Shuga wamagazi 20-20

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

Mu shuga mellitus, kuchepa kwa insulini kumabweretsa kuti glucose amakhalabe m'magazi ndipo amawonongera 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 lachiwonetsero likuwonjezeka - iyi ndi 7.8 mmol / l mukayeza asanadye.

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 mosakhazikika amachitika, chifukwa izi zikutanthauza kuperewera kwa insulin mu mtundu 1 wa shuga kapena matenda a shuga a 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 sangapange glucose ndipo thupi 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 osavomerezeka mankhwalawa (mwachitsanzo, chithandizo chamankhwala azikhalidwe kapena zowonjezera).
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. Zakudya zopatsa mphamvu zamagulu 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.

Shuga wopitilira 20

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.

Mulingo wowopsa

Chizindikiro cha 18 mmol / l chimawerengedwa kale kuti chinthu chowonjezera. Ndipo shuga wamagazi a 20 mmol / L ndi okwera kwambiri amakhumudwitsa kukula 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.

Zomwe Zimayambitsa ndi Zizindikiro Zowonjezera

Kuwonjezeka kwa kutentha kumatha kuyambitsa shuga m'magazi.

Matenda a shuga sindicho chokha chomwe chikuwonjezera kuchuluka kwaz shuga.

Kupsinjika, nkhawa, kutenga pakati, matenda osiyanasiyana amatha kukulitsa shuga. Kupatuka kunthawi zambiri kumalumikizidwa ndi kuphwanya kwamakanidwe a chakudya.

Pankhaniyi, madokotala azindikira zifukwa zingapo zazikulu zomwe zimatha kukweza shuga mwachidule mpaka 20 kapena kuposa:

• kuperewera kwa zakudya m'thupi
• kumangokhala
• kutentha kuwonjezeka
• ululu
• kusuta fodya komanso mowa
• malingaliro osalamulirika.

Mavuto azaumoyo omwe amayambitsidwa ndi kusintha kwa ma pathological mu magwiridwe amkati mwazomwe zimapangitsa kuchuluka kwa shuga. Amagawika m'magulu, kutengera gawo lomwe lawonongeka:

• ziwalo zam'mimba,
• chiwindi
• zotupa za endocrine
• kusakwanitsa kwa mahomoni.

Kuti muchepetse chizindikirocho, ndikofunikira kupeza chifukwa chake ndikuwonjezera.

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.

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:

• Kuyeza kwa zizindikiro kuyenera kuchitika pamimba yopanda kanthu. Osachepera maola 10 magazi asanaloledwe.
• Sikulimbikitsidwa kuyambitsa zakudya zatsopano muzakudya.
• Pewani kukhumudwa komanso yesetsani kupewa 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 yovuta, ndipo madzi akumwa ataloledwa, kuchuluka kwa shuga kwamwazi kumachokera pa 7.8 mpaka 11.1 mmol.

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 komanso 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.

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).

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.

Shuga wambiri wamagazi (mayunitsi 15 kapena kuposapo): chochita, zotsatira za hyperglycemia

Madokotala amati shuga yamagazi imakwezedwa ngati ikwera pamwamba pa chizindikiro cha 5.5 mmol / L.

Komabe, pali zochitika zina pamene kuchuluka kwa glucose kuli 15, 20 kapena kuposa. Tiona chifukwa chake izi zitha kuchitika, ndipo koposa zonse, zoyenera kuchita ngati pali shuga wambiri wamwazi.

Kodi ndichifukwa chiyani shuga amawuka odwala matenda ashuga?

Kupanga kwa shuga m'thupi la odwala matenda ashuga kungafotokozeredwe motere:

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• shuga amafunikira mu khungu lililonse la thupi lathu, popanda iwo, palibe dongosolo kapena chiwalo chomwe chitha kugwira ntchito moyenera. Timakhala ndi glucose pazakudya,
• kuti shuga atuluke m'magazi kupita mu maselo, mayendedwe apadera amafunikira - insulin ya mahomoni yopangidwa ndi kapamba,
• munthu akakhala wathanzi, m'thupi mwake insulin imapangidwa ndendende momwe zimafunikira, mwa anthu odwala matenda ashuga izi zimasokonekera,
• Pakakhala insulin yokwanira, njira yonyamula glucose kupita komwe ikusokonekera imasokonezeka, zikuwoneka kuti ma cell omwe thupi alibe mphamvu, ndiye kuti, glucose, amayamba "kufa ndi njala". Izi zimachitika ngakhale shuga atakhala okwanira pakadali pano.
• kulipirira kuchepa kwa mphamvu, ngakhale shuga wambiri amatulutsidwa m'mwazi, ndiye kuti, zizindikiro zikukulirakulirabe.

Gwero lalikulu la shuga ndi mafuta omwe timapeza ndi chakudya. Chifukwa chake, choyenera kuletsa, choyambirira, zopangidwa ndi carb kwambiri, osati mafuta ndi mapuloteni.

Mwazi wamagazi udalumphira kwambiri, ndiyenera kuchita chiyani?

Kunyalanyaza kulumpha kwakuthwa mu shuga m'magazi ndi koopsa, chifukwa odwala ambiri omwe ali ndi chizindikiro cha 13.8-16 mmol / l amayamba kupanga zovuta zowopsa monga matenda ashuga a ketoacidosis. Ads-mob-1

Izi zimadziwika ndi mfundo yoti poyesa kulipirira kuchepa kwa mphamvu, thupi limayamba kukonza mafuta osungidwa, ndikumatulutsa "mtundu" wowopsa ngati ma ketones. Pakakhala ma ketoni ambiri, amadetsa thupi, zomwe zimatha kubweretsa mavuto ambiri.

Momwe mungachitire:

1. ngati pa mita yomwe mwawona zizindikiro za ma 15, 16, 17, 18, 19, 20, ndiye kuti pakufunika kuchitapo kanthu mwachangu kuti muthe kutsitsa zomwe zikusonyeza. Ikhoza kukhala mankhwala ochepetsa shuga kapena jakisoni wa insulin. Chonde dziwani kuti zochita zodziyimira pawokha ndizovomerezeka pokhapokha ngati muli ndi matenda "a shuga" ndikudziwa kupanga jakisoni moyenera komanso malinga ndi njira yomwe mungagwiritsire ntchito mankhwala. Mukakumana ndi mfundo zapamwamba koyamba ndi bwino kuyimba ambulansi nthawi yomweyo,
2. wokhala ndi mayunitsi 21-25, chiopsezo cha matenda onga matenda a shuga chikukula kwambiri. Ngati shuga satha kuchepa ngakhale mutamwa mankhwala kapena jakisoni, pitani kuchipatala msanga,
3. pali magawo ena ovuta kwambiri pamene glucose amafikira mayunitsi 26-29, ndipo nthawi zina amatha kukhala magulu 30-32 kapena kupitilira. Pankhaniyi, kubwezeretsa ntchito zofunikira ndikotheka kokha m'chipinda chothandizira kwambiri, kuchipatala.

Ngati mukumva kusakonzeka ndi zisonyezo kuti shuga wayakuka kwambiri, tengani nawo gawo lanu la glucose magazi kuti mutsimikizire kuti shugayo sanalumphe kuzinthu zomwe zimawopseza moyo ndi thanzi.

Zakudya zochizira komanso kupewa hyperglycemia

Monga lamulo, madokotala amalimbikitsa kugwiritsa ntchito manambala 9 piritsi.

Chakudya chizikhala motengera mfundo izi:

• pewani kusala kudya, komanso kudya kwambiri (ngakhale zakudya zopatsa thanzi),
• pewani chakudya "chothamanga",
• gwiritsani ntchito zokhazokha zomwe mwaphika, zophika, zophika kapena zonenepa.

Zakudya zolimbikitsidwa (zabwino zamagulu a shuga):

Simungadye:

• pasitala ndi Zakudyazi,
• mikate yoyera
• kuphika
• kuphika,
• puff makeke
• ayisikilimu
• maswiti
• chokoleti
• makeke
• makeke okoma
• kupanikizana
• ma pickles ndi ma pickles,
• zakudya zamafuta ndi zokazinga,
• zakumwa zonunkhira bwino.

Kugwiritsa ntchito kochepera: khofi, makeke ophika, mkate, uchi, uchi, fructose kapena zotsekemera zina, mbatata, kaloti, beets, zipatso zotsekemera, monga tangerines.

Odwala ena, pofuna kubwezeretsanso shuga kwachikhalidwe, akusintha kukhathamira kwa zotsekemera. Kumbukirani kuti sizothandiza kwambiri ndipo mutha kuzigwiritsa ntchito ochepa.

Zithandizo za anthu zomwe zimathandizira kuchepetsa shuga

Chifukwa chake, timayika mndandandawu ndi zomwe zimatchedwa kuti kutsitsa shuga:

1. chicory muzu. Itha kugulidwa ngati mawonekedwe a ufa womalizidwa, pomwepo ndikofunikira kukonzekera chakumwa chomwe chimafanana ndi khofi pakukoma ndi katundu. Kulowetsedwa kwa muzu womwewo kuli ndi chododometsa champhamvu kwambiri. Muyenera kuchita motere: kutsanulira supuni ziwiri zatsopano za nthaka ndi lita imodzi ya madzi otentha, wiritsani kwa kotala la ola, ozizira komanso kupsinjika. Pakatha mwezi umodzi, chakumwachi chimayenera kuledzera katatu patsiku, mphindi 15 asanadye,
2. Ndi bwino kudya zonunkhira ngati sinamoni. Itha kuwonjezedwa ndi kapu ya kefir (kuchuluka kwa magalamu 10) ndikumwa gawo ili madzulo, mwachitsanzo. Maphunzirowa adapangidwa kwa milungu iwiri kapena itatu,
3. tiyi wamaluwa a linden ndi njira ina yabwino kwambiri yomwe ingachepetse shuga m'magazi,
4. walnut ndi wotchuka pakati pa odwala matenda ashuga. Ndikulimbikitsidwa kugwiritsa ntchito osati ma beni okha, komanso kukonzekera ma tincture othandiza kuchokera m'makoma a zipolopolo zake.Chinsinsi chodziwika bwino: magalamu zana a zopaka zothira 250 ml ya madzi otentha, wiritsani kwa kotala la ola, kukhetsa, kumwa 10 ml katatu patsiku, musanadye,
5. Kuthekera kwazitsamba kosavuta: muzu wa licorice, udzu wa momwort, udzu wa centaury, muzu wa burdock, masamba a birch ndi masamba a timbewu tosiyanasiyana. Magalamu makumi anayi a osakaniza amathiridwa ndi 500 ml ya madzi otentha mu thermos kwa maola atatu. Tengani 60 ml katatu patsiku, musanadye.

Ndibwino ngati wodwalayo amamwa zotsatirazi tsiku lililonse: cilantro, parsley, katsabola, letesi.

Ngati pali shuga wambiri m'magazi, ndipo mkhalidwe waumoyo ndi wabwinobwino

Sikuti nthawi zonse wodwala amamva zizindikilo zakuti shuga m'magazi ake amakwezedwa.

