Isifo sikashukela yisifo okumele sibhekwe ngaso sonke isikhathi ukuze singabangeli izinkinga emzimbeni. Kuze kube manje, abanesifo sikashukela bavame ukwenza uhlolo lwegazi ngoshukela besebenzisa i-glucometer ekhethekile yeselula. Ngaphezu kwalokho, udokotela unquma ukwelashwa okudingekayo, umuthi noma i-insulin.
Uma ungathathi zinyathelo ngesikhathi futhi weqa ukwethulwa kwe-hormone emzimbeni, izinga loshukela wegazi lingagxuma liye kumayunithi angama-15 noma angama-20. Izinkomba ezinjalo ziyingozi empilweni yabanesifo sikashukela, ngakho-ke, kuyadingeka ukubona udokotela ngokushesha futhi aqede imbangela yokuphazamiseka kwesiguli.
Ukuhlelwa ngokwejwayelekile ushukela wegazi
Ngakho-ke, yini okufanele uyenze uma ushukela wegazi ukhuphuke waba ngaphezu kwama-15 nama-20 amayunithi? Ngaphandle kweqiniso lokuthi udinga usizo losizo lwezokwelashwa, kumele ubuyekeze ngokushesha lokho kudla okwenzelwe ushukela. Kungenzeka kakhulu, ushukela wegazi ugxuma kakhulu ngenxa yokudla okungafanele. Kubandakanya konke okudingeka ukwenze ukwehlisa izinga le-glucose emzimbeni, uma izinkomba zifinyelela ezingeni elibucayi.
Ukwehlisa ushukela wegazi kusuka kumayunithi ayi-15 kuye kwangama-20 kuya ezingeni elijwayelekile kungenzeka kuphela ngokudla kwe-carb ephansi. Uma umuntu onesifo sikashukela egxuma ushukela, akukho okunye ukudla okulinganiselayo okungasiza.
Izinkomba zamayunithi angama-20 noma ngaphezulu ngokuyinhloko abika ingozi esongela isiguli uma kungaqalwa ukwelashwa ngokuqinile. Ngemuva kokuhlola nokuthola imiphumela yezivivinyo, udokotela ubeka imishanguzo nokudla kokudla, okuzonciphisa ushukela wegazi kuze kufike ku-5.3-6.0 mmol / lit, okuyisiko elijwayelekile kumuntu ophilile, kubandakanya nesifo sikashukela.
Ukudla okune-carb ephansi kuzothuthukisa isimo sesiguli saluphi uhlobo lwe-mellitus yesifo sikashukela, kungakhathalekile ukuthi isiguli sinaziphi izinkinga.
Ukushintshwa kwesimo ngokwejwayelekile kwalesi simo kubhekwa vele ngosuku lwesibili noma lwesithathu ngemuva koshintsho ekudleni.
Lokhu-ke kunciphisa ushukela wegazi kusuka kumayunithi ayi-15 kuye kwangama-20 kuye ezingeni eliphansi futhi kugwema ukuthuthukiswa kwezifo zesibili ezivame ukuhambisana noshukela.
Ukwehluka ukudla, kufanelekile ukusebenzisa izindlela ezikhethekile zokulungiselela izitsha ezinganciphisi ushukela wegazi kuphela, kepha futhi kuthuthukise isimo somuntu nesifo sikashukela.
Izimbangela Zoshukela Omkhulu
Ushukela wegazi ungakhuphuka ngenxa yokukhulelwa, ukucindezela okukhulu noma ukucindezeleka kwengqondo, zonke izinhlobo zezifo zesibili. Iphuzu elihle, uma izinga le-glucose likhuphuka liye kumayunithi angama-15 noma angama-20, singabheka iqiniso lokuthi lokhu kuyisibonakaliso sokukhulisa ukunakwa kwempilo. Imvamisa ushukela wegazi uphakama uma isiguli sinokuphazamiseka kokucutshungulwa kwama-carbohydrate.
Ngakho-ke, izizathu eziyinhloko zokwanda kwe-glucose yegazi kuya kumayunithi angama-20 noma ngaphezulu ziyahlukaniswa:
- Ukudla okungenampilo. Ngemuva kokudla, amazinga kashukela wegazi ahlala ephakeme, ngoba ngalesi sikhathi kunokusebenza okusebenzayo kokudla.
- Ukuntuleka kokuzivocavoca umzimba. Noma yikuphi ukuvivinya umzimba kunomthelela omuhle kushukela wegazi.
