Ngisho nomuntu ongazi ukuthi uluhlobo luni II lwesifo sikashukela, noma owokuqala, kufanele alawule izinga likashukela wegazi, futhi azi nokuthi anganciphisa kanjani ushukela wegazi ngokushesha nangendlela efanele. Isizathu sokwanda okukhulu kwe-glucose imvamisa kakhulu umsebenzi wezimoto eziphansi, kanye nokusetshenziswa okusindayo kokudla okunoshukela nangamafutha.
Kunezindlela eziningana eziyisisekelo ezikuvumela ukuthi ulawule ushukela we-plasma. Eyokuqala ukwelashwa ngezidakamizwa, okuhlala kwenziwa ngaphansi kokubhekwa ngudokotela. Izidakamizwa kanye nomthamo wazo kubekiwe kususelwa esilinganisweni sikashukela esedlula okujwayelekile.
Kuyaqapheleka ukuthi kuyenqatshelwe ngokuphelele ukuphuza umuthi onciphisa ushukela ngaphandle kokuthintana nodokotela okokuqala. Ukushintshashintsha okuphawulekayo kushukela wegazi kungadala izinkinga ezinkulu. Ngokuphikisana nesizinda sokwehla kakhulu ushukela, ukukhohlisa komtholampilo kungenzeka.
Izimbangela ze-Hyperglycemia
Ngomzimba womuntu, i-glucose ingumthombo obalulekile wamandla. Kwenzeka kanjani ukwephulwa kwe-carbohydrate metabolism? Amanye amafutha nama-carbohydrate angena egazini le-venous, elimunca odongeni oluncane lwesisu. Isitsha ngasinye esitholakala esiswini sesisu siqondisa ukugeleza kwegazi kuthambo lwe-portal olugeleza esibindini, lapho kuvela khona i-carbohydrate, kulandelwa ukuhlukana kwabo kube izinhlobo ezahlukahlukene zoshukela.
Ngaphezu kwalokho, i-glucose etholakalayo ibandakanyeka enkambisweni yokuphendula kwezinto eziphilayo ezihlose ukwakheka kwamakhalori amaseli ahlukahlukene. Le nqubo ijwayelekile, kepha iningi lesibindi lisebenza kahle ebusuku, lapho umuntu elele. Amandla amaningi asetshenziswa khona manjalo ekuvuseleleni osukwini olunzima.
Amandla amaningi agcinwa ngesimo se-glycogen, okungukuthi, ayichithwa. Umuthi kuhloswe ukuthi usheshe ube ushukela futhi ezimweni eziphuthumayo ukuze uhlangabezane nezidingo eziphuthumayo zomzimba.
Ngokwesilinganiso se-glucose ekhiqizwayo, ukunqwabelana komuntu ngamunye kwamaseli wezinzwa akhiwe ebuchosheni futhi kufaka isandla ku-pituitary gland, okuyi-gland main elawula lonke uhlelo lwe-endocrine, kunesibopho. I-pituitary gland idlulisela umfutho wezinzwa ku-pancreas, okuthi lapho kuphendula kukhiqize inani elidingekayo le-insulin ye-hormone.
I-hormone nayo isiza esibindini. I-insulin isabela ngokuqinile ezicini ezinomthelela ekukhuphukeni kwemali. Izinto ezinjalo zifaka izimo ezicindezelayo, ukwanda komzimba, izifo ezithathelwanayo nokunye. Amandla ayadingeka nasemsebenzini wengqondo, aqinisekise inqubo yokugaya.
Isifo sikashukela i-mellitus sinomthelela ekubhujisweni kweqoqo lezinqubo ezihambisana nokusakazwa kweglucose. Ngalesi sizathu, okuqukethwe ushukela wegazi onesifo sikashukela kuhlala kudlulwa, okungakwazi ukuguqulwa kube amakhalori.
Uma ungalinaki leli qiniso, musa ukwehlisa amazinga kashukela wegazi njalo, kungaba nemiphumela emibi kakhulu.
Izinga loshukela
Izinga le-glucose ku-plasma yegazi liyahluka ngohlaka oluncane. Esiswini esingenalutho, okungukuthi, ngaphambi kokudla, inkomba akufanele ibe ngaphansi kuka-3.3 mmol / l nangaphezulu kuka-5.5 mmol / l. Le nkomba iyafana kwabesifazane nabesilisa.
Isigamu sehora ngemuva kokudla ushukela egazini uba ngaphezulu, ngemuva kwehora elingu-1, izinga laso seliphezulu, bese kuthi ngemuva kwamahora ambalwa liphinde liwe ngokwejwayelekile. Ngaphezu kwalokho, kufanele kuqashelwe ukuthi ukusebenza isikhathi esifushane komzimba nakho kufaka isandla ekukhuleni kwe-glucose, ngenkathi isikhathi eside, kunalokho, kwehlisa.