Kwa ambiri, izi zimadabwitsidwa, zomwe zimapezeka mwamwayi, panthawi yoyeserera kapena pakachitika zinthu zina.

Ndikofunika kumvetsetsa: thupi la munthu aliyense ndi munthu payekha, ndipo ngati simukumva mavuto, izi sizitanthauza kuti kulibe.

Hyperglycemia iyenera kuthandizidwa mulimonsemo, apo ayi tsiku lina padzakhala kuchuluka kwa shuga mpaka milingo yovuta, yomwe itha kutha moyipa .ads-mob-2

Zotsatira za shuga wambiri mu shuga

Ngati shuga amadzuka kwa nthawi yayitali, pafupifupi khungu lililonse m'thupi limavutika:

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• Njira zosintha maselo ndi minofu zimasokonekera,
• munthu amatha kuyamba kutenga matenda osiyanasiyana,
• Njira zoyambira m'magazi ang'onoang'ono zimasokonekera, zomwe nthawi zambiri zimayambitsa matenda a thrombosis,
• pali chiwopsezo chachikulu chakuti wodwalayo angathane ndi vuto la matenda ashuga, ndipo munthuyo agwa.
• mtima umayankha mochulukitsa kuthamanga kwa magazi, komwe kumawonjezera kwambiri chiopsezo cha stroko ndi mtima,
• Nthawi zambiri motsutsana ndi maziko a glycemia, momwe thupi limakhazikitsira thupi limawonedwa, komanso kuwonjezeka kwa cholesterol "yoyipa",
• Poyerekeza zakakhalidwe kakang'ono ka shuga, matenda ashuga a ketoacidosis, omwe tawatchula koyambirira kwa nkhaniyi amatha. Kuphatikiza apo, munthu amatha kudwala matenda a shuga a polyneuropathy, omwe nthawi zambiri amatha kulumala chifukwa cha kutayika kwa miyendo.

Woopsa, pamene njira zochepetsera shuga sizinatenge kapena sizibweretsa zotsatira, wodwalayo amakumana ndi zotsatira zakupha.

Tsoka ilo, pakalibe njira zochiritsira zokwanira, vutoli limapita patsogolo mwachangu. Izi ndichifukwa choti m'thupi la wodwalayo mphamvu zama cell receptor kupita ku insulin zimachepa, ndipo izi zimapangitsa kuti pakapita nthawi, maselo ndi minyewa "zimawona" mahomoniwo kukhala akuipiraipira.

Momwe mungachepetsere shuga am'magazi mwachangu komanso moyenera kunyumba:

Vutoli litha kuwongoleredwa, koma njirayi iyenera kukhala yokwanira - kumwa mankhwala, kudya bwino, kuchita masewera olimbitsa thupi komanso kutsatira malangizo a dokotala omwe akupezeka kungakupatseni moyo wodwala matenda ashuga.

Shuga ya magazi 20: chochita pamlingo uwu

Matenda a shuga ndi matenda omwe amayenera kuwunikidwa nthawi zonse kuti asadzetse zovuta mthupi. Kuti izi zitheke, odwala matenda ashuga nthawi zambiri amayesa magazi kuti apange shuga pogwiritsa ntchito pulogalamu yapadera ya glucometer. Kuphatikiza apo, adokotala amakupangira chithandizo chofunikira, mankhwala kapena insulin.

Ngati simutenga nthawi ndi kudumphira kukhazikitsidwa kwa mahomoni m'thupi, kuchuluka kwa shuga kwa magazi kumatha kudumphira mpaka magawo 15 kapena 20. Zizindikiro zoterezi zimakhala zowopsa pa thanzi la odwala matenda ashuga, chifukwa chake, ndikofunikira kuwona dokotala ndikuchotsa zomwe zimapangitsa kuti wodwalayo asokonezeke.

Matenda a shuga

Ndiye, titani ngati shuga wambiri wawonjezereka mpaka magawo 15 ndi 20? Kupatula kuti muyenera kufunafuna chithandizo chamankhwala, muyenera kuwerenganso zakudya zomwe anthu amadwala matenda ashuga. Mwambiri, shuga m'magazi amalumpha kwambiri chifukwa cha kuperewera kwa zakudya.Kuphatikiza chilichonse chomwe muyenera kuchita kuti muchepetse shuga m'thupi, ngati zizindikiro zikufikika.

Kuchepetsa shuga m'magazi kuyambira pa 15 mpaka 20 mayeso kukhala mulingo wabwinobwino ndikotheka ndi zakudya zochepa. Ngati wodwala matenda ashuga alumpha shuga, palibe chakudya china chokwanira chomwe chingathandize.

Zizindikiro za mayunitsi 20 kapena kuposerapo kumanenanso za ngozi yomwe imawopseza wodwala ngati chithandizo champhamvu sichinayambike. Atasanthula ndikupeza zotsatila za mayesowo, adotolo amakupatsani mankhwala ndi zakudya zamagulu, zomwe zimachepetsa shuga ya magazi mpaka mulingo wa 5.3-6.0 mmol / lita, chomwe ndi chizolowezi kwa munthu wathanzi kuphatikiza odwala matenda ashuga.

Zakudya zamafuta ochepa zimapangitsa wodwalayo kukhala ndi mtundu uliwonse wa shuga, ngakhale atadwala.

Matenda a mtunduwo amawonekera kale patsiku lachiwiri kapena lachitatu pambuyo pakusintha kwa zakudya.

Izi, zimachepetsa shuga m'magazi 15 ndi 20 mpaka kutsika ndipo zimapewa kukula kwa matenda achiwiri omwe nthawi zambiri amayenda ndi matenda ashuga.

Kuti musiyanitse zakudya, ndibwino kugwiritsa ntchito maphikidwe apadera pophika zakudya osangochepetsa shuga wamagazi, komanso kusintha mkhalidwe wa munthu wodwala matenda ashuga.

Zomwe Zimayambitsa Madzi Akuluakulu a shuga

Mwazi wamagazi ungathe kuchuluka chifukwa cha kutenga pakati, kupsinjika kwambiri kapena kupsinjika kwamaganizidwe, mitundu yonse yamatenda a sekondale.

Zoyenera, ngati kuchuluka kwa glucose kukwera mpaka magawo 15 kapena 20, titha kulingalira zakuti ichi ndi chizindikiro chowonjezera chidwi pa thanzi.

Nthawi zambiri shuga m'magazi amakwera ngati wodwala ali ndi vuto lakukonza chakudya.

Chifukwa chake, zifukwa zazikulu zowonjezera kuchuluka kwa shuga m'magazi 20 kapena kuposerapo ndizosiyanitsidwa:

• Zakudya zopanda pake. Mukatha kudya, kuchuluka kwa shuga m'magazi nthawi zonse kumakwezedwa, chifukwa pakadali pano pali njira yogwira ntchito yopangira chakudya.
• Kulephera kuchita zolimbitsa thupi. Kuchita masewera olimbitsa thupi kuli ndi phindu lililonse pa shuga.
• Kuchulukitsa kwa malingaliro. Panthawi yamavuto kapena kupsinjika mwamphamvu, kulumpha mu shuga kumatha kuonedwa.
• Zizolowezi zoipa. Mowa ndi kusuta zimakhudza kwambiri zomwe zimachitika mthupi komanso kuwerenga kwa glucose.
• Kusintha kwa mahomoni. Mu nthawi ya premenstrual syndrome ndi kusintha kwa thupi kwa azimayi, kuchuluka kwa shuga m'magazi kumatha kuwonjezeka.

Kuphatikiza pazomwezo zingakhale zovuta zamtundu uliwonse, zomwe zimagawidwa malinga ndi gawo lomwe lakhudzidwa.

1. Matenda a Endocrine chifukwa cha kuperewera kwa mahomoni amatha kuyambitsa matenda ashuga, pheochromocytoma, thyrotoxicosis, matenda a Cushing. Mwanjira imeneyi, msuzi wa shuga umakwera ngati kuchuluka kwa mahomoni kumachulukitsa.
2. Matenda a kapamba, monga kapamba ndi mitundu ina ya zotupa, amachepetsa kupanga insulin, komwe kumayambitsa mavuto a metabolic.
3. Kumwa mankhwala ena kungapangitsenso kuchuluka kwa shuga m'magazi. Mankhwalawa amaphatikizapo mahomoni, diuretics, njira zolerera komanso mankhwala a steroid.
4. Matenda a chiwindi, komwe glucose amasungirako glycogen amasungidwa, amachititsa kuchuluka kwa shuga m'magazi chifukwa chovuta kugwira ntchito mkati. Matendawa ndi monga cirrhosis, hepatitis, zotupa.

Zonse zomwe wodwalayo ayenera kuchita ngati shuga atakwera mpaka magawo 20 kapena kupitilira apo ndikuchotsa zomwe zimayambitsa kuphwanya kwa umunthu.

Inde, vuto limodzi kumawonjezera kuchuluka kwa shuga magawo 15 ndi 20 mwa anthu athanzi silimatsimikizira kupezeka kwa matenda ashuga, koma pankhani iyi zonse ziyenera kuchitidwa kuti zinthu zisamakulire.

Choyamba, ndikofunikira kukonza zakudya zanu, ndikuchita masewera olimbitsa thupi nthawi zonse.Poterepa, tsiku lililonse muyenera kuyeza shuga wamagazi ndi glucometer kuti musabwerenso zomwe zikuchitika.

Mwazi wamagazi

Mwazi wamagazi nthawi zambiri umayezedwa pamimba yopanda kanthu. Kuyesedwa kwa magazi kumatha kuchitika onse kuchipatala mu labotale komanso kunyumba pogwiritsa ntchito glucometer. Ndikofunikira kudziwa kuti zida zam'nyumba nthawi zambiri zimapangidwa kuti zizindikire kuchuluka kwa shuga m'magazi, pomwe mumagazi, chisonyezo chidzatsitsidwa ndi 12 peresenti.

Muyenera kuwunika kangapo ngati kafukufuku wapitayo adawonetsa kuchuluka kwa shuga m'magawo 20, pomwe wodwalayo sanapezeka ndi matenda a shuga. Izi zimalola kuti matendawa athe nthawi komanso kuthetsa zonse zomwe zimayambitsa matendawa.

Ngati wodwala wakweza glucose, dokotala atha kuyitanitsa kuyesa kwa glucose kuti athandize kudziwa mtundu wa prediabetes. Nthawi zambiri, kuwunika koteroko kumayikidwa kuti kupatula kukhazikitsidwa kwa matenda ashuga mwa wodwala ndikuwona kuphwanya shuga m'mimba.

Chiyeso chololera glucose sichimalamulidwa kwa aliyense, koma anthu opitirira 40, odwala onenepa kwambiri komanso omwe ali pachiwopsezo cha matenda a shuga amapitilira.

Kuti achite izi, wodwalayo amapititsa kuyezetsa magazi pamimba yopanda kanthu, pambuyo pake amupeza kuti amwe kapu ya shuga yowonjezera. Pambuyo maola awiri, kuyezetsa magazi kumachitidwanso.

