Ngati magazi shuga 25

Glucose ndiye gwero lalikulu lamphamvu kwa anthu. Zimathandizira minofu ndi ma cell amanjenje kuti azigwira ntchito bwino, amatenga nawo mbali mu kagayidwe, amachepetsa kupsinjika ndi njala, amalimbitsa ubongo, komanso amathandizira ntchito ya mtima. Koma chinthuchi chimatha kukhala chothandiza pamlingo wina wake. Chifukwa chake pamimba yopanda kanthu, kupendekera kwake ndi 3.3-5,5 mmol / L. Ngati kuyesedwa kwa labotale kukuwonetsa shuga 25, izi zikutanthauza kukula kwa hyperglycemia, yomwe imakhala yoyipa kwa thanzi komanso moyo wa wodwalayo. Pofuna kupewa zovuta za pathological process, ndikofunikira kudziwa zomwe zimayambitsa chisokonezo, ndikuyesera kukonza zomwe zikuwonetsa.

Mwazi wa Magazi 25 - Kodi Zimatanthauzanji?

Chifukwa chachikulu chomwe chimakhala ndi shuga wambiri m'magazi, mpaka magawo 25.1-25.9 komanso pamwambapa, ndizovuta za insulini kapena kusalimba kwa minofu ndi maselo a thupi la munthu. Glucose amasiya kunyamulidwa kupita kumalo oyenera ndikuyamba kudziunjikira m'magazi, ndikuchita zinthu zowononga thupi.

Hyperglycemia imatha kukhala yakanthawi komanso kutha. Kuchuluka kwa shuga kwakanthawi kumalumikizidwa ndi:

• poizoni wa monoxide
• kuyamwa kwambiri kwa chakudya ndi chakudya,
• kupweteka kwapweteka
• nthawi yobala mwana,
• kuchepa magazi kwambiri
• kumwa mankhwala ena (okodzetsa, mankhwala osokoneza bongo, zoletsa zam'kamwa),
• hypovitaminosis.

Hyperglycemia yolimba imayenda bwino chifukwa cha:

• yotupa, ya oncological ndi zina zomwe zimasokoneza kapamba,
• kulimba kwa mphamvu zamaganizidwe,
• kulephera kwa mahomoni
• kukula kwa matenda ashuga
• matenda a chiwindi ndi impso,
• Cushing's syndrome.

Mkulu shuga mu odwala matenda ashuga akhoza kukhala ndi:

• osagwirizana ndi zakudya zotchulidwa ndi adotolo,
• kuthamangitsa mankhwala ochepetsa shuga,
• kusowa zolimbitsa thupi,
• matenda opatsirana kapena tizilombo,
• kupsinjika kwakukulu.

Mu ana, hyperglycemia imayamba ndi kuchepa kwa thupi, sepsis, encephalitis, meningitis ndi matenda ena akulu.

Zoyenera kuchita ngati magazi apezeka ndi shuga?

Mphepo yamkuntho yomwe imagwirira ntchito tsiku ndi tsiku komanso kuda nkhawa imatenga munthu ndikangotsegula m'mawa osalolera mpaka usiku, ndipo nthawi zina ngakhale m'maloto samabisala. Panyumba - ntchito - banja - kunyumba. Chozungulira ndichotseka - ndipo kulibiretu malo palokha mkati mwake. Ichi ndichifukwa chake mawonekedwe a matenda akulu amakhala osasangalatsa komanso osayembekezeka kwa anthu ambiri.

Ndikhulupirireni, sizichitika kuti matenda akuwonekera kunja kwamtambo, zizindikiro zake zikuwoneka kwa nthawi yayitali, koma ndani amasamalira kufooka, kutopa, kuwonda? Chilichonse chimadziwika ndi kupsinjika ndi chilengedwe, ngakhale chifukwa chomwe izi zili pamalo osiyana.

Kodi magazi okoma ndi abwino?

Imodzi mwamavuto oyambitsa mavuto obwera chifukwa cha thanzi lanu amawoneka kuti ndi shuga wambiri, koma ichi sichizindikiro choyamba cha matendawa.

Chilichonse chimayamba wamba, munthu amatopa msanga, amakhudzidwa ndi kufooka kosalekeza, ludzu, kusokonekera pafupipafupi, kuchuluka kwa chilakolako chofuna kudya, amadwala msanga komanso mwamphamvu.

Kuphatikiza apo, mwa odwala ambiri, zizindikiro zoyambirira za shuga wamagazi ndizowoneka ngati zotupa ndi kuyabwa pakhungu. Nthawi zina wodwala amabwera kuchipatala ndi madandaulo a khungu, kusamva bwino, komanso kukhumudwa.

Odwala amayesedwa koyamba ndi dokotala wabanja, yemwe nthawi zambiri amalemba mndandanda wa mayeso: kuyezetsa magazi konsekonse, kuyeseza kwamkodzo, komanso anthu azaka zopitilira 40 amafunikira kupenda kuchuluka kwa shuga m'magazi. Ziyeso zonse pamwambapa zimachitika pamimba yopanda kanthu. Maola angapo akudutsa - ndipo mayesowo ali okonzeka, ndipo kuzindikiridwa kuli pafupi kukonzeka.

Mankhwala okhathamira a shuga amawonetsa matenda ovuta - shuga, omwe amakhalabe ndi moyo moyo wonse.

Koma kodi ziwerengero za shuga zimadziwika bwanji? Masewera olimbitsa thupi a shuga wamagazi a anthu ndi 4,4 - 6.6 mmol / L, ndipo ngati kuchuluka kwa glucose kunaphunziridwa, ndiye kuti muyezo umakhala wotsika kwambiri - 3,3 - 5.5 mmol / L.

Kuphatikiza pa kuchuluka kwa shuga m'magazi, kukula kwa shuga kumatsimikiziridwa ndi kupezeka kwa glucose mkodzo, chifukwa mwa munthu wathanzi sayenera kupezeka konse.

Matenda a shuga sadziwika chifukwa cha magazi amodzi kapena mkodzo. Kenako, kuyesedwa kwa glucose kumachitika, kuchuluka kwa hemoglobin ya glycosylated kumayesedwa, kapamba amayesedwa. Zotsatira zoyesedwa zimayerekezedwa ndi chizindikiro cha shuga wambiri ndipo pokhapokha amapanga chithandizo chotsiriza ndikupereka mankhwala.

Kodi chikondi chotsekemera ndi njira yolunjika ya matenda ashuga?

Kungonena kuti kukonda kwambiri maswiti sikukuwononga mano kokha, koma kumayambitsa matenda ashuga, sizowona konse. Zoyambitsa zazikulu zomwe zimayambitsa matenda a shuga ndi izi:

1. Makamaka.
2. Zotsatira za Autoimmune.
3. Kunenepa kwambiri
4. Kuvulala kwakuthupi ndi kwamaganizidwe.
5. Kubwera kwa magazi kumapamba.

Monga mukuwonera, palibe chikondi cha maswiti pamndandanda uno. Muyenera kumvetsetsa kuti chomwe chimapangitsa shuga wambiri kuchuluka ndikuphwanya kapamba kapena chitetezo cha maselo ku insulin. Kutengera zomwe zimayambitsa, shuga ndi yamitundu iwiri:

1. Mtundu I shuga kapena wodwala wa insulin. Zimachitika pamene kulibe maselo okwanira mu kapamba omwe amapanga insulin, kapena pali maselo ambiri, ndipo amagwira ntchito mwamtima pang'ono.
2. Matenda a shuga a II kapena osadalira insulin. Awa ndi matenda omwe ali ndi insulin yokwanira mthupi, koma sangathe kulowa m'maselo.

Mutazindikira mtundu wa hyperglycemia, chithandizo chitha kutumikiridwa chomwe chingakhale chosiyana ndi mitundu iwiriyi ya matenda ashuga.

“Koma bwanji maswiti? Kodi ndingathe kudya kwambiri momwe mungafunire kapena ndibwino kuti muchepetse? ”- mukufunsa.

Zotheka kuti mukatha kudya shuga wambiri, kutsika kwa maselo opanga insulin kumatha kuchitika, ndipo shuga adzakhala wokwera kwanthaŵi yayitali.

Ndipo izi zikuthandizira kuti ma protein a anaerobic awonongeke, omwe adzakulitsa mavuto azisumbu za Langerhans. Wokoma kwambiri sayenera kuzunzidwa.

Mwazi wamagazi ambiri

Matenda a shuga ndi matenda osachiritsika omwe amafunikira kuwunikidwa pafupipafupi. Kupanda kutero, mutha kuyambitsa matenda, ndipo zovuta zimatha kubweretsa zotsatirapo zoyipa kwambiri. Anthu odwala matenda ashuga amayesa magazi pafupipafupi, ndipo simuyenera kupita kulikonse - glucometer, chipangizo chosavuta kugwiritsa ntchito, chikuwonetsa zomwe zilipo.

Dotoloyo akupereka chithandizo chapadera kwa odwala matenda a shuga - uku ndikumwa mankhwala ena kapena kuperekera insulini ya mahomoni. Ngati simumamwa mankhwalawa panthawi yake, kapena musayendetse nthawi yake, kuchuluka kwa glucose kumatha kudumpha kwambiri, kukwera pamwamba pa magawo 20. Izi ndi zizindikiro zowopsa zomwe zimafuna chithandizo chamankhwala mwachangu.

Zolinga za "Woyambitsa Wofufuma"

Kwambiri kwambiri, shuga wambiri amadzimenya m'maso, impso ndi miyendo. Ziwalo izi zimavutika ndi kuwonongeka kwa ziwiya zomwe zimawadyetsa. Chifukwa chosakwanira magazi, komanso kuledzera pafupipafupi ndi zinthu za anaerobic glycolysis, wodwalayo amatha kukumana ndi vuto la kupuma, kuwala kwa maso, khungu komanso, pamapeto pake, khungu lonse.

Impso ndi ziwalo zazikuluzikulu za thupi la munthu. Ndi thandizo lawo kuti glucose owonjezera ndi zinthu zake zowonongeka achotsedwe m'magazi.

Koma pamapeto pake, ziwiya za impso zimavulazidwa, kukhulupirika kwa intima ya capillaries kumaphwanyidwa, ndipo impso imagwira ntchito zake zoyipa tsiku lililonse.

Muzochitika zapamwamba, mapuloteni, maselo ofiira a magazi ndi zinthu zina zopangidwa ndimagazi zimapezekanso mkodzo - Umu ndi momwe kulephera kwa impso kumayamba.

Mkhalidwe wovuta wa ma capillaries amwazi umakhudza mkhalidwe wamiyendo - pali njira zotupa, ma pustules, kenako gangren.

Mchere wotsika

Chithandizo chachikulu cha matenda a shuga ndikuchepetsa shuga. Kutengera mtundu wa matenda, chithandizo choyenera chimayikidwa.

Mtundu woyamba wa shuga, mtundu umodzi wa mankhwala ndi kulandira insulin. Insulin imaperekedwa kwa moyo mwa jakisoni wa subcutaneous. Pali zokonzekera zambiri za insulin ndipo zimasankhidwa payekhapayekha kwa wodwala aliyense.

