Mwazi wamagazi 30 choti muchite malire oti musanalire

Matenda a shuga ndi matenda osachiritsika omwe amafunikira kuwunikidwa nthawi zonse m'moyo wonse kuti muchepetse zovuta. Kuwongolera matenda a shuga kumakhala muyezo wopitilira muyeso wa shuga, kadyedwe, masewera olimbitsa thupi ndi mankhwala, ngati madokotala atakufotokozerani.

Ngati simutsatira malingaliro a dokotala, kudumpha mukamamwa mankhwala kapena jakisoni, kupezeka kwa gluerglycemic state (shuga yayikulu kwambiri) mpaka pomwe shuga ndi magawo 30.

Chizindikiritso chotere chimadziwika ndi zoopsa kwambiri, kuthekera kwakukulu kwa kukula kwa zovuta zingapo, chifukwa chake ndikofunikira kufunsa dokotala kuti mudziwe zomwe zimayambitsa kuphwanya.

Ngati shuga adadumpha mpaka magawo 30 kapena kuposerapo, choti achite pamenepa, ndipo ndi zifukwa ziti zomwe zimathandizira?

Momwe mungachepetse shuga?

Miyezo ya shuga yamagazi imatha kufikira milingo yayikulu kwambiri, ndipo 30 mmol / L ili kutali kwambiri. Matenda a hyperglycemic awa amadziwika ndi zoopsa kwambiri, chifukwa posachedwa ketoacidosis ibwera, kenako chikomokere.

Momwe mungachepetse misempha, ndipo ndi chithandizo chiti chofunikira? Chochita choyambirira cha odwala matenda ashuga ndikupempha thandizo kwa dokotala. Tsoka ilo, sizotheka kuthana ndi vutoli panokha.

Pambuyo pake, ndikulimbikitsidwa kuwunika zomwe mumadya. Ndizotheka kuti kudumphadumpha kwakuthwa mu glucose ndiko kunali chifukwa chogwiritsa ntchito chakudya choyipa. Poterepa, akuyenera kuchita njira zonse zochepetsa shuga.

Ngati munthu wodwala matenda ashuga ali ndi shuga m'magawo 30, ndiye kuti chakudya chokhacho chomwe ali nacho ndi kugwiritsa ntchito zakudya zomwe zili ndi mafuta ochepa. Mwanjira ina, chakudya chokhwima cha carb.

Glucose pafupi magawo 30 akuwonetsa kuti ngati chithandizo chamankhwala choyambirira sichinayambike, odwala matendawa amakhala pachiwopsezo chovuta kwambiri chovuta chotenga, ngakhale imfa.

Tsoka ilo, mankhwala amakono sanapeze njira zatsopano zochepetsera shuga, chifukwa chake adotolo angalimbikitse izi:

• Zakudya zochepa za carb
• Zochita zolimbitsa thupi.
• Mankhwala
• Kuwongolera shuga.

Tisaiwale kuti zakudya zamagulu ena zimapatsa odwala matenda ashuga, chifukwa zimathandiza kukonza bwino komanso kutsika shuga m'magazi, mosasamala mtundu wa shuga ndi wodwalayo.

Ngati mutenga zofunika mu nthawi, ndiye kuti mkati mwa masiku 3-5, kuchuluka kwa shuga kwa magazi kumasintha monga momwe mungafunikire.

Zomwe zimathandiza kupewa zovuta zomwe zimayenderana ndi matenda a shuga.

Chifukwa chiyani shuga amawonjezeka?

Pamodzi ndi muyeso uti womwe uyenera kutengedwa kuti munthu akhale wathanzi komanso kuchepetsa zisonyezo za shuga, wodwalayo ayenera kudziwa chifukwa chomwe chinapangitsa kukwera kwake pamlingo wapamwamba kotero kuti ndizotheka kusiyiratu mtsogolo.

Ngati shuga m'magazi ndi magawo 30, ndiye kuti zifukwa zoterezi zingakhale zambiri - uku ndi pakati, kupsinjika, kusokonezeka kwamanjenje, kusokonezeka kwa malingaliro. Kuphatikiza apo, amakulitsa kuwonjezeka kwa shuga ndi ma pathologies ang'onoang'ono.

Komabe, odwala matenda ashuga, monga lamulo, kuwonjezeka kwa shuga wamagazi kumachitika chifukwa chosagwiritsa ntchito bwino chakudya.

Nthawi zambiri, titha kusiyanitsa zifukwa zazikulu zomwe zimatsogolera kulumpha mu shuga mthupi la munthu:

1. Kusintha kwa mahomoni m'thupi. Pankhaniyi, madontho a shuga amatha kuwoneka pakubala kwa mwana, asanafike msambo, nthawi yakusamba.
2. Zakumwa zoledzeretsa, kusuta, mankhwala osokoneza bongo. Zizolowezi zoyipazi zimatha kuvulaza wodwala, nthawi yomweyo kumakweza shuga mpaka malire osaganizira.
3. Kutengeka mtima. Monga momwe zamankhwala zimasonyezera, kuwongolera matenda ashuga ndi malingaliro abata. Kupsinjika ndi zochitika za manjenje sizingodutsa popanda kufufuza, zomwe zimapangitsa madontho akuthwa mu shuga la magazi.
4. Zochita zolimbitsa thupi. Njira yokhala yogwira ntchito mosasamala imakhudza njira ya matenda ashuga, njira za metabolic zimalephereka kwambiri, zomwe zimapangitsa kuti shuga awonjezeke. Koma kuchita masewera olimbitsa thupi a matenda a shuga kungakhale kothandiza kwambiri.

Mwakutero, aliyense wodwala matenda ashuga amadziwa kuti mutatha kudya, shuga m'magazi amadzuka, popeza pakadali pano pali njira yogwira chakudya. Nthawi zambiri, chilichonse chimayenera kukhazikika mosakhalitsa kwakanthawi.

Komabe, zinthu zimakhala zosiyana pang'ono kwa odwala matenda ashuga. Pankhani imeneyi, kudya zakudya zopatsa thanzi ndi chifukwa chinanso chomwe chitha kuwonjezera shuga.

Chifukwa chiyani palibe insulin?

Nthawi zambiri zimachitika kuti odwala matenda ashuga omwe ali ndi mbiri ya mtundu woyamba wa matenda ashuga amafunsa adotolo, bwanji insulin siyothandiza? Amazindikira kuti akuwonetsa muyezo wa mahomoni munthawi yake, koma glucose amawasungabe pafupifupi magawo 20-30. Chifukwa chiyani izi zikuchitika?

Zowonadi, insulini sikuti nthawi zonse imakhala chitsimikizo kuti shuga m'magazi izikhala pamlingo wofunikira, ndipo kulumpha sikumachitika. Monga momwe masewera amasonyezera, ngakhale pa insulin, odwala ambiri amakhala ndi shuga wambiri.

Ndipo pali zifukwa zambiri za izi. Kungodziwa etiology ya kusachita bwino kwa mankhwala a insulin kungathetse zinthu izi posalola kuchuluka kwa shuga. Nanga bwanji mahomoni samathandiza?

Ganizirani zomwe zimayambitsa:

• Mlingo wa mankhwalawa wasankhidwa molakwika.
• Palibe malire pakati pa zakudya ndi jakisoni a mahomoni.
• Wodwala samasunga bwino insulin.
• Mitundu iwiri ya insulin imasakanikirana mu syringe imodzi.
• Kuphwanya njira ya makonzedwe a mahomoni.
• Malo olakwika a insulin.
• Panali zisindikizo m'dera loyang'anira mahomoni.
• Chotsani singano mwachangu, gwiritsani ntchito zakumwa zoledzeretsa kupukuta.

Ndikulimbikitsidwa kuchitira mtundu 1 wa matenda a shuga ndi insulin. Ndipo pankhaniyi, pamene dokotala amafotokozera kuyendetsa mahomoni, amapatsa wodwalayo memo pomwe malamulo ndi malingaliro onse amawapaka akuda ndi oyera. Amathandizira kuchita chilichonse moyenera, chomwe chimakupatsani mwayi wolamulira matenda ashuga.

Mwachitsanzo, ngati mukupaka malo a jakisoni wamtsogolo ndi mowa, ndiye kuti mphamvu ya insulin yotsitsidwa ndi 10%. Ndipo ngati mutulutsira singano m'khungu, ndiye kuti mankhwalawa amatha kutayikira. Chifukwa chake, zimachitika kuti wodwala matenda ashuga sanalandire gawo lililonse la mahomoni.

Zisindikizo nthawi zambiri zimapangidwa pamalo opangira jakisoni wa insulin, chifukwa chake, kuti chithandizire bwino, tikulimbikitsidwa kuti tizitha kulowa m'malo amodzi mopitilira 1 mwezi uliwonse.

Glucose 30 magawo: zovuta

Monga tafotokozera pamwambapa, ngati shuga wamagazi a mayunitsi 30 aonedwa, ndiye kuti akuyenera kuchitapo kanthu kuti athandize minyewa yake ndikukhazikika m'malo oyenera. Mukapanda kuchita chilichonse, ndiye kuti posachedwa padzakhala zovuta.

Mkulu kwambiri shuga atha kutsogolera ku ketoacidosis. Chowonadi ndi chakuti thupi liyesa kugwiritsa ntchito kuchuluka kwakukulu kwa shuga kudzera mukuphwanyidwa kwa mafuta. Ndipo izi zimabweretsa kutulutsidwa kwa matupi a ketone, omwe ndi sumu za thupi.

Ketoacidosis amathandizira pokhapokha pazovomerezeka. Wodwalayo akulimbikitsidwa kuperekera insulin, atapanga kusowa kwa madzi mthupi, kulipirira kuchepa kwa mchere.

1. Mwazi wamagazi ambiri.
2. Pafupipafupi komanso kupemphetsa kukodza.
3. Kumva ludzu pafupipafupi.
4. Kuchulukirachulukira.
5. Mumkodzo, matupi a ketone.
6. Zowonongeka.
7. Ululu pamimba.

