Shuga 18 amatanthauza chiyani

Kudumphadwala kwa glycemia kumawononga thanzi la wodwala, kumabweretsa zovuta ndipo kumayambitsa kukomoka. Muzovuta kwambiri, izi zimabweretsa imfa kapena kulemala kwa odwala. Nthawi zambiri, kuchuluka kwa shuga kumatha pambuyo podya zakudya zopanda thanzi zomwe zili ndi zakudya zamafuta, zomwe siziletsedwa kwa odwala matenda ashuga. Zoyenera kuchita ngati shuga m'magazi apitilira zizindikiro 9, 10, 11, 12, 13, 14, 15, 16, 18, 20 mmol / l, chiopsezo cha izi ndi zotsatirapo ziti zomwe zingayambitse?

Zoyambitsa Hyperglycemia mwa athanzi Anthu

Ngati zotsatira za kusanthula zidawonetsa shuga wowonjezera m'magazi athunthu 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, izi zikutanthauza chiyani, kodi ndi matenda ashuga komanso amtundu wanji? Mwa anthu omwe sanakhalepo ndi matenda ashuga, hyperglycemia imayamba chifukwa:

• yotupa, khansa ya kapamba,
• kupsinjika
• matenda a endocrine
• zotupa chiwindi matenda: chiwindi, matenda enaake, khansa zotupa,
• kusokonezeka kwa mahomoni
• kukula kwa mtundu wa I kapena mtundu wachiwiri wa matenda ashuga.

Kuti muwonetsetsetsetsetsetse, odwala amayesedwanso kachiwiri magazi, amapanga maphunziro owonjezera pa postprandial glycemia, kulolera kwa glucose, glycated hemoglobin, C-peptide. Zotsatira zake zithandizira kudziwa kuchuluka kwa shuga omwe wodwala amakhala nawo asanadye komanso atatha kudya, ngati kapamba ikugwira ntchito, kapena ngati minofu imamwa insulin. Pambuyo pokhapokha nditazindikira kuti ndili ndi matenda ashuga kapena ndimatsutsa. Kuphatikiza apo, kuyesa kwa ultrasound, kusanthula kwamkodzo kwamikodzo ndi mankhwala. Lumikizanani ndi endocrinologist, oncologist, neuropathologist.

Wodwala akangopita kwa dotolo kuti akathandizidwe, chithandizo chamankhwala chimaperekedwa mwachangu ndipo sipangakhale zovuta zina.

Zoyambitsa Hyperglycemia mu Diabetesics

Zitha kuthandizira kuwonjezeka kwamphamvu m'magazi a shuga:

• kulephera kutsatira zakudya zamafuta ochepa,
• kudumpha jakisoni wa insulin kapena mapiritsi,
• zopsinjitsa
• kusowa zolimbitsa thupi,
• kuphwanya zakudya
• kulephera kwa mahomoni
• mavairasi, chimfine kapena matenda ena aliwonse,
• zizolowezi zoipa
• matenda kapamba
• kumwa mankhwala: mahomoni, okodzetsa, zoletsa,
• matenda a chiwindi.

Shuga wamkulu m'magazi pa 10, 12, 13, 14, 15, 16, 17, 18, 19, 20, akuyenera kuchitidwa chiyani ndipo ndi owopsa? Choyamba, ndikofunikira kuti muchepetse zinthu zoyipa zomwe zidapangitsa kudumpha kwa glycemia. Ngati wodwalayo adayiwala kubaya insulin yochepa kapena kumwa mankhwala, muyenera kuchita izi posachedwa.

Simungathe kuthana ndi zakudya, ndi mawonekedwe odziyimira pawokha, masewera olimbitsa thupi angakuthandizeni. Izi zimathandizira kuyamwa kwa shuga ndi minofu minofu.

Chifukwa chodziwika bwino ndi kudya kapena kuphwanya zochitika za tsiku ndi tsiku, kudya kwambiri. Malangizo a wodwalayo azitha kubweretsa glycemia mwa masiku awiri kapena atatu.

Chifukwa chiyani insulin sikugwira ntchito

Nthawi zina odwala omwe ali ndi matenda a shuga omwe amadalira insulin amafunsa adotolo kuti: "Ndimapereka jakisoni nthawi zambiri, ndipo shuga amasungako 10, 12, 13, 14, 16, 17, 18, 19, 20 mmol / l, chochita, zomwe amawopseza ndi" ? Pakhoza kukhala zifukwa zingapo zosagwira insulin mankhwala:

• Mlingo wa mankhwalawa wasankhidwa molakwika,
• osagwirizana ndi zakudya ndi jakisoni,
• kusungidwa kosayenera kwa ma insulin ampoules,
• kusakaniza ma insulini osiyanasiyana mu syringe imodzi,
• tsamba la jakisoni, kuphwanya teknoloji,
• jakisoni kwa chisindikizo
• kusisita khungu pakumwa musanapereke mankhwala,
• kuchotsa mwachangu singano pakhungu pambuyo pakubaya.

Wodwala aliyense yemwe ali ndi matenda a shuga a 1 amatengera odwala, dokotalayo amafotokozera momwe angabayire bwino, komwe kumakhala thupi ndi zina zobisika. Mwachitsanzo, kupaka khungu ndi yankho la mowa kumachepetsa mphamvu ya mankhwalawa, pambuyo poti insulini ilowa, muyenera kudikirira masekondi 10 musanachotsere singano, apo ayi, mankhwalawa amatha kutayikira.

Ngati mumalembera jakisoni malo amodzi, mawonekedwe a zisindikizo, mankhwalawa, ndikalowa m'malo oterowo, amamizidwa pang'onopang'ono. Muyenera kudziwa momwe mungasakanizire mitundu ya insulin, yomwe ingaphatikizidwe, ndipo siyani. Mbale yotseguka iyenera kusungidwa mufiriji.

Pankhani yolakwika ya mankhwalawa, ndikofunikira kukonza, pokambirana ndi adokotala. Izi sizingachitike palokha, chifukwa hypoglycemia imatha kuyamba. Ngati wodwala saona bwino ndipo sangathe kudziwa kuchuluka kwa mankhwalawo, achibale amafunsidwa kuti amuthandize.

Ketoacidosis

Kodi chiwopsezo chowonjezeka cha shuga m'magazi ndi chiyani, ngati glucose ali 10, 12, 14, 16, 17, 18, 20, 21, 22, 30 mmol / l ndipo izi zikutanthauza chiyani? Kuwerengedwa kwa shuga kwambiri, komwe kumasungidwa nthawi yayitali, kumatha kuyambitsa ketoacidosis. Thupi limayesetsa kugwiritsa ntchito shuga ochulukirapo pophwanya mafuta, chifukwa, matupi a ketone amapangidwa, ndipo thupi limamwa.

Ndikofunikira kuchiza ketoacidosis pachipatala. Mankhwala a insulin amadziwika, kuchepa kwa madzimadzi m'thupi, potaziyamu ndi zinthu zina zomwe zikusoweka zimalipiriridwa, mulingo woyambira wa asidi umabwezeretseka.

Hyperglycemic chikomokere

Kodi chiwopsezo cha shuga wambiri m'magazi ndi 10, 12, 16, 17, 18, 19, 20, 21, 22, 25, 27, 30 mmol / l, chingachitike ndi chiyani ngati zoterezi zingachitike, ndipo zotsatira zake zingakhale chiyani? Kuwonjezeka kwakukulu kwa glycemia kumatha kuyambitsa kukomoka kwa matenda ashuga (kusowa chikumbumtima, kusakhazikika maganizo), komwe kumayamba masana.

Ngati pali zizindikiro za chikomokere, muyenera kufunsa dokotala nthawi yomweyo! Odwala amathandizidwa m'chipinda chothandizira kwambiri.

Mulingo wa shuga m'magazi 10, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 30 mmol / l, izi zikuwopseza chiyani? Odwala omwe ali ndi insulin-yodziyimira payokha yamatenda, hyperosmolar coma imawonedwa kwambiri, popanda zizindikiro za ketoacidosis. Magazi amakhala okhuthala chifukwa cha kuchuluka kwa shuga. Zochita za opaleshoni, kuwonongeka kwa impso, pachimake kapamba, kutenga mankhwala ena, kukha magazi, kulowetsedwa kwa myocardial kumatha kudzetsa matendawa.

Hyperosmolar syndrome imayamba pang'onopang'ono kuposa ndi ketoacidosis, Zizindikiro zake sizimatchulidwa. Palibe fungo la acetone, kupuma kwamaso, kusanza. Odwala amakhala ndi nkhawa pokodza pafupipafupi, mwapang'onopang'ono mkodzo umatha kutulutsidwa chifukwa chosowa madzi. Odwala amathandizidwapo, kuyembekezera mwachangu, kusokonekera kwa kulankhula, kusunthira kwamaso kwa msanga, komanso ziwindi zamisempha ina. Chithandizo cha hyperosmolar coma ndichofanana ndi ketoacidosis.

