Mwazi wa Magazi 26-26

Kodi mukufuna kudziwa zoyenera kuchita ngati magazi anu ali 26? Kenako yang'aninso.


Kwa ndani: Kodi shuga msambo 26 ukutanthauza chiyani:Zoyenera kuchita:Shuga
Kusala kudya kwa akuluakulu ochepera zaka 60 NdikulimbikitsaImbani ambulansi! Coma ndizotheka.3.3 - 5.5
Mukatha kudya akuluakulu osakwana 60 NdikulimbikitsaImbani ambulansi! Coma ndizotheka.5.6 - 6.6
Pamimba yopanda kanthu kuyambira zaka 60 mpaka 90 NdikulimbikitsaImbani ambulansi! Coma ndizotheka.4.6 - 6.4
Kusala kudya kwazaka 90 NdikulimbikitsaImbani ambulansi! Coma ndizotheka.4.2 - 6.7
Kusala ana osaposa chaka chimodzi NdikulimbikitsaImbani ambulansi! Coma ndizotheka.2.8 - 4.4
Kusala ana kuyambira 1 chaka mpaka 5 NdikulimbikitsaImbani ambulansi! Coma ndizotheka.3.3 - 5.0
Kusala kudya kwa ana kuyambira azaka 5 ndi achinyamata NdikulimbikitsaImbani ambulansi! Coma ndizotheka.3.3 - 5.5

Mulingo wa shuga wamagazi kuchokera pachala chala chopanda kanthu m'mimba mwa akulu ndi achinyamata akuyamba kuyambira 3,3 mpaka 5.5 mmol / l.

Ngati shuga ndi 26, ndiye kuti kuchipatala ndikofunikira! Imbani ambulansi! Ndi shuga wopitilira 30, mutha kukhala ndi hyperclycemic.

Mwazi wa Magazi 26 - Kodi Zimatanthauzanji?

Akatswiri adakhala ndi machitidwe omwe amayesa momwe thupi limakhalira. Mwa kuchuluka kwa shuga, titha kunena zomwe zimapezeka mwa anthu. Chithunzi wamba cha kachipatala chimafotokozedwa pagome.

Mulingo, mmol / LThupi lathupi
3,3-5,5Mulingo wabwinobwino wa shuga pomwe zovuta sizimachitika. Insulin imagwira bwino ntchito yake yachilengedwe.
7-10Munthu amadandaula za chizungulire, ulesi, kugona, kuchuluka kudya, ludzu.
11-25Pali zovuta zosiyanasiyana zokhudzana ndi mtima. Ma atherosulinotic madongosolo amapangidwa, kutsekeka zombo, zomwe zimatsogolera ku dziko la necrotic. Pakakhala palibe mankhwala oyenera a mankhwala, shuga akupitilirabe, thanzi likuipiraipirabe.
26.1-26.9 ndi pamwambapaKuchuluka kwa shuga m'magazi kumatanthauza kuti nthawi iliyonse munthu akhoza kugwa shuga, kumuopseza ndi moyo.

Shuga wambiri m'magazi, kufikira magawo 26, zikutanthauza kuti ayenera kuchitapo kanthu mwachangu kuti achulukane.

Zofunika! Pakanthawi kochepa, koma kulumpha pafupipafupi m'magulu a shuga sikuvulanso kwambiri pamitsempha yamagazi, maso, ndi ziwalo zamkati. Ndi chifukwa cha izi pomwe zovuta zimayamba.

Zotheka

Ngati wodwala yemwe ali ndi matenda ashuga ali ndi shuga 26 26.2 komanso kupitilirapo, ndiye kuti pali zifukwa zingapo:

  • kuphwanya zakudya. Munthu amadya chakudya chokhala ndi index yayikulu ya glycemic, samvera malangizo a dokotala ndipo samatsatira zakudya zoyenera,
  • kachilombo kapena matenda opatsirana omwe amatsogolera ku chitetezo cha mthupi. Nthawi yomweyo, shuga amapangidwa mokulira kuti apereke mphamvu yowonjezera m'maselo.
  • kusowa kwa mankhwala. Munthu wodwala matenda a shuga ayenera kumwa mankhwala okhazikika ndi katswiri,
  • kugwiritsa ntchito mankhwala omwe amachulukitsa kuchuluka kwa shuga (mwachitsanzo, mapiritsi a diuretic, njira zakulera zam'mlomo, ma steroid),
  • kupsinjika kwamphamvu kwammaganizo, kupsinjika, chisangalalo Chifukwa cha zovuta zam'mthupi zomwe zimachitika m'thupi, mahomoni ambiri amapangidwa omwe amakhudza shuga.

Kunenepa kwambiri, kusachita masewera olimbitsa thupi, kusuta fodya, kumwa mowa mwauchidakwa kumatha kusokoneza magazi ndikuwonjezera shuga mpaka 26.3 ndi magawo pamwamba.

Mwa anthu opanda matenda a shuga, hyperglycemia imayamba chifukwa:

  • kutupa kapena khansa ya kapamba,
  • matenda okhudzana ndi endocrine system,
  • matenda okhudza chiwindi
  • kulephera kwa mahomoni
  • kukula kwa matenda a shuga a mtundu woyamba kapena wachiwiri.

Ndiyenera kuchita mantha

Zizindikiro za hyperglycemic state zingakhale motere:

  • ludzu lalikulu
  • kukodza pafupipafupi
  • kuyuma mkamwa
  • kuwonda
  • kupweteka mutu
  • kuchiritsa pakhungu.
  • kupezeka kwa zotupa ndi pakhungu pakhungu,
  • kutopa ndi kutopa kosagonjetseka (chizindikiro ichi sichofunikira kwambiri, chifukwa nthawi zambiri chimagwirizana ndi chitukuko cha hypoglycemia),
  • kukwiya, manjenje,
  • yafupika libido.

Odwala ena omwe ali ndi matenda a shuga omwe amadalira insulin nthawi zambiri amakhala ndi funso loti bwanji shuga limakwera mpaka magawo 10, 20, 26.8 komanso apamwamba, ngakhale amamwa insulini. Hyperglycemia wolimba imayambitsa zovuta zambiri, chifukwa chake muyenera kumvetsetsa izi ndikuzindikira omwe amayambitsa vutoli. Amatha kubisala:

  • Mlingo wa mankhwalawa molakwika,
  • osagwirizana ndi zakudya ndikudumpha insulin,
  • osagwirizana ndi malamulo osungira ma ampoules ambiri ndi mankhwala,
  • kuphatikiza mitundu yosiyanasiyana ya insulini mu syringe imodzi,
  • mankhwala osokoneza bongo
  • kusisita mtsogolo jakisoni ndi mowa.

Kwa odwala matenda ashuga aliyense omwe amakakamizidwa kumwa insulin, adokotala amafotokozera momwe angapangire mankhwalawo, zomwe achite ndi ma syringe omwe agwiritsidwa ntchito, komanso malo omwe thupi limayenera kubayidwa.

