Ushukela osegazini ubizwa ngokuthi ushukela, osesistimu yokujikeleza komuntu, futhi ujikeleze ngemithambo yegazi. Ukuhlolwa kwe-glucose kukuvumela ukuthi uthole ukuthi ikuphi ushukela egazini okusesiswini esingenalutho, futhi ngemuva kokudla.
I-glucose ingena ohlelweni lokujikeleza kusuka kuphephabhuku lesibeletho kanye nesibindi, bese kuthi ngegazi isabalale emzimbeni wonke, ngenxa yalokho izicubu ezithambile "zikhokhiswa" ngamandla ukuze zisebenze ngokuphelele.
Ukungenisa ushukela ezingeni lamaselula, udinga i-hormone ekhiqizwa amaseli we-pancreas futhi ubizwa nge-insulin. IGlucose ukugcotshwa koshukela emzimbeni womuntu.
Imvamisa, ingashintshashintsha, kepha ayidluli imingcele evunyelwe. Inani elincane kakhulu libonwa esiswini esingenalutho, kepha ngemuva kokudla, okuqukethwe ushukela, okungukuthi, izinga lakhe, kuyanda.
Uma umzimba womuntu usebenza ngokuphelele, awunasifo sikashukela, futhi izinqubo ze-metabolic zisebenza kahle, khona-ke ushukela wegazi ukhuphuka kancane, bese kuthi ngemuva kwamahora ambalwa ubuyela emngceleni ojwayelekile.
Kufanele kubhekwe ukuthi iyini inqubo kashukela wegazi, futhi yikuphi ukuphambuka okungaba yikho? Kusho ukuthini uma ushukela wegazi amayunithi angama-3-3,8?
Ukufundwa koshukela okujwayelekile
Kumuntu ophile ngokuphelele, ushukela usukela kumayunithi angama-3.8 kuya kwangama-5.3. Esikhathini esiningi samacala, kuvela amayunithi angama-4,3-4,5 esiswini esingenalutho nangemva kokudla, futhi lokhu kujwayelekile.
Lapho umuntu edle ukudla okunoshukela nokunye ukudla okuqukethe inani elikhulu lama-carbohydrate alula, ushukela ungakhuphukela kumayunithi angama-6-7, kodwa-ke, emizuzwini embalwa nje, izinkomba ziphinde zehlele esimweni esamukelekayo.
Ezigulini ezinesifo sikashukela, ushukela emzimbeni wamayunithi angama-7-8 emahoreni ambalwa ngemuva kokudla okujwayelekile, ungasho nokuthi kuhle kakhulu. Ushukela emzimbeni kuze kube yunithi engama-10 kuleli cala wamukelekile impela.
Kumele kuqashelwe ukuthi amazinga asemthethweni wezokwelapha nge-glucose asemzimbeni kwabanesifo sikashukela ngokweqile. Ngakho-ke, kunconywa ukuthi iziguli zilondoloze ushukela wazo ezinhlwini zamayunithi angama-5-6.
Futhi lokhu kungenzeka, uma udla okulungile, ngaphandle kokudla okuqukethe inani elikhulu lama-carbohydrate alula. Lokhu kusebenzisa amandla akho kuzosiza ukunciphisa amathuba okuba nezinkinga eziningi zesifo sikashukela.
Yiziphi izinkomba ezibhekwa njengokujwayelekile ngokuya ngamakhanoni wezokwelapha (izindinganiso ezamukelekayo kumuntu onempilo):
- Isikhathi sasekuseni ngaphambi kokudla kwasekuseni kusuka kumayunithi angama-3.8 kuya kwayi-5.
- Amahora ambalwa ngemuva kokudla, akukho ngaphezu kwama-5.5 amayunithi.
- Umphumela we-hemoglobin ye-glycated awungaphezu kuka-5.4%.
Leli thebula lisebenza kubantu abanokubekezelela ushukela. Uma isiguli sinesifo sikashukela, khona-ke siyoba nesilinganiso esihlukile ngokuhlukile:
- Ngaphambi kokudla kwasekuseni ekuseni kusuka kumayunithi angama-5 kuye kwangama-7.3.
- Amahora ambalwa ngemuva kokudla - ngaphansi amayunithi ayi-10.
- IGlycated hemoglobin isukela ku-6.5 iye ku-7%.
Ngakho-ke, ukusho, iziguli ezinesifo sikashukela kufanele ziqondiswe yizinkambiso ikakhulukazi kumuntu ophilile. Kungani kunjalo Iqiniso ngukuthi kuvela izinkinga ezingalapheki ngaphansi kwethonya le-glucose, edlula amanani weyunithi ezi-7.
