Okuthinta ushukela wegazi

Njengoba wazi, ushukela wegazi kwizifo sikashukela uthinteka ngokuyinhloko umjovo wokudla kanye ne-insulin. Ezigulini ezinesifo sikashukela sohlobo 2, kukhona namaphilisi. Sincoma kakhulu ukushintshela ekudleni okuphansi kwe-carbohydrate yohlobo 1 nohlobo 2 sikashukela. Uma nje ukudla kwakho kuqukethe ukudla okugcwele kakhulu ama-carbohydrate, ukulawulwa ushukela okujwayelekile ngeke kutholakale. Ngokuphathelene nokwelashwa kwesifo sikashukela nge-insulin, qala ngokubala umthamo we-insulin ngaphambi kokudla nangesihloko esinemininingwane ngezinhlobo ezeluliwe ze-insulin: iLantus, Levemir neProtafan.

Umgomo wangempela ekwelapheni isifo sikashukela sohlobo 1 nokuthayipha 2 ukubamba ushukela ngokuqinile ku-4.6 ± 0.6 mmol / L ngaphambi nangemva kokudla. Ngasikhathi sinye, kufanele ngaso sonke isikhathi kube okungenani i-3.5-3.8 mmol / l, kufaka phakathi ebusuku. Lokhu kungumkhuba ushukela wegazi kubantu abaphilile. Iyatholakala nakuwe! Izinkomba ezinjalo zingatholakala uma unamathela ekudleni okuphansi kwe-carbohydrate, uqonde imishanguzo yesifo sikashukela futhi ufunde ukuthi ungayifaka kanjani ngokunembile i-insulin. Ngezansi sibheka izinto zesibili ezithinta ushukela. Nazo zibalulekile. Kucatshangwa ukuthi usunamathela ekudleni okune-carbohydrate ephansi, ukhethe uhlobo oluhle kakhulu lokwelashwa kwe-insulin nemithi.

Indlela yokuphila yokwehlisa ukuthula

Uma izinga lakho lokuzivocavoca lincipha, khona-ke lokhu kungadala ukwanda kancane kancane koshukela wegazi. Indlela yokuphila yokuhlala phansi iholela ekunciphiseni ukuzwela kwe-insulin, futhi umzimba ushisa ushukela omncane. Kuyadingeka ukwandisa imithamo ye-insulin kancane ngaphambi kwesikhathi uma uzosebenzisa kusihlwa ngencwadi noma phambi kwe-TV. Into efanayo uma uhlela uhambo ngendiza, isitimela, ibhasi noma imoto, lapho uzohlala khona isikhathi eside.

Ukwehla kwesisindo noma isisindo somzimba

Amaseli omzimba emzimbeni womuntu akhiqiza ama-hormone aphikisana ne-insulin. Ngakho-ke, ukukhuluphala kwandisa ushukela wegazi futhi kwandisa isidingo se-insulin. Uma isifo sikashukela sesitholile isisindo, khona-ke umthamo we-insulin udinga ukwenyuka, futhi uma wehlise isisindo, bese wehlisa. Umphumela uba ubonakala ngisho noma isisindo somzimba sishintsha ngo-0,5 kg, uma lokhu kwenzeka ngenxa yokuqongelela noma ukuncishiswa kwamafutha omzimba. Uma isisindo sanda ngoba isisindo semisipha siyanda, khona-ke imvamisa imithamo ye-insulin kufanele incishiswe kakhulu. Ukwakha umzimba ngohlobo 1 nesifo sikashukela sikashukela kuletha izinzuzo ezinkulu, kuyalulekwa “ukuswayipha” ejimini.

Ukwehla kwesisindo kanye nokuthola isisindo ezigulini ngazinye ezinesifo sikashukela kuguqula ama-coefficients ngamanye - isici sokuzwela i-insulin kanye ne-carbohydrate coeffnty. Uma ungazi ukuthi kuyini, khona-ke funda isihloko esithi “Ukubala isilinganiso se-insulin ngaphambi kokudla. Shintsha ushukela omningi ngemijovo ye-insulin. ” Khumbula ukuthi ijwayela likashukela wegazi ngu-4.6 ± 0,6 mmol / l ngaphambi nangemva kokudla. Kulokhu, ushukela akufanele ube ngaphansi kuka-3.5-3.8 mmol / l nganoma yisiphi isikhathi, kufaka phakathi nobusuku. Ngokusekelwe kulezi zinombolo, khetha umthamo ofanele we-insulin. Babone ngokuzama nge-glucometer. Uma isisindo somzimba sishintsha, lapho-ke udinga ukuguqula umthamo womabili we-insulin oweluliwe kanye ne-bolus oyifakelayo ekudleni.

Ezinye iziguli ezinesifo sikashukela sohlobo 1, iningi labesifazane abasebasha, zinciphisa umthamo wazo we-insulin ukuzama ukunciphisa umzimba. Ngenxa yokushoda kwe-insulin, ushukela wabo "weqa". Lokhu kuyindlela ebulalayo, egcwele ukuwela ekunakekelweni okunzulu noma ngokushesha ngaphansi kwetshe. Iziguli ezinje zidinga usizo lodokotela wezengqondo, noma ngisho nodokotela wengqondo. Ungaphungula umzimba ngokuphepha uma uqhubeka nokudla okunama-carbohydrate aphansi. Ngenxa yalokhu, umthamo wakho we-insulin uzokwehla izikhathi ezi-2-7, futhi lokhu kuzoba yindlela yemvelo. Le yindlela yokunciphisa umzimba bese ugcine ushukela ojwayelekile wesifo sikashukela.

Kungani ungeke udle ngokweqile

Kwenzekani lapho udla kakhulu kangangokuba uzizwe “unesisu esigcwele”? Kuyavela ukuthi imicimbi ethokozisayo iyenzeka. Ake sibathole - kubalulekile ukuthi usilawule kahle isifo sakho sikashukela. Ukudla okuningi kuthala izindonga zesisu. Ukuphendula kulokhu, amaseli wamathumbu akhipha ama-hormone akhethekile abizwa ngokuthi ama-incretins (“lawo ayanda”) aye egazini. Adlulisela isiginali kuma-pancreas - ukukhipha i-insulin egazini ukuvimbela ukugxuma kushukela ngemuva kokudla.

I-insulin yi-hormone enamandla. Lapho ama-pancreas efaka egazini, angadala ukwehla okubukhali koshukela ne-hypoglycemia. Ukuvimbela lokhu, amanyikwe ngasikhathi sinye kukhipha elinye i-hormone elinamandla - i-glucagon. Kuluhlobo “lomphikisi” osula imiphumela ye-insulin. Kubangela i-gluconeogeneis ne-glycogenolysis (ukuwohloka kwe-glycogen kuya glucose). Zombili lezi zinqubo ziholela ekukhulisweni kwe-glucose kusuka esibindini iye egazini. Esikhathini sikashukela, i-pancreas ingahle ingakhiqizi i-insulin eyanele, kepha isakhiqiza i-glucagon ngokujwayelekile! Lokhu kungakho ukudla ukudla okunempilo kukhuphula ushukela wegazi, noma ngabe onesifo sikashukela esidla ifayibha elingadaywanga.

Emazweni akhuluma isiRussia, izindawo zokudlela zamaShayina zivame ukuhambisa ama-noodle nenyama ethile. Ngaphesheya, izindawo zokudlela zaseChinese zihlukile. Lapho, abapheki bavame ukupheka inyama hhayi ama-noodle, kepha ubhontshisi obuluhlaza, amakhowe, amahlumela we-bamboo, ama-seaweed noma iklabishi yaseChinese (pak choi). Konke lokhu kungukudla kwezitshalo okunokuqukethwe okuphezulu kwefiber, okuyisisekelo esifanele ukudla okuphansi kwe-carbohydrate sikashukela. Kepha uma udla okuningi, khona-ke ukuthuthukiswa kwenani elikhulu lama-incretin kuzolandela. Ngemuva kwabo, ama-pancreas azothola i-glucagon, engalinganiswanga yi-insulin, bese ushukela wegazi uzonyuka. UDkt Bernstein ubiza le nkinga ngokuthi “imiphumela yokudlela yamaShayina.”

