Miji na yana da sukari, ya fito babu inda ya fito
Na riga na amsa muku a nan: http://consmed.ru/gastroenterolog/view/304454/ da kuma wani wuri.
Sonanka yana da nau'in ciwon sukari na type 1. Duk korafin rashin nauyi, ƙyallen ƙafa, da komai dai alamomi ne. Ko dai ya yi allurar insulin, ko kuma ya mutu. A wata hanyar, ba a kula da nau'in 1 na ciwon sukari kuma ba ya warke, amma zaka iya rayuwa tare da ciwon sukari. Tun da ciwon sukari ya fara latti, yana da laushi sosai, in ba haka ba ɗanka zai kasance cikin kulawa mai zurfi cikin makonni biyu ba tare da insulin ba. Koyaya, bashi da lafiya daga wannan har yanzu.
Ee, ciwon sukari na rayuwa. Zaiyi allurar insulin - zai mutu daga tsufa tare da koshin lafiya, ba zai - zai mutu sakamakon matsanancin ciwon siga ba. A gare ni cewa ba ku fahimci sosai abin da ke faruwa ba. Akwai zaɓi: ko dai insulin ko mutuwa daga rikice-rikice na ciwon sukari a cikin shekaru 3-4.
Pancreas, wanda kuka shahara da suna "pancreas", zaiyi aiki har zuwa mutuwa, kawai tare da insulin wani wani zai samu sannu a hankali zai ƙare kayan aikin sa, ba cikin shekaru 3-5 ba, amma a 50-60.
Cikakken kashi na insulin ba ya zama mara kyau. An zaɓi isasshen allurai a asibiti. Ana buƙatar glucometer kawai don zaɓin kashi. Yin amfani da shi don wasu dalilai marasa amfani ne kuma marasa amfani.
Game da zaɓuɓɓukan abinci 2. itheraƙƙar da takaddar insulin da abinci mai ƙayyadadden abu (daidai adadin carbohydrates), ko kowane abinci da mara lafiya suna lissafta adadin insulin ɗin don wannan abincin. Youranka zai yi koyi da wannan. Karanta game da XE da yanayin kulawa na insulin na kara karfi.
Idan baku fahimci amsata ba ko kuma kuna da ƙarin tambayoyi - rubuta a cikin bayanan zuwa naku tambaya a shafin kuma zan yi kokarin taimakawa (don Allah kar a rubuta su a cikin sakonni na sirri).
Idan kana son fayyace wani abu, amma kai bamarubucin wannan tambaya, sannan rubuta tambayarka akan shafin https://www.consmed.ru/add_question/, in ba haka ba tambayarka zata kasance ba amsa. Tambayoyi na likita a cikin saƙonni masu zaman kansu zasu kasance ba a amsa su ba.
Rahoton yiwuwar rikice-rikice mai ban sha'awa: Ina karɓar rama kayan abu a cikin hanyar taimako na bincike mai zaman kanta daga Servier, Sanofi da Ma'aikatar Lafiya na Tarayyar Rasha.
Yadda za a hanzarta da sauri saukar da sukari na jini?
Lokacin da kake da sukari na jini, ba kawai rashin lafiya ne ga lafiyar ba, har ma yana da haɗari ga lafiya. Idan sukari mai jini ya daɗe yana ɗaukar tsawon lokaci, wannan na iya haifar da rikitarwa na ɗan gajeren lokaci-na cutar sankara - ketoacidosis da ciwon suga. Lokaci na-gajere, amma karuwa akai-akai a cikin glucose jini shima yana da matukar illa ga tasoshin jini, kodan, idanu, kafafu. Saboda wannan ne rikice-rikice suke haɓaka hankali.
Idan kun haɓaka sukari na jini (ana kiran wannan yanayin hyperglycemia) - kuna buƙatar sanin yadda zaku saukar da shi yadda yakamata - zuwa 4.8 - 6.5 mmol / lita. Idan ka saukar da shi ba da tunani ba, zaku iya rage shi da yawa kuma ya “faɗi” cikin yanayin da ya fi haɗari ga jikin mutum - cikin hauhawar jini.
Za mu kalli wasu zaɓuɓɓuka don rage yawan glucose na jini a cikin ɗan gajeren lokaci.
Menene alamun sukarin jini?
Da farko kuna buƙatar tabbatar da cewa kuna da sukarin jini. Tsarin alamomin cututtukan cututtukan hauka sune kamar haka:
| Bidiyo (latsa don kunnawa). |
- Jin kishin ruwa sosai.
- Yawancin lokaci kuna fara zuwa bayan gida don kumburi.
- Bakina ya bushe.
- Jahilci da gajiya na ci gaba (kawai ba za a iya dogaro da wannan cutar ba, saboda ana iya faruwa tare da cututtukan jini).
- Ka zama mai fushi, ba ka ji daɗi.
Idan kuna da ciwon sukari kuma kuna shan magunguna waɗanda ke rage sukari kuma suna iya haifar da hypoglycemia, to yana da kyau kuzama ku auna sukarin jininka tare da glucometer kafin ku fara saukar da shi kuma ku dawo dashi daidai. Dole ne a yi wannan don hana wasu alamun cutar sukari marasa ƙarfi don ɗauka don cututtukan hyperglycemia. Wannan yana da mahimmanci musamman idan ana kula da ku da insulin.
Tabbatar cewa auna sukari don tabbatar da cewa an ɗaukaka shi.
Idan baku taɓa auna sukarin jini da kanku ba - karanta labarin Yadda za a auna sukari na jini: alamomi, umarnin don auna tare da glucometer.
Yaushe zan nemi taimakon likita?
