Magawo a shuga 5.6 ndi chizindikiro chokwanira cha shuga. Komabe, zotsatira za kuyesedwa kwa magazi, zomwe zimachokera ku magawo a 5.6 mpaka 6.9, ziyenera kukhala zochenjera, popeza zochulukirapo zimatha kuyambitsa chitukuko cha dziko la prediabetes.
Matenda a shuga ndi mzere wamalire womwe umagwirizananso pakati pa kugwira ntchito kwa thupi lonse ndi matenda ashuga. Mwanjira ina, kapamba amagwira ntchito pafupipafupi, koma kupanga kwa insulin kumachitika pang'ono.
Odwala onse omwe amapezeka kuti ali ndi vuto la matenda osokoneza bongo ali pachiwopsezo, motero, mwayi wokhala ndi matenda a shuga 2 umachuluka kwambiri.
Talingalirani zomwe zimakhazikitsidwa ndi boma loyambirira la matenda ashuga, ndipo ndi ziti zofunika kuti mudziwe? Komanso ndikupeza zizindikiro ziti zomwe zikuwonetsa kukula kwa prediabetes?
Khalidwe la matenda a shuga
Chifukwa chake, boma la prediabetes limapezeka liti? Ngati mumadalira kuyezetsa magazi, koma mutha kuyankhula za prediabetes pamene phindu la glucose limaposa mayunitsi a 5.6, koma osapitirira 7.0 mmol / L.
Izi zimawonetsa kuti thupi la munthu sililabadira moyenera pakudya shuga mkati mwake. Muzochita zachipatala, matendawa amatchedwa malire. Ndiye kuti, dotolo alibe chifukwa cholankhulira za matenda ashuga, koma mkhalidwe wa wodwalayo umakupangitsani kukhala osamala.
Pofuna kudziwa matenda a prediabetes, kuyezetsa mayeso angapo a labotale ndikofunikira. Choyamba, wodwalayo amatenga magazi pamimba yopanda kanthu, zomwe zimakhala m'thupi zimatsimikizika.
Gawo lotsatira ndikukhazikitsa kuyesa kwa glucose chiwopsezo, chochitika motere:
- Magazi amodzi amatulutsa pamimba yopanda kanthu.
- Katundu wa shuga mu mawonekedwe a shuga amasungunuka mumadzi omwe amaperekedwa kwa wodwala kuti amwe.
- Zitsanzo zingapo zamagazi zomwe zimatengedwa pafupipafupi.
Zizindikiro za shuga pamimba yopanda kanthu ndizozotsatira: - 3.3-5.5. Ngati phunziroli lawonetsa zotsatira za mayunitsi 5.6, titha kukambirana za prediabetesic state. Izi zimaperekedwa kuti madzi achilengedwe adatengedwa kuchokera ku chala cha wodwalayo.
Mu malo omwe magazi a wodwala amayesedwa, zinthu zomwe zili ndi shuga ndizambiri mpaka 6.1, ndipo pamalire amalire, chiwerengerocho chidzasiyana ndi 6.1 mpaka 7.0 mmol / l.
Decoding glucose chiwopsezo chotenga mayeso:
- Kufikira mayunitsi 7.8 ndiye chizolowezi.
- Magawo a 8-11.1 - prediabetes.
- Kupitilira magawo 11.1 - shuga.
Sikuti pokhapokha kuti zotsatira za kuyezetsa magazi zitha kuwoneka zabodza kapena zabodza, chifukwa, malinga ndi kusanthula kwina, kufalikira sikunakhazikike.
Kuti mutsimikizire za matendawa, ndikulimbikitsidwa kuphunzirapo kangapo (makamaka kawiri kapena katatu), komanso masiku osiyanasiyana.
Ndani ali pachiwopsezo?
Kutengera ndi manambala azachipatala, titha kunena kuti anthu pafupifupi 3 miliyoni aku Russia akudwala matenda ashuga. Komabe, kafukufuku wofufuzira amapereka zambiri zomwe anthu opitilira 8 miliyoni ali ndi matenda ashuga.
Izi zikuwonetsa kuti oposa 2/3 a odwala matenda ashuga samangopeza chithandizo chamankhwala, motero, samalandira chithandizo chokwanira.
Potsatira lingaliro la World Health Organisation, kuyezetsa magazi kwa shuga pambuyo pa zaka 40 kuyenera kuchitika katatu pachaka. Ngati wodwalayo ali pachiwopsezo, ndiye kuti phunzirolo liyenera kuchitika 4-5 pachaka.
