Mafuta 21: amatanthauza chiyani ngati m'magazi kuyambira 21 mpaka 21

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

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

Insulin yokwera m'mwazi, zikutanthauza chiyani? Funsoli limafunsidwa ndi odwala ambiri, panthawi yopima mayeso yomwe kuchuluka kwakulu kwa mahomoni kunawululidwa.

Kodi ndi zifukwa ziti zowonjezera insulini, ndipo nchiyani chomwe chingapangitse kuti muchoke ku zisonyezo zokhazikika?

Zolemba za mahomoni ndi gawo lake m'thupi

Kupanga kwa insulin kumapangidwa ndi kapamba kuti abweretse kuchuluka kwa shuga mthupi la munthu.

Hemeni ya insulin imapangidwa ndi maselo a pancreatic beta.

Hormone ya polypeptide iyi ndiyofunikira pakugwira bwino ntchito kwa ziwalo zonse ndi machitidwe.

Zogwira ntchito zake zimaphatikizapo:

• kupatsidwa kwa amino acid ndi potaziyamu kumaselo amthupi.
• kutenga nawo mbali njira yowonjezera minofu.
• chimatumiza shuga obwera kuchokera ku madzi a m'magazi kupita ku maselo ndi minofu ya thupi.
• zimathandizira kukonza ndi kuwongolera kagayidwe kazachilengedwe.
• amatenga gawo limodzi pakupanga mapuloteni ndi lipid metabolism.

Nthawi zambiri, insulini ya mahomoni iyenera kukhala m'thupi la munthu pamlingo kuyambira 3 mpaka 20 μU / ml. Kuti mupeze zambiri zolondola, kafukufuku wofufuzira amachitika mu mawonekedwe a kusanthula kwamadzi m'magazi opanda kanthu.

Ngati njirayi imagwiritsidwa ntchito masana, Zizindikirozo sizingakhale zolondola, zomwe zimagwirizanitsidwa makamaka ndi zakudya. Amadziwika kuti akadya chakudya, pamakhala kuchuluka kwa shuga m'magazi am'magazi, chifukwa chachitsulo chimayamba kutulutsa timadzi tambiri timene timayendetsa shuga omwe akubwera.

Mwana alibe zotere, ana amatha kuwunikira nthawi iliyonse. Kuwonjezeka kwa insulin yamagazi kumayamba kuonekera mwa achinyamata, omwe amakhudzana makamaka ndi kutha msinkhu.

Kupenda kuchuluka kwa mahomoni omwe amapangidwa amafunikira kuti ayesetse momwe magwiridwe am'mimba amapangidwira. Kupatuka pamlingo wabwinoko kumatha kuwonetsa ndikulankhula za kukhalapo kwa matenda kapena zovuta zina pakugwira ntchito kwa ziwalo zamkati ndi machitidwe a thupi la munthu. Nthawi yomweyo, mosasamala kanthu pakupanga ma insulin, zomwe siziyenera kukhala zochepa kapena zapamwamba kuposa zomwe zimakhazikitsidwa. Zambiri zopanda pake zimawonetsa kuchepa komanso kuchuluka kwa ma insulin.

Mu labotale, munthu amatha kuchita chimodzi mwazoyesa kuti adziwe komanso kupezeka kwa zopatuka:

1. Kuyesa kwa magazi kuchokera mu mtsempha kapena chala.
2. Kuleza mtima poyeserera.
3. Kuzindikira kuchuluka kwa maselo ofiira a m'magazi - kusanthula kwa hemoglobin wa glycated.

Kafukufuku waposachedwa ndi njira yothandiza kwambiri yofufuzira, popeza sizitengera moyo wa wodwala.

Zifukwa zosamukira kuzidziwitso zokhazikika

Zinthu zosiyanasiyana komanso moyo wa munthu umapatsa plulin ya insulin yambiri.

Kuchuluka kwa insulini m'thupi kungayambitse matenda osiyanasiyana.

Chimodzi mwazifukwa zakuchuluka kwa insulin mthupi limatha kukhala pancreatic hypersecretion.

Zomwe zimapangitsa kuti insulin iwonjezeke m'magazi ndizomwe zimawonetsa zotsatirazi:

1. Munthu amadya maswiti ambiri komanso zakudya zomwe zimakhala ndi mafuta osavuta. Ndi chakudya chopanda malire chomwe nthawi zambiri chimayamba chifukwa cha kapamba yemwe amapanga insulin yambiri.
2. Zomwe zimapangitsa kuti insulin iwonjezeke ingaphatikizepo kutsatira zakudya zowonjezera, kumenyedwa kwanthaŵi yayitali.
3. Kuchita masewera olimbitsa thupi mopitirira muyeso komanso kuchita masewera olimbitsa thupi kwambiri.
4. Mankhwala ena omwe anthu amamwa, kuphatikizapo mapiritsi olengeza bwino, ndi mapiritsi azakudya.
5. Kutopa kwakam'mutu, zochitika zodetsa nkhawa sizimangopangitsa kuti insulin m'magazi iwonjezeke, komanso imatha kuyambitsa kukula kwa matenda osiyanasiyana, kuphatikizapo matenda ashuga.
6. Kulemera kwambiri komanso kunenepa kwambiri kumathandizira kuti muchepetse kuyamwa koyenera kwa mafuta komanso kusungidwa kwa zakudya zamagulu, zomwe zimapangitsa kuti zikondamoyo zizigwira ntchito mopitirira muyeso, zimapangitsa magazi kulowa.
7. Mwa akazi nthawi yapakati.
8. Zovuta pakugwira ntchito kwa pituitary ndi adrenal cortex.
9. Njira zina za pathological zomwe zimachitika m'chiwindi.
10. Kuchuluka kwa insulin m'magazi kungasonyeze kuchuluka kosakwanira kwa kufufuza zinthu ndi mavitamini m'thupi. Choyamba, izi zimagwira pa vitamini E ndi chromium.

Njira zina za m'magazi ndi zotupa zimatha kupitilira zizindikiritso za mahomoni. Nthawi zambiri, insulin imachulukitsidwa ndikukhazikika kwa ma pathologies osiyanasiyana a impso ndi adrenal glands, mawonekedwe a neoplasms mu ziwalo zam'mimba, komanso zotsatira za matenda osiyanasiyana.

Tiyenera kudziwa kuti ngati matenda monga matenda a shuga awonetsedwa, mwina akhoza kupitilanso insulini m'magazi. Vutoli limapezeka m'magulu azachipatala lodziwika kuti kukana insulini - njira yomwe kumachepetsa chidwi cha mahomoni pamaselo a ma cell, chifukwa chomwe kapamba amayenera kutulutsa zochuluka kwambiri.

Zizindikiro ndi mawonekedwe a insulin yowonjezereka m'magazi

Nthawi zambiri kuwonetsedwa kwa zizindikiro mumagawo ake oyamba, munthu amatha kunena za kupezeka kwa kupsinjika ndi mikangano yosalekeza kunyumba kapena kuntchito. Choyamba, zizindikiro zotere zimaphatikizapo kufooka kwa thupi, kutopa ndi kuchepa mphamvu. Kuphatikiza apo, zovuta zovuta kukumbukira zambiri zazidziwitso zimayamba kuwoneka, kulephera kwakukhazikika.

Tiyenera kudziwa kuti zizindikiro zowoneka za kuchuluka kwa mahomoni zimatha kukhala mu mawonekedwe a kugwidwa kwa minofu yam'munsi, kuchuluka kwa thukuta, komanso kuvuta kupuma. Mphamvu ya kupuma imayankha insulin yochuluka kwambiri mwa kufupika kwambiri, komwe kumachitika ngakhale ndi kulimbitsa thupi pang'ono.

Muyeneranso kuyang'anira chidwi chowonjezeka, chifukwa ngati insulin iwonjezereka, pamakhala njala yokhazikika.

Nthawi zina mavuto osiyanasiyana a pakhungu amatha. Izi, monga lamulo, zimadziwonetsera ngati mawonekedwe totupa pakhungu, redness kapena kuwoneka mabala omwe ndiovuta kuchiritsa.

Mochulukirapo, zizindikiro za kuchuluka kwa insulin m'magazi zitha kuwoneka ngati kusokonezeka kwa tulo kapena mavuto ndi impso.

Zizindikiro zilizonse zowonjezera za insulini ziyenera kukhala chifukwa chochezera katswiri wazamankhwala ndikuwunika. Mu magawo oyambilira awonetsero wawo, ndizotheka kuti muchepetse kukula kwa matenda osiyanasiyana ndi kusokonezeka mu ntchito ya ziwalo zambiri zamkati ndi machitidwe.

Chithandizo chowonjezeka cha insulin m'magazi chiyenera kuyikidwa ndi dokotala, chifukwa cha zomwe zimayambitsa kupatuka.