Kuwonjezeka kwakukulu kwa shuga kumatha kuyambitsa kukhazikika kwa matenda a shuga, omwe amadziwika ndi kutaya chikumbumtima, kusowa kwa chidwi. Vutoli limatha kupita patsogolo mofulumira, ndipo limatha kukula patsiku limodzi.

Ngati wodwala ali ndi vuto la chikomokere, ndikulimbikitsidwa kuyitanitsa gulu la ambulansi mwachangu. Matendawa amathandizidwa mchipatala okhaokha.

Chithunzi cha chipatala (zazikulu):

• Kuchepetsa mphamvu ya minofu.
• Chikumbumtima.
• Kuukira mseru, kusanza.
• Ululu pamimba.
• Tachycardia, kupuma kopanda phokoso.
• Kukodza kwadzaoneni.
• Kuthamanga kwa magazi.

Mtundu wachiwiri wa matenda a shuga, matenda oopsa a hyperosmolar nthawi zambiri amakula, popanda zizindikiro za ketoacidosis. Vutoli limatha kupsinjidwa ndi kulowererapo kwa maopaleshoni, ntchito yosaoneka bwino ya impso, komanso mawonekedwe owopsa a kapamba.

Mosasamala mtundu wa shuga, matendawa amayenera kuwongoleredwa m'malo onse: zakudya, zolimbitsa thupi, kumwa mankhwala, njira zodzitetezera. Iyi ndiye njira yokhayo yolipirira chipangizochi komanso kupewa mavuto akulu. Kanemayo munkhaniyi athandiza kumvetsetsa bwino za shuga komanso kuchepetsa shuga moyenera.

Vodka ya matenda ashuga

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

Zakumwa zoledzeretsa zamphamvu, monga vodka, zimachepetsa kwambiri shuga m'magazi, motero ndikofunikira kuti muzitha kudya. Kuphatikiza apo, mafuta amasungunuka mwachangu mu vodka, ndipo glucose amapita ku ziwalo zina, motero kumakhala kumva njala. Koma pazomwe Mlingo womwe mumatha kumwa vodka kwa odwala matenda ashuga, komanso zomwe zingakhale zofunikira, muphunziranso zambiri.

• Kodi nditha kumwa vodka wamtundu wa shuga
• Vodka yamtundu 1 shuga
• Mankhwalawa Vodka a shuga
• Kodi ndi odwala matenda ashuga ati omwe amatsutsana ndi vodika?

Kodi nditha kumwa vodka wamtundu wa shuga

Amakhulupirira kuti mukamagwiritsa ntchito vodka, shuga wamagazi amachepetsa motero siziwononga thanzi la odwala omwe ali ndi matenda ashuga. Koma muyenera kumvetsetsa kuti kumwa mankhwala, mutha kuwongolera shuga, koma mukamamwa mowa, shuga amachepetsa osagwirizana komanso amasokoneza ntchito ya ziwalo zina.

Chifukwa chake, kwa munthu yemwe ali ndi matenda a shuga a 2, vodika amathanso kuwamwa pokhapokha:

• Kwa amuna. Mlingo wapamwamba ndi 40-50 ml.
• Kwa akazi. Mlingo wambiri sukapitirira 30 ml.

Kuti vodika siyimayambitsa matenda ashuga ngakhale ochepa, ndikofunikira kukumbukira malamulo otsatirawa:

• Asanadalire odwala omwe amadalira insulin, magawo a insulin ayenera kuchepetsedwa pamaso pa odwala omwe amadalira insulin.
• Pamimba yopanda kanthu komanso mutatha kuchita masewera olimbitsa thupi, simungathe kumwa vodka.
• Musanamwe mowa, ndikofunikira kuyeza kuchuluka kwa shuga wamagazi ndikuwayang'anira tsiku lonse.
• Osasakaniza mowa, monga mowa wamphamvu ndi vinyo. Ngati mukuganiza kumwa vodka, ndiye kuti simungathe kuchepetsera ndi zakumwa zina zilizonse.
• Mutatha kumwa mowa, simungathe kusewera masewera, pitani kokasamba, sauna.

Vodka yamtundu 1 shuga

Ngati insulin siyipangidwa m'thupi la munthu, ndiye kuti mtundu 1 wa shuga umayamba. Wodwalayo ayenera kutsatira zakudya zochepa zamagulu azakudya. Chifukwa chake, vodika silingagwirizane ndi zakudya za odwala matenda ashuga, chifukwa ali ndi zakudya zamagulu ambiri.

Kuchuluka komwe angadalire sikuposa magalamu 500 pa sabata, pomwe mukuyenera kudya, ndikukumbukiranso malamulowa:

• Imwani mowa pokhapokha m'mimba,
• kuchepetsa kuchuluka kwa insulini yoyendetsedwa.

Kumwa mowa pafupipafupi kumapangitsa kuti chiwindi chiwonongeke komanso kuyankha molakwika kwa thupi ku insulin.

Pazinthu zakumwa mowa, kuphatikiza mizimu - vodka ndi cognac, mtsikanayo adzakuwuzani mu kanema wotsatirawa:

Muthanso kudziwa kuti ndi mowa uti womwe ungamwe mowa ndi matenda ashuga komanso momwe umakhudzira thupi kuno: http://diabetes.biz/pitanie/produkty/alco/alkogol-pri-diabete.html.

Mankhwalawa Vodka a shuga

Ngati vodika ndi yapamwamba kwambiri, ndiye kuti ndi zochita zake imadziwika ndi zinthu zotsitsa shuga. Koma apa zonse zowopsa zake zili, chifukwa glycemia imatha kuchitika kwambiri. Chifukwa chake, madokotala samalimbikitsa kwambiri kuchiza matenda a shuga ndi vodika, popeza izi ndizowopsa. Kuphatikiza apo, muyenera kumvetsetsa kuti matenda ashuga ndi matenda osachiritsika, ndipo kugwiritsa ntchito mankhwala osokoneza bongo nthawi zonse kumatha kuyambitsa kudalira kwa mowa, zomwe zimangokulitsa mkhalidwe wa wodwalayo.

Kuchuluka kwa zakumwa siziyenera kupitirira 50 ml.

Kodi ndi odwala matenda ashuga ati omwe amatsutsana ndi vodika?

Pali zochitika zina zomwe kugwiritsa ntchito vodika koletsedwa konse:

• ngati pali matenda a mtima
• ndi matenda a chiwindi,
• azimayi pa nthawi iliyonse yoyembekezera,
• ngati wodwala matenda ashuga akudwala mankhwala osokoneza bongo.

Ndikwabwino kuti kugonana kwa akazi kukanidwe kumwa, popeza iwo ali osokoneza bongo kuposa abambo.

Malangizo ofunikira kwa odwala omwe ali ndi matenda ashuga kukana mowa kwathunthu. Ndikofunika kudziwa kuti odwala matenda ashuga omwe amaphwanya malangizo onse a madokotala nthawi zambiri amakhala kuchipatala ndi hypoglycemia ndipo atachoka pamenepa amapanga chisankho chofunikira kwambiri - kukana kwapadera vodka.

Hyperglycemia mu shuga

Matenda a shuga ndi matenda osatha a endocrine a kapamba, omwe amaphatikizidwa ndi kukanika kwa endocrine kapena kuwonjezeka kwa zotumphukira zimakhala ndi ziwalo zake chifukwa cha insulin.

• Hyperglycemia: zomwe zimayambitsa ndi zotsatira zakepi?
• Kodi kuchuluka kwa shuga m'magazi kumaonekera bwanji?
• Momwe mungathane ndi hyperglycemia?
• Zotsatira ndi zovuta za hyperglycemia

Chifukwa chake, mtundu woyamba ndi wachiwiri wa matenda ndi omwe amadziwika. Loyamba ndi lofanana kwambiri ndi zaka zazing'ono ndipo limatha kukula mwa ana aang'ono. Lachiwiri limakhala lodziwika bwino mwa anthu opitirira zaka 30 ndi kunenepa kwambiri.

Hyperglycemia: zomwe zimayambitsa ndi zotsatira zakepi?

Njira yayikulu ya pathogenetic yomwe imayambitsa kuyambika kwa mawonekedwe onse azikhalidwe ndi hyperglycemia mu matenda a shuga. Ichi ndi chikhalidwe cha shuga wamagazi ambiri. Ndiye kuwonjezeka kwa shuga wa seramu komwe ndiko maziko a matendawa.

Pali magawo angapo a kuuma:

• Kuwala, ndikukwera kwa glucose mpaka 6-10 mmol / l. Makhalidwe abwinobwino ndi 3.33-5.55 mmol / L.
• Yapakatikati. Kuchulukitsa chizindikirocho kwa 10-16 mmol / L.
• Zovuta. Kuchuluka kwa shuga kupitirira 16 mmol / L. Ndi manambala, odwala matenda ashuga nthawi zambiri amakula.

Ndikofunikanso kugawa mitunduyi yowonjezera kuchuluka kwa shuga m'magazi:

• Kusala kudya kwa hyperglycemia (m'mawa, musanadye chakudya cham'mawa, kuchuluka kwa shuga kumasinthasintha kuzungulira 7-10 mmol / l),
• Kuchulukitsidwa kwa postprandial (kodziwika ndi kudumpha mu index pamtunda wa 10 mmol / l pambuyo pachakudya chilichonse).

Pamaso pa chizindikiro cha labotale, ndikofunikira kuti mukaonane ndi dokotala. Osati kuwonjezeka kwa seramu glucose kokhako komwe kumawonetsa chitukuko cha matenda a shuga, nthawi zina ndimakhala "belu loyamba" la matendawa ndipo chitukuko chake chikhoza kusinthidwa.

Komabe, simungathe kuzinyalanyaza - muyenera kulimbana ndi mankhwalawa komanso kupewa mavuto ena.

Pathogenesis ya hyperglycemia ndi yosavuta - chifukwa cha kuchepa kwa insulin mthupi (ndi matenda amtundu 1), glucose onse amene amalowa mkati ndi chakudya satha kugaya.Hormon ya pancreatic imachulukitsa kupezeka kwa membrane wa khungu kwa mamolekyulu a shuga, ndipo amalowa mu cytoplasm ndikusintha kwina kukhala mphamvu kapena glycogen.

