Tsarin sukari na jini a cikin maza bayan shekaru 40, 50, 60
Haɓakar insulin na hormone yana taka muhimmiyar rawa a lafiyar ɗan adam. Damuwa, abincin da ba shi da lafiya da kuma rashin motsa jiki na matsakaici na iya ƙara haɗarin haɗarin lalata tsarin endocrine gaba ɗaya da na huhu. Da mazan mutum ya girmi shekarunsa, zai iya kusan samun ciwon sukari na 2.
Abin da ya sa yana da matukar muhimmanci a san ka'idodin sukari na jini ga maza, saboda bisa ga ƙididdigar WHO, sun fi haɗari ga masu ciwon sukari, bayan shekara 50. Idan kun gano matsalar a cikin lokaci kuma ku tuntuɓi endocrinologist don dacewa da magani, a nan gaba, zaku iya yin ba tare da allurar insulin ba.
Game da bayyanar wasu alamomin, waɗanda za a bayyana a ƙasa, dole ne a tuntuɓi cibiyar likitanci nan da nan don bincika sukarin jini. Bayani mai zuwa shine bayanin alamun, halayen sukari mai dacewa ga mutum a shekara hamsin da kuma lokacin yana da shekaru 60, kuma ana la'akari da hanyoyin magance su.
Symptomatology
Domin matakan sukari na jini ya zama karbuwa a 50, tsarin endocrine dole ne ya samar da adadin da ya dace na insulin din hormone.
Hakanan yana faruwa cewa ƙwayar ƙwayar ƙwayar cuta ta yau da kullun kuma ana samar da insulin, amma matsalar ita ce ƙwayoyin jikin ba su gane shi ba.
Bayyanar cututtukan cututtukan ciwon sukari bayan shekara 51 da sama kamar haka:
- gajiya,
- rage gani
- ƙishirwa
- mummunan numfashi
- karin nauyi kwatsam ko asarar nauyi,
- koda kananan raunuka basa warkarwa
- gumi
- kumburin jini akai-akai.
Idan an lura da akalla ɗaya daga cikin alamun bayyanar, to, yakamata a tuntuɓi likitan ilimin endocrinologist don ɗaukar gwajin da ya dace. Bayan duk wannan, wata cuta na iya faruwa ba tare da alamun bayyanar ba kuma shekara guda, ko ma biyu, amma haifar da cutarwa ta rashin daidaituwa ga lafiyar ɗan adam, ta rushe aikin duk ayyukan jikin.
Tabbas, zaku iya auna sukari na jini kuma a gida tare da glucometer (ana ɗaukar jini daga yatsa), idan wani. Amma yana da kyau a nemi likita don yin gwajin jini daga jijiya - wannan binciken zai zama mafi daidai kuma ƙwararrun likitocinsa za su yanke hukunci, idan aka ba su tarihin mai haƙuri. An haramta auna sukari bayan cin abinci.
A farkon bincike, mai haƙuri ya kamata ɗaukar shi na musamman a kan komai a ciki.
Aiki na yau da kullun
Tsarin sukari na jini a cikin maza bayan shekaru 50 bai bambanta da komai daga alamomi ko da a mafi ƙanƙancin shekaru, alal misali, a shekaru 55, ko ma a 60. Tebur da ke ƙasa yana nuna lokacin da sukari jini ya kasance cikin kewayon yarda.
Lokacin da aka ƙaddamar da bincike na farko, maza 52 shekara da sama suna buƙatar yin bincike kan komai a ciki, abincin da ya gabata yakamata ya kasance aƙalla 9 hours ago. Likita ya ba da alamun samin jini mara amfani. Matsayin halatta shine daga 3.9 mmol / L zuwa 5.6 mmol / L Hakanan ana iya aikawa don gwajin jini bayan cin abinci, akalla awanni biyu ya kamata ya wuce bayan cin abinci. A nan mai nuna alama zai zama mafi girma kuma wannan al'ada ce, tunda jiki yana narke abinci, da kuma carbohydrates da ke cikin abinci. Gwanin jini na yau da kullun a ƙarƙashin waɗannan yanayin daga 4.1 mmol / L zuwa 8.2 mmol / L.
Akwai dabarun bincike bazuwar. Ana yin sa ko'ina cikin rana, ba tare da la'akari da yawan haƙuri ba. Idan fitsari yana aiki kullum, to, yawan kuzarin jini yana cikin kewayon daga 4.1 mmol / L zuwa 7.1 mmol / L.
Al'umman endocrinologists sun dauki ka'idoji na yau da kullun waɗanda ke nuna ciwon sukari ko yanayin ciwon suga a cikin maza masu shekaru 50 zuwa 54, kuma cikin shekaru 56 - 59. Yawanci, a cikin rukuni na biyu, ana iya ƙara hawa zuwa 0.2 mmol / L.
Cutar sukari cuta ce ta mutum lokacin da aka lasafta shi a cikin ƙungiyar masu haɗari don haɓaka kamuwa da ciwon sukari wanda ya dogara da matakan sukari na jini. Mutane da yawa suna mamaki, menene matsayin sukari ga masu ciwon sukari da ciwon suga a 53 da 57? Amsar tana da sauƙi - alamomi iri ɗaya masu yarda ne na tsawon shekaru 50-60.
Abubuwan da ke biyo baya sune alamun sukari na jini, la'akari da nazarin nauyin. Yana haifar da ci na glucose, wanda aka sayar a kowane kantin magani. Da farko, mutumin ya sake yin gwajin a cikin komai a ciki, sai ya sha glucose, bayan awa biyu, ya sake yin gwajin. Wannan yana ba ku damar ganin cikakken hoton asibiti na cututtukan fata.
Wadannan masu nuni ne na yau da kullun:
- ciwon sukari: 5.55 - 6.94 mmol / l, a yayin lokacin nauyin 7.78 - 11.06 mmol / l,
- ciwon sukari, lokacin isar da bincike akan komai a ciki: daga 7.0 mmol / l da sama, tare da nauyin 11.1 mmol / l,
- sukari na yau da kullun a cikin nazarin jijiyoyin jini - daga 3.5 mmol / l zuwa 5.5 mmol / l,
- dabi'un sukari na yau da kullun don samfurin jini na jini - 6.1 mmol / l, lambobi mafi girma suna nuna yawan ciwon sukari.
A cikin lamarin yayin da mai haƙuri ya yi zargin cewa ba a aiwatar da ma'aunin sukari daidai ba, ko kuma idan shi kansa bai bi ƙa'idodin shirya binciken ba, to ya fi kyau a sake shi. Idan an kamu da cutar sankara, to babu yadda za'ayi ayi watsi da shi. Lallai, rashin magani da rashin yarda da rubutattun likitan likitanci zai haifar da ci gaban ciwon sukari da ya dogara da su.
Abin da zai iya gurbata hoton asibiti na bincike
Jikin ɗan adam yana da hankali ga abubuwan da yawa na waje, kuma lokacin ƙaddamar da gwajin sukari, kuna buƙatar la'akari da cewa wasu daga cikinsu zasu iya gurbata hoton asibiti. Damuwa, yawan shan barasa da cututtuka da yawa suna shafar ingantaccen samar da insulin.
Idan ɗaya daga cikin waɗannan cututtukan akwai, to wannan kai tsaye yana rinjayar matakin sukari na jini:
- bugun jini
- bugun zuciya
- Itsenko-Cushing's syndrome,
- insulinoma.
Cutar na baya da wuya, an lura da maza bayan shekaru 53. Insulinoma cuta ce da ke haifar da haɓakar samar da insulin, alamomi sun haɗu daga 2.9 mmol / L.
Babban ƙa'idar lokacin ɗaukar gwajin sukari shine cewa abincin da ya gabata yakamata ya kasance aƙalla 8 hours ago.
Da safe, an hana shan kowane abin sha, ban da ruwa.
Matakan hanawa
Don kula da jiki a cikin koshin lafiya, kuna buƙatar jagoranci salon rayuwa mai aiki kuma ku ci daidai. Wannan shine mabuɗin cin nasara da kuma rigakafin cutar sankara. Ko da mara lafiya yana da shekara 58, babu buƙatar ƙin karɓar maganin ta jiki. Yana bayar da gudummawa ga karancin glucose a cikin jini. Kuna iya zuwa yawon shakatawa a cikin iska mai tsayi, aƙalla minti 45 a rana, kullun. Hakanan yana da daraja la'akari da zaɓuɓɓuka irin su iyo iyo tafiya.
Abincin abinci mai kyau shine farkon kuma mafi mahimmanci gamshi na hana kamuwa da cutar siga 2. Kuma yayin yin binciken, mai haƙuri dole ne ya bi duk ka'idodin abincin abinci da kuma bin jerin samfuran da likitan ya ba da izini. Abincin ya kamata ya ƙunshi ƙananan carbohydrates. Game da samfuran gari, Sweets, mai da soyayyen ya kamata a manta da su har abada.
Yana faruwa cewa tare da shekaru, yawanci bayan shekaru 57, mutum yana fara yin nauyi kaɗan, kuma kowace shekara adadi akan sikeli ya zama mafi girma. Kamar yadda tuni likitoci suka tabbatar da cewa, masu kiba suna fama da cutar sikari sau da yawa fiye da abokan aikin su na bakin ciki. Saboda haka, buƙatar kiba fiye da kima ya kamata a yi yaƙi, saboda ciwon sukari da kiba suna da haɗari sosai "mahalli".
Babu matsala zaka iya sanya jikin mutum jin yunwa - wannan yana haifar da tsalle-tsalle cikin sukari na jini, amma kai ma bazai iya wuce gona da iri ba. Wajibi ne a daidaita abincin kuma a raba shi zuwa abinci 5 - 6, zai fi dacewa a lokaci guda. Wannan doka zata taimaki jiki wajen samarda insulin, kuma zai inganta aikin jijiyoyin jini.
Duk abinci kada ya zama mai maiko, wannan kuma ya shafi samfuran kiwo - kirim mai tsami, kirim. Butter yanzu an dakatar. Kefir mai kitse zai zama abincin dare mafi kyau, amma ba zai wuce 300 ml a rana ba. Daga cikin naman da aka ba da shawarar kaji, ba fata, wani lokacin zaku iya cin naman naman alade.
Duk abinci yana dafa shi ko kuma steamed. Babban gishiri, gishiri da kayan dafaffen abinci zai haɓaka ƙididdigar sukari, da kuma yawan cin hatsi, kamar su shinkafa da semolina.
Wajibi ne a kara amfani da tsarkakakken ruwa, akalla lita 2 a rana. Ruwan sha da kuma abubuwan sha a cikin kabari an haramta su a cikin duka masu ciwon sukari da kuma ciwon suga. Idan akwai babban sha'awar shan ruwan 'ya'yan itace, to lallai ne a tsage shi a cikin rabo na 1 zuwa 3, amma ba fiye da 75 ml na tsarkakakken samfurin ba.
Alcohol ya kasance ƙarƙashin cikakkiyar haram; ya kamata ka ma yi ƙoƙarin kawar da shaye-shayen nicotine.
Idan namiji yana da ciwon sukari, ko ciwon sukari, to, zaku iya komawa ga maganin ganyayyaki - amfani da kayan ado dangane da ganyayyaki na magani. Abin sani kawai ya zama dole a tuna cewa daga lokacin rajista tare da endocrinologist, mai haƙuri ya zama dole a sanar da shi game da shigar da sababbin abinci da abin sha a cikin abincin, idan ba a haɗa waɗancan cikin jerin izini ba.
Magungunan mutane
Podan farfas ɗin wake na Bean sun daɗe suna shahararrun kayan warkarwa a cikin ciwon sukari. Dukkanin abubuwan an yi bayani ne ta hanyar cewa kwandunan ya ƙunshi furotin wanda ya yi kama da tsari zuwa furotin kayan lambu. Kuma insulin shima furotin ne.
Shirye-shiryen da suka dace na kayan kwalliya daga kwandon wake da cin abincinsu na iya kiyaye matakan sukari na al'ada na jini har zuwa 7 hours. Kawai kada kuyi gwaji, kuma ku ƙi allurar insulin, ta amfani da kayan ado maimakon.
Hanyar warkewa don ɗaukar kayan ado yana da tsayi - rabin shekara. Bayan wannan lokacin, sakamakon zai zama sananne. Abincin girke-girke shine kamar haka: a cikin blender, busasshen wake mai bushe sai an murƙushe sannan daidaito foda. 55 grams na samfurin da aka samar an zuba shi cikin thermos kuma an zuba 400 ml na ruwan zãfi. Nace awa 12. Tsarin shiga - mintuna 20 kafin abinci, sau uku a rana. Bidiyo a cikin wannan labarin zai ba da bayani game da alamun farko na ciwon sukari.
Hormones da ke shafar metabolism na sukari a cikin jiki
Ana samar da glucose daga abinci sucrose, glycogen, sitaci, kuma yana hade daga hanta glycogen, amino acid, lactate, glycerol.
Adadin sukari na jini a cikin maza masu shekaru daban-daban ya dogara da adadin insulin da kuma karfin sa na sadar da glucose a sel. Amma a cikin jikin akwai hormones wadanda suke da tasirin gaske. Wannan shi ne:
Hanyoyin sarrafawa iri-iri suna tabbatar da aikin haɓakar carbohydrate na yau da kullun da kuma ƙayyade sukarin jini. Al'ada a cikin maza yakan canza tare da shekaru.
Na farko alamun bayyanar cutar sankarau
Tsarin sukari na jini a cikin maza na kowane zamani shine 3.5-5.5 mmol / l. Lokacin shan jini daga jijiya, ana ɗauka 6.1 mmol / L a matsayin alama mai yarda. Sama da wannan darajar ya riga ya zama alama ta ciwon suga.
Tare da haɓaka lambobi, ana lura da alamun masu zuwa:
Take hakkin garkuwar jiki,
• nauyi asara tare da yawan ci,
• bushewar mucous membranes,
• polyuria, wanda ake furta shi musamman da dare,
• rauni mara warkar,
• itching na gabobi ko makwancin gwaiwa.
Duk waɗannan canje-canjen suna faruwa idan matakin sukari ya wuce jini. A cikin maza na shekaru 50, waɗannan alamomin an fi bayyana su.
Laifi na wuce haddi glucose
Ba a amfani da sukari na jini (idan ya wuce kima) don samar da makamashi, amma ana canza shi zuwa triglycerides, waɗanda aka adana su azaman mai da ba a buƙata ko tara a cikin jini, inda suke ba da gudummawa ga ƙirƙirar filayen atherosclerotic.
Ciwon sukari mellitus da tsinkayar cutar
Cutar sankara (mellitus) cuta ce wacce kowane nau'in metabolism ke fama da ita, musamman ma abubuwan motsa jiki.
Mafi yawan lokuta yakan faru ne a cikin maza waɗanda ke da waɗannan haɗarin:
• rashin lafiya a dangi,
• ciwon suga (karin glucose sama da na al'ada),
• cholesterol mai yawa,
• salon zaman talauci,
• tarihin angina pectoris, bugun zuciya ko bugun jini,
Dukkanin abubuwan da aka ambata a sama sun zama ruwan dare ga yawancin mutanen da shekarunsu suka cika shekaru 45 ko fiye.
Hadarin na hauhawar jini
Hakkin halayen sukari na jini a cikin maza bayan shekaru 50 ya kai 5.5 mmol / l da safe akan komai a ciki kuma har zuwa 6.2 mmol / l kafin abincin rana ko abincin dare. Performanceara yawan aiki ba a ke so ba.
Suga na cutar da kwayoyin halitta ta hanyar hanyoyin da yawa kuma shine ke haifar da faruwar cututtukan da yawa a cikin tsofaffi:
Damage lahani ga retina,
• toshewar jijiya da jijiyoyi,
• raguwa a tafiyar jini,
Activara kunnawa masu amfani da radicals kyauta.
Wannan yana kara haɗarin hanyoyin oncological. A cikin bincike tsakanin maza, matakan glucose mai yawa ya haifar da karuwar mace-mace daga cutar kansa na narkewa (a cikin mafi yawan lokuta) da kuma cutar kansa na sauran wurare.
Ka'idar sukari na jini a cikin maza bayan shekaru 60 yana ɗan ƙara haɓaka. Koyaya, alamun da ke sama da 5.5-6.0 mmol / l ya kamata faɗakarwa, tunda a wannan zamani akwai babban haɗarin haɓaka cututtuka daban-daban. Cututtukan zuciya da cututtukan zuciya, atherosclerosis na jijiyoyin zuciya da jijiyoyin jini, shanyewar jiki shine cututtukan da ke haɗuwa da ciwon sukari da ciwon suga. Bugu da ƙari, rikicewar rikicewar rikice rikice a matakin salula a cikin gabobin da tsarin da dama na yiwuwa. Hawan jini, idanu, da jijiya suna sanadin cutar hawan jini.
Don haka, tare da shekaru a cikin maza, matakan glucose na jini ba tare da cin abinci ba yawanci suna ƙaruwa, kuma lafiyar ta ragu.
Hanyar ganewar asali
Ana auna sukari na jini tare da glucometer kuma a cikin binciken jini na venous. Bambanci a cikin karatun shine 12%, wato, a cikin dakin gwaje-gwaje, tare da ƙaddara mafi ƙuduri, matakin sukari ya fi girma lokacin da ake bincika digo na jini. Koyaya, wani glucometer shine madaidaiciyar iko na glucose, amma yana nuna dabi'un marasa amfani, saboda haka, lokacin da aka wuce matakin sukari na jini a cikin maza, bincike a cikin dakin gwaje-gwaje zai tabbatar ko karyata bayyanar cututtuka.
Don bincika cututtukan sukari da ciwon sukari, ana amfani da haƙuri na glucose da haemoglobin glycated.
Nazarin haƙuri haƙuri shine ƙuduri na hankalin insulin, ikon ƙwayoyin glucose don fahimtar wannan hormone. Wannan bincike ne na nauyin sukari. Ana gudanar da bincike na farko akan komai a ciki, sannan 75 g na glucose ya bugu tare da sake yin gwajin jini bayan minti 120.
Manuniya don gano ciwon sukari
Ofungiyar ocwararru ta Endocrinologists ta ɗauki alamu na yau da kullun waɗanda za a tuhume su da ciwon sukari da ciwon suga. Manuniyar glucose:
Cutar sukari - 5.56-6.64 mmol / L.
Cutar sukari - sukari na jini 7.78-11.06 sa'o'i biyu bayan cinye 75 na glucose.
Ciwon sukari - yin azumi sukari na jini na 7 mmol / L ko sama.
Ciwon sukari - sukari na jini 11.11 mmol / L ko fiye bayan awanni 2 bayan saukar sukari.
Ciwon sukari (mellitus): ana gano sukari jini da gangan - 11.11 mmol / L ko ƙari da alamun cutar sankara.
Idan akwai wata shakka game da cutar, to ya kamata a maimaita gwajin gobe. Duk da cewa cutar sankarau baya bayyana ta kowace hanya, amma yana da karfin gwiwa ya bunkasa cikin masu ciwon suga.
Eterayyade ƙwayar haemoglobin tana nuna matsakaicin matakin sukari na yau da kullun don watanni 2-3. Abubuwa da yawa zasu iya yin tasiri ga mai nuna alama: cututtukan koda, haɓakar mahaifa, lipids, da dai sauransu A cikin binciken cutar sankara, wannan bincike ba shi da labari. Abin da ake buƙata na isar da saƙo shi ke faɗi ne ta dalilin cewa yana ba ka damar kimanta yadda mara lafiyar ke sarrafa glucose a cikin jini.
Kulawa mai ƙarfi yana taimakawa da kuma hana wasu sakamakon cutar sankara. A gefe guda, tsayayyen kula da ciwon sukari na insulin da wasu magunguna masu ciwon sukari na iya ƙara haɗarin hawan jini.
Masu ilimin Endocrinologists sunyi jayayya akan menene matsayin yawan sukarin jini a cikin maza masu ciwon sukari. Mataki kada ya wuce 5.00 mmol / l kusan duk tsawon lokacin. Idan ya wuce 5.28 mmol / L bayan cin abinci, to ana wajabta adadin insulin daidai kuma ana bibiyar abincin.
Rage sukari
Wannan alamar ana kiranta hypoglycemia. Zai iya zama alama ce ta irin wannan cututtukan a cikin maza:
• hyperplasia ko adzoma na farji,
• Cutar Addison, cututtukan jini, ciwon mahaifa,
• lalacewar hanta,
• ciwon kansa, ciwon kansa, fibrosarcoma,
• kunna tsokawar jini a cikin gastroenterostomy, damuwa, malabsorption a cikin narkewa,
• guba tare da sunadarai da magunguna, barasa,
• tsananin motsa jiki,
• shan anabolics, amphetamine.
Tare da yawan yawan zubar da sukari na rage sukari, insulin, hypoglycemia shima zai yiwu, har zuwa cigaban kwaro.