Zovuta zomwe zingachitike mthupi

Kuchuluka kwa insulini kumatha kubweretsa zotsatirapo zosiyanasiyana zoyipa ndi zovuta m'mthupi.

Matendawa amatha, ndikuwonetseredwa kwa nthawi yayitali, angayambitse matenda akulu kwambiri.

Choopsa chachikulu ndikuwonjezereka kwake, komwe kumayamba chifukwa cha chiwonetsero cha insulin.

Pankhaniyi, chiwopsezo cha zovuta zotsatirazi zaumoyo chikukula:

1. Kusintha kwa glucose kukhala mafuta m'thupi kumathandizira. Ndiye kuti, shuga omwe akubwera sasinthidwa kukhala mphamvu, momwe ziyenera kukhalira ndi zodziwika bwino za mahomoni. Zotsatira zake, mwayi wambiri kunenepa kwambiri komanso kunenepa kwambiri kumakulanso.
2. Zotsatira zoyipa pamitsempha yamagazi ndikuwonjezeka kwa kuthamanga kwa magazi, zomwe zingayambitse matenda oopsa komanso matenda ena a mtima.
3. Ndi magwiridwe antchito a thupi, glucose onse obwera motsogozedwa ndi insulin amagawidwa m'maselo ndi minyewa yonse. Ngati pali insulin resistance syndrome, kaphatikizidwe ka glucose kamasokonekera, komwe kumapangitsa kuti magazi ake azikhala mowonjezereka ndikukhala oyambitsa matenda a shuga. Kuphatikiza apo, kuphwanya malamulo kumeneku kumakhudza ntchito ya chiwindi, zomwe zimachulukitsa katunduyo pa chiwalo.
4. Ndi kuchuluka kwa insulini, kuphwanya kwa shuga ndi mtima minofu ndikotheka, komwe nthawi zambiri kumadziwonetsera ngati matenda a ischemic.

Kuphatikiza apo, kukula kwa insulin kukana kumatha kuwononga ubongo ndikuwongolera kukula kwa ma process a neurodegenerative.

Momwe mungachepetse insulin yayikulu?

Dokotala wanu angakulamulireni mankhwala ena kuti achulukitse kuchuluka kwa insulin.

Tiyenera kukumbukira kuti mankhwalawa ndi gawo limodzi chabe la chithandizo chokwanira, ndipo popanda kutsatira zakudya ndi zolimbitsa thupi, zotsatira zake sizingatheke.

Ichi ndichifukwa chake, mankhwala onse omwe mumalandira ayenera kuphatikizidwa ndi moyo wolondola komanso wogwira ntchito.

Mankhwala akhoza kukhala ndi awa:

• mankhwala a hypotonic omwe amathandizira kuchepetsa chiopsezo cha matenda a stroke kapena kugunda kwa mtima, kuchuluka kwawo kumaphatikizapo othandizira calcium ndi ACE zoletsa,
• kuphatikiza mankhwala omwe amachepetsa zigawo za metabolic, kukonza shuga wa m'magazi ndikuthandizira kuchuluka kwa insulin,
• kugwiritsa ntchito ma enzymes omwe amakhudza kuchepa kwa lipid, awa ndi oyamba kwambiri, ma serotonin inhibitors.

Ngati, malinga ndi zotsatira za mayeso, pali kuchuluka kwa insulini ndi shuga pang'ono, mwina, chithandizo kuchipatala chidzafunika.

Zambiri zomwe zimapangitsa insulini kukhala zodabwitsa kudzera m'njira zosiyanasiyana zomwe mankhwala azikhalidwe amapereka. Ichi ndiye, choyambirira, ndi decoction wa stigmas chimanga, kulowetsedwa kwa yisiti kapena tiyi wopangidwa kuchokera ku mbewu za mpendadzuwa.

Kuphatikiza zakudya zomwe zili ndi mahomoni ochulukirapo kuyenera kutsagana ndi chakudya kangapo patsiku, koma m'magawo ang'onoang'ono. Zakudya zoletsedwa monga mchere, maswiti, zophika, ndi zinthu zophika, komanso kuchepera kwa mafuta, okazinga, kapena zakudya zonunkhira.

Maziko ake azikhala azitsamba, zamasamba atsopano, nsomba zamafuta kapena nyama. Ndikofunikira kuti muzisamalira chakudya chokwanira chakumwa masana. Madzi ochepa osakhala ndi kaboni, zakumwa za zipatso zosamwa kapena zipatso zakumwa, tiyi wobiriwira kapena msuzi wa rosehip ndi abwino monga zakumwa.

Tiyenera kukumbukira kuti ngati insulini yamagazi imakwezedwa, monga momwe zizindikiro zingapo kapena zotsatira zoyeserera zingasonyezere, siziyenera kukhala zodzilankhulira zokha. Chochita chofunikira kwambiri ndikulankhula ndi dokotala. Katswiri wazachipatala azitha kufotokoza chifukwa chake panali kuwonjezeka kwa mahomoni, zomwe zikutanthauza kuti insulini yayikulu, zomwe zimatsogolera ndi zomwe zikufunika kuchitika. Ngati matenda aliwonse apezeka, amupereka mankhwala oyenera.

Zomwe zimapangitsa kuchuluka kwa insulin m'magazi kufotokozedwa ndi katswiri muvidiyoyi.

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

Chikhalidwe cha shuga. Mkulu shuga - momwe mungachepetse.

Mwazi wamagazi ndi dzina lanyumba la shuga losungunuka m'magazi, lomwe limazungulira m'matumbo. Nkhaniyi ikufotokozera za miyezo ya shuga ya magazi kwa ana ndi akulu, abambo ndi amayi apakati. Muphunzira chifukwa chake kuchuluka kwa glucose kumachuluka, momwe kumakhala koopsa, komanso koposa momwe mungakuchepetsere moyenera komanso mosatetezeka. Kuyesedwa kwa shuga kwa shuga kumaperekedwa mu labotale pamimba yopanda kanthu kapena mutatha kudya. Anthu opitilira 40 amalangizidwa kuchita izi kamodzi pachaka zitatu. Ngati matenda a shuga a prediabetes kapena Type 2 apezeka, muyenera kugwiritsa ntchito zida zam'nyumba kuyeza shuga kangapo tsiku lililonse. Chida choterocho chimatchedwa glucometer.

Glucose amalowa m'magazi kuchokera pachiwindi ndi m'matumbo, kenako magazi amatenga thupi lonse, kuyambira pamwamba mpaka mutu mpaka chidendene. Mwanjira imeneyi, minofu imalandira mphamvu. Kuti maselo atenge glucose m'magazi, insulin yofunika. Amapangidwa ndi maselo apadera a kapamba - maselo a beta. Mulingo wa shuga ndi kuchuluka kwa shuga m'magazi. Nthawi zambiri, amasinthasintha mosiyanasiyana, osapitilira. Mwazi wochepera wamagazi uli pamimba yopanda kanthu. Mukatha kudya, imadzuka. Ngati zonse zili zabwinobwino ndi kagayidwe ka glucose, ndiye kuti kuwonjezeka kumeneku sikuli kokwanira ndipo osati kwa nthawi yayitali.

• Shuga pamimba yopanda kanthu ndikatha kudya - kusiyana kwake ndi chiyani
• Mwazi wamagazi
• Matenda a shuga ndi matenda ashuga
• Momwe thupi limayang'anira shuga
• Shuga wapamwamba - zizindikiro ndi zizindikiro
• Chifukwa chiyani shuga wambiri ndi woipa
• Zithandizo za anthu
• Glucometer - mita ya shuga kunyumba
• Kuyeza shuga ndi glucometer: Malangizo a pang'onopang'ono
• Kangati patsiku muyenera kuyeza shuga
• Mafunso Ofunsidwa Kawirikawiri
• Mapeto

Thupi limapitiliza kuyang'anira kuchuluka kwa shuga kuti ukhale wathanzi. Shuga wokwera amatchedwa hyperglycemia, wotsika - hypoglycemia. Ngati kuyezetsa magazi zingapo patsiku zosiyanasiyana kukuwonetsa kuti shuga ndiwambiri, mutha kukayikira prediabetes kapena "weniweni" shuga. Kusanthula kumodzi sikokwanira izi. Komabe, munthu ayenera kukhala atcheru kale zotsatira zoyipa zisanachitike. Yesaninso kangapo m'masiku akubwera.

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

M'mayiko olankhula Chirasha, shuga wamagazi amayezedwa m'mamilimita angapo pa lita imodzi (mmol / l). M'mayiko olankhula Chingerezi, ma milligrams pa desilita (mg / dl). Nthawi zina muyenera kutanthauzira zotsatira za kuwunika kuchokera pa gawo limodzi la muyeso kupita lina. Sizovuta.

