Zoyenera kuchita ndi shuga 32 m'magazi? Thandizo loyamba

Matenda a shuga amafunika kuwunika pafupipafupi, komwe kumakhala kokhazikika poyerekeza ndi ma glucose, kumwa mankhwala ochepetsa shuga, kudya komanso kuchita masewera olimbitsa thupi. Koma zimachitika kuti njirazi sizokwanira ndipo zotsatira za kusanthula kwotsatira zitha kuwonetsa shuga wamagazi a mayunitsi 32. Izi zikutanthauza kuti mkhalidwe wowopsa wotchedwa hyperglycemia ukukulira. Momwe mungasinthire thanzi la munthu, komanso zoyenera kupewa kuti musabwerenso?

Mwazi wa Magazi 32 - Kodi Zikutanthauza Chiyani

Hyperglycemia, momwe shuga mumagazi ingafike 32.1-32.9 mmol / l, imagawanika m'mitundu itatu:

• kuwala - 6,7-8.3,
• wapakati - magawo 8.4-11,
• cholemera - 11 ndi pamwamba mayunitsi.

Ngati shuga wamagazi aposa 16.5 mmol / l, ndiye kuti wodwalayo amamuwona ngati wowopsa. Kusungidwa kwakutali kwa zinthu zam'magazi overestimated kumatha kuwononga mitsempha yamagazi, minofu ndi ziwalo. Zotsatira zake, wodwalayo amatha kugwa ndikufa.

Matenda a shuga omwe amapitilira 32.2 ndipo kupitilira apo amatha kuwonjezera osati mwa anthu omwe ali ndi matenda amtundu wa 2 komanso a 2.

Zoyipa zimachitika:

• zilonda zachi pancreatic
• kuchuluka kwa hydrocortisone m'mwazi,
• kumwa mankhwala ena (okodzetsa, mankhwala osokoneza bongo, kulera kwapakamwa, etc.),
• kubala mwana
• chizolowezi chodya mafuta ambiri komanso michere yopepuka,
• kuvulala kwambiri komanso kuwotcha kwambiri,
• kukomoka kwa adrenal,
• kulimbitsa thupi kwambiri,
• matenda osachiritsika komanso opatsirana
• kupweteka kwapweteka
• kusowa kwa mavitamini C ndi B.

Matenda owopsa amapezeka ndi matenda a Cushing's, chiwindi chachikulu ndi impso, kutupa mu kapamba, chithokomiro, matenda opha ziwalo, ndi opareshoni.

Akatswiri amachenjeza kuti chifukwa cha shuga wambiri m'thupi, matendawa amathanso kuyamba. Nthawi zambiri, matenda a zam'mimba amapezeka nthawi yomweyo, kuti mupeze wopulumutsayo muyenera kudziwa zoyenera kuchita ndi momwe mungaperekere chithandizo choyambirira.

Kodi pali chiyani chochititsa mantha?

Ngati mutha kupeza zizindikiro za hyperglycemia zomwe zimapangitsa kuti magazi azikhala ndi 32.3-32.8 kapena kuposerapo, ndiye kuti pali zovuta zoyipa. Chizindikiro choyamba cha pathological chosonyeza mkhalidwe wovuta ndi ludzu. Munthu amakhala ndi ludzu pafupipafupi, pomwe amadya madzi okwanira malita 6 patsiku. Chifukwa cha kumwa kwambiri, kufuna kukodza kumachitika pafupipafupi.

Mafuta ochulukirapo m'thupi amathandizidwa kwambiri ndi impso limodzi ndi mkodzo. Nthawi yomweyo, thupi limataya zinthu zofunikira, kuphatikizapo mchere wa ayoni.