Yana da mahimmanci a lura cewa matsakaicin matakin glucose a cikin jini na iya zama haɗari ga lafiya, don haka bai kamata ka saukar da kanka da kanka ba, amma dole ne a kira motar gaggawa. Idan bakinku yana jin warin kamar acetone ko 'ya'yan itace, to kun haɗu da cutar ketoacidosis mai ciwon sukari kuma zaku iya warkar dashi kawai a ƙarƙashin kulawar likita. Tare da sukari mai girma sosai (fiye da 20 mmol / lita), ƙarin rikitarwa da rikicewar rayuwa mai haifar da barazanar kamuwa da cutar sankara - haɓaka ƙwayar cutar hypersmolar. A cikin waɗannan yanayin, ba kwa buƙatar bugun sukari da kanka, amma dole ne a kira likita da gaggawa.
Inje insulin zai taimaka wajen saukad da sukarin jini (amma wannan ba don masu farawa bane)
Idan an wajabta ku da insulin, hanya guda don rage yawan sukarin jinin ku shine allurar insulin.
Injections na insulin - Hanya Mafi Girma don Taimaka Sarin Samin Girman jini
Koyaya, yi hankali, tunda insulin na iya fara aiki bayan sa'o'i 4 ko fiye, kuma a wannan lokacin yanayin mai haƙuri na iya ƙaruwa sosai.
Idan ka yanke shawarar rushe sukari mai hawan jini tare da insulin, yi amfani da insulin gajere ko matattara mai amfani da gajere. Wadannan nau'ikan insulin suna fara aiki da sauri. Amma yi hankali, kamar yadda yawan shan ruwa na iya haifar da hauhawar jini, kuma yana iya zama haɗari, musamman a lokacin bacci.
Rage sukari na jini ya kamata a hankali. Yi kananan allurar insulin na raka'a 3-5, auna matakin sukari na jini kowane rabin sa'a ka sanya kananan allurai insulin har sai sukarin jinin ya dawo daidai.
Tare da ketoacidosis, zaku buƙaci kulawar likita
Idan kun kamu da ciwon sukari wanda ba a bincika shi ba, to ya zama haramun ga rage yawan sukarin jini da insulin. Ka tuna cewa insulin ba abin wasa bane kuma yana iya zama barazanar rayuwa!
Motsa jiki Ba koyaushe yana Taimakawa Rage Sugar ba
Ayyukan jiki na iya taimakawa rage yawan sukarin jinin ku, amma kawai lokacin da sukarinka ya dan ƙaru kaɗan kuma ba ku da hyperglycemia ko ketoacidosis. Gaskiyar ita ce idan kuna da sukarin jini a gabanin motsa jiki, zai ninka sosai daga motsa jiki. Saboda haka, wannan hanyar ba ta dacewa ba kamar yadda ake daidaita matakan glucose.
A cikin wannan bidiyon, Elena Malysheva ya bayyana hanyoyi don rage sukarin jini.
Yadda za a hanzarta saukar da babban sukari tare da magunguna?
Ka tuna cewa magungunan gargajiya suna ƙanƙantar da sukari a hankali, Ina amfani da su kawai azaman na hanawa da kuma wakilai na agaji. Wasu magungunan gargajiya ba za ku iya dawo da sukari zuwa al'ada ba.
Misali, suna rubuta cewa bay ganye na rage sukari. Wataƙila wannan lamarin ne, amma wannan maganin ba zai daɗe da rage yawan sukarin jininka ba, musamman idan kuna da shi sama da 10 mmol / lita.
Are Magungunan mutane na ban mamaki sun yi imani, a matsayin mai mulki, ta waɗanda suka fara ciwon sukari kuma har yanzu ba su san ainihin abin da ke faruwa ba. Idan ka saba da magani da insulin ko kuma allunan rage sukari, to kayi kokarin daukar magani, sannan ka auna sukarin jininka. Idan wannan bai taimaka ba, to, kira likita.
Idan sukarin jininka yana da girma sosai, jikinka zaiyi kokarin cire sukari mai yawa daga jinin ta hanyar fitsari. Sakamakon haka, zaku buƙaci ƙarin ruwa don kula da kanku da fara wannan aikin tsabtace kai. Sha ruwa mafi kyau, ka sha yalwa, amma kada ka cika shi, saboda Kuna iya shan maye idan kun sha ruwa da yawa a cikin ɗan gajeren lokaci.
Ruwa wajibi ne, amma ku lura cewa ba zaku iya saukar da sukarin jini da ruwa kaɗai ba. Ruwa muhimmi ne mai yalwa a cikin yaƙi da matakan sukari a jiki.
Kwatsam tsalle a cikin sukari na jini: me yasa glucose yayi tsalle a cikin nau'in ciwon sukari na 2?
A cikin mutum mai lafiya, matakan sukari na azumi yana daga 3.3 zuwa 5.5 mmol / L. Koyaya, waɗannan alamun ba su da daidaituwa koyaushe, saboda haka, tsalle-tsalle a cikin glucose jini na iya faruwa yayin rana.
Ana lura da matakan sukari mafi ƙasƙanci cikin dare da sanyin safiya. Bayan karin kumallo, taro ya tashi, kuma da yamma mafi girman lokacinsa ya kai. Sannan matakin ya sauka zuwa abun ciye-ciye na gaba. Amma wani lokacin glycemia ya wuce na yau da kullun bayan ɗaukar abincin carbohydrate, kuma bayan sa'o'i 2-3 yanayin yana sake daidaitawa.
Jumps a cikin glucose na jini yana faruwa ne saboda dalilai daban-daban. Idan an lura da wannan sabon abu a ci gaba, to wannan na iya nuna kasancewar ciwon sukari mellitus da sauran matsalolin kiwon lafiya. Sabili da haka, wajibi ne don gudanar da cikakken bincike da bayar da gudummawar jini don sukari.
Dalilan da yasa sukari ya hau yawa suna da yawa. Wannan sabon abu na iya faruwa bayan shan shaye-shayen shayi (shayi, kofi, makamashi). Koyaya, jikin yana amsa shi daban, kodayake a wasu yanayi, kofi har ma yana hana haɓakar ciwon sukari na 2.
