Chizindikiro cha glycemic ndichimodzi mwazofunikira kwambiri zofunikira zaumoyo wa anthu. Amachita ntchito, kuphatikiza magawo omwe amachitika mkati mwa maselo, komanso kwa nthawi zina momwe ubongo umagwirira ntchito. Munthu aliyense ayenera kuyeza kuchuluka kwa shuga m'magazi, ngakhale amene ali ndi chidaliro chonse m'thupi lawo.
Ngati kuwongolera kwamtunduwu kumachitika pafupipafupi komanso munthawi yake, ndiye kuti ndizotheka kuzindikira matendawa kapena malo ake, omwe amathandizira kwambiri kuchira.
Zomwe zimatchedwa "shuga wamagazi"
Gawo la magazi la glucose silimawonetsa shuga, koma kuphatikizidwa kwa glucose. Izi, monga mukudziwa, zimawerengedwa ngati chinthu chofunikira kwambiri kwa thupi la munthu.
Ngati thupi lilibe shuga (ndipo izi zimatchedwa hypoglycemia), ndiye kuti zimayenera kutenga mphamvu kwina, ndipo zimachitika ndikuphwanya mafuta. Koma kuwonongeka kwa chakudya cham'madzi kumakhala kovuta chifukwa zimachitika ndi kupangika kwa matupi a ketone - izi ndi zinthu zoopsa zomwe zimapangitsa kuledzera kwambiri kwa thupi.
Kodi glucose amalowa bwanji mthupi? Mwachilengedwe, ndi chakudya. Peresenti ina ya chakudya chamagulu amtundu wa glycogen chimasunga chiwindi. Ngati thupi lilibe chinthu ichi, thupi limayamba kupanga mahomoni apadera, zimapangitsa kutulutsa kwama mankhwala ena - izi ndizofunikira kuti glycogen isanduke shuga. Hemeni ya insulin imapangitsa kuti shuga azisungidwa nthawi zonse, amapangidwa ndi kapamba.
Ndani amalimbikitsidwa kupereka magazi kuti apange shuga
Inde, prophylactically amapereka magazi a glucose ndiyofunika kwa anthu onse, ndikofunikira kuchita izi kamodzi pachaka. Koma pali gulu la odwala omwe sayenera kuchedwetsa kuwunikiridwa mpaka nthawi yoyesedwa. Ngati pali zizindikiro zina, chinthu choyamba kuchita ndikutenga magazi.
Zizindikiro zotsatirazi ziyenera kuchenjeza wodwala:
- Kukoka pafupipafupi;
- Maso akhungu;
- W ludzu komanso mkamwa youma;
- Kuona miyendo, dzanzi;
- Kupanda chidwi ndi ulesi;
- Kugona kwambiri.
Pofuna kupewa matenda, kuti asatukuke, ndikofunikira zonse kuyang'anira shuga. Sikoyenera kupita ku chipatala kuti mukaone ngati mukukatsimikiza; mutha kugula glucometer - chipangizo chosavuta kugwiritsa ntchito kunyumba.
Kodi shuga ndimagazi yanji?
Kuyeza kuyenera kuchitika kangapo patsiku kwa masiku angapo. Iyi ndiye njira yokhayo yowerengera kuwerenga kwa glucose molondola mokwanira. Ngati zopatikazo ndizosafunikira komanso ndizosagwirizana, palibe chifukwa chodera nkhawa, koma kusiyana kwakukulu pamakhalidwe ndi mwayi wolumikizana ndi katswiri nthawi yomweyo.
Zizindikiro zoyesa shuga:
- Mfundo za 3.3-5.5 mmol / L zimawonedwa ngati zabwinobwino;
- Matenda a shuga - 5.5 mmol / L;
- Chizindikiro, malire a magazi a odwala matenda ashuga - 7-11 mmol / l;
- Shuga pansipa 3,3 mmol / L - hypoglycemia.
