Matenda a shuga ndi matenda osasangalatsa kwambiri, olemedwa ndi zovuta zambiri komanso amafunikira kuwunikira nthawi zonse. Kuti mumvetsetse zomwe zikuwonetsa kuti ndiyofunika kuganizira zaumoyo wanu ndikuyamba "kuwomba alamu", muyenera kudziwa zina mwazomwe zimayambitsa matendawa.
Kodi chisonyezo 5.6 ndi chowopsa, kapena kuti musadandaule? Kapena mwina kudadzera gulu lina la anthu, ndipo ndi lingaliro linanso? Mulimonsemo, mukadzapeza zotsatira zoyesa mwadzidzidzi, muyenera kudzikoka ndikukhazikika.
Mkhalidwe waumoyo wa munthu aliyense ali m'manja mwake, ndipo mutha kutembenuza matenda aliwonse ngati mungazindikire zizindikirozo munthawi yake, pitani kwa dokotala ndikuyamba momwe mungalandire chithandizo.
Kodi shuga ndimagazi amasinthidwa motani?
Homoni yayikulu yomwe imachepetsa chizindikiro cha "shuga" ndi insulin. Malo omwe amapangidwira "zovuta" zamkati mkati amapezeka mu kapamba, monga momwe amapangidwira maselo a beta, koma mahomoni a chinthu china amakhala ngati zinthu zowonjezera, zazikulu ndiz:
- Glucagon, gawo la kapangidwe kake m'thupi la munthu limagwiranso ntchito ngati maselo a pancreatic, koma ena omwe amalabadira kutsika shuga kuposa milingo yabwino;
- Oyimira "banja" lamahomoni kuti achulukane, omwe amapangidwa m'matumbo a adrenal, amatchedwa adrenaline ndi norepinephrine;
- Pali gulu lina lomwe limadya - glucocorticoids;
- Mu ubongo kapena pituitary gland, mahomoni ndi omwe amawongolera;
- M'mapangidwe ovuta a ziwalo zamkati mwa munthu mumakhalanso zinthu zomwe zimakhala ndi mahomoni ofunikira, zimathandizanso glucose kumlingo wina.
Mndandandawu umatsimikizira kuchuluka kwamahomoni omwe ali ndi ntchito yowonjezera shuga ndipo ndi insulin imodzi yokha yomwe imagwira ntchito kuti iwathandize.
Kodi pali kusiyana kotani pakati pa miyezo ya shuga m'magulu osiyanasiyana
Kuti mumvetsetse kusinthasintha kwa magawo munthawi inayake, ndikofunikira kuchita kafukufuku ndikupereka mayeso a shuga. Simungadye chakudya maola 9 mpaka 10 testu lisanatengedwe, apo ayi zotsatira zake sizikhala zolondola.
Madzi ndi tiyi saloledwa, tikulimbikitsidwa kuti mugone mokwanira, pokhapokha pazovuta kwambiri zomwe mungayembekezere kuwerengera molondola.
Vuto lopweteka kwambiri limatha kukhala matenda opatsirana, madokotala amachita zinthu ziwiri: mwina amadikirira mpaka atachira, kapena sayang'anitsitsa pamfundoyi ndipo sawaganizira.
Amuna ndi akazi omwe ali ndi miyezo yofananira:
- Mwazi kuchokera pachala uyenera kukhala ndi deta 3.3 - 3, 5;
- Magazi a Venous amasiyana ndi zigawo zingapo: 4.0-6.1.
Wodwala akapititsa kusanthula pamimba yopanda kanthu, zotsatira zake zimakhala zosiyana, zomwe ndi 5.6-6.6 mmol pa lita, ndiye titha kukambirana za kusintha kosuntha komwe kumapangitsa chidwi cha insulin kwambiri.
Chifukwa chake, izi zikusonyeza kuti ngati simutenga chidwi ndi izi munthawi yake ndikuyamba kulandira chithandizo, posakhalitsa izi zitha kukhala matenda a shuga muulemerero wake wonse.
Nthawi zambiri, madokotala amalinganiza, kuti chidziwitsochi chizindikirike komanso kutsimikizika kwake komaliza, kuyesedwa ndi kupezeka kwa glucose wapadera.