Hakanan, abubuwan da ke cikin glucose na iya ƙaruwa bayan cin abinci m. Misali, kaji a cikin zaki da miyar miya tare da shinkafa mai yaji ko naman sa tare da kayan yaji mai zafi.
Bugu da kari, rashin lafiyar hypoglycemia na faruwa ne lokacin da mutane suke cin abinci mai yawa. Kayayyakin da ke haifar da wannan yanayin sun haɗa da:
- soyayyen Faransa
- pizza
- daban-daban Sweets
- mahaukaci, kwakwalwan kwamfuta.
Abin lura ne cewa matakan glucose na iya ƙaruwa ba kawai daga samfuran da ke ɗauke da sukari ba. A cikin masu ciwon sukari, shima yakan tashi bayan cin abinci mai wadatar abinci a cikin sitaci da carbohydrates.
Amma me yasa sukari yayi tsalle idan mutum ya bi abinci? Yara da manya tare da raunana rigakafi sukan sha wahala daga lokacin sanyi, a yayin da kariyar jikin ta zama mafi tsauri. A lokaci guda, maganin rigakafi da decongestants, wanda kuma ke haifar da canje-canje na glucose, ana iya tsara shi ga marasa lafiya.
Hakanan, sukari na jini na iya ƙaruwa bayan shan magungunan kashe ƙwayoyin cuta da corticosteroids, alal misali, prednisone. Magunguna na ƙarshe suna da haɗari sosai ga masu ciwon sukari, musamman tunda suna iya haifar da cutar hypoglycemia a cikin yaro.
Har ila yau, damuwa yana haifar da hauhawar jini, wanda yakan faru da ciwon sukari na 2. Sabili da haka, yana da mahimmanci don samun ikon sarrafa lafiyar tunanin ku tare da taimakon motsa jiki na musamman, yoga, ko dabaru daban-daban, kamar motsa jiki na numfashi don ciwon sukari.
A yau, yawancin masu ciwon sukari da ke shiga cikin wasanni sukan sha abin sha don taimakawa dawo da daidaiton ruwa. Koyaya, mutane kaɗan suka san cewa wasu daga cikinsu suna ɗauke da sukari mai yawa da sauran abubuwan haɗin da suke da haɗari ga lafiyar marasa lafiya.
Matakan glucose na jini na iya tashi saboda wasu dalilai na duniya. Wadannan sun hada da:
- rikicewar hormonal
- matsaloli tare da koda
- rikicewar endocrine
- cututtukan hanta (hepatitis, tumo, cirrhosis).
Abubuwa masu yawa waɗanda zasu iya haifar da matakan sukari tsalle sune barci, zafi, da barasa. Alcohol yana haifar da hypoglycemia, tunda yana dauke da carbohydrates mai yawa, amma sau da yawa bayan awanni 2-4 bayan amfani da shi, yawan haɗuwar glucose, akasin haka, yana raguwa sosai.
Amma daga menene abin da ke cikin sukari zai iya raguwa? An inganta bayyanar cututtukan hyperglycemia ta hanyar motsa jiki sosai. An bayyana wannan ta hanyar rauni, gajiya da kuma jin nauyin da ya sha.
Hakanan, tsalle cikin sukari na iya faruwa yayin azumi da cin abinci na yau da kullun. Sabili da haka, don hana hypoglycemia, yana da mahimmanci ku ci sau 5 a rana kuma a cikin ƙananan rabo. In ba haka ba, ba da daɗewa ba mai haƙuri zai sami matsaloli tare da hanji da ƙwanƙwasa.
Diuretics shima yasa sukari tsallake. Bayan haka, idan kun sha su akai-akai, za a wanke glucose daga jiki, ba ku da lokacin da sel za su sha.
Bugu da kari, rashin lafiyar hypoglycemia na iya haɓaka a cikin waɗannan halayen:
- rikicewar hormonal
- rashi da tashin hankali,
- danniya
- cututtuka da hoto ko bidiyo mai zagaya yanar gizo da sauri, wanda zafin jiki ya hau.
Lokacin da sukari ya fara tsalle, mutum yana jin ƙishirwa, koyaushe yana son yin urin, ate musamman, da dare. A wannan yanayin, bushewar ruwa yana haifar da rashin aiki da kodan. Tare da yanayin pathology, abin da ke faruwa tare da nau'in ciwon sukari na 1, ba zai yiwu a soke ƙishirwa ba har sai matakin glucose ya zama al'ada.
Hakanan, fatar mara lafiyar tana jujjuyawa, wanda ke faruwa akan asalin cutarwar jijiyoyin jiki. Kuma lizimcinsa ya zama mai hankali kuma duk wani lalacewar sa yana warkarwa har tsawon lokaci.
Bugu da ƙari, tare da haɓakar taro na jini, alamu na iya haɗawa da gajiya, zazzaɓi, da rage aiki. Wannan saboda glucose baya shiga sel kuma jiki baya samun isasshen makamashi. Sau da yawa wannan sabon abu yana faruwa tare da nau'in ciwon sukari na 2.
A kan tushen yanayin rashin lafiya na kullum, mutum zai iya rasa nauyi kwatankwacin ci mai kyau. Bayan haka, jiki yana fara amfani da mai da ƙashin tsoka azaman tushen makamashi.
Hakanan, babban alamar sukari yana tare da alamomi kamar:
- ciwon kai
- tashin zuciya na kara zafi tsakanin abinci,
- karancin gani
- tsananin farin ciki
- vomiting kwatsam.