Zachidziwikire, powunikira kamodzi, palibe amene angadziwitse matenda. Pali zochitika zingapo pomwe zitsanzo zamagazi zimapereka molakwika. Chifukwa chake, kuyezetsa magazi kumaperekedwa kawiri, ngati zotsatira ziwiri zoyipa mzere, wodwalayo amatumizidwa kuti akamuyeze mwatsatanetsatane. Izi zitha kukhala mayeso otchedwa magazi a shuga obisika, komanso kupenda ma enzyme, ma ultrasound a kapamba.
Kuyesa kwa shuga m'magazi mwa amuna
Kuyesaku kuyenera kuchitika pamimba yopanda kanthu. Nthawi yabwino yoyeserera ndi maola 8-11 m'mawa. Ngati mumapereka magazi nthawi ina, manambala adzachuluka. Wampangidwe wamadzimadzi a thupi nthawi zambiri amatengedwa kuchokera ku chala cha mphete. Musanalembedwe magazi, musadye pafupifupi maola 8 (koma mutha "kufa ndi njala" osapitilira maola 14). Ngati zinthuzo sizatengedwa kuchokera kumunwe, koma kuchokera mu mtsempha, ndiye kuti zolemba kuchokera ku 6.1 mpaka 7 mmol / l zidzakhala zachilendo.
Chidziwitso Chofunikira:
- Kuchuluka kwa shuga kumakhudzidwa ndi zaka, koma kusintha kwakukuru kumatha kupezeka mwa anthu amtundu wa 60+, pazaka izi zomwe zovomerezeka zingakhale zapamwamba pang'ono kuposa momwe zimakhalira, zisonyezo zomwezo za 3.5-5,5 mmol / l ndizomwe zizikhala.
- Ngati chizindikirocho chili chochepa, izi zikuwonetsa kuchepa kwa kamvekedwe. Mwamuna nthawi zambiri amamva kusintha kotere, izi zimawonetsedwa ndi kutopa msanga, kuchepa kwa ntchito.
- Zizindikiro zovomerezeka zamagulu a shuga m'magazi ndi 4.6-6.4 mmol / L.
Mwa amuna okalamba (okalamba kuposa zaka 90), Zizindikiro zovomerezeka zimakhala 4,2 -6.7 mmol / L.
Mulingo wa kufunika kwa shuga m'magazi
Mwa akazi, msambo umakhudzanso kuwerengera kwamagazi a m'magazi. Kudumpha lakuthwa komwe kumawonetsa njira zina zakuyenda m'thupi ndizowopsa. Chifukwa chake, ngati zizindikirozo sizingasinthe kwambiri, ndikuyenera kuwunikira pafupipafupi kuti musaphonye matendawa.
Miyezo ya shuga yamagazi mwa akazi, m'badwo:
- Mpaka zaka 14 - 3.4-5.5 mmol / l;
- Zaka 14-60 - 4.1-6 mmol / l (izi zimaphatikizanso kusintha kwa kusintha kwa thupi);
- Zaka 60-90 - 4.7-6.4 mmol / l;
- Zaka 90+ - 4.3-6.7 mmol / L.
Mwazi wamagazi 6.9 chochita?
Chifukwa chake, ngati wodwalayo apereka magazi, poganizira malamulo onse, ndipo zotsatirazo zimachokera ku 5.5-6.9 mmol / L, izi zikuwonetsa prediabetes. Ngati mtengo upitilira 7, ndikotheka kuti shuga ikhoza kufotokozedwa. Koma musanazindikire izi, ndikofunikira kuchita kafukufuku wowonjezera kuti mumvetse bwino chithunzichi.
Dziwani mfundo yotsatira - kukula kwa glycemia mutatha kudya chakudya champhamvu kwambiri kumatha maola 10 mpaka 14. Chifukwa chake, ndi nthawi yayitali kwambiri kuti simufunika kudya musanawunike.
Zomwe zimayambitsa shuga wambiri:
- Matenda a shuga kapena prediabetes;
- Kupsinjika kwakukulu, kusangalala, kuvutika mumtima;
- Mphamvu ndi zaluso kwambiri;
- Nthawi yotsatira yovuta (zopereka zamagazi pambuyo pakuchita opaleshoni);
- Matenda owopsa a chiwindi;
- Endocrine organ dysfunction;
- Kuphwanya kusanthula.
