Matenda a shuga kwa akulu ndi ana

Matenda a shuga ndi vuto limodzi ndi kulolerana kwa shuga. Zotsatira zake, mahomoni ochepetsa shuga (insulin) samatulutsidwa ndi kapamba pazoyenera. Ndi matenda awa, nthawi zonse pamakhala chiopsezo chakuti anthu odwala matenda ashuga atha kudwala matenda ashuga a 2. Komabe, mantha sakhala oyenera, amathandizika. Kodi ayenera kuchita chiyani?

Gulu lowopsa la prediabetes limaphatikizapo anthu omwe amakumana ndi magawo angapo.

• Amayi omwe abereka mwana wolemera oposa 3.5 kg. Komanso, omwe apezeka ndi matenda ashuga gestational panthawi yomwe ali ndi pakati amatha kutenga matendawa.
• Anthu omwe mabanja awo amadwala matenda ashuga a 2.
• Amayi omwe ali ndi polycystic ovary syndrome.
• Kukhala ndi moyo wosachita zambiri.
• Anthu okalamba. Izi ndichifukwa choti pazaka zambiri, mphamvu ya thupi pokonza shuga imachepa.
• Achimereka aku Africa, Hispanics, Amwenye, ndi Pacific Islanders. Oyimira anthuwa akhoza kutenga matenda ashuga.
• Anthu omwe ali ndi cholesterol yotsika kwambiri.

Vuto limodzi lofanana la prediabetes limanenepa kwambiri kapena kunenepa kwambiri, makamaka m'mimba. Monga momwe masewera amasonyezera, kuti musinthe thanzi lanu, muyenera kutaya misa ya 10-15%.

Ochenjera makamaka ayenera kukhala ndi omwe ali ndi vuto la kuthamanga magazi. Ngati kuthamanga kwa magazi kukupitilira 140/90, ndikulimbikitsidwa kupimidwa magazi pafupipafupi.

Mwanayo amathanso kuwonetsa prediabetes. Izi ndizotsatira za opaleshoni yayikulu kapena matenda akulu.

Zizindikiro za prediabetes mwa akazi komanso mwa amuna sizimasiyana. Mu ana, matendawa amawonekera chimodzimodzi ndi akulu. Chimodzi mwazinthu zodziwika bwino za matenda ndi kusowa tulo. Vutoli limachitika pamene chida cha pancreatic chikucheperachepera, malfunction mkati mwa shuga kagayidwe komanso kuchepa kwa kupanga kwa insulin.

Ndi kuchuluka kwa glucose, magazi amakhala amanenepa. Kuti lizipaka, thupi limafunikanso madzi ena ambiri. Pali malingaliro akumva ludzu losatha, kukakamiza pafupipafupi kukodza.

Chizindikiro chotsatira cha prediabetes ndimanenepa kwambiri opanda pake. Ndi zovuta zopanga insulin, shuga amadziunjikira m'magazi. Komabe, salowa m'maselo a minyewa. Izi zimabweretsa kuchepa thupi komanso kusowa mphamvu.

Chifukwa cha kukula kwa magazi, imadutsa moyipitsitsa kudzera m'makutu ndi ziwiya zazing'ono. Izi zimapangitsa kuti magazi asamayende bwino. Zotsatira zake, kuyabwa kwa khungu, kupweteka mutu, migraines kumachitika, ndipo masinthidwe akuwonongeka. Nthawi yomweyo, michere yolowera minofu imasokonekera. Izi zimakwiyitsa minofu.

Zina mwazina zomwe zimatchulidwa kale za matenda a prediabetes ndi kutopa kwambiri komanso kusokonekera. Ngakhale amadya moyenera, wodwalayo amavutika nthawi zonse ndi nkhawa.

Mwa ana, zizindikilo zimafanana ndi akulu.

Zizindikiro

Kuti mudziwe matenda am'mbuyomu, mitundu iwiri ya maphunziro imachitika: kuyezetsa magazi kosalekeza komanso kuyeserera kulekerera kwa glucose.

Pa mayeso achiwiri, shuga amamuyeza woyamba pamimba yopanda kanthu. Kenako wodwalayo amapatsidwa chakumwa chomwe chili ndi shuga wambiri. Pambuyo maola 2, msuzi wa shuga umatsimikizidwanso.

Ndikofunikira kudziwa kuchuluka kwa shuga pamimba yopanda kanthu maola 8 mutatha kufa ndi njala. Nthawi yoyenera kwambiri kufufuza ndi m'mawa mutangodzuka. Chifukwa chake wodwala amakhala wosavuta kupirira kukana chakudya.

Mankhwala osokoneza bongo a prediabetes

Mwa mankhwala omwe amagwiritsidwa ntchito pochiza matenda a prediabetes, Metformin yadzitsimikizira mu Mlingo wa 850 kapena 1000. Ndi mankhwala a hypoglycemic omwe amatha kuchepetsa kuchuluka kwa shuga wopangidwa ndi thupi ndikuchotsa kulolera kwa glucose. Zina mwanjira zake ndizothandiza: Glucofage, Metformin-BMS, Glycomet, Metfogamma.

Kumayambiriro kwa chithandizo, wodwalayo amapatsidwa mankhwala a 1000 mg patsiku. Kutalika kwa maphunzirowa ndi milungu iwiri. Kenako mlingo wa mankhwalawo ukhoza kuchuluka. Mitengo yake yokwanira ndi 3000 mg patsiku. Kuti muwonetsetse kuti thupi limagwirizana mwachangu ndi momwe mankhwalawo amathandizira, madokotala amalimbikitsa kugawa Mlingo wa tsiku ndi tsiku mu 2-3.

Kutengera mankhwalawa ndikugwiritsa ntchito moyenera, mankhwalawa samayambitsa zovuta zina. Komabe, kugwiritsidwa ntchito kwawo kumangokhala ndi zotsutsana:

• hepatic, adrenal ndi aimpso kulephera,
• kusalolera kwa zigawo za boma,
• nthawi ya pakati komanso yoyamwitsa,
• othandizira opaleshoni
• matenda opatsirana
• uchidakwa wambiri,
• precomatose boma ndi lactic acidosis.

Thupi likazolowera Metformin, wodwalayo amatha kudandaula chifukwa cha kudzimbidwa. Pambuyo pa masabata 1-2, izi sizidzachitika zokha. Nthawi zina, pali zizindikiro za kusowa madzi m'thupi, phazi la matenda ashuga ndi hypoxia.

Zakudya za prediabetes ndichimodzi mwazinthu zofunikira kwambiri pakuchira. Malangizo oyamba a endocrinologists ndi akatswiri azakudya zamagulu ndikuchepetsa. Ndi bwino kudya nthawi zambiri, mpaka katatu pa tsiku. Komanso musataye zakudya zamafuta ochepa komanso mafuta ochulukirapo. Chotsani kuphika, makeke, makeke ndi makeke kuzakudya. Ndi kugwiritsa ntchito kwawo kuti kudumpha mumlingo wa glucose m'thupi kumachitika. Ndi kagayidwe kosokonekera ka chakudya, shuga amadziunjikira m'magazi ndipo simalowa m'matumbo.

Mndandanda wazinthu zololedwa ndi zokulirapo. Ngati prediabetes tikulimbikitsidwa kutsatira mfundo zotsatirazi za zakudya.

• Mumakonda zakudya zamafuta ochepa wokhala ndi index yotsika ya glycemic komanso fiber yambiri.
• Yang'anani kudya kwa kalori. Yang'anani pa mtundu wa chakudya: thupi liyenera kulandira mapuloteni, mafuta ndi michere yambiri.
• Onjezerani kumwa kwamadzi oyera. Kumbukirani: zakumwa zoziziritsa kukhosi sizipindula.
• Idyani zitsamba zambiri, bowa ndi masamba.
• Chepetsani zakudya zanu ndi zakudya zamafuta owola kwambiri (mpunga woyera, mbatata).
• Mbale zothira, kuphika ndi kuphika.

Zochita zolimbitsa thupi

Chofunikira pakuchiza matenda a prediabetes ndi masewera olimbitsa thupi. Masewera ophatikizidwa ndi zakudya amapereka zotsatira zabwino. Katundu pa thupi, tiyeni pang'onopang'ono. Ndikofunikira kukwaniritsa kukula kochitika pamlingo wamtima.

Sankhani mtundu wa katundu nokha, potsatira zomwe mukufuna. Ikhoza kukhala makalasi opezeka olimbitsa thupi, oyenda mwachangu, tennis, volleyball, kuthamanga kapena kuyenda kwa Nordic. Kuti mukhale wathanzi, muyenera kulimbitsa thupi kwa mphindi 30, sabata - osachepera 5 maphunziro.

Mukamachita masewera olimbitsa thupi komanso pambuyo pake, shuga amasinthidwa kukhala mphamvu. Minofu imatenga bwino insulini, motero mwayi wokhala ndi matenda a shuga umachepa.

Zithandizo za anthu

Mankhwala okonzekera molingana ndi maphikidwe a mankhwala achikhalidwe sangachiritse prediabetes. Komabe, adzathandizira kutsitsa shuga komanso kulimbitsa chitetezo chamthupi. Mosiyana ndi mankhwala, mankhwala achilengedwe samachititsanso kuti pakhale zovuta. Koma nthawi zina pamakhala chidwi chowonjezeka cha zinthu zomwe zimapezeka muzomera.

Idyani chakudya chambiri nthawi zonse. Pogaya grits kudzera mu chopukusira cha khofi kuti mukonze mbale. Thirani ufa wa chimanga ndi kefir (pamlingo wa 2 tbsp. Buckwheat pa chikho chilichonse cha zakumwa) ndipo muchokepo usiku. Gwiritsani ntchito osakaniza m'mawa pamimba yopanda kanthu.