Mavuto Aakulu odwala matenda ashuga

Mlingo wowopsa wa shuga m'magazi (10, 20, 21, 25, 26, 27, 30 mmol / L), womwe umatenga nthawi yayitali kapena kulumpha pafupipafupi mu glycemia kumabweretsa kukula kwa zovuta kuchokera kumanjenje, mtima, dongosolo lama genitourinary, masomphenya

• wodwala matenda ashuga
• polyneuropathy yam'munsi,
• angiopathy
• retinopathy
• zilonda zam'mimba
• zigawenga
• matenda oopsa
• nephropathy
• chikomokere
• arthropathy.

Mavuto oterewa ndi osachiritsika, opita patsogolo, sangathe kuchiritsidwa, mankhwalawa amathandiza wodwalayo komanso kuwonongeka. Matenda angayambitse kudula miyendo, khungu, kulephera kwa impso, kugunda kwa mtima, sitiroko, kupindika kolumikizana.

Matenda a shuga a mtundu uliwonse amafunika kuwongolera zakudya zamafuta ambiri, mulingo wa mankhwala, kusintha kwa thanzi ndikofunikira, zochitika zamasiku onse ndi zakudya ziyenera kuchitika, ndipo zizolowezi zoyipa ziyenera kusiyidwa. Pokhapokha ngati njira imeneyi payenera kubwezeredwa matendawa ndikuvutikira kwambiri.

Matenda a shuga

Ndiye, titani ngati shuga wambiri wawonjezereka mpaka magawo 15 ndi 20? Kupatula kuti muyenera kufunafuna chithandizo chamankhwala, muyenera kuwerenganso zakudya zomwe anthu amadwala matenda ashuga. Mwambiri, shuga m'magazi amalumpha kwambiri chifukwa cha kuperewera kwa zakudya. Kuphatikiza chilichonse chomwe muyenera kuchita kuti muchepetse shuga m'thupi, ngati zizindikiro zikufikika.

Kuchepetsa shuga m'magazi kuyambira pa 15 mpaka 20 mayeso kukhala mulingo wabwinobwino ndikotheka ndi zakudya zochepa. Ngati wodwala matenda ashuga alumpha shuga, palibe chakudya china chokwanira chomwe chingathandize.

Zizindikiro za mayunitsi 20 kapena kuposerapo kumanenanso za ngozi yomwe imawopseza wodwala ngati chithandizo champhamvu sichinayambike. Atasanthula ndikupeza zotsatila za mayesowo, adotolo amakupatsani mankhwala ndi zakudya zamagulu, zomwe zimachepetsa shuga ya magazi mpaka mulingo wa 5.3-6.0 mmol / lita, chomwe ndi chizolowezi kwa munthu wathanzi kuphatikiza odwala matenda ashuga.

Zakudya zamafuta ochepa zimapangitsa wodwalayo kukhala ndi mtundu uliwonse wa shuga, ngakhale atadwala.

Matenda a mtunduwo amawonekera kale patsiku lachiwiri kapena lachitatu pambuyo pakusintha kwa zakudya.

Izi, zimachepetsa shuga m'magazi 15 ndi 20 mpaka kutsika ndipo zimapewa kukula kwa matenda achiwiri omwe nthawi zambiri amayenda ndi matenda ashuga.

Kuti musiyanitse zakudya, ndibwino kugwiritsa ntchito maphikidwe apadera pophika zakudya osangochepetsa shuga wamagazi, komanso kusintha mkhalidwe wa munthu wodwala matenda ashuga.

Zomwe Zimayambitsa Madzi Akuluakulu a shuga

Mwazi wamagazi ungathe kuchuluka chifukwa cha kutenga pakati, kupsinjika kwambiri kapena kupsinjika kwamaganizidwe, mitundu yonse yamatenda a sekondale. Zoyenera, ngati kuchuluka kwa glucose kukwera mpaka magawo 15 kapena 20, titha kulingalira zakuti ichi ndi chizindikiro chowonjezera chidwi pa thanzi. Nthawi zambiri shuga m'magazi amakwera ngati wodwala ali ndi vuto lakukonza chakudya.

Chifukwa chake, zifukwa zazikulu zowonjezera kuchuluka kwa shuga m'magazi 20 kapena kuposerapo ndizosiyanitsidwa:

• Zakudya zopanda pake. Mukatha kudya, kuchuluka kwa shuga m'magazi nthawi zonse kumakwezedwa, chifukwa pakadali pano pali njira yogwira ntchito yopangira chakudya.
• Kulephera kuchita zolimbitsa thupi. Kuchita masewera olimbitsa thupi kuli ndi phindu lililonse pa shuga.

Kuphatikiza pazomwezo zingakhale zovuta zamtundu uliwonse, zomwe zimagawidwa malinga ndi gawo lomwe lakhudzidwa.

1. Matenda a Endocrine chifukwa cha kupsinjika kwa mahomoni amatha kuyambitsa matenda ashuga, pheochromocytoma, thyrotooticosis, matenda a Cushing. Mwanjira imeneyi, msuzi wa shuga umakwera ngati kuchuluka kwa mahomoni kumachulukitsa.
2. Matenda a kapamba, monga kapamba ndi mitundu ina ya zotupa, amachepetsa kupanga insulin, komwe kumayambitsa mavuto a metabolic.
3. Kumwa mankhwala ena kungapangitsenso kuchuluka kwa shuga m'magazi. Mankhwalawa amaphatikizapo mahomoni, diuretics, njira zolerera komanso mankhwala a steroid.
4. Matenda a chiwindi, komwe glue amawonongera glycogen, amachititsa kuchuluka kwa shuga m'magazi chifukwa chakuchita bwino mkati. Matendawa ndi monga cirrhosis, hepatitis, zotupa.

Zonse zomwe wodwalayo ayenera kuchita ngati shuga atakwera mpaka magawo 20 kapena kupitilira apo ndikuchotsa zomwe zimayambitsa kuphwanya kwa umunthu.

Inde, vuto limodzi kumawonjezera kuchuluka kwa glucose mpaka mayunitsi 15 ndi 20 mwa anthu athanzi silimatsimikizira kupezeka kwa matenda ashuga, koma pankhaniyi zonse ziyenera kuchitidwa kuti zinthu zisamakulire.

Choyamba, ndikofunikira kukonza zakudya zanu, ndikuchita masewera olimbitsa thupi nthawi zonse. Poterepa, tsiku lililonse muyenera kuyeza shuga wamagazi ndi glucometer kuti musabwerenso zomwe zikuchitika.

Mwazi wamagazi

Mwazi wamagazi nthawi zambiri umayezedwa pamimba yopanda kanthu. Kuyesedwa kwa magazi kumatha kuchitika onse kuchipatala mu labotale komanso kunyumba pogwiritsa ntchito glucometer. Ndikofunikira kudziwa kuti zida zam'nyumba nthawi zambiri zimapangidwa kuti zizindikire kuchuluka kwa shuga m'magazi, pomwe mumagazi, chisonyezo chidzatsitsidwa ndi 12 peresenti.

Muyenera kuwunika kangapo ngati kafukufuku wapitayo adawonetsa kuchuluka kwa shuga m'magawo 20, pomwe wodwalayo sanapezeka ndi matenda a shuga. Izi zimalola kuti matendawa athe nthawi komanso kuthetsa zonse zomwe zimayambitsa matendawa.

Ngati wodwala wakweza glucose, dokotala atha kuyitanitsa kuyesa kwa glucose kuti athandize kudziwa mtundu wa prediabetes. Nthawi zambiri, kuwunika koteroko kumayikidwa kuti kupatula kukhazikitsidwa kwa matenda ashuga mwa wodwala ndikuwona kuphwanya shuga m'mimba.

Chiyeso chololera glucose sichimalamulidwa kwa aliyense, koma anthu opitirira 40, odwala onenepa kwambiri komanso omwe ali pachiwopsezo cha matenda a shuga amapitilira.

Kuti achite izi, wodwalayo amapititsa kuyezetsa magazi pamimba yopanda kanthu, pambuyo pake amupeza kuti amwe kapu ya shuga yowonjezera. Pambuyo maola awiri, kuyezetsa magazi kumachitidwanso.

