Matenda a shuga ndi amoyo: bwanji matenda osachiritsika samachiritsidwa?
Kodi ndizotheka kuchira matenda ashuga kapena ndikadwaladwala?
Kodi zomwe zimayambitsa matendawa ndi ziti? Ndani angatenge matendawa?
makalekare achi Greek - ino ndi nthawi:
matenda osachiritsika amakhala ndi njira yayitali, akudutsa kutuluka komanso kutuluka.
Matenda onse osachiritsika amatha kuchiritsidwa ngati munthu wabadwa wathanzi.
China chake ndikuti mbiri yakale imafuna kukhala wathanzi m'mawu okha ndi
kukana thandizo laulere ngati zingatheke
zoyeserera zawo zimafunikanso.
Anthu odwala matenda ashuga mwina amanyalanyaza zopereka zonse kapena
yambani kunyoza ndikufunsa kuti bwanji palibe amene wachira mpaka pano, kapena
Amati palibe ndalama, koma sakufuna kwaulere.
Mtundu 1 ndi mtundu wachiwiri wa matenda osokoneza bongo ndi matenda osachiritsika ndipo mwatsoka, sipanakhalepo zochiritsira paliponse ndipo sizinakhalepo padziko lapansi.
Sikuti odwala matenda ashuga okha amakhala ndi chibadwa chatsopano, komanso chitha kukhala chosangalatsa.
Pakhoza kukhala cholowa, koma pakadali pano palibe chomwe chimayambitsa kupsinjika, komwe kumatha kukhala kupsinjika ndi zovuta zam'mimba - Acute myocardial infarction kapena stroke komanso matenda osatha a chifuwa chachikulu.
Mwachidule: mtundu uliwonse wa matenda ashuga (mtundu 1 ndi mtundu 2) ali ndi mawonekedwe ake. Palinso mitundu ina ya matenda ashuga, osowa, komanso shuga ya amayi apakati (matenda a shuga). Mu matenda a shuga a mtundu woyamba, zisumbu zapadera za Langerhans mu zikondamoyo zimakhudzidwa, insulini imaleka kupangidwa ndi iwo, palibe kuyamwa kwa glucose wamagazi, chifukwa chake, ndi mtundu uwu wa shuga, jakisoni wa insulini yochepa komanso yayitali ndiyofunikira. Mu shuga mellitus wamtundu wachiwiri, insulin imapangidwa, koma zolandilira thupi siziganizira, chifukwa chake, SSP (mankhwala ochepetsa shuga) zimakulitsa chidwi ichi. Mitundu yonse ya matenda ashuga - okhwima - chakudya.
Njira za ntchito ndi kuikidwa kwa kapamba
"Matenda a shuga" amatanthauzira kuti "shuga" kapena "uchi." Izi zikuwulula chimodzi mwazomwe zimayambitsa matendawa kuyambika, tikulankhula za kudya kwambiri, komwe, limodzi ndi masewera olimbitsa thupi osakwanira, kumayambitsa kunenepa kwambiri.
Matenda a shuga ndi matenda osachiritsika omwe amakhudzidwanso ndi ukalamba. Mwanjira ina, munthawi zosiyanasiyana matendawo amatha kuonekera. Ngati ntchito ya munthu imagwirizanitsidwa ndi nkhawa komanso kusokonezeka kwa malingaliro, izi zimathandizanso kuyambika kwa matenda ashuga.
Nthawi zambiri anthu amadwala matenda ashuga:
- momwe makolo onse komanso abale ake apamtima anali odwala matenda ashuga,
- azimayi omwe abereka mwana wolemera kuposa makilogalamu 4.5, komanso azimayi omwe ali ndi pathupi komanso obala ana,
- onenepa kwambiri, onenepa kwambiri,
- ndi matenda a mtima, atherosclerosis, myocardial infarction, stroke, matenda oopsa,
- ndimatenda amitsempha yamagazi, kupsinjika pafupipafupi komanso kupanikizika kwa nthawi yayitali,
- ndi kuvulala, kulowererapo, njira zotupa zomwe zinachitika ndi kutentha kwambiri kwa thupi,
- kuona zinthu zapoizoni pafupipafupi,
- ndikuphwanya zakudya, mafuta kagayidwe, kumwa mowa mwauchidakwa.
- Ana odyetsedwa mozizwitsa.
Izi zowopsa zimakhudzidwa kwambiri ndi anthu osiyanasiyana padziko lonse lapansi. Matenda ndi vuto lalikulu lathanzi labwino. Ndikofunika kumvetsetsa kuti matenda ashuga ndi a moyo wonse, chifukwa chake kupewa ndi kuchiza matendawa nthawi zonse kumakhala kovuta.
Zikondwererozo zimakhala kumbuyo kwam'mimba. Munthu alibe chiwalo china chomwe chimasiyanitsidwa ndi kuthekera kwake kokhala ndi zochitika zosiyanasiyana mthupi la munthu. Chiwalochi chimagwira nawo bwino chimbudzi chifukwa chimapanga madzi a pancreatic. Chifukwa chake, thupi limapatsidwa mphamvu yofunikira pantchito.
Ntchito ina yodziwika bwino ya kapamba ndikupanga chinsinsi chapadera, chomwe chimakhudzidwa pakukhazikitsa njira zambiri mthupi. Ndikofunikira kuti thupi lonse lizigwira ntchito.
Madzi a pancreatic, amagwira ntchito ngati pancreatic. Madzi awa ndi madzi omveka bwino, opanda khungu. Kuchuluka kwa madzi a pancreatic, omwe amatulutsidwa ndi kapamba, pafupifupi 600-700 ml.
Zomwe zimapanga pancreatic madzi ndi ma enzymes, ndiko kuti, zinthu zomwe zimathandizira njira zosiyanasiyana za thupi:
Enzime ya pancreatic yomwe imaphwanya mafuta, imagwira limodzi ndi bile. Amasintha mafuta kukhala madontho ang'onoang'ono, pomwe lipase imaphwanya madontho awa kukhala zinthu.
Kodi ndi shuga uti yemwe amawonedwa wabwinobwino mwa munthu wathanzi akamaliza kudya?
Kwa zaka zambiri osalimbana ndi ma DIABETES?
Mutu wa Bungwe: “Mudzadabwitsidwa kuti kumakhala kovuta motani kuchiritsa matenda a shuga tsiku lililonse.
Glucose ndi gwero lamphamvu kwa anthu, kulowa m'magazi, limasamutsidwa kupita ku ziwalo ndi minyewa, komwe amathandizira, amatulutsa zopatsa mphamvu.
Kuwunikira pambuyo pa chakudya - njira yodalirika yoyendetsera
Phunziroli limazindikira kuchuluka kwa shuga m'magazi, omwe nthawi zambiri amatchedwa shuga wamagazi.
- zaka
- nthawi ya tsiku
- zolimbitsa thupi
- Nthawi mukadya ndi ena.
Chifukwa chake, mutatha kudya, kuchuluka kwa glucose kumakwera, ndipo ndi kulimbitsa thupi kumatsika. Mwa munthu wokalamba, kagayidwe kake kamatsitsidwa, zomwe zikutanthauza kuti shuga iyenera kutsikira.
