Kuyesedwa kwa shuga ndi shuga m'magazi: chinthu chomwecho kapena ayi, zikhalidwe ndi zomwe zimayambitsa kupatuka

Kuti adziwe matenda a shuga, endocrinologist imapereka kuyesa kwa shuga kwa wodwala. Pankhani ya matenda, thanzi la wodwalayo limadalira mulingo wake.

Kafukufukuyu amakupatsani mwayi kuti muwone kuchuluka kwa glucose m'magazi, ndipo ngati ndi chinthu chimodzi chokhala ndi shuga, mutha kumvetsetsa mukamaphunzira kapangidwe kake ka biochemical.

Shuga amadziwika kuti amatanthauza sucrose, yomwe ilipo mabango, mitengo ya kanjedza, ndi beets. Mu kapangidwe kake, shuga ndi monosaccharide wokhala ndi chakudya chimodzi. Koma shuga ndimachotsa.

Muli michere iwiri, kuphatikizapo glucose. Kusiyananso ndikuti shuga wangwiro sangakhale gwero lamphamvu. Ikalowa m'matumbo, imagawika mu fructose ndi glucose, yomwe imafunikira insulin kuti igwiritsidwe ntchito.

Kodi kuyesedwa kwa magazi ndi shuga ndi chimodzimodzi?

Kupereka magazi kwa shuga ndi glucose ndikuwunika komweko, zimapezanso chidziwitso cha kuchuluka kwa shuga m'magazi a m'magazi.

Mwa kuchuluka kwa zinthu, titha kudziwa za thanzi la wodwalayo. Ndikofunikira kukhala ndi shuga moyenera.

Mowonjezerekeka ndi chakudya, ndizofunikira pakuwonjezera insulin. Malo ogulitsa mahomoni akapera, shuga amawayika m'chiwindi, minofu ya adipose.

Izi zimathandizira kukulitsa shuga m'magazi. Ngati kuchuluka kwake kuchepa, kumasokoneza ubongo. Kusavomerezeka kumachitika pamene kapamba yemwe amatulutsa insulin.

Kukodza mwachangu, kupweteka mutu, kusawona, kumva ludzu losatha - mpata wokayezetsa magazi ndi kudziwa kuchuluka kwa shuga.

Kodi shuga wamagazi amachititsa chiyani?

Glucose ndiwothandizira kwambiri thupi la munthu.

Ntchito yamaselo ake onse imatengera chinthu.

Imakhala ndi kagayidwe kachakudya njira. Imathandizanso ngati mtundu wa fyuluta womwe sukulola kuti poizoni udutse. Ndi monosaccharide popanga. Izi zopanda mafuta amkati, sungunuka m'madzi, umaphatikizidwa ndi kagayidwe kazakudya thupi.

Mphamvu zambiri zofunika kuti anthu azigwira ntchito zimapangidwa chifukwa cha kuwonjezereka kwa glucose oxidation. Zomwe zimachokera zimapezekanso pafupifupi ziwalo zonse.

Zomwe zimachokera pazinthuzi ndizowuma, sucrose, zomwe zimachokera ku chakudya, komanso glycogen yomwe imasungidwa m'chiwindi mumalo. Kuchuluka kwa glucose omwe amapezeka m'misempha, magazi, sayenera kupitilira 0,1 - 0,12%.

Kuwonjezeka kwa zochulukirapo kuzisonyezera kwa zinthu kumabweretsa chakuti kapamba sangathe kuthana ndi kupanga kwa insulin, yomwe imayambitsa kuchepa kwa shuga m'magazi. Kuperewera kwa mahomoni kumabweretsa kukula kwa matenda ashuga.

Zikhalidwe mwa mibadwo

Chizindikiro chabwinobwino chimawerengedwa kuti ndi mulingo wa chinthu cham'madzi mwa munthu wathanzi pamlingo wa 3.3-5,5 mmol / L. Zimatha kusintha motsogozedwa ndi zomwe zimachitika mumunthu, kugwiritsa ntchito mankhwala opatsa mphamvu, kudzipatsa mphamvu zolimbitsa thupi mopitirira muyeso.

Zochita zosiyanasiyana zamthupi zomwe zimachitika mthupi zimakhudzanso shuga. Posankha zikhalidwe, zimawongoleredwa ndi zaka, mimba, kudya zakudya (kuwunika kunachitika pamimba yopanda kanthu kapena mutatha kudya).

Makhalidwe abwinobwino (mmol / l):

ana osakwana mwezi umodzi wazaka - 2.8 - 4.4,
zaka kuyambira mwezi umodzi mpaka zaka 14 - 3.33 - 5.55,
achikulire kuyambira wazaka 14 mpaka 50 - 3.89 - 5.83,
wamkulu kuposa zaka 50 - 4.4 - 6.2,
ukalamba - 4.6 - 6.4,
akuluakulu opitilira zaka 90 - 4.2 - 6.7.

