Farkon masu fama da cutar siga
Don lura da gidajen abinci, masu karatunmu sunyi nasarar amfani da DiabeNot. Ganin shahararrun kayan wannan samfurin, mun yanke shawarar ba da shi ga hankalin ku.
Ciwon sukari cuta ce da tilas a sa ido akai-akai don kada ta haifar da rikici a jiki. Har zuwa wannan, masu ciwon sukari a kai a kai suna yin gwajin jini don sukari ta amfani da na'urar glucometer ta hannu na musamman. Bugu da ƙari, likita ya ba da izinin magani, magani ko insulin.
Idan baku dauki matakan ba cikin lokaci kuma tsallake gabatarwar hormone a cikin jiki, matakin sukari na jini na iya tsalle sosai zuwa raka'a 15 ko 20. Irin waɗannan alamun suna da haɗari ga lafiyar masu ciwon sukari, sabili da haka, ya zama dole a ga likita nan da nan kuma a kawar da dalilin tashin hankalin mai haƙuri.
Normalization na sukari jini
Don haka, abin da za a yi idan sukari da jini ya haɓaka zuwa raka'a 15 da 20? Bayan gaskiyar cewa kuna buƙatar neman taimakon likita, dole ne a yi bitar abincin kai tsaye don ciwon sukari. Mafi m, sukari na jini ya fadi sosai saboda rashin abinci mai kyau. Ciki har da duk abin da kuke buƙatar yin don rage matakin glucose a cikin jiki, idan alamu sun kai matakin da muhimmanci.
Don rage sukarin jini daga raka'a 15 zuwa 20 zuwa matakin al'ada zai yuwu ne kawai tare da rage-karancin abinci. Idan mai ciwon sukari yana da tsalle a cikin sukari, babu wani abincin da zai daidaita da zai taimaka.
Masu nuna raka'a 20 ko fiye da haka suna ba da rahoton haɗarin da ke barazanar mai haƙuri idan ba a fara kulawa mai ƙarfi ba. Bayan bincika da kuma samun sakamakon gwaje-gwajen, likita ya tsara magunguna da abincin abinci, wanda zai rage sukarin jini zuwa matakin 5.3-6.0 mmol / lita, wanda shine al'ada ga mutum mai lafiya, gami da masu ciwon sukari.
Abincin ƙarancin carb zai inganta yanayin haƙuri ga kowane nau'in ciwon sukari, komai irin rikitarwa da mai haƙuri ke da shi.
Normalization na yanayin an lura da shi a rana ta biyu ko ta uku bayan canjin abinci.
Wannan, bi da bi, yana rage sukarin jini daga raka'a 15 zuwa 20 zuwa ƙaramin matakin kuma yana hana ci gaba da cututtukan sakandare waɗanda yawanci ke haɗuwa da ciwon sukari.
Don bambanta abincin, yana da daraja amfani da girke-girke na musamman don shirya jita-jita waɗanda ba kawai ƙone sukari na jini ba, amma har inganta yanayin mutum da ciwon sukari.
Sanadin Samun Hawan jini
Ciwon sukari na jini na iya ƙaruwa saboda haihuwa, matsanancin damuwa ko damuwa na hankali, kowane irin cututtukan sakandare. Matsayi mai kyau, idan matakin glucose ya tashi zuwa raka'a 15 ko 20, zamu iya la'akari da gaskiyar cewa wannan alama ce ta ƙara hankali ga lafiyar. Yawancin lokaci sukari jini yakan tashi idan mara lafiya yana da nakuda a cikin aiki na carbohydrates.
Don haka, manyan dalilan da ke haifar da karuwar glucose din jini zuwa raka'a 20 ko sama da haka ana bambanta su:
- Rashin abinci mai gina jiki. Bayan cin abinci, matakan sukari na jini ana ɗaukaka su koyaushe, tunda a wannan lokacin akwai aiki da abinci wanda yake aiki.
- Rashin aikin jiki. Duk wani motsa jiki yana da tasiri mai amfani akan sukarin jini.
- Asedara yawan jin daɗi. A lokacin da ake cikin halin damuwa ko ƙwarewa mai ƙarfi, ana iya lura da tsalle-tsalle cikin sukari.
- Mummunan halaye. Barasa da shan sigari suna da illa ga yanayin jiki da karatun glucose.
- Canjin ciki. A cikin cututtukan maza masu haila da lokacin haila a cikin mata, matakan glucose na jini zasu iya karuwa sosai.
Haɗe da dalilai na iya zama kowane nau'in rikicewar lafiyar, wanda aka rarrabawa dangane da wane ɓangaren ya shafa.
- Cutar cututtukan Endocrine saboda rashi na iya haifar da cutar sankara, pheochromocytoma, thyrotoxicosis, cutar Cushing. A wannan yanayin, matakin sukari ya tashi idan adadin hormone yayi ƙaruwa.
- Cututtukan cututtukan cututtukan cututtukan fata, irin su cututtukan fata da sauran cututtukan ciwace-ciwacen daji, suna rage samar da insulin, wanda ke haifar da rikicewar rayuwa.
- Shan wasu magunguna na iya haifar da karuwa a cikin glucose na jini. Irin waɗannan magungunan sun haɗa da homon, diuretics, hana haihuwa da magungunan steroid.
- Cutar hanta, inda ake adana glycogen, yana haifar da haɓaka sukari na jini saboda lalatawar ƙwayar cuta ta ciki. Irin waɗannan cututtukan sun haɗa da cirrhosis, hepatitis, tumor.
Duk abin da mai haƙuri ke buƙata ya yi idan sukari ya haɗu zuwa raka'a 20 ko mafi girma shine a kawar da abubuwan da ke haifar da keta yanayin yanayin mutum.
Tabbas, batun guda na ƙara matakan glucose zuwa raka'a 15 da 20 a cikin mutane masu lafiya ba su tabbatar da kasancewar ciwon sukari ba, amma a wannan yanayin dole ne a yi komai don kada yanayin ya tsananta.
Da farko dai, yana da mahimmanci a sake farfado da abincin ku, kuna yin motsa jiki na yau da kullun. A wannan yanayin, kullun kuna buƙatar auna sukari na jini tare da glucometer don kauce wa sake komawa yanayin.
Guban jini
Ana yawan auna sukarin jini a kan komai a ciki. Ana iya yin gwajin jini a cikin asibiti a cikin dakin gwaje-gwaje da kuma a gida ta amfani da glucometer. Yana da mahimmanci a san cewa ana amfani da kayan aikin gida galibi don tantance matakan glucose na plasma, yayin da yake cikin jini, mai nuna alama zai ragu da kashi 12 cikin dari.
Kuna buƙatar yin bincike sau da yawa idan wani binciken da ya gabata ya nuna matakan sukari na jini sama da raka'a 20, yayin da mai haƙuri bai kamu da ciwon sukari ba. Wannan zai ba da damar hana ci gaban cutar a lokaci tare da kawar da duk abubuwan da ke haifar da cuta.
Idan mai haƙuri ya haɓaka glucose na jini, likita na iya ba da izinin gwajin haƙuri na glucose don taimakawa wajen ƙayyade nau'in ciwon suga. Yawanci, an tsara irin wannan bincike don ware haɓakar ciwon sukari a cikin haƙuri kuma don gano cin zarafin narkewar sukari.
Ba a rubuta gwajin don haƙuri na glucose ba ga kowa, amma mutane sama da 40, marasa lafiya masu kiba da waɗanda ke cikin haɗarin kamuwa da cutar sukari mellitus sun sha wahala.
Don yin wannan, mai haƙuri ya wuce gwajin jini don sukari a kan komai a ciki, bayan haka an miƙa shi ya sha gilashin glucose mai narkewa. Bayan awanni biyu, ana sake yin gwajin jini.
Don amincin sakamakon da aka samu, dole ne a kiyaye yanayi mai zuwa:
- Lokacin daga abincin da ya gabata zuwa aikin tantancewa dole ya wuce awanni goma.
- Kafin bayar da gudummawar jini, ba za ku iya shiga cikin aiki na aiki na jiki ba kuma duk nauyin da ke kan jiki dole ne a cire shi.
- Ba shi yiwuwa a canza abincin a tsafe na bincike.
- Yi ƙoƙarin guje wa damuwa da damuwa.
- Kafin ka zo kan bincike, ana bada shawara don shakatawa da kwanciyar hankali.
- Bayan maganin glucose ya bugu, ba za ku iya tafiya ba, shan taba da ci.
Ana gano rashin haƙuri na glucose idan bincike ya nuna bayanai akan komai a ciki game da 7 mmol / lita kuma bayan shan glucose 7.8-11.1 mmol / lita. Idan alamu sun kasance ƙasa sosai, kada ku damu.
Don gano abin da ke haifar da ƙaruwa na lokaci guda na sukari na jini, kuna buƙatar ɗaukar duban dan tayi na ƙwayar cuta kuma ku yafe gwajin jini na enzymes. Idan kun bi shawarar likitoci kuma ku bi abincin warkewa, karatun glucose zai sannu ba da jimawa ba.
