Kodi magazi owopsa 11

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

Monga mukudziwa, ndi insulin yomwe ndi imodzi mwa mahomoni ofunika kwambiri m'thupi la munthu. Zimapangitsa kuti azilamulira shuga wambiri ndi mita ya Gamma ndikuchepetsa pomwe imakwezedwa. Komabe, pali zochitika zina zomwe, mwachitsanzo, insulin imakwezedwa, koma kuchuluka kwa shuga kumakhalabe kwabwinobwino? Za izi, komanso chizolowezi, shuga ndi mochuluka m'lemba.

About insulin

Chifukwa chake, insulin ndi amodzi mwa mahomoni amenewo omwe amayang'anira kuwongolera njira zonse mthupi la munthu aliyense. Kuphatikiza apo, ndi omwe "amachititsa" kagayidwe kazakudya zamapuloteni ndi mafuta - monga zikuwonetsedwera ndi munthu wina wokhudza glucometer. Komabe, ntchito yake yayikulu ndikusunga shuga wamwazi pamalo oyenera. Izi, zimapereka mphamvu yokwanira posinthana mwazotheka.

Mulingo woyenera kwambiri wa insulin mwa munthu wokhala ndi thanzi labwinobwino ndi:

mwa ana - kuyambira 3.0 mpaka 20,0 μU pa ml,
Akuluakulu - kuyambira 3.0 mpaka 25.0 μU pa ml (wotsimikiza bwino kugwiritsa ntchito gluioneter wa bionime),
mwa anthu achikulire kuposa zaka 60 - kuyambira 6.0 mpaka 35.0 mcU pa ml. Zizindikiro zonse zomwe zaperekedwa zikuwonetsa zodziwika.

Mofananamo, zomwe zikuwonetsa zikupezeka zambiri kapena zochepa, ndikofunikira kukaonana ndi katswiri kuti mupeze zomwe zimayambitsa izi. Makamaka, ngati zikuwoneka kuti insulini yowonjezereka, koma shuga, monga momwe mayesowa akuwonekera, ndizabwinobwino, monga Akku Chek akunenera.

Za kukweza

Mlingo wokwera kwambiri wa mahomoni omwe amaperekedwa m'magazi ukhoza kukhala umboni wowonekeratu wa zovuta zambiri zaumoyo. Choyamba, tikulankhula za matenda ashuga a gulu lachiwiri. Kupatuka komwe kunaperekedwa, komwe shuga ndiwokwera kwambiri kapena pang'ono, kumapezeka kwambiri, komwe kumatsimikiziridwa mosavuta pogwiritsa ntchito TC Contour.

Komanso, chiwonetserochi chimatha kunena za matenda osokoneza bongo monga matenda a Cushing. Zosowa kokwanira, komabe pali mawonekedwe monga acromegaly. Amawonetsedwa mu chiwopsezo chofunikira kwambiri cha kukula kwa mahomoni. Pankhaniyi, shuga wamagazi ndimakhala abwinobwino, koma insulin imachulukitsidwa kwambiri.

Kuphatikiza apo, vuto lomwe limaperekedwa mthupi la munthu ndi umboni wa matenda ena omwe amakhudzana mwachindunji ndi chiwindi. Kuwonetsera uku kuyenera kuonedwa ngati chizindikiro chachikulu cha insulinoma, ndiko kuti, chotupa chomwe chimatulutsa insulin. Ndi chifukwa ichi kuti insulin nthawi zambiri imachulukitsidwa, koma shuga amakhalanso wabwinobwino.

Kuphatikiza apo, ndi shuga omwe waperekedwa, chiopsezo chotchedwa dystrophic myotonia, chomwe ndi matenda a neuromuscular, ndiwokwera kwambiri.

Poganizira chilengedwe komanso kuvuta kwa njirayi, ikhoza kuwonetsa gawo loyambirira la kunenepa kwambiri, komanso kuphwanya kwakukulu kwa gawo lirilonse la maselo ku mahomoni ndi chakudya.

Insulin yowonjezereka imatha kupezeka bwino m'magazi a amayi apakati, omwe amapezeka ngakhale koyambirira kwambiri. Nthawi zambiri, kuwonjezeraku kuyenera kuganiziridwa monga kuyankha kwa munthu ku dziko latsopano malinga ndi chilengedwe.

Ndikofunikanso kuganizira kuti kupatuka kwina kulikonse kwa insulin mwa akazi kupita kumtunda ndi chizindikiro cha matenda monga polycystic ovary. Chofunikira kwambiri ndikuwoneka kwa izi, pomwe mafuta am'mimbamo mwachidziwikire amawonjezeka.

Komabe, ziyenera kudziwidwa kuti matenda aliwonse omwe afotokozedwa pano ndi mtundu wokhazikika womwe ungayimitsidwe ndikuthandizira kwachipatala kwakanthawi komanso koyenera. Mwanjira imeneyi ndi pomwe pokhazikitsa bata ndi insulini ngati chimodzi mwazomwe zikuwonetsedwa chikuwonjezereka. Pankhaniyi, ndikofunikira kuzindikira zomwe kuchepetsa kapena njira zowonongera insulin ndi shuga zinganene.

Potsitsa mtengo

Chisamaliro makamaka chiyenera kuperekedwanso kuchepa kwakanthawi kapena mwadzidzidzi, chifukwa chitha kukhala umboni wachidziwitso cha zomwe zikuyambira:

matenda a shuga a gulu loyamba,
shuga achinyamata
wodwala matenda ashuga
hypopituitarism (matenda omwe amagwirizana mwachindunji ndi zosokoneza zamtundu uliwonse pakugwiritsidwa ntchito kwa pituitary gland).

Kuchita masewera olimbitsa thupi kwa nthawi yayitali kumatha kupangitsa kuchepa kwa insulin.

Kuphatikiza apo, kusintha kwa mtundu uliwonse pamlingo womwe insulin iwonetsa ikhoza kukhalanso umboni wa zovuta mu kapamba, chifukwa iwo amawonetsa mwachangu pakupanga kwa mahomoni omwe aperekedwa.

Pankhaniyi, shuga amathanso kuwonjezeka.

Kwa odwala omwewa omwe ali pachiwopsezo choyamba chofufuza matendawa ndikuzindikiritsa mtundu wa matenda ashuga, ndikuwunika insulin ndi mulingo wake zomwe zimapangitsa kuti pakhale njira zabwino komanso zomveka zopangira chithandizo chotsatira.

Za kukhala bwino

Ndikofunikanso kudziimira payekha ngati, pakadali pano, osati shuga komanso insulin. Umboni wodalirika wa izi, inde, kuwonjezera pakupenda, ndizizindikiro zomwe zimatumizidwa ndi thupi. Kusintha kulikonse kwa chiŵerengero cha mahomoni mwachangu kumakhudza kuchuluka kwa shuga m'magazi. Ndili ndi ndime iyi kuti zomvekera za iye amene mahomoni ake amapita kupitilira njira yolumikizidwa ndi yolumikizidwa.

Umboni wakupatuka kwa insulin kuchokera munthawi zambiri, ndikumverera kwa ludzu, kuyimitsidwa pakhungu pakhungu, kukoka pafupipafupi, komanso kutopa ndi kuwonda kwambiri. Nthawi ina, tikulankhula za kuchiritsidwa kovutirapo kwambiri, kopweteka pang'ono kapena pang'ono.

Pankhani yakuwonjezeka kwakukulu kwa chiŵerengero cha insulin, kuchuluka kwa shuga m'magazi kumatsikiranso mwachangu. Kuphatikiza pa zizindikiro zomwe zaperekedwa, pankhaniyi, zimathanso kudziwonetsa:

zosowa mwadzidzidzi koma zamkati mwanjala,
kunjenjemera kwambiri
kukomoka kwa mtima, komanso tachycardia,
kutuluka thukuta kwambiri
chizolowezi chokhumudwitsa, komanso chomwe chimadzuka mwadzidzidzi.

Zonsezi zikusonyeza kuti shuga kapena insulini imakwezedwa kwambiri, zomwe zikutanthauza kuti kulowera kuchipatala ndikofunikira.

Zokhudza ngozi

Chiwerengero chowonjezeka cha insulin chimakhala ndi chiopsezo chachikulu ku thanzi la munthu aliyense. Chifukwa, choyambirira, zimathandizira kupanga mapangidwe oopsa oopsa, omwe amakhudza kuchepa kwa kuthamanga kwa mitsempha. Mothandizirana ndi izi, chiopsezo cha matenda amtima wabwino kwambiri. Ndi insulin yomwe imakhudza bwino makulidwe a makhoma ndi maselo amitsempha yama carotid, ndipo chifukwa cha izi pamakhala kuphwanya magazi abwinobwino kupita ku ubongo. Zinthu ngati izi zitha kuchititsa kuti munthu asamaganize bwino komanso kufulumira kuganiza. Monga lamulo, tikulankhula za zaka zakubadwa zopitilira 60 - ndi mu m'badwo uno momwe zovuta zambiri zothandizira zimawonekera.

Kuphatikiza apo, aliyense amadziwa bwino kuti kuchuluka kwa insulini komanso kusinthasintha kwake kumapangitsa kuti pakhale mtundu woyamba wa matenda ashuga. Matendawa amasokoneza kugwira ntchito kwa pafupifupi thupi lonse.

