Mayeso a shuga wamagazi
Kuyesedwa kwa shuga m'magazi kumayeza kuchuluka kwa shuga wotchedwa glucose mchitsanzo cha magazi anu.
Glucose ndiye gwero lalikulu lamphamvu m'maselo ambiri amthupi, kuphatikiza maubongo. Glucose ndi malo omangira chakudya. Zakudya zamadzimadzi zimapezeka mu zipatso, chimanga, mkate, pasitala, ndi mpunga. Zakudya zamadzimadzi zimasandulika kukhala glucose m'thupi lanu. Izi zitha kukulitsa kuchuluka kwa shuga wamagazi.
Mahomoni opangidwa m'thupi amathandiza kuchepetsa magazi m'magazi.
Muyenera kuyesa magazi.
Mayesowa atha kuchitidwa motere:
- Simunadye chilichonse kwa maola 8 (kusala)
- Nthawi iliyonse yamasana (mwachisawawa)
- Patadutsa maola awiri mutamwa shuga wambiri (mayeso olekerera pakamwa)
Pamene singano imayikidwa kuti ikoke magazi, anthu ena amamva kupweteka pang'ono. Ena amangomva kubaya kapena kuluma. Pambuyo pake, pakhoza kukhala kupunduka kapena kuvulala pang'ono. Izi posachedwa zichoka.
Wothandizira zaumoyo wanu akhoza kuyitanitsa mayeso ngati muli ndi zizindikiro za matenda ashuga. Zowonjezera, woperekayo adzaitanitsa kuyesa kwa magazi mwachangu.
Kuyezetsa magazi m'magazi kumagwiritsidwanso ntchito kuwunika anthu omwe ali ndi matenda ashuga kale.
Mayesowo amathanso kuchitidwa ngati muli:
- Kuwonjezeka kwakanthawi komwe muyenera kukodza
- Posachedwapa ndapeza kulemera kwambiri
- Masomphenya olakwika
- Kusokonezeka kapena kusintha kwa momwe mumalankhulira kapena momwe mumakhalira
- Kukomoka
- Kugwidwa (kwa nthawi yoyamba)
- Kukomoka kapena kukomoka
KUYANG'ANIRA KWA ASUKU
Mayesowa atha kugwiritsidwanso ntchito kuwonetsera munthu yemwe ali ndi matenda ashuga.
Shuga wamagazi ndi matenda ashuga sangayambitse matenda kumayambiliro. Kuyezetsa magazi mwachangu nthawi zambiri kumachitika kuti athe kuwunika matenda ashuga.
Ngati muli ndi zaka zopitilira 45, muyenera kuyesedwa zaka zitatu zilizonse.
Ngati mukulemera kwambiri (index mass body, kapena BMI, wa 25 kapena kupitilira apo) ndipo muli ndi zoopsa zilizonse pansipa, funsani omwe akukuthandizani kuti akayesedwe ali okalamba komanso pafupipafupi:
- Kuchuluka kwa shuga wamagazi pamayeso am'mbuyomu
- Kuthamanga kwa magazi kwa 140/90 mm Hg kapena kupitilira apo, kapena kuchuluka kwama cholesterol
- Mbiri ya matenda amtima
- Yemwe ali pachiwopsezo chachikulu (African American, Latino, Native American, Asia American, kapena Pacific Islander)
- Mkazi yemwe adapezeka kuti ali ndi matenda ashuga
- Matenda ovuta a Polycystic (momwe mkazi amakhala ndi vuto la mahomoni achikazi omwe amayambitsa zotupa m'mimba mwake)
- Wachibale wapafupi ndi matenda ashuga (monga kholo, mchimwene, kapena mlongo)
- Osagwira ntchito
Ana a zaka zapakati pa 10 kapena kupitilira apo onenepa kwambiri ndipo ali ndi zifukwa ziwiri zomwe zatchulidwa pamwambapa ayenera kuyesedwa mtundu wa 2 shuga zaka zitatu zilizonse, ngakhale atakhala kuti alibe zisonyezo.
Ngati munayezetsa magazi m'magazi osala kudya, mulingo wapakati pa 70 ndi 100 mg / dL (3.9 ndi 5.6 mmol / L) umadziwika kuti ndiwachibadwa.
Ngati munayezetsa magazi mosasintha, zotsatira zake zimadalira nthawi yomwe mwadya kale. Nthawi zambiri, kuchuluka kwa shuga m'magazi kumakhala 125 mg / dL (6.9 mmol / L) kapena kutsika.
Zitsanzo pamwambapa zikuwonetsa muyeso wamba wazotsatira zamayesowa. Mitengo yamtengo wapatali imatha kusiyanasiyana pakati pa ma labotore osiyanasiyana. Ma lab ena amagwiritsa ntchito miyeso yosiyana kapena amatha kuyesa mitundu yosiyanasiyana. Lankhulani ndi omwe akukuthandizani za tanthauzo la zotsatira zanu zoyeserera.
Magazi a m'magazi omwe amayesedwa ndi kuyezetsa magazi kuchokera mumtsempha amawerengedwa kuti ndi olondola kwambiri kuti shuga wamagazi amayeza kuchokera pachala chala ndi mita yamagazi, kapena shuga wamagazi omwe amayesedwa ndi chowunika mosalekeza cha glucose.