Ndi prediabetes, kulowetsedwa kwa elecampane rhizomes, masamba a currant ndi blueberries adzapindula. Thirani zinthu zosaphika ndi madzi otentha (1 tbsp. Kapu imodzi yamadzi). Tizilitsa kulowetsedwa ndi kumwa 50 ml tsiku lililonse. Mutha kusiya kulandira chithandizo mukangomva bwino.

Chofunikanso chimodzimodzi ndi decoction ya flaxseed. Pukutani pa zopangira khofi. Thirani ufa ndi madzi (1 tbsp. Kapu imodzi yamadzi) ndi kuwira kwa mphindi 5. Imwani pamimba yopanda kanthu asanadye chakudya cham'mawa.

Zomera zambiri zimakhala ndi mphamvu yochepetsera shuga, kuphatikiza nyemba za nyemba, mabulosi am'madzi, zipatso ndi masamba a masamba wamba, mabulosi amtundu wa currant ndi mtedza, wort wa St. Ikani mawonekedwe mwanjira ya decoctions, tiyi kapena infusions. Muli zinthu zambiri zofunika kuti thupi lofooka.

Zisonyezero zopangidwa ndi phyto zokonzedwa zimagulitsidwa mwaulere mu mankhwala. Odziwika kwambiri ndi Arfazetin, Vitaflor ndi ena.

Mavuto a prediabetes

Chimodzi mwamavuto oopsa ndi matenda ashuga am'mbuyo a shuga. Matendawa amawonekera pakugonjetsedwa kwa capillaries, mitsempha ndi mitsempha. Ndi mwachilengedwe.

Ngati simumayamba mankhwala munthawi yake, zovuta zina zomwe zimayenderana ndi matenda a shuga a 2 ziwoneka. Mwachitsanzo, matenda a impso ndi mtima, kuwonongeka kwa mitsempha yokhudzana ndi ziwalo.

Kuneneratu za matenda a prediabetes ndizabwino kwambiri. Vutoli silimasinthira kukhala shuga. Pogwiritsa ntchito zovuta zamankhwala, masewera ndi zakudya, mutha kupereka shuga wabwinobwino wamagazi.

Epidemiology

Ngakhale kuti ukalamba wolimba umawerengedwa kuti ndi chimodzi mwazinthu zowopsa za prediabetes, matenda amtunduwu amapezekanso ali mwana. Malinga ndi ziwerengero, kuchuluka kwa ana "odwala" ndikofanana ndi kuchuluka kwa odwala omwe ali ndi vutoli. Pankhaniyi, chomwe chimayambitsa matenda a kagayidwe kachakudya kamayambitsa matenda opatsirana, omwe, limodzi ndi cholowa cham'tsogolo, amapanga kuzungulira komwe kumayambitsa matenda a shuga. Prediabetes imapezeka mwa ana komanso akulu.

Amayi amatha kudwala matenda a prediabetes nthawi zambiri kuposa amuna. Izi ndichifukwa cha mawonekedwe a thupi la mkazi, opangidwira kupitiliza mtundu wa anthu. Zovuta zilizonse panthawi yoyembekezera komanso pobereka, kuphatikiza kulemera kwakukulu kwa mwana wakhanda, zimatha kuyambitsa matenda a prediabetes mtsogolo.

Mu 2015, pafupifupi 33.9% ya anthu akuluakulu aku US wazaka 18 kapena kuposerapo (anthu 84.1 miliyoni) adadwala matenda a shuga kutengera kudya glucose kapena A1C. Pafupifupi theka (48.3%) ya achikulire wazaka 65 ndi akulu omwe anali ndi matenda ashuga.

Mwa achikulire omwe ali ndi matenda a prediabetes, 11.6% adanena kuti othandizira azaumoyo adati ali ndi vutoli.

Zomwe zasinthidwa pazaka za 2011-2014 zidawonetsa kuti amuna (36.6%) amakhudzidwa kwambiri ndi prediabetes kuposa azimayi (29.3%). Kukula kwa prediabetes kunali kofanana pakati pa mitundu ndi mafuko.

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Zoyambitsa matenda a shuga

Mkhalidwe monga prediabetes ukuwonetseredwa makamaka ndi kuwonjezeka kwa shuga m'magazi. Nthawi zambiri, zimadziwika mwangozi pomwe munthu wapereka magazi chifukwa cha matenda ena, pofuna kupewa, pomwe wapezeka ndi pakati, ndi zina zambiri. Kuchuluka kwa shuga m'magazi sikungakhudze onse a dotolo ndi wodwala wake, yemwe nthawi yomweyo amakhala ndi funso lofunikira: izi zingachitike bwanji komanso zomwe zidapangitsa kuwonekera kwa kuchuluka kwa shuga m'magazi am'magazi?

Chomwe chikuwonjezera kuchuluka kwa shuga m'magazi achilengedwe, chomwe ndi chikhalidwe chachikulu cha prediabetes, ndizokayikitsa ngati kugwiritsa ntchito maswiti ambiri, pokhapokha ngati pali kuphwanya kwa shuga m'thupi. Ngati zizindikiro za shuga sizikula, kudakali koyambilira kunena za chitukuko cha matenda ashuga, motero odwala ali pachiwopsezo chotenga matendawa.

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Zowopsa

Koma zomwe zimayambitsa matenda a prediabetes mwa odwala osiyanasiyana zitha kukhala zosiyana. Chifukwa chake kwa azimayi, chinthu chosangalatsa chikhoza kukhala:

• matenda a shuga gecational kapena glucosuria pa nthawi yapakati
• Kubadwa kwa mwana wamkulu wolemera kuposa 4 kg
• Kubadwa kwa mwana wolumala kapena mwana wakufa
• zolakwika
• kukula kwa polycystic ovary.

Odwala, wamwamuna ndi wamkazi, amatha kukhala ndi prediabetes ngati ali ndi zaka zopitilira 45 komanso onenepa kwambiri. Matenda a shuga amathanso kukulira mwa achichepere okhala ndi cholozera chachikulu cha 25.

Kuthamanga kwa magazi (kuyambira 140/90 ndi pamwambapa) komanso chibadwidwe chosauka kungakhale zinthu zina pakukula kwa prediabetes. Pankhani yakubadwa kwamtsogolo, prediabetes imatha kupezeka mwa iwo omwe achibale awo ali ndi matenda a shuga (mmodzi mwa makolo).

Chikhalidwe chopanga matenda a prediabetes chimawonedwa mwa oyimira amtundu uliwonse. Mpikisano wa ku Caucasus ulibe chiyembekezo chotere. Koma ngati mwana wakhala chipatso cha chikondi cha banja losakanizikana, ndipo m'modzi mwa makolo ake ndi woimira mtundu wa Asia kapena Negroid kapena mbadwa yaku America, mwana adzakhala ndi mwayi waukulu kwambiri wokhala ndi prediabetes kuposa abale ake aku Europe.

Amapasa odziwika amakhalanso pachiwopsezo chachikulu chotenga matenda okhudzana ndi matenda ashuga ngati matenda a shuga adapezeka mwa m'modzi mwa makolo kapena abale ake apafupi.

Ma pathologies ena azaumoyo angathandizenso kukulitsa matenda a prediabetes. Odwala onenepa kwambiri, mtima atherosclerosis, ochepa matenda oopsa, gout, matenda osachiritsika a chiwindi, impso ndi matenda a biliary, UTI, matenda opatsirana a kupuma komanso ma neuropathies nawonso ali pachiwopsezo cha kufooketsa chakudya cha metabolism.

Matenda a shuga amatha kupsinjidwa ndi matenda komanso matenda am'magazi monga hyperuricemia, alimentary ndi aimpso glucosuria, episodic glucosuria ndi hyperglycemia, omwe amawoneka ngati ali ndi nkhawa, matenda osakhalitsa, furunculosis, ozungulira hypoglycemia. Ndipo, ndizachidziwikire, sizosadabwitsa ngati prediabetes imayamba mwa odwala omwe ali ndi vuto la kapamba.

Kukhalapo kwa chimodzi mwazinthu zowopsa sikutanthauza kuti nthawi ina glucose m'magazi adzapezeka. Izi ndizotheka kwambiri ngati pali zina ziwiri kapena zingapo zopweteketsa mtima. Mwachitsanzo, zaka zopitilira 45 ndi kulemera kwakukulu kwa thupi kapena kuthamanga kwa magazi, kubadwa kwa mwana wamkulu pamsana ndi kusokonezeka kwa kapamba wamkulu, etc.

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Thupi lathu ndi dongosolo lovuta, chifukwa ntchito yonse yomwe mapuloteni, mafuta ndi chakudya ndizofunikira chimodzimodzi. Zonsezi titha kupeza ngati gawo la chakudya. Ndipo thupi lathu limapindula pambuyo pake ndi izi.

Chifukwa chake zinthu zopangidwa ndi chakudya zamafuta zimapatsa glucose m'thupi lathu, lomwe ndiye gwero lalikulu lamphamvu. Kuti maselo azitha kutulutsa mphamvu imodzimodziyi mu glucose, kapamba amapanga enzyme yapadera - insulin. Insulin imakhudzidwa ndi kagayidwe kakang'ono ka glucose, chifukwa chake kugwira ntchito bwino kwa thupi kumatsimikizika.

Ngati kapamba, chifukwa cha zochitika zina, samapanga insulin yokwanira, shuga amangomwa pang'ono, pomwe ena onsewo amalowa m'magazi, pomwe amapezeka chifukwa cha mayeso. Poterepa, amalankhula za kukula kwa matenda ashuga.

Ngati mawonekedwe a glucose pakuwunikira akukhudzidwa osati ndi insulin yokwanira monga kuperewera kwa cell kwa chiwopsezo cha insulin, amalankhula za kukhazikitsidwa kwa zinthu monga prediabetes, komwe ndiko kuyamba kwa mzere womaliza wopita ku matenda a shuga.