Thupi limayesetsa kuonetsetsa kuti chizindikirochi chikufanana, chifukwa pali njira ziwiri:
- Mafuta a shuga m'magazi pogwiritsa ntchito insulin.
- Kuwonongeka kwa glycogen ndi mafuta a glucose kulowa m'magazi.
Kuyesedwa kwa shuga kumachitika mu chipatala chilichonse, kumapezeka mosavuta ndipo kungachitike mwa njira zitatu, pogwiritsa ntchito ma reagents osiyanasiyana:
- shuga oxidase
- chala
- ortotoluidine.
Mfundo zoyendetsera njirazi ndi zofanana: glucose amakumana ndi reagent, njira yothetsera mtundu imapangidwa, mphamvu yake yomwe imayang'aniridwa ndi chithunzi cha ma calorimeter. Mokulirapo, mamolekyu ambiri m'magazi. Zotsatira zimawonetsedwa mamililitale pa lita imodzi.
Njira yachikhalidwe yochitira kafukufukuyo imaganizira kuti wodwalayo amakhala ndi njala, ndiye kuti, sakudya m'ma 8-10. Komabe, pali njira yodziwira mukatha kudya, ndendende, maola awiri atatha kudya.
Mwa munthu wathanzi, njira zowongolera zimagwira ntchito mwachangu ndipo msambo wabwinobwino wa shuga umafikiridwa mkati mwa maola 2. Ndipo pambuyo pa ola limodzi, iyenera kufikira 7-8 mmol pa lita. Ngati izi sizingachitike, ndikofunikira kuyang'ana shuga ndikuwunika madokotala pafupipafupi.
Mukamayang'ana shuga, madokotala amalangizidwa kutenga miyezo kangapo patsiku: kuyambira 3 mpaka 5.
Komanso, mulingo woyenera umawonedwa ngati:
- M'mawa musanadye, chizindikiro ndi 3.5-5,5 mmol pa lita.
- Asanadye nkhomaliro ndi chakudya chamadzulo, pafupifupi 3.8-6.1 mmol pa lita.
- Pambuyo ola limodzi mutadya pafupifupi 8 mol pa lita.
- Maola awiri mutatha kudya - 5.5-6.5.
- Pogona, osaposa 4 mmol pa lita.
Kodi ndi shuga wanji amene amawonedwa kuti ndi wosavomerezeka? Ngati chizindikirocho chipitilira 1.5-2 mmol pa lita imodzi kuchokera ku chizolowezi, izi zikuwonetsa kupatuka kwakukulu, komwe kumakhala ngati alarm. Nthawi yomweyo, otsika kwambiri amakhalanso chizindikiro chosasangalatsa, polankhula za matenda ena - hypoglycemia.
Kanema wochokera kwa Dr. Malysheva okhudza mayesero a matenda ashuga:
Kodi ngozi yamitengo yayitali ndi yotani?
Kupatuka kumodzi kuchokera ku chizolowezi sizizindikiro zowopsa, zitha kuchitika chifukwa cha zakudya kapena zina zakunja. Ngati kuchuluka kwa shuga kumakwezedwa pafupipafupi, muyenera kufunsa dokotala.
Kukhazikika kwa shuga m'magazi kumaonetsa kukula kwa matenda monga matenda a shuga.
Itha kuchitika chifukwa cha njirayi:
- kapamba satulutsa insulin yokwanira kapena samabala konse,
- ma cell receptor amataya glucose chiwopsezo chawo, chomwe sichingamwe ndi kukhalabe m'magazi.
Shuga wambiri nthawi zonse amabweretsa zotsatira zosasangalatsa zomwe zimayamba pang'onopang'ono ndipo poyamba sizikuwoneka kwathunthu:
- ntchito ya mtima ndi mitsempha yamagazi imasokonezeka, matenda a mtima a ziwiya, matenda a mtima, matenda oopsa ndipo ena amatulutsa
- mitsempha imavutika, yomwe imawonekera mu kusokonezeka kukumbukira, nzeru, kufooka,
- kuwonongeka kwamitsempha ya impso kumabweretsa kukula kwa aimpso, nephropathy,
- kagayidwe kachakudya mu minofu imasokonekera, komwe kumayambitsa mapangidwe a zilonda zam'mimba, malekezero am'munsi ndiwofunika kwambiri pankhaniyi,
- kagayidwe kachakudya matenda amachititsa kunenepa kwambiri komanso kunenepa kwambiri,
- glucose amakhala ngati njira yabwino yopangira michere tizilombo, chifukwa chake mabala amachiritsa kwambiri, opaleshoni ndiyosatheka, ndipo kuvulala kulikonse kungayambitse gangore,
- kuphwanya Mitsempha ya Maso kumabweretsa kuwonongeka kwa mawonekedwe,
- Kuponderezedwa kwa chikumbumtima ndikotheka.
Njira zonsezi zimasokoneza thupi pang'onopang'ono, pomwe ndizosatheka kubwezeretsa magwiridwe antchito, chifukwa mapangidwe a minofu amaphwanyidwa, ndipo machitidwe mu boma lino amatsutsana, chifukwa kuchiritsa pambuyo pawo kumakhala kovuta kwambiri.
Chifukwa chiyani shuga amatha kutsika atatha kudya?
Pali nthawi zina pamene, chakudya chikangotha, shuga amatsika kwambiri. Zomwe zimayambitsa izi zimatha kukhala zonse za hypoglycemia ndi shuga wamagazi ambiri.
Yoyamba imadziwika ndi kupanga kwambiri insulin ndipo imayendera limodzi ndi zizindikiro monga:
- kutentha pang'ono kwa thupi
- ngozi yamatenda,
- kudzipereka kwa minofu.
Zowopsa kwa anthu ndi mulingo wa 2.2 mmol pa lita imodzi kwa akazi ndi 2.8 mmol pa lita imodzi kwa amuna. Ndi zizindikiro zotere, chikomokere ndichotheka. Nthawi zambiri kupanga insulin kwambiri kumakhala chotupa mu kapamba.
Dokotala yemwe amatenga ma anamnesis, amafotokozera mayeso ndikupereka mayankho oyenera ayenera kudziwa zomwe zimayambitsa kutsika kwa shuga.
Ngati nthawi zambiri munthu ali ndi kuchuluka kwa shuga, ndiye kuti ndi bwino kukambirana za kukhalapo kwa matenda - matenda a shuga kapena mtundu wa 1, mogwirizana ndi komwe mankhwalawa adalembera.
Chithunzi cha matenda ashuga
Chithunzi chachipatala cha odwala omwe ali ndi matenda amhupi amadzionetsa ngati:
- ludzu losalekeza
- kusanza ndi kusanza
- kudwala, kufoka, kugona,
- paresthesia ndi dzanzi miyendo,
- Kununkhira kwa ma acetone kuchokera mkamwa,
- kuwonongeka kowoneka, mawonekedwe a "nebula" chithunzi
- khungu louma ndi kuyabwa kosalekeza, komwe mabala ndi mafinya amawoneka,
- tsitsi lothothoka, kucheka tsitsi komanso kukula bwino,
- Kuchepetsa thupi ndi chidwi.
Ngati zizindikirozi zimapezeka mwa ana, ndikofunikira kukambirana za matenda amtundu 1, pomwe kapamba amapanga insulin yokwanira.
