Kuphwanya dongosolo la endocrine kumabweretsa kusintha kwa kagayidwe kazakudya.
Zotsatira zake, insulini yopangidwa ndi kapamba sangathe kuthana ndi glucose owonjezera ndipo shuga ya magazi imakwera. Matendawa amatchedwa hyperglycemia.
Zifukwa zachitukuko
Hyperglycemic mkhalidwe umayamba mothandizidwa ndi izi:
- chizolowezi chodya kwambiri;
- chakudya chopatsa thanzi ndi predominance ya zakudya kwambiri mu chakudya;
- kupsinjika kwanthawi yayitali;
- kusowa kwa vitamini B1 ndi C;
- nthawi yapakati;
- kuvulala limodzi ndi kuwonongeka kwakukulu kwa magazi;
- adrenaline kulowa m'magazi chifukwa cha kupweteka kwambiri;
- kukomoka kwa adrenal;
- matenda osachiritsika kapena opatsirana;
- ntchito zochepa kapena zolimbitsa thupi.
Matenda opatsirana a endocrine dongosolo amathandizira kuwonjezeka kwa shuga m'magazi. Poyerekeza ndi za shuga, kusintha kwa ma cell mu kapamba kumachitika, chifukwa chomwe kuchuluka kwa insulin kumachepetsedwa.
Type 2 shuga mellitus amachititsa kuti maselo azitha kutaya mphamvu za insulin ndipo mahomoni sangachepetse shuga owonjezera.
Chizindikiro chowopsa chitha kupezekanso ndi matenda monga:
- Cushing's syndrome;
- matenda oopsa a chiwindi ndi impso;
- yotupa njira mu kapamba;
- neoplasms yoyipa mu kapamba;
- chithokomiro;
- sitiroko;
- kuvulala ndi maopareshoni.
Kugawa mkhalidwe
Pali magawo angapo azovuta za chizindikirocho:
- wofatsa - wodziwika ndi kuwonjezeka pang'ono kwa shuga, sizidutsa 10 mmol / l;
- digiri yapakatikati - shuga ya ndende sikumakwera pamwamba 16 mmol / l;
- kwambiri hyperglycemia - kuchuluka kwa shuga m'magazi 16 mmol / L kungayambitse kusamba.
Pali mitundu iwiri ya matenda:
- Kuthamanga kwa hyperklycemia - pamene, malinga ndi kuyesa kwa magazi pamimba yopanda kanthu, shuga amaposa 7.2 mmol / L.
- Zosasintha - mkati mwa maola 8 mutatha kudya, chizindikiro cha glucose chimaposa 10 mmol / L.
Kutengera zomwe zimayambitsa kupezeka, mitundu yotere ya hyperglycemia imawonetsedwa ngati mahomoni, osakhazikika, amakhudzika mtima komanso amazentary.
Chomwe chimapangitsa matenda oopsa a hyperglycemia kusowa kwa kapamba. Zotsatira za kuwonongeka kwa maselo, ziwalo zomwe zakhudzidwa sizingatulutse insulin yokwanira. Izi zimabweretsa kuchuluka kwamphamvu kwa glucose m'magazi ndipo kumawonedwa mu mtundu woyamba wa shuga.
Zimachitika kuti maselo amalephera kuzindikira insulin ndikulimbana ndi machitidwe ake, omwe amaphatikizidwa ndi kuwonjezeka kwa shuga. Izi ndizofanana ndi matenda amtundu wa 2 shuga.
Ntchito zolakwika za endocrine dongosolo zitha kuchitika chifukwa cha chibadwa chathu komanso matenda.
Mankhwala osokoneza bongo a insulin panthawi ya matenda a shuga angayambitse posthypoglycemic hyperglycemia. Kuyankha kwa thupi pakuchepa kwambiri kwa shuga kudzachulukitsidwa kupanga shuga.
Kuchita kwakuthupi pakukhumudwa kwakanthawi komanso kupsinjika kwamaganizidwe ndikuwonetsa kukhudzika kwa malingaliro. Kuwonjezeka kwa ndende ya shuga kumachitika chifukwa cha kutulutsidwa kwa mahomoni omwe amayimitsa glycogeneis ndikuthandizira glycogenolysis ndi gluconeogeneis.
Alimentary hyperglycemia imachitika pambuyo kudya kwambiri kwamphamvu michere. Izi posachedwa zidzakhala bwino.
Kuwonjezeka kwa glucose m'thupi kungayambitsidwe ndi kusintha kwa mahomoni motsutsana ndi matenda a impso, kapamba ndi khansa.
Zizindikiro ndi mawonekedwe a pathology
Hypoglycemia yofatsa nthawi zambiri imadziwika. Kuwonongeka ndi chikhumbo chambiri chakumwa madzi nthawi zambiri sichilabadiridwa.