Pa kudalirika kwa zotsatira zomwe zapezeka, zotsatirazi ziyenera kuonedwa:

• Nthawi kuchokera pachakudya chotsiriza mpaka kuwunikiridwa iyenera kudutsa osachepera maola khumi.
• Musanapereke magazi, simungagwire ntchito yogwira ntchito zolimbitsa thupi ndipo katundu onse wolemera pamthupi sayenera kupatula.
• Ndikosatheka kusintha kwambiri zakudya musanayambe kusanthula.
• Yesetsani kupewa kupsinjika ndi nkhawa.
• Musanafike pakuwunikiridwa, ndikofunikira kuti mupumule komanso mugone bwino.
• Pambuyo poyamwa shuga atamwa, simungathe kuyenda, kusuta ndi kudya.

Vuto lololera glucose limapezeka ngati kuwunikako kunawonetsa deta pamimba yopanda pafupifupi 7 mmol / lita ndipo mutatha kumwa shuga 7.8-11.1 mmol / lita. Ngati zizindikirozo ndizotsika kwambiri, musadandaule.

Kuti muzindikire chomwe chikuwonjezera shuga m'magazi amodzi, muyenera kuyang'aniridwa ndi kapamba ndi kukhululuka koyeserera kwa magazi kwa ma enzymes. Mukamatsatira malingaliro a madokotala ndikutsatira zakudya zochizira, kuwerengera kwa glucose posachedwa kumakhala kokhazikika.

Kuphatikiza pa kusintha kwamagazi a shuga, wodwalayo atha kuona zotsatirazi:

1. Kukodza pafupipafupi
2. Pakamwa pakamwa ndi ludzu losatha,
3. Kutopa, kufooka komanso kuyipa matenda,
4. Kuchulukitsa kapena, mosachepera, kunachepa, pomwe kulemera kumacheperachepera kapena kulipidwa,
5. Chitetezo cha mthupi chimafooka, pomwe mabala a wodwala amachira.
6. Wodwalayo amamva mutu pafupipafupi
7. Masomphenya akuchepa
8. Kuyabwa kumawonedwa pakhungu.

Zizindikiro zotere zikuwonetsa kuchuluka kwa shuga m'magazi ndikufunika kuchitapo kanthu mwachangu.

Zakudya zowonjezera zowonjezera shuga

Kuwongolera shuga la magazi, pali zakudya zapadera zochiritsira zomwe zimafuna kuchepetsa kuthana ndi zakudya zomwe zili ndi chakudya chambiri. Ngati wodwala amakhala ndi thupi lochulukirapo, kuphatikiza dokotala amalembera zakudya zamagulu ochepa. Poterepa, ndikofunikira kubwezeretsanso zakudya zomwe zili ndi mavitamini ndi michere.

Zakudya za tsiku ndi tsiku ziyenera kuphatikizapo zakudya zomwe zimakhala ndi mapuloteni oyenera, mafuta ndi chakudya.Mukamasankha mbale, muyenera kudziwa kaye tebulo la glycemic index, lomwe aliyense wodwala matenda ashuga ayenera kukhala nawo. Mutha kuchotsa zizindikilo za matenda ashuga kokha komanso kudya zakudya zopatsa thanzi.

Ndi shuga wowonjezereka, ndikofunikira kusintha pafupipafupi zakudya. Ndikulimbikitsidwa kudya pafupipafupi, koma m'magawo ang'onoang'ono. Payenera kukhala zakudya zitatu zazikuluzikulu zitatu ndi zakudya zazing'ono patsiku. Komabe, muyenera kudya zakudya zabwino zokha, kupatula tchipisi, othandizira ndi madzi owala, owononga thanzi.

Zakudya zazikulu zikuphatikiza masamba, zipatso ndi zakudya zama protein. Ndikofunikanso kuwunika momwe madzi alili. Ngati mulingo wa glucose ukhalabe wokwera, ndikofunikira kusiya kotheratu kugwiritsa ntchito zotsekemera za confectionery, zakumwa zotsekemera ndi zamafuta, zakumwa zoledzeretsa. Ndikulimbikitsidwanso kupatula mphesa, zoumba ndi nkhuyu kuchokera muzakudya.

Mwazi 17: Zoyambitsa ndi Zotsatira

Mutha kuwongolera glycemia kunyumba pogwiritsa ntchito chipangizo chosavuta - glucometer. Ngati mukumva bwino kwambiri, mutha kuyezetsa magazi ndikuzindikira chomwe chayambitsa.

Zitha kuyambitsa zotsatilazi: shuga magazi 17 nanga ndi owopsa bwanji? Chizindikirochi chimawerengedwa kuti ndi chopweteka komanso chovuta kwambiri. Kuwonjezeka kwambiri kwa shuga kumayambitsa dongosolo lamanjenje, kusokonezeka kwa mtima, kuthina kwa magazi. Zotsatira zake, izi zimatha kuyambitsa kukomoka, kuchepa kwa mawonekedwe wamba, ketoacidosis, komanso chikomokere.

Magazi a glucose amadziwika kuti ndi 5.0-6.5 mmol / l, ndipo kulumpha pamwamba pa 12 kungayambitse kukula kwamatenda a maso, impso, mtima ndi mavuto amiyendo. Koma simuyenera kuyesetsa "kutsitsa" glycemia wokwera, chifukwa mutha kuyambitsa vuto lalikulu kwambiri - hypoglycemia.

Kuti mupeze panthawi yake kuchuluka kwa shuga m'magazi komanso kupewa 17, muyenera kusamala kuti musaphonye chizindikiro:

• ludzu pachimake ndi pakamwa lowuma
• kukodza kopanda pake,
• ulesi, kutopa, kugona,
• kusokonekera, kusasamala,
• mutu ndi chizungulire,
• khungu loyuma ndipo ngakhale nembanemba
• kugona tulo tofa nato kapena kugona tulo,
• dzanzi lakuthwa, mitsempha m'miyendo, kumva kutopetsa,
• mseru ndi kusanza ngakhale pamimba yopanda kanthu,
• maonekedwe a nkhope zachikasu ndimaso akulu pakhungu.

Zizindikiro izi zitha kuwonetsa kuyambika kwa matendawa kapena kuchuluka kwa glycemia, ayenera kuyang'aniridwa mwachidwi.

Zomwe zimawoneka ngati izi zimatha kukhala zambiri. Zina zimayambitsidwa ndi kusintha kokhudzana ndi zaka, ndipo zina zimayambitsidwa ndi moyo, pomwe zina zimayambitsidwa ndi kuphwanya zakudya komanso mankhwala. Gulu lamavuto limaphatikizapo anthu:

• ukalamba
• ndi masanjidwe amtundu wa matenda ashuga,
• onenepa kwambiri
• kumakhala moyo wongokhala.
• amavutika ndi nkhawa, kusowa tulo,
• kukumana ndi zovuta zakukhosi - mkwiyo, ukali - kapena kupsinjika ndi kusakhala ndi chidwi,
• osati kudya
• osagwiritsa ntchito insulini kapena osadziwa kuchuluka kwa mankhwalawo.
• kunenepa kwambiri kapena kunenepa.

Ngati magazi a shuga 17 - atani?

Yankho lolondola kwambiri ndikuyitanitsa mwadzidzidzi. Ichi ndi vuto lalikulu. Ndi matenda a shuga 1 amtundu, lactic acid kapena kuchepa thupi kumatha kukhazikika, ndimatenda a 2 matenda - kukomoka kwambiri, ubongo ndi vuto la mtima. Kubweretsa matendawa ku dziko lotere ndikowopsa, ndizosavuta kupewa. Kutsatira ndi malangizo osavuta kumapewetsa zovuta komanso kukhala ndi thanzi labwino.

Kuti mukhalebeokhutira pamafunika:

• matenda opatsirana ndi chimfine, mwachangu
• Pewani kuzizira, kuwotcha, kuvulala,
• chiritsani matenda osachiritsika, pewani kutulutsa magazi,
• tsatirani malangizo a dotolo,
• lekani zizolowezi zoyipa,
• kuchita nawo masewera okwera mtengo, kuyenda kwambiri mu mpweya watsopano,
• pewani mankhwala a mahomoni ndi okodzetsa.

Momwe mungachepetse shuga kuchokera ku 17 kupita kwazonse kunyumba

Ngati mita ikuwonetsa 17 kapena wina wapamwamba, shuga wamagazi amafunika kutsitsidwa. Kuphatikiza apo, kuti zizindikiro zowoneka bwino zimasungidwa kwanthawi yayitali.

Kuti akwaniritse zizolowezi ndikuziisamalira, madokotala amapereka malingaliro angapo.

