Shuga wamagazi 20-20 > Matenda a shuga

Glycemia ikakwera kufika pa 7.8 ndikukhala pamlingo uwu kwa nthawi yayitali, kusintha kosasinthika kumayamba m'thupi. Imani shuga yamagazi 20 mmol / l ndichofunikira mwachangu. Zinthu ngati izi zitha kuchititsa kuti mugwere kapena kumwalira kwa wodwalayo. Hyperglycemia wolimba nthawi zambiri imawonedwa mu matenda a shuga a mtundu wachiwiri wosadalira insulini. Zimaphatikizidwa ndi kusagwirizana ndi zakudya, kapena chithandizo chosankhidwa mosayenera.

Shuga wamagazi 20 - amatanthauza chiyani

Munthu aliyense ayenera kuyang'anira kayendedwe ka glucose m'magazi, chifukwa nthenda "yokoma" imatha kuyamba zaka zilizonse.

Gulu lamavuto limaphatikizapo anthu:

gulu lokalamba
omwe abale ake amwazi anali ndi matenda ashuga
onenepa
okhala ndi pathologies mu ntchito ya endocrine system,
kumwa mankhwala omwe mavuto ake amakhudza shuga;
ndi matenda oopsa.

Kusanthula kamodzi pachaka ndikofunikira kwa odwala omwe ali ndi:

nyamakazi
Matenda a hepatic ndi aimpso,
matenda a periodontal
Hypoglycemia wachidziwikire,
ovary polycystic,
furunculosis.

Hyperglycemia yokhala ndi zizindikiro za 20.1-20.9 imadziwika ndi zizindikiro zazikulu:

ludzu lochulukirapo, kukoka pafupipafupi (makamaka usiku),
kamwa yowuma
kusabala, ulesi, kugona,
kusokonekera, ulesi, mantha,
chizungulire
zomverera
kugona kusokonezedwa
thukuta
kuchepa kowoneka bwino,
kusowa kwa chakudya kapena njala yosatha,
mawonekedwe a khungu pakhungu,
dzanzi, kupweteka m'malo otsika,
nseru ndi magawo a kusanza.

Ngati munthu awona zizindikirozi kunyumba, muyenera kudziwa kuchuluka kwa shuga m'magazi omwe asintha. Mwinanso anakula kwambiri.

Zonse zokhudza thupi komanso za m'magazi zimatha kukhala zifukwa zomwe zimayambitsa ma glycemia chizindikiro mkati mwa magawo 20.2 komanso apamwamba. Zambiri mwazomwe zimayambitsa shuga yayikulu zimaphatikizapo:

kukula kwa matenda ashuga
mavuto mu dongosolo la endocrine,
matenda okhudza kapamba,
matenda a chiwindi
matenda opatsirana komanso ma virus.

Zokhudza thupi

kupsinjika kwambiri, kuchuluka kwa maganizo
kusachita masewera olimbitsa thupi, masewera olimbitsa thupi osakwanira,
uchidakwa ndi kusuta fodya
kusakwanitsa kwa mahomoni.

Nthawi zina ndimadwala omwe amadalira insulin, phindu la shuga limafika pa 20.3-20.4 mmol / L. Izi zitha kukhala chifukwa cha:

Mlingo wolakwika wa mankhwalawa
ndikulumphanso jakisoni wina wa insulin,
kuphwanya njira yoperekera mankhwala,
kumwa mowa kuti muchotse mankhwala popumira.

Dokotala ayenera kuuza wodwalayo zoyenera kuchita muzochitika zotere. Kumayambiriro kwa mankhwalawa, amafotokozera mwatsatanetsatane momwe angabiritsire mankhwalawa komwe gawo la thupi ndi zina zina. Mwachitsanzo, simungachotsere singano mwachangu, monga momwe mankhwalawa angatayire. Majakisoni samachitika m'malo ovuta, osamwetsa mowa, ndipo mankhwalawa amachitika musanadye, osadya.

Chifukwa chiyani muyenera kuchita mantha?

Hyperglycemia yokhala ndi kuchuluka kwa glucose ya 20.5 imatanthawuza kuti kagayidwe kake m'thupi la wozunzidwayo kamakhala kovuta ndipo m'tsogolomu angayang'ane:

Zizindikiro zomwe mungazindikire kuti mwayamba kutsika zili motere:

kutsika kwadzidzidzi kwamachitidwe,
Fungo la acetone mu mkodzo ndi mkamwa,
kupuma movutikira
loto lofanana ndi swoon.

Pano wodwala amafunikira chithandizo chamankhwala chodzidzimutsa komanso chithandizo cha mankhwala.

