Mpaka pano, palibe mankhwala omwe apezeka kuti achire shuga. Thandizo lomwe likuperekedwa likufuna kubwezeretsanso shuga wabwinobwino wamagazi. Ulemu wa chithandizo komanso kuyang'anira zamankhwala ndikofunikira kuti tipewe zovuta komanso zovuta.

Dokotala amapanga dongosolo chithandizo kutengera zotsatira za kuyezetsa magazi, kuyezetsa, ndi zizindikiro zake. Kufunsana ndi namwino, katswiri wa zakudya komanso, ngati n'kotheka, katswiri wodziwa zamoyo amathandizira kuwongolera bwino komanso ulamuliro mokwanira matenda.

Pezani BONUS: mankhwala zokwanira, zabwino zakudya ndi zina zosinthidwa kuti njira ya moyo, anthu odwala matenda a shuga amakhala ndi moyo pafupifupi wabwinobwino.

Mankhwala

Tani mtundu wa 1 shuga. Mankhwala okhazikika amakhala nthawi zonse insulin, kuperekedwa ndi jakisoni wa tsiku ndi tsiku kapena mosalekeza kugwiritsa ntchito pampu yaing'ono yolumikizidwa ndi catheter yomwe imayikidwa pansi pa khungu.

Tani mtundu wa 2 shuga. Pali mitundu itatu ya mankhwala (mu mapiritsi) aliyense ali ndi kachitidwe kake: kulimbikitsa kupanga kwa insulin ndi kapamba; kuthandizira minofu kugwiritsa ntchito insulin kuti itenge glucose; kapena kuchepetsa kuyamwa kwa shuga m'matumbo. Mankhwala osiyanasiyanawa amatha kugwiritsidwa ntchito okha kapena kuphatikiza kuti agwire bwino ntchito. Matenda a shuga a Type 2 nthawi zina amafunikirainsulinotherapy.

Matenda a shuga a Gestational. Kafukufuku akuwonetsa kuti chithandizo chimathandiza kupewa zovuta zina amayi ndi fetus. Kawirikawiri kusintha kwa zakudya ndi ulamuliro wa kulemera ndizokwanira kuti shuga m'magazi azikhala mosiyanasiyana. Ngati ndi kotheka, insulini kapena, kawirikawiri, mankhwala ena a hypoglycemic amaperekedwa.

Onani masamba pamitundu ya shuga kudziwa zambiri za chithandizo chamankhwala.

Kudziwa momwe kupewa ndi kuchiza matenda anthawi yayitali okhudzana ndi matenda ashuga, onani tsamba lathu la Diabetes Complications.

Ndi liti komanso momwe mungayezere shuga wamagazi anu?

La shuga ndi muyeso wa ndende ya shuga (shuga wa m’magazi. Anthu odwala matenda a shuga ayenera kuyang’anitsitsa shuga wawo wa m’magazi kuti asinthe mankhwala awo (malinga ndi zakudya, maseŵera olimbitsa thupi, kupsinjika maganizo, ndi zina zotero) ndi kusunga shuga m’magazi moyandikira kwambiri nthaŵi zonse. . kuwongolera ndikofunikira kwambiri chifukwa kumathandizira kuchepetsa kapena kupewa zovuta matenda a shuga

Kawirikawiri, anthu ndi Tani mtundu wa 1 shuga kuyeza shuga wawo wamagazi 4 pa tsiku (asanadye chilichonse komanso asanagone), pomwe akudwala Tani mtundu wa 2 shuga nthawi zambiri amatha kukhutitsidwa ndi muyeso watsiku ndi tsiku kapena, nthawi zina, kuwerengera katatu pa sabata (onani kwathu kwatsopano Kodi Kuyeza Kwa Glucose Wamwazi Kumathandiza Anthu Odwala Matenda A shuga Osapatsidwa Insulin?).

Glucose wamagazi kwa achinyamata komanso akuluakulu omwe ali ndi matenda ashuga

Mulingo wa mmol / l umayimira kuchuluka kwa shuga pa lita imodzi yamagazi.

Source: Canadian Diabetes Association 2008 Clinical Practice Guidelines.

Pankhani ya hyperglycemia kapena hypoglycemia

Anthu odwala matenda a shuga amakonda kusinthasintha kwambiri shuga m'magazi awo. Choncho m’pofunika kudziŵa mmene mungachitire zinthu zikabuka.

Hyperglycemia.

Kuwonjezeka kwa kuchuluka kwa shuga m'magazi: m'mimba yopanda kanthu, shuga m'magazi ndi wamkulu kuposa kapena wofanana ndi 7 mmol / l (130 mg / dl) kapena maola 1 kapena 2 mutatha kudya, mpaka 11 mmol / l (200 mg / dl) kapena kupitilira apo. The zizindikiro ndi omwe ali ndi matenda a shuga: kutulutsa mkodzo kwambiri, ludzu lochulukirapo ndi njala, kutopa, etc.