Matenda a shuga samawonedwanso ngati matenda, komanso osatheka kutchula wodwala yemwe ali ndi shuga m'magazi ambiri wathanzi.

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Zizindikiro za prediabetes

Mwa odwala ambiri, matenda monga prediabetes amadziwika ndi madokotala mwangozi. Munthu, mwachitsanzo, amadandaula za kupweteka kwa impso, ndikuwonetsa kuyesedwa ndikuwonetsa kuchepa kwapang'onopang'ono, koma kwakukulu mwa kuchuluka kwa shuga m'magazi. Wodwala sangamvebe kusintha kulikonse m'thupi lake, koma kusintha kwa kapangidwe ka magazi kumakakamiza adotolo kutenga munthu wotere mwa kuwongolera.

Ngati pali vuto limodzi lokhala ndi shuga m'magazi, ndipo limalumikizidwa ndi kuzunza maswiti, palibe chifukwa chodera nkhawa makamaka. Koma ngati kuwunika kwachiwiri kukuwonetsa kukhalapo kwa shuga, muyenera kulingalira ndikuchita zonse kuti muchepetse matenda asanakudwenso kukhala matenda oopsa, osachiritsika omwe amakakamiza munthu kuti azitsatira zoletsa zina pamoyo wake wonse.

Nthawi zambiri, shuga wamwazi sayenera kupitirira 5.5 mmol / L. Ngati ikula, koma osafika pachimake pa 7 mmol / L, Ichi ndiye chizindikiro choyamba cha prediabetes. Kusintha kwa kuchuluka kwa shuga m'magazi sikumawonetsedwa ngati chizindikiro cha matenda a shuga, koma kungoyambira chabe.

Zizindikiro zina za prediabetes makamaka zimatikumbutsa mawonetsero a shuga osadalira insulin. Ndi zizindikiro ziti zomwe muyenera kuyang'anira?

1. Vuto la metabolic limayambitsa kusokonekera kwa mahomoni m'thupi, ndipo iwonso, amayambitsa mavuto kupumula kwa usiku (kugona, kugona movutikira, kudzutsidwa kosalephera, etc.).
2. Kuwonjezeka kwa ndende ya shuga kumapangitsa kuti magazi aziwoneka bwino, zomwe zimapangitsa kuti zikhale zovuta kudutsa m'mitsuko yaying'ono. Wodwalayo amayamba kumva zovuta izi mwanjira yakhungu.
3. Pazifukwa zomwezi, acuity owoneka amatha kukulira, chifukwa cha kuchuluka kochulukirapo, magazi samapereka okosijeni ndi michere ku mitsempha ya optic.
4. Ngati kupanikizika kwa shuga kudutsa 6 mmol / L, ludzu losasinthika limapezeka, lomwe limasowa pambuyo poti kuchepa kwa shuga. Kukwera kwa magazi, thupi lathu limayamba kufuna madzi. Amafunika madzi kuti achepetse magazi ndikusunga ntchito zofunika za m'maselo, omwe, chifukwa cha glucose, amayamba kuona kuchepa kwa chinyezi.
5. Kukodza kwadzidzidzi kumayambikanso chifukwa cha shuga m'm impso ndi kugwiritsa ntchito madzi ambiri.
6. Kuchepetsa thupi kosafunikira kumayambikanso chifukwa cha kuchuluka kwa shuga. Munthu amapitilizabe kudya zofanana ndi kale, koma chifukwa chophwanya kagayidwe kakang'ono ka glucose, amapezeka nthawi zonse akusowa mphamvu. Kugwiritsa ntchito mphamvu kumakhalabe chimodzimodzi, zomwe zimapangitsa kuwonjezeka kwa kusintha kwa mafuta kukhala mphamvu, motero kuwonda. Wodwalayo amayamba kumva kutopa kwambiri, kutopa.
7. Mavuto aliwonse a metabolic amabweretsa kuwonongeka mu zakudya zama cellular, zomwe zimayambitsa kuwoneka kwa matenda opatsirana.
8. Kuwonjezeka kwakukulu kwa shuga wa plasma kumadzetsa mkhalidwe womwe umadziwika kuti umatha kutentha kapena kugunda kwadzidzidzi kwa kutentha.
9. Kuphwanya magazi m'matumbo kumatha kupweteka mutu ngati mutu, kumva kuwawa ndi kufinya m'miyendo, makamaka m'miyendo.
10. Mwa abambo, kuphwanya magazi kwamankhwala chifukwa chachulukidwe ka magazi kumatha kubweretsa mavuto ndi potency.

Zizindikirozi zikawoneka, chizindikiritso chodziwikiratu cha matenda omwe adatsimikizika akadali mulingo wa shuga m'magazi. Zachokera kwa iye kuti titha kudziwa zomwe tikuthana nazo: gawo loyambirira la matenda a shuga kapena chotsatira chake.

Matenda a shuga ndi pakati

Pa nthawi yoyembekezera, ziwalo zonse ndi machitidwe a mayi woyembekezera amayamba kugwira ntchito mopitilira muyeso. Amayi tsopano amapuma ndikudya awiri. Zikuwonekeratu kuti kupanga insulin mthupi lake kumakulanso. Izi zimadziwika ndi katundu wambiri pazida zama insular.

Ngati mayi asadakhale ndi pakati amapezeka ndi matenda osokoneza bongo omwe ali ndi vuto la shuga, ndiye kuti m'tsogolomu amatha kuyamba kukhala ndi matenda osokoneza bongo a 2 ngakhale popanda zovuta zina.

Kuphatikiza apo, panthawi yomwe ali ndi pakati, kufunikira kwa insulin kumatha kuchuluka. Nthawi zambiri izi zimachitika pakatipa (kuyambira 20 mpaka 24 milungu). Zikondazo sizitha kuthana ndi ntchito yomwe wapatsidwa ndipo mayi woyembekezera ayenera kubaya mankhwala okhala ndi insulin. Pankhaniyi, nthawi yayitali, kuchuluka kwa insulin kungafunike.

Koma ngakhale ndikusintha kwa prediabetes kukhala pang'ono matenda a shuga, sizotheka nthawi zonse kusintha magawo a shuga m'magazi kudzera pakudya, ndipo mukuyeneranso kupangira jakisoni wa insulin.

Makhalidwe wamba

Ndi prediabetes, munthu amakhala ndi vuto la kulolera kwa glucose m'thupi. Ndiye kuti, chifukwa choti shuga omwe amalowa m'magazi samamwa bwino, kuphatikiza kwake kumayamba kuchuluka. Ndi zovuta zoterezi, odwala amapezeka ndi shuga omwe amasala kudya kwambiri, omwe amachokera ku 5.5 mpaka 6.9 mmol / L.

Njira zazikulu za prediabetes ndizotsatirazi:

• kusala magazi m'magazi - 5.5-6.99 mmol / l,
• chakudya mafuta 2 mawola chakudya - 7.9-11.0 mmol / l,
• Chizindikiro cha hemoglobin ya glycated ndi 5.8-6.4 mmol / l.

Ali pachiwopsezo cha matenda a pathological a pre -abetes state ndi anthu onenepa, azimayi ndi amuna opitilira zaka 50, azimayi omwe ali ndi matenda otupa a polycystic ovary komanso gestational mu anamnesis, komanso odwala omwe ali ndi cholesterol ndi triglycerides m'magazi. .

Zambiri zimathandizira kusokoneza kagayidwe kazakudya, kuphatikizapo:

• kuchuluka kwa magazi pafupipafupi kapena mosalekeza.
• matenda a mkati zamkati, makamaka, mtima, impso, chiwindi,
• kugwiritsa ntchito mankhwala omwe amatchedwa diabetogenic, omwe ndi njira zakulera zamkamwa ndi glucocorticoids,
• kumangokhala
• mavuto
• matenda endocrine,
• matenda a autoimmune
• zizolowezi zoipa (kusuta, kumwa),
• chibadwa.

Mwa ana, kuloleza kwa glucose kumakhala kocheperako poyerekeza ndi akulu. Zomwe zimayambitsa mawonekedwe ake odwala angatengedwe matenda opatsirana, zadzidzidzi, kupsinjika kwambiri kapena kuchitapo kanthu opaleshoni.

Kodi shuga wa magazi a munthu wathanzi ndi lotani?

Glucose ndi chakudya chosavuta chopatsa mphamvu chomwe chimagwira ngati gawo lapansi la mphamvu zonse mthupi.

Ndiwowonongeka chifukwa chophatikizika ndimakina osokoneza bongo ndipo amalowa m'magazi kuchokera m'mimba.

Poyankha kuchuluka kwa shuga mthupi, kapamba amatulutsa kuchuluka kofunikira kwa insulin, yomwe imalimbikitsa kufalikira kwa shuga m'malo osankhidwa. Mwa munthu wathanzi, kuchuluka kwa glucose m'magazi ndi 3.5-5,5 mmol / L.

Mukatha kudya, chizindikiro ichi, chimadzuka, koma patatha maola awiri chibwerere mwakale. Ndichizolowezi kunena za kulolera kwa glucose osavomerezeka ndi kuwonjezeka kwa shuga mpaka 6.9 mmol / L, ndi shuga mellitus ngati mulingo wa glucose ukwera pamwamba pa 7 mmol / L.

Chithunzi cha kuchipatala

N`zotheka kudziwa prediabetesic boma nthawi pokhapokha ngati wodwala amayeza. Kulekerera kwa shuga m'magazi ndi imodzi mwazinthu zowoneka bwino, zomwe nthawi zambiri matenda ndi asymptomatic. Kuwonetsera kwa matenda am'mimba kumawonekera kale pamalo abwino kwambiri.