Pa kudalirika kwa zotsatira zomwe zapezeka, zotsatirazi ziyenera kuonedwa:

• Nthawi kuchokera pachakudya chotsiriza mpaka kuwunikiridwa iyenera kudutsa osachepera maola khumi.
• Musanapereke magazi, simungagwire ntchito yogwira ntchito zolimbitsa thupi ndipo katundu onse wolemera pamthupi sayenera kupatula.
• Ndikosatheka kusintha kwambiri zakudya musanayambe kusanthula.
• Yesetsani kupewa kupsinjika ndi nkhawa.
• Musanafike pakuwunikiridwa, ndikofunikira kuti mupumule komanso mugone bwino.
• Pambuyo poyamwa shuga atamwa, simungathe kuyenda, kusuta ndi kudya.

Vuto lololera glucose limapezeka ngati kuwunikako kunawonetsa deta pamimba yopanda pafupifupi 7 mmol / lita ndipo mutatha kumwa shuga 7.8-11.1 mmol / lita. Ngati zizindikirozo ndizotsika kwambiri, musadandaule.

Kuti muzindikire chomwe chikuwonjezera shuga m'magazi amodzi, muyenera kuyang'aniridwa ndi kapamba ndi kukhululuka koyeserera kwa magazi kwa ma enzymes. Mukamatsatira malingaliro a madokotala ndikutsatira zakudya zochizira, kuwerengera kwa glucose posachedwa kumakhala kokhazikika.

Kuphatikiza pa kusintha kwamagazi a shuga, wodwalayo atha kuona zotsatirazi:

1. Kukodza pafupipafupi
2. Pakamwa pakamwa ndi ludzu losatha,
3. Kutopa, kufooka komanso kuyipa matenda,
4. Kuchulukitsa kapena, mosachepera, kunachepa, pomwe kulemera kumacheperachepera kapena kulipidwa,
5. Chitetezo cha mthupi chimafooka, pomwe mabala a wodwala amachira.
6. Wodwalayo amamva mutu pafupipafupi
7. Masomphenya akuchepa
8. Kuyabwa kumawonedwa pakhungu.

Zizindikiro zotere zikuwonetsa kuchuluka kwa shuga m'magazi ndikufunika kuchitapo kanthu mwachangu.

Zakudya zowonjezera zowonjezera shuga

Kuwongolera shuga la magazi, pali zakudya zapadera zochiritsira zomwe zimafuna kuchepetsa kuthana ndi zakudya zomwe zili ndi chakudya chambiri. Ngati wodwala amakhala ndi thupi lochulukirapo, kuphatikiza dokotala amalembera zakudya zamagulu ochepa. Poterepa, ndikofunikira kubwezeretsanso zakudya zomwe zili ndi mavitamini ndi michere.

Zakudya za tsiku ndi tsiku ziyenera kuphatikizapo zakudya zomwe zimakhala ndi mapuloteni oyenera, mafuta ndi chakudya. Mukamasankha mbale, muyenera kudziwa kaye tebulo la glycemic index, lomwe aliyense wodwala matenda ashuga ayenera kukhala nawo. Mutha kuchotsa zizindikilo za matenda ashuga kokha komanso kudya zakudya zopatsa thanzi.

Ndi shuga wowonjezereka, ndikofunikira kusintha pafupipafupi zakudya.Ndikulimbikitsidwa kudya pafupipafupi, koma m'magawo ang'onoang'ono. Payenera kukhala zakudya zitatu zazikuluzikulu zitatu ndi zakudya zazing'ono patsiku. Komabe, muyenera kudya zakudya zabwino zokha, kupatula tchipisi, othandizira ndi madzi owala, owononga thanzi.

Zakudya zazikulu zikuphatikiza masamba, zipatso ndi zakudya zama protein. Ndikofunikanso kuwunika momwe madzi alili. Ngati mulingo wa glucose ukhalabe wokwera, ndikofunikira kusiya kotheratu kugwiritsa ntchito zotsekemera za confectionery, zakumwa zotsekemera ndi zamafuta, zakumwa zoledzeretsa. Ndikulimbikitsidwanso kupatula mphesa, zoumba ndi nkhuyu kuchokera muzakudya.

Mwazi wamagazi unakwera zoposa magawo 20 - zikutanthauza chiyani?

Kukhalapo kwa matenda monga matenda a shuga kumatanthauza kuwunika koyenera kwa glycemia kuti tipewe zovuta.

Kuyang'anira chizindikirocho pogwiritsa ntchito glucometer kumakuthandizani kuti mudziwe kuchuluka kwa glucose, kupewa kuthumphira, komanso kusintha chithandizo ngati pakufunika. Zolakwika m'zakudya kapena kuphwanya chiwembu cha jakisoni wa insulin ndikumwa mankhwala kungayambitse kusinthasintha kwa glycemia.

Zikatero, shuga wama 20 kapena kupitilirapo umakhala chifukwa cha muyezo wodwala. Kuwoneka kwa ziwerengero zotere pa chinsalu cha mita kuyenera kukhala chifukwa chokhazikitsira njira zomwe zingapangitse chizindikirocho.

Zimayambitsa kuchuluka kwa magazi

Miyezo ya glycemia imatha kuchuluka pazifukwa zingapo:

• kuchuluka mothandizidwa ndi zinthu zopsetsa mtima,
• kukula kwa matenda ena.

Kuwonjezeka kwa glucose kumachitika chifukwa kuphwanya kukonza kwa mafuta omwe amaperekedwa ndi chakudya. Kupatuka kulikonse kwa miyezo kumachitika chifukwa chokhazikitsidwa (pamimba yopanda 3.3 -5,5 mmol / l) kumawonetsa kukhalapo kwa kupatuka kotheka mu ntchito ya thupi.

Zinthu zomwe zimapangitsa kuti shuga azikwera kuposa 20:

1. Chakudya chopanda malire. Panthawi ya chakudya, kuchuluka kwa shuga kumakhala kokwanira nthawi zonse, chifukwa pamakhala zochitika zake pakakonzedwe kake.
2. Makhalidwe ongokhala. Anthu omwe sachita masewera olimbitsa thupi amatha kupeza kuchuluka kwa shuga.
3. Kupsinjika kapena kutengeka mtima kwambiri. Nthawi ngati izi, kusintha kwa mndandanda wa glycemic kumawonedwa m'thupi.
4. Zizolowezi zoipa. Zakumwa zoledzeretsa, kusuta fodya kumawononga thanzi la munthu, kuphatikizapo kungayambitse kuchuluka kwa shuga m'magazi.
5. Kusintha kwa mahomoni. Mimba, kusamba, kapena premenstrual syndrome zitha kuwonjezera shuga.

Matenda omwe amayambitsa kuchuluka kwa glycemia:

1. Matenda a shuga ndi njira zina za endocrine zomwe zimatsogolera kutha kwa chinsinsi cha mahomoni.
2. Matenda a kapamba kapena neoplasms mmenemo, omwe amachepetsa kupanga kwa insulin komanso amathandizira kusokonezeka kwa metabolic.
3. Kumwa mankhwala ena, omwe glucose amatha kutuluka (okodzetsa, mankhwala a steroid ndi mahomoni, njira zakulera).
4. Matenda a chiwindi. Owopsa kwambiri ndi cirrhosis, zotupa, chiwindi. Chiwalochi chimatulutsa glycogen, kotero kupatuka kulikonse pakugwira ntchito yake kumabweretsa kukula kwa shuga.

Matenda a shuga amawoneka kuti ndi omwe amachititsa kuti shuga azikulirakulira. Munthu amene wathandizidwa kuti adziwe izi nthawi zambiri samayesa kudziwa tanthauzo la izi ndi momwe matendawo angawongoleredwere.

Matendawa amadziwika ndi kusinthasintha kwa chisonyezo, mulingo wa zomwe zimatengera zinthu zambiri:

• kudya
• kuchitira insulin mankhwala,
• kumwa mankhwala a antipyretic,
• glycemic control mafunde.

Mosasamala kanthu zomwe zimayambitsa kuphwanya kuchuluka kwa shuga, wodwalayo ayenera kuchita zonse munthawi yake kuti adziwitse chizindikiro.Zovuta zokhazokha za kukula kwa glycemic sizingakhale chifukwa chofufuzira monga matenda a shuga, koma amafunikira chisamaliro chokhudza thanzi lawo kuti zinthu zisawonjezeke.

Kuopsa kwa shuga

Pophunzira zotsatira za kuyesa kwa magazi pamlingo wa shuga womwe ulimo, munthu akuyenera kutsogoleredwa ndi chizolowezi chokhazikitsidwa cha 5.5 mmol / L.

Kuchulukitsa kozindikira kwa chizindikirocho kumawerengedwa kuti ndi kwamitengo yopitilira 7.8 mmol / L, ndipo kutsika ndikulandila kwa data osakwana 2.8 mmol / L.

Manambalawa akafika, kusintha kosasinthika kumayamba m'thupi.

Zotsatira zoyipa ndi:

• kuwonongeka kwamanjenje,
• kukomoka kumachitika pafupipafupi
• kufooka okulirapo, limodzi ndi kutayika kwa zinthu zoyambira,
• chikomokere chifukwa cha hyperglycemia,
• kuchepa kwa madzi kumbuyo kwa ketoacidosis,
• zotsatira zakupha.

Mitundu yovuta ya shuga yomwe imayambitsa kukomoka kwa hyperglycemic ndi yosiyana kwa wodwala aliyense. Anthu ena amati amakhala ndi thanzi labwinobwino ngakhale ali ndi shuga wambiri mpaka 17 mmol / L, chifukwa sazindikira momwe zinthu zikuipiraipira. Mwanjira iyi, mankhwala adangokhala magawo azizindikiro okha, amawoneka kuti amapha anthu.

Matenda akulu a shuga amatha kuyambitsa ketoacidosis. Vutoli limawonedwa kwambiri mwa odwala omwe amadalira insulin. Zimachitika motsutsana ndi maziko a kuchepa kwa glycemia.

Zizindikiro zomwe zimatsagana ndi ketoacidosis chikomokere:

• kusowa kwamadzi,
• kugona
• khungu lowuma
• mawonekedwe a fungo la asitone kuchokera pamlomo wamkamwa,
• kupuma kwambiri.

Chizindikiro cha glycemia cha 55 mmol / L chimafunikira kuchipatala mwachangu kuti asafe msanga. Kutsika kwa shuga kumabweretsa kuwonongeka kwa ubongo. Kuukira kumachitika mosayembekezereka ndipo kumakhala ndi ululu, kuzizira, chizungulire, kufooka, ngakhale thukuta lotukwana.

Zizindikiro za Makhalidwe Otsutsa

Kuwonjezeka kwa glycemia kumayendetsedwa ndi izi:

• ludzu lalikulu
• kukodza pafupipafupi,
• kamwa yowuma
• mawonekedwe owoneka ngati kugona, ulesi,
• kutopa
• kusakhazikika
• chizungulire
• kuyabwa
• nkhawa
• kusowa tulo
• mawonekedwe a mibadwo pakhungu,
• kupweteka kwa molumikizana
• dzanzi la miyendo
• kusanza ndi mseru.

Zizindikiro za phewa lanu:

• kutayika kofulumira pakuyankha,
• mukununkhiza acetone kuchokera mkamwa mwanu
• kugona kuwoneka ngati kukomoka.

