Matenda a shuga ndi zovuta zake zimakhudza njira zonse zomwe zimachitika mthupi, kuphatikiza ntchito yofunikira monga kuphatikiza thupi. Kutentha kwa odwala matenda ashuga ndi chizindikiro cha matenda a metabolic komanso matenda opatsirana. Mtundu wabwinobwino mwa akulu ndi kuyambira 36,5 mpaka 37.2 ° C. Ngati miyeso yomwe imatengedwa mobwerezabwereza imapereka zotsatira zake kukhala zapamwamba, ndipo nthawi yomweyo palibe zizindikiro zofanana ndi matenda a virus, ndikofunikira kupeza ndikuchotsa chifukwa chobisika cha malungo. Kutentha kochepa kumakhala koopsa kuposa kuthamanga, chifukwa kungasonyeze kufooka kwa chitetezo chathupi.
Zomwe zimayambitsa matenda A shuga
Kuwonjezeka kwa kutentha, kapena kutentha thupi, nthawi zonse kumatanthauza kumenyera kwamphamvu chitetezo chathupi pakulimbana ndi matenda kapena kutupa. Kuchotsa zinthu zovulaza m'thupi, njirayi imayendera limodzi ndi kuthamanga kwa kagayidwe. Mukakhala akulu, timakhala ndi vuto lotentha kwambiri - kuwonjezeka pang'ono kwa kutentha, osapitirira 38 ° C. Vutoli silowopsa ngati chiwonjezerochi sichinthawi yochepa, mpaka masiku 5, ndipo chimayendera limodzi ndi zizindikiro za chimfine, kuphatikizapo chaching'ono: zilonda zam'mawa, zilonda masana, mphuno yofinya. Mukangomenya nkhondoyi ndi matenda, kutentha kumatentha.
Ngati kutentha kwa odwala matenda ashuga kumasungidwa kwambiri kuposa sabata limodzi, kumatha kuwonetsa zovuta zina kuposa chimfine wamba:
Matenda a shuga ndi kupsinjika kudzakhala chinthu chakale
- Matenda a shuga -95%
- Kuthetsa kwa mitsempha thrombosis - 70%
- Kuthetsa kwa kugunda kwamtima kwamphamvu -90%
- Kuthana ndi kuthamanga kwa magazi - 92%
- Kuwonjezeka kwa mphamvu masana, kukonza kugona usiku -97%
- Mavuto a chimfine ku ziwalo zina, nthawi zambiri m'mapapu. Odwala omwe ali ndi matenda ashuga, makamaka okalamba omwe adziwa kale matendawa, chitetezo cha mthupi chimafooka, motero amakhala ndi chibayo.
- Matenda otupa a kwamikodzo, omwe ambiri mwa iwo ndi cystitis ndi pyelonephritis. Chiwopsezo cha mavutowa ndichokwera mwa anthu omwe ali ndi matenda osawerengeka a shuga, chifukwa shuga wawo amamuyamwa mkodzo, zomwe zimawonjezera chiopsezo cha matenda a ziwalo.
- Shuga wokwezeka pafupipafupi amayambitsa bowa, komwe kumabweretsa candidiasis. Nthawi zambiri candidiasis imachitika mwa akazi mwa mtundu wa vulvovaginitis ndi balanitis. Mwa anthu omwe ali ndi chitetezo chokwanira, matendawa samakhudza kutentha. Mu shuga mellitus, kutupa kwa zotupa kumakhala kwamphamvu, motero odwala amatha kukhala ndi vuto laling'ono.
- Anthu odwala matenda ashuga ali ndi chiopsezo chachikulu cha matenda oopsa kwambiri omwe amapha bakiteriya - staphylococcal. Staphylococcus aureus angayambitse kutupa mu ziwalo zonse. Kwa odwala matenda a shuga omwe ali ndi zilonda zam'mimba, kutentha thupi kumatha kuwonetsa kufooka kwa bala.
- Kupita patsogolo kwa kusintha kwa zilonda zam'mimba kwa odwala omwe ali ndi matenda osokoneza bongo kungayambitse sepsis, matenda omwe amafunikira kuchipatala mwachangu. Panthawi imeneyi, kulumpha kwakuthwa kwambiri mpaka 40 ° C kumawonedwa.
Pafupipafupi, anemia, zilonda zam'mimba, chifuwa chachikulu ndi matenda ena zimayambitsa malungo. Palibe chifukwa choti mutayerekeze kupita kuchipatala ndi kutentha komwe sikudziwika. Malangizo ake akakhazikika posachedwa, matendawo amayambitsidwa bwino.