Mwa amayi apakati, chizindikirocho chimatha kupitilira zamagulu abwinobwino (mpaka 6.6 mmol / l). Hyperglycemia pakadali pano si matenda; pambuyo pa kubadwa kwa mwana, shuga wa plasma amabwerera mwakale. Kusinthasintha kwa zikuwonetsa mwa ena mwa odwala kumadziwika nthawi yonse yomwe ali ndi pakati.

Kodi chimawonjezera glycemia ndi chiyani?

Matenda a shuga amawopa mankhwalawa, ngati moto!

Muyenera kungolemba ...

Hyperglycemia, kuchuluka kwa shuga m'magazi, ndi chizindikiro cha kuchipatala chomwe chimawonetsa kuchuluka kwa shuga poyerekeza ndi miyeso yabwinobwino.

Hyperglycemia imakhala ndi magawo angapo azovuta kutengera kuchuluka kwa shuga m'magazi:

mawonekedwe opepuka - 6.7 - 8.2 mmol / l,
kuuma koopsa - 8.3 - 11.0 mmol / l,
mawonekedwe owopsa - misempha ya shuga yamwazi yoposa 11.1 mmol / l.

Ngati kuchuluka kwa shuga m'magazi kufika pachimake pa 16.5 mmol / L, kumatha kudwala matenda ashuga. Ngati chizindikiricho chimaposa 55,5 mmol / l, izi zimathandizira kukulitsa kukomoka kwa hyperosmolar coma. Chiwopsezo cha imfa ndichachikulu kwambiri.

Zina mwazifukwa zazikulu zakuchulukira kwa zizindikiritso ndi matenda a shuga, mavuto azakudya, zochitika zovuta, kumwa mankhwala ena.

Chifukwa chiyani shuga wa plasma amachepetsedwa

Chizungulire, kufooka, kusowa kudya, ludzu limatha kukhala zizindikilo zoti thupi lilibe shuga. Ngati mulingo wake pang'onopang'ono uwonetsa osakwana 3.3 mmol / l, izi zikuwonetsa kukula kwa hypoglycemia.

Pamodzi ndi shuga wambiri, matendawa amakhala oopsa kwambiri kwa odwala matenda ashuga. Ndi kuwonongeka kwaumoyo, kupuma kumayamba, ndipo munthu akhoza kufa.

Kuchuluka kwa shuga m'magazi am'madzi amachepetsa pazifukwa izi:

kusala kudya, kapena kuletsa kudya kwanthawi yayitali,
kusowa kwamadzi
kumwa mankhwala, mu ma contraindication omwe amatsikira shuga wambiri (Mankhwala ena opsinjika),
matenda am'mimba, matumbo, chiwindi, kapamba,
kunenepa
matenda a impso, matenda amtima,
kusowa kwa vitamini
kukhalapo kwa oncological pathologies.

Mimba mwa odwala ena imatsitsa shuga. Kutsika kwa glucose kumawonetsa kuti munthu amadwala matenda a shuga, kapena pali matenda omwe amakhudza msinkhu wake.

Vutoli limatha kudzetsa opaleshoni ziwalo zamkati. Komanso, nthawi zina kuchuluka kwa glucose kumachepa chifukwa cha kulimbitsa thupi kwambiri, zochitika zina zovuta, chifuwa cha zakudya ndi mankhwala.

Zokhudza kuchuluka kwa shuga m'magazi:

Glucose ndiye michere yofunika. Iye ali ndi udindo wolandila theka lamphamvu yofunikira kuti munthu akhale ndi moyo komanso magwiridwe antchito a ziwalo zonse ndi ziwalo.

Zizindikiro zowonjezera shuga, komanso kuchepa kwa magazi m'magazi, zimawonetsa kupezeka kwa zovuta zazikulu, monga matenda a shuga, matenda a chiwindi, ndi kapangidwe ka chotupa.

Hypoglycemia imachitika ndi nthawi yayitali yanjala, imachitika mwa makanda omwe asanabadwe omwe amayi awo anali ndi matenda a shuga. Kuti adziwe matenda, dokotala amakupangira kuyesedwa kwa magazi, komwe kwakukulukulu ndiko kutsimikiza kwa shuga.

Shuga ndi shuga - gawo lazakudya ndi kagayidwe

Shuga, yemwe amapezeka m'mabango, beets, mapulo a shuga, mitengo ya kanjedza, manyumwa, amadziwika kuti shuga. Kulephera m'matumbo amang'onopang'ono kukhala glucose ndi fructose. Fructose amalowa m'maselowo pawokha, ndipo kugwiritsa ntchito shuga, maselo amafunikira insulini.

Kafukufuku wamakono atsimikizira kuti kumwa kwambiri mafuta osavuta, omwe amaphatikizapo shuga, fructose, sucrose, lactose, kumabweretsa matenda oopsa a metabolic:

Atherosulinosis
Matenda a shuga, kuphatikizika kwa njira zowonongeka mu mitsempha, mitsempha yamagazi, impso, kuchepa kwa masomphenyawo ndi kuphwanya thupi.
Matenda a mtima, kuchepa kwamitsempha.
Matenda oopsa.
Cerebrovascular ngozi, sitiroko.
Kunenepa kwambiri
Kuwonongeka kwamafuta kwa chiwindi.