Ngati zoterezi zikuchitika, shuga amayenera kuwayeza mwachangu. Chizindikiro chikakwaniritsa zofunika kwambiri, ndikofunikira kuyitanitsa gulu lazachipatala. Kupanda kutero, chiopsezo cha imfa chikuchulukitsidwa.

Njira zosinthira chizindikiro

Lakuthwa limakwera m'magulu a shuga nthawi zambiri kumachitika zolakwika pakudya. Ndiye chifukwa chake odwala onse omwe ali ndi matenda ashuga ayenera kuyang'anitsitsa zakudya zawo kuti ateteze kusinthasintha kwa chizindikiro. Boma pamene mulingo wa glycemia wakwera kwambiri kuposa wabwinobwino, sunganyalanyazidwe. Muyenera kudziwa zoyenera kuchita m'malo oterowo kuti muzimveketsa bwino.

Momwe mungachepetse glycemia:

1. Tsatirani zakudya. Zakudya zochepa zopatsa mphamvu zimathandizanso kuti shuga asungunuke komanso kuti asadutse. Zolakwika zilizonse zakudya ndizomwe zimayambitsa kuwonongeka kwa matendawa. Zakudya zoyenera ndizovomerezeka zamitundu yonse yamatenda mosasamala kanthu za kukhalapo kwa zovuta. Patatha masiku angapo atasintha zakudya kuti zikhale chakudya, kusintha kumawonedwa ndipo chiopsezo cha matenda am'mbuyo omwe amayamba chifukwa cha matenda a shuga amachepa.
2. Tsatirani upangiri wa zamankhwala wokhudza kumwa mankhwala omwe amathandiza kuchepetsa shuga ndi magazi a insulin.

Thandizo loyamba la hyperglycemia yovuta:

1. Katemera munthu mosazindikira ndi mankhwala a insulin malinga ndi kuchuluka kwa mankhwala omwe adokotala amupatsa. Ndikofunikira pokhapokha jekeseni kuti mutsimikizire kuti chifukwa cha kuwonongeka ndikuwonjezereka kwa shuga.Kuti muchite izi, ndikokwanira kuyeza mulingo wake ndi glucometer. Kupanda kutero, kuphatikiza mankhwala a insulini poyambira kumbuyo kwa shuga wochepa kwambiri sangangokulitsa vutolo, komanso kungayambitse imfa.
2. Itanani gulu lachipatala ngati pambuyo pa jakisoni awiri, thanzi lanu silinabwerenso. Odwala ovuta amapititsidwa kuchipatala komwe amakalandira chithandizo chofunikira.

Ngati pali zovuta pakusankha kuchuluka kwa insulin, gawo limodzi la mahomoni liyenera kuperekedwa kwa magawo 1.5 mamiliyoni ambiri. Zochita zoterezi ziyenera kuchitika mothandizidwa ndi glycemia, yomwe ikuyenera kuchitika pakatha mphindi 15 mpaka 20 zilizonse.

Pambuyo pakuwongolera shuga, mulingo wake uyenera kuyesedwa mkati mwa ola limodzi, popeza pali kuthekera kwakuti adalakwitsa kupaka insulini yambiri kuposa momwe amafunikira, kotero chizindikirocho chitha kuchepa.

Kuti mukonze glycemia, muyenera kupita kwa dokotala nthawi zonse, chifukwa cha zotsatira za kafukufuku ndi mayeso a wodwalayo, omwe amapereka chithandizo choyenera. Katswiriyo amathandizira kukhazikitsa mulingo woyenera wa mankhwalawa chifukwa cha mankhwala a insulin, chifukwa ndi kuwerengera kolakwika kwa kuchuluka kwa mahomoni omwe amachititsa kusinthasintha kwa chizindikirocho.

Njira zodzitetezera

Kukula kwa glycemia mpaka magulu ovuta kungalephereke mothandizidwa ndi malingaliro osavuta koma ogwira mtima:

1. Imwani mankhwala opangidwa ndi dokotala munthawi yake kuti mukhalebe ndi shuga.
2. Pewani kugwiritsa ntchito zakudya zamafuta ndi maswiti othamanga.
3. Chotsani zizolowezi zoyipa, m'malo mwa masewera, komanso zochitika zina zolimbitsa thupi.
4. Wunikirani mtundu ndi kuchuluka kwa insulini yomwe imayikidwa pa jakisoni, ndikutha kuwerengera. Kuphatikiza apo, ndikofunikira kupaka jakisoni musanadye, osadya. Izi zikuthandizira kupewa kukwera kwakuthwa kwa glucose.
5. Yang'anirani shuga. Kuti izi zitheke, wodwala aliyense ayenera kugula glucometer. Pogwiritsa ntchito zida zotere, kuyezetsa shuga kumatha kuchitidwa kulikonse. Izi zipangitsa kuti zitheke kutenga zofunikira pakuwuka, komanso kugwa.

Zotsatira za zakudya zopezeka mu shuga:

Pazowonongeka zilizonse zomwe zimachitika motsutsana ndi hyperglycemia, maphikidwe ena sayenera kugwiritsidwa ntchito. Siziwonjezera matendawa, koma imangokulitsa ndipo imabweretsa zotsatira zowopsa.

Adalimbikitsa Zolemba Zina Zogwirizana

Shuga wamagazi 20: zomwe zikutanthauza ndi zoyenera kuchita, zotsatira zake

Aliyense amene amakakamizidwa kuwongolera zizindikiritso za thupi lake chifukwa cha matenda ashuga amadziwa vuto lalikulu shuga yake ikakhala ndi zaka 20. Kodi izi zikutanthauza chiyani?, Choyamba, kusowa kwenikweni kwa insulin.

Amawonetsedwa kuti ndi owopsa kuchuluka kwa glucose m'magazi ngakhale mpaka 15, pomwe cholumikizira chikufika 20, muyenera kulumikizana ndi katswiri posachedwa ndikusintha dongosolo lachipatala lomwe lilipo.

Nthawi zina pamakhala mpata woti wodwala agonekere kuchipatala.

Ichi ndichifukwa chake kuyang'anira kusinthasintha kwa shuga m'magazi ndikofunikira. Izi sizimachitika kokha ndi mayeso wamba azachipatala, komanso mothandizidwa ndi glucometer kunyumba.

Zizindikiro Za Kukula Kwa shuga

Kuchuluka kwake m'thupi kumaonekera ndipo kumakhala ndi zizindikiro:

• ludzu lalikululi
• kuchuluka kukopa kukodza
• kamwa yowuma
• kuchuluka kwambiri koopsa, kutopa, kufooka, kugona,
• kuwonjezeka kwakukulu kwa kusakwiya ndikuyankha pazinthu zazing'ono zakhumudwitsa,
• chizungulire chachikulu,
• kuyabwa
• kugona, nkhawa zochulukirapo,
• Matenda a pakhungu,
• kupweteka kwapawiri, makamaka pamiyendo, dzanzi,
• kusanza ndi kusanza.

Ngati zina mwazizindikirazi zikuzindikiridwa, muyenera kudziwa kuchuluka kwa glucose komwe wasintha. Mwambiri, ali okwera kwambiri kuposa abwinobwino.

Palinso zisonyezo zosonyeza kuti munthu ali pafupi kwambiri mpaka kukomoka ndipo ali pachiwopsezo chachikulu:

1. Kuchepetsa kothamanga kwa kuchitapo kanthu.
2. Fungo la mpweya wa acetone.
3. Kupumira kwakuya, kosowa komanso kwamkati.
4. Hibernation, ngati kukomoka. Chotsani wodwala kwa iye ndikugwedeza kwambiri.

Gawo lotsatira la kuwonongeka ndiimfa, chifukwa chake muyenera kufunsa dokotala ngati zizindikiro zotere zidatulukira.

Nthawi zambiri, vutoli limakhudza anthu omwe ali ndi matenda a shuga a mtundu woyamba. Koma "nthawi zambiri" sizitanthauza "nthawi zonse," ndipo anthu omwe ali ndi mitundu yonse yamatenda ayenera kuwongolera.

Zifukwa zakuchuluka kwa shuga

Magazi a shuga samayang'aniridwa kokha ndi miyezo yanthawi zonse. Pali zifukwa zomwe zingayambitse kusintha.

• Zakudya zolakwika kapena kukana zakudya zomwe dokotala wakupatsani.
• Kuperewera kwa zolimbitsa thupi, kuchepetsa shuga.
• Kupsinjika mtima.
• Kupezeka kwa zizolowezi zoipa: mowa komanso kusuta kumathandizira kuti shuga iwonjezeke.
• Kusinthasintha kwa mahomoni.
• Kukana kugwiritsa ntchito mankhwala a insulin nthawi zonse.

• Kumwa mankhwala angapo. Pakati pawo: mahomoni, diuretiki, njira zolerera, ma steroid.

Izi ndizomwe zimayambitsa tsiku lililonse zomwe zimapangitsa kuti shuga azituluka.

Palinso zifukwa zingapo zoyambira:

1. Mavuto a dongosolo la Endocrine omwe amachepetsa kupanga kwa mahomoni a insulin ofunika kukhazikitsa shuga.
2. Matenda a kapamba ndi zotsatira zofananira.
3. Matenda a chiwindi.

Kuti mupewe kuchuluka kwa shuga m'magazi, muyenera kuwunika kwambiri moyo wanu watsiku ndi tsiku, kuwona zakudya zomwe dokotala amapereka ndikutsatira zolimbitsa thupi zochepa.

Pali njira zingapo zofunika kuzisamalirira:

• chiritsani matenda opatsirana ndi otupa msanga,
• yang'anirani zowotcha, kuvulala, frostbite ndi zovulala zina zakunja,
• kuthana ndi zovuta za matenda opezeka msanga.

Ngati izi zakwaniritsidwa, mulingo wokhazikika wamagazi ungatheke.

Choyambirira kuchita ngati shuga wamagazi akwera ndikusamalira zakudya zomwe wodwalayo adya.

Pali zinthu zingapo zomwe zimathandizira kugwa kwa chizindikiro ichi, koma palinso zinthu zomwe siziyenera kudyedwa motere:

Shuga wamagazi 20 - amatanthauza chiyani

Munthu aliyense ayenera kuyang'anira kayendedwe ka glucose m'magazi, chifukwa nthenda "yokoma" imatha kuyamba zaka zilizonse.

Gulu lamavuto limaphatikizapo anthu:

• gulu lokalamba
• omwe abale ake amwazi anali ndi matenda ashuga
• onenepa
• okhala ndi pathologies mu ntchito ya endocrine system,
• kumwa mankhwala omwe mavuto ake amakhudza shuga;
• ndi matenda oopsa.

Kusanthula kamodzi pachaka ndikofunikira kwa odwala omwe ali ndi:

• nyamakazi
• Matenda a hepatic ndi aimpso,
• matenda a periodontal
• Hypoglycemia wachidziwikire,
• ovary polycystic,
• furunculosis.

