Shuga pamwambamwamba pazomwe mungachite
Glucose ndiye chinthu champhamvu chomwe maselo a thupi lathu amadya. Chifukwa cha glucose, zovuta zamtunduwu zimachitika, zopatsa mphamvu zofunika zimapangidwa. Vutoli limapezeka kwambiri m'chiwindi, popanda chakudya chokwanira, glucose mu mawonekedwe a glycogen amatulutsidwa m'magazi.
Pazachipatala zovomerezeka mulibe mawu oti "shuga wamagazi", lingaliro limagwiritsidwa ntchito polankhula. Pali mashuga ambiri mwachilengedwe, ndipo thupi lathu limagwiritsa ntchito shuga yekha.
Kuchuluka kwa shuga m'magazi kumatha kusiyanasiyana malinga ndi msinkhu wa munthu, chakudya, nthawi ya tsiku, kuchuluka kwa zochita zolimbitsa thupi komanso kukhalapo kwa zovuta zina. Ngati kuchuluka kwa shuga m'magazi kumachuluka kuposa momwe zimakhalira, shuga imati.
Kusamala kwa glucose kumayendetsedwa nthawi zonse, kumatha kuchepa kapena kuchuluka, izi zimatsimikiziridwa ndi zosowa za thupi. Momwe zimapangitsa kuti pulogalamu yovuta ngati iyi ikhale ndi insulin ya mahomoni, yomwe imapangidwa ndi zisumbu za Langerhans, komanso adrenaline - mahomoni a adrenal glands.
Izi ziwalo zikaonongeka, njira yowongolera imalephera, chifukwa chake, kukula kwa matendawa kumayamba, kagayidwe kamasokonezeka.
Pamene matendawa akupita, ma pathologies osasintha a ziwalo ndi machitidwe amawonekera.
Kodi shuga ndimagazi ndimomwe amatsimikizidwira?
Kuyesedwa kwa magazi m'magulu a shuga kumachitika kuchipatala chilichonse, nthawi zambiri njira zitatu zothandizira kudziwa shuga zimachitidwa:
- orthotoluidine,
- shuga oxidase
- chala.
Njirazi zidalumikizidwa kale mu 70s ya zaka zapitazi, ndizodalirika, zothandiza, zosavuta kugwiritsa ntchito, zomwe zimapezeka, kutengera mphamvu ya mankhwala omwe ali ndi shuga m'magazi.
Mukamawerengera, madzi amtundu amapangidwa, omwe, pogwiritsa ntchito chipangizo chapadera, amayesedwa kuti awonetsetse mtunduwo, kenako ndikusunthidwa ndikuwonetsa chizindikiro.
Zotsatira zake zimaperekedwa ku gulu lapadziko lonse lapansi lomwe limayesedwa kutiayeza zinthu zosungunuka - mg pa 100 ml, mamililita pa lita imodzi ya magazi. Kutembenuza mg / ml kukhala mmol / L, nambala yoyamba iyenera kuchulukitsidwa ndi 0.0555. Muyenera kudziwa kuti kuchuluka kwa shuga m'maphunziro ndi njira ya ferricyanide nthawi zonse kumakhala kokwera pang'ono kuposa njira zina zowunikira.
Kuti mupeze zotsatira zolondola kwambiri, mungafunike kupereka magazi kuchokera kumunwe kapena mu mtsempha, izi zimachitika pamimba yopanda kanthu komanso osakwana maola 11 tsiku. Asanapange kusanthula, wodwalayo sayenera kudya chilichonse kwa maola 8 mpaka 14, mumangomwa madzi opanda mpweya. Tsiku loti magazi asanakwane, ndikofunikira kuti musamadye mopambanitsa, osamwa mowa. Kupanda kutero, pali kuthekera kwakukulu kovomereza data yolakwika.
Mukamasanthula magazi a venous, zovomerezeka ndizowonjezereka ndi 12 peresenti, zizindikiro zoyenera:
- magazi a capillary - kuyambira 4.3 mpaka 5.5 mmol / l,
- venous - kuyambira 3.5 mpaka 6.1 mmol / l.
Palinso kusiyana pakati pa zisonyezo za magazi athunthu okhala ndi misempha ya plasma.
World Health Organisation ikupereka njira yofufuzira matenda ashuga omwe ali ndi malire awa a shuga: magazi athunthu (kuchokera kumitsempha, chala) - 5.6 mmol / l, plasma - 6.1 mmol / l. Kuti mudziwe mtundu wanji wa shuga womwe ungakhale wabwinobwino kwa munthu wazaka zopitilira 60, ndikofunikira kukonza zotsatira ndi 0.056.
Kuti magazi a shuga aziyimira pawokha, wodwala matenda ashuga ayenera kugula chipangizo chapadera, glucometer, chomwe mumphindikati chimapereka zotsatira zolondola.
Magazi a shuga ali ndi malire komanso otsika, amatha kusiyanasiyana mwa ana ndi akulu, koma palibe kusiyana pakati pa amuna ndi akazi.
Mwa ana osaposa zaka 14, zomwe zimachitika kuyambira pa 2.8 mpaka 5.6 mmol / l, ali ndi zaka 14 mpaka 59, chizindikiro ichi ndi 4.1-5.9 mmol / l, mwa munthu wazaka zopitilira 60, malire apamwamba a chizolowezi ndi 4 , 6, ndipo pansi ndi 6.4 mmol / L.
Zaka za mwana zimagwira ntchito yake:
- mpaka mwezi umodzi chizolowezi ndi 2.8-4.4 mmol / l,
- kuyambira mwezi umodzi mpaka zaka 14 - 3.3-5.6 mmol / l.
Mulingo wofanana ndi shuga m'magazi azimayi panthawi yoyembekezera ndi 3.3 - 6.6 mmol / l, ngati chizindikiro chapamwamba kwambiri, tikulankhula za mtundu waposachedwa wa matenda ashuga. Izi zimapereka chofunikira chotsatira dotolo.
Kuti mumvetsetse momwe thupi limagwirira kuyamwa shuga, muyenera kudziwa momwe phindu lake limasinthira mukatha kudya, masana.
Nthawi ya tsiku | Kuchuluka kwa shuga mmol / l |
kuyambira 2 mpaka 4 a.m. | zopitilira 3.9 |
musanadye chakudya cham'mawa | 3,9 – 5,8 |
masana musanadye nkhomaliro | 3,9 – 6,1 |
musanadye chakudya chamadzulo | 3,9 – 6,1 |
ola limodzi mutatha kudya | zosakwana 8.9 |
pambuyo 2 maola | pansipa 6.7 |
Zotsatira
Atalandira zotsatira za kusanthula, endocrinologist amawerengera kuchuluka kwa shuga monga: yabwinobwino, yayitali, yotsika.
Kuchulukitsa kwa anthu ambiri kwa shuga ndi hyperglycemia. Vutoli limawonedwa ndi mitundu yonse ya zovuta zaumoyo:
- matenda ashuga
- matenda a endocrine dongosolo,
- matenda a chiwindi osachiritsika
- ndondomeko yotupa komanso yotupa mu kapamba,
- zotupa mu kapamba,
- myocardial infaration
- sitiroko
- matenda a impso omwe amayamba chifukwa cha kusefedwa,
- cystic fibrosis.
Kuwonjezeka kwa shuga kumatha kuchitika mu njira zotsatsira zomwe zimalumikizana ndi ma antibodies ku insulin ya mahomoni.
Shuga pamalire a chizolowezi ndipo pamwamba pake amatha kukhala chifukwa chapanikizika, kulimbitsa thupi mwamphamvu, kupsinjika mtima. Zofunikirazi ziyeneranso kufunidwa pakugwiritsa ntchito kuchuluka kwa chakudya chamagulu ambiri, zizolowezi zoipa, kumwa mahomoni a steroid, estrogens ndi mankhwala omwe ali ndi mankhwala ambiri a caffeine.
Kuchepetsa shuga m'magazi kapena hypoglycemia ndikotheka ndi khansa yam'magazi a adrenal, chiwindi, kusokonezeka kwa endocrine system, pathologies a kapamba, cirrhosis, hepatitis, kuchepa kwa chithokomiro.
Kuphatikiza apo, shuga wochepa amapezeka poizoni wa zinthu zoopsa, mankhwala osokoneza bongo kwambiri a insulin, anabolics, amphetamine, salicylates, kusala kudya kwa nthawi yayitali, kuchita masewera olimbitsa thupi mopitirira muyeso.
Ngati mayi ali ndi matenda ashuga, mwana wake wakhanda amakhalanso ndi shuga wochepa kwambiri.
Njira zoyenera kutsimikizira kuti ali ndi matenda ashuga
Ndikotheka kuzindikira matenda a shuga ngakhale atakhala amitundu, pomangopereka magazi kwa shuga. Ngati muyamba kuchokera kumawu osavuta, prediabetes imawerengedwa monga zizindikiritso za shuga m'gulu la 5.6-6.0 mmol / L. Kuzindikira kwa matenda a shuga kumapangidwa ngati malire apansi akuchokera ku 6.1 ndi pamwamba.
Kuzindikira kopanda kukayika ndi kuphatikiza kwa zizindikiro za matendawa komanso kuchuluka kwa shuga m'magazi. Mwanjira iyi, mosasamala kanthu ndi chakudya, shuga amakhala pamlingo wa 11 mmol / l, ndipo m'mawa - 7 mmol / l kapena kupitilira.
Ngati zotsatira za kusanthula ndizokayikira, palibe zizindikiro zoonekeratu zomwe zimayang'aniridwa, komabe, pali zochitika zowopsa, kuyezetsa nkhawa kumasonyezedwa. Kafukufuku wotereyu amachitika pogwiritsa ntchito shuga, dzina lina pofuna kuwunikiratu ndi kuyesa kwa glucose, kupindika kwa shuga.