Chofunika kwambiri ndikuti ndiwayamikiridwe wothina wa shuga kwa anthu okalamba omwe ali ndi vuto lolemera komanso owonjezera magazi. Zakudya zomanga thupi zopezeka ku tirigu wosasakanizidwa, zipatso, masamba ndi ma nyemba sizimayambitsa ngozi kwa thupi, chifukwa wowuma ndi fructose mmenemo sizimapangitsa kukula kwambiri kwa shuga.

Kuphatikiza apo, fiber ndi pectin zomwe zimapezeka muzinthu zachilengedwe zimakonda kuchotsa cholesterol yambiri ndi shuga m'thupi. Chifukwa chake, sichikhala chosasamala kwa thupi komwe mungapeze ma calories ofunikira. Mafuta owonjezera ndiye njira yosasangalatsa kwambiri.

Glucose wa ziwalo ndi othandizira mphamvu yomwe imapangidwa m'maselo mu oxidation.

Magwero a shuga ndi okhuthala ndi sucrose kuchokera ku chakudya, komanso masitolo a glycogen m'chiwindi, amatha kupangidwa mkati mwa thupi kuchokera lactate ndi amino acid.

Mwazi wamagazi

Carbohydrate kagayidwe m'thupi, motero kukula kwa shuga, kumayendetsedwa ndi mahomoni otere:

Insulin - wopangidwa m'maselo a beta a kapamba. Amachepetsa shuga.
Glucagon - amapangidwa m'maselo a alpha a kapamba. Kuchulukitsa shuga m'magazi, kumayambitsa kuphwanya kwa glycogen m'chiwindi.
Kukula kwa mahomoni kumapangidwa mu cholembera cha pituitary gland, ndimaselo opikisana ndi mahomoni (kanthu kosiyana ndi insulin).
Thyroxine ndi triiodothyronine - mahomoni a chithokomiro, amachititsa kupanga chiwindi mu chiwindi, amalepheretsa kudzikundikira kwake minofu ndi minyewa ya chiwindi, kukulitsa kugwiritsidwa ntchito kwa maselo ndi glucose.
Cortisol ndi adrenaline amapangidwa mu cortical wosanjikiza tamadontho a adrenal poyankha zovuta za thupi, kukulitsa kuchuluka kwa shuga m'magazi.

Kuti mupeze shuga la magazi, m'mimba yopanda kanthu kapena kuyesa magazi kwa capillary kumachitika. Kusanthula kotereku kukuwonetsedwa: kwa anthu omwe akuwaganizira kuti ali ndi matenda a shuga, vuto la chithokomiro, zotupa, chiwindi ndi ma adrenal gland.

Magazi a shuga (shuga) amayang'aniridwa kuti apende mankhwalawa pogwiritsa ntchito mapiritsi a insulin kapena kutsitsa shuga ngati zizindikiro monga:

Kuchulukitsa ludzu
Ziwopsezo za njala, zokhala ndi mutu, chizungulire, manja akunjenjemera.
Kuchulukitsa mkodzo.
Zofooka zakuthwa.
Kuchepetsa thupi kapena kunenepa kwambiri.
Ndi chizolowezi chofalitsa matenda opatsirana pafupipafupi.

Zomwe zimachitika mthupi ndi mulingo wa mmol / l kuchokera pa 4.1 mpaka 5.9 (malinga ndi njira ya glucose oxidative) kwa amuna ndi akazi azaka 14 mpaka 60. M'magulu okalamba, chizindikirocho chimakhala chachikulu, kwa ana kuyambira milungu itatu mpaka zaka 14, mulingo wochokera pa 3.3 mpaka 5.6 mmol / l amadziwika kuti ndiwokhazikika.

Ngati mtengo wachizindikirowu ndiwokwera, izi zitha kukhala chizindikiro cha matenda oyamba. Kuti muzindikire moyenera, ndikofunikira kuchita kafukufuku wa hemoglobin wa glycated, kuyesa kwa glucose, ndikudutsa mkodzo wa shuga.

Kuphatikiza pa matenda a shuga, monga chizindikiro chachiwiri, shuga wowonjezera amatha kukhala ndi matenda otere:

Pancreatitis ndi zotupa za kapamba.
Matenda a ziwalo za endocrine: ziwalo za m'mimba, chithokomiro komanso adrenal.
Mu nthawi yayikulu ya sitiroko.
Ndi myocardial infaration.
Ndi aakulu nephritis ndi hepatitis.

Zotsatira za phunziroli zitha kukhudzidwa ndi: kuchuluka kwambiri mwakuthupi komanso mwamaganizidwe, kusuta, kumwa mankhwala opukusa, mahomoni, beta-blockers, caffeine.