Zimayenda mwachangu kwambiri ndipo zimatsogolera pakusintha kwachilengedwe mu minofu, ngakhale kupha. Chifukwa chake, pankhaniyi, ndikofunikira kuzindikira matenda nthawi ndi kuyamba kulandira chithandizo.
Mkulu wamkulu, matenda ashuga amtundu wa 2 amakula, zomwe zimapangitsa kukhala ndi moyo wopanda thanzi. Kukula kwa matenda ashuga kumakhudzidwa ndi kuperewera kwa zakudya, kupanikizika kosalekeza, kunenepa kwambiri, kusowa masewera olimbitsa thupi.
Nthawi zambiri wodwala samalabadira zomwe zikuwonetsa, kufunafuna chomwe chimayambitsa matenda ake ena. Pangozi ndiye anthu omwe ali ndi vuto lobadwa, lomwe banja lawo mumakhala odwala matenda ashuga.
Chizindikiro chachikulu cha matenda a shuga ndi kuchuluka kwa shuga m'magazi. Iyo, pamodzi ndi zizindikiro zina, imapereka chidziwitso cholondola.
Momwe mungasinthire zizindikiro?
Pozindikira matenda ashuga, ndikofunikira nthawi yomweyo kuyamba kulandira chithandizo, kuphatikizapo kutsatira zakudya. Ngati matenda sanapezekebe, koma magazi a m'magazi amakwera pafupipafupi, matendawa amatchedwa prediabetesic, ngati sanachiritsidwe, amasintha kukhala matenda okhala ndi zotsatirapo zina.
Njira zomwe zingabwezeretse kuchuluka kwa shuga ndi zabwinobwino ndi:
- kudya
- kuwonda
- masewera olimbitsa thupi nthawi zonse
- kumwa mankhwala.
Zakudya ndiye chida chachikulu chothandizira kupewa komanso kuchiza matenda ashuga, chimaphatikizaponso mfundo zingapo:
- chakudya chiyenera kukhala chokhazikitsidwa ndi zakudya zomwe zili ndi index yotsika ya glycemic: masamba, zipatso, zipatso, imvi
- kudya mapuloteni okhazikika: nyama yokonda, nsomba, mazira, mkaka,
- chakudya chizikhala chamtundu: nthawi 5-6 patsiku m'magawo ang'onoang'ono, zokhwasula-khwasula zimakhala "zolondola",
- imwani zakumwa zambiri: madzi oyera, mankhwala ophatikizira zitsamba ndi zipatso, zipatso zosafunikira popanda shuga,
- zopangidwa ndi ufa ziyenera kuchepetsedwa ndipo ziyenera kukhala tirigu wathunthu kapena mkate wa rye,
- kupatula pa chakudya: zotsekemera, ufa wa ufa, mpunga woyera, masoseji, mafuta ochepa a nyama, mowa ndi chakudya chofulumira.
Kuchita zolimbitsa thupi mwamphamvu kumathandizira kuchepetsa thupi, kuwononga shuga wambiri m'magazi komanso kutulutsa minofu. Poterepa, zomwe zimachitika mthupi zimayenda bwino, ndipo zomwe zimapezeka mumwazi zimachepa.
Akapezeka, odwala amapatsidwa mankhwala omwe amathandiza kuchepetsa shuga ndikuwamwa. Kulandilidwa kwawo ndikofunikira, ndipo pamoyo wonse, chifukwa matenda ashuga ndi osachiritsika. Wodwalayo atha kukhala naye zaka zambiri ndikumva bwino. Koma njirayi ndiyotheka kutengera malingaliro onse a dokotala, komanso kugwiritsa ntchito mankhwala mosalekeza.
Nkhani ya kanema pamankhwala ochepetsa shuga:
Mukakana kulandira chithandizo, thupi la munthu limakumana ndi mavuto obwera chifukwa cha shuga m'magazi, zomwe zimayambitsa kuwonongeka kwa minofu. Pang'onopang'ono, matenda akewo akuipiraipira ndikupangitsa kuti afe.
Thanzi la wodwala, choyamba, ntchito yake. Tiyenera kuphunzira kusamalira thupi lathu kuyambira tili ana, ndiye kuti pauchikulire sipadzakhala zovuta zina ndipo moyo wabwino uzikhala wabwinoko.
Moni Ndiuzeni, kodi nzoona kuti matenda amtundu 1 sangathe kuchiritsidwa? Ndipo ndiye, muyenera kuchita ndi momwe mungakhalire ndi matenda otere?
Mtundu woyamba wa shuga, kuwonongeka kwa maselo omwe amapanga insulin. Matendawa amapezeka ndi cholowa chamtsogolo pambuyo pa matenda oyambitsidwa ndi kachilombo, motsutsana ndi kupsinjika, kugwiritsa ntchito mankhwala kwa nthawi yayitali.
Wotsitsika wamatendawa amakhala kuti mawonetseredwe ake oyamba amachitika nthawi yomwe maselo a beta atsala pang'ono kulowa kapamba. Pakufika nthawi yodandaula za kukodza pafupipafupi, ludzu ndi kuchepa thupi, amawonongeka ndi 85-95 peresenti.
Chifukwa chake, popanda kupereka insulin, mutha kupeza zovuta kwambiri ngati ketoacidotic chikomokere. Izi ndichifukwa choti palibe m'magazi momwemo. Ndipo kuchuluka kwake sikungathandize kuyamwa glucose yemwe amabwera ndi chakudya.
Mankhwalawa a mtundu 1 matenda a shuga amadziwika kuti amachotsa chithandizo ndi jakisoni wa insulin, yomwe amawapatsa moyo. Insulin yokha yomwe ingathandize kupewa zovuta. Izi zikuphatikiza, kuwonjezera pa kukomoka, kuwonongeka kwa impso, retina, mapangidwe a zilonda kumapazi, mtima ndi matenda a mtima.
Chifukwa chake, ngati mwawona malonda otsatsa “njira zozizwitsa” kapena njira yodalirika yomwe ikulonjeza kuchiritsa matenda a shuga, ndiye kuti ndi zabodza pa malonda.Tsoka ilo, ndi mulingo wamankhwala amakono, matenda a shuga ndi matenda omwe amangoyesedwa.
Koma, mukamayambitsa kukonzekera kwatsopano kwa insulin komwe kumakuthandizani kukhala ndi shuga wokhazikika m'magazi, mudzakhala ndi moyo wosiyana kwambiri ndi wabwinobwino.
Pankhaniyi, muyenera kuchepetsa zakudya, kutsatira malangizo a endocrinologist okhudza mlingo wa insulin, kuyeza kuchuluka kwa shuga osachepera kanayi pa tsiku.
Pochizira mafupa, owerenga athu adagwiritsa ntchito DiabeNot bwino. Kuwona kutchuka kwa malonda, tidaganiza zoperekera chidwi chanu.
Zikuwonekera kwa allOnly Me & Admin
- Matenda a shuga ndi amoyo: bwanji matenda osachiritsika samachiritsidwa?
- Kulumpha mwadzidzidzi m'magazi a magazi: bwanji glucose amadumphira mu shuga ya mtundu 2?
- Kodi matenda amtundu wa 2 angayambire shuga ya mtundu woyamba?
