Matenda a shuga ndi kuyendetsa galimoto: chitetezo ndi malamulo othandizira oyamba a hypoglycemia
Kuyendetsa galimoto ndi matenda ashuga
Matenda a shuga sindiwo kuphwanya lamulo kuti mukhale ndi ufulu woyendetsa galimoto. Komabe, kuti mulandire chikalatachi, muyenera kudziwa ndikutsatira malamulo apano, komanso malamulo angapo omwe amalola wodwala matenda ashuga kuyendetsa bwino.
Anthu odwala matenda ashuga omwe akufuna kupeza layisensi ayenera kulankhulana ndi dokotala kuti amve malingaliro ake otsimikizira kuti akhoza kuyendetsa galimoto.
Nchiyani chimayambitsa malingaliro abwino kuti apeze ufulu wa munthu wodwala matenda ashuga? Izi zimaphatikizapo mayeso a shuga wamagazi, komanso mayeso okhudzana ndi kayendedwe.
Ndi ziti? Choyamba, uku ndi kufalikira kwa chiwonetsero cha hypoglycemia ndi zovuta zovuta, monga zovuta zamawonedwe, phazi la matenda ashuga komanso kusowa kwa chidwi. Muyeneranso kudziwa bwino momwe mulili ndi thanzi lanu.
Nayi malamulo otetezeka omwe odwala matenda ashuga aliyense ayenera kudziwa:
- Musanayambe kayendedwe, yeretsani kuchuluka kwa shuga m'magazi ndi glucometer,
- ngati ili yotsika kwambiri kapena yotsika kwambiri, musayambe kusuntha, ndipo ngati mukukwera mukumva zisonyezo zotere, siyimitsani nthawi yomweyo,
- Nthawi zonse khalani m'galimoto m'malo opezeka mosavuta kupopera chakudya, shuga mu mafuta kapena madzi otsekemera, omwe mungagwiritse ntchito ngati hypoglycemia,
- ngati mukupita ulendo wautali, kumbukirani kuti muyenera kupeza nthawi yopuma kuti mupeze kuchuluka kwa shuga, kudya chakudya komanso kupuma.
- Nthawi zonse muziyenda nanu mukakhala ndi chakudya komanso zakudya ngati zikukuvutani kuyenda.
Matenda a shuga ndi kuyendetsa
Kudziwitsa za matenda ashuga okha sikuti sikungapikisane ndi kuyendetsa galimoto kwa amateur. Kulephera kumatha kuchitika ndikukula kwa zovuta zaposachedwa: retinopathy, zomwe zimapangitsa kuchepa kapena kuwonongeka kwa mawonekedwe, zotumphukira za polyneuropathy - kuwonongeka kwa minyewa yamitsempha ya miyendo ndi kutayika kwa chidwi (kotero, malinga ndi nthano, adapezeka ndi matenda a shuga mu driver driver a L.I. Brezhnev: adayimilira kuyimilira matendawa) , ndikupanga matenda a matenda a m'mimba a matenda ashuga, mukachiritsa chilema cham'mimba ndikofunikira "kutsitsa" mwendo kwa nthawi yayitali, kapena ngati mwadulidwa miyendo.
Chofunikira! Vuto linanso lomwe limatha kukhala cholepheretsa kuyendetsa galimoto ndi hypoglycemia pafupipafupi, kuphatikizapo kusadziwika bwino kwa hypoglycemia (hypoglycemia yomwe ili ndi chikumbumtima chovuta) kapena kuperewera kwa shuga, monga hypoglycemia unccognition. Zikatero, kuyendetsa galimoto kumakhala koopsa kwambiri kwa oyendetsa ndi onse ogwiritsa ntchito pamsewu.
Ngati mulibe zovuta za matenda ashuga zomwe zimasokoneza kuyendetsa galimoto, ndikuwongolera matenda osokoneza bongo popanda pafupipafupi kapena hypoglycemia, ndiye kuti palibe malamulo oletsa kuyendetsa galimoto ngati mutsatira malamulo ena osavuta:
- Ndikofunikira kuchita kudziwunikira kwamawonekedwe a shuga m'magazi musanayambe komanso paulendo. Ngati mukufuna kuyenda mtunda wautali, ndipo kuchuluka kwa shuga ndi kochepa kwambiri, ndibwino kuti mudye zowonjezera zamafuta kuti mupewe hypoglycemia
- Simuyenera kuyamba kuyenda ngati mukumva zigoli za hypoglycemia kapena ngati mwangoziletsa
- Musanayende, musapereke mankhwala a insulin mopitirira muyeso wanu, ndipo muzitsatira nthawi yolimbikitsidwa ndi insulin kapena kudya.
- Musanayende, musadye chakudya chamagulu ochulukirapo kuposa masiku onse. Izi ndizofunikira makamaka ngati mukumwa mankhwala omwe ali ndi hypoglycemic mankhwala omwe amatha kuyambitsa hypoglycemia (sulfonylureas, glinides).
- Kuti muzitha kudziletsa paulendowu, muyenera kutuluka mumsewu waukulu ndikuyimitsa pamalo ovomerezedwa poyimikapo magalimoto. Mulimonsemo musayesere kuchita kudziletsa mukamayendetsa: ndizowopsa ngati typing kutumiza mauthenga a SMS
- Ngati mukuwona kuti shuga wanu wamagazi akutsika, siyimitsani nthawi yomweyo, dziyang'anireni nokha ndikuletsa hypoglycemia ngati pakufunika. Pambuyo pake, mutatha mphindi 15, onaninso kuchuluka kwa shuga m'magazi, ndipo ngati kuli koyenera, ndipo mumazindikira bwino, ndiye kuti pambuyo mphindi zina 15 mutha kupitiliza kuyenda. Ngati pazifukwa zina simunakhale ndi glucometer nanu, koma mukumva zizindikiro za hypoglycemia, ndiye kuti mukuyenera kusiya, imwani chakudya cham'mimba, dikirani mpaka zizindikirozo zitha ndipo mukatha mphindi 15 mupitiliza kusuntha
- Sungani chakudya cham'mimba chambiri (shuga, mapiritsi kapena gel osakaniza ndi glucose, juwisi kapena chakumwa chokoma) pafupi momwe mungathere - pakati pofikira kapena pampando wakudutsa. Osazisunga mu chipinda chachitetezo kapena thunthu
- Anzanu okhazikika amafunika kudziwa komwe chakudya chamagetsi chimapezeka mgalimoto.
- Pa maulendo ataliatali, kutsatira zomwe mumachita nthawi zonse, pewani nthawi yayitali pakati pa chakudya, tengani chakudya nanu kuti mukhale ndi kulumwa nthawi zonse, pewani maulendo a usiku omwe akuphwanya phokoso wamba
- Kuti mukhale ndi chitetezo chowonjezereka, nthawi zonse muzivala chovalachi chachipatala / keychain / pendant ndi data yanu komanso zambiri zokhudzana ndi matenda anu.
- Zachidziwikire, malamulo onse: simunamwe kapena musayende mgalimoto musamamwe mowa, ndipo osayendetsa "mwachangu", ndiye kuti inunso pamodzi ndi ogwiritsa ntchito ena mumakhala otetezeka
Tikulakalaka mutayendetsa bwino!
Kuyendetsa galimoto ndi matenda ashuga
Mu malingaliro, ngati mutapereka chilolezo chotsogola mutakhala ndi mavuto azaumoyo, muyenera kudziwitsa apolisi a pamsewu za izi, koma amatero ndani? Ndiko kulondola, palibe. Kuphatikiza apo,, ndikuyeneranso kufotokozera mavuto aliwonse azaumoyo omwe atha kupitilira miyezi yopitilira atatu ndikuwongolera kuyendetsa kwanu.
Ku Europe, anthu odwala matenda ashuga nthawi zambiri amalandila zaka zitatu, zomwe zimawonjezedwa pambuyo pokhazikanso. Kunena bungwe ku mabungwe omwe atchulidwa pamwambapa ndiudindo mwachindunji, koma zodabwitsa kuti odwala matenda ashuga ambiri alibe. Osachepera odwala matenda a shuga akupitiliza kuyendetsa, akumakumana ndi ena mwa mavutowa.
