Zomwe zimakhudza shuga

Monga mukudziwa, shuga m'magazi odwala matenda ashuga makamaka amakhudzidwa ndi zakudya ndi jakisoni wa insulin. Odwala omwe ali ndi matenda a shuga a mtundu wachiwiri, palinso mapiritsi. Timalimbikitsa kwambiri kusinthira ku chakudya chochepa chama carbohydrate a mtundu 1 ndi matenda a shuga a 2. Pokhapokha ngati zakudya zanu zili ndi zakudya zomwe zimadzaza ndi chakudya chamafuta, shuga wamba sizingatheke. Pankhani ya mankhwalawa a shuga ndi insulin, yambani kuwerengera kuchuluka kwa insulin musanadye komanso ndi nkhani yatsatanetsatane yamitundu ingapo ya insulin: Lantus, Levemir ndi Protafan.

Zolinga zenizeni pochiza matenda amtundu wa 2 komanso mtundu wachiwiri wa shuga ndikugwira shuga pakati pa 4.6 ± 0,6 mmol / L musanayambe kudya komanso mutatha. Nthawi yomweyo, iyenera kukhala yosachepera 3.5-3.8 mmol / l, kuphatikiza usiku. Umu ndi momwe anthu ambiri amakhalira ndi shuga. Inapezekanso kwa inu! Zizindikiro zoterezi zimatheka ngati mumatsatira zakudya zamafuta ochepa, mumvetsetsa mankhwala a shuga ndikuphunzira momwe mungabayire insulin molondola. Pansipa tikuwona zinthu zachiwiri zomwe zimakhudza shuga. Ndizofunikanso. Amaganiziridwa kuti mumatsatira kale zakudya zamafuta ochepa, mwasankha mtundu woyenera kwambiri wa mankhwala a insulin komanso mankhwala.

Khalidwe labwino

Ngati kuchuluka kwa zochita zanu zolimbitsa thupi kumacheperachepera, ndiye kuti izi zingayambitse kuchuluka kwa shuga m'magazi. Kukhala moyo wongokhala kumayambitsa kuchepa kwamphamvu kwa insulin, ndipo thupi limawotcha shuga wochepa. Ndikofunikira kuwonjezera mankhwala a insulin pang'ono pasadakhale ngati mupita usiku ndi buku kapena pamaso pa TV. Chimodzimodzi ngati mukufuna kukwera maulendo pa ndege, sitima, basi kapena galimoto, pomwe mukakhala nthawi yayitali.

Kuchepetsa thupi kapena kunenepa kwambiri

Maselo amafuta m'thupi la munthu amatulutsa mahomoni omwe amatsutsana ndi insulin. Chifukwa chake, kunenepa kwambiri kumawonjezera shuga wamagazi ndikuwonjezera kufunika kwa insulin. Ngati wodwalayo walemera, ndiye kuti kuchuluka kwa insulini kuyenera kuchulukitsidwa, ndipo ngati waonda, ndiye kuti aduleni. Zotsatira zake zimawonekera ngakhale kulemera kwa thupi kumasintha ndi 0,5 makilogalamu, ngati izi zichitika chifukwa cha kudzikundikira kapena kuchepa kwa mafuta m'thupi. Ngati kulemera kukuchuluka chifukwa minofu ikukula, ndiye kuti nthawi zambiri mlingo wa insulin umayenera kuchepetsedwa kwambiri. Kupanga zolimbitsa thupi za matenda amtundu 1 komanso mtundu wachiwiri wa shuga kumabweretsa zabwino, ndikofunikira "kutembenuka" mu masewera olimbitsa thupi.

Kuchepetsa thupi komanso kulemera kwa odwala omwe ali ndi matenda ashuga amasintha ma coefficients - zomwe zimapangitsa chidwi cha insulini ndi chakudya cha thupi. Ngati simukudziwa, werengani nkhani ija “Kuwerengera kuchuluka kwa insulin musanadye. Sintha shuga wambiri ndi jakisoni wa insulin. ” Kumbukirani kuti kuchuluka kwa shuga m'magazi ndi 4.6 ± 0,6 mmol / l musanadye komanso pambuyo chakudya. Pankhaniyi, shuga sayenera kukhala otsika kuposa 3.5-3.8 mmol / l nthawi iliyonse, kuphatikiza usiku. Kutengera manambala awa, sankhani mlingo woyenera wa insulin. Awazindikire poyesa ndi glucometer. Ngati kulemera kwa thupi kusintha, muyenera kusintha kuchuluka kwa insulin komanso muyeso womwe mumalowetsa zakudya.

Odwala ena omwe ali ndi matenda a shuga amtundu woyamba, nthawi zambiri azimayi achichepere, amachepetsa mlingo wawo wa insulin poyesa kuchepetsa thupi. Chifukwa cha kuchepa kwa insulin, shuga awo "amapitilira". Uwu ndi njira yoopsa, yodzadza ndi chisamaliro chambiri kapena nthawi yomweyo pansi pa mwala wabodza. Odwala oterowo amafunikira thandizo la psychotherapist, kapena ngakhale wamisala. Mutha kuchepetsa thupi ngati mupita zakudya zamagulu ochepa. Chifukwa cha izi, mlingo wanu wa insulin udzachepa nthawi 2-7, ndipo iyi ikhala njira yachilengedwe. Iyi ndi njira yochepetsera kunenepa komanso kusunga shuga wabwinobwino chifukwa cha matenda ashuga.

Zomwe simungathe kudya kwambiri

Chimachitika ndi chiani mukamadya kwambiri mpaka mumva kuti muli ndi "m'mimba yathunthu"? Ndikunenedwa kuti zinthu zosangalatsa zikuchitika. Tiyeni tiwazindikire - ndikofunikira kuti muziwongolera matenda anu a shuga. Chakudya chochuluka chimatambasulira makhoma am'mimba. Poyankha izi, maselo am'matumbo amatulutsa mahomoni apadera omwe amatchedwa "maretretins" (omwe "amawonjezera") kulowa m'magazi. Amatumiza mbendera kwa kapamba - kuti atulutse insulini m'magazi kuti tipewe kulumpha mu shuga mutatha kudya.

Insulin ndi mahomoni amphamvu. Zikondazo zikaibisa m'magazi, zimatha kupangitsa kuti shuga ndi hypoglycemia zibwere. Pofuna kupewa izi, kapamba panthawi imodzimodziyo amatulutsa mahomoni ena opanda mphamvu - glucagon. Ndi mtundu wa "wotsutsana naye" womwe umathetsa mavuto a insulin. Zimayambitsa gluconeogeneis ndi glycogenolysis (kuphwanya kwa glycogen kupita ku glucose). Njira zonsezi zimatsogolera kuti magazi atuluke m'chiwindi kulowa m'magazi. Mu odwala matenda ashuga, kapamba sangatulutse insulin yokwanira, koma amatulutsa glucagon mwachizolowezi! Ichi ndichifukwa chake zakudya zabwino zimawonjezera shuga m'magazi, ngakhale munthu wodwala matenda ashuga akudya CHIKWANGWANI.

