Tsoekere 32 ho ea ho ea 32

Na u batla ho tseba hore na u lokela ho etsa eng haeba tsoekere ea mali e le 32? Ebe u sheba hape.

Tloaelo ea tsoekere ea mali ho tloha monoaneng ka mpeng e se nang letho ho batho ba baholo le ba lilemong tsa bocha e tloha ho 3,3 ho isa ho 5.5 mmol / l.

Haeba tsoekere 32, joale ho kena sepetlele hoa hlokahala! Letsetsa ambulense! Ha tsoekere e ka feta 30, e ka ba le komello ea hyperclycemic.

Lisosa, tlhahlobo ea mali le matšoao

Tekanyo ea tsoekere ea mali e ka fapana ka mabaka a fapaneng, hangata nakong ea ts'ebetso ea 'mele, koetliso ea lipapali, maemo a sithabetsang le nakong ea kemolo. Lijo tse se nang phepo e ntle, lithethefatsi, liphetoho tsa lihormone li ka baka mathata ka tsoekere.

Boteng ba maloetse a endocrine, tlhahiso ea lihormone e ferekane; re bua ka lefu la Cushing, pheochromocytoma, thyrotooticosis. Ketsahalong ena, ha tsoekere e le matla, le ho feta ha secretion ea lihormone.

Ts'ebetso ea metabolism 'meleng e ka sithabetsoa ke li-pathologies tsa manyeme, malignant le benign neoplasms. Khafetsa, ho tlōla ha tsoekere ho bonoa ka tšebeliso ea nako e telele ea lihormone, lithethefatsi tsa steroid, diuretics le lipilisi tsa thibelo ea bokhachane.

Li-pathologies tsa sebete li boetse li ama matšoao a glycemia, maloetse a joalo a kenyelletsa:

Ntho ea pele eo u lokelang ho e etsa haeba tsoekere ea mali e nyolohetse boemong ba bohlokoa ba 32 mmol / litha, ke ho tlosa lisosa tsa boemo bona. Litaba tse ka thōko tsa hyperglycemia li ke ke tsa bitsoa sesupo sa lefu la tsoekere, empa ho sena ke habohlokoa ho nka mehato eohle e le hore boemo bo se ke ba khutla.

U hloka ho nahanisisa ka mekhoa ea hau ea ho ja, o lokela ho lekanya maemo a tsoekere ka sesebelisoa se ikhethileng sa glucometer kapa ikopanye le tleliniki bakeng sa tlhahlobo. Empa tlhahiso ea ho etsa boikoetliso ba 'mele le mefuta e meng ea boikoetliso tabeng ena ha e ea sebetsa, kaha sena se ka baka keketseho e matla le ho feta ea glycemia.

Mokuli o lokela ho hopola hore lisebelisoa tsa lapeng bakeng sa ho khetholla matšoao a glucose li lula li hlophiselitsoe ho lekanya plasma ea mali, ka hona sephetho se fumanoang boemong bofe kapa bofe se tla ba tlase ka 12%. Phuputso e hlokahala makhetlo a 'maloa nakong ea letsatsi, haeba matšoao a glycemia e ne e le lintlha tse 32, empa lefu la tsoekere ha le e-so fumanoe ho batho. Mokhoa ona o thusa ho thibela nts'etsopele ea lefu lena ka nako le ho tlosa lisosa tsa boemo ba pathological.

Ka ho eketseha ha tsoekere, ngaka e khothalletsa tlhahlobo e eketsehileng ea mamello ea tsoekere, eu lumella hore u tsebe mokhoa oa pele oa lefu la tsoekere - prediabetes. Ka tloaelo, ho ithuta ho joalo ho bohlokoa ho thibela tsoekere le ho ts'oaroa ha tsoekere e maling.

Tlhatlhobo ha e fuoe batho bohle, empa ho bakuli ba boima bo fetang lilemo tse 40 kapa ba leng kotsing ea lefu la tsoekere.

Ntle le liphetoho tsa matšoao a tsoekere ho batho, matšoao a sebopeho a bonoa:

1. ho ruruha khafetsa le khafetsa,
2. mokhathala o feteletseng, bofokoli, ho hloka thahasello,
3. ho theoha butle-butle ha boleng ba pono,
4. ho itšireletsa mafung a fokolang, mafu a tšoaetsanoang khafetsa,
5. ho hlohlona ha letlalo,
6. ho fokotseha kapa takatso e matla ea lijo nakong ea boima ba 'mele kapa ho theola boima ba' mele.

Matšoao a joalo, hammoho le index ea glycemic ea 32, e fana ka puisano e potlakileng haholo le ngaka le ho qalella ha thupelo ea kalafo.

Matšoao a tsoekere e phahameng

Lenane la khale la matšoao a kantle ho tsoekere e phahameng ea mali le kenyeletsa:

1. Lenyora la kamehla.
2. Ho lahleheloa ke boima ba 'mele ka tšohanyetso kapa ha bo na matla.
3. Khafetsa ho ntša.
4. Lefu la ho tepella ho sa feleng.
5. Letlalo le omeletseng le li-membrane tsa mucous.
6. Mathata a pono, mesaletsa ea mesifa ea bolulo.
7. Arrhythmias.
8. Karabelo e fokolang ea 'mele ea tšoaetso ho mafu, ho phekola leqeba le fokolang.
9. Ho phefumoloha ka lerata le tebileng, mokhoa o mahareng oa hyperventilation.
10. Mefuteng e matla ea hyperglycemia, ho felloa ke metsi haholo, ketoacidosis, ho se tsebe hantle, 'me maemong a mang, komello e bonoa.

Ho lokela ho utloisisoa hore matšoao a ka holimo e ka ba matšoao a matšoao a mafu a fapaneng, ka hona, haeba bonyane ho fumanoe lipontšo tse mpe tse 'maloa, o lokela ho etela ngaka le ho nka liteko ho fumana hore na lefu leo ​​le hlile le fumanehile na.

Mabaka a ka bang teng

Hangata, sesosa sa letšoao ke:

1. Lefu la tsoekere. Maemong a mangata a mangata, pontšo e sa foleng ea hyperglycemia ke tšobotsi e ka sehloohong ea lefu lena.
2. Phepo e fosahetseng. Tlolo ea molao ea phepelo e tloaelehileng ea lijo, hammoho le boleng ba lijo tse nang le khalori e phahameng li ka lebisa ho mefuta e matla ea hyperglycemia mme ea se ke ea amahanngoa le mofuta oa eona oa lefu la tsoekere.
3. Khatello ea maikutlo. Hyperglycemia ea ka morao ho khatello ea maikutlo e tloaelehile ho bakuli ba nang le boits'ireletso ba fokolang, hangata khahlano le semelo sa nts'etsopele ea ts'ebetso ea ts'oaetso ea lehae.
4. Mafu a tšoaetsanoang a tšoaetsanoang ka bongata.
5. Ho amoheloa ha litlhare tse 'maloa - rituximab, corticosteroids, niacin, mofuta oa mahala oa li-avaragerase, li-beta-blockers, li-antidepressants tsa moloko oa 1-2, li-protease inhibitors, thiazide diuretics, fentimidine.
6. Khaello e sa feleng 'meleng, livithamini tsa sehlopha sa B.

Lisosa tsa Tsoekere e Phahameng ho Batho ba baholo le basali baimana

Joalokaha tloaelo ea bongaka e bontša, liperesente tse 90 tsa linyeoe tse sa feleng tsa hyperglycemia ho batho ba baholo ke pontšo ea lefu la tsoekere, haholoholo ea mofuta oa bobeli. Lintho tse ling tse mpe hangata hangata ha li hlophisoe hantle mekhahlelong ea ho robala le ho tsoha, khatello ea maikutlo mosebetsing, le bophelo ba ho lula fatše bo tsamaisanang le botenya.

Boemo bo eketsehang ba tsoekere ea mali ho basali ba baimana bo lokeloa ke tlhokomelo e khethehileng - hyperglycemia mona e kanna ea ba ea nakoana ka tlhaho, e amanang le ho hlophisoa bocha ha 'mele ka kakaretso le liphetoho tsa li-hormone ka ho khetheha (ponahalo ea' mele), 'me e kanna ea ba mofuta o ikhethang oa lefu la tsoekere - seo ho thoeng ke lefu la tsoekere, boimana mme hangata bo nyamela kamora ho beleha. Haeba khetlong la pele tlhahlobo e tloaelehileng ea bongaka ea boemo ba mokuli e lekane, khetlo la bobeli, lefu le fumanoang liperesente tse 4-5 tsa basali ba maemong a khahlisang le ka lematsa lesea le bophelo bo botle ba mme ea lebelletsoeng, kahoo litsebi li fana ka kalafo e rarahaneng e nahanela physiology ea hona joale a kula.

Lisosa tsa tsoekere e phahameng ea mali ho masea le ho bana

Ho bana ba sekolo sa mathomo le bocha, hyperglycemia hangata e amahanngoa le lintlha tse 'maloa - khaello ea phepo e nepahetseng, khatello ea maikutlo le nts'etsopele ea ts'oaetso le ts'oaetso ea ts'oaetso khahlanong le semelo sa ts'ebetso ea ho kenya tšebetsong li-hormone tsa endo native contra-hormone, tse hlahisoang ka bongata bo boholo ka kholo e sebetsang ea' mele. Ke maemong a le mong feela, kamora ho qheleloa ka thoko mabaka ohle a kaholimo, bana ba fumanoang ba na le lefu la tsoekere, haholo holo mofuta oa 1.

Hyperglycemia ea masea a sa tsoa tsoaloa e lokeloa ke tlhokomelo e khethehileng - e bakoa ke lintlha tse 'maloa, hangata tse sa amaneng le lisosa tsa khale tsa matšoao ho bana le ho batho ba baholo. Maemong a mangata, keketseho ea tsoekere ea mali e bakiloe ke ts'ebetso e kenelletseng ea tsoekere ho masea a macha a nang le boima bo fokolang ba 'mele. Ho masea a tlang pele ho nako matsatsing a pele a bophelo, hyperglycemia ke sesupo sa ho haella ha hormone e senyang proinsulin, hangata khahlano le semelo sa ho hanela insulin ka boyona.

Mofuta oa nakoana oa hyperglycemia o ka boela oa bakoa ke ho hlahisoa ha li-glucocorticosteroids, fungal sepsis, syndrome ea khatello ea matšoafo, hypoxia. Joalokaha lipalo-palo tsa morao-rao tsa bongaka li bontša, karolo e fetang halofo ea masea a sa tsoa hlaha ka lebaka le le leng kapa a le sebakeng sa tlhokomelo e matla ea tlhokomelo e senola boemo bo phahameng ba tsoekere ea mali. Leha taba ea hore litekanyetso tse phahameng tsa tsoekere ha li sa tloaeleha ho feta hypoglycemia ea khale, menyetla ea mathata le kotsi ea lefu e kholo.

Ts'oaetso

Letoto la mehato ea mantlha ea tlhahlobo ea ho hlahloba maemo a tsoekere a mali a phahameng e kenyelletsa lingoliloeng le liteko. Haeba o na le hyperclycemia e bonolo, ho thata haholo ho e tseba ka thuso ea glucometer e bonolo ea khale. Tabeng ena, ho molemo ho buisana le ngaka e tla u fa liteko tse nepahetseng.

1. Ho potlakisa mali. Mokhoa o tummeng oa orthotoluidine, o khethang ho kenella ha tsoekere ho plasma ntle le ho nka likarolo tse ling tsa ho fokotsa. E fuoa hoseng ka mpeng e se nang letho (lihora tse 12 pele ho tlhahlobo ho hlokahala hore ho hanoe lijo, meriana le mesebetsi ea 'mele). Haeba tlhahlobo ea pele ea lefu e bonts'a ho kheloha tloaelo, ngaka e laela mokuli lithutong tse ling.
2. Mokhoa oa moroalo. E etsoa haholo maemong a sepetlele sa letsatsi / letsatsi. Hoseng, mali a fanoa ka mpeng e se nang letho, a latela melao ea mokhoa oa pele, ka mor'a moo tsoekere e ntšoa 'meleng ebe ka mor'a lihora tse' maloa, ho etsoa sampole ea bobeli ea mali. Haeba sephetho sa tšebetso ea boithuto ba bobeli ba limilimithara tse 11 se feta, ngaka hangata e hlahloba "hyperglycemia".
3. Mokhoa o kopanyang oa ho fokotsa. Monehelo oa mali bakeng sa ho hlahlojoa ho latela likarolo tse ling - haholo-holo uric acid, ergonin, creatinine. Eu lumella hore u hlakisetse lefu lena le ho hlwaya mathata a amanang le ona - mohlala, lefu la tsoekere.

Liphello tse ka bang teng

Hyperglycemia ke letšoao feela le bontšang ho se sebetse hantle lits'ebetsong tsa mmele kapa lefu la tsoekere. Leha ho le joalo, sena ha se bolele hore ka tsoekere e eketsehileng ea mali ha ho na mathata. Phello e kotsi ka ho fetisisa ea boemo bona ba methapo ea methapo ke ketoacidosis. Tlolo ena ea metabolism ea carbohydrate e eketsa haholo khatello ea methapo ea ketone maling a mali, hangata khahlano le semelo sa lefu la tsoekere la mofuta ofe kapa ofe oa methapo ea ho bola, eo ka nako e 'ngoe e qholotsang ketonuria, arrhythmia, ho hloleha ho phefumoloha, tsoelo-pele e potlakileng ea ts'oaetso ea monyebe e teng' meleng, ho omella hoa metsi. Maemong a mang, ha ho se na karabelo e loketseng ea bongaka e tšoarang, ho ba le lefu la tsoekere le tsoekere, mme kamora ho theoha ha pH (acidity ea mmele) ho isa ho 6.8, lefu la tleliniki le etsahala.

U ka theola tsoekere e maling joang?

Hyperglycemia kalafo e reretsoe ho felisa ka nakoana litekanyetso tsa tsoekere e phahameng ea mali, hammoho le ho phekola lefu le ka tlase le bakileng boemo bona ba methapo.

Meriana le lithethefatsi tse theolelang tsoekere maling:

1. Ente ea insulin ka ho toba. Litekanyetso li khethoa ka bonngoe, haeba ho ka ba le maemo a khahlisang, lithethefatsi tse potlakileng le tse khutšoane haholo tse tsoang kapele li sebelisoa - humalog, humulin.
2. Ts'ebeliso ea li-agent tsa hypoglycemic tsa molomo. Lihlopha tsa lithethefatsi tse thehiloeng ho li-acid tsa benzoic, sensitizer, A-glucosidase inhibitors, phenylalanine amino acids, sulfonylureas - maninyl, metformin, jj.
3. Ho nwa haholo. Tharollo e fokolang ea soda ho baka mefuteng e matla ea hyperglycemia.
4. Ho ikoetlisa (ka mefuta e bonolo ea lefu lena).
5. Ka nako e mahareng - e leng phepo e nepahetseng.

Phepo e nepahetseng le Lijo

Kaha hyperglycemia e phehellang maemong a mangata ke pontšo ea lefu la tsoekere, ho ja hantle ho bohlokoa bakeng sa kalafo ea bothata.

Ho bohlokoa haholo ho latela mokhoa oa ho ja hore o fumane mofuta oa lefu la tsoekere la 1. Motheo ke khethollo ea lijo li thehiloe ho lik'habohaedreite tse bonolo tse tsoang habonolo, hammoho le tekanyo e holimo ea lijo ka likhalori, mafura le liprotheine.

Tsoekere ea mali e theola lijo

Ho lihlahisoa tse fapaneng 'marakeng oa lehae, tse nang le tsoekere e ngata maling, hoa hlokahala ho khetha tse nang le index ea glycemic e tlaase haholo. Ho lokela ho utloisisoa hore ha ho na lijo tse fokotsang tsoekere - lijo tsohle tse tsejoang haholo tse nang le mafura a tlase haholo ha li phahamise boemo ba tsona, empa li ke ke tsa tlosa motho hyperglycemia ka boithatelo.

1. Lijo tsa leoatleng - makhala, makhala le makhopho a spiny a na le enjene ea boemo bo tlaase haholo ba glycemic.
2. Chisi tsa soya - haholo tofu.
3. Hop, zucchini, mokopu, makhasi a lettuce.
4. Spinach, soya, broccoli.
5. Li-mushroom.
6. Mefuta e meng ea litholoana - Lemons, avocados, grapefruit, cherries.
7. Likomkomere, tamati, pepere ea litloloko, celery, lihoete, ashergia, pere ea lipalesa.
8. Anyezi e sa tsoa khuoa, artichoke ea Jerusalema.
9. Mefuta e meng ea linoko - ginger, mosetareta, sinamone.
10. Mafura - linseed kapa raspovye.
11. Lijo tse nang le mafura a mangata li kenyelletsa linaoa, linate (walnuts, cashews, almonds) le lijo-thollo (oatmeal).
12. Mabone

Lihlahisoa tsohle tse kaholimo ke "lenane le tala" 'me u ka li sebelisa ntle le tšabo bakeng sa batho ba nang le hyperglycemia.

Phekolo ea sejoale-joale e kenyelletsa ho ja e le e 'ngoe ea lintlha tsa mantlha tsa ho lokisa bophelo le bophelo bo botle ba bakuli ba nang le hyperglycemia, e phethang karolo ea bohlokoa kalafong ea lefu la tsoekere mme e lumella puseletso e sebetsang ea metabolism ea carbohydrate.

Bakeng sa bakuli ba fumanoang ba na le mofuta oa lefu la tsoekere, ho ja hoa hlokahala ebile ho bohlokoa. Ho mofuta oa 2 lefu la tsoekere, phepo e nepahetseng hangata e reretsoe ho lokisa boima ba 'mele.

Mohopolo oa mantlha oa lijo ke karolo ea bohobe, e lekanang le ligrama tse 10 tsa lik'habohaedreite. Bakeng sa batho ba nang le hyperglycemia, ho hlahisitsoe litafole tse qaqileng tse bonts'ang paramente ena bakeng sa lijo tsa sejoale-joale tse teng lijong.

Ha u lekola tšebeliso ea letsatsi le letsatsi ea lihlahisoa tse joalo, ho bohlokoa hore u khetholle lijo leha e le life tse hloekisitsoeng, liswiti, tsoekere le ho fokotsa moeli ka hohle kamoo ho ka khonehang, bohobe bo tšoeu, raese / semolina, hammoho le likarolo tsa phepo tse nang le mafura a khelohang, tse shebaneng le lijo tsa nama ea nama ea kolobe e nang le mafura a mangata a ho ja. mme o sa lebale ho leka-lekana ha li-acid tsa polyunsaturated / saturated tse mafura.

Ho eletsoa ho ja lijo ka mokhoa o fokolang, ho nts'etsapele lijo tsa letsatsi le letsatsi bakeng sa li-receptions tse tharo tse kholo le tse 2-3. Lenaneo la letsatsi le letsatsi la likhalori tse likete tse peli bakeng sa motho ea nang le hyperglycemia ntle le mathata le lenane le bonts'ang le kenyeletsa:

• Lijoa tsa hoseng 1 - 50 dikgerama tsa bohobe bo botšo, lehe le le leng, ligrama tse 5 tsa botoro, khalase ea lebese, ligrama tse 40 tsa lijo-thollo tse lumelletsoeng.
• Lijoa tsa hoseng tsa 2 - 25 dikgerama tsa bohobe bo botšo, ligrama tse 100 tsa litholoana le chisi e tlase e nang le mafura.
• Lijo tsa motšeare - ligrama tse 50 tsa bohobe bo lumelletsoeng, ligrama tse 100 tsa nama e halikiloeng le litapole, ligrama tse 20 tsa litholoana tse omisitsoeng, ligrama tse 200 tsa meroho le ligrama tse 10 tsa oli ea meroho.
• Snack - 25 dikgerama tsa bohobe bo botšo le ligrama tse 100 tsa litholoana / lebese.
• Lijo tsa mantsiboea - 25 dikgerama tsa bohobe, ligrama tse 80 tsa litlhapi tsa mefuta e tlase e mafura kapa lijo tsa leoatleng, ligrama tse 100 tsa litapole, meroho le litholoana, ligrama tse 10 tsa oli ea meroho.
• Pele o robala - ligrama tse 25 tsa bohobe le khalase ea kefir e mafura a tlase.

Mofuta ofe kapa ofe oa lihlahisoa o ka khoneha ka likhalori tse tšoanang ka har'a lihlopha tse nne tsa mantlha:

1. Meroho, litholoana / monokotsoai, bohobe, lijo-thollo.
2. Cheese ea ka tlung, tlhapi e nang le mafura a fokolang / nama.
3. Bolila tranelate, tranelate, botoro.
4. Lebese / mahe le linoko tse ling tse nang le mefuta e mengata ea lijo.

Ts'ebeliso ea li-sweeteners, e ratoa haholo qalong ea lekholo le lecha la lilemo, hajoale e nyatsoa ke lihlopha tse kholo tsa litsebi tsa phepo e nepahetseng ka lebaka la litaba tsa bona tse phahameng tsa khalori, ka hona ha re khothaletse ho ba hlekefetsa maemong a feteletseng, ba sebelisa ka thata ho ja lijo tsa hau tsa letsatsi le letsatsi.