Ndikofunikira kuwunika zakudya. Kuti mupange zakudya zatsiku ndi tsiku, sankhani zakudya zamagulu akachepera kapena apakati glycemic. Izi zikuphatikiza nyama ndi nsomba, nsomba zam'madzi, dzungu, kabichi, nkhaka zatsopano, phwetekere, dzungu, parsley ndi udzu winawake udzu winawake ndi masamba, bowa, mbewu, mtedza, mapeyala, maapulo, nthochi, chinangwa, anyezi ndi adyo, nyemba , zipatso zamalanje. Zakudya monga mtedza ndi ma amondi zimatha kuyendetsa glycemia, koma chifukwa cha zomwe zili ndi zopatsa mphamvu zambiri, zimayenera kudyedwa pang'ono ndi pang'ono.

Muyenera kusiya mayonesi ndi msuzi wokhazikika pa iyo, kirimu wowawasa, zakudya zamafuta ndi zokazinga, zinthu kuchokera ku ufa wa tirigu ndi ufa wa premium, ma muffins, maswiti, zipatso zotsekemera, zakumwa zozunguliridwa ndi mpweya, nyama zophika ndi soseji. Gawo la chakudya la tsiku ndi tsiku siliyenera kugawidwa 3magawo atatu, koma magawo 5-6.

Tengani mankhwala ndi nthawi omwe amathandizira kuthana ndi matendawa. Imodzi yabwino kwambiri ndi decoction ya assen bark. Ndiosavuta kukonzekera: supuni 1 yokhala ndi phokoso la khungwa lophwanyika, muyenera 500 ml ya madzi. Osakaniza ayenera kuwiritsa kwa theka la ola, kukakamizidwa kwa maola atatu, kenako kupsyinjika. Muyenera kutenga decoction musanadye - kwa mphindi 20-30 - 50-70 ml iliyonse. Nyemba zofiira ndi mafuta a adyo zimadziwikanso kuti ndi mankhwala othandiza polimbana ndi matendawa.

Apatseni thupi katundu wofunikira, yemwe athandize kuti pakhale zambiri, achotse kulemera kambiri ndikuchepetsa glycemia.

Kutengera ndi izi, simuyenera kuchita mantha ndi milingo ya shuga.

Kodi shuga wabwinobwino amatanthauza chiyani?

Choyamba, ziyenera kunenedwa kuti shuga kuzungulira 18 mayunitsi ndi vuto la hyperglycemic, lomwe limadziwika ndi zizindikiro zoipa, komanso kuthekera kwa zovuta zingapo.

Ngati vutolo silinyalanyazidwa, ndiye kuti kukula kwa zizindikiro zowopsa, kukulirakulira kwa vutolo, zomwe zimapangitsa kuti wodwalayo ataye chikumbumtima, amagwa. Kuperewera kwa mankhwala okwanira kumawonjezera mwayi wakufa.

Chodziwika muzochitika zamankhwala ndi kusiyanasiyana kwa shuga kuchokera kumagawo 3.3 mpaka 5.5. Ngati munthu ali ndi kuchuluka kwa shuga m'thupi, izi zikuwonetsa kugwira ntchito kwa kapamba, komanso chamoyo chonse.

Zizindikiro izi zimabadwa mu kwachilengedwenso, zomwe zimachitika kuyambira chala. Ngati magazi adatengedwa kuchokera m'mitsempha, ndiye kuti zochulukazo zikuwonjezeka ndi 12% poyerekeza ndi izi, ndipo izi ndizabwinobwino.

Chifukwa chake, zambiri zazokhudza shuga wamba:

• Asanadye, munthu sayenera kukhala ndi shuga osaposa magawo 5.5. Ngati kuchuluka kwa glucose kuli apamwamba, izi zikuwonetsa boma la hyperglycemic, pamakhala kukayikira kwa matenda a shuga kapena boma la prediabetes.
• Pamimba yopanda kanthu, phindu la shuga liyenera kukhala magawo 3.3, ngati pali kupatuka kumunsi, izi zikuwonetsa dziko la hypoglycemic - shuga wochepa m'thupi la munthu.
• Kwa ana ochepera zaka 12, kuchuluka kwa shuga ndi kwawo, ndipo mawu awa akukhudza ndendende malire. Ndiye kuti, ngati chizolowezi cha munthu wamkulu chimakhala mpaka magawo 5.5, ndiye kuti mwana amakhala ndi magawo pafupifupi 5.2. Ndipo akhanda omwe ali ndi zocheperako amakhala ndi zochepa, pafupifupi mayunitsi 4.4
• Kwa anthu opitilira 60, malire apamwamba ndi magawo 6.4. Ngati kwa wamkulu wazaka 35-45 izi ndi zochuluka, ndipo atha kuyankhula za prediabetes, ndiye kuti kwa wodwala wazaka 65, mtengo wake umawerengedwa.

Pa nthawi yobereka, thupi la mzimayi limakhala ndi katundu wambiri, ma mahomoni ambiri amapezeka m'makutu mwake, omwe angakhudze shuga, kuphatikiza kwakukulu.

Ngati mayi panthawi yomwe ali ndi pakati amakhala ndi glucose wapamwamba wama mayunitsi 6.3, izi ndizabwino, koma kupatuka pang'ono kupita kumbali yayikulu kumakupangitsani kukhala ndi nkhawa, chifukwa chofunikira kuchita zinthu zingapo zomwe zimapangitsa kuti shuga akhalebe pamlingo wofunikira.

Chifukwa chake, shuga amakhala osiyanasiyana kuyambira 3,3 mpaka 5.5. Shuga akachuluka mpaka kukhala 6,0-7.0, izi zikuwonetsa mkhalidwe wa prediabetes.

Pamwamba pa izi, titha kulankhula za chitukuko cha matenda ashuga.

Matenda a shuga m'thupi

Zowonjezera za shuga sizinthu zamtengo wapatali nthawi zonse, zimasiyana malinga ndi zakudya zomwe munthu amadya, zolimbitsa thupi, kupsinjika ndi zina.

Mukatha kudya, shuga amawonjezeka m'magazi a aliyense, ngakhale wathanzi labwino kwambiri. Ndipo ndizabwinobwino kuti zomwe zili ndi shuga m'magazi mukatha kudya mwa amuna, akazi ndi ana zimatha kufikira magawo 8.

Ngati m'thupi magwiridwe antchito a kapamba samasokonekera, ndiye kuti shuga amachepetsa, kwenikweni patangotha ​​maola ochepa mutatha kudya, ndikukhazikika pamlingo wofunikira. Pakakhala vuto la pathological m'thupi, izi sizichitika, ndipo kuchuluka kwa glucose kumakhalabe okwera.

Zoyenera kuchita ngati shuga wayima pafupifupi magawo 18, momwe mungachepetse chiwerengerochi ndikuthandizira odwala matenda ashuga? Kuphatikiza poti ndikulimbikitsidwa kufunsa dokotala, muyenera kuwunika menyu anu nthawi yomweyo.

Mwambiri, nthawi zambiri, kusiyana ndi komwe kunayambika mtundu wachiwiri wa matenda ashuga, kuchuluka kwa shuga ndi zotsatira za kadyedwe koyenera. Ngati shuga ndi magawo 18, dokotala amalimbikitsa zotsatirazi:

1. Zakudya zochepa za carb Muyenera kudya zakudya zomwe zimakhala ndi zopatsa mphamvu zazakudya zamafuta ochepa, wowuma. Patsani zakudya zanu zamasamba ndi zipatso.
2. Zochita zolimbitsa thupi zokwanira.

Njira izi zimathandizira kukula kwamisempha pamlingo wofunikira, ndikuikhazikitsa. Ngati kudya komanso kuchita masewera olimbitsa thupi sizithandiza kuthana ndi vutoli, ndiye njira yokhayo yodalitsira shuga ndikuchepetsa.

Dziwani kuti mankhwalawa amasankhidwa malinga ndi chithunzi chilichonse cha wodwalayo, zomwe adakumana nazo matendawa, zomwe zimayenderana ndi zomwe wodwalayo amakhala nazo, ngati pali mbiri yovuta.

Kusankha kwa mankhwala, mlingo, kuchuluka kwa kugwiritsa ntchito ndikofunikira kwa dokotala.

Kudya kwaokha kosalamulirika kwa mankhwalawa pa upangiri wa "abwenzi komanso odziwa zambiri" kumabweretsa zovuta zambiri.

Chifukwa chiyani shuga “amalumpha”?

Monga tafotokozera pamwambapa, shuga atatha kudya amakhala ndi chizolowezi chowonjezeka, ndipo izi ndizachilendo kwa munthu aliyense. Mu thupi lathanzi, malamulo ake achilengedwe ndi thupi amawonedwa, ndipo amatsika palokha mwakufuna.

