Magazi a m'magazi: ndi chiyani, momwe mungayezerere ndi momwe mungatanthauzire

Zamkati

• Momwe mungayezere magazi m'magazi
• 1. Capillary glycemia
• 2. Kusala shuga m'magazi
• 3. Mpweya wa hemoglobin
• 4. Glycemic pamapindikira
• 5. Kutsekemera kwa shuga m'magazi
• 6. Chojambulira magazi m'magazi
• Ndi chiyani
• Kodi mfundo zake ndi ziti
• 1. Magazi otsika
• 2. Kuchuluka kwa shuga m'magazi

Glycemia ndilo liwu lomwe limatanthawuza kuchuluka kwa shuga, wodziwika bwino monga shuga, m'magazi omwe amabwera ndikulowetsa zakudya zomwe zili ndi chakudya, monga keke, pasitala ndi mkate, mwachitsanzo. Kuchuluka kwa shuga m'magazi kumayendetsedwa ndi mahomoni awiri, insulin yomwe imathandizira kutsika kwa shuga m'magazi ndi glucagon yomwe imagwira ntchito yowonjezera milingo ya shuga.

Pali njira zingapo zoyezera kuchuluka kwa magazi m'magazi kudzera mumayeso amwazi, monga kusala magazi m'magazi ndi glycated hemoglobin, kapena pogwiritsa ntchito ma metre a magazi osavuta kugwiritsa ntchito ndi zida zomwe munthu angagwiritse ntchito.

Malingaliro owonetsa magazi m'magazi ayenera kukhala pakati pa 70 mpaka 100 mg / dL posala ndipo ikakhala pansi pamtengo uwu imawonetsa hypoglycemia, yomwe imayambitsa zizindikilo monga kuwodzera, chizungulire komanso kukomoka. Hyperglycemia, mbali inayo, ndi pomwe magazi am'magazi amakhala pamwamba pa 100 mg / dL kwinaku akusala ndipo atha kuwonetsa mtundu wa 1 kapena mtundu wa 2 wa shuga, womwe ukapanda kulamulidwa, ungayambitse zovuta, monga zovuta zamasomphenya ndi phazi la ashuga. Dziwani zizindikiro zina za matenda ashuga.

Momwe mungayezere magazi m'magazi

Shuga wamagazi amatanthauza kuchuluka kwa shuga m'magazi ndipo amatha kuyeza m'njira zingapo, monga:

1. Capillary glycemia

Magazi a capillary magazi ndikuwunika komwe kumachitika ndikumenyedwa ndi chala kenako dontho lamagazi limasanthulidwa pa tepi yolumikizidwa ndi chida chotchedwa glucometer. Pakadali pano pali mitundu ingapo yamitundu yosiyanasiyana ya glucometer, yomwe imagulitsidwa kuma pharmacies ndipo imatha kuchitidwa ndi aliyense, bola momwe idakhalira kale.

Mayeso amtunduwu amalola anthu omwe ali ndi matenda ashuga kuti azitha kuwongolera kuchuluka kwa magazi m'magazi, kupewa magawo a hypoglycemia chifukwa chogwiritsa ntchito ma insulins, kuthandiza kumvetsetsa momwe chakudya, kupsinjika, momwe akumvera komanso zolimbitsa thupi zimasinthira kuchuluka kwa shuga m'magazi. kukhazikitsa mlingo woyenera wa insulini woti uperekedwe. Onani momwe mungayezere shuga wamagazi wama capillary.

2. Kusala shuga m'magazi

Kusala magazi m'magazi ndimayeso amwazi omwe amayesedwa kuti awone kuchuluka kwa magazi m'magazi ndipo ayenera kuchitika patatha nthawi osadya kapena kumwa, kupatula madzi, kwa maola osachepera 8 kapena monga adalangizira dokotala.

Kuyesaku kumathandizira dokotala kapena endocrinologist kuti azindikire matenda ashuga, komabe, zitsanzo zingapo ziyenera kusonkhanitsidwa ndikuyesedwa, monga glycated hemoglobin, atha kulimbikitsidwa kuti adotolo atseke matenda a shuga. Kusala kudya kwa magazi kumathanso kuchitidwa kuti dokotala awone ngati chithandizo cha matenda a shuga chikuyenda bwino kapena kuwunika mavuto ena azaumoyo omwe amasintha kuchuluka kwa magazi m'magazi.

