Hyperglycemia mu shuga

Hyperglycemia ndi mkhalidwe womwe misempha ya magazi imakwera kuposa momwe thupi limakhalira. Sikuti nthawi zonse chimayenderana ndi matenda ashuga, ngakhale nthawi zambiri ndimadwala omwe amayambitsa matenda awa. Popanda kuwongolera komanso kulowererapo, mkhalidwe woopsa ngati uwu umawopseza thanzi, ndipo nthawi zina moyo wa munthu. Hyperglycemia mu matenda osokoneza bongo ndi njira yowopsa yomwe singanyalanyazidwe ndikusiyidwa mwamwayi, ndikuyembekeza kuti shuga yeniyeni ibwerera mwachangu pakapita nthawi.

Mitundu ya matenda

Malinga ndi nthawi yomwe imachitika, mitundu iwiri ya kuchuluka kwa matenda a shuga m'magazi a shuga imasiyanitsidwa:

• kuchuluka kwa shuga osala kudya, kupereka chakudya chomaliza maola 8 apitawo (kusala kapena "posthyperglycemia");
• kuchuluka kwa matenda a shuga atatha kudya (postprandial hyperglycemia).

Kwa anthu athanzi komanso odwala matenda ashuga, Zizindikiro zomwe zimawonetsa hyperglycemia zimasiyana. Chifukwa chake, kwa odwala omwe sapezeka ndi matenda ashuga, shuga othamanga omwe ali pamwamba pa 6.7 mmol / L amawonedwa ngati owopsa komanso osayenera. Kwa odwala matenda ashuga, chiwerengerochi chimakwera pang'ono - amaganiza kuti hyperglycemia ndiwowonjezera shuga pamimba yopanda 7.28 mmol / l. Pambuyo pa chakudyacho, shuga wamagazi a munthu wathanzi sayenera kupitirira 7.84 mmol / L. Kwa wodwala matenda ashuga, chizindikiro ichi ndi chosiyana. M`mawu awa, shuga wa 10 mmol / L kapena wapamwamba chakudya chikamawonedwa ngati matenda.

Chifukwa chiyani wodwala matenda ashuga amatha kuwonjezera shuga?

Pali zifukwa zambiri zomwe zimapangitsa munthu wodwala matenda ashuga kuchuluka kwambiri m'magazi awo. Zodziwika kwambiri zimaphatikizapo:

• mlingo wosankhidwa wa insulin;
• kudumpha jakisoni kapena kumwa piritsi (kutengera mtundu wa matenda ashuga ndi mtundu wa mankhwalawa);
• kuyamwa kwambiri chakudyacho;
• kusokonezeka kwa malingaliro, kupsinjika;
• kumwa mapiritsi a mahomoni ena kuchitira endocrine pathologies a ziwalo zina;
• matenda opatsirana;
• kukokoloka kwa concomitant aakulu pathologies.

Zakudya zoyenera, kuwunika shuga wamagazi komanso kuyeza kuthamanga kwa magazi ndi njira yabwino yothandizira kupewa zovuta za shuga, kuphatikizapo hyperglycemia

Mwazi wa magazi umakwera pamwamba ngati wabwinobwino ngati mulibe insulin yokwanira kuikonza. Pali zochitika za hyperglycemia momwe insulin imabisalira mokwanira, koma maselo amisempha amayankha motsimikiza, amasiya kumva ndipo amafunikira kupanga kwake kochulukirapo. Zonsezi zimayambitsa kuphwanya njira ya malamulo a shuga m'magazi.

Zizindikiro

Zizindikiro za hyperglycemia zimadalira kuchuluka kwa matenda. Mokulira shuga wambiri, zomwe zimam'vutitsa kwambiri wodwalayo. Poyamba, akhoza kusokonezedwa ndi izi:

• kusowa kwamphamvu, ulesi ndi chilakolako chofuna kugona;
• ludzu lalikulu;
• kuyabwa kwambiri pakhungu;
• migraine
• matenda ammimba (onse kudzimbidwa ndi kutsekula m'mimba amatha;);
• khungu louma ndi mucous nembanemba, makamaka kutchulidwa mkamwa, yomwe imangokulitsa ludzu;
• mawonekedwe osasalala, mawonekedwe a mawanga ndi "ntchentche" patsogolo pa maso;
• kusokonezeka kwa chikumbumtima.

Nthawi zina wodwala amakhala ndi ludzu kwambiri kuti amatha kumwa mpaka malita 6 patsiku

Chimodzi mwazizindikiro zakuwonjezereka kwa shuga ndikuwoneka ma acetone mkodzo. Izi ndichifukwa choti ma cell samalandira mphamvu, chifukwa sangathe kuphwanya kuchuluka kwa glucose oyenera. Kuti athe kulipirira izi, amaphwanya mafuta opangira mafuta kuti apange acetone. Kamodzi m'magazi, chinthu ichi chimachulukitsa acidity ndipo thupi limatha kugwira bwino ntchito. Kunja, izi zimatha kuwonetsedwa ndikuwoneka ngati fungo lamphamvu la acetone kuchokera kwa wodwala. Ma bandeti oyesera a matupi a ketone mu mkodzo pamenepa nthawi zambiri amawonetsa zotsatira zabwino.

Pamene shuga akukula, mawonetseredwe a matenda ampiritso akuwonjezereka. M'mavuto ovuta kwambiri, khansa ya matenda ashuga imayamba.