Thupi la matenda ashuga nthawi zonse limayendera limodzi ndi hyperglycemia. Shuga wapamwamba ndi zotsatira za malungo, osati zomwe zimayambitsa. Pankhondo yolimbana ndi matenda, thupi limafunanso insulin yambiri. Popewa ketoacidosis, odwala ayenera kuwonjezera mlingo wa insulin ndi mankhwala a hypoglycemic panthawi yamankhwala.
Zifukwa zochepetsera kutentha kwa thupi kwa odwala matenda ashuga
Hypothermia imawerengedwa ngati kuchepa kwa kutentha mpaka 36.4 ° C kapena kuchepera. Zoyambitsa zolimbitsa thupi, zabwinobwino hypothermia:
- Ndi subcooling, matenthedwe amatha kutsika pang'ono, koma atalowa m'chipinda chofunda chimasintha msanga.
- Mukakalamba, kutentha kwabwinobwino kumatha kukhala pa 36.2 ° C.
- M'mawa kwambiri, Hypothermia yofatsa ndi chikhalidwe chofala. Pambuyo 2 maola ntchito, nthawi zambiri amakhala.
- Nthawi yobwezeretsa ku matenda oopsa. Kuchulukitsa kwa mphamvu yoteteza ndi inertia kumapitilira kwakanthawi, kotero kutentha pang'ono kumakhala kotheka.
Zomwe zimayambitsa hypothermia mu matenda a shuga:
| Chifukwa | Feature |
| Mlingo wa matenda a shuga osakwanira. | Kutentha kwakanthawi kwamthupi mwa anthu odwala matenda ashuga kumatha kumalumikizidwa ndi kufa ndi maselo. Ngati minyewa yathupi lanu sikhala ndi glucose wokwanira, mphamvu yayikulu imapangidwa. Kuperewera kwa zakudya kumabweretsa kuphwanya kwa thermoregulation. Wodwala matenda ashuga amamva kufooka, kuzizira kumapeto, kufunitsitsa kosaletseka kwa maswiti. |
| Olimba kukana insulin mu mtundu 2 shuga, kusiya mankhwala. | |
| Njala imakanika, chakudya champhamvu. | |
| Matenda oopsa a hypoglycemia chifukwa chosagwiritsa ntchito bwino matenda ashuga, nthawi zambiri amakhala osakhalitsa. | |
| Matenda a mahomoni, nthawi zambiri amakhala hypothyroidism. | Metabolism imalephera chifukwa cha kusowa kwa mahomoni a chithokomiro. |
| Sepsis okalamba odwala matenda ashuga, okhala ndi chitetezo chokwanira, zovuta zingapo. | Nthawi zambiri limodzi ndi malungo. Hypothermia pamenepa ndi chizindikiro chochenjeza, kuwonetsa kuwonongeka kwa dongosolo lamanjenje lomwe limayambitsa thermoregulation. |
| Kulephera kwa hepatatic, ndi matenda a shuga a mtundu 2, kumatha kukhala vuto lamafuta a hepatosis. Vutoli limakulirakulira ndi angiopathy. | Chifukwa cha kusakwanira kwa gluconeogeneis, kufalikira kwa hypoglycemia kumakulanso. Ntchito ya hypothalamus imakhalanso yodwala, zomwe zimapangitsa kutsika kwa kutentha. |
Makhalidwe olondola pa kutentha kwambiri
Matenda onse omwe amaphatikizidwa ndi kutentha kwa matenda a shuga a mellitus amatsogolera pakukula kwa insulin. Ntchito za insulin, m'malo mwake, zimafooka chifukwa cha kutulutsidwa kwamphamvu kwa mahomoni opsinjika. Izi zimadzetsa kuwoneka kwa hyperglycemia patangopita maola angapo atayamba matendawa.
Odwala omwe ali ndi matenda amtundu wa 1 amafunika kuchuluka kwa insulin. Pofuna kukonza, insulini yochepa imagwiritsidwa ntchito, imawonjezeredwa pa mlingo wa mankhwalawa musanadye, kapena majekesedwe ena owonjezera a 3-4 amaperekedwa patsiku. Kuwonjezeka kwa mlingo kumadalira kutentha, ndipo kuchokera ku 10 mpaka 20% ya kuchuluka kwake.
Ndi matenda a 2 a shuga, shuga amatha kuwongolera ndi zakudya zama carb ochepa komanso Metformin yowonjezera. Chifukwa cha kutentha kwa nthawi yayitali, odwala amafunika Mlingo wambiri wa insulin monga njira yolumikizira chithandizo chanthawi zonse.
Thupi la matenda a shuga nthawi zambiri limayendera limodzi ndi acetonemic syndrome. Ngati glucose wa m'magazi sanachepe nthawi, ketoacidotic chikomacho chitha kuyamba. Ndikofunikira kuti muchepetse kutentha ndi mankhwala ngati aposa 38,5 ° C. Makonda a shuga amaperekedwa pamapiritsi, popeza ma syrup amakhala ndi shuga wambiri.
Momwe mungawonjezere kutentha
Mu shuga mellitus, kuchitapo kanthu kumafunikira hypothermia kwa odwala omwe ali ndi zilonda zam'mimba kapena gangore. Kuchepetsa kwa kutentha kwa nthawi yayitali kumafunikira kukayezetsa kuchipatala kuti mudziwe zomwe zimayambitsa. Ngati palibe zochotseredwa zomwe zimapezeka, kukonza chithandizo cha matenda ashuga komanso kusintha kwa moyo kudzakuthandizani kuwonjezera kutentha kwa thupi.
Odwala akulimbikitsidwa:
- kuwunika shuga tsiku lililonse kuti azindikire latent hypoglycemia. Akapezeka, kuwongolera zakudya komanso kuchepetsa kuchuluka kwa ma hypoglycemic othandizira ndikofunikira;
- Chitani masewera olimbitsa thupi kuti muchepetse kutulutsa kwa glucose
- osachotsa kwathunthu mafuta onse m'zakudya, siyani othandizira kwambiri - osakwiya;
- Kupititsa patsogolo kukhathamiritsa, onjezerani shawa yosiyana ndi njira ya tsiku ndi tsiku.
Ngati matenda a shuga amavuta chifukwa cha kuchepa kwa mitsempha ndi kusokonekera kwamphamvu kutentha, zovala zopepuka kwambiri nyengo yozizira zimatha kubweretsa hypothermia.
Kukonzanso zakudya
Kutentha kwambiri, nthawi zambiri simumva njala. Kwa anthu athanzi, kutaya mtima kwakanthawi si kowopsa, koma mwa odwala omwe ali ndi vuto la metabolism kumayambitsa hypoglycemia. Popewa kugwa kwa shuga, odwala matenda ashuga ayenera kudya 1 XE yamagulu ochulukitsa ola lililonse - zambiri zama mkate. Ngati zakudya wamba sizikukondweretsa, mutha kusinthira kwakanthawi kochepa zakudya: nthawi ndi nthawi mumadyanso mafuta angapo ophikira, kenako apulo, kenako yogati yaying'ono. Zakudya zokhala ndi potaziyamu zizikhala zothandiza: ma apricots zouma, ma legamu, sipinachi, avoga.
Kumwa kwambiri pamawonekedwe otentha ndikothandiza kwa odwala onse, koma odwala matenda ashuga makamaka ndi hyperglycemia. Amakhala ndi chiopsezo chachikulu cha ketoacidosis, makamaka ngati kutentha thupi kumayendera limodzi ndi kusanza kapena kutsegula m'mimba. Kuti mupewe kuchepa madzi m'thupi komanso osachulukitsa vutoli, ola lililonse muyenera kumwa kapu yamadzi pang'ono.
Ndi hypothermia, ndikofunikira kukhazikitsa chakudya chokhazikika, kuchotsa nthawi yayitali popanda chakudya. Kuchuluka kwa chakudya kokwanira kumagawidwa chimodzimodzi tsiku lonse, mumakonda zakudya zotentha zamadzimadzi.
- Nkhani yathu pamutuwu: diabetes menyu ndi mtundu 2 matenda
Zizindikiro zowopsa zomwe zimafuna chithandizo chamankhwala
Mavuto oopsa kwambiri a shuga, omwe amatha limodzi ndi kusintha kwa kutentha, ndi hypo- ndi hyperglycemia. Matendawa amatha kubweretsa kukomoka pakapita maola angapo.
Thandizo lachipatala mwadzidzidzi limafunikira ngati:
- kusanza kapena kutsegula m'mimba kumatha maola opitilira 6, gawo lalikulu la madzi omwe amwedwa amachotsedwa nthawi yomweyo;
- shuga wamagazi ali pamwamba pa magawo 17, ndipo simungathe kuchepetsa;
- kuchuluka kwa acetone kumapezeka mumkodzo - werengani za izo apa;
- wodwala matenda a shuga amachepetsa msanga thupi;
- odwala matenda ashuga amavutika kupuma, kupuma movutikira kumawonedwa;
- pali kugona kwambiri, kuthekera kwa kulingalira ndi kupanga mawu kwatsika, kupsa mtima popanda chifukwa kapena kupanda chidwi kwawonekera;
- kutentha kwa thupi kwa matenda ashuga kuposa 39 ° C, samasokera ndimankhwala kwa maola opitilira 2;
- Zizindikiro zozizira sizizirala patatha masiku atatu matenda atayamba. Kutsokomola kwambiri, kufooka, kupweteka kwa minofu kumapitilira sabata limodzi.
