Kusanza ndi kusanza mu shuga

Khansa ya m'magazi ndi chimodzi mwazizindikiro zomwe zimayambitsa matenda ashuga. Nthawi zambiri amakhala akusautsika pafupipafupi, osamveka omwe amakakamiza munthu kuti apereke magazi kwa shuga ndikuyamba kuphunzira za matenda awo kwa nthawi yoyamba.

Mwaumoyo wathanzi, kumverera mseru komanso kufuna kusanza, monga lamulo, kuyesa poizoni wa chakudya, kudya kwambiri komanso zovuta zina zam'mimba, koma mwa odwala matenda ashuga ndizosiyana.

Odwala omwe ali ndi matenda ashuga, kunyansidwa komanso kwambiri kusanza ndi chizindikiro cha kukula kwa zovuta zowopsa, zomwe popanda kulandira chithandizo chamankhwala panthawi yake zimabweretsa zovuta kwambiri. Chifukwa chake, mu matenda ashuga, sizoyenera kuti chizindikiro ichi chizinyalanyazidwa, koma chifukwa chake ziyenera kukhazikitsidwa ndipo wodwalayo ayenera kuthandizidwa.

Chifukwa chachikulu chomwe chimapangitsa mseru kupezeka mtundu wachiwiri wa shuga ndi shuga wambiri m'magazi, kapena, kusowa kwa glucose m'thupi.

Izi zimadzetsa mavuto akulu mthupi la wodwalayo, zomwe zingayambitse nseru komanso kusanza kwambiri.

Mseru ndi kusanza mu shuga nthawi zambiri zimawonedwa ndi zotsatirazi zovuta:

1. Hyperglycemia - kukwera kowopsa kwa shuga m'magazi,
2. Hypoglycemia - kuchepa kwakukulu kwa shuga m'thupi,
3. Gastroparesis - kuphwanya kwam'mimba chifukwa cha chitukuko cha neuropathy (kufa kwa minyewa ya mitsempha chifukwa cha zotsatira zoyipa za kuchuluka kwa shuga),
4. Ketoacidosis - kuchuluka kwa acetone m'magazi a wodwala,
5. Kumwa mankhwala ochepetsa shuga. Makamaka omwe amadwala matenda a shuga a Siofor, chifukwa kusanza ndi kusanza ndizotsatira zoyipa za mankhwalawa.

Ndikofunika kutsindika kuti wodwalayo amamva kuwawa ngakhale atangoyamba kumene kulipira, pamene zizindikiro zina zingakhalebe zisanachitike. Chifukwa chake thupi la wodwalayo limatha kuthana ndi mseru komanso kusanza kuti shuga asalole, zomwe zimatsogolera kukula kwa matenda ashuga amtundu wa 2.

Pakakhala chithandizo chofunikira, minofu yotsutsana ndi insulin imatha kuyambitsa kukomoka kwa hyperglycemic komanso kufa pambuyo pake kwa wodwalayo. Chifukwa chake, chithandizo chamankhwala chapanthawi yake ndizofunikira kwambiri kwa matenda ashuga.

Kuphatikiza pa mseru, zovuta zilizonse za shuga zimakhala ndi zizindikiro zake zomwe zimakupatsani mwayi wofufuza chomwe chimayambitsa matendawa komanso momwe mungachitire moyenera.

Hyperglycemia

• Ludzu lalikulu lomwe silingathetsedwe ndi madzi ambiri,
• Kupeputsa komanso kukodza pafupipafupi
• Kusanza, nthawi zina kusanza,
• Mutu waukulu
• Kusokonezeka, kulephera kukhazikika pa china chake,
• Zowonongeka: Maso amtundu kapena malo ogawanika
• Kupanda mphamvu, kufooka kwambiri,
• Kuchepetsa thupi, wodwala akuwoneka wosafunikira,
• Shuga wamagazi amaposa 10 mmol / L.

Osati akuluakulu okha, komanso ana amatha kudwala hyperglycemia, choncho ndikofunikira nthawi zonse kuwunika thanzi la mwana wanu, makamaka ngati amakonda kudandaula za mseru komanso kufuna kusanza.

Kuti muthandizire wodwalayo kuchuluka kwa shuga m'thupi, muyenera kum'patsa jakisoni wa insulin yochepa, ndikubwereza jakisoni musanadye.

Muzovuta kwambiri, mutha kusinthitsa kuchuluka kwa insulin tsiku lililonse kukhala mankhwala osakhalitsa, kupatula insulin yayitali. Ngati izi sizikuthandizani, ndiye muyenera kuyimbira foni dokotala.