M'mayiko olankhula Chirasha, malo odyera achi China nthawi zambiri amapereka Zakudyazi ndi nyama. Kunja, malo odyera achi China ndi osiyana. Kumeneko, ophika amakonda kuphika nyama osati Zakudyazi, koma nyemba zobiriwira, bowa, mphukira za nsungwi, seaweed kapena kabichi yaku China (pak choi). Zonsezi ndi zakudya zam'mera zomwe zimakhala ndi fiber yambiri, zomwe zili zoyenera kudya zakudya zopatsa mphamvu za shuga. Koma ngati mumadya kwambiri, ndiye kuti kuchuluka kwa ma protein ambiri kumatsatila. Kuwatsata, kapambayo amapangira glucagon, yemwe sanachite bwino ndi insulin, ndipo shuga m'magazi amadzuka. Dr. Bernstein akuti vutoli ndi "zotsatira za malo odyera achi China."

Mapeto ake ndikuti kudya kwambiri ndi matenda amtundu wa 2 komanso mtundu wa 2 sikungatheke. Kudya kwambiri kwamkaka kumachulukitsa shuga m'magazi, ndipo ndikosayembekezereka kotero kuti ndizosatheka kuwerengera muyeso wa insulin. Vuto la gluttony ndi vuto lalikulu, makamaka kwa odwala omwe ali ndi matenda a shuga a 2. Patsamba lathu mupeza njira zambiri zochitira nawo osavulaza thanzi lanu ndi psyche. Werengani zambiri:

Ntchito yamphamvu yamaganizidwe

Mitsempha yamkati ya m'magazi ndi imodzi mwazogula za shuga m'thupi la munthu. Ubongo ukamagwira ntchito molimbika, shuga ya magazi imatha kutsika. Kodi izi zingatheke bwanji:

• kulimbikira maphunziro;
• kuganizira za ntchito zingapo nthawi imodzi;
• chilengedwe chatsopano (kusintha ntchito, malo okhala);
• kulumikizana kwakukulu (mwachitsanzo, kulumikizana kofunikira pamsonkhanowu);
• Malo osangalatsa omwe amalimbikitsa ntchito yayikulu ya ubongo - kugula, kasinon, ndi zina zambiri.

Yesetsani kukonzekereratu zochitika zomwe muyenera kuchita mwamphamvu. Kuchepetsa Mlingo wa mabotili a insulin pa chakudya ndi 10-33%. Tengani mapiritsi a shuga ndiinu, mukhale ndi chidziwitso chakugwiritsa ntchito. Kumbukiraninso kuti hypoglycemia (shuga yakugwa pansi yabwinobwino) si chifukwa chodya zakudya zoletsedwa zomwe zimadzaza ndi chakudya. Mlingo wa glucose womwe umayesedwa ndendende ndi zomwe mukufuna.

M'badwo

Ndi zaka, thupi limachepetsa mphamvu ya mahomoni omwe amatsutsana ndi insulin. Chimodzi mwa izo ndi mahomoni okula. Pambuyo pa zaka 60, mwina mungafunikire kuchepetsa mlingo wanu watsiku ndi tsiku wa insulin.

Kumbukirani kuti hypoglycemia ukalamba ndi owopsa kwambiri chifukwa mayendedwe mahomoni achilengedwe amachepa. Adrenaline ndi mahomoni ena amakulitsa shuga. Komabe, mwa anthu okalamba omwe ali ndi hypoglycemia samapangidwa mokwanira. Chifukwa chake, chiwopsezo cha kutaya chikumbumtima ndi zizindikiro zina zazikulu chikukula. Hypoglycemia imatha kuyambitsanso matenda a mtima.

Reflex kuchuluka kwa shuga pambuyo hypoglycemia

Werengani nkhani yatsatanetsatane "Hypoglycemia mu matenda ashuga, zizindikiro zake, kupewa ndi kuchiza". Poyimitsa, muyenera kugwiritsa ntchito mapiritsi a glucose mu kipimo choyenera. Osamadya maswiti, ufa, zipatso. Osamamwa timadziti, etc.

Apa tikambirana mwatsatanetsatane usiku wa hypoglycemia m'maloto, pambuyo pake shuga m'mimba yopanda kanthu imakwezedwa. Izi zimatchedwa chodabwitsa cha Somoji. Anthu ambiri odwala matenda ashuga ali ndi vutoli, ngakhale sakudziwa nkomwe. Amachulukitsa kuchuluka kwa insulin yayitali usiku, kenako ndikudabwa kuti bwanji amakhala ndi shuga m'mawa m'mimba yopanda kanthu.

Zizindikiro za nocturnal hypoglycemia m'maloto:

• Mwamuna amasesa kwambiri usiku.
• Amachepetsa kutentha kwa thupi.
• Kugona kopanda tulo, zolota usiku.
• M'mawa mutu wanga ukupweteka.
• Mtima wam'mawa.
• Kugona usiku sikupuma.

Nthawi zambiri, odwala matenda ashuga, akaona shuga achuluka m'mawa m'mimba yopanda kanthu, amawonjezera mlingo wawo wamadzulo wa insulin. Ngati zomwe zikuchitika ndi nocturnal hypoglycemia mu maloto ndi chochitika cha Somogy, ndiye kuti izi sizingathandize, koma zimangokulitsa.

Pali njira ziwiri zabwino zothandizira vutoli:

1. Nthawi zina yang'anani shuga anu pakati pausiku. Chitani izi kamodzi pa sabata.
2. Tumizani gawo lamankhwala lamadzulo la insulini yowonjezera kuti muonjezere jekeseni, yomwe iyenera kuchitika pakati pausiku. Izi ndi zovuta, koma zothandiza kwambiri.

Werengani zambiri mu nkhaniyi pamitundu yowonjezera ya insulin Lantus, Levemir ndi protafan. Zomwe tafotokozanso pansipa ndi momwe mungayendetsere zovuta zam'mawa.

Zodabwitsa zam'mawa zam'mawa komanso momwe mungazilamulire

Kusunga shuga wabwinobwino m'mwazi ndi shuga kumakhala kovuta kwambiri. Koma izi ndizowona, ngati mumvetsetsa zifukwa, jambulani dongosolo lazithandizo, ndikutsatira njira. Chodabwitsa cha mbandakucha chimawonekera chifukwa chakuti shuga m'magazi amadzuka m'mawa kwambiri. Amawonedwa nthawi zambiri kuyambira 4 mpaka 6 m'mawa, koma amatha kupitirira 9 m'mawa. Zotsatira zam'mawa zam'mawa zimachitika mu 80 - 100% ya achikulire omwe ali ndi matenda amtundu 1, komanso mwa odwala ambiri omwe ali ndi matenda a shuga a 2. Zimawonjezera kuchuluka kwa shuga m'magazi am'magazi nthawi zambiri ndi 1.5-2 mmol / l poyerekeza ndi ziwerengero pakati pausiku.

Amaganizira kuti zodabwitsazi m'mawa zam'mawa zimayamba chifukwa m'mawa kwambiri chiwindi chimatulutsa insulin m'magazi ndikuyiwononga. Komanso, zomwe zimayambitsa zimatha kukhala zochulukirapo m'matumbo a mahomoni omwe amatsutsana ndi insulin. Mwa anthu athanzi, maselo a pancreatic beta amangotulutsa insulin yambiri kuti athe kukwaniritsa zosowa zake. Koma mwa odwala matenda a shuga palibe zotheka. Zotsatira zake, shuga wamagazi amawuka.

