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Kodi misinkhu ya shuga wamagazi ndi yotani?

Kodi misinkhu ya shuga wamagazi ndi yotani?Maphunziro a Zaumoyo

Mulingo wama glucose amwazi ndi kuchuluka kwa shuga komwe wina amakhala nawo m'magazi awo nthawi iliyonse. Kukhala ndi shuga wambiri kapena wotsika m'magazi kumatha kuwonetsa matenda omwe angafunike kuchipatala. Gwiritsani ntchito chithunzichi cha kuchuluka kwa shuga wamagazi kuti mumvetsetse tanthauzo la shuga wamagazi.

Kodi misinkhu ya shuga m'magazi mwa anthu athanzi ndi iti?

Magazi a shuga amatha kukhala abwinobwino, okwera, kapena otsika, kutengera kuchuluka kwa shuga m'magazi a munthu. Glucose ndi shuga wosavuta yemwe amapezeka m'magazi nthawi zonse. Mulingo wabwinobwino wamagazi amatha kuyerekezedwa wina akamasala kudya, kudya, kapena atadya. Mulingo wabwinobwino wa magazi kwa akulu, wopanda matenda ashuga, omwe sanadye kwa maola osachepera asanu ndi atatu (kusala) ndi zosakwana 100 mg / dL . Mulingo wabwinobwino wamagazi achikulire, wopanda matenda ashuga, maola awiri mutadya ndi 90 mpaka 110 mg / dL.



Zinthu zambiri zimakhudza shuga m'magazi tsiku lonse:



  • Mtundu wazakudya zomwe zimadyedwa, kuchuluka kwake, komanso liti
  • Zochita zathupi
  • Mankhwala
  • Zochitika zamankhwala
  • Zaka
  • Kupsinjika
  • Kutaya madzi m'thupi
  • Kudwala
  • Msambo
  • Mowa

Mulingo woyenera wamagazi kwa aliyense wopanda matenda ashuga kapena prediabetes, mosasamala kanthu za msinkhu, m'mawa ayenera kukhala ochepera 100 mg / dL. Kumbukirani, kuchuluka kwa shuga wamagazi kumatha kusinthasintha tsiku lonse chifukwa cha zomwe zatchulidwa kale.

Ma chart a shuga m'magazi kwa omwe ali ndi matenda ashuga

Mulingo wabwinobwino wamagazi, kwa omwe ali ndi matenda ashuga, amasiyana malinga ndi msinkhu wa munthu komanso nthawi yamasana. Tiyeni tiwone momwe milingo ya shuga wamagazi iyenera kukhalira, mwa iwo omwe ali ndi matenda ashuga, kutengera msinkhu wawo.



Magazi abwinobwino mwa ana

Achichepere kuposa zaka 6 mg / dL
Kusala kudya 80-180
Asanadye 100-180
1-2 maola mutatha kudya ~ 180
Nthawi yogona 110-200

Ana ochepera zaka 6 ayenera kukhala ndi magazi m'magazi omwe amayambira pafupifupi 80 mpaka 200 mg / dL tsiku lililonse. Mtunduwu umawerengedwa kuti ndi wathanzi, ndipo kuchuluka kwa shuga mthupi la mwana kumasintha kuyambira nthawi yomwe adzuke mpaka atadya kale komanso asanagone. Pachifukwa ichi, ana omwe ali ndi matenda ashuga kapena magawo a hypoglycemic amayenera kukhala nawo shuga m'magazi ayesedwa pakati pausiku ndi makolo awo.

Msinkhu wabwinobwino wamagazi kwa achinyamata

Zaka 6-12 mg / dL
Kusala kudya 80-180
Asanadye 90-180
1-2 maola mutatha kudya Mpaka 140
Nthawi yogona 100-180

Ana azaka zapakati pa 6 mpaka 12 ayenera kukhala ndi shuga m'magazi omwe amakhala pakati pa 80 mpaka 180 mg / dL patsiku limodzi. Magazi a shuga amakwera pambuyo pa kudya chifukwa thupi limagawanitsa chakudya kukhala shuga, womwe umagawidwa m'magazi onse. Pofuna kuti shuga ya magazi ya mwana isamakwere kwambiri asanagone, makamaka ngati ali ndi matenda a shuga, yesetsani kuchepetsa zokhwasula-khwasula asanagone.

ZOKHUDZA: Malangizo ogonera ana omwe ali ndi matenda ashuga

Msinkhu wabwinobwino wama shuga kwa achinyamata

Zaka 13-19 mg / dL
Kusala kudya 70-150
Asanadye 90-130
1-2 maola mutatha kudya Mpaka 140
Nthawi yogona 90-150

Achinyamata ayenera kukhala ndi shuga m'magazi omwe amakhala pakati pa 70 mpaka 150 mg / dL kumapeto kwa tsiku lawo. Zaka zaunyamata nthawi zambiri zimakhala zovuta kwambiri kwa achinyamata omwe ali ndi matenda ashuga kuthana nawo chifukwa kuyang'anira matenda ashuga kumafunikira udindo komanso kuwongolera machitidwe zomwe sizachilendo kwa achinyamata ambiri. Achinyamata ayenera kutsata kusunga shuga m'magazi pakati pa 70 mpaka 150 mg / dL tsiku lonse powonera zomwe amadya, kuchita masewera olimbitsa thupi, komanso kumwa mankhwala awo ashuga ngati ali nawo.