Hyperglycemia mu mtundu 2 wa shuga imalumikizidwa ndi kulephera kwa minofu "kumvetsetsa" kuti glucose iyenera kukonzedwa. Izi zimachitika chifukwa cha kusowa kapena zolakwika za ma membrane omwe amapezeka pamwamba pa ziwalo. Kuphatikiza muyeso wabwinobwino wa insulin, shuga amangosungidwa m'mwazi, osafikira komaliza.

Zomwe zimapangitsa kuti izi zitheke zitha kukhala izi:

1. Zomwe zikuluzikulu ndikuchepa kwa mahomoni a pancreatic kapena kulephera kwa nembanemba ndi ma receptors awo.
2. Kuwonjezeka kwa shuga wamagazi kumapangitsanso kudya kwambiri, kudya zakudya zamafuta kwambiri, komanso moyo wopanda ntchito.
3. Kupsinjika ndi kupsinjika kwakukulu kwamthupi ndi wamanjenje,
4. Matenda opatsirana osiyanasiyana kapena kutupa kosatha kumatha kuyambitsanso kukula kwa zovuta izi.

Kodi kuchuluka kwa shuga m'magazi kumaonekera bwanji?

Nthawi zambiri anthu odwala samadziwa za matenda awo. Kwa nthawi yayitali amapitiliza kukhala ndi moyo wabwinobwino, osalabadira matenda omwe akupezeka mthupi lawo, ndipo zizindikiro zazikulu za hyperglycemia mu shuga mellitus zimadziwika chifukwa chotopa, mavuto kuntchito kapena kuzizira.

Zizindikiro zoyambirira zomwe kukhudzidwa kwa glucose amayenera kukayikiridwa ndi:

• Udzu wokhazikika (munthu nthawi zina osazindikira zakumwa mpaka malita 5 amadzimadzi patsiku).
• Kumva kwamphamvu njala. Kulephera kumukhutitsa pakudya zakudya wamba.
• Kuyamwa mwachangu.
• Kufooka General, mutu, chizungulire.
• Kuyabwa kwa pakhungu, kumachitika kwa zilonda zotuluka kawiri kawiri pachakudya chake (furunculosis).
• Kuphwanya kugonana kwa amuna.
• Matenda a urogenital mwa akazi.

Kupezeka kwa zosachepera zingapo za zizindikirozi kuyenera kumuchenjeza wodwalayo ndikumupangitsa kuti apite kwa dokotala kuti akamuwunikenso.

Momwe mungathane ndi hyperglycemia?

Popeza kuwonjezeka kwa shuga m'magazi sikuti kumatanthauza matenda, kupewa ndi chithandizo chokwanira kungalepheretse zovuta. Cholinga chachikulu cha wodwalayo ndikuchepetsa kuchuluka kwa shuga m'thupi ndikuchotsa chibadwa chake.

Kuti tichite izi, tikulimbikitsidwa:

• Nthawi zonse muyeze seramu glycemia yanu. Izi ziyenera kuchitika musanadye chakudya chilichonse.
• Kugwirizana ndi zakudya zomwe zimaletsa zakudya zamafuta ndi mafuta ochepa (confectionery, maswiti, maswiti, zakumwa zozizilitsa khofi).
• Zolimbitsa thupi dosed zolimbitsa thupi (kuyenda, kusambira, kupalasa njinga).
• Imwani madzi okwanira (malita 2-2,5 patsiku).

Chithandizo cha hyperglycemia mu mtundu 1 wa shuga chimakhudza kugwiritsidwa ntchito kovomerezeka kwa kukonzekera kwa insulin kuti akonze vuto la wodwala. Malangizo omwe ali pamwambawa akuwonekera kumbuyo.

Ndi mtundu wachiwiri wa matenda, mahomoni amapangidwa ndi thupi mokwanira, chifukwa chake, mankhwala ochepetsa shuga ayenera kugwiritsidwa ntchito m'malo mwake.

Ndizosatheka kudziyimira payokha ndimankhwala ngati awa. Ndikofunikira kufunsa dokotala-endocrinologist kuti musankhe Mlingo woyenerera.

Zotsatira ndi zovuta za hyperglycemia

Mwazi wamagazi suwopsa monga momwe zimakhudzira ziwalo ndi machitidwe.

Zovuta zazovuta za shuga zimaphatikizira:

1. Hyperglycemic (ketoacidotic) chikomokere.
2. Hypoglycemic kugwedezeka.

Mkhalidwe woyamba umachitika ndi kuwonjezeka kowopsa kwa shuga m'magazi pamwamba pa 15 mmol / L. Chachiwiri, m'malo mwake, zikagwa pansi 3 mmol / l.

Ndikofunikira kudziwa kuti zambiri zimatengera mawonekedwe amunthu aliyense wa chamoyo chilichonse. Kwa ena, hyperglycemia ya 25-30 mmol / L ikhoza kukhala yokhala ngati asymptomatic, pomwe wina amasiya kuzindikira pa 10 mmol / L.

Mavuto ena obwera chifukwa cha zovuta zoyipa zamagazi m'mitsempha yamagazi ndikuphatikizanso zinthu izi:

1. Zowonongeka kwa gawo la masomphenya (retinopathy).
2. Nephropathy ndi kukula kwa aimpso kulephera.
3. Microangiopathy yomwe ikuwonjezera chiwopsezo cha matenda a mtima ndi mikwingwirima.
4. Macroangiopathy (phazi la matenda ashuga).
5. Zowonongeka kwa chapakati mantha dongosolo ndi psyche. Choyambitsa matendawa ndi dementia (mtima).
6. Polyneuropathy ndi kuchepa kwa tactile komanso kumva kupweteka.

Shuga 35: zikutanthauza chiyani?

Shuga wamagazi 35, zikutanthauza chiyani, kodi odwala ali ndi chidwi? Kuchuluka kwa shuga m'thupi la odwala matenda ashuga kumawonetsa shuga, chifukwa chomwe magwiridwe antchito onse amkati ndi machitidwe amalephereka.

Potengera zomwe zalembedwako, shuga amatha kukula mosakhalitsa mpaka 40, zomwe zikutanthauza kuthekera kwakukulu kokulirapo kwa mavuto. Kuphatikiza apo, chiwopsezo cha kupita patsogolo kwa zotsatira zoyipa chimawonjezeka.

Matenda a shuga ndi matenda osachiritsika, omwe ndi "obisala" omwe ali ndi vuto la zovuta zambiri - kuwonongeka kwa khungu mpaka kuwona, kulephera kwa impso, gangore yam'munsi, ndi zina zambiri.

Ndikofunikira kulingalira zomwe zimatanthawuza ngati shuga wakula pamwamba pazigawo 46, ndipo ndi zovuta ziti zomwe zingayambike?

Pachimake mavuto a shuga

Mawu akuti hyperglycemic state amatanthauza kuwonjezeka kwa shuga m'thupi la munthu kuposa malire ovomerezeka. Kuzunzidwa kwa shuga kuyambira mayunitsi 3.3 mpaka 5.5 kumawerengedwa kuti ndiwowonetsa zizindikiro.

Ngati shuga m'thupi la munthu pamimba yopanda kanthu ndi wokulirapo kuposa ma 6.0, koma ochepera 7.0 mmol / l, ndiye kuti amalankhula za dziko lomwe limakhalapo. Ndiye kuti, matenda awa sikuti ali ndi matenda ashuga, koma ngati njira zoyenera sizitengedwa, mwayi wakukula kwake ndiwokwera kwambiri.

Ndi shuga omwe ali pamwamba pa mayunitsi 7.0 pamimba yopanda kanthu, matenda a shuga akuti. Ndipo kutsimikizira matendawa, maphunziro owonjezera amachitika - kuyesa kwa glucose sensitivity, glycated hemoglobin (kuwunika kumawonetsa shuga m'masiku 90).

Ngati shuga atakwera pamwamba pa magawo 30-35, boma la hyperglycemic limawopseza ndi zovuta zowopsa zomwe zimatha kupangika m'masiku ochepa kapena maola angapo.

Mavuto ambiri a matenda oopsa a shuga:

• Ketoacidosis amadziwika ndi kudziunjikira m'thupi la zinthu za metabolic - matupi a ketone. Monga lamulo, lomwe limayang'aniridwa ndi odwala omwe ali ndi matenda amtundu wa 1, amatha kubweretsa kusokonezeka kosagwirizana ndi ziwalo zamkati.
• Hyperosmolar coma imayamba shuga atakwera mthupi mpaka milingo yayikulu, pomwe pamakhala kuchuluka kwa sodium. Zimachitika motsutsana ndi maziko am'madzi. Amapezeka kawirikawiri mtundu wa 2 odwala matenda ashuga omwe ali ndi zaka zopitilira 55.
• Lactacidic chikomokere chimachitika chifukwa cha kudzikundikira kwa lactic acid mthupi, imadziwika ndi kusokonekera chikumbumtima, kupuma, kuchepa kwakukulu kwa magazi kumapezeka.

M'mazithunzi ambiri azachipatala, mavutowa amakula mwachanguchangu, maola ochepa. Komabe, kukomoka kwa Hyperosmolar kumatha kuwonetsa kukula kwake masiku angapo kapena milungu isanayambike.

Chilichonse mwazinthu izi ndi nthawi yopempha thandizo la mankhwala;

Kunyalanyaza vutoli kwa maola angapo kungatayitse moyo wodwala.

Ketoacidosis wodwala matenda ashuga

Matenda a shuga a ketoacidosis ndi matenda oopsa kwambiri omwe amatha kudwala matenda amkati, chikomokere, komanso imfa.

Vutoli limayamba pamene kuchuluka kwakukulu kwa shuga kumadzaza m'thupi la wodwalayo, koma thupi silingathe kuyamwa, popeza pali insulini yochepa kapena ayi.

Komabe, thupi limafunikira kukhala ndi mphamvu kuti ligwire ntchito, chifukwa cha momwe thupi "limatenga" zinthu zamagetsi kuchokera kuma depositi amafuta, ikasweka, matupi a ketone, omwe ndi zinthu zoopsa, amasulidwa.

