Momwe mungadziwire ngati ndili ndi shuga wabwinobwino kapena ndi matenda ashuga

Mashupi abwinobwino: pamimba yopanda 3.3-5.5 mmol / L, mutatha kudya 3,3-7.8 mmol / L.

Mwa mashuga anu, muli ndi prediabetes - kusokonezeka kwa glycemia (NTNT).

Mashuya olimbikitsidwa nthawi zambiri amawonetsa kukana insulini - kuchuluka kwa insulini - muyenera kusiya kusala komanso kusangalatsa insulin.

Makhalidwe a NGNT - glycemia (prediabetes) - shuga yosala kudya imachulukitsidwa kuchoka pa 5.6 mpaka 6.1 (pamwamba pa 6.1 shuga mellitus), ndi shuga wabwinobwino atatha kudya - mpaka 7.8 mmol / L.

M'malo anu, muyenera kuyamba kutsatira zakudya - sitimapatula chakudya chambiri, kudya pang'onopang'ono chakudya chamagulu ochepa, kudya mapuloteni ochepa mafuta, pang'onopang'ono muzidya zipatso theka loyamba la tsiku ndikutsamira masamba osapatsa nyama.

Ndikofunikira kuwonjezera zolimbitsa thupi. Kuphatikiza pa zakudya ndi kupsinjika, ndikofunikira kuwongolera kulemera kwa thupi ndipo popewa kuteteza kusonkhetsa minofu yambiri yamafuta.

Kuphatikiza apo, ndikofunikira kuyendetsa shuga m'magazi (asanafike ndi maola awiri mutadya). Muyenera kuwongolera shuga 1 nthawi patsiku nthawi zosiyanasiyana + 1 nthawi pasabata - mbiri ya glycemic. Kuphatikiza pa kuwongolera shuga, glycated hemoglobin (chizindikiro cha shuga m'magazi atatu) iyenera kutengedwa nthawi imodzi m'miyezi itatu.

Mudziwa bwanji ngati pali shuga kunyumba?

Matenda a shuga - zimachitika chifukwa cha kuwonongeka kwa dongosolo la endocrine. Kulephera kumachitika chifukwa chosowa insulini, timadzi tomwe timatulutsidwa ndi kapamba.

Matendawa ndiofala kwambiri komanso owopsa, chifukwa zizindikiro zake sizimawoneka nthawi yomweyo. Chifukwa chake, matendawa amapezeka pafupipafupi pamlingo wopita patsogolo, zovuta zikayamba kale.

Koma ungadziwe bwanji ngati pali matenda ashuga kunyumba? Ngati sizotheka kukaonana ndi dokotala ndikukayezetsa, muyenera kuphunzira zomwe zingachitike matendawa. Komanso, ngakhale ali ndi matenda osiyanasiyana, ali ofanana kwambiri.

Kodi shuga ndi chiyani ndipo umatheka chifukwa chiyani?

Kuti muzindikire matenda a shuga kunyumba, muyenera kudziwa kaye zambiri za matendawa. Pali mitundu iwiri yamatendawa, yomwe imalumikizidwa ndi chizindikiro chofala - kuchuluka kwa shuga m'magazi.

Poyamba, matenda amapezeka ndi kusowa kwa insulin mu 10-15% ya milandu. Ndi matenda amtunduwu, chithandizo cha insulin chimachitika nthawi zonse.

Mtundu wachiwiri wa shuga, timadzi timene timapangidwa mu kuchuluka, koma maselo amakhala osazindikira. Pankhaniyi, insulin chithandizo imayikidwa pokhapokha ngati mawonekedwe apamwamba a matenda.

Pali "matenda abwinobwino", koma ndizovuta kudziwa. Matenda obwera chifukwa cha matenda a shuga amathandizidwanso, momwe chiopsezo chodwala matenda a hyperglycemia amachulukitsidwa kwambiri.

Ngati pali zoopsa, makamaka mwa ana, zizindikiro zomwe zingatheke ziyenera kuganiziridwa, ndipo ndibwino kumayesedwa kwathunthu kuchipatala. Kuchepa kwa matendawa kumawonjezeka motere:

1. onenepa kwambiri
2. hyperglycemia pa mimba,
3. chibadwa
4. kugwiritsa ntchito mankhwala kwakanthawi
5. matenda oopsa
6. uchidakwa
7. matenda a kapamba ndi zonyansa mu endocrine system,
8. kupsinjika ndi kukhumudwa,
9. kuperewera kwa zakudya m'thupi
10. moyo wosachita bwino.

Koma mudziwa bwanji kuti muli ndi matenda ashuga ndi zizindikiro za matendawa? M'malo mwake, kunyumba, ndizotheka kudziwa kukhalapo kwa matenda amtundu uliwonse, koma pokhapokha atatsagana ndi chithunzi chotchulidwa kuchipatala.

Mphamvu yowonetsera imakhudzidwanso ndi kuchuluka kwa kupanga kwa insulin, kukana kwa maselo kwa mahomoni, kupezeka kwa matenda a pathologies, komanso zaka za wodwalayo.

Mwa munthu wathanzi, atatha kudya, shuga m'magazi amawonjezeka, koma patatha maola awiri, msambo wa glycemia umakhazikika. Ndipo odwala matenda ashuga, kuphatikizidwa kwa glucose kumachepa kapena kukwera pang'onopang'ono, pomwe zimachitika zingapo. Izi zimaphatikizapo ludzu (polydipsia), pamene munthu amatha kumwa mpaka malita 9 a madzi patsiku, komanso kukodzanso pokodza, komwe sikumayima ngakhale usiku.

Nthawi zambiri wodwalayo amakhala ndi njala yosatha, ndipo khungu lake limakhala louma komanso lotuwa. Kufooka kwa minofu ndi kukokana, kufooka kopanda pake, kusakwiya komanso kusachita mphwayi kumawonekeranso.

Kuphatikiza apo, ndi matenda a shuga, kuona kumatha kusokonezeka ndipo nthawi zambiri pamakhala kugaya chakudya, kuwonetsedwa ndi mseru komanso kusanza. Ngakhale munthu wodwala matenda ashuga ali ndi zizindikiro zofanana ndi chimfine, kupweteka kwa m'mimba, dzanzi la miyendo ndi kuyabwa kwa khungu kumaliseche, m'mimba, miyendo.

Kuphatikiza apo, mutha kuzindikira matendawo mwakuwonetsa monga:

• Kuchulukana kwa tsitsi
• matenda apakhungu
• kutumphuka kwa denga lokwera kwambiri, lomwe limatuluka chifukwa cha kukoka pafupipafupi,
• mawonekedwe a xanthomas pa thupi,
• Kutha kwa tsitsi m'mphepete.