Hyperglycemia yokhala ndi zizindikiro za 20.1-20.9 imadziwika ndi zizindikiro zazikulu:

• ludzu lochulukirapo, kukoka pafupipafupi (makamaka usiku),
• kamwa yowuma
• kusabala, ulesi, kugona,
• kusokonekera, ulesi, mantha,
• chizungulire
• zomverera
• kugona kusokonezedwa
• thukuta
• kuchepa kowoneka bwino,
• kusowa kwa chakudya kapena njala yosatha,
• mawonekedwe a khungu pakhungu,
• dzanzi, kupweteka m'malo otsika,
• nseru ndi magawo a kusanza.

Ngati munthu awona zomwezi mwa iye, ayenera kudziwa kuchuluka kwa momwe magaziwo asinthira. Mwinanso anakula kwambiri.

Zinthu zonse zokhudza thupi komanso za m'magazi zimatha kukhala zinthu zomwe zimayambitsa kuchuluka kwa glycemia mkati mwa magawo 20.2 komanso apamwamba.Zambiri mwazomwe zimayambitsa shuga yayikulu zimaphatikizapo:

• kukula kwa matenda ashuga
• mavuto mu dongosolo la endocrine,
• matenda okhudza kapamba,
• matenda a chiwindi
• matenda opatsirana komanso ma virus.

Zokhudza thupi

• kupsinjika kwambiri, kuchuluka kwa maganizo
• kusachita masewera olimbitsa thupi, masewera olimbitsa thupi okwanira
• uchidakwa ndi kusuta fodya
• kusakwanitsa kwa mahomoni.

Nthawi zina ndimadwala omwe amadalira insulin, phindu la shuga limafika pa 20.3-20.4 mmol / L. Izi zitha kukhala chifukwa cha:

• Mlingo wolakwika wa mankhwalawa
• ndikulumphanso jakisoni wina wa insulin,
• kuphwanya njira yoperekera mankhwala,
• kumwa mowa kuti muchotse mankhwala popumira.

Dokotala ayenera kuuza wodwalayo zoyenera kuchita muzochitika zotere. Kumayambiriro kwa mankhwalawa, amafotokozera mwatsatanetsatane momwe angabiritsire mankhwalawa komwe gawo la thupi ndi zina zina. Mwachitsanzo, simungachotsere singano mwachangu, monga momwe mankhwalawa angatayire. Majakisoni samachitika m'malo ovuta, osamwetsa mowa, ndipo mankhwalawa amachitika musanadye, osadya.

Chifukwa chiyani muyenera kuchita mantha?

Hyperglycemia yokhala ndi kuchuluka kwa glucose ya 20.5 imatanthawuza kuti kagayidwe kamunthu m'thupi la wozunzidwayo ndiwosokonekera ndipo mtsogolomu angayang'ane:

Zizindikiro zomwe mungazindikire kuti mwayamba kutsika zili motere:

• kutsika kwadzidzidzi kwamachitidwe,
• Fungo la acetone mu mkodzo ndi mkamwa,
• kupuma movutikira
• loto lofanana ndi swoon.

Pano wodwala amafunikira chithandizo chamankhwala chodzidzimutsa komanso chithandizo cha mankhwala.

Kuchuluka kwa shuga a 20.7 ndi apamwamba, omwe nthawi zambiri amapezeka mwa wodwala, popanda chithandizo choyenera kungayambitse kukula kwa ma pathologies owopsa:

• matenda ashuga - amathandizira kukulira zowawa ndi matenda amisempha yakumapeto, omwe amadzuka ndikulumala komanso kulumala,
• polyneuropathy - zotupa zingapo za mizu yamitsempha, yodziwika ndi kukhudzika kwa zilonda zam'mimba, zilonda zam'mimba, zovuta zam'mimba.
• angiopathy - kuwonongeka kwa mitsempha yayikulu komanso yayikulu,
• retinopathy - kuphwanya magazi kumayendedwe ka diso, komwe kumapangitsa kuti khungu lithe kuwona komanso khungu.
• Zilonda zam'mphongo - zolakwika za pakhungu ndi mucous nembanemba, amadziwika ndi kuchiritsa pang'onopang'ono komanso pafupipafupi.
• gangrene - kusintha kwachilengedwe komwe kumachitika minofu yamoyo,
• nephropathy - kuphwanya kwa ntchito kwa kusefa impso, komwe kumayambitsa kukula kwa impso kulephera.
• arthropathy - kusintha kwa dystrophic mu mafupa a kutupa.

Ndizosatheka kunyalanyaza glycemia yapamwamba. Ndikofunikira kuwabwezera ku mfundo zomwe sizingachitike, zomwe zingapewe kukula kwa zovuta ndi zotsatira zowopsa.

Zoyenera kuchita ngati shuga ali pamwamba 20

Pakadumphidwe kalikonse m'magazi, muyenera kulumikizana ndi endocrinologist. Adziwonetsa wodwalayo kukamuwonjezera, zomwe zimathandiza kudziwa zomwe zimayambitsa matenda. Ngati chitukuko cha matenda ashuga chikugwirizana ndi vuto lakelo, dotolo amasankha mtundu wake ndikuyambitsa kuyamba chithandizo.

Mu mtundu woyamba wamatenda (wodalira insulin), insulin imayikidwa. Izi matenda amadziwika ndi kuchepa kwa kupanga kwa mahomoni ofunikira ndi maselo a endocrine. Zotsatira zake, shuga amapezeka mwachangu m'magazi, zizindikiro za matendawa zimakhala zowawa komanso zimapitirira patsogolo. Zochizira zowonjezera zimatengera mtundu wa matenda.

Mtundu wachiwiri wa matenda, kulumikizana kwa minyewa yam'mimba yokhala ndi insulin kumasokonekera, zomwe zimapangitsa kuti hyperglycemia ipangidwe. Kodi odwala otere ayenera kuchita chiyani? Amayenera kuphatikiza zakudya zamagulu olimbitsa thupi, kuchita masewera olimbitsa thupi komanso kulandira mankhwala ochepetsa shuga, omwe amalangizidwa ndi katswiri.

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 - Endocrinological Research Center ya Russia Academy of Medical Science idatha 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!

Zakudya za wodwala ziyenera kuphatikizapo zakudya zomwe zimachepetsa shuga

• dzungu
• mtundu uliwonse wa kabichi
• masamba amadyera,
• Zipatso ndi zipatso zopanda zipatso,
• mtedza uliwonse
• bowa
• radishi
• tomato
• masamba
• mphodza, nyemba
• zukini, biringanya,
• mbewu monga chimanga, mpunga wa bulauni, oatmeal,
• nsomba zam'nyanja
• anyezi ndi adyo,
• mafuta a masamba.

Mwa zakudya zoletsedwa zomwe zili ndi index yayikulu ya glycemic, ndikofunikira kuwunikira:

• kirimu wowawasa, kirimu, yogurt yamafuta ambiri,
• chokoleti, koko
• mayonesi
• masoseji,
• batala
• yokazinga, mafuta, zokometsera,
• mkate wopambana
• maswiti, mkaka wokometsedwa,
• kuphika batala.

Ndikotheka kupanga zakudya zothandiza kwa odwala matenda ashuga pogwiritsa ntchito mbale. 1 spoonful wamkulu wa osakaniza madzulo kutsanulira kotala chikho cha yogurt kapena wowawasa mkaka, popanda oyambitsa. M'mawa, zomwe zimapangidwira zimadyedwa pamimba yopanda kanthu ndi magawo a apulo. Masana musanadye chakudya chachikulu, mutha kugwiritsa ntchito osakaniza supuni yayikulu kawiri.

Ndikofunika kuti mupitilize kudya izi kwa miyezi itatu. Izi zikuthandizani kuti musinthe ma shuga ndi kupewa malo owopsa omwe hyperglycemia ingafikire - 20.8 mmol / l kapena kupitilira.

Kuphatikiza apo, mutha kugwiritsa ntchito maphikidwe a mankhwala achikhalidwe. Athandizanso kuyang'ana kuchuluka kwa shuga. Koma musanagwiritse ntchito, muyenera kulandira chilolezo kuchokera kwa dokotala:

1. Makungwa a Aspen (ma 2 ang'onoang'ono) amawatsanulira mu malita 0,5 amadzi ndikuwiritsa kwa theka la ola pamalawi apakati. Kenako kuphimba ndi kuyika malo otentha kwa maola osachepera atatu. Ataumirira, amasefa ndipo amatengedwa katatu patsiku chakudya chachikulu, chikho cha kotala kwa miyezi itatu.
2. Masamba a Bilberry, masamba a nyemba, oats muyezo wofanana amasakanikirana. Supuni yayikulu yaiwisi imathiridwa ndi madzi otentha ndikuwiritsa pamoto pang'onopang'ono kwa mphindi 5. Kuumirira ola, zosefera ndi kutenga gawo limodzi mwa magawo atatu a galasi musanadye katatu / tsiku.
3. Sipuni yayikulu yotseka ndi m'chiuno mumathiridwa ndi magalasi awiri amadzi otentha. Mukalimbikira, mawonekedwe ake amagwiritsidwa ntchito m'malo mwa tiyi.
4. Galasi la mbewu za oat zimatsanuliridwa m'madzi otentha a 1.5 ndikuwotchera pafupifupi ola limodzi pamalawi osachedwa. Sefa ndi kutenga m'malo mwa madzi aliwonse. Kulowetsedwa uku kumathandizira kuchepetsa kuchuluka kwa glycemia mu odwala matenda ashuga.
5. Muzu wa Horseradish ndi grated ndikusakanizidwa ndi mkaka wowawasa pamlingo wa 1:10. The chifukwa zikuchokera kumwedwa waukulu supuni katatu tsiku musanadye. Shuga satsika nthawi yomweyo, koma wodwalayo amamva zabwino za mankhwalawa pogwiritsa ntchito pafupipafupi.

Pofuna kupewa kuchuluka kwa shuga m'magazi, muyenera kuyezetsa magazi anu pafupipafupi. Izi zitha kuchitika mothandizidwa ndi glucometer - chipangizo chothandiza chomwe wodwala aliyense angapeze. Ngati zotsatirazi zikukhumudwitsa, mwachitsanzo, zamitengo ya 20.6 mmol / l, ndikofunikira kuwona dokotala ndikusintha mankhwalawo.

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 >>

Shuga wovomerezeka

Glucose wamba m'magazi ndi wa 3.3-5,5 mmol / l pamimba yopanda kanthu.Ziwerengero sizimadalira jenda, kupatuka kumapangidwa ndi zinthu zingapo.

Pofuna kusintha mankhwalawa munthawi yake, gulu laomwe amalipiritsa anthu odwala matenda ashuga limalandiridwa. Komabe, ngati glycemia yatalika kuposa 17-19 mmol / l, kuchitapo kanthu kwakanthawi kofunikira - izi zimadzala ndi chikomokere.

Titha kulankhula za kuwonongeka kale pamtengo wa 7.8 - manambala akukweza kuti thupi silingathe kulimbana ndi matendawa konse.

Zinthu zingapo zimatha kubweretsa izi nthawi imodzi, zambiri zomwe zimagwirizanitsidwa ndi kunyalanyaza malangizo a dokotala. Izi zikuwopseza kukulitsa ntchito ya thupi lonse, ngakhale atachotsa vuto la ketoacidosis nthawi zambiri limayamba.

