Osachepera kamodzi m'moyo wonse, aliyense ayenera kutenga mayeso okhudzana ndi shuga. Uku ndikuwunikira komwe kumakupatsani mwayi wodziwitsa ndikuwongolera kulolerana kwa shuga. Vutoli likuyenererana ndi ICD 10 (gulu la mayiko padziko lapansi matenda obwereza)
Ndi chiyani, ndichifukwa chiyani chimachitidwa ndipo ndi chofunikira chiti? Kodi zakudya ndi kulandira chithandizo ndikofunikira ngati shuga yayambiri?
Kuphwanya kulekerera monga lingaliro
Ndi chizolowezi chatsiku ndi tsiku, munthu amadya kangapo, osawerengera zazakudya.
Kutengera kuchuluka ndi zakudya zomwe zimadyedwa, kaya zakudya zitsatiridwa, kuchuluka kwa shuga m'magazi kumasintha. Izi ndizabwinobwino. Koma nthawi zina kuchuluka kwa glucose mosazungulira kumawonjezeka kapena kutsika kwambiri, ndipo matendawo amadzala kale ndi zoopsa malinga ndi ICD 10.
Kuwonjezeka kwa shuga popanda chifukwa chodziwika bwino ndikuphwanya kulekerera kwa shuga. Chovuta ndikuti chimatha kupezeka ndi kafukufuku wamatenda a magazi kapena mkodzo malinga ndi ICD 10.
Nthawi zambiri kulolerana kwa shuga kumawonekera. Ndipo pazochitika zina, kuphatikiza pa nthawi yobereka, pali zizindikiro zofanana ndi matenda a shuga:
- Khungu lowuma;
- Kuuma kuchokera mucosa;
- Zisoni, zotaya magazi;
- Mabala amachiritso aatali komanso abrasions.
Izi si matenda, koma chithandizo chikufunika kale. Thupi limayimira kuti sizinthu zonse zomwe zikuchitika mwachizolowezi, ndipo muyenera kuyang'anira zakudya zanu komanso moyo wanu. Zakudya zapadera nthawi zambiri zimaperekedwa, ngati zikuphwanya kwambiri - mankhwala osokoneza bongo malinga ndi ICD 10.
Chofunika: Kuleza mtima kwa shuga sikuchitika nthawi zambiri, koma nthawi zambiri kumalimbitsa chitukuko cha matenda ashuga. Pankhaniyi, munthu sayenera kuchita mantha, koma kukaonana ndi katswiri ndikupita mayeso onse ofunikira.
Ngati kuchuluka kwa insulin mthupi kumakhalabe kwabwinobwino, zochita zikuluzikulu ziyenera kukhazikitsidwa kuti muchepetse kukula kwa matenda a shuga.
Kuchiza ndi wowerengeka azitsamba kumabweretsa zotsatira zabwino - iyi ndi njira ina yomwe mungagwiritsire ntchito panthawi yomwe muli ndi pakati, pomwe chithandizo cha mankhwala sichili bwino, ngakhale kuti ICD 10 sikutanthauza chithandizo chamankhwala a wowerengeka.
Kodi kulekerera kwa glucose kumachitika bwanji?
Pofuna kudziwa ngati pali kuphwanya kwa kulolera kwa shuga, njira ziwiri zazikulu zimagwiritsidwa ntchito:
- Capillary magazi zitsanzo.
- Kusintha magazi koopsa.
Glucose wamkati umafunika wodwalayo akamadwala matenda am'mimba kapena matenda a metabolic. Pankhaniyi, shuga sangathe kuyamwa ngati itamwa mkamwa.
Kuyesedwa kwa glucose kumayikidwa mu zotere:
- Ngati pali cholowa chobadwa nacho (abale apafupi amadwala matenda a shuga 1 kapena 2);
- Ngati pali zizindikiro za matenda ashuga panthawi yapakati.
Mwa njira, funso loti shuga limalandiridwa liyenera kukhala lothandiza kwa aliyense wodwala matenda ashuga.
