Chifukwa chiyani kudumpha kwa shuga kumachitika?

Odwala omwe ali ndi matenda a shuga, amalumikizidwa m'magazi a shuga nthawi zambiri amawonedwa, zomwe zimachitika chifukwa cha magawo osiyanasiyana komanso zolinga zake. Nthawi zambiri, zomwe zimayambitsa matenda a m'magazi ndiz kuphwanya zakudya, zotopetsa kapena zolimbitsa thupi. Izi zimadetsa thanzi, zimatsogolera kukuwonekera kwa zisonyezo zoipa, zomwe zimatengera ngati shuga itakwera kapena yatsika. Ndi chiyani chomwe chimatsogolera kudumpha kwa glucose komanso momwe angabwezeretsenso zomwe zimachitika?

Chithunzi cha chipatala cha kudumpha m'magazi amwazi zimatengera kuti wakula kapena wagwa. Hyperglycemia (glucose wokwera) amadziwika ndi zizindikiro zomwe zili pansipa.

Polyuria ndiye kuchotsedwa kwachangu ndi impso zamadzi kuchokera mthupi, zomwe zimawonetsedwa ndi kukokana pafupipafupi, makamaka usiku.
Udzu wokhazikika womwe sungathetsedwe. Izi ndichifukwa chogwira ntchito ya impso komanso kuchotsa madzi mthupi.
Kuuma ndi kuyabwa kwa pakhungu, makamaka m'maso am'mimba komanso phula.
Kuchiritsa kwanthawi yayitali, mabala ndi kuwotcha.
Kutopa, kufooka, kugona, komanso kuchepa mphamvu.
Kuwona koperewera.
Kusokonezeka kwa mtima ndi mawonekedwe a kugwidwa, komwe kumachitika chifukwa cha kutsekeka kwa calcium komanso michere ina yothandiza m'thupi.

Hypoglycemia (shuga wotsika) amapezeka ndi shuga 3 mmol / L kapena kutsikira. Kutsika kwa shuga m'munsi mwa 2.3 mmol / L kumabweretsa kukula kwa chikomokere kwa hypoglycemic.

Kuperewera kwa shuga kumawonetsedwa ndi kuphwanya kwa kagayidwe kazinthu, zovuta za m'magazi ndi mitsempha. Zizindikiro za hypoglycemia: kutuluka thukuta kwambiri, mantha komanso kusakwiya, kupweteka mutu, chizungulire, kunjenjemera m'misempha komanso kunjenjemera m'manja, komanso kumangokhala ndi njala. Chifukwa cha kuchepa kwa shuga, mphamvu zomwe zimatha zimachepa, zomwe zimabweretsa kutopa nthawi zonse, ulesi, ulesi komanso kuchepetsa ntchito.

Mavuto omwe angakhalepo kuchokera ku mtima: kusintha kwa kugunda kwa mtima (tachycardia) ndi kutsika kwa magazi. Nthawi zina pamakhala kuphwanya koyanjana kwa kayendedwe, zovuta zokusunthika komanso kusazindikira bwino.

Zoyambitsa shuga kuzungulira

Pali zinthu zambiri zomwe zimayambitsa hypo- kapena hyperglycemia. Chodziwika kwambiri ndizakudya zopanda zakudya komanso zosayenera zomwe zimakhala ndi zakudya komanso zakudya zambiri zokhala ndi shuga, mafuta komanso mafuta othamanga. Kuchuluka kwa shuga m'magazi kumatha kupangitsa kuti anthu azigwiritsa ntchito khofi, zakumwa zamphamvu komanso zosangalatsa zapamwamba.

Nthawi zambiri kudumpha m'magazi a shuga kumayambitsa kunenepa kwambiri. Ndi mafuta ochulukirapo a visceral, mayamwidwe a insulini amachepa, ndipo timadzi tambiri timalephera kuthana ndi ntchito zake mokwanira.

Chochititsa chidwi ndi kupsinjika pafupipafupi, zokumana nazo zam'mimba komanso kuwonjezeka. Ndi nkhawa, kupanga insulini kumachepa. Poterepa, chiwindi chimapanga glycogen mwachangu, zomwe zimapangitsa kukula kwa shuga m'magazi.

Kudumpha mu shuga ndikotheka chifukwa cholimbitsa thupi kwambiri kapena kusakhalapo kwathunthu. Moyo wamtunduwu umadzetsa kuchuluka kwa minofu ya adipose komanso kuchuluka kwa shuga m'magazi.

Kupezeka kwa njira zopatsirana kapena kutupa m'mthupi kumasokoneza kugwira ntchito kwa ziwalo zamkati ndipo kumabweretsa kudumpha kwa glucose. Matendawa amathanso kuchitika chifukwa chomwa mankhwala omwe ali ndi zokometsera zokoma ndi zotsekemera. Makamaka zowonjezera zambiri zoterezi m'mankhwala aana.

Kudumpha mu shuga mwa anthu athanzi ndikuthekanso chifukwa chakugwira bwino ntchito kwa chithokomiro, zotupa m'matumbo, matenda a impso, chiwindi kapena kapamba.

Kwa odwala omwe ali ndi matenda a shuga 1, kusokonezeka koteroko kumakhala kwabwinobwino ndipo nkofala kwambiri. Amatha kuchitika popanda chifukwa, chifukwa chakudya kapena kupsinjika. Kuti athetse vuto, odwala matenda ashuga amakakamizidwa kuwunika kwambiri shuga ndikuusunga bwino kwambiri mothandizidwa ndi jakisoni wa insulin.

Mtundu wachiwiri wa matenda ashuga, kulumpha mu shuga kumabweretsa kuperewera kwa zakudya m'thupi, kupsinjika, kuchita masewera olimbitsa thupi, ndi zina zambiri. Kuchepetsa ululu, khunyu, kusakhazikika kwa thupi, kutentha kwambiri kwa thupi komanso kusokonezeka kwa dongosolo logaya chakudya kumathandizira kuchepa kwa shuga.

Momwe mungasinthire shuga

Ngati zizindikiro zoopsa zikuwoneka ngati zikuwoneka ngati shuga mu shuga, muyenera kupita kwa dokotala ndikuyezetsa. Kusinthasintha pang'ono kuzomwe zikuwunikira pazifukwa zosakhalitsa, ndikotheka kusintha mtundu wa glucose ngati mungasinthe moyo wanu. Poterepa, zakudya zapadera zimaperekedwa ndi zakudya zochepa komanso kupatula shuga. Wodwalayo akulimbikitsidwa kuti azilimbitsa thupi, azilimbitsa thupi, ndipo ngati zingatheke, pewani zinthu zovuta.

Ngati kudumpha kwa glucose kumayambika chifukwa chophwanya chiwindi, impso kapena vuto la endocrine, muyenera kukayezetsa kuchipatala ndikuchotsa chomwe chimayambitsa matenda. Pankhaniyi, kuyankhulana ndi nephrologist, endocrinologist ndi gastroenterologist ndi kofunikira.

Anthu omwe ali ndi matenda ashuga amtundu woyamba wokhala ndi shuga wokwezeka amapatsidwa insulin. Jakisoni amachitidwa kangapo patsiku pa mlingo womwe dokotala watchulidwa. Mankhwala amtundu wa insulin amalipira shuga, kuchepetsa matenda omwe ali ndi shuga komanso kupewa zovuta.

Mu matenda a shuga amtundu wachiwiri, zakudya zimasinthidwa, makalasi ophunzitsa zolimbitsa thupi ndi mankhwala ochepetsa shuga amalembedwa. Palibe zotsatira zoyenera kuchokera ku chithandizo chotere, jakisoni wa insulin ndi mankhwala.

Zakudya zamafuta osavuta zimathandizira kukweza shuga ndi dontho lalikulu. Ndikokwanira kudya maswiti, supuni ya uchi, kupanikizana kapena makeke. Zogulitsa zotere zimayambitsa kuchuluka kwa shuga m'magazi ndikupangitsa matendawo kukhalanso athanzi.

Kupewa kuthamanga mwadzidzidzi m'magazi kungapangitse kuphatikiza mafuta ochulukirapo m'zakudya. Taboo iyenera kukakamiza maswiti, sodas zotsekemera, kuphika, msuzi, kupanikizana ndi zina zambiri. Komabe, zinthu izi zitha kukhala zopulumutsa pa hypoglycemia, kotero munthu wodwala matenda ashuga ayenera kukhala ndi kutsekemera komwe kuli pafupi.

Ma spikes a shuga am'madzi ndimachitika kawirikawiri mwa anthu odwala matenda ashuga. Pamaso pa zovuta, dontho kapena kuwonjezeka kwa glucose kumaonekeranso mwa anthu athanzi. Hyperglycemia kapena hypoglycemia imawonekera mwa kuwonongeka m'moyo wabwino ndipo imafunikira thandizo loyenera panthawi yake. Mkhalidwe wonyalanyazidwa umabweretsa zovuta zambiri, zomwe ndizowopsa kwambiri zomwe zimakhala zopanda pake.

Kodi magazi a shuga amasinthasintha chifukwa chiyani?

Zifukwa zomwe shuga imakhalira zimachulukana. Izi zitha kuchitika mukamamwa zakumwa zoziziritsa kukhosi (tiyi, khofi, mphamvu). Komabe, thupi limakhudzidwa mosiyanasiyana, ngakhale nthawi zina, khofi imalepheretsa kukula kwa matenda ashuga amtundu wa 2.

Komanso zakudya zamaguluwa zimatha kuwonjezeka mukatha kudya zosowa zakunja. Mwachitsanzo, nkhuku mu msuzi wokoma ndi wowawasa wokhala ndi mpunga wokometsera kapena ng'ombe yokhala ndi zonunkhira zotentha.

Kuphatikiza apo, hypoglycemia imachitika anthu akamadya zakudya zochuluka zamafuta. Zinthu zomwe zimayambitsa izi zimaphatikizapo:

ma frie achi french
pitsa
maswiti osiyanasiyana
olanda, tchipisi.

Ndizofunikira kudziwa kuti kuchuluka kwa glucose kumatha kuwonjezera osati kuchokera kuzinthu zokhala ndi shuga.Mu diabetes, imakhalanso itatha kudya zakudya zomwe zimakhala ndi wowuma komanso chakudya.

Koma chifukwa chiyani shuga amalumpha munthu akatsatira zakudya? Ana ndi akulu omwe ali ndi chitetezo chofooka nthawi zambiri amakhala ndi chimfine, pomwe chitetezo chamthupi chimacheperanso. Nthawi yomweyo, maantibayotiki ndi ma prongestants, omwe amayambanso kusintha kwa glucose, amatha kuperekedwa kwa odwala.