Mtundu wachiwiri wa matenda ashuga II, mapiritsi amatchulidwa kuti shuga wotsika wamagazi.

Kuphatikiza pa mankhwala, mankhwalawa pakuwonjezera shuga m'magazi ndikudya kumakhudzanso thanzi. Kuwerengera kwa B: W: Y kuyenera kukhala motere - 1: 1.5: 2.

Odwala ayenera kuchepetsa kuchuluka kwa kudya zakudya zamagulu, makamaka zosavuta (zipatso, maswiti, uchi).

Kuti muwongolere ntchito ya kapamba, yesani kudya zakudya zamafuta ochepa, nyama yokhala ndi mafuta ochepa, masamba ambiri ndi chimanga.

Shuga wambiri: chochita ndi kuchuluka kwambiri

Miyezo ya shuga yamagazi siyokhazikika nthawi zonse ndipo imatha kukhala yosiyanasiyana, kutengera zaka, nthawi ya tsiku, kudya, kuchita masewera olimbitsa thupi, kukhalapo kwa zinthu zovuta.

Magazi a shuga m'magazi amatha kuchuluka kapena kuchepa kutengera kufunikira kwakuthupi. Makina ovuta awa amawongoleredwa ndi pancreatic insulin ndipo, kwakukulu, adrenaline.

Ndi kusowa kwa insulin mthupi, malamulo amalephera, omwe amachititsa kusokonekera kwa metabolic. Pakapita kanthawi, ubongo wosasintha wa ziwalo zamkati umapangidwa.

Kuti tiwone ngati wodwala ali ndi thanzi labwino komanso kuti muchepetse zovuta zake, ndikofunikira kupenda zomwe zili m'magazi.

Shuga 5.0 - 6.0

Magazi a shuga m'magawo a mayunitsi a 5.0-6.0 amawonedwa kuti ndivomerezeka. Pakadali pano, adotolo atha kukhala osamala ngati mayesowo achokera ku 5.6 mpaka 6.0 mmol / lita, chifukwa izi zitha kuyimira kukula kwa matenda omwe amatchedwa prediabetes

• Mitengo yovomerezeka mwa achikulire athanzi imatha kuyambira 3,89 mpaka 5.83 mmol / lita.
• Kwa ana, kuyambira 3,3 mpaka 5,5 mmol / lita amadziwika kuti ndiamakhalidwe.
• Zaka za ana ndizofunikanso kuziganizira: mwa ana obadwa kumene mpaka mwezi umodzi, zizindikirozo zitha kukhala pamtunda kuchokera pa 2.8 mpaka 4,4 mmol / lita, mpaka zaka 14, zomwe zidziwitsozi zikuchokera 3,3 mpaka 5.6 mmol / lita.
• Ndikofunika kulingalira kuti ndi zaka izi zomwe deta iyi imakhala yokwera, chifukwa chake, kwa okalamba kuyambira azaka 60, kuchuluka kwa shuga m'magazi kumatha kukhala okwera kuposa 5.0-6.0 mmol / lita, yomwe imawerengedwa ngati yofala.
• Nthawi yapakati, azimayi amatha kuchuluka chifukwa cha kusintha kwa mahomoni. Kwa azimayi oyembekezera, zotsatira za kusanthula kuchokera pa 3.33 mpaka 6.6 mmol / lita imawoneka kuti ndizabwinobwino.

Mukayezetsa magazi a venous glucose, kuchuluka kwake kumawonjezeka ndi 12 peresenti. Chifukwa chake, ngati kusanthula kumachitika kuchokera m'mitsempha, zowerengera zimatha kukhala pakati pa 3.5 mpaka 6.1 mmol / lita.

Komanso Zizindikiro zimatha kusiyanasiyana ngati mutatenga magazi athunthu kuchokera ku chala, mtsempha kapena madzi a m'magazi. Mwa anthu athanzi, plasma glucose average 6.1 mmol / lita.

Ngati mayi woyembekezera amatenga magazi kuchokera chala pamimba yopanda kanthu, kuchuluka kwa deta kumatha kusintha kuchokera 3.3 mpaka 5.8 mmol / lita. Pakufufuza magazi a venous, zizindikiro zimatha kuchoka pa 4.0 mpaka 6.1 mmol / lita.

Chifukwa chake, kuchuluka kwa shuga wa glucose kumatha:

1. Ntchito yakuthupi kapena maphunziro,
2. Ntchito yayitali ya malingaliro
3. Mantha, mantha kapena vuto.

Kuphatikiza pa matenda ashuga, matenda monga:

• Kukhalapo kwa kuwawa ndi kupweteketsa mtima,
• Acute myocardial infaration,
• Matenda a ziwalo
• Kukhalapo kwa matenda oyaka
• Kuvulala kwa ubongo
• Opaleshoni
• Khunyu
• Kupezeka kwa matenda a chiwindi,
• Zovuta ndi kuvulala.

Nthawi yayitali pambuyo pake pazomwe zimapangitsa kuti ziyambe kupweteka, mkhalidwe wa wodwalayo umayamba kukhala wabwinobwino.

Kuwonjezeka kwa glucose m'thupi kumalumikizidwa nthawi zambiri osati kokha chifukwa chakuti wodwalayo adya chakudya chamafuta ambiri, komanso ndi katundu wakuthwa kwambiri. Minofu ikalemedwa, imafunikira mphamvu.

Glycogen m'misempha amasinthidwa kukhala glucose ndikukutulutsa m'magazi, zomwe zimapangitsa kuchuluka kwa shuga m'magazi. Kenako shuga amagwiritsidwa ntchito pazolinga zake, ndipo shuga pakapita kanthawi amabwerera mwakale.

Shuga 6.1 - 7.0

Ndikofunikira kumvetsetsa kuti mwa anthu athanzi labwino, momwe glucose amathandizira m'magazi a capillary samachulukanso kuposa 6.6 mmol / lita. Popeza kuchuluka kwa shuga m'magazi kuchokera chala kumakhala kwakukulu kuposa kuchokera kumitsempha, magazi a venous ali ndi zizindikiro zosiyana - kuchokera pa 4.0 mpaka 6.1 mmol / lita pa mtundu uliwonse wa kafukufuku.

Ngati shuga wamagazi pamimba yopanda kanthu ndioposa 6.6 mmol / lita, dokotala nthawi zambiri amadzazindikira matenda a prediabetes, omwe ndi vuto lalikulu la metabolic. Ngati simukuyesetsa kusintha thanzi lanu, wodwala atha kudwala matenda ashuga a 2.

Ndi prediabetes, kuchuluka kwa shuga m'magazi pamimba yopanda kanthu kuchokera pa 5.5 mpaka 7.0 mmol / lita, hemoglobin ya glycated imachokera ku 5.7 mpaka 6.4 peresenti. Ola limodzi kapena awiri atatha kumeza, deta yoyesa magazi imachokera pa 7.8 mpaka 11.1 mmol / lita. Chimodzi mwazizindikiro zake ndizokwanira kuzindikira matendawa.

Kuti atsimikizire matendawo, wodwalayo:

1. yeretsani magazi kachiwiri,
2. yesani kuyeserera kwa shuga,
3. fufuzani magazi a glycosylated hemoglobin, chifukwa njira imeneyi ndiyo njira yolondola kwambiri yopezera matenda a shuga.

Komanso, zaka za wodwalayo zimaganiziridwanso, chifukwa mu ukalamba deta kuyambira 4,6 mpaka 6,4 mmol / lita imadziwika kuti ndi yovomerezeka.

Mwambiri, kuchuluka kwa shuga kwa amayi apakati sikuwonetsa kuphwanyidwa kwachidziwikire, komanso imakhala nthawi yodandaula za thanzi lawo komanso thanzi la mwana wosabadwa.

Ngati pa mimba ndende ya shuga imachuluka kwambiri, izi zitha kuonetsa kukula kwa matenda ashuga a latent. Zikakhala pachiwopsezo, mayi wapakati amalembetsa, pambuyo pake amapatsidwa kuyesedwa kwa magazi ndi kuyesedwa ndi katundu wololera shuga.

Ngati kuchuluka kwa shuga m'magazi a amayi apakati kumakhala kwakukulu kuposa 6.7 mmol / lita, mzimayi nthawi zambiri amakhala ndi matenda a shuga. Pazifukwa izi, muyenera kufunsa dokotala ngati mkazi ali ndi zizindikiro monga:

• Kumva pakamwa lowuma
• Udzu wokhazikika
• Kukodza pafupipafupi
• Kumva njala mosalekeza
• Maonekedwe a mpweya wabwino
• Mapangidwe azitsulo amakomedwe amkamwa,
• Maonekedwe ofooka pafupipafupi ndi kutopa kwapafupipafupi,
• Kupsinjika kwa magazi kumakwera.

Kuti mupewe kupezeka kwa matenda a shuga, muyenera kuyang'aniridwa ndi dokotala pafupipafupi, mayeso onse ofunikira. Ndikofunikanso kuti musaiwale za moyo wathanzi, ngati kuli kotheka, pewani kudya pafupipafupi zakudya zokhala ndi index yayikulu ya glycemic, yayikulu mu chakudya chosavuta, chakudya.

Shuga 7.1 - 8.0

Ngati zizindikiro zam'mawa m'mimba yopanda munthu wamkulu ndi 7.0 mmol / lita ndi kukwera, adokotala atha kufunsa kuti pali shuga.

Pankhaniyi, kuchuluka kwa shuga wamagazi, mosasamala kanthu za kudya ndi nthawi, kumatha kufika 11.0 mmol / lita ndi kukwera.

Zikachitika kuti mankhwalawo ali pakati pa 7.0 mpaka 8.0 mmol / lita, pomwe palibe chizindikiro chodziwika bwino cha matendawa, ndipo adokotala akukayikira kuti amupeza, wodwalayo amayesedwa kuti ayesedwe ndi katundu wololera shuga.

1. Kuti muchite izi, wodwalayo amayesa magazi magazi am'mimba yopanda kanthu.
2. 75 magalamu a shuga wopanda mchere amatsitsidwa ndi madzi mugalasi, ndipo wodwalayo ayenera kumwa yankho lake.
3. Kwa maola awiri, wodwalayo ayenera kupumula, simuyenera kudya, kumwa, kusuta komanso kusuntha mwachangu. Kenako amatenga kuyesanso kwachiwiri kwa shuga.

Chiyeso chofananira cha kulolera kwa glucose ndizovomerezeka kwa amayi apakati pakatikati. Ngati, malinga ndi zotsatira za kusanthula, zizindikirazi zikuchokera ku 7.8 mpaka 11.1 mmol / lita, akukhulupirira kuti kulekerera kumalephera, ndiye kuti, chidwi cha shuga chimakulitsidwa.

Pamene kusanthula kukuwonetsa zotsatira pamwambapa 11.1 mmol / lita, matenda ashuga amapezeka.