Komabe, motsutsana ndi maziko a matenda osokoneza bongo, izi sizichitika, chifukwa chake tikulimbikitsidwa kuti muzidya zakudya zanu ndi menyu m'njira kuti musayambitse "kudumpha" mu glucose, ndikuti, osachulukitsa zovuta.

Kuchuluka kwa shuga m'thupi la munthu kumatha kuwonjezeka chifukwa cha zathupi. Izi ndi monga kudya, kupsinjika kwambiri, kusokonezeka kwamanjenje, kuchita masewera olimbitsa thupi mopitirira malire komanso zochitika zina.

Kuchuluka kwa thupi mu shuga m'thupi la munthu ndizosiyanasiyana; monga chakudya, chimatsika palokha, osayambitsa mavuto. Kuphatikiza pa shuga, zovuta zotsatirazi zingayambitse kuchuluka kwa shuga:

• Kulephera kwa mahomoni m'thupi. Mwachitsanzo, munthawi ya premenstrual syndrome kapena kusintha kwa thupi, oimira chiwalo chachigololo amalimbikitsa kwambiri shuga mu thupi. Popita nthawi, ngati kulibenso mitundu ina yolumikizana, chilichonse chimatha palokha.
• Matenda a Endocrine amatsogolera kusokonezeka kwa mahomoni m'thupi. Pamene kuchuluka kwa mahomoni m'magazi kumawonjezeka, kuchuluka kwa glucose kumawonekeranso.
• Kuphwanya magwiridwe antchito a kapamba, mapangidwe a chotupa amathandizira kuchepa kwa kupanga kwa insulin ya mahomoni, motero, kagayidwe kazakudya mu thupi kamasokonekera.
• Kumwa mankhwala ena ake kumakulitsa kuchuluka kwako kwa shuga. Awa ndi ma corticosteroids, mankhwala okodzetsa, mankhwala ochepetsa nkhawa, mapiritsi ndi mapiritsi ena.
• Kuwonongeka kwa chiwindi - chiwindi, chotupa, matenda ena a chiwindi ndi ma cell ena.

Zonse zomwe wodwala ayenera kuchita ngati ali ndi index ya shuga ya mayunitsi 18 ndikuchotsa gwero, zomwe zidapangitsa kuti pakhale matenda. Monga momwe mchitidwe umasonyezera, kuchira kochokera kumagwero kumayambitsa kukula kwa shuga.

Ngati wodwalayo ali ndi vuto limodzi la kuchuluka kwa shuga magawo 18, izi sizinafotokozedwe ka matenda a shuga, komanso ngakhale boma la prediabetes. Komabe, tikulimbikitsidwa "kupitiliza kuphunzira", ndikuwongolera shuga.

Sichidzakhala cholakwika kuchita njira zodzitetezera - zakudya zoyenera komanso zopatsa thanzi, masewera olimbitsa thupi m'mawa, kuyendera dokotala pafupipafupi.

Kuchuluka kwa shuga wamagazi - zomwe zikutanthauza ndi momwe ungakhalire

Pochizira mafupa, owerenga athu adagwiritsa ntchito DiabeNot bwino. Kuwona kutchuka kwa malonda, tidaganiza zoperekera chidwi chanu.

Sikuti aliyense amadziwa shuga wa magazi omwe amawoneka kuti ndi abwinobwino komanso ndi zomwe zimawonetsa matenda a shuga. Kumbali imodzi, izi ndi zabwino: zikutanthauza kuti panalibe mavuto ndi endocrine system ndipo mutu uwu sunasangalatse. Komabe, uku ndikusaganizira thanzi la munthu, chifukwa munthu sanganenere zomwe zichitike mawa. Chifukwa chake, musanaganize zoyenera kuchita ngati shuga wapezeka m'magazi ambiri, muyenera kudziwa bwino zofunikira ndi zizindikiritso zabwinobwino komanso zizindikiro zosonyeza kunyentchera ndi zifukwa zomwe akuwonekera.

Kuwerengedwa kwa thupi kwa glucometer pamtunda kuchokera 3,3 mpaka 5.5 mmol / L kumawerengedwa kuti ndi kwachilengedwe. Muyeso uwu sudalira msinkhu, chifukwa chake ndi chimodzimodzi kwa ana ndi akulu. Masana, ziwerengero zimasintha, zimatengera zinthu zambiri. Mwachitsanzo, kuchokera pakulimbitsa thupi, kutengeka mtima kapena chakudya.

Zina mwazifukwa zodumphira m'magazi a magazi ndi matenda osiyanasiyana, kubereka kapena kupsinjika kwambiri. Pakangokhala kanthawi kochepa, zonse zimasintha, koma kusunthika koteroko kumakhala nthawi yabwino yosamalira thanzi lawo. Mokulira, zizindikilo zomwe zikuwonetsa kukula kwa glucose zimawonetsa zovuta pakukonza chakudya. Zachidziwikire kuti, milandu yokhayokha sikunayambike matenda a shuga, koma pali zifukwa zomveka zoyambiranso malingaliro anu pa chakudya ndi moyo. Nthawi zambiri, zitsanzo zamagazi posanthula labotale zimachitika pamimba yopanda kanthu. Kunyumba, mutha kugwiritsa ntchito ma glucometer osunthika. Mukamagwiritsa ntchito makina amodzi, chidziwitso chimodzi chiyenera kukumbukiridwa: zimapangidwa kuti ziwonetse plasma, ndipo m'magazi chizindikiro chimatsitsidwa ndi 12%.

Ngati muyeso wam'mbuyo umatsimikizira kuchuluka kwa shuga, koma palibe zizindikiro za matenda ashuga, ndikulimbikitsidwa kuchititsa kafukufuku kangapo. Izi zikuthandizira kuzindikira magawo oyambira omwe matendawo amakula, pomwe njira zonse zoyipa zikadasinthidwanso. Nthawi zina, kuchuluka kwa glucose komwe kumachoka pazikhalidwe zabwino, ndikulimbikitsidwa kuyesedwa kuti mupeze kulekerera kukhazikitsa mtundu wa prediabetes. Ngakhale zizindikiro zomwe zikuwonetsa kukhalapo kwa matenda omwe amafunikiridwa atha kukhala opanda chiyembekezo.

Chiyeso chololera

Ngakhale chizindikiro cha chinthu chotsekemera chikuchuluka, sizitanthauza kuti nthawi zonse pamakhala vuto. Komabe, kuti athetse matenda oyambitsa matenda kapena kukhazikitsa boma la matenda ashuga, kuyesedwa kwapadera kuyenera kuchitidwa. Amatanthauzira kusintha monga kukomoka kwa glucose komanso kukula msanga. Phunziroli silikuwonetsedwa kwa aliyense, koma kwa anthu azaka zopitilira 45, anthu onenepa kwambiri komanso omwe ali pachiwopsezo, ndikofunikira.

Chinsinsi cha njirayi ndi motere. Kudzimbidwa kumachitika ndi kutenga shuga wowona (75 g). Atadzuka m'mawa, munthu ayenera kupereka magazi kwa shuga pamimba yopanda kanthu. Kenako amamwa kapu yamadzi momwe zinthuzo zimaphatikizidwira. Pambuyo pa maola 2, kudya kwapawiri kumachitika mobwerezabwereza. Pa kudalirika kwa zotsatira, ndikofunikira kuti zotsatirazi zikwaniritse:

• Osachepera maola 10 ayenera kutha pakati pa chakudya chomaliza ndi nthawi yowunikira.
• Madzulo a mayeso a labotale, ndizoletsedwa kusewera masewera ndipo kuchita masewera olimbitsa thupi sayenera kupatula.
• Simungasinthe zakudya zomwe zimakhazikika kukhala zamagulu athanzi.
• Ndikofunika kupewa kupewa zochitika zapanthawi yovutirapo komanso yodetsa nkhawa.
• Usiku ndikofunikira kugona mokwanira ndikubwera kuchipatala kuti mupumule, osati pambuyo pake pantchito.
• Mutatenga yankho ndi shuga, ndikubowoleza kuyenda, ndibwino kuti mukhale panyumba.
• M'mawa simungakhale ndi nkhawa ndikukhala wamanjenje, muyenera kukhazikika pansi ndikupita ku labotale.

Kuphwanya kulekerera kwa shuga kukuwonetsedwa ndi zotsatira:

• zosakwana 7 mmol / l - pamimba yopanda kanthu
• 7.8-11.1 mmol / L - mutatha kugwiritsa ntchito njira yotsekemera.

Zithunzi m'chigawo cha 6.1-7.0 mmol / L (pamimba yopanda kanthu) ndi ochepera 7.8 mmol / L (pambuyo pobwezeretsanso sampuli) zikuwonetsa kupatuka. Komabe, musachite mantha. Poyamba, kuyerekezera kwa kapamba ndi kuyezetsa magazi kwa ma enzymes kumayikidwa. Mwachibadwa, nthawi yomweyo amayamba kutsatira kadyedwe ndikukwaniritsa malingaliro onse a dokotala. Posakhalitsa, kuchuluka kwa shuga mthupi kumatha kuchepa.

