Chimodzi mwazofunikira zothandizira kuti thupi lizigwira ntchito bwino ndi chizindikiro cha kuchuluka kwa shuga m'magazi am'magazi. Ngati glucometer ali ndi 27 mmol / l, mutha kuganiza za kukula kwa hyperglycemia, yomwe imakhala yowopsa komanso zovuta kwambiri.
Matenda a shuga - matenda am'mimba sakhala obadwa nthawi zonse, koma, monga lamulo, moyo wonse: kukhazikitsidwa kwa insulin, mitundu 10 ya mankhwala othandizira komanso ngakhale kapamba wochita kupanga samathetsa vutoli.
Koma ndizotheka komanso kofunikira kuti muwongolere mbiri yanu ya glycemic pokwaniritsa chindapusa chachikulu cha shuga mothandizidwa ndi kusintha kwa moyo komanso mankhwala oyenera.
Zimayambitsa hyperglycemia
Kuukitsa shuga pamagulu ovuta kumachitika osati mwa odwala matenda ashuga, komanso nthawi zina. Kuti mupeze chithandizo choyenera, ndikofunikira kudziwa chomwe chimayambitsa matendawa.
Kusiyanitsa pakati pa thupi ndi pathological hyperglycemia. Gulu loyamba limaphatikizapo:
- Zakudya (zamamary) zosiyanasiyana zomwe zimayamba kudya mafuta ambiri nthawi zonse, monga bulimia;
- Kuyang'ana kwamtundu (wogwira), kumachitika pambuyo pa kupsinjika kwakukulu;
- Ndi katundu wambiri.
Matenda a m'matumbo amaphatikizapo:
- Matenda a shuga amtundu uliwonse;
- Kulolerana shuga;
- Pancreatitis
- Mikhalidwe yofunika chithandizo chadzidzidzi monga vuto la mtima;
- Dera lalikulu limayaka ndi kuvulala;
- Neoplasms pa kapamba;
- Transistor hyperglycemia mu makanda;
- Thyrotooticosis, Itsenko-Cushing's syndrome, acromegaly;
- Kwambiri chiwindi kukanika;
- Kubadwa kwamtundu;
- Matenda a matenda opatsirana (pachimake kapena mawonekedwe osakhazikika).
Mlingo wa glycemia mthupi umayendetsedwa ndi mahomoni. Insulin imalimbikitsa kugwiritsidwa ntchito kwa mamolekyulu a glucose m'maselo, ena amathandizira kukonza kwa glycogen ndi chiwindi komanso kusintha kwa glucose m'magazi.
Kuopsa kwa shuga
Hyperglycemia yolimba ndi chiopsezo chowonjezeka cha zovuta, makamaka kuchokera kumbali ya mtima, mitsempha yamagazi, mitsempha.
Mafuta ambiri amakhala ndi poizoni wambiri chifukwa kutha nthawi yayitali kumapangitsa kuti zinthu zina zisinthe. Protein glycation imayamba, yomwe imawononga mawonekedwe amisempha komanso njira zosinthira.
Siyanitsani michere ndi macroangiopathy. Yoyamba imakhudza ziwiya zazing'ono zamaso, impso, ubongo, miyendo. Retinopathy (kuwonongeka kwa ziwiya zamaso), nephropathy (kuwonongeka kwa ziwongo za impso), neuropathy (kusintha kwa m'mitsempha ya ubongo) kumayamba. Masomphenya amachepa (mpaka kutayika kwathunthu), impso zimayatsidwa, miyendo imatupa, mabala amachiritsa bwino, chizungulire, kupweteka mutu kumasokoneza.
Pambuyo kuwonongeka kwa ziwiya zazikulu, mitsempha, makamaka ubongo ndi mtima, ndizomwe zimayamba kuvutika. Ngati matenda a shuga sathandizidwa kapena kubwezera shuga sikokwanira, atherosulinosis imayenda mwachangu. Matendawa amawonekera ndi kuwonongeka kwamitsempha mpaka kufalikira, chifukwa - matenda a mtima, sitiroko, mtima.
Kuwonongeka kwa zotumphukira zamanjenje, neuropathy, ndizovuta zamtundu wa shuga. Kuchuluka kwa glucose kumawononga ulusi wamitsempha, ndikuwonongeranso gawo la myelin la fiber. Mitsempha yotupa komanso yotuluka. Matendawa amatha kuthana ndi gawo lililonse la zotumphukira zamanjenje. Zimadziwulula podzipatula komanso kuphatikiza ndi zovuta zina za shuga.
