Kuopsa kwa shuga magawo 24 - choti achite?

Magazi a glucose abwinobwino amachokera ku 3,3 mpaka 5.5 mmol / L. Kuwonjezeka kwa manambalawa kukuwonetsa prediabetes, mkhalidwe womwe umawopseza kukula msanga kwa matenda ashuga. Miyezo yopitilira 8-11 mmol / L nthawi zambiri imapezeka ndi matenda ashuga.

Ndipo ngati wodwala matenda ashuga ali ndi shuga wamagazi pafupi ndi mayunitsi 24, izi ndizowopsa kwambiri. Mfundo ngati izi zimapezeka mwa anthu omwe nthawi zambiri amadziwa matenda awo. Funso lanzeru ndiloti, ngati munthu akuthandizidwa, glucose angatuluke bwanji ku mfundo zoterezi? Pali kulongosola kwa chilichonse.

Chifukwa Chomwe Odwala Matenda A shuga Akulimbikitsira shuga

Pali zifukwa zambiri zakukwera kwambiri kwa glucose wamagazi. Koma nthawi zambiri, nthawi zowopsa zotere zimakhala chifukwa cha kuperewera kwa zakudya m'thupi, kupsinjika kwakukulu, kusachita masewera olimbitsa thupi komanso matenda opatsirana (ndi matenda ena, kugwira ntchito kwa ziwalo zamkati kumavulala kwambiri).

Zinthu zonsezi zimatha kuwonjezera shuga ngakhale mwa odwala athanzi. Kwa odwala matenda ashuga, madontho a shuga amakhala abwinobwino, ngati angathe kutchedwa osafunika. Koma ngati shuga alumphira, muyenera kumvetsetsa - vuto ndi chiyani, ndizinthu ziti zomwe zidatsogolera.

Anthu odwala matenda ashuga ndi gulu la odwala omwe ayenera kudziwa tanthauzo la matenda awo. Matenda a shuga akukhala njira ya moyo, ma nuances omwe amakhudzana ndi matendawa amatha kudzikumbutsa tsiku ndi tsiku.

Ndikofunikira kuti munthu asamangodziwa za matendawo, komanso mopanda mantha, amakumana ndi ziwonetsero zapamwamba pa glucometer (chipangizo choyeza kuchuluka kwa shuga m'magazi). Ayenera kumvetsetsa kuti ndi ziti zomwe zili zovomerezeka, zomwe zili zowopsa, komanso zomwe ndizovuta.

Ngozi zowopsa zomwe zili ndi shuga wambiri

Kukula kwa kuchuluka kwa shuga kumawonetsedwa ndikuwonjezereka kwa vutoli, ndipo vutoli likhoza kufika pamavuto - kukomoka kwa ketoacidotic sikuchotsedwa (odwala odalira insulin - chikomokere cha hypermolar).

Chiwopsezo cha ketoacidotic chikomokere chikukulira:

• Ndi kukwera kwa shuga 16 + magulu;
• Ngati acetone wapezeka mkodzo;
• Mukachotsa shuga ndi mkodzo woposa 50 g / l.

Choyamba, thupi limadziyendetsa lokha. Ntchito yofunsira imathandizidwa. Koma patapita nthawi, zizindikiro za hyperglycemia zimayamba kutchulidwa. Ngati munthu samathandizidwa ndi nthawi, shuga sangachepetse, mavuto amabuka.

Mfundo yoti ketoacidotic chikoma chikuyandikira akuti:

1. M'mimba kupweteka kwachilendo;
2. Zomveka za acetone pamlomo wamkamwa;
3. Khungu lowuma;
4. Zofewa m'maso;
5. Kupuma kwambiri;
6. Matenda a Dyspeptic.

Chifukwa chiyani mafuta m'malo mwa glucose ayamba kuwonongeka

Thupi silitha kugwiritsa ntchito shuga ngati gwero lamphamvu, njira yolipirira ndalama imayatsidwa, thupi limakhala ndi mafuta obwera. Pakusintha kwawo, ma ketoni amasulidwa. Izi si kanthu koma poizoni yemwe amadziunjikira bwino m'thupi ndikuipweteka. Ndipo kuledzera kotereku kumayambitsa kudwala matenda ashuga.

Zomwe zimatha kulosera zovuta za ketoacidosis:

• Zizindikiro zoyambirira za matenda amtundu 1;
• Chithandizo cholakwika cha matenda amtundu 1;
• Kulephera kutsatira zakudya zomwe zidanenedwa;
• Matenda opatsirana amatenda a ziwalo zoberekera;
• Matenda a mtima;
• Matenda opatsirana;
• Njira zopangira opaleshoni;
• Mitundu yonse yakuvulala kwakukulu;
• Matenda a Endocrine;
• Nthawi yobereka mwana.

