KODI KUWONGOLERA MATENDA ASHUGA KUMATANTHAUZA CHIYANI?

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Kodi chiwongolero cha shuga ndi chiyani?

Ngati mwapezeka ndi matenda a shuga, ndiye kuti matenda amayenera kukhala nkhawa yanu tsiku ndi tsiku.

Matenda a shuga ndi Kuwongolera ndi malingaliro osasinthika

Tsiku lililonse muyenera kuyeza shuga, kuthamanga kwa magazi, kuwerengera kuchuluka kwa mkate ndi zopatsa mphamvu, kutsatira zakudya, kuyenda ma kilomita angapo, komanso kukayezetsa kuchipatala ku chipatala kapena kuchipatala komwe kumachitika pafupipafupi.

Ngati wodwala matenda ashuga amakwanitsa kukhala ndi shuga wamba (mpaka 7 mmol / L), ndiye kuti matendawa amatchedwa matenda a shuga. Nthawi yomweyo, shuga amachulukitsidwa pang'ono, munthu ayenera kutsatira zakudya, koma zovuta zimayamba pang'onopang'ono.
Ngati shuga nthawi zambiri amaposa zomwe zimachitika, amapitilira mpaka 10 mmol / l, ndiye kuti umatchedwa shuga wopanda shuga. Nthawi yomweyo, munthu amakhala ndi zovuta zingapo zaka zingapo: mphamvu miyendo itayika, khungu limayipa, mawonekedwe a mabala osachiritsika, ndi mawonekedwe am'magazi.

Kufewetsa matendawa ndikuwunika shuga anu ndimadwala tsiku lililonse kwa odwala matenda ashuga. Njira zothandizira kubwezeretsedwa zimatchedwa kuwongolera shuga.

Kuwongolera shuga

Mulingo wofanana ndi shuga wamagazi mwa munthu wathanzi ndi 3.3 - 5.5 mol / L (musanadye) ndi 6.6 mol / L (mutatha kudya).
Kwa wodwala yemwe ali ndi matenda ashuga, Zizindikirozi zimawonjezeka - mpaka 6 mol asanadye komanso mpaka 7.8 - 8.6 mmol / l atatha kudya.

Kusungabe kuchuluka kwa shuga m'magawo amenewa kumatchedwa kulipira shuga ndipo kumatsimikizira zovuta za shuga.

Ndikofunikira kuthana ndi shuga musanadye chilichonse ndikatha (pogwiritsa ntchito glucometer kapena mizere yoyesera). Ngati shuga nthawi zambiri amaposa miyezo yovomerezeka - ndikofunikira kubwereza zakudya ndi mlingo wa insulin.

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Hyper ndi hypoglycemia kuwongolera

Anthu odwala matenda ashuga ayenera kuwongolera shuga kuti asachulukitse kwambiri kapena ochepa. Kuchuluka kwa shuga kumatchedwa hyperglycemia (wamkulu kuposa 6.7 mmol / L). Ndi kuwonjezeka kwa shuga chifukwa cha atatu (16 mmol / L ndi pamwambapa), mafomu olimbikitsa, ndipo patatha maola ochepa kapena masiku angapo chikomokere cha matenda ashuga chimachitika (kutaya chikumbumtima).

Shuga wochepa wotchedwa hypoglycemia. Hypoglycemia imayamba ndi kuchepa kwa shuga osakwana 3.3 mmol / l (ndi jakisoni wambiri wa insulin). Munthuyo amatuluka thukuta kwambiri, kunjenjemera kwa minofu, ndipo khungu limasandulika.

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Glycated hemoglobin

Glycated Hemoglobin - Kuyesedwa kwa Laborator komwe kuyenera kumwedwa kuchipatala miyezi itatu iliyonse kumawonetsa ngati shuga ya magazi yatuluka m'zaka zitatu zapitazi.

Kodi ndikofunikira bwanji kuwunika?

Kutalika kwa moyo wa maselo ofiira ndi masiku 80-120. Kukula kwa shuga m'magazi, gawo la hemoglobin limamangika mosagwirizana ndi glucose, ndikupanga hemoglobin ya glycated.

Kupezeka kwa hemoglobin wa glycated m'magazi kumawonetsa kuchuluka kwa shuga m'miyezi itatu yapitayo.

Kuchuluka kwa glycogemoglobin kumapereka kuyerekezera kosamveka - kuchuluka kwa shuga komwe adakulitsa, kuchuluka kwake kunali kolimba komanso ngati wodwala yemwe amayang'anira matenda ashuga amayang'anira zakudya ndi zakudya. Ndi kuchuluka kwa glycogemoglobin, mawonekedwe a matenda ashuga.

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Ululu wa Shuga Ululu - Glycosuria

Maonekedwe a shuga mumkodzo akuwonetsa kuwonjezeka kwa shuga m'magazi (oposa 10 mmol / l). Thupi limayesetsa kuthana ndi glucose owonjezera kudzera mu ziwalo zowonekera - ngalande yamkodzo.