Chizindikiro ichi chimachepa ndi kuchuluka kwa insulin ndi mankhwala ena a matenda ashuga, njala, poyizoni ndi arsenic ndi mowa, kuchita masewera olimbitsa thupi mopitirira muyeso, komanso kutenga ma anabolic steroid. Hypoglycemia (kuthira shuga m'magazi) kumachitika ndi matenda amitsempha, khansa komanso vuto la mahomoni.

Kuchuluka kwa shuga m'magazi panthawi yapakati kumatha kuchuluka, ndipo pambuyo pobadwa kwa mwana amatha kubwezeretsedwanso. Izi zimachitika chifukwa cha kuchepa kwa mphamvu ya insulin mothandizidwa ndi mphamvu yosintha ya mahomoni. Zikachitika kuti shuga wokwezeka azilimbikira, izi zimawonjezera chiopsezo cha toxicosis, matenda osokonezeka, komanso matenda a impso.

Ngati mumayeza shuga wamagazi kamodzi, ndiye kuti mawuwo sangakhale odalirika nthawi zonse. Kufufuza kotereku kumawonetsera momwe dziko lilili pakalipano, lomwe lingakhudzidwe ndi kudya, nkhawa komanso chithandizo chamankhwala. Kusanthula kokwanira kagayidwe kazakudya, mayeso otsatirawa amagwiritsidwa ntchito:

Kuyesedwa kwa glucose kumafunika kuyesa momwe thupi limayankhira kudya shuga. Amagwiritsidwa ntchito pofufuza shuga wovomerezeka, amakayikira shuga ndi magazi abwinobwino, komanso kuzindikira matenda ashuga mwa amayi apakati, ngakhale pakanalibe kuchuluka kwa shuga m'magazi asanakhale ndi pakati.

Phunziroli limalembedwa pakalibe matenda opatsirana, ntchito zabwino, mankhwala omwe akukhudza kuchuluka kwa shuga ayenera kuthetsedweratu masiku atatu mayeso asanafike (pokhapokha ngati dokotala walowa). M`pofunika kutsatira mwachizolowezi kumwa regimen, musasinthe zakudya, mowa saloledwa tsiku lililonse. Chakudya chomaliza chimalimbikitsidwa maola 14 asanaunike.

Ndi mawonetseredwe a atherosulinosis.
Ndikulimbikira kuthamanga kwa magazi.
Pankhani yofunika kwambiri kulemera kwa thupi.
Ngati abale anu apamtima amadwala matenda ashuga.
Odwala kutuluka.
Ndi matenda a chiwindi.
Odwala omwe ali ndi metabolic syndrome.
Ndi neuropathy yachilendo osadziwika
Odwala omwe amatenga estrojeni, mahomoni a adrenal, komanso okodzetsa kwa nthawi yayitali.

Ngati amayi anali ndi pathupi pathupi, pakubadwa nthawi isanakwane, mwana akabadwa wolemera kuposa 4,5 kg kapena wobadwa ndi vuto linalake, ndiye kuti kuyesa kwa glucose kuyenera kuchitidwa. Kusanthula kumeneku kumanenedwanso ngati mayi wapezeka ndi pakati, matenda ashuga, ma polycystic ovary.

Kwa mayeso, wodwalayo amayeza kuchuluka kwa glucose ndikupatsidwa chakudya kuti amwe 75 ga shuga osungunuka m'madzi. Ndipo pakatha ola limodzi ndi maola awiri pambuyo pake muyeso umabwerezedwa.

Zotsatira za kuwunikaku zimawunikidwa motere:

Nthawi zambiri, pakatha maola awiri, shuga wa magazi (shuga) ndi ochepera 7.8 mmol / L.
Kufikira 11.1 - matenda ashuga omalizira.
Zoposa 11.1 - shuga.

Chizindikiro chinanso chodalirika ndicho kudziwa kuchuluka kwa hemoglobin ya glycated.

Glycosylated hemoglobin imawonekera m'thupi pambuyo polumikizana ndi glucose m'magazi ndi hemoglobin yomwe ili m'maselo ofiira a magazi. Kuchuluka kwa glucose m'magazi, hemoglobin yambiri imapangidwa. Maselo ofiira (maselo ammagazi omwe amachititsa kuti oxygen isunthire) amakhala ndi moyo masiku 120, kotero kuwunikaku kukuwonetsa kuchuluka kwa shuga m'miyezi itatu yapitayo.

Kuzindikira koteroko sikutanthauza kukonzekera mwapadera: kusanthula kuyenera kuchitika pamimba yopanda kanthu, mkati mwa sabata lapitalo sipayenera kuikidwa magazi komanso kutaya magazi kwambiri.

Mothandizidwa ndi kusanthula kwa hemoglobin kwa glycated, kusankha koyenera kwa mankhwalawa kwa odwala omwe ali ndi matenda a shuga kuyang'aniridwa, kumathandizira kudziwa spikes m'magawo a shuga omwe amavuta kuwatsata ndi muyezo wanthawi zonse wa shuga.

