Ngati magazi a shuga amasiyana pakati pamagawo 3.3-5,5, izi zikuwonetsa kuyendetsa bwino kwa thupi lonse. Komabe, shuga wamagulu 24 akamawonedwa, izi zikusonyeza kuti mwayi wokhala ndi zovuta zazikulu umachuluka.
Matenda a shuga ndi matenda osachiritsika omwe amayamba chifukwa cha kusokonezeka kwa shuga m'magazi a cellular motsutsana ndi kuchepa kwa insulin kapenanso matenda a insulin mthupi la munthu.
Mtundu woyamba kapena wachiwiri wa matenda ashuga nthawi zambiri umapezeka. Mu mtundu woyamba, wodwalayo akulimbikitsidwa kupatsa insulin ya mahomoni kuti azilamulira kuchuluka kwa shuga. Ndi mtundu wachiwiri wa matenda, poyambira akuyesera kuthana ndi vutoli ndi kudya mokwanira komanso kuchita masewera olimbitsa thupi.
Chifukwa chake, muyenera kudziwa kuti chiwopsezo cha shuga wambiri ndi chiyani, ndipo zotsatira zake zingakhale chiyani? Mukudziwa zomwe zikuwoneka ndi shuga m'magawo 24, ndipo muyenera kuchita chiyani pamenepa?
Momwe mungapezere shuga yanu?
Monga tanena kale, kuchuluka kwa shuga komwe kumakhazikitsidwa mu zamankhwala kumakhala ndi malire komanso otsika. Ngati kupatuka kumawonedwa mbali imodzi kapena ina, ndiye kuti mkhalidwe wamatenda umapezeka.
Ngati shuga yamagazi yaposa mayunitsi a 5.5, ndiye kuti titha kulankhula za kukula kwa chikhalidwe cha hyperglycemic. Masewera a glucose ali pansi pazigawo za 3.3, izi zikuwonetsa dziko la hypoglycemic.
Kuwerenga kwamadzi obwera chifukwa cha shuga ndi machitidwe wamba, ndipo kuwunikiridwa kumalimbikitsidwa kwa anthu onse, kupatula. Maphunziro a Laborator amakupatsani mwayi kuwona zopatuka mu nthawi, molingana, mutha kuchitapo kanthu mwachangu.
Nthawi zambiri, kuchuluka kwa shuga kwa anthu onse kumawoneka kuti ndi ofanana, osagwirizana ndi akazi komanso amuna. Komabe, pali zopatuka pang'ono kwa ana onse (chizolowezi chimakhala chocheperako) komanso kwa anthu okalamba (chizolowere ndichokwera pang'ono).
Chiyeso cha shuga chili ndi mawonekedwe ake, omwe ndi awa:
- Kusanthula nthawi zonse kumayikidwa m'mawa, wodwalayo amalangizidwa kuti asadye, sibwino kupukuta mano ngakhale mano anu.
- Musanayambe kumwa kwachilengedwe, mutha kumwa madzi wamba (zakumwa zina ndizoletsedwa, chifukwa zimatha kukhudza zotsatira za kafukufuku).
- Masiku angapo kusanthula kusanathe. Kuphatikiza pa izi, kudziletsa wekha sikofunikira. Ndikokwanira kuchepetsa kuchuluka kwamafuta, zakudya zotsekemera.
Magazi owunikira amathanso kutengedwa kuchokera pachala, komanso kuchokera mu mtsempha. Kwa venous shuga m'magazi amawonjezeka ndi 12% ndipo ndizofananso. Ndipo malire apamwamba amasiyana kuchokera pamagulu 6.1 mpaka 6.2.
Ngati mayeso a shuga m'magazi adawonetsa kupitirira mayunitsi opitilira 5.5, njira zina zodziwikirazi zimaperekedwanso kuti azindikire / kutsutsa matenda osokoneza bongo kapena chikhalidwe cha prediabetes.
Shuga wa Magazi 24: Zizindikiro
Shuga akamachuluka ndikuyima pafupi ndi mayunitsi 24 - mkhalidwewu umadziwika nthawi zonse ndi zovuta zilizonse zamagetsi osiyanasiyana. Mwa odwala ena, Zizindikiro zimatha kukhala zowopsa, mwa ena, akhoza kudzuka.
