Kuphulika kocheperako kwa glycemia mukatha kudya sikuopsa, koma ngati zimachitika kawirikawiri, muyenera kusintha zakudya kuti zithandizire kuti zizikhala bwino. Shuga wamagazi 22 akapezeka mwa wodwala, izi zikuwonetsa kukula kwa njira ya pathological. Ndikofunikira pakadali pano kuti mudziwe chomwe chimayambitsa kuphwanyidwa.
Pakakhala nthawi yoyenera kuchitira zochizira, panthawi yake pamakhala zovuta zina, monga kugwa, kudwala matenda ashuga. Chithandizo cha mankhwalawa chimakhala chopangitsa kukula kwa shuga m'magazi ndikuchotsa matenda oyambitsidwa.
Mwazi wa Magazi 22 - Zimatanthauzanji
Shuga wamwazi wambiri, wofika 22.1 ndi kupitilira, amakumana ndi anthu omwe ali ndi matenda ashuga.
Hyperglycemic mkhalidwe mwa odwala amachititsa:
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%
- kudumphira jakisoni wa insulin kapena mankhwala owotcha shuga, komanso mlingo wake wolakwika;
- kugwiritsa ntchito mafuta ambiri owonjezera. Nthawi yomweyo, mankhwala omwe amathandizira samakwanira kutaya zinthu zambiri zomwe zimapezeka m'magazi;
- matenda opatsirana kapena kachilombo;
- kwambiri psycho-mtima kwambiri;
- moyo wongokhala ndi kusowa zochita zolimbitsa thupi.
Odwala matenda ashuga ayenera kuyang'anitsitsa kuchuluka kwa shuga ndi glucometer yonyamula kuti ateteze zovuta. Mwa anthu omwe alibe shuga, shuga wambiri wa mayunitsi 22.9 kapena wapamwamba walembedwa kuti:
- kulimbitsa thupi kwanthawi yayitali;
- chakudya chopanda malire, kudya kwambiri;
- kukhalapo kwa zotupa m'mimba ndi zotupa njira mu kapamba;
- matenda a hepatic kapena aimpso;
- matenda okhudza mtima;
- kudya pafupipafupi mankhwala ena, zotsatira zoyipa zomwe zingayambitse kulumpha mu hyperglycemia;
- kusowa kwa mahomoni;
- kukulitsa kwa matenda a shuga a mtundu woyamba kapena wachiwiri;
- matenda okhudzana ndi endocrine dongosolo;
- kumwa kwambiri mowa.
Mkhalidwe wam'magazi wokhala ndi glucose wa 22.2 mmol / l ndi kukwera sitingaganizire kuti ndi chizindikiro cha matenda ashuga. Ichi ndi chimodzi mwa zinthu zoipa kuchokera mwa ambiri. Kuti mudziwe zoyambitsa matenda, muyenera kufufuza bwino.
Zizindikiro zakuchuluka kwa shuga m'magazi, mpaka kukafika pamagulu 22.3-22.4 kapena kuposerapo ndikuphatikiza:
- kumverera kusanachitike;
- kuthawa;
- chizungulire, cephalalgia kuukira;
- njala yosalekeza, kapena, kutaya chidwi;
- ulesi, kupanda mphamvu, kugona;
- chisokonezo cha kugona;
- mphwayi, kusakwiya;
- kukodza pafupipafupi
- ludzu losasinthika ndi pakamwa lowuma;
- kuchiritsa koyipa kwa khungu;
- thukuta;
- kuchepa kwambiri kapena kunenepa kwambiri;
- dzanzi, kumva kuwawa, kupweteka m'malo otsika;
- kuyabwa kwa mucous nembanemba (makamaka mwa akazi);
- kusowa pogonana, kutsika kwa libido (mwa amuna).
Ngati munthu waona zizindikiro zingapo kuchokera pazomwe zalembedwazo, muyenera kulumikizana ndi endocrinologist ndikuwona magazi ake ngati ali ndi shuga. M'tsogolomu, adokotala anena zoyenera kuchita kuti aletse matenda, komanso momwe angapangidwire (ngati hyperglycemia imatsimikiziridwa ndi mayeso a labotale).
Ndiyenera kuchita mantha
Nthawi zambiri, mwa odwala matenda ashuga, shuga 22 amawonedwa ndi mtundu wachiwiri wa matenda, pamene munthu samvera zonena za katswiri, amadya zakudya zoletsedwa ndikupitilizabe kukhala ndi moyo wodziwika, wopanda thanzi labwino. Mukapitiliza kulola kuti matenda ayambe kudwala, matendawa amakhala oopsa, akumayenda mwamitundu yambiri.
Kuzizindikiro zam'mbuyomu, zomwe zidabweretsa zovuta zambiri, zimawonjezeredwa:
- kupukusa m'mimba - kubwereza m'mimba, kuvutika kwa matumbo, kupweteka pamimba;
- Zizindikiro za kuledzera - kufooka kwamphamvu, kuchepa mphamvu, nseru, cephalgia;
- kununkhira kwa acetone kuchokera mkamwa ndi mkodzo;
- masomphenya osalala;
- kuthana ndi matenda opatsirana pafupipafupi omwe ndi ovuta kuchiza;
- kukanikiza ululu mu kumbuyo, tachycardia, arrhythmia, kutsika magazi, milomo milomo ndi kutsekemera kwa khungu komwe kumakhudzana ndi kuwonongeka kwa dongosolo la mtima ndi mtima.
