Une shuga yakakwira muropa here? Ngatidzidzei zvese nezve hyperglycemia!

Dzimwe nguva unonzwa sekuti hausi kunzwa zvakanaka here? Kungoneta, kana kuti kugara uine nyota? Izvi zvinogona kuva zviratidzo zvekuti huwandu hweshuga muropa rako hwakwira zvishoma. Nhasi, tichataura nezvechirwere ichi chinonzi shuga yakakwira muropa, kana kuti chinonzi nachiremba "Hyperglycemia." Usazvidya moyo, ichi chinhu chine vanhu vazhinji, uye zvakakosha kuti uzive nezvazvo.

Zvinorevei kuti shuga yakakwira muropa? (Hyperglycemia)

Zvichitaurwa zviri nyore, `(Hyperglycemia)` zvinoreva kuti huwandu hweshuga, kana kuti glucose, muropa rako hwakanyanya kukwira. Izvi zvinoitika kana muviri wedu uine insulin shoma, kana kuti kana muviri wedu usingakwanise kushandisa insulin nemazvo (izvi zvinonzi insulin resistance) .

Kuwanda kweshuga mumuviri kunowanzoreva kuti une chirwere cheshuga . Vanhu vane chirwere cheshuga vanowanzova neshuga yakakwira muropa. Kana shuga yakakwira muropa iyi ikasarapwa kwenguva yakareba, inogona kukuvadza tsinga dzako, mitsipa yeropa, nyama, uye nhengo dzemuviri.

Dzimwe nguva, kana huwandu hweshuga muropa hukakwira zvakanyanya, zvinogona kukonzera chirwere chinouraya chinongoerekana chaitika chinonzi diabetic ketoacidosis (DKA) . Izvi zvine njodzi zvikuru kune vanhu vane chirwere cheshuga vanotora insulin uye avo vane chirwere cheshuga cherudzi rwekutanga chisati chaonekwa. Izvi zvinoda kurapwa nekukurumidza.

Shuga yakawanda sei muropa inonzi 'yakakwira'?

Ichi chinhu chinoda kutsanangurwa zvishoma.

• Kune munhu asina kuonekwa kuti ane chirwere cheshuga, kana huwandu hweshuga muropa rake hwakakwira kupfuura 125 mg/dL (milligrams pa deciliter) mushure mekutsanya kwemaawa masere , zvinoonekwa se "Hyperglycemia".
• Kana huwandu hweshuga yemunhu ari mudumbu riri pakati pe100 mg/dL ne125 mg/dL, hunoonekwa sehurwere hwe prediabetes . Izvi zvinoreva kuti pane njodzi huru yekubatwa nechirwere cheshuga.
• Kana huwandu hweshuga yemudumbu huchikwira kupfuura 125 mg/dL, chirwere cheshuga chinowanzoonekwa - kazhinji ichi chirwere cheshuga cherudzi rwechipiri. Kana vanhu vakaonekwa vaine chirwere cheshuga cherudzi rwekutanga, huwandu hweshuga muropa ravo hunowanzo kwira zvakanyanya (hunopfuura 250 mg/dL).

Kune munhu ane chirwere cheshuga, huwandu hweshuga muropa hunopfuura 180 mg/dL muawa imwe chete kana maviri mushure mekudya hunoonekwa se "Hyperglycemia." Zvisinei, izvi zvinogona kusiyana zvichienderana nezvinangwa zvako zveshuga muropa. Unofanira kutaura nachiremba wako kuti uzive chinangwa chako chaicho.

Chii chinonzi 'shuga' iyi (Glucose) muropa?

Glucose, kana kuti 'shuga', ndiyo sosi huru yesimba remiviri yedu, rinobva mumakabhohaidhiretsi atinodya. Iri ndiro sosi huru yesimba remuviri wedu. Glucose iyi inotakurwa kubva muropa rako kuenda kumasero ese mumuviri wako uye inoshandiswa sesimba.

Kana usina chirwere cheshuga, maitiro akawanda echisikigo mumuviri wedu anobatsira kuchengetedza huwandu hweshuga muropa huri padanho rakanaka. Chinhu chikuru chinokonzera izvi ihormone inonzi insulin , inogadzirwa nepancreas yedu.

Kuwanda kweshuga muropa kunowanzo kukonzerwa nekushaikwa kwe insulin kana insulin resistance. Izvi ndizvo zvinokonzera chirwere cheshuga. Vanhu vane chirwere cheshuga vanofanirwa kutora mishonga (ingave mishonga yekunwa kana insulin yakagadzirwa) uye/kana kuchinja mararamiro avo kuti vadzore huwandu hweshuga muropa ravo.

Dambudziko iri rakajairika zvakadii?

Hyperglycemia nechirwere cheshuga zvirwere zvakajairika. Semuenzaniso, munhu mumwe chete pavanhu gumi muAmerica ane chirwere cheshuga. Shuga yakakwira muropa inowanikwawo nevanhu vane chirwere cheshuga. Chirwere ichi chave chakajairika munyika medu.

Ndezvipi zviratidzo zveshuga yakakwira muropa?

Kana huwandu hweshuga muropa hukakwira, ungasaona zviratidzo zvikuru ipapo ipapo. Zvisinei, unogona kutanga kuona zviratidzo izvi zvishoma nezvishoma.

Zviratidzo zvinoonekwa nekukurumidza:

• Nyota yakawandisa (polydipsia) uye/kana kunzwa nzara.
• Kuda kuita weti nguva nenguva.
• Musoro (musoro).
• Kuona kusina kunyatsojeka.

Zviratidzo zvinoitika kana huwandu hweshuga hukawedzera nekufamba kwenguva:

• Kungonzwa kuneta zvakanyanya.
• Kuderedza huremu (pasina chikonzero).
• Vakadzi vane mukana mukuru wekuwana hutachiona hwembiriso munhengo dzemudumbu .
• Zvirwere zveganda .
• Maronda anotora nguva kuti apore.

Kana iwe kana mwana wako muine chimwe chezviratidzo izvi, zvakakosha kuti muone chiremba kuti akupe mazano.

Huwandu hweshuga hunotanga kuonekwa nevanhu vane chirwere cheshuga hunosiyana kubva pamunhu kusvika pamunhu. Vanhu vazhinji havaone zviratidzo zvikuru kusvika shuga yavo yeropa yava 250 mg/dL kana kupfuura. Zvisinei, vanhu vasati vaonekwa kuti vane chirwere cheshuga vanogona kuona zviratidzo padanho rakaderera.

Kana ukatora insulin kana mimwe mishonga yeshuga, zvakakosha kuti uzive zviratidzo zvekutanga zveshuga yakakwira muropa uye kuti ugare uchitarisa huwandu hweshuga yako muropa. Kana ikasarapwa, chirwere ichi (hyperglycemia) chinogona kukonzera chirwere cheshuga chinonzi ketoacidosis (DKA).Izvi zvinogona kutungamira kuchirwere chine njodzi chinonzi ketoacidosis. Apa ndipo apo ropa rinova neacid nekuda kwekushaikwa kwe insulin uye kuwedzera kwezvinhu zvinonzi ketones. Izvi zvinogonawo kukanganisa vanhu vane chirwere cheshuga cherudzi rwekutanga chisati chaonekwa. Izvi zvinogona kuva emergency, zvichikonzera coma kana kutofa.

Dambudziko rine njodzi: Zviratidzo zvechirwere cheshuga ketoacidosis (DKA):

• Kusvotwa nekurutsa.
• Kushaya mvura mumuviri - kurasikirwa nemvura mumuviri.
• Kurwadziwa kwemudumbu.
• Kufema kunonhuhwirira michero.
• Kufema zvakadzama, zvakaoma kana kufema nekukurumidza (Kussmaul breathing).
• Kurova kwemoyo nekukurumidza.
• Kuvhiringidzika uye kuvhiringidzika.
• Kurasikirwa nepfungwa.

Kana iwe kana mwana wako muine zviratidzo izvi zve `(DKA)`, tsvaga rubatsiro rwechiremba nekukasika!

Sei shuga muropa ichikwira seizvi? Ndezvipi zvinokonzera?

Chikonzero chikuru cheshuga yakakwira muropa kushaikwa kwe insulin. Izvi zvinogona kukonzerwa nekusakwanisa kwe insulin kana matambudziko nepancreas yedu, iyo inogadzira insulin.

Mamwe mahormone anogonawo kukonzera shuga yakawanda muropa. Semuenzaniso, kuwedzera kwe cortisol (inozivikanwawo se "stress hormone") kana kuti growth hormone kunogonawo kukonzera shuga yakawanda muropa.

Kuramba insulin

Chikonzero chikuru chehyperglycemia ikusakwanisa kwe insulin . Izvi zvinoitika kana tsandanyama, mafuta, uye masero echiropa asingapindure zvakanaka ku insulin.

Kana masero ako asingapindure zvakanaka ku insulin, muviri wako unoda insulin yakawanda kuti udzore shuga yako yeropa. Kana muviri wako usingakwanise kugadzira insulin yakakwana (kana kuti kana usingatore insulin yakakwana), huwandu hweshuga muropa rako hunokwira.

Kusakwanisa insulin mumuviri ndicho chikonzero chikuru chechirwere cheshuga cherudzi rwechipiri. Zvisinei, chinogonawo kuitika kuvanhu vasina chirwere cheshuga uye kune vanhu vane mamwe marudzi echirwere cheshuga. Chinogona kuva chenguva pfupi kana kuti kwenguva refu.

Zvimwe zvikonzero zvinowanzoita kuti insulin isarambe:

• Kufuta: Masayendisiti anotenda kuti kufuta, kunyanya mafuta akawandisa mudumbu uye akakomberedza nhengo dzemuviri (tinoti `mafuta emudumbu` ), ndicho chikonzero chikuru chekusada insulin.
• Kusaita maekisesaizi.
• Kudya kwezvikafu zvakabikwa zvakanyanya, zvine makabhohaidhiretsi akawanda uye mafuta akazara.
• Mimwe mishonga: Semuenzaniso , corticosteroids, mimwe mishonga yeBP, mimwe mishonga yeHIV, uye mimwe mishonga yepfungwa. Izvi zvinogona kukonzera kusawirirana kweinsulin, kungave kwenguva pfupi kana kwenguva refu, zvichienderana nekuti unotora nguva yakareba sei.

Mamwe mamiriro ezvinhu emahormone anogona kukonzerawo kusawirirana kwe insulin:

• Chirwere cheCushing (cortisol yakawedzera).
• Acromegaly (kuwedzera kukura kwehomoni).
• Kubata Pamuviri: Munguva yekuzvitakura, mahormone anoburitswa neplacenta anogona kukonzera kusawirirana ne insulin. Izvi zvinogona kukonzera chirwere cheshuga chepamuviri kune vamwe vanhu.

Zvimwe zvirwere zvemajini zvakagarwa nhaka zvine chekuitawo nekusagona insulin:

• Chirwere cheRabson-Mendenhall
• `Donohue syndrome`
• `Myotonic dystrophy`
• `Alström syndrome`
• 'Werner syndrome'

Matambudziko epancreas

Kukuvadzwa kwepancreas yako kunogona kukonzera kudzikira kwekugadzirwa kwe insulin, zvichikonzera hyperglycemia. Zvimwe zvezvirwere zvepancreas zvinogona kukonzera hyperglycemia nechirwere cheshuga zvinosanganisira:

• Chirwere cheAutoimmune: Muchirwere cheshuga cherudzi rwekutanga, masoja emuviri wako anorwisa masero anogadzira insulin mupancreas yako nechikonzero chisingazivikanwi. Izvi zvinoreva kuti pancreas yako haichakwanisi kugadzira insulin, zvichikonzera hyperglycemia. Chirwere chinonzi Latent Autoimmune Diabetes in Adults (LADA) chinokonzerwawo ne autoimmune reaction, asi chinokura zvishoma nezvishoma kupfuura chirwere cheshuga cherudzi rwekutanga.
• Chirwere chepancreatitis chisingaperi: Chirwere ichi chinokonzera kuzvimba kwenguva refu kwepancreas, izvo zvinogona kukuvadza masero anogadzira insulin. Izvi zvinogona kukonzera kushomeka kwe insulin (hyperglycemia). Pancreatitis inozivikanwa sechikonzero chechirwere cheshuga cheType 3c .
• Gomarara rePancreatic: Gomarara rePancreatic rinogona kukuvadza masero anogadzira insulin, zvichikonzera kushaikwa kwe insulin (hyperglycemia). Vanhu vanosvika 25% vane gomarara rePancreatic vanoonekwa vaine chirwere cheshuga mwedzi mitanhatu kusvika makumi matatu nematanhatu vasati vaonekwa kuti vane chirwere ichi.
• Cystic fibrosis: Vanhu vane cystic fibrosis vanogona kuva nemavanga mupancreas yavo nekuda kwekugadzirwa kwematehwe akawanda. Izvi zvinoderedza huwandu hweinsulin inogadzirwa nepancreas yavo, zvichikonzera hyperglycemia uye cystic fibrosis-related diabetes (CFRD) .

Zvinokonzera kukwira kweshuga kwenguva pfupi

Mune zvimwe zviitiko, vanhu vane chirwere cheshuga nevasina vanogona kuwedzera kwenguva pfupi huwandu hweshuga muropa (hyperglycemia).

• Kushushikana kwemuviri, kwakadai sekurwara, kuvhiyiwa, kana kukuvaraIzvi zvinogona kuwedzera shuga muropa kwenguva pfupi.
• Kushushikana kwakanyanya kwepfungwa , kwakadai sechiitiko chinorwadza kana kushushikana nebasa, kunogonawo kukonzera kukwira kweshuga muropa. Izvi zvinokonzerwa nekuburitswa kwemahormone anonzi cortisol uye/kana epinephrine (adrenaline) .

Zvikonzero zvakakosha zvinokonzera shuga yeropa yakakwira kuvanhu vane chirwere cheshuga

Pane zvikonzero zvakawanda zvinoita kuti vanhu vane chirwere cheshuga vave nehuwandu hweshuga yakakwira muropa. Izvi zvinogona kuitika kana zvinhu zvakaita sekudya kwakakodzera uye mishonga yechirwere cheshuga zvisina kunaka.

Mamiriro ezvinhu akajairika anogona kukonzera "Hyperglycemia" kuvanhu vane chirwere cheshuga:

• Kusatora insulin yakakwana, kutora mhando isiriyo ye insulin, kutora insulin yapera basa, kana dambudziko nenzvimbo yakabayirwa insulin (semuenzaniso, dambudziko nenzvimbo yakabayirwa insulin kune mumwe munhu anoshandisa pombi ye insulin).
• Nguva isiriyo yekudya insulin nemacarbohydrate.
• Huwandu hwemakabhohaidhiretsi aunodya hunogona kusaenderana nehuwandu hweinsulini inogona kugadzirwa nemuviri wako kana huwandu hweinsulini yaunobaya.
• Hausi kutora mishonga yako yekurapa chirwere cheshuga yakakwana.
• Kusaita zvakawanda kupfuura zvakajairika.
• Chiitiko cheDawn: Kuwedzera kweshuga muropa mangwanani-ngwanani.

Ndezvipi zvinetso zvinoitika kana shuga yeropa ikaramba ichikwira?

Kana uine huwandu hweshuga muropa (chronic hyperglycemia) kwemakore mazhinji, zvinogona kukuvadza mitsipa yeropa nenyama. Izvi zvinogona kukonzera matambudziko akasiyana-siyana. Mamwe acho ndeaya:

• Retinopathy, iyo inokanganisa maziso .
• Nephropathy, iyo inokanganisa itsvo .
• Neuropathy, iyo inokanganisa tsinga .
• Gastroparesis, iyo inononoka kubuda kwechinhu mudumbu .
• Chirwere chemwoyo .
• Kurohwa nestroke .

Chinhu chakakosha kurangarira ndechekuti zvimwe zvinhu, zvakaita semajini uye kuti wava nenguva yakareba sei uine chirwere cheshuga, zvinogonawo kukanganisa kukura kwematambudziko echirwere cheshuga.

Kuwedzera kamwe kamwe uye kwakanyanya kweshuga muropa (hyperglycemia inotyisa) kunogona kutungamira kuchirwere chinotyisidzira hupenyu chinonzi diabetes ketoacidosis (DKA) .

Unoona sei izvi?

Vanachiremba vanorayira kuongororwa ropa kuti vaone kana paine shuga yakawanda mumuviri uye kuti vaone kana chirwere cheshuga chiripo. Miedzo iyi inogona kusanganisira:

• Kuongororwa kweglucose yekutsanya.
• Miedzo yekushivirira shuga mumuviri.
• Kuongororwa kweA1c.

Vanhu vane chirwere cheshuga vanoongorora shuga yavo yeropa vari kumba (vachishandisa glucometer). Izvi zvinovabvumira kutarisa huwandu hweshuga yavo yeropa uye kutarisa hyperglycemia. Kana ukashandisa system yekutarisa glucose (CGM) inoenderera mberi , inogona kukuzivisa kana shuga yako yeropa yakakwira. Zvisinei, tekinoroji iyi dzimwe nguva inogona kunge isiriyo, saka kana kuverenga kweCGM kusingaenderane nezvaunonzwa, zvakakosha kutarisa shuga yako yeropa uchishandisa glucometer.

Nzira yekudzora sei shuga yakakwira muropa? (Kurapwa)

Kana ukatora insulin kudzora chirwere chako cheshuga, nzira huru yekurapa shuga yakakwira muropa ndeyekubaya insulin. Munhu wese anoda huwandu hwakasiyana hwe insulin. Iwe nachiremba wako muchasarudza pamwe chete kuti ndeipi dose yakanakira kurapa uye kudzivirira shuga yakakwira muropa. Kuchinja kwekudya uye chirongwa chekurovedza muviri zvinogonawo kubatsira kudzora shuga yako muropa uye kudzivirira hyperglycemia.

Vanhu vane chirwere cheshuga cherudzi rwechipiri vasingade kutora insulin vanogona kudzora hyperglycemia yavo nekuchinja mararamiro avo (sekudya uye kurovedza muviri) uye mishonga yekurapa chirwere cheshuga. Iwe nachiremba wako muchasarudza kuti chirongwa chipi chakakunakirai.

Itariro yerudzii yaungava nayo kana uchirarama nemamiriro ezvinhu akadai?

Kufanotaura kwevanhu vane chirwere cheshuga chinokonzerwa nekuti vanobata chirwere cheshuga zvakanaka sei.

Zvinhu zvakawanda zvinokanganisa kuti munhu anogona kudzora sei chirwere cheshuga chake:

• Kuwanikwa kwemabasa ehutano.
• Kuwana dzidzo yechirwere cheshuga.
• Kuwana tekinoroji yekurapa chirwere cheshuga nemishonga.
• Kukwanisa kuwana zvekudya zvine hutano uye zvekurovedza muviri.
• Tsigiro kubva kune vadikanwi.
• Matambudziko epfungwa (semuenzaniso kuora mwoyo, kuzvidya mwoyo).
• Mamwe matambudziko ehutano hwemuviri.

Kuwanda kweropa muropa kwenguva refu kunogona kukonzera matambudziko akakomba, uye matambudziko aya anowanzo gadziriswa. Ongororo dzinoverengeka dzakaratidza kuti kuwedzera kweropa muropa kwenguva refu kana kusina kurapwa kunopfupisa nguva yekurarama uye kunokanganisa hupenyu hwemunhu.

Chinhu chakakosha kuziva kuti unogona kurarama hupenyu hwakanaka uine chirwere cheshuga. Zvinhu izvi zvakakosha zvikuru kuti uve netariro yakanaka:

• Kuchinja mararamiro.
• Kurovedza muviri nguva dzose.
• Kuchinja kwekudya.
• Kugara uchiongorora shuga muropa (kunyanya kune avo vanotora insulin).

Ongororo dzakaratidza kuti vanhu vane chirwere cheshugaKuchengetedza huwandu hweA1C huri pasi pe7% kunogona kuderedza njodzi yematambudziko.

Nzira yekudzivirira sei shuga yeropa yakakwira nguva dzose?

