Ushukela wegazi usekelwa yi-endocrine ne-neva system. Ukuphambuka kokujwayelekile kuphazamisa umsebenzi, okokuqala, kobuchopho, ngoba amangqamuzana alo ancike ekudleni kweglucose.
Ukwanda kwe-glucose akukuthinti ngokushesha inhlala-kahle, ngakho-ke iziguli zingaba nesifo sikashukela seminyaka ngaphandle kokwazi ukuthi sikhona. Kulesi simo, ukubhujiswa kwemithambo yegazi nokulimala kwemicu yezinzwa kuqala emzimbeni.
Ukuze uvikele ukuqhubeka kwesifo, kudingeka wazi izimpawu ezihambisana noshukela omningi futhi utholakale ngendlela esheshayo.
Izimpawu zikashukela okweqile
Izimpawu zokwanda ushukela wegazi kungenxa yokuthi ama-molecule eglue, asele ohlelweni lokujikeleza, abangela ukungena kwamanzi okuvela ezicutshini kuya emithanjeni. Lokhu kungenxa yomsebenzi we-osmotic we-glucose.
Ukuze unxephezele ukuphuma komzimba emzimbeni, isikhungo sokoma siyasebenza futhi nezinso ziqala ukufaka i-glucose yomchamo, zisuse ngokweqile. Ngaphezu kwalokho, ukuntuleka kweglucose emangqamuzaneni kuholela ekuntuleni okungapheli kokudla, okukhombisa ngobuthakathaka nendlala.
Izimpawu ezinkulu zemitholampilo zivela ngamanani aphezulu kashukela wegazi. Ngokuqhubeka kokuphazamiseka kwe-metabolic, izinkinga eziba nzima ziyakhula ngohlobo lwe-ketoacidotic noma hyperosmolar coma.
Ushukela wegazi ongaphezulu ungasolwa ngokususelwa kuzimpawu ezinjalo.
- Ukwanda kwenani lomchamo.
- Umile njalo.
- Ukuchama okusheshayo.
- Umlomo owomile.
- Isicanucanu
- Ubuthakathaka obukhulu.
- Isiyezi
Ngaphezu kwalokho, iziguli zingaba nesisindo esibuthakathaka sokukhula kwesifiso sokudla noma okuphindwe kabili kwesisindo somzimba, okunzima ukusilungisa. Kwi-hyperglycemia engapheli, umbono, umsebenzi wezinso uyaphazamiseka bese kuba ne-polyneuropathy. Ukulunywa kwesikhumba okuvela njalo kuvela, ikakhulukazi ku-perineum, ukushuba kwezinyawo nezandla kuyaphazamisa.
Ukwanda koshukela egazini kuphazamisa amasosha omzimba. Amanxeba nokusikeka akulethi isikhathi eside, ukutheleleka nge-purapy kuyajoyina. Esikhunjeni, imichilo, i-furunculosis, i-dermatitis kuyaphawulwa.
Emadodeni, i-hyperglycemia idala ukwehla kwe-potency kanye nesifiso sobulili, kuyilapho kwabesifazane umjikelezo wokuya esikhathini kanye nezinqubo ze-ovulation ziphazamiseka, okuholela ekungeneni kokuzala.
Isici esibonakalayo yizifo fungal, ezivame ukuvela futhi ezinqikayo ekwelashweni kwezidakamizwa.
Izimbangela ze-Hyperglycemia
Ukwanda kwe-glucose kungaba okwesikhashana ezimweni ezicindezelayo noma ukuzivocavoca okuphezulu komzimba, kanye nokudla ngokweqile, ikakhulukazi ngokudla kakhulu ukudla okune-carbohydrate. Izimo ezinjalo zivame ukungabi nobungozi, ngemuva kokuphela kokuvuselelwa, izinga loshukela wegazi libuyiselwa ngaphandle kokwelashwa okwengeziwe.
Futhi, izimo ze-pathological zingaholela ekukhuphukeni kwesikhashana kwe-glucose. Lokhu kufaka ukushiswa nendawo ebalulekile yokulimala kwesikhumba, ukushisa komzimba okuphezulu ngesikhathi segciwane, ukutheleleka ngegciwane, izinhlungu ezinzima, isithuthwane.
Ukuthatha umuthi eqenjini lama-steroid, i-thiazide diuretics, isoniazid, amaphilisi okulawula ukuzalwa kwe-hormonal, ama-antidepressants, i-nicotinic acid, i-doxycycline, i-barbiturates, ama-hormone okukhula kanye nendlala yegilo kubangela ukwanda koshukela wegazi. I-calcium ne-beta-adrenoreceptor blockers zinomphumela ofanayo.
Ukwanda okungaguquki kweshukela kukhula ku-mellitus yesifo sikashukela. Le yi-pathology ejwayelekile kakhulu, ebonakaliswa ukuntuleka kwe-insulin secretion noma ukusabela okubuthakathaka kwe-receptor kuyo.
Ngaphezu kwesifo sikashukela, i-hyperglycemia iyisici sezifo ezinjalo:
- Isifo se-pancreatic esingamahlalakhona.
- I-Pathology yesibindi.
- Umsebenzi we-pituitary noma i-adrenal gland.
- I-Hyperthyroidism
- Isifo sezinso.
Ishukela likashukela
Inkambo yamuva yesifo sikashukela ingahle inganiki izimpawu zomtholampilo isikhathi eside. Iziguli aziziboni izinguquko esimweni sezempilo, kepha ngasikhathi sinye, lesi sifo siyanda emzimbeni. Izimpawu zesifo sikashukela zingabonakala ngokufunda ngokucophelela izikhalazo zesiguli sokukhathala, ukungaboni kahle, kanye ne-candidiasis engapheli.
Imvamisa, isifo sikashukela esisebuswenihlo sitholakala ngesikhathi kuhlolwa udokotela noma uma udokotela esola ukuthi isifo sikashukela sinokugula okuhlala isikhathi eside nokungabikho komphumela wokwelashwa kwendabuko.
Isimo esinjengalesi sokugula kwezifo siyisibonakaliso sokugomeka okwehlisiwe kanye nentuthuko yokubhujiswa kodonga lwemithambo yegazi emincane. Umzimba uthathwa kalula wukutheleleka, futhi isikhathi sokululama siyabambezeleka ezimweni zokuhlinzekelwa kwegazi okungekuhle kanye nokuntuleka kwezakhi eziseleni.
Inkambo yakamuva yesifo sikashukela iyaphawuleka kubantu abanesifiso sokulimaza i-carbohydrate metabolism. Lokhu kufaka phakathi
- Ukuphazamiseka kwezakhi zofuzo: isifo sikashukela ezihlotsheni eziseduze.
- Isifo sokuqina kwemithambo yegazi
- Ukukhuluphala ngokweqile
- Ukuxineka kwengqondo ngokwezengqondo.
- I-pancreatitis
- Izifo zezitho ze-endocrine.
- Isifo sikashukela sokutholwa kwesisu.
- Ama-Angiopathies nama-polyneuropathies.
- I-ovary yePolycystic.
Ukuhlolwa kweglucose kwegazi kusetshenziselwa ukuthola isifo sikashukela esilandelwa, bese kulandela ukuhlolwa komthwalo ushukela. Uma kutholakala izinkomba ze-7.8 - 11 mmol / L, ukwephulwa kokubekezelelwa kwe-carbohydrate kuqinisekisiwe. Lezi ziguli ziyelulekwa ukuthi zishintshe indlela ezidla ngayo, ngaphandle kokudla okunenkomba ye-glycemic ephezulu futhi equkethe i-cholesterol eningi.
Futhi imfuneko yokuvimbela isifo sikashukela ukuncipha kwesisindo somzimba nokuningi kwayo. Iziguli zidinga ukunciphisa ukulinganiselwa kwe-caloric, ukwandisa umsebenzi we-motor futhi kuhlolwe ngokuphelele ukuthola indlela yokwelashwa.
Uma isifo sikashukela esisobala sivela, khona-ke kuvela izimpawu ezengeziwe: ukudinwa, ukusebenza okwehlile, ukungabekezeleleki, ikhanda eliphikelelayo nokwehla komfutho wegazi, ukuphazamiseka kokulala nokucindezeleka.
Isikhumba siyoma, kukhona ukuqubha kwesifo sikashukela kwezihlathi, iziguli zikhathazekile ngokulunywa nokuqunjelwa esikhunjeni. Kungahle kube nemikhawulo yamaphethelo aphansi, kube kubi kakhulu ebusuku, ukukhubazeka kanye ne-paresthesia.
Ukujoyina i-retinopathy yesifo sikashukela, i-nephropathy ne-polyneuropathy kubi kakhulu lesi sifo.
Isifo sikashukela kwabesifazane abakhulelwe
Izinguquko ze-Hormonal emzimbeni wowesifazane ngesikhathi sokukhulelwa kuholela ekunciphiseni kwempendulo ye-insulin. Lesi senzo senziwa ngama-hormone akhiqizwa yi-placenta. Izithombe zemitholampilo zesifo sikashukela sokukhulelwa zingachazwa futhi zitholakala ngamapharamitha aselebhu.
Ingozi yesifo sikashukela esikhulelwe ilele ekuqubukweni kokungalungi kwe-fetus - isifo sikashukela. Uma ziningi, khona-ke kungaholela ekuphuthweni kwesisu ezigabeni zokuqala. Nge-hyperglycemia eyenzeka ezigabeni sekwephuzile kanye nokungabikho kwesinxephezelo sayo, ukuphazamiseka okubukwayo enganeni noma ebuchosheni be-cerebral, ikhubazeka lenhliziyo kungenzeka.
Isifo sikashukela kwabesifazane abakhulelwe sivame ukukhula phakathi kwezinyanga ezi-4 nezingu-8 zokukhulelwa, ngakho-ke, abesifazane abasengozini kudingeka bahlolwe elabhorethri, babonane nodokotela oyi-endocrinologist, kufanele balawule ushukela wegazi.
Ingozi yokuba nesifo sikashukela kwabesifazane abakhulelwe inyuka ngalezi zinto ezilandelayo:
- Ukuqagela komndeni.
- Umfutho wegazi ophezulu we-Arterial.
- Ukukhuluphala ngokweqile
- Ukuphuphuma kwesisu kokukhulelwa kwangaphambilini, ama-stillbirths, ama-pathologies akhula esibelethweni.
- Ukukhulelwa okukhulu.
- Umlando we-ovary polycystic noma i-mastopathy.
Isifo sikashukela sabantwana
Ebuntwaneni, uhlobo lwe-1 sikashukela luyakhula, kubhekiselwa kwi-endocrine pathology enzima. Ukuvezwa kwayo kuvame ukwenzeka lapho ama-5-10% amangqamuzana asebenzayo esala kumanyikwe, futhi ngaphambi kwalezi zimpawu zesifo kungenzeka zingabi khona. Ngakho-ke, imvamisa ukubonakaliswa kokuqala kwesifo sikashukela kuqala ngokukhohlisa.
Izimpawu zemitholampilo zihambisana nokukhula komzimba, ngoba kutholakala inani elikhulu lamanzi ukususa amanani amaningi kashukela egazini. Ingena egazini ivela ezicutshini. Izingane zihlangabezana nendlala enkulu, zidle kahle, kepha zingabi nesisindo.
Umlomo owomile nokoma, okungahambi ngisho noma kuthatha inani elikhulu loketshezi, kanye nokwanda kokuchama kanye nokuqina ebusuku, kuyizimpawu ezinhle kakhulu zesifo sikashukela ebuntwaneni.
Kukhona namanje i-pathology efana nesifo sikashukela sokuzalwa. Ezinganeni, i-mellitus yesifo sikashukela ingasolwa ngamabala alukhuni avela kumchamo kumaphayiphu, abukeka njengawo afakwe izinkanyezi, umchamo ongena ngaphezulu unamathele, ingane iba nomunyu novalo, iphuze amanzi amaningi, ayimelani nekhefu phakathi kokudla. Kubalulekile ukuthi izingane ziphathe amalungiselelo e-insulin ngokushesha ngangokunokwenzeka, futhi ngenxa yalokhu udinga ukuhlolwa ngeglucose yegazi ezimpawu zokuqala noma yikuphi ukusola kwesifo sikashukela. Ividiyo ekulesi sihloko ikutshela ukuthi ngubani ongaba sengozini yesifo sikashukela.