Kuchuluka kwa shuga a 20.7 ndi apamwamba, omwe nthawi zambiri amapezeka mwa wodwala, popanda chithandizo choyenera kungayambitse kukula kwa ma pathologies owopsa:

matenda ashuga - amathandizira kukulira zowawa ndi matenda amisempha yakumapeto, omwe amadzuka ndikulumala komanso kulumala,
polyneuropathy - zotupa zingapo za mizu yamitsempha, yodziwika ndi kukhudzika kwa zilonda zam'mimba, zilonda zam'mimba, zovuta zam'mimba.
angiopathy - kuwonongeka kwa mitsempha yayikulu komanso yayikulu,
retinopathy - kuphwanya magazi kumayendedwe ka diso, komwe kumapangitsa kuti khungu lithe kuwona komanso khungu.
Zilonda zam'mphongo - zolakwika za pakhungu ndi mucous nembanemba, amadziwika ndi kuchiritsa pang'onopang'ono komanso pafupipafupi.
gangrene - kusintha kwachilengedwe komwe kumachitika minofu yamoyo,
nephropathy - kuphwanya kwa ntchito kwa kusefa impso, komwe kumayambitsa kukula kwa impso kulephera.
arthropathy - kusintha kwa dystrophic mu mafupa a kutupa.

Ndizosatheka kunyalanyaza glycemia yapamwamba. Ndikofunikira kuwabwezera ku mfundo zomwe sizingachitike, zomwe zingapewe kukula kwa zovuta ndi zotsatira zowopsa.

Zoyenera kuchita ngati shuga ali pamwamba 20

Pakadumphidwe kalikonse m'magazi, muyenera kulumikizana ndi endocrinologist. Adziwonetsa wodwalayo kukamuwonjezera, zomwe zimathandiza kudziwa zomwe zimayambitsa matenda. Ngati chitukuko cha matenda ashuga chikugwirizana ndi vuto lakelo, dotolo amasankha mtundu wake ndikuyambitsa kuyamba chithandizo.

Mu mtundu woyamba wamatenda (wodalira insulin), insulin imayikidwa. Izi matenda amadziwika ndi kuchepa kwa kupanga kwa mahomoni ofunikira ndi maselo a endocrine. Zotsatira zake, shuga amapezeka mwachangu m'magazi, zizindikiro za matendawa zimakhala zowawa komanso zimapitirira patsogolo. Zochizira zowonjezera zimatengera mtundu wa matenda.

Mtundu wachiwiri wa matenda, kulumikizana kwa minyewa yam'mimba yokhala ndi insulin kumasokonekera, zomwe zimapangitsa kuti hyperglycemia ipangidwe. Kodi odwala otere ayenera kuchita chiyani? Amayenera kuphatikiza zakudya zamagulu olimbitsa thupi, kuchita masewera olimbitsa thupi komanso kulandira mankhwala ochepetsa shuga, omwe amalangizidwa ndi katswiri.

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!

Zakudya za wodwala ziyenera kuphatikizapo zakudya zomwe zimachepetsa shuga

dzungu
mtundu uliwonse wa kabichi
masamba amadyera,
Zipatso zopanda zipatso ndi zipatso,
mtedza uliwonse
bowa
radishi
tomato
masamba
mphodza, nyemba
zukini, biringanya,
mbewu monga chimanga, mpunga wa bulauni, oatmeal,
nsomba zam'nyanja
anyezi ndi adyo,
mafuta a masamba.

Mwa zakudya zoletsedwa zomwe zili ndi index yayikulu ya glycemic, ndikofunikira kuwunikira:

kirimu wowawasa, kirimu, yogurt yamafuta ambiri,
chokoleti, koko
mayonesi
masoseji,
batala
yokazinga, mafuta, zokometsera,
mkate wopambana
maswiti, mkaka wokometsedwa,
kuphika batala.

Ndikotheka kupanga zakudya zothandiza kwa odwala matenda ashuga pogwiritsa ntchito mbale: Buckwheat wosemedwa (magawo 5) ndi walnuts wosweka (gawo limodzi) ndi wosakanikirana. 1 spoonful wamkulu wa osakaniza madzulo kutsanulira kotala chikho cha yogurt kapena wowawasa mkaka, popanda oyambitsa. M'mawa, zomwe zimapangidwira zimadyedwa pamimba yopanda kanthu ndi magawo a apulo. Masana musanadye chakudya chachikulu, mutha kugwiritsa ntchito osakaniza supuni yayikulu kawiri.

Ndikofunika kuti mupitilize kudya izi kwa miyezi itatu. Izi zikuthandizani kuti musinthe ma shuga ndi kupewa malo owopsa omwe hyperglycemia ingafikire - 20.8 mmol / l kapena kupitilira.

Kuphatikiza apo, mutha kugwiritsa ntchito maphikidwe a mankhwala achikhalidwe. Athandizanso kuyang'ana kuchuluka kwa shuga. Koma musanagwiritse ntchito, muyenera kulandira chilolezo kuchokera kwa dokotala:

Makungwa a Aspen (ma 2 ang'onoang'ono) amawathira mu malita 0,5 amadzi ndi kuwiritsa kwa theka la ola pamalawi apakati. Kenako kuphimba ndi kuyika malo otentha kwa maola osachepera atatu. Ataumirira, amasefedwa ndipo amatengedwa katatu patsiku chakudya chachikulu, chikho cha kotala kwa miyezi itatu.
Masamba a Bilberry, masamba a nyemba, oats muyezo wofanana amasakanikirana. Supuni yayikulu yaiwisi imathiridwa ndi madzi otentha ndikuwiritsa pamoto pang'onopang'ono kwa mphindi 5. Kuumirira ola, zosefera ndi kutenga gawo limodzi mwa magawo atatu a galasi musanadye katatu / tsiku.
Sipuni yayikulu yotseka ndi m'chiuno mumathiridwa ndi magalasi awiri amadzi otentha. Mukalimbikira, mawonekedwe ake amagwiritsidwa ntchito m'malo mwa tiyi.
Galasi la mbewu za oat zimatsanuliridwa m'madzi otentha a 1.5 malita ndikuyika kwa pafupifupi ola limodzi pamalawi osachedwa. Sefa ndi kutenga m'malo mwa madzi aliwonse. Kulowetsedwa uku kumathandizira kuchepetsa kuchuluka kwa glycemia mu odwala matenda ashuga.
Muzu wa Horseradish ndi grated ndikusakanizidwa ndi mkaka wowawasa pamlingo wa 1:10. The chifukwa zikuchokera kumwedwa waukulu supuni katatu tsiku musanadye. Shuga satsika nthawi yomweyo, koma wodwalayo amamva zabwino za mankhwalawa pogwiritsa ntchito pafupipafupi.

Pofuna kupewa kuchuluka kwa shuga m'magazi, muyenera kuyezetsa magazi anu pafupipafupi. Izi zitha kuchitika mothandizidwa ndi glucometer - chipangizo chothandiza chomwe wodwala aliyense angapeze. Ngati zotsatirazi zikukhumudwitsa, mwachitsanzo, zamitengo ya 20.6 mmol / l, ndikofunikira kuwona dokotala ndikusintha mankhwalawo.

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 >>

Zifukwa zolipirira shuga

Njira ya matenda ashuga imadalira momwe thanzi la glucose limakhalira. Mulingo wapamwamba, pambuyo pake zovuta za mawonekedwe a chikomokere zimayamba kapena zisonyezo zowonongeka mu minyewa yamitsempha, mitsempha yamagazi, impso ndi gawo lachiwonetsero likuwonjezeka - iyi ndi 7.8 mmol / l mukayezedwa musanadye.

Ngati shuga atakwera kwambiri, chiwopsezo chokhala ndi matenda ashuga chikuwonjezeka, ndipo ngati shuga m'magazi ndi 20, kodi izi zikutanthauza chiyani kwa thupi? Ndi hyperglycemia yotere, mapangidwe a matupi a ketone mosakhazikika amachitika, chifukwa izi zikutanthauza kuperewera kwa insulin mu mtundu 1 wa shuga kapena matenda a shuga a 2.

Pa kagayidwe kabwinobwino, insulin imateteza minofu ya adipose pakuwonjezeka kwambiri ndipo salola kuchuluka kwa mafuta achilengedwe m'magazi, momwe matupi a ketone amapangidwira. Ndi kuchepa kwa maselo, kufa ndi njala, komwe kumayambitsa ntchito ya mahomoni otsutsana, zomwe zimapangitsa kuti shuga ya magazi ikhale yoposa 20 mmol / l.

Mtundu wachiwiri wa matenda ashuga, kuwonjezereka kwa kuchuluka kwa glucose ochulukirapo 20 mmol pa 1 lita imodzi ya magazi sikungapangitse kupangika kwa matupi a ketone, bola ngati pali insulin yokwanira m'magazi kuteteza minofu ya adipose. Nthawi yomweyo, maselo sangapangitse shuga wa m'magazi ndipo khungu la hyperosmolar limayamba kukhala mthupi mpaka nthawi ya chikomokere isanayambike.

Zifukwa zomwe zimatsogolera ku ngozi yakuwonjezeka kwa shuga kufika pa mamilimita 200 / l:

Kudumpha mphamvu kapena kuyamwa kwa mankhwala ochepetsa shuga - mapiritsi kapena insulin.
Kuletsa osavomerezeka mankhwalawa (mwachitsanzo, chithandizo chamankhwala azikhalidwe kapena zowonjezera).
Njira yolakwika yoperekera insulin komanso kusowa kwa glycemic control.
Kuwona kwamatenda kapena matenda ophatikizika: kuvulala, maopareshoni, kupsinjika, kulephera kwina kwa magazi
Mimba
Kuchuluka kwa chakudya chamagulu m'zakudya.
Chitani masewera olimbitsa thupi ndi hyperglycemia.
Mowa.

Mukamamwa mankhwala ena motsutsana ndi maziko osakwanira olimbitsa kagayidwe kazakudya, mutha kukhala ndi kuchuluka kwa shuga kwa 20 mmol / L kapena apamwamba: mankhwala a mahomoni, nicotinic acid, diuretics, Isoniazid, Difenin, Dobutamine, Calcitonin, beta-blockers, Diltiazem.

Kukhazikika kwa mtundu wa 1 shuga kumatha kuwonetseredwa ndi hyperglycemia (shuga wamagazi 20 ndi pamwambapa), ketoacidosis. Kusiyanaku kwamatenda kumawonedwa pafupifupi pafupifupi kotala la odwala omwe amadzazindikira mochedwa komanso kusowa kwa chithandizo ndi insulin.

