Mowa umakweza kapena kutsitsa shuga

Kumwa kwambiri kumavulaza thupi. Munthu aliyense amasankha kuti amledzera kapena zochuluka motani. Koma anthu omwe ali ndi matenda ashuga amapatsidwa mwayi uwu. Matendawa amakhudza kugwira ntchito kwa machitidwe ndi ziwalo zonse za thupi. Momwe mowa umakhudzira shuga m'magazi odwala matenda ashuga, madokotala sanganene motsimikiza. Imachita mosadalirika, motero ndikulimbikitsidwa kusiya kugwiritsa ntchito zakumwa zoledzeretsa.

Zotsatira za mowa pa shuga

Asayansi ambiri ochokera kumayiko osiyanasiyana amaphunzira za zakumwa zoledzera m'magazi. Zotsatira za kafukufuku wazachipatala zambiri zawonetsa kuti zakumwa zosiyanasiyana zimakhudza momwe aliri odwala matenda ashuga mosiyanasiyana. Zakudya zambiri zakumwa zoledzeretsa zochuluka zimadzetsa kuchepa msanga kwamisempha. Matendawa ndi owopsa kwa anthu, chifukwa kumatsika kwambiri ma glucometer chizindikiro hypoglycemia, limodzi ndi kuwonongeka ndi chikomokere.

Mowa umachepetsa shuga kwa magazi kwakanthawi kochepa. Pankhaniyi, zizindikiro za hypoglycemia ndizofanana ndi zizindikiro za kuledzera - chizungulire, mawonekedwe a njala, ozizira. Ndipo mowa ukayamba kuchotsedwa m'thupi - glucose akamakula kwambiri, pamakhala ngozi yotenga matenda a hyperglycemia.

Mitundu yosiyanasiyana ya zakumwa imakhudzanso odwala matenda ashuga mosiyanasiyana.

Alcohols amalepheretsa kupanga shuga m'magazi. Chifukwa chake, ngati pali phwando, wodwala matenda ashuga ayenera kudya kamodzi kwa chakudya chamafuta ambiri. Chifukwa chake amatha kulipirira momwe mowa umagwirira ntchito ndikupewa hypoglycemia.

Mowa umawonjezera mphamvu ya mankhwala m'thupi. Jakisoni wa insulin ndi mapiritsi omwe amatulutsa shuga m'magazi. Pofuna kupewa hypoglycemia, wodwalayo ayenera kuganizira za vutoli - ngati mowa wopitirira 100 ml wa mowa wamphamvu (vodka, whiskey) wamwa mankhwalawa, muyenera kuchepetsa kuchuluka kwa insulin, kapena kudumphira piritsi.

Zomwe zakumwa zoledzeretsa zimawonjezera shuga

Asanamwe, munthu wodwala matenda ashuga amayenera kuyang'ana kuchuluka kwa chakudya chamagetsi cham'mimba momwemo. Zakumwa zomwe zimawonjezera shuga m'magazi zimaphatikizapo:

1. Zakumwa za mitundu yonse. Awa ndi zakudya zotsekemera zotsika kwambiri zomwe zili ndi chakudya chamafuta ambiri. Ndipo linga ndilochepa kwambiri - pafupifupi 25-30%. Chifukwa chake, kapu yamowa imapangitsa kuwonjezeka kwa glucometer popanda kuchepa koyambirira kwa ndende chifukwa cha kumasulidwa kwa insulini, yopweteketsa mowa. Zakumwa izi ndizoletsedwa kwathunthu kwa matenda amtundu wa II komanso mtundu II.
2. Zidakwa zam'mowa (rum-cola, gin ndi tonic). Palibe shuga mu gin kapena rum yokha. Awa ndi zakumwa zakumwa zoledzeretsa zomwe, mwa "mawonekedwe awo oyera," otsika shuga. Koma ngati muwasungunulira ndi tonic kapena cola, mumamwa zakumwa zowonjezera zambiri zomwe zimakhudza shuga wamagazi, zimawonjezera magwiridwe ake.
3. Vinyo wokoma, champagne, vermouth. Zakumwa izi, ngakhale zili ndi zakudya zamagulu ochulukitsa, zimatha kudyedwa ndi anthu odwala matenda ashuga pang'ono, chifukwa zimakhala ndi phindu ku thupi. Mowa wamtunduwu umakweza kapena kutsitsa shuga wamagazi, zimatengera zinthu zingapo - kuchuluka kwa chakumwa, mtundu wa vinyo (ofiira, oyera), machitidwe a thupi la wodwalayo.

