Momwe mungadziwire malire a zaka za shuga wamagazi pogwiritsa ntchito glucometer

Mwazi wamagazi umatanthawuza kuchuluka kwa glucose omwe amapezeka m'magazi a munthu mogwirizana ndi kuchuluka kwa magazi, ndiye kuti, kuphatikiza kwake.

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Chizindikirochi ndichofunikira kwa thupi, chifukwa glucose ndi imodzi mwazinthu zazikulu zamagetsi.

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Koma, gawoli liyenera kukhala pamlingo winawake, chifukwa kuchepetsedwa kapena kuchuluka kwa glycemic kumabweretsa zovuta zosiyanasiyana za pathological zamagulu ndi machitidwe.

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Ndi kuphwanya kwadongosolo la metabolic carbohydrate njira (DM), kusintha kwa shuga kumasokonekera.

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Kutengera mtundu wa vuto ili, matendawa agawidwa m'magulu awiri - mitundu 1 ndi 2 ya matenda, zomwe zimapangitsa kuti glucose iwonjezeke.

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Kodi kuchuluka kwa shuga m'magazi kumati chiyani?

Glucose ndi gawo lofunikira lamphamvu mthupi la munthu ndipo kufalitsa kwake m'magazi kumakupatsani mwayi wokupatsani ziwalo zonse ndi machitidwe ndi mphamvu yofunikira.

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Makamaka, kufunikira kwake kwa ubongo kuyenera kuzindikirika, chifukwa zimakhala zake sizitha kudziwa magwero ena a zakudya.

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Zizindikiro zazikulu za phula ili mthupi zimayendetsedwa ndi insulin, yomwe imapangidwa ndi kapamba.

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Hormoni iyi imalola kuti ma cell a thupi azitenga glucose yemwe amaperekedwa ndi magazi, ngati mtundu wa fungulo.

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Kuwonjezeka kwa shuga mu shuga amayamba chifukwa cha mitundu iwiri yayikulu yamavuto omwe amadza ndi insulin: mtundu 1 ndi 2 matenda a shuga.

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Matenda a shuga a Type 1 ndikuphwanya mtundu wa insulini kupanga insulini, ndiye kuti, amapangidwa mwa kuchuluka osakwanira kapena sanapangidwe konse.

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Matenda a shuga a Mtundu Wachiwiri amayamba chifukwa cha kusintha kwa kapangidwe ka kayendedwe ka cellular m'thupi - chiwopsezo cha maselo onse am'magazi kuti insulini ichepetse, zomwe zimapangitsa kukula kwa shuga komanso kufa ndi maselo.

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Ma Thumba Atiwa a Magazi Aabwino

Zowonetsa za kuchuluka kwa glycemic mwa munthu wathanzi mosiyanasiyana zimasiyanasiyana ndipo zimakhala ndi malire.

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Kuchita kwa malembawa kumatengera dongosolo la tsiku ndi tsiku komanso zakudya. Chakudya chikamadyedwa, mulingo wake umachulukirachulukira, ngakhale pali zinthu zomwe sizili ndi chinthuchi.

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Muyezo wamagulu a shuga mwa munthu wamkulu yemwe alibe matenda ashuga ayenera kuperekedwa monga momwe amalembedweramu:

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Nthawi yoyezera	Mtengo pa mita
Kufulumizitsa muyeso wam'mawa	3.9-5.0 mmol / L
Patatha maola 1-2 mutatha chakudya kapena zakudya	mpaka 5.5 mmol / l (kupatula zotheka)

Ngati munthu wadya mankhwala okhala ndi chakudya chambiri "chofulumira", ndiye kuti ma glucose amatha kuonjezera malire - 6.7-6.9 mmol / l.

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Izi sizimaganiziridwa kuti ndikupatuka kwakukulu ndikuwonjezeka kofanana kwa shuga mumiyepo yomweyo kumayamba kufalikira.

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Kuphatikiza apo, miyezo yowerengeka ya shuga m'magazi imasiyana kwambiri ndi zomwe zimapezeka kwa amuna.