Vutoli limayamba chifukwa cha kusowa kwambiri kwa thupi chifukwa cha kuchuluka kwa insulin. Ndipo zomwe zimayambitsa zingakhale izi:

1. Viral kapena matenda opatsirana (matenda opumitsa am'mimba, fuluwenza ndi ena).
2. Kuphwanya chilengedwe cha endocrine.
3. Kupsinjika (makamaka mwa ana).
4. Mikwingwirima, vuto la mtima.
5. Pambuyo pa opaleshoni.
6. Nthawi yamimba (shuga ya amayi apakati).

Poyerekeza ndi tsogolo la shuga oposa 35, wodwalayo nthawi zonse amafuna kumwa madzimadzi, motero, pali kuwonjezeka kwamphamvu kwamikodzo patsiku. Kuuma kwa mucous nembanemba ndi khungu, khungu lonse limapezeka.

Ngati vutolo lanyalanyazidwa, ndiye kuti chithunzicho chimathandizidwa ndi mseru, kusanza, fungo lochokera pamkamwa, ndipo kupuma kumakhala kwakuya komanso kwamkokomo.

Chithandizo cha ketoacidosis chimaphatikizapo mfundo zazikulu zisanu. Mankhwala a insulin amachitika, madzi mu thupi amakonzedwanso, kuperewera kwa potaziyamu, sodium ndi mchere wina kumathetsedwa, acidosis imachotsedwa, ndipo concomitant pathologies amathandizidwa.

Chitsimikizo chakuchira bwino chimawerengedwa ngati kuchepa kwa shuga kupita kumagawo 11 ndipo m'munsimu manambala.

Hyperosmolar coma: Zizindikiro ndi zotsatira zake

Hyperosmolar coma nthawi zambiri imapezeka mwa anthu odwala matenda ashuga, omwe ali m'gulu la anthu azaka zopitilira 50. Imfa chifukwa cha matenda amtunduwu imafika 40-60% mwa zithunzi zonse zamankhwala.

Izi matenda amapanga motsutsana maziko a shuga osawerengeka kagayidwe kachakudya, ndipo amapezeka ndi kuchuluka kwambiri kwa shuga mthupi, magawo opitilira 50, osakanikirana ndi plasma hyperosmolarity, pakalibe zovuta za ketoacidotic.

Zomwe zimapangidwira sizimveka bwino. Madotolo amati izi zimachitika motsutsana ndi maziko a matenda a hyperglycemic, pomwe pakadali kolepheretsa kupezeka kwa shuga kudzera mu impso.

Hyperosmolar coma imatha kupezeka pakapita masiku angapo kapena milungu ingapo. Choyamba, wodwalayo amawonetsera ngati akufuna kwambiri kumwa, kukodza mwachangu komanso mopitirira muyeso, kufooka.

Kuphatikiza apo, zizindikiro za kuchepa thupi zimadziwika:

• Kutsitsa turgor of the khungu.
• Matani amaso amachepa.
• Kuthamanga kwa magazi kumachepa.
• Mphamvu ya kutentha kwa thupi imachepa.

Woopsa mawonekedwe a matenda, wodwalayo amakula. Mavuto omwe amakonda kwambiri ndi kuvulala kwamitsempha yayikulu, komanso kuwonongeka kwa impso mu matenda a shuga komanso kapamba, khunyu.

Zomwe amathandizira pa vuto ili ndikuti ndizoletsedwa kwambiri kuchepetsa shuga. Njira yabwino ndiyakuti muchepetse shuga m'magulu asanu pa ola limodzi. Nawonso, osmolarity wamagazi sayenera kuchepa mwachangu kuposa magawo 10 m'mphindi 60.

Ngati simutsatira ndondomeko ya zamankhwala, ndiye kuti chiopsezo chotupa cham'mapapu ndi ubongo chakwera kwambiri.

Lactic acid chikomokere

Lactacidic chikomokere ndimavuto osowa kwambiri a anthu odwala matenda ashuga, komabe, amakhudzana ndi kuphedwa kwakukulu, ndipo chiopsezo cha kufa ndi 80%.

Monga lamulo, izi zokhudzana ndi matenda a m'mimba zimawonedwa mwa anthu odwala matenda ashuga omwe ali ndi mbiri yokhudzana ndi matenda a mtima, chiwindi ndi impso.

Pathogenesis ya chikomokere imakhazikika kwambiri kuzungulira kwa glucose komwe kumachitika mthupi la munthu motsutsana ndi maziko a kusowa kwa timadzi m'magazi. Chithunzi chachipatala cha matendawa chimakula mwachangu, chimasiyana pakadutsa.

Zizindikiro zotsatirazi zimawonedwa mwa odwala:

1. Ululu pamimba.
2. Zovuta za mseru mpaka kusanza.
3. Zofooka zambiri.
4. Kupweteka kwa minofu ikusuntha.
5. Kupanda chidwi, ulesi ndi kufooka.
6. Kugona kapena kugona.
7. Zopusitsa, kuyerekezera zinthu zina (kawirikawiri).

Ngati sanatenge nthawi kuti asiye kudwala, ndiye kuti agwa. Pafupipafupi, zizindikiro za kuchepa madzi m'thupi zimapezeka, kupuma kwa wodwalayo kumakhala kaphokoso komanso kwakuya, kuthamanga kwa magazi kumachepa, ndikugunda kwamtima kumawonjezeka.

Lactacidic coma imatha kuchitika mothandizidwa ndi zinthu zambiri:

• Poyerekeza ndi kumbuyo kwa chikomokere kwa hyperosmolar, chosadziwika ndi ketosis.
• Pamene matenda ashuga a ketoacidosis amachitika, lactic acidosis imawonedwa pafupifupi 8-11% ya zojambulazo,
• Chifukwa chosayenda bwino m'magazi.
• Pa nthawi yomwe mukumana ndi matenda osokoneza bongo, kapena shuga ya amayi apakati.
• Kulephera mwadzidzidzi kwa kagayidwe kachakudya mthupi.

Chithandizo cha pathological mkhalidwe umakhala kukonza acid ndi alkaline bwino m'thupi, kubwezeretsa madzi ndi electrolyte metabolism, ndi dalili. Komanso matenda a masanjidwe am'mimba kudzera mu njira ya shuga ndi kuchuluka kwa insulin.

Chifukwa chake, titha kunena kuti kuchuluka kwambiri kwa shuga ndi njira yayitali yopezera zovuta zambiri zomwe zingawononge moyo wa wodwalayo.

Kanema yemwe ali munkhaniyi akuwonetsa kuti azidya shuga wambiri.

Sonyezani shuga yanu kapena sankhani jenda kuti muyiyikire.

Kuwerengeredwa kwa index ya HOMA (HOMA) - chazomwe zimachitika komanso matenda

Kwa zaka zambiri osalimbana ndi ma DIABETES?

Mutu wa Bungwe: “Mudzadabwitsidwa kuti kumakhala kovuta motani kuchiritsa matenda a shuga tsiku lililonse.

Insulin ndi timadzi timene timathandiza kuti glucose alowe m'thupi lathu ndikupanga mphamvu. Ngati njirayi ikasokonekera, kukana insulini kumayamba - chimodzi mwazifukwa zazikulu zothandizira matenda a shuga a mtundu 2.

Kuti mudziwe zamatsenga, pali dzina lotchedwa HOMA index. Kodi ndi chiyani ndipo amawerengedwa bwanji?

Shuga wamagazi 29: zotsatira za kuchuluka kwa 29.1 mpaka 29.9

Mwazi wamagazi 29 choti muchite? Zakudya zamafuta ochepa, zolimbitsa thupi zolimbitsa thupi, kusintha mankhwala osokoneza bongo, insulin, komanso njira zosagwiritsidwa ntchito masiku ano zimathandizira kuchepetsa kuchuluka kwa shuga.

Ngati kuchuluka kwa glucose ndi magawo 29, ndiye kuti izi zikutanthauza mtundu wa hyperglycemic, chifukwa chomwe magwiridwe antchito onse amkati ndi machitidwe mthupi la munthu ali oletsedwa, chiopsezo cha zovuta zimachuluka.

Matenda a shuga ndi matenda omwe samawopseza moyo wa wodwalayo, koma izi sizinganenedwe za shuga yayikulu, zomwe zimapangitsa kuti pakhale zovuta zambiri chifukwa cha mtundu wovuta komanso wodwala.

Chifukwa chake, ngati shuga m'thupi ndi magawo 29 kapena apamwamba, izi zikutanthauza chiyani, ndipo ndi zovuta ziti zomwe zingayambike? Momwe mungachepetse shuga, ndipo ndi njira ziti zomwe zingathandize?

Njira zochepetsera shuga

Mitengo ya glucose imatha kukula kwambiri, mpaka kufika 29-30. Ziwerengero zoterezi zimadziwika ndi chiwopsezo chachikulu komanso chiwopsezo chachindunji osati ku thanzi, komanso moyo wa odwala matenda ashuga, popeza kukomoka ngakhale kufa kumatha kuchitika.

Kuchepetsa shuga ndikukhala ndi thanzi lanu, ndikulimbikitsidwa kuti mukafike kwa dokotala, chifukwa sizingatheke kuti muthane ndi vutoli, ndipo nthawi idzatayika, zomwe zimangokulitsa chithunzithunzi.

Ndikofunika kulabadira zakudya zomwe odwala amadya. Zochita zimawonetsa kuti mu utoto wambiri, ndizopatsa thanzi zomwe zimakhala ngati zomwe zimatsogolera madontho a glucose.

Pamene shuga ndi magawo 29, chithandizo chokhacho cholondola pamenepa ndi chakudya chamafuta ochepa, zomwe zikutanthauza kuti kudya zakudya zokhala ndi chakudya chochepa kwambiri.

Pakadali pano, palibe njira zomwe zingapulumutsire wodwala ku matenda ashuga. Komabe, pali njira zotsimikiziridwa zothandizira kupukusa shuga ndikukhazikika m'malo oyenera:

• Zakudya zamafuta ochepa.
• Kuchita masewera.
• Mankhwala
• Kupitiliza kwa shuga.