Glycated hemoglobin imayezedwa ngati gawo limodzi la kuchuluka kwa hemoglobin m'magazi. Mtundu wabwinobwino wa chizindikirochi umachokera ku 4.5 mpaka 6.5%.

Ngati mulingo wokwezeka, ndiye kuti chizindikiritso cha matenda a shuga kapena kusokonezeka kwa chakudya chamafuta. Mitengo yapamwamba imathanso kukhala ndi splenectomy, kuchepa kwachitsulo.

Glycated hemoglobin amachepetsa:

ndi shuga wochepa (hypoglycemia),
magazi kapena kuthira magazi, kuchuluka kwa maselo ofiira a magazi, kuwunika kwa hemoglobin
ndi hemolytic anemia.

Zochizira matenda a shuga kapena kulekerera zakudya zamafuta, kuwunika shuga wamagazi ndikofunikira, chifukwa chithandizo cha matenda, kuchuluka kwa zovuta, ndipo ngakhale miyoyo ya odwala imadalira.

Zambiri pazokhudza kuyesedwa kwa magazi zimaperekedwa mu kanema munkhaniyi.

Kusintha kwamphamvu kwa shuga wamagazi 8.5 - ndichite chiyani?

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

Munthu aliyense ali ndi shuga m'magazi awo. Chingakhale cholondola kunena kuti "glucose", omwe amasiyana ndi mankhwala ndipo ali ndi gwero lamphamvu lamphamvu. Glucose kuchokera ku chakudya amalowa m'magazi ndikufalikira thupi lonse kuti apatsidwe mphamvu kuti tiganize, kusuntha, kugwira ntchito.

Mawu akuti "shuga m'magazi" adayamba kuzika mizu pakati pa anthu, amagwiritsidwanso ntchito ngati mankhwala, chifukwa chake, tili ndi chikumbumtima choyera tikulankhula za shuga, kukumbukira zomwe glucose amatanthauza. Ndipo glucose amathandizira kuti insulini ituluke.

Glucose owonjezera amasinthidwa kukhala glycogen ndipo amapita kukadikirira m'chiwindi ndi minofu yamatumbo, yomwe imakhala ngati yosungirako. Pazofunikira kudzaza kuchepa kwa mphamvu, thupi limatenga kuchuluka kwa glycogen yomwe ikufunika, ndikusinthanso kukhala glucose.

Pakakhala glucose wokwanira, owonjezera amatayidwa mu glycogen, koma amakhalabe, ndiye amawayika ngati mafuta. Chifukwa chake kulemera kambiri, zovuta zaumoyo, kuphatikizapo matenda ashuga.

Kuchuluka kwa shuga mwa akulu ndi ana opitilira zaka 5 ndi 3,9-5.0 mmol pa lita, chimodzimodzi kwa aliyense. Ngati kuwunika kwanu kuli pafupifupi kuwirikiza kawiri, tiyeni tinene.

"Tonthola, dekha!" Atero munthu wotchuka, wokonda kupanikizana ndimankhwala. Kuyesedwa kwa shuga sikungamupweteketsenso.

Chifukwa chake, mudapereka magazi a shuga ndikuwona zotsatira - 8.5 mmol / L. Izi sizoyenera kuchita mantha, ndi nthawi yodziwitsa anthu za nkhaniyi. Ganizirani zinthu zitatu zomwe mungachite kuti shuga achulukane mpaka 8,5.

1. KULIMA KWA TEMPORARILY SUGAR. Kodi izi zikutanthauza chiyani? Magazi amaperekedwa atatha kudya, atatha kulimbitsa thupi kwambiri, atapanikizika kwambiri, akudwala, kapena ali ndi pakati. Pali lingaliro la "shuga woyembekezera," pamene magazi a magazi amatuluka chifukwa cha kusintha kwa mahomoni m'thupi la mayi woyembekezera. Zinthu izi zimathandizira kukula kwakanthawi kwa shuga m'magazi, uku ndi kusintha kwachilengedwe kwa thupi komwe kumachitika nthawi yolimbitsa thupi.

Tsatirani malamulo osavuta popereka magazi a shuga:

Pereka m'mawa pamimba yopanda kanthu
Chotsani kupsinjika, kupsinjika, kukhumudwa kwambiri.

2. KUGWIRITSANSO NTCHITO SUGAR. Ndiye kuti, malinga ndi malamulo onse opereka magazi, mulingo wa shuga amakhalabe pamwamba pa 8 mmol / l. Izi sizomwe zimachitika, komanso osati shuga, mtundu wamalire a boma. Madokotala amachitcha prediabetes. Uku si kuzindikira, mwamwayi. Izi zikutanthauza kuti kapamba amatulutsa insulini pang'ono kuposa momwe amafunikira. Njira zoyendetsera michere m'thupi zimachepetsa, pali zolephera pokonza shuga ndi thupi.

Pakhoza kukhala zifukwa zambiri: kusokonezeka kwa endocrine system, matenda a chiwindi, kapamba, kubereka. Khalidwe losayenera lingayambenso shuga. Mowa, kupsinjika kwakukulu, kusachita masewera olimbitsa thupi, kunenepa kwambiri, kulakalaka kwambiri zinthu zabwino zonse za "tiyi."