Madokotala amadziwa kuti ngati wodwala ali ndi matenda osokoneza bongo kwa zaka zosakwana zisanu, ndiye kuti ali ndi mbiri yake yonse yabwino ". Ngati munthu wadwala kwanthawi yayitali, thupi lake limatha kuzolowera kusiyana koteroko, komwe kumayambitsa kuzizindikiro zofowoka kapena kusakhalapo kwathunthu.
Mulimonsemo, aliyense wodwala matenda ashuga ayenera kudziwa zomwe zimawoneka ndi shuga m'magawo 24:
- Kuwona sikumveka bwino, wodwalayo sawona bwino, chifunga kapena ntchentche pamaso pake.
- Kusweka kwazonse, ulesi, kukhumudwa, samafuna kuchita kalikonse.
- Chizungulire chachikulu, kupweteka kwa mutu kumawonekera.
- Wodwalayo amamwa madzi ambiri, ndipo kutuluka kwa madzi mthupi sikumabweretsa mpumulo, mukufunabe kumwa.
- Kugwiritsa ntchito madzi ambiri kumabweretsa maulendo pafupipafupi kupita kuchimbudzi.
- Khungu limayamba kuyungunuka ndi kusiya.
- Mitsempha ya pakamwa ili youma.
Monga taonera kale, shuga wambiri samakhudzanso thanzi lathu komanso mphamvu ya thupi. Nawonso, izi zimabweretsa kuchepa kwa chitetezo cha mthupi, chifukwa chake, odwala matenda ashuga nthawi zambiri amadwala ma virus komanso opatsirana matenda opatsirana.
Ngati zizindikiro zomwe zili pamwambazi zikuwoneka, muyenera kudziwa kaye zomwe zili ndi shuga. Mutha kupita kuchipatala kapena kukadziyesa nokha (ngati muli ndi glucometer kunyumba).
Magulu 24 a Glucose ali pachiwopsezo chachikulu osati ku thanzi la odwala matenda ashuga okha, komanso moyo wake.
Kupsinjika kwamphamvu kumatha kuyamba - kudwala matenda ashuga.
Pachimake mavuto a shuga
Odwala ambiri amafunsa kuti chitha kukhala chiyani ndi shuga 24 mayunitsi kapena kuposerapo? Poyerekeza ndi shuga awa, mkhalidwe wowopsa wa hyperglycemic umakula, womwe umafunikira kuzindikira koyambirira, chifukwa kumakhala ndi zotsatirapo zoyipa.
Mitundu itatu ya chikomokere cha matenda a shuga imayankhulidwapo: ketoacidotic, lactic acidic, hyperosmolar. Ndipo akuyenera kulandira chithandizo chamankhwala kuchipatala chowayang'aniridwa ndi adokotala.
Ketoacidosis ndi vuto lodziwika bwino kwambiri lomwe limayamba ndi mtundu woyamba wa matenda kuphatikiza maziko am'magazi ambiri m'magazi. Monga lamulo, zotsatira zoyipa zimawonekera pazifukwa zotsatirazi:
- Mlingo wokwanira wa mapiritsi ochepetsa shuga kapena insulin. Chowonadi ndichakuti wodwalayo amatha kutsatira mosamalitsa zomwe dokotalayo akuwonetsa, ndipo amamwa mankhwala onse mogwirizana ndi zomwe akupatsani. Komabe, zinthu zonse sizingaganiziridwe, ndipo zina zimafunikira kuchuluka kwa mankhwalawa: kuzizira, kutentha kwambiri kwa thupi, komanso kusanza.
- Kuchulukitsa kwa matenda aliwonse omwe ali ndi mbiri yakale ya; matenda opatsirana, kulowetsedwa kwa myocardial; sitiroko; dziko lodetsa nkhawa; kuwotcha; kuvulala kwambiri; kuchepa kwa thupi.
- Mlingo wolakwika wa insulin / mapiritsi, makonzedwe a mahomoni omwe amakhala ndi moyo wa alumali omwe atha kapena osungidwa molakwika.