Ngati chizindikirochi ndichoposa kuchuluka kwa 6.6 mmol / L, kulumikizana kwa matenda a shuga kungachitike. p, blockquote 20,0,0,0,0 ->

Glucose wovomerezeka mu mtunduwo mwa zaka

Miyezo yapakati ya shuga pamwazi sizimadalira mtundu wamunthuyo (amatanthauza munthu wamkulu kuti adzakalambe).

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Poterepa, ndizotheka kuwonetsa kusiyana kwa chizindikirochi malinga ndi gulu la anthu komanso momwe amapezeka ndi magome a shuga a magazi malinga ndi zaka.

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Komanso ndikofunikira kuganizira za jenda - kuchuluka kwa shuga m'magazi omwe ali ndi amuna kuyenerana ndi zomwe zikuwonetsa:

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Gulu la zaka	Zizindikiro za Glucometer
Mpaka mwezi umodzi (akhanda)	2.8-4.5 mmol / L
Ana kufikira unyamata (zaka 14)	3.3-5.7 mmol / L
Kuyambira wazaka 14 ndi akulu (mpaka zaka 60)	4.1-5.9 mmol / L
Okalamba (zaka 60-90 zaka)	4.6-6.5 mmol / L
Okalamba (woposa zaka 90)	4.2-6.7 mmol / L

Mndandanda wa miyezo ya shuga ya magazi mwa akazi:

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Gulu la zaka	Zizindikiro za Glucometer
Mpaka mwezi umodzi (akhanda)	2.8-4.4 mmol / L
Ana kufikira unyamata (zaka 14)	3.3-5.6 mmol / L
Kuyambira wazaka 14 ndi akulu (mpaka zaka 60)	4.1-5.9 mmol / L
Okalamba (zaka 60-90 zaka)	4.6-6.4 mmol / L
Okalamba (woposa zaka 90)	4.2-6.7 mmol / L

Izi magawo amavomerezedwa ndi WHO (World Health Organisation).

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Koma, ziyenera kudziwidwa kuti ziwerengerozi ndizizindikiro zapakati pakuyeza shuga.

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Mukatha kudya, mitengo yomwe ili pamita imatha kukula mpaka kupitirira (zabwinobwino mpaka 7 mmol / l).

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Pofuna kudziwa tanthauzo la shuga wamitsempha kuchokera m'mitsempha, zonse pamimba yopanda kanthu ndikatha kudya, malire apamwamba amayenera kusunthidwa ndi 0.6 mmol / L kumtunda. p, blockquote 28,0,0,0,0 ->

Zizindikiro za odwala matenda ashuga

Kwa anthu omwe akudwala matenda ashuga, palinso miyambo yamakhalidwe abwino a shuga omwe amapezeka m'magazi, omwe amakupatsani thupi kukhalabe lathanzi.

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Tiyenera kukumbukira kuti ndikasala kudya komwe kumafanana ndi munthu wopanda matenda a shuga, ma indices akatha kudya amatha kusiyanasiyana ndikupita kupitirira mtengo wamalire (7.0 mmol / l kapena kuposa).

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Makhalidwe amenewa amawonetsa kupezeka kwa matenda ashuga amtundu wa latent. Mndandanda wazikhalidwe zabwino za matenda ashuga ndi:

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Nthawi yoyezera	Mtundu 1	Mtundu 2
pamimba yopanda kanthu	5.1-6.5 mmol / L	5.5-7.0 mmol / L
Patatha maola awiri mutadya	7.6-9.0 mmol / L	7.8-11 mmol / L
musanagone	6.0-7.5 mmol / L	6.0-7.5 mmol / L

Kupatuka kuzinthu izi kumayenera kuchitika chifukwa chovuta kwambiri, chifukwa shuga ndi otsika kwambiri zimayambitsa zovuta zina mthupi. Izi zimadziwika makamaka paubwana.

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Magawo a Chakudya Chotsatira

Munthu akadya, kuchuluka kwa glucose m'magazi kumawonjezeka kwambiri ndipo kupanga insulini kumayambitsa, chifukwa chomwe amachepetsa - kayendetsedwe ka mkati mwa mulingo.

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Mwa munthu wathanzi, kuchuluka kwa shuga sikumaposa 6.6 mmol / L, komwe kumawerengedwa kuti ndi mtundu wa chizindikiro. Komabe, owonjezera nthawi imodzi pamiyeso iyi sindiye chifukwa chodera nkhawa kwambiri.