Ngokuqinisekile, azithuthuki ngokushesha kakhulu uma kuqhathaniswa namanani aphezulu. Uma isifo sikashukela siphumelela ukugcina ushukela ngaphakathi kobubanzi obujwayelekile bomuntu onempilo, khona-ke ingozi yokufa okuvela enkingeni yesifo sikashukela incishiswa ibe ngu-zero.
Odinga ukukwazi ngamazinga kashukela:
- Izinkomba ezijwayelekile ziyefana kubo bonke, kubantwana nakubantu abadala bobabili ubulili.
- Kufanele ngaso sonke isikhathi ulawule ushukela wakho, futhi ukudla okuqukethe inani elincane lama-carbohydrate kuyasiza kulokhu.
- Ngesikhathi sokukhulelwa, kunconywa ukwenza ukuhlolwa kokubekezelela ushukela.
- Ngemuva kweminyaka engu-40 yobudala, udinga ukuthatha isivivinyo sikashukela okungenani kathathu ngonyaka.
Ukuzilolonga kukhombisa ukuthi ukudla okune-carb ephansi kungukulawula kahle ushukela, futhi kunikeza imiphumela ngemuva kwezinsuku ezimbalwa.
I-glucose ijwayelekile, nomthamo we-insulin uncishiswa kaningana.
Isimo sesifo sikashukela nesifo sikashukela
Ezimweni eziningi lapho umuntu enenkinga yokusebenzisa ushukela, kutholakala ukuthi unesifo sikashukela sohlobo 2. Imvamisa, lokhu kugula akwenzeki ngokushesha, kubonakaliswa ngokuhamba kancane kancane.
Okokuqala, kunesimo esinjenge-prediabetes, isikhathi saso esivela eminyakeni emibili kuya kwemithathu. Lapho isiguli singakutholi ukwelashwa okwanele, siguqulwa sibe uhlobo oluphelele lwesifo sikashukela.
Amaphuzu alandelayo yizindlela zokuhlonza isimo se-prediabetesic: esiswini esingenalutho, ushukela uhlukahluka kusuka kumayunithi angama-5.5 kuya kwayi-7; inani le-hemoglobin ye-glycated kusuka ku-5.7 kuye ku-6.6%; ushukela ngemuva kokudla (ngemuva kwehora elilodwa noma amabili) ukusuka kumayunithi angama-7,8 kuya kwayi-11.
Isifo sikashukela ukugula okubangelwa yi-metabolic emzimbeni womuntu. Futhi lesi simo sibonisa amathuba amakhulu okuthola isifo sikashukela sohlobo 2. Kanye nalokhu, izinkinga eziningi emzimbeni sezivele zikhula, izinso, imilenze ephansi, kanye nokuqonda okubukwayo kuyahlupheka.
Izindlela zokuxilonga zesifo sikashukela sohlobo 2:
- I-glucose esiswini esingenalutho idlula amayunithi ayi-7. Kulokhu, ukuhlaziya ezimbili ezahlukene kwenziwa ngokusakazeka kwezinsuku eziningana.
- Kwakunesikhathi lapho ushukela wegazi wagxuma amayunithi angaphezu kwe-11, futhi lokhu kwehla bekunganciki ekudleni kokudla.
- Ucwaningo lwe-glycated hemoglobin kusuka ku-6.5%.
- Ukuhlolwa kokubekezelela kukhombisa ushukela omkhulu kunamayunithi ayi-11.
Ngezinkomba ezinjengalezi, isiguli sikhononda ukuthi siyathuthumela, sihlala somile, kunokuchama okuningana futhi okuhlala kwenzeka. Kwenzeka kaningi ukuthi ngaphandle kwesizathu kwehla isisindo somzimba, ngokumelene nesizinda seqiniso sokuthi ukudla kuhlala kufana.
Lokhu okulandelayo yizici eziyingozi zokuthuthukisa isifo sikashukela sohlobo 2:
- Ukukhuluphala ngokweqile noma ngokweqile.
- Umfutho wegazi ophakeme.
- I-cholesterol ephezulu.
- I-ovary ye-Polycystic kwabesifazane.
- Izihlobo ezisondelene zinesifo sikashukela.
Kumele kuqashelwe ukuthi labo besifazane okwathi ngesikhathi sokuzala ingane bathola ngaphezu kwamakhilogremu ayi-17 bawela eqenjini lezingozi, futhi ngasikhathi sinye bazala ingane enesisindo esingaphezu kwamakhilogremu ayi-4,5.
