Ukukalwa kwegazi leShukela emadodeni ngeminyaka: Ishadi Leveli

Izinga loshukela wegazi emadodeni lungahluka empilweni yabo yonke. Ngobudala, wonke umuntu wesilisa kufanele ahlolwe ukuze ahlolwe ushukela wegazi.

Iphuzu elibalulekile ukuthi namuhla ingozi yokuthola isifo sikashukela i-mellitus, isifo lapho kukhula khona ushukela wegazi emadodeni, ikhula kakhulu.

Inqubo ye-pathological ithwala ukubonakaliswa kwezinkinga ezahlukahlukene ezithinta kabi impilo yomuntu ngamunye. Ngaphezu kwalokho, uma izinga elijwayelekile loshukela egazini lehla, lokhu kungakhombisa futhi ukubonakaliswa kwezifo ezahlukahlukene nokungasebenzi kahle emzimbeni.

Ezinqubo ze-metabolic zikashukela wegazi endodeni, hhayi i-insulin kuphela ebandakanyekayo, ingaphezulu kakhulu. Ukukhiqizwa kwe-glucose kuvela ku-sucrose, glycogen kanye nesitashi, okuvela ekudleni, futhi okuqhamukayo kwayo kuvela ku-glycogen esibindini, kuma-amino acid, lactate naseglycerone.

Ama-hormone omzimba womuntu athwala imiphumela ye-hypoglycemic afaka i-glucagon, i-hormone yokukhula, i-thyrotropics, i-dexamethasone, i-cortisol ne-andenaline. Ngaphansi kwethonya lezinqubo zabo zokulawula, i-metabolism ejwayelekile yama-carbohydrate emzimbeni iyaqinisekiswa.

Kuze kube manje, ungabona imininingwane lapho kuzoboniswa ushukela wegazi, okujwayelekile kwabesilisa ngeminyaka kuyitafula. Imininingwane enjalo yethulwe ukuze ifezekise ukuziqapha okudingekayo nokuvikela ukuthuthukiswa kwesifo sikashukela emadodeni. Ngemuva kwakho konke, ukwelashwa okufika ngesikhathi kanye nokusetshenziswa kwezindlela zokuvimbela kungavikela ekuqubukeni kwemiphumela emibi ehlukahlukene.

Amamaki ajwayelekile ajwayelekile asungulwe

Izindinganiso ezisezingeni elijwayelekile ezisezingeni le-glucose egazini lomuntu omdala zithathwa njengezisukela ku-3.3 kuya ku-5.5 wamamilimitha ngelitha.

Ukuphambuka okubalulekile kulezi zibalo ezingenhla kubonisa i-hypoglycemia (ephansi kuka-3.3 mmol ngelitha) noma i-hyperglycemia (ephakeme ngaphezu kwe-5.5 mmol ngelitha).

Kumele kuqashelwe ukuthi umzimba womuntu waklanywa ngendlela yokuthi amazinga kashukela akhuphuka ngemuva kokudla. Ngaleso sizathu, ukuxilongwa ngemuva kokudla ngeke kulethe noma yiluphi ulwazi - imiphumela iyoba engalungile.

Izinga elifanele likashukela legazi emadodeni nakwabesifazane lingatholakala uma wenza isifundo ekuseni ngesisu esingenalutho noma amahora amathathu ngemuva kokudla. Ngemuva kokuba ukudla kungene esiswini, inani lamakhakhabha landa, futhi izinga likashukela ngaphansi kwezimo ezijwayelekile lingakhuphuka laya kumililitha ayisikhombisa ngelitha.

Izinkomba zokulawula zamadoda weminyaka ehlukene kufanele kube:

• kubantu abafinyelela eminyakeni engamashumi ayisithupha - ukusuka ku-3.3 kuye ku-5.5 mmol ngelitha;
• eneminyaka engamashumi ayisithupha kuya kwamashumi ayisishiyagalombili ubudala - kusuka ku-4.0 kuye ku-6.5 mmol ilitha elilodwa;
• kubantu abaneminyaka engaphezu kwamashumi ayisishiyagalombili - ukusuka ku-4,5 kuye ku-7.0 mmol ilitha ngalinye.

Inani eliphansi lingaba sezinganeni nasezinganeni. Ngaphezu kwalokho, ukwanda koshukela wegazi kwabesifazane ngesikhathi sokukhulelwa kuyinto evamile. Kuzo zonke ezinye izimo, noma yikuphi ukuphambuka kusuka ezimisweni ezisunguliwe kungabonisa ukungasebenzi kahle ekusebenzeni komzimba. Ngaphansi kwempilo yomuntu ejwayelekile, ama-carbohydrate angagayekeki kalula akufanele aphakamise amazinga kashukela egazini ngaphezu kwama-mmol ayisikhombisa ngelitha. Ngokuthuthukiswa kwesifo sikashukela, isibalo singakhuphuka sifike ezingeni lamamilimitha ayishumi ilitha ngalinye.

Kumele kuqashelwe ukuthi nakwamanye amazwe kuyisiko ukukala ushukela wegazi kuma-milligrams nge-desilita ngalinye. Ukudlulisa ezinye izilinganiso kwabanye, udinga ukuphindisela inkomba ejwayelekile ku-mmol ngo-18.

Ngakho-ke, inqubo ejwayelekile yeglucose emadodeni izosukela ku-60 iye ku-99 mg / dl.

Kwenziwa kanjani ukuxilongwa?

Ukuze i-glycemia ihlale iphakathi kwezindlela ezimisiwe, kubalulekile, okokuqala, ukulawula amandla ayo.

Amazinga kashukela wegazi ayahlolwa elabhoratri. Njengomthetho, inqubo iqoqo legazi le-venous ukuze lihlaziywe.

Umthethonqubo oyisisekelo obeka igazi ushukela ovela emithanjeni unikezwa ekuseni futhi njalo usesiswini esingenalutho.

Ngaphezu kwalokho, ukuthola imiphumela ethembeke kakhudlwana, kunconywa ukulandela imigomo elandelayo:

1. Ukudla kokugcina ngosuku olwandulela isivivinyo akumele kwenziwe ngaphambi kwamahora ayishumi.
2. Izimo ezicindezelayo kanye nokushaqeka okuqinile ngokomzwelo okunomthelela wokwanda ushukela wegazi kufanele kugwenywe.
3. Akunconyelwe ukuphuza utshwala ezinsukwini ezimbalwa ngaphambi kokuhlaziywa.
4. Ukudla kufanele kube yinto ejwayelekile kumuntu emasontweni edlule ngaphambi kokuthatha isampula yegazi. Ukulandela ukudla kanye nemikhawulo yokudla kuholela ekuphambukeni kwemiphumela, ngoba kunciphisa izinga leshukela egazini.

Ngaphezu kwalokho, kwezinye izimo, inqubo eyengeziwe ingadingeka, okubandakanya ukuqoqwa kwegazi le-venous ngemuva kokuba isiguli siphuze amanzi ahlanjululwe nge-glucose emsulwa. I-glucose uhlobo lwesinkomba olukuvumela ukuthi ubone ukusabela komzimba ushukela ongenayo.

Kumele kuqashelwe ukuthi isifundo sokuxilonga singenziwa futhi, lapho igazi likashukela lithathwa khona emunweni. Kulokhu, izinga lokudla okushukela egazini elijwayelekile lizoba nemingcele ehlukile yokulawula.

Ukuhlolwa koshukela egazini nsuku zonke kuyadingeka kubantu abathola isifo sikashukela. Lokhu kuvumela ukuthi bakwazi ukulandela ukugxuma kanye nokuhlukunyezwa, kanye nokulungisa imithamo yemithi ebekiwe yokwehlisa ushukela.

Kweqa imingcele ephezulu

Isimo lapho kubhekwa ushukela wegazi obandayo obizwa ngokuthi yi-hyperglycemia.

Yini esisongela ukwandisa izinkomba, futhi kungaba namiphi imiphumela?

Isimo se-hyperglycemia siyingozi empilweni yabantu.

Okokuqala, ukweqiwa ushukela wegazi kungadala ukukhula kwezinqubo ezilandelayo ze-pathological:

• isifo sikashukela i-mellitus sohlobo lokuqala noma lwesibili;
• ukubonakaliswa kwe-thyrotooticosisꓼ
• izinqubo ze-pathological ezenzeka kumanyikwe - ama-tumor ezinhlobo ezahlukahlukene noma i-pancreatitis ngamafomu asobala futhi angamahlalakhona
• ukungasebenzi kahle kwezinso nesibindiꓼ
• izifo ezihambisana nokuphulwa kokusebenza okujwayelekile kohlelo lwezinhliziyo, kubandakanya ukufakwa kwe-myocardial.

I-Acromegaly, ukuthatha imishanguzo ethile, noma izifo ezithile kungadala ukwanda koshukela.

Kwezinye izimo, ukuvivinya kabusha kanye nokuhlaziya ushukela wegazi kusuka emthanjeni kungadingeka. Lapho kuqinisekiswa ubuningi bayo obukhulu, kutholwa isifo mayelana nokungasebenzi kahle kwamanyikwe. Uma umzimba uqala ukukhiqiza inani elanele le-insulin, ukuphazamiseka ezinqubweni zomzimba eziqala ukwenzeka, kuphakama ukungalingani kwe-hormonal, okuholela ezifweni ezahlukahlukene.

Ushukela wegazi ophakeme unezimpawu zawo zokuziphatha. Ngakho-ke, umzimba uphendula ekuphambukeni kokujwayelekile kanye namasiginali mayelana nokwehluleka okungenzeka:

1. Umuzwa oqhubekayo owomile emgodini womlomo nasekuhlaselweni ukoma okunzima, okuthi ngesimo esithuthukisiwe kuqale ukuvela ebusuku.
2. Ukwanda kwesifiso sokudla nesisindo somzimba.
3. Ukulunywa kwesikhumba.
4. Kunobuthakathaka obujwayelekile emzimbeni, umuzwa wokukhathala okungapheli kanye nokuqina.
5. Izinga lokujuluka likhuphuka noma ngaphandle kokuzivocavoca okukhulu ngokomzimba.
6. Kunezinkinga nge-bladder ngendlela yezindlela ezivame kakhulu zokuchama.

Izimpawu ezinjalo emadodeni zingadala inani likashukela emzimbeni.

Uma kunophawu olulodwa noma inhlanganisela yezimpawu ezingenhla, kuyadingeka ukwenza uhlolo lwegazi ushukela.

Yize kunjalo, lezi yizimpawu ezibonakala lapho kuvela ushukela.

Ukuwela ngezansi komkhawulo ohleliwe

Kufanele kukhunjulwe ukuthi imiphumela emibi nayo ingenzeka lapho kwenzeka i-hypoglycemia, okungukuthi, ukwehla kwamanani amukelekile ngaphansi kwemingcele emisiwe.

Ukuthuthuka kwesimo se-hypoglycemic kungasongela ukoma.

Ngenxa yale nqubo, ubuchopho abutholi inani le-glucose elidingekayo, okuthinta kabi ukusebenza kwalo.

Ngaphezu kwalokho, i-hypoglycemia ingakhula, ngenxa yokuvela kwezifo ezahlukahlukene, ikakhulukazi:

• i-pancreatic adenoma;
• phambi kwe-hypothyroidism noma i-adrenogenital syndrome;
• ukulimala kwezinso okunzima;
• umdlavuza wesisu noma i-adrenal glands;
• i-fibrosarcoma;
• ukwehluleka emsebenzini wezitho zamapheshana emathunjini, lapho kusebenza khona umsebenzi wokumunca.

Ukuzila ngokushesha kwe-glucose noma ukuthatha izidakamizwa ezithile ze-psychotropic, ukuzikhandla ngokweqile emzimbeni wesifo sikashukela, kanye nokudakwa komzimba ngezinto ezahlukahlukene, kufaka phakathi utshwala, kungaholela ekwehleni kwamazinga kashukela.

Enye yemiphumela eyingozi kakhulu ye-hypoglycemia enzima yi-coma. Ngaphezu kwalokho, uma izinkomba ze-glucose zidlulile umkhawulo ophansi owamukelekayo, izimpawu zibonakala kanjena:

1. Isiyezi kwenzeka, okuhambisana nemizwa ebuhlungu.
2. I-Tachycardia.
3. Ubuthakathaka obujwayelekile emzimbeni kanye nobuthakathaka.
4. Isimo esikhudlwana nokungakwazi ukugxila.

Ngaphezu kwalokho, umuntu angaba nemisipha emisipha yamaphethelo aphansi.

Izindlela zokuvimbela

Ukuze ulondoloze ushukela ojwayelekile futhi ulondoloze impilo enhle, kufanele unamathele ekudleni okufanele, udlale imidlalo, ususe imikhuba emibi futhi ugweme izimo ezicindezelayo, ukugcwala okuqinile ngokomzwelo.

Lonke amazinga kashukela wegazi lomuntu ayaguquka usuku lonke. Ngasikhathi sinye, izinkomba ezanda njalo noma ezinciphile zithinta kabi isimo sempilo, futhi, okubaluleke, umsebenzi wesilisa. Amazinga kashukela asikhuphukile ngokuvamile abangela isifo sikashukela, esithinta imithambo yegazi emincane, enesibopho sokukhiqizwa nomsebenzi wobulili. Ngaphezu kwalokho, ushukela ophezulu emadodeni usiza ukwehlisa i-testosterone yabesilisa besilisa.

Isifo sikashukela kufanele silandele njalo ekudleni okuthile futhi sibandakanyeke kwezemidlalo noma kwi-physiotherapy esebenzayo. Yizinto ezinjalo okufanele zibe yingxenye yawo wonke umuntu obheka impilo yakhe. Kubalulekile ukudweba kahle ukudla kwakho kwansuku zonke ngokusekelwe kokudla kwezitshalo nokugwema amaswidi, isitashi, usawoti kanye namafutha, ukudla okuthosiwe.

Indlela yokuphila esebenzayo ayigcini nje ekufakweni kweleveli yamazinga kashukela egazini, kodwa futhi inomphumela omuhle ekusebenzeni kwezitho eziningi nezinhlelo eziningi.

Ngaphezu kwalokho, izivivinyo zezokwelapha ezijwayelekile kufanele zenziwe njalo ukusiza ukubona noma yikuphi ukungahambi kahle ezigabeni zokuqala zokuboniswa kwazo. Kumele kuqashelwe ukuthi kaningi isifo sikashukela siqala ukukhula ngaphandle kokuboniswa kwezimpawu noma izimpawu. Futhi izivivinyo zokuvimbela kuphela zizoqinisekisa ukutholwa kwesifo sikashukela ezigabeni zokuqala zentuthuko.

Mayelana namazinga kashukela wegazi achazwe kule vidiyo kulesi sihloko.