Matenda a shuga ndi njira yokhayo yomwe pali kuchuluka kwakukulu kwa shuga m'magazi. Zizindikiro zazikulu zonse za matendawa zimagwirizanitsidwa ndi hyperglycemia - zovuta za shuga zimanenedweratu ndi momwe zimaperekedwera.
Ndi kuchuluka kwa shuga, kuwonongeka kwa khoma la mtima kumachitika komanso matenda a impso, mavuto ndi zotumphukira zamitsempha yamagazi, ma retina, ndi ma pathologies ena amakula. Ndi chithandizo cholakwika cha shuga kapena chosalakwika, chikomokere cha matenda a shuga chimayamba chifukwa cha kusinthasintha kwa shuga - panthawiyi, chithandizo chamankhwala chofunikira chimafunikira.
Kuti wodwalayo asakuwonjezere, ndikofunikira kuwerengetsa moyenera kuchuluka kwa insulini. Thupi panthawi yopereka chithandizo limafunikira zolimbitsa thupi zolimbitsa thupi. Ngati mukudya kwambiri komanso pakulowa inulin, shuga imatha kudumphira 16 mpaka pamwamba.
Chifukwa chiyani shuga imayamba kukhala ndi hyperglycemia
Ngati magazi a shuga akwera, chomwe chimapangitsa ndi kusowa kwa insulin. Zosokoneza zotere zimatha kuchitika chifukwa cha mankhwala osokoneza bongo komanso kuchepa kwa kukana kwa thupi, kupsinjika, komanso ma virus. Nthawi zambiri, mtundu woyamba wa matenda umachitika ngati wodwalayo ali ndi vuto lakelo.
Ngati matenda amtundu wa 2 apezeka, matenda a insulini atha kukhala ochepa, koma ma insulin omwe sakulabadira mahomoniwo.
Matendawa amtundu wachiwiri amapezeka ndikusowa insulini pang'ono.
Glucose wokhala ndi insulin sangathe kulowa m'maselo kuti agwiritse ntchito, zomwe sizimalola kuti magetsi atulidwe. Imakhalabe m'matumbo, pomwe madzi amatuluka kuchokera kumankhwala. Zotsatira zake ndikukula kwa madzi am'madzi, chifukwa madzi ambiri amachotsedwa pamodzi ndi shuga ndi impso.
Ngati shuga wa magazi ndi 16, muyenera kuchita ndi njira yochepetsera vutoli? Chizindikiro ichi chikuwonetsa kuvutikira kwakatundu. Ndi kuwonjezeka kowopsa kwa shuga m'magazi, mphamvu yamanjenje imakhudzidwa, kuthamanga kwa magazi kumakwera, zochitika za mtima zimawonjezeka. Muli mkhalidwe uno, kusokonezeka mu Reflex, Ketoacidosis, ndi chikomokoma kumachitika pafupipafupi.
Kukula kwa matenda a shuga nthawi zambiri kumawerengeredwa ndi kuchuluka kwa hyperglycemia:
- Digiri yofatsa imadziwoneka ngati glycemia "pamimba yopanda kanthu" yoposa 8 mmol / l, palibe glucosuria, nthawi zina pamakhala kudziwa kwamkodzo mumkodzo. Monga chipukutiro, chakudya chimaperekedwa, njira zina - malinga ndi momwe zinthu zilili.
- Yapakatikati - ngati shuga yosala ikutsimikiziridwa 14 mmol / l, glucosuria tsiku ndi tsiku sapitirira 40. Ketoacidosis imatha kuchitika. Chithandizo cha mankhwala chimaperekedwa ndi mapiritsi, insulin.
- Muzovuta kwambiri, glycemia imaposa 14 mmol / L. Mulingo wambiri wa glucosuria umadziwika, makonzedwe a insulini amaikidwa pamtunda waukulu, sizachilendo ndi izi kutembenuka mtima.
Ngati magazi a shuga ali ndi 16 kapena kuposerapo - kwa odwala matenda ashuga awa ndiwowopsa. Pali chiwopsezo chakuti matendawa amatenga mawonekedwe ovuta ndikuyenda mu ketoacidosis.
Kodi chiwopsezocho ndi shuga pamwamba 16 ndi chiyani?
Kodi shuga wamagazi 16 amatanthauza chiyani ndipo tingayembekezere chiyani pamenepa? Mthupi, glucose amayenda mosalekeza - pamodzi ndi magazi, amawupatsa zakudya ndipo amathandizira kupangitsa minofu ya ziwalo zonse ndi zinthu zofunika. Umu ndi momwe amapezera mphamvu zofunikira kuti zizigwira ntchito.
