Cishe zonke iziguli ezitholakale zinesifo sikashukela zinomdla embuzweni wokuthi zinganciphisa kanjani ushukela wegazi. Impendulo ngqo yalo mbuzo inganikezwa kuphela udokotela ohambele lo msebenzi, owake wahlola isiguli ngokuphelele lesi ngaphambili.
Namuhla ku-Intanethi ungathola imininingwane eminingi yokuthi wehlisa kanjani amazinga kashukela usebenzisa ezinye izindlela zomuthi. Okungukuthi, ukusetshenziswa kwezindlela zokupheka zabantu kanye nokudla okukhethekile. Kepha kufanele uhlale ukhumbula ukuthi ukwehla kwangempela kwe-glucose yegazi kungenzeka kuphela ngemuva kokuthatha imithi ethile.
Ukukhethwa komuthi onjalo kufanele kususelwe kwimininingwane yokuthi hlobo luni lwesifo sikashukela isiguli esithile, nokuthi yiziphi izinkomba zakhe zoshukela.
Imvamisa, ushukela ophakeme ubekwa ezigulini ezihlaselwa yisifo sikashukela, esisesigabeni sokubuyiselwa kwemali. Lokhu kungenxa yokuthi ukwanda kwe-glucose yegazi kungumphumela wokuphazamiseka kwe-metabolic. Ukubuyisela kabusha ukukhiqizwa kwama-vithamini angapheleli kanye nokulandela umkhondo, ukusilela kwawo okuvela ngenxa yokungasebenzi kahle kwe-metabolism, udinga ukuthatha imithi ekhethekile.
Kukhethwe izidakamizwa ezikhethwe ngokufanele ezingabuyisela ushukela esigabeni sesinxephezelo. Lawa ma-ejenti athile we-hypoglycemic. Kanye ne-analogue ye-insulin yabantu ne-incretinomimetics.
Yiziphi izinhlobo zezidakamizwa ezikhona?
Ngakho-ke, unganciphisa ushukela wegazi ngosizo lwezidakamizwa ezinciphisa ushukela:
- ama-biguanides;
- imithi eyenziwe nge-sulfonylurea;
- glitazones;
- zobumba;
- incretinomimetics.
Esimweni sokuqala, sikhuluma ngezidakamizwa ezibandakanya ama-metamorphin, kanye ne-glucophage. Umuthi lo usesimweni sezibhebhe futhi uphuza ngomlomo. Basebenza ngokweqile ukunciphisa i-glycogenolysis. Futhi kuthinte kahle inqubo yokuthathwa koshukela ngumzimba. Okusho ukuthi, izicubu zephutha. Okunye ukudla ejwayelekile kwalo muthi kuzosiza ukuthuthukisa i-lipid metabolism emzimbeni, kanye nenqubo ye-fibrinolysis.
Kepha lokhu akuyona yonke impahla yalo muthi. Kumele kwaziwe ukuthi noma ngemuva kokuthatha umuthi njalo, ukuhlaziya kwesiguli kuba ngcono kakhulu. Izinga le-glucose egazini kanye ne-cholesterol aliphansi noma liphakeme kunenkambiso emisiwe.
Ingozi yokuqhekeka kwegazi nokubonakala kwe-hypoglycemia kuncishiswa kakhulu.
Uhlobo olulandelayo lwemithi, olubhalwe ngaphezulu, banezinto zabo zokuphulukisa ngenxa yokuthi ukukhiqizwa kwe-insulin ngumzimba kuyathuthuka. Kuyiqiniso, banemiphumela emibi eminingana. Kungase kuholele ekuthuthukisweni kwe-hypoglycemia, kanye nokubanga isisindo nokukhula kwesibindi. Kungakho kumele athathwe ngokuqinile ngokuya ngamazinga amisiwe futhi kunconywa kuphela nge-endocrinologist.
