Momwe mungawerengere shuga masana masana ndi popanda glucometer

Monga zikuwonetsa kusala, kuwunika kuchuluka kwa glucose musanadye chakudya kumapereka zofunika zenizeni za glycemia. Akatswiri ena pankhani ya matenda ashuga amawatcha mayendedwe oyambira.

Ngati chiwonetsero chanu choyambirira chili mu malo omwe analimbikitsidwa, mulingo wa hemoglobin wa glycated ulinso wabwinobwino, ndiye kuti kuyeza shuga wamagazi mukatha kudya sikofunikira. Ngati shuga wanu wamagazi ali pakati pa 4.4 ndi 7.8 mmol / L, ndiye kuti kulumpha kwake kungadutse manambala.

Miyeso Yam'mbuyo ya Chakudya Cham'mawa

Kuyang'ana glucose wanu wamagazi mukatha kudya kumathandiza ngati HbA1C yanu ili yachilendo. Miyeso imeneyi ndiyofunikanso kuwunika momwe mankhwalawa amathandizira. Zotsatira zake zimapereka lingaliro la kuchuluka kwa kuchuluka kwa glycemia kwa zakudya zina.

Kuyambira mu 2015, malingaliro a ACE pazisonyezo za chakudya cham'mawa awiri ali pansi pa 7.8 mmol / L. Joslin Diabetes Center ndi American Diabetes Association amakhala pa manambala ochepera 10 mmol / L.

Chofunikira - sinthani malingaliro!

Kwa anthu ambiri, kuwongolera matenda a shuga kumakhala kofanana ndi kugwira ntchito kwa tsiku lathunthu, ndipo zizindikiro za glycemic zomwe zimapitilira gawo la chandamale ndizopenga. Ndikofunika kuunikanso momwe amawaonera komanso momwe amawonera shuga wambiri komanso wotsika - m'malo mwa "kuyesa", ingoyang'anani.

Pankhani ya "kuyesa", zotsatira zitha kutanthauziridwa kuti "pass" kapena "zalephera". Zimatengera mtundu wa kutengeka. Kuwunikira kumatanthauza kutenga zidziwitso ndikusintha njira yothandizira.

Kodi glucometer ndi chiyani?

Ma glucometer ndi zida zoyezera zizindikiro za glucose. Chipangizochi chimakulolani kuti muchepetse kuchuluka kwa shuga m'magazi. Kupanga mayeso a shuga kunyumba, magazi atsopano a capillary amagwiritsidwa ntchito.

Kugwiritsa ntchito moyenera kusanthula, kuchuluka kwa shuga m'magazi ndi glucometer ndikofunikira chifukwa chodalirika kwambiri, komabe, glucometer silingaganizidwe ngati kufanana kwathunthu ndi mayeso akale a labotale.

Izi ndichifukwa choti chipangizocho chili ndi zolakwika zingapo kuyambira khumi mpaka makumi awiri. Mukamasulira zomwe zikuwunikirazo, munthu ayenera kuyang'aniranso kuti zomwe zimapezeka pogwiritsa ntchito glucometer zitha kukhala zapamwamba mpaka khumi ndi zisanu ndi ziwiri kuposa zomwe zimapezeka mu labotale. Kusiyana kumeneku kumachitika chifukwa chakuti zida zina zimapenda plasma m'malo mwa shuga ya capillary.

Kuti muthane ndi muyezo woyenera wa shuga wamagazi, ndikofunikira kuti mupimidwe pafupipafupi ndi endocrinologist.

Tiyenera kudziwa kuti kwa odwala omwe ali ndi matenda ashuga, kuchuluka kwa shuga m'magazi ndi glucometer kumalola kuwunika mosamala kwambiri kuchuluka kwa shuga, chizindikiritso cha panthawi yake chofunikira chazakudya ndi mankhwala ochiritsira (kukonza mankhwala kuyenera kuchitika kokha ndi endocrinologist), ndikuchepetsa chiopsezo cha hyperglycemic ndi hypoglycemic.

Mfundo za magwiridwe antchito

Malinga ndi lingaliro la kuchitapo kanthu, ma glucometer amakono amagawidwa kukhala ma photometric ndi electrochemical.

Ma glucometer a Photometric ali ndi zolakwika zambiri ndipo amawonedwa kuti ndi otha ntchito. Ma electrochemical glucometer amadziwika ndi zolakwika zochepa, komabe, mukamagula, ziyeso zitatu zoyeserera ziyenera kuchitika.

Kuwongolera kuchuluka kwa glucometer ndi kulondola kwake, njira zothetsera zapadera zamagulu a shuga zimagwiritsidwa ntchito. Mlingo wolakwika mukagwiritsa ntchito zida zamagetsi sayenera kupitilira magawo khumi.

Malamulo oyesa kuchuluka kwa shuga kunyumba

Musanayesere shuga m'magazi, ndikofunikira kuyesa thanzi la katswiri. Kuti muchite izi, onetsetsani kuti:

• mutatha kuyatsa, magawo onse akuwonekera akuwonekera,
• chipangizocho chili ndi nthawi yoyenera komanso tsiku loyezera (ma glucometer amakono amatha kupulumutsa zosanthula, kukuthandizani kutsatira zotsatira za chithandizo champhamvu),
• chipangizocho chili ndi gawo lolamulira (mmol / l),
• Kuyika zodetsa pa chingwe choyesera ndikofanana ndi kukhazikitsa pazenera.

Tiyeneranso kukumbukira kuti ma glucometer ambiri amangogwira ntchito ndi zingwe zoyeserera zopangidwira mtundu uwu wa glucometer. Mukamagwiritsa ntchito poyesa zida zina, glucometer singagwire ntchito kapena kuwonetsa zotsatira zomwe zili ndi zolakwika zazikulu.

Ma Glucometer sangathe kugwiritsidwa ntchito muzipinda zozizira, kapena mwadzidzidzi chida chikangobweretsedwa kuchokera mumsewu (nthawi yozizira, nthawi yophukira). Pankhaniyi, muyenera kudikirira mpaka chipangizocho chikufunda kutentha.

Musanagwiritse ntchito mita, musapukute manja anu ndikupukuta konyowa, antiseptics, etc. Manja azitsukidwa ndi sopo ndikuwuma.

Malo omwe amaperekera matendawa amayenera kuthandizidwa ndi Mowa.

njira yogwiritsira ntchito mita kunyumba

Nthawi ndi momwe mungayetsere magazi moyenera ndi glucometer masana

Momwe mumafunikira kuyeza shuga wamagazi zimatengera kuuma kwa mkhalidwe wa wodwalayo. Monga lamulo, wodwalayo akulimbikitsidwa kuti apenye shuga:

• m'mimba yopanda kanthu m'mawa
• Maola awiri mutadya nkhomaliro komanso chakudya chamadzulo.

Odwala omwe ali pachiwopsezo chachikulu cha kukhala ndi nocturnal hypoglycemia ayenera kuyeza shuga m'magawo awiri mpaka atatu m'mawa.

Malinga ndi zikuwonetsa, wodwalayo amatha kuwonetsedwa kuti awunike asanayambe kudya kapena atadya, asanayambe kuchita masewera olimbitsa thupi, insulin, asanagone, ndi zina zambiri.

Komanso, kuyesedwa kwa magazi kunyumba kuyenera kuchitidwa mukangoyamba kumene kwa kusintha kwa shuga.

Kuyeza shuga ndi glucometer: malangizo a pang'onopang'ono

Pambuyo pofufuza thanzi la chipangizocho ndikukonzekera malo opumira, ikani chingwe choyeserera ndikuwonetsetsa kuti kusokonekera kwa mzere kukufanana ndi kutsekera pazenera (zida zina zimazindikira kusungidwa).

1. Kuti muchepetse kukhathamiritsa kwa magazi, tikulimbikitsidwa kuti mugwade ndikumasulira zala zanu maulendo angapo kapena kutikita minofu (musanamwe mankhwala).
   Chala chakupunthwa chizisinthidwa pafupipafupi.
2. Zitachitika izi, chala chimayenera kugwidwa ndi chodzikongoletsera (singano zotayidwa, komanso zingwe, kugwiritsanso ntchito kwawo ndikosavomerezeka).
   Magazi akawoneka, gundani chingwe choyeserera nacho. Dontho la magazi limafunikira phunziroli, sikofunikira kunyowetsa mzere wonse ndi magazi.
3. Gulu la magazi likachitika molondola, chipangizocho chimatulutsa mawu omveka. Kenako, masekondi asanu mpaka asanu ndi atatu (kutengera chipangizocho), zotsatira zake zimawonekera pazenera.

Kuti muchepetse chiwopsezo cha zolakwika zakusintha kwa shuga tokha, malangizo ochokera kwa wopanga ayenera kuphunzitsidwa musanagwiritse ntchito chipangizocho.

Shuga wapamwamba - zizindikiro ndi zizindikiro

Zizindikiro za hyperglycemia zitha kuwonetsedwa ndikuwoneka ndi ludzu kwambiri, kuyanika kwamkati mwa mucous, kukodza kwamkodzo (makamaka usiku), kutopa kwambiri, kugona, kuwonda, kuchepa khungu pafupipafupi, matenda obwera pafupipafupi a khungu ndi mafangasi, dzanzi la miyendo, khungu lopanda khungu etc.

Kuwonjezeka kowopsa kwa glucose kumatha kutsatiridwa ndi tachycardia, ludzu, mawonekedwe a fungo la acetone, ulesi, nseru, kukodza pafupipafupi, kuchepa thupi, ndi zina zambiri.

Zizindikiro zochepetsa shuga m'magazi zimaphatikizapo nkhawa, kunjenjemera, madera akuthyoka, mantha, mantha, nkhanza, kuleza mtima, kusayenda bwino, kusokonekera, kusokonezeka kwa malo, nseru, kukhumudwa kwa magazi, kuthamanga kwa magazi (kuthamanga kwa magazi), kukhudzika kwa khungu , kusanza, mseru, maonekedwe a ana opukusika ndi kusawona momwe amathandizira pakuwala, kukomoka, mawonekedwe a matenda amitsempha, etc.

Mndandanda wa miyezo ya muyezo wamagazi ndi glucometer

Mfundo za shuga zimadalira msika wa wodwala. Palibe kusiyana pakati pa amuna ndi akazi m'magulu a shuga.

Tebulo la kuyesa shuga m'magazi pazaka zathu (za anthu athanzi):

Mitengo ya shuga m'magazi a odwala matenda ashuga atha kusiyana pamiyeso yoyenera. Izi ndichifukwa choti, kutengera ndi kuopsa kwa matendawa, endocrinologist imawerengera munthu aliyense wodwala matenda ake.

Ndiye kuti, kwa wodwala yemwe ali ndi matenda ashuga (shuga mellitus) chizindikiritso chabwino pamimba yopanda kanthu akhoza kukhala mulingo wokhala pansi mpaka zisanu ndi ziwiri mpaka zisanu ndi zitatu mol / l etc.

Momwe mungayang'anire shuga m'magazi kunyumba popanda glucometer

Zipangizo zomwe zimazindikira kuchuluka kwa shuga popanda kuthana ndi magazi (ndi kuthamanga kwa magazi ndi kukoka kwa wodwalayo) zikadakulidwabe. Tekinolojeyi imawonedwa kuti ndiyabwino, koma pakadali pano kulondola kwa zinthu zotere sikulola kuti izi zisinthe ndi mayeso a labotale yakale.

Ngati ndi kotheka, pakukonzekera zizindikiro za glucose, machitidwe apadera oyesa Glucotest ® angagwiritsidwe ntchito.