Zotsatira zake, kusowa kwamadzi kumachitika, zomwe zimayamba ndi:

• kufooka kosalekeza, ulesi,
• kamwa yowuma
• kupweteketsa mutu kwa nthawi yayitali
• kuyabwa pakhungu,
• kuwonda
• kukomoka
• kuzizira, kuzizira, kuzizira kwa miyendo yam'munsi ndi kumtunda,
• dzanzi la miyendo
• kuwonongeka mu mawonekedwe acuity.

Mimba imakhudzidwa kwambiri ndi zinthu ngati izi, poyankha kudzimbidwa kapena kugaya chakudya m'mimba, zomwe zimathandizira kuchepa kwa madzi m'thupi.

Ngati matupi a ketone amadziunjikira nthawi ya glycemia ndi shuga wamagazi a 32.4-32,5 kapena kuposerapo, ndiye kuti kuledzera kwa thupi kumachitika, zomwe zimapangitsa kukhala ndi matenda a shuga a ketoacidosis ndi ketonuria. Zonsezi ziwiri zimatha kuyambitsa ketoacidotic chikomokere.

Zoyenera kuchita ngati shuga ali pamwamba 32

Matenda a shuga ndi matenda ofala omwe palibe otetezeka. Ichi ndichifukwa chake ndikofunikira kudziwa zoyenera kuchita mukakumana ndi vuto la hyperglycemia, komanso momwe mungathandizire.

Ngati vuto:

1. Kuti muchepetse kuchuluka kwa m'mimba, acid zamasamba ndi zipatso, mchere wamchere wamchere wopanda mpweya ndi sodium ndi calcium. Ndi zoletsedwa kupereka madzi kwa wozunzidwa ndi chlorine. Mutha kuphika yankho la koloko pogwiritsa ntchito kapu ya madzi 1-2 supuni yaying'ono ya koloko. Zakumwa zimayenera kuledzera pang'onopang'ono, m'malo ochepa.
2. Acetone ikuthandizira kuchotsa mthupi kuchokera pakukonzedwa kwa msuzi.
3. Kupukuta madzi otaika kumapangitsa kupukutira nkhope, khosi, kumanja ndi thaulo yonyowa.
4. Pankhani ya shuga wodalira insulin, wodwalayo ayenera kuyeza kuchuluka kwa shuga, ndipo ngati chizindikirocho chikuyikidwa pamwamba pa 14 mmol / L, mwachitsanzo, 32.6, ndiye kuti jakisoni wa insulin yayifupi ayenera kuperekedwa ndipo madzi ambiri ayenera kuperekedwa. Kuyeza kumayenera kuchitika maola awiri aliwonse, ndipo jakisoni mpaka vutoli likubwerera.

Mtsogolomo, wodwalayo ayenera kufunsa thandizo kuchipatala kuti akayezetse ndi kulandira malangizo a dokotala.

Njira zochizira

Miyezi yambiri ya shuga yamagazi imayendetsedwa ndikupereka insulin. Nthawi yomweyo, chithandizo chazotsatira zomwe zimachitika chifukwa chovuta chimachitika: amadzaza madzi otayika mthupi, ndipo mchere wosowa ndi zinthu zofunikira zimatsitsidwa. Atamaliza kulipira matenda ashuga, kuyezetsa kumachitika kuti adziwe chomwe chimalumpha shuga.

Doctor of Medical Science, Mutu wa Institute of Diabetesology - Tatyana Yakovleva

Ndakhala ndikuphunzira matenda a shuga kwa zaka zambiri. Zimakhala zowopsa anthu ambiri akamwalira, ndipo makamaka amakhala olumala chifukwa cha matenda ashuga.

Ndithamangira kunena mbiri yabwino - Endocrinological Research Center ya Russian Academy of Medical Science idatha kupanga mankhwala omwe amachiritsiratu matenda ashuga. Pakadali pano, kugwiritsa ntchito bwino kwa mankhwalawa kuyandikira 98%.

