Kodi ndi chifukwa chiyani diary yongodziyang'anira pawokha ikufunika?

Chithunzithunzi chodzionera nokha cha matenda ashuga ndichofunikira kwa aliyense amene wakumana ndi matenda omwe waperekedwa. Chowonadi ndi chakuti ndi motere momwe zosinthira zazing'ono zazing'ono zamtundu waumoyo zimayendetsedwa bwino komanso moyenera. Njira zomwe zakambidwako zimatsimikizira kuthekera kwa kuwononga matenda komanso kuzindikira kwa nthawi yake zizindikiro zoyambirira za mavuto obwera.

Kodi ndi njira yanji yomwe imayang'anira pawokha odwala matenda ashuga

Ndikothekanso kutsata mwaufulu kusintha kulikonse muumoyo wanu pogwiritsa ntchito chikalata chojambulidwa ndi munthu. Ikhozanso kukhala fayilo yomalizidwa kusindikiza kuchokera pa intaneti (chikalata cha PDF). Choyimbirachi nthawi zambiri chimapangidwira mwezi umodzi, pambuyo pake amalandila chikalata chatsopano chofananira ndikugwirizanitsa ndi mtundu wapitalo.

Ngati sizotheka kusindikiza zolemba za odwala omwe ali ndi vuto la matenda ashuga, thandizo lingachitike pongotaya kope lolemba kapena lolemba, lolemba.

Chifukwa chiyani diary yotereyi ndiyofunika?

Kuwonetsera kudziletsa mu mtundu 1 ndi matenda ashuga 2 ndikofunikira. Gawo lotsatirali liyenera kukhalapo:

• kudya chakudya - m'mawa, chakudya chamadzulo komanso madzulo,
• kuchuluka kwa mkate magawo onse a magawo awa,
• kugwiritsa ntchito insulin kapena kugwiritsa ntchito mankhwala kuti muchepetse shuga,
• zambiri zokhudza momwe wodwala alili,
• Zizindikiro zamagazi akujambulidwa kamodzi patsiku,
• Kuyeza musanadye chakudya cham'mawa.

Zonsezi zipangitsa kuti wodwala matenda ashuga amvetsetse momwe thupi limayambira kuyambitsa mayina a hypoglycemic, zimapangitsa kuti lizikumbukira msana masana. Yang'anani kuzindikiritsa kwa kuchuluka kwa mankhwala, kuzindikira koyankha kwakuthupi kuzinthu zoyipa pazinthu zina komanso kuganizira zofunikira zonse. Izi ndizofunikiranso achikulire, mwachitsanzo, kwa amayi apakati omwe ali ndi matenda a shuga.

Zomwe zalembedwa motere zitha kuthandiza katswiriyo kusintha mankhwalawo, kuwonjezera maina azachipatala. Chisamaliro chapadera chimaperekedwa pakusintha boma la zochitika zolimbitsa thupi ndikuwunika momwe zinthu zonse zomwe zimatengedwa.

Momwe mungasungire bukhu la kudziletsa

Chofunikira kwambiri ndicho kupewa kupewa kusiyidwa kwa zolemba zilizonse zofunika komanso kuthekera kosanthula bwino zomwe zatsatidwa. Onsewa adasankhidwa kale (kuchokera pakudya chomwe adadyedwa kupita pagawo lolemera). Ndimayendedwe otere omwe amakhala ovuta kwambiri kwa ambiri odwala matenda ashuga.

Zigawo za tebulo ziyenera kuphatikizapo mizati monga:

1. chaka ndi mwezi
2. wodwala thupi ndi glycosylated hemoglobin magawo (okhazikitsidwa mu labotale),
3. tsiku ndi nthawi yodziwitsa,
4. shuga wa glucometer wapezeka katatu patsiku,
5. Mlingo wa kuchepetsa mayankho a mapiritsi ndi insulin.

Kuphatikiza apo, voliyumu ya XE yomwe imadyedwa pachakudya chilichonse imalembedwa ndipo nthawi zonse pamakhala gawo lomwe limawonetsa kukhala bwino, matupi a ketone mumkodzo, komanso mulingo wakuchita zolimbitsa thupi kwenikweni.

