Ushukela kumchamo wengane uwuphawu olwesabekayo futhi lubonisa ukwephulwa kwe-carbohydrate metabolism. Kumuntu ophile kahle, umchamo empeleni awunawo i-glucose, ukuba khona kwawo kubika ukuphazamiseka kwempilo yezidakamizwa.
Inani eliphansi nelivumelekile likashukela kumchamo lisuka ku-0,06 liye ku-0.08 mmol / ilitha. Ukungabikho ngokuphelele kweglucose kubhekwa njengesimo esijwayelekile, esibhekwa kubantu abaphilile ngokuphelele. Uma kuvela ushukela egreyini, umkhuba ofanayo ubizwa ngokuthi yi-glucosuria.
Ukwanda okubukhali kweshukela lomchamo kungabangelwa ukungasebenzi kahle kwezinso noma ukungasebenzi kahle kohlelo lwe-endocrine. I-Glucosuria iyingozi ngoba iyi-harbinger yentuthuko yesifo sikashukela.
Ushukela womchamo
Ukubheka izinga le-glucose kumchamo wengane, kusetshenziswa imichilo ekhethekile yokuxilonga. Uma ushukela uncishisiwe noma engekho ngokuphelele, imicu, lapho ivezwa ezintweni ezibonakalayo, ithola umbala ophuzi bese ifinyelela uphawu oluthile. Lokhu kubika ukuthi amazinga kashukela omchamo awudluli i-1.7 mmol / litre.
Endabeni yemiphumela ekhuphuke kancane, ungabona umaki ebangeni ukusuka ku-1.7 kuye ku-2.8 mmol / ilitha. Kulokhu, udokotela uthola ukuthi kunoshukela omncane.
Lapho sifinyelela uphawu lwe-2.8 noma ngaphezulu, kutholakala izinkomba ezijwayelekile. Lokhu kuphakamisa ukuthi inani le-glucose emzimbeni likhulu kuneveli oyifunayo. Ukuqinisekisa ubukhona be-pathology, isiguli kufanele siphinde sinikeze uhlaziyo.
Ngemuva kwalokho, ngokuya ngemininingwane etholakele, udokotela unquma ukwelashwa okufanele.
Izimbangela zokukhuphuka ushukela womchamo
Ushukela ophakanyisiwe emchameni ungakhombisa ukuba khona kwezifo ezimbi kakhulu. Kepha kwesinye isikhathi izinkomba zingaphambuka kokujwayelekile ngesikhathi esisodwa, lapho izici ezithile zivezwa emzimbeni. Ngokusekelwe kulokhu, izinhlobo ezimbili zokuphazamiseka zihlukaniswa - i-glucosuria yomzimba kanye ne-pathological.
Ukwephulwa kwesimo ngokomzimba kungenzeka kanye. Isizathu salokhu ukusetshenziswa kwezidakamizwa ezithile. Futhi, into efanayo yenzeka ngokusetshenziswa ngokweqile kwama-carbohydrate ngokudla ngesikhathi sokuxineka noma isipiliyoni esikhulu.
Isimo se-pathological enganeni siyatholakala uma izinga likashukela kumchamo likhuphuka ngenxa yokuqalwa kwesifo esithile. Kulokhu, ukwephulwa kungabangelwa ukuqothelwa ifa noma ukutholwa kwinqubo yempilo.
Ikakhulu, ushukela umchamo enganeni ungakhuphuka nalezi zinto ezilandelayo:
- Ukuthuthukiswa kwesifo sikashukela;
- Ukwehluleka kwezinso;
- I-pancreatitis
- Ukwephulwa kohlelo lwe-endocrine;
- Isimo esicindezelayo;
- I-Hyperthyroidism;
- Ukwanda kokudla kwe-carbohydrate;
- Ukuthuthukiswa kwezifo ezithathelwanayo.
Ukuthola imbangela ngqo ye-pathology, lapho kuvela izimpawu zokuqala, bonana nodokotela wakho ukuthola isifo bese ukhetha indlela efanele yokwelashwa.
I-acetone noshukela emchameni
Imvamisa, imbangela yokuvela kwesibalo esikhuphukayo somchamo ukuthuthukiswa kwesifo sikashukela enganeni. Ngaphezu kwalokho, ngemuva kokuphasa isivivinyo, udokotela angabona futhi ukuba khona kwe-acetone emchameni.
Lokhu kungenxa yokuthi lapho kudlula umkhawulo wamaphesenti ama-3, ushukela ophakeme uphakamisa ukwakheka kwamakhompiyutha e-acetone. Futhi, i-acetone ingatholwa umchamo uma ingane inezinga loshukela olwehlayo.
Uma okungenani kube kanye kwenzeka ukuthi kutholakale okuqukethwe okukhulayo kwe-acetone, kuyadingeka ukuthi njalo uthathe ukuhlolwa komchamo ukuqapha izinkomba futhi uvikele ukukhula kwezifo ezimbi.
Ukuze wenze isivivinyo ekhaya, kunconyelwa ukuthenga isivivinyo esikhethekile seKetostix noma i-Acetontest ekhemisi.
Ungawuqoqa kanjani umchamo wokuhlaziywa
Ukuqoqwa komchamo wokuhlaziya kwenziwa ekuseni, ngaphambi kokudla. Emahoreni ayi-12 ngaphambi kocwaningo, izingane akufanele zidle. Futhi ngosuku oluzayo udinga ukuyeka isikhashana ukusebenza ngokomzimba, ukuphuza uketshezi oluningi. Akunakwenzeka ukuthi ingane ikhale isikhathi eside futhi ibhekane nengcindezi, ngaphandle kwalokho lokhu kungahlanekezela imiphumela yangempela yokuhlaziywa.
Izingane ezingaphansi konyaka owodwa ubudala kufanele zihlolwe kabili - ezinyangeni ezintathu nalapho zinonyaka owodwa ubudala. Lokhu kuzohlinzeka ngemininingwane ngesimo sempilo yengane ngaphambi kokugomela okujwayelekile.
Izingane ezindala zingahlolwa kanye ngonyaka, lokhu kuyadingeka ukuze kuhlolwe isimo sempilo somntwana nangesikhathi ukuvikela ukukhula kwanoma yisiphi isifo. Uma kukhona izinsolo ze-pathology, ukuhlaziya kwenziwa ngokungeziwe.
- Indebe ekhethekile yepulasitiki, ethengiswa emakhemisi, ilungele ukuthwala umchamo.
- Ngaphambi kokuqoqa umchamo, ingane kufanele ihlanzwe kahle ukuvikela amagciwane ukuthi angangeni.
- Ingxenye yokuqala encane yomchamo idinga ukukhishwa, lonke uketshezi luqoqwe ezitsheni eziphekiwe.
- Kubalulekile ukubheka ukuthi ngosuku olwandulela inqubo, awukwazi ukudla imifino nezithelo eziguqula umbala womchamo. Kubandakanya kufanele kumise okwesikhashana ukuthathwa kwamavithamini nezidakamizwa.
Ukuqoqa umchamo ezinganeni ezisencane kuze kube unyaka, sebenzisa umchamo wengane olahliwe noma isikhwama sepulasitiki esikhethekile esinendlalelo enamathele.
Ukuthola imiphumela efanele, kwanele ukuthola u-20 ml womchamo. Ngemuva kokuqoqa, izinto eziphilayo kumele zihanjiswe kungakapheli amahora amathathu.
Ucwaningo olwengeziwe
Uma ukuhlaziya kokuqala kukhombisa imiphumela eminingi yoshukela, udokotela ubeka ucwaningo olungeziwe ukuze aqinisekise ukuthi isifo sitholakele. Ukuze wenze lokhu, nquma izinga le-glucose kumchamo wansuku zonke bese wenza ukuhlolwa kokubekezelela ushukela.
Esimweni sokuqala, umchamo uqoqwa usuku lonke esitsheni esikhethekile esiyinyumba. Baqala ukuqoqa izinto ezibonakalayo ekuseni, kusukela engxenyeni yesibili. Iqoqo liphela ngakusasa ekuseni, lapho umchamo wokuqala ekuseni uqoqwa. Ukuze wenze ukuhlaziya, udinga ukuthola okungenani u-100 ml wetshezi. Ngakho-ke, ukukhishwa kwansuku zonke kwe-glucose kunqunywa.
Ukuhlolwa komthwalo weglucose kwenziwa emtholampilo. Ingane iphuza isilinganiso esithile sesisombululo se-glucose, ngokubheka isisindo somzimba. Ngemuva kwenkathi ethile, ushukela wegazi ulinganiswa.
Ngenxa yalokhu kuhlaziywa, ungabona ukuba khona kokungapheleli kwe-insulin secretion bese uthola ukuthi ingane inesifo sikashukela.
Ungawehlisa kanjani ushukela
Okokuqala, kuyadingeka ukuthola imbangela yesimo se-pathological yengane. Ukuze wenze lokhu, kufanele uthintane nodokotela ozonikeza izinkomba zokuhlola izinhlobo ezahlukahlukene zokuhlolwa.
Ngemuva kokuthola isici esidala ukulinganisa ushukela wegazi nomchamo, kunikezwa ukwelashwa okufanele. Ngaphezu kwalokho, ingane inconyelwe inamba yokudla eyenzelwe izingane, ebhekwa njenge-low-carb. Ikakhulu, amaswidi nokudla okuphezulu kuma-carbohydrate kufanele kungafakwa ekudleni ngangokunokwenzeka.
Udinga ukuqonda ukuthi izinkomba zingajwayelekile ngokushesha, ngakho-ke kubalulekile ukuthi uzithathe njalo izidakamizwa ezimisiwe futhi ulandele ngokucophelela zonke izincomo zikadokotela. Uma yonke imithetho ilandelwa, ngokushesha isimo sengane sizoqala ukuthuthuka, futhi ukuhlaziya kuzokhombisa izinga eliphansi loshukela emchameni.
Usuku lokuhlelwa kwezinkomba ngokuhambisana nokwelashwa okuyinhloko libuye lisebenzise izindlela zokupheka zemithi yendabuko. Ngaphambi kokuzisebenzisa, kubalulekile ukubonana nodokotela futhi uqiniseke ukuthi akukho yini ukwephulwa.
- Ukulungiselela umhluzi we-herbal, izimpande ze-dandelion zichotshoziwe, kufakwa kubo iqabunga lamaqabunga amancane. Ingxube ithululelwa ngamanzi abilayo, agxiliswa futhi athathwe ngenani elincane ngaphambi kokudla. Ukwelashwa kwenziwa kungapheli isonto.
- Ukuze ulungiselele umhluzi we-oat, ingilazi eyodwa yama-oats ithululelwa ngengilazi ezinhlanu zamanzi abilayo. Ingxube iphekwe ngaphezulu kokushisa okuphansi ihora, emva kwalokho ihlungiwe nge-cheesecloth. Umuthi uthathwa zonke izinsuku ngaphambi kokudla, ingilazi eyodwa.
Ukugcina amazinga wegazi nomchamo ephansi, kunconywa ukufaka isigamu sesipuni sesinamoni ezitsheni nasemanzini. I-Kefir nesinamoni kuyasebenza futhi ekwehliseni ushukela wegazi kuyo yonke ingane nakomdala.
Ngenye indlela, ungahlafuna izipuni ezimbili zembewu ye-fenugreek oqoshiwe nsuku zonke. Ekuseni, ngaphambi kokudla, udinga ukudla ucezwana lo-anyanisi obhakwe. Kuyadingeka futhi ukufaka ubhontshisi ekudleni, okumanzeke kakhulu kusihlwa ngaphambi kokulala.
Kwividiyo ekulesi sihloko, uDkt Komarovsky uzoqhubeka nesihloko se-urinalysis enganeni.