Zakumwa izi, ngakhale zili ndi mawonekedwe osungunuka, ndizowopsa pamtundu wa thupi lomwe lili ndi matenda ashuga. Chifukwa chake, muyenera kukana kugwiritsa ntchito izi.

Ma Liqueurs Amakulitsa shuga

Zomwe zidakwa zimamwa shuga m'magazi

Mowa wamphamvu (40% ndi pamwambapa) umatengedwa mwachangu ndi thupi, zomwe zimapangitsa kupangika kwa insulin ndi kapamba. Chifukwa chake, endocrinologists amalimbikitsa kumwa zosaposa 50-100 g zakumwa zamphamvu patsiku. Mlingowu umathandiza shuga wochepa, koma sayambitsa hypoglycemia. Kuphatikiza apo, kuchuluka kwa zakumwa izi sikokwanira kukwaniritsa mkhalidwe woledzera, chifukwa chake munthu amatha kuwongolera mkhalidwe wake, kuzindikira mokwanira kusintha kwa thupi. Zakumwa zomwe zimachepetsa shuga ya magazi ndizophatikiza:

1. Vodka. Ichi ndi chidakwa chachikulu. Kupatula ndi vodka ndi kuwonjezera kwa madzi kapena tincture pa zipatso (ali ndi shuga).
2. Cognac Mlingo wovomerezeka, chakumwa ichi chimakhudza bwino thupi - zimapumula, zimapukusira mitsempha, zimathandizira kuthamanga kwa magazi, komanso zizindikiro za glucometer.
3. Whisky, burande, gin, ramu. Izi ndi zinthu zachilengedwe zamphamvu zopangidwa ndi shuga mosiyanasiyana. Zakudya zomanga thupi zimamwidwa mwachangu mutatha kumwa mowa uwu. Koma insulin, yomwe imapangidwa ndi mowa, imakwanira momwe imakhudzira thupi.

Ambiri odwala matenda ashuga amafunsira madokotala ngati angamwe mowa. Kumbali imodzi, ndi mankhwala opatsa mphamvu kwambiri omwe amachititsa kunenepa kwambiri. Kumbali inayo, shuga omwe ali mu 0,5 l mowa ndi ochepa (ochepera supuni imodzi). Chifukwa chake, akatswiri a endocrinologists amalola odwala kumwa pint ya kampu kapena ale osawopa kuwonongeka.

Vodka amachepetsa shuga

Kodi ndizotheka kutulutsa shuga ndi mowa

Popeza kuchuluka kwa zakumwa zam'magazi a shuga, ngati kuli kotheka, mutha kugwiritsa ntchito zakumwa zambiri kuti muchepetse magazi a shuga. Chifukwa chake, ngati mukukayikira kukula kwa hyperglycemia, mutha kumwa piritsi (jekeseni wa insulin) pomwe mukumwa 30-50 ml ya mowa wamphamvu kapena cognac. Kuphatikizika kumeneku kumachepetsa shuga m'magazi. Komabe, wodwala matenda ashuga ayenera kuyang'anira mawonetseredwe ake (mphindi 30 zilizonse) kuti ateteze kuthekera kwa hypoglycemia.

Ngati palibe insulin pafupi, ndipo wodwala matenda ashuga ali ndi matenda ofanana ndi mtima (kuthamanga kwa magazi), muthanso kusintha matendawa pakumwa 30-50 ml ya cognac yapamwamba kwambiri. Imwani osagwiritsa ntchito chakudya chamagulu amtundu wa glucose. Koma kumwa mowa kwambiri pamimba yopanda kanthu kumayambitsa matenda a hypoglycemia.

Monga njira yayikulu yolimbikitsira kuchuluka kwa shuga, mowa wamphamvu sungagwiritsidwe ntchito. Kuledzera kwa tsiku ndi tsiku kumakhudza mkhalidwe wa thupi lonse, kumathandizira kukalamba kwa minofu ndi kutsekeka kwa minofu.