Kuyesa kwa mkodzo kwa shuga kumachitika pogwiritsa ntchito zingwe zoyeserera. Nthawi zambiri, shuga amayenera kukhala m'magulu osagwirizana (ochepera 0.02%) ndipo sayenera kupezeka.

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Ululu Acetone Control

Maonekedwe a acetone mu mkodzo amalumikizidwa ndi kuphwanya mafuta kukhala glucose ndi acetone. Kuchita izi kumachitika pakumatha kudya kwa shuga m'maselo, pamene insulini sikokwanira ndipo glucose sangathe kulowa m'magazi kupita kuzinthu zina zoyandikana.

Mawonekedwe a fungo la asetoni kuchokera mkodzo, thukuta komanso kupuma kwa wodwala kumawonetsa kuchuluka kwa jakisoni wa insulin kapena chakudya cholakwika (kusowa kwathunthu kwa chakudya menyu). Zingwe zoyesa zimawonetsa kukhalapo kwa acetone mkodzo.

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Kuwongolera kwa cholesterol

Kuwongolera kwa cholesterol ndikofunikira kuti muchepetse mwayi wamatenda a mtima - atherosulinosis, angina pectoris, kugunda kwamtima.

Cholesterol chowonjezera chimayika pamakoma amitsempha yamagazi, ndikupanga cholesterol plaques. Nthawi yomweyo, lumen ndi mtima patency zimachepetsedwa, magazi omwe amapezeka m'matumba amasokonezeka, njira zosasunthika, kutupa ndikuwonjezera zimapangidwa.

Kuyesedwa kwa magazi kwa cholesterol ndi tizigawo ting'onoting'ono timachitidwa mu labotale yamankhwala. Pankhaniyi:

cholesterol yathunthu sayenera kupitirira 4.5 mmol / l,
low density lipoproteins (LDL) - sayenera kukhala apamwamba kuposa 2.6 mmol / l (kuchokera ku lipoprotein awa omwe cholesterol deposits imapanga mkati mwa zotengera). Pamaso pa matenda amtima, LDL imangokhala 1.8 mmol / L.

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Kuyendetsa magazi

Kupanikizika kwamphamvu kumazindikira mtundu wamitsempha yamagazi ndi kuthekera kwa zovuta zamtima ndi kukomoka.

Kukhalapo kwa magazi a kuchuluka kwa shuga kumasintha mitsempha, kumawapangitsa kukhala osanunkha, osakhazikika. Kuphatikiza apo, magazi akhungu "okoma" samayenda mosavuta kudzera m'matumbo ang'onoang'ono komanso ma capillaries. Kukankha magazi kudzera m'matumbo, thupi limakulitsa kuthamanga kwa magazi.

Kuchuluka kwambiri kwa mavuto ndi kusayenda bwino kwa mitsempha ya magazi kumabweretsa kupasuka ndi chotupa chamkati cham'mimba (matenda a mtima kapena matenda ashuga).

Ndikofunikira kwambiri kuthana ndi kukakamiza odwala okalamba. Ndi zaka komanso kukula kwa matenda ashuga, mkhalidwe wa zombo umachepa. Kuponderezedwa (kunyumba - ndi tonometer) kumapangitsa kuti mankhwalawa athe kumwa mankhwalawa munthawi yake kuti muchepetse kupanikizika ndikuchita chithandizo cha mtima.

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Kuchepetsa Kunenepa - Thupi la Mass Mass

Kuchepetsa thupi ndikofunikira kwa odwala omwe ali ndi matenda a shuga a 2. Matenda amtunduwu nthawi zambiri amapangidwa ndi zakudya zopatsa mphamvu kwambiri ndipo amaphatikizidwa ndi kunenepa kwambiri.

Index Mass Body - BMI - imawerengeredwa ndi njira: kulemera (kg) / kutalika (m).

Mlozera wotsatira ndi kulemera kwakanthawi kwamthupi ndi magawo 20 (kuphatikiza kapena opanda 3) ofanana ndi kulemera kwakanthawi. Kuchulukitsa mlozera kukuwonetsa kunenepa kwambiri, kuwerengera kwama index kwamagulu opitilira 30 ndiko kunenepa kwambiri.

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Mapeto

Kuwongolera odwala matenda ashuga ndi masewera olimbitsa thupi tsiku lililonse kwa odwala.

Kutalika kwa moyo wa munthu wodwala matenda ashuga komanso mtundu wake zimadalira kuwongolera kwa matenda ashuga - kutalika komwe munthu angakwanitse kuyenda yekha, momwe masonedwe ndi miyendo yake zingakhalire, momwe magazi ake azidzakhalira zaka 10 mpaka 10 za matenda ashuga.

Kulipira shuga kumapangitsa wodwala kukhala ndi matenda opitilira zaka 80. Matenda osafupikitsidwa omwe amawonjezera shuga m'magazi amapanga zovuta ndikuyamba kufa.

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