Zodabwitsa zam'mawa zam'mawa zimawonjezera shuga mwanjira yake mwa wodwala aliyense wa shuga. Mwa anthu ena kuchuluka kumeneku sikofunika, mwa ena nkofunika. Ichi ndi chimodzi mwazifukwa zambiri zomwe pulogalamu yothandizira odwala matenda ashuga imagwira ngati ingapangidwe komanso kusinthidwa payekhapayekha. Ndipo kugwiritsa ntchito "ma tempel" sikothandiza kwenikweni.

Idyani zakudya zochepa zam'mawa kuposa zakudya zina. Chifukwa ndizovuta "kulipira" zakudya zomwe wodwala matenda ashuga amadya m'mawa kwambiri kuposa zakudya zomwe amadya pamasana ndi chakudya chamadzulo. Nthawi yomweyo, kudumpha chakudya cham'mawa kumakhala kukhumudwitsidwa, makamaka kwa odwala omwe ali ndi matenda amtundu wa 2 omwe onenepa kwambiri. Mudzakhala osangalala kudya zakudya zamapuloteni pakudya m'mawa, ngati mutadziphunzitsa kukhala ndi chakudya chamadzulo pasanafike 18.30. Ikani chikumbutso "Yakwana nthawi ya chakudya chamadzulo" pafoni pa 17:30.

Kwa matenda a shuga a 2, yesani kumwa mapiritsi a Glucofage Long 500 mg usiku. Uku ndi metformin yotulutsidwa. Amawonetsa ntchito yayikulu m'mawa, zikafunika. Onaninso zotsatira za ntchitoyi poyesa shuga m'magazi ndi glucometer m'mawa mutangodzuka. Ngati mlingo wochepa wa 500 mg suthandiza mokwanira, ndiye kuti amatha kuwonjezeka pang'onopang'ono. Onjezani 500 mg kamodzi pakatha masiku angapo ndikuwona omwe shuga azikhala m'mawa. Mlingo umodzi wambiri ndi 2000 mg, i.e. mapiritsi 4 a Glucofage Long usiku.

Werengani komanso nkhani yam'mapiritsi a Siofor ndi Glucofage.

Njira yabwino yothandizira mbandakucha wa m'mawa ndikugawa muyeso wa "kulowezedwa" wa insulin m'magawo awiri ndikuyika imodzi ya usiku, kenako winayo pakati pausiku. Kuti muchite izi, muyenera kukonzekera jakisoni madzulo ndikuyika alarm kuti izitha kugwira ntchito pambuyo maola 4. Kubayira usiku usiku kudzakhala chizolowezi, ndipo mudzaona kuti zimapereka zovuta zochepa. A glucometer akuwonetsa kuti mapindu ake amathandizidwadi.

Anawonjezera zaka 13,05,2015.Ndipo pali njira inanso yomwe ingathandize kukhala ndi shuga m'mawa pamimba yopanda kanthu. Uku ndi kubayidwa jakisoni wa mlingo wochepa wa insulini yothamanga pa 3-5 m'mawa. Jakisoniyu ayamba kugwira ntchito pambuyo pa mphindi 15-30, koma adzayamba kugwira ntchito atatha maola 1-1,5. Pomwe chodabwitsa cha m'bandakucha chikuyamba kuwonekera. Jakisoni wa insulin yomwe imagwira mwachangu m'mawa ndi njira yabwino kwambiri kuposa jakisoni wa insulin yotalika pakati pausiku. Mlingo uyenera kuwerengedwa mosamala kuti hypoglycemia isachitike. Tiyeni tiwone momwe angachitire.

Tiyerekeze kuti mumakonda kudzuka cha 7 koloko m'mawa. Zodabwitsa zam'mawa zam'mawa zimayamba kuwonekera pafupifupi 5 m'mawa. Jakisoni wa prophylactic mlingo waifupi kapena wa ultrashort insulin uyenera kuchitika 3 koloko m'mawa. Chifukwa chake mudadzuka pa alamu panthawiyi, ndikuyesa shuga - ndipo mukuwona kuti ili pafupifupi 6 mmol / l. Mukudziwa kale kuchokera ku zomwe mumakumana nazo kuti ngati simupanga chilichonse, ndiye kuti m'mawa shuga adzauka ndi 2-3 mmol / l. Kuti mupewe izi, mumapaka jekeseni pang'onopang'ono insulin. Ziyenera kukhala magawo a 0,5-2, kutengera kulemera kwa thupi la odwala matenda ashuga komanso mtundu wa insulin yomwe imagwiritsidwa ntchito. Ndizokayikitsa kuti mungafunikire zoposa mayunitsi atatu.

Wodwala matenda a shuga a Type 1, omwe nthawi zambiri amadzuka m'mamawa nthawi ya 6 koloko, anali ndi jakisoni wabwino wa prophylactic wa insulin mwachangu 3 koloko m'mawa. Ngati mungayambitse tsiku lanu nthawi ya 7 koloko, yesani kupaka insulin mwachangu 4 koloko, kenako 3 koloko m'mawa. Onani kuti nthawi yabwino ndi iti.

Ngati shuga m'ma 3-5 oveni m'mawa adadzakhala apamwamba kuposa 6.0-6.5 mmol / l - zikutanthauza kuti simukuyang'anira regimen. Kudya nthawi yayitali kuposa koyenera, kapena molakwika kutenga mlingo wa insulin yayitali usiku. Poterepa, mukulitsa kuchuluka kwa insulin yofulumira m'mawa pang'ono. Yang'anirani mosamalitsa chizolowezi madzulo. Khazikitsani chikumbutso cha tsiku ndi tsiku pafoni yanu nthawi ya 5.30 p.m. 6 k.m. kuti nthawi yakudya, ndipo dziko lonse lapansi lizidikirira.

Zofunika kukumbukira:

• Insulin yowonjezera imayenera kuyilowetsedwa pakati pausiku, ndipo mwachangu - pambuyo pake, 3 koloko m'mawa.
• Mlingo wa insulin yofulumira ndi magawo a 0,5-2, osakhala kwambiri kuposa magawo atatu ngati shuga samakwezedwa usiku.
• Ngati shuga ndi 3.5-5.0 mmol / l - insulin yofulumira sikufunika kuyikiridwa kuti mupewe hypoglycemia. Ngati shuga ndi otsika kuposa 3.5 mmol / L, tengani shuga pang'ono m'mapiritsi.
• Ngati shuga m'ma 3-5 oveni m'mawa adadzakhala apamwamba kuposa 6.0-6.5 mmol / l - zikutanthauza kuti simunayang'ane bwino boma madzulo. Chitani ndi izi.

Werengani momwe mungamwere jakisoni wa insulin mopweteka. Miyezo ya m'mawa imayenda bwino kwambiri. Komanso phunzirani kudya m'mawa kwambiri, maola 5 musanagone. Potere, chakudya chamadzulo chimakhala ndi nthawi yopukuta nthawi, ndipo usiku sudzaukitsa shuga wanu.

Wodwala matenda ashuga atakhala ndi chizolowezi chomabaya jakisoni, amatha kumadzuka ndikugona nthawi yomweyo.Mukasinthira motere, ndiye kuti mankhwalawa "insulin" yowonjezera amatha kuchepetsedwa ndi pafupifupi 10-15% ndi zotsatira zomwezo. Bwanji osangopaka jakisoni wamkulu "wa mankhwalawo" usiku kuti magazi anu asandulike bwino m'mawa? Chifukwa chowonjezera choterechi chimachepetsa shuga pakati pausiku pansipa. Hypoglycemia yausiku yokhala ndi zowawa - kodi mumachifuna?