Zotheka

Chimodzi mwazomwe zimapangitsa kuti munthu azidumphadumpha mu shuga mpaka 20 mmol / l ndi kuphwanya zakudya. Mu matenda ashuga, ayenera kukhala ndi zakudya zosavuta zophatikiza ndi shuga (kusiyapo zachilengedwe), kupatula mowa ndi ndudu.

Kwa odwala matenda ashuga amtundu 1, mavuto angapangitse kuphwanya mlingo wa insulin. Kudumpha jakisoni nthawi yomweyo kumapangitsa kuti kuchuluka kwa shuga m'magazi kuwonjezeke. Ngati wodwala samakonda kuvulaza insulin (mankhwala apadera, kuzungulira kwa kugwiritsa ntchito komwe kumakhala milungu iwiri), ndiye kuti kudumpha mlingo wotsatira kudzakukhudzani kwa maola angapo.

Mwa zina, ndikofunikira kuwonetsa izi:

Kuzindikira kwa shuga - ingomwani tsiku lililonse.

• Kutulutsidwa kwa zochitika zolimbitsa thupi: ntchito imakuthandizani kuti muchepetse kuchepa kwa michere, yomwe imaphatikizapo shuga. Ngati wodwalayo ataganizira zosintha moyo wosasunthika, izi zimayambitsa kuwonongeka mu chithunzi cha glycemic.
• Kupsinjika ndi mdani wa shuga wokhazikika. Chifukwa chake, ngakhale mutayang'anira mapiritsi ndi jakisoni mosamala, imatha kuvulaza mkhalidwe wa wodwalayo.
• Mankhwala ambiri omwe ali kunja kwa matenda ashuga ali ndi zotsutsana ndi matendawa. Zina mwazinthuzi ndi: ma diuretics amphamvu, njira zolerera komanso ma steroid. Chifukwa chake, kulandiridwa kwawo kuyenera kuvomerezedwa ndi katswiri.
• Kudumpha mphamvu zamapiritsi ochepetsa shuga kapena kulephera kwawo. Ndi matenda a shuga, nthawi zambiri ndikofunikira kuti musinthe mankhwala pafupipafupi - thupi limawoneka kuti likuzolowera, chifukwa chomwe kugwirako kumatsikira mpaka zero.

Pangakhalenso zifukwa zina, zoyeserera kuphatikiza chithandizo: kuyambitsa homeopathy motsutsana ndi maziko a mankhwala azikhalidwe kapena zakumwa zakumwa. Sikoyenera nthawi zonse kuzitenga, chifukwa ndalama zokhala ndi zotsutsana, sikoyenera kuyesa nokha.

Gululi limaphatikizapo zizindikiro za matenda ashuga, omwe amadziwika koyambirira kwa matenda. Koma chifukwa cha kuchuluka kwambiri kwa shuga, amachulukana, chifukwa chake amawonekera:

• kuyabwa kwambiri pakhungu,
• miyendo yotupa ndi dzanzi, izi zimagwiranso ntchito minofu ina yofewa,
• kufooka koopsa ndi ulesi, kusinthasintha kwa magonedwe,
• ludzu ndi kuuma kwa mucosa, kukodza pafupipafupi,
• nseru ndi mutu.

Mwa ziwonetserozi, munthu amatha kuzindikira vuto la glycemic.

Kuzindikira matenda ashuga

Simungodalira zowerengera za glucometer - macheke a shuga kunyumba angathe kupotozedwa ndi mphindi zatsiku ndi tsiku (zakudya, kupsinjika kapena kulimbitsa thupi), ngati zochuluka zikupezeka, simuyenera kuchita mantha, koma makamaka pitani kuchipatala kuti mukayezetse.

Poyamba, muyenera kumayesa magazi am'magazi (kuchokera kumitsempha). Malamulo okonzekera izi ndiosavuta, ndikosavuta kutsatira:

• osamadya maola 10 ndondomeko isanachitike,
• Masiku atatu kusiya zakudya zatsopano mu zakudya,
• muzigona tulo musanaphenso, kuti thupi likhale m'malo abata.
• simuyenera kupereka magazi ngati munthu ali ndi vuto la maganizo - izi zitha kusintha zolakwika.

Ngati kuchuluka kwa shuga kwakhala kwakukulu, adokotala atha kuyitanitsa kuyesa kwa glucose, komwe kumatchedwanso kuwunika kwamtundu: wodwalayo amamwa yankho la glucose musanayambe kumwa magazi.Kenako, magazi amatengedwa nthawi ndi nthawi, izi zimakupatsani mwayi wofufuza momwe thupi lingagonjetsere shuga.

Kufufuza kowonjezereka ndikoyenera kwa anthu omwe ali ndi kunenepa kwambiri kwa madigiri a 2 kapena 3, chifukwa ndi izi zomwe zimapangitsa kukhazikika kwa matenda a shuga. Ngati atatha kuyesedwa ndi katundu kuchuluka kwa glucose kuli kosiyanasiyana 11-20 mmol / L, matenda a shuga akupezeka.

Kuyesedwa kwina kumayikidwa ndi adokotala - nthawi zambiri kumakhala kuphatikizira mkodzo, cholesterol ndi ena. Chinthu chachikulu chomwe wodwalayo angachite padakali pano ndikupereka mbiri yodalirika yamankhwala ndikukwaniritsa malingaliro onse omwe adotolo adachita.

Zoyenera kuchita kuti muchepetse shuga

Ndikofunika kuti panthawi yamavuto ngati amenewa, mabanja omwe akudziwa za matendawa komanso mawonekedwe ake ayenera kukhala pafupi. Choyamba, muyenera kuyitanitsa gulu la ambulansi, kufotokoza momwe wodwalayo alili. Kutha kwakanthawi kochepa ndikutheka, kotero kuti odwala matenda ashuga ayenera kuyikidwa mbali yakumanja ndikusamala kuti lilime lisagwe, chifukwa izi zingayambitse kufalikira kwa airway.

Muyenera kumalankhula pafupipafupi ndi wodwalayo kuti akhalebe ozindikira, mutha kumwa tiyi wamphamvu (wopanda shuga!) Ndi supuni. Kumwa madzi ambiri osavomerezeka, chifukwa kuphwanya kuchuluka kwa madzi kungakulitse vutoli.

Timapereka kuchotsera kwa owerenga tsamba lathu!

Kupewa

Matenda a shuga amafunika kudya. Zakudyazo ziyenera kumangidwa molingana ndi zoletsa zingapo. M'malo mwake, chakudya chomwe chilimo chimakhala chopanda mafuta, chofatsa komanso chimakhala ndi shuga. Zakudya zam'madzi, masamba ndi zipatso ndizololedwa. Mtengo wocheperako pang'ono komanso mkate wa rye umathandizanso.

Ndikofunikanso kuwunikira momwe mukuganizira - nkhawa kapena nkhawa iliyonse ikhoza kuyambitsa kulumpha mu shuga, zomwe zikutanthauza kuti mtendere ndiye chida chachikulu chotsutsana nawo. Kwa ena, kuyenda mumlengalenga kapena yoga kungakhale koyenera.

Pomaliza

Kuwonjezeka kowopsa kwa mishuga ya shuga kumatha kuchitika pazifukwa zingapo, koma zotsatirapo zake ndizofanana ku mtundu uliwonse wa matenda ashuga - ngakhale chikomokere. Chifukwa chake, ndikofunikira kupereka thandizo kwa wodwalayo ndikuwunika momwe aliri ngakhale momwe amalipirira.

Matenda a shuga nthawi zonse amayambitsa zovuta zakupha. Mwazi wamagazi ochulukirapo ndi woopsa kwambiri.

Aronova S.M. adafotokoza za chithandizo cha matenda ashuga. Werengani kwathunthu

Kuyesa kwa shuga

Mukamayendetsa shuga mu labotale, ndikofunikira kulabadira zochitika zina zomwe zimatsimikizira kuti zotsatira zake ndi zolondola:

1. Osamadya maola 10 musanayesedwe. Chakudya nthawi zonse chimayambitsa kuchuluka kwa shuga.
2. Simungasinthe kwambiri zakudya musanawunike.
3. Kuopsa kwa kupsinjika kwakuthupi ndi kwamalingaliro sikuyenera kupatula.
4. Ndikofunikira kuti mugone ndikupumula.

Ngati shuga m'magazi apitilira muyeso wabwinobwino, dokotala angakulamulire mayeso owonjezera a shuga.

Si odwala onse omwe amadutsa, koma pali magawo omwe ayenera kudutsa:

• anthu opitilira 40
• anthu onenepa kwambiri
• anthu omwe ali pachiwopsezo cha matenda ashuga.

Mukamayesa mayeso a glucose, ndikofunikira kuti musayende, kusuta kapena kudya.

Izi ndizomwe zimawonetsedwa kuti ndizovuta:

Mitengo yotsika imatanthawuza kuti zonse zili mu dongosolo.

Kunyumba, mumafunika glucometer kuti muyeza shuga. Zimatenga magazi pang'ono, ndipo kuwunikanso sikumapitilira mphindi zisanu.

Ndikofunikira kudziwa izi:

1. Kusanthula kumaperekedwa m'mawa, pamimba yopanda kanthu.
2. Sambani m'manja kaye kuti musasokeretse mafuta omwe atulutsidwa m'matumba.
3. Dontho loyamba kuchokera kuchotsera silikugwiritsidwa ntchito kupenda ndipo limachotsedwa mosamala ndi swab thonje.
4. Zida zapakhomo, monga lamulo, zimapangidwa kuti zizigwira ntchito ndi plasma m'malo mwa magazi, ndipo zizindikiro zidzatsitsidwa ndi 12%.

Ndikofunika kukumbukira kuti ngati shuga ndimagazi 20, ndiye kuti izi zikutanthauza kufunikira kuchipatala msanga.

Shuga wamagazi 20: Zizindikiro, zoyambitsa, zakudya

Ngati mumadya mosayenera, shuga amatha kudumpha mpaka 20

Mwa munthu wathanzi, kuchuluka kwa shuga kwa magazi kumafanana ndi zomwe zimasintha kuyambira 3.3 mpaka 5.5 mmol pa lita imodzi ya madzi a m'magazi. Kuwonjezeka kwa shuga ndikosakhalitsa kapena chifukwa cha kukula kwa hyperglycemia.

Matenda a hyperglycemia aakulu amaonedwa ngati chiwonetsero cha matenda ashuga. Matendawa ndi oopsa ndipo amafunikira kuwunikidwa nthawi zonse.

Izi zimachitika mothandizidwa ndi mayeso a labotale kapena zida zapakhomo (glucometer).

Sinthani shuga m'magazi pogwiritsa ntchito mankhwala, insulin.

Wodwala yemwe ali ndi vuto la shuga akaphonya kuyamwa kwa insulin ya shuga, shuga amayamba kukwera kwambiri - 18-20 mmol / l. Pankhaniyi, kuthandizidwa kuchipatala mwachangu sikungatheke.