Zakudya zapadera zochiritsira ndizofunikira kwambiri pamankhwala, omwe amalola kuchepetsa kuchuluka kwa shuga, amasintha thanzi la wodwalayo, komanso amathetsa zovuta zomwe zimayambitsa matendawa.

Kuwongolera zakudya kumakupatsani mwayi kuti mubwezeretsenso shuga mwachizolowezi, motero, chiopsezo chotenga ma pathologies omwe nthawi zambiri amayenda ndi matenda "okoma" amachepetsedwa.

Masamba a Zakudya Zopatsa Matenda

Zakudya ndi zina mwazinthu zomwe zimakhudza mwachindunji zizindikiro za shuga, zomwe zimapangitsa kuti ziwonjezeke. Pankhani imeneyi, kudya mosamalitsa bwino ndiko komwe kumadzetsa chithandizo chokwanira.

Zakudya zoyenera komanso zowoneka bwino sizithandiza kungokulitsa shuga pamlingo woyenera, komanso zimathandizira kuti izikhala ndi malire oyenera. Osati pachabe motsutsana ndi dziko lomwe limadwala matenda ashuga, chakudya chokha ndichookwanira kuti shuga azikhala bwino.

Mukamasankha zakudya za odwala matenda ashuga, muyenera kugwiritsa ntchito glycemic index tebulo, yomwe imawonetsa zakudya zomwe zili ndi GI yayikulu, yapakatikati komanso yotsika. Kukwera mtengo kumeneku, zakudya zamafuta ambiri zomwe zimapezeka mwachangu. Ndikofunikira kuchepetsa kuchuluka kwamafuta.

Ndikulimbikitsidwa kuti musankhe zakudya zotsatirazi patsamba lanu:

1. Zakumwa za Soda komanso zopanda carbon zomwe zimakhala ndi shuga, zakumwa zoledzeretsa.
2. Soseji (masoseji, masoseji, ndi zina).
3. Mkaka wamafuta ndi mkaka.
4. Batala, offal.
5. Chakudya chofulumira - tchipisi, ma hamburger, ma fries achi french, etc.
6. Shuga, kupanikizana, kupanikizana.
7. Confectionery, makeke.

Pali mndandanda waukulu wazakudya zomwe mungadye ndi matenda a shuga ochepa. Zakudya izi zimaphatikizapo mikate yoyera, pasitala, mbatata yophika, zipatso zotsekemera, mpunga, ndi maswiti okhala ndi fructose.

Maziko a chakudya chamagulu omwe ali ndi matenda "okoma" ayenera kukhala zakudya zomwe zimadziwika ndi index ya glycemic yotsika. Amatha kudyedwa tsiku lililonse.

Ndi chololeka kudya chakudya chotsatira:

• Nyama yokhala ndi mafuta ochepa (kalulu, nkhukundu, nyama yamwana wamkaka, nkhuku ya nkhuku).
• Mitundu yamitundu iliyonse ya nyemba.
• Khofi ndi tiyi wopanda shuga.
• Zinthu za walnut (mtedza, walnuts, ma almond).
• Kaloti, beets, radishes, zukini, biringanya.
• Zakudya zam'nyanja.
• Mitundu: parsley, katsabola, udzu winawake.
• Rasipiberi, mabulosi abulu, yamatcheri.

Menyu ya anthu odwala matenda ashuga amakhala ndi zinthu zomwe zimathandiza kuti shuga azingidwe mu ma cellular - awa ndi walnuts, flaxseeds, nsomba zam'nyanja.

Maziko azakudya nthawi zonse amapangidwa ndi zinthu zokhala ndi index yotsika ya glycemic, yomwe siyilola shuga kuti inyuke pamwamba pazomwe zimapangidwira - amadyera, nyemba, masamba.

Madzi mankhwala kuchepetsa shuga

Timadziti atangofika kumene sikuti tili ndi mavitamini ndi michere yambiri, komanso njira yothandizira kutsitsa shuga m'thupi la munthu. Madzi abwino kwambiri kuchokera ku radish osakanikirana ndi msuzi wa karoti.

Omwe amathandizira pazachilengedwe amalimbikitsa kudya madzi a mbatata, omwe amathandiza kuchepetsa shuga, ndikuwakhalabe osavomerezeka. Kuphatikiza apo, izi zimathandizira kukonza magayidwe am'mimba ndi m'mimba.

Kuti muchepetse shuga kudzera mu msuzi wa mbatata, chitani izi:

1. Grate mbatata zochepa, kufinya msuzi ndi gauze.
2. Lolani zakumwa kuti zikhazikike kwa ola limodzi, ndikuthira mbale ina. Pankhaniyi, muyenera kusiya zotsalira mumbale zomwezo.
3. Tengani 50 ml kawiri pa tsiku theka la ola musanadye.

Madzi a Beetroot ali ndi zotsatira zabwino, zomwe zimatengedwa pang'onopang'ono pochiza matenda a shuga. Asanatenge, amateteza kwa maola angapo. Ndikofunikira kumwa supuni imodzi 4 pa tsiku.

Chida ichi ndi choyenera kwa munthu aliyense, chifukwa chilibe zotsutsana ndi zoyipa zake.

Masizi otsatirawa adanenanso kuti kuchepetsa shuga: madzi ochokera ku kaloti, zukini, tomato, dzungu.

Chowopsa mawonekedwe

Zovuta za shuga wodwala matenda a shuga zimadziwika chifukwa cha chikomokere, chifukwa chomwe chotupa chamkati mwa manjenje chimawonedwa.

Mkhalidwe uwu umadziwika ndi kusokonezeka kwapang'onopang'ono kwa zochitika zamanjenje, kulephera kudziwa, kutha kwa mawonekedwe oyambira.

A kwambiri mawonekedwe a kagayidwe kachakudya motsutsana maziko kwambiri shuga kumatha kuyambitsa lactic acid ndi kuchepa madzi. Izi ndi zifukwa zomwe zingayambitse zovuta:

• The pachimake mawonekedwe opatsirana matenda.
• Mikhalidwe yovuta (opaleshoni, kuwotcha kwambiri, kugwedeza kwa ululu, ndi zina zambiri).
• Kuchulukitsa kwa matenda osachiritsika.
• Kuphwanya zakudya, komanso kuchiza matenda ashuga (kudumpha insulin, kudumpha mapiritsi, kumwa mowa).
• Kuchita zolimbitsa thupi kwambiri.
• Kumwa mankhwala.

Madotolo adawona kuti munthu akamwalira chifukwa cha matenda ashuga amakhala ndi anthu ambiri omwalira. Chifukwa chake, ndi shuga wambiri pamitundu yopitilira 20, ndikulimbikitsidwa kuti mupite kuchipatala msanga.

"Mabelu" okhumudwitsa kapena oyambitsa matenda ashuga okhala ndi shuga wambiri ndikuwonjezeka kwa mphamvu ya mkodzo, mkamwa owuma, chikhumbo chofuna kumwa, kupweteka mutu, malaise, komanso kutopa.

Mavuto obwera chifukwa cha matenda ashuga

Ngati, poyerekeza ndi kuchuluka kwa anthu obwera ndi shuga, zovuta za pachimake zikadzaza ndi kulumala ndi kufa, ndiye kuti shuga yowonjezereka imapititsa patsogolo zovuta zoyipa.

Monga lamulo, zotsatirazi zimachitika ndi kuwonjezereka kwa shuga m'thupi. Mkhalidwe wa hyperglycemic ndi "kuwomba" kwa ziwalo zonse zamkati ndi kachitidwe, chifukwa, ndikuphwanya magwiridwe awo.

Tsoka ilo, pafupifupi mavuto onse osachiritsika sangathe kuchiritsidwa, mutha kungochiritsa mkhalidwe wa wodwalayo, chifukwa chake ndibwino kuti musalole kukula kwawo.

Mavuto oyipa a fomu yosatha:

1. Retinopathy imadziwika ndi kuwonongeka kwa retina, zomwe zimapangitsa kuti masinthidwe amaso asinthe.
2. Matenda a diabetesic phazi amawonedwa chifukwa cha kuwonongeka kwa mitsempha yamagazi ya zotumphukira zamitsempha, chifukwa chake, pang'onopang'ono.
3. Matenda a diabetes nephropathy ndi kuwonongeka kwa fungo la impso losakhazikika. Zomwe zimayambitsa vutoli ndi mtundu woperewera waimpso.

Matenda a shuga sangathe kuchiritsidwa, chifukwa chake chithandizo cha matendawa chimakhala chofuna kulipiritsa matenda, chifukwa chitha kukwaniritsa kutsika kwa glucose ndikuyisunga pamlingo wofunikira.

Momwe mungachepetse shuga wamagazi auzeni katswiri muvidiyoyi.

Sonyezani shuga yanu kapena sankhani jenda kuti muyiyikire.

Shuga wa Magazi 20: zotsatira za kuchuluka kwa 20.1 mpaka 20,9 mayunitsi

Kutha kuyang'anira glycemia kumatanthauza chimodzi mwazowonetsera zakukhalabe mkati mwa thupi. Nthawi zambiri, mafuta obwera kuchokera ku chakudya amasinthidwa kukhala glucose, omwe insulin imalowa mu cell, pomwe imapatsa thupi mphamvu kudzera mu glycolysis reaction.

Mu shuga mellitus, kuchepa kwa insulini kumabweretsa kuti glucose amakhalabe m'magazi ndikupangitsa kuwonongeka kwa mitsempha yamagazi, mitsempha ndi ziwalo zamkati, ndipo thupi limasinthira ku gwero lina lamphamvu - mafuta.

Kuopsa kwanjira ina yopezera zida zamphamvu ndikuti amapanga matupi a ketone omwe ali ndi poizoni m'thupi. Popeza amakhala ndi magazi ambiri, amatha kudwala matenda ashuga a ketoacidotic. Munthawi imeneyi, pamakhala chiopsezo chachikulu cha kufa pokhapokha ngati mulandira chithandizo msanga.

