Ngaphambi konyaka omusha kunezizathu eziningi zokulandela izeluleko zomunye wabathandekayo besigaba saseRussia "ukusakaza ubuthakathi ebumnyameni bezibuko." Kodwa uyazi ukuthi umzimba wakho uyosabela kanjani “kumlingo” onjalo?
Isihlahla sikaKhisimusi, ama-tangerines ne-champagne - yilokhu iningi lethu elihlobanisa nokuqala konyaka omusha. Iphuzu lesithathu liphakamisa imibuzo eminingi yabantu abanesifo sikashukela. Kungenzeka yini ukukhokha ingilazi yewayini elikhazimulayo eholidini noma kuyadingeka ukumisa emanzini amaminerali? Yini ongayenza neziphuzo ezinamandla - ingabe zivinjelwe ngokuvamile? Sabuza ukuthi ngabe utshwala buyamukeleka yini uma kunesifo sikashukela ku-endocrinologist uLira Gaptykaeva.
Isazi sethu sisitshela okufanele kube engilazini esizoyinyusa ngonyaka olandelayo, kungani kunganconywa ukuthi kuphuzwe iziphuzo ezinamandla phakathi nezinsuku zaphakathi nesonto, futhi futhi sikukhumbuze ngemisindo ebalulekile iziguli zesifo sikashukela okufanele sizicabangele lapho uhlela imenyu yetafula lomkhosi.
Kusele okomile
Ukuvimbela izinkinga ezintsha zezempilo, abantu abanesifo sikashukela kudingeka bakhethe utshwala obufanele ngokucophelela. Ukusetshenziswa okwamukelekile ngokulingana kwewayini elomile - kokubili okumhlophe nokubomvu, kanye nama-brutus (abesifazane, ngenxa yezimpawu zemetabolism, bangakwazi ukuthenga ingilazi eyodwa ye-champagne, amadoda - amabili, ngoba utshwala buqedwa ngokushesha ngokwesilinganiso emzimbeni wesilisa). Ungaphuza ngisho ne-vodka noma i-cognac, into esemqoka ukuthi utshwala abumnandi, nengilazi inkulu kakhulu.
Kubalulekile ukuqapha inani elidakiwe: amagremu ama-20 (ngokuya ngotshwala obumsulwa) umkhawulo.
Amawayini amnandi futhi angenawo ushukela omnandi (kufaka phakathi lawo akhazimulayo), ubhiya newayini eligoqiwe (ngaphandle kokuthi kwenziwa ewayinini elomile futhi ngaphandle kweshukela elingeziwe).
Impela uzwile ngobukhona bemibhangqwana esejazi - iziphuzo ezinamandla neziphuzo ezihambelana kahle, kugcizelela ukunambitheka. Kulokhu, inhlanganisela efanelekile esekwe kwezinye izimiso izoba ekahle: i-carbohydrate eyomile ", ezosiza ukugwema ama-spikes angazelelwe ushukela wegazi. Amafutha abuye futhi anciphise ukumuncwa kotshwala, ngakho-ke kuhlanganiswa izinhlanganisela ezinjengokuthi "inyama + isaladi yemifino" noma "inhlanzi + imifino". Ngale ndlela uzokwehlisa ingozi ye-hypoglycemia.
I-Alcohol ivimba ama-enzyme esibindini futhi iphazamisa i-gluconeogeneis (inqubo yokwenziwa kwe-glucose kusuka kumaprotheni). Isibindi singabukwa njengohlobo lokulondolozwa kwama-carbohydrate, “agcinwe” lapho ngesimo se-glycogen, engena egazini ngesimo sikashukela phakathi nosuku. Uma isibindi simatasa nokususa utshwala, khona-ke zombili lezi zinqubo zokukhiqiza ushukela ngokwazo nokukhipha kwazo ukungena egazini ziqala ukuhlupheka.
Eqinisweni, i-0.45 ppm yanele ukuphazamisa ukukhishwa kwe-glucose. Ngakho-ke, utshwala bungokwehlisa ngisho noshukela wegazi okwesikhashana, futhi lokhu akwenzeki ngokushesha ngemuva kokukuphuza. Ukwehla ushukela wegazi ngenxa yeziphuzo ezinamandla kungabambezeleka ngemuva kwamahora ayi-12 ngemuva kokuwaphuza. Leli phuzu kufanele libhekwe yiziguli ezinesifo sikashukela esincike ku-insulin, lapho umsebenzi wamaseli we-beta uncishiswa. Ukuphuza utshwala kubo kuhlala kugcwele ubungozi be-hypo-condition.
Ngokuqina!
Uma umuntu onesifo sikashukela ethatha izidakamizwa ezinciphisa ushukela (ikakhulukazi lezo ezikhuthaza amaseli we-beta) noma i-insulin, futhi ngezikhathi ezithile enoshukela ongazinzile, ke-ke, ushukela kufanele ulinganiswe ngaphambi kokudla, amahora ama-2 ngemuva, ngaphambi kokulala ( kodwa esiswini esingenalutho). Uma amaholide esesondele, khona-ke kufanele uthole ukuthi isiguli sisesimweni sesinxephezelo yini.
Uma impendulo ingucha, khona-ke utshwala kufanele buqedwe ngokuphelele. Imithamo ebalulekile yotshwala ingaholela ku-hypoglycemia ngisho nasekomidini likashukela. Indoda eyayisebenzisa i-insulin eyayiphuza kakhulu, ikhohlwa ukudla futhi iyolala, ibeka engcupheni impilo yakhe kuphela, kodwa nempilo yayo. Ukugwema imiphumela engaba khona, isilinganiso se-glucose esegazini ngemuva kokuphuza utshwala ngaphambi kokulala esigulini sikadokotela wesifo sikashukela kufanele okungenani sibe ngu-7 mmol / l.
Wonke umuntu uyadansa
Njengoba wazi, noma yimuphi umsebenzi womzimba, kungakhathalekile ukuthi hlobo luni lwesifo sikashukela isiguli esinalo, okokuqala noma kwesibili, sithuthukisa ukuzwela kwezicubu ukungena kwe-insulin, futhi amazinga kashukela wegazi ancipha ngokumelene nesizinda sawo. Lapho umuntu osebenzisa izidakamizwa ezinciphisa ushukela ephuza futhi ehambisa ngentshiseko (ukudansa, ngokwesibonelo, noma ngisho nokudlala amachashaza eqhwa), ingozi ye-hypoglycemia iyanda. Leli phuzu futhi lidinga ukubhekwa.
Uma isiguli sihlela isidlo esinjalo, khona-ke ngaphambi komthwalo olindelekile udinga ukunciphisa umthamo we-insulin emfushane. Ngaphezu kwalokho, kuyadingeka ukusebenzisa lesi simiso esilandelayo: "Ngalo lonke ihora lokuzivocavoca umzimba udinga ukudla okungenani iyunithi elilodwa lesinkwa sama-carbohydrate."
Odokotela baseYurophu bavame ukucebisa iziguli ukuthi zenze "ukuhlolwa kotshwala" ushukela ngaphambi kweholide, bakhethe usuku, balungise izinga likashukela, baphuze, badle, basebenzise izilinganiso kaningana. Kubukeka kimi kunengqondo ukwenza kanjalo.
Izimpawu ze-hypoglycemic coma nokudakwa ziyafana, ngakho-ke nakekela futhi uxwayise othile obekhona ephathini ngaphambi kokungahambi kahle. Ngaphandle kwalokho, uma kwenzeka okuthile ngempela, bangakuhlola ngokunembile isimo sakho, bese leli phutha lisongela ukuguquka libe yizinkinga ezinkulu.