Mosiyana ndi glucometer, mizere ya Glukotest ® imagwiritsidwa ntchito kuti mudziwe mankhwala a mkodzo.

Njirayi imachokera ku mfundo yoti glucose amawonekera mumkodzo pomwe milingo yake m'magazi imakwera ndi oposa 8 mmol / l.

Pankhaniyi, kuyesaku sikumvera kwenikweni kuposa glucometer, koma amakupatsani mwayi kuti muwone kuchuluka komwe kumatulutsa m'magazi a glucose.

Zingwe zoyesera zimapangidwa ndi pulasitiki. Ma Reagents amawaika mbali imodzi ya Mzere. Gawo ili la mzere limagwera mkodzo. Nthawi yomwe zotsatira zake ziyenera kuwunikiridwa zikuwonetsedwa mu malangizo a mizera (nthawi zambiri miniti imodzi).

Pambuyo pake, mtundu wa chizindikiro umayerekezeredwa ndi sikelo pamaphukusi. Kutengera chithunzithunzi cha chizindikirocho, kuchuluka kwa shuga m'magazi amawerengedwa.

Ndi manambala ati am'magazi omwe amawoneka kuti ndi abwinobwino?

Kuti mudziwe kupezeka kwa matenda a zamitsempha, muyenera kudziwa za kuchuluka kwa glycemia. Ndi odwala matenda ashuga, manambala ndiokwera kwambiri kuposa munthu wathanzi, koma madokotala amakhulupirira kuti odwala sayenera kuchepetsa shuga yawo mpaka malire. Zizindikiro zoyenera ndi 4-6 mmol / l. Zikatero, wodwalayo amamva bwino, achotsa matenda a m'mimba, kukhumudwa, kutopa kwambiri.

Mitundu ya anthu athanzi (mmol / l):

• malire ochepa (magazi athunthu) - 3, 33,
• omangidwa (magazi onse) - 5.55,
• m'munsi (mu plasma) - 3,7,
• khomo lakumwamba (mu plasma) - 6.

Ziwerengero zisanachitike komanso pambuyo pake za kuyamwa kwa zinthu zomwe zimapangidwa m'thupi zimasiyana ngakhale mwaumoyo, chifukwa thupi limalandira shuga kuchokera kwa chakudya monga zakumwa ndi zakumwa. Munthu akangodya, glycemia imadzuka ndi 2-3 mmol / l. Nthawi zambiri, kapamba amatulutsira insulini m'madzi m'magazi, yomwe imayenera kugawa mamolekyulu am'magazi ku minofu ndi maselo amthupi (kuti apereke mphamvuyi).

Zotsatira zake, zizindikiro za shuga ziyenera kuchepa, ndikusintha mkati mwa maola ena 1-1.5. Poyerekeza ndi za matenda ashuga, izi sizichitika. Insulin siyipangidwa mokwanira kapena mphamvu yake imachepa, kotero glucose ochulukirapo amakhalabe m'magazi, ndipo zimakhala zowonjezera zili ndi vuto la mphamvu. Mwa odwala matenda ashuga, msambo wa glycemia mukatha kudya umatha kufika 10-13 mmol / L wokhala ndi mulingo wabwinobwino wa 6.5-7,5 mmol / L.

Kuphatikiza pa mkhalidwe waumoyo, zaka zomwe munthu amapeza akamayeza shuga zimakhudzidwanso ndi zaka zake:

• makanda obadwa kumene - 2,7-4.4,
• mpaka wazaka 5 - 3.2-5,
• ana asukulu ndi akulu osakwana zaka 60 (onani pamwambapa),
• zaka zopitilira 60 - 4.5-6.3.

Mitundu imatha kusintha payekhapayekha, poganizira mawonekedwe a thupi.

Momwe mungayesere shuga ndi mita yamagazi

Glucometer iliyonse imaphatikizapo malangizo ogwiritsira ntchito, omwe amafotokozera momwe amadziwira kuchuluka kwa glycemia. Pakuwombera ndi kugwiritsa ntchito zotsalira zazomera pazofufuza, mutha kugwiritsa ntchito zigawo zingapo (kutsogolo, khutu, ntchafu, ndi zina), koma ndibwino kupyoza pachala. Mu gawo lino, magazi amayenda kwambiri kuposa mbali zina za thupi.

Kudziwa kuchuluka kwa shuga m'magazi ndi glucometer molingana ndi mfundo ndi miyambo yomwe amavomerezedwa kumaphatikizapo izi:

1. Yatsani chipangizocho, ikani chingwe cholowera kuti muone kuti code yomwe ili pamalopo ikugwirizana ndi zomwe zikuwonetsedwa pazenera.
2. Sambani manja anu ndi kupukuta bwino, chifukwa kupeza dontho lililonse lamadzi kungapangitse kuti phunziroli likhale losalondola.
3. Nthawi iliyonse ndikofunikira kusintha gawo lazakudya zopangidwira. Kugwiritsa ntchito komweko malo omwewo kumapangitsa kuti pakhale mawonekedwe a kutupa, kumverera kowawa, kuchiritsa kwa nthawi yayitali. Sichikulimbikitsidwa kuti mutenge magazi kuchokera pachala chamanthu.
4. Lancet imagwiritsidwa ntchito poboola, ndipo nthawi iliyonse iyenera kusintha kuti isatenge matenda.
5. Dontho loyamba la magazi limachotsedwa pogwiritsa ntchito chikopa chowuma, ndipo chachiwiri chimagwiritsidwa ntchito poyesa mzere m'dera lomwe limagwiridwa ndi mankhwala agengents. Sikoyenera kufinya dontho lalikulu lamwazi kuchokera pachala, chifukwa timadzi tamatumbo timadzatulutsidwanso limodzi ndi magazi, ndipo izi zimabweretsa zosokoneza zenizeni.
6. Munthawi ya masekondi 20 mpaka 40, zotsatira zake zizioneka pa nthawi yoyang'ana mita.

Mukamayang'ana zotsatira, ndikofunikira kulingalira momwe mita ikuyendera. Zida zina zimapangidwa kuti ziyeze shuga m'magazi athunthu, zina mwa plasma. Malangizo akuwonetsa izi. Ngati mita ndi yoyipa ndi magazi, manambala 3.33-5.55 ndi omwe azikhala ofanana. Ndizokhudzana ndi mulingo uwu womwe muyenera kuwunika momwe mumagwirira ntchito. Kuwerengera kwa plasma kwa chipangizocho kukuwonetsa kuti zochulukirapo zidzaonedwa ngati zabwinobwino (zomwe zimakonda magazi ochokera m'mitsempha). Ndi za 3.7-6.

Momwe mungadziwire phindu la shuga ogwiritsa ntchito komanso wopanda matebulo, poganizira zotsatira za glucometer?

Kuyeza kwa shuga wodwala mu labotale kumachitika mwa njira zingapo:

• mutatenga magazi kuchokera kumunwe m'mawa pamimba yopanda kanthu,
• Pa maphunziro a biochemical (limodzi ndi chizindikiro cha transaminase, tizigawo ta protein, bilirubin, elekitirogili, ndi zina zambiri),
• kugwiritsa ntchito glucometer (izi ndizofanana ndi zamankhwala azachipatala zapadera).

Pofuna kuti asatenge pamanja, ogwira ntchito ku labotale amakhala ndi matebulo a makalata pakati pa mulingo wa capillary glycemia ndi venous. Manambala omwewo amatha kuwerengera pawokha, popeza kuwunika kwa shuga m'magazi a capillary kumawerengedwa kuti ndiwowonekera bwino komanso koyenera kwa anthu omwe sadziwa zachilengedwe.

Kuwerengera capillary glycemia, kuchuluka kwa shuga kwa venous kumagawidwa chifukwa cha 1.12. Mwachitsanzo, glucometer yomwe imagwiritsidwa ntchito pozindikira imapangidwa ndi plasma (mumawerengera malangizo). Chojambula chikuwonetsa zotsatira za 6.16 mmol / L. Musaganize mwachangu kuti manambalawa akuwonetsa hyperglycemia, popeza akawerengedwa kuchuluka kwa shuga m'magazi (capillary), glycemia adzakhala 6.16: 1.12 = 5.5 mmol / L, yomwe imawerengedwa kuti ndi chiwerengero chodziwika bwino.

Chitsanzo china: chipangizo chojambulidwa chimawongoleredwa ndi magazi (izi zikuwonezedwanso m'mayendedwe), ndipo malinga ndi zotsatira zakuzindikira, skrini imawonetsa kuti glucose ndi 6.16 mmol / L. Pankhaniyi, simukuyenera kuchita kuwerengetsa, chifukwa ichi ndi chizindikiro cha shuga m'magazi a capillary (mwa njira, chikuwonetsa kuchuluka).

Lotsatira ndi tebulo lomwe othandizira azaumoyo amagwiritsa ntchito kuti ateteze nthawi. Zimawonetsera kulumikizana kwa kuchuluka kwa shuga mu venous (malinga ndi chipangizocho) ndi magazi a capillary.

Kodi ma glucose mita ndi olondola motani, ndipo chifukwa chiyani zotsatira zake zimakhala zolakwika?

Kuwona kwa kuyesa kwa glycemic level kumadalira chipangacho chokha, komanso zinthu zingapo zakunja ndikutsatira malamulo ogwiritsira ntchito. Opanga okha amati zida zonse zonyamula shuga za magazi zimakhala ndi zolakwika zazing'ono. Zotsirizazo zimakhala 10 mpaka 20%.

Odwala amatha kukwaniritsa kuti chizindikiro cha chipangizocho chinali ndi cholakwika chaching'ono. Pachifukwa ichi, malamulo otsatirawa akuyenera kusamalidwa:

• Onetsetsani kuti mita ikuyenda kuchokera kwa akatswiri odziwa bwino zaumoyo nthawi ndi nthawi.
• Chongani kulondola kwa kufanana kwa code ya mzere woyezera ndi manambala omwe akuwonetsedwa pazenera la chida chofufuzira ngati atatsegulidwa.
• Ngati mumamwa mankhwala opha tizilombo toyambitsa matenda kapena misozi yonyowa kuti mugwiritse manja anu musanayesedwe, muyenera kuyembekezera mpaka khungu liume kwathunthu, kenako pokhapokha muzindikire.
• Kukwirira dontho la magazi pamiyala yoyeserera sikulimbikitsidwa. Zingwezo zimapangidwa kuti magazi alowe m'malo awo pogwiritsa ntchito mphamvu ya capillary. Ndikokwanira kuti wodwalayo abweretse chala m'mphepete mwa zone yothandizidwa ndi ma reagents.

Kubwezera kwa shuga matenda a shuga kumatheka mwa kusunga glycemia m'njira yoyenera, osati pokhapokha, komanso pambuyo poti chakudya chatha. Onetsetsani kuti mwawunika mfundo zanu za zakudya zomwe mumadya, siyani kugwiritsa ntchito zakudya zamagetsi zomwe zimapezeka mosavuta kapena muchepetse kuchuluka kwake muzakudya. Ndikofunika kukumbukira kuti kuchuluka kwa glycemia kwa nthawi yayitali (ngakhale mpaka 6.5 mmol / l) kumawonjezera chiopsezo cha zovuta zingapo kuchokera ku zida zam'kati, maso, mtima ndi dongosolo lamanjenje.

Momwe mungadziwire malire a zaka za shuga wamagazi pogwiritsa ntchito glucometer

Kuyesedwa kwa glucose komwe kwatchulidwaku kumachitika kuti mudziwe njira yotsalira ya matenda a shuga, komanso kumatsimikizira matenda omwe amalepheretsa mayamwidwe, hypoglycemia.

