Abantu abaningi bayazibuza ukuthi ngabe ushukela wegazi ngu-7, kusho ukuthini? Eqinisweni, ukufundwa kweglucose ngaphakathi kwemikhawulo ejwayelekile kukhombisa ukuthi umzimba usebenza ngokuphelele, wonke amalungu angaphakathi nezinhlelo zisebenza kahle.
Okwamanje, imfuneko yokuqala yabantu abangaphezulu kweminyaka engama-40 ukuhlolwa kwegazi ngoshukela. Ukuhlaziywa kusivumela ukuba sahlulele ukuthi umzimba we-carbohydrate emzimbeni womuntu usebenza kanjani.
Uma ushukela ubonwa amayunithi angama-7.1-7.3, udokotela angancoma izindlela ezengeziwe zokuxilonga. Lokhu kuyadingeka ukuze kuqinisekiswe noma kuphikiswe isifo sikashukela.
Kuyadingeka ukuthi ucabangele ukuthi kusho ukuthini ukuthi ushukela wegazi usho amayunithi ayi-7, kanye noshukela ofinyelela ku-7 mmol / l? Yiziphi izinkomba ezibhekwa njengokujwayelekile ngokuya ngeminyaka yomuntu? Futhi kuthiwani uma ushukela wegazi ungu-7?
Yini inqubo?
Ngaphambi kokuthi uthole ukuthi yimiphi imiphumela yokuhlaziywa kukashukela, okubonisa izinga likashukela wegazi amayunithi angama-7.2-7.8, kusho ukuthi, udinga ukuthola ukuthi yiziphi izinkomba ezenzweni zobudokotela ezibizwa njengezijwayelekile.
Kumele kuqashelwe ukuthi okujwayelekile akuyona inani elilodwa elingalingana nomuntu omdala nengane, kungakhathalekile iminyaka yabo. Okujwayelekile kuyehluka, futhi ukuhlukahluka kwawo kuya ngeqembu lomuntu lomuntu, futhi, kancane, kubulili.
Noma kunjalo, kukholelwa ukuthi ushukela wegazi ekuseni (esiswini esingenalutho) emadodeni nakwabesifazane akufanele wedlule umkhawulo ongenhla, onqunywa kumayunithi angama-5.5. Umkhawulo ophansi amayunithi angama-3.3.
Uma umuntu ephilile ngokuphelele, zonke izitho zangaphakathi nezinhlelo zisebenza ngokuphelele, okungukuthi, akukho ukwehluleka emzimbeni nezinye izimo ze-pathological, khona-ke ngobuningi bamacala, izinga likashukela lingaba amayunithi we-4,5,4,6.
Ngemuva kokudla, ushukela uvama ukwanda, futhi ungaba amayunithi ayi-8, kwabesilisa nakwabesifazane, nasezinganeni ezincane. Futhi lokhu kujwayelekile.
Cabanga ngesilinganiso sikashukela egazini, kuya ngeminyaka:
- Ingane kusuka ekuzalweni kuya ezinyangeni ezi-3 in amayunithi angama-2.8-4,5.
- Kuze kube iminyaka engu-14, ushukela wegazi kufanele abe amayunithi angama-3.3-5,5.
- Kusuka eminyakeni engama-60 kuye kwengama-90, umehluko wezinkomba ungamayunithi angama-4.6-6.4.
Ngokusekelwe kulwazi olunjalo, kungaphethwa ngokuthi kusuka onyakeni owodwa kuya eminyakeni eyi-12 ubudala, amanani ajwayelekile ezinganeni, kungakhathalekile ubulili, aphansi kancane kunamanani abantu abadala.
Futhi uma ingane inomkhawulo ushukela ophezulu wamayunithi angama-5.3, lokhu kuvamile impela, kuyahambisana nobudala. Ngokuhambisana nalokhu, ngokwesibonelo, kumuntu oneminyaka engama-62 ubudala, isilinganiso soshukela sizodlulwa kancane.
Uma ushukela ovela emithanjeni ukhombisa amayunithi ayi-6.2 eneminyaka engama-40 ubudala, lesi yisikhathi okufanele ucatshangelwe ngaso, ngoba isifo esifana nesifo sikashukela asikhishwa. Kepha, uma izinkomba ezifanayo zibonwa ngemuva kweminyaka engama-60 yobudala, khona-ke yonke into ingaphakathi kwemikhawulo ejwayelekile.
Kulokhu, singaphetha ngokuthi uma ushukela ushesha 7 - kungaba ushukela.
Ukuze uphikise noma uqinisekise ukutholakala kokutholwa kokuqala, kuyadingeka ukuthi uhlolwe njalo.
Ushukela 7, kusho ukuthini?