Mu makanda, matendawa amatha kuwoneka ngati kuchepa kwa phindu lochulukirapo, matenda opatsirana komanso chotupa. Mkodzo ukalowa mu diaper, nkhope zawo zimasamba.

Matenda a shuga kwa mwana wazaka zisanu ndi zitatu zakubadwa amatha kukhala ndi matendawa monga kusowa kudya, kutopa kwambiri, kugona, mavuto ndi mavuto a dysbiosis. Kuphatikiza apo, chizindikiritso cha matenda oopsa a hyperglycemia mwa ana ndimomwe kununkhira kwa acetone kuchokera mkamwa.

Kudziwa matenda ashuga mu achinyamata ndi kosavuta kwambiri kuposa kwa ana. Pazaka izi, matendawa amawonetsedwa ndi chilakolako chambiri, kukodza pafupipafupi, kuchepa thupi, kuwonetsa thupi ndi ludzu.

Ndikofunikira kudziwa kuti mtundu uliwonse wa matenda ashuga uli ndi zomwe umasiyana nawo komanso zomwe ali nazo. Chifukwa chake, ndi mtundu woyamba wa matendawa, ambiri mwa zizindikiro za matendawo amawonekera, koma amatha kusiyana mu mphamvu yakuwonekera. Chizindikiro cha fomu yodalira insulin ndi kulumpha lakuthwa mu shuga, komwe nthawi zambiri kumayambitsa kukomoka, komwe kumayambitsa kukomoka.

Komanso, ndi matenda amtundu 1 m'miyezi 3-4, munthu amatha kutaya mpaka 15 kg. Komanso, njira yochepetsera thupi imayendera limodzi ndi chidwi, kufooka ndi khungu. Kuperewera kwa mankhwalawa kumadzetsa matenda a anorexia, ndipo pambuyo pake ketoacidosis imayamba, yokhala ndi kupuma kwa zipatso.

Kuphatikiza apo, ndi matenda amtundu wa 1 shuga, munthu amayamba kuchepa thupi, ngakhale kuti amakhala ndi chidwi chofuna kudya. Matendawa amatapezeka mpaka zaka 30, ndipo amatha kutsagana ndi munthu kubadwa.

Ndipo pakukalamba, anthu nthawi zambiri amakhala ndi mtundu wina wa matenda ashuga. Monga lamulo, mwa ine adawonetsedwa ndi kamwa yowuma, ludzu komanso kukodzanso. Kuphatikiza apo, mtundu wa insulin wopanda matenda umayendera limodzi ndi kuyabwa kwamtundu. Nthawi zambiri, matenda oterewa amapezeka motsutsana ndi maziko a matenda oopsa, kunenepa kwambiri komanso chifukwa cha kukana kwa maselo kupita ku insulin.

Komabe, poyamba matendawa samadziwonetsera, motero munthu amayendera dokotala pokhapokha ngati pali zovuta zina zomwe zimayambitsa zizindikiro zosasangalatsa. Zotsatira zake zimawoneka motsutsana ndi maziko akuwonongeka kwa mtima komanso kulimba kwa minofu.

Nthawi zambiri izi zimakhudza ziwonetsero ndi mawonekedwe a miyendo. Chifukwa chake, odwala ambiri amapita kwa dokotala wa opaleshoni, opaleshoni, ndipo pokhapokha kupita kwa dokotala wa opaleshoni.

Ngati mukuzindikira zizindikiro zilizonse zokhudzana ndi matenda a shuga, ndiye kuti muyenera kupita kuchipatala kukayezetsa mayeso onse ofunikira. Inde, kuzindikira koyambirira kwamatendawa kumapewetsa zovuta zazikulu mtsogolo.

Njira yosavuta kwambiri komanso yolondola yoyeza shuga mumagazi anu ndikugwiritsa ntchito mita. Chidacho chimakhala ndi timiyeso tachiyeso ndi chida chapadera choboola chala.

Musanapendeketse nyumba, ndikofunikira kusamba m'manja ndikupukuta pakhungu ndi zakumwa. Izi ndizofunikira kuti mupeze zotsatira zodalirika, chifukwa dothi pazala lingakhudze magwiridwewo.

Kusala shuga wambiri kumatha kuyambira 70 mpaka 130 mg / dl. Koma mutatha kudya, zizindikirozo zimakwera mpaka 180 mg / dl.

Njira inanso yopangira kunyumba yodziwira matenda a shuga ndi kudzera zingwe zoyeserera zomwe zimagwiritsidwa ntchito poyesa mkodzo. Komabe, akuwonetsa kukhalapo kwa matendawa pokhapokha ngati ndende ya shuga ikwera kwambiri. Ngati mulingowo ndi wochepera pa 180 mg / dl, ndiye kuti zotsatira zoyesedwa zimatha kupereka mayankho abodza, chifukwa chake ndikofunikira kuyesedwa kwa labotale.

Pogwiritsa ntchito zovuta za AC1, ndizothekanso kuzindikira zosokoneza mu kagayidwe kazachilengedwe komanso ntchito ya kapamba kunyumba. Zomerazi zimakuthandizani kudziwa kuchuluka kwa hemoglobin A1C, amawonetsa kuchuluka kwa shuga kwa miyezi itatu. Zinthu za hemoglobin zabwinobwino zimakhala mpaka 6%.

Chifukwa chake, kwa iwo omwe ali ndi zizindikiro za matenda a shuga, omwe atayesa mayeso kunyumba amapezeka kuti ali ndi hyperglycemic (pamwamba pa 130 mg / dl), muyenera kufunsa dokotala mwachangu.

Nthawi inanso, vuto la insulin limatha, lomwe nthawi zambiri limatha ndi imfa.

Popewa kuyambika kwa matendawa, ndikofunikira kusintha kwathunthu moyo. Pachifukwa ichi, muyenera kuyang'anira momwe thupi lanu lilili ndikudya moyenera. Chifukwa chake, muyenera kudya zakudya zosachepera 5 pa tsiku muzigawo zochepa. Nthawi yomweyo, ndikofunikira kusiya mafuta ambiri, chakudya chambiri, zakudya zotsekemera ndi zakumwa zochokera mu kaboni.

Kuphatikiza apo, kuvutitsidwa kwa fodya ndi mowa kumaletsedwa. Nthawi ndi nthawi, muyenera kuyang'ana shuga wamagazi, kupewa nkhawa komanso musaiwale za zolimbitsa thupi zolimbitsa thupi.