NTG (kulolerana kwa shuga) - ndi chiyani, adokotala amafotokozera mwatsatanetsatane. Koma ngati chikhalidwe chololera chikuphwanyidwa, ndiye kuti theka la anthu odwala matenda ashuga amayamba zaka zopitilira 10, 25% izi sizisintha, ndipo 25% imazimiririka.

Kusintha kwa kulolerako kumathandizira kutsimikiza kwa zovuta za carbohydrate metabolism, zobisika komanso zowonekera. Ziyenera kukumbukiridwa mukamayesa mayeso omwe phunziroli limakupatsani mwayi wofotokozera za vutoli, ngati mukukayika.

Kuzindikira koteroko ndikofunikira makamaka pazinthu ngati izi:

• ngati palibe chizindikiro cha kuchuluka kwa shuga m'magazi, ndipo mkodzo, cheke chimavumbulutsa shuga nthawi ndi nthawi.
• pamene sipangakhale chizindikiro cha matenda ashuga, komabe, polyuria imawonekera - kuchuluka kwa mkodzo patsiku kumawonjezeka, pomwe kuchuluka kwa glucose kumakhala kofala,
• kuchuluka kwa shuga mkodzo wa mayi woyembekezera panthawi yotseka mwana, komanso kwa anthu omwe ali ndi matenda a impso ndi thyrotoxicosis,
• ngati pali zizindikiro za matenda ashuga, koma shuga kulibe mkodzo, ndipo zomwe zili m'magazi ndizabwinobwino (mwachitsanzo, ngati shuga ndi 5.5, mukayang'anidwanso ndi 4,4 kapena kutsika, ngati 5.5 panthawi ya pakati, koma zizindikiro za matenda ashuga zimachitika) ,
• ngati munthu ali ndi masanjidwe amtundu wa matenda ashuga, koma palibe zizindikiro za shuga,
• mwa amayi ndi ana awo, ngati kulemera kwa kubadwa kwa amenewo kunali koposa 4 makilogalamu, pambuyo pake kulemera kwa mwana wazaka chimodzi kulinso kwakukulu,
• mwa anthu omwe ali ndi neuropathy, retinopathy.

Kuyesedwa, komwe kumayesa NTG (kulolera shuga), kumachitika motere: poyamba, munthu yemwe akuyesedwa amakhala ndi m'mimba yopanda magazi kuti atenge magazi kuchokera ku capillaries. Pambuyo pake, munthu ayenera kudya magalamu 75 a shuga. Kwa ana, mlingo mu magalamu amawerengedwa mosiyanasiyana: 1 makilogalamu kulemera 1.75 g shuga.

Kwa iwo omwe ali ndi chidwi, magalamu 75 a shuga ndi kuchuluka kwa shuga, ndipo ndi koyenera kudya kuchuluka kotere, mwachitsanzo, kwa mayi woyembekezera, muyenera kudziwa kuti pafupifupi shuga wofanana amapezeka, mwachitsanzo, chidutswa cha mkate.

Kulekerera kwa glucose kumatsimikiziridwa ola 1 ndi 2 zitatha izi. Zotsatira zodalirika kwambiri zimapezeka pambuyo pa ola limodzi pambuyo pake.

Kuyesa kulolera kwa glucose kumatha kukhala pa tebulo la zizindikiro, mayunitsi - mmol / l.

Kenako, tsimikizani mkhalidwe wa kagayidwe kazakudya. Mwa izi, ma coefficients amawerengedwa:

• Hyperglycemic - ikuwonetsa momwe glucose amakhudzana ndi ola limodzi pambuyo pothira shuga kusala shuga m'magazi. Chizindikiro ichi sichiyenera kupitirira 1.7.
• Hypoglycemic - ikuwonetsa momwe glucose amakhudzana ndi maola 2 pambuyo poti shuga ayambe kuthamanga shuga. Chizindikiro ichi sichiyenera kupitirira 1.3.

Ndikofunikira kuwerengera ma coefficients awa, chifukwa nthawi zina, pambuyo poyeserera kulekerera kwa glucose, munthu samatsimikiziridwa ndi zowonetsera zowonetsera zakusokonekera, ndipo imodzi mwazomwezi ndizochulukirapo.

Pankhaniyi, tanthauzo lazotsatira zokayikitsa limakhazikika, ndiye kuti pa matenda a shuga ndiye munthu amene ali pachiwopsezo.

Ndikofunikira kudziwa kuchuluka kwa shuga, chifukwa maselo onse amthupi amayenera kulandira shuga panthawi komanso muyezo woyenera - pokhapokha azigwira bwino ntchito komanso osagwirizana. Ndikofunikira kudziwa zisonyezo za anthu odwala matenda ashuga. Ngati kuchuluka kwa shuga kukwera, kumatha kubweretsa zovuta.

Zizindikiro zotsatirazi zikuwonetsa kusintha kwa shuga, ngati yayuka:

• Munthu akamva ludzu lamphamvu, osatha;
• Mlingo wa mkodzo umakulanso - izi zimachitika chifukwa cha kupezeka kwa shuga m'magazi,
• Khungu limayamba kuyakuka, kupweteka.
• kutopa kumachitika.

Koma otsogola a boma la prediabetesic amakhalanso oopsa chifukwa matendawa amayamba kukula pafupifupi, kotero kwazaka zambiri simungamve kupatuka kwapadera.

Pali zizindikiro zofatsa, komabe pali zizindikiro zomwe zikuwonetsa kukula kwa insulin:

1. Nditatha kudya, ndikufuna kupuma, kugona. Izi ndichifukwa choti ma carbohydrate amalowa mu chakudya ndi chakudya, ndipo ngati thupi lilandira zambiri kuposa zabwinobwino, ndiye kuchenjeza za kususuka. Kuti mupewe izi, muyenera kusintha pang'ono zakudya kuti muphatikize michere yambiri yovuta kupezeka m'mizere, masamba ndi zipatso zonse. Zakudya zamafuta osavuta zimapangidwa mwachangu kwambiri, kotero kuti kapamba amapanga insulini kwambiri kuti athe kuthana ndi glucose yemwe adawonekera nthawi. Chifukwa chake, shuga m'magazi amatsika kwambiri, pamakhala kumva kutopa. M'malo mwa maswiti ndi tchipisi, ndikofunikira kudya mtedza, nthochi - zopatsa mphamvu kuchokera kwa iwo zimakonzedwa pang'onopang'ono.
2. Panali kukakamizidwa kowonjezereka. Magazi pankhaniyi amakhala owoneka bwino komanso omata. Kugwirizana kwake kumasintha, ndipo tsopano sikuyenda mwachangu mthupi.
3. Mapaundi owonjezera. Pankhaniyi, zakudya ndizowopsa makamaka, chifukwa chotsatira kutsitsa kwa calorie, maselo amakhala ndi mphamvu zamagetsi (pambuyo pake, glucose ndiyofunikira kwambiri kwa iwo), ndipo thupi limathamangira kuyika chilichonse pambali ngati mafuta.

Anthu ena samvera chidwi ndi izi, koma madokotala amachenjeza kuti ndikofunikira kuyang'ana kuchuluka kwanu kwa shuga zaka zitatu zilizonse. pachaka - ndiye mawonetsedwe oyamba a matendawa azindikirika pakapita nthawi, ndipo chithandizo sichikhala chovuta kwambiri.

Pali mankhwala osavuta ngati omwe muyezo umachitikira kunyumba. Ma metrewa ndi chida chachipatala chomwe chimakuthandizani kuti mupezeke msanga popanda shuga. Nthawi zonse ziyenera kukhala pafupi ndi omwe ali ndi matenda ashuga.

M'mawa, yang'anani kuchuluka kwa shuga mutadzuka, kudya, kenako madzulo, asanagone.

Kuchokera munkhaniyi muphunzira momwe mungasinthire mita molondola. Mungamubwererenso umboni wake ngati atakonzeka kusanthula plasma, osatinso magazi a capillary.

Magazi atsopano a glucose samadziwikanso shuga ndi dontho la magazi athunthu. Masiku ano, zida zamtunduwu ndizopangidwira pakuwunika kwa plasma. Chifukwa chake, kawirikawiri deta yomwe chipangizo choyesera shuga panyumba chimatanthauzira sichimatanthauziridwa ndi anthu odwala matenda ashuga.

M'mabotolo, amagwiritsa ntchito matebulo apadera omwe zizindikiro za plasma zimawerengeredwa kale m'magazi a shuga a capillary. Kuwerenganso zotsatira zomwe zimawonetsedwa ndi mita zitha kuchitidwa palokha.

Nthawi zina adotolo amalimbikitsa kuti wodwala azigwiritsa ntchito kuchuluka kwa shuga m'magazi. Kenako umboni wa glucometer suyenera kutanthauziridwa, ndipo zovomerezeka zikhale motere:

• pamimba yopanda kanthu m'mawa 5.6 - 7.
• Maola 2 atatha munthu kudya, chizindikiro sichiyenera kupitirira 8.96.

Ngati mawonedwe azizindikiro za chipangizochi achitidwa molingana ndi tebulo, malingaliro ake azikhala motere:

• musanadye 5.6-7, 2,
• mutatha kudya, mutatha maola 1.5-2, 7.8.

- kupatuka pang'ono kumaloledwa pamlingo wa glucose mpaka 42 mmol / L. Amaganiziridwa kuti pafupifupi 95% ya miyeso idzasiyana ndi muyezo, koma osaposa 0.82 mmol / l,

- pazofunikira zazikulu kuposa 4.2 mmol / l, cholakwika cha zotsatira 95 zilizonse siziyenera kupitilira 20% ya mtengo weniweni.

Kuwona kwa zida zomwe zapezeka kuti zidziyang'anire za shuga ziyenera kufufuzidwa nthawi ndi nthawi m'mabotolo apadera. Mwachitsanzo, ku Moscow, amachita izi pakatikati poyang'ana shuga m'magazi a ESC (mumsewu.

Kusinthika kololedwa pamitengo ya zida pali izi: pazida zamakampani a Roche, omwe amapanga zida za Accu-cheki, cholakwika chovomerezeka ndi 15%, ndipo kwa ena opanga chizindikirochi ndi 20%.

Likukhalira kuti zida zonse zimasokoneza zotsatira zenizeni, koma mosatengera kuti mita ndi yayikulu kwambiri kapena yotsika kwambiri, odwala matenda ashuga ayenera kuyesetsa kukhalabe ndi glucose osapitirira 8 masana.

Ngati zida zodziyang'anira nokha za shuga zisonyeza chizindikiro H1, ndiye kuti izi zikutanthauza kuti shuga ndi woposa 33.3 mmol / l. Kuti mupeze zolondola, maulalo ena oyesa amafunika. Zotsatira zake ziyenera kufufuzidwa kawiri ndi njira zomwe zimatsitsidwa kuti muchepetse shuga.

Zipangizo zamakono zama glucose zimasiyana ndi zomwe zimatsogolera momwe zimapangidwira chifukwa sizoyatsidwa ndi magazi athunthu, koma ndi madzi a m'magazi. Kodi izi zikutanthauza chiyani kwa odwala omwe amadziyang'anira pawokha ndi glucometer?

Kuwerengera kwa plasma kwa chipangizocho kumakhudza kwambiri zomwe chipangizocho chikuwonetsa ndipo nthawi zambiri zimayambitsa kuwunika kolakwika kwa zotsatira zakusanthula. Kuti mudziwe zomwe zili zenizeni, matebulo otembenuza amagwiritsidwa ntchito.