Zotsatira zakuledzera

Ngati mumamwa zakumwa zoledzeretsa mosaletseka, sizingadutse thupi popanda matenda. Ngozi yayikulu yakumwa mowa mwa matendawa ndi motere:

1. Kuchepera kwa kukhala ndi vuto la hypoglycemic coma (ndi zakumwa zoledzeretsa zamphamvu).
2. Kuwonjezeka kwakukulu kwa shuga m'magazi (ngati wodwalayo amamwa champagne yambiri, martini kapena mowa).
3. Kukula kwa matendawa chifukwa cha zovuta zoyipa za mowa pa kapamba, chiwindi, ndi mtima dongosolo.

Kwa endocrinologists, chithandizo cha munthu akumwa kumayendera limodzi ndi zovuta zingapo. Choyamba, pankhaniyi ndikovuta kuwerengera mulingo woyenera wa jakisoni kapena mapiritsi a thupi. Mwa anthu omwe ali ndi gawo loyambirira la matendawa, kapena odwala omwe ali pachiwopsezo (shuga mpaka 10) motsutsana ndi zakumwa zoledzeretsa, kupita patsogolo kwa matenda a shuga kumawonedwa, limodzi ndi zovuta (kusawona bwino, kumva, khungu louma).

Mowa ndi shuga m'magazi

Pakati pa chaka cha 2017, ofufuza ochokera ku Yunivesite ya Kumwera kwa Denmark adawona kuti mowa umachepetsa chiopsezo chokhala ndi matenda ashuga, ndipo zakumwa zina zimachetsanso shuga wamagazi. Nkhani yomalizayi ikusonyeza kuti kumwa mowa kumathandizanso munthu wodwala matenda ashuga. Izi ndi zoona.

Kafukufukuyu adapeza kuti chakumwa chothandiza kwambiri ndi vinyo. Amakhulupirira kuti ma polyphenols omwe amapezeka m'menemo amakhala ndi phindu pamisempha. Vinyo atatha, malinga ndi kuthekera kwawo kuletsa kukula kwa matenda ashuga, asayansi adapereka mowa, koma izi ndizowona kwa amuna okha.

Koma kugwiritsa ntchito zakumwa zoledzeretsa, mwachitsanzo, vodka, m'malingaliro awo, sasintha shuga.

Komabe, madokotala padziko lonse lapansi ali ndi mtima wofuna kuletsa mowa kwambiri ku matenda ashuga, bwanji? Kuopsa kopezeka pamavuto ndi kowopsa kwambiri, ndipo mkhalidwe wa kuledzera umalembetsa thandizo ladzidzidzi, ngati ulipo.

Ndikosavuta kuneneratu zakumwa za chinthu china chilichonse, zonse zimatengera izi:

• zaka
• kulemera kwa thupi
• jenda
• mtundu ndi chindapusa cha matenda ashuga,
• matenda ashuga
• matenda ophatikizika amodzimodzi
• kuchuluka ndi oyenera mankhwala antidiabetic mankhwala anatengedwa.

Dziwani molondola momwe mowa umakhudzira shuga ungachitike. Komabe, njirayi sioyenera kukhala ndi matenda ashuga, chifukwa chiopsezo chokhala mkhalidwe wa hypoglycemic ndichabwino kwambiri.

Kuzindikira kwa shuga - ingomwani tsiku lililonse.

Mowa kagayidwe kachakudya matenda ashuga

Zakumwa zokhala ndi ethanol zikafika m'thupi, zimayamba kuwonongeka. The enzyme mowa dehydrogenase makamaka imayambitsa izi. Kukula kwa ethanol m'thupi kumadalira.

Enzyme imagwira ntchito mu chiwindi, metabolites ya glucose ndiyofunikira. Chifukwa chake, mothandizidwa ndi mowa, shuga wamagazi amachepa ndipo hypoglycemia imachitika.

Kuopsa kwa mowa kwa odwala matenda ashuga

Ngati mukuganizabe kumwa chakumwa chakumwa choledzeretsa, muyenera kudziwa bwino zovuta zomwe zingachitike:

• mowa umasintha malingaliro okhudzana ndi dziko lapansi ndi thanzi lake, zomwe zikutanthauza kuti pali chiwopsezo chosazindikira kuwonongeka mu nthawi,
• mowa umakulitsa kuchuluka kwa makhoma amitsempha yamagazi, ndipo amawonongeka kotheratu m'mayendedwe odwala matenda ashuga, izi zingayambitse magazi,
• kuchuluka kwa kukhalapo kwa matenda otupa am'mimba ndipo matumbo akuipiraipira,
• zovuta pakuthandizira pakukula, popeza kuti mankhwala ambiri amagwira ntchito kwambiri kapena sagwirizana kwathunthu ndi mowa.