Nyengo

Kutentha kwambiri ndi chinyezi nthawi zambiri kumachepetsa shuga la magazi. M'mikhalidwe yotere, insulin imadziwika bwino. Posintha nyengo, mwina pangafunike kusintha kuchuluka kwa insulin ndi 10-20%. Mu kasupe ndi chilimwe - kuchepetsa, m'dzinja ndi chisanu - kuchuluka. Zilinso chimodzimodzi ngati mutayenda kwakanthawi kupita kumalo kumene kumakhala kotentha komanso konyirira kuposa kale, kapena ozizira.

Ngati musamutsa makalasi anu ophunzirira thupi kuchokera mkati mpaka kunja, ndiye kuti muyenera kuchepetsa kwambiri mululu wa insulin musanadye, makamaka ngati msewu ndi wotentha komanso / kapena yonyowa. Mukabayidwa insulin yayitali, ndiye kuti muzibaya m'ziwalo za thupi zomwe sizingasokoneze maphunziro. Komanso musayesetse kuthilira malo omwe jakisoni waposachedwa ndi madzi otentha osamba. Kupanda kutero, insulin yayitali ingagwiritsidwe ntchito mwachangu kwambiri.

Ulendo

Kuyenda ndi vuto linalake kwa anthu odwala matenda a shuga. Kusintha kwa zakudya, kuchuluka kwa zolimbitsa thupi, ndandanda ya tsiku ndi tsiku. Chifukwa cha zonsezi, shuga wamagazi amatha kusintha kwambiri. Kusintha kwamagawo kumathandizanso. Paulendo, shuga amatha kudumpha kuposa momwe padzakhala hypoglycemia. Chifukwa kuyenda kumakhala kovutitsa, munthu wodwala matenda ashuga amakhala osakhalitsa maola ambiri m'mayendedwe ndipo mwina amadya zakudya zosayenera.

Mukafika kutchuthi chanu, zinthu zimasintha. Chiwopsezo cha hypoglycemia chikuwonjezeka. Chifukwa chiyani? Chifukwa kuchuluka kwa kupsinjika kumatsika kwambiri, kutentha kwa mpweya kumakwera. Ubongo wanu umagwiranso ntchito kwambiri, kutulutsa zokumana nazo zatsopano, ndikuwotcha shuga nthawi yomweyo. Komanso kutchuthi anthu amayenda kwambiri kuposa masiku onse.

Zingakhale zomveka kuwonjezera kuchuluka kwa insulini yowonjezera pamasiku oyenda, kenako ndikuchepetsa mukayamba tchuthi chanu. Pomwe akukwera ndege, kuthamanga kwa mpweya kumatsika kuposa pansi. Ngati mukufuna kupaka insulin pa ndege, phulikirani mpweya wowirikiza kawiri mu botolo kuposa masiku onse. Ngati mwadzidzidzi kwina mukuyenera kugwiritsa ntchito insulini yodzaza ndi U-40 m'malo mwa U-100 wokhazikika, ndiye kuti muyenera kubaya jakisoni 2,5 kananso. Mwachitsanzo, ngati muyezo wanu uli ndi 8 PIECES ya insulin yowonjezera usiku, ndiye U-40 imafunikira ma PIECES 20. Zonsezi zimayambitsa chisokonezo chachikulu komanso zimawonjezera chiopsezo cha hypoglycemia, ngati mwangozi mwakulakwitsa. Samalani.

Pa kutentha kwa firiji, insulin imasungabe katundu wake kwa mwezi umodzi. Sizofunikira kwenikweni kuziziritsa poyenda. Komabe, ngati mukupita kumalo otentha, ndibwino kukhala ndi chidebe chapadera chonyamula insulin, momwe kutentha kumayendetsedwa. Chotengera choterocho chimawononga $ 20-30, mutha kuyitanitsa kudzera m'masitolo akunja akunja. Ndizofunikira kwambiri ngati malo anu okhala alibe mpweya kapena firiji.

Kutalika

Ngati mupita kumapiri, izi zingayambitse kutsika kwa shuga m'magazi. Chifukwa pamtunda wotalikirapo kuposa nyanja, kagayidwe kamphamvu kamakhudzidwa. Kuchulukitsa komanso kuthamanga kwa mtima kumawonjezera kotero kuti maselo amalandira mpweya wokwanira. Pakupita masiku ochepa, thupi limazolowera. Zitatha izi, kagayidwe kamene kamabwereranso mwakale komanso Mlingo wa insulin, nawonso.

Khalani okonzeka kuti muchepetse mulingo wa insulin (20) mu masiku ochepa. Izi zimakutetezani ku hypoglycemia masana pamimba yopanda kanthu komanso usiku mukamagona. Ngati mukufuna kusewera masewera pamalo okwera, muyenera kuchepetsa kwambiri kuchuluka kwa insulin yonse yomwe mumabayidwa. Izi zikutanthauza kuti kutsitsa kumakhala kolimba kuposa momwe mumachitira masewera olimbitsa thupi nthawi zonse.

Matenda opatsirana

Matenda opatsirana nthawi zambiri amakhala vuto lalikulu, ndipo kwa odwala matenda ashuga amakhala owopsa kangapo kuposa anthu athanzi. Ngati thupi likuvutika ndi matendawa, izi zimatha kupewetsa kuyesayesa konse kwa kukhalabe ndi shuga. Matenda opatsirana amawonjezera shuga ndikuwonjezera kufunika kwa insulin. Ngati shuga anali wabwinobwino kwa milungu ingapo, kenako ndikulumpha mwadzidzidzi, ndiye kuti choyambitsa chachikulu ndi matenda. Odwala odwala matenda ashuga azindikira kuti shuga amayamba kukula maola 24 asanafike zizindikiro za chimfine. Ndipo ngati matendawa ali impso, ndiye kuti izi zitha kuwonjezera kufunika kwa insulini katatu.

Matenda amachititsa kuti thupi lipange mahomoni opsinjika omwe amachepetsa mphamvu ya insulin komanso kuwonjezera shuga. Ngati shuga ndiwokwera, ndiye kuti maselo oyera amatha kuthana ndi matendawa, ndipo amamugwirira ntchito yoyipa m'thupi losatetezeka. Awa ndi njira yoyipa yozungulira yomwe imayamba nthawi zambiri ngati wodwala samvera mosamalitsa chithandizo cha matenda opatsirana. Onaninso kuti odwala matenda ashuga amapezeka pafupipafupi kuposa anthu athanzi. Chifukwa shuga wambiri amachititsa kuti mabakiteriya, ma virus ndi mafangasi akhale abwino.

Nthawi zambiri, matenda amayambitsa mphuno, chifuwa, zilonda zapakhosi. Zosankha zowopsa ndi matenda amkodzo thirakiti. Panthawi ya matenda opatsirana, ma ketoni amatha kupezeka mu mkodzo chifukwa insulin imagwira ntchito. Muyenera kuyang'ana shuga wanu wamagazi, komanso ma ketoni mumkodzo pogwiritsa ntchito zingwe zoyeserera. Yang'anirani gulu lanu la zamankhwala kukhala tcheru. Khalani omasuka kuyimba ambulansi ngati muona kuti vuto lanu layamba kuvuta.

