Isifo sikashukela yisifo esingelapheki esidinga ukubhekwa njalo impilo yonke ukuvikela ukukhula kwezinkinga. Ukulawulwa kwesifo sikashukela kuqukethe ukulinganisa okuqhubekayo koshukela, ukudla, ukusebenza ngokomzimba kanye nemithi, uma kuchazwe udokotela wakho.
Uma ungazilandeli izincomo zikadokotela, weqa ukuphuza umuthi noma ukujova i-hormone, kutholakala isimo se-hyperglycemic state (ushukela wegazi ophakeme), kuze kube yilapho ushukela amayunithi angama-30.
Inkomba enjalo ibonakala ngengozi eyeqisayo, amathuba aphezulu okuthuthuka kwezinkinga eziningi, ngakho-ke kubalulekile ukuthi uthintane nodokotela ngokushesha ukuthola izimbangela zokwephulwa.
Uma ushukela seqe ezingeni lamayunithi angama-30 noma ngaphezulu, yini okufanele uyenze kulesi simo, futhi iziphi izizathu ezingaba nomthelela kulokhu?
Ungawehlisa kanjani ushukela?
Amazinga kashukela wegazi angafinyelela amazinga amakhulu, futhi ama-30 mmol / L akude nomkhawulo. Lesi simo se-hyperglycemic sibonakaliswa yingozi eyeqisayo, ngoba i-ketoacidosis ne-coma izofika kungekudala.
Ungawehlisa kanjani amazinga kashukela, futhi yikuphi ukwelashwa okudingekayo? Isenzo sokuqala sikashukela ukufuna usizo lukadokotela. Ngeshwa, ukubhekana nale nkinga uwedwa, nakanjani ngeke kusebenze.
Ngemuva kwalokho, kunconywa ukuthi ubuyekeze okudlayo. Kungenzeka ukuthi ukugxuma okubukhali okunjalo ku-glucose kube umphumela wokusetshenziswa kokudla okuyingozi. Kulokhu, kuyadingeka ukuthi kwenziwe zonke izindlela zokunciphisa izinkomba zoshukela.
Uma umuntu onesifo sikashukela enamazinga kashukela esifundeni sama-30 amayunithi, lapho-ke okuwukuphela kokudla kwakhe kuye ukusetshenziswa kokudla okuqukethe inani elincane lama-carbohydrate. Ngamanye amagama, ukudla okuqinile kwe-carb.
IGlucose emayunithi angama-30 akhombisa ukuthi uma ungaqali ukwelashwa ngokushesha nangokufanele, khona-ke lowo onesifo sikashukela usengozini enkulu yezinkinga ezingenakuphikwa, noma nokufa.
Ngeshwa, umuthi wanamuhla awuzange uthole izindlela ezintsha zokwehlisa ushukela, ngakho-ke udokotela angancoma okulandelayo:
- Ukudla okuphansi kwe-carb.
- Umsebenzi womzimba.
- Imithi
- Ukulawulwa kweshukela.
Kumele kuqashelwe ukuthi ukondliwa kokudla, ngokwezinga elithile, kuyindawo yabanesifo sikashukela, ngoba kusiza ukuthuthukisa inhlala-kahle futhi kwehlise ushukela wegazi, kungakhathalekile ukuthi uluhlobo luni lwesifo sikashukela kanye nobudala bakhe.
Uma izinyathelo ezidingekayo zithathwa ngesikhathi, khona-ke kungakapheli izinsuku ezingama-3-5, izinga loshukela wegazi lizoba ngokwejwayelekile kufinyelela ezingeni elidingekayo.
Yikuphi okuzosiza ukugwema izindlela ezihambisana nazo ezinoshukela.
Kungani ushukela ukhuphuka?
Kanye nokuthi yisiphi isilinganiso okufanele sithathwe ukuze kuthuthukiswe inhlala-kahle yomuntu futhi kunciphise izinkomba zikashukela, isiguli kufanele sazi ukuthi yisiphi isizathu esivusa ukwanda kwaso kufinyelela ezingeni eliphakeme kangangokuba singakwazi ukulikhipha esikhathini esizayo.
