Khansa ya m'magazi ndi chimodzi mwazizindikiro zomwe zimayambitsa matenda ashuga. Nthawi zambiri nthawi zambiri amakhala osamveka mseru womwe umakakamiza munthu kuti apereke magazi chifukwa cha shuga motero kwa nthawi yoyamba kuti adziwe za matendawo.
Mwaumoyo wathanzi, kumverera mseru komanso kufuna kusanza, monga lamulo, kuyesa poizoni wa chakudya, kudya kwambiri komanso zovuta zina zam'mimba, koma mwa odwala matenda ashuga ndizosiyana.
Odwala omwe ali ndi matenda ashuga, kusanza komanso makamaka kusanza ndi chizindikiro cha kukula kwa zovuta zowopsa zomwe, popanda kulandira chithandizo chamankhwala panthawi yake, zimatha kuyambitsa mavuto. Chifukwa chake, ndi matenda ashuga, sizoyenera kuti chizindikiro ichi chizinyalanyazidwa, koma chifukwa chake ziyenera kukhazikitsidwa ndipo wodwalayo ayenera kuthandizidwa.
Zifukwa
Chifukwa chachikulu chomwe chimapangitsa mseru kumachitika ndi matenda a shuga a mtundu wachiwiri ndi shuga wambiri m'magazi kapena, m'malo mwake, kusowa kwa glucose m'thupi.
Izi zimadzetsa mavuto akulu mthupi la wodwalayo, zomwe zingayambitse nseru komanso kusanza kwambiri.
Mseru ndi kusanza mu shuga nthawi zambiri zimawonedwa ndi zotsatirazi zovuta:
- Hyperglycemia - kukwera kwakuthwa mu shuga;
- Hypoglycemia - kuchepa kwakukulu kwa shuga m'thupi;
- Gastroparesis - kuphwanya kwam'mimba chifukwa cha chitukuko cha neuropathy (kufa kwa minyewa ya mitsempha chifukwa cha zotsatira zoyipa za kuchuluka kwa shuga);
- Ketoacidosis - kuchuluka kwa kuchuluka kwa acetone m'magazi a wodwala;
- Kumwa mankhwala ochepetsa shuga. Makamaka omwe amadwala matenda a shuga a Siofor, chifukwa kusanza ndi kusanza ndizotsatira zoyipa za mankhwalawa.
Ndikofunika kutsindika kuti wodwalayo amamva kuwawa ngakhale atangoyamba kumene kulipira, pamene zizindikiro zina zingakhalebe zisanachitike. Chifukwa chake thupi la wodwalayo limatha kuthana ndi mseru komanso kusanza kukomoka kwa shuga, komwe kumabweretsa kukula kwa matenda ashuga amtundu wa 2.
Pakakhala chithandizo chofunikira, minofu yotsutsana ndi insulin imatha kuyambitsa kukomoka kwa hyperglycemic komanso kufa pambuyo pake kwa wodwalayo. Chifukwa chake, chithandizo chamankhwala chapanthawi yake ndichofunikira kwambiri ku matenda ashuga.
Kuphatikiza pa mseru, zovuta zilizonse za shuga zimakhala ndi zizindikiro zake zomwe zimakupatsani mwayi wofufuza chomwe chimayambitsa matendawa komanso momwe mungachitire moyenera.
Hyperglycemia
Hyperglycemia mu shuga amawonetsedwa ndi izi:
- Ludzu lamphamvu lomwe silingathe ngakhale ndi madzi ambiri;
- Kutukwana ndi kukodza pafupipafupi;
- Kusanza, nthawi zina kusanza;
- Zowawa m'mutu;
- Kusokonezeka, kulephera kukhazikika pa china chake;
- Zowonongeka: Maso amaso kapena amtundu
- Kupanda mphamvu, kufooka koopsa;
- Kuchepetsa thupi, wodwalayo amawoneka wosafunikira;
- Shuga wamagazi amaposa 10 mmol / L.
Osati achikulire okha, komanso ana amatha kudwala hyperglycemia, choncho ndikofunikira nthawi zonse kuwunika thanzi la mwana wanu, makamaka ngati amakonda kudandaula za nseru komanso kufuna kusanza.
Kuti muthandizire wodwalayo kuchuluka kwa shuga m'thupi, muyenera kum'patsa jakisoni wa insulin yochepa, ndikubwereza jakisoni musanadye.
Muzovuta kwambiri, mutha kusinthitsa kuchuluka kwa insulin tsiku lililonse kukhala mankhwala osakhalitsa, kupatula insulin yayitali. Ngati izi sizikuthandizani, ndiye muyenera kuyimbira foni dokotala.