Njirayi ndi yosavuta, sizifunikira ndalama, sizibweretsa chisangalalo. Choyamba, amapereka magazi kuchokera m'mitsempha pamimba yopanda kanthu, izi ndizofunikira kudziwa shuga yoyambirira. Kenako magalamu 75 a shuga amasungunuka mu kapu yamadzi ofunda oyeretsedwa ndikupatsidwa kwa wodwalayo kuti amwe (mwanayo amawerengera kuchuluka kwa 1.75 g pa kilogalamu iliyonse ya kulemera). Pambuyo pa mphindi 30, 1 ndi maola awiri, magazi amakonzedwanso kuti apimidwe.
Chofunika pakati pa kuwunika koyamba ndi komaliza:
- lekani kusuta ndudu, kudya chakudya, madzi,
- Zochita zilizonse zolimbitsa thupi ndizoletsedwa.
Kubwereza mayeso ndikosavuta: Zizindikiro za shuga ziyenera kukhala zabwinobwino (kapena zikhale pamphepete mwa malire) musanadye madzi. Momwe kulolera kwa glucose kumayipa, kuwunikira kwakanthawi kudzawonetsa 10,0 m'magazi a venous ndi 11.1 mmol / L mu capillary. Pambuyo maola 2, ndende imakhalabe yochepa. Izi zikuwonetsa kuti shuga woledzera samamwa, amakhala m'magazi.
Mulingo wa glucose ukakwera, impso zimaleka kuthana nawo, shuga amathira mkodzo. Chizindikiro ichi chimatchedwa glucosuria mu shuga. Glucosuria ndi njira inanso yowonjezera pakuzindikira matenda ashuga.
Zambiri pazokhudza kuchuluka kwa shuga m'magazi zimaperekedwa mu kanema munkhaniyi.
Mida yakwera komanso yotsika magazi
Kwa zaka zambiri osalimbana ndi ma DIABETES?
Mutu wa Bungwe: “Mudzadabwitsidwa kuti kumakhala kovuta motani kuchiritsa matenda a shuga tsiku lililonse.
Mkhalidwe wa kagayidwe kazakudya umatsimikizika pogwiritsa ntchito njira zosiyanasiyana zasayansi. Mpaka pano, njira yolondola komanso yowoneka bwino ndikutsimikiza kwa kuchuluka kwa glucose m'magazi. Kutengera njira ndi zida za kutsimikiza (seramu kapena venous magazi), muyezo ungasiyanidwe. Kuphatikiza apo, muyenera kuganizira zaka, zakudya ndi mankhwala, zomwe zimakhudza mbiri ya glycemic, pomwe malire a shuga amasiyana. Nthawi zambiri, kusanthula kotereku kumachitika pofuna kuwunika anthu omwe ali ndi matenda ashuga. Pamaso pa matenda otere, kuyesedwa kumachitika kuti muwone momwe mankhwalawo amathandizira. Nthawi zina kusanthula kumathandiza kuzindikira matenda a hypoglycemia kapena matenda a shuga.
Mlingo wa shuga
Pali magawo awiri omwe amayesa shuga wa seramu: mmol / L ndi mg / dl. Yoyamba imagwiritsidwa ntchito nthawi zambiri.
Zotsatira zakusala, zomwe zimapangitsa kuti kuthamanga kwa maola eyiti, siziyenera kupitirira malire a 5.5 mmol / L. Maola awiri mutatha kulongedza mafuta am'mimba, malire apamwamba ndi 8.1 mmol / L. Ngati nthawi yochulukirapo yadutsa, ndiye kuti mulingo woyambira ndi 6.9 mmol / L.
Ngati mukukayikira matenda ashuga, muyenera kudziwa zomwe zimayambitsa matenda a glycemia. Kuwunikaku kuyenera kutengedwa nthawi zosiyanasiyana kuti athe kudziwa momwe moyo ulili pa mbiri ya glycemic.
Munthawi yovomerezeka, glycemia imachuluka pambuyo podya, koposa zonse zomwe zimakwezedwa ndi zakudya zomwe zimakhala ndi chakudya chambiri kapena zopatsa mphamvu. Kutengera ndi nthawi ya tsiku komanso chakudya, kuchuluka kwake kumasiyanasiyana.
Manambala akusala amawonetsa glycemia atatha kudya maola 8. Uku ndiye kuyesa koyamba komwe ngati mukukayikira matenda ashuga kapena prediabetes (kuleketsa chakudya chamthupi). Anthu odwala matenda ashuga ayenera kuyesedwa pamimba yopanda kanthu asanamwe mankhwala ochepetsa shuga.
Nthawi zina kusanthula kumayikidwa kangapo patsiku, pomwe munthu wathanzi sangakhale ndi kusinthasintha kwakukulu mu glycemia. Koma ngati mbiri ya glycemic ili ndi mipata yayikulu, ndiye kuti, pali zovuta zina zomwe zimachitika ndi maselo poyambira.
Kulemba zotsatira
Zizindikiro zomwe zimaposa kuchuluka kwazomwe zimayimira matenda a shuga, koma ma pathologies ena amathanso kubisika pansi pa chigoba chake. Matenda a shuga amakhazikitsidwa pamaziko a kupyola malire apamwamba a glycemia ndi:
- kuphunzira mwachangu kwa 7.0 mmol / l shuga osachepera kawiri,
- mutatha kudya, katundu wa carbohydrate kapena mwachisawawa chifukwa cha kusanthula masana (kuyambira 11.1 mmol / l).
Pofuna kuti musayambitse kwambiri glycemia, muyenera kudya michere yambiri komanso mapuloteni am'mawa. Zopangira zabwino kwambiri izi ndi mazira, masamba, nsomba ndi nyama yopendekera.
Mawonetsedwe ofala kwambiri a matenda ashuga ndi ludzu ndi kukodzekera mwachangu, komanso chidwi chokwanira, kusaona bwino, komanso kumva kutopa m'm mikono ndi miyendo.
Ngati malire apamwamba a shuga amapezeka pang'ono (mpaka 6.9 mmol / l), ndiye kuti ndi prediabetes.
Magazi a glycemic apamwamba kuposa abwinobwino amatha kuchitika chifukwa cha njirazi:
- kupsinjika kwakukulu
- pachimake myocardial infaration,
- kupweteka kwambiri,
- acromegaly
- Cushing's matenda kapena matenda,
- kumwa mankhwala (corticosteroids).
Mwina zoterezi ndizomwe kuchuluka kwa shuga m'magazi kumatsika kuposa malire ake abwinobwino. Vutoli limachitika nthawi zambiri ndi insulinomas - zotupa zomwe zimapanga insulin yambiri.
Zizindikiro
Nthawi zambiri mu zamankhwala, njira zotsatirazi zimagwiritsidwa ntchito:
- zoona - shuga oxidant, zomwe zili 3.3-5,5 mmol / l,
- ndi zinthu zochepetsera, zomwe zili 4.4-6.5 mmol / L.
Zotsirizazo sizikulimbikitsidwa kwa odwala omwe ali ndi aimpso, chifukwa zizindikiro zimatha kuchuluka.
Anthu osiyanasiyana ali ndi mawonekedwe amtundu wa glycemic, zomwe zimatengera zakudya ndi moyo wawo. Mosasamala kanthu za njira yodziwira glycemia, m'magazi a capillary, zizindikirozo ndizokwera pang'ono.
Chizindikiro chodziwika kwambiri ndi mimba yopanda kanthu. Komabe, mayeso okhala ndi carbohydrate katundu amagwiritsidwa ntchito kwambiri. Kulekerera kwa glucose kutsimikiza. Muyezo wake ndi kudya magalamu 75 a shuga, kenako ndikuyesedwa ndi ola lililonse kwa maola awiri. Nthawi zina, pamakhala kuyeseza koyeserera, komwe kumakhala kusala kudya glycemia komanso kuyeserera pambuyo pake kwa mphindi 120.
Munthawi zopsinjika, ngakhale nditakhala ndi chakudya choyenera, malire omwe ali munthawiyo adzakwaniritsidwa. Kuphatikiza apo, kupsinjika kumayambitsa mawonekedwe a kunenepa kwambiri. Njira izi zimachitika chifukwa chopanga cortisol.
Ngati palibe zakuphwanya kagayidwe kazakudya, ndiye kuti sizingachitike. Koma ndi matenda oopsa a shuga, zotsatira za mayeso opsinjika zidzakhala zowopsa (kupitirira 11 mmol / l). Kuyesaku kukuwonetsedwa kuti kuthana ndi matenda ashuga. Kuyesaku kumachitika ndi kukonzekera - zakudya za hypocarbohydrate zikulimbikitsidwa masiku 3 maphunziro asanachitike.
Zifukwa zochepetsera shuga
Pali zifukwa zingapo zomwe zimapangitsa kuti shuga m'magazi azitha kutsika. Pakati pawo, omwe amadziwika kwambiri:
- Matenda a Addison
- hypothyroidism
- chiwindi matenda a chiwindi kapena hepatitis,
- mankhwala osokoneza bongo ochepetsa shuga,
- zotupa
- matenda a anorexia ndi bulimia,
- matenda a impso.
Mwa mankhwala omwe amakhudza mbiri ya glycemic, ziyenera kudziwika:
- Furosemide
- Triamteren
- Hydrochlorothiazide,
- Anaprilin
- Mahomoni a Steroid.
Anthu odwala matenda a shuga ayenera kudziwa shuga wawo wamagazi. Pofuna kuti musapitirire izi, muyenera kusintha moyo wanu, kumwa zakudya ndi mankhwala ochepetsa shuga nthawi yomweyo.
Nthawi yomweyo kusiya zizolowezi zilizonse zoipa sikungathandize kuganizira za kuchuluka kwa shuga m'magazi kwa nthawi yayitali, chifukwa malangizowa angathandize kuchepetsa mwayi wodwala matenda ashuga.
Kodi cholesterol yoyenera iyenera kukhala chiyani m'magazi?
Cholesterol ndi chinthu chokhala ngati mafuta momwe cholesterol zolembera amapanga mkati mwa mtsempha wamagazi. Mapilogalamu ndiomwe chimayambitsa kusintha kwa ma atherosselotic m'thupi la munthu. Kukhalapo kwawo kumawonjezera chiopsezo cha kufa kuchokera ku myocardial infarction ndi hemorrhagic kangapo.