3. Mpweya wa hemoglobin

Glycated hemoglobin, kapena HbA1c, ndimayeso amwazi omwe amachitika kuti athe kuyesa kuchuluka kwa shuga womangidwa ndi hemoglobin, gawo limodzi la maselo ofiira amwazi, ndipo amatanthauza mbiri ya shuga wamagazi masiku opitilira 120, popeza ndi nthawi yamoyo wamagazi ofiira. Selo komanso nthawi yomwe imatsegulidwa ndi shuga, ndikupanga hemoglobin ya glycated, ndipo kuyezetsa uku ndiye njira yogwiritsidwa ntchito kwambiri yozindikira matenda ashuga.

Malingaliro abwinobwino a glycated hemoglobin ayenera kukhala ochepera 5.7%, komabe, nthawi zina, zotsatira za glycated hemoglobin zimatha kusinthidwa chifukwa cha zinthu zina, monga anemias, kugwiritsa ntchito mankhwala osokoneza bongo komanso matenda amwazi, izi zisanachitike kuyezetsa kumachitika, adotolo awunika mbiri yaumoyo wamunthuyo.

4. Glycemic pamapindikira

Mzere wa glycemic, womwe umadziwikanso kuti kuyesa kulolerana kwa glucose, umakhala ndi kuyesa magazi komwe kusala glycemia kumatsimikiziridwa ndipo patatha maola 2 kumeza 75 g ya glucose pakamwa. M'masiku atatu mayeso asanachitike, munthuyo amafunika kudya zakudya zokhala ndi zopatsa mphamvu, monga buledi ndi makeke, mwachitsanzo, ndiyeno ayenera kusala kudya kwa maola 12.

Kuphatikiza apo, ndikofunikira kuti asanayese mayeso, munthuyo sanamwe khofi ndipo sanasute fodya kwa nthawi yosachepera maola 24. Magazi oyamba akatengedwa, munthuyo ameza shuga kenako nkupuma kwa maola awiri kuti atenge magazi. Pambuyo pakuyezetsa, zotsatira zake zimatenga masiku awiri kapena atatu kuti akhale okonzeka, kutengera labotale ndipo zikhalidwe zonse ziyenera kukhala pansi pa 100 mg / dL pamimba yopanda kanthu ndi 140 mg / dL kutayika kwa 75g wa shuga. Mvetsetsani bwino zotsatira za kotheka kwa glycemic.

5. Kutsekemera kwa shuga m'magazi

Magazi a Postprandial glucose ndimayeso kuti azindikire kuchuluka kwa magazi m'magazi 1 mpaka 2 maola munthu atadya chakudya ndipo amagwiritsidwa ntchito poyesa nsonga za hyperglycemia, zomwe zimakhudzana ndi chiwopsezo cha mtima kapena vuto la kumasulidwa kwa insulin. Mayeso amtunduwu nthawi zambiri amalimbikitsidwa ndi dokotala kapena endocrinologist kuti athandizire kuyesa kwa magazi m'magazi osavomerezeka ndipo miyezo yabwinobwino iyenera kukhala pansi pa 140 mg / dL.

6. Chojambulira magazi m'magazi

Pakadali pano pali kachipangizo kofufuzira shuga wamagazi yomwe imayikidwa mdzanja lamunthu ndikuloleza kutsimikizika kwa milingo ya magazi popanda kufunika koboola chala. Chojambulira ichi ndichida chozungulira chokhala ndi singano yabwino kwambiri yomwe imayikidwa kumbuyo kwa mkono, sichimapweteka ndipo sichimayambitsa mavuto, kugwiritsidwa ntchito kwambiri ngakhale kwa ana ashuga, chifukwa kumachepetsa kusapeza koboola chala .

Poterepa, kuti muyese magazi m'magazi, ingobweretsani foni yam'manja, kapena chida chodziwikiratu, ku sensa yamanja kenako sikani ichitike ndipo zotsatira zake ziziwoneka pazenera la foni. Chojambuliracho chiyenera kusinthidwa masiku aliwonse a 14, komabe sikofunikira kuchita mtundu uliwonse wa calibration, wosiyana ndi chida chodziwika kwambiri cha magazi m'magazi.

