Ushukela wamayunithi angama-25 yisimo se-hyperglycemic esidonsa kakhulu impilo yenhliziyo yesiguli, okuholele ekubonakaleni kwezimpawu ezingezinhle. Ngokubuka ngemuva kwalesi sikhombisi, ubungozi bokuthola ubunzima obukhulu bukhuphuka, i-coma ingahle ibe khona.
Ebuningini bezithombe zemitholampilo, okuqukethwe ushukela kuyakhuphuka ngenxa yokusetshenziswa kwemikhiqizo eyingozi (i-confectionery, utshwala, njll.), Equkethe ama-carbohydrate asheshayo, anqatshelwe isifo "esimnandi".
Izinga loshukela wegazi alilona inani elihlala likhona, ukugxila kwe-glucose kungakhuphuka hhayi kuphela ngokumelene nesizinda sikashukela, kodwa futhi nakubantu abaphilile. Uma i-glucose esemuntwini ophilile ijwayelekile phakathi nesikhathi esifushane, khona-ke abantu abaneshukela kufanele benze imizamo ethile.
Ufunda ukuthi kusho ukuthini ukuthi ushukela wegazi 25, okufanele akwenze kulesi simo, futhi kungaba namiphi imiphumela? Futhi uthole ukuthi kungani ushukela ukhuphuka kubantu abaphilile nabanesifo sikashukela?
Ushukela ophezulu wegazi kumuntu ophile kahle: izimbangela kanye nezinto
Njengoba kushiwo ngenhla, hhayi nje ukuthi umuntu onesifo sikashukela angaba noshukela omningi, kodwa futhi abe ngumuntu ophilile ongenazinkinga ngama-pancreas.
Uma ukuhlolwa kwegazi kukhombisa ukwanda kwe-glucose emzimbeni womuntu, khona-ke zingaba khona izizathu eziningi. Iqiniso elihle ukuthi ukukalwa komthombo oyinhloko kuholela ekujwayelweni kashukela ezingeni elidingakalayo.
I-glucose yinani elingahambelani, ngakho-ke ingakhuphuka ngenxa yezici ezithile. Isibonelo, ukwanda kubonwa ngemuva kokudla, lapho kukhona ukucubungula okusebenzayo kwemikhiqizo yokudla ngumzimba.
Yini engaholela ekutheni sifinyelele kushukela kumuntu ophile kahle? Ebantwini abangenaso isifo sikashukela, isimo se-hyperglycemic singabangelwa yilezi zimo ezilandelayo:
- Ama-pancreas ama-pancreas wemvelo yokuvuvukala ne-oncological.
- Isimo esinzima.
- Ukuphazamiseka Kwe-Endocrine
- Izifo zokuvuvukala - umdlavuza, i-cirrhosis, i-hepatitis.
- Ukwehluleka kweHormonal.
- Ukuthuthukiswa kwesifo sikashukela mellitus sanoma yiluphi uhlobo.
Olunye ucwaningo lwamanzi omzimba aluhluleli ukukhula kwesifo sikashukela. Njengomthetho, ukuhlolwa kwegazi okuningana kwenziwa ngezinsuku ezihlukile, khona-ke imiphumela iqhathaniswa.
Ngaphezu kwalokho, udokotela uncoma ukuhlolwa komthwalo ushukela ukuthola isilinganiso sokuthathwa koshukela emzimbeni. Ukuhlolwa kwe-hemoglobin ye-glycated kunganconywa ukuthola amazinga we-glucose esikhathini esiyizinyanga ezintathu.
Izindlela zokuxilonga zihlukaniswa, ngoba kubalulekile hhayi kuphela ukuthola ukuthi kukhona isifo sikashukela, kodwa futhi nokuhlukanisa i-pathology kwezinye izifo okungaholela ekwandeni koshukela emzimbeni.
Izimbangela zeHyperglycemic State in Diabetesics
I-diabetes mellitus yisifo esingamahlalakhona esibonakaliswa ukuthathwa kweglucose engalapheki, ngenxa yalokho ukuqunjelwa kwayo emzimbeni kubhekwa.
Imvamisa, uhlobo lokuqala noma lwesibili lwesifo “esimnandi” luvela. Uma ngohlobo lokuqala lwe-pathology isiguli sinconywa ngokushesha ukuphatha i-insulin, khona-ke ngohlobo 2 lwalesi sifo, ekuqaleni bazama ukubhekana noshukela ophezulu ngosizo lokudla nemidlalo.
Kodwa-ke, ukunamathela ngokuqinile kuzo zonke izincomo zikadokotela akusona isiqinisekiso sokuthi ushukela uzohlala ngokuqinile ezingeni elidingakalayo.
Izimo ezilandelayo zingaholela ekwandeni okukhulu kwezinkomba:
- Ukudla okungalinganiseli (ukusetshenziswa kwenani lama-carbohydrate asheshayo, ukudla okungenampilo).
- Yeqa ukuphathwa kwe-hormone, yeqa imithi ukwehlisa ushukela.
- Ukucindezela okukhulu, ukusebenza kwezimoto eziphansi, ukuphazamiseka kwe-hormonal.
- Amagciwane, umkhuhlane noma enye indlela esetshenziswayo.
- Ukugula kwama-pancreas.
- Ukusetshenziswa kwemithi ethile (ama-diuretics, amaphilisi ama-hormone).
- Umsebenzi wesibindi ongasebenzi kahle.
Uma ushukela wegazi umile cishe emayunithi angama-25 nangaphezulu, okokuqala, kubalulekile ukuthola izimbangela eziholele ekusebenzeni kahle kwe-pathological, ngokulandelana, ukunikela yonke imizamo yokuqeda umthombo.
Isibonelo, uma isiguli singazange sifake i-hormone ebamba amafushane noma sikhohlwe ukuthatha amaphilisi, lokhu kufanele kwenziwe ngokushesha okukhulu.
Ngohlobo lwesibili lwesifo "esimnandi", kwenqatshelwe ngokuphelele ukuphula ukudla, ukwenqaba imisebenzi yomzimba. Njengoba kungumdlalo osiza ukuthuthuka kwe-digestibility kashukela ezingeni lamaselula.
Izimbangela ezivame kakhulu ze-spikes ushukela kuwukudla okungenampilo, ukwephula inqubo yansuku zonke, nokudla ngokweqile.
Ukulungisa imenyu kuzoletha i-glycemia ezinombolweni ezijwayelekile kungakapheli izinsuku ezingama-2-3.
Ukungasebenzi kwe-Insulin: Izimbangela
Kwaphawuleka ukuthi uhlobo lokuqala lwesifo sikashukela ludinga ukwethulwa kwe-insulin, kanye neqiniso lokuthi uhlobo lwesibili lwesifo lunxephezelwa ngokudla okukhethekile kokudla nokwakha umzimba.
Kodwa-ke, othayidi 1 abanesifo sikashukela bavame ukubuza lo mbuzo, kungani i-insulin ingasizi amazinga aphansi kashukela? Odokotela baphawula ukuthi ukungasebenzi kwe-insulin ukwelashwa akuyona into engjwayelekile, futhi kunezizathu eziningi zokuntuleka komphumela wokwelapha.
Lapho izinga loshukela wegazi ligcinwa ngaphakathi kwamayunithi angama-25, kuyilapho i-insulin ingasizi, izizathu zingaba ngokulandelayo:
- Umthamo ongalungile wesidakamizwa.
- Ukudla okungalungile kanye nomjovo.
- Ama-Ampoules omuthi awalondolozwa kahle.
- Kwisirinji eyodwa, ukuxutshwa kwezidakamizwa ezahlukahlukene kuyenziwa.
- Ukwephulwa kwendlela yokuphatha izidakamizwa.
- Ukufakwa ezinhlwini.
- Ukususwa kwenaliti ngokushesha kusuka esibayeni sesikhumba.
- Ngaphambi komjovo, ukuxubha isikhumba ngotshwala.
Isiguli ngasinye esitholakala sinesifo sikashukela sohlobo loku-1 kufanele sazi imithetho esetshenziswayo yokulawulwa kwe-insulin. Imvamisa, udokotela oholayo utshela ngawo wonke ama-nuances kanye namaqhinga.
Isibonelo, ngokulondolozwa okungafanele kwama-insulin ampoules, umuthi kungenzeka ungasebenzi noma ukusebenza kwawo kuncishiswe ngama-50%; lapho inaliti isuswa masinyane emgodleni wesikhumba, ingxenye ethile yesidakamizwa ingaphuma, futhi ngenxa yalokho, imiphumela ye-insulin izoncipha.
Uma isayithi lomjovo lifana, bese kuthi ngokuhamba kwesikhathi, kufakwe uphawu lwendawo kule ndawo. Lapho inaliti ingena kuleli tywina, umuthi udonswa kancane.
Lapho umthamo ongalungile we-hormone uyimbangela ye-glucose ephezulu, kufanele uthintane nodokotela wakho. Kwenqatshelwe ngokuphelele ukukhetha umthamo ngokwakho, ngoba lokhu kuzoholela ekwakhiweni kwesimo se-hyperglycemic ngisho ne-glycemic coma.
Ngakho-ke, izinga loshukela wegazi kwisifo sikashukela esincike ku-insulin kungenzeka singehli uma kukhona ukuphazamiseka ekwelashweni kwe-insulin.
Ketoacidosis kwisifo sikashukela
Amazinga kashukela egazini angaphezu kwama-25 amayunithi angaholela ku-ketoacidosis. Iqiniso ngukuthi umzimba womuntu uzama ukuthola amandla ngokusebenza kwawo, kepha "awuboni ushukela", ngenxa yalokho uthola indawo yokugcina amandla ngokubhidliza imali ebekiwe.
Lapho ukuwohloka kwamafutha kwenzeka, izidumbu ze-ketone ziyadedelwa, okuyizinto ezinobuthi zomzimba, ngenxa yalokho, lesi simo siholela ekudakweni.
I-Ketoacidosis ibonakaliswa wumfutho ophelele wezimpawu ezingezinhle, ezikhathaza kakhulu inhlala-kahle yeguli.
Isithombe somtholampilo se-ketoacidosis:
- Isiguli sizizwa sibi, sikhononda ngokubabaza nokunganaki.
- Ukuchama kaningi kanye nephrofayili.
- Iphunga eliyinqayizivele elivela emgodleni womlomo.
- Ukuhlaselwa isicanucanu nokuhlanza.
- Ukuphazamiseka kwendlela yokugaya ukudla.
- Ukwesaba okungenakufinyeleleka kanye nokungaphatheki kahle.
- Ukuphazamiseka kokulala.
- Amazinga kashukela wegazi amayunithi angama-20, 25, 30 noma ngaphezulu.
Ngokuphikisana nesizinda se-ketoacidosis yeswekile, ukubona okubonakalayo kukhubazekile, isiguli asihlukanisi izinto kahle, konke kuvela sengathi kunenkungu. Ngokwemiphumela yokuhlolwa komchamo welebhu, izidumbu ze-ketone zitholakala kulolo ketshezi.
Akunakwenzeka ukungasinaki lesi simo, ngoba kungenzeka ukuthi kube nokukhulu ukwanda kokhokho, bese kuthi ikhehla livele.
Ukubhekana nale nkinga ngokwabo ngeke kusebenze. Azikho izindlela ezenziwe ekhaya kanye nezindlela zokupheka zomuthi wendabuko ezizosiza ekuhlukaniseni izimpawu ezingezinhle, isithombe sizoba sibi kuphela.
Ukwelashwa kwenziwa esibhedlela. Okokuqala, isiguli kufanele singene kumthamo odingekayo we-insulin. Ngemuva kokuba ukwelashwa sekwenziwe, lapho kubuyiselwa khona ukuntuleka koketshezi, potassium nezinye izakhi zamaminerali ezingekho emzimbeni.
Isazi sevidiyo esikulesi sihloko sizokhuluma ngesimo se-hyperglycemia kwisifo sikashukela.