Ketoacidosis

Ngati wodwala yemwe ali ndi hyperglycemia sathandizidwa pakapita nthawi, akhoza kuyamba kudwala matenda ashuga a ketoacidosis, omwe amawonetsedwa ndi zizindikiro zowopsa kwambiri:

• Ludzu lalikulu, madzi ambiri amwe,
• Kusanza pafupipafupi komanso kwakanthawi
• Kutaya kwathunthu mphamvu, kulephera kuchita zolimbitsa thupi ngakhale pang'ono
• Kuchepetsa thupi mwadzidzidzi,
• Ululu pamimba
• Kutsegula m'mimba mpaka mpaka 6 maola angapo,
• Mutu waukulu
• Kusakwiya, kuchita ukali,
• Kutopa, khungu limakhala louma kwambiri ndikusweka,
• Arrhythmia ndi tachycardia (pafupipafupi kugunda kwa mtima kosokoneza mitsempha),
• Poyamba, kukodza mwamphamvu, kenako kusowa mkodzo kwathunthu,
• Mpweya wamphamvu wa acetone
• Kupuma movutikira
• Kuletsa, kutayika kwa minyewa.

Wodwala matenda ashuga ayenera kudziwa zoyenera kuchita ngati ali ndi matenda ashuga a ketoacidosis. Choyamba, ngati wodwalayo ayamba kusanza pafupipafupi, amatsekula m'mimba kwambiri komanso kukodza kwambiri, izi zimamuwopseza ndi madzi am'madzi kwathunthu.

Pofuna kupewa izi, tiyenera kupatsa wodwalayo madzi amchere.

Kachiwiri, muyenera kumupatsa jakisoni wa insulin ndipo pakapita nthawi yochepa ayang'ane kuchuluka kwa shuga. Ngati sichigwa, ndiye kuti muyenera kufunafuna thandizo kuchokera kwa dokotala.

Hypoglycemia

Hypoglycemia imadziwika ndi zizindikiro monga:

1. Khungu lakuonekera pakhungu,
2. Kuchuluka thukuta,
3. Kugwedezeka thupi lonse
4. Kusweka mtima
5. Mphamvu yanjala
6. Kulephera kuyang'ana pa chilichonse
7. Chizungulire, mutu,
8. Nkhawa, kumva mantha
9. Masomphenya olakwika
10. Khalidwe losayenera
11. Kutaya kogwirizana,
12. Kulephera kuyenda pamtunda nthawi zambiri,
13. Mikwendo yambiri m'miyendo.

Hypoglycemia nthawi zambiri amakumana ndi matenda amtundu 1. Kuopsa kokhala ndi vutoli ndikofunikira kwambiri mwa mwana yemwe ali ndi matenda amtundu woyamba, chifukwa ana sangayang'ane momwe aliri.

Popeza taphonya kamodzi chakudya chokha, mwana wozungulira mafoni amatha kugwiritsa ntchito shuga mosavuta ndikugwa.

Gawo loyamba komanso lofunikira kwambiri pochiza matenda a hypoglycemia ndikupatsa wodwalayo chakumwa cha msuzi wa zipatso kapena tiyi. Madziwo amalowetsedwa mwachangu kuposa chakudya, zomwe zikutanthauza kuti shuga amalowa m'magazi mwachangu.

Kenako wodwalayo ayenera kudya zakudya zowonjezera zovuta monga mkate kapena phala. Izi zingathandize kubwezeretsa kuchuluka kwa shuga m'thupi.

Gastroparesis

Vutoli nthawi zambiri limafanana kwambiri ndi asymptomatic. Zizindikiro zazikulu za gastroparesis, monga kusanza mu shuga mellitus, zimayamba kuwonekera pokhapokha matendawa akamakula.

Gastroparesis ali ndi zizindikiro zotsatirazi, zomwe nthawi zambiri zimawonekera mukatha kudya:

• Kutentha kwadzaoneni ndi kuphuka,
• Kuphatikiza ndi mpweya kapena acid komanso kumva kukhuta komanso msimba m'mimba ngakhale mutatha supuni ziwiri za chakudya,
• Kumverera mosalekeza
• Vomiting bile
• Kulawa koyipa mkamwa
• Kudzimbidwa pafupipafupi, kutsatiridwa ndi matenda am'mimba,
• Kukhalapo kwa chakudya chosasokonezeka chopondapo.

Gastroparesis imayamba ngati kuwonongeka kwa mitsempha chifukwa cha kuchuluka kwa shuga m'magazi. Vutoli limakhudza minyewa yam'mimba, yomwe imayang'anira kupanga ma enzymes ofunikira ndikuyenda kwa chakudya m'matumbo.