Zimayambitsa Acute Hyperglycemia

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

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

Amachititsanso kuti shuga awonjezeke:

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

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

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

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

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

Komanso, ndi hyperglycemia yayikulu, zizindikiro zina zamankhwala zimawonekera:

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

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

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

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

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

Zotsatira za shuga wamagazi 20 ndi izi:

Hyperglycemic chikomokere.
Matenda a shuga.
Matenda a shuga.
Retinopathy
Microangiopathy.
Kulephera kwina.
Polyneuropathy.
Zilonda zam'mimba.
Matenda a shuga.

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

Hyperglycemia Prevention

Ndi matenda amtundu wa 1, kupewa kumabwera ndikusintha kuchuluka kwa insulin. Nthawi zambiri, vuto la matenda ashuga limachitika chifukwa cha mlingo wosankhidwa bwino kapena mtundu wolakwika wa insulin. Ultrashort insulin imathandizira kuchepetsa shuga mwachangu. Amachita mphindi makumi awiri ndi makumi asanu ndi limodzi.

Matenda a 2 a shuga amafunika kupewa. Choyamba, wodwala ayenera kusankha wothandizila wa hypoglycemic. Ngati ndi kotheka, mtolo wa mankhwala awiri amagwiritsidwa ntchito. Pankhaniyi, ndikotheka kukwaniritsa chindapusa chokhazikika cha matenda ashuga.

Kuyimitsa hyperglycemia, mankhwala amagwiritsidwa ntchito omwe amawonjezera chidwi cha insulin - thiazolidinediones (Diaglitazone, Aktos, Pioglar) ndi biguanides (Siofor, Metformin, Glucofage). Mankhwala aposachedwa a shuga ndi awa:

DPP-4 zoletsa (Januvia, Onglisa, Galvus),
GLP-1 receptor agonists (Bayeta, Victoza),
alpha glucosidase inhibitors (Glucobai).

Ndikulola kugwiritsa ntchito mankhwala omwe amachititsa kuti kapamba azitulutsa insulini yambiri. Njira zoterezi ndizomwe zimachokera ku sulfonylurea (Diabeteson, Maninil, Amaril, Glyurenorm) ndi metglinides (Novonorm, Starlix). Koma mapiritsi oterewa ndi osatetezeka, chifukwa akamagwiritsa ntchito nthawi yayitali, maselo a pancreatic amatha.

Komanso, wodwala ayenera:

Tsatani glycemia wanu. Nthawi zambiri, shuga amayenera kukhala pafupifupi magulu 3.3-5,5.
Idyani pomwe. Zakudya zokhala ndi index yotsika ya glycemic (nyama yopendekera, amadyera, nsomba, mafuta ochepa mkaka wowawasa, chinangwa) ndizothandiza. Kuphika kuyenera kukhala chofewa kapena mu uvuni. Ngati ndinu wonenepa kwambiri, muyenera kudya zakudya zamafuta ochepa. Ndikofunikira kudya pang'ono - njirayi imathandizira kuti muchepetse kuchepa thupi komanso kuthamangitsa kagayidwe.
Pitani m'masewera. Kuti muchepetse kuchuluka kwa glycemia, muyenera kuchita masewera olimbitsa thupi, kuyenda, kuthamanga, masewera olimbitsa thupi, masewera olimbitsa thupi. Ndikofunika kupewanso kuchita masewera olimbitsa thupi, chifukwa kutopa thupi kungayambitse hypoglycemia.
Ikani mankhwala achikhalidwe (pazothandiza). Zokongoletsa za wort wa St. John, calendula, chamomile, makatani a nyemba zimathandizira kuchepetsa shuga. Cinnamon ndi uchi ndi njira yothandizanso - odwala matenda ashuga ayenera kumwa supuni 1 ya mankhwala pamimba yopanda.

Zadziwika kale pamwambapa kuti shuga imatha kukwera chifukwa cha kupsinjika, chifukwa chake, odwala matenda ashuga amalimbikitsidwa kuti asakhale amanjenje ndikudziteteza okha kupsinjika.

Pazifukwa zothandizira, mutha kutenga maofesi a multivitamin, omwe amaphatikizapo selenium, zinki, magnesium, thioctic acid, vitamini E, mavitamini a gulu B. Mankhwala abwino kwambiri a odwala matenda ashuga ndi Alphabet ndi Doppelherz Active.

Zomwe kusanthula kusintha

Mafuta a glucose okwanira 25 amayambitsa ketoacidosis. Thupi laumunthu linapangidwa kuti lizitha kukakamizidwa kuti lizipeza mphamvu, koma silimazindikira glucose, ndikuyesera kubwezeretsanso mphamvu posungira mafuta.

Mafuta akaphwanyidwa, matupi a ketone amasulidwa. Amakhala ndi poizoni m'thupi la munthu, ndipo izi zimapangitsa kuledzera. Matendawa amawonekera ndi matenda osiyanasiyana, ndipo thanzi la wodwalayo limakulirakulira.

Mu matenda ashuga a ketoacidosis, kuwona m'maso sikumatha - ndizovuta kuti wodwalayo azitha kusiyanitsa pakati pa zinthu, zonse ngati kuti ndi chifunga. Ngati nthawi imeneyi wodwalayo akamaliza kuyesa mkodzo, matupi a ketone amapezeka pamenepo. Ndikosatheka kuchiritsa matendawa nokha, ndipo kunyalanyaza sikungathandize - pali kuthekera kwakukulu kwa kholo, kenako chikomokere.

