Kodi matenda ashuga: njira zazikulu ndi njira zochizira matendawa

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Matendawa ndi matenda ovuta kwambiri. Mukutanthauzira, mawu oti "labile" amatanthauza "kusuntha".

Chifukwa chake, matendawa amatchedwa mtundu wina wa matenda ashuga akale. Kusintha kwa shuga m'magazi pamenepa amatha kuchitika kangapo patsiku.

Ndi mawonekedwe awa omwe amawopseza kuphwanya kwakukulu. Wodwalayo amakhala ndi ntchito yosagwira mtima yamanjenje, akuipiraipira kwam'madzi, nthawi zina - wodwala matenda ashuga. Kuchuluka kwa shuga mthupi kumabweretsa kuwonongeka kwa impso, mtima komanso kukula kwa matenda a hypoglycemia.

Nthawi zina, imfa imachitika. Zovuta pakusankha mtundu woyenera wa insulini kuti athetse chiwonetsero cha matenda amtunduwu amathandizira kukulitsa ketoacidosis. Mavuto omwe amapezeka nthawi zonse amachititsa kuti azifunikira kuchipatala.

Izi zimasokoneza momwe wodwalayo amagwirira ntchito, ubale wake ndi okondedwa ukuwonjezeka. Kuti mukhale ndi moyo wathanzi labwino, kupewa zovuta, muyenera kuzindikira matendawa panthawi yake ndikuchita zonse zofunika kuti mupewe.

Zifukwa

Ndi nthawi ya matenda ashuga, kulumikizika kumadziwonekeranso nthawi zina. Ili ndi vuto lamaganizidwe (m'malo mwazolimbitsa thupi). Chovuta chachikulu ndikuti njira zosagwiritsa ntchito bwino nthawi zambiri zimagwiritsidwa ntchito.

Kupatula apo, zenizeni zomwe zimayambitsa matendawa ndizovuta kudziwa. Gulu lowopsa kwambiri limapangidwa ndi odwala omwe sayeza kuchuluka kwa shuga pafupipafupi.

Kuti matendawa asayambike, ndikofunikira kutsatira malangizo ena pokonzekera insulin, omwe ndi:

  • Dziwani bwino za kayendedwe ka mankhwala mosamala kwambiri;
  • kutsatira zakudya (gawo lofunikira la mankhwala othandiza);
  • kupatula kugwiritsa ntchito ma syringe olakwika ndi zida zina zamtundu wotsika;
  • onani momwe mayendedwe a mita nthawi zonse, komanso kutsimikizira momwe amagwirira ntchito ndi data yomwe idapezedwa mayeso;
  • sungani insulini molondola, fufuzani masiku ake atatha (atatha masiku ake, mankhwalawo sangathe kugwiritsidwa ntchito).
Zomwe zimayambitsa zosiyanasiyana zimayambitsa chitukuko cha matenda a shuga. Monga lamulo, kudwala kumakhala chifukwa cha muyeso wolakwika wa shuga kapena cholakwika pakuthandizira wodwala.

Chidwi cha akatswiri amakono chimakopeka makamaka ndi mtundu uwu wa matenda. Izi zitha kufotokozedwa ndi zovuta zapamtsogolo komanso zovuta za mankhwala ena.

Zizindikiro

Zochita zamankhwala zimati shuga nthawi zambiri imayendera limodzi ndi izi:

  • chizolowezi cha ketoacidosis;
  • mkodzo uli ndi acetone;
  • pafupipafupi kuchitika kapena kuukira kwambiri kwa hypoglycemia;
  • wodwala sataya thupi ndi shuga wambiri;
  • chitukuko cha matenda opatsirana komanso matenda ena zimathandiza kagayidwe kazakudya.

Kuphatikiza apo, kuwonongeka mumaganizo kumawonekera. Odwala amachita mopitilira muyeso komanso mopweteka. Nthawi zambiri amakhala opanda chikondi kwa okondedwa, ndipo amamva kuti sakukwanira. Misozi, kuzunzidwa, kupsa mtima - kawirikawiri machitidwe awo.

Odwala mu ukalamba nthawi zambiri amadandaula akamaganizira za kuwonongeka kwa moyo, zovuta pakumagwira ntchito zosiyanasiyana. Mutu waukulu ukusokoneza wodwala tsiku lonse.

Mu achinyamata, ana omwe ali ndi matenda ashuga ochititsa chidwi, chidwi chidziwitso chimatha. Mwana akapatsidwa mankhwala a insulin yayitali pakapita nthawi yayitali (kugona kwakukulu kumachitika usiku), kugona kwake kumasowa.

Ana pankhaniyi nthawi zambiri amakhala akulira kapena kulira m tulo tawo. Kuzindikira kosokonezeka kumatha kuwonekera m'maola.

Mwanayo nthawi zambiri samakumbukira za zochitika za usiku konse. Kupusa, kusakhala ndi chidwi ndi chilichonse kumawonedwa tsiku lonse. Kwa achinyamata, chinthu chosiyanasiyananso ndi kupsa mtima, kutchulidwa kuti asocial, komanso kukana kudya.

