Ruwan jini 20-20 > Ciwon sukari

Lokacin da glycemia ya tashi zuwa 7.8 kuma ya kasance a wannan matakin na dogon lokaci, canje-canje marasa jituwa suna farawa a jikin mutum. Dakatar da sukarin jini 20 mmol / l shine buƙatar gaggawa. Irin wannan yanayin na iya haifar da fadawa cikin rashin lafiya ko mutuwar mai haƙuri. Yawancin lokaci ana lura da hyperglycemia a cikin ciwon sukari na mellitus na biyu wanda ba shi da insulin. Yana da alaƙa da rashin yarda da abincin, ko zaɓin da bai dace ba.

Ruwan jini 20 - menene ma'anarsa

Kowane mutum yana buƙatar sarrafa alamun glucose a cikin jini, tun da yake "cutar" mai fara'a na iya farawa a kowane zamani.

Groupungiyar haɗarin ta ƙunshi mutane:

nau'in tsufa
wanda danginsa na jini suka kamu da ciwon sukari
kiba
da ciwon jijiyoyin cuta a aikin aikin endocrine,
shan magunguna waɗanda sakamakonsu zai iya shafar matakan sukari na jini,
tare da m hauhawar jini.

An bincika aƙalla sau ɗaya a shekara wajibi ne ga marasa lafiya da:

arthritis,
na kullum hepatic da na koda pathologies,
lokacin haila
hypoglycemia na rashin tabbas,
polycystic ovary,
furunlera.

Hyperglycemia tare da alamomi na 20.1-20.9 ana nuna shi da mummunan alamu:

thirstarfin ƙishirwa, urination akai-akai (musamman da dare),
bushe bakin
rashin ƙarfi, rashin jin daɗi, bacci,
haushi, zuciya, juyayi,
tsananin farin ciki
itchy abin mamaki
tashin hankali na bacci
gumi
rage a cikin acuity na gani,
asarar ci ko yunwa koyaushe,
fitowar pigmentation akan fata,
numbness, jin zafi a cikin ƙananan ƙarshen,
tashin zuciya da kuma abubuwan tashin hankali.

Idan mutum ya lura da waɗannan alamun a gida, ya kamata ku gano yadda matakan sukari a cikin jini ya canza. Wataƙila sun ƙara ƙaruwa sosai.

Duk abubuwan da ke tattare da ilimin kimiya da jijiyoyin jini na iya zama abubuwan da ke haifar da alamun glycemia a cikin raka'a 20.2 kuma mafi girma. Yawancin cututtukan cututtukan cututtukan zuciya sun hada da:

ci gaban ciwon sukari
matsaloli a cikin tsarin endocrine,
cututtukan da ke damun jijiya,
ilimin hanta na hanta
cututtuka da hoto ko bidiyo mai zagaya yanar gizo da sauri.

Abubuwan da suka shafi jiki sun hada da:

matsananciyar damuwa, damuwa da damuwa,
rashin motsa jiki, rashin isasshen motsa jiki,
barasa da taba sigari
rashin daidaituwa na hormonal.

Wani lokaci tare da ciwon sukari-wanda ke dogara da sukari, ƙimar sukari ya isa 20.3-20.4 mmol / L. Wannan na iya zama saboda:

kashi ba daidai ba na miyagun ƙwayoyi
tsallake allurar insulin,
take hakkin dabarar sarrafa magani,
yin amfani da barasa don lalata wurin motsawa.

Dole ne likita ya gaya wa mara lafiya abin da zai yi a irin waɗannan halayen. A farkon farawa, ya yi bayani dalla-dalla yadda za a allurar da maganin a cikin abin da sashin jiki da sauran ƙwayoyin cuta. Misali, ba zaku iya cire allura nan da nan ba, saboda magungunan na iya zubowa. Ba a yin allurar ba a wuraren da aka bazu, kar a yi amfani da barasa, kuma ana yin maginin kafin abinci, kuma ba bayan.

Don me za ku ji tsoro?

Hyperglycemia tare da taro na glucose na 20.5 yana nufin cewa metabolism a jikin wanda aka azabtar ya lalace kuma a nan gaba yana iya fuskantar:

Alamomin zaka iya tantance farin ciki a ciki kamar haka:

raguwa kwatsam a cikin martani,
ƙanshi na acetone a cikin fitsari da kuma daga bakin,
karancin numfashi
Mafarki mai kama da mai kama da

A nan mai haƙuri yana buƙatar kulawa ta gaggawa da magani na haƙuri.

Matsayi na sukari na 20.7 kuma mafi girma, wanda lokaci-lokaci yakan faru a cikin haƙuri, in babu ingantacciyar jiyya na iya haifar da ci gaba da cututtuka masu haɗari:

ƙafa mai ciwon sukari - yana ba da gudummawa ga ƙaruwar rauni da kamuwa da cuta daga tsokoki na ƙananan ƙarshen, wanda ya cika da yanki da nakasa,
polyneuropathy - raunuka da yawa daga cikin jijiya, sanyin halin jijiya, rauni na ulcer, tsire-tsire na jijiyoyin bugun gini,
angiopathy - lalacewa zuwa ƙanana da manyan jijiyoyin jini,
retinopathy - take hakkin samar da jini zuwa ga kwayar ido, wanda yake haifar da asarar gani da makanta,
raunuka trophic - lahani na fata da mucous membrane, halin jinkirin warkarwa da sake dawowa,
gangrene - canje-canje necrotic wanda ke faruwa a cikin rayayyun kyallen,
nephropathy - a take take hakkin ayyukan tace kodan, wanda ke haifar da haɓakar rashin aiki na koda,
arthropathy - canje-canje dystrophic a cikin gidajen abinci na yanayi mai kumburi.

Ba shi yiwuwa a yi watsi da cutar glycemia. Wajibi ne a mayar da su dabi'u na yau da kullun, wanda zai guje wa ci gaban rikice-rikice da sakamako masu haɗari.

Me zai yi idan matakin sukari ya wuce 20

Don kowane tsalle-tsalle a cikin glucose a cikin jini, ya kamata a tuntuɓi likitancin endocrinologist. Zai jagoranci mai haƙuri zuwa ƙarin jarrabawa, wanda ke ba da damar sanin abin da ke haifar da cutar. Idan ci gaban ciwon sukari yana da alaƙa da mummunan yanayin, likita ya ƙayyade nau'ikansa kuma ya ba da shawarar fara magani.

A cikin nau'in cutar na farko (insulin-dogara), an wajabta insulin. Wannan halin shine ake nuna shi ta hanyar dakatar da samar da kwayar halitta mai mahimmanci ta sel kwayoyin. Sakamakon haka, glucose da sauri ya haɗu a cikin jini, alamun cuta yana da matukar damuwa kuma yana ci gaba da ci gaba. Therapyarin aikin tiyata ya danganta ne da yanayin halittar da ake kira Pathology.

A cikin nau'in cuta ta biyu, hulɗa da ƙwayoyin sel tare da insulin, wanda ke ba da gudummawa ga haɓakar haɓaka. Menene irin waɗannan marasa lafiya ya kamata su yi? Ya kamata su haɗu da tsarin abinci, motsa jiki da magani tare da magunguna masu rage sukari, waɗanda kwararrun masana za su shawarce su.

Likita na Kimiyyar Kimiyya, Shugaban Cibiyar Nazarin Diabetology - Tatyana Yakovleva

Na yi shekaru da yawa ina nazarin ciwon sukari. Yana da ban tsoro yayin da mutane da yawa suka mutu, har ma da yawa suna zama masu rauni saboda cutar sankara.

Na yi hanzarin ba da labari mai daɗi - Cibiyar Binciken Endocrinological na Kwalejin Kimiyya ta Rasha ta sami nasarar inganta maganin da ke warkar da ciwon sukari gaba ɗaya. A yanzu, ingancin wannan magani yana gab da kashi 98%.

Wani albishir: Ma'aikatar Lafiya ta tabbatar da ɗaukar wani shiri na musamman wanda zai biya diyyar magunguna mai yawa. A Rasha, masu ciwon sukari har sai 18 ga Mayu (m) samun shi - Don kawai 147 rubles!

Abincin mai haƙuri ya kamata ya haɗa da abincin da ke haifar da glukos na jini:

kabewa,
kowane irin kabeji
ganye mai ganye,
'Ya'yan itãcen marmari da berries,
kowane kwayoyi
namomin kaza
radish
tumatir
kayan lambu
lentil, wake
zucchini, eggplant,
hatsi, musamman buckwheat, launin ruwan kasa, shinkafa, oatmeal,
abincin teku
albasa da tafarnuwa,
man kayan lambu.

Daga cikin abincin da aka haramta tare da babban ma'aunin glycemic, yana da daraja a nuna:

kirim mai tsami, kirim, yogurt mai mai mai yawa,
cakulan, koko,
mayonnaise
sausages,
man shanu
soyayyen, mai, mai yaji,
farashi na abinci,
Sweets, madara da madara,
man shanu.

Yana yiwuwa a sanya abinci mai gina jiki da amfani ga mai ciwon sukari ta amfani da irin wannan tasa: yankakken buckwheat (sassan 5) da murkushe walnuts (bangare guda) an cakuda su. 1 babban cokali na cakuda da yamma zuba kwata kopin yogurt ko madara mai tsami, ba tare da motsawa ba. Da safe, ana cinikin samfurin sakamakon akan komai a ciki tare da yanka apple. A cikin rana kafin babban abincin, zaku iya amfani da cakuda a babban cokali biyu sau biyu.

Yana da kyau a ci gaba da cin abinci kamar wannan tsawon watanni uku. Wannan zai ba ka damar daidaita dabi'un sukari da kuma guje wa yanayi mai haɗari wanda hyperglycemia zai iya kai - 20,8 mmol / l ko fiye.

Bugu da kari, zaku iya amfani da girke-girke na maganin gargajiya. Zasu taimaka kiyaye matakan sukari a duba. Amma kafin amfani dasu, kuna buƙatar samun izini daga likitan ku:

Aspen haushi (2 karamin cokali 2) an zuba cikin ruwa lita 0.5 na ruwa kuma a dafa don rabin sa'a a kan harshen wuta na matsakaici. Sa'an nan kuma rufe kuma saka a cikin wurin dumi akalla sa'o'i uku. Bayan nace, ana tace su kuma ana shan su sau uku a rana kafin babban abincin, kofin kwata na watanni uku.
Ganyen Bilberry, ganyen wake, hatsi daidai gwargwado yana hade. An zubar da babban cokali na ɗan albarkatun ruwa tare da ruwan zãfi da kuma tafasa a kan jinkirin harshen wuta na 5 da minti. Nace sa'a, tace kuma ɗauka na uku na gilashi kafin cin abinci sau uku / rana.
An zuba babban cokali na ruwan rowan da fure kwalliya tare da tabarau biyu na ruwan zãfi. Bayan nace, ana amfani da abun da ya haifar a maimakon shayi.
Gilashin oat tsaba an zuba a cikin lita 1.5 na ruwan zãfi kuma simmer na kimanin awa ɗaya a kan jinkirin harshen wuta. Tace da ɗauka maimakon kowane ruwa. Wannan jiko yana taimakawa rage girman cutar glycemia a cikin masu ciwon sukari.
Tushen Horseradish shine grated kuma gauraye da madara mai tsami a cikin adadin 1:10. Abun da ya ƙunsa ana ɗaukar shi a cikin babban cokali sau uku a rana kafin cin abincin. Sugar ba zai sauka nan da nan ba, amma mai haƙuri zai ji ƙimar tasirin wannan ƙwayar ta amfani da yau da kullun.

Don hana karuwar sukari a cikin jini, ya kamata ku gwada jininku akai-akai. Ana iya yin wannan ta hanyar taimakon glucometer - na'urar ta ɗaukar hoto wanda kowane mai haƙuri zai iya samu. Idan sakamakon ya zama abin takaici, alal misali, tare da dabi'u na 20.6 mmol / l, yana da gaggawa don ganin likita da daidaita magani.

Tabbatar koya! Shin kuna tsammanin kulawa da kwayoyin hana daukar ciki da insulin shine hanya daya tilo da za'a kula da sukari? Ba gaskiya bane! Kuna iya tabbatar da wannan da kanku ta hanyar fara amfani da shi. kara karantawa >>

Dalilai na lalata cututtukan sukari

Hanyar ciwon sukari ya dogara ne akan yadda kusancin tasirin glucose na yau da kullun yake. Iyakar babba, bayan wannene rikitarwa a cikin nau'in coma yana farawa ko alamun lalacewar ƙwayoyin jijiya, tasoshin jini, kodan da ƙwayar hangen nesa ya ƙaru - wannan shine 7.8 mmol / l lokacin da aka auna kafin abinci.

Bayan da sukari ya hau sosai, haɗarin kamuwa da cutar siga ya kamu da yawa, kuma idan sukari jini yakai 20, menene ma'anar wannan ga jikin? Tare da irin wannan hyperglycemia, kasancewar jikin ketone ba makawa yana faruwa, tunda wannan yana nufin karancin insulin a cikin nau'in 1 na ciwon sukari ko kuma tsawan lokaci na nau'in ciwon sukari na 2.

A lokacin metabolism na yau da kullun, insulin yana kare tsotse nama daga karyewar karyewa kuma baya barin haɓaka matakin matakin kitse a cikin jini, daga inda ake kirkiro sassan jikin ketone. Tare da rashin ƙwayoyin sel, yunwar na tasowa, wanda ke kunna aikin ƙwayoyin jijiyoyin jini, wanda ke haifar da gaskiyar cewa sukarin jini ya wuce 20 mmol / l.

A nau'in ciwon sukari na 2, karuwar yawan glucose a cikin fiye da 20 mmol a kowace lita na jini na iya haifar da haifar da jikin ketone, idan dai akwai isasshen insulin a cikin jini don kare tsotse nama. A lokaci guda, sel ba za su iya hadarin glucose kuma wani yanayi mai hauhawar jini ya fara aiki a cikin jikin mutum har zuwa lokacin da ya kasance na fari.

Dalilan da ke haifar da haɗarin hauhawar sukari zuwa ashirin mmol / l:

Tsallake ci ko sarrafa magunguna masu rage sukari - allunan ko insulin.
Rashin izini na izini na magani (alal misali, magani tare da magunguna na mutane ko na abinci).
Ba daidai ba dabarar isar da insulin da rashin sarrafa glycemic.
Kasancewar kamuwa da cuta ko cututtukan haɗin gwiwa: raunin da ya faru, aiki, damuwa, gazawar jini)
Ciki
Abubuwan da ke cikin carbohydrate mai yawa a cikin abincin.
Yi motsa jiki tare da hyperglycemia.
Almubazzaranci.

Lokacin ɗaukar wasu magunguna gāba da tushen rashin isasshen iko na metabolism, ana iya samun matakin sukari na jini na 20 mmol / L ko mafi girma: magungunan hormonal, nicotinic acid, diuretics, Isoniazid, Difenin, Dobutamine, Calcitonin, beta-blockers, Diltiazem.

Za a iya bayyanar da ciwon suga na farko irin na 1 ta hanyar hauhawar jini (sukari jini na 20 da na sama), ketoacidosis. Wannan bambance-bambancen na cutar ana lura da shi a kusan kashi ɗaya cikin huɗu na marasa lafiya tare da ƙarshen bincike da rashin magani tare da insulin.

Sanadin Cutar Hyperglycemia

Ruwan jini 20 menene wannan ke nufi? Wannan yana nufin cewa mai haƙuri yana haɓaka m hyperglycemia. Wannan yanayin yana da haɗari matuƙa, saboda tare da kulawa ta ainihi, haɓakar ƙwayar cutar siga mai yiwuwa. Increaseara yawan ƙwayar sukari a cikin jini na iya haifar da rikitarwa daga tsarin zuciya da jijiyoyin jini.

Yawanci, karuwa a cikin glycemia a cikin masu ciwon sukari yana haifar da gazawar abinci. Musamman mawuyacin tsarin kula da ginin abincin ya wajaba ga masu ciwon sukari na 2. Idan mai haƙuri ya wuce kima, to, ana nuna abincin maras carb.

Hakanan haifar da karuwa a cikin glucose na iya:

Ba daidai ba sashi na insulin. Wannan matsala ta zama ruwan dare tare da nau'in ciwon sukari na 1, lokacin da ƙwayoyin gangar jikin ba zasu iya samar da isasshen adadin kwayoyin ba.
Ba daidai ba aka zaɓa sashi na hypoglycemic kwayoyi. Wannan matsalar tana faruwa ne kawai da nau'in ciwon sukari na 2. Idan magunguna ba su taimaka wajen daidaita matakin glucose a cikin jini ba, to likitan ya zabi ko dai wasu masu daukewar cutar, ko kuma ya ba da izinin insulin.
Damuwa da damuwa na hankali.
Cututtukan cututtukan cututtukan cututtukan fata, wanda ya hada da cututtukan fata.
Amfani da magungunan ƙwayoyin cuta, hana ƙwayoyin cuta, glucagon, beta-blockers.
Raunin da ya faru.
Bugun jini ko na amai.
Cutar cutar.
Ciki Yayin haihuwar yaro, mace na iya haɓaka abin da ake kira ciwon sukari a cikin mahaifa.
Hyperthyroidism da sauran cututtukan thyroid.
Ciwon Cusus.
Cutar hanta. Suga na iya tashi saboda gazawar hanta, hepatitis, cholestasis, rashin bacci, echinococcosis, cholangitis, hepatic vein thrombosis, cututtukan cututtukan mahaifa da cirrhosis.
Amfani da dexamethasone ko wasu glucocorticosteroids.
Cututtuka. Za'a iya lura da matakan glucose mai yawa ko da cututtukan fungal.

Likita mai halarta ne kawai zai iya gano dalilin musabbabin karuwar cutar ta glycemia. Tare da matakan sukari mai girma, mai haƙuri yana buƙatar yin cikakken bincike.

Wadanne alamu ke faruwa lokacin da sukari ya tashi zuwa 20 mmol / l?

Ina da matakin sukari na jini na 20 kuma ina jin al'ada - masu ciwon sukari sau da yawa suna juya zuwa irin wannan gunaguni ga endocrinologists. Duk da kasancewa lafiya, wannan yanayin yana da haɗari sosai.

A cikin mafi yawan lokuta, yawan karuwa a cikin glucose har zuwa 20 mmol / L yana haifar da alamun halayyar a cikin masu ciwon sukari. Da fari dai, mara lafiya yana fuskantar ƙishirwa da ƙoshin bushewa koda yaushe.

Hakanan, tare da hyperglycemia mai tsanani, sauran alamun asibiti sun bayyana:

Urination akai-akai.
Rashin gani.
Cututturar kaciyar kaciya.
Jin damuwa, saurin tashin hankali da tashin hankali.
Jin zafi a cikin gidajen abinci da kai.
Ingararrawa a cikin kunnuwa.
Karin gumi.
Rage saukar karfin jini.
Zuciya kari tashin hankali.
Oor of acetone daga bakin.
Rashin sani.

Idan alamun da ke sama sun bayyana, mai haƙuri yana buƙatar auna sukari na jini tare da glucometer, kuma idan ya cancanta, bayar da taimakon farko.

Me za ayi idan sukarin jini yakai 20 mmol / l?

A cikin tsananin rashin ƙarfi, masu ciwon sukari suna buƙatar taimako.Idan mai haƙuri yana da nau'in farko na ciwon sukari, to, yana buƙatar allurar insulin subcutaneously, sannan kuma ya sake gwada ƙwayar glycemia. A yanayin da kwanciyar hankali ya kasa, yana da kyau a kwantar da mara lafiyar.

Tare da nau'in ciwon sukari na 2, an rage taimakon farko zuwa shan giya mai yawa, amfani da maganin soda da kayan ado na ganye. Kuna iya goge fata da tawul ɗin rigar. An riga an gudanar da aikin tiyata a asibiti.

Sakamakon sukari jini 20 sune kamar haka:

Maganin rashin lafiya.
Ciwon sukari.
Decompensated ciwon sukari.
Retinopathy
Microangiopathy.
Rashin wahala.
Rashin daidaituwa.
Ciwon mara.
Kafar ciwon sukari.

Idan sukari jini ya wuce 20 mmol / L, mutuwa zata yuwu.

Rigakafin cututtukan zuciya

Tare da nau'in ciwon sukari na 1, rigakafin ya sauko zuwa daidaitawa da sashi na insulin. Yawanci, yanayin rashin lafiya a cikin masu ciwon sukari yana haɓaka saboda zaɓin da aka zaɓi da kyau ko nau'in insulin da ba daidai ba. Ultrashort insulin yana taimakawa rage glucose cikin gaggawa. Suna aiki a cikin minti ashirin zuwa sittin.

Nau'in nau'in ciwon siga na 2 yana buƙatar cikakken rigakafin. Da fari dai, mai haƙuri yana buƙatar zaɓar wakilin da ya dace. Idan ya cancanta, ana amfani da labanin magunguna 2. A wannan yanayin, yana yiwuwa a sami tsayayyen diyya ga masu ciwon sukari.

Don dakatar da hyperglycemia, ana amfani da magunguna waɗanda ke haɓaka jijiyar insulin - thiazolidinediones (Diaglitazone, Aktos, Pioglar) da biguanides (Siofor, Metformin, Glucofage). Sabbin magungunan sankarau sune:

DPP-4 inhibitors (Januvia, Onglisa, Galvus),
GLP-1 agonists mai karɓa (Bayeta, Victoza),
alpha glucosidase inhibitors (Glucobai).

Har yanzu an ba da izinin yin amfani da magungunan da ke motsa ƙwayar ƙwayar tsoka don samar da ƙarin insulin. Irin waɗannan hanyoyin sune abubuwan da suka samo asali na sulfonylurea (Diabeton, Maninil, Amaril, Glyurenorm) da metglinides (Novonorm, Starlix). Amma irin waɗannan allunan basu da haɗari, saboda tare da tsawan amfani da su, ƙwayoyin cututtukan sun yanke jiki.

Hakanan, mai haƙuri ya kamata:

Biyo da glycemia. A yadda aka saba, sukari yakamata ya kasance raka'a 3.3-5.5.
Ku ci daidai Abinci tare da ƙananan glycemic index (naman alade, ganye, kifi, ƙananan mara mai mai-madara, bran) zai zama da amfani. Ya kamata a dafa abinci da shi ko a cikin tanda. Idan kun yi kiba, kuna buƙatar ci gaba da rage cin abincin carb. Wajibi ne a ci abinci kaɗan - wannan dabarar tana ba da nauyi ga nauyi asara da kuma haɓaka metabolism.
Shiga ciki don wasanni. Don rage matakin glycemia, kuna buƙatar shiga cikin tafiya, iyo, gudu, yoga, motsa jiki. Yana da kyau a dena yawan motsa jiki, tunda gajiyawar jiki na iya haifar da hauhawar jini.
Aiwatar da maganin gargajiya (don dalilai na taimako). Abubuwan kayan ado na St John's wort, calendula, chamomile, filayen wake suna taimakawa rage glucose. Cinnamon tare da zuma shima magani ne mai inganci - masu ciwon sukari yakamata su sha cokali 1 na maganin a cikin komai a ciki.

An riga an lura da shi a sama cewa sukari na iya tashi saboda damuwa, saboda haka, ana buƙatar masu ciwon sukari da su zama marasa damuwa da kuma kiyaye kansu daga damuwa.

Don dalilai na taimako, zaka iya ɗaukar hadaddun multivitamin, wanda ya haɗa da selenium, zinc, magnesium, thioctic acid, bitamin E, bitamin na ƙungiyar B. Mafi kyawun magunguna don masu ciwon sukari sune haruffa da Doppelherz Active.

Me yasa bincike ke canzawa

Matsayi na glucose na jini na raka'a 25 zai iya haifar da ketoacidosis. An tsara jikin mutum ne don ya zama dole a sami makamashi don wanzuwar sa, amma kawai ba a gano sinadarin glucose ba, kuma yayi kokarin sake adana makamashi ta hanyar raba adon mai.

Lokacin da atsaya ta fashe, ana sakin gawar ketone. Su masu guba ne ga jikin ɗan adam, wannan yanayin zai haifar da rashin maye. Wannan rashin lafiyar tana bayyana kanta tare da cikakkiyar nau'ikan alamu marasa kyau, kuma jin daɗin haƙuri yana ƙaruwa sosai.

A cikin ketoacidosis na mai ciwon sukari, tsinkaye na gani ba shi da kyau - yana da wahala ma mara lafiya ya bambance tsakanin abubuwa, komai kamar a cikin hayaƙi. Idan a wannan lokacin mara lafiya ya wuce gwajin fitsari, za'a ga gawarwakin ketone a wurin. Ba shi yiwuwa a warkar da wannan yanayin da kanka, kuma yin watsi da shi ba zai yi aiki ba - akwai yuwuwar samun asalin magabaci, sannan kwaro.

Ana amfani da Ketoacidosis ne kawai a ƙarƙashin tsaka-tsakin yanayi. Dole ne a bawa mara lafiya isasshen matakin insulin. Sannan likitoci suna gudanar da aikin kwantar da hankali don dawo da rashi na potassium, ruwa da wasu ma'adanai masu mahimmanci.

Hypoglycemia yana nuna cewa sukarin jini ya ragu. Wannan matakin sukari yana da haɗari idan yana da mahimmanci.

Idan abinci mai gina jiki saboda karancin glucose bai faruwa ba, to kwakwalwar mutum tana wahala. A sakamakon hakan, yiwuwar samun farin ciki.

Sakamakon mummunan zai iya faruwa idan sukari ya faɗi zuwa 1.9 ko ƙasa da haka - zuwa 1.6, 1.7, 1.8. A wannan yanayin, raɗaɗi, bugun jini, coma yana yiwuwa. Halin mutum ya ma fi tsanani idan matakin ya kasance 1.1, 1.2, 1.3, 1.4,

1.5 mmol / L. A wannan yanayin, in babu cikakken aiki, mutuwa tana iya yiwuwa.

Yana da mahimmanci a sani ba kawai dalilin da yasa wannan alamar tayi sama ba, har ma da dalilan da yasa glucose zai iya raguwa sosai. Me yasa ya faru da gwajin ya nuna cewa glucose ya yi ƙasa a cikin mutum mai lafiya?

Da farko, wannan na iya zama saboda karancin abinci. Tare da tsaftataccen abinci, ajiyar ajiyar cikin gida tayi rauni a hankali a jiki. Don haka, idan na tsawon lokaci (nawa ya dogara da sifofin jikin mutum) mutum ya guji cin abinci, ƙirar jini na jini yana raguwa.

Hakanan sukari mai aiki zai iya rage sukari. Saboda ɗaukar nauyi mai nauyi, sukari na iya raguwa har ma da abinci na yau da kullun.

Tare da wuce kima amfani da Sweets, matakan glucose suna ƙaruwa sosai. Amma a cikin ɗan gajeren lokaci, sukari yana raguwa da sauri. Soda da barasa na iya haɓaka, sannan kuma rage yawan glucose na jini.

Idan akwai karancin sukari a cikin jini, musamman a safiyar asuba, mutum yana jin rauni, bacci, tsokana ya mamaye shi. A wannan yanayin, ma'aunin tare da glucometer yana iya nuna cewa an rage ƙimar halayen - ƙasa da 3.3 mmol / L. Valueimar na iya zama 2.2, 2.4, 2.5, 2.6, da dai sauransu. Amma lafiyayyen mutum, a matsayin mai mulkin, yakamata ya yi karin kumallo na yau da kullun saboda jinin plasma na jini ya zama al'ada.

Amma idan amsawar hypoglycemia ya haɓaka, lokacin da glucometer ya ba da shaidar cewa yawan sukarin jini ya ragu lokacin da mutum ya ci abinci, wannan na iya zama shaida cewa mai haƙuri yana haɓaka 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.

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.

Damuwa a cikin mata

Haskaka jini na yau da kullun yanayi ne mai dacewa don yaduwar ƙwayar yisti. Rikitarwa na nau'in ciwon sukari na 2 a cikin mata yana bayyanuwa ta hanyar cututtukan fungal na cututtukan ƙwayoyin cuta, waɗanda suke da wuyar amsa maganin ƙwayar cuta.

A cikin ciwon sukari, glucose yana shiga fitsari, saboda haka cututtukan fungal suna shafar mafitsara. Irin waɗannan cututtukan suna tare da itching da jin zafi yayin urination. Kula da kamuwa da cuta na fungal yana da rikitarwa ta hanyar gaskiyar cewa kullun ƙara yawan sukari yana tsokani saurin haɓakar microflora na pathogenic, sakamakon kowane matakan warkewa yana kawo taimako kawai na ɗan lokaci.

Cutar Ciwon Sama

Beara yawan sukarin jini ana iya tantancewa idan mutum yana da wasu alamu. Wadannan bayyanar cututtuka da suka bayyana a cikin manya da yaro ya kamata faɗakar da mutumin:

rauni, gajiya mai tsanani,
increasedarin abinci da asarar nauyi,
ƙishirwa da jin daɗin bushe baki
mai yawa kuma sau da yawa urination, tafiya dare zuwa bayan gida halaye ne,
farji, kumburi da sauran raunuka akan fata, irin wannan raunukan ba su warke sosai,
bayyanar yau da kullun na itching a cikin makwancin gwaiwa, a cikin gabobi,
karancin rigakafi, rashin aiki mai inganci, yawanci lokacin sanyi, rashin lafiyan maza,
raunin gani, musamman a cikin mutanen da suka haura shekara 50.

Bayyanar waɗannan bayyanar cututtuka na iya nuna cewa akwai ƙarin glucose a cikin jini. Yana da mahimmanci a la'akari da cewa alamun bayyanar sukari na jini ana iya bayyanar da kawai ga wasu alamu na abubuwan da ke sama.

Sabili da haka, koda koda wasu alamun cutar sukari sun bayyana a cikin manya ko a yaro, kuna buƙatar yin gwaje-gwaje da ƙayyade glucose. Abin da sukari, idan an ɗaukaka, abin da za a yi, - ana iya gano wannan duka ta hanyar tuntuɓar ƙwararrun masani.

Theungiyar haɗarin don ciwon sukari ya haɗa da waɗanda ke da tarihin iyali na ciwon sukari, kiba, cutar cututtukan fata, da sauransu. Idan mutum yana cikin wannan rukunin, ƙimar al'ada guda ba yana nufin cutar ba ta nan ba.

Bayan duk, ciwon sukari sau da yawa yana gudana ba tare da alamun bayyane da bayyanar cututtuka ba, ba tare da izini ba. Sabili da haka, wajibi ne don gudanar da gwaje-gwaje da yawa a lokuta daban-daban, tunda akwai yiwuwar a gaban alamun bayyanar cututtuka, haɓaka abun cikin har yanzu zai faru.

Idan akwai alamun hakan, sukarin jini shima yana da yawa yayin daukar ciki. A wannan yanayin, yana da matukar muhimmanci a tantance ainihin abubuwan dake haifar da sukari mai yawa. Idan glucose a lokacin daukar ciki yana sama, menene ma'anar wannan da abin da za a yi don kwantar da hankulan alamun, likitan ya kamata ya yi bayani.

