Kodi zolimbitsa thupi zimakhudza bwanji shuga, magazi funso lomwe limakhudza onse odwala matenda ashuga komanso anthu omwe amachita nawo masewera.
Zochita zolimbitsa thupi zimagwira ntchito yayikulu pakuwathandiza odwala matenda ashuga. Kugwiritsa ntchito zakudya zapadera, kuchita masewera olimbitsa thupi komanso kugwiritsa ntchito mankhwala osokoneza bongo kumakupatsani mwayi wowongolera kulemera kwa thupi ndi glucose wamagazi.
Zochita zolimbitsa thupi komanso momwe zimakhudzira thupi la wodwala yemwe ali ndi matenda ashuga
Pamaso pa matenda a shuga a 2 odwala, masewera olimbitsa thupi amathandizira kuwongolera shuga la magazi ndi:
- Kugwiritsa ntchito bwino mankhwala okhala ndi insulin ndi thupi.
- Kuwotcha mafuta owonjezera m'thupi, omwe amakupatsani mphamvu kuti muchepetse kunenepa, komanso kuchepa kwa kuchuluka kwa mafuta m'thupi kumabweretsa chiwopsezo chochuluka cha insulin.
- Kuchuluka kwa minofu yonse.
- Kuchulukitsa kwa mafupa.
- Kutsitsa magazi.
- Kuteteza ziwalo za mtima ndi matenda ku mtima mwa matenda ochepetsa cholesterol ya LDL mthupi komanso kuwonjezera kuchuluka kwa cholesterol ya LDL.
- Kupititsa patsogolo thanzi komanso thanzi.
Kuphatikiza apo, zolimbitsa thupi zimakhudza ndikuthandizira kuchepetsa mwayi wopsinjika komanso kuchepetsa nkhawa.
Kuchita masewera olimbitsa thupi kumawerengedwa kuti ndi gawo lofunikira pakukhazikitsa glucose m'thupi ndikuwongolera momwe matendawo aliri. Komabe, katundu wotere pa thupi amatha kukhala vuto, chifukwa ndizovuta kutengera momwemo, ndikovuta kuti agwirizane ndi kuchuluka kwa mankhwala ndi zakudya.
Pakupereka masewera olimbitsa thupi, ngozi imakhala ndi kusayembekezereka komanso kusayembekezereka. Ngati katundu wabwinobwino amatumizidwa thupi, amakumbukiridwa mu zakudya komanso muyezo wa mankhwalawo.
Koma pankhani yonyamula katundu mthupi, ntchito ndizovuta kuyipima, katundu wotere amakhala ndi mphamvu pa shuga. Chovuta ndikuti mulingo wa insulini womwe muyenera kulowa m'thupi kuti mukhale ndi shuga wambiri ndizovuta kuwerengera zoterezi.
Pambuyo pa kuphunzitsidwa, komwe kumachitika mwadzidzidzi, ndizovuta kudziwa zomwe zimafunika kudya kuti thupi likhale ndi mphamvu m'thupi la wodwalayo, popeza kutsika kwa shuga m'magazi nthawi ngati imeneyi kumatha kukhala kwamphamvu. Mukatha kudya zopatsa mphamvu zamafuta ochulukitsa, mshuga umakwezanso msanga, zomwe zingayambitse hyperglycemia.
Pofuna kupewa kuwonjezeka kwambiri komanso kuchepa kwa shuga ndi insulin mthupi, ndikofunikira kuwerengetsa molondola kuchuluka kwa mankhwala okhala ndi insulin.
Kupsinjika kwakuthupi kwathupi ndikusowa kwa insulin
Mukamachita masewera olimbitsa thupi kapena masewera, pokhapokha ngati pali kuchuluka kwa shuga m'magazi opitilira 14-16 mmol / L ndi kusowa kwa insulin, mahomoni olimbana ndi mahomoni akupitilizidwa kupangidwa mthupi la munthu mwamphamvu kwambiri. Chiwindi cha munthu yemwe akudwala matenda ashuga amakomoka akamakhudzidwa chimodzimodzi ngati ali ndi insulin yokwanira m'thupi.
