Cikakken rashin motsa jiki, maraice a gaban komputa tare da babban yanki na abincin da ke da dadi sosai, karin fam ... Mun kwantar da hankali tare da cakulan, muna da burodi ko mashaya mai ban sha'awa, saboda suna da sauƙin ci ba tare da janye hankali daga aiki ba - duk waɗannan halaye ba da daɗewa ba suna kawo mana kusanci ɗaya. daga cikin mafi yawan cututtuka gama gari na karni na 21 shine nau'in ciwon sukari na 2.
Ciwon sukari bashi da magani. Waɗannan kalmomin suna kama da jumla, suna canza hanyar al'ada. Yanzu kowace rana dole ne ku auna sukarin jini, matakin wanda zai ƙayyade ba kawai lafiyarku ba, har ma tsawon rayuwarku ta gaba. Zai yuwu a canza wannan ba kyakkyawan jin daɗi idan an gano cin zarafin glucose a cikin lokaci. Samun matakan a wannan matakin na iya hana ko jinkirta cutar sukari, kuma waɗannan shekaru ne, ko ma shekarun da suka gabata, na rayuwa mai lafiya.
Rashin daidaituwa na glucose - menene ma'anarsa?
Duk wani carbohydrates a cikin tsarin narkewa ana rushe shi zuwa glucose da fructose, glucose nan da nan ya shiga cikin jini. Asedara yawan matakan sukari yana ta da hanji. Yana samar da insulin na hormone. Yana taimakawa sukari daga jini ya shiga cikin sel - yana haɓaka ƙwayoyin membrane waɗanda suke jigilar glucose a cikin sel ta hanyar membranes cell. A cikin sel, yana aiki a matsayin tushen kuzari, yana ba da izinin tafiyar matakai na rayuwa, ba tare da yin aiki da jikin ɗan adam ba zai zama da wahala.
Ciwon sukari da hauhawar jini zai zama abin da ya wuce
- Normalization na sukari -95%
- Cirewa kan jijiyoyin mara wuya - 70%
- Cire zuciyar mai karfin zuciya -90%
- Rabu da cutar hawan jini - 92%
- Increasearuwar kuzarin rana, inganta bacci da dare -97%
Wani mutum talakawa yana ɗaukar kimanin awanni 2 don ɗaukar wani yanki na glucose wanda ke shiga cikin jini. Sannan sukari ya dawo daidai kuma bai wuce 7.8 mmol a kowace lita na jini. Idan wannan lambar ta fi girma, wannan yana nuna cin zarafin haƙuriwar glucose. Idan sukari ya fi 11.1 yawa, to muna magana ne game da ciwon sukari.
Hakanan ana kiranta rashin haƙuri a cikin glucose (NTG) ana kiranta da ciwon suga.
Wannan wani hadadden tsarin rayuwa ne, wanda ya hada da:
- raguwa a cikin samar da insulin saboda rashin iya aiki na hanji;
- inara a cikin ji na ƙwayar membrane sunadarai zuwa insulin.
Gwajin jini don sukari da aka yi akan komai a ciki, tare da NTG, yawanci yana nuna daidaito (wanda sukari yayi daidai), ko glucose ya ƙaru sosai, tunda jikin yana sarrafa aiwatar da duk sukari da ke shiga cikin jinin dare kafin ɗaukar bincike.
Akwai wani canji a cikin metabolism metabolism - mai rauni azumi glycemia (IHF). Ana gano wannan cutar lokacin da yawan sukari a kan komai a ciki ya wuce na yau da kullun, amma ƙasa da matakin da zai baka damar bincikar cutar sankara. Bayan glucose ya shiga cikin jini, yana kulawa da sarrafawa cikin sa'o'i 2, sabanin mutanen da ke fama da rashin haƙuri.
Bayyanar bayyanannin NTG
Babu alamun bayyanar cututtuka da zasu iya nuna kai tsaye kasancewar a cikin mutum na cin zarafin glucose. Matakan sukari na jini a lokacin NTG yana ƙaruwa kaɗan kuma na gajerun ɗan lokaci, don haka canje-canje a cikin gabobin suna faruwa ne kawai bayan fewan shekaru. Sau da yawa alamun bayyanar cututtuka suna bayyana ne kawai tare da gagarumin lalacewa a cikin abubuwan da ke motsa jini, lokacin da zaku iya magana game da farkon nau'in ciwon sukari na 2.
Kula da wadannan canje-canje masu zuwa cikin kyautatawa:
- Dry bakin, shan ruwa mai yawa fiye da yadda aka saba - jiki na ƙoƙarin rage haɗarin glucose ta hanyar narke jini.
- Urination akai-akai saboda yawan shan ruwa.
- Kwatsam ya tashi cikin glucose jini bayan cin abinci mai arziki a cikin carbohydrates yana haifar da jin zafi da tsananin zafin rai.
- Ciwon kai wanda ya haifar da rikicewar jijiyoyin jini a cikin tasoshin kwakwalwa.
Kamar yadda kake gani, waɗannan alamu ba kwatankwacinsu ba ne kuma ba zai yuwu a gano NTG bisa ga asalinsu ba. Har ila yau, alamun glucose na gida ba koyaushe ba ne mai ba da labari, karuwar sukari da aka saukar tare da taimakon sa yana buƙatar tabbatarwa a cikin dakin gwaje-gwaje. Don ganewar asali na NTG, ana amfani da gwaje-gwajen jini na musamman, dangane da abin da za'a iya tantance shi daidai ko mutum yana da cuta na rayuwa.
Bayyanar cin zarafi
Za'a iya dogara da keta haƙurin haƙuri akan amfani da gwajin haƙuri. A yayin wannan gwajin, ana karbar jinin azumi daga jijiya ko yatsa kuma abin da ake kira "matakin glucose mai azumi" yana ƙaddara. A cikin batun lokacin da aka maimaita nazarin, kuma sake sukari ya wuce al'ada, zamu iya magana game da ingantaccen ciwon sukari. Testingarin gwaji ba shi da amfani a wannan yanayin.
Idan sukari a kan komai a ciki yana da girma sosai (> 11.1), ci gaba kuma ba zai biyo baya ba, tunda ɗaukar ƙarin bincike na iya zama mara aminci.
Idan sukari mai azumi yana ƙaddara a cikin kewayon al'ada ko dan kadan ya zarce shi, abin da ake kira nauyin yana gudana: suna ba gilashin ruwa tare da g 75 na glucose don sha. Sauran awa 2 masu zuwa dole ne a ciyar dasu a dakin gwaje-gwaje, jiran jiran sukari ya narke. Bayan wannan lokaci, an sake tantance maida hankali kan glucose.
Dangane da bayanan da aka samo sakamakon wannan gwajin jini, zamu iya yin magana game da kasancewar cututtukan metabolism na carbohydrates:
Lokacin gwajin glucose | Matsayin glucose GLUmmol / l | |
Fuska mai jini | Jinin jini | |
Al'ada | ||
A kan komai a ciki | GLU <5.6 | GLU <6.1 |
Bayan an loda | GLU <7.8 | GLU <7.8 |
NTG | ||
A kan komai a ciki | GLU <6.1 | GLU <7.0 |
Bayan an loda | 7.8 ≤ GLU <11.1 | 7.8 ≤ GLU <11.1 |
NGN | ||
A kan komai a ciki | 5.6 ≤ GLU <6.1 | 6.1 ≤ GLU <7.0 |
Bayan an loda | GLU <7.8 | GLU <7.8 |
Ciwon sukari mellitus | ||
A kan komai a ciki | GLU ≥ 6.1 | GLU ≥ 7.0 |
Bayan an loda | GLU ≥ 11.1 | GLU ≥ 11.1 |
Akwai wani zaɓi don gwajin haƙuri na glucose, wanda ba ya amfani da baka, amma hanyar haɗi na sarrafa sukari. Wannan gwajin an dauki mafi daidai., tunda sakamakonsa bashi da tasiri a cikin ƙwayoyin narkewa, wanda zai iya tsangwama tare da ɗaukar glucose.
Yadda ake ɗaukar gwajin haƙuri mai haƙuri:
- Da safe, kawai a kan komai a ciki. Lokacin ya wuce bayan abincin ƙarshe ya kamata ya zama 8-14 hours.
- Ranar da za a gudanar da bincike, ba za ku iya shan giya ba.
- Kwanaki uku kafin binciken, an soke maganin hana haihuwa, bitamin da sauran kwayoyi waɗanda zasu iya shafar sakamakon. Juyin magungunan da likita ya tsara za a iya yin shi bayan yarjejeniya da shi.
- Bayan 'yan kwanaki kafin gwajin, kuna buƙatar bin abincin ku na yau da kullun tare da yawan adadin carbohydrates.
Yin gwajin haƙuri a cikin glucose ya zama tilas a yayin daukar ciki, a makonni 24-28. Godiya gareshi, ana gano cutar sankarar mahaifa, wanda yake faruwa a wasu mata yayin daukar ciki kuma ya gansu akan kan su bayan haihuwa. Rashin wadatar glucose a lokacin daukar ciki alama ce ta tsinkaye ga NTG. Hadarin kamuwa da ciwon sukari na 2 a cikin waɗannan matan ya ƙaru sosai.
Sanadin matsalar
Dalilin canje-canje a cikin ƙwayoyin carbohydrate da kuma haifar da raunin glucose mai rauni shine kasancewar ɗayan waɗannan ko fiye da waɗannan abubuwan a cikin tarihin mutum:
- Kiba, musamman hadarin - cikin mutane masu tarin yawa (nauyi, kilogiram / murabba'in girma, m) sama da 27. Mafi girman jikin ya mallaki, dole ne a sami kuzari, a kiyaye shi, a cire shi a cikin lokaci kuma a sami sababbi cikin sahu. Cutar koda, tsarin jijiyoyin jini da sauran gabobin jiki suna aiki da hauhawar abubuwa, wanda ke nufin sun cika da sauri.
- Babu isasshen motsi da kuma babbar sha'awa ga abinci na carbohydrate tare da babban glycemic index tilasta jiki ya yi aiki a cikin mawuyacin tsarin mulki a gare ta, don samar da insulin spasmodically a cikin adadi mai yawa kuma aiwatar da adadi mai yawa na glucose a cikin mai.
- Kashi - kasancewar daya daga cikin dangin dangi na gaba daya ko fiye da masu fama da cutar sankarar mama ko kuma suna fama da rashin kyawun glucose. Yiwuwar kamuwa da ciwon sukari nau'in 2 yana kan kimanin 5%. Lokacin da mahaifin ba shi da lafiya, haɗarin shine 10%, lokacin da mahaifiyar ta kai 30%. Cutar ciwon siga na ɗan uwan yana nufin cewa da yiwuwar kusan 90% ku ma dole ku fuskanci wannan cutar.
- Shekaru da jinsi - Babban haɗarin cuta na cuta shine a cikin mata fiye da shekaru 45.
- Matsalar cututtukan Pancreas - pancreatitis, canje-canje na cystic, ciwace-ciwacen daji, raunin da ya faru, wanda ke haifar da raguwa ga samar da insulin.
- Cututtukan endocrine - shafi metabolism, cututtukan ƙwayar jijiyoyin jini (alal misali, tare da ciwan ciki, ƙwaƙwalwar glucose ta tarwatse), zuciya da jijiyoyin jini (hawan jini, atherosclerosis, cholesterol).
- Kwayoyin polycystic, ciki mai rikitarwa - akwai yuwuwar samun rashin iyawa ga matan da suka haifi babban yaro bayan shekaru 40, musamman idan a lokacin daukar ciki suna da cutar suga ta mahaifa.
Me zai iya zama haɗarin NTG
Babban haɗarin NTG shine an samu nau'in ciwon sukari na 2 a cikin jiki .. A cewar ƙididdiga, a kusan kashi 30% na mutane, raunin glucose mai lalacewa ya ɓace akan lokaci, jiki yana cin nasara da rikice-rikice na rayuwa. Ragowar 70% suna zaune tare da NTG, wanda a cikin lokaci yana wahala kuma ya zama ciwon sukari.
Wannan cutar kuma an cika shi da yawan matsaloli sakamakon canje-canje mai raɗaɗi a cikin jiragen. Motsa kwayoyin glucose a cikin jini suna haifar da amsawar kwayoyin a cikin hanyar karuwa a yawan adadin triglycerides. Yawan jini yana ƙaruwa, ya zama mai yawa. Zai fi wahala ga zuciya fitar da irin wannan jinin ta hanyar jijiyoyin jiki, an tilasta shi yin aiki a yanayin gaggawa. A sakamakon haka, hauhawar jini yana faruwa, an samar da filaye da toshewar cikin jirgi.
Hakanan ƙananan tasoshin kuma basu jin hanya mafi kyau: ganuwar an cika ta, tasoshin sun fashe daga tashin hankali mai yawa, ƙananan basur na faruwa. Jiki yana tilasta shi ci gaba da haɓaka sabon hanyar sadarwa ta jijiyoyin jiki, gabobin za su fara zama da muni tare da iskar oxygen.
Duk tsawon lokacin wannan yanayin yana ƙarewa - bayyanar glucose yana kawo baƙin jini a jiki. Don hana waɗannan sakamakon, kuna buƙatar gudanar da gwajin haƙuri na glucose kowace shekara, musamman idan kuna da wasu abubuwan haɗari don NTG.
Jiyya don raunin glucose mai rauni
Idan gwajin haƙuri na glucose (gwajin) ya nuna rashin daidaituwa na ƙwayoyin metabolism na damuwa, ya kamata ku tafi nan da nan zuwa ga endocrinologist. A wannan matakin, har yanzu ana iya dakatar da tsarin kuma ana iya ba da haƙuri da rahusa a sel. Babban abu a cikin wannan al'amari shine tsananin bin shawarar likita da karfin gwiwa.
Daga nan, dole ne ku kawar da munanan halaye, canza ka'idojin abinci, ƙara motsi, da watakila wasanni, zuwa rayuwa. Doctor zai iya taimakawa kawai don cimma burin, amma mai haƙuri da kansa dole ne ya aiwatar da babban aikin.
Abincin da ya dace da abinci mai kyau tare da NTG
Gyara abinci mai gina jiki don NTG shine kawai dole. In ba haka ba, ba za a iya samar da sukari bisa al'ada ba.
Babban matsala game da raunin glucose mai rauni shine babban adadin insulin wanda aka samar dashi saboda yawan sukari da ke shiga cikin jini. Don dawo da hankalin sel daga gare shi kuma ya basu damar karɓar glucose, dole ne a rage insulin. Mai lafiya don lafiya, ana iya yin wannan hanyar kawai - don rage adadin abincin da ke ɗauke da sukari.
Abincin abinci don raunin glucose mai rauni yana samar da raguwa mai yawa a cikin adadin carbohydrates. Yana da mahimmanci musamman don cire abinci tare da babban glycemic index gwargwadon yiwu, tunda glucose daga gare su yana shigar cikin jini da sauri, a cikin manyan sassan.
Abincin don cin zarafin haƙuri yakamata a gina kamar haka:
Maƙale | A matsayinka na mai mulkin, babu isasshen sunadarai a cikin abincin, kuma shi ne daidai - tushe don gina dukkan tsokoki a cikin jikin mutum. Ya kamata a kawo yawan kayan sunadarai zuwa kashi casa'in da biyar cikin dari (15-20%), da haɓaka su ta hanyar ƙara yawan amfani da nama mai ɗamara, kifi, cuku na gida da sauran kayan madara. |
Fats | Matsakaicin kitsen kada ya wuce 30%, ana bada shawarar babban adadin su daga mai kayan lambu da kifi. |
Carbohydrates | Dole ne a rage zuwa 50%. Yana da kyau a cire sukari gaba daya, kayan kamshi, ruwan lemu. Ya kamata a ba da fifiko ga abinci mai ɗauke da ƙwayoyin fiber mai yawa - glucose daga gare su su shiga jiki kamar yadda ake narkewa. Waɗannan su ne kayan lambu masu ɗanɗana, burodin burodi, hatsi mara nauyi daga hatsi da aka sarrafa a ɗan lokaci. |
Abincin yakamata ya zama juzu'i, 4-5 daidai rabo, abinci mai-carb a ko'ina cikin rana. Dole ne a mai da hankali sosai don isar da ruwa. Ana lissafta adadin da ake buƙata dangane da rabo: 30 g na ruwa a kilo kilogram na nauyi a rana.
Abincin abinci tare da rashi mai haƙuri ba kawai zai iyakance adadin carbohydrates ba, har ma ya taimaka wajen rage kiba mai yawa. Daidai ne, rage nauyin jiki zuwa al'ada (BMI <25), amma koda sauƙin nauyin 10-15% yana rage yiwuwar kamuwa da cutar siga.
Babban ƙa'idar rasa nauyi shine rage yawan adadin kuzari na yau da kullun.
Don yin lissafin abubuwan da ake buƙata na adadin kuzari, kuna buƙatar ƙayyade ƙimar babban metabolism:
Jinsi | Shekaru | Babban musayar, a cikin kcal (ana bayyana nauyin jiki a cikin dabara a cikin kilogiram, tsayi a cikin mita) |
Maza | Shekaru 18-30 | 15.4 * taro + 27 * girma + 717 |
Shekaru 31-60 | 11.3 * taro + 16 * girma + 901 | |
> Shekaru 60 | 8.8 * taro + 1128 * girma - 1071 | |
Mata | Shekaru 18-30 | 13.3 * taro + 334 * tsawo + 35 |
Shekaru 31-60 | 8.7 * taro + 25 * girma + 865 | |
> Shekaru 60 | 9.2 * taro + 637 * girma - 302 |
Tare da matsakaiciyar motsa jiki, wannan mai nuna yana karuwa da 30%, tare da babba - by 50%. Sakamakon yana rage 500 kcal. Yana faruwa ne saboda rashi cewa asarar nauyi zai faru. Idan abun da ke cikin kalori na yau da kullun bai wuce 1200 kcal ga mata ba kuma 1500 kcal ga maza, yana buƙatar haɓaka waɗannan dabi'u.
Abin da bada iya taimaka
Canje-canje na rayuwa don gyara na rayuwa shima ya haɗa da motsa jiki yau da kullun. Ba wai kawai suna ƙarfafa zuciya da jijiyoyin jini ba, har ma suna shafar metabolism kai tsaye. An bada shawarar motsa jiki don kula da raunin kwayar halitta. Wannan duk wani aiki ne na jiki wanda, kodayake yana ƙaruwa da bugun jini, amma yana ba ku damar shiga cikin dogon lokaci, daga 1/2 zuwa awa 1 a kowace rana. Misali, tafiya mai kyau, tsere, kowane aiki a cikin tafkin, keken keke a cikin tsararren iska ko keke mai motsa jiki a cikin dakin motsa jiki, wasan motsa jiki, rawa.
Kuna iya zaɓar kowane irin aikin motsa jiki, la'akari da fifikon mutum, matakin dacewa da cututtuka masu alaƙa. Kuna buƙatar fara darussan a hankali, daga mintuna 10-15, yayin azuzuwan, kula da ƙimar zuciya (HR).
Ana lasafta matsakaicin zuciya kamar ɗan shekaru 220. Yayin horo, bugun zuciya ya kamata ya zama a matakin 30 zuwa 70% na matsakaicin ƙarfin zuciya.
Dole ne motsa jiki ya zama likita
Kuna iya sarrafa bugun ƙarfi da hannu, tsayawa a gajerun tazara, ko ta amfani da mundaye na musamman. A hankali, yayin da motsawar zuciya ke inganta, ana kara tsawon lokacin darussan zuwa awa 1 na kwana 5 a mako.
Don mafi kyawun sakamako idan akwai haƙuri da raunin glucose, yana da kyau a daina shan sigari, tunda nicotine yana cutar ba kawai huhun hancin ba, har ma da ƙwayar cuta, yana hana samar da insulin.
Haka yake da mahimmanci a tsayar da cikakken bacci. Rashin yawan bacci yana sanya jiki aiki a cikin yanayin damuwa, yana cire kowane kalori da ba a amfani dashi a mai.A dare, sakin insulin da kansa yana rage gudu, ƙwayar ta huta. Dakatar da bacci yakan cika mata nauyi. Abin da ya sa abun ciye-ciye na dare yana da haɗari musamman kuma mafi yawan tare da mafi yawan karuwar glucose.
Magungunan magani
A cikin matakan farko na rashin haƙuri na glucose, yi amfani da kwayoyi waɗanda ke rage sukari, ba da shawarar ba. An yi imanin cewa shan kwayoyin hana daukar ciki na iya hanzarta ci gaban ciwon sukari. Ya kamata a kula da NTG tare da tsayayyen abinci, motsa jiki da sarrafa sukari na kowane wata.
Idan mai haƙuri yana da kyau tare da kamun kai, bayan 'yan watanni, glucose na jini ya daina haɓaka sama da matakan al'ada. A wannan yanayin, za a iya fadada abincin don hada da abubuwan da aka hana karuwa a jikin carbohydrates a baya kuma a yi rayuwa ta yau da kullun ba tare da hadarin kamuwa da cutar sankara ba. Yana da kyau idan zaku iya kula da abinci mai kyau da wasanni bayan jiyya. A kowane hali, mutanen da suka dandana wahalar haƙurin glucose kuma suka sami nasarar magance shi, dole ne ayi gwajin haƙuri a jiki sau biyu a shekara.
Idan ba za ku iya canza salon rayuwar ku ba saboda cututtukan da ke tattare da haɗaka, kiba mai yawa, rashin haƙuri da ƙididdigar sukari na jini da ke ƙaruwa, ana iya yin amfani da magani tare da cututtukan hypoglycemic. Ana iya tsara maganin endocrinologist tonorma, acarbose, amaryl, glucobai da sauran kwayoyi. Ayyukan su ya dogara ne da raguwa a yawan shan glucose a cikin hanji, saboda haka, raguwa a matakin sa a cikin jini.