Kuyesa kwa glucose kwa maola awiri pa nthawi yapakati

Mukamayesa mayeso okhudzana ndi shuga a maola awiri (Mayeso 2 a shuga) osagwiritsa ntchito 50, koma magalamu 75 a shuga wa glucose, omwe kale amasungunuka mu 300 ml ya madzi akumwa. Madzi aledzera m'misamba yaying'ono, kwa mphindi zisanu. Osamamwa gulp imodzi, chifukwa yankho lake limakhala lokoma kwambiri ndipo mwa mayi wapakati amatha kuyambitsa kusanza. Kenako kuyesaku kuyenera kubwerezedwanso, koma osati tsiku lomwelo. Ngati mzimayi wadwala matenda am'mawa, atenge ndimu zingapo zomwe zimamugonetsa.

Mayeso asanayesedwe, simungadye chakudya maola eyiti musanayambitse, motero, nthawi zambiri amalembedwa m'mawa kwambiri (pafupifupi maola 6-7 m'mawa) kuti mkazi asakhale ndi njala yayikulu komanso alibe nthawi yoluma.

Njira zophunzirira izi ndizosavuta. Pozindikira, magazi amatengedwa kuchokera ku chala kapena ulnar mtsempha (njira yodalirika!). Pambuyo pake, sampuli ya magazi imaphunziridwa mosamala ndi wothandizira wa labotale kuti adziwe zomwe zili m'magazi a m'magazi (glycemia). Kenako mayiyo amamwa yankho la glucose, ndipo kwa maola awiri otsatira sangathe kudya (ngakhale kutafuna chingamu) ndikuyenda, amatha kumwa madzi okha (osakhala ndi kaboni!). Patatha maola awiri, katswiriyo azibwereza magaziwo. Kuwunika kwa zotsatira kumachitika motere (gome likuwonetsa zosankha za glycemic):

Mayeso a kulolerana a glucose

Kuyesedwa kwa shuga m'mlomo ndikutali, koma kuyesa kwambiri kwa magazi. Amatengedwa ndi anthu omwe mayeso awo othamanga a shuga adawonetsa zotsatira za 6.1-6.9 mmol / L. Pogwiritsa ntchito mayesowa, mutha kutsimikizira kapena kukana kuti matenda ashuga alipo. Ndi njira yokhayo yomwe mungadziwire mwa munthu wodwala matenda a shuga, i.e. prediabetes.

Asanatenge mayeso ololera a glucose, munthu ayenera kudya masiku atatu osatha, ndiye kuti, azidya chakudya choposa 150 g tsiku lililonse. Zochita zolimbitsa thupi ziyenera kukhala zabwinobwino. Chakudya chamadzulo chomaliza chikuyenera kukhala ndi 30-50 g yama chakudya. Usiku muyenera kukhala ndi njala kwa maola 8-14, pomwe mumatha kumwa madzi.

Musanapange mayeso ololera a glucose, zinthu zomwe zingakhudze zotsatira zake ziyenera kuganiziridwa. Izi zikuphatikiza:

matenda opatsirana, kuphatikizapo chimfine,
zolimbitsa thupi, ngati dzulo zinali zochepa kwambiri, kapena mosinthanitsa,
kumwa mankhwala omwe amakhudza shuga.

Dongosolo la mayeso a glucose olocha pakamwa:

Wodwala amayesedwa posala kudya kwamwazi.
Zitatha izi, amamwa yankho la 75 g la glucose (82,5 g la glucose monohydrate) mu 250-300 ml ya madzi.
Yesani kuyezetsa kwachiwiri kwa shuga pambuyo maola awiri.
Nthawi zina amachitanso kukayezetsa magazi kwa mphindi 30 zilizonse.

Kwa ana, "kulemera" kwa glucose ndi 1.75 g pa kilogalamu imodzi ya kulemera kwa thupi, koma osaposa 75 g. Kusuta sikuloledwa kwa maola 2 pomwe kuyesedwa kumachitika.

Ngati kulolera kwa glucose kufooka, i.e., kuchuluka kwa shuga samatsika msanga mokwanira, ndiye kuti izi zikutanthauza kuti wodwala ali ndi chiwopsezo chachikulu cha matenda a shuga. Yakwana nthawi yoti musinthe zakudya zina zopatsa mphamvu kuti muchepetse kukula kwa matenda ashuga “enieni”.