- Mavuto
- Zambiri
- Amasanthula
- Insulin
- Kukonzekera
- Njira zina
- Chithandizo
- Masewera
- Magazi a shuga m'magazi
- Zogulitsa
- Maphikidwe
- Njira
- Zakudya
- Chakudya chopatsa thanzi kwambiri shuga ndi cholesterol: Zakudya ndi zakudya
- Momwe mungakonzekerere zopereka zamagazi za shuga ndi cholesterol: siziyenera kudyedwa?
- Polysorb yamtundu wa matenda ashuga a 2: gwiritsani ntchito ndi kuwunikira chithandizo
- Momwe shuga limakhalira mwa amayi pambuyo pa zaka 40 kuchokera kumitsempha ndi chala: tebulo la zisonyezo
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Mazira ndi shuga
Pochizira mafupa, owerenga athu adagwiritsa ntchito DiabeNot bwino. Kuwona kutchuka kwa malonda, tidaganiza zoperekera chidwi chanu.
Mazira ndichakudya, motero kudya kwawo ndikofunikira pakukhumudwa kwazinthu zambiri. Koma ndikotheka kudya mazira a shuga, ndipo momwe amaloledwa kudya, muyenera kumvetsetsa. Ndizofunikira kudziwa kuti mazira amatha kutengeka mosavuta ndi thupi ndikukhala ndi zinthu zambiri zothandiza.
- Kodi ndizotheka kudya mazira omwe ali ndi mtundu woyamba 1 ndi shuga
- Phindu ndi zovuta za mazira a nkhuku
- Momwe mungagwiritsire ntchito mazira a mtundu 1 ndi matenda ashuga 2
- Kodi Mazira Osauka Akhoza Kukhala ndi Matenda A shuga
- Phindu ndi zovulaza za mazira zinziri
- Malangizo ogwiritsa ntchito mazira zinziri
- Chithandizo cha mazira a zinziri za shuga
Kodi ndizotheka kudya mazira omwe ali ndi mtundu woyamba 1 ndi shuga
Matenda a shuga ndi matenda oopsa omwe amatsatira kwambiri zakudya zina. Makamaka ndi mtundu woyamba wa matenda. The endocrinologist wopangira payekha ayenera kupanga mndandanda wa munthu aliyense wodwala matenda ashuga, motero matendawa samakula msanga. Mazira ali ndi mankhwalawa odabwitsa a amino acid, mchere, kufufuza zinthu ndi zinthu zina, zomwe mosakayikira zimabweretsa phindu.
Tiyenera kudziwa kuti yolk ili ndi cholesterol yambiri. Pachifukwachi, odwala ambiri amakana kumangodya, popeza izi zimapangitsa kuti mapangidwe a atherosulinotic (kukula kwa atherosulinosis). Komabe, zoona zake, kuchuluka kwa cholesterol yoyipa ndikochepa kwambiri, motero, ndizololeka kudya yolk. Chachikulu ndikutsatira miyambo.
Mankhwala okhalitsa akuti mapuloteni ali ndi vuto pa impso, motero mazira amaletsedwa kuwonongeka kwa impso. Chowonadi ndi chakuti zidapezeka kuti mapuloteni amathandizira kwambiri ku impso, chifukwa chomwe amasiya kugwira bwino ntchito. Chifukwa cha izi, nephropathy imayamba (diabetesicionion). Zotsatira zake, pamakhala kuchepa kwa kusefedwa kwa glomerular, zomwe zimatsogolera ku kuledzera kwa thupi. Pokhapokha ngati izi, kuchuluka kwa mapuloteni kumachepetsedwa.
Kafukufuku wamakono, komabe, amatsimikizira kuti mapuloteni alibe zotsatira zoyipa kwambiri mu impso ndipo samatsogolera ku njira za pathological. Komabe, pali mawonekedwe. Mukamadya mapuloteni kwinaku mukukhazikika m'magazi a shuga m'magazi, ndiye kuti palibe vuto. Ngati wodwalayo sawongolera shuga ndipo achulukanso m'magazi, ndiye kuti awonongera dongosolo la impso. Chifukwa chake, ndikofunikira pamlingo uliwonse kukhazikitsa mtundu wina wa mazira.
Izi zimakhudza mtundu 1 ndi mtundu 2 shuga. Pofuna kuti musavulaze thupi, muyenera kuyang'anira kuchuluka kwa shuga m'magazi ndikuyezetsa ngati pali kuperewera kwa impso.
Phindu ndi zovuta za mazira a nkhuku
Mapuloteni a dzira la nkhuku, omwe amalowetsedwa mosavuta ndi thupi, amadziwika kuti ndi othandiza kwambiri kwa odwala matenda ashuga. Izi ndi monga:
- zili amino acid zimathandizira pakukula ndi kukula kwa maselo,
- lysozyme imalepheretsa tizilombo toyambitsa matenda, mabakiteriya aliwonse,
- zinthu sizilola kuchepa magazi m'thupi,
- mchere ndi zambiri kulimbitsa mafupa, tsitsi, mano,
- chifukwa cha zinc, mabala amachiritsa mwachangu kwambiri
- chitsulo chimalimbitsa chitetezo chathupi komanso kupewa matenda, chimawononga ma virus.
- Vitamini A ali ndi cholinga chopewa maubwino owoneka bwino, kupewa kutulutsa khungu ndi kukonza minofu, khungu,
- chifukwa cha vitamini E, makoma a dongosolo loyendetsa magazi amalimbikitsidwa,
- kusintha kwa chiwindi,
- kutulutsa kwa poizoni woyipa, poizoni, ma radionuclides ndi zinthu zina zoyipa kuchokera mthupi,
- kusintha kwachilengedwe kwamphamvu.
Ngati mazira amadyedwa kwambiri, makamaka mawonekedwe aiwisi, akhoza kukhala ovulaza munjira zotsatirazi:
- biotin akusowa, ndiye kuti, matenda omwe tsitsi limathothoka, khungu limayamba kutuwa kwambiri ndipo chitetezo chake chimachepa kwambiri.
- kugunda kwamtima ndi sitiroko,
- ngati mumadya mazira osaphika komanso ambiri, salmonella amatha kupezeka, zomwe zimatsogolera pakupanga typhoid ndi matumbo a matumbo.
Momwe mungagwiritsire ntchito mazira a mtundu 1 ndi matenda ashuga 2
M'mayiko ambiri padziko lapansi, anthu amadya mazira okhazikika kapena mazira osenda bwino chakudya cham'mawa. Komabe, pankhani ya matenda a shuga, izi sizololedwa. Ndikofunika kudya mazira a nkhomaliro, chakudya china chikatha kulowa m'mimba. Kwa matenda amtundu wa 1 kapena matenda a shuga a 2, zotsatirazi zitha kukonzedwa kuchokera ku mazira a nkhuku:
- wiritsani mazira "m'thumba" kapena wowiritsa,
- sambitsani omele posambira.
- wiritsani mazira ndikuwawonjezera pa saladi kapena kusakaniza ndi parsley, katsabola ndi masamba ena.
Ndiosafunika kugwiritsa ntchito mazira mwanjira ya mazira okazinga. Mwanjira imeneyi, mazira omwe agundidwa ndivulaza. Mukamakola maelemetala, osagwiritsa ntchito mafuta ndi mafuta, m'malo mwake, muzisamba m'madzi. Sitikulimbikitsidwa kuwonjezera batala, koma maolivi pang'ono amasunga katundu wopindulitsa kwambiri.
