Kuchuluka kwa shuga m'misinkhu ya amuna ndi akazi

Kuwunikira momwe thupi lanu limakhalira ndi njira yofunikira kwambiri yodzitetezera kumatenda ambiri.

Poyesa momwe zinthu ziliri Chimodzi mwazofunikira kwambiri pakati pawo ndi kuchuluka kwa glucose m'magazi.

Chifukwa chiyani tifunika kusanthula?

Glucose imakhala gawo lalikulu lamphamvu lopatsa mphamvu thupi. Pa oxidation, mphamvu yofunikira pantchito ya ziwalo zonse imatulutsidwa, ndipo kuti ifike kwa iwo, iyenera kudutsa m'magazi.

Zakudya zam'madzi izi zimalowa m'thupi limodzi ndi chakudya, makamaka zotsekemera ndi ufa. Imamwa mosavuta ndipo imayamba kudyedwa. Zowonjezera zake zimasungidwa mu mawonekedwe a glycogen m'chiwindi.

Ngati glucose sikokwanira, thupi limayamba kugwiritsa ntchito mphamvu zina: mafuta ndipo, mochulukirapo, mapuloteni. Potere, matupi a ketone amapangidwa, owopsa pantchito ya ziwalo zambiri.

Ndi kuchuluka kwa shuga m'magazi, chomaliza chimakhala wandiweyani, ndipo shuga pawokha ndi njira yabwino kwambiri yopangira ma tizilombo. Kuphatikiza apo, masinthidwe ena amthupi mu thupi amachitika, okhudza kuphwanya kapangidwe ka mitsempha yamagazi, mathero a mitsempha ndi zinthu zina.

Homoni ya pancreatic, insulini, iyenera kuwongolera njirayi.Amathandizira kuti shuga amizidwe, ndikuchepetsa kwambiri. Ngati kupangika kwa insulin kumayipa, izi zimabweretsa kuchuluka kwa shuga m'magazi - hyperglycemia, kapena kutsikira - hypoglycemia.

Pamagawo oyambapo, kuphwanya shuga m'magazi kumatha kuwongoleredwa ndipo zotsatira zoyipa zitha kupewedwa pogwiritsa ntchito njira zosavuta monga zakudya zoyenera. Ngati vutoli likukhudza kapangidwe ka ziwalo zamkati, munthu amayenera kumwa mankhwala amoyo komanso kuwonongeka kwina mu moyo.

Kafukufuku

Kuti muwone zodetsa nkhawa m'magawo oyambira, kusanthula pafupipafupi kuchuluka kwa shuga m'magazi kumathandiza. Ambiri mwa anthuwa amadzipereka pa nthawi ya chithandizo chamankhwala, mwachitsanzo, panthawi yopima zamankhwala.

Komabe, magulu ena amayenera kupimidwa pafupipafupi, awa ndi:

• odwala omwe ali ndi matenda amtundu 1 kapena matenda amtundu wa 2;
• anthu onenepa kwambiri;
• azimayi oyembekezera;
• anthu omwe ali ndi matenda a endocrine dongosolo ndi chiwindi;
• wokhala ndi matenda am'kati;
• anthu omwe abale awo enieni ndi odwala matenda ashuga.

Njira zingapo zimagwiritsidwa ntchito pophunzira kuchuluka kwa shuga, zomwe zimakonda kwambiri kuyesa shuga.

Zimachitika m'mawa pamimba yopanda kanthu. Chojambulachi chimatengedwa kuchokera pazala zakuda kapena kuchokera mu mtsempha. Mfundoyi iyenera kukumbukiridwa, chifukwa zotsatira zake zimakhala zosiyana pang'ono.

Mulingo wa glucose umatengedwa mu njira ya kusanthula kwamwazi m'magazi, mogwirizana ndi mulingo wa cholesterol ndi zizindikiro zina. Amachitidwanso pamimba yopanda kanthu; magazi amatengedwa kuchokera m'mitsempha.

Ngati mkhalidwe wa matenda a shuga usanachitike, dokotala amatha kutumiza wodwalayo kuti akayeze mayeso a shuga.

