Ukwanda kweglucose yegazi kungahle kuhlotshaniswe nezifo zohlelo lwe-endocrine: i-pituitary, i-thyroid, izindlala ze-adrenal kanye namanyikwe.
Imbangela ejwayelekile yoshukela ophezulu ushukela. Kulesi sifo, ushukela ukhuphuka ngenxa yokuntuleka kokukhiqizwa kwe-insulin noma ukumelana nezicubu.
Ukwehlisa ushukela wegazi, udinga ukudla okwelaphayo futhi uthathe imishanguzo eyenza izinga layo lilinganiswe.
Izimbangela zokukhuphuka kweglue
Ukondla umzimba kudinga amandla kokudla. Esibelethweni, ama-carbohydrate namafutha kuqala adonswa odongeni lwawo, abese engena esibindini enegazi eli-venous. Esibindi, ama-carbohydrate aqhekeka phansi abe ushukela kanye nolunye ushukela.
I-glucose isetshenziselwa amandla futhi igcinwa ngokwengxenye kwesibindi njenge-glycogen esegodini. Ingqondo iphendula izinguquko kushukela egazini, futhi inikeze amanyikwe ukuthi ikhiphe i-insulin, ehlisa ushukela wegazi.
I-insulin enesidingo esandayo se-glucose (ukucindezela, ukusebenza ngokomzimba, ukungena kokutheleleka) kunciphisa izitolo ze-glycogen esibindini futhi ikhuthaza ukusetshenziswa kweglucose kwezakhi zomzimba. Ku-mellitus yesifo sikashukela, ushukela awukwazi ukungena ezicutshini ngenxa yokuntuleka kokukhiqizwa kwe-insulin (ngohlobo 1 sikashukela), futhi futhi, uma izicubu zingakwazi ukumunca, ngenxa ye-insulin insensitivity (uhlobo 2).
Izinga le-glucose ejwayelekile (ku-mmol / L) kubantu abadala abasesiswini esingenalutho kufanele libe ku-4.1 kuya ku-5.9.
Ngaphezu kwesifo sikashukela, ushukela ungaphakeme kunokujwayelekile kwezifo ezinjalo:
- Ukutheleleka ngegciwane.
- Ukuvuvukala kwepancreatic (i-pancreatic acute noma engamahlalakhona), i-pancreatic necrosis.
- I-hepatitis engapheli kanye nephritis.
- Umsebenzi we-pituitary okhubazekile, we-adrenal ne-thyroid.
- Ukusabela kwe-Autoimmune.
- Izifo ze-oncological ze-pancreas.
- Esigabeni esibi sokuhlasela kwenhliziyo noma unhlangothi.
Ukunciphisa ushukela wegazi, kuyadingeka ukwelapha lesi sifo esiyisisekelo, ngoba ukwanda kweshukela kanye nabo kuyinto yesibili. Ukuhlelwa ngokwejwayelekile kwezimpawu kuholela ekwehleni ngokushesha kwamazinga kashukela.
Futhi, ukwanda kwe-episodic ushukela kungadala ukukhathazeka, ukubhema, ukuphuza ikhofi, ukuvivinya umzimba ngosuku oludlule, isidlo sasekuseni esiningi noma esiningi ngokweqile, ukuthatha izidakamizwa ze-diuretic noma ze-hormonal.
Ukudla ukwehlisa ushukela
Imenyu yabanesifo sikashukela incoma ukudla okuqukethe i-fiber fiber. Basiza ukususa i-cholesterol eyeqile noshukela emathunjini.
Ukuze wenze lokhu, ungadla imifino, i-bran nezithelo ezingenakuthunyelwa.
Ukuvimbela ukunqwabelana kwamafutha esibindini, kusetshenziswa imikhiqizo enesenzo se-lipotropic. Ukwehlisa i-cholesterol, udinga ukudla ushizi we-cottage, i-oatmeal, inyama ebusayo, i-tofu.