Pofuna kuti musaphonye kuwonjezeka kwa shuga mpaka 16, muyenera kutsatira chidwi monga kuchuluka kukodza, ludzu, kumva kukamwa kouma, kugona ndi kuperewera, nseru ndi kusanza. Muyenera kuwachenjeza khungu, mawanga achikaso pankhope.
Kuchuluka shuga moyenera bwanji
Popeza glucose simalowa mthupi la munthu payekha, ndikofunikira kuti zitsimikizidwe kuti chilandiridwa kuchokera kunja. Zake zimapatsidwanso chakudya. Zimabwera ndi zipatso, maswiti, glucose wambiri amapatsa chakudya chama thupi kwambiri mu chakudya. Ngati mulingo wa shuga umakwezedwa, izi zimatchedwa hyperglycemia. Ndi otsika kwambiri, amalankhula za hypoglycemia. M'magazi, kuchuluka kwa shuga sikuyenera kukhala kunja kwa 3, 9-5 mmol / L. Zizindikiro zotere mwa munthu wathanzi zimakhala pafupifupi 4,6 mmol / L kapena apo.
Mutatha kadzutsa, shuga amayamba kutuluka pang'ono. Kenako imabwereranso momwe idakhalira. Kuti muwone kuchuluka kwa shuga, kuyesa kwapadera kumachitika. Itha kukhala:
- Kafukufuku adachitika maola awiri atatha kudya;
- Kuyang'ana shuga "pamimba yopanda kanthu";
- Kulekerera kwa glucose;
- Hemoglobin glycated.
Kufufuza kumathandizira kudziwa glucose ndikuwunika koyambika kwa matendawa munthawi yake. Mukakhala ndi matenda a shuga, sizimakula msanga - mavuto azaumoyo amadziunjikira pang'onopang'ono mpaka zombo zimayamba kutha. Poyamba, zizindikirazi zimakhalabe zabwinobwino, pomwe kusintha mu boma kwayamba kale. Kuchita kafukufuku kumathandiza kudziwa bwino zomwe sizikuyenda bwino mthupi
Mutha kupereka magazi ku hemoglobin mu malo alionse ogwirira ntchito, ndipo glucometer ndi yoyenera kupeza zotsatira zake kunyumba. Kuyesedwa makamaka kumachitika maola awiri mutatha kudya.
Kodi ndi ziti zomwe zikuwonetsa kuchuluka kwa shuga kukhala 16
Mawonekedwe akunja akuti kuchuluka kwa glucose mthupi mopitilira muyeso, zotsatirazi zitha kulembedwa:
- Kuyamwa mwachangu;
- Nthawi zambiri pamakhala ludzu lamphamvu;
- Kulemera kapena kuchepa thupi zimadziwika;
- Arrhythmias, kutopa kwambiri, kuthana ndi thupi;
- Kuuma mucous nembanemba, khungu;
- Kufupika, kupumira mphamvu;
- Ngati matenda a hyperglycemia apezeka kuti ali ndi vuto lalikulu, kuchepa madzi m'thupi kungayambike, chikumbumtima chitha kuperewera, nthawi zina chimafooka.
Dziwani kuti zizindikilo zonse zazikulu zitha kuonetsa matenda ena, osatinso zowopsa. Ngati mukupeza mawonekedwe alionse olakwika, onetsetsani kuti mukumane ndi dokotala. Muyenera kupatsidwa mayeso, omwe zotsatira zake zimatsimikizira kuti matendawa ndi olondola kwambiri.
Zoyambitsa Hyperglycemia
Zomwe zimapangitsa kuti shuga achulukidwe nthawi zambiri zimakhala zotsatirazi:
- Matenda a shuga - nthawi zambiri, matenda oopsa a hyperglycemia amavomerezedwa kukhala chofunikira cha matendawa.
- Zakudya zopanda pake. Mavuto azakudya komanso zakudya zopatsa mphamvu zambiri zimatsogolera ku hypoglycemia yovuta kwambiri ndipo nthawi zina sizidalira mawonekedwe a matenda ashuga.
- Kupsinjika - Kwa odwala omwe ali ndi kufooka kwa matenda, hyperglycemia imachitika kawirikawiri. Nthawi zambiri zimayamba motsutsana ndi maziko azotupa am'deralo.
- Mitundu yosiyanasiyana yamatenda opatsirana.
- Mankhwala, kutenga maphunziro.
- Kuperewera kwa vitamini B m'thupi.