Cholesterol ndi m'gulu la mafuta. Pafupifupi 20-25% ya chinthu ichi imalowa mthupi la munthu limodzi ndi chakudya. Awa ndi mafuta ochokera ku nyama, mitundu ya zinthu zomanga thupi, ndi zina 75-80% zomwe zimapangidwa m'chiwindi.
Thupi longa mafuta limawoneka ngati chofunikira chomangira maselo a thupi la munthu. Zimatenga gawo la kagayidwe kachakudya mu ma cellular, ndi gawo limodzi mwa michere. Imalimbikitsa kupanga mahomoni ogonana amuna ndi akazi - cortisol, testosterone, estrogen, progesterone.
Mwa mawonekedwe ake oyera, pali cholesterol yaying'ono m'thupi la munthu, yomwe imawonedwa makamaka pakupanga mankhwala apadera - lipoproteins.Amabwera ocheperako (cholesterol yoyipa kapena LDL) komanso kachulukidwe kakakulu (HDL kapena gawo labwino). Tiyeni tiwone miyezo iti ya cholesterol yamagazi yomwe imatsogozedwa ndi mankhwala, ndipo zizindikilo zimadalira chiyani?
Kuchuluka kwa cholesterol yoyipa
Zambiri pazambiri - nsanja zazikuluzikulu pa intaneti, mapulogalamu a pa TV, manyuzipepala, ndi zina zambiri, zimayankhula za kuwopsa kwa cholesterol m'thupi la munthu, chifukwa chake zimawoneka kuti zochepa, zimakhala bwino pakukhala ndi thanzi komanso thanzi. Koma izi siziri choncho. Popeza mankhwalawo samangokhala "owononga", kuyikidwa m'mitsempha yamagazi, komanso zimabweretsa zabwino.
Zonsezi zimatengera kuzungulira kwa gawo lofunikira. Monga tanena kale, cholesterol yoopsa komanso yopindulitsa imabisidwa. Gawo lomwe "limamatirira" kukhoma lamitsempha yamagazi ndi chinthu choyipa, chifukwa limapangika zolembera za atherosclerotic.
Kuyesa kopanda kanthu m'mimba kumachitika kuti mupeze mawonekedwe a cholesterol. Zizindikiro zimayezedwa mu timadontho tating'ono pa lita kapena mg / dl. Mutha kudziwa zamtundu wambiri kunyumba - chifukwa awa, osanthula apadera amagwiritsidwa ntchito. Anthu odwala matenda ashuga ayenera kupeza chida chomwe chimagwiritsa ntchito nthawi yomweyo mafuta m'thupi komanso shuga m'magazi. Pali zida zina zogwira ntchito zomwe zimawonetsanso zomwe zili hemoglobin, uric acid.
Mafuta a cholesterol (LDL):
- Ngati munthu wathanzi amakhala ndi chisonyezo cha magawo osakwana anayi - izi ndi zachilendo. Kuwonjezeka kwa phindu kumeneku kukapezeka, ndiye kuti amalankhula za matenda. Wodwalayo akulimbikitsidwa kuti ayambirenso kusanthula kwake. Ngati pali zotsatira zofananira, kudya kapena kugwiritsa ntchito mankhwala kumafunika. Kaya amwe mapiritsi kapena ayi, amatsimikiza payekha. Statin - mankhwala a cholesterol, samachotsa chomwe chimayambitsa kukula kwa LDL (matenda ashuga, kunenepa kwambiri, kusowa kochita masewera olimbitsa thupi), koma musalole kuti ipangidwe m'thupi, pomwe zikuwadzetsa mavuto osiyanasiyana.
- Ngati mbiri yodwala matenda a mtima kapena kuchepa m'mitsempha, kulowetsedwa kwa hemorrhagic m'mbuyomu, angina pectoris, ndiye kuti kuyezetsa magazi kwaubwinobwino ndikwabwinobwino mpaka magawo a 2,5. Ngati apamwamba - kukonza kumafunika mothandizidwa ndi zakudya, mwina mankhwala,
- Odwala omwe alibe mbiri ya pathologies a mtima ndi mitsempha yamagazi, pamaso pa zinthu ziwiri kapena zopitilira, ayenera kukhala ndi malire a 3.3 unit. Ili ndiye gawo la odwala matenda ashuga, chifukwa matenda ashuga amatha kusokoneza mitsempha ya magazi komanso njira ya metabolic mthupi.
Kukula kwa cholesterol (kwathunthu) mpaka 5,2 mmol / l - iyi ndiye mulingo woyenera kwambiri. Ngati kusanthula kunawonetsa kuyambira magawo 5.2 mpaka 6.2 - mtundu wovomerezeka wololera, komanso magawo 6.2 - ambiri.
Makhalidwe Abwinobwino a Cholesterol Abwino
Wotsutsa chinthu choyipa ndi cholesterol yabwino. Amatchedwa lipoprotein yapamwamba. Mosiyana ndi gawo lomwe limathandizira kuti ziwonetsedwe za atherosselotic plaques, HDL imadziwika ndi magwiridwe antchito. Amatola cholesterol yoipa m'matengera ndikuwatumiza ku chiwindi, komwe amawonongeka.
Kusintha kwa atherosulinotic m'mitsempha yamagazi kumatha kuchitika osati kokha ndi kuchuluka kwa LDL, komanso kuchepa kwa HDL.
Choyipa choopsa kwambiri pakuyesa mayeso a cholesterol ndikuwonjezereka kwa LDL ndi kuchepa kwa HDL. Kuphatikizika uku komwe kumapezeka mu 60% ya anthu odwala matenda ashuga, makamaka achikulire kuposa zaka 50.
Cholesterol chabwino sichingadzazidwenso ndi chakudya chabwino. Thupi limapangidwa ndi thupi lokha, silimalowa kuchokera kunja. Mlingo wa cholesterol (wopindulitsa) umatengera msinkhu wa munthu komanso jenda. Mwa akazi, chizolowezi chothandizachi chimakhala chokwera pang'ono kuposa chogonana cholimba.
Mutha kukulitsa kapangidwe kazinthu zofunikira pogwiritsira ntchito zolimbitsa thupi zolondola. Kuphatikiza apo, masewera amachita ntchito ina - nthawi yomweyo, HDL imayamba kuwonjezera motsutsana ndi kumbuyo kwa kuyaka kwa LDL. Chifukwa chake, odwala matenda ashuga akulangizidwa kuti asunthire kwambiri, chitani masewera olimbitsa thupi ngati palibe zotsutsana ndi chipatala.
Palinso njira ina yowonjezerera HDL - uku ndiko kumwa kwa zinthu zamphamvu za mowa, mwachitsanzo, 50 g ya cognac. Koma chisankho chotere cha matenda ashuga chimaletsedwa, anthu odwala matenda ashuga sangamwe mowa. Kwezani cholesterol, amalimbikitsidwa masewera, zakudya zoyenera. Mapiritsi nthawi zambiri amathandizidwa kuti athandize kuchepa kwa cholesterol ya LDL.
Mulingo wa HDL m'magazi:
Pochizira mafupa, owerenga athu adagwiritsa ntchito DiabeNot bwino. Kuwona kutchuka kwa malonda, tidaganiza zoperekera chidwi chanu.
- Ndi magwiridwe antchito a mtima ndi mitsempha yamagazi, HDL mwa amuna / akazi siopitilira 1 unit.
- Ngati wodwala ali ndi mbiri yodwala matenda a mtima, matenda amtima, matenda a hemorrhagic, matenda a shuga, ndiye kuti chizindikirocho chimachokera ku 1 mpaka 1.5 mayunitsi.
Pakayezetsa magazi, cholesterol yathunthu imakhudzidwanso - iyi ndiye kuchuluka kwa HDL ndi LDL. Zomwe zimachitika mwa achinyamata ndizofika mpaka 5.2 mayunitsi. Ngati msungwana ali ndi malire ochulukirapo, ndiye kuti izi zimatengedwa ngati kupatuka panjira yokhazikika. Ngakhale kuchuluka kwambiri kwa cholesterol sikuwonetsedwa ndi zizindikiro ndi zizindikiro zake.
Nthawi zambiri, wodwala samazindikira kuti mapangidwe atherosulinotic amapanga mkati mwake.
Ndani ali pachiwopsezo?
Chifukwa chake, kuchuluka kwa LDL ndi HDL kunapezeka. Muzochita zachipatala, amatsogozedwa ndi matebulo a miyambo, omwe amagawidwa malinga ndi jenda komanso zaka za munthu. Zaka za anthu odwala matenda ashuga kwambiri, ndizambiri zomwe zimakhazikika. Komabe, ziyenera kukumbukiridwa kuti matenda ashuga ndiwopseza, chifukwa chake, motsutsana ndi maziko ake, mulingo wa anthu odwala matenda ashuga nthawi zonse amakhala wotsika kuposa odwala omwe alibe matendawa.
Ngati ndizoyenera, munthu yemwe samada nkhawa ndi kuwonongeka kwa thanzi komanso zizindikiro zilizonse zosokoneza sangayike kudandaula za momwe mtsempha wake wamagazi uliri. Koma pachabe. Zochita zikuwonetsa kuti anthu onse ayenera kusanthula kamodzi kamodzi pazaka zisanu.
Anthu odwala matenda ashuga amalangizidwa kuti asamangolamulira shuga wamagazi, komanso nthawi ndi nthawi amayesa zomwe zili ndi cholesterol yoyipa. Kuphatikiza kwa ma pathologies awiri kumawopseza ndi zovuta zazikulu.
Gulu lamavuto limaphatikizapo:
- Kusuta anthu
- Odwala onenepa kwambiri kapena onenepa kwambiri a siteji iliyonse,
- Anthu okhala ndi matenda oopsa
- Ngati mbiri ya kulephera kwa mtima, matenda a mtima ndi mitsempha yamagazi,
- Anthu omwe amasuntha pang'ono
- Kugonana kwamphamvu kuposa zaka 40,
- Amayi amiseche
- Odwala okalamba gulu la okalamba.
