Njira zina zochizira matenda a shuga a I ndi II

Matenda a shuga - matenda a systemic omwe amayamba chifukwa cha kuperewera kwa insulin (mtundu I) kapena wachibale (mtundu II) wa insulin, zomwe zimayambitsa kuphwanya kagayidwe kazakudya, kenako ndikuphwanya mitundu yonse ya kagayidwe ndi kuwonongeka kwa machitidwe onse a thupi. Ndi matenda ashuga, zombo zazing'ono komanso zazikulu zimakhudzidwa. Chifukwa chake, mu shuga mellitus, kuwonongeka kwa mtima kumakhala kwakukulu. Zotsatira zake, kuchuluka kwa magazi kwa ziwalo ndi minyewa yathupi kumasokonekera, zomwe zimayambitsa kuphwanya ntchito yawo - izi zimatha kuyika moyo wa wodwala pazochitika zapamwamba. Onani zambiri za zizindikiro apa.

Gulu la 1999 WHO lazindikiridwa, malinga ndi omwe mitundu yotsatirayi ya shuga imasiyanitsidwa:

1) lembani matenda ashuga:

2) mtundu II matenda a shuga

3) mitundu ina ya shuga,

4) matenda a shuga.

Mtundu woyamba wa matenda a shuga a mellitus (wodalira insulini) amadziwika ndi zotupa zowonongeka za β-cell za kapamba, momwe insulin imachitikira. Kugonjetsedwa kwa maselo amenewa kumabweretsa kukula kwa insulin kwathunthu.

Type II shuga mellitus amadziwika ndi kuchepa kwa insulin komanso minyewa yolimbana ndi insulin. Kuphatikiza apo, mu mtundu II shuga mellitus, chilema chachikulu pakubisika kwa insulini kuchokera ku maselo a pancreatic angawonedwe, ndipo kukana kwa minofu ya thupi kwa izo mwina sikungakhaleko.

Mitundu ina ya matenda ashuga imatha kuchitika chifukwa cha njira zosiyanasiyana za m'magazi m'thupi. Izi zitha kukhala zolakwika pakuchitika kwa masoka a chibadwa cha pancreatic β-cell, vuto la chibadwa pakulimbikitsa kwa insulin pamatenda, matenda osiyanasiyana kapamba, mitundu ina ya endocrinopathies, matenda ashuga motsogozedwa ndi mankhwala kapena mankhwala ena, matenda opatsirana, ndi mitundu yachilendo ya matenda a shuga. Komanso, nthawi zina, pamakhala ma syndromes osiyanasiyana amtundu wa chibadwa omwe amapezeka limodzi ndi shuga.

Matenda a gestational amadziwika makamaka panthawi yapakati. Kukula kwa matenda ashuga kumatha kupangitsa kuti mukhale mankhwala ambiri komanso mankhwala ena, omwe ndi: vaccor, pentamidine, nicotinic acid, glucocorticoids, mahomoni a chithokomiro, a-interferon ndi ena angapo. Matenda monga congenital rubella, cytomegalovirus ndi ena angayambitse matenda ashuga. Magawo olandila cholowa m'malo mwake nthawi zina amaphatikizidwa ndi matenda ashuga: Down syndrome, Klinefelter syndrome, Turner syndrome, Wolfram syndrome, Friedreich ataxia, Huntington's chorea, Lawrence-Moon-Beadle syndrome, myotonic dystrophy, porphyria, Prader-Willi syndrome ndi ma syndromes ena.

Mawonetsero onse a shuga amatha kugawidwa m'magulu awiri: mawonetseredwe a hyperglycemia ndi zizindikiro zosonyeza mtundu wa I kapena mtundu wa matenda ashuga 2.

Zizindikiro za hyperglycemia (kuchuluka kwa shuga m'magazi) ndi izi: ludzu, kutuluka kwa mkodzo wambiri, kuyabwa khungu, komanso chizolowezi chowonjezereka cha matenda osiyanasiyana. Zikachitika kuti zonse zomwe zatchulidwa pamwambapa zimachitika chifukwa chosagwirizana ndi matendawa, ndiye kuti zimawoneka ngati chiwonetsero cha matenda osokoneza bongo.