Chifukwa chiyani shuga imatha kufikira 16 mwa akuluakulu
Malinga ndi zomwe madotolo amakumana, hyperglycemia yosatha mwa akulu ndikuwonetsa mtundu wa shuga 2. Zomwe zimathandizira kukulitsa vutoli ndizopumula zochepa, kupanikizika pafupipafupi, kusachita ntchito, komanso kunenepa kwambiri.
Ndikofunika kulingalira padera kuchuluka kwa shuga m'magazi apakati. Hyperglycemia yawo imatha kukhala yakanthawi - izi zimachitika chifukwa cha kukonzanso kwa thupi komanso kusintha kwa mahomoni. Koma nthawi zina, matenda ashuga amatha kukhala mtundu wapadera - matenda osokoneza bongo, omwe amapezeka nthawi ya gestation ndikusowa pambuyo pobereka.
Poyambirira, ndikokwanira kuwunika momwe wodwalayo alili pang'onopang'ono. Koma mukazindikira mtundu wina wamatenda, ayenera kukumbukira kuti akhoza kukhala ovulaza kwa mayi ndikupanga zovuta pakukula kwa mwana wosabadwayo. Dokotala pankhaniyi amapereka mankhwala othandizira, omwe amasankhidwa poganizira momwe wodwalayo alili.
Kutsitsa magazi
Pochiza hyperglycemia, zoyesayesa zazikulu zimapangidwa kuti muchepetse kuchuluka kwa glucose m'magazi, kuthetsa zomwe zidayambitsa matenda. Mankhwala otsatirawa amagwiritsidwa ntchito:
- Insulin mu mawonekedwe a jekeseni yachindunji ndi mlingo wowerengeka;
- Kukonzekera kwa pakamwa komwe kumathandizira kuchepetsa shuga;
- Woopsa mitundu - yankho la koloko wowotcha mu ndende yofooka, zakumwa zambiri;
- Zolimbitsa thupi zolimbitsa thupi;
- Zakudya zosankhidwa mwapadera.
Zakudya, Zakudya za odwala matenda ashuga
Mankhwala amakono, zakudya zimawerengedwa kuti ndi chimodzi mwazinthu zazikulu, zomwe zimapangitsa kuti odwala omwe ali ndi hyperglycemia akhale nawo. Chakudya chopatsa thanzi chimagwira ntchito yofunika kwambiri pamankhwala ndikukulolani kuti mukwaniritse kagayidwe kazakudya kabwino. Ngati wodwala ali ndi matenda amtundu 1, muyenera kudya. Ndi mtundu wachiwiri, zakudya zoyenera ndizofunikira kuti thupi likhale lolemera pamlingo woyenera.
Mukamadya, zakudya zimawerengeredwa mogwirizana ndi magawo a buledi, omwe ofanana ndi 10 g a chakudya. Makamaka pazakudya za anthu omwe ali ndi hyperglycemia, matebulo adapangidwa osonyeza magawo omwe zakudya zambiri zomwe zimaphatikizidwa muzakudya zoyenera zimasonyezedwa.
Posankha magulu azinthu zomwe zizidya tsiku lililonse, zakudya zabwino ndi shuga siziyenera kuphatikizidwa. Pocheperako pang'ono muyenera kudya pasitala, semolina ndi mpunga. Kutsindikiza kuyenera kuikidwa pa chakudya, zakudya zazitali kwambiri. Chakudya chizikhala chamasewera, kudya tsiku lililonse kumagawika m'magulu atatu azakudya komanso zowonjezera zingapo.
Pamavuto, kupanga insulin kumalepheretsa, ndipo glycogen imamasulidwa ku chiwindi. Pamodzi, izi zimapangitsa kuchuluka kwa shuga m'magazi.
Ngati kuchuluka kwa shuga kukwera mpaka 16, ndibwino kuyimba mwadzidzidzi. Vutoli limatengedwa kuti ndi lalikulu, nthendayi kuwonongeka kotere ndiyowopsa kubweretsa. Kutsatira malingaliro a dokotala, nthawi zambiri ndizotheka kupewa zovuta zambiri.
Pofuna kupewa kukwera kwamisempha yambiri yamagazi, kuti tipewe kukwera mpaka 16, ndikofunikira kuyang'anitsitsa momwe thupi liliri. Onetsetsani kuti mwayang'anira kuchuluka kwa glycemia, onetsetsani kuti mumatsata zakudya zomwe zimatsimikizika pazoletsa zochepa zamagetsi, ndikuyambitsa boma lokha zakumwa. Pangakhale kofunikira kusintha mtundu wa insulin kapena mankhwala ena ngati pali matenda ena, nkhawa, kupsinjika kwa m'maganizo.