I-glucose (ushukela) yisithako okufanele sitholakala egazini. Akufanele kudluliswe yizinso kwamanye ama-gazi womzimba womuntu, futhi lokhu kukhombisa ngokusobala ukuhlaziywa komchamo ushukela.
Kunezimo lapho ushukela uqala ukuvela kumchamo, njenge-acetone, lapho kudingeka khona ukudlulisela ukuhlaziywa. Lokhu kungaba ngumphumela wokukhula kwesifo esinjengesifo sikashukela mellitus noma kwenzeke nge-pathologies yezinso. Kunoma ikuphi, ushukela ne-acetone kumchamo kufanele kuphoqe isiguli ukuthi siqoqe umchamo ukuze sihlaziywe.
Ukwenza ukuxilongwa okufanele, udokotela uzoncoma ukuthatha ukuhlolwa komchamo kwe-glucose kuyo. Vele uqaphele ukuthi ukuqoqa umchamo kuleli cala akulula njengokuhlaziya okulula, i-algorithm necebo kuhluke ngokuphelele lapha.
Masingakhohlwa ukuthi ukuqoqa umchamo akudingekile ukuze uchame kuphela, kuyini i-algorithm, imithetho kanye nenqubo, sizokhuluma ngezansi. Onke la maphuzu azoba abalulekile ukuze anqume kahle ushukela ne-acetone.
Ukubonakaliswa koshukela emchameni ubizwa ngokuthi yi-glucosuria.
Umuthi wazi izinhlobo ezimbili zokuhlaziywa ushukela - kuba nsuku zonke nasekuseni, bane-algorithm yokuhlolwa ehlukile namasu ahlukile wokuqoqa. Ukuhlaziywa okunembe kakhulu futhi okufundisayo kufanele kubhekwe nsuku zonke, kunokusa. Usebenzisa ukuhlaziya umchamo nsuku zonke, ungasungula inani elifanele likashukela olukhishwe ngosuku olwedlule. Lokhu kwenza ukuthi kunqume ubunzima be-glucosuria.
Umchamo uqoqwa kanjani ukuze kuhlaziywe?
Ekuqoqweni kwezinto ezibonakalayo zokuhlola ushukela, kubaluleke kakhulu ukulandela yonke imithetho nemigomo. Ngeke kube nje isilinganiso somchamo nsuku zonke, kuzothatha inani elikhulu lomchamo ukuqoqa nokunikela, lapho kuzonqunywa khona i-acetone.
Okokuqala, kuyadingeka ukulungiselela ibhodlela elinamalitha amathathu, elaligezwe kahle ngaphambili futhi lagcotshwa ngamanzi abilayo, kanye nesitsha esikhethekile esingenantambo sokuhambisa lokho endaweni yokufunda.
Ukuhlolwa komchamo ushukela kuhlale kubukisisa kakhulu, ngoba futhi kunquma i-acetone.
Ukuvuna ngaso sonke isikhathi kuqala ngokuhlanza sangasese. Ukuze wenze lokhu, udinga ukuzigeza ngokuphelele ngensipho, bese usula izitho ngethawula lephepha. Uma lokhu kungenziwa, khona-ke ama-virus angafaka uketshezi lwegciwane.
Yeqa ingxenye yokuqala yomchamo kahle; i-algorithm yokuqoqa ayisho ukuthi ikhona. Ukuqoqwa kuvame ukuqalwa sekuchama okwesibili. Umchamo uqoqwa amahora angama-24. Lokhu kumele kwenziwe kusukela ekuseni wosuku lokuqala kuze kube sekuseni kwesibili.
Gcina impahla leyo endaweni epholile noma noma esiqandisini emazingeni okushisa angekho ngaphansi kwama-4-8 degrees. Akunakusho ukuthi kufanele iqhwa lokuqoqwa komchamo livunyelwe.
Iqoqo elilungiselelwe kufanele linyakaziswe futhi lithululelwe esitsheni esikhethekile, eselilungiselelwe lokhu ngaphambili.
Yini ebalulekile okufanele uyikhumbule?
Iziguli kufanele zazi ukuthi ngosuku lokuqoqwa umchamo kubalulekile ukunciphisa umkhawulo ngangokunokwenzeka:
- noma yimuphi umsebenzi womzimba;
- ukweqisa ngokomzwelo;
- ukucindezela
Uma lokhu kungabhekwa, khona-ke kukhona amathuba aphezulu okuhlanekezela imiphumela yocwaningo, futhi iqoqo ngeke lifundise.