Mphamvu ya minofu mu mkhalidwe uwu wa thupi ndi wokonzekera mokwanira kuyamwa kwa glucose ngati gwero lamphamvu. Koma zikasowa insulin m'magazi, shuga sangatengeke ndi minofu ndikuyamba kudziunjikira m'magazi. Ngati wodwala matenda ashuga ayamba kuphunzitsa, ndiye kuti shuga akhoza kuwuka kwambiri m'magazi, ndipo maselo am'mimba pakadali pano akuvutika ndi njala. Nthawi zoterezi, thupi limayesetsa kukonza zinthu, zomwe zimapangitsa kuti mafuta ayambe kugwira ntchito. Kuyeza pambuyo pa katundu wotere kumawonetsa kukhalapo kwa poyizoni wa acetone mthupi.
Kukhala ndi shuga wambiri m'magazi, kupsinjika kwakukulu pamthupi sikubweretsa phindu lililonse. Panthawi yochita masewera olimbitsa thupi, kuchuluka kwa shuga kwa magazi kumayamba kukwera kwambiri, chifukwa chake, masewera olimbitsa thupi ali ndi vuto lililonse, zomwe zimabweretsa kuphwanya kagayidwe kazachilengedwe kwa anthu.
Ngati mkati mwa zochita zolimbitsa thupi shuga akupezeka pazizindikiro zopitilira 14-16 mmol / l, ndiye kuti kulimbikira zolimbitsa thupi kuyenera kuyimitsidwa kuti pasadzapweteke boma, lomwe mtsogolomo limatha kudziwonetsa lokha ndi kuledzera ndi poyizoni ndi acetone. Kuyambiranso nkhawa kumaloledwa ngati shuga wamagazi ayamba kugwa ndikuyandikira chizindikiro pafupi 10 mmol / L.
Simungathe kuchititsa maphunziro ngakhale mutakhala kuti zolimbitsa thupi zitha kukhala thupi pambuyo poti mupeze mankhwala a insulin mthupi. Pakadali pano, kuchuluka kwa shuga ndi insulin m'thupi ndikwabwinobwino, koma panthawi yolimbitsa thupi, kusala bwino kumasokonekera ndipo kuchuluka kwa shuga kumayamba kukwera.
Panthawi yophunzitsira, timadzi timadzi timadzi timene timayamwa kwambiri m'thupi la insulini ndipo zomwe zili m'magazi zimayamba kuchuluka. Chiwindi chomwe chikuchitika chimalandira chisonyezo chochokera m'thupi chokhudza kukwera kwake kwa glucose ndikuletsa kutuluka kwa magaziwo.
Izi zimapangitsa kuti mukhale ndi njala komanso mukhale pafupi ndi hypoglycemia.
Maphunziro akuthupi pamaso pa matenda ashuga
Zochita zokhazikika zamaphunziro olimbitsa thupi zimathandizira kulimbitsa kwathunthu thanzi la anthu. Anthu omwe ali ndi matenda ashuga m'thupi amakhalanso chimodzimodzi. Kuchita masewera olimbitsa thupi pafupipafupi kumathandizira kukulitsa chidwi cha ma receptors, omwe amapereka kuchepa kwa shuga mthupi komanso kusintha kwa zinthu za insulin poyang'ana kuchepa.
Kuchita masewera olimbitsa thupi pafupipafupi kumathandizira kukonza kagayidwe kazakudya zomanga thupi ndikumakulitsa njira yotsikira mafuta. Kuchita masewera olimbitsa thupi, kumathandizira kuti mafuta awonongeke, kumachepetsa kulemera kwa munthu aliyense komanso kumakhudza kudzipereka kwamafuta m'magazi a munthu. Chifukwa cha katundu wambiri, zinthu zomwe zimayambitsa kukula kwa matenda osokoneza bongo zimachotsedwa ndikuwathandizanso kuti zisamachitike.
Mukamachita masewera olimbitsa thupi ayenera kuyang'anira zakudya ndi zakudya za wodwalayo. Izi zimafunikira kuti tisakhumudwitse kukula kwa hypoglycemia. Kuwongolera makamaka kuyenera kuchitika ngati mwana yemwe ali ndi matenda ashuga akuchita nawo masewera. Izi ndichifukwa choti ana amasilira zaumoyo wawo ndipo samatha kuyimilira ndikuletsa kuyika thupi pakanthawi kochepa.
