Shuga wotsika wamagazi amawonedwa mwa anthu omwe ali ndi matenda ashuga.
Zomwe zimapangitsa kuti pakhale matenda a pathological ndizambiri ndipo zimadalira zinthu zosiyanasiyana.
Pali zochitika zina zomwe zimapangitsa kuti pakhale kuwonongeka koyipa muumoyo:
- Zakudya zomwe zimaphatikizapo kumwa zakudya zopanda mafuta ambiri.
- Kumwa mankhwala okhala ndi vuto la antidiabetesic nthawi zina kumawopseza ndi hypoglycemia (mankhwala a mibadwo yakale imabweretsa mkhalidwe wa glycemia).
- Kumwa popanda chakudya.
- Kumwa mankhwala kapena mowa nthawi yomweyo ngati mankhwala ochepetsa shuga.
- Kuphwanya zakudya, kudumpha gawo lotsatira la chakudya.
- Kumayambiriro jakisoni wa kuchuluka kwa insulin.
- Kuchita masewera olimbitsa thupi mopitirira malire.
Zizindikiro za shuga m'magazi am'magazi ndizosiyana. Mndandandandawu umaphatikizapo kuwonongeka kwakuthwa mu moyo wathanzi, kufooka, kusowa chilimbikitso, kuzizira, ndi zina zambiri.
Zizindikiro za shuga yochepa magazi zimatha kupezeka mwa odwala matenda a shuga. Pankhaniyi, shuga wochepa wamagazi, zomwe zimayikidwa pansipa, zimapangitsa kuti hypoglycemia isanayambike ndi matenda a shuga.
Zochepa shuga zingachitike chifukwa cha:
- kumwa mowa wambiri;
- chifukwa chotenga mankhwala ena;
- Chifukwa cha matenda omwe amasokoneza magwiridwe antchito a chiwindi, impso, adrenal gland, kapamba;
- Pozindikira matenda a metabolic m'thupi;
- pambuyo kuchita zolimbitsa thupi kwambiri;
- chifukwa cha zakudya zomwe mumadya, makamaka ngati zili ndi zochepa zam'mafuta;
- nthawi yayitali pakati pakudya (kuyambira maola 8).
Zifukwa zonsezi zimatha kuchepa kwambiri m'magazi aanthu mwaumoyo. Chifukwa chake, ndikofunikira kupewa izi.
Kodi matendawa amawonetsedwa bwanji?
Kutsitsa shuga wamagazi kumakhala ndi zizindikiro zina. Kuzidziwa, mutha kuyesa kupewa kupewa komanso kupewa kuti musakhale ndi vuto lotere.
Kwa munthu aliyense, Zizindikiro za shuga ochepa zimasiyana, zimatengera kuchuluka kwake komwe kunachepa.
Kuyambika kwa zizindikiro zosiyanasiyana kumadaliranso kuchuluka kwa shuga.
Ngati shuga atsika mpaka atatu kuloza zakhumi zisanu ndi zitatu za mmol / L kapena kutsikira. Ngati shuga wochepetsetsa wotere amawonedwa, zizindikiro zake zingakhale motere:
- Zizindikiro zoyambirira zimatha kukhala kufooka, kunjenjemera m'thupi lonse komanso kuzizira.
- Kuchepa kwa shuga m'magazi kumayendetsedwa ndi thukuta lalikulu, thukuta lozizira, lomwe limakhazikika, limawonedwa, nthawi zambiri mutu umayamba thukuta, makamaka khosi.
- Chizungulire zimawonedwa.
- Kumva njala.
- Chizindikiro china chitha kukhala nseru.
- Mantha, nkhawa komanso nkhawa.
- Mtima palpitations (tachycardia).
- Mkulu akayamba kutsika, kumva ngati milomo ikutuluka, itha kuonedwa m'mbali ya zala.
- Ngati shuga amachepetsedwa pang'onopang'ono pazomwe zimatsimikizika mwakuthupi, ndiye kuti wodwalayo angadandaule chifukwa cha kusawona bwino.
Chizindikiro chilichonse pamwambapa chimatha kuyambitsa mavuto. Chifukwa chake, ngati munthu akumva chimodzi mwazizindikirozi, ndiye kuti ayenera kuyimbira foni dokotala posachedwa. Njira zochiritsira zomwe zikuyenera kuchitika kuti muchepetse shuga wambiri ndi kusintha mulingo wake, mankhwala a hypoglycemic ayenera kumwa.
Kodi nchifukwa ninji kuwonongeka kotere kuli ndi thanzi? Zomwe zimatsikira ndizakuti wodwalayo samatsata zakudya kapena adachita masewera olimbitsa thupi mopitirira muyeso. Zomwe zimayambitsa kutsika kumatha kukhala nkhawa.
Onetsetsani kuti mwapereka zakudya zokhala ndi shuga ochepa. Zimaphatikizanso kugwiritsidwa ntchito kwa zinthu zapadera zomwe zimathandizira kuti chizindikirachi chidziwike.
Ndikofunikira kuthetsa zomwe zimayambitsa shuga wochepa ndikukumbukira kuti matenda monga matenda ashuga amafunikira kuwona dongosolo loyenera la tsikulo ndi malingaliro ena onse a katswiri.
Momwe mungadziwire ngozi?
Kuchepetsa kuchuluka kwa shuga kumatha kuchitika kangapo.
Gawo loyamba lokhala ndi vutoli likufotokozedwa pamwambapa, pomwe wodwalayo amatha kuzindikira kuwonongeka kwake pamtunda ndikuyitanitsa adokotala kapena kudzithandiza yekha.
Nthawi zina kutsika kwamphamvu kwa shuga m'magazi kumatha kupezeka mwa anthu odwala matenda ashuga. Kutsika kwa shuga m'magazi mpaka 3 mmol pa lita imodzi kumawerengedwa kuti ndi kowopsa kwa anthu.
Zizindikiro zakugwa kopanda shuga ndikucheperako kumawonekera kwambiri, zinthu zimayendera limodzi ndi izi:
- wodwalayo amakhala wosakwiya komanso wokwiya;
- chisokonezo chikuwoneka, kumakhala kovuta kuti wodwalayo akhazikika;
- Kugwa kwa shuga kumayambitsa chisangalalo m'malo;
- minofu kukokana zimawonedwa;
- munthu amalankhula pang'onopang'ono komanso mosamveka;
- shuga wocheperako amasokoneza mgwirizano wa mayendedwe, gait imakhala yosakhazikika komanso yosagwedezeka;
- kugona
- kugona kuwonjezeka ndipo kufooka kwakukulu kumawonekera;
- Nthawi zambiri kuperewera kwa shuga kumapangitsa wodwalayo kulira.
Kodi wodwalayo akhoza kukhala woipirapo? Yankho ndi lakuti inde. Pakakhala shuga ochepa m'magazi, kutanthauza kuti, magazi ake amatsika mpaka 1,9 mmol / l, kutentha kwa thupi la munthu kumatsika kwambiri, kukomoka kumayang'aniridwa, ndipo kumenyedwa ndi stroke kumatha kuchitika. Zotsatira zake, ngati shuga atatsika kwambiri, vutoli likhoza kufa.
Pankhani yoyambira, pankhaniyi, muyenera kuyitanitsa ambulansi ndi kuchitapo kanthu mwadzidzidzi kuti mulimbike mtima m'magazi a wodwalayo.
Ngati munthu akudziwa, mutha kuyesa kum'patsa kena kake kokoma, akhoza kukhala madzi wamba, momwe supuni zingapo za shuga kapena uchi zimaphatikizidwira.
Kumva kutopa - chiwopsezo chake ndi chiani?
Si odwala onse omwe amafunikira kutopa kwakukulu, poganiza kuti ndiwokhazikika, komwe kumapangitsa kuti moyo ukhale wovuta.
Mkhalidwe uwu ndiwowopsa makamaka pakugonana koyenera. Zikutanthauza kuti thupi la mzimayi ndi lofooka kwambiri ndipo njira zosasintha zimayamba kukhazikikamo.
Nthawi zambiri, shuga m'magazi a shuga amachepetsa usiku. Zotsatira zake, m'mawa munthu amadzuka ndi mutu wovuta. Vutoli limatsatiridwa ndi zizindikiro zingapo, zonse zomwe zikusonyeza kuti munthuyo adadwala usiku hypoglycemia.
Zizindikiro zake ndi:
- Kutuluka thukuta kwambiri.
- Zomwe zimapangidwanso zimatha wodwala atagona.
- Kutsitsa shuga m'magazi usiku kungapangitse wodwala kuyenda mozungulira chipindacho m'maloto.
- Khalidwe limakhala losakhazikika.
- Zowawa zitha kuwoneka;
- Phokoso losakhalitsa lopangidwa ndi munthu limamveka.
Zonsezi zikutanthauza kuti wodwalayo ayenera kufunafuna chithandizo kuchokera kwa katswiri ndikuwunika. Kupenda kwathunthu komwe kudzawonetse chifukwa chake kumakhala koipa kokha usiku.
Kuti muyambenso kumva bwino, muyenera kutsatira malangizo a katswiri. Ngati shuga ndiwambiri kwambiri, ndiye kuti muyenera kumwa mankhwala apadera ochepetsa shuga, koma ngati mankhwalawo ndi otsika kwambiri, chinthu choyamba ndikupeza chomwe chimayambitsa kusinthaku ndikuti pokhapokha mukhale ndi regimen yothandizira.
Kuzindikira ndi kuchiza shuga ochepa
Zizindikiro zonse pamwambapa za shuga m'magazi mwa munthu wamkulu zimatha kuwonedwa, pamene glucose imatsikira mpaka 6.8 mmol pa lita. Izi zimawonedwa mwa odwala omwe ali ndi matenda ashuga. Kuphatikiza apo, matendawa atapitilira, matendawa amakhala olimba kwambiri.
Ana samvera kwambiri shuga wotsika. Pokhapokha kuchepa kwambiri kwa zizindikiro mpaka 2.6-2.2 mmol / lita, zizindikiro zomwe zafotokozedwa pamwambapa zimatha kudziwonetsa. Koma kuchuluka kwa glucose komwe kuli m'chigawo cha 3.6-2.2 mmol / lita, ndiye kuti mawonekedwe aliwonse mwa mwanayo atha kusakhalapo konse. Pomwe kuchepa kwa shuga m'magazi akulu kumayamba kudziwonetsa ndi zizindikiro zomwe zili pamwambowu kale pa chizindikiro cha 3.8 mmol pa lita.
Kuti mumvetsetse bwino nkhaniyi, muyenera kuchita maphunziro apadera. Kuzindikiritsa kumachitika ngati kuwunikako kunawonetsa shuga m'magazi mwa amuna kapena akazi, ndipo pali zizindikiro zomwe zimasowa pambuyo kudya chakudya kapena zakumwa zotsekemera.
Kutsiriza kumeneku kumapangitsa kuti wodwala ayesedwe moyenera. Dokotala amawunika wodwalayo, amadziwa momwe amadya komanso zomwe amadya, moyo womwe amamutsatira ndikuganizira zina zambiri zofunika.
Kuchiza kumachitika pokhapokha chifukwa chachikulu cha shuga chotsimikizika. Ndipo kale madokotala atazindikira zomwe zimayenderana ndi kusowa kwa shuga, chithandizo chitha kuyamba.
Wodwala aliyense ayenera kudziwa zomwe zimamuwopseza ndi vutoli komanso momwe angayang'anire bwino thanzi lake, kuti asachepetse shuga yake kwambiri. Zowonadi, nthawi zina pamakhala zochitika zomwe odwala omwe ali ndi matenda ashuga amathandizidwa palokha malinga ndi upangiri wa odwala ena, akuti, muchepetse shuga yanu ndi mankhwala enaake, matenda sangakhale ovuta. Koma nthawi zambiri, kudzichitira nokha mankhwala kumapangitsa kuti wodwalayo amangokulitsa thanzi lakelo.
Chifukwa chake, ndibwino kuthandizidwa ndikuyang'aniridwa ndi dokotala, osalola kuti shuga yochepa kwambiri.
Kodi muyenera kukumbukira chiyani?
Shuga akamayamba kutsika bwino, wodwalayo amatha kulimbana ndi zomwe wadzipereka. Amamva Zizindikiro zomwe zafotokozedwa pamwambapa ndipo amatha kuwongolera mwachangu.
Mwachitsanzo, kuchepa pang'ono, ndikokwanira kumwa njira yothetsera shuga kapena mutha kudya supuni ya uchi ndi chidutswa cha shuga, ndipo thanzi lanu limayamba kukhala labwino. Zowona, pankhaniyi, ndizoletsedwa kudya keke yokoma ndi zakudya zilizonse zamafuta ndi zomwe zimatenga nthawi yayitali, zimangovulaza mkhalidwe wa wodwalayo.
Mafuta akamagwera kwambiri kapena ngati mulingo wake uli wocheperako, wodwalayo amatha kuzindikira. Pankhaniyi, muyenera kuyitanira ambulansi. Kuti chizindikirocho chiyambe kuchuluka, wodwalayo amapaka pang'onopang'ono ndi njira ya shuga m'magazi kapena glucagon, yomwe imatha kuperekedwa osati mu mtsempha, komanso intramuscularly kapena subcutaneally. Pambuyo pa theka la ola, kuchuluka kwa shuga m'magazi kumatsimikiziridwa kugwiritsa ntchito gluroeterical glucometer. Ngati wodwala akumva bwino, sagonekedwa m'chipatala, mozunzika kwambiri, chithandizo chimachitika kuchipatala.
Choyamba, shuga akamayamba kutsika, wodwalayo amapatsidwa kapu yamadzi kuti amwe. Njira imeneyi iyenera kuthandiza kuti mulingo wake ukhale wokwanira. Zitatha izi, mutha kutumiza wodwalayo kwa dotolo kuti akamupime mokwanira.
Pazifukwa zomwe kuchuluka kwa shuga kuli okwera kwambiri, ndikofunikira kudziwa zizindikiro za chizindikiro chowonjezeka. Zomwezo zimagwiranso ntchito mikhalidwe ikafika yochepa kwambiri shuga. Ndikulimbikitsidwa kukaonana ndi dokotala pamene izi zalembedwera kwa nthawi yoyamba.
Kuti muzindikire panthawi yake kusintha koteroko, ndikofunikira kwambiri kukhala ndi glucometer kunyumba. Ndiosavuta kuyang'anira, ndipo chifukwa cha izi simuyenera kukhala ndi maphunziro apamwamba.
Zomwe zimayambitsa shuga m'magazi zingathe kutsimikiziridwa ndi dokotala wodziwa zambiri. Chifukwa chake, ndi dontho lakuthwa kapena losalala la shuga, muyenera kufunsa dokotala kapena endocrinologist wam'deralo.
Mosakayikira, chakudya chochepa cha magazi m'magazi chimawonetsa kukhalapo kwa zisokonezo zazikulu mthupi la metabolic. Mkhalidwe wamtunduwu ndi wofunikira kwambiri ndipo umafunika kulowererapo kwakanthawi kachipatala mthupi kuti kakonzedwe kazomwe kagayidwe kameneka kamachitika.
Zomwe zimayambitsa ndi kupewa hypoglycemia zikufotokozedwa mu kanema m'nkhaniyi.