Kodi Mazira Osauka Akhoza Kukhala ndi Matenda A shuga
Sichabwino kwenikweni kuti odwala matenda ashuga adye mazira aiwisi, koma ochepa okha ndi ololeka. Muyenera kudziwa kuti musanadye chipolopolo cha mazira ziyenera kukonzedwa bwino ndikusamba ndi sopo ochapira. Mwanjira imeneyi mumadziteteza ku salmonella.
Dzira laiwisi limapatsidwanso mphamvu zosiyanasiyana. Muyenera kudziwa kuti mapuloteni osaphika, Mosiyana ndi mapuloteni ophika, amakamizidwa ndi thupi moyipirapo, motero palibe nzeru kudya mazira osaphika. Pokhapokha posintha menyu.
Phindu ndi zovulaza za mazira zinziri
Mazira a Quail adadziwika kwambiri pochiza matenda ambiri, chifukwa ali ndi mitundu yambiri yama mankhwala. Chodabwitsa cha mazira a zinziri ndi kusowa kwa cholesterol, komwe ndikofunikira kwa matenda amishuga amtundu uliwonse. Zina mwazabwino za odwala matenda ashuga ndi:
- kusintha kwa zinthu,
- kubwezeretsa zida zowonekera,
- Matenda a shuga a shuga a 2 shuga,
- kupewa mavuto,
- kulimbitsa dongosolo lamkati lamanjenje,
- Chitetezo chamtundu wa chitetezo
- Kuthetsa magazi m'thupi,
- kuchira kwa mtima,
- chotupa chamadzi cholimbitsa,
- imalimbikitsa kupanga mahomoni ndi michere yofunika kwa thupi,
- Zimasintha magwiridwe antchito,
- sedative kwenikweni
- kuthamanga kwa mafuta kagayidwe,
- Matenda a ziwalo zamkati - chiwindi, impso,
- kuteteza radiation.
Ubwino wama mazira zinziri kuposa mitundu ina:
- palibe cholesterol yoyipa
- kuloledwa yaiwisi
- sizimayambitsa mavuto,
- palibe chiopsezo cha matenda a salmonella,
- chololedwa kudya mazira 6 patsiku.
Malangizo ogwiritsa ntchito mazira zinziri
- Mazira a quail ayenera kuyambitsidwa mu zakudya za odwala matenda ashuga pang'onopang'ono.
- M'masiku ochepa oyambirira ndizovomerezeka kudya mazira atatu, komanso musanadye chakudya cham'mawa komanso chaiwisi.
- Kumwa mazira kumalimbikitsidwa pamimba yopanda kanthu m'mawa.
- Ngati simukonda kukoma kwa mazira otere ndipo simungathe kudzikakamiza kuti mudye, ndiye kuti muwagwiritseni ntchito owiritsa. Mutha kupanga omele, kuwonjezera pa saladi.
Ngati simunadyepo mazira a zinziri ataphwa kale, konzekerani kuti mudzitha kutsegula m'mimba kwakanthawi kochepa, chifukwa zinthu zomwe zimagwira zimapatsa mphamvu.
Chithandizo cha mazira a zinziri za shuga
Mazira a Quail ali ndi njira yochizira matenda ashuga, motero amagwiritsidwa ntchito pochita maphunziro achire. Pa maphunziro amodzi, muyenera kuphika pafupifupi mazira 250. Pambuyo pa nthawi imeneyi, mazira a zinziri amaloledwa kudyedwa ochepa.
Njira yochizira imakhala pakudya mazira a zinziri mu mawonekedwe osakhazikika pamimba yopanda kanthu m'magawo atatu. Zidutswa zitatu zotsalazo zitha kuledzera kapena kudyedwa masana. Kutalika kwa maphunzirowa nthawi zambiri kumakhala miyezi isanu ndi umodzi. Mutha kusunga dzira lamtunduwu mpaka miyezi isanu pamalo abwino.
Ngati mungaganize zodya mazira a nkhuku kapena zinziri, onetsetsani kuti mwapeza dokotala yemwe akuyenera kudziwa kuchuluka kwa mankhwalawo. Kupanda kutero, mutha kukhala pachiwopsezo chodzapeza zovuta komanso zovuta.
Matenda a shuga ndi chiwindi
- 1 Kuphatikizika
- 2 Zimayambitsa hepatitis mu shuga
- 2.1 Kodi ndi ziti?
- 3 Zinthu zakufufuza
- 4 Kodi chithandizo chikuyenda bwanji?
- Njira 5 Zopewera Matenda
Anthu nthawi zambiri samakayikira kuti amadwala ndi matenda awiri akulu nthawi imodzi. Hepatitis C ndi matenda osokoneza bongo a shuga ndi matenda awiri osagwirizana: chifukwa cha kuyandikira kwawo, mavuto ambiri amatuluka - kuyambira pomwe matenda apezeka ndikutha ndi chithandizo. Kumwa insulini kumapangitsa kuti thupi lizitenga matenda osiyanasiyana, kuphatikizapo chiwindi. Njira yodula, yayitali komanso yovuta ku hepatitis imasokoneza kwambiri chithandizo cha matenda ashuga. Mankhwala atha kutha chifukwa cha kukhoza kwa munthu kugwiritsa ntchito mankhwalawa kuti achulukitse kuchuluka kwa shuga m'magazi mwinanso kupangitsa kuti mafuta osapindulitsa a carbohydrate kagayidwe mthupi. Ndiye kuti, zotsatira za mayesowa zimatha kuwonongeka, matendawa amatha kukulirakulira.
Kuphatikizika
Matenda onsewa amalepheretsa thupi kuthana ndi ziwalo zambiri zamthupi zomwe zimachepetsa chitetezo chathupi. Ndi matenda ashuga, shuga simalumikizidwa ndi thupi, zomwe zimakhumudwitsa kagayidwe, ndipo zimayambitsa kudwala matenda ashuga. Hyperglycemia imagawidwa m'magulu awiri: 1 - kuperewera kwathunthu kwamafuta (ngati kapamba sangathe kugwira ntchitoyo) ndi 2nd - kuchepa kwapafupipafupi, pakakhala glucose wokwanira, koma salowa m'maselo a thupi ndikuchepa. Ndi hepatitis, kachilomboka “kamadyanso” chiwindi kwa zaka zambiri, nkupanga matenda ake a fibrosis, kenaka khansa kapena chifuwa. Hepatitis ndi matenda osokoneza bongo nthawi zina amabisala wina ndi mnzake, zimapangitsa kuti zikhale zovuta kudziwa matenda kapena kuwunika kuchuluka kwa zovuta.