• 4.0 mmol / L = 72 mg / dl
• 6.0 mmol / L = 108 mg / dl
• 7.0 mmol / L = 126 mg / dl
• 8.0 mmol / L = 144 mg / dl

Mwazi wamagazi

Mitengo ya shuga m'magazi idadziwika kalekale. Adazindikirika mkati mwa zaka za makumi awiriwa malinga ndi kafukufuku wa anthu masauzande ambiri athanzi ndi odwala matenda a shuga. Mitengo ya shuga ya odwala matenda ashuga ndiwokwera kwambiri kuposa wathanzi. Mankhwala samayesanso konse kuwongolera shuga m'matenda a shuga, kotero kuti amafika pamlingo wamba. Pansipa mupeza chifukwa chake izi zikuchitika komanso ndi njira zina zochizira.
Zakudya zoyenera zomwe madokotala amalimbikitsa zimadzaza ndi mafuta. Zakudya izi ndizabwino kwa anthu odwala matenda ashuga. Chifukwa chakudya amapangitsa kuti shuga azingokhala. Chifukwa cha izi, odwala matenda ashuga samva bwino ndipo amakula. Odwala omwe ali ndi matenda a shuga omwe amathandizidwa ndi njira zachikhalidwe, shuga amadumphira kuchokera kumtunda kwambiri mpaka kutsika. Zakudya zamafuta zimachulukitsa, kenako ndikubaya jakisoni wamkulu wa insulin. Nthawi yomweyo, palibe chifukwa chobweretsera shuga kukhala yabwinobwino. Madotolo ndi odwala ali ndiokhutitsidwa kale kuti angathe kupewa kukomoka kwa matenda ashuga.

Komabe, ngati mumatsatira zakudya zamafuta ochepa, ndiye kuti muli ndi matenda a shuga a 2 komanso ngakhale muli ndi matenda osokoneza bongo a 1, mutha kukhalabe ndi shuga wabwinobwino, monga momwe zimakhalira ndi anthu athanzi. Odwala omwe amaletsa kudya kwa carbohydrate amawongolera shuga yawo yonse popanda insulin, kapena kuwongolera pamiyeso yochepa. Chiwopsezo cha zovuta mu mtima, impso, miyendo, maso - amachepetsa kukhala zero.Tsamba la Diabetes-Med.Com limalimbikitsa kudya zakudya zamafuta ochepa kuti azilamulira odwala a shuga olankhula Chirasha. Kuti mumve zambiri, werengani "Chifukwa Chomwe Mtundu 1 ndi Matenda Atiwiti Awiriwa Akusowa Mthupi." Zotsatirazi zikufotokozera kuchuluka kwa shuga m'magazi mwa anthu athanzi komanso momwe amasiyana mosiyanasiyana malinga ndi boma.

Mwazi wamagazi

Kwa odwala matenda ashuga

Mwa anthu athanzi

Shuga m'mawa pamimba yopanda kanthu, mmol / l5,0-7,23,9-5,0 Shuga pambuyo pa 1 ndi 2 maola mutatha kudya, mmol / lpansipa 10.0nthawi zambiri osapitirira 5.5 Glycated hemoglobin HbA1C,%pansipa 6.5-74,6-5,4

Mwa anthu athanzi, shuga wamwazi pafupifupi nthawi yonseyo amakhala m'mitundu 3.9-5.3 mmol / L. Nthawi zambiri, ndi 4.2-4.6 mmol / l, pamimba yopanda kanthu ndikatha kudya. Ngati munthu akudya kwambiri chakudya chamafuta, ndiye kuti shuga amatha kutuluka kwa mphindi zingapo mpaka 6.7-6.9 mmol / l. Komabe, ndizokayikitsa kuti ndizokwezeka kuposa 7.0 mmol / L. Kwa odwala matenda a shuga mellitus, kuchuluka kwa shuga m'magazi a 7-8 mmol / L pakatha maola 1-2 chakudya chikamawonedwa ngati chabwino, mpaka 10 mmol / L - chovomerezeka. Dokotala sangapatseni mankhwala chithandizo chilichonse, koma amangopatsa wodwala chidziwitso chofunikira - kuwunika shuga.

Chifukwa chiyani ndizofunikira kuti odwala matenda ashuga azitsatira posonyeza shuga, monga mwa anthu athanzi? Chifukwa zovuta zambiri zimayamba ngakhale shuga m'magazi akakwera kufika pa 6.0 mmol / L. Ngakhale, zowonadi, sizimakula mwachangu monga pamwambamwamba. Ndikofunika kuti musunge hemoglobin yanu ya glycated pansipa 5.5%. Ngati cholinga ichi chikwaniritsidwa, ndiye kuti chiopsezo cha imfa kuchokera kuzomwe zimayambitsa ndizochepa kwambiri.

Mu 2001, nkhani yokhudza mtima idasindikizidwa ku Britain Medical Journal yokhudza ubale wa glycated hemoglobin ndi kufa. Amatchedwa "Glycated hemoglobin, shuga, ndi kufa kwa amuna ku Norfolk cohort of European Prospective Investigation of Cancer and Nutrition (EPIC-Norfolk)." Olemba - Kay-Tee Khaw, Nicholas Wareham ndi ena. HbA1C inayesedwa mwa amuna 462 wazaka 45-79, kenako zaka 4 zinawonedwa. Mwa omwe adachita nawo kafukufukuyu, ambiri anali anthu athanzi omwe sanali kudwala matenda ashuga.

Zinapezeka kuti kufa kwa zinthu zonse, kuphatikizapo kugunda kwa mtima ndi sitiroko, ndizochepa kwambiri pakati pa anthu omwe hemoglobin ya glycated siinapamwamba kuposa 5.0%. Kukula kulikonse kwa 1% ku HbA1C kumatanthauza chiopsezo cha kufa ndi 28%. Chifukwa chake, mwa munthu yemwe ali ndi HbA1C ya 7%, chiopsezo cha imfa ndichipamwamba ndi 63% kuposa munthu wathanzi. Koma glycated hemoglobin 7% - amakhulupirira kuti uku ndi kuwongolera kwabwino kwa matenda ashuga.

Miyezo yatsopano ya shuga imasefedwa chifukwa kudya “moyenera” sikuloleza kupatsidwa shuga. Madokotala amayesetsa kuti achepetse ntchito yawo popanda kuwononga zotsatira za wodwala. Sizopindulitsa kuti boma lichiritse odwala matenda ashuga. Chifukwa anthu oyipa amawongolera matenda awo a shuga, omwe amawonjezera ndalama pakubweza ndalama ndi mapindu osiyanasiyana. Khalani ndi udindo pazamankhwala anu. Yesani zakudya zamafuta ochepa - ndipo onetsetsani kuti zimapereka pambuyo pa masiku awiri ndi atatu. Mwazi wa magazi umatsikira kukhala wabwinobwino, Mlingo wa insulin umachepetsedwa ndi 2-7 nthawi, thanzi limasintha.

Shuga pamimba yopanda kanthu ndikatha kudya - kusiyana kwake ndi chiyani

Mchere wochepera mwa anthu uli pamimba yopanda kanthu, pamimba yopanda kanthu. Chakudya chakudyacho chikamamwa, michere imalowa m'magazi. Chifukwa chake, kuchuluka kwa shuga atatha kudya kumatuluka. Ngati kagayidwe kazakudya sikasokonekera, ndiye kuti kuwonjezeka kumeneku sikuli kokwanira ndipo sikokhalitsa. Chifukwa chakuti zikondamoyo zimabisa insulin yowonjezera kuti itsitse shuga pambuyo pudya.

Ngati mulibe insulin yokwanira (mtundu 1 wa shuga) kapena yofooka (mtundu 2 wa shuga), ndiye kuti shuga mutatha kudya imatuluka maola ochepa aliwonse. Izi ndizovulaza chifukwa zovuta zimayamba pa impso, masomphenyawo amagwa, ndipo mapangidwe ake amanjenje amakhala opuwala. Choyipa chachikulu ndikuti mikhalidwe imapangidwira kugunda kwadzidzidzi kwa mtima kapena stroke. Mavuto azaumoyo omwe amayamba chifukwa cha kuchuluka kwa shuga mutatha kudya nthawi zambiri amawonedwa ngati kusintha kwachilengedwe. Komabe, amafunika kuthandizidwa, mwinanso wodwalayo sangakhale ndi moyo wapakati komanso wokalamba.