Matenda a shuga amatha kutsatiridwa ndi zizindikiro monga:

• ludzu lalikulu, lomwe limalongosoleredwa ndi kufunitsitsa kwa thupi kudzipangira kuchepa kwamadzi ndikupangitsa magazi kukhala ocheperapo kuti athetse vuto ndi kudutsa kwake kudzera m'matumbo,
• kukodza kwambiri, makamaka usiku,
• kuwonda msanga komanso modzidzimutsa komwe kumayenderana ndi kuperewera kwa insulin kaphatikizidwe, kuchepa kwa glucose komanso kusowa kwa mphamvu zowonetsetsa magwiridwe antchito a ziwalo,
• kuchuluka kwa shuga kumapangitsa kuti thupi lizimva kutentha,
• kupezeka kwa khunyu, komwe kumapangitsa mavuto osakwanira a glucose osakwanira pamisempha ya minofu,
• kugona mavuto mu mawonekedwe a kusowa tulo pa maziko a kusokonezeka kwa mphamvu yamafuta kumbuyo ndi osakwanira kupanga insulin,
• kuwonongeka kwa khoma la mtima komanso kuchuluka kwa milingo yamagazi kumapangitsa kuti kuyimitsidwa kuzinthu zosiyanasiyana za thupi komanso kuchepa kwambiri kwamaso.
• mutu waching'alang'ala ndi kulemera mumakachisi,
• hyperglycemia, yomwe sipadutsa patatha maola awiri kapena kupitilira apo.

Nthawi zambiri, kulolerana kwa shuga kumapezeka mwa azimayi okhwima komanso ngakhale atsikana ang'ono. Izi ndichifukwa choti mzimayi amakhala akusangalatsidwa ndi mahomoni omwe amasokoneza insulin.

Ndi prediabetes, oimira ogonana ofooka amathakukhumudwa.

Chowonadi ndi chakuti shuga ndi njira yabwino kwambiri yopangira michere ku mtundu wa Candida. Mwakutero, kumwa mankhwala osokoneza bongo sikawongolera mkhalidwe.

Kuti muchotse thrush, mayi yemwe ali ndi prediabetes amayenera kupimidwa ndi endocrinologist, kusintha zakudya zake ndikukhala ndi kuchepa kwa shuga m'magazi.

Kuchuluka kwa shuga m'thupi kumabweretsa vuto la kubereka kwa amuna. Oimira theka lolimba la anthu omwe akudwala prediabetes nthawi zambiri amakhala ndi kuchepa kwa libido, kuchepa kwa potency, komanso kukanika kwa erectile.

Mwa amuna odwala, akamatenga umuna kuti uwunikidwe, kuwonongeka kwa mtundu wake kumatsimikiziridwa, makamaka chifukwa cha kuchepa kwa kuchuluka kwa umuna wathanzi.

Zizindikiro mwa ana

Matenda a shuga amawopa mankhwalawa, ngati moto!

Muyenera kungolemba ...

Mutha kukayikira kukula kwa prediabetes mwa mwana wocheperako chifukwa cha izi:

• ludzu lalikulu
• kugwiritsa ntchito chimbudzi pafupipafupi, makamaka usiku,
• njala yambiri, yomwe imaphatikizapo kuchuluka kwa kudya komanso kuchuluka kwa thupi,
• kutopa kwambiri mwana akamatopa msanga kuposa anzawo pochita masewera olimbitsa thupi kapena masewera ena olimbitsa thupi,
• mutu waching'alang'ala
• dzanzi la miyendo
• Khungu
• kutsika kwa mawonekedwe.

Kusakaniza kwa shuga kwa ana nthawi zambiri kumayambitsa kuchuluka kwa magazi. Kuphwanya kotereku kumabweretsa kuchepa kwa magazi othamanga komanso kuwonongeka kwa magazi m'magazi amkati, zomwe zimapangitsa ntchito yawo molakwika.

Njira zochizira matenda a prediabetes

Matenda a shuga ndi imodzi mwazikhalidwe zomwe zimafunikira kukonza.

Kunyalanyaza vutoli kumakhala ndi zotsatirapo zomvetsa chisoni kwa wodwala, chifukwa posakhalitsa zovuta zowonjezerazo zimasintha kukhala matenda a shuga.

Asanayambe chithandizo, wodwalayo amayenera kukayezetsa magazi kuti adziwe kuchuluka kwa shuga m'thupi, komanso, ngati kuli koyenera, kuyesedwa kwa glucose pakamwa.

Kuwunika kwa zotsatira za kusanthula kumachitika ndi katswiri wa endocrinology. Kukhalapo kwa matenda mwa munthu kumawonetsedwa ndi kuchuluka kwa shuga m'magazi am'magazi, omwe amaposa chizindikiro cha 6.1 mmol / L.

Chithandizo cha prediabetes chimaphatikizapo mfundo zingapo:

• kusintha zizolowezi zodya komanso kudya zakudya zapadera,
• Kuchita masewera olimbitsa thupi,
• kusiya mapaundi owonjezera ndi zizolowezi zoyipa.

Kuphatikiza apo, madokotala amalimbikitsa kuti odwala omwe ali ndi shuga wambiri azilamulira kuthamanga kwa magazi ndi plasma cholesterol. Nthawi zina endocrinologists amapereka odwala omwe ali ndi matenda ashuga kugwiritsa ntchito mankhwala, makamaka Metformin, wothandizira wa hypoglycemic kuti achepetse kuchuluka kwa shuga wopangidwa ndi chiwindi.

Zakudya zopatsa thanzi ndi prediabetes zimakhala ndi zinthu zingapo, kuphatikizapo:

• kutumiza kukula
• kukana kudya chakudya cham'mimba chokhala ndi digestibility yofulumira, zakumwa zozunguliridwa ndi mpweya, zokazinga ndi zosuta.
• kuyambitsa mndandanda wazakudya za tsiku ndi tsiku ndi index yochepa ya glycemic komanso mafuta ochepa,
• kuchuluka kwa madzi oyera, zitsamba, masamba ndi bowa,
• kusiyanitsidwa kwa zakudya zamafuta ochepa kuchokera pachakudya ndikuchepetsedwa kwa kudya mpunga woyera ndi mbatata.

Zochita zolimbitsa thupi zimagwira ntchito yayikulu pakuchiza matenda a prediabetes. Kuphatikiza pa kadyedwe, masewera amalola odwala kuti azitha kupeza zotsatira zabwino komanso kuchepetsa matenda a shuga. Zochita zolimbitsa thupi ziyenera kukhala zopatsa malire. Itha kuwonjezedwa pang'onopang'ono komanso kuyang'aniridwa ndi akatswiri.

Ndikofunikira kwambiri kuwongolera kugunda kwa mtima pakuchita masewera olimbitsa thupi ndikuwonetsetsa kuti kuthamanga kwa magazi sikuwonjezeka.

Kodi chiwopsezo cha prediabetes ndi chiani?

Matenda a matenda ashuga sangathe kunyalanyazidwa. Chowonadi ndichakuti pakapita nthawi, kuphwanya glucose kumayamba kukhala mtundu wachiwiri wa matenda ashuga, womwe ndi matenda osachiritsika omwe umakulitsa moyo wamunthu.

Matenda a shuga amatha kuphatikizidwa ndi kusintha kwina kwa ma cell mu ziwalo ndi machitidwe:

• kuwonongeka kwa boma lamitsempha yamagazi komanso kukula kwa minofu ischemia yoyambitsidwa ndi kuphwanya kwawo magazi,
• zovuta zamitsempha
• zotupa ndi zilonda zam'mimba,
• kuchepa kwa masomphenya.

Makanema okhudzana nawo

About lingaliro ndi chithandizo cha prediabetes mu kanema:

Ngati vuto la munthu wodwala matenda oyamba ndi matenda a prediabetes likukulirakulira, ndipo mitundu ingapo yamavuto ikawoneka, simuyenera kuchedwetsa kupita kwa dokotala. Katswiriyu adzayambitsa maphunziro onse ofunikira ndikuwapatsa mankhwala kuti achulukitse matenda.

Kanema: Zoyenera kuchita kuti shuga asakhale shuga?

Zakudya zoyenera komanso kukhala ndi moyo wogwira ntchito zithandiza kupewa prediabetes. Ngati, munthawi ya matendawa, anali atapezeka, ndiye kuti ndikofunikira kuyambiranso chithandizo ndikusinthiratu moyo wanu wonse. Njira zoyendetsera panthawi yake zimathandizira kupewa zovuta monga matenda osiyanasiyana a mtima, impso, chiwindi ndi maso. Ndikofunika kukumbukira kuti chithandizo chikuyenera kuchitika kokha malinga ndi zofunikira zonse za katswiri woyenerera.

Ambiri safuna ngakhale kuganiza kuti matenda ashuga angawakhudze. Pazifukwa zina, anthuwa amakhulupirira kuti oyandikana nawo, m'makanema, ali ndi matenda otere, ndipo adzadutsa iwo osawakhudza.

Ndipo, mukamayesedwa, amapita kukayezetsa magazi, ndipo zimapezeka kuti shuga ndi 8 kale, kapena mwina apamwamba kwambiri, ndipo zonena za madotolo ndikukhumudwitsa. Izi zitha kupewedwa ngati zizindikiritso za matendawa zizindikirika munthawi yoyambira momwe zimayambira. Prediabetes ndi chiyani?

Matenda a shuga ndi mwayi waukulu wa kuyambika ndi kukula kwa matenda ashuga. Kodi izi zitha kuganiziridwa ngati gawo loyamba la matendawa?

Ndikovuta kwambiri kujambula mzere apa. Anthu omwe ali ndi matenda a prediabetes amatha kale kuwonongeka kwa zimakhala za impso, mtima, mitsempha yamagazi, ndi ziwalo zam'maso.