Mukadayezetsa magazi m'magazi osala kudya:
- Mulingo wa 100 mpaka 125 mg / dL (5.6 mpaka 6.9 mmol / L) amatanthauza kuti mwakhala ndi vuto la kusala kudya kwa glucose, mtundu wa prediabetes. Izi zimawonjezera chiopsezo chanu chokhala ndi matenda ashuga amtundu wa 2.
- Mulingo wa 126 mg / dL (7 mmol / L) kapena kupitilira apo nthawi zambiri kumatanthauza kuti muli ndi matenda ashuga.
Mukanayezetsa magazi mosasintha:
- Mulingo wa 200 mg / dL (11 mmol / L) kapena kupitilira apo nthawi zambiri kumatanthauza kuti muli ndi matenda ashuga.
- Wopereka wanu adzaitanitsa magazi osala magazi, mayeso a A1C, kapena mayeso olekerera shuga, kutengera zotsatira zoyeserera zamagazi.
- Kwa munthu yemwe ali ndi matenda ashuga, zotsatira zoyipa zoyesa magazi mosiyanasiyana zitha kutanthauza kuti matendawa samayang'aniridwa bwino. Lankhulani ndi omwe amakupatsani zomwe mukufuna kukwaniritsa m'magazi anu ngati muli ndi matenda ashuga.
Mavuto ena azachipatala amathanso kuyambitsa mulingo wopitilira muyeso wa magazi, kuphatikiza:
- Kuchuluka kwa chithokomiro
- Khansara ya pancreatic
- Kutupa ndi kutupa kwa kapamba (kapamba)
- Kupsinjika chifukwa chakupwetekedwa mtima, sitiroko, mtima, kapena opaleshoni
- Zotupa zambiri, kuphatikizapo pheochromocytoma, acromegaly, Cushing syndrome, kapena glucagonoma
Mulingo wotsika kwambiri kuposa magazi wabwinobwino (hypoglycemia) ukhoza kukhala chifukwa cha:
- Hypopituitarism (matenda a pituitary gland)
- Matenda a chithokomiro osagwira ntchito kapena adrenal gland
- Chotupa m'mapapo (insulinoma - chosowa kwambiri)
- Chakudya chochepa kwambiri
- Kuchuluka kwa insulini kapena mankhwala ena a shuga
- Chiwindi kapena matenda a impso
- Kuchepetsa thupi pambuyo pochita opareshoni
- Kuchita masewera olimbitsa thupi mwamphamvu
Mankhwala ena amatha kukweza kapena kutsitsa magazi m'magazi anu. Musanayezedwe, uzani omwe akukuthandizani zamankhwala onse omwe mukumwa.
Kwa atsikana ena ocheperako, kuchuluka kwa shuga wamagazi osakwana 70 mg / dL (3.9 mmol / L) kumatha kukhala kwachilendo.
Pali chiopsezo chochepa chotenga magazi anu. Mitsempha ndi mitsempha imasiyana mosiyanasiyana kuchokera pa munthu wina kupita kwina komanso kuchokera mbali imodzi ya thupi kupita mbali inayo. Kupeza magazi kuchokera kwa anthu ena kumatha kukhala kovuta kuposa ena.
Zowopsa zina zomwe zimakoka magazi ndi zochepa, koma mwina ndi izi:
- Kutaya magazi kwambiri
- Kukomoka kapena kumva mopepuka
- Ma punctures angapo kuti mupeze mitsempha
- Hematoma (magazi akuchuluka pansi pa khungu)
- Kutenga (chiopsezo chochepa nthawi iliyonse khungu likasweka)
Shuga wokhazikika; Mlingo wa shuga wamagazi; Kusala shuga wamagazi; Mayeso a shuga; Kuyeza matenda ashuga - kuyesa magazi; Matenda ashuga - kuyesa magazi
- Lembani 2 matenda ashuga - zomwe mungafunse dokotala wanu
- Kuyezetsa magazi
Bungwe la American Diabetes Association. 2. Gulu ndi matenda a shuga: miyezo ya chithandizo chamankhwala ashuga - 2019. Chisamaliro cha shuga. 2019; 42 (Suppl 1): S13-S28. PMID: 30559228 pubed.ncbi.nlm.nih.gov/30559228/.
Chernecky CC, Berger BJ. Shuga, maola awiri pambuyo pa prandial - seramu yokhazikika. Mu: Chernecky CC, Berger BJ, olemba., Eds. Kuyesa Kwantchito ndi Njira Zakuzindikira. Lachisanu ndi chimodzi. St Louis, MO: Elsevier Saunders; 2013: 585.
Chernecky CC, Berger BJ. Mayeso a kulolerana kwa glucose (GTT, OGTT) - magazi wamba. Mu: Chernecky CC, Berger BJ, olemba., Eds. Kuyesa Kwantchito ndi Njira Zakuzindikira. Lachisanu ndi chimodzi. St Louis, MO: Elsevier Saunders; 2013: 591-593.