Pankhani imeneyi, ndikulimbikitsidwa kuti ngati mukukayikira kuchuluka kwa shuga ndi insulin m'magazi, ipititse mayeso oyenera.

Izi zikuwonetsetsa kuti popeza mavuto osiyanasiyana ndizotheka kuchitapo kanthu, osalola kuti pakhale zovuta zina. Chifukwa chake, zochitika zilizonse zakusintha kwa shuga m'magazi ziyenera kufufuzidwa ndikuthandizidwa moyenera. Izi ndizowona makamaka ngati insulin imakulitsidwa kwambiri kapena pang'ono, koma shuga amakhalabe wokhazikika. Izi sizachilendo, chifukwa chake ndikofunikira kulumikizana ndi katswiri.

Njira yotereyi imatsimikizira kusungidwa kwa machitidwe onse amoyo pamlingo wambiri, mogwirizana ndi momwe ndikofunikira kwambiri kukumbukira nthawi zonse ndikukonzekera mulingo wa thupi la anthu osati shuga wokha, komanso insulin.

Shuga wambiri m'magazi a shuga kwa odwala matenda ashuga: malire oyenera

Matenda a shuga amakhalapo nthawi zonse amapezeka ndi shuga wambiri. Komabe, mwa odwala ena, kuchuluka kwa shuga kumatha kupitilira pang'ono pazomwe zimakhazikitsidwa, pomwe mwa ena kumatha kufikira gawo lovuta.

Kuchuluka kwa shuga m'thupi ndi chofunikira kwambiri pothandizira bwino matenda a shuga - ndikamakulirapo, matendawo akamakula. Mkulu shuga wambiri amachititsa kuti pakhale zovuta zambiri, zomwe zimapangitsa kuti pakhale nthawi yambiri kuti masomphenyawo asamaonekere, azidulidwa mathetsedwe, kulephera kwa impso, kapena vuto la mtima.

Chifukwa chake, munthu aliyense yemwe ali ndi matenda oopsawa ayenera kukumbukira kuchuluka kwa shuga m'magazi omwe angayambitse wodwala komanso zomwe zingachitike chifukwa chotsatira.

Mulingo wovuta wa shuga

Monga mukudziwa, kuchuluka kwa shuga musanadye kuchokera pa 3.2 mpaka 5.5 mmol / L, mutatha kudya - 7.8 mmol / L. Chifukwa chake, kwa munthu wathanzi, zofunikira zilizonse za glucose wamagazi pamwamba pa 7.8 ndi pansi pa 2.8 mmol / l zimawerengedwa kale kuti ndizovuta ndipo zimatha kuyambitsa zovuta zina mthupi.

Komabe, mwa anthu odwala matenda ashuga, kuchuluka kwa shuga m'magazi kumakhala kotalikirapo ndipo makamaka zimadalira kuopsa kwa matendawa ndi zina zomwe wodwalayo ali nazo. Koma malinga ndi ambiri a endocrinologists, chizindikiritso cha glucose m'thupi pafupi ndi 10 mmol / L ndizofunikira kwa odwala ambiri omwe ali ndi matenda ashuga, ndipo owonjezera ake ndi osayenera.

Ngati magazi a munthu wodwala matenda ashuga aposa mulingo wabwinobwino ndikukwera pamwamba pa 10 mmol / l, ndiye kuti izi zimamuwopseza ndi hyperglycemia, yomwe imakhala yoyipa kwambiri. Kuphatikizidwa kwa glucose 13 mpaka 17 mmol / l kale kumabweretsa chiopsezo m'moyo wa wodwalayo, chifukwa zimapangitsa kuchuluka kwakukulu mu magazi a acetone komanso kukula kwa ketoacidosis.

Vutoli limapatsa chidwi kwambiri mtima ndi impso za wodwalayo, ndipo zimapangitsa kuti madzi ake achepetse madzi. Mutha kudziwa mulingo wa acetone ndi fungo lokhazikika la mkamwa kuchokera pakamwa kapena ndi zomwe zili mkodzo pogwiritsa ntchito zingwe zoyeserera, zomwe tsopano zikugulitsidwa m'mafakitala ambiri.

Mulingo woyenerera wa shuga wamagazi pomwe wodwala matenda ashuga amatha kusokonezeka kwambiri:

Kuyambira 10 mmol / l - hyperglycemia,
Kuyambira 13 mmol / l - pachimodzimodzi,
Kuyambira 15 mmol / l - hyperglycemic chikomokere,
Kuyambira 28 mmol / l - ketoacidotic chikomokere,
Kuyambira 55 mmol / l - hyperosmolar chikomokere.

Shuga wakufa

Wodwala aliyense wodwala matenda a shuga ali ndi shuga wawo wambiri. Mwa odwala ena, kukula kwa hyperglycemia kumayamba kale pa 11-12 mmol / L, mwa ena, zizindikiro zoyambirira za izi zimawonedwa pambuyo pa chizindikiro cha 17 mmol / L. Chifukwa chake, mumankhwala palibe chinthu monga limodzi, kwa odwala matenda ashuga onse, kuchuluka koopsa m'magazi.

Kuphatikiza apo, kuuma kwa mkhalidwe wa wodwalayo sikungotengera kuchuluka kwa shuga mthupi, komanso mtundu wa shuga womwe ali nawo. Chifukwa chake shuga yotsika mu mtundu woyamba wa shuga imathandizira kwambiri kuchuluka kwa acetone m'magazi komanso kukula kwa ketoacidosis.

Odwala omwe ali ndi matenda a shuga a mtundu wachiwiri, shuga wokwezeka nthawi zambiri sayambitsa kuchuluka kwa acetone, koma zimapweteka kwambiri, ndipo zimavuta kusiya.

Ngati shuga mu wodwala wodwala yemwe amadalira insulin atha kukhala wamtengo wapatali wa 28 mm mm / l, ndiye kuti atha kukhala ndi vuto limodzi lalikulu la matenda ashuga - ketoacidotic chikomokere. Pa mulingo wa shugawu, supuni 1 imodzi ya shuga imakhala mu lita imodzi ya magazi a wodwala.

Nthawi zambiri zotsatira za matenda opatsirana aposachedwa, kuvulala kwambiri kapena opaleshoni, yomwe imafooketsanso thupi la wodwalayo, imatsogolera pamenepa.

Komanso ketoacidotic coma imatha kuchitika chifukwa chosowa insulini, mwachitsanzo, ndi mankhwala osankhidwa molakwika kapena ngati wodwala wasowa jekeseni nthawi. Kuphatikiza apo, chomwe chimayambitsa vutoli chimatha kukhala mowa.

Ketoacidotic chikomacho chimadziwika ndi chitukuko cha pang'onopang'ono, chomwe chimatha kutenga maola angapo mpaka masiku angapo. Zizindikiro zotsatirazi ndizoyambitsa izi:

Kukoka pafupipafupi ndi kuphatikiza mpaka malita atatu. patsiku. Izi ndichifukwa choti thupi limayesetsa kupaka ma acetone ochuluka momwe angathere kuchokera mkodzo,
Kuthetsa madzi m'thupi kwambiri. Chifukwa chokodza kwambiri, wodwalayo amataya madzi,
Masewera okwera amthupi a ketone. Chifukwa chosowa insulini, glucose amasiya kutengeka ndi thupi, zomwe zimapangitsa kuti akonze mafuta kuti akhale ndi mphamvu. Zopangidwa ndi njirayi ndi matupi a ketone omwe amatulutsidwa kulowa m'magazi,
Kupanda mphamvu kwathunthu, kugona,
Matenda a shuga ndi nseru, kusanza,
Khungu lowuma kwambiri, lomwe limatha kutuluka ndi kusweka,
Pakamwa kowuma, mamasukidwe owoneka bwino, kupweteka m'maso chifukwa chosowa madzi akumwa,
Fungo lonena za acetone kuchokera mkamwa,
Kupuma mwamphamvu, koopsa, komwe kumawoneka ngati chifukwa cha kuchepa kwa mpweya.

Ngati kuchuluka kwa shuga m'magazi kukupitilirabe, wodwalayo amapanga njira yoopsa kwambiri yoopsa yodwala matenda ashuga - hyperosmolar coma.

Imadziwulula ndi zizindikiro zowopsa kwambiri:

Muzovuta kwambiri:

Mitsempha yamagazi m'mitsempha,
Kulephera kwina
Pancreatitis

Popanda chithandizo chanthawi yake, chikomokere chimatha kumwalira. Chifukwa chake, pamene zizindikiro zoyambirira za kupsinjika izi zikuwoneka, kugonekedwa kuchipatala kwa wodwala kuchipatala ndikofunikira.

Chithandizo cha hyperosmolar chikomokereni chimachitika pokhapokha mwa njira zotsitsimutsa.

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

Chofunikira kwambiri pochiza matenda a hyperglycemia ndiko kupewa kwake. Osamabweretsa shuga m'magazi ovuta. Ngati munthu ali ndi matenda a shuga, ndiye kuti sayenera kuyiwala za izi ndipo nthawi zonse aziwonetsetsa kuchuluka kwa shuga panthawi.

Kusunga shuga wambiri wabwinobwino, anthu odwala matenda ashuga atha kukhala moyo wathunthu kwa zaka zambiri, osakumana ndi zovuta zovuta za matenda.