Komanso, shuga wamagazi amatha kuchulukitsa atatha kutenga mankhwala oletsa kuponderezana ndi corticosteroids, mwachitsanzo, prednisone. Mankhwala omalizawa ndi owopsa kwa odwala matenda ashuga, makamaka chifukwa amatha kuyambitsa matenda a hypoglycemia mwa mwana.

Kupsinjika kumapangitsanso hyperglycemia, yomwe imakonda kuchitika ndi matenda ashuga a 2. Chifukwa chake, ndikofunikira kuti muzitha kuwongolera thanzi lanu lam'maganizo mothandizidwa ndi masewera apadera, yoga, kapena maluso osiyanasiyana, monga masewera olimbitsa thupi a shuga.

Masiku ano, anthu ambiri odwala matenda ashuga omwe amachita masewera amakonda kumwa zakumwa kuti zithandizenso kuti madzi akhale athanzi. Komabe, ndi ochepa omwe amadziwa kuti zina mwa izo zimakhala ndi shuga komanso zinthu zina zomwe zimakhala zowopsa ku thanzi la wodwala.

Magazi a shuga m'magazi amatha kukwera chifukwa cha zomwe zikuchitika padziko lonse lapansi. Izi zikuphatikiza:

kusokonezeka kwa mahomoni
mavuto ndi kapamba (chotupa, kapamba),
zovuta za endocrine
matenda a chiwindi (chiwindi, zotupa, cirrhosis).

Zinthu zomwe zimapangitsa kuti shuga azidumphadumpha ndi kugona, kutentha, ndi mowa. Mowa umayambitsa hypoglycemia, popeza umakhala ndi mafuta ambiri, koma nthawi zambiri pambuyo pa maola 2-4 pambuyo poti wagwiritse ntchito, kutsekemera kwa glucose, m'malo mwake, kumachepa kwambiri.

Koma kodi zomwe zili mu shuga zingachepe? Maonekedwe a hyperglycemia amalimbikitsidwa ndi kuchita zolimbitsa thupi kwambiri. Izi zikuwonetsedwa ndi kufooka, kutopa ndi kumverera kuti akulefulidwa.

Komanso, kulumpha mu shuga kumatha kuchitika posala kudya komanso mosasamba. Chifukwa chake, pofuna kupewa hypoglycemia, ndikofunikira kudya kasanu patsiku komanso magawo ang'onoang'ono. Kupanda kutero, posachedwa wodwala amakhala ndi mavuto am'matumbo ndi kapamba.

Ma diuretics amachititsanso kuti shuga adumphe. Kupatula apo, mukamamwa iwo pafupipafupi, shuga amatsukidwa kunja kwa thupi, osakhala ndi nthawi yokhala ndi ma cell.

Kuphatikiza apo, hypoglycemia imatha kupezeka nthawi ngati izi:

kusokonezeka kwa mahomoni
kugwedezeka ndi kugwidwa,
kupsinjika
matenda opatsirana ndi ma virus omwe kutentha kumakwera.

Zizindikiro zomwe zimatsagana ndi kusinthasintha kwa shuga m'magazi

Shuga akamayamba kulumpha, munthu amakhala ndi ludzu kwambiri, amangokhalira kukodza, makamaka usiku. Pankhaniyi, kuchepa madzi m'thupi kumabweretsa vuto la impso. Ndi matenda am'matumbo, zomwe zimachitika ndi matenda amtundu woyamba, sizingatheke kuthetsa ludzu mpaka kuchuluka kwa glucose kuphatikizire.

Komanso, khungu la wodwalayo limasinthasintha, lomwe limachitika motsutsana ndi maziko a zovuta zamagazi. Ndipo dermis yake imakhala yovutirapo komanso kuwonongeka kulikonse kumachiritsa kwa nthawi yayitali.

Kuphatikiza apo, ndikuwonjezereka kwa kuchuluka kwa shuga m'magazi, Zizindikiro zimatha kuphatikizira kutopa, kukwiya, komanso kuchepa kwa ntchito. Izi ndichifukwa choti glucose salowa m'maselo ndipo thupi salandira mphamvu zokwanira. Nthawi zambiri izi zimachitika ndi matenda ashuga amtundu wa 2.

Poyerekeza ndi matenda oopsa a hyperglycemia, munthu amatha kuchepa thupi kwambiri ndi chidwi chofuna kudya. Kupatula apo, thupi limayamba kugwiritsa ntchito minofu yamafuta ndi minofu ngati gwero lamphamvu.

Komanso, chizindikiritso chachikulu cha shuga chimatsatiridwa ndi zizindikiro monga:

mutu
mseru kukulira pakati pa chakudya,
kuwonongeka kwamawonekedwe
chizungulire
kusanza mwadzidzidzi.

Ngati shuga amakwezedwa kwa nthawi yayitali, ndiye kuti wodwalayo amakhala wamanjenje, wosazindikira komanso kukumbukira kwake kumakulirakulira.Amathenso kwambiri, ndipo kusokonezeka kosasinthika kumachitika mu ubongo wake. Pankhani ya kuwonjezera pazovuta (kupsinjika, matenda), wodwalayo atha kudwala matenda ashuga a ketoacidosis.

Zizindikiro za hypoglycemia zimachitika shuga atakhala pansi 3 mmol / L. Zizindikiro monga kuzizira, kugunda kwamtima, chizungulire, kufooka kwa khungu, komanso njala kumachitika. Amawonekeranso mantha, kupweteka mutu, kusokonezeka mu ndende ndikugwirizanitsa kayendedwe.

Kudumphadumpha mu shuga m'magazi mumayendedwe a shuga kungapangitse kuti musamale. Nthawi zina munthu amayamba kudwala matenda ashuga.

Pali magawo atatu a kuopsa kwa hypoglycemia, omwe amakhala ndi zizindikiro:

Kufatsa - kuda nkhawa, nseru, kusokonekera, tachycardia, njala, dzanzi la milomo kapena chala, kuzizira.
Yapakatikati - mantha, kusowa kwa chidwi, kusawona bwino, chizungulire.
Zambiri - kupsinjika, khunyu, kusiya kuzindikira komanso kuchepa kwa kutentha kwa thupi.

Zizindikiro monga njala yayikulu, kulakalaka maswiti, kupweteka mutu komanso kulephera kupeza nthawi yopumira pakati pa chakudya kungathandize mwana kudumphira shuga.

Kuphatikiza apo, mwa ana omwe ali ndi matenda ashuga am'mawere, kupenya kumawonjezereka, matenda amkati ndi khungu (pyoderma, ichthyosis, furunculosis ndi ena) amakula.

Momwe mungasinthire zinthu?

Gawo loyamba ndikuzindikira kuchuluka kwa shuga mumagazi. Mwa izi, glucometer imagwiritsidwa ntchito kunyumba. Mutha kuthandizanso kwa dokotala ndikuyesa mayeso a labotale, makamaka ngati kusintha kwa glucose kumachitika mwa mwana.

Ngati hyperglycemia kapena hypoglycemia ikachitika mwadzidzidzi, mungafunike kumwa mankhwala apadera. Komabe, vuto la mankhwalawa ndikuti mkhalidwe wa wodwalayo umakhala wokhazikika pazomwe akuchita. Chifukwa chake, ndikwabwino kupewa kusintha kwa glucose pogwiritsira ntchito njira zomwe zimapangitsa wodwala, monga Metformin.

Hypoglycemia yofatsa ndiyosavuta kuchotsa. Kuti muchite izi, idyani mankhwala okoma. Kuphatikiza apo, thupi lokha limafotokoza kuti limafunikira chakudya chokwera kwambiri. Komabe, njirayi ndi yoyenera kwa anthu athanzi, chifukwa chake odwala matenda ashuga sayenera kutembenukiranso.

Kuti Zizindikiro za shuga zikhale zabwinobwino, munthu ayenera kuganizira mozama za moyo wake. Chifukwa chake, kupewa matenda a hyperglycemia, zinthu zotsatirazi zingathandize:

kulemera masanjidwewo
kugwiritsa ntchito chakudya chopatsa mphamvu pang'onopang'ono,
kukana ufa, zotsekemera, fodya ndi mowa,
kutsatira lamulo lamadzi,
Zakudya zopatsa thanzi (mapuloteni, chakudya, mafuta am masamba),
kudya zakudya zazing'ono 5-6 patsiku,
kuwerengetsa zopatsa mphamvu.

Kupewera kwa hypoglycemia kumakhalanso ndi kudya mokwanira, zomwe zimatanthawuza kukana zakudya zama calorie otsika. Ndipo anthu omwe amachita nawo zamasewera sayenera kutopetsa thupi pogwiritsa ntchito nthawi yayitali komanso kuchita zolimbitsa thupi kwambiri.

Zosafunikanso kwambiri ndikkhazikika kwamakhalidwe.

Coma cha kusinthasintha kwa matenda ashuga

Ngati shuga la magazi alumphira kwambiri, wodwalayo amatha kudwala matenda ashuga. Mtundu woyamba wa matenda ashuga, umatchedwa ketoacidosis. Ndipo mtundu wachiwiri wa matenda umayenda ndi hyperosmolar coma.

Ketoacidosis imawoneka pang'onopang'ono, imadziwika ndi kuchuluka kwa acetone mu mkodzo. Poyamba, thupi limagwirizana ndi katunduyo, koma chikomokere, zimayamba kuoneka, kuledzera, kugona, malaise, ndi polydepsia. Zotsatira zake, munthu amataya chikumbumtima, chomwe nthawi zina chimatha kukhala chikomokere.

Hyperosmolar syndrome imayamba kwa milungu iwiri. Zizindikiro zake zimakhala zofanana ndi zizindikiro za ketoacidosis, koma zimawonekera pang'onopang'ono. Zotsatira zake, munthu amataya malingaliro ake ndikugwa.

Milandu iwiriyi imafunikira chithandizo chamankhwala mwachangu.Atagonekedwa kuchipatala ndikuwazindikira msanga, wodwalayo adawonetsa shuga. Pankhani ya kukomoka kwa hyperglycemic, insulin imaperekedwa kwa wodwala, ndipo ngati vuto la hypoglycemic chikomokere, shuga.

Pamodzi ndi izi, kukhazikitsa kulowetsedwa, komwe kumayambitsa kuyambitsa thupi la mankhwala apadera ogwiritsa ntchito ma dontho ndi jakisoni, akuwonetsedwa. Nthawi zambiri, oyeretsa magazi ndi mankhwala omwe amabwezeretsa ma electrolyte ndi mulingo wamadzi m'thupi amagwiritsidwa ntchito.

Kukonzanso kumatenga masiku awiri ndi atatu. Pambuyo pake wodwalayo amusamutsa ku dipatimenti ya endocrinology, komwe amayesedwa kuti akhazikitse mkhalidwe wake.