Zifukwa zolipirira shuga

Njira ya matenda ashuga imadalira momwe thanzi la glucose limakhalira. Mulingo wapamwamba, pambuyo pake zovuta za mawonekedwe a chikomokere zimayamba kapena zisonyezo zowonongeka mu minyewa yamitsempha, mitsempha yamagazi, impso ndi gawo la masomphenya likuwonjezeka - iyi ndi 7.8 mmol / l mukayezedwa musanadye.

Ngati shuga atakwera kwambiri, chiwopsezo chokhala ndi matenda ashuga chikuwonjezeka, ndipo ngati shuga m'magazi ndi 20, kodi izi zikutanthauza chiyani kwa thupi? Ndi hyperglycemia yotere, mapangidwe a matupi a ketone mosavomerezeka amachitika, chifukwa izi zikutanthauza kuchepa kwa insulin mu mtundu 1 wa shuga kapena matenda a shuga a mtundu wa 2.

Panthawi yachilengedwe kagayidwe, insulini imateteza minofu ya adipose pakuwonjezeka ndi kusalola kuchuluka kwa mafuta acids, komwe matupi a ketone amapangidwira. Ndi kuchepa kwa maselo, kufa ndi njala, komwe kumayambitsa ntchito ya mahomoni otsutsana, zomwe zimapangitsa kuti shuga ya magazi ikhale yoposa 20 mmol / l.

Mtundu wachiwiri wa matenda ashuga, kuwonjezeka kwa glucose pamwamba pa mamilimita 20 pa magazi sikungapangitse kuti matupi a ketone apangidwe, ngati magazi alipo okwanira kuteteza minofu ya adipose. Nthawi yomweyo, maselo sangapangitse shuga wa m'magazi ndipo khungu la hyperosmolar limayamba kukhala mthupi mpaka nthawi ya chikomokere isanayambike.

Zifukwa zomwe zimatsogolera ku ngozi yakuwonjezeka kwa shuga kufika pa mamilimita 200 / l:

1. Kudumpha mphamvu kapena kuyamwa kwa mankhwala ochepetsa shuga - mapiritsi kapena insulin.
2. Kuletsa kosavomerezeka kwa chithandizo chamankhwala (mwachitsanzo, chithandizo cha mankhwala wowerengeka kapena zowonjezera pazakudya).
3. Njira yolakwika yoperekera insulin komanso kusowa kwa glycemic control.
4. Kuwona kwamatenda kapena matenda ophatikizika: kuvulala, maopareshoni, kupsinjika, kulephera kwina kwa magazi
5. Mimba
6. Kuchuluka kwa chakudya chamagulu m'zakudya.
7. Chitani masewera olimbitsa thupi ndi hyperglycemia.
8. Mowa.

Mukamamwa mankhwala ena motsutsana ndi maziko osakwanira olimbitsa kagayidwe kazakudya, mutha kukhala ndi kuchuluka kwa shuga kwa 20 mmol / L kapena apamwamba: mankhwala a mahomoni, nicotinic acid, diuretics, Isoniazid, Difenin, Dobutamine, Calcitonin, beta-blockers, Diltiazem.

Kukhazikika kwa mtundu wa 1 shuga kumatha kuwonetseredwa ndi hyperglycemia (shuga wamagazi 20 ndi pamwambapa), ketoacidosis. Kusiyanaku kwamatenda kumawonedwa pafupifupi pafupifupi kotala la odwala omwe amadzazindikira mochedwa komanso kusowa kwa chithandizo ndi insulin.

Gawo la ketoacidosis

Gawo loyamba la matenda a shuga a mellitus limafanana ndi ketoacidosis wokwanira ndipo limawonekera mu mawonekedwe ofooka, kusasangalala, kutopa kwambiri, kugona, tinnitus komanso kuchepa kwa chilakolako chogonera. Kukhala bwino kwa odwala kumakulirakulira pang'onopang'ono, pali mseru ndi m'mimba kupweteka, kuchuluka kwa ludzu komanso kutulutsa kwamkodzo mkodzo, kuchepa thupi, kununkhira kwa acetone kuchokera mkamwa.

Gawo lachiwiri limatanthawuza kukula kwa precoma. Odwala amakhala osayanjana ndi ena, kuwonjezeka kwa ulesi, kusanza ndi kupweteka kwam'mimba, kupenya kumawonekera, kufupika kumawonekera, khungu limawuma pakukhudza, khungu silikuwongola kwa nthawi yayitali, milomo imakhala yowuma, yolumikizidwa, lilime limakhala louma, ndipo mawonekedwe amaso amaloledwa.

Pa nthawi yopuma, wodwalayo amayamba kupuma mwamphamvu, kutsika kwa magazi, kusamva bwino, kugunda kwamphamvu, kusungika kwamikodzo, komanso khungu lomwe limakhala lozizira komanso louma.

Ketoacidotic coma yodziwitsa matenda osayenera komanso kusowa kwa chithandizo chokwanira kungayambitse zovuta izi:

• Pulmonary embolism.
• Mitsempha yakuya kwambiri.
• Matenda a mtima
• Cerebrovascular ngozi.
• Chiwopsezo cha chibayo, edema ya m'mapapo.
• Cerebral edema.
• Colcinitis ndi gastritis

Chithandizo cha Ketoacidosis

Kupereka insulin kwa odwala omwe ali ndi vuto la ketoacidosis ndiyo njira yayikulu yothandizira, koma makonzedwe ake amayenera kutsatiridwa ndikuwunika glycemia komanso kufananizira kukonzekera kwa potaziyamu kuti apewe hypokalemia, yomwe ingaphe.

Kuyamba kwa kukonza kwa kusintha kwa asidi m'magazi ndi njira yotsekemera ndi chinthu china chosalimbikitsidwa, popeza mpweya woipidwa umawonjezera acidosis mkati mwa cell ndikupangitsa matenda a ubongo, ndikayamba kuyambitsa bicarbonate, hypokalemia imatha kuchitika.

Insulin imaperekedwa kwa odwala okhawo intramuscularly, mlingo woyambirira ukhoza kukhala magawo 20 mpaka 40, kutengera kuchuluka kwa hyperglycemia. Sitikulimbikitsidwa kubaya insulin mosakwiya chifukwa chachedwa mayamwidwe ndi njira yolowerera, popeza mankhwalawa amagwira ntchito kwa mphindi 15 mpaka 20 ndipo amachotsedwa msanga.

Zokhudza chithandizo cha odwala ndi:

1. Insulin iyenera kuperekedwa ngakhale wodwala sangadye yekha.
2. Mtsempha wa magazi a shuga amayamba pang'onopang'ono kuposa kukhazikika kwa glycemia pa 11 mmol / L.
3. Insulin yochepa imayendetsedwa kangapo 6 pa tsiku.
4. Kuti muwonjezere zovuta, mankhwala a vasoconstrictor sayenera kutumikiridwa.
5. M'njira zonse zam'mimba zopweteka kapena zizindikilo za odwala omwe ali ndi matenda ashuga, shuga yamagazi ndi ma ketoni a mkodzo amayenera kuyesedwa.

Kubwezeretsa madzi otaika ndikofunikira. Chifukwa cha izi, kuyambira maora oyamba azindikiritso wa ketoacidosis, kupaka kwamkati wamchere kumayikidwa.

Maantibayotiki atha kulimbikitsidwa kuti ateteze matenda, komanso heparin kuti muchepetse mtima.

Kuwononga Matenda A shuga A 2

Kukula kwa hyperosmolar coma kumayendera limodzi ndi kuchuluka kwa glycemia (pamwambapa 20-30 mmol / l), kuchepa mphamvu kwa magazi, hypernatremia komanso kusapezeka kwa matupi a ketone. Matendawa amakula nthawi zambiri mwa okalamba omwe ali ndi vuto la matenda a shuga 2.

Kukana chithandizo, kuphwanya kwambiri zakudya, matenda opatsirana, mankhwala, Hypothermia, kusowa kwamadzi, kuwotcha, kutsekula m'mimba, kusanza kwambiri, hemodialysis kumatha kudzetsa matenda a hyperglycemia.

Zizindikiro zomwe zingathandize kuzindikira matendawa ndi kuchuluka kwa ludzu, kukodza kwambiri, tachycardia, kukokana, komanso kutsika kwa magazi. Chimodzi mwa chithunzi cha chipatala mu boma la hyperosmolar ndicho kuphatikizika kwa matenda amisala ndi mitsempha, yomwe imatha kuonedwa ngati zizindikiro za psychosis yayikulu:

• Bullshit.
• Zizindikiro.
• Kuyenda kwachilendo.
• Kuyankhula zopanda pake kapena zosamveka.
• Kuphulika kwa kuzindikira ndi chidwi.

Machitidwe a hyperosmolar amakula pang'onopang'ono kuposa ketoacidosis. Zizindikiro zake zimachuluka kuyambira masiku 5 mpaka milungu iwiri.

Kuwonetsedwa kwa kuchepa kwamadzi kumatchulidwa kwambiri, koma palibe fungo la matupi a acetone ndi ketone mumkodzo.

Chithandizo cha Hyperosmolar

Kufunika kwa kayendetsedwe ka insulin mwa odwala nthawi zambiri kumakhala kotsika, kumachokera magawo awiri mpaka anayi pa ola limodzi ndikuwunika kuyang'anira shuga. Chofunikira kwambiri pochiza matenda ashuga awa ndi kuwonjezerekanso madzi m'thupi.

Pankhaniyi, kuchuluka kwa mayankho kuyenera kukhala kotsika kuti kusayendetse magazi. Kuphatikiza apo, ndikofunikira kuyeza mulingo wa sodium m'magazi. Ngati aposa 150 mmol / l, ndiye kuti yankho la sodium chloride mu hypotonic concentration ya 0.45% amagwiritsidwa ntchito.

Malita osachepera 8 amadzimadzi amaperekedwa kwa odwala otero, omwe akuyenera kuchitidwa mpaka osmolarity amachepetsedwa ndi magawo a 7-10 patsiku.

Mukamveketsa mulingo wa sodium m'magazi, gwiritsani ntchito njira yofananira yamchere.

