Matenda a shuga amatenga malo achitatu paimfa, pambuyo pa matenda amtima komanso khansa, malinga ndi ziwerengero za WHO. Tsoka ilo, kuchuluka kwa odwala kukukulira chaka chilichonse. Oposa 70% odwala ndi amayi. Asayansi sanawululirebe izi, chifukwa chomwe thupi la mkazi limayamba kugwidwa ndi matenda ashuga.
Magazi a shuga m'magazi nthawi zambiri amasokonezeka ali ndi zaka 40 - 43. Mukazindikira matenda, ndikofunikira pamoyo wonse kutsatira mosamalitsa malangizo onse a endocrinologist. Izi zikuthandizira kupewa jakisoni wa insulin, komanso kusintha kwa matenda ashuga amtundu wa 2 kukhala 1. Mtundu woyamba, wodwala matenda ashuga ayenera kupereka jakisoni wa insulin tsiku lililonse.
Kuti azindikire, wodwalayo amapereka magazi kuchokera pachala ndi minyewa. Kuwunika komaliza kumapereka tanthauzo lolondola kwambiri, ndipo kalozera wamasamba ndiwosiyana ndi omwe amapezeka m'magazi am'mbuyo.
Kuti muwone dokotala pakapita nthawi, komanso kuti mukhale ndi nthawi yokwanira kudziwa matendawa, muyenera kudziwa zonse zomwe zimayambitsa matendawa, kuchuluka kwa shuga m'magazi pambuyo pa zaka 40 kuchokera mu mtsempha, momwe mungapezere kusanthula, komanso njira zoyenera kuchitira.
Pansipa tikufotokozera mwatsatanetsatane zinthu zomwe zatchulidwa pamwambapa, ndikutipatsa mndandanda wazambiri shuga pamitundu yonse ya shuga ndi prediabetes.
Zizindikiro
Pali zisonyezo zingapo zosatsutsika zomwe zingasonyeze kupezeka kwa matenda ashuga, mosasamala kanthu za momwe mayi ali ndi zaka, ndi awa:
- mpweya woipa;
- thukuta lolemera;
- kutopa kukwiya;
- ludzu pafupipafupi;
- kuchepa mwadzidzidzi kapena kunenepa kwambiri;
- kuwonongeka kwamawonekedwe;
- kuchiritsa koyipa ngakhale pang'ono.
Ngati amayi, makamaka munthawi ya zaka 41 - 45, ali ndi chimodzi mwazizindikirozi, ndiye muyenera kuti mukaonane ndi dokotala kuti adutse mayeso oyenera. Zachidziwikire, mutha kutenga magazi pachala chala kunyumba pogwiritsa ntchito glucometer, koma kuwunika kumeneku sikungakhale kolondola.
Pozindikira, magazi a venous okha ndi omwe amagwiritsidwa ntchito.
Kuyesedwa ndi miyezo ya shuga
Kusanthula koyambirira kumangoperekedwa pamimba yopanda kanthu. Lamulo lina - chakudya chomaliza ndi maola 8 - 9 asanafike mayeso a shuga. Kusanthula ndi katunduyo kumaperekedwanso, ndiye kuti, wodwalayo amatengedwa magazi, ndiye kuti ayenera kumwa shuga, yemwe amagulidwa ku pharmacy iliyonse. Pambuyo pa mphindi 120, kubwerezanso kumatengedwa.
Kudzinyenga kotere kumawonetsa ngati thupi la mkazi limagwirizana ndi glucose, yomwe imalowa m'magazi. Dotolo, mwakufuna kwake, atha kuwonjezera kuyesedwa kwa magazi mukatha kudya, omwe adzatengedwe mkati mwa masiku awiri. Ndikulimbikitsidwa kwa anthu atatha zaka 46 kuti atsate chithunzi chonse cha kapamba.
Monga tafotokozera m'mbuyomu, endocrinologist ayenera kupereka mayeso angapo (mayesedwe a magazi) kwa wodwalayo, omwe ndi:
- magazi a capillary (kuyambira chala);
- magazi a venous.
Odwala ambiri amadabwa kuti kuchuluka kwa shuga m'magazi ndi chiyani, chifukwa amasiyana ndi ochepa. Pazaka makumi anayi, chizindikiro ichi ndi 6.1 mmol / L ndipo sichimasintha kwa akazi, mpaka zaka 59. Koma simuyenera kumamatira ku manambala akafika pa magazi omwe amachokera pachala. Apa zonena zake ndizochepa 12% kuposa zomwe zili pamwambapa - mpaka 5.5 mmol / l.
Ngati wodwala ali ndi shuga ochepa, ichi ndi hypoglycemia chomwe chitha kupezeka m'matenda ashuga ngati pali kutsika lakuthwa kwa shuga kuchokera pamwamba mpaka nthawi yabwino. Mulingo wochepera shuga ungayambitse asphyxia wodwala ndi chikomokere.