Kodi ndi chifukwa chiti chomwe chidayambitsa kuchuluka kwa shuga mwa inu - adotolo azithandiza kukhazikitsa. Ndi index yokhazikika ya shuga pali chifukwa chachikulu chofunsira kuti nthawi yotsatira ndi wothandizirayo ndi liti. Kutengera ndi zotsatira zake, atha kukutumizirani kwa endocrinologist kuti mukafunsire zina ndi chithandizo. Chonde osazengereza kuyendera katswiri.

3. Kuphwanya shuga kulolera ndi chifukwa chinanso chomwe chimayambitsa shuga wambiri. Izi zimatchedwa latent prediabetes kapena matenda ashuga. Pankhani ya kuloleza kwa glucose, sikupezeka mu mkodzo, ndipo chizolowezi chake chimachuluka mu magazi othamanga, chidwi cha maselo kuti asinthe insulin, secretion yomwe imachepa.

Amapezeka bwanji? Pasanathe maola awiri, wodwalayo amamwa shuga m'magawo omwe amafunikira, ndipo mphindi 30 zilizonse magawo ake m'magazi amayesedwa. Kutengera ndi zotsatira zake, mayeso owonjezera amalembedwa.

Kuphwanya kulekerera kwa glucose kumathandizidwanso, zakudya zapadera zimayikidwa ndipo zimalimbikitsidwa kusintha moyo wamunthu kukhala wathanzi. Odwala akhama omwe adziletsa, kuchira ndikotheka.

Mayeso! Yankhani INDE kapena AYI ku mafunso otsatirawa.

Kodi mumavutika kugona? Kusowa tulo?
Posachedwa, kodi mwakhala mukuchepetsa thupi kwambiri?
Kodi mumamva kupweteka kwakanthawi?
Kodi maso anu awonongera posachedwapa?
Kodi mumakhala ndi khungu loyenda?
Kodi mumakhala ndi kukokana?
Kodi zimachitika kuti mumamva kutentha popanda chifukwa?

Ngati mwayankha kuti “inde” kamodzi komanso kukhala ndi shuga wambiri, ndiye chifukwa china chofunsira kuchipatala. Monga mukumvetsetsa, mafunso amatengera zizindikiro zazikulu za prediabetes.

Pali mipata yabwino yochepetsera shuga mpaka 8.5 mwa kukonza kwawokhazikika kwa moyo. Osathamangira kukwiya. Nawa malingaliro ena komwe thupi limangonena kuti "zikomo". Zotsatira zoyambirira zimatha kumveka pambuyo pa masabata awiri.

Idyani nthawi 5-6 patsiku. Ndibwino ngati chakudyacho chaphika chaphika kapena mu uvuni. Magulu owononga, maswiti ndi zinyalala zina zamafuta zimathetsedwa bwino. Pewani zakudya zokazinga ndi zonunkhira. Madokotala nthawi zonse amakhala ndi mindandanda yazakudya zomwe zimachepetsa shuga. Mverani malangizowo.
Pewani zakumwa zoledzeretsa.
Yendani mu mpweya wabwino. Pezani nthawi yocheza ndi theka la ola kuti mupeze mpweya wabwino. Ganizirani zamasewera omwe mungakhale nawo ndipo pang'onopang'ono yambani zolimbitsa thupi. Kuyenda, kuthamanga, masewera olimbitsa thupi - aliyense ndiolandiridwa.
Gona mokwanira. Maola asanu ndi limodzi kapena kupitilira apo ndi momwe thupi lamachiritso limafunikira.

Malangizo othandiza. Kuti muwone mopitilira muyeso wama shuga, ndikulimbikitsidwa kuti mugule glucometer, ikuthandizani kutsata mphamvu ya shuga. Chizolowezi chofunikira chimatha kukhala ndikulemba mu dayari momwe mungazindikire kuchuluka kwa shuga, zakudya zanu komanso masewera olimbitsa thupi, kuti mumvetsetse bwino thupi lanu mtsogolo.

Kwa dokotala, mita yanu ya glucose ndiyofunika, koma kuyesa kwina kwa magazi kungapangidwenso.

Momwe mungasankhire glucometer. Kuti mulowe nawo mutuwu, kanema adzakuthandizani, pomwe madokotala odziwika angakuuzeni momwe mungasankhire zoyenera. Ndipo pomwepo sing'anga wokakamira ndi chikwama chanu adzakuwuzani chigamulo chomaliza.

ZIDZAKHALA NDI CHIYANI POPANDA KUTI PANGOPANDA CHONSE. Mokulira, shuga adzachuluka, prediabetes isandulika shuga, ndipo uwu ndi matenda oopsa, zotsatira zoyipa zomwe zimakhudza thupi lonse. Zaumoyo zitha kuyembekezera kuwonongeka ndipo moyo ukhale wotsika kwambiri.