Madandaulo apadera omwe amapezeka mwa anthu omwe ali ndi matenda a shuga a I amaphatikizapo: kuchepa kwambiri kwa thupi, kufooka, komwe kumatha kutchulidwa, kuchepa kwa ntchito, kugona kwambiri. Nthawi zina, kuyambika kwa matendawa kumadziwika ndi kuwonjezeka kwa chisangalalo. Matendawa akamakula, kuchepa kwa chilakole kumadziwika chifukwa cha kusakhalapo kwathu motsutsana ndi maziko a ketoacidosis. Mkhalidwe wa ketoacidosis umadziwika ndi mawonekedwe a fungo la mkamwa kuchokera pakamwa, nseru, kusanza kumadziwika, kuwoneka kwam'mimba kumakhala khalidwe, kuchepa kwa thupi kumachitika, komwe nthawi zambiri kumatha ndi kukula kwa chikomokere, i.e., ketoacidotic coma. Kupezeka kwa zizindikiritso za mtundu woyamba wa shuga I kumachitika chifukwa chakuchepa kwathunthu kwa insulin mthupi.

Matenda a shuga a Type II ndi ofatsa. Zizindikiro za shuga wambiri wamphongo nthawi zambiri zimakhala zofatsa, ndipo nthawi zina zimakhala palibe. Kuzindikira matenda a shuga nthawi zambiri kumakhala kupezeka mwangozi pofufuza kuchuluka kwa anthu. Kuchita ndi matenda amtundu wa II sikunasinthe, kulakalaka sikumangika, komanso kungakulidwe. Nthawi zambiri matenda amtundu wa II, anthu amalemera kwambiri thupi. Mtunduwu wa matenda ashuga umadziwika ndi chibadwa chamtsogolo ndipo zimawonekera nthawi zambiri patatha zaka 40. Kuzindikira kwa matenda a shuga a mellitus II nthawi zina kumatha kupangidwa osati ndi endocrinologist, koma ndi dokotala wa akatswiri osiyana kwambiri, mwachitsanzo, dokotala wazamankhwala, urologist, dermatologist kapena dokotala wa maso. Zotsatira zotsatirazi chamoyo zimayikiridwa kuti pakhale matenda amtundu wa II matenda osokoneza bongo: njira zosafunikira pakhungu, zotupa za pakhungu ndi mucous membrane, furunculosis, kupezeka kwa matenda amkodzo thirakiti, kuperewera kwamkati, matenda amkati mwa akazi.

Matenda A shuga a Type I amadziwika ndi chitukuko chachikulu. Nthawi zina, chizindikiro choyamba cha kupezeka kwamatenda a shuga I chimatha kusokonezeka mpaka kukomoka, komwe nthawi zambiri kumayamba chifukwa cha matenda opatsirana. Matenda a shuga amadziwika ndi kupezeka kwa zovuta, zomwe zimakhala zovuta komanso zosapweteka. Vuto lalikulu la matenda a shuga a mtundu wanga ndi ketoacidotic chikomokere. Kwa mtundu wachiwiri wa matenda a shuga a mellitus, vuto lodziwika bwino ndi kukomoka kwa thupi, komwe kumayamba kawirikawiri. Zotsatira zakumwa kosakwanira ndi mankhwala omwe amachepetsa shuga ya magazi, mkhalidwe wa hypoglycemia (kuchepa kwambiri kwa shuga wamagazi) kapena hypoglycemic coma, yomwe imakonda mitundu yonse ya matenda a shuga. Mavuto osachedwa kapena a shuga obwera pambuyo pake amatenga zaka zingapo pambuyo poyambira matendawa ndipo amadziwika ndi mitundu I ndi II. Mavuto oterewa ndi: macroangiopathy, nephropathy, retinopathy, neuropathy, diabetesic phokoso. Kukula kwa zovuta izi kumalumikizidwa ndi mkhalidwe wokhalitsa wa hyperglycemia mumtundu uliwonse wa matenda a shuga.