Gulu lomwe likuyika chiopsezo cha matenda a shuga a mtundu wachiwiri ndi monga:

• Anthu onenepa kwambiri
• Odwala omwe amakhala ndi kuthamanga kwa magazi a 140/90 mm Hg kapena kupitirira
• Anthu omwe ali ndi cholesterol yokwanira kuposa zabwinobwino
• Amayi omwe adapezeka kuti ali ndi matenda a shuga panthawi ya pakati, komanso omwe mwana wawo ali ndi kubadwa kwa kilogalamu 4.5 kapena kuposerapo.
• Odwala ndi polycystic ovary
• Anthu omwe ali ndi chibadwa chokhala ndi matenda ashuga.

Pazifukwa zilizonse zowopsa, ndikofunikira kuyesedwa magazi kamodzi pachaka chilichonse, kuyambira zaka za 45.

Shuga 8.1 - 9.0

Ngati katatu mu mzere kuyesedwa kwa shuga kwawonetsa zotsatira zochulukirapo, dotolo amazindikira matenda a shuga a mtundu woyamba kapena wachiwiri. Ngati matendawa ayamba, kuchuluka kwa glucose kudzapezeka, kuphatikizapo mkodzo.

Kuphatikiza pa kuchepetsa mankhwala, odwala amapatsidwa mankhwala okhwima. Ngati zidzachitike kuti shuga amakwera kwambiri pambuyo chakudya chamadzulo ndipo zotsatirazi zimapitilira mpaka pogona, muyenera kukonzanso zakudya zanu. Mwambiri, mbale zazikulu zamakatoni zomwe zimaphatikizidwa mu shuga mellitus zimagwiritsidwa ntchito.

Zoterezi zitha kuchitika ngati tsiku lonse munthu sanadye mokwanira, ndipo atafika kunyumba madzulo, amapira chakudya ndikudya kwambiri.

Pankhaniyi, pofuna kupewa kuchulukana ndi shuga, madokotala amalimbikitsa kudya momwemonso tsiku lonse magawo ang'onoang'ono. Njala siyiyenera kuloledwa, ndipo zakudya zamafuta ambiri siziyenera kuperekedwa kuchakudya chamadzulo.

Shuga 9.1 - 10

Magazi a shuga m'magazi a 9,0 mpaka 10,0 amaonedwa kuti ndi gawo lamtengo wapatali. Ndi kuwonjezeka kwa deta pamlingo wa 10 mmol / lita, impso ya munthu wodwala matenda ashuga satha kudziwa kuchuluka kwa shuga. Zotsatira zake, shuga amayamba kudziunjikira mu mkodzo, zomwe zimapangitsa kukula kwa glucosuria.

Chifukwa cha kuchepa kwa chakudya chamafuta kapena insulin, chamoyo cha matenda ashuga sichilandira mphamvu yochuluka kuchokera ku glucose, chifukwa chake mafuta omwe amagwiritsidwa ntchito m'malo mwa "mafuta" omwe amafunikira.

Monga mukudziwa, matupi a ketone amakhala ngati zinthu zomwe zimapangidwa chifukwa chakuchepa kwa maselo amafuta.

Magazi a glucose akafika magawo 10, impso zimayesetsa kuchotsa shuga wambiri m'thupi monga zinthu zonyansa limodzi ndi mkodzo.

Chifukwa chake, kwa odwala matenda ashuga, omwe mafuta amtundu wa shuga okhala ndi miyeso ingapo ya magazi ndi apamwamba kuposa 10 mmol / lita, ndikofunikira kuti muzipita mu urinalysis kuti pakhale zinthu za ketone mmenemo. Pachifukwa ichi, zingwe zapadera zoyesa zimagwiritsidwa ntchito, pomwe kupezeka kwa acetone mumkodzo kumatsimikiziridwa.

Komanso, kafukufuku wotere amachitika ngati munthu, kuphatikiza ndi kuchuluka kwa 10mmol / lita, akumva kuwawa, kutentha kwake kwa thupi kumakulirakulira, pomwe wodwalayo akumva kuwawa, ndikusanza kumawonedwa. Zizindikiro zoterezi zimapangitsa kuti chizindikiridwe cha nthawi ya matenda a shuga chikule komanso kupewa matenda a shuga.

Shuga 10.1 - 20

Ngati matenda a hyperglycemia ocheperako akapezeka ndi shuga wamagazi kuyambira 8 mpaka 10 mmol / lita, ndiye kuti kuwonjezeka kwa data kuchokera pa 10,1 mpaka 16 mmol / lita, pafupifupi digiri yotsimikizika, pamtunda wa 16-20 mmol / lita, digiri yayikulu yamatenda.

Kugawidwa kwapachibale kumeneku kulipo kuti athandize madotolo omwe akuganiza kuti alipo a hyperglycemia. Chiyero chochepa komanso chowopsa chikuwonetsa kuwonongeka kwa matenda osokoneza bongo, chifukwa cha zovuta zamtundu uliwonse zimawonedwa.

Gawani zizindikiro zazikulu zomwe zikusonyeza shuga wambiri wamafuta kuchokera pa 10 mpaka 20 mmol / lita:

• Wodwalayo amakumana ndi kukodza pafupipafupi; shuga amapezeka mu mkodzo. Chifukwa cha kuchuluka kwa shuga mumkodzo, zovala zamkati mwa maliseche zimakhala zodetsa nkhawa.
• Kuphatikiza apo, chifukwa cha kutaya kwamadzi ambiri kudzera mkodzo, wodwalayo amamva ludzu lamphamvu komanso losatha.
• Kukhazikika nthawi zonse mkamwa, makamaka usiku.
• Wodwala nthawi zambiri amakhala woopsa, wofooka komanso wotopa msanga.
• Wodwala matenda ashuga amataya thupi kwambiri.
• Nthawi zina munthu amamva mseru, kusanza, kupweteka mutu, kutentha thupi.

Chomwe chikuchitika ndi izi chifukwa cha kuchepa kwa insulin mthupi kapena kulephera kwa maselo kuchitapo kanthu pa insulin kuti mugwiritse ntchito shuga.

Pakadali pano, cholowa cha impso chimadutsa kuposa 10 mmol / lita, chimatha kufika 20 mmol / lita, glucose amamuchotsa mkodzo, womwe umayambitsa kukodza pafupipafupi.

Matendawa amachititsa kuti madzi atha kukhala chinyezi komanso izi, ndipo izi ndizomwe zimayambitsa ludzu la matenda ashuga. Pamodzi ndi amadzimadzi, osati shuga wokha yemwe amatuluka m'thupi, komanso mitundu yonse yazinthu zofunika, monga potaziyamu, sodium, chloride, chifukwa, munthu amayamba kufooka kwambiri ndikuchepera thupi.

Mwazi wa Magazi Pamwamba pa 20

Ndi zizindikiro zotere, wodwalayo amamva zizindikiro zamphamvu za hypoglycemia, zomwe nthawi zambiri zimayambitsa kusazindikira. Kukhalapo kwa acetone wopatsidwa 20 mmol / lita imodzi ndikutalika kumadziwika mosavuta ndi fungo. Ichi ndi chizindikiro choonekeratu kuti matenda a shuga sawalipidwa ndipo munthuyu ali pafupi kumwalira ndi matenda ashuga.

Dziwani mavuto owopsa mthupi lanu pogwiritsa ntchito zizindikiro zotsatirazi:

1. Zotsatira zamagazi okwanira 20 mmol / lita,
2. Kununkhira kosasangalatsa kwa acetone kumamveka pakamwa pake,
3. Munthu amatopa msanga ndipo amakhala ndi vuto losatha,
4. Pali mutu wambiri,
5. Wodwalayo amataya mwadzidzidzi chakudya chake ndipo amadana ndi chakudya chomwe chaperekedwa,
6. Pali ululu m'mimba
7. Munthu wodwala matenda ashuga amatha kumva kuti akusowa, kusanza ndikutulutsa zonyansa,
8. Wodwalayo amamva kupuma kwambiri.

Ngati zizindikiro zitatu zomaliza zapezeka, muyenera kufunsa kuchipatala msanga.

Ngati zotsatira za kuyezetsa magazi ndizapamwamba kuposa 20 mmol / lita, zochitika zonse zolimbitsa thupi siziyenera kuphatikizidwa. Muzochitika zotere, katundu pamtima wamtima amatha kuchulukana, komwe kuphatikiza ndi hypoglycemia kumakhala kowopsa thanzi. Nthawi yomweyo, masewera olimbitsa thupi angayambitse kuchuluka kwa shuga m'magazi.

Ndi kuwonjezeka kwa ndende ya glucose pamtunda wa 20 mmol / lita, chinthu choyambirira chomwe chimachotsedwa ndichomwe chimapangitsa chiwonetsero chakuthwa komanso kuchuluka kwa insulin kumayambitsidwa. Mutha kuchepetsa shuga wam'magazi kuchokera pa 20 mmol / lita kukhala yachilendo pogwiritsa ntchito zakudya zama carb ochepa, zomwe zimayandikira kuchuluka kwa 5.3-6.0 mmol / lita.

Zoyenera kuchita ndi shuga wambiri?

Ngati shuga wapamwamba 5.5 mmol / L (m'magazi a venous oposa 6.1) wapezeka pakuyesa magazi a chala, matendawa amatchedwa hyperglycemia, ndipo misempha ya shuga imawonedwa ngati yokwera. Kuti muzindikire zomwe zimayambitsa, kuyesedwa kowonjezereka kumayikidwa.

Chowonadi ndi chakuti zovuta zama metabolic zama carbohydrate, zomwe zimaphatikizapo shuga, sizili mu shuga wokha. Mwanjira iyi, ziwalo za endocrine, chiwindi chimakhudzidwa. Choyambitsa chachikulu sichiri nthawi zonse kapamba.

Ndi matenda osiyanasiyana, ndikofunikira kupatula matenda otupa (chiwindi, kapamba), matenda amchiwindi, chotupa cha pituitary, gren adrenal. Vuto la kuchepetsa shuga m'magazi muzochitika zotere limatha kuthetsedwa kokha ndi chithandizo cha matenda.

Zakudya zokhala ndi shuga wambiri

Ndi hyperglycemia yocheperapo komanso shuga wochepera, chakudya chokhazikika chomwe chimaletsa chakudya ndi mafuta ndizofunikira. Zinthu za thanzi ziyenera kukambirana ndi endocrinologist. Osatengeka ndi njira zachikhalidwe. Amakonda kuphatikizidwa ndi kudya kapena zakudya zina zomwe zimachepetsa hyperglycemia kwakanthawi.

Madokotala nthawi zonse amawopa kuphatikizika kwina kwa njira zina zamankhwala monga thupi lawo siligwirizana. Katundu wowonjezera pa kagayidwe kazakudya amawononga njira zake zomwe zimasinthira. Chifukwa chake, kuti muchepetse shuga m'magazi, tikulimbikitsidwa kuti muchepetse zakudya mokwanira, ndipo ngati kuli kotheka, muzidalira mankhwala amakono.