Pali njira zina zingapo:
- Maphunziro obwerezedwa kuti mupeze kuchuluka kwa shuga;
- Kuyesedwa kwa shuga wamagazi;
- Kuwerenga kwa muyezo wa glycosylated hemoglobin, womwe uli womaliza komanso wofanana ndi kutsimikiza kwa sentensi yomaliza.
Zaka zingapo zapitazo, zinali zotheka kudutsa mayeso oterowo mu polyclinic, atayimirira mzere wautali ndikugwiritsa ntchito nthawi yayitali, tsopano zonse nzosiyana. Palibe chomwe chingakhudze zotsatira ndikusokoneza dokotalayo, chifukwa aliyense akhoza kuyeza shuga popanda kuchoka kunyumba mothandizidwa ndi chipangizo chapadera - glucometer.
Momwe mungagwiritsire ntchito chipangacho molondola
Mita ndi chinthu chothandiza kwambiri, makamaka kwa okalamba, omwe pazaka zambiri ali ndi chiwopsezo chachikulu chotenga matenda a shuga.
- Pangani lamulo musanayambe kugwiritsa ntchito chida chilichonse, phunzirani malangizo ake;
- Kuyang'ana kuchuluka kwa shuga kumachitika kokha ndi mimba yopanda kanthu, yabwino kwambiri m'mawa;
- Musanabole chala, sambani m'manja ndikusamba zala zomwe magazi amatulutsidwa;
- Pukutani tsamba la jakisoni ndi yankho la mowa;
- Chala chimayenera kubooleredwa kuchokera kumbali ndikumasulira pang'ono pa mita;
- Chotsani dontho loyamba ndi tamba la thonje, ponyani lachiwiri pamtunda woyesera;
- Timaziyika mu gadget ndikuyembekezera chigamulo chomwe chimawoneka pomwepo pa bolodi.
Malangizo aubwana:
- Kuyambira kubadwa mpaka chaka - 2.8 - 4, 4 mmol / l;
- Kuyambira zaka 1 mpaka 5 - 3.3 - 5.0 mmol / l;
- Komanso, momwe zimakhalira zili ngati kwa akulu.
Amayi oyembekezera amadziwika ndi zisonyezo zapadera, chifukwa nthawi yolimba kwambiri iyi kwa mwana amakhala tcheru kwambiri pakudalira kwa insulin, mphamvu yomwe imatulutsidwa ndi thupi imafunikira ngati chakudya cha mwana wosabadwayo komanso kusamalira thupi la mayi panthawi ya perestroika.
Manambala abwinobwino pa nthawi ya pakati ndi 3.8 - 5, 8 mmol / L. Ngati 6, 1, ndiye kuti pakufunika kuyesererako.
Munthawi yonse yoyembekezera, azimayi nthawi zambiri amakhala ndi vuto la matenda ashuga. Kodi chikuchitika nchiyani mkati mwa mayi? Tizilombo ta mayi timakhala tosagwirizana ndi insulin, timayipeza ndi kapamba.
Zomwezi zimachitikanso mu nthawi yachiwiri ndi yachitatu ndipo zikuwoneka kuti zonse zitha pambuyo pobadwa kwa mwana, koma izi sizichitika nthawi zonse. Kupanda kutero, mayiyo amadwala matenda a shuga.
Pazifukwa izi, kuyesedwa kofunikira kwambiri ndiko kuphunzira pa kuchuluka kwa shuga m'magazi. Vutoli limakhala lovuta ngati mayi woyembekezera ali ndi matenda ashuga kapena ngati wayamba kunenepa kwambiri.
Chidule
Ndiye kodi ndichofunika kapena ayi "kuwomba mabelu" pamene msinkhu wa shuga ukufanana ndi chizindikiro cha 5.6? Ayi, pankhani iyi mutha kukhala mwamtendere osati mwamantha. Zomwe zikuyang'aniridwa ndi zoopsa sizikuyimira.
Ndikofunika kukumbukira kuti maziko a thanzi labwino monga nthawi zonse ndi "maruwa" atatu: kukhala ndi moyo wathanzi, kudya moyenerera komanso kusangalala bwino.
Ngati mumatsatira zakudya komanso kuchita masewera olimbitsa thupi, palibe matenda omwe angakugwetsereni. Musaiwale za thandizo lakutemera ndipo osadandaula za kalikonse. Moyo umaperekedwa kwa munthu kuti azisangalala tsiku lililonse loperekedwa kuchokera kumwamba.
