Kuyeserera kwa glucose momwe angakonzekerere

Kuyesedwa kwa glucose sikuti ndi njira yokhayo yodziwira yomwe imakupatsani mwayi wofufuza matenda a shuga molondola kwambiri.

Kusanthula uku ndikwabwino kuti mudziwone nokha. Kafukufukuyu amakupatsani mwayi kuti muwone momwe amapangidwira komanso kudziwa mtundu wa matenda.

Chomwe chimayesedwa ndikuyambitsa kuchuluka kwa glucose m'thupi ndi kutenga mbali yamagazi kuti ayang'anire shuga. Mwazi umatengedwa kuchokera mu mtsempha.

Njira yothetsera shuga, kutengera thanzi la wodwala komanso kuthekera kwakuthupi, imatha kutengedwa pakamwa kapena mwa jakisoni kudzera m'mitsempha.

Njira yachiwiri nthawi zambiri imasinthidwa poizoni ndi poyipa, pamene mayi woyembekezera ali ndi poizoni. Kuti mupeze zotsatira zenizeni za kafukufukuyu, ndikofunikira kukonzekera bwino.

Zambiri

Glucose ndi chakudya chosavuta (shuga) chomwe chimalowa m'thupi ndi zakudya wamba ndipo chimalowa m'magazi m'matumbo aang'ono. Ndiamene amapatsa dongosolo lamanjenje, ubongo ndi ziwalo zina zamkati ndi machitidwe a thupi ndi mphamvu. Kuti mukhale ndi thanzi labwino komanso zipatso zambiri, milingo ya glucose iyenera kukhazikika. Mahomoni a pancreatic: insulini ndi glucagon amawongolera kuchuluka kwake m'magazi. Ma mahomoni awa ndi okana - insulin kutsitsa shuga, ndipo glucagon, m'malo mwake, imawonjezera.

Poyamba, kapamba amatulutsa molekyulu ya proinsulin, yomwe imagawidwa m'magawo awiri: insulin ndi C-peptide. Ndipo ngati insulin itatha kukhala m'magazi kwa mphindi 10, ndiye kuti C-peptide imakhala ndi moyo wautali - mpaka mphindi 35 mpaka 40.

Chidziwitso: mpaka posachedwa, amakhulupirira kuti C-peptide ilibe phindu kwa thupi ndipo sichita ntchito iliyonse. Komabe, zotsatira za kafukufuku waposachedwa zawonetsa kuti mamolekyulu a C-peptide ali ndi ma receptor enaake pamtunda omwe amalimbikitsa kutuluka kwa magazi. Chifukwa chake, kutsimikiza kwa mulingo wa C-peptide kukhoza kugwiritsidwa ntchito bwino kuti mupeze zovuta zobisika za kagayidwe kazakudya.

Dokotala wa endocrinologist, nephrologist, gastroenterologist, dokotala, opaleshoni, komanso othandizira atha kupereka lingaliro kuti liunikiridwe.

Kuyesedwa kwa glucose kumayikidwa pa milandu ili:

• glucosuria (shuga wowonjezereka mkodzo) popanda zizindikiro za matenda a shuga komanso kuchuluka kwa shuga m'magazi,
• Zizindikiro za matenda ashuga, koma shuga ndi mkodzo ndizabwinobwino,
• kubadwa kwamwambo kwa matenda ashuga,
• Kutsimikiza kwa insulin kukana kunenepa, kagayidwe kachakudya matenda,
• glucosuria motsutsana ndi njira zina:
  • chithokomiro (kuchuluka kwa chithokomiro cha mahomoni a chithokomiro),
  • kukanika kwa chiwindi
  • matenda a kwamkodzo thirakiti
  • mimba
• Kubadwa kwa ana akulu opima makilogalamu anayi (kuwunika kumachitika kwa mayi wobereka ndi kwa akhanda),
• prediabetes (zoyambirira zamankhwala am'magazi a shuga) zawonetsa zotsatira zapakati pa 6.1-7.0 mmol / l),
• wodwala yemwe ali ndi pakati amakhala pachiwopsezo chotenga matenda a shuga (mayesowo nthawi zambiri amachitidwa mu 2nd trimester).

Chidziwitso: Chofunikira kwambiri ndi mulingo wa C-peptide, womwe umatipatsa mwayi wowunika momwe maselo amatulutsira insulin (islets of Langerhans). Chifukwa cha chizindikiro ichi, mtundu wa matenda a shuga umatsimikizika (wodalira insulini kapena wodziyimira pawokha) ndipo, motero, mtundu wa chithandizo chomwe chikugwiritsidwa ntchito.

GTT siyabwino pankhani zotsatirazi

• matenda a mtima aposachedwa kapena stroke,
• opaleshoni yaposachedwa (mpaka miyezi itatu),
• kutha kwa 3 trimester mwa amayi apakati (kukonzekera kubereka), kubereka ndi nthawi yoyamba pambuyo pawo,
• mankhwala oyambilira a magazi anawonetsa shuga omwe amaposa 7.0 mmol / L.

Kuyeserera kwa glucose ndi maphunziro apadera omwe amathandizira kuti ayang'ane ntchito za kapamba. Zomwe zimapangidwira mpaka amazindikira kuti mtundu wina wa glucose umalowetsedwa m'thupi ndipo pakatha maola awiri magazi amatengedwa kuti aunikidwe. Kuyesedwa koteroko kumathanso kudziwika ngati mayeso okweza shuga, shuga, GTT, komanso HTT.

M'matumba aanthu, timapangidwa timadzi tambiri tomwe timapanga insulin, timene timatha kuyang'ana kuchuluka kwa shuga m'magazi ndikuchepetsa. Ngati munthu ali ndi matenda a shuga, ndiye kuti 80 kapena 90% ya maselo onse a beta angakhudzidwe.

Kuyeserera kwa glucose kumakhala pakamwa komanso kulowa mkati, ndipo mtundu wachiwiri ndi wosowa kwambiri.

Ndani amafunika kuyesedwa kwa shuga?

Chiyeso chololera cha glucose cholimbana ndi shuga chikuyenera kuchitika mwachizolowezi komanso m'magazi a glucose. Izi ndizofunikira posiyanitsa matenda a shuga komanso kudziwa kuchuluka kwa shuga. Matendawa amatchedwanso prediabetes.

Kuphatikiza apo, kuyesedwa kwa glucose kumatha kulembedwa kwa iwo omwe nthawi ina anali ndi hyperglycemia panthawi yamavuto, mwachitsanzo, kugunda kwa mtima, sitiroko, chibayo. GTT idzachitika pokhapokha ngati wodwalayo atadwala.

Ponena za miyambo, chizindikiritso chabwino pamimba yopanda kanthu chidzachokera pa 3.3 mpaka 5.5 mamililita pa lita imodzi yamwazi wa munthu, kuphatikiza. Ngati zotsatira za mayeserowo ndi zapamwamba kuposa mamililita 5.6, pamenepa tikambirana za kusala kudya kwamphamvu kwa glycemia, ndipo chifukwa cha 6.1, matenda a shuga amakula.

Kodi kulabadira mwapadera?

Ndikofunika kudziwa kuti zomwe zimachitika pogwiritsa ntchito glucometer sizikhala zowonetsera. Amatha kupereka zotsatira zoyenera, ndipo amalimbikitsidwa pokhapokha ngati amathandizidwa ndi matenda ashuga kuti azitha kuthana ndi shuga m'magazi a wodwala.

Tisaiwale kuti zitsanzo zamagazi zimachitika kuchokera m'mitsempha ndi chala nthawi yomweyo, komanso pamimba yopanda kanthu. Mukatha kudya, shuga amakwiriridwa bwino kwambiri, zomwe zimapangitsa kutsika kwake mpaka milili 2.

Kuyesaku ndi kuyesa kwakukulu chifukwa chake kumalimbikitsidwa kuti musamapange popanda chofunikira.