Zizindikiro za shuga wambiri:

Shuga akamatuluka (hyperglycemia) munthu amamva:

• kufooka, kugona, kutaya mphamvu,
• chizungulire
• ludzu
• kupumira msanga
• kuwuma, kupindika, kapena kutulutsa khungu pakhungu,
• kuwona kwakachepera
• kukodza kosalekeza
• kusakhazikika, kuda nkhawa,
• kuchiritsa kwamabala
• kupweteka kwa molumikizana
• kusanza kapena kusanza.

Ngati shuga wa magazi akwera mpaka 15-20 mmol / L, Munthu amatha kukhala ndi vuto la glycemic coma. Zizindikiro za izi zimakhala kuchepa kwakanthawi kwa chidwi komanso kuthamanga kwa zochita zake, kununkhira kwa acetone kuchokera pamlomo wamkamwa, kusagwira bwino ntchito pakupuma, kugwa kwambiri kapena kugona. Ngakhale kuchepetsa shuga kumatha kubweretsa imfa.

Zoyambitsa Kukula kwa Matenda a shuga

Kuopsa kwa shuga m'magazi:

• osafuna kumwa insulin ngati mankhwala osatha,
• kuchuluka kwa matenda ophatikizika: chiwindi, chithokomiro ndi kapamba, wamanjenje
• machitidwe
• chakudya ndi poyizoni wazakudya,
• kupsinjika m'maganizo ndi m'thupi, kupsinjika,
• kugwiritsa ntchito mankhwala a mahomoni, okodzetsa, oletsa kubereka komanso a steroid,
• mowa ndi kusuta
• kusokonezeka kwa mahomoni
• kusowa zolimbitsa thupi,
• kukana chakudya,
• mimba

Momwe mungayesere shuga

Kwa odwala matenda a shuga, muyeso wa glucose amayenera kuwunika tsiku lililonse pamimba yopanda kanthu. Popanda kupita kuchipatala, mutha kudziwa za shuga kwanu pogwiritsa ntchito glucometer.
Ngati chipangizocho chikuwonetsa pafupi 20mmol / l, shuga amayenera kuchepetsedwa mwachangu, ndikuwunikiranso mobwerezabwereza tsiku lonse. Izi ndizowona makamaka kwa anthu omwe alibe shuga.

Chosangalatsa ndichakuti, zomwe zikuwonetsa kuyesa kwa glucometer ndi mayeso a labotale omwe amakhala ndi zitsanzo za magazi amasiyana azidzasiyana ndi 10-15%. Chowonadi ndi chakuti glucometer amafunafuna shuga m'madzi a m'magazi, ndipo m'malo opangirako ma laboti amayang'anitsitsa magazi onse. Chifukwa chake, zotsatira za mita zidzakhala zapamwamba.

Zotsatira zakuyesa magazi kwa shuga ndizokwera kwambiri kuposa zabwinobwino, maphunziro owonjezera akhoza kuperekedwa kwa wodwala. Mwachitsanzo, kuyezetsa magazi ndi katundu, ndiko kulekerera kwa shuga.

Wodwalayo amatenga shuga wambiri m'madzi. Kusanthula kumachitika m'magawo anayi: pamimba yopanda kanthu, ola limodzi, theka ndi theka mutatha kuchita masewera olimbitsa thupi.

Zisonyezo za mayeso a kulolera kwa glucose ndi katundu, zophatikiza 1.7 zimawonedwa ngati zabwinobwino, ndipo patatha maola awiri siziyenera kupitirira 1.3.

Pafupipafupi, odwala amayesedwa mayeso: kupilira kwa glucose ndi kutsimikiza kwa C-peptide, kuchuluka kwa fructosamine ndi lactate, kwa glycosylated hemoglobin m'magazi.

Maphunziro oterewa amathandizira kudziwa ngati shuga idakwezedwa miyezi itatu isanayesedwe. Kafukufuku wa matenda a shuga amapereka chidziwitso cha kuchuluka kwa maselo omwe amapanga insulin.

Kuti mudziwe ngati munthu ali ndi lactocytosis, mayeso ololera a lactate angathandize.

Zomwe muyenera kudziwa pokhudza mayeso a shuga

Njira zoperekera magazi kwa shuga siziyenera kuthandizidwa mwapadera.Kuti izi zitheke, ndikwabwino kutsatira malamulowo:

• kusanthula kuyenera kuchitidwa pamimba yopanda kanthu, ndikofunikira kudya osachepera maola 8 musanawunike,
• ana akhoza kuyesedwa nthawi iliyonse, mosasamala kanthu za kudya,
• Imwani madzi oyera ndikupewa zakumwa zozizilitsa kukhosi, komanso mowa ndi khofi,
• pereka magazi kwa odwala omwe ali ndi matenda opatsirana, komanso pambuyo kutikita minofu, physiotherapy, x-ray,
• anthu omwe amamwa mankhwala osokoneza bongo, makamaka mahomoni, okodzetsa, mankhwala osokoneza bongo kapena maantibayotiki samayesa magazi,
• chifukwa cha shuga mkati mwawo, sikulimbikitsidwa kutsuka mano kapena kutsuka pakamwa panu ndi kutafuna chingamu kapena kupopera kotsitsimula musanatenge magazi.

Madokotala amalimbikitsa kuti kusintha zakudya musanapereke magazi kwa shuga sikofunikira. Samalangiza kuti azidya kwambiri komanso kuti afe ndi njala. Momwe mungapangire matenda a shuga

Chithandizo chomwe chingachepetse shuga wa plasma chimaperekedwa ndi dokotala ndipo chimachitika motsogozedwa ndi a chipatala mosamalitsa.

Ndikotheka kutsika shuga pogwiritsa ntchito izi: chakudya chamagulu, masewera ndi masewera olimbitsa thupi, mankhwala, njira zina.

Mwazi wamagazi 20 mmol? Mwinanso wodwala yemwe ali ndi matenda ashuga amuphwanya zakudya. Kuchuluka kwa glucose kumaonetsa ngozi yomwe ikubwera, zomwe zikutanthauza kuti chithandizo ndikofunikira kuti shuga ibwezeretsedwe.

Mutha kutsitsa shuga pogwiritsa ntchito zakudya zamafuta ochepa. Sizotheka kuthetsa kupsinjika kwa glucose ndimatenda amodzi, koma ndizowona kukonzanso thanzi.

Patha masiku atatu a zakudya zoyenera, shuga amachepetsa kangapo.

Kuchepetsa shuga mwachangu ndikofunikira kwambiri, chifukwa ndi glycemia wa nthawi yayitali, ziwalo zamkati zimayamba kuvutika.

Zakudya za anthu odwala matenda ashuga

Kudya moyenera ndi chida chachikulu cha odwala omwe ali ndi matenda ashuga. Chakudya chokhacho chimathandiza shuga m'magazi, kubwezeretsanso mwakale, ndipo chizikhala chokhacho.

Sankhani moyenera zinthu zomwe zingakhale za anthu odwala matenda ashuga zimathandizira matebulo apadera omwe amawonetsa mndandanda wazomwe zimagwiritsidwa ntchito. Glycemic index ndi chisonyezo chomwe chimawonetsa zotsatira za chinthu china pamlingo wa shuga wa plasma.

Popeza index ya glycemic, munthu sayenera kuyiwala kuti odwala matenda ashuga ayenera kupatula zakumwa zomwe zimakhala ndi zopatsa mphamvu zamagetsi ndi mafuta.

Mwambiri, njira yokhayo yopatsa thanzi ndi zakudya zamagulu ochepa. Ndi regimen iyi ndiye maziko a omwe amadziwika bwino pakati pa odwala matenda ashuga "tebulo nambala 9".

Pokhapokha kupanga menyu kumaganizira magawo a munthu aliyense payekha: jenda, zaka, kulemera, mtundu wa shuga, mawonekedwe a thupi.

Zakudya za anthu odwala matenda ashuga amadwala kutentha kochepa, ndipo masamba ndi zipatso zimathandizidwa makamaka mu mawonekedwe osaphika. Koma zakudya zamafuta ndi nyama yokazinga siziyenera kukhala zofunikira.

Tsiku lililonse, zakudya za anthu odwala matenda ashuga ziyenera kuphatikizapo ndiwo zamasamba, zipatso, nyemba, mazira, nyama, nsomba zam'madzi, mtedza, mafuta amkaka ochepa. Zipatso zatsopano ndi masamba zimatha kukonzedwa, ndipo chakudya cham'mawa chimatha kuphatikizidwa ndi mbewu zamphesa.

Zakudya zazikulu zomwe zili ndi shuga wambiri:

• bulwheat
• tomato, nkhaka,
• kabichi yoyera, kabichi wofiira, broccoli, kolifulawa,
• radish, radish,
• biringanya, zukini,
• adyo, anyezi,
• mabuluni
• dzungu
• Yerusalemu artichoke
• udzu winawake, katsitsumzukwa, phala, sipinachi, chilantro, katsabola,
• bowa
• nyemba zobiriwira.
• Musagwiritse ntchito:
• nyama zamafuta, nsomba,
• nyama yankhumba, masoseji osuta,
• pasitala
• mikate yoyera, maswiti amafuta ophika, kuphika,
• batala
• masamba azakudya zambiri (mbatata, chimanga),
• zipatso zamtengo wapamwamba (mphesa, ma tangerine), zipatso zouma,
• shuga wabwino, amasunga, jams, jams,
• maswiti, chokoleti choyera ndi mkaka,
• ma pickles ndi ma pickles,
• mowa, zakumwa zoziziritsa kukhosi za kaboni
• undiluted zipatso timadziti, mmatumba timadziti.

Kuphatikiza pazogulitsa zomwe sizingagwiritsidwe ntchito, pali mndandanda wa "matsenga" wa omwe amaloledwa, koma osatero. Ngati mungafune, palibe vuto kudzipweteka nokha ndi chokoleti chakuda, uchi, kupanga mpunga, semolina, barele kapena mapira. Muthanso kudya dzira, nyemba, nandolo zobiriwira.

Okonda tiyi kapena okonda khofi ayenera kukumbukira kuti zakumwa siziyenera kukhala zotsekemera ndi shuga. Muyenera kugwiritsa ntchito zotsekemera kapena kumwa tiyi kapena khofi yomwe mumakonda.

Mwazi 20: kuchita?

Mwa munthu amene alibe nkhawa ndi mavuto azaumoyo, kuchuluka kwa shuga mthupi kumafanana ndi 3.3 - 5.5 mmol pa lita.

Kuwonjezeka kwa shuga msanga kungakhale kwakanthawi kapena kumachitika motsutsana ndi maziko a kukula kwa hyperglycemia Mkulu wamkati ndi chiwonetsero cha matenda ashuga. Matendawa ndi oopsa ndipo amafunika kuwunikira nthawi zonse. Itha kuchitika kudzera mu kafukufuku wama labotale kapena, popanda kusiya nyumba, pogwiritsa ntchito glucometer.
nkhani

Chifukwa cha mankhwala apadera ndi insulin, mutha kusintha mtundu wa glucose mthupi lanu. Komabe, ngati chizindikiro cha shuga cha 20 mmol / L chidutsa, ndibwino osachiyika pachiwopsezo. Pankhaniyi, kugonekedwa kuchipatala mwachangu ndiye njira yabwino kwambiri.

