Ndi mtundu 1 kapena 2 shuga, kuwonjezera kutentha kwa thupi kumawonedwa nthawi zambiri. Ndi kuchulukitsa kwake kwamphamvu, kuchuluka kwa shuga m'magazi kumakwera kwambiri. Pazifukwa izi, wodwalayo payekha ayenera kuchitapo kanthu ndikuyesera kusintha zomwe zili mumwambowo ndikuzindikira zomwe zimayambitsa kutentha kwambiri.
Kutentha kwambiri pa odwala matenda ashuga: choti achite?
Kutentha kukakhala pakati pa madigiri 37,5 mpaka 38,5, muyenera kuyeza kuchuluka kwa shuga m'magazi. Ngati zomwe zili mkati mwake zayamba kuchuluka, ndiye kuti wodwalayo ayenera kupanga insulin yotchedwa "yayifupi".
Mwanjira imeneyi, mahosi ena owonjezera 10% amawonjezeredwa pa mlingo waukulu. Pakuchulukitsa kwake, chakudya chisanachitike, mumafunikanso jakisoni wa "insulin" "wocheperako, yemwe adzimva pambuyo pa mphindi 30.
Koma, ngati ndi mtundu wa 2 shuga mellitus njira yoyamba idayamba kugwira ntchito, ndipo kutentha kwa thupi kumakulirabe ndipo chizindikiro chake chikufika kale mpaka madigiri 39, ndiye kuti 25% ina iyenera kuwonjezeredwa pamankhwala a insulin tsiku lililonse.
Tcherani khutu! Njira za insulin yayitali komanso yayifupi siziyenera kuphatikizidwa, chifukwa kutentha kukayamba, insulin yayitali imalephera kugwira ntchito, chifukwa chotsatira imawonongeka.
Insulin yothandiza yopanda pake imaphatikizapo:
- Glargin
- NPH;
- Matepi;
- Kudzifufuza.
Kudya kwa tsiku ndi tsiku kwa hormone kuyenera kutengedwa ngati "insulin" yayifupi. Jekeseni agawidwe Mlingo wofanana ndikuthandizira maola 4 aliwonse.
Komabe, ngati ndi matenda amtundu wa 1 komanso matenda a shuga a 2, kutentha kwambiri kwa thupi kumakwera mosalekeza, ndiye kuti izi zitha kubweretsa kupezeka kwa acetone m'magazi. Kuzindikiridwa kwa chinthuchi kukuwonetsa kuchepa kwa insulin m'magazi.
Kuchepetsa zinthu za acetone, wodwalayo ayenera kulandira 20% yokha ya mankhwalawa tsiku lililonse (pafupifupi mayunitsi 8) monga insulin yochepa. Ngati maola atatu atadutsa, matendawa amayenera kubwerezedwa.
Masewera a glucose akayamba kutsika, ndikofunikira kutenga 10mol / L ya insulin ndi 2-3UE kuti zithetse matenda a glycemia.
Tcherani khutu! Malinga ndi ziwerengero, kutentha thupi kwambiri m'matenda a shuga kumapangitsa anthu 5% okha kupita kuchipatala. Nthawi yomweyo, 95% yotsalayo imatha kulimbana ndi vutoli, pogwiritsa ntchito jakisoni afupiafupi a mahomoni.
Kutentha kwambiri kumayambitsa
Nthawi zambiri zoyambitsa kutentha ndi izi:
- chibayo
- cystitis
- matenda a staph;
- pyelonephritis, septic metastases mu impso;
- kukhumudwa.
Komabe, simuyenera kudziwonetsa nokha za matendawa, chifukwa ndi adokotala okha omwe angadziwe chomwe chimayambitsa zovuta m'magulu a shuga a mitundu yosiyanasiyana.
Komanso, ndi akatswiri okhawo omwe angadziwike mankhwala othandizika omwe akugwirizana ndi matenda oyambitsidwa.
Zoyenera kuchita ndi kutentha pang'ono kwa odwala matenda ashuga?
Mtundu 2 kapena matenda a shuga 1, chizindikiritso cha madigiri 35.8-37 sichachilendo. Chifukwa chake, ngati kutentha kwa thupi kulingana ndi magawoli, ndiye kuti kuchitapo kanthu sikofunikira.
Koma pamene chizindikirocho chili pansi pa 35.8, mutha kuyamba kuda nkhawa. Choyambirira kuchita ndikuwona ngati chizindikiritsochi ndichinthu chamoyo kapena ndi chizindikiro cha matenda.
Ngati zodetsa nkhawa zomwe zachitika m'thupi lanu sizinadziwike, ndiye kuti malangizo aliwonse azachipatala azikwanira:
- masewera olimbitsa thupi nthawi zonse;
- kuvala zovala zachilengedwe komanso zosankhidwa bwino zoyenera nyengo;
- kukhazikitsidwa kosiyana;
- zakudya zoyenera.
Nthawi zina ndi mtundu wachiwiri wa matenda ashuga, kutentha kwa thupi kumacheperachepera ngati magazi amachepa msana wa glycogen pakufunika kotentha. Kenako muyenera kusintha mlingo wa insulin, kutengera malangizo azachipatala.
Kodi zakudya zabwino kwambiri za anthu odwala matenda ashuga ndi malungo ndi ziti?
Awo odwala matenda ashuga omwe ali ndi kutentha ayenera kusintha pang'ono zakudya zawo. Komanso, menyu umafunika kusinthidwa ndi zakudya zomwe zimakhala ndi sodium ndi potaziyamu.
Tcherani khutu! Popewa kusowa kwamadzi, madokotala amalimbikitsa kumwa magalasi 1.5 amadzi ola lililonse.
Komanso, wokhala ndi glycemia wokwera kwambiri (oposa 13 mmol), simungathe kumwa zakumwa zomwe zimakhala ndi zotsekemera zosiyanasiyana. Ndikwabwino kusankha:
- nkhuku zogwira;
- madzi amchere;
- tiyi wobiriwira.
Komabe, muyenera kugawanitsa chakudyacho m'magawo ang'onoang'ono omwe amafunika kudya maola 4 aliwonse. Ndipo kutentha kwa thupi kukatsika, wodwalayo amatha kubwerera panjira yake.
Pomwe simuyenera kuchita popanda kuyendera dokotala?
Inde, ndi kutentha kwambiri kwa thupi, wodwala matenda ashuga ayenera kufunsa dokotala nthawi yomweyo. Koma omwe adasankha mankhwala omwe amadzipangira okha angafunikire thandizo kuchipatala ngati:
- kusanza kwanthawi yayitali ndi kutsegula m'mimba (maola 6);
- ngati wodwala kapena anthu omuzungulira akumva kununkhira kwa acetone;
- ndi kupuma pang'ono komanso kupweteka pachifuwa nthawi zonse;
- ngati patapita katatu muyezo wama glucose m'magazi chizindikiro chimatsitsidwa (3,3 mmol) kapena overestimated (14 mmol);
- ngati patapita masiku angapo kuyambira kumayambiriro kwa matendawa palibe kusintha.