Koma ngati muli ndi matenda a shuga 1, ndiye kuti kuwonjezera pa kutsatira malamulo onse omwe ali pamwambawa, insulin chithandizo ndiyofunikira. Pankhaniyi, mlingo ndi mtundu wa insulin ziyenera kusankhidwa payekha ndi dokotala wopita. Koma ndi kulemera kwabwinobwino kwamthupi komanso mkhalidwe wamaganizidwe abwino, avareji ya insulini ndi 0,5-1 PIERES pa 1 kg yolemera.

Kuti mulipirire shuga, muyenera kuchita masewera olimbitsa thupi pafupipafupi. Ubwino wakuchita zolimbitsa thupi ndikuti panthawi yolimbitsa thupi minofu yamatumbo, makutidwe ndi okosijeni a glucose amapezeka. Chifukwa chake, shuga akamawotchedwa m'minyewa, kukhazikika kwake m'magazi kumachepa.

Mtundu wachiwiri wa matenda a shuga, mankhwala a insulini amachitika pokhapokha ngati ali ndi vuto lalikulu. Koma ndi matenda amtunduwu, chithandizo chamankhwala chimawonjezeredwa zolimbitsa thupi ndi zakudya, zomwe zimaphatikizapo kumwa mankhwala ochepetsa shuga. Kupewa zovuta zomwe sizingachitike sikungakhale kopanda pake, koma pankhaniyi, chithandizo chimasankhidwa payekhapayekha. Kanema yemwe ali munkhaniyi akufotokozerani momwe mungadziwire matenda anu a shuga.

Magazi a shuga: gome la odwala athanzi komanso odwala matenda ashuga

Kuchuluka kwa shuga m'magazi kumatsimikizira kuchuluka kwa thupi. Atatha kudya shuga ndi chakudya chamagulu, thupi limawasintha kukhala glucose, chinthu chomwe ndi gwero lalikulu komanso lamphamvu kwambiri padziko lonse lapansi. Mphamvu zoterezi ndizofunikira kwa thupi la munthu kuti zitsimikizire kukwaniritsidwa kwachilengedwe kwa ntchito zosiyanasiyana kuchokera kuntchito ya ma neurons kupita ku njira zomwe zimachitika pama cellular. Kutsitsa, ndipo makamaka, kuwonjezeka kwa shuga mumagazi kumawonetsa mawonekedwe osasangalatsa. Magazi okwera mwadongosolo amawonetsa kukula kwa shuga.

Mwazi wamagazi amawerengedwa mmol pa lita imodzi, ochepera kwambiri mamiligalamu pa desilita iliyonse. Mchitidwe wamagulu a shuga kwa munthu wathanzi ndi 3,6-5.8 mmol / L. Kwa wodwala aliyense, chizindikiro chomaliza ndimunthu payekha, kuphatikiza apo, phindu limasiyanasiyana malinga ndi chakudya, makamaka zotsekemera komanso zamafuta ochepa, mwachilengedwe, kusintha koteroko sikumadziwika ngati kwachidziwikire komanso kwakanthawi kochepa.

Ndikofunikira kuti mulingo wa shuga ukhale mulingo wamba. Kutsika kwamphamvu kapena kuchuluka kwamphamvu kwa glucose m'mwazi sikungaloledwe, zotsatirapo zake zimakhala zazikulu komanso zowopsa pamoyo komanso thanzi la wodwalayo - kusiya kugona mpaka kukhala ndi vuto lakelo.

Mfundo zoyendetsera thupi:

Kuti akhalebe ndi glucose wabwinobwino, kapamba amatulutsa mahomoni awiri - insulin ndi glucagon kapena polypeptide hormone.

Insulin ndi mahomoni opangidwa ndi maselo a pancreatic, akumamasula poyankha glucose. Insulin ndiyofunikira maselo ambiri amthupi la munthu, kuphatikiza minyewa ya minofu, maselo a chiwindi, maselo amafuta. Hormoni ndi mapuloteni okhala ndi ma amino acid osiyanasiyana 51.

Insulin imagwira ntchito zotsatirazi:

• imawuza minyewa ndi maselo a chiwindi chizindikiro chomwe chimafuna kuphatikiza glucose wotembenuka mwanjira ya glycogen,
• amathandizira maselo amafuta kupanga mafuta posintha mafuta acid ndi glycerin,
• imapereka chizindikiro kwa impso ndi chiwindi kuti chisiye kubisalira kwa glucose awo pogwiritsa ntchito kagayidwe kazakudya - gluconeogenesis,
• imalimbitsa maselo am'mimba ndi maselo a chiwindi kuti apatule mapuloteni kuchokera ku amino acid.

Cholinga chachikulu cha insulin ndikuthandizira thupi kuyamwa michere mukatha kudya, chifukwa chomwe kuchuluka kwa shuga m'magazi, mafuta ndi amino acid kumatsika.

Glucagon ndi mapuloteni omwe ma cell a alpha amatulutsa. Glucagon imakhudzanso shuga wa magazi omwe ndi osiyana ndi insulin. Pamene kuchuluka kwa shuga m'magazi kumachepera, timadzi timene timapereka kwa maselo am'misempha ndi maselo a chiwindi kuti ayambe kugwira ntchito ya glucose monga glycogen ndi glycogenolysis. Glucagon imathandizira impso ndi chiwindi kuti zimitsegulidwe.

Zotsatira zake, glucagon ya mahomoni amatenga glucose kuchokera ku ziwalo zingapo ndikuwasunga pamlingo wokwanira. Izi zikapanda kuchitika, kuchuluka kwa shuga m'magazi kumatsikira pansi.

Nthawi zina thupi limagwira ntchito mothandizidwa ndi zinthu zakunja kapena zamkati, chifukwa chomwe zovuta zimakhudzana ndi metabolic. Chifukwa cha kuphwanya kotere, kapamba amalephera kupanganso insulin yokwanira, maselo amthupi samalabadira, ndipo pamapeto pake msempha wamagazi umakwera. Vutoli limatchedwa shuga.

Miyezo ya shuga mwa ana ndi akulu imasiyana, mwa akazi ndi amuna sasiyana. Mtengo wa kuchuluka kwa shuga m'magazi umakhudzidwa ndi momwe munthu amayesera pamimba yopanda kanthu kapena atadya.