Nthawi zambiri anthu omwe ali ndi mtundu woyamba kapena wachiwiri wa matenda ashuga, pazokha, amalola kuchuluka kwa shuga m'magazi awo kukwera kapena kugwa. Izi zimachitika ngati odwala satsatira chithandizo chamankhwala chomwe dokotala amatsata, samatsata malamulo a zakudya kapena kugwiritsa ntchito zizolowezi zoipa. Odwala oterowo ayenera kuganizira za moyo wawo, komanso kumvera zonse zomwe dokotala anganene, zomwe zingalepheretse chitukuko kapena kuzindikira kupitirira kwa zovuta.

Nthawi zambiri, pofuna kupewa kukula kwa hyperglycemia kapena hypoglycemia, madokotala ambiri amapereka Metformin. Awa ndi mankhwala osokoneza bongo a gulu la Biguanides.

Ndimatenga Metformin ngati njira yowonjezera yowonjezera mankhwala a insulin kapena ndimayamwa ndi mankhwala ena a antiglycemic. Itha kugwiritsidwanso ntchito ngati mankhwala oyenera a matenda a shuga 1, koma ndi insulin yokha. Nthawi zambiri, mapiritsi amatchulidwa ngati vuto la kunenepa kwambiri, ndikuyang'anira kuchuluka kwa shuga.

Metformin imakhala yoledzera kawiri pa tsiku mukatha kudya pafupifupi kuchuluka kwa 1000 mg patsiku. Kugawa mlingo kumachepetsa chiopsezo chokhudzana ndi kugaya chakudya.

Patsiku la 10-15, mankhwalawa amatha kuwonjezeka mpaka 2000 mg patsiku. Mlingo wovomerezeka wa Biguanides patsiku ndi 3000 mg.

Chiwopsezo cha ntchito zochizira chimatheka pambuyo masiku 14 kuyambira chiyambi cha chithandizo. Koma ngati Metformin imalembera okalamba, ndiye kuti kuwunika kwa ntchito ya impso kwa odwala otere ndikofunikira.

Komanso mapiritsi amayenera kuphatikizidwa mosamala ndi insulin ndi sulfonylureas. Kupanda kutero, hypoglycemia imayamba.

Kuti shuga ya magazi isapitirire malire oyenera, ndikofunikira kuwongolera kadyedwe kanu, kuwunika bwino ndikuwathandiza. Ndikofunikanso kukhala ndi moyo wathanzi, kuti musaiwale za masewera olimbitsa thupi komanso kufunsa dokotala munthawi yake. Kanemayo munkhaniyi akufotokozerani za zomwe shuga ayenera kukhala.

Kuchuluka kwa shuga

Kukula kowopsa kwa glucose ndikosavuta kuzindikira. Vutoli limaphatikizidwa ndi kusowa kwa mphamvu komanso mphwayi. Chinthu choyambirira chomwe munthu ayenera kuchita akapeza chizindikiro ichi ndi kufunafuna malangizo a endocrinologist. Zizindikiro za kudumpha mu shuga:

ludzu lalikulu
kukopa kwa pakhungu
Zizindikiro za poizoni
migraine
kuwonongeka kwamawonekedwe.

Odwala omwe ali ndi matenda amtundu wa 1 komanso a shuga a 2, kulumpha mu shuga kumachitika chifukwa chophwanya zakudya, mwachitsanzo, kugwiritsa ntchito maswiti oletsedwa.

Dontho la shuga limayamba chifukwa:

mkhalidwe wopsinjika
kachilombo kapena matenda opatsirana, omwe amaphatikizidwa ndi kuwonjezeka kwa kutentha kwa thupi la wodwalayo,
khunyu
kusintha kwa mahomoni m'thupi (mu unyamata, panthawi yapakati, etc.).

Kupatuka kwa glucose yogwirizana ndi chizolowezi ndikuphwanya komwe kumafunika kusintha.

Mtundu woyamba wa shuga, shuga m'magazi amalumpha chifukwa chodumphira jakisoni kapena zakudya zopanda thanzi, nthawi zambiri atatha kudya.

Zoyenera kuchita ndikulumpha shuga?

Mukazindikira chifukwa chake shuga amalumpha kwambiri mu shuga, ganizirani momwe mungapangire matenda ake.

Poyamba, ndikofunikira kudziwa kuchuluka kwa kuchuluka kwa shuga ndikupita kwa dokotala.Katswiriyu adziwa chifukwa chake shuga amadumpha kuchokera kwa wodwala, zomwe zimayambitsa kupatuka komanso zomwe zikufunika kuchitidwa kuti wodwalayo akhale bwino.

Ndi kuwonjezeka kowopsa kwa shuga m'magazi, adotolo adzalemba mankhwala apadera. Mankhwala amachepetsa bwino shuga. Choipa cha njira ya mankhwalawa ndi fragility: chikhalidwe chimakhala chokhazikika pakadutsa piritsi.

Kuti muwonetsetse kuti glucose yanu yatsala pang'ono kuchita bwino, onaninso zomwe mumachita ndikuyang'anira thanzi lanu.

Ngati shuga watsika, zakudya zamafuta kwambiri zimathandiza kukonza zinthu. Thupi lidzakudziwitsani za kufunika kwa chikhumbo chokoma kudya mwachangu chidutswa cha mkate kapena keke. Njira iyi yowongolera kupatuka kuzizolowereka ndizoyenera kwa anthu athanzi okha, ndipo odwala matenda a shuga ayenera kufunsa dokotala ngati vutolo lasintha.

Kodi mungapewe bwanji kuphuka kwa shuga?

Ngati shuga alumphira m'magazi a wodwala yemwe ali ndi matenda ashuga, choti achite - adotolo adzauza. Maziko a kukonzanso kupatuka ndi boma lapadera lazopatsa thanzi lopatsa thanzi boma.

kutsatira zogwirizana ndi zovomerezeka zamagulu omalizidwa,
kudya moyenera
kudya pafupipafupi m'magawo ang'onoang'ono,
kukana kwathunthu zakudya zoletsedwa,
kusunga madzi mthupi.

Gulu lowopsa lomwe limapangidwa ndi odwala omwe ali ndi gawo loyambirira la chitukuko cha matenda a shuga a mtundu woyamba kapena wachiwiri. Munthu samakayikira za matendawa komanso samvetsa chifukwa chomwe glucose m'magazi amalumpha.

Gulu lomwe liziika pachiwopsezo cha kukulitsa mtundu wa insulin-yodziyimira pawokha imapangidwa ndi odwala okalamba onenepa kwambiri. Kodi ndichifukwa chiyani shuga nthawi zina amadumphira mu shuga yachiwiri? Yankho lake ndi losavuta: yang'anani zifukwa zakhalidwe. Kusintha kwa chizindikirocho kumayendetsedwa ndi zakudya zomwe amadya wodwala komanso zochitika zake zolimbitsa thupi.

Yankho lenileni la funso loti "bwanji magazi amadumphadumpha?" Mupeza nthawi yopangana ndi endocrinologist.

Coma ya kudumpha mu shuga kwa odwala matenda ashuga

Kudumpha kwa glucose kuli ndi zovuta zambiri, kuphatikiza wodwala matenda ashuga. Ndi mtundu woyamba wa matendawa, chikomachi chimatchedwa ketoacidotic, ndipo chifukwa cha matendawa osadzimira matendawa, umatchedwa hyperosmolar.

Ketoacidotic coma imayamba pang'onopang'ono ndipo imadziwika ndi mapangidwe a acetone mu mkodzo wa wodwala. Choyamba, thupi lenilenilo limathana ndi kuchuluka konyamula, kenako pali:

kufooka kwambiri ndi kugona.
ludzu lomwe limakulirakulira
Zizindikiro za kuledzera.

Zotsatira zake, kukomoka kumachitika, komwe kumathera pakoma.

Hyperosmolar chikomacho chimayamba kupitirira milungu ingapo. Zizindikiro ndizofanana ndi mitundu ya ketoacidotic, koma amawoneka pang'onopang'ono. Zotsatira zakuchuluka kwa kuchuluka kwa shuga ndikuchepetsa malingaliro, zomwe zimapangitsa kuti muwoneke.

Ngati munthu ali ndi vuto la matenda ashuga, kufunikira kuchipatala ndikofunikira. Kulumikizana ndi ambulansi panthawiyi kumathandiza kupulumutsa wodwalayo.

Thandizo lakuchipatala

Ndi shuga wokwezeka wokhazikika, pitani kuchipatala ndipo mukayezetsa. Vutoli limawonetsa mavuto am'ziwalo zamkati, chifukwa chake ndikofunikira kukaonana ndi dokotala yemwe azindikire zomwe shuga ya wodwalayo idumpha.

Pambuyo pakuwunikira, dokotala amayenera kukambirana ndi wodwalayo, kuti adziwe tsatanetsatane wa zakudya zomwe zayikidwa. Ngati ndi kotheka, chakudyacho chimasinthidwa, masewera olimbitsa thupi komanso mankhwala omwe amasintha kagayidwewo ndi mankhwala. Mu mtundu 1 wa shuga, Mlingo wa jekeseni watsiku ndi tsiku ukutchulidwa.

Nthawi zambiri, odwala matenda a shuga amayambitsa kuchuluka kwa shuga. Popewa kukula kwa hypoglycemia, tsatirani malangizo a dokotala.

Kumbukirani: kuchuluka kwa shuga kwambri komwe kumayambitsa mavuto ambiri, kuphatikizapo kukomoka ndi kufa. Kuwonjezeka kwa shuga kumakwiya chifukwa chogwiritsa ntchito zakudya zoletsedwa.

Muyenera kuganizira musanadye "chipatso choletsedwa" - mudzalandira mtengo wanji kuti musangalale kwakanthawi?

Matenda a shuga si sentensi, koma muyenera kuyang'anitsitsa kadyedwe, pamenepo moyo ndi thanzi zidzakhala pangozi.

Mwazi wamagazi umayamwa: aliyense ayenera kudziwa izi

Masiku ano, kulumpha m'mwazi wamagazi, ndikudziwika kwa ambiri. Monga kafukufuku wazachipatala akuwonetsa, 3.3-5.5 mmol / L ndiye gawo lovomerezeka la shuga. Komabe, manambalawa ndi osakhazikika, chifukwa kuchuluka kwa glucose kumachitika m'magazi masana, komwe kumalumikizidwa ndi njira zina za thupi.

Chifukwa chake shuga wochepetsetsa amawonedwa usiku ndi m'mawa kwambiri. Munthu akadya chakudya cham'mawa, kuchuluka kwa shuga kumawonjezeka, ndipo kumapeto kwa tsiku amafika pazambiri. Kenako pali kukana, kovomerezeka mpaka chakudya chotsatira.