Idan sukari ya yi tsawo na dogon lokaci, to mai haƙuri ya zama mai juyayi, rashin kulawa kuma ƙwaƙwalwar sa ta yi rauni. Hakanan yana asara nauyi mai mahimmanci, kuma rikicewar rikice rikice yana faruwa a cikin kwakwalwarsa. Dangane da ƙari da abubuwan illa (damuwa, kamuwa da cuta), mai haƙuri na iya haɓaka ketoacidosis mai ciwon sukari.
Kwayar cutar hypoglycemia tana faruwa ne lokacin da glucose ta ƙasa da 3 mmol / L. Kwayar cuta irin ta jin sanyi, saurin bugun zuciya, tsananin farin ciki, fatar fatar jiki, da yunwar ke faruwa. Hakanan yana nuna juyayi, ciwon kai, rudani a cikin taro da daidaita motsi.
Yin tsalle mai tsayi a cikin sukari na jini a cikin ciwon sukari na iya haifar da asarar hankali. Wani lokacin mutum ya faɗi cikin ciwon mara.
Akwai digiri 3 na tsananin zafin jiki, wanda ke hade da alamomin halayyar:
- Matsakaici - damuwa, tashin zuciya, haushi, tachycardia, yunwar, yawan bakin lebe ko yatsan hannu, jin sanyi.
- Matsakaici - juyayi, rashin maida hankali, ƙwaƙwalwar haske, fitsari.
- Mai tsananin - raɗaɗi, sanyin gwiwa, rashiwar hankali da raguwa cikin zafin jiki.
Kwayar cutar cututtuka irin su tsananin matsananciyar yunwa, sha’awar shaye shaye, ciwon kai da rashin jituwa ga dogon hutu tsakanin abinci na iya taimaka wa yaro tsalle cikin sukari.
Haka kuma, a cikin yara masu fama da ciwon sukari na nesa, hangen nesa sau da yawa yana ƙaruwa, cututtukan fata da cututtukan fata (pyoderma, ichthyosis, furunlera da sauransu) suna haɓaka.
Mataki na farko shine tantance nawa yawan sukarin jini. Don wannan, ana amfani da glucometer a gida. Hakanan zaka iya tuntuɓar likita da ɗaukar gwaje-gwaje, musamman idan canje-canje a matakan glucose ya faru a cikin yaro.
Idan hyperglycemia ko hypoglycemia ya faru ba zato ba tsammani, kuna iya buƙatar ɗaukar magunguna na musamman. Koyaya, raunin irin waɗannan magunguna shine yanayin mai haƙuri yana kwantar da hankalinsu kawai tsawon lokacin aikinsu. Sabili da haka, ya fi kyau hana canje-canje a cikin taro na glucose ta amfani da hanyar da ta daidaita yanayin yanayin haƙuri, kamar Metformin.
Rashin daidaituwa na jiki yana da sauƙin sauƙaƙewa. Don yin wannan, ku ci abinci mai daɗi. Haka kuma, jikin da kansa yana nunawa a wane lokaci yake bukatar abinci mai karko.Koyaya, wannan hanyar ta dace da mutane masu lafiya kawai, saboda haka masu ciwon sukari bai kamata su koma ciki ba.
Domin alamomin glucose ya zama al'ada, mutum dole ya sake tunanin salon rayuwarsa gabaɗaya. Don haka, ayyuka masu zuwa zasu taimaka wajen magance hauhawar jini:
- nauyi na al'ada
- yin amfani da carbohydrates a hankali
- ƙi gari, zaki, taba da barasa,
- bi da tsarin ruwa,
- daidaitaccen abinci (sunadarai, carbohydrates, fats na kayan lambu),
- cin kananan abinci sau 5-6 a rana,
- kirga adadin kuzari.
Yin rigakafin cututtukan hypoglycemia kuma ya ƙunshi kiyaye daidaitaccen abincin, wanda ke nuna ƙin abinci mai kalori. Kuma mutanen da ke da hannu a cikin wasanni kada su shanye jiki ta hanyar dogon horo da matsananciyar horo.
Hakanan ba karamin mahimmanci shine tabbataccen yanayin tunanin kwanciyar hankali.
Idan sukari jini yayi tsalle sosai, to mai haƙuri na iya haɓaka cutar gudawa. A cikin nau'in 1 na ciwon sukari, ana kiran wannan yanayin ketoacidosis. Nau'in cuta ta biyu kuma tana tare da cutar mahaifa.
Ketoacidosis yana bayyana a hankali, yana haɓaka shi da haɓakar abun acetone a cikin fitsari. A matakin farko, jiki yana cin nasara tare da kaya, amma yayin da kwaro ya girma, alamomin maye, zazzabin cizon sauro, zazzabin cizon sauro. Sakamakon haka, mutum ya rasa hankali, wanda wani lokacin yakan ƙare a cikin nutsuwa.
Hyperosmolar ciwo yana tasowa na makonni 2-3. Alamun wannan yanayin suna kama da alamun ketoacidosis, amma sun bayyana a hankali. A sakamakon haka, mutum ya rasa hankalinsa kuma ya faɗi cikin rashin lafiya.
Wadannan kararraki guda biyu suna bukatar kulawa ta gaggawa cikin gaggawa. Bayan asibiti da ganewar asali, mai haƙuri ya nuna glucose na al'ada. Idan akwai matsalar rashin lafiyar hyperglycemic, ana gudanar da insulin ne ga marassa lafiya, kuma idan akwai matsalar rashin ruwa a jiki, maganin glucose.
Tare da wannan, an nuna aiwatar da maganin jiko, wanda ya ƙunshi gabatarwar cikin jikin magunguna na musamman ta amfani da magudanar ciki da injections. Sau da yawa, ana amfani da tsarkakakken jini da magunguna waɗanda ke maido da wutan lantarki da kuma daidaita ruwa a jiki.
Gyaran ajiyar ya kai kwanaki 2-3. Bayan haka an tura mai haƙuri zuwa sashen endocrinology, inda ake ɗaukar matakan kwantar da hankalinsa.