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Ngati kuchuluka kwa shuga kwaulere kumachulukitsidwa pafupipafupi, ndiyetu ndi nthawi yolumikizana ndi katswiri wa endocrinology yemwe angachite mayeso ofunikira, kuphatikiza kuyesedwa kwa magazi popondera shuga (kusintha kusala kwa glucose komanso katundu).

Chakudya chotsatira chikamadya kwa anthu athanzi komanso odwala matenda ashuga

Miyezo yokhazikika ya glucose ndiyo chofunikira kwenikweni kwa anthu. Kuphatikiza pa miyeso yam'mawa musanadye, miyezo iyeneranso kutengedwa mutatha - kuwonjezeka kwa shuga kwa shuga ndikofunikira kwambiri.

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Ngati tingayerekezere shuga wofanana ndi munthu wodwala matenda ashuga komanso wathanzi (60-120min atadya), ndizotheka kupeza zosowa zambiri za shuga pa glucometer:

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Munthu wathanzi	Mtundu woyamba wa shuga	Type 2 shuga
Pafupifupi 5.5 mmol / L (mpaka 7.0)	7.6-9.0 mmol / L	7.8-11 mmol / L

Nthawi yomweyo, kuwongolera shuga sikungokhudza miyeso yokhazikika komanso chakudya, komanso mtengo wa thupi - zolimbitsa thupi ndi zamaganizidwe.

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Muyezo wa shuga mutatha kudya ana

Mukamayang'ana mwana kuti adziwe za matenda obwera chifukwa cha matenda ashuga, kuyesedwa kwa glucose kumachitika - kukhazikika m'magazi kumayesedwa pamimba yopanda kanthu ndipo patatha maola awiri atamwa njira yothetsera shuga (magazi a shuga ndi katundu).

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Ngati chizindikirocho chikuchepera 7.0 mmol / l, mwana amawonekera wathanzi.

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Makhalidwewa akafika mpaka 11 mmol / L ndi kukwera, pamakhala mwayi woti chitsimikiziro cha matenda ashuga kapena chiwopsezo chotukula. Magazi a shuga m'magawo mwa ana atatha kudya akhoza kuwonetsedwa patebulo lotsatira:

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Kuyeza nthawi mukatha kudya	Mulingo wochepera (mmol / l)
60 min	7,7
120 min	6,6

Nthawi yomweyo, malingaliro a akatswiri azachipatala amasiyana m'njira zambiri - ambiri aiwo amakhulupirira kuti kuchuluka kwa shuga mwa mwana kuyenera kutsitsidwa ndi 0,6 mmol / l kuposa mwa munthu wamkulu.

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Zomwe zili pamwambazi sizokhazo zowona, chifukwa zambiri zimatengera chakudya chomwe munthu amatenga.

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Kusala kudya

Kuyesa shuga mutagona chakudya cham'mawa musanadye kadzutsa (pamimba yopanda kanthu) sikumayesedwa ngati cholondola pazifukwa zodziwitsa.

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Ndi chitukuko cha matenda a shuga, kukwera kwakukulu m'magazi a shuga kumachitika pambuyo chakudya ndipo m'mawa kumatha kubwereranso mwakale, komwe kumafanana ndi munthu wathanzi.

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Nthawi yomweyo, kuwonjezeka kwa shuga mutatha kudya pang'onopang'ono kumawononga thupi, ndipo zovuta zimayamba.

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Chifukwa chake, pamene zizindikiro za matenda a shuga zimawonetsedwa, tikulimbikitsidwa kukaonana ndi katswiri wa endocrinology ndikukumayesa mayeso oyambira amtengo wapatali a glycemic, kuphatikizapo kuyezetsa magazi kwa shuga kuchokera m'mitsempha.

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Kapena kuyezetsa mayeso pogwiritsa ntchito mita osati pamimba yopanda kanthu, komanso ola limodzi ndi awiri mutatha kudya.

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Zizindikiro zoyambirira mwa munthu wathanzi

Ngati mukukayikira kukhazikika kwa matenda ashuga komanso chikhalidwe chofulumira pakupanga shuga m'magazi, chizindikiro chachikulu cha matendawa chimawonekera mukatha kudya, popeza kuwonjezeka kwa glucose kumachitika nthawi imeneyi.