Zimayambitsa

• Idyani zakudya zotsekemera kwambiri kuposa zomwe zikuloledwa.
• Chepetsani zochita zanu zolimbitsa thupi.
• Chitani mlingo wolakwika wa mankhwala: kusowa kwa insulin kapena mankhwala a hypoglycemic.
• Kukhala ndi nkhawa.
• Matenda oopsa, monga chibayo kapena pyelonephritis (matenda a impso), chifukwa izi zimawonjezera kufunika kwa insulin.
• Imwani mankhwala ena (glucocorticoids monga cortisone, mwachitsanzo, kuwonjezera shuga wamagazi).

Zoyenera kuchita

• Yezerani shuga wamagazi anu.
• Ngati shuga wamagazi apitilira 15 mmol / l (270 mg / dl) ndipo ngati muli ndi matenda a shuga 1, yesani kuchuluka kwa matupi a ketone mumkodzo (kuyesa kwa ketonuria: onani pamwambapa).
• Imwani madzi ambiri kuti mupewe kutaya madzi m'thupi.
• Kuyesera kupeza chomwe chimayambitsa hyperglycemia.

Matenda osokoneza bongo.

Kutsika kwa kuchuluka kwa shuga m'magazi: shuga ikatsika pansi pa 4 mmol / l (70 mg / dl). Kunjenjemera, kutuluka thukuta, chizungulire, kugunda kwa mtima, kutopa, kuyasamula, ndi kunjenjemera ndi zizindikiro za kuchepa kwa shuga m'magazi. Mukapanda kuthandizidwa, hypoglycemia imatha kuyambitsa kutaya chidziwitso, kutsagana kapena ayi khunyu.

Zimayambitsa

• Pangani cholakwika pamlingo wamankhwala (ma insulin ochulukirapo kapena othandizira a hypoglycemic).
• Kudumpha chakudya kapena zokhwasula-khwasula, kapena kuzigwira mochedwa.
• Kudya zakudya za shuga zosakwanira.
• Wonjezerani zochita zanu zolimbitsa thupi.
• Imwani mowa.

Zoyenera kuchita

• Yezerani shuga wamagazi anu.
• Idyani chakudya chomwe chimapereka 15 g yamafuta (omwe amatengedwa mwachangu), monga 125 ml ya madzi a zipatso kapena zakumwa zoziziritsa kukhosi; 3 tbsp. shuga kusungunuka m'madzi; 3 tbsp. uchi kapena kupanikizana; kapena chikho chimodzi cha mkaka, ndikudikirira mphindi 1 kuti shuga akhazikike.
• Yezeraninso shuga m'magazi ndikutenganso 15 g ya chakudya cham'magazi ngati hypoglycemia ikapitilira.
• Kuyesera kudziwa chomwe chimayambitsa hypoglycemia.

Matenda a shuga

Kunja kwa mankhwala, anthu omwe ali ndi matenda a shuga amakhala ndi chidwi chofuna kukhazikitsa achakudya ndikukhala ndi pulogalamu yabwinozolimbitsa thupi. Zowonadi, njira zosagwiritsa ntchito mankhwala izi zitha kuchepetsa mlingo wa mankhwala ndikuletsa zovuta zina. Kunenepa kwambiri komanso kusachita masewera olimbitsa thupi ndizowopsa kwa odwala matenda ashuga.

Dongosolo lazakudya

Un zakudya zopangidwa mwaluso amapangidwa ndi katswiri wa zakudya. Kusintha kwazakudya komwe akuyembekezeredwa kumatha kuwongolera bwino shuga wamagazi, kusunga kapena kusunthira ku kulemera kwabwino, kukonza mbiri ya lipid m'magazi, kuwongolera kuthamanga kwa magazi ndikuchepetsa chiopsezo cha zovuta.

Mu Diet Special: Pepala la matenda a shuga, katswiri wa zakudya Hélène Baribeau akupereka mwachidule pulogalamu ya chakudya yopangidwira anthu odwala matenda a shuga. Nazi zazikulu:

• Onani kuchuluka ndi mtundu wa chakudya, ndi kuchuluka kwa magwiritsidwe ake.
• Idyani kuposa CHIKWANGWANI zakudya, chifukwa amachepetsa kuyamwa kwa ma carbohydrate.
• Ikani patsogolo mafuta abwino kukonza mbiri ya lipid ndikupewa zovuta.
• Kudya themowa moyenera.
• Sinthani magetsi molingana ndizolimbitsa thupi.