"Kuyeza" cholesterol kutha kuchitika mu chipatala chilichonse. Pofufuza, mumafunikira 5 ml ya madzi achilengedwe, otengedwa kuchokera mu mtsempha.
Maola 12 musanadye yisiti yamagazi, kuletsa zolimbitsa thupi kumafunika.
Kulemba kafukufuku wa cholesterol
Anthu odwala matenda ashuga amalangizidwa kuti agule chipangizo chapadera chotchedwa electrochemical glucometer. Chipangizochi chimayeza cholesterol kunyumba. Ma algorithm ofufuzira kunyumba ndi osavuta, osati ovuta, koma nthawi zonse mutha kuwongolera chizindikiro chofunikira.
Kuyesa kwa ma biochemical magazi kumawonetsa zinthu zitatu - kuchuluka kwathunthu kwa thunthu, LDL ndi HDL. Zizindikiro pa chizindikiritso chilichonse ndizosiyana, kuwonjezera apo, zimasiyana malinga ndi zaka za munthu, jenda.
Dziwani kuti palibe chiwerengero chotsimikizika chomwe chimafotokozera kuchuluka kwa cholesterol. Madokotala amagwiritsa ntchito magome omwe amawonetsa kuti ndi amitundu omwe amagwiritsidwa ntchito moyenera komanso moyenera. Chifukwa chake, kuchuluka kapena kuchepa kwa cholesterol kumawonetsa kukula kwa matenda.
Kwa odwala matenda ashuga, muyeso uyenera kuwerengeredwa ndi akatswiri azachipatala. Kuchita kumawonetsa kuti mwa odwala otere, gawo lomwe likuyandikira limafikira malire ochepa, zomwe zimathandiza kupewa zovuta zingapo.
- OH ndi yabwinobwino kuchokera kuzinthu za 3.6 mpaka 5.2. Amalankhula za phindu lowonjezera ngati zotsatira zake zimasiyana kuchokera ku 5.2 mpaka 6.19. Kuwonjezeka kwakukulu kulembedwa pomwe cholesterol imachokera kumagawo 6.2.
- LDL ndiyabwinobwino mpaka magulu a 3.5. Ngati kuyezetsa magazi kukuwonetsa zoposa 4.0 mmol / L, ndiye kuti ndiwokwera kwambiri.
- HDL ndi yacibadwa mpaka mayunitsi 1.9. Ngati mtengo wake ndi wochepera 0,7 mmol / l, ndiye kuti munthu akudwala matenda ashuga, mwayi wokhala ndi matendawa ukuwonjezeka katatu.
OH mu kugonana kolimba, monga akazi. Komabe, cholesterol ya LDL imasiyana - malire ovomerezeka ndi 2.25-4.82 mmol, ndipo HDL ili pakati pa mayendedwe a 0.7 ndi 1.7.
Triglycerides ndi Atherogenicity Ratio
Pamaso pa cholesterol yayikulu mthupi la odwala matenda ashuga, pamafunika kuyeretsa mitsempha ya magazi - chakudya, masewera. Madokotala nthawi zambiri amapereka ma statins kapena ma fiber - mankhwala, sikuletsedwa kugwiritsa ntchito mankhwala azikhalidwe - mankhwala othandizira njuchi, chicory, tincture wa hawthorn, Leuzea dioecious, etc.
Kuti mumve bwino za momwe mafuta amawonongera, zama triglycerides zimawerengedwa. Kwa abambo ndi amayi, malingaliro abwinobwino samasiyana. Nthawi zambiri, mpaka magulu awiri amaphatikiza, omwe ali ofanana ndi 200 mg / dl.
Malire, koma chizolowezi chimakhala mpaka mayunitsi 2.2. Amati kukwera kwakukulu pomwe mayesowa akuwonetsa zotsatira za 2.3 mpaka 5.6 mmol pa lita. Chiwerengero chokwera kwambiri kuposa mayunitsi 5.7. Mukamafotokoza zotsatira, ziyenera kukumbukiridwa kuti maulalo omwe amagwiritsidwa ntchito m'malo osiyanasiyana azigawo angagawane, ndiye, chidziwitso chotsatirachi chimatengedwa ngati maziko:
- OH ya oimira onse amuna ndi akazi amakhala magawo atatu mpaka 6,
- HDL mwa amuna - mayunitsi a 0.7-1.73, azimayi - kuyambira 0.8 mpaka 2.28 mayunitsi,
- LDL mwa amuna kuyambira 2.25 mpaka 4.82, akazi - 1.92-4.51 mmol / l.
Monga lamulo, zizindikiro zowonetsera nthawi zonse zimawonetsedwa pafomu yazotsatira kuchokera ku labotale, motsatana, ndipo muyenera kuyang'ana pa iwo. Mukayerekezera zomwe mumayendera ndi zomwe zapezeka pa intaneti, mutha kuzindikira kuti sizolakwika.
Mutha kuwongolera zomwe zili mu cholesterol powonjezera zinthu zina pamenyu, kuwonjezera kapena kutsitsa kuchuluka kwa nyama, mafuta a nyama, etc. Kusintha konse pakudya kwa odwala matenda ashuga kuyenera kuyanjanitsidwa ndi dokotala.
Kuwerengera kwa zinthu zofunikira komanso zowopsa m'magazi a anthu odwala matenda ashuga kumatchedwa coheroffhero ya atherogenic. Formula yake ndi OH osachepera osachulukitsa lipoproteins, ndiye chifukwa kuchuluka amagawika kukhala kwambiri osalimba lipoproteins. Mtengo wa 2 mpaka 2.8 kwa anthu azaka 20-30 ndiwo wamba. Ngati kusiyanasiyana kumachokera ku magawo atatu mpaka 3,5 - ndiye izi ndizomwe zimachitika kwa odwala azaka zopitilira 30, ngati munthu ndi wocheperako - pamakhala chiopsezo chotenga atherosclerosis. Ngati chiŵerengerocho chili pansipa - izi sizoyambitsa nkhawa, zotere sizikhala ndi phindu lachipatala.
Pomaliza: cholesterol ndi yochepa komanso yapamwamba kwambiri, chinthu choyipa komanso chabwino, motero. Anthu opanda mbiri ya CVD amalangizidwa kuti azichita mayeso zaka 4-5 zilizonse, odwala matenda ashuga amafunika kuyeza kangapo pachaka. Ngati muli ndi zisankho zapamwamba za LDL, muyenera kusintha menyu ndi kusuntha zina.
Pafupifupi chizolowezi cha cholesterol chafotokozedwa mu kanema m'nkhaniyi.
Hypoglycemia - otsika m'munsi
Tsopano tiyeni timve zambiri. Monga mukudziwa, ngati munthu sakudya ndipo akuchita zambiri zolimbitsa thupi, ndiye kuti glucose m'thupi imayamba kutentha ngati burashi pamtengo, ndipo mseru wa shuga umatsika kwambiri.
Shuga akamatsikira mpaka kufika pa 3.5 mmol / l, kuwala kofiyira kumayamba ndipo thupi lathu limayendetsa chakudya champhamvu kwambiri, zopatsa mphamvu zotchedwa glycogen, ndikuzichotsa ku chiwindi kupita ku minofu.
Glycogen nkhokwe chokwanira mphindi 15 ndiyeno, ngati sitiyima kapena kudya china lokoma, imfa imachitika.
Chifukwa chake, malire am'munsi, omwe ndibwino kuti asagwere, ndi 3.5 mmol / lita
Zizindikiro za Hypoglycemia
Ndi zizindikilo ziti zomwe thupi limapereka pakuchepa kwa shuga m'magazi?
- Kuda nkhawa kwamkati, mantha akukula, kuvuta kumawonekera ndipo munthu samamvetsetsa komwe adachokera. Zikuwoneka kuti zonse zili bata ndipo kunalibe ochita kuyala
- Chofooka chokulirapo chikuwonekera m'misempha. Mawu akuti "miyendo yolimba" adawonekera kuchokera apa.
- Thukuta lokhazikika lomwe limalowa mu funde limawonekera, limadetsedwa m'maso, kupsinjika kumatsika kwambiri, pallor, arrhasmia.
Ndipo pamapeto pake, mphindi 15 zokha, kulephera kuzindikira ndi kufa.
Hyperglycemia - malire
Hyperglycemia ilinso yoopsa. M'zaka zoyambirira za 70s, apamwamba anali 5.5 mmol / lita. Chifukwa 5.
5? Chifukwa uku ndi mulingo womwe shuga ya magazi imakwera pamene amwedwa.
Ndi kupanga zakudya mwachangu, kuwoneka kwa mabungwe onse opanga ma hamburger, agalu otentha, maswiti, ma muffin osiyanasiyana ndi maswiti, anthu adayamba kukhala pamatumbo othamanga pamakola ndipo mu 80s munthu wina adalandiridwa - 5.8 mmol / lita.
Koma mzaka za 90s, anthu ambiri adayamba kukonza ziphuphu zapamwamba pa 5.8 ndipo, kuti aliyense athe kuzindikira matenda ashuga, kapingako kamakwezedwa mpaka 6 mmol / lita. Izi zidakhalapo mpaka 2002, pomwe Europe yonse idasinthira ku 6.2, ndipo mu 2010 mpaka 6.5 mmol / lita.
Kodi izi zikukamba chiyani? za kusintha kwa zakudya kupita pagulu lothamanga la chakudya. Ndipo popeza anthu sanasunthire, koma, m'malo mwake, anasintha kuchoka kwa munthu woganiza bwino nkukhala munthu wongokhala, samadya chakudya.
Chifukwa chake, kuchuluka kwa shuga sikokwanira pamodzi, awiri, atatu, koma pamlingo waukulu. Ndipo kuti asayike shuga kwa aliyense, amakweza chizolowezi,
kuwonetsa chithunzi chowopsa cha zomwe zimachitika mthupi. Ngati izi zipitilira choncho. ndiye pofika chaka cha 20 zikhala 6.8 ...
Matenda a shuga ndi amodzi mwa olumala kwambiri komanso ziwerengero padziko lonse lapansi. Ndipo pofuna kuti asapatse aliyense mwayi wamabungwe, ndizosavuta kuti boma likonzenso zikhalidwe, zomwe zikuchitika m'maiko onse.
