Mmene Mungapewere Kowopsa
Mtundu uliwonse wa matenda, kaya ndi chimfine, chimfine, kapena china chake, chimayika maganizo pa thupi. 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 ndikofunika.
Ngati sichiyendetsedwa bwino, shuga yapamwamba kwambiri ya magazi panthawi ya matenda ikhoza kuchitika mwadzidzidzi.
Anthu omwe ali ndi matenda a shuga a mtundu wa 1 ali ndi chiopsezo chowonjezereka chokhala ndi vuto la hyperglycemic, lotchedwa ketoacidosis. Pamwamba pamtundu uwu wa asidi akhoza kukhala poizoni. Anthu omwe ali ndi matenda a shuga a mtundu wa 2 akhoza kukhala ndi vuto lomweli lotchedwa hyperosmolor hyperglycemia nonketotoic coma . Zonsezi zingakhale zowopsa.
Kukhala ndi ndondomeko yothandiza sikungathandize kokha kupweteka, koma kungathandizenso kuchepetsa mavuto ena ndikukuthandizani kuganizira za kupumula ndi kuchira. Mukadapanga ndondomeko, onetsetsani kuti mukugawana ndi okondedwa anu ndi osamalira.
Kodi Ndondomeko Yamasiku Odwala Ndi Chiyani?
Pangani ndondomeko ya tsiku lanu lakudwala ndi timu yanu ya shuga, kuphatikizapo dokotala wanu wamkulu, wodwalayo, wodwalayo, kapena wovomerezeka wokhudzana ndi shuga. Ndondomeko yanu iyenera kulemba mndandanda wa mayina, madera, ndi maadiresi anu onse.
Mudzafuna kudziwa momwe mungayendere ndi madokotala anu panthawi yovuta, makamaka maola omwe ali kunja kwa ofesi (mwachitsanzo maholide, mapeto a sabata).
Kuwonjezera apo, onetsani mndandanda wa mankhwala onse omwe mumatenga komanso mukamawatenga. Dokotala wanu angakupatseni malangizo a momwe mungasinthire mankhwala anu pamene mazira anu a magazi akukwera.
Onaninso momwe mumayenera kuyesa magazi nthawi zambiri nthawi ya matenda ndikusankha ndi gulu lanu pamene n'kofunika kuti muyankhule ndi dokotala wanu.
Yang'anani Magazi Anu Shuga
Kuyeza shuga wanu wa magazi ndi chinthu chofunika kwambiri pa matenda anu a shuga, makamaka pamene mukudwala. Ndipotu, mungafunikire kuyesa shuga lanu la magazi mobwerezabwereza mukakhala odwala kuti musatenge shuga ya magazi kuchokera ku spiking. Anthu ambiri amapindula ndi kuyesa shuga ya magazi maola anai onse. Pezani chipika cha glucose kuti mudziwe momwe shuga lanu likuyankhira mankhwala anu, chakudya, ndi kuledzera. Pangani mankhwala ndi kusintha kwa zakudya pakufunika.
Mwachitsanzo, ngati mukudya chakudya choyenera komanso kutenga mankhwala anu ochizira, ndipo shuga lanu la magazi liri pamwambapa cholinga chanu mungawonjezere insulini yanu. Ngati muli ndi shuga wamagazi omwe ndi oposa 250-300 mg / dL pa ma check angapo ndipo mwatenga mankhwala anu, muyenera kuyang'ana mkodzo wanu maketoni. Kuwunika ketoni wanu kungathandizenso kupewa ketoacidosis.
Kodi Ketoni Ndiyenera Kuzifufuza Nthawi Yanji?
Thupi limagwiritsa ntchito shuga monga gwero la mphamvu. Koma, pamene palibe insulini yotulutsira mu maselo, thupi limasintha kukhala "vuto la mphamvu" ndipo limayamba kutaya mafuta a thupi mu ketoni ngati mafuta ena.
Ma ketoni akuluakulu m'thupi akhoza kukhala oopsa. Mukakhala odwala, makonde a ketone akhoza kuwonjezeka pa zifukwa zingapo-simunayambe insulin yokwanira, zosowa zanu za insulini ndizowonjezereka chifukwa cha mchere wambiri wa magazi, kapena simungathe kudya chakudya chokwanira.
- Pofuna kupewa matenda a shuga ketoacidosis , muyenera kuyang'ana ketoni ngati mankhwala anu a shuga ndi oposa 250 mg / dL.
- Ngati muli ndi matenda a shuga a mtundu wa 1, mungafunikire kuyeza shuga ndi magazi a ma ketoni maola anai onse.
