KUSHO UKUTHINI UKULAWULA ISIFO SIKASHUKELA? - UKULAWULWA KWESIFO SIKASHUKELA

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Kuyini ukulawula isifo sikashukela?

Uma kutholakale ukuthi unesifo sikashukela i-mellitus, khona-ke ukulawulwa kwezifo kufanele kube ukukhathazeka kwakho kwansuku zonke.

Isifo Sikashukela Nokulawula kuyimiqondo engenakuqhathaniswa

Zonke izinsuku udinga ukukala ushukela wegazi, umfutho wegazi, ukubala inani lamayunithi esinkwa namakhalori, ukulandela ukudla, ukuhamba amakhilomitha amaningana, futhi nokuhlolwa kwelebhu emtholampilo noma esibhedlela onemvamisa ethile.

Uma isiguli sikashukela sikwazile ukugcina ushukela ojwayelekile (aze afike ku-7 mmol / L), khona-ke lesi simo sibizwa ngokuthi isifo sikashukela esikhokhelwayo. Ngasikhathi sinye, ushukela ukhuphuka kancane, umuntu kumele alandele indlela adla ngayo, kepha izinkinga ziyakhula kancane.
Uma ushukela uvame ukwedlula okujwayelekile, ugoqana kuze kufike ku-10 mmol / l, khona-ke lesi simo sibizwa ngokuthi isifo sikashukela esingakhokhelwa. Ngasikhathi sinye, umuntu uba nezinkinga zokuqala iminyaka eminingana: ukuzwela kwemilenze kulahlekile, ukuqina kwamehlo, ifomu lamanxeba okungalapheki, nefomu lezifo zemithambo yegazi.

Ukuncishiswa kwalesi sifo nokuhlola ushukela wegazi lakho kuyinkinga ekhathaza isifo sikashukela nsuku zonke. Izindlela zesinxephezelo zibizwa ngokuthi ukulawula isifo sikashukela.

Ukulawulwa kweshukela

Isimo sikashukela wegazi kumuntu ophile kahle ngu-3.3 - 5.5 mol / L (ngaphambi kokudla) no-6.6 mol / L (ngemuva kokudla).
Esigulini esinesifo sikashukela, lezi zinkomba ziyandiswa - zifinyelela ku-6 mol ngaphambi kokudla futhi zifike ku-7.8 - 8.6 mmol / l ngemuva kokudla.

Ukugcina amazinga kashukela kula mazinga kubizwa ngokuthi isinxephezelo sikashukela futhi kuqinisekisa ubunzima obuncane besifo sikashukela.

Kuyadingeka ukulawula ushukela ngaphambi kokudla ngakunye nangemva kwayo (usebenzisa i-glucometer noma imichilo yokuhlola). Uma ushukela uvame ukweqa izindinganiso ezamukelekayo - kuyadingeka ukubukeza ukudla nokudla kwe-insulin.

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Hyper kanye ne-hypoglycemia control

Isifo sikashukela sidinga ukulawula ushukela ukuvimbela ukwanda kakhulu noma okuncane kakhulu. Inani elikhulisiwe loshukela libizwa nge-hyperglycemia (likhulu kune-6.7 mmol / L). Ngokukhuphuka kwenani likashukela ngenxa yezici ezintathu (16 mmol / L nangaphezulu), amafomu wombuso athandekayo, futhi ngemuva kwamahora ambalwa noma izinsuku kuba nesifo sikashukela (ukulahleka kwengqondo).

Ushukela omncane wegazi ubizwa nge-hypoglycemia. I-Hypoglycemia yenzeka ngokuncipha koshukela okungaphansi kuka-3.3 mmol / l (nge-overdose yomjovo we-insulin). Umuntu uhlangabezana nokujuluka kokujuluka, ukuthuthumela kwemisipha, isikhumba sishintshe.

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Ukulawulwa kwe-hemoglobin ye-Glycated

IGlycated Hemoglobin - Ukuhlolwa kwelabhorathri okufanele kuthathwe esikhungweni sezokwelapha njalo ezinyangeni ezintathu.Kukhombisa ukuthi ushukela wegazi ukhuphukile yini ezinyangeni ezintathu ezedlule.

Kungani kudingekile ukwenza lokhu kuhlaziya?

Isikhathi sokuphila kwengqamuzana legazi elibomvu yizinsuku ezingama-80-120. Ngokwanda ushukela wegazi, ingxenye ye-hemoglobin ibopha ngokungenakuphikiswa ku-glucose, yakha hemoglobin ye-glycated.

Ukuba khona kwe-glycated hemoglobin egazini kukhombisa ukukhuphuka koshukela ezinyangeni ezintathu ezedlule.

Inani le-glycogemoglobin linikeza ukulinganisa okungaqondile - kukhuphuke kangaki ushukela, kwakhuphuka kangakanani, nokuthi isiguli sikashukela siqapha ukudla nokudla. Ngezinga eliphakeme le-glycogemoglobin, ifomu lezinkinga zesifo sikashukela.

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Ukulawulwa Kwe-Urine Ushukela - Glycosuria

Ukuvela kweshukela emchameni kukhombisa ukwanda okukhulu koshukela wegazi (ngaphezulu kuka-10 mmol / l). Umzimba uzama ukukhipha ushukela ngokweqile ngokusebenzisa izitho zomzimba - umsele womchamo.