Nayi nkhani ku England: Mayi, mayi wazaka zapakati yemwe akumalandira chithandizo cha insulin, wafunsira kuti awonjezere laisensi yake yoyendetsa. Dotolo wake sanadziwe kuti akuyendetsa galimoto mpaka atalandira fomu yamafunso kuchokera ku bungweli. Podzaza, adotolo akuyenera kuwonetsa kuti a Mary adakhudzidwa kwambiri ndi hypoglycemic yomwe idayamba popanda zizindikiro zokuchenjeza, zomwe zimapangitsa kuti laser ichitike, kupunduka kwa myocardial kovuta chifukwa cha angina pectoris, ndi hemiparesis.
Kufunika kwa ziwalo zamasomphenya ndiku "kuwerenga ziwalo zamalamulo agalimoto zokhala ndi zilembo zofunikira ndi kuchuluka kwa 79.4 mm ndikuwunikira bwino masana pamtunda wa 20.5 m (pafupifupi 23). Ngati titanthauzira izi muzotsatira za tebulo la Snellen, ndiye kuti chizindikiro cha maso ndi pakati pa 6/9 ndi 6/12.
Chenjerani! Komabe, tcherani khutu ku scotomas ndikufalitsa kuwala kowala ndi mphaka (zomwe zimachepetsa kuyendetsa galimoto usiku). Galimoto yokhala ndi kachilomboka mongotetemera imakhala yotetezeka kwambiri kwa odwala omwe ali ndi vuto la kusinthasintha kwa mitsempha, koma mukufunikabe kumva maulendo.
Makampani a inshuwaransi yamagalimoto amawona ngati matenda ashuga ndi vuto lomwe ayenera kudziwa nthawi yomweyo atazindikira. Amaganizanso kupezeka kwa chilichonse chomwe chatchulidwa pamwambapa kuti ndi chinthu chofunikira kwambiri kwa odwala. Komanso, makampani a inshuwaransi sangathe kudalitsa odwala omwe sananene za matenda awo munthawi yochepa.
Makampani a inshuwaransi amawona kuchuluka kwama inshuwaransi kwa oyendetsa odwala matenda ashuga - malinga ndi kafukufuku wina, kampaniyo idawonjezera ndalama zowonjezera zomwe kampani ina idalipira pazochitika zofanana.
Kodi ndingathe kuyendetsa bwino matenda ashuga a 2?
Zaka zingapo zapitazo kunali kovuta kwambiri kupeza chiphaso cha kuyendetsa matenda ashuga. Koma masiku ano, kuyendetsa galimoto ndi matenda ashuga kuli ponseponse. Ndikofunika kuti usaiwale kuti poyendetsa, driver amayendetsa ntchito yayikulu kwambiri pamoyo wake komanso miyoyo yaomwe akukwera omwe ali mgalimoto zomwe zikugwira nawo ntchito zapamsewu.
Njira zazikulu zomwe zimatsimikizira kuthekera koyendetsa galimoto ndi matenda ashuga ndi:
- mtundu ndi zovuta za matenda,
- kukhalapo kwa zovuta zazikulu zomwe zingakhudze kasamalidwe ka kayendedwe,
- kufunitsitsa kwa wodwalayo udindo waukulu chotere,
- mwayi wokhala ndi hypoglycemia mwadzidzidzi.
Ndikofunikira kudziwa kuti chitsimikizo chomaliza chili ndi tanthauzo lalikulu komanso chofunikira kwambiri.
Ngati dalaivala atachepa mwadzidzidzi m'magazi a shuga, izi zitha kukhala zowopsa osati kwa iye, komanso kwa ena omwe akuchita nawo gululo.
Pazifukwa izi, zaka zochepa zapitazo, anthu otere sanapatsidwe ufulu konse. Izi zimaphatikizapo odwala omwe amagwiritsa ntchito insulin komanso kukonzekera kwapadera kwa sulfate urea.
Munthu aliyense wodwala matenda ashuga ayenera kuchita ntchito yapadera molingana ndi zomwe zikupezeka kwa chikalata chakuchipatala cha oyendetsa galimoto.
Wodwala akakhala kuti alibe zovuta, komanso ngati palibe zopinga zazikulu ndi malingaliro ena kuchokera kwa katswiri woyenera, ndiye kuti adzapatsidwa chiphaso cha woyendetsa. Monga lamulo, ichi ndi chikalata chomayendetsa magalimoto a gulu B (galimoto yonyamula anthu okwana anthu eyiti).
Kodi ndingapeze maufulu?
Ngakhale pali zovuta zambiri zomwe zimadza kawirikawiri motsutsana ndi maziko a matenda osokoneza bongo, matendawa samatengera mwayi wakuyendetsa magalimoto. Kuti mupeze laisensi yoyendetsa, wodwala amafunika kuvomerezedwa ndi adotolo komanso chilolezo cha State Road Security Inspectorate (STSI). Komabe, pofuna kuteteza odwala matenda ashuga ndi omwe amakhala pafupi naye, zoletsa zina zimakhazikitsidwa.
Shuga amachepetsedwa nthawi yomweyo! Matenda a shuga m'kupita kwa nthawi angayambitse matenda ambiri, monga mavuto amawonedwe, khungu ndi tsitsi, zilonda zam'mimba, zilonda zam'mimba komanso matenda otupa! Anthu amaphunzitsa zinzake zowawa kuti azisintha shuga. werengani.
- Chilolezo choyendetsa galimoto ya matenda ashuga amitundu yonseyi ndi chovomerezeka kwa zaka zitatu. Cholinga cha ichi ndikufunika kosanthula pafupipafupi kuchipatala kuti aziganizira kusintha konse mthupi ndikukonza zovuta zomwe zimachitika motsutsana ndi maziko a matenda oyambitsidwa.
- Munthu yemwe ali ndi shuga wamphepo yayitali amatha kupatsidwa ufulu wokhala ndi mtundu wa "B". Ndiye kuti, munthu yemwe ali ndi matenda amtunduwu ali ndi ufulu wokhala woyendetsa galimoto, pomwe akuyendetsa minibus, basi kapena galimoto yolema yoposa matani 3.5 siyiyikidwa.
Funso loti munthu akhoza kuyendetsa galimoto ndi matenda ashuga ndi lingaliro la adotolo. Mfundo zazikuluzikulu zomwe dotolo amadalira panthawi ya chisankho ndi zovuta zamatenda, mphamvu yamatenda pamaonedwe, mtima ndi dongosolo lamanjenje komanso chidziwitso cha kutayika kwa chikumbumtima.
Kodi angachite bwanji?
Tiyenera kumvetsetsa kuti kukhazikitsa cholinga chokhala woyendetsa matenda ashuga, simungathe kupita patsogolo. Kuletsa matendawa kwa othandizira kapena kumamupusitsa zaumoyo wake, wodwalayo amaika moyo wake pachiwopsezo ndikuika pachiwopsezo anthu omwe amakhala pafupi naye.
Ngati wodwala matenda ashuga ayenera kukhala woyenera, ayenera kupita kwa dokotala yemwe amamulembetsa. Ndi endocrinologist yemwe amadziwa mbiri yamatendawa komanso machitidwe a thupi omwe amapanga chisankho poti ndi otetezedwa bwanji kulola wodwala kuyendetsa galimoto. Kuti adziwe zoyenera, dokotalayo amakupangira mayeso apadera ndipo amalemba zotsatira zawo papepala lachipatala:
- Kuyendera kowoneka Dotolo amayang'ana momwe thupi limagwirira, amaika kukula kwa matendawa ndikuwunika momwe matenda a shuga amayendera kuthamanga kwa magazi, mawonekedwe owonera, chidwi cha mathero a mitsempha ya miyendo ndi zizindikiro zina. Kuphatikiza apo, endocrinologist imalongosola pafupipafupi zovuta za hypoglycemia.
- Kupenda kwa Ultrasound kwa kapamba.
- Kusanthula kwamwazi m'mwazi ndi mkodzo.
Kutengera ndi zotsatira zake, endocrinologist imapereka satifiketi yapadera yomwe wodwala matenda ashuga amayendera. Kupitilira apo, wogwira ntchito m'boma yemwe ali ndi udindo wopereka chiphaso cha driver akuwunikira zonse zomwe zalembedwa ndipo akuganiza ngati zili bwino kuti gulu liphunzitse munthu kuyendetsa.
Momwe mungachepetse chiopsezo kufikira ochepera?