Kudumphadumpha mu shuga ndi chifukwa chotsatira cha zinthu zosiyanasiyana. Kachitidwe ka zinthu izi zimatsimikizira kuti munthu akhoza kudwala matenda a shuga kapena ali ndi mavuto ena onse. Kuunikidwa bwino ndi katswiri pankhaniyi ndikofunikira.

Ndikofunikira kudziwa kuti kusintha kwa kapangidwe ka mankhwala, makamaka kuwonjezeka kwa shuga m'magazi, sizovuta kuzindikira. Munthu amayamba kumva kusweka ndi chidwi.

Kuphatikiza apo, zizindikiro zotsatirazi zimachitika:

ludzu lalikulu
womvera
nseru
mutu
kutayika kwamaso.

Zonsezi zikusonyeza kuti nthawi yakwanira kukafunsira kwa endocrinologist. Inde, pakupatuka pang'ono pazikhalidwe, ndikofunikira kuchitapo kanthu mwachangu kukonza izi.

Kuchuluka kwa shuga: zoyambitsa

Zifukwa zazikuluzikulu zopatuka kwamisempha kuchokera ku chizolowezi ndi:

kugwiritsa ntchito zinthu zolaula,
kudya zakudya zopatsa mphamvu kwambiri,
mavuto
kusintha kwa mahomoni
kusachita masewera olimbitsa thupi, kusowa zochita zolimbitsa thupi.

Kuchuluka kwa shuga kumakhudzana mwachindunji ndi kuperewera kwa chakudya. Kuphatikiza apo, kuchuluka kwa shuga kungakhale chifukwa cha mavuto amkati mwathupi. Monga kuphwanya chiwindi, kapamba, etc.

Ndizofunikira kudziwa kuti anthu athanzi lathunthu amakhalanso ndi mafunde akuthwa m'magazi. Panthawiyi, thupi limatha kubwerera mwakale lokha, koma pofuna kupewa, kuthandizirana ndi dokotala ndikofunikira.

Zoyenera kuchita ngati shuga ayamba kukwera kwambiri?

Choyamba, muyenera kudziwa chomwe chayambitsa izi.

Ngati munthu ali ndi matenda ashuga kale, muyenera kukumbukira kuti ndi malamulo ati omwe adakhazikitsidwa ndi adotolo, kenako, pogwiritsa ntchito zomwe akuwayimbira, asinthe chithunzicho.

Izi ndiye, choyamba, kudziwa kuchuluka kwa kuchuluka kwa shuga, pambuyo pake, kumapita kwa dokotala. Katswiriyu adziwa chifukwa chake panali kulumpha kwakuthwa, zomwe zidapangitsa.

Ngati kuwonjezeka kwa glucose kunali kwadzidzidzi komanso kowopsa, ndiye kuti endocrinologist, monga lamulo, imapereka mankhwala apadera omwe amathandiza shuga moyenera.

Dziwani kuti mankhwalawa amasintha chithunzicho pokhapokha nthawi yayitali ya mankhwalawo.

Mulingo woyenera kwambiri wa shuga m'magazi ndikusintha kwamakhadi pazinthu zina zomwe wodwala amachita komanso momwe amawonera thupi lake.

Ndizofunikira kudziwa kuti kuthana ndi kupatuka kuchoka pazomwe zikuchitika mwanjira iyi, mutha kukhala ndi anthu athanzi okha. Ponena za iwo omwe ali ndi matenda a shuga, ndiye, mosakayikira, kuyendera kokha kuchipatala ndikofunikira.

Ma spikes a magazi amatha kupewedwa

Kulumpha mwadzidzidzi m'magawo a shuga mu odwala matenda ashuga kuyenera kuwongoleredwa pokhapokha ngati akatswiri azichita. Wodwalayo akulimbikitsidwa kuti azitsatira menyu wapadera wofunitsitsa kuti matendawo azikhala mwamphamvu.

Zakudya zapadera sizingalole glucose kutuluka ngati:

Onani zakudya zopatsa mphamvu,
chakudya chizikhala chokwanira
kutsatira zakudya zomwe amakonda kudya, ndikugawa zinthuzo m'magawo ang'onoang'ono,
siyani chilichonse chomwe chingayambitse kulumikizidwa m'magazi,
kumwa madzi ofunikira.

Ali pachiwopsezo cha fomu yodalira insulin ndi odwala omwe ali onenepa kwambiri. Mutha kufunsa kuti chifukwa chiyani kuchuluka kwa shuga kumachitika mu mtundu wa shuga wa II?: Zoyambitsa ziyenera kufufuzidwa mwachindunji. Kusintha Zizindikiro - ichi ndiye chakudya choyenera komanso zolimbitsa thupi.

Kumbukirani, kuchuluka kwa shuga mwadzidzidzi, ngati sikunyalanyaza, kumabweretsa mavuto monga matenda ashuga - mkhalidwe womwe ungakhale wowopsa ku thanzi, komanso moyo wonse.

Hypoglycemia

Zizindikiro zazikulu zochepetsa shuga m'magazi a shuga zikufotokozedwa pansipa.

Kuperewera kwa glucose kumayambitsa kusokonezeka konsekonse, chifukwa thupi lilibe malo oti lingatengepo mphamvu, ndipo limalowa mu njira yopulumutsira. Kuti muchoke m'boma lino, mutha kudya maswiti, koma osawonjezera.

Kufuna kuthetsa ludzu lanu

Shuga wambiri kulowa m'thupi samalowetsedwa ndimaselo ndipo amakhala m'magazi. Kuti muchotse glucose owonjezera, thupi limayesera kuti lichotsere impso. Izi zimafuna madzi ambiri, ndipo wodwalayo amayamba kumva ludzu lalikulu. Ndikofunikanso kuwongolera kumwa kwamadzi, popeza kuumwa kumatha kutupa.

Nthawi zambiri, miyendo imayamba kutupa, kulemera kwambiri miyendo ndikuwoneka, kumakhala kovuta kwambiri kuti wodwalayo asunthe. Zilonda za trophic zimawoneka zomwe zimatha kutuluka magazi nthawi ndi nthawi.

Zofooka zambiri

Kuwonjezeka kwa glucose kumayendetsedwa ndi hypotension, kupweteka ndi kupweteka kwa minofu. Pali chikhumbo ch kugona pansi, kusakonda kugwera. Izi ziyenera kuthana nawo, chifukwa izi zimatha kubweretsa kulemera kwakukulu ndi minofu atrophy.

Muyenera kuyenda kwambiri, kukhala mumlengalenga. Nthawi zambiri chizindikiro ichi chimatsatiridwa ndi dziko lokhumudwa. Ndikofunikira kusiya malo achitetezo ”, kuyankhulana ndi anthu, kuti musakhale ozungulira. Mukakhala ndi chidwi chofuna kukhala kunyumba, malingaliro komanso malingaliro olakwika amatha.

Mabala amachiritsa bwino

Zotupa ndi minofu imakhala yosalimba. Zotsatira zake, kulimbitsa kwa mabala ndi mabala sikukhala bwino. Chitetezo chokwanira chimachepetsedwa kwambiri. Muyenera kusamala pano, microtrauma iliyonse iyenera kuthandizidwa ndi opha tizilombo toyambitsa matenda kuti titeteze sepsis ndi kupitilira.

Maonekedwe a zomwe zili pamwambapa zikusonyeza kuti muyenera kuyang'ana magazi kuti apange shuga. Kupanda kutero, vutoli litha kufooka. Tsoka ilo, ndizosatheka kuchira ku matenda oyipawa, koma ndi chithandizo chabwino, kudziletsa, mutha kukhala moyo wathanzi kwazaka zambiri.

Makhalidwe Abwino Kwambiri

Kuti mumvetsetse kuti kulumpha m'misempha ya shuga kwachitika, muyenera kudziwa zizindikiro zazikulu. Zizindikiro zodziwika bwino za kuchuluka kwa shuga ndi izi:

kukokana pafupipafupi komanso kofikira: polyuria imayamba motsutsana ndi kukula kwa shuga, impso zimayamba kuchotsa madzi kuchokera mthupi,
ludzu lotupa: kuchuluka kwamadzi omwe adamwa patsiku amatha kupitilira malita 5, zimachitika chifukwa chakuti impso zimachotsa madzi kuchokera mthupi,
kuyabwa pakhungu,
kusapeza bwino m'mitsempha,
kuchiritsa kwa nthawi yayitali
kulakwitsa kwa mtima ndi mitsempha ya magazi, mawonekedwe a kugwidwa kwa ng'ombe - kupezeka kwa zizindikirazi kumachitika chifukwa chophwanya kuchuluka kwa ma electrolyte ndi kuloza kwa michere yama thupi yofunika.
Kuchepa kwaumoyo wathanzi: kugona, ulesi, kutaya mphamvu,
njala ndi mawonekedwe ogwirizana nawo a kunenepa kwambiri (ndi mtundu wachiwiri wa matenda ashuga),
kunenepa kwambiri (monga mtundu wa matenda ashuga 1),
utachepa kowoneka bwino, mawonekedwe a chifuwa patsogolo pa maso.

Ngati zizindikirozi zikuwoneka, muyenera kuyang'ana kuchuluka kwa shuga. Ngati zikhala zochulukirapo, muyenera kudziwa chomwe chimatsogolera kukula kwa zizindikiro.

Zizindikiro za hypoglycemia

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.

Zimayambitsa Kusintha kwa Matenda A shuga

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.

Ngozi zowopsa

Odwala matenda ashuga ayenera kudziwa zovuta za hyperglycemia. Kunyalanyaza zizindikirazi kukuwopseza kuti wodwalayo angagwe. Ichi ndichifukwa chake kudumphira mu shuga m'magazi odwala matenda ashuga ndi owopsa.

Ndi kuchuluka kwa glucose, zizindikiro za kuwonongeka ndi vuto lodana ndi vuto lake zimayamba kukula pang'onopang'ono. Ketoacidotic coma imatha kupezeka mwa odwala omwe ali ndi matenda omwe amadalira insulin, komanso hyperosmolar coma mu odwala matenda ashuga omwe ali ndi mtundu wa matenda omwe amadzisilira okha.

Chiwopsezo cha kukomoka kwa ketoacidotic chimapezeka:

shuga akukwera kupitirira 16 mmol / l,
zoposa 50 g / l zimapukusidwa mu mkodzo wa shuga
acetone limapezeka mkodzo.

Poyamba, thupi limadziyimira palokha pazowonjezera izi. Koma pakapita kanthawi, wodwalayo amayamba kuwonetsa zizindikiro za hyperglycemia. Ngati salandira thandizo pa nthawi yake ndipo shuga satsika, ndiye kuti pali zina zomwe zingachitike. Kukomoka kwa ketoacidotic komwe kukusonyezedwa ndi:

mavuto a dyspeptic
kupweteka m'mimba
kununkhira kwa acetone mkamwa
kupuma kwambiri
khungu lowuma
ma eye akhale ofewa.