Ukwehlisa ushukela kungenzeka ngokuthatha imishanguzo efana nama-glitazones. Basiza ukwehlisa izinga lokukhiqizwa isibindi, futhi futhi bakhulisa kahle ukuzwela kwazo zonke izicubu ku-hormone evezwa ngamanyikwe.
Uhlobo olulandelayo lwemithi luvuselela umzimba ukukhiqiza i-insulin ngemuva kokudla ngakunye. Ngenxa yalokho okungenzeka ukulawula izinga loshukela egazini.
Mayelana nohlobo lokugcina lwemithi, kubalulekile ukuqaphela ukuthi zibuye zithuthukise umkhiqizo we-insulin womzimba. Futhi ngasikhathi sinye esivimbela ukwenziwa kweglucagon.
Ukuze ukhethe umuthi ofanele ongalehlisa ushukela wegazi ngempumelelo nangokuphephile, kufanele uhlolwe ngokuphelele, futhi ngenxa yalokhu udinga ukubona udokotela.
Bancomani ngemithi yesintu?
Ngaphezu kwezidakamizwa ezichazwe ngenhla, kufanele futhi kuqashelwe ukuthi imijovo ye-insulin ibekelwe abaguli abanesifo sikashukela abaningi. Okungukuthi, labo i-pancreas empeleni engakhiqizi i-hormone esanda kuboniswa noma enganele.
Ukunciphisa amazinga kashukela nalokhu kwelashwa kusebenza kakhulu futhi ngaphandle kwezinkinga ezithile. Vele, uma ngesikhathi sokwelashwa ulandela yonke imithetho esungulwe ebekwe udokotela oholayo.
Kubalulekile ukukhumbula ukuthi kunezinhlobo eziningi ze-insulin. Okungukuthi:
- i-ultrashort;
- mfushane
- phakathi;
- osethatha isikhathi eside.
Uma sikhuluma ngendlela yokwehlisa ushukela kusetshenziswa i-insulin esezingeni eliphansi, lapho-ke kufanele siqonde ukuthi kusebenza cishe amahora angama-3-4 ngemuva kokudla. Kepha amafushane, athinta cishe amahora angama-6-8.
Isilinganiso, sibuye sithinte cishe amahora ayishumi nanhlanu, nosuku olude ngokugcwele, futhi kwesinye isikhathi size sifike emahoreni angamashumi amabili nesishiyagalolunye.
Ngokusekelwe kulolu lwazi, kuba sobala ukuthi umuthi ngamunye othize kufanele uphuzwe kumithamo ethile nangesikhathi esinqunyelwe. Ukuqokwa kufanele kwenziwe ngudokotela ohambayo ngokuya ngokuhlaziywa kwesiguli, kanye nesithombe somtholampilo esivamile sesifundo saleso sifo.
Udinga futhi ukukhumbula ukuthi ngaphezu kokwelashwa, kubaluleke kakhulu ukulandela ukudla okucacile. Kungcono ukudla ukudla ngokwezinga, endaweni ethile izikhathi ezingama-5-6 ngosuku. Udinga ukuzama ukugwema ukucindezelwa, ukucindezelwa yimizwa nokuzivocavoca ngokweqile komzimba.
Ngasikhathi sinye, umuntu akakwazi ukungayinaki imithetho yokuqala yendlela yokuphila enempilo, ukuvivinya umzimba njalo, ukuhamba emoyeni omusha nokudla okunempilo kuzosiza ukugcina ushukela uhlala uvamile.
Konke okudingeka ukwazi ngokudla?
Kuyaziwa ukuthi izimpawu zoshukela ophezulu zivele ngendlela:
- umuzwa ongapheli wokoma;
- ukuchama njalo;
- indlala engasuki ngisho nangemva kokudla;
- amanxeba okuphulukisa kabi nokunye okuningi.
Zonke lezi zimpawu ziqedwa ngenxa yokwelashwa okuyikho, kanye nokudla kilojoule ephansi.
