Ukuqapha ngokucophelela amazinga kashukela egazini kuyingxenye ebalulekile yokulawulwa kwesifo sikashukela esiyimpumelelo. Ukulinganiswa okujwayelekile kwamazinga kashukela kusiza ekukhetheni umthamo ofanele we-insulin nezidakamizwa ezinciphisa ushukela, futhi unqume ukusebenza kwezindlela zokwelapha.
Ukulinganisa ushukela ngemuva kokudla kubalulekile ikakhulukazi kwabanesifo sikashukela, ngoba kungalesi sikhathi lapho ingozi yokuba khona kwe-hyperglycemia, ukugxuma okubukhali kwe-glucose emzimbeni, kuphezulu ikakhulukazi. Uma ukuhlaselwa kwe-hyperglycemic kungamiswa ngesikhathi, kungaholela emiphumeleni emibi, kufaka phakathi i-coma yesifo sikashukela.
Kepha ukuhlolwa kwegazi okuyikho ngemuva kokudla kufanele kwenziwe ngaleso sikhathi lapho izinga likashukela lifinyelela khona izinga eliphakeme kakhulu. Ngakho-ke, wonke umuntu onesifo sikashukela kufanele azi ukuthi kudlule isikhathi esingakanani emva kokudla ukukala ushukela wegazi ukuze athole izinkomba ezinoshukela kakhulu.
Kungani ulinganise ushukela wegazi
Ezigulini ezinesifo sikashukela sohlobo loku-1, ukuhlola i-glucose yakho yegazi kubalulekile. Ngalesi sifo, isiguli sidinga ukwenza ukuhlolwa kwegazi okuzimele ngaphambi kokulala futhi ngokushesha nje ukuvuka, futhi ngezinye izikhathi phakathi kobusuku, ngaphambi kokudla nangemva kokudla, nangaphambi kokuzivocavoca komzimba nangokomzimba nangokomzwelo.
Ngakho-ke, ngesifo sikashukela sohlobo loku-1, inani lezilinganiso zikashukela wegazi lingaba izikhathi eziyisishiyagalombili ngosuku. Ngasikhathi sinye, le nqubo kufanele icatshangwe ngokucophelela uma kwenzeka kubanda noma izifo ezithathelwanayo, ushintsho ekudleni, kanye nezinguquko zomsebenzi womzimba.
Ezigulini ezinesifo sikashukela sohlobo 2, ukuhlolwa kweglucose ejwayelekile kubhekwa njengengxenye ebalulekile yokwelashwa. Lokhu kuyiqiniso ikakhulukazi kulezi ziguli ezinqunywe i-insulin therapy. Kodwa-ke, kubaluleke kakhulu ezigulini ezinjalo ukukala amazinga kashukela ngemuva kokudla nangaphambi kokulala.
Kepha uma isiguli esinohlobo 2 lwesifo sikashukela sikwazi ukwenqaba imijovo ye-insulin bese sishintsha amaphilisi okwehlisa ushukela, ukondleka kwezempilo kanye nemfundo yomzimba, kuyokwanela yena ukubheka amazinga kashukela egazini izikhathi ezimbalwa kuphela ngesonto.
Kungani ukukala ushukela wegazi:
- Khomba ukuthi lusebenza ngempumelelo kangakanani lolu hlelo bese unquma ukuthi singakanani isinxephezelo sesifo sikashukela;
- Sungula ukuthi umphumela wokudla okhethiwe nemidlalo kuliphi ithonya emazingeni kashukela;
- Nquma ukuthi iziphi ezinye izinto ezingathinta ukuqoqwa koshukela, kufaka phakathi izifo ezahlukahlukene kanye nezimo ezicindezelayo;
- Khomba ukuthi imiphi imishanguzo engathinta amazinga kashukela;
- Nquma ngesikhathi ukuthuthukiswa kwe-hyper- noma i-hypoglycemia futhi uthathe zonke izindlela ezidingekayo zokunciphisa ushukela wegazi.
Wonke umuntu onesifo sikashukela akufanele akhohlwe isidingo sokukala ushukela wegazi.
Yeqa le nqubo ngezikhathi ezithile, isiguli sizibeka engcupheni yokwenza izinkinga ezinkulu ezingaholela ekukhuleni kwezifo zenhliziyo nezinso, umbono omfiphele, ukubukeka kwezilonda ezingalapheki emilenzeni, futhi ekugcineni ukunqunywa kwezingalo.
Kukala Nini Ushukela Wegazi
Ukuzihlaziya kwegazi ngamazinga kashukela kuzobe kungasasebenzi ngampela uma kwenziwa ngokungafanele. Ukuthola imiphumela enenhloso enkulu, kufanele wazi ukuthi kunini lapho kufanelekile ukukala izinga le-glucose emzimbeni.
Kubaluleke kakhulu ukulandela zonke izincomo ezidingekayo zokwenza le nqubo lapho ulinganisa amazinga kashukela ngemuva kokudla. Iqiniso ngukuthi ukumuncwa kokudla kudinga isikhathi esithile, esivame ukuthatha okungenani amahora angama-2-3. Ngalesi sikhathi, ushukela ungena egazini lesiguli kancane kancane, okwandisa ushukela weglue emzimbeni.
Ngaphezu kwalokho, isiguli kufanele sazi ukuthi yimaphi amazinga kashukela wegazi ngemuva kokudla nasesiswini esingenalutho okubhekwa njengokujwayelekile, futhi okubonisa ukwanda okukhulu kwe-glucose emzimbeni.
Ukulinganisa ushukela wegazi nokuthi kusho ukuthini imiphumela:
- Esiswini esingenalutho ngokushesha nje ukuvuka. Izinga likashukela elijwayelekile lisuka ku-3.9 liye ku-5.5 mmol / l, liphezulu - lisuka ku-6.1 mmol / l nangaphezulu;
- 2 amahora emva kokudla. Izinga elijwayelekile - ukusuka ku-3.9 kuya ku-8.1 mmol / l, phezulu - ukusuka ku-11.1 mmol / l nangaphezulu;
- Phakathi kokudla. Izinga elijwayelekile - lisuka ku-3.9 liye ku-6.9 mmol / l, liphezulu - lisuka ku-11.1 mmol / l nangaphezulu;
- Noma inini. Ngokuphansi okuphansi, okubonisa ukukhula kwe-hypoglycemia - kusuka ku-3.5 mmol / L nangaphansi.
Ngeshwa, kunzima kakhulu ezigulini ezinesifo sikashukela ukufeza amazinga kashukela ajwayelekile kubantu abanempilo. Ngakho-ke, udokotela ohambelayo, njengomthetho, unquma kubo lokho okubizwa ngokuthi yi-kwelitshe glucose level, okuthi, yize kungaphezu kokujwayelekile, kuphephe kakhulu esigulini.
Lapho kunqunywa izinga lokuhlosiwe, i-endocrinologist ibheka uhlu oluphelele lwezinto ezingathinta ukugcwala kwe-glucose emzimbeni, okungukuthi uhlobo lwesifo sikashukela, ubukhulu besifo, iminyaka yobudala besiguli, isikhathi sesifo, ukuthuthukiswa kwezinkinga zesifo sikashukela, ukuba khona kwezinye izifo kanye nokukhulelwa kwabesifazane.
Ungayisebenzisa kanjani imitha
Ukukala izinga likashukela ekhaya, kunedivaysi ye-compact electronic - i-glucometer. Ungathenga le divayisi cishe kunoma iyiphi ikhemisi noma esitolo esikhethekile. Kodwa ukuze uthole imiphumela enembile kakhulu, kubalulekile ukwazi ukuthi ungayisebenzisa kanjani imitha.
Umgomo we-glucometer ungendlela elandelayo: isiguli sifaka umucu okhethekile wokuhlola edivayisini, bese siyiphonsa sibe yincane yegazi layo. Ngemuva kwalokho, izinombolo ezihambelana nezinga le-glucose emzimbeni wesiguli ziyavela esikrinini semitha.
Ekuboneni kokuqala, yonke into ibonakala ilula kakhulu, kepha-ke, ukusetshenziswa kwale nqubo kufaka ukugcinwa kwemithetho ethile, eyenzelwe ukuthuthukisa ikhwalithi yokuhlaziywa futhi inciphise noma iliphi iphutha.
Ungayisebenzisa kanjani i-glucometer ukukala ushukela wegazi:
- Geza izandla ngensipho nangamanzi bese uzesula kahle ngethawula elihlanzekile. Akunakusho ukuthi kufanele kukalwe ushukela uma izandla zesiguli zihlala zimanzi;
- Faka umucu okhethekile wokuhlola kumitha. Kufanele ilungele le modeli yedivayisi futhi ibe nokuphila okujwayelekile kweshelufu;
- Usebenzisa idivaysi ekhethekile - ilancet ifakwe ngenalithi encane, ihlwithe isikhumba emushini womunye weminwe;
- Ngakolunye uhlangothi, cindezela ngobumnene umunwe kuze kuthi lapho kuvela ithonsi legazi elincane ebusweni besikhumba;
- Letha ngokucophelela umucu wokuhlola emunweni olimele bese ulinda kuze kube yilapho imunca igazi lesiguli;
- Linda imizuzwana engu-5-10 lapho idivaysi icubungula imininingwane futhi ikhombisa umphumela wokuhlaziya;
- Uma izinga likashukela liphakeme, khona-ke kufanele ungeze amayunithi ama-2 we-insulin emfushane emzimbeni.
Kubalulekile ukugcizelela ukuthi ama-glucometer amaningi anamuhla alinganisa ushukela hhayi egazini le-capillary, kodwa ku-plasma yayo. Ngakho-ke, imiphumela etholakele ingaba phezulu kancane kunaleyo etholwe ngesikhathi sokuhlaziywa kwelabhoratri.
Kodwa-ke, kunendlela elula yokuhumusha imiphumela yokuxilongwa kwe-plasma ukukala kwe-capillary. Ukuze wenze lokhu, izibalo ezitholakele kufanele zihlukaniswe yi-1,2, ezizovumela ukuthola umphumela wokuhlaziya olunembile kakhulu.
Isibonelo, uma imitha kashukela egazini ikhombisa izinombolo ezibucayi zika-11.1 mmol / L, khona-ke akufanele isabe, kepha kudingeka nje ukuthi uyihlukanise ngo-1,2 futhi uthole umphumela we-9.9 mmol / L, okuyinto, yize ephezulu, kepha ayidingi ukunakekelwa okuphuthumayo kwezokwelapha.
Ividiyo ekulesi sihloko ikhombisa ukuthi ungalinganisa kanjani ushukela wegazi.