- Khulisa imizwa. Ngesikhathi sesimo esicindezelayo noma okuhlangenwe nakho okuqinile ngokomzwelo, ukugxuma ushukela kungabonakala.
- Imikhuba emibi. Utshwala nokubhema kusithinta kabi isimo somzimba nokufundwa koshukela.
- Izinguquko zeHormonal. Esikhathini se-premenstrual syndrome kanye nokunqamuka kokuya esikhathini kubantu besifazane, amazinga kashukela egazi anganda ngendlela ebonakalayo.
Kubandakanya izizathu kungaba yizo zonke izinhlobo zokuphazamiseka kwempilo, ezihlukaniswe ngokuya ngokuthi yiliphi ithimba elithintekile.
- Izifo ze-Endocrine ngenxa yokukhiqizwa kwama-hormone angasebenzi kahle zingadala isifo sikashukela, i-pheochromocytoma, i-thyrotooticosis, isifo sikaCushing. Kulokhu, izinga likashukela likhuphuka uma inani le-hormone lenyuka.
- Izifo ze-pancreatic, ezifana ne-pancreatitis nezinye izinhlobo zamathumbu, zinciphisa ukukhiqizwa kwe-insulin, okuholela ekuphazamisweni kwe-metabolic.
- Ukuthatha imishanguzo ethile nakho kungadala ukwanda kweglucose yegazi. Izidakamizwa ezinjalo zibandakanya ama-hormone, ama-diuretics, okulawula ukuzalwa nezidakamizwa ze-steroid.
- Isifo sesibindi, lapho i-glucose igcina khona i-glycogen, ibangela ukwanda koshukela wegazi ngenxa yokungasebenzi kahle kwesitho sangaphakathi. Izifo ezinjalo zibandakanya i-cirrhosis, i-hepatitis, isimila.
Konke okudingeka kwenziwe yisiguli, uma ushukela kukhuphuka kuya kumayunithi angama-20 noma ngaphezulu, ukususa izimbangela zokuphazamiseka komuntu.
Vele, icala elilodwa lokukhulisa amazinga eglucose kuya emahoreni angama-15 no-20 kubantu abanempilo akuqinisekisi ukuba khona kwesifo sikashukela, kodwa kulokhu kufanele kwenziwe konke ukuze isimo singabi sibi kakhulu.
Okokuqala, kufanelekile ukubuyekeza ukudla okudlayo, ukwenza imisebenzi ejwayelekile yokuzivocavoca. Ngaphezu kwalokho, nsuku zonke udinga ukukala ushukela wegazi nge-glucometer ukugwema ukuphindeka kwesimo.
Ushukela wegazi
Ushukela wegazi uvame ukukalwa esiswini esingenalutho. Ukuhlolwa kwegazi kungenziwa zombili emtholampilo elabhorethri nasekhaya kusetshenziswa i-glucometer. Kubalulekile ukwazi ukuthi izinto zasendlini zivame ukulungiswa kakhulu ukuthola amazinga kashukela we-plasma, ngenkathi kusegazini, inkomba izokwehliswa ngamaphesenti ayi-12.
Udinga ukwenza ukucubungula kaninginingi uma ucwaningo lwangaphambilini lubonise amazinga kashukela egazini ngaphezu kwamayunithi angama-20, kuyilapho isiguli singatholakalanga isifo sikashukela. Lokhu kuzovumela ukuvimba ukukhula kwesifo ngesikhathi futhi kuqede zonke izimbangela zokuphazamiseka.
Uma isiguli siphakamisile ushukela wegazi, udokotela angayala ukuthi kuhlolwe ushukela egazini ukusiza ukubheka uhlobo lwe-prediabetes. Imvamisa, ukuhlaziya okunjalo kubekelwa eceleni ngaphandle kokuthuthukiswa kwesifo sikashukela esigulini kanye nokuthola ukwephulwa kwe-digestibility kashukela.
Ukuhlolwa kokubekezelela i-glucose akubekelwe wonke umuntu, kepha abantu abangaphezu kweminyaka engama-40, iziguli ezikhuluphele nalabo abasengozini yokuthola isifo sikashukela ababhekana nakho.
Ukuze wenze lokhu, isiguli sidlulisa ukuhlolwa kwegazi likashukela esiswini esingenalutho, ngemuva kwalokho sinikezwe isiphuzo sengilazi yeglue. Ngemuva kwamahora amabili, ukuhlolwa kwegazi kuphinde kuthathwe.