Popeza mseru, kusanza, ndi kutsegula m'mimba ndi zina mwazizindikiro za hyperglycemia, ambiri amatenga mankhwala opha ululu, omwe amakhala ndi zotsatirapo zoopsa.

Ndikofunika kukumbukira kuti ngati zizindikiro zoterezi zikuwoneka mwa wodwala yemwe ali ndi matenda ashuga, ndiye kuti vuto silikhala matenda am'mimba, koma kuchuluka kwa shuga m'magazi. Kuti muthandizire wodwala, jakisoni wa insulin ndi wofunika msanga.

Kuti athane ndi bwino ndi zizindikiro za hyperglycemia, wodwalayo ayenera kuphunzira kudziimira payekha mlingo woyenera wa insulin.Kuti muchite izi, kumbukirani njira yosavuta iyi:

Ngati magazi a shuga ndi 11-12,5 mmol / l, ndiye kuti gawo lina liyenera kuwonjezeka pamankhwala amtundu wa insulin,
Ngati zomwe glucose aposa 13 mmol / l, ndipo fungo la acetone lilipo mu mpweya wa wodwalayo, ndiye kuti ziwalo ziwiri ziyenera kuwonjezeredwa ku mlingo wa insulin.

Ngati kuchuluka kwa glucose kumatsika kwambiri pambuyo pobayidwa jakisoni wa insulin, muyenera kudya chakudya cham'mimba mwachangu, mwachitsanzo, imwani msuzi wa zipatso kapena tiyi ndi shuga.

Izi zikuthandizira kuteteza wodwala kuti asafe ndi matenda a ketosis, ndiye kuti, nthawi yomwe matupi a ketone m'magazi ayamba kuchuluka, koma zomwe zili m'magaziwo zimakhala zotsika.

Shuga wochepa

Mankhwala, hypoglycemia imawerengedwa ngati kuchepa kwa shuga m'magazi ochepera 2.8 mmol / L. Komabe, izi ndi zoona kwa anthu athanzi okha.

Monga momwe zilili ndi hyperglycemia, wodwala aliyense yemwe ali ndi matenda a shuga amakhala ndi gawo lake lotsika la shuga, pambuyo pake amayamba kukhala ndi hyperglycemia. Nthawi zambiri zimakhala zapamwamba kwambiri kuposa momwe zimakhalira ndi anthu athanzi. Mlozera wa 2.8 mmol / L siliwotsutsa kokha, koma wopha anthu ambiri odwala matenda ashuga.

Kuti mudziwe kuchuluka kwa shuga m'magazi momwe hyperglycemia ingayambire wodwala, ndikofunikira kuchotsa kuchokera ku 0.6 mpaka 1.1 mmol / l kuchokera pamlingo wake womwe akufuna - ichi chizikhala chofunikira kwambiri.

Odwala ambiri odwala matenda ashuga, kuchuluka kwa shuga ndi pafupifupi 4-7 mmol / L pamimba yopanda kanthu komanso pafupifupi 10 mmol / L atatha kudya. Kuphatikiza apo, mwa anthu omwe alibe matenda ashuga, siziposa kuchuluka kwa 6.5 mmol / L.

Pali zifukwa ziwiri zazikulu zomwe zimapangitsa wodwala matenda ashuga:

Kuchuluka kwa insulin
Kumwa mankhwala omwe amalimbikitsa kupanga insulin.

Vutoli limatha kukhudza odwala onse omwe ali ndi matenda amtundu 1 komanso mtundu 2. Makamaka nthawi zambiri imawonekera mwa ana, kuphatikiza usiku. Kuti mupewe izi, ndikofunikira kuwerengetsa moyenera kuchuluka kwa insulin tsiku lililonse ndikuyesera kuti osapitirire.

Hypoglycemia imawonetsedwa ndi zizindikiro zotsatirazi:

Khungu lakhungu,
Kuchuluka thukuta,
Kugwedezeka thupi lonse
Zosangalatsa pamtima
Njala yadzaoneni
Kuwonongeka kwa chidwi, kulephera kuyang'ana,
Kusanza, kusanza,
Kuda nkhawa, kuchita zinthu mwankhanza.

Pa gawo lowopsa, zizindikiro zotsatirazi zimawonekera:

Zofooka zazikulu
Chizungulire ndi matenda ashuga, ululu m'mutu,
Nkhawa, mantha osasinthika,
Kusokonekera kwa mawu
Masomphenya olakwika, masomphenya apawiri
Chisokonezo, kulephera kuganiza mokwanira,
Kuyendetsa bwino galimoto, kuvulala kwamtundu,
Kulephera kuyenda pamtunda nthawi zambiri,
Kukokana m'miyendo ndi manja.

Izi sizinganyalanyazidwe, chifukwa shuga wochepa kwambiri m'magazi ndiowopsa kwa wodwala, komanso wokwera kwambiri. Ndi hypoglycemia, wodwalayo ali pachiwopsezo chachikulu cha kutaya chikumbumtima ndikugwera mu kuphwanya kwa hypoglycemic.

Vutoli limafunikira wodwala kuchipatala. Chithandizo cha hypoglycemic coma chimachitika pogwiritsa ntchito mankhwala osiyanasiyana, kuphatikizapo glucocorticosteroids, omwe amalimbikitsa msanga shuga m'thupi.

Mankhwala osokoneza bongo a hypoglycemia atha kudwala, amatha kuwononga ubongo komanso kuwononga olumala. Izi ndichifukwa choti glucose ndiye chakudya chokha cha maselo aubongo. Chifukwa chake, ndi kuchepa kwake kwakukulu, amayamba kufa ndi njala, zomwe zimawachititsa kufa mwachangu.

Chifukwa chake, anthu omwe ali ndi matenda ashuga ayenera kuyang'ana kuchuluka kwa shuga m'magazi awo pafupipafupi kuti asaphonye kapena kuwonjezeka kwambiri. Kanemayo munkhaniyi ayang'ana shuga wokwezeka wamwazi.

Kodi kuopsa kwa shuga m'magazi kumakhala kotani?

Kuopsa kwa shuga m'magazi ndikofunikira kudziwa, chifukwa sikuti hyperglycemia yokha ndiyovulaza. Kuchuluka kwa shuga kumachitika mokwanira, zovuta za hyperglycemia zimayamba pang'onopang'ono. Kumbali ina, izi ndi zoipa, chifukwa munthu amatha kukhala nthawi yayitali osazindikira vutoli, pomwe kuchuluka kwa glucose m'mwazi kumawononga thupi lake. Koma, kumbali ina, izi ndi zabwino, chifukwa kusintha kusasinthe, njira zitha kuchitidwa. Hypoglycemia imayamba mwadzidzidzi, ndipo gawo limodzi la matenda akuluakulu limatha kutha.

Mwazi wamagazi

Thupi laumunthu lakhazikitsa njira zothandizira kukhazikikitsira chilengedwe. Kuti magwiridwe antchito a ziwalo ndi minofu, ndikofunikira kuti zizindikiritso za kupsinjika, kukoka, kutentha, asidi-asidi, komanso zomwe zili mumagazi zizikhala zofunikira.

Kusamukira kwina kulikonse kapena kwina kumayambitsa matenda. Nthawi zina zimakhala zofunikira kwambiri kuti kusintha kwa chizindikirocho kumabweretsa zotsatira zosasinthika. Glucose ndi chimodzi mwazinthu zomwe zinthu zomwe zimayenera kukhala m'magazi zizikhala zopitilira. Chofunika kwambiri kuposa shuga ndi mpweya wokha. Izi zimagwira ntchito yamafuta, zimagwiritsidwa ntchito nthawi zonse pazosowa za thupi ndipo zimapangidwanso kuchokera ku chakudya, komanso kuchokera ku malo osungirako momwe zimasungidwira.

Mafuta ndi shuga zina zimaloŵa m'thupi ndi chakudya. M'matumbo am'mimba, ma carbohydrate omwe amawonongeka amapangidwa ndi ma monosaccharides ndikuwamwetsa m'magazi. Mkulu wina wa glucose amasungidwa mu chiwindi monga glycogen. Glycogen ndi wowuma nyama, chinthu chomwe chimaphwanya msanga, ngati pakufunika, glucose. Ilinso m'misempha. Glucose owonjezera amatha kudutsa minofu ya adipose ndikumasulidwanso, koma izi zimachitika pang'onopang'ono.

Zakudya zopatsa thanzi zimagawidwa mu:

Pa "mwachangu" kapena chophweka, chomwe chimalowa m'magazi pang'ono, ndikuwonjezera shuga kuti ikhale yamtengo wapatali. Poyankha izi zawonjezeka, insulin yambiri imatulutsidwa yomwe imalimbikitsa kutaya. Pambuyo pake, shuga wamagazi amatsika kwambiri. Zakudya zomanga thupi zomwe zimaphatikizidwa mwachangu zimaphatikizapo shuga wangwiro ndi zinthu zomwe zimakhala: buledi woyera, zipatso zotsekemera, uchi.
"Zowonda" kapena zovuta, zomwe sizimatulutsidwa msanga m'matumbo, zimasunga shuga kwa nthawi yayitali komanso osakhala pamiyeso yayikulu kwambiri. Izi zimaphatikizapo tirigu wathunthu, mkate wopanda nzeru, pasitala wopangidwa kuchokera ku ufa wa durum, masamba otentha.