Ngaphezu kwalokho, ngesikhathi sokuqoqwa komchamo, kungcono ukuyeke ngokuphelele ukusetshenziswa kwemikhiqizo engadala ushintsho kumbala wezinto eziphilayo. I-algorithm yokuhlonza ikhomba imikhiqizo elandelayo:
- ama-beet;
- amawolintshi
- izithelo zomvini
- ama-buckwheat groats.
Umphumela weqoqo uzobhekwa njengokujwayelekile lapho ushukela omchamo ungatholakali. Uma lokhu kungenzeki, imali ethile eyengeziwe ingadingeka. Kepha lokhu ngeke kudingeke.
Ezimweni lapho iqoqo elisha lizokhombisa khona kwe-glucose, udokotela uzonikeza ukuhlolwa kwegazi okunezifo ezinoshukela kanye ne-acetone yomchamo.
Lapho izinso zilahlekelwa amandla okubamba ushukela, i-glucosuria iqala ukukhula. Ngasikhathi sinye, inani likashukela kumchamo liyakhuphuka, futhi egazini lizoba ngaphakathi kokujwayelekile okuvumelekile, futhi imiphumela yokuqoqa izokhombisa lokhu.
Lolu hlobo lwe-glucosuria lujwayelekile ukukhulelwa, i-Fanconi syndrome, kanye nezilonda ze-tubulointerstitial zezinso.
Kubaluleke kakhulu ukusungula imbangela yangempela ye-glucosuria. Ezimweni ezingavamile kakhulu, i-glucosuria engokomzimba ingahle ibonwe. Kuboniswa ukwanda okungasho lutho ekugxilweni kwe-glucose emchameni. Lokhu kungenzeka kulezi zimo ezilandelayo:
- ngokusetshenziswa ngokweqile kwama-carbohydrate;
- ngemuva kwezimo ezicindezelayo;
- ngenxa yokusetshenziswa kwezidakamizwa ezithile (i-phenamine, ikhafeine, i-diuretin, i-corticosteroids).
Kuwo wonke umuntu ophile kahle, ukugcwala koshukela kumchamo kuzoba sezingeni lika-0,06 - 0,083 mmol ngelitha lezinto.
Leli nani lincane kangangokuba alikwazi ukutholwa nokuhlolwa kwelebhu ejwayelekile. Ngalesi sizathu, ekuhlolweni okujwayelekile komchamo, ushukela akufanele lusungulwe.
Buyini ubudlelwano phakathi koshukela emchameni nasezinso?
Kudingeka izinso zomuntu zokuhlanza umzimba wekhwalithi ephezulu ye-slags, kanye nama-ejenti angaphandle angadingekile kuye. Zonke izinhlaka ze-renal ziyefana nesihlungi - zihlanza igazi, zisuse konke okungadingekile, ngokwesibonelo, i-acetone, futhi futhi zibuyisela emuva cishe zonke izinto ezidingekayo zomzimba. Kodwa-ke, ama-rebu tubules awakwazi ukubuyela egazini ngokuphelele lonke inani loshukela.
Kwezinye izimo, ama -bubules awakwazi ukubhekana kahle nomthwalo futhi adlulise i-glucose kumchamo. Lokhu kuqala ezimweni lapho izinga kashukela wegazi lidlula khona izinkambiso ezivunyelwe ngokuphelele (8.9 mmol / l noma 160/180 mg / dl), bese i-acetone nayo ingalungiswa.
Lezi zinombolo zibizwa ngokuthi umbundu we-renal. Kuwona womabili la mazwe, kuzoba umuntu ngamunye, kepha, njengomthetho, kufanelana ngaphakathi kohlaka lokuhlushwa ushukela.
Ngesikhathi sokukhulelwa, ukuhlolwa kowesifazane kungakhombisa ukuncipha komkhawulo wezinso. Lesi sibonakaliso simpawu ikakhulukazi engxenyeni yesibili yokukhulelwa, lapho kutholakala ukuthi ushukela omchamo uyatholakala. Into esemqoka lapha ukungaphuthelwa iqiniso lokuthi isifo sikashukela sokukhula komzimba siyakhula.
Kunezidingo eziningi zokungenela ushukela emchameni, kodwa kwezokwelapha kuyisiko ukucubungula ngokucophelela futhi ucabangele noma yiluphi uhlangothi lwe-glucosuria njengenye yezimpawu eziphambili zesifo sikashukela. Ukuxilongwa okufanayo kuzosebenza kuze kube yileso sikhathi, kuze kube yilapho kungafakwa ngosizo kwezinye izivivinyo.