- Ngati muli ndi matenda a shuga a mtundu wa 2, kufufuza magazi m'magazi anayi patsiku kungakhale kokwanira. Muyenera kuyeza ketoni ngati magazi anu amatha kupitirira 300.
Idyani ndi Kumwa Nthawi Zonse Poletsa Kutetezeka Kwa madzi
Kupewa kutaya madzi m'thupi pamene mukudwala n'kofunika chifukwa kusayenerera kwa madzi ndi kusamvana kwa electrolyte kungapangitse asidi ochulukira m'magazi ndi mazira oopsa a shuga. Kutaya madzi m'thupi kumafuna nthawi zambiri kuchipatala ndi mankhwala opatsirana. Pofuna kuteteza kuchepa kwa madzi m'thupi, cholinga chanu chimamwa ndi kudya zakudya zanu zonse zomwe mungathe. Imwani zakumwa zowonjezera, zopanda calories (monga madzi ndi seltzer) kuti mutenge madzi alionse omwe ataya. Kudyetsa madzi okwanira kungathandizenso kutulutsa shuga wambiri (ndipo mwina ketoni) m'magazi anu. Kumwa kupyolera mu udzu kapena kuyamwa pa zipsu za ayezi kungathandizenso.
Koma, ngati simungathe kudya zakudya zowonongeka, yesetsani kudya zakudya zowonongeka. Zikuwoneka ngati zosagwirizana ndi matenda omwe ali ndi matenda a shuga omwe akudya , koma akuwotcha mchere wouma, English, muphuphu, mpunga, mitsempha, mipiringidzo yamadzi, sherbet, pudding, ndi msuzi wa apulo angathandize kukhazikika shuga.
Ngati simungathe kudya, muyenera kumwa zakumwa zomwe zimakhala ndi zakudya monga zakumwa za masewera, ginger ale okoma bwino, madzi apulo, madzi oundana, ndi zina zotero. Madzi amenewa akhoza kukupatsani shuga ndi electrolytes. Zidutswa zazing'ono, zomwe zimakhala ndifupipafupi zimakuthandizani kuti mukhale ndi hydrated komanso kuonjezera kuti mutha kumwa mowa. Bungwe la American Diabetes Association likuwonetsani kuti mukufuna kudya pafupifupi magalamu 50 a mavitamini maola atatu kapena anayi. Mwachitsanzo, magalamu 28 a Gatorade ali ndi 49 gm ya carbohydrate, kutanthauza kuti mumayenera kumwa ma ola 7 pa ola lililonse kapena apo.
Ngati mukudwala kwambiri kuti musadye chakudya kapena chakumwa chilichonse ndipo mukucheperachepera, muyenera kutchula dokotala wanu.
Tengani Mankhwala Anu a Shuga
Chifukwa kukhala wodwala mwachibadwa kumawonjezera shuga wanu wa magazi, kudumpha mankhwala anu kungachititse kuti shuga lanu la magazi liwonjezeke kwambiri. Popanda dokotala wanu kuti adziwonetsetse, nkofunika kutenga mankhwala anu , insulini kapena mankhwala amlomo, monga momwe mwalangizira. Ngakhale ngati mukusanza ndipo simungathe kudya, mufunikirabe kumwa mankhwala anu. Ndipotu, anthu ena omwe amatenga insulini angafunikire kuwonjezera mlingo wawo pa nthawi ya matenda. Zomveka izi zingakhale zosokoneza komanso zowopsya. Choncho, ngati mumasamala za kumwa mankhwala, dandauzani dokotala kuti awonetse ngati mayeso anu ayenera kusintha.
Khalani Ochenjera ndi Kugonjetsa Mankhwala Oposa
Mankhwala owonjezera omwe ali ndi mankhwala omwe angapangitse shuga wanu wa magazi kukwera kapena pansi. Mwachitsanzo, madzi a chifuwa amakhala ndi shuga, zomwe zimayambitsa shuga. Musanagule mankhwala aliwonse atsopano, kambiranani zotsatira ndi mankhwala anu. Kapena bwino, funsani dokotala kuti adziwe mankhwala omwe ali otetezeka komanso zomwe muyenera kuzipewa mu ndondomeko ya tsiku lanu lakudwala. Mudzafuna kudziwa zomwe muyenera kuyang'ana kuti muthe kukonzekera .