Wokhala m'galimoto, wodwala matenda ashuga ayenera kumvetsetsa zoopsa zomwe zingachitike ndikuchita zonse zofunikira kuti adziteteze yekha ndi anthu pazinthu zomwe sizinachitike. Kuti achite izi, ayenera kutsatira malamulo ena:
Magalasi amafunikira kuti dalaivala wa khungu azioneka.
- Osagwira ntchito yoyendetsa miyezi isanu ndi umodzi mutatha kudziwa matenda a shuga. Chofunikira chomwechi kwa odwala matenda ashuga omwe amasintha kupita ku mankhwala atsopano. Ndi munthawi imeneyi pomwe mawonekedwe a matendawa komanso momwe thupi limayendera njira zatsopano zamankhwala zimawonekera.
- Ngati masomphenya akuchepa, kuyendetsa kuyenera kuchitika ndi magalasi.
- Sizoletsedwa kuyendetsa galimoto pamimba yopanda kanthu. Popewa izi, galimotoyi iyenera kukhala ndi chakudya chambiri, komanso chakudya chamagulu omwera (chakumwa chokoma).
- Glucometer amayenera kukhalapo nthawi zonse m'chipinda cha glove. Kuti mutetezeke kwambiri, glucose wa plasma amayenera kuwezedwa nthawi imodzi pa ola limodzi. Ndi cholembera pansipa 5 mmol / l, ndibwino kuzimitsa injini.
- Ngati munthu akufuna kuyendetsa, ndibwino kuti mupeze insulin pang'ono pang'onopang'ono kuchokera pazizolowezi kuti muchepetse chiopsezo cha hypoglycemia.
Contraindication poyendetsa ndi matenda ashuga
Choyipitsa chachikulu pakuyendetsa ndi matenda ashuga ndiko kutaya mtima kwa kuyandikira kuukira kwa hypoglycemia, popeza ichi ndi chakupha.
Chofunikanso ndichovuta zomwe zimachitika motsutsana ndi zomwe zimayambitsa matenda. Chifukwa chake, ndi kuwonongeka pakumvekera kwa mitsempha mathero ndi kufooka kwa minyewa, komwe kumayambitsa matenda am'munsi, wodwalayo amapatsidwa lingaliro lomwe likuwonetsa kuopsa kwa neuropathy komanso kuopsa koyendetsa galimoto. Amachepetsa mwayi wopeza zovuta pamitsempha yam'maso mu mawonekedwe amanjala, matenda ashuga retinopathy, kapena matenda ena owoneka. Pankhaniyi, ndi ophthalmologist yekha yemwe angapereke lingaliro la wodwala.
Kodi zikuwonekabe zosatheka kuchiritsa matenda ashuga?
Poona kuti mukuwerenga izi tsopano, kupambana polimbana ndi shuga wambiri sikuli kumbali yanu.
Ndipo mudaganizapo kale za chithandizo kuchipatala? Ndizomveka, chifukwa matenda ashuga ndi matenda oopsa, omwe, ngati sanapatsidwe, amatha kufa. Udzu wokhazikika, kukodza mwachangu, masomphenya osalala.Zizindikiro zonsezi mumazidziwa nokha.
Koma kodi ndizotheka kuchitira zomwe zimayambitsa m'malo mothandizira? Timalimbikitsa kuwerenga nkhani yokhudza matenda a shuga omwe alipo masiku ano. Werengani nkhani >>
Chenjezo kwa oyendetsa
Anthu odwala matenda ashuga omwe adayamba kulandira insulin kapena kusintha njira zawo zochizira. Odwala awa ayenera kuchenjezedwa kuti sayenera kuyendetsa kwa sabata limodzi (kapena kupitilira, kutengera umunthu wake) atayamba kulandira mankhwala a insulin kapena kusintha njira ina yothandizira, mwachitsanzo, kusintha mtundu wa insulin wina kapena kusintha mtundu wina wa mankhwalawo.
Kutayika kapena kusokonekera kwa machenjezo a hypoglycemia. Anthu oterewa ayenera kuchenjezedwa kuti sayenera kuyendetsa. Ena mwa iwo amatha kuyendetsa galimoto ngati nthawi iliyonse akadya ndi kuyeza shuga wamagazi asanayendetse, komanso ngati amamwa chakudya ndikuzindikira glucose ola lililonse.
Mavuto ochokera ku ziwalo zamasomphenya. Madalaivala a matenda ashuga omwe amapanga matenda amtundu, exudates, maculopathy, prolifative retinopathy, kapena omwe adachitapo mankhwala a laser, amatha kuyendetsa galimoto atayesedwa ndi akatswiri awo a zamankhwala.
Mavuto otsika a miyendo kapena phazi. Mukamayesedwa odwala matenda ashuga, ayenera kudziwa kuti kuyendetsa galimoto kumayenderana ndi ngozi. Ayeneranso kupewa kuyendetsa galimoto panthawi yamankhwala. Odwala omwe ali ndi phazi lakumanzere sazindikira nthawi zonse kuti makampani awo a inshuwaransi amawona kuti ndi gawo lofunikira.
Omwe ali ndi vuto la neuropathy mwina sazindikira izi, chifukwa chake adotolo akuyenera kuwauza za izi. Kuchepa kumveketseka komanso kufooka kwa minofu kungapangitse kuyendetsa galimoto kukhala kovuta.
Kodi woyendetsa amayenera kuchita chiyani ngati akuwonetsa kuti ali ndi vuto la hypoglycemia pomwe akuyendetsa?
DANDAULANI! Hypoglycemia ikhoza kuyambitsa kukakamiza kopitilira kusuntha. Wodwala ayenera kuti achepetse pang'ono ndikuimitsa makinawo atangotetezedwa, muzimitsa kutaya ndikuchotsa fungulo ku loko. Amayenera kutenga shuga kapena shuga ndipo, ngati zingatheke, achoke pampando woyendetsa, asamuke kumalo okhala.
Upangiri: Ena amakulangizani kusiya galimoto yonse kuti musayang'anenso. Komabe, izi zitha kukhala zowopsa pamsewu wotanganidwa kapena pamsewu wopanda magalimoto, popeza odwala omwe ali mu boma la hypoglycemic nthawi zambiri samazindikira zoopsa, amakhala osakhazikika komanso ali ndi miyendo yosakhazikika.
Mutatha kumwa shuga kapena shuga, wodwalayo ayenera kudya magawo enaake ndipo, asanapitirize ulendowo, onetsetsani kuti wachira mokwanira ndipo palibe chiopsezo chodzetsa matenda obwera chifukwa cha hypoglycemia. Izi zikutanthauza kuti muyenera kudikirira ola limodzi kapena kupitilira.
Kuyendetsa bwino ntchito
Iwo omwe shuga yawo imalipidwa ndi insulin sayenera kufunafuna kupeza ufulu woyendetsa magalimoto akuluakulu kapena magalimoto okwera. Ku Europe, ngati anthu omwe ali ndi ziphaso zovomerezeka zoyendetsa magalimoto akuluakulu (HGV) kapena zonyamula anthu (PSV) akayamba kudziphatika ndi insulin, ayenera kudziwitsa bungwe lapadera.
Nthawi zina, amaloledwa kupitiliza kugwira ntchito ngati angatsimikizire kuti izi sizowopsa, koma nthawi zambiri, chiphaso cha woyendetsa galimoto chimachotsedwa. Kuchita izi, pakukhudzidwa kwakukalamba chifukwa chachitetezo cha anthu apaulendo komanso mitundu yayikulu yamakedzana, makampani sangakhale ndi mwayi wopeza makampani omwe ali ndi vuto la matenda ashuga omwe amalandira insulin yoyendetsa mabasi, sitima, ndege kapena sitima.
Nthawi zina, izi zimagwiranso ntchito kwa odwala omwe akukonzekera sulfonylurea, ngakhale odwala omwe ali ndi matenda ashuga omwe amaperekedwa ndi mapiritsi amatha kulandira zilolezo zoyendetsa HGV ndi PSV. Ngati atafunikira insulin pambuyo pake, akhoza kutaya ntchito.
Kuyendetsa Zofunikira Poyendetsa
Masiku ano, wodwala aliyense ali ndi chidwi, kodi ndizotheka kuyendetsa galimoto ndi matenda ashuga?
Apa mutha kuyankha izi: pafupifupi munthu aliyense amene ali ndi matendawa ali ndi galimoto yakeyawo. Izi zimamupatsa mwayi wina: amatha kupita kuntchito, ku chilengedwe ndi banja lake, kuyenda, komanso kupita kumadera akutali.