Poyerekeza zakumbuyo zamagazi kagayidwe kachakudya ndi kuchuluka kwa shuga m'magazi, matenda akulu amakula omwe amapitilira ndipo amatha kupunduka. Mwa izi, retinopathy - kuwonongeka kwa retina, nephropathy - matenda a impso, angiopathy - kukhudza mtima minofu, encephalopathy - zomwe zimayambitsa kuperewera kwa mpweya wa maselo aubongo, neuropathy, kukhudza masisitidwe amanjenje ndikupangitsa kuti thupi lizisowa, matenda ashuga - kuchepa kwa minyewa yam'munsi. Koma zotsatira zoyipa kwambiri za shuga wamagazi m'magazi amtundu wa mayunitsi 22,5-22.6 ndipo pamwambapa ndi chikomokere.
Matenda a matenda ashuga awonekera:
- kuyankha kosakwanira kwa mafunso osavuta;
- kupanda chidwi kapena kukalipa;
- kusokoneza kayendedwe ka kayendedwe;
- kuponderezedwa kwa zinthu zam'mutu, kuphatikizapo kumeza;
- kuchepa kwa zochita zakunja zakunja (kuwala, phokoso, kupweteka);
- chisokonezo, kulephera kuzindikira.
Kuthandizira kudwala matenda ashuga
Achibale a wodwalayo ayenera kudziwa zoyenera kuchita ngati ali ndi vuto lotere. Kuti apulumutse moyo wa amene akukuvutitsani, mutazindikira zizindikirazi, muyenera kuyimbira ambulansi nthawi yomweyo.
Pamene madotolo ali paulendo, muyenera:
- ikani wodwalayo pambali pake. Ngati kusanza kwayamba, yesani kuyeretsa zamkamwa kuchokera pakusanza kuti muthandize kupuma komanso kuti muchepetse chiopsezo chobayidwa;
- kwezani supuni zazing'ono ziwiri za shuga ndi madzi ndikuwapatsa madzi akumwa. Ndi hyperglycemia yayikulu, mankhwalawa sangakhudze momwe munthu akumenyedwera, koma ndi vuto la hypoglycemic (lomwe lingachitike ndi matenda ashuga, izi zipulumutsa moyo wake);
- kuti musataye mtima, yang'anirani ntchito za kupuma, ndipo ngati kuli kotheka, yambitsirani madokotala asanafike.
Pansi panthaka, wodwalayo amalumikizidwa ku zida zopumira ndipo mahomoni amayendetsedwa ndi intramuscularly. Kulimbitsa shuga kumalowetsa insulin. Pofuna kukonza acidity, madontho a droplet oyendetsa alkalizing amagwiritsidwa ntchito. Minyewa ya saline imathandizira kupewa kuchepa kwamadzi, komanso kusintha madzi mosiyanasiyana mwa ma electrolyte. Kuperekanso chithandizo kumadalira pakuchotsa pazomwe zidayambitsa lakuthwa kwambiri mu hyperglycemia mpaka 22.7.
Zoyenera kuchita ngati shuga ali pamwamba 22
Acute hyperglycemia imayimitsidwa ndikuyambitsidwa kwa insulin ndipo nthawi yomweyo amachotsa zotsatira zoyipa zowonjezera kuchuluka kwa shuga pamitengo ya 22.8 mmol / l ndikukwera kwambiri. Malangizowo atasintha, kuunikanso kwachiwiri kumazindikira zomwe zimayambitsa matenda omwe amayamba chifukwa cha kupatsa mphamvu kwa kagayidwe kazakudya.
Ngati kwatsimikizika kuti kuchuluka kwa shuga kukuchulukirachulukira chifukwa cha matenda amtundu 1, mankhwalawa ndi amoyo onse. Wodwala amafunika kulembetsa ndi endocrinologist ndikuwunika miyezi isanu ndi umodzi iliyonse ndi akatswiri ena ngati njira zodzitetezera. Dokotala amafotokoza momwe angagwiritsire ntchito bwino insulin, momwe angapangire jakisoni, nthawi yochitira njirayo, momwe angawerengere mankhwalawo, ndikuwonetseranso njira zina zamankhwala.
Ndi mtundu wachiwiri wakudziimira wa insulin kuchokera ku mankhwala osokoneza bongo, mankhwala ochepetsa shuga amagwiritsidwa ntchito omwe amathandizira kupanga insulin. Onetsetsani kuti mukutsatira zakudya, khalani ndi moyo wachangu, kusiya zizolowezi zoipa.
Ngati kulumikizika kwa glycemic sikunayambike osati ndi matenda a shuga, koma ndi matenda ena, ndiye kuti mutha kuthana ndi zomwe zili ndi shuga kwambiri pochiritsa matenda akuluakulu. Odwala amatha kupatsidwa mankhwala omwe amachepetsa chithokomiro. Ndi kapamba, chakudya chamagulu chimagwiritsidwa ntchito. Ma tumis amachotsedwa opaleshoni.
Kupewa
Pofuna kupewa kuwonjezeka kwa shuga m'magazi, odwala matenda ashuga amafunika kugwiritsa ntchito mankhwala ochepetsa shuga, kuchita masewera olimbitsa thupi, kupanganso zakudya zawo, kupewa hypodynamia, komanso kumwa mowa wambiri. Ngati, malinga ndi malamulo onsewa, kuchuluka kwa shuga kumayamba kukwera, ndikofunikira kuwona dokotala mwachangu, ndikusintha mlingo wa mankhwalawo.
Kwa anthu athanzi, kupewa kwa hyperglycemia kudzakhala moyo wathanzi, kuchita masewera olimbitsa thupi mokwanira, kudya moyenera, kudya mokwanira, kukana kumwa mowa nthawi zonse ndi maswiti.
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