Awekho amazinga kashukela afanayo kubo bonke ubudala nabesilisa. Izinga likashukela wegazi kwabesifazane lingahluka kakhulu ngeminyaka nangoshintsho lwamahomoni.
Abaningi abazi, kodwa isikhathi sokuzala noma ukuqala kokuya esikhathini siyathinta kakhulu ukuhlangana koshukela egazini lowesifazane. Ngeshwa, egxilile emsebenzini, imisebenzi yasendlini nokuba ngumzali, owesifazane akabheki impilo yakhe ngokugcwele.
Kufanele aye kudokotela kuphela nezimpawu ezisobala zalesi sifo, okungenzeka ukuthi sezivele zisesimweni esibucayi. Isifo sikashukela i-mellitus sikhohlakele kakhulu: izimpawu zaso zifana kakhulu ne-malaise elula noma aziveli isikhathi eside nhlobo. Ngakho-ke, owesifazane kudingeka azi ukuthi ishukela elijwayelekile lithini ngalesi sifo.
Uzoya nini kudokotela?
Isifo sikashukela sinesithombe somtholampilo esibanzi kakhulu, ngakho-ke sinokubonakaliswa okuningi. Lapho owesifazane ebona okungenani uphawu olulodwa noma ngaphezulu, kufanele abonane nodokotela ngokushesha.
Kukhona yonke inkimbinkimbi yezimpawu eziyisisekelo zalesi sifo.
Ubuthakathaka obuhlala buhlala, ukozela, kanye nokungasebenzi. Ngenxa yokuthi i-glucose ayidonswa amangqamuzana omzimba, ayitholi amandla adingekayo bese iqala ukubulawa yindlala. Ngenxa yalokho, i-malaise ejwayelekile izwakala.
Umlomo owomile, ukoma nokuchama kaningi. Izimpawu ezinjalo zihambisana nomthwalo owengeziwe wezinso kushukela. Azinawo uketshezi olwanele lokususa ushukela omningi emzimbeni, futhi ziqala ukuthatha amanzi kumaseli nemisipha.
Ukulimala kwekhanda nesiyezi kuhlotshaniswa nokuntuleka kwe-glucose ebuchosheni kanye nesenzo semikhiqizo yokubola enobuthi - imizimba ye-ketone. Ukuphazamiseka kwesistimu yokugaya ukudla, okubonakaliswa ubuhlungu besisu, isicanucanu, ukugabha noma uhudo. Umphumela wokukhubazeka okubukwayo, ngenxa yalokho, isithombe esiphambi kwamehlo ami siba mnyama, kuqhamuke amachashazi amnyama nezinye iziphene.
Ukwehla okusheshayo noma ukwanda kwesisindo somzimba. Ukuqhuma kwesikhumba, ukulunywa, ukuphulukiswa kwesilonda eside. Ukungahambi kahle kokuya esikhathini. Ukuvela kokungasebenzi kabusha.
Ngaphezu kwalokho, kukhona ukukhula kwezinwele kobuso nezinye izitho zomzimba ngokohlobo lowesilisa.
Ukuhlaziywa kwezinga leshukela nokujwayelekile kwalo
Ukunquma ukuhlangana kweglucose, kuyadingeka ukuthi kuhlolwe igazi. Isampula yegazi yenziwa ekuseni (kahle ukusuka emahoreni angama-8 kuye kwayi-11) esiswini esingenalutho.
Kusukela isidlo sokugcina, okungenani amahora ayisishiyagalombili kufanele sidlule. Ukuze ungahlanekezeli imiphumela yocwaningo ezinsukwini ezimbalwa ngaphambi kokuhlaziywa, udinga ukulandela imithetho elula elula
Ungathathi iziphuzo ezidakayo. Ungazigcwalisi ngokwengqondo nangokomzimba. Gwema ukushaqeka okukhulu ngokomzwelo. Ungasinamatheli ngokudla okuqukethe ama-carbohydrate angagaya kalula.
Kunezinhlobo eziningi zokuhlola ezinquma inani le-glucose egazini, okungukuthi ukuhlola ushukela wegazi elijwayelekile, ukuhlolwa kokubekezelela ushukela, ukuhlolwa kwe-hemoglobin ye-glycated (okuningi mayelana nezinga le-glycated hemoglobin kwabesifazane). Kumele kuqashelwe ukuthi eyokuqala yazo iyona evame kakhulu, ngoba ikuvumela ukuthi uthole imiphumela ngokushesha ngemuva kokuthatha i-biomaterial. Kulokhu, igazi lingathathwa womunwe nakulowo umthambo. Lapho esethole imiphumela engabazisayo yocwaningo, udokotela angakunikeza lokho kuhlaziywa futhi.
Ngokusho kokuqukethwe ushukela okutholakele, udokotela uthola lesi sifo. Ithebula libonisa izinkambiso zokuhlushwa kwe-glucose egazini le-capillary kwabesifazane (kungafakwa noma iyiphi i-pathologies).
Uma kungekho okhubazekile kwe-pathological, isimo se-glucose yile:
- kusuka eminyakeni eyi-14 kuye kwengama-50 - 3.3-5.5 mmol / l;
- kusuka eminyakeni engama-51 kuye kwengama-60 - 3.8-5.9;
- kusuka eminyakeni engama-61 kuye kwengama-90, ushukela wegazi usuka ku-4,2 uye ku-6.2;
- ngaphezulu kweminyaka engama-90, izinga likashukela liyi-4.6-6.9.