M'mayiko ena padziko lapansi, matenda ofala amatanthauza matenda oopsa omwe amaletsedwa mwamphamvu kuyendetsa galimoto. Matendawa amayesedwa chimodzimodzi m'mavuto monga, mtima, matenda amtima komanso matenda a khunyu.
Anthu ochepa osazindikira amakhulupirira kuti kuyendetsa galimoto ndi matenda ashuga sikugwirizana kwathunthu. Koma izi siziri choncho. Anthu omwe akudwala matendawa ali ndi ufulu wonse woyendetsa galimoto. Akalandira chilolezo kuchokera kwa dokotala-endocrinologist ndi apolisi pamsewu, amatha kuyendetsa bwino galimoto.
Pali mndandanda wazofunikira zomwe ziyenera kukwaniritsidwa mukapeza chilolezo choyendetsera anthu omwe ali ndi matenda ashuga:
- munthu wodwala matenda a shuga amatha kulandira ufulu wa gulu B, zomwe zikutanthauza kuti amaloledwa kuyendetsa magalimoto okha,
- odwala matenda ashuga amaloledwa kuyendetsa galimoto yomwe misa yake si yoposa 3500 kg,
- ngati galimoto ili ndi mipando yopitilira eyiti, ndiye kuti ndizoletsedwa kuti wodwala yemwe ali ndi matenda ashuga ayendetse.
Munthawi zonse, thanzi la wodwalayo liyenera kuganiziridwanso. Ufulu kwa anthu odwala matenda ashuga nthawi zambiri umaperekedwa kwa zaka zitatu zokha. Izi ndichifukwa choti munthu amafunikira kuti azimufufuza pafupipafupi ndi katswiri wa zaumwini ndi kunena za zotulukapo zake, zovuta zomwe zingachitike, komanso zotsatirapo zoyipa za matendawa.
Malamulo Otetezera Akuluakulu oyendetsa odwala matenda ashuga
Ndiye kodi ndizotheka kugwira ntchito yoyendetsa matenda ashuga amitundu yosiyanasiyana? Yankho ndilosavuta: ndizotheka, koma pokhapokha potsatira malamulo ena otetezeka pamsewu.
Matenda a shuga sindiwo chifukwa chodzikonzera nokha chisangalalo choyendetsa galimoto yomwe mumakonda.
Koma tisaiwale kuti msewu uliwonse ndi woopsa komanso wosadalirika, pomwe muyenera kusamala kwambiri komanso kukhala maso. Pofuna kuthetseratu zoopsa panthawi ya ulendowu, ndikofunikira kusunga malamulo osavuta komanso omveka bwino pamakhalidwe.
Ulendo uliwonse usanachitike, ndikofunikira kuyang'ana mosamalitsa zida zothandizira, zomwe, kuphatikiza muyeso wokhazikitsidwa ndi mankhwala, muyenera kukhala ndi glucometer. Ngati wodwala akuwonetsa kusintha pang'ono pa thanzi, ndiye kuti ayenera kuyimitsa galimotoyo kuti ayang'anire kuchuluka kwa shuga.
Ndikofunika kukumbukira kuti ndizoletsedwa kupitiriza kuyendetsa galimoto ngati mukukonda.
Musanafike kumbuyo kwa gudumu, muyenera kuyang'anitsitsa mawonekedwe anu.
Ndikofunikira kuonetsetsa kuti zinthu zonse zapanjira zikuwoneka bwino. Chofunikira china ndikuti simungathe kuyendetsa m'masiku ochepa mutakhazikitsidwa kwa chithandizo chatsopano, makamaka ngati mankhwala omwe ali ndi zotsatira zoyipa adalembedwa.
Ndiye kodi ndizotheka kukhala bwino ndi matenda ashuga? Izi ndizotheka pokhapokha ngati palibe zovuta zovuta zomwe zikukhudza kuyendetsa galimoto.
Matenda a shuga ndi layisensi yoyendetsa: momwe mungaphatikizire?
Ngati dalaivala akumva kusowa, musayendetse. Monga lamulo, odwala matenda ashuga ambiri amamvetsetsa bwino matupi awo ndipo amatha kumvetsera. Ngati munthu akuwona kuti sangathe kupirira ulendowo, ndiye kuti kuli bwino kungoisiyiratu. Izi zikuthandizira kuteteza momwe ndingathere osati moyo wawo wokha, komanso miyoyo ya okwera omwe amayenera kukhala pafupi mgalimoto.
Pali maupangiri othandizira kupewa kuchuluka kwa shuga m'magazi mukamayendetsa:
- Musanachoke kunyumba, muyenera kuyeza kuchuluka kwa shuga. Ngati ndi yocheperachepera, ndiye kuti muyenera kudya pomwepo mankhwala omwe amapanga pang'ono, mwachitsanzo, mchere. Palibe chifukwa chomwe muyenera kutuluka mnyumbayo mpaka shuga atayamba kuchita bwino,
- Onetsetsani kuti mwasungitsa lipoti mwatsatanetsatane wazakudya zonse zodyedwa. Izi zikuyenera kuchitika kuti pakhale chidziwitso cholembedwa chotsimikiza ndi chowopsa chokhudza matenda a shuga ngati mwangozi,
- Ndikofunika kuti nthawi zonse muzikhala ndi mapiritsi a shuga, madzi otsekemera kapena bedi pafupi. Monga njira yomaliza, payenera kukhala ma muesli omwe ali ndi zipatso pafupi,
- paulendo wautali, muyenera kupuma maola awiri aliwonse. Muyeneranso kuyang'anira kuchuluka kwa shuga.
Matenda a shuga ndi oyendetsa ali ndi malingaliro othandizirana pokhapokha ngati munthu akuwonetsetsa kuti akudwala. Ndikofunikira kwambiri kutsatira malamulo ndi zofunikira zomwe zingakuthandizeni kuteteza moyo wanu paulendowu.
Kanema wothandiza
Kuphika kwa tiyi wokoma ndi njira imodzi yothanirana ndi vuto la hypoglycemia. Panjira zina zothetsera matendawo, onani vidiyo:
Nkhaniyi ndiye yankho lalitali loyembekezeredwa pamafunso odwala ambiri lokhudza layisensi yoyendetsa matenda a shuga. Monga mukudziwa, kuletsa kuyendetsa galimoto ndi matenda ashuga kwachotsedwa kale. Kuyambira pano, ngati wodwala alibe zovuta, amatha kuyendetsa galimoto. Izi zikugwiranso ntchito kwa anthu omwe amagwira ntchito ngati oyendetsa.
Nthawi yomweyo, musaiwale za mndandanda wa malamulo, zofunikira ndi malingaliro omwe amathandizira kuti ulendo uliwonse usangokhala wochezeka, komanso wotetezeka. Onetsetsani kuti mukupimidwa pafupipafupi ndi dokotala, tengani mayeso onse ofunikira, kuyeza mulingo wa shuga, komanso mankhwalawa. Mfundozi ndizothandiza kuthana ndi mawonekedwe owoneka a matendawa, kuti asasokoneze moyo wathunthu komanso wathanzi.
- Imakhazikika pamisempha ya shuga kwa nthawi yayitali
- Imabwezeretsa kapangidwe ka insulin
Phunzirani zambiri. Osati mankhwala. ->
Anthu odwala matenda ashuga: Malamulo a Kuyendetsa Magalimoto Otetezeka
M'mbuyomu, matenda a shuga akhala cholepheretsa kupeza chiphaso cha kuyendetsa ndi kuyendetsa galimoto. Komabe, pakadali pano, gulu lina la odwala limaloledwa kuyendetsa galimoto payekha. Izi zimaphatikizapo odwala omwe ali ndi mtundu wachiwiri wa matenda a shuga, komanso odwala omwe amalandira insulin omwe ali ndi njira yokhazikika ya matendawa.
Pomaliza, nkhaniyi m'mbali iliyonse imasankhidwa ndi endocrinologist. Odwala omwe ali ndi matenda osokoneza bongo omwe sawerengeka, omwe amakhala ndi vuto la hypoglycemic, saloledwa kuyendetsa magalimoto.
