Pezani Zomwe Musanavutike
Mukapezeka kuti muli ndi shuga , pali zambiri zoti muphunzire. Kuwonjezera pa zofunikira tsiku ndi tsiku zowona shuga ndi chithandizo cha matenda a shuga, akuphunzira kuzindikira zizindikiro za zizindikiro ziwiri zokhudzana ndi shuga: hypoglycemia (shuga wotsika magazi) ndi hyperglycemia (shuga wapamwamba wa magazi). Ndikofunika kumvetsetsa zomwe zingayambitse mchere wanu wa magazi kuti ukhale wotsika kwambiri kapena wotsika kwambiri komanso kuzindikira chomwe thupi lanu lidzamve ngati ali, kapena atatero.
Kumvetsetsa zinthu izi kungathandize kupewa chithandizo chamankhwala.
Zifukwa za Hyperglycemia
Anthu omwe ali ndi shuga ayenera kuyesetsa kupewa shuga yapamwamba ya magazi, yomwe imadziwika kuti ndi yaikulu kuposa 180 mg / dL maola awiri mutatha kudya komanso oposa 130 mg / dL mutatha kudya maola 8 mpaka khumi. Chifukwa cha izi ndi chifukwa chakuti kukwera kwa shuga kwa magazi kumawonjezera chiopsezo cha matenda a shuga m'tsogolomu, monga diso, mtima, impso ndi matenda a mitsempha.
Ndipo ngakhale mutakhala ndi shuga wamagazi omwe sapezeka pambali nthawi ndi nthawi, ndi kofunika kuti muzindikire mchere woopsa kwambiri (womwe umatanthawuza kuti ndi wamkulu kapena wofanana ndi 250 mg / dL nthawi zotsatizana). Magazi anu amagazi amatha kukwera pangozi pamene mwaswa insulini kapena simunatenge insulini yokwanira (makamaka ngati muli ndi shuga ya mtundu wa 1 ) kapena pamene insulin yanu yolandira mankhwala sagwira ntchito momwe iyenera kukhalira (ndi mtundu 2).
Kudya chakudya ndi nkhawa kungapangitsenso kuti dzuwa limatuluka.
Mtundu uliwonse wa matenda, kaya ndi chimfine, chimfine, kapena china chake, chimayambitsa thupi, zomwe zingakhudze shuga ya magazi. Pamene thupi limayesetsa kulimbana ndi matendawa, kutulutsa shuga monga glucagon kumasulidwa.
Kuwonjezera pa kukweza shuga, mahomoni ameneŵa amachititsanso kuti magazi asagwiritsidwe ntchito kwambiri chifukwa cha kuchepetsa matenda a shuga. Momwe mumayendera matenda anu a shuga mukamadwala ndizofunikira chifukwa shuga wambiri wamagazi pakadwala amatha kuchitika mwadzidzidzi. Kupanga ndondomeko ya tsiku lodwala ndi wothandizira zaumoyo wanu , kungakuthandizeni kukonzekera ndi kukonzekera zovuta zokhudzana ndi shuga pa nthawi ya matenda.
Zizindikiro Zosamalidwa
Ngati inu simukumverera bwino ndipo mukuganiza kuti shuga lanu la magazi liri pamwamba, yesani izo kuti mutsimikizire. Ngati shuga lanu la magazi likukwera ndipo mumadziŵa wolakwayo, ndipo ndizokhalitsa, mungathe kuzikonza nokha pazochita zolimbitsa thupi, kumwa madzi owonjezera, ndi kumwa mankhwala anu monga momwe mwafunira. Ngati kumbali ina, shuga lanu la magazi ndi lalikulu kwambiri ndipo muli ndi zizindikirozi chonde muitaneni luso lanu laumoyo komanso / kapena kupita ku chipinda chodzidzimutsa:
- Ludzu lowonjezeka
- Kuwonjezera kukodza
- Kusuta / kusanza
- Kutaya thupi
- Kupuma kwakukulu ndi / kapena kupuma mofulumira
- Kupweteka m'mimba
- Mpweya wabwino
- Kutaya chidziwitso
Mavuto ena a Hyperglycemia
Hyperglycemic Hyperosmolor Nonketotic Syndrome
Matenda a hyperglyclar hyperosmolar osketotic coma (HHNKC) ndi vuto lalikulu kwambiri lomwe lingatheke mwa anthu omwe ali ndi matenda a shuga a mtundu wa 1 kapena a mtundu wa 2 , koma nthawi zambiri amapezeka mwa anthu omwe sali ndi insulini (omwe ali ndi shuga 2).
Izi zimatchedwa shuga yapamwamba ya magazi yomwe ili> 600 mg / dL. Nthawi zambiri amabweretsedwa ndi matenda, monga chibayo kapena matenda oyambitsa mkodzo, kapena kusamalira bwino shuga wanu wa magazi. Ngati simukutsatiridwa, izi zingayambitse chiwindi komanso imfa.