Zizindikiro zofunikira zimawonekera pakukonzekera kwa matenda:
- kuyamwa mwachangu ndi kuphatikiza;
- pakamwa kowuma ndi kuchuluka kwa madzi;
- kuyabwa ndi kuchepa kwa minofu;
- kugona, kumverera kwa kufooka;
- atengeke matenda oyamba ndi mafangasi.
Woopsa milandu, zizindikiro zotsatirazi zimawonedwa:
- kudzimbidwa pafupipafupi kapena kutsegula m'mimba;
- kupumirana mseru, migraine, kufooka;
- kuphwanya kumveka kwamasomphenya, ntchentche patsogolo pa maso;
- kununkhira kwa acetone ndi zowola;
- kupsinjika, milomo yamtambo, kukomoka.
Kuchepa kwa chidwi chazinthu zam'maso komanso kumva kuzizira m'miyendo mwina. Kuchepetsa kwambiri mphamvu kumatheka ndikumakhalabe ndi moyo komanso zakudya zabwino.
Zizindikiro zowonjezereka zikuyenda ndi kupsinjika ndi chisokonezo.
Thandizo loyamba
Popeza mwapeza zisonyezo za kuchuluka kwa shuga, muyenera kuyang'ana kuchuluka kwa shuga m'magazi. Ngati kupatuka kwazizoloweziko kulibe vuto, ndiye kuti muyenera kupita kwa dokotala kuti mukawone. Zinthu za shuga zopitilira 13 mmol / L zimafuna chithandizo chamankhwala msanga.
Mukamathandiza wodwala matenda a hyperglycemia, ziyenera kukumbukiridwa kuti kuchuluka kwa glucose komanso hypoglycemia ndi ofanana, ndipo kuchita zolakwika kungangokulitsa vutolo.
Zotsatirazi ziyenera kutengedwa:
- Choyamba, ndikofunikira kuyitanitsa gulu la madokotala;
- kuyala wodwala ndikuwapatsa mwayi wopeza mpweya;
- perekani zakumwa zambiri;
- kupatula kudya zakudya ndi shuga;
- konzekerani zolemba zofunika ndi zinthu zakugonekedwa kuchipatala.
Ngati chizindikiro cha shuga ndi kuchuluka kwa insulin ndikudziwika, ndiye kuti jakisoni ndiyofunikira. Pakalibe chidziwitso chotere, machitidwe oterewa ndi osavomerezeka.
Kuchiza matenda
Wodwala yemwe wathandizidwa ndi vuto la hyperglycemia wapatsidwa jakisoni wa insulin. Pambuyo pogwirizanitsa kuchuluka kwa shuga ndi kulowetsedwa kwa mtsempha, madzi olimbitsa ndi mavitamini ndi michere osowa zimabwezeretseka. Asanayambe kuyesedwa, anapeza kuti pali mtundu wina wa hyperglycemia wosadziwika - ICD code 10 R 73.9.
Ngati matenda a shuga ndi omwe amachititsa kuchuluka kwa shuga m'magazi, ndiye kuti wodwalayo amayang'aniridwa ndi endocrinologist ndikuwunika kuchuluka kwa glucose ndi glucometer kwa moyo wonse. Chithandizo chimakhala chotsatira malangizo a dokotala, kumwa mankhwala nthawi zonse, kutsatira zakudya zovuta komanso kusintha kwa moyo.
Odwala omwe ali ndi matenda amtundu wa 1 amadziwika ndi insulin. Mlingo wa jakisoni amawerengedwa mosamala ndi adokotala.
Mitundu yachiwiri ya odwala matenda ashuga amalimbikitsidwa mankhwala omwe amachititsa kuti insulini ipangike kapena kubwezeretsa chiwopsezo cha ma cell ku mahomoni.
Mankhwala osokoneza bongo atha kukhala ndi mankhwalawa:
- Actos - imabwezeretsa chidwi cha maselo ku insulin;
- Bayeta - imagwiranso ntchito;
- Glucophage, Siofor - mankhwala ochizira matenda a shuga.
Kuti muchepetse kuchuluka kwa acidity m'mimba omwe umachitika pambuyo pa hyperglycemia syndrome, mutha kumwa yankho la soda kapena mumamwa madzi amchere amchere nthawi zonse.
Ngati matenda a shuga sapezeka ndipo matenda a hyperglycemia amawonekera chifukwa cha matenda ena, ndikofunikira kukhazikitsa matendawa ndikuyamba kulandira chithandizo.
Pambuyo pakutha kwa chomwe chimayambitsa, shuga amakhalanso abwinobwino.
Malo omwe aliyense ayenera kupita amapita kukachepetsa kuchuluka kwa chakudya chamafuta, kupatula shuga pachakudya, komanso masewera olimbitsa thupi.
Matenda osalamulirika a shuga komanso kusinthasintha pafupipafupi kwa kuchuluka kwa shuga m'magazi kungayambitse matenda akulu a mtima, impso, kuyambitsa mavuto ammaso ndikusokoneza dongosolo lamanjenje.