M'mikhalidwe yovuta, kumasulidwa kwa glucose kumachitika mchikakamizo cha adrenaline. Ichi ndichifukwa chake dontho la shuga m'magazi limayendera limodzi ndi mawonetsedwe azachipatala a vuto la adrenaline, i.e. njira yoteteza imayamba - thupi limatulutsa adrenaline kuti "amasule" glucose ku depot.

Zimayambitsa kuchepa kwa shuga wamagazi

Imachepetsa shuga pamene ichita mphamvu ya minofu, pantchito ya ziwalo, komanso mothandizidwa ndi insulin, yomwe "imayendetsa" glucose m'maselo. Hormoni iyi imapangidwa ndi kapamba. Mu shuga mellitus, insulin imalowetsedwa, mlingo wake amawerengedwa kutengera kuchuluka kwa chakudya chamagulu azakudya. Ndipo odwala matenda a shuga amatha kutumizidwa mapiritsi omwe amathandizira kupanga.

Chifukwa chake, kuchepa kwa shuga m'magazi kumachitika motere:

kumayambiriro kwa insulin muyezo woposa chosowa,
mankhwala osokoneza bongo omwe amachepetsa shuga,
kuchuluka kwa insulin ndi chotupa cha pancreatic kapena chotupa cha insulin chakina,
Zakudya zosakwanira za chakudya chamagulu ndi zakudya zina,

Kutalikirana kwakutali pakati pa chakudya, pomwe malo ogulitsa shuga atatha m'dotolo, makamaka akamamwa mowa, womwe pawokha umachepetsa shuga la magazi,
kuchuluka zolimbitsa thupi
kudya chakudya “chothamanga” kwambiri,
kumwa mankhwala ena ndi mphamvu - kutsitsa shuga.

Ndi chitukuko cha hypoglycemia, zinthu zingapo nthawi zambiri zimakhudzidwa - kudya pamodzi ndi masewera olimbitsa thupi, mowa komanso nthawi yayitali pakati pakudya kapena kumwa insulini ndikulumpha zakudya.

Zomwe zimachitika kwambiri - kupsinjika kwakuthupi kapena kwamaganizidwe kumabweretsa kuti glucose adye. Thupi likuyesera kulipirira kuchepa kwa shuga m'magazi potaya ma mahomoni amthupi otsutsana - adrenaline ndi glucagon. Ngati glucose ali mu depot (mu mawonekedwe a glycogen mu chiwindi ndi minofu), amalowa m'magazi pansi pa zomwe akuchita. Ngati glucose depot yatha (izi zimachitika kugona tulo usiku, pambuyo pa kugona kwa maola angapo, ndikudya pang'ono), ndiye kuti hypoglycemia imakulanso.

Zizindikiro za hypoglycemia

Mwazi wabwinobwino wamwazi uli m'magulu 3.3-5,5 mmol / L. Ndipo ngati hyperglycemia imawononga pang'ono pang'onopang'ono, ndiye kuti chiwopsezo cha shuga m'magazi chitha kukhalanso ndi vuto lalikulu - kufa ndi maselo a thupi. Ubongo umakhudzidwa kwambiri.

Glucose ndi "mafuta", metabolism yake imapatsa maselo mphamvu. Ndipo minyewa yaubongo, chifukwa cha bungwe lake labwino, kuthamanga kwambiri ndi njira zomwe zimachitika mmenemo, zimafunikira mphamvu pafupipafupi. Mphamvu zomwe zimasunga mu ma cell aubongo ndizochepa. Ngakhale mphindi zochepa zopanda shuga zimatsogolera ku vuto laubongo. Imfa ya maselo ake ndi yomwe shuga wochepa wamagazi amakhala woopsa.

Zizindikiro zoyambirira za kuchepa kwa shuga m'magazi zomwe zikuwonekera:

kuchepa kwamphamvu kwa thupi ndi thupi,
kutopa, ulesi, kugona,
kusokonezeka ndende,
kumverera kwa njala.

Zizindikirozi zimayamba chifukwa cha kutsika kwa kayendedwe ka mphamvu m'thupi. Hypoglycemia yamankhwala imachitika m'mawa. Malo ogulitsira a Glycogen amawonongeka usiku wonse, kotero mukadzuka, kamvekedwe ka thupi lanu kamachepetsedwa.

Ngati, ndi kuchepa kwa shuga m'magazi, kuchepekedwa sikudzazidwa, ndiye kuti mulingo wake umachepa (popeza glucose ikupitilira kugwiritsidwa ntchito pazosowa za thupi). Makina oteteza omwe amayambitsa ndi kuthamanga kwa adrenaline.

Nthawi yomweyo, chipatala cha mavuto achifundo chimayamba:

kukomoka mtima,
thukuta
kuthamanga kwa magazi
kulimbitsa mtima mwamantha (mantha, mkwiyo, kupsa mtima, kugwetsa misozi),
kunjenjemera m'thupi
redness kapena kufinya nkhope.

Vutoli limakulirakulira chifukwa chakuti padakali pano njala itha kukhalapo, ndipo nseru ngakhale kusanza kumawonekeranso. Ndi kupitiliza kwa hypoglycemia, kutsika shuga kumapangitsa kuti munthu asokonezeke. Chisokonezo, kufooka kwamphamvu kumakula, kumatha kukhala kukokana. Pambuyo pake, chikomokere chimayamba. Ngati wodwala sathandizidwa, kufa kwa ubongo kumachitika. Inde, hypoglycemia imakhala yosowa, nthawi zambiri zimachitika motsutsana ndi maziko a insulin. Komabe, aliyense ayenera kudziwa za zomwe akuwonetsa komanso zomwe akuyenera kuchita.

Thandizo loyamba la hypoglycemia

Nthawi zambiri odwala matenda ashuga amadziwa kuthekera kopanga hypoglycemia mwa iwo ndipo nthawi zonse amakhala ndi chidutswa cha maswiti kapena chidutswa cha zokoma zina nawo.

Pazizindikiro zoyambirira za hypoglycemia, ndi bwino nthawi yomweyo kudya zam'mimba, osadikirira chithunzi chatsatanetsatane.

Izi zikuphatikiza:

shuga
maswiti (caramel ndibwino, koma ngati palibe chosankha, ndiye chokoleti),
msuzi wokoma wokhala ndi shuga (koloko yokhala ndi zotsekemera siabwino),
madzi a zipatso
chipatso chokoma
mikate yoyera
wokondedwa
confectionery ndi shuga (gingerbread, makeke okoma, marshmallows, marmalade).

Ngati kuli kotheka kuyeza shuga m'magazi, izi ziyenera kuchitidwa, koma kudya mafuta ndizofunikira kwambiri. Mukatha kudya shuga, muyenera kudya nthawi zonse kuti mubwezereni chakudya m'matumbo ndi chiwindi. Chakudyachi chiyenera kukhala ndi zovuta zamafuta.

Ngati hypoglycemia ndi chifukwa cha zakudya zochepa kapena maswiti odya, ndiye kuti zakudya ziyenera kubwerezedwanso:

Sinthani zakudya zopezeka pafupipafupi,
idyani zakudya zowonjezera zovuta kuzakudya zilizonse,
zakudya zokoma kudya zochepa komanso pambuyo chakudya chachikulu,
yambitsani fiber mu zakudya, zomwe zimachepetsa kuyamwa kwa mafuta owala.

Ngati chiwopsezo cha hypoglycemia chikupezeka mwa munthu wathanzi, ndiye kuti ichi chikhoza kukhala chizindikiro cha matenda obwera chifukwa cha matenda a m'mimba, chotupa kapena matenda ena am'mimba, kapamba kapena zilonda 12 zam'mimba. Hypoplycemia atatha kudya nthawi zina amapezeka atachitidwa opaleshoni ziwalo.

Maonekedwe a hypoglycemia amagwira munthu wathanzi amafunika kuwunika, chifukwa samadzimanga okha. Nthawi zambiri ichi chimakhala chizindikiro cha matenda omwe amafunika chithandizo chapadera.

Chifukwa chiyani pali shuga wochepa wamagazi

Kuyambira mu 2010, bungwe la American Diabetes Association lalimbikitsa kuti glycated hemoglobin adziwe matenda a shuga. Iyi ndiye hemoglobin yomwe shuga wa m'magazi imagwirizanitsidwa. Anayeza%% ya hemoglobin yonse, yotchedwa kusanthula - mulingo wa hemoglobin HbA1C. Izi ndizofanana kwa akulu ndi ana.

Kuyesa kwa magazi kumeneku kumawerengedwa kuti ndiwodalirika komanso kosavuta kwa wodwala ndi madokotala:

magazi amapereka nthawi iliyonse - osati pamimba yopanda kanthu
njira yolondola komanso yosavuta
osamwa shuga komanso 2 maola akudikirira
Zotsatira za kusanthula kumeneku sizikhudzidwa ndimankhwala, kupezeka kwa chimfine, matenda a ma virus, komanso kupsinjika kwa wodwala (kupsinjika ndi kupezeka kwa matenda mthupi kungakhudze mayeso abwinobwino a shuga)
Zimathandizira kudziwa ngati wodwala matenda a shuga adatha kuwongolera bwino magazi m'miyezi itatu yapitayo.