Popanda thandizo, odwala matenda ashuga amawuma ndikugwa. Kuchiza kuyenera kukhala ndi cholinga chochepetsa shuga ndikubwezeretsanso ntchito za thupi.

Hyperosmolar coma mwa anthu omwe ali ndi matenda a shuga a 2 amayamba kupitilira masabata awiri. Mlingo wa glucose ukhoza kukula mpaka 50 mmol / l; umatulutsidwa mwachangu mkodzo. Zizindikiro:

kugona
kufooka koopsa
Khungu ndi minyewa yam'mimba imatha,
zotchinga m'maso zimira
kupumira kwakapakati, kosaya komanso pafupipafupi,
fungo la acetone kulibe.

Hyperosmolar coma simatengera ululu wam'mimba, komanso zovuta kwa dyspeptic. Koma polephera kupereka thandizo pa nthawi yake, kulephera kwa impso kumayamba.

Coma imatha kukhala motsutsana ndi maziko a shuga ochepa. Chifukwa chake, pamene zizindikiro za hypoglycemia zikuwoneka, njira zoyenera ziyenera kumwedwa kuti muwonjezere shuga - pazolinga izi, mumangofunika kudya shuga kapena maswiti. Pamaso pokomoka wodwala:

kumakhala kumva njala yayikulu,
Khalidwe limakhala losakwanira
euphoria iyamba
mgwirizano wasweka
kukokana kumayamba
kumakhala kovuta m'maso.

Kuti mupewe izi, muyenera kudziwa zoyenera kuchita ngati shuga la magazi alumpha.

Njira zoyeserera

Ngati kulumpha sikuli kwakukulu ndipo sikuwopseza moyo wa munthu, ndiye kuti dokotala amamuwuza wodwalayo kuti amuwunike mozama kuti adziwe zomwe zimayambitsa matenda. Nthawi zina, kusintha kwa moyo ndi kadyedwe kumatha kusintha matendawa. Mwa kusintha zakudya, kuwonjezera zolimbitsa thupi, mutha kuyiwala za shuga wambiri.

Ngati wodwala ali ndi mtundu woyamba wa matenda a shuga, insulin ndiyofunikira. Iyenera kutumikiridwa kangapo patsiku. Anthu omwe amadalira insulin ayenera kuwongolera momwe aliri kuti apewe zovuta. Afunika kuphunzira momwe angalipirire matenda ashuga. Izi zimathandiza kupewetsa kuchuluka kwa shuga m'magazi.

Ndi matenda amtundu wa 2, njira zamankhwala zimatsimikiziridwa pambuyo pakupenda kwathunthu. Shuga uyenera kubwezeretsedwanso monga momwe mungafunire kuti musinthe moyo wanu. Ndi mawonekedwe apamwamba a matendawa, jakisoni wa insulin amathanso kuikidwa. Ndizofunikira pakakhala kuti sikungatheke kulipira mothandizidwa ndi chakudya, masewera olimbitsa thupi komanso mankhwala ochepetsa shuga.

Mutha kupewa kudumpha mwadzidzidzi ngati muchotsa zakudya zosavuta zamafuta m'zakudya: kuphika, maswiti, makeke, shuga, uchi, timadziti tokhala ndi shuga, zoteteza, koloko. Izi ndi zinthu zoletsedwa kwa odwala matenda ashuga. Koma zina mwa mndandandawu ziyenera kudyedwa ngati shuga agwera kwambiri.

Koma ngakhale kukanidwa kwa chakudya chamafuta, ndikofunikira kuyang'anitsitsa mosamala ndikuwonetsetsa kuchuluka kwa shuga. Iyi ndiye njira yokhayo yothetsera vutoli munthawi yake ndikuletsa kupitirira kwa shuga.

Mwa azimayi ena, panthawi yoyembekezera, amadumpha m'magazi a glucose amayamba - shuga ya gestational imayamba. Izi zimafuna kuwunikidwa kwapadera ndi madokotala, chifukwa azimayi omwe ali ndi matenda ashuga nthawi zonse amakhala ndi ana akulu. Matenda a shuga amayambitsa kubadwa msanga komanso kuvulala kambiri.

Mayi woyembekezera amalembetsa ndi endocrinologist. Kuti athe kulipira vutoli, dokotalayo amamulembera zakudya komanso njira zolimbitsa thupi. Ngati akuwonetsa, endocrinologist angalimbikitse jakisoni wa insulin.

Miyezi 1.5 mutabadwa, muyenera kuonanso shuga. Ngakhale Zizindikiro ndizabwinobwino, simungathe kumasuka. Maonekedwe a matenda amishuga gestational akuwonetsa kuti mzimayi ali ndi vuto la T2DM. Chifukwa chake, macheke amakhala okhazikika.

Ngati pali spikes m'magazi a glucose, muyenera kufunsa katswiri wa endocrinologist. Izi zikutanthauza kuti matenda ashuga sangaperekedwe ndalama komanso kusintha kwa njira zamankhwala kumafunika. Kusinthasintha kwa zizindikiro kungakhale ndi mtundu wodwala wa insulin komanso wosadalira insulini. Munthawi zonsezi, njira zamankhwala zimatsimikiziridwa payekhapayekha.

Zizindikiro zodziwika kusintha kwamwadzidzidzi kwa glucose

Mu shuga mellitus, kusintha kwadzidzidzi mu index ya shuga kumadalira mwachindunji kuchuluka kwa insulin yomwe imatha kuzindikira shuga ndikuyipititsa ku maselo a minofu yodalira insulin.

Mwa munthu wathanzi, njirayi ilibe zosokoneza, kotero kutsika kapena kuwonjezeka kwakukulu kwa kuchuluka kwa mafuta m'thupi kumachitika chifukwa chakulephera kwakanthawi pakati pa shuga ndi mahomoni.

Kupezeka kwa kusunthika kwakuthupi koteroko kungakhale chifukwa cha kudya zakudya zomwe zili ndi chakudya chambiri kapena mosinthika kudya kwakanthawi pang'ono kwa chakudya ndi thupi ndikumachita zolimbitsa thupi.

Pali mitundu yosiyanasiyana yazizindikiro yomwe imadziwika ndi kupezeka kwa zopatika pamagulu azakudya zamagazi m'magazi. Pamene shuga m'magazi amachitika mtundu wa 2 matenda ashuga, kupezeka kwa zotsatirazi kulembedwa:

kuyanika kuchokera mucosa wamlomo,
ludzu losalekeza
kuchuluka kwamkodzo,
Khungu lakhungu,
Khungu
kuchuluka kwalamulo kumachepa
kutopa ndi ulesi zimawonekera
kusanza kopanda pake,
kuwonongeka kwamawonekedwe ndi mutu.

Zizindikiro izi zikuwonetsa kuchuluka kwa insulini mthupi, zomwe zimapangitsa kuti maselo afe ndi njala.

Kukula kwa shuga wa shuga wowonjezereka

Kukula msanga kwa chakudya m'thupi kumabweretsa chitukuko cha zikhalidwe za thupi. Ngati kusintha kwa chizindikirocho panthawi yake sikunachitike, ndiye kuti kuchuluka kwa glucose kumathandizira kukula kwa matenda a shuga m'thupi.

Kukula kwa chikondwerero kumayenda pang'onopang'ono. Pamaso pa matenda a shuga, kupezeka kwa ketoacidotic chikomokere kumawonedwa, komanso kwa odwala omwe ali ndi mtundu wachiwiri wa matenda - hyperosmolar.

Zizindikiro Zowonjezera shuga 1

Zizindikiro zoyambirira za kukhazikika kwa ketoacidotic wodwala yemwe ali ndi matenda a shuga 1 amawonedwa pamaso pa shuga 15-16 mmol / L. Potere, excretion ndi mkodzo amalembedwa pafupifupi 50 g / l. Poterepa, kupezeka kwa acetone kulembedwa pakupanga mkodzo. Wodwalayo amakulitsa metabolic acidosis.

Pa magawo oyambirira a chitukuko cha matenda am'mimba, wodwalayo amayambitsa njira zolipira, ndipo pambuyo pake, mawonekedwe a zovuta zonse asanayambike chikumbumtima amalembedwa.

Wodwala koyamba gawo la matenda:

Amamva ludzu.
Kufooka m'thupi.
Kulemba kuchuluka kwamkodzo.

Popanda thandizo la panthawi yake, wodwalayo amatha kulandira:

kumva mseru
kusanza
kutsegula m'mimba
kupweteka m'mimba.

Kuphatikiza apo, pakupuma, kutulutsa fungo la acetone, ndipo mpweya womwewo umakhala wakuya, zomwe zimapangitsa kuti mpweya woipa wambiri uchotsedwe m'magazi ndikuchepetsa acidity yake. Ndi kukula kwa matenda a pathological, munthu amataya malingaliro ake ndikubwera.

Njira yayikulu yothanirana ndi kudumpha kwamtundu woyamba wa matenda ashuga ndiyo kugwiritsa ntchito insulin ndi machitidwe a insulin yokwanira omwe adokotala amuuzani.

Zizindikiro Zowonjezera shuga 2

Chifukwa chiyani shuga amadumphira ndi shuga yachiwiri. Chomwe chimapangitsa kudumpha ndikuchepa kwa kulekerera kwa glucose m'maselo a insulin amadalira thupi. Kukula kwa hyperosmolar coma kumawonedwa masiku 7-14. Munthawi imeneyi, shuga wa magazi amatha kukula mpaka kukhala wowopsa kwambiri wa 50-55 mmol / l.

Kuchotsa mafuta ochulukirapo kumachitika ndi njira ya m'mimba mu mkodzo, kuchepa kwa madzi kumachitika. Kupitilizitsanso kwa matenda a zam'thupi kumayendera limodzi ndi mawonekedwe a kufooka komanso kupha mphamvu. Kuwonjezeka kwa kuchuluka kwa shuga m'gulu lachiwiri la matenda ashuga sikumayambitsa mawonekedwe a kusanza ndi kupweteka m'mimba. Kuthetsa madzi kumabweretsa khungu louma, wodwalayo amapuma pafupipafupi, fungo la acetone kulibe.

Popanda thandizo lokwanira, kuchuluka kwa shuga kumakhudza ziwalo zonse ndi machitidwe awo, wodwalayo amakumana ndi kulephera kwambiri kwaimpso, komwe kumapangitsa kuti asakhale ndi chikumbumtima komanso kugona.

Ngati chikomokere chikuchitika, kuchipatala ndi kutulutsa kofunikira kumafunikira. Kuchepetsa kuchuluka kwa shuga, mankhwala monga Metformin ndi mawonekedwe ake kapena kuyambitsa insulin yowonjezera yomwe dokotala angagwiritse ntchito.