Hyperglycemic chikomokere

Coma yoyambitsidwa ndi kuchuluka kwa shuga ndiowopsa kwambiri pamoyo wamunthu. Amayamba chifukwa cha hyperglycemia yayikulu ndipo akuwonetsedwa ndi izi:

• kulephera kudziwa;
• phokoso losasangalatsa komanso kupumira pafupipafupi;
• amanunkhira kununkhira kwa acetone mchipinda chomwe wodwalayo ali;
• kutsitsa magazi;
• kufewa kwa minyewa ya eyeb (atapanikizika paiwo, mano amakhalabe kwakanthawi);
• kufiyira koyamba, kenako kuphimba pakhungu;
• kukokana.

Wodwala yemwe ali ndi vutoli sangamve kukoka kwa dzanja lake chifukwa chakuchepa kwa magazi. Iyenera kuyang'ana pazotengera zazikulu za ntchafu kapena khosi.

Coma ndi chidziwitso chachindunji chakugonekedwa kuchipatala kuchipatala chopanda ntchito, chifukwa chake simungazengereze kuyitanitsa dokotala

Mavuto

Hyperglycemia ndi wowopsa osati zizindikiro zosasangalatsa, komanso zovuta zina. Pakati pawo, mayiko oopsa kwambiri amatha kusiyanitsidwa:

• matenda a mtima dongosolo (kugunda kwa mtima, pulmonary thrombosis);
• ngozi yamitsempha;
• magazi akulu;
• pachimake aimpso kulephera;
• zotupa zamanjenje;
• kuwonongeka kwamawonekedwe ndi kupititsa patsogolo kwa matenda ashuga a retinopathy.

Chithandizo

Kodi chiwonetsero cha dziko la hyperglycemic ndikuti

Ngati hyperglycemia imapezeka mwa wodwala matenda amtundu wa 1 ndipo chizindikiro pamtunda chimaposa 14 mmol / l, wodwalayo ayenera kuyimba ambulansi nthawi yomweyo. Monga lamulo, wopezeka wa endocrinologist pazoyenera kukonzekera amachenjeza wodwalayo za kuthekera kwa zoterezi ndikumulangiza za zoyenera kuchita. Nthawi zina adotolo amalimbikitsa kuti muzipangira jakisoni wa insulin kunyumba asanafike gulu lachipatala, koma simungathe kusankha nokha. Ngati wowonera endocrinologist sanalangize chilichonse ndipo sananene chilichonse, mutha kufunsa woyang'anira ma ambulansi mukamuyimba. Dokotala asanafike, wodwala akhoza kuperekedwanso chithandizo choyambirira ngakhale popanda mankhwala.

Kuti muchite izi, muyenera:

• onetsetsani kuti odwala matenda ashuga amakhala m'malo abata, abwino, opanda kuwala kowala komanso mwayi wopezeka ndi mpweya wabwino;
• Imwani ndi madzi ambiri kuti musunge mchere wamchere ndikuchepetsa shuga la magazi mwakuwonjezera (pamenepa, iyi ndi analogue yanyumba ya wobaya);
• Pukutani khungu louma ndi thaulo yonyowa.

Wodwalayo atalephera kudziwa, ndikosatheka kuthira madzi. Chifukwa cha izi, akhoza kutsamwitsa kapena kutsamwitsa

Dokotala asanafike, muyenera kukonzekera zofunikira zakuchipatala, makhadi azachipatala ndi pasipoti ya wodwala. Izi zipulumutsa nthawi yofunikira ndikufulumizitsa njira yotumizira kuchipatala. Ndikofunikira kwambiri kukumbukira izi ngati zizindikiro zikuwonetsa kuti mutha kukhala osweka. Onsewa hypo- ndi hyperglycemic coma ndi oopsa kwambiri. Amangotengera chithandizo chamtundu wa mankhwala. Kuyesera kuthandiza munthu yemwe ali ndi vuto lofananalo popanda madokotala ndizowopsa, chifukwa kuwerengera sik kwa maola, koma kwa mphindi.

Chithandizo cha kuchipatala chimaphatikizapo mankhwala osokoneza bongo omwe ali ndi mankhwala ochepetsa shuga ndikuthandizira othandizira ziwalo zofunika. Nthawi yomweyo, wodwalayo amapatsidwa chithandizo, malinga ndi kuopsa kwa zizindikirazi. Pambuyo pothetsa boma ndi zizindikiro za shuga, wodwalayo amamuthamangitsira kunyumba.

Kupewa

Kupewa hyperglycemia ndikosavuta kuposa kuyesera kuti tichotse. Kuti muchite izi, muyenera kukhala bata ndi thupi. Simungathe kusintha mosavomerezeka mlingo wa mapiritsi a insulin kapena shuga - muyenera kufunsa dokotala kuti mupeze zomwe mungachite. Ndikofunika kuyang'anitsitsa kuchuluka kwa shuga m'magazi ndi glucometer ndikujambulira kusintha konse koopsa.

Zakudya zopatsa thanzi komanso zakudya ndizomwe zimabweretsa thanzi labwino komanso kuchuluka kwa shuga m'magazi. Palibe chifukwa muyenera kuyesa kuchepetsa shuga kokha ndi wowerengeka azitsamba, kukana mankhwala. Kusamala thupi lanu ndi matenda ashuga ndizofunikira kwambiri kuti wodwala azitsatira ngati akufuna kukhala ndi moyo wabwino.