Isiphetho ukuthi ukudlula kakhulu kuhlobo lwesifo sikashukela sohlobo 1 nohlobo 2 akunakwenzeka ngokwezigaba. Noma yikuphi ukudla ngokweqile kukhulisa ushukela wegazi, futhi akulindelekile kangangokuba akunakwenzeka ukubala umthamo ofanele we-insulin. Ukuhlaselwa i-gluttony kuyinkinga enkulu, ikakhulukazi ezigulini ezinesifo sikashukela sohlobo 2. Esizeni sethu uzothola izindlela eziningi zangempela zokuthi ungabhekana kanjani nazo ngaphandle kokulimaza impilo yakho ne-psyche. Funda kabanzi:

Umsebenzi omkhulu wengqondo

Isistimu yezinzwa ephakathi ingenye yabathengi abakhulu be-glucose emzimbeni womuntu. Lapho ubuchopho busebenza kanzima, ushukela wegazi ungehla. Kukuziphi izimo lapho lokhu kungenzeka:

• ukuqeqeshwa kakhulu;
• ukugxila emisebenzini eminingana ngasikhathi sinye;
• imvelo entsha (ushintsho lomsebenzi, indawo yokuhlala);
• ukuxhumana okukhulu kwezenhlalo (isibonelo, ukuxhumana okubalulekile engqungqutheleni);
• Imvelo ethokozisayo evusa umsebenzi wobuchopho obunzima - ukuthenga, amakhasino, njll.

Zama ukuhlela izimo kusengaphambili lapho kudingeka khona umsebenzi onzima wengqondo. Yehlisa umthamo we-bolus insulin ekudleni ngakunye ngo-10-33%. Phatha amaphilisi eglucose nawe, ube nesipiliyoni ukuwasebenzisa. Khumbula futhi ukuthi i-hypoglycemia (ushukela owele ngaphansi kwesejwayelekile) akusona isizathu sokudla ukudla okwenqatshelwe okugcwala kakhulu ngama-carbohydrate. Umthamo olinganiswe kahle wamacwecwe kashukela yilokho okudingayo.

Iminyaka

Ngokukhula kweminyaka, umzimba wehla izinga lamahomoni aphikisana ne-insulin. Enye yazo i-hormone yokukhula. Ngemuva kweminyaka engama-60, kuzodingeka wehlise umthamo wakho wansuku zonke we-insulin enwetshiwe.

Khumbula ukuthi i-hypoglycemia ekugugeni iyingozi kakhulu ngoba impendulo yemvelo yama-hormone kuyo ibuthakathaka. I-Adrenaline namanye ama-hormone akhulisa ushukela wegazi. Kodwa-ke, kubantu asebekhulile abane-hypoglycemia abakhiqizwa ngokwanele. Ngakho-ke, ubungozi bokulahlekelwa ukwazi nezinye izimpawu ezinkulu banda. I-Hypoglycemia nayo ingadala ukushaya kwenhliziyo.

Ukwanda kwe-Reflex kushukela ngemuva kwe-hypoglycemia

Funda i-athikili enemininingwane "Hypoglycemia in sikashukela, izimpawu zayo, ukuvimbela kanye nokwelashwa". Okokuma, udinga ukusebenzisa amaphilisi kashukela ekhemisi emthanjeni olinganiswe kahle. Ungadli amaswidi, ufulawa, izithelo. Ungaphuzi iziphuzo, njll.

Lapha sizohlaziya ngemininingwane ebusuku i-hypoglycemia ephusheni, ngemuva kwalokho kuphakanyiswe ushukela ekuseni ngesisu esingenalutho. Lokhu kubizwa ngokuthi yi-Somoji phenomenon. Iningi labanesifo sikashukela banale nkinga, yize bengayazi. Bandisa ngokweqile umthamo we-insulin isikhathi eside ebusuku, bese bemangala ukuthi kungani benoshukela ophezulu ekuseni esiswini esingenalutho.

Izimpawu ezejwayelekile ze-noogurnal hypoglycemia ephusheni:

• Indoda ifunga kakhulu ebusuku.
• Kwehlise izinga lokushisa lomzimba.
• Ukulala okungapheli, amaphupho amabi.
• Ekuseni ikhanda lami libuhlungu.
• Ukushaya kwenhliziyo ekuseni.
• Ukulala ubusuku akuphumuli.

Imvamisa, iziguli ezinesifo sikashukela, lapho zibona ushukela osanda kunyuka esiswini esingenalutho, zandisa umthamo wazo wakusihlwa we-insulin enwetshiwe. Uma imbangela iyi-hypoglycemia yasesikhathini ephusheni kanye nomcimbi weSomogy, khona-ke lokhu akusenzi ngcono lesi simo, kodwa kunalokho sikwande kakhulu.

Kunemithi emibili emihle yale nkinga:

1. Kwesinye isikhathi hlola ushukela wakho phakathi kobusuku. Kwenze lokhu kanye ngesonto.
2. Dlulisa ingxenye yomthamo wakusihlwa we-insulin eyengeziwe kumjovo owengeziwe, okufanele wenziwe phakathi kobusuku. Lesi yisinyathelo esinzima, kodwa esisebenza kahle kakhulu.

Funda kabanzi esihlokweni ngezinhlobo ezandisiwe ze-insulin Lantus, Levemir ne-protafan. Okunye okuchazwe ngezansi ukuthi ungayilawula kanjani into yokusa yokusa.

Isimanga sokuntwela kokusa nokuthi ungasilawula kanjani

Ukugcina ushukela ojwayelekile wasekuseni egazini unesifo sikashukela kuvame ukuba nzima kakhulu. Kepha lokhu kunengqondo, uma uqonda izizathu, dweba uhlelo lwezindlela zokwelapha, bese ulandela irejimeni. Umkhuba wokusa kokusa ubonakala eqinisweni lokuthi ushukela wegazi uvuka ngokungenangampisi ekuseni. Ibonakala kaningi ukusuka ngo-4 kuye ku-6 ekuseni, kepha ingavuka ngo-9 ekuseni. Isimo sokusa ekuseni senzeka kuma-80 - 100% abantu abadala abanesifo sikashukela sohlobo 1, nasezigulini eziningi ezinesifo sikashukela sohlobo 2. Kwenyusa izinga le-glucose ku-plasma yegazi ngokujwayelekile ngo-1.5-2 mmol / l uma kuqhathaniswa nezibalo phakathi kobusuku.

Kucatshangelwa ukuthi umbandela wokusa kokusa uvuka ngenxa yokuthi ekuseni amahora isibindi sisusa ngokukhuthele i-insulin egazini futhi siyonakalise. Futhi, imbangela ingakhuphuka ekusithekeni emahoreni asekuseni ama-hormone alwa ne-insulin. Ebantwini abaphilile, amaseli we-pancreatic beta avele akhiqize i-insulin eyengeziwe ukumboza isidingo esengeziwe sako. Kodwa ezigulini ezinesifo sikashukela akunakwenzeka lokho. Ngenxa yalokhu, ushukela wegazi uyakhuphuka.

Umkhuba wokusa kokusa ukhulisa ushukela ngendlela yawo kuzo zonke iziguli ezinoshukela. Kwabanye abantu lokhu kukhuphuka akubalulekile, kwabanye kuyinto enkulu. Lesi ngesinye sezizathu eziningi zokuthi uhlelo lokwelapha isifo sikashukela lusebenze ngempumelelo kuphela uma lwakhiwe futhi lwaguqulwa lunye. Futhi ukusetshenziswa "kwezifanekiso" akusizi ngalutho.