Sau da yawa mutanen da ke da nau'in ciwon sukari na farko ko na biyu, a kashin kansu, suna barin matakan suga na jini su tashi ko faɗi. Wannan na faruwa ne lokacin da marasa lafiya basa bin maganin da likita ya umarta, kada ku bi ka'idodin abinci ko cin zarafin halaye marasa kyau. Irin waɗannan marasa lafiya ya kamata su sake nazarin salon rayuwarsu, tare da sauraron duk shawarar likita, wanda zai hana ci gaba ko lura da ci gaban rikice-rikice.
Sau da yawa, don hana haɓakar haɓakar hyperglycemia ko hypoglycemia, likitoci da yawa suna ba da umarnin Metformin. Wannan magani ne na antidiabetic wanda ke tare da ajin biguanides.
Ina ɗaukar Metformin a matsayin ƙarin magani don maganin insulin ko maye gurbin shi da wasu magungunan antiglycemic. Hakanan za'a iya amfani dashi azaman babban magani don ciwon sukari na 1, amma tare da insulin. Mafi sau da yawa, ana allunan allunan idan sunada kiba, tare da kula da yawan kuzarin glucose.
Metformin yana bugu sau 2 a rana bayan abinci a cikin adadin 1000 MG kowace rana. Rarraba sashi zai rage hadarin cutarwa daga tsarin narkewar abinci.
A ranar 10-15th na far, za a iya ƙara yawan zuwa 2000 mg a kowace rana. Yawan halatta na biguanides kowace rana shine 3000 MG.
Ana samun mafi girman aikin warkewa bayan kwanaki 14 daga farkon magani. Amma idan an wajabta Metformin don tsofaffi, to lura da aikin koda na waɗannan masu haƙuri ya zama dole.
Hakanan, allunan ya kamata a haɗa su tare da insulin da sulfonylureas a hankali. In ba haka ba, hypoglycemia na iya haɓaka.
Don kada sukarin jini ya wuce iyaka, yana da mahimmanci don sarrafa abincin ku, lura da daidaituwarsa da fa'idarsa. Hakanan yana da mahimmanci a jagoranci ingantacciyar rayuwar rayuwa, kar a manta game da matsakaiciyar motsa jiki da kuma tuntuɓar likita a kan kari. Bidiyo a cikin wannan labarin zai gaya maka menene alamun sukari ya kamata.
Shafin kawai a cikin Russia game da cutar sankara na yara yana Muscovite Maria Korchevskaya ta kiyaye. Yana da ban sha'awa karanta shi har ma ga waɗanda mutanen da ba su magance cutar kai tsaye ba
Menene camfin da suke da alaƙa da ciwon sukari? Yadda ake cin abinci? Yaya ake zama da iyaye na masu ciwon sukari? Yadda za a sami kyakkyawa a cikin cuta na kullum? Game da wannan da sauran abubuwa masu yawa, Mariya ta rubuta a hanya mafi ban sha'awa.
Wata guda da suka wuce, likitoci sun gano nau'in ciwon sukari na 1 a cikin ɗansa mai shekaru uku, Masha (yara, matasa, da matasa galibinsu ke fama). Wannan yana nufin cewa a yanzu Vanya zai iya sarrafa sukarin jininsa a duk rayuwarsa, ya bi abinci, ya kuma ɗauki allurar insulin har sau 5-6 a rana.
Lokacin da girgiza ta farko a cikin gidan Korchevsky ta wuce, "Gudanar da ciwon sukari" ya fara kuma an buga wani littafin tunawa akan layi.
"Na yi tunani game da shafin da," in ji Maria. - Ta hanyar ilimi Ni ɗan jarida ne, ƙwararre kan alaƙar jama'a. Lokacin da nake aiki, Ina ma'amala da ayyukan likita. Taken kiwon lafiya a bayyane ya zo a gaba. ”
Lokacin da aka haifi Vanya, mahaifiyarsa ta manta game da aiki na dogon lokaci. Yaron ya sa na wahala: da farko akwai gwagwarmaya tare da mummunan rashin lafiyan, sannan kafa da kafa da rauni, sannan kuma ciwon suga na farko. Kuma wannan ya kasance shekaru biyu da rabi. Babu lokacin da za mu shakata. "
Don taimako na nutsuwa, Masha ta fara rubuta minatures mai ban dariya a Facebook - kuma abokanka sun ji daɗin yadda ta ke bayyana rayuwar yau da kullun a fadan da ƙaramar “masu cin nasara” da kuma yaƙi don kyautatawarsa. "Har ma an shawarce ni da in sanya hoton matar da ba ta da aure," in ji mahaifiyar Vani. "Tabbas, zan fi son rubutu game da salon ko tafiya, amma rayuwa in ba haka ba."
Rayuwa ta canza lokacin da Masha da Vanya suna asibiti a shekara daya da suka gabata. Jaririn yana da babban sukari - kuma gandun, likitoci, tsoratarwar iyaye.
“A farko, kawai mun aikata ne cewa mun shiga cikin batun, karanta game da ciwon sukari kuma mun koyi yadda ake sarrafa shi,” in ji Maria. - To, ba wargi ba ne, na kasance mai juyayi kuma ban iya tunanin wani abu ba. A hankali, tashin hankali ya wuce, mun zama masu sauƙi mu danganta da komai, sannan kuma ... ra'ayin ya samo asali ne don fara blog. Bayani daidai, mijina ya ba da shawarar wannan: "Ka rubuta sosai, kaga an tsara batun, me yasa baza ku aiwatar da shi ba?"
Da farko, Masha ta nuna shakku. Amma sannu a hankali sha'awar raba ƙwarewa tare da wasu iyaye, waɗanda 'ya'yansu suna da cutar ta asali kamar Vanya, an rinjaye su.