Mlingo wabwinobwino wa shuga kwa akulu

Zaka 20+ mg / dL
Kusala kudya Ochepera 100
Asanadye 70-130
1-2 maola mutatha kudya Ochepera 180
Nthawi yogona 100-140

Akuluakulu omwe ali ndi zaka 20 kapena kupitilira apo amakhala ndi shuga m'magazi omwe amakhala pakati pa 100-180 mg / dL patsiku limodzi. Mukadzuka m'mawa, shuga wanu wosala magazi ayenera kukhala wotsika kwambiri chifukwa simunadye chakudya kwa maola pafupifupi asanu ndi atatu. Ngati ndinu wamkulu ndipo mukuvutika ndi kuwongolera shuga, wothandizira zaumoyo wanu akhoza kukuthandizani kuti mupange dongosolo lamankhwala kuti muchepetse shuga wanu wamagazi.

Magazi a shuga kunja kwa magulu omwe atchulidwa pamwambapa amagawidwa ngati shuga wambiri wamagazi kapena wotsika. Magazi a shuga amawerengedwa kuti ndi okwera kwambiri ngati atapitirira 130 mg / dL musanadye chakudya kapena 180 mg / dL pasanathe ola limodzi kapena awiri mutadya. Anthu ambiri samayamba kukumana ndi matenda ochokera ku shuga wambiri mpaka milingo yawo itafika 250 mg / dL kapena apamwamba . Mulingo wapamwamba kwambiri wamagazi omwe amawoneka otetezeka umadalira munthuyo komanso ngati ali ndi matenda ashuga, koma amakhala pakati pa 160 mpaka 240 mg / dL.

Zizindikiro za shuga m'magazi ochepa

Matenda osokoneza bongo zimachitika pamene magazi m'magazi amatsika kwambiri. Shuga wotsika m'magazi amatha kuyambitsidwa ndi zinthu zambiri kuphatikiza mitundu iwiri ya matenda ashuga, mankhwala ena, mowa, matenda a endocrine, mavuto akudya, mimba (gestational diabetes), ndi matenda a chiwindi, impso, kapena mtima.

Nazi zina mwazizindikiro zodziwika bwino zomwe munthu amene ali ndi shuga wotsika magazi atha kukhala nazo:

  • Mitu yopepuka
  • Chizungulire
  • Kusokonezeka
  • Kukwiya
  • Kugwedezeka
  • Mantha
  • Kuda nkhawa
  • Kuzizira
  • Kutuluka thukuta
  • Kukonda
  • Kukhala ndi kugunda kwamtima mwachangu
  • Khungu lotumbululuka
  • Njala
  • Kugona
  • Kukomoka
  • Milomo yoluma

Ngati shuga m'magazi anu ndi otsika mutha kuyamba kumva zina mwazizindikiro za hypoglycemia monga chizungulire, mutu wopepuka, kapena thukuta. Njira yokhayo yodziwira ngati shuga m'magazi anu ndi otsika ndikoyesa ndi mita ya shuga kapena zina chipangizo chowunika shuga.

Ngati mulibe zida izi ndikuyamba kumva zizindikiro za shuga wotsika, idyani Magalamu 15 a carbs kapena tengani sungunulani msanga piritsi la shuga kukulitsa kuchuluka kwa shuga wamagazi ndikupewa zina, malinga ndi American Diabetes Association (ADA). Shuga yanu yamagazi ikabwerera m'ndondomeko yake, mutha kukhala ndi chotupitsa kapena chakudya kuti muwonetsetse kuti sichitsika.

Nawa ena moyo ndi mankhwala omwe angathandize kuthana ndi hypoglycemia:

  • Idyani chakudya chopatsa thanzi chodzaza ndi zakudya zonse zomwe zimakonzedwa pang'ono.
  • Tengani matenda ashuga kapena mankhwala a shuga monga akuvomerezera ndi omwe amakuthandizani pa zaumoyo.
  • Gwiritsani ntchito chida cha glucagon pakagwa mwadzidzidzi. Glucagon ndi hormone yomwe imakweza msinkhu wamagazi msanga.