Yidla ama-carbohydrate amancane ngebhulakufesi kunokunye ukudla. Ngoba kunzima "ukukhokha" ama-carbohydrate adliwa yisifo sikashukela kunama-carbohydrate awadla isidlo sasemini nakusihlwa. Ngasikhathi sinye, ukweqa ibhulakufesi kudangele kakhulu, ikakhulukazi kwiziguli ezinesifo sikashukela sohlobo 2 ezikhuluphele. Uyokujabulela ukudla ukudla kwamaprotheni kokudla kwasekuseni, uma uzifundisa ukuthi ungadli isidlo sakusihlwa ngaphambi kuka-18: 30. Faka isikhumbuzi esithi "Isikhathi sokudla kwakusihlwa" ocingweni ngo-17.30.

Ngokwesifo sikashukela sohlobo 2, zama ukuthatha ithebhulethi ye-Glucofage Long 500 mg ebusuku. Le Metformin idedelwe ngokukhishwa. Uzobonisa umsebenzi osemqoka ekuseni nje, lapho sidinga. Hlaziya imiphumela yalomsebenzi ngokulinganisa ushukela wegazi nge-glucometer ekuseni ngokushesha nje uvukile. Uma umthamo omncane ka-500 mg ungasizi ngokwanele, khona-ke ungakhuphuka kancane kancane. Faka u-500 mg kanye njalo ezinsukwini ezimbalwa bese ubheka ukuthi ushukela wegazi uzoba yini ekuseni. Umthamo owodwa uphelele ngu-2 000 mg, isb. Amaphilisi ama-4 we-Glucofage Long ebusuku.

Funda futhi nendatshana ezibhebheni zeSiofor ne-Glucofage.

Umuthi onamandla wenkathi yokusa yokusa ukwahlukanisa umthamo wakusihlwa we-insulin “enwetshiwe” ube ama-halves amabili bese ufaka enye yawo ebusuku, bese kuthi enye phakathi kobusuku. Ukuze wenze lokhu, udinga ukulungiselela umjovo kusihlwa bese usetha i-alamu ukuze isebenze ngemuva kwamahora ama-4. Ukujova ebusuku kuzoba umkhuba ngokushesha, futhi uzobona ukuthi kukhipha okungenani ukuphazamiseka. I-glucometer izokhombisa ukuthi izinzuzo zale modi zibalulekile.

Kungezwe iminyaka engu-13,05,2015.Futhi ikhona enye indlela ezosiza ekugcineni ushukela ojwayelekile ekuseni ngesisu esingenalutho. Lokhu ukujova kokuvimbela umthamo omncane we-insulin esebenza ngokushesha nge-3-5 ekuseni. Lo mjovo uzoqala ukusebenza ngemuva kwemizuzu engu-15-30, kodwa uzophela ngamandla ngemuva kwamahora angu-1-1,5. Lapho nje umcimbi wokuntwela kokusa uqala ukubonakala. Ukujova kwe-insulin esebenza ngokushesha ekuseni kuyikhambi elinamandla ukwedlula umjovo we-insulin ende phakathi kobusuku. Umthamo kufanele ubalwe ngokucophelela ukuze i-hypoglycemia ingenzeki. Ake sibheke ukukwenza.

Ake sithi uvame ukuvuka ngabo-7 ekuseni. Isimanga sokuntwela kokusa siqala ukuvela ngabo-5 entathakusa. Ukulimala komthamo we-prophylactic we-insulin omfushane noma we-ultrashort kufanele wenziwe ngehora lesi-4 ekuseni. Ngakho uvuke nge-alamu ngalesi sikhathi, walinganisa ushukela - futhi uyabona ukuthi cishe yi-6 mmol / l. Usuvele kokuhlangenwe nakho kwakho ukuthi uma ungenzi lutho, ekuseni ushukela uzonyuka ngo-2-3 mmol / l. Ukuze ugweme lokhu, uvala umjovo omncane we-insulin esheshayo. Kufanele kube amayunithi angama-0.5-2, kuye ngesisindo somzimba sikashukela kanye nohlobo lwe-insulin esetshenziswayo. Akunakwenzeka ukuthi uzodinga amayunithi angaphezu kwangu-3.

Isiguli sika-1 sikashukela, esivame ukuvuka ekuseni ngo-6 ekuseni, saba nemijovo emihle ye-prophylactic ye-insulin esheshayo ngo-3 a.m. Uma uqala usuku lwakho ngo-7 a.m, zama ukujova i-insulin ngokushesha ngo-4 a.m. Nquma ngamandla ukuthi isiphi isikhathi esingcono.

Uma ushukela kumahora angama-3-5 ekuseni uphakame waba ngaphezulu kuka-6.0-6.5 mmol / l - kusho ukuthi ulandela kabi irejimeni. Ukudla isidlo sakusihlwa kamuva kunesidingo, noma uthathe ngokungafanele umthamo we-insulin enwetshiwe ebusuku. Kulokhu, uzokwandisa umthamo we-insulin esheshayo ekuseni okuthe xaxa. Gxila ekulandeleni ngokucophelela inqubo kusihlwa. Setha isikhumbuzi nsuku zonke kufoni yakho ngo-5.30 p.m. kuya ku-6 p.m. ukuthi sekuyisikhathi sokudla kwakusihlwa, bese umhlaba wonke ulindile.

Ongakukhumbula:

• I-insulin eyengeziwe idinga ukujova phakathi kobusuku, futhi isheshe - kamuva, ngehora lesi-4 ekuseni.
• Umthamo we-insulin esheshayo iyunithi engu-0.5-2, akukho ngaphezu kwamayunithi ama-3 uma ushukela ungaphakanyisiwe ebusuku.
• Uma ushukela ungama-3.5-5.0 mmol / l - i-insulin esheshayo ayidingeki ukuthi ilaliswe ukuze kugwenywe i-hypoglycemia. Uma ushukela ungaphansi kuka-3.5 mmol / L, thatha ushukela omncane ezibhebheni.
• Uma ushukela kumahora angama-3-5 ekuseni uphakame waba ngaphezulu kuka-6.0-6.5 mmol / l - kusho ukuthi awugcinanga kahle ukubusa kusihlwa. Bhekana nalokhu.

Funda ukuthi uwaphuza kanjani ama-insulin ngaphandle kobuhlungu. Amazinga kashukela wasekuseni azothuthuka kakhulu. Funda nokudla kusenesikhathi, amahora ama-5 ngaphambi kokulala. Kulokhu, isidlo sakusihlwa sizoba nesikhathi sokugaya ngesikhathi, futhi ebusuku ngeke sikhuphule ushukela wakho.

Lapho umuntu onesifo sikashukela enomkhuba omuhle wokujova i-insulin, angakusebenzisa bese evuka ngokushesha.Uma ushintshela kule modi, khona-ke umthamo wokuhlwa ophelele we-insulin "enwetshiwe" ungancishiswa cishe ngo-10-15% ngomphumela ofanayo. Yini ungamane nje ufake umjovo omkhulu “we-shock” we-insulin ende ubusuku bonke ukuze ushukela wakho wegazi uphindeke uvamile ekuseni? Ngoba umthamo onjalo ngokweqile uzokwehlisa ushukela maphakathi nobusuku ngezansi okujwayelekile. I-hypoglycemia yasebusuku enamaphupho amabi - uyayidinga?

Isimo sezulu

Ukushisa okuphezulu nomswakama kuvame ukwehlisa ushukela wegazi. Ngaphansi kwezimo ezinjalo, i-insulin kukholakala ukuthi imunca kangcono. Lapho kushintsha izinkathi zonyaka, kungahle kudingekile ukulungisa umthamo we-insulin ngo-10-20%. Entwasahlobo nasehlobo - ukunciphisa, ekwindla nasebusika - ukwanda. Kunjalo nangabe uhambela nje maduze endaweni lapho isimo sezulu sifudumele futhi simanzi kunangaphambili, noma ngokubandayo.