Ungaluthola kanjani ushukela wakho wegazi? Kunezindlela eziningi. Ungasebenzisa idivaysi ekhethekile yokulinganisa ushukela ekhaya - i-glucometer. Le divayisi ikuvumela ukuthi ukhombe izinkomba ezinembayo, futhi uma ziphezulu, udinga ukubona udokotela.
Ngaphezu kwalokho, ungaxhumana ngokushesha nesikhungo sezokwelapha bese unikela ngegazi ushukela olukuyo. Ngaphambi kocwaningo, kunconywa ukuthi ungadli okungenani amahora ayishumi, kanti ngosuku olulodwa ngaphambi kokuhlaziywa awukwazi ukuphuza utshwala neziphuzo zekhofi.
Ucwaningo alunikezi kuphela amanani athize we-glucose emzimbeni womuntu, kodwa futhi lwenza ukuthi ukwazi ukufunda ngesimo sezinqubo ze-metabolic, ukubona izinga lokuphambuka ezinkombeni ezijwayelekile, ukuthola i-prediabetes noma i-mellitus yesifo sikashukela sohlobo lokuqala noma lwesibili.
Njengoba kushiwo ngenhla, ukungafani kwamanani ajwayelekile kususela kumayunithi angama-3.3 kuya kwangama-5.5 ngesisu esingenalutho. Uma ucwaningo lukhombisa ukuthi isiguli sinokuphambuka siye phezulu noma phansi, khona-ke kuhlaziywa enye incwadi.
Lapho ukuhlushwa ushukela kuhlukahluka kusuka kumayunithi angama-5.5 kuya kwangama-6.9, kutholakala isimo sangaphambi kwesifo sikashukela. Ngakho-ke, singaphetha ngokuthi uma ushukela ungaphezulu kwama-5,5 amayunithi, kepha ungadluli kuma-7 mmol / l, khona-ke lokhu akusona isifo sikashukela.
Uma ucwaningo oluningi lokuhlushwa ushukela wegazi ngezinsuku ezahlukahlukene luveze ukuthi izinkomba zingaphezu kwama-7 amayunithi, khona-ke singakhuluma ngokuphepha ngesifo sikashukela.
Ezinye izifundo zizobe zinconywa ukuthola uhlobo lwazo.
I-Etiology kashukela omningi
Kufanele kuqapheleke lapho ukuthi ukuhlolwa ushukela olulodwa akusho lutho. Kusukela ukwanda ushukela wegazi kungaba ngokomzimba noma kwe-pathological ngokwemvelo.
Izici ezilandelayo zingathonya okuqukethwe kwe-glucose emzimbeni: ukucindezela, ukungezwani komzimba, ukusebenza ngokweqile komzimba, ukuphuza kakhulu i-carbohydrate ngaphambi kokuhlaziywa, nokuningi.
Ngaphezu kwalokho, kugcizelelwa izimbangela ezithile ze-pathological ezingaholela ekhuphukeni koshukela wegazi. Izifo sikashukela akuyona ukuphela kwento engaholela esimweni se-hyperglycemic.
Izifo nezimo ezilandelayo zingadala isimo se-hyperglycemic:
- Ukuthatha umuthi othile (amaphilisi okulawula ukuzala, ama-diuretics, ama-corticosteroids).
- Umdlavuza kumanyikwe.
- Izinqubo zokuvuvukala emzimbeni.
- Isimo ngemuva kokuhlinzwa.
- I-pathology engapheli yesibindi.
- Ukuphazamiseka kwe-endocrine emzimbeni.
Ukulungiswa okungalungile kwesiguli esifundweni kungathinta imiphumela yokuhlaziywa. Isibonelo, isiguli asinaki izeluleko zikadokotela, futhi sadla ngaphambi kokuhlaziywa. Noma ngobusuku bokweqisa utshwala.
Uma isiguli sithatha imishanguzo njalo ngokuqondene nezifo ezihlangene, kufanele sazise udokotela. Udokotela uzosinaka lesi simo uma ebala imiphumela.
Lapho udokotela esola ukuthi isiguli sinesifo sikashukela, uphakamisa ukuhlolwa kokubekezelela ushukela nokuhlolwa kwe-hemoglobin ye-glycated.
Ukunqunywa kokuzwela kweglucose
Uma isiguli sinezinga likashukela esiswini esingenalutho kusuka kumayunithi ayi-6,2 kuya kwayi-7.5, khona-ke kuyahlolwa ukuhlolwa kokuzwa kweglucose. Ukuhlaziywa kusetshenziswa umthwalo ushukela ukuqinisekisa noma ukuphikisa isiphetho sokuqala.
Lokhu kuhlaziywa, okuwukuthi, ukuhlolwa kwe-glucose susceptibility, kuvumela udokotela ukuthi abone ukuthi ushukela osegazini ukhuphuka kanjani ngemuva kokudla ama-carbohydrate, nokuthi ushukela ubuyela ngokushesha kangakanani emikhawulweni eyamukelekayo.
Njengoba kushiwo ngenhla, ushukela ngemuva kokudla kuphakama kunoma ngubani, ngisho nomuntu ophile ngokuphelele, futhi lokhu kujwayelekile. Kodwa-ke, kumuntu ophile kahle, ukugxila kwe-glucose kunciphisa kancane kungakapheli amahora ama-2, kuthi emva kwalokho kulungiswe ezingeni elidingakalayo.
Futhi, ukusebenza kwe-pancreatic kukhubazeka kwisifo sikashukela; ngenxa yalokho, inqubo echazwe ngenhla izosebenza kahle, futhi ushukela ngemuva kokudla uzokwehla kancane, lapho ubona isimo se-hyperglycemic.
Ukuhlolwa kwe-glucose susceptibility kungokulandelayo:
- Okokuqala, isiguli sithatha uketshezi lwegciwane (igazi) esiswini esingenalutho.
- Ngemuva kwalokho unikezwa umthwalo we-glucose (amagremu angama-75 kashukela ancibilikiswa koketshezi olufudumele, anikezwe isiguli ukuba siphuze).
- Ngemuva kokuba igazi lithathwe ngemuva kwengxenye yehora, ihora namahora amabili.
Uma ukugcotshwa koshukela egulini kungaphansi kwama-7,8 amayunithi ngemuva kokulayisha ushukela onjalo, khona-ke lokhu kukhombisa ukuthi konke kuvamile.
Lapho okuqukethwe ushukela ngemuva kokuzivocavoca kuyehluka kusuka kumayunithi angama-7.8 kuya kwayi-11.1, khona-ke singakhuluma ngokuphulwa kokuzwela ushukela, futhi lokhu kubonisa isimo somngcele.
Uma ucwaningo lukhombisa ukuthi izinga likashukela lingaphezulu kwamayunithi ayi-11.1, kutholakala ukuthi isifo sikashukela siyatholakala.
Amayunithi weShukela 6.1-7.0: izimpawu
Lapho okuqukethwe ushukela emzimbeni womuntu kuyehluka kusuka kumayunithi ayi-6.1 kuya kwayi-7.0, khona-ke singakhuluma ngesimo se-prediabetesic. Cha, lokhu akuyona isifo sikashukela, kepha sekuyisimo se-pathological esidinga ukulungiswa ngokushesha.
Uma ungasinaki lesi simo futhi ungathathi noma yiziphi izindlela zokwelapha, khona manjalo isiguli sizoba noshukela ogcwele ngayo yonke imiphumela elandelayo.
Abantu abaningi bayazibuza ukuthi ngabe kunezimpawu ezweni lesifo sikashukela futhi zingatholakala? Eqinisweni, umuntu ngamunye, ikakhulukazi umzimba wakhe, uhlangabezana nesimo se-hyperglycemic ngezindlela ezihlukile.
Abantu abanokuzwela okuphezulu kwoshintsho lwe-pathological bangabona ukukhuphuka kwe-glucose emizimbeni yabo, noma ngabe inyuka ngamayunithi amaningana. Kodwa-ke, kunezimo lapho ushukela wegazi uphakanyiswa isikhathi eside, kepha isiguli asizizwa sishintsha, futhi akukho phawu lwesifo.
Isithombe somtholampilo sesimo sangaphambi kwesifo sikashukela:
- Isifo sokulala: ukuqwasha noma ukudinwa. Lolu phawu lukhombisa ukungasebenzi kahle ekwenziweni kwe-insulin, ngenxa yokuthi imisebenzi yokuvikela umzimba iphazamiseka.
- Ukulimazeka kokubonakalayo. Izimpawu ezikhombisa ukungahambisani kahle ezibonakalayo zivame ukwenzeka ngenxa yobuningi begazi, ngoba iba yinto ebonakalayo.
- Isifiso esihlala siphuzwa, ukuphuza ngokweqile nokujwayelekile.
- Ukwehla okungenakufinyeleleka noma ukwanda kwesisindo somzimba.
- Ukwanda kokubusa komzimba okushisa kungaba ngumphumela wehla kwesikhashana ushukela emzimbeni womuntu.
Izimpawu ezibhalwe ngenhla zivame ukubonakala njengesimo sangaphambi kwesifo sikashukela. Noma kunjalo, inqubo yezokwelapha ikhombisa ukuthi ezimweni eziningi kakhulu, iziguli azinazimpawu ezimbi nhlobo.
Kwenzeka kaningi ukuthi ukwanda koshukela wegazi kutholakale ngengozi, ngesikhathi sokuhlolwa kokuvimbela.