Odwala a shuga amakakamizidwa kuwunika pafupipafupi kuchuluka kwa glucose m'magazi awo. Iwo omwe amachita izi tsiku ndi tsiku komanso kangapo patsiku amagwiritsa ntchito shuga m'magazi. Amapereka zotsatira zake ndipo wodwalayo ayenera athe kudzipenda pawokha payekha.

Ndikofunika kumvetsetsa ngati wodwala wodwala matenda ashuga atenga muyeso wamagazi ndi glucometer, chizolowezi, gome lomwe tikambirane pansipa, zingakhale zosiyana ndi chikhalidwe cha munthu yemwe alibe mavuto a shuga.

Glucometer - njira yosavuta yoyang'anira payokha magazi

Osati munthu wodwala matenda a shuga okha amene ayenera kuyeza kuchuluka kwa shuga. Poganizira ziwerengero zomwe sizotonthoza za kuchuluka kwa matendawa, ngakhale munthu wathanzi amalimbikitsidwa kuti nthawi ndi nthawi azifufuza.

Zambiri

Mu thupi, njira zonse za metabolic zimachitika mogwirizana. Ndi kuphwanya kwawo, matenda osiyanasiyana komanso matenda amtundu wam'mimba amakula, kuphatikizapo kuwonjezeka kwa shuga m'magazi.

Tsopano anthu amamwa shuga wambiri, komanso chakudya chamafuta ambiri. Palinso umboni kuti kumwa kwawo kwachulukitsa ka 20 m'zaka zapitazi. Kuphatikiza apo, zachilengedwe ndi kukhalapo kwa kuchuluka kwa zakudya zopanda chilengedwe m'zakudya zakhudza thanzi la anthu posachedwa.

Kale ubwana, zizoloŵezi zakudya zolakwika zimapangidwa - ana amadya sopo wokoma, chakudya mwachangu, tchipisi, maswiti, ndi zina. Chifukwa chake, chakudya chamafuta kwambiri chimapangitsa kuti mafuta azikula.

Zotsatira zake - zizindikiro za matenda ashuga zimatha kuchitika ngakhale mwa achinyamata, pomwe matenda ashuga nthawi zambiri ankawoneka ngati matenda a okalamba. Pakadali pano, zizindikiro zakuwonjezeka kwa shuga m'magazi zimawonedwa kawiri kawiri, ndipo kuchuluka kwa odwala matenda ashuga kumayiko otukuka kukukulira chaka chilichonse.

Glycemia ndiye zomwe zimakhala m'magazi a munthu. Kuti mumvetsetse tanthauzo la lingaliro ili, ndikofunikira kudziwa kuti glucose ndi ziti ndikuwonetsa zomwe glucose ayenera kukhala.

Glucose - chomwe ndi thupi, zimatengera kuchuluka kwa zomwe munthu amadya. Glucose ndi monosaccharide, chinthu chomwe ndi mafuta amthupi la munthu, michere yofunika kwambiri yamanjenje yapakati. Komabe, zochulukirapo zake zimadzetsa kuvulaza thupi.

Zizindikiro za High shuga

Zotsatira za shuga wambiri zimatha kukhala zazikulu komanso zosasinthika:

1. Zonse zimayambira ndi monga mkamwa youma, kupweteka mutu, kutopa, kugona pang'ono pang'ono.
2. Ngati kuwerengera m'mwazi sikumachepa, munthuyo amayamba kutaya zinthu zoyambira, ndipo kuphwanya kwamanjenje kumapita patsogolo.
3. Zowonongeka kumbuyo.
4. Kuwonongeka kwa mtima, chifukwa cham'mimba zomwe zimatuluka pamiyendo.
5. Kulephera kwina.

Ichi ndichifukwa chake ndikofunikira kwambiri kuti pasakhale shuga pambiri poyeza ndi glucometer. Izi zimakupatsani mwayi wokhala ndi thanzi lanu ndikukhala ndi moyo wautali komanso wachimwemwe.

ZOFUNIKIRA: Simuyenera kutaya mtima komanso kukhala ndi nkhawa, ngakhale mutakhala ndi matenda ashuga. Matendawa samakhala ndi chilichonse chabwino, koma amatha kuwongolera ndikuwerengedwa kwamagulu a shuga amasungidwa.

1. Choyamba, yesetsani mayeso mu labotale ndikuyendera katswiri wa endocrinologist.
2. Tsatirani zakudya zapadera ndi shuga wambiri. Nthawi zambiri samatula kugwiritsa ntchito mikate yoyera, ufa ndi zakudya zamafuta. M'malo mwake, muyenera kusiyanitsa ndi ndiwo zamasamba zatsopano, chimanga, nyama yamafuta ochepa, mankhwala amkaka. Nthawi yomweyo, ndikofunikira m'njira zonse kutsatira muyeso, osadya zinthu zochuluka zamafuta, michere ndi mapuloteni.
3. Pambuyo pofunsa dokotala, mungafunikire kuwonjezera kuchuluka kwa jakisoni wa insulin. Muyenera kuti mwayamba kulemera kwambiri ndipo thupi lanu limafunanso insulin yambiri.

Mchitidwe wamagulu a shuga wama glucometer uyenera kulemekezedwa nthawi zonse, njira yokhayo yomwe mungathane ndi matenda osokoneza bongo komanso osadandaula ndi thanzi lanu.

Mita ndi chida chodziwikiratu chogwiritsidwa ntchito ndi odwala matenda ashuga kuti adziyang'anire komanso.

Aliyense wodwala matenda ashuga amadziwa chomwe glucometer ndi kapena momwe imagwiritsidwira ntchito. Kuphatikiza apo, si aliyense amene ali.

Munthu aliyense wodwala matenda ashuga ali ndi nduna yake yamankhwala osati insulin yokha.

Kuyika kwa zinthu kuchokera ku intaneti pa intaneti ndikotheka ndi ulalo wammbuyo ku portal.

Shuga wowonjezera amatha kutsimikiziridwa ngati munthu ali ndi zizindikilo zina. Zizindikiro zotsatirazi zomwe zikuwonetsedwa mwa munthu wamkulu komanso mwana ziyenera kumuchenjeza:

• kufooka, kutopa kwambiri,
• kulakalaka kwambiri ndi kuchepa thupi,
• ludzu ndi kumverera kosalekeza kukamwa kowuma
• kukoka kambiri komanso pafupipafupi, maulendo a usiku kupita kuchimbudzi ndi chikhalidwe,
• mafinya, zilonda ndi zotupa zina pakhungu, zotupa zotere sizichira,
• kuwonetsedwa pafupipafupi kwa kuyabwa m'misempha, kumaliseche,
• chitetezo chokwanira, kusayenda bwino, kuzizidwa pafupipafupi, matupi akulu akulu,
• kuwonongeka kowoneka, makamaka mwa anthu omwe ali ndi zaka zopitilira 50.

Kuwonetsedwa kwa zisonyezo zotere kungasonyeze kuti pali kuchuluka kwa glucose m'magazi. Ndikofunikira kulingalira kuti zizindikiritso za shuga wambiri zimatha kuwonetsedwa kokha mwa zina mwazowonetsa.

Chifukwa chake, ngakhale pokhapokha ngati zizindikiro za kuchuluka kwa shuga zikuwoneka mwa munthu wamkulu kapena mwana, muyenera kuyesedwa ndi kudziwa shuga. Kodi ndi shuga wanji, ngati wokwera, chochita, - zonsezi zimatha kupezedwa mwa kufunsira katswiri.

Gulu lomwe lili pachiwopsezo cha matenda ashuga limaphatikizapo omwe ali ndi mbiri ya banja la matenda ashuga, kunenepa kwambiri, matenda a kapamba, etc. Ngati munthu ali mgululi, kufunika kamodzi sikutanthauza kuti matendawo kulibe.

Kupatula apo, matenda ashuga nthawi zambiri amapezeka popanda zizindikiro ndi mawonekedwe, osatsimikizira. Chifukwa chake, ndikofunikira kuyesa mayeso angapo nthawi zosiyanasiyana, chifukwa mwina pakakhala kuti pali zomwe zikuwonetsedwazo, zomwe zikuwonjezereka zimachitika.

Ngati pali zizindikiro zoterezi, shuga wamagazi amakhalanso wapamwamba kwambiri panthawi yoyembekezera. Pankhaniyi, ndikofunikira kudziwa zomwe zimayambitsa shuga wambiri. Ngati glucose panthawi yapakati imakwezedwa, kodi izi zikutanthauza chiyani komanso zoyenera kukhazikitsa podzikhazikitsa, dokotala ayenera kufotokozera.

Tiyeneranso kukumbukira kuti kuwunikira kolimbikitsa kwabwino ndikothekanso. Chifukwa chake, ngati chizindikiro, mwachitsanzo, 6 kapena shuga wamagazi, izi zikutanthauza chiyani, zitha kutsimikizika pokhapokha maphunziro obwereza kangapo.

Chifukwa chiyani pali insulin yowonjezereka, izi zikutanthauza chiyani, mutha kumvetsetsa, kumvetsetsa zomwe insulin ili. Hormon iyi, imodzi yofunika kwambiri m'thupi, imapanga kapamba. Ndi insulin yomwe imathandizira kutsitsa shuga m'magazi, ndikuwona momwe kusintha kwa glucose kumalumikizira thupi kuchokera ku seramu yamagazi.

Mulingo wanthawi zonse wa insulin m'magulu azimayi ndi abambo umachokera 3 mpaka 20 μEdml. Mwa anthu achikulire, kuchuluka kwambiri kwamitundu 30-35 kumawonedwa ngati kwabwinobwino. Ngati kuchuluka kwa mahomoni kumachepa, munthuyo amayamba kudwala matenda ashuga.

Ndi kuchuluka kwa insulin, kuletsa kwa kaphatikizidwe ka shuga kuchokera m'mapuloteni ndi mafuta kumachitika. Zotsatira zake, wodwalayo amawonetsa zizindikiro za hypoglycemia.

Nthawi zina odwala amawonjezera insulin ndi shuga wabwinobwino, zomwe zimayambitsa zimatha kuphatikizidwa ndi zochitika zosiyanasiyana za pathological. Izi zitha kuwonetsa kukula kwa matenda a Cushing, acromegaly, komanso matenda ogwirizana ndi vuto la chiwindi.

Momwe mungachepetse insulin, muyenera kufunsa katswiri yemwe angakupatseni chithandizo pambuyo pa maphunziro angapo.

Matenda a shuga opatsirana amakula pang'onopang'ono ndipo samatchulidwa kwambiri ndi zizindikiro zowoneka bwino. Koma ngati matendawa ayamba kupita patsogolo, ndiye kuti wodwala amene ali ndi matendawa 2 atatha kudya, nthawi zambiri zimakhala zotsatirazi:

• Onjezani kuchuluka kwa mapuloteni.
• Werengani kuchuluka kwa zakudya zamafuta zomwe zimamwetsedwa ndikuchepetsa gawo la omwe amafulumira.
• Onjezerani zakudya mpaka 5-6 pa tsiku, koma muzigawo zochepa.
• Sinthani ku chakudya chapadera chakudya.
• Pewani zakumwa zokoma, ufa ndi kaboni.

Pa gawo lotsatira la kupewa, zolimbitsa thupi masana ndi kupezeka kwa kugona moyenera kumawunikiranso. Kulephera kugona kwambiri kumayambitsa kutulutsidwa kwa mahomoni opsinjika. Kukana kwathunthu zakumwa zoledzeretsa ndi kusuta kumawongolera bwino ntchito za ziwalo zonse ndi machitidwe.

Ndikofunika kukumbukira kuti shuga si chiganizo, koma mtundu wa bungwe. Kutsimikiza kwakanthaŵi kwa shuga - kumatanthauza kuchepetsa mavuto obwera chifukwa cha kuchuluka.