Zotsatira zake, wodwalayo amakhala ndi ziwalo pang'ono zam'mimba, zomwe zimasokoneza chimbudzi cha chakudya. Izi zimabweretsa chakuti chakudya chimakhala m'mimba mwa wodwalayo nthawi yayitali kuposa anthu athanzi, zomwe zimadzetsa mseru nthawi zonse komanso kusanza. Makamaka m'mawa wotsatira ngati wodwalayo aluma kudya usiku.

Chithandizo chokhacho chothandiza pazomwezi ndikuwunikira kuchuluka kwa shuga m'magazi, omwe angathandize kukhazikitsa dongosolo logaya chakudya. Kanemayo munkhaniyi akukamba zina mwazomwe zimayambitsa matenda ashuga.

Chifukwa chiyani kusanza kumachitika mu shuga

Choyambitsa chake chachikulu mu shuga ndi kuchuluka kwa shuga, kapena, mosiyana, kuperewera kwake kwakukulu. Pankhaniyi, chiwindi sichitha kuthana ndi kukonza kwa poizoni, ndipo acetone imadziunjikira m'magazi.

Zomwe zimayambitsa kusanza mu shuga, kaya ndi mtundu wanji, zitha kufotokozedwa motere.

1. Gastroparesis. Ndi matendawa, ntchito yamagalimoto m'matumbo am'mimba imasokonekera, ndipo munthuyo amamva kukodzedwa kwamisala. Imadziwoneka ngati yakufa msanga, kutentha kwadzaoneni, kusowa kudya, kuchepa thupi, kufalikira. Makamaka, munthu amatha kuzindikira kudutsa kwa tinthu tambiri tomwe timatulutsa.
2. Kulekerera kwa shuga wambiri kungayambitsenso gal. Munthu akhoza kulakwitsa izi poizoni wazakudya. Kuperewera kwa mankhwalawa kumaopseza chitukuko cha "matenda" a shuga.
3. Hypoglycemia amathanso kutulutsa madzi m'mimba. Matendawa ndi oopsa kwa anthu, chifukwa amatha kupha.
4. Kumwa mankhwala omwe amalimbikitsa katemera wa insulin.
5. Ngati munthu wasowa nthawi yakumwa insulin.

Kuwopsa Kwa Kubwera M'matenda A shuga

Kupumira, nseru kapena matenda am'mimba mu shuga. Kupatula apo, zochitika ngati izi zimatha kuperewera kwa madzi m'thupi. Kutayika kwa madzimadzi, pomwe kumachulukitsa glucose, ndizowopsa: maola ochepa okha, kumatha kubweretsa kulephera kwa impso.

Thupi limayamba kutaya mosungira madzi, chifukwa m'matumbo mwake malo ake amagwa, ndipo maselo amatenga madzimadzi kuchokera ku magazi. Komabe, shuga salowa m'matumbo am'mimba, ndichifukwa chake kukhazikika kwake m'magazi kumawonjezeka kwambiri. Mwazi umakhala wamaso.

Chifukwa cha kuchuluka kwa magazi m'maso, zotumphukira zamatenda zimavutika, chifukwa shuga wambiri ndi insulin amaperekedwa kwa iwo. Kukana insulini kumayamba, komwe kumakulitsa shuga. Ndipo hyperglycemia imatsogolera ku kuchepa kwamphamvu kwam'madzi chifukwa cha kuchuluka kwa kusanza ndi kusanza.

Hyperglycemia kusanza

Kuchepetsa mseru komanso kusanza ndi shuga wokwanira kumawonetsa kukula kwa matenda a shuga. Mtsempha umayamba pamene chizindikiro cha glucometer chatha kupitilira chizindikiro 19. Wodwalayo amakhalanso ndi zotsatirazi:

• kusakhala ndi chidwi ndi zonse zomwe zimachitika,
• kupuma movutikira
• zosokoneza zowoneka
• mawonekedwe a ululu mumtima,
• miyendo kuzirala
• milomo youma ndipo imakhala yosalala.
• khungu likuwoneka
• utoto wonyezimira ukuoneka pamalirime.

Kusanza pafupipafupi ndi hyperglycemia ndi chiopsezo chachikulu kwa anthu. Chowonadi ndi chakuti pamkhalidwe uwu, munthu amakula kwambiri, komwe kumapangitsa kuti madzi athere. Kuchulukitsa kumachulukitsa madzi m'thupi.