Ketoacidosis imachiritsidwa pokhapokha povuma. Wodwala ayenera kupatsidwa mlingo wokwanira wa insulin. Kenako madokotala amachita chithandizo chobwezeretsa kuchepa kwa potaziyamu, madzi ndi mchere wofunikira.

Hypoglycemia imawonetsa kuti shuga ya magazi ndiyotsika. Kuchuluka kwa shuga kumeneku ndikowopsa ngati nkovuta.

Ngati zakudya zamagulu chifukwa cha shuga wochepa sizipezeka, ubongo wa munthu umavutika. Zotsatira zake, chikomokere ndichotheka.

Zotsatira zoyipa zimatha kuchitika ngati shuga agwera ku 1.9 kapena kuchepera - mpaka 1.6, 1.7, 1.8. Pankhaniyi, kukomoka, kugwidwa, chikomokere ndikotheka. Mkhalidwe wa munthu ndi woopsa kwambiri ngati mulingo ndi 1.1, 1.2, 1.3, 1.4,

1.5 mmol / L. Pankhaniyi, popanda kuchitapo kanthu, imfa ndiyotheka.

Ndikofunikira kudziwa osati chifukwa chomwe chizindikirochi chikukwera, komanso zifukwa zomwe glucose imatha kugwa kwambiri. Kodi zimachitika bwanji kuti mayesowo akuwonetsa kuti glucose ndi wotsika mwa munthu wathanzi?

Choyamba, izi zitha kukhala chifukwa cha kudya pang'ono. Ndikamadya kokhwima, zosunga mkati zimatha pang'onopang'ono m'thupi. Chifukwa chake, ngati kwa nthawi yayitali (kuchuluka kwake kutengera mawonekedwe a thupi) munthu akudya, shuga wa m'madzi amachepetsa.

Shuga wogwira amathanso kuchepetsa shuga. Chifukwa cha katundu wolemera kwambiri, shuga amatha kuchepa ngakhale ndi chakudya chamagulu.

Ndi kumwa kwambiri maswiti, kuchuluka kwa shuga kumachulukitsa kwambiri. Koma kwakanthawi kochepa, shuga akucheperachepera. Mowa ndi mowa zimathanso kuchuluka, kenako ndikuchepetsa kwambiri magazi.

Ngati pali shuga pang'ono m'mwazi, m'mawa, munthu amayamba kufooka, kugona, kukwiya kumamugwira. Mwakutero, muyeso wokhala ndi glucometer ukhoza kuwonetsa kuti phindu lovomerezeka limatsitsidwa - osakwana 3.3 mmol / L. Mtengo ukhoza kukhala wa 2.2, 2.4, 2,5, 2.6, ndi zina zotero. Koma munthu wathanzi, monga lamulo, ayenera kumakhala ndi chakudya cham'mawa chokhacho kuti shuga ya m'madzi a m'magazi iwonongeke.

Koma ngati vuto la hypoglycemia likukula, pomwe glucometer ikuwonetsa kuti kuchuluka kwa shuga m'magazi kumatha munthu atadya, izi zitha kukhala umboni kuti wodwalayo akupanga matenda a shuga.

Zomwe Zimayambitsa Madzi Akuluakulu a shuga

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

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

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

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

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

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

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

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

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

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

Mavuto mwa akazi

Mwazi wokhala ndi mafuta okwanira nthawi zonse ndi malo abwino pofalitsa yisiti bowa. Mavuto a mtundu wachiwiri wa matenda ashuga a azimayi amawonetsedwa ndimatenda a fungus a pafupipafupi, omwe ndiovuta kuyankha pakumwa mankhwala.

Mu matenda a shuga, glucose amalowa mkodzo, chifukwa chake fungal matenda amayamba chikhodzodzo. Matendawa amatengedwa ndi kuyabwa komanso kupweteka pokodza. Chithandizo cha matenda oyamba ndi mafangasi chimakhala chovuta chifukwa chakuti kuchuluka kwamphamvu kwa shuga kumakhumudwitsa kukula kwa microflora ya pathogenic, chifukwa cha njira zochiritsira zilizonse zimabweretsa mpumulo wakanthawi.

Zizindikiro za High shuga

Shuga wowonjezera amatha kutsimikiziridwa ngati munthu ali ndi zizindikilo zina. Zizindikiro zotsatirazi zomwe zikuwonetsedwa mwa munthu wamkulu komanso mwana ziyenera kumuchenjeza:

kufooka, kutopa kwambiri,
kulakalaka kwambiri ndi kuchepa thupi,
ludzu ndi kumverera kosalekeza kukamwa kowuma
kukoka kambiri komanso pafupipafupi, maulendo a usiku kupita kuchimbudzi ndi chikhalidwe,
mafinya, zilonda ndi zotupa zina pakhungu, zotupa zotere sizichira,
kuwonetsedwa pafupipafupi kwa kuyabwa m'misempha, kumaliseche,
chitetezo chokwanira, kusayenda bwino, kuzizidwa pafupipafupi, matupi akulu akulu,
kuwonongeka kowoneka, makamaka mwa anthu omwe ali ndi zaka zopitilira 50.

