Kuyesedwa kwa glucose kapena "shuga kumapeto" ndi phunziro lomwe azimayi amakhala nalo ali ndi pakati. Itha kuperekedwa kwa amuna komanso anthu omwe ali ndi matenda a shuga omwe akuwakayikira.
Kusanthula uku ndikofunikira kuti tidziwe kuchuluka kwa shuga omwe munthu amakhala nawo pamimba yopanda kanthu, komanso atatha kuchita masewera olimbitsa thupi.
Kodi ndi liti ndipo ayenera kupita
Kudziwa momwe thupi limagwirizanirana ndi kuchuluka kwa shuga ndikofunikira kwa amayi apakati mayeso a mkodzo siabwinobwino, kapena mkazi akamadzuka mopanikizika kapena kuwonjezeka kwa thupi.
Mphepo ya shuga pa nthawi ya pakati iyenera kukonzedwa kangapo kuti zochita za thupi zidziwike molondola. Zomwe zimachitika m'boma lino zimasinthidwa pang'ono.
Phunziroli limalimbikitsidwanso kwa anthu omwe ali ndi matenda ashuga omwe amatsimikizira kapena kutsimikizira. Kuphatikiza apo, amalembera azimayi omwe ali ndi matenda a "ovomerezeka a polycystic" kuti awunikire zomwe shuga ili.
Ngati muli ndi achibale omwe ali ndi matenda ashuga, ndikofunika kuwunika mwadongosolo kuchuluka kwa shuga ndikuchita mayeso. Izi zikuyenera kuchitika kamodzi pamwezi uliwonse.
Chonde dziwani kuti kuwunika kwakanthawi kwakanthawi kudzapangitsa kuti pakhale njira zabwino zodzitetezera.
Ngati kupindika kumangochoka pang'onopang'ono, ndiye ndikofunikira:
- onenepa
- zolimbitsa thupi
- kutsatira zakudya
Nthawi zambiri, njira zosavuta izi zimathandizira kupewa kuyambika kwa matenda ashuga. Komabe, nthawi zina zimakhala zofunika kumwa mankhwala apadera omwe amatseka mapangidwe a matendawa.
Kusanthula kumachitika
Zachidziwikire, kafukufukuyu sakhala m'gulu la ophweka; amafunika kukonzekera mwapadera ndipo amachitika m'magawo angapo. Ndi njira iyi yokha yomwe kudalirika kwa kupindika kwa shuga kungachitike.
Zotsatira zoyeserera ziyenera kungotanthauziridwa ndi dokotala kapena katswiri wa zamankhwala. Kuyesedwa kwa shuga kumaphunziridwa mukawerenga:
- zamakono
- kulemera kwamunthu
- kakhalidwe
- zaka
- kukhalapo kwa matenda oyanjana
Kuzindikira kumaphatikizapo kupereka magazi kangapo. M'malo ena, magazi amatengedwa kuchokera mu mtsempha, mwa ena kuchokera chala. Kutengera ndi omwe magazi awo akuwaphunziridwa, miyambo ivomerezedwa.
Kusanthula koyamba kumachitika pamimba yopanda kanthu. Pamaso pake, muyenera kufa ndi njala kwa maola 12, pogwiritsa ntchito madzi oyera okha. Potere, nthawi yosala kudya siyenera kupitilira maola 16.
Pambuyo pakupereka magazi, munthu amatenga magalamu 75 a shuga, omwe amasungunuka mu kapu ya tiyi kapena madzi ofunda. Ndikwabwino ngati zitatha izi kuwunika kumachitika theka lililonse la maola awiri. Koma, kawirikawiri, m'malo ogwirira ntchito amangosintha mphindi 30-120 pambuyo pa kugwiritsa ntchito shuga.
Zingakhale bwino kukonzekera kafukufuku wopindika
Ngati macheke a glucose apakonzedwa, ndiye kuti simukuyenera kupatula zakudya zonse zopezeka ndi zakudya zamagulu anu mu zakudya zanu m'masiku ochepa. Izi zitha kusokoneza tanthauzo la zotsatira.