Mutha kugawa zolemba zanu m'makalata apadera kapena kugula zolemba zotsalazo mumakina alionse. Monga gawo la chizindikiritso cha zofanana, kuwonjezera pa kuchuluka kwa glycemia mu matenda ashuga, Zizindikiro zina zowongoleredwa zimawonjezedwa monga zimayang'aniridwa ndi endocrinologist. Kwa odwala oopsa, kuchuluka kwa zoyeserera kumakhala kwakukulu.

Buku lazakudya ndilofunikanso nthawi yomwe mayi ali ndi pakati. Nthawi zina, ndikofunikira kuti mudyetsebe diary yokhala ndi zakudya, yomwe ndiyofunikira kwambiri kudziletsa kwa matenda ashuga a 2, pamene ngozi za m'mimba kapena kunenepa kwambiri zimachuluka.

Mapulogalamu amakono ndi kugwiritsa ntchito

Pali mitundu yamagetsi yomwe imakhala yosavuta kwa odwala chifukwa chakuwongolera kwawo pazida zamagetsi. Itha kukhala mafoni, mapiritsi, ma laputopu ndi ma PC.

Yoyamba ya ntchito - Awa ndi Matenda a Zachikhalidwe, omwe adalandila mphothoyi kuchokera ku UNESCO Mobile Health Gas Station mu 2012. Zomwe zimachitika pagulu lililonse lazikhalidwe zamatenda, kuphatikiza gestational. Dziwani izi:

Ndi fomu yodalira insulini, imakupatsani mwayi wosankha muyeso wa insulin. Izi zimachitika pamaziko a chakudya ndi glycemia yomwe imagwiritsidwa ntchito.

Ndi mawonekedwe osadalira gawo la mahomoni, Matenda a Zachikhalidwe amachititsa kuti azindikire zodabwitsazi m'thupi la munthu zomwe zimawonetsa mapangidwe azovuta.

Pulogalamuyi idapangidwa kuti ipangire zida zamagetsi patsamba la Android.

Pulogalamu yotsatiraChodziwika bwino ndi buku la Diabetes Glucose Diary. Zomwe zimapangidwaku ndizofikira komanso zosavuta kugwiritsa ntchito, kutsata zokhudzana ndi deti ndi nthawi, glycemia, ndemanga zazidziwitso.

Kugwiritsa ntchito kumakupatsani mwayi wopanga maakaunti a ogwiritsa ntchito amodzi kapena zingapo, kumapereka kutumiza zambiri kwa olumikizana ena (mwachitsanzo, kwa sing'anga). Musaiwale za kuthekera kopititsa china ku mawerengero omwe agwiritsidwa ntchito.

Diabetes Connect idapangidwanso kwa Android. Ili ndi ndandanda yabwino yomwe imakupatsani mwayi wowunika bwino pazachipatala. Pulogalamuyi ndiyothandiza matenda amtundu uliwonse, imathandizira mitundu yosiyanasiyana ya glucose (mwachitsanzo, mmol / l ndi mg / dl). Ubwino woperekera zakudya zomwe anthu amafufuza, kuchuluka kwa zofunikira za XE ndi chakudya.

Pali kuthekera kulumikiza ndi mapulogalamu ena a pa intaneti. Pambuyo polemba zambiri zanu, wodwala amalandira malangizo azachipatala mwachindunji mu Diabetes Connect.

Mutha kuyikanso DiaLife:

Imeneyi ndi tsamba la pa intaneti lodziyang'anira pawokha pobweza shuga wamagazi ndikutsatira njira zamankhwala.

Pulogalamu yam'manja imaphatikizapo zinthu monga GI katundu, kuchuluka kwa kalori ndi kuwerengera, kutsatira thupi. Tisaiwale za diary ya mowa, zomwe zimapangitsa kuwona kuchuluka kwa zopatsa mphamvu, chakudya, lipids ndi mapuloteni.

Chochita chilichonse chimakhala ndi khadi yake, yomwe imawonetsera kapangidwe kazomwe zimapangidwira ndi mankhwala.

Izi sizinthu zonse zomwe zimayenera kusamaliridwa. Mutha kukhazikitsa D-Katswiri, Magazini ya shuga, SIDiary, Shuga: M. Ndikulimbikitsidwa kuti mapulogalamu ena agwirizane ndi endocrinologist.