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Makamaka, ndikofunikira kuzindikira izi za kuphwanya kwadwala kagayidwe kazakudya:

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kuchepa kwa masomphenya
ludzu losalekeza
njala
pafupipafupi zovuta zamano
chizungulire atadya,
utachepa wobwezeretsa ntchito (mabala amachiritsa bwino).

Chilichonse mwazizindikirozi zikuwonetsa kukula kwa matenda ashuga amtundu wakale.

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Kangati patsiku muyenera kuyeza shuga

Kuti muthane ndi vuto lanu la matenda osokoneza bongo kumafunikira kukhazikitsa pulogalamu yoyeserera payokha.

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Izi ndichifukwa choti matenda aliwonse omwe afotokozedwa amatuluka malinga ndi kusiyanasiyana kwa ena, kwa ena, shuga amadzuka pamimba yopanda kanthu pambuyo chakudya choyamba, komanso kwa munthu madzulo okha, atadya chakudya.

Chifukwa chake, pokonzekera mtundu wa shuga, momwe zimakhalira nthawi zonse ndi glucometer ndizofunikira.

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Kusintha kwakukulu kwa mayeserowa ndikuwongolera moyenera ma shuga a magazi malinga ndi dongosolo lotsatira:

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atangogona
usiku kupewa matenda a hypoglycemic,
pamaso chakudya chilichonse,
pambuyo 2 maola mutatha kudya,
ndi zizindikiro za matenda ashuga kapena kukayikira kukwera / kuchepa kwa shuga,
kale komanso pambuyo pa kupsinjika kwakuthupi ndi kwamaganizidwe,
musanaphedwe ndi ola lililonse machitidwe omwe amafunikira kuwongolera kwathunthu (kuyendetsa, ntchito yowopsa, ndi zina).

Nthawi yomweyo, ndikulimbikitsidwa kuti azisunga zolemba zawo poyeza komanso kudya zakudya.

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Izi zikuthandizani kuti muzindikire molondola zomwe zimayambitsa kukula ndi kuchepa kwa shuga ndikupanga njira yabwino yobweretsera chizindikirochi kukhala chabwinobwino.

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Kuyeza shuga ndi glucometer - malangizo ndi gawo

Kugwiritsa ntchito glucometer yanyumba kudziwa miyeso ya shuga m'magazi a capillary sikutanthauza kuyesetsa kwapadera kapena kuyembekezera kwakutali chifukwa chotsatira - njirayi ndiyosavuta ndipo siyigwira ntchito kwa owawa.

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Koma musanagwiritse ntchito chipangizochi, ndibwino kufunsa munthu waluso (mwachitsanzo, dokotala) kuti awonetse maluso ndi chitsanzo chabwino.

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Ngati izi sizingatheke, mungathe kutsatira ma algorithm otsatirawa:

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Sambani manja. Ndikofunika kugwiritsa ntchito sopo munjira iyi, koma mowa suyenera kugwiritsidwa ntchito.
Ndikulimbikitsidwa kutenthetsa dzanja kuti magazi azituluka kwambiri mpaka kumiyendo ya zala - kugwira ntchito ndi nkhonya kapena kutentha ndi mtsinje wamadzi ofunda.
Malo opumira amakhala owuma, chifukwa madzi amatha kuchepetsa magazi ndikusokoneza zotsatira zoyesa.
Mzere woyezera umayikidwa mu chipangizocho. Musanayeze, onetsetsani kuti "Chabwino" chikuwonekera pazenera.
Chala chake chimakhomedwa pogwiritsa ntchito lancet yodziika-yokha (singano yofiyira) kapena chofanizira chamakono cha singano ya Frank.
Sikulimbikitsidwa kugwiritsa ntchito dontho loyamba mutapumira poyeza, yachiwiri ndiyabwino. Iyenera kuyikidwa mu mzere wa mtanda.
Pambuyo kanthawi (kutengera wopanga ndi mtundu wake), zotsatira za cheketi zikuwonetsedwa pazenera la chipangizocho.