Kugwiritsa ntchito mankhwala ena a mahomoni, njira zakulera, mankhwala okodzetsa, komanso corticosteroids zimakhudzanso zizindikiro. Khansa ya kapamba, komanso kutupa kwa chiwalochi, imathanso kukhudza zotsatira za kuwunikaku.
Dokotala nthawi zambiri amachenjeza - palibe chifukwa chodandaula musanapereke magazi, kupsinjika ndi kupsinjika kwa malingaliro kungasinthe kwambiri zotsatira za kusanthula. Izi, komanso kuchuluka kwambiri kwa ndege yakuthupi, zimathandizira kubisalira kwa tiziwalo tamadontho tambiri. Amayamba kupanga mahomoni olimbana ndi mahomoni. Izi zimathandizanso kuti chiwindi chitulutse glucose.
Kodi mayeso ena amapita bwanji?
Nthawi zambiri, odwala omwe ali ndi magazi a 6.9 amadziwika kuti ndi mayeso oloza glucose. Imachitika ndi katundu wina. Katunduyu wa shuga akuwonetsa chizindikiritso chotsatira cholondola kwambiri, ngati kafukufuku wamba wapangitsa kukayikira pakati pa madokotala.
Choyamba, wodwalayo amapatsira mayeso pamimba yopanda kanthu, kenako amapatsidwa kumwa shuga. Kenako kuyezetsa magazi kumabwerezedwa pambuyo pa theka la ola, ola, ola ndi theka ndi mphindi 120. Amakhulupirira kuti maola 2 atatenga madzi okoma, kuchuluka kwa glucose sikuyenera kupitirira 7.8 mmol / L.
Ngati zizindikirozo zingatsalire mu 7.8 - 11.1 mmol / L, ndiye ichi chizikhala chizindikiro cha kulolerana kwa glucose. Mutha kutanthauzira izi monga metabolic syndrome kapena prediabetes. Matendawa amatengedwa ngati malire, ndipo amatsogolera matenda osachiritsika monga matenda a shuga a 2.
Kodi kuwunika koonetsa glycated hemoglobin kwa chiyani?
Matenda a shuga ndi matenda opatsirana, amatha kudutsa mwachangu. Njira yobisika yotere ndiyo kusowa kwa zizindikilo ndi zoyesa zabwino. Pofuna kudziwa molondola momwe kuchuluka kwa glucose m'thupi kumakulila m'miyezi itatu yapitayi, kuwunika kwa hemoglobin ya glycated kuyenera kuchitika.
Palibe chifukwa chokonzekera mwapadera kusanthula koteroko. Munthu amatha kudya, kumwa, kumangochita maphunziro akuthupi, kutsatira machitidwe wamba. Koma, zoona, zimalimbikitsidwa kupewa kupsinjika ndi kuchuluka kwambiri. Ngakhale alibe chidziwitso pazotsatira, ndibwino kutsatira malangizo awa kuti pasakayikire.
Mu seramu ya wodwala yathanzi, glycated hemoglobin idzadziwika mu magulu a 4.5 - 5.9%. Ngati kuwonjezeredwa kwapezeka, ndiye kuti matendawa ali ndi matenda ashuga. Matendawa amadziwika ngati kuchuluka kwa hemoglobin ya glycated kuli pamwamba 6.5%.
Prediabetes ndi chiyani?
Matenda a prediabetes nthawi zambiri amakhala asymptomatic kapena zizindikiro zake zimakhala zofatsa kwambiri kwakuti munthu samaziganizira.
Kodi zizindikiro za prediabetes ndi ziti?
- Vuto kugona. Kulephera kwa kupanga kwachilengedwe ka insulin ndi chifukwa. Chitetezo cha thupi chimaphwanyidwa, chimatha kutenga chiwopsezo ndi matenda akunja.
