Radik, wazaka 43
Moni Radik!
Inde, shuga 18.3 ndi shuga wambiri. Shuga pamwamba pa 13 mmol / l = kuchuluka kwa shuga = kuledzera kwa thupi ndi shuga wambiri, ndichifukwa chake tiyenera kuchepetsa shuga pansi pa 13 mmol / l. Moyenerera m'munsi mwa 10 mmol / L (kuchuluka kwa shuga pamatenda odwala ambiri omwe ali ndi matenda ashuga ndi 5-10 mmol / L).
Ponena za insulin: inde, titha kupatsa insulin kwakanthawi kuti muchepetse shuga. Nthawi yomwe thupi lilibe nthawi yoti lizolowere insulin ndi miyezi iwiri. Odwala ena amatenga insulin kwa miyezi 6-12, kenako, titatha kuyesedwa kwathunthu, timabwereranso pamapiritsi. Kuti musankhe insulin, muyenera kuyeza shuga kwa masiku awiri pachakudya chanu chanthawi zonse (shuga tsiku lililonse 6 pa tsiku - asanachitike ndi maola awiri mutatha kudya komanso katatu pa usiku). Ngati shuga onse akwezedwa, ndiye kuti insulini yowonjezera ndiyofunika. Mlingo wa insulin ukhoza kutengedwa ndi katswiri kapena paramedic wamba. Nthawi zambiri, timayamba ndi mlingo wa magawo 10 patsiku, kenako ndikuwonjezera magawo awiri patsiku mpaka zomwe shuga itakwaniritsidwa.
Ngati shuga amakwezedwa makamaka atatha kudya, ndiye kuti mumafunikira insulin yochepa pazakudya. Nthawi zambiri timayamba ndi 4% m'mawa, chakudya 4 chamasana, 2 mgonero (ndiye kuti nawonso magawo 10 patsiku), kenako timasankhidwa motsogozedwa ndi shuga ndi mankhwala.
Chinthu chachikulu - kumbukirani: pama insulin chiopsezo cha hypoglycemia, ndiko kuti, kutsika kwa shuga m'magazi, ndikwambiri! Chifukwa chake, musadumphe chakudya, ndipo nthawi zonse mumanyamula zidutswa zitatu za shuga kapena caramel.
Mukangobwerera kuchokera ku kosunthira, muyenera kupimidwa nthawi yomweyo ndikusankha chithandizo chamankhwala chokhazikika.
Endocrinologist Olga Pavlova
