Aliyense ayenera kusamalira thanzi lawo. Pachaka amayesedwa ndi akatswiri ochepa, amayeserera.
Chimodzi mwazomwe amachitazo ndi kutsimikiza kwa magazi a m'magazi.
Zotsatira za phunziroli zimathandiza kudziwa kuchuluka kwa shuga m'magazi komanso ngati kapamba amatha kuthana ndi ntchito zake.
Chikhansa ndi gawo la endocrine lomwe limabisa mahomoni awiri akuluakulu - glycogen ndi insulin. Chotsirizachi chimapereka shuga wabwinobwino wamwazi. Mothandizidwa ndi zinthu zosiyanasiyana, kapamba angasiye kutulutsa insulin, ndipo shuga wamagazi azikula. Kafukufukuyu amakupatsani mwayi wodziwitsa mavuto munthawi ndikuyamba kuthana nawo.
Kodi ndi liti pamene ziyenera kuwunikira?
Mu thupi la amuna, mahomoni angapo omwe amayambitsa metabolism amapangidwa.
- Kukula kwa mahomoni ndi kotsutsana ndi insulin, kumawonjezera shuga.
- Adrenaline ndi chinthu chomwe chimapangidwa ndi adrenal gland ndikuwonjezera shuga.
- Dexamethasone ndi cortisol ndi ma glucocorticosteroid mahomoni omwe amagwiritsidwa ntchito mu njira za endocrine. Amayang'anira kuchuluka kwa chakudya cham'mimba komanso kupanga shuga m'magazi.
Mlingo wa shuga umatengera chilichonse mwazinthu izi, chifukwa chake, ndi shuga wambiri m'magazi tikulimbikitsidwa kuti mudziwe kuchuluka kwamahomoni awa.
Ndi zaka, abambo amatha kukhala ndi mavuto a metabolic ndikukula matenda a shuga. Kuti muwone kuphwanyidwa kwakanthawi, bambo aliyense atakwanitsa zaka 30 ayenera kumayesedwa kamodzi pachaka.
Ngati bambo wayamba kuwona zizindikiro za matenda ashuga, ayenera kulumikizana ndi sing'anga wakomweko kuti am'pime.
Zizindikiro za Mwazi Wapamwamba
- ludzu
- kukodza pafupipafupi
- kumangokhalira kumva njala;
- mutu
- kusanza ndi kusanza
- kufooka ndi malaise;
- kuwonda;
- kuchepa chitetezo chokwanira;
- mabala osachiritsika osachiritsa (mabala, chimanga, ming'alu);
- Khungu.
Ngati bambo ali ndi kunenepa kwambiri, ndiye kuti ndikofunikira kuti iye awone kuchuluka kwa shuga m'magazi. Kulemera kwambiri kumatha kupangitsa insulin kukana - mkhalidwe womwe ziwalo ndi minyewa zimasiya kumva insulin, chifukwa chomwe glucose simalowetsedwa mu mphamvu, koma amasungidwa m'magazi.
Momwe mungaperekere mayeso a shuga?
Kuti mupime mayeso a shuga, muyenera kulumikizana ndi othandizira am'deralo. Adzalemba kalata yotumizira anthu kuti amuunike.
Magazi amaperekedwa motere:
- popanga shuga wamagazi ndikofunikira kupenda magazi a capillary, kotero magazi adzatengedwa kuchokera pachala;
- kusanthula kuyenera kuperekedwa kokha pamimba yopanda kanthu;
- chakudya chotsiriza chikuyenera kukhala maola 8-12 asanakudziwe;
- chakudya chamadzulo chikhale chophweka - masaladi a masamba, chimanga, nyama yophika;
- patsiku loyesedwa, ndikofunikira kuti musasute, musamawashe mano ndipo musagwiritse pakamwa;
- m'mawa mutha kumwa kapu yamadzi.
Magazi a shuga mwa nthawi zonse
Manambala kuyambira 3,3 mpaka 5.5 mmol / L amawona kuchuluka kwa shuga wamagazi kwa anthu azaka zapakati pa 14 mpaka 60. Kwa a mibadwo ina, zikhalidwe ndizosiyana pang'ono.
Mndandanda wamagulu a shuga pamibadwo:
Makanda atsopano | 2,8-4,4 |
Osakwana zaka 14 | 3,3-5,6 |
14 - 60 wazaka | 3,2-5,5 |
Zaka 60 - 90 zakubadwa | 4,6-6,4 |
Zoposa zaka 90 | 4,2-6,7 |
Monga tikuwonera patebulo ndi zaka, shuga wamagazi amawonjezeka. Izi ndichifukwa chosintha mthupi. Kukopa kwa chilengedwe, zizolowezi zoyipa, kuperewera kwa zakudya m'thupi, kunenepa kwambiri - zonsezi zimayambitsa kuphwanya kwa insulin komanso kuwonjezeka kwa chiwonetsero.