Uma udlulisela amakilasi wakho wemfundo yokuzivocavoca kusuka ngaphakathi nangaphandle, khona-ke udinga ukunciphisa kakhulu isilinganiso se-bolus insulin ngaphambi kokudla, ikakhulukazi uma umgwaqo ufudumele futhi / noma umanzi. Lapho ufaka i-insulin isikhathi eside, bese ufaka kulezo zingxenye zomzimba ezingeke ziphazamise imfundo yasemzimbeni. Futhi ungazami ukunisela izindawo zomjovo wakamuva ngamanzi ashisayo eshawini. Ngaphandle kwalokho, i-insulin ehlala isikhathi eside ingahle isetshenziswe ngokushesha okukhulu.

Ukuhamba

Ukuhamba kuyinkinga ethile kubantu abanesifo sikashukela esincike ku-insulin. Izinguquko kokudla okunempilo, izinga lokuzivocavoca umzimba, uhlelo lansuku zonke. Ngenxa yakho konke lokhu, ushukela wegazi ungashintshashintsha kakhulu. Ukushintsha izindawo isikhathi nakho kudlala indima. Ngesikhathi sokuhamba, ushukela kungenzeka ukuthi uqeqe kunokuba kube ne-hypoglycemia. Ngoba ukuhamba kuyacindezela, umuntu onesifo sikashukela uhlala ngaphandle kokuhamba amahora amaningi ezokuthutha futhi mhlawumbe adla ukudla okungafanele.

Lapho ufika lapho uya khona eholidini, isimo siyashintsha. Ingozi ye-hypoglycemia iyanda. Ngani? Ngoba amazinga okucindezela ancipha kakhulu, izinga lokushisa lomoya liyenyuka. Ubuchopho bakho busebenza kakhulu, budonsa umuzwa omusha, futhi bashise noshukela ngasikhathi sinye. Futhi eholidini abantu bahamba ngaphezu kokujwayelekile.

Kungaba nengqondo ukwandisa kancane umthamo we-insulin enwetshiwe ngezinsuku zokuhamba, bese wehlisa lapho uqala iholide lakho. Lapho ugibela indiza, umfutho womoya uphansi kunaphansi. Uma udinga ukufaka i-insulin endizeni, shaya umoya izikhathi ezimbili ebhodleleni kunokwejwayelekile. Uma kungazelelwe phesheya kufanele usebenzise i-insulin nge-U-40 esikhundleni se-U-100 ejwayelekile, lapho-ke udinga ukuyijova izikhathi ezingama-2,5 ngaphezulu. Isibonelo, uma umthamo wakho ojwayelekile ungama-PIECES ayi-8 we-insulin enwetshiwe ubusuku bonke, u-U-40 udinga ama-PIERES angama-20. Konke lokhu kudala ukudideka okukhulu futhi kukhulisa ubungozi be-hypoglycemia, uma ngephutha wenza iphutha ngomthamo. Qaphela.

Ekushiseni kwegumbi, i-insulin igcina izakhiwo zayo cishe inyanga. Akuvamile ukuthi uyipholise ngenkathi uhamba. Kodwa-ke, uma uya ezindaweni ezishisayo, kuhle ukuba nesitsha esikhethekile sokuhambisa i-insulin, lapho kulawulwa khona amazinga okushisa. Isitsha esinjalo sibiza cishe ama- $ 20-30, unga-oda nge-inthanethi yezitolo zakwamanye amazwe. Kuyadingeka impela uma indawo yakho yokuhlala ingeke ibe nomoya wokupholisa umoya noma esiqandisini.

Ukuphakama

Uma uhambela ezintabeni, lokhu kungaholela ekwehleni koshukela wegazi. Ngoba ukuphakama okukhulu ngaphezu kwezinga lolwandle, i-metabolism iyathuthukiswa. Izinga lokuphefumula kanye nenhliziyo likhuphuka ukuze amaseli athole umoya-mpilo owanele. Ezinsukwini ezimbalwa, umzimba ujwayela izimo ezintsha. Ngemuva kwalokhu, i-metabolism ibuyela kokujwayelekile nomthamo we-insulin, futhi.

Zilungiselele ukuthi kuzofanela unciphise umthamo we-insalal (enwetshiwe) nge-insulin ngo-20-40% ezinsukwini ezimbalwa zokuqala. Lokhu kuzokuvikela ku-hypoglycemia phakathi nosuku esiswini esingenalutho nasebusuku lapho ulele. Uma uhlose ukudlala imidlalo ezindaweni eziphakeme kakhulu, kuzodingeka wehlise kakhulu umthamo wawo wonke ama-insulin owawujojayo. Lokhu kusho ukuthi ukwehlisa kunamandla ukwedlula lapho uvivinya umzimba ezimweni ezijwayelekile.

Izifo ezithathelwanayo

Izifo ezithathelwanayo ngokuvamile ziyinkinga enkulu, futhi kwabanesifo sikashukela baba yingozi kaningi kunokuba sabantu abaphilile. Uma umzimba ulwa nokutheleleka, lokhu kungadambisa yonke imizamo yokugcina ushukela wegazi ojwayelekile. Izifo ezithathelwanayo zandisa ushukela futhi zandisa isidingo se-insulin. Uma ushukela bekuyinto evamile amasonto ambalwa, bese kuthi gxuma kungazelelwe, khona-ke imbangela enkulu ukutheleleka. Iziguli ezinesifo sikashukela ziqaphela ukuthi ushukela uqala ukukhula amahora angama-24 ngaphambi kokuqala kwezimpawu zomkhuhlane. Futhi uma ukutheleleka kusezinso, khona-ke lokhu kungandisa isidingo se-insulin kaningi izikhathi ezi-3.

Ukutheleleka kubangela umzimba ukhiqize ama-hormone okucindezela anciphisa ukuzwela kwe-insulin futhi kukhuphula noshukela wegazi. Uma ushukela uphezulu, khona-ke amaseli amhlophe egazi awalwisisi ngempumelelo ukutheleleka, futhi wenza umsebenzi wakhe ongcolile emzimbeni ongavikelekile. Lesi uhlelo olubi lombuthano olukhula njalo uma isiguli sikashukela singanaki ngokwanele ekwelapheni isifo esithathelwanayo. Qaphela futhi ukuthi ezifweni ezinesifo sikashukela kwenzeka kaningi kakhulu kunabantu abaphilile. Ngoba ushukela wegazi ophezulu wenza indawo enhle yamagciwane, amagciwane kanye nesikhunta.

Imvamisa, ukutheleleka kubangela ikhala eligudlayo, ukukhwehlela, umphimbo obuhlungu, ukuhudula kumfazi. Izinketho ezingathí sina izifo ezithinta umchamo, inyumoniya. Ngesikhathi sezifo ezithathelwanayo, ama-ketones angabonakala emchameni ngoba i-insulin ilahlekelwa ukusebenza kwawo. Udinga ukubheka ushukela wakho wegazi njalo, kanye nama-ketones emchini usebenzisa imichilo yokuhlola. Gcina iqembu lakho lezokwelapha liqaphile. Zizwe ukhululekile ukubiza i-ambulensi uma ubona ukuthi isimo sakho siba sibi kakhulu.

Noma udla okungaphansi kokujwayelekile ngesikhathi sokugula, qhubeka nokujova i-insulin. Ngaphandle kwalokho, ushukela wakho "ungahamba ngezinga" futhi i-ketoacidosis yesifo sikashukela iyothuthuka - inkinga enkulu, ebulalayo. Izimpawu zayo eziphambili ukuhlanza inhliziyo, ubuthakathaka, nephunga le-acetone lapho uphefumula. Ukwelashwa kwe-ketoacidosis kwenziwa kuphela esikhungweni sezokwelapha. Ungatadisha umthetho olandelwayo wokwelashwa kwe-ketoacidosis yesifo sikashukela. Uphuthume ushayele i-ambulensi. Nakulokhu futhi: lokhu kuyinkinga ebulalayo.