Zizindikilo zikuphatikizapo:
- ludzu lalikulu
- chisokonezo
- malungo (kawirikawiri kuposa madigiri 101 Fahrenheit)
- kufooka kapena kuuma ku mbali imodzi ya thupi
Njira yabwino yopezera HHNKC ndikutenga mankhwala anu monga momwe akutsogoleredwa ndi kuyanjana ndi gulu lanu la thanzi pamene shuga lanu la magazi liri nthawi zonse> 300 mg / dL.
Diabetic Ketoacidosis
Matenda a hyperglycemia angayambitse vuto linalake loopsa kwambiri, lomwe limatchedwa ketoacidosis (DKA), limene limapezeka makamaka mwa anthu omwe ali ndi matenda a shuga a mtundu woyamba ndipo nthawi zambiri amakhala chizindikiro choyamba cha mtundu wa shuga.
DKA imachitika ngati thupi liribe pang'ono kapena palibe insulini yogwiritsira ntchito ndipo, motero, shuga ya magazi imayamba kuopsa ndipo magazi amatha. Kuwonongeka kwa selo kungathe kuchitika ndipo ngati kupitirira kukulirakulira, kungayambitse imfa kapena kufa. DKA amafunikira thandizo lachipatala mwamsanga.
Zifukwa za Hypoglycemia
Mankhwala a hypoglycemia amapezeka pamene shuga lanu la magazi limatsika kwambiri (kawirikawiri pansi pa 70 mg / dl), ngakhale kuti kutsekemera kumatha kusiyana pakati pa munthu ndi munthu. Zitha kuchitika atamwa mowa, kumwa mowa kwambiri, osadya chakudya chokwanira, kapena panthawi yopuma. Mankhwala a hypoglycemia amatha kuchiritsidwa pakhomo ngati zizindikiro sizinali zovuta ndipo shuga wa magazi siidagwa pansi kwambiri.
Zizindikiro Zosamalidwa
Ngati mutayamba kumverera movutikira, kutukumuka, kuzunzika kapena kusokonezeka, ndipo muli ndi mita yanu, yesani shuga ya magazi. Ngati osachepera 70mg / dL muziwathandiza mukamachita masewera olimbitsa thupi, monga mapiritsi 3-4, masentimita anayi a madzi, soda sikisi. Yesetsani kachiwiri mu maminiti 15 ndikubwezerani mankhwala ngati shuga lanu la magazi silinakwere. Ngati mulibe mita yanu, koma dziwani kuti shuga wanu wamagazi ndi wotsika, muzichilandira mosasamala-izi zidzakuthandizani kuteteza vuto linalake. Ngati mwasamalira shuga lanu la magazi, ndipo simukupita, ndipo mukupitirizabe kukhala ndi zizindikiro, chonde pitani luso lanu lachipatala kapena kupita kuchipinda chodzidzimutsa. Zizindikilo zoti muyang'ane zikuphatikizapo:
- Kuwopsya kapena kufooka
- Kusayanjanitsika
- Kugona kapena chisokonezo
- Mutu
- Chizungulire
- Masomphenya awiri
- Kusokonezeka kapena kupanda kanthu
Pankhani ya chisamaliro chodzidzimutsa, gwiritsani ntchito zizindikiro izi ngati chitsogozo, komanso mvetserani mwatsatanetsatane. Ngati mukumva kuti chinachake chili cholakwika, sikuli malingaliro olakwika kutcha katswiri wa zaumoyo kapena kupita ku chipinda chodzidzimutsa.
Ngati Magazi Anu Sugar Ali ndi Chizoloŵezi Chochepa Kwambiri
Ngati shuga wanu wamagazi ali ndi chizoloŵezi chochepa kwambiri, mwamsanga kwambiri, kapena kuti wafikira pambali pa hypoglycemia yofunika kwambiri, yotanthauzidwa ndi American Association Diabetes Association monga magazi a shuga osakwana kapena ofanana ndi 54 mg / dL (3.0 mmol / L), glucagon ayenera kulamulidwa. Glucagon ndi hormone yomwe imathandiza chiwindi kutulutsa shuga kuti akwaniritse shuga ya magazi. Amaperekedwa kudzera mu jekeseni wamtima ndipo akhoza kudzipangira okha. Kaŵirikaŵiri imabweretsa shuga wa magazi mpaka mlingo woyenera mkati mwa mphindi 15.
Panthawi yovuta kwambiri imene simukudziwa ndipo simungathe kugwiritsira ntchito glucagon nokha, wina aliyense akufunika kukupatsani, kaya ndi antchito ofulumira kapena wina kunyumba kwanu. Ngati mumakhala ndi ena, ayenera kudziwa momwe angagwiritsire ntchito glucagon. Kapena ngati muli ndi mwana wamtundu wa shuga, aphunzitsi awo ayenera kuphunzitsidwa pogwiritsa ntchito glucagon. Pachifukwachi, ndiwe wekha, kuvala mtundu wina wa chizindikiritso chomwe chimalola antchito odzidzimutsa kuti akudwala matenda a shuga, monga chibangili cha chidziwitso kapena chizindikiro chovekedwa chitha kukuyankhulani pamene simungathe kudziyankhula nokha.