Machitidwe ovomerezeka a shuga m'magazi mwa akazi ndi 3.5-5.8 mmol / l (zomwezo ndizomwe zimachitika pakugonana kwamphamvu), izi ndizofunikira pazowunikira zomwe zimachitika m'mawa pamimba yopanda kanthu. Ziwerengero zowonetsedwa ndi zolondola potenga magazi kuchokera pachala. Kusanthula kuchokera kumitsempha kumatsimikizira zikhalidwe zovomerezeka kuyambira 3,7 mpaka 6.1 mmol / L. Kuwonjezeka kwa zizindikiro mpaka 6,9 - kuchokera m'mitsempha mpaka 6 - kuchokera pachala kumawonetsa mkhalidwe wotchedwa prediabetes. Matenda a shuga ndi vuto lolepheretsa glucose komanso glycemia. Ndi kuchuluka kwa shuga m'magazi kuposa 6.1 - kuchokera pachala ndi 7 - kuchokera m'mitsempha, wodwalayo amapezeka ndi matenda a shuga.

Nthawi zina, kuyezetsa magazi kuyenera kumwedwa nthawi yomweyo, ndikuyenera kuti wodwalayo adya kale chakudya. Poterepa, miyambo ya shuga m'magulu akuluakulu imasiyana 4 mpaka 7.8 mmol / L. Kusuntha kuchoka pazowoneka bwino kupita ku mbali yaying'ono kapena yayikulu kumafuna kusanthula kowonjezera.

Mwa ana, kuchuluka kwa shuga m'magazi kumasiyana malinga ndi zaka za makanda.Mwa makanda, zikhalidwe zoyenera zimachokera ku 2.8 mpaka 4.4 mmol / L. Kwa ana azaka zapakati pa 1-5, Zizindikiro kuyambira 3,3 mpaka 5.0 mmol / lita zimawoneka ngati zabwinobwino. Muyezo wa shuga wamagazi mwa ana opitirira zaka zisanu ndiwofanana ndi zizindikiritso za akulu. Zizindikiro zopitilira 6.1 mmol / lita zimawonetsa kukhalapo kwa matenda ashuga.

Ndi isanayambike mimba, thupi limapeza njira zatsopano zogwirira ntchito, poyamba zimakhala zovuta kuzolowera kusintha kwatsopano, nthawi zambiri zimalephera, chifukwa chotsatira chomwe zotsatira zambiri za kusanthula ndi mayeso zimachoka pachizolowezi. Kuchuluka kwa shuga m'magazi kumasiyana ndi zomwe zimachitika kwa munthu wamkulu. Mwazi wa shuga wamagazi kwa akazi omwe akuyembekezera mawonekedwe a mwana ali pamtunda kuchokera pa 3,8 mpaka 5.8 mmol / lita. Akalandira mtengo wapamwamba, mayiyo amapatsidwa mayeso owonjezera.

Nthawi zina pakati pa nthawi yoyembekezera, matenda amiseche amachitika. Njira ya pathological iyi imachitika theka lachiwiri la kubereka, mwana atawonekera mosadalira. Komabe, ngati pali zovuta zina mutabereka mwana, matenda osokoneza bongo amatha kusanduka shuga. Pofuna kupewa kukula kwa matenda oopsa, ndikofunikira nthawi zonse kuyezetsa magazi, kutsatira malangizo a dokotala.

Pansipa pali matebulo achidule omwe ali ndi chidziwitso cha kuchuluka kwa shuga m'magazi, kufunika kwake kwa thanzi la munthu.

Tcherani khutu! Zomwe zafotokozedwazo sizimapereka kulondola kwa 100%, popeza wodwala aliyense ndi payekhapayekha.

Kuchuluka kwa shuga m'magazi - tebulo:

Kukula kwa shuga m'magazi ndikupatuka ndikufotokozera mwachidule:

Magazi a shuga m'magazi ndi chiopsezo cha thanzi. Ma boleng amaperekedwa mmol / lita, mg / dl, komanso mayeso a HbA1c.

Shuga wamagazi akakwera mwa munthu wathanzi, amadzimva kukhala zosasangalatsa, chifukwa chakukula kwa matenda a shuga, Zizindikiro zakuchipatala zimakulirakulira, ndipo matenda ena angachitike motsutsana ndi maziko a matendawo. Ngati simukuonana ndi dokotala pazoyambitsa zovuta za metabolic, mutha kuthamangitsa matendawa, chifukwa sizingakhale bwino kuchiza matenda ashuga, chifukwa ndi matendawa mungathe kukhala bwino.

Zofunika! Chizindikiro chachikulu cha shuga m'magazi ndikumva ludzu. Wodwalayo amakhala ndi ludzu pafupipafupi, impso zake zimagwira ntchito kwambiri kuti azitha kusefa shuga wambiri, pomwe amamwa chinyezi kuchokera ku minyewa ndi maselo, motero pamakhala ludzu.

Zizindikiro zina za shuga wambiri:

• chilimbikitso chowonjezereka kuti mupite kuchimbudzi, kuchuluka kwa zinthu zotuluka, chifukwa chogwira impso kwambiri,
• mucosa wowuma mkamwa,
• kuyabwa pakhungu,
• kuyabwa kwa mucous nembanemba, wotchuka kwambiri mu ziwalo zamkati,
• chizungulire
• kufooka kwathupi kwa thupi, kuchuluka kwa kutopa.

Zizindikiro za shuga ya magazi ambiri sizimatchulidwa kawirikawiri. Nthawi zina matendawa amatha kupita patsogolo kwathunthu, njira yamtunduwu yopanda matenda imakhala yowopsa kuposa njira yomwe ili ndi chithunzi cha chipatala. Kuzindikira matenda osokoneza bongo kumakhala kudabwitsa kwathunthu kwa odwala, pofika nthawi imeneyi kusokonezeka kwakukulu pakugwira ntchito kwamankhwala kungawonedwe m'thupi.

Matenda a shuga amayenera kupitilizidwa ndi kuyesedwa pafupipafupi ndi kupaka shuga kapena kugwiritsa ntchito mita ya shuga m'magazi. Popanda kuchitira chithandizo mosalekeza, masomphenyawo amachepa m'madwala; muzochitika zotsogola, njira zothetsera khungu zimatha kuyambitsa khungu. Shuga wambiri ndi imodzi mwazomwe zimayambitsa matenda a mtima ndi stroko, kulephera kwa impso, gangrene kwamanja. Kuyang ant ana kwambiri kwa shuga m'magazi ndi gawo lalikulu mankhwalawa matenda.

Ngati zizindikiro zapezeka, simungathe kudzichitira nokha mankhwala, kudzichiritsa nokha osazindikira mozama, kudziwa zina zake, kupezeka kwa matenda opatsirana kumatha kukulitsa zovuta zomwe wodwalayo ali nazo. Chithandizo cha matenda a shuga chimachitika mosamalitsa dokotala.