Zoyenera kuchita ngati shuga ali pamwamba pa 26

Munthu amene wakumana ndi vutoli samadziwa kwenikweni zoyenera kuchita ngati shuga wenyuka wafika pa 26.4 kapena kupitilira apo. Sikoyenera kudzisankhira pawokha pakuthandizira kuchepetsa. Ndikofunika kufunsa katswiri yemwe adzayankhe ndikupereka chithandizo choyenera. Itha kukhala ndi:

  1. Zakudya zamagulu. Wodwalayo adzafunika kupatula chakudya chochuluka muzakudya. Wogulitsa aliyense ali ndi mndandanda wake wa glycemic, womwe uyenera kukumbukiridwa popanga mndandanda wa odwala matenda ashuga. Muffins, chakudya chofulumira komanso zakudya zina zokhala ndi mafuta, kaboni yokhala ndi mpweya, komanso shuga woyengeka zimakhala ndi GI yapamwamba kwambiri.
  2. Zochita zolimbitsa thupi. Ayenera kukhala odziletsa koma okhazikika. Kuchita zolimbitsa thupi kumawonjezera shuga m'magazi, chifukwa thupi limafunikira magawo ena a zakudya. Izi zikutanthauza kuti kuyenda, kusambira, masewera olimbitsa thupi m'mawa ndi koyenera kwa odwala matenda ashuga.
  3. Mankhwala a insulin. Jakisoni wa insulin amayenera kuperekedwa tsiku lililonse mutadya. Mlingo ndi mtundu wa mankhwala zimadziwika ndi dokotala. Ngakhale kuti insulin imayendetsedwa mu matenda a shuga 1, imatha kuthandizidwa pochiza matenda amtundu wa 2 shuga, pamene njira zina zochiritsira zilibe phindu.

Cholinga chachikulu cha mankhwalawa ndikuchotsa chomwe chimayambitsa chisokonezo, kulipiritsa anthu omwe ali ndi matenda ashuga, komanso kupewa kuchulukana kawiri kawiri pazowonetsa 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 Sayansi yakwanitsa 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!

Thandizo loyamba

Ngati shuga wamwazi akwera mpaka magawo 26,5 kapena kupitilira apo, akulimbikitsidwa:

  • idyani zipatso zopanda chete (apulo, peyala, chivwende, vwende, Persimmon),
  • idyani masamba omwe amakhala ndi fiber ndi michere yambiri. Mwachitsanzo, nkhaka, dzungu, kabichi, zukini, kaloti, udzu winawake. Ndikwabwino kupewa masamba ndi ndiwo zamasamba zomwe zimachulukitsa acid m'mimba - masamba othandiza komanso oyipa a odwala matenda ashuga,
  • imwani madzi ambiri. Ndikofunika kuti mutenge kapu yamadzi apamwamba kwambiri osakhala ndi calcium wokhala ndi potaziyamu, sodium, calcium. Madzi oterowo amasintha mchere wamchere mwachangu,
  • tengani yankho la soda, yomwe imathandiza kuchepetsa acidity. Kuti muchite izi, onjezerani supuni ya mchere ndi kapu ya madzi otentha (osatentha). Imwani njira yothetsera pang'onopang'ono, mgawo yaying'ono kwa mphindi 10,
  • Tsitsimutsani wodwalayo ndi compress yabwino pamphumi pake.

Zotsatira zake

Zotsatira zake komanso zovuta za shuga wambiri zingakhale motere:

  • kuletsa kwa Reflex,
  • kudziwa zolakwika
  • kusokoneza magwiridwe amanjenje,
  • Kudzitchinjiriza kwa ziwiya zokhala ndi ma atherosselotic zolembera, zomwe zimatsogolera ku kugunda kwa mtima ndi sitiroko.
  • kutayika kwamaso chifukwa chakusadya bwino kwa ziwalo zowoneka,
  • kugwa kukomoka komanso kufa kwa wodwala.

Vuto lalikulu kwambiri la shuga m'magazi, lomwe limafikira pa mayendedwe 26.6-26.7 ndipo pamwambapa, ndi matenda a shuga.

Pali mitundu ingapo ya izi:

  1. Hyperglycemic, yodziwika bwino mu mtundu wa 2 odwala matenda ashuga. Makhalidwe ake a shuga ndiwokwera kwambiri kuposa momwe amavomerezeka.
  2. Hypoglycemic, yomwe imalumikizidwa ndi kusintha kwadzidzidzi kwa shuga m'thupi. Itha kuyamba mtundu uliwonse wa matenda ashuga.
  3. Ketoacidotic, chifukwa cha kusowa kwa insulin m'chiwindi. Nthawi yomweyo, matupi a ketone (acetone) amapangidwa mwachangu m'thupi. Zikuchuluka mthupi e, zimayambitsa mkhalidwe wovuta wa munthu. Nthawi zambiri, mtundu woterewu umapezeka mwa odwala omwe ali ndi mtundu woyamba wa matenda ashuga.
  4. Hyperosmolar, yowonetsedwa ndi kulumpha lakuthwa mu shuga, mpaka magawo 38.9. Vuto lofananalo limawonedwa mwa anthu okulirapo zaka 50.
  5. Hyperlactacidemic - chifukwa cha kuchepa kwa magazi m'mitsempha yamagazi ndi minyewa, lactic acid imasonkhanitsidwa, yomwe imapangitsa kuti munthu azingokhala osazindikira.

Matenda a matenda ashuga amaonedwa kuti ndi vuto lalikulu. Ngati munthu wagwera, ayenera kuchitapo kanthu mwachangu. Wodwala ayenera kuyimba ambulansi. Akatswiri amathandizira odwala kwambiri ndikuthandizira wodwalayo kukhala bwino.

Kuzindikira matenda ashuga si sentensi. Chithandizo chosankhidwa moyenera, kudziletsa, kudziletsa, kudya zakudya zamafuta ochepa, kupewa zokhala ndi chizolowezi komanso kuchita masewera olimbitsa thupi sikuthandizira kupewa kupewa mavuto, komanso kukhala ndi moyo wautali komanso wachimwemwe.

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

Shuga wamagazi 26 mpaka 26.9: zotsatira za shuga

Miyezo ya glucose imayamba kukwera pamene kusokonekera kwakukulu mu kagayidwe kachakudya kakuchitika, ndipo kagayidwe kazinthu zamafuta ndi chakudya kamasokoneza. Shuga amatha kuwuka kwambiri chifukwa cha zakudya zopanda thanzi, chifukwa chake, ndikofunikira kuti musavule chizolowezi choyipa cha "kudya popita." Zaka zaposachedwa, anthu amakonda kudya michere yamagetsi yosavuta kugaya, yomwe siyabwino.

Shuga mellitus: zambiri

Monga tafotokozera pamwambapa, kuopsa kwa shuga nthawi yayitali kumakhala m'mavuto ambiri komanso zovuta zina, zina zomwe sizingasinthe.