Nkhani ina yabwino: Unduna wa Zaumoyo wateteza kukhazikitsidwa kwa pulogalamu yapadera yomwe imalipira mtengo wa mankhwalawo. Ku Russia, odwala matenda ashuga mpaka Meyi 18 (kuphatikiza) nditha kuipeza - Kwa ma ruble 147 okha!

Ngati zikudziwika kuti zimakula chifukwa cha matenda ashuga, ndiye kuti mankhwala omwe amachepetsa shuga ndi omwe munthu amakumana nawo moyo wake wonse. Wodwalayo akuyenera kuwonedwa ndi endocrinologist, kuchezera akatswiri ochepa miyezi isanu ndi umodzi iliyonse, kuyeza kuchuluka kwa shuga kunyumba ndi glucometer, ndikuyang'anira kudya kwake.

Ndi mtundu wachiwiri wamatenda, mankhwala ochepetsa shuga amagwiritsidwa ntchito, ndipo ndi matenda amtundu woyamba, mankhwala a insulin ndi omwe amakhazikitsidwa. Mlingo woyambirira wa insulini umatsimikiziridwa ndi adokotala, pambuyo pake amasinthidwa malinga ndi kuchuluka kwa shuga. Popewa kuyambiranso kwa hyperglycemia, wodwala matenda ashuga ayenera kuphunzira kuchuluka kwa mankhwalawo payekha, kuwerengera kuchuluka kwa mkate patebulo lake ndikuvulaza molondola.

Ngati zomwe zimapangitsa kuti pakhale pachimake pakadalibe matenda ashuga, koma nthenda ina, ndiye kuti shuga imakhazikika pambuyo pochiritsidwa. Mankhwala omwe amachepetsa chithokomiro chogwiritsidwa ntchito. Mwachitsanzo, ndi pancreatitis, chakudya chokhazikika chimayikidwa, ndipo muzochitika zapamwamba, chithandizo cha opaleshoni chimachitidwa.

Zofunika! Miyezi ya shuga m'magazi ndi chida chomwe chimayeza shuga. Aliyense wodwala matenda ashuga ayenera kukhala nawo m'malo opangira mankhwala kuti athe kuthana ndi vuto lakelo komanso kuchita panthawi yake zinthu zoyenera kusintha. Momwe mungagwiritsire ntchito mita

Zotsatira zake

Acute hyperglycemia nthawi zonse imasokoneza thupi. Zotsatira zake ndizowopsa kwa anthu omwe ali ndi matenda ashuga. Ndi chitukuko cha pathological process, ntchito ya ziwalo zonse zamkati ndi machitidwe zimawonongeka, chifukwa chomwe mkhalidwe wa wodwalayo umakulirakulira. Hyperglycemia ya nthawi yayitali imatsogolera kuti magazi azisokonekera, kakulidwe ka kulephera kwa mtima, ischemia, infarction ya myocardial.

Mavuto a shuga a mayunitsi 32.7 ndipo pamwamba ali motere:

Njira zopewera

Popewa kukula kwa zotsatira zosasangalatsa komanso kupewa kudumpha m'magazi m'magazi, anthu odwala matenda ashuga ayenera kutsatira malangizo azachipatala, musaiwale kumwa mankhwala munthawi, kukhazikitsa zakudya, komanso kupewa kungokhala. Ngati, kutsatira malamulo onsewa, wodwala akakhala ndi vuto la hyperglycemic, ayenera kufunsana ndi katswiri ndikusintha chithandizo chamankhwala.

Onetsetsani kuti mwaphunzira! Kodi mukuganiza kuti kuyamwa kwa mapiritsi ndi insulini kwa nthawi yonse yokhayo ndi njira yokhayo yothanirana ndi shuga? Sichowona! Mutha kutsimikizira izi nokha ndikuyamba kuzigwiritsa ntchito. werengani zambiri >>

Chifukwa chiyani shuga amakwera magawo 32?

