Izici zomzimba ebusheni zihambisana nokushintshwa kusuka ebuntwaneni kuya ebudaleni kanye nesizinda esingama-hormonal esingazinzile. Inkambo yokuthomba idala ubunzima ekwelashweni kwezifo eziningi.
Isigaba esinjengalesi sonyaka sibonisa ukwehla kokulawulwa kweglucose yegazi, ukungondleki okungajwayelekile, ukwenqaba kwemiyalelo kadokotela, nokuziphatha okuyingozi.
Ukuvikelwa okwandisiwe kwama-hormone wezindlala nama-grenads kuholela ekubonakalisweni kokuzwela okuphansi kwe-insulin. Zonke lezi zinto ziholela enkambeni enkulu yezifo ezihambisana nokuphazamiseka kwe-metabolic.
Ungasusa kanjani ukuhlolwa kwegazi kwe-glucose?
Ukuze uphenye i-carbohydrate metabolism, kunikezwa izinhlobo eziningana zokuhlolwa. Okokuqala, kwenziwa ukuhlola kweglucose. Kuboniswa kuyo yonke intsha enezimpawu ezitholakala kushukela.
Lokhu kufaka phakathi ubuthakathaka, ikhanda, ukukhuphuka kwesifiso sokudla, ikakhulukazi amaswidi, ukuncipha kwesisindo, umlomo owomile nokoma njalo, ukuchama kaningi, ukuphulukiswa kwamanxeba isikhathi eside, ukubonakala kokuqhuma kwesikhumba esikhumbeni, ukulunywa endaweni yokushiswa, ukubanda okuvamayo.
Uma ngasikhathi sinye umndeni unabazali abagulayo noma izihlobo eziseduze, khona-ke ukuxilongwa okunjalo kuyenziwa ngisho noma kungekho zimpawu. Futhi, izinkomba zokuhlola osemusha kungaba ukukhuluphala nomfutho wegazi ophezulu, okunikeza isizathu sokusola i-metabolic syndrome.
Ukulawulwa kweshukela egazini kuboniswa ezinganeni ezinezifo ze-endocrine - i-thyrotooticosis, i-adrenal gland hyperfunction, izifo zesifo semvelo, kanye nezifo ezingapheli zezinso noma zesibindi, izidakamizwa ze-hormonal, noma ukwelashwa isikhathi eside ngama-salicylates.
Ukuhlaziywa kwenziwa ngesisu esingenalutho (amakhalori akufanele afike amahora angu-8) lapho kungekho msebenzi womzimba, ukubhema, ukucindezela ngokomzwelo nezifo ezithathelanayo ngosuku lokufunda. Ukuhlolwa kuyakhanselwa uma ezinsukwini eziyi-15 ezedlule kube nokulimala, ukungenelela kokuhlinzwa noma izifo ezinzima.
Izinga likashukela wegazi kwintsha eyeve eshumini nambili ibhekwa njengelizinga kusuka ku-3.3 kuya ku-5.5 mmol / L, enganeni eneminyaka yobudala eyodwa umkhawulo ophansi wesilinganiso ungaba ngu-2.78 mmol / L, kanye ne-4.4 mmol / L ephezulu.
Uma i-glucose egazini itholakala ngaphansi kwejwayelekile, kuxilongwa i-hypoglycemia. Uma kunokukhuphuka okufika ku-6.1 mmol / l, khona-ke le nkomba iwuphawu lwe-prediabetes.
Futhi uma okuqukethwe ushukela kungaphezulu kuka-6.1 mmol / l, khona-ke lokhu kunikeza ukutholakala kwesifo sikashukela.
Izizathu zokuphambuka kusuka kokujwayelekile
Ushukela wegazi ophakanyisiwe kungenzeka uma imithetho yokuphasa isivivinyo ingalandelwa, ngakho-ke kunconywa ukuthi iphindwe.
I-Hyperglycemia ihambisana nokusetshenziswa kwemithi, okubandakanya ama-hormone, ikhafeine, kanye nokusetshenziswa kwezimpawu zokugcotshwa eqenjini le-thiazide.
Izizathu ezingadala ukwenyuka kwesibili kushukela wegazi:
- Khulisa umsebenzi we-adrenal.
- I-Thyrotooticosis.
- Ukwanda kokuhlanganiswa kwe-hormone yi-pituitary gland.
- Izifo zamanyikwe.
- I-glomerulonephritis engapheli, i-pyelonephritis kanye nephrosis.
- IHepatitis, i-steatosis.
- I-Myocardial infarction.
- Brain hemorrhage.
- Isithuthwane
Izidakamizwa ze-Anabolic, i-amphetamine, ezinye izidakamizwa ze-antihypertensive, utshwala, izidakamizwa ezilwa nesifo sikashukela, ama-antihistamines anganciphisa ushukela wegazi. Izinkinga zokudla ngokudla okunama-kilojoule aphansi, kanye nokufakwa okuncishisiwe emathunjini noma esiswini kuholela kwi-glycemia ephansi.
Ukwehla ushukela wegazi enganeni noma kumuntu omdala kwenzeka ngokukhiqizwa okunganele kwama-hormone ku-pituitary noma i-adrenal gland, i-hypothyroidism, isimila kumanyikwe, ezinganeni ezisanda kuzalwa ngaphambi kwesikhathi noma kumama onesifo sikashukela. I-Hypoglycemia yenzeka njengophawu lwama-neoplasms, i-cirrhosis, i-corgenital Fermentopathies.
Izingane nentsha ibheke kakhulu ekwehliseni ushukela, ngakho-ke zikhombisa izimpawu ze-hypoglycemia ezikhubazeka ngemifino, izifo ezithathelwanayo ezine-febrile syndrome.
Ukuhlinzwa ushukela kungenzeka futhi ngemuva kokuzivocavoca kakhulu.
Ngubani owabelwe isivivinyo sokumelana ne-carbohydrate?
Ukuhlola ukuthi ukuqoqwa kwe-carbohydrate ekudleni kwenzeka kanjani, kwenziwa isifundo sokubekezelela ushukela. Izinkomba zokuhlaziywa okunjalo ngamacala angabazeki wokukhuphuka kwe-glucose egazini, izinsolo zesifo sikashukela esisokile, ukukhulupha ngokweqile, umfutho wegazi ophakeme, ukusetshenziswa kwezidakamizwa okwenziwa isikhathi eside kwe-hormonal.
Ezinganeni ezineminyaka engaphezu kwengu-12 ubudala, isifundo esinjalo singabekwa uma ingane isengozini enkulu yesifo sikashukela - inezihlobo ezisondelene nalesi sifo, isifo se-metabolic, i-polycystic ovary kanye ne-insulin, i-polyneuropathy yemvelaphi engaziwa, i-furunculosis noma i-periodontosis engapheli. .
Ukuze isivivinyo sokubekezelela i-glucose sithembeke, ukulungiswa okukhethekile kuyadingeka ezinsukwini ezi-3 ngaphambi kokuhlaziywa. Kufanele kube nohlobo olwanele lokuphuza (okungenani amalitha ayi-1,2 amanzi ajwayelekile), ukudla okujwayelekile kwezingane kufanele kube khona ekudleni.
Uma ngabe kunqunywe imithi equkethe ama-hormone, i-vithamini C, i-lithium, i-acetylsalicylic acid, lapho-ke ikhanselwa ngezinsuku ezi-3 (ngokunconywa ngudokotela). Ukuhlolwa akwenziwa phambi kwezifo ezithathelwanayo, ukuphazamiseka kwamathumbu.
Ukwemukelwa kotshwala abuvunyelwe ngosuku, ngosuku lokuhlolwa awukwazi ukuphuza ikhofi, intuthu, ukudlala imidlalo noma umsebenzi omkhulu womzimba. Ukuhlolwa kokumelana noshukela kwenziwa ekuseni esiswini esingenalutho ngemuva kwekhefu lokudla lehora eli-10-12.
Ukuhlolwa kwegazi kwe-glucose ngesikhathi sokuhlolwa kwenziwa kabili. Isikhathi sokuqala esiswini esingenalutho, bese kuthi ngemuva kwamahora ama-2 ukusuka nokuthatha isixazululo sikashukela. Ukuhlolwa kwenziwa kusetshenziswa u-75 g we-glucose enamanzi, encibilika engilazini yamanzi. Isikhathi esiphakathi kokuhlaziya kufanele senziwe esimweni sokuphumula ngokomzimba nangokwengqondo.
Imiphumela yokuhlola ihlolwe izinkomba ezimbili - ngaphambi nangemva komthwalo:
- Ingane iphilile: izinga lokuzila ukudla kwe-glycemia (kufika ku-5.5 mmol / l), nangemva kokudla kakhulu kweglucose (kufika ku-6.7 mmol / l).
- Isifo sikashukela mellitus: esiswini esingenalutho ngaphezu kwe-6.1 mmol / l, ngemuva kwehora lesibili - ngaphezulu kwe-11.1 mmol / l.
- I-Prediabetes: i-glycemia engasebenzi kahle - ngaphambi kokuhlolwa kwe-5.6-6.1 mmol / l, ngemuva - ngezansi kwe-6.7 mmol / l; ukubekezelela ushukela okhubazekile - kuze kufike ku-TSH ngaphansi kuka-6.1 mmol / l, ngemuva kokuhlolwa kuka-6.7-11.0 mmol / l.
Uma kutholakala isifo sikashukela, osemusha unqunywa ukwelashwa kokudla ngaphandle kwamaswidi, ukudla okusheshayo, namakhekhe enziwe ngofulawa omhlophe, iziphuzo zekhabhoni noma iziphuzo ezinoshukela, kanye nokudla okunamafutha nokuthosiwe.
Ngokwesisindo somzimba esandisiwe, udinga ukunamathela ekudleni okunekhalori ephansi ngokudla okuvamisile ezindaweni ezincane, ngokunciphisa umzimba ngokweqile, izinsuku zokuzila ziyaboniswa. Okufuneka kuqala umsebenzi wezimoto eziphezulu - zonke izinhlobo zivunyelwe, ngaphandle kokufaka isisindo, ukukhwela izintaba, ukugxila.
Uchwepheshe kule vidiyo ekulesi sihloko uzokutshela kabanzi ngezinga loshukela wegazi.