Zambiri za madalaivala omwe ali ndi matenda ashuga
Nkhaniyi ili ndi chidziwitso chokhudza malamulo omwe angatengere laisensi yoyendetsera anthu omwe ali ndi matenda a 2 kapena a shuga. Izi zitha kukhala zothandiza komanso zosangalatsa kwa ambiri, chifukwa magalimoto adasinthiratu kuchoka pazinthu zapamwamba kukhala chinthu chosavuta, popanda zomwe zimakhala zovuta kuchita m'moyo watsiku ndi tsiku.
M'mayiko ambiri, lingaliro la kuvomereza kuyendetsa galimoto ndi matenda ashuga limapangidwa payekhapayekha ndi ma endocrinologists, poganizira mosamala za zovuta zonse za matendawa.
Kodi chofunikira ndi chiyani kuchokera kwa endocrinologist?
Dokotala amakakamizika kupenda ndikusunga mbiri yonse ya matendawa m'matendawo, kenako azindikire zovuta za matenda ashuga, njira yake, thanzi, kuchuluka kwa matenda a hypoglycemia, ndikulemba mndandanda wamankhwala omwe amamwa.
Kutengera ndi izi, endocrinologist amalemba zolemba zamankhwala, zomwe pambuyo pake zimayenera kugwera m'manja mwa oyang'anira apolisi a pamsewu. Omaliza, apereka chigamulo chomaliza pakupereka chikalata kwa odwala matenda ashuga.
M'malo mwake, kwa iwo amene akufuna kukhala ndi layisensi yoyendetsa galimoto, matenda ashuga nthawi zonse sayenera kukhala cholepheretsa. Palibe chifukwa, musabisire kudwala kwanu kwa apolisi oyenda pamsewu kapena dokotala. Ndipo ngakhale zili choncho, musayese kupeza thandizo lofunikira m'njira zovomerezeka. Kupatula apo, zonsezi zimayika pachiwopsezo osati moyo wanu wokha, komanso mkhalidwe waumoyo wa ogwiritsa ntchito ena pamsewu.
Nthawi zambiri, odwala matenda ashuga amapatsidwa ufulu wa gulu "B", ndipo galimoto imaloledwa kuyendetsa, yomwe imapangidwira mipando yopitilira eyiti.
Chofunikira: Kuchulukana kwa insulini komanso kuchuluka kwa kukokoloka kwa hypoglycemic nthawi zambiri sikofunikira, koma ndikofunikira kukumbukira kuti nthawi yayitali ya matenda omwe amakhala ndi chikomokere pafupipafupi, kusazindikira bwino komanso kuchepa kwa masomphenyawo kungachititse wodwala kukana chilolezo choyendetsa galimoto.
Nthawi zambiri, chikalatacho chimaperekedwa kwa wodwala kwa zaka zitatu, pambuyo pake amayenera kukayezetsanso kuchipatala kuti afotokozere kuwopsa kwa matendawa, kupezeka kwa zovuta, ndi zina zambiri, chifukwa nthawi imeneyi mkhalidwe waumoyo wa anthu ungasinthe.
Pazokhudzana ndi malamulo oyendetsera madalaivala a shuga
Anthu omwe ali ndi matenda ashuga ayenera kusamala kwambiri ndikusamala poyendetsa galimoto. Popeza kuukira kwotsatira kwa hypoglycemia kumatha kuchitika mosayembekezereka, ndikutsogolera kukulitsa zizindikiro monga kuwonongeka kwa mawonekedwe, chizungulire, kufooka, kudetsa khungu m'maso, ndi zina zambiri, ndikofunikira kuphunzira kuyang'anira njira zotetezera zoyambira.
Chifukwa chake, ngati mwapezeka kuti muli ndi matenda a shuga ndipo muli ndi chilolezo choyendetsa, onetsetsani kuti mwatsata malangizowo pansipa:
- Ngati mukumva zizindikiro zoyambirira za hypoglycemia, siyani kusuntha nthawi yomweyo (ngakhale mutakhala kuti mukuthamangira kwina). Ngati ndi kotheka, tembenuzani alamu, ndipo chitani zinthu mwachangu zodziletsa pakuwukira.
- Yang'anani zida zoyambira zagalimoto yanu - kuwonjezera pazomwe zimadziwika kale, ziyenera kukhala ndi glucometer.
- Musanafike paulendo wautali, onetsetsani kuti mwadya kwambiri. Paulendo wamsewu, yesani kutsatira zomwe mumadya.
- Osayendetsa m'masiku omwe masinthidwe anu amachitidwe anu amathandizidwe, komanso ngati mukumva kufooka.
- Nthawi zonse pakhale chakudya ndi zakumwa mkati mwagalimoto zomwe zimatha kuthana ndi vuto la hypoglycemia (timadziti, shuga woyengedwa, maswiti, ndi zina) m'nthawi yochepa.
- Panthawi yoikika, musaiwale kumwa mapiritsi ofunikira / jekeseni yoyenera ya kukonzekera kwa insulin kuti mupewe kukula kwa hyperglycemia.
Ndipo kumbukirani: msewu udakali gawo lowonjezera owopsa. Tsatirani malamulo osavuta awa, ndipo mosakayikira maulendo aliwonse amakhala otetezeka komanso osavuta!
Chilolezo choyendetsa kwa odwala matenda ashuga
Palibe chovuta kulingalira kuti moyo wathu ukadakhala bwanji tikadakhala kuti galimoto siyidapangidwe zaka zana ndi theka zapitazo. Masiku ano, kukhala ndi galimoto sikuti ndi chizindikiro chabe choti zinthu zikuwayendera bwino, chifukwa ambiri ndiofunikira kuti nthawi yakwanira, kusamalira kanyumba kanyengo kuti kasamalidwe, kusamalira makolo okalamba m'mudzimo.
Galimoto siikhalanso wapamwamba. Zimagula, nthawi zina zimaperekanso mapindu ena ambiri.Koma popanda layisensi yoyendetsa, "bwenzi lachitsulo" siwopusa kuposa momwe amagwirira ntchito pansi pazenera. Ndipo ngakhale achinyamata ena osasamala amandiwuza kuti mutha kuyendetsa popanda chilolezo, ambiri amakonda kuchita zovomerezeka: kumaliza maphunziro oyendetsa ndege, kulandira satifiketi yakuchipatala, kenako ndikudutsa mayeso apolisi apamsewu. Mosakayikira, ntchito zonsezi ndizovuta kwambiri, makamaka ngati pali zovuta zaumoyo.
Malinga ndi dongosolo Nambala 84 la Unduna wa Zaumoyo ku Belarus, mndandanda wamatenda omwe akuphwanya mwachindunji kupezeka kwa chilolezo chotsogolera wavomerezeka. Izi zimaphatikizapo, mwachitsanzo, kupunduka mtima, khunyu, khungu, zotupa, mitsempha ya varicose ndi ena ambiri.
M'mbuyomu, matenda ashuga analinso pamndandandawu. Chifukwa chiyani? Republican Consulting Endocrinology Center idandifotokozera kuti m'mbuyomu odwala athu amakhala ndi ma insulini otsika, zomwe sizingatheke kulosera. Izi zidapangitsa kuti zikhale zovuta kwambiri kupeza chiphuphu cha shuga. Masiku ano, mavuto ngati awa, monga lamulo, samabuka.
Kuphatikiza apo, odwala ambiri atha kuwerenga kwambiri, amadziwa bwino matendawo, ndipo amatha kuugwira. Ma syringe otha ntchito, zolembera, ndi zida zodziwonera zatha m'gulu la omwe akusowa. Zonsezi zimapangitsa odwala matenda ashuga kuti azikhala olimba mtima pambuyo pagalimoto.
Tamverani! Monga a Nelly Alekseyevna KEDO, wamkulu wa dipatimenti yoyesa madalaivala ku 24 Minsk Polyclinic, adati, lero wodwala yemwe ali ndi matenda ashuga, mosasamala mtundu wa matenda ake, atha kulandira chilolezo cha oyendetsa m'magulu "A" (kuyendetsa njinga yamoto, scooter, moped) ndi "B" (kuyendetsa magalimoto amodzi popanda ufulu wogwira ntchito).
Mkhalidwe waukulu wa izi ndikupeza chiphuphu chokhazikika komanso chachitali cha matenda ashuga. Nkhani yakuvomerezedwa muzochitika zonsezi imasankhidwa payekhapayekha potengera kutsiriza kwa endocrinologist. Ikuwonetsa momwe matenda, zovuta, kukomera.