Mu gulu la zakudya, zakudya zopatsa mphamvu za matenda ashuga zimaphatikizidwa ndi tebulo lamankhwala No. 9.

Zipatso ndi masamba opatsa thanzi sangangokhala ndi shuga wofunikira, komanso kuwongolera kunenepa

Chofunikira chachikulu pazakudya zoyenera kwa hyperglycemia ndikoletsa kudya zakudya zopatsa mphamvu za m'mimba. Izi zikuphatikiza:

• shuga
• confectionery lokoma
• maswiti
• Kuphika batala
• mikate yoyera
• pasitala
• kupanikizana
• chokoleti
• zakumwa zoziziritsa kukhosi
• zotsekemera zotsekemera
• mbatata
• vinyo.

Pazakudya zanu za tsiku ndi tsiku, payenera kukhala zakudya zomwe zimachepetsa shuga:

Komanso werengani: shuga yofulumira ya magazi

• Yerusalemu artichoke (dongo),
• nyemba
• uta
• nsapato
• biringanya
• dzungu
• masamba letesi
• belu tsabola
• zukini
• radishi
• mpiru
• kabichi
• adyo
• nkhaka
• Tomato
• sipinachi
• zipatso zosayenda
• chipatso cha mphesa
• udzu winawake
• mabuluni
• katsitsumzukwa

Mutha kuchepetsa shuga podya zipatso ndi masamba omwe adalipo mwanjira ya timadziti, masaladi. Simuyenera kuphika mbale yokazinga, mutha kuwotcha, kusenda.

Onetsetsani kuti mukuwongolera kapangidwe kake pogula zinthu mu sitolo, chifukwa shuga nthawi zambiri amawonjezeredwa ngakhale pamitundu yamitundu yochepa yamalori.

Kodi kuchitira zotsekemera?

Gulu lazopanga zotsekemera limaphatikizapo Saccharin, Sucrazite, Aspartame. Samawonetsedwa ngati mankhwala osokoneza bongo. Amathandizira anthu kuzolowera kuchita popanda maswiti. Odwala ena amawona kuchuluka kwa njala. Mlingo wa m'malo mwa shuga uyenera kuyesedwa ndi dokotala.

Maganizo abwino pazakudya zachilengedwe zotsekemera (xylitol, uchi, sorbitol, fructose). Koma sangadye popanda zoletsa. Zotsatira zoyipa - matumbo a m'matumbo (m'mimba), kupweteka kwam'mimba. Chifukwa chake, m'malo mwa shuga muyenera kugwiritsidwa ntchito mosamala kwambiri.

Piritsi limodzi la sukrazit limafanana ndi kulawa supuni ya shuga

Kusintha liti ku mapiritsi?

Kugwiritsa ntchito mankhwala omwe amachepetsa kuchuluka kwa shuga m'magazi ndikofunikira kokha malinga ndi madokotala omwe amapita. Amalembedwa posakhalapo chifukwa chakudya. Mlingo komanso kuchuluka kwa makonzedwe amayenera kuwongoleredwa mosamalitsa. Mapiritsi omwe adalipo amagawidwa ndi njira yochitira zinthu m'magulu awiri:

• zopangidwa kuchokera ku sulfanylureas - zimasiyanitsidwa ndi kusowa kwa "kudumpha" m'magazi a shuga masana, kuchepa kwapang'onopang'ono kwa hyperglycemia, awa akuphatikiza Gliclazide ndi Glibenclamide,
• biguanides - amaonedwa ngati mankhwala othandiza kwambiri, chifukwa amakhala ndi mphamvu yayitali, amasankhidwa bwino ndi mlingo, sizimakhudza kuthekera kwa kapamba kuti apange insulin yakeyake. Gululi limaphatikizapo: Siofor, Glucofage, Glycoformin, Metfogamm.

Limagwirira a zochita za mapiritsi

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

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

Novonorm amakhala ndi nthawi yayifupi kwambiri yochitira, koma yothamanga kwambiri, ndipo ndikokwanira kuti atenge Diabeteson ndi Amaril m'mawa wokha.

Ndikofunika kupatsa Novonorm ngati shuga wambiri "womangika" pazakudya, amatha kuwongolera msinkhu mukatha kudya.

Zosafunika zotsatira - kuchepa kwakukulu kwa shuga mpaka mulingo wa 3.5 mmol / L ndi pansipa (hypoglycemia). Chifukwa chake, samatchulidwa limodzi ndi mankhwala ena, ma insulin, antipyretic ndi antimicrobial.

Kuchulukitsa kuzindikira (kumva) kwa maselo kuti apange insulin - Glucophage, Siofor, Aktos nawonso ali ndi vuto lofananalo.

Pa chithandizo, palibe kuwonjezeka kwa insulin chifukwa cha kapamba, maselo amthupi amatha kusintha shuga wambiri. Zotsatira zabwino:

• kuthekera kwa dziko la hypoglycemic,
• kusowa kudya, chifukwa chake wodwala onenepa kwambiri.
• kuyanjana ndi magulu ena a mankhwala ndi insulin.

Kuletsa kuyamwa kwa mafuta m'matumbo - woimira - Glucobai, mankhwalawa amasokoneza mayamwidwe a chakudya m'matumbo aang'ono. Zotsalira zomwe zimasinthidwa zimasinthidwa kumazimba ndikuthandizira kupesa, kumatulutsa, komanso mwina masoka a stool.

Contraindication General mapiritsi a shuga:

• matenda a chiwindi (hepatitis, cirrhosis),
• matenda a impso a kutupa ndi chiwonetsero cha kusakwanira (pyelonephritis, nephritis, urolithiasis),
• pachimake mitundu ya ischemic matenda a mtima, sitiroko,
• tsankho
• mimba ndi mkaka wa m`mawere.

Mankhwalawa sagwiritsidwa ntchito pochotsa wodwala wodwala matenda a shuga.

Mankhwala aposachedwa (Januvia ndi Galvus m'mapiritsi, Bayeta mu jakisoni) amayamba kugwira ntchito pokhapokha kuchuluka kwa glucose wamba kumadutsa.

Mankhwalawa ndi abwino chifukwa nthawi zonse mankhwalawa sasinthidwa, kuwunikira kawirikawiri sikufunika

Kodi insulin imatha liti kupirira?

Kuyesedwa kwa wodwala kuyenera kutsimikizira kupezeka kwa insulin. Kenako mankhwalawa ndikofunikira kulumikiza kukonzekera kochita kupanga. Insulin imapangidwa ndi kapamba, ndimadzi okhala ndi ntchito yoyang'anira kuchuluka kwa shuga m'magazi. Kuchuluka kwa insulini kumatsimikiziridwa ndi zosowa za thupi. Kusokoneza koyenera ndikofunikira chifukwa cha matenda ashuga.

Pali mitundu yambiri yamankhwala. Mlingo wawerengedwa ndi endocrinologist malinga ndi zigawo zotsatirazi:

• mulingo wa hyperglycemia,
• kuchuluka kwa shuga mkodzo,
• zolimbitsa thupi wodwala,
• zomvera payekha.

Mankhwala amabayidwa subcutaneally ndi syringe, komanso matenda a shuga, kudzera m'mitsempha.

Njira yoyambira, mwachidziwikire, imayambitsa zovuta kwa wodwala, makamaka anthu ogwira ntchito, ophunzira. Koma muyenera kudziwa kuti kuvulaza kwa hyperglycemia ndikofunikira kwambiri.

Pochiza ndi insulin, wodwalayo amakakamizidwa kuwongolera shuga wamagazi ndikuwunika kuchuluka kwa chakudya ndi "magawo a mkate".

Pali milandu ya kukakamizidwa kwakanthawi kuchokera pamaapiritsi kupita ku insulin panthawi yomwe akuchitika opaleshoni yam'tsogolo, matenda opweteka kwambiri (myocardial infarction, chibayo, sitiroko).

Mitundu ya insulin iti yomwe imagwiritsidwa ntchito pochiza

Kugawidwa kwa mitundu ya insulin kumatengera nthawi kuyambira pakukhazikitsidwa kwa zochita mpaka nthawi yoyambira, kuchuluka kwa zotsatira za hypoglycemic, ndi komwe adachokera.

Mankhwala ochepetsa mphamvu posakhalitsa amaphatikiza ma insulin omwe amayamba kuchepetsa shuga pambuyo pakukhazikitsidwa, ndikuwonjezera pambuyo pa maola 1-1,5 ndi nthawi yonse ya maola 3-4. Jekeseni zimachitika mukangomaliza kudya kapena mphindi 15 chakudya chotsatira chisanachitike.Zitsanzo za mankhwala: Insulin Humalog, Apidra, Novo-Rapid.

Gulu lokhazikika limaphatikizira mankhwala osokoneza bongo ndikukhazikika kwa theka la ola ndi nthawi yonse mpaka maola 6. Yambitsani mphindi 15 chakudya chisanafike. Chakudya chotsatira chizigwirizana ndi nthawi yakwanthawi. Pambuyo maola atatu amaloledwa "kuluma" ndi zipatso kapena saladi. Gululi limaphatikizapo:

• Insulin Actrapid,
• Insuman Rapid,
• Humodar
• Humulin Wokhazikika,
• Monodar.

Gulu lazitali limakhala ndi mankhwala omwe amakhala ndi maola 12 mpaka 16. Nthawi zambiri, chithandizo chimafuna jakisoni 2 patsiku. Kuyamba kwawo kumachitika pambuyo pa maola 2,5, pazotheka kwambiri - pambuyo pa maola 6. Mulinso mankhwala:

• Protafan
• Humodar br
• Insulin Novomix,
• Insulin Humulin NPH,
• Insuman Bazal.

Woimira insulin yotalikilapo amatha kugwiritsidwa ntchito kamodzi patsiku.

Mankhwala omwe akhala akuchita kwa nthawi yayitali amaphatikiza mankhwala omwe amatha kudzikundikira thupi masiku atatu. Amayamba kuchita pakatha maola 6. Lemberani kamodzi kapena kawiri pa tsiku. Gululi limaphatikizapo:

• Insulin Lantus,
• Ultralente
• Monodar Long ndi Ultralong,
• Humulin L,
• Levemir.

Kutengera njira yopangira ndi magwero ake, ma insulini amenewo amabisidwa:

• ng'ombe (Insultrap GPP, Ultralente), zimasiyanitsidwa ndi zochitika zomwe zimachitika pafupipafupi.
• nkhumba - kwambiri ngati munthu, amino acid imodzi yokha siyikugwirizana, ziwengo zimachitika pafupipafupi (Monodar Long and Ultralong, Monoinsulin, Monodar K, Insulrap SPP),
• Mitundu yopanga ma genetic engineering ndi ma analogu a mahomoni amunthu (Actrapid, Lantus, Insulin Humulin, Protafan), mankhwalawa samapatsa ziwopsezo, popeza ndizoyandikira kwambiri momwe anthu amapangidwira ndipo alibe zinthu za antigenic.