Kwa iye kuyesedwa kumayesedwa

Mfundo zazikuluzikulu zokhudzana ndi mayeso a glucose ololerana ndi izi:

• woopsa ambiri
• zotupa mu thupi,
• zosokoneza njira kudya pambuyo opaleshoni pamimba,
• zilonda zam'mimba ndi matenda a Crohn,
• m'mimba lakuthwa
• kuchuluka kwa kukokana kwa hemorrhagic, matenda a mtima ndi matenda a mtima,
• Matenda a chiwindi,
• osakwanira michere ndi potaziyamu,
• kugwiritsidwa ntchito kwa ma steroid ndi glucocorticosteroids,
• piritsi zoletsa
• Matenda a Cushing
• hyperthyroidism
• Kulandila kwa obetchera beta,
• acromegaly
• pheochromocytoma,
• kutenga phenytoin,
• thiazide okodzetsa
• kugwiritsa ntchito acetazolamide.

Momwe mungakonzekerere thupi kuti lizitha kuyesa mayeso a glucose?

Kuti zotsatira za kuyesedwa kwa glucose zikhale zolondola, ndikofunikira pasadakhale, monga masiku angapo zisanachitike, kudya zakudya zomwe zodziwika bwino zokha kapena zopatsa mphamvu.

Tikuyankhula za chakudya momwe zinthu zawo zimachokera ku magalamu 150 kapena kuposerapo. Ngati mumatsatira zakudya zamafuta ochepa musanayesedwe, izi zingakhale zovuta kwambiri, chifukwa zotsatira zake zimakhala chizindikiro chotsika kwambiri cha shuga la wodwala.

Kuphatikiza apo, pafupifupi masiku atatu asanakwane kafukufukuyu, kugwiritsa ntchito mankhwalawa sikunalimbikitsidwe: kulera kwapakamwa, thiazide diuretics, ndi glucocorticosteroids. Osachepera maola 15 GTT isanachitike, simuyenera kumwa zakumwa zoledzeretsa ndikudya chakudya.

Kodi amayesedwa bwanji?

Kuyesedwa kwa shuga kwa shuga kumachitika m'mawa m'mimba yopanda kanthu. Komanso, musasute ndudu musanayesedwe komanso kumapeto kwake.

Choyamba, magazi amatengedwa kuchokera m'mitsempha ya ulnar pamimba yopanda kanthu. Pambuyo pake, wodwalayo ayenera kumwa magalamu 75 a shuga, omwe kale amasungunuka m'mililita 300 yamadzi oyera opanda mpweya. Madzi onse amayenera kudyedwa mu mphindi 5.

Ngati tikulankhula za kuphunzira paubwana, ndiye kuti shuga amathandizidwa pamagululi 1.75 pa kilogalamu iliyonse ya kulemera kwa mwana, muyenera kudziwa kuchuluka kwa shuga m'magazi mwa ana. Ngati kulemera kwake kukuposa makilogalamu 43, ndiye kuti muyezo wa munthu wamkulu ndi wofunikira.

Magazi a glucose adzafunika kuyezedwa theka lililonse la ola kuti asadutse misempha ya magazi. Nthawi iliyonse, msinkhu wake suyenera kupitirira mamililita 10.

Ndikofunika kudziwa kuti panthawi yoyesedwa kwa glucose, zolimbitsa thupi zilizonse zimawonetsedwa, osati kungonama kapena kukhala pamalo amodzi.

Chifukwa chiyani mutha kupeza zotsatira zolakwika?

Zinthu zotsatirazi zingadzetse zotsatirapo zabodza:

• kulowetsa shuga m'magazi,
• kudziletsa kwathunthu kwa chakudya pang'ono tsiku loyeserera,
• kuchita zolimbitsa thupi kwambiri.

Zotsatira zabodza zitha kupezeka ngati:

• kusala kudya kwanthawi yayitali kwa wophunzirayo,
• chifukwa cha pastel mode.

Kodi zotsatira za kuyesa kwa shuga zimawunikidwa bwanji?

Malinga ndi 1999 World Health Organisation, zotsatira zomwe kuyesedwa kwa glucose kochitidwa pamaziko a ziwonetsero zamagazi athunthu ndi:

18 mg / dl = 1 mamilimita pa 1 lita imodzi ya magazi,

100 mg / dl = 1 g / l = 5.6 mmol,

dl = decilita = 0,1 l.

Pamimba yopanda kanthu:

• malinga ndi momwe zinthu zidzakambidwire: zosakwana 5.6 mmol / l (zosakwana 100 mg / dl),
• glycemia wosokoneza: kuyambira pa chizindikiro cha mamiliyoni 5.6 mpaka 6.0 (kuchokera 100 mpaka ochepera 110 mg / dL),
• Kwa odwala matenda ashuga: chizolowezi ndichoposa 6.1 mmol / l (kuposa 110 mg / dl).

Maola awiri atatha kudya shuga:

• monga: osakwana 7.8 mmol (osakwana 140 mg / dl),
• kulolerana kwapakati: kuchokera pa mulingo wa 7.8 mpaka 10,9 mmol (kuyambira 140 mpaka 199 mg / dl),
• shuga mellitus: oposa mamilimita 11 (okulirapo kapena ofanana ndi 200 mg / dl).

Posankha kuchuluka kwa shuga kuchokera m'mwazi wotengedwa kuchokera m'mitsempha yaakuberekera pamimba yopanda kanthu, zizindikirozo zidzakhala zofanana, ndipo patatha maola awiri manambala awa adzakhala 6.7-9.9 mmol pa lita.

Mayeso okonzekera kubereka

Chiyeso chololeza shuga chofotokozedwacho chisokonezedwa molakwika ndi omwe amachitidwa mwa amayi apakati munthawi yama sabata 24 mpaka 28. Amasankhidwa ndi dokotala wazachipatala kuti azindikire zoopsa zomwe zimayambitsa matenda ashuga omwe ali nawo amayi apakati. Kuphatikiza apo, kuzindikira koteroko kungalimbikitsidwe ndi endocrinologist.

Muzochita zachipatala, pali njira zingapo zoyesera: ola limodzi, maola awiri ndi amodzi omwe amapangidwira maola atatu. Ngati tizingolankhula za zizindikiro zomwe ziyenera kukhazikitsidwa pakumwa magazi pamimba yopanda kanthu, ndiye kuti izi zidzakhala zochepera kuposa 5.0.

Ngati mayi yemwe ali ndi matendawa ali ndi matenda a shuga, ndiye kuti muzochita zakezo mulankhula za iye:

• itatha ola limodzi - zochulukirapo kapena zofanana ndi mamilimita 10.5,
• pambuyo 2 maola - oposa 9.2 mmol / l,
• itatha maola atatu - ochulukirapo kapena wofanana ndi 8.

Pa nthawi yoyembekezera, ndikofunikira kwambiri kuyang'anira kuchuluka kwa shuga m'magazi, chifukwa m'malo mwake mwana ali m'mimba amakhala ndi katundu wambiri, makamaka, kapamba wake. Komanso, aliyense ali ndi chidwi ndi funso loti matenda ashuga amabadwa nawo.

Kuyesedwa kwa glucose sikuti ndi njira yokhayo yodziwira yomwe imakupatsani mwayi wofufuza matenda a shuga molondola kwambiri.

Kusanthula uku ndikwabwino kuti mudziwone nokha. Kafukufukuyu amakupatsani mwayi kuti muwone momwe amapangidwira komanso kudziwa mtundu wa matenda.

Chomwe chimayesedwa ndikuyambitsa kuchuluka kwa glucose m'thupi ndi kutenga mbali yamagazi kuti ayang'anire shuga. Mwazi umatengedwa kuchokera mu mtsempha.

Njira yothetsera shuga, kutengera thanzi la wodwala komanso kuthekera kwakuthupi, imatha kutengedwa pakamwa kapena mwa jakisoni kudzera m'mitsempha.

Njira yachiwiri nthawi zambiri imasinthidwa poizoni ndi poyipa, pamene mayi woyembekezera ali ndi poizoni. Kuti mupeze zotsatira zenizeni za kafukufukuyu, ndikofunikira kukonzekera bwino.

Kufunika kwakukonzekera kuyesedwa koyenera kwa glucose

Mlingo wa glycemia m'magazi a anthu umasiyanasiyana. Imatha kusintha mothandizidwa ndi zinthu zakunja. Zina mwazomwe zimachulukitsa kuchuluka kwa shuga, pomwe zina, m'malo mwake, zimathandizira kuchepa kwa zizindikiro.