Ziwerengero zachipatala zimawonetsa kuti matenda ashuga ndi matenda achitatu omwe amapezeka kwambiri mwa anthu mosatengera zaka. Shuga wambiri amatha kubweretsa kulumala, kuwonongeka kwa ubongo kosasinthika, ndi kufa.

Tsoka ilo, sizingatheke kuchotsa matendawa kwathunthu, ngakhale kudzera mu mankhwala amakono. Chifukwa chake, njira yokhayo yochepetsera zovuta zomwe zingakhalepo ndikukhala moyo wathunthu ndikuwunika pafupipafupi matenda ashuga.

Pakadali pano, pali mitundu iwiri ya matenda omwe amadziwika kale:

  • Mtundu woyamba wa shuga umadziwika chifukwa chakuti insulin imalimbikitsidwa nthawi yomweyo. Palibenso njira ina yothandizira masiku ano. Mankhwalawa adzakhala amoyo wonse.
  • Mtundu wachiwiri wa matenda ashuga umayamba pang'onopang'ono, nthawi zambiri amapezeka mwa odwala opitirira zaka 40. Dokotala woyamba kusankha ndi kukonza moyo, kusintha kwa thanzi, kuchita zolimbitsa thupi.

Ngati njirazi sizithandiza, shuga m'magazi "amalumpha" mpaka magawo 26 kapena kuposerapo, ndipo palibe njira zomwe zingachepetse, ndiye kuti gawo lachiwiri la chithandizo likulimbikitsidwa - mapiritsi ochepetsa shuga.

Zachidziwikire, mpaka kumapeto kwa moyo, mapiritsi sangathe kugwira ntchito moyenera. Nthawi yotalika ikadutsa, kugwira ntchito kwawo mokwanira pakuchepetsa shuga kumachepetsedwa, motero, matenda a shuga salinso kuwongoleredwa.

Poterepa, adotolo akuvomereza kuyang'anira insulin. Zochita zikuwonetsa kuti ngati insulini imagwiritsidwa ntchito pa matenda a shuga 2, ndiye kuti kwamuyaya. Kupatula pazochitika zachilendo kwambiri, ndizotheka kusiya nthawi yayitali. Chifukwa chake, izi ndizosiyana ndi lamulo.

Palinso mitundu yapadera ya matenda ashuga monga matenda a Modi ndi Lada. Izi ma pathologies ali ndi mawonekedwe awo, pazochita zamankhwala komanso nthawi yamatendawa.

Mitengo yokweza

Madokotala akhazikitsa mfundo zina zomwe zikuwonetsa momwe thupi limakhalira. Zitha kugwiritsidwa ntchito kuweruza kupezeka kwa shuga m'magazi. Pazowonjezera chilichonse chazisonyezo, momwe zimakhalira ndi matenda, zimafotokozedwera patebulopo.

ChizindikiroKufotokozera za thupi
3,3-5,5Mlingo wabwinobwino wa shuga, momwe mulibe zovuta za thupi. Insulin imagwira ntchito yake.
7-10Munthu amakhala ndi chizungulire, wotopa, watopa. Pali kumverera kwanjala.
11-25Pali zovuta pamtima dongosolo. Mapangidwe a atherosulinotic amapangidwa omwe amatchingira ziwiya zam'mimba, zomwe zimawatsogolera kuti afe (necrosis). Pakusowa chithandizo chamankhwala, munthu amasiya kuzindikira, amanunkhira acetone kuchokera mkamwa mwake.
26 ndi pamwambaWodwalayo amagwa. Kuzindikira kulibe. Mkhalidwewo ndiowopsa pamoyo wamunthu.

Chifukwa cha kuopsa kwa zovuta za matenda ashuga, wodwalayo ayenera kukhala ndi glucometer nthawi zonse. Ngati munthu akuona kuti khungu lawola kuchepa, ndikofunikira kuti musiye kuyezetsa magazi, kumwa insulini, ngati chizindikirocho chitha.

Zifukwa zakuchuluka kwa shuga

Kuwonjezeka kwakukulu kwa shuga mumagazi a anthu odwala matenda ashuga kumawonedwa pazifukwa zotsatirazi:

    Mankhwala osayenera - mwina wodwalayo amasintha menyu kapena akapatsidwa zakudya zosayenera. Nthawi zambiri zimachitika kuti odwala akudziwa za vuto lawo mwadala samatsatira chithandizo chamadyedwe, amakhala osadandaula paumoyo wawo,

Nchiyani chimayambitsa kuchuluka kwa shuga?

Mkhalidwe waumoyo umawonetsa zochitika zachilengedwe. Masiku ano, chakudya chamafuta ambiri chimagulitsidwa pama shelufu, zomwe zimabweretsa zovuta za metabolic. Ndi pambuyo poti munthu watenga shuga wambiri.

Munthu amakonda kuzolowera kudya mwachangu, zakumwa zozizilitsa kukhosi zomwe zimakhala ndi vuto lalikulu pa kapamba, lipid metabolism, ndipo kenako, kupanga insulin kumasokonezeka chifukwa cha izi. Ngati simukuti “ayi” panokha pakapita nthawi ndikupitiliza kudya, ndiye kuti zonse zitha kutha.

Zizindikiro za Mafuta Aakulu

Kuchokera pazizindikiro zoyambirira za kuchuluka kwa glucose, ludzu lalikulu ndi kukodza pafupipafupi kumatha kusiyanitsidwa. Zochitika zotere zimachitika pokhudzana ndi chitetezo chakuthupi cha thupi, chomwe, pochotsa glucose kudzera mkodzo, amayesa kuchepetsa shuga. Pali kutayika kwakukulu kwa zinthu zofunika kuzifufuza ndi mchere womwe umathandizira thupi.

Ndi mkodzo, timatulutsa timadzi tambiri, timene timatulutsa timadzi tambiri. Izi zimasintha kuchuluka kwa magazi, mkhalidwe wama buffer, zomwe zimapangitsa kuti pakhale ludzu lalikulu.

Zosayeneranso kuchepa kwambiri kwa kuchuluka kwa shuga m'magazi ndi:

  • Mutu
  • Pakamwa pakamwa, Njira zamankhwala

Chochita ndi shuga wamagazi a 26 mmol / l kapena kuposa? Chizindikiro ichi chiri pafupi kumalire ndi chitukuko cha chikomero cha hyperglycemic. Pakadali pano, kuchepa kwa magazi pH kumawonedwa, zomwe zimatsogolera kukuwonjezeka kwa acidity ndikumasulidwa kwa matupi a ketone kuzinthu zonse.

Kuti mupewe izi, choyambirira, ndikofunikira kukonzekera zida zonse popanda mantha kuti muwonjezere kuchuluka kwa shuga ndi acetone m'magazi. Kuyeza kwa shuga m'magazi pakuwonjezeka kwambiri kumachitika aliyense ndi theka mpaka maola awiri.

Gawo lotsatira lidzakhala kukonzekera kwa mankhwala omwe amafunikira.

Njira zoyambirira

Ndi kuwonjezeka kwa shuga kwa 26 mmol / l, wodwalayo akulimbikitsidwa:

  • Idyani zipatso zochepa - zimaloledwa kudya zipatso zosapatsa asidi (mapeyala, vwende, chivwende, mphesa, pichesi, mango, Persimmon),
  • Muyenera kudya masamba ambiri - pankhaniyi, ndibwino kupewa kudya tomato ndi masamba ena omwe amachulukitsa acidity. Amaloledwa kudya nkhaka, zukini, dzungu, kaloti, udzu winawake, kabichi. Muli michere yambiri, madzi ndi mchere, ndizofunikira pamenepa,
  • Kumwa madzi ambiri - ndikofunikira kutenga madzi amchere omwe ali ndi potaziyamu, Sodium, calcium. Madzi oterowo abwezeretsa mchere wamchere mwachangu,
  • Kuti muchepetse acidity, muyenera kutenga yankho la koloko mkati, chifukwa, onjezani supuni imodzi kapena theka ndi supuni ya supu ya madzi ofunda (300-350 ml). Muyenera kumwa pang'onopang'ono, kuwunjika kangapo kwa mphindi 10,
  • Kuti muchepetse mkhalidwe wa wodwalayo, mutha kupukuta pamphumi panu ndi chopukutira, ndikuyika compress yabwino.

Mankhwala

Ngati mupeza shuga wambiri, muyenera kufunsa wodwala kuti ndi mankhwala ati omwe amachepetsa shuga. Kupatula apo, wodwalayo adzafunika kubaya insulin kuti achepetse shuga. Kuti tichite izi, timapeza mtundu wake wa jekeseni komanso jekeseni wofinyira m'thaka kapena phewa.

Kuti muthane ndi shuga, ndikofunikira kusintha m'malo mwake maola awiri aliwonse. Ngati kukhazikika kwa manambala kumawonedwa, ndikofunikira kuti mutembenukire kwa akatswiri odziwa zamankhwala.

Pambuyo pakugonekedwa kuchipatala, wodwalayo amatha kubayidwa nthawi ndi insulini mpaka atafika pabwino. Kukhalitsa kwa hyperglycemic kwa nthawi yayitali kumabweretsa kuledzera kwambiri kwa thupi.

Ku chipatala, wodwalayo amalandira chithandizo cha kulowetsedwa choyenera kutsitsa kuchuluka kwa matupi a ketone m'magazi, kuimitsa mkhalidwe wa acidosis. Komanso, ndi milingo yamagetsi yokhazikika ya magazi, kulowetsedwa kwa insulin kudzachitika. Izi zimachepetsa kuchuluka kwa shuga, kumasulidwa kwa poizoni ndikupangitsa matenda a homeostasis kukhala ofanana.

Pankhani ya vuto lalikulu, wodwalayo amatha kuzindikala ndipo amalephera kugwira ntchito zina zofunika. Kuti akhale wathanzi, amamuthamangitsira kumalo osamalira odwala. Amalumikiza zida zapumidwe zakunja ndikupitiliza kulowetsedwa kwa mayankho a mankhwala.

Kupewa

Popewa kukula kwa zinthu ngati izi, odwala ayenera kuyang'anira thanzi lawo. Chinthu choyamba chomwe mukufuna ndi kudya kosalekeza. Kuti mupewe zosavuta, mutha kupanga menyu kwa sabata ndikugwiritsitsa.

Kusamala kwa shuga kumafunikira, chifukwa mayeso ofotokozera awa ndi zida zimagulidwa kuti muwone zomwe zili. Kuchita masewera olimbitsa thupi ndi ntchito zakunja ndizofunikira, makamaka nthawi yochepa yochepera kunyumba.

Muyeneranso kuiwala zamakhalidwe oyipa. Kenako mutha kukhalabe ndi shuga wokhazikika osadandaula ndi zotsatirapo zoyipa.

Chikhalidwe cha shuga mwa anthu

Magulu a glucose amawongolera insulini, mahomoni apancreatic. Ngati munthu akuvutika ndi insulin, ndiye kuti glucose imakwera m'thupi. Milingo ya shuga imatha kukwera chifukwa cha mowa, kusuta, komanso nkhawa.

World Health Organisation yakhazikitsa miyezo ya shuga ya magazi kwa mibadwo yosiyana:

  • Mwana mpaka mwezi umodzi amakhala ndi chizindikiro cha 2.8 mpaka 4,4 mmol / L.
  • Mwana wochepera zaka 14 amakhala ndi mulingo woyambira 3.3 mpaka 5.5 mmol / L.
  • Mwana atakwanitsa zaka 14 ndipo wachikulire amakhala ndi chizindikiro cha 3.3 mpaka 5.5 mmol / L.

Chonde dziwani kuti ndi ukalamba, munthu amataya mphamvu ya minofu ku insulin. Zimayamba kumizidwa kwambiri ndi minyewa - chifukwa, kuchuluka kwa glucose kumakulitsidwa. Mukamamwa magazi, ndikofunikira kuganizira ngati magazi amachotsedwa chala kapena mtsempha.

Mkulu wama glucose pa kusanthula kwa mtsempha amachokera ku 3.5 mpaka 6.1 mmol / L. Mtundu wa magazi a capillary otengedwa kuchokera kumunwe umachokera ku 3.5 mpaka 5.5 mmol / l. Matenda a shuga akamakayikiridwa, wodwalayo amapeza mayesowo kangapo, ndipo pambuyo pake zotsatira zonse za mayeso zimayerekezedwa.

Zizindikiro za Glucose Wapamwamba

  • Munthu amatopa msanga, ofooka nthawi zonse, mutu wovuta umamudetsa nkhawa.
  • Kuchepetsa kwambiri thupi.
  • Nthawi zonse mumakhala ndi ludzu, komanso pakamwa pouma.
  • Kuyesa kumakhala kochulukirapo, pafupipafupi.
  • Fomu ya pakhungu pakhungu.
  • Mabala, zilonda ndi zilonda ndizovuta kuchiritsa.
  • Chitetezo chokwanira chimachepa, munthu nthawi zambiri amavutika ndi SARS, machitidwe ake amachepa.
  • Mu groin, kuyabwa kwambiri kumawonedwa.
  • Masomphenya amachepa.

Ngati mukuwona chimodzi mwazizindikiro, onetsetsani kuti mwayezetsa magazi a shuga. Izi ndizofunikira makamaka kwa anthu omwe:

1. Kukhazikika kwa chidwi.

2. Ukalamba.

3. Mavuto ndi kapamba.

Mkulu wama glucose akawunikira, zimawerengedwa kuti zotsatira zake zimakhala zabodza. Kuti mumvetse bwino kapena kutsutsa matendawa, kuyesedwa kwa shuga kumachitika. Zimathandizanso kudziwa za matenda ashuga nthawi.

Kulekerera Mayeso

Kuyesedwa koteroko kumathandizira kudziwa panthawi yake za kuphwanya kwa kagayidwe kazakudya. Njira yodziwikirayi imagwiritsidwa ntchito pazinthu zotere:

  • Ngati munthu alibe zizindikiro za glucose wamkulu, koma shuga amapezeka mkodzo.
  • Amachitika kwa anthu omwe alibe zizindikiro za matenda ashuga, koma amawonjezera mkodzo patsiku.
  • Pamene kuchuluka kwa shuga mkodzo wa mayi wapakati kukwera, ndi matenda a chiwindi.
  • Kuyesaku kumafunikira kwa anthu omwe ali ndi chikhalidwe chobadwa nacho.
  • Mwana akabadwa kopitilira 4.5 kg.
  • Njira imagwiritsidwa ntchito pozindikira odwala monga neuropathy ndi retinopathy.

Magazi a capillary amayenera kuyesedwa kuti athe kulolera shuga. Malinga ndi zofunika kuchipatala, magazi amatengedwa pamimba yopanda kanthu. M'mbuyomu, munthu ayenera kumwa shuga - 75 magalamu. Kuti achite izi, amapatsidwa tiyi wofunda. Odwala nthawi zambiri amaphunzira za kulolera kwa glucose kapena kusakhalapo kwawo patatha maola awiri.

Zoyenera kuchita ndi shuga wambiri?

1. Yang'anirani zakudya zanu. Ndikofunikira kukana chakudya chamafuta, komanso mafuta osavuta. Sankhani mafuta anyama, mitundu yosiyanasiyana ya soseji, maswiti, zoteteza, makeke, makeke, ndi zipatso zokoma kwambiri patsamba lanu.

2. Phatikizani zamasamba, nsomba, nyama yophika, zipatso zouma, tchizi chochepa cha mafuta m'zakudya zanu. Kuyambira masamba - samalani zukini, nkhaka, kabichi. Imwani msuzi wa rosehip pafupipafupi.

3. Muyenera kudya nthawi yomweyo masana, makamaka - pafupipafupi, komanso pakudya kamodzi.

4. Kuchita masewera olimbitsa thupi. Yambani m'mawa ndi masewera olimbitsa thupi, masewera olimbitsa thupi ndi othandiza - kuthamanga, kuvina, kuyenda.

5. Mtundu wachiwiri wa shuga umathandizidwa ndi insulin. Koma, adotolo akuyenera kukupatsani mankhwala!

6. Siyani zizolowezi zoyipa. Kusuta fodya, mowa umachulukitsa shuga, umachepetsa thupi komanso thanzi limakula.

Kuopsa kwa miseru yayikulu kwa anthu

Ndi shuga wambiri, njira zowonongeka zowopsa zimachitika mthupi. Mafuta ochulukirapo omwe thupi silipanga ali m'magazi. Zotsatira zake, pamakhala mavuto akulu ndi zotengera.

Glucose wokwera amakhudza ziwiya zazikulu, ndipo kwa anthu ndizowopsa! Kupatula apo, zonse zitha kutha ndi kupunduka kwa mtima, kulephera kwa mtima, atherosclerosis, kapena stroko. Mkulu kuchuluka kwa shuga kumakhudza mawonekedwe a zotupa za m'maso - wodwalayo amatha kukhala wakhungu. Ngati zinthu sizingachitike munthawi yake, ndiye kuti zonse zitha kutha chifukwa cha matenda a shuga komanso matenda.

Chifukwa chake, mulingo wambiri wa glucose ndi chizindikiro chowopsa chomwe ndichofunika kulipira chidwi chake munthawi yake. Munthu akaloleza yekha, zonse zitha kutha.

Wodwala matenda ashuga ayenera kupitilira mayeso onse munthawi yake, kuyang'anira kuchuluka kwa shuga pogwiritsa ntchito glucometer. Chakudya chimagwira ntchito yofunika kwambiri, samalani ndi zakudya zomwe mumadya.

Zakudya zopatsa thanzi sizimakhudzanso kuchuluka kwa shuga wamagazi, chifukwa chake yeretsani zakudya zanu zopanda thanzi. Yang'anani ndi dokotala ndipo musaiwale kuwunikira moyo wanu.

Mwazi 20: zimatanthauzanji kwa wodwala matenda ashuga komanso momwe mungabwezeretse shuga

Ndikothekanso kuyimitsa kuchuluka kwa hyperglycemia ngakhale magazi achulukitsa kuchuluka kwa 20 mmol / l. Ndikulimbikira kwamphamvu kwa glucose, mankhwalawa ayenera kuchitika nthawi yomweyo, apo ayi wodwalayo akhoza kuyamba kudwala matenda ashuga. Kuthekera kwa zotsatira zakupha sikuphatikizidwa.

Kukula kosalekeza kwa glycemia mu matenda a shuga nthawi zambiri kumachitika chifukwa chosagwirizana ndi zakudya kapena njira zosankhidwa bwino zosafunikira.

Mfundo zamankhwala zimatengera mtundu wa matenda ashuga. Ndi matenda omwe amadalira insulin, chithandizo chimachitika kudzera mu insulin. Matenda a 2 a shuga amathandizidwa ndi zakudya, masewera olimbitsa thupi, mankhwala a hypoglycemic.

Zimayambitsa Acute Hyperglycemia

Mwazi wamagazi 20 zikutanthauza chiyani? Izi zikutanthauza kuti wodwalayo amakula kwambiri hyperglycemia. Matendawa ndi oopsa kwambiri, chifukwa ndimankhwala osakonzekera, vuto la matenda a shuga limatheka. Kuchuluka kwa shuga m'magazi kungayambitse zovuta kuchokera ku mtima ndi endocrine.

Nthawi zambiri, kuchuluka kwa glycemia mu matenda ashuga kumayambitsa vuto la kudya. Makamaka pakamangidwe ka zakudya ndizofunikira mtundu wa 2 shuga. Ngati wodwalayo ndi wonenepa kwambiri, ndiye kuti zakudya zamafuta ochepa.

Amachititsanso kuti shuga awonjezeke:

  1. Mlingo wolakwika wa insulin. Vutoli ndilofala ndi matenda ashuga amtundu woyamba, pomwe maselo a kapamba sangathe kudzipangira payokha kuchuluka kwamahomoni.
  2. Mlingo wosankhidwa bwino wa mankhwala a hypoglycemic. Vutoli limangopezeka ndi matenda a shuga a mtundu wachiwiri okha. Ngati mankhwala sathandizira kukhazikika kwa shuga m'magazi, ndiye kuti adokotala amasankha othandizira ena a hypoglycemic kapena amapereka mankhwala a insulin.
  3. Kupsinjika ndi kusokonezeka kwa malingaliro.
  4. Matenda a kapamba, kuphatikizapo kapamba.
  5. Kugwiritsa ntchito mankhwala a prednisone, njira zakulera za pakamwa, glucagon, beta-blockers.
  6. Kuvulala.
  7. Stroke kapena myocardial infarction.
  8. Matenda a khansa.
  9. Mimba Nthawi yobereka mwana, mayi amatha kukhala ndi matenda otchedwa gestationalabetes.
  10. Hyperthyroidism ndi matenda ena a chithokomiro.
  11. Cushing's Syndrome.
  12. Matenda a chiwindi. Shuga amatha kutuluka chifukwa cha kuchepa kwa chiwindi, hepatitis, cholestasis, abscess, echinococcosis, cholangitis, hepatic vein thrombosis, zotupa zophatikizika ndi cirrhosis.
  13. Kugwiritsa ntchito dexamethasone kapena glucocorticosteroids ena.
  14. Matenda opatsirana. Mkulu wama glucose amatha kuwonedwa ngakhale ndi mafangasi a fungus.

Dokotala wokhazikika ndi okhayo amene angazindikire zomwe zimapangitsa kuti glycemia iwonjezeke. Ndi mishuga yokwezeka kwambiri, wodwalayo amafunika kufufuza mozama.

Ndi zizindikiro ziti zomwe zimayamba shuga atakwera mpaka 20 mmol / l?

Ndili ndi shuga m'magazi a 20 ndipo ndimamva kuti ndikwabwino - odwala matenda ashuga nthawi zambiri amatembenukira kwa madandaulo kwa endocrinologists. Ngakhale ali bwino, matendawa ndi owopsa.

Mwambiri, kuchuluka kwa glucose mpaka 20 mmol / L kumayambitsa zizindikiro mu matenda ashuga. Choyamba, wodwalayo amakhala ndi ludzu losatha komanso pakamwa lowuma.

Komanso, ndi hyperglycemia yayikulu, zizindikiro zina zamankhwala zimawonekera:

  • Kukoka pafupipafupi.
  • Zowonongeka.
  • Kuyamwa kwamphamvu.
  • Kudzimva ndi nkhawa, kuwombana mwaukali komanso kusakwiya.
  • Ululu m'malulumikizidwe ndi mutu.
  • Kukulira m'makutu.
  • Kuchulukitsa thukuta.
  • Kutsitsa magazi.
  • Kusokonezeka kwa mtima.
  • Fungo la acetone kuchokera mkamwa.
  • Kutaya chikumbumtima.

Ngati zizindikiro zakumwambazi zikuchitika, wodwalayo ayenera kuyeza shuga m'magazi ndi glucometer, ndipo ngati ndi kotheka, perekani thandizo.

Zoyenera kuchita ngati shuga m'magazi ndi 20 mmol / l?

Mu hyperglycemia yovuta kwambiri, odwala matenda ashuga amafunikira thandizo. Ngati wodwala ali ndi mtundu woyamba wa matenda ashuga, ndiye kuti akuyenera kubaya insulin mosamalitsa, kenaka ayesenso glycemia. Panthawi yomwe kukhazikika kumalephera, ndikofunikira kuti muzipatala.

Ndi matenda 2 a shuga, chithandizo choyamba chimachepetsedwa ku kumwa kwambiri, kugwiritsa ntchito njira zamkati ndi mankhwala a zitsamba. Mutha kupukuta khungu ndi thaulo lonyowa. Mankhwala othandizira ovuta amachitika kale kuchipatala.

Zotsatira za shuga wamagazi 20 ndi izi:

  1. Hyperglycemic chikomokere.
  2. Matenda a shuga.
  3. Matenda a shuga.
  4. Retinopathy
  5. Microangiopathy.
  6. Kulephera kwina.
  7. Polyneuropathy.
  8. Zilonda zam'mimba.
  9. Matenda a shuga.

Ngati shuga m'magazi ndi apamwamba kuposa 20 mmol / L, imfa ndiyotheka.

Shuga wamagazi kuchokera 26 mpaka 26.9 mmol / L - amatanthauza chiyani

Hyperglycemia ndi wowopsa pamthupi.

Pomwe chiwonetserochi chimakhala chachikulu, zovuta zomwe munthu angakhale nazo.

Ngati ndi 7-9 mmol / l, izi ndizowonjezera pang'ono, momwe thanzi la wodwalayo limakulirakulira.

Mwazi wamagazi 26 mmol / L umawopseza moyo wa anthu komanso thanzi. Kupatula zoterezi, ndikofunikira kupita kwa dokotala, kutsatira zakudya, ndikugwiritsa ntchito mankhwala.

Mavuto chifukwa cha shuga kupitilira 26 mmol / L

Mavuto otsatirawa akuwoneka phindu lambiri la shuga m'magazi likapezeka:

  • blockage wa zolengedwa atheroscrotic chotengera, zomwe zimabweretsa ziwalo necrosis, kugunda kwa mtima,
  • Kuwonongeka kwamaso chifukwa cha kuperewera kwa chakudya kwa retina,
  • Matendawa akuwopsezedwa ndi chikomokere, pomwe pakanaperekedwa chithandizo chimayendera limodzi ndi imfa ya wodwalayo.

Kuzindikira matenda ashuga

Njira zingapo zimagwiritsidwa ntchito pofufuza matenda ashuga. Mpaka pano, zingwe zamayeso zakhala zikugwiritsidwa ntchito zomwe zimasintha mtundu pakawonjezeredwa magazi kapena mkodzo. Amayerekezedwa ndi muyeso wamtundu, chifukwa mtundu uliwonse panali zisonyezo za shuga wamagazi. Pakadali pano, njirayi siyothandiza, yasinthidwa ndi maphunziro ena.

Mwazi wamagazi nthawi zonse umakhala 3,8 mmol / L

Momwe mungasungire shuga kukhala wabwinobwino mu 2019

Kuonetsetsa zotsatira zabwino, amapereka magazi pamimba yopanda kanthu. Potere, wodwalayo sayenera kudya zakudya zokhala ndi chakudya chambiri, tsiku lisanafike phunzirolo. Kupsinjika kumatsutsana, pambuyo pake phindu limachuluka kwambiri. Ngati munthu agwiritsa ntchito glucometer ndipo ali pa insulin, muyezo umayesedwa mutatha kudya.

  • Kugwiritsa ntchito glucometer. Ichi ndi chipangizo chapadera chomwe chimagwiritsidwa ntchito kunyumba. Mwamuna akhonya capillary pachala chake, akukhetsa magazi pachizindikiro. Chipangizocho chimawerengera chizindikirocho, chikuwonetsa kufunikira kwake.
  • Zopereka zamagazi pachipatalacho. Pachifukwa ichi, namwino amatenga magazi am'miyendo ya khosi la wodwala. Amatumizidwa nthawi yomweyo ku labotale, pogwiritsa ntchito chosanthula chokha kuti ayang'anire chiwonetserochi. Pamodzi ndi glucose, wothandizira ma labotale amatha kudziwa zofunikira zina zoyesa magazi ambiri. Izi ndizofunikira kuti zizindikire momwe thupi liliri.
  • Kudziwa mtundu wa matenda ashuga. Chifukwa cha izi, kuchuluka kwa insulin kumatsata. Matenda a shuga a Type 1 amadziwika ndi kuchepa kwa kuchuluka kwa mahomoni m'magazi kapena kusakhalapo kwathunthu. Choyambitsa chimatha kukhala vuto la chibadwa kapena kuwonongeka kwa kapamba. Mtundu wachiwiri, insulin m'magazi imapezeka, koma ntchito yake imakhalapo. Ndiye kuti sangapereke glucose kwa ziwalo.

Zoyenera kuchita kuti muchepetse shuga

Pazithandizo za odwala matenda ashuga, njira yovuta ya mankhwala ndiyofunikira. Ngati mungagwiritse ntchito mankhwala okha, popanda kudziletsa pazakudya zamafuta pang'ono ndi chakudya, palibe zotsatira. Izi ndizovutikira ndizotsatira zaumoyo waanthu.

Njira zochepetsera shuga:

  • Zakudya Wodwala sayenera kupatula chakudya chamagulu ambiri omwe amapezeka ndi chakudya. Pazinthu zilizonse, mndandanda wa glycemic amawerengedwa. Pazakudya sipayenera kuphika, mafuta, shuga, shuga.
  • Zochita zolimbitsa thupi. Iyenera kugwiritsidwa ntchito ndi odwala pang'ono. Masewera olimbitsa thupi amawonjezera kuchuluka kwa shuga m'magazi, popeza munthu amafunikira mphamvu yowonjezera. Izi zikutanthauza kuti wodwala amaloledwa kuyenda, kusambira.
  • Mankhwala a insulin. Jekeseni watsiku ndi tsiku amagwiritsidwa ntchito, omwe munthu amayenera kubweretsa nthawi iliyonse atatha kudya. Pakadali pano, mapampu a insulin amapangidwira omwe amathandizidwa mosavuta. Munthu safunika kugwiritsa ntchito mankhwalawa nthawi zonse. Pompo imapereka insulin mosalekeza, yomwe imatsitsa shuga.

Matenda a shuga ndi matenda omwe angayambitse zovuta zambiri popanda chithandizo. Owopsa kwambiri a iwo amawonedwa kuti ndi chikomokere. Munthu amakhala ndi fungo la acetone kuchokera mkamwa mwake, amasiya kuzindikira. Chifukwa chake, ndikofunikira kuyesa chizindikiritso m'magazi, kugwiritsa ntchito mankhwala, kutsatira zakudya.

Wodwala matenda ashuga akaona kuti sakomoka, ayenera kupita kwa dokotala nthawi yomweyo. Adzasintha mlingo wa insulin, amvekere zowonjezera maphunziro.

Matenda a shuga nthawi zonse amayambitsa zovuta zakupha. Mwazi wamagazi ochulukirapo ndi woopsa kwambiri.

Lyudmila Antonova mu Disembala 2018 adafotokoza mwatsatanetsatane za chithandizo cha matenda ashuga. Werengani kwathunthu

Kodi nkhaniyo inali yothandiza?

Shuga 26 choti achite

Ndi matenda a shuga, kuyang'anira shuga nthawi zonse ndikofunikira. Mlingo wovuta kwambiri wa shuga ndi kuyamba kwayamba kusintha kosasintha m'thupi la munthu. Kuchulukitsidwa kwakanthawi kochepa ndi koopsa ndi zovuta zomwe zimachitika nthawi yomweyo, ndipo kuthamanga kwa shuga kokwanira kumabweretsa kuwonongeka kwamitsempha yamagazi ndi ziwalo.

Ndikofunikira kudziwa zomwe zili wamba, komanso zomwe zimawonetsa kuti shuga ndizovuta.

Mlingo wa shuga

Mu thupi lathanzi, kuchuluka kwa glucose m'magazi (pamimba yopanda kanthu) sikuyenera kukhala okwera kuposa 3.5-5,5 mmol. Mukatha kudya, mtengo wake umachuluka ndipo sayenera kupitirira 7.8 mmol. Zizindikiritso izi ndi gawo lachipatala lomwe limakhazikitsidwa nthawi zonse pazinthu zamagazi zomwe zimatengedwa kuchokera chala. M'magazi a venous, gawo lovomerezeka lidzakhala lokwera - 6.1 mmol pamimba yopanda kanthu, komanso imawoneka yabwinobwino.

Mlingo wa shuga kwa odwala matenda ashuga sungafanenso kuchuluka kwa momwe shuga amuchotsera mkodzo.

8-11 mmol imawerengedwa ngati kuwonjezeka pang'ono, shuga ya magazi 17 ndi gawo labwino, shuga wamagazi 26 ndi gawo lovuta la hypoglycemia.

Kuchuluka kwa shuga m'magazi kumapangitsa kuti thupi lizigwira ntchito bwino, zomwe zimabweretsa zovuta zosasinthika. Malingaliro a shuga wamagazi, malinga ndi chikhalidwe cha msinkhu, akuwonetsedwa patebulopo.

Mulingo wowopsa

Chizindikiro cha 18 mmol / l chimawerengedwa kale kuti chinthu chowonjezera. Ndipo shuga wamagazi a 20 mmol / L ndi okwera kwambiri amakhumudwitsa kukula kwa ma pathologies osasinthika omwe amakhudza thanzi la munthu. Koma kufananizira chizindikiro ichi ndi anthu onse kudzakhala kulakwika.

Mwa zina, zotsatira zosasinthika zimayamba pa 15 mmol, pomwe ena samamva kusokonezeka, ngakhale shuga ali 30 mmol.

Ndikosavuta kudziwa kuchuluka kwa shuga omwe amapha popanda vuto lililonse, munthu aliyense amakhala ndi chisonyezo chodziwika bwino, kupatsidwa thanzi labwinobwino.

Zomwe Zimayambitsa ndi Zizindikiro Zowonjezera

Matenda a shuga sindicho chokha chomwe chikuwonjezera kuchuluka kwaz shuga. Kupsinjika, nkhawa, kutenga pakati, matenda osiyanasiyana amatha kukulitsa shuga. Kupatuka kunthawi zambiri kumalumikizidwa ndi kuphwanya kwamakanidwe a chakudya. Pankhaniyi, madokotala azindikira zifukwa zingapo zazikulu zomwe zimatha kukweza shuga mwachidule mpaka 20 kapena kuposa:

  • kuperewera kwa zakudya m'thupi
  • kumangokhala
  • kutentha kuwonjezeka
  • ululu
  • kusuta fodya komanso mowa
  • malingaliro osalamulirika.

Mavuto azaumoyo omwe amayambitsidwa ndi kusintha kwa ma pathological mu magwiridwe amkati mwazomwe zimapangitsa kuchuluka kwa shuga. Amagawika m'magulu, kutengera gawo lomwe lawonongeka:

  • ziwalo zam'mimba,
  • chiwindi
  • zotupa za endocrine
  • kusakwanitsa kwa mahomoni.

Kuti muchepetse chizindikirocho, ndikofunikira kupeza chifukwa chake ndikuwonjezera.