Mayeso a mayeso okhudzana ndi pakati: Zizindikiro ndi ma contraindication

Malinga ndi kalata ya Unduna wa Zaumoyo ku Russia Federation ya pa Disembala 17, 2013 No. 15-4 / 10 / 2-9478 kuti pakhale nthawi yodziwika bwino yokhudza matenda ashuga a m'mimba pakati pa masabata 24 ndi 28 a bere (nthawi yayitali ndi masabata 24-26) azimayi onse oyembekezera kuyesedwa kwa glucose pakamwa kumachitika. Mwapadera, kuyesedwa kwa glucose kumatha kuchitika mpaka milungu 32 ya bere.

Zoyesererana pakuyesa kwa glucose ndi:

vuto la shuga
kuwonetsa matenda ashuga (woyamba kupezeka ndi matenda a shuga panthawi yokhala ndi pakati),
matenda am'mimba thirakiti, limodzi ndi vuto la mayamwidwe shuga (kutaya matenda kapena kutulutsa matenda am'mimba, kuchulukitsa kwa chifuwa cham'mimba, etc.).

Contraindra osakhalitsa kuti ayesedwe ndi:

oyambirira toxosis azimayi oyembekezera (kusanza, nseru),
kufunika kotsatira kupumira pabedi (kuyesaku sikuchitika mpaka pakukula kwa kayendedwe ka mota),
pachimake yotupa kapena matenda opatsirana.

Kodi mayeso ololera a shuga ndi otani?

Glucose kulolerana mayeso (GTT) ndi njira zasayansi zozindikiritsa zovuta zosiyanasiyana za kagayidwe kazakudya m'thupi la munthu. Mothandizidwa ndi kafukufukuyu, ndizotheka kukhazikitsa mtundu wa matenda a shuga a shuga, kulekerera kwa glucose. Amagwiritsidwa ntchito pazokayikitsa zonse, pamalire a mtengo wa glycemia, komanso pamaso pa zizindikiro za shuga motsutsana ndi shuga wabwinobwino wamagazi.

GGT imawunika kuthekera kwa thupi la munthu kugwetsa ndikusunga magawo a glucose ndi maselo a ziwalo ndi minyewa.

Njira imapangira kudziwa kuchuluka kwa shuga pamimba yopanda kanthu, ndiye 1 ndi 2 mawola atatha glycemic. Ndiye kuti, wodwalayo amapemphedwa kuti amwe magalamu 75 a shuga owuma osungunuka m'mililita yamadzi ofunda, kwa anthu omwe ali ndi thupi lochulukirapo, kuchuluka kowonjezera kwa glucose kumafunika, kuwerengeka kuchokera ku fomula 1 gramu imodzi pa kilogalamu, koma osapitirira 100.

Pofuna kulekerera bwino madzi omwe amapezeka, ndizotheka kuwonjezera mandimu kwa iye. Odwala omwe ali ndi vuto lalikulu la kuphwanya magazi m'thupi, matenda opha ziwalo, mphumu, ndikofunika kuti asayambitse shuga; m'malo mwake, chakudya cham'mawa chaching'ono chomwe chimakhala ndi magalamu 20 a chakudya chamagetsi chimaloledwa.

Kuti mumalize chithunzichi, miyezo ya shuga m'magazi imatha kutengedwa theka lililonse la ola (kwathunthu, izi ndizofunikira kupanga mbiri ya glycemic (graph curve).

Zofufuzira ndi 1 mamililita amodzi a seramu yotengedwa kuchokera pabedi. Amakhulupirira kuti magazi a venous ndiwothandiza kwambiri ndipo amapereka zidziwitso zolondola komanso zodalirika malinga ndi miyezo yapadziko lonse lapansi. Nthawi yofunika kumaliza mayeso ndi tsiku limodzi. Phunziroli limachitika m'malo oyenera, malinga ndi malamulo a aseptic, ndipo limapezeka pafupifupi m'malo onse azinthu zachilengedwe.