Glucose Assays:

Kuyesa kwa shuga m'magazi ndi njira yabwino yopezera matenda ashuga. Tiyeni tiwone chifukwa. Matenda a shuga akayamba, shuga wa m'magazi amayamba kudya. Zikondamoyo, pazifukwa zosiyanasiyana, sizingathe kupirira kuti zichepetse mwachangu kuti zizolowereka. Kuonjezera shuga mutatha kudya pang'onopang'ono kumawononga mitsempha yamagazi ndikuyambitsa zovuta. M'zaka zochepa za matenda ashuga, kuthamanga kwa glucose kumatha kukhala kwabwinobwino. Komabe, pakadali pano, zovuta zikupezeka kale. Ngati wodwala sayeza shuga atatha kudya, ndiye kuti samakayikira kudwala kwake mpaka zizindikirazo zikuwonekera.

Kuti mupeze matenda a shuga, tengani magazi a glycated hemoglobin mu labotale. Ngati muli ndi mita ya shuga m'magazi - yeretsani shuga 1 ndi maola awiri mutatha kudya. Musapusitsidwe ngati kuchuluka kwanu kwa shuga kusala kudya. Amayi omwe ali mu II ndi III ma trimesters am'mimba amayenera kuchitadi kuyesa kwa maola awiri pamagetsi. Chifukwa ngati matenda a shuga apezeka, kuwunika kwa hemoglobin ya glycated sikungathandize kuti muzitha kudziwa nthawi yake.

• Mayeso a matenda a shuga: mndandanda watsatanetsatane
• Glycated hemoglobin
• Kuyesedwa kwa shuga kwa maola awiri

Matenda a shuga ndi matenda ashuga

Monga mukudziwa, 90% ya omwe amachititsa kuti shuga asamayende bwino ndi mtundu wa 2 shuga. Simamera nthawi yomweyo, koma kawirikawiri prediabetes imayamba. Matendawa amatha zaka zingapo. Ngati wodwala sanalandire chithandizo, ndiye kuti gawo lotsatira limachitika - "zonse" shuga mellitus.

Momwe mungadziwire matenda oyamba ndi matenda a prediabetes:

• Kuthamanga shuga m'magazi 5.5-7.0 mmol / L.
• Glycated hemoglobin 5.7-6.4%.
• Shuga pambuyo pa maola 1 kapena 2 mutatha kudya 7.8-11.0 mmol / L.

Ndikokwanira kukwaniritsa chimodzi mwazomwe zafotokozeredwa pamwambapa kuti mupeze matenda.

Matenda a shuga ndi vuto lalikulu la metabolic. Muli pachiwopsezo chachikulu cha matenda ashuga amtundu wa 2. Mavuto owopsa pa impso, miyendo, mawonekedwe amaso akupanga tsopano. Ngati simusintha ndikukhala ndi moyo wathanzi, ndiye kuti prediabetes isandulika mtundu 2 shuga. Kapenanso mudzakhala ndi nthawi yakufa kale chifukwa cha vuto la mtima kapena sitiroko. Sindikufuna kukuwopani, koma izi ndi zotheka, osanyengerera. Kodi amathandizidwa bwanji? Werengani zolemba Metabolic Syndrome ndi Insulin Resistance, kenako kutsatira malangizowo. Matenda a shuga amatha kuyendetsedwa mosavuta popanda jakisoni wa insulin. Palibenso chifukwa chodzakhala ndi njala kapena kugwira ntchito molimbika.

Njira zoyenera kudziwa mtundu wachiwiri wa matenda ashuga:

• Kufulumira kwa shuga kumakhala kwakukulu kuposa 7.0 mmol / L malinga ndi zotsatira za kusanthula kawiri mzere pamasiku osiyanasiyana.
• Nthawi inayake, shuga wamagazi anali okwera kuposa 11.1 mmol / L, mosasamala kanthu za kudya.
• Glycated hemoglobin 6.5% kapena kuposa.
• Panthawi yovomerezeka ya glucose ya maola awiri, shuga anali 11.1 mmol / L kapena kuposa.

Monga matenda am'mbuyomu, chimodzi mwazomwe zatchulidwa pamwambapa ndizokwanira kuzindikira. Zizindikiro zodziwika bwino ndi kutopa, ludzu, komanso kukodza pafupipafupi. Pangakhale kuchepetsa osafotokozera. Werengani nkhani "Zizindikiro za matenda a shuga" mwatsatanetsatane. Nthawi yomweyo, odwala ambiri sazindikira chilichonse. Kwa iwo, zotsatira zoyipa za shuga m'magazi ndizosadabwitsa.

Gawo lapitalo limafotokoza chifukwa chake kuchuluka kwa shuga m'magazi kumakhala kwambiri. Muyenera kuwomba alamu kale shuga atatha kudya ndi 7.0 mmol / l ndipo makamaka ngati apamwamba. Kusala shuga kumatha kukhala kwabwinobwino kwa zaka zochepa pomwe matenda ashuwarawa amawononga thupi. Kusanthula uku sikuli koyenera kutenga kuti mudziwe matenda. Gwiritsani ntchito njira zina - glycated hemoglobin kapena shuga wamagazi mukatha kudya.

Type 2 shuga

Kuthamanga magazi a m'magazi, mmol / L5,5-7,0Pamwambapa 7.0 Shuga pambuyo pa 1 ndi 2 maola mutatha kudya, mmol / l7,8-11,0pamwambapa 11.0 Glycated hemoglobin,%5,7-6,4pamwambapa 6.4

Zowopsa zomwe zimayambitsa matenda a prediabetes ndi matenda a shuga a 2:

• Kunenepa kwambiri - index of body 25 kg / m2 and above.
• Kupsinjika kwa magazi 140/90 mm RT. Art. ndi mmwamba.
• Zotsatira zoyesa zamagazi cholesterol.
• Amayi omwe amakhala ndi mwana wolemera makilogalamu 4.5 kapena kuposerapo kapena wapezeka ndi matenda ashuga akakhala ndi pakati.
• Polycystic ovary.
• Milandu ya matenda amtundu 1 kapena matenda ashuga 2 m'banja.

Ngati muli ndi chimodzi mwazovuta izi, muyenera kuyang'ana shuga wanu wamagazi zaka zitatu zilizonse, kuyambira pazaka 45. Kuyang'anira ana ndi achinyamata omwe ali onenepa kwambiri komanso omwe ali ndi vuto lina lowonjezera kumalimbikitsidwanso. Afunika kuwunika shuga pafupipafupi, kuyambira ali ndi zaka 10. Chifukwa kuyambira 1980s, matenda ashuga amtundu wa 2 adakula. M'mayiko a Azungu, zimawonekera ngakhale mwa achinyamata.

Momwe thupi limayang'anira shuga

Thupi limayang'anira mosalekeza kuchuluka kwa shuga m'magazi, kuyesera kuti lisasungidwe mkati mwa 3.9-5.3 mmol / L. Izi ndiye zolondola pamoyo wabwino. Anthu odwala matenda ashuga amadziwa bwino kuti mutha kukhala ndi moyo wambiri ndi shuga. Komabe, ngakhale ngati palibe zizindikiro zosasangalatsa, shuga wowonjezereka amalimbikitsa kukula kwamavuto a shuga.

Shuga wotsika amatchedwa hypoglycemia. Uku ndi tsoka lenileni kwa thupi. Ubongo sulekerera pakakhala kuti palibe magazi okwanira m'magazi. Chifukwa chake, hypoglycemia imangodziwonetsera ngati zizindikiro - kusakwiya, mantha, palpitations, njala yayikulu. Ngati shuga agwera mpaka 2.2 mmol / L, ndiye kuti kusokonekera kwa chikumbumtima ndi kufa kumatha kuchitika. Werengani zambiri mulemba "Hypoglycemia - Kupewa ndi Kupulumutsidwa kwa Attack."

Ma hormone a Catabolic ndi insulin ndi okondana wina ndi mnzake, i.e., amakhala ndi zotsutsana. Kuti mumve zambiri, werengani nkhani "Momwe Insulini Imalamulira Magazi a shuga mwa Matenda Achimodzimodzi ndi Matenda A shuga".

Nthawi iliyonse, shuga wambiri amayenda m'magazi a munthu. Mwachitsanzo, mwa bambo wamkulu wolemera makilogalamu 75, kuchuluka kwa magazi m'thupi ndi malita asanu. Kuti tikwaniritse shuga m'magazi a 5.5 mmol / L, ndikokwanira kupukusa mkati mwake magalamu asanu okha a glucose. Izi ndi pafupifupi supuni 1 ya shuga ndi slide. Pa sekondi iliyonse, ma microscopic Mlingo wama glucose ndi mahomoni owongolera amalowa m'magazi kuti akhale bwino. Izi zimachitika maola 24 tsiku lililonse osasokoneza.