Matendawa Angathandizenso Kulimbana ndi Matenda a Shuga
Anthu omwe ali ndi matenda a shuga amakhala ochepetsetsa kwambiri ndipo ngati sachitidwa mwamsanga, matendawa amachititsa kuti munthu asamakhale ndi matenda a shuga. Matendawa akhoza kusintha kusintha kwa mahomoni kapena momwe thupi limayendera ndi mankhwala a shuga. Zotsatira zake, shuga wa magazi imatuluka, kuwonjezeka pangozi ya ketoacidosis.
Kwa anthu omwe ali ndi matenda a shuga, matenda a khungu kapena kuvulala pamapazi, angapangitse zilonda zomwe zingapangitse chiopsezo.
Pakakhala kuti muli ndi kachilombo ka HIV, ndikofunika kutchula gulu lanu la chisamaliro mwamsanga kuti mutha kuchiritsidwa msanga. Mudzafunanso kudziwa mmene mungasamalire matenda anu a shuga pamene thupi lanu likuda nkhawa. Mungafunike kumwa mankhwala ambiri panthawiyi.
Kodi Mungakonzekere Bwanji Mliri Woopsa wa Shuga?
Njira yabwino yokonzekera zochitika zadzidzidzi ndi kukhala ndi tsiku lodwala / dongosolo ladzidzidzi. Pangani mmodzi ndi gulu lanu lachipatala, sungani kopi yanu panyumba yanu ndi kunyamula kopi limodzi ndi inu mukatuluka. Mu ndondomekoyi, onetsetsani kuti zikuphatikizapo, mndandanda wa mankhwala anu onse, madokotala, ndi nambala zawo zothandizira. Muyenera nthawizonse kuvala mawonekedwe a zachipatala, nayenso.
Pomalizira pake, onetsetsani kuti mumanyamula mapiritsi otentha kwambiri (mapiritsi a shuga, madzi a maswiti), zakudya zopanda pake (zoperekera zakudya zambewu, mtedza, mafuta osakaniza, zakudya zowonjezera) , magazi anu a magazi ndi mankhwala omwe muli nawo.
Kodi Njira Yabwino Yotetezera Zowopsa Kuchitika?
Kuchita bwino matenda a shuga kudziletsa nokha ndiyo njira yabwino yopeŵera zoopsa zadzidzidzi kuti zisachitike. Izi zikuphatikizapo: Kudyetsa zakudya zathanzi, kusintha mavitamini, kuyesa mankhwala anu monga momwe akufunira, kuyesa shuga lanu la magazi nthawi zonse, kugwiritsa ntchito nthawi yochita masewera olimbitsa thupi, kusunga madokotala nthawi zonse, ndi kupewa makhalidwe oopsa, monga kumwa mowa mopitirira muyeso. Nthawi zina, mungathe kuchita zonse molondola, komabe mumakhala ndi shuga wochuluka kwambiri kapena wotsika kwambiri. Pachifukwa ichi, njira yabwino yopewera vuto ndikuthamangitsidwa ndi katswiri wa zaumoyo nthawi yomweyo kapena kupita ku chipinda chodzidzimutsa. Nthawi zonse ndibwino kukhala osamala kwambiri kuposa kupeŵa kapena kunyalanyaza zizindikiro zosadziwika.
Mawu Ochokera
Mukadwala matenda a shuga, ndizofunika kudziŵa zizindikiro zomwe muyenera kuziyang'anira kuti muteteze vuto lachipatala. Nthaŵi zambiri, zovuta ndizo chifukwa cha mchere wotsika kwambiri kapena wotsika kwambiri. Kupewa zoopsa mwa kuchita bwino matenda a shuga ndikofunika kwambiri, komabe nthawi zina zochitikazi sizingatheke. Ndichifukwa chake kukonzekera patsogolo ndi kudziphunzitsa nokha ndi mamembala anu ndi ofunika kwambiri.
Zotsatira:
> Chigwirizano cha ku America cha shuga. Malamulo a Zamankhwala pa Matenda a Shuga - 2017. Chisamaliro cha Shuga. 2017 Jan; 40 Phunziro 1: S1-S132.
> Chigwirizano cha ku America cha shuga. Hyperglycemia (High Blood Sugar). http://www.diabetes.org/living-with-diabetes/treatment-and-care/blood-glucose-control/hyperglycemia.html
> Chigwirizano cha ku America cha shuga. Hypoglycemia (Low Blood Sugar). http://www.diabetes.org/living-with-diabetes/treatment-and-care/blood-glucose-control/hypoglycemia-low-blood.html