Dziwani Nthawi Yotchulira Dokotala Wanu
Simuyenera kutchula dokotala wanu nthawi iliyonse imene mukudwala. Komabe, bungwe la American Diabetes Association ndi CDC, limalimbikitsa kuitana dokotala chifukwa cha izi:
- Simungathe kudya ndipo simunathe kusunga chakudya kwa maola oposa 6
- Mwakhala mukudwala kapena muli ndi malungo kwa masiku angapo ndipo simukukhala bwino
- Muli ndi malungo 101 kapena apamwamba
- Mukutsegula m'mimba kapena kusanza
- Magazi anu a shuga ndi <60mg
- Magazi anu a shuga ndi> 240mg / dL kwa ma check angapo ngakhale mutatenga mankhwala anu
- Mumamwa mapiritsi anu a shuga ndipo m'mimba mwazi mumakwera kufika pa zoposa 240 musanadye ndikukhala kumeneko kwa maola oposa 24
- Muli ndi ketoni zochepa kapena zazikulu mumkodzo wanu (izi zimapangitsa chiopsezo chanu chokhala ndi ketoacidosis)
- Muli ndi zizindikiro za ketoacidosis kapena kuchepa kwa madzi: mpweya wanu umamva fruity, chifuwa chanu chimapweteka, mukuvutika kupuma, milomo yanu yuma ndi yowopsya
- Mukusokoneza ma lb 5 kapena kuposa
- Iwe uli tulo kapena sudziwa momwe ungadzisamalire wekha
Dziwani Pamene Ndizoopsa
Ngati ndinu wosamalira mwana kapena wachikulire yemwe ali ndi shuga, ndikofunika kuti mudziwe zizindikiro za matenda a shuga ketoacidosis, makamaka ngati sangathe kufotokoza malingaliro ake kapena kufunikira kwake. Zina mwa izi zikhoza kusokonezeka ndikumangodwala, koma nkofunika kuti muwazindikire.
Zizindikiro zoyambirira zikuphatikizapo:
- Kumva kutopa kapena kutopa
- Kumva ludzu komanso / kapena kukodza kwambiri
- Zizindikiro za kuchepa kwa madzi monga madzi ouma
Zizindikiro zina zikuphatikizapo:
- Kutaya thupi
- Kusuta / kusanza
- Kupweteka m'mimba
- Kupweteka pachifuwa
- Kusokonezeka
- Kuthamanga, kozama, kupuma molimbika (kupuma kwa Kussmaul)
- Mpweya umene umamva fruity
- Fever
- Kusadziŵa
Ngati muwona zizindikiro izi, mudzafuna kuyang'ana makononi ndikumuitanira dokotala nthawi yomweyo.
Valani Dokotala Wanu wa Zamankhwala
Ngati mukuyenera kutumizidwa ku chipinda chodzidzimutsa, muyenera kuvala chidziwitso chanu cha shuga kotero kuti antchito angakuzindikireni ngati munthu amene ali ndi shuga. Ngati mulibe chidziwitso, onetsetsani kuti inu kapena okondedwa anu mumalankhulana ndi madokotala ndi antchito, kuwachenjeza kuti muli ndi matenda a shuga ndi kulemba mndandanda wa mankhwala omwe mumatenga.
Ngati mulibe ID ya zachipatala ndipo mukuyang'ana chinthu china chowongolera, yang'anani zodzikongoletsera za Lauren's Hope Medical.
Mawu Ochokera
Kukhala wodwala kungapangitse shuga lanu mwa kuwonjezeka kwa shuga-kutulutsa mahomoni ndi kuteteza kuchepetsa shuga kwa shuga. Koma, izo sizikutanthauza kuti chifukwa chakuti mukudwala kuti simungathe kusamalira shuga lanu mwazi bwinobwino. Kukhala ndi ndondomeko ya tsiku lodwala kungakuthandizeni kuganizira za machiritso, komanso kupewa matenda a shuga. Kuphatikizapo zidziwitso monga, mayina a madokotala, nambala, ndi mauthenga okhudzana ndi maola nthawi yofunikira kwambiri. Kuonjezera apo, mufuna kudziwa kangati kuti mumayesetse bwanji shuga wagazi, zakudya ndi zakumwa ziti zomwe mukuyenera kuzidya, mukamayezetsa ketoni, komanso momwe mungadziwire kuti mukudwala matenda oopsa. Kuteteza izi musanadwale kudzakuthandizani kuti muganizidwe kuti mukhale ndi thanzi popanda kudandaula za matenda anu a shuga.
> Zotsatira:
> Chigwirizano cha ku America cha shuga. Pamene Mudwala.
> Chithandizo cha Kuletsa ndi Kupewa Matenda. Khalani bwino mu nyengo ya mvula.