Yini okufanele uyenze uma ushukela wegazi ungaphezulu kwama-unit ayi-7?
Uma ushukela wegazi umile cishe emayunithi angama-7, leli qiniso libonisa ushukela. Lapho ushukela usuka ku-6,5 kuya ku-7.0 amayunithi, khona-ke singakhuluma ngesimo se-prediabetesic.
Ngaphandle kokuthi kutholakale izinhlobo ezimbili zokuxilongwa, ukwelashwa ngezidakamizwa ekuqaleni kwenqubo yokwelashwa ngeke kwehluke kakhulu. Kunoma yikuphi, kufanele uqale ukulungisa indlela yokuphila.
Isifo sikashukela yisifo esingelapheki esibonakaliswa ukuthathwa koshukela emzimbeni. Imvamisa, uhlobo lokuqala nolwesibili lwesifo sikashukela kwenzeka, kepha isiguli singaba nezinhlobo zaso ezithile (Modi, Lada).
Ngokwayo, i-pathology ayingozi empilweni yomuntu. Kodwa-ke, amazinga kashukela aphezulu ngesikhathi esithe xaxa uthinta kabi ukusebenza kwezitho zangaphakathi nezinhlelo, okuholela emiphumeleni emibi eminingi, kufaka phakathi engenakuphikwa.
Uma ushukela wegazi ungamayunithi ayi-6.5-7.0, kufanele uthathe izinyathelo ezilandelayo:
- Ukuqeda imikhuba emibi, kunconywa ukunciphisa noma ukuyeka ngokuphelele ukusetshenziswa kotshwala, ukubhema.
- Lungisa ukudla okudlayo, engeza ukudla okuqukethe inani elincane lama-carbohydrate ekudleni kwakho.
- Uma isiguli sikhuluphele, khona-ke udinga ukunciphisa umzimba. Okokuqala, umsoco kufanele ungabi nje kuphela-carb, kodwa futhi ube nekhalori ephansi.
- Umsebenzi omuhle womzimba.
- Ukwelashwa kwama-pathologies afanayo.
Lapho isiguli sinamathela ngokuqinile kulezi zincomo, khona-ke ngesilinganiso esikhulu kungenzeka ngeke sibhekane nemiphumela emibi yesifo.
Ukuhlushwa ushukela ezikhungweni ezingaba ngu-7 akusona isigwebo, kusho ukuthi udinga "ukuzidonsela ndawonye" futhi uphile impilo enhle.
Ukunciphisa Ushukela Ngokudla Umsoco
Ukwelashwa okukhulu kwesifo sikashukela umsoco, futhi ukudla kufanele kufake inani elincane lama-carbohydrate. Ukuzijwayeza kukhombisa ukuthi uma ungabandakanyi imikhiqizo eyingozi, awukwazi ukwengeza ushukela wegazi lakho nje kuphela, kodwa futhi ungazinza ezingeni elidingekayo.
Iseluleko sokuqala: kusukela ekudleni, kuyadingeka ukuthi ungafaki konke ukudla okuqukethe kalula ama-carbohydrate angagaya. Ngaphezu kwalokho, udinga ukulahla ukudla okunesitashi ekwakhekeni kwawo.
Ithiphu yesibili: udinga ukudla kaningi ngezingxenye ezincane. Ukukhonza ngesikhathi kufanele kuhambisane nentende yesandla sakho. Uma uzizwa ugcwele, kepha kukhona ukudla epanini, kungcono ukuyeka ukusetshenziswa okwengeziwe.
Ithiphu yesithathu: ukudla kufanele kuhluka, lokhu kuzokuvumela ukuthi udle ngendlela efanele isikhathi eside. Iqiniso, kepha ukufana kuzoholela ekuwohlokeni, ngokulandelana, konke kuzoholela ekwandeni ngokweqile koshukela wegazi.
Kunconywa ukwenqaba imikhiqizo enjalo neziphuzo:
- Uphuzo oludakayo, ikofi, itiye elimnyama elinamandla, ushukela.
- Ushukela, isitashi.
- Ukubhaka, i-confectionery.
- Ubhatata, inyama enamafutha noma inhlanzi.
- Sithandwa, amaswidi.
Kanye nokudla okufanele, ukuvivinya umzimba kubalulekile. Odokotela batusa ukudlala imidlalo okungenani imizuzu engama-30 ngosuku. Ukuzivocavoca ushukela kungakhulisa ukuzwela kwezicubu kuyi-hormone, futhi kube nomthelela ekwehliseni isisindo.
Ushukela ophakeme akusona isigwebo, uma ulandela zonke izincomo zikadokotela, ungaphila impilo ephelele ngaphandle kokukhathazeka ngemiphumela emibi. I-video ekulesi sihloko izokhuluma ngokuthi yiliphi inani okufanele libe likashukela egazini.