Njengomthetho, ngesikhathi sesifo esithathelwanayo, umthamo we-insulin enwetshiwe kufanele wande. Uma kungabikho-ketones emchini, bese uzama ukuwukhulisa ngo-25-50%. Uma imichilo yokuhlola ikhombisa ama-ketones emchameni, bese ukhulisa umthamo wakho weLathnus, Levemir, noma iProtafan ngo-50-100%. Ungafaka futhi i-insulin ngokushesha ukwehlisa ushukela wegazi ophakeme. Ngokwandisa umthamo wakho we-insulin, ukukala ushukela wakho nge-glucometer njalo emahoreni ayi-1-2.

I-insulin ngeke igwelwe futhi ngeke isebenze uma umzimba ukhiqizwa amanzi. Phuza uketshezi oluningi ngenkathi welashelwa isifo esithathelwanayo. Lokhu kubalulekile. Isimo esilinganiselwe kubantu abadala siyinkomishi eyodwa ye-fluid ngehora ngenkathi isiguli siphapheme. Ezinganeni - izinkomishi ezi-0,5 zamanzi ngehora. Uketshezi oliphuzayo akufanele luqukethe i-caffeine. Lokhu kusho ukuthi itiye elimnyama neluhlaza alifanele.

Ukuthola eminye imininingwane, bheka ukuthi "Ungawelapha kanjani umkhuhlane, umkhuhlane, ukugabha nohudo kushukela."

Ama-caries wamazinyo ahlanganisa ukwelashwa kwesifo sikashukela

Abantu abanaka kakhulu amazinyo abo kunokuba kufanele. Lokhu kuyiqiniso ikakhulukazi ezigulini ezinesifo sikashukela. Okokuqala, ushukela ophakeme ngokungamahlalakhona uholela ezifweni ezithathelwanayo zomlomo wesibeletho, ngoba udala indawo enhle yokuzalanisa amagciwane. Ngemuva kwalokho ukutheleleka okusemgodleni womlomo, nakho, kuphazamisa ukwehlisa ushukela wegazi kube okwejwayelekile. Amafomu ombuthano amabi.

Kuyaqabukela ukubona isiguli sikashukela “nesipiliyoni” ebesingenakuba nezinkinga ngamazinyo aso. Izifo ezithathelwanayo zomgogodla womlomo, ezinzima, zingaba uphawu lwesifo sikashukela kulezo ziguli ezingakahlolwa futhi zingatholakali. Odokotela bamazinyo bavame ukuthumela iziguli zabo ukuhlolwa kwegazi ngoshukela, futhi, njengomthetho, izinsolo zabo zinezizathu.

Uma i-insulin iyeka ukusebenza kungazelelwe, okungukuthi, umthamo wakho ojwayelekile we-insulin awusehli ushukela ngendlela efanayo nesejwayelekile - okokuqala, qiniseka ukuthi i-insulin eku-vial ayilifishi. Bese ubheka ukuthi usuku lwayo lokuphelelwa yisikhathi aludlulanga. Uma konke lokhu kulungile-ke isizathu soku-3 ngokwesibalo sokuthi uthola isifo esithathelwanayo emlonyeni wakho. Okokuqala, hlola izinsini zakho ukuthola izimpawu zokutheleleka. Uhla lwalezi zimpawu lubandakanya ubomvu, ukuvuvukala, ukopha, ukuqaqamba kokuthinta. Faka amanzi eqhwa emlonyeni wakho bese ubamba amasekhondi angama-30. Uma noma yikuphi ukukhonkotha kwamazinyo - lokhu kusulelo, vele uthintane nodokotela wamazinyo.

Izifo ezithelelekayo zamazinyo nezinsini ezigulini ezinesifo sikashukela zivame kakhulu. Badinga ukwelashwa ngokushesha okukhulu, ngoba baphazamisa ukugcina ushukela ojwayelekile. Ngolwazi lwakho, udokotela wamazinyo emazweni e-CIS kubhekwa njengokuhamba phambili ngokuya ngamanani / ngekhwalithi yesilinganiso kunalo lonke elaseYurophu. Ngoba ayilawulwa kakhulu yisimo. Masibe nethemba lokuthi lesi simo sezwe sizoqhubeka. “Ezokuvakasha kwamazinyo” ziqala ukuvela kithi zivela eBrithani nase-USA. Kulesi simo, thina - bendawo - sonke sinamahloni okuhamba ngamazinyo amabi.

Ukuvuvukala okungapheli nokuthi ungakuqeda kanjani

Isifo sikashukela sohlobo 2 sinezinkinga ezi-2 ze-metabolic:

• Ukumelana ne-insulin - ukuzwela kwezicubu okunciphisiwe ku-insulin
• Ukukhiqizwa kwe-pancreatic insulin ngenani elinganele ukunqoba ukumelana ne-insulin.

Sibala izizathu ezi-5 ezidala ukumelana ne-insulin. Lokhu ifa (izakhi zofuzo), ukomisa, izifo ezithathelwanayo, ukukhuluphala kanye noshukela ophezulu wegazi. Manje ake senze ukucaciselwa. Izifo ezithelelekile kanye nokukhuluphala kubangela ukungamelana kwe-insulin hhayi ngokuqondile, kodwa ngoba kuvusa ukuvuvukala. Ukuvuvukala okwenzeka ngokweqile noma okweqile, nakho, kukhulisa ukumelana ne-insulin.

Ukuvuvukala ukusabela kwamasosha omzimba ekuhlaselweni ngamaprotheni angaphandle, ikakhulukazi ama-microorganisms. Ake sithi umuntu ulimele futhi ukutheleleka kungena esilondeni. Amasosha omzimba azama ukuqeda amagciwane, aqondise “abalwa” nawo. Imiphumela emibi yale mpi ukuthi inxeba liyavuvukala, liphuthume, libomvu, lishise lapho lithinta, kukhululwe ubomvu kulo. Konke lokhu ukuvuvukala.

Izimbangela ezibalulekile zokuvuvukala kwamuva ngaphandle kwezifo:

• Ukukhuluphala kwesisu (esiswini nasesinqeni) - amaseli wamafutha athululela izinto egazini okuvusa ukuvela okufihlakele kokuvuvukala.
• Izifo ze-Autoimmune, ngokwesibonelo, i-lupus erythematosus, i-arthicato samathambo nezinye.
• Ukungabekezelelani kukaGluten. Iphrotheyini etholakala okusanhlamvu, ikakhulukazi kakolweni, i-rye, i-oats nebhali. Ukungabekezeleli kwezakhi zofuzo ezinkulu zokugula yisifo esibi esibizwa ngokuthi isifo se-celiac. Ngasikhathi sinye, u-70-80% wabantu unokungabekezeleli okuncane. Kubangela ukuvuvukala okungapheli kwe-latent nangayo ukumelana ne-insulin.

Ukulimala okungapheli kuyinkinga enkulu odokotela basekhaya abacishe bangayinaki. Kodwa-ke, ukusabela kokuvuvukala kokugcina kungenza "ukushaya" umzimba iminyaka. Zenza ngcono ukumelana ne-insulin, futhi zilimaze nemithambo yegazi evela ngaphakathi, ibangele i-atherosclerosis, bese kuba nokushaya kwenhliziyo nokushaywa unhlangothi.

Naka kakhulu ukulwa nemiphumela yokuvuvukala! Hhayi ngokungathi sína njengokugcina ushukela wegazi ophansi, kepha nokho ubalulekile. Ongakwenza:

1. Thatha ukuhlolwa kwegazi kwezimpawu zokuvuvukala. Okokuqala, kuyiprotheni eyi-C-reactive (hhayi ukuthi iphanjaniswe ne-C-peptide!) Ne-fibrinogen.
2. Rarulula izinkinga zakho zamazinyo. Amazinyo anezinkinga yi-hotbed ukutheleleka okungapheli okwandisa ukumelana ne-insulin, futhi futhi acekele phansi kancane imithambo yegazi, okwandisa ingozi yokuhlaselwa yisifo senhliziyo nesifo sohlangothi
3. Kubalulekile! Sesha i-Intanethi bese ubheka izimpawu zokungabekezelelani kwe-gluten. Uma unalezi zimpawu, zama ukuhlanganisa ukudla okune-carb ephansi nokudla okungenama-gluten. Hlaziya ushintsho enhlalakahleni yakho ngemuva kwamasonto ayi-6. Uma kungcono, bese uqhubeka nokudla ngendlela efanayo.
4. Izithasiselo ezilandelayo zehlisa izinga lokulimala okungapheli emzimbeni: i-alpha lipoic acid, ukukhishwa kwetiye eliluhlaza, kanye nemithombo yamafutha e-omega-3 - i-oyili yezinhlanzi, i-linseed oil, i-primrose oil yakusihlwa. Funda futhi ukuthi yiziphi izengezo okudingeka uzithathe ukuze uthole umfutho wegazi ophakeme nezinkinga zenhliziyo.

Ukucindezeleka, ukufutheka, intukuthelo

Izimo ezibangela ukucindezelwa noma ukufutheka ngezikhathi ezithile zenzeka kithi sonke. Ezinye izibonelo yilezi:

• ukukhuluma esidlangalaleni;
• izivivinyo ezidlulayo;
• shayela ikhaphethi kumphathi;
• vakashela kudokotela wamazinyo;
• ukuvakashela udokotela okuthi ulindele izindaba ezimbi kuye.

Ukukhishwa okubukhali kwama-hormone okucindezela kubangela, phakathi kokunye, ukwanda koshukela wegazi. Kodwa-ke, indlela abasabela ngayo bonke abantu ihlukile. Umcimbi ofanayo ungakuthukuthelisa, futhi ngeke uthinte esinye isiguli sikashukela. Ngakho-ke, ushukela wakhe ngeke uphakame. Isiphetho: udinga ukuqapha izimo eziphindaphindwa njalo, futhi kuzo ushukela wakho uthatha ngenxa yokuxineka. Yiziphi ezinye zezizathu ushukela wakho ezikhafula njalo? Uma ubachaza, ungabikezela bese uhlela impendulo yakho kusengaphambili. Izinkinga ezingabikezelwa zisemandleni akho futhi zivinjelwe.

Izimo eziningi ezicindezelayo zenzeka ngokungazenzisi. Kepha ezinye zazo kungenzeka zenzeka kuwe njalo. Ezimweni ezinje, wazi kusengaphambili ukuthi umcimbi uzokwenzeka nokuthi uzokwenzeka nini. Faka umuthi omncane we-insulin osebenza ngokushesha e-1-2 amahora ngaphambi komcimbi okuhlosiwe. Lokhu kunxephezela imiphumela yama-hormone okucindezela. Kulokhu, udinga ukukala ushukela nge-glucometer njalo ngemizuzu engama-30-60 ukuze uqiniseke ukuthi awunqobi ngomthamo we-insulin. Masithi udinga i-1-2 UNITS ye-insulin esheshayo yokuvimbela ngaphambi kwesimo esicindezelayo. Uma ungawenzi umjovo wokuvimbela kusengaphambili, kuzodingeka usike amayunithi angama-4-6 ukuze ucime ushukela lapho seluvele ligxilile. Futhi ngokunokwenzeka, ngeke uphume ngomjovo owodwa, kepha kuzodingeka wenze imijovo emibili ngokunqunyelwa kwamahora angama-4-5. Ukuvimbela kulula kakhulu futhi kunembile kunokugxoba ushukela lapho seluvukile.

Iningi labanesifo sikashukela linomkhuba wokugxeka izingcindezi ezingapheli ngokungakwazi ukulawula ushukela wegazi wabo kahle. Leli iphuzu lamanga neliyingozi. Ikuvumela ukuthi ususe umthwalo wokuhambisana nombuso esigulini esilivila, uwususe ezimeni "ezingenakunqotshwa". Ngeshwa, kulesi simo, izinkinga zesifo sikashukela zikhula ngokushesha, futhi azikho izizathu ezizwelayo.

UDkt Bernstein ubelokhu eqaphe iziguli zakhe kanye nesakhe isifo sikashukela iminyaka eminingi. Ngalesi sikhathi, wafika esiphethweni sokuthi ukucindezela okungamahlalakhona akulithinti ngqo ushukela wegazi. Ngaphandle kokuthi isiguli sisebenzisa njengezaba zokusuka ekunamatheleni irejimeni. Ngokuvamile lokhu kubonakala eqinisweni lokuthi umuntu onesifo sikashukela uzivumela ukuba adle noma adle ukudla “okwenqatshelwe” okuphezulu kuma-carbohydrate.

Izikhathi ezithile, sonke sihamba ngezikhathi zokwehluleka nosizi. Uhlu lwabo olubanzi lubandakanya: imishado enezinkinga, isehlukaniso, ukuxoshwa noma ukulahleka kwebhizinisi, ukuncipha kancane kothandekayo ngenxa yesifo esingalapheki, njll. Izikhathi ezinjalo zingahlala isikhathi eside, futhi kubonakala sengathi ulahlekelwe ngokuphelele yimpilo yakho. Eqinisweni, kuhlala kukhona okungenani into eyodwa ongayilawula.Lokhu ushukela wakho wegazi.

Iningi labanesifo sikashukela libika ukuthi ushukela wegazi labo uyagxuma ngenxa yeziqephu ezimfushane zokucindezela okukhulu. Izibonelo zakudala zezimo ezinjalo ziyimibuzo eyinkimbinkimbi esikhungweni sezemfundo, kanye nokukhuluma phambi kwabantu. UDkt Bernstein uphawula ukuthi ushukela wegazi lakhe weqa ngo-4.0-5,5 mmol / L njalo lapho kufanele enze izingxoxo nezintatheli zethelevishini. Ngakho-ke, ezimweni ezinjalo, kuyadingeka ukwethula i-insulin “emfishane” eyengeziwe.

Umthetho ojwayelekile yilokhu. Uma isiqephu sikhulu ngokwanele ukubangela ukuhlukunyezwa kwe-epinephrine (adrenaline), khona-ke kungenzeka ukuthi kubange ukugxuma kushukela wegazi. I-Epinephrine ingenye yama-hormone okucindezela enza ukuthi isibindi siguqule izitolo zalo ze-glycogen zibe ushukela. Lokhu kuyingxenye yokulwa komuntu noma isiqu sendiza. Umzimba uzama ukuhlinzeka amandla athe xaxa ukuze ubhekane nesimo esikhathazayo. Amazinga aphakanyisiwe we-epinephrine ngokuvamile abonakala ekunyukeni kokushaya kwenhliziyo nezandla eziqhaqhazelayo. Ezigulini ezinesifo sikashukela sohlobo 2 esisesigabeni sokuqala, ezikhiqiza i-insulin eyanele noma kakhulu ngokweqile, ukucindezela okukhulu kungenzeka akunakubangela ukugxila kushukela wegazi.

Uma ushukela wegazi uhlala uphakeme izinsuku eziningana zilandelana, futhi nangaphezulu kwamasonto, khona-ke akufanele usho lokhu ngenxa yokuxineka okungapheli noma isiqephu esibuhlungu. Funa isizathu esizwakalayo futhi usiqede.