Isidingo sokunciphisa ushukela wegazi ku-plasma yegazi senzeka hhayi kwisifo sikashukela kuphela, kodwa nakumonakalo wesibindi, ukusetshenziswa ngokweqile kokudla okuphezulu kuma-carbohydrate, ukucindezela, i-adrenaline nokunye.
Ukuntuleka kweglucose kuqashelwa ngemuva kwemithamo emikhulu ye-insulin, ngendlala ende, ukukhiqizwa okunganele kwama-hormone yizindlala ze-adrenal ne-gland yegilo.
Izimpawu ze-Hyperglycemia
Cishe akunakwenzeka ukunciphisa ushukela wegazi uma isifo sikashukela sitholakala ngezinsuku ezimbalwa.
Akunconywa ngosuku olwandulela uvivinyo ukulandela ukudla, noma ukuthatha izinyathelo ezithile ezikhethekile ukuze inkomba isondele kokujwayelekile.
Ucwaningo olunjalo ngeke lukwazi ukuhlola kahle isithombe somtholampilo.
Ngokungeziwe ekuhlolweni kwe-glucose ephezulu yegazi, nokuthi isifo sikashukela siyathuthuka, kuboniswa izimpawu eziningana, kufaka phakathi:
- Umile njalo. Lapho kuphakama ushukela wegazi, izinso ziqala ukusebenza ngokwengeziwe. Lokhu kungenxa yokuthi umzimba womuntu uzama ukukhipha ushukela ngokweqile ngomchamo.
- Ukudla ngokweqile uketshezi kuvusa ukuchama okuvame kakhulu. Ngaphezu kwalokho, kukhona ukwanda okuningana komchamo, ikakhulukazi ebusuku.
- Ukulunywa isikhathi eside kobuso besikhumba. Abesifazane nabo banokulunywa ku-perineum.
- Ushukela omningi uhambisana nokukhathala okungapheli komzimba. Yize iqiniso lokuthi i-glucose yeqile emzimbeni, ayikwazi ukuxhumana namaseli ukunikeza umzimba amandla adingekayo.
- Umuzwa wokuxinana emilenzeni, ukuvuvukala.
- Isiyezi esivame ukwenzeka ngesifo sikashukela.
- Izinkinga zombono. Inkungu, umuzwa wokukhanya, namachashazi amnyama ezintantayo kungahle emehlweni wesifo sikashukela.
- Amanxeba aphola isikhathi eside. Ngenqubo yokwelashwa isikhathi eside, izifo kanye nezifo ezibangelwa ukhunta zingabajoyina.
- Ukuguquguquka kwesisindo okunamandla. Umuntu onesifo sikashukela angathola kakhulu isisindo noma alahlekelwe.
Ukuvela okungenani kwesinye sezimpawu kubhekwa njengophawu olwesabekayo, olukhombisa isidingo sokuxhumana ngokuphuthumayo ne-endocrinologist. Ukuvimbela isifo sikashukela, udinga ukudla kahle nokuzivocavoca.
Futhi kukhulisa inani lokucindezelwa ushukela
Ukudla okwelaphayo
Ukudla kubhekwa njengento ebalulekile yenqubo yokwelapha. Umgomo wayo ukuvimbela ukudla kwama-carbohydrate namafutha ngokudla okudliwayo. Imikhiqizo equkethe ama-carbohydrate angagaya kalula kufanele ingafakwa ngokuphelele ekudleni. Lokhu kufaka i-pasta, ushukela, iziphuzo, isinkwa esimhlophe, amazambane, ushokoledi nokunye.
Ngabe udlani? Imikhiqizo enconyiwe yilena enganciphisa ukugcwala kweglucose egazini. Isibonelo, i-asparagus, isilimo esidliwayo esinamagatsha anamanzi, utamatisi, iklabishi, isithombo, ukhukhamba, ithanga, isitshalo seqanda. Kwabanesifo sikashukela, kuyanconywa itafula lokwelashwa kokudla. 9 Ukudla okufanele kubalulekile kwabanesifo sikashukela abacabanga ukuthi wehlise isisindo.
Ungenza ngaphandle kwamaswidi usebenzisa i-sweetener. Ungakhetha esisodwa sezidakamizwa zokwenziwa, kufaka phakathi iSaccharin, i-Aspartame, kanye ne-Sucrasit. Kodwa-ke, zinomphumela munye. Ezinye iziguli ziba nomuzwa onamandla wendlala ngenxa yazo.
Ngalesi sizathu, ukukhetha kunikezwa kahle ama-sweeteners wemvelo, afaka uju, i-sorbitol, i-fructose, i-xylitol. Kodwa-ke, azinakuthathwa ngokungalawuleki, ngoba zivame ukuvusa amathumbu noma isisu esikhathazekile.
Udokotela uxoxa ngomthamo ovumelekile wansuku zonke womkhiqizo.
