Zisonyezo za shuga m'magazi zimawonetsa mkhalidwe wa thanzi la munthu. Ngati ali ndi shuga m'magazi 10, ndiye kuti pali chiopsezo chachikulu cha njira zosasintha zomwe zimayambitsa hyperglycemia. Ikamayandikira mawonekedwe osatha, matenda a shuga amapezeka.
Akatswiri amachenjeza kuti kuyezetsa magazi kuyenera kuchitika pafupipafupi makamaka ngati wodwala ali pachiwopsezo cha prediabetes. Awa ndi anthu omwe ali ndi cholowa chosakwanira, achikulire, odwala omwe ali ndi kunenepa kwambiri komanso matenda oopsa, azimayi omwe adakumana ndi matenda a shuga akadali ndi mwana. Koma ngakhale atakhala ndi mfundo zapamwamba zambiri, kukhumudwa ndipo sayenera kuchita mantha. Chachikulu ndikutsatira zomwe adotolo adandaula ndikutsatira zakudya zina.
Shuga wamagazi 10 - amatanthauza chiyani
Zotsatira zoyesedwa zikakuwonetsa kuchuluka kwa shuga a 10,1 kapena kuposerapo, momwe angathanirane nawo, komanso zoyenera kuchita, zimasangalatsa wokhudzidwayo. Ngati munthu sanakhalepo ndi matenda ashuga kale, ndiye zomwe zimayambitsa matenda a hyperglycemia
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%
- njira yotupa kapena ya oncological yomwe imachitika mu kapamba;
- kupsinjika kapena kusokonezeka kwa malingaliro m'maganizo komwe kunachitika patsiku loti apereke magazi;
- kumwa mankhwalawa: ma steroid, njira zakulera za pakamwa, mahomoni, okodzetsa;
- kuperewera kwa chakudya komanso kusuta kwa zizolowezi zoipa (uchidakwa, kusuta);
- kusowa kochita zolimbitsa thupi, kusachita masewera olimbitsa thupi;
- matenda okhudza endocrine dongosolo;
- matenda omwe amapezeka mu minofu ya chiwindi;
- kulephera kwa mahomoni, mwachitsanzo, kusamba kapena pakati;
- kukula kwa matenda a shuga a mtundu woyamba / wachiwiri.
Kutsimikizira kapena kukana matendawa, madotolo amatumiza wodwalayo kukayesanso kachiwiri, komwe kumachitika pamimba yopanda kanthu, ndikugwiritsanso ntchito maphunziro owonjezera kuti athe kuwona kulolera kwa glucose, postprandial glycemia (pambuyo pa chakudya chapakati), msanga wa glycated hemoglobin, C-peptide. Chifukwa cha izi, ndizotheka kutsata kuchuluka kwa kuchuluka kwa shuga kumatha mutatha kudya, momwe kapamba amagwirira ntchito, kaya insulin imatengedwa ndi maselo ndi minofu. Neurologist, oncologist, oculist amafunika kuyesedwa.
Zofunika! Pachipatala cha anthu omwe ali ndi shuga m'magawo 10,2 - 10,5 ndi kupitirira apo, chithandizo chamankhwala chimaperekedwa mwachangu, wodwala amathandizidwa mwachangu, zomwe zimachepetsa mwayi wokhala ndi zovuta zazikulu, zomwe sizimapatula zotsatira zakupha.
Ndiyenera kuchita mantha
Akatswiri akukhulupirira kuti chamoyo chilichonse chili ndi gawo lake lenileni la shuga. Mfundo za malire ndi 5.5-7 mmol / L. Ngati manambala apitilira 10,3, ketoacidosis imayamba, kenako kukomoka.