Malingaliro otero ayenera kuperekedwa ku komishini kuti ayang'anire madalaivala, chikalata chikaperekedwa, kuvomerezeka kwake ndi zaka 2. Odwala omwe ali ndi matenda osokoneza bongo a mellitus, omwe amakonda kupititsa patsogolo machitidwe a hypoglycemic, saloledwa kuyendetsa magalimoto.
Ndidatha kukumana ndikulankhula ndi munthu yemwe wakhala akudwala matenda osokoneza bongo a insulin odalira zaka 15, 10 mwa iwo amayendetsa galimoto, ndipo sanapeze ngozi yapamsewu (ngozi yapamsewu). Mwamuna uyu adavomereza kuti akapatsidwa chiphaso cha driver, amayenera kubisala kuti adziwe matenda ake.
Zingachitike, ndi mbedza kapena khwangwala, ambiri odwala matenda ashuga amatengera chitsanzo chake masiku ano. Ndipo pachabe ... Chikalata chovomerezeka chazachipatala chomwe chimakuwululirani kuwala kobiriwira m'misewu popanda kubisala matenda akulu ndikutsimikizirani chitetezo kwa inu ndi omwe mumayenda.
Nazi chiwembu chimodzi chokha: kuchipatala cha "woyendetsa" adandiwuza kuti zimatenga zaka ziwiri, koma odwala matenda ashuga akuti amafunika kupereka satifiketi ku polisi yamayendedwe chaka chilichonse - kuvutikira, kutaya nthawi, "tsankho". Komabe, dotolo wamkulu pachipatala cha 24 kunja kwa chipatala, Vladimir Ivanovich Aprelev, adandiuza kuti panali komiti yoyang'anira mabungwe omwe adapatsidwa, omwe akuphatikizapo akatswiri onse a dipatimenti yazaumoyo wamzindawo.
Ndipo ngati munthu akukhulupirira kuti adakanidwa popanda chifukwa choyenera kuyendetsa galimoto kapena kukonza matupi ofiira ndi chipatala, atha kukadandaula ku "court court".
Kuchokera pazokambirana ndi anthu odziwa kuyendetsa bwino komanso matenda ashuga, komanso kufunsa ma endocrinologists, tapanga malangizo othandiza kwa oyendetsa novice omwe ali ndi matenda ashuga.
Tip: Musayese kupeza chiphaso cha mtundu uliwonse woyendetsa. Kumbukirani: chitetezo pamsewu ndichofunika kwambiri! Ngati mumakonda kukhala ndi vuto la hypoglycemic pafupipafupi ndi kuiwala msanga, musayendetse, osakwanitsa kubwezeretsanso shuga kwa nthawi yayitali. Ndi chikhumbo chonse cha adokotala ndi odwala, vutoli nthawi zambiri limathetsedwa mwachangu komanso moyenera.
Ngakhale kuchuluka kwa chipukuta mokwera kumakhala kwakukulu komanso hypoglycemia ndiyosowa, poyenda, nthawi zonse mumakhala ndi shuga kapena zakudya zina zotsekemera, ma cookie, maswiti mu gululi yamasewera. Shubhu ya syringe yokhala ndi glucagon imakhala yoyenera kwambiri pakompyuta yanu. Kubayira mankhwala kungachotse mwachangu odwala omwe ali ndi matenda ashuga.
Lolani kuti zikhale nanu nthawi zonse (m'chikwama chanu kapena m'thumba la jekete lanu) khadi yakubwino kwa odwala matenda ashuga yomwe ikuwonetsa matenda anu, mtundu wa matenda ashuga, adilesi yakunyumba ndi nambala yafoni, mtundu wa insulin yomwe mumagwiritsa ntchito, ndi nambala yafoni yaofesi ya dokotala wanu-endocrinologist.
Ngati mukuyendetsa, mukumva zoyambira zoyambirira za hypoglycemia, yendani pamalo otetezeka, imani ndikuchitapo kanthu kuti zinthu zisinthe. Osathamangira kuti mutembenuzire fungulo ndikutchingira gasi. Ganizirani ngati mungapereke chiwongolero kwa omwe akukwera (ngati mukuyenda zochulukirapo ndipo wapaulendoyo ali ndi ufulu waoyendetsa).
Kapena mwina ndichofunika kutuluka m'galimoto, kuyiyika pa alamu ndikupempha omwe akudutsa kuti ayitane ambulansi. Osatayikira konse kufika komwe mungalandire chithandizo chadzidzidzi, mukamayendetsa galimoto.
Kuyendetsa galimoto ndi nkhawa komanso kulimbitsa thupi. Panjira, chidwi ndi chidwi chachikulu zimafunikira. Chifukwa chake, musanayendetse, muyenera kudya zakudya zambiri, ndikuchepetsa insulin, m'malo mwake.
Ngati mukukhala maola angapo mumsewu, yesani kudya maola atatu aliwonse, kusinthana ndi nkhomaliro zam'mawa komanso zakudya zamagetsi. Musaiwale za jakisoni wa insulin ndi kuwongolera shuga. Kumbukirani kuti shuga limatuluka osadutsa mphindi 20 mutatha kudya. Chifukwa chake, musayendetse mukangodya.
Matenda A shuga - Kuyendetsa Mopanda Mavuto
Monga momwe galimoto imafunikira mafuta kapena dizilo kuti iyende, momwemonso munthu amafunikira mphamvu kuti akhale ndi moyo. Popanda icho, mtima sugwira, magazi amayenda m'matumbo, mapapu amaleka kuwupatsa mphamvu ndi mpweya, womwe su kulowa mkati. Ubongo sutha kuwongolera thupi, ndipo minofu imalephera kugwira mayendedwe ofunikira.
Chofunikira! Mphamvu timapatsidwa ndi chakudya, makamaka shuga, yemwe, pambuyo poti timalowe m'matumbo, amalowa m'magazi. Ichi ndi chizindikiro cha kapamba, yemwe amagwira ntchito yoyang'anira kagayidwe kazakudya mwa anthu.
Amachita izi ndi insulin, timadzi tokhala m'mapuloteni omwe amachepetsa shuga m'magazi, kuchedwetsa kuphwanya kwa glycogen polysaccharide opangidwa ndi shuga m'chiwindi, potero amawongolera kugwiritsa ntchito mphamvu pogwiritsa ntchito minofu ndi ma cell ena. Kuperewera kwa insulin kumayambitsa matenda a shuga mellitus (DM). Ndiye kuti, thupi la odwala matenda ashuga limakhala pachiwopsezo nthawi iliyonse popanda mphamvu.
Madokotala samawona zambiri zotsutsana ndi chakuti wodwala wodwala matenda ashuga amayamba kumbuyo. Mutha kuyendetsa galimoto yanu molimba mtima:
- oyendetsa osadalira insulin omwe akudwala matenda a shuga 2,
- kuperekera insulin, koma yomwe imakhazikika ndimatendawa.
Mapeto omaliza muzochitika zonsezi ndi a endocrinologist. Odwala okha omwe ali ndi matenda ashuga, omwe amakonda kupititsa patsogolo zochitika za hypoglycemic nthawi zambiri, saloledwa kuyendetsa magalimoto.
Hypoglycemia - mkhalidwe wa thupi lomwe shuga ya magazi imakhala yochepa. Nthawi zambiri, thupi limakhala ndi shuga pamlingo wochepetsetsa kuyambira 4 mpaka 6 mmol / l, ndipo ndi hypoglycemia limakhala laling'ono. Hypoglycemia imachitika chifukwa cha kuchuluka kwambiri kwa insulin kapena mankhwala ena (makamaka sulfonylureas).
Ngati mulingo wambiri poyerekeza ndi kuchuluka kwa zakudya zomwe zimadyedwa, mankhwalawa amatha kuchepetsa shuga wamagazi kwambiri. Kuchepa kwa shuga m'magazi kumayambitsa kukhumudwa mu ntchito zama thupi ambiri, kuphatikizapo ubongo. Uku ndiko kuphwanya kwakukulu pakuyendetsa, chifukwa, malinga ndi ziwerengero, madalaivala omwe ali ndi matenda ashuga ali ndi 30% ngozi zapamsewu zambiri, makamaka chifukwa cha hypoglycemia.
Monga lamulo, wodwala matenda ashuga poyamba samva kutsika kwa magazi, ndiye kuti pamakhala chikumbumtima chochepa, ngati kuti ali ndi kapu ya mowa kapena ndudu yayikulu. Koma zomwe achitazo zayamba kale kuchepetsedwa, ndipo zovuta zilizonse panjira zimatha kubweretsa mavuto.