Mulingo wabwinobwino wa shuga:
- kuyambira chala - kuyambira 3,3 mpaka 5.5 mmol / l;
- kuchokera mu mtsempha - kuchokera pa 4 mpaka 6.1 mmol / l.
Pakusiya kwa msambo, komwe kumakhala pakati pa zaka 44 ndi 47, muyenera kuyang'anira kuchuluka kwa shuga, chifukwa mayendedwe amadzimadzi a mkazi amasintha, ndipo insulin ilinso mahomoni.
Union of Endocrinologists amalimbikitsa, kuyambira ali ndi zaka 42, kuyezetsa magazi magazi kamodzi kamodzi miyezi isanu ndi umodzi. Chifukwa chake, ndizotheka kudziwa boma la prediabetes, lomwe limathandizidwa popanda kugwiritsa ntchito mankhwala osokoneza bongo, pogwiritsa ntchito:
- Zakudya zosankhidwa mwapadera, poganizira zaumoyo wa odwala;
- achire masewera olimbitsa.
Zizindikiro za prediabetes mwa azimayi ochepera zaka 49 kuphatikiza, komanso zizindikiro za matenda ashuga mwa akazi azaka 50, ndi:
- kuyambira 6.1 mmol / l mpaka 6.9 mmol / l (magazi a capillary);
- kuchokera ku 8.0 mmol / l mpaka 12,0 mmol / l mukayesedwa ndi katundu - mayeso a kulolera glucose.
Malamulo azakudya
Ngati mwapezeka ndi matenda a shuga, kapena boma la prediabetes, muyenera kutsatira malamulo ena azakudya - chakudya chonse chimakhala chovunda, chophikidwa kapena chowiritsa. Zotsatirazi ziyenera kutayidwa:
- maswiti, zopangidwa ndi ufa, chokoleti ndi shuga;
- mowa
- zamzitini, kusuta, mchere wamchere;
- mkaka wamafuta ndi mkaka wowawasa - batala, kirimu wowawasa;
- nyama yamafuta ndi nsomba.
Zakudya zabwino kwambiri za anthu odwala matenda ashuga ndi bere la nkhuku, popanda khungu ndikuchotsa mafuta, ndipo motero, cutlets ya nkhuku yamtundu wa 2 odwala matenda ashuga. Mitundu yamafuta am'madzi amaloledwa - hake, pollock. Nthawi zina, nyama yopendekera imatha kudyedwa. Koma izi ndizopatula m'malo mwalamulo.
Ndikofunika kusiya zamasamba ndi zipatso:
- beets;
- mbatata
- kaloti;
- nyemba;
- nthochi
- maapulo ofiira
- mphesa.
Komabe, nthawi zina mumatha kuphika kaloti ndi mbatata, koma simungathe kupanga mbatata zosenda kwa iwo, ndibwino kugwiritsa ntchito maphikidwe pomwe masamba awa amathiriridwa.
Sankhani mbatata yaying'ono - imakhala ndi index ya glycemic nthawi zambiri yaying'ono. Asanaphike, tubers ayenera kunyowa m'madzi ozizira usiku, kotero wowuma kwambiri atuluka.
Porridge imakonzedwa popanda kuwonjezera batala, imaloledwa kuwonjezera supuni ya mafuta mu mbale yakumbuyo. Mukatha kudya phala iliyonse, simungathe kumwa ndi mkaka ndi mkaka wowawasa.
Pansi zoletsedwa, odwala matenda ashuga ali ndi mpunga woyera, ali ndi index yayikulu ya glycemic. Itha kuikidwa m'malo ndi mpunga wa bulauni (bulauni), womwe sukusiyana ndi momwe umawonekera, koma umaphika pafupifupi mphindi 35 ndipo uli ndi index yotsika ya glycemic.
Zochita zolimbitsa thupi
Musaganize, ngati mayi, mwachitsanzo, ali ndi zaka 48, kuti iyi ndi nthawi yoti muiwale za zolimbitsa thupi. Kuchita masewera olimbitsa thupi moyenera kumathandizira polimbana ndi shuga wambiri. Zoyenera kukhala:
- kusambira
- Kuyenda
- amayenda mumlengalenga.
Ndikofunikira kuchitidwa tsiku lililonse, osachepera mphindi 45. Ndi bwino ngati wodwalayo asintha machitidwe awa. Izi sizingokhala ndi chithandizo chamankhwala othandizira polimbana ndi matenda ashuga, komanso zimalimbitsa minofu ndi mtima dongosolo. Kanemayo munkhaniyi apitiliza mutu wa kuyesa matenda ashuga.