Tsopano mukudziwa kuchuluka kwa shuga m'magazi kwa munthu wamkulu. Wodwala wodwala wathanzi, mtengo wamtunduwu umasiyana ndi 3,6 mpaka 5.5 mmol / lita, chizindikiro chomwe chimakhala ndi 6.1 mpaka 6.9 mmol lita imawonedwa ngati prediabetes. Komabe, shuga wokwera sikukutanthauza kuti wodwalayo adzakhala ndi matenda ashuga, koma uwu ndi nthawi yodya zinthu zapamwamba komanso zoyenera, kuti atengere masewera.

Zoyenera kuchita kuti muchepetse magazi:

• kuwongolera kulemera koyenera, ngati pali owonjezera mapaundi, kuchepa thupi, koma osati mothandizidwa ndi zakudya zotopetsa, koma mothandizidwa ndi zolimbitsa thupi ndi zakudya zabwino - wopanda mafuta ndi chakudya chamthupi mwachangu,
• muzidya zakudya zanu, dzazani menyu ndi masamba ndi zipatso, kupatula mbatata, nthochi ndi mphesa, zakudya zokhala ndi fiber yambiri, chotsani zakudya zamafuta ndi zophika, mkate ndi confectionery, mowa, khofi,
• Onani njira zogwirira ntchito ndikupumula, maola 8 patsiku - nthawi yochepera kugona, tikulimbikitsidwa kuti mugone ndi kudzuka nthawi yomweyo,
• Chitani masewera olimbitsa thupi tsiku lililonse, pezani masewera omwe mumakonda, ngati ilibe nthawi yochita masewera olimbitsa thupi, gawani mphindi zosachepera makumi atatu patsiku kuti muchite masewera olimbitsa thupi m'mawa, ndikofunika kwambiri kuyenda mlengalenga,
• lekani zizolowezi zoyipa.

Zofunika! Simungathe kufa ndi njala, khalani ndi zakudya zotopetsa, zakudya zama mono. Zakudya zoterezi zimadzetsa vuto lalikulu kwambiri la metabolic ndipo zimathandizanso kuti pakhale matenda osakhazikika omwe amakhala ndi zovuta zambiri.

Odwala omwe ali ndi shuga yayikulu magazi, makamaka, odwala matenda a shuga amayenera kuyeza kuchuluka kwa shuga tsiku lililonse, makamaka pamimba yopanda kanthu ndikatha kudya. Komabe, izi sizitanthauza kuti odwala amafunika kupita kuchipatala tsiku lililonse kuti akaunike. Kuyesa kungachitike kunyumba pogwiritsa ntchito chipangizo chapadera - glucometer. Glucometer ndi chida chaching'ono chamomwe chimayeza shuga m'magazi, mizere yoyesera imalumikizidwa ndi chipangizocho.

Kuti muyeze Mzere woyezera, ikani magazi ochepa kuchokera pachala, kenako ndikuyika Mzere mkati mwa chipangizocho. Pakadutsa masekondi 5-30, mita ndi yomwe imatsimikizira chisonyezo ndikuwonetsa zotsatira za kusanthula pazenera.

Ndikofunika kutenga magazi kuchokera pachala, mutapanga punct ndi lancet yapadera. Panthawi ya njirayi, malo omwe amapumira amayenera kupukutidwa ndi mowa wa mankhwala kuti apewe matenda.

Mtengo uti woti usankhe? Pali mitundu yambiri yamitundu ya zida zotere, mitundu imasiyana kukula ndi mawonekedwe. Kuti musankhe chida choyenera kwambiri poyeza kuchuluka kwa shuga m'magazi, choyamba funsani ndi dokotala wanu ndikufotokozeranso zabwino za mtundu wina pamiyeso ina.

Ngakhale kuyesedwa kwakunyumba sikoyenera kupereka chithandizo ndipo sichingakhale chovomerezeka pakuchitidwa opaleshoni yomwe akufuna, amathandiza kwambiri kuwunika thanzi lanu tsiku ndi tsiku. Potere, wodwalayo adziwa nthawi yoyenera yokwanira kuchepetsa shuga m'magazi, ndipo, m'malo mwake, amwe tiyi wokoma ngati shuga agwera kwambiri.

Kusanthula kwa ndende ya glucose poyambira ndikofunikira kwa odwala omwe ali ndi matenda a shuga. Palibe chofunikira kwambiri ndikuwunika kwa anthu omwe ali ndi matenda a prediabetes, ndi chithandizo choyenera komanso kupewa kusintha kwa prediabetes kukhala ndi matenda ashuga, ndizotheka kupewa.

Anthu omwe achibale awo okalamba amadwala matenda ashuga ayenera kukayezetsa chaka chilichonse. Komanso, chaka chilichonse amalimbikitsidwa kuyesa mayeso kwa anthu omwe ali ndi kunenepa kwambiri. Odwala ena a zaka zosaposa 40 ayenera kuyezetsa magazi a shuga kamodzi pazaka zitatu.

Kangati kupereka kuwunika kwa odwala pakati? Pafupipafupi kuyesedwa kwa kuchuluka kwa glucose m'magazi kwa amayi apakati ndi omwe adalembedwa ndi adokotala. Zabwino koposa zonse, ngati mayi yemwe akuyembekezera kubadwa kwa mwana amayezetsa shuga kamodzi pamwezi, komanso panthawi yoyesedwa magazi ndi mayeso ena owonjezera a shuga.

Zolemba zina zofananira:

Wochirikiza wa gulu loyamba, chipatala chaumwini "Dobromed", Moscow. Katswiri wothandizirana ndi Sayansi yamagetsi "Diabetes-Sugar.rf".

Matenda a shuga amakhalapo nthawi zambiri amatchedwa "wakupha mwachete". Pafupifupi 25% ya odwala sakudziwa kukula kwa matenda oopsa. Pang'onopang'ono limaphwanya ntchito ya ziwalo, ndipo ngati simutenga chidwi ndi magawo a matenda ashuga, kulephera kwa impso, vuto la mtima, mavuto amiyendo, kuwonongeka kwa mawonekedwe, komanso ngakhale kudwala matenda ashuga kumatha kuchitika.