Ukuze uthembeke kwimiphumela etholakele, kumele kubhekwe lezi zimo ezilandelayo:
- Isikhathi esivela ekudleni kokugcina kuya esivivinyweni kufanele sidlule okungenani amahora ayishumi.
- Ngaphambi kokunikela ngegazi, awukwazi ukubandakanyeka ekusebenzeni ngokomzimba okusebenzayo futhi yonke imithwalo esindayo emzimbeni kumele ingafakwa ngaphandle.
- Akunakwenzeka ukuguqula ngokuqinile ukudla ngaphambi kobusuku bokuhlaziywa.
- Udinga ukuzama ukugwema ukucindezela nokukhathazeka.
- Ngaphambi kokuthi ufike ekuhlaziyeni, kunconywa ukuthi uphumule futhi ulale kahle.
- Ngemuva kokuthi ikhambi le-glucose lidakiwe, awukwazi ukuhamba, ukubhema nokudla.
Ukulimazeka kokubekezelela i-glucose kutholakala uma ukuhlaziya kukhombisa idatha esiswini esingenalutho mayelana ne-7 mmol / ilitha nangemva kokuphuza i-glucose 7.8-11.1 mmol / lit. Uma izinkomba ziphansi kakhulu, ungakhathazeki.
Ukubona imbangela yokwanda okubukhali kweshukela elilodwa, kufanele uhlolwe i-ultra pancreas bese uthethelela ukuhlolwa kwegazi ngama-enzyme. Uma ulandela izincomo zodokotela futhi ulandela ukudla okwelaphayo, ukufundwa koshukela kuzosimama ngokushesha.
Ngaphezu koshintsho emazingeni kashukela egazini, isiguli singase sizwe lezi zimpawu ezilandelayo:
- Ukuchama kaningi;
- Umuzwa womlomo owomile nokoma njalo;
- Ukukhathala, isimo esibuthakathaka nesinamandla;
- Ukwanda noma, ngakolunye uhlangothi, ukwehla kwesifiso sokudla, kuyilapho isisindo silahleka kakhulu noma sitholwa;
- Amasosha omzimba aba buthaka, kanti isiguli asiphili kahle;
- Isiguli sizwa ikhanda elibuhlungu njalo;
- Umbono uyancipha kancane kancane;
- Ukulunywa kuyabonakala esikhunjeni.
Izimpawu ezinjalo zikhombisa ukwanda koshukela wegazi kanye nesidingo sokuthatha izinyathelo eziphuthumayo.
Ukudla kokudla kwe-glucose ephezulu
Ukulawula ushukela wegazi, kunokudla okukhethekile okwelapha okuhlose ukunciphisa ukusetshenziswa kokudla okugcwele ama-carbohydrate asheshayo. Uma isiguli sinesisindo somzimba esengeziwe, kufaka phakathi nodokotela onquma ukudla okudla okuphansi kwekhalori. Kulokhu, kuyadingeka ukuphinda udle ngemikhiqizo equkethe amavithamini kanye nezakhi zomzimba.
Imenyu yansuku zonke kufanele ifake ukudla okuqukethe inani elifanele lamaprotheni, amafutha nama-carbohydrate. Lapho ukhetha izitsha, kufanele uqale ugxile etafuleni lenkomba ye-glycemic, okufanele wonke umuntu onesifo sikashukela abe nalo. Ungasusa izimpawu zesifo sikashukela kuphela ngokudla okunempilo.
Ngoshukela okhuphukile, kuyadingeka ukulungisa imvamisa yokudla okunempilo. Kunconywa ukuthi udle kaningi, kepha ngezingxenye ezincane. Kufanele kube nezidlo ezintathu eziphambili kanye nemililo emithathu ngosuku. Kodwa-ke, udinga ukudla kuphela okunempilo, ngaphandle kwama-chips, ama-crackers namanzi akhazimulayo, ayingozi empilweni.
Ukudla okusemqoka kufanele kufake imifino, izithelo nokudla kwamaprotheni. Kubalulekile futhi ukuqapha ibhalansi yamanzi. Uma izinga likashukela lihlala liphezulu, kuyadingeka ukushiya ngokuphelele ukusetshenziswa kwe-confectionery emnandi, ukudla okubhemayo nokunamafutha, notshwala. Kunconyelwe futhi ukukhipha amagilebhisi, omisiwe namakhiwane ekudleni.