Matenda a shuga amawononga

Zoyenera kuchita kuti muchepetse zovuta za mtundu 1 ndi matenda ashuga a 2? Mkhalidwe waukulu ndi chithandizo choyenera cha matendawa. Izi zikutanthauza kugwiritsa ntchito mlingo wokwanira wa insulin kapena mankhwala ochepetsa shuga komanso chakudya chomwe chimakhala ndi zinthu zambiri zokhala ndi chisonyezo chochepa cha hypoglycemic.

Izi zikuphatikiza masamba obiriwira, biringanya, mtedza, nthangala, zipatso zamchere, maapulo osavomerezeka, komanso njere zonse - buwheat, oatmeal. Kuphatikiza apo, zakudya zama protein zopanda mafuta ndizothandiza - zakumwa za mkaka, tchizi cha kanyumba, nyama ndi nsomba, nkhuku. Masamba amakonda kudyedwa mwatsopano mumasaladi okolere ndi mafuta a masamba.

Mukamagwiritsa ntchito maswiti okonzedwera m'malo mwa shuga, muyenera kuwongolera kapangidwe kake, nthawi zambiri amaphatikiza ufa oyera, mafuta amafuta, maol. Chifukwa chake, zakudya zilizonse muyenera kudya mothandizidwa ndi shuga.

Zopanda mphamvu:

1. Maswiti aliwonse ndi zinthu zopangidwa ndi ufa.
2. Phula yokhazikika.
3. Zakudya zokazinga, nyama yamafuta kapena nsomba.
4. Senti yogula, zakudya zamzitini.
5. Mbatata, mpunga wa peeled, nthochi, ayisikilimu, zipatso zouma, mchere.
6. Zapaketi zokhomedwa ndi zakumwa zilizonse zotsekemera.

Chithandizo cha odwala omwe ali ndi kusinthasintha kwakukulu mu glycemia imachitika kuchipatala komwe mlingo wa insulin kapena mapiritsi ochepetsa shuga ayenera kusankha. Ngati ndi kotheka, mlingowo uwonjezedwa kapena jakisoni wowonjezera wa insulin akapatsidwa mtundu wa matenda ashuga 1, komanso mtundu wachiwiri wa matenda ashuga, insulini kapena mankhwala osakanikirana akhoza kuikidwa.

Zizindikiro za hyperglycemia zidzafotokozedwa mwatsatanetsatane ndi katswiri mu kanema munkhaniyi.

Sonyezani shuga yanu kapena sankhani jenda kuti muyimikize.

Kukula kwa matenda

Amakhulupilira kuti insulin sensitivity imachepetsedwa chifukwa cha kunenepa kwambiri. Koma zimachitika kuti kukana insulini kumayamba ndi kulemera koyenera. Nthawi zambiri, matenda a zam'mimba amapezeka mwa amuna pambuyo pa zaka 30, ndipo mwa akazi pambuyo 50.

Poyamba anthu ankakhulupirira kuti matendawa amakhudza anthu akuluakulu okha, koma m'zaka zaposachedwa, kuwunika kwa insulini mu achinyamata kwachulukitsa kasanu ndi kamodzi.

Pokonza insulin kukana, magawo angapo amasiyanitsidwa:

1. Pothana ndi zakudya zamafuta, kapamba amakulitsa insulin. Amasunga shuga wambiri m'magazi chimodzimodzi. Hormayo imathandizira maselo am'mimba ndi maselo amafuta kuyamwa glucose ndikupanga mphamvu.
2. Kugwiritsidwa ntchito molakwika ndi zakudya zopanda pake, kusachita masewera olimbitsa thupi, komanso kusuta kumachepetsa kugwira ntchito kwa zolandilira zomvera, ndipo minofu yake imasiya kuyanjana ndi insulin.
3. Mwazi wamagazi umakwera, poyankha izi, kapamba amayamba kupanga insulini yambiri, komabe amakhalabe osagwiritsidwa ntchito.
4. Hyperinsulinemia imabweretsa kumverera kosalekeza kwaanjala, kusokonezeka kwa metabolic komanso kuthamanga kwa magazi.
5. Hyperglycemia, imabweretsa zotsatira zosasintha. Odwala amatenga matenda a shuga angiopathy, kulephera kwa impso, neuropathy.

Zoyambitsa ndi zizindikiro

Zomwe zimayambitsa kukana insulini zikuphatikizapo:

Zakutsogolo:

• cholowa - ngati banja lili ndi abale omwe ali ndi matenda ashuga, ndiye kuti matendawo amapezekanso kwambiri,
• kumangokhala
• kumwa kwambiri mowa,
• mavuto
• ukalamba.

Chowoneka cha chiphunzitsochi chimakhala chakuti chilibe matenda. Munthu kwa nthawi yayitali mwina sazindikira kuti ali ndi insulin.

Nthawi zambiri matendawa amadziwika mukamayesedwa kuchipatala kapena ngati pali umboni wowoneka bwino wa matenda ashuga:

• ludzu
• kukodza pafupipafupi
• njala yosalekeza
• kufooka
• kusakhazikika
• kusintha kwa zokonda - anthu amafuna maswiti,
• Maonekedwe a ululu m'miyendo, kumva kukomoka, kukokana,
• Mavuto am'maso amatha kuwoneka: ma goosebumps, malo akuda pamaso pa maso kapena kuchepa kwa masomphenya.

Kuwerengeredwa kwa NOMA

HOMA Index (NOMA) njira yofala kwambiri yodziwira kukana insulini. Amakhala ndi kuchuluka kwa shuga ndi insulin m'magazi. Amatsimikiza kugwiritsa ntchito fomula mwamphamvu pamimba yopanda kanthu.

Kukonzekera kusanthula:

• kusanthula kuyenera kuchitika mosamala pamimba yopanda kanthu,
• chakudya chotsiriza chikuyenera kukhala maola 12 chisanachitike kusanthula,
• chakudya chamadzulo usiku watha kukhala wopepuka
• kusanthula nthawi kuyambira 8:00 mpaka 11:00 m'mawa.

Nthawi zambiri, zotsatira za kusanthula kwa anthu azaka 20 mpaka 60 ziyenera kukhala kuyambira 0 mpaka 2.7. Manambala pamtunduwu amatanthauza kuti kumva za minyewa yachilengedwe kumakhala kwabwinobwino. Ngati chizindikirocho chikuwonjezeka, ndiye kuti wodwala wapezeka ndi insulin.

Kutengera ndi kuchuluka kwa shuga m'magazi, pali: prediabetes ndi shuga. Matenda a shuga sangakhale matenda, koma chifukwa chachikulu choganizira za zakudya zanu komanso moyo wanu.

Izi zikusintha, ndiye kuti, ndikusintha kwa moyo, kupezekanso kwa matenda ashuga. Popanda chithandizo chokwanira, prediabetes isandulika mtundu 2 shuga.

Insulin insensitivity

Zoyenera kuchita mukazindikira insulin, dokotala akukuuzani. Chithandizo chiyenera kukhala chokwanira.

• zakudya zama carb ochepa
• kumwa mankhwala
• zolimbitsa thupi.

Chakudya chopatsa thanzi glucose chiyenera kukhala chochepa-carb. Odwala onenepa amalangizidwa kuti azidya mikate 12 patsiku. M'pofunika kwambiri kusankha kusankha kwa zakudya zanu pazakudya zanu - mbale zokhala ndi mndandanda wokwanira wa glycemic, komanso zakudya zamafuta ndi nyama yokazinga ziyenera kutha kwathunthu kuzakudya.

Kodi chimaloledwa kudya chiyani?

• masamba ndi zipatso
• skim mkaka,
• mtedza
• nsomba
• nyama yokonda
• chimanga.

M'moyo wodwala, payenera kukhala malo ophunzirira zolimbitsa thupi. Utha kukhala ulendo wopita ku masewera olimbitsa thupi, dziwe, kuthamangira asanagone. Anthu onenepa kwambiri amatha kuyenda. Yoga amathanso kukhala othandiza. Asanas ake amathandizira kukhazikika m'mitsempha, kuchepetsa kugona, komanso kukonza chimbudzi. Kuphatikiza apo, wodwalayo ayenera kupanga lamulo kuti asagwiritse ntchito kukweza, ndipo akamagwiritsa ntchito zoyendera pagulu, pitani 1 mpaka 2 poyambirira ndikuyenda kunyumba.

Kanema wokhudza matenda a shuga, zovuta zake komanso chithandizo:

Mankhwala

Pofuna kuthana ndi matenda, dokotala amatha kukupatsani mankhwala otsatirawa:

1. Metformin - mankhwalawa amaletsa kutulutsa shuga mu chiwindi kulowa m'magazi ndikuwongolera magwiridwe antchito aubongo. Chifukwa chake, amachepetsa kuchuluka kwa insulin m'magazi ndikuthandizira kuchepetsa katundu pa kapamba.
2. Acarbose ndi mankhwala osokoneza bongo a hypoglycemic. Zimawonjezera kuyamwa kwa glucose m'mimba, komwe, kumabweretsa kutsika kwa kufunikira kwa insulin mukatha kudya.
3. Pioglitazone - singatengedwe kwa nthawi yayitali chifukwa cha zovuta za chiwindi. Mankhwalawa amathandizira chidwi cha insulin, koma amatha kubweretsa vuto la mtima komanso sitiroko. Chifukwa chake, kugwiritsa ntchito kwake ndikochepa.
4. Troglitazone - amagwiritsidwa ntchito pofuna kuchiza insulin. Kafukufuku awonetsa kuti mtundu wachiwiri wa matenda ashuga udaletsedwa mu kotala la anthu omwe adaphunzira.