Kuti muzindikire matenda a shuga, chinthu chachikulu ndikuwona kuchuluka kwa kuthamanga kwa magazi. Kuwunika chithandizo cha matenda a shuga mellitus, kutsimikiza kwa shuga mumkodzo kumagwiritsidwa ntchito, koma kuwunikaku sikokwanira kutsimikizira matendawa, ndipo kumachitika mongogwirizana ndi zizindikiro zina za matenda ashuga. Popeza shuga wolowa m'thupi amagwiritsidwa ntchito ndi minofu yambiri, kusiyana kwake pamlingo wapakati pa magazi a capillary ndi venous kungakhale kofunikira kwambiri. Posankha kudya glucose, kuchuluka kwake kuli chimodzimodzi m'magazi a venous ndi capillary. Pofuna kudziwa kuchuluka kwa glucose mukatha kudya kapena poyesa kupanikizika, zomwe zili m'magazi a capillary zimakwera kwambiri poyerekeza ndi magazi a venous. Madzi a m'magazi amakhalanso ndi shuga wambiri kuposa magazi athunthu. Zikakhala kuti pali zisonyezo zilizonse zosonyeza kukhalapo kwa matenda a shuga, ndiye kuti mungatsimikizire nthendayi, ndikokwanira kungodziwa kuchuluka kwa glucose oposa 10 mmol / l nthawi iliyonse. Kuzindikiritsa matenda a shuga kumawoneka kuti ndikodalirika ngati glucose othamanga wamagazi ndi ofanana kapena akulu kuposa 6.7 mmol / l kawiri. Ngati zakudya zam'magazi zimasiyana pakati pa 5.6-6.7, ndiye kuti mutsimikizire matendawa, ndikofunikira kuyesa mayeso ololera a glucose. Musanayesedwe kwa maola 12, simungathe kudya chakudya. Chifukwa chake, kuyesedwa kumachitika m'mawa pamimba yopanda kanthu. Kwa masiku atatu mayeso asanachitike, muyenera kutsatira zakudya zomwe zili ndi chakudya chamagulu ambiri. Nthawi yomweyo, kumwa mankhwala monga diuretics, njira zingapo za kulera ndi mahormoni zimathetsedwa. Kuyesedwa kwa glucose palokha ndikuti munthu m'mawa pamimba yopanda kanthu amamwa 75 ga shuga omwe amawonjezera mu 250-300 ml ya madzi kwa mphindi 5. Patatha maola awiri zitatha izi, shuga wa m'magazi amatsimikiza. Zotsatirazi zimatengedwa ngati zofunikira: kusala magazi m'thupi la 6.7 mmol / L, ndi maola awiri mutatha kuchita masewera olimbitsa thupi> 11.1 mmol / L. Pothana ndi vuto la kusokonekera kwa glucose, kuthamanga kwake kumakhala kosapindulitsa kapena insulin, ndikuwonetsa masiku ano mankhwalawa.

Popanda kukulitsa njira yododometsa yomwe imawonedwa mu matenda a shuga, njira zamatope pazomwe zikuwonetsedwa zimagwiritsidwa ntchito kumatenda a mafupa, minofu, mitsempha, matenda osapatsirana (chifuwa chachikulu) komanso chifukwa cha kuvulala kwa metabolism, komanso pambuyo povulala. Pakakhala zotsutsana ndikupambana, kuphatikiza ndi njira zina, matope othandizira amatha kuyikidwa pakhungu la mono- ndi polyneuritis yoyambira matenda ashuga.

Matope amagwiritsidwanso ntchito ngati matenda otupa a m'mimba, m'mimba, duodenum, matumbo, chiwindi ndi matenda ammimba. Pazovuta zomwe zimadza chifukwa chodwala, kugona matope kungagwiritsidwenso ntchito. Munthawi zonsezi komanso mwa ena ambiri, momwe chithandizo cha matope chikusonyezedwa, matenda a shuga siwotsutsana.

Odwala omwe ali ndi matenda ashuga omwe amagwiritsa ntchito chithandizo chamatope ayenera kudziwa kuti njirayi sayenera kumwa pamimba yopanda kanthu. Izi ndizofunikira kwambiri kwa odwala omwe amagwiritsa ntchito insulin. Ngati mukumva kusowa, kutopa, matopewo sayenera kumwedwa. Pumulani isanachitike, makamaka makamaka pambuyo pakufunika kwa njirayi.

Patsiku lamatope, palibe njira zina zofunika kuzitsatira. Odwala omwe amatenga njira zamatope ndikugwiritsa ntchito insulin, kupita kukasamba matope, ayenera kukhala ndi shuga kapena maswiti nawo ngati ali ndi hypoglycemia.

Kutentha kwamatope, kutalika kwa njira, kuchuluka kwa maphunzirowo kunatsimikiziridwa ndi kupezeka kwa dotolo ndipo musagwiritsidwe ntchito zina zilizonse ngati mungafunikire kusintha, ngati mungafunike kusintha mankhwala.