Hakanan ya kamata a ɗauka a cikin zuciya cewa sakamakon tabbataccen bincike na bincike shima hakan yana yiwuwa. Sabili da haka, idan mai nuna alama, alal misali, 6 ko sukari jini 7, menene ma'anar wannan, za'a iya tantancewa kawai bayan binciken da yawa.

Abin da za a yi idan cikin shakka, ke ƙaddara likita. Don ganewar asali, zai iya ba da ƙarin ƙarin gwaje-gwaje, alal misali, gwajin haƙuri haƙuri, gwajin nauyin sukari.

Coma baya faruwa nan take, yawanci komai yana faruwa sannu a hankali kuma akwai lokaci don canza komai. Matsakaici, daga kwana 1 zuwa 3 kafin mai haƙuri ya faɗi yana faɗi tare da "barci mai zurfi". Yawan tarawar jikin ketone da lactose shima ba abu bane mai sauri. Ga yawancin coms masu ciwon sukari, alamu za su yi kama, in ban da yanayin rashin lafiyar da ke faruwa.

Alamomin farko na kwayar cutar kusa da ciki shine haɓakar buƙatar ruwa (mutum yana jin ƙishirwa koyaushe) da saurin fitar iska. Babban rauni, lalacewar lafiya, an gano ciwon kai. An maye gurbin tashin hankali mara nauyi ta hanyar nutsuwa, tashin zuciya ya bayyana, kuma ci babu. Wannan shine farkon matakin cigaba da wannan yanayin.

Bayan sa'o'i 12 zuwa 24, ba tare da isasshen magani ba, yanayin zai fara lalacewa. Rashin nuna damuwa ga duk abin da ya faru a kusa zai bayyana, za a lura da asarar dalili na ɗan lokaci. Mataki na ƙarshe zai zama rashin amsawa ga ƙwarin gwiwa na waje da cikakkiyar asarar hankali.

A kan wannan tushen, canje-canje suna faruwa a cikin jikin mutum, wanda likita ba kawai zai iya lura dashi ba. Waɗannan sun haɗa da: rage hauhawar jini da rauni a jiki, fatar tana da zafi ga taɓawa, idanun kuma “masu laushi”. Tare da hypoglycemic ko ketoacidotic coma daga bakin mai haƙuri, zai yi ƙamshi kamar acetone ko apples.

Tare da lactic acidosis, ƙarancin zuciya zai bayyana, jin zafi a bayan sternum kuma tsokoki suna bayyana, zafin ciki da amai na iya bayyana. Ciki na hyperosmolar yana haɓakawa a hankali fiye da sauran (5-14 days), a matakin ƙarshe na haɓaka, numfashi ya zama mai wuce gona da iri, gajere na numfashi, amma babu mummunan numfashi, fatar jiki da mucous membranes sun bushe, kuma alamun fuskoki suna kaifi.

Cutar cututtukan zuciya ta haɓaka da sauri, kuma ya zama dole a ɗauka nan da nan bayan ganewar asali. A matakin farko, jin zafin yunwar ya bayyana. A cikin 'yan mintina kaɗan mutum ya sami rauni gaba ɗaya, jin tsoro da damuwa da ba a bayyana ba. Akwai rawar jiki ko'ina cikin jiki da yawan wuce kima.

Idan yayin wannan lokacin mara lafiya ba ya haɓaka matakin glucose ba, ƙaramin ɗan sukari ko alewa ya isa, to, asarar cikakken sani zai biyo baya kuma a wasu halaye na raɗaɗi na iya bayyana.Alamun waje: fatar tana jika ga taɓawa, idanun suna da ƙarfi, sautin tsoka yana ƙaruwa, amma bayan ɗan lokaci fata zai bushe ya bushe, wanda zai iya kawo cikas ga ganewar.

Waɗannan sune alamun farko na rashin lafiya, amma koyaushe ba zai yiwu a binciki kanka daidai ba, don haka kar a yi hanzarin ciyar da mara lafiya da sukari ko yin allurar insulin, sakamakon na iya zama ba zai iya juyawa ba.

Tare da hypoglycemia, ana yin magani mai zurfi. Da fari dai, 20-80 cubes na 40% na glucose suna allurar ciki.

Idan zai yiwu a lura da yawan glucose a kai a kai, ana kiyaye shi tsakanin kewayon 8-10 mmol / L; don wannan, ana sarrafa maganin glucose 10% tare da insulin. Idan likita ya ga ya zama dole, to, kuna iya buƙatar adrenaline, glucagon, cocarboxylase, hydrocortisone da bitamin C.

Don hana faruwar cututtukan maɓallin cerebral edema, ana wajabta ƙaddamar da iska (injin naƙasa) a cikin yanayin hyperventilation da digo tare da 20% osmotic mannitol diuretic.

Hyperglycemic coma yana bi da insulin. Don wannan, magungunan gajeriyar magana sun dace.

Yana da inganci a sarrafa su ta hanyar nutsuwa ta amfani da masu disse a cikin sauri na 6-10 U / h, yayin da yakamata a gudanar da sanya ido kan matakan glucose na jini. Idan likita ya ga ya zama dole, to za a iya kara kashi na farko na maganin zuwa raka'a 20.

Ana aiwatar da gyaran fuska ne ta wannan hanyar cewa ana aiwatar da rage sukari a hankali, a 3-4 mmol / h. A hankali, sakamakon yana daidaita zuwa 8-10 mmol / L.