Chithandizo cha anthu

Kumayambiriro kwa chitukuko cha insulin, mutha kugwiritsa ntchito mankhwala kutengera maphikidwe ena:

1. Blueberries Supuni imodzi yokha yamasamba obiriwira amawatsanulira 200 ml ya madzi otentha. Pakatha mphindi 30, tsanulira ndikugawa galasi mu 3 waukulu tsiku. Decoction wotereyo amathandiza kuchepetsa shuga m'magazi, koma pokhapokha matendawa atadwala.
2. Wachigawenga stevia. Tengani supuni 1 ya Crimea yodulidwa ndikutsanulira 200 ml ya madzi otentha. Kuumirira mphindi 15, ndiye kupsyinjika. Imwani tsiku lonse m'malo mwa tiyi. Zomera zimatha kuchepetsa shuga ndi cholesterol, kusintha chiwindi ndi kapamba.
3. Msuzi wa nyemba. Thirani madzi okwanira 1 litre mu poto ndikuwonjezera nyemba 20 za nyemba. Valani moto ndi kuwira. Kenako yikani kusakaniza. Njira ya mankhwala ndi 1 mpaka 2 miyezi. Tengani tsiku lililonse m'mawa, pa nkhomaliro komanso madzulo. A decoction amagwiritsidwa ntchito kuti magazi abwinobwino.
4. Kulowetsedwa kwa nettle. Tengani 800 g wa nettle ndikuwatsanulira ndi malita a 2,5 a mowa. Kuumirira masiku 7, ndiye mavuto. Tengani supuni zitatu theka la ola musanadye, supuni 1.

M'masiku ano, aliyense akhoza kutengeka ndi insulin. Ngati matenda awa atapezeka mwa inu nokha, munthu ayenera kusintha moyo wake posachedwa. Ndikosatheka kubwezeretsa chidwi cha maselo kuti apange insulin kokha ndi mankhwala.

Wodwala ayenera kudzipangira yekha ntchito: kudzikakamiza kuti adye moyenera, kusewera masewera, kusiya zizolowezi zoipa. Tsoka ilo, anthu safuna kusintha miyoyo yawo ndipo sanamvere malangizo a madokotala, mwakutero amayambitsa chitukuko cha matenda osokoneza bongo komanso zovuta zina za matendawa.

Shuga wopitilira 20

• 1 shuga
• 2 Mulingo wowopsa
• 3 Zoyambitsa ndi Zizindikiro Za Kuchulukirapo
• 4 Zizindikiro
• 5 Ndi mayeso ati ofunika?
• Zotsatira za kuchuluka kwa shuga m'magazi 20 kapena kuposerapo
  • 6.1 Ndi kuwonjezeka kwadzidzidzi
  • 6.2 Kupitiliza kwakali ndende
• Chochita?

Ndi matenda a shuga, kuyang'anira shuga nthawi zonse ndikofunikira. Mlingo wovuta kwambiri wa shuga ndi kuyamba kwayamba kusintha kosasintha m'thupi la munthu. Kuchulukitsidwa kwakanthawi kochepa ndi koopsa ndi zovuta zomwe zimachitika nthawi yomweyo, ndipo kuthamanga kwa shuga kokwanira kumabweretsa kuwonongeka kwamitsempha yamagazi ndi ziwalo. Ndikofunikira kudziwa zomwe zili wamba, komanso zomwe zimawonetsa kuti shuga ndizovuta.

Mlingo wa shuga

Mu thupi lathanzi, kuchuluka kwa glucose m'magazi (pamimba yopanda kanthu) sikuyenera kukhala okwera kuposa 3.5-5,5 mmol. Mukatha kudya, mtengo wake umachuluka ndipo sayenera kupitirira 7.8 mmol. Zizindikiritso izi ndi gawo lachipatala lomwe limakhazikitsidwa nthawi zonse pazinthu zamagazi zomwe zimatengedwa kuchokera chala. M'magazi a venous, gawo lovomerezeka lidzakhala lokwera - 6.1 mmol pamimba yopanda kanthu, komanso imawoneka yabwinobwino.

Mlingo wa shuga kwa odwala matenda ashuga sungafanenso kuchuluka kwa momwe shuga amuchotsera mkodzo. 8-11 mmol imawerengedwa ngati kuwonjezeka pang'ono, shuga ya magazi 17 ndi gawo labwino, shuga wamagazi 26 ndi gawo lovuta la hypoglycemia. Kuchuluka kwa shuga m'magazi kumapangitsa kuti thupi lizigwira ntchito bwino, zomwe zimabweretsa zovuta zosasinthika. Malingaliro a shuga wamagazi, malinga ndi chikhalidwe cha msinkhu, akuwonetsedwa patebulopo.

Mtengo wabwinobwino (mmol)

Makanda2.8 mpaka 4.4 Osakwana zaka 143,5 mpaka 5.5 14—60 60—904,6 mpaka 6.4 Opitilira 904,2 mpaka 6.7

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Mulingo wowopsa

Chizindikiro cha 18 mmol / l chimawerengedwa kale kuti chinthu chowonjezera. Ndipo shuga wamagazi a 20 mmol / L ndi okwera kwambiri amakhumudwitsa kukhazikika kwa ma pathologies osasinthika omwe amakhudza thanzi la munthu. Koma kufananizira chizindikiro ichi ndi anthu onse kudzakhala kulakwika. Mwa zina, zotsatira zosasinthika zimayamba pa 15 mmol, pomwe ena samamva kusokonezeka, ngakhale shuga ali 30 mmol. Ndikosavuta kudziwa kuchuluka kwa shuga omwe amapha popanda vuto lililonse, munthu aliyense amakhala ndi chisonyezo chodziwika bwino, kupatsidwa thanzi labwinobwino.

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Zizindikiro

Shuga wokwezeka nthawi zonse amatsogolera pakutha mphamvu kwa wodwala.

Ndikotheka kudziwa chizindikiro chokha pofufuza magazi omwe atengedwa pamimba yopanda kanthu. Kukhala ndi shuga wambiri mwa munthu kumapangitsa thanzi labwino, kumayambitsa zizindikiro:

• kutaya mphamvu
• ulesi
• dzanzi m'm miyendo
• kulakalaka
• ludzu losalekeza
• kukodza pafupipafupi
• kuchepa thupi
• Khungu loyera ndi zotupa,
• mabala ochiritsa bwino
• kunachepetsa chilakolako cha kugonana.

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Ndimayeso ati omwe amafunikira?

Kuti adziwe kuchuluka kwa shuga, magazi amatengedwa kuchokera pachala. Kusanthula kungatengedwe ku chipatala, kapena mutha kugwiritsa ntchito mita kuchititsa maphunziro kunyumba. Kuti tsatanetsataneyu azidziwike, ndikofunikira kuzindikira momwe zinthu ziliri asanakonzedwe:

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

• Kuyeza kwa zizindikiro kuyenera kuchitika pamimba yopanda kanthu. Osachepera maola 10 magazi asanaloledwe.
• Sikulimbikitsidwa kuyambitsa zakudya zatsopano muzakudya.
• Pewani kukhumudwa komanso yesetsani kupewa kuchita mantha.
• Zotsatira zolondola kwambiri, kupumula komanso kugona mokwanira ndizofunikira.

Ngati, chifukwa cha kusanthula, shuga ndi wopitilira chizindikiro chofunikira, dokotala amayambitsa kafukufuku wowonjezera - kuwunika kwa shuga. Amakhala ndikumwa magazi pamimba yopanda kanthu ndikuyamwa kachiwiri nditamwa madzi ndi shuga. 7 mmol pamimba yopanda kanthu ndi malire ndipo imawerengedwa kuti ndi vuto, ndipo madzi akumwa ataloledwa, kuchuluka kwa shuga kwamwazi kumayambira pa 7.8 mpaka 11.1 mmol.

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Ndi kuwonjezeka kwadzidzidzi

Ngati pali shuga wambiri, ndiye kuti wodwala amatha kukomoka.

Ndi kuchuluka kwambiri kwa shuga, kukomoka kumatha kuchitika, ketoacidosis ndi chikomokere (shuga m'magazi 21 mmol kapena kuposerapo) kumatha, kukulira poyambira kuwonongeka kwa dongosolo lamanjenje lamkati. Chikomokere chimadziwika ndi anthu ambiri omwalira, motero vutoli limafunikira kuchipatala msanga. Zizindikiro zomwe zimayambitsa kupsa mtima:

• kuchuluka kwamikodzo mpaka malita 3-4 patsiku,
• ludzu lamkati ndi pakamwa lowuma
• kufooka, kupweteka mutu.

Ngati simukuthandizira pa nthawi yake, lolani:

• zopinga zoletsa
• kuzindikira kwambiri
• zovuta zamanjenje,
• kugona kwambiri.

Ngati shuga ndi magawo 28, koma palibe chizindikiro cha ketoacidosis, chikomokere cha hyperosmolar chimayamba.

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Kukhalitsa kwa nthawi yayitali

Hyperglycemia ndi chifukwa cha kuchuluka kwa glucose komwe kumakhalapo kwanthawi yayitali. Zimagwira ntchito yamoyo yonse. Zotsatira zotsatirazi zimawerengedwa kuti ndi zowopsa:

Ngati shuga amakhalabe okwera kwa nthawi yayitali, ndiye kuti imakhudza masomphenya, ndikupangitsa khungu.

• chiwonongeko chamkono cha m'maso, chomwe chingapangitse kuti anthu asaone bwino,
• kuwonongeka kwamitsempha yamagazi ndi mitsempha (kugunda kwamtima, phazi la matenda ashuga),
• kuwonongeka kosasinthika kwa ma nephrons (fyuluta ya impso).

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Zoyenera kuchita

Ngati mulingo wa shuga m'magazi uposa malire ovomerezeka kwa nthawi yoyamba, simuyenera kupanga chisankho chakuchepetsa payekhapayekha. Ndikofunika kufunsa mwachangu kwa dokotala yemwe akupatseni mankhwala. Ngati dokotala wapezeka kale, ndiye kuti kusintha kwa glucose kumayendetsa insulini. Koma ndikofunikira kukumbukira kuti shuga iyenera kutsikira pang'onopang'ono, kotero ma insulin jabs ayenera kukhala ochepa. Musaiwale zakufunika kokwanira kuwonjezera kuchuluka kwa madzimadzi. Ngati kuyesayesa sikubweretsa kutsitsika komwe kukufunikira, onetsetsani kuti mukuyimbira ambulansi.