Kudya
Kusungabe kuchuluka kwa shuga m'milingo yovomerezeka kungathandize kusintha zakudya. Zakudya ziyenera kuvomerezedwa ndi endocrinologist. Ndi dokotala yemwe angalimbikitse zakudya zoyenera.
Mfundo zazikuluzikulu za kadyedwe koyenera kokhala ndi vuto la hyperglycemia ndi:
- Kuchepetsa zakudya zamafuta ochulukirapo osachepera.
- Chakudya chiyenera kukhala choyenera. Pafupifupi 30% mapuloteni, mafuta% 30% yamafuta ndi 40% yama carbohydrate.
- Maziko omwe amadyerawo ndi mbewu monga chimanga Mafelemu ndi othandiza kwambiri, koma ndibwino kuti osadalira mpunga.
- Nyama yamafuta ochepa ndi nsomba zimalimbikitsidwa kuphika, kuphika ndi kuwotcha. Zokonda zimaperekedwa ku nyama ya kalulu, nkhuku, mawere a nkhuku yopanda khungu.
- Zitsamba zatsopano ndi masamba zimapereka mavitamini ndi fiber. Chepetsani kugwiritsa ntchito mbatata zokha. Zipatso zimasankha zosaphatikizidwa ndipo sizimagwiritsa ntchito zipatso zamtundu wa zipatso.
- Sankhani zinthu zamafuta ndi mafuta ochepa.
- Musachotse maswiti, makeke, mkate wa tirigu. Sinthani mkate ndi tirigu wathunthu, m'malo mwa shuga muzigwiritsa ntchito shuga, uchi, zotsekemera.
- Muyenera kusiya zakudya zamafuta ndi zamkaka, mphesa, nthochi ndi zipatso zina zokoma. Soseti yamafuta, masoseji ndi zinthu zomwe zimasuta, zakudya zosavuta komanso sodas siziyenera kuwonekeranso patebulo.
- Muyenera kudya pafupipafupi pang'ono. Zilinso zodetsa kudya kwambiri komanso kudya nthawi yayitali pakudya.
Zithandizo za anthu
Kukwaniritsa malingaliro onse a dotolo, mungathe kuwonjezera ku mankhwala achikhalidwe.
Zomera zina zamankhwala zimakhala ndi ma alkaloids monga insulin ndipo zimatha kuchepetsa kuchuluka kwa shuga:
- Supuni ndi wosweka dandelion muzu kunena mphindi 30 mu 1 tbsp. madzi otentha ndi kumwa 50 ml 4 pa tsiku. Yothandiza kwambiri saladi wa dandelion masamba ndi amadyera. Muziviika masamba m'madzi. Nyengani saladi ndi kirimu wowawasa kapena batala.
- Wiritsani Yerusalemu artichoke kwa mphindi 15 ndikumwa msuzi wofunda.
- Wiritsani kapu ya oat mbewu kwa mphindi 60 mu lita imodzi ya madzi otentha, ozizira komanso kumwa osaletsedwa.
- Sakani masamba 10 a laurel masana mu 250 ml ya madzi owiritsa. Imwani ofunda 50 ml musanadye masiku 7.
- Mothandizidwa bwino amachepetsa shuga. Mutha kugwiritsa ntchito masamba ake. Masamba amasamba ndi madzi otentha, onjezerani kwa maola awiri ndi kumwa 250 ml katatu patsiku kwa miyezi isanu ndi umodzi.
Ma broth ochokera ku mizu ya burdock, nyemba za nyemba, juniper ndi buluzi amatha kukhala othandizika. Koma musanagwiritse ntchito mankhwala aliwonse, muyenera kufunsa dokotala.
Mavidiyo omwe ali ndi maphikidwe a wowerengeka wochepetsa shuga:
Hyperglycemia Prevention
Kupewa kwamatenda am'magazi kumakhala kuwunikira pafupipafupi shuga komanso:
- Mukamagwiritsa ntchito mankhwala a insulin, musapitirire kuchuluka kwa insulin ndipo musalumphe jakisoni. Musataye matenda a jakisoni ndi mowa, popeza mowa umawononga insulin.
- Dzitetezeni ku nkhawa zosafunikira komanso kusangalala. Pamavuto, thupi limapanga shuga wamphamvu.
- Osayendetsa matenda omwe alipo. Matenda aakulu angayambitse matenda a hyperglycemia.
- Osatinso kugwira ntchito mopitilira muyeso, komanso kuti musakhale ndi moyo wamantha. Kuchita masewera olimbitsa thupi, kuchita masewera olimbitsa thupi komanso kuyenda kumachepetsa shuga la magazi ambiri.
- Ngati hyperglycemia ikuwonetsedwa kwa nthawi yoyamba, ndiye iyi ndi nthawi yoyendera endocrinologist ndikuyezetsa.