Zolemba pawokha komanso cholinga chake

Buku lazodziyang'anira ndikofunikira kwa odwala matenda ashuga, makamaka ndi mtundu woyamba wa matenda. Kudzazidwa ndi kuwerengera kwanu pafupipafupi kwa zizindikiro zonse kumakupatsani mwayi kuchita izi:

• Tsatirani momwe thupi limayankhira jakisoni aliyense wa insulin,
• Unikani kusintha m'magazi,
• Yang'anani shuga m'thupi kwa tsiku lathunthu ndikuwona momwe limalumphira pakapita nthawi,
• Pogwiritsa ntchito njira yoyesira, mupeze munthu amene akufunika insulini, yemwe amafunikira kukonzekera kwa XE,
• Dziwani zinthu zoyipa ndi chizindikiro cha atypical,
• Yang'anirani momwe thupi aliri, kulemera kwake komanso kuthamanga kwa magazi.

Zizindikiro zofunika komanso momwe mungazikonzekere

• Chakudya (kadzutsa, chakudya chamadzulo kapena chamasana)
• Chiwerengero cha mkate pa mgonero uliwonse,
• Mlingo wa insulini womwe umayendetsedwa kapena makonzedwe a mankhwala ochepetsa shuga (ntchito iliyonse),
• Madzi a shuga m'magazi (katatu patsiku),
• Zambiri pa thanzi lathunthu,
• Kuthamanga kwa magazi (1 nthawi patsiku),
• Kulemera kwa thupi (nthawi 1 patsiku musanadye chakudya cham'mawa).

Odwala othamanga amatha kuyeza kupanikizika kwawo pafupipafupi ngati kuli kofunikira, poika pambali padera patebulo.

Malingaliro azachipatala amaphatikizapo chizindikiro monga "Hook a shuga abwinobwino"kuchuluka kwa glucose kumakhala koyenera pamaso pa zakudya ziwiri zazikulu (chakudya cham'mawa + chamasana kapena chakudya chamadzulo + chamadzulo). Ngati "kutsogolera" ndikwabwinobwino, ndiye kuti insulini yokhala ndi nthawi yochepa imayendetsedwa mu kuchuluka komwe kukufunika panthawi inayake ya tsiku kuti muwononge mkate. Kusanthula mosamala zizindikirozi kumakupatsani mwayi wowerengera munthu kuti adzadye zakudya zinazake.

Cholemba chodziletsa chitha kupangidwa ndi onse ogwiritsa ntchito PC otsimikiza komanso osavuta kutsatira. Itha kupangidwa pakompyuta kapena kujambula kabuku.

• Tsiku la sabata ndi tsiku la kalendala
• Msuzi wa glucometer katatu patsiku,
• Mlingo wa insulin kapena mapiritsi (malinga ndi nthawi yoyang'anira - m'mawa, ndi zimakupiza.
• Kuchuluka kwa magawo onse azakudya, ndikuyeneranso kuganizira zokhwasula-khwasula,
• Zolemba zokhudza kukhala bwino, mulingo wa acetone mu mkodzo (ngati zingatheke kapena malinga ndi kuyesa pamwezi), kuthamanga kwa magazi ndi zina.

Maphikidwe a zakudya zathanzi. Chofufumitsa cha odwala matenda ashuga. Werengani zambiri mu nkhaniyi.

Tebulo lachitsanzo

Tsiku

Insulin / mapiritsi

Ma mkate Ophika

Mwazi wamagazi

Zolemba

M'mawa

Tsiku

Madzulo

Chakudya cham'mawa

Chakudya chamadzulo

Chakudya chamadzulo

Chakudya cham'mawa

Chakudya chamadzulo

Chakudya chamadzulo

Usiku

Mpaka

Pambuyo

Mpaka

Pambuyo

Mpaka

Pambuyo

Mon

Cha

Wed

Th

Fri

Sat

Dzuwa

Kulemera kwa thupi:
HERE:
Zabwino zonse:
Tsiku:

Ntchito zamakono zowongolera matenda a shuga

Mbale omwe ali ndi matenda ashuga. Kodi chiloledwa ndi chiyani ndikulimbikitsidwa kuti sichikupatula muzakudya? Werengani zambiri apa.

Zizindikiro za shuga mwa amuna.