Kumbukirani kuti shuga ndikosavuta kupewa kuposa kuchiza. Popeza ndinu onenepa kwambiri, wazaka 40+ komanso wokhala ndi moyo wokhala pachiwopsezo, muli pachiwopsezo. Pofuna kupewa shuga wambiri, ndikofunikira kupereka magazi a shuga osachepera kawiri pachaka kuti muzindikire ndikusintha kusintha komwe kungatheke m'thupi nthawi.

Kusintha kwa magazi a shuga: Kodi kuwunika kwa shuga kumachokera kuti?

Imakhazikika pamisempha ya shuga kwa nthawi yayitali
Zimabwezeretsa kupanga kwa insulin

Kupereka kwa magazi kwa glucose ndikofunikira kuti adziwe matenda omwe ali ndi matenda monga matenda ashuga, hypoglycemia, hyperglycemia, kuwukira kwa pheochromocytoma. Kuyesedwa kwa shuga kumachitika ndi matenda a mtima omwe akuwakayikira, systemic atherosulinosis, musanachitidwe, njira zowukira zomwe zimachitika pansi pa opaleshoni yayikulu.

Shuga yovomerezeka imaperekedwa kuti iwonetsetse momwe mankhwalawa amathandizira odwala matenda ashuga, ndi chiopsezo chowonjezeka cha matenda apamba, kunenepa kwambiri, komanso cholowa cholakwika. Anthu ambiri amawonetsedwa kutenga magazi a shuga pamayeso awo azachipatala apachaka.

M'zaka zaposachedwa, pakhala chiwonjezeko cha anthu odwala matenda ashuga, lero odwala pafupifupi mamiliyoni 120 amalembetsedwa mwalamulo padziko lonse lapansi, m'dziko lathuli muli osachepera 2,5 miliyoni odwala. Komabe, ku Russia, odwala 8 miliyoni akhoza kuyembekezeredwa, ndipo gawo limodzi mwa magawo atatuwa silikudziwa za matenda awo.

Kuwunika kwa kuwunika

Kuti mupeze zotsatira zokwanira, muyenera kukonzekera bwino mayesowo, kusungidwa kwa magazi kumachitika nthawi zonse pamimba yopanda kanthu. Ndikofunikira kwambiri kuti maola opitilira 10 adutsidwe kuchokera nthawi ya chakudya chamadzulo. Asanapendekeze, kupsinjika, kuchita masewera olimbitsa thupi, komanso kusuta fodya kuyenera kupewedwa. Zimachitika kuti sampuli yamagazi a shuga imachitika kuchokera m'mitsempha yamaubalo, izi zimachitika ngati kuwunika kwa biochemical kwachitika. Kungoona shuga m'magazi a venous ndikosatheka.

Nthawi zambiri, mulingo wambiri wa glucose uyenera kukhala kuchokera 3.3 mpaka 5.6 mmol / lita, chizindikiro ichi sichiri chodalira jenda. Ngati magazi adatengedwa kuchokera mu mtsempha kuti awunikiridwe, shuga yothamanga imayambira 4 mpaka 6.1 mmol / lita.

Gawo lina la muyezo lingagwiritsidwe ntchito - mg / deciliter, ndiye kuti chiwerengero cha 70-105 chidzakhala chizolowezi pakupereka magazi. Kusamutsa zizindikilo kuchokera pagawo limodzi kupita kwina, muyenera kuchulukitsa zotsatira za mmol ndi 18.

Nthawi zonse ana amakhala osiyana malinga ndi zaka zake.

mpaka chaka - 2.8-4.4,
mpaka zaka zisanu - 3.3-5.5,
Patatha zaka zisanu - chikufanana ndi wamkulu.

Pa nthawi yomwe mayi ali ndi pakati, mayi amapezeka ndi shuga 3.8-5.8 mmol / lita, ndikupatuka kwakukulu kuchokera kuzizindikiro izi zomwe tikukamba za matenda ashuga kapena kuyambika kwa matendawa.

Pamene shuga pamwambapa 6.0 ikufunika kuchita mayeso ndi katundu, pitani mayeso owonjezera.

Kulekerera kwa glucose

Zizindikiro pamwambapa za shuga zamagazi ndizofunikira pakufufuza pamimba yopanda kanthu. Mukatha kudya, shuga amawonjezereka, amakhalabe pamalo okwera kwakanthawi. Tsimikizani kapena kupatula matenda ashuga amathandizira popereka magazi ndi katundu.

Choyamba, amapereka magazi kuchokera chala pamimba yopanda kanthu, kenako wodwalayo amapatsidwa shuga kuti amwe, ndipo pambuyo maola 2 mayeso amabwerezedwa. Njira iyi imatchedwa mayeso a glucose kulolerana (dzina lina ndi mayeso olimbitsa thupi la glucose), zimapangitsa kudziwa kukhalapo kwa mtundu waposachedwa wa hypoglycemia. Kuyesedwa kumakhala koyenera ngati mukukayikira zotsatira za kusanthula kwina.