Gulu lamavuto limaphatikizapo magulu a anthu:
- Odwala onenepa kwambiri. Kusintha kwambiri thanzi lanu, kuti muchepetse mwayi wokhala ndi matenda ashuga, muyenera kutaya 10-15% ya kulemera konse.
- Anthu omwe ali ndi matenda oopsa (kuchuluka kwambiri kwa kuthamanga kwa magazi m'thupi).
- Gulu la anthu omwe abale awo apamtima ali ndi mbiri ya matenda a shuga.
Omwe ali pachiwopsezo ndi azimayi omwe ali ndi matenda ashuga pakatundu.
Zizindikiro za boma la prediabetes
Ngati munthu wanenepa kwambiri kapena wanenepa kwambiri, amakhala moyo wongokhala, osadya bwino, amadziwa zamasewera pongomva chabe, ndiye kuti zili bwino kunena kuti ali ndi mwayi wokhala ndi matenda osokoneza bongo.
Mwambiri, anthu samayang'ana pa zoyipa yoyamba. Mutha kunena zowonjezereka, ena, ngakhale akudziwa kuti shuga yamwazi ndiwambiri kuposa zabwinobwino, osachitapo kanthu.
Mwazi wa magazi sindiwo kuchuluka kapena chithunzi, ndi chizindikiro choti kapamba ikugwira ntchito mokwanira. Ndipo popeza thupi la munthu ndi gawo lolumikizana, kuphwanya malo amodzi kumatha kubweretsa kusokonezeka kwina.
Chithunzi cha chipatala cha boma la prediabetesic chimadziwika ndi zizindikiro ndi zizindikiro zotsatirazi:
- Vuto la kugona. Chizindikiro chimayamba ngati vuto la metabolic njira, motsutsana ndi kuwonongeka kwa kapamba, kuchepa kwa kapangidwe ka insulin m'thupi.
- Kulakalaka kwamphamvu pakumwa, kuwonjezeka kwamkodzo weniweni patsiku. Ngati shuga m'magazi a munthu amadzisonkhanitsa, osakhudzidwa kwathunthu, izi zimapangitsa kuti magaziwo azikhala amanenepa. Malinga ndi izi, thupi limafunikira madzi ambiri kuti amuchotse.
- Kuchepetsa kwambiri kulemera kwa thupi popanda chifukwa. Ngati vuto la kupanga mahomoni lionedwa, shuga wamagazi a anthu amadziunjikira, komabe, sangathe kuzilowetsa m'magawo a cellular, omwe amachititsa kuchepetsa thupi ndi kuchepa kwa mphamvu.
- Khungu limayamwa ndipo limayang'ana, matupi ake amawona. Chifukwa chakuti magazi achulukana kwambiri, zimakhala zovuta kuti asunthe mitsempha yamagazi ndi mitsempha yaying'ono, chifukwa, magazi amayenda mthupi akusokonezeka, zomwe zimatsogolera kuzizindikiro zotere.
- Mikhalidwe yopweteka. Popeza pali kuphwanya kayendedwe kamwazi kokwanira, njira yodyetsa minofu yofewa imakwiya, izi zimayambitsa kukokana kwa minofu.
- Mutu. Poyerekeza ndi maziko a boma la prediabetesic, mitsempha yamagazi yaying'ono imatha kuwonongeka, yomwe imayambitsa matenda osayenda.
Zizindikiro zoterezi zimayenera kumuchenjeza munthu aliyense, chifukwa mwa kuwonetsa kwa zizindikiro, thupi limalengeza kuti sizingagwire ntchito kale.
Matenda a shuga si matenda ashuga, ndi chinthu chomwe chimasinthanso ngati njira zofunika zodzitetezera munthawi yake zingachitike.
Zoyenera kuchita
Ngati mayeso a magazi pamimba yopanda kanthu atulutsa shuga chifukwa cha mayunitsi a 5.6 kapena kuposerapo pang'ono, ndiye kuti akulimbikitsidwa kupita ku endocrinologist.
Nawonso, adotolo adzayeretsa kwathunthu zomwe zimapanga boma la prediabetes, zomwe njira zamankhwala ndizoyenera, lipereka malingaliro ndi upangiri wopewa kukula kwa matenda ashuga okhazikika.
Monga momwe machitidwe akusonyezera, ngati zofunikira zitha kuchitidwa pasadakhale matenda ashuga, matendawa ndi abwino, ndipo mwina anganene kuti matenda ashuga sadzayamba.
Kafukufuku adachitika ku United States kuti kukonza njira yakhalidwe ndiye njira yabwino kwambiri yopewera matenda a shuga poyerekeza ndi mankhwala.