Kafukufuku wa asayansi akuwonetsa kuti zovuta zoyambirira zimayamba kale kumayambiriro kwa matenda ashuga.Matenda a shuga akapezeka, kuwonongeka kwa ziwalo kumawonekera kale ndipo ndizosatheka kuziletsa. Chifukwa chake, kuvomerezedwa kwakanthawi kwa vutoli ndikofunikira.

Anthu omwe ali ndi vutoli ali pachiwopsezo cha matenda a shuga a mtundu wachiwiri. Komabe, izi zimathandiza kusintha. Kusintha moyo wanu, kuthetsa zizolowezi zopanda thanzi, mutha kubwezeretsa thanzi lanu lotayika ndikupewa matenda oyipa kwambiri.

Pali zifukwa zingapo zomwe zimayambitsa matenda a prediabetes. Choyamba, uku ndikobadwa kwa makolo.

Akatswiri ambiri amakhulupirira kuti mwayi wodwala umachulukirachulukira ngati pakhala kale pali matenda am'banja kapena pachibale.

Chimodzi mwazinthu zofunikira kwambiri zoopsa ndi kunenepa kwambiri. Chifukwa chake, mwamwayi, amatha kuthetseratu ngati wodwalayo, pozindikira kuvutikaku, achotsa kulemera kwakukulu, mwakuyesayesa kwakukulu.

Njira zachikhalidwe zomwe beta-cell ntchito imalephera imatha kukhala chothandizira kukulitsa matenda a shuga. Ichi ndi kapamba, khansa ya kapamba, komanso matenda kapena kuvulala kwa timinyewa tina ta endocrine.

Udindo womwe umayambitsa matendawa umatha kuseweredwa ndi kachilombo ka hepatitis virus, rubella, chikuku, ngakhale chimfine. Zikuwonekeratu kuti unyinji wa anthu, SARS sichidzayambitsa matenda ashuga. Koma ngati uyu ndi munthu wolemedwa ndi cholowa komanso mapaundi owonjezera, ndiye kuti kachilomboka ndi kowopsa kwa iye.

Munthu yemwe alibe matenda ashuga mzungu wa abale ake apamtima amatha kudwala ma ARVI ndi matenda ena opatsirana nthawi zambiri, pomwe mwayi wokhala ndi matenda osokoneza bongo omwe umapitilira patsogolo umakhala wotsika kwambiri kuposa wa munthu yemwe ali ndi vuto lobadwa nalo. Chifukwa chake kuphatikiza pamavuto angapo nthawi imodzi kumawonjezera chiopsezo cha matendawa nthawi zambiri.

Zotsatirazi ziyenera kutchedwa kupsinjika kwamanjenje monga chimodzi mwazomwe zimayambitsa matenda a shuga. Ndikofunikira kwambiri kupewetsa kuchuluka kwa mantha ndi malingaliro kwa anthu omwe ali ndi vuto la matenda amtundu wa shuga komanso kukhala wonenepa kwambiri.

Udindo wofunikira pakuwonjezera ngozi umaseweredwa ndi zaka - munthu akamakula, amakhala ndi vuto la matenda a shuga. Vuto linanso lomwe limayambitsa ngozi ndi kusinthana kwa ntchito kuntchito, kusintha kugona ndi kugona. Pafupifupi theka la odzipereka omwe anavomera kukhala ndi moyo wopanda tsankho anali ndi matenda a prediabetes.

Glucose wamkulu ndi chimodzi mwazomwe chimawonetsa matenda a shuga amitundu yoyamba ndi yachiwiri. Ngati mutayezetsa magazi kangapo motsatizana ndi tsiku limodzi, ndikuwonetsa kukhalapo kwa hyperglycemia nthawi zonse, matenda ashuga amatha kuganiziridwa.

Mndandanda wazidziwitso za shuga:

Pali zizindikiro zina za matendawa. Mwachitsanzo, ludzu lamphamvu lomwe limatsala pang'ono kuzima. Munthu amamwa kwambiri, asanu, kapena malita khumi patsiku. Izi zimachitika chifukwa magazi amakula pomwe shuga wambiri amadzisonkhanitsa.

Dera linalake muubongo lotchedwa hypothalamus limayatsidwa ndipo limayamba kupangitsa munthu kumva ludzu. Chifukwa chake, munthu amayamba kumwa kwambiri ngati ali ndi shuga wambiri. Chifukwa cha kuchuluka kwa magazi, kukodza pafupipafupi kumawonekera - munthuyo amakhala "womata" kuchimbudzi.

Popeza kukhudzidwa kwa glucose ndi minofu kumalephera mu shuga, kutopa ndi kufooka kumawonekera. Munthu amawona kuti watopa kwenikweni, nthawi zina zimamuvuta nkomwe kusuntha.

Kuphatikiza apo, kusokonekera kwa erectile kumadziwonetsera mwa amuna, komwe kumakhudza gawo logonana la wodwalayo (kugonana) m'moyo. Mwa akazi, nthendayi nthawi zina imapereka zolakwika zodzikongoletsera - mawanga amisamba pakhungu la nkhope, manja, tsitsi ndi misomali imakhala yoyipa, yoyipa.

Pakupita kwa zaka, kagayidwe kake kamachepa, kenako mafuta ochulukirapo amalepheretsa glucose kulowa m'maselo - kukhalapo kwa zinthuzi kumawonjezera mwayi wokhala ndi matendawa. Komanso kapamba wachikulire amayamba kupanga insulini yocheperako ndi zaka.

Ndi matenda a mtundu wachiwiri, kulemera kumachitika kawirikawiri. Chowonadi ndi chakuti ndi mtundu uwu wa shuga m'magazi mumakhala zinthu zambiri za glucose ndipo, nthawi yomweyo, insulin. Zowonjezera thupi zimayesetsa kusunthira ku adipose minofu, monga yabwino kwambiri yosungira. Chifukwa cha izi, munthu amayamba kunenepa kwambiri mwachangu.

Chizindikiro china ndikumverera kwa dzanzi mu miyendo, kumva kulira. Izi zimamvekedwa makamaka m'manja, chala. Pamene magazi abwinobwino amasokonezeka m'magazi chifukwa cha kuchuluka kwa shuga m'magazi, izi zimayambitsa kusokonekera kwa zakudya zam'mitsempha. Chifukwa cha izi, munthu amakhala ndi mitundu yosiyanasiyana yosiyanasiyana yamalingaliro mwanjira yolira kapena kugona.

Ndipo pamapeto pake, khungu loyenda, lomwe ndilimodzi mwazizindikiro za matenda ashuga. Izi zitha kudabwitsidwa, kodi chizindikiritso cha glucose chingakhudze bwanji khungu lanu? Chilichonse ndichopepuka. Ndi hyperglycemia, kufalikira kwa magazi kumawipira, komwe kumapangitsa kuchepa kwa chitetezo chathupi. Chifukwa chake, mu matenda ashuga, kubadwanso kwa kachilombo koyambira pakhungu nthawi zambiri kumayamba, komwe kumapereka kuyimitsidwa.

Kuzindikira komaliza kuyenera kupangidwa ndi endocrinologist, osadalira amodzi, koma pamayeso angapo. Katswiri wodziwikiratu adzazindikira ngati ali ndi matenda a shuga kapena ayi, asankhe momwe angachiritsire, omwe mankhwalawa amakhala othandiza kwambiri nthawi iliyonse.

Popewa matenda a shuga kukhala osadabwitsa, ndikofunikira kuwongolera zizindikiro za shuga, izi zitha kuchitika mosavuta kuchipatala kapena kunyumba pogwiritsa ntchito glucometer.

Kuyimitsa chitukuko cha matenda ashuga m'magawo oyamba, ndikofunikira kusintha momwe amagwirira ntchito ndikupuma. Zowononga thupi monga kusowa tulo, komanso kuchuluka kwake. Kupsinjika kwakuthupi, kupanikizika kosalekeza kuntchito kumatha kukhala kolimbikitsa pakukula kwa matenda oopsa, kuphatikizapo matenda a shuga. Pa gawo la prediabetes, mankhwala wowerengeka azitsamba ndi njira zingapo zachikhalidwe zomwe sizichikhalidwe zimagwira.

Muyenera kutsatira zakudya zabwino. Kuyimitsa maulendo kupita ku dipatimenti ya soseji, kuyiwala za mitundu yonse ya kuphika, gwiritsani ntchito ufa wosalala ndi chinangwa m'malo mwa mkate woyera, palibe mpunga ndi pasitala yoyera, koma mitundu ya bulauni ya mpunga ndi phala kuchokera ku mbewu zonse za chimanga. Ndikofunika kuti musinthe kuchokera ku nyama yofiira (mwanawankhosa, nkhumba) kuti mukhale nkhuku ndi nkhuku, idyani nsomba zambiri.

Chachikulu ndikuwonetsetsa kuti m'zakudyazo muli zipatso ndi ndiwo zamasamba zokwanira. Hafu ya kilogalamu tsiku lililonse muyenera kudya zonse ziwiri. Mitima yambiri ndi matenda ena amayamba chifukwa chakuti timadya zobiriwira zochepa, zipatso zatsopano.

Muyenera kuchepetsa kuchuluka kwa maswiti anu menyu tsiku lililonse kapena kuchotseratu kwathunthu. Kuledzera kwawo kwambiri kungakhale chinthu chofunikira kwambiri pakukula kwa matenda ashuga.

Maola anayi akuyenda mwachangu pa sabata - ndipo matenda ashuga azikhala m'mbuyo kwambiri. Ndikofunikira kupereka osachepera mphindi makumi awiri kapena makumi anayi tsiku lililonse phazi, koma osati pang'onopang'ono kuyenda, koma kuthamanga pang'ono kuposa masiku.