Maola 10-12 musanayesedwe ayenera kukana kudya zakudya zilizonse ndi zakumwa. Ngati mukumwa mankhwala aliwonse, muyenera kufunsa kaye ndi endocrinologist ngati kugwiritsidwa ntchito kwawo kungakhudze zotsatira za kusanthula pa ICD 10.
Nthawi yoyenera yochotsera kusanthula ndi kuyambira pa 7.30 a.m. mpaka 10 a.m. Kuyesedwa kumachitika motere:
- Choyamba, magazi osala kudya amaperekedwa kwa nthawi yoyamba.
- Kenako muyenera kutenga mawonekedwe a kuyesa kwa glucose.
- Pakatha ola limodzi, magazi amaperekedwanso.
- Zotsatira zomaliza za magazi ku GTT zimaperekedwanso mumphindi zina 60.
Chifukwa chake, pakufunika mayeso pafupifupi 2 Munthawi imeneyi, ndizoletsedwa kudya chakudya kapena zakumwa. Ndikofunika kupewa masewera olimbitsa thupi, moyenera, wodwalayo ayenera kukhala kapena kugona.
Timaletsedwanso kuyesa mayeso ena panthawi yoyeserera kulekerera kwa shuga, chifukwa izi zimatha kupangitsa kuchepa kwa shuga m'magazi.
Kuti mupeze zotsatira zodalirika, kuyesaku kumachitika kawiri. Pakatikati ndi masiku 2-3.
Kusanthula sikungachitike mwanjira zotere:
- wodwala akupsinjika;
- panali opaleshoni kapena kubala - muyenera kuchedwetsa mayesowo kwa miyezi 1.5-2;
- wodwalayo amatha kusamba pamwezi;
- pali zizindikiro za matenda amitsempha chifukwa cha uchidakwa;
- ndi matenda aliwonse opatsirana (kuphatikizapo chimfine ndi chimfine);
- ngati woyesedwa akudwala matenda am'mimba;
- pamaso pa zotupa zoyipa;
- ndi chiwindi mu mtundu uliwonse ndi gawo;
- ngati munthu agwira ntchito molimbika dzulo, adalimbikitsidwa kwambiri, kapena sanagone kwa nthawi yayitali;
- ngati chakudya chokhwima chikutsatiridwa.
Mukanyalanyaza chimodzi mwazambiri zomwe zatchulidwa pamwambapa, komanso panthawi yomwe muli ndi pakati, kudalirika kwa zotsatira kumakhala kukayikira.
Izi ndi zomwe kusanthula kwakanthawi kuyenera kuwoneka: Zizindikiro za magazi oyamba sayenera kupitirira 6.7 mmol / L, chachiwiri - osati kupitirira 11.1 mmol / L, chachitatu - 7.8 mmol / L. Ziwerengero zimatha kusiyanasiyana pang'ono mwa odwala okalamba komanso odwala, ndipo kuchuluka kwa shuga pa nthawi ya pakati kumakhalanso kosiyana.
Ngati, mwakutsatira mosamalitsa malamulo onse a kusanthula, Zizindikirozo ndizosiyana ndi chizolowezi, wodwalayo amakhala ndi kuphwanya shuga.
Zomwezi zimatha kubweretsa kukula kwa mtundu wa 2 matenda a shuga, ndikuwanyalanyaza ma sign a alamu, kwa matenda a shuga a insulin. Izi ndizowopsa makamaka panthawi yoyembekezera, kulandira chithandizo ndikofunikira, ngakhale zizindikiro zomveka sizikupezeka.
Chifukwa chiyani kulolera kwa shuga kumakhala kovuta
Zomwe zimawonjezera kapena kuchepa kwa shuga m'magazi zitha kukhala:
- Zovuta zaposachedwa komanso mantha amanjenje.
- Kudziletsa.
- Kunenepa kwambiri komanso kunenepa kwambiri ngati matenda.
- Khalidwe labwino.
- Kuvutitsidwa kwa confectionery ndi maswiti.
- Kuwonongeka kwa khungu kumapangitsa insulini.
- Pa nthawi yoyembekezera.
- Kusakwanira kupanga insulin chifukwa cha kusokonezeka kwa m'mimba.
- Kuwonongeka kwa chithokomiro ndi ziwalo zina za endocrine system, zomwe zimapangitsa kuti shuga azingowonjezereka.