Ukwelashwa kwezidakamizwa
I-Hyperglycemia ihambisana nokwelashwa ngezidakamizwa. Isiguli sinqunyelwe izidakamizwa ezinciphisa ushukela ezigabeni ezintathu:
- I-Glyclazide, iGlibenclamide nokunye okuvela ku-sulfanylurea kunciphisa kancane kancane okuqukethwe ushukela, kuvimbele ukweqa kwayo usuku lonke. Izidakamizwa ezinjalo ziphuza amaphilisi amabili ngosuku.
- AmaBiguanides abhekwa njengabahle futhi azuzisa kakhulu ngoba angakhuthaza ukwenziwa komzimba kwe-insulin. Ukulungiselela, kufaka phakathi i-Glucofage, iSiofor, iGlatiniin nokunye, kuyatholakala kwifomu lethebhulethi futhi kuboniswa isenzo esisekude.
- Iqembu elikhulu lezidakamizwa ezinoshukela ophansi zibizwa ngokuthi ama-insulin. Zonke izidakamizwa zalesi sigaba zingasetshenziswa kuphela ngemuva kokuxilongwa kokuntuleka kwe-insulin. Ukulungiswa kwe-insulin kufakwe isirinji.
Umthamo wezidakamizwa ngokulandelana ngqo ubalwa yi-endocrinologist futhi kuncike ekusebenzeni komzimba, ukumbumbuluzwa ushukela emchameni, kanye nezimpawu zomuntu ngamunye.
Ngaphezu kwalokho, ku-coma yemitholampilo, yonke imishanguzo ye-insulin ingalawulwa ngokudonsa ngamandla.
Umuthi wabantu
Unganciphisa ushukela wegazi usebenzisa umuthi wendabuko, okungukuthi, usebenzisa amakhambi okwelapha nezinye izinto ekhaya. Phakathi kokupheka okuthandwa kakhulu ukuthi ungashesha kanjani ukwehlisa ushukela, umuntu angahlukanisa okulandelayo:
- Ukwakheka kwama-blueberries namaqabunga kufaka into ekhethekile ebizwa ngokuthi i-myrtillin, okuthi esenzweni sayo isebenza njenge-insulin, okungukuthi, iyasiza ekwehliseni ushukela wegazi. Ama-diabetes ayanconywa ukuthi adle iqhwa noma iqhwa, enze i-compote ngaphandle kwawo ngaphandle kokufaka ushukela.
- I-Buckwheat okusanhlamvu kwasekuseni nge-hyperglycemia kulungiswa njengenjwayelo futhi kunesibopho sokwehla kwe-glucose, okungukuthi, ushukela wegazi uyehla. Lokhu okusanhlamvu okuhlukahlukene kungumkhiqizo obalulekile wesifo sikashukela. Ukuze wenze okusanhlamvu okuphelele kokudla kwasekuseni futhi kuzinzise ushukela wegazi, kufanele ulandele iresiphi. Hlambulula iqembu ngokuphelele, ulimise epanini ngaphandle kokufaka uwoyela bese uligaya ufulawa. Ngemuva kwalokho, njalo kusihlwa udinga ukuthulula izipuni ezimbili zempuphu ye-buckwheat ephumela nge-kefir noma i-yoghur bese ushiya ukuyifaka kuze kuse. Ngemuva kwesidlo sasekuseni esinjalo awukwazi ukudla okungenani ihora.
- Amajusi wemifino, kufaka phakathi utamatisi, iklabishi, u-squash, isanqante, nejusi le-watermelon, asiza ukwehlisa okuqukethwe ushukela. Ukuphuza amakhompiyutha anjalo kufanele kube sesiswini esingenalutho kaningana ngosuku.
- Esikhundleni setiye noma ikhofi, kungcono ukuphuza isitshalo se-chicory. Ithisipuni elilodwa le-powder elichotshoziwe lithululelwa ngengilazi yamanzi abilayo, emva kwalokho ukwakheka kwayo kufakwe imizuzu engaba ngamashumi amathathu. Ukusuka esiphuzweni esinjalo, ushukela uzokwehla.
- Ijusi le-anyanisi, okufanele lithathwe isipuni ngaphambi kokudla, lihle kakhulu. Ungapheka futhi no-anyanisi ukumunca, okunciphisa okuqukethwe ushukela. I-anyanisi encane inqunywa izingcezu ezincane, igcwaliswe ngengilazi yamanzi apholile futhi ifakwe amahora amaningi. Thatha le khambi kathathu ngosuku. Umthamo okwehlisa ushukela ungxenye yesithathu yengilazi.
Kodwa-ke, abantu abane-hyperglycemia kufanele basebenzise izidakamizwa ezinjalo ngokuqapha. Yini okudingeka uyikhumbule? Ukwehla okunamandla eglucose yegazi kungaholela ekukhuleni kwe-glycemic coma. Ngakho-ke, umbono wokuthi akunakwenzeka ukuhlukumeza ngisho nezindlela zokupheka zabasebenzi ziyiqiniso.
Kwividiyo ekulesi sihloko, udokotela uzokhuluma ngokudla okunempilo, okungeke kuvuse ushukela wegazi.