Pazakusintha komwe kukubwera ndikuyamba kapena kuwonjezeka kwa ululu, thanzi losafunikira chifukwa chogwiritsa ntchito matope achire, ndikofunikira kudziwitsa dokotala. Ngati kuli kofunikira kuchita njira yoperekera matope kwa odwala omwe ali ndi matenda a shuga, omwe sangathe kugwiritsa ntchito njira yofananira, ndiye kuti pazolekerera zabwino ayenera kupereka njira zina (ma electro-matope, matope a matope, matope iontophoresis) monga ofatsa.

Electrotherapy ingagwiritsidwe ntchito kwambiri pothandizira odwala omwe ali ndi matenda osokoneza bongo okalamba, ndikusintha kwamatenda okhudzana ndi zaka mu mtima zomwe zimalepheretsa kuthandizidwa kwa matope ochiritsira. Malamulo otenga njirayi ndiofanana ndi momwe amachitira matope nthawi zonse.

Momwe mankhwala azikhalidwe amathandizira ndi matenda ashuga

Ndizodziwika bwino kuti nthawi yachilimwe ndi nthawi yophukira, pakakhala zipatso zambiri, masamba ndi zinthu zina zam'mera, odwala matenda ashuga amamva bwino. Nthawi zambiri amakwaniritsa pakadali pano kuti asamalire mapiritsi ang'onoang'ono a insulin kapena matenda a shuga. Kupanga kwa mitundu yosiyanasiyana ya mbewu kuti muchepetse kuchuluka kwa shuga m'magazi ndi kosiyanasiyana ndipo sikumveka bwino. Zomera zingapo zimakhala ndi zinthu zofanana ndi insulin, zochokera ku guanidine, arginine, levuloses yogwira, komanso zinthu zomwe zimatsitsa shuga, zomwe zimaphatikizapo sulufule.

Zomera zimachulukitsa thupi la wodwalayo ndi ma radicals a zamchere. Kuwonjezeka kwa mchere wamankhwala amchere kumapangitsa kuti shuga azigwiritsidwa ntchito kwambiri komanso kuchepa kwa shuga m'magazi. Komanso, mbewu zimakhala ndi mavitamini ambiri, omwe amakhudza metabolism. Zithandizo zakuthambo zomwe zimagwidwa ndi matenda ena am'mimba zimayenderana ndi kusintha kwa mayamwidwe, komanso ndizotsatira zamasamba-zotupa, chiwindi ntchito (makamaka, kupanga glycogen), m'mimba, komanso impso.

Pachifukwa ichi, zadziwika kuti ndikofunikira kugwiritsa ntchito mankhwala azitsamba njira zina zamankhwala amtundu wa II komanso mtundu II. Kukonzekera kwazitsamba koteroko kumaphatikizapo, kuphatikiza pa mbewu zomwe zimachepetsa shuga ya magazi, komanso zitsamba za choleretic, diuretic komanso zotonthoza. Mu matenda ashuga, gulu lonse la ma tonic adaptogens ali ndi njira yothandizira - ginseng, eleutherococcus, muzu wagolide, Aralia Manchurian, Schisandra chinensis, leuzea, zamanha. Zomera zina zimakhala ndi insulin ndi zinthu zokhala ndi mahomoni - dandelion, dioica nettle, elecampane, burdock ndi ena. Zomera zingapo zimakhudza kagayidwe, kokhala ndi mavitamini ambiri, okhala ndi zinthu zambiri. Mndandanda wawo umaphatikizapo chiuno cha rose, sitiroberi, mabulosi am'madzi, phulusa lamapiri, chicory, chimanga. Mankhwala azitsamba amathandizira kukonza impso, chiwindi, komanso m'mimba m'magazi a shuga. Uwu ndi knotweed, bearberry, wort wa St. John, udzu wa tirigu, swamp cod, plantain.

Ubwino wothandizira matenda a shuga ndi Mankhwala azitsamba

Mankhwala azitsamba omwe amachepetsa shuga m'magazi si owopsa, samadzikundikira m'thupi ndipo, kupatula zomwe zimachitika, samapereka zotsatira zoyipa. Zitha kutumikiridwa kwa odwala omwe ali ndi matenda amshuga wazaka zilizonse, mosasamala za kuopsa kwa matendawa ndi kuopsa kwa zowonongeka m'mitsempha yamagazi ndi ziwalo zamkati. Nthawi yomweyo, kugwiritsa ntchito mankhwala azikhalidwe za anthu odwala matenda ashuga, motsutsana ndi chakudya, popanda insulin ndi mapiritsi, titha kuwonetsedwa ndi mtundu wofatsa wa matenda. Kwa odwala ambiri, kulandira chithandizo chamankhwala a mtundu woyamba wa II ndi mtundu II kungalimbikitsidwe ngati mankhwala owonjezera, limodzi ndi mankhwala a insulin kapena piritsi omwe amachepetsa shuga. Kuphatikiza kwamankhwala kotere kwa odwala angapo kumapangitsa kuti chipukutiro cha matenda a shuga chikwaniritsidwe, kukhazikika kwake, ndipo mwa zina zimalola kuchepetsa kuchuluka kwa insulin kapena mapiritsi.