Kuwonetsedwa kwa zisonyezo zotere kungasonyeze kuti pali kuchuluka kwa glucose m'magazi. Ndikofunikira kulingalira kuti zizindikiritso za shuga wambiri zimatha kuwonetsedwa kokha mwa zina mwazowonetsa.

Chifukwa chake, ngakhale pokhapokha ngati zizindikiro za kuchuluka kwa shuga zikuwoneka mwa munthu wamkulu kapena mwana, muyenera kuyesedwa ndi kudziwa shuga. Kodi ndi shuga wanji, ngati wokwera, chochita, - zonsezi zimatha kupezedwa mwa kufunsira katswiri.

Gulu lomwe lili pachiwopsezo cha matenda ashuga limaphatikizapo omwe ali ndi mbiri ya banja la matenda ashuga, kunenepa kwambiri, matenda a kapamba, etc. Ngati munthu ali mgululi, kufunika kamodzi sikutanthauza kuti matendawo kulibe.

Kupatula apo, matenda ashuga nthawi zambiri amapezeka popanda zizindikiro ndi mawonekedwe, osatsimikizira. Chifukwa chake, ndikofunikira kuyesa mayeso angapo nthawi zosiyanasiyana, chifukwa mwina pakakhala kuti pali zomwe zikuwonetsedwazo, zomwe zikuwonjezereka zimachitika.

Ngati pali zizindikiro zoterezi, shuga wamagazi amakhalanso wapamwamba kwambiri panthawi yoyembekezera. Pankhaniyi, ndikofunikira kudziwa zomwe zimayambitsa shuga wambiri. Ngati glucose panthawi yapakati imakwezedwa, kodi izi zikutanthauza chiyani komanso zoyenera kukhazikitsa podzikhazikitsa, dokotala ayenera kufotokozera.

Tiyeneranso kukumbukira kuti kuwunikira kolimbikitsa kwabwino ndikothekanso. Chifukwa chake, ngati chizindikiro, mwachitsanzo, 6 kapena shuga wamagazi, izi zikutanthauza chiyani, zitha kutsimikizika pokhapokha maphunziro obwereza kangapo.

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

Coma sizimachitika mwadzidzidzi, nthawi zambiri zonse zimachitika pang'onopang'ono ndipo nthawi yakwana kusintha zonse. Pafupifupi, kuyambira masiku 1 mpaka 3 wodwalayo asanadutse ndi kugona ndi "tulo". Kudzikundikira kwa matupi a ketone ndi lactose sikulinso kuchitanso mwachangu. Kwa ambiri omwe ali ndi matenda ashuga, Zizindikiro zidzakhala zofanana, kupatula mkhalidwe wa hypoglycemic.

Zizindikiro zoyambirira za chikomokere chikuyandikira ndikuwonjezera pakufunika kwa madzimadzi (munthu amakhala ndi ludzu nthawi zonse) komanso kukodza mwachangu. Kufooka kwathunthu, kuwonongeka kwa thanzi, kupweteka pamutu kumadziwika. Kusokonezeka kwa mitsempha kumaloledwa ndi kugona, kusanza mseru, ndipo kusowa kwa chakudya kulibe. Ili ndiye gawo loyamba lachitukuko cha izi.

Pambuyo maola 12-24, popanda kulandira chithandizo chokwanira, matendawa ayamba kuwonongeka. Kusayang'anira chilichonse chomwe chimachitika mozungulira kumawonekera, kutaya kwakanthawi kadzawonedwe. Gawo lomaliza lidzakhala kusowa poyankha kukhudzidwa kwakunja ndi kusokonezeka kwa chikumbumtima.

Potengera izi, zosintha zimachitika mthupi, zomwe zitha kuzindikiridwa osati ndi adokotala okha. Izi zimaphatikizapo: kuchepa kwa kuthamanga kwa magazi ndi kugunda kofooka, khungu limakhala lotentha kukhudza, ndipo maso ndi "ofewa". Ndi hypoglycemic kapena ketoacidotic coma kuchokera mkamwa mwa wodwalayo, imanunkhiza ngati ma apetone kapena maapulo othira.

Ndi lactic acidosis, kuchepa kwa mtima kumawoneka, kupweteka kumbuyo kwa sternum ndi minofu kuwoneka, kupweteka kwam'mimba komanso kusanza kumatha kuoneka. Khoma la hyperosmolar limayamba pang'onopang'ono kuposa masiku enawo (masiku 5 mpaka 14), pakupita kwakumapeto, kupuma kumachitika pang'onopang'ono, kupuma pang'ono, koma kulibe mpweya woyipa, khungu ndi mucous nembanemba zimawuma, ndipo mawonekedwe amaso akuthwa.

Hypoglycemic coma imakula mwachangu, ndipo ndikofunikira kuchitapo kanthu mukazindikira matendawa. Poyamba, kumakhala kumva njala. M'mphindi zochepa zokha munthu amayamba kufooka, mantha komanso nkhawa zosadziwika. Pali kunjenjemera m'thupi lonse komanso thukuta kwambiri.