I-Caffeine

I-Caffeine iyisikhuthazo esivusa ushukela wegazi cishe ngehora eli-1 ngemuva kokungenisa. Kubangela ukuthi isibindi sidilize i-glycogen futhi sikhulule ushukela egazini. I-Caffeine inamandla kwabanye abantu kunakwabanye. Mhlawumbe kungenye yezizathu zokuncipha okungachazwanga kushukela onawo.

Ukudla okuqukethe imithamo ebalulekile ye-caffeine

Kuphakanyiswa ukuthi ulandela ukudla okune-carbohydrate sikashukela okujwayelekile, ngakho-ke ungaphuzi i-cola ejwayelekile, ungadli ushokoledi, njll.

Kunconywe ukuthi izivivinyo ngezinsuku ezahlukahlukene zinqume ukuthi i-caffeine iluthinta kanjani ushukela wegazi lakho. Uma kuvela ukuthi kuthinta kakhulu, khona-ke kufanele uyisebenzise kancane noma ukhuphule kancane umthamo we-insulin. Ukudla ukudla okune-caffeine kwenza kube nzima ukulandela ukudla okune-carb ephansi. Ngakho-ke, kuwukuhlakanipha ukwenqaba kubo. Kunconywa ukuthi ushiye izinkomishi ezi-green green ezintathu kuphela ngosuku ekudleni kwakho. Uyacelwa ukuthi uqaphele ukuthi ngesifo sikashukela sohlobo 2, akunasidingo ukuthi sidle noma yiluphi uswidi kanye nemikhiqizo eliqukethe. Lokhu kuyindlela yokudla i-cola.

Bheka futhi isihloko esithi "Ama-sweeteners sikashukela: i-stevia nabanye."

I-testosterone emadodeni nakwabesifazane

Emadodeni, amazinga anciphile we-serum testosterone angadala ukumelana ne-insulin - ukuncipha kokuzwela kwezicubu kwe-insulin. Kwabesifazane, umphumela ofanayo unikeza, kunalokho, izinga elikhulayo le-testosterone egazini. Kwabesifazane, le nkinga ihlaziywa ngokuningiliziwe esihlokweni esiphathelene ne-polycystic ovary sifo (iyavela esizeni kamuva). Futhi ngezansi sizohlola ukuthi i-testosterone ithinta kanjani ukuzwela kweseli kuya ku-insulin emadodeni.

Izimpawu ezilandelayo ziphakamisa izinga eliphansi le-serum testosterone:

• ukukhula kwesifuba - gynecomastia;
• ukukhuluphala esiswini (esiswini nasesinqeni esiseduze) ngaphandle kokudla kakhulu;
• isidingo sokujova imithamo emikhulu ye-insulin (imayunithi angama-65 ngosuku noma ngaphezulu) ukuze kwehliswe ushukela wegazi kube ngokujwayelekile.

Akubalulekile ukuthi unazo zonke izimfanelo ezi-3 ngasikhathi sinye. Okungenani elilodwa lazo lanele ukuthumela isiguli ukuthi siyohlola igazi elifanele. Uma izinga le-testosterone esegazini liseduze komkhawulo ophansi wesimo esijwayelekile, futhi nangaphezulu uma kungaphansi kokujwayelekile, lapho-ke kuyalulekwa ukuthi wenze inkambo yokwelashwa. Umgomo ukwandisa amazinga e-testosterone aze afike phakathi kobubanzi obujwayelekile. Ngenxa yalokhu, kuzokwazi ukunciphisa umthamo we-insulin, futhi ezigulini ezinesifo sikashukela sohlobo 2, ukwehla kwesisindo kuzohamba ngokushesha.

Xhumana nodokotela omuhle wezinhlungu ukuze akunikeze umuthi ofanele. UDkt Bernstein unquma imijovo ye-testosterone ezigulini zakhe izikhathi ezi-1-2 ngesonto. Umkhuba wakhe ukhombisile ukuthi kwabesilisa, imijovo enjalo ilula ukwedlula ama-gels noma iziqeshana zesikhumba. Ngemuva kokwelashwa, iziguli ziphinda zithathe ukuhlolwa kwegazi ngezikhathi ezithile. Thintana nodokotela ukuze akunikeze umuthi othize. Lokhu akuyona neze indlela yokuzindla. Musa ukusebenzisa imikhiqizo yezitolo yezocansi noma amanye ama-charlatans.

Ama-hormone e-Steroid

Imithi equkethe ama-hormone e-steroid - i-cortisone ne-prednisone - imiselwe ukwelashwa kwe-asthma, isifo samathambo, ukuvuvukala okuhlangene nezinye izifo. Le mishanguzo inciphisa kakhulu ukuzwela kwamangqamuzana ku-insulin futhi kwandise ushukela wegazi. Kwesinye isikhathi ezigulini ezinesifo sikashukela, ngenkathi siziphuza, ushukela uqala “ukudlula”. Lo mphumela awukhishwe ngamathebulethi kuphela, kepha nangama-inthiksi e-asthma, kanye nama-steroid ngendlela yama-okhilimu namafutha okugcoba.

Amanye ama-steroid anamandla kunamanye. Isikhathi sabo sokusebenza siyahluka futhi. Ungakanani lo muthi noma lowo muthi uvusa ushukela wegazi - hlola nodokotela okuyalele wena. Ezimweni eziningi, umthamo ngamunye wama-steroid unyusa ushukela isikhathi esingamahora angama-6-48. Ngokunokwenzeka, kuzodingeka ukwandisa umthamo we-insulin ngo-50-300%.

Eminye imishanguzo

Le mithi elandelayo inyusa ushukela wegazi:

• izidakamizwa ze-diuretic;
• i-estrogen;
• testosterone
• ama-epinephrine kanye nokukhwehlela okukhwehlela okuqukethe;
• amanye ama-antibiotic;
• i-lithium;
• ama-beta-blockers, ikakhulukazi amadala - atenolol, propranolol nabanye;
• amaphilisi e-hormonal yegland gland.

Uma uqala ukuthatha noma iyiphi yezidakamizwa ezibalwe ngenhla, kuzodingeka ukuthi unyuse umthamo we-insulin. Sicacisa ukuthi amaphilisi e-hormonal gland gland adinga ukwanda komthamo we-insulin eyeluliwe.

Imiphi imishanguzo esehlisa ushukela:

• Mao inhibitors;
• izingcongconi ze-nicotine zokubhema;
• ezinye izidakamizwa ezilwa namagciwane nama-antidepressants (chaza!);
• amaphilisi kashukela (funda kabanzi ngemithi yesifo sikashukela ngemininingwane eminingi);
• imijovo yesifo sikashukela sohlobo 2 - iBaeta neVictoza.

Bonana nodokotela wakho obeka umuthi wokuthi uwuthinta kanjani ushukela wegazi. Kwesinye isikhathi udinga ukwehlisa umthamo we-insulin ngaphambi kwesikhathi. Kepha ezimweni eziningi, kungcono ukulinda ubone ukuthi umuthi omusha uzoba namuphi umphumela.

Ukunquma ukuthi ungashintsha kanjani umthamo we-insulin ngenkathi uthatha umuthi omusha, udinga ukukala ushukela nge-glucometer izikhathi eziyi-10-12 ngosuku bese ugcina amarekhodi. Udinga futhi ukuqonda kahle ukuthi i-insulin ende nokujovwa kwe-insulin kusebenza kanjani ekudleni. Funda izindatshana ezithi "Extended Insulin Lantus, Levemir and Protafan" ne "Fast Insulin Injections Ngaphambi kwesidlo." Shintsha ushukela omningi ngemijovo ye-insulin. ”

Isicanucanu, izinkinga zokugaya ukudla

Icala ngalinye lokucanuzelelwa kwenhliziyo kuyingozi enkulu ye-hypoglycemia kulabo abajova i-bolus insulin ngaphambi kokudla. Ngoba le insulin kumele imboze ukudla okungeke kugaywe noma kugwenywe. Isicanucanu kwenzeka njalo ezigabeni zokuqala zokukhulelwa nangesikhathi samakhemikhali. Ngaphansi kwezimo ezinjalo, zama isikhathi somjovo we-bolus insulin. Mhlawumbe kungcono ukukwenza ngaphambi kokudla, kodwa amahora ama-1-2 emva kwalokho, lapho usuvele wazi ukuthi ukudla okudlayo kuvame ukugaywa.

I-Gastroparesis yindlela ye-diabetesic neuropathy (ukulimala kohlelo lwezinzwa) lapho ukudla okuvela esiswini kungena emathunjini ngokubambezeleka isikhathi eside. Ukudla okudliwayo kugaywa kancane kunokujwayelekile. Ngakho-ke, ushukela ngemuva kokudla awuvuki masinyane, kodwa ngemuva kwamahora ambalwa. Uma ufaka i-insulin emfushane noma ye-ultrashort ekudleni, ungaqaphela ukuthi ushukela uyancipha ngemuva kokudla, bese ukhuphuka kakhulu ngemuva kwamahora ambalwa. Kungani lokhu kwenzeka? Lapho i-insulin esheshayo iqala ukusebenza, ukudla akukakudonswa. Futhi lapho ukudla sekugaywe ekugcineni futhi kwaqala ukukhuphula ushukela wegazi, isenzo se-insulin sase sivele simile.

Emzimbeni womuntu kunemisipha enikezela ukuhamba kokudla ngamathumbu, ikakhulukazi, ukuthululwa kwesisu. Le misipha ilawulwa uhlelo lwezinzwa. Ngaphezu kwalokho, lokhu kwenzeka ngokuzimela, okungukuthi, ngaphandle komcabango ongazi. Ngeshwa, kubantu abaningi, isifo sikashukela ngokuhamba kweminyaka silimaza izinzwa eziqhuba ipheshana lesisu. Ukuboniswa okukodwa kwalokhu yi-gastroparesis yesifo sikashukela - ukulibaziseka kokuqeda kwesisu.

Injongo yokwelashwa sikashukela ukugcina ushukela wegazi ojwayelekile, njengabantu abaphilile. Ngeshwa, uma isifo sikashukela se-gastroparesis sesivele sithuthukisiwe, khona-ke kunzima kakhulu ukufeza inhloso enjalo. Isiguli sikashukela esihlushwa i-gastroparesis singaba nezinkinga zokulawula ushukela wegazi, noma ngabe sishintshela ekudleni okunama-carbohydrate ambalwa, silandela ngokucophelela umbuso wokuziqapha kanye nokujova kwe-insulin.

Njengesifo sikashukela, i-gastroparesis ingazibonakalisa ngamazinga ahlukahlukene, kusukela kumnene kuze kube nzima. Ezimweni ezimbi kakhulu, iziguli ziyaqhubeka nokuqunjelwa, ukuqaqamba, ukushisa kwenhliziyo, isicanucanu, ukuqhakaza. Okuvame kakhulu i-gastroparesis ephansi yesifo sikashukela, lapho isiguli singazizwa izimpawu ezingenhla, kepha ushukela wakhe ushintsha ngokungalindelekile. Okubi kunakho konke, uma isiguli esine-gastroparesis siphatha isifo sikashukela nge-insulin. Ake sithi ufake i-insulin emfushane ngaphambi kokudla ukuvimbela ukugxuma kushukela wegazi. Kodwa ngenxa ye-gastroparesis, ukudla kuhlala esiswini, futhi ushukela awangeni egazini njengoba bekuhleliwe. Esimweni esinjalo, i-insulin inganciphisa ushukela wegazi ophansi kakhulu, ibangele i-hypoglycemia enkudlwana ngokulahlekelwa ukwazi.

I-Gastroparesis iyinkinga okufanele ibhekwe kakhulu, uma unesifo sikashukela "esinolwazi", bekulokhu kudla okulinganiselayo iminyaka eminingi, futhi ngenxa yalokhu, ushukela wakho wegazi uhlala uphakeme ngaso sonke isikhathi. Kodwa-ke, kunezindlela zokuthuthukisa kakhulu ukulawulwa kweshukela ezigulini ezine-gastroparesis yesifo sikashukela. Indawo yethu iqukethe imininingwane eyingqayizivele ekwelashweni kwale nkinga. Funda i-athikili enemininingwane, iDiabetesic Gastroparesis.

Ukulala

Ukulala kuyinqola enamandla yesifiso sokudla, amandla nesisindo somzimba. Ukushoda kokulala kukhulisa ukukhiqizwa kwama-hormone okucindezela, futhi lokhu kuyinkambiso yokulawulwa koshukela wegazi kushukela. Ukuntuleka kokulala kubuye futhi kwandise ukuthambekela kokudla ngokweqile, kuholele ekukhuluphiseni futhi kubangele ukumelana ne-insulin. Okubi kunakho konke, uma esikhundleni sokulala, uhlala emuva endaweni yokuhlala - bukela i-TV, njll. Nokho, uma usebenza kanzima noma udlala ezemidlalo ngesikhathi sokuphumula, ushukela ungehla ngezinga elijwayelekile.

Uma unenkinga yokulala, kulungele ukukhulisa imithamo yakho ye-insulin. Cishe kufanele ukwenze lokhu uma ulala ngaphansi kwamahora ayi-6 ngosuku. Kodwa-ke, uma uthatha isinqumo sokusebenza ebusuku kakhulu, khona-ke mhlawumbe umthamo we-insulin isikhathi eside uzoncishiswa ngo-20-40%. Gcina amaphilisi we-glucose esesandleni ukuvimbela nokumisa i-hypoglycemia.

Wonke umuntu uyazuza lapho eba nokulala okuzinzile nohlelo lokuvuka kwakhe. Uma ukuthola kunzima ukulala ebusuku ngokwanele, bese unikeza i-caffeine, ungalali phakathi nosuku, ungazivocavoci ebusuku. Yize umsebenzi wokuzivocavoca ntambama uzokusiza ulale kangcono ebusuku. Imvamisa, izinkinga zokulala zibangelwa uhlobo oluthile lokugula ngokomzimba noma ukuphazamiseka kwengqondo. Kulokhu, unganqikazi ukufuna usizo kochwepheshe.

Iziphetho

Sihlolisise imininingwane yesibili ethinta ushukela wegazi ezigulini ezinesifo sikashukela sohlobo 1 nohlobo 2. Ukwelashwa okuyinhloko wukudla okufanele, amaphilisi kanye nemijovo ye-insulin. Okuqukethwe kule ndatshana kuzokusiza nokuthi ubuyisele ushukela esimweni esivamile, esilawula ushukela.

Sibala lokho okuthinta ushukela wegazi:

• ukucindezela nentukuthelo
• ikhofi
• izifo ezithathelwanayo;
• isifo sikashukela se-gastroparesis, isicanucanu nokuhlanza;
• ukukhula ngokushesha ebusheni;
• ukwehla kwesisindo kanye nokuthola isisindo;
• ukusebenza komzimba;
• ukwanda kwe-Reflex ngemuva kwe-hypoglycemia;
• izidakamizwa ze-steroid;
• imisebenzi yokuhlinzwa;
• ukusebenza kanzima kwengqondo;
• isimo sezulu, izinga lokushisa kanye nomswakama;
• ukuphakama ngaphezu kwezinga lolwandle;
• ukuphuza utshwala;
• Ukuhamba
• ukulala okungajwayelekile, ukuntuleka kokulala.

Izici ezingeziwe zabesifazane:

• umjikelezo wokuya esikhathini;
• ukuya esikhathini
• ukukhulelwa

Funda i-athikili "Isifo Sikashukela Kwabesifazane" ukuthola eminye imininingwane.

Ungabuza imibuzo kumazwana, abaphathi besayithi bayashesha ukuphendula.