I-glucose emzimbeni womuntu kumele igcinwe ngaphansi kwemikhawulo eyamukelekayo ukuze lo mthombo wamandla ugcwale futhi ngaphandle kwezingqinamba ezifinyeleleka ezingeni lamaselula. Okubaluleke ngokufanayo ukuthi ushukela awutholakali kumchamo.
Uma izinqubo zikashukela ze-metabolic ziphazamiseka, esinye sezimo ezimbili ze-pathological zingabhekwa emadodeni nakwabesifazane: i-hypoglycemic ne-hyperglycemic. Ngamanye amagama, ushukela ophakeme noma ophansi, ngokulandelana.
Uma ushukela wegazi ungu-8, kusho ukuthini? Le nkomba ikhombisa ukuthi kukhona ukwephulwa kwezinqubo ze-metabolic zoshukela.
Kuyadingeka ukucabanga ukuthi iyiphi ingozi eyeqile kwe-glucose ku-plasma yegazi, futhi yini okufanele uyenze uma ushukela ngamayunithi angama-8-8,7? Ingabe kuyodingeka ukwelashwa okuthile, noma ingabe ukulungiswa kwendlela yokuphila kuyanele?
Ama-indices kashukela 8.1-8.7, kusho ukuthini lokhu?
Isimo se-Hyperglycemic sisho okuqukethwe ushukela omningi emzimbeni womuntu. Ngakolunye uhlangothi, lesi simo kungenzeka singabi yinqubo ye-pathological, njengoba isuselwa ku-etiology ehluke ngokuphelele.
Isibonelo, umzimba udinga amandla amaningi kunalokho obekudingeka ngaphambili, ngokulandelana, kudinga ushukela omningi.
Eqinisweni, kunezizathu eziningi zokwanda komzimba ushukela. Futhi, njengomthetho, okunjalo okweqile kubonakaliswa yisimo sesikhashana.
Izizathu ezilandelayo zihlukaniswa:
- Ukulayisha ngokweqile ngokomzimba, okuholele ekunyukeni kokusebenza kwemisipha.
- Ukucindezela, ukwesaba, ukungezwani kwemizwa.
- Ukuzindla kwemizwelo.
- Isifo sezinhlungu, ukusha.
Ngokomqondo, ushukela emzimbeni amayunithi angama-8-9,5 kulezi zimo ezingenhla kuyinkomba ejwayelekile. Futhi lokhu kusabela komzimba kungokwemvelo impela, njengoba kuvela ngokuphendula umthwalo owamukelwayo.
Uma umuntu enengqimba yeglucose yamayunithi angama-8.6-8.7 esikhathini eside, lokhu kungasho into eyodwa kuphela - izicubu ezithambile azikwazi ukuthola ushukela ngokuphelele.
Imbangela kuleli cala ingaba ukuphazamiseka kwe-endocrine. Noma, i-etiology ingaba yimbi kakhulu - ukulimala kwisetshenziswa se-insular, ngenxa yokuthi amaseli we-pancreas aphelelwe ukusebenza kwawo.
I-hyperglycemia etholakele ikhombisa ukuthi amaseli awakwazi ukudonsa into engenayo yamandla.
Futhi, lokhu kuholela ekuphulweni kwezinqubo ze-metabolic ngokudakwa okulandelayo komzimba womuntu.
Izimo Ezijwayelekile ze-glucose
Ngaphambi kokufunda ukuthi kufanele uphathwe kanjani, uma ushukela emzimbeni ungaphezulu kwamayunithi angama-8.1, futhi noma ngabe kuyadingeka yini ukwelapha isimo esinjalo, kufanele ubheke ukuthi yiziphi izinkomba ofuna ukuzilwela, nokuthi yini ethathwa njengokujwayelekile.