GTT ndi mayeso omvera kwambiri osakhala ndi zovuta kapena zotsatirapo zake. Ngati alipo, zimagwirizanitsidwa ndi momwe wodwalayo amakhala osakhazikika pamitsempha yam'mimba komanso gawo la magazi.

Kuyesedwa kwachiwiri kumaloledwa kuchitika palibe kale kuposa mwezi umodzi.

Zizindikiro pakuyesa mayeso

Kuyesedwa kwa glucose kumachitika kwakukulu kuti azindikire matenda a prediabetes. Kutsimikizira matenda a shuga, sikuti nthawi zonse kumakhala kofunika kuti mumayese nkhawa, ndikokwanira kukhala ndi shuga imodzi mumagazi okhazikitsidwa mu labotale.

Pali milandu yambiri pakafunika kupereka kuyesa kwa glucose kwa munthu:

pali zizindikiro za matenda ashuga, koma, zoyeserera zasayansi yotsimikizira sizikutsimikizira matendawo,
matenda obadwa nawo amtundu (amayi kapena abambo ali ndi nthendayi),
kusala kudya kwa shuga m'magazi kumakwezedwa pang'ono kuchokera pachizolowezi, koma palibe zizindikiro zokhudzana ndi matenda a shuga,
glucosuria (kukhalapo kwa glucose mkodzo),
onenepa kwambiri
glucose kulolerana kumachitika mu ana ngati pali tsogolo la matendawa ndipo pakubadwa mwana anali ndi kulemera koposa 4.5 kg, komanso ali ndi kuchuluka kwa thupi pakukula,
amayi apakati amakhala mu trimester yachiwiri, yokhala ndi kuchuluka kwa shuga m'magazi pamimba yopanda kanthu,
pafupipafupi komanso mobwerezabwereza matenda pakhungu, pamlomo wamkamwa kapena kuwachiritsa kwakanthawi kwamabala.

Zizindikiro za

Odwala omwe ali ndi zotsatirazi atha kulandiridwa kuchokera kwa katswiri wamkulu, dokotala wazamankhwala, endocrinologist kuti akayeze mayeso okhudzana ndi glucose panthawi yomwe ali ndi pakati kapena akuyembekezeredwa matenda a shuga.

akufungidwa mtundu 2 shuga
kupezeka kwenikweni kwa matenda ashuga,
Kusankha ndi kusintha kwamankhwala
ngati mukukayikira kapena kudwala matenda ashuga,
prediabetes
kagayidwe kachakudya matenda
cholakwika cha kapamba, ndulu za adrenal, England
kulolerana kwa shuga,
kunenepa kwambiri, matenda a endocrine,
shuga kudzisamalira.

Momwe mungayesere kuyesedwa kwa shuga

Ngati dotolo akukaikira imodzi mwaz matenda omwe atchulidwa pamwambapa, amapereka njira yowunikira shuga wololera. Njira yakuwonetserayi ndi yachindunji, yopanda chidwi komanso "yodziwika bwino" Iyenera kukonzekera bwino, kuti musapeze zotsatira zabodza, komanso, limodzi ndi adotolo, sankhani chithandizo chotsani zoopsa ndi zovuta zomwe zingayambike, zovuta za matenda a shuga.

Kukonzekera njirayi

Tisanayesedwe, muyenera kukonzekera mosamala. Kukonzekera kudzaphatikizapo:

choletsa mowa kwa masiku angapo,
musasute tsiku la kusanthula,
uzani adotolo za kuchuluka kwa zolimbitsa thupi,
osamadya zakudya zotsekemera patsiku, osamwa madzi ambiri patsiku la kusanthula, kutsatira zakudya zoyenera,
kuganizira nkhawa
osayesa matenda opatsirana, matenda a postoperative,
kwa masiku atatu, kusiya kumwa mankhwala: kutsitsa-shuga, mahomoni, zolimbikitsa kagayidwe, kukhumudwitsa psyche.

Kodi mumayesa bwanji kulolera kwa glucose panthawi yapakati?

Kuyesedwa kwa glucose koyeserera ndi mayeso opsinjika ndi glucose (75 g), omwe ndi mayeso otetezedwa kuti mupeze vuto la kagayidwe kazakudya nthawi yapakati.

Kukonzekera kwamaphunzirowa ndikokhwima komanso mokwanira kuposa kutsimikiza kosavuta kwa kuchuluka kwa shuga m'magazi.