Pali zinthu zingapo zomwe zingayambitse matenda ashuga:

• zotsatira pambuyo kachilombo
• cholowa m'malo obwera ndi endocrine matenda achibale
• kunenepa kwambiri, makamaka gawo lomaliza.
• kusokonezeka kwa mahomoni, mwachitsanzo, mu chithokomiro cha chithokomiro, zokhudzana ndi mafinya
• atherosulinosis yamitsempha yamagazi, yomwe imapyapyala komanso yolimba mu kapamba,
• zochitika zopsinja nthawi zonse
• kuthamanga kwa magazi popanda kulandira chithandizo,
• kumwa mitundu ina ya mankhwala,
• mafuta ochepa kagayidwe,
• kumangokhala
• shuga wowonjezereka panthawi yapakati kapena kubadwa kwa mwana wolemera oposa 4-5 kg,
• mankhwala osokoneza bongo osokoneza bongo kapena mowa,
• zovuta zakudya, mafuta akapezeka pagulu lalikulu, zovuta kugaya chakudya mmalo mwa masamba omwe amakhala ndi CHIKWANGWANI NDI CHINSINSI Chilengedwe.

Ndikofunikira kuyankha pazinthu zotere, kuti matendawa asawonekere, ndikofunikira kubwezeretsa malingaliro ku thanzi, moyo, komanso zakudya, kusiya mitundu yonse yamakhalidwe oyipa ndikulabadira zamasewera.

Pali mitundu ingapo ya matenda ashuga:

Matenda a shuga limawonekera pakubala pamene thupi la mayi wapakati silitulutsa insulin yokwanira chifukwa cha kusintha kwa mahomoni ndipo shuga amatuluka. Nthawi zambiri zimawonekera mu 2nd trimester ndipo zimadutsa mwana akangobadwa.

Mtundu wa Neonatal - zimachitika kawirikawiri chifukwa cha majini omwe amakhudza momwe amapangira insulin.

Mtundu 1 wamatenda Amapezeka ngati kapamba amasiya kupanga insulini yofunika, yomwe imapangitsa kuti glucose azikhala wolamulira. Ichi ndi matenda a autoimmune omwe ali ndi zizindikiro zake ndipo amathandizidwa pokhapokha kubayirira insulin m'magazi.

Type 2 shuga amayamba ngati maselo atasiya kuyamwa insulini, ngakhale atakhala okwanira. Zimangokhala zopanda ntchito polimbana ndi kukhazikika kwa shuga. Nthawi zambiri, zovuta zotere zimachitika ndikuphwanya pang'onopang'ono njira za metabolic, kunenepa kwambiri komanso chifukwa cha ma pathologies ena.

Gawo loyambirira la matendawa limachitika popanda chizindikiro. Mwachitsanzo, atazindikira kuti atapezeka kuti ali ndi phlebologist kapena optometrist. Koma pali mndandanda wazizindikiro zomwe ndizodziwika zamitundu yonse yamatenda am'matumbo. Kulongosola kwawo kuwonekera kumadalira kuchuluka kwa kuchepetsedwa kwa kutulutsa kwa insulin, thanzi lathunthu, komanso kutalika kwa matendawa. Ndi kukwera kwa glucose, komwe sikulipiridwa ndi kupanga insulin, nthawi zambiri amadziwika:

• ludzu kwambiri
• khungu louma,
• kukodza pafupipafupi
• kutopa, mphwayi,
• mabala amachiritso aatali
• njala yosalekeza
• kamwa yowuma
• kufooka kwa minofu
• Fungo la acetone lamkati,
• mavuto azamatenda komanso mavuto azakugonana,
• kukokana mu minofu ya ng'ombe, dzanzi,
• kutayika kwa zithunzi
• kusanza ndi kupuma mseru pafupipafupi
• matenda pakhungu, matenda oyamba ndi fungus, komanso furunculosis,
• mafuta ochulukirapo (okhala ndi mtundu 2) kapena kuwonda kwambiri ndi (mtundu 1),
• kuyabwa ndi kutulutsa kwa mucous nembanemba mkamwa ndi kumaliseche,
• kutayika kwa tsitsi kumiyendo yonse,
• chikasu chikukula m'thupi.

Awa ndi Zizindikiro zofala matenda ashuga akapezeka, koma amatha kugawidwa ndi matenda kuti adziwe matenda, azindikire kukula kwa matenda ashuga, ndikuyimitsa molondola kupewa kuti asakhale ndi vuto. Mu ana, matenda a endocrine ali ndi zizindikiro zomwezi ndipo amafunikira chisamaliro cha ana.

Kuti mufunsane ndi dokotala ngati mukukayikira - werengani apa.

Mtundu wa matenda amtunduwu umadziwika ndi zizindikiro zowopsa komanso mawonekedwe owonekera a matendawa. Ndi matenda awa, kusinthasintha kwakuthwa mu shuga kumachitika, kuchokera kotsika kwambiri mpaka kukwera, kowopsa kwa anthu. Ndi matenda a shuga 1 amtundu, kuchepa thupi kumachitika mofulumira, m'miyezi yoyamba ikhoza kukhala mpaka 15 kg.

Ndi kuchepa kwambiri thupi, kufooka, kugona, komanso kuchepa kwakukulu kwa ogwira ntchito kumawonedwa. Kulakalaka nthawi yomweyo kumakhala pamalo okwera. Kuphatikiza apo, matenda a anorexia amatha kuyamba, omwe amayamba ndi fungo lamkamwa, kusanza, kusanza mseru, kupweteka m'mimba kapena kupweteka pamimba.

Matenda a shuga amtundu woyamba amapezeka makamaka mwa achinyamata, ana ndi achinyamata atapanikizika kwambiri kapena SARS, samatchulidwa pambuyo pa zaka 40. Mtundu wachiwiri umakhudzidwa kwambiri ndi anthu azaka zapakati komanso achikulire, okonda kudzaza ndikuchita zinthu zovulaza thupi.

Dziwani zambiri za matenda ashuga a mtundu 1 apa.

Matenda amtundu wa endocrine amawonetsedwa pokodza pafupipafupi komanso kumva ludzu. Cholinga chopita kwa dotolo kuyeneranso kukhala kuyabwa m'deralo komanso pakhungu la miyendo. Koma mawonetseredwe oterewa sangawonekere, ndiye matendawa amapitilira popanda zisonyezo mpaka zaka zingapo.

Pambuyo poti pamavuto anthu amapita kwa madotolo. Dokotala wamaso amatha kudziwa zilonda zam'mimba, dotolo amatha kudziwa zilonda zam'mimba. Vuto la mtima kapena lathanzi lingatchulenso hyperglycemia. Zizindikiro zoyambirira zikaonekera, pakakhala cholowa cholowa, ndikofunikira kuperekanso magazi msanga wamagazi ndikuchezera endocrinologist.

Werengani zambiri za zizindikiro za matenda amtundu 2 - werengani apa.

Kodi ndi ziti zina mwa zizindikiro zofunika zomwe zikuwonetsa matenda ashuga? Phunzirani zamomwe mungazindikire matenda ashuga asanawononge thupi lanu, kuchokera pa kanema.