Kumuntu ophilile ongatholakali onesifo sikashukela, lokhu kuhlukahluka okulandelayo kubhekwa njengokujwayelekile: kusuka kumayunithi angama-3,3 kuya kwangama-5.5. Kuncike ekutheni ukuhlolwa kwegazi kwenziwa esiswini esingenalutho.
Lapho ushukela ungangenwa ezingeni lamaselula, uqala ukunqwabelana egazini, okuholela ekukhuphukeni kwamanani eglucose. Kepha, njengoba wazi, nguyena oyena mthombo wamandla.
Uma isiguli sitholakala sinohlobo lokuqala lwesifo, lokhu kusho ukuthi ukukhiqizwa kwe-insulin yi-pancreas akwenziwa. Ngohlobo lwesibili lwe-pathology, kune-hormone eningi emzimbeni, kodwa amangqamuzana awakwazi ukuyibona, ngoba ilahlekelwe amandla ayo kuyo.
Amanani eglucose wegazi angu-8.6-8.7 mmol / L akusona isifo sokuxilongwa kwesifo sikashukela. Okuningi kuya ngokuthi isifundo senziwa ngasiphi isikhathi, ukuthi yisiphi isiguli esikuyo, noma ngabe sasihambisana yini nezincomo ngaphambi kokuthatha igazi.
Ukuphambuka kusuka kokujwayelekile kungabonakala kumacala alandelayo:
- Ngemuva kokudla.
- Ngesikhathi sokubeletha kwengane.
- Ukucindezela, umsebenzi womzimba.
- Ukuthatha umuthi (ezinye izidakamizwa kwandisa ushukela).
Uma ukuhlolwa kwegazi kwandulelwe yizinto ezifakwe lapha ngenhla, khona-ke izinkomba zamayunithi angama-8.4-8.7 akuyona impikiswano evumela isifo sikashukela mellitus. Kungenzeka ukuthi ukwanda ushukela bekungokwesikhashana.
Kungenzeka ukuthi ngokuhlaziywa okuphindaphindiwe kwe-glucose, izinkomba zijwayelekile emikhawulweni edingekayo.
Ukuhlolwa kokuzwela kwe-glucose
Yini okufanele uyenze uma ushukela emzimbeni uhlala isikhathi eside kuhlu lwamayunithi angama-8.4-8,5? Kunoma ikuphi, ngokusho kwemiphumela yocwaningo olulodwa, udokotela oholayo akasitholi isifo sikashukela.
Ngalezi zinani ezinoshukela, kuzonconywa ukuthi kwenziwe isivivinyo se-glucose susceptibility ngokulayisha ushukela. Kuzosiza ekuqinisekiseni ngokuphelele ukuba khona kwesifo sikashukela, noma ukuphikisa ukucabanga.
Ukuhlolwa kokubekezelela kwe-glucose kukuvumela ukuthi ukhombe ukuthi ushukela ongakanani egazini ukhuphuka ngemuva kokudla kwama-carbohydrate emzimbeni, futhi yiziphi izinkomba ezijwayelekile zilingana nezinga elidingekayo.
Ucwaningo lwenziwa kanjena:
- Isiguli sinika igazi esiswini esingenalutho. Okusho ukuthi, ngaphambi kocwaningo, akufanele adle okungenani amahora ayisishiyagalombili.
- Ngemuva kwalokho, ngemuva kwamahora amabili, igazi liphinda lithathwe emunweni noma emthanjeni.
Imvamisa, izinga likashukela emzimbeni womuntu ngemuva komthwalo weglucose kumele libe ngaphansi kwamayunithi angama-7.8. Uma imiphumela yokuhlolwa kwegazi ikhombisa ukuthi izinkomba zisuka ku-7.8 ziye ku-11.1 mmol / l, khona-ke singakhuluma ngokuzwela kwe-glucose engalimelekile.
Uma imiphumela yocwaningo ikhombisa ushukela ngaphezu kwamayunithi ayi-11.1, khona-ke ukuxilongwa kukodwa - kushukela.