Ndikofunika kuti muphatikize masewera muzochita zanu za tsiku ndi tsiku. Mutha kuyamba ndi masewera olimbitsa thupi m'mawa kwa mphindi 10-15 patsiku, pang'onopang'ono kuwonjezera kuchuluka kwa katundu. Izi zikuthandizira kufulumira kwa kagayidwe kachakudya mthupi, kuchepetsa shuga, komanso kuchepetsa kuchuluka kwa mapaundi owonjezera. Kuchepetsa thupi mwa 10-15% kumachepetsa kwambiri vuto la matenda ashuga.

Zolemba pa kanema za prediabetes ndi njira zochiritsira:

Zochita zolimbitsa thupi zitha kuphatikizidwa ndikuyenda kapena masewera ena owopsa. Mutha kusankha nokha kuthamanga, kusewera tenisi, basketball, kupalasa njinga, kusewera. Mulimonsemo, shuga azitha kudya ngati mphamvu, mphamvu za cholesterol zidzachepa, zomwe zimathandiza kwambiri kupewa matenda ashuga komanso mtima.

Matenda a shuga ndi chizindikiro chochenjeza kuti muli pachiwopsezo cha matenda ashuga amtundu wa 2. Izi zikutanthauza kuti magazi anu ndi okwera kuposa momwe ayenera kukhalira. Anthu ambiri omwe ali ndi matenda ashuga a 2 poyamba anali ndi prediabetes. Nkhani yabwino ndiyakuti kusintha kwa moyo kumatha kukuthandizani kuti mubwezeretsenso shuga lanu lamagazi ndikuletsa kapena kuchedwetsa kuyambika kwa matenda ashuga.

Matenda a shuga amapezeka pamene thupi siligwirizana moyenera ndi insulin ya mahomoni motero silingakhalepo ndi shuga (shuga) pamagulu abwinobwino. Nthawi yomweyo, kuchuluka kwa shuga m'magazi kumakhala kokwanira kuposa zabwinobwino, koma sikokwanira kukhazikitsa matenda a shuga. Ngati sanalandire chithandizo, matendawa amatha kuwonjezeka pakapita nthawi ndipo zimayambitsa kukula kwa matenda a shuga a 2 komanso zovuta zina, monga matenda am'mimba komanso matenda amitsempha yamagazi, sitiroko, maselo operewera, matenda amanjenje ndi impso.

Kwa zaka zambiri ndakhala ndikuphunzira za zovuta za DIABETES. Zimakhala zowopsa anthu ambiri akamwalira, ndipo makamaka amakhala olumala chifukwa cha matenda ashuga.

Ndithamangira kunena mbiri yabwino - Endocrinological Research Center ya Russia Academy of Medical Science idatha kupanga mankhwala omwe amachiritsiratu matenda ashuga. Pakadali pano, kugwiritsa ntchito bwino kwa mankhwalawa kuyandikira 100%.

Nkhani ina yabwino: Unduna wa Zaumoyo wateteza kukhazikitsidwa kwa pulogalamu yapadera yomwe imalipilira mtengo wonse wa mankhwalawo. Ku Russia ndi mayiko a CIS odwala matenda ashuga kale atha kupeza mankhwala ZAULERE .

Aliyense ayenera kudziwa za zazikulu zomwe zimayambitsa matenda a matenda a shuga:

Matenda a shuga ndi omwe nkhope imayamba ngati matendawa kulibe, koma kuchuluka kwa shuga m'magazi pamimba yopanda kanthu kumapitilira muyeso (kuphatikiza 5.5 mmol / L) ndipo ndi 5.6 - 6.5. Ndi chizindikiro cha 7 mmol / l pamimba yopanda kanthu, matenda a shuga amapezeka. Matenda a shuga amawonekeranso panthawi yoyesedwa ndi shuga. Ndi kulolera shuga wambiri, amalankhula za kukula kwa matenda ashuga a mtundu 2.

Zizindikiro zazikuluzakuti mukuyambitsa matenda a shuga.

Matenda a shuga amathandizika, kuwonjezera apo, amachiritsidwa kwathunthu. Mutha kuyimitsa kupitirirabe kwa matenda a shuga, koma pokhapokha ngati matendawa adapezeka ndi nthawi yoyenera komanso njira zoyenera adatengedwa.

Malinga ndi WHO, chaka chilichonse padziko lapansi anthu 2 miliyoni amafa chifukwa cha matenda ashuga komanso zovuta zake. Pokhapokha pakhale thandizo loyenerera la thupi, matenda ashuga amabweretsa mavuto osiyanasiyana, pang'onopang'ono kuwononga thupi la munthu.

Mavuto ambiri omwe amakonda ndi awa: matenda a shuga a shuga, nephropathy, retinopathy, zilonda zam'mimba, hypoglycemia, ketoacidosis. Matenda a shuga amathanso kuyambitsa kukula kwa zotupa za khansa. Pafupifupi nthawi zonse, wodwala matenda ashuga amwalira, akulimbana ndi matenda opweteka, kapena amasintha kukhala munthu wolumala.

Kodi anthu odwala matenda ashuga amatani? Endocrinological Research Center ya Russian Academy of Medical Sayansi yakwanitsa kupanga mankhwala omwe amachiritsiratu matenda ashuga.

Dongosolo la Federal "Mtundu Wathanzi" likuchitika, mkati mwanjira yomwe mankhwalawa amaperekedwa kwa aliyense wokhala ku Russian Federation ndi CIS ZAULERE . Kuti mumve zambiri, onani tsamba lovomerezeka la MINZDRAVA.

Pazonse, pali njira ziwiri zotulutsira munthu mdziko la prediabetes: Zakudya ndi mankhwala osokoneza bongo.

Njira yolipirira zakudya yokhala ndi magulu apadera olimbitsa thupi

Chilichonse ndichopepuka komanso modabwitsa. Ngati munthu adatsogolera njira yolakwika, maswiti oledzera, adadziwopseza ndi chikonga komanso zakumwa zoledzeretsa, ndiye kuti pamapeto pake: atha kulemera kwambiri, kusokoneza magwiridwe antchito a metabolic onse omwe amachepetsa chitetezo chokwanira, komanso adayambitsa kudziwononga. Sankafuna kuti abwerere m'mbuyo mu nthawi yake, ndipo palibenso wina amene amapulumutsa.

Pankhaniyi, comrade iyi ndiyothandizanso, chifukwa zimapangitsa kuti munthu asamangoganiza kawiri, komanso achite. Pa chitetezo chamunthu ndi moyo, munthu amapatsidwa zosankha ziwiri:

1. Ikani mtanda wolimba pa chilichonse ndi ...

pitilizani nkhani zanu. Mtsogolomo, mudzakumana ndi matenda a shuga, omwe amanjenjemera kwambiri "chopondapo" chaumoyo, pomwe mumayimilira ndi khosi kuzungulira khosi lanu monga zovuta za matenda ashuga. Kuchokera kwa iwo kuti odwala matenda ashuga ambiri amafa. Zotsatira zake zimakhala zomvetsa chisoni, sichoncho?

Matenda a shuga ndi kuphwanya kagayidwe kazakudya, nthawi zambiri kamakhala mtundu wachiwiri wa matenda ashuga, koma amasinthiratu ngati chithandizo chayamba pa nthawi. Izi si matenda, koma nthawi yoti mudye kwambiri zomwe mumadya komanso moyo wanu. Ndi prediabetes yoyambirira yomwe imathandizira anthu ena kukonza thanzi lawo, kukhala ochepa thupi komanso othandizira kwambiri.

Chiwerengero chachikulu cha anthu amakono choposa 45 amakhala ndi prediabetes, ngakhale osadziwa. Zizindikiro za matendawa zitha kutanthauzidwa ngati zovuta zomwe zimayambitsidwa chifukwa cha kunenepa kwambiri kapena matenda okalamba. Ndipo zonse chifukwa matenda asanafike shuga amapezeka makamaka pakati pa anthu onenepa kwambiri omwe samayang'anira zakudya zawo ndipo amakhala moyo wosalira zambiri.

Kunenepa kwambiri, makamaka ma visceral, kumapangitsa kuti insulin ithetse - kusazindikira mtima kwa insulin. Zotsatira zake, mahomoni, omwe amapangidwabe bwino ndi kapamba, sangathe kunyamula glucose kumisempha ndi chiwindi, ngakhale atafunikira. Zadziwika kuti, ndi kusuntha kochepa, minofu sigwiritsa ntchito mokwanira masitolo awo a glycogen ndipo satembenukira ku "chosungira" - chiwindi chake.

Chifukwa chake, kumwa kwa glucose kumachepetsedwa, ndipo ndi chakudya kumapitirirabe, nthawi zambiri zochuluka. Pogwiritsa ntchito shuga wambiri, zikondamoyo zimayamba "kugwira ntchito masinthidwe atatu", ndikuwonjezera kupanga insulin. Izi zimathandizira kwakanthawi kuti athe kupirira shuga, kusunga magazi ake kukhala oyandikira (6,6 mmol / l). Awa ndi omwe amadwala matenda ashuga, koma osadwala.

Ngati mungazindikire vutoli munthawi yake ndikuchita zina, mutha kusintha kagayidwe kazakudya. Kupanda kutero, kukana kwa insulin kwa minofu kumakulirakulira, ndipo kapamba wadzaza kwambiri ayamba kuchepetsa kupanga insulin. Mwazi wamagazi uzidutsa chapamwamba kwambiri chamakhalidwe ovomerezeka, ndipo mtundu wa 2 shuga uyamba.

Ngakhale kusinthanso kwa prediabetes, kumakhala koopsa monga matenda a shuga. Kupatula apo, kuchuluka kwa shuga m'magazi kumakulitsidwa, ngakhale pang'ono. Ngoziyo ndi chiopsezo cha zovuta zazikulu kuchokera ku mtima, khungu, matenda akulu, ndipo khansa imayamba. Chifukwa chake, ndikofunikira kwambiri kuzindikira matenda a nthawi ndi kuyamba kulandira chithandizo.

