi, shuga ndi zamapichesi, muchepetsani kudya kwamafuta ndi zakudya zokazinga, pickles ndi zakudya zosuta.
- Madzi ambiri omwe amamwa ndi wodwalayo ndizofunikira kuti shuga akhale ndi shuga. Ndibwino ngati ndi madzi oyera, zinthu mkaka wowawasa kapena tiyi wazitsamba, koma khofi ndiyabwino.
Gwiritsani ntchito mankhwala azikhalidwe - kupanga ndalama kuchokera ku zitsamba zomwe zimatha kutsitsa shuga. Izi ndi chamomile, motsatizana ndi chowawa, zitsamba zina - zolipiritsa kuti muchepetse shuga wamagazi ziyenera kuvomerezedwa ndi adokotala.
Pamodzi ndi izi - zolimbitsa, poganizira zomwe zimachitika wodwalayo, zolimbitsa thupi, kubwezeretsa kapamba ndi kuchepetsa zovuta.
Kuti muwonjezere shuga m'magazi, wodwalayo ayenera kutsatira malingaliro ochepa osavuta:
- Idyani pang'ono, koma nthawi zambiri ndipo izi zimathandizira kukhazikika kwa shuga m'thupi.
- Chepetsani kumwa kowonjezereka kwa zakudya zosavuta zamafuta m'zakudya zanu - mkate ndi maswiti, makeke, ndi zakudya zambiri zomwe zimakhala ndi fiber yambiri komanso zovuta kupanga.
- Lekani kusuta ndipo osamwa mowa, makamaka pamimba yopanda kanthu ndikutsimikiza kudya chakudya cham'mawa.
Miyezi yachilengedwe ya shuga mwa akulu amatha kusiyanasiyana, koma simuyenera kunyalanyaza zosintha zilizonse.
Malangizo onsewa ndi osavuta komanso ali m'manja mwa wodwala aliyense - thanzi la aliyense liyenera kukhala lopanda zizolowezi zoyipa ndi maboma olakwika.
Osanyalanyaza malamulo osavuta awa - izi zimakhudzanso thupi lonse komanso kuchuluka kwa shuga komanso.