Zonke iziguli ezinesifo sikashukela i-mellitus, ukuze kwehliswe ushukela wazo wegazi, zidinga ukwelashwa kokudla ngokwemithetho yetafula lokwelashwa No. 9 ngokusho kukaPevzner.
Imigomo eyisisekelo yokudla ebangela ukwehla kwamazinga kashukela:
- Ukudla okuhlanganisiwe okuhlala njalo ngaphandle okuqukethe i-carbohydrate elula: ushukela, ujamu, uju, i-confectionery, isinkwa esimhlophe, ilayisi, i-pasta ne-semolina, ama-pastries, ubhanana kanye namagilebhisi, utshwala. Ukudla okunjalo kubangela ngokushesha i-hyperglycemia. Ngaphezu kwalokho, ukufakwa kumenyu yamajusi ahlanganisiwe noshukela, u-ayisikhilimu, ubisi oluhlanganisiwe, izinsuku azivunyelwe. Awukwazi ukuphuza iziphuzo ezimnandi zekhabhoni.
- Ukusetshenziswa ngokulinganisela kokudla okunama-carbohydrate ayinkimbinkimbi: izithelo, beet, okusanhlamvu nesinkwa rye, iklabishi, amazambane.
- Ukuvinjelwa kokudla okuphezulu emafutheni ezilwane: iwundlu, ingulube, ubuchopho, isibindi, izinso, inhliziyo, idada, isinqe, amasoseji anamafutha, ukhilimu omuncu ama-21% amafutha, ushizi wekhishi ngaphezu kwe-15%.
- Esikhundleni sikashukela, udinga ukusebenzisa izikhala zawo.
- Yehlisa ukusebenzisa ikhalori ngokweqile.
- Ukubambelela ngokuqinile ekudleni. Ukudla konke kufanele kuhlukaniswe izidlo ezinhlanu noma eziyisithupha. Iziguli zixwayiswa ukuthi udinga ukudla njalo ngewashi.
Njengokufaka esikhundleni sikashukela, kusetshenziswa amalungiselelo emvelo - iStevioside, i-Fructose, iXylitol neSorbitol, kanye naleyo yokufakelwa: iSaccharin, i-Aspartame, iSuvevide. Izithako ezinoshukela zisetshenziselwa ukwengeza eziphuzweni nasekuphekeni. Ngemithamo eyandayo, ingadala imiphumela emibi ngendlela yokucasulwa kwamathumbu.
Okungenangozi kakhulu kukho konke ukufaka esikhundleni sikashukela kungukukhishwa kweStevia, isitshalo esinambitheka omnandi. Le herb ijwayelekile i-carbohydrate metabolism futhi inyusa ukuzwela kwe-insulin. Aliqukethe amakhalori. Ngakho-ke, kunconywa ikakhulukazi ngenhlanganisela yesifo sikashukela nokukhuluphala.
Kunconywa ukusebenzisa imikhiqizo ekuphekeni okunganciphisa amazinga kashukela futhi kuthuthukise i-carbohydrate metabolism. Lokhu kufaka phakathi:
- Ama-Blueberries - lungiselela i-jelly, i-compote, engeza okusanhlamvu neziphuzo zobisi olunomuncu, amaqabunga e-blueberry asetshenziselwa noshukela.
- I-chicory isetshenziswa esikhundleni sekhofi, ehlisa ushukela futhi ithuthukise ukusebenza kwesibindi.
- I-Jerusalem artichoke isetshenziswa eluhlaza for amasaladi bese ibeka esikhundleni samazambane ezitsheni.
- Ungadla amagilebhisi amasha noma wenze ujusi.
- Izimbali zisetshenziselwa izitsha eziseceleni nezifundo zokuqala.
- Ngefomu entshontshiwe, i-bran ingezwa okusanhlamvu, i-cottage shizi, ujusi, izitsha zokuqala zilungiswa kumhluzi we-bran.
Ukunciphisa ushukela wegazi, izinongo zidinga ukungezwa ezitsheni: i-turmeric, isafroni, isinamoni kanye kakhukhunathi.
Kuyafakazelwa ukuthi ukunciphisa imingcele ekudleni kilojoule kanye nokubamba izinsuku zokuzila kungakhulisa ukuzwela kwe-insulin ekhiqizwa ezigulini ezinesifo sikashukela sohlobo 2. Izinsuku ezinjalo azinconywa ukuthi zingabi ngaphezu kokukodwa ngesonto. Esikhathini sikashukela, ushizi we-cottage shizi, i-kefir, inhlanzi nezinsuku zokuzila zemifino kukhonjisiwe.
Ukuzila isikhathi esifushane nakho kungasetshenziswa ukunciphisa ngokushesha ushukela.
Lokhu kufanele kugadwe yi-endocrinologist, ngoba ngaphambi kokunciphisa izinga likashukela, kudingeka olunye uhlolo.
Umuthi wamakhambi wokunciphisa ushukela
Injongo eyinhloko yesifo sikashukela - indlela yokunciphisa ushukela wegazi, ingaxazululwa kusetshenziswa amakhambi emithi. Amakhambi ukwehlisa amazinga kashukela asetshenziswa ngendlela ye-decoction, ukufakwa kwengxenye eyodwa, noma ngendlela yokuqokelelwa kwamakhambi okwelapha.
Izitshalo ezinjengalezi zizosiza ukwehlisa ushukela wegazi:
- Iqabunga le-Blueberry nezithelo.
- Amabhodwe Obhontshisi.
- Umlotha wentaba obomvu.
- Impande yelayisense.
- Iqabunga le-Bay.
- Amahlamvu okusajingijolo nezasendle.
Futhi kumaqoqo asetshenziselwa izimpande ze-burdock, amaqabunga ama-nettle, i-plantain. Well kunciphisa ushukela decoction amaqabunga ziyadonsa kanye umhlonyane.
Esikhundleni setiye elijwayelekile, ungenza itiye le-herbal. Kuyadingeka ukukhipha iqoqo lokuqanjwa okunjalo: amaqabunga e-blueberry, ama-raspberry kanye namajikijolo e-aronia ngamanani alinganayo.
Leli qoqo linokunambitheka okumnandi, lisiza ukuthuthukisa inhlala kahle futhi lehlise ushukela wegazi ezigulini ezinesifo sikashukela. Ukuphuza kuze kufike ku-400 ml ngosuku kunconywa.
Imithi yokwehlisa ushukela
Uhlobo lokuqala lwesifo sikashukela lwenzeka ngesikhathi sokubhujiswa kwamaseli e-beta anikeza ukukhiqizwa kwe-insulin. Ngakho-ke, ukwelashwa kwayo kungenziwa kuphela ngomjovo walesi sidakamizwa. Iziguli ezinjalo azinakuba khona ngaphandle kwe-insulin.
Ama-regimens okwelapha asebenzisa ama-insulin ezinsuku ezihlukile zezenzo asetshenziswa - amafushane, amade futhi ahlanganiswe. I-insulin ikhishwa kumthamo obalwa ngawodwana, kucatshangelwa ubudala, ukusebenza komzimba kanye nenkambo yesifo. Kusetshenziselwa ukujova okungama-subcutaneous nge-syringe, ipeni ne-insulin.
Ukwelashwa kwe-insulin kungadingeka ezigulini ezinesifo sikashukela sohlobo 2 ukunciphisa ngokushesha ushukela wegazi ngesikhathi sokungenelela kokuhlinzwa, ngokuthuthukiswa kokuqina kwesifo sikashukela, kanye nokungasebenzi kahle kwamalungiselelo wethebhulethi.
Ngohlobo lwesibili sikashukela, kusetshenziswa izidakamizwa zamaqembu amaningana:
- Khulisa ukuzwela kwezicubu kwe-insulin.
- Ukwanda ukukhiqizwa kwe-insulin.
- Amanani akhuphukayo ama-hormone avuselelayo.
