Ngati shuga wambiri 25, muyenera kuchita ndi kuchitira?

Matenda a shuga ndi matenda omwe, mwanjira ina, akukhala njira ya moyo. Kupewa kwa matendawa sikuti kungoyang without ana popanda anthu onse, osangogwira ntchito limodzi ndi odwala omwe ali pachiwopsezo, komanso mayeso okhazikika.

Chosavuta kwambiri pa izi ndi kuyesa kwa shuga wamagazi. Ndiko kusanthula kosavuta komanso kosachedwa uku komwe kumakupatsani mwayi wodziwa zopatuka, kuti mupange zamtsogolo za hyperglycemia kapena hypoglycemia.

Mwazi wamagazi ambiri

Matenda a shuga ndi matenda osachiritsika omwe amafunikira kuwunikidwa pafupipafupi. Kupanda kutero, mutha kuyambitsa matenda, ndipo zovuta zimatha kubweretsa zotsatirapo zomvetsa chisoni kwambiri. Anthu odwala matenda ashuga amayesa magazi pafupipafupi, ndipo simuyenera kupita kulikonse - glucometer, chipangizo chosavuta kugwiritsa ntchito, chikuwonetsa zomwe zilipo.

Dotoloyo amapereka mankhwala othandizira odwala omwe ali ndi matenda ashuga - awa amamwa mankhwala ena kapenanso kuperekanso insulin. Ngati simumamwa mankhwalawa panthawi yake, kapena musayendetse nthawi yake, shuga amatha kulumpha kwambiri, ndikukwera pamwamba pa magawo 20. Izi ndi zizindikiro zowopsa zomwe zimafuna chithandizo chamankhwala mwachangu.

Kodi shuga amatanthauza chiyani magawo 25 m'magazi

Ziwerengero zotere ndi chizindikiro cha boma la hyperglycemic, zimachepetsa kwambiri thanzi la anthu odwala matenda ashuga, ndipo zizindikiro zoyipa nthawi zonse zimatsagana ndi zoterezi pa mita. Chiwopsezo chokhala ndi zovuta pachimake ndi chachikulu, chifukwa chake chithandizo chamankhwala chiyenera kukhala chachangu.

Muyenera kumvetsetsa kuti shuga yamagazi si mtengo wokhazikika - chizindikiro ichi chimasinthasintha. Amazengereza anthu athanzi. Koma kwa odwala matenda ashuga, kuwonjezereka kulikonse ndikofunikira: kukonza kumafunika.

Amadziwika kuti anthu odwala matenda ashuga ayenera kutsatira zakudya zinazake. Kupatuka kulikonse kwa iwo kumapereka kusintha kwanjira yoyipa. Ndiye kuti, zakudya zoyipa (mwachitsanzo, zomwe zimakhala ndi chakudya chamafuta othamanga) zimatha kudumpha mu shuga. Koma nkhawa zilizonse, matenda ena, kugona mokwanira kumakhudzanso shuga.

Ngati shuga akwera mpaka magawo 25, muyenera kuzindikira chomwe chikuyambitsa: mwina ndi mankhwala omwe mwasowa kapena jakisoni wa mahomoni osachitika pa nthawi yake. Makinawa amafunikanso kukonzedwa - ngati zonse zachitika molondola, kuwerengera shuga kumabweranso masiku awiri ndi atatu.

Kuthamanga kwa shuga

Mu mtundu woyamba wa matenda ashuga, monga mukudziwa, wodwala amafunikira chithandizo cha mahomoni. Ili ndiye mtundu wa shuga womwe amadalira insulin pomwe ma insulin sangathe kuyimitsidwa. Mu matenda a shuga a mtundu wachiwiri, muyenera kudya zakudya zapadera, komanso kulimbitsa thupi, kusintha kwamunthu.

Zomwe insulin sizithandiza nthawi zonse ndi shuga wambiri:

1. Mlingo wa mankhwalawa sukugwira ntchito molondola;
2. Zakudya zimaphwanyidwa;
3. Jakisoni sanalakwe;
4. Kusunga ma ampoules a mankhwala m'malo osayenera;
5. Mankhwala osiyanasiyana amaphatikizidwa mu syringe yomweyo;
6. Njira yothandizira mankhwalawo si yolondola;
7. Zingwe zimadutsa malo omwe zimakhala;
8. Singano imachotsedwa mwachangu kumbuyo kwa khungu.
9. Pamaso pa jekeseni, khungu limakololedwa ndi mowa.

Poyang'ana koyamba, zifukwa ndizokhazokha, i.e. malinga ndi malingaliro onse, zotsatira zake zidzakhaladi. Titha kunena kuti zili choncho, koma zifukwa zomwe zili pamwambazi ndizofala kwambiri, chifukwa kuchuluka kwa mphamvu ya zochizira sizochepa.