Ndikofunikira kwambiri munthawi yomwe kuyezetsa magazi kumachitika chifukwa cha shuga, osamwa, osadya, osagwiritsa ntchito zolimbitsa thupi, osagonjera pamavuto ena.

Zizindikiro zoyeserera ndizo:

pambuyo pa ola limodzi - osapitirira 8.8 mmol / lita,
pambuyo 2 maola - zosaposa 7.8 mmol / lita.

Kusakhalapo kwa matenda a shuga mellitus amatsimikiziridwa ndi kusala kudya kwa magazi a 5.5 mpaka 5.7 mmol / lita, maola 2 atatha shuga - 7.7 mmol / lita. Pankhani ya kuloleza kwa glucose, shuga othamanga adzakhala 7,8 mmol / lita, mutatha - kuchokera 7.8 mpaka 11 mmol / lita. Matenda a shuga amatsimikiziridwa ndi glucose othamanga opitilira 7.8 mmol, shuga atayamba kudulira chizindikiritsochi chimakwera pamwamba pa 11.1 mmol / lita.

Mlozera wa hyperglycemic ndi hypoglycemic umawerengeredwa pamaziko a zotsatira za kuyezetsa magazi, komanso pambuyo pakutsitsa shuga. Mlozera wa hyperglycemic sikuyenera kuti ukhale wapamwamba kuposa 1.7, ndipo mndandanda wa hypoglycemic osapitirira 1.3. Zotsatira zoyesedwa magazi ndizabwinobwino, koma mafakisoni akuchulukirachulukira, munthuyo ali pachiwopsezo chotenga matenda ashuga posachedwa.

Munthu wodwala matenda ashuga amafunikiranso kudziwa kuchuluka kwa hemoglobin yokhala ndi glycated; sayenera kukhala wamkulu kuposa 5.7%. Chizindikirochi chimathandizira kukhazikitsa mtundu wa chipepeso cha matenda, kusintha mankhwalawa.

Kuti mutsimikizire matenda a shuga, magazi satengedwa kuti awunike, chifukwa pali zinthu zambiri zomwe zingapereke zotsutsana.

Zotheka kupatuka pamachitidwe

Kuchuluka kwa shuga kwa wodwala kumatha kuchitika mutatha kudya, kulimbitsa thupi kwambiri, zochitika zamanjenje, ndi pathologies a kapamba, chithokomiro cha chithokomiro. Zofananazi zimachitika ndi kugwiritsa ntchito mankhwala ena:

Pankhani ya kulolerana kwa shuga, kuwonjezereka kwa ndende yamagazi kumachitika.

Kutsika kwa glucose kumachitika mwa odwala omwe ali ndi matenda osokoneza bongo, ngati atenga mlingo waukulu wa mankhwala ochepetsa shuga, amadumphira chakudya, ndipo pali insulin yambiri.

Ngati mutenga magazi kuchokera kwa munthu wopanda matenda a shuga, glucose amathanso kutsitsidwa, izi zimachitika pambuyo poti munthu azisala kudya nthawi yayitali, kumwa mowa mwauchidakwa, kuperewera kwa chloroform, gastroenteritis, kapamba, pancreatic neoplasms, atachitidwa opaleshoni pamimba.

Zizindikiro za shuga wambiri zidzakhala:

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

kamwa yowuma
kuyabwa pakhungu,
kuchuluka kwamkodzo,
chilala chambiri, njala,
kusintha kwakukulu mu miyendo.

Kuwonetsedwa kwa shuga ochepa kumakhala kutopa, kufooka kwa minofu, kukomoka, konyowa, khungu lozizira, kukwiya kwambiri, kusokonezeka kwa chikumbumtima, mpaka kufooka kwa hypoglycemic.

Wodwala yemwe ali ndi matenda ashuga, mankhwala ochepetsa shuga amalimbikitsa kuchuluka kwa shuga, chifukwa chake ndikofunikira kuyang'anira pafupipafupi, makamaka ndi matenda oyamba. Kuti muchite izi, muyenera kugwiritsa ntchito chipangizo choyezera shuga. Zimakupatsani mwayi wambiri wolamulira glycemia kunyumba. Mita ndiyo njira yodalirika kwambiri yodziyesera nokha.

Njira yowunikira ndi yosavuta. Malo omwe magazi amatengedwa kuti asungidwe shuga amathandizidwa ndi antiseptic, ndiye mothandizidwa ndi kufooka, nsonga ya chala imakhomedwa. Dontho loyamba la magazi liyenera kuchotsedwa ndi bandeji, ubweya wa thonje, dontho lachiwiri limayikidwa pamzere woyezera womwe udayikidwa mu mita. Gawo lotsatira ndikuwunika zotsatira.

Munthawi yathu, matenda ashuga asanduka matenda wamba, njira yosavuta kwambiri yodziwira, kupewa kuyenera kuyesedwa magazi. Potsimikizira kuti wapezeka ndi dokotala, dokotalayo amakupatsani mankhwala kuti muchepetse shuga kapena mupeze insulin.