Ketoacidosis
Ngati wodwala yemwe ali ndi hyperglycemia sathandizidwa pakapita nthawi, akhoza kuyamba kudwala matenda ashuga a ketoacidosis, omwe amawonetsedwa ndi zizindikiro zowopsa kwambiri:
- Ludzu lalikulu, madzi ambiri amwe;
- Kusanza pafupipafupi komanso koopsa;
- Kutaya kwathunthu kwa mphamvu, kulephera kuchita zolimbitsa thupi ngakhale pang'ono;
- Kuonda kwambiri;
- Ululu pamimba;
- Kutsegula m'mimba, kufikira nthawi 6 mumaola ochepa;
- Zowawa m'mutu;
- Kusakwiya, kuchita ukali;
- Kutopa, khungu limakhala louma kwambiri ndikusweka;
- Arrhythmia ndi tachycardia (pafupipafupi kugunda kwa mtima kosokoneza mitsempha);
- Poyamba, kukodza mwamphamvu, pambuyo pake palibe mkodzo;
- Mpweya wamphamvu wa acetone;
- Kupuma movutikira;
- Kuletsa, kutayika kwa minyewa.
Wodwala wodwala matenda a shuga ayenera kudziwa zoyenera kuchita ngati ali ndi matenda ashuga a ketoacidosis. Choyamba, ngati wodwalayo ayamba kusanza pafupipafupi, amatsekula m'mimba kwambiri ndikuwonetsa kukodza kwambiri, izi zimamuwopseza kutaya thupi kwathunthu.
Pofuna kupewa izi, tiyenera kupatsa wodwalayo madzi amchere.
Kachiwiri, muyenera kumupatsa jakisoni wa insulin ndipo pakapita nthawi yang'anani kuchuluka kwa shuga m'magazi. Ngati sichigwa, ndiye kuti muyenera kufunafuna thandizo kuchokera kwa dokotala.
Hypoglycemia
Hypoglycemia imadziwika ndi zizindikiro monga:
- Khungu lodziwika pakhungu;
- Kuchulukitsa thukuta;
- Kugwedezeka thupi lonse;
- Mtima palpitations;
- Njala yayikulu;
- Kulephera kuyang'ana pa chilichonse;
- Chizungulire chachikulu, kupweteka m'mutu;
- Kuda nkhawa, kumverera mwamantha;
- Masomphenya olakwika ndi malankhulidwe;
- Khalidwe losayenera;
- Kuwonongeka kwa mgwirizano wamagulu;
- Kulephera kuyendera bwino m'malo;
- Mikwendo yambiri m'miyendo.
Hypoglycemia nthawi zambiri amakumana ndi mtundu 1 shuga. Kuopsa kokhala ndi vutoli ndikofunikira kwambiri mwa mwana yemwe ali ndi matenda amtundu woyamba, chifukwa ana sangayang'ane momwe aliri.
Popeza taphonya kamodzi chakudya chokha, mwana wochita mafoni amatha kugwiritsa ntchito masitolo ogulitsa glucose ndikugwa.
Gawo loyamba komanso lofunikira kwambiri pochiza matenda a hypoglycemia ndikupatsa wodwalayo chakumwa cha msuzi wa zipatso kapena tiyi. Zamadzimadzi zimamezedwa mwachangu kuposa chakudya, zomwe zikutanthauza kuti shuga amalowa m'magazi mwachangu.
Kenako wodwalayo ayenera kudya zakudya zowonjezera zovuta monga mkate kapena phala. Izi zingathandize kubwezeretsa kuchuluka kwa shuga m'thupi.
Gastroparesis
Vutoli nthawi zambiri limafanana kwambiri ndi asymptomatic. Zizindikiro zazikulu za gastroparesis, monga kusanza mu matenda a shuga, zimayamba kuonekera pokhapokha matendawa akamakula.
Gastroparesis ali ndi zizindikiro zotsatirazi, zomwe nthawi zambiri zimawonekera mukatha kudya:
- Kutentha kwadzaoneni ndi kuphuka;
- Kuphatikiza ndi mpweya kapena asidi ndi kumverera kwodzaza ndi mawonekedwe am'mimba ngakhale mutatha supuni ziwiri za chakudya;
- Kumverera kokhazikika kwa mseru;
- Kusintha kwa ndulu;
- Kulawa koyipa mkamwa;
- Kudzimbidwa pafupipafupi, kutsatiridwa ndi kutsekula m'mimba;
- Kukhalapo kwa chakudya chosasokonezeka chopondapo.
Gastroparesis imayamba ngati kuwonongeka kwa mitsempha chifukwa cha kuchuluka kwa shuga m'magazi. Vutoli limakhudzanso ulusi wam'mimba, womwe umayang'anira kupanga michere yofunika komanso kayendedwe ka chakudya m'matumbo.
Zotsatira zake, wodwalayo amakhala ndi ziwalo pang'ono zam'mimba, zomwe zimasokoneza chimbudzi cha chakudya. Izi zimabweretsa chakuti chakudya chimakhala m'mimba mwa wodwalayo nthawi yayitali kuposa anthu athanzi, zomwe zimadzetsa mseru nthawi zonse komanso kusanza. Makamaka m'mawa wotsatira ngati wodwalayo aluma kudya usiku.
Chithandizo chokhacho chothandiza pazomwezi ndikuwunikira kuchuluka kwa shuga m'magazi, omwe angathandize kukhazikitsa dongosolo logaya chakudya. Kanemayo munkhaniyi akukamba zina mwazomwe zimayambitsa matenda ashuga.