Ketoacidosis ili ndi magawo anayi. Pa gawo loyamba, kuyanika kwambiri pakhungu ndi ma membala amtundu wa mucous kuwululidwa, mumamvanso ludzu, kufooka, kugona, kuwonekera kwa mutu kumawonekera, kukoka kwamkodzo kwamkodzo patsiku kumawonjezeka.
Pa gawo lachiwiri, kugona kwakukulira, wodwalayo samamvetsetsa zomwe akunena, amanunkhira acetone, kuthamanga kwa magazi ake kumachepa, mtima wake ukugunda mwachangu, ndipo kumakhala kuwukira.
Gawo lachitatu ndilabwino. Wodwalayo amakhala akugona nthawi zonse, zimakhala zovuta kumudzutsa, kuukira kumakulitsa (kusanza kwa bulauni ndi mtundu wofiira). Momwe kupuma kumasinthira, wodwalayo amapuma pafupipafupi, nthawi zambiri, komanso maphokoso.
Gawo lotsiriza ndi chikomokere, chifukwa cha omwe odwala matenda ashuga afinya. Kuchuluka kwa nkhaniyi si kwa maola ambiri, koma kwa mphindi. Wodwalayo amafunikira chithandizo chokwanira pokhazikika; ndikofunikira kuti apangire insulin ndikusintha kwa madzi m'thupi.
Pokhudzana ndi kuwopsa kwa zotsatira za moyo kuti ndikulimbikitsidwa kuyang'anira shuga nthawi zonse.
Ndipo pakuwonjezeka pang'ono, chitani zonse zofunika kuti muchepetse.
Hyperosmolar chikomokere
Hyperosmolar coma mu milandu yambiri imakhala yamtundu wa 2 odwala matenda ashuga omwe ali ndi zaka zopitilira 50. Izi zimachitika chifukwa cha kuchuluka kwa shuga ndi sodium m'magazi.
Zomwe zimapangidwira zimatha kukhala zotsatirazi: matenda a m'mimba, kutsekula m'mimba, kusanza, kuledzera kwa thupi, mawonekedwe a cholecystitis, kapamba, magazi kwambiri, mankhwala okodzetsa. Poyerekeza ndi mikhalidwe iyi, nthawi zonse pamakhala kusowa kwa mahomoni.
Nthawi zambiri kupanikizika kwa hyperosmolar sikuchitika modabwitsa. Kuyambira koyamba mpaka pachimake, masiku angapo kapena masabata angapo amatha. Poyamba, zizindikiro za wodwalayo zimayamba kutchulidwa: ludzu, mkodzo wambiri, kusowa kwa chilimbikitso.
Pambuyo pang'onopang'ono minofu yaying'ono ikuwoneka, pakapita nthawi, chizindikiro ichi chimasandulika kukhala chamkaka. Kutsegula m'mimba kumalowerera, wodwalayo amadwala komanso akusanza.
Kenako chikumbumtima chimasokonekera, poyamba wodwalayo samamvetsetsa komwe ali, zimamuvuta kuti azichita kayendedwe kake. Kuphatikiza apo, amatha kukhala ndi malingaliro onyenga. Dokotala amatha kuthandiza wodwalayo, chifukwa chake, ndi zizindikiro zotere, gulu la ambulansi limayitanidwa nthawi yomweyo.
Chithandizocho chimakhala podzaza kusowa kwa insulin, ma elekitirodi, madzimadzi ndipo amachitika m'chipatala.
Kodi glucose wamkulu atani?
Ngati shuga m'thupi ndi magawo 24, ndiye kuti muyenera kupeza thandizo loyenerera la dokotala. Monga mukuwonera pazambiri zomwe zili pamwambapa, kuchedwa pang'ono kumatha kuwononga moyo wa wodwala.
Zochita zikuwonetsa kuti shuga imayenera kuyang'aniridwa pafupipafupi, chifukwa njira yokhayo yolola munthu wodwala matenda ashuga kukhala ndi moyo wabwinobwino komanso yokwaniritsira ndikubwezera matendawa, ndipo kungopeza kwake kokha kumatsimikizira zovuta zochepa.
Vuto ndilakuti shuga wamagazi amakula mosayembekezereka, ngakhale munthu wazaka 10 wodwala matenda ashuga sangathe kulosera izi. Chifukwa chake, tikulimbikitsidwa kuti muphunzire mosamala njira zotsatilazi:
- Kuyenda, ntchito zakunja, masewera (kusambira ndi matenda ashuga, kuthamanga, kuyendera masewera olimbitsa thupi).
- Kukana kwathunthu kumwa mowa, kusuta.
- Tsatirani mosamalitsa zakudya zomwe mudayamwa, yang'anani kuchuluka kwa chakudya chamafuta, perekani zokonda pazogulitsa zokhala ndi index yotsika ya glycemic.
- Mankhwalawa agwiritsidwe ntchito panthawi yake osayambitsa. Pewani zovuta za matenda.
- Pewani kupsinjika, zochitika zamanjenje.
- Kuyang'anira shuga pafupipafupi (kangapo patsiku)
Zimadziwika kuti ngati mumatsatira malingaliro osavuta, ndiye kuti moyo wanu ungasinthidwe kukhala wabwino. Zochitika ngati izi zimakhala ndi zabwino zambiri. Choyamba, amasunga shuga pamlingo woyenera, osalola kudumpha mwadzidzidzi. Kachiwiri, chiwopsezo cha zovuta zapakati komanso zovuta zimachepa.
Ngati wodwala kumayambiriro kwa mankhwalawa anyalanyaza malangizo a dokotalayo, pakapita nthawi, kuti matenda asinthe, muyenera kumwa mapiritsi kuti muchepetse. Komabe, kugwiritsa ntchito kwawo kumathanso kuchepa kwa nthawi.
Zomwe zimayambitsa insulini, zomwe zidzachitike m'moyo wonse wodwala.
Njira zopanda chithandizo
Pochiza matenda a shuga, khungwa la aspen ndi njira imodzi yothandiza kwambiri yolimbana ndi glycemia komanso kukulitsa chitetezo cha mthupi. Makungwa ali ndi zabwino zingapo.
Ikagwiritsidwa ntchito ngati ma tinctures / decoctions, zimatha kusintha njira zama metabolic mthupi, kubwezeretsa ma membrane am'magazi, kusintha kagayidwe kazakudya, kukonza chitetezo chamthupi, kuonjezera kupanga kwa insulin yake.
Kunyumba, mutha kukonzekera kulowetsamo komwe kumathandizira kuwerenga kwa shuga. Njira yophikira ndi yosavuta: supuni imodzi ya gawo losweka imadzazidwa ndi 400 ml ya madzi otentha. Kuumirira kwa theka la ora. Tengani 125 ml m'mawa ndi madzulo musanadye.
Zomwe zimachepetsa shuga? Kuti muchepetse shuga, mutha kuchita izi:
- 10 magalamu a chithokomiro chowuma kutsanulira 250 ml ya madzi otentha, kubweretsa kuwira pamadzi osamba, ozizira mwachilengedwe. Tengani 125 ml katatu patsiku. Njira yamankhwala sikhala yochepa.
- Pogaya 10 cloves wa adyo, muzu wa horseradish (pafupifupi 20 cm), kutsanulira chilichonse ndi lita imodzi yamowa wabwino. Kuumirira masiku 10. Yambani kutenga ndi supuni, pang'onopang'ono kuwonjezera kuchuluka kwa supuni.
- Supuni ziwiri zatsopano buliberries kutsanulira 250 ml ya madzi, kubweretsa kwa chithupsa, gawani kuchuluka m'magawo awiri ofanana. Tengani m'mawa ndi madzulo tisanadye.
- Mutha kubala rasipiberi kapena masamba a sitiroberi mukatha kumwa ngati tiyi. Kumwa koteroko kumachepetsa shuga, kumathandizanso kuchepetsa mavuto.
Ndikofunika kudziwa kuti mankhwala ena wowerengeka popanda zakudya zoyenera komanso kuchita masewera olimbitsa thupi sangathandize kuthana ndi shuga. Chithandizo cha matenda ashuga ndi mankhwala ovuta, omwe amakhala ndi mayendedwe ambiri.
Chifukwa chake, kutsatira malingaliro onse si kuchiritsa matendawa, ndi moyo watsopano womwe umayenera kutsatira nthawi zonse.
Mwazi wambiri umakhala utayamba kupangika chifukwa cha matendawa. Izi zafotokozedwa mu video iyi.