Izidakamizwa ezikhulisa ukuzwela kwe-insulin, ziqinisekise ukubanjwa koshukela egazini nokusetshenziswa kwayo emisipha, kunciphisa ukuwohloka kwe-glycogen esibindini. Ukulungiswa kweMetformin kuvame ukusetshenziselwa lokhu: iGlucofage, Dianormet, Siofor, Metformin Sandoz, Metfogamma.
I-pioglitazone (i-Actos, iPioglar) inendlela yokwenza efanayo. Izidakamizwa ezinjengalezi zijwayeza izinkomba hhayi kuphela ze-carbohydrate, kodwa futhi nokudla okunamafutha.
Ukuvuselela ukukhiqizwa kwe-insulin, kusetshenziswa amalungiselelo e-Glibenclamide ne-Manninil, bayakwazi ukwehlisa ngokushesha ushukela wegazi, kepha abalungele ukusetshenziswa isikhathi eside, ngoba banciphisa ama-pancreas.
Izidakamizwa ezenziwa nge-Glyclazide (Diabeteson ne-Oziklid) zinciphisa amazinga kashukela, zikhulisa ukukhiqizwa kwe-insulin ngemuva kokudla, zibe nomthelela wokuvikelwa emithanjeni yegazi futhi zisetshenziselwa ukuvimbela ubunzima.
Ukwelapha isifo sikashukela, izidakamizwa ezihlanganayo Amaryl M, Yanumet, Combogliza nazo ziyasetshenziswa.
Izidakamizwa ezintsha ezihlobene nezidakamizwa ezingakhuphula izinga lama -retretins. Leli yiqembu lama-hormone akhiqizwa amathumbu. Ukugxila kwabo egazini kuyakhuphuka ngokudla kokudla. Ngaphansi kwethonya lama-insretins, i-insulin yenziwe futhi yathunyelwa egazini.
Futhi, isenzo salawa ma-hormone esibindini kuvimbela ukwehlukana kwe-glycogen ku-glucose, okunciphisa ushukela wegazi. Lesi senzo sinoJanuvius no-Onglisa.
Ukuze uphuze umuthi ngendlela efanele wehlisela ushukela, kufanele wazi ukuthi izinga likashukela aligcini esiswini esingenalutho, kodwa amahora amabili ngemuva kokudla ngaphambi kokulala, ukuhlolwa okuqukethwe kwe-hemoglobin ye-glycated.
Ngokukhethwa komthamo ongalungile, ushukela ungaphonsa ngaphansi kokujwayelekile, ukuze ungadingeki ukhuphule ushukela omningi kakhulu, kunconywa ukuthi udle isilinganiso semikhiqizo esibalwe ngokufanele futhi udle nemithi ngokubheka nsuku zonke ushukela wegazi.
Vivinya umzimba ukuze wehlise ushukela
Ukwelashwa ngokomzimba kwesifo sikashukela i-mellitus, okufanele senziwe nsuku zonke, kwehlisa ushukela wegazi. Isethi ejwayelekile yokuzivocavoca okulula okungenani isigamu sehora ngosuku inciphisa ubungozi bokuthola ubunzima besifo sikashukela.
Ukuthuthukisa ukondleka kwezitho zomzimba, ukwandisa ukukhuthazela nokusebenza kudinga ukuhamba isikhathi eside okungenani ihora ngosuku.
Ukwehlisa ukucindezela futhi wehlise umfutho wegazi ngesikhathi se-yoga nokuzindla kuzosiza ukugcina impilo ye-vascular futhi kuvikele izifo zenhliziyo.
Uma isimo sesiguli singavunyelwe ukudlala imidlalo, khona-ke ubunzima bokuzivocavoca bokuphefumula yilokho ongakwenza nganoma yisiphi isimo sempilo kanye nezinga lokuqina komzimba. Ngokuvamile, ukwelashwa ngokomzimba okuhlobene
Ividiyo ekulesi sihloko ikhuluma ngezindlela eziningana zokwehlisa ushukela wegazi.