Musanamwe mowa, muyenera kufunsa dokotala. Mwina adzasintha mankhwalawo.

Mlingo wovomerezeka

Mukamamwa mowa, ndikofunikira kuwunika mlingo ndi pafupipafupi wa makonzedwe. Ichi ndi chifukwa cha zopatsa mphamvu, kuchuluka kwa mapuloteni, mafuta ndi chakudya, glycemic index (GI) ndi magawo a mkate. Nthawi zambiri, zakumwa zoledzeretsa zilizonse zimakhala ndi zopatsa mphamvu zambiri. Mwachitsanzo, mu 100 g ya vodka kapena cognac 240 kcal, ndi shuga 0,1, GI yawo ili pafupifupi 0, ndipo kuchuluka kwa XE ndi 0.01-0.02.

Zakumwa zoledzeretsa ngati champagne ndi zakumwa siziletsedwa, chifukwa zomwe zimapangidwira mkati mwawo ndizambiri - pafupifupi 8 - 9 g, ndi XE - 0.76.

Koma kuphatikiza kwa vinyo kumalola kuti kudyedwe pang'ono: calorie nkhani 60-75 kcal, chakudya - 1-2 g, ndi GI - 40-42.

Malipiro othandizira odwala matenda ashuga tsiku lililonse:

• vinyo - 180-200 ml,
• mowa wamphamvu (cognac, gin, vodka, etc.) - osapitirira 45 ml.

Kumwa mitundu ina ya zakumwa ndikosayenera kwambiri. Mwachitsanzo, vinyo wokhala ndi mipanda yolimba amakhala ndi mitundu yayikulu ya shuga ndi Mowa. Ndipo mowa nthawi zambiri umatsogolera ku kuchepa kwa hypoglycemia.

Vinyo amaloledwa kuti azingomwa popanga zachilengedwe zokha, chifukwa zimakhala ndi fructose, zomwe nthawi zambiri zimagwiritsidwa ntchito pochita zinthu ndi hypoglycemic.

Timapereka kuchotsera kwa owerenga tsamba lathu!

Kumayambiriro kwa chaka cha 2008, American Diabetes Association ku USA idapereka lingaliro pa kumwa mowa kwa matenda ashuga:

• Osamamwa mowa pamimba yopanda kanthu kapena ndi shuga wamagazi ochepa,
• palibe kumwa kamodzi pa tsiku komwe kumalimbikitsidwa kwa azimayi, awiri kwa amuna;
• mowa suyenera kuganiziridwa mukamawerengera mafuta omwe amamwetsa patsiku (musayerekeze mowa ndi chakudya),
• kumwa mowa pang'onopang'ono
• ndikofunikira kumwa mowa ndi madzi omwe kuchuluka kwa zopatsa mphamvu ndi zero (madzi),
• vinini zachilengedwe ndizofunikira
• mukamamwa mowa, simuyenera kukonda mitundu yakuda: ali ndi zopatsa mphamvu zopatsa mphamvu.

Kuti mupewe hypoglycemia, ndikofunikira kudya zakudya zamagulu ochulukirapo a mowa.

Kukhala kofunikira kuchenjeza munthu za matenda anu azishuga, komanso kuphunzitsa mukakhala ndi mavuto.

Mowa komanso kuyesa shuga

Musanatenge mayeso, kukana mowa kwathunthu m'masiku 1-2 ndikulimbikitsidwa. Lamuloli siligwira ntchito kwa odwala matenda ashuga okha. Koma motsutsana ndi maziko a matenda ashuga, magawo amwazi amwazi amasintha kwambiri:

• hemoglobin amachepetsa kwambiri motsutsana ndi maziko a kuchuluka kwa cholesterol ndi kuchuluka kwa maselo ofiira a m'magazi,
• Zotsatira zakuyesa kachilombo ka HIV ndi syphilis ndizosadalirika ngati munthu wapambana mayeso mkati mwa maola makumi awiri ndi awiri amamwa mowa,
• chiwindi lipid kagayidwe amasintha kwambiri mkati 48 atamwa,
• kulephera kukhazikitsa chizindikiro cholondola cha shuga.