Zizindikiro za Kuwala Kwakukulu

Zikachitika kuti shuga asadutse chinthu chovuta, munthu amamva:

• kusowa mphamvu, kugona,
• chizungulire
• ludzu losaletseka
• kupuma pafupipafupi
• Kuuma kapena kupindika pakhungu,
• kuchepa kwa masomphenya
• kukodza kosalekeza
• kuda nkhawa, kusasinthika,
• kuchiritsa kwamabala
• kupweteka kwa molumikizana
• kusanza kapena mseru.

Kuphatikiza apo, ngati ndende ya glucose ikukwera mpaka 20 mmol / L., Munthu ali ndi chiopsezo cha glycemic coma. Zizindikiro za izi ndi kuchepa kwakukuru mu chidwi ndi kuthamanga kwa zochita, kununkhira kwa acetone kuchokera mkamwa, kusachita bwino pakupuma, kulephera kudziwa. Komanso, ngati simungachepetse shugayo pakapita nthawi, munthu akhoza kufa.

Zifukwa zowonjezera shuga

Zina mwazomwe zimayambitsa kuchuluka kwa shuga mthupi ndi izi:

• kupanda chidwi chofuna kumwa insulin ngati mankhwala osatha,
• kuchuluka kwa matenda oyanjana: chiwindi, chithokomiro ndi kapamba, dongosolo lamanjenje,
• poyizoni wazakudya ndi chakudya,
• kupsinjika, kupsinjika,
• kugwiritsa ntchito mahomoni, mankhwala oletsa kubereka, komanso mankhwala a steroid,
• kumwa ndi kusuta
• kuvutika kwamafuta,
• kusowa zolimbitsa thupi,
• kusafuna kutsatira chakudya,
• kuyembekezera khanda.

Momwe mungayesere shuga

Anthu omwe ali ndi matenda ashuga azikhala ndi muyeso wa tsiku ndi tsiku m'matupi awo asanadye m'mawa. Popanda kuchoka kunyumba, mutha kudziwa zambiri zokhudzana ndi shuga m'thupi pogwiritsa ntchito glucometer.

Ndikofunikira kudziwa kuti zomwe zikuwonetsedwa pa chipangizochi, komanso zomwe zimapezeka mu labotale, nthawi zina zimasiyana mpaka 15%. Chinsinsi chagona kuti ntchito ya mita ndikuyang'ana shuga m'magazi, ndipo m'mabotolo amaphunzira magazi konse.

Pankhaniyi, zotsatira zoperekedwa ndi glucometer nthawi zambiri zimakhala zapamwamba.

Ngati zotsatira za kuyesedwa kwa magazi pakuwazidwa shuga ndizambiri kuposa kuchuluka kwazomwe zikuchitika, maphunziro owonjezera akhoza kuperekedwa kwa munthuyo.

Ndi chithandizo chawo, mutha kudziwa ngati panali kuchuluka kwa glucose kwa miyezi itatu musanayesedwe.

Kwa anthu omwe ali ndi matenda ashuga, maphunziro ngati awa amapereka chidziwitso chofunikira pokhudzana ndi kuchuluka kwa maselo apadera m'thupi omwe ali ndi vuto la kupanga insulini.

Chilichonse chomwe muyenera kudziwa pokhudza mayeso a shuga

Njira zoperekera magazi ziyenera kuchitika ndi zovuta zonse.Kuti mupeze zotsatira zolondola kwambiri, muyenera kutsatira malamulo ena:

• kusanthula kuyenera kuchitika pamimba yopanda kanthu, pafupifupi maola asanu ndi atatu asanafike phunzirolo,
• Ana amatha kuyesedwa nthawi iliyonse, ngakhale atakhala kuti amadya,
• gwiritsani ntchito madzi okha, osapatula zakumwa kaboni, zakumwa zoledzeretsa, khofi ndi tiyi,
• pambuyo kutikita minofu, physiotherapy ndi x-ray imapereka magazi sizikumveka,
• simuyenera kusanthula anthu omwe amamwa mitundu yonse ya mankhwala,
• Musanapite ku phunziroli, ndibwino kudumula ndikutsuka mano ndikugwiritsa ntchito kupukutira kosiyanasiyana ndi kutafuna mano kuti mutsenso mpweya.

Madokotala amalimbikitsa mwamphamvu kuti musasinthe zakudya zanu zamasiku onse poyembekezera kuperekedwa kwa magazi. Chomwe sichingokhala kudya kwambiri, komanso kusakhala ndi njala.

Momwe mungapangire matenda a shuga

Chithandizo chomwe chingachepetse shuga wa plasma chimaperekedwa ndi adokotala okha ndipo amachitidwa motsogozedwa kwambiri.

Zochita zosavuta zimathandizira kuchepetsa kuchuluka kwa shuga m'thupi: zochitika zolimbitsa thupi, kumwa mankhwala ndi wowerengeka, komanso kuwona momwe boma limadyera.

Ngati shuga wamagazi wawonjezereka kukhala 20 mmol, mwachidziwikire munthu amaphwanya zakudya zoyenera. Kuchuluka kwa shuga m'magazi kumaonetsa ngozi yomwe ikubwera, zomwe zikutanthauza kuti chithandizo chidzafunika kuti pakhale shuga.

Milingo ya shuga imatha kuchepetsedwa pogwiritsa ntchito zakudya zamafuta ochepa. Ndipo ngakhale kusinthana kwa shuga ndi chakudya chokhacho sikungathetsedwe, ndizotheka kwathunthu kukhala bwino.

Pambuyo pa masiku ochepa a chakudya choyenera, shugayo amatsika kangapo.

Ndikofunikira kwambiri kuchepetsa kuchuluka kwa shuga mthupi posachedwa, chifukwa nthawi yayitali hyperglycemia, ziwalo zamkati zimavutika.

Zakudya zopatsa thanzi kwa odwala matenda ashuga

Kudya moyenera mwina ndiye chida chachikulu cha anthu odwala matenda ashuga. Mothandizidwa ndi chakudya kokha pomwe shuga ya ndende imachepetsedwa, imakhala yofunikira ndipo imakhalapo kwa nthawi yayitali.

Pakusankha zinthu zomwe zimaloledwa kwa odwala matenda ashuga, matebulo apadera adzakuthandizani, okhala ndi chidziwitso pa index ya glycemic ya zinthu zina.

GI imawonetsa zotsatira za zinthu pazomwe zimaphatikizidwa ndi shuga mu plasma.

Poganizira chizindikiro ichi, tiyenera kukumbukira kuti odwala matenda ashuga ayenera kusiya kugwiritsa ntchito zinthu zomwe zimapangidwa ndi zakudya zomwe zimapezeka m'mimba, komanso mafuta.

Zakudya zopatsa thanzi zimaphatikizira kuphatikizidwa muzakudya za tsiku ndi tsiku za zipatso zosiyanasiyana, masamba, nyemba, mazira, nsomba zam'madzi, nyama, mtedza, komanso zinthu zopanda mafuta zozikidwa mkaka.

Chifukwa chake, mndandanda wazakudya zazikulu zomwe zimalimbikitsa shuga wambiri ndi motere:

• bulwheat
• nkhaka
• Tomato
• mitundu yamitundu yamasichi
• radishi
• biringanya
• zukini
• adyo, anyezi,
• mabuluni
• dzungu
• amadyera
• bowa
• Nyemba

Zakudya zoletsedwa ndizophatikiza:

• mafuta amitundu yam'madzi ndi nyama,
• nyama yankhumba,
• pasitala
• mikate yoyera
• mankhwala okoma, muffin,
• batala
• masamba ophika kwambiri (chimanga, mbatata),
• zipatso zouma
• shuga, komanso mitundu yonse ya jams ndi jams,
• maswiti
• mkaka ndi chokoleti choyera,
• maapulo
• mizimu, sodas ndi zakumwa za shuga,
• zipatso zokhazikitsidwa ndi timadziti.

Kuphatikiza pazogulitsa zomwe zimaloledwa ndikuletsedwa kugwiritsa ntchito, palinso mndandanda wa "matsenga" wa zomwe zingasangalale, koma nthawi zina. Ngati mukufunadi, nthawi zina mutha kudzichitira nokha mpunga, barele, mapira kapena semolina, chokoleti chakuda, komanso nyemba, mazira kapena nandolo zobiriwira.

Iwo omwe sangathe kuganiza za moyo wawo wopanda khofi kapena tiyi adzazolowera zakumwa zawo zomwe amakonda zomwe amawakonda.

Zoyenera kuchita ngati shuga m'magazi 20

Shuga (glucose) ndi gawo lachilengedwe la magazi. Chizindikiro chowoneka bwino ndi 5.5 mmol / L pamimba yopanda kanthu, 7.8 - atatha kudya. Matani amafunikira chakudya chochepa ichi kuti atenge mphamvu. Kuperewera kwa glucose kumayambitsa kuphwanya mapuloteni, mafuta ndi chakudya chamagulu, zomwe zimawononga thupi lonse.

Zomwe kusanthula kusintha

Kuyamwa kwa shuga ndi minofu kumachitika mchikakamizo cha insulin - mahomoni omwe amapangidwa ndi maselo apadera mu kapamba. Ngati mahomoniwa satikwanira, minofu yake singatenge glucose, imadziunjikira m'magazi am'magazi komanso mtundu wa matenda a shuga omwe ndimadalira insulin. Matendawa amayambika ubwana pambuyo pakulimbana ndi ma virus pamtundu wa kusintha kwa makolo.

Zimachitikanso kuti matenda ashuga sayamba chifukwa insulini yotsika (yokwanira imapangidwa), koma chifukwa minofu imasiya kuimvera. Uku ndi mtundu II matenda a shuga - osagwirizana ndi insulin. Pamtima pa nthendayi ndimatenda a metabolic, motero amakula pambuyo pa zaka 45.

Kukula kwa glucose mu mtundu I shuga

Kubayidwa mosavomerezeka ndi insulin, kupsinjika kwambiri, kugwiritsa ntchito maswiti kapena mowa - zonsezi zimatha kuyambitsa shuga. Kuchulukitsa chisonyezo ku 15-16 kumawonjezera kwambiri mwayi wokhala ndi matenda ashuga.

Shuga wamagazi 20 mwa odwalawa ndi tsoka, chifukwa zimatsogolera pang'onopang'ono kukomoka motsutsana ndi maziko a ketoacidosis. Kusowa kwa glucose kumabweretsa mphamvu kuchokera ku mapuloteni ndi mafuta. Ndi kusweka kwa chotsirizachi, matupi a sumu a ketone amapangidwa (acetone, etc.), fungo la acetone kuchokera kwa wodwalayo.

Makanema okhudzana nawo

Momwe mungachepetsere shuga am'magazi mwachangu komanso moyenera kunyumba:

Vutoli litha kuwongoleredwa, koma njirayi iyenera kukhala yokwanira - kumwa mankhwala, kudya bwino, kuchita masewera olimbitsa thupi komanso kutsatira malangizo a dokotala omwe akupezeka kungakupatseni moyo wodwala matenda ashuga.