Mwa njira zambiri zochepetsera shuga wamagazi, munthu aliyense ndi woyenera yekha. Adokotala ophunzitsidwa za endocrinologist amatha kuwasankha. Simungasinthe mankhwala nokha, kusintha kuchokera ku insulin kupita pamapiritsi, kuswa chakudya. Kusintha kwakukuru mu shuga kuchokera ku hyper- hypoclycemia kuvulaza kwambiri thupi, kusokoneza njira zonse zotengera, kupangitsa munthu kukhala wosatetezeka.

Shuga ya magazi 22: zikutanthauza chiyani, zotsatira zake ndi chiyani, ndi kuchita

Ngati wodwala wapezeka ndi shuga 22 komanso pamwambapa, ndiye kuti izi zikuwonetsa kupita patsogolo kwamatenda ndi matenda.

Mulimonse momwe zingakhalire, ndikuwonetsa zizowonjezera zotere, ndikofunikira kuti mupimidwe mozama, kukhazikitsa chomwe chikuyambitsa kupatuka kwakukulu ndikuyamba kusintha momwe ziliri.

Mankhwalawa amatengera zinthu zambiri ndipo amachitika mokwanira. Onetsetsani kuti wodwalayo ayenera kutsatira zakudya ndipo, ngati kuli kotheka, amwe mankhwala.

Zomwe zimatsogolera pakuwonjezeka

Matenda a shuga ndi matenda amtundu wa endocrine omwe amafunikira kuwunika nthawi zonse. Ndi matenda awa, wodwalayo nthawi zonse amakhala akukweza shuga m'magazi.

Ngati simukonza matendawo, ndiye kuti izi zitha kukhala ndi zotsatirapo zoipa. Pachifukwa ichi, tikulimbikitsidwa kuti mupereke magazi nthawi zonse shuga.

Kwa izi, sizofunikira nthawi zonse kupita ku labotale, mutha kugwiritsa ntchito chipangizo chapadera kunyumba - glucometer. Woopsa milandu, wodwala adzaikidwa insulin.

Shuga wokwera amatchedwa hyperglycemia. Koma matendawa sangathe kutchedwa kuti matenda. Zoyambitsa zosiyanasiyana zimatha kupangitsa kuti shuga azikula - zachilengedwe komanso zam'thupi.

Kuti mudziwe ngati matendawa amakulirakulira m'thupi, ndikofunikira kumayesedwa mokwanira, kupambana mayeso.

Mwa munthu wathanzi, shuga amatha kuwonjezera chifukwa chodzetsa nkhawa monga:

• mkati mwa maola 2-3 mutadya,
• pamavuto, nkhawa, nkhawa komanso kugwira ntchito molimbika.
• pambuyo olimbitsa thupi kwambiri
• chifukwa cha kusuta
• pamaso pa azimayi.

Chifukwa chake, kuti mupeze zotsatira zenizeni zofufuzira, ndikofunikira kuti mupereke magazi m'mawa, pamimba yopanda kanthu. Komanso, izi zisanachitike, simuyenera kusuta, kumwa mankhwala aliwonse, mowa, zilizonse zolimbitsa thupi siziyenera kupatula.

Choyambitsa matenda ambiri ndi shuga. Kuchulukako kudzatengera mtundu wa matenda. Kumbukirani kuti kuchuluka kwa glucose kumayendetsedwa ndi machitidwe amanjenje ndi endocrine. Chifukwa chake, njirayi ikasokonekera, ndiye kuti shuga imasiya kulowa m'maselo, ndikuyamba kudziunjikira mopitirira muyeso.

Mtundu woyamba wa matenda ashuga, kuphatikizidwa kwa glucose kumachitika chifukwa kapamba sangathe kutulutsa insulin, yomwe imayambitsa shuga. Izi pathology ili ndi njira yopangira chilengedwe cha autoimmune, ndiko kuti, maselo omwe amatenga nawo gawo popanga insulin amawonongedwa ndi zinthu zamagulu owononga chitetezo.

Ndi mtundu wachiwiri wa matenda amtundu wa endocrine, timadzi tambiri tomwe timapanga timadzi tambiri timatulutsa, koma palibe mgwirizano ndi maselo. Maselo mwina pang'ono, kapena osazindikira insulini konse, shuga samalowamo ndikuyamba kudziunjikira m'magazi, ndipo maselo "amafa ndi njala".

Kuphatikiza pa nthendayi ya endocrine system, glucose okwera amapezeka mwa odwala omwe ali ndi ma pathologies monga:

• Thirotooticosis.
• Pancreatitis ya pachimake kapena yotupa mtundu, neoplasm mu kapamba.

• Matenda osiyanasiyana ndi zotupa zoyipa m'chiwindi.
• Matenda opatsirana. Kuchulukaku kumachitika chifukwa cha tizilomboti toyenda m'matupi tambiri.
• Kumwa mankhwala omwe amatha kuwonjezera shuga, monga njira zakulera, okodzetsa, ndi ena.
• Matenda a shuga panthawi yobala mwana.

Komanso, wodwalayo amatha kuwonjezereka kwakanthawi pang'ono chifukwa cha kugunda kwamtima, kupweteka kwambiri, kutentha, angina pectoris, kuvulala kwam'mutu, komanso chifukwa chothandizira opaleshoni pamimba.

Mulimonse momwe zingakhalire, ngati vuto lili ndi vuto, odwala azitha kukhalapo, zomwe ziyenera kumuchenjeza wodwalayo ndikumukakamiza kuti apimenso.

Ngati wodwalayo amakhala ndi shuga wambiri mthupi mwake, ndiye kuti matendawa angayambike.

Zodziwika kwambiri ndi:

• Thukuta lamphamvu.
• Kukodza pafupipafupi.
• Kutopa kosafunikira, kugona kwambiri.
• Udzu wokhazikika.
• Kuchepetsa thupi mwachangu ndi chakudya chochepa komanso osachita masewera olimbitsa thupi.
• Zowonongeka.
• Mavuto ndi khungu.

• Kusanza, kugwedezeka, kuperewera, ndi chizungulire.

Mwa abambo, pakhoza kukhalanso kuphwanya kugonana.

Ngati wodwalayo ali ndi zingapo mwazizindikiro zomwe zaperekedwa pamwambapa, ndikofunikira kupereka magazi kuti adziwe. Mukasiya kuyesedwa ndi kulandira chithandizo, izi zimatha kukubweretserani mavuto.

Amadziwika ndi mawonekedwe monga:

• Matenda a CNS omwe akupita patsogolo mwachangu,
• kukomoka pafupipafupi
• malingaliro ambiri amayamba kuzimiririka.

Kusokera kosiyanasiyana komwe kumalumikizidwa ndi njira za metabolic pamitengo yokwezeka kumatha kubweretsa kuperewera kwa magazi.

Zowopsa zomwe zimapangitsa kuti pakhale zovuta zapakati pamatenda opatsirana, kupsinjika, kuchuluka kwa matenda opatsirana, kuwonongeka kwa chakudya ndi matenda a shuga, kuwonjezera masewera olimbitsa thupi, komanso kugwiritsa ntchito mankhwala ena.

Wodwala akapezeka kuti ali ndi chikomokere, ndiye kuti izi zitha kupha. Chifukwa chake, muzochitika zotere, ndikofunikira kuchitira mankhwala munthawi yake. Zizindikiro zoyambirira za chikomokere ndi izi: kutulutsa mkodzo kwambiri, ludzu lalikulu, cephalgia, kutopa kwambiri ndi kufooka. Ngati sanatenge kanthu, ndiye kuti zitha kuwonjezeredwa zizindikiro, monga: ulesi, chikumbumtima chododometsa, kugona tulo.

Mavuto amachedwa a glucose okwera amayamba chifukwa cha kusokonezeka kwakutali mu ndende yabwino. Mavuto ambiri omwe amapezeka pamwambapa ndi matenda ashuga retinopathy, matenda ashuga komanso matenda ashuga.

Pofuna kupewa chitukuko cha matenda a endocrine ndi dongosolo lamanjenje, kuti muchepetse zovuta, ndikofunikira kutsatira njira zopewera:

1. Ndi matenda amtundu woyamba, tikulimbikitsidwa kuperekera insulin nthawi zonse. Mtundu wachiwiri, muyenera kumwa mankhwala omwe amathandizira kupanga insulin ndi kapamba ndikubwezeretsa kuthekera kwa maselo kunyamula insulin yawo.
2. Ndikulimbikitsidwa kuti muzikhala ndi zakudya zoyenera komanso zopatsa thanzi nthawi zonse. Zakudya zapadera zimaperekedwa kwa wodwala, zomwe zimatanthawuza kupatula kwathunthu shuga ndi zina zilizonse zomwe zimachokera. Thanzi liyenera kukhala lokhazikika komanso lolemekezeka. Ndikofunika kuyang'anira zipatso ndi ndiwo zamasamba.

Komanso, kuchepetsa shuga m'magazi, mutha kugwiritsa ntchito mankhwala achikhalidwe. Musanagwiritse ntchito, ndikulimbikitsidwa kufunsa katswiri, chifukwa zovuta zimatha kuchitika.

Shuga wambiri: chochita

Sikuti aliyense amadziwa shuga wa magazi omwe amawoneka kuti ndi abwinobwino komanso ndi zomwe zimawonetsa matenda a shuga. Kumbali imodzi, izi ndi zabwino: zikutanthauza kuti panalibe mavuto ndi endocrine system ndipo mutu uwu sunasangalatse.

Komabe, uku ndikusaganizira thanzi la munthu, chifukwa munthu sanganenere zomwe zichitike mawa.

Chifukwa chake, musanaganize zoyenera kuchita ngati shuga wapezeka m'magazi ambiri, muyenera kudziwa bwino zofunikira ndi zizindikiritso zabwinobwino komanso zizindikiro zosonyeza kunyentchera ndi zifukwa zomwe akuwonekera.

Zina mwazifukwa zodumphira m'magazi a magazi ndi matenda osiyanasiyana, kubereka kapena kupsinjika kwambiri. Pakangokhala kanthawi kochepa, zonse zimasintha, koma kusunthika kotereku ndi mwayi wabwino kwambiri kwa thanzi lanu. Mokulira, zizindikilo zomwe zikuwonetsa kukula kwa glucose zimawonetsa zovuta pakukonza chakudya.

Zachidziwikire kuti, milandu yokhayokha sikunayambike matenda a shuga, koma pali zifukwa zomveka zoyambiranso malingaliro anu pa chakudya ndi moyo. Nthawi zambiri, zitsanzo zamagazi posanthula labotale zimachitika pamimba yopanda kanthu. Kunyumba, mutha kugwiritsa ntchito ma glucometer osunthika.

Mukamagwiritsa ntchito makina amodzi, chidziwitso chimodzi chiyenera kukumbukiridwa: zimapangidwa kuti ziwonetse plasma, ndipo m'magazi chizindikiro chimatsitsidwa ndi 12%.

Ngati muyeso wam'mbuyo umatsimikizira shuga wambiri, koma palibe zizindikiro za matenda ashuga, tikulimbikitsidwa kuti tichite kafukufuku kangapo. Izi zikuthandizira kuzindikira magawo oyambira omwe matendawo amakula, pomwe njira zonse zoyipa zikadasinthidwanso.