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Kuphatikiza pa kuyang'ana magazi kuchokera chala kuchokera mu chala ngati mulingo wabwinobwino wa shuga, kusankha kwa ma pini pa dzanja kapena dzanja kumaloledwa, zomwe ndizofunikira pakuwongolera kwathunthu.

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Pankhaniyi, muyenera kudziwa kuti miyezo ya shuga yamagazi mwa akazi siyosiyana kwambiri ndi zofunikira zomwezo kwa abambo.

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Zambiri zomwe zapezedwa ziyenera kukumbukiridwa mu diary yanu momwe mulinso ndi nyengo. Izi ndizomwe zimathandizira pochiritsidwacho ndikuzindikira zolakwika zake zonse.

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Kuwongolera kutsimikizika kwa zotsatira za chipangizocho, tikulimbikitsidwa kusunga misonkhano iyi:

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Kutsatira kwathunthu malangizo omwe aperekedwa ndi mita.
Kugwirizana ndi malo osungirako mizere yoyeserera.
Osagwiritsa ntchito zingwe mutatha tsiku lotha ntchito.
Kukambirana ndi akatswiri azaumoyo pakugwiritsa ntchito bwino mita.

Kufufuza kuchuluka kwa shuga m'magazi anu mwa kuyeza kuchuluka kwa magazi anu ndikusinthira kuchuluka kwa magazi anu kukhala kwazonse ndi gawo lofunikira pochiza matenda ashuga.

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Palibe njira zina zowongolera matenda amtunduwu ndikuchepetsa mwayi wokhala ndi zovuta zazikulu.

Mwazi wa shuga wamagazi mukayezedwa ndi glucometer: tebulo la zaka

Popita nthawi, thupi la munthu limasintha. Kuphatikizira mmenemo ndende ya shuga imasinthanso. Izi zimachitika makamaka chifukwa chakuti pamene ziwalo zimakula, zimakhala ndi mphamvu zochulukirapo zomwe zimafunikira pakuchita bwino.

Tsimikizani kudalira kwa kuchuluka kwa shuga m'magazi pazaka, mutha kuwerenga tebulo pansipa:

M'badwo	Mtengo wabwinobwino wama glucose (wotchulidwa mmol pa lita imodzi)
kuyambira masiku 2 mpaka 30	kuyambira 2.8 mpaka 4.4
kuyambira mwezi mpaka zaka 14	kuyambira 3,3 mpaka 5.6
kuyambira wazaka 14 mpaka 60	kuyambira 4.1 mpaka 5.9
kuyambira zaka 60 mpaka 90	kuyambira 4,6 mpaka 6
Zaka 90 ndi kupitilira	4,2 mpaka 6.7

Kuphatikiza apo, deta iyi ikhoza kugwiritsidwa ntchito ngati chitsogozo pakugwiritsa ntchito mita. Monga mukuwonera, ana ochepa kwambiri amakhala ndi shuga wotsika kwambiri. Izi ndichifukwa cha zinthu ziwiri.

Choyamba, matupi awo amangosinthana ndi chilengedwe ndipo sadziwa kuti mulibe mphamvu zochuluka motani. Kachiwiri, makanda safunikira shuga wambiri kuti akhale ndi moyo nthawi zonse.

Pakapita mwezi umodzi kuchokera pakubadwa, kuchuluka kwa shuga kwa mwana kumakulirakulira mpaka atafika zaka 14.

Zachidziwikire, ngati thupi siliyenda bwino (makamaka, shuga sawoneka). Kenako munthu amalowa muchikulire, chomwe amafunikira mphamvu zambiri.

Ngati chizindikiro cha glucose chatsika pansi pa 4.1, izi zikuwonetsa kuti hypoglycemia, ndipo ngati itakwera pamwamba 5.9 - pafupifupi hyperglycemia.

Kwa anthu achikulire, 4.6-6 amaonedwa ngati ponseponse. Koma agogo omwe adawoloka malire ali ndi zaka 90, shuga sangakhalepo pafupifupi 4.2-6.7. Monga mukuwonera, chizindikiro chotsika chatsika pang'ono. Izi ndichifukwa cha kufooka kwa thupi lakale.

Kodi mita imawerengera chiyani?

Tsopano mutha kupita ku chinthu chachikulu, chomwe, ndizomwe manambala omwe chipangizochi chikuwonetsa.