Kutengera ndi chipangizocho, mutha kukhazikitsa izi:

• Matenda a shuga - diary ya glucose,
• Matenda Asoga,
• Diabetes tracker,
• Kuwongolera odwala matenda ashuga,
• Magazini ya shuga,
• Matenda A shuga
• Matenda A shuga: M,
• SiDiary ndi ena.

• Matenda A shuga,
• DiaLife,
• Mthandizi wa Matenda a shuga
• Matenda A shuga
• Wothandizira matenda a shuga
• GarbsControl,
• Zaumoyo wa Tactio
• Matenda a shuga ndi Dlood Glucose,
• Matenda A shuga Minder Pro,
• Matenda A shuga,
• Matenda a shuga ku Check.

Kupitilira apo, ntchito yonse yopanga thupi imagwira ntchito molingana ndi zomwe zikuwonetsedwa ndi shuga komanso kuchuluka kwa chakudya chodyedwa mu XE. Kuphatikiza apo, ndikokwanira kuyika chinthu china ndi kulemera kwake, ndiye pulogalamuyo imawerengera chizindikiro chomwe mukufuna. Ngati mukufuna kapena kulibe, mutha kuyiyika pamanja.

• Kuchuluka kwa insulin tsiku lililonse komanso kuchuluka kwa nthawi yayitali sikunakhazikike,
• Insulin yokhala nthawi yayitali silingaganizidwe,
• Palibe mwayi wopanga ma chart.

Zizindikiro zazikulu zomwe zalembedwa mu diary

• kuchuluka kwa zakudya
• kuchuluka kwa mkate patsiku ndi chakudya chilichonse,
• Mlingo wa tsiku ndi tsiku wa insulin ndi chakudya chilichonse,
• data ya glucometer (katatu patsiku),
• Zizindikiro zamagazi (mphindi 1 patsiku),
• kuchuluka kwa thupi thupi (1 nthawi patsiku kadzutsa).

Njira yosavuta yosungira diary ndi tebulo pomwe mizere ndi masiku a sabata ndipo mzati ndizizindikiro. Ngati mukusungira tebulo pamagetsi, ndiye kuti zosavuta ndizofupikitsa mwachidule kuti mupeze zidziwitso za tsiku, sabata, mwezi kapena nthawi ina yankhani. Chikalata chamagetsi chithandizanso kuti mupange tchati chodalira ngati inu kapena dokotala mukufuna. Koma zolemba zam'magazini ndizothandiza kwambiri ndipo sizifunikira china koma cholembera ndi wolamulira.

Kwa amene buku lodziyang'anira pawekha ndilofunika kwambiri

Cholemba chodziyang'anira chokha cha matenda a shuga sichofunikira ndi dokotala, koma choyamba muyenera kuti musasunge chinsinsi. Ndikofunikira kwambiri kusintha, ngakhale masinthidwe ochepa, kwa odwala omwe ali m'magulu otsatirawa:

• kumayambiriro kwa matenda, pomwe inu kapena adotolo simunadziwe zolondola zokhudzana ndi momwe thupi limayambira, ndipo mlingo wake umasankhidwa molingana ndi machitidwe onse.
• matenda ena atapezeka komanso pakadwala matenda enaake (mankhwalawa amakhudza kuchuluka kwa shuga m'magazi, madokotala adzafunika kusintha mlingo wa insulini komanso kuchuluka kwa mankhwala omwe waperekedwa),
• azimayi omwe akukonzekera kutenga pakati, ali ndi pakati kapena kuyamwitsa, komanso azimayi omwe ali ndi vuto lokonzekera kusamba komanso kusamba,
• Moyo wanu wasintha: munayamba kusewera masewera, kuwonjezera kapena kuchepa mphamvu zolimbitsa thupi,
• kudumphira m'magulu a shuga amalembedwa.

Koma ngakhale odwala omwe akhala akudwala kwa nthawi yayitali komanso atasintha magawo a moyo wawo amafunikiranso kusunga diary. Kupezeka kwake kumalangidwa, ndipo mipata yoyezera kuchuluka kwa shuga m'magazi sichepa, ndiye kuti, shuga imayang'aniridwa nthawi zonse. Mudzaona momwe kulemera kwanu, kukakamira kwanu, kuchuluka kwa insulin yomwe yasintha panthawiyo yasintha. Ndiponso mutha kutsata kudalira kwa momwe zakudya ziliri. Ndiye kuti, chinali chiyani chomwe chinali chakudya chanu pachiyambi komanso zomwe mukudya tsopano.

