Ingabe ushukela wegazi 5.8 ujwayelekile noma uyisidakamizwa? Iglucose ejwayelekile emzimbeni womuntu ikhombisa ikhwalithi yomsebenzi wayo. Uma kukhona ukuphambuka phezulu noma phansi, lokhu kusho isimo se-pathological.
Umzimba womuntu uyindlela eyinkimbinkimbi kunazo zonke eyaziwa esintwini. Futhi zonke izinqubo ezikuwo zinobuhlobo obusondelene. Lapho inqubo eyodwa iphazamiseka, ngokuqinisekile lokhu kuholela eqinisweni lokuthi ukwehluleka kwe-pathological kuyabonakala kwezinye izindawo.
Ushukela wegazi ophakeme (i-hyperglycemic state) ungasuselwa kwizizathu zomzimba neze-pathological. Uma ukucindezelwa noma ukungezwani kwemizwa kuholele ekukhuleni kwe-glucose, khona-ke ushukela uzovele usujwayelekile ngokwawo.
Kodwa-ke, uma ukwanda kokuqoqwa kwe-glucose emzimbeni kungumphumela wezinqubo ze-pathological - ukuphazamiseka kwe-endocrine, ukusebenza kahle kwe-pancreatic, khona-ke ukwehla okuzimele kweshukela kufinyelela ezingeni elidingekayo ngeke kwenzeke.
Ngakho-ke, ake sibheke ukuthi yini ebhekwa njengezinkomba ezijwayelekile ze-glucose emzimbeni womuntu? Yini inkomba yamayunithi angama-5.8 akhuluma ngayo, futhi yini okufanele yenziwe esimweni esinjalo?
I-glucose 5.8 amayunithi - evamile noma i-pathological?
Ukuze wazi ukuthi okujwayelekile yiyunithi engama-5.8, noma kuyindlela yokwelapha, kuyadingeka ukwazi kahle ukuthi yiziphi izinkomba ezibonisa ukuthi konke kuvamile, yiziphi izindinganiso ezibonisa umngcele, okungukuthi, isimo se-prediabetes, nokuthi isifo sikashukela sitholakala nini.
I-hormone i-insulin, ekhiqizwa ama-pancreas, ilawula inani likashukela emzimbeni. Uma ukungasebenzi kahle kubonwa emsebenzini wayo, khona-ke ukugcwala kwe-glucose kungakhuphuka noma kunciphe.
Njengoba kushiwo ngenhla, ukwanda koshukela kungabonakala ngaphansi kwethonya lezizathu ezithile zomzimba. Isibonelo, umuntu wabhekana nengcindezi enkulu kakhulu, wayenovalo, egxile kakhulu ekusebenzeni komzimba.
Kuzona zonke lezi zimo, ngokunokwenzeka okungu-100%, ushukela wegazi uzokwenyuka, futhi "weqe" umkhawulo ophezulu ovumelekile ojwayelekile. Ngokufanelekile, lapho okuqukethwe ushukela emzimbeni kuyehluka kusuka kumayunithi angama-3.3 kuya kwangama-5.5.
Ezinganeni nakubantu abadala, okujwayelekile kuzohluka. Cabanga ngemininingwane esibonelweni setafula lezinkomba ngokuya ngeminyaka yomuntu:
- Ingane esanda kuzalwa inoshukela wegazi kusuka kumayunithi angama-2.8 kuya kwayi-4,4.
- Kusuka enyangeni eyodwa kuya eminyakeni eyi-11, i-glucose ngamayunithi ayi-2.9-5.1.
Kusuka eminyakeni engaba ngu-11 ubudala kuye kwengama-60, ukwehluka kusuka kumayunithi angama-3.3 kuya kwangama-5.5 kubhekwa njengezinkomba ezijwayelekile zoshukela. Ngemuva kweminyaka engama-60 yobudala, okujwayelekile kuzohluka kancane, futhi umkhawulo ophezulu wemikhawulo evunyelwe ukhuphukela kumayunithi ayi-6.4.
Ngakho-ke, singaphetha ngokuthi ushukela wegazi wamayunithi angama-5.8 ungaphezu komkhawulo ophezulu wamanani ajwayelekile. Kulokhu, singakhuluma ngesimo se-prediabetesic (isimo semingcele phakathi kokujwayelekile nesifo sikashukela).
Ukuze uphikise noma uqinisekise ukutholwa kokuqala, udokotela unquma ezinye izifundo.
Izimpawu zeGlucose ephezulu
Ukuzilolonga kukhombisa ukuthi emacaleni amaningi, ushukela wegazi cishe amayunithi angama-5.8 ngeke akhombise ukwanda kwezimpawu. Noma kunjalo, leli nani linikeza isizathu sokukhathazeka, futhi kungenzeka ukuthi okuqukethwe ushukela kukhuphuke kancane.
Ukuhlushwa kwe-glucose ephezulu kunganqunywa esigulini ngezibonakaliso ezithile kanye nezimpawu. Kumele kuqashelwe ukuthi kwezinye izigaba zeziguli izimpawu zizokhulunywa kakhulu, kwezinye, kunalokho, zizobonwa ngokuqina okuphansi noma ukungabikho ngokuphelele kwezimpawu.
Ngaphezu kwalokho, kunento efana "nokuzwela" ukwanda ushukela. Emsebenzini wezokwelapha, kuyaphawuleka ukuthi abanye abantu banokuphazamiseka okuphezulu kwezinkomba ezokweqisa, futhi ukwanda kwamayunithi we-0,1-0.3 kungaholela ezimpawu ezahlukahlukene.
Kufanele uqaphele uma isiguli sinezimpawu ezilandelayo zezixwayiso:
- Ubuthakathaka obuhlala buhlala, ukukhathala okungamahlalakhona, ukubekezela, ukunganaki, imizwa ejwayelekile.
- Ukwanda kwesifiso sokudla, kuyilapho kukhona ukwehla kwesisindo somzimba.
- Umlomo omile njalo, ukoma.
- Ukuchama kaningi nokuvama, ukwanda kwesilinganiso somchamo emahoreni angama-24, ukuvakasha ebusuku endlini yangasese.
- Izifo zesikhumba ezenzeka ngezikhathi ezithile.
- Ukulunywa ngofuzo.
- Ukwehla kwamasosha omzimba, izifo ezithathelwanayo ezijwayelekile, ukusabela komzimba.
- Ukulimazeka kokubonakalayo.
Uma isiguli sibonisa lezo zimpawu, khona-ke lokhu kubonisa ukuthi kukhona ukwanda kwe-pathological ushukela wegazi. Kumele kuqashelwe ukuthi isiguli ngeke sibe nazo zonke lezi zimpawu ezingenhla, isithombe somtholampilo sehlukile.
Ngakho-ke, uma kuvela ngisho nezimpawu ezimbalwa kumuntu okhulile noma enganeni, udinga ukuhlolwa igazi ukuze uthole ushukela.
Yini emva kokudinga ukukwenza, udokotela ozokutshela uzokutshela lapho esehlisa imiphumela.
Ukubekezelelwa kwe-glucose, kusho ukuthini?
Lapho udokotela esola isimo sangaphambi kwesifo sikashukela noma isifo sikashukela ngemiphumela yokuhlolwa kwegazi okokuqala, uncoma ukuhlolwa kokubekezelela ushukela. Ngenxa yocwaningo olunjalo, isifo sikashukela singabonakala ekuqaleni kwesifo, futhi isifo se-glucose ukumuncwa kungaqunywa.
Lolu cwaningo lusivumela ukuthi sinqume izinga le-carbohydrate metabolism ephazamisekile. Lapho imiphumela yocwaningo ingeqi isibalo samayunithi angama-7.8, isiguli asinalutho okufanele sikhathazeke ngaso, konke kuhamba kahle ngempilo yakhe.
Uma, ngemuva komthwalo ushukela, kutholakala amanani asuka kuma-7,8 amayunithi aye ku-11.1 mmol / l, lokhu sekuyimbangela yokukhathazeka. Kungenzeka ukuthi kungenzeka ukubona ekuqaleni kwesifundazwe isimo se-prediabetesic, noma uhlobo lwakudala lwe-pathology engalapheki.
Esimweni lapho ukuhlolwa kukhombise umphumela ongaphezulu kwama-11.1 amayunithi, isiphetho singaba sinye - yisifo sikashukela, ngenxa yalokho kunconywa ukuthi kuqalwe ngokushesha ukwelashwa okwanele.
Ukuhlolwa kweglucose ushukela kubaluleke kakhulu ezimweni ezinjalo:
- Lapho isiguli sinamazinga kashukela ngaphakathi kwemikhawulo eyamukelekayo, kepha i-glucose kumchamo ibonwa njalo. Imvamisa, kumuntu ophile kahle, ushukela kumchamo kufanele ungabikho.
- Esimweni lapho kungekho zimpawu zesifo sikashukela, kepha kukhona ukwanda kwamandla adonsa umchamo ngosuku. Ngokuphikisana nesizinda salesi sibonakaliso, ushukela wegazi esiswini esingenalutho ungaphakathi kwesimo esinqunyelwe.
- Amazinga kashukela aphezulu ngesikhathi sokukhulelwa akhombisa ukuthuthuka kwesifo sikashukela sokukhulelwa.
- Lapho kunezimpawu zesifo esingamahlalakhona, kepha akukho glucose kumchamo, noshukela osegazini awudluli umkhawulo ophezulu.
- Isici esingesihle sefa, lapho isiguli sinezihlobo ezisondelene ezinesifo sikashukela kungakhathalekile ukuthi hlobo luni (izimpawu zeglucose ezandayo zingase zingabikho). Kunobufakazi bokuthi isifo sikashukela sizuzwe njengefa.
Iqembu lengcuphe lifaka abesifazane lapho ngesikhathi sokukhulelwa bathola amakhilogremu angaphezu kweshumi nesikhombisa, futhi isisindo sengane lapho izalwa yayingamakhilogremu ayi-4,5.
Isivivinyo silula: bathatha igazi kwisiguli, bese sibanikeza i-glucose encibilikisiwe emanzini, bese kuthi ngezikhathi ezithile, babuye bathathe i-biological fluid.
Ngaphezu kwalokho, imiphumela yocwaningo iqhathaniswa, yona ekuvumela ukuthi usungule ukuxilongwa okulungile.
Ukunqunywa kwe-glycated hemoglobin
I-Glycated hemoglobin yocwaningo lokuxilonga olukuvumela ukuthi uthole ukuthi kukhona ushukela weziguli. I-glycated hemoglobin ingumbala ushukela wegazi ohlanganisa ngawo.
Izinga lalesi sikhombisi linqunywa njengephesenti. Okujwayelekile kwamukelwa wonke umuntu. Lokho wukuthi, ingane esanda kuzalwa, izingane zasenkulisa, abantu abadala kanye nabantu asebekhulile bazoba namanani afanayo.
Lolu cwaningo lunezinzuzo eziningi, alungele udokotela kuphela, kodwa nesiguli. Njengoba amasampula egazi engenziwa nganoma yisiphi isikhathi sosuku, imiphumela ngeke incike kokudla okuthe xaxa.
Isiguli asidingi ukuphuza i-glucose encibilikisiwe emanzini, bese silinda amahora ambalwa. Ngaphezu kwalokho, lolu cwaningo aluthinteki ngokuzivocavoca ngokomzimba, ukungezwani kwemizwa, ukucindezela, umuthi nezinye izimo.
Isici salolu cwaningo ukuthi ukuhlolwa kukuvumela ukuthi uthole ushukela wegazi ezinyangeni ezintathu ezedlule.
Ngaphandle kokuphumelela kovivinyo, izinzuzo nezinzuzo zalo ezibalulekile, kunezibi ezithile:
- Inqubo ebizayo uma uyiqhathanisa nokuhlola kwegazi okwejwayelekile.
- Uma isiguli sinezinga elincane lama-hormone egilo, khona-ke ungathola umphumela ongalungile, futhi izinkomba ziyobe ziphakeme.
- Ngama-hemoglobin aphansi nomlando we-anemia, ukuhlanekezela kwemiphumela.
- Akuwona wonke umtholampilo ongahlola lokho.
Uma imiphumela yocwaningo ikhombisa izinga le-hemoglobin ye-glycated engaphansi kwama-5.7%, lokhu kukhombisa ubungozi obuncane bokuthola isifo sikashukela. Lapho izinkomba zehluka kusuka ku-5.7 kuya ku-6.0%, singasho ukuthi kunoshukela, kepha amathuba okuthuthuka kwayo aphakeme impela.
Izinkomba ze-6.1-6.4%, singakhuluma ngesimo se-prediabetesic, futhi isiguli sinconywa ngokuphuthumayo ukuthi siguqule indlela yaso yokuphila. Uma imiphumela yocwaningo ingaphezulu kuka-6.5%, khona-ke isifo sikashukela sitholakala ngaphambi kokutholwa, kuzodingeka izindlela ezengeziwe zokuxilonga.
Imisebenzi yokusiza ukwehlisa ushukela
Ngakho-ke, manje kwaziwa ukuthi okuqukethwe ushukela emzimbeni womuntu kuyahluka kusuka kumayunithi angama-3.3 kuya kwangama-5.5, futhi lezi kuyizinkomba ezifanele. Uma ushukela umile cishe amayunithi angama-5.8, lesi yisikhathi sokucabanga kabusha ngempilo yakho.
Kufanele kuqashelwe zisuka nje ukuthi kulula kakhulu ukulawula okunjalo, futhi izindlela ezilula zokuvimbela ngeke zenze ushukela ngokwejwayelekile ube ezingeni elidingekayo, kepha futhi ungavimba ukuthi lingakhuphuki ngaphezulu komkhawulo ovumelekile.
Noma kunjalo, uma isiguli sinokwenyuka kokuhlushwa kwe-glucose, kunconywa ukulawula ushukela ngokwakho, ukukala ekhaya. Lokhu kuzosiza idivaysi ebizwa nge-glucometer. Ukulawulwa kwe-glucose kuzovikela imiphumela eminingi engaba khona yokwanda koshukela.
Ngakho-ke yini okufanele yenziwe ukuze kusebenze ukusebenza kwakho ngokwezifiso? Kuyadingeka ukunaka izindlela ezilandelayo zokuvimbela:
- Ukulawula isisindo somzimba. Uma ukhuluphele noma ukhuluphele, kufanele wenze konke ukunciphisa umzimba. Shintsha ekudleni, ikakhulukazi okuqukethwe kwekalori yezitsha, ngena kwezemidlalo noma ube ngumlutha wokuhamba ngezinyawo.
- Balanisa imenyu yakho, uncamela imifino nezithelo zonyaka, amazambane enqaba, ubhanana, amagilebhisi (aqukethe ushukela omningi). Khipha ukudla okunamafutha nokuthosiwe, iziphuzo ezinotshwala nezine-caffeine, isoda.
- Lala okungenani amahora angama-8 ngosuku, uyeke uhlelo olukhathazayo. Ngaphezu kwalokho, kunconywa ukuthi ulale futhi uvuke ngasikhathi sinye.
- Ukuze ulethe ukusebenza okuhle ngokomzimba empilweni yakho - zivivinya umzimba ekuseni, ugijime ekuseni, uye ejimini. Noma vele uhambe emoyeni omusha ngejubane elisheshayo.
Iziguli eziningi, zesaba isifo sikashukela, zenqaba ngokuphelele ukudla kahle, zikhetha ukulamba. Futhi lokhu empeleni akulungile.
Isiteleka siyolanda isimo kuphela, izinqubo ze-metabolic zizophazamiseka kakhulu, okuzoholela ezinkingeni nemiphumela emibi.
Ukuzilinganisa ushukela
Ungathola amazinga eglucose emtholampilo ngokunikela ngegazi, futhi njengoba kushiwo ngenhla, ungasebenzisa i-glucometer - ithuluzi lokulinganisa okuqukethwe ushukela emzimbeni. Kungcono ukusebenzisa i-electrochemical glucometer.
Ukuze wenze isilinganiso, kufakwa inani elincane lamanzi wegciwane avela emunweni afakwa kumucu wokuhlola, bese ubekwa ngaphakathi kwensiza. Ngaphakathi kwemizuzwana engu-15-30 ungathola umphumela ngqo.
Ngaphambi kokubhoboza umunwe wakho, udinga ukwenza izinqubo zokuhlanzeka, ugeze izandla ngensipho. Akunakusho ukuthi kufanele uphathe umunwe wakho ngoketshezi olufaka notshwala ekwakhekeni kwabo. Ukuhlanekezela kwemiphumela akunqunyelwe.
Ukulinganisa ushukela wegazi inqubo evumela ukuthi wena ukuthi uqaphele ukuphambuka kusuka kokujwayelekile ngesikhathi, futhi uthathe izinyathelo ezidingekayo, ngokulandelana, ukuvimbela izinkinga.
Ividiyo ekulesi sihloko izokutshela ngezinga elifanele likashukela wegazi.