Zosankha zonse ziwiri komanso zachiwiri ndizosokonekera ndipo sizingawonetse momwe zinthu zilili.

Chifukwa chake, thupi limatetezedwa ku zisonkhezero zakunja ndiye njira yofunikira yopezera zotsatira zoyenera. Kuti tichite kukonzekera, ndikokwanira kusunga malamulo osavuta, omwe tikambirane pansipa.

Momwe mungakonzekerere mayeso ololera a glucose?

Nthawi imeneyi, muyenera kuwunika zakudya zanu.

Tikulankhula za kudya okhawo omwe zakudya zomwe glycemic index yake ndi yapakatikati kapena yayitali.

Zogulitsa zomwe zili ndi mafuta ochepa a nthawi ino ziyenera kuyikidwa pambali. Mlingo wa tsiku ndi tsiku wamafuta pakukonzekera azikhala 150 g, ndipo pomaliza - osapitilira 30-50 g.

Kutsatira zakudya zama carb ochepa sikovomerezeka. Kuperewera kwazinthu izi mu chakudya kumapangitsa kukula kwa hypoglycemia (kutsitsidwa ndi shuga), chifukwa chake zomwe zimapezeka sizingafanane ndi zitsanzo zotsatira.

Kodi sayenera kudya chiyani asanapendeke komanso nthawi yopuma itatha kudya?

Pafupifupi tsiku limodzi asanadutse mayeso a glucose-ternate, ndibwino kukana mchere. Zinthu zonse zokoma zimagwera pansi pa chiletso: maswiti, ayisikilimu, makeke, zosungirako, jellies, maswiti a thonje ndi mitundu yambiri yazakudya zomwe mumakonda.

Ndikofunikanso kupatula zakumwa zotsekemera kuchokera kuzakudya: tiyi wokhathamira ndi khofi, misuzi ya tetrapack, Coca-Cola, Fantu ndi ena.

Kuti mupewe kuchuluka kwa shuga mwadzidzidzi, chakudya chomaliza chiyenera kukhala maola 8 mpaka 12 nthawi isanakwane. Kusala kudya kwakutali kuposa nthawi yosonyezedwa sikulimbikitsidwa, chifukwa pamenepa thupi lidzadwala hypoglycemia.

Zotsatira zake zimakhala zokhota, zosayenera kufananizidwa ndi zotsatira za magazi omwe atengedwa pambuyo pake. Munthawi ya "kugwa ndi njala" mutha kumwa madzi opanda kanthu.

Ndi chiyani chomwe chingakhudze zotsatira za kafukufukuyu?

Kuphatikiza pa kutsatira zakudya zinazake, ndikofunikanso kuwunikira zofunika zina zomwe zingakhudzenso glycemia yanu.

Kuti mupewe kupotoza zizindikiro, onani mfundo izi:

1. m'mawa kusanachitike mayeso, simungathe kutsuka mano kapena kupumira mpweya wabwino ndi kutafuna chingamu. Pali shuga mumtsuko wamkamwa ndi chingamu, womwe umalowa m'magazi mosavuta, ndikupangitsa kukula kwa hyperglycemia. Ngati pakufunika thandizo, mutha kutsuka pakamwa panu mutagona ndi madzi opanda kanthu,
2. ngati tsiku loti musanachite mantha, sinkhaninso phunzirolo kwa tsiku limodzi kapena awiri. Kupsinjika munjira yosakonzekera kwambiri kungakhudze zotsatira zomaliza, zomwe zimapangitsa kuwonjezeka komanso kuchepa kwa shuga m'magazi,
3. Simuyenera kupita kukayezetsa matenda a shuga, ngati m'mbuyomu munkakumana ndi X-ray, njira yoika magazi, njira zolimbitsa thupi. Pankhaniyi, simupeza zotsatira zenizeni, ndipo chidziwitso cha katswiri sichikhala cholondola,
4. Osayesedwa ngati muli ndi chimfine. Ngakhale kutentha kwa thupi ndikwabwinobwino, ndibwino kuchedwetsa maonekedwe mu labotale. Ndi chimfine, thupi limagwira ntchito modabwitsa, ndikupanga mahomoni mwachangu. Zotsatira zake, kuchuluka kwa shuga m'magazi kumatha kuwonjezeka mpaka kukhala bwino.
5. musayende pakati pa zitsanzo zamagazi. Zochita zolimbitsa thupi zimachepetsa shuga. Pachifukwachi, ndikwabwino kukhala m'malo ocheperako kwa maola awiri kuchipatala. Pofuna kuti musakhale wotopetsa, mutha kutenga magazini, nyuzipepala, buku kapena masewera a pakompyuta kunyumba kwanu.

Kodi wodwala amatha kumwa madzi?

Ngati awa ndi madzi wamba, momwe mulibe zotsekemera, zonunkhira kapena zowonjezera zina, ndiye kuti mumatha kumwa nthawi yonseyi "kumenyedwa ndi njala" komanso m'mawa musanapatse mayeso.

Madzi osagwiritsidwa ntchito ngati mchere kapena kaboni wa carbonated sakhalanso woyenera kugwiritsidwa ntchito nthawi yakukonzekera.

Zinthu zomwe zili ndi kapangidwe kake zimakhudza kwambiri glycemia.

Momwe mungakonzekere njira yothetsera kusungunuka kwa glucose?

Ufa wothandizira kukonzekera kwa glucose ungagulidwe ku pharmacy wokhazikika. Ili ndi mtengo wotsika mtengo kwambiri ndipo imagulitsidwa pafupifupi kulikonse. Chifukwa chake, sipadzakhala mavuto ndi kugula kwake.

Gawo lomwe ufa umasakanizidwa ndi madzi ukhoza kukhala wosiyana. Zonse zimatengera zaka komanso wodwala. Dokotalayo amapereka malingaliro pazakusankha kwamavoliyumu amadzimadzi. Monga lamulo, akatswiri amagwiritsa ntchito zotsatirazi.

Phula la Glucose

Odwala wamba ayenera kudya magalamu 75 gm amadzipereka mu 250 ml ya madzi oyera opanda mpweya ndi zonunkhira panthawi yoyesedwa.

Zikafika kwa wodwala wazachipatala, shuga amapatsidwa gawo limodzi la 1.75 g pa kilogalamu yolemera. Ngati kulemera kwa wodwala kumaposa 43 makilogalamu, ndiye kuti ambiri amagwiritsa ntchito iye. Kwa amayi apakati, gawo limakhala lofanana ndi 75 g ya glucose, yowonjezeredwa mu 300 ml ya madzi.

M'magulu ena azachipatala, adokotala omwe amakonzekera njira ya shuga.

Chifukwa chake, wodwalayo sayenera kuda nkhawa ndi kuchuluka koyenera.

Ngati mukuyesa ku chipatala cha boma, mutha kupemphedwa kuti mupereke madzi ndi ufa kukonzekera yankho lake, ndipo njira zonse zofunika pokonzekera yankho zidzachitika ndi dokotala yemwe.

Makanema okhudzana nawo

Za momwe mungakonzekerere mayeso a glucose komanso momwe mungawerengere zotsatira zake mu kanema:

Kutenga mayeso ololera a glucose ndi mwayi wabwino kuzindikira mavuto a pancreatic. Chifukwa chake, ngati mwapatsidwa chitsogozo chololeza kuwunikira koyenera, musanyalanyaze.

Kafukufuku wapa nthawi amakupatsani mwayi ndikuwongolera ngakhale zoyipa zazing'ono kwambiri zapamba, zomwe zimayambitsa kusokonezeka kwa kagayidwe kazakudya, ngakhale kumayambiriro. Chifukwa chake, kuyesa kwakanthawi kakhale njira yabwino kwambiri yothandizira kukhalabe ndi thanzi kwa zaka zambiri.

• Imakhazikika pamisempha ya shuga kwa nthawi yayitali
• Imabwezeretsa kapangidwe ka insulin

Kukonzekera malamulo

Kwa kusanthula, magazi amatengedwa kuchokera mu mtsempha kapena chala. Miyezo yamtengo wapatali ya glucose pophunzira magazi a capillary ndi venous ndi osiyana pang'ono.