Matenda a diabetes ketoacidosis amatha kuwonekera madigiri atatu. Ndi pang'ono pang'onopang'ono cha pathological process, kukodza kumachitika pafupipafupi, wodwalayo amayamba kumva kuwawa, zizindikiro zoyambirira za kuledzera zimawonedwa. Pali fungo la acetone mlengalenga lomwe limatulutsa.

Ndi avareji ya ketoacidosis, vuto la wodwalayo limakulirakulira pang'onopang'ono. Zizindikiro zamatenda amkati pamtima, kupanikizika kumachepa, tachycardia imayamba. Wodwalayo amasokonezeka ndi kukanika kwa dyspeptic komanso kusapeza bwino mu epigastrium.

Mlingo woopsa wa ketoacidosis ndiowopsa makamaka - mkhalidwe ukufooka, ophunzirawo sapereka kuyankha, komanso fungo loyipa la acetone. Zizindikiro zoonekeratu za kusowa kwamadzi zimapezeka.

Kodi ketoacidosis amadziwika bwanji?

Pazizindikiro zoyambirira za vuto lotere, wodwalayo ayenera kuthamangira kuchipatala, kapena bwino, ayimbire ambulansi.

Madotolo apenda zisonyezo, ayesa mbiri yakale ya zamankhwala, ma pathologies omwe amagwirizana. Iwo adzayesanso magazi mwachangu ndi shuga, komanso urinalysis kuti adziwe matupi a ketone, komanso acetone. Kuyesedwa kwa magazi ndi mkodzo, komanso chopereka chamagazi pazinthu zam'magazi, zidzafunika.

Kuchiza kumayamba mosamala pambuyo podziwonetsa moyenera. Nthawi zambiri, matenda oterewa amafunika kuchiritsa pothandizanso kupumula.

Zosankha monga chithandizo:

• Mankhwala a insulin. Insulin imaperekedwa kuti muchepetse magazi. Mphamvu ya shuga pamkhalidwewu sichichotsedwa.
• Zochita zam'madzi. Madzi otaika amayeneranso kukonzedwanso. Saline imayendetsedwa kudzera m'mitsempha.
  Kuwongolera kulephera kwa electrolytic.
• Mankhwala othandizira. Njira iyi ndiyofunikira kuteteza kupitirira kwa zovuta zamagulu.
• Ma Anticoagulants.

Kodi Hyperosmolar coma imayamba bwanji?

Matendawa amapita pakatha milungu iwiri. Ndipo kuchuluka kwa glucose kumatha kukula mpaka kuwopseza - mayunitsi 50, pomwe glucose imatulutsidwa mwachangu mu mkodzo.

Zizindikiro za kukomoka kwa Hypersmolar:

1. Kugona ndi kufooka kwambiri;
2. Khungu lowuma;
3. Makina amaso;
4. Kupanda kununkhira kwa acetone;
5. Kupuma kolimba, pafupipafupi komanso kopumira kopanda mawonekedwe.

Kupweteka kwam'mimba sikubadwa mu chikomokere cha hypersmolar, komanso mavuto a dyspeptic. Koma chiopsezo chotenga matenda aimpso kwambiri ndi chambiri, chifukwa chake thandizo liyenera kukhala lachangu.

Ndi hypoglycemia, munthu akhoza kukhala ndi vuto lachilendo lanjala, euphoria imachitika, chikhalidwe chitha kukhala chachilendo, kugwirizanitsa kudzasokonekera, matenda opatsirana ayamba, wodwalayo akudandaula zakuda m'maso.

Kodi pali zolakwika pankhani ya insulin?

Kwa odwala matenda ashuga, kulumpha mu shuga monga mayunitsi 24 nthawi zambiri kumakhala kulakwitsa. Ndiye kuti, ngati munthu akuchitiridwa zinthu, ndiye kuti payenera kukhala mfundo zapamwamba kwambiri. Mapeto ake ndiwosavuta: mankhwalawa adapereka mtundu wina wa vuto, ndipo izi zimathekadi.

5 zolakwika za insulin.