Kuyesaku kumachitika pang'onopang'ono pazakudya zokhazikika (osachepera 150 g wamafuta patsiku) kwa masiku osachepera atatu musanayambe kuphunzira. Phunziroli limachitika m'mawa pamimba yopanda kanthu pambuyo pa kudya kwa maola 8-14. Chakudya chotsiriza chiyenera kukhala ndi 30-50 g yama chakudya. Mankhwala omwe amakhudza glucose wamagazi (multivitamini ndi kukonzekera kwachitsulo komwe kumakhala chakudya, glucocorticoids, β-blockers (mankhwala osokoneza), adrenergic agonists (mwachitsanzo, ginipral) ayenera kumwedwa atatha kuyesedwa ngati nkotheka.

Pa mimba mayeso a shuga katatu magazi amatengedwa kuchokera m'mitsempha ya glucose:

Maziko oyambira (maziko) othamanga a shuga mumagazi amayeza. Mutatenga gawo loyambirira la magazi a venous, glucose amayeza nthawi yomweyo. Ngati kuchuluka kwa shuga ndi 5.1 mmol / L kapena kuposerapo, ndiye kuti matendawo amapangidwa Matenda a shuga. Ngati chizindikirocho chikufanana ndi 7.0 mmol / L kapena kuposa, kuwunikira koyambirira kumapangidwa Kuwonekera (koyamba kupezeka) matenda a shuga pa mimba. M'njira zonsezi, kuyesaku sikudzachitidwanso. Ngati zotsatira zake zili mkati mwa mtundu woyenera, ndiye kuti mayesowo akupitiliza.
Mayeso akamapitiliza, mayi woyembekezera ayenera kumwa glucose kwa mphindi 5, ndipo amakhala ndi shuga 75 g owuma (anhydrite kapena anhydrous) wosungunuka mu 250-300 ml ya madzi ofunda (37-40 ° C) kumwa madzi osapatsa kapena kaboni. Kuyambitsa yankho la glucose kumawoneka ngati chiyambi cha mayeso.
Zotsatira zamagazi zotsatirazi kuti azindikire kuchuluka kwa shuga zam'magazi zotsekemera zimatengedwa 1 ndi maola 2 mutatsitsa shuga. Mukalandira zotsatira zomwe zikuwonetsa Matenda a shuga pambuyo pa sampuli yachiwiri ya magazi, kuyezetsa kumayima ndipo kuyesedwa kwachitatu kwa magazi sikunachitike.

Pazonse, mayi woyembekezera amatha pafupifupi maola 3-4 kutenga mayeso ololera a glucose. Panthawi yoyesedwa, kuchita masewera olimbitsa thupi ndi koletsedwa (simungathe kuyenda, kuyimirira). Mayi woyembekezera azitha ola limodzi pakati pa kumangotenga magazi okha, atakhala pansi mosangalala akuwerenga buku komanso osapanikizika. Kudya kumapangidwa, koma kumwa madzi sikuletsedwa.

Contraindication kuti ipende

Ma contraindication apadera omwe kuyesa kwa glucose sangathe kuchita:

zinthu zadzidzidzi (stroke, kugunda kwa mtima), kuvulala kapena opaleshoni,
wotchedwa shuga mellitus,
matenda pachimake (kapamba, gastritis mu pachimake gawo, colitis, matenda kupuma pachimake ndi ena),
kumwa mankhwala omwe amasintha kuchuluka kwa shuga m'magazi.

Magazi a glucase pamimba

Kutanthauzira kwa zotsatira zoyeserera kumachitika ndi obstetrician-gynecologists, akatswiri azachipatala, akatswiri onse. Malangizo apadera ochokera kwa endocrinologist kuti akhazikitse mfundo yophwanya metabolism ya carbohydrate panthawi yapakati sikofunikira.

Nthawi zonse kwa amayi oyembekezera:

kusala venous plasma glucose ochepera 5.1 mmol / L.
pambuyo pa ola limodzi panthawi ya mayeso okhudzana ndi shuga osakwana 10,0 mmol / L.
pambuyo maola 2, ochulukirapo kapena wofanana ndi 7.8 mmol / L ndi ochepera 8.5 mmol / L.