Matenda a shuga ndi mkhalidwe womwe unayambika wa matenda ashuga a mtundu wachiwiri. Chowonadi ndi chakuti mtundu 1 wa matenda ashuga umachitika mwadzidzidzi paubwana, mwa anthu ochepa thupi, koma mtundu wachiwiri wa matenda ashuga umayamba pang'onopang'ono, ndipo chifukwa chake sikuti kudya maswiti konse, koma, kudya kwambiri, chifukwa momwe amayambitsa matenda ndi insulin kukana monga zotsatira zakulemera kwambiri.

Malinga ndi kafukufuku wambiri, ambiri mwa odwala matenda ashuga omwe amakonda kudya. Chakudya chokhala ndi zowonjezera zamankhwala ndi mafuta opatsirana zimathandizira kusokoneza osati chakudya chokha, komanso metabolism yamafuta, kumabweretsa kunenepa kwambiri kwamkati, kulowa kwamisempha yambiri kwamafuta, komwe kumapangitsa insulin kukana.

Ntchito yofunikira pakukula kwa prediabetes imaseweredwa ndi cholowa, chomwe sichimapatsa munthu matenda. Ngakhale matenda ashuga ngati matenda am'banja, sizokayikitsa kuti munthu wocheperako, yemwe amadya zakudya zoyenera amatha kudya.

Mukunena mwachidule zomwe zimayambitsa matenda a prediabetes, zinthu zotsatirazi zowopsa zitha kusiyanitsidwa:

• onenepa pambuyo pa zaka 45, makamaka ndi kuchuluka kwamafuta m'mimba,
• kumangokhala
• chibadwa
• cholesterol yayikulu, matenda oopsa, matenda amtima,
• mbiri yodwala matenda ashuga,
• kusuta
• kusowa tulo kapena kugona kwambiri.

Monga tanenera pamwambapa, matenda a prediabetes nthawi zambiri samadziwonetsa. Komabe, anthu omwe ali ndi chidwi ndi zomverera zawo amatha kuzindikira zomwezo zomwe zikusonyeza kuti ali ndi matenda ashuga, koma modekha. Izi ndi:

• ludzu losafunikira ndipo, chifukwa chake, kukodza pafupipafupi,
• kuwonongeka kwamawonekedwe
• kutopa kwambiri ndi kukhumudwa.

Zonsezi ndi mawonetseredwe a shuga okwanira, omwe amakulitsa magazi, zomwe zikutanthauza kuti magazi amapezeka ku ziwalo zonse ndi machitidwe onse akuchepa. Chifukwa chake kumverera kwathanzi lathanzi, kusawona bwino ndi ludzu (thupi likuyesayesa kusinthasintha kwa magazi chifukwa cha madzi owonjezera).

Pali zisonyezo zina zapadera zomwe zimadziwika pakati pa azimayi ndi abambo. Chifukwa chake, amayi amatha kudwala matenda osachiritsika, chifukwa shuga wambiri amathandiza kukulitsa matenda oyamba ndi fungus. Amuna ayenera kulabadira kuchepa kwa potency.

Zizindikiro zonse zimatha kutanthauziridwa ngati ndalama zachilengedwe zaukalamba, choncho njira yabwino kwambiri yodziwira matenda oyamba ndi matenda ashuga kumakhala ndikuyezetsa magazi kwa anthu opitilira 45, makamaka iwo omwe ali pachiwopsezo.

Chithandizo chothandiza cha prediabetes sichingatheke popanda kudya mosamalitsa. Wodwala amayenera kutsatira malamulo otsatirawa:

Ndikofunika kufunsa dotolo kapena wamankhwala oyenera kuti adye. Katswiriyu amawerengera za kadyedwe kabwino ka zakudya zomwe zimafunikira kwa wodwala winawake ndikulemba mapulani azakudya za munthu payekha. Muthanso kugwiritsa ntchito manambala 9 azakudya.

Mndandanda wazitsanzo za sabata lakulipira mtundu wa anthu asanafike shuga umawonetsedwa patebulo lomwe lili pansipa (lotengedwa apa):

Kodi matenda a prediabetes ndi omwe amakonda

Zomwe zimachitika kuti kagayidwe kazakudya kagayidwe kale, shuga ndiwokwera kwambiri, koma osanena za matenda amtundu 2, amatchedwa prediabetes.

M'mbuyomu, anthu ankawaganizira kuti ndi gawo lofunikira kwambiri la matenda ashuga, koma amapezeka palokha. Kusintha koyambirira kwa kagayidwe kake ndizovuta kuzindikira pawokha, koma ndizosavuta kuzindikira kudzera mwa mayeso a labotale.

Mitundu ya kusanthula:

1. Mayeso a kulolera a glucose imatengedwa kuti ndi yodalirika kwambiri pakupezeka matenda a prediabetes, chifukwa nthawi zambiri odwala amakhala atalephera kuloza shuga. Ndi cheki cha kuchuluka kwa glucose omwe amapezeka m'misempha. Mlingo wa shuga mwa munthu wathanzi ndi wabwinobwino maola awiri mutatha kudya. Ndi prediabetes, adzakhala osachepera 7.8 mmol / L.
2. Kuthamanga Glycemia. Kuzindikira kwa matenda ashuga kumachitika pamene shuga akusala m'magazi a wodwala apitilira 7 mmol / L. Zowonjezera ndizosachepera 6 mmol / l. Prediabetes - zizindikiro zonse ndizapakati pa 6 ndi 7 mmol / L. Ndi za magazi a venous. Ngati kuwunika kumachotsedwa chala, manambala amachepera pang'ono - 6.1 ndi 5.6 - momwe angaperekere magazi a shuga.
3. Kusala insulin. Shuga ikasiya kuchotsedwa m'magazi mu nthawi, kapamba amalimbitsa ntchito yake. Mwayi wa prediabetes ndiwokwera kwambiri ngati mulingo wa insulin ndi wokulirapo kuposa 13 μMU / ml.
4. Glycated Hemoglobin ikuwonetsa ngati pakhala kuwuka kwa shuga m'magazi 3 apitawa. Zowonjezerazo zikufika pa 5.7%. Matenda a shuga - mpaka 6,4%. Pamwambapa pali shuga.

Kufunika komanso kusanthula pafupipafupi:

Zinthu zomwe zimapangitsa kuti matenda a shuga asadutse:

1. Kupanikizika kwakukulu kuposa 140/90 kuphatikiza cholesterol yokwezeka komanso triglycerides.
2. Achibale a mzere woyamba amadwala matenda amtundu wa 2.
3. Mumadwala matenda ashuga nthawi iliyonse yomwe muli ndi pakati.
4. Matenda a shuga a amayi anu.
5. Kulemera kuposa 4 kg pakubadwa.
6. Kukhala wa liwiro la Negroid kapena Mongoloid.
7. Kuchuluka kwa zolimbitsa thupi (zosakwana maola 3 pa sabata).
8. Kupezeka kwa hypoglycemia (kutsika kwa shuga m'munsi mwa nthawi yochepa pakati pa chakudya, chizindikiro chachikulu ndikunjenjemera kwamkati panthawi yanjala).
9. Kugwiritsa ntchito nthawi yayitali ma diuretics, estrogen, glucocorticoids.
10. Kumwa makapu oposa atatu a khofi patsiku.
11. Matenda a periodontal matenda.
12. Pafupipafupi zotupa pakhungu, zithupsa.

Zifukwa zachitukuko

Cholinga chachikulu cha onse odwala matenda am'mbuyomu komanso mtundu wachiwiri wa shuga ndikuwonjezereka kwa minofu kukana insulin. Insulin ndi mahomoni, chimodzi mwazinthu zomwe ntchito yake ndikupereka shuga ku maselo a thupi. M'maselo omwe akutenga nawo mbali, zochita zingapo zamankhwala zimachitika, chifukwa cha mphamvu imatulutsidwa. Glucose amalowa m'magazi kuchokera ku chakudya. Ngati maswiti, monga makeke kapena maswiti, akanadyedwa, shuga wamagazi amakwera kwambiri, popeza mtundu uwu wamafuta umafikiridwa msanga. Kasitomala amayankha kutulutsidwa kumeneku mwa kuwonjezereka kwa insulin, ndipo nthawi zambiri amakhala ndi malire. Ngati chakudya chamagalimoto ovuta, monga chimanga kapena ndiwo zamasamba zokhala ndi fiber yambiri, chimaperekedwa ndi chakudya, shuga chimaperekedwa pang'onopang'ono, chifukwa zimatenga nthawi kuti chiwonongeke. Nthawi yomweyo, insulini imapangidwa m'miyeso yaying'ono, yokwanira kugwiritsa ntchito shuga wambiri mu minofu.

Ngati pali shuga wambiri m'magazi, amabwera nthawi zambiri m'magulu akulu, ndipo ma voliyumu ake amapitilira mphamvu zamagetsi, kuthana ndi insulin pang'onopang'ono kumayamba kukula. Zimayimira kuchepa kwa mphamvu ya insulin. Zilonda zam'mimba zimatha kusiyanitsa mahomoni ndikulowetsa glucose mkati, shuga amawuka, prediabetes imayamba.

Kuphatikiza pa kukana insulini, zomwe zimayambitsa matendawa zimatha kukhala zopanda insulin chifukwa cha kapamba, zotupa (mwach., Insulinoma), kusintha kwa cystic, komanso kuvulala kwa pancreatic.

Kodi matenda a prediabetes angachiritsidwe?

Tsogolo la munthu yemwe ali ndi prediabetes lili m'manja mwake kwathunthu. Ndi iye yekha amene amatha kupanga chisankho. Mutha kupitiliza kukhala kumadzulo pamaso pa TV ndi tiyi ndi keke yomwe mumakonda ndipo monga chotulukapo, chitani nthawi yotsiriza ya moyo wanu polimbana ndi matenda ashuga komanso zovuta zake zambiri. Ndipo mutha kusintha malingaliro anu, moyo wanu ndikuwona prediabetes monga chikumbutso choti malingaliro athanzi sangachite popanda thupi lathanzi.