Ndikulimbikitsidwa kuyesedwa pokhapokha patatha masiku atatu kapena anayi mutamwa zakumwa zoledzeretsa.

Contraindication

Chotsutsana kwathunthu ndi shuga ndi shuga wambiri komanso wosakhazikika. Kuphatikiza apo, simungamwe mowa kwa anthu:

• akudwala matenda ashuga polyneuropathy,
• matenda ashuga angiopathy
• diabetesic ophthalmopathy.

Osamamwa mowa ndi mankhwala ngati Metformin ndi insulin. Poyambirira, chiopsezo cha lactic acidosis, mkhalidwe momwe kuchuluka kwa lactic acid kumakulira. Kachiwiri, munthawi yomweyo kugwiritsa ntchito insulin ndi mowa kumayambitsa hypoglycemia yayikulu ndikutheka kukhala ndi vuto la hypoglycemic.

Contraindication zokhudzana ndi matenda a chiwindi, kapamba, m'mimba, komanso mtima.

Chifukwa chake, kuletsa kotheratu kumwa zakumwa zoledzeretsa kumayeneretsedwa. Koma ngati mudaganiziratu kumwa, ndiye kuti muyenera kutsatira malamulo ena ndikugwirizana ndi dokotala wanu musanagwiritse ntchito.

Matenda a shuga nthawi zonse amayambitsa zovuta zakupha. Mwazi wamagazi ochulukirapo ndi woopsa kwambiri.

Aronova S.M. adafotokoza za chithandizo cha matenda ashuga. Werengani kwathunthu

Mphamvu ya mowa pa shuga

Monga lamulo, mowa umayambitsa kusintha kwakanthawi kwamagazi a shuga, omwe sikuti amakhudza thanzi la munthu wathanzi. Chisamaliro chimayenera kuledzera:

• anthu omwe ali ndi matenda a shuga a mtundu woyamba 1 kapena 2,
• pa gawo la prediabetes,
• omwe akudwala matenda oopsa kapena okhathamiritsa,
• Ochita masewera
• odwala omwe amataya magazi.

Kuphatikiza apo, ziyenera kukumbukiridwa kuti zakumwa zonse zokhala ndi zakumwa zoledzeretsa ndizambiri zopatsa mphamvu, ndipo zinthu zowola za ethanol zomwe zimaphatikizidwa ndi shuga wokonzedwa zimawononga makoma amitsempha yamagazi, ndikuwapangitsa kukhala osalala. Anthu omwe ali ndi zakumwa zoledzeretsa amakhala ndi mikwingwirima yovomerezeka.

Mosiyana ndi bodza lofala kuti mowa umatha kuwonjezera kuchuluka kwa shuga, izi sizolondola chifukwa zakumwa zilizonse zomwe zimamwa mowa zimakhudza thupi komanso kapangidwe ka magazi. Mwachitsanzo, mowa wopepuka umakhazikitsa shuga m'magazi, ndipo vodka imatsitsa. Koma apa pali zingapo zamagulu.

Kudalira kwa shuga m'thupi chifukwa cha zina zowonjezera:

• kuchuluka ndi mphamvu ya chakumwa (mowa ndi wamphamvu komanso osamwa, motero, ndipo zotsatira za shuga ndi zosiyana),
• kuchuluka kwa chakudya chomwe mumamwa musanamwe mowa,
• ngati munthu akumwa mankhwala a insulin kapena akuchiritsidwanso m'thupi,
• kulemera kwa thupi
• jenda (mwa amuna, njira za metabolic zimathamanga kuposa azimayi, ndipo shuga limakwera mwachangu komanso imatsika kwambiri).

Mokulira, kuchuluka kwa zakumwa zoledzeretsa zimadalira umunthu wakepi: kukhalapo kwa ma pathologies ena.

Ndi mowa uti womwe umachepetsa shuga?

Monga tafotokozera pamwambapa, mizimu (vodka, cognac) yaying'ono ingachepetse kuchuluka kwa shuga. Komabe, pankhaniyi, pali zosintha zingapo, chifukwa chake madokotala salimbikitsa kuti azigwiritsa ntchito matenda a shuga kapena chiwindi.

Vuto lalikulu silikhala mu shuga waukulu, koma kuti pakapita kanthawi pang'ono kapu ya chakumwa champhamvu, mshuga wa glucose umatsika, ndipo itadzuka kwambiri. Izi ndichifukwa choti mukamwa mowa, kupanga shuga m'magazi a chiwindi kumatsekedwa kwakanthawi, zomwe zimapangitsa kuti thupi lisathe mafuta osavuta.