Hakanan wajibi ne don dawo da ma'aunin ruwa da kuma daidaita yawan zubar jini (BCC). Dukkanin ayyuka yakamata a gudanar dasu tare da sanya idanu akai-akai game da jijiya da jijiyoyin jiki, glucose da matakan sodium, yanayin hada jini da BCC.

Saurin, adadi da abun da ke cikin ruwan da aka gudanar zai dogara ne akan yanayin mai haƙuri, aikin kodan da tsarin jijiyoyin jini. A mafi yawancin lokuta, ana amfani da tsarin mai zuwa:

Ana gudanar da ruwa na 1-2 na ruwa a cikin awa 1,
0.5 a cikin lita 2-3
0.25 L kowace awa mai zuwa.

A cikin ranar farko, ana yin amfani da kimanin lita 4-7 na ruwa.

Tare da asarar abubuwa da yawa abubuwan da ake bukata don rayuwar mutum, ana wajabta allurar da ake buƙata da magunguna. Tare da rashin potassium - 1% potassium chloride, tare da rashi na magnesium - sulfate magnesium 25%, isasshen sodium - hauhawar jini ko isotonic sodium chloride. Kayan aiki shine kulawa akai-akai game da yanayin kodan, CVS da jini.

Don kafa aikin tafiyar matakai na rayuwa tare da hanzarta aiwatar da kawar da jikin ketone da lactic acid, ya zama dole don hanzarta tsarkake jini da kafa aikin tsarin jijiyoyin jini, dawo da numfashi na yau da kullun. Latterarshen zai ba ku damar daidaita jiki tare da oxygen, wanda ke nufin zai hanzarta zagayawa cikin jini da ƙirar tsoka. A sakamakon haka, ana cire abubuwa masu guba daga jiki cikin sauri.

Soda (mai ciwon sukari) coma cuta ce mai wahala sosai. Wajibi ne a aiwatar da sauri da yanke hukunci. Daidai gano cutar sakamako ne mai kyau na 50%. Yana da wuya a sanya hasashen yanayi, amma idan kun fara jiyya lokacin da alamun farko suka bayyana, to komai zai ƙare lafiya.

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M kulawa

A yayin asibiti, mai haƙuri sanye yake da kayan aikin huhu na huhu, bayan haka ana yin maganin jiko tare da furosemide, mannitol da farjin insulin. Don cututtukan hypersmolar, ana yin allurar insulin. Bayan ya isa matakin glucose na 15-20 mmol / l, ana yin insulin gwargwadon algorithm - raka'a 2 na insulin a cikin 6 mmol / l na glucose.

Kafin bayar da kulawar likita don maganin cutar hypermolar, yana da matukar muhimmanci a yi bambamce-bambance game da cututtukan hanji, domin kauce wa gudanar da cutar ta cututtukan fitsari a maimakon shan ruwa.

Abinci da sukari mai yawa

Abincin abinci yana nufin ƙin abincin da ke cike da carbohydrates mai sauri. Kuma idan ga kowane abu mai haƙuri ma yana da nauyin jiki fiye da kima, to likita zai iya ba da izinin rage cin abincin carb. A lokaci guda, ana bada shawara don ninka abinci tare da samfuran abinci tare da babban taro na abubuwa masu amfani da bitamin.

Abincin yau da kullun ya kamata ya kula da ma'aunin BZHU,
Lokacin zabar abinci, ma'anar tana zuwa teburin ma'aunin glycemic, dole ne ya kasance tare da haƙuri,
Dole ne a daidaita yanayin abinci akai-akai - kuna buƙatar cin abinci sau da yawa, amma a cikin ƙananan rabo (manyan abinci uku da abinci biyu ko sau uku),
Wasu 'ya'yan itatuwa, kayan marmari, ganye, da kuma furotin abinci sune ainihin abincin,
Tabbatar sarrafa ma'aunin ruwa

Kwararrun shawarwarin da likitan zai bayar shine zai ba ku magani. Idan ya cancanta, zaku iya tuntuɓar masanin abinci wanda idan kan buƙata, zai iya haɓaka cikakkiyar abincin tare da zaɓuɓɓuka don samfuran, jita, haɗuwa, nashi rabo, da sauransu.

Don yin irin wannan mummunan cutar kamar ciwon sukari, likitoci suna gudanar da karatu da yawa. Don gano cutar sankarar sukari mai shudewa, za'a iya amfani da gwajin Stub-Traugott, gwajin rigakafi, da gwajin jini ga gemoclobin haemoglobin.

Duk alƙawura sune mahimmancin likitoci. Amma gaskiyar cewa suna buƙatar magance su idan sukari ya yi yawa ya wuce shakka. Ba shi da kyau a tsaida doka, koda kuwa alamu sun koma kan layi na yau da kullun, yana da kyau a bincika ko komai ya yi kyau.

Bidiyo - Gwajin ciwon sukari.

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, haɗu da likita ya tsara rage yawan adadin kuzari. 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, mai 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 abinci mai ɗorewa, abinci mai ƙanshi da mai, mai giya. Hakanan ana bada shawara don ware inabi, raisins da ɓaure daga abincin.

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 tare da kowane nau'in ciwon sukari, komai irin rikitarwa da mai haƙuri ke da shi.

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.

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 cikin lokaci tare da kawar da duk abubuwan da ke haifar da cuta.