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Chirwere Cheshuga Chemarudzi Maviri

Pfupiso

Type 2 diabetes chirwere chinoitika nekuda kwekusakwanisa kwemuviri kudzora nekushandisa shuga semafuta. Iyo shuga inonziwo glucose. Iyi chirwere chenguva refu chinoita kuti pave neshuga yakawanda iri muropa. Pakupedzisira, kuwanda kweshuga muropa kunogona kukonzera matambudziko emuviri, tsinga nehurongwa hweropa.

MuType 2 diabetes, pane matambudziko maviri makuru. Pancreas haigadzire insulin yakakwana - homoni inodzora kufamba kweshuga muma cell. Uye ma cell haashande zvakanaka ne insulin uye anotora shuga shoma.

Type 2 diabetes yaimbozivikanwa sechirwere chevanhu vakuru, asi Type 1 ne Type 2 diabetes zvose zvinogona kutanga muhudiki nemuvakuru. Type 2 inowanzowanikwa muvakuru vakwegura. Asi kuwanda kwevana vane huwandu hwakawanda hwemuviri kwakaita kuti pave nechirwere che Type 2 diabetes mune vechidiki.

Hapana mushonga we Type 2 diabetes. Kuderedza uremu, kudya zvakanaka uye kurovedza muviri zvinogona kubatsira kudzora chirwere ichi. Kana kudya ne kurovedza muviri zvisina kukwana kudzora shuga yeropa, mishonga ye diabetes kana kurapwa kwe insulin zvinogona kukurudzirwa.

Zviratidzo

'Zviratidzo zvechirwere cheshuga chechirudzi 2 kazhinji zvinoonekwa zvishoma nezvishoma. Kutaura zvazviri, unogona kurarama nechirwere cheshuga chechirudzi 2 kwemakore mazhinji usina kuziva. Kana zviratidzo zviripo, zvinogona kusanganisira: Kunyanya kunzwa nyota. Kugara uchienda kunzvimbo yekushambidza. Kunyanya nzara. Kurasikirwa nehuremu pasina chikonzero. Kusakara. Kuona kusapfava. Maronda anononoka kuporesa. Kuwanda kwehutachiona. Kusava nemanzwiro kana kunzwa kupisa mumaoko kana tsoka. Nzvimbo yeganda rakaita rima, kazhinji mumabvi nemutsipa. Ona chiremba wako kana ukaona chero zviratidzo zvechirwere cheshuga chechirudzi 2.'

Nguva yekunoona chiremba

Ona chiremba wako kana ukaona chero zviratidzo zvechirwere cheshuga chemarudzi maviri.

Zvinokonzera

Type 2 diabetes inonyanya kubva kumatambudziko maviri: Masero ari mumasumbu, mafuta uye muchiropa anova anoramba insulin Sezvo zvakaita, masero haatore shuga yakakwana. Pancreas haigone kuita insulin yakakwana kuchengetedzamazinga eshuga yeropa mukati memazinga ehutano. Chaizvoizvo nei izvi zvichiitika hazvizivhiki. Kuwanda kwemuviri uye kusava nechinhu ndizvo zvinhu zvinokonzera. Insulin ihormone inobva ku pancreas - gland iri kumashure uye pasi pepamu. Insulin inodzora mashandisiro emuviri unoshandisa shuga munzira dzinotevera: Shuga iri muropa inokonzera pancreas kuburitsa insulin. Insulin inofamba muropa, ichibvumira shuga kupinda mumasero. Huwandu hweshuga muropa hunodonha. Mhinduro yekudonhedzwa uku, pancreas inoburitsa insulin shoma. Glucose - shuga - ndiyo inonyanya kuve simba remasero anoita masumbu nemamwe matishu. Kushandiswa uye kudzorwa kwe glucose kunosanganisira zvinotevera: Glucose inobva kunobva kunobva: chikafu nechiropa. Glucose inonyura muropa, kwaipinda mumasero ne rubatsiro rwe insulin. Chiropa chinoronga uye chinoita glucose. Kana mazinga e glucose ari pasi, chiropa chinoparadzanisa glycogen yakachengetwa kuita glucose kuchengetedzamazinga e glucose emuviri mukati memazinga ehutano. Mu type 2 diabetes, iyi nzira haishande zvakanaka. Panzvimbo pokuenda mumasero, shuga inoungana muropa. Sezvo mazinga eshuga yeropa achikwira, pancreas inoburitsa insulin yakawanda. Pakupedzisira masero ari mu pancreas anoita insulin anokuvadzwa uye haagone kuita insulin yakakwana kusangana nezvinodiwa nemuviri.

Zvinhu zvinokonzera njodzi

Zvinhu zvinogona kuwedzera njodzi ye type 2 diabetes zvinosanganisira:

  • Kurema. Kuwanda kwemuviri kana kunyanya kuzara ndicho chinokonzera njodzi huru.
  • Kugoverwa kwemafuta. Kuchengeta mafuta kunyanya mudumbu — panzvimbo pemabvi nemabvi — kunoratidza njodzi yakakura. Njodzi ye type 2 diabetes yakakwira muvarume vane dhayamita yemabvi inopfuura masentimita 101.6 uye muvakadzi vane ukuru hwemabvi hunopfuura masentimita 88.9.
  • Kushaya basa remuviri. Munhu asingashande zvakanyanya, njodzi inowedzera. Basa remuviri rinobatsira kudzora uremu, rinoshandisa glucose se simba uye rinoita kuti masero ave akanaka kune insulin.
  • Nhoroondo yemhuri. Njodzi yemunhu ye type 2 diabetes inowedzera kana mubereki kana munun'una ane type 2 diabetes.
  • Rudzi nerudzi. Kunyange zvisingaoneki kuti nei, vanhu verudzi rwakati uye marudzi — kusanganisira vanhu vatema, vanhu veHispanic, vanhu vekuAmerica vekuAmerica nevanhu vekuAsia, nevagari vePacific — vane mukana wakakura wekuwana type 2 diabetes kupfuura vanhu vachena.
  • mazinga elipid ye ropa. Njodzi yakawedzerwa inobatanidzwa nemazinga akaderera e high-density lipoprotein (HDL) cholesterol — “cholesterol yakanaka” — uye mazinga akakwirira etriglycerides.
  • Zera. Njodzi ye type 2 diabetes inowedzera nezera, kunyanya mushure memakore 35.
  • Prediabetes. Prediabetes chirwere umo huwandu hweshuga yeropa hwakakwira kupfuura kazhinji, asi hakusi kukwirira zvakakwana kuti zvinzi chirwere cheshuga. Kana isina kurapwa, prediabetes kazhinji inokura kuita type 2 diabetes.
  • Njodzi dzine chekuita nekumisikidzwa. Njodzi yekuwana type 2 diabetes yakakwira muvanhu vaiva ne gestational diabetes pavakanga vakaita mimba uye mune avo vakabereka mwana ane uremu hunopfuura makirogiramu 4.
  • Polycystic ovary syndrome. Kuva ne polycystic ovary syndrome — chirwere chinoratidzwa nekumwedzi kusina kunaka, kukura kwemvere zvakanyanya uye kunyanya kuzara — kuwedzera njodzi yechirwere cheshuga.
Matambudziko

Type 2 diabetes inorwara zvikamu zvakawanda zvikuru zvemuviri, kusanganisira mwoyo, ropa, tsinga, maziso neitsvo. Uyewo, zvinhu zvinoita kuti munhu ave nechengo yekurwara nediabete ndezvikonzero zvekukuvara kwezvimwe zvirwere zvakakomba. Kutonga chirwere cheshuga nekudzora shuga yeropa kunogona kuderedza njodzi yezvinetso izvi nezvimwe zvirwere, kusanganisira: chirwere chemwoyo neropa. Diabetes inobatanidzwa nenjodzi yakawedzera yechirwere chemwoyo, kurova kwemoyo, kuderera kweropa uye kuomarara kwetsinga dzeropa, mamiriro anozivikanwa seatherosclerosis. Kukuvadzwa kwetsinga mumagaro. Iyi mamiriro anozivikanwa seNeuropathy. Shuga yakakwira yeropa kwenguva yakareba inogona kukuvadza kana kuparadza tsinga. Izvo zvinogona kukonzera kushaya kunzwa, kusuruvara, kupisa, kurwadziwa kana kurasikirwa nekunzwa kunowanzo tanga kumucheto wezvigunwe zvechitsitsinho kana zvigunwe uye zvichipararira zvishoma nezvishoma kumusoro. Kukuvara kwetsinga dzimwe. Kukuvadzwa kwetsinga dzemoyo kunogona kuita kuti mwoyo usashande zvakanaka. Kukuvadzwa kwetsinga mudumbu kunogona kukonzera matambudziko ekurutsa, kurutsa, manyoka kana kuvimbiswa. Kukuvadzwa kwetsinga kunogona kukonzerawo kusakwanisa kuita zvepabonde. Chirwere cheitsvo. Diabetes inogona kukonzera chirwere cheitsvo chisingaperi kana chirwere cheitsvo chisingaperi chisingagone kugadziriswa. Izvo zvinogona kuda dialysis kana kupanwa kwetsvo. Kukuvadzwa kwemaziso. Diabetes inowedzera njodzi yezvirwere zvakakomba zvemaziso, senge cataracts ne glaucoma, uye inogona kukuvadza tsinga dzeropa dzeretina, zvichiita kuti munhu apofumadza. Zvirwere zve ganda. Diabetes inogona kuwedzera njodzi yematambudziko eganda, kusanganisira hutachiona hwebhakitiriya nefungus. Kurapa kwakawanda. Kana ikasabatwa, kucheka nemaronda zvinogona kuva hutachiona hwakakomba, izvo zvinogona kurapa zvishoma. Kukuvadzwa kwakakomba kunogona kuda kuchekerwa kwechigunwe, tsoka kana gumbo. Kusanzwa zvakanaka. Matambudziko ekusanzwa zvakanaka akajairika kune vanhu vane chirwere cheshuga. Sleep apnea. Obstructive sleep apnea inowanzoitika kune vanhu vanorarama nechirwere cheshuga cheType 2. Kuonda kunogona kuva chikonzero chikuru chemamiriro maviri aya. Dementia. Type 2 diabetes inoita kunge inowedzera njodzi yeAlzheimer's disease nezvimwe zvirwere zvinokonzera dementia. Kusadzorwa kweshugar yeropa kunobatanidzwa nekuderera nekukurumidza mukuyeuka nezvimwe hunyanzvi hwekufunga.

Kudzivirira

Sarudzo dzehutano hwakanaka dzinogona kubatsira kudzivirira chirwere cheshuga chemarudzi maviri. Kana wakagamuchira chirwere cheprediabetes, kuchinja mararamiro kunogona kunonoka kana kumisa kuwedzera kwechirwere cheshuga. Mararamiro ane hutano anosanganisira:

  • Kudya zvokudya zvine hutano. Sarudza zvokudya zvine mafuta mashoma nemakorari uye zvine fiber yakawanda. Tarisa pamichero, miriwo nemagorosi ese.
  • Kuita zvemitambo. Chinangwa chemaminitsi 150 kana kupfuura pavhiki yebasa re aerobic rakaoma kusvika pakati, sekufamba nekukurumidza, kukwira bhasikoro, kumhanya kana kushambira.
  • Kurasikirwa nehuremu. Kana uri munhu ane uremu hwakawandisa, kurasikirwa nehuremu hushoma uye kuchengeta kwacho kunogona kunonoka kuwedzera kubva ku prediabetes kuenda kuchirwere cheshuga chemarudzi maviri. Kana uine prediabetes, kurasikirwa ne7% kusvika ku10% yehuremu hwemuviri kunogona kuderedza njodzi yechirwere cheshuga.
  • Kudzivisa nguva refu yekusaita chinhu. Kugara kwenguva yakareba kunogona kuwedzera njodzi yechirwere cheshuga chemarudzi maviri. Edza kumuka ma miniti makumi matatu ese uye famba kweminiti shoma. Kune vanhu vane prediabetes, metformin (Fortamet, Glumetza, nezvimwewo), mushonga wechirwere cheshuga, inogona kunyorwa kuderedza njodzi yechirwere cheshuga chemarudzi maviri. Izvi zvinowanzo nyorwa kune vakuru vakwegura vane huwandu hwakawanda hwemuviri uye vasina kukwanisa kuderedza huwandu hweshuga yeropa nekuchinja mararamiro.
Kuongorora

Chirwere cheshuga chemhando 2 kazhinji chinoonekwa uchishandisa bvunzo ye glycated hemoglobin (A1C). Bvunzo iyi yeropa inoratidza huwandu hwako hweshuga yeropa yemavhiki maviri kusvika matatu apfuura. Mhedzisiro inotsanangurwa seizvi:\n\n- Pazasi pe5.7% inowanzova yakajairika.\n- 5.7% kusvika ku6.4% inonzi prediabetes.\n- 6.5% kana kupfuura pane bvunzo mbiri dzakasiyana inoratidza chirwere cheshuga.\n\nKana bvunzo yeA1C isingaawanikwe, kana uine zvimwe zvinhu zvinokanganisa bvunzo yeA1C, mushandi wako wehutano anogona kushandisa bvunzo dzinotevera kuona chirwere cheshuga:\n\nBvunzo yeshuga yeropa yekutsanya. Sampuli yeropa inotorwa mushure mekunge usina kudya usiku hwose. Mhedzisiro inotsanangurwa seizvi:\n\n- Zvishoma pane 100 mg/dL (5.6 mmol/L) zvinofungwa kuti zvine hutano.\n- 100 kusvika ku125 mg/dL (5.6 kusvika ku6.9 mmol/L) inonzi prediabetes.\n- 126 mg/dL (7 mmol/L) kana kupfuura pane bvunzo mbiri dzakasiyana inonzi chirwere cheshuga.\n\nBvunzo yekushivirira kweshuga yemukanwa. Bvunzo iyi haishandiswi kazhinji kupfuura dzimwe, kunze kwekunge uri nepamuviri. Uchada kusadya kwenguva yakati uye wobva wanywa mvura ine shuga muhofisi yemushandi wako wehutano. Mamazinga eshuga yeropa anobva aongororwa nguva nenguva kwemaawa maviri. Mhedzisiro inotsanangurwa seizvi:\n\n- Zvishoma pane 140 mg/dL (7.8 mmol/L) mushure memaawa maviri zvinofungwa kuti zvine hutano.\n- 140 kusvika ku199 mg/dL (7.8 mmol/L ne11.0 mmol/L) inonzi prediabetes.\n- 200 mg/dL (11.1 mmol/L) kana kupfuura mushure memaawa maviri inoratidza chirwere cheshuga.\n\nKuongorora. American Diabetes Association inokurudzira kuongororwa kwenguva dzose nebvunzo dzekuona chirwere cheshuga chemhando 2 kune vanhu vakuru vose vane makore 35 kana kupfuura uye mumapoka anotevera:\n\n- Vanhu vane makore pasi pe35 vane uremu hwakawandisa kana kupfuura uremu uye vane chimwe kana zvimwe zvinokonzera chirwere cheshuga.\n- Vakadzi vakambowana chirwere cheshuga chepamuviri.\n- Vanhu vakamboonekwa vane prediabetes.\n- Vana vane uremu hwakawandisa kana kupfuura uremu uye vane nhoroondo yemhuri ye type 2 diabetes kana zvimwe zvinokonzera.\n\nKana waoonekwa uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge 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Kurapa

Kutonga chirwere cheshuga chemarudzi maviri kunosanganisira:

  • Kudya kwakanaka.
  • Muviri wenguva dzose.
  • Kuderedza uremu.
  • Zvichida, mushonga weshuga kana kurapwa kwe insulin.
  • Kuongorora shuga yeropa. Matanho aya anoita kuti pave nechokwadi chekuti shuga yeropa icharamba iri munzvimbo ine hutano. Uye zvinogona kubatsira kudzivisa kana kudzivirira matambudziko. Hapana kudya kwakakosha kweshuga. Zvisinei, zvakakosha kuisa kudya kwako pamativi aya:
  • Purogiramu yakajairwa yekudya nezvokudya zvine hutano.
  • Zvikamu zviduku.
  • Zvokudya zvakawanda zvine fiber yakawanda, senge michero, miriwo isina starch uye zviyo zvizere.
  • Zviyo zvishoma zvakasvibiswa, miriwo ine starch uye zvinonhuwira.
  • Zvikamu zviduku zve dairy yakaderera mafuta, nyama yakaderera mafuta uye hove.
  • Mafuta ekubikisa ane hutano, senge mafuta emuorivhi kana mafuta e canola.
  • Macalories mashoma. Chiremba wako anogona kukurudzira kuona chiremba wezvokudya, anogona kukubatsira:
  • Kuziva zvokudya zvine hutano.
  • Kuronga kudya kwakakwana, kwakakwana zvinovaka muviri.
  • Kugadzira tsika itsva uye kugadzirisa zvinokanganisa kuchinja tsika.
  • Kutarisa kudya kwe carbohydrate kuchengetedza mazinga eshuga yeropa ako akagadzikana zvakanyanya. Muviri wakakosha pakurasikirwa nehuremu kana kuchengetedza uremu hune hutano. Inobatsirawo pakutonga shuga yeropa. Taura nachiremba wako usati watanga kana kuchinja purogiramu yako yekurovedza muviri kuitira kuti uve nechokwadi chekuti mabasa acho akakodzera kwauri.
  • Muviri weAerobic. Sarudza kurovedza muviri kwe aerobic kwaunofarira, sekufamba, kushambira, kukwira bhasikoro kana kumhanya. Vakuru vanofanira kuisa pfungwa pamaminitsi makumi matatu kana kupfuura e aerobic exercise yakanyanya zuva nezuva revhiki, kana angangoita maminitsi zana nemakumi mashanu pavhiki.
  • Muviri weresistance. Muviri weresistance unowedzera simba rako, kuenzana uye kugona kuita mabasa ezuva nezuva nyore nyore. Kudzidziswa kwekupokana kunosanganisira kusimudza uremu, yoga uye calisthenics. Vakuru vanorarama nechirwere cheshuga chemarudzi maviri vanofanira kuisa pfungwa pane zvikamu zviviri kusvika kuzvitatu zvekuita muviri weresistance vhiki imwe neimwe.
  • Deredza kusava nechinhu. Kuputsa nguva refu yekusava nechinhu, sekugara pacomputer, kunogona kubatsira kutonga mazinga eshuga yeropa. Tora maminitsi mashoma kumira, famba kana kuita basa riri nyore ma miniti makumi matatu ega ega. Chiremba wako kana chiremba wezvokudya anogona kukubatsira kugadzira zvinangwa zvakakodzera zvekurasikirwa nehuremu uye kukurudzira kuchinja mararamiro kukubatsira kuzviwana. Chiremba wako achakurudzira kuti ungatarisa sei kazhinji mazinga eshuga yeropa rako kuitira kuti uve nechokwadi chekuti unoramba uri munzvimbo yako yechinangwa. Semuenzaniso, ungada kuitarisa kamwe chete pazuva uye usati kana wapedza kurovedza muviri. Kana ukatora insulin, ungada kuongorora shuga yeropa rako kakawanda pazuva. Kuongorora kazhinji kunoitirwa nechidiki, mudziyo wemumba unonzi blood glucose meter, unochera huwandu hweshuga mumadropi eropa. Chengetedza rekodhi yekuyera kwako kugovera nechikwata chako chehutano. Kuongorora shuga yeropa nguva dzose inzira yemagetsi inotora mazinga eshuga ma miniti mashoma kubva kune sensor yakamiswa pasi peganda. Ruzivo runogona kutumirwa kune mudziyo unoshandiswa nemaoko senge foni, uye sisitimu inogona kutumira ziviso kana mazinga ari akakwirira kana akaderera. Kana usingakwanisi kuchengetedza shuga yeropa rako nekudya nekurovedza muviri, chiremba wako anogona kunyora mishonga yeshuga inobatsira kuderedza mazinga eglucose, kana chiremba wako anogona kukurudzira kurapwa kwe insulin. Mishonga yechirwere cheshuga chemarudzi maviri inosanganisira zvinotevera. Metformin (Fortamet, Glumetza, nezvimwe) kazhinji ndiyo mishonga yekutanga inorayirwa chirwere cheshuga chemarudzi maviri. Inoshanda kunyanya nekuderedza kugadzirwa kwe glucose muchiropa uye kuvandudza kunzwisisika kwemuviri ku insulin saka inoshandisa insulin zvakanyanya. Vamwe vanhu vanowana kushomeka kwe B-12 uye vangada kutora zvinowedzera. Zvimwe zvinogona kukonzera zvinetso, izvo zvinogona kuvandudza nekufamba kwenguva, zvinosanganisira:
  • Kusvotwa.
  • Kurwadziwa kwemudumbu.
  • Kutemwa.
  • Manyoka. Sulfonylureas inobatsira muviri kuburitsa insulin yakawanda. Mienzaniso inosanganisira glyburide (DiaBeta, Glynase), glipizide (Glucotrol XL) uye glimepiride (Amaryl). Zvinogona kukonzera zvinetso zvinosanganisira:
  • Shuga yeropa yakaderera.
  • Kuwedzera uremu. Glinides inokurudzira pancreas kuburitsa insulin yakawanda. Inokurumidza kushanda kupfuura sulfonylureas. Asi mhedzisiro yayo mumuviri pfupi. Mienzaniso inosanganisira repaglinide uye nateglinide. Zvinogona kukonzera zvinetso zvinosanganisira:
  • Shuga yeropa yakaderera.
  • Kuwedzera uremu. Thiazolidinediones inoita kuti tishu dzemuviri dzive dzakanyanya kunzwisisika ku insulin. Muenzaniso wemushonga uyu ndiwo pioglitazone (Actos). Zvinogona kukonzera zvinetso zvinosanganisira:
  • Ngozi yekukundikana kwemoyo.
  • Ngozi yekenza ye bladder (pioglitazone).
  • Ngozi yekuputsika kwemapfupa.
  • Kuwedzera uremu. DPP-4 inhibitors inobatsira kuderedza mazinga eshuga yeropa asi ine mhedzisiro shoma kwazvo. Mienzaniso inosanganisira sitagliptin (Januvia), saxagliptin (Onglyza) uye linagliptin (Tradjenta). Zvinogona kukonzera zvinetso zvinosanganisira:
  • Ngozi yepancreatitis.
  • Kurwadziwa kwemhasuru. GLP-1 receptor agonists mishonga inodonhedzwa inononotsa kugaya uye inobatsira kuderedza mazinga eshuga yeropa. Kushandiswa kwavo kunowanzobatanidzwa nekurasikirwa nehuremu, uye vamwe vanogona kuderedza njodzi yekurwisa kwemoyo nekurova kwemoyo. Mienzaniso inosanganisira exenatide (Byetta, Bydureon Bcise), liraglutide (Saxenda, Victoza) uye semaglutide (Rybelsus, Ozempic, Wegovy). Zvinogona kukonzera zvinetso zvinosanganisira:
  • Ngozi yepancreatitis.
  • Kusvotwa.
  • Kurutsa.
  • Manyoka. SGLT2 inhibitors inokanganisa mabasa ekutsvaira ropa muitsvo nekudzivirira kudzoka kwe glucose muropa. Somugumisiro, glucose inobviswa mumukaka. Mishonga iyi inogona kuderedza njodzi yekurwisa kwemoyo nekurova kwemoyo muvanhu vane njodzi yakakwirira yemamiriro ezvinhu iwayo. Mienzaniso inosanganisira canagliflozin (Invokana), dapagliflozin (Farxiga) uye empagliflozin (Jardiance). Zvinogona kukonzera zvinetso zvinosanganisira:
  • Kuwanda kwehutachiona hwemukadzi.
  • Kuwanda kwehutachiona hwemukati.
  • Cholesterol yakakwirira.
  • Ngozi ye gangrene.
  • Ngozi yekuputsika kwemapfupa (canagliflozin).
  • Ngozi yekucheka (canagliflozin). Vamwe vanhu vane chirwere cheshuga chemarudzi maviri vanoda kurapwa kwe insulin. Munguva yakapfuura, kurapwa kwe insulin kwakashandiswa sechinhu chekupedzisira, asi nhasi kunogona kunyorwa nekukurumidza kana zvinangwa zveshuga yeropa zvisina kusangana nekuchinja mararamiro nemimwe mishonga. Marudzi akasiyana e insulin anosiyana pakukurumidza kwavano tanga kushanda uye kwenguva yakareba vanoita basa. Insulin yakareba-inoshanda, semuenzaniso, yakagadzirirwa kushanda usiku kana zuva rese kuchengetedza mazinga eshuga yeropa akagadzikana. Insulin pfupi-inoshanda kazhinji inoshandiswa panguva yekudya. Chiremba wako achaona rudzi rwe insulin rwakakodzera kwauri uye nguva yaunofanira kuitora. Rudzi rwako rwe insulin, dose uye purogiramu inogona kuchinja zvichienderana nekuti mazinga eshuga yeropa rako akagadzikana sei. Marudzi mazhinji e insulin anotangwa nekuiswa. Zvinogona kukonzera zvinetso zve insulin zvinosanganisira njodzi yeshuga yeropa yakaderera - mamiriro anozivikanwa se hypoglycemia - diabetic ketoacidosis uye triglycerides yakakwirira. Kuopereta kwekurasikirwa nehuremu kunochinja chimiro nebasa re digestive system. Kuopereta uku kunogona kukubatsira kurasikirwa nehuremu uye kutonga chirwere cheshuga chemarudzi maviri nemamiriro ezvinhu anobatanidzwa nekuzara. Kune maitiro akawanda ekurapa. Zvose zvinobatsira vanhu kurasikirwa nehuremu nekudzora kuti vangodya zvakadini. Mamwe maitiro anodzorawo huwandu hwezvinovaka muviri muviri unogona kunwa. Kuopereta kwekurasikirwa nehuremu chikamu chimwe chete chechirongwa chekurapa chose. Kurapa kunosanganisirawo mazano ekudya uye zvinovaka muviri, kurovedza muviri uye kuchengetedza hutano hwepfungwa. Kazhinji, kuopereta kwekurasikirwa nehuremu kunogona kuva sarudzo yevanhu vakuru vanorarama nechirwere cheshuga chemarudzi maviri vane body mass index (BMI) ye35 kana kupfuura. BMI ndiyo fomula inoshandisa uremu neurefu kufungidzira mafuta emuviri. Zvichienderana nekuoma kwechirwere cheshuga kana kuvapo kwemamwe mamiriro ezvehutano, kuopereta kunogona kuva sarudzo kune munhu ane BMI yakaderera pane 35. Kuopereta kwekurasikirwa nehuremu kunoda kuzvipira kwenguva refu kuchinja mararamiro. Zvinogona kukonzera zvinetso zvinogara kwenguva refu zvinosanganisira kushomeka kwezvinovaka muviri uye osteoporosis. Pane njodzi yakawedzera panguva yekuzvitakura yekuvandudza mamiriro anoita kuti maziso ave nechirwere chinonzi diabetic retinopathy. Muzvimwe zviitiko, mamiriro aya anogona kuipa panguva yekuzvitakura. Kana uri nepamuviri, shanyira ophthalmologist panguva yega yega trimester yekuzvitakura kwako uye gore rimwe mushure mekubereka. Kana kazhinji sezvo chiremba wako anokurudzira. Kuongorora mazinga eshuga yeropa rako nguva dzose kwakakosha kudzivirira matambudziko akakomba. Uyewo, ziva zviratidzo zvinogona kuratidza mazinga eshuga yeropa asina kujairika uye zvinodiwa zvekuchengetedza nekukurumidza: Shuga yeropa yakakwirira. Mamiriro aya anozivikanwawo se hyperglycemia. Kudya zvimwe zvokudya kana zvokudya zvakawanda, kurwara, kana kusatora mishonga panguva yakakodzera kunogona kukonzera shuga yeropa yakakwirira. Zviratidzo zvinosanganisira:
  • Kuwanda kwemukaka.
  • Nyota yakawedzera.
  • Muromo wakaoma.
  • Kuona kusapfava.
  • Kuneta.
  • Kurwadziwa kwemusoro. Hyperglycemic hyperosmolar nonketotic syndrome (HHNS). Mamiriro aya anotyisa anobatanidza kuverenga kweshuga yeropa kupfuura 600 mg / dL (33.3 mmol / L). HHNS inogona kuva yakanyanya kana uine hutachiona, usingatori mishonga sezvakarayirwa, kana kutora mamwe steroids kana mishonga inokonzera kuwanda kwemukaka. Zviratidzo zvinosanganisira:
  • Muromo wakaoma.
  • Nyota yakanyanya.
  • Kuvava.
  • Kusanzwisisa.
  • Mukaka uri rima.
  • Kuita seizure. Diabetic ketoacidosis. Diabetic ketoacidosis inoitika kana kushaikwa kwe insulin kuchikonzeresa muviri kuputsa mafuta kuti ave mafuta pane shuga. Izvi zvinoita kuti pave nekuunganidzwa kweasidhi inonzi ketones muropa. Zvinokonzera diabetic ketoacidosis zvinosanganisira zvirwere zvakati, pamuviri, kukuvara uye mishonga - kusanganisira mishonga yeshuga inonzi SGLT2 inhibitors. Utyo hweasidhi yakagadzirwa ne diabetic ketoacidosis inogona kutyisa. Kuwedzera pazviratidzo zve hyperglycemia, senge kuwanda kwemukaka uye nyota yakawedzera, ketoacidosis inogona kukonzera:
  • Kusvotwa.
  • Kurutsa.
  • Kurwadziwa kwemudumbu.
  • Kushomeka kwemhepo.
  • Mweya unonhuwira semichero. Shuga yeropa yakaderera. Kana mazinga eshuga yeropa rako akaderera pane chinangwa chako, anozivikanwa seshuga yeropa yakaderera. Mamiriro aya anozivikanwawo se hypoglycemia. Mazinga eshuga yeropa rako anogona kudonha nezvikonzero zvakawanda, kusanganisira kusapotsa kudya, kusaziva kutora mishonga yakawanda kupfuura zvakajairwa kana kuva nemuviri wakanyanya kupfuura zvakajairwa. Zviratidzo zvinosanganisira:
  • Kupererwa neperspiration.
  • Kuchema.
  • Kushaya simba.
  • Nzara.
  • Kushatirwa.
  • Kuwedzera.
  • Kurwadziwa kwemusoro.
  • Kuona kusapfava.
  • Heart palpitations.
  • Kutaura kwakashata.
  • Kuvava.
  • Kusanzwisisa. Kana uine zviratidzo zveshuga yeropa yakaderera, inwa kana kudya chimwe chinhu chichakurumidza kusimudzira mazinga eshuga yeropa rako. Mienzaniso inosanganisira muto wemichero, glucose tablets, candy yakaoma kana imwe sosi yeshuga. Tarisa ropa rako mushure memaminitsi gumi nemashanu. Kana mazinga asina kuve pachinangwa chako, dyisa kana kunwa imwe sosi yeshuga. Dyisa mushure mekuchinja mazinga eshuga yeropa rako kuita zvakajairwa. Kana ukarasikirwa nekuziva, unofanira kupihwa jekiseni yekukurumidza ye glucagon, hormone inokurudzira kuburitswa kweshuga muropa.

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