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. Mtengo ukhoza kukhala wa 2.2, 2.4, 2,5, 2.6, ndi zina zotero. Koma munthu wathanzi, monga lamulo, ayenera kumakhala ndi chakudya cham'mawa chokhacho kuti shuga ya m'madzi a m'magazi iwonongeke.

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.

Kuti mudziwe mulingo wanu, umodzi

sikokwanira.Ndikofunikira kuchita zitsanzo zingapo masiku osiyanasiyana komanso nthawi zosiyanasiyana patsiku, komanso pamimba yopanda kanthu komanso mukatha kudya. Ngati mayeso amawonetsa kuti "shuga ndiwambiri", pali chifukwa chilichonse chokayikira matenda ashuga.

Ku Russia, shuga wa m'magazi amayeza mililiamu pa lita imodzi (mmol / l). Ku Europe ndi USA, miyezo imapangidwa mu milligrams pa desilita (mg / dts). Sikovuta kutanthauzira zizindikiro zina kukhala zina: 1 mmol / l ndi 18 mg / dl.

Mitengo ya shuga idadziwika kale -3.9-5 mmol / l

Pambuyo kudya kwa ola limodzi, ziwerengerozi ndizokwera pang'ono (5.1-5.3). Mwa anthu athanzi, zomwe zimakhala ndi shuga zimasiyana mkati mwa malire awa, koma nthawi zina (munthu akudya mophatikiza ndi mafuta othamanga) amatha kufikira 7 mmol / l.

Pa anthu odwala matenda ashuga, zizindikiro zoposa 7 ndi mpaka 10 zimawerengedwa kuti ndi zovomerezeka. Ndi mfundo zoterezi, chithandizo chapadera sichimalembedwa nthawi zonse, chimangokhala zakudya.

Ngati mulingowo uli pamwamba 10, madokotala amafunsa funso lokhudza mankhwala.

Kudumpha kwa glucose ndi chithandizo cha insulini ndizovuta zina zomwe zimadza chifukwa cha matenda ashuga omwe ali patsogolo. Pakadali pano, mankhwala sangachiritse odwala matenda ashuga kwathunthu. Komabe, ngati mumatsata zakudya, kuyang'anira pafupipafupi komanso osaphonya jakisoni, mutha kupewa zizindikiro zazikulu za hyperglycemia ndi zovuta zomwe zimayambitsidwa ndi shuga wambiri.

Zotheka

Nthawi zambiri, chomwe chimayambitsa chizindikirocho ndi:

Matenda a shuga. Mwambiri, nthawi zambiri kuwonetsa kwa matenda a hyperglycemia ndiye chofunikira cha matendawa.
Zakudya zopanda pake. Kuphwanya kokhazikika kwa zakudya zamagulu, komanso kuchuluka kwa chakudya chochuluka kwambiri, kumatha kuyambitsa matenda a hyperglycemia osagwirizana ndi mtundu wake wa matenda ashuga.
Kupsinjika. Post-nkhawa hyperglycemia imakhala yofanana ndi odwala omwe ali ndi chitetezo chofooka, nthawi zambiri chotsutsana ndi maziko a kukula kwa njira yotupa.
Matenda opatsirana owopsa a sipekitiramu.
Kulandila kwa mitundu ingapo ya mankhwala - rituximab, corticosteroids, niacin, freeara asparaginase, beta-blockers, 1-2 genid antepressants, protease inhibitors, thiazide diuretics, fentimidine.
Kuperewera kwakuthupi kwakuthupi, mavitamini a gulu B.

Zomwe zimayambitsa High shuga mwa Akuluakulu ndi Amayi Oyembekezera

Monga momwe zamankhwala zimasonyezera, mu 90 peresenti ya milandu yomwe imapitirira kwa hyperglycemia mwa akulu ndikuwonetsera kwa matenda a shuga, makamaka a 2 mtundu. Zowonjezera zina zomwe zimapangitsa kuti pakhale kugona komanso kukhala maso, kupanikizika kuntchito, komanso kukhala moyo wongokhala ndi kunenepa kwambiri.

Pakhoza kukhala zifukwa zingapo za spikes mu shuga. Zodziwika bwino ndi izi:

kuperewera kwa zakudya m'thupi
kupsinjika
matenda opatsirana, kupitilira kwake komwe kumasokoneza ntchito ya ziwalo zamkati,
kusowa zolimbitsa thupi.

Izi zimadzetsa kusintha kwa zizindikiro ngakhale mwa anthu athanzi. Kuwulula kuti mwa munthu wathanzi magazi amalumphira, izi zimatheka mwa mwayi. Nthawi zambiri, kuthamanga sikuti kumabweretsa nkhawa komanso kudutsa pafupifupi asymptomically. Koma popita nthawi, munthu wotereyu amadwala matenda a shuga.

Kulephera kutsatira zakudya ndikumadya chakudya chambiri, mafuta amayamba chifukwa chakuti kapamba amayenera kugwira ntchito molimbika ndikupanga insulini yambiri. Popita nthawi, kuphatikiza kwa mahomoni kumatha kuchepa ndipo wodwalayo achulukitsa shuga.

Ndi ntchito yongokhala ndi kusapezeka kwa masewera m'moyo, mwayi wolimbitsa thupi kwambiri umachuluka. Mlingo wofunikira wamafuta a visceral amachepetsa kuyamwa kwa insulin ndi maselo, kotero kuchuluka kwa glucose kumatha kuchuluka.

Pamavuto, thupi limachepetsa kupanga insulin. Nthawi yomweyo, glycogen imayamba kumasulidwa ku chiwindi. Izi pamodzi zimabweretsa kuchuluka kwa shuga m'magazi.

Mothandizidwa ndi izi, matenda a shuga amatha kukula, shuga wambiri amawonetsa izi.

Mtundu 1 wamatenda, kulimbikira, kusinthasintha pang'ono m'magazi a glucose ndikwabwinobwino. Zikondamoyo sizitha kupirira: sizitulutsa insulini kapena zimapanga pang'ono. Anthu odwala matenda ashuga omwe ali ndi T1DM amayenera kubaya jakisoni pafupipafupi kuti azilipira matenda ashuga.

Ndi mtundu wachiwiri wa matenda, kuwonjezereka kumatha kupsinjitsa, kuphwanya zakudya, kusowa zolimbitsa thupi ndi zinthu zina. Chifukwa chiyani shuga samadumphira mtundu 2 wa shuga? Kutsika kumatsitsidwa ndi zifukwa izi:

chitukuko cha kulimbikira ululu matenda.
zotupa zakumaso zomwe kutentha kumakwera.
Maonekedwe a zopweteka zopweteka,
kukokana
khunyu
kusokonezeka kwa mahomoni m'thupi,
mavuto ndi zida zam'mimba.

Izi zimapangitsa kulumpha kwa glucose mwa anthu athanzi komanso odwala matenda ashuga. Odwala omwe ali ndi matenda ashuga ayenera kudziwa zizindikiro za hypoglycemia ndi hyperglycemia kuti adziwe nthawi.

Ngati zotsatira za kusanthula zidawonetsa shuga wowonjezera m'magazi athunthu 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, izi zikutanthauza chiyani, kodi ndi matenda ashuga komanso amtundu wanji? Mwa anthu omwe sanakhalepo ndi matenda ashuga, hyperglycemia imayamba chifukwa:

yotupa, khansa ya kapamba,
kupsinjika
matenda a endocrine
zotupa chiwindi matenda: chiwindi, matenda enaake, khansa zotupa,
kusokonezeka kwa mahomoni
kukula kwa mtundu wa I kapena mtundu wachiwiri wa matenda ashuga.

Kuti muwonetsetsetsetsetsetse, odwala amayesedwanso kachiwiri magazi, amapanga maphunziro owonjezera pa postprandial glycemia, kulolera kwa glucose, glycated hemoglobin, C-peptide.

Zotsatira zake zithandizira kudziwa kuchuluka kwa shuga omwe wodwala amakhala nawo asanadye komanso atatha kudya, ngati kapamba ikugwira ntchito, kapena ngati minofu imamwa insulin. Pambuyo pokhapokha nditazindikira kuti ndili ndi matenda ashuga kapena ndimatsutsa.

Kuphatikiza apo, kuyesa kwa ultrasound, kusanthula kwamkodzo kwamikodzo ndi mankhwala. Lumikizanani ndi endocrinologist, oncologist, neuropathologist.

Wodwala akangopita kwa dotolo kuti akathandizidwe, chithandizo chamankhwala chimaperekedwa mwachangu ndipo sipangakhale zovuta zina.

Zitha kuthandizira kuwonjezeka kwamphamvu m'magazi a shuga:

kulephera kutsatira zakudya zamafuta ochepa,
kudumpha jakisoni wa insulin kapena mapiritsi,
zopsinjitsa
kusowa zolimbitsa thupi,
kuphwanya zakudya
kulephera kwa mahomoni
mavairasi, chimfine kapena matenda ena aliwonse,
zizolowezi zoipa
matenda kapamba
kumwa mankhwala: mahomoni, okodzetsa, zoletsa,
matenda a chiwindi.

Shuga wamkulu m'magazi pa 10, 12, 13, 14, 15, 16, 17, 18, 19, 20, akuyenera kuchitidwa chiyani ndipo ndi owopsa? Choyamba, ndikofunikira kuti muchepetse zinthu zoyipa zomwe zidapangitsa kudumpha kwa glycemia. Ngati wodwalayo adayiwala kubaya insulin yochepa kapena kumwa mankhwala, muyenera kuchita izi posachedwa.

Simungathe kuthana ndi zakudya, ndi mawonekedwe odziyimira pawokha, masewera olimbitsa thupi angakuthandizeni. Izi zimathandizira kuyamwa kwa shuga ndi minofu minofu.

Chifukwa chodziwika bwino ndi kudya kapena kuphwanya zochitika za tsiku ndi tsiku, kudya kwambiri. Malangizo a wodwalayo azitha kubweretsa glycemia mwa masiku awiri kapena atatu.

Mwazi wamagazi ungathe kuchuluka chifukwa cha kutenga pakati, kupsinjika kwambiri kapena kupsinjika kwamaganizidwe, mitundu yonse yamatenda a sekondale. Zoyenera, ngati kuchuluka kwa glucose kukwera mpaka magawo 15 kapena 20, titha kulingalira zakuti ichi ndi chizindikiro chowonjezera chidwi pa thanzi.

Nthawi zambiri shuga m'magazi amakwera ngati wodwala ali ndi vuto lakukonza chakudya.

Chifukwa chake, zifukwa zazikulu zowonjezera kuchuluka kwa shuga m'magazi 20 kapena kuposerapo ndizosiyanitsidwa:

Zakudya zopanda pake. Mukatha kudya, kuchuluka kwa shuga m'magazi nthawi zonse kumakwezedwa, chifukwa pakadali pano pali njira yogwira ntchito yopangira chakudya.
Kulephera kuchita zolimbitsa thupi. Kuchita masewera olimbitsa thupi kuli ndi phindu lililonse pa shuga.
Kuchulukitsa kwa malingaliro. Panthawi yamavuto kapena kupsinjika mwamphamvu, kulumpha mu shuga kumatha kuonedwa.
Zizolowezi zoipa. Mowa ndi kusuta zimakhudza kwambiri zomwe zimachitika mthupi komanso kuwerenga kwa glucose.
Kusintha kwa mahomoni. Mu nthawi ya premenstrual syndrome ndi kusintha kwa thupi kwa azimayi, kuchuluka kwa shuga m'magazi kumatha kuwonjezeka.

Kuphatikiza pazomwezo zingakhale zovuta zamtundu uliwonse, zomwe zimagawidwa malinga ndi gawo lomwe lakhudzidwa.

Matenda a Endocrine chifukwa cha kuperewera kwa mahomoni amatha kuyambitsa matenda ashuga, pheochromocytoma, thyrotoxicosis, matenda a Cushing. Mwanjira imeneyi, msuzi wa shuga umakwera ngati kuchuluka kwa mahomoni kumachulukitsa.
Matenda a kapamba, monga kapamba ndi mitundu ina ya zotupa, amachepetsa kupanga insulin, komwe kumayambitsa mavuto a metabolic.
Kumwa mankhwala ena kungapangitsenso kuchuluka kwa shuga m'magazi. Mankhwalawa amaphatikizapo mahomoni, diuretics, njira zolerera komanso mankhwala a steroid.
Matenda a chiwindi, komwe glucose amasungirako glycogen amasungidwa, amachititsa kuchuluka kwa shuga m'magazi chifukwa chovuta kugwira ntchito mkati. Matendawa ndi monga cirrhosis, hepatitis, zotupa.

Zonse zomwe wodwalayo ayenera kuchita ngati shuga atakwera mpaka magawo 20 kapena kupitilira apo ndikuchotsa zomwe zimayambitsa kuphwanya kwa umunthu.

Inde, vuto limodzi kumawonjezera kuchuluka kwa shuga magawo 15 ndi 20 mwa anthu athanzi silimatsimikizira kupezeka kwa matenda ashuga, koma pankhani iyi zonse ziyenera kuchitidwa kuti zinthu zisamakulire.

Choyamba, ndikofunikira kukonza zakudya zanu, ndikuchita masewera olimbitsa thupi nthawi zonse. Poterepa, tsiku lililonse muyenera kuyeza shuga wamagazi ndi glucometer kuti musabwerenso zomwe zikuchitika.

Shuga wambiri amachititsa kuti azikhala ndi zinthu zosapangidwa bwino. Kudya mafuta ochulukirapo kumatha kuwonjezera kuchuluka kwa shuga m'magazi, komabe, izi zimatengedwa kuti ndizachilengedwe.

Ngati kapamba atha kugwira ntchitoyo, zizindikiritso za hyperglycemia zitha kutchulidwa pang'ono komanso kwakanthawi, chifukwa insulin idzabwezera zizindikiritso kukhala zabwinobwino. Tiyenera kuganiza kuti gawo la shuga limayikidwa m'mafuta amafuta, zomwe zikutanthauza kuti kulemera kwa thupi la munthu kumachuluka.

Kuphatikiza apo, mavuto akhoza kuwoneka:

Kuchokera pamtima - kuthamanga kwa magazi komanso kuthana ndi vuto la mtima,
mbali ya lipid metabolism - kuchuluka kwa cholesterol "yoyipa" ndi triglycerides kumawonjezeka kwambiri, komwe kumayambitsa chitukuko cha ndondomeko ya atherosulinotic,
mbali yokhudza chidwi cha ma cell receptor kupita ku insulin ya mahomoni - pakapita nthawi, maselo ndi minyewa "zimawona kwambiri" mahomoni.

Zamatsenga

Dongosolo lamunthu la endocrine ngati likulephera pantchito yake limagwirizana ndi zovuta zina za m'magazi.

Kusintha kwa ntchito ya chiwindi, kapamba kumayambitsa kukwera kwa chinthu m'magazi.

Kugwiritsa ntchito molakwika mankhwala a okodzetsa ndi kugwiritsa ntchito mahomoni mosalekeza, njira zakulera zimatha kuyambitsa. Amayi oyembekezera amakhala ndi vuto la matenda ashuga.

Zizindikiro za hypoglycemia

Ngati wodwalayo ali ndi zizindikiro zotsatirazi, monga:

Kutopa, kufooka, mutu
Kuchepetsa thupi ndi chidwi chowonjezera
Pakamwa pakamwa, ludzu losalekeza
Kukoka mobwerezabwereza ndi kuphatikiza, makamaka mawonekedwe - kukodza usiku
Maonekedwe a zilonda zapakhungu pakhungu, zovuta kuchiritsa zilonda zam'mimba, zilonda, mabala osachiritsika osachiritsika komanso zipsera
Kuchepa kwapakati pa chitetezo chokwanira, kuzizira pafupipafupi, kuchepa kwa ntchito
Maonekedwe a kuyabwa m'goli, kumaliseche
Mawonedwe akuchepera, makamaka mwa anthu okulirapo zaka 50.

Izi zitha kukhala zizindikilo za shuga wambiri. Ngakhale munthu atakhala ndi zina mwazizindikiro zomwe zalembedwa, kuyezetsa shuga wamagazi kuyenera kuchitika.

Ngati wodwalayo ali pachiwopsezo cha matenda a shuga - matenda obadwa nawo, m'badwo, kunenepa kwambiri, matenda a kapamba, ndi ena otero, ndiye kuti kuyezetsa magazi kamodzi kokha pamtengo wamba sikumapatula mwayi womwe ungakhalepo ndi matendawa, chifukwa nthawi zambiri matenda a shuga samadziwika, asymptomatic , zosapatsa chidwi.

Mukawunika kuchuluka kwa shuga m'magazi, zomwe zimadziwika kuti zimaganizira zaka, ziyenera kukumbukiridwa kuti pali zotsatirapo zabodza. Kuti mutsimikizire kapena kukana kuwunika kwa wodwala yemwe alibe zizindikiro za matendawa, ndikofunika kuti ayese mayeso owonjezera a shuga, mwachitsanzo, kuyezetsa magazi komwe kumachitika ndi shuga.

Kuyesedwa kwa shuga kwa glucose kumachitika kuti mudziwe njira yomwe imayambira matenda a shuga kapenanso kudziwa malabsorption syndrome ndi hypoglycemia. Ngati wodwalayo atsimikiza kulekerera kwa glucose, ndiye kuti mu 50% ya izi zimabweretsa matenda osokoneza bongo kwa zaka 10, 25% vutoli silinasinthe, 25% imazimiririka.

Kuperewera kwa glucose m'thupi kumayambitsa matenda amitsempha yama cell, a autonomic and metabolic. Nthawi zambiri zimawonekera pomwe mulingo umatsikira mpaka 3 mmol / L. Ngati kupsinjika kwake kukafika pa 2.3, ndiye kuti wodwalayo agwa.

Zizindikiro zakuchepa kwa shuga m'magazi ndi monga:

mutu
nkhawa
kugwedezeka kwa dzanja
thukuta
kumverera kokwiyitsa
njala yosalekeza
mantha
tachycardia
minofu ikunjenjemera
kupindika m'mutu ndi panjira,
chizungulire
kutsitsa magazi
kutayika kwa magawo ena,
kutayika pang'ono pang'ono kwa ntchito zamagalimoto.

Hypoglycemia imayamba chifukwa cha:

kulimbitsa thupi kwambiri,
kumwa mankhwala ena (ma tetracycline maantivitamini, Vitamini B6, anabolics, sulfonamides, calcium zowonjezera),
kumwa mowa.

Ngati hypoglycemia sazindikira mu nthawi ndipo njira zofunika sanatenge, wodwala kugwa. Odwala alibe nthawi yochulukirapo, ndimatenda amtunduwu, anthu amayamba kuzindikira msanga. Maselo aubongo amasiya kulandira mphamvu ndipo mitsempha imayamba.

Tsoka ilo, gawo loyambira la pathological silikuwoneka. Hyperglycemia yachilengedwe ilibe chiwonetsero chilichonse. Kufuna kumwa madzi ambiri ndi chizindikiro chokhacho, ndipo ngakhale ndiye kwakanthawi.

Zofunika! Mu shuga mellitus, pali zizindikiro zoonekeratu kuti kuchuluka kwa shuga m'magazi kumawonekeranso ngati munthu wamwalira ndi 85% ya maselo achinsinsi a insulin. Izi zikufotokozera kusapangika kwa njira ya pathological.

Pambuyo pake, wodwalayo amakhala ndi izi:

Kuchepetsa thupi ndi chidwi chambiri,
kukodza pafupipafupi,
ludzu lamaubongo
kamwa yowuma
kuyabwa pakhungu, zotupa za pakhungu losadziwika bwino,
kutopa kosalekeza
kugona
mkhalidwe wopsinjika.

Glycemia wapamwamba imapezeka poyesa magazi, ndipo pambuyo pake mkodzo. Ndi kupita patsogolo kwa hyperglycemia, mawonetsedwe a matenda am'mimba adayamba kutchulidwa.

Mutha kuwerenga zambiri za zofunikira za shuga m'magazi m'nkhaniyi.

Mkhalidwe wovuta mu shuga mellitus nthawi zambiri umakhazikitsidwa ndi zizindikiro za kuwonongeka zomwe tafotokozazi, zomwe nthawi zambiri zimagwirizanitsidwa ndi kuwonongeka kwa matendawa.Ngati munthawi imeneyi simunafunse dokotala, vutoli limakulirakulira.

Izi ndichifukwa chakusokonezeka kwakukala pama metabolic metabol, omwe sanasinthidwe panthawi yake. Mtsogolomo, izi zimatha kuyambitsa kukulitsa zovuta zazikulu zomwe zimakhala zowopsa pamoyo wa wodwala.

Chifukwa chake, odwala onse ndi okondedwa awo ayenera kudziwa bwino zomwezo ndizizindikiro za SOS.

Zizindikiro za High shuga

Mndandanda wazopezeka wazakudya zam'magazi azambiri ndi:

Udzu wokhazikika.
Mwadzidzidzi, mphamvu kapena kuchepa mphamvu mwadzidzidzi.
Kukodza pafupipafupi.
Matenda otopa kwambiri.
Khungu lowuma komanso zimagwira pakhungu.
Mavuto amaso, spasms a minofu yogona.
Arrhythmias.
Kuchepetsa mphamvu yodzitetezera kumatenda, machiritso a bala.
Kupuma kwambiri kwamkokomo, mawonekedwe apakati oopsa.
Mu mitundu yayikulu ya hyperglycemia, kuchepa madzi m'thupi, ketoacidosis, kusokonezeka kwa chikumbumtima, ndipo nthawi zina chikomokere zimawonedwa.

Tiyenera kumvetsetsa kuti zizindikiro zomwe zili pamwambapa zitha kukhala zizindikiro za matenda osiyanasiyana, chifukwa chake, ngati mukupezeka mawonekedwe angapo osayenera, muyenera kufunsa dokotala ndikuyesa mayeso kuti mudziwe ngati ali enieni.

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.

Zoyenera kuchita ngati mukukayika, ndizomwe zimawonetsa dokotala. Pozindikira, atha kukuwonetsani mayeso owonjezera, mwachitsanzo, mayeso ololera a glucose, mayeso okhudza shuga.

Momwe kuchuluka kwa shuga kumatsimikizidwira

Zigawo zingapo zoyesera zodziwira kuchuluka kwa shuga m'magazi zimaphatikizapo zolemba ndi kuyesa. Ngati muli ndi vuto locheperachepera, zimavuta kudziwa nokha mothandizidwa ndi glucometer yabwino. Pankhaniyi, ndibwino kufunsa dokotala yemwe akupatseni mayeso oyenera.

Kuthamanga magazi. Njira yodziwika bwino ya orthotoluidine, yomwe imasankha kuchuluka kwa shuga m'magazi popanda kuganizira zina zomwe zimachepetsa. Imaperekedwa m'mawa pamimba yopanda kanthu (maola 12 asanafike pofufuza ndikofunikira kukana kudya, mankhwala ndi zochita zolimbitsa thupi). Ngati matenda oyambirirawo akuwonetsa kupatuka panjira, katswiriyo amamuwuza kuti awonjezere maphunziro.
Njira yonyamula. Imachitika makamaka mothandizidwa ndi chipatala cha tsiku / mozungulira. M'mawa, magazi amaperekedwa pamimba yopanda kanthu, kutsatira malamulo a njira yoyamba, pambuyo pake shuga amayamba kulowa m'thupi ndipo patatha maola ochepa, kuyezetsa kwachiwiri kwa magazi kumachitika. Ngati zotsatira za lotsatira la 11 mmol / L zitha kupitilira, dokotala nthawi zambiri amadzazindikira “hyperglycemia”.
Kufotokozera njira yochepetsera. Kupereka kwa magazi kosanthula poganizira zinthu zina - makamaka uric acid, ergonin, creatinine. Amakulolani kuti mufotokoze bwino za matendawa ndikuzindikira mavuto okhudzana ndi matendawa - mwachitsanzo, matenda a shuga.

Kuchuluka kwa shuga m'magazi am'madzi amatsimikizika m'magawo a "mamililitale pa lita imodzi." Malingaliro a shuga mwa anthu opanda ma pathologies ndi odwala matenda ashuga adapezeka mkatikati mwa zaka zapitazi pamaziko a kusanthula kwa zikwizikwi za amuna ndi akazi.

Kuti mupewe kutsata miyezo ya shuga wamagazi, mitundu itatu yoyeserera imachitika:

kusala kudya kwam'mawa,
Phunziro lidachitika maola angapo mutatha kudya,
kudziwa kuchuluka kwa hemoglobin wa glycated

Kumbukirani: chikhalidwe chovomerezeka cha shuga m'magazi ndi mtengo umodzi womwe sukutengera jenda komanso zaka za wodwalayo.

Kodi kuwunika?

Zizindikiro za shuga mwa amayi, abambo ndi ana omwe amapezeka m'madzi am'magazi amasintha tsiku lonse. Izi zimachitika onse odwala athanzi komanso odwala matenda ashuga.

Pali njira ziwiri zodziwira kuti ali ndi shuga - kugwiritsa ntchito glucometer yonyamula ndi zida zama labotale. Kusanthula ndi chipangizocho mwachangu, koma sikumapereka zotsatira zosatsutsika. Njira imagwiritsidwa ntchito ngati choyambirira, kafukufukuyu asanachitike mu labotale. Mwazi umachotsedwa kuchokera ku chala kapena kuchokera mu mtsempha.

Ndikofunikira kutenga biomaterial ku chala: mu magazi a venous glucose ali apamwamba kwambiri. Mwachitsanzo, ngati shuga ndi 5.9 mukamatenga sampuli kuchokera mu mtsempha, kuyesa kwa chala pansi pazomwezi kumawonetsa mtengo wotsika.

M'mabotolo, pamakhala mndandanda wama glucose pamene mukuyesedwa kuchokera ku chala ndi mtsempha. Mwazi wa m'magazi osiyanasiyana wa 5.9 mmol / l mukamayesa chala ndi chizindikiro chabwino kwa odwala matenda ashuga akayesedwa pamimba yopanda kanthu.

Mfundo zothandizira ndi chithandizo chamankhwala

Zoyenera kuchita ndi ketoacidosis komanso momwe mungachitire ndi matenda a hyperglycemia, endocrinologist angakuuzeni. Kukwera kwakukulu kwa shuga m'magazi kutsateni malangizowo:

Muyenera kudziwa kuchuluka kwa glycemia. Kunyumba, izi zitha kuchitika pogwiritsa ntchito glucometer, kuchipatala - mwa njira zasayansi (mu capillary kapena venous magazi seramu).
Mupatseni madzi akumwa ambiri, koma ngati munthu sakudziwa, sayenera kudzazidwa ndi madzi.
Lowetsani insulin ngati mugwiritsidwa ntchito ndi munthu.
Ngati ndi kotheka, mankhwala a oxygen ndi kuvomerezedwa kuchipatala.

Mu chipatala, gastric lavage kapena enema imachitika ndi koloko yothira mchere kuti mubwezeretse acid-base usawa.

Mutha kuwerenga zambiri za zomwe mungachite ngati pakukula kwa glycemia munkhaniyi.

Mankhwala ena ali motere. Muyenera kutsatira zakudya zamafuta ochepa, kuwonjezera zipatso ndi ndiwo zamasamba m'zakudya, mowa uyenera kusiyidwa kwathunthu. Ndikofunikira kudya pafupipafupi, koma m'magawo ang'onoang'ono, ndikuwona bwino calorie kudya, komwe kumawerengeredwa payekhapayekha. Shuga kuchokera muzakudya uyenera kuthetsedweratu, m'malo mwa shuga amaloledwa kugwiritsidwa ntchito.

Ndi mtundu woyamba wa matenda a shuga, mtundu wa insulin mankhwala umakonzedwa, ndipo ndi matenda a shuga a 2, mapiritsi ochepetsa shuga amagwiritsidwa ntchito kuti abwezeretse glycemia kukhala yofanana. Chofunikira pa chithandizo chamankhwala ndichinthu chokwanira kuchita zolimbitsa thupi.

Kuchita masewera olimbitsa thupi kwapadera kumayambitsa kukondoweza kwa insulin ndikupanga chidwi cha maselo ndi minyewa yamthupi ku mahomoni.

Kutsatira ndi malingaliro a akatswiri oyenerera amatha kukhala ndi thanzi komanso kupewa kuti pakhale zovuta zingapo.

diabetiko.ru

Matenda Asemva

Hyperglycemia ndi chizindikiro chokhacho chomwe chimawonetsa kusayenda bwino kwamthupi kapena matenda ashuga. Komabe, izi sizitanthauza kuti ndi shuga wamagazi ambiri palibe zovuta.

Zotsatira zoyipa kwambiri za matenda amtunduwu ndi ketoacidosis. Kuphwanya kumene kwa kagayidwe kazakudya kumachulukitsa kuchuluka kwa matupi a ketone m'madzi a m'magazi, nthawi zambiri kumatsutsana ndi mbiri ya matenda amtundu uliwonse omwe amabweretsa gawo, lomwe limakwiyitsa ketonuria, arrhythmia, kulephera kupuma, kupita patsogolo kwamatenda oyamba omwe amapezeka m'thupi, kusowa kwamadzi.

Nthawi zina, pakakhala kuti palibe woyenera woyenera kuyankha, wodwala matenda ashuga / hyperglycemic amayamba, ndipo atatsika pH (acidity) mpaka 6.8, kumwalira kwachipatala kumachitika.

Mlingo wowopsa wa shuga m'magazi (10, 20, 21, 25, 26, 27, 30 mmol / L), womwe umatenga nthawi yayitali kapena kulumpha pafupipafupi mu glycemia kumabweretsa chitukuko cha zovuta kuchokera kumanjenje, mtima, dongosolo la genitourinary, masomphenya

matenda ashuga
polyneuropathy yam'munsi,
angiopathy
retinopathy
zilonda zam'mimba
zigawenga
matenda oopsa
nephropathy
chikomokere
arthropathy.

Mavuto oterewa ndi osachiritsika, opita patsogolo, sangathe kuchiritsidwa, mankhwalawa amathandiza wodwalayo komanso kuwonongeka. Matenda angayambitse kudula miyendo, khungu, kulephera kwa impso, kugunda kwa mtima, sitiroko, kupindika kolumikizana.

Matenda a shuga a mtundu uliwonse amafunika kuwongolera zakudya zamafuta ambiri, mulingo wa mankhwala, kusintha kwa thanzi ndikofunikira, zochitika zamasiku onse ndi zakudya ziyenera kuchitika, ndipo zizolowezi zoyipa ziyenera kusiyidwa. Pokhapokha ngati njira imeneyi payenera kubwezeredwa matendawa ndikuvutikira kwambiri.

Kusasinthasintha kulikonse (homeostasis) m'thupi kumabweretsa matenda. Kusiyanako si glucose.

Hyperglycemia ndi hypoglycemia zimayambitsa kuwonetsa kowawa, komwe nthawi zambiri kumabweretsa zovuta zosachiritsika kapena kulumala.

Shuga wapamwamba

Glucose akamakula pang'onopang'ono, insulin imapangidwanso pang'ono ndi pang'ono. Koma, chifukwa cha kuchuluka kwa chakudya chamafuta ambiri, mamolekyulu a shuga ambiri amalowa m'magazi, thupi limayankha ndikuwonjezeranso insulin kuti igwetse shuga.

Ngati kuchuluka kwa shuga ndi insulin kukupitilira pafupipafupi kwa zaka zingapo, zikondamoyo zimatha. Thupi limatulutsa insulini yolakwika kapena timadzi tating'onoting'ono tomwe timatha kulimbana ndi glucose yemwe amalowa mthupi.

Kuphatikiza apo, ndi index ya glycemic yayitali, munthu amakhala ndi vuto lotchedwa insulin kukaniza: kukakamira kwa cellular ku insulin ndi kusowa koyankha koyenera kwa receptor. Kukana ndi kukhalapo kwa nthawi yayitali kumatha kusintha mtundu wa shuga II.

Zotsatira zosasinthika za kukwera kwa glucose ovuta kwambiri ndi kuperewera kwa hyperglycemic. Chifukwa chosowa mphamvu, maselo sangathe kupanga mapuloteni ndi lipids. Hyperglycemia isanachitike kholo.

Zakudya zopatsa thanzi komanso shuga

Mankhwala amakono amatulutsa kadyedwe ngati imodzi mwazinthu zazikulu zomwe zimapangitsa kuti odwala akhale ndi hyperglycemia, omwe amathandiza kwambiri pa matenda ashuga komanso amalola kubwezeretsedwa kwa kagayidwe kazinthu.

Kwa odwala omwe amadziwika kuti ali ndi mtundu woyamba wa shuga, zakudya ndizovomerezeka komanso zofunikira. Mtundu wachiwiri wa odwala matenda ashuga, zakudya zoyenera nthawi zambiri zimathandizira kukonza thupi.

Lingaliro lofunikira la chakudya ndi gawo la mkate, lofanana ndi magalamu 10 a chakudya. Kwa anthu omwe ali ndi hyperglycemia, matebulo atsatanetsatane adapangidwa omwe amawonetsa gawo ili la zakudya zamakono kwambiri zomwe zilipo muzakudya.

Mukafuna kudziwa kuchuluka kwa zinthu zotere masiku ano, ndikofunikira kupatula zakudya zilizonse, maswiti, shuga komanso kuchepetsa zakudya zambiri monga mkate, mkate woyera, mpunga / semolina, komanso zakudya zamafuta omwe amayamba chifukwa cha zakudya zamafuta ambiri osayiwalanso kuchuluka kwamafuta a polyunsaturated / acid.

Chowonetsera, chomwe chimayesedwa pambuyo pa chakudya pambuyo pa kudya, zimatengera chakudya chomwe wodwala amatenga maola angapo mayeso asanachitike, zomwe zimafotokozedwazi sizimasiyana mwa azimayi ndi abambo. Kusintha kwa shuga m'magazi masana kumadalira pafupipafupi chakudya komanso zakudya. Ndi chakudya chamoto chambiri, pamakhala kupsinjika kwamphamvu mu glucose. Kwa odwala matenda ashuga, izi ndizowopsa.

Odwala, poyang'ana pagome la miyambo kwa anthu athanzi, ali ndi chidwi - ngati magazi amkati mwa 5.9 mmol / l, momwe angachepetse? Timayankha kuti: phindu silikhala lopitilira muyeso wa matenda ashuga, chifukwa chake, palibe chomwe chimayenera kuchitidwa.

Chinsinsi cha kukhala ndi thanzi labwino m'matenda a shuga - chindapusa cha matendawa - njira zingapo zomwe zingatheke kuti muchepetse glucose momwe mungathere kukhala pamlingo woyandikira kwa nthawi yayitali. Mtundu 2 wa matenda ashuga, izi zimatheka kudzera mu chakudya chamagulu komanso kuwonda.

Mtundu woyamba wa matenda ashuga, jakisoni ndi mankhwala amathandizo amathandizira kudziwa kuchuluka kwa shuga.

Kuwongolera shuga la magazi, pali zakudya zapadera zochiritsira zomwe zimafuna kuchepetsa kuthana ndi zakudya zomwe zili ndi chakudya chambiri. Ngati wodwala amakhala ndi thupi lochulukirapo, kuphatikiza dokotala amalembera zakudya zamagulu ochepa. Poterepa, ndikofunikira kubwezeretsanso zakudya zomwe zili ndi mavitamini ndi michere.

Zakudya za tsiku ndi tsiku ziyenera kuphatikizapo zakudya zomwe zimakhala ndi mapuloteni oyenera, mafuta ndi chakudya. Mukamasankha mbale, muyenera kudziwa kaye tebulo la glycemic index, lomwe aliyense wodwala matenda ashuga ayenera kukhala nawo. Mutha kuchotsa zizindikilo za matenda ashuga kokha komanso kudya zakudya zopatsa thanzi.

Ndi shuga wowonjezereka, ndikofunikira kusintha pafupipafupi zakudya. Ndikulimbikitsidwa kudya pafupipafupi, koma m'malo ochepa. Payenera kukhala zakudya zitatu zazikuluzikulu zitatu ndi zakudya zazing'ono patsiku. Komabe, muyenera kudya zakudya zabwino zokha, kupatula tchipisi, othandizira ndi madzi owala, owononga thanzi.

Zakudya zazikulu zikuphatikiza masamba, zipatso ndi zakudya zama protein. Ndikofunikanso kuwunika momwe madzi alili. Ngati mulingo wa glucose ukhalabe wokwera, ndikofunikira kusiya kotheratu kugwiritsa ntchito zotsekemera za confectionery, zakumwa zotsekemera ndi zamafuta, zakumwa zoledzeretsa. Ndikulimbikitsidwanso kupatula mphesa, zoumba ndi nkhuyu kuchokera muzakudya.