Glycated hemoglobin - ndi chiyani?

Zomwe zimayenera kukhala shuga wamagazi, zotsimikizika ndi magome omwe adasungidwa pamwambapa. Komabe, pali kuyesanso kwina komwe kumalimbikitsa kuti anthu azindikire matenda ashuga. Amatchedwa mayeso a glycated hemoglobin - omwe glucose amalumikizidwa m'magazi.

Wikipedia ikuwonetsa kuti kusanthula kumatchedwa HbA1C hemoglobin level, kuchuluka kumeneku kumayeza. Palibe kusiyana kwa zaka: zofananira ndizofanana kwa akulu ndi ana.

Phunziroli ndi labwino kwambiri kwa onse adotolo komanso odwala. Kupatula apo, zopereka zamagazi ndizovomerezeka nthawi iliyonse masana kapena ngakhale madzulo, osati pamimba yopanda kanthu. Wodwala sayenera kumwa glucose ndikudikirira nthawi.

Komanso, mosiyana ndi zoletsa zomwe njira zina zimapereka, zotsatirazi sizitengera mankhwala, kupsinjika, chimfine, matenda - mutha kutenga ndemanga ndikupeza umboni wolondola.

Kafukufukuyu akuwonetsa ngati wodwala yemwe ali ndi matenda ashuga amawongolera shuga m'magazi atatu omaliza.

Komabe, pali zovuta zina za kafukufukuyu:

• okwera mtengo kuposa mayeso ena,
• ngati wodwala ali ndi vuto locheperako la mahomoni a chithokomiro, akhoza kukhala ndi zotsatira zochulukirapo,
• ngati munthu ali ndi vuto la kuchepa magazi m'thupi, hemoglobin yotsika, zotsatira zolakwika zitha kutsimikizika,
• palibe njira yopita kuchipatala chilichonse,
• munthu akamagwiritsa ntchito mavitamini C ambiri kapena E, chizindikiritso chotsimikizika chimatsimikiziridwa, komabe, kudalira kumeneku sikunatsimikiziridwe kwenikweni.

Kodi mita imakhala yolondola motani?

Kutengera pakuwerenga kwa anthu odwala wathanzi komanso odwala matenda ashuga, asayansi adabweretsa ziwalo zopitilira theka la zaka zapitazo. Kuphatikiza nthawi yoyang'ana ma sampuli amwazi mu 1971, koyamba kachipangizoka kanali ndi kakhalidwe, komwe kanapangidwa kokha kuti kakugwiritse ntchito ngati mankhwala.

Kuti muwonetsetse kulondola kwa chipangizocho muyezo ndi zomwe zikuwonetsedwa zomwe zimapezeka phunzirolo mu labotale.

Mukamasankha glucometer, muyenera kuyang'anira chidwi chake chomwe chikuwonetsedwa, chifukwa data ya plasma ndi magazi onse a capillary ndi osiyana komanso amasiyana pazotsatira zomwe zimapezeka mu bungwe lapadera.

Kuti muwone kudalirika kwa yankho, ndikofunikira kuyerekeza ndi zowerengera zasayansi, ndikuzindikira kuti kuchuluka kwa shuga mu plasma ndi 10-12% kuposa kuposa magazi onse. Ndikotheka kuwerengera moyenera zofunikira za chipangizocho pokhapokha kugawa zizindikiritso zopezeka ndi glucometer ndi 1.12.

Chifukwa chogwiritsidwa ntchito pafupipafupi, chipangizo chilichonse chimayamba kupanga zokhota. Pokhala ndi chipangizo chosunthira magazi magazi, wodwalayo amatha kuyesa zowerengera kunyumba.

Networkset network imapereka mayankho amafotokozedwe, posankha yomwe, choyambirira, ndikofunikira kuyang'ana pa mtundu wa chipangizocho. Makampani ena azida (glucose mita "Van Touch") amaliza ma CD ndikuwongolera mwa kusakhulupirika.

Pazithandizo zamanja mumangofunika madzi okha.

• Kuyesedwa kwa magazi kuyenera kuchitika mutatsuka mokwanira manja osafunikira mankhwala owonjezera ndi mankhwala ophera tizilombo.
• Choyamba muyenera kupsinjika kwa tsamba la malembedwe.
• Dontho loyamba liyenera kutayidwa, ndipo lotsatira liyikidwa mwanzeru.

Chifukwa chiyani pali shuga wochepa wamagazi

Hypoglycemia imawonetsa kuti shuga ya magazi ndiyotsika. Kuchuluka kwa shuga kumeneku ndikowopsa ngati nkovuta.

Ngati zakudya zamagulu chifukwa cha shuga wochepa sizipezeka, ubongo wa munthu umavutika. Zotsatira zake, chikomokere ndichotheka.

Zotsatira zoyipa zimatha kuchitika ngati shuga agwera ku 1.9 kapena kuchepera - mpaka 1.6, 1.7, 1.8. Pankhaniyi, kukomoka, kugwidwa, chikomokere ndikotheka. Mkhalidwe wa munthu ndi woopsa kwambiri ngati mulingo ndi 1.1, 1.2, 1.3, 1.4,

1.5 mmol / L. Pankhaniyi, popanda kuchitapo kanthu, imfa ndiyotheka.

Ndikofunikira kudziwa osati chifukwa chomwe chizindikirochi chikukwera, komanso zifukwa zomwe glucose imatha kugwa kwambiri. Kodi zimachitika bwanji kuti mayesowo akuwonetsa kuti glucose ndi wotsika mwa munthu wathanzi?

Choyamba, izi zitha kukhala chifukwa cha kudya pang'ono. Ndikamadya kokhwima, zosunga mkati zimatha pang'onopang'ono m'thupi. Chifukwa chake, ngati kwa nthawi yayitali (kuchuluka kwake kutengera mawonekedwe a thupi) munthu akudya, shuga wa m'madzi amachepetsa.

Shuga wogwira amathanso kuchepetsa shuga. Chifukwa cha katundu wolemera kwambiri, shuga amatha kuchepa ngakhale ndi chakudya chamagulu.

Ndi kumwa kwambiri maswiti, kuchuluka kwa shuga kumachulukitsa kwambiri. Koma kwakanthawi kochepa, shuga akucheperachepera. Mowa ndi mowa zimathanso kuchuluka, kenako ndikuchepetsa kwambiri magazi.

Ngati pali shuga pang'ono m'mwazi, m'mawa, munthu amayamba kufooka, kugona, kukwiya kumamugwira. Mwakutero, muyeso wokhala ndi glucometer ukhoza kuwonetsa kuti phindu lovomerezeka limatsitsidwa - osakwana 3.3 mmol / L.

Koma ngati vuto la hypoglycemia likukula, pomwe glucometer ikuwonetsa kuti kuchuluka kwa shuga m'magazi kumatha munthu atadya, izi zitha kukhala umboni kuti wodwalayo akupanga matenda a shuga.

Momwe mungatenge madzi kuti mupeze kafukufuku

Njira yowunikirayi imakhudzanso kulondola kwa chipangizocho, chifukwa chake muyenera kutsatira malamulowa:

1. Manja manja asanafike pama sampu amayenera kutsukidwa bwino ndi sopo ndikuwuma ndi thaulo.
2. Zala zozizira zimafunika kuzikongoletsa kuti zizitentha. Izi zitsimikiza kutuluka kwa magazi kufikira zala zanu. Kutikita minofu kumachitika ndi mayendedwe opepuka owongolera kuchokera m'chiwuno kupita kuminwe.
3. Pamaso pa njirayi, womwe ukuchitika kunyumba, osapukuta malo opumira ndi mowa. Mowa umapangitsa khungu kuwola. Komanso, musapukute chala chanu ndi nsalu yonyowa. Zida zamadzimadzi zomwe zopukutira zimalembedwa kwambiri zimasokoneza zotsatira zowunikira. Koma ngati muyeza shuga kunja kwa nyumbayo, ndiye kuti muyenera kupukuta chala chanu ndi nsalu.
4. Kuboola chala kuyenera kukhala kwakuya kwambiri kuti usakakamize kwambiri chala. Ngati matendawo sakhala ozama, ndiye kuti madzi amadzimadzi am'malo mwake adzawoneka m'malo mwa dontho la magazi a capillary pamalo ovulalawo.
5. Mukamaliza kukwapula, pukuta droplet yoyamba kutuluka. Sikoyenera kusanthula chifukwa imakhala ndi madzi ambiri ophatikizana.
6. Chotsani dontho lachiwiri pa mzere woyesera, kuyesera kuti musamamenye.

Chifukwa chake, kuyesedwa kwa shuga m'magazi ndikofunikira kwambiri pophunzira momwe thupi liliri. Ndikofunikira kudziwa bwino momwe mungaperekere magazi. Kuunika kumeneku pa nthawi yomwe ali ndi pakati ndi njira imodzi yofunika kwambiri yodziwira ngati mkhalidwe wa mayi wapakati komanso mwana ndi wabwinobwino.

Kuchuluka kwa shuga kwa magazi omwe amafunika kukhala abwinobwino mwa ana akhanda, ana, akulu, amapezeka pamatafura apadera. Komabe, mafunso onse omwe amabwera pambuyo pofufuza, ndibwino kufunsa adotolo.

Ndi iye yekha amene angadziwe zolondola ngati shuga ali ndi 9, zikutanthauza chiyani, 10 ndi matenda ashuga kapena ayi, ngati 8, chochita, ndi zina, zomwe zingachitike ngati shuga wawonjezereka, ndipo ngati uwu ndi umboni wa matenda, zindikirani katswiri pambuyo pofufuza kowonjezera.

Mukamawunikira shuga, ziyenera kukumbukiridwa kuti zinthu zina zimatha kutsogolera kulondola kwa muyeso. Choyamba, ziyenera kukumbukiridwa kuti matenda ena kapena kufalikira kwamatenda osachiritsika kungakhudze kuyesedwa kwa magazi, zomwe zimachitika mopitirira kapena kuchepa.

Chifukwa chake, ngati pakuwunika magazi nthawi imodzi kuchokera m'mitsempha, kalozera wa shuga anali, mwachitsanzo, 7 mmol / l, mwachitsanzo, kusanthula ndi "katundu" pazoleketsa shuga. Komanso kulolerana kwa glucose kumatha kuzindikirika ndi kusowa tulo, kupsinjika. Pa nthawi ya pakati, zotsatira zake zimaphatikizidwanso.

Kufunso loti kusuta kumakhudza kusanthula, yankho lilinso lothandizanso: osachepera maola angapo kafukufukuyu asanachitike, kusuta sikulimbikitsidwa.

Ndikofunikira kupaka magazi molondola - pamimba yopanda kanthu, chifukwa chake musadye m'mawa nthawi yomwe phunzirolo likonzekera.

Mutha kudziwa momwe kusanthula kumayitanidwira komanso momwe kumachitidwira kuchipatala. Magazi a shuga amayenera kuperekedwa miyezi isanu ndi umodzi iliyonse kwa iwo omwe ali ndi zaka 40. Anthu omwe ali pachiwopsezo ayenera kupereka magazi miyezi itatu iliyonse.

Ndi mtundu woyamba wa matenda ashuga, odalira insulini, muyenera kuyang'ana shuga nthawi zonse musanalowe insulin. Kunyumba, glucometer yosunthika imagwiritsidwa ntchito poyeza. Ngati matenda amtundu wa II adapezeka, kuwunika kumachitika m'mawa, ola limodzi mutatha kudya komanso asanagone.