Baya ga canje-canje a matakan glucose na jini, mai haƙuri na iya fuskantar alamun nan:
- Urination akai-akai
- Dry bakin da akai ƙishirwa,
- Gajiya, rauni da rashin tsoro,
- Asedaru ko, a ta musaye, rage cin abinci, yayin da nauyi ya ɓace ko ya samu,
- Tsarin rigakafi yana raunana, yayin da raunin mai haƙuri ya warkar da talauci,
- Mai haƙuri yana jin ciwon kai akai-akai
- Hankali yana raguwa a hankali
- Itching an lura akan fatar.
Irin waɗannan bayyanar cututtuka suna nuna karuwa a cikin sukari na jini da buƙatar ɗaukar matakan gaggawa.
Ationarin Abinci don glucose mai yawa
Don daidaita sukari na jini, akwai abinci na musamman na warkewa wanda ke nufin rage yawan abincin da ke da wadataccen carbohydrates. Idan mai haƙuri yana da nauyin jiki, har da likita ya ba da umarnin rage yawan kalori. A wannan yanayin, wajibi ne don sake cike abincin tare da samfuran da ke dauke da bitamin da abubuwan gina jiki.
Menu na yau da kullun yakamata ya haɗa da abinci wanda ya ƙunshi adadin kuzarin sunadarai, fats da carbohydrates. Lokacin zabar jita-jita, da farko dole ne a mai da hankali akan teburin ma'aunin glycemic, wanda kowane mai ciwon sukari ya kamata ya samu. Kuna iya kawar da alamun cutar sankara kawai tare da ingantaccen abinci.
Tare da ƙara yawan sukari, ya zama dole don daidaita yawan abincin abinci. Ana bada shawara a ci sau da yawa, amma a cikin ƙananan rabo. Yakamata a sami abinci guda uku da abinci uku a rana. Koyaya, kuna buƙatar cin abinci mai kyau kawai, ban da kwakwalwan kwamfuta, mahaukata da ruwa mai walƙiya, waɗanda suke cutarwa ga lafiya.
Babban abincin ya kamata ya haɗa da kayan lambu, 'ya'yan itatuwa da abinci masu furotin. Hakanan yana da mahimmanci a kula da ma'aunin ruwa. Idan matakin glucose ya kasance mai girma, ya zama dole mu rabu da amfani da kayan zaki, da sigari da abinci mai kima, da giya. Hakanan ana bada shawara don ware inabi, raisins da ɓaure daga abincin.
Acine Acetone don Ciwon sukari
Acetone a cikin ciwon sukari wani abu ne da ya zama ruwan dare gama gari, musamman ma a cikin marassa lafiyar da basuyi koyon yadda ake rama yadda yakamata su cutar da kansu ba. Mafi sau da yawa, wannan ya zama alama farkon farkon girma na ketoacidosis da kuma tsalle mai tsayi a cikin glucose jini.
- Me yasa acetone ya bayyana a cikin ciwon sukari?
- Me ke barazanar ketonuria?
- Yaushe ake la'akari da ketonuria a matsayin yanayin al'ada?
- Yaya za a cire acetone daga fitsari?
Wannan halin tuni yana buƙatar asibiti cikin gaggawa. Amma shin ketones a cikin fitsari suna da haɗari kamar yadda ake tunanin su? A yawancin yanayi na yau da kullun, mutum zai iya lura da bayyanar su a cikin ruwan da ke gudana, wanda a mafi yawancin lokuta yana nuna canje-canje na lokaci a cikin metabolism.
Me yasa acetone ya bayyana a cikin ciwon sukari?
Don samun kyakkyawar fahimtar yanayin komputa na ci gaban wannan alamar, yana da kyau a fahimci tsarin matsalar.
Da farko, kuna buƙatar sanin cewa sunan gabaɗaya "jikin ketone" ya ƙunshi abubuwa masu halaye guda uku waɗanda zasu iya bayyana cikin jini da sirrin mai haƙuri:
- Acetoacetic acid (acetoacetate).
- Beta-hydroxybutyric acid (β-hydroxybutyrate).
- Acetone (propanone).
Abu na biyu, dukkan su samfurori ne na lalacewar duniyoyi da keadarai.
Dalilan bayyanar su cikin ruwayoyin halittu sune:
- Rashin kamuwa da cutar siga.
- Cararancin abincin carb
- Vomiting na tsawon lokaci da gudawa.
- Cutar mai saurin kamuwa da cuta ta rashin ruwa a jiki.
- Yunwa.
- Magungunan guba.
- Fitsari.
- Yawan zafi.
Idan zamuyi magana game da matsanancin ƙwayar glucose, to irin wannan matsalar ta fitsari tana faruwa ne a cikin yanayi 2 na asali daban:
- Hyperglycemia. Sakamakon karancin insulin, ƙwayoyin kwakwalwa ba za su iya yin amfani da sukari mai yawa ba. Saboda haka, kitse da sunadarai sun fara lalacewa tare da samar da jikin ketone. Tare da karuwa mai yawa a cikin adadin su, hanta ta daina jurewa da zubar da waɗannan abubuwan kuma, ta hanyar hana shingen ƙungiyar, suna shiga fitsari.
- Hypoglycemia. A wannan yanayin, saboda yawan wucewar hormone ko kawai rashin glucose a cikin abinci, ana lura da karuwa a cikin matakan acetone a jiki. Dalilin shi ne rashin canzawa don samar da makamashi, don samar da abin da jiki ke amfani da shi.
Menene barazanar ketonuria?
Acetone a cikin ciwon sukari kadai ba ya jefa babban haɗari ga jiki. Kawai yana nuna cewa babu isasshen insulin ko kuma karancin jini na jini. Ba za a iya kiran wannan jihar da tsari ba, amma karkatacciyar har yanzu tana nesa. Babban abu shine don sarrafa matakin cutar glycemia da kuma yin ƙarin gwaji tare da endocrinologist.
Babban rikitarwa wanda zai iya haɓakawa daga asalin adadin ketones a cikin fitsari, sannan kuma a cikin jini, shine ketoacidosis. An nuna shi ta hanyar juyawa a cikin pH na serum zuwa gefen acidic. Ana nuna wannan jihar a ma'aunin acid-base ma'aunin ≤ 7.3.
An bayyana wannan ta hanyar hadadden bayyanar cututtuka:
- Janar rauni.
- Dizziness
- Pallor na fata.
- Odarshen peculiar daga bakin.
Duk wannan yana nuna acidification na jiki kuma yana buƙatar isasshen magani. Idan ba a samar wa mai haƙuri ba, sakamakon kasancewar acetone a cikin fitsari tare da ciwon suga zai iya zama da wahala. Mafi haɗari shine aiki na acidosis. Kwakwalwa ba ta samun isasshen glucose da kuma “keɓaɓɓu”. Irin waɗannan marasa lafiya suna buƙatar asibiti na gaggawa a cikin rukunin kulawa mai mahimmanci don gyara matakin pH.
Yaushe ake la'akari da ketonuria yanayin al'ada?
A yanzu, maganin zamani yana da magunguna da yawa don dakatar da hauhawar jini da hana acidosis. Ofayan mafi mahimmancin kiyaye matakan glucose na al'ada shine abinci.
Muhawara mai aiki yanzu tana bayyana game da abin da abinci yake mafi kyau: sub-caloric (tare da ƙuntatawa ga kowane nau'in carbohydrates) ko na yau da kullun (tare da rage sauƙin sukari mai narkewa). A farkon zaɓi, saboda ƙarancin ƙwayar cutar glycemia koyaushe, jiki yana rushe kitsen da ke tattare da tasirin acetone. A wannan yanayin, wannan yanayi ne na al'ada.
Wasu masana kimiyyar endocrinologists sunyi watsi da ainihin ra'ayin irin wannan hanyar cin abinci, amma rashi na kowane mummunan sakamako da sakamako mai kyau na warkewa yana sa al'umma suyi tunanin canza hanyoyin gargajiya don samar da abinci.
Yaya za a cire acetone daga fitsari?
Ta hanyar kanta, wannan alamar ba ta buƙatar magani mai aiki. Wannan gaskiya ne kawai idan an lura da matakin sukari a cikin ƙwayar cuta kuma an lura da duk mahimman ka'idodi na magance cutar.
Don lura da gidajen abinci, masu karatunmu sunyi nasarar amfani da DiabeNot. Ganin shahararrun kayan wannan samfurin, mun yanke shawarar ba da shi ga hankalin ku.
Don cire acetone daga fitsari a cikin ciwon sukari na mellitus a cikin hanyoyi masu zuwa:
- Theara yawan insulin.
- Akeara yawan shan ruwa. Sanadin acidosis yawanci rashin danshi ne.
- Gudanar da / gabatarwar mafita na 0.9% NaCl ko potassium da shirye-shiryen sodium don daidaita tsarin abubuwan da ke cikin jini.
A kowane hali, idan ketonuria ya faru, dole ne koyaushe ku nemi likita don hana ci gaban rikitarwa.
Coma ga ciwon sukari
Halin rayuwa mai haɗari wanda ya haifar da raguwa a cikin insulin shine coma mai ciwon sukari. Anyi la'akari da rikitarwa na ciwon sukari, kuma yana haifar dashi ta hanyar rashin daidaituwa tsakanin sukari jini da jikin ketone. Yana da gaggawa don ɗaukar matakan don ceton mai haƙuri.
- Me ke haifar da cutar rashin lafiyan ciki?
- Iri na kamuwa da cutar siga
- Ciwon sukari
- Alamar cutar sankarau
- Mene ne alamun coma a cikin ciwon sukari?
- Abin da ke jiran haƙuri bayan kamuwa da cutar sankara
- Cutar sankarau a cikin yara
- Kulawa ta gaggawa don cutar siga
- Maganin Cutar Cutar na Ciwon Mara
- Bidiyo: ƙwayar ciwon sukari da taimakon farko
Me ke haifar da cutar rashin lafiyan ciki?
Rashin daidaituwar carbohydrate-alkaline na iya haifar da maye gawar jiki, da kuma tsarin jijiyoyi baki daya, sakamakon haifar da kwayar halitta. A sakamakon wannan, jikin ketone yana fara tarawa a cikin jiki, har ma da acid (beta-hydroxybutyric da acetoacetic). Saboda wannan, bushewar jiki baki daya yana faruwa. Jikin Ketone yana shafar cibiyar numfashi. Mai haƙuri ya fara jin ƙarancin iska, yana da wahala yin numfashi.
Coma na faruwa ne sakamakon karancin ƙwayoyin narkewar ƙwayoyi. Tare da karancin samar da insulin a cikin hanta, an kirkiro karamin adadin glycogen, wanda ke haifar da tara sukari a cikin jini da abinci mai gina jiki mara kyau. A cikin tsokoki, ana ƙirƙirar samfurin matsakaici a adadi mai yawa - lactic acid. Canje-canje a cikin metabolism metabolism yana haifar da keta abubuwa iri daban-daban.
Yayinda glycogen ya zama ƙasa a cikin hanta, mai mai daga wurin ɗakin an tattara shi. Sakamakon wannan, ba ya ƙonewa gaba ɗaya, kuma jikin ketone, acid, acetone sun fara tarawa. Jikin yana rasa mai yawa abubuwan abubuwan ganowa. A wannan yanayin, taro na salts a cikin taya yana raguwa, acidosis yana faruwa.
Hyperglycemia
Tare da matakan girman sukari na jini, mai haƙuri na iya fada cikin ɗayan lumps masu zuwa:
- Hyperosmolar. Ana nuna shi ta hanyar tashin hankali na rayuwa, yawan sukari yana ƙaruwa, rashin ruwa a jiki yana faruwa a matakin salula. Amma, ba kamar sauran nau'in coma ba, mai ciwon sukari tare da ƙwayar cutar hyperosmolar ba zata jin ƙanshi na acetone daga bakinsa. Wannan rikitarwa galibi yana tasowa ne a cikin mutanen da suka fi shekaru 50 girma, amma wani lokacin yakan faru a cikin yara 'yan ƙasa da shekaru biyu idan mahaifiyar ba ta da ciwon sukari na 2.
- Cutar Ruwa. Ya bayyana ne sakamakon anaerobic glycolysis, lokacin da ba'a yi amfani da glucose ba, don haka jiki yana son samun makamashi don rayuwarsa. Don haka hanyoyin fara faruwa, suna haifar da haifar da abubuwan lalata na acidic waɗanda ke cutar da tasirin zuciya da jijiyoyin jini. Alamun wannan yanayin shine matsanancin amai, amai, ko rashin tausayi.
- Hyperglycemic (ketoacidotic). Irin wannan rashin lafiyar ana tayar da hankalin ta wurin rashi ko kuma rashin kulawa mai kyau. Haƙiƙar ita ce cewa tare da isasshen ƙwayar insulin ko rashinsa, ƙwayoyin jikin ba sa ɗaukar glucose, saboda haka kyallen takan fara yin "matsananciyar yunwa". Wannan yana haifar da matsanancin aiki wanda ke rushe mai. Sakamakon metabolism, kitsen mai da ketone jikin ya bayyana, yana ciyar da sel kwakwalwa na ɗan lokaci. A nan gaba, tara irin waɗannan jikin yana faruwa, kuma a sakamakon haka, ketoacidosis.
Hypoglycemia
Halin da ke faruwa tare da raguwa mai yawa a cikin tarowar jini. An tsokani shi ta hanyar ƙarancin abinci ko yawan insulin, kuma ƙasa da yawa - wakilai na hypoglycemic. Coma yana tasowa cikin kankanin lokaci. Wani yanki na sukari ko kwamfutar hannu na glucose zai taimaka wajen guje wa mummunan tasirin.
Ciwon sukari
Yawancin lokaci mai haƙuri ba ya fada cikin rashin lafiya nan da nan, wannan yanayin yana gab da precoma. Wannan yanayin yanayin da mai haƙuri ke fuskanta da yawaitattun maganganu masu banƙyama saboda damuwa a cikin tsarin juyayi na tsakiya. Mai haƙuri yana da:
- bari
- rashin hankali
- fitowar kumburi a fuska,
- kunkuntar pupilsaliban
- rikicewa.
Yana da mahimmanci cewa a wannan lokacin wani yana tare da mai haƙuri kuma yana kira da sauri ga motar asibiti don ma'aunin ya juya ya zama warkarwa.
Alamar cutar sankarau
Cutar sankarau ba ta faruwa nan da nan. Bayan yanayin riga-kafi, idan ba a dauki matakan ba, yanayin mai haƙuri ya dagula, ana nuna alamun masu zuwa:
- jin rauni
- nutsuwa
- ƙishirwa
- ciwon kai
- tashin zuciya da amai
- karancin jini
- bugun zuciya
- ragewan zafin jiki.
Mutum na iya rasa sani, tsokoki da fatar su sami natsuwa. Hawan jini ya ci gaba da raguwa.
Mafi kyawun alamar da zaku iya tantance farkon coma shine kasancewar ƙamshin acetone daga bakin. Cutar na iya zama ɗan gajere ko na tsawon awanni, ko da kwanaki. Idan baku dauki matakan taimako da suka wajaba ba, to mara lafiyar zai rasa hankali kuma ya mutu.
Wani muhimmin alama shine cikakkiyar rashin kulawa ga dukkan al'amuran. Hankali yana dushe, amma wani lokacin fadakarwa na faruwa. Amma a matsanancin matsayi, hankali zai iya rufe baki ɗaya.
Mene ne alamun coma a cikin ciwon sukari?
Likita na iya gano cutar sankarau ta hanyar bayyanar cututtuka masu zuwa:
- bushe fata da itching,
- m numfashi
- karancin jini
- da ƙishirwa
- janar gaba daya.
Idan baku dauki matakan ba, to yanayin mai haƙuri ya rikitarwa:
- amai yana zama muni, wanda ba ya kawo sauƙin kai,
- mafi muni ciki zafi
- gudawa na faruwa
- matsin lamba ya ragu
- m ne ya bayyana ta hanyar tachycardia.
Tare da ƙwayar cuta na hyperglycemic, alamu masu zuwa suna bayyana:
- jin rauni
- sha'awar cin wani abu,
- gumi
- rawar jiki duk jikin
- damuwa da tsoro.
Kuna iya samun ƙarin bayani game da kwayar cutar mahaifa a nan: http://diabet.biz/oslozhneniya/neotlozhnye/giperglikemicheskaya-koma.html.
Abin da ke jiran haƙuri bayan kamuwa da cutar sankara
Za'a iya gano sakamakon rikicewar cutar sankarau ta hanyar magana guda ɗaya: duk jikin yana rushe. Wannan na faruwa ne sakamakon yunwar da ake samu akai akai, wanda ke ƙaruwa da yalwar glucose a cikin jini.
Coma na iya yin tsawo sosai - daga sa'o'i da yawa zuwa makonni da yawa har ma da watanni. Sakamakonsa shine:
- daidaituwa daidaituwa a cikin motsi,
- magana mara fahimta
- hargitsi a cikin aikin zuciya, kodan,
- ingarma na wata gabar jiki.
Yana da matukar muhimmanci a samar da likita na gaggawa. Idan motar asibiti ta isa a lokacin da ba daidai ba, ƙwaƙwalwar ƙwayar cuta na faruwa.
Cutar sankarau a cikin yara
Sau da yawa, yara ƙanana ba koyaushe ake gano su daidai ba. Jihar precomatous galibi kuskure ne kasancewar kamuwa da cuta, meningitis, cutar ciki, amai. A kan wannan tushen, rashin daidaituwa ya taso, tun da yaro ya sami magani daban daban da taimako.
A cikin yara, ana bambanta nau'ikan coma. Mafi yawan cocin ketoacidotic. Iyaye suna buƙatar kulawa da yaransu, saboda wannan nau'in kwayar ba ta da wahalar ganewa. Alamomin cutar su ne:
- ƙanshi na acetone daga bakin,
- kullum sha'awar shan ruwa,
- urination akai-akai
- rage cin abinci
- asarar nauyi
- bushe fata.
Cutar Hyperlactatemic na iya faruwa a cikin yaro a kan asalin gaskiyar cewa rushewar glucose yana faruwa tare da isasshen oxygen, wanda ke haifar da tarin lactic acid. Duk waɗannan canje-canje na ƙwayoyin cuta suna haifar da bayyanar cututtuka:
- yaro ya zama mai wahala, wani lokacin m,
- karancin numfashi na faruwa
- rashin jin daɗi a cikin zuciya,
- tsokoki a cikin hannu da kafafu.
Yana da matukar wahala a tantance wannan yanayin a cikin yara ƙanana, musamman a cikin jarirai, tunda babu jikin ketone a cikin fitsari.
Kulawa ta gaggawa don cutar siga
Za'a iya hana nau'ikan coma daban-daban, kuma tare da kwayar cuta don rage yanayin haƙuri. Don yin wannan, kuna buƙatar sani game da kulawar gaggawa:
- Tare da ƙwayar ketoacidotic, ana gudanar da insulin. Yawancin lokaci, ana gudanar da ƙananan allurai ta intramuscularly da farko, to, ana tura su zuwa manyan allurai cikin hanzari ko kuma a karkatar da su. An kwantar da mai haƙuri a asibiti cikin sashin kulawa mai zurfi.
- Tare da hypersmolar coma, akwai gwagwarmaya na lokaci guda tare da bushewa da sukari jini. Saboda haka, ana gudanar da sinadarin sodium chloride a karkatar da hankali kuma ana gudanar da insulin a cikin jijiya ko intramuscularly. Ana ci gaba da sanya idanu kan yawan sukari na jini da jinin haila. An sanya mara haƙuri a cikin ɓangaren kulawa mai zurfi.
- Tare da ƙwayar cutar hyperlactacPs, sodium bicarbonate, wanda kuma cakuda insulin da glucose, an gabatar dashi don taimakawa. Idan an lura da lalacewar, to an tsara polyglucin da hydrocortisone. Suna asibiti a sashin kulawa mai zurfi.
Maganin Cutar Cutar na Ciwon Mara
Tare da coma mai ciwon sukari, yana da matukar muhimmanci a fara magani a kan lokaci. A wannan yanayin, likitoci na iya yin amfani da waɗannan matakan:
- Ana gudanar da insulin a cikin ƙananan allurai, a cikin jijiya. Ana ɗaukar gwajin jini daga mai haƙuri kowane sa'o'i 2-3 don ƙuduri na sukari da fitsari don kasancewar sukari da acetone a ciki. Idan ba'a lura da tasirin ba, ci gaba da sake farfadowa da sauransu har mai haƙuri ya sake dawowa hayyacinsa kuma dukkan alamun kwayar cutar ta lalace.
- Don hana yawan wucewar insulin, jikin ketone ya ƙone, glucose yana allura awa daya bayan insulin. Wadannan allurar tare da glucose wani lokaci dole ne a yi su har sau 5 a rana.
- Don haka rushewar jijiyoyin jiki baya faruwa kuma don magance acidosis, ana sarrafa saline tare da bicarbonate na soda a hankali. Bayan awa 2, allura ta shiga tare da sinadarin sodium ya fara.
- Don aiwatar da abubuwan oxidative da sauri, ana yarda mai haƙuri ya shayar da oxygen daga matashin kai. Zuwa garesu suna amfani da murfin dumama.
- Don tallafawa zuciya, allurar da ke ɗauke da maganin kafeyin da camphor suna allura. An tsara mai haƙuri bitamin: B1, B2, ascorbic acid.
- Bayan mai haƙuri ya fita daga coma, an wajabta masa shayi mai zaki, compote, Borjomi. A hankali, kashi na insulin ya fara raguwa, ana gudanar dashi kowane awa 4. An bambanta abincin mai haƙuri tare da sabbin samfura, lokacin haɓaka shan magunguna yana ƙaruwa.
- An tsara abubuwan Lyotropic, waɗanda ke ƙunshe a cikin oat da shinkafa na shinkafa, cuku mai ƙananan mai da kwalin. Wajibi ne a iyakance amfani da abinci mai kitse. Sannan je zuwa farkon kashi na insulin.
Shock da coma
Mai haƙuri mai ciwon sukari na iya fuskantar girgiza insulin da coma mai ciwon sukari.
Insulin rawar jiki (rikicin sukari) yana faruwa lokacin jikin mai haƙuri yana da ƙarancin sukari ko yawan insulin. Wannan na iya faruwa idan mai haƙuri bai ci abinci na dogon lokaci ba ko kuma ya ɗanɗani nauyin jiki.
Yadda za'a gane Bayyanar cututtuka na insulin rawar jiki shine blurred hankali da pugnacity, dizziness, profuse gumi, azumi, bugun jini rauni, fata gumi fata, cramps.
Abinda yakamata ayi A farkon alamar girgiza insulin, ya fi kyau a kira likita nan da nan. Idan kana da glucagon a hannunka kuma ka san yadda ake amfani da shi, ka ba marassa allurar. Idan ba haka ba, ba mai haƙuri alewa, sukari mai tsabta, zuma ko kirim ɗin don kelan. Kuna iya ba wa mara lafiya damar shan ruwan 'ya'yan itace ko ruwa tare da sukari mai narkewa a ciki (kofi uku a kowace gilashin).
Hankali: idan mutum bai san komai ba, a'a a yi ƙoƙarin ba shi abin da zai ci ko abin sha!
Idan baku sani ba idan yanayin rashin haƙuri ya haifar da cutar sukari mai yawa ko ƙarancin sukari, ba shi sukari ta wata hanya. Tare da girgiza insulin, zaka iya ajiye rayuwar mutum. Kuma idan girgiza ta haifar da matakan sukari mai yawa, to taimakonku bazai ƙara cutar dashi ba.
Cutar masu ciwon sukari yana faruwa idan jiki yana da yawa (glucose) sosai kuma isasshen holin insulin wanda ƙwan kansa ke ɓoye.
Yadda za'a gane Cutar sankarar mahaifa na faruwa a hankali kuma wani lokacin wannan kuskuren yana maye saboda maye, saboda mai haƙuri yana haɓaka rashin lafiyar hankali da disorientation. Sauran alamu sun hada da nutsuwa, tsananin kishirwa, saurin numfashi, zafi, bushewar fata.
Abinda yakamata ayi Tare da coma mai ciwon sukari, yakamata a bayar da taimako da wuri-wuri. Idan mara lafiya:
— sanesannan ka kira motar asibiti nan da nan. Duba bugun zuciya, ɗalibai, saurari numfashi: idan bugun zuciyar ba ta buguwa kuma mai haƙuri ba ya numfashi, ci gaba da tausa zuciya kai tsaye. Idan akwai bugun jini kuma mai haƙuri yana numfashi, to sai a samar da isashshen iska, saka shi a hagun kuma ka kalle shi.
— mai haƙurisai a bashi abinci ko abin sha mai dauke da sukari. Idan bayan mintina 15 mara haƙuri bai ji daɗi ba, kira motar asibiti.
Shawarwari
Guji kamuwa da cutar sikari da sauran rikice-rikice na ciwon sukari kawai zai taimaka wa al'ada ta kula da lafiyarsu a hankali.
Yana da kyau a gargadi duk dangi da abokai cewa kuna da ciwon sukari.
Bugu da ƙari, ana ba da shawarar cewa har ma da sa kayan ado na musamman waɗanda ke nuna rashin lafiyar ku - don haka baƙi za su san cewa kuna da ciwon sukari kuma suna iya yin wani abu a lokacin da ya dace.
Hakanan yana da daraja kasancewa da wadatar da glucagon a gida kuma horar da ƙaunatattunku don dafawa da yin allurar glucagon, a cewar littafin likitancin "Littafin magani".
Lokacin barin gida, koyaushe ɗaukar carbohydrates mai aiki tare da kai.
Idan kuna taimakawa mai haƙuri da ciwon sukari, kada ku ji tsoron bayar da sukari mai yawa - likitoci za su gyara shi.
Me yasa sukarin jini ya tashi?
Dalilan na karuwar yawan sukarin jini suna da bambanci sosai. Misali, hyperglycemia na wucin gadi (wanda aka gano sau ɗaya) na iya lalacewa ta:
- Overeating (musamman zagi abinci mai arziki a cikin sauƙin narkewa carbohydrates).
- Ta hanyar damuwa.
- Ciwon Mara.
- Babban zubar jini.
Sanadin cutar hawan jini:
- ciwon sukari yana daya daga cikin abubuwanda suka fi yawa
- yawan damuwa, yawancin sauƙi na narkewa a cikin abinci,
- yanayi na damuwa
- mummunan cututtuka.
A bayyane yake cewa tare da ciwon sukari mellitus hyperglycemia na daɗaɗɗen yanayi kuma ya bar alama a kan yanayin yawancin gabobin da tsarin, amma ƙari kan wannan daga baya. Da farko, zamu kalli menene alamun yiwuwar tuhumar karuwa a cikin glucose a cikin jini.
Akwai lambar abinci 9, wanda aka tsara musamman don mutanen da ke ɗauke da sukari jini. Manufarta ita ce ta daidaita glucose, samun abubuwan gina jiki, bitamin da ma'adanai.
Tare da tsananin kiyayewa, nan da nan bayan gano cutar, akwai babban damar da za a dakatar da ci gaban ilimin cutar. A cikin abinci mai gina jiki, ya zama dole don iyakance yawan abinci tare da adadin carbohydrates.
A wannan yanayin, za'a rage yawan glucose kuma za a buƙaci ƙarancin insulin. Za a sami raguwar sukari na jini, wanda zai ba da gudummawa ga aiki na yau da kullun gaɓar kwayoyin.
Dalilai na tsalle-tsalle
An ƙaddara sukari na jini a cikin maza ta hanyar bincika jinin ɓacin rai ko ɓarin ciki daga yatsa. Don sakamakon wannan bincike ya zama abin dogaro, ana buƙatar cewa akalla awanni 8 ya gama bayan abincin da ya gabata.
An bada shawara don yin bincike da safe akan komai a ciki, a gabanta baza ku iya shan taba da shan kofi, ware damuwa da damuwa, soke wasanni.
Matsayi na yawan sukarin jini a cikin maza ana gano shi da dabi'un da suka wuce 5.85 mmol / L yana da shekaru 14 zuwa 60, bayan shekaru 60 - 6.35 mmol / L.
- Dalilin da yasa sukari ya hau kamar haka:
- Rushewar tsarin narkewa, musamman ta hanji, alal misali, cututtukan cututtukan ƙwayar cuta, ƙwayar cuta. Kazalika raunin da ya shafi jijiyoyin jiki sakamakon lalacewa ta inji.
- Kashi. Idan a cikin dangin wani ya sha wahala daga ƙwayar sukari mai yawa, to yana yiwuwa ya gaji wannan yanayin ta gado.
- Halin da ke haifar da matsananciyar damuwa, damuwa, tashin hankali.
- Yawan adadin carbohydrates a cikin abinci, musamman ma masu sauki waɗanda ke sauƙin narkewa.
- Rashin aikin motsa jiki, yanayin zaman kashe wando, gami da wasanni mai zafi.
- Shan taba da barasa.
- Rashin damuwa na endocrine, wanda cututtuka daban-daban ke haɓaka, alal misali, ciwon sukari mellitus.
- Shan magunguna kamar su diuretics, magungunan hana haihuwa, magunguna daban-daban wadanda suka kunshi hodar iblis.
- Cututtukan hanta, alal misali, oncology, cirrhosis.
- Don wani lokaci, sukari na iya ƙaruwa a cikin yanayi masu zuwa: ciwo mai zafi, farmaki tare da keɓewa, angina pectoris, bugun zuciya, raunin kwakwalwa, raunin narkewa.
Increasearuwar sukari na iya zama na ɗan lokaci, komawa zuwa al'ada bayan kawar da dalilin. Idan wannan yanayin ya daɗe, to, kuna buƙatar ganin likita. Don gano matakin sukarinku, kuna buƙatar gwadawa akai-akai.
Dalilai na jiki
Matakan glucose na jini na iya canzawa saboda cututtukan gabobin ciki da kuma bayyanuwa ga abubuwan da ke waje.
Daga cikin cututtukan somatic babban wurin shine ciwon sukari. Tsarin sukari na jini shine babban alamar wannan cuta. Wani binciken da ke haifar da karuwa a cikin glucose a koyaushe shine kiba. Hakanan cututtukan hanta da cututtukan koda kuma na iya haifar da cutar hawan jini.
Zai yiwu akwai dalilai da yawa don spikes a cikin sukari. Wadanda akafi so sune:
- rashin abinci mai gina jiki
- danniya
- cututtuka, da ci gaban da abin da ke rushe aikin gabobin ciki,
- rashin motsa jiki.
Wadannan dalilan suna haifar da canje-canje a cikin alamu koda a cikin mutane masu lafiya. Don bayyana cewa a cikin mutum lafiya mutum yana jin saukar jini, yana yiwuwa kwatsam. Yawancin lokaci, tsere baya haifar da damuwa kuma ya wuce kusan asymptomatically. Amma bayan wani lokaci, irin wannan mutumin zai kamu da ciwon sukari.
Rashin bin wani abinci da cin abinci mai yawa na carbohydrates mai sauri, fats yana haifar da gaskiyar cewa ƙwayar ƙwayar ƙwayar cuta tana buƙatar yin aiki tuƙuru da kuma samar da adadin insulin. A tsawon lokaci, ƙirar hormone na iya raguwa kuma mai haƙuri zai haɓaka sukari.
Tare da aiki na kwance da kuma rashin wasanni a rayuwa, da alama yawan ƙima yana ƙaruwa. Significantaƙƙarfan ƙwayar kitse na visceral yana rage lodin insulin ta sel, saboda haka haɓakar glucose na iya ƙaruwa.
A cikin yanayi na damuwa, jiki yakan saurin aiwatar da aikin insulin. A lokaci guda, glycogen zai fara fitowa daga hanta. Wannan a hade yana haifar da haɓaka yawan sukari a cikin jini.
A ƙarƙashin rinjayar waɗannan dalilai, ciwon sukari na iya haɓaka, kullun matakan glucose na yau da kullun zai nuna wannan.
A cikin nau'in cuta ta 1, tsayayye, ƙananan canzawa a cikin matakan glucose sune al'ada. Cutar ba ta iya jurewa: ba ya samar da insulin ko kuma samar da shi a cikin adadi kaɗan. Masu ciwon sukari da ke da T1DM ya kamata a kai a kai a kai musu allurar don rama wa masu ciwon sukari.
Tare da nau'in cuta ta biyu, karuwa na iya tayar da damuwa, cin zarafin abinci, rashin ayyukan motsa jiki da sauran abubuwan. Me yasa sukari ta tsallake don ciwon sukari na 2? Wannan dalilan yana tsokanar raguwar wadannan dalilai:
- ci gaba da m ciwo syndrome,
- ciwon raunuka wanda zafin jiki yakan hauhawa,
- fitowar konewa mai zafi,
- katsewa
- fargaba
- cikas na hormonal a cikin jiki,
- matsaloli tare da tsarin narkewa.
Wadannan dalilan suna tsokani tsalle-tsalle a cikin glucose a cikin mutane masu lafiya da masu ciwon sukari. Marasa lafiya da ciwon sukari yakamata su san alamun hypoglycemia da hyperglycemia domin gano su cikin lokaci.
Ba a ambaci karuwar yawan sukarin jini a koyaushe.
Wani lokaci sukari yana ƙaruwa tare da magani, ƙonewa, da dai sauransu.
Bayan dakatar da tasirin abin da ke haifar da damuwa, matakin glycemia ya koma al'ada.
Za'a iya lura da haɓaka na ɗan gajeren lokaci tare da matsanancin motsa jiki, damuwa mai ƙarfi, ciwo mai raɗaɗi, ƙwayoyin cuta da cututtukan hoto, zafin jiki mai zafi. Yi la'akari da abubuwanda suka fi yawa.
Yarda da sakamako na kwayoyi
Rukuni na gaba na kungiyoyin kwayoyi na iya haifar da hauhawar jini:
- diuretics na rukunin thiazide. Misali, indapamide,
- masu amfani da beta suna maganin cututtukan zuciya. Musamman, Carvedilol da Nebivolol,
- glucocorticoids. Zai iya ƙaruwa da ƙwayar ƙwayar plasma da ƙaruwa
- kwayoyin hana daukar ciki
- maganin hana haihuwa
- wasu abubuwan psychotropic
- magungunan anti-inflammatory steroidal. Wannan gaskiya ne musamman ga prednisolone. Amfani na dogon lokaci yana haifar da ciwon sukari na steroid.
Abubuwan haɗari waɗanda zasu iya haifar da karuwa a cikin sukari sun haɗa da:
- kwayoyin halittar jini
- mara kyau abinci mai gina jiki (musamman yawan amfani da kayayyakin burodi da Sweets),
- rashin amfani da kwayoyi
- mummunan halaye (musamman shan giya),
- nauyi asara,
- rashi na bitamin a jiki (musamman B1 da C)
- wuce kima motsa jiki
- sinadarin carbon monoxide,
- yanayi mai matukar damuwa.
Tare da haɓakar ciwon sukari a cikin farkon farkon ciki, akwai haɗarin cutar cututtukan tayin, gami da manyan.
Ciwon sukari mellitus a cikin yara
Cutar a cikin yara ta bayyanar da kanta cikin mummunan yanayi - nau'in 1 mellitus na ciwon sukari. Idan wani alamun wata cuta ya bayyana, ya kamata ka ziyarci likita kai tsaye kuma ka ɗauki gwajin sukari na jini.
A cikin yara, wannan rashin lafiya yana asymptomatic na dogon lokaci, don haka ana yin gwajin cutar koda da mawuyacin nau'in ci gaban sa. A wannan lokacin, akwai lalacewar tasoshin idanun, mucous membranes na bakin ciki, tsarin juyayi, fata, wani lokacin kwaro na tasowa.
Bayyanar cututtukan sukari da ke hawan jini a cikin yara iri ɗaya ne da na manya:
- ko da yaushe bushe bakinsa, matsanancin ƙishirwa,
- gajiya
- yunwa kullum
- wuce kima da m urination,
- nauyi asara tare da abinci mai kyau.
Alamar matakin girma
Akwai wasu alamomin da ke nuna cutar hawan jini.
Daga cikinsu akwai:
- Urination akai-akai (wannan yana kara yawan fitsari)
- Rashin jin dindindin na ƙishirwa, har ma da dare (wannan kuma ya shafi bushe bakin)
- M gajiya, rauni, kauna,
- Jin tashin zuciya, wanda ba kasafai yake haifar da matsananciyar ruwa ba,
- Akai-akai da tsawan ciwon kai
- Matsalar nauyi.
- Da wuya, gani zai iya yin rauni tare da ƙarancin jini.
1. Babban cutar shine ƙishirwa koyaushe.
Sakamakon yawan sukarin jini, mutum yana son shan kullun. Glucose yana jawo ruwa daga sassan jiki da kyallen takarda.
Tare da haɓaka glucose na jini sama da 10 mmol / l (ƙudirin koda), yana farawa cikin fitsari, yana ɗaukar kwayoyin kwayoyin ruwa. A sakamakon haka, yawan urination, bushewar jiki.
Tabbas, jiki yana ƙoƙarin rama don asarar ruwa ta hanyar shan giya mai yawa.
2. Maganin bushewa.
Wannan alamace ta danganta shi da asarar ruwa mai yawa.
3. Ciwon kai.
Rashin glucose a cikin jiki yana haifar da rikicewar jijiyoyin jiki, masu cin gashin kansu da cuta na rayuwa. Yawancin lokaci suna bayyana lokacin da matakin ya sauka zuwa 3 mmol / L. Idan maida hankali ya faɗi zuwa 2.3, to mara lafiyar zai faɗi cikin halin rashin lafiya na hypoglycemic.
Alamun faduwar abubuwa a cikin glucose sun hada da:
- ciwon kai
- damuwa
- hannun rawar jiki
- gumi
- jin haushi
- yunwa kullum
- juyayi
- samarin
- tsoka
- pulsation a kai da kan keɓancewa,
- tsananin farin ciki
- rage karfin jini
- asarar ji a wasu yankuna,
- m asarar da aikin mota.
Hypoglycemia na iya haɓaka saboda:
- zafin motsa jiki,
- shan wasu magunguna (maganin rigakafin tetracycline, bitamin B6, anabolics, sulfonamides, kari na alli),
- shan giya.
Idan ba'a san hypoglycemia cikin lokaci ba kuma ba'a dauki matakan da suka dace ba, mai haƙuri zai fada cikin rashin lafiya. Marasa lafiya basu da lokaci mai yawa, tare da wannan ilimin, mutane suna rasa sani sosai da sauri. Kwayoyin kwakwalwa sun daina karbar makamashi kuma raunin jijiyoyin yana farawa.
Babban alamun bayyanar cututtukan hyperglycemia
Babban alamar cutar hawan jini shine ƙishirwa da yunwa. Tare da babban glucose, aikin mai ya fara aiki, yana haifar da cire ruwa kuma, a sakamakon hakan, ƙonewar jiki. A wannan yanayin, ana kula da yawan urination da ƙishirwa akai.
Yunwar tana haɓaka saboda ƙarancin insulin, wanda ke tafiyar da carbohydrates zuwa glucose. Sakamakon karuwar ci, abinci mai ƙaruwa yana ƙaruwa. Sabili da haka, ƙimin nauyi mai yawa yana iya zama alama ta haɓakar sukari jini.
Babban alamun karuwar sukari na dogon lokaci:
- da ƙishirwa mai ɗaci (koda lokacin shan ruwan ɗimbin yawa), da rashin iya kawar da shi gaba ɗaya,
- bushe mucous membranes na baka kogo,
- yawan urination, yawan fitowar fitsari, yawan fitar dare,
- rage a cikin acuity na gani,
- fata mai ƙaiƙayi
- rauni, gajiya,
- haushi
- farhythmia,
- karancin numfashi
- rashin nauyi mai nauyi (koda tare da isasshen abinci mai gina jiki),
- warin acetone daga bakin.
Bugu da kari, marassa lafiya tare da hauhawar cututtukan cuta sun koka da karancin lebe, nitsuwa da sanyaya daga sama da / ko ƙananan hanji, ciwon kai da ba su dace ba, tashin zuciya, maƙarƙashiya ko zawo, amai, tsananin sanyi, ƙurajewa a gaban idanun, mai saurin kamuwa da cututtuka.
A cikin maza masu ƙwayar sukari mai ɗorewa, lalatawar jima'i da kumburin foreskin ba baƙon abu bane.
Waɗannan alamun suna ba da damar yin shakku ga hyperglycemia, amma an gano cutar ta ƙarshe bayan gwajin.
Ana nuna halayen hawan jini a cikin wadannan alamun:
- m ƙishirwa
- bushe bakin, ciki har da dare,
- asara kwatsam ko riba mai nauyi,
- bukatar m urination
- na kullum mai rauni
- ciwon kai
- bushe dermis da mecoran mecoranes,
- karancin gani
- arrhythmia na zuciya,
- rauni da tsarin na rigakafi,
- rauni rauni waraka
- mai sautin numfashi.
Binciko
Baya ga ƙaddarar dakin gwaje-gwaje na haɗuwa da glucose na jini, idan ana zaton yanayin cuta, ana yin gwajin haƙuri na glucose (gwajin haƙuri na glucose). Yayin wannan binciken, ana auna matakin glucose na jini na azumi, sannan mai haƙuri ya ɗauki glucose da ke narkar da shi cikin ruwa.
Bayan wannan, ana aiwatar da ma'aunai daban daban tare da tsawan minti 30. A yadda aka saba, yawan glucose sa'o'i biyu bayan nauyin glucose bai wuce 7.8 mmol / L ba.
Tare da matakin glucose na 7.8-1.0 mmol / L, ana ɗaukar sakamakon a matsayin cin zarafin haƙuri, kuma ana gano cutar sukari a cikin mafi girma.
Don gujewa murdiya sakamakon gwajin, an bada shawarar bin wasu ƙa'idodi don shirye-shiryenta:
- Ya kamata a dauki jini a cikin komai a ciki, abincin da yakamata ya kasance bai wuce awanni 10 kafin binciken ba,
- rana guda kafin binciken, ya kamata ka watsar da wasanni, ka cire tsananin aiki,
- Bai kamata ku canza abincinku na yau da kullun ba,
- guji yanayin damuwa kafin ɗaukar gwajin,
- barci sosai kafin karatun.
Idan ana zargin hyperglycemia, ana tsara marasa lafiya babban gwajin jini da fitsari (tare da gano jikin ketone), gwaje-gwaje don ƙaddarar C-peptide, glycosylated haemoglobin, ƙwayoyin cuta zuwa to-Kwayoyin.
Tare da matakan sukari mai tsayi na dogon lokaci, ana bada shawara don kimanta aikin zuciya, hanta da kodan (ECG, duban dan tayi, da sauransu).
Don ware rikice-rikice masu tasowa game da asalin cututtukan hyperglycemia, ana kiran mai haƙuri, dangane da alamu, don shawarwari ga ƙwararrun likitan dabbobi, ophthalmologist, urologist or gynecologist, cardiologist, neurologist.
Gwajin glucose
Ana yin gwaji na jini don gano ƙwayar glycogen. Ana ɗaukar samfurin plasma daga yatsa. Ana gudanar da jarrabawa a kan komai a ciki.
Manunin al'ada ya bambanta daga 3.3 zuwa 5.5 mmol / L.
Wani lokaci sukanyi bayanin martaba, gwajin nauyin sukari, sukari mai sukari.
Da farko dai, an wajabta magani don rage sukarin jini. Ana maganin ciwon sukari da magani.
Na farko irin wannan cuta ana bi da:
- Insulin, abinci mai kyau da abinci.
- Ana amfani da insulin cikin rayuwa duka a matsayin allura.
- Ana amfani da kashi da magunguna ta hanyar halartar malamin likita, wanda ke kula da yanayin haƙuri.
Na biyu nau'in ciwon sukari ana magani:
- Tare da kwayoyin cutar da ke rage sukarin jini.
Idan da hali ya yi tsalle a cikin matakan glucose, yana da ma'ana a sayi mitarin gulkin jini na gida. Ga masu ciwon sukari, wannan kayan aikin dole ne.
Yakamata ka nemi likita kai tsaye da zaran an lura da karuwar yawan sukarin jini. Kwayar cuta da magani kwatankwacin ta kwararre. Bugu da ƙari, ana yin wannan nazarin:
- daidaitaccen jini ko gwajin sukari na jini,
- gwajin haƙuri haƙuri
- gwajin jini don glycated haemoglobin.
An zaɓi ƙarin hanyoyin don rage alamun.
Na farko taimako da far
Mutanen da ke da ciwon sukari suna da matukar wahala a rayuwar yau da kullun. A kowane lokaci, matakan glucose na iya zama mahimmanci. A wannan yanayin, taimakon farko ya kamata ya haɗa da rage matakin da ke ƙasa da 11.5 mmol / l.
Wani allura na musamman na insulin zai taimaka da sauri saukar da sukarin jini. Bugu da ƙari, dole ne a samar wa mai haƙuri abin sha mai yawa. Zai fi kyau amfani da ruwan ma'adinai ba tare da gas ba tare da ƙari da soda. Wannan zai taimaka wajen daidaita daidaiton ruwa da cire gubobi daga jiki.
Mutanen da ke da hyperglycemia ana ba su magunguna don rage sukarin jininsu. A cikin ciwon sukari, allurar insulin dole ne. Idan babu kwayar insulin, jiki baya iya sarrafa sukari da kyau, kuma mutum na iya fadawa cikin rashin lafiya. Hakanan an wajabta bitamin don kula da jikin mai rauni.
Da ake bukata ake bukata shine abinci. Tasirin menu ya ƙunshi abinci tare da ƙarancin glycemic index.
Mahimmanci: yana da daraja la'akari da cewa hanyar shirya da haɗuwa da samfurori daban-daban na iya canza ma'aunin glycemic.
Daga abincin da kuke buƙata ku ware abinci waɗanda suke ƙara haɓaka sukari jini. Abinda ke kara glucose:
- sukari da kayan zaki,
- Sweets
- gari, musamman buns,
- cheeses
- kandami kayan ɗakuna,
- mai kitse mai nama
- nama da abinci sausages,
- shinkafa
- dankali
- miyar miya
- Semi-gama kayayyakin
- abinci mai sauri
- soda mai dadi da kuma ruwan 'ya'yan leda.
Menuirƙiri menu na yau da kullun na samfuran masu zuwa:
- koren shayi
- madara mara kitse
- qwai cikin matsakaici,
- kaza
- hanta
- kifi da abincin teku,
- wake
- lentil
- buckwheat
- salati da alayyafo,
- namomin kaza
- kayan lambu
- 'ya'yan itatuwa Citrus
- 'ya'yan itãcen marmari daga matsakaici, sai ayaba da inab.
Tunda yana da wuya a gaggauta runtse sukari na jini ba tare da kwayoyi ba, irin wannan abincin ya kamata ya kasance a kalla a cikin wata guda. A nan gaba, kuna buƙatar kare kanku daga samfuran cutarwa da sarrafa matakan glucose.
Magungunan magungunan gargajiya
A cikin magungunan mutane, akwai kuma hanyoyi masu yawa don rage sukarin jini. Yawancin girke-girke suna dogara ne akan amfanin shirye-shiryen ganye. Wasu tsire-tsire suna iya tayar da haɓakar insulin kuma suna cire yawan glucose, kuma suna da sakamako mai alama a jikin mutum. Kuna iya siyar da irin wannan kudin a kowane kantin magani ko shirya kanku.
Amintaccen abinci mai gina jiki na iya tsaurara matakan sukari. Guji abincin takarce da sanya ido a cikin ƙididdigar glycemic index, wanda ke nuna wane irin abinci an haramta shi sosai.
Jiyya don sukari na hawan jini
Abin da za a yi idan binciken ya nuna wani babban matakin glucose a cikin jini, kwararru ne kawai ke yanke hukunci. Endocrinologists suna cikin aikin magance ciwon sukari.
Kulawa don sukari mai yawa shine kawar da dalilin wannan yanayin.A mafi yawancin halayen, bayan lura da hanyoyin kwantar da hankali, darajar glucose ta koma al'ada.
Idan an gano cutar sankara, to tare da nau'in I, an wajabta allurar insulin, tare da gudanarwa na II na maganin rage sukari.
Babban mahimmancin gyaran glucose a cikin jini abinci ne na musamman. Ya ƙunshi irin wannan a matsayin na abinci, wanda ya dace da 10 g na carbohydrates. Akwai tebur na musamman da aka tsara don masu ciwon sukari. Sun bayyana daidaitattun samfuran asali da raka'a gurasa.
Sweets, sukari, farin burodi da kayan abinci na gari, wasu hatsi an cire su daga abincin. A wannan yanayin, abincin yakamata ya daidaita kuma ya ƙunshi abubuwan da ake buƙata na ɗabi'a da mai mai. An haramta cin nama da kifi, samfuran da aka sha, madara, 'ya'yan itatuwa da zaki da furanni.
Yana da kyau a ci abinci gabaɗaya, a cikin ƙananan rabo. Yakamata a sami abinci sau 5-6 a rana. Don haka carbohydrates sun fi dacewa, wanda ke da tasiri sosai ga tasirin glucose.
Tare da matakan sukari mai girma, ci gaban rayuwa yana taɓarɓarewa. Glucose ba ya shan, saboda haka, makamashin da ake buƙata don aikin jiki na yau da kullun ya ragu.
Me yakamata daga magungunan jama'a?
Lokacin da aka sami yawan sukarin jini a cikin mutum, duk dalilan wannan an san su, to yaya za a bi da magungunan jama'a? Idan an rage girman matakan glucose na mai haƙuri, to don ƙarin ƙarin babban magani, mai ilimin hanyoyin kwantar da hankali zai ba da shawarar yin amfani da ganye daban-daban.
Shaye na ganyen shayi yana da ikon rage sukari. Tea daga ganyen blueberry, hibiscus, sage ya dace.
Don kula da sukari na jini, kuna buƙatar girke-girke don sanin yadda za'a kula da ku a gida.
Girke-girke na gargajiya
- zai dauki 45-50g na busassun ganyen bishiyoyi, biyu na busasshen wake, 17-20g na flaxseed. Zuba ruwan zãfi a kan adadin 1000 ml. Bar don awa 4.45-5, kunsa a hankali. Sannan zuba jiko da aka shirya a cikin kwalin gilashin, a sha rabin gilashin rabin awa kafin a ci, har zuwa sau 3 a rana. Aaukar couplean makonni biyu, sannan hutu na mako 2, sake maimaita karatun,
- dauki 47-50g na alkama da daidai adadin oat, 19-20g na bambaro daga shinkafa, zuba 1000ml na ruwan zãfi. Na gaba, tafasa don mintuna 14-15, babu ƙari. Don haka kuna buƙatar jira har zuwa 2.5 - 3 hours kuma magudana da shirye da aka yi da broth. Store a cikin wani wuri mai sanyi. Sha minti 13-15 kafin cin rabin gilashin mako guda. Bayan 'yan makonni biyu, to, ana buƙatar ɗan hutu, bayan hakan ana iya maimaita liyafar ta magani,
- dozin bay ganye 295-300 ml na ruwan zãfi an zuba, bayan kwana ɗaya kana buƙatar decant. 48auki 48-50ml na rabin sa'a kafin cin abinci don kwanaki 14,
- 3 tablespoons Birch buds ana brewed tare da 500ml ruwan zãfi. Wajibi ne a dage cewa bai wuce awa 6 ba. Wannan jiko ana buƙatar sha a kowace rana. Bayan makonni 1.5-2, matakin glucose zai ragu.
Sakamakon sukari mai hawan jini
Babban haɗari tare da ƙara yawan sukari a cikin jini shine lalacewar tasoshin jini waɗanda ke ciyar da gabobin da kyallen takarda. Da farko dai ana shafa idanu, kodan da ƙafarta.
Idan kuma rashin abinci mai gina jiki ta toshe ido, to farashi zai fara. Nan gaba, atrophy na jijiya mai haɓaka yana haɓaka. Idan babu magani mai mahimmanci, haka kuma game da matsanancin cutar sankara, ana gano cutar ta glaucoma. A wasu halaye, haɓakar cikakken makantar mai yiwuwa ne.
Tare da yawan sukari mai yawa a cikin jini, tasoshin koda suna rauni, an keta mutuncin capillaries nasu. Cire ruwa daga jiki yayi wahala, kumburi ya bayyana. Game da mummunan yanayin aiki tare da fitsari, ba kawai kayan ɓarnatar da mahimmancin ayyukan jiki ya fara keɓe ba, har ma da sunadaran da yake buƙata, wanda zai haifar da gazawar koda.
Tare da lalacewar tasoshin ƙananan ƙananan, abinci mai narkewa ya tarwatse, wanda ke haifar da haɓakar raunukan marasa warkarwa, kuma a nan gaba - necrosis da gangrene. A cikin mawuyacin hali, ana yin yankan hannu don hana yaduwar cututtukan cututtukan a duk faɗin jiki.
Jiyya da rigakafin
Don hana haɓakar haɓakar hyperglycemia, marasa lafiya waɗanda ba su da insulin-da ke fama da ciwon sukari dole ne su bi abinci, su bincika matakan glucose na jini a kai a kai, kuma su ɗauki magunguna masu rage yawan glucose a kan kari.
Ga mutanen da ke fama da nau'in ciwon sukari na farko, yana da mahimmanci a kirga raka'a gurasar a cikin abincin da suke ci, kar a manta da kashi na gaba na insulin, kuma a sake adana matakan glucose a ƙasa tare da taimakon glucometer.
Duk sauran mutane zasu iya kula da matakan sukari na yau da kullun a cikin jiki ta hanyar ingantaccen abinci, aikin jiki da kuma lafiyar gaba ɗaya.
Teburin abinda ke ciki • Sanadin da alamu • Abincin abinci na sukari mai yawa • Ganewar likita • Magungunan mutane • Yadda za a rage sukari • Matsaloli da sukari mai yawa
Yanayin da sukari ya hauhawa ana kiran shi hyperglycemia. Valuesimar glucose na yau da kullun ya kamata ya kasance 3.3-5.5 mmol / L, gwargwadon hanyar ƙaddara.
Matsayin sukari shine mahimmancin kwayoyin halitta (alamomi na yanayin ciki na jiki, samar da tsari na al'ada na al'ada wanda ke faruwa a cikin tsarin, gabobin), wanda zai iya canzawa saboda dalilai da yawa, yana haifar da bayyanar alamun bayyanar sukari mai girma.
Sanadin Samun Hawan jini
Abubuwan da ke haifar da kara yawan glucose | Abubuwan da ke haifar da ƙara yawan sukari na ɗan lokaci |
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Daidaitaccen abinci mai gina jiki
Wajibi ne a iyakance carbohydrates-mai sauri a cikin abincin. Waɗannan sun haɗa da glucose da sucrose, waɗanda suke rushewa cikin jijiyoyi zuwa cikin glucose da fructose. An samo su da adadi mai yawa a cikin dukkan Sweets, kuma musamman sukari mai yawa a cikin abubuwan sha mai ɗorewa. Irin waɗannan ƙwayoyin carbohydrates suna ɗaukar hanzari daga abinci zuwa cikin jini, wanda ke ba da haɓaka mai sauri da daidaituwa a cikin sukarin jini.
Matsayin glucose ya tashi a gaban abubuwan da ke haifar da abubuwan da ke haifar da yanayin rayuwa mara kyau. Don guje wa ci gaban cututtukan cuta, dole ne a bi wasu matakan kariya.
A gaban jiki mai wuce haddi, ana nuna rashin abinci mai kalori, tunda kiba itace ɗayan haɗarin dake tattare da haɓaka sukari na jini.
Abincin abinci mai gina jiki yakamata a daidaita shi, yana biyan bukatun jiki na abubuwan gina jiki. Abinci mai sauri, Sweets, abubuwan sha masu shaye shaye an cire su gaba daya. Gishirin, sukari da kitsen dabbobi an rage girman su. Don abin sha, ya fi kyau bayar da fifiko ga kayan ganyayyaki da na ruwan sha.
Rayuwa mai kyau tana da mahimmanci. An bada shawara don barin kyawawan halaye gaba ɗaya. Yawan hauhawar jini a cikin jini shine yawanci shan sigari.
Ana buƙatar motsa jiki mai tsayi. Yin iyo, yin tafiya, yin motsa jiki cikin sauki yana inganta wurare dabam dabam na jini, wanda yake inganta abinci mai gina jiki da gabobin jikinsu.
Yarda da wadannan ka'idodi masu sauki zai taimaka wajen nisantar da hauhawar matakan glucose din jini da kuma kiyaye lafiya mai tsayi na dogon lokaci.
Babban glucose na jini cuta ce da ke haifar da mummunan tasiri ga jiki baki daya. Amma ana iya hana shi idan ka bi saukakkun dokokin rigakafin:
- Abincin da ya dace. Ya kamata ku rage adadin kuzari na abinci ku cire daga abincin abinci wanda ke haɓaka sukari jini. Abincin ya kamata ya ƙunshi isasshen adadin furotin da kuma hadaddun carbohydrates. Wajibi ne a kara cin abincin abinci ya zama mai raba abinci.
- Motsa jiki kullum. Yana da tasiri mai amfani akan metabolism, yana taimakawa rage nauyi. Likitocin sun ba da shawarar yin tafiya, rawa, iyo, kekuna, da wasan ƙwallon ƙafa fiye da kima.
- Ci gaba da kwanciyar hankali. Guji yanayi mai damuwa a duk lokacin da zai yiwu, ku tattauna sosai tare da abokai, ku riƙa ba da iska a cikin lokacinku na kyauta, kuma ku yi nishaɗin abin da kuka fi so.
- Lafiya da cikakken bacci. Rashin bacci na dare yana haifar da gaskiyar cewa samar da insulin nasu ya ragu.
- Nisar da jaraba. Ba a yarda da shan taba da giya ba.
Yana da mahimmanci kada a manta don amfani da multivitamins da ma'adanai lokaci-lokaci, saboda suna da mahimmanci ga metabolism. Duk mutane suna buƙatar yin binciken likita a kowace shekara kuma bincika jini don abubuwan sukari. Kuma ga waɗanda ke cikin haɗari kuma suna da alamun cutar hawan jini - sau ɗaya a kowane watanni shida. Yin rigakafi shine hanya mafi kyau don hana cutar.
Abinci don hauhawar jini
Abincin da sukari mai yawa na jini ya wajabta ta ta likita daban-daban:
- Abincin abinci ya ƙunshi abinci wanda ke rage yawan tasirin carbohydrates.
- Idan mara lafiya yana da kiba sosai, to, an wajabta masa rage yawan adadin kuzari.
- Amma a lokaci guda, yakamata a ƙarfafa abinci, tare da fiber mai yawa.
- A cikin menu na yau da kullun dole ne sunadarai, fats da carbohydrates.
- Abinci kawai yana taimakawa rage yawan ciwon sukari.
- Tare da karuwa a cikin sukari, kuna buƙatar cin abinci sau da yawa, amma a cikin ƙananan rabo.
- Tabbatar yin abun ciye-ciye tsakanin manyan abincin.
- Matsakaicin kalori na yau da kullun an ƙaddara yana yin la’akari da aikin mutum da nauyi.
Ya kamata a raba abinci zuwa hanyoyin da yawa a kowace rana. Abincin abinci yana nufin rage yawan abincin ka na carbohydrates. Abincin yau da kullun yakamata ya haɗa da sunadarai, mai, da carbohydrates mai narkewa. Duk wani abinci mai sauri da kuma ruwan zaƙi mai walƙiya zai buƙaci a cire shi gaba ɗaya.
Yawan samfuran da ke kunshe da sukari yana iyakace idan aka sami nau'in cutar mai laushi, kuma a cikin mawuyacin hali ana cire shi gaba daya.
Hakanan ba a ba da shawarar abinci mai mai mai ba ga masu ciwon sukari. Ba za a ƙyale mai haƙuri sama da 40 na kitse a rana ba ga mai haƙuri.
Abincin da ke da mai ƙoshin lafiya da kuma carbohydrates mai sauri, irin su cakulan, da wuri, ba a yarda da cutar siga ba.
Gano lokaci da kuma gano cutar glucose mai narkewa zai taimaka wajen sarrafa dukkan matakai a cikin jiki, da guji rikitarwa.
Game da abin da ba za ku iya ci tare da cutar hawan jini karanta ƙarin a nan.
Wannan labarin ya bayyana daki-daki game da abincin - lambar tebur 9 don masu ciwon sukari na 2.
Hanya mafi mahimmanci don daidaita glucose jini shine cin abinci. Adadin adadin kuzari da aka ƙidaya yana lasaftawa da aikin jiki.
Ana nuna ƙarancin abinci mai gina jiki - ana cin abinci sau 5-6 a rana a cikin ƙananan rabo a kullun lokaci-lokaci. Baya ga rage matakan sukari, makasudin kula da abinci shine daidaita nauyi.
Tare da ƙara yawan nauyin jiki, ya kamata a rage yawan adadin kuzari ta hanyar 250-300 kcal daga yawan abincin yau da kullun da aka ba da shawarar don shekarun da aka ba da kuma salon rayuwa.
Tushen abincin shine kayan abinci na kayan lambu, kayan da ke dauke da carbohydrates ana ba su izini kawai waɗanda ke da ƙananan glycemic index. Nagari:
- kayan lambu a cikin tsari da kayan dafaffen zafin jiki (sabo ne kayan lambu ya kamata a ci yau da kullun, rabonsu yakamata ya zama aƙalla 20% na dukkan kayan lambu),
- naman alade, cin abinci, kifi, abincin teku,
- qwai (babu fiye da biyu a rana),
- kiwo na asali da kuma kayan kiwo,
- hatsi (buckwheat, gero, sha'ir, lu'u-lu'u, oatmeal),
- yisti mai yisti, alkama, hatsin,
- wake
- berries, 'ya'yan itãcen marmari, da kuma ruwan' ya'yan itace sabo daga gare su,
- launin ruwan kasa na fata, baƙar fata, baƙi, kore, fari, ganye, baƙi, baƙi,
- wasu Sweets (pastille, marshmallows, marmalade, karamin adadin zuma, cakulan duhu),
- kayan lambu.
Tare da hyperglycemia, ana bada shawara don cinye akalla ruwa 1.5-2 na ruwa kowace rana.
Ko da rabin awa na aikin motsa jiki a kowace rana suna ba da gudummawa ga daidaituwa na sukari na jini. Daga cikin wadansu abubuwa, ayyukan motsa jiki na yau da kullun yana nufin matakan hana ci gaban sukari na nau'in 2.
Kayan kwalliyar kayan kwalliya ba a cikin abinci ba, sai kayan lemo, kayan marmari daga man shanu da kayan alatu, shinkafa, semolina, sausages, naman alade, naman alade, kayan kwalliyar nama, kitse, kyafaffen kayan kwalliya, taliya, kayan miya da mai yaji, abinci mai sauri. , kayan ciye-ciye.
Ya kamata a watsar da sukari idan yana da wahala a yi shi nan da nan, an ɗan rage shi kaɗan, a hankali yana rage har sai an cire shi gaba ɗaya daga abincin. Hakanan an haramta shan giya, ban da karamin adadin (gilashin 1-2) na jan giya na asali ja sau 1-3 a mako.
Bidiyo: ƙwayar ciwon sukari da taimakon farko
Masanin zai faɗi game da nau'ikan, alamomin, abubuwan da ke haifar, sakamakon sakamakon rashin lafiyar masu ciwon sukari:
Ana iya samun bayyanar cututtuka da taimakon farko na cututtukan hyperglycemia da hypoglycemia a cikin bidiyon:
Dole ne ku yi hankali dangane da mai haƙuri da ciwon sukari. Allauki kowane nau'in magani da likitanka ya umarta, bi duk umarnin da shawarwari, kar a kula da su. Tabbatar da bin tsarin abinci. Hana hana samun ciki