Ngati munthawi imeneyi wodwalayo samakweza shuga, kachidutswa kakang'ono ka shuga kapena maswiti ndikokwanira, ndiye kuti kuwonongeka kwathunthu kumatsatiranso ndipo nthawi zina kukomoka kumawonekera.Zizindikiro zakunja: khungu limanyowa kukhudza, maso amakhalabe olimba, kamvekedwe ka minofu kamakulitsidwa, koma pakapita kanthawi khungu limayamba kuzimiririka ndikuuma, lomwe lingapangitse kuti muzindikire.

Izi ndi zizindikiro zazikulu za chikomokere, koma sizotheka kudziwa nthawi zonse, chifukwa chake simuyenera kuthamangira kudyetsa wodwalayo ndi shuga kapena kupaka jakisoni wa insulin, zotsatira zake sizingasinthe.

Ndi hypoglycemia, mankhwala amphamvu amachitidwa. Choyamba, ma 20-80 ma 40% a glucose amabayikiridwa kudzera m'mitsempha.

Ngati kuli kotheka kuyang'anira kuchuluka kwa shuga, imasungidwa mkati mwa 8-10 mmol / L; chifukwa cha izi, 10% ya shuga yokhala ndi insulin imayendetsedwa. Ngati dokotala akuwona kuti ndizofunikira, ndiye kuti mungafune adrenaline, glucagon, cocarboxylase, hydrocortisone ndi vitamini C.

Pofuna kupewa kuwonongeka kwa edema ya m'magazi, makina othandiza kupatsirana mpweya (mpweya wopatsirana) amalembedwa modutsa modetsa nkhawa ndi otsika ndi 20% osmotic mannitol diuretic.

Hyperglycemic coma imachiritsidwa ndi insulin. Kwa izi, mankhwala osokoneza bongo ndi oyenera.

Ndiwothandiza kuwayendetsa mu mtsempha kudzera pa dontho lomwe limagwiritsidwa ntchito ngati liwiro la 6-10 U / h, pomwe kuyang'anira kuchuluka kwa shuga m'magazi kuyenera kuchitika. Ngati dokotala akuwona kuti ndikofunikira, ndiye kuti mlingo woyamba wa mankhwalawo ukhoza kuwonjezereka mpaka 20.

Kusintha kwa dose kumachitika m'njira yoti kuchepetsa shuga kumachitika pang'onopang'ono, pa 3-4 mmol / h. Pang'onopang'ono, zotsatira zake zimasinthidwa kukhala 8-10 mmol / L.

Ndikofunikanso kubwezeretsa madzi ndikusinthasintha kuchuluka kwa magazi (BCC). Zochita zonse ziyenera kuchitika pang'onopang'ono kuwunika kwa ma arterial ndi venous anzawo, glucose ndi sodium, momwe mawonekedwe a plasma ndi BCC.

Kuthamanga, kuchuluka ndi kapangidwe ka madzimadzi omwe amaperekedwa kumadalira momwe wodwalayo alili, ntchito ya impso ndi mtima. Mwambiri, chiwembu chotsatirachi chimagwiritsidwa ntchito:

Malita 1-2 amadzimadzi amaperekedwa mkati mwa ola limodzi,
0,5 malita mu maola 2-3
0.25 L nthawi iliyonse yotsatira.

Patsiku loyamba, pafupifupi malita 4-7 amadzimadzi amathandizidwa.

Ndi kutayika kwa zinthu zingapo zofunikira zomwe zimafunikira pa moyo wa munthu, jakisoni wa mankhwala ofunikira amalembera. Ndikusowa potaziyamu - 1% ya potaziyamu potaziyamu, ndi kuchepa kwa magnesium - 25% ya magnesium sulfate, osakwanira sodium - hypertonic kapena isotonic sodium chloride. Chofunikira ndikuwunikira momwe impso, CVS ndi magazi zilili.

Kuti akhazikitse ntchito ya kagayidwe kachakudya ndikuthandizira njira yochotsa matupi a ketone ndi lactic acid, ndikofunikira kuthamangitsa kuyeretsa magazi ndikukhazikitsa ntchito ya mtima ndi dongosolo, kubwezeretsa kupuma kwabwinobwino. Zotsalazo zimakupatsani mwayi wokhutitsa thupi ndi mpweya, zomwe zimatanthawuza kuti zidzathandizira magazi ndi minofu. Zotsatira zake, zinthu zapoizoni zimachotsedwa m'thupi mwachangu.

Kukoma kwa shuga (shuga) ndi vuto lalikulu kwambiri. Ndikofunikira kuchitapo kanthu mwachangu komanso motsimikiza. Kuzindikira moyenera ndi zotsatira zabwino za 50%. Zimakhala zovuta kulosera zamtsogolo, koma mukayamba kulandira chithandizo zizindikiro zoyambirira zikafika, ndiye kuti zonse zitha kutha.

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Chisamaliro chachikulu

Pa kugonekedwa m'chipatala, wodwalayo amakhala ndi chida chothandizira kupuma, kenako kulowetsedwa ndi furosemide, mannitol ndi insulin. Kwa Hypersmolar syndrome, Mlingo wa insulin umachepa. Atafika pamlingo wa glucose wa 15-20 mmol / l, insulin imalowetsedwa molingana ndi algorithm - magawo awiri a insulin pa 6 mmol / l shuga.