Ushukela odlula amayunithi ayi-8, yini okufanele yenziwe kuqala?
Uma ushukela uzoba ku-8.3-8.5 mmol / l isikhathi eside, uma kungekho senzo, khona-ke ngokuhamba kwesikhathi kuzoqala ukukhula, okukhuphula amathuba okuba nezinkinga ngokumelene nesizinda sezinkomba ezinjalo.
Okokuqala, ochwepheshe bezokwelapha batusa ukunakekela izinqubo ze-metabolic emzimbeni. Njengomthetho, ngamayunithi ushukela 8.4-8.6, ancishisiwe. Ukuze usheshise, udinga ukuletha impilo yakho umsebenzi omzimba olungile.
Kunconywa ukuthola ngisho nakuhlelo olunethezeka kakhulu lwemizuzu engama-30 ngosuku oludinga ukunikelwa ekuzivocavoca umzimba noma ekuhambeni. Amakilasi okwelapha ngokomzimba anqunywa kahle ekuseni, ngokushesha ngemuva kokulala.
Ukuzijwayeza kukhombisa ukuthi, ngaphandle kokulula kwalokhu kuvivinya umzimba, kuyaphumelela impela, futhi kuyasiza ekwehliseni ukugxila kwe-glucose kufinyelele ezingeni elidingekayo. Kepha, ngisho nangemva kokwehla koshukela, kubalulekile ukungayivumeli ukuthi iphinde inyuke.
Ngakho-ke, kufanele uhambisane nemithetho yokuqala:
- Ezemidlalo nsuku zonke (ukugijima kancane, ukuhamba, ukuhamba ngebhayisikile).
- Nqaba utshwala, ukubhema.
- Khipha ekusebenziseni i-confectionery, ukubhaka.
- Khipha izitsha ezinamafutha nezinongo.
Uma izinkomba zikashukela zesiguli ziyehluka kusuka ku-8.1 kuye ku-8.4 mmol / l, khona-ke udokotela uzoncoma ukudla okuthile ngaphandle kokuhluleka. Imvamisa, udokotela uhlinzeka ngohlu oluprintiwe lokudla okwamukelekayo nemikhawulo.
Okubalulekile: ushukela kumele ulawulwe ngokuzimela. Ukuthola ushukela wegazi ekhaya, udinga ukuthenga i-glucometer ekhemisi ezosiza ukulandelela amandla e-glucose futhi ulungise nezondlamzimba ngomzimba.
Ukudla okulinganiselayo
Singasho ukuthi i-glucose esezingeni lamayunithi angama-8.0-8.9 yisimo somngcele esingabizwa ngokujwayelekile, kepha isifo sikashukela asinakushiwo. Kodwa-ke, kunamathuba amaningi okuthi isimo esiphakathi siguqulwe sibe yi-mellitus yesifo sikashukela esigcwele.
Lesi simo kumele selashwa, futhi nakanjani. Inzuzo ukuthi awudingi ukuthatha imishanguzo, ngoba kwanele ukushintsha indlela odla ngayo.
Umthetho oyinhloko wezondlamzimba uwukudla lokho kudla okunenkomba ye-glycemic ephansi futhi kuqukethe inani elincane lama-carbohydrate asheshayo. Uma ushukela emzimbeni ungama-8 amayunithi noma ngaphezulu, kunconywa imigomo elandelayo yokudla komsoco:
- Khetha ukudla okune-fiber eningi.
- Udinga ukuqapha amakhalori nekhwalithi yokudla.
- Ukwehlisa umthwalo kumanyikwe, khetha ukudla okuqukethe inani elincanyana lama-carbohydrate angagayeka kalula.
- Ukudla kufanele kufake ama-80% ezithelo nemifino, kanye no-20% wokudla okuseleyo.
