Unganquma kanjani ushukela wegazi ophakeme, izimpawu zesifo sikashukela kwabesifazane, ukwelashwa kwaso - lezi yizinkinga ezikhathaza isibalo esandayo sabesifazane.
Ukucindezela, ukukhuluphala ngokweqile, kanye nokuhlukumezeka kwamaswidi kungabangani abangathandeki kwabesifazane bethu, okungabangela ukwanda koshukela babo begazi.
Ngaphezu kwalokho, uma uthatha igazi esiswini esingenalutho, isiguli sinquma izinga laso ngaphezulu kwe-3.3-5,5 mmol ilitha ngalinye legazi, lokhu kungabhekwa njengophawu lokuqalwa kwalesi sifo.
Izimbangela kanye nezinhlobo zesifo sikashukela
Kungenzeka ukuqonda ukuthi umzimba wesifazane ulahlekelwa ini nokuthi siyini isizathu sokuthi ushukela wegazi uphakama kubantu besifazane, uma isiguli sazi kahle ukuthi yisiphi isifo esisemzimbeni nokuthi sikusiphi isigaba sokuthuthuka.
Umuthi wanamuhla uthi owesifazane namuhla unezinhlobo ezilandelayo zesifo sikashukela, ezihambisana nokwanda koshukela wegazi:
- Kuya nge-insulin, kubonakaliswa ukuthi umuntu wehle kakhulu ekukhiqizweni kwe-insulin kumanyikwe. Ngenxa yale nqubo, isiguli kufanele sizihlinzele imijovo ukuze sigcine isilinganiso sayo sansuku zonke.
- Uhlobo lwesibili lincane noma lijwayelekile i-insulin egazini, enganikeli ngakolunye uhlangothi imiphumela efiselekayo yamanyikwe, ngenxa yalokho ukungena kweglucose kumaseli kuvinjiwe. Ngakho-ke, umsebenzi womzimba womuntu wonke uyaphazamiseka.
- Isifo sikashukela se-phosphate, esingakhulisa ushukela wegazi, sivame ukwenzeka ngonyaka wesibili wokuphila kwentombazane. Ngenxa yalokhu, ukukhula kwezinso, kanye nengqondo yengane, kungathinteka, kuyilapho kubalulekile ukwazi ukuthi lesi sifo sinefa futhi cishe akunakwenzeka ukusivimba.
- I-genetic abnormality MOD-sikashukela, nayo ebonakala ngokwanda koshukela wegazi kwabesifazane. Lesi simo selashwa kalula ngemithamo emincane ye-insulin.
Kuyafanela futhi ukusho esinye isici esingajwayelekile sofuzo, esizibonakalisa kwabesifazane ngendlela yamazinga kashukela egazini amaningi - lesi yisifo sikashukela sohlobo lwesifo sikashukela. Imvamisa ukuzibonakalisa kwabesifazane abakhulelwe futhi ingadlula ngokuzimela ngemuva kokubeletha.
Ngaphezu kwalokho, kufanele njalo ukukhumbula ukuthi isifo sikashukela cishe akunakwenzeka ukuxilonga kusigaba sokuqala sokubonakaliswa kwalesi sifo futhi akukho mpendulo engenangqondo mayelana nezimbangela zokuvela kwalo namuhla.
Uma sithatha izimbangela ezivame kakhulu zokunyuka ushukela wegazi, khona-ke zivame ukuhlotshaniswa nokungasebenzi kahle kwamanyikwe, okuholela ekuntuleni kwe-insulin egazini.
Ngaphezu kwalokho, kwesinye isikhathi amasosha omzimba avukela futhi aqale ukucekela phansi ama-pancreas ngenxa yesifo esibi esithathelwanayo esihlaselwa umuntu. Izimbangela zikashukela wegazi eliphakeme zinganqunywa kuphela ngudokotela esibhedlela.
Izimpawu eziphambili zokwanda ushukela
Izimpawu zokwanda ushukela wegazi kwabesifazane kufanele zaziwe kummeleli ngamunye wobulili obu “buthakathaka.” Iqiniso ngukuthi lapho umuntu wesifazane esheshe ukubona ukubonakaliswa kwabo, kuba lula ukuthi bakwazi ukwenza ukwelashwa okulandelayo. Kuze kube manje, umuthi uhlobanisa okulandelayo nezibonakaliso eziphambili zokwandisa ushukela wegazi.
Ukuchama okuvama, okuhlala isikhathi eside nokubonakalayo noma i-polyuria. Lesi sibonakaliso sokuqala sikashukela senzeka lapho izinga likashukela wegazi liphezulu kakhulu kunokwejwayelekile, ngenxa yalokho izinso lowesifazane ziqala ukusebenza ngenkuthalo, bezama ukukhipha uketshezi oluningi emzimbeni wakhe. Uma ungazi ukuthi yiziphi izinqubo ezenzeka kuwo, khona-ke ngeke kube khona ukuqonda ukuthi kungani ezinye izimpawu zivela.
Ukomela ngokweqile kungenye nje yalezi zimpawu. Ngokwanda ushukela, isiguli siyaphuza futhi asikwazi ukudakwa nganoma iyiphi indlela, ngenxa yalokho esidinga ukubona udokotela. Ngakho-ke, uma unomile ongalawuleki ngokungabikho kokushisa - yiya ngokushesha ku-endocrinologist.
Ukuba khona kokulunywa kwesikhumba. Ukwanda ushukela wegazi kwabesifazane kungaholela eqinisweni lokuthi bangathola ukungakhululeki endaweni yezitho zangasese, okuvezwe njengokulunywa. Lokhu kungenxa yokuthi ukuchama kaningi kungaholela ekwakhiweni kwamagciwane ahlukahlukene endaweni yezitho zangasese. Kulokhu, owesifazane uthola ukulunywa kwesitho sangasese sowesifazane, futhi emadodeni, ukuvuvukala kwejwabu.
Iziguli ezinoshukela obuphakeme zivame ukukhala ngokuthi azizilaphi imihuzuko namanxeba. Ngenxa yalokhu, ukwakha, izilonda ezingapholi zingakheka, okunzima ukuzelapha, ezingadala i-gangrene ku-mellitus yesifo sikashukela. Ngakho-ke, uma isiguli sibona ukuthi ukushiswa kwakhe noma ukusikeka kuphulukisa isikhathi eside kunokujwayelekile, lesi yisikhathi sokubonana nodokotela ngokushesha.
Odokotela babuye bakhombe isibonakaliso esinjalo sesifo sikashukela njengokuphula ibhalansi ye-electrolyte emzimbeni womuntu. Ngokwemvelo, kunzima impela ukuyikhomba, ngoba lokhu kuzodinga ucwaningo olunzulu esibhedlela. Uma sikhuluma ngohlangothi lwendaba lobuchwepheshe, khona-ke ibhalansi iyaphazamiseka, ngoba ukuchama ngokweqile kuholela ekufinyeleleni kwezinto ezibalulekile zomkhondo emzimbeni womuntu wesifazane.
Lokhu, kuholela eqinisweni lokuthi isiguli singathola ukugcwala emisipha namathole emilenzeni, futhi izifo ezenhliziyo nazo zingaba khona.
Ngaphezu kwalokho, iziguli ezinesifo sikashukela zishesha ukukhathala futhi zizizwe zilambile ngaso sonke isikhathi, yingakho zithola isisindo ngokushesha.
Ukuhlolwa okuyisisekelo, izivivinyo nezinyathelo zokuvimbela
Esimweni lapho owesifazane eba nezimpawu zikashukela ophezulu, kufanele aphumelele isivivinyo esibizwa ngokuthi sokubekezelelana. Nguye angaxwayisa ngentuthuko yesifo sikashukela.
Lapho nje kuvela izimpawu zokuqala zalesi sifo, ukwelashwa kwalesi sifo kufanele kuqale ngokushesha. Kufanele kukhunjulwe ukuthi lolu hlobo lokuhlola alunqunyelwe kuphela kubantu besifazane abanezimpawu ezinoshukela omningi, kodwa futhi nakubantu abanesisindo somzimba ngokweqile, kanye nasezigulini ezineminyaka yobudala engama-45.
Ngokushesha ngaphambi kokuhlolwa, isiguli kuzofanele sithenge amagremu angama-75 kashukela omsulwa. Inqubo imi kanje:
- Kunikezwa igazi elisheshayo.
- Isiguli siphuza ingilazi yamanzi nge-glucose.
- Ngemuva kwamahora cishe amabili, igazi liphinda linikele futhi.
Ukuze umphumela ungamukelwa ngokweqile, isiguli senqatshelwe ngokuqinile ukuthatha ukudla ngaphambi kokuhlolwa. Ngokufanelekile, kuzoba ngcono ukulinda cishe amahora ayi-12 ngemuva kokudla kokugcina. Ngeke uvumele umfutho wegazi ukhuphuke, ngoba lokhu kuyadingeka ukukhipha yonke imisebenzi yezemidlalo ngosuku lokuhlaziywa, susa umsebenzi wokuzivocavoca bese uzama ukudambisa ingcindezi.
Kungcono ukulala ngokwanele ngaphambi kokuhlolwa bese udla ngaphambi kwesikhathi, kuphela ukudla okungafanele kushintshwe. Uma lokhu kungenziwa, imiphumela yokuhlolwa ingahlanekelwa kakhulu. Inketho engcono kakhulu ukunikela esibhedlela. Lapha azikho kuphela zonke izimo zokuphumula, kepha futhi nemishini edingekayo yokuhlaziya.
Ngokuqondene nokuhlolwa okunjalo, esimweni lapho inkomba ingaphansi kwe-7 mmol ngelitha ngalinye esiswini esingenalutho noma i-7.8-11.1 mmol nge-1 litre, ngemuva kokuthi isisombululo esine-glucose sisetshenzisiwe, isiguli singase sitholakale sephula ukubekezelela . Esimweni lapho zonke izinkomba ezingenhla zingeqi ku-6.1-7.0 mmol / L, futhi ngemuva kokuthatha isixazululo esikhethekile - ngaphansi kwe-7.8 mmol / L, ukuxilongwa kuzokhala njengokuthi "i-glucose engasebenzi kahle."
Kunoma ikuphi, ukuhlolwa kuyinto yokuqala, noma ngabe umuntu wesifazane eveze ukuthi awusebenzi kahle, akufanele ukhathazeke. Isiguli sizodinga ukulinda imiphumela ye-ultrasound yamanyikwe, futhi siphumelele ukuhlolwa kwegazi nokuhlaziywa kokuba khona kwama-enzyme kuyo.
Ukuxilongwa okutholwe kahle kuzokuvumela ukuthi uthathe izinyathelo eziphuthumayo zokuwehlisa ushukela wegazi, ngaphandle kokulinda umzuzu lapho ushukela ukhula.
Izindlela ezilula zokuvimbela
Ukuze ulwe noshukela ophezulu wegazi, kwanele ukulandela izindlela ezilula zokuvikela. Okokuqala, kuzodingeka ukunciphisa umzimba.
Isibonelo, kufanelekile ukushintshela ekudleni okuqinile okulinganiselwe, kungafaki utshwala, ukudla okunamafutha, ama-chip, ama-crackers, inyama ebhemayo. Isiguli kufanele sidle usawoti omncane, futhi siphuze ikhofi netiyi ngaphandle koshukela.
Kulesi simo kuphela lapho kuzokwazi ukunciphisa inani laso egazini liye kwesejwayelekile. Uma lezi zeluleko zinganakwa, umuntu wesifazane angakwazi ngokushesha ukuba nesifo sikashukela, okuthi esikhathini esizayo kungaholele kwimiphumela emibi kakhulu kuye.
Lokhu kufanele kukhunjulwe ngaso sonke isikhathi, ukusebenzisa kabi ukudla okungenamsoco etafuleni futhi sekwephula kakhulu izincomo ze-dietitian, ikakhulukazi lapho kunezindlela eziningi zokupheka zokudla zesifo sikashukela. Ividiyo ekulesi sihloko ikhuluma ngamaphuzu aphambili kashukela.