Zvinosuwisa kuti zvakaoma kudzivirira zvachose shuga yeropa yakakwira kana uine chirwere cheshuga. Zvisinei, unogona kuchinja hurongwa hwako hwekutarisira chirwere cheshuga kuti uedze kuderedza kuwanda kweshuga yeropa yakakwira.

Izvi zviri nyore kuita kana iwe nachiremba wako manzwisisa zviri kukonzera shuga yako yeropa yakakwira. Ipa chiremba wako ruzivo rwakawanda sezvinobvira nezvenguva yega yega shuga yako yeropa yakakwira. Dzimwe nguva mhinduro yedambudziko iri ingave iri nyore sekuchinja nguva dzaunotora mushonga wako, kudya, kana kurovedza muviri.

Matanho aya anogona kubatsira kudzivirira kukwira kweshuga muropa:

• Inwa mishonga yako yese sezvawakarairwa.
• Tevedzera zano rachiremba wako nezvekudya uye kurovedza muviri.
• Tarisa shuga yako yeropa nguva nenguva.

Unofanira kuona chiremba rini kana uine chirwere cheshuga chakakwira muropa?

Kana uine chirwere cheshuga uye uchigara uine shuga yakakwira muropa, shanyira chiremba wako uyo anokubatsira kudzora chirwere chako cheshuga. Iye anogona kukubatsira kugadzirisa hurongwa hwako hwekurapa. Izvi zvinogona kusanganisira shanduko pamishonga yako, hurongwa hwekudya, kana maitiro ekurovedza muviri.

Unofanira kuenda kuEmergency Treatment Unit (ETU) riini?

Kana uine zviratidzo zve `(DKA)` (semuenzaniso kurutsa uye nyota yakawandisa ine shuga yakakwira muropa), enda kuchipatara nekukurumidza. `(DKA)` inoda rubatsiro rwechiremba nekukurumidza.

Chii chinosiyanisa shuga yakakwira muropa (Hyperglycemia) neshuga yakaderera muropa (Hypoglycemia)?

• Kukwira kweshuga muropa (hyperglycemia) zvinoreva kuwedzera kweshuga muropa. "Hyper-" zvinoreva "yakakwira" kana "kupfuura."
• Hypoglycemia zvinoreva shuga shoma muropa. "Hypo-" zvinoreva "yakaderera."

Hyperglycemia yakajairika kuvanhu vane chirwere cheshuga. Kugara uchitarisa shuga yako yeropa uye kuona chiremba wako wechirwere cheshuga kunogona kukubatsira kudzora chirwere chako cheshuga uye hyperglycemia. Yeuka kuti shuga yakakwira muropa haisi chinhu chaunofanira kugara uchiita. Ziva kuti pane zvinhu zvaunogona kuita kudzivirira chirwere ichi. Kana uchinzwa kuremerwa nekurapa chirwere chako cheshuga, taura nachiremba wako. Pamwe chete, munogona kugadzira hurongwa hwekuzadzisa zvinangwa zvenyu zvekutarisira.

Mharidzo Yekuenda Nayo Kumba

Saka, kubva pane zvatakurukura, unofanira kunzwisisa kuti shuga yakakwira muropa, kana kuti "Hyperglycemia", zvinokonzeresa, zviratidzo, uye maitiro ekuidzora.

Chinhu chinonyanya kukosha ndechekuona chiremba kana uine zviratidzo izvi. Kana zvikaonekwa nekukurumidza uye zvikarapwa nemazvo, unogona kurarama hupenyu hune hutano uye hunofadza.

• Ziva huwandu hweshuga muropa rako.
• Shandisa mushonga wakanyorwa nemazvo.
• Idya chikafu chine hutano .
• Rovedza muviri nguva dzose.
• Edza kuderedza kushushikana .

Kana ukaita zvinhu izvi nemazvo, uchabatsirwa zvikuru kuzvidzivirira kubva ku "Hyperglycemia" uye matambudziko anogona kukonzerwa nechirwere cheshuga. Hausi wega, uye kune vanhu vazhinji vanogona kukubatsira parwendo urwu.

` Hyperglycemia, chirwere cheshuga, shuga muropa, insulin, zviratidzo, DKA, Kuramba insulin