Ngakhale mutamadya pang'ono kuposa nthawi zonse mukadwala, pitilizani kupaka jekeseni wowonjezera. Kupanda kutero, shuga yanu "imatha kukula" ndipo matenda ashuga a ketoacidosis amakula - zovuta kwambiri, zakupha. Zizindikiro zake zazikulu ndi mseru, kufooka, ndi fungo la acetone mukapuma. Chithandizo cha Ketoacidosis chimachitika kokha kuchipatala. Mutha kuphunzira momwe angagwiritsidwe ntchito ka matenda ashuga a ketoacidosis. Chitanani mwachangu ambulansi. Apanso: izi ndizovuta zakupha.

Monga lamulo, pa matenda opatsirana, mlingo wa insulin wowonjezera uyenera kuchuluka. Ngati mulibe ma ketoni mumkodzo, yesetsani kuwonjezera ndi 25-50%. Ngati zingwe zoyeserera zikuwonetsa ma ketoni mumkodzo, onjezani mlingo wanu wa Lathnus, Levemir, kapena Protafan ndi 50-100%. Mutha kubayanso insulin yothamanga kuti muchepetse shuga yambiri. Powonjezera kuchuluka kwa insulin, muyezo shuga ndi glucometer maola awiri aliwonse.

Insulin sichingamwe kapena kugwira ntchito ngati thupi lawonongedwa. Imwani zamadzi zambiri mukamachira matenda opatsirana. Izi ndizofunikira. Chowerengeredwa choyimira kwa akulu chikho chimodzi chamadzi pa ola limodzi pamene wodwalayo ali maso. Kwa ana - 0,5 makapu amadzimadzi pa ola limodzi. Madzi omwe mumamwa sayenera kukhala ndi caffeine. Izi zikutanthauza kuti tiyi wakuda ndi wobiriwira sayenera.

Kuti mumve zambiri, onani "Momwe mungachiritsire malungo, chimfine, kusanza, ndi matenda am'mimba m'mimba."

Mano a mano amaphatikizira chithandizo cha matenda ashuga

Anthu samalabadira mano awo kuposa momwe amayenera kuchitira. Izi ndizowona makamaka kwa odwala matenda ashuga. Choyamba, shuga wokwanira wosakhazikika amabweretsa matenda opatsirana pamlomo wamkamwa, chifukwa amapanga malo abwino operekera mabakiteriya. Kenako kachilomboka pamkamwa, kenakake, kamasokoneza magazi ochepetsa magazi. Zoyipa zozungulira.

Ndizachilendo kuona wodwala matenda ashuga "wodziwa" yemwe sangakhale ndi vuto ndi mano ake. Matenda opatsirana am'mkamwa, omwe ndi oopsa, amatha kukhala chizindikiro cha odwala omwe sanawunikidwebe koma sanazindikire. Madokotala a mano nthawi zambiri amatumiza odwala awo kukayezetsa shuga, ndipo, monga lamulo, kukayikira kwawo kuli koyenera.

Ngati insulini itasiya kugwira ntchito mwadzidzidzi, ndiye kuti inshuwaransi yanu siyimachepetsa shuga monga momwe zimakhalira - choyamba, onetsetsani kuti insulini yomwe ili mu vial sinataye. Kenako onetsetsani kuti tsiku lake latha. Ngati izi zili bwino, ndiye chifukwa chachitatu chifukwa chofalikira ndikuti mumatenga matenda opatsirana pakamwa panu. Choyamba, yang'anani mano anu kuti akuwone ngati ali ndi matenda. Mndandanda wazizindikirozi umaphatikizapo kufiyira, kutupa, kutuluka magazi, kuwawa pokhudza. Ikani madzi oundana pakamwa panu ndikusunga kwa masekondi 30. Ngati dzino lililonse likuluma - ichi ndi matenda, funsani dotolo wamano.

Matenda opatsirana a mano ndi mano m'kamwa mwa odwala matenda ashuga ndiofala kwambiri. Amayenera kuthandizidwa mwachangu, chifukwa zimasokoneza kukhalabe ndi shuga wamba. Pazidziwitso zanu, mano m'mayiko a CIS amadziwika kuti ndi abwino kwambiri pamitengo yamitengo / yabwino kuposa ku Europe konse. Chifukwa sichimalamulidwa kwambiri ndi boma. Tili ndi chiyembekezo kuti mkhalidwewu upitirirabe. "Zokopa ndi mano" akuyamba kukhala kwa ife kuchokera ku Britain ndi ku USA. Panthawi imeneyi, ife - okhala m'derali - tili ndi manyazi kwambiri kuyenda ndi mano oyipa.

Kutupa kochepa komanso momwe mungathetsere

Matenda a 2 a shuga amakhala ndi zovuta za 2 metabolic:

• Kukana kwa insulini - kuchepetsetsa chidwi cha insulin
• Kupanga kwa insulin kwa kuchuluka kosakwanira kuthana ndi insulin.

Timalemba zifukwa 5 zomwe zimayambitsa kukana insulini. Uku ndiye cholowa (zoyambitsa chibadwa), kusowa kwamadzi, matenda opatsirana, kunenepa kwambiri, komanso shuga wambiri. Tsopano tiyeni timvetse. Matenda opatsirana komanso kunenepa kwambiri amachititsa kuti insulini isakane mwachindunji, koma chifukwa zimayambitsa kutupa. Kutupa kapena kupindika kwambiri, kumakulitsa kukana insulini.

Kutupa ndi kuyankha kwa chitetezo chamthupi pakuwonjezeka kwa mapuloteni akunja, makamaka ma tizilombo. Tiyerekeze kuti munthu wavulala ndipo kachilomboka kachilonda. Chitetezo cha mthupi chimayesetsa kupha majeremusi, kuwongolera "omenyera" nawo. Zotsatira zoyipa za nkhondoyi ndikuti chilondacho chimatupa, chimapweteka, chimakhala chamdima, chimatentha kukhudza, mafinya amasulidwa. Zonsezi ndi kutupa.

Zofunikira zoyambitsa kutupa kwaposachedwa kupatula matenda:

• Kunenepa kwambiri pamimba (pamimba komanso m'chiuno) - maselo amafuta amabisa zinthu m'magazi zomwe zimapangitsa kutulutsa kwakubisika.
• Matenda a autoimmune, mwachitsanzo, lupus erythematosus, nyamakazi ya ana ndi ena.
• Kusalolerana kwa Gluten. Ndi mapuloteni omwe amapezeka mumbewu monga chimanga, rye, oats ndi barele. Kusagwirizana mwamphamvu kwa majini ndi vuto lalikulu lotchedwa celiac matenda. Nthawi yomweyo, 70-80% ya anthu amakhala osalolera pang'ono. Amayambitsa kutupa kwaposatha komanso kudzera mu insulin kukana.

Kutupa kwakanthawi ndi vuto lalikulu lomwe madokotala apakhomo sakulabadira. Komabe, kusinthasintha komwe kumachitika pakapita nthawi kumatha "kusefukira" thupi kwazaka. Amapangitsanso kukana insulini, komanso kuvulaza mitsempha yamkati kuchokera mkati, kuyambitsa atherosulinosis, kenako kugunda kwamtima ndi sitiroko.

Samalani kwambiri polimbana ndi zotupa! Osati zowopsa monga kukhalabe ndi khansa yochepa yamagazi, koma komabe. Zoyenera kuchita:

1. Pangani kuyezetsa magazi kwa zodziwitsa. Choyamba, ndi mapuloteni a C-reactive (osasokonezeka ndi C-peptide!) Ndi fibrinogen.
2. Fotokozani mavuto anu. Mano omwe ali ndi vuto ndi vuto lotenga matenda osachiritsika omwe amalimbitsa kukana kwa insulin, komanso kuwononga pang'onopang'ono mitsempha yamagazi, ndikuwonjezera ngozi ya kugunda kwa mtima ndi sitiroko.
3. Zofunika! Sakani pa intaneti ndikuyang'ana zizindikiro za kusalolera kwa gluten. Ngati muli ndi zizindikiro izi, ndiye yesani kuphatikiza zakudya zama carb otsika ndi zakudya zopanda gluten. Yesani kusintha kwamunthu wanu pakatha milungu isanu ndi umodzi. Zikakhala bwino, pitilizani kudya zomwezi.
4. Zowonjezera zotsatirazi zimachepetsa kufooka kwakuthupi mthupi: alpha lipoic acid, tiyi wobiriwira, komanso magwero a mafuta a omega-3 - mafuta a nsomba, mafuta a linseed, mafuta a primrose madzulo. Werengani komanso zomwe zowonjezera zomwe muyenera kuchita kuti mukhale ndi matenda oopsa komanso mavuto a mtima.

Kupsinjika, mkwiyo, mkwiyo

Zochitika zomwe zimayambitsa kupsinjika kapena kukwiya nthawi zina zimachitika kwa tonsefe. Zina mwa zitsanzo ndi izi:

• kuyankhula pagulu;
• mayeso odutsa;
• itani kapeti kwa abwana;
• kuyendera kwa mano;
• kupita kwa dotolo yemwe mumamuyembekezera zoipa.

Kutulutsa kwakuthwa kwamafuta opsinjika kumayambitsa, pakati pazinthu zina, kuchuluka kwa shuga m'magazi. Komabe, momwe anthu onse amachitidwira ndi osiyana. Zochitika zomwezi zimatha kukhumudwitsa inu, ndipo simudzapeza wodwala wina aliyense wa matenda ashuga. Chifukwa chake, shuga ake sadzatuluka konse. Kutsiliza: muyenera kuyang'anira zochitika zomwe zimabwerezedwa pafupipafupi, ndipo mwa iwo shuga yanu imachoka chifukwa cha kupsinjika. Ndi ziti zina mwazifukwa zomwe shuga yanu imakulira pafupipafupi? Ngati mutawafotokozera, mutha kulosera ndikukonzekera zochita zanu pasadakhale. Mavuto omwe amatha kunenedweratu ali m'manja mwanu ndi kupewa.

Zovuta zambiri zimangochitika mwangozi. Koma zina mwa izo mwina zimakuchitikirani pafupipafupi. Zikatero, mumadziwiratu kuti chochitikachi chidzachitika komanso nthawi yomwe chidzachitike. Ikani jekeseni wochepa wa insulini wokhazikika kwa maola 1-2 musanachitike chochitika. Izi zimakwaniritsa zovuta za mahomoni opsinjika. Pankhaniyi, muyenera kuyeza shuga ndi glucometer mphindi 30-60 zilizonse kuti muwonetsetse kuti mulibe kuchuluka kwa insulin. Tinene kuti mukufunikira insulini yothamangira 1-2 ya insulin yothamanga musanapange zovuta. Ngati simukupangira jakisoni wololera pasadakhale, ndiye kuti muyenera kuwaza mayunitsi 4-6 kuti muchotse shugayo pamene idalumpha kale. Ndipo moyenera, simudzatha ndi jakisoni imodzi, koma muyenera kuchita jakisoni awiri pakapita maola 4-5. Kupewa kumakhala kosavuta komanso koyenera kuposa kugwetsa shuga pamene yatuluka kale.

Anthu ambiri odwala matenda ashuga ali ndi chizolowezi chodzudzula chifukwa chosalephera kuyendetsa magazi awo moyenera. Awa ndi malingaliro abodza komanso owopsa. Zimakuthandizani kuti muchotse udindo wakutsata boma kuchokera kwa wodwala waulesi, ndikusintha kuti mukhale "wosagonjetseka". Tsoka ilo, pamenepa, zovuta za matenda ashuga zimayamba msanga, ndipo palibe chifukwa chilichonse chomwe zingawakondweretsere.

Dr. Bernstein wakhala akuwunika odwala ake komanso matenda ake a shuga kwa zaka zambiri. Munthawi imeneyi, adazindikira kuti kupanikizika kosakhudzana sikukhudza mwachindunji shuga. Pokhapokha ngati wodwala akuigwiritsa ntchito ngati chowiringula kuti asamuke ku regimen. Nthawi zambiri izi zimadziwika chifukwa chakuti wodwala matenda ashuga amalolera kudya kwambiri kapena kudya "zoletsedwa" zopatsa mphamvu zamagulu ambiri.

Nthawi ndi nthawi, tonse timadutsa mu nthawi zolephera ndi zachisoni. Mndandanda wawo wambiri umaphatikizapo: maukwati okhala ndi mavuto, chisudzulo, kuchotsedwa ntchito kapena kuwonongeka kwa bizinesi, kuchepa pang'onopang'ono kwa wokondedwa chifukwa cha matenda osachiritsika, zina. M'malo mwake, nthawi zonse pamakhala chinthu chimodzi chomwe mutha kuwongolera.Awa ndimagazi anu.

Anthu ambiri odwala matenda ashuga amati shuga ya magazi awo imadumphadumpha chifukwa cha zovuta zazifupi za kupsinjika. Zitsanzo zakale zoterezi ndiz mayeso ovuta kusukulu yophunzitsa, komanso polankhula pagulu. Dr. Bernstein akuti shuga yake yamwazi imalumphira ndi 4,5-5,5 mmol / L nthawi iliyonse akamayenera kufunsa atolankhani. Chifukwa chake, muzochitika zotere, ndikofunikira kuyambitsa insulin "yayifupi".

Lamulo lalikulu ndi ili. Ngati vutoli limakhala lokwanira kupangitsa kuti epinephrine (adrenaline) achuluke, ndiye kuti mwina angayambitse kulumpha kwa shuga m'magazi. Epinephrine ndi amodzi mwa mahomoni opsinjika omwe amayambitsa chiwindi kuti asinthe glycogen yake m'masitolo. Ichi ndi gawo limodzi lankhondo la anthu kapena chikhalidwe cha ndege. Thupi limayesetsa kupereka mphamvu zowonjezereka kuthana ndi vuto lakukalamba. Miyezo yambiri ya epinephrine nthawi zambiri imawonekera pamlingo wowonjezeka wamtima ndi manja akunjenjemera. Odwala omwe ali ndi matenda a shuga a 2 koyamba, omwe amapanga insulin yokwanira kapena yochulukirapo, kupsinjika kwakukulu sikungayambitse kulumpha kwa shuga m'magazi.

Ngati magazi a shuga amakhalabe okwera masiku angapo motsatana, komanso makamaka kwa milungu ingapo, ndiye kuti simuyenera kunena kuti muli ndi nkhawa yayikulu kapena chinthu chovuta kwambiri. Pezani chifukwa chomveka chochitira.

Caffeine

Caffeine ndi chowonjezera chomwe chimadzutsa shuga m'magazi pafupifupi ola limodzi pakulowetsa. Zimapangitsa chiwindi kuti igwetse glycogen yambiri ndikutulutsa shuga m'magazi. Caffeine ndi wamphamvu kwa anthu ena kuposa ena. Mwina ndi chimodzi mwazifukwa zosafunikira zomwe mumapanga mu shuga zomwe muli nazo.