Kukonzekera koyenera kusanthula pamakhala zinthu izi:
- Masiku atatu musanapereke magazi, muyenera kuyang'ana momwe mumakhalira ndipo musinthe kadyedwe.
- Simuyenera kugwiritsa ntchito mankhwala aliwonse, koma kukana kwa mankhwala awo kuyenera kuvomerezedwa ndi adokotala.
Kuyesedwa kwa magazi kumapeto kwa shuga kumakhala kosadalirika ngati mayi akupatsira msambo. Kuphatikiza apo, zotsatira za phunziroli zimadalira zochita za anthu.
Mwachitsanzo, pochita kusanthula uku, muyenera kukhala pamalo abata, simuyenera kusuta komanso kuvuta.
Kutanthauzira kwa Zotsatira
Kuunika zizindikiro zomwe zapezeka, zinthu zomwe zimakhudza kuchuluka kwa shuga m'magazi a munthu zimawerengedwa. Simungadziwe matenda a shuga pokhapokha pazotsatira zoyesa kamodzi.
Zizindikirozo zimayendetsedwa ndi:
- kukakamizidwa kama kugona asanapendeke
- matenda osiyanasiyana opatsirana
- kugaya chakudya thirakiti yodziwika ndi kuyamwa kwa shuga
- zotupa zoyipa
Kuphatikiza apo, zotsatira za kusanthula zitha kusokoneza malamulo osasamala a magazi kapena kugwiritsa ntchito mankhwala ena.
Mwachitsanzo, phala limakhala losadalirika mukamagwiritsa ntchito zinthu zotsatirazi ndi mankhwala:
- morphine
- khofi
- adrenaline
- diuretic akukonzekera mndandanda wa thiazide
- "Diphenin"
- antidepressants kapena psychotropic mankhwala
Miyezo yokhazikitsidwa
Mukadutsa mayeso, kuchuluka kwa glucose sikuyenera kukhala kwakukulu kuposa 5.5 mmol / L kwa magazi a capillary ndi 6.1 yamagazi a venous. Zizindikiro zamagazi a chala ndi 5.5-6, izi ndi zomwe zimachitika, ndipo kuchokera m'mitsempha - 6.1-7, amalankhula za dziko lomwe limayambitsa matenda ashuga popanda kuperewera kwa shuga.
Ngati zotsatira zapamwamba zinajambulidwa, ndiye kuti titha kulankhula za kuphwanya kwakukulu mu ntchito ya kapamba. Zotsatira za kupindika kwa shuga zimatengera ntchito ya thupi.
Mulingo wambiri wa shuga, wotsimikizika pambuyo pakuchita masewera olimbitsa thupi, uyenera kukhala mpaka 7.8 mmol / l, ngati mutenga magazi kuchokera pachala.
Ngati chizindikirochi chikuyambira pa 7.8 mpaka 11.1, ndiye kuti pali zosokoneza kale, ndikutanthauza chithunzi choposa 11.1, kuwunika kwa matenda ashuga kwachitika. Munthu akayamba kuyezetsa magazi kuchokera m'mitsempha, ndiye kuti chizolowezi sayenera kupitirira 8.6 mmol / L.
Akatswiri a Laborator akudziwa kuti ngati zotsatira za kusanthula komwe kunachitika pamimba yopanda kanthu ndizapamwamba kuposa 7.8 kwa capillary ndi 11.1 kwa magazi a venous, ndiye kuti ndizoletsedwa kuchita kuyesa kwa glucose. Pankhaniyi, kusanthula kumawopseza munthu yemwe ali ndi vuto la hyperglycemic.
Ngati poyamba zizindikirozo sizabwinobwino, ndiye palibe chifukwa chofufuzira zopindika. Zotsatira zake zidzakhala zomveka bwino.