Kuti mukhale ndi thanzi labwino la shuga kwa iwo omwe ali ndi matenda ashuga, muyenera kutsatira malangizo a dokotala - kumwa mankhwala, kutsatira zakudya, kukhala ndi moyo wogwira ntchito. Pankhaniyi, chizindikiro cha glucose chikhoza kuyandikira chabwinobwino, mpaka 5.2, 5.3, 5.8, 5.9, etc.

Msuzi wabwinobwino

Kuchuluka kwa shuga kumayambitsa kusokonekera kwa thanzi, kusasamala, kutopa. Chizindikiro chowonjezeka kwambiri chimatha kubweretsa kupezeka kwa matenda a shuga. Malinga ndi zotsatira zomwe glucometer akuwonetsa, wodwalayo amatha kumvetsetsa ngati ndi nthawi yake kuti amwe insulin.

Poyeza shuga m'magazi ndimunthu payekhapayekha, malangizo amenewo amaperekedwa ndi adotolo kutengera ndi matendawo omwe wodwala wina ali nawo.

Chofunika: musanyalanyaze malangizo a dokotala ndikuchepetsa kuchuluka kwa miyeso polimbana ndi matenda ashuga, miyeso yambiri yomwe imatengedwa, imakhala yabwino kwa wodwalayo.

Miyezo ya shuga mwa ana imasiyana kwambiri ndi chikhalidwe cha munthu wamkulu

Kwa oyamba kumene omwe agula chipangizochi, sizimafunikira kuti aziziwona momwe angayeza shuga ndi magazi. Kanemayo pankhaniyi ndi yofunika kwambiri, chifukwa malinga ndi malongosoledwe olembedwa, nthawi zina zimakhala zovuta kumvetsetsa.

Ndikofunikira: mukamawerenga zinthu zamavidiyo, ndikofunikira kusankha mtundu wa mita womwe wakonzekera kuti mugule, kapena kuti wagula kale.

Ngati pali matenda a shuga a mtundu woyamba, ndiye kuti kudzipenda kokha kuyenera kuchitidwa kangapo patsiku, ndipo lembani matenda a shuga a II amakukakamizani kuti muwone shuga wanu m'mawa ndi madzulo. amuna ndi akazi ndi 5.5 mmol / l. Chochitika chofala mukatha kudya ndi ngati shuga atakwezedwa pang'ono.

Zizindikiro zam'mawa zomwe siziyenera kuyambitsa alamu - kuyambira 3.5 mpaka 5.5 mmol / l. Asanadye nkhomaliro kapena chakudya chamadzulo, Zizindikiro ziyenera kukhala zofanana ndi ziwerengero zotere: kuyambira 3,8 mpaka 6.1 mmol / l. Chakudya chikawililidwa (pambuyo pa ola limodzi), mulingo wabwinobwino simaposa 8.9 mmol / L.

Usiku, thupi likapumula, chizolowezi ndi 3.9 mmol / L. Ngati kuwerenga kwa mita kukuwonetsa kuti kuchuluka kwa shuga kumasinthasintha, zitha kuwoneka, ndi ochepa 0.6 mmol / L kapena ngakhale pamitengo yayikulu, ndiye kuti shuga iyenera kuyesedwa kwambiri pafupipafupi - kangapo kapena kasanu patsiku kuti muthane ndi vutoli. Ndipo ngati izi zikuyambitsa nkhawa, ndiye kuti muyenera kufunsa uphungu wa dokotala.

Nthawi zina zimakhala zotheka kusintha matendawa mothandizidwa ndi kadyedwe koyenera ndi masewera olimbitsa thupi, ngati palibe kudalira jakisoni wa insulini. Koma kuti shuga ya magazi ikhale yokhazikika, ndiye kuti, thupi silisweka, ndiye kuti:

1. Khalani ndi lamulo lojambulira kuwerenga kwamtundu uliwonse ndikupereka zolemba kwa dokotala nthawi yotsatira.
2. Tengani magazi kuti mumupime mkati mwa masiku 30. Ndondomeko ikuchitika pokhapokha chakudya.

Mukamatsatira malamulowa, ndiye kuti dokotala adzakhala wosavuta kumvetsetsa za thupi. Spikes ya shuga ikachitika mukatha kudya komanso osapitirira malire ovomerezeka, ndiye kuti izi zimawoneka ngati zabwinobwino Komabe, kupatuka panjira yokhazikika tisanadye ndi chizindikiro chowopsa, ndipo anomaly iyi imayenera kuthandizidwa, chifukwa thupi lokha silingathe kupirira, lifunika insulini kuchokera kunja.

Kuzindikira matenda ashuga kumadalira kwambiri kudziwa kuchuluka kwa shuga m'magazi. Chizindikiro - 11 mmol / l - ndi umboni kuti wodwalayo ali ndi matenda ashuga. Potere, kuwonjezera pa chithandizo, mufunika zakudya zingapo:

• pali mndandanda wotsika wa glycemic,
• kuchuluka kwa CHIKWANGWANI kuti zakudya zoterezi zimayimbidwa pang'ono,
• mavitamini ambiri ndi zinthu zina zopindulitsa
• muli mapuloteni, omwe amabweretsa satiety, kupewa kuti kudya kwambiri.

Munthu wathanzi amakhala ndi zizindikiro - shuga mumagazi. Ziyeso zimatengedwa kuchokera chala m'mawa kukalibe chakudya m'mimba.

Kwa anthu wamba, chizolowezi ndi 3.3-5.5 mmol / l, ndipo gulu la msinkhu silimachita nawo gawo. Kuchulukirapo kwa ntchito kumatanthawuza dziko lapakati, ndiye kuti, kulolerana kwa glucose ndikamayipa. Izi ndi ziwerengero: 5.5-6.0 mmol / L. Zizolowezi zimakwezedwa - chifukwa chokayikira shuga.

Ngati magazi adatengedwa kuchokera m'mitsempha, tanthauzo lake lidzakhala losiyana. Kuwunikiranso kuyenera kuchitika pamimba yopanda kanthu, chizolowezicho chimafika pa 6.1 mmol / l, koma ngati shuga yatsimikizika, ndiye kuti zidutsazo zidzaposa 7.0 mmol / l.

Mabungwe ena azachipatala amapeza kupezeka kwa shuga m'magazi ndi glucometer, njira yomwe imatchedwa yachangu, koma ndiwotsogolera, chifukwa chake ndikofunika kuti magaziwo aziunikidwa pogwiritsa ntchito zida zasayansi.

Zina zomwe zimatha glucometer

Kuphatikiza pa muyeso wokwanira wa shuga wamagazi, zida izi zimatha kuchita izi:

• pangani mbiri yanu ndikusunga zambiri za anthu angapo,
• pali glucometer yoyezera cholesterol ndi shuga, ndizothandiza kwa anthu omwe amafunikira kuyang'anira mawunikidwe onsewo,
• kutha kuyesa kuchuluka kwa uric acid m'magazi,
• Mitundu ina imatha kuyeza kuthamanga kwa magazi a munthu,
• Mitundu imatha kukhala yaying'ono ndi mtengo, kwa anthu ena izi zimatha kukhala zosankha posankha chida,
• Pakadali pano, pali zida zomwe zimagwira ntchito popanda kugwiritsa ntchito mizera yoyesa; njira ina yolumikizirana ndi chipangizocho ndi zinthu zomwe zasungidwa imagwiritsidwa ntchito.

Chofunikira kwambiri chomwe munthu wogula chipangizochi akufunika ndi momwe angagwiritsire ntchito ndikusunga glucometer moyenera. Zipangizo zoyezera izi zimagwira ntchito yofunika - zimakhazikika kwa wodwala pakafunika kugwiritsa ntchito njira zochepetsera shuga.

Chifukwa chake, mita iyenera kukhala yolondola komanso yogwira ntchito. Pa mtundu uliwonse, malangizowo amafotokoza njira zawo zoyeretsera ndi cheke chaumoyo.

Pangopita chakudya chambiri kuti magazi a magazi amayezedwa?

Ndi matenda ashuga, odwala amafuna muyezo wa tsiku ndi tsiku wa shuga ndi magazi a kunyumba. Izi zimathandiza kuti odwala matenda ashuga asachite mantha ndipo amapereka chiwonetsero chokwanira pa thanzi.

Gluu m'maso mwa anthu wamba amatchedwa shuga. Nthawi zambiri chinthuchi chimalowa m'magazi kudzera mu chakudya. Chakudya chikamalowa m'matumbo, chakudya cha thupi chimayamba m'thupi.

Pokhala ndi shuga wambiri, kuchuluka kwa insulin kumatha kuwonjezeka kwambiri. Ngati mulingo wambiri, ndipo munthu akudwala matenda ashuga, thupi limalephera kupilira, chifukwa cha matenda a shuga.

Kuwunikira bwino shuga wa magazi ndikofunikira pakuwongolera odwala matenda ashuga. Kuyeza pafupipafupi kuchuluka kwa shuga kumathandiza kusankha mulingo woyenera wa mankhwala a insulin ndi hypoglycemic, komanso kudziwa momwe mankhwalawa amathandizira.

Kuyeza shuga mutatha kudya ndikofunikira kwambiri kwa odwala matenda ashuga, chifukwa ndi nthawi imeneyi yomwe chiopsezo chokhala ndi hyperglycemia, kudumphadumpha kwa glucose m'thupi, ndizokwera kwambiri. Ngati vuto la hyperglycemic silikuyimitsidwa munthawi yake, litha kubweretsa zotsatirapo zoopsa, kuphatikizapo kukomoka kwa matenda ashuga.

Koma kuyezetsa magazi koyenera mukatha kudya kuyenera kuchitika panthawi yomwe mshuga wa glucose ufikira kwambiri. Chifukwa chake, aliyense wodwala matenda ashuga ayenera kudziwa kuti watenga nthawi yayitali bwanji kuyeza shuga kuti amvetsetse kwambiri shuga.

Kwa odwala omwe ali ndi matenda ashuga amtundu woyamba, kuyang'ana glucose wanu wamagazi ndikofunikira. Ndi matendawa, wodwalayo amayenera kuyezetsa magazi asanalowe komanso atangodzuka, ndipo nthawi zina usiku, asanadye komanso atamaliza kudya, komanso ngati adachita masewera olimbitsa thupi asanachitike komanso atakula.

Chifukwa chake, ndi matenda amtundu wa 1 shuga, kuchuluka kwathunthu kwa shuga kwa magazi kumatha kukhala kasanu ndi katatu patsiku. Nthawi yomweyo, njirayi iyenera kuganiziridwanso mosamala makamaka ngati muli ndi chimfine kapena matenda opatsirana, kusintha kwa zakudya ndikusintha kwa zolimbitsa thupi.

Kwa odwala omwe ali ndi matenda a shuga a mtundu wachiwiri, kuyezetsa magazi pafupipafupi kumawerengedwa kuti ndi gawo lofunikira la chithandizo. Izi ndizofunikira kwambiri kwa odwala omwe adalandira mankhwala a insulin. Kupatula apo, ndikofunikira kuti odwala oterowo azitha kuyeza kuchuluka kwa glucose atatha kudya komanso asanagone.

Koma ngati wodwala yemwe ali ndi matenda a shuga a 2 atha kukana jakisoni wa insulin ndikusintha mapiritsi ochepetsa shuga, zakudya zopatsa thanzi komanso maphunziro olimbitsa thupi, ndiye kuti zidzakhala zokwanira kumuwona ngati ali ndi shuga m'magazi angapo pa sabata.