Kuwonetsera ndi kusintha kwatsiku ili ndi chifukwa chomadutsa mayeso:

• Kukodza pafupipafupi.
• Pakamwa pakamwa, ludzu losakwaniritsidwa.
• Kutopa, ulesi ndi kufooka.
• Kulimbitsa kapena kuchepa kwa chakudya (kuwonda kwambiri kapena kupindula kwake ndi khalidwe).
• Kuchepa kwa chitetezo chathupi, kupezeka kwa mabala ochiritsa osakhazikika, ziphuphu ndi zina zowonongeka za epithelium.
• Mutu wowonera pafupipafupi kapena masomphenya osalala.
• Kuyenda pakhungu kapena mucous nembanemba.

Zizindikiro zomwe zawonetsedwa zitha kuwonetsa kuti ndi nthawi yofunika kuchitapo kanthu, ndipo kudya ndi imodzi mwazofunikira.

Zakudya Zolimbikitsidwa

Choyamba, muyenera kukaonana ndi dokotala ndikulimbikitsidwa ndi iye. Ngakhale pakalibe zizindikiro za matendawa, chidwi chachikulu chimayenera kulipidwa ku thanzi. Chifukwa chaichi, pali zakudya zomwe zimapangidwa mwapadera, lamulo lalikulu lomwe limachepetsa kudya kwamphamvu kwambiri.

Ndikulimbitsa thupi mopitirira muyeso, menus amapangidwa ndi zakudya zochepa zopatsa mphamvu. Komanso musaiwale za mavitamini ndi zinthu zina zopindulitsa. Mapuloteni, mafuta, ndi chakudya chamagulu (choperewera pang'onopang'ono komanso chopindulitsa) ziyenera kupezeka muzakudya za tsiku ndi tsiku. Chizindikiro cha chakudya “chabwino” ndikuyikidwa kotsika pagome la GI (glycemic index), yemwe kuyambira pano amakhalabe mnzake kukhitchini. Zimatenga nthawi yambiri kuti muphatikize zakudyazo. Ndikofunikira kudya pafupipafupi, ndiye kuti, nthawi zambiri, koma m'malo ochepa. Kuphwanya komwe kumaloledwa pakati pa chakudya kumatha kuposa maola atatu. Zoyenera, zakudya 5-6 patsiku: 3 zazikulu ndi ziwiri zokhwasula-khwasula. Zomwe zimaletsedwa kwambiri kudya chipisi ndi zopaka, kugula zakudya mwachangu ndikumwa msuzi wokoma.

Kuchuluka kwa zopatsa mphamvu zimadalira ntchito ya thupi ndi wodwalayo. Pogwira ntchito yochepa komanso / kapena kunenepa kwambiri, zakudya zamafuta ocheperako zimawonetsedwa ndi masamba ambiri azakudya. Onetsetsani kuti mumadya zakudya zama protein ndi zipatso. Malo ofunikira ndikuwonetsetsa kuti madzi azikhala moyenera. Nthawi yomweyo, mudzayenera kusiya zakudya zomwe zimapangitsa shuga. Choyamba, ndi shuga wabwino, zakumwa zotsekemera za shopu, mafuta ochulukirapo ndi zinthu zina zodzikongoletsera, mbale zonona ndi zakusuta, mowa. Zipatso, mphesa, nkhuyu, zoumba ndi zosafunika. Ndikofunikira kupatula batala, kirimu wowawasa, kirimu wowona komanso zochuluka kuchokera muzakudya.

Ndikulimbikitsidwa kudya chakudya chophika, chophika, chophika komanso chosenda ndi mchere wambiri komanso mafuta azamasamba. Nyama ndiyotheka, koma mafuta owoneka ayenera kudulapo. Chakudya chomaliza ndi maola awiri asanagone. Mwa zakumwa, tiyi wosaphatikizidwa ndi khofi wakuda, kulowetsedwa kwazitsamba ndi ma decoctions, misuzi yopangidwa mwatsopano ndizovomerezeka. Ndipo koposa zonse, ngati madotolo awona kuti glucose wachuluka mthupi, palibe chifukwa chokhala ndi mantha. Mwina izi ndizosakhalitsa ndipo chiyembekezo chimakupatsirani mwayi wina wosintha china chake m'moyo wanu, kukhala munthu wodalirika ndikuyamba kudzisamalira.

Shuga wamagazi kuyambira 18 mpaka 18,9: amatanthauzanji a matenda ashuga?

Mwazi 18, zikutanthauza chiyani? Ngati kuchuluka kwa shuga pamimba yopanda kanthu kukuwonetsa mayunitsi 18, izi zikuwonetsa kuchuluka kwa vuto la hyperglycemic, lomwe ladzala ndi zovuta.

Zizindikiro zamatenda a shuga zikasungidwa kwambiri kwanthawi yayitali, ndiye kuti zosintha zoyipa zimawonedwa m'thupi la munthu, chifukwa cha zomwe matendawo amakumana.

Chinsinsi cha moyo wabwinobwino komanso wathunthu motsutsana ndi maziko a matenda ashuga ndicho kuyang'anira shuga mthupi mokhazikika, kusunga zofunikira pamlingo wofunikira. Kuchita bwino pakubwezeretsa matenda kumathandizira kuti mukhale ndi zakudya zoyenera, zolimbitsa thupi.

Chifukwa chake, muyenera kuganizira zowonetsera za shuga pamimba yopanda kanthu, ndikupezanso kuchuluka kwa shuga atatha kudya? Kuphatikiza apo, muyenera kudziwa zoyenera kuchita ngati shuga ali okwera kwambiri.

Kafukufuku wa shuga

Monga lamulo, glucose ndende nthawi zonse imatsimikiziridwa pamimba yopanda kanthu, ndiye kuti asanadye. Kusanthula kungachitike pogwiritsa ntchito chipangizo choyeza glucose m'mwazi kapena ku chipatala chilichonse.

Pochizira mafupa, owerenga athu adagwiritsa ntchito DiabeNot bwino. Kuwona kutchuka kwa malonda, tidaganiza zoperekera chidwi chanu.

Ngati mayeso amodzi a shuga adawonetsa zotsatira za mayunitsi 18, pamakhala zokayikira kale za kukhalapo kwa matenda, koma kunena zongowona pakamodzi kokha sikulondola ndipo sikulakwitsa.

Kuti mutsimikizire kapena kuvomereza kuyambirirako, dokotala mosakayikira amalimbikitsa njira zowonjezerapo zina zomwe sizipangitsa kuti pakayike matenda.

Ndi shuga m'magawo 18, izi zitha kutumikiridwa:

1. Kubwereza kuyesedwa kwa magazi pamimba yopanda kanthu. Ndikofunika kuti muziwononga kangapo masiku osiyanasiyana.
2. Kuyesa kwa shuga. Choyamba, magazi amatengedwa kuchokera ku chala pamimba yopanda kanthu, wodwalayo akapatsidwa shuga kuti amwe madzi, ndiye kuti, pakapita nthawi, magazi amatulutsidwa.
3. Kusanthula kwa glycated hemoglobin. Phunziroli limakupatsani mwayi wofufuza shuga m'miyezi itatu yapitayo.

Ngati mayeso ololera a glucose adawonetsa zotsatira zosakwana ma 7.8, izi zikuwonetsa kuti wodwalayo ndi wabwinobwino. Panthawi yomwe zotsatira zake zimakhala kuchokera ku magawo 7.8 mpaka 11.1, boma la prediabetes lingaganiziridwe. Kupitilira magawo 11.1 ndi matenda ashuga.

Tsoka ilo, matenda ashuga ndi matenda osachiritsika, ndipo zonse zomwe dokotala angachite ndikupereka mankhwala othandiza ndikupereka malangizo oyenera. Ndondomeko yotsalayo ili m'manja mwa wodwala, yemwe ayenera kutsatira mfundo zamankhwala othandizira odwala matenda ashuga komanso kuwongolera zizindikiro za shuga. Iyi ndi njira yokhayo yopewera zovuta.

Kanemayo munkhaniyi akupereka malingaliro ochepetsa shuga m'magazi.

Kodi matenda ashuga ndi chiani?