Mitundu yama diaries ndi iti

Nthawi zambiri, pepala lolemba zamapepala limaperekedwa kwaulere kuchipatala kapena kusukulu ya shuga. Zimatengera mulingo wa zida za chipatala ndipo sikuti ndi mawonekedwe omwe amaperekedwa. Mutha kugula zolemba m'masitolo ogulitsa mabuku, m'madipatimenti azachipatala kapena pa intaneti. Ndizosavuta popeza kuti idakhala kale yolumikizidwa, pali magome onse, imangokhala yolowera idatha.

Mu mtundu wamagetsi, diary ndiyoyenera kwa achinyamata - deta ikhoza kutumizidwa molunjika kuchokera pafoni, palibe cholembera kapena pensulo chofunikira. Mutha kuwonetsa dokotalayo pokhapokha ngati mumawatumizira maimelo kapena kusindikiza. Nthawi zambiri opanga ma glucometer amapereka zosankha zamagetsi zamagetsi pakudziyang'anira pawokha.

Posachedwa, pakhala kugwiritsa ntchito mafoni komwe mutha kuyika data. Komanso samatsitsidwa mosavuta paulendo wopita kwa adotolo, chinthu chokhacho sadziwa momwe angapangire ndandanda.

Ndiye kuti, kusankha njira yolemba zolemba pamiyeso ya moyo ndikosavuta, mukatha masabata 1-3 mudzangolowetsa zokha zomwezo osamva kusasangalala.

Ubwino wa kudziletsa

Kudziyang'anira pawokha matenda ashuga amatcha kudziyimira pawokha kwa odwala omwe ali ndi shuga (kapena mkodzo). Liwuli nthawi zina limagwiritsidwa ntchito m'njira yotakata, monga kuthekera koyesa momwe munthu alili, kutsatira moyenera njira zochizira, mwachitsanzo, kutsatira kadyedwe kapena kusintha mankhwala omwe amachepetsa shuga.

Popeza cholinga chachikulu pakuperekera matenda ashuga ndikungokhala ndi shuga m'magazi nthawi zonse, kufunikira kwa matanthauzidwe ake kumachitika. Zinanenedwa pamwambapa kuti wodwala sayenera kudalira zomwe akumva.

Kuteteza shuga kumagazi: pamimba yopanda kanthu ndipo, monga lamulo, osapitirira kamodzi pamwezi, sungaganizidwe wokwanira. Mwamwayi, m'zaka zaposachedwa, njira zambiri zapamwamba zowonetsera kutsimikiza kwa shuga kapena mkodzo (mizere yoyesera ndi glucometer) zidapangidwa. Chiwerengero chambiri cha odwala matenda ashuga padziko lonse lapansi, kuphatikizaponso m'dziko lathu, chimayang'anitsitsa shuga wa magazi pafupipafupi. Muli njira yodziletsa kuti mumvetsetse bwino matenda anu ndipo maluso othandizira matenda a shuga amapangidwa.

Tsoka ilo, kupezeka kwa njira zodziyimira mdziko lathuli sikokwanira. Kugwiritsa ntchito mawayilesi pafupipafupi kumafuna ndalama zambiri kwa wodwala. Ndikosavuta kuti mulangize chilichonse kupatula chimodzi: yesani kugawa bwino ndalama zomwe muli nazo! Ndikwabwino kugula zingwe zoyeserera kuti musadziyese nokha kuposa kuwononga ndalama panjira zopanda pake za "kuchiritsa" matenda a shuga kapena osafunikira, koma okwera mtengo "odwala" a shuga.

Mitundu Yodziletsa

Chifukwa chake, wodwalayo amatha kusankha payokha shuga kapena magazi a mkodzo.Mchere wa mkodzo umatsimikiziridwa ndi timiyeso tosayesa kugwiritsa ntchito zida, kufananizira madontho ndi timizere tonyowa mkodzo pamtunda wamtundu womwe umapezeka phukusi. Mukamadwala kwambiri, mumakhala shuga mu mkodzo.

Chithunzi 4. Mawonekedwe owoneka a magazi.