Muyenera kuyeza shuga:

1. Dziwani momwe mankhwalawo alili othandizira ndikuwonetsa kuchuluka kwa chiphuphu cha matenda a shuga,
2. Dziwani zomwe zakudya zosankhidwa ndi masewera zimakhudzana ndi shuga wamagazi,
3. Dziwani zina ziti zomwe zingakhudze kuchuluka kwa shuga, kuphatikizapo matenda osiyanasiyana komanso zovuta zina,
4. Dziwani mankhwala omwe angakhudze shuga yanu,
5. Munthawi yake kudziwa kukula kwa hyper- kapena hypoglycemia ndikuchita zonse zofunikira kuti shuga akhale ndi magazi.

Munthu aliyense yemwe ali ndi matenda ashuga asayiwale kufunika koyeza shuga.

Kuyeserera kwakanthawi magazi kukhala ndi shuga sikungakhale kopanda ntchito ngati kuchitidwa molakwika. Kuti mupeze zotsatira zabwino kwambiri, muyenera kudziwa nthawi yoyenera kuyeza kuchuluka kwa shuga m'thupi.

Ndikofunikira kwambiri kutsatira malingaliro onse ofunikira pochita njirayi mukamayezera kuchuluka kwa shuga mutatha kudya. Chowonadi ndi chakuti kuyamwa kwa chakudya kumafuna nthawi, komwe nthawi zambiri kumatenga pafupifupi maola awiri ndi atatu.

Kuphatikiza apo, wodwalayo ayenera kudziwa kuti ndi shuga uti wamagazi atatha kudya komanso pamimba yopanda kanthu yomwe imawerengedwa, komanso zomwe zimawonetsa kuchuluka kwakukulu kwa shuga m'thupi.

Poyesedwa magazi ndi zomwe zotsatira zake zikutanthauza:

• Pamimba yopanda kanthu mukangodzuka. Mulingo wabwinobwino wa shuga ndikuchokera ku 3,9 mpaka 5.5 mmol / l, kutalika kuchokera pa 6.1 mmol / l ndi pamwamba,
• Maola awiri mutatha kudya. Mulingo wabwinobwino kuchokera pa 3.9 mpaka 8.1 mmol / l, kutalika kuchokera pa 11.1 mmol / l ndipo pamwamba,
• Pakati pa chakudya. Mulingo wabwinobwino kuchokera pa 3.9 mpaka 6.9 mmol / l, kutalika kuchokera pa 11.1 mmol / l ndi pamwamba,
• Nthawi iliyonse. Mochepa kwambiri, zomwe zikuwonetsa kukula kwa hypoglycemia - kuyambira 3.5 mmol / L ndi pansipa.

Tsoka ilo, ndizovuta kwambiri kwa odwala matenda ashuga kukwaniritsa kuchuluka kwa shuga komwe kumakhala kwa anthu athanzi. Chifukwa chake, adotolo, monga lamulo, amawasankhira omwe amatchedwa shuga wamagazi, omwe, ngakhale amapitilira muyeso, ndiye otetezeka kwambiri kwa wodwala.

Kuti mupeze kuchuluka kwa shuga kunyumba, pali chipangizo chamagetsi chothandizira - glucometer. Mutha kugula chipangizochi pafupifupi mgulitsa kapena mankhwala aliwonse. Koma kuti mupeze zotsatira zolondola kwambiri, ndikofunikira kudziwa momwe mungagwiritsire ntchito mita.

Mfundo za glucometer ndi motere: wodwalayo amaika gawo loyeserera mu chipangizocho, kenako ndikuikanda m'magazi akeawo. Pambuyo pake, manambala omwe amafanana ndi kuchuluka kwa shuga m'thupi la wodwalayo amawonekera pazenera la mita.

Poyang'ana koyamba, chilichonse chimawoneka ngati chophweka, komabe, kukhazikitsa njirayi kumaphatikizapo kusunga malamulo ena, omwe adapangidwa kuti apititse patsogolo kusanthula komanso kuchepetsa cholakwika chilichonse.

Kangati patsiku muyenera kuyeza shuga

Ndi glucometer, mutha kumadziwa za shuga. Chipangizochi chimapangidwa makamaka kwa odwala matenda ashuga omwe ayenera kumwa miyezo ya glucose tsiku lililonse. Chifukwa chake, wodwalayo safunikira kupita kuchipatala tsiku lililonse kuti akayezetse magazi mu labotale.

Ngati ndi kotheka, chipangizo choyezera chimatha kunyamulidwa ndi inu, mitundu yamakono ndi yaying'ono kukula, ndikupangitsa kuti chipangizocho chikwanire mosavuta muchikwama kapena m'thumba. Wodwala matenda ashuga amatha kuyeza shuga wamagazi ndi glucometer nthawi iliyonse yabwino, komanso panthawi yovuta.

Opanga amapereka mitundu yosiyanasiyana ndi mawonekedwe osazolowereka, ntchito zosavuta. Chokhacho chingabwezere ndalama ndi kuwononga ndalama zomwe zingagwiritsidwe ntchito - zingwe zokulirapo ndi zingwe, makamaka ngati muyenera kuyeza kangapo patsiku.

• Kuti muzindikire kuchuluka kwa shuga m'magazi, muyenera kuyeza miyezo ya magazi masana. Chowonadi ndi chakuti kuchuluka kwa shuga m'magazi kumasintha tsiku lonse. Usiku, amatha kuwonetsera nambala imodzi, ndipo m'mawa - wina. Kuphatikiza deta zimatengera zomwe wodwala matenda ashuga adadya, zolimbitsa thupi zake ndi zomwe zili muzochitika za wodwalayo.
• Madokotala endocrinologists, kuti awone momwe wodwalayo alili, nthawi zambiri amafunsa momwe anamvera maola angapo chakudya chatha. Malinga ndi izi, chithunzi chachipatala chimapangidwa ndi mtundu wina wa matenda ashuga.
• Pakuyeza kwa shuga mumagazi a labotale, plasma imagwiritsidwa ntchito, izi zimakupatsani mwayi wofufuza wowonjezera. Ngati kuchuluka kwa glucose kumachokera pa 5.03 mpaka 7.03 mmol / lita imodzi pamimba yopanda plasma, ndiye kuti mukamayang'ana magazi a capillary, manambala awa azikhala 2,5-4.7 mmol / lita. Maola awiri mutatha kudya kumapeto kwa plasma ndi magazi a capillary, manambala azikhala ochepera 8.3 mmol / lita.

Kuyambira lero pakugulitsa mutha kupeza zida zomwe zimagwiritsa ntchito chizindikiro ngati plasma. Chifukwa chake, ndi magazi a capillary, pogula glucometer, ndikofunikira kudziwa momwe chipangizo choyezera chimapangidwira.

Ngati zotsatira za phunziroli zikwera kwambiri, adokotala azindikira matenda a prediabetes kapena matenda a shuga, kutengera zizindikiro zake.

Ndikwabwino kuyezetsa magazi musanadye, mutatha kudya komanso madzulo, tulo tulo. Ngati munthu ali ndi matenda a shuga a 2, kuyezetsa magazi pogwiritsa ntchito glucometer kumachitika kawiri kapena katatu pa sabata. Pazolinga zopewera, miyezo imatengedwa kamodzi pamwezi.

Kuti mupeze zambiri komanso zolondola, wodwalayo ayenera kukonzekera phunzirolo pasadakhale. Chifukwa chake, ngati wodwalayo adayeza kuchuluka kwa shuga madzulo, ndipo kuwunika kotsatira kudzachitika m'mawa, kudya izi zisanaloledwe pasanathe maola 18.

Kulondola kwa zotsatira zakuzindikira kumathanso kukhudzidwa ndi matenda ena aliwonse omwe ali ndi matenda osapweteka komanso mankhwala.

Kuyang'anira kuchuluka kwa shuga m'magazi kumalola anthu odwala matenda ashuga:

1. Tsatani zotsatira za mankhwala pazizindikiro za shuga,
2. Dziwani momwe masewera olimbitsa thupi alili,
3. Dziwani milingo yochepa kapena yayikulu ya glucose ndikuyambitsa chithandizo pa nthawi. Kuthetsa matenda a wodwalayo,
4. Yang'anirani zonse zomwe zingakhudze magwiridwe antchito.

Chifukwa chake, njira yofananira iyenera kuchitidwa pafupipafupi kuteteza zovuta zonse za matendawa.

Akuluakulu wathanzi - kamodzi pachaka zitatu. Ngati prediabetes, matenda a shuga a mtundu woyamba kapena wachiwiri wapezeka, kuyezetsa magazi kuyenera kuchitika tsiku lililonse. Chifukwa cha izi, mita ya shuga yamagazi imagwiritsidwa ntchito.

M'miyezi yoyamba atapezeka kuti ali ndi matenda a shuga 1, kuwunika mayeso pafupipafupi ndikofunikira, kujambula zotsatira kuti dokotala awone chithunzi chonse cha matendawa ndikuwapatsa chithandizo choyenera. Potere, miyeso imatengedwa kangapo ka 5-10 patsiku.

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

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.

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

• 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.

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

Pafupipafupi miyeso ikusintha. Popewa, tikulimbikitsidwa kuyesedwa kawiri pachaka. Kutsatira mphamvu zakuchepa kapena kuchuluka kwa anthu odwala matenda ashuga, shuga amatha kuyezedwa mpaka kasanu patsiku.

Pulogalamu imapangidwa yowonetsa kusuntha masana. Kwa odwala omwe amadalira insulini, kuchuluka kwa shuga m'magazi kumayang'aniridwa pamaso pa jekeseni aliyense wa insulin. Kuchuluka kwa glucose kumayesedwanso popanda glucometer.

Anthu omwe amakhala ndi nkhawa nthawi zambiri amafunika kuyeza kuchuluka kwa shuga.

Makamaka chidwi ndi zomwe zili mu shuga mthupi ziyenera kuperekedwa kwa anthu omwe ali pachiwopsezo. Mulinso odwala omwe ali ndi vuto la kubadwa kwa mtundu wachiwiri wa matenda ashuga, amayi oyembekezera komanso anthu onenepa kwambiri.

• mkwiyo pakhungu la etiology yamkati,
• Kuuma kwa mucous nembanemba wa larynx,
• kuchuluka kukodza
• kuwonda mwadzidzidzi
• kukokoloka pafupipafupi kwa thrush.

Kodi shuga mumagazi ndi chiyani akamayezedwa ndi glucometer

Mthupi lililonse laumunthu, kagayidwe kake kamakhala kamodzimodzi. Kuphatikiza shuga ndi chakudya chamagulu amathandizanso pochita izi. Ndikofunikira kwambiri kuti thupi lizikhala ndi shuga. Kupanda kutero, mitundu yonse ya zovuta pantchito ya ziwalo zamkati zimayamba.

Ndikofunikira kuti anthu omwe apezeka ndi matenda a shuga azitha kuyeza shuga ndi glucometer kuti adziwe ngati alipo. Mita ndi chida chapadera chomwe chimakuthandizani kuti mudziwe kuchuluka kwa shuga m'magazi.

Mukalandira chisonyezo chokhazikika, mantha sofunikira. Ngati mita pamimba yopanda kanthu ikusonyeza ngakhale kuchuluka kwamphamvu m'magazi a shuga, muyenera kulabadira izi ndikuchitapo kanthu kuti muchepetse kukula kwa matenda.

Kuti muchite izi, ndikofunikira kudziwa ma algorithm ofufuza ndipo nthawi zambiri amavomereza kuchuluka kwa glucose m'magazi a munthu wathanzi. Chizindikiro ichi chinakhazikitsidwa m'zaka zapitazi. Pakuyesayesa kwasayansi, zidapezeka kuti kuchuluka kwa anthu athanzi komanso anthu omwe amapezeka ndi matenda osokoneza bongo ndi osiyana kwambiri.