Kuwongolera ndi chithandizo cha amayi apakati omwe ali ndi matenda ashuga

Chithandizo cha zakudya chimawonetsedwa kupatula chakudya chochepa cham'mimba komanso kupatsidwa mafuta, kugawa chakudya chokwanira tsiku lililonse kwa phwando la 4-6. Mafuta okhala ndi chakudya chamafuta ambiri sayenera kupitirira 38-45% ya zakudya zopatsa mphamvu za tsiku ndi tsiku, mapuloteni 20-25% (1,3 g / kg), mafuta - mpaka 30%. Amayi omwe ali ndi index yolimba ya thupi (BMI) (18 - 24.99 kg / sq. M) akulimbikitsidwa kudya tsiku lililonse kashiamu 30 kcal / kg, owonjezera (kulemera kwa thupi kupitilira 20% 50, BMI 25 - 29). , 99 kg / sq. M) - 25 kcal / kg, onenepa kwambiri (kulemera kwa thupi kuposa kumene kumatha kuposa 50%, BMI> 30) - 12-15 kcal / kg.

Dosed aerobic masewera olimbitsa thupi poyenda osachepera mphindi 150 pa sabata, akusambira padziwe. Pewani masewera olimbitsa thupi omwe angayambitse kuchuluka kwa kuthamanga kwa magazi (BP) ndi uterine hypertonicity.

Amayi omwe adadwala matenda ashuga ali pachiwopsezo chachikulu chotenga matendawa mtsogolo komanso matenda a shuga am'tsogolo. Chifukwa chake, azimayi awa ayenera kuyang'aniridwa pafupipafupi ndi endocrinologist ndi obstetrician-gynecologist.

Mitundu ya mayeso ololera a glucose

Kutengera njira yobweretsera shuga m'thupi, kuyesa kwa glucose kumagawika m'mitundu iwiri:

pakamwa (pakamwa, pakamwa),
makolo (intravenous, jekeseni).

Njira yoyamba ndi yofala kwambiri, chifukwa chosavulaza komanso kuphedwa mosavuta. Lachiwirili limasinthidwa mwadala chifukwa chophwanya machitidwe a mayamwidwe, motility, kuthawira m'matumbo, komanso m'malo atachitidwa opaleshoni (mwachitsanzo, kuchotsedwa m'mimba).

Kuphatikiza apo, njira yaubwino imagwira ntchito poyesa kuchuluka kwa hyperglycemia mwa abale a mzere wa abale omwe ali ndi matenda a shuga. Potere, ndende ya insulin m'mphindi zochepa zoyambirira pambuyo pa jekeseni wa glucose akhoza kutsimikizika.

Njira yolera jakisoni GTT ndi motere: m'mphindi zochepa, wodwalayo amapaka jekeseni wa 25-50% shuga (0.5 magalamu 1 pa kilogalamu imodzi ya kulemera kwa thupi). Ma sampu am'magazi oyesa milingo amatengedwa kuchokera ku mitsempha ina 0, 10, 15, 20, 30, mphindi 30 atayamba kuphunzira.

Kenako chithunzi chimapangidwa chomwe chikuwonetsa kuyikika kwa glucose malinga ndi nthawi yomwe mphamvu ya carbohydrate itatha.Mtengo wodziwitsa za Clinic ndi kuchuluka kwa kuchepa kwa shuga, komwe kumawonetsedwa ngati peresenti. Pafupifupi, ndi 1.72% pamphindi. Mwa anthu achikulire ndi okalamba, kufunika kwake ndizocheperako.

Mayeso amtundu uliwonse wa kulolera wama glucose amachitika kokha ndi malangizo a dokotala.

Mphepo ya shuga: Zizindikiro za GTT

Kuyesaku kukuwonetsa maphunziro aposachedwa a hyperglycemia kapena prediabetes.