Kafukufuku wambiri amathandizira kuzindikira matendawa ndikuwazindikira mtundu wake, womwe ndiwofunikira kwambiri pakuthandizidwanso ndikuwongolera moyo. Ngati mukukayikira kuti shuga wawonjezereka amapatsidwa:

Aliyense wodwala matenda ashuga ayenera kulembetsa ndikumayendera endocrinologist, kumayesedwa pafupipafupi, komanso kuwunika kuchuluka kwa shuga kunyumba, thanzi lonse, kufunsana ndi akatswiri okhudzana ndi vuto ngati matendawa angafanane. Zakudya zapadera ndizofunikira, komanso moyo wathanzi, kuti shuga isamayende.

Chabwino ndikuyamba kuchiza matenda amtundu uliwonse pachiyambi kuti athane ndi zovuta. Zizindikiro zoyambirira za matendawa zikaonekera, mutha kuyesa mayeso a glucose kunyumba. Pamaso pa hyperglycemia, amasonyezedwa kuti azichita tsiku ndi tsiku.

1. Kugwiritsa ntchito mita. Kuyesa koyenera komanso kosavuta kwa nyumba. Chipangizocho chimabwera chokwanira ndi ma strolo angapo oyesa ndi chida choboola chala. Ndikofunikira kuti muzitsuka kaye komwe magazi amayesedwako. Kuthamanga kwa glucose ndikwabwinobwino 70-130 mg / dl, mutatha kudya zosakwana 180 mg / dl.
2. Mzere Woyesa Mitsuko. Kukhalapo kwa shuga mumkodzo kumatsimikiziridwa. Kuyesedwa koyenera kumafuna kuyezetsa magazi.
3. Chiti cha A1C. Amakulolani kuti muzindikire shuga kunyumba, komanso hemoglobin. Mulingo wa shuga siupitilira 6% malinga ndi umboni wa zida, zomwe zimawulula pambuyo pa mphindi 5.

Njira zanyumba zoterezi zitha kuthandizidwa pambuyo poyambira matenda. Koma ngakhale sangatsimikizire chithunzi chonse cha endocrine matenda. Dokotala yekha ndi mayeso a labotore omwe akuwonetsa chithandizo chamankhwala ndi chiyani.

Matenda a shuga ndi matenda ovuta omwe amatsogoza popanda chithandizo chachikulu komanso kupewa insulin pamavuto akulu, mpaka imfa. Ndikofunikira kuzindikira ndikuwongolera ndi thandizo lakuchipatala pakapita nthawi, tsatirani malingaliro onse othandizira kuti mukhale ndi moyo wabwino kwambiri.

Momwe mungadziwire shuga popanda mayeso kunyumba

Matenda a shuga ndi matenda oopsa omwe amapha anthu mamiliyoni awiri padziko lonse lapansi. Ndipo ambiri mwa awa akadatha kupulumutsidwa ngati matendawa adazindikira pa nthawi yake. Kuopsa kwa matenda a shuga ndi nkhawa kwa tonsefe. Chifukwa chake, ndikofunikira kudziwa pakapita nthawi ngati munthu ali ndi matenda a shuga kapena ayi.

Momwe mungadziwire matenda ashuga kumayambiriro, mungadziwe bwanji ngati muli ndi matenda? Zachidziwikire, ndizodalirika kwambiri kupita kwa dokotala ndikupereka mayeso oyenera. Njirayi imazindikira mosavomerezeka kukhalapo kwa matenda mwa munthu kapena kutulutsa zokayikira zonse.

Komabe, kuchita izi munthawi yake sizotheka. Munkhaniyi, tiona ngati nkotheka kudziwa kupezeka kwa matenda ashuga mwa munthu kunyumba, kodi ndi mitundu iti yazomwe mungadziwe ngati ali ndi matendawa?

Matenda a shuga ndi matenda a dongosolo omwe amayambitsidwa ndi kusokonekera kwa insulin ntchito komanso kuperesa kwa shuga m'thupi. Pali mitundu iwiri yayikulu yamatenda. Mtundu woyamba ndi shuga wodalira insulin. Matenda amtunduwu amadziwika ndi kusowa kwa insulin - chifukwa chakuti insulin siyipangidwa ndi kapamba, ndendende, ndimaselo a beta a kapamba. Madokotala amazindikira mtundu wachiwiri wa shuga ngati pali kuphwanya mgwirizano wa insulin ndi maselo.

Matenda a shuga ndi owopsa chifukwa cha zovuta monga:

• sitiroko
• zilonda zamanja,
• khungu
• matenda a mtima ndi matenda a mtima,
• ziwalo
• mavuto amisala
• chisokonezo chifukwa cha kukomoka kwa hypoglycemic.

Mtundu woyamba wa matenda a shuga umatchedwanso wachinyamata - chifukwa chakuti amavutika kwambiri ndi achinyamata komanso anthu ochepera zaka 30. Matenda a 2 a shuga amakula pambuyo pa zaka 40.

Mutha kuzindikira matenda omwe adakula bwino ndi zizindikiro monga:

• kukodza pafupipafupi, makamaka usiku,
• ludzu lochulukirapo
• kuwonda kwambiri
• Kununkhira kwa acetone kuchokera mkamwa,
• kamwa yowuma ndi khungu louma
• minofu kukokana
• kuwonongeka kwa mano, khungu ndi tsitsi,
• kupoleka pang'onopang'ono
• kapangidwe ka zilonda, zilonda ndi zilonda pakhungu.

Mukamayesa mayesowa, kuwonjezeka kwa kuchuluka kwa shuga m'magazi ndi mkodzo wapezeka, zomwe zimapangitsa kuti azindikire payokha matenda ashuga. Matendawa akapezeka kuti ndi dokotala amvetsetsa zomwe zimachitika, pokhapokha ngati matendawo amayamba.

Kodi ndingadziwe ngati munthu ali ndi matenda a shuga ndi zizindikiro zake?

Mitundu iwiri yayikulu ya shuga imayamba mosiyanasiyana. Ngati mtundu woyamba wakula nthawi zambiri umakhala wankhanza, ndipo zizindikiro zowopsa, monga ludzu lowonjezera komanso kukodza mwachangu zimawoneka mosayembekezereka, ndiye kuti mtundu wa 2 wodwala umayamba mwachangu. Poyamba, matenda amtundu wachiwiri sangawoneke, ndipo ndizosatheka kumvetsetsa kuti munthu akudwala. Kapenanso, matendawa amatha kutsatiridwa ndi zizindikiro zapadera:

• kutopa kwambiri
• kusakhazikika
• kusowa tulo
• kufooketsa chitetezo chokwanira,
• chizungulire
• mutu
• kumangokhalira kumva njala.

Komabe, wodwalayo nthawi zambiri samvetsa zomwe zikumuchitikira. Ndipo nthawi zambiri amati izi zimachitika chifukwa cha matenda ena, neurosis, ukalamba msanga, etc.

Pomwe mtundu wachiwiri wa matenda ukayamba, zizindikiro za kuwonongeka kwa mtima, impso ndi mitsempha zimakulanso. Izi zitha kufotokozedwa ngati mawonekedwe a zizindikiro monga:

• mawonekedwe a zilonda pakhungu.
• kufalikira kwa matenda a fungal a pakhungu ndi mano,
• kusintha kwanyengo
• kupoleka pang'onopang'ono
• kuyabwa kwambiri pakhungu, makamaka kumaliseche,
• masomphenya osalala
• kupweteka m'miyendo, makamaka panthawi yolimbitsa thupi komanso kuyenda.

Mwa amuna, nthawi zambiri pamakhala kuchepa kwa libido, mavuto ndi potency. Akazi amadwala matenda otupa.

Pambuyo pokhapokha patatha kuchitika zizindikiro za matenda a shuga - - kuchuluka kwam ludzu komanso kukodza kwambiri.

Chifukwa chake, nthawi zambiri wodwala amakhala pamavuto. Kodi matenda ashuga ali ndi zizindikiro monga kusakwiya kapena mutu? Ndizosatheka kunena ndendende momwe ndingadziwire matenda ashuga ndi zizindikilo zakunja kumayambiriro. Sizotheka nthawi zonse kudziwa mtundu wa matenda. Popeza zochitika monga, mwachitsanzo, kuyabwa, chizungulire komanso kutopa zimatha kupezeka m'matenda osiyanasiyana, popanda kuchuluka kwa shuga.

Koma pali zinthu zina zomwe zikuthandizira kukula kwa matenda ashuga. Kukhalapo kwawo kuyenera kuchititsa munthu kusamala ndi kuchitapo kanthu kuti adzindikire moyenera. Izi ndi monga:

• onenepa kwambiri (kuwerengera kuti kulemera kwanu ndi onenepa kwambiri kapena kupitirira malire a momwe mungakhalire, mutha kugwiritsa ntchito njira yapadera ndi tebulo lomwe limaganizira kutalika ndi chikhalidwe cha munthu),
• kusowa kwa masewera olimbitsa thupi
• kupezeka kwa abale apamtima omwe akudwala matendawa (kutengera kwa chibadwa cha mtundu 2 kumatsimikiziridwa mwasayansi),
• kukhalapo kwa kupsinjika kosalekeza,
• zaka zopitilira 50.

Mwa akazi, kupezeka ndi matenda ashuga akakhala pakati ndi njira inanso yowonjezera.

Komabe, njira yokhayo yokhazikika yokhazikika ngati vutoli ndi matenda ashuga kapena china chake ndikuwonetsetsa kuti pali shuga. Pothandizidwa ndi njirayi, kupezeka kwa matendawa kumatsimikiziridwa.

Kunyumba, ndizotheka kuzindikira matenda ashuga motsimikiza kwambiri. Izi zimafuna zida zonyamula zomwe zimazindikira shuga yayikulu yamagazi. Zogulitsazi ndizopezeka pamalonda azamalonda ndipo zitha kugwiritsidwa ntchito kunyumba.

Pali mitundu ingapo ya makina awa:

• kuyesedwa kowoneka bwino kowunika shuga,
• glucometer
• mizere yoyesera yomwe imazindikira kuchuluka kwa shuga mkodzo,
• makina onyamula kuti athe kuwunika pa hemoglobin ya glycated.

Pakadali pano, ma glucometer amagwiritsidwa ntchito kwambiri. Izi ndi zida zomwe zimakupatsani mwayi woyesa magazi kunyumba. Wogwiritsa ntchito mita adzazindikira zoyezera mu mphindi imodzi, ndipo nthawi zina masekondi angapo.

Njira yoyezera shuga ndi glucometer ndi yosavuta. Ndikofunikira kuyika chingwe choyesera mu chipangizocho monga momwe mwalangidwira, kenako kuboola chala ndi singano yapadera. Magazi okhala ndi dontho laling'ono amawonjezeredwa kumalo apadera pamtunda woyesera. Ndipo masekondi angapo, zotsatira zake zimawonetsedwa pa bolodi yamagetsi yamagetsi. Zotsatira zitha kusungidwa kukumbukira chida.

Mutha kuyang'ana magazi a shuga ndi chida chotere kangapo patsiku. Chofunika kwambiri ndikuyeza shuga m'magazi anu m'mimba yopanda kanthu. Komabe, mutha kuyeza mulingo wake mukatha kudya, komanso mukatha kudya maola angapo. Kuyesedwa kwa nkhawa kumagwiritsidwanso ntchito - kuyeza shuga maola awiri mutamwa chikho ndi 75 g ya shuga. Kuyeza kumeneku ndikutha kudziwa zonyansa.

Kuyesera mwachangu kumachitika molingana ndi njira yofananira, komabe, zida zamagetsi sizikugwiritsidwa ntchito, ndipo zotsatira zake zimatsimikiziridwa ndikusintha kwa mtundu wa mzere woyezera.

Zida zina zomwe zimagwiritsidwa ntchito pofufuza matenda a shuga ndi zida zoyesera glycated hemoglobin A1c. Mlingo wa hemoglobin wa glycated umawonetsa kuchuluka kwa shuga m'magazi miyezi itatu yapitayo. Zipangizozi ndizokwera mtengo kwambiri kuposa mafuta a shuga. Kuwunikaku sikufuna dontho limodzi lamwazi, koma madontho angapo omwe amasonkhanitsidwa mu pipette.

1. 
   Perekrest S.V., Shainidze K.Z., Korneva E.A. Kachitidwe ka mitsempha yama orexin. Mapangidwe ndi ntchito, ELBI-SPb - M., 2012. - 80 p.
2. 
   Strelnikova, Natalia Momwe mungagonjetse matenda a shuga. Zakudya ndi mankhwala achilengedwe / Natalya Strelnikova. - M: Vedas, ABC-Atticus, 2011 .-- 160 p.
3. 
   Svechnikova N.V., Saenko-Lyubarskaya V.F., Malinovskaya L.A. Chithandizo cha kuleka kwamisempha, State Medical Publishing House of the Russian SSR - M., 2016. - 88 p.

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