Njira yakuyamba kwa hypoglycemia chifukwa chomwa mowa kwambiri kumadalira mlingo. Chifukwa chake, kwa odwala matenda ashuga, pali matebulo opangidwa mwapadera omwe amawonetsa mlingo wololedwa wa mowa winawake.

Chifukwa chake ngati pali kuphwanya kwa kuchuluka kwa chakudya cham'mimba, mutha kumwa pang'ono (mpaka 150 g patsiku) vodka, whiskey, cognac komanso kuwala kwa mwezi. Amatha kutsitsa shuga, makamaka khalidweli limathandiza paphwando lamkuntho, pakakhala zovuta kukana kudya kwambiri komanso kuwongolera chakudya. Koma kupitilira izi kungayambitse hypoglycemia (makamaka ngati wodwala watenga insulini).

Osati odwala matenda ashuga okha omwe ali ndi vuto laledzera lotchedwa hypoglycemia, nthawi zambiri limadziwonekera mwa anthu atatha kudya kwambiri, omwe amamwa kwambiri mowa, koma kuiwala kuluma.

Ndi mowa uti womwe umatulutsa shuga?

Mowa wonse, mosiyanasiyana, umapangitsa kuchuluka kwa shuga m'magazi. Atatha kumwa zakumwa zamphamvu kwambiri (38-40 vol.) Mochulukirapo, shuga amakwera m'magawo ovuta mothandizidwa ndi "zinyalala". Koma ngati mumamwa vinyo wotsekemera kapena theka-lokoma, champagne, mowa kapena mowa wocheperako, "khosi", mafuta osokoneza bongo ndi zina zotero, ndiye kuti shuga ya m'magazi imadzuka pakapita mphindi yochepa kwambiri.

Ena amagwiritsa ntchito mafuta a champagne ndi vinyo kuti apeze shuga. Kupatula apo, ndi kuwonjezeka kwa glucose komwe kumapangitsa munthu kukhala wokondwa komanso wosangalala pambuyo pakapumira chikho chakumwa chofooka.

Tiyeneranso kukumbukira kuti mowa wamphamvu umathanso kuwonjezera shuga ngati umamwa pamodzi ndi timadziti tambiri, zakumwa zamagetsi kapena zosafunikira paz zipatso ndi chokoleti. Kuphatikiza apo, sikofunikira kuti mumwe mowa wanji, ndikofunikira kuti mumvetsetse zomwe zimachitika.

Mlingo wololedwa wa zakumwa zoledzeretsa

• vinyo wofiira wofiyira / theka lokoma - 250 ml,
• mowa - 300 ml
• champagne - 200 ml.

Zakumwa zonse zomwe zili pamwambazi zimakhudza kuchuluka kwa glucose, koma nthawi yomweyo zimaloledwa ndipo kugwiritsa ntchito kwake pazowonjezera sikungakhale ndi zotsatirapo zoyipa kwa thupi.

Koma mapepala okometsera opangidwa ndi nyumba, zakumwa ndi zakumwa, ndizoletsedwa kumwa, ngati mbiri ya matenda a lipid kapena carbohydrate metabolism iwonetsedwa.

Kuyesedwa kwa magazi

Kumwa mowa musanapereke magazi mkati mwa maola 48 ndizoletsedwa. Ethanol lowers:

Kutengera ndi zotsatira za kusanthula koteroko, titha kuweruza kuti munthu ali ndi mavuto ndi chiwindi, kapamba ndi mtima. Komanso, mowa umakulitsa magazi ndi kupangitsa kuti magazi achulukane.

Kwa thupi la munthu, onse shuga ndi magazi ochepa amakhala ndi zotsatirapo zake zoyipa chimodzimodzi. Matenda a endocrine dongosolo amakhudza ambiri thupi. Nthawi zambiri, munthu yemwe ali ndi vuto lobooka (metabolism) samazindikira matendawo, mpaka atapeza mawonekedwe osachiritsika.

Kuyesedwa kwa shuga kwa magazi kumachitika pofuna kudziwa kuti matenda ashuga ndi zofunikira kuti ziwoneke. Zizindikiro za matendawa komanso mavuto ena a endocrine system ndi monga: