Mulingo wa shuga m'magazi 18 umachokera ku 3.5 mpaka 5.5 mayunitsi. Zizindikirozi ndizofanana ndi m'munthu wathanzi. Kusinthika kwa chizindikiro mu mbali imodzi ndi njira yomwe imafunikira kuyesedwa.
Malinga ndi ziwerengero, anyamata ndi atsikana achichepere akuvutika kwambiri ndi matenda ashuga. Cholinga chake ndi malo oyipa, zizolowezi zoyipa zamagetsi - tchipisi, chakudya mwachangu, zakumwa zochokera mu mpweya komanso mphamvu.
Anthu amazolowera zakudya zamankhwala kuyambira ali ana, zomwe sizimangokhudza thanzi lathunthu, komanso kuwerenga kwa shuga. Matenda a shuga amakhalanso ndi ana azaka za 10-18, motero, pofika zaka 30 "gulu" lonse la matenda aakulu ndi zovuta zimawonedwa.
Ndi kuwonjezeka kwa shuga, zizindikiro zambiri zowopsa zimapezeka. Amaphatikizaponso pakamwa pouma, ludzu, kuchuluka kwamphamvu mumkodzo, etc. Kuwona sikumveka bwino, mabala samachira. Tiyeni tiwone zomwe achinyamata ali ndi zaka 18, komanso momwe mungawadziwire shuga?
Chikhalidwe cha shuga mwa anyamata ndi atsikana zaka 18
Kuzungulira kwa glucose m'thupi la munthu kumayendetsedwa ndi insulin, yomwe imapangidwa ndi kapamba. Zikakhala kuti pali kusowa kwa chinthu ichi, kapena ngati minofu yofewa m'thupi imachitapo kanthu moyenera, phindu la shuga limawonjezeka.
Miyezo yamankhwala yamayeso a shuga:
Gulu la zaka | Mankhwala pamimba yopanda kanthu (kuchokera pachala) |
Masabata 1-4 | 2.8 mpaka 4.4 mayunitsi |
Osakwana zaka 14 | 3.3 mpaka 5.5 mayunitsi |
Kuyambira wazaka 14 mpaka 18 | 3.5 mpaka 5.5 mayunitsi |
Munthu akakula, kuchepa kwa insulini kumayamba kupezeka, pomwe mbali zina za zolandirazi zimawonongeka, kulemera kwa thupi kumachuluka. Kwa ana aang'ono, chizolowezi nthawi zonse chimakhala chotsika. Mwana akamakula, ndiye kuti pamakhala shuga wambiri. Ndi kukula, munthu amalemera, motero, insulin m'mwazi imakumwa kwambiri, zomwe zimatsogolera ku chiwonetsero.
Dziwani kuti pali kusiyana pakati pa zomwe magazi amatengedwa kuchokera pachala ndi mtsempha. Potsirizira pake, shuga wamba pa 18 ndi 12% kuposa kuposa chala.
Mlingo wamagazi amkati amasiyana kuchokera ku 3.5 mpaka 6.1, ndipo kuchokera ku chala - 3.5-5,5 mmol / l. Kuzindikira matenda "okoma", kuwunika kamodzi sikokwanira. Phunziroli limachitika kangapo, poyerekeza ndi zomwe zingachitike zomwe wodwalayo ali nazo.
Kusintha kwa shuga m'magazi:
- Zotsatira zakuwonetseraku zikuwonetsa zotsatira za mayunitsi 5.6 mpaka 6.1 (magazi a venous - mpaka 7.0 mmol / L), amalankhula za boma la prediabetes kapena vuto la kulolera shuga.
- Chizindikiro chochokera mu mtsempha chikakula kwambiri kuposa ma unit 7.0, ndikuwunika pamimba yopanda kanthu kuchokera pachala ndikuwonetsa ziwerengero zoposa 6.1, matenda a shuga amapezeka.
- Ndi mtengo wochepera 3.5 mayunitsi - boma la hypoglycemic. Kutero ndi kwachilengedwe komanso kwachilengedwe.
Kafukufuku wazotsatira zamasamba amathandizira kuzindikira matenda osachiritsika, amakupatsani mwayi wowunika momwe mankhwalawa amathandizira. Ngati kuchuluka kwa shuga mumtundu wa 1 shuga sikotsika 10, ndiye kuti amalankhula za fomu yolipiridwa.
Mu shuga mellitus wamtundu wachiwiri, kubwezeretsedwa kwa pathology sikupitilira magawo 6.0 pamimba yopanda kanthu (m'mawa) komanso osapitirira magawo 8.0 masana.
Kodi chifukwa chiyani glucose amakula ali ndi zaka 18?
Glucose amatha kuchuluka pambuyo chakudya. Izi zikugwirizana ndi chifukwa chakuthupi, izi ndizosiyanasiyana mwazomwe zimachitika. Pambuyo kanthawi kochepa, chizindikirocho chimabwereranso pamlingo wovomerezeka.
Ali ndi zaka 17-18, gule ndi mtsikana amadziwika ndi kutengeka mtima kwambiri, zomwe zimatha kukhala china china chodumphira mu shuga. Zimatsimikiziridwa kuti kupsinjika kwakukulu, kukhumudwa kwambiri, neurosis, ndi zina zomwe zimayambitsa chiwonetsero.
Izi sizofala, koma osati zamatsenga. Munthu akachepetsa, mkhalidwe wake wamaganizidwe umacheperachepera, mtengo wa shuga umatsikira pakufunika kwake. Malinga kuti wodwala sapezeka ndi matenda ashuga.