Imachitika m'magawo angapo:

• Choyamba, wodwalayo amapereka magazi kuchokera chala pamimba yopanda kanthu;
• ndiye amamwa yankho la glucose - pafupifupi 75 g, ana pamlingo wa 1 gramu pa thupi;
• pambuyo pafupifupi maola 1.5, magazi amatulutsidwanso kuchokera ku ma capillaries;
• malinga ndi zotsatira za phunziroli, mkhalidwe wa kagayidwe kazakudya umatsimikizika, omwe ma 2 coefficients amawerengedwa: hyperglycemic ndi hypoglycemic.

Kukwanira koyamba kumawonetsa kuchuluka kwa kuchuluka kwa shuga m'magazi ola limodzi mutatha kudya shuga ndikuwonetsa pamimba yopanda kanthu. Malinga ndi miyezo, chiwerengerochi chikuyenera kuwonetsa malire mpaka 1.7.

Lachiwiri likuwonetsa kuchuluka komweko, koma maola 2 mutatha shuga, ndipo sayenera kupitirira 1.3. Zotsatira zikakhala pamwamba pa chizolowezi, dokotala amapanga - prediabetes state, ngati m'modzi ataphwanyidwa - munthuyo ali pachiwopsezo ndipo ayenera kuyang'anira kuchuluka kwa shuga pafupipafupi.

Kulingalira zotsatira

Zotsatira zakusintha kwa kafukufukuyu wa shuga zimayezedwa ndi zizindikiro zingapo: mmol / l, mg / dl, mg /% kapena mg / 100 ml. Omwe amagwiritsidwa ntchito kwambiri ndi mmol pa lita.

Matenda a shuga amalumikizidwa ndi magawo osiyanasiyana a munthu:

1. Kwa ana ochepera chaka chimodzi, amamasulidwa kukhala 2.8-4.4 mmol / L, zotsatira za 4.5-4.9 mmol / L ndi mzere wam'malire, zomwe ndizowopsa ndikuwonetsa kuthekera kwa matenda a shuga mellitus. Ngati zotsatira zake ndizapamwamba, dokotala amapangidwa.
2. Kwa ana osakwana zaka 5, chizolowezi chimakhala chizindikiro cha 3.3-5 mmol / L, zotsatira zake zimakhala 5.4 mmol / L ndi mzere m'malire, ndipo pamwamba pake amadziwika ndi matenda.
3. Kuyambira zaka 5 ndi kupitilira, zomwe zimachitika ndi 3.3-5,5 mmol / l, ndipo malire ndi 5.6-6. Chilichonse choposa izi chikunena za vuto la malamulo a shuga kagayidwe.

Kuchuluka kwa shuga m'magazi

Zotsatira za kusanthula kwa shuga m'magazi zimatengera zaka, jenda komanso kupezeka kwa zochitika zolimbitsa thupi. Chifukwa chake, kuchuluka kwa shuga m'magulu azimayi kumacheperachepera kuposa amuna, komwe kumalumikizidwa ndi mawonekedwe a kagayidwe kachakudya komanso kuchuluka kwa zochitika zolimbitsa thupi.

Tidzapereka chidziwitso chachikulu patebulo:

Pankhani ya kutenga pakati kwa mkazi, Zizindikiro zimatha kusintha, chifukwa thupi lake limagwira ntchito mozungulira. Koma kudziwongolera ndikofunikira chifukwa chiwopsezo cha matenda ashuga, chomwe pambuyo pake chimatha kukhala mtundu wa matenda ashuga a 2.

Kwa ana, Zizindikiro ndizotsika kwambiri, komanso zimasiyana malinga ndi zaka:

Zizindikiro Zovomerezeka za odwala matenda ashuga

Mwa anthu omwe ali ndi matenda ashuga, malamulo a shuga m'magazi amachepa, izi zimapangitsa kuti shuga yawo iwonjezeke.

Pankhaniyi, kugwiritsa ntchito mankhwala osokoneza bongo ndikuwonetsetsa pazomwe amalimbikitsidwa pakudya amakupatsani mwayi wowongolera njirayi, kufikira pakutha kwa magwiridwe antchito.

Komabe, mwa anthu odwala matenda ashuga, zotsatira zake zimakhala zokwera pang'ono, ndipo kwa iwo zizindikiro monga 5-7.2 m'mawa pamimba yopanda kanthu, osaposa maola 10 - 2 chakudya chikakhala chovomerezeka.