Zakudya zomwe zimakhala ndi mitundu yayikulu ya khofi

Akuti mutsatire zakudya zamagulu a shuga a shuga ochepa, ndiye osamwa cola wokhazikika, osadya chokoleti, etc.

Ndikulimbikitsidwa kuti kuyesa pamasiku osiyanasiyana kudziwa momwe caffeine imakhudzira shuga wanu wamagazi. Ngati zikuwoneka kuti zimakhudza kwambiri, ndiye kuti muyenera kuzigwiritsa ntchito pang'ono kapena pang'ono kuchuluka kwa insulin. Kudya zakudya zopangidwa ndi khofi wina kumapangitsa kuti musamavutike kutsatira zakudya zamafuta ochepa. Chifukwa chake, nkwanzeru kupewa. Ndikulimbikitsidwa kusiya tiyi wobiriwira yekha makapu atatu patsiku muzakudya zanu. Chonde dziwani kuti ndi matenda amtundu wa 2 shuga, ndikosayenera kudya zotsekemera zilizonse zomwe zimakhala nazo. Uwu ndi lingaliro la zakudya zaola.

Wonaninso nkhani yakuti "Amakoma a matenda a shuga: stevia ndi ena."

Testosterone mwa amuna ndi akazi

Mwa amuna, kuchuluka kwa seramu testosterone kochepa komwe kumayambitsa insulin kungayambitse - kuchepa kwa chidwi cha minofu kuti insulini. Mwa akazi, zomwezi zimapereka, m'malo mwake, kuchuluka kwa testosterone m'magazi. Kwa akazi, vutoli limafotokozedwa mwatsatanetsatane munkhani yokhudza matenda a ovary ya polycystic (imawonekera patsamba lotsatira). Ndipo pansipa tiona momwe testosterone imakhudzira chidwi cha maselo ndi insulin mwa amuna.

Zizindikiro zotsatirazi zikusonyeza kuti mulingo wa testosterone wotsika kwambiri:

• kukula kwa bere - gynecomastia;
• kunenepa kwam'mimba (pamimba komanso m'chiuno) popanda kudya kwambiri;
• kufunika kwa jekeseni wamkulu wa insulin (nthawi zambiri 65 magawo patsiku kapena kupitilira) kuti muchepetse shuga la magazi kukhala labwinobwino.

Sizofunikira kuti mukhale ndi malingaliro onse atatu nthawi imodzi. Osachepera amodzi aiwo ngokwanira kutumiza wodwalayo kukayezetsa magazi koyenera. Ngati mulingo wa testosterone m'magazi uli pafupi ndi malire amodzimodzi, ndipo makamaka ngati uli pansipansi, ndiye kuti ndi bwino kuti mukalandire chithandizo. Cholinga ndikukulitsa milingo ya testosterone mpaka pakati pazosavuta. Chifukwa cha izi, ndizotheka kuchepetsa kuchuluka kwa insulin, ndipo mwa odwala omwe ali ndi matenda a shuga a 2, kuchepa thupi kumathamanga mwachangu.

Funsani katswiri wabwino kuti akupatseni mankhwala oyenera. Dr. Bernstein amalembera jakisoni wa testosterone kwa odwala ake kawiri pa sabata. Zochita zake zawonetsa kuti kwa amuna, ma jakisoni oterewa ndiwosavuta kuposa miyala yamkati kapena pakhungu. Pambuyo pa chithandizo, odwala nthawi ndi nthawi amatenga mayeso a magazi a testosterone. Funsani dokotala kuti akupatseni mankhwala enaake. Izi siziri choncho kuti mudzilingalire nokha. Musagwiritse ntchito zogulitsa zogulitsa zogonana kapena charlatans.

Mahomoni a Steroid

Mankhwala omwe ali ndi mahomoni a steroid - cortisone ndi prednisone - amalembera mankhwala ochizira mphumu, nyamakazi, kutupa pamodzi ndi matenda ena. Mankhwalawa amachepetsa chidwi cha maselo kuti apange insulin ndikuwonjezera shuga. Nthawi zina odwala omwe ali ndi matenda ashuga, akamawamwa, shuga amayamba "kupitilira". Izi zimachitika osati ndi mapiritsi okha, komanso ndi asthma inhalers, komanso ma steroid okhala ngati mafuta a mafuta ndi mafuta.

Ma steroid ena ndi amphamvu kwambiri kuposa ena. Kutalika kwa zochita zawo zimasiyanasiyana. Kuchuluka kwake kapena mankhwalawa amadzutsa shuga m'magazi - funsani dokotala yemwe wakupatsirani mankhwala. Nthawi zambiri, gawo lililonse la ma steroid limawonjezera shuga kwa nthawi yayitali 6 mpaka 67. Mwinanso, zidzakhala zofunikira kuwonjezera kuchuluka kwa insulin ndi 50-300%.

Mankhwala ena

Mankhwala otsatirawa amalimbikitsa shuga:

• mankhwala okodzetsa;
• estrogen;
• testosterone
• epinephrine ndi zoponderezera chifuwa zomwe zili nazo;
• maantibayotiki ena;
• lifiyamu;
• beta-blockers, makamaka zakale - atenolol, propranolol ndi ena;
• ma mapiritsi a mahomoni a chithokomiro.

Mukayamba kumwa mankhwala aliwonse omwe atchulidwa pamwambapa, muyenera kuwonjezera kuchuluka kwa insulin. Timafotokozera kuti mapiritsi a mahomoni a chithokomiro amafuna chiwonjezeko cha kuchuluka kwa insulin.

Zomwe amachepetsa shuga:

• Mao zoletsa;
• chikonga chaminga cha kusuta;
• maantibayotiki ena ndi antidepressants (tchulani!);
• mapiritsi a shuga (werengani zambiri zamankhwala a shuga mwatsatanetsatane);
• jakisoni wa matenda a shuga a 2 - Baeta ndi Victoza.

Lumikizanani ndi dokotala yemwe wakupatseni mankhwala omwe amakupatsani shuga. Nthawi zina muyenera kuchepetsa mlingo wa insulin pasadakhale. Koma nthawi zambiri, ndikofunikira kudikirira ndikuwona momwe mankhwalawa atengera.

Kuti musankhe momwe mungasinthire kuchuluka kwa insulin pamene mukumwa mankhwala atsopano, muyenera kuyeza shuga ndi glucometer maulendo 10-12 patsiku ndi kusunga mbiri. Muyeneranso kumvetsetsa bwino momwe jekeseni wa insulin komanso nthawi yayitali amagwira ntchito mu chakudya. Werengani nkhani zolembedwa kuti "Insulin Lantus yowonjezera, Levemir ndi Protafan" ndi "Inulin Inulin pele Chakudya." Sintha shuga wambiri ndi jakisoni wa insulin. ”

Khansa ya m'mimba, mavuto am'mimba

Mulingo uliwonse wa mseru umakhala pachiwopsezo cha hypoglycemia kwa iwo omwe amapangira insulin asanabadwe. Chifukwa insulini iyi imayenera kuphimba chakudya chomwe sichizigaya kapena kulowetsedwa. Khansa ya m'mimba imachitika pafupipafupi m'magawo oyamba a kubereka komanso pa chemotherapy. Zikatero, kuyesa jakisoni nthawi ya insulin. Mwina ndibwino kuti musazichite musanadye, koma pambuyo pa maola 1-2, mukadziwa kale kuti chakudya chomwe mumadya chimagayidwa.