Zambiri za kusanza ndi hypoglycemia

Nthawi zambiri imawoneka mu gawo loyambirira la hypoglycemia. Zizindikiro monga kukokana, chisangalalo chambiri chimayenera kusamala. Kutulutsa kosalekeza kwa zinthu za m'matumbo kumatha kuwonetsa kukhalapo kwa wodwala yemwe ali ndi vuto la hypoglycemic coma, yomwe imakhala yoopsa kwambiri yomwe ndi mitsempha yotupa.

Milandu ya kusanza ndi hypoglycemia imachitika motsutsana maziko a vuto la kagayidwe kachakudya. Mwachitsanzo, wodwalayo adakulitsa kuchuluka kwa insulin kapena kudumphira chakudya. Zotsatira zake, shuga wochepa, komanso acetone, imatsimikizika m'magazi. Kenako, zinthuzi zimathandizira kuti kusanza kusambe.

Kusungunuka ndikothekanso ndi matenda otchedwa insulin overdose syndrome. Kuchokera pamenepa, chizindikiritso cha glucose m'thupi chimadumpha, ndipo amayamba kuchitapo kanthu ndi kusanza.

Kusanza kwa ketoacidosis

Pakakhala kusowa kapena kusowa kwa insulini m'magazi, maselo sangatenge glucose ngati gwero lamphamvu. Kuwonongeka kwamafuta kumachitika, ndipo chifukwa cha iwo matupi a ketone amapangidwa. Ngati matupi a ketone ambiri azungulira m'magazi, impso sizikhala ndi nthawi yochotsa matupi awo. Chifukwa cha izi, acidity yamagazi imakulanso.

Ndi ketoacidosis, odwala ali ndi nkhawa:

• nseru
• kusanza
• kufooka kokulirapo
• ludzu lalikulu
• kupuma pafupipafupi (Kussmaul),
• fungo lakuthwa la acetone pamkamwa,
• kukodza,
• khungu louma ndi nembanemba
• ulesi, ulesi ndi zizindikiro zina zamavuto a chapakati mantha dongosolo.

Chifukwa cha kuchuluka kwa matupi a ketone mthupi, kusokonezeka kwa zochitika ndi kuyamwa kwam'mimba kumachitika. Zimasanza pafupipafupi. Ndipo izi ndizowopsa ndi ketoacidosis, chifukwa thupi limakhala ndi vuto loti timatha madzi am'mimba chifukwa cha matenda ashuga. Odwala amafunikira kuchipatala mwachangu.

Zoyenera kuchita ndikusanza nthawi ya shuga

Ngati mukudwala matenda ashuga ndipo mukufuna kuti musambe, muyenera kusala kudya. Amaloledwa kumwa madzi ndi zakumwa zina zomwe zilibe chakudya. Kwa odwala matenda a shuga omwe amadalira insulin, insulin yayitali iyenera kugwiritsidwa ntchito kuwongolera shuga. Simuyeneranso kusiya kumwa mapiritsi a shuga.

Ngati mapiritsi amayenera kuti aledzeretse asanadye, amathetsa kwakanthawi. Izi sizoyambitsa spikes mu shuga. Komabe, insulin ikadafunikabe kubayidwa, popeza kuopsa kwa kulumpha lakuthwa mu shuga kumatsalira. Muyenera kubaya insulin kwakanthawi panthawi ya matenda opatsirana ndikusanza.

Mankhwala ena amalimbikitsa kuchepa kwa madzi m'thupi. Chifukwa chake, kulandira kwawo kuyenera kuyimitsidwa kwakanthawi. Mankhwalawa amaphatikizapo:

• okodzetsa
• ACE zoletsa
• angiotensin receptor blockers,
• mankhwala osagwiritsa ntchito mankhwala a anti-yotupa, makamaka, Ibuprofen.

Mwambiri, pakakhala kusanza mu shuga mellitus, ndikofunikira kukambirana ndi dokotala kulandira chithandizo chamankhwala onse. Izi zikuthandizani kupewa zovuta za matenda ashuga.

Munthu amene akusanza matenda ashuga, mosatengera mtundu wake, ayenera kuphunzira kuugwira. Choyamba, muyenera kumwa madzi. Ngati sichisiya, njira yokhayo yotumizira ndikuyitanitsa adokotala kuti agonekere kuchipatala. Ku chipatala, wodwala amalandira kukapumira kwa madzi ndi ma elekitirodi. Ndi zoletsedwa kumwa mankhwala aliwonse a antiemetic.

Ngati kusanza kwasiya, muyenera kumwa madzi kuti muchepetse madzi m'thupi. Muyenera kumwa pang'ono, kuti musayambitse kuyambanso. Bola ngati madzi ali firiji.

Aliyense wodwala matenda ashuga ayenera kuyang'anitsitsa zizindikiro za matendawa kuteteza kusowa kwamadzi ndi zovuta zake.