Ndipo, malire ndi 5.8 mmol / L, kupitirira komwe masentitus am'mawa,
Matenda a shuga
Amakhulupirira kuti matenda a shuga amakhudza omwe ali ndi shuga m'magazi omwe ali apamwamba kwambiri kuposa abwinobwino. Koma kwenikweni, mosalekeza 5.8 mmol / l, malire operewera
Matenda a shuga oopsa amakhala oopsa kwambiri m'mitsempha yamagazi. Chiwopsezo cha matenda a mtima kapena stroke, kulephera kwa mtima kumawonjezeka. Masomphenya ndi dongosolo lamanjenje limavutika. Munthu samamverera kuwonetseredwa kwamatendawa.
Kuti mupeze chithunzi choona, onetsetsani kuti muwerenga momwe mungapereke mayeso
Zizindikiro za matenda a shuga 1
Munthu akhoza kukayikira mtundu woyamba wa matenda ashuga mwa munthu pamene thupi lipereka zotsatirazi:
- Ludzu lalikulu. Munthu amamwa mpaka malita 5 patsiku.
- Mabala ndi zotupa zina zapakhungu zimachiritsa bwino komanso pang'onopang'ono.
- Mavuto a pakhungu: kuyabwa, kupendama, bowa.
- Polyuria, kukodza pafupipafupi, makamaka usiku.
- Njala yamuyaya ndi kunenepa kwambiri.
- Mpweya woyipa, wokumbutsa za acetone.
Nthawi zambiri, mtundu 1 wa matenda ashuga umatha kuonekera masabata awiri kapena mwezi atadwala kwambiri kapena kupweteka kwambiri
Zizindikiro za matenda a shuga a Type 2
Matenda a 2 a shuga amakula pang'onopang'ono pazaka zingapo. Nthawi zambiri matendawa amakhudza anthu okalamba. Chifukwa chake, zizindikiro za matenda amtundu wa 2 zimafanana ndi matenda amtundu 1, komabe, zizindikiro zotsatirazi zimawonjezeredwa:
- Zilonda pamiyendo.
- Kuchuluka kwa miyendo.
- Matenda achikazi, mwachitsanzo, thrush.
- Kuwonongeka kwadzidzidzi kapena kusinthasintha kwamasomphenya
- Matenda a impso.
Kodi chiwopsezo cha shuga wa magazi pamlingo wapamwamba ndichoyenera kukhala chiyani?
Shuga wamwazi amawononga kwambiri ubongo. Ngakhale mulingo wokwezeka pamlingo wapamwamba uli pachiwopsezo.
Kodi chiwopsezo cha shuga wa magazi pamlingo wapamwamba ndichoyenera kukhala chiyani?
Mpaka posachedwa, anthu ankakhulupirira kuti anthu omwe shuga ya magazi yawo imakhalabe pamlingo wabwino kwambiri amatha kuonedwa ngati athanzi. Mkhalidwe wotere sunali wofulumira kuzindikira, monga prediabetes kapena matenda ashuga.
Osati kale kwambiri, maphunziro angapo mderali anachitidwa ndi akatswiri ku Australia National University ku Canberra. Asayansi atsimikizira kuti odwala mokwanira amenewo amalowerera m'gulu la odwala matenda ashuga.
Akatswiri adanenanso za chizolowezi chakuchepetsa kuchuluka kwa ubongo, poyerekeza ndi anthu omwe ali ndi shuga ochepa magazi.
Yotsimikizidwa ndi machitidwe
Pakupita maphunziro ambiri, kulumikizana kwawoneka pakati pa chitukuko cha matenda ashuga amtundu wa 2 komanso kuti kuchuluka kwa ubongo kumachepetsedwa ndikuwonongeka kwa dementia. Zakuti anthu omwe ali ndi shuga m'magazi pamlingo woyenera kwambiri nthawi zambiri amakhala ndi zotulukapo zatsopano zimakhala zatsopano kwa akatswiri.
Momwe mungachitire
Odwala omwe ali ndi shuga m'magazi omwe ali pamlingo wopitilira muyeneranso kusintha pang'onopang'ono kupita ku moyo wofanana ndi wa anthu omwe ali ndi prediabetes ndikuyamba kupewetsa matenda a shuga. Izi zikutanthauza kuti muyenera:
- tengani mkate ndi phala,
- Pali zakudya zambiri zomwe zimasiyana ndi fiber yowonjezera,
- ndikofunika kuwonjezera chinangwa ku chimanga ndi sopo mukaphika,
- Idyani masamba ndi zipatso tsiku lililonse,
- musaiwale za zamafuta omwe amakhala ndi mafuta ochepa,
- muyenera kudya zakudya zowiritsa zambiri,
- akuwonetsa mbale zophika mu uvuni,
- Pewani zakudya zamafuta kwambiri, mafuta, shuga.
Kodi shuga yovomerezeka ndimwazi wamunthu ndi chiyani?
Glucose ndiye chinthu chofunikira kwambiri pakudya maselo amthupi. Kuchokera mmawuwo, kudzera mu zovuta zambiri zamomwe zimapangidwira, zopatsa mphamvu zomwe zimafunikira kwambiri moyo zimapezeka. Glucose amapezeka mu mawonekedwe a glycogen m'chiwindi, amamasulidwa ngati chakudya chokwanira sichikhala ndi chakudya.
Mawu oti "shuga wamagazi" siali azachipatala, m'malo mwake amagwiritsidwa ntchito mu mawu achikhalidwe, ngati lingaliro lakale. Kupatula apo, pali mashuga ambiri mwachilengedwe (mwachitsanzo, fructose, sucrose, maltose), ndipo thupi limagwiritsa ntchito shuga wokha.
Momwe thupi limapangidwira m'magazi limasiyanasiyana malinga ndi nthawi ya msana, msinkhu, chakudya, masewera olimbitsa thupi, komanso kupsinjika.
Magazi a shuga m'magazi nthawi zonse amadziwongolera okha: amawonjezeka kapena kuchepa kutengera zosowa. "Imayendetsa" dongosolo lovuta la pancreatic insulin, mpaka pang'ono, mahomoni a adrenal - adrenaline.
Matenda a ziwalo izi amatsogolera pakulephera kwa kayendetsedwe kake. Pambuyo pake, matenda osiyanasiyana amatuluka, omwe poyamba amayamba chifukwa cha zovuta za metabolic, koma pakapita nthawi amatsogolera ku ziwengo ndi ziwalo zamthupi.
Kuphunzira kwa shuga m'magazi a munthu ndikofunikira kuyesa thanzi, kuyankha kogwirizana.
Momwe shuga ya magazi imatsimikizidwira mu labotale
Kuyesedwa kwa shuga kumachitika mu chipatala chilichonse. Njira zitatu zodziwira shuga zimagwiritsidwa ntchito:
- shuga oxidase
- orthotoluidine,
- Ferricyanide (Hagedorn-Jensen).
Njira zonse ndizogwirizana mu 70s ya zaka zapitazi. Amayesedwa mokwanira kuti adalirika, kuphunzitsa, osavuta kugwiritsa ntchito. Kutengera zomwe zimachitika ndi mankhwala. Zotsatira zake, mawonekedwe amtundu amapangidwa, omwe pa chipangizo chapadera chojambula zithunzi amawunika mtunduwo ndikuwamasulira kukhala chizindikiro chowonjezera.
Zotsatira zimaperekedwa m'mayunitsi apadziko lonse poyezera zinthu zasungunuka - mmoles pa lita imodzi ya magazi kapena mg mg pa 100 ml. Kutembenuza mg / L kupita mmol / L, chiwerengerochi chikufunika kuchulukitsidwa ndi 0.0555. Mchitidwe wamagulu a shuga pakuphunzira ndi njira ya Hagedorn-Jensen ndiwokwera pang'ono kuposa ena.
Malamulo otenga kuyesa kwa shuga: magazi amatengedwa kuchokera pachala (capillary) kapena kuchokera mu mtsempha m'mawa mpaka 11:00 pamimba yopanda kanthu. Wodwalayo akuchenjezedwa pasadakhale kuti sayenera kudya maola eyiti mpaka khumi ndi anayi asanatenge magazi. Mutha kumwa madzi. Tsiku lisanafike kusanthula, simungadye kwambiri, kumwa mowa. Kuphwanya mikhalidwe kumeneku kumakhudza magwiridwe awunikidwe ndipo zitha kubweretsa malingaliro olakwika.
Ngati kusanthula kumachitika kuchokera ku magazi a venous, ndiye kuti zikhalidwe zovomerezeka zimakwera ndi 12%. Mitundu ya glucose m'matapillaries kuyambira 3,3 mpaka 5.5 mmol / l, ndi Vienna kuchokera 3.5 mpaka 6.1.
Kuphatikiza apo, pali kusiyana pakumora pamene mutenga magazi athunthu kuchokera ku chala ndi mtsempha wokhala ndi plasma glucose.
Magazi a capillary a shuga
Popanga maphunziro a matenda oyamba ndi matenda omwe amapha anthu akuluakulu odwala matenda a shuga, World Health Organisation inapereka lingaliro lakuyang'ana malire omwe amapezeka kale:
- kuchokera chala ndi mtsempha - 5.6 mmol / l,
- mu plasma - 6.1 mmol / L.
Kuti mudziwe mtundu uti wa glucose wolingana ndi wodwala wokalamba wazaka zopitilira 60, tikulimbikitsidwa kusintha chizindikirocho pachaka pa 0,056.
Odwala omwe ali ndi matenda a shuga amalimbikitsidwa kugwiritsa ntchito glucometer yosunthika pakudziyimira pawokha shuga.
Mchitidwe wothamanga wamagazi uli ndi malire komanso wotsika, umasiyana mwa ana ndi akulu, palibe kusiyana pakati pa jenda. Gome limawonetsa miyezo kutengera zaka.