Pali mitundu iwiri ya mankhwala othandiza kudziwa shuga: miyeso yotchedwa "yowoneka" yomwe imagwira ntchito mofana ndi mzere wa mkodzo (kuyerekezera kwamtundu ndi mawonekedwe a utoto), komanso zida zowoneka bwino - glucometer, zomwe zimapereka zotsatira za kuyesa kuchuluka kwa shuga monga chiwerengero pawonetsero. Mita imagwiranso ntchito pogwiritsa ntchito zingwe zoyeserera, chida chilichonse chimangokhala ndi "chingwe" chake. Chifukwa chake, pogula chipangizocho, muyenera kusamala ndi mwayi wopeza mayeso oyenera.

Odwala ena amalakwitsa kubweretsa mita ya shuga m'magazi kuchokera kunja kapena kupempha anzawo kuti atero. Zotsatira zake, amatha kupeza kachipangizo komwe sangathe kumata. Nthawi yomweyo, msika wamabanja tsopano uli ndi zida zosankhika kwambiri komanso zodalirika (onani mkuyu. 5). Kusankha njira yodziletsa, wodwala aliyense yemwe ali ndi matenda ashuga ayenera kusankha zomwe zimamuyenerera.

Chithunzi 5. Glucometer - njira yodziwonera wekha wamagazi

Mizere yoyesera yodziwira shuga wa mkodzo ndi yotsika mtengo komanso yosavuta kugwiritsa ntchito. Komabe, ngati tikumbukira zomwe zolinga za shuga za magazi zimayenera kukhala, zimvetseka chifukwa chake kudziwunikira mu mkodzo ndikosafunikira kwenikweni.

Zowonadi, popeza ndikofunikira kuyesetsa kuchuluka kwa shuga m'magazi, ndipo shuga mumkodzo amawonekera pokhapokha kuchuluka kwake m'magazi ndi kupitirira 10 mmol / l, wodwalayo sangakhale wodekha, ngakhale zotsatira za shuga mu mkodzo nthawi zonse zimakhala zoipa. Kupatula apo, shuga m'magazi mwina akhoza kukhala osavomerezeka: 8-10 mmol / l.

Choipa china chodziwunikira pawekha mkodzo ndikulephera kudziwa kuti hypoglycemia ndiyotani. Zotsatira zoipa za mkodzo wa mkodzo zimatha kukhala zofanana ndi zabwinobwino kapena zochuluka kapena zolimbitsa shuga.

Ndipo, pamapeto pake, mkhalidwe wakupatuka kwa gawo lachiwopsezo kuchokera pachizolowezicho ungayambitse mavuto owonjezereka. Mwachitsanzo, imatha kukhala 12 mmol / l, kenako tanthauzo lodziwunikira lokha kuthamanga kwamkodzo limatha. Mwa njira, kudziwa njira yolumikizirana matumbo sikophweka. Pachifukwa ichi, kuyerekezera kambiri kwa kutsimikizira kwa shuga m'magazi ndi mkodzo kumagwiritsidwa ntchito.

Pankhaniyi, shuga wa mkodzo amayenera kuyesedwa mu "gawo latsopano", i.e. Anatenga theka la ola mutatha kuchotsa chikhodzodzo. Shuga wamagazi amayenera kutsimikiziridwa nthawi yomweyo. Ngakhale pamene pali awiriawiri - shuga wamagazi / mkodzo shuga - sizingatheke kudziwa bwino shuga.

Pofotokozera pamwambapa, titha kunena kuti kudziwunikira momwe shuga mumkodzo sikili koyenera kuti athe kuyesa kuchuluka kwa chiphuphu cha shuga, koma ngati kudziyang'anira pawokha m'magazi kulibe, nkwabwino kuposa kalikonse!

Kudziyang'anira wega m'magazi a shuga kumadwalitsa wodwala kwambiri, kumafunikira magwiridwe antchito ambiri (muyenera kubaya chala chanu kuti mupeze magazi, kuyika chida chake, ndi zina zambiri), koma zidziwitso zake ndizachangu. Ma glucometer ndi zingwe zoyesa kwa iwo ndi okwera mtengo kuposa mawonedwe oyesa, ngakhale, malinga ndi malipoti ena, otsirizawa sakhala otsika molondola kwa oyamba. Pomaliza, kusankha njira zodziwonera kumakhalabe ndi wodwalayo, poganizira luso la ndalama, chidaliro pakutsimikiza kolondola kwa mtundu wa lingaliro loyesera poyerekeza ndi sikelo, ndi zina zambiri.

