Kuchuluka kwa shuga m'magazi mwa amuna kumatha kusintha m'miyoyo yawo yonse. Ndi zaka, bambo aliyense amayenera kuyesedwa kuti adziwitse magazi.
Chofunikira ndikuti masiku ano chiopsezo chokhala ndi matenda a shuga, matenda omwe mumawonjezera kuchuluka kwa shuga m'magazi mwa amuna, akuwonjezeka kwambiri.
Njira ya pathological imakhala ndi mawonekedwe a zovuta zingapo zomwe zimakhudza moyo wa munthu aliyense. Komanso, ngati mulingo wabwinobwino shuga m'magazi utachepa, izi zitha kuonetsera kuwonekera kwamatenda osiyanasiyana ndi kusagwira bwino ntchito mthupi.
Mu kagayidwe kachakudya ka magazi m'magazi mwa munthu, osati ma cell a insulin okha omwe amaphatikizidwa, amakhala ochulukirapo. Kupanga kwa glucose kumachokera ku sucrose, glycogen ndi starch, komwe kumachokera pakudya, ndipo kaphatikizidwe kake kamachokera ku glycogen m'chiwindi, amino acid, lactate ndi glycerone.
Ma mahomoni amthupi la munthu omwe amakhala ndi zotsatira za hypoglycemic amaphatikizapo glucagon, kukula kwa mahomoni, thyrotropics, dexamethasone, cortisol ndi andenaline. Mothandizidwa ndi kayendedwe ka kayendetsedwe kake, kagayidwe kabwinobwino ka chakudya m'thupi kamatsimikizika.
Mpaka pano, mutha kuwona zambiri momwe shuga ya magazi idzawonetsedwera, chizolowezi kwa abambo pazaka ndi tebulo. Zambiri zimawonetsedwa kuti ziziwunika popewa kukula kwa shuga mwa amuna. Kupatula apo, chithandizo chanthawi yake komanso kugwiritsa ntchito njira zodzitetezera zimatha kuteteza motsutsana ndi zotsatira zoyipa zosiyanasiyana.
Nthawi zambiri amakhala ndi zilembo zodziwika bwino
Miyezo yokhazikitsidwa yomwe imapangidwa ndi kuchuluka kwa shuga m'magazi a munthu wamkulu imatengedwa kuti ikuchokera ku mamilimita 3.3 mpaka 5.5 pa lita.
Kupatuka kwakukulu kuchokera pamanambala omwe ali pamwambawa kumawonetsa hypoglycemia (wotsika kuposa 3.3 mmol pa lita imodzi) kapena hyperglycemia (wokwera kuposa 5.5 mmol pa lita).
M'badwo wa munthu, zaka | Mulingo wa shuga wamagazi mwa amuna, mmol / l |
---|---|
18-20 | 3,3 - 5,4 |
20-30 | 3,4 - 5,5 |
30-40 | 3,4 - 5,5 |
40-50 | 3,4 - 5,5 |
50-60 | 3,5 - 5,7 |
60-70 | 3,5 - 6,5 |
70-80 | 3,6 - 7,0 |
Tiyenera kudziwa kuti thupi la munthu linapangidwa m'njira yoti shuga azikwera itatha kudya. Ndiye chifukwa chake, kuwunika mutatha kudya sikubweretsa zambiri - zotsatira zake sizikhala zolondola.
Mulingo woyenera wa shuga mwa amuna ndi akazi ungapezeke ngati mutachita kafukufuku m'mawa wopanda kanthu kapena maola atatu mutatha kudya. Chakudya chikalowa m'mimba, kuchuluka kwa chakudya chamafuta kumachulukira, ndipo kuchuluka kwa glucose pansi pazomwe zingakhale bwino kumatha kuchuluka mpaka mamililita asanu ndi awiri pa lita.
Zizindikiro zoyendetsedwa ndi amuna amisinkhu yosiyanasiyana iyenera kukhala:
- kwa anthu opitirira zaka 60 - kuyambira 3,3 mpaka 5.5 mmol pa lita;
- ali ndi zaka makumi asanu ndi limodzi kudza makumi asanu ndi atatu - kuchokera pa 4.0 mpaka 6.5 mmol pa lita;
- Kwa anthu opitilira zaka makumi asanu ndi atatu - kuyambira 4.5 mpaka 7.0 mmol pa lita.
Ochepera mwina akhoza kukhala mwa makanda ndi ana. Kuphatikiza apo, kuwonjezeka kwa shuga mumagulu azimayi panthawi yapakati ndikwabwinobwino. Muzochitika zina zonse, kupatuka kulikonse kuzomwe zimakhazikitsidwa kumatha kuonetsa kuti kulibe ntchito mthupi lanu. Pansi pa thanzi labwinobwino laumunthu, zophatikiza zamagetsi zosavuta siziyenera kukweza shuga m'magazi pamwamba pa mamilimita asanu ndi awiri pa lita imodzi. Ndi chitukuko cha matenda ashuga, chiwerengerochi chimatha kukwera pamlingo wamamilimita khumi pa lita imodzi.
Tiyenera kudziwa kuti m'maiko ena, ndimwambo kuyeza shuga wamagazi m'mamiligiramu pa desilita iliyonse. Kuti musamutse ena, muyenera kuchulukitsa chisonyezo cha mmol ndi 18.
Chifukwa chake, muyezo wamagazi a ku Europe mwa amuna azikhala 60 mpaka 99 mg / dl.
Kodi amadziwika bwanji?
Kuti glycemia ikhale mkati mwazomwe zimakhazikitsidwa, ndikofunikira, choyamba, kuti muziwongolera mphamvu zake.
Mwazi wa shuga wamagazi amayendera mu labotale. Monga lamulo, njirayi ndi gulu la magazi a venous kuti aunikidwe.
Lamulo lofunikira lomwe limayika magazi a shuga kuchokera m'mitsempha limaperekedwa m'mawa ndipo nthawi zonse pamimba yopanda kanthu.
Kuphatikiza apo, kuti mupeze zotsatira zodalirika, ndikulimbikitsidwa kutsatira miyezo yotsatirayi:
- Chakudya chomaliza patsiku lachiyeso sichiyenera kuchitika osapitirira maola khumi.
- Mikhalidwe yopsinjika ndi kugwedezeka kwamphamvu kwamalingaliro komwe kumapangitsa kuwonjezeka kwa shuga wamagazi kuyenera kupewedwa.
- Sitikulimbikitsidwa kumwa mowa masiku owerengeka kusanachitike.
- Chakudya chizikhala chizolowezi kwa munthu sabata yathayo magazi asanachitike. Kutsatira zakudya komanso kuletsa zakudya kumabweretsa zosokoneza, chifukwa zimachepetsa kuchuluka kwa shuga m'magazi.
Kuphatikiza apo, nthawi zina, njira yowonjezerapo ikhoza kukhala yofunika, yomwe imaphatikizapo kusonkha magazi a venous pambuyo poti munthu wamwa madzi osungunuka ndi shuga wabwino. Glucose ndi mtundu wa chizindikiritso chomwe chimakupatsani mwayi wowona momwe thupi likuchitira ndi shuga yomwe ikubwera.
Tiyenera kudziwa kuti kafukufuku wofufuza matenda amatha kuthandizanso, momwe magazi a shuga amatengedwa kuchokera pachala. Potere, kuchuluka kwa shuga m'magazi othamanga kumakhala ndi malire osiyana siyana.
Kuyesedwa kwa shuga tsiku lililonse kumafunikira anthu omwe ali ndi matenda a shuga. Izi zimawathandiza kutsata kulumpha ndi zovuta, komanso kusintha kwa mankhwalawa a mankhwala ochepetsa shuga.
Kuchulukitsa malire
Mkhalidwe womwe umawonjezera shuga m'magazi umatchedwa hyperglycemia.
Kodi ndi chiyani chomwe chikuwopseza kuwonjezera zizidziwitso, ndipo zingachitike ndi chiyani?
Mkhalidwe wa hyperglycemia ndi wowopsa ku thanzi la munthu.
Choyamba, kuchuluka kwa shuga m'magazi kungayambitse kukula kwa njira zotsatirazi:
- matenda a shuga a mtundu woyamba kapena wachiwiri;
- mawonetseredwe a thyrotoxicosisꓼ
- matenda omwe amapezeka mu kapamba - zotupa zamitundu yosiyanasiyana kapena kapamba mu mitundu yayikulu komanso yovuta chronic
- matenda a impso ndi chiwindi
- Matenda ogwirizana ndi kuphwanya kwazonse magwiritsidwe a mtima, kuphatikizapo myocardial infarction.
Acromegaly, kumwa mankhwala enaake, kapena matenda ena angayambitse kuchuluka kwa shuga.
Nthawi zina, kuyesanso ndi kusanthula shuga wamagazi kuchokera m'mitsempha kungakhale kofunikira. Potsimikizira kuchuluka kwake, kupezeka kwa matenda kumayambitsa vuto la kapamba. Ngati thupi liyamba kupanga insulini yokwanira, zosokoneza mu kagayidwe kachakudya ka thupi zimayamba kuchitika, kusowa kwa mahomoni kumayamba, komwe kumayambitsa matenda osiyanasiyana.
Shuga wokwezeka amakhala ndi zizindikiro zake. Chifukwa chake, thupi limayankha pang'onopang'ono kuchoka pazikhalidwe ndi zizindikilo zakulephera:
- Kumverera kokhazikika kwauma pamkamwa ndikumenyedwa koopsa, komwe mu mawonekedwe ophatikizika kumayamba kuwonekera usiku.
- Kuchulukitsa chilakolako chambiri komanso kulemera.
- Kusenda khungu.
- Pali kufooka wamba m'thupi, kumatha kupsya mtima komanso kufoka.
- Kuchuluka kwa thukuta kumachuluka ngakhale popanda kuchita zolimbitsa thupi.
- Pali zovuta ndi chikhodzodzo mu mawonekedwe a kukakamiza pafupipafupi kukodza.
Zizindikiro zoterezi mwa abambo zimatha kupangitsa shuga kuwonjezeka.
Ngati pali chizindikiro chimodzi kapena kuphatikiza zizindikiro zomwe zili pamwambazi, ndikofunikira kuyezetsa magazi kwa shuga.
Kupatula apo, izi ndizizindikiro zomwe zimawoneka ngati matenda ashuga akutuluka.
Kugwera pansi pansipa
Tiyenera kukumbukira kuti zotsatira zoyipa zitha kukhalanso ndi vuto la hypoglycemia, ndiko kuti, kuchepa kwa mfundo zovomerezeka pansipa.
Kukhazikika kwa dziko la hypoglycemic kumatha kuwopseza chikomokere.
Zotsatira za njirayi, ubongo sukulandila kuchuluka kwa glucose, komwe kumakhudza magwiridwe ake.
Kuphatikiza apo, hypoglycemia imatha kupezeka, chifukwa cha chiwonetsero cha matenda osiyanasiyana, makamaka:
- kapamba wa adenoma;
- pamaso pa hypothyroidism kapena adrenogenital syndrome;
- kuvulala kwambiri kwa impso;
- khansa zam'mimba kapena adrenal glands;
- fibrosarcoma;
- kulephera mu ntchito ya ziwalo zam'mimba, komwe kumayamwa ntchito.
Kutopa kwa nthawi yayitali kapena kudya mankhwala ena a psychotropic, kulimbitsa thupi kwambiri mu matenda a shuga, komanso kuledzera kwa thupi ndi zinthu zosiyanasiyana, kuphatikizapo mowa, kumatha kutsitsa shuga.
Chimodzi mwazotsatira zoyipa kwambiri za hypoglycemia ndi chikomokere. Kuphatikiza apo, ngati zizindikiro za shuga zadutsa njira yovomerezeka, zizindikirazo zikuwoneka motere:
- Chizungulire zimachitika, ndipo limodzi ndi zopweteka.
- Tachycardia.
- Kufooka kwathunthu m'thupi ndi kufooka.
- Mkhalidwe wowonjezereka komanso kusakhoza kulolera.
Kuphatikiza apo, munthu amatha kukhala ndi zopindika m'matumbo am'munsi.
Njira zopewera
Kuti mukhale ndi shuga wabwinobwino komanso kukhala ndi thanzi labwino, muyenera kutsatira zakudya zoyenera, kusewera masewera, kusiya zizolowezi zoyipa ndikupewa zochitika zopsinja mtima, kuchuluka kwambiri kwamalingaliro.
Mwazi wa munthu aliyense umasintha tsiku lonse. Nthawi yomweyo, kuwonjezereka kapena kuchepetsedwa kwa zizindikiro kumakhudza kwambiri thanzi lathu, ndipo, chofunikira, ntchito ya amuna. Miyezi yokwezeka ya shuga nthawi zambiri imayambitsa matenda ashuga, omwe amakhudza mitsempha yaying'ono yamagazi, omwe amachititsa kuti thupi lizigwira ntchito komanso kugonana. Kuphatikiza apo, shuga wambiri mwa amuna amathandizira kuchepetsa testosterone yamunthu wamwamuna.
Anthu odwala matenda ashuga ayenera kutsatira zakudya zina nthawi zonse komanso kuchita masewera olimbitsa thupi. Izi ndi zinthu zomwe zimayenera kukhala gawo lofunikira la munthu aliyense yemwe amayang'anira thanzi lawo. Ndikofunikira kujambula zakudya zanu za tsiku ndi tsiku molingana ndi zakudya zamasamba ndikupewa maswiti, wowuma, mchere ndi mafuta, zakudya zopanda mafuta.
Kukhala ndi moyo wogwira ntchito sikuti kumangowonjezera kuchuluka kwa shuga m'magazi, komanso kumathandizira pakuchita kwa ziwalo zambiri ndi machitidwe.
Kuphatikiza apo, mayeso azachipatala okhazikika ayenera kuchitidwa pafupipafupi kuti athandize kuzindikira zovuta zilizonse m'migawo yoyambirira ya mawonekedwe awo. Dziwani kuti nthawi zambiri shuga amayambanso kupangika popanda kuwonetsa zizindikiro ndi zizindikiro zilizonse. Ndipo mayeso ochita kupewa okha ndi omwe azitsimikizira kupezeka kwa matenda ashuga m'mayambiriro a chitukuko.
About miyezo ya shuga m'magazi akufotokozedwa mu kanema m'nkhaniyi.