Chifukwa cha matenda oopsa a shuga, kugonekedwa m'chipatala, kumenyedwa pafupipafupi, odwala ali ndi zosokoneza m'moyo wabanja, kuntchito, komanso kusukulu. Chifukwa chake, ndikofunikira kuti adotolo komanso wodwalayo akhale woleza mtima. Sitikulimbikitsidwa kuti tichite mopitirira malire, gwiritsani ntchito njira zosathandizira pochizira.

M'pofunikanso kuganizira zonse zomwe zimachitika mthupi, yesetsani kuzindikira zolakwika zomwe zimachitika pakuchotsa matendawa, kuti apange njira yoyenera kwambiri komanso yoyenera yamankhwala. Nthawi yomweyo, akatswiri odziwa zachipatala amazindikira kuti odwala omwe akula msinkhu amatha kusinthasintha kwa glycemia kuposa zovuta zazing'ono.

Chithandizo

Kuti musankhe mtundu woyenera wa mankhwalawa, muyenera kutsimikizira kudumphadumpha wama glucose. Pankhaniyi, kuyesedwa kwa shuga tsiku lililonse.

Kuchepetsa mlingo wa insulin, njira ziwiri zimagwiritsidwa ntchito: mwachangu (zimatenga masiku 10-15) komanso pang'onopang'ono (miyezi iwiri).

Monga lamulo, sikawirikawiri kuchepetsa njira ya matenda a shuga pochepetsa mlingo wa insulin. Pofuna kusintha kagayidwe kazakudya, odwala ayenera kusintha zakudya zawo. Kutenga kwa zovuta zamankhwala pamagalasi pano kumachepetsedwa. Chifukwa cha izi, chizindikirochi chikugwirizana ndi zomwe anthu ambiri amavomereza.

Kuphatikiza apo, zinthu zoterezi zimayenera kutengedwa kupatula kusintha kwadzidzidzi m'magazi a magazi:

  • kutsatira njira zomwe zalimbikitsidwa;
  • kuyeza kuchuluka kwa shuga usiku, masana (maola 4 aliwonse);
  • kutumikirira insulin, yomwe imakhala yochepa, osachepera kasanu musanadye kaye;
  • yang'anirani thanzi la chipangizocho poyesa kuchuluka kwa shuga, yeretsani momwe zida zamankhwala zathanzi zakhalira poyambitsa insulin.

Chochitika cha Somoji

Mawonekedwe a matendawa amafanana kwambiri ndi zomwe zidachitika a S Skuji mu 1939.

M'mazaka amenewo, chifukwa cha zolakwika zomwe oyendetsa ndege amagwiritsa ntchito poyendetsa bwino kayendedwe ka ndege, zadzidzidzi zinayamba kuchitika.

Madokotala anayerekezera izi ndi mawonekedwe pamene wodwala ayamba kuchita mantha kuti achepetse shuga. Komabe, samakayikira kuti izi ndizomveka. Amakwiya chifukwa cha kuchuluka kwa insulin, yomwe idayambitsidwa.

Kafukufuku wasonyeza kuti kuchuluka kwa shuga ikafika malire, chiwindi chimagwiritsa ntchito glycogen yomwe ilipo. Glucose imapangidwa nthawi ya metabolic. Chifukwa chake, wodwalayo amakhala atakwanitsa kale glycemia.

Ngati shuga agwera usiku (nthawi zambiri), wodwalayo amakhala m'maloto ndipo samva chilichonse. Amamva mseru, kupweteka kwambiri m'mutu, amayang'ana shuga ndikuwonetsetsa kuti mulingo wakewo ndi wokwera kwambiri. Izi ndizomveka, chifukwa chiwindi chachita ntchito yake.

Osamveka bwino, dokotala nthawi zambiri amapereka mankhwala ambiri a insulin.

Khalidwe lake lili lofanana ndi zomwe oyendetsa ndege sanakhulupirire paokha. Zotsatira za izi, monga mukudziwa, ndizachisoni kwambiri.

Muzochitika zina zamankhwala, ndikokwanira kuwonetsetsa kuti matenda a shuga omwe amapezeka ndi ena mwa mitundu ya zotsatira za Somoji. Kuti mukhalebe ndi vutoli, ndikofunikira kuyang'anira kuchuluka kwa shuga masiku 7.

Zoyezera zimatengedwa maola 4 aliwonse (komanso usiku). Ndi zotsatira muyenera kukaonana ndi dokotala. Kutengera ndi zolemba izi, asankha mtundu woyenera kwambiri wa insulin ya jakisoni.

Makanema okhudzana nawo

Makhalidwe akuluakulu a matenda a shuga omwe ali mu vidiyo:

Odwala omwe amapezeka kuti ali ndi matenda osokoneza bongo ali ndi jakisoni wopitiliza. Insulin imakhazikitsa boma logwirizana. Komabe, thupi limalandira zokha chizindikiro chakuchepa kwa kupanga kwa mahomoni.

Chifukwa chake, ntchito zake zachilengedwe ndizoletsa. Ma cell a insulin atrophies mmalo mwakuwonjezera ntchito yawo. Chifukwa chake, madokotala amavomereza kuti muzochitika zotere ndizofunikira kukopa zomwe zimayambitsa matendawa, osati zotsatira zake.

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