Nthawi zina, kuchuluka kwa glucose komwe kumachoka pazikhalidwe zabwino, ndikulimbikitsidwa kuyesedwa kuti mupeze kulekerera kukhazikitsa mtundu wa prediabetes. Ngakhale zizindikiro zomwe zikuwonetsa kukhalapo kwa matenda omwe amafunikiridwa atha kukhala opanda chiyembekezo.

Chiyeso chololera

Ngakhale chizindikiro cha chinthu chotsekemera chikuchuluka, sizitanthauza kuti nthawi zonse pamakhala vuto. Komabe, kuti athetse matenda oyambitsa matenda kapena kukhazikitsa boma la matenda ashuga, kuyesedwa kwapadera kuyenera kuchitidwa.

Amatanthauzira kusintha monga kukomoka kwa glucose komanso kukula msanga.

Phunziroli silikuwonetsedwa kwa aliyense, koma kwa anthu azaka zopitilira 45, anthu onenepa kwambiri komanso omwe ali pachiwopsezo, ndikofunikira.

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

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

Kuphwanya kulekerera kwa shuga kukuwonetsedwa ndi zotsatira:

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

Kuwonetsera ndi kusintha kwatsiku ili ndi chifukwa chomadutsa mayeso:

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

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

Zakudya Zolimbikitsidwa

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

Ndikulimbitsa thupi mopitirira muyeso, menus amapangidwa ndi zakudya zochepa zopatsa mphamvu. Komanso musaiwale za mavitamini ndi zinthu zina zopindulitsa. Mapuloteni, mafuta, ndi chakudya chamagulu (choperewera pang'onopang'ono komanso chopindulitsa) ziyenera kupezeka muzakudya za tsiku ndi tsiku.

Chizindikiro cha chakudya “chabwino” ndikuyikidwa kotsika pagome la GI (glycemic index), yemwe kuyambira pano amakhalabe mnzake kukhitchini. Zimatenga nthawi yambiri kuti muphatikize zakudyazo. Ndikofunikira kudya pafupipafupi, ndiye kuti, nthawi zambiri, koma m'malo ochepa. Kuphwanya komwe kumaloledwa pakati pa chakudya kumatha kuposa maola atatu.

Zoyenera, zakudya 5-6 patsiku: 3 zazikulu ndi ziwiri zokhwasula-khwasula. Zomwe zimaletsedwa kwambiri kudya chipisi ndi zopaka, kugula zakudya mwachangu ndikumwa msuzi wokoma.

Kuchuluka kwa zopatsa mphamvu zimadalira ntchito ya thupi ndi wodwalayo. Pogwira ntchito yochepa komanso / kapena kunenepa kwambiri, zakudya zamafuta ocheperako zimawonetsedwa ndi masamba ambiri azakudya. Onetsetsani kuti mwadya zakudya zama protein ndi zipatso. Malo ofunikira ndikuwonetsetsa kuti madzi azikhala moyenera.

Nthawi yomweyo, mudzayenera kusiya zakudya zomwe zimapangitsa shuga. Choyamba, ndi shuga wabwino, zakumwa zotsekemera za shopu, mafuta ochulukirapo ndi zinthu zina zodzikongoletsera, mbale zonona ndi zakusuta, mowa. Zipatso, mphesa, nkhuyu, zoumba ndi zosafunika.

Ndikofunikira kupatula batala, kirimu wowawasa, kirimu wowona komanso zochuluka kuchokera muzakudya.

Ndikulimbikitsidwa kudya chakudya chophika, chophika, chophika komanso chosenda ndi mchere wambiri komanso mafuta azamasamba. Nyama ndiyotheka, koma mafuta owoneka ayenera kudulapo. Chakudya chomaliza ndi maola awiri asanagone.

Mwa zakumwa, tiyi wosaphatikizidwa ndi khofi wakuda, kulowetsedwa kwazitsamba ndi ma decoctions, misuzi yopangidwa mwatsopano ndizovomerezeka. Ndipo koposa zonse, ngati madotolo awona kuti glucose wachuluka mthupi, palibe chifukwa chokhala ndi mantha.

Mwina izi ndizosakhalitsa ndipo chiyembekezo chimakupatsirani mwayi wina wosintha china chake m'moyo wanu, kukhala munthu wodalirika ndikuyamba kudzisamalira.

Zizindikiro za High shuga

Kupezeka kwakanthawi kwa mitengo yayikulu ya shuga, kukafika pamayendedwe a 25.2-25.3, kumapewa zotsatira zowopsa za hyperglycemia. Zizindikiro zake zitha kuzindikirika ndi izi:

• ludzu lochulukirapo
• kukodza pafupipafupi
• kulira kwa chizungulire ndi mutu,
• kuzizira
• mantha opanda pake komanso kusokonekera,
• nthawi yayitali
• kusabala, ulesi,
• thukuta kwambiri
• kamwa yowuma
• kusenda khungu
• kulakalaka.

Matendawa akamapitilizabe kuyenda, zizindikiro zotsatirazi zimawonekera mwa wozunzidwa:

• chimbudzi
• kuledzera kwamthupi, kuwonetseredwa ndi mseru, kufuna kusanza, kufooka kwambiri,
• kupuma kwa acetone ndi mkodzo chifukwa cha ketoacidosis,
• masomphenya osalala
• atengeke matenda opatsirana ndi ma virus,
• Zizindikiro zakusokonekera kwa mtima dongosolo: kuthamanga kwa magazi, kutsekemera, milomo, kukomoka, kupweteka pachifuwa.

Zifukwa zakukhudzidwa

Mlingo wa kuchuluka kwa shuga, womwe unafika magawo 25,25-25,5 ndi pamwambapa, uyenera kuchepetsedwa mwachangu, chifukwa mwayi wosinthika wosasintha m'thupi ndiwambiri. Hyperglycemia ndiowopsa pakukula kwa zinthu monga:

Kuchuluka kwa shuga, mpaka 25,6 ndi kupitilira, chifukwa:

• kupukusa chakudya pafupipafupi
• kuwonongeka kwamawonekedwe
• kuchiritsa kwa nthawi yayitali, kuvulala, zilonda zamkhungu,
• osiyanasiyana zovuta kuchiza matenda a pakhungu ndi candidiasis,
• kukanika kwa erectile mwa amuna.

Zoyenera kuchita ngati shuga ali pamwamba pa 25

Pofuna kupewa zovuta, odwala ayenera kudziwa zoyenera kuchita akaganiza kuti akulumpha mu hyperglycemia. Choyamba muyenera kuyeza shuga. Ngati mitengoyo ipambana magawo 14 ndikuyimilira manambala 25,7 ndi pamwambapa, ayimbire ambulansi.

Odwala omwe sanamwepo insulin sayenera kudzipereka okha. Katswiri wodziwa bwino yekha ndi amene amatha kudziwa kuchuluka kwa mankhwalawo komanso kudziwa mtundu wofunikira wa mankhwalawo. Chofunikira pakuthandizira pakuwonekera kwa glycemic ndi:

• kulowerera kwa kuchuluka acidity m'mimba. Kuti muchite izi, perekani madzi akumwa a mchere omwe ali ndi sodium,
• kusisita khungu ndi chinkhupule chofewa kapena thaulo. Chifukwa chake amathetsa madzi am'madzi ndikuwonjezera madzi amadzimadzi otayika m'thupi,
• gastric lavage ndi yankho la sopo, lomwe limakupatsani mwayi kuti muchotse acetone owonjezera.

Pakuwopsa, njira ya pathological imachotsedwa ndikuyambitsa insulin. Nthawi yomweyo, m'malo opanikizika amathetsa mavuto omwe amabwera chifukwa cha kuchuluka kwa shuga, othandizira amadzimadzi amadziwitsidwa, ndipo mphamvu ya mchere wamthupi imabwezeretseka. Vutoli likadutsa, kumayesedwa mokwanira, komwe kukuwonetsa zoyenera kuchita komanso chithandizo chomwe mungatsate.

Doctor of Medical Science, Mutu wa Institute of Diabetesology - Tatyana Yakovleva

Ndakhala ndikuphunzira matenda a shuga kwa zaka zambiri. Zimakhala zowopsa anthu ambiri akamwalira, ndipo makamaka amakhala olumala chifukwa cha matenda ashuga.

Ndithamangira kunena mbiri yabwino - Endocrinology Research Center ya Russian Academy of Medical Sayansi yakwanitsa kupanga mankhwala omwe amachiritsiratu matenda ashuga. Pakadali pano, kugwiritsa ntchito bwino kwa mankhwalawa kuyandikira 98%.

Nkhani ina yabwino: Unduna wa Zaumoyo wateteza kukhazikitsidwa kwa pulogalamu yapadera yomwe imalipira mtengo wa mankhwalawo. Ku Russia, odwala matenda ashuga mpaka Meyi 18 (kuphatikiza) nditha kuipeza - Kwa ma ruble 147 okha!

Ngati kuchuluka kwa shuga m'magazi kukwera mpaka 25,8 mmol / l ndikukwera chifukwa cha chitukuko cha matenda a shuga, wodwalayo amayenera kulandira chithandizo cha moyo wonse. Ayenera kuonedwa pafupipafupi ndi endocrinologist ndikuyang'aniridwa ndi akatswiri ena owonda: cardiologist, neurologist, ophthalmologist. Afunika kupeza glucometer - chipangizo chapadera chomwe mungapimire mayeso a shuga nthawi iliyonse yabwino, osachoka panyumba. Izi zithandiza kupewa kuchulukana mwadzidzidzi mu glycemia komanso kupewa kuukanso.

Mtundu wachiwiri wa matenda ashuga, mapiritsi amatengedwa omwe amathandizira kupanga insulin kapena kukulitsa chiwopsezo cha maselo kwa icho. Kuphatikiza apo, wodwalayo ayenera kutsatira zakudya zamafuta ochepa, kupewa kupewetsa thupi ndikukhala ndi moyo wokangalika. Katswiri wa matenda ashuga akuti mwatsatanetsatane ndizomwe zimayenera kusiyidwa komanso ndiziti zomwe zimayenera kuphatikizidwa menyu.

Mtundu wa shuga wodalira insulini umafunikira kuperekera mankhwala a insulin mosiyanasiyana muyezo womwe aliyense amasankhidwa ndi dokotala. M'tsogolomu, amasinthidwa malinga ndi kuchuluka kwa shuga m'magazi. Asanadye chakudya chilichonse, wodwalayo amawerengetsa kuchuluka kwa chakudya chomwe adzadye, ndikuyambitsa mankhwalawo muyeso yoyenera.

Ngati hyperglycemia imayambitsidwa osati ndi matenda ashuga, koma ndi matenda ena, matendawa amabwerera mwakale atachotsedwa. Monga chithandizo chowonjezereka, katswiri amatha kutumiza mankhwala omwe amachepetsa ntchito ya kapamba ndikutchinjiriza kumasulidwa kwa mahomoni ena.

Kupewa

Ngati palibe zoyambitsa zazomwe zikuwonjezera kuchuluka kwa shuga, kulumpha mobwerezabwereza mu glycemia kungapeweke pakuwona njira zingapo zodzitetezera:

• kudya pafupipafupi, koma pang'ono,
• Sungani mndandanda wazakudya ndipo phatikizani zovuta zam'makanidwe,
• osadya chakudya chopepuka. Amapezeka m'maswiti, ayisikilimu, makeke, chokoleti, nyama yamafuta ndi mbale za nsomba, mbatata, mandimu,
• phatikizani zamasamba ambiri, masamba atsopano ndi zipatso muzakudya zanu za tsiku ndi tsiku,
• Imwani madzi okwanira
• Onetsetsani kuti mwakhazikitsa zakumwa zo mkaka wowawasa ndi mafuta ochepa kwambiri muzakudya,
• kusiya mowa ndi kusuta,
• yesetsani kupewa kupsinjika kwambiri.

Kuchita masewera olimbitsa thupi pang'ono kumakupatsani mwayi wokhala ndi shuga. Sikuti muyenera kupita ku malo ochitira masewera olimbitsa thupi tsiku lililonse ndikuchita zolimbitsa thupi. Ndikokwanira kuchita masewera olimbitsa thupi m'mawa uliwonse, kupita ku dziwe, kuyenda maulendo ataliatali. Anthu onenepa amafunika kuti achepetse kulemera kwawo, chifukwa amaphatikizidwa ndi gulu lomwe lili pachiwopsezo chachikulu cha matenda a shuga.

Onetsetsani kuti mwaphunzira! Kodi mukuganiza kuti kuyamwa kwa mapiritsi ndi insulini kwa nthawi yonse yokhayo ndi njira yokhayo yothanirana ndi shuga? Sichowona! Mutha kutsimikizira izi nokha ndikuyamba kuzigwiritsa ntchito. werengani zambiri >>

Kodi shuga amatanthauza chiyani magawo 25 m'magazi

Ziwerengero zotere ndi chizindikiro cha boma la hyperglycemic, zimachepetsa kwambiri thanzi la anthu odwala matenda ashuga, ndipo zizindikiro zoyipa nthawi zonse zimatsagana ndi zoterezi pa mita. Chiwopsezo chokhala ndi zovuta pachimake ndi chachikulu, chifukwa chake chithandizo chamankhwala chiyenera kukhala chachangu.

Muyenera kumvetsetsa kuti shuga yamagazi si mtengo wokhazikika - chizindikiro ichi chimasinthasintha. Amazengereza anthu athanzi. Koma kwa odwala matenda ashuga, kuwonjezereka kulikonse ndikofunikira: kukonza kumafunika.

Amadziwika kuti anthu odwala matenda ashuga ayenera kutsatira zakudya zinazake. Kupatuka kulikonse kwa iwo kumapereka kusintha kumbali yoyipa. Ndiye kuti, zakudya zoyipa zimatha kudumpha mu shuga (mwachitsanzo, zomwe zimakhala ndi zakudya zamafuta othamanga). Koma nkhawa zilizonse, matenda ena, kugona mokwanira kumakhudzanso shuga.

Ngati shuga akwera mpaka magawo 25, muyenera kuzindikira chomwe chikukula: itha kukhala mankhwala osowa kapena jakisoni wa mahomoni osachitika pa nthawi yake. Makinawa amafunikanso kukonzedwa - ngati zonse zachitika molondola, kuwerengera shuga kumabweranso masiku awiri ndi atatu.

Kukhathamira kwa Mafuta Aakulu A shuga

Mu mtundu woyamba wa matenda ashuga, monga mukudziwa, wodwala amafunikira chithandizo cha mahomoni. Ili ndiye mtundu wa shuga womwe amadalira insulin pomwe ma insulin sangathe kuyimitsidwa. Mu matenda a shuga a mtundu wachiwiri, muyenera kudya zakudya zapadera, komanso kulimbitsa thupi, kusintha kwamunthu.

Zomwe insulini sizithandiza nthawi zonse ndi shuga wambiri:

1. Mlingo wa mankhwalawa sukugwira ntchito molondola,
2. Zakudya zimaphwanyidwa,
3. Jakisoni ndi wolakwika
4. Kusungidwa kwamankhwala osavomerezeka pamalo osayenera,
5. Mankhwala osiyanasiyana amaphatikizidwa mu syringe yomweyo,
6. Njira yoperekera mankhwala si yolondola,
7. Zilonda zimafikira pamalowa,
8. Singano imachotsedwa mwachangu m'mikwendo ya chikopa,
9. Pamaso pa jekeseni, khungu limakololedwa ndi mowa.

Poyang'ana koyamba, zifukwa ndizokhazokha, i.e. malinga ndi malingaliro onse, zotsatira zake zidzakhaladi. Titha kunena kuti zili choncho, koma zifukwa zomwe zili pamwambazi ndizofala kwambiri, chifukwa kuchuluka kwa mphamvu ya zochizira sizochepa.

Zomwe odwala omwe amadalira insulin ayenera kudziwa

Wodwala matenda amtundu wa 1 aliyense ayenera kudziwa bwino za matenda awo, ndikudziwa mwatsatanetsatane momwe, insulin ikalowetsedwera.

Amayenera kupanga zolakwika zina posungira ma ampoules (chifukwa cha kunyalanyaza kwa banal), chifukwa munthu angayembekezere kuperewera kwa mankhwala. Mwina sizigwira ntchito konse, kapena kugwira ntchito kwake kumachepetsedwa ndi 50%. Ngati jakisoni singano ituluka msanga pakhungu, gawo lina la mankhwalawo limatha kutuluka - ntchito ya mahomoni imadzayamba kuchepa.

Komanso chifukwa chodziwika bwino cha kusakhazikika kwa mankhwalawa, ngati jakisoni ikuchitika nthawi zonse m'malo omwewo. Mofulumira, mawonekedwe osindikizidwa m'derali, ndipo singano ikadzafika, mankhwalawo amamwetsa pang'onopang'ono.

Ngati vuto la shuga lalikulu, lomwe ngakhale jakisoniyo asanabwerere bwino, ndiye kuti mulingo woyenera wa mankhwalawo, muyenera kufunsa dokotala mwachangu. Palibe chifukwa munthu angasankhe yekha yekha mlingo - pali choletsa pamtundu wa izi, chifukwa chotsatira cholakwika matenda a hyperglycemic kapena ngakhale wodwala matenda ashuga angathe kuyamba.

Kodi ketoacidosis ndi chiyani?

Mafuta a glucose okwanira 25 amayambitsa ketoacidosis. Thupi laumunthu linapangidwa kuti lizitha kukakamizidwa kuti lizipeza mphamvu, koma silimazindikira glucose, ndikuyesera kubwezeretsanso magetsi pogwiritsa ntchito mafuta.

Mafuta akaphwanyidwa, matupi a ketone amasulidwa. Amakhala ndi poizoni m'thupi la munthu, ndipo izi zimapangitsa kuledzera. Matendawa amawonekera ndi matenda osiyanasiyana, ndipo thanzi la wodwalayo limakulirakulira.

Kodi ketoacidosis amawonetsedwa bwanji:

• Wodwala akudwala - akudwala, owopsa, ofooka, ogwira ntchito amachepa,
• Kusintha kumachitika pafupipafupi komanso kukokomeza,
• Kuchokera pamkamwa - fungo lonunkhira linalake,
• Kusokoneza bongo ndi mseru ndi chimodzi mwazizindikiro zazikulu za kuledzera,
• M'mimba mwake mwasweka
• Kusakwiya ndi mantha popanda chifukwa,
• Kusowa tulo
• Mwazi waukulu wamagazi - kuchokera kumagawo 20 kapena kupitilira.

Mu matenda ashuga a ketoacidosis, kuwona m'maso sikumatha - ndizovuta kuti wodwalayo athe kusiyanitsa pakati pa zinthu, zonse ngati kuti ndi chifunga. Ngati nthawi imeneyi wodwalayo akamaliza kuyesa mkodzo, matupi a ketone amapezeka pamenepo. Ndikosatheka kuchiritsa matendawa nokha, ndipo kunyalanyaza sikungathandize - pali kuthekera kwakukulu kwa kholo, kenako chikomokere.

Ketoacidosis imachiritsidwa pokhapokha povomerezeka. Wodwala ayenera kupatsidwa mlingo wokwanira wa insulin. Kenako madokotala amachita chithandizo chobwezeretsa kuchepa kwa potaziyamu, madzi ndi mchere wofunikira.

Momwe magazi a shuga amayeza

Njira imeneyi nthawi zambiri imachitika pamimba yopanda kanthu. Njira ya magazi ingatengedwe ku chipatala, kapena mutha kuchita kunyumba pogwiritsa ntchito glucometer. Nthawi yomweyo, kumbukirani: zida zapakhomo zimatha kudziwa kuchuluka kwa shuga m'magazi am'magazi, m'magazi omwewo chizindikiro ichi chidzakhala chotsika 12%.

Kusanthula kumachitika kopitilira kamodzi, ngati pa mayeso am'mbuyomu muyeso womwe unali pamwamba pa mayunitsi 12, koma nthawi yomweyo, palibe mtundu wa shuga womwe umapezeka mwa munthu. Ngati zizindikiro zotere zikapezeka kwa nthawi yoyamba, munthu ayenera kupita kwa dokotala.

Wodwala amayenera kukayezetsa magazi osagwirizana ndi shuga, iye amawona mawonekedwe a prediabetes. Kusanthula kumeneku kumapangidwira kupatula kupitirira kwa matendawa ndikuwona zolephera pakulowa kwa shuga.

Kuyesedwa kwa kulekerera kwa shuga kuyenera kudutsidwa ndi anthu onenepa kwambiri, odwala omwe ali m'gulu 40+, komanso omwe ali pachiwopsezo cha matenda a shuga. Choyamba, munthu amasanthula pamimba yopanda kanthu, kenako amamwa kapu yovomerezeka, ndipo pambuyo maola 2 mayesowo amabwerezedwa.

Zomwe muyenera kuchita kuti mupeze deta yoyenera

Zotsatira zolakwika za kafukufukuyu sizachilendo. Zowunikira mowunika ziyenera kuonedwa kuti zotsatira za kusanthulazo si zabodza.

Pa kudalirika kwa zotsatirapo ziyenera kukhala:

1. Dziwani zambiri pasanathe maola 10 chakudya chatha,
2. Madzulo a phunzirolo, musachite masewera olimbitsa thupi, osalola kuchuluka kwanzeru,
3. Simungasinthe chakudyacho patsiku loyamba la chopereka cha magazi (musatchule zatsopano, zosowa zakuthupi, ndi zina zambiri) muzakudya
4. Kupsinjika ndi kutengeka mtima ndi mfundo ina yomwe imakhudza kuchuluka kwa shuga, kotero muyenera kuzipewa musanagonjere,
5. Mugonere bwino usiku woti musinthe.