Uma umuntu enesici okungenani esisodwa, lapho-ke esukela eminyakeni engama-40, kubalulekile ukuthatha isivivinyo sikashukela okungenani kathathu ngonyaka.
Amapayipi kashukela wegazi ayi-7: kusho ukuthini?
Inkomba kashukela yemayunithi ayi-7 iyisibalo esikhulayo se-glucose emzimbeni, futhi imvamisa imbangela yisifo “esimnandi”. Kepha kunezinye izinto eziholele ekunyukeni kwayo: ukuthathwa kwemithi ethile, ukucindezelwa okunamandla, umsebenzi wezinso ongasebenzi kahle, kanye ne-pathologies yesimo esithathelwanayo.
Izidakamizwa eziningi zivusa ukwanda koshukela wegazi. Njengomthetho, lawa amaphilisi we-diuretic, corticosteroids, beta-blockers, antidepressants. Bhala zonke izidakamizwa ezikhulisa ushukela, empeleni akunangqondo.
Ngakho-ke, uma udokotela etusa noma imuphi umuthi, khona-ke kufanele ubuze nakanjani ukuthi kuzokuthinta kanjani ukuhlukunyezwa ushukela.
Imvamisa, isimo se-hyperglycemic asibangeli zimpawu ezinqala, inqobo nje uma ushukela ukhuphuka kancane. Kodwa-ke, nge-hyperglycemia enzima, isiguli singalahlekelwa ingqondo bese siwela ekhefini.
Izimpawu ezijwayelekile zikashukela ophezulu:
- Umuzwa ohlala womile.
- Isikhumba esomile nolwelwesi lwe-mucous.
- Ukuchama okuningana kaningi.
- Umbono obonakele ongaboni.
- Isikhumba esikhanyayo.
- Ukuphazamiseka kokulala, ukunciphisa umzimba.
- Ukuqhekeka namanxeba akuphileli isikhathi eside.
Uma i-ketoacidosis iphinde ibonwe iphikisana nesizinda sesimo se-hypoglycemic, isithombe somtholampilo senezelwa ukuphefumula kaningi nokujulile, iphunga le-acetone elivela emgodini womlomo, kanye nokuthwala kwesimo esingokomzwelo.
Uma ungakunaki ukwanda koshukela, lokhu kuzoholela ezinkingeni ezinzima futhi ezingamahlalakhona zesifo sikashukela. Izibalo zikhombisa ukuthi imiphumela emibi ebabazekayo kuma-5-10% wamacala ayimbangela yokufa kweziguli.
Ukwanda koshukela okuvela emzimbeni emzimbeni kwephula ukwakheka kwemithambo yegazi, ngenxa yalokho bathola ukuba nobunzima obujwayelekile futhi baba lukhuni. Kuyo yonke le minyaka, lesi simo sivusa izingqinamba eziningi: ukwehluleka kwe-hepatic ne-renal, ukulahleka ngokuphelele kombono, i-pathology ye-inhliziyo.
Kumele kuqashelwe ukuthi lapho kukhuphuka i-glucose, bayanda ngokushesha futhi kuba nezinkinga ezinkulu.
Amanani weglucose angaphansi kuka-3: Kusho ukuthini?
Ezenzweni zokwelapha, ushukela ophansi emzimbeni ubizwa ngokuthi yisimo se-hypoglycemic. Imvamisa kutholakala isimo se-pathological lapho ushukela emzimbeni wehla ngaphansi amayunithi angama-3.1-3.3.
Eqinisweni, ushintsho kushukela wegazi ukusuka phezulu kuya ngamanani aphansi lungabhekwa hhayi kuphela ngokumelene nesizinda sikashukela i-mellitus, kodwa kanye nezinye izifo.
Kulokhu, izibonakaliso zikashukela ophansi zincike ekutheni liconsa kangakanani. Isibonelo, uma i-glucose emzimbeni cishe amayunithi ayishumi, isiguli sizethule i-hormone, kepha umthamo wabalwa ngokungalungile, futhi ushukela wehlela emayunithi ama-4, khona-ke i-hypoglycemia kwaba umphumela wokwehla ngokushesha.
Izizathu eziphambili zokwehla okubukhali kukashukela:
- Umthamo ongalungile wemithi noma we-insulin.
- Ukudla okuncane okudlayo, ukweqa ukudla.
- Umsebenzi omkhulu womzimba.
