Mwazi wa magazi 17 ndi vuto lalikulu la matenda ashuga. Kuwonjezeka kwakukulu kwa ndende ya glucose kumayambitsa kusokonezeka kwa dongosolo lamkati lamanjenje, zolakwika m'magazi a mtima, ndikulumpha kuthamanga kwa magazi.
Mukanyalanyaza mavutowo, osatenga mbali zilizonse zofunikira kuti muchepetse shuga m'thupi, zinthu ziziipiraipira, kuphatikizaponso kugona, chikomokere, komanso kufa kwake.
Matenda a shuga enieni samayambitsa chiwopsezo chamoyo wa munthu, ndipo pobwezera zokwanira za matenda, wodwala amatha kukhala moyo wathunthu. Komabe, madontho a shuga amabweretsa zovuta zambiri, kuphatikiza zina zosasinthika.
M'pofunika kuganizira chifukwa chake shuga 17 ndi gawo lovuta kwambiri la glucose mu thupi, ndipo muyenera kuchita chiyani pamenepa? Chifukwa chiyani jakisoni wa insulin sathandiza, ndipo chifukwa chiyani shuga amawuka pambuyo pawo?
Kodi "shuga" yovuta kwambiri ndi chiyani?
Nthawi zambiri, kwa thupi lamunthu wathanzi, kupatuka kulikonse mu msambo wa shuga ndi kopanda tanthauzo. Mwachidule, polankhula manambala, owonjezera opitilira 7.8 mayeso ndiowopsa komwe kumawopseza zovuta zambiri.
Pambuyo pamunsi yovuta kwambiri, yomwe imakhala kwa masiku angapo, njira zosasinthika zimayambitsidwa m'thupi la munthu zomwe zimayambitsa kusokonezeka kwa ntchito pafupifupi ziwalo zamkati ndi machitidwe.
Komabe, motsutsana ndi maziko a matenda a shuga, kuchuluka kwa shuga kumatha kusiyanasiyana osati mwezi umodzi, koma tsiku lonse. Muzochitika zingapo, amafikira mpaka kuchuluka kwa 50.
Kupereka izi momveka bwino, ndikumveketsa bwino chiwerengerochi, titha kunena kuti mkhalidwewu umadziwika chifukwa chakuti mu lita imodzi yamwazi wamunthu muli masupuni awiri a shuga.
Kusintha kwa shuga kuchokera pamagulu 13 ndi ena, kuphatikiza 17 mmol / l, kumaimira chiopsezo ku zochitika zonse za moyo. Poyerekeza ndi kuwonjezeka kwa shuga mu mkodzo, pali matupi a ketone.
Ngati shuga m'thupi ukwera pamwamba pazigawo 10, ndiye kuti nthawi zambiri mumapezeka mkodzo wa munthu. Munjira iyi, ndikofunikira kuti muchepetse, ndipo njira yabwino ndikuyambitsa insulini.
Ngati vutolo lanyalanyazidwa, ndiye kuti pali mwayi waukulu woti ungayambitse chikumbumtima cha hypoglycemic.
Shuga wakufa
Odwala omwe ali ndi matenda ashuga, okhala ndi shuga pafupi ndi mayunitsi 17, chiopsezo chokhala ndi vuto la matenda ashuga chikuwonjezeka. Komabe, si wodwala aliyense yemwe amakhala ndi zofanana ndi zomwe zimachitika.
Muzochita zachipatala, pali zochitika zina pomwe wodwala anali ndi kuchuluka kwamagulu a 20, koma palibe chizindikiro chomwe chimawonetsa kuwonjezeka kwa shuga. Pankhaniyi, titha kunena kuti chizindikiro cha "kufa" cha glucose chidzakhala chosiyana kwa aliyense.
Pali zovuta zamankhwala pakukula kwa chikomokere, ndipo zimatengera mtundu wa matenda. Ndi mtundu woyamba wa matenda, kuchepa kwa thupi, komanso ketoacidosis, kamakula msanga.
Koma ndi mtundu wachiwiri wamatenda, kuchepa kwamadzi kumayamba kumene mwa odwala. Koma sichimatchulidwa nthawi zonse, chifukwa chake nthawi zambiri zimakhala zovuta kuti munthu atuluke.
Pa matenda akulu a shuga, wodwalayo amakhala ndi vuto la ketoacidotic. Monga lamulo, imawonedwa ndi mtundu woyamba wa matenda motsutsana ndi maziko a matenda opatsirana. Zizindikiro zazikulu za matenda:
- Shuga mumkodzo, kuwonjezeka kwamphamvu kwamikodzo patsiku.
- Kuchulukirachulukira kwa madzi m'thupi.
- Matupi a Ketone amadziunjikira m'magazi, chifukwa maselo amatenga mphamvu kuchokera pakudziunjikira kwa mafuta.
- Kusokonezeka kwa kugona, makamaka, kufunitsitsa kugona.
- Pakamwa pakamwa.
- Khungu lowuma.
- Fungo lochokera kumkati wamkamwa limawonekera.
- Phokoso komanso kupumira mwamphamvu.
Ngati shuga akupitilizabe kukwera, ndiye kuti chikomero cha hyperosmolar chikukula, chomwe chimadziwika ndi kuchuluka kwambiri kwa shuga mthupi, msinkhu wake umatha kukhala mpaka magawo 55.
Zizindikiro zazikulu za chikomokere:
- Kuchulukana mobwerezabwereza.
- Mafuta ambiri amadzimadzi. Kulephera kuthetsa ludzu lanu.
- Kukula kwa kusowa kwamadzi, kuchepa kwa mchere wambiri.
- Kugona, kusasangalala, ulesi, kufooka kwakatundu.
- Mawonekedwe amaso.
- Mawonekedwe ofupika mtima.
Ndi zizindikiro zotere, chithandizo chamankhwala chokha ndi chomwe chingathandize kupewa.
Dziwani kuti chinthu chachikulu ndikuthandizira wodwala madokotala asanafike, ndipo palibe njira zodzichepetsera shuga kunyumba zomwe zingathandize kuti vutoli lithe.
Chifukwa chiyani insulini “siyigwira ntchito”?
Odwala ambiri akufunsa chifukwa, pambuyo pa utsogoleri wa insulin, kodi kuchuluka kwa shuga m'magazi kukakwera ngati kuyenera kuchepa? Zowonadi, zitha kuwoneka kuti mutangoyambitsa mahomoni, shuga ayenera kutsika, koma izi sizichitika.
Muzochita zachipatala, zotere sizachilendo, ndipo zimachitika kangapo. Ndipo zifukwa zomwe izi zimakhalira zimatha kukhala zochuluka.
Wodwala aliyense yemwe ali ndi mbiri yodwala matenda a shuga 1 amdziwa momwe amaperekera jakisoni, m'dera lomwe thupi limafunikira kupangira mahomoni, ndi zina zotero. Komabe, ambiri amanyalanyaza malamulo ndi malingaliro, omwe amachititsa kuti insulin isagwire bwino ntchito.
Ganizirani zomwe zimayambitsa zomwe zingayambitse insulin.
- Mlingo wolakwika wa mahomoni.
- Wodwala samasamala pakati pazakudya zamagulu ndi zakudya zamafuta.
- Mankhwalawa sasungidwa bwino.
- Mitundu ingapo ya insulini imakhala yosakaniza syringe imodzi.
- Kuphwanya njira yoperekera mahomoni.
- Makulidwe olakwika a insulini, jakisoni wamphepo yolakwika.
- Zisindikizo patsamba la jekeseni.
- Ndi mankhwala oyambitsa, wodwalayo amapukuta malowa ndi mowa.
Dziwani kuti ngati muthandizira jakisoni wam'tsogolo wa zakumwa, ndiye kuti jakisoniyo amachepetsa ndi 10%.
Nthawi zambiri zimachitika kuti jekeseni, wodwalayo akangotulutsa singano, ngakhale molingana ndi malamulo, ndikofunikira kuti kudikirira masekondi 10 kuti mankhwalawa asatayike.
Ngati jakisoni amakankhidwa pafupipafupi m'dera lomwelo, ndiye kuti zimasindikizidwa m'malo ano, motere, mankhwalawo amamwetsa kudzera mthupi la munthu pang'onopang'ono kuposa momwe amafunikira.
Mankhwala akunja amalimbikitsidwa kuti asungidwe mufiriji. Ngati wodwala akufunika kusakaniza mitundu iwiri ya mahomoni a jekeseni, ndiye muyenera kudziwa omwe ma insulin akhoza kusakanikirana komanso omwe sangathe.
Ngati zifukwa zili mu mulingo, ndipo wodwalayo akutsimikiza kuti akutsatira malingaliro onse, ndiye muyenera kukaonana ndi dokotala kuti awonenso kuchuluka kwa mankhwalawo.
Simungathe kusintha mankhwalawa nokha, popeza izi zimakhala ndi shuga m'magazi.
Mavuto
Kuwonjezeka kwakukulu kwa kupsinjika kwa shuga mthupi kumabweretsa kukula kwa chikomokere, chomwe chimadziwika ndi kutaya chikumbumtima komanso kusakhalapo kwa Reflex. Mkhalidwe wamatenda otere umatha kukhala mwa munthu masana.
Ngati wodwala ali ndi chizindikiro chatsatanetsatane cha vutoli, ndikulimbikitsidwa kuti mukaonana ndi dokotala nthawi yomweyo. Chithandizo chachikulu chimachitidwira kokha mu chipinda chosamalira odwala kwambiri, ndipo sichingachite chokha.
Zizindikiro zikuluzikulu: ketoacidosis, pali fungo la acetone kuchokera kumkamwa wamkamwa, khungu la nkhope limakhala lofiira pakatikati, kamvekedwe ka minofu kachepa.
Kuphatikiza apo, wodwalayo ali ndi zizindikiro zotsatirazi:
- Kupweteka kwam'mimba, nseru, kusanza.
- Kuchulukitsa kwa magazi.
- Kugunda ndi kugunda kwa mtima kukufulumizitsa.
- Kupuma kwamphamvu komanso kopambanitsa kumawonedwa.
- Kutentha kwa thupi kumachepa (kawirikawiri).
Poyerekeza ndi maziko azachipatala omwe ali pamwambapa, kuchuluka kwa shuga m'magazi kukuchulukirachulukira, mpaka pamalingaliro apamwamba kwambiri.
Titha kunena kuti kuchuluka kwa shuga pamagulu pafupifupi 17 ndi shuga wowopsa, yemwe ali ndi zotsatirapo zingapo zoyipa. Nthawi zambiri, amawonedwa kuchokera kumbali ya dongosolo lamanjenje lamkati, mtima ndi genitourinary system.
Odwala amakula matenda oopsa komanso phazi la matenda ashuga. Matenda am'magazi amatha kudwala matenda a shuga, angiopathy, nephropathy, komanso mavuto ena. Ndipo zovuta izi ndizosachiritsika, sizingasinthe.
Pomaliza, ziyenera kudziwika kuti matenda ashuga pawokha - izi sizowopsa, zowopsa - izi ndizovuta zomwe zimachitika chifukwa cha matendawa, ndipo nthawi zambiri, amadziwika kuti sangadzisinthe.
Ndiye chifukwa chake ndikofunikira kuwongolera matenda anu, kudya moyenera, kusewera masewera, kutsatira malingaliro onse a dotolo kuti mupewe madontho a shuga, ndikukhala ndi moyo wonse.
Mavuto ati omwe ali ndi shuga wambiri angakuwonetseni kanema munkhaniyi.