Ukuhlolwa komchamo ushukela kwenziwa kusetshenziswa imicu yokuhlola. Imvamisa, ushukela kufanele uqukethelwe ngamanani angathandeki (ngaphansi kuka-0,02%) futhi akufanele kutholakale.

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Ukulawulwa kwe-Urine Acetone

Ukubonakala kwe-acetone kumchamo kuhlotshaniswa nokuqhekeka kwamafutha ku-glucose ne-acetone. Le nqubo yenzeka ngesikhathi sokudla indlala kwamaseli, lapho i-insulin inganele futhi glucose ingeke iphume egazini iye kwezicubu ezizungezile.

Ukuvela kwephunga le-acetone kusuka kumchamo, ukujuluka nokuphefumula komuntu ogulayo kubonisa umthamo onganele womjovo we-insulin noma ukudla okungalungile (ukungabikho ngokuphelele kwama-carbohydrate kwimenyu). Imichilo yokuhlola ikhombisa ubukhona be-acetone emchameni.

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Ukulawulwa kwe-cholesterol

Ukulawulwa kwe-cholesterol kuyadingeka ukunciphisa amathuba okuba nezinkinga zamathambo - i-atherosulinosis, i-angina pectoris, ukushaya kwenhliziyo.

I-cholesterol ethe xaxa ifaka ezindongeni zemithambo yegazi, yakha ama-cholesterol plaque. Ngasikhathi sinye, i-lumen kanye ne-vasency patency zincishisiwe, ukuhanjiswa kwegazi kwizicubu kuyaphazamiseka, izinqubo eziguqukayo, ukuvuvukala nokuqina kwenziwa.

Ukuhlolwa kwegazi kwe-cholesterol nezingxenyana zayo kwenziwa kwelebhu yezokwelapha. Kulokhu:

i-cholesterol ephelele ayifanele idlule i-4.5 mmol / l,
i-lip density lipoproteins (LDL) - akufanele ibe ngaphezulu kuka-2.6 mmol / l (isuka kula lipoprotein lapho i-cholesterol deposits ifaka khona ngaphakathi kwemikhumbi). Lapho kukhona izifo zezifo zenhliziyo, i-LDL ikhawulelwe ku-1,8 mmol / L.

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Ukulawulwa kwengcindezi yegazi

Ukulawulwa kwengcindezi kuhlonza ngokungaqondile isimo semithambo yegazi kanye nokuthi kungenzeka kwezinkinga zemithambo yenhliziyo nokuthathwa kwentliziyo.

Ukuba khona kwegazi lesilinganiso esandayo sikashukela kuguqula imithambo yegazi, kubenze babe inelastic, brittle. Ngaphezu kwalokho, igazi "elimnandi" elikhulukazi alilihambisi neze ngemikhumbi emincane nama-capillaries. Ukucindezela igazi ngemithambo, umzimba unyusa umfutho wegazi.

Ukwanda kakhulu kwengcindezi ngokuqina okungekuhle kwemikhumbi kuholela ekuqhekekeni nge-hemorrhage elandelayo yangaphakathi (isifo senhliziyo noma isifo sikashukela).

Kubaluleke kakhulu ukulawula ingcindezi ezigulini esezikhulile. Ngokukhula kweminyaka kanye nokuthuthuka kwesifo sikashukela, isimo semikhumbi siyawohloka. Ukulawulwa kwengcindezi (ekhaya - nge-tonometer) kwenza ukuthi sikwazi ukuthatha umuthi ngendlela efanelekile ukuze sinciphise ingcindezi futhi sibhekane nenkambo yokwelashwa kwemithambo.

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Isisindo Sokulawula - Indikimba Yezimpawu Zomzimba

Ukulawula isisindo kubalulekile ezigulini ezinesifo sikashukela sohlobo 2. Lolu hlobo lwesifo luvame ukwakhiwa ngokudla okunama-khalori amaningi kakhulu futhi kuhambisana nokukhuluphala.

I-body Mass Index - BMI - ibalwa nefomula: isisindo (kg) / ukuphakama (m).

Inkomba evelayo enesisindo somzimba ejwayelekile iyunithi lama-20 (plus noma minus 3) elihambelana nesisindo somzimba esijwayelekile. Ukudlula inkomba kukhombisa isisindo ngokweqile, ukufundwa kwenkomba kwamayunithi angaphezu kwama-30 ukukhuluphala.

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Iziphetho

Ukulawulwa kwesifo sikashukela kuwukuvivinya nsuku zonke komuntu ogulayo.

Isikhathi sokuphila komuntu onesifo sikashukela nekhwalithi yaso kuncike ekuphathweni kwesifo sikashukela - ukuthi umuntu uzokwazi kangakanani ukuhamba yedwa, ukuthi umbono wakhe kanye nemilenze yakhe kuzohlala kungakanani, ukuthi imithambo yakhe yegazi izolunga kanjani ngemuva kweminyaka eyi-10 ukuya kwe-10 yesifo sikashukela.

Ukubuyiswa kwesifo sikashukela kuvumela isiguli ukuba siphile nokugula kuze kube iminyaka engama-80. Isifo esingaxhunywanga kanye nokwanda njalo koshukela wegazi ngokushesha sakha izinkinga futhi siholele ekufeni kwangaphambi kwesikhathi.

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