Mfundo zapamwamba zoterezi zimatha kuonedwa limodzi ndi kutayika kwa kapamba kapenanso zinthu zina. Nthawi zambiri, zimayenderana ndi kukula kwa vuto la endocrine lomwe limakhudzana ndi mayamwidwe a glucose. Matendawa amawonekera mu vuto losowa insulin. Izi ndi timadzi timene timapangidwa ndi tiziwiti tambiri kwambiri m'thupi. Amayambitsa kuphwanya koyenera kwa shuga.

Shuga mu mayunitsi 32. zitha kuwoneka pomwe:

1. Kuwonongeka kwambiri kwa maselo apakhungu,
2. Miyezi yambiri ya hydrocortisone,
3. Kumwa mankhwala.

Madokotala amati glucose akakula kwambiri, ichi ndi chizindikiro chovuta. Matenda a matenda ashuga amatha kuoneka ngati otsika. Izi nthawi zambiri sizimachitika nthawi yomweyo. Patsogolo pake pamakhala mutu, kufooka, malingaliro olimba a ludzu komanso kusasangalala m'mimba. Chotsirizachi chimakhala ndi mseru kapena kusanza.

Zoyenera kuchita shuga wa magazi akakwera kukhala wovuta kwambiri?

Pali malamulo angapo omwe muyenera kutsatira:

1. Imbani ambulansi nthawi yomweyo. Izi ziyenera kuchitika pomwe mawonetseredwe oyamba awonetsedwa pamwambapa.
2. Pakakhala zovuta, wodwala amapatsidwa shuga kapena makeke ochepa. Ndi fomu yodalira insulin, muyenera kukhala ndi maswiti nthawi zonse.
3. Wozizira kwambiri (kunjenjemera, chisangalalo chachikulu, thukuta kwambiri), muyenera kuthira tiyi ofunda mkamwa mwa wodwalayo. Pa kapu yamadzimadzi muyenera kuwonjezera supuni zitatu za shuga. Njirayi ndiyofunika ngati wodwala wameza ntchito.
4. Ngati mukukayikira kuti mukulanda, ikani chovala pakati mano anu. Izi zimathandiza kupewa nsagwada kwambiri.
5. Munthu akamva bwino, mudyetseni chakudya ndi chakudya chamagulu ambiri. Itha kukhala zipatso, njere zosiyanasiyana.
6. Pofuna kutaya magazi, shuga amayenera kuperekedwa kudzera m'mitsempha.

Kumayambiriro kwa chikomokere, gonani pansi wodwalayo, ikani chotsekeramo mpweya kuti lilime lisaponye. Ngati chifukwa cha shuga m'magazi 32 simungamvetse ngati munthu akudziwa, mufunseni funso losavuta. Mutha kugunda m'masaya pang'ono ndikusisita khutu. Popanda kuchitapo kanthu, mwayi wazotsatira zoyipa ndi wapamwamba.

Ma ambulansi atafika

Pofuna kuthana ndi kuphwanya kwa kapangidwe ka electrolyte ndikubwezeretsanso madzi, otsikira ndi:

• Potaziyamu mankhwala enaake. Kufikira 300 ml ya yankho la 4% imayambitsidwa.
• Sodium bicarbonate. Mlingo umawerengeredwa pawokha.
• Sodium chloride. Mpaka ma malita asanu amatha kutumikiridwa mu maola 12.

Chochita ndi ketoacidosis?

Miyezi ya shuga ikakwera 32, odwala matenda ashuga amatha. Thupi limasiya kugwiritsa ntchito glucose monga gwero lamphamvu, m'malo mwake, mafuta amawonongeka. Maselo akadzigundika, ma cell (ma ketones) amapezeka, omwe amadziunjikira m'thupi ndikuwaphwanya. Nthawi zambiri, matendawa amapezeka mwa anthu omwe ali ndi matenda ashuga 1.

A urinalysis ithandiza kuzindikira matenda. Adziwonetsa ma ketulo okwera kwambiri. Ndi matenda oopsa omwe ali ndi zizindikiro za matenda ashuga, kuperekedwa kwa odwala kuchipatala kumayikidwa.