Shuga wapamwamba - zizindikiro ndi zizindikiro

Nthawi zambiri, munthu amakhala ndi shuga wambiri chifukwa cha matenda ashuga. Koma pakhoza kukhala zifukwa zina - mankhwala, kupsinjika kwamphamvu, kusokonezeka m'matumbo a adrenal kapena pituitary, matenda opatsirana. Mankhwala ambiri amalimbikitsa shuga. Awa ndi ma corticosteroids, beta-blockers, thiazide diuretics (okodzetsa), antidepressants. Kuti mupeze mndandanda wathunthu munkhaniyi sizotheka. Dokotala wanu asanakupatseni mankhwala ena, kambiranani momwe zakhudzira shuga wanu wamagazi.

Nthawi zambiri hyperglycemia siziwonetsa chilichonse, ngakhale shuga atakhala wamkulu kwambiri kuposa wabwinobwino. Woopsa akayamba kudwala, wodwalayo amatha kuzindikira. Hyperglycemic coma ndi ketoacidosis ndizovuta zowopsa zomwe zimabweretsa shuga.

Zovuta pachimake, koma zofala zambiri:

• ludzu lalikulu
• kamwa yowuma
• kukodza pafupipafupi,
• Khungu lumauma,
• mawonekedwe osaneneka
• kutopa, kugona,
• Kuchepetsa thupi
• mabala, zipsera zimachiritsa bwino,
• zomverera zosasangalatsa m'miyendo - kumeza, tsekwe,
• pafupipafupi matenda opatsirana komanso fungus omwe ndizovuta kuchiza.

Zizindikiro zowonjezera za ketoacidosis:

• kupumira pafupipafupi komanso kwanthawi yayitali
• Fungo la acetone popuma,
• chikhalidwe chosakhazikika.

• Hyperglycemic chikomokere - mwa okalamba
• Matenda ashuga ketoacidosis - odwala ndi matenda ashuga 1, achikulire ndi ana

Chifukwa chiyani shuga wambiri ndi woipa

Ngati simumalandira shuga wamagazi ambiri, zimayambitsa zovuta komanso zovuta za matenda ashuga. Mavuto owopsa adatchulidwa pamwambapa. Ichi ndi hyperglycemic chikomokere ndi matenda ashuga ketoacidosis. Amawonetsedwa ndi kusazindikira bwino, kukomoka ndipo amafuna chithandizo chamankhwala mwadzidzidzi. Komabe, zovuta zazovuta zimayambitsa kuphedwa kwa 5-10% ya odwala matenda ashuga. Ena onse amafa ndi zovuta mu impso, kupenya, miyendo, mantha am'mimba, ndipo koposa zonse - kuchokera ku vuto la mtima ndi sitiroko.

Shuga wokwera kwambiri amawononga makoma amitsempha yamagazi kuchokera mkati. Amakhala olimba mopanda kunenepa. Pazaka zambiri, calcium amawayika pa iwo, ndipo zombozo zimafanana ndi mapaipi akale amiyala. Izi zimatchedwa angiopathy - kuwonongeka kwa mtima. Komanso imayambitsa zovuta za matenda ashuga. Zoopsa zake zazikulu ndi kulephera kwa impso, khungu, kudula mwendo kapena phazi, ndi matenda amtima. Mukakhala ndi shuga m'mwazi, zovuta zake zimayamba kukhazikika ndikuwonekera kwambiri. Yang'anirani chithandizo ndi chisamaliro cha matenda anu a shuga!

• Momwe mungalandiridwire matenda a shuga a mtundu wachiwiri: njira imodzi ndi imodzi
• Mankhwala 2 a shuga: nkhani yatsatanetsatane
• Mapiritsi a Siofor ndi Glucofage
• Momwe mungaphunzirire kusangalala ndi maphunziro akuthupi

• Mtundu woyamba wa chithandizo cha matenda a shuga kwa akulu ndi ana
• Nthawi ya tchuthi ndi momwe mungakulitsire
• Njira ya jakisoni wopweteka wa insulin
• Matenda a shuga 1 amtundu wa mwana amathandizidwa popanda insulin pogwiritsa ntchito zakudya zoyenera. Mafunso ndi banja.
• Momwe mungachepetse kuwonongeka kwa impso

Zithandizo za anthu

Chithandizo cha anthu omwe amachepetsa shuga m'magazi a ku Yerusalemu ndi artichoke, sinamoni, komanso mitundu ingapo ya mankhwala azitsamba, mankhwala, zotupa, mapemphero, chiwembu, zina. kuti simunalandire phindu lililonse. Zithandizo za anthu zimapangidwira kwa odwala matenda ashuga omwe amadzinyenga, m'malo mothandizidwa bwino. Anthu oterewa amafa msanga chifukwa cha zovuta.

Mafanizi azitsamba azikhalidwe za anthu odwala matenda ashuga ndiwo "makasitomala" enieni a madokotala omwe amalimbana ndi kulephera kwa impso, kucheka kwa malekezero ena am'munsi, komanso ophthalmologists. Mavuto a matenda a shuga a impso, miyendo ndi maso zimawonetsa zaka zovuta zambiri wodwala asanaphe kapena matenda a mtima. Opanga ambiri ogulitsa mankhwalawa amagwira ntchito mosamala kuti asatsutsidwe ndi mlandu. Komabe, ntchito zawo zimaphwanya malamulo amakhalidwe abwino.

Pangani shuga ndi magazi anu kangapo patsiku. Ngati mukuwona kuti zotsatira zake sizikuyenda bwino kapena zikuipiraipira, siyani kugwiritsa ntchito mankhwala opanda pake.

Funsani dokotala musanamwe mankhwala ena alionse a shuga. Makamaka ngati mwayamba kale zovuta za impso kapena muli ndi matenda a chiwindi. Zowonjezera zomwe zatchulidwa pamwambapa sizilowa m'malo mwa chithandizo ndi zakudya, jakisoni wa insulin, komanso zolimbitsa thupi. Mutayamba kumwa alpha-lipoic acid, mungafunike kuchepetsa mlingo wa insulin yanu kuti pasakhale hypoglycemia.

• Chithandizo cha Folk cha matenda a shuga - Mankhwala azitsamba
• Mavitamini a shuga - Magnesium-B6 ndi Chromium Supplements
• Alpha lipoic acid

Glucometer - mita ya shuga kunyumba

Ngati mwazindikira kuti ndi prediabetes kapena matenda ashuga, ndiye kuti muyenera kugula mwachangu chida chakuyezera kwanu shuga. Chipangizochi chimatchedwa glucometer. Popanda icho, matenda a shuga sangathe kuyendetsedwa bwino. Muyenera kuyeza shuga osachepera 2-3 patsiku, makamaka nthawi zambiri. Mitsempha yamagazi a kunyumba inatuluka m'ma 1970. Mpaka pomwe amagwiritsidwa ntchito kwambiri, odwala matenda ashuga amayenera kupita ku labotale nthawi iliyonse, kapena ngakhale kukhala kuchipatala kwa milungu ingapo.

Mamita amakono a glucose amakono ndi opepuka komanso osalala. Amayeza shuga m'magazi pafupifupi osapweteka ndipo amawonetsa zotsatira zake. Vuto lokhalo ndiloti zingwe zoyeserera sizotsika mtengo. Muyezo uliwonse wa shuga mumakhala pafupifupi $ 0,5. Ndalama zonse zimapitilira mwezi umodzi. Komabe, izi ndi ndalama zosapeweka. Pulumutsani pamiyeso yoyeserera - pitani mukamachiritsa odwala matenda ashuga.

Panthawi ina, madokotala anakana kulowa nawo msika wa glucometer. Chifukwa adawopsezedwa ndi kutayika kwa magwero akuluakulu achuma kuchokera kuyezetsa magazi a labotale chifukwa cha shuga. Mabungwe azachipatala adatha kuchedwetsa kukwezedwa kwa shuga wamagazi kunyumba kwa zaka 3-5. Komabe, zida izi zikagulitsidwa, adayamba kutchuka. Mutha kudziwa zambiri pa nkhaniyi pa Dr. Bernstein. Tsopano, mankhwala ovomerezeka akuchepetsa kupititsanso kwa zakudya zamafuta ochepa - chakudya chokhacho choyenera kwa odwala omwe ali ndi matenda a shuga a mtundu woyamba 1.

Kuyeza shuga ndi glucometer: Malangizo a pang'onopang'ono

Odwala a shuga ayenera kuyeza shuga ndi glucometer osachepera 2-3 patsiku, makamaka makamaka. Iyi ndi njira yosavuta komanso yopweteka. M'miyendo yoloza zala, singano ndizowonda kwambiri. Zomverera sizimapwetekanso kwambiri monga momwe kulumidwa ndi udzudzu. Kungakhale kovuta kuyeza shuga lanu lamwazi koyamba, kenako mudzayamba kusuta. Ndikofunika kuti wina ayambe kuwonetsa momwe angagwiritsire ntchito mita. Koma ngati palibe munthu wodziwa zambiri pafupi, mutha kuthana nawo nokha. Gwiritsani ntchito malangizo omwe ali pansipa.