“Shin kun san yadda kyau da kyan gani ga masu ciwon sukari ke yi a Amurka da Biritaniya? Kuma wasanni, da ban dariya, da girke-girke daga Chip da Dale - duk abin da kuke so. Babban abu shine cewa an gabatar dashi da kyakkyawan yanayi, cikin nishadi da harshe mai fahimta. Lokacin da ni da Vanya muke har yanzu a asibiti, na bincika gaba dayan Intanet na harshen Rasha, kuma ban sadu da wani abu ba, ”in ji Maria. - Bayani ne kawai na ka'idar ka'idoji - kuma ba alamar ambaton fata bane! Kuma akwai finafinai masu ban tsoro, hotunan ƙafar mai ciwon sukari a cikin ulcers ... Tabbas akwai wadatattun albarkatun likita tare da manyan labaru da ƙararrakin ƙwararru - amma hakan kawai ya sa ya zama da wahala.
Ina son amsa mai da hankali, fata da kuma halarta. Ina so wani ya rubuta yadda yake rayuwa da wannan, yadda yake gudanar da shi, har zuwa kankantaccen bayani - ya bukaci kwarewa ta farko. ”
Babu masu biyan kuɗi da yawa zuwa blog ɗin Maria Korchevskaya - m, waɗannan 'yan uwa ne, abokai, abokan abokai. Amma akwai waɗanda ke da kusanci ga batun kuma waɗanda suke buƙatar musayar gogewa da tallafi. Ingantawar Blog wani labari ne daban, tsari ne mai wahala, amma komai yana gaba.
“Tabbas, Ina son mutane da yawa su koya game da matsalar ciwon sukari na yara. Don yin wannan, ina rubutu cikin tsari mai sauƙi kuma mai sauƙi don karantawa mai ban sha'awa karanta ga waɗanda basu da alaƙa kai tsaye da ciwon sukari, ”in ji Masha. "Wadanda ba masu ciwon sukari ba sun ce sun gano sabbin abubuwa da yawa."
Babu yara da yawa da ke da ciwon sukari a cikin Rasha, mutane kima ne suka san game da wannan cutar: stereotype ya yadu cewa mai cutar sukari tsofaffi ne kuma mai yawan tsufa wanda ya ci dankali da yawa da kuma leke. Kuma game da nau'in 1 ciwon sukari mellitus an sani kawai ga endocrinologists.
Saboda haka, ƙananan masu ciwon sukari suna da wahala. Yawancin lokaci ba sa zuwa zuwa kindergarten - babu wanda ke iya samar musu da mahimmancin kulawa. Kuma a makaranta, yara suna fuskantar wasu matsaloli: suna buƙatar bayyana wa malamai da takwarorinsu yanayin rayuwar su
“Kwanan nan, wani labari game da wata budurwa wacce ba a ba ta damar yin allurar insulin a cikin aji ya yi tsawa a duk faɗin ƙasar,” in ji Masha. - Don hana faruwar hakan, mutane suna bukatar ilimi. A cikin Ingilishi akwai irin wannan - wayar da kan jama'a game da cutar, cutar da cutar. Yawancin matsaloli za a iya guje musu yayin da mutane suka mallaki bayanai. A cikin Jihohi, ana gudanar da shirye-shiryen ilimi na musamman a makarantu: ana gaya wa ma'aikata game da ciwon sukari da yadda za a taimaka wa yaron. Kuma yanzu ba mu da ma’aikatan jinya a kowace makaranta - balle sauran. ”
Akalla yin wani abu ya fi kyau fiye da rashin yin komai kwata-kwata
Maigidanta Mariya ta sami taimako daga mijinta, mai lissafin lissafi-shirye-shirye ta ilimi. Ya tsunduma cikin fannin fasaha, Masha - a cikin abun cikin. Yanzu tana yin rubutu game da labarai guda biyu a mako.
"Yana daukar lokaci mai yawa, tunda bani awowi biyu ko uku kawai a rana. Gaskiya dai, ban sani ba tukuna inda duk wannan zai jagoranci, kuma ko akwai masu yiwuwa. Amma ina son yin abin da nake yi. Ina fatan kishin ya isa na dogon lokaci. A kowane hali, Ina tsammanin wannan kyakkyawar kwarewa ce. Zai fi kyau a yi ƙoƙarin yin wani abu fiye da yin komai. ”
Marubucin yana da batutuwa da yawa don rubutaccen layi. Mariya tana son yin nazarin wasu tambayoyi da kanta, ta faru cewa batutuwa sun tashi kan aiwatar da bincike da karanta bayanai kan shafukan yanar gizo masu ciwon sukari.
Gabaɗaya, cikakken saiti na blog game da ciwon sukari na yara ya ci gaba - kuma a nan ana maraba da masu karatu.
Yi tunani game da irin tarayya da kuke da ita tare da kalmar ciwon sukari.
Zan iya ɗauka cewa mafi yawa za su yi tunanin wani nau'i na Robin-Bobin, wanda bai san ma'aunin abincinsa ba wanda yake saninsa kuma a fili yana lalata abinci mai sauri da samfuran kayan kwalliya. Lallai kuna da kusanci da gaskiya, amma ba haka bane.
Gabaɗaya, ta hanyar ciwon sukari muna nufin yanayin jiki wanda akwai ƙara yawan sukarin jini. Amma nau'in ciwon sukari suna da asali sosai waɗanda ana iya kiransu cututtuka daban. Nau'in nau'in ciwon sukari na 2 yafi bayyana a lokacin balaga kuma yana da alaƙa daidai da matsalolin wuce kima, yawan shaye-shaye da rashin motsa jiki. Wannan kusan game da ainihin Robin-Bobbin ne, wanda talaucin kansa ya kalli kansa kuma ya dasa fitsari.