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Zimayambitsa hepatitis mu shuga
Pafupifupi ndizovuta kupeza chiwindi m'moyo watsiku ndi tsiku. Choyambitsa matendawa ndi matenda ashuga ndimatenda oyamba kudzera m'magazi a munthu wina - wouma kapena watsopano -. Pa nthawi yolipitsa ndi ma syringes oyamba ndi insulin kuchipatala. Kachilomboka kamapulumuka kutentha kwa masiku 4 mpaka sabata. Nthawi zambiri, pamakhala odwala matenda ashuga omwe sangathe kuchita jakisoni (mtundu 1 hypoglycemia). Kuphatikiza apo, ma virus ambiri - tizilombo toyambitsa matenda - timangokhala mthupi la munthu. Ndipo motsutsana ndi mbiri yakuchepa kwa chitetezo chathupi m'matenda a shuga kuphatikiza jakisoni wa insulin, hepatitis B, C, D, amakhala akhama, komanso odwala matenda ashuga nthawi zambiri (mpaka 10) kuposa ena.
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Zizindikiro ziti?
Kutopa mwachangu kumadziwika ndi matenda onsewa.
Hepatitis imakhala yodziwika bwino m'maganizo mwakuti munthu sangadziwe za matendawa kwa zaka zambiri chifukwa chosowa zizindikiro. Tsoka ilo, amawonekera kale pa gawo la 4 la fibrosis kapena cirrhosis ndi khansa. Odwala omwe ali ndi matenda ashuga, palibe kuwunikira kwa mapuloteni amaso ndi khungu. Zizindikiro zina zamatenda onsewa ndizosokoneza. Zizindikiro zodziwika bwino za matenda onsewa ndi kufooka kwa minofu, kutopa msanga, ndi kamwa yowuma. Zizindikiro zofanana ndi matenda a shuga:
- kufuna kwambiri kudya ndi kumwa,
- kufuna kugona
- khungu lowuma
- kuchepa kwa misomali ndi tsitsi,
- Khungu
- mabala amachiritso a nthawi yayitali,
- kupweteka m'mbali
- mkodzo wakuda
- kutentha pang'ono
- kusowa kwa chakudya
- mphwayi.
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Mawonekedwe Ozindikira
Choyambirira kuchita kuti mupeze matenda a shuga ndikuwonetsetsa magazi "kuti apange shuga." Mwa zina zotsatirazi zomwe zikuwunikira:
- magazi a kuchuluka kwa hemoglobin,
- kusanthula kwa mkodzo kwa glucose, matupi a ketone,
- kuyeserera kwa shuga
- magazi pa kuchuluka kwa insulin (mtundu 1 wa shuga amakwezedwa, ndipo mtundu wa 2 shuga umachepa).
Cholinga chogonana ndi hepatologist kumatha kukhala kuchuluka kwa magazi a hepatic transaminases ALT ndi AST ndi bilirubin, kusintha kwa chiwindi pa kufufuza kwa ma ultrasound.
Ndi hepatitis C kapena B, muyenera:
Ndi mitundu yonse iwiri ya virus, muyenera kukayezetsa magazi onse.
- kuyezetsa magazi konse
- kusanthula kwa magazi kwamitsempha yamagazi (mtsempha)
- coagulogram
- HCV-PHK kudzera pa PCR kapena:
- Anti-HBcor,
- HBsAg,
- Anti HBs.
Mlingo wa kachiromboka m'magazi umayenera kuwerengedwa pafupipafupi pochizira, osati pokhapokha ngati mwazindikira. Koma kuwongolera kwa insulin m'mwazi chifukwa cha hepatitis kuyenera kukhala kovuta komanso pafupipafupi. Chifukwa mankhwala omwe amathandizira kachilomboka amatha kuwonjezera kuchuluka kwa shuga m'magazi ndikupanga kuwonongeka kwa kagayidwe kazakudya.
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Kodi chithandizo chikuyenda bwanji?
Ndi matenda a shuga ndi chiwindi, mumakhala mavuto ambiri pamankhwala. Chakudya chofunikira ndi: ndi shuga, zonse zotsekemera ndi mowa sizimayikidwa. Ndipo ndi hepatitis yofananira, ndikofunikanso kukana kusuta, kusunga, zonunkhira, mchere, wokazinga. Kudya kumalimbikitsidwa nthawi zambiri pang'onopang'ono. Ndikulimbikitsidwa kuchiza matenda awiri awa kuchipatala cha matenda opatsirana:
- Hepatitis C amathandizidwa ndi Interferon-alpha ndi Ribavirin. "Interferon" kwa anthu odwala matenda ashuga ndi osafunika, chifukwa imatha kuwonjezera zomwe zimayambitsa matendawa - kumapangitsa kuti kagayidwe kake kazikhala ndi chakudya komanso kuchuluka kwa shuga m'magazi. Chifukwa chake, imayikidwa mu Mlingo wocheperako pansi pa kayendetsedwe kazisangalalo zamagazi kapena imathetsedwera ngati cholakwira, kusiya Ribavirin kokha. Sofosbuvir imavomerezedwanso kuti ichiritsidwe.
- Chithandizo cha hepatitis B chimayang'ana kwambiri kukonza chiwindi. Ngakhale kachilomboka kasanawonongeke, chifukwa cha matenda ashuga, ndikofunika kumwa mankhwala opatsirana pogwiritsa ntchito mankhwalawa kuti thupi lizilimbana komanso kupewa. Ngakhale mankhwalawa samalimbana ndi kachilomboka.
- Chithandizo cha matenda ashuga chimaphatikizapo mapiritsi kumayambiriro kwa matenda ashuga 2. Chithandizo cha insulin chimakhudzanso matenda amtundu 1 shuga komanso mtundu 2 wa matenda ashuga pakadutsa, pomwe glucose amapangidwa pang'ono.
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Njira Zotetezera Matenda
Ndikofunika kukhala ndi moyo wathanzi ndikudya mwathanzi kupewa matenda ashuga. Ndi hypoglycemia - kulimbitsa chitetezo cha mthupi, kuchita masewera olimbitsa thupi komanso kusamala polumikizana ndi magazi a anthu ena.Izi ndizofunikira makamaka pakukhazikitsa insulin intramuscularly ndi manipulates kuofesi yamano. Ndikofunikanso kugwiritsa ntchito seti yanu ya manicure, ndipo m'malo ojambulira kapena ojambula, ometa tsitsi, onetsetsani kuti zida zake ndizosalala. Ngati mukugonana mosavomerezeka, gwiritsani ntchito kondomu. Hepatitis B itha kupatsidwa katemera katatu.
Matenda a shuga ndi amoyo: bwanji matenda osachiritsika samachiritsidwa?
Matenda a shuga ndi njira yokhazikika ya endocrine system. Matendawa ndiwachilengedwe, ali ndi zoyambitsa zingapo komanso maphunzirowa. Ndikofunika kudziwa kuti matenda ashuga ndi amoyo wonse.
Matendawa amatengera kwa makolo athu, ndiye kuti, matendawo amatenga kuchokera kwa abale. Uku ndi kusokonezeka kwakukulu kwa thupi, komwe kumawonetsedwa ndikuwonjezereka kwa shuga m'magazi.
Chifukwa cha matenda a m'magazi, kugwira ntchito kwa mitsempha yamagazi, mantha am'mimba, impso, mtima, maso ndi ziwalo zina zimasokonekera.
Mitundu iwiri ya matenda ashuga
Asayansi amafunika kugawa shuga m'magulu awiri, chifukwa izi zimafotokoza bwino za chithandizo cha anthu, chomwe poyambira chimasiyana kwambiri. Ngati shuga ndi yayitali komanso yovuta, kugawa kwake m'mitundu kumakhala kofunikira. Muzochitika izi, chithandizo cha mankhwala chimakhala chofanana, ngakhale kuti matendawo ndi omwe adayamba.
