Ukuhlolwa kwesifo sikashukela: uhlu olunemininingwane

Ukuhlolwa okuyinhloko kwesifo sikashukela sohlobo 1 noma uhlobo 2 ukukala ushukela wakho wegazi ngemitha kashukela wekhaya. Funda ukukwenza nsuku zonke izikhathi eziningana. Qiniseka ukuthi imitha yakho inembile (ungakwenza kanjani lokhu). Chitha izinsuku zokuzithiba ngokuphelele koshukela okungenani kanye ngesonto. Ngemuva kwalokho, hlela ukulethwa kokuhlolwa kwebhubhoratri kwegazi, umchamo, i-ultrasound ejwayelekile nezinye izivivinyo.

Thatha izivivinyo zakho zelebhu yesifo sikashukela njalo, ngaphezu kokuthatha ushukela wakho wegazi nsuku zonke ngemitha kashukela wegazi.

Gada ushukela wakho wegazi ngohlelo lwe-2 yesifo sikashukela noma uhlobo lwe-1 yesifo sikashukela. Ngaphambi kokuthi uqale imisebenzi echazwa ngama-link, udinga ukuya kohlolwa esikhungweni sezokwelapha. Ngasikhathi sinye, phasa izivivinyo, ozokufunda ngokuningiliziwe kamuva kusihloko.

Ukuhlolwa kwesifo sikashukela - kungani futhi usithola kangaki

Ukuhlolwa kwesifo sikashukela kufanele kuthathwe njalo ukuze wazi izimpendulo zemibuzo elandelayo:

• Kulinyazwe kangakanani ama-pancreas akho? Ingabe amaseli we-beta akwazi ukukhiqiza i-insulin asasinda kuwo? Noma ingabe bonke bafa?
• Ngabe ukusebenza kwe-pancreatic kungcono kanjani ngoba wenza ukwelashwa? Uhlu lwale misebenzi lubandakanya uhlelo lokwelapha isifo sikashukela sohlobo 2 nohlelo lokuthola isifo sikashukela sohlobo 1. Ingabe akhona amaseli we-beta kuma-pancreas? Ingabe ukukhiqizwa kwe-insulin yakho kuyanda?
• Iziphi izingqinamba zesifo sikashukela esezivele zivele? Baqine kangakanani? Umbuzo obalulekile ukuthi ukuphi izinso zakho zikulesi simo?
• Ingakanani ingozi yokuthola izinkinga ezintsha zesifo sikashukela nokwandisa lezo esezivele zikhona? Ikakhulu, ubuphi ubungozi bokuhlaselwa yisifo senhliziyo nokushaywa unhlangothi? Ingabe iyancipha njengomphumela wokwelashwa?

Ukuhlolwa kwesifo sikashukela kufanele kuthathwe njalo. Imiphumela yabo ikhombisa ngokusobala ukuthi ungazuzisa kanjani umphumela wokulandela irejimeni nokugcina ushukela osezingeni eliphansi wegazi unjalo. Futhi funda i-athikili, "Izinjongo zokwelapha isifo sikashukela sohlobo 1 nohlobo 2," kanye nengxenye yayo, "Ongakulindela lapho ushukela wakho wegazi ubuyela kokujwayelekile."

Izinkinga eziningi zesifo sikashukela azikwazi ukuvimbela kuphela, kepha futhi ziguqulwe. Imiphumela yokwelapha isifo sikashukela ngokudla okuphansi kwe-carbohydrate nezinye izindlela zethu zingaba ngcono kakhulu kunalezo ezinikezwe indlela "yendabuko". Ngasikhathi sinye, okokuqala imiphumela yokuhlola iyathuthuka, bese kuba inempilo. Ngakho-ke, ukuhlolwa kwesifo sikashukela kuyinkomba ehola phambili yokwelashwa okusebenzayo.

Ngaphezu kwalokho esihlokweni, ukuhlaziya kuchazwa ngokuningiliziwe ukuthi kungakuhle ukusiphuza njalo ngesifo sikashukela. Iningi lazo liyazikhethela. Kungakuhle ukuthi uthathe izivivinyo elabhoratri elizimele elikhokhelwayo, okuyiqiniso elizimele, okungukuthi, alizenzi izingqinamba imiphumela elungele odokotela. Ama-laboratories amahle azimele nawo asebenzisa imishini entsha nama-reagents, ngakho-ke imiphumela yokuhlaziya inembe kakhudlwana. Uma kungenzeki ukusebenzisa izinsizakalo zabo, khona-ke hlola izivivinyo mahhala emtholampilo.

Uma ezinye izivivinyo zingenzeki ukuthi zidlule noma zibize kakhulu - ungazidonsa. Into esemqoka ukuthenga imitha kashukela wegazi ushukela futhi uvame ukulawula ushukela wegazi ngayo. Akunakusho ukuthi ungagcini emigqeni yokuhlola ye-glucometer! Kubalulekile futhi ukuthatha njalo ukuhlolwa kwegazi nomchamo ukuhlola ukusebenza kwezinso. Ukuhlolwa kwegazi ngamaprotheni e-C-reactive (hhayi ukuthi kudidaniswe ne-C-peptide!) Ezindaweni zokusebenzela yangasese ngokuvamile akubizi kakhulu futhi kuyinkomba enhle yengozi yokuhlaselwa yisifo senhliziyo noma unhlangothi, nokuthi ulawula kangakanani ukunciphisa lobu bungozi. Zonke ezinye izivivinyo - zinikeze noma nini lapho kungenzeka.

Glycated hemoglobin assay

Ukuhlolwa kwegazi kwe-glycated (glycosylated) hemoglobin. Uma ungayitholi i-insulin, khona-ke lokhu kuhlolwa kufanele kuthathwe amahlandla ama-2 ngonyaka. Uma welapha isifo sikashukela ngemijovo ye-insulin - amahlandla amane ngonyaka. Ngemininingwane eminingi bheka isihloko esithi "Ukuhlolwa kwegazi kwe-hemoglobin ye-glycated".

Ukuhlolwa kwegazi kwe-glycated hemoglobin HbA1C ilungele kakhulu ukutholakala kokuqala kwesifo sikashukela. Kepha lapho ukwelashwa kwalesi sifo kulawulwa ngosizo lwayo, okungukuthi, nuance obalulekile. I-HbA1C ikhombisa ushukela wegazi ojwayelekile ezinyangeni ezi-3 ezedlule. Kepha akasiniki imininingwane yokuthi leli zinga lishintshile kangakanani.

Ezinyangeni ezedlule, umuntu onesifo sikashukela kungenzeka ukuthi waba nokugxuma okuvamile - ukusuka ku-hypoglycemia kuya kushukela wegazi ophakeme kakhulu, futhi impilo yakhe yalimala kabi. Kepha uma isilinganiso isilinganiso sikashukela esegazini siseduze nokujwayelekile, ke lokho kuhlaziywa kwe-HbA1C ngeke kukhombise lutho olukhethekile. Ngakho-ke, kushukela, ukuhlaziywa kwe-hemoglobin ye-glycated akususi isidingo sokukala ushukela wakho wegazi nsuku zonke izikhathi eziningana nge-glucometer.

Ukuhlolwa kwegazi kwe-C-peptide

I-C-peptide yiprotheni enamathele kusuka ku-molecule ye- "proinsulin" lapho i-insulin ihlanganiswa kusuka kuyo kumanyikwe. Ingena egazini nge-insulin. Ngakho-ke, uma i-C-peptide ijikeleza egazini, kusho ukuthi umzimba usaqhubeka nokukhiqiza i-insulin yayo. Futhi i-C-peptide ethe xaxa egazini, kungcono ukuthi ama-pancreas asebenze. Ngaso leso sikhathi, uma ukuqoqwa kwe-C-peptide esegazini kuphakeme kunokwejwayelekile, khona-ke izinga le-insulin liphakeme. Lokhu kubizwa ngokuthi yi-hyperinsulinism (hyperinsulinemia). Lokhu kwenzeka kaningi ezigabeni zokuqala zesifo sikashukela sohlobo 2 noma isiguli sine-prediabetes kuphela (ukubekezelela ushukela).

Ukuhlolwa kwegazi kwe-C-peptide kwenziwa kangcono ekuseni ngesisu esingenalutho, futhi ngesikhathi lapho ushukela wegazi uvamile, ungaphakanyisiwe. Ngasikhathi sinye nalokhu kuhlaziywa, kungakuhle ukuthatha ukuhlolwa koshukela egazini noma umane ulinganise ushukela wegazi ngemitha yeglucose yasekhaya. Udinga ukuhlaziya imiphumela yokuhlaziya kokubili ngasikhathi sinye. Uma ushukela wegazi ujwayelekile futhi i-C-peptide iphakanyisiwe, khona-ke lokhu kusho ukumelana ne-insulin (ukuthi kuyini nokuthi kufanele ukwelashwa kanjani), i-prediabetes noma isigaba sokuqala soshukela sohlobo 2. Esimweni esinjalo, sekuyisikhathi sokuqala ukwelashwa ngokudla okunama-carbohydrate aphansi, ukuzivocavoca ngentokozo futhi (uma kunesidingo) amaphilisi weSiofor (iGlucofage). Ngaso leso sikhathi, ungagijimisi ukwenza imijovo ye-insulin - ngokutholakala okukhulu uzokwazi ukuyenza ngaphandle kwabo.

Uma bobabili ushukela wegazi ne-C-peptide bephakanyisiwe, khona-ke lolu uhlobo “lwesifo sikashukela” oluthuthukisiwe. Noma kunjalo, mhlawumbe kuzophathwa ngaphansi kokulawulwa ngaphandle kwe-insulin, kusetshenziswa izindlela ezibalwe ngenhla, yize isiguli kufanele sigcine lo mkhawulo ngokucophelela ngisho nangokwengeziwe. Uma ushukela wegazi uphakanyisiwe, futhi i-C-peptide incane, lapho-ke ama-pancreas asevele alimala kakhulu. Kungaba yisifo sikashukela esijwayelekile esingu-2 noma uhlobo 1 sikashukela. Lapha, akunakwenzeka ukwenza ngaphandle kwe-insulin. Yebo, uma izinkinga ezingenakuguqulwa zesifo sikashukela zingakabi nesikhathi sokukhula.

Kungcono ukuthatha ukuhlolwa kwegazi kwe-serum C-peptide lapho usanda kuqala ukwelapha isifo sikashukela. Ngokuzayo, awukwazi ukukuphinda futhi ugcine ngale ndlela, uma kunesidingo.

Ukuhlolwa kwegazi okujwayelekile kanye ne-biochemistry yegazi

I-biochemistry yegazi isethi yokuhlola edluliselwa ngokwesiko lapho ihlolwa noma yikuphi ukuhlolwa kwezokwelashwa. Ziyadingeka ukuthola izifo ezifihliwe emzimbeni womuntu, ngaphezu kwesifo sikashukela, nokuqala ukuzelapha ngesikhathi. Umsizi welebhu uzonquma inani lezinhlobo ezahlukahlukene zamaseli egazini - amaseli egazi abomvu namhlophe, kanye nama-platelet. Uma kunamaseli wegazi amhlophe amaningi, kusho ukuthi inqubo yokuvuvukala iyaqhubeka. Udinga ukuthola ukutheleleka futhi ukwelaphe. Uma kukhona amangqamuzana abomvu kakhulu egazi, lokhu kuwuphawu lwe-anemia.

Izimbangela ezifanayo ezidala isifo sikashukela sohlobo 1, ngeshwa, zivame ukubangela ukwehluleka kwe-androgen ngasikhathi sinye. Le nkinga ikhonjiswa inani elincishisiwe lamaseli amhlophe egazi. Uma ukuhlolwa kwegazi okujwayelekile "kusikisela" ekusebenzeni okubuthakathaka kwe-yegilo yegilo, lapho-ke udinga ukuthatha ukuhlolwa kwegazi okungeziwe ngamahomoni ayo. Kufanele wazi ukuthi ekuhlolweni kwe-yegilo yegilo, akwanele ukwenza ukuhlolwa kwegazi kwehomoni ekhuthaza ukusebenza kwe-thyroid (thyrotropin, TSH). Kufanele futhi uhlole amanye ama-hormone ngokushesha - i-T3 mahhala ne-T4 mahhala.

Izimpawu zezinkinga ze-yegilo ukukhathala okungapheli, ukubanda okuqandayo, kanye nokulimala kwemisipha. Ikakhulu uma ukukhathala okungamahlalakhona kuphikelela emuva kokuthi ushukela wegazi sehliselwe kokujwayelekile ngokudla okuphansi kwe-carbohydrate. Ukuhlaziywa kwama-hormone e-thyroid akusi eshibhile, kepha kumele kwenziwe uma kunesidingo. Ukusebenza kwe-yegilo yegilo kutholakala njengokujwayelekile ngosizo lwamathebulethi anqunywe yi-endocrinologist. Isimo seziguli sivame ukuthuthuka kakhulu ngenxa yokuphuza la maphilisi, ukuze imiphumela yokwelashwa iqinisekise imali esetshenzisiwe, isikhathi nomzamo.

I-Serum ferritin

ISerum ferritin iyinkomba yezitolo zensimbi emzimbeni. Imvamisa lokhu kuhlolwa kwegazi kunqunywa uma isiguli sisolwa ngokuba ne-anemia ngenxa yokushoda kwe-iron. Bambalwa odokotela abakwazi lokho, ngakolunye uhlangothi, ngokweqile i-iron iyimbangela evamile yokuncipha kokuzwela kwezicubu ku-insulin, i.e., ukumelana ne-insulin. Kubhubhisa nezindonga zemithambo yegazi futhi kusheshise ukuqala kokushaya kwenhliziyo. Ngakho-ke kufiseleka kakhulu ukudlulisela ukuhlaziywa kwe-serum ferritin kunoma yikuphi, kanye nayo yonke inkimbinkimbi ye-biochemistry yegazi. Uma lokhu kuhlaziya kukhombisa ukuthi unensimbi eningi emzimbeni, lapho-ke kuzoba wusizo ukuba ngumnikeli wegazi. Lokhu akusilo ihlaya. Ukunikela ngegazi kuyindlela enhle yokwelapha ukumelana ne-insulin nokuvimbela ukushaya kwenhliziyo ngokukhipha umzimba wakho ngensimbi eyeqile.

ISerum Albumin

Lokhu kuvivinya kuvame ukufakwa kwi-biochemistry yegazi. Ukunciphisa i-albhamu ye-serum kusho ubungozi obukhulu bokufa kusuka kunoma yisiphi isizathu. Futhi, bambalwa odokotela abaziyo ngalokhu. Uma uthola i-albhamu ye-serum ephansi, udinga ukubheka imbangela futhi uyiphathe.

Ngomfutho wegazi ophakeme - ukuhlolwa kwegazi kwe-magnesium

Uma isiguli sinomfutho wegazi ophakeme, khona-ke e-United States "ngokuzenzakalelayo" khetha ukuhlolwa kwegazi kwe-magnesium kumaseli abomvu egazi. Emazweni akhuluma isiRussia, lokhu kuhlaziywa akukenziwa. Ungayihlanganisi nokuhlaziywa kwe-magnesium ku-plasma wegaziokungathembeki! Kuhlala kuvela ukuthi kuyinto ejwayelekile, noma ngabe umuntu enesifo sokukhubazeka okuthiwa yi-magnesium. Ngakho-ke, uma une-hypertension, kepha izinso zisasebenza ngokujwayelekile noma kancane, zama nje ukuthatha iMagnesium-B6 kwimithamo emikhulu, njengoba kuchazwe lapha. Futhi hlola ngemuva kwamasonto amathathu ukuthi impilo yakho ithuthukile yini.

I-Magnesium-B6 yiphilisi eliyisimangaliso eliwusizo ukuthatha ama-80-90% wabantu. Yilezi:

• umfutho wegazi ophansi;
• asize nganoma yiziphi izinkinga zenhliziyo - i-arrhythmia, tachycardia, njll;
• khulisa ukuzwela kwezicubu kwe-insulin;
• thambisa, unciphise ukuchitheka, uthuthukise ukulala;
• yenza kube lula ukusebenza kwamathumbu;
• yenza lula i-premenstrual syndrome kwabesifazane.

Qaphela Ungathathi noma yimaphi amaphilisi, kufaka phakathi i-magnesium-B6, ngaphandle kokubonana nodokotela uma ukhiqize ukulimala kwezinso likashukela (nephropathy). Ikakhulu uma izinga lokuhlunga le-glomerular lingaphansi kwama-30 ml / min / 1.73 m2 noma uphethwe yi-dialysis.

Ingozi yokuhlaselwa yisifo senhliziyo nokushaywa unhlangothi: ungayinciphisa kanjani

Izinto eziningi zizungeza egazini lomuntu, ezibonisa ubungozi bakhe obuphansi, obuphakathi noma obuphakeme bokuhlaselwa yinhliziyo nokushaywa unhlangothi. Manje ubuchwepheshe buvumela ukusebenzisa ukuhlolwa kwegazi ukuthola kalula ukuqoqwa kwalezi zinto, futhi kulula kakhulu kodokotela nasezigulini. Kunezindlela zokwelapha ezinganciphisa ubungozi bezinhliziyo, futhi ngokuqhubekayo esihlokweni uzofunda ngabo.

Kubalulekile ukunaka ukuvikela kokuhlaselwa yisifo senhliziyo nokushaywa unhlangothi, kanye nokwelashwa kwesifo sikashukela. Ngemuva kwakho konke, yini iphuzu lokujwayeza ushukela wegazi kuphela ukuze ekugcineni kwenhliziyo kuhlaselwe yinhliziyo? Landela izincomo ezilula, landela umbuso - futhi ungaphila kuze kube yisikhathi esidala kakhulu ngaphandle kwezinkinga zesifo sikashukela, ngenhliziyo enempilo futhi nomsebenzi wokuzivikela ocansini, kufinyelela umona kontanga.

Izindaba ezimnandi ukuthi ukudla okune-carbohydrate ephansi kuvamile ushukela wegazi futhi ngasikhathi sinye kubeke ingozi engcupheni yenhliziyo yakho. Lokhu kuzoqinisekisa umehluko emiphumeleni yokuhlaziywa “ngaphambili” kanye “nangemva” kokuguqukela esimweni esisha sokudla. Isifundo somzimba sibuye sibe nomphumela omuhle wokwelapha ophindwe kabili. Kodwa-ke, ukuvimbela ngokucophelela ukuhlaselwa yisifo senhliziyo nokushaywa unhlangothi kungadinga izindlela ezengeziwe, ozofunda ngazo ngezansi. Uma ufuna ukuphila isikhathi eside, akufanele ungayinaki le misebenzi.

Funda izindatshana ezinemininingwane

• Ukuvimbela ukushaya kwenhliziyo nokushaywa unhlangothi. Izici zobungozi nokuthi ungaziqeda kanjani.
• I-Atherossteosis: ukuvimbela kanye nokwelashwa. I-atherosclerosis yemikhumbi yenhliziyo, ubuchopho, amasheya aphansi.
  

Izinkinga ze-yegilo: Ukuxilongwa Ukwelashwa

Njengoba kushiwo ngenhla, uma usebenzisa ukudla okune-carbohydrate ephansi ukulawula uhlobo 1 noma isifo sikashukela 2, khona-ke ezimweni eziningi imiphumela yokuhlolwa kwegazi kwezici zengozi yemithambo yegazi nayo iyathuthuka. Kodwa-ke, kwesinye isikhathi ukuhlaziya kukhombisa ukuthi ubungozi bethambo ayincishiswanga, noma bande. Ezimweni ezinjalo, udinga ukwenza izivivinyo zama-hormone egilo. Futhi njalo (!) Kuyavela ukuthi izinga labo esegazini lesiguli lingaphansi kwesijwayelekile.

Enye yezimbangela zesifo sikashukela ukungasebenzi kahle emasosheni omzimba. Ngenxa yalokhu kwehluleka, amasosha omzimba ahlasela futhi abhubhise amaseli we-pancreatic beta akhiqiza i-insulin. Ngeshwa, indlala yegilo ihlaselwa “ngenxa yenkampani”, ngenxa yalokho umsebenzi wayo uncishisiwe.

I-Hypothyroidism ukugula okungapheli, okuqhubekayo kwama-hormone egilo. Imvamisa kwenzeka kubantu abanesifo sikashukela nezihlobo zabo eziseduze. I-Hypothyroidism ingaqala iminyaka eminingi ngaphambi kokuba isifo sikashukela sikhule, noma okuphambene nalokho kamuva. Ucwaningo lukhombisa ukuthi izinkinga nge-yegilo yegilo ikhulisa kakhulu ingozi yokuhlaselwa yisifo senhliziyo nokushaywa unhlangothi, futhi lokhu kukhombisa imiphumela yokuhlolwa kwegazi ngenxa yezici zobungozi bethambo.

Isiphetho: uma, ngokubhekene nesizinda sokudla okune-carbohydrate ephansi, imiphumela yokuhlolwa kwegazi ngezinto ezibeka engcupheni yenhliziyo ihlasela, khona-ke indlala yegilo kufanele ihlolwe futhi ilashwe. Kulokhu, qhubeka unamathela ekudleni okuphansi kwe-carbohydrate. Ukukhokhela i-hypothyroidism, i-endocrinologist izonikeza amaphilisi aqukethe ama-hormone anganele emzimbeni. Zithathwa izikhathi ezi-1-3 ngosuku, ngokwesincomo sikadokotela.

Inhloso yokwelashwa ukwandisa ukugcwala kwama-hormone triiodothyronine (T3 free) ne-thyroxine (T4 mahhala) ibe sezingeni eliphakathi nendawo. Njengomthetho, le nhloso itholakala kakhulu. Ngenxa yalokhu, iziguli zizizwa zingcono futhi nengozi yokuhlaselwa yinhliziyo nokushaywa unhlangothi iyancishiswa. Khumbula ukuthi ukuhlolwa kwegazi kwehomoni ekhuthaza i-thyroid (thyrotropin, TSH) akwanele. Amanye ama-hormone egilo adinga ukuhlolwa - mahhala i-T3 ne-T4 mahhala.

Insimbi ethe xaxa emzimbeni

I-Iron iyinto ebalulekile kubantu. Kepha ukweqisa kwayo kungabulala. Uma umzimba uqongelele izinqolobane ezinkulu kakhulu zensimbi, lokhu kunciphisa ukuzwela kwezicubu kuya ku-insulin (kwandisa ukumelana ne-insulin), kuyingozi engcupheni yezifo zenhliziyo, kanye nomdlavuza wesibindi. Le nkinga ivame kakhulu kwabesilisa kunabesifazane ngaphambi kokuya esikhathini. Ngoba abesifazane balahlekelwa yinsimbi ngesikhathi sokuya esikhathini.

Thatha ukuhlolwa kwegazi kwe-serum albhamuin ne-ferritin, okuxoxwe ngakho ngenhla esihlokweni. Uma imiphumela ingaphezulu kwesejwayelekile, bese kuba ngumhlinzeki wegazi ukuze ususe i-iron ethe xaxa emzimbeni bese unciphisa ubungozi bokuhlaselwa yisifo senhliziyo. Zama ukuthatha amaphilisi e-multivitamin angenayo i-iron. Isibonelo, lawa ngama-multivitamini.

Ngakolunye uhlangothi, i-anemia yokuntuleka kwe-iron ingadala ukukhuluphala okungalawulwa. Esimweni esinjalo nesifo sikashukela, akunakwenzeka ukulawula kahle ushukela wegazi. Uma kunesidingo, amalungiselelo e-iron wokugaya kalula enza ukungabi nalutho emzimbeni. Inkinga yokushoda kwensimbi kulula kakhulu ukuyixazulula kunenkinga yokuqhela kwayo.

Ukuhlolwa kwegazi kwe-cholesterol

Ukuhlolwa kwegazi kwe-cholesterol kufakiwe ohlwini lokuhlolwa kwe-lipid metabolism. Lokhu kufaka phakathi:

• i-cholesterol ephelele;
• I-cholesterol "enhle" - lipoproteins ephezulu;
• “Kubi” cholesterol - low density lipoproteins;
• triglycerides.

Ungazibeki esivivinyweni segazi seyonke i-cholesterol, kepha qiniseka ukuthola ukuthi yiziphi izinkomba zakho zokwehlukanisa “okuhle” kanye “nokubi” cholesterol, kanye ne-triglycerides. Lezi zivivinyo zingaphinde zithathwe emavikini angama-4-6 ngemuva kokushintshela ekudleni okuphansi kwe-carbohydrate. Uma kungekho zinkinga nge-gland yegilo, khona-ke imiphumela emisha kufanele ibe ngcono kakhulu kunalena eyedlule. Thola ukuthi yini ama-triglycerides kumaProtein, Amafutha, kanye nama-Carbohydrate e-Healthy Diet for Diabetes.

Yini okuhle nokubi cholesterol

Ngemuva kokufunda i-athikili yethu, uzokwazi ukuthi i-cholesterol ihlukaniswe yaba "kukuhle" nokuthi "kubi". I-cholesterol enhle - lipoprotein ephezulu kwabantu - ivikela imithambo yegazi. Ngokuphambene nalokho, i-cholesterol embi ibhekwa njengembangela ye-atherosclerosis kanye nokuhlasela kwenhliziyo okwalandela. Lokhu kusho ukuthi ukuhlolwa kwegazi kwe-cholesterol ephelele, ngaphandle kokuyihlukanisa kube "kukuhle" nokuthi "kubi", akusivumeli ukuthi sihlole ubungozi bethambo nenhliziyo.

Kufanele futhi wazi ukuthi inqwaba ye-cholesterol ejikeleza egazini ikhiqizwa esibindini, futhi ingaveli ngokuqondile ekudleni. Uma udla ukudla okugcwele i-cholesterol, ebhekwa njengeyingozi (inyama enamafutha, amaqanda, ibhotela), isibindi sizomane sikhiqize i-cholesterol "embi" encane. Futhi okuphambene nalokho, uma udla ukudla okungahlali kahle ku-cholesterol, isibindi siyakuhlobisa ngokwengeziwe, ngoba i-cholesterol iyadingeka empilweni, yenza imisebenzi ebalulekile emzimbeni.

Izinga elikhulayo le-cholesterol "embi" - i-lipoproteins ephansi - kusho ubungozi obukhulu be-atherossteosis, ukushaya kwenhliziyo noma unhlangothi. Le nkinga ihlala ivela kubantu abanokukhuluphala noma isifo sikashukela. Uma unamathela ekudleni okuphansi kwe-carbohydrate, khona-ke izinga le-cholesterol "embi" esegazini livama ukwehla ngemuva kwamasonto ayi-6.

I-cholesterol enhle - ama-lipoprotein aphezulu kwabantu - ivikela imithambo yegazi ingaphakathi emonakalweni yi-atherossteosis. Ngenxa yalokhu, ukutholakala kwegazi okujwayelekile enhliziyweni nasengqondweni kuyagcinwa. Ukudla okuqukethe i-cholesterol kwandisa izinga le-cholesterol “enhle” egazini. Zama ukudla okune-carbohydrate eningi, ukuhlolwa kwegazi “ngaphambili” kanye “nangemva” - uzibonele. Futhi abasakazeli bokudla okunamafutha amancane abonakala elungele inhliziyo nemithambo yegazi bangama-charlatans nje. Esikhathini sikashukela, ukudla "okunokulinganisela" kuyingozi ikakhulukazi ngoba kubangela ukugxila kushukela wegazi kanye nokukhula ngokushesha kwezinkinga.

Abanye abantu abanenhlanhla - kuthiwa banqunyelwe izakhi zofuzo ukuba babe nezinga elikhuphukile lekholesterol “embi” egazini labo. Kulokhu, ukudla okune-carbohydrate ephansi ngaphandle kokuthatha amakhambi akhethekile akusizi. Kepha bambalwa abanalezi ziguli; akuvamile ukuba zitholakale kwezokwelapha. Njengomthetho, awudingi ukuthatha amaphilisi ukwehlisa i-cholesterol. Uma uthatha uhlobo oluthile lomuthi ekilasini lama-statin ukuthuthukisa i-cholesterol yakho, khona-ke ngemuva kokushintshela ekudleni okune-carbohydrate ephansi, ungawenqaba la maphilisi futhi ungabe usabhekana nemiphumela yako emibi.

Ukuqina kwe-atherogenic

Ukuhlola ubungozi bethambo nemithambo yegazi, kubalwa isilinganiso se-cholesterol “embi” negazi “elihle” egazini lesiguli. Lokhu kubizwa ngokuthi yi-atherogenic coeffnty (CA). Kubalwa ifomula:

Ama-HDL ama-lipoprotein aphezulu kwabantu, okungukuthi, "okuhle" cholesterol. I-cooleffic ye-atherogenic kumele ibe ngaphansi kuka-3.

Sifinyelela iziphetho:

• Ungaba ne-cholesterol ephezulu futhi ngasikhathi sinye ubungozi besifuba. Lokhu kwenzeka kaningi ekudleni okuphansi kwe-carbohydrate, lapho i-cholesterol "enhle" iphakeme futhi "kubi" kungaphansi kwemikhawulo ejwayelekile, futhi i-atherogenic coefflements ingaphansi kuka-2,5.
• I-cholesterol esezingeni eliphansi ayisho ukuthi ayikho ingozi ebangelwa yinhliziyo. Ngenxa ye-cholesterol "enhle" ephansi, i-coheroffi ye-atherogenic ingaphakanyiswa.
• Khumbula futhi ukuthi isigamu sokuhlaselwa yinhliziyo senzeka kubantu abanamandla abo aphelele we-atherogenic. Ngakho-ke, udinga ukunaka ezinye izici zokuzibeka engcupheni yenhliziyo. Funda imininingwane engezansi.

Phambilini bekukhona kuphela i-cholesterol “enhle” ne “embi”. Ngasekupheleni kweminyaka yama-1990s, lesi sithombe somhlaba esilula saba nzima kakhulu. Ngenxa ye-cholesterol "embi", ososayensi bahlonze "okubi kakhulu" kakhulu. Manje usungathatha olunye uhlolo lwe-lipoprotein (a). Kuyasiza ukunquma ukuthi isiguli sidinga yini ukuthatha amaphilisi ukwehlisa i-cholesterol ebizwa ngokuthi ama-statins.

Uma i-cholesterol “embi” iphakeme, kepha i-lipoprotein (a) kuyinto ejwayelekile, khona-ke amaphilisi angeke abekwe. Imithi evela esigabeni sama-statin ayibizi kakhulu futhi iba nemiphumela emibi engemihle. Uma ukwazi ukwenza ngaphandle kwabo, kungcono ukungazamukeli. Funda izindlela zemvelo zokunciphisa i-atherosclerosis, imvamisa ngaphandle kwama-statin. I-Lipoprotein (a) kuxoxiswana ngayo ngokuningana esihlokweni.

I-cholesterol kanye nengozi ye-Cardiovascular: Ukutholakele

Iningi labantu lokuguqula i-cholesterol ejwayelekile ukudla okwanele okune-carbohydrate, ngaphandle kwamaphilisi avela esigabeni sama-statins. Khumbula into esemqoka: Amafutha okudla awalikhulisi izinga “elibi”, kodwa “amahle” cholesterol egazini. Zizwe ukhululekile ukudla amaqanda, inyama enamafutha, ibhotela nezinye izinto ezinhle. Hlola ushukela wegazi lakho ngemitha kashukela egazini izikhathi eziningana ngosuku. Thatha ukuhlolwa kwe-cholesterol yakho manje, bese uphinde emva kwezinyanga eziyi-1.5. Futhi qiniseka ukuthi yikuphi ukudla okukusizayo.

Ngaphezu kwe-cholesterol "enhle" ne "embi", kunezinye izici zobungozi be-zenhliziyo:

• Amaprotheni asebenzayo;
• I-Fibrinogen;
• I-Lipoprotein (a);
• Homocysteine.

Sekufakazelwe ukuthi bangabikezela ubungozi bokuhlaselwa yisifo senhliziyo noma unhlangothi ngokunembe kakhulu kunokuhlolwa kwegazi kwe-cholesterol. Isigamu sokuhlaselwa yinhliziyo senzeka kubantu abane-cholesterol ejwayelekile yegazi. Lapho umuntu onesifo sikashukela ekwazi ukulawula ushukela wakhe wegazi ngokudla okune-carbohydrate ephansi, imiphumela yako lonke ukuhlolwa kwegazi kwezici zobungozi benhliziyo kuvame ukuthuthuka. Kodwa-ke, ukuvimbela ngokucophelela ingozi ye-inhliziyo kungadinga izinyathelo ezengeziwe. Funda ngaphezulu ngezansi.

Ukuqina kwamaprotheni e-C-reactive kanye / noma i-fibrinogen egazini kuyanda lapho inqubo yokuvuvukala yenzeka, futhi umzimba uyalwa nayo. Ukuvuvukala okwenzeka kuyinkinga yempilo ejwayelekile futhi ebucayi. Iziguli zesifo sikashukela zidinga ukwazi ukuthi yini ebaluleke kakhulu kunabo bonke abanye abantu. Ukuvuvukala okungamahlalakhona okungapheli kuyingozi enkulu yokuhlaselwa yinhliziyo. Ngohlobo 1 noma isifo sikashukela sohlobo 2, sikhulisa nokuzwela kwezicubu zesenzo se-insulin. Ngakho-ke, ukulawula ushukela wegazi kuba nzima ngokwengeziwe. Bheka incwadi yethu yokuhlaselwa yinhliziyo nesihloko sokuvimbela unhlangothi. Landela uhlu lwezindlela ezinconyiwe lapho.

Amaprotheni asebenzayo

Amaprotheni e-c-reactive angenye yamaprotheni e-plasma eqembu “lesigaba esibuhlungu”. Ukuhlushwa kwabo egazini kukhuphuka ngokuvuvukala. Amaphrotheni e-C-reactive adlala indima ebalulekile yokuvikela ngokubopha i-bacterium polysaccharide Streptococcus pneumoniae. Kusetshenziswe ekuxilongeni kwemitholampilo njengenye yezinkomba zokuvuvukala. Uma kungekho ukutheleleka okusobala, ke iningi imbangela yamazinga akhuphukayo e-C-protein esebenzayo egazini yi-caries cental. Endaweni yesibili isifo sezinso esivuvukayo, silandelwa yi-rheumatism. Phulukisa amazinyo akho ukuze unciphise ingozi yakho yokuhlaselwa yisifo senhliziyo!

Funda i-athikili enemininingwane “Ukuhlolwa kwegazi ngamaprotheni asebenza ngokusebenza kwe-C. Amazinga wamaphrotheni asebenzayo. ”

Homocysteine

I-Homocysteine ​​iyi-amino acid enganikezwanga ngokudla, kepha yenziwa kusuka ku-methionine. Kutholakala emzimbeni, i-homocysteine ​​iqala ukuhlasela udonga lwangaphakathi lwemithambo yegazi. Kwenziwa ikhefu layo, umzimba elizama ukulipholisa, glue. I-cholesterol ne-calcium zifakwa kumphezulu owonakele, zakha i-atherosclerotic plaque, ngenxa yalokho ukukhanya komkhumbi kuncipha, kwesinye isikhathi kuze kube yilapho kuvalwa. Imiphumela ukushaywa unhlangothi, i-myocardial infarction, i-pulmonary thromboembolism.

Kukholelwa ukuthi ukubhema kukhulisa kakhulu ukuhlushwa kwe-homocysteine ​​egazini. Futhi, ukusetshenziswa kwezinkomishi eziningana zekhofi ngosuku kungenye yezinto ezinamandla ezifakwayo ekwandeni kwamazinga we-Homocysteine. Abantu abanamazinga aphakeme we-homocysteine ​​egazini banengozi eyengeziwe yesifo se-Alzheimer's kanye ne-senile dementia. Ngokuhlanganiswa kwe-Homocysteine ​​ekhuphukayo nesifo sikashukela, izinkinga zamathambo zivame ukwenzeka - isifo se-peripheral vascular isifo, i-nephropathy, i-retinopathy, njll.

Izinga le-homocysteine ​​egazini likhuphuka ngenxa yokushoda kwe-folic acid, kanye namavithamini B6, B12 ne-B1. UDkt Bernstein ukholelwa ukuthi ukuthatha i-Vitamin B12 ne-folic acid egazini ukwehlisa i-homocysteine ​​akunamsebenzi futhi kukhulisa nokufa kwabantu. Kodwa-ke, ochwepheshe abaningi bezenhliziyo baseMelika bangabasekeli abashisekayo balesi silinganiso. Inceku yakho ethobekile, futhi, ngithatha i-tata yama-B amavithamini kumithamo emikhulu (50 mg ngalinye lamavithamini B6, B12, B1 nabanye), amaphilisi ayi-1-2 nsuku zonke.

I-Fibrinogen ne-lipoprotein (a)

I-Fibrinogen yiprotheni ekhiqizwa esibindini futhi iphenduka ibe yi-fibrin engabonakali - okuyisisekelo sethambo ngesikhathi sokuqina kwegazi. U-Fibrin wabe esebumba i-clot yegazi, eqeda inqubo yokujiya kwegazi. Okuqukethwe kwe-fibrinogen egazini kuyakhuphuka ngokuvela kwezifo ezingelapheki kanye nezasendulo zokuvuvukala nokufa kwezicubu. I-Fibrinogen, njengamaprotheni e-C-reactive, isho amaprotheni esigaba esibi.

I-Lipoprotein (a) - "kubi kakhulu" cholesterol. Kuyisici esiyingozi sesifo senhliziyo kanye nezinye izifo zenhliziyo. Indima yomzimba ayikasungulwa.

Uma egazini kunesilinganiso esiphakeme sento eyodwa noma eziningana zezinto ezifakwe ngaphezulu, khona-ke lokhu kusho ukuthi inqubo yokuvuvukala iyaqhubeka. Umzimba kungenzeka ulwe nokutheleleka okufihliwe. Kungani kubi lokhu? Ngoba kulesi simo, izikebhe zimbozwa ngokushesha zivela ngaphakathi ngezindawo ezinamakhemikhali. Kuyingozi enkulu ingozi eyandayo yokuqhekeka kwegazi nokuvalwa kwemithambo yegazi. Ngenxa yalokho, ukuhlaselwa yinhliziyo noma unhlangothi kungenzeka. E-diabetesics, ukuvuvukala kwe-latent futhi kubhebhethekisa ukumelana ne-insulin futhi kwandise isidingo se-insulin. Funda "Ukuvuvukala yimbangela efihlekile yokumelana ne-insulin."

Ukuhlolwa okungekuhle kwe-fibrinogen noma i-lipoprotein (a) yesifo sikashukela nakho kusho ingozi eyengeziwe yokuthola ukuhluleka kwezinso noma izinkinga zokubuka. Ukukhuluphala ngokweqile, ngisho noshukela wegazi ojwayelekile, kubangela ukuvuvukala kwamuva futhi ngaleyo ndlela kukhuphula izinga leproteyini e-C-reactive. Ukuhlolwa kwegazi kwamaprotheni e-C-reactive, i-fibrinogen, ne-lipoprotein (a) kuyizinkomba ezithembeke kakhulu zengozi yokuhlaselwa yisifo senhliziyo noma unhlangothi kune-cholesterol. Lapho ushukela wegazi usujwayelekile ngenxa yokudla okuphansi kwe-carbohydrate, imiphumela yokuhlolwa kwegazi yazo zonke lezi zinto ezibeka engcupheni yenhliziyo nayo iba ngcono.

Amazinga we-fibrinogen wegazi angaphakama ngenxa yokulimala kwezinso likashukela (nephropathy). Izindaba ezimnandi ukuthi ngesikhathi sokuqala, i-nephropathy yesifo sikashukela ayikwazi ukuvimba kuphela, kepha futhi ibuyiselwe emuva. Kunobufakazi bokuthi ukusebenza kwezinso kubuyiselwa kancane kancane uma wehlisela ushukela wegazi lakho kuye ngokujwayelekile futhi uligcina livamile ngaso sonke isikhathi. Ngenxa yalokhu, okuqukethwe yi-fibrinogen esegazini nakho kuzokwehlela kokujwayelekile.

Lapho umuntu onesifo sikashukela ehlisa ushukela wegazi lakhe ngokujwayelekile ngokudla okune-carbohydrate ephansi, imiphumela yokuhlolwa kwegazi lakhe nge-lipoprotein (a) ivame ukuthuthuka. Kodwa-ke, zingahle zingathuthuki ngokujwayelekile uma ngabe unqunyelwe ngofuzo i-cholesterol ephezulu yegazi. Kwabesifazane, amazinga e-estrogen anciphile futhi angawenza kabi amaphrofayili we-cholesterol.

Ukuntuleka kwama-hormone egilo kuyimbangela evamile yamazinga aphezulu e-cholesterol “embi”, i-homocysteine, ne-lipoprotein (a) egazini. Lokhu kuyiqiniso ikakhulukazi kwabanesifo sikashukela, lapho amasosha omzimba ehlasela kuwo indlala yegilo “ngenxa yokuhlangana” namanyikwe. Okufanele ukwenze kuleli cala kuchazwe kabanzi esihlokweni esingehla.

Ukuhlolwa kwezinso okunesifo sikashukela

Ngesifo sikashukela, izinso ziyalimala ngenxa yokuthi ushukela wegazi ophakeme uhlala iminyaka. Uma isifo sikashukela i-nephropathy (ukulimala kwezinso) sitholwa kusenesikhathi, ungazama ukusinciphisa. Uma uthola ukuthi ushukela wegazi usuphenduke into ejwayelekile, khona-ke ukusebenza kwezinso okungenani akukona ngokuhamba kwesikhathi, kepha kungalulama.

Thola ukuthi yiziphi izigaba zokulimala kwezinso ku-athikili ethi "Ukulimala Kwezinso Esifo Sikashukela". Ezigabeni zokuqala ze-nephropathy yesifo sikashukela, kufanele uzame ukudla okune-carbohydrate ephansi ukwehlisa ushukela wegazi lakho kube okwejwayelekile, kugcine kuphansi, futhi ngaleyo ndlela kuvikele izinso zakho. Esikhathini esilandelayo sokulimala kwezinso (kusukela ku-3-A), ukudla okune-carbohydrate ephansi kwenqatshiwe, futhi kungenziwa kancane.

Ukufa ngenxa yokwehluleka kwezinso kuyindlela ebuhlungu kunazo zonke yesifo sikashukela. Ukuya ekwelashweni kwe-dialysis nakho akuyona injabulo. Ngakho-ke, njalo uvivinya ukuze uhlole izinso zakho sikashukela. Uma ukwelashwa kuqalwa ngesikhathi, khona-ke ukuvimbela ukwehluleka kwezinso kungokoqobo. Funda imininingwane engaphansi kwesixhumanisi esithi "Ukuhlaziywa nokuhlolwa kwezinso ku-mellitus yesifo sikashukela".

Eminye imisebenzi ingahle ihlanekise imiphumela yokuhlolwa okuhlola ukusebenza kwezinso. Kungakapheli amahora angama-48 ngaphambi kokuhlolwa, ukusebenza ngokomzimba, okudala umthwalo onzima engxenyeni engezansi yomzimba, kufanele kugwenywe. Lokhu kubandakanya ibhayisekili, isithuthuthu, ukugibela amahhashi. Akukalulekanga ukuthi uthathe izivivinyo ngosuku lapho unomkhuhlane, ukuya esikhathini, ukutheleleka komgudu wokuchama noma ubuhlungu ngenxa yamatshe ezinso. Ukulethwa kokuhlolwa kufanele kuhlehliswe kuze kube yilapho isimo se-acute sidlulile.

I-Insulin-like Growth Factor (IGF-1)

I-retinopathy yesifo sikashukela iyinkinga enkulu yesifo sikashukela esibi kakhulu futhi njalo. Ukuhlisela ushukela wegazi kuye kokujwayelekile kushukela kuyamangalisa cishe kuzo zonke izimo. Kepha kwesinye isikhathi ukwehla okusheshayo kwe-glucose yegazi kungadala ukukhuphuka kwe-retinopathy yesifo sikashukela. Lokhu kugqama kubonakaliswa ukushisa okuningi ku-retina futhi kungaholela ekungaboni. Imvamisa yandulelwa ukwanda kokuhlushwa kwe-insulin-like grow factor (IGF-1) ku-serum.

Ukuhlaziywa kwe-insulin-like factor factor kufanele kunikezwe iziguli ezitholakala ukuthi zinesifo sikashukela sikashukela. Lokhu kuhlaziya kufanele kwenziwe njalo, njalo ezinyangeni ezingama-2-3. Uma izinga le-IGF-1 likhuphuka kusuka okokugcina, khona-ke udinga ukunciphisa ijubane lokuncipha koshukela wegazi ukuze ugweme usongo lokulahleka kombono.

Yikuphi ukuvivinya okubaluleke kakhulu kweshukela?

Ukuvivinya ngakunye okubhalwe kulesi sihloko kubalulekile ngoba kukuvumela ukuthi usiqonde kangcono isimo sesiguli esithile sikashukela. Ngakolunye uhlangothi, akukho kulokhu kuhlolwa okuhlobene ngqo nokulawulwa koshukela egazini. Ngakho-ke, uma ngezizathu zezimali noma ezinye izizathu zingakuvumeli ukwenza ucwaningo, ungasinda ngaphandle kwazo. Into esemqoka ukuthenga i-glucometer enembile futhi ubheke ushukela wakho wegazi ngokucophelela. Onga kunoma yini, kepha hhayi kwimichilo yokuhlola ushukela!

Landela uhlelo lohlobo 2 lwesifo sikashukela noma uhlobo lwe-1 sikashukela. Uma ungangehlisa ushukela wegazi lakho ube ojwayelekile futhi ulondoloze uzinze uphansi, khona-ke zonke ezinye izinkinga zikashukela ziyozixazulula kancane kancane. Kepha uma ungathathi ushukela wegazi ngaphansi kokulawulwa, khona-ke akukho zivivinyo ezingasindisa umuntu onesifo sikashukela ezinkingeni ngemilenze yakhe, izinso, ukubona kwamehlo, njll. Ukwelapha ngempumelelo isifo sikashukela, udinga ukusebenzisa imali inyanga nenyanga kwimivimbo yokuhlolwa ye-glucometer, kanye nokuthenga imikhiqizo ekudleni okuphansi kwe-carbohydrate. Konke lokhu kufanele kube yizindleko zakho eziza kuqala. Futhi izindleko zokuthatha izivivinyo ukuthi zihamba kanjani.

Uma kungenzeka, khona-ke okokuqala kudingeka ukuthi uhlolwe igazi nge-glycated hemoglobin. Abantu abanesifo sikashukela bavame ukuba nezinkinga zokuzihlola ngokwabo ushukela wegazi, okungatholakala kuphela lokhu kuhlaziya. Isibonelo, imitha kungenzeka ukuthi ayinembile - bonisa imiphumela enganakwa. Ungahlola kanjani imitha yakho ngokunemba. Noma isiguli, sazi ukuthi maduze sizovakashela udokotela, izinsuku ezimbalwa ngaphambi kokuba lokho kuqale ukudla ngendlela evamile, ngaphandle kokudla okunama-carbohydrate amaningi ekudleni. Ngokuvamile, intsha enesifo sikashukela “iyona” le. Esimweni esinjalo, ukuhlaziya kuphela kwe-glycated hemoglobin kuzokuvumela ukuthi uthole iqiniso. Udinga ukusithatha njalo ezinyangeni ezi-3, kungakhathalekile ukuthi uluhlobo luni lwesifo sikashukela nokuthi uphatha kahle kangakanani ukusilawula.

Ukuhlolwa kwegazi okuphawuleka okulandelayo okwenziwa ngamaprotheni e-C-reactive. Intengo yalokhu kuhlaziya ishibhile kakhulu, futhi ngasikhathi sinye iveza izinkinga eziningi ezifihliwe. Izinqubo zokuvuvukala okukhohlisayo ziyimbangela evamile yokuhlaselwa yisifo senhliziyo, kodwa bambalwa odokotela bethu abasaziyo ngalokhu. Uma iphrotheni yakho eyi-C-reactive iphakeme, thatha izinyathelo zokumisa ukuvuvukala ngaleyo ndlela uzivikele enhlekeleleni yenhliziyo. Ukuze wenze lokhu, i-rheumatism, i-pyelonephritis, izifo zokuphefumula ezingamahlalakhona kufanele zelashwe ngokucophelela. Yize iningi imbangela li-caries yamazinyo. Phulukisa amazinyo akho futhi wehlise nengozi yakho yokuhlaselwa yisifo senhliziyo. Ukuhlolwa kwegazi ngamaprotheni e-C esebenzayo kubaluleke kakhulu kunokuhlolwa kwe-cholesterol!

Ngasikhathi sinye, ukuhlolwa kwegazi kwezinye izici zobungozi bezinhliziyo kuyabiza kakhulu. Lokhu kuyiqiniso ikakhulukazi ekuhlolweni kwe-homocysteine ​​ne-lipoprotein (a). Okokuqala udinga ukusebenzisa imali ezivivinyweni, bese ungeza kuma-supplements ukuze wehlise lezi zinkomba zibe ezijwayelekile. Uma ingekho imali eyengeziwe, ungaqala nje ukuthatha amavithamini e-B kanye namafutha enhlanzi ukuze uvikeleke.

Kungcono ukuthatha ukuhlolwa kwegazi kwe-cholesterol nezinye izinto ezibeka engcupheni yenhliziyo ngaphambi kokuqala uhlelo lokwelapha isifo sikashukela ngokudla okune-carbohydrate emincane neminye imisebenzi esiyincomayo. Bese uhlola i-lipids yakho yegazi (triglycerides, "good" and "bad" cholesterol) futhi ngemuva kwezinyanga eziyi-1.5. Ngalesi sikhathi, ushukela wegazi lakho kufanele usuvele uvamile, futhi imiphumela yokuhlolwa kwelabhoratri izokwengeza ukuqinisekisile ukuthi usendaweni efanele. Uma ulandele ngokucophelela ukudla, kepha ngalesi sikhathi iphrofayili ye-cholesterol ayikathuthuki - thatha ukuhlolwa kwegazi kwamahomoni e-thyroid.

Uma kutholakala izinga eliphansi lamahomoni triiodothyronine (T3 free) ne-thyroxine (i-T4 mahhala), yenza isivumelwano nomqashi we-endocrinologist ukuze kuboniswane. Udinga izeluleko zakhe ngendlela yokwelapha indlala yegilo, kepha hhayi ukuthi ungakulandela kanjani "ukudla okunempilo" kwesifo sikashukela! I-endocrinologist izonikeza amaphilisi okufanele aphuzwe, njengoba esho. Ngemuva kokukwenza kube ngokwejwayelekile izinga lamahomoni e-thyroid egazini, ngemuva kwezinyanga ezi-4, kufanele futhi uthathe ukuhlolwa kwegazi nge-cholesterol nezinye izinto eziyingozi zenhliziyo. Lokhu kuzoveza ukuthi ukwelashwa kwe-gland yegilo kubathinte kanjani. Ngaphezu kwalokho, lezi zivivinyo zinconywa ukuba zithathwe kanye njalo ngonyaka. Kepha uma ingekho imali eyanele, kungcono ukuthi ugcine ngokokuhlolwa kwelebhu kunokuba ucetshwe izivivinyo zegluecometer.

Ukuhlolwa nokuvakasha kodokotela

Thenga i-tonometer futhi ulinganise umfutho wegazi lakho njalo (ukuthi ungakwenza kanjani kahle), okungenani isikhathi esingu-1 ngeviki, ngasikhathi sinye. Yiba nesikali esinembile ekhaya futhi uzikala njalo, kodwa hhayi kaningi kunesonto. Ngasikhathi sinye, khumbula ukuthi ukuguquguquka kwesisindo ngaphakathi kwamakhilogremu amabili kujwayelekile, ikakhulukazi kwabesifazane. Hlola ukubona kwakho kwamehlo nge-ophthalmologist (okudinga ukukuhlola) - okungenani isikhathi esisodwa ngonyaka.

Nsuku zonke, hlola izinyawo zakho ngokucophelela, funda ukunakekelwa kwesifo sikashukela ngokunakekelwa okuningiliziwe. Esibonakalweni sokuqala sezinkinga - thintana nodokotela "okuholela". Noma bhalisa ngokushesha nge-podiatrist, lokhu kuyingcweti ekwelapheni unyawo lwesifo sikashukela. Uma isifo sikashukela siphuthelwa, isikhathi sezinkinga zomlenze singaphumela ekuqunjweni noma ebulilini ebulalayo.