- Uhlobo olungapheli lokwehluleka kwezinso.
- Ukushintsha umuthi owodwa nomunye.
- Ukuphuza utshwala.
Ushukela ungancishiswa uma isiguli sengeza sisebenzisa ezinye izindlela ukusinciphisa. Isibonelo, uphuza amaphilisi ukwehlisa ushukela kumthamo owedlule, futhi aphuze nama-decoctions asuselwa ezitshalweni zokwelapha.
Ngokuncipha koshukela, isithombe esilandelayo somtholampilo siyabonakala:
- Kujuluka umjuluko.
- Umuzwa ongenangqondo wokukhathazeka ubonakala.
- Ngifuna ukudla.
- Izandla ziya ngokuya zibanda.
- Kuyavela, isicanucanu.
- Ubuhlungu bekhanda, isigaxa solimi.
Uma ungasinaki lesiya simo, khona-ke kuzokonakala kuphela. Ukuxhumanisa ukunyakaza kuyaphazamiseka, umuntu ukhuluma ekhubazekile, ungafunga nokuthi udakiwe. Futhi lokhu kuyingozi enkulu, ngoba abantu abasondelene naye abafuni ukumsiza, futhi umuntu uqobo akasakwazi.
Nge-hypoglycemia emnene, ungandisa ushukela ngokwakho: udle i-spoonful of jam, uphuze itiye elimnandi. Ngemuva kwemizuzu eyi-10, hlola ushukela wegazi lakho. Uma kusephansi, phinda inqubo "yokukhulisa".
Ungaluthola kanjani ushukela wakho?
Noma ngubani onesifo sikashukela kufanele abe nedivayisi efana ne-glucometer. Le divayisi ikuvumela ukuthi ulawule isifo "esimnandi". Kunconywa ukukala ukuqoqwa koshukela kusuka izikhathi ezimbili kuya kwezihlanu ngosuku.
Amadivayisi wesimanje ayasebenza futhi alula, akhombisa ngokushesha imiphumela yokulinganisa. Ngisho amawashi abakhethekile abanesifo sikashukela avele ngokuthengisa. Inkinga eyodwa izindleko zemivimbo yokuvivinya ngoba ayishibhile nakancane. Kodwa-ke, kunombuthano onobubi: ukonga imichilo yokuhlola kuzoholela ezindlekweni ezinkulu zokwelashwa kwezifo zesifo. Ngakho-ke, khetha okuncane kwalokho okubi.
Ukulinganisa izinkomba zakho ze-glucose kulula, futhi okubaluleke kunakhohlisa. Izinaliti zeminwe zithambile ikakhulukazi. Umuzwa awubuhlungu njengokuqhuma kokulunywa umiyane. Njengoba umkhuba ukhombisa, ukulinganisa ushukela nge-glucometer kunzima okokuqala nje, bese konke kuhamba “njengewashi”.
Ukulungiswa okulungile kwezinkomba ze-glucose:
- Geza izandla, uzesule ngethawula.
- Izandla kufanele zigezwe ngamanzi anensipho; kunqatshelwe iziphuzo zotshwala.
- Gcina umlenze emanzini afudumele noma uwunyakazise ukuze igazi ligijimele ngeminwe.
- Indawo yokubhula kumele yomile ngokuphelele. Akunakusho ukuthi noma yikuphi ukuhlangana kwe-liquid kunegazi.
- Imicu yokuhlola ifakwe kudivayisi, esikrinini lapho okubhalwe khona kufanele kuqhamuke ukuthi ungaqala ukukala.
- Ukuze unikeze indawo yomunwe, gcobhoza kancane ukuze kuphume ithonsi legazi.
- Faka uketshezi lwebhayikithi emceleni, ubone izinkomba.
Ukulawula isifo sakho, ukuvikela ukweqisa noma ukuncipha kwe-glucose emzimbeni, kunconywa ukugcina idayari yesifo sikashukela. Kuyadingeka ukulungisa izinsuku nemiphumela ethize yokulinganisa ushukela, yikuphi ukudla okudliwayo, yiluphi uhlobo lwe-hormone olwethulwa.
Ngemuva kokuhlaziya lolu lwazi, ungaqonda umthelela wokudla, owokuzivocavoca umzimba, wokujova kwe-insulin nezinye izimo. Konke lokhu kuzosiza ukugcina lesi sifo silawulwa, okunciphisa amathuba okuba nezinkinga ezingezinhle. Ividiyo ekulesi sihloko izokhuluma ngesilinganiso sikashukela.