Mutha kukayikira za vutoli ndikulemberani GTT pambuyo poti shuga yatsimikizika, potsatira:

kupezeka kwa matenda ashuga kwa abale ake,
kunenepa kwambiri (index yam'mimba yoposa 25 kg / m2),
mwa amayi omwe ali ndi matenda a kubereka (kutaya pakati, kubereka asanabadwe),
kubadwa kwa mwana yemwe ali ndi mbiri yokhudzana ndi zovuta zapakhomo,
ochepa matenda oopsa
kuphwanya lipid kagayidwe (hypercholesterolemia, dyslipidemia, hypertriglyceridemia),
gout
magawo a kuchuluka kwa shuga poyankha ndi nkhawa, matenda,
matenda amtima
nephropathy a etiology osadziwika,
kuwonongeka kwa chiwindi
okhazikitsidwa kagayidwe kachakudya,
zotumphukira neuropathies zosiyanasiyana zovuta,
pafupipafupi zotupa pakhungu (furunculosis),
matenda a chithokomiro, tiziwalo tamadontho tam'mimba, tiziwalo tambiri, thumba losunga mazira azimayi,
hemochromatosis,
Hypoglycemic zinthu
kugwiritsa ntchito mankhwala omwe amalimbikitsa magazi glycemia,
zaka zopitilira 45 (ndi pafupipafupi kafukufuku nthawi 1 pazaka zitatu),
trimester wa mimba ndi cholinga cha kupewa.

GTT ndiyofunikira kwambiri kupeza zotsatira zoyipa za kuyeserera kwa shuga wamagazi.

Malangizo pokonzekera mayesowo

Kuyeserera kwa glucose kuyenera kuchitika m'mawa, pamimba yopanda kanthu (wodwalayo ayime kudya osachepera maola 8, koma osatinso

Madzi amaloledwa. Nthawi yomweyo, m'masiku atatu apitawa, munthu ayenera kuwonetsetsa zochitika zolimbitsa thupi, kulandira chakudya chokwanira (osachepera gramu patsiku), siyani kusuta fodya ndi kumwa zakumwa zoledzeretsa, osamwa mopitirira muyeso, komanso pewani chisokonezo cha psychoemotional.

Zakudya zamadzulo madzulo phunziroli lisanachitike, giramu ya chakudya iyenera kupezeka. Ndi zoletsedwa kumwa khofi patsiku la kafukufuku.

Panthawi yopeza magazi, wodwalayo ayenera kukhala atagona, atakhazikika, atapumira pang'ono. M'chipindamo momwe phunziroli limachitikira, kutentha koyenera, chinyezi, kuyatsa ndi zofunikira zina zaukhondo ziyenera kuchitika, zomwe zingatheke mu labotale kapena chipatala chachipatala chachipatala.

Kuti shuga azipondera kuti aziwonetsedwa moyenera, GTT iyenera kusinthidwanso ngati:

munthu woyesedwa ali mu nyengo yachangu kapena yopweteka yamatenda aliwonse opatsirana komanso otupa,
M'masiku aposachedwa, opaleshoni idachitidwa,
panali zovuta zina zambiri,
wodwalayo adavulala
mankhwala ena (caffeine, calcitonin, adrenaline, dopamine, antidepressants) adadziwika.

Zotsatira zolakwika zitha kupezeka ndi kuchepa kwa potaziyamu m'thupi (hypokalemia), chiwindi chokwanira komanso kugwira ntchito kwa endocrine system (adrenal cortical hyperplasia, matenda a Cushing, hyperthyroidism, pituitary adenoma).

Malamulo okonzekera njira yaubwino ya GTT ndi ofanana ndi a glucose pakamwa.

Kukonzekera kuyesedwa kwa glucose

Ndikofunikira kudziwa kuti musanayese mayeso ololera a glucose, kukonzekera kosavuta koma kofunikira kumafunika. Zotsatirazi ziyenera kuonedwa:

kuyeserera kwa glucose kumachitika kokha motsutsana ndi maziko a munthu wathanzi,
magazi amaperekedwa pamimba yopanda kanthu (chakudya chotsiriza chisanachitike kusanthula ayenera kukhala osachepera maola 8-10),
ndikosafunikira kutsuka mano anu ndi kugwiritsa ntchito chingamu musanawunike (kutafuna chingamu ndi mano) kumatha kukhala ndi shuga yochepa yomwe imayamba kuyamwa kale pamlomo wamkati, chifukwa chake zotsatira zake zitha kukhala zonenepa kwambiri,
kumwa mowa ndikosayenera patsiku lamayeso ndipo kusuta kumachotsedwa,
Tisanayesedwe, muyenera kutsogolera moyo wanu wabwinobwino, kuchita masewera olimbitsa thupi, kupsinjika kapena zovuta zina zamaganizidwe osayenera,
ndizoletsedwa kuchita izi poyesa kumwa mankhwala (mankhwalawa amatha kusintha zotsatira zoyesa).

