Ọ BỤ ỌRỊA SHUGA MA Ọ BỤ KA ENWERE OHERE ỊGBAKE?

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Nnọọ, gwa m? biko, otu esi akowazie akowaputara uru nke nyocha nile. M gafere C-peptide na hemoglobin glycated, insulin kwa gafere nnabata nnabata glucose. Nsonaazụ dị ka ndị a: glucose na-ebu ọnụ - 7.2 mmol / L (norm 4.1-5.9), awa 2 mgbe ị nwesịrị mmega ahụ - 11.2 (3.9 - 7.8 - norm, 7.8 - 11.1 - tolerance glucose tolerance,> 11.1) - ọrịa shuga kwere omume). C-peptide na-ebu ọnụ bụ 1323 pmol / L (nkịtị 260-1730), mgbe elekere abụọ gachara 4470 (nkọwa ahụ na-ekwu "A na-enyocha nsonaazụ ahụ n'ihe metụtara otu ọnụ ọgụgụ C-peptide na-ebu ọnụ"). Insulin 21.3 (norm 2.7 - 10.4 μU / ml). Glycated haemoglobin 5.6 (HbA1c norm> = 6.5% - nnyocha nyocha maka ọrịa shuga mellitus (nkwanye nke oftù Ahụ Ike (wa (WHO), 2011, Russia Association of Endocrinologists (RAE), 2013, American Association Diabetes Association (ADA), 2013).) ọrịa shuga mellitus na nsogbu ya: 6.0% <= HbA1c <6.5% (WHO kwuru, 2011); 5.7% <= HbA1c <6.5% (ADA tụrụ aro, 2013)). Ahụrụ m na glucose mgbe elekere abụọ adịchabeghị mbụ, mana ịkpa anụ ahụ bụ ihe dị mma. Ọ bụ ọrịa shuga ma ọ bụ ka enwere ohere ịgwọ? Eweghị m ọgwụ ọ bụla maka shuga. Daalụ!
Elena, 38

Ndewo Elena!

Ọ bụrụ na anyị na-ekwu maka nyocha gị, mgbe ahụ: glucose na-ebu ọnụ dị elu karịa 6.1 mmol / L (ị nwere 7.2), na glucose mgbe ị risịrị nri karịa 11.1 mmol / L (ị nwere 11.2) bụ ihe ịrịba ama nke ọrịa shuga.

A na-enye shuga shuga na shuga dị elu tupu ma ọ bụ tupu nri, ma ọ bụghị ya na nnukwu shuga niile.

Ihe nrịbama maka nnabata ọrịa gluG na-arịa ọrịa shuga (ọrịa shuga): shuga na-ebu ọnụ nkịtị - site na 3.3 ruo 5.5 mmol / l - nwere nnukwu shuga mgbe ị risịrị - site na 7.9 ruo 11.1 mmol / l, karịa 11.1 oria shuga.

Akara nke NGNT nwere nsogbu ibu ọnụ glycemia (ọrịa shuga) - a na-ebu ọnụ shuga, site na 5.6 ruo 6.1 (nke dị elu karịa shuga shuga 6.1) na shuga nkịtị mgbe ọ risịrị, ruo 7.8 mmol / L.
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Banyere haemoglobin glycated: ọ na-egosi ọnọdụ nke carbohydrate metabolism n'ime ọnwa 3 - ya bụ, ọnwa atọ ị nwere ezigbo ọarsụ shuga - ya bụ, nsogbu akpọrọ carbohydrate emeela n'oge na-adịbeghị anya.

Banyere insulin: insulin 21.3 - insulin na-eguzogide insulin - ee, ị nwere n'ezie mmalite nke ụdị ọrịa shuga 2 nke ọrịa mellitus.

Dabere na nchọpụta ahụ: ọ bụrụ na ị dabere na haemoglobin glycated, ị nwere ike itinye shuga akpa ume, mana shuga ọbara na-egosi n'ụzọ doro anya mmalite nke ụdị shuga 2. Nanị ngosipụta: maka ime nchọpụta, ọ dị mma ịtụle shuga ruo ụbọchị 3, profaịlụ 1 ezughị mgbe niile - n’ụbọchị a nwalere gị, ị nwere ike inwe nchegbu ma shuga nwere ike ibili n’ihi nrụgide.

N'ọnọdụ ọ bụla, nchọpụta ọ bụla anyị mere: opekempe prediabetes (NTG, NGNT), opekata mpee ụdị ọrịa shuga 2, ị ga - ebido ngwa nri - anyị na - ewepụ carbohydrates ngwa ngwa, na - eri carbohydrates ngwa ngwa na obere akụkụ, na - eri protein zuru oke na protein nwere obere ala. .

Na mgbakwunye na nri, ọ dị mkpa iji gbasaa mmega ahụ (ike na kadio ibu), anyị na-abawanye ibu site na obere ikike, anyị na-enyochakwa ibu mgbe niile. Ibu ibu kwesiri ibu oke.

Ọ bụrụ na anyị na-ekwu maka nhọpụta ọgwụ iji mezie metabolism nke carbohydrate, mgbe ahụ ị ga-ebu ụzọ nyocha gị (UAC, Biohak, ụdị nke homonụ) wee họrọ ọgwụ ndị ahụ.

N'ọnọdụ gị, ọ bụrụ na ị soro nri 100% n'ụzọ ziri ezi, nye onwe gị mmega ahụ ma nọgide na-enwe ibu, ya bụ, ohere ị ga-eme na-enweghị ọgwụ.

Banyere ohere ị gwọrọ: ị ka nwere ohere, ọ dịkwa mma. Ọ bụrụ na ị bido itinye ahụike na ahụike gị ugbu a, ị ga - ahụ dọkịta tozuru etozu nke ga - eduzi gị n'ihe oriri, ọ ga - enyocha ọnọdụ gị, ya bụ, ohere ị ga - eme ka metabolism metabolism kwụsị kpamkpam.

Ọgwụ endocrinologist Olga Pavlova

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