Phunziroli limafotokoza izi:
- Mukasintha zakudya, kuwonjezera zolimbitsa thupi, ndiye kuti wodwalayo amatha kutsika ndi 10% ya kulemera koyambirira. Zotsatira zake, izi zimachepetsa mwayi wokhala ndi matenda ashuga ndi 55%.
- Ngati mumamwa mankhwala (Metformin 850), ndiye kuti matenda am'thupi amatsika ndi 30% yokha.
Chifukwa chake, titha kunena motsimikiza kuti kuwongolera njira yamoyo ndi "mtengo" wawung'ono pa thanzi lanu. Tiyenera kudziwa kuti wodwala akangokhalira kilogalamu imodzi, ndiye kuti mkhalidwe wake udzakhala wabwino.
Zakudya zoyenera
Odwala onse omwe amapezeka kuti ali ndi boma la prediabetes ayenera kudziwa zakudya zomwe angafune komanso zakudya zomwe angadye, komanso zomwe ziyenera kutayidwa kwathunthu.
Upangiri woyamba wa akatswiri azakudya zathanzi kudya zakudya zazing'ono pafupipafupi. Kuphatikiza apo, ndikofunikira kusiya michere yamagetsi. Conficationery, makeke, zakudya zingapo zotsekemera ndizoletsedwa.
Ngati mumagwiritsa ntchito zakudya zotere, ndiye kuti izi zimapangitsa kuti shuga azikhala mokwanira m'thupi. Komabe, popeza kagayidwe kachakudya kamachitika ndi zosokoneza, shuga sangatengeke mokwanira, motero, imadziunjikira m'thupi.
Dzikoli lisanafike matenda a shuga limakhala ndi zoperewera zina. Mutha kudya zakudya zambiri, koma muyenera kusankha zakudya zomwe zimakhala ndi mafuta ochepa a glycemic komanso mafuta ochepa.
Mfundo zofunika kuzitsatsa:
- Idyani zakudya zamafuta ochepa, zamafuta ambiri.
- Werengani ziwerengero zama calorie.
- Chulukitsani zakudya zamasamba, zitsamba ndi zipatso.
- Kuchepetsa kudya zamafuta kwambiri.
- Njira zazikulu zophikira ndikuphika, kuphika, kuwotcha.
Wodwala iyemwini amatha kuthana ndi mfundo zonse za zakudya zopatsa thanzi, zovomerezeka kapena zoletsedwa. Masiku ano, chifukwa cha kufala kwa matenda a zam'mimba, pali zambiri zambiri pamutuwu.
Mutha kuyang'ananso kwa dokotala wazakudya, yemwe angakuthandizeni kupanga menyu olingalira, poganizira moyo wa wodwala ndi zomwe akukumana nazo.
Njira zina
Odwala omwe ali ndi prediabetesic state amathanso kugwiritsa ntchito mankhwala ochokera ku wowerengeka omwe amathandizira kukula kwa shuga. Komabe, limodzi nawo, munthu sayenera kuyiwala za zakudya zomveka komanso zolimbitsa thupi.
Ndemanga ya odwala matenda ashuga akuwonetsa kuti buckwheat bwino amachepetsa shuga, amakhala bwino. Kuphika chakudya “chamafuta”, pukuta zomerazo ndi chopukusira cha khofi. Kwa 250 ml ya kefir, supuni ziwiri za chimanga chodula, siyani usiku. Ndikulimbikitsidwa kudya m'mawa chakudya cham'mawa chisanachitike.
Njira yina yosathandizira kusinthitsa shuga ndikumachiritsa kochokera pambewu za fulakesi. Kuti mukonzekere, muyenera kuthira supuni imodzi yamadzi mu 250 ml ya madzi, kubweretsa kwa chithupsa. Imwani kapu imodzi m'mawa musanadye. Kutalika kwa njira yochizira sikunalire.
Gawo lofunika kwambiri la prediabetes therapy ndikuwonjezereka kwa zolimbitsa thupi. Mutha kusankha nokha masewera pamtundu wa wodwala zomwe amakonda: kusambira, kuyendetsa njinga, kuyenda mayendedwe othamanga, volleyball, ndi zina zambiri.
Ngati pakadutsa miyezi isanu ndi umodzi kudzera mukudya, masewera ndi mankhwala wowerengeka sizingatheke kutulutsa zizindikiritso za shuga, ndiye kuti mapiritsi amayikidwa kuti athandize kukulitsa chidwi cha minofu ku glucose. Mankhwala abwino kwambiri ndi Gliclazide, Glycvidone, Metformin.
Zambiri zokhudzana ndi prediabetes ziziwuza katswiri muvidiyoyi.