Sikovuta kuyendetsa mbali mwa mseu, mwachitsanzo, pamsewu wolowera mphete, ndipo magalimoto apafupi akuwuluka pa liwiro la 100 km / h ndikukwera. Imani modzidzimutsa - kugundana kumbuyo kwambiri, koopsa - kuyambitsa ngozi zingapo.
Hypoglycemia - zochita zanu
- Imani mwanjira zonse! Hypoglycemia imatha kuyambitsa kukopa kopitilira. Tsopano mukufunika kudya mwachangu pang'onopang'ono mukamayendetsa, pezani phokoso lamadzi okoma, tsegulani nkhata Bay, mubweretse pakamwa panu ndikumwa kuchuluka kofunikira. Ndipo zonsezi ziyenera kuchitika mukamayendetsa magalimoto ovuta, komanso ndi dzanja limodzi. Malamulo amsewu samapereka zokhwasula-khwasula mukamayendetsa. Mulimonsemo, muyenera kuchedwetsa ndikuimitsa galimotoyo, magalimoto akangokhala otetezedwa, thimitsani kunyalanyaza ndikuchotsa kiyi pachitseko.
- Tengani shuga kapena shuga (zidutswa 4-5 kapena 200 ml ya msuzi wa zipatso kapena chakumwa cha shuga). Ngati mungathe, ndikwabwino kulowa pampando wakudutsa, kapena kusiya galimoto yonse. Ngakhale izi zitha kukhala zovuta kwambiri pamsewu wokhala ndi magalimoto ambiri, popeza anthu omwe ali ndi vuto lodzaza mutu nthawi zambiri sazindikira zoopsa, amakhala osakhazikika komanso osakhazikika.
- Pambuyo pa kuukiridwa, muyenera kudikira osachepera theka la ola kapena kupitirira, ndiye kuti mupeze kuchuluka kwa glucose m'magazi pogwiritsa ntchito glucometer. Musanapitilize ulendowu, muyenera kudya bwino (nthawi yayitali, kuluma) kuti muchepetse chiopsezo cha hypoglycemia.
- Tsiku lotsatira, musanayendetse, muyenera kuyeza kuchuluka kwa shuga m'magazi, ndikuonetsetsa kuti sizotsika kuposa 5.5 mmol / l. Ndi chithandizo chanthawi yake komanso kudya kwambiri, wodwalayo amatha kukumana ndi zovuta zina - kutayika kapena kusokonezeka kwa zizindikiro zochenjeza za hypoglycemia. Madokotala amalimbikitsa mwamphamvu kuti asayendetse. Nthawi zina, zimakhala zotheka kuyendetsa galimoto, koma pokhapokha ngati mwangoyang'ana pa ola limodzi la shuga. Komanso, madalaivala oterowo nthawi iliyonse musanayendetse, muyenera kudya gawo lanu la chakudya chamagulu, komanso panjira yodyera ndikuzindikira glucose ola lililonse.
Type 2 shuga
Magalimoto okonda kuzindikira izi, monga lamulo, sakhala otetezeka pakukula kwa hypoglycemia, chifukwa chake amatha kuyendetsa bwino osaganizira kuchuluka kwa shuga m'magazi. Kwa iwo, ndikofunikira kwambiri kuti aletse kukula kwa matenda obwera chifukwa cha matenda ashuga.
- VUTO LABWINO Madalaivala a matenda ashuga omwe amapanga matenda amtundu wamkati, othandizira, othandizira retinopathy, makamaka omwe apatsidwa mankhwala a laser a retina, amatha kuyendetsa galimoto atayesedwa ndi akatswiri awo a zamankhwala. Anthu odwala matenda ashuga omwe ali ndi vuto la kuwonongeka kwa ma dioptric amafunikira kuti azigwiritsa ntchito makinawo okha ndi magalasi kapena magalasi
- Zovuta ZA MPHAMVU YAUZIMU KAPENA STOP. Odwala omwe ali ndi phazi lakumanzere ayenera kusiya lingaliro loyendetsa.
- DIABETIC POLYNEUROPATHY. Anthu omwe ali ndi polyneuropathy ayenera kudziwa kuti kuchepa kwa chidwi ndi kufooka kwa minofu kungapangitse kuyendetsa galimoto kukhala kovuta. Galimoto yokhala ndi kachilomboka mongotetemera imakhala yotetezeka kwambiri kwa odwala omwe ali ndi vuto la kusinthasintha kwa mitsempha, koma mukufunikabe kumva maulendo.
Mavuto ndi apolisi apamsewu
Mu hypoglycemia yayikulu, kutuluka kwa glucose kulowa mu ubongo kumachepa, komwe kumayambitsa chizungulire, chisokonezo, kufooka, ndi kusintha kwa machitidwe - wapolisi wamsewu amatha kulakwitsa boma la woyendetsa kuti adye.
Ndikofunika kuchenjeza madalaivala osaphunzitsidwa bwino omwe amakhala ndi vuto lokwanira hypoglycemia (mpaka stupor) omwe amatha kugwiritsa ntchito mowa mwauchidakwa mwa iwo omwe amanyalanyaza zakudya zoyenera, chifukwa mumalowedwe awa, m'magawo azakudya mafuta m'chiwindi amatha ntchito.
Chenjerani Mtundu wapadera wa hypoglycemia wotakataka umayamba chifukwa cha zakumwa zoledzeretsa zamagetsi (gin-tonic, zakumwa zamagetsi) zomwe zimakhala ndi fructose kapena lactose (mkaka wa mkaka) kapena leucine wa amino. Fructose ndi lactose amalepheretsa kutulutsa shuga kwa chiwindi, ndipo leucine imalimbikitsa kuphatikizira kwa insulin kwambiri ndi kapamba.
Zovuta zomwe zimayambitsidwa ndi hypoglycemia izi zimatha kusokoneza ngakhale akatswiri. Zikatero, woyang'anira pamsewu ndi wogwira ntchito zamankhwala sangamvetsetse kuti ndani ali kutsogolo kwake - woledzera wakufa kapena munthu amene ali ndi vuto lodzaza ndi hypoglycemia.
Kodi ndingapeze ufulu ndi matenda ashuga?
Masiku ano, anthu ambiri amagwiritsa ntchito zoyendera zokha kuti azitha kupita kuntchito, kunja kwa mzinda, chilengedwe kapena malo aliwonse. Pankhani imeneyi, anthu ena ali ndi funso ngati zingatheke kupeza chiphaso cha mayendedwe a matenda ashuga komanso ngati galimoto imaloledwa ndi izi.
Si chinsinsi kuti mayiko ena otukuka akuphatikizaponso matenda oopsa a shuga omwe amaletsedwa kuyendetsa magalimoto awo okha. Izi ndichifukwa choti matenda oopsa amayikidwa pachiwopsezo komanso matenda a mtima, khunyu komanso matenda ena akuluakulu.
M'malamulo aku Russia, kuyendetsa galimoto yokhala ndi matenda ashuga kumaloledwa, koma izi zisanachitike, wodwalayo amayesedwa mozama ndi endocrinologist, ndipo dokotala pamapeto pake amasankha ngati wodwalayo ali ndi ufulu woyendetsa galimoto.
Medical Commission
Dokotala wa endocrinologist angaganize ngati angapeze chiphaso cha mtundu woyamba wa matenda a shuga. Ngakhale kuti mtundu wachiwiri wa matenda umawonedwa ngati wosavuta, wodwalayo akhoza kukanilidwa ufulu woyendetsa galimoto.
Kuti mupeze laisensi yoyendetsa matenda ashuga, muyenera kulembetsedwa ndi endocrinologist. Dotoloyu ali ndi mbiri yonse ya matendawa, chifukwa chake amatha kuganizira za momwe thupi la wodwalayo limadziwira komanso kuchuluka kwa matenda omwe amapangidwira.
Anthu odwala matenda ashuga adzayesedwa kukayezetsa mayeso apadera ndi mayeso owonjezera, ndipo kutengera ndi zomwe zapezedwa, zitha kutsimikiziridwa ngati munthu angathe kuyendetsa galimoto mosavomerezeka yekha ndi anthu ena.