Gastroparesis ndimtundu wa diabetesic neuropathy (kuwonongeka kwa dongosolo lamanjenje) momwe chakudya chochokera m'mimba chimalowa m'matumbo ndikuchedwa. Zakudya zadyedwa zimayikiridwa pang'onopang'ono kuposa masiku onse. Chifukwa chake, shuga mutatha kudya sikuwuka nthawi yomweyo, koma pambuyo maola ochepa. Ngati mutaba jakisoni waifupi kapena wa ultrashort mu zakudya, mutha kuzindikira kuti shuga amachepetsa mukatha kudya, kenako amadzuka kwambiri patatha maola ochepa. Chifukwa chiyani izi zikuchitika? Pamene insulini yothamanga ikayamba kugwira ntchito, chakudya sichimamumizidwa. Ndipo pamene chakudyacho chidayakidwa kale ndikuyamba kukweza shuga, magazi a insulin anali atasiya kale.

Mu thupi laumunthu mumakhala minofu yomwe imapereka gawo loyendetsa chakudya kudzera m'matumbo, makamaka, kutulutsa kwam'mimba. Minofu iyi imayendetsedwa ndi dongosolo lamanjenje. Komanso, izi zimachitika palokha, ndiye kuti, osaganizira. Tsoka ilo, mwa anthu ambiri, matenda ashuga pazaka zambiri amawononga mitsempha yomwe imayendetsa njira ya m'mimba. Chimodzi mwa zinthu izi ndi matenda a shuga - gastroparesis - ikuchedwa kusiya.

Cholinga chamankhwala othandizira odwala matenda ashuga ndi kukhala ndi shuga wabwinobwino, monga momwe zimakhalira ndi anthu athanzi. Tsoka ilo, ngati matenda ashuga a gastroparesis adayamba kale, ndiye kuti ndizovuta kwambiri kukwaniritsa cholinga chotere. Wodwala wodwala matenda ashuga omwe angakhale ndi vuto la gastroparesis akhoza kukhala ndi vuto loteteza magazi, ngakhale atayamba kudya zakudya zamagulu ochepa, amatsatira mosamala boma lodziwunikira lokha kudziwonera ndi jakisoni wa insulin.

Monga matenda ashuga, gastroparesis imatha kudziwonekera mosiyanasiyana, kuchokera kofatsa mpaka kowopsa. Woopsa milandu, odwala mosalekeza kuvutika kudzimbidwa, belching, kutentha pa chifuwa, nseru, kutulutsa. Chodziwika kwambiri ndi matenda a shuga a shuga omwe amayamba kudwala matenda ashuga, omwe wodwalayo samamva Zizindikiro zomwe zili pamwambapa, koma shuga amasintha mosayembekezereka. Choyipa chachikulu kuposa zonse, ngati wodwala yemwe ali ndi gastroparesis amachitira shuga ndi insulin. Tiyerekeze kuti mwabayira insulin yochepa musanadye chakudya kuti mupewe kulumpha m'magazi. Koma chifukwa cha gastroparesis, chakudya chimakhalabe m'mimba, ndipo glucose simalowa m'magazi momwe amakonzera. Zikakhala choncho, insulini imatha kuchepetsa shuga m'magazi, ndikupangitsa kuti hypoglycemia itayike kwambiri.

Gastroparesis ndi vuto lomwe liyenera kusamalidwa kwambiri ngati muli ndi matenda ashuga odziwa zambiri, mwakhala mukudya zakudya zabwino “kwazaka zambiri,” ndipo chifukwa cha izi, shuga wanu wamagazi wakhala akwezedwa nthawi zonse. Komabe, pali njira zomwe zimathandizira kwambiri kuwongolera shuga kwa odwala omwe ali ndi matenda ashuga a gastroparesis. Tsamba lathu lili ndi chidziwitso chapadera pothana ndi vutoli. Werengani nkhani yatsatanetsatane, Diabetesic Gastroparesis.

Kusowa tulo

Kugona ndi gawo labwino lamphamvu pakudya, mphamvu ndi thupi. Kusowa tulo kumachulukitsa mahomoni opsinjika, ndipo izi zimaphatikizira kuwongolera kwa shuga m'magazi a shuga. Kusagona mokwanira kumathandizanso kuti azidyetsa kwambiri, kumabweretsa kunenepa kwambiri komanso kumapangitsa kuti insulin ikane. Choyipa kwambiri, ngati m'malo kugona, mumakhala pansi ndikukhalapo - onetsetsani TV, etc. Komabe, ngati mumagwira ntchito molimbika kapena kusewera masewera nthawi yopumula, ndiye kuti shuga imatha kutsikira pansi.

Ngati mukuvutikira kugona, khalani okonzeka kuwonjezera kuchuluka kwa insulin yanu. Muyenera kuti muchite izi ngati mumagona maola ochepera 6 patsiku. Komabe, ngati mungaganize zogwira ntchito usiku, ndiye kuti mwina kuchuluka kwa insulin yayitali kuyenera kuchepetsedwa ndi 20-40%. Sungani mapiritsi a shuga m'manja kuti mupewe ndi kusiya hypoglycemia.

Aliyense amapindula akamagona mokwanira komanso akamadzuka. Ngati zikukuvutani kugona usiku wokwanira, ndiye kuti perekani khofi, osagona masana, osachita masewera olimbitsa thupi usiku. Ngakhale kuchita masewera olimbitsa thupi masana kudzakuthandizani kugona bwino usiku. Nthawi zambiri, mavuto ogona amayamba chifukwa cha matenda ena amthupi kapena kusokonezeka kwamaganizidwe. Pankhaniyi, musazengereze kupeza thandizo kuchokera kwa akatswiri.

Mapeto

Tidasanthula mwatsatanetsatane zinthu zachiwiri zomwe zimakhudza shuga wamagazi mwa odwala omwe ali ndi mtundu woyamba wa 2 ndi matenda a shuga. Chithandizo chachikulu ndichakudya choyenera, mapiritsi ndi jakisoni wa insulin. Zomwe zili m'nkhaniyi zikuthandizaninso kubweretsanso shuga ku nthawi yayitali, yoletsa matenda ashuga.

Talemba zomwe zimakhudza shuga:

• kupsinjika ndi mkwiyo
• khofi
• matenda opatsirana;
• matenda a shuga a gastroparesis, nseru ndi kusanza;
• kukula msanga muunyamata;
• kuchepa thupi komanso kuwonda;
• zolimbitsa thupi;
• kuwonjezeka kwa Reflex pambuyo pa hypoglycemia;
• mankhwala a steroid;
• opareshoni;
• kulimbikira ntchito;
• nyengo, kutentha ndi chinyezi;
• kutalika pamwamba pa mulingo wa nyanja;
• kumwa mowa;
• Ulendo
• kugona mosagwirizana, kusowa tulo.

Zowonjezera zazimayi:

• msambo;
• kusintha kwa thupi
• mimba

Werengani nkhani yoti “Matenda a Akazi mu Amayi” kuti mumve zambiri.

Mutha kufunsa mafunso mu ndemanga, oyang'anira tsamba samayankha mwachangu.