Ngati matenda a shuga akukayikira, wodwalayo amapatsidwa kuyesedwa kwa glycated hemoglobin kapena HbA1C. Zimawonetsa glycemia wapakati m'miyezi itatu yapitayo. Zotsatira zake ziyenera kukhala pamtunda kuchokera pa 5.0 mpaka 5.5%. HbA1C yapamwamba imawonetsa shuga.
Zoyenera kuchita ngati zikuwonetsa zambiri?
Ziwerengero zazikulu zikuwonetsa kuti kapamba pazifukwa zina anasiya kupanga kuchuluka kwa insulini kapena minofu inasiya kuilandira (mitundu 1 ndi 2 shuga, motsatana).
Palibe dokotala amene angadziwe kutengera zotsatira za kusanthula kamodzi, motero, wodwalayo adapatsidwa:
- kuyezetsa magazi kwa insulin,
- glucose mayeso olimbitsa
- urinalysis kwa shuga.
Kutengera ndi zotsatira za mayeso onsewa, adotolo atha kudziwa ngati ali ndi matenda a shuga 1 kapena a insulin, omwe amatsogolera kuwoneka kwa matenda ashuga amtundu wa 2. Zifukwa zonsezi ziyenera kuthandizidwa moyenera, motero wodwalayo adzapatsidwa mwayi wothandizidwa ndi endocrinologist.
Zimayambitsa hypoglycemia
Shuga wotsika magazi ndimavuto owopsa a shuga, omwe amatha kusanduka chikomokere ndi kufa.
Zomwe zimapangitsa kuti shuga achepetse kwambiri:
- Kuwerengera molakwika.
- Ma mkate ochepa omwe amadyedwa. Izi zimachitika jakisoni atapangidwa, mwachitsanzo, ku 5 XE, munthuyo adangodya 3 zokha.
- Zochita zolimbitsa thupi. Chochita chilichonse - kuyenda, kuthamanga kapena kusambira - kumachepetsa shuga la magazi. Izi ziyenera kukumbukiridwa.
- Kuseka Amanenanso chimodzi mwazomwe zimayambitsa hypoglycemia.
Kuti shuga asathere pamasewera, odwala matenda ashuga ayenera:
- Idyani chakudya chochepa kapena chapakatikati cha GI pamaso pa kalasi. Adzasungunuka kwanthawi yayitali ndikuletsa shuga kuti asagwere.
- Popeza kuphunzitsidwa kumachitika kangapo pamlungu, mlingo wa insulin yoyenera uyenera kuchepetsedwa patsiku la maphunziro.
- Pakati pa phunziroli, kuyang'anira glycemic ndikofunikira. Ngati shuga akuchepetsedwa, idyani nthochi kapena msuzi.
Zizindikiro za hypoglycemia zimaphatikizapo:
- kukoka kwamtima;
- thukuta kwambiri;
- kusokonezeka kwa mawu ndi kuzindikira;
- machitidwe osayenera (kuseka kopweteketsa kapena kulira);
- nkhanza zosafunikira.
Odwala omwe ali ndi matenda ashuga ayenera kukhala ndi glucometer nawo, komanso satifiketi yapadera ya shuga. Kumbali ina ya pasipoti yotere yalembedwa: "Ndili ndi matenda ashuga. Ngati sindikudziwa, itanani ambulansi nthawi yomweyo."
Kumbali inayo, zambiri zanu zikuwonetsedwa:
- Dzina lathunthu;
- zaka
- malo okhalamo;
- kuzindikira koyenera ndi luso la matendawa;
- nambala yafoni ya wachibale.
Kuphatikiza apo, nthawi zonse muyenera kukhala ndi chakudya cham'mimba ndi inu. Ndi bwino ngati ali ndi shuga m'mapiritsi. Mutha kugulanso 40% yankho la glucose mu buffus. Ichi ndi chakudya cham'mapulasitiki chomwe chimayamba mosavuta. Glucose imadzutsa shuga m'magazi nthawi yomweyo.
Kuchokera pazakudya, ndibwino kuti mupangitse kukonda chakudya chamafuta othamanga:
- Chocolate
- shuga woyengeka;
- mandimu opepuka, mwachitsanzo, msuzi wa apulo - msuzi wokhala ndi zamkati umakweza shuga motalikirapo chifukwa umakhala ndi fiber;
- nthochi
Phunziro la kanema pazomwe zimayambitsa ndi zizindikiro za matenda a shuga:
Kunenepa kwambiri, zizolowezi zoyipa, kuperewera kwa zakudya m'thupi kumayambitsa kuphwanya kwa pancreatic ntchito. Chifukwa chake, kwa amuna pambuyo pa zaka 30, ndikofunikira kuyang'anira kuchuluka kwa shuga m'magazi, ndipo ngati ukuwonjezeka, kulumikizana ndi endocrinologist kuti akupatseni mankhwala.
Kuzindikira matenda ashuga kwakanthawi kumathandiza kupewa kukula kwa zovuta zazikulu ndikuthandizira munthu kukhala ndi moyo wautali komanso kulipidwa.