- Ngokudla kwasekuseni, ungadla okusanhlamvu okuhlukahlukene emanzini. Okuhlukile ngopholi welayisi, ngoba uqukethe izinto eziningi zesitashi.
- Nqaba iziphuzo ezinekhabhoni, ngoba ziqukethe izinto eziningi ezingavusa umuzwa onamandla wokoma nendlala.
Kumele kuqashelwe ukuthi izindlela ezamukelekayo zokupheka ziyabilisa, ukubhaka, ukudonsa emanzini, ukutshontsha. Kunconywa ukwenqaba noma yikuphi ukudla okuphekwe indlela yakhe yokupheka.
Akuwona wonke umuntu ongenza imenyu yakhe ngendlela yokuthi inambitheka futhi inempilo, futhi kudotshwa inani elilinganayo lamaminerali kanye namavithamini.
Kulokhu, ungaxhumana nodokotela wezempilo ozohlela imenyu amasonto ambalwa ngaphambi, ngokuhambisana nesimo nendlela yokuphila.
Isifo sikashukela: kungani ungabeki imishanguzo?
Empeleni, abantu abaningi basebenziswa ukuthi uma ngabe kukhona isifo, bese kubekwa umuthi owodwa noma emibili, osiza ngokushesha lesi simo futhi welaphe isiguli.
Ngombuso we-prediabetesic, "isimo esinjalo" asisebenzi. Imithi ayizuzisi ngaso sonke isikhathi, ngakho-ke, ayinqunyelwe amayunithi ushukela 8.0-8.9. Vele, umuntu ngeke asho zonke izithombe zemitholampilo zizonke.
Ezimweni ezingavamile kuphela amaphilisi anganconywa. Isibonelo, iMetformin, evimbela ukusebenza kwesibindi ekukhiqizeni ushukela.
Kodwa-ke, inezinto ezithile ezingaphenduki ngazo:
- Kwephula ukusebenza kwendlela yokugaya ukudla.
- Kwandisa umthwalo ezinso.
- Ikhuthaza ukuthuthukiswa kwe-lactic acidosis.
Ucwaningo lwesayensi lukhombisa ukuthi uma "udiliza phansi" ushukela amayunithi ayi-8 ngemithi, ukusebenza kwezinso kukhubazeka kakhulu, futhi kungahle kwehluleke ngesikhathi sonke.
Odokotela ngobuningi bamacala banquma ukwelashwa okungezona izidakamizwa, okubandakanya ukudla okunempilo, ukuvivinya umzimba kahle, ukubheka ushukela njalo.
Indlela yokuphila
Ukuzijwayeza kukhombisa ukuthi uma ulandela zonke izincomo zikadokotela okwelapha, khona-ke ngokoqobo emavikini angama-2-3 ungokwehlisa amazinga kashukela emzimbeni ufike ezingeni elidingakalayo.
Ngokuqinisekile, le ndlela yokuphila kufanele ilandelwe kuyo yonke impilo, noma ngabe kungekho ukukhuphuka kweglucose.
Ukuqapha isimo sakho, kunconywa ukugcina idayari nedatha elandelayo:
- Ukudla kanye nenqubo yansuku zonke.
- Ukuhlushwa kwe-glucose.
- Izinga lomsebenzi womzimba.
- Inhlala-kahle yakho.
Le dayari iyindlela enhle yokusiza ukulawula ushukela wegazi lakho. Futhi kuyasiza ukuqaphela ukuphambuka kusuka kokujwayelekile ngesikhathi, kanye nokukuxhuma ngezizathu ezithile kanye nezinto ezazikhona.
Kubalulekile ukuzilalela kanye nomzimba wakho, okuzokuvumela ukuthi unqume kalula izimpawu zokuqala ze-glucose ephezulu, futhi uthathe izinyathelo zokuvimbela ngesikhathi. Ividiyo ekulesi sihloko ifingqa ingxoxo mayelana namazinga kashukela egazini.