Kukula kwakanthawi pang'ono kwa shuga kumachitika ndi kupsinjika kwamphamvu kwa mitsempha komanso nkhawa. Ngati wodwalayo ali ndi mantha kwambiri tsiku loyambirira la chopereka cha magazi, muyenera kumdziwitsa dokotala ndikuwuzani za momwe mayeso adzasinthira. Wodwala amayenera kuwunika momwe akumvera panthawi yopereka magazi. Kupsinjika kumabweretsa zotsatira zabwino zabodza.

Mukapereka magazi kuchokera chala, zodzikongoletsera zomwe zimagwiritsidwa ntchito posamalira khungu zingakhudze zotsatira zake. Asanapange kusanthula, muyenera kusamba m'manja mokwanira, chifukwa mankhwalawa sayenera kutulutsa zolocha zala zodzikongoletsera nthawi zonse.

Chakudya cham'mawa chimaletsedwa, magazi amaperekedwa pamimba yopanda kanthu. M'mawa osamwa zakumwa zoziziritsa kukhosi, amaloledwa kumwa madzi. Usiku woti asanafike ku labotale, samapewa zakudya kapena zakumwa zozizilitsa kukhosi. Zabwino zokwanira zimawonedwa kukhala kudziletsa kwa maola asanu ndi atatu chakudya chisanachitike.

Wodwala akalandira chithandizo ndipo akumwa mankhwala, muyenera kudziwitsa dokotala za izi. Makapisozi a mankhwala omwe amapezeka m'mabotolo amakhala ndi zinthu zomwe zimakhudza mayeso. Mankhwala ovala kapena othandizira makapisozi amakhala ndi zowonjezera zomwe zimapangitsa kupanga michere m'mimba, zomwe zimabweretsa zotsatira zabodza pakupereka magazi.

Kuchepetsa kulikonse kwa chitetezo cha m'thupi kumapangitsa kuti shuga azikula kwambiri, chifukwa kuchuluka kwa insulini komwe kumapangidwa kumachepa nthawi imeneyi. Ndi chimfine, chomwe chimaphatikizapo kuchepa kwa chitetezo chokwanira, kupereka magazi chifukwa cha shuga sikulimbikitsidwa. Ngati kusinthaku kusanachitike, muyenera kudziwitsa dokotala za chimfine.

Kusanthula sikumachitika pambuyo pa chithandizo cha physiotherapeutic, komanso kuwunika kwa radiographic kapena ultrasound. Pakati pakukhudzidwa ndi thupi ndikuwunikira, kupumula kwa masiku angapo ndikofunikira kuti njira zonse mthupi zibwerere mwakale.

Kuchita zolimbitsa thupi kwambiri kumatha kubweretsa zotsatirapo zabwino. Ndikulimbikitsidwa kukana ntchito zamasewera masiku awiri kusanachitike kusanthula.

Ndi zakudya ziti zomwe ndiyenera kupewa?

Sikuti aliyense amadziwa kuti simungadye ndi kumwa musanapereke magazi a shuga. Tsiku lotsatira kusanthula komwe simungathe kugwiritsa ntchito:

• chakudya champhamvu kwambiri
• chakudya chofulumira
• Confectionery
• zakumwa za shuga,
• phukusi laphikidwa.

Amakana zakudya zotere patsiku lachiwonetsero, chifukwa kuchuluka kwa chakudya champhamvu kumabweretsa kuchuluka kwa shuga. Ngakhale mu chiwalo chathanzi, kuphatikiza shuga m'magazi kumatenga nthawi yayitali, komwe kumatha kusokoneza kudalirika kwa zotsatira za phunziroli.

Nthawi zambiri odwala amapewa zinthu zoletsedwa, koma kuiwalako zakumwa, kupitilizabe kumwa timadziti totsekemera ndi keke yotsekemera. Zakumwa zoterezi zimakhala ndi shuga, zomwe zimapangitsa kuti shuga iwonjezeke komanso kusokoneza zotsatira zake. Mutha kumwa madzi madzulo a phunzirolo. Ndikwabwino kukana tiyi ndi khofi.

Masiku atatu lisanachitike kusanthula simungathe kumwa mowa. Muyenera kusiya mowa ndi kvass; zakumwa izi zimatha kuwonjezera shuga.

Madzulo musanapereke magazi, simungadye zakudya zonunkhira, zamafuta ndi zotsekemera.

Kodi kudya chakudya chamadzulo?

Kuyesa kwa m'mawa kumaperekedwa pamimba yopanda kanthu, kadzutsa uyenera kudumpha. Tisanapendeke, simungamwe tiyi ndi khofi, madzi amaloledwa kuti azimwa pasanathe ola limodzi mayeso asanachitike.

Chakudya chamadzulo chizikhala chopepuka komanso chathanzi. Njira yabwino ikhoza kukhala chakudya - yophika kapena yophika nkhuku, phala, masamba obiriwira. Mutha kumwa kapu ya kefir, koma yoghurt yokonzedwa mosavomerezeka siyikulimbikitsidwa, popeza imakhala ndi shuga wambiri.

Ngati mukufuna maswiti panthawi yogona, mutha kudya zipatso zouma ndi uchi kapena zipatso. Zotsatira zakuwunikirazi sizikhudzidwa ndi ma plums, maapulo ndi mapeyala opsa.

Chakudya chokhazikika musanayang'ane sichofunika. Zakudya zama carb zotsika zimachepetsa shuga m'magazi ndipo zotsatira zake zimatha kusinthidwa poyerekeza ndi kuchuluka kwa mtengo wake kwa wodwalayo.

Kwa maola 8-12, madzi oyera okha ndi omwe ayenera kumamwa asanaperekedwe magazi. Caffeine ndi shuga monga gawo la zakumwa zingapo zomwe zimakhudza kuwerenga kwa glucose, ziyenera kutayidwa.

Kusuta komanso kutsuka

Kodi ndingasute ndisanapereke magazi pamimba yopanda kanthu? Osuta ayenera kudziwa kuti chikonga chimakhudza thupi lonse. Kusuta fodya usanapendeke kumapangitsa zotsatira zake. Madokotala amalimbikitsa kuti musiye fodya ngakhale ola limodzi musanapereke magazi. Musanapereke magazi chifukwa cha shuga, musasute fodya wamagetsi.

Kusuta kumavulaza thanzi la odwala omwe ali ndi kuchuluka kwa glucose. Zimawonjezera katundu pazotengera ndipo zimayendetsa magazi. Kusiya chizolowezi ichi kuyenera kukhala pa nthawi yoti azindikire matenda a prediabetes.

Popeza kuyezetsa magazi kumaperekedwa pamimba yopanda kanthu, kusuta sikulimbikitsidwa mpaka wodwala adye. Kupanda kutero, mseru, kufooka, ndi chizungulire zitha kuchitika pambuyo pa kuwunikira.

Palibe chidziwitso chotsimikizika ngati nkotheka kutsuka mano musanapereke magazi. Kodi kutsuka kwameno kumakhudza bwanji zotsatira za mayeso, madokotala amangoganiza. Kuti mukhale otetezeka, tikulimbikitsidwa kuti musamatsuka mano anu m'mawa ndi chinthu chomwe chili ndi shuga. Kutsimikizira kusapezeka kwake kungathandize kuphunzira kapangidwe kamene kali kumbuyo kwa chubu la mano.

Pali malingaliro ambiri pazomwe zingakhudze zotsatira za kusanthula. Madokotala ena ali ndi lingaliro kuti chakudya chamadzulo chisanaperekedwe chamagazi chimayenera kukhala gawo lazakudya za wodwalayo. Ngati wodwalayo adya chakudya, koma masiku awiri lisanawunitsidwe amachepetsa kuchuluka kwake, zotsatira zake zimawonetsa kuchuluka kwa shuga. Kutsatira zomwe amakonda kudya patsiku lachiwonetsero, wodwalayo adzalandira zotsatira zomwe zimawonetsa mtundu wa phindu m'moyo wake.

Ndi zakudya ziti zomwe mungadye, zomwe mungamwe komanso nthawi yayitali kuti musiye khofi ndi tiyi, adokotala amafotokozera mwatsatanetsatane.