Musanapereke chithandizo chamankhwala a hypersmolar coma, ndikofunikira kwambiri kuti mudziwe ngati muli ndi vuto la chithokomiro, kuti mupewe zolakwika zamagetsi m'malo mopatsanso madzi m'thupi.

Zakudya ndi shuga

Zakudya zamagulu onse zimapangidwira kukana zakudya zodzazidwa ndi mafuta othamanga. Ndipo ngati chilichonse chomwe wodwalayo ali nacho chikuwonjezera thupi, ndiye kuti dokotala amatha kukupatsani zakudya zamagulu ochepa. Nthawi yomweyo, tikulimbikitsidwa kuti tiziphatikiza chakudya ndi zinthu zomwe zimakhala ndi mavitamini ambiri.

Pazakudya za tsiku ndi tsiku, mulingo wa BJU uyenera kusamalidwa,
Posankha chakudya, zonena zimapita ku glycemic index tebulo, ziyenera kukhala pafupi ndi wodwalayo,
Kukula kwa zakudya nthawi zambiri kumasinthidwa - muyenera kudya pafupipafupi, koma m'magawo ang'onoang'ono (zakudya zitatu zazikulu ndi zakudya zazing'ono kapena ziwiri),
Zipatso zina, masamba, masamba, ndi zakudya zama protein ndizofunikira kwambiri pakudya.
Onetsetsani kuti mwayendetsa bwino madzi

Malangizo oyenerera amaperekedwa ndi dokotala yemwe angakuthandizeni. Ngati ndi kotheka, mutha kulumikizana ndi katswiri wazakudya yemwe, popempha, amatha kupanga zakudya zatsatanetsatane ndi zosankha zamasamba, mbale, kuphatikiza, kukula kwake, etc.

Kuti adziwitse bwino ngati matenda ashuga, madokotala amachita maphunziro angapo. Pozindikira matenda am'mbuyomu, kuyerekezera kwa Stub-Traugott, kuyezetsa magazi, komanso kuyezetsa magazi kwa hemoglobin ya glycated angagwiritsidwe ntchito.

Madongosolo onse ndiwopangira madokotala. Koma mfundo yoti amafunika kuthana nayo ngati shuga ndiwambiri ndizokayikitsa. Sikoyenera kudikirira kuti zinthu zisinthe, ngakhale zitakhala kuti chizindikiro chabweza mzere, ndikofunikabe kuwona ngati zonse zili bwino.

Vidiyo - Kuyesa matenda a shuga.

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

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

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

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

Matenda a shuga

Ndiye, titani ngati shuga wambiri wawonjezereka mpaka magawo 15 ndi 20? Kupatula kuti muyenera kufunafuna chithandizo chamankhwala, muyenera kuwerenganso zakudya zomwe anthu amadwala matenda ashuga. Mwambiri, shuga m'magazi amalumpha kwambiri chifukwa cha kuperewera kwa zakudya. Kuphatikiza chilichonse chomwe muyenera kuchita kuti muchepetse shuga m'thupi, ngati zizindikiro zikufikika.

Kuchepetsa shuga m'magazi kuyambira pa 15 mpaka 20 mayeso kukhala mulingo wabwinobwino ndikotheka ndi zakudya zochepa. Ngati wodwala matenda ashuga alumpha shuga, palibe chakudya china chokwanira chomwe chingathandize.

Zizindikiro za mayunitsi 20 kapena kuposerapo kumanenanso za ngozi yomwe imawopseza wodwala ngati chithandizo champhamvu sichinayambe. Atasanthula ndikupeza zotsatila za mayesowo, adotolo amakupatsani mankhwala ndi zakudya zamagulu, zomwe zimachepetsa shuga m'magazi mpaka 5.3-6.0 mmol / lita, chomwe ndi chizolowezi kwa munthu wathanzi kuphatikiza odwala matenda ashuga.

Zakudya zamafuta ochepa zimapangitsa wodwalayo kukhala ndi mtundu uliwonse wa shuga, ngakhale atadwala.

Kuti musiyanitse zakudya, ndibwino kugwiritsa ntchito maphikidwe apadera pophika zakudya osangochepetsa shuga wamagazi, komanso kusintha mkhalidwe wa munthu wodwala matenda ashuga.

Mwazi wamagazi

Mwazi wamagazi nthawi zambiri umayezedwa pamimba yopanda kanthu. Kuyesedwa kwa magazi kumatha kuchitika onse kuchipatala mu labotale komanso kunyumba pogwiritsa ntchito glucometer. Ndikofunikira kudziwa kuti zida zam'nyumba nthawi zambiri zimapangidwa kuti zizindikire kuchuluka kwa shuga m'magazi, pomwe mumagazi, chizindikirocho chidzatsitsidwa ndi 12 peresenti.

Muyenera kuwunika kangapo ngati kafukufuku wapitayo adawonetsa kuchuluka kwa shuga m'magawo 20, pomwe wodwalayo sanapezeka ndi matenda a shuga. Izi zimalola kuti matendawa athe nthawi komanso kuthetsa zonse zomwe zimayambitsa matendawa.