Mankhwala alionse azachipatala pakuthandizira mtundu uliwonse wa matenda ashuga ayenera kuyang'aniridwa ndi adokotala.

Amadumphira m'mwazi wa mayi wapakati komanso mwana

Madzi a insulin amatha kuyambitsa kuchuluka kwa chakudya m'magazi, chifukwa cha izo chizindikirocho chimasungidwa pamlingo wocheperako wa thupi. Kutulutsa kwa insulin kumachitika ndi kapamba.

Pa nthawi yoyembekezera, mahomoni amatulutsidwa ndi placenta, yomwe imapangitsa kuti mwana akhazikike, nthawi yomweyo, pazifukwa zosadziwika, mahomoni a placenta amathanso kukhala ndi vuto pa magwiridwe antchito a insulin, omwe amakwiyitsa maonekedwe a shuga m'magazi a mayi wapakati.

Mafuta owonjezera a plasma amatha kukhala ndi vuto lililonse kwa mayi ndi mwana, kusokoneza njira za metabolic. Pamaso pa kuchuluka kwa glucose, fetal hypoxia imatha kukhazikika chifukwa cha kuperewera kwa oksijeni ku minofu yake.

Zotsatira zazikuluzikulu zakuwonekera kwa kudumpha ndikumachitika kwa matenda ashuga kwa amayi apakati. Pafupifupi, mayi m'modzi mwa khumi amakhala ndi mwana amakhala ndi vuto lotere.

Nthawi zambiri, kupezeka kwa mafuta ochulukirapo kumachitika mwa amayi apakati omwe ali ndi vuto:

Kunenepa kwambiri.
Kupezeka kwa shuga mkodzo.
Polycystic ovary.

Kuwunikira kuyenera kuchitika pafupipafupi komanso kamodzi pa miyezi isanu ndi umodzi. Poyetsa mwana pafupipafupi, ayenera kumayezetsa magazi a shuga.

Mukamayang'anira kuchuluka kwa shuga kwa mwana, ziyenera kukumbukiridwa kuti zomwe zili bwino mu izi zimadalira msinkhu wa wodwalayo ndipo, malinga ndi tebulo lomwe lakonzedwa, ndi:

mchaka choyamba cha moyo kuyambira 2.8 mpaka 4.4 mmol / l,
kuyambira wazaka 1 mpaka 5, chizindikiro ichi chimasiyana komanso kuyambira 3.3 mpaka 5.1 mmol pa lita,
mwa ana opitirira zaka 5, phindu limayandikira chizindikiro cha munthu wamkulu ndipo limayambira pa 3,3 mpaka 5.5.

Popanga kusanthula, ziyenera kukumbukiridwa kuti nthawi zambiri nthawi yamadzulo komanso usiku chizindikirochi chimatha kutsika kwambiri, chomwe ndichizolowezi chazolimbitsa thupi, pambuyo pakugwa usiku, m'mawa, kuyang'anitsitsa kumayamba kuchuluka, chifukwa cha mawonekedwe a kagayidwe ka thupi la munthu.

Ndi kukula kwabwino kwa mwana komanso popanda ma pathologies, chizindikirocho chimakhala chokhazikika kapena chokhazikika ndipo chimatha kusinthasintha m'malo osiyanasiyana.

Wodumphadumpha wokhazikika m'magazi a mwana wathanzi amawonedwa atatha maswiti ambiri. Panthawi yovomerezeka ya pancreatic, izi zimapangidwa modabwitsa kwa maola angapo chifukwa cha kutulutsidwa kwa insulin ya pancreatic m'thupi.

Momwe mungapewere kudumpha m'magazi?

Popeza kuwulula kulumpha mu shuga, kumafunika kuchitapo kanthu kuti ziwayimitse, izi zithandiza kukhalabe ndi thanzi la wodwalayo pamlingo woyenera. Kuti muthane ndi zoyipazo, ndikofunikira kusinthira ku zakudya zoyenera, zomwe zingapangitse kuti magwiridwe amthupi azikhala mthupi.

Kwa odwala omwe ali onenepa kwambiri kapena omwe amakonda kunenepa kwambiri, ndikofunikira kuti achepetse mphamvu zopatsa mphamvu. Zakudyazi ziyenera kukhala zopatsa thanzi, ziyenera kukhala ndi mafuta ochulukirapo komanso kuchuluka kwamafuta ndi mapuloteni. Ndikofunika kuti muzidya zakudya zokhala ndi chakudya pang'onopang'ono.

Zakudya zomwe zimadyedwa nthawi imodzi zizikhala zochepa. Ndikulimbikitsidwa kusinthana ndi pulogalamu yazakudya zosakanikirana, payenera kukhala zolandilira pafupifupi 5-6 patsiku.

Kuphatikiza pa kukonza matenda, kuphatikiza mankhwala a shuga m'magazi kuyenera kuchitika, pachifukwa ichi ndikofunikira kuonana ndi endocrinologist kuti mumupime mayeso ndikuzindikira zomwe zimayambitsa matenda.

Mtundu wachiwiri wa anthu odwala matenda ashuga, kuti muchepetse chakudya m'magazi, muyenera kudya pafupipafupi mankhwala operekera Mlingo womwe dokotala watchulidwa. Anthu odwala matenda ashuga a mtundu woyamba kupewa kutumphuka kumafunikira nthawi komanso nthawi yokwanira ya insulin.

Pakakhala kuchepa kwambiri kwa kutsekemera kwa shuga m'thupi, odwala matenda ashuga amafunika kutenga mwachangu 10-20 g ya chakudya chambiri. Zakudya zoterezi zimapezeka mu uchi, kupanikizana, shuga ndi maswiti.

Kugwiritsa ntchito khofi pafupipafupi

Caffeine ndi chothandizira chabwino komanso chimathandizira kuwonjezera magazi mu thupi ndipo, chifukwa chake, kuchuluka kwa glucose kumakulanso. Komanso, anthu ambiri amakonda kumwa khofi osati monga choncho, koma ndi shuga, kirimu, mowa, cognac. Zomwe zimathandiza kwambiri kusinthasintha kwa shuga m'magazi.

Modabwitsa, nthawi zina khofi, komanso zakumwa zina zodziwika bwino, monga tiyi, ma compotes a zipatso, amathandizira anthu omwe ali ndi matenda ashuga a 2.

Zakudya zachilendo

Izi zikuphatikiza zakudya zaku India, China, Japan ndi zina zam'mayiko aku Asia. Zakudya zomwe zimapangidwa malinga ndi maphikidwewa zimasiyana kwambiri ndi zakudya zaku Russia pokhudzana ndi machulukidwe ndi zina zake. Iyenera kudyedwa mosamala.

Makamaka inseneyi ndi mbale zam'madzimo, pomwe zinthu zonse zimakhala zolemera komanso zokoma. Zakudya zimakhala ndi mafuta ambiri komanso chakudya chamafuta. Zipatso zambiri zouma zimawonjezeredwa, zomwe zimapangitsa kuti pakhale kulumpha kwa glucose wamagazi m'magazi a shuga.

Zakudya zaku China, India ndi zina zaku Asia ndizochuluka kwambiri komanso zam'madzi. Kodi msuzi wokha wa soya, Zakudyazi za ku China ndi mitundu yosakaniza ya zonunkhira zamasamba aku India. Zonunkhira zimawonjezera chilimbikitso cha kudya ndi madzimadzi, zomwe zimatha kutupira, kunenepa kwambiri, ndikuyambitsa ma spikes mu shuga.

Matenda opatsirana

Thupi likamalimbana ndi matenda m'magazi, kuchuluka kwa glucose kumalumpha. Mankhwala okoma a chifuwa, mapiritsi okhala ndi mapiritsi otsekemera ndi zipolopolo amachititsa kuchuluka kwa shuga mthupi ndi matenda a shuga.

Ndi kuwonongeka kowopsa komanso kowopsa, mawonekedwe a nseru ndi chizungulire, tikulimbikitsidwa kuti nthawi yomweyo muitane ambulansi.

Nthawi zambiri komanso mankhwala osagwiritsa ntchito mankhwalawa angayambitse kulumpha kwa glucose m'thupi.

Mavuto azisoni

Ntchito yosakondedwa, komanso kusokonezeka kwa manjenje komanso kupsinjika kumathandizira kuti shuga amuyamwa mosiyanasiyana ndipo chotsatira chake, mulingo wake umasinthasintha magazi. Maphunziro osiyanasiyana azolimbitsa thupi, mwachitsanzo, kuchita masewera olimbitsa thupi, komanso masewera olimbitsa thupi, omwe amathandizanso kupsinjika mtima pochepetsa kuvutikira kwa minofu ndi minyewa yamthupi, zingathandize bwino.

Kupsinjika nthawi zambiri kumachitika chifukwa cha zochita za munthu, zomwe zimawonekera pang'ono. Mkati mwa munthu aliyense, pamakhala kulimbana kosalekeza pakati pa iye payekha, ndipo kulibe nthawi kapena mphamvu zotsalira kalikonse. Tiyenera kuyesa kuthana ndi izi ndikukhalabe oyera mwa kuganiza popanda uve wopanda malingaliro.

Kuperewera kwa zakudya m'thupi

Ili ndiye mutu wakupatula komanso waukulu. Zakudya zikucheperachepera ndipo zikuyenda bwino.

Zingwe zopaka zomwe zinali zoyambirira pamenepo zimachotsedwa ndipo chinthu chabwino, chomwe chimayatsidwa chimakhala chotipatsa.

Pali mafuta ambiri, mchere ndi mafuta ochulukirapo mu chakudya chotere, mumangofunika kulabadira maukonde apadziko lonse a McDonald. Izi zimapangitsa kusokonezeka kwa dongosolo logaya chakudya komanso kusinthasintha kwamagazi a shuga m'magazi a shuga.

Idyani mapuloteni ochulukirapo ndi fiber, zomwe zimathandizira kukonza kwam'mimba komanso njira za metabolic m'thupi. Amagwira ntchito ngati mabulashi achilengedwe, kutsuka poizoni ndi poizoni.

Zakumwa zotsekemera ndi zipatso zouma

Ziyenera kudyedwa zochuluka kwambiri. Zakumwa zotsekemera za kaboni monga Fanta, Coca-Cola, Sprite, zimakhala ndi shuga pafupifupi tsiku lililonse. Mu shuga, ndibwino kudya masamba ambiri osaphika ndi zipatso ndikuchepetsa zipatso zouma.

Werengani komanso Momwe mungazindikire kubwezeredwa

Kugwiritsa ntchito zinthu izi mopanda malire kungapangitse kuchuluka kwa shuga m'magazi, komanso kungayambitse shuga.

Mankhwala

Mankhwala ambiri amakono amakhala ndi zotsekemera, shuga ndi zinthu zambiri, makamaka kwa ana. Chifukwa chake, muyenera kusamala mukamazitenga, kuti musayambitse kusinthasintha kwa shuga m'magazi, ngati kuli kotheka, mugule ma analogu popanda "zotsekemera".

Katundu wambiri

Ndi kulimbitsa thupi kwakanthawi, kuchepa kwa kuchuluka kwa shuga m'magazi ndikotheka. Nthawi zambiri kuchepa kwa shuga kumatsatiridwa ndi kupunduka, kumva kutopa ndi kutopa. Pamabwera mkhalidwe wopanda chidwi pamene sufuna chilichonse. Dziko limawoneka laimvi. Pankhaniyi, tikulimbikitsidwa kutenga tchuthi, ndikusintha zakudya.

Zakudya zopanda pake

Mwinanso maziko a matenda ambiri. Kawirikawiri komanso kuwonongera kwa anthu odwala matenda ashuga ndizofunikira kwambiri. Izi zimathandiza kuti magazi azikhala athanzi.

Ndi zakudya zosasinthika, shuga amalowa m'thupi m'zigawo, mosagwirizana, zomwe zimakhudza ntchito ya ziwalo zamkati ndikuyambitsa kusiyana mu mulingo wake m'magazi.

Makamaka, pantchito ya kapamba ndi matumbo.

Masewera osawerengeka mu shuga

Zinthu zomwe zimakhudza kusinthasintha kwa shuga m'magazi:

Kumwa mowa. Izi zimapangitsa kukwera kwakanthawi kuchuluka kwa shuga m'magazi chifukwa chazakudya zambiri za zakumwa zoledzeretsa. Koma patapita nthawi, kuchuluka kwake m'magazi kumachepa.
Nyengo yotentha. M'chilimwe, kuwongolera kuchuluka kwa shuga m'magazi anu kumayamba kuvuta pang'ono. Kenako muyenera kumwa zamadzimadzi zambiri, koma muyenera kutsatira zomwe zimachitika kuti palibe zotupa.
Mahomoni. Kutengera kutengera kwa mayi kwa mkazi, kuchuluka kwa shuga m'magazi kumadzuka kapena kugwa. Zimakhala zovuta kutsatira msambo wake panthawi ya kusintha kwa thupi.

Kuchiza pamenepa kungachitike ndi njira zotsatirazi:

mankhwala
maphunziro azamisala
njira zolimbitsa thupi.

Chithandizo cha kusinthasintha m'magazi a shuga m'magazi nthawi zambiri imayandikira kwambiri, kuphatikiza iliyonse yamtunduwu.

Zotsatirazi zimathandizira kuchepetsa shuga m'magazi:

kumwa sinamoni
zamasamba
zolimbitsa thupi
kumwa yogurt yamafuta ochepera popanda zotsekemera ndi ma flavorings.

Pomaliza

Matendawa nthawi zambiri amakhudza anthu omwe samva "kutsekemera kwa moyo." Amawoneka kuti amalekerera mtsogolomo, pomwe zonse zikhala bwino. Koma "zabwino" izi sizimapezeka, koma m'malo mwake zimabwera matendawa. Simuyenera kuyesetsa kukondweretsa dziko lonse lapansi, wina safuna kusangalala, anthu onse ndi osiyana, muyenera kungodziwa izi.

Muzochita zachipatala, pamakhala nthawi zina pamene anthu adachiritsidwa matenda ashuga kokha kudzera njira zophunzitsira okha, popeza chilichonse chofunikira pakuchotsa matenda chidali nacho kale.

Kupunduka kowopsa: shuga ndi magazi

Kuwonjezeka kwa shuga m'magazi mwa anthu ambiri kumalumikizidwa ndi chitukuko cha shuga.

Koma ndi anthu ochepa omwe amadziwa kuti kuwonjezeka kwa shuga kapena pang'ono pang'onopang'ono chifukwa cha matenda ena amayamba chifukwa cha matenda ena ambiri, mwachitsanzo, kapamba am'mimba, omwe amakhudza kapamba, komanso kutaya magazi muubongo.

Kuphatikiza apo, zinthu zomwe zimawoneka ngati zosavuta monga kupsinjika kapena kuchita masewera olimbitsa thupi mopitirira muyeso zimathanso kusokoneza magazi a shuga ndikupangitsa kuti kudumpha kwambiri. MedAboutMe ikuthandizani kudziwa zomwe zimapangitsa kuti shuga azikhala wamphamvu komanso kuti ndizowopsa mthupi la munthu wathanzi.

Kodi ndichifukwa chiyani thupi limasowa glucose komanso mulingo wake wabwinobwino?

Aliyense amadziwa kuti shuga m'thupi la munthu ndiye gwero lalikulu lamphamvu. Mkhalidwe wama cell ambiri mthupi lathu, makamaka ma neuron ndi maselo ofiira amthupi, amagwirizana mwachindunji ndi zochita za shuga.

Mlingo wa glucose sikuti mtengo wokhazikika ndipo umasiyanasiyana malinga ndi thanzi la munthu, zochita zolimbitsa thupi, kudziwitsidwa ndi kupsinjika ndi zinthu zina zambiri.

Kupanga kwa glucose ndimapangidwe ovuta kwambiri, mwa njira yomwe sikuti ma insulin okha amapangidwira ndi kapamba, komanso mahomoni a glucagon ndi adrenaline, ma steroid ndipo, makamaka, glucocorticoids. Mokulira, njira ya kagayidwe ka glucose imakhala motere:

chifukwa chakugaya kwa zinthu mmimba, glucose amalowa m'magazi,
kapamba imakhudzana ndi kudya kwake mwa kutulutsa insulin m'magazi,
chomaliza chimachepetsa kupezeka kwa ma membrane am' cell, omwe amamwa glucose omwe amabwera ndi chakudya,
zotsalira za glucose zosagwiritsidwa ntchito ndi thupi zimasinthidwa kukhala glycogen, yomwe ndi polysaccharide, ndi triglycerides (mtundu wapadera wamafuta womwe umapezeka m'magazi), omwe ali gwero lamphamvu lamphamvu la thupi.

Chizindikiro chabwinobwino kwa munthu wathanzi ndizomwe zili mu shuga m'magazi a capillary (otengedwa kuchokera kumunwe) mu mulingo wa 3.5-5,5 mmol / l, mu venous ndiwokwera pang'ono.

Zakudya zomwe zimachulukitsa shuga

Suprose, wowuma, glycogen ndiye magwero akuluakulu a shuga omwe amalowa mthupi ndi chakudya. Zakudya zomanga thupi zophatikizika kapena zakudya zamafuta ambiri zimapangitsa kuti shuga ayambe kuchepa. Ndipo chifukwa chowonjezeka kwambiri pamlingo wake ndi chakudya chamafuta ndi ma polysaccharides. Zinthu zomwe zimakhutitsa thupi, zomwe zimatchedwa mafuta osavuta, zimaphatikizapo:

shuga ndi zinthu zilizonse zopangidwa pamaziko ake,
mpunga wopanda msuzi
uchi, womwe umatha kukhala ndi 70-80% shuga,
ufa ndi mafuta ophika buledi,
mbewu zambiri ndi mbewu za muzu zomwe m'mbuyomu mudachitiramo kutentha (mbatata, kaloti, ndi zina),
makeke onse ndi zakudya zachangu.

Glycemic index (GI) imagwiritsidwa ntchito kudziwa kuthamanga komwe zakudya zinazake zimamwa, komanso kuchuluka kwa shuga m'magazi akamwedwa. Itha kugwiritsidwa ntchito kuweruza kuchuluka kwa chakudya chamagulu mu chakudya. Mukakhala ndi chiwonetserochi, thupi limakhala ndi chakudya chambiri.

Chosangalatsa ndichakuti, malonda omwewo, kutengera mawonekedwe a kapangidwe kake ndikukonzekera, atha kukhala ndi index yosiyana ya glycemic.

Mwachitsanzo, GI ya spaghetti yophika kwa mphindi 11 ndi 59, ndipo ndikuphika motalika (mphindi 16.5) imakwera mpaka 65.

Kuphika ndi kuwaza kapena kuphika kumakulitsanso index ya glycemic muzakudya.

Mankhwala Omwe Amakhudza Magulu a Glucose

Kumwa magulu ena a mankhwala kungayambitsenso kuchuluka kwa shuga m'magazi, onse mwaumoyo wathanzi komanso mwa anthu omwe ali ndi matenda a shuga.

Mwachitsanzo, mankhwalawa makamaka amaphatikizapo kulera, mankhwala a mahomoni ndi okodzetsa. Palibe choopsa chilichonse kugwiritsa ntchito mankhwala osakanikirana omwe amachititsanso kuchuluka kwa shuga m'magazi.

Chifukwa chake, kafukufuku yemwe asayansi aku America adachita mu 2011 adapangitsa kuti azindikire kuti kugwiritsa ntchito mankhwalawa kwa "Paroxetine" komanso mankhwala "Pravastatin", omwe amapangidwa kuti achepetse cholesterol, amakwiyitsa kwambiri shuga m'magazi.

Ndipo pali mitundu ingapo ya mankhwala osokoneza bongo. Chifukwa chake, ponena za dotolo aliyense, ndikofunikira kuti mumusonyeze kupezeka kwa matenda a shuga kapena ngati munthu amadumphadumpha mwadzidzidzi m'magazi a shuga.

Zinthu zina zomwe zimayambitsa shuga m'magazi

Kuchita masewera olimbitsa thupi moyenera kumathandizira kuti shuga azikhala ndi magazi, amachepetsa.

Zatsimikiziridwa kuti mphindi 35 zakuyenda modekha tsiku ndi tsiku zimathandizira kutenga shuga ndikuchepetsa chiwopsezo cha matenda ashuga ndi 80%.

Nthawi imodzimodzi, kuchita masewera olimbitsa thupi, makamaka kwa anthu omwe amangokhala, kumatha kudzutsa shuga. Zina zomwe zingayambitse kukula kwambiri kwa glucose ndi monga:

kuyang'ana nthawi zonse pamavuto omwe mahomoni omwe amawonjezera shuga amawonjezereka kwambiri,
Matenda a matenda opatsirana kapena a virus etiology. Amasokoneza njira zambiri mthupi ndipo amalimbikitsa kumwa mankhwala okhala ndi shuga wambiri.
kusintha kwa mahomoni owoneka mthupi la azimayi pamisinkhu yosintha, makamaka panthawi yapakati.
mtundu wa kugona, womwe mwa anthu ena ungayambitse kuchuluka kwa shuga m'magazi, ndipo mwa ena - kuchepa kwadzidzidzi m'mutu mwake,
kutentha kwambiri, kuwonjezeka kwa shuga ndikuwapanikizika kwambiri.