- Pakusankhidwa kwake, endocrinologist adzazindikira ngati pali zodandaula zilizonse pazokhudza thanzi. Nthawi zambiri, pamene wodwala matenda ashuga abwera kuti atenge chilolezo chokhala ndi layisensi, samadandaula chilichonse. Komabe, padakali pano, mayeso sanamalize.
- Dokotala amawunika wodwalayo kwathunthu, ndikulemba pamasamba amakalata onse azachipatala omwe adadziwika komanso amadziwika kale. Potengera zovuta za matenda ashuga, zosemphazo zomwe zapezeka zimalembedwanso kadi.
- Kutengera ndi deta yonse yomwe yapezeka, kuopsa kwa matendawa kutsimikiza. Dotolo amaganizira kuti munthu wadwala kwa nthawi yayitali bwanji, chithandizo chake ndi chothandiza bwanji, kaya pali zovuta zina komanso nthawi yomwe anayamba kuonekera.
- Zotsatira zakuwunika kwa wodwalayo, kuphunzira mayeso a labotale ndi maphunziro, kuwunika deta ya mbiri yakale yakuchipatala, kufalikira kwamphamvu kumatsimikiziridwa.Kenako, adotolo akumaliza za momwe wodwalayo alili komanso ngati angathe kuyendetsa yekha payekha.
Kuti mupeze chithunzi chonse cha momwe wodwalayo alili masiku ano, ziyeso zonse zofunika zimayikidwa kwa odwala matenda ashuga. Ngati ndi kotheka, wodwalayo amapanga mtima, ultrasound ya kapamba ndi chithokomiro, komanso maphunziro ena ofunikira. Atalandira zotsatira zoyesedwa, endocrinologist amapanga kulowamo koyenera kuchipatala.
Satifiketi yomwe yapezeka, limodzi ndi zolemba zina zamankhwala, odwala matenda ashuga ayenera kupereka apolisi apamsewu. Apa, wowunikira amene ali ndi udindo wopereka chiphaso cha woyendetsa pamapeto amithetsa pankhani yolola munthu kuyendetsa galimoto.
Pankhaniyi, ndikofunikira kumvetsetsa kuti kupusitsa adokotala ndikubisa zizindikiro zilizonse zazikulu. Zovuta zomwe zimakhudza mkhalidwe waumoyo, ndizosatheka. Ndikofunikira kuti odwala matenda ashuga azindikire kuti kuyendetsa galimoto pomwe mukumva kuti sakusangalatsa kungakhale ngozi yayikulu osati kwa iye mwini, koma kwa anthu onse omwe amakhala pafupi naye.
Ndikofunikira kuwonetsa kukhulupirika ndi madotolo ndi oyimira apolisi pamsewu, komanso kuti musadzinyenge nokha.
Ngati vuto la maso silikuyenda bwino, zovuta zomwe zimachitika komanso zovuta zina za matenda ashuga, ndibwino kusiya kuyendetsa.
Zoletsa Zoyendetsa Odwala
Anthu ena amakhulupirira kuti ngati ali ndi matenda ashuga mulimonsemo sapereka chiphaso cha chiwongolero, koma awa si mawu owona. Anthu ambiri odwala matenda ashuga ali ndi ufulu kuyendetsa galimoto atalandira chilolezo choyenera kuchokera kwa mazana a oyang'anira zamankhwala ndi oyimira apolisi pamsewu.
Komabe, malamulo amaika zofuna zapadera kwa anthu omwe apezeka ndi matenda a shuga. Makamaka, wodwala matenda ashuga ali ndi mwayi wopeza layisensi yoyendetsa yekha gulu B. Ndiko kuti, amatha kuyendetsa magalimoto okha, njinga zamoto, magalimoto ndi magalimoto okhala ndi trailer, ufulu woyendetsa samaperekedwa.
Komanso, anthu omwe apezeka ndi matenda a shuga ali ndi ufulu kuyendetsa galimoto yomwe kulemera kwake sikoposa 3500 kg. Ngati galimoto ili ndi mipando yoposa isanu ndi itatu, galimoto yotero siyabwino kwa odwala matenda ashuga; lamuloli limaletsa kuyendetsa ndi magalimoto oterowo.
- Mulimonsemo, popereka chilolezo, thanzi la wodwalayo limawerengedwa. Madokotala samawonetsa mu chipatala kuti kuchuluka kwa ma hypoglycemia kumakhala kovuta motani komanso kuchuluka kwa kudalira insulini, koma chikalatacho chikuwonetsa zambiri zokhudzana ndi momwe kuyendetsa galimoto kumayambira munthu.
- Makamaka, apolisi a pamsewu amapereka chidziwitso pakukula kwa matendawa, momwe munthu wodwala matenda ashuga amataya popanda chifukwa chodziwika, kuchuluka kwake kwa ntchito kumachepetsedwa.
- Chilolezo chaoyendetsa chimaperekedwa kwa odwala matenda ashuga kwa zaka zitatu. Pambuyo pake, munthu ayenera kupitilizanso kupita kuchipatala ndi kutsimikizira mkhalidwe wa thanzi lake.
Dongosolo loterolo limakupatsani mwayi kuti mupeze kukula kwa zovuta komanso kupewa mavuto.
Momwe mungakhalire poyendetsa ndi shuga
Ngati thanzi limalola, wodwalayo amalandira zikalata zoyenera kugwiritsira ntchito galimoto. Kuti mupewe kuchuluka mopitirira muyeso pamsewu, mukazindikira chimodzimodzi ndikofunikira kutsatira malamulo ena ndikuchita mwanjira inayake.
Zakudya zowonjezera shuga zimayenera kukhala nthawi zonse pamakina. Chakudya choterechi chitha kukhala chofunikira ngati hypoglycemia ikupezeka mu shuga mellitus, ndiye kuti, shuga wamagazi akatsika kwambiri. Ngati pakadali pano palibe chilichonse chokoma, munthu amasiya kuzindikira, zomwe zimapangitsa ngozi pamsewu waukulu.
Mukamayenda mtunda wautali, muyenera kusamalira zakudya zomwe zili ndi shuga wambiri, kupezeka kwa insulin, mankhwala ochepetsa shuga komanso zinthu zothandizira kuti mugwiritse ntchito mankhwala m'thupi. Paulendo, ndikofunikira kuti musaiwale kusunga mwambo wapadongosolo, muyenera kuyeza kuchuluka kwa shuga m'magazi pogwiritsa ntchito glucometer yonyamula.
- Ngati mukukhala ndi mavuto am'maso, odwala matenda ashuga ayenera kugwiritsa ntchito magalasi kapena magalasi. Mukamayendetsa mwachangu komanso mwachangu za hypoglycemia, muyenera kusiya kuyendetsa.
- Kuyesedwa kwa shuga kwa shuga kuyenera kuchitika ola lililonse pamene munthu akuyendetsa. Ngati shuga agwera pansi 5mmol / lita, kulowa mgalimoto ndi owopsa.
- Musanapite paulendo, muyenera kukhala ndi zodyera kuti musamve njala. Tsiku loti musanalowe muyeso waukulu wa insulin, ndi bwino ngati mankhwalawo ataperewera pang'ono.
- Ngati mwangopezeka ndi matenda a shuga kapena ngati wodwala wasintha mtundu watsopano wa insulin, muyenera kusiya kuyendetsa kwakanthawi. Monga lamulo, kusintha thupi kumachitika mkati mwa miyezi isanu ndi umodzi, pambuyo pake mutha kuyambiranso kuyendetsa.
Mukawona kuti kuwukira kwa hypoglycemia kapena hyperglycemia kuyandikira, muyenera kuyimitsa galimoto ndikuyatsa chizindikiritso chadzidzidzi. Pambuyo pake, njira zonse zofunika zimatengedwa kuti zithetse kuukira.
Pakadali pano, wodwala matenda ashuga ali ndi ufulu cuddle mpaka mbali ya mseu kapena paki. Kuti matenda asinthe, munthu amatenga chakudya chambiri mu muyezo wothandiza kubwezeretsa glycemia.
Kupitilira apo, ndikofunikira kuonetsetsa kuti kuukira kwatha ndikuwunika zizindikiro za shuga pogwiritsa ntchito mita ya glucose m'magazi amtundu uliwonse. Ngati ndi kotheka, tengani pang'onopang'ono chakudya. Mutha kupitiliza kuyendayenda pokhapokha ngati wodwala matenda ashuga ali ndi thanzi.
Kanemayo munkhaniyi akukamba za malamulo ongopitilira mayeso a mayeso a driver.