Njira Yoyesera

Kusanthula kumeneku kumachitika m'chipatala moyang'aniridwa ndi ogwira ntchito zachipatala ndipo ndi motere:

m'mawa, pamimba yopanda kanthu, wodwalayo amatenga magazi kuchokera m'mitsempha ndikuwona kuchuluka kwa glucose mmenemo.
wodwalayo amapatsidwa kumwa magalamu 75 a glucose wosungunuka mu 300 ml ya madzi oyera (kwa ana, shuga umasungunuka pamtunda wa magalamu 1.75 pa kilogalamu imodzi ya kulemera kwa thupi),
Patatha maora 2 mutamwa shuga, onani kuchuluka kwa shuga m'magazi,
yang'anani kusintha kwa shuga mumagazi malinga ndi zotsatira za mayeso.

Ndikofunikira kuti zotsatira zosatsutsika, kuchuluka kwa shuga kumatsimikizika nthawi yomweyo m'magazi omwe adatengedwa. Simalola kuumitsa, kunyamula kwa nthawi yayitali kapena kukhazikika firiji kwa nthawi yayitali.

Kuunika kwa zotsatira za mayeso a shuga

Yesani zotsatilapo ndi zoyenera zomwe munthu wathanzi ayenera kukhala nazo.

Kulekerera kwa shuga wambiri ndi kusala kudya kwa shuga ndi prediabetes. Pankhaniyi, kungoyeserera kwa glucose kokha komwe kungathandize kudziwa tsogolo la matenda ashuga.

Kuyesererana kwa glucose pakakhala pakati

Kuyesedwa kwa shuga ndi chizindikiritso chofunikira chazindikiritso cha kakulidwe ka matenda ashuga mwa mayi wapakati (matenda a shuga). M'makiriniki ambiri a azimayi, adaphatikizidwa pamndandanda wovomerezeka wa njira zowunikira ndipo akuwonetsedwa kwa amayi onse apakati, komanso kutsimikiza mtima kwatsitsi la magazi. Koma, nthawi zambiri, imachitidwa molingana ndi zisonyezo zomwezo monga azimayi osabereka.

Pokhudzana ndi kusintha kwa magwiridwe amtundu wa endocrine komanso kusintha kwa mahomoni, azimayi oyembekezera ali pachiwopsezo chotenga matenda a shuga. Kuopseza kwa izi sikuti kwa mayi yekha, komanso kwa mwana wosabadwa.

Ngati magazi a mzimayiyu ali ndi shuga wambiri, ndiye kuti alowa m'mimba mwa mayi. Glucose owonjezera amatsogolera kubadwa kwa mwana wamkulu (wopitilira 4-4,5 kg), chizolowezi cha matenda ashuga komanso kuwonongeka kwamanjenje. Nthawi zambiri pamakhala zochitika zapadera pomwe mimba imatha kutha msanga kapena kubereka.

Kutanthauzira kwa zoyeserera zomwe mwapeza zikuwonetsedwa pansipa.

Pomaliza

Kuyesedwa kwa shuga kwa glucose kunaphatikizidwa mu miyezo yoperekera chithandizo chapadera cha odwala omwe ali ndi matenda a shuga. Izi zimapangitsa kuti odwala onse omwe akuyembekezeka kukhala ndi matenda ashuga kapena omwe ali ndi matenda okhudzana ndi matenda ashuga amupeze kwaulere pansi pa lamulo la inshuwaransi yachipatala.

Zambiri pazomwe zimathandizidwazo zimapangitsa kukhazikitsa matenda poyambira kukula kwa matendawa ndikuyamba kudziletsa pakapita nthawi. Matenda a shuga ndi njira yoyenera kuchitengera. Kutalika kwa moyo ndi matenda amtunduwu tsopano kumadalira wodwala iyemwini, kulanga kwake komanso kukhazikitsa koyenera kwa malingaliro a akatswiri.