Zizindikiro

Ndikotheka kudziwa chizindikiro chokha pofufuza magazi omwe atengedwa pamimba yopanda kanthu. Kukhala ndi shuga wambiri mwa munthu kumapangitsa thanzi labwino, kumayambitsa zizindikiro:

  • kutaya mphamvu
  • ulesi
  • dzanzi m'm miyendo
  • kulakalaka
  • ludzu losalekeza
  • kukodza pafupipafupi
  • kuchepa thupi
  • Khungu loyera ndi zotupa,
  • mabala ochiritsa bwino
  • kunachepetsa chilakolako cha kugonana.

Ndimayeso ati omwe amafunikira?

Kuti adziwe kuchuluka kwa shuga, magazi amatengedwa kuchokera pachala. Kusanthula kungatengedwe ku chipatala, kapena mutha kugwiritsa ntchito mita kuchititsa maphunziro kunyumba. Kuti tsatanetsataneyu azidziwike, ndikofunikira kuzindikira momwe zinthu ziliri asanakonzedwe:

  • Kuyeza kwa zizindikiro kuyenera kuchitika pamimba yopanda kanthu. Osachepera maola 10 magazi asanaloledwe.
  • Sikulimbikitsidwa kuyambitsa zakudya zatsopano muzakudya.
  • Pewani kukhumudwa komanso yesetsani kupewa kuchita mantha.
  • Zotsatira zolondola kwambiri, kupumula komanso kugona mokwanira ndizofunikira.

Ngati, chifukwa cha kusanthula, shuga ndi wopitilira chizindikiro chofunikira, dokotala amayambitsa kafukufuku wowonjezera - kuwunika kwa shuga. Amakhala ndikumwa magazi pamimba yopanda kanthu ndikuyamwa kachiwiri nditamwa madzi ndi shuga. 7 mmol pamimba yopanda kanthu ndi malire ndipo imawerengedwa kuti ndi yovuta, ndipo madzi akumwa ataloledwa, kuchuluka kwa shuga kwamwazi kumachokera pa 7.8 mpaka 11.1 mmol.

Ndi kuchuluka kwambiri kwa shuga, kukomoka kumatha kuchitika, ketoacidosis ndi chikomokere (shuga m'magazi 21 mmol kapena kuposerapo) kumatha, kukulira poyambira kuwonongeka kwa dongosolo lamanjenje lamkati. Chikomokere chimadziwika ndi anthu ambiri omwalira, motero vutoli limafunikira kuchipatala msanga. Zizindikiro zomwe zimayambitsa kupsa mtima:

  • kuchuluka kwamikodzo mpaka malita 3-4 patsiku,
  • ludzu lamkati ndi pakamwa lowuma
  • kufooka, kupweteka mutu.

Ngati simukuthandizira pa nthawi yake, lolani:

  • zopinga zoletsa
  • kuzindikira kwambiri
  • zovuta zamanjenje,
  • kugona kwambiri.

Ngati shuga ndi magawo 28, koma palibe chizindikiro cha ketoacidosis, chikomokere cha hyperosmolar chimayamba.

Zoyenera kuchita

Ngati mulingo wa shuga m'magazi uposa malire ovomerezeka kwa nthawi yoyamba, simuyenera kupanga chisankho chakuchepetsa payekhapayekha. Ndikofunika kufunsa mwachangu kwa dokotala yemwe akupatseni mankhwala.

Ngati dokotala wapezeka kale, ndiye kuti kusintha kwa glucose kumayendetsa insulini. Koma ndikofunikira kukumbukira kuti shuga iyenera kutsikira pang'onopang'ono, kotero ma insulin jabs ayenera kukhala ochepa. Musaiwale zakufunika kokwanira kuwonjezera kuchuluka kwa madzimadzi.

Ngati kuyesayesa sikubweretsa kutsitsika komwe kukufunikira, onetsetsani kuti mukuyimbira ambulansi.

Chidziwitsocho chimaperekedwa kuti chizidziwitso chokha chokha ndipo sichingagwiritsidwe ntchito pakudzipangira nokha mankhwala. Osadzinyengerera, zitha kukhala zowopsa. Nthawi zonse funsani dokotala. Pofuna kukopera mwatsatanetsatane kapena mwatsatanetsatane zinthu zomwe zili pamalowo, kulumikizana kwofunikira kukufunika.

Mwazi wamagazi 20, mungatani kuti muchepetse shuga?

Ndikothekanso kuyimitsa kuchuluka kwa hyperglycemia ngakhale magazi achulukitsa kuchuluka kwa 20 mmol / l. Ndikulimbikira kwamphamvu kwa glucose, mankhwalawa ayenera kuchitika nthawi yomweyo, apo ayi wodwalayo akhoza kuyamba kudwala matenda ashuga. Kuthekera kwa zotsatira zakupha sikuphatikizidwa.

Kukula kosalekeza kwa glycemia mu matenda a shuga nthawi zambiri kumachitika chifukwa chosagwirizana ndi zakudya kapena njira zosankhidwa bwino zosafunikira.

Mfundo zamankhwala zimatengera mtundu wa matenda ashuga. Ndi matenda omwe amadalira insulin, chithandizo chimachitika kudzera mu insulin. Matenda a 2 a shuga amathandizidwa ndi zakudya, masewera olimbitsa thupi, mankhwala a hypoglycemic.

Mwazi wamagazi 26 units, chithandizo ndi kupewa

Pochiza matenda a shuga, ndikofunikira kuwunika pafupipafupi kuchuluka kwa shuga m'magazi. Kupatula apo, kukulitsa kuchuluka kwambiri kumatha kutha kwa wodwala yemwe ali ndi matenda ashuga.

Ngati shuga akuwonjezeka pafupipafupi ndipo satha kuchepetsedwa, izi zikutanthauza kuti wodwalayo samatsatira malangizo onse ochizira matenda ashuga, amamulembera chithandizo cholakwika, kapena samamwa konse.

Pansipa pali zifukwa zomwe shuga ya magazi imakhazikitsidwa nthawi zambiri m'magazi, zomwe zimayenera kuchitidwa komanso momwe mungapewere kuwonetsa kuwonongeka kwakukulu, kukomoka komanso ngakhale kufa.

Njira zochizira

Chochita ndi shuga wamagazi a 26 mmol / l kapena kuposa? Chizindikiro ichi chiri pafupi kumalire ndi chitukuko cha chikomero cha hyperglycemic. Pakadali pano, kuchepa kwa magazi pH kumawonedwa, zomwe zimatsogolera kukuwonjezeka kwa acidity ndikumasulidwa kwa matupi a ketone kuzinthu zonse.

Ndi kupita patsogolo kwa njirayi, kuledzera kwambiri kwa thupi kumachitika, ndipo chifukwa chake, kuwonongeka kwa ziwalo zonse zamkati.

Kuti mupewe izi, choyambirira, ndikofunikira kukonzekera zida zonse popanda mantha kuti muwonjezere kuchuluka kwa shuga ndi acetone m'magazi. Kuyeza kwa shuga m'magazi pakuwonjezeka kwambiri kumachitika aliyense ndi theka mpaka maola awiri.

Gawo lotsatira lidzakhala kukonzekera kwa mankhwala omwe amafunikira.

Kusiya Ndemanga Yanu