Nthawi zambiri, neuropathy imaphatikizidwa ndi zotupa zam'mimba zopweteka, miyendo yam'munsi imakhala yosatetezeka kwambiri pankhaniyi. Zonsezi zimabweretsa matenda oopsa, omwe amatchedwa "phazi la matenda ashuga." Mwanjira yonyalanyazidwa, matendawa amatsogolera kudula miyendo ndi osadukiza miyendo. Ngati "munthu" wodwala matenda ashuga akhazikika kwambiri, amatha kuchuluka kwambiri pamatenda a hemoglobin, ndipo zimawonjezera zovuta zoterezi.
Polyneuropathy imatha kuzindikiridwa ndi zokhudzana ndi kupweteka, kuwotcha, kuphulika. Mwina kuperewera kwathunthu kapena pang'ono pang'ono m'miyendo. Ndi kuyang'anira mokwanira momwe alili, zotupa zomwe sizinayambike zimatheka, ndikutsatira matenda a phazi komanso nthawi yayitali yochira chifukwa cha kuchepetsedwa chitetezo chokwanira.
Momwe mungazindikire shuga wamkulu
Kuwonjezeka kwa shuga, ngakhale mpaka 27 mmol / L, sikuyenda nthawi zonse ndi zizindikiro zazikulu. Kutopa, kugona, kukamwa kowuma ndi kuwonjezeka kwakanthawi kumatha kuchitika chifukwa chogwira ntchito kwambiri, ndipo hyperglycemia imapezeka mwamwayi, mwachitsanzo, pakamayesedwa.
Matendawa akapita pachimake, chipatala chimayamba kudziwonetsa pakapita nthawi. Mosasamala kanthu za zifukwa zomwe zidakhumudwitsa ma glucose okwanira, zizindikirazo zikufanana, chifukwa chake, ndizosatheka kudziwa chomwe chimayambitsa hyperglycemia kokha ndi zizindikiro.
Kuti akhale mosiyanasiyana, wovutikayo angamve:
- Udzu wokhazikika ndi pakamwa lowuma;
- Kusintha kwa kulemera (zonse ziwiri komanso mbali inayo);
- Kuchulukitsa thukuta;
- Maulendo pafupipafupi kupita kuchimbudzi chifukwa cha kukodza kowonjezereka;
- Kuwonongeka kwa magwiridwe antchito, kutaya mphamvu;
- Kuyabwa, limodzi ndi candidiasis a mucous nembanemba;
- Halitosis, wokumbutsa za acetone;
- Kusakhazikika mtima.
Hyperglycemia imatha kupezeka pamaziko a mayeso a labotale, omwe amalembera mtundu wa matenda a shuga omwe akuwakayikira. Wodwalayo amatenga kuyesa kwa magazi (kwa biochemistry) ndi mayesero a mkodzo (ambiri).
Ngati, kuphatikiza madandaulo, palinso zinthu zomwe zimayambitsa hyperglycemia (onenepa kwambiri, kukana insulini, polycystic ovary, genetic predisposition), amalimbikitsa kutenga kuyesa kwa glucose ndikuyang'ana hemoglobin yanu ya glycated.
Ngati kuphwanya kwa kagayidwe kazakudya kumakhazikitsidwa, kufufuza kosiyanasiyana kumachitika kuti kumveketse zamtundu wa pathology ndikuwunika zina zowonjezera zomwe zimapangitsa kuchuluka kwa shuga. Ngati zifukwa zakukhazikitsidwa, mutha kupita ku chithandizo chamankhwala.
Njira zothandizira
Kodi ndizotheka kuthandiza munthu kunyumba ngati shuga pamtunda uli 27 mmol / l, ndipo womenyedwayo sanadandaule za kukhala bwino? Tsoka ilo, chithandizo chamankhwala choyenerera sichingagawidwe, popeza momwe izi zimafunikira pakukhazikitsa kapena kusinthanitsa kwa kuchuluka kwa mankhwala a hypoglycemic kapena jakisoni wa insulin.
Ngati wovutikayo sakudziwa (komanso kukula kwa magazi kwambiri, izi ndizotheka, popeza madokotala amalingalira chizindikiro 16 mmol / l), pali njira imodzi yokha yotuluka: mwachangu imbani ambulansi, simungathe kuyesa jakisoni ndi mapiritsi.