Kukhalapo kwa njira zopewera pamaso pa zinthu izi mosalephera kumabweretsa chitukuko cha matenda a matenda a shuga 2 - ndiye kuti.
Njira zochizira kulolerana kwa shuga
Njira ziwiri zochizira zimagwiritsidwa ntchito: mankhwala osokoneza bongo ndi zina. Ndi matenda anthawi yake, chithandizo chamankhwala panjira zina nthawi zambiri chimakhala chokwanira, osamwa mankhwala.
Mankhwala osagwiritsa ntchito mankhwala osokoneza bongo omwe amalephereka amachokera pazifukwa zazikulu izi:
- Chakudya chamagulu pang'ono magawo ang'onoang'ono. Muyenera kudya katatu pa tsiku, pomwe chakudya chamadzulo chimayenera kukhala calorie ochepa.
- Chepetsani kugwiritsa ntchito mafuta a ufa, zophika, komanso maswiti.
- Chepetsani kunenepa kwambiri, kupewa mafuta.
- Kupanga masamba ndi zipatso kukhala chakudya chachikulu, kupatula okhawo omwe ali ndi wowuma komanso chakudya - mbatata, mpunga, nthochi, mphesa.
- Onetsetsani kuti mukumwa madzi osachepera 1.5 malita a mchere.
- Ngati ndi kotheka, siyani kugwiritsa ntchito mafuta a nyama, makamaka mafuta a masamba.
Nthawi zambiri, kutsatira malamulo opatsa thanzi awa kumapereka zotsatira zabwino. Ngati sizikwaniritsidwa, mankhwala apadera amalembedwa omwe amathandizira kuti kagayidwe ka glucose kagayidwe komanso kagayidwe. Kumwa mankhwala okhala ndi mahomoni sikufunika pankhaniyi.
Mankhwala otchuka komanso othandiza kwambiri omwe amaperekedwa kuti asinthe kagayidwe kakang'ono m'thupi:
- Glucophage;
- Tonorma;
- Metformin;
- Acarbose;
- Glucofay;
- Amaril.
Maudindo onse amayenera kupangidwa ndi dokotala. Ngati, pazifukwa zilizonse, kumwa mankhwalawa ndikosayenera kapena kosatheka, mwachitsanzo, pakubala, kuleza kwa shuga kumathandizidwa ndi maphikidwe ena, makamaka mitundu ina ya mankhwala azitsamba ndi mankhwala.
Zomera zotsatirazi zamankhwala zimagwiritsidwa ntchito: masamba a blackcurrant, akavalo, mizu ya burdock ndi inflorescence, blueberries. Stewuckwheat ndiyotchuka kwambiri pamankhwala.
Pali njira zambiri zolimbana ndi shuga wosakhazikika wa magazi. Koma nthawi yomweyo, ndikofunikira kukhalabe ndi moyo wathanzi, makamaka panthawi yapakati komanso yoyamwitsa.
Kusiya kusuta fodya ndi kumwa mowa, kuyenda mu mpweya wabwino, kusewera masewera, kutsatira zakudya - zonsezi zimakhudza kulolera kwa glucose ndipo zimathandizanso kuti musasinthe vuto laling'ono kukhala matenda, makamaka panthawi yapakati.
Mfundo yofunikanso ndi momwe dongosolo lamanjenje liliri. Kupsinjika kwakanthawi ndi nkhawa kumatha kukhala chinthu chofunikira kwambiri. Chifukwa chake, ngati pakufunika, muyenera kulumikizana ndi akatswiri amisala. Athandizira kudzikoka pamodzi, kusiya kuda nkhawa, ndipo ngati pakufunika kutero, mupeze mankhwala omwe amathandizira dongosolo lamanjenje.
Ndipo mfundo yotsiriza: musanyalanyaze thanzi lanu komanso osanyalanyaza zoyeserera zapachaka, ngakhale pakadali pano mukumva zokwanira.
Matenda aliwonse ndiosavuta kupewa kapena kuchiritsa poyambira kuposa kulimbana nawo kwa miyezi ngakhale zaka.