1. Sambani manja anu ndi youma bwino.
2. Kusamba ndi sopo ndikofunikira, koma osafunikira ngati palibe zikhalidwe za izi. Osapukuta ndi mowa!
3. Mutha kugwedeza dzanja lanu kuti magazi ayambe kupita ku zala zanu. Chabwinonso ndikuchisunga pansi pa mtsinje wa madzi ofunda.
4. Zofunika! Tsambalo liponya louma. Musalole madzi kuti atulutsire dontho la magazi.
5. Ikani gawo loyeserera mu mita. Onetsetsani kuti uthenga wabwino ukuonekera pazenera, mutha kuyeza.
6. Pierce chala chokhala ndi lancet.
7. Kuchepetsa chala chanu kufinya dontho la magazi.
8. Ndikofunika kuti musagwiritse ntchito dontho loyamba, koma kuti muchotse ndi ubweya wouma kapena thonje. Uku si malingaliro ovomerezeka. Koma yesani kutero - ndipo onetsetsani kuti kuwongolera kwakeko kwatsimikizika.
9. Finyani dontho lachiwiri la magazi ndikuwapaka pamiyeso.
10. Zotsatira zake ziziwoneka pazenera la mita - zilembeni ku dayosiyamu yanu yoyang'anira matenda a shuga limodzi ndi zambiri.

Ndikofunika kusunga diary control diabetes mosalekeza. Lembani izi:

• tsiku ndi nthawi ya muyeso wa shuga,
• Zotsatira zake
• zomwe adadya
• omwe adamwa mapiritsiwo
• kuchuluka ndi insulin yamtundu wanji,
• zomwe zinali zolimbitsa thupi, kupsinjika ndi zina.

M'masiku ochepa muwona kuti ichi ndi chidziwitso chofunikira. Dzifufuzeni nokha kapena ndi dokotala. Mvetsetsani momwe zakudya zosiyanasiyana, mankhwala osokoneza bongo, jakisoni wa insulin, ndi zinthu zina zimakhudzira shuga wanu. Kuti mumve zambiri, werengani nkhani yakuti “Zomwe zimakhudza shuga. Mungapewe bwanji kuthana ndi kuyenda osazolowereka. "

Momwe mungapezere zotsatira zolondola poyesa shuga ndi glucometer:

• Werengani mosamala malangizo a chipangizo chanu.
• Onani mita kuti muone ngati ili pamwambapa. Ikapezeka kuti chipangizochi chagona, musachigwiritse ntchito, chotsani china.
• Monga lamulo, glucometer yomwe imakhala ndi zotsika mtengo zoyesera siyolondola. Amayendetsa odwala matenda ashuga kumanda.
• Pansi pa malangizo, werengani momwe mungagwiritsire dontho la magazi pachifuwa.
• Tsatirani mosamalitsa malamulo osunga mizere. Tsekani botolo mosamala kuti mpweya wambiri usalowe. Kupanda kutero, zingwe zoyeserera ziwonongeka.
• Osagwiritsa ntchito zingwe zoyeserera zomwe zatha.
• Mukapita kwa dokotala, tengani glucometer nanu. Sonyezani adokotala momwe mumayeza shuga. Mwina dokotala wodziwa zambiri angakuwonetseni zomwe mukuchita zolakwika.

Kangati patsiku muyenera kuyeza shuga

Kuti muchepetse matenda a shuga, muyenera kudziwa momwe shuga yanu imakhalira tsiku lonse. Kwa odwala matenda ashuga ambiri, vuto lalikulu limachulukitsidwa m'mawa m'mimba yopanda kanthu, kenako ndikudya cham'mawa. Mwa odwala ambiri, shuga amawonjezereka kwambiri pambuyo pa nkhomaliro kapena madzulo. Mkhalidwe wanu ndi wapadera, wosafanana ndi wina aliyense. Chifukwa chake, tikufunika kukonzekera payekha - zakudya, jakisoni wa insulin, kumwa mapiritsi ndi zochitika zina. Njira yokhayo yopezera chidziwitso chofunikira pakuwongolera matenda a shuga ndikuyesa shuga wanu pafupipafupi ndi glucometer. Zotsatirazi zikufotokoza kangati patsiku muyenera kuyeza.

Kuyang'anira magazi konse ndikamayesa:

• m'mawa - titangodzuka.
• kenako - musanayambe kudya chakudya cham'mawa,
• Maola 5 mutatha jakisoni aliyense wa insulin,
• pamaso chakudya chilichonse kapena chakudya.
• mukatha kudya chilichonse kapena zakudya zina - patatha maola awiri,
• musanagone
• musanakhale ndi maphunziro akuthupi, zochitika zovuta, zoyeserera zamphamvu kuntchito,
• mukangomva njala kapena kukayikira kuti shuga yanu ndiyapansi kapena kuposa apo,
• musanayendetse galimoto kapena kuyamba kugwira ntchito zoopsa, ndipo kenako ola lililonse mpaka mutamaliza,
• pakati pausiku - kupewa mankhwalawa hypoglycemia.

Nthawi iliyonse mukatha kuyeza shuga, zotsatira zake ziyenera kulembedwa mu diary. Sonyezani nthawi ndi zochitika zina:

• Zomwe adadya - zakudya, magalamu angati,
• insulin yomwe idalowetsedwa komanso mlingo uti
• mapiritsi a shuga omwe adamwa
• watani
• zolimbitsa thupi
• wokometsedwa
• matenda opatsirana.

Lembani zonse, bwerani. Ma cell amakumbukidwe a mita samalola kujambula zochitika zotsatana. Chifukwa chake, kuti musunge zolemba, muyenera kugwiritsa ntchito cholembera pepala, kapena bwino, pulogalamu yapadera mufoni yanu. Zotsatira za kuwunika kwathunthu kwa glucose zimatha kusanthula palokha kapena palimodzi ndi dokotala. Cholinga ndikufuna kudziwa kuti ndi nthawi yanji masana komanso kuti shuga yanu siyabwinobwino. Ndipo kenako, chitani zinthu - gwiritsani ntchito pulogalamu yochizira matenda ashuga.

Kudziletsa kwathunthu kwa shuga kumakupatsani mwayi wowunika momwe zakudya zanu, mankhwala, maphunziro akuthupi ndi jakisoni wa insulin alili. Popanda kuwunikira mosamala, ma charlatans okha ndi omwe "amathandizira" matenda a shuga, pomwe pamakhala njira yolunjika kwa dotolo kuti akadule phazi ndi / kapena kwa nephrologist kuti adayetse matenda. Anthu ochepa odwala matenda ashuga omwe amakhala okonzekera kukhala tsiku ndi tsiku mu njira zomwe tafotokozazi. Chifukwa mtengo wa mayeso woyezera wa glucometer ukhoza kukhala wokwera kwambiri. Komabe, yang'anirani kwathunthu magazi osachepera tsiku limodzi sabata lililonse.

Ngati mukuwona kuti shuga wanu wayamba kusinthasintha mwanjira ina, ndiye kuti ingokhalani masiku angapo mumachitidwe owongolera mpaka mutapeza ndikuchotsa zomwe zimayambitsa. Ndikofunika kuphunzirira nkhani ya "Zomwe zimakhudza shuga. Momwe mungathetsere kudumpha ndi kukhalabe kwabwinobwino. ” Ndalama zochulukirapo zomwe mumagwiritsa ntchito poyesa mita ya glucose, mumasunga ndalama zambiri pochiza zovuta za shuga. Cholinga chachikulu ndikukhala ndi thanzi labwino, kupulumuka anzanu ambiri osakhala okalamba. Kusunga magazi nthawi zonse osapitilira 5.2-6.0 mmol / L ndi zenizeni.

Mafunso Ofunsidwa Kawirikawiri

Ngati mwakhala zaka zingapo ndi shuga wambiri, 12 mmol / L ndi kupitilirapo, ndiye kuti sibwino kuti muchepetse mwachangu mpaka 4-6 mmol / L, monga mwa anthu athanzi. Chifukwa zizindikiro zosasangalatsa komanso zowopsa za hypoglycemia zitha kuwoneka. Makamaka, zovuta za shuga m'masomphenya zimatha kukula. Ndikulimbikitsidwa kuti anthu oterowo ayambe kutsitsa shuga mpaka 7-8 mmol / L ndikulola kuti thupi lizolowere mkati mwa miyezi 1-2. Ndipo kenako pitirirani kwa anthu athanzi. Kuti mumve zambiri, onani nkhani yakuti “Zolinga za chisamaliro cha matenda ashuga. Ndi shuga uti amene muyenera kulimbana naye. ” Ili ndi gawo "Mukafunikira makamaka shuga."

