Chii chinonzi Hyperglycemia? Zviratidzo, Zvinokonzera, & Kurapa

Hyperglycemia ndipo apo shuga yeropa yako inokwira kupfuura zvakajairwa, kazhinji pamusoro pe 180 mg/dL mushure mekudya kana 126 mg/dL kana uri nenzara. Funga nezvazvo se muviri wako uchinetseka kutonga shuga iri muropa rako, zvakafanana nekuvhara kwemagariro apo mota hadzikwanisi kufamba zvakanaka mumigwagwa.

Iyi mamiriro kazhinji anokanganisa vanhu vane chirwere cheshuga, asi inogona kuitika kune ani naani pasi pemamiriro ezvinhu akati. Kunyangwe zvinganzwa zvinotyisa, kunzwisisa hyperglycemia kunokubatsira kuziva zviratidzo pakutanga uye kutora matanho akakodzera kuchengetedza hutano hwako.

Ndezvipi zviratidzo zve hyperglycemia?

Zviratidzo zvepakutanga zve hyperglycemia kazhinji zvinobudirira zvishoma nezvishoma, saka ungasazvizivi pakarepo. Muviri wako unokupa iwe zvekutanga zvekutanga usati wazova wakakomba.

Heano zviratidzo zvakajairika zvaunogona kuona:

• Nyota yakawanda isingaperi
• Kuenda kunzvimbo kazhinji, kunyanya usiku
• Kuneta kwakanyanya kana kunzwa kuneta kupfuura zvakajairwa
• Kuona kusapfava kunouya nekuenda
• Misoro inonzwa yakasiyana nezvakajairwa
• Kuporesa kwakareba kwemanyoka kana maronda
• Muromo wakaoma kunyangwe uchinge uchinywa mvura

Sezvo mazinga eshuga yeropa achikwira, unogona kuona zviratidzo zvinotyisa. Izvi zvinosanganisira kurutsa, kurutsa, kurwadziwa mudumbu, kana kunhuhwirira kwemichero mufema rako. Kana ukaona aya zviratidzo zvakakomba, zvakakosha kutsvaka rubatsiro rwekurapa nekukurumidza.

Chii chinokonzera hyperglycemia?

Hyperglycemia inoitika kana muviri wako usingakwanisi kugadzira insulin yakakwana kana usingakwanisi kushandisa insulin zvakanaka. Insulin inoshanda senhengo inovhura masero ako kuitira kuti shuga igone kupinda uye kupa simba.

Zvinhu zvakati wandei zvinogona kutanga mazinga eshuga yakakwira:

• Kudya kabhohaidhiretsi yakawanda kupfuura iyo muviri wako unogona kubata
• Kusatora mishonga yakakwana ye shuga kana kusapfuura mazuva
• Kuneta kwemuviri kana mupfungwa
• Kurwara kana hutachiona
• Kushaya basa remuviri
• Mishonga yakati wandei senge steroids
• Kushaya mvura mumuviri

Dzimwe nguva hyperglycemia inogona kuitika kune vanhu vasina chirwere cheshuga panguva yerwisiso yakakomba, kuvhiya kukuru, kana kushushikana kwakanyanya. Muviri wako unoburitsa mahomoni ekushushikana anogona kukanganisa kugona kwe insulin kushanda zvakanaka.

Zvishoma, mamiriro asingawanzoitika senge Cushing's syndrome, matambudziko epancreatic, kana mamwe mamiriro ezvemagariro anogona kukonzera hyperglycemia inogara. Aya mamiriro anoda kuongororwa nekurapwa kwakakosha kwechiremba.

Rini unofanira kuona chiremba nekuda kwe hyperglycemia?

Unofanira kubata chiremba wako kana shuga yeropa rako ichigara iri pamusoro pe 250 mg/dL kana uri kuona zviratidzo zvinokunetsa. Usamirira kana uchinge uchinzwa usina kunaka, kunyangwe zviratidzo zvako zvichinzwa zvishoma.

Tsvaka rubatsiro rwekurapa nekukurumidza kana ukaona zviratidzo zvakakomba senge kurutsa kunogara, kuoma kufema, kusanzwisisa, kana hope dzakanyanya. Izvi zvinogona kuratidza chirwere chakakomba chinonzi diabetic ketoacidosis, chinoda kurapwa kwekukurumidza.

Kana usina chirwere cheshuga asi ukaona zviratidzo senge nyota yakawanda, kuenda kunzvimbo kazhinji, uye kuneta kusina tsananguro kwenguva yakati, ronga kuona chiremba wako. Izvi zvinogona kuva zviratidzo zvepakutanga zvechirwere cheshuga zvinoda kuongororwa.

Ndezvipi zvinokonzera ngozi dze hyperglycemia?

Kunzwisisa zvinokonzera njodzi dzako kunokubatsira kutora matanho ekudzivirira shuga yakakwira yeropa. Zvimwe zvinhu zvaunogona kudzora, nepo zvimwe zviri chikamu chehunhu hwako.

Zvinokonzera njodzi dzakakosha zvinosanganisira:

• Kuva nechirwere cheshuga (rudzi 1 kana rudzi 2)
• Nhoroondo yemhuri ye chirwere cheshuga
• Kuva uremu hwakawandisa kana kunyanya kuonda
• Kurarama hupenyu husingashande
• Zera pamusoro pemakore 45
• Kuderera kweropa
• Nhoroondo ye gestational diabetes

Mamwe mapoka evanhu, kusanganisira maAfrican Americans, Hispanic Americans, Native Americans, uye Asian Americans, ane njodzi yakawanda yekuwana chirwere cheshuga ne hyperglycemia. Uyezve, vakadzi vane polycystic ovary syndrome (PCOS) vanotarisana nenjodzi yakawanda.

Mamiriro asingawanzoitika senge acromegaly, pheochromocytoma, kana mapundu epancreatic anogona zvakare kuwedzera njodzi yako, kunyangwe aya anokanganisa vanhu vashoma. Chiremba wako anogona kukubatsira kuongorora profile yako yengozi panguva yekutarisa kazhinji.

Ndezvipi zvinogona kuitika zvinetso zve hyperglycemia?

Kana shuga yeropa ichigara yakakwira kwenguva yakareba, inogona kukuvadza zvishoma nezvishoma zvikamu zvakasiyana-siyana zvemumuviri wako. Funga nezveshuga yakakwira yeropa senge sandpaper inopfekedza zvishoma nezvishoma midziyero yeropa ne nhengo dzako.

Zvinetso zvepfupi-nguva zvinogona kuitika mukati memaawa kana mazuva:

• Diabetic ketoacidosis (DKA) - mamiriro akakomba apo muviri wako unoparadza mafuta kuti uve nesimba
• Hyperosmolar hyperglycemic state (HHS) - kushaya mvura mumuviri kwakanyanya uye shuga yakakwira kwazvo yeropa
• Kuwedzera kwenjodzi yehutachiona
• Kuporesa kwakareba kwemaronda

Zvinetso zvakareba zvinoitika pamwedzi kusvika kumakore eshuga isina kutongwa zvakanaka yeropa. Izvi zvinosanganisira kukuvara kwemaziso ako (diabetic retinopathy), itsvo (diabetic nephropathy), mitsipa (diabetic neuropathy), uye kuwedzera kwenjodzi yechirwere chemwoyo ne stroke.

Mashoko akanaka ndeawo kuti kuchengetedza mazinga eshuga yeropa ane hutano kunoderedza zvakanyanya njodzi ye aya matambudziko. Vanhu vazhinji vane chirwere cheshuga vanorarama hupenyu hwakazara, hune hutano nekutonga mamiriro avo zvakanaka.

Hyperglycemia inogona kudzivirirwa sei?

Kudzivirira kunotarisa pakuchengetedza mazinga eshuga yeropa akatsiga kuburikidza nezvisarudzo zvehupenyu hune hutano nekutonga kwakakodzera kwechiremba. Kushanduka duku, kwenguva dzose kazhinji kunounza musiyano mukuru.

Heano mazano ekudzivirira anoshanda:

• Kudya zvokudya zvakaringana nezvikamu zvakakodzera zve kabhohaidhiretsi
• Kuita zvemuviri nguva dzose, kunyangwe maminetsi makumi matatu ekufamba zuva nezuva
• Kutora mishonga chaizvo sezvakarayirwa
• Kutarisa mazinga eshuga yeropa sezvakakurudzirwa
• Kuchengetedza mvura mumuviri nemvura zuva rese
• Kutonga kushushikana kuburikidza nemazano ekusununguka
• Kurara zvakakwana (maawa 7-9 usiku)

Kana uine chirwere cheshuga, shanda pedyo nechikwata chako chehutano kuti ugadzire chirongwa chekutonga chako. Izvi zvinosanganisira kunzwisisa kuti zvokudya zvakasiyana zvinoita sei shuga yeropa rako uye kuziva kuti ungachinja sei mishonga yako.

Kune avo vasina chirwere cheshuga, kuchengetedza uremu hune hutano, kuramba uchishanda, uye kudya zvokudya zvakaringana kunoderedza zvakanyanya njodzi yekuwana hyperglycemia ne chirwere cheshuga.

Hyperglycemia inoongororwa sei?

Kuongorora hyperglycemia kunosanganisira bvunzo dzeropa nyore dzinoyera huwandu hweshuga iri muropa rako. Chiremba wako angashandisa bvunzo dzakasiyana-siyana kuti awane mufananidzo wakazara.

Bvunzo dzekuongorora dzakajairika dzinosanganisira fasting blood glucose test (inotorwa mushure mekusadya kwemaawa 8-12), random blood glucose test (inotorwa chero nguva), kana oral glucose tolerance test. Chiremba wako anogona zvakare kuraira hemoglobin A1C bvunzo, iyo inoratidza shuga yako yepamusoro yeropa mumavhiki maviri kusvika matatu apfuura.

Kana uine chirwere cheshuga, ungangove uchitotarisira shuga yeropa rako kumba uchishandisa glucose meter. Aya maturusi anokupa iwe ruzivo rwechokwadi nezve mazinga eshuga yeropa rako zuva rese.

Dzimwe nguva chiremba wako anogona kukurudzira continuous glucose monitoring, kunyanya kana uine shanduko dzakawanda dzeshuga yeropa. Izvi zvinosanganisira kupfeka sensor duku inotevera mazinga ako eglucose nguva dzose.

Kurapa kwe hyperglycemia ndekupi?

Kurapa kwe hyperglycemia kunoenderana nechinokonzera uye kuti mazinga eshuga yeropa rako akakwira sei. Chinangwa ndechekudzosa shuga yeropa rako kune huwandu hune hutano zvakachengeteka uye kudzivirira zviitiko zvemangwana.

Kune vanhu vane chirwere cheshuga, kurapa kazhinji kunosanganisira:

• Kuchinja mazinga e insulin kana mishonga
• Kuwedzera basa remuviri (kana zvakachengeteka kuita kudaro)
• Kunwa mvura yakawanda kudzivirira kushaya mvura mumuviri
• Kutevera chirongwa chekudya chakarongedzwa
• Kutarisa shuga yeropa nguva dzose

Muitiko wakakomba, kupinda muchipatara kunogona kudiwa, kunyanya kana ukawana diabetic ketoacidosis kana hyperosmolar hyperglycemic state. Kurapwa muchipatara kunosanganisira mvura ye intravenous, kurapwa kwe insulin, uye kutarisa zvakanaka mazinga ako e electrolyte.

Kune vanhu vasina chirwere cheshuga vanowana hyperglycemia panguva yerwisiso kana kushushikana, kurapa kunotarisa pakugadzirisa chinokonzera nepo uchitsigira kugona kwemuviri wako kudzora shuga yeropa.

Maitiro ekutonga hyperglycemia kumba?

Kutonga hyperglycemia kumba kunoda kusanganiswa kwezviito zvepakarepo nezano refu. Kuva nechirongwa chakajeka kunokubatsira kupindura zvakavimbika kana shuga yeropa rako ikakwira.

Kana ukaona shuga yakakwira yeropa, tanga nekutenga mvura kubatsira kubvisa glucose yakawandisa kuburikidza neitsvo dzako. Basa remuviri rakajeka, senge kufamba kwemaminetsi gumi nemashanu, rinogona kubatsira misumbu yako kushandisa imwe yeshuga yakawandisa, asi usaita kurovedza muviri kwakanyanya kana shuga yeropa rako yakakwira kwazvo.

Tarisa shuga yeropa rako kazhinji kupfuura zvakajairwa uye chengeta rekodhi yezviverengero. Kana uchitora insulin, ungada kuzvipa dose yekugadzirisa maererano nemirayiridzo yechiremba wako.

Dzivisa zvokudya zvine kabhohaidhiretsi yakawanda kusvika shuga yeropa rako ikadzoka kune huwandu hwakajairwa. Namata pazvokudya zvisina kabhohaidhiretsi yakawanda kana uchida kudya, uye tarisa pakuchengetedza mvura mumuviri nemvura kana zvinwiwa zvisina shuga.

Bata chiremba wako kana shuga yeropa rako ichigara yakakwira kunyangwe aya matanho, kana ukawana zviratidzo senge kurutsa, kurutsa, kana kuoma kufema.

Ungagadzirira sei kuona chiremba wako?

Kugadzirira kuona kwako kunobatsira kuve nechokwadi chekuti unowana ruzivo rwakabatsira uye mazano kubva kune wako wehutano. Funga nezvazvo sekuunganidza uchapupu kubatsira kugadzirisa puzzle pamwe chete.

Uyisa log yako yeshuga yeropa kana uchiitarisa kumba, kusanganisira manotsi nezvekuti yakakwira riini uye chii chingave chakakonzera. Nyora mishonga yose yaunotora, kusanganisira zvinowedzerwa zvepamusoro-pe-counter, sezvo zvimwe zvinogona kukanganisa shuga yeropa.

Gadzira runyorwa rwezviratidzo zvako, pavakatanga, uye chii chinoita kuti zvifadze kana kuipa. Sanganisira mibvunzo nezve mamiriro ako, sarudzo dzekurapa, uye chaunofanira kutarisira kufamba mberi.

Funga nezvekutora nhengo yemhuri kana shamwari kuti ikutsigire, kunyanya kana uchinge uchinetseka. Vanogona kukubatsira kuyeuka ruzivo rwakakosha uye kupa rutsigiro rwepfungwa panguva yekushanya.

Chii chinonyanya kukosha nezve hyperglycemia?

Hyperglycemia mamiriro anogona kutongwa anopindura zvakanaka pakutarisirwa kwakakodzera nekutarisa. Kunyangwe ichida kuziva nguva dzose uye dzimwe nguva kugadzirisa mararamiro, vanhu vazhinji vanobudirira kuchengetedza shuga yavo yeropa mumamiriro ane hutano uye vanorarama hupenyu hwakazara, hunoshanda.

Chinhu chakakosha chokurangarira ndechekuti kuziva pakutanga uye kuita kwakakodzera kunounza musiyano wose. Kunyangwe uri kutonga chirwere cheshuga kana uri kuwana hyperglycemia kekutanga, kushanda nechikwata chako chehutano kunokupa iwe mukana wakanaka wezvibereko zvakanaka zvehutano.

Rangarira kuti kutonga shuga yeropa inzira yekudzidza, uye zvakajairwa kuva nekumusoro nekumira munzira. Iva nemoyo murefu newe sezvaunogadzira tsika itsva nezano zvinoshanda kune mararamiro ako.

Mibvunzo inobvunzwa kazhinji nezve hyperglycemia

Kushushikana kunogona chaizvo kukonzera shuga yakakwira yeropa here?

Hungu, kushushikana kwemuviri nekwepfungwa zvinogona kuwedzera mazinga eshuga yeropa. Kana uri kushushikana, muviri wako unoburitsa mahomoni senge cortisol ne adrenaline anoudza chiropa chako kuburitsa glucose yakachengetwa kuti ive nesimba. Iyi nzira yakasikwa ye "kurwa kana kubhururuka" inogona kukonzera shuga yeropa yakakwira kupfuura zvakajairwa, kunyanya kune vanhu vane chirwere cheshuga.

Mazinga eshuga yeropa anogona kuchinja nekukurumidza sei?

Shuga yeropa inogona kukwira mukati memaminetsi gumi nemashanu kusvika makumi matatu mushure mekudya, zvichienderana nezvaunodya. Nekudaro, kazhinji inotora maawa maviri kusvika mana kuona kukanganisa kwakazara kwechikafu. Zvinhu senge kushushikana, kurwara, kana kuchinja kwemishonga zvinogona kukonzera shanduko mukati memaawa, nepo kuchinja mararamiro kazhinji kunoratidza mhedzisiro pamusoro pemazuva kusvika kumavhiki.

Zvakajairwa here kuva neshugar yakakwira yeropa dzimwe nguva?

Shuga yeropa ye munhu wese inokwira mushure mekudya, uye izvi zvakajairwa. Nekudaro, kune vanhu vane hutano, shuga yeropa inodzoka kune huwandu hwakajairwa mukati memaawa maviri kusvika matatu. Kuwedzera kwenguva dzose pamusoro pezvakajairwa panguva yerwisiso kana kushushikana kwakanyanya kunogona kuitika, asi hyperglycemia inogara ichida kuongororwa nachiremba.

Kushaya mvura mumuviri kunogona kukonzera kuverenga kwakakwira kweshugar yeropa here?

Kushaya mvura mumuviri kunogona kuita kuti shuga yeropa ioneke yakakwira nekuti kune mvura shoma yekusanganisa glucose iri muropa rako. Uyezve, kana uri kushaya mvura mumuviri, muviri wako unganetseka kubvisa glucose yakawandisa kuburikidza neitsvo dzako zvakanaka. Kuchengetedza mvura mumuviri kunobatsira muviri wako kutonga shuga yeropa zvakanaka.

Chii chiri musiyano uripo pakati pe hyperglycemia ne chirwere cheshuga?

Hyperglycemia chirwere kana mamiriro apo shuga yeropa yakakwira kupfuura zvakajairwa, nepo chirwere cheshuga chirwere chisingaperi chinowanzoita hyperglycemia. Unogona kuva ne hyperglycemia yenguva pfupi usina chirwere cheshuga, senge panguva yerwisiso kana kushushikana. Nekudaro, hyperglycemia inogara ichiratidza chirwere cheshuga uye inoda kuongororwa nachiremba nekutonga nguva dzose.