• Kuwonongeka kwa impso mu matenda a shuga, momwe amathandizira komanso kupewa
• Ndi mayeso ati omwe muyenera kudutsa kuti muwone impso (kutsegula pawindo lina)
• Diabetes nephropathy: magawo, Zizindikiro ndi chithandizo
• Zofunika! Zakudya za Impso za Matendawa
• Mitsempha yam'mimba
• Matenda a impso

Kuchepetsa kuchuluka kwa mankhwala omwe amachepetsa kuchuluka kwa shuga m'magazi, motsutsana ndi njira yina yopangira matenda ashuga, ndizotheka kokha motsogozedwa ndi shuga m'magazi ndi mkodzo, ngati zizindikirozi zimasinthasintha. Pali mitundu ingapo ya mankhwala azitsamba a shuga. Izi zikuphatikiza mitsempha ya mayesowo ndi eleutherococcus. Iwo ayenera kumwedwa 30 madontho 3 pa tsiku theka la ola musanadye. Kukonzekera kwazitsamba kumeneku sikulimbikitsidwa kwa odwala omwe ali ndi kuthamanga kwa magazi. Onse odwala matenda ashuga adzapindula ndi mankhwala azitsamba a matenda ashuga. Zimaphatikizapo mphukira zamtundu wa buluu, nyemba za nyemba, Muzu wa arcancan wa Manchurian, chiuno chamadzuka, udzu wa St. John wa wort, maluwa a chamomile.

Zomwe zimachepetsa shuga

Kutengera luso la mankhwala achikhalidwe komanso deta yovomerezeka, njira zotsatirazi zazitsamba za shuga zingalimbikitsidwe:

• Ma Blueberries ndiofala. Supuni 1-2 zamasamba ndi zipatso zimatsanulira kapu ya madzi otentha, kunena ndi kumwa mumadontho atatu patsiku. Momwemonso gwiritsani ntchito sitiroberi zamtchire ndi lingonberry.
• Nyemba Mafuta akutsikira nyemba zosachepera ma nyemba ka 3 patsiku kapena chilinganizo cha nyemba zosankhira nyemba (100 g za ma pod pa lita imodzi yamadzi).
• Walnut 50 g masamba owuma kutsanulira 1 lita imodzi ya madzi otentha, kunena ndi kumwa chikho 1/2 katatu pa tsiku.
• Yoyenera kukhala wamkulu. Supuni 1 ya madzi atsopano mu kapu imodzi yamadzi 3 pa tsiku, decoction of wosweka (20 g muzu pagalasi lamadzi) mu 3-4 Mlingo.
• Elecampane wamtali. A decoction wa mizu (supuni 1 ya wosweka mu 1 chikho cha madzi) supuni 1 3-4 pa tsiku.
• Goatberry officinalis. Supuni 1 kutsanulira kapu ya madzi otentha, kunena ndi kumwa tsiku lonse.

Kuphatikiza pa mbewu izi, katundu wotsatira ali ndi katundu wochepetsa shuga m'magazi a shuga:

• masamba ndi masamba a mahatchi,
• wachabechabe wodontha komanso wogontha,
• masamba a dandelion
• periwinkle
• chithaphwe marshmallow,
• letesi
• Wort wa St.
• mabuluni
• knotweed
• zipatso za mizera yoyera, yoyera ndi yakuda,
• mabulosi akutchire
• stigmas,
• mtundu wa laimu
• Mizu ya astragalus, udzu winawake, peony,
• anyezi ndi adyo.

Pazakudya za odwala omwe ali ndi mtundu 1 ndi mtundu wa 2 matenda a shuga. Zomera zachilengedwe zosakhala zachikhalidwe ziyenera kuphatikizidwa. Iwo, okhala ndi zopatsa mphamvu zochepa zopatsa mphamvu, amakhala ndi zinthu zofunika zokhala ngati michere ndi zinthu zina, komanso zinthu zomwe zimachepetsa shuga. Kuphatikiza pa Yerusalemu artichoke, dandelion, nettle, mutha kugwiritsa ntchito chilory chicory, chikasu chachikasu, kumtunda, medunica. Amapanga saladi ndi kuwonjezera pa adyo, anyezi, sorelo.