Zaka (zaka) | Mitengo ya glucose mmol / L |
mwa ana ochepera 14 | 2,8 – 5,6 |
mwa akazi ndi mwa amuna 14 - 59 | 4,1 – 5,9 |
okalamba wopitilira 60 | 4,6 – 6,4 |
Zaka za mwanayo zimakhala zofunikira: kwa ana mpaka mwezi, 2.8 - 4.4 mmol / l amadziwika kuti ndi wabwinobwino, kuyambira mwezi umodzi mpaka wazaka 14 - kuyambira 3.3 mpaka 5.6.
Kwa amayi apakati, 3.3 mpaka 6,6 mmol / L amadziwika kuti ndiabwinobwino. Kuwonjezeka kwa kuchuluka kwa shuga mwa amayi apakati kumatha kuwonetsa matenda ashuga (latent), motero amafunikira kutsatira.
Kutha kwa thupi kuyamwa zinthu za glucose. Kuti muchite izi, muyenera kudziwa momwe index ya shuga imasinthira mukatha kudya, masana.
Nthawi ya tsiku | Magazi a shuga mmol / L |
kuyambira 2 mpaka 4:00 m'mawa | apamwamba kuposa 3.9 |
musanadye chakudya cham'mawa | 3,9 – 5,8 |
masana musanadye nkhomaliro | 3,9 – 6,1 |
musanadye chakudya chamadzulo | 3,9 – 6,1 |
mogwirizana ndi chakudya mu ola limodzi | zosakwana 8.9 |
maola awiri | zosakwana 6.7 |
Kuyesa kwa zotsatira zakufufuza
Mukalandira zotsatira za kusanthula, dokotala amayenera kuwunika kuchuluka kwa glucose ngati: wabwinobwino, wapamwamba kapena wotsika.
Mkulu shuga amatchedwa "hyperglycemia."
Matendawa amayamba chifukwa cha matenda osiyanasiyana a ana ndi akulu:
Onani nkhaniyo:
Kodi CRP imakhala bwanji mu magazi?
- matenda ashuga
- matenda a endocrine dongosolo (thyrotooticosis, adrenal gland matenda, acromegaly, gigantism),
- pachimake komanso matenda a kapamba (pancreatitis),
- zotupa zapachifuwa,
- matenda a chiwindi osachiritsika
- matenda a impso ogwirizana ndi kusokonezeka kwa msambo,
- cystic fibrosis - kuwonongeka kwa minofu yolumikizana,
- sitiroko
- myocardial infaration
- njira zotsatsira zomwe zimachitika ndi ma antibodies ku insulin.
Hyperglycemia imatheka pambuyo pokumana ndi mavuto, kulimbitsa thupi, kutulutsa ziwonetsero, kukhala ndi chakudya chamagulu ambiri m'zakudya, kusuta, kulandira mankhwala a mahomoni a steroid, estrogens, ndi mankhwala ophera khansa.
Hypoglycemia kapena shuga wochepa ndikotheka ndi:
- matenda a kapamba (zotupa, kutupa),
- khansa ya chiwindi, m'mimba, adrenal gland,
- kusintha kwa endocrine (ntchito yachepa ya chithokomiro),
- chiwindi ndi chiwindi matenda a chiwindi,
- poyizoni wa arsenic ndi mowa,
- mankhwala osokoneza bongo (insulin, salicylates, amphetamine, anabolics),
- mu makanda osabadwa ndi akhanda kuchokera kwa amayi omwe ali ndi matenda ashuga,
- Kutentha kwambiri pa matenda opatsirana,
- kusala kudya kwanthawi yayitali,
- matenda a m'mimba ogwirizana ndi malabsorption a zinthu zopindulitsa,
- kulimbitsa thupi kwambiri.
Kuphatikiza kophatikiza kwa ma labotor ang'ono
Kupeza njira zamagazi a shuga
Matenda a shuga ndi matenda omwe amatha kupezeka ngakhale atabisika mwa kuyezetsa magazi a shuga.
Malingaliro osavuta aonetsa kuti kuchuluka kwa shuga kuchokera pa 5.6 mpaka 6.0 mmol / L kukhala "prediabetes," ndi 6.1 kapena kuposa shuga.
Kuzindikira kopanda kukayika ndi kuphatikiza kwa zizindikiro za matenda ashuga ndi kuchuluka kwa shuga m'magazi:
- mosasamala kanthu za kudya - 11 mol / l ndi apamwamba,
- m'mawa 7.0 ndi pamwamba.
Pakuwunika kokaikira, kusapezeka kwa zoonekeratu, koma kukhalapo kwa zinthu zoopsa, kuyesa kwa kupsinjika kumachitika ndi shuga kapena kumatchedwa mayeso a glucose kulolerana (TSH), ndipo mwanjira yakale "shuga yokhotakhota".
- kuwunika kwa shuga osala kudya kumachitika monga maziko,
- sakani 75 g ya shuga mu kapu ya madzi ndikuwapatsa chakumwa mkati (1.75 g pa kilogalamu iliyonse ya kulemera ndikulimbikitsidwa kwa ana),
- pendani mobwerezabwereza mu theka la ola, ola, ndi maola awiri.
Pakati pa kafukufuku woyamba ndi wotsiriza, simungathe kudya, kusuta, kumwa madzi, kapena kuchita masewera olimbitsa thupi.
Kusintha kwa mayeso: chizindikiro cha glucose musanatenge madziwo chimayenera kukhala chabwinobwino kapena chabwinobwino. Ngati kulolerana kumavutikira, kusanthula kwapakatikati kumawonetsa (11.1 mmol / L mu plasma ndi 10,0 m'magazi a venous). Patatha maola awiri, mulingo wabwinobwino. Izi zikutanthauza kuti glucose yemwe waledzera samamwetsa, amakhala m'magazi ndi madzi a m'magazi.
Ndi kuchuluka kwa shuga, impso zimayamba kudzipatsira mkodzo. Chizindikiro ichi chimatchedwa glucosuria ndipo chimagwira ngati njira yowonjezera ya matenda ashuga.
Kuyesedwa kwa magazi ndimayeso ofunika kwambiri pakuzindikirika kwa nthawi yake. Zizindikiro zapadera zimafunikira ndi endocrinologist kuti muwerenge kuchuluka kwa magawo a insulini omwe angakulipire ntchito yopanda pancreatic ntchito. Kuphweka komanso kupezeka kwa njirazi kumathandizira kuyesa kuchuluka kwa magulu akulu.
Shuga wamagazi ochepa (hypoglycemia)
Hypoglycemia - uku ndi kuchepa kwa shuga m'magazi m'munsi mwa malire abwinobwino, ndiko kuti, pansi pa 3.3 mmol / L.
Kodi chimayambitsa kuchepa kwa shuga m'magazi ndi chiyani?
Hypoglycemia (shuga m'magazi ochepa) imatha kupewedwa. Ngati zoterezi zidachitika, iye amakhala ndi chifukwa. Ndikofunikira kudziwa zomwe zingayambitse hypoglycemia, kuti izitha kupewedwa nthawi zonse.
Hypoglycemia ndi mapiritsi anu
• Hypoglycemia imapezeka mwa anthu omwe amamwa mankhwala a hypoglycemic. Komabe, ndizotheka ngati mutatenga mapiritsiwo kuposa momwe mumawerengera.
• Ngati mwaphonya imodzi yamankhwala anu, musadzatengere kuchuluka nthawi ina mtsogolo kuti mupange kuchuluka kwa mapiritsi onse. Ingomwa kumwa mwachizolowezi.
• Ngati simukutsimikiza kuti mwamwa kale mapilitsi, ndibwino kudumpha mulingo wambiri kuposa kutenga chiopsezo ndikubwereza kawiri.
Zakudya Zolimbitsa Thupi ndi Thupi
• Kudumpha kapena kusuntha zakudya kapena kuperewera kwa zakudya m'thupi ndizomwe zimayambitsa matenda a hypoglycemia. Ichi ndichifukwa chake zakudya “zanjala” sizili zoyenera kwa odwala matenda ashuga.
• Kuchita zolimbitsa thupi mwamphamvu kapena nthawi yayitali kumayambitsanso matenda ena, makamaka ngati simunadye mokwanira kuti mugulire mtengo wamagetsi.
Mowa ungakhudze kuwongolera kwanu shuga. Kuphatikiza apo, ngati mumamwa kwambiri, mwina simungaone zizindikiro zosokoneza za hypoglycemia. Ndikofunika kupeweratu zakumwa zoledzeretsa.
Ikhoza kugwiritsidwa ntchito mwa apo ndi apo pang'ono (chikho cha mowa, kapu ya vinyo, kapu ya vodika kapena cognac). Ndikofunikira kuti muzitha kudya pang'onopang'ono mutamwa mowa osagwiritsa ntchito moledzera kuchuluka kwa mowa.
Momwe mungazindikirire hypoglycemia?
Anthu ambiri amakhala ndi zizindikiro zoyambirira za hypoglycemia, monga:
-Kuwotcha, makamaka kumutu.
- Zovuta kumangoyang'ana.
Ngati hypoglycemia ili yofatsa, simungamve chilichonse kupatula zizindikiro zomwe zili pamwambapa. Komabe, ngati magazi a m'magazi atatsika kwambiri, zimatha kudzetsa miyendo, kugwa, kapena ngakhale kukomoka. Mwamwayi, izi sizimachitika kawirikawiri.
Zizindikiro za hypoglycemia:
- Wiri m'maso.
- Sinthani machitidwe ndi zochita zanu, ntchito zankhondo.
- Mwendo kukokana, kugwa, chikomokere (chikomokere).
Anzanu kapena abale anu amatha kuzindikira kuti hypoglycemia patsogolo panu pazotsatira zotsatirazi:
-Kusokonekera, kukwiya, kung'ambika.
- Pallor, thukuta kwambiri.
Hypoglycemia imayambitsa kusokonezeka kwa chikumbumtima, ndipo mwina sungakhulupirire anzako. Ngati anthu okuzungulirani akuganiza kuti muli ndi zizindikiro za hypoglycemia, muyenera kudya china chake chokoma, ngakhale musangalale.