Nchiyani chomwe chikuwopseza kuthamanga kwamahatchi kwa munthu wathanzi komanso odwala matenda ashuga?

Monga tafotokozera kale, kuchuluka kwa shuga m'magazi a munthu wathanzi ndi 3.5-5,5 mmol / L. Ngati shuga achepera m'munsi mwa 2.78 mmol / L kapena kukwera pamwamba pa 30 mmol / L, izi zimapangitsa kuti musakhale ndi chikumbumtima, kukomoka, hypo- kapena hyperglycemic coma.

Hyperglycemia ndi mkhalidwe pamene kuchuluka kwa shuga m'magazi kuli pamwamba pa 6.7 mmol / L. Milandu yodwala matenda a shuga ndi kuwonjezeka kwa kusala kwa venous glucose pamtunda wa 7.0 mmol / L kapena kupitirira maola 11.0 mmol / L 2 patatha shuga. Kuphatikiza apo, hyperglycemia ikusonyeza:

matenda ena a endocrine,
matenda aakulu a impso ndi chiwindi,
matenda kapamba
myocardial infarction ndi matenda am'mimba,

Kudya pafupipafupi zakudya zamafuta am'mimba kumatha kubweretsa kunenepa kwambiri komanso matenda a mtima, komanso kukula kwa matenda ashuga. Kafukufuku wochokera ku Yunivesite ya Texas apezanso kulumikizana pakati pa kudya kwambiri kwa fructose ndi sucrose wokhala ndi chiopsezo chowonjezeka cha khansa ya m'mawere ndikukula kwake.

Zambiri Zosangalatsa Zokhudza Kukulitsa shuga

Asayansi a University ya Duke apeza mtundu wa HKDC1, womwe umayika mapuloteni omwe amalola azimayi oyembekezera kuti azitha kuyamwa bwino. Protein protein imeneyi mthupi la mayi, imakhala pachiwopsezo chotenga matenda a hyperglycemia panthawi yapakati. Kuphatikiza apo, hyperglycemia pa nthawi yobereka imakhalanso yoopsa pa thanzi la mwana wosabadwa, yemwe atakula amakula osati kunenepa kwambiri, komanso matenda a shuga.
Kuchepetsa chiwopsezo cha matenda oopsa kwa anthu onenepa kwambiri kungathandize kutayika kwa 5% yokha ya kilogalamu. Izi zimachepetsa shuga m'magazi ndikuchepetsa mwayi wamatenda ndi 70%.
Malinga ndi zotsatira za kafukufuku wochitidwa ndi gulu la asayansi aku France, azimayi omwe ali ndi magulu a magazi a III ndi IV ndi omwe atengeka kwambiri ndi matenda a shuga a mtundu wachiwiri. Pafupipafupi, nthendayi imapezeka mu kugonana koyenera ndi gulu la magazi. Mosiyana ndi izi, eni gululi lachiwiri ali pachiwonetsero chakukula kwa matendawa ndi 10% ina.

Yesetsani Kuyesa Kwa Chiwopsezo cha Matenda Awa ndi mayeserowa, mutha kudziwa kuchuluka kwa chiwopsezo chanu chokhala ndi matenda a shuga m'zaka 5 zotsatira. Kuyesaku kunakonzedwa ndi Germany Institute of Nutrition ku Potsdam.

Amalumpha komanso kusinthasintha kwa shuga m'magazi | Zifukwa

| Zifukwa

3.3-5.5 mmol / L amadziwika kuti ali ngati zizindikilo za shuga m'magazi athanzi pamimba yopanda kanthu. Mwakuthupi, kuchuluka kwa shuga m'magazi kulibe chizindikiro chokhazikika; amasintha tsiku lonse.

Chizindikiro chocheperako chimawonedwa usiku ndi m'mawa kwambiri, chakudya choyamba chimatsogolera ku kuti shuga imatuluka. Ndiye pali kuchepa mpaka chakudya chotsatira. Komanso, glycemia imatha kupitirira malirewo atatha kudya ndikubwerera kwawola patangotha maola ochepa.

Spikes ya shuga imatha kukhala pazifukwa zosiyanasiyana, zina mwazomwe zimatha kuwonetsa mavuto azaumoyo.

Zotsatirazi zimayambitsa kuchuluka kwa shuga:

Zinthu zovuta kuntchito. Ndi kupsinjika kosalekeza, thupi limatulutsa mahomoni omwe amathandizira kukweza shuga. Vutoli limafanana ndi anthu omwe ali ndi matenda ashuga a 2. Komanso, kuntchito, nthawi zambiri kulibe nthawi yokhala ndi zakudya zopatsa thanzi, mankhwala komanso masewera olimbitsa thupi, zomwe zingayambitsenso kudumpha kwa shuga,
Caffeine Miyezo ya glucose imatha kukwera mukamwa khofi, ngakhale itapangidwa popanda shuga,
Zinthu zopanda shuga. Alibe sucrose, koma pali mafuta ena omwe amasinthidwa kukhala glucose,
Zopangira batala. Zakudya zotere zimakhala ndi zopatsa mphamvu zambiri zamagetsi, ma muffin amakhala ndi ma calories,
Zipatso zouma. Zipatso zimangotaya chinyezi chokha zikauma, shuga zomwe zimakhala momwemo. Ndi kulemera komweko ndi zipatso zatsopano, zopatsa mphamvu za calorie zidzakhala zapamwamba
Matenda, kachilombo, chimfine. Masipsi ambiri, tiyi ochokera ku chimfine amakhala ndi shuga, ma decongestants (amathandizira kuchulukana kwammphuno) nawonso amalimbikitsa shuga,
Zakumwa zakumwa. Zakumwa izi zimapangidwira kuti zithetsanso mphamvu zomwe zasowa ndipo zitha kukhala ndi shuga,
Mankhwala a diuretic ndi corticosteroid. Pakati pa corticosteroids, prednisone imayambitsa kwambiri shuga, imatha kupanga matenda ashuga. Ma diuretics (okodzetsa) amatha kuwonjezera shuga mu odwala matenda ashuga,
Matenda akulu. Thupi likamalimbana ndi matenda, shuga amayamba kutuluka.
Kusintha kwa mahomoni pa nthawi yapakati. Poyerekeza ndi kusakhazikika kwa mahomoni, shuga amakwera, izi zimadziwika kuti ndi azimayi oyembekezera,
Zosokoneza pafupipafupi muzakudya, zakudya. Amatha kubweretsa kukweza kwa glucose, makamaka, ngati zinthuzo zili ndi chakudya chochuluka, mafuta.

Zomwe zingachepetse shuga

Cinnamon Spice imapangitsa luso la maselo kugwiritsa ntchito shuga,
Yogurt yamafuta ochepa. Ngati yogati ilibe zotsekemera, zipatso, zimachepetsa shuga,
Gwirani ntchito kunyumba.

Kuchita masewera olimbitsa thupi kumathandizira kuti muchepetse shuga, zakudya za vegan.

Zakudya zokhwima zamasamba zimatha kuchepetsa kwambiri shuga chifukwa cha kupezeka kwa fiber yambiri ndi mbewu zonse.

Zomwe Zimathandizira Kukula kwa Miyezo ya sukari

Mowa Zakumwa zoterezi zimachulukitsa shuga kumayambiriro kwenikweni chifukwa cha kuchuluka kwa chakudya chamafuta, koma pambuyo maola ochepa shuga amatha kutsika kwambiri
Gona Mwa anthu ena, shuga amatha kuchuluka kwambiri pambuyo pakugona, pomwe ena, m'malo mwake, amatsika kwambiri,
Kutentha. Nyengo yotentha imapangitsa kuti kuthana ndi shuga kukhale kovuta, ndikofunikira kumwa madzi ambiri kuti pasakhale madzi am'madzi,
Masewera olimbitsa thupi. Katundu ayenera kukhala osankhidwa payekhapayekha. Pa katundu wolemera, kuchuluka kwa glucose kumakwera choyamba kenako ndikugwa kwambiri. Kutengera ndi katundu, chizindikiro chotsika chitha kuwoneka tsiku lotsatira.Musaiwale zazakudya musanayambe makalasi komanso kufunika koyeza shuga musanaphunzire,
Amayi ogonana achikazi. Momwe ma hormonal amasinthira, kuchuluka kwa shuga kumasinthasintha. Pambuyo kusintha kwa kusintha kwa kubereka, kuwongolera kuchuluka kwa shuga ndikovuta, chifukwa chake muyenera kukambirana ndi dokotala za chithandizo chamankhwala chokhala ndi mahomoni.

Chifukwa chiyani shuga limadumphira mu shuga

Anthu ambiri odwala matenda ashuga amakumana ndi vuto lomwe shuga limapitilira. Pankhaniyi, muyenera kudziwa zomwe zimayambitsa kusinthasintha ndikuwathetsa. Koma pa izi muyenera kudziwa zizindikiritso zakuthwa kwambiri kwamagazi. Kukhazikika kwakanthawi kokhako komwe kudzathetsa matenda, kuteteza kupitirira kwa matenda komanso mawonekedwe a zovuta za matenda.

Kuti mumvetsetse kuti kulumpha m'misempha ya shuga kwachitika, muyenera kudziwa zizindikiro zazikulu. Zizindikiro zodziwika bwino za kuchuluka kwa shuga ndi izi:

kukokana pafupipafupi komanso kofikira: polyuria imayamba motsutsana ndi kukula kwa shuga, impso zimayamba kuchotsa madzi kuchokera mthupi,
ludzu lotupa: kuchuluka kwamadzi omwe adamwa patsiku amatha kupitilira malita 5, zimachitika chifukwa chakuti impso zimachotsa madzi kuchokera mthupi,
kuyabwa pakhungu,
kusapeza bwino m'mitsempha,
kuchiritsa kwa nthawi yayitali
kulakwitsa kwa mtima ndi mitsempha ya magazi, mawonekedwe a kugwidwa kwa ng'ombe - kupezeka kwa zizindikirazi kumachitika chifukwa chophwanya kuchuluka kwa ma electrolyte ndi kuloza kwa michere yama thupi yofunika.
Kuchepa kwaumoyo wathanzi: kugona, ulesi, kutaya mphamvu,
njala ndi mawonekedwe ogwirizana nawo a kunenepa kwambiri (ndi mtundu wachiwiri wa matenda ashuga),
kunenepa kwambiri (monga mtundu wa matenda ashuga 1),
utachepa kowoneka bwino, mawonekedwe a chifuwa patsogolo pa maso.

Ngati zizindikirozi zikuwoneka, muyenera kuyang'ana kuchuluka kwa shuga. Ngati zikhala zochulukirapo, muyenera kudziwa chomwe chimatsogolera kukula kwa zizindikiro.

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.

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.

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.