Okungenani kanye empilweni, wonke umuntu kufanele enze isivivinyo sokubekezelela ushukela. Lokhu kuhlaziya okujwayelekile okukuvumela ukuthi ukhombe futhi ulawule ukubekezelelwa kweglucose. Lesi simo silingana ne-ICD 10 (ngezigaba zomhlaba wonke ngezifo zokuvuselelwa kwe-10)
Kuyini, kungani kwenziwa futhi kudingeka nini ngempela? Ingabe ukudla kanye nokwelashwa kuyadingeka uma ushukela weglue ephezulu?
Ukwephula kokubekezelela njengomqondo
Ngenqubo ejwayelekile yansuku zonke, umuntu udla ukudla amahlandla amaningi, angabali ukudla okulula.
Kuya ngokuthi kudliwe kangaki nokuthi hlobo luni lokudla, noma ngabe kuyalandelwa ukudla, amazinga kashukela egazi ayaguquka. Le nto yinto ejwayelekile ngokuphelele. Kepha kwesinye isikhathi ukucabanga kwe-glucose ngokungakhethi kukhuphuka noma kuncipha kakhulu, futhi lesi simo sesivele sigcwala ingozi ngokusho kwe-ICD 10.
Ukwanda koshukela wegazi ngaphandle kwesizathu esibonakalayo ukwephula ukubekezelela ushukela. Obunzima ukuthi bungatholakala kuphela ngocwaningo lwezempilo lwegazi noma lomchamo ngokwe-ICD 10.
Ngokuvamile ukubekezelelwa kwe-glucose okulimazayo akuveli. Futhi kuphela ezimweni ezithile, kufaka phakathi isikhathi sokukhulelwa, lapho kunezimpawu ezifanayo nezesifo sikashukela mellitus:
- Isikhumba esomile;
- Ukomisa ukuphuma kwe-mucosa;
- Izinsini ezibucayi, ezikhipha igazi;
- Izilonda ezinde zokupholisa nokuhlukumezeka.
Lokhu akusona isifo, kepha ukwelashwa sekudingekayo. Umzimba usayina ukuthi akuyona yonke into eqhubekayo, futhi udinga ukunaka indlela odla ngayo nendlela ophila ngayo. Ukudla okukhethekile kuvame ukubekelwa eceleni, uma ukwephulwa kukhulu - ukwelashwa ngezidakamizwa ngokuya nge-ICD 10.
Okubalulekile: Ukubekezelela ushukela okhubazekile akuhlali njalo, kepha kuvame ukuba umfutho ekuthuthukisweni kwesifo sikashukela. Kulokhu, umuntu akufanele ethuke, kodwa abonane nochwepheshe futhi ahlole zonke izivivinyo ezidingekayo.
Uma inani le-insulin emzimbeni lihlala lilijwayelekile, izenzo eziphambili kufanele zihlose ukuvikela ukukhula kwe-mellitus yesifo sikashukela etholakele.
Ukwelashwa ngemithi yesintu kunikeza imiphumela emihle - lokhu kungenye indlela ngesikhathi sokukhulelwa, lapho ukwelashwa ngemithi kungathandeki, noma i-ICD 10 ingabandakanyi ukwelashwa ngamakhambi abantu.
Kwenziwa kanjani ukucubungula ukubekezelela ushukela?
Ukuze uthole ukuthi ngabe kukhona ukwephulwa kokubekezelelwa kwe-