Malingaliro ena ayenera kuwonedwa mwatsatanetsatane:

yoyamba ndi 5.5 mmol pa lita. Kwa munthu wamkulu (wazaka 14-60), msambowu uli pafupi kulowa pafupi. Sizitanthauza kuti shuga wamwazi ndiwokwera kwambiri, koma ndi mwayi woganizira za kuchepa kwake. Chiwerengero chomaliza ndi 5.9. Komabe, ngati kuchuluka kwa glucose komwe kumawonetsedwa mwa khanda, kuyenera kuwonetseredwa kwa dokotala,
ngati mita ikuwonetsa pansipa 5.5 mmol pa lita, palibe chifukwa chodera nkhawa. Koma, zachidziwikire, ziwonetsero kuti chiwerengero chofananira sichili chochepera 4.1 (kapena 3.3 kwa ana ndi achinyamata). Kupanda kutero, chizindikirochi chikuwonetsa hypoglycemia, ndicho chifukwa chochezera ndi dokotala kapena kuyimbira ambulansi,
pamene 5.5 mmol ilipo pazenera la chipangizocho, sikofunikira kuchita chilichonse chomwe chikufuna kuchepetsa shuga. Ngakhale kupatuka pang'ono kuchokera pa nambala yowonetsedwa sikuwonetsa vuto lalikulu (kupatula kwa ana makamaka makanda). Kumbali ina, kuwonjezereka kwa chizindikiro ichi mwaopitilira 4-5 ndi chifukwa chabwino chopita kwa dokotala.

Zimayambitsa kupatuka kwa glucose wa plasma kuchokera kwabwinobwino

Iwo omwe samadwala matenda ashuga, koma adapeza shuga wambiri m'matupi awo, sayenera kuda nkhawa kwambiri ndi izi.

Makhalidwe a glucose amatha kukhala okwera kapena otsika, kuphatikiza mwa anthu athanzi. Chifukwa chake, zingayambitse:

Payokha, ziyenera kunenedwa za mowa. Kugwiritsa ntchito kwambiri nthawi zambiri kumapangitsa kusintha kwa kapamba. Izi, zimabweretsa kusintha kwa Zizindikiro pamamita.

Chifukwa chake, kuyesa shuga pambuyo pamadyerero, komanso kuposanso nthawi yayitali, kulibe phindu. Izi sizikuwonetsa momwe thupi liliri, koma lokhalo lomwe lilipoli, lomwe limayambitsidwa ndi ethanol ndi poyizoni wazinthu zomwe zimawola.

Chifukwa chake, ngati kuchuluka kwa shuga kumapitirira pamwambapa, ndipo palibe zizindikiro zotsatirazi, simungathe kukaonana ndi dokotala. Muyenera kuyesayesa kuti mupumule, kenako mkhalidwewo ubwerere mwakale.

Makamaka, izi ndizodziwika bwino pakusintha kwa endocrine system: pheochromocytoma, glucoganoma, and thyrotoxicosis. Amayambanso chifukwa cha impso, chiwindi ndi kapamba.

Kuwerengedwa kwa glucose osavomerezeka kumawonetsanso matenda oopsa.

Makamaka, shuga wochepa kapena wapamwamba nthawi zonse umawonedwa pamaso pa zotupa mu kapamba, ndipo nthawi zina ndi ma oncologies ena. Chizindikiro chimodzi cha kulephera kwa chiwindi ndikupezekanso m'magazi a shuga.

Koma nkovuta kukayikira matenda omwe atchulidwa mnyumba chifukwa cha zisonyezo zam'magazi. Chowonadi ndichakuti ndi kupezeka kwawo nthawi zonse pamakhala mawonekedwe ena onse.

Makanema okhudzana nawo

Kunamizira zinthu zomwe zimawonetsedwa ndi mita ndikosavuta, komanso kugwira ntchito ndi chipangacho. Kuti muphunzire kumvetsetsa zowerengera za chipangizocho, kwakukulu muyenera kudziwa chinthu chimodzi chokha - tebulo lomwe limawonetsa kuchuluka kwa shuga m'mibadwo yosiyana. Ngakhale mutha kudutsa ndi zisonyezo zokhazokha zaka zanu, zomwe ndizosavuta.