Ngati shuga yamagazi ayesedwa ndi glucometer, chizolowezicho chidziwike, kuti zitheke, tebulo lapadera lomwe limalemba njira zonse zomwe zingakhalepo kwa odwala matenda ashuga.

1. Kugwiritsa ntchito glucometer, kuchuluka kwa shuga m'mawa pamimba yopanda matenda ashuga kumatha kukhala 6-8.3 mmol / lita, mwa munthu wathanzi chizindikiro ichi chili pamtunda kuchokera pa 4.2 mpaka 6.2 mmol / lita.
2. Ngati munthu wadya, kuchuluka kwa shuga kwa odwala matenda ashuga kumatha kuchuluka mpaka 12 mmol / lita; mwa munthu wathanzi, mukamagwiritsa ntchito glucometer, chisonyezo chomwecho sichikwera pamwamba pa 6 mmol / lita.

Zisonyezero za glycated hemoglobin mu shuga mellitus ndizosachepera 8 mmol / lita, anthu athanzi ali ndi kuchuluka kwa 6.6 mmol / lita.

Kodi miyeso ya glucometer ndi iti

Ndi glucometer, mutha kumadziwa za shuga. Chipangizochi chimapangidwa makamaka kwa odwala matenda ashuga omwe ayenera kumwa miyezo ya glucose tsiku lililonse. Chifukwa chake, wodwalayo safunikira kupita kuchipatala tsiku lililonse kuti akayezetse magazi mu labotale.

Ngati ndi kotheka, chipangizo choyezera chimatha kunyamulidwa ndi inu, mitundu yamakono ndi yaying'ono kukula, ndikupangitsa kuti chipangizocho chikwanire mosavuta muchikwama kapena m'thumba. Wodwala matenda ashuga amatha kuyeza shuga wamagazi ndi glucometer nthawi iliyonse yabwino, komanso panthawi yovuta.

Opanga amapereka mitundu yosiyanasiyana ndi mawonekedwe osazolowereka, ntchito zosavuta. Chokhacho chingabwezere ndalama ndi kuwononga ndalama zomwe zingagwiritsidwe ntchito - zingwe zokulirapo ndi zingwe, makamaka ngati muyenera kuyeza kangapo patsiku.

• Kuti muzindikire kuchuluka kwa shuga m'magazi, muyenera kuyeza miyezo ya magazi masana. Chowonadi ndi chakuti kuchuluka kwa shuga m'magazi kumasintha tsiku lonse. Usiku, amatha kuwonetsera nambala imodzi, ndipo m'mawa - wina. Kuphatikiza deta zimatengera zomwe wodwala matenda ashuga adadya, zolimbitsa thupi zake ndi zomwe zili muzochitika za wodwalayo.
• Madokotala endocrinologists, kuti awone momwe wodwalayo alili, nthawi zambiri amafunsa momwe anamvera maola angapo chakudya chatha. Malinga ndi izi, chithunzi chachipatala chimapangidwa ndi mtundu wina wa matenda ashuga.
• Pakuyeza kwa shuga mumagazi a labotale, plasma imagwiritsidwa ntchito, izi zimakupatsani mwayi wofufuza wowonjezera. Ngati kuchuluka kwa glucose kumachokera pa 5.03 mpaka 7.03 mmol / lita imodzi pamimba yopanda plasma, ndiye kuti mukamayang'ana magazi a capillary, manambala awa azikhala 2,5-4.7 mmol / lita. Maola awiri mutatha kudya kumapeto kwa plasma ndi magazi a capillary, manambala azikhala ochepera 8.3 mmol / lita.

Kuyambira lero pakugulitsa mutha kupeza zida zomwe zimagwiritsa ntchito chizindikiro ngati plasma. Chifukwa chake, ndi magazi a capillary, pogula glucometer, ndikofunikira kudziwa momwe chipangizo choyezera chimapangidwira.

Ngati zotsatira za phunziroli zikwera kwambiri, adokotala azindikira matenda a prediabetes kapena matenda a shuga, kutengera zizindikiro zake.

Kugwiritsa ntchito glucometer kuyeza shuga

Zida zoyezera zofanana ndi chida chaching'ono zamagetsi chokhala ndi chophimba, komanso mawonekedwe a mizere yoyeserera, cholembera cholumikizira ndi lansiti, chivundikiro chonyamula ndi kusungira chida, buku lamalangizo, ndi khadi la chitsimikizo nthawi zambiri zimaphatikizidwa.

Musanayesedwe magazi a shuga, sambani m'manja ndi sopo ndi madzi ndikawapukuta ndi thaulo. Mzere woyezera umayikidwa mu bokosi lamiyala yamagetsi malinga ndi malangizo omwe aphatikizidwa.

Pogwiritsa ntchito chogwiriracho, chopumira chaching'ono chimapangidwa kumapeto kwa chala. Dontho la magazi limayikidwa pamwamba pa mzere woyeserera. Pambuyo masekondi angapo, mutha kuwona zotsatira za kafukufuku paziwonetsero za mita.

Kuti mupeze zolondola, muyenera kutsatira malamulo ena ovomerezeka pokayeza.

1. Dera lomwe kuchinjiramo chimayenera kusinthidwa nthawi ndi nthawi kuti khungu lisawonekere. Ndikulimbikitsidwa kugwiritsa ntchito zala, musangogwiritsa ntchito chikhomo ndi chala. Komanso, mitundu ina imaloledwa kutenga magazi kuti athe kusanthula kuyambira phewa ndi madera ena oyenera thupi.
2. Palibe chifukwa chomwe muyenera kutsina ndikusisita chala chanu kuti mukhale ndi magazi ambiri. Kulandila kolakwika kwa zinthu zachilengedwe kumasokoneza zomwe zapezeka. M'malo mwake, kuti muwonjezere kutuluka kwa magazi, mutha kugwira manja anu pansi pamadzi ofunda musanawunike. Ma kanjedza nawonso amasukidwa mopepuka.
3. Kuti njira yotenga magazi siyimapweteka, kukometsa sikumachitika pakatikati pa chala, koma m'mbali. Ndikofunika kuonetsetsa kuti malowo akubooletsedwa. Zingwe zoyesera zimaloledwa kuti zizingotengedwa kokha ndi manja oyera ndi owuma.
4. Chida choyezera ndi chipangizo chamwini chomwe sichimasamutsidwira kumanja ena. Izi zimakupatsani mwayi wopewa matenda mukamazindikira.
5. Musanayeze, onetsetsani kuti zilembo zomwe zili pachinjirizo zikufanana ndi zomwe zili pakumata kwa mizere yoyeserera.

Zotsatira za phunziroli zitha kukhala zolondola ngati:

• Khodi yomwe ili pamabotolo yopanda zingwe sizigwirizana ndi kuphatikizika kwa digito pazomwe zikuwonetsedwa,
• Dera lomwe limalilidwa linali lonyowa kapena lonyansa,
• Wodwalayo adafinya chala cholowera kwambiri,
• Munthu amakhala ndi chimfine kapena mtundu wina wa matenda opatsirana.

Mkulu wamagazi akayezedwa

Mukapezeka ndi matenda amtundu wa 1 shuga, kuyezetsa magazi kumachitika kangapo patsiku. Makamaka pafupipafupi, muyeso uyenera kuchitidwa kwa ana ndi achinyamata kuti ayang'anire kuwerengera kwa glucose.

Ndikwabwino kuyezetsa magazi musanadye, mutatha kudya komanso madzulo, tulo tulo. Ngati munthu ali ndi matenda a shuga a 2, kuyezetsa magazi pogwiritsa ntchito glucometer kumachitika kawiri kapena katatu pa sabata. Pazolinga zopewera, miyezo imatengedwa kamodzi pamwezi.

Kuti mupeze zambiri komanso zolondola, wodwalayo ayenera kukonzekera phunzirolo pasadakhale. Chifukwa chake, ngati wodwalayo adayeza kuchuluka kwa shuga madzulo, ndipo kuwunika kotsatira kudzachitika m'mawa, kudya izi zisanaloledwe pasanathe maola 18. M'mawa, glucose amayeza musanatsukidwe, popeza ma pastes ambiri amakhala ndi shuga. Kumwa ndi kudya sikofunikanso kusanthula.

Kulondola kwa zotsatira zakuzindikira kumathanso kukhudzidwa ndi matenda ena aliwonse omwe ali ndi matenda osapweteka komanso mankhwala.

Kuyang'anira kuchuluka kwa shuga m'magazi kumalola anthu odwala matenda ashuga:

1. Tsatani zotsatira za mankhwala pazizindikiro za shuga,
2. Dziwani momwe masewera olimbitsa thupi alili,
3. Dziwani milingo yochepa kapena yayikulu ya glucose ndikuyambitsa chithandizo pa nthawi. Kuthetsa matenda a wodwalayo,
4. Yang'anirani zonse zomwe zingakhudze magwiridwe antchito.

Chifukwa chake, njira yofananira iyenera kuchitidwa pafupipafupi kuteteza zovuta zonse za matendawa.

Kusankha Mtunda Wabwino

Mukamasankha zida zoyesera, muyenera kuyang'ana mtengo wa zothetsera - zingwe zoyesa ndi zingwe zamkati. Zili kwa iwo mtsogolo kuti zonse zofunika zomwe odwala matenda ashuga adzagwe. Muyeneranso kuyang'anira kuti zogulitsa zikupezeka ndikugulitsidwa ku pharmacy yomwe ili pafupi.

Kuphatikiza apo, odwala matenda ashuga nthawi zambiri amasankha mitundu yaying'ono, yabwino, komanso yothandiza. Kwa achinyamata, mapangidwe amakono ndi kupezeka kwa kulumikizana ndi zida zamagetsi ndizofunikira. Okalamba amasankha zosankha zosavuta koma zolimba ndi chiwonetsero chachikulu, zilembo zomveka bwino komanso mikwingwirima yayikulu yoyesa.

Onetsetsani kuti mwazindikiritsa kuti glucometer imakhala yofanana ndi yachilengedwe yanji. Komanso, chitsimikiziro chofunikira ndicho kupezeka kwa magawo omwe amavomerezedwa ku Russia mmol / lita.

Kusankha kwa zida zodziwika kwambiri komanso zodziwika bwino zoyezera zimaperekedwa kuti zilingalire.

• Mita ya ONE TOUCH ULTRA ndi mita yosavuta kunyamula. Zomwe zimagwera mosavuta m'thumba lanu kapena kachikwama. Wopangayo amapereka chitsimikiziro chopanda malire pazinthu zawo. Zotsatira zakuzindikiritsa zitha kupezeka pambuyo pa masekondi 7. Kuphatikiza pa chala chake, zitsanzo zamagazi zimaloledwa kutengedwa kuchokera kumalo ena.
• Mtundu wocheperako, koma wogwira mtima ndi TRUERESULT TWIST. Chipangizo choyezera chimapereka zotsatira za kafukufuku pazenera patatha masekondi 4. Chipangizocho chili ndi batri lamphamvu, motero mita imatha kugwiritsidwa ntchito kwa nthawi yayitali. Masamba ena amagwiritsidwanso ntchito pochotsa magazi.
• Chipangizo choyezera ACCU-CHEK Yogwira imakulolani kuti muyambenso kugwiritsa ntchito magazi pamwamba pa mizere yoyeserera ngati ikusowa. Mamita amatha kupulumutsa zotsatira zake ndi tsiku ndi nthawi yodziwitsa komanso kuwerengera za mtengo wapakati kwakanthawi.

Malamulo ogwiritsira ntchito mita akufotokozedwa mu kanema munkhaniyi.