Matenda a shuga 1 amtundu wa shuga amadalira insulin. Monga lamulo, iwo amavutika ndi anthu azaka zazing'ono mpaka zaka 40 omwe ali ndi thupi lochepa. Matendawa ndi oopsa, insulin imagwiritsidwa ntchito pochiritsa. Chomwe chimayambitsa matenda ndikuti thupi limapanga ma antibodies omwe amawononga ma cell a kapamba omwe amapanga insulin.
Matenda a shuga amtundu 1 sangathe kuchiritsidwa kwathunthu. Komabe, pali milandu yobwezeretsa kapamba, koma izi zitha kukhala m'mikhalidwe ina ndi chakudya chapadera chokhala ndi zakudya zosaphika. Kuti thupi lizigwira ntchito, jakisoni wa insulini uyenera kuperekedwa ndi syringe.
Popeza insulin imasweka m'mimba ndi matumbo, sizingatheke kugwiritsa ntchito insulini ngati inali pamapiritsi. Ndikofunika kutsatira zakudya zopatsa thanzi ndikuchotsanso chakudya m'thupi monga:
- shuga
- zakudya zotsekemera
- zipatso zamasamba
- zakumwa zonunkhira bwino.
Matenda a 2 a shuga amawoneka ngati osadalira insulini. Nthawi zambiri, anthu opitilira zaka 40 ndi onenepa kwambiri amadwala matendawo. Chomwe chimayambitsa matendawa ndikuti chidwi cha maselo kupita ku insulin imatayika chifukwa cha kuchuluka kwa michere yomwe ili mwa iwo.
Kugwiritsa ntchito insulini pofuna kupeza mankhwala sikofunikira kwa wodwala aliyense. Dokotala wokhazikika yekha ndiamene angapereke mankhwala komanso mitundu ya mankhwala. Choyamba, anthu oterowo amafunika kupereka mankhwala azithandizo.
Ndikofunikira kuchita mosamala maudokotala. Iyenera kuchepetsa thupi pang'onopang'ono, ma kilogalamu ochepa pamwezi. Mukakwanitsa kulemera kwabwinobwino, muyenera kuisamalira moyo wanu wonse.
Ngati zakudya sizili zokwanira, ndikofunikira kumwa mapiritsi ochepetsa shuga, ndi insulin, monga njira yomaliza.
Zomwe zimayambitsa matendawa
Zifukwa zazikuluzikulu zachitukuko cha matenda ashuga, madokotala amati mtundu wamatenda komanso kunenepa kwambiri.
Zinthu zonsezi zimafunika kuyang'aniridwa ndikuwonetsetsa.
Zomwe zimayambitsa matenda osokoneza bongo odwala matenda a shuga zimaphatikizapo matenda omwe amakhudza maselo a beta omwe ali ndi vuto la kupanga insulin. Matenda monga awa:
- khansa ya kapamba
- kapamba
- zovuta zamtundu wina.
Izi zimaphatikizaponso matendawo:
Matenda omwe atchulidwa ndizomwe zimayambira kumayambiriro kwa matenda ashuga. Makamaka, izi zimagwira ntchito kwa anthu omwe ali pachiwopsezo. Kugwedezeka kwamanjenje pafupipafupi komanso kupsinjika ndizomwe zimayambitsa matenda ashuga. Kusokonezeka kwa malingaliro ndi mantha kuyenera kupewedwa.
Asayansi akukhulupirira kuti pazaka khumi zilizonse, chiopsezo cha matenda a shuga chimachulukitsidwa.
Mndandandawu suwaphatikizapo matenda omwe hyperglycemia ndi shuga mellitus ali yachiwiri chilengedwe, kuyankhula chizindikiro. Hyperglycemia chotere sichimawonedwa ngati chowona mpaka mawonekedwe a chipatala kapena mawonekedwe a zovuta.
Matenda omwe amachititsa kuchuluka kwa shuga (hyperglycemia) ndi awa:
- chifuwa chachikulu,
- adrenal hyperfunction,
- kuwonjezeka kwa milingo ya mahomoni opikisana.
Njira zopezera matenda
Kwa matenda ashuga, osati kunenepa kwambiri komwe kumakhala ndi mawonekedwe, komanso kuchuluka kwa malekezero, kuyabwa kwa khungu, komwe kumakhala kovuta kwambiri kulekerera. Wodwala matenda ashuga amatha kumayakaya nthawi zonse, ndipo khungu lake limakutidwa ndi zironda ndi mabala.
M'pofunikanso kutsindika kuti m'mayendedwe a anthu odwala matenda ashuga:
- kamwa yowuma
- kukodza pafupipafupi
- njala yayikulu ndi ludzu
- kunenepa.
Anthu odwala matenda ashuga amathanso kudziwa izi:
- kutopa kwambiri,
- kusunthika kwamphamvu
- kusokonekera kwakukulu,
- kuchepa kowoneka bwino.
Zinthu ngati izi zikuchitika, muyenera kufunsa dokotala kuti apewe matenda a shuga.
Mutha kumvetsetsa zomwe zimachitika munthu ngati mupereka magazi pamimba yopanda kanthu, kapena maola awiri mutatha kudya njira yothetsera shuga kuti mupeze kuchuluka kwa kumverera kwa thupi kwa icho. Magazi amatengedwa kuchokera ku chala kapena mtsempha, njira iyi yowunikira imagwiritsidwa ntchito mu labotale.
Monga lamulo, kukhazikitsa matenda, wodwalayo adapangidwanso kafukufuku wachiwiri. Kusiyapo ndi azimayi oyembekezera. Amayamba kulandira chithandizo nthawi yomweyo, osadikirira zotsatira za kuyezetsa magazi mobwerezabwereza.
Miyezo ya shuga imatha kuwunikidwa nokha. Pa izi, glucometer imagwiritsidwa ntchito. Kuchuluka kwa shuga m'magazi nthawi zambiri pamimba yopanda kanthu sikayenera kupitirira 5.6 mmol / l (kuchokera chala), ndi 6.1 mmol / l (kuchokera kumitsempha). Mutatenga njira yotsalira ya shuga, muyezo ungakwere mpaka. 7.8 mmol / L.
Kwa odwala matenda ashuga omwe ali ndi mafomu 1 ndi 2, mitengo imeneyi imakhala yokwera nthawi zonse. Mulingo wothamanga wa shuga ndi wofanana kapena wapamwamba kuposa 6.1 mmol / L (kuchokera pachala), ndipo pamwamba pa 7.0 mmol / L (kuchokera pamtsempha).
Njira yothetsera shuga ikamagwiritsidwa ntchito pamimba yopanda kanthu, chizindikirocho chimakwera mpaka 11.1 mmol / L kapena kupitirira apo. Ngati mumayesa magazi kuchokera kwa munthu wotere nthawi ina iliyonse patsiku, mosasamala za chakudya, ndiye kuti shuga idzakhala yofanana kapena kupitirira 11.1 mmol / L.
Kuphatikiza pa kusanthula kumeneku, pofuna kudziwa za matenda a zam'mimba, ndikofunikira kuchita kafukufuku pa glycated hemoglobin.