Hypoglycemia imatha kuchitika mwachangu kwambiri, patangopita mphindi zochepa, ndikudutsa mphindi 10-15 mutatha maswiti. Mkulu wamagazi atatha kukhala wabwinobwino, zizindikiro za hypoglycemia zidzatha ndipo mudzakhalanso bwino.
Zoyenera kuchita ngati zizindikiro za hypoglycemia zikuwoneka?
Ngati mukumva kuti pali zina za hypoglycemia, sikovuta kuzichotsa pakumwa chinthu chomwe chili ndi chakudya chambiri, mwachitsanzo:
- 4-5 magawo a shuga
- kapu imodzi ya zakumwa 1 zotsekemera (mandimu, Pepsi-Cola, Coca-Cola)
- 1 kapu imodzi ya madzi a zipatso (mutha kugwiritsa ntchito zachilengedwe, popanda kuwonjezera shuga)
Pambuyo pa izi, muyenera kudya pang'onopang'ono chakudya cham'mimba (monga mkate) kapena kumwa kapu yamkaka kuti mulingo wamafuta abwezeretsedwe magazi.
Wodwala matenda ashuga omwe amalandila mankhwala ochepetsa shuga ayenera kumatenga nthawi zonse chakudya chambiri.
Motere, shuga mu zidutswa, phukusi laling'ono lamadzimadzi zipatso kapena chakumwa china chotsekemera ndichabwino kwambiri kuti muchepetse hypoglycemia.
Kodi munthu wapafupi ndi inu (makolo, abwenzi) achite chiyani atakupeza kuti sunamve?
Machitidwe 1: Ndikupatseni khola "kumbali yanu" malo.
Musayesere konse, munthu akakhala kuti alibe chikumbumtima, kutsanulira kena kena mkamwa - angathe kutsamwiza! "Shuga pansi pa lilime" sizothandiza!
Machitidwe 2: yambitsani glucagon! Phukusili limakhala: syringe imodzi yosungunulira ndi singano yokhala ndi lingaliro lolumikizidwa kwa iyo, komanso botolo lokhala ndi glucagon ufa.
• Ikani madzi kuchokera ku syringe mu glucagon vial.
• Sakanizani zomwe zili mkati mpaka zitatha.
• Kokani njira ya glucagon mu syringe.
• Lowetsani yankho la glucagon mosadukiza kapena mu ntchafu yakunja.
Kubwezeretsa nthawi zambiri kumachitika pakangotha mphindi 10 pambuyo pothandizidwa ndi mankhwalawa.
Mutatha "kudzuka" jekeseni wa glucagon, muyenera kumwa chikho chimodzi cha madzi a zipatso (200 ml) ndikuwonjezera kudya pang'ono pang'onopang'ono (mwachitsanzo, buledi) kuti magazi a magazi asathenso!
Ngati wodwala matenda ashuga "samachira" patangotha mphindi 10 atatha jakisoni wa glucagon, ndiye kuti anthu omwe ali pafupi ayenera kuyitanitsa dokotala!
Kodi mungapewe bwanji hypoglycemia?
• Osadumpha chakudya.
Idyani zakudya (chakudya, chimanga, masamba, zipatso) ndi chakudya chilichonse.
• Ngati mukuchita masewera olimbitsa thupi, tengani zofunikira zamafuta okhala ndi magalamu 15 mpaka 30 chakudya musanayambe gawolo ndipo mubwereze izi ola lililonse ngati mukuchita zolimbitsa thupi.
Ngati mukumva zizindikiro za hypoglycemia mukamayendetsa, imitsani ndikumwa kena kake kokoma. Osayambiranso kuyenda mpaka mutatsimikiza kuti mukumva bwino. Osayesa kupitabe osasamala ndi izi, poyembekeza kuti ziwonongeka - sizidzatha zokha.
Zingachitike
Sizokayikitsa kuti mudzakumana ndi hypoglycemia mutatsatira malangizo onse a dokotala. Koma ndizofunikirabe kukhala ndizopezeka zokhala ndi shuga, maswiti, makeke, kunyumba, kuntchito kapena mgalimoto.
Ngati mukuganiza kuti mwakhala ndi vuto la hypoglycemia, zindikirani zomwe zinachitika ndi zifukwa zake, kenako kambiranani ndi adotolo.
Intrauterine chitukuko cha mwana wosabadwayo
Kusintha kwachilengedwe, mkhalidwe wamaganizidwe a mkazi
Kupuma Kwa Mimba
Zowopsa za Postpartum Psychological
Zovuta za pakubala, kupweteka, ma analgesia, chikhalidwe cha akazi, kupuma
Kapangidwe ka bere
Zakudya zopatsa thanzi kwa azimayi panthawi yoyembekezera komanso mkaka wa m'mawere
Zambiri, zabwino za kuyamwitsa
Ndi kuchuluka kwa shuga kotani komwe kumawonedwa ngati kwabwinobwino?
Zambiri zimakhudza thanzi la azimayi, kuphatikizapo shuga. Chizindikiro cha msambo chili ndi chake, kotero pamene kuwunikaku kukuwonetsa kuchulukirapo kwazomwezo kapena kuchepa, ndiye njira zomwe ziyenera kuchitidwa kuti abwezeretsenso boma.
Ngati mayi sakudziwa kuchuluka kwa shuga m'thupi lake nthawi inayake, sangathe kuzindikira zizindikiro zowopsa. Nthawi zambiri, thanzi loperewera limafotokozedwa ndi katundu wolemera, ngakhale, kwenikweni, matenda a shuga amatha.
Monga tanena kale, m'gulu lililonse la m'badwo uliwonse muli chizindikiro cha shuga. Zowona, mwa amayi apakati Zizindikiro izi ndizosiyana pang'ono.
Tebulo lomwe lili pansipa likuwonetsa kuti ndi shuga wanji amene ali wabwinobwino.
Gulu la zaka | Kutsika Kotsika (mol / l) | Omangidwa pamwamba (mol / l) |
Kutha msinkhu (mpaka zaka 14) | 3,4 | 5,5 |
Asanasiye (mpaka zaka 60) | 4,1 | 6 |
Ukalamba (mpaka 90) | 4,7 | 6,4 |
Akazi opitilira 90 | 4,3 | 6,7 |
Ngakhale kusanthula kusanachitike, mutha kuwona zomwe zikuwonetsa kuchuluka kwa shuga.
Mkazi akudwala:
- ludzu lalikulu, lomwe limazunzidwa ngakhale madzi ambiri atamwa,
- Khungu
- kukodza pafupipafupi,
- kuyamwa ndi kusamva bwino mu chikhodzodzo,
- kulanda pafupipafupi
- njala yayikulu
- kutopa.
Zizindikiro zomwe zimawonetsedwa sizimawonekera limodzi. Gawo loyamba limadziwika ndi kupezeka kwa zizindikiro ziwiri kapena zitatu. Koma ngati pakufunika madzi mosalekeza, ndiye nthawi yoti mupite kwa dokotala kuti muwone ngati pali matenda a shuga kapena ayi.
Palibe chabwino pamene shuga yatsika. Pankhaniyi, hypoglycemia imachitika. Pankhaniyi, matenda a shuga amatha kupezekanso.
Ndi ziti zomwe zikuwonetsa kuti kuchuluka kwa shuga kwatsika?
Mkhalidwe wodwalayo ukuphatikizidwa ndi:
- ulesi
- kusakhazikika
- thukuta kwambiri
- kuchuluka kwa mtima,
- kukomoka (nthawi zina).
Monga milingo yama glucose okwera, otsika kwambiri amayamba chifukwa cha zinthu zapadera. Chachikulu ndichakuti musanyalanyaze zizindikiro zoyambirira.
Gome limawonetsa zomwe shuga amaloledwa tsiku lililonse isanayambe komanso chakudya:
Hypoglycemia | zosakwana 3.3 mol / l | |
Mulingo wabwinobwino | 3,3-3.5 asanadye | mpaka 7.8 mutadya |
Hyperglycemia | kusala kudya kupitirira 5.5 | zoposa 7.8 mutatha kudya |
Momwe mungapitirire mayeso?
Kafukufuku akuti azimayi amavutika kwambiri chifukwa cha kusintha kwa misempha kuposa amuna. Chifukwa chake, kuchuluka kwa shuga kuyenera kulamulidwa nthawi zonse. Ndikofunikira kudziwa chomwe kudya tsiku lililonse shuga kumakhala, kuti mulingo ukhalebe wabwinobwino.
Kuti zisonyezo zisadzipangitse kumverera, ndikofunikira kuyang'anira thanzi pakagwedezeka mwamphamvu yamafuta, pamene nthawi yakutha msambo imachitika, pa nthawi ya bere la mwana, kusamba kwa thupi ndipo, pomwe, pakakhala kupsinjika kwakukulu.
Kusanthula kumakhala kodalirika ngati mupereka magazi m'mimba yopanda kanthu m'mawa.
Pa mayeso agwiritsidwa ntchito:
Mayi yemwe akayezetsa matenda ashuga ayenera kukumbukira zinthu zina:
- Maola asanu ndi atatu musanachitike njirayi, simungathe kudya chilichonse.
- Zakudya zopatsa thanzi zimalimbikitsidwa masiku angapo asanafike mayeso.
- Mowa uliwonse umalowetsedwa patsiku.
- Kugwiritsa ntchito mankhwala ndikuloledwa.
- Musanayesedwe, muyenera kupewa kutsuka mano, komanso kugwiritsa ntchito chingamu.
Ngati mayeso osala kudya akuwonetsa zomwe zili ndi shuga wokwanira, kuyezetsa kwina kudzayikidwa kuti apange kuzindikira koyenera. Ndikofunikira kukonzekera njira yachiwiri.
Izi zikutanthauza izi:
- Masiku atatu mayeso asanachitike, chakudya chamagulu 200 mwa 200 g chimatengedwa (tsiku limodzi). Masana amafunika 150 g, ndipo madzulo - 30-40 g.
- Pamaso pa njirayi, maola 8-12, palibe zinthu zomwe zingagwiritsidwe ntchito.