Pakadali pano, kusankha kwa njira zodziyesera ndikwambiri kwambiri, zida zatsopano zikuwonekera, mitundu yakale ikukonzedwa.

Zolinga Zokuziletsa

Chitsanzo 1: Kudziwitsa shuga kamodzi magazi masabata awiri aliwonse - pamwezi komanso pamimba yopanda kanthu (malinga ndi zomwe zimatengedwa ku chipatala). Ngakhale zizindikirozo zikagwera mokwanira, kudziwunikira sikungatchulidwe kokwanira: matchulidwewo ndi osowa, komanso, chidziwitso cha kuchuluka kwa shuga tsiku lonse limatha!

Chitsanzo 2: Kuyang'anira pafupipafupi, kangapo patsiku, kuphatikizapo chakudya. Komanso, zotsatira zake kwa nthawi yayitali sizikhutira - pamwambapa 9 mmol / l. Kudziletsa kotereku, ngakhale kuli kwapita pafupipafupi, sikungatchedwenso kubereka zipatso.

Tanthauzo la kudziletsa - osati pokhapokha pokhapokha pamagulu a shuga, komanso kuwunika koyenera kwa zotsatirazo, pokonzekera zochitika zina ngati zolinga za chizindikiro cha shuga sizingachitike.

Tanena kale kufunikira kwa wodwala aliyense wa matenda ashuga kuti akhale ndi chidziwitso chochulukirapo pamatenda awo. Wodwala wokhazikika amatha kusanthula zifukwa zomwe zikuwonongera zizindikiro za shuga: mwina izi zimayambitsidwa ndi zolakwika zazikulu pazakudya ndipo, chifukwa chake, kuwonda? Mwina pali matenda a catarrhal, fever?

Komabe, sikuti chidziwitso ndichofunika, komanso luso. Kutha kupanga chisankho choyenera muzochitika zilizonse ndikuyamba kuchita moyenera ndi chifukwa chokhacho chidziwitso chokhudza matenda a shuga, komanso kuthekera koyendetsa matenda anu, ndikupeza zotsatira zabwino. Kubwereranso ku chakudya choyenera, kuchepa thupi, komanso kusintha kudziletsa kumatanthauzadi matenda a shuga. Nthawi zina, kusankha koyenera kungakhale kofunsa kukaonana ndi dokotala ndikusiyira kuyesayesa pawokha kuthana ndi vutolo.

Popeza takambirana cholinga chachikulu, tsopano titha kupanga njira zodziletsa:

1. Kuunika kwa zotsatira zakudya za thupi ndi ntchito zolimbitsa thupi pa shuga.
2. Kuyang'ana momwe chiphuphu chikuperekera shuga.
3. Kuwongolera zochitika zatsopano nthawi yamatendawa.
4. Sinthani, ngati pakufunika, Mlingo wa insulin (kwa odwala omwe ali pa insulin).
5. Kuzindikiritsa hypoglycemia ndikusintha kwa mankhwalawa kuti apewe kupewa.

Njira yodziletsa

Kangati komanso mkodzo wamagazi uyenera kutsimikizika kangati? Kodi ndifunika kujambula zotsatira zake? Dongosolo lodziyang'anira lokha nthawi zonse limakhala payekha payokha ndipo ayenera kuganizira zomwe angathe kuchita ndi moyo wa wodwala aliyense. Komabe, malingaliro angapo apadera amatha kuperekedwa kwa odwala onse.

Zotsatira za kudziwunikira nthawi zonse ndibwino kujambula (ndi tsiku ndi nthawi, komanso zolemba zilizonse malinga ndi kulingalira kwanu). Ngakhale mutagwiritsa ntchito glucose mita yokhala ndi kukumbukira, ndizosavuta pakuwunika kwanu, komanso kukambirana ndi dotolo zambiri mwatsatanetsatane.