Egazini le-venous kwabesifazane abadala, okuqukethwe ushukela okujwayelekile kuhluke kancane kusuka ku-capillary futhi kusuka ku-4.1 kuye ku-6.3 mmol / L.
Kwesinye isikhathi ushukela wegazi owedlulele uvunyelwe. Isibonelo, kowesifazane onesifo sokuya esikhathini, ukugxuma kushukela wegazi kuvame kakhulu. Futhi, ushukela ungakhuphuka ngesikhathi sokwelashwa kwezifo ezithathelwanayo, izifo ezingelapheki noma ezikhuphukayo.
Ngakho-ke, odokotela batusa ukuthi noma kungekho zimpawu zesibonakaliso, thatha ukuhlolwa kwegazi ushukela okungenani kanye ezinyangeni eziyisithupha.
Izinga le-glucose ekhulelwe
Lapho umzimba kamama okhulelwe eqala ukwakha kabusha ukuhlinzeka zonke izakhamzimba ezidingekayo ezinganeni, okuqukethwe ushukela kungakhula. Ngokuvamile, kwabesifazane abanengane, izinga leshukela elijwayelekile liyahlukahluka lisuka ku-3.8 liye ku-6.3 mmol / L.
Emavikini angama-24-28 wokukhulelwa, i-noshukela ikhuphuke ibe ngu-7 mmol / L Lesi simo sikhombisa ukuthuthukiswa kwesifo sikashukela sokukhulelwa. Le ndlela yalesi sifo ihamba yodwa ngemuva kokuzalwa kwengane, kepha kwesinye isikhathi ingaphenduka isifo sikashukela sohlobo 2.
Ngakho-ke, umama okhulelwe udinga ukuqapha ngokucophelela izinga leshukela futhi aqaphe udokotela njalo. Amathuba okuthola isifo sikashukela sokuthambisa emzimbeni ayanda kulabo besifazane abanezihlobo ezinesifo sikashukela, abakhuluphe ngokweqile, noma abakhulelwe okokuqala lapho beneminyaka engaphezu kwengama-35.
Ukwanda okukhulu kweglucose egazini elingaphezu kuka-7 mmol / l kwabesifazane abakhulelwe kungathinta kabi umama okhulelwe nengane yakhe.
Ukwehlisa amazinga kashukela egazi, izidakamizwa ezisuselwa emvelweni kanye nosizo olufanele lokudla okunempilo, okungafaki ukusetshenziswa kokudla okunoshukela kanye nama-carbohydrate angagaya kalula.
Ushukela wegazi ongafanele
Owesifazane kufanele anakekele impilo yakhe, ngoba ukuxilongwa ngokungafanele kungaholela ezinkingeni ezahlukahlukene. Qiniseka ukuthi uhlola ushukela wegazi lakho njalo ezinyangeni eziyisithupha.
Ithebula elinemigomo lizosiza ekuboneni ukuphambuka noma uqinisekise ukuthi konke kuhleliwe ngokuxhunyaniswa koshukela. Uma unezimpawu ezisolisayo, kufanele uthintane nodokotela ngokushesha. Lokhu kuzosiza ukugwema imiphumela emibi yesifo sikashukela noma ezinye izifo.
Njengoba ushukela omningi uqongelela esibindini ngemuva kokudla, amanani eglucose ancike kuleso sitho esithile. Ngaphezu kwama-endocrine pathologies, ukonakala kwesibindi kuholela ekuqongeleleni ushukela egazini. Ngaphezu kwesifo sikashukela, ukwanda kwesimo seshukela kungakhombisa ukuthuthukiswa kwe:
- i-pancreatitis eyingozi futhi engamahlalakhona;
- i-hyperthyroidism;
- ukopha ngaphakathi;
- ukwehluleka kwesibindi;
- umdlavuza wesibindi namanyikwe;
- isithuthwane.
Udokotela angenza ukuxilongwa ngokufanele kuphela ngokwenza ukuhlolwa okugcwele kweziguli. Umbono wokuthi i-hypoglycemia ungcono futhi uphephe kune-hyperglycemia uyiphutha. Ukwehla okusheshayo kwamazinga kashukela kungabonisa i-pathologies enjalo:
- umdlavuza wesisu
- i-hepatitis;
- i-cirrhosis;
- i-meningitis
- encephalitis.
Futhi, ushukela wegazi ungokwehliswa ngemuva kokudla okuqinile ngokudla okulinganiselwe kokudla okunoshukela. I-Hypoglycemia idalwa ukusetshenziswa kabi kotshwala nokudakwa.
Ukufinyeleleka ngokwejwayelekile kwamazinga kashukela, kufanele unamathele kuzo zonke izincomo zikadokotela. Ku-mellitus yesifo sikashukela, ukwelashwa okuphumelelayo akuxhomekile ekwelashweni kwe-insulin kuphela noma ekusetshenzisweni kwezidakamizwa ezinciphisa ushukela. Kuhlanganiswe kuphela nokusebenza ngokomzimba, ukulwa nesisindo ngokweqile, ukudla okufanele nokuqapha i-glucose njalo lapho ungathola khona imiphumela. Ividiyo ekulesi sihloko izokhombisa ukuthi iyini i-glucose yakho yokuzila ukudla.