Matenda a shuga ndi shuga wokwezeka wodwala. Mu shuga mellitus, gawo lina la chakudya simalowetsedwa ndi maselowo chifukwa cha kusowa kwa insulin, kapena chifukwa chakuti maselo sangathe kugwiritsa ntchito bwino insulini yopanga thupi. Popeza shuga amakhalabe m'magazi, mulingo wake wopanda chithandizo uzikhala wowonjezereka. Ndi shuga wambiri m'magazi, gawo lina limalowa mkodzo, motero dzina "shuga", lotanthauza "kudutsa china", "leak" ndi "mellitus", kutanthauza "wokoma ngati uchi". Ndi vuto la kagayidwe ka shuga, njira zina za metabolic zimasokonezedwanso. Pali mitundu iwiri ya matenda ashuga. Mmodzi wa iwo amatchedwa shuga wodalira insulin, kapena matenda a shuga 1, enawo - osagwirizana ndi insulin, kapena mtundu wa matenda ashuga 2.

Matenda a shuga a insulin

Mtunduwu wa matenda ashuga, ma cell a pancreatic omwe amapanga insulin amalephera.Ngati kapamba akapanga insulini pang'ono kapena alibe, maselo amthupi sangatenge shuga m'magazi, "amakhala ndi njala", ndipo shuga m'magazi amakhalabe okwera. Chifukwa chake, insulin iyenera kuyikiridwa pansi pa khungu, kuchokera komwe imalowa m'magazi. Pakadali pano, sizinatheke kupeza mtundu wa insulin womwe ungatengedwe pakamwa, chifukwa insulin m'mimba imayamba kugwira ntchito. Matenda a shuga omwe amadalira insulin nthawi zambiri amadziwonetsa ali aang'ono kapena aang'ono. Matendawa akakula, ndiye kuti ma cell a pancreatic omwe amapanga insulin sangathenso kubwezeretsedwa.

Chifukwa chake, kwa moyo wonse, wodwala matenda ashuga amafunika insulin ndi zakudya.

Kuchuluka kwa insulin yomwe imafunikira tsiku lililonse jakisoni zimatengera zinthu zingapo. Ngati insulini m'thupi siyipangidwa konse, ndiye kuti jakisoni wake amafunika kusintha kusowa kwa insulin yachilengedwe. Ngati kuchuluka kwa insulini kupangidwa ndi thupi lenilenilo, ndiye kuti jakisoni wa insulini amapanga kuchepa kwake m'thupi. Zomwe zimapangitsa kuti insulini isokonekere ndi maselo a pancreatic sizinadziwikebe. Zomwe zimapangitsa kuti makolo azibadwa ndi makolo azikhala ndi makolo athu, koma matendawa sakhala otengera mwachindunji, chifukwa chake odwala matenda ashuga nthawi zambiri safunika kusiya ana.

Matenda osagwirizana ndi insulin

Mtundu wamtunduwu wa shuga, ma cell a insulin amapanga. Maselo amatulutsa insulin, komabe, nthawi zambiri imakhala yopanda zipatso ngati anthu athanzi. Komabe, chifukwa chachikulu cha kuchuluka kwa shuga mwa odwala ndi chilema, chifukwa chake insulin singathe kugwira ntchito yake: minofu ndi mafupa amafuta amangogwiritsa ntchito insulin yopangidwa ndi kapamba. Zotsatira zake, ndi shuga ochepa chabe omwe amagwiritsidwa ntchito ndi maselo. Kukwanira pang'ono kwa insulini kumatchedwa "insulin kukana". Matenda a shuga amawoneka, koma ndi mtundu uwu wa shuga zizindikiro zake sizimatchulidwa, chifukwa chake nthawi zambiri zimawonedwa ngati "zolimbitsa" kuposa matenda a shuga a insulin. Matenda a shuga omwe samadalira insulin nthawi zambiri amakula mwa anthu achikulire. Nthawi zina, kudya ndi kuchepa thupi (ngati ndizochulukirapo) kumachepetsa shuga la magazi. Odwala ambiri, komabe, amafunika kumwa mapiritsi apadera, mapiritsi awa alibe insulin, koma mankhwala omwe amapezeka nthawi zambiri amathandizira kupanga insulini m'thupi, ndipo mwina amathanso kusintha magwiridwe antchito a maselo a pancreatic omwe amapanga insulin. Ndikofunikira kudziwa kuti omwe amatchedwa shuga wambiri omwe ali ndi "pakati" amafunika kuyang'aniridwa mwachangu kuti tipewe mavuto komanso mavuto osafunikira pamoyo wathu watsiku ndi tsiku. Mawu oti "shuga osadalira insulin" amatha kufanana ndi chowonadi kumayambiriro kwa matenda. Pambuyo pake, insulin ingafunike ngati cholinga ndikuwongolera mokwanira shuga. Pakhoza kukhalanso nthawi zina pamene wodwala wodwala yemwe amadalira insulin amafuna insulin, mwachitsanzo, pamavuto kapena atachitidwa opaleshoni. Zomwe mtundu uwu wa matenda ashuga suwonekeka mokwanira, komabe, cholowa chimagwira ntchito yotsimikizika kuposa matenda a shuga omwe amadalira insulin.

Nthawi kapena kupatuka

Miyezo yamtundu wa shuga (pamimba yopanda kanthu) imayambira 3 mpaka 5.6 mmol / L. Mfundo zomwe zili pamwambazi zimatha kuwonetsa hyperglycemia komanso kukula kwa matenda ashuga. Kuti mudziwe zolondola pamafunika kuchita mayeso angapo.

Kupatuka kamodzi pazomwe zikuchitika (ngakhale zingapo) sikokwanira pakuyang'ana kwa zomwe zikuchitika. Kukula kwambiri kwa shuga mutatha kudya (makamaka mukatha kudya chakudya chambiri) Kukula kwa matenda am'mimba kumawonetsedwa ndi zizindikiro zofanana komanso kuwonongeka muumoyo.Ndi matenda a shuga, matenda oopsa a hyperglycemia amapezeka, chomwe ndi chizindikiro chachikulu cha matenda awa.

Shuga wamagazi 18-18.9 mmol / l akuwonetsa chitukuko cha matenda a shuga.

Zowonetsa kuchuluka kwa hyperglycemia ndizachilengedwe mwanjira iliyonse ndipo zimatha kusiyanasiyana malinga ndi momwe thupi limakhalira ndi matendawa.

Matenda a shuga

Mawu achi Latin osatchulika- (pre-) amatanthauza china chake. Mawu akuti "precoma" akuwonetsa kuchuluka kwa hyperglycemia. Amasiyana ndi chikomokere chifukwa wodwalayo amakhalabe ndi chikumbumtima, koma ali kale pamtundu wa stupor, stupor.

Zochitika Reflex zimasungidwa (munthu amatha kuyankha kupweteka, kuwala, kukondoweza).

• ludzu lalikulu
• kusowa kwamadzi
• polyuria
• hypernatremia,
• hyperchloremia
• kupuma movutikira
• kufooka / kugona,
• khungu lowuma, mucous nembanemba
• ma eye akhale ofewa
• kukulitsa nkhope kumachitika.

Precoma akuwonetsa gawo loyamba la chikomokere.

Hyperosmolar chikomokere

Chowoneka mosiyana ndi mtundu uwu wa matenda ashuga ndi kusowa kwa ketoacidosis (nthawi zambiri amapezeka ndi matenda amtundu 1, omwe amadziwika ndi fungo la acetone).

Kuzindikira kwa shuga - ingomwani tsiku lililonse.

Coma samakula nthawi yomweyo, chifukwa precoma imatha kukhala milungu iwiri. Pathology imachitika chifukwa cha kuchepa mphamvu kwa madzi m'thupi (magazi m'thupi) chifukwa cha magazi am'magazi, kuphwanya kwa magazi kwa metabolism.

Hyperosmolar coma nthawi zambiri limapezeka mwa odwala matenda ashuga kuyambira azaka 40. Kuchotsa pa coma kumachitika. Chofunikira kwambiri ndi kukonzanso madzi m'thupi (iv drip - hypotonic solution), komanso kutsata insulin kwa odwala matenda ashuga. Hyperosmolar coma imayamba mtundu wachiwiri wa matenda ashuga.

Ndikofunikira kuzindikira ndi kuyamba kulandira chithandizo cha hyperglycemia munthawi. Ndi chizengereza chizindikiritso cha chikomokere, kukhazikika kwakasinthika, mpaka kowopsa, ndikotheka.

Zotheka

Coma imatha kupezeka mwa anthu popanda kuzindikira matenda ashuga. Chifukwa chake, ndikofunikira kukaonana ndi madokotala zifukwa zosamvetseka, yang'anani kuchuluka kwa shuga. Kuperewera kwa insulini komanso kuchepa thupi ndi zinthu zomwe zimayambitsa kukhathamiritsa kwa hyperosmolar.