Zomwe odwala omwe amadalira insulin ayenera kudziwa

Wodwala matenda amtundu wa 1 aliyense ayenera kumvetsetsa bwino matenda awo, ndikudziwa mwatsatanetsatane momwe, insulin ikalowetsedwera.

Munthu amangolakwitsa zina pakusungapo kwa ma ampoules (chifukwa cha kunyalanyaza kwa banal), chifukwa munthu angayembekezere kuperewera kwa mankhwala. Mwina sizigwira ntchito konse, kapena kugwira ntchito kwake kumachepetsedwa ndi 50%. Ngati jakisoni singano ituluka msanga pakhungu, gawo lina la mankhwalawo limatha kutuluka - mphamvu yake imayamba kuchepa.

Komanso chifukwa chodziwika bwino cha kusakhazikika kwa mankhwalawa, ngati jakisoni ikuchitika nthawi zonse m'malo omwewo. Mofulumira, mawonekedwe osindikizidwa m'derali, ndipo singano ikadzafika, mankhwalawo amamwetsa pang'onopang'ono.

Ngati mlandu wa shuga wambiri, womwe ngakhale jakisoniyo sabwereranso mwakale, ndiye mulingo woyenera wa mankhwalawa, muyenera kufunsa dokotala mwachangu. Palibe chifukwa munthu angasankhe yekha yekha mlingo - pali choletsa pamtundu wa izi, chifukwa chifukwa cha cholakwa vuto la hyperglycemic kapena ngakhale wodwala matenda ashuga angathe kuyamba.

Kodi ketoacidosis ndi chiyani?

Mafuta a glucose okwanira 25 amayambitsa ketoacidosis. Thupi laumunthu linapangidwa kuti lizitha kukakamizidwa kuti lizipeza mphamvu, koma silimazindikira glucose, ndikuyesera kubwezeretsanso magetsi pogwiritsa ntchito mafuta.

Mafuta akaphwanyidwa, matupi a ketone amasulidwa. Mankhwalawa ndi oopsa m'thupi la munthu, ndipo izi zimadzetsa chidakwa. Matendawa amadzionetsera ndi zovuta zingapo, ndipo thanzi la wodwalayo limakulirakulira.

Kodi ketoacidosis amawoneka bwanji:

• Wodwala akudwala - ndiwowopsa, woopsa, wopanda mphamvu, wogwira ntchito amachepa;
• Kusintha kumachitika pafupipafupi komanso kukokomeza;
• Kuchokera pamlomo wamkamwa - fungo linalake lonyansa;
• Kusokoneza bongo ndi mseru ndi chimodzi mwazizindikiro zazikulu za kuledzera;
• Mimba yodyeka;
• Kusakwiya ndi mantha popanda chifukwa;
• Kusowa tulo;
• Mwazi waukulu wamagazi - kuchokera kumagawo 20 kapena kupitilira.

Mu matenda ashuga a ketoacidosis, malingaliro amawoneka - ndi zovuta kuti wodwalayo athe kusiyanitsa pakati pa zinthu, zonse ngati kuti ndi chifunga. Ngati nthawi imeneyi wodwalayo akamaliza kuyesa mkodzo, matupi a ketone amapezeka pamenepo. Ndikosatheka kuchiritsa matendawa nokha, ndipo kunyalanyaza sikungathandize - pali kuthekera kwakukulu kwa kholo, kenako chikomokere.

Ketoacidosis imachiritsidwa pokhapokha povomerezeka. Wodwala ayenera kupatsidwa mlingo wokwanira wa insulin. Kenako madokotala amachita chithandizo chobwezeretsa kuchepa kwa potaziyamu, madzi ndi mchere wofunikira.

Momwe magazi a shuga amayeza

Njira imeneyi nthawi zambiri imachitika pamimba yopanda kanthu. Njira ya magazi ingatengedwe ku chipatala, kapena mutha kuchita kunyumba pogwiritsa ntchito glucometer. Nthawi yomweyo, kumbukirani: zida zam'nyumba zimakupatsani mwayi wodziwa kuchuluka kwa shuga mu plasma, m'magazi omwewo chizindikiro ichi chidzakhala chotsika 12%.

Kusanthula kumachitika kopitilira kamodzi ngati, pa mayeso am'mbuyomu, muyeso womwe unali pamwamba pa mayunitsi 12, koma nthawi yomweyo, palibe mtundu wa shuga womwe umapezeka mwa munthu. Ngati zizindikiro zotere zikapezeka kwa nthawi yoyamba, munthu ayenera kupita kwa dokotala.

Wodwala amafunika kuyesa kuwonetsa kuloleza kwa glucose, iye amawona mawonekedwe a prediabetes. Kusanthula kumeneku kumapangidwira kuti azitsimikizira kukula kwa matendawa ndikuwona kulephera kwa mayamwidwe a shuga.

