Nau'in sukari na 2 na sukari na al'ada

Dangane da bayanin likita, sukari na jini ya fara daga raka'a 3.3 zuwa 5.5. Tabbas, a cikin masu ciwon sukari da mutum mai lafiya, alamun sukari zasu bambanta, sabili da haka, tare da ciwon sukari, saka idanu akai-akai yana da mahimmanci.

Bayan cin abinci, adadin glucose a cikin jini yana ƙaruwa, kuma wannan al'ada ce. Sakamakon abin da ya faru na ƙwayar ƙwayar cuta, ana aiwatar da ƙarin samar da insulin, a sakamakon abin da glycemia ke zama al'ada.

A cikin marasa lafiya, aikin pancreas ba shi da illa, sakamakon abin da ya isasshen adadin insulin (DM 2) ko ba a samar da kwayoyin halittar jini kwata-kwata (lamarin ya kasance al'ada ga DM 1).

Bari mu bincika mene ne matsayin sukari na jini ga masu ciwon sukari na 2? Yaya za a kiyaye shi a matakin da ake buƙata, kuma menene zai taimaka wajen tsayar da shi a cikin iyakance mai karɓa?

Ciwon sukari (Mellitus): Cutar

Kafin gano abin da sukari ya kamata ya kasance a cikin marasa lafiya da ciwon sukari mellitus, ya zama dole a yi la'akari da alamun bayyanar cututtuka na cututtukan ƙwayar cuta. A nau'in 1 na ciwon sukari, alamu marasa kyau suna ci gaba da sauri, alamu suna ƙaruwa a zahiri a cikin 'yan kwanaki, ana nuna su da tsananin wahala.

Sau da yawa yakan faru ne cewa mara lafiya bai fahimci abin da ke faruwa tare da jikinsa ba, sakamakon abin da hoton ya tsananta game da cutar sankarau (asarar hankali), mai haƙuri yana ƙarewa a asibiti, inda suke gano cutar.

Ana gano DM 1 a cikin yara, matasa da matasa, ƙungiyar marasa lafiya sun haura shekara 30. Bayyananun na asibiti:

• M ƙishirwa. Mai haƙuri na iya shan ruwa kusan 5 na ruwa a kowace rana, yayin da jin ƙishirwa har yanzu yana da ƙarfi.
• Wani ƙanshin ƙanshin daga ƙwayar baka (ƙanshi kamar acetone).
• Appara yawan ci game da asarar nauyi.
• Increasearuwar takamaiman nauyin fitsari a kowace rana yana yawan fitar urination, musamman da dare.
• Raunin raunuka ba sa warkar da dogon lokaci.
• Abubuwan cututtukan fata, abin da ya faru na kumburi.

Cutar ta nau'in farko an gano ta kwanaki 15-30 bayan kamuwa da cuta (rubella, mura, da dai sauransu) ko kuma yanayin damuwa. Don daidaita matakan sukari na jini akan asalin cutar cuta ta endocrine, an bada shawarar mai haƙuri don gudanar da insulin.

Nau'in na biyu na ciwon sukari yana haɓaka a hankali sama da shekaru biyu ko fiye. Ana gano shi yawanci a cikin marasa lafiya da suka girmi shekaru 40 da haihuwa. Mutun koyaushe yana jin rauni da rashin tausayi, raunukansa da fasarsa ba su da lafiya na dogon lokaci, tsinkaye na gani yana da rauni, an gano ɓacin rai.

1. Matsaloli tare da fata - itching, kona, duk raunuka ba su warkar da dogon lokaci.
2. M ƙishirwa - har zuwa 5 lita kowace rana.
3. Urination akai-akai da cin amana, gami da daddare.
4. A cikin mata, akwai murƙushewa, wanda yake da wuya a bi da shi da magani.
5. Marigayi mataki shine halin nauyi, yayin da abincin yake iri ɗaya ne.

Idan aka lura da hoton asibiti da aka bayyana, yin watsi da lamarin zai haifar da haɗuwa da ita, sakamakon yawan rikice-rikice na cututtukan na kullum za su bayyana da wuri.

Ciwon hankali a hankali yana haifar da tsinkayewar hangen nesa da cikakkiyar makanta, bugun jini, bugun zuciya, gazawar koda da sauran sakamako.

Norm kafin cin abinci

Ci gaban ciwon sukari a cikin mutane an nuna shi ta hanyar karuwa a cikin matakan sukari jini. Sakamakon irin wannan karkatarwa shine rashin lafiyar, gajiya kullun, rushewa cikin aiki gabobin ciki da tsarin, wanda sakamakon hakan yana haifar da rikice rikice.

Ba za a fitar da cikakken nakasa ba. Babban aiki ga marasa lafiya da nau'in ciwon sukari na biyu shine samun alamun sukari waɗanda ke da kusanci da matakin lafiyar mutum. Amma samun su a aikace abu ne mai matukar wahala, saboda haka, matakin halas din glucose din ga masu ciwon suga ya sha bamban.

Ana bita dashi sama. Amma wannan baya nufin cewa bambanci tsakanin matakan glucose na mutum mai lafiya da mai haƙuri da ciwon sukari na iya zama raka'a da yawa. Endocrinologists suna ba da izini kawai canje-canje. Fiye da babban iyaka na halayen ilimin halayyar na yau da kullun yakamata ya wuce 0.3-0.6 mmol / l.

Mahimmanci! Ana kirga yawan sukarin jini na nau'in ciwon sukari na 2 ga kowane mara lafiya daban-daban kuma ana kiran shi "matakin manufa".

Likita mai halartar ya yanke wannan shawarar ne bisa dalilan masu zuwa:

• mataki na rama ga masu ciwon sukari,
• da rikitarwa daga cikin kwarara
• tsawon lokaci na rashin lafiya
• shekaru haƙuri
• gaban concomitant pathologies.

Morning (azumi) sukari na jini a cikin nau'in ciwon sukari na 2 ya kamata ya kasance kusa da yadda ya kamata zuwa matakin glucose na mutum lafiya. A cikin mutane ba tare da gurɓataccen metabolism na metabolism ba, 3.3-5.5 mmol / L ne.

A matsayinka na mai mulkin, rage sukari na safe ga mai ciwon sukari zuwa aƙalla iyakar yarda da babba yana da matsala. Saboda haka, mafi girman halal na al'ada na jinin sukari lokacin da ake bincika nau'in ciwon sukari na 2 yana nuna 6.2 mmol / L.

Rashin hankali a cikin ƙwayar gastrointestinal na iya shafar matakin ƙwayar jini na safe a cikin nau'in marasa lafiyar-insulin-diabetes na cututtukan mellitus. Saboda cutar wani lokacin yakan zama azaman amsawa ga raunin glucose mai rauni. Hakanan ya kamata a ɗauka a cikin zuciya cewa sukari na al'ada na masu ciwon sukari fiye da shekaru 60 da haihuwa zasu bambanta. Matsayin maƙasudin marasa lafiya ya ɗan bambanta.

Matsayin sukarin jini na mara lafiya a yayin nau'in ciwon sukari na biyu bayan cin abinci ya tashi sosai. Manuniya ta dogara da abin da mutum ya ci da kuma irin yawan abincin da yake amfani da carbohydrate.

Matsakaicin matakan glucose bayan an ci abinci bayan mintuna 30-60 (duk ya dogara da jita-jitar da aka bayar, kayan haɗin su). Amma idan a cikin mutum lafiya, matakinsa ya kai matsakaita na 10-12 mmol / l, to a cikin masu ciwon sukari zai fi hakan yawa.

Idan babu ingantaccen tsarin glucose, abubuwan da ake hangowa a hankali zai ragu kuma suka kai matakin kimiyyar lissafi. A gaban ilimin cutar sankara, matakin sukari na jini bayan cin abinci ya ci gaba da kasancewa mai girma. Followingayan waɗannan keɓaɓɓun matakan glucose wanda mai haƙuri da ciwon sukari na 2 ya kamata ya yi ƙoƙari ya samu:

• Minti 60 bayan cin abinci - ba ya wuce 10 mmol / l,
• Minti 120 bayan cin abinci - ba ya wuce 8-9 mmol / l.

Matsayin diyya ga masu ciwon sukari

Hakanan ana ƙaddara yawan sukari ga masu ciwon sukari na 2 akan ƙimar biyan diyya don cutar.

Sabuwar alfijir

Morning Dawn Phenomenon kalma ce ta likitanci wacce ke ɓoye hauhawar haɓakar matakan sukari a cikin masu ciwon sukari bayan farkawa. Wannan na faruwa ne da misalin karfe 4 zuwa 9 na safe. A wannan lokacin, mai nuna alama na iya isa 12 mmol / L.

Wannan tasirin yana faruwa ne sakamakon haɓaka mai sauri a cikin samar da cortisol da glucagon, a sakamakon wanda aka samar da glucose ta ƙwayoyin hanta. Alamomin masu zuwa nan alamu ne na al'amuran alfijir lokacin asuba:

• jin gajiya
• disorientation
• karancin gani
• matsananciyar ƙishirwa
• yawan tashin zuciya, wani lokacin amai.

Normalize sugar na safe ba tare da kawar da sabon abu ba ya aiki. A wannan yanayin, mai haƙuri yana buƙatar tuntuɓar likitancin endocrinologist, da kuma sake tsara magunguna a wani lokaci. Musamman, likita na iya ba da shawarar harbi na insulin a wani lokaci mai zuwa.

Janar shawarwari

Yadda za a tsayar da karatun glucose? Akwai da yawa shawarwari:

• Daga cikin menu, dole ne a cire samfuran dauke da carbohydrates masu saurin narkewa cikin sauri. An samo su a cikin cakulan madara, Sweets, sukari, halva. Yin bredi, Sweets, Burodi, Pizza, abinci mai sauri na iya tayar da jijiyar wuya. An kuma haramta masu ciwon sukari semolina, shinkafa, ruwan 'ya'yan itace na masana'antu, giya, naman da aka sha, fitsarin dabbobi, soda mai zaki. Daga cikin abincin, shima wajibi ne don cire abincin da aka sarrafa da abincin gwangwani.
• Abincin mai haƙuri ya kamata ya ƙunshi abinci tare da ƙarancin glycemic index. Kayan lambu - kabeji, eggplant, zucchini, barkono kararrawa, Peas kore da sauransu zasu taimaka wajen daidaita sukari. Abincin mai ciwon sukari ya kamata ya ƙunshi yawancin kayan lambu da yawa. Yana da kyawawa cewa maganin zafi ba shi da ƙima, tun da yake yana ƙara haɓaka GI na samfurin.
• Ya kamata rage cin abincin ya hada da 'ya'yan itace da' ya'yan itatuwa da aka yarda da masu ciwon sukari - apples with green rind, cherries, currants and more. Hakanan suna buƙatar cin abinci sabo, saboda a lokacin kulawa da zafi akwai karuwa a GI. Increasearin saurin haɓaka sukari na jini yana faruwa ne ta hanyar ruwan lemon da aka matse shi.
• Normalization na nauyi. A cikin marasa lafiya tare da nauyin al'ada, daidaitaccen sukari mai azumi yafi tasiri. Wannan shine dalilin da ya sa ya kamata mutum ya karɓi aikin da zai yuwu. Ana ba da kyakkyawan sakamako ta hanyar yin iyo, ziyartar dakin motsa jiki. Idan wannan ba zai yiwu ba, to likitoci suna bayar da shawarar kawai yin tafiya mai kyau. Hakanan zai yi tasiri.

Mahimmanci! Lowarancin carb zai taimaka wajen tsayar da sukari na jini. Wannan zaɓi na abinci yana da tsayayyen abu.

A cikin komai, dole ne a hankali ku bi shawarar da endocrinologist, ɗauka duk magunguna da aka tsara. Idan matakin glucose na yau da kullun shine 15 mmol / l ko ya zarce mai nuna alama, to don daidaita mai haƙuri, wataƙila, za'a tsara insulin.

Nau'in na 2 na ciwon sukari mellitus cuta ce mai haɗari, ba wai kawai ta inganta yanayin rayuwa ba, har ma tsawonta. Hyperglycemia na kullum yana haifar da rikice-rikice. Kuma kawai daidaituwa na matakan glucose zai ba mutum damar yin rayuwa mai tsawo.

Karatun glucose na yau da kullun

Akwai yanayin da ake kira prediabetes. Wannan zamani ne da ke gab da cutar kuma ana nuna shi da matakin sukari na jini sama da na al'ada, amma bai isa ba don yin binciken cutar sankarau. A wannan yanayin, ana nuna ƙimar glucose a cikin tebur (a mmol / l).

Kirkirar jini

Indicididdigar alamomin alamun glucose a cikin ƙwayar cuta da jini mai bambancin jini ya bambanta. Lokacin ɗaukar abu daga jijiya, ana sanin sakamakon gobe gobe (mafi tsayi fiye da lokacin bincike daga yatsa). Babban sakamako bai kamata ya zama mai ban tsoro ba, tunda koda 6 mmol / l ana ɗaukar matakin al'ada na sukari na yara fiye da shekaru 5 da manya.

Yawan karuwa a cikin sukari

Increaseara yawan adadin glucose na iya zama sanadiyyar cuta (wanda ya samo asali daga asalin cutar) da kimiyyar lissafi (tsokana da wasu dalilai na waje ko na ciki, yana da yanayi na ɗan lokaci, ba alama ce ta cutar ba).

Increasearfafa ilimin halittar jini a cikin sukari na jini na iya zama sanadiyyar waɗannan abubuwan:

• wuce kima motsa jiki
• yanayi na damuwa
• shan taba
• liyafar ta shawa,
• da amfani da steroid,
• yanayin haila
• a takaice bayan cin abinci.

Ka'idar sukari tare da tsari mai zaman kanta

Atorsididdigar alamu na yau da kullun na glucose a cikin sukari na mellitus na nau'in insulin mai cin gashin kansa bai bambanta da adadi na mutum mai lafiya ba. Wannan nau'in cutar ba ya haifar da sauyawa sosai a cikin alamun. A mafi yawan lokuta, yana yiwuwa a koya game da kasancewar cutar sankara kawai bayan wucewa gwaje-gwaje, saboda alamomin raunin insulin hankali ne mai laushi.

Asibitin babban sukari

Bayyanar cututtukan hyperglycemia a cikin cututtukan da ba su da insulin-insulin-jini ba, a farkon kallo, na iya haɗu da alamun bayyanar cututtukan nau'in 1:

• jin ƙishirwa
• bushe bakin
• polyuria
• rauni da gajiya,
• nutsuwa
• jinkirin raguwa a cikin ƙarfin gani.

Amma asibitin ba ya haifar da babbar barazana ga jikin mai haƙuri. Babbar matsalar ita ce matakin matakin sukari na jini sama da na yau da kullun shi ne sakamakon karancin aiki da kodan, tsarin jijiyoyi, kewayawar jini, mai nazarin gani, da kuma tsarin jijiyoyin wuya.

Yakamata ya sanya ido sosai a jikin mutum, da sanin lokutan tsalle-tsalle cikin matakan sukari na jini sama da na al'ada. Ana ɗaukar lokacin babban lokaci a matsayin lokaci mai haɗari kai tsaye bayan cin abinci. A irin waɗannan halayen, zaku iya ganin kasancewar ƙarin alamun bayyanuwar cutar:

• raunukan da ba su da warkarwa na dogon lokaci, amai a kan fata da mucous membranes,
• matsa a cikin sasanninta na bakin
• ƙara yawan gumis na jini
• rage aiki
• rashin kwanciyar hankali.

Tsarin awo

Don hana yiwuwar ci gaba da rikicewar cututtukan cututtukan ƙwayar cuta tare da cutar ta 2, marasa lafiya suna buƙatar ba hana kawai haɓakar haɓaka ba, har ma suna iya sarrafa yiwuwar raguwar alamu a ƙasa da al'ada. Wato, ya kamata ka adana matakan glucose a cikin tsararren tsari (a mmol / l):

• da safe kafin abinci - har zuwa 6.1,
• 'yan sa'o'i bayan karin kumallo, abincin rana, abincin dare - ba fiye da 8,
• kafin zuwa gado - har zuwa 7.5,
• a cikin fitsari - 0-0.5%.

Yanayin Cutar Glycemia

Duk wani mara lafiya da ke fama da “cuta mai daɗi” zai iya jin tabarbarewa a cikin yanayin su, wanda ke haɗuwa da tsalle-tsalle a cikin glucose. Ana san wasu daga canjin safe, dangane da abinci, yayin da wasu ke jin canje-canje kafin lokacin bacci. Don samun ci gaba na canje-canje na kwatsam a cikin nau'in cuta 2, ya kamata ku kula da alamu tare da glucometer:

• iya rama sau uku a mako,
• Kafin kowane abinci a cikin yanayin insulin far,
• Kafin kowane abinci da 'yan sa'o'i bayan yin amfani da allunan rage sukari,
• bayan motsa jiki, horo,
• lokacin da kuka ji yunwa
• da dare (kamar yadda ake buƙata).

Yana da kyau a yi rikodin duk sakamakon a cikin rubutaccen sirri ko katin, saboda endocrinologist din zai iya bin diddigin cutar. Anan, rubuta nau'ikan abinci da ake amfani da su, da ƙarfin aikin jiki, da adadin sinadarin da aka sanya wa ciki, kasancewar mawuyacin yanayi da raunin da ya shafi kumburi ko cututtukan da ke kama su.

Menene wani nau'in maganin motsa jiki na cutar?

Ana nuna cutar sankara ta hanji ta hanyar ci gaba da cutar a cikin mata masu juna biyu. Siffar ta shine tsalle-tsalle a cikin sukari na jini bayan abinci tare da farashin azumi na yau da kullun. Bayan haihuwa, kwayoyin cuta ta shuɗe.

Groupungiyar hadarin don haɓakawa ta haɗa da:

• minors
• mata masu nauyin jiki,
• sama da shekara 40
• da ciwon gado
• shan wahala daga ƙwayoyin ƙwayar cuta ta polycystic,
• tarihin cutar sankaran hanji.

Don sarrafa gaban ilimin jijiyoyin jiki ko raunin jijiyoyin sel zuwa ga glucose bayan mako na 24 na ciki, ana yin takamaiman gwaji. Mace tana shan jini mai nauyi a kan komai a ciki. Sannan ta sha glucose foda diluted a ruwa. Bayan sa'o'i biyu daga baya, an sake tattara kayan. Tsarin kashi na farko na jini ya kai 5.5 mmol / l, sakamakon kashi na biyu ya kai 8.5 mmol / l. Idan ya cancanta, za'a iya samun ƙarin nazarin matsakaici.

Hadarin jariri

Kiyaye matakan sukari a cikin kewayon al'ada shine muhimmin mahimmanci ga girma da haɓaka jariri yayin rayuwar mahaifar. Tare da karuwa a cikin glycemia, haɗarin macrosomia yana ƙaruwa. Wannan yanayin yanayin cututtukan halayya ne wanda ya ƙunshi ɗimbin ɗimbin yawa na jariri da haɓaka cikin haɓakarsa.Kewayen kai da yanayin kwakwalwa na wanzuwa a cikin iyakoki na al'ada, amma sauran alamun za su iya haifar da manyan matsaloli a lokacin da aka haifi yaro.

Sakamakon shine raunin haihuwa a cikin jariri, raunin da hawaye a cikin mahaifiyar. Idan gwajin duban dan tayi ya tabbatar da kasancewar wannan ilimin, to ya zama an yanke shawara kan haifar da haihuwa. A wasu halaye, ɗan ba zai sami lokacin ba sai ya girma.

Nagarin Samun ciki na Gwiwa

Yarda da abinci, guje wa aikin motsa jiki, kame kai zai ba ka damar daidaita matakin sukari a cikin ka'idodi. A lokacin haila, al'aura kamar haka (a mmol / l):

• m kafin abinci - 5.5,
• bayan awa daya a mafi yawan - 7.7,
• mafi yawan 'yan awanni, kafin lokacin kwanciya, da dare - 6.6.

Gudanarwa da kuma daidaita dokokin

Manunin sukari a cikin nau'in masu ciwon sukari na 2 ana iya gyara shi sauƙaƙe, amma wannan yana buƙatar wahalar mai haƙuri akan kansa, wanda ya ƙunshi kiyaye dokoki da yawa. Hakanan za'a iya amfani dasu azaman matakan kariya na tsarin aikin gestational of Pathology.

• Abincin ya kamata ya zama akai-akai, amma a adadi kaɗan (kowane 3-3.5 hours).
• Guji soyayyen, kyafaffen, kayan dafa abinci tare da kayan ƙanshi mai yawa, abinci mai sauri.
• Guji daga tsananin motsa jiki, daidaita hanyoyin motsa jiki da hutawa.
• Kullum kuna tare da wasu fruita fruitan itace waɗanda zasu gamsar da yunwar ku idan ta bayyana.
• Sarrafa tsarin shan giya.
• Binciken yau da kullun na ƙididdigar alamomin sukari ta hanyar hanyoyin a gida.
• Kowane watanni shida, ziyarci endocrinologist kuma duba aikin a kan lokaci.
• Iyakance tasirin yanayin damuwa.

Duk abin da nau'in cutar, bin shawarar kwararru ba kawai zai iya tsayar da farashin al'ada ba kuma yana hana ci gaba da rikitarwa, amma kuma inganta yanayin rayuwar mai haƙuri.