Kukonzekera mankhwala azitsamba kumathandiza kwambiri kulipira matenda ashuga. Pazipatala, wodwalayo amatha kutsimikizira chomera chake ndikupitabe kwawo. Popeza atola zigawo zikuluzikulu zokoma (sitiroberi, mbewa, maluwa a linden), odwala amapatsidwa infusions mu mawonekedwe a tiyi. Kuphatikiza koyenera kwa zakudya, mankhwala a shuga ndi mankhwala achikhalidwe amakupatsani mwayi woperekera chindapusa cha matenda ashuga.

Wazaka 32, 163 cm, 105 kg, mtundu 1 (wozindikiridwa zaka 5 zapitazo, Type 1 nthawi yomweyo (pomwe shuga adalandiridwa, 22), adatumizidwa kuchipatala atayang'ana shuga "ngati angatero", chifukwa panali zokayikitsa panthawi yoyeserera kuchipatala kuntchito , ndi shuga 21 malinga ndi zotsatira za kusanthula), ndikutsimikizira pambuyo pake mtundu wa 1 mwa kusanthula kale kuchipatala.
Malinga ndi zomwe ananena pambuyo pa sukulu ya matenda ashuga ku Moscow Endocrinology Center: Fomu ya shuga ya diabetesic distal polyneuropathy.
Malinga ndi zomwe zidaperekedwa pa 03/12/2013 pomwe adatumizidwa kuchipatala (panali kuwonongeka mwamphamvu kochokera ku mayunitsi 17 pamimba yopanda kanthu): Matenda a shuga, retinopathy. Kunenepa kwambiri madigiri 3, mafuta hepatosis.
Anagonekedwa m'chipatala mu Marichi - Lantus (pano amatchedwa L) (ku SoloStar amangomvera) kamodzi patsiku usiku pa 21: 30-22: 30 h. 34 magawo, NovoRapid (pano HP) (mu ma flexPen) - katatu musanadye 4 mayunitsi.
Kufotokozera: inali nthawi yoyamba kuti iwo atenge mtundu wa "inshuwaransi" wa insulin yayifupi, ngati sindinalakwitsa, ndiye kuti adasankha 4XE ya chakudya (poganizira kunenepa kwambiri, izi zikanandilola kuti ndisapezeke, koma ngakhale kunenepa kwambiri). Nthawi 2 zomaliza mchipatala ndidasintha mtundu wa insulin (kachiwiri, "stationary") kale pamtengo wa 3XE pachakudya.
Malangizo a insulin (ndi zakudya): 4 mayunitsi. HP kwa mphindi 5-15. musanadye kadzutsa / nkhomaliro / chakudya chamadzulo chomwe maola atatu akupuma, Lantus pa maola 22 mayunitsi 34. Dongosolo la chakudya lokha lidalimbikitsidwa motere (zochepa koma nthawi zambiri): Chakudya cham'mawa - chipatso chimodzi chosaloledwa pa 1XE popanda insulini - Chakudya cham'mawa - zipatso - Chakudya chamadzulo - zipatso - 22h. kapu ya kefir yamafuta ochepa motsatana ndi kuwombera kwa Lantus. Zakudya zosakhwima pafupi pakati pakati pa zakudya zazikulu (maola 1.5-2 pakupuma kwa maola 3-4 pakati pa chachikulu).
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Posachedwa, kuwonongeka kunayambiranso, kuphatikiza kulemera kwanga kunakwiririka mwamphamvu (kutalika kwake kunali makilogalamu 115). Kuphatikiza apo, zinayamba kuwoneka ngati kuti kuphatikiza kwa ma insulin kunali kutasiya kugwira ntchito pa ine (mwina ndikulakwitsa ndipo chinthucho chatsala pang'ono kuwonongeka). Patatha mlingo wa Lantus wosankhidwa ku chipatala, kuthamanga kwa shuga sikugwera pansi pa 10. Inde komanso zigawo 4 zotchulidwa. Ndilibe chakudya chokwanira ndisanadye, ngakhale sindinawonjezere kuchuluka kwa chakudya chamagulu ambiri.

Zingakhale bwino, ndimayenera kupita kuchipatala kapena kukalandila chithandizo kuchipatala, koma! Tsopano tili ndi nthawi yotsogola kuntchito ndipo izikhala pafupifupi mpaka pakati pa Novembala komanso kumayambiriro kwa Disembala. Ndipo ngakhale "thanzi langa ndilokwera mtengo" ndilibe nthawi yochuluka kuchipatala, koma sindingathe kutaya ntchito.

Pogwiritsa ntchito kulemera: ndikudziwa kuti izi sizolondola, koma ndinadziyesa ndekha: kwa masabata awiri ndinachotsa HP yonse, koma ndinawonjezera kukhala magawo 38. Lantus. Nthawi yomweyo, shuga wanga adakhalabe m'malire omwewo monga kale (sizinkaipiraipira): pamimba yopanda kanthu 9-11, atatha kudya - 10-13. Palibepo acetone pano (ndimayang'ana ndi mikwingwirima, ngati zizindikilo zikuwoneka kuti nditha kulavulira pa chilichonse ndikupita kuchipatala). KULIMA BWINO: Zinali zoyenera kuchotsa HP konsekonso chakudya chofanana (sindinachisinthe ndicholinga) m'masabata awiri kulemera kwatsika mpaka kufika pa 105 kg (kulemera ndikadali kwakukulu kwambiri, koma ngakhale 10 kg ndi kupambana kale kwa ine). Mpaka ndathetse ntchito yanga yatsopanoyi, ndipo kulemerako kukupitirirabe pang'ono (tsopano kutsika kwapang'onopang'ono, koma sikuima).

Tsopano mafunso okha:
1) Kodi mungandiuzeko kuphatikiza koyenera kwambiri kwa insulin yayifupi komanso yayitali (moyenera ndi Lantus, bola, chifukwa ndindalama zanga ndindalama zambiri kugula insulini yonse, ndimapeza Lantus ndi HP yaulere m'chipatala). Mwina pali insulini zochepa "zowonjezera" kuposa HP? Ndikumvetsa kuti zitha kukhala payokha, komabe? Ndipo ngati pali kusiyana pakati pa ziwerengero pakati pa HP ndi china, ndiye kuti mutha kupereka "kutembenuka mtima". Mwachitsanzo, 1 unit. HP = 1.2 UNITS ya insulin ya XXX.
2) Munalemba nkhani zatsatanetsatane za kusankha kwa insulin Mlingo wodziimira payokha (kuwerengera ma coefficients a zochita za insulin pa gawo la shuga, ndi zina). Koma kodi mungalangize buku lanzeru pomwe zonsezi zikufotokozedwa mwatsatanetsatane kuyambira poyambira. Chifukwa Ndinazolowera "kusanthula" Mlingo, ndiye sindikudziwa kuwerengetsa ma coefficients onsewa.
3) Mwinanso mukudziwa - pali china chilichonse ngati Sukulu ya Matenda a shuga? Ndinadutsa zaka zisanu zapitazo, koma munthawi imeneyi china chake chimasintha. Ndilibe nthawi yoti ndizilowera "m'moyo weniweni", ndipo kudzera pa intaneti ndimatha kupita kuntchito (ngakhale osapitilira mphindi 20 mpaka 40). nkhomaliro).
Pepani chifukwa cha mafunso, koma chifukwa chosowa nthawi ndingafune kulandira thandizo / upangiri pa intaneti. Ndipo osati "PITANI KULEMUYO." Zachidziwikire, pamafunso anga, makamaka ndikuwononga zophatikizira zoyenera kwambiri (zosachepera anthu ambiri) zophatikizira ma insulin owonjezera ndi mwayi wochepera wowonjezera (mwatsoka, palibe nthawi yochita zolimbitsa thupi, ndipo ntchitoyo ndi kompyuta, 80% ya nthawi yogwira ntchito " Ndakhala pa bulu ", pepani chifukwa chokhala wamwano).
Ndi ulemu komanso chiyembekezo chothandizidwa, Anya.

> Tsopano mafunso pawokha:
> 1) ungandiuze
> kuphatikiza koyenera kwambiri
> yayifupi komanso yayitali insulini

Ndi insulin yamtundu wanji jakisoni - sankhani molingana ndi momwe zinthu zilili. Mukutsatira zakudya ziti ndipo mumakonda kuyeza shuga mumagazi anu? Iyi ndi mafunso ofunikira kwambiri kwa inu.