Zizindikiro za hyperglycemia ndi monga:
- kusabala, ulesi, kufooka wamba;
- kugona kosalekeza;
- mantha, kusakwiya;
- kuukira kwa cephalalgia ndi chizungulire;
- kumverera kusanachitike kusanza, kusanza;
- ludzu ndi kamwa yowuma;
- kupweteka, kukokana, dzanzi m'm miyendo;
- kusenda, kuyabwa kwa khungu;
- kuwonongeka kowonekera pakuwona;
- kukodza pafupipafupi;
- kuchiritsa kwamabala.
Hyperglycemia, momwe shuga ya magazi amalembedwera 10, imawerengedwa kuti ndi vuto, chifukwa ma metabolic omwe amasokonezeka:
- zoteteza thupi zimachepa. Munthu nthawi zambiri amadwala matenda oyambitsidwa ndi ma virus komanso opatsirana, omwe amakhala ovuta komanso atali, kusiya zotsatira ndi zovuta;
- kusokonezeka kwa dongosolo la kubereka kumayamba, mwachitsanzo, kufooka kwa potency;
- Poizoni ndi zakumwa zoopsa zimatuluka.
Ndi hyperglycemia yofatsa, munthu samva kuwawa, koma shuga akakwezedwa ndikufika pazigawo za 10,9 kapena kuposerapo, izi zikutanthauza kuti amadwala ludzu losatha ndikumwa madzi ambiri. Kuchuluka kwa kwamikodzo kumawonjezeka kwambiri, pamene thupi limachotsa shuga wowonjezera mwachilengedwe, ndikuchotsa impso. Poterepa, nembanemba yauma kwambiri. Onani nkhani pa polyuria diabetiya.ru/oslozhneniya/poliuriya-lechenie.html
Kukula kwambiri kwa matendawa kumawonekera, komwe kumakhala chiwopsezo chotenga zovuta zake:
- Matenda a shuga. Zimachitika chifukwa chodumphadumpha pamlingo wa shuga m'magazi. Amawonetsedwa ndi kupuma movutikira, kuchepa kwambiri kwa kuthamanga kwa magazi, kugona tulo tambiri, fungo la acetone panthawi ya kupumira - werengani zambiri.
- Hypoglycemic chikomokere. Itha kuchitika chifukwa cha kuchepa kwambiri kwamisempha, komwe kulinso koopsa. Zofananazo zimatha kukhalanso chifukwa chomwa mowa mwauchidakwa komanso kugwiritsa ntchito mankhwala ochepetsa shuga. Kupsinjika kwa mtima kwa wodwalayo komanso kupuma kumachepa, kutentha kwa thupi, kutsika kwa anuria mkati, khungu redness limachitika, chikumbumtima chimasokonekera, zomwe zili m'magazi zimakwera pamiyeso yamayunitsi 15-16 - werengani zambiri.
- Ketoacidosis. Mwanjira imeneyi, zinthu za metabolic zimadziunjikira m'magazi. Panthawi zovuta, munthu amatha kusazindikira - werengani zambiri.
- Hyperosmolar chikomokere. Zomwe zimachitika ndi shuga 10,15, 20 mmol / l, zomwe zimabweretsa kuchepa kwa madzi m'thupi - werengani zambiri.
Munthawi zonsezi, munthu amafunikira chithandizo chamankhwala chodzidzimutsa, kuchipatala komanso chithandizo chamankhwala chachikulu.
Zoyenera kuchita ndi shuga wambiri, mwachitsanzo, ngati adzafika mayunitsi 10.8, katswiri akuti. Ngati simukuchita zochizira, mavuto amakhudza mphamvu yamanjenje, kwamikodzo, mtima, komanso ziwalo.
Njira zopita patsogolo kwambiri, zopatsa matenda zomwe zimatsogolera ku hyperglycemia ndi izi:
- wandewu
- arthropathy;
- angiopathy;
- matenda ashuga;
- kuwonongeka kwa mitsempha yotumphera;
- kuwonongeka kwa retinal.
