Kurapwa kwechirwere cheshuga

Kurapwa kwechirwere cheshuga

Kusvika parizvino, hapana mushonga wati wawanikwa wekurapa chirwere cheshuga. Mushonga unotsanangurwa une chinangwa chekudzorera hutano hwehuga hweropa. Kuremekedzwa kwekurapwa pamwe chete ne kuongorora kwechiremba zvisinei zvakakosha kudzivirira matambudziko akanyanya uye asingaperi.

Chiremba anoita hurongwa mabatiro zvichibva pakuongororwa kweropa, kuongororwa, uye zviratidzo. Kubvunza mukoti, nyanzvi yezvekudya uye, kana zvichibvira, kinesiologist inobatsira kunanga kuedza uye masimba zvakakwana chirwere.

Tora BONUS: mishonga zvakakwana, zvakanaka kudya uye zvimwe zvigadziriso nzira yehupenyu, vanhu vane chirwere cheshuga vanogona kurarama upenyu hunenge hwakajairika.

Pharmaceuticals

Tora 1 chirwere cheshuga. Mushonga wenguva dzose unogara jekiseni, inopiwa nemajekiseni ezuva nezuva kana kuramba uchishandisa pombi duku yakabatanidzwa kune catheter yakaiswa pasi peganda.

Tora 2 chirwere cheshuga. Kune marudzi matatu emishonga (in mahwendefa) mumwe nomumwe ane maitiro ake echiito: kukurudzira kugadzirwa kwe insulin nerwatata; kubatsira matishu anoshandisa insulin kutora glucose; kana kunonoka kutorwa kweshuga mudumbu. Iyi mishonga yakasiyana-siyana inogona kushandiswa yoga kana musanganiswa kuti ivandudze kushanda kwayo. Type 2 chirwere cheshuga dzimwe nguva chinodainsulinotherapie.

Gestational Chirwere cheshuga. Ongororo dzinoratidza kuti kurapwa kunoshanda mukudzivirira mamwe matambudziko kune amai uye fetus. Kazhinji kuchinja kune kudya uye kutonga kwe uremu zvinokwana kuchengetedza huwandu hweshuga muropa mukati menguva yakajairika. Kana zvichidikanwa, insulini kana, zvisingawanzo, mamwe mishonga ye hypoglycemic inopihwa.

Tarisa kune mapepa emhando dze chirwere cheshuga kudzidza zvakawanda pamusoro kurapwa.

Kuziva sei kudzivirira uye kurapa zvirwere zvenguva refu zvine chekuita nechirwere cheshuga, ona peji redu reDiabetes Complications.

Nguva uye sei kuyera shuga yako yeropa?

La glucose chiyero chehuwandu hwe glucose (shuga yeropa. Vanhu vane chirwere cheshuga vanofanira kunyatsoongorora shuga yeropa ravo kuitira kuti vagadzirise mishonga yavo (zvichienderana nezvokudya, maekisesaizi, kushushikana, nezvimwewo) uye kuchengetedza uwandu hweshuga iri pedyo sezvinobvira kune yakajairika nguva dzose. . kudzora kunonyanya kukosha sezvo kunobatsira kuderedza kana kudzivirira matambudziko chirwere cheshuga

Kazhinji, vanhu vane Tora 1 chirwere cheshuga kuyera shuga yavo yeropa 4 kanomwe pazuva (vasati vadya uye vasati varara), nepo avo vanotambura Tora 2 chirwere cheshuga inogona kazhinji kugutsikana nechiyero chezuva nezuva kana, mune dzimwe nguva, kuverenga katatu pasvondo (ona yedu itsva Is Homemade Blood Glucose Tests Inobatsira Kune Vanorwara Neshuga Haina Kurapwa neInsulin?).

Kuverenga kweglucose yeropa

Achishandisa mudziyo wokurembera, munhu wacho anotora donhwe reropa pamuromo wemunwe wake uye oriendesa kune kuongororwa kwemamita eglucose yeropa iyo, mumasekonzi mashoma, inotaridza mwero weglucose weropa. Mhedzisiro yeongororo iyi ichachengetwa mubhuku rekunyorera kana musoftware yakagadzirirwa chinangwa ichi (semuenzaniso, OneTouch® kana Accu-Chek 360º®). Ichangoburwa modhi yemuverengi inopihwa muchimiro che USB kiyi ine yakasanganiswa software (Contour® USB), iyo inogona kufambisa kuteverwa kwemhedzisiro. Unogona kuwana mita yeglucose yeropa pazvitoro zvakawanda zvemishonga. Sezvo mamodheru acho akawanda uye akasiyana, zvinokurudzirwa kubvunza chiremba wako kana imwe nyanzvi yeshuga kuitira kuti uwane iyo modhi inonyatsoenderana nezvido zvako.

 

Ropa glucose kukosha kune vechidiki uye vakuru vane chirwere cheshuga

Nguva yezuva

Zvakanyanya kunaka shuga yeropa

Shuga yeropa isina kukwana

(kupindira kunodiwa)

Padumbu risina chinhu kana usati wadya

Pakati pe4 ne7 mmol / l

ou

pakati pe70 ne130 mg / dl

Yakaenzana kana yakakura kupfuura 7 mmol / l

ou

130 mg / dl

Maawa maviri mushure mekudya (postprandial)

Pakati pe5 ne10 mmol / l

ou

pakati pe90 ne180 mg / dl

Yakaenzana kana yakakura kupfuura 11 mmol / l

ou

200 mg / dl

Iyo unit mmol / l inomiririra chikamu chemolar mass yeglucose parita yeropa.

Source: Canadian Diabetes Association 2008 Clinical Practice Guidelines.

 

Muchiitiko che hyperglycemia kana hypoglycemia

Vanhu vane chirwere cheshuga vanowanzotarisana nekusiyana kwakanyanya kweshuga yeropa ravo. Naizvozvo zvakakosha kuziva kuti woita sei kana mamiriro acho amuka.

Hyperglycemia.

Kuwedzera kwehuwandu hweglucose muropa: kana, padumbu risina chinhu, chiyero cheshuga yeropa yakakura kudarika kana yakaenzana ne7 mmol / l (130 mg / dl) kana kuti 1 kana 2 maawa mushure mekudya, inokwira. kusvika 11 mmol / l (200 mg / dl) kana kupfuura. The zviratidzo ndeavo vane chirwere cheshuga: kubuda kwakanyanya kweweti, nyota yakawedzera uye nzara, kuneta, nezvimwe.

Zvinokonzera

  • Idya zvokudya zvine shuga zvakanyanya kudarika zvinobvumirwa.
  • Deredza mabasa ako emuviri.
  • Ita iyo isiriyo dosi yezvinodhaka: kushomeka kwe insulin kana hypoglycemic zvinodhaka.
  • Kusangana nekushushikana.
  • Chirwere chakakomba, senge pneumonia kana pyelonephritis (utachiona hweitsvo), sezvo izvi zvinowedzera kudiwa kwe insulini.
  • Tora mimwe mishonga (glucocorticoids se cortisone, somuenzaniso, kuwedzera shuga yeropa).

Zvokuita

  • Edza shuga yako yeropa.
  • Kana shuga yeropa ichipfuura 15 mmol / l (270 mg / dl) uye kana uine chirwere cheshuga 1, yera huwandu hwemitumbi yeketone muweti (ketonuria bvunzo: ona pamusoro).
  • Inwa mvura yakawanda kudzivirira kupera mvura mumuviri.
  • Kuedza kutsvaga chikonzero che hyperglycemia.

Kunokosha. Kana shuga yeropa iri kupfuura 20 mmol / L (360 mg / dl) kana bvunzo yeketonuria (ketoni muweti) inoratidza ketoacidosis, unofanirwa ona chiremba nekukasika. Kana zvisingaite kuti ubate chiremba wemhuri yako kana Diabetes Center nekukurumidza, unofanirwa kuenda kudhipatimendi rekukurumidzira rechipatara.

Hypoglycemia.

Kuderera kwehuwandu hweglucose muropa: kana shuga yeropa inodonha pasi pe4 mmol / l (70 mg / dl). Kudedera, dikita, dzungu, kurova pasi, kuneta, kuzamura, uye kupenya zviratidzo zvekuderera kweshuga. Kusiiwa isina kurapwa, hypoglycemia inogona kukonzera kurasikirwa kwekuziva, achiperekedzwa kana kuti kwete nokugwinha.

Zvinokonzera

  • Ita kukanganisa muyero yemishonga (yakawandisa insulin kana hypoglycemic agents).
  • Kusvetuka chikafu kana chikafu, kana kunonoka kubata.
  • Kushandisa huwandu husina kukwana hwezvokudya zvine shuga.
  • Wedzera mabasa ako emuviri.
  • Inwa doro.

Zvokuita

  • Edza shuga yako yeropa.
  • Idya chikafu chinopa 15 g yemakhahydrates (iyo inotorwa nokukurumidza), yakadai se 125 ml yemuchero wemichero kana chinwiwa chinotapira nguva dzose; 3 tbsp. shuga yakanyungudutswa mumvura; 3 tbsp. yeuchi kana jamu; kana 1 kapu yemukaka, uye kumirira maminitsi makumi maviri kuti shuga yeropa igadzikane.
  • Eresa shuga yeropa zvakare uye tora 15 g yemacarbohydrate zvakare kana hypoglycemia ikaramba iripo.
  • Kuedza kutsvaga chikonzero che hypoglycemia.

Izvakakosha. Gara uine a chikafu chinotapira. Kana zvichidikanwa, zivisa vanhu vakamupoteredza uye kubasa nezvemamiriro ake uye zviratidzo zve hypoglycemia.

Chirwere cheshuga

Kunze kwe mishonga, vanhu vane chirwere cheshuga vane chido chikuru chekugadza achikafu uye kutora purogiramu yakanaka yekurovedza muviri. Zvechokwadi, kupindira uku kusiri kwezvinodhaka kunogona kuderedza kuyerwa kwemishonga uye kudzivirira mamwe matambudziko. Kufutisa uye kushaikwa kwekurovedza muviri injodzi dzehutano chaidzo kune vane chirwere cheshuga.

Chirongwa chekudya

Un chikafu chakagadzirwa nechero inogadzirwa nenyanzvi yezvokudya. Iyo yakarongwa shanduko yekudya inogona kudzora zvirinani shuga yeropa, kuchengetedza kana kufamba kune huremu hune hutano, kuvandudza lipid profile muropa, kudzora BP uye kuderedza njodzi yematambudziko.

MuKudya Kwakakosha: Pepa reDiabetes, nyanzvi yezvekudya Hélène Baribeau anopa muchidimbu chirongwa chekudya chakagadzirirwa vanhu vane chirwere cheshuga. Heano makuru makuru:

  • Tarisa huwandu uye rudzi rwe carbohydrates, uye kuwanda kwekushandisa kwavo.
  • Idya kupfuura dietary fiber, nokuti vanononoka kutorwa kwemakhahydrates.
  • Tungamira mafuta akanaka kuvandudza lipid profile uye kudzivirira matambudziko.
  • Consume thedoro zvine mwero.
  • Gadzirisa magetsi maererano nemuviri muviri.

Onai Special Diet: Diabetes fact sheet kuti uwane mamwe mashoko. Iwe uchawanawo muenzaniso we mhando yemenyu.

Kudzidzira muviri

Zvinonyanya kukosha kudzidzira maitiro emwoyo kusimba kuri pakati nepakati, zvinoenderana nekuravira: kufamba, tenisi, bhasikoro, kushambira, nezvimwe.

Mayo Clinic nyanzvi dzinokurudzira musangano wezuva nezuva weinenge 30 kwemaminitsi, kuwedzera pakuwedzera maekisesaizi kukutambanudza uye kuvaka muviri nezviremu uye dumbbells.

Zvakanakira kuita maekisesaizi nguva dzose

- Mitengo yakaderera ye ropa glucose, kunyanya nekubvumira muviri kushandisa insulin zviri nani.

- Kuderera kweropa uye kusimba kwe mhasuru yemwoyo, inova bhenefiti chaiyo yakapihwa kuti vane chirwere cheshuga vari panjodzi yekurwara nechirwere chemoyo.

-Kubudirira kana kuchengetedza a healthy health, iyo inonyanya kukosha nechirwere cheshuga chechipiri.

- Kuwedzera kunzwa kwe hupenyu hwakanaka (kuzviremekedza, nezvimwewo) pamwe chete nezwi remhasuru nesimba.

- Kuderera kwedoseji ye mishonga antidiabetic, mune vamwe vanhu.

Chenjedzo kutora

– Chirwere cheshuga chinofanira kuva nyanzvi usati watanga chero chirongwa chekurovedza muviri;

– Taura naye chiremba chirongwa chako chekurovedza muviri (nguva yakawanda uye saizi yemadosi e insulin kana hypoglycemic zvinodhaka zvinogona kuchinja).

- Tarisa shuga muropa usati uye wapedza maekisesaizi.

- Tanga nezviitwa zvekusimba kuenzanisa.

– Ramba uri pedyo chikafu yakakwira mumacarbohydrates kana hypoglycemia ikamuka.

-Nguva dzekuita zvemuviri uye majekiseni ejekiseni e insulin anofanira kunge akakwana Kure kubva kune mumwe nemumwe kudzivirira kudonha kwakanyanya kweshuga yeropa.

Yambiro. Kudzidzira muviri kunofanira kudziviswa panguva yedambudziko.hyperglycemia. Kune chero rudzi rwechirwere cheshuga, kana shuga yeropa ichipfuura 16 mmol / l (290 mg / dl), rega kuita maekisesaizi sezvo shuga yemuropa ichiwedzera kwenguva pfupi panguva yekurovedza muviri. Vanhu vane Type 1 chirwere cheshuga uye vane shuga yeropa inodarika 13,8 mmol / L (248 mg / dL) vanofanirwa kuyera mwero wemitumbi yeketone muweti yavo (ketonuria bvunzo: ona pamusoro). Usaite maekisesaizi kana paine ketoni.

Kubatsirana uye kutsigirwa kwevanhu

Kuongororwa kwe chirwere cheshuga zvinokatyamadza vanhu vakawanda. Pakutanga, zvinowanzokonzera kushushikana kunoenderana nezvakawanda zvinonetsa. Ndichakwanisa kudzora hosha yangu ndokuramba ndichirarama upenyu hwakandikodzera here? Ndichaita sei nemigumisiro inogona kuitika yechirwere, zvose zvenguva pfupi uye kwenguva refu? Kana zvichidikanwa, akawanda Resources (hama, chiremba kana vamwe vashandi vehutano, mapoka anotsigira) vanogona kupa rutsigiro rwetsika.

Kushungurudzika uye shuga yeropa

Kutarisira kwakanaka kwekunetseka kwezuva nezuva kunokurudzira zvirinani kutonga kwechirwere, nekuda kwezvikonzero zviviri.

Mumugumisiro wekushushikana, munhu angaedzwa chengetedza zvishoma hutano (kurega kuronga kudya, kurega kurovedza muviri, kutarisa shuga yeropa zvishoma, kunwa doro, nezvimwewo).

Kushungurudzika kunobata zvakananga pashuga yeropa, asi maitiro ayo anosiyana pamunhu nemunhu. Mune vamwe vanhu, mahomoni ekushungurudzika (akadai se cortisol uye adrenaline) anowedzera kusunungurwa kweglucose yakachengetwa muchiropa muropa, zvichiita kuti ropa rirasike.hyperglycemia. Mune dzimwe, kushushikana kunononoka kugaya uye panzvimbo pacho kunokonzera hypoglycemia (inogona kufananidzwa nekunonoka kutora chikafu kana chekudya).

Kudzidzira kufema kwakadzika uye kufungisisa, pamwe nekurara zvakakwana kunogona kubatsira kuderedza kushanduka kweshuga yeropa kunokonzerwa nekushungurudzika. Izvo zvichave zvakare zvakafanira kuita shanduko dzakakodzera muhupenyu hwake kuti aite pane izvo zvinoshungurudza. Aya maitiro haatsive mushonga (yemhando 1 chirwere cheshuga chinomira kutora insulin chinogona kufa nacho).

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