Kuphatikiza pa mankhwalawa, kusintha kwa insulin kumachitika. Itha kutumikiridwa mpaka katatu pa tsiku. Kulowetsedwa mankhwala ntchito saline Komanso. Zotsatira zake za matendawa zimasokoneza chikomokere.

Kukula kwa Hyperosmolar coma

Ndi matenda awa, kuchuluka kwa glucose kumakwera mpaka 32 ndi kupitilira. Mwinanso amayamba kudwala matenda ashuga okalamba 2 a okalamba. Chisoni chotere chimayamba masiku angapo kapena masabata. Ndikofunika kulabadira zoyamba zizindikiro, zomwe zimaphatikizapo kukodza pafupipafupi. Khalidwe ndi kufooka kwa magulu ena a mafupa a minofu.

Wodwalayo amatumizidwa ku chipinda chothandizira kwambiri. Mukamaliza mankhwalawa, kuwunika momwe zinthu zikuchitikira kumachitika, zomwe zimaphatikizapo kuyang'anira zizindikiritso za m'magazi, kutentha kwa thupi ndi deta ya labotale.

Ngati ndi kotheka, munthu amakhala wolumikizana ndi mpweya wabwino wam'mapapo, chikhodzodzo chimakhazikika. Ngati shuga achulukitsidwa kukhala magawo 32, kuwunika kwamphamvu kwa magazi kumachitika kamodzi pakatha mphindi 60 ndi shuga mkati kapena maola atatu aliwonse osokoneza.

Pakupatsanso madzi am'mimba, sodium chloride ndi dextrose zimayambitsidwa. Mankhwala ogwedeza pang'ono amagwiritsidwa ntchito kukhazikitsa bata. Izi zimaphatikizapo insulin yosungunuka. Itha kukhala wopanga kapena wopanga ma genetic aumunthu.

Ketoacidotic chikomokere

Amadziwika kwambiri ndi odwala omwe ali ndi matenda a shuga 1. Itha kuyamba m'maola ochepa. Ngati thandizo siliperekedwa munthawi yake, kuledzera kwa bongo ndi cations kumabweretsa kugunda kwamtima, chibayo, sepsis, kapena matenda a edema. The achire zotsatira zikuphatikizapo, monga momwe zinalili kale, kuthanso kwamadzi, mankhwala a insulin, kubwezeretsa bwino kwa electrolyte bwino.

Kukonzanso madzi m'thupi kumathetsa zovuta. Pachifukwa ichi, madzi amthupi amapangidwa mwanjira ya glucose ndi yankho la sodium chloride. Glucose amathandizira kukhala osmolarity wamagazi.

Kubwezeretsa bwino kwa electrolyte ndi hemostasis ndichinthu chofunikira kwambiri pakuchiritsa. Pogwiritsa ntchito jakisoni wapadera, kuchepa kwa calcium ndi acidity yamagazi zimabwezeretseka. Izi zimapangitsa kuti impso zizigwira ntchito bwino.

Nthawi zina chikomokere chimatsatiridwa ndimatenda owopsa. Maanti -amu osokoneza bongo amathandiza kuthana nawo. Zimayambitsidwanso m'thupi kuti muchepetse zovuta. Mankhwala othandizira ndi ofunikanso. Kubwezeretsa kugunda kwa mtima ndikuchotsa zotsatira za mantha, njira zochiritsira zimachitika.

Zolemba za insulin mankhwala ndi shuga 32

Kudziwonetsa mahomoni kokha ndi komwe kungaletse kuwoneka kwa njira zosasintha zomwe zimayamba chifukwa chosowa. Nthawi zina, kuti akwaniritse kuchuluka kwa insulini mu madzi achilengedwe, mahomoni a peptide achilengedwe amathandizidwa mosalekeza kudzera mwa dontho la mayunitsi 4-12. pa ola limodzi. Kuzindikira kumeneku kumadzetsa kulepheretsa kuwonongeka kwa mafuta, kumaletsa kupanga kwa chiwindi ndi chiwindi. Pazakudya zotere, tikulankhula za "mtundu wa mitundu yaying'ono."