Matenda a shuga m'magazi

Matenda a hyperglycemia ndilo dzina lachipatala la shuga wambiri m'magazi. Hyperglycemia imachitika ngati thupi lilibe insulini yokwanira kapena ngati singagwiritse ntchito insulini molondola. Zinthu zambiri zimatha kuyambitsa shuga wambiri wamagazi ngati Type 1 shuga , Type 2 shuga, kupsinjika, matenda, kapena m'bandakucha . Ngati muli ndi hyperglycemia kapena mukukayikira kuti mwina muli nawo, kucheza ndi othandizira azaumoyo nthawi zonse ndibwino. Dokotala akhoza kukuthandizani kudziwa chomwe chikuyambitsa kuchuluka kwa shuga m'magazi anu ndikuwatsitsa kuti akhale athanzi.

Nazi zina mwazizindikiro zomwe zimawonetsa hyperglycemia:

  • Kutopa
  • Kukodza pafupipafupi
  • Kupweteka mutu
  • Masomphenya olakwika
  • Zovuta kukhazikika
  • Kuchuluka kwa ludzu
  • Kuchepetsa thupi

Hyperglycemia yosachiritsidwa imatha kubweretsa vuto lotchedwa ashuga ketoacidosis. Ketoacidosis ndipamene thupi limapanga zinyalala zotchedwa ketoni zomwe zimatha kukhazikika m'magazi ndikuwononga moyo. Zizindikiro za ketoacidosis ndi monga:

  • Kupweteka m'mimba
  • Kukhalapo kwa ketoni
  • Kusanza
  • Kutopa
  • Kutaya masomphenya (nthawi zambiri)

Muyenera kupita kuchipatala mwachangu ngati shuga lanu lamagazi lifika ku 400 mg / dL kapena kupitilira apo.

Odwala akamakumana ndi izi limodzi ndi kuchuluka kwa shuga m'magazi, odwala matenda ashuga amalangizidwa kuti apite mwachindunji ku ER kuti apewe kukomoka komwe kumayambitsa matenda ashuga, atero a Vikram Tarugu, MD, gastroenterologist komanso CEO wa Kutulutsa kwa South Florida . Odwala omwe adakweza shuga wamagazi amathanso kuperekanso mpweya wonunkhira, wokhala ngati ketone.

Nawa kusintha kwamachitidwe ndi chithandizo chamankhwala chomwe chingathandize kuthana ndi hyperglycemia:

  • Idyanilonse, zakudya zopanda shugaomwe amasinthidwa pang'ono kuti asunge kuchuluka kwa glucose mthupi pang'ono.
  • Kuchita masewera olimbitsa thupi pokhapokha ngati mulibe ma ketoni omwe amapezeka m'magazi. Mutha kuwona ngati muli ndi ketoni yoyesa mkodzo kapena mita yamagazi.
  • Imwani madzi ambiri othandizira thupi lanu kuchotsa shuga mumkodzo wanu.
  • Sinthani fayilo yanu ya insulini . Wopereka chithandizo chazaumoyo wanu amatha kukuthandizani kudziwa kuchuluka kwa insulin mukamakweza kapena kutsika.
  • Tengani mankhwala malinga ndi zomwe wothandizirayo akukulangizani. Ena mwa mankhwala omwe amapatsidwa shuga wambiri m'magazi ndi awa Metformin HCl , Glipizide , ndi Glyburide .

Nthawi yoti muwone wothandizira zaumoyo

Kupeza upangiri wa zamankhwala kuchokera kwa wothandizira zaumoyo monga endocrinologist ndiyo njira yabwino kwambiri yophunzirira zambiri za kuchuluka kwa shuga wamagazi komwe akuyenera kukhala. Kusalandira chithandizo choyenera cha shuga wotsika kapena wokwera m'magazi kumatha kukhala koopsa ndipo kumabweretsa mavuto azaumoyo, makamaka kwa iwo omwe ali ndi matenda ashuga. Matenda a shuga amaphatikizapo kuwonongeka kwa mitsempha, matenda a impso, matenda amtima, kapena matenda amtima.

Ngati muwona wothandizira zaumoyo wokhudzana ndi shuga yanu, khalani okonzeka kuyankha mafunso okhudzana ndi zoopsa monga zomwe mumadya, kuchuluka kwa masewera olimbitsa thupi, komanso mbiri ya banja lanu. Ena othandizira zaumoyo angafune kutenga magazi kuti ayese kuchuluka kwa shuga m'magazi anu. Akhozanso kuyitanitsa Mayeso a A1C , Komwe kumayeza magazi komwe kumayeza magazi m'magazi kwa miyezi ingapo. Mungafunike kusala kudya maola asanu ndi atatu musanalandire mayeso olondola, chifukwa chake nthawi zonse ndibwino kuti mufufuze musanachitike.

Ngati shuga wanu wamagazi akupitirira 250 mg / dL, muyenera kupita ku ER kuti mukalandire chithandizo chamankhwala mwachangu, atero Dr. Tarugu. Zipinda zadzidzidzi zili ndi zotheka kuthana ndi shuga wambiri m'magazi ndipo zimatha kupereka mankhwala ngati mankhwala a insulin komanso m'malo mwa madzimadzi kapena ma electrolyte.