Ngati palibe kukomoka, muyenera kum'patsa wodwalayo madzi ambiri momwe angathere, ndikuchepetsa kwambiri kugwiritsa ntchito chakudya. Kufunsira kwa adotolo posachedwa ndipo pankhaniyi ndikofunikira.
Chithandizo cha hyperglycemic zinthu
Chithandizo cha ana ndi akulu chikugwirizana mwachindunji ndi zomwe zimayambitsa ndi zomwe zimayambitsa. Ngati nkotheka kuthetsa zomwe zimayambitsa, pali mwayi wosintha matenda a glycemia.
Ngati matenda a shuga apezeka, kusintha kwa moyo kumalimbikitsidwa makamaka: kukonza zakudya kuti muchepetse kudya zakudya zamthupi, kuyenda tsiku ndi tsiku komanso kuchita masewera olimbitsa thupi mokwanira, kuwongolera zakukhosi.
Zambiri za hyperglycemia mu odwala matenda ashuga
Matenda a Hyperglycemic nthawi zambiri amapezeka ndendende ndi matenda amtundu wa 2 kapena shuga.
Ngati matendawa adakhazikika kale komanso njira yodalirika yakhazikitsidwa, shuga wowonjezereka amachitika:
- Ndi chithandizo chokwanira;
- Chifukwa chosagwirizana ndi zakudya komanso dongosolo la mankhwala;
- Ngati pali matenda ophatikizika, kuvulala, maopareshoni;
- Pa nthawi yoyembekezera (matenda a shuga).
Madzi a shuga a plasma ambiri amapezekanso ali ana. Zomwe zimayambitsa ndi zizindikiro mwa ana ndizofanana ndi akulu. Nthawi zambiri, odwala achinyamata amapezeka ndi matenda amtundu 1.
Mitundu yotsatira komanso yosala kudya
Kuwerengedwa kwakukulu kwa glucometer mutatha kudya amalembedwa mukamadya chakudya chochuluka kapena kudya mankhwala osokoneza bongo. Endocrinologist payekhapayekha idzachita ndi postprandial hyperglycemia.
Hyperglycemia m'mawa (pamimba yopanda kanthu), pambuyo pakupuma kwa maola 8 mpaka 14, ndi chifukwa cha kuchuluka kwa chiwindi usiku ndikumasulidwa kwa milingo yayikulu ya shuga. Glycemia imatha kusinthidwa pambuyo pofotokoza Mlingo wa antidiabetes. Kuchepetsa kuchuluka kwa chakudya chamafuta ndizofunikira.
Mawonedwe ausiku ndi m'mawa
Kusiyana kwa usiku kwa glycemia pakuwonjezeka kumachitika kawiri: ndi mlingo wosankhidwa wa insulin komanso kuchuluka kwa glycogen m'chiwindi. Mu mawonekedwe oyamba, izi zimachitika kawirikawiri ndi matenda amtundu 1, wachiwiri - odwala matenda ashuga omwe ali ndi matenda amtundu 2.
Ngati chiwindi chimapanga glucose kwambiri usiku, muyenera kusintha zakudya zanu, kuyesetsa kuti muchepetse kunenepa, mungafunike kutumiza mankhwala osokoneza bongo.
Nthawi zina kukhazikika kwakanthawi chakudya chisanafike pogona, koma chakudya chizikhala ndi lingaliro: galasi wamba la kefir siligwira ntchito (zamkaka zimachulukitsa shuga usiku), ndibwino kudya dzira lowiritsa popanda mkate ndi mchere.
Kukwera m'mawa kwa shuga kumaperekedwa ndi mahomoni a contra-mahormoni. Kuchita chimodzimodzi kungachitike pambuyo pa usiku hypoglycemia. Nthawi zambiri ndimatenda a "m'mawa kutacha" amakumana ndi odwala matenda ashuga, onyenga. Nthawi zina jekeseni yowonjezera ndiyofunikira pakatikati pa kugona.
Ngati pali pampu ya insulin, imatha kukonzedwa kuti panthawi yoyenera ipereke gawo la insulin.
Kupewa kwa zotsatira za hyperglycemia
Kodi tingatani pompano? Kupatula apo, ngakhale gawo laling'ono ndi chiyambi chaulendo wautali.