1. Osati mtundu wa mankhwalawo. Masiku ano, mitundu yayikulu 4 ya insulini imagwiritsidwa ntchito - awa amatchedwa achinthawi-kocheperako komanso osakanikirana pang'ono, amathandizidwa asanadye ndipo amathandizira kukonza kuchuluka kwa shuga. Zomwe zimatchedwa insulin zapakati komanso ma insulin omwe akhala akuchita kwakanthawi zimasunga shuga wabwinobwino wamagazi pamene "amafupika" ma insulin sangathe. Ndipo mukamagwiritsa ntchito mapulani a "insulin yochepa komanso yayitali" munthu amatha kusokonezeka m'dongosolo. Koma nthawi zambiri, insulin yomwe ili m'mavuto amenewa siliwopseza kwambiri, nthawi zambiri shuga, m'malo mwake, imatsika kwambiri.
2. Sinthani cholembera cholembera insulin. Masiku ano, zolembera za syringe ndi zotheka kutulutsa kapena kusinthanso. Omalizawa amasankhidwa ndi odwala ambiri. Koma ngati mutatenga cholembera cha munthu wina, ngakhale kupotoza singano yanu pamenepa, pamakhala chiwopsezo cha matenda ena.
3. Kudumpha jakisoni kapena insulin yokwanira chifukwa cha matenda. Mwachitsanzo, munthu amakhala ndi chimfine kapena chimfine. Ndipo pazifukwa zina, odwala matenda ashuga amakhulupirira kuti zotere ndi majakisidwe sizigwirizana. Koma uku ndikulakwitsa kwakukulu! Panthawi yamatendawa, kuchuluka kwa glucose kumatha kuchuluka kwambiri, chifukwa zochita za mahomoni olimbana ndi othandiza zimapangitsa izi.
4. Insulin siyisungidwa bwino. Masheya a mankhwalawa ayenera kusungidwa bwino. Ayenera kukhala mufiriji, kutentha koyenera ndi madigiri 2-6. Kukonzekera kotseguka kumaloledwa kusungidwa mpaka masiku 28 kutentha kwa firiji, koma kutali ndi kutentha ndi radiation ya ultraviolet. Simungathe kugwiritsira ntchito mankhwala ozizira, monga mankhwala okhala ndi moyo wa alumali omwe atha
5. Zochita zolimbitsa thupi pamtunda wa insulin. Makalasi kapena ngakhale kuyenda pamsewu, kumachitika pachimake cha insulini, kumatha kubweretsanso kusintha kwakukulu pamakhalidwe. Zowona, nthawi zambiri zimapitilira kwa hypoglycemia.

Koma muyenera kuwunika mitundu yonse yomwe ingatheke. Shuga adalumpha kwambiri - alumikizanani ndi madotolo, ndipo musayerekeze zomwe zidayenda. Musamale kwambiri mukamachulukitsa matenda, nthawi imeneyi chiopsezo chodumphadwala glucose ndicofunika kwambiri.

Shuga kulumpha ndi pancreatic atrophy

Pancreatic atrophy ndi chikhalidwe chodziwika ndi kuchepa kwa kukula kwa thupilo, komanso kuphatikizika kwa kapangidwe ka ndulu ndi kufooka kwake. Nthawi zambiri, kusintha koteroko kumachitika ndi thupi limodzi ndi matenda ashuga omwe amapita patsogolo.

Zizindikiro zodziwika bwino za matendawa ndimapweteka kumanzere kwa hypochondrium, pomwe amatulutsa pakudya, amasinthasintha lilime (limakhala rasipiberi kapena ofiira), kupindika kwa dzino komanso chidutswa chowoneka bwino palilime. Ziwonizo zikaoneka, muyenera kupita kwa dokotala wa gastroenterologist. Dokotala adzalemba maphunziro othandiza kuti adziwe matenda ake.

Magazi a shuga magawo 24 - choti achite

Shuga wapamwamba wotere nthawi zambiri amatsimikiziridwa mu odwala matenda ashuga, ndipo munthu amawona manambala pamametara pamene akukonzekera. Nthawi zambiri, zofunika kwambiri zimapezeka payezetsa magazi pafupipafupi, koma zotere zimapezeka kuchipatala (mwachitsanzo, pambuyo pa opaleshoni) ndizofala kwambiri.

Ngati wodwala kunyumba apeza shuga wambiri pamankhwala oterowo, muyenera kulankhulana ndi madokotala. Chisankho cholondola kwambiri ndikuyimbira ambulansi.

Onetsetsani kuti mukufotokozera akatswiri zomwe zingayambitse kudumpha mu shuga, zomwe zimapangitsa kuti zinthu ziwayendere bwino. Kumbukirani kuti mudadya, kodi mudabaya insulin molondola komanso nthawi (ngati muli ndi matenda a shuga). Chidziwitso chotsimikizika choterechi chithandiza mogwirizana ndi zomwe madokotala amachita.

Inde, sizotheka kuyembekeza kuti "zonse zidzachitika zokha". Mayunitsi 24 ndi shuga okwanira kwambiri, kotero kuti osagwirizana sangakhululukidwe. Kuyang'ana koyenda ndi mayeso athunthu akuwonetsedwa. Ngati mfundo za shuga zamagazizi zikupezeka m'modzi wa banja, achibale ayenera kudziwa kuti munthuyo akufunika thandizo kuchipatala.

Kanema - malamulo a insulin.