Kuletsa kwazosankha zamagalimoto othamanga, kuchepa thupi, maphunziro a thupi zimadabwitsa. Ngakhale kuyeserera kochepa kumalipira kangapo. Mwachitsanzo, kuchepa thupi kwa 7% kokha kumachepetsa chiopsezo cha matenda ashuga pafupifupi 58%. Kutsatira potsatira upangiri wonse wa dokotala kumachiritsa matenda ashuga, ndikuchepetsa matenda oopsa, matenda a mtima ndi matenda a impso nthawi 1.5.

Momwe mungapewere kukula kwa matenda ashuga

Ngati mayeso a labu asonyeza kuloleza kwa glucose, muyenera kucheza ndi endocrinologist. Adzaikanso mayeso ena kuti adziwe kuopsa kwa matenda ashuga posachedwa, kuti adziwe kuchuluka kwa kuwonongeka kwa makoma amitsempha yamagazi. Ndi mawonekedwe achilendo onenepa (mwachitsanzo, mwa azimayi amtundu wa admin), kafukufuku wam'mbuyo wa mahomoni adzalembedwera.

Kutengera ndi zomwe zalandiridwa zokhudzana ndi zaumoyo, pulogalamu ya munthu payekha yothandizira matenda a matenda ashuga iphatikizidwa. Ili ndi magawo atatu: zakudya zapadera, masewera olimbitsa thupi komanso mankhwala. Zoyambirira ziwiri ndizovomerezeka, popanda iwo zovuta za metabolic sizingathetsedwe. Koma phindu la mankhwala ndilocheperapo. Amachepetsa chiopsezo cha matenda ashuga ndi gawo limodzi lokha. Chifukwa chake, mankhwalawa amathandizidwa ngati othandizira anthu onenepa kwambiri kapena ngati wodwalayo alibe kupirira komanso kupirira pakudya.

Kugwiritsa ntchito zakudya zapadera

Zolinga za zakudya zochizira matenda a prediabetes:

• kutsika kwa calorie kudya,
• kuwonetsetsa mulingo wofanana wa shuga,
• kutsika kwa kuchuluka kwa shuga m'magazi.

Chithandizo cha prediabetes ndizosatheka popanda kutaya kwathunthu chakudyacho kuchokera ku chakudya chambiri. Izi ndi zinthu zonse zomwe zimakhala ndi index ya glycemic pamtunda wama 50. Onaninso tebulo la GI, samalani ndi zakudya zomwe zili ndi index yotsika, yomwe idayiwalika mwanjira yanu. Tsegulani cookbooks kapena masamba, pezani maphikidwe potengera iwo. Ngati mungathe kupanga osati thanzi labwino, komanso chakudya chokoma kwa inu, iyi ndi gawo lalikulu lopewera matenda a prediabetes.

Zoyenera kuchita kuti zakudya zomwe zili ndi prediabetes zizigwira bwino monga momwe mungathere:

1. Dzazani firiji yanu ndi zakudya zololedwa kuti musayesedwe ndi zovulaza. Tengani mndandanda wazinthu zomwe zikugulitsidwe kuti musatsegule mwachisawawa.
2. Kongoletsani mbale zopangidwa ndi anthu, pangani malo abwino, muziyang'ana anthu amitima yawo. Mwachidule, chitani chilichonse kuti chakudya chisawonekere ngati chopinga, koma monga njira yopita kumoyo wabwino.
3. Kuti muwone kuti glucose amalowa m'magazi momwemonso, idyani m'magawo ang'onoang'ono 5 patsiku.
4. Mukachoka kunyumba, mudye naye chakudya. Kwa matenda ashuga asanakwane, mumatha kudya masamba osankhidwa, mtedza, ndi buledi wopanda tirigu monga chakudya.
5. Lekani kuyika shuga mu tiyi. Ngati simungathe kupirira kukoma kwatsopano, gulani lokoma.
6. Siyani khofi kwathunthu. Ndi kulowerera pang'onopang'ono kwa khofi wanu m'thupi lanu, ngakhale kumwa pang'ono pang'ono ndi chachitatu kumakulitsa chiopsezo cha matenda a shuga.
7. Funsani kwa endocrinologist. Ngati muli ndi insulin yayikulu, mankhwala amkaka ayenera kuletsedwa kwa miyezi ingapo. Kukhazikitsidwa kuti ali ndi index yayikulu ya insulin, ndiye kuti, amachititsa kuti maholide azitulutsa.

Kusintha momwe mumadyera ndi prediabetes ndizovuta kwambiri. Ngakhale thupi lako lidzatsutsana nawe. Kwa zaka zambiri, adazolowera kupanga magetsi osavuta, chifukwa chake zakudya zilizonse zopanda chakudya zimatha kuoneka ngati zopanda vuto komanso zopanda chiyembekezo. Zimatenga nthawi, nthawi zambiri pafupifupi miyezi iwiri, kuti mumangenso kagayidwe. Ngati mungathe kupirira nthawi imeneyi, mudzadabwitsidwa kumva kuti masamba abwino omwe ali ndi nyama amathanso kukhala okoma, ndipo zipatso zokhala ndi mchere zimabweretsa chisangalalo chochepa kwambiri.

Ndipo apa mutha kupeza zakudya zamafuta ochepa a anthu odwala matenda ashuga ndikuyesera kudya - http://diabetiya.ru/produkty/nizkouglevodnaya-dieta-pri-diabete.html

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!

Zochita zolimbitsa thupi zamitundu yosiyanasiyana

Kusintha kwa zakudya za prediabetes sikokwanira. Ndikofunikira kuti chikhazikitse shuga wambiri m'thupi, komanso kukhazikitsa njira zopopera. Njira yothandiza kwambiri yochepetsera kukana insulini ndikuyenda bwino kwa magazi kuchokera m'magazi ndikulimbitsa thupi mwadongosolo. Minofu ndiyo yogwiritsa ntchito mphamvu zambiri mthupi lathu. Zikagwira ntchito kwambiri, shuga azikhala ochepa.

Kuti muchepetse matenda a prediabetes, kukhala wothamanga sikofunikira. Amakhulupirira kuti pochiza matenda amtundu wa metabolic, kulimbitsa thupi theka la ola tsiku lililonse kapena ola limodzi katatu pamlungu ndikokwanira.

Cholinga choyamba panjira yopita ku moyo wathanzi ndikusiya chizolowezi chokhala tsiku lonse. Yambani kusuntha - yendani madzulo, pang'onopang'ono kuwonjezera liwiro ndi mtunda. Yendani kukagwira ntchito, kukwera masitepe, osati okwera, kuchita masewera olimbitsa thupi pomwe mukuwona TV kapena kucheza pafoni.

Gawo lotsatira ndi kuphunzira pafupipafupi. Sankhani maphunziro malinga ndi momwe mumafunira, funsani dokotala wanu ngati waloledwa mu thanzi lanu. Kwa anthu onenepa kwambiri, zochitika zilizonse mu dziwe kapena kuyenda zimalimbikitsidwa. Ndi kuwonda pang'ono - kuthamanga, masewera amtimu, masewera achisanu, kuvina, kulimbitsa thupi.

Kumayambiriro kwa maphunziro, chinthu chachikulu sikuti muchichita mopitirira muyeso. Kuchita masewera olimbitsa thupi kuyenera kuthandizira kuchuluka kwamtima. Ngati mwatopa, chepetsani. Ndikwabwino kukwaniritsa cholinga chanu patapita nthawi pang'ono kusiya kusiya kuthamangira kulandira chithandizo.

Pokhala ndi zochulukirapo zochita, musaiwale za kupumula kwabwino. Kuti thupi ligawane mosavuta ndi mafuta omwe asungidwa, muyenera kugona pafupifupi maola 8. Insulin imapangidwa usiku wocheperako, kotero magazi ochokera ku shuga yambiri ayenera kumasulidwa pasadakhale: khalani olimbitsa thupi ndipo musadye maola awiri asanagone.

Kodi mankhwala ndi ofunika?

Nthawi zambiri, kusintha kwa moyo kumakwanira kuchiritsa matenda ashuga. Amayesera kuti asapereke mankhwala othandizira kuti azitha kusintha zotsatira zake.

Ngati patatha miyezi itatu kuyambira pomwe munayamba kulandira chithandizo palibe zotsatira, mudzayikidwa Metformin. Mankhwala amatha kuchepetsa kapangidwe ka shuga ndi chiwindi, zomwe zikutanthauza kuti azithandizanso kusala glycemia. Kuphatikiza apo, amachepetsa kukana kwa insulin, ndiye kuti, mutatha kudya, shuga kuchokera m'magazi amalowa m'maselo. Chinanso chabwino cha Metformin ndi kuchepa kwa mayamwidwe a shuga m'matumbo. Gawo la glucose lomwe limatha lidzatsitsidwa mu ndowe.

Kumwa Metformin moyo wake wonse m'chiyembekezo chopewa matenda a shuga ndizowopsa. Mukamamwa, kutulutsa, kupweteka kwam'mimba, thupi lawo limawonedwa. Ngati pazifukwa zina mankhwalawa sadzachotsedwa mu impso pakanthawi, chiwopsezo cha lactic acidosis ndi chambiri. Kugwiritsa ntchito nthawi yayitali kumayambitsa kusowa kwa vitamini B12, wofundidwa ndi kufa kwamitsempha yama mitsempha komanso kukhumudwa. Chifukwa chake, kuikidwa kwa Metformin kumakhala koyenera pokhapokha ngati chithandizo sichingatheke popanda thandizo la kuchipatala. Nthawi zambiri uwu ndi mtundu wachiwiri wa matenda ashuga, osati prediabetes.

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 >>