Mutha kuyankhula za kuloleza kwa glucose ngati kusanthula kumawonetsa 7 mmol / L pamimba yopanda kanthu ndi 7.8-11, 1 mmol / L. Ngati chizindikirocho chili chotsika kwambiri, palibe chifukwa chodera nkhawa.

Ngati magazi a magazi akwera kwambiri, wodwalayo amayenera kuchita kuphipha kwa kapamba, ndikuwunikanso ma enzyme.

Kodi kulumpha m'magazi a magazi kumakhudza bwanji wodwala

About shuga ochulukirapo sikuti chizindikiro chokhacho pakuwunikira komwe. Thanzi la munthu limakulirakulira, ndipo zizindikiro za hyperglycemic ndizambiri.

Ndi hyperglycemia, munthu:

• Mukumva kukodza pafupipafupi,
• Kuvutika ndi kupweteka kwapafupipafupi
• Watopa kwambiri, matupi ake afowoka, alibe chidwi,
• Amamva kusowa kwa ntchito - kutsitsidwa kapena kutsokomola,
• Amamva kuti chitetezo cha mthupi chimataya mphamvu
• Kukumana ndi mavuto amaso,
• Madandaulo oyaka khungu ndi pakamwa pouma.

Kuwongolera kuchuluka kwa shuga wamagazi, munthu ayenera kutsatira zakudya zoyenera zamafuta.

Zakudya ndi shuga

Zakudya zamagulu onse zimapangidwira kukana zakudya zodzazidwa ndi mafuta othamanga. Ndipo ngati chilichonse chomwe wodwalayo ali nacho chikuwonjezera thupi, ndiye kuti dokotala amatha kukupatsani zakudya zamagulu ochepa. Nthawi yomweyo, tikulimbikitsidwa kuti tiziphatikiza chakudya ndi zinthu zomwe zimakhala ndi mavitamini ambiri.

1. Pazakudya za tsiku ndi tsiku, mulingo wa BJU uyenera kusamalidwa,
2. Posankha chakudya, zonena zimapita ku glycemic index tebulo, ziyenera kukhala pafupi ndi wodwalayo,
3. Kukula kwa zakudya nthawi zambiri kumasinthidwa - muyenera kudya pafupipafupi, koma m'magawo ang'onoang'ono (zakudya zitatu zazikulu ndi zakudya zazing'ono kapena ziwiri),
4. Zipatso zina, masamba, masamba, ndi zakudya zama protein ndizofunikira kwambiri pakudya.
5. Onetsetsani kuti mwayendetsa bwino madzi

Malangizo oyenerera amaperekedwa ndi dokotala yemwe angakuthandizeni. Ngati ndi kotheka, mutha kulumikizana ndi katswiri wazakudya yemwe, popempha, amatha kupanga zakudya zatsatanetsatane ndi zosankha zamasamba, mbale, kuphatikiza, kukula kwamagawo, etc.

Kuti adziwitse bwino ngati matenda ashuga, madokotala amachita maphunziro angapo. Pozindikira matenda am'mbuyomu, kuyerekezera kwa Stub-Traugott, kuyezetsa magazi, komanso kuyezetsa magazi kwa hemoglobin ya glycated angagwiritsidwe ntchito.

Madongosolo onse ndiwopangira madokotala. Koma mfundo yoti amafunika kuthana nayo ngati shuga ndiwambiri ndizokayikitsa. Sikoyenera kudikirira kuti zinthu zisinthe, ngakhale zitakhala kuti chizindikiro chabweza mzere, ndikofunikabe kuwona ngati zonse zili bwino.

Zimayambitsa Hyperglycemic State mu odwala matenda ashuga

Matenda a shuga ndi matenda osachiritsika omwe amadziwika chifukwa cha zovuta zomwe amapezeka m'magazi a cellular, chifukwa chomwe kudziunjikira kwake m'thupi kumawonedwa.

Nthawi zambiri, mtundu woyamba kapena wachiwiri wa matenda "okoma" umachitika. Ngati ndi mtundu woyamba wa matenda omwe wodwalayo akulimbikitsidwa kuti apereke insulin, ndiye kuti ndi mtundu wachiwiri wa matendawa, poyambira amayesetsa kulimbana ndi shuga wambiri mothandizidwa ndi zakudya komanso masewera.

Komabe, kutsatira kwambiri malangizo onse a dokotala sikutsimikizira kuti shuga azikhala wofunikira.

Zotsatira izi zitha kubweretsa chiwonetsero chachikulu:

1. Chakudya chopanda malire (kumwa kuchuluka kwazakudya zamafuta ambiri, zakudya zopanda thanzi).
2. Kudumpha makonzedwe a mahomoni, kudumpha mankhwala kuti muchepetse shuga.
3. Kupsinjika kwakukulu, ntchito zamagalimoto ochepa, kusokonezeka kwa mahomoni.
4. Viral, chimfine kapena zina zodutsa zam'tsogolo.
5. Matenda a kapamba.
6. Kugwiritsa ntchito mankhwala ena (diuretics, mapiritsi a mahomoni).
7. Kuwonongeka kwa chiwindi.

Ngati magazi a magazi ayima pafupi ndi 25 mayunitsi ndipo pamwamba, choyambirira, ndikofunikira kupeza zomwe zimayambitsa matenda a pathological, motero, kuponyera zoyesayesa zonse pakuchotsa gwero.

Mwachitsanzo, ngati wodwala sanamwe jakisoni wocheperako, kapena kuyiwala kumwa mapiritsi, izi ziyenera kuchitika mwachangu.

Mu mtundu wachiwiri wa matenda "okoma", ndizoletsedwa kuphwanya zakudya, kukana kuchita masewera olimbitsa thupi. Popeza ndimasewera omwe amathandizira kukonza kuyamwa kwa shuga pamaselo a m'manja.

Zomwe zimayambitsa spikes mu shuga ndichakudya chopanda thanzi, kuphwanya zochitika za tsiku ndi tsiku, komanso kudya kwambiri.

Kusintha mndandanda kumabweretsa glycemia ku manambala wamba mkati mwa masiku awiri.

Kuperewera kwa insulin: Zomwe zimayambitsa

Zinadziwika kuti mtundu woyamba wa matenda ashuga umafuna kuyambitsa insulini, komanso kuti mtundu wachiwiri wa matenda umalipidwa ndi zakudya zapadera zochizira komanso masewera olimbitsa thupi.

Komabe, odwala matenda ashuga amtundu 1 amafunsa funso, bwanji insulini sithandiza kuchepetsa kuchuluka kwa shuga? Madokotala amati kusayenda bwino kwa mankhwala a insulin sikuchilendo, ndipo pali zifukwa zambiri zomwe zimapangitsa kuti pakhale vuto lochizira.

Mwazi wa shuga utasungidwa m'magawo 25, pomwe insulin siyithandiza, zifukwa zingakhale izi:

• Mlingo wolakwika wa mankhwalawa.
• Zakudya zolakwika ndi jakisoni.
• Ampoules a mankhwalawa sasungidwa bwino.
• Mu syringe imodzi, kusakaniza kwa mankhwala osiyanasiyana kumachitika.
• Kuphwanya njira yaukatswiri wa mankhwala.
• Zilonda mu chidindo.
• Kuchotsa mwachangu singano pachikopa.
• Pamaso jakisoni, kupukuta khungu ndi mowa.

Wodwala aliyense yemwe wapezeka ndi mtundu woyamba wa shuga ayenera kudziwa malamulo atsatanetsatane a insulin. Nthawi zambiri, adokotala amafotokozera zamitundu yonse komanso zanzeru zonse.

Mwachitsanzo, ngati ma insulin ampoules sanasungidwe bwino, mankhwalawo sangathe kugwira ntchito kapena kugwira kwake ntchito kumachepera 50%, pamene singano imachotsedwa msanga pakhungu, ena mwa mankhwalawa amatha kutayikira, ndipo chifukwa chake, zotsatira za insulin zimachepa.

Ngati tsamba la jakisoni ndilofanana, pakapita nthawi, zilembo zimasindikizidwa m'derali. Pamene singano ilowa chisindikizo ichi, mankhwalawo amalowetsedwa pang'onopang'ono.

Mlingo wolakwika wa mahomoni ndi omwe umayambitsa shuga, muyenera kufunsa dokotala. Kuletsedwa kwathunthu kusankha nokha payekha, chifukwa izi zimapangitsa kuti pakhale mtundu wa hyperglycemic komanso glycemic chikomokere.

Chifukwa chake, kuchuluka kwa shuga mu shuga wodalira insulin sikungachepe ngati pali zovuta mu insulin.

Ketoacidosis wodwala matenda ashuga

Kuchuluka kwa shuga m'magawo 25 kuyambitsa ketoacidosis. Chowonadi ndi chakuti thupi la munthu likuyesera kupeza mphamvu kuti ligwire ntchito, koma "silikuwona glucose", chifukwa chomwe amalandirira malo osungirako mphamvu pophwanya ma depositi amafuta.

Kusweka kwa mafuta kumachitika, matupi a ketone amatulutsidwa, zomwe ndi zinthu zowopsa thupi, chifukwa, izi zimabweretsa kuledzera.

Ketoacidosis imawonetsedwa ndiwonetsero wazonse wazizindikiro zoyipa, zomwe zimadetsa thanzi la wodwalayo.

Chithunzi cha ketoacidosis:

1. Wodwalayo amadandaula, amadandaula chifukwa cha uchidakwa komanso alibe chidwi.
2. Pafupipafupi komanso kupemphetsa kukodza.
3. Fungo lachilendo kuchokera kumkamwa wamkamwa.
4. Kuukira mseru ndi kusanza.
5. Kusokoneza kwam'mimba.
6. Mantha opanda pake komanso osakwiya.
7. Kusokonezeka tulo.
8. Magazi a shuga a 20, 25, 30 kapena kuposerapo.

Potengera momwe matenda ashuga a ketoacidosis amawonongera, wodwalayo samatha kusiyanitsa zinthu bwino, zonse zimangokhala ngati nkhungu. Malinga ndi zotsatira za kuyeserera kwa zasayansi ya mkodzo, matupi a ketone amapezeka m'madzi.

Ndikosatheka kunyalanyaza izi, popeza kuti pali kuthekera kwakukulu kwa kholo, ndiye kuti chikomokere chimachitika.

Kuthana ndi vutoli palokha sikugwira ntchito. Palibe njira zopangidwira kunyumba ndi maphikidwe azithandizo zamwambo zomwe zingathandizire kuchepetsa zizindikiro zoyipa, chithunzicho chikukula.

Chithandizo chimachitika kuchipatala. Choyamba, wodwalayo ayenera kulowa muyezo wa insulin. Pambuyo pa mankhwalawa kuchitika, kudzera momwe kuperewera kwa madzi, potaziyamu ndi zina zomwe zikusowekanso m'thupi zimabwezeretseka.

Katswiri mu kanema mu nkhaniyi adzalankhula za matenda a hyperglycemia mu matenda ashuga.