Uma ushukela wegazi amayunithi angama-30, khona-ke izizathu zalesi simo zingaba ziningi - lokhu kukhulelwa, isimo esicindezelayo, ubunzima bezinzwa, ukuphazamiseka kwengqondo. Ngaphezu kwalokho, bavusa ukwanda koshukela kanye nama-pathologies amaningi amancane.
Kodwa-ke, kuma-diabetes, njengomthetho, ukwanda kwe-glucose yegazi kubangelwa ukusetshenziswa okungafanele kwama-carbohydrate.
Ngokuvamile, singakwazi ukwahlukanisa izizathu eziyinhloko eziholela ekuxhakazeni ushukela emzimbeni womuntu:
- Izinguquko ze-Hormonal emzimbeni. Kulokhu, amaconsi kashukela angabonakala ngesikhathi sokuzala kwengane, ngaphambi komjikelezo wokuya esikhathini, ngesikhathi sokuya esikhathini.
- Iziphuzo zotshwala, ukubhema, izinto ze-narcotic. Le mikhuba emibi ingalimaza kakhulu isiguli, icishe iphakamise ushukela emikhawulweni engenakucatshangwa.
- Ukusebenza kwemizwelo. Njengoba umkhuba wezokwelapha ukhombisa, ukulawula ushukela kuyisizinda esizolile somoya. Ukucindezelwa nokuhlangenwe nakho akweqi ngaphandle kokulandela, kudonsa amaconsi abukhali ushukela wegazi.
- Umsebenzi womzimba. Indlela yokuphila esezingeni eliphansi ithinta kabi inkambo yesifo sikashukela, izinqubo ze-metabolic zivinjelwe kakhudlwana, okuholela ekukhupheni ushukela. Kodwa ukwelashwa ngokuzivocavoca ushukela kuzoba usizo kakhulu.
Ngokuyisisekelo, wonke umuntu onesifo sikashukela uyazi ukuthi ngemuva kokudla, ushukela egazini ukhuphuka, ngoba ngalesi sikhathi kunokusebenza okusebenzayo kokudla. Imvamisa, konke kufanele kube ngokwejwayelekile phakathi nesikhathi esifushane.
Kodwa-ke, izinto zihlukile kancane kwabanesifo sikashukela. Kulokhu, ukondleka kungenye yezizathu ezingakhuphula ushukela kakhulu.
Kungani ungekho umphumela we-insulin?
Ngokuvamile kwenzeka ukuthi abantu abanesifo sikashukela abanomlando wohlobo lokuqala lwesifo sikashukela babuze udokotela umbuzo, kungani i-insulin ingasizi? Baphawula ukuthi basebenza ngomthamo we-hormone ngendlela efanele ngesikhathi, kepha ushukela usagcinwa emayunithi angama-20-30. Kungani lokhu kwenzeka?
Ngempela, i-insulin ayisona njalo isiqinisekiso sokuthi i-glucose esegazini izokuba sezingeni elidingakalayo, futhi ukugxuma akwenzeki. Njengoba umkhuba ukhombisa, ngisho nasekwelashweni kwe-insulin, iziguli eziningi zinoshukela omningi.
Futhi kunezizathu eziningi zalokhu. Ukwazi i-etiology yokungasebenzi kwe-insulin kuphela lapho lezi zinto zingasuswa ngokungavumeli amanani aphezulu eglucose. Manje kungani i-hormone ingasizi?
Cabanga ngezimbangela ezivame kakhulu:
- Umthamo wesidakamizwa ukhethwe ngokungalungile.
- Akukho ukulinganisela phakathi kwemijovo yokudla neyama-hormone.
- Isiguli asigcini kahle i-insulin.
- Izinhlobo ezimbili ze-insulin zixubene isirinji eyodwa.
- Ukwephulwa kwenqubo yokuphathwa kwamahomoni.
- Indawo engalungile yokulethwa kwe-insulin.
- Kwakunezimpawu zamanzi endaweni yokulawulwa kwama-hormone.
- Khipha inaliti ngokushesha, sebenzisa iziphuzo zotshwala ukusula.
Kunconywa ukwelapha uhlobo 1 lwesifo sikashukela nge-insulin. Futhi kuleli cala, lapho udokotela enquma ukwethulwa kwe-hormone, unikeza isiguli imemo lapho yonke imithetho nezincomo zidwetshwe ngombala omnyama nomhlophe. Basiza ukwenza konke okulungile, okukuvumela ukuthi ulawule isifo sikashukela.
Isibonelo, uma ushuna indawo yomjovo wesikhathi esizayo notshwala, ukusebenza kahle kokulashwa kwe-insulin kuncishiswa ngo-10%. Futhi uma ukhipha inaliti ngokushesha esibayeni sesikhumba, khona-ke omunye umuthi ungavuza. Ngakho-ke, kwenzeka ukuthi umuntu onesifo sikashukela akazange athole ingxenye yezidakamizwa ze-hormonal.
Izimpawu zivame ukwakhiwa endaweni yemijovo ye-insulin, ngakho-ke, ukusebenza ngempumelelo kwezokwelapha, kunconywa ukuthi prick endaweni efanayo kungabi isikhathi esingaphezu kwe-1 ngenyanga.
I-glucose 30 amayunithi: ubunzima
Njengoba kushiwo ngenhla, uma ushukela wegazi wamayunithi angama-30 ebonwa, khona-ke izinyathelo kufanele zithathwe ukusiza ukuguqula ushukela futhi uzinze ngaphansi kwemikhawulo eyamukelekayo. Uma ungenzi lutho, kuzoba nezinkinga maduze.
Amazinga kashukela aphezulu azosheshe aholele ku-ketoacidosis. Iqiniso ngukuthi umzimba uzozama ukusebenzisa ukuqongelela ushukela ngokuqhekeka kwamafutha. Futhi lokhu kuholela ekukhulisweni kwemizimba ye-ketone, okuyizinto ezinobuthi emzimbeni.
I-ketoacidosis iphathwa kuphela ngaphansi kwezimo zesimo sempilo. Isiguli sinconyelwa ukuphatha i-insulin, ngemuva kokwenza ukungabi naluthi emzimbeni, sinxephezela ukusweleka kwamaminerali.
Izimpawu ze-ketoacidosis:
- Ushukela omkhulu wegazi.
- Ukuchama kaningi kanye nephrofayili.
- Umuzwa ohlala womile.
- Ukwanda kokucasuka.
- Ngomchamo, imizimba ye-ketone.
- Ukulimazeka kokubonakalayo.
- Ubuhlungu esiswini.
Ukwanda okukhulu koshukela kungaholela ekwakhiweni komqondo wesifo sikashukela, obonakala ngokulahlekelwa ukwazi, ukuntuleka kokuqonda. Lesi simo singathuthuka ngokushesha, futhi singakhula kungakapheli usuku.
Uma isiguli sinezimpawu ze-coma, kunconywa ukubiza iqembu le-ambulensi ngokuphuthumayo. Lesi simo selashwa kuphela esibhedlela esibhedlela esikhungweni sokunakekela abagulayo.
Isithombe sasemtholampilo (izici eziphambili):
- Yehla ngethoni yemisipha.
- Ukungazi kahle.
- Ukuhlaselwa isicanucanu, ukugabha.
- Ubuhlungu esiswini.
- I-Tachycardia, ukuphefumula okungenamizwa okungajulile.
- Ukuchama ngokweqile.
- Umfutho wegazi ophansi.
Kuhlobo lwesibili lwe-mellitus yesifo sikashukela, i-hyperosmolar coma ivame ukuvela, ngaphandle kwezimpawu ze-ketoacidosis. Lesi simo singacasulwa ukuhlinzwa, ukungasebenzi kahle kwezinso, kanye ne-pancreatitis.
Noma ngabe uluhlobo luni lwesifo sikashukela, lesi sifo sidinga ukulawulwa kuzona zonke izindlela: ukondleka, ukusebenza komzimba, umthamo wemithi, izindlela zokuthibela. Le ukuphela kwendlela yokuthola isinxephezelo se-pathology futhi uvikele izinkinga ezinkulu. Ividiyo ekule ndatshana izosiza ekuqondeni ubunzulu besifo sikashukela futhi yehlise amazinga kashukela kahle.