Kuchulukitsa-chakudya kuwonjezeka

Biomaterial yoperekedwa m'mawa imawonetsa ntchito yonse ya endocrine dongosolo ndi kuthekera kwake kuthana ndi shuga. Mwatsatanetsatane, njirayi imatha kuwonetsa kafukufuku yemwe wachitika atatha maola awiri akudya.

Zimawonetsa momwe thupi limayankhira mwachangu kusintha kwa ndende.

Mwa anthu athanzi, izi zizowonetsa mu ola loyamba mukatha kudya ziyenera kukhala 6.2 mmol / L, atatha maola awiri - 3.9-8.1 mmol / L. Ngati zachitika nthawi iliyonse, osaganizira kuchuluka kwa chakudya, ziyenera kukhazikika pamtunda wa 3,9-6.9 mmol / L.

Mu odwala matenda ashuga, Zizindikiro zomwezo ziyenera kusungidwa, popeza ndizoperewera. Ndi kuphwanya kwawo pafupipafupi, kusintha kwa ziwonetsero mu ntchito ya ziwalo kumachitika, zomwe zimabweretsa zovuta zovuta zomwe zimakhala ndi matenda osokoneza bongo.

Kanema kuchokera kwa katswiri:

Mwa ana, zizindikiro zoyenera ndi:

• atangodya - mpaka 5.7 mmol / l;
• pambuyo pa ola limodzi - mpaka 8 mmol / l;
• pambuyo 2 maola - zosaposa 6.1 mmol / l.

Ndi zotsatira zowonjezereka, kupezeka kwa matenda a shuga kumakayikiridwa.

Kusala kudya

Njira yayikulu yoperekera mawunikidwe awa imaphatikizapo mayeso am'mimba opanda kanthu. Ndiye kuti, chakudya chomaliza musanachidziwe sichikhala pasanathe maola 12. Kuphatikiza apo, m'masiku apitawa, zakudya zomwe zimayenera kuchitika ziyenera kuchitika, komwe ndikofunikira kupatula kumwa mowa, ngati nkotheka, mankhwala.

Madzi amayenera kumamwa nthawi zonse. M'malo ndi khofi, tiyi kapena timadziti siziyenera kukhala. Akatswiri salimbikitsa kutsuka mano anu kapena kugwiritsa ntchito chingamu musanachite kafukufukuyu, chifukwa amakhala ndi shuga wambiri ndipo amatha kusintha zotsatira zake.

Kwa odwala matenda ashuga, nthawi yosadya imatha kuchepetsedwa mpaka maora 8, popeza sangakhale ndi njala kwa nthawi yayitali, izi zimakhala zodzala ndi chipere. Phunziroli litangotha, ayenera kudya china chake kuti atenge glucose m'magazi.

Kuyeza kolondola

Phunziroli liyenera kuchitikira mu labotale. Potere, wodwalayo ayenera kutsatira malingaliro onse omwe adokotala adawakonzera pokonzekera kuwunika kwake. Kupanda kutero, zotsatira zake zitha kukhala zolakwika, ndipo sizingatheke kuzindikira matenda.

Posonyeza zotsatira zowopsa, kusanthula kumayenera kubwerezedwa sabata yotsatira ndikuphunzira zamphamvu. Ngati cholakwikacho chapezeka kamodzi, izi zitha kukhala vuto laukadaulo kapena kulakwitsa kwa nthawi imodzi.

Ngati zikuwonjezerazo zikuwonjezereka, adotolo amakupangira maphunziro owonjezera, monga kulolera kwa glucose kapena kutsimikiza mtima kwa fructosamine. Apereka chithunzi chatsatanetsatane ndikuthandizira kuzindikira bwino lomwe matenda.

Ngati matenda a shuga akhazikitsidwa, chithandizo choyenera chimakhazikitsidwa.

Kanema kochokera kwa Dr. Malysheva:

Kuyesedwa kwa magazi ndi shuga ndi kuyesa kosavuta komanso kotsika mtengo komwe kumachitika m'makliniki onse amzindawo. Itha kuchitika mwachangu komanso mosavuta, ndipo zotsatira zake zingathandize kupewa mavuto ambiri azaumoyo, makamaka matenda oopsa ngati matenda a shuga.