Ciwon sukari da wasanni

Ciwon sukari mellitus, wanda aka nuna ta hanyar dangi ko cikakken rashi insulin, cuta ce da ta zama ruwan dare. Mutane miliyan 347 a duniya suna da ciwon sukari.

Yawancin marasa lafiya suna iya amince da shiga cikin ilimin motsa jiki har ma da wasanni masu gasa, gami da matakin girma. Don hana rikice-rikice da kuma kiyaye aikin jiki, matakan glucose na al'ada suna da mahimmanci. Tare da rikitarwa irin su nephropathy, neuropathy, da retinopathy, ba a ba da shawarar motsa jiki masu nauyi ba, amma ya kamata a ƙarfafa ayyukan motsa jiki na yau da kullun. A cikin marasa lafiya da ciwon sukari, sau da yawa, har zuwa mafi girma fiye da waɗanda ke cikin lafiya, yana shafar lafiyar gaba ɗaya, nauyin jiki, bayanin lafiyar jiki da sauran abubuwan haɗari don atherosclerosis. Rage glucose na jini yana rage haɗarin rikicewar microangiopathic, kazalika da mace-mace daga ciwon sukari da kuma yawan mace-mace (ta hanyar 35%, 25% da 7%, bi da bi, tare da raguwa a cikin haemoglobin A, daga 1%). Sakamakon raguwa na matsakaici a cikin abincin caloric na abinci, motsa jiki na yau da kullun kuma, sakamakon haka, asarar nauyi da juriya na insulin, matakan da ke kusa da al'ada a cikin glucose jini yawanci ana samun su.

Ba za a iya amfanuwa da wasannin motsa jiki a cikin ciwon sukari ba, amma mummunan rikice-rikice yana yiwuwa. Babban shine rikice-rikice na rayuwa, da farko hypoglycemia, wanda zai iya haɓaka duka lokacin aiki da kuma bayan aiki, idan ba a canza abincin ko sashi na magunguna akan lokaci ba. A cikin marasa lafiya da ke karɓar insulin ko sulfonylureas, damuwa na rayuwa sun fi haɗari. Hypoglycemia na iya bayyana kansa ta hanyoyi daban-daban, amma halayen da suka fi yawa sune ƙanƙan da kai, rauni, hangen nesa, wawaye, zagi, tashin zuciya, fata mai sanyi da pareshesia na harshe ko hannaye. Shawarwarin hana rigakafin cututtukan cututtukan jini a cikin marasa lafiyar da ke cikin wasannin motsa jiki an jera su a ƙasa:

Yin rigakafin hauhawar jini a yayin horo

  • Aunawa glucose na jini kafin, lokacin da bayan motsa jiki
  • Motsa jiki akai-akai da safe (sabanin wanda ba na yau da kullun ba) yana sauƙaƙe daidaita abinci mai gina jiki da allurai insulin
  • Koyaushe ɗaukar carbohydrates carbohydrates mai narkewa ko glucagon, 1 MG (don sc ko gudanarwar intramuscular)
  • Yawan insulin da daidaitawar abinci
  • Gyara ƙwaƙwalwar insulin kafin motsa jiki
    • Kafin motsa jiki, bai kamata a saka allurar cikin hannu ko kafa ba, mafi kyawun wurin allura shine ciki
    • Wajibi ne a rage adadin insulin na gajeran aiki daidai da lokacin horarwar da aka shirya: Mintuna 90 - da 50%, wani nauyi mai nauyi yana iya buƙatar rage girman suturu
    • Dole ne a rage yawan adadin insulin-matsakaici (insulin NPH) da kashi daya bisa uku
    • Zai fi kyau amfani da insulin-insulin (yana da sauri da gajarta aiki na aiki)
    • Lokacin amfani da kayan kwalliya masu saukar ungulu, ana rage yawan aikin insulin da kashi 50% na awanni 1-3 kafin ajujuwan kuma tsawon lokacin azuzuwan
    • Idan ana shirin motsa jiki nan da nan bayan abinci, rage kashi na insulin wanda aka sarrafa kafin abinci ta 50%
  • Gyara kayan abinci
    • Cikakken abinci 2-3 hours kafin motsa jiki
    • Carbohydrate abun ciye-ciye nan da nan kafin motsa jiki idan matakin glucose na jini ya cika shekaru 35
    • Type 1 ciwon sukari mellitus mai ɗorewa> shekaru 15
    • Nau'in cututtukan siga guda 2 na mellitus wanda yake daɗewa> shekaru 10
    • Tabbatar da IHD
    • Factorsarin abubuwan haɗari don atherosclerosis (hauhawar jijiyoyin jini, shan sigari, rashin lafiyar gado, rashin lafiyar hyperlipoproteinemia)
    • Microangiopathic rikitarwa
    • Atherosclerosis na jijiyoyin mahaifa
    • Neuropathy na kai mai cin gashin kansa

    Babban matsala ga marasa lafiya da ciwon sukari, jagorancin salon rayuwa mai aiki, na iya zama cuta na ƙafa. Ba za mu yi tunanin waɗannan rikice-rikice ba, kawai za mu lura cewa sun tashi sau da yawa. Sabili da haka, likitoci, suna ba da shawarar yanayin rayuwa mai aiki ga marasa lafiya da masu ciwon sukari mellitus, suma yakamata suyi bayanin cewa don guje wa cututtukan ƙafa, ya kamata ku sa takalmi mai laushi, safa mara ƙarfi da safa da aka sanya daga danshi-cire masana'anta don wasanni kuma a hankali kula da ƙafafunku.

    Labarin Wasanni da Lafiya da Ciwon sukari |

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