Njirayi imakhala yothandiza nthawi zonse, chifukwa munthawi yomweyo makonzedwe azinthu zambiri amatha kuchepa kwambiri m'magazi a seramu. Zotsatira zake, zotsatira zakupha zimatha. Zidadziwika kuti kuchepa kwambiri kwa ndende ya glucose kumatha kutsagana ndi dontho la seramu potaziyamu. Izi zimawonjezera chiopsezo cha hypokalemia.

Ngati, chifukwa chakuchulukitsa kwa shuga kukhala 32, mkhalidwe wa DKA umachitika, ndiye kuti ma insulin osakhalitsa amangogwiritsidwa ntchito pokhapokha. Ena onse amakhalapo chifukwa chotere.

Ma insulini aumunthu amawonetsa zabwino, koma munthu akakhala kuti wakomoka kapena wapsinjika, kusankha kwa mankhwalawa kumapangidwa potengera nthawi yomwe akuchitapo kanthu, osati mtunduwo.

Glycemia nthawi zambiri amachepetsa pamlingo wa 4.2-5.6 mol / L. Ngati nthawi yoyamba mphindi zisanu ndi chimodzi isanayambike kukhudzika kotereku, mankhwalawa amawonjezeka mpaka 14 mol / L. Kuthamanga ndi mlingo zimadalira momwe wodwalayo alili.

Miyezo ya zizindikiro zofunika ikakhazikika, ndipo glycemia idzasungidwa osaposa 11-12, zakudya zimakulirakulira, insulin imayamba kutumikiridwa osati kudzera m'mitsetse, koma modumphira. Mankhwala osankha mwachidule amadziwikidwira m'magawo a 10-14 mayunitsi. maola 4 aliwonse. Pang'onopang'ono, kusintha kwa insulin yosavuta kuphatikiza ndi kusankha kwa nthawi yayitali.

Zakudya zamankhwala

Ngati shuga wa munthu wadwala kale mpaka 32, ndiye njira zonse zofunika kuzitsatira pofuna kupewa kukonzanso kwa matenda. Zakudya zamankhwala zapadera zithandiza mu izi. Pankhani ya matenda ashuga amtundu wachiwiri ndi kunenepa kwambiri, chakudya chochepa kwambiri cha carb chokhala ndi zotupa kapena zotupa zoberekera ziyenera kutsatiridwa ndi kuchepa kwa mchere ndi mavitamini.

Muyenera kuphatikiza muzakudya zanu zomwe zimakhala ndi zovuta zamafuta, mafuta, komanso mapuloteni. Moyenera, ngati chakudyacho chili ndi index yotsika ya glycemic.

Muyenera kusintha menyu yanu:

Ndikofunikira kuyang'anira momwe muliri wamadzi. Muyenera kumwa mpaka malita 1.5 amadzi patsiku. Mwazi wamagazi ukafika kwambiri, thupi limayamba kuyesa kutsika shuga, ndikuchotsa ndi mkodzo. Madzi wamba opanda zowonjezera angathandize kuthana ndi vutoli, komanso ndizosatheka kuledzera, chifukwa chitha kumwa zakumwa zoledzeretsa.

Pomaliza, tazindikira: shuga m'magawo 32. akuwonetsa kusagwira ntchito mthupi. Ngati palibe chochitidwa, mwayi wa imfa ndi wabwino. Kudzithandiza sikulimbikitsidwa, chifukwa momwe masinthidwe aumoyo angaphonyere. Chifukwa chake, choyamba ambulansi imayitanidwa, kenako zochitika zina zonse zimatengedwa.