Nthawi zambiri simumayesa shuga ndi glucometer. Kupanda kutero, akadazindikira kuti buledi, chimanga ndi mbatata zimachulukitsa chimodzimodzi ndi maswiti. Mutha kukhala ndi matenda osokoneza bongo kapena matenda oyamba a shuga 2. Kuti mumvetse bwino za matendawa, muyenera kupereka zambiri. Momwe angapangidwire - afotokozedwa mwatsatanetsatane m'nkhaniyi. Njira yayikulu yochepetsera ndi zakudya zamafuta ochepa.

Shuga m'mawa pamimba yopanda kanthu amadzuka chifukwa m'maola angapo m'mawa, chiwindi chimachotsa insulini m'magazi. Izi zimatchedwa chodabwitsa cha m'bandakucha. Amapezeka mwa odwala ambiri omwe ali ndi matenda amtundu wa 2 komanso a 2. Werengani zambiri kuti mudziwe bwanji shuga m'mimba popanda kanthu. Ili si ntchito yosavuta, koma yotheka. Muyenera kulangidwa. Pakatha milungu itatu, chizolowezi chokhazikika chimakhazikika, ndipo kumamatira ku regimen kumakhala kosavuta.

Ndikofunikira kuyeza shuga m'mawa uliwonse pamimba yopanda kanthu. Ngati mungabaye insulin musanadye, muyenera kuyeza shuga musanadye jekeseni iliyonse, ndipo kenanso maola awiri mutatha kudya. Izi zimapezeka 7 pa tsiku - m'mawa mopanda kanthu m'mimba komanso zina kawiri pachakudya chilichonse. Ngati muli ndi matenda ashuga amtundu wa 2 ndipo mumawongolera ndi zakudya zamafuta ochepa osaba jakisoni wothamanga, ndiye kuyeza shuga maola awiri mutatha kudya.

Pali zida zomwe zimatchedwa pitilizani kuunika magazi. Komabe, ali ndi cholakwika chachikulu kwambiri poyerekeza ndi glucometer wamba. Mpaka pano, Dr. Bernstein sanalangizebe kuzigwiritsa ntchito. Komanso, mtengo wawo umakhala wokwera.

Yesani nthawi zina kuboola ndi chala chanu osati zala zanu, koma mbali zina za khungu - kumbuyo kwa dzanja lanu, mkono wamanja, ndi zina. Nkhani ili pamwambapa ikufotokoza momwe mungachitire izi. Mulimonsemo, sinthani zala za manja onse awiri. Osamamenyetsa chala chomwecho nthawi zonse.

Njira yokhayo yochepetsera shuga mwachangu ndikumabaya insulin yochepa kapena yochepa kwambiri. Zakudya zamafuta ochepa zimatsika shuga, koma osati nthawi yomweyo, koma mkati mwa masiku atatu. Mitundu yina ya mapiritsi a shuga a 2 amachitapo kanthu mwachangu. Koma ngati mutawatenga pa Mlingo wolakwika, ndiye kuti shuga amatha kutsika mopitirira muyeso, ndipo munthu amatha kuzindikira. Zithandizo zachikhalidwe ndi zachinyengo, sizithandiza konse. Matenda a shuga ndi matenda omwe amafunikira chithandizo chamankhwala, kulondola, kulondola. Mukamayesetsa kuchita zinthu mwachangu, mwachangu, mutha kungovulaza.

Muyenera kuti muli ndi matenda ashuga amtundu woyamba. Yankho lenileni la funsoli linaperekedwa m'nkhani yakuti: “Maphunziro azachilengedwe a matenda ashuga.” Mulimonsemo, zabwino zolimbitsa thupi mumapeza kuposa zovuta. Osasiya maphunziro akuthupi. Pambuyo poyesera kangapo, mupeza momwe mungakhalire shuga wabwinobwino musanayambe kuchita masewera olimbitsa thupi komanso pambuyo pake.

M'malo mwake, mapuloteni amawonjezera shuga, koma pang'onopang'ono komanso osatinso michere. Cholinga chake ndikuti gawo la mapuloteni adyidwa m'thupi limasandulika kukhala glucose. Werengani nkhani yakuti "Mapuloteni, Mafuta, Zakudya Zam'madzi, ndi CHIKWANGWANI CHA CHAKUDYA CHOKHALITSA" Ngati mutsatira zakudya zamafuta ochepa kuti muchepetse matenda ashuga, muyenera kuganizira kuchuluka kwa mapuloteni omwe mumadya kuti muwerenge kuchuluka kwa insulin. Anthu odwala matenda ashuga omwe amadya chakudya chamagulu omwe amakhala ndi chakudya chambiri sazindikira mapuloteni. Koma ali ndi mavuto enanso ...

• Momwe mungayesere shuga ndi glucometer, kangati patsiku muyenera kuchita izi.
• Momwe mungasungire zolemba za matenda a shuga komanso motani
• Mitengo ya shuga m'magazi - chifukwa chake amasiyana ndi anthu athanzi.
• Zoyenera kuchita ngati shuga ndiwambiri. Momwe mungachepetse ndikuisunga bwino.
• Zida zamankhwala othandizira odwala matenda ashuga okalamba komanso otsogola.

Zomwe zili m'nkhaniyi ndiye maziko a pulogalamu yanu yolimbana ndi matenda a shuga. Kukhala ndi shuga wokhazikika, ngati momwe zimakhalira ndi anthu athanzi, ndizotheka kukwaniritsa ngakhale matenda ashuga amtundu woyamba, komanso makamaka ndi matenda a shuga 2. Mavuto ambiri sangathe kuchepetsedwa, komanso kuchiritsidwa kwathunthu. Kuti muchite izi, simuyenera kufa ndi njala, kuvutika m'makalasi ophunzitsa zolimbitsa thupi kapena kubaya Mlingo waukulu wa insulin. Komabe, muyenera kukulitsa kulanga kuti muzitsatira boma.

Kuchuluka shuga

Nthawi zambiri, insulini imayang'anira kuchuluka kwa glucose mu cell. Ndiwonjezere zomwe zili m'magazi, kapamba amawonjezera katulutsidwe ka timadzi tating'onoting'ono ndipo kuchuluka kwa glycemia amabwerera 3,3-5.5 mmol / l. Mtunduwu umapatsa maselo mphamvu zamagetsi ndipo mulibe poizoni pachipanda cha mtima.

Pambuyo podya, shuga amatha kuwonjezera mpaka 7-8 mmol / l, koma atatha maola 1.5-2, glucose amalowa m'maselo ndipo mulingo wake umachepa. Mu shuga mellitus, insulin imalowera m'magazi ochepa kapena osakhalapo.

Chimenechi ndi mtundu woyamba wa matenda a shuga, ndipo mtundu wachiwiri umayendera limodzi ndi kuchepa kwa insulin, chifukwa cha kukana kwakeko. Chifukwa chake, kwa matenda a shuga a shuga, chizindikiritso chofanana ndi kuwonjezeka kwa kudya kwa glucose woposa 7.8 mmol / l, ndipo mukatha kudya kumatha kukhala 11.1 mmol / l.

Zizindikiro za matendawa zimagwirizanitsidwa ndikuti ndi glycemia pamtunda wa 10 mmol / l, glucose amalanda cholumikizira impso ndipo amayamba kuwonetsa mkodzo kuchokera mthupi. Nthawi yomweyo imakopa madzi ambiri, ndikupanga madzi am'madzi. Chifukwa chake, njala imamera m'maselo chifukwa choti kusowa kwa glucose komanso kusowa kwa madzi.

Zizindikiro za matenda ashuga:

• Kuchulukitsa kuchuluka kwa mkodzo, kukodza pafupipafupi.
• Njala yokhazikika.
• Zofooka zambiri.
• Kuchepetsa thupi.
• Kukhazikika ndi khungu louma.
• Chitetezo chochepa.

Ngati shuga wamagazi amawonjezereka pafupipafupi, ndiye pakapita nthawi, shuga amayamba kuwononga khoma la chotengera, ndikupangitsa angiopathy, zomwe zimapangitsa kufooka kwa magazi m'matumba ang'onoang'ono komanso akulu. Zochita mu mitsempha ya mitsempha ndizowonongeka.

Mavuto a matendawa amatuluka mwa mtundu wa polyneuropathy, retinopathy, matenda a shuga, neherropicosis. Kusokonezeka kwa mtima kumayambitsa ischemia mu minofu ya mtima, ubongo, komanso kuthamanga kwa magazi kumawonjezeka. Kusintha konseku kwa minyewa kumachitika pang'onopang'ono, kuyambira zaka zingapo mpaka zaka khumi.