Mlingo wa shuga m'magazi ukasintha mu thupi la munthu, ndiye kuti mwina sangakhale wokayikakayika, chifukwa chake akatswiri amawunika shuga pamndandanda wazomwe amafunikira mayeso okonzekera. Ndikofunikira kwambiri kuti musanyalanyaze mayeso a anthu omwe ali onenepa kwambiri komanso omwe ali ndi anthu omwe ali ndi matenda ashuga m'mabanja awo.

Kuyesedwa kwa shuga kwa magazi ndi chiyani?

Glucose (shuga yemweyo) ndi monosaccharide, popanda zomwe zimachitika mthupi kugwira ntchito ndizosatheka, chifukwa shuga ndiye gwero lalikulu lamphamvu. Popanda shuga, palibe khungu m'thupi la munthu lomwe lingagwire ntchito.

Mwazi womwe umapezeka m'zakudya zomwe timadya, pakulowa m'thupi, umaphwanyidwa mothandizidwa ndi insulin ndipo umalowa m'magazi. Kuchuluka kwa glucose komwe thupi limalandira, ndiye kuti insulin yambiri imafunikira kuti ikonzedwe. Koma, kapamba amatha kutulutsa insulini yocheperako, chifukwa chake, shuga wambiri amapeza "pothawira" m'chiwindi, minofu ya minofu ndi malo ena aliwonse omwe angapezeke. Shuga akamayamba kudzikundana ndi ziwalo zina, shuga wamagazi amawonjezeranso.

Kuchuluka kwa shuga m'magazi kumatha kudutsidwa chifukwa cha kusowa kwa glucose, komanso kuchepa kwa ntchito kwa kapamba - thupi lomwe limayang'anira kupanga insulini.

Ndi cholinga chokonza kuchuluka kwa shuga m'magazi, kudumphira kapena kuwonjezeka kwake, akatswiri amapereka kuyesa kwa shuga. Kuphatikiza apo, nthawi zina kuyezetsa kumeneku kumaperekedwa pofuna kupewa kuti asatenge matenda monga matenda a shuga.

Mapazi amwazi

Kuyesedwa kwa magazi kumeneku nthawi zambiri kumagwiritsidwa ntchito popimidwa kawirikawiri, pochiza, gastroenterology, rheumatology ndi madera ena. Zimaloledwa kudziwa momwe ziwalo zamkati ndi kachitidwe ka thupi zimakhalira. Kusanthula kumatengedwa kuchokera kumitsempha pamimba yopanda kanthu m'mawa.

Nachi zitsanzo cha khadi yomwe imadzazidwa pambuyo pakupereka magazi kwa wodwala:

Kuti mumvetsetse bwino zomwezo, muyenera kudziwa malamulowo. Izi ndi zizindikiro zomwe sizikuwopseza mkhalidwe waumoyo wa anthu, koma ngati zizindikiro zowunikira zili kunja kwa mtundu wabwinobwino, zilibe kanthu, kwakukulu kapena pang'ono, ichi chimakhala chifukwa chowonjezera, chomwe chimasankhidwa ndi dokotala.

Ngati mutayezetsa magazi amisala isanu ndi iwiri, ndiye kuti matendawa amatengera zaka:

• mwa ana ochepera zaka ziwiri, chizolowezi chimadziwika ngati 2.78 mpaka 4,4 mmol / l,
• pazaka 2 mpaka 6, zotsatirazi ndizomwe zizikhala kuyambira 3,3 mpaka 5 mmol / l,
• kwa ana a sukulu, manambala omwe akukhala 3.3 mpaka 5.5 mmol / l ndi abwinobwino;
• osiyanasiyana 3.88 mpaka 5.83 mmol / l amatengedwa ngati mkhalidwe wachikulire
• mukalamba, manambala kuyambira 3,3 mpaka 6.6 mmol / l amadziwika kuti ndi abwinobwino.

Mutha kutsegula katchulidwe kazovuta ndi matchulidwe azachipatala ngati mungayang'anire kanema wapadera pomwe adotolo amawunikira umboni wa kuyesedwa kwa magazi ndi kunena zomwe izi kapena tanthauzo lake limatanthawuza kusanthula ndi momwe zizindikirazi zingakhudzire thanzi lanu lomwe limafotokoza za thupi.

Kuyeserera kwa shuga m'magazi

Phunziroli limachitika pamimba yopanda kanthu ndi katundu. Apa, katundu amamvetsedwa motere: nkhaniyo imabwera ku labotale ndikupereka magazi pamimba yopanda kanthu, pambuyo pa mphindi 5 kuyambira nthawi yopereka magazi amapatsidwa chakumwa cha kapu yamadzi yokhala ndi shuga wosungunuka. Kupitilira apo, wothandizira ma labotale amatenga magazi theka lililonse la maola awiri. Njira yofufuzira iyi imapangitsa kuti magazi asungunuke magazi.

Ngati kuyesedwa kwa glucose kumachitika ndi katundu, ndiye kuti izi zidzachitika kwa aliyense - kwa amuna, ndi kwa akazi, komanso kwa ana. Malire a zomwe zili mu dongosolo la kafukufukuyu sizoposa 7.8 mmol l. Koma ziyenera kudziwidwa kuti zofunikira zenizeni zimatengera zaka za wodwalayo:

Kuyesaku kumatchedwanso HbA1C. Amawonetsa shuga wamagazi ngati peresenti m'miyezi itatu yapitayo. Itha kutengedwa nthawi iliyonse yabwino. Imawerengedwa kuti ndi yolondola kwambiri chifukwa imathandizira kudziwa momwe kuchuluka kwa glucose kwasinthira posachedwa. Kutengera ndi izi, akatswiri nthawi zambiri amasintha pulogalamu yolamulira matenda a shuga kwa odwala.

Ponena za hemoglobin ya glycated, apa chisonyezo chodziwika sichimadalira zaka komanso jenda la nkhaniyi, ndipo ndiwofanana ndi chizindikiro cha 5.7%. Ngati, pakuyesa uku, manambala omaliza akuwonetsa phindu loposa 6.5%, ndiye kuti pali vuto la matenda ashuga.

Palinso zisonyezo zakukula kwa hemoglobin, yomwe imatsimikiziridwa ndi msinkhu wa wodwalayo. Kutanthauzira kwa zizindikiro kukuwonetsedwa pagome:

Ngati zotsatira za mayesowa zikuwonetsa kupatuka kulikonse, izi sizoyambitsa alamu, chifukwa izi zimatha kuyambitsidwa osati ndi matenda amkati, koma ndi zinthu zakunja, mwachitsanzo kupsinjika. Amakhulupilira kuti kuchuluka kwa shuga kumatha kutsika mwa anthu omwe amakonda nkhawa.

Kukonzekera kuyesedwa kwa magazi

Ngakhale kuti kukonzekera kwapadera sikofunikira pakudutsa zomwe tafotokozazi, akatswiri amalimbikitsa kuti atengapo malangizo ochepa pokonzekera, ndikukonzekera mayeserowa pang'ono kuti asadzabwerenso:

• Kuyesedwa kwa shuga kwa shuga kuyenera kutengedwa pamimba yopanda kanthu. Koma, izi sizitanthauza kuti sikokwanira kudya m'mawa. Mawu akuti "kusala kudya" atanthauza kuti kuyambira nthawi yomaliza kudya kufikira nthawi yotsegula magazi, maola osachepera 8 adatsitsidwa kuti aunikiridwe, ndipo maola onse 12 ndi bwinonso. Pankhaniyi, amaloledwa kumwa madzi okha, oyera, osakhala ndi kaboni, komanso kuposa osakoma.
• Masiku awiri lisanachitike kusanthula, tikulimbikitsidwa kusiya ntchito zamafuta, zakudya yokazinga ndi mowa. Ngati, komabe, panali phwando kumayeso asanachitike, ndiye kuti ndibwino kuti musawononge nthawi ndikubwera kudzayesa masiku 2 mochedwa kuposa momwe adayenera.
• Kuyesedwa kwa shuga kwa shuga kumangoperekedwa m'mawa, ndikofunikira kuchita izi asanakwane 9 a, koma ndibwino kudzafika nthawi yotsegulira labotale, ndiye kuti 7 koloko m'mawa.
• Ngati zitsanzo zamadzimadzi oyeserera zimachokera m'mitsempha, ndiye kuti pamafunika zovuta zambiri zolimbitsa thupi ndi zovuta zolimbitsa thupi dzulo.Ngakhale akatswiri, asanayambe njirayi, mupatseni wodwalayo mphindi 10 mpaka 10 kuti apumule pambuyo paulendo wakulembera.
• Kuyeseraku kuyenera kuchitika musanamwe mankhwala aliwonse, makamaka ngati ali ndi maantibayotiki. Muyenera kudikirira ndi kuyamba kuphunzira kumwa mankhwalawo, kapena kudikirira mpaka kumapeto kwa chithandizo, ndipo pokhapokha pang'anani.
• Simungathe kupereka magazi pambuyo pa x-ray, mayeso a rectal ndi njira zolimbitsa thupi.
• Anthu ena salola kuyezetsa magazi, makamaka pamimba yopanda kanthu, chifukwa cha kuyesedwa, ndibwino kuti mupumule kwakanthawi, kuti musakomoke. Zikatero, muyenera kutenga ammonia nanu.