Ganizirani zomwe zimayambitsa kuchuluka kwa shuga:
- Kuperewera kwa mahomoni. Asanakhale masiku ovuta kwa azimayi, shuga wamba amawonjezereka. Ngati palibe zovuta zina mu mbiri yachipatala, ndiye kuti chithunzicho chimadzimiririka. Palibe chithandizo chofunikira.
- Kuphwanya chilengedwe cha endocrine. Nthawi zambiri matenda a pituitary gland, chithokomiro England, ndi zina. Pakakhala kuchepa kapena kuchuluka kwa chinthu chimodzi kapena chinthu china cha mahomoni, izi zimawonetsedwa poyesa magazi kwa shuga.
- Ntchito yolakwika ya kapamba, chotupa cha mkati. Izi zimachepetsa kapangidwe ka insulin, chifukwa, kulephera kwa kagayidwe kazakudya ndi kagayidwe kachakudya.
- Chithandizo cha nthawi yayitali ndi mankhwala amphamvu. Mankhwala samangochizira, komanso ali ndi zovuta zingapo. Ngati mahomoni, antidepressants ndi tranquilizer atengedwa kwa nthawi yayitali, shuga imakula. Nthawi zambiri chithunzichi chimawonedwa pomwe munthu ali ndi chibadwa cha matendawo.
- Impso, mavuto a chiwindi. Kupezeka kwa chiwindi, zotupa zam'mimba zowopsa komanso zodetsa nkhawa zimatha kudziwidwa ndi gulu ili.
Akatswiri azachipatala azindikiranso zina zomwe zimapangitsa kuti glucose achuluke. Izi zimaphatikizapo kugwedezeka, kuphatikiza ululu, kuwotcha kwambiri, kuvulala pamutu, kuwonongeka, ndi zina zambiri.
Pali matenda omwe amakhudza kuchuluka kwa chizindikiritso cha pa electrochemical glucometer. Mwachitsanzo, pheochromocytoma pa nthawi yake yakukula imakhumudwitsa kupanga kwa norepinephrine komanso adrenaline yambiri. Nawonso mahomoni awiriwa amakhudzanso magazi. Kuphatikiza apo, kuthamanga kwa magazi kumakwera mwa odwala, omwe amatha kufikira ziwerengero zovuta.
Ngati matenda ena ndi omwe amachititsa kuti shuga azikula, ndiye kuti itatha mankhwalawa amadzidalira pawokha.
Mayeso a glucose
Ngati mwana wazaka 18 kapena mtsikana wadandaula kukodza pafupipafupi komanso moperewera, pakamwa pouma mosalekeza ndi ludzu, chizungulire, kuchepetsa thupi ndi chidwi chokwanira, zovuta zamkati, etc., ndiye ndikofunikira kuyesedwa kwa shuga.
Kuti mupeze zovuta zobisika kapena zowonekera za carbohydrate, muzindikire shuga kapena kutsutsa zomwe akuti mwazindikira, kuyesedwa kwa shuga kumachitika.
Ndikulimbikitsidwanso pazochitika zomwe magazi amwano amachokera ku chala cha munthu. Matenda amtunduwu amachitikira anthu otsatirawa:
- Nthawi zina ma shuga mumkodzo, pomwe kuyesedwa kwa magazi a chala kumawonetsa zotsatira zabwinobwino.
- Palibe matendawo omwe amawonetsera matenda "okoma", koma pali zizindikiro za polyuria - kuwonjezeka kwamkodzo mwachindunji pa maola 24. Ndi zonsezi, muyezo wamwazi kuchokera pachala umadziwika.
- Kuchuluka kwa shuga mu mkodzo muli ndi mwana.
- Ngati mbiri ya kuwonongeka kwa chiwindi, chithokomiro.
- Wodwalayo amadandaula za matenda a shuga, koma mayesowo sanatsimikizire kupezeka kwa matenda osachiritsika.
- Ngati pali cholowa cholandira. Kusanthula kumeneku ndikulimbikitsidwa kuti muzindikire matendawa.
- Ndi matenda a retinopathy ndi neuropathy a pathogenesis osadziwika.
Pakuwunika, zinthu zachilengedwe, makamaka magazi a capillary, zimatengedwa kuchokera kwa wodwala. Pambuyo ayenera kutenga 75 g shuga. Izi zimasungunuka ndi madzi ofunda. Kenako kumachitika kafukufuku wachiwiri. Bwino pambuyo pa ola limodzi - ino ndiye nthawi yabwino kudziwa glycemia.
Kafukufuku amatha kuwonetsa zotsatira zingapo - zamakhalidwe abwino, kaya ndi boma la matenda ashuga kapena kupezeka kwa matenda ashuga. Zonse zikakhala mu dongosolo, gawo la mayeso siliposa mayunitsi 7.8, pomwe maphunziro ena akuwonetsanso malire a zovomerezeka.
Ngati zotsatira zake ndizosiyana kuchokera ku magawo 7.8 mpaka 11.1, ndiye kuti amalankhula za prediabetesic state. Nthawi zambiri, kusanthula kwina kumawonetsanso magawo omwe ali pamwamba pang'ono pamulingo wovomerezeka.
Chizindikiro chakufufuza kwama unit opitilira 11.1 ndi matenda ashuga. Kuti mukonze, mankhwalawa amalembedwa, kudya mokwanira, zolimbitsa thupi, ndi zina zomwe zimathandizidwa kuti zithandizire kulipirira matendawa.
Zizindikiro ziti za glycemia ndizabwinobwino zomwe zingauze katswiri wa kanemayu munkhaniyi.