Njira yodziletsa iyenera kuyendera dongosolo lotsatirali:

• Kutsimikiza kwa shuga mumkodzo mutatha kudya maulendo 1-7 pa sabata, ngati zotsatira zake zimakhala zoipa (mulibe shuga mkodzo).
• Ngati magazi a shuga atsimikiziridwa, pafupipafupi ayenera kukhala ofanana, koma kutsimikiza kuyenera kupangidwa onse musanadye komanso maola 1-2 mutadya,
• ngati chindapusa cha matenda a shuga sichikhutiritsa, kutsimikiza kwa shuga kwamwazi kumakulitsidwa mpaka katatu pa tsiku (kuwunika kwa zochitika kumachitika nthawi yomweyo, ngati kuli koyenera, kufunsana ndi dokotala).
• momwemonso kudziletsa kumafunikira ngakhale ndi shuga yokwanira, ngati wodwala alandira insulin,
• Kutsimikiza kwa shuga 4-8 kangapo patsiku la matenda opatsirana, kusintha kwakukulu kwa moyo, komanso nthawi yapakati.

Pomaliza, ziyenera kudziwa kuti ndikofunikira kuti pakhale kukambirana za njirayi (makamaka ndi chiwonetsero) cha kudziletsa ndi ulamuliro wake ndi dokotala wanu kapena wogwira ntchito ku Sukulu ya odwala matenda a shuga, komanso kukonza zotsatira zake ndi glycated hemoglobin НвА1с.

Glycated hemoglobin

Kuphatikiza pa kuwunika mwachindunji kuchuluka kwa shuga m'magazi, pali chizindikiro chothandiza kwambiri chomwe chimawonetsa kuchuluka kwa shuga m'magazi atatu otsatira - glycated hemoglobin (HbA1c). Ngati mtengo wake sukula kupitirira malire pazomwe zimapangidwira mu labotale iyi (m'malo olembetsa zinthu mosiyanasiyana mankhwalawo amatha kusiyanasiyana, nthawi zambiri malire ake ndi 6,6,5%) ndi oposa 1%, titha kuganiza kuti munthawi yomwe chiwonetsero cha shuga chinali pafupi mpaka muyeso wokwanira. Inde, zimakhala bwino kwambiri ngati chizindikiritso cha odwala odwala matenda ashuga chimakhala chokwanira pakati pa anthu athanzi.

Gome 1. Avereji ya shuga

Ndizomveka kudziwa kuchuluka kwa hemoglobin yokhala ndi glycated kuwonjezera pa kuwunika kwina kwa magazi (mkodzo) osapitilira 1 nthawi iliyonse miyezi 3-4. Pansipa pali kulumikizana pakati pa msambo wa glycated hemoglobin HbA1c ndi kuchuluka kwa shuga tsiku lililonse kwamiyezi itatu yapitayo.

Idiyala ya shuga

Monga tanena kale, ndikofunika kujambula zotsatira za kudziletsa. Odwala ambiri omwe ali ndi matenda ashuga amasunga diary momwe amathandizira chilichonse chomwe chingakhale chokhudzana ndi matendawa. Chifukwa chake, ndikofunikira kuti nthawi ndi nthawi muziwunika momwe mumalemera. Chidziwitsochi chikuyenera kulembedwa nthawi iliyonse mu diary, ndiye kuti padzakhala zabwino kapena zoyipa mzazidziwitso zofunikira kwambiri.

Ndikofunika kuti muzichita masekeli kamodzi pa sabata, pamiyeso yomweyo, pamimba yopanda kanthu, mu zovala zopepuka kwambiri komanso zopanda nsapato. Zoyenera ziyenera kuyikika pamalo osyera, chisamaliro chiyenera kutengedwa kuti muwone ngati muvi mulibe ziro musanayeze. Ndikofunika kuti odwala omwe akufunika kuwongolera magawo awa awazindikire mu diary.

Kuphatikiza apo, zinthu zambiri zomwe zimachitika tsiku ndi tsiku kwa wodwala zimatha kusokoneza shuga. Izi ndiye, choyamba, zakudya, komanso masewera olimbitsa thupi, matenda othandizira, etc. Zolemba zomwe zili mu diary monga, mwachitsanzo, "alendo, keke" kapena "chimfine, kutentha 37.6" zimatha kufotokozera kusinthasintha "kosayembekezereka" shuga m'magazi.

I.I. Dedov, E.V. Surkova, A.Yu. Zazikulu