Ziyeso zomwe zimakupatsani mwayi wodziwa kuchuluka kwa glucose m'magazi zimasungidwa mu labotale ndipo zimakhudza kuyesedwa kwa madzi oyeserera kuchokera mu mtsempha kapena chala cha wodwala.

Ndikofunika kwambiri kuti mupitilize maphunziro awa osati odwala matenda ashuga okha, komanso kwa anthu athanzi, chifukwa ndi mayeserowa omwe amathandizira kuzindikira zamomwe zimachitika panthawiyo ndikuyamba mayeso ndi chithandizo chanthawi yake. Ndikulimbikitsidwa njira zopewera kuperekera magazi shuga kawiri pachaka ndi miyezi 6.

Kuzungulira kwa shuga m'magazi ndi chisonyezo cha kagayidwe kazachilengedwe m'thupi la munthu, kusintha komwe kumachitika mothandizidwa ndi zinthu zosiyanasiyana, zam'magazi ndi za thupi. Chifukwa chake, pazotsatira zoyenera phunziroli, ndikofunikira kukonzekera bwino.

Zoyambitsa zathupi zimapangitsa kuchuluka kwa shuga

Kuchuluka kwa shuga kumawonetsa momwe amapangidwira komanso kusintha kwa maselo amthupi. Kukula kwa mulingo (hyperglycemia) sikuti kumangosonyeza matenda, komanso kumachitika kawirikawiri mothandizidwa ndi zinthu izi:

1. Kudya - kumayambitsa hyperglycemia pang'ono patatha maola ochepa, chifukwa cholowetsa chakudya m'magazi. Ndipo patatha maola ochepa, chizindikirocho chimabwereranso kwina chifukwa cha kusamutsidwa kwa glucose m'maselo ndikugwiritsa ntchito kumeneko.
2. Nthawi ya tsiku - mutatha kudya nkhomaliro, shuga wambiri nthawi zambiri amakhala okwera kuposa m'mawa.
3. Emotional factor, nkhawa - imayambitsa kukonzekera kwa adrenaline, yomwe ndi shuga yowonjezera shuga, chifukwa chowonjezera pakupanga kwake kuchokera ku chiwindi cha glycogen.
4. Zochita zolimbitsa thupi - ntchito ya minofu imafuna mphamvu zambiri, zomwe glucose imatulutsa ikagwiritsidwa ntchito m'maselo a minofu (myocyte), kotero minofu ndi chiwindi glycogen zimawonongeka mthupi.

Zoyambitsa zovuta za hyperglycemia

M'matenda osiyanasiyana, shuga amayamba chifukwa cha kuchuluka kwa chiwindi kapena kuchepa kwa mayamwidwe ake ndi maselo amthupi. Izi ndi monga:

1. Shuga mellitus, mtundu I - chifukwa cha pancreatic pathology, pali kuchepa kwa kupanga kwa insulin, komwe kumatsimikizira kuyamwa kwa glucose ndi maselo amisempha.
2. Matenda a shuga, mtundu II - pankhaniyi, kupanga insulini sikusinthidwa, koma pali kuchepa kwa kuchuluka kwa zolandilira m'maselo omwe amachititsa kuti glucose ayambe.
3. Kuwonjezeka kwa kuchuluka kwa mahomoni opatsa mphamvu shuga (adrenaline, glucocorticosteroids), omwe amachititsa kuti azikhala ndi chidwi chifukwa cha kuwonongedwa kwa glycogen, mkhalidwe womwe umayamba ndi zotupa za ma adrenal zotupa.

Kuyesedwa kwa magazi kwa glucose, kuwonetsa msinkhu wake, kungathandize kuzindikira matenda a hyperglycemia. Zizindikiro za chizindikirochi zimachokera ku 3.5 mpaka 5.5 mmol / L.

Zomwe zimapangitsa kuti shuga Azipere (Hypoglycemia)

Mosiyana ndi hyperglycemia, kuchepa kwa shuga kumachitika kawirikawiri ndipo kumachitika chifukwa cha zifukwa izi:

• kudya kwa shuga osakwanira - kusala, matenda am'mimba,
• kuchuluka kwa shuga kwamaselo chifukwa cha kuphatikiza kwa insulini pamaso pa chotupa cha ma pancreatic cha mahomoni.
• matenda a chiwindi - gawo ili ndi gawo lalikulu la shuga, lomwe limapangidwa ndi glycogen, matenda a chiwindi amachepetsa nkhokwe zake, zomwe zimawonetsedwa mu hypoglycemia

Kukonzekera kuyesedwa kwa magazi

Kuzindikira kwa glucose ndi chizindikiro chovuta, mkhalidwe womwe panthawiyo ndi patsiku la kafukufukuyu umachitika chifukwa cha zinthu zambiri. Mukamawunikira, cholinga choyenera, chosonyeza kusinthana kwa shuga m'thupi, ndikofunikira. Chifukwa chake, musanapereke magazi kwa shuga, ndikofunikira kukonzekera izi ndikukwaniritsa malingaliro angapo:

• Izi zimachitika m'mawa,
• chakudya chomaliza kumapeto kwa phunzirolo - pasanathe maola 8
• kupatula kumwa mowa masiku awiri kafukufukuyu asanachitike, chifukwa zimayambitsa hyperglycemia,
• kusuta ndikoletsedwa maphunziro asanafike, chifukwa chikonga chimayambitsa kuchuluka kwa adrenaline, komwe kumawonjezera shuga,
• kuchokera zakumwa simungathe kumwa khofi, tiyi (makamaka wokoma), zakumwa zozizilitsa kukhosi, zipatso zamadzimadzi - zimatha kuyambitsa thupi la hyperglycemia. M'mawa mumatha kumwa mchere wopanda mchere wa m'madzi,
• dzulo lake, muyenera kuyesa kupewa kupsinjika ndi kupsinjika kwa minofu, chifukwa zingayambitse hyperglycemia,
• Ndikofunika kuti musiye kumwa mankhwala osiyanasiyana, chifukwa amatha kutsitsa kapena kutsika shuga wambiri.

Ngati muli ndi mafunso okonzekera momwe mungakonzekere mayeso a shuga, ndikwabwino kukambirana ndi dokotala kapena othandizira ogwira ntchito omwe angakuwonetseni zovuta, makamaka kupatula mankhwala ena.

Pali nthawi zina pamene magazi a wodwalayo ali pamlingo wazolowera kwambiri kapena pang'ono kupitirira. Kenako, kupatula matenda a kagayidwe kazakudya, shuga ya magazi imatsimikiziridwa ndi katundu. Chomwe tikuphunzirachi ndikuwonetsetsa shuga nthawi zingapo:

1. Pamimba yopanda kanthu, mutatsata malingaliro onse okonzekera phunzirolo dzulo.
2. Pakatha maola awiri pakumayambika kwa shuga m'magazi a 75 g osungunuka mu 250 ml ya madzi - zabwinobwino nthawi imeneyi, maselo amthupi amayenera kuyamwa glucose omwe adalandira kuchokera m'matumbo. Ngati mu shuga wa sampuli uyu ndiwopamwamba kuposa wabwinobwino, pali chifukwa chilichonse choganizira zifukwa zakukula kwake. Mukamayeserera izi kwa mwana, shuga amapatsidwa mawonekedwe a maswiti kapena madzi pamlingo wa 50 g.