Onani Tsamba Lazakudya Zapadera: Zowona za Diabetes kuti mumve zambiri. Mudzapezanso chitsanzo cha mtundu wa menyu.

Zochita zolimbitsa thupi

Ndikofunikira makamaka kuyeserera masewera olimbitsa thupi zolimbitsa mwamphamvu, malinga ndi kukoma: kuyenda, tennis, kupalasa njinga, kusambira, etc.

Akatswiri a Mayo Clinic amalimbikitsa gawo latsiku lililonse la osachepera mphindi 30, kuwonjezera pa kuwonjezera masewera olimbitsa thupikutambasula ndi ojambula ndi zolemera ndi dumbbells.

Ubwino wochita masewera olimbitsa thupi pafupipafupi

- Mitengo yotsika ya magazi a shuga, makamaka polola kuti thupi lizigwiritsa ntchito bwino insulin.

- Kutsika kwa kuthamanga kwa magazi ndi kulimbitsa kwa mtima minofu, womwe ndi mwayi wotsimikizika chifukwa odwala matenda ashuga amakhala pachiwopsezo chachikulu chodwala matenda amtima.

- Kupindula kapena kukonza a kulemera kwathanzi, yomwe ili yofunika kwambiri ndi matenda a shuga a mtundu wa 2.

- Kuwonjezeka kwakumva ubwino (kudzidalira, etc.) komanso kamvekedwe ka minofu ndi mphamvu.

- Kuchepa kwa mlingo wa mankhwala antidiabetic, mwa anthu ena.

Njira zopewera kutenga

– Matenda a shuga ayenera kukhala waluso musanayambe pulogalamu iliyonse yolimbitsa thupi;

– Kulankhula naye dokotala pulogalamu yanu yolimbitsa thupi (mafupipafupi ndi kukula kwa Mlingo wa insulin kapena mankhwala a hypoglycemic angasinthe).

- Yang'anani shuga m'magazi musanachite masewera olimbitsa thupi komanso mukamaliza.

- Yambani ndi zochita zamphamvu moyenera.

- Khalani pafupi pafupi zakudya kukhala ndi chakudya chochuluka ngati hypoglycemia ikukula.

- Nthawi zolimbitsa thupi komanso magawo a jakisoni wa insulin ziyenera kukhala zokwanira Kutali kwa wina ndi mzake kupewa kutsika kwambiri kwa shuga m'magazi.

Thandizo limodzi ndi chithandizo chamagulu

Kuzindikira kwa shuga ndi chodabwitsa kwa anthu ambiri. Poyamba, nthawi zambiri zimayambitsa nkhawa zokhudzana ndi nkhawa zambiri. Kodi ndidzatha kulamulira matenda anga ndi kukhalabe ndi moyo woyenerera? Kodi ndingatani ndi zotsatira za matendawa, nthawi yochepa komanso yayitali? Ngati ndi kotheka, angapo Chuma (achibale, madokotala kapena ogwira ntchito yazaumoyo, magulu othandizira) atha kupereka chithandizo chamakhalidwe abwino.

Kupsinjika maganizo ndi shuga wamagazi

Kusamalira bwino kupsinjika kwa tsiku ndi tsiku kumalimbikitsa kuwongolera bwino kwa matenda, pazifukwa za 2.

Pansi pa zotsatira za kupsinjika maganizo, wina angayesedwe samalani pang'ono thanzi (siyani kukonzekera chakudya, kusiya kuchita masewera olimbitsa thupi, kuyang'anira shuga m'magazi nthawi zambiri, kumwa mowa, etc.).

Kupsinjika maganizo kumachita mwachindunji pa shuga m'magazi, koma zotsatira zake zimasiyana munthu ndi munthu. Kwa anthu ena, mahomoni opsinjika maganizo (monga cortisol ndi adrenaline) amawonjezera kutulutsidwa kwa shuga wosungidwa m'chiwindi kulowa m'magazi, zomwe zimapangitsa kuti magazi awonongeke.hyperglycemia. Mwa zina, kupsinjika maganizo kumachepetsa chimbudzi ndipo m'malo mwake kumayambitsa hypoglycemia (tingayerekezere ndi kuchedwa kudya kapena chokhwasula-khwasula).

Kuchita masewera olimbitsa thupi mozama ndi kusinkhasinkha, komanso kugona mokwanira kungathandize kuchepetsa kusinthasintha kwa shuga m'magazi chifukwa cha kupsinjika maganizo. Kudzakhalanso kofunikira kupanga masinthidwe oyenera m’moyo wake kuti achitepo kanthu pa magwero a kupsinjika maganizo. Mchitidwewu sulowa m'malo mwamankhwala (wodwala matenda a shuga a mtundu woyamba akasiya kumwa insulini amatha kufa nawo).