Ukudla okunempilo kulolu daba kuthatha enye yezindima eziyinhloko. Noma yisiphi isiguli esinesifo sikashukela kufanele silandele imithetho ecacile yokudla. Futhi lokhu akuyona kuphela imithetho yokudla okwondlekile, kodwa zonke izidingo eziphathelene nokudla.
Isibonelo, ukudla okuqukethe i-fiber kufanele kube kuqala ekudleni, kepha usawoti kufanele udliwe ngemithamo emincane kakhulu. Kuyadingeka ukwandisa ukungena kwamaprotheni ku-800 amagremu ngosuku.
Udinga futhi ukubheka ngokucophelela ukuthi iyiphi inkomba ye-glycemic kumkhiqizo othile. Futhi unikeze okuthandwa kuphela yilezo eziqukethe inkomba encane kakhulu.
Vele, uhlu oluphelele lokudla olusetshenziselwa ukubangela ukwehla ushukela wegazi kufanele lunqunywe udokotela wakho. Lolu hlu lude impela, ngakho-ke ukufaka uhlu lwayo yonke imikhiqizo nezitsha zokudla ezinesifo sikashukela akunangqondo, kungcono ukwethemba isipiliyoni se-endocrinologist esinolwazi bese ulandela izeluleko zakhe.
Izindlela zokwelapha ezisebenzayo
Enye indlela yokunciphisa izimpawu ezikhona zesifo sikashukela ukusebenzisa ezinye izindlela zokwelashwa. Kunezeluleko ezithile ezingakusiza wehlise ngempumelelo ushukela wegazi lakho.
Ushukela oncishisiwe ungaba, uma usebenzisa ingxube ekhethekile elungiselelwe kusuka kuma-oats. Ukuze wenze lokhu, udinga uhhafu wengilazi yama-oats, embozwe ngenani elilinganayo lamanzi. Ngemuva kwalokho idinga ukubanjiswa ngamanzi okugeza ngamanzi cishe imizuzu engamashumi amabili bese iphikelela cishe ihora.
Imbewu yefilakisi, edinga ukuthululwa ngamanzi abilayo, izosiza futhi, amakilitha angamakhulu amabili kwanele. Ngemuva kwalokho, baphikelela cishe imizuzu engama-40 bese befaka ujusi omncane kalamula.
Kepha, kumele, ukhumbule ukuthi zonke izindlela zokwelapha zendabuko zihlanganiswa kangcono nokwelashwa kwendabuko. Lapho-ke umphumela uzoba ngcono.
Uma sikhuluma ngokuhlanganiswa kwezinto ezifana nesifo sikashukela kanye nokuzivocavoca komzimba, kubalulekile ukuqonda ukuthi ukuqeqeshwa kungenziwa kuphela uma izinga likashukela likusondele cishe amamililitha ayisihlanu nanhlanu egazi ngalinye. Uma uvivinya umzimba, lapho izinga likashukela lingaphezu kwamamitha ayi-15 ngelitha yegazi, khona-ke lokhu kungaholela ekwakhiweni kwe-hyperglycemia. Kodwa i-hypoglycemia ingakhula uma udlala ezemidlalo ngezinkomba ezinoshukela ngaphakathi kwe-5 mmol / l.
Zonke lezi zeluleko kufanele zilandelwe ngokuhambisana. Lapho-ke ukwelashwa kuzoba ngcono kakhulu kanti isiguli sizokwazi ukulawula impilo yakhe.
Ukuqinisekisa ukuthi amazinga kashukela ahlala evamile, udinga ukuwahlola njalo. Ngaso leso sikhathi, udinga ukukwenza lokhu ekuseni, ngaphambi kokudla kwasekuseni nangosuku lonke. Futhi uma kungazelelwe impilo yakho iqala ukwanda, udinga usizo ngokushesha kudokotela, uma kungenjalo kungaba khona umphumela obulalayo. Ividiyo ekulesi sihloko izokutshela ukuthi wehlise kanjani ushukela onamakhambi abantu.