Kuyesedwa kwa shuga kwa shuga kumayendetsedwa ndi adokotala, ngati pali kukayikira kwa kuphwanya kagayidwe kazakudya komanso mawonekedwe a kuchepa thupi kapena mosemphanitsa kukhala wonenepa kwambiri, ludzu lalitali komanso kuchuluka kukodza.

Kuyesedwa kwa shuga kwa shuga kumaperekedwa kwa munthu wamkulu kapena mwana ngati pali zizindikiro zilizonse zokayikitsa mwa kutopa, kutopa, kufooka, ludzu. Popewa kukula kwa matenda oopsa, tikulimbikitsidwa kumayesa pafupipafupi kuyesa kuchuluka kwa shuga m'magazi. Lero ndi njira yabwino komanso yolondola kwambiri yothanirana ndi shuga.

Mwazi wamagazi

Glucose imawonedwa ngati chinthu chofunikira chomwe chimapereka mphamvu kwa thupi. Komabe, shuga wamagazi amayenera kukhala ndi chizolowezi china, kuti chisayambitse kukula kwa matenda akulu chifukwa chakuchepa kapena kuchuluka kwa shuga.

Ndikofunikira kuchita mayeso a shuga kuti mukhale ndi chidziwitso chonse chokhudza thanzi lanu. Ngati matenda alionse apezeka, kuunika kwathunthu kumachitika kuti mupeze chomwe chikuyambitsa malangizowo, ndipo muyenera kulandira chithandizo chamankhwala.

Kusanganikirana kwa gluu wa munthu wathanzi nthawi zambiri kumakhala kofanana, kupatula nthawi zina pamene kusintha kwa mahomoni kumachitika. Kudumpha kuzizindikiro kumatha kuonedwa mu achinyamata pa nthawi yaukalamba, zomwezo zimagwiranso ntchito kwa mwana, mwa azimayi panthawi yakusamba, kusintha kwa msambo kapena kutenga pakati. Nthawi zina, kusinthasintha pang'ono kumatha kuloledwa, zomwe zimatengera ngati adayesedwa pamimba yopanda kanthu kapena atadya.

Momwe mungaperekere magazi a shuga

1. Kuyesedwa kwa shuga kungatengedwe mu labotale kapena kuchitidwa kunyumba pogwiritsa ntchito glucometer. Kuti zotsatira zake zizikhala zolondola, ndikofunikira kutsatira zonse zomwe dokotala wakusonyeza.
2. Asanapange kusanthula, kukonzekera kumafunika. Musanapite kuchipatala, simungathe kumwa zakumwa za khofi komanso zakumwa zoledzeretsa. Kuyesedwa kwa shuga kwa shuga kuyenera kutengedwa pamimba yopanda kanthu. Chakudya chotsiriza sichikhala choyambirira kuposa maola 12.
3. Komanso, musanatenge mayeso, musagwiritse ntchito mankhwala opangira mano kupangira mano anu, chifukwa nthawi zambiri amakhala ndi shuga wambiri. Mofananamo, muyenera kusiya chingamu kwakanthawi. Musanapereke magazi kuti muwoneke, muyenera kusamba m'manja ndi zala zanu ndi sopo, kuti kuwerenga kwa glucometer kusasokere.
4. Maphunziro onse ayenera kuchitika pamaziko a zakudya zabwino. Musamakhale ndi njala kapena kudya kwambiri musanayesedwe. Komanso, simungathe kuyesa ngati wodwala akudwala matenda owopsa. Panthawi yapakati, madokotala amalingaliranso za mawonekedwe a thupi.

Njira zoperekera magazi posankha kuchuluka kwa shuga

Masiku ano, pali njira ziwiri zodziwira kuchuluka kwa shuga m'magazi a wodwala. Njira yoyamba ndikutenga magazi pamimba yopanda kanthu mu ma laboratori pazachipatala.

Njira yachiwiri ndikuyesa mayeso kunyumba pogwiritsa ntchito chipangizo china chotchedwa glucometer. Kuti muchite izi, kuboola chala ndikuyika dontho la magazi pachifuwa chapadera chomwe chimayikidwa mu chipangizocho. Zotsatira zoyesedwa zitha kuwoneka patatha masekondi angapo pazenera.

Kuphatikiza apo, kuyezetsa magazi kwa venous kumatengedwa. Komabe, pankhaniyi, zizindikirazo zimachulukira chifukwa cha kupindika kochulukirapo, zomwe ziyenera kukumbukiridwa. Musanayambe kuyesa mwanjira iliyonse, simungadye chakudya. Zakudya zilizonse, ngakhale zazing'ono, zimawonjezera shuga m'magazi, zomwe zimawonetsedwa ndizowonetsa.

Mamita akuti ndi chipangizo cholondola, komabe, muyenera kuchigwiritsa ntchito moyenera, kuyang'anira moyo wa alumali wa mizere yoyeserera osayigwiritsa ntchito ngati phukusi lisweka. Chipangizocho chimakulolani kuti muwongolere kusintha kwa zosintha za magazi kunyumba. Kuti mupeze zambiri zolondola, ndibwino kukayezetsa kuchipatala moyang'aniridwa ndi madokotala.

Mwazi wamagazi

Mukadutsa kusanthula pamimba yopanda kanthu mwa munthu wamkulu, zizindikiro zimawonetsedwa ngati zofunikira, ngati 3.88-6.38 mmol / l, ndizomwe zili. Mwa mwana wakhanda, chizolowezi chake ndi 2.78-4.44 mmol / l, pamene makanda, zitsanzo za magazi zimatengedwa mwachizolowezi, popanda kufa ndi njala. Ana azaka zopitilira 10 ali ndi shuga othamanga wamagazi a 3.33-5.55 mmol / L.

Ndikofunika kukumbukira kuti ma labotale osiyanasiyana amatha kupereka zotsatira zomwazikana, koma kusiyana kwa magawo khumi sikumawonetsedwa ngati kuphwanya lamulo. Chifukwa chake, kuti mupeze zotsatira zolondola zenizeni, ndiyenera kupita kukawunikidwa m'makliniki angapo. Mutha kuyesanso shuga ndi katundu wowonjezera kuti mumve chithunzi choyenera cha kukhalapo kapena kusapezeka kwa matendawa.

Zimayambitsa kuwonjezeka kwa shuga m'magazi

• Mkulu wamagazi amatha kutsimikiza za matenda ashuga. Komabe, ichi sichiri chifukwa chachikulu, kuphwanya zizindikiro kungayambitse matenda ena.
• Ngati palibe pathologies omwe apezeka, kuwonjezera shuga sangatsatire malamulo musanayesedwe. Monga mukudziwa, m'mawa simungathe kudya, kuchita masewera olimbitsa thupi komanso kutengeka.
• Komanso, zizindikiro za overestimated zingasonyeze kukhalapo kwa kusokonezeka kwa dongosolo la endocrine, khunyu, matenda a kapamba, chakudya ndi poyizoni wa poizoni.
• Ngati dokotala wapeza matenda a shuga kapena prediabetes, muyenera kudya zakudya zanu, kumadyetsa zakudya zapadera, kulimbitsa thupi kapena kungoyenda pafupipafupi, kuonda komanso kuphunzira kuthandizira shuga. Ndikofunikira kukana ufa, mafuta. Idyani kangapo patsiku kasanu ndi kamodzi m'magawo ang'onoang'ono. Kalori kudya tsiku lililonse sayenera kupitirira 1800 Kcal.

Zoyambitsa Kuchepetsa Magazi A shuga

Itha kuyankhula za kuperewera kwa zakudya m'thupi, kugwiritsa ntchito zakumwa zoledzeretsa zilizonse, koloko, ufa ndi zakudya zotsekemera. Hypoglycemia imayamba chifukwa cha matenda am'mimba, kuphwanya magwiridwe antchito a chiwindi ndi mitsempha, mavuto amanjenje, komanso kunenepa kwambiri kwa thupi.

Zotsatira zikatha, muyenera kufunsa dokotala kuti mudziwe chifukwa chokwera kwambiri. Dokotala adzamuwonjezera mayeso ndikupereka chithandizo chofunikira.