Ndi chiyani

Glycemia imawonetsedwa ndi dokotala kapena endocrinologist kuti aone kuchuluka kwa magazi m'magazi ndipo kudzera mu izi ndizotheka kudziwa matenda ndi mikhalidwe ina, monga:

• Mtundu wa shuga 1;
• Mtundu wa shuga 2;
• Matenda ashuga;
• Kukaniza kwa insulin;
• Chithokomiro chimasintha;
• Pancreatic matenda;
• Mavuto a mahomoni.

Kulamulira kwa glycemia kumathandizanso kuzindikira za Dumping syndrome, mwachitsanzo, vuto lomwe chakudya chimadutsa mwachangu kuchokera m'mimba kupita m'matumbo, zomwe zimayambitsa mawonekedwe a hypoglycemia ndikupangitsa zizindikilo monga chizungulire, nseru ndi kunjenjemera. Dziwani zambiri za Dumping syndrome.

Kawirikawiri, kusanthula kotereku kumachitika ngati chizolowezi chachipatala mwa anthu omwe ali mchipatala ndipo omwe amalandira seramu wokhala ndi shuga kapena kugwiritsa ntchito mankhwala m'mitsempha yawo yomwe ingayambitse shuga wamagazi kutsika kwambiri kapena kuwuka mwachangu.

Kodi mfundo zake ndi ziti

Mayeso oyang'ana magazi a capillary magazi ndiosiyanasiyana ndipo amatha kusiyanasiyana malinga ndi labotale komanso mayesero omwe agwiritsidwa ntchito, komabe zotsatira zake ziyenera kukhala ndizofunikira monga zikuwonetsedwa patebulo pansipa:

Pambuyo pofufuza zotsatira za kuyezetsa, adokotala adzafufuza zomwe zimaperekedwa ndi munthu ndipo angalimbikitse mayesero ena kuti awone zomwe zingayambitse shuga wotsika kapena magazi.

1. Magazi otsika

Magazi otsika m'magazi, omwe amatchedwanso hypoglycemia, ndiye kuchepa kwa magazi m'magazi, omwe amadziwika ndi mfundo zosakwana 70 mg / dL. Zizindikiro za matendawa zimatha kukhala chizungulire, thukuta lozizira, nseru, zomwe zimatha kukomoka, kusokonezeka m'maganizo ndi kukomoka ngati sizingasinthidwe munthawi yake, ndipo izi zimatha chifukwa chogwiritsa ntchito mankhwala kapena kugwiritsa ntchito insulini kwambiri Mlingo. Onani zambiri zomwe zingayambitse hypoglycemia.

Zoyenera kuchita: hypoglycemia iyenera kuthandizidwa mwachangu, chifukwa chake ngati munthu ali ndi zizindikilo zowopsa, monga chizungulire, muyenera kupereka bokosi la madzi kapena china chake chokoma nthawi yomweyo. M'mavuto ovuta kwambiri, pomwe kusokonezeka kwamisala ndi kukomoka kumachitika, ndikofunikira kuyimbira ambulansi ya SAMU kapena kumutengera munthuyo kuzadzidzidzi, ndikupatseni shuga pokhapokha munthuyo atazindikira.

2. Kuchuluka kwa shuga m'magazi

Kutsekemera kwa magazi, komwe kumatchedwa hyperglycemia, kumachitika shuga wambiri m'magazi chifukwa chodya zakudya zokoma kwambiri, zopatsa mphamvu, zomwe zimatha kuyambitsa matenda ashuga. Kusintha kumeneku sikungayambitse zizindikilo, komabe, ngati magazi m'magazi amakhala okwera kwambiri ndipo kwa nthawi yayitali, pakamwa pouma, mutu, kuwodzera komanso kukodza pafupipafupi. Onani chifukwa chake hyperglycemia imachitika.

N Malo OyenderaNgati matenda a shuga amapezeka kale, dokotala amalimbikitsa kugwiritsa ntchito mankhwala osokoneza bongo, monga metformin, ndi jakisoni wa insulin. Kuphatikiza apo, nthawi zina, hyperglycemia imatha kusintha chifukwa cha kusintha kwa zakudya, kuchepetsa kudya zakudya zokhala ndi shuga ndi pasitala komanso kudzera muntchito zanthawi zonse. Onani muvidiyo ili pansipa yomwe machitidwe amalimbikitsidwa kwambiri kwa omwe ali ndi matenda ashuga: