Ukuhlolwa kwegazi likashukela kubaluleke kakhulu ekuxilongeni nasekutholeni izinga lokukhula kwesifo sikashukela esigulini. Lolu hlobo lokutadisha lwenza ukuthi kunqume ukuba khona kokuphambuka kuzinkomba zaleli nani kubantu kuqhathaniswa namazinga we-glucose ezimiselwe ngokomzimba.
Ukuze kuhlolwe, igazi lithathwa emunweni negazi lisuka kumthambo. Sebenzisa lolu hlaziyo kuyindlela ephumelelayo yokuthola isifo sikashukela somuntu.
Imvamisa abantu abanesifo sikashukela bazibuza ukuthi yikuphi ukuhlolwa kwegazi, okuvela emithanjeni noma emunweni, okuyikho okunembile kakhulu futhi okunolwazi kakhulu. Ukuhlolwa ngakunye kwalolo lwazi kuthwala imininingwane ethile ngomzimba.
Ngaphezu kwenkomba yezinga likashukela, ukwenza izifundo ezinjalo kwenza ukuthi kunqume, ngaphezu kwesifo sikashukela, okunye ukuphambuka ekusebenzeni kohlelo lwe-endocrine lomzimba.
Indlela yokuthatha igazi likashukela emthanjeni niphuma emunweni inomehluko omkhulu. Lo mehluko uthi lapho kuthathwa ushukela wegazi kusuka emunweni, kusetshenziswa igazi eliphelele, igazi elinjalo lithathwa ohlelweni lwe-capillary lomunwe ophakathi, futhi lapho kuhlaziywa ushukela egazini le-venous, i-plousma yegazi ene-venous isetshenziselwa ucwaningo.
Lo mehluko ubangelwa ukuthi igazi elivela emthanjeni ligcina izakhiwo zalo isikhathi esifushane kakhulu. Ukushintsha izakhiwo zegazi kusuka emthanjeni kuholela eqinisweni lokuthi ngesikhathi sokuhlolwa kwelebhu izinkomba zokugcina ziyahlanekeleka.
Izinga likashukela egazini elivela emunweni nasegazini le-venous linomehluko omkhulu, ohambisana nezici zomzimba. Ukuhlolwa kwegazi kwenani le-glucose kufanele kwenziwe ngokushesha ngemuva kokuvela kwezimpawu zokuqala zokunyuka kweglucose emzimbeni.
Izimpawu Zokukhuphuka Kweglucose
Imvamisa, uma kuvame ukwenziwa ushukela emzimbeni kuphakama izimpawu zomlingiswa we-hyperglycemia.
Izimpawu izici zamazinga kashukela akhuphuke ngokuya ngezinga lokuthuthuka kokuphazamiseka emzimbeni.
Kukhona uhla oluphelele lwezimpawu umuntu akwazi ukuzibona ngokuzimela ngalo ukuthi kungenzeka abe namazinga kashukela emzimbeni aphezulu kakhulu.
Okokuqala, izimpawu okufanele ziqwashise umuntu yilezi ezilandelayo:
- Ukuba khona kokuzwa njalo komile nomlomo owomile.
- Ukwanda okukhulu kwesifiso sokudla noma ukubukeka komzwelo wokunganakwa yindlala.
- Ukuvela kokuchama okuvamisile kanye nokwanda kwenani lomchamo osuswe.
- Ukuvela kokuzwa kokomiswa nokulunywa esikhunjeni.
- Ukukhathala nobuthakathaka emzimbeni wonke.
Uma lezi zimpawu zikhonjwa, udinga ukubonana nodokotela we-endocrinologist ukuthola izeluleko. Ngemuva kwenhlolokhono, udokotela uzoqondisa isiguli ukuthi sinikele ngegazi ukuze kuhlaziywe okuqukethwe ushukela okuso.
Ngokuya ngohlobo lokuhlolwa kwelebhu, igazi lizothathwa emunweni noma emvinini.
Ungawulungiselela kanjani umnikelo wegazi?
Ukuze izivivinyo ezitholwe ngokuhlolwa kwegazi zinembe ngangokunokwenzeka, kudingeka imithetho embalwa elula. Izinsuku ezimbalwa ngaphambi kokuba bathathe igazi ukuze bahlaziywe, kufanele uyeke ukuthatha imishanguzo engathinta ukunemba kwemiphumela.
Ngaphezu kwalokho, ngaphambi kokunikela ngegazi ukuze lihlaziye ushukela, kufanele wenqabe ukuphuza utshwala izinsuku eziningana.
Ngaphezu kwalokho, ngaphambi kokuba kuthathwe igazi ukuze kuhlaziywe ngalo, kufanele uyeke ukuzikhandla ngokweqile nokuzivocavoca umzimba emzimbeni. Nqaba ngokuphelele ekudleni okudla kufanele kube amahora angama-12 ngaphambi kokuthatha i-biomaterial ukuze uyihlaziye. Ngaphambi kokuhlaziywa akuvunyelwe ukuxubha amazinyo akho.
Ngaphezu kwalokho, kwenqatshelwe ukuhlafuna izinsini kanye nokubhema ngaphambi kokunikela ngegazi.
Ukuhlolwa kwegazi ushukela kungathathwa cishe kunoma yimuphi umtholampilo, uma ngabe kukhona okudluliselwe okhishwe udokotela wakho. Ukuxilongwa kwelabhorekile kwesifo sikashukela nakho kungenziwa ngemali encane esikhungweni sezokwelapha esizimele, esesakhiwo saso sinelabhoratri yezokwelapha.
Igazi lokuhlaziywa lithathwa ekuseni kusisu esingenalutho. Ukuhlaziywa, igazi kumele lithathwe emunweni noma emthanjeni.
Uyini umehluko phakathi kokuhlolwa kwegazi kwe-capillary ne venous?
Isimo soshukela, esinqunywa egazini esivela emunweni nakwavevini, sinokuhlukahluka okuthile.
Uma igazi lokuhlaziya litholakala emunweni, khona-ke ukuhlaziya okunjalo yikhona okuvame kakhulu. Ukusetshenziswa kwegazi le-capillary akunikezeli izinkomba ezinembile kangako uma kuqhathaniswa ne-venous.
Iqiniso lokuthi izinkomba ezitholwe ngesikhathi kufundwa ngegazi le-capillary linokuhlukahluka kwezinkomba ezitholwe ngesikhathi kufundwa ngegazi le-venous, ukungafani kwengqondo yokwakhiwa kwegazi le-capillary kunecala.
Ukuthathwa kwegazi likashukela kusuka emithanjeni kune-inzalo ephezulu ngokuqhathaniswa negazi le-capillary, okuholela kumphumela onembe kakhudlwana, ngokuya ngezidingo zalolo cwaningo.
Isimo sikashukela segazi le-capillary sisuka ku-3.3 siye ku-5.5 mmol / L.
Ukuhlaziywa kwegazi le-venous, lithathwa emthanjeni we-ulnar. Okubi ngale ndlela ukuthi igazi lonke alikwazi ukuphikelela isikhathi eside. Ekucwaningeni, i-plousma yegazi ene-venous iyasetshenziswa.
Isimo ushukela weplasma wegazi ngu-4.0-6.1 mmol / L.
Leli zinga liphakeme ngokuqhathaniswa noshukela wegazi ojwayelekile othathwe kuma-capillaries emunwe.
Isimo sokuhlaziywa ezinganeni nakwabesifazane abakhulelwe
Uma igazi lokuhlolwa kweglucose lalithathwe kowesifazane okhulelwe, khona-ke okwejwayelekile okujwayelekile okujwayelekile kweshukela egazini kuyamukeleka. Lokhu kungenxa yokuthi umzimba wowesifazane usesimweni esikhethekile futhi kudinga inani elikhulu kakhulu lamandla ukuze lisebenze ngokujwayelekile.
Amaseli womzimba okhulelwe adinga inani elikhulu lezakhamzimba ngokusebenza okugcwele nokukhula okuvamile kwesibeletho. Le mfuneko isebenza kuzo zonke izinto ezidingekayo, kufaka noshukela.
Ukuhlolwa kwegazi lowesifazane okhulelwe ngoshukela kwenziwa ngaphandle kokuphambuka okubalulekile kuzinkomba kabili ngesikhathi sokukhulelwa. Isikhathi sokuqala ukuhlaziywa okunjalo kwenziwa lapho kubhaliswa kumaviki awu-8 kuya kwe-12 okhulelwe futhi okwesibili ku-trimester yokugcina ingane. Imvamisa, ukuhlaziya kwesibili kwenziwa emavikini angama-30 wokukhulelwa.
Ngesikhathi sokukhulelwa, amazinga e-glucose ajwayelekile abhekwa aze afike ku-6.0 mmol / L egazini le-capillary aze afike ku-7.0 mmol / L ku-venous. Uma la manani edluliswa, kunconyelwa ukuthi owesifazane okhulelwe ahlolwe isivinini sokubekezelela ushukela.
Emzimbeni wengane, inkomba yenani le-glucose incike eminyakeni yobudala. Isibonelo, umgomo kashukela wegazi ezinganeni ezineminyaka eyi-10 ubudala uphansi kunowomuntu omdala, futhi kusukela eminyakeni eyi-14, izinga le-glucose egazini lomzimba wengane lilingana nalelo lomzimba womuntu omdala.
Uma kutholakala ushukela ophakeme emzimbeni wengane, ingane ibekelwa izivivinyo ezingeziwe ukuthola isithombe esiphelele sesimo sengane. Ividiyo ekulesi sihloko izokhombisa ukuthi kwenziwa kanjani ukuhlola kwegazi ushukela.