- Zowonongeka. Mavuto ena amawonongeka amapangidwa chifukwa cha kuchuluka kwa magazi, kumayenda moipa kwambiri kudzera m'mitsempha yaying'ono, chifukwa chake, mitsempha ya optic imaperekedwa bwino ndi magazi, ndipo munthu, chifukwa chake, samawona bwino.
- Khungu loyera. Zimachitikanso chifukwa cha magazi. Ndikosavuta kudutsa pakhungu labwino kwambiri la pakhungu la magazi, ndipo zimenenso zimachitika malinga ndikumayamwa.
- Zingwe. Zotheka ku vuto lakusokonezeka kwa minofu.
- W ludzu. Mulingo wambiri wa glucose umawoneka ndikuwonjezereka kwa kufunika kwa thupi lamadzi. Ndipo glucose amabera minofu yamadzi, ndikugwira ntchito pa impso, zimapangitsa kuti mkodzo uwonjezeke. Chifukwa chake thupi "limataya" magazi kwambiri, ndipo izi zimawonjezera ludzu.
- Kuchepetsa thupi. Izi zimachitika chifukwa cha kusazindikira kwamphamvu kwa shuga ndi ma cell. Alibe mphamvu zokwanira zogwira ntchito mwanzeru, ndipo izi zimakhala ndi kuchepa thupi komanso ngakhale kutopa.
- Kutentha. Itha kuwoneka chifukwa cha kusintha kwadzidzidzi mu glucose wa plasma (monga mutu).
Zachidziwikire, simungadziwike. Matenda a shuga amafunika kuyang'aniridwa ndi achipatala, kukhazikitsa malangizo ndi nthawi yoikidwiratu. Ngati mungatembenukire kwa madotolo munthawi yake, mutha kudalira zotsatira zabwino kwambiri.
Kodi matenda a prediabetes amathandizidwa bwanji?
Chithandizo cha matenda a prediabetesic pamlingo wokulirapo umakhala woletsa mavuto. Ndipo pazomwe muyenera kusiya zizolowezi zoyipa, chitani zolimbitsa thupi (ngati pali zovuta zotere). Zochita zolimbitsa thupi ndizofunikira kwambiri - zimathandiza kuti thupi likhalebe labwino, komanso zimathandizira kagayidwe kazakudya, etc.
Sizachilendo kwambiri ndi matenda osokoneza bongo omwe amachititsa kuti matenda asokoneze matenda oopsa. Gawo loyambirira la matendawa limakonzedwa bwino. Mafuta a cholesterol m'magazi amayenera kuyang'aniridwa.
Likukhalira kuti prediabetes ndiye nthawi yomwe munthu amayamba, ngati si moyo watsopano, ndiye gawo latsopano. Uku ndikuyenda pafupipafupi kwa adotolo, kupereka mayeso munthawi yake, kutsatira zonse zofunika. Nthawi zambiri nthawi imeneyi wodwala amapita kwa okonza zakudya koyamba, kusaina makalasi othandizira, m'dziwe. Amabwera ku lingaliro lofunikira monga kusintha kwa chikhalidwe cha kudya.
Kodi matenda ashuga asanafike?
Zakudya zomanga thupi zopezeka mwachangu ku menyu ziyenera kusiyidwa. Zakudya zothira, zamchere komanso zamafuta - chakudya choyipa cha munthu yemwe ali ndi prediabetes. Zinthu zonse zopatsa mphamvu zamagulu onse pamenyu zachepetsedwa bwino (koma izi siziyenera kupita mukuwonongeka kwa zoperewera ndi mavitamini pazakudya).
Mwazi wamagazi ndi mwayi wopimidwa mwatsatanetsatane, kulandira upangiri wa zamankhwala ndikusamalidwa mozama. Palibenso chifukwa cholemba zotsatira zoyipa ngati cholakwika, ndibwino kuti mupimenso kawiri, kuti mutsimikizire kuti kulibe matenda oopsa. Choyamba, muyenera kufunsa katswiri, ndiye, muyenera, muyenera kufunsa wa endocrinologist.
Kanema - Prediabetes