Kukwera kwambiri kwa glycemia kumabweretsa zovuta. Ngati shuga m'magazi ndi 21 mmol / L kapena kuposa, ndiye kuti pamakhala mkhalidwe wokhazikika, ndikusintha kukhala ketoacidotic kapena hyperosmolar diabetesic coma.

Ngati sichinapatsidwe, zitha kupha.

Zifukwa zolipirira shuga

Malinga ndi gulu la kuchuluka kwa matenda a hyperglycemia, zisonyezo zoposa 16 mmol / L zimatchulira zovuta za matendawa, pomwe pamakhala chiwopsezo chachikulu chotenga matenda a shuga. Hypa yokhala ndi vuto laukali ndilowopsa kwa okalamba, chifukwa zimapangitsa kuti ubongo usinthe.

Kupezeka kwawo kumalumikizidwa ndi kupezeka kwa matenda opatsirana, masoka am'mimba - vuto la mtima kapena sitiroko, kumwa kwambiri zakumwa zoledzeretsa, kuvulala, mankhwala a mahomoni. Shuga 21 mmol / l amatha kuchitika ndikuphwanya kwambiri zakudya, mlingo woyenera wa mapiritsi a insulin kapena shuga.

Type 1 shuga mellitus imayamba kuwoneka ndi ketoacidotic chikomokere, kuphatikizika uku kumakhala kofala kwambiri muubwana, nthawi zina kumabweretsa mavuto azamisala, mantha a kunenepa kapena kuwopsa kwa hypoglycemic, kusiya kosavomerezeka kwa jakisoni wa insulin, kuchepa kwakukulu kwa zochitika zolimbitsa thupi popanda kusintha mtundu wa mahomoni.

Njira ya chitukuko cha matenda ashuga chikugwirizana ndi zochita zotsatirazi:

1. Kuperewera kwa insulin.
2. Kutulutsa kowonjezera kwa cortisol, glucagon, adrenaline.
3. Kuchulukitsa kwa shuga m'magazi.
4. Kuchepetsa minofu ya m'magazi.
5. Kuwonjezeka kwa shuga m'magazi.

Mu diabetesic ketoacidosis, mafuta acids aulere amamasulidwa kumafamu amafuta ndikuwonjezereka kwa chiwindi kupita ku matupi a ketone. Izi zimapangitsa kuwonjezeka kwa magazi awo, zomwe zimapangitsa kuti anthu asinthe mbali ya acid, metabolic acidosis imapangidwa.

Ngati insulin sikokwanira kuchepetsa hyperglycemia yayikulu, koma ingachepetse kuchepa kwa mafuta ndikupanga ma ketones, ndiye kuti boma la hyperosmolar limachitika.

Chithunzichi ndichipatala.

Zizindikiro za kubwezerera koopsa

Kukula kwa vuto la hyperosmolar coma kumatha kuchitika kwa masiku angapo kapena milungu ingapo, ndipo matenda a ketoacidosis a mtundu 1 a shuga nthawi zina amapezeka patsiku. Mavuto onse awiriwa amaphatikizidwa ndi kuwonjezeka pang'onopang'ono kwa polyuria, ludzu, kulakalaka thupi, kuchepa thupi, kufooka thupi, kufooka kwambiri, kuchepa kwa kukakamizidwa komanso kusazindikira.

Ndi ketoacidosis, chithunzi cha chipatala chimathandizidwa ndi kupweteka kwam'mimba, mseru komanso kusanza, kununkhira kwa acetone mumlengalenga wopumira, kupuma kwamlomo. Kusokonekera kwa hyperosmolar kumabweretsa kuwonjezeka kwa zizindikiro zamitsempha zofanana ndi zomwe zimachitika pangozi yamatenda oopsa kwambiri: kuyankhula kokhazikika, kuchepa kwa kayendedwe komanso kuzungulira miyendo, ndi kupweteka.

Ngati chikomokere chikuchitika motsutsana ndi matenda opatsirana, ndiye kuti kutentha kwa matenda ashuga kumatsika kuchulukana. Hypothermia muzochitika zotere ndi chizindikiro chosavomerezeka cha chidziwitso, chifukwa chimawonetsa kuphwanya kwakukulu kwa kagayidwe kachakudya.

Diagnostics yogwiritsira ntchito mayeso a labotale ikuwonetsa kupatuka kotere:

• Ketoacidosis: leukocytosis, glucosuria, acetone mu mkodzo ndi magazi, ma electrolyte amwazi amasintha pang'ono, mawonekedwe a magazi ndi acidic.
• Hyperosmolar state: hyperglycemia yayikulu kwambiri, palibe matupi a ketone m'magazi ndi mkodzo, asidi-acid boma ndi lachilendo, hypernatremia.

Kuphatikiza apo, electrocardiography, kuyang'anira kuthamanga kwa magazi, kuyesa kwa X-ray, ngati akuwonetsedwa, ndi komwe.

Chithandizo cha chikomokere hyperglycemic zinthu

Kuti mudziwe chifukwa chomwe shuga ali ndi 21 komanso zoyenera kuchita muzochitika zotere, ndi akatswiri okha omwe angasankhe. Chifukwa chake, muyenera kulumikizana ndi ambulansi kuti mugonekere kuchipatala. Odwala oterewa amathandizidwa m'chipinda chothandizira kwambiri.

Palibe umboni wa kulephera kwamtima kwambiri, kukhazikitsidwa kwa madzi obwezeretsa magazi mozungulira kumachitika kuyambira mphindi zoyambirira za matenda. Kwa dontho, njira yothandizira ya sodium chloride imagwiritsidwa ntchito pafupifupi 1 lita imodzi.
Ngati wodwala walephera kuwonongeka kwa impso kapena mtima, ndiye kuti kulowetsako kumayamba pang'onopang'ono. M'masiku oyamba, amafunika kupereka pafupifupi 100-200 ml pa kilogalamu imodzi yakulemera kwa thupi la wodwala.

Malamulo a insulin mankhwala oopsa a hyperglycemia:

1. Intravenous makonzedwe, ndi kusintha pang'onopang'ono kwa chizolowezi - subcutaneous.
2. Mankhwala opangidwa mwanjira yabwinobwino amagwiritsidwa ntchito.
3. Mlingo ndi wotsika, kuchepa kwa hyperglycemia sikupitilira 5 mmol / l pa ola limodzi.
4. Insulin imayendetsedwa motsogozedwa ndi potaziyamu m'magazi, kuchepa kwake sikuloledwa.
5. Ngakhale atakhazikika glycemia mu mtundu 2 wa shuga, chithandizo cha insulin chimapitilizidwa kuchipatala.

Pamodzi ndi kuyambitsa kwa insulin ndi saline, odwala amapatsidwa mayankho okhala ndi potaziyamu, maantibayotiki othandizira amachitika pamaso pa matenda oyambitsidwa ndi bakiteriya kapena pyelonephritis, zilonda zopatsirana (matenda ashuga phokoso), chibayo. Ndi zovuta kuzungulira kwa magazi, kukonzekera kwa mtima kumalimbikitsidwa.

Mavuto a kukomoka kwa matenda ashuga akuphatikizapo kuchepa kwa glucose wamagazi ndi potaziyamu, kutsika kwambiri kwa shuga, matumbo am'mimba amatha.

Matenda a shuga amawononga

Pofuna kuti muchepetse khwawa, kudziwika kwa nthawi yochepa kwa hyperglycemia ndi kusintha kwa insulin kapena mapiritsi ochepetsa shuga ndi kofunikira. Pazakudya, ndikofunikira kuti muchepetse chakudya chamafuta ambiri ndi mafuta a nyama, kumwa madzi oyera oyera, muchepetsani kudya tiyi komanso khofi, okodzetsa.

Mtundu woyamba wa shuga, muyenera kukumbukira kuti insulini singachotsedwe kapena kutseguka nthawi iliyonse. Odwala omwe ali ndi mtundu wachiwiri wa matenda komanso chiphuphu chosakwanira cha shuga pomwa mapiritsi amawonjezeredwa insulin.

Izi zitha kukhala zofunikira ndikulowa ndi matenda opatsirana kapena matenda ena oyamba. Mlingo ndi mtundu wa insulin zimangoperekedwa ndi adokotala omwe amayang'aniridwa ndi shuga. Kuti mudziwe mtundu wa mankhwalawo, mbiri ya glycemic, hemoglobin wa glycated, ndi lipid mawonedwe amwazi.

Zambiri zokhudzana ndi matenda ashuga owonongedwa zimaperekedwa kanema munkhaniyi.