Kuyesedwa kwa kulekerera kwa shuga kuyenera kudutsidwa ndi anthu onenepa kwambiri, odwala omwe ali m'gulu 40+, komanso omwe ali pachiwopsezo cha matenda a shuga. Choyamba, munthu amadzawunikira pamimba yopanda kanthu, kenako amamwa kapu yovomerezeka, ndipo pambuyo maola 2 mayeso amabwerezedwa.

Zomwe muyenera kuchita kuti mupeze deta yoyenera

Zotsatira zolakwika za kafukufukuyu sizachilendo. Zowunikira mowunika ziyenera kuonedwa kuti zotsatira za kuwunika sizabodza.

Pa kudalirika kwa zotsatirapo ziyenera kukhala:

1. Tengani kusanthula mkati mwa maola 10 mutatha chakudya chatha;
2. Madzulo a phunzirolo, musachite masewera olimbitsa thupi, osalola kuchuluka kwanzeru;
3. Simungasinthe chakudyacho patsiku loyamba la chopereka cha magazi (musatchule zatsopano, zosowa zakuthupi, ndi zina zambiri) muzakudya;
4. Kupsinjika ndi kutengeka mtima ndi mfundo ina yomwe imakhudza kuchuluka kwa shuga, kotero muyenera kuzipewa tsiku lakusintha;
5. Muzigona mokwanira usiku woti musinthe.

Mutha kuyankhula za kuloleza kwa glucose ngati kusanthula kumawonetsa 7 mmol / L pamimba yopanda kanthu ndi 7.8-11, 1 mmol / L. Ngati chizindikirocho chili chotsika kwambiri, palibe chifukwa chodera nkhawa.

Ngati magazi a magazi akwera kwambiri, wodwalayo amayenera kuchita ndi kupindika kwa kapamba, ndikuwunikanso ma enzyme.

Kodi kulumpha m'magazi a magazi kumakhudza bwanji wodwala

About shuga ochulukirapo sikuti chizindikiro chokhacho pakuwunikira komwe. Thanzi la munthu limakulirakulira, ndipo zizindikiro za hyperglycemic ndizambiri.

Ndi hyperglycemia, munthu:

• Kumakumana ndi kukodza pafupipafupi;
• Kuvutika ndi kupweteka kwapafupipafupi;
• Wotopa kwambiri, matendawo ake ndi ofooka, alibe chidwi;
• Amamva kusowa kwa ntchito - kutsitsidwa kapena kutsokomola;
• Amamva kuti chitetezo cha mthupi chimataya mphamvu;
• Kukumana ndi mavuto amaso;
• Madandaulo oyaka khungu ndi pakamwa pouma.

Kuwongolera kuchuluka kwa shuga wamagazi, munthu ayenera kutsatira zakudya zoyenera zamafuta.

Zakudya ndi shuga

Zakudya zamagulu onse zimapangidwira kukana zakudya zodzazidwa ndi chakudya chamagulu othamanga. Ndipo ngati chilichonse chomwe wodwalayo ali nacho chikuwonjezera thupi, ndiye kuti dokotala amatha kukupatsani zakudya zamagulu ochepa. Nthawi yomweyo, tikulimbikitsidwa kuti tiziphatikiza chakudya ndi zinthu zomwe zimakhala ndi mavitamini ambiri.

Zakudya Zosiyanasiyana:

1. Zakudya za tsiku ndi tsiku ziyenera kukhalabe ndi BZHU;
2. Posankha chakudya, kalozera akupita ku glycemic index tebulo, kuyenera kukhala pafupi ndi wodwalayo;
3. Pafupipafupi zakudya zimasinthidwa - muyenera kudya pafupipafupi, koma m'magawo ang'onoang'ono (zakudya zitatu zazikulu ndi zakudya zazing'ono kapena ziwiri);
4. Zipatso zina, masamba, zitsamba ndi zakudya zama protein zimapanga maziko a kadyedwe;
5. Onetsetsani kuti mwayendetsa bwino madzi

Malangizo oyenerera amaperekedwa ndi dokotala yemwe angakuthandizeni. Ngati ndi kotheka, mutha kulumikizana ndi katswiri wazakudya yemwe, popempha, amatha kupanga zakudya zatsatanetsatane ndi zosankha zamagulu, mbale, kuphatikiza, kukula kwamagawo, ndi zina.

Madokotala amachita maphunziro angapo kuti apezeke ngati ali ndi matenda ashuga. Pozindikira matenda am'mbuyomu, kuyerekezera kwa Stub-Traugott, kuyezetsa magazi, komanso kuyezetsa magazi kwa hemoglobin ya glycated angagwiritsidwe ntchito.

Madongosolo onse ndiwopangira madokotala. Koma mfundo yoti amafunika kuthana nayo ngati shuga ndiwambiri ndizokayikitsa. Sikoyenera kudikirira kuti zinthu zisinthe, ngakhale zitakhala kuti chizindikiro chabweza mzere, ndikofunikabe kuwona ngati zonse zili bwino.

Vidiyo - Kuyesa matenda a shuga.