- Kusanthula kumatengedwa pamimba yopanda kanthu, monga momwe zidalili kale.
- Kenako wodwalayo amalimbikitsidwa yankho la shuga kapena chokoleti.
- Tsiku lomwelo, patatha maola awiri, kuwunika komaliza kumachitika.
Kuchokera pazonsezi pamwambapa, zimatsata kuti zinthu zosiyanasiyana zimatha kukhudza shuga. Chizindikirocho chidzasiyana malinga ndi zaka, nthawi yomwe magazi amatengedwa, komwe amachokera, magazi a venous kapena chala, komanso ngati mutuwo udadya musanachitike.
Kugwirizana kwa glycated hemoglobin ndi glucose
Glycated hemoglobin ndi gawo lofunika kwambiri la hemoglobin. Mukakhala ndi shuga, pamakhala hemoglobin wambiri. Ngati matenda a shuga alipo, madotolo adzalembera kuyesedwa kwa kuchuluka kwa hemoglobin wa glycated, kapena, makamaka, kuchuluka kwake. Kusanthula koteroko ndikodalirika kuposa mayeso pakuwona kuchuluka kwa shuga.
Glycated hemoglobin index alibe kusiyana zaka. Chifukwa chake, pakuwona kusintha kwake, adokotala amatha kudziwa kuti mankhwalawa atenga nthawi yayitali bwanji komanso kuti athandizika bwanji pakadali pano.
Ubwino wophunzirira glycated hemoglobin ndikuwonetsetsa kuti zidziwitso zimatha kuchitika mosasamala kanthu kuti wodwalayo adya kapena ayi. Ngakhale masewera olimbitsa thupi sangasokoneze.
Komanso, kuchuluka kwa hemoglobin ya glycated sikukhudzidwa:
- matenda aliwonse osakhalitsa
- chimfine
- yotupa njira
- mkhalidwe wopsinjika.
Chifukwa cha kusanthula kwa kuchuluka kwa hemoglobin ya glycated, inatulukiratu kuti ipeze shuga m'mbuyomu. Zowona, njira yotere ndi yokwera mtengo kwambiri kuposa kuyesa shuga. Ndipo si ma laboratori onse omwe ali ndi zida zapadera.
Kodi ndichifukwa chiyani cholesterol ndiyofunikira?
Ubwenzi wapakati pa mafuta ndi carbohydrate metabolism ndiwodziwikiratu. Ngati pali chakudya chochuluka, maselo amafuta amadziunjikira, chifukwa chomwe chimaphwanya kagayidwe ka lipid. Kodi izi zimatsogolera ku chiyani?
M'matumba mumakhala kuchuluka kwa cholesterol, yomwe mosakayikira imakhudza mkhalidwe wa zotengera.
Odwala omwe ali ndi matenda amtundu wa 2 amadwala kusintha kwa cholesterol. Matenda akayamba ndi kuchuluka kwa cholesterol kumaonedwa, amalankhula pazifukwa zomwezo zomwe zidakwiyitsa vutoli.
- onenepa kwambiri
- matenda oopsa
- kusuta ndi kumwa,
- kusowa kwachangu.
Ndi cholesterol yochuluka bwanji yomwe imayenera kukhalapo m'magazi kuti iwoneke ngati yachilendo? Amuna ndi akazi onse ali ndi cholesterol ya 4 mol / L. Munthu akamakula, zizindikilo zimachulukirachulukira. Koma mu thupi la mkazi, cholesterol pambuyo pa 50 imapangidwa kwambiri chifukwa chakuchepa kwa kupanga mahomoni ogonana omwe amaphwanya cholesterol.
Osalola kutsitsa zizindikiro. Kupanda kutero, muyenera kuthana ndi matenda a hemorrhagic aubongo, osabereka, kunenepa kwambiri ndi mtundu 2 shuga.
Chifukwa cha zakudya zopangidwa ndi dokotala, kuchuluka kwa glucose kumakhalabe kwabwinobwino. Ndikofunika kuti mudziyese tsiku lililonse ndi glucometer. Kuphatikiza apo, tikulimbikitsidwa kujambula umboni kuti tiwone matenda omwe angatenge nthawi.
Ganizirani za mndandanda wa miyezo ya shuga yamagazi mwa akazi akamabadwa. Malangizo ofunikira mayeso odutsa. Gome
Zizindikiro ndi zomwe zimayambitsa kusintha kwa shuga m'magazi. Mtengo wazisonyezo zabwinobwino kwa akazi amisinkhu yosiyanasiyana.
Kodi tiyenera kuchitanji kuti matenda a shuga asinthe m'thupi? Momwe mungachite konzekerani mayeso a shuga?
Zomwe muyenera kudziwa kuti musaphonye zizindikiro zoopsa komanso nthawi dziwa matenda amphuno omwe amalumikizidwa ndi kuchepa kapena kuchuluka kwa shuga m'thupi la akazi? Za izi pambuyo pake m'nkhaniyi.
Kuyesedwa kwa magazi
Malinga ndi ziwerengero, thupi la mkazi limayamba kugwidwa ndimagazi a magazi kuposa thupi la munthu.
Kutengera izi, azimayi amayenera kuwunika magazi a m'magazi ndikudziwa ziwerengero zazikulu zomwe zimagwirizana ndi chizolowezi.
Chisamaliro chachikulu chiyenera kulipira izi pakanthawi yogwedeza mwamphamvu mphamvu ya thupi, monga kutha msinkhu, kutenga pakati komanso kusamba, komanso Nthawi zamavuto.
Ndikofunikira kuti muwunikenso m'mawa pamimba yopanda kanthu, kuti zizindikiro zake zizikhala zodalirika.
Pali njira ziwiri zoperekera kusanthula uku: mwachangu mayeso ndi njira yantchito.
- Pali zinthu zingapo zomwe ziyenera kuonedwa musanapange kusanthula:
Zitapezeka kuti kuchuluka kwa shuga m'magazi a mzimayi kukuposa zomwe zimachitika, ndiye kuti amayesetsanso - pakhale kulekerera kwa glucose, pakuwazindikira kotsiriza, musadabwe ngati china chake chachitika.
- Ndikofunikira kukonzekereratu pasadakhale:
Mwanjira imeneyi zotsatira za kusanthula kuchuluka kwa shuga m'magazi kumatha kudalira zinthu zingapo: zaka za wodwalayo, magazi amatengedwa kuchokera m'mitsempha kapena chala, nthawi yomwe mayeso amatengedwa, panali chakudya chilichonse maola 8 asanachitike mayeso.
Ndi zoletsedwa kusuta kwa masiku angapo kuyesa, nthawi zonse muzikumbukira izi.
Kuchulukitsa shuga mthupi la mkazi
Nthawi zambiri, ngakhale asanafike paziyesa, mzimayi amawona zizindikiro zowopsa:
- ludzu lamphamvu lomwe silitha, ngakhale mutamwa madzi okwanira kamodzi,
- kupezeka kwa pakhungu
- Nthawi zambiri ndimapita kuchimbudzi,
- kuyabwa kwa maliseche ndi vuto la chikhodzodzo,
- kuchuluka kukokana
- njala yosalekeza
- kusweka.
Zizindikiro sizingawonekere mozungulira, m'magawo awiri kapena atatu kuchokera pamndandanda nthawi zambiri amapezeka, ngakhale chimodzi mwazizindikiro - ludzu losalekeza - kale chochitika chokaonana ndi dokotala.
Zifukwa zakuchuluka kwa zinthu
Pamaso pa matenda ena amtundu wa endocrine, kuchuluka kwa shuga m'magazi ndi chizindikiro chofanana. Hyperglycemia ndi chizindikiro cha matenda ashuga.
Kuphatikiza apo, kuwonjezeka kwa shuga m'magazi kumatha kuchitika zotsatirazi: kunenepa kwambiri komanso kusowa masewera olimbitsa thupi, kudya mosayenera, mavuto a metabolic.
Zizolowezi zoyipa, monga mowa ndi kusuta, kupsinjika, gawo lachiwiri la msambo, zimakhudzanso.
Mpaka shuga wotsika, muyenera kupewa zakudya zokhala ndi shuga ochulukirapo ndikutsatira zakudya zina zomwe simungadye shuga, maswiti, maswiti osiyanasiyana ndi ma bun, komanso kusiya zizolowezi zoyipa.
Koma izi sizitanthauza kuti muyenera kudzikana zokondweretsa osati kudya maswiti.
Pa maalumali omwe aperekedwa malonda osiyanasiyanamomwe glucose amachotsedwa ndipo m'malo mwake ndimafananidwe ake, omwe samakhudzanso kuchuluka kwa shuga konse. Zakudya zoterezi zimatchedwa feedetic kapena diabetes.
Shuga wochepa
Kutsitsa shuga kumakhalanso kuti sikokwanira kwa mkazi wamkazi. Matendawa amatchedwa hypoglycemia, ndipo amatha kukhala mwa munthu aliyense, wathanzi komanso matenda ashuga.
Ndi shuga ochepa thupi, mkazi amamva ulesi ndi kusokonekera, thukuta limachulukitsa, palpitations umakulanso, ndipo umatha kukomoka.
Zomwe zimapangitsa kuchepetsa shuga ndizomwe zimapangitsa kuti munthu azichita masewera olimbitsa thupi komanso kuti azichita kunenepa kwambiri, komabe, limodzi ndi iwo, kuchita zolimbitsa thupi kwambiri, kuphatikiza ndi kudziletsa kwambiri pakudya chifukwa kuukira kwa hypoglycemia kapena china chake.
Kuti mupewe izi, simuyenera kupanga mipata yayikulu pakati pa chakudya chilichonse, ndibwino kuti mudye kasanu kapena sikisi patsiku, pafupifupi m'magawo 250 g.
Kudya kwambiri khofi ndi khofi, komanso kusuta fodya, kumawononga thupi lonse komanso mkhalidwe wa shuga mthupi makamaka, kumbukirani izi.
Simungathe kumwa zakumwa zochokera kaboni ndi mowa pamimba yopanda kanthu, imatha kutheka kwambiri kwezani mwamphamvu.