Ziphokoso zomwe zitha kuchitika
Ngati phunzirolo lidapeza zovuta zowonetsa mavuto, ndibwino kuperekanso magazi. Zotsatirazi ziyenera kuonedwa:
- pewani kupsinjika ndi kulimbitsa thupi kwambiri patsiku loyesedwa magazi
- kupatula kumwa mowa ndi mankhwala osokoneza bongo tsiku latha kafukufukuyu
Dokotalayo amapereka mankhwala pokhapokha ngati onse awiri sanawone zotsatira zoyenera.
Ngati mayi ali ndi pakati, ndiye kuti ndibwino kuti muphunzire zambiri zomwe zimapezedwa ndi dokotala wazamankhwala. Munthuyo azindikila ngati nthawi yocheperako ndi yabwinobwino.
Zomwe zimachitika nthawi ya pakati zimatha kukhala zosiyana. Koma izi sizinganenedwe mu labotale. Kukhazikitsa kusowa kwa mavuto kungakhale dokotala yekha yemwe amadziwa zonse zomwe zimagwira ntchito ngati thupi la mayi wapakati.
Matenda a shuga sindiwo matenda okhawo omwe amadziwika ndi mayeso okhudzana ndi shuga. Kupatuka pachizolowezi ndikuchepa kwa shuga m'magazi pambuyo pochita masewera olimbitsa thupi. Matendawa amatchedwa hypoglycemia; mulimonse, amafunika chithandizo.
Hypoglycemia imabweretsa mawonetsero angapo osasangalatsa, mwa iwo:
- kutopa kwambiri
- kufooka
- kusakhazikika
Kutanthauzira panthawi yapakati
Cholinga cha phunziroli ndikukhazikitsa kusintha komwe kumachitika munthu akamamwa shuga komanso pakapita nthawi. Mukamwa tiyi wokoma, shuga adzachulukanso, ndipo pambuyo pa ola lina, chiwerengerochi chidzachepa.
Ngati shuga azikhala wokwezeka, ndiye kuti kupindika kwa shuga kukuwonetsa kuti mayiyo ali ndi matenda osokoneza bongo.
Kukhalapo kwa matendawa kumatsimikiziridwa ndi izi:
- Chizindikiro cha kuchuluka kwa shuga mumkhalidwe wanjala ndizoposa 5.3 mmol / l;
- Ola limodzi mutatha kudya shuga, chizindikirocho chili pamwamba pa 10 mmol / l;
- Patatha maola awiri, chizindikirocho chili pamwamba 8.6 mmol / L.
Ngati matendawa apezeka mwa amayi apakati omwe amagwiritsa ntchito popondera shuga, dokotala amamuwunikanso mayeso ena, omwe angatsimikizire kapena kutsutsa kuti wapezeka kale.
Potsimikizira kuti adziwe, dokotala amasankha njira yochizira. Ndikofunikira kusintha zakudya ndikuyamba kuchita masewera olimbitsa thupi, izi ndi zinthu ziwiri zofunika kwambiri zomwe zimagwirizana ndi chithandizo chamankhwala.
Ndikofunika kuti mayi woyembekezera azicheza ndi dokotala pafupipafupi komanso nthawi iliyonse panthawi yapakati. Kuchitapo kanthu mathandizidwe othandizira kungathandizire kuti shuga ayipire nthawi yomweyo.
Ndi chithandizo choyenera komanso chadongosolo, matendawa sazunza mwana. Poterepa, kubadwa kwa mwana kumaperekedwa kwa milungu 38 ya bere.
Pakatha masabata 6 kubadwa, kuwunikirako kuyenera kubwerezedwanso kuti muwonetsetse kuti ndi chizindikiritso chiti chomwe chimadziwika kwa mayi wina. Njirayi imapangitsa kuti athe kumvetsetsa ngati matendawa amakwiya ndi pakati kapena ngati mayi akuyenera kuwunikiridwa kenaka ndikuwatsata.