Kuyesedwa kwa magazi kwa shuga ndikofunikira chifukwa kwambiri kapena, mosiyana, zizindikiro zochepa zimatha kuwonetsa kusintha kosiyanasiyana m'thupi. Kafukufukuyu ndikulimbikitsidwa kuti zizichitika pafupipafupi, zomwe ndizotheka osati motsogozedwa ndi katswiri, komanso komanso modziyimira (pogwiritsa ntchito zingwe zapadera). Komabe, zimakhala zolondola kwambiri kukaonana ndi dotolo kuti kuyezetsa magazi komanso kotsiriza kwa shuga ndikumasuliridwa molondola.

Udindo wa shuga ndi mayeso

Anthu ambiri amadabwa kuti glucose amatenga gawo lanji mthupi. Chowonadi ndi chakuti gawo lomwe limaperekedwako limapereka mphamvu zogwira ntchito mthupi la munthu. Pothandizidwa bwino ndi ziwalo ndi ma kachitidwe a thupi, mulingo wambiri m'magazi monga 3.3 mpaka 5.5 mmol pa lita imodzi ndi wokwanira. Zizindikiro zomwe zaperekedwa zikasintha kapena kutsika, titha kunena kuti munthu wasintha mu dongosolo la endocrine, chifukwa chake ndikofunikira kuyesedwa magazi.

Mitundu iwiri yakutsogolera ndi iwiri yomveketsa bwinoyi imalingaliridwa. Kuyankhula zamitundu yoyesera magazi kwa shuga, ndikofunikira kulabadira njira yolembetsera, njira yofotokozera, komanso kuwunika kwa hemoglobin ya glycated komanso kuyesanso kofunikira ndi "katundu" wa shuga. Kuyesedwa koyenera kwambiri komanso kolondola kwa mayeso a shuga kumatengedwa ngati njira ya labotale. Amachitika mu labotale azipatala zapadera, koma choyamba muyenera kudziwa zonse zamomwe mungakwaniritsire kusanthula moyenera.

Mutha kugwiritsa ntchito njira yofotokozera mothandizidwa ndi chipangizo, monga glucometer, palokha kunyumba. Kuti muchite izi, simuyenera kukhala ndi maluso apadera kapena kudziwa. Nthawi yomweyo, ngati chipangizocho chitafooka, ngati sichinagwiritsidwe ntchito moyenera kapena ngati malo osungirako mizere samayang'aniridwa, cholakwika cha zotsatira zoyeserera chitha kufikira 20%.

Popeza zonsezi, ndikufuna kudziwa kuti ndikulimbikitsidwa kwambiri kudziwa zonse za komwe mungaperekeko magazi ndi zomwe muyenera kuchita pokonzekera magazi.

Zizindikiro zazikulu

Pali mndandanda wonse wazomwe zimayambitsa matenda, kudziwa zomwe zimayambitsa mapangidwe zomwe zingafune kukonzekera kusanthula shuga m'magazi. Tikuyankhula za kuchepa mwadzidzidzi komanso kwakukulu, kuwonda kwambiri, komanso kumverera kouma mtima kowuma pamlomo wamkamwa. Kuphatikiza apo, amapereka kusanthula komwe kumakhala ludzu losatha ndi kuchuluka kwamikodzo yomwe imatulutsidwa.

Ndikufuna kuti tidziwe kuti pali magulu ena omwe ali pachiwopsezo, omwe poyambirira ayenera kukhala ndi chidziwitso chonse pakuyesa magazi. Tikulankhula za anthu onenepa kwambiri omwe ali ndi kuthamanga kwa magazi.Kuphatikiza apo, ndikofunikira kulabadira kupezeka kwa abale omwe akukumana ndi zodandaula za kagayidwe kazakudya. Kupitilira apo, akatswiri amalabadira milandu yomwe muyenera kudziwa chilichonse momwe mungaperekere magazi, koma ndizotheka kuchita izi kunyumba:

• kuyeserera kwathunthu, mwachitsanzo, kuphunzira mkhalidwe wa endocrine gland, mahomoni
• mtima wa wodwalayo ndi kale chizindikiritso cha zimam'patsa kagayidwe,
• kusankha ndi kuwerengera kwa zosintha za njira yobwezeretsa.

Chofunikira chofananira pakupereka magazi kwa shuga ndi kupezeka kukaikira kwamatenda ena. Izi zikhoza kukhala, mwachitsanzo, kapamba, kunenepa kwambiri kapenanso ngakhale matenda a endocrine. Poganizira izi, ndikulimbikitsidwa kuti muwerenge zonse zomwe zingapezeke poyesa magazi moyenera. Zikhala zolondola kwambiri kufunsa katswiri.

Mawonekedwe akukonzekera ndi decryption

Ndikukonzekera koyenera komwe kumakupatsani mwayi wopeza zotsatira zabwino komanso zodalirika za kafukufukuyu.

Polankhula za mawonekedwe a gawo lomwe laperekedwa, ndikofunikira kulabadira chifukwa maora asanu ndi atatu asanakonzekere kuyang'anira ndikofunika kukana kudya. Kuphatikiza apo, ndizovomerezeka kumwa, koma madzi wamba.

Komanso, pokamba za momwe tingakonzekerere mayeso, ndikufuna kudziwa kuti maola 24 asanakumane ndi mayeso sikulimbikitsidwa kumwa zakumwa zoledzeretsa. Chofunikanso, musanayesedwe, musagwiritse ntchito chingamu kapena kutsuka mano. Ambiri amanyalanyaza lamulo lomwe linaperekedwa, koma izi zimatha kuyambitsa vuto, komabe kuchuluka kwa shuga.

Musanatenge kapena kupereka magazi, ndikulimbikitsidwa kuti musakane kugwiritsa ntchito mankhwala musanayang'anire. Izi zikakhala kuti ndizosatheka, ndikofunikira kudziwitsa dokotala za izi, chifukwa kusinthasintha kwa shuga m'magazi kungakhale kotheka, chifukwa chake kuyezetsa magazi kuyenera kuchitika mwapadera.

Zizindikiro zoyenera pankhaniyi ziyenera kuganiziridwa, monga tanena kale, zambiri kuchokera ku 3.5 mpaka 5.5 mmol / L. Ndikofunikira kudziwa kuti pathological momwe kuchuluka kwa glucose kumakulira kwa 6.0 mmol ndi prediabetesic. Nthawi zambiri, izi ndizomwe zimachitika chifukwa chosagwirizana ndi malingaliro apadera pokonzekera kusanthula. Zotsatira za 6.1 mmol kapena kuposerapo ziyenera kutengedwa ngati umboni wopanga matenda - shuga. Ndikufuna kulabadira kwambiri zomwe zingachitike ngati njira zokonzera zichitike molondola.

Mwachidule pazomwe zimayambitsa kupatuka

Kukhalapo kwa matenda a shuga ndikuwongolera, koma sikuti chifukwa chokhacho chimapangitsa kusintha kwa shuga m'magazi.

Amatha kuchuluka chifukwa cha nkhawa kapena kupsinjika kwa thupi, chifukwa cha khunyu, matenda a m'matumbo, gland ya endocrine kapena gren adrenal. Kupatuka kwina kungakhale kotheka, monga kudya chakudya, poyizoni ndi mankhwala aliwonse othandizira ndi kugwiritsa ntchito mayina ena azachipatala (amatha kutchedwa m'njira zosiyanasiyana).

Shuga wocheperako amatha kuzindikirika chifukwa cha poyizoni wa mowa, matenda a chiwindi, njala, komanso zinthu monga kunenepa kwambiri, matenda am'mimba thirakiti ndi zina zambiri. Pofuna kudziwa zolondola kwambiri pakupanga zinthu zina, zingakhale zofunika kuchita mayeso apadera oyenerera. Popeza izi, muyenera kudziwa momwe mungaperekere magazi a shuga. Uku ndi kuyesa kwa glucose kapena mayeso a hemoglobin a glycated.

Chifukwa chake, kuyesedwa kwa magazi kwa shuga kumatha kudziwa kukhalapo kapena kusakhalapo kwa zokhudzana ndi ntchito ya endocrine gland ndi thupi lonse. Kuti mupeze zotsatira zoyenera, muyenera kudziwa zonse zokhudzana ndi mayeso, komwe magazi ndi shuga ndi zina zimachotsedwa.

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