> kodi mungalangize
> buku lanzeru komwe kuli zonsezi
> mwatsatanetsatane "kuyambira zikanda".

Onani apa - http://diabetes-med.com/inform/ - koma buku lachipatala lanzeru la Dr. Bernstein, mwatsoka, silinamasuliridwepo kuchokera ku Chingerezi kupita ku Chirasha. Mwina tonse pamodzi tidzakwaniritsa kuti idasindikizidwa mu Chirasha.

> Sindikudziwa kuwerengera
> ma coefficients onsewa

Mukufuna kukhala ndi moyo - phunzirani. Ndinakumananso ndi nkhani ya “Insulin Administration. Kuwerengera Mlingo ndi njira yodutsira subulinamu insulin ”- http://diabetes-med.com/vvedenie-insulina/. Amalembedwa momwe angathere. Pali masamu pamasukulu oyambira. Palibe kophweka.

> Kodi pali china chake ngati Sukulu ya Matenda A shuga?

Ndikukulangizani kuti muphunzire tsambali mosamala, kuyambira nkhani ya "Momwe mungachepetse shuga m'magazi" - http://diabet-med.com/kak-snizit-saxar-v-krovi/. Zakudya za shuga za m'magazi ochepa zomwe timazilalikira "ndizosiyana kwambiri ndi njira zovomerezeka zazithandizo." Njirayi imathandiziradi kuchepetsa shuga m'magazi, kulemera kwa thupi ndi ma insulin, komanso kudya "moyenera" kwa matenda ashuga sikothandiza ndipo kungavulaze, monga momwe mudadziwonera nokha. Chifukwa chake, sindingathe kukulangizani pa "sukulu ya matenda ashuga" yina kupatula tsambali.

> nthawi yakuthupi pafupifupi popanda katundu

Zifukwa zanu sizikondweretsa aliyense

Ndikadakhala kuti muli inu, ndikadawerenga zomwe ndikuwerenga ndikuyesa kusintha njira zakuchizira matenda ashuga. Pakatha mwezi umodzi, mutha kulemba apa zomwe zinachitika, kenako ndikulangizani zomwe ndichite.

Matumbo dongosolo

Mu shuga mellitus, kuphwanya kwamkati mwa ziwalo zam'mimba kambiri kumawonedwa. Izi zimabweretsa kusintha kwa kayendedwe ka kayendedwe kake, zobisika ndi mayamwidwe. Choyamba, chakudya chamafuta ndi mafuta zimavuta.

Odwala ambiri omwe ali ndi matenda osokoneza bongo omwe amakhala osagwira ntchito amakhala ndi vuto lachiwopsezo pakugwira ntchito kwa chiwindi ndi ma biliary, kusintha kwamafuta m'chiwindi, kukulira kwa secretion ya bile, komanso njira zotupa ndizofala. Izi zimawonetsedwa ndi kupweteka, kulemera mu hypochondrium yoyenera, kufalikira kwa khungu ndi maso ndi khungu, komanso kukula kwa chiwindi. Nthawi zambiri odwala amadandaula za m'mimba, kupweteka m'matumbo, mseru, komanso kusanza. Nthawi zambiri amadwala kudzimbidwa kapena kutsegula m'mimba. Komanso, matenda am'mimba, monga lamulo, amawonekera mwadzidzidzi komanso amawonekanso mwadzidzidzi. Nthawi zambiri, m'mimba mumatha kudya.

Nthawi zambiri, odwala matenda ashuga amatambasulira m'mimba ndipo amachepetsa m'mitsempha yake, yomwe imasokoneza chakudya kuchokera m'mimba kupita m'matumbo. Poona kuti mawonekedwe ambiri a shuga ophatikizika ndi ziwalo zam'mimba amasiyana pang'ono ndi zilonda zam'mimba ndi zilonda zam'mimba, gastritis, kapena colitis, kupenda bwino kwa wodwala aliyense kumakhala kofunikira nthawi zonse.

Chodzikongoletsera cha nyemba ndi oats

2 tbsp. supuni pansi oats, nyemba nyemba, 1 lita imodzi ya madzi.

Thirani madzi otentha pa nyemba ndi oashi, onjezerani kwa maola 12-14. Valani moto wochepa, ubweretseni ndi kuwira kwa mphindi 5-7, ozizira komanso mavuto kudzera m'magawo atatu a gauze.

Tengani chikho 3/4 3-4 pa tsiku kwa mphindi 10-15 mutatha kudya.