Zoyenera kuchita ngati shuga ali pamwamba pa 10
Shuga akamasala kudya akapezeka kuti ali 10,4 kapena apamwamba, amapeza kaye kuti ndi shuga wanji. Ngati uwu ndi mtundu woyamba, ndiye kuti mankhwala ochepetsa shuga ndi omwe amapatsidwa, mwachitsanzo, mankhwala a insulin. Ma cell a pancreatic beta ataya ntchito yopanga ma insulin, omwe tsopano amafunika kuperekedwa pafupipafupi kuteteza chitukuko cha zovuta.
Mtundu wachiwiri wa matenda ashuga, umachokera ku 10.6 ndikuwonetsa kwambiri kuti ichi ndiye chinthu chonyalanyazidwa kwambiri, momwe ma pathologies a ziwalo zofunika amayamba kukhazikika, kusokonezeka kwa magazi, mitsempha yamagazi imakhudzidwa kwambiri, komanso mwayi wokhala ndi atherosulinosis, kugunda kwa mtima, komanso stroke.
Katswiri angathe kugwiritsa ntchito mitundu ingapo ya mankhwala mosankha:
- kugwiritsa ntchito mankhwala omwe amachititsa minofu ndi maselo kuti atengeke mosavuta ndi insulin yopanga;
- kuchita masewera olimbitsa thupi koma olimbitsa thupi: Kuthamanga mopepuka, kusambira, kukwera maulendo, kuyendetsa njinga;
- kutsatira kwambiri tebulo lazakudya, momwe muyenera kusiyira chakudya chochepa kwambiri - ufa, maswiti, mbatata, ndi zina zambiri;
- kupewa kupsinjika ndi chitonthozo chachikulu chamalingaliro;
- Chithandizo cha matenda osachiritsika.
Ndi shuga ku 10,7 mmol / l, chithandizo chovuta chokhacho chomwe chimalimbikitsa mkhalidwe wa wodwalayo ndikuwongolera kwambiri kuchuluka kwa magazi. Ngati kuyesa konse pa mankhwala sikupereka zotsatira zoyenera, wodwala amapatsidwa insulin. Ngati hyperglycemia idachitika chifukwa cha kupsinjika, kapena mphamvu yayikulu m'maganizo, ndiye kuti sinthani mndandandawo ndikuchotsa zakakwiyitsa ngati zingatheke.
Shuga akamatuluka pa nthawi ya mankhwala a insulin, ndipo munthu akayamba kale kupangira jakisoni, chifukwa chachikulu cha shuga m'magazi chitha kubisika mu:
- Mlingo wolakwika wa mankhwala;
- kudya kosayenera ndikusagwirizana ndi dongosolo la kayendetsedwe ka mankhwala (ziyenera kumwedwa musanadye, osadya);
- lamulo lotyoka losungidwa lokwanira;
- kuphwanya kwamphamvu njira yoyendetsera mankhwala.
Wodwala yemwe amadwala matenda a shuga omwe amadalira insulin ayenera kudziwitsidwa momwe angapangire jakisoni komanso tsatanetsatane wa zovuta zina zamankhwala. Mwachitsanzo, khungu pamaso jakisoni silipukutidwa ndi yankho la zakumwa, popeza limakulitsa mphamvu ya mankhwala ochepetsa shuga ndipo limatha kudzutsanso shuga m'magazi, kufikira mtengo wa 10 kapena kuposa - momwe mungabayire insulin molondola. Pambuyo pothandizidwa ndi insulin, ndikofunikira kuti mudikirire pang'ono, ndikuchotsa singano pokhapokha ngati m'malovu ena atuluka.
Jakisoni m'dera limodzi la thupi samachitika, popeza, atalowa munthawi yake, insulin imadziwitsidwa pang'onopang'ono. Mukasakaniza mitundu yosiyanasiyana yamankhwala, mawonekedwe ake ayenera kukumbukiridwa. Ngati mulingo wa mankhwalawo sunawerengeredwe molondola, ndibwino kukaonana ndi katswiri kuti asinthe mlingo. Simungathe kuchita izi nokha, chifukwa chake mutha kuyambitsa hypoglycemia.
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