Zomwe zimayambitsa kuperewera kwa madzi m'thupi:

• matenda opatsirana / malungo
• zovuta zamagazi, magazi,
• matenda am'mimba (ndi kusanza kwambiri ndi kutsegula m'mimba),
• zopweteka, zowopsa
• kutenga okodzetsa, ma immunosuppressants, glucocorticoids.

Kupezeka kwa hyperglycemia kumatha kupangitsa kuti muchepetse kudya "chakudya chofulumira", komanso kumwa mankhwala osachepera shuga.

Kuzindikira komanso kuchiza matenda ashuga

Chizindikiro chazindikiritso cha matenda a shuga ndikuwonjezereka kwa glucose, komwe kumayambitsa kusintha kwamatenda m'thupi. Izi zikutanthauza kuti ntchito ya ziwalo zonse zazikulu ndi machitidwe zimasokonekera.

Pali mitundu iwiri yamatendawa, kutengera mtundu wa ma cell a pancreatic secreting insulin. Kusiyanitsa ndi mtundu wa matenda ashuga kumatha kukhala kovuta. Pankhaniyi, amayang'ana za thanzi la wodwalayo, kupereka mankhwala ngati ali ndi vuto la kusankha kwa mankhwala a insulin kapena / kapena hypoglycemic.

Mtundu woyamba wa matenda ashuga, thupi limataya kwathunthu kudzipatula insulin yake, yomwe imapangitsa hyperglycemia. Kuchiza kumaphatikizapo chithandizo chokhala ndi mahomoni - subcutaneous makonzedwe a insulin, kutengera kuchuluka kwa mafuta omwe amwedwa, kuwerengetsa kwa XE ndi GI. Hyperglycemia yayikulu mumtunduwu wa shuga ingayambitse kukula kwa ketoacidosis.

Timapereka kuchotsera kwa owerenga tsamba lathu!

Mtundu wachiwiri wa matenda ashuga, insulin imabisidwa, koma kufooka kwa maselo mu timadzi timeneti ndi vuto. Zomwe zimapangitsanso kuwonjezeka kwa shuga wamagazi.

Matenda a shuga amakonzedwa ndi matenda a shuga omwe amakhala ndi zopatsa mphamvu "zowononga" (makeke, msuzi wokoma, mikate yoyera, pasitala, maswiti, shuga woyengedwa). Ndipo m'malo mwa chakudya "chopatsa thanzi" chomwe chili muzinthu zachilengedwe (zipatso, mpunga wa bulauni, buckwheat, masamba, zipatso).

Chofunika kwambiri mu zakudya za anthu odwala matenda ashuga ndi kupezeka kwa michere yazomera pazinthu izi. CHIKWANGWANI chimathandizira kuyeretsa thupi, chimathandizira kudzimbidwa, kukonza mkhalidwe wam'matumbo microflora, chimathandiza kuchepetsa kunenepa kwambiri. Izi ndi zowona kwa matenda amtundu wa 2, popeza matenda amtunduwu nthawi zambiri amaphatikizidwa ndi kupezeka kwamafuta komanso zovuta m'mimba.

Kuchita zolimbitsa thupi mokhazikika kumathandizanso kuti shuga akhale momwemo, popeza minyewa yogwira ntchito imayamba kudya kwambiri shuga, ndikuchepetsa magazi ake.

Ndi osakwanira kudya matenda ashuga komanso masewera olimbitsa thupi - ndi matenda 2 shuga, mankhwala a hypoglycemic omwe amachepetsa shuga ya magazi. Ndikofunikira kutsatira mlingo wa mankhwalawo komanso mtundu wake. Ngati aphwanyidwa mwadongosolo, ndiye kuti izi zikuwopseza kuti pakhale kudwala matenda ashuga.

Zoyenera kuchita kuti muchepetse shuga

Zimatengera shuga. Kukula kwa glucose mpaka 10 mmol / l mu shuga kumakonzedwa ndi zakudya zomwe zimaletsedwa "zovuta" komanso "zowopsa" zamankhwala, komanso masewera olimbitsa thupi. Matenda a hyperglycemia amathandizidwa ndi insulin mankhwala ndi mankhwala a hypoglycemic.

Ndi matenda a shuga, ndikofunikira kuwunika pafupipafupi kuchuluka kwa shuga ndicholinga chopewa kukula kwa chikumbumtima cha matenda ashuga komanso mavuto akulu mthupi.

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

Limagwirira a zochita za mapiritsi

Posankha mtundu woyenera wa mankhwala, dokotala amaganizira momwe amachitidwira kagayidwe kazakudya. Ndi mwambo kusiyanitsa mitundu itatu ya mankhwala.

Kuyambitsa kapamba kuti asunge insulin - Maninil, Novonorm, Amaril, Diabeteson MV. Chithandizo chilichonse chimakhala ndi zake, odwala amakhala ndi chidwi chamunthu payekha.

Novonorm amakhala ndi nthawi yayifupi kwambiri yochitira, koma yothamanga kwambiri, ndipo ndikokwanira kuti atenge Diabeteson ndi Amaril m'mawa wokha. Ndikofunika kupatsa Novonorm ngati shuga wambiri "womangika" pazakudya, amatha kuwongolera msinkhu mukatha kudya.

Zifukwa zakuchuluka kwa shuga

Ngati zotsatira za kusanthula zidawonetsa shuga wowonjezera m'magazi athunthu 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, izi zikutanthauza chiyani, kodi ndi matenda ashuga komanso amtundu wanji? Mwa anthu omwe sanakhalepo ndi matenda ashuga, hyperglycemia imayamba chifukwa:

• yotupa, khansa ya kapamba,
• kupsinjika
• matenda a endocrine
• zotupa chiwindi matenda: chiwindi, matenda enaake, khansa zotupa,
• kusokonezeka kwa mahomoni
• kukula kwa mtundu wa I kapena mtundu wachiwiri wa matenda ashuga.

Kuti muwonetsetsetsetsetsetse, odwala amayesedwanso kachiwiri magazi, amapanga maphunziro owonjezera pa postprandial glycemia, kulolera kwa glucose, glycated hemoglobin, C-peptide.

Zotsatira zake zithandizira kudziwa kuchuluka kwa shuga omwe wodwala amakhala nawo asanadye komanso atatha kudya, ngati kapamba ikugwira ntchito, kapena ngati minofu imamwa insulin. Pambuyo pokhapokha nditazindikira kuti ndili ndi matenda ashuga kapena ndimatsutsa.

Kuphatikiza apo, kuyesa kwa ultrasound, kusanthula kwamkodzo kwamikodzo ndi mankhwala. Lumikizanani ndi endocrinologist, oncologist, neuropathologist.

Wodwala akangopita kwa dotolo kuti akathandizidwe, chithandizo chamankhwala chimaperekedwa mwachangu ndipo sipangakhale zovuta zina.

Zitha kuthandizira kuwonjezeka kwamphamvu m'magazi a shuga:

• kulephera kutsatira zakudya zamafuta ochepa,
• kudumpha jakisoni wa insulin kapena mapiritsi,
• zopsinjitsa
• kusowa zolimbitsa thupi,
• kuphwanya zakudya
• kulephera kwa mahomoni
• mavairasi, chimfine kapena matenda ena aliwonse,
• zizolowezi zoipa
• matenda kapamba
• kumwa mankhwala: mahomoni, okodzetsa, zoletsa,
• matenda a chiwindi.

Shuga wamkulu m'magazi pa 10, 12, 13, 14, 15, 16, 17, 18, 19, 20, akuyenera kuchitidwa chiyani ndipo ndi owopsa? Choyamba, ndikofunikira kuti muchepetse zinthu zoyipa zomwe zidapangitsa kudumpha kwa glycemia. Ngati wodwalayo adayiwala kubaya insulin yochepa kapena kumwa mankhwala, muyenera kuchita izi posachedwa.

Simungathe kuthana ndi zakudya, ndi mawonekedwe odziyimira pawokha, masewera olimbitsa thupi angakuthandizeni. Izi zimathandizira kuyamwa kwa shuga ndi minofu minofu.

Chifukwa chodziwika bwino ndi kudya kapena kuphwanya zochitika za tsiku ndi tsiku, kudya kwambiri. Malangizo a wodwalayo azitha kubweretsa glycemia mwa masiku awiri kapena atatu.

Mwazi wamagazi ungathe kuchuluka chifukwa cha kutenga pakati, kupsinjika kwambiri kapena kupsinjika kwamaganizidwe, mitundu yonse yamatenda a sekondale. Zoyenera, ngati kuchuluka kwa glucose kukwera mpaka magawo 15 kapena 20, titha kulingalira zakuti ichi ndi chizindikiro chowonjezera chidwi pa thanzi.