Choyamba muyenera kuchotsa zomwe zimayambitsa shuga, chifukwa ayi, ngakhale mankhwala amakono kwambiri sangachotse zovuta ngati glycemia si yachilendo.
Mavuto aliwonse amakhala ndi komwe amati sikubwerera, pomwe palibe chomwe chimathandiza, ngakhale 100% glycemic control. Zikatero, munthu ayenera kuyesetsa kuti achepetse kukula kwa matendawo. Momwe mungawongolere shuga pamene zonse sizitayika?
Unikani zakudya ndi zakudya kuti muchepetse chakudya komanso kuwonjezera chakudya. Kukula kotumikirako kuyenera kuchepetsedwa.
Anthu odwala matenda ashuga a mtundu wachiwiri ayenera kuganizira kwambiri za kuchepa thupi. Pamene khungu lili mu kapisolo wamafuta, ma cell ake ndi insulin. Anthu odwala matenda ashuga a mtundu woyamba samakumana ndi kunenepa kwambiri, ndikofunikira kuti aphunzire momwe angalipire chakudya chamafuta ndi insulini kuti pasakhale shuga.
Muyenera kukonzekera zochita zanu zatsiku ndi tsiku kuti nthawi zosachepera 4-5 pa sabata ziperekedwe ola limodzi kuti muzichita zinthu zina zolimbitsa thupi. Muyenera kuphunzira kwa ola limodzi, komanso kupita patsogolo - kwa awiri.
Zochita minofu siziyenera kukhala zokhazikika, koma zamphamvu: Kulima dimba pamenepa si njira yosankhira. Kuchita masewera olimbitsa thupi kuyenera kusankhidwa aerobic, kotero kuti thupi limapeza mpweya wokwanira ndikuwotcha shuga.
Popanda kugunda kwamtima kokwanira (60% ya submaximal), izi sizichitika. Kufika kwa mtima kumawerengeredwa mophweka: Zaka 200 zopanda zaka. Kuchokera pamasewera pazolinga izi ndizoyenera: kukwera masitepe, kuyenda mwamphamvu kapena kuthamanga, yoga, kusambira, mpira, tenisi.
Anthu odwala matenda ashuga omwe ali ndi mtundu woyamba wamatenda pamenepa samakonda kuchepa thupi, koma amateteza matenda a lipid metabolism. Mitundu yomwe yatchulidwa ndizoyenera.
Ndikofunikira kusankha chithandizo chamankhwala choyenera komanso chothandiza. Ngati palibe ngongole ya shuga ya 100%, sinthani mankhwala anu kapena dokotala.
Monga njira zowonjezereka, njira zochiritsira zosagwiritsidwa ntchito masiku ena zingagwiritsidwenso ntchito, koma ndizowonjezera. Ndikofunikanso kuyang'anira malingaliro, kupewa matenda ndi kuvulala.
Ndikofunika kuyang'anitsitsa mwatsatanetsatane zomwe zikuwonetsa shuga ndi glucometer ndikuzilemba mu diary. Zifukwa ngati "Ndikumva bwino pompano" kapena "Sindingakhumudwe kwambiri chifukwa cha shuga wambiri" ndizosavomerezeka. Nthawi zambiri miyeso, imachepetsa mfundo za hemoglobin yokhala ndi glycated, ndipo iyi ndi mfundo yayikulu yopewa kulumala ndi kufa msanga m'mavuto.
Malinga ndi ziwerengero, ndi matenda amtundu 1 shuga, miyezo 8 patsiku imapereka 6.5% ya hemoglobin ya glycated. Kwa matenda a shuga a 2, "masiku oyeserera" ndi othandiza mukawunika zonse zam'mimba: shuga m'mawa, chakudya musanadye, komanso maola awiri mutatha kudya chilichonse, asanagone komanso pakati pogona usiku (maola 2-3).
Izi ndizoyambira, koma ambiri, woimira aliyense pagululi, makamaka ngati shuga ndi 27 mmol / l, amafunika kuyesedwa chaka chilichonse kuchokera kwa akatswiri otsogolera kuti adziwe zovuta za matenda ashuga kuti aziwathandiza munthawi yake. Ndipo ndi liti komwe mudakumananso ndi mayeso olimbitsa thupi chotere?
Werengani zambiri za zovuta za hyperglycemia muvidiyo.