Timaphunzira kuchuluka kwa magazi, omwe sayenera kukhala apamwamba kuposa 6.5%.
Chithandizo cha matenda ashuga
Ndikofunikira kutsatira malingaliro a akatswiri odwala matenda ashuga, kuwongolera njira yochizira matenda ashuga moyo wonse. Chifukwa chake, ndizotheka kuchepetsa kapena kupewa zovuta zingapo.
Chithandizo cha matenda amtundu uliwonse a shuga chikufuna kuchepetsa kuchuluka kwa shuga m'magazi, kuimitsa kukula kwa zovuta ndi kusintha njira za metabolic.
Mitundu yonse ya matenda ashuga iyenera kuthandizidwa, kupatsidwa:
- kulemera kwa thupi
- zochita zolimbitsa thupi za munthu
- jenda ndi zaka
- zakudya zomwe zizolowereka.
M'pofunika kuchita maphunziro mu malamulo a kuwerengera chakudya caloric, chifukwa mafuta, mapuloteni, kufufuza zinthu ndi chakudya.
Ndi matenda a shuga omwe amadalira insulin, muyenera kudya michere nthawi yomweyo kuti muthandizire kukonza kwa shuga a insulin. Ndi mtundu woyamba wa shuga, muyenera kuchepetsa zakudya zamafuta, zomwe zimapangitsa ketoacidosis. Mellitus wosadalira shuga yemwe amadalira shuga amachotsa mitundu yonse ya shuga ndikuchepetsa zonse zama calorie pazakudya.
Chakudya chizikhala chosakanikirana, osachepera kanayi pa tsiku. Muyenera kugawa chakudya chomwe chimathandizira kuchuluka kwa shuga ndikusunga kagayidwe.
Muyenera kugwiritsa ntchito zinthu zapadera za anthu odwala matenda ashuga:
Kuwongolera zovuta za matenda ashuga omwe amangogwiritsa ntchito zakudya zokha kungawonekere koyambirira kwa matenda.
Kusankha kwamankhwala kumachitika chifukwa cha mtundu wa matenda ashuga. Anthu omwe ali ndi mtundu woyamba wa matenda amafunika mankhwala a insulin, ndipo amtundu wachiwiri, mankhwala ochepetsa shuga komanso zakudya amasonyezedwa. Pankhaniyi, insulin imayikidwa ngati mapiritsi sangathe, ndikuyamba:
- chifuwa chachikulu
- ketoacidosis
- mawonekedwe oyipa
- aakulu pyelonephritis,
- chiwindi ndi kulephera kwa impso.
Insulin imayang'aniridwa pang'onopang'ono yowunika kuchuluka kwa shuga mumkodzo ndi magazi. Potengera kutalika ndi makina, insulin ndi:
- nthawi yayitali
- wapakatikati
- zochita zazifupi.
Kuchita insulin kwa nthawi yayitali kuyenera kuperekedwa kamodzi patsiku. Monga lamulo, adotolo amafotokozera jakisoni wa insulin yotereyi mwachidule komanso yapakatikati kuti alipire shuga.
Kugwiritsa ntchito insulin kumadzaza ndi mankhwala osokoneza bongo, komwe kumapangitsa kutsika kwakukulu kwa shuga komanso mapangidwe a chikomokere ndi hypoglycemia. Kusankhidwa kwa mankhwala ndi Mlingo wa insulin kumachitika, poganizira kusintha kwa zinthu zolimbitsa thupi kwa tsiku lonse, komanso:
- Magazi a magazi
- kudya calorie
- kulolerana kwa insulin.
Ndi mankhwala a insulin, momwe thupi lanu lonselo lingakhudzidwe:
Zomwe zimachitika pafupipafupi zimaphatikizapo kugwedezeka kwa anaphylactic. Mankhwala a insulin nthawi zina amakhala ovuta ndi lipodystrophy - kupindika mu minofu ya adipose m'dera la insulin.
Dokotalayo amapereka mankhwala a antipyretic m'mapiritsi a shuga osadalira insulin, monga kuwonjezera pazakudya. Makamaka, kukonzekera kwa sulfonylurea kumagwiritsidwa ntchito:
Zonsezi zimathandizira kupanga insulin ndi maselo a beta a kapamba ndipo zimathandizira kutulutsa shuga m'magulu osiyanasiyana a thupi. Mlingo wa mankhwalawa amayenera kusankhidwa molondola kuti shuga ikhale yopanda 88 mmol / l. Mankhwala osokoneza bongo amatha kukhala ndi hypoglycemia ndi chikomokere.
- Metformin.
- Buformin ndi othandizira ena ofanana.
Amapangidwa kuti achepetse mayamwidwe a shuga m'matumbo ndi zotumphukira zotumphukira ndi shuga. Biguanides amatha kuchulukitsa kuchuluka kwa uric acid m'magazi ndikuyambitsa lactic acidosis yayikulu. Izi ndizowona makamaka kwa anthu atatha zaka 60, komanso kwa iwo omwe ali ndi vuto la impso ndi chiwindi, komanso matenda osachiritsika.
Monga lamulo, Biguanides amapatsidwa mankhwala osokoneza bongo omwe amadalira odwala kwambiri.
Tikulankhula za mankhwala omwe amachepetsa shuga yamagazi ndikulimbikitsa kapamba kuti apange insulini. Zotsatira za ndalamazi zimatengera kuchuluka kwa shuga m'magazi ndipo sizimayambitsa hypoglycemia.
Gulu la mankhwalawa limachepetsa kuchuluka kwa shuga m'magazi, limatseka ma enzymes omwe akukhudzidwa ndi kuyamwa kwa wowuma. Pali zovuta zoyipa, monga kutsekula m'mimba ndi kusilira.
Thiazolidinediones ndi othandizira omwe amachepetsa kuchuluka kwa shuga omwe amamasulidwa ku chiwindi. Amawonjezera insulin chiwopsezo cha maselo amafuta. Magulu oterewa a mankhwalawa sangatengedwe ngati pali vuto la mtima.
Mu shuga mellitus, ndikofunikira kuphunzitsa munthu ndi abale ake momwe angawongolere mkhalidwe wawo ndi moyo wawo. Ndikofunikanso kudziwa njira zoyambira zothandizira pakupanga kholo ndi chikomokere. Zabwino mu shuga zimatulutsa mapaundi owonjezera a thupi ndikuchita zolimbitsa thupi zolimbitsa thupi.
Chifukwa cha kuyesa kwa minofu, kuwonjezereka kwa makulidwe amtundu wa glucose ndikuchepa kwa kuchuluka kwake m'magazi kumachitika. Koma, zolimbitsa thupi sizikulimbikitsidwa kuti ziyambe ngati shuga ya magazi ndi yoposa 15 mmol / l.
Musanayambe kuchita nawo masewera olimbitsa thupi, odwala matenda ashuga ayenera kuchepetsa kuchuluka kwa shuga motsogozedwa ndi mankhwala. Mu matenda ashuga, zolimbitsa thupi zimayenera kugwirizanitsidwa ndi dokotala wopezekapo ndikugawidwa mosiyanasiyana ku minofu yonse ndi ziwalo za munthu. Kanemayo munkhaniyi ayang'ana mankhwala ena ochizira matenda ashuga.