Nau'in nau'in 1 ya bambanta. Ba shi da amini, kuma ba shi da tausayi, saboda ba a san musabbabin faruwar hakan ba, kuma yana kaiwa yara lafiya, marasa laifi da matasa (yawanci har zuwa shekaru 30). A wannan batun, mutane da yawa suna da rikicewa, suna haifar da rashin fahimta. Na yanke shawara na tattara abubuwan tatsuniyoyin da suka zama ruwan dare game da nau'in 1 na yara.
Idan yaro ya ci abinci mai yawa, zaku iya haifar da ciwon sukari.
Gabaɗaya, yawan sukari mai yawa ba zai amfani kowa ba. Amma abinci mai gina jiki na yaron ba ya shafar ci gaban nau'in ciwon sukari na 1. Har yanzu babu wasu dalilai, ban da tsararrakin kwayoyin. Wannan albishir ne. Kodayake, a ganina, akwai rashin adalci a cikin wannan. Don haka sau da yawa za ka ji daga iyayen ƙananan masu ciwon sukari cewa jariransu ba su da lokacin gwada Sweets, yayin da takwarorinsu suna cin abinci da carbohydrates a rana fiye da masu ciwon sukari a cikin mako guda.
Na tuna da farko ina ɗora kaina a kaina saboda ba ɗana da yawa masu bushewa. Ya kawai yi musu ado, kuma ba zan iya musun kaina da jin daɗin jin daɗin mintuna masu ƙima na magana ba, lokacin da yarinyar ya ba da ƙarfin kuzarinsa zuwa tashar lafiya kuma ya haƙo haƙoransa, kuma bai lalata ƙwayoyin jijiya ba.
Amma magunguna na hukuma sun kuɓutar da ni sosai. Bushewa da nau'in 1 na ciwon sukari ba su da alaƙa. Amma akwai wasu labarai mara kyau. Idan a cikin ƙuruciya ɗan ƙaramin haƙora mai ɗanɗana ya tafi da komai (ko da yake ba a soke caries ba), to a lokacin balaga, sha'awar shaye-shaye na iya haifar da tsammanin haɓaka ciwon sukari na 2. Amma wannan wani labarin ne.
Wannan kusan shine abu na farko da likitocin suka gaya mana a makarantar ciwon sukari a asibiti. Kuma lokacin da shugaban sashen ilimin halittar halittu yayin wani sauraron kaina ya ba ni kalmomin rabuwar: "Mafi kyawun abin da zaku iya yi wa yaranku shine kar ku bashi wani abu mai dadi," cike da takaici. Oran yara mara kyau, ba za su taɓa sanin ɗanɗano sa hannu na cakulan cuku ko ƙamshin ice cream na Italiyanci ba!
Amma kuma akwai kyakkyawan labari. A farkon cutar, lokacin da ciwon sukari ke ci gaba da sarrafa ku, kuma ba ku ba, ya fi kyau ku manta game da kayan lefe.
Sakamakon ra'ayoyi yana buƙatar koya daga jinkirin zuwa carbohydrates na matsakaici don ƙayyade madaidaicin rabo daga insulin zuwa abinci. Abincin mai daɗi shine carbohydrates mai sauri wanda ke haɓaka sukari da sauri, kuma da farko za su rikitar da katunan.
Wani abu kuma shine lokacin da aka kafa tsarin sarrafa sukari, alamu masu sukari suna da kyau, babu matsaloli tare da lissafin insulin, to zaku iya ƙoƙarin gabatar da wasu Sweets.
Babban yanayin shi ne cewa kuna buƙatar yin lissafin carbohydrates daidai (a cikin ƙarar samfurin wannan bayanan ana samun sauƙin cikin sashin ƙimar Abinci, kuma dole ne ku ƙididdige ku kula da ƙwararrun abincin ku na daf da kanku). Kuma mafi kyawun abu shine a bincika likitan ilimin endocrinologist: zai gaya muku lokacin da wane kashi kuke buƙatar aiwatarwa don takamaiman magani.
Amma har ma da ƙwarewar yin amfani da insulin da ƙididdigar ƙididdigar guraben gurasa, kar a manta cewa a cikin duk abin da ake buƙatar sanin ma'aunin. Kodayake ba makawa ne cewa mai ciwon sukari na iya mantawa da shi.
Za a iya maye gurbin kayan maye tare da abinci na masu ciwon sukari na musamman.
Wannan shi ne ɗayan camfin cututtukan cututtukan ƙwayar cuta. Tabbas, yana daga asalin kasuwanci.
A kowane ɓangare na babban kanti zaka iya samun sashen musamman tare da samfuran cututtukan sukari masu lafiya. Don farawa, “masu ciwon sukari” saboda mutane da yawa suna nufin “masu cin abinci,” wato ƙarancin sukari da bada shawarar ga duk wanda yake son rasa nauyi ko kawai yake lura da yawan caloric. Ainihin, ana siyar da adadi masu yawa na Sweets a can: daga Sweets da kukis zuwa marshmallows da jam. Ta yaya suka bambanta da samfuran yau da kullun?
Amsar, da ƙyar ta isa, kusan ba komai bane. Abin kawai cewa ba a yi amfani da su a cikin sukarinmu na yau da kullun ba, amma analogues ne: fructose, xylitol da sorbitol. Sun ƙunshi yawancin carbohydrates da adadin kuzari kamar sukari talakawa. Sabili da haka, dole ne a yi la'akari da su a daidai lokacin da ake zaɓar allurai na insulin. Don haka, abin takaici, masu yawan ciye-ciye masu ciwon sukari ba sa iya sauƙaƙa rayuwarmu. Kuma a wasu halaye, ɓatar kawai.
Da zarar mun sayi wannan keɓaɓɓen kayan sayarwa da ake kira "halitta-free plum lozenges." Dangane da alamar, waɗannan lozenges na mu'ujiza sun ƙunshi microdoses na carbohydrates, wani abu game da naúrar burodi 0.5 a kowace 100 na samfur. Mun auna su kuma muka ba da jaririn, wanda ya yi farin ciki sosai da karimcin da bai taɓa zuwa ba.
Amma sai muka firgita: sukari bayan yawan cinsu, kamar dai yaro yana cin ɗan waina. Tun daga wannan lokacin, mun kewaye wannan sashin.
Yaran da ke fama da ciwon sukari na 1 ba za su iya motsa jiki ba
Duk da gaskiyar cewa cutar da yaro da ke da nau'in 1 na ciwon sukari ya sami nakasa, motsa jiki na yau da kullun yana da mahimmanci a gare shi, har da insulin da abinci mai dacewa. Ga wata matsalar: nakasasshe ne wanda aka nuna wasanni.
Motsa jiki yana rage sukarin jini da buƙatar insulin. Babban abu shine tabbatar da cewa matakin glucose din ba ya zama mai saurin raguwa (hypoglycemia) kuma cikin lokaci don samar da jikin mai a cikin nau'ikan carbohydrates na narkewa.
Vanya a rana ta farko a gida bayan asibiti. Hoto daga mydiababy.com
Yaron da zai je horo koyaushe ya sami abun ciye-ciye. Kamar yadda na sani, 'ya'yan itacen kamar apple ko ayaba sun fi dacewa da waɗannan abubuwan. Af, akwai masu ciwon sukari a tsakanin 'yan wasan kwararru. Misali, shahararren dan wasan ninkayar Amurka Gary Hall Jr. shine ya mallaki nau'in ciwon sukari na 1 da kuma lambobin zinare goma. Don haka idan ɗanku yana so ya zama zakara ba wai kawai a cikin wasannin Olympiad na lissafi ba, har ma a fagen wasannin motsa jiki, ciwon sukari ba dalili bane na soke shi.
Ee, yi dariya - wasu mutane da gaske suna tunani haka. Saboda haka, wannan abun gaba daya an hada shi a cikin dukkan jerin sunayen masu cutar masu cutar sukari wanda kungiyoyin kwantar da cutar siga na kasa da kasa suka buga.
Tabbas, ciwon sukari baya yaduwa. Amma idan danginku suna da masu ciwon sukari, wannan yana ƙara haɗarin haɓakar cutar a cikin yara.
Tambayar nan da nan ta taso: idan na san cewa akwai fargaba a matakin kwayoyin, me zan yi don kare ɗan? Wataƙila babu matakan kariya masu mahimmanci. Don kyakkyawar fahimtar hoto, zaku iya ƙaddamar da bincike game da kwayoyin halitta wanda ke ƙayyade yiwuwar ciwon sukari. Manyan shawarwari, kamar su: bi abinci, kada ku zagi sukari da motsa jiki, kawai zai amfana.
Ganin wayewa game da matsalar, iyaye suna buƙatar zama a shirye don kada su ɓoye alamun farko na ciwon sukari (ƙishirwa, urination akai-akai da kuma asarar nauyi), kuma a mafi ƙarancin tuhuma, kai tsaye nemi likita da yin gwaje-gwaje.
Tsarenko S.V., Tsisaruk E.S. Kulawa mai zurfi ga masu ciwon sukari: monograph. , Magunguna, Shiko - M., 2012. - 96 p.
Akhmanov, Mikhail Ciwon sukari. Rayuwa ta ci gaba! Duk abubuwan da ke tattare da cutar kumburi (+ DVD-ROM) / Mikhail Akhmanov. - M.: Vector, 2010 .-- 384 p.
Nikolaeva Lyudmila Ciwon Ciwon Siki, LAP Lambert Publisher Ilmi - M., 2012. - 160 p.
Bari in gabatar da kaina. Sunana Elena. Na kasance mai aikin endocrinologist tsawon shekaru 10. Na yi imanin cewa a halin yanzu ni ƙwararre ne a fagen aikina kuma ina so in taimaka wa duk baƙi zuwa shafin don warware matsalolin da ba ayyuka sosai ba. Duk kayan don rukunin yanar gizon an tattara su kuma ana aiwatar dasu da kyau don isar da sanarwa gwargwadon iko. Kafin amfani da abin da aka bayyana akan gidan yanar gizon, tattaunawa mai mahimmanci tare da kwararru koyaushe wajibi ne.
Gudun sukari
No. 21 719 Endocrinologist 07/17/2015
Ni mutum ne, shekara 49, mai ciwon sukari, a kan insulin tsawon shekaru 27. Kwanan nan an sami bugun zuciya da rikicewar koda. Amma tambaya daban. A cikin 'yan kwanakin nan, sukari ya kai girman 20 da kuma na sama raka'a. A lokaci guda, bana jin alamun cutar yawan sukari, watau: bushe baki, bushe bushe, yawan urination. A yau, sukari mai azumi ya kasance 22.9. Bayan ya yi raka'a insulin 14 kuma ya yi karin kumallo. Bayan ɗan gajeren tafiya, sai ya sake auna sukari. 6 hours sun shude. Aka auna akai-akai: raka'a 26.8. Babu alamun cutar sukari mai yawa. Ban sani ba Ba zan iya fahimtar komai ba. A yau, kodan sake damuwa. Amma ba yawa
AMSA: 07.29.2015 Dombrovskaya Natalia Kiev 0.0 endocrinologist
Sannu. Sau da yawa yakan faru lokacin da mai haƙuri da ciwon sukari baya jin ƙarancin sukari, saboda haka an ƙirƙira glucose ma'auni don saka idanu. Kuna da yawan cututtukan ƙwayar cutar sankara, kuma an ba da ciwon bugun zuciya kwanan nan ku MATAATORY a nan gaba kuna buƙatar rama don irin wannan babban sukari. Kasance cikin koshin lafiya!
| Kwanan Wata | Tambaya | Matsayi |
|---|---|---|
| 21.02.2017 |