Ngati pali matenda ashuga m'thupi, zolimbitsa thupi ziyenera kusinthidwa ndi zakudya. Ndikulimbikitsidwa zotere kuti kudya chakudya ola lililonse lomwe mphamvu yake imakhala mkate umodzi.
Ndi katundu wautali thupi, mulingo wa insulin womwe umalowe mthupi uyenera kuchepetsedwa ndi kotala.
Pakachitika prerequisites ya hypoglycemia, iyenera kulipidwa ndi kudya zamafuta, zomwe zimapangitsa kuchuluka kwa shuga mthupi. Ngati pali kuthekera kwakukulu kokulitsa kwa hypoglycemia, tikulimbikitsidwa kudya zakudya zokhala ndi chakudya chamagulu omwe ali ndi kapangidwe kake. Kugwiritsa ntchito zinthu ngati izi kumakweza shuga mu thupi nthawi yomweyo. Zakudya zomwe zimakweza msanga msanga mthupi zimaphatikizapo:
- wokondedwa;
- shuga
- timadziti;
- zakumwa zokoma;
- maswiti.
Kuti zolimbitsa thupi zitha kukhala ndi zotsatira zoyenera mthupi, ziyenera kugawidwa moyenera.
Malangizo olimbitsa thupi
Tiyenera kukumbukira kuti munthu amene ali ndi matenda ashuga amangoloredwa zinthu zazikulu monga kuthamanga, kusambira ndi ena. Katundu wambiri pamatupi monga, mwachitsanzo, kukankha ndi kukweza kwambiri amatsutsana mwanjira ina, apo ayi, katundu wolemetsa amakhala ngati njira yochizira matenda ashuga kunyumba.
Katundu aliyense wogwiritsidwa ntchito pathupi akhoza kugawidwa m'magawo atatu:
- Pachigawo choyamba, katundu wamphamvu monga kuyenda ndi ma squat amaperekedwa. Mukamachita ntchitozi, chiwalochi chimawotha ndikumakonzekera kuzindikira kwamphamvu kwambiri. Kutalika kwa gawo ili ayenera kukhala pafupifupi mphindi 10. Pambuyo pa gawo ili la katundu pa thupi, muyenera kuyang'ana kuchuluka kwa shuga m'thupi.
- Gawo lachiwiri la katundu pa thupi limaphatikizanso kuwonetsetsa zomwe zimalimbikitsa ntchito ya mtima. Chochita chachikulu panthawiyi katundu chikhoza kukhala, mwachitsanzo, kusambira kapena kuyenda panjinga. Kutalika kwa gawo ili sikuyenera kupitirira mphindi 30.
- Gawo lachitatu lolimbitsa thupi limaphatikizapo kuchepa pang'onopang'ono kwa katundu m'thupi. Kutalika kwa gawo ili ayenera kukhala osachepera mphindi 5. Cholinga chachikulu cha gawoli ndi kubweretsa thupi kukhala labwinobwino komanso kukonza momwe ziwalo zonse ndi machitidwe zimakhalira.
Popanga njira yochita masewera olimbitsa thupi, zaka za odwala omwe ali ndi matenda ashuga ziyenera kuganiziridwanso. Kwa wachichepere, akatunduwo amatha kukhala owonjeza kwambiri kuposa wachikulire. Pambuyo pamasewera, kusamba ofunda kumalimbikitsidwa. Pamapeto pa ntchito yochita masewera olimbitsa thupi, zimayenera kuyang'ana kuchuluka kwa shuga m'magazi.
Pofuna kupewa kupezeka kwa nocturnal hypoglycemia, munthu sayenera kusewera masewera pambuyo pa maola 18 ndipo sayenera kugwira ntchito pambuyo nthawi ino. Pankhaniyi, minofu yotopa kwa tsiku imakhala ndi nthawi kuti ichiritse wodwala asanagone. Kanema yemwe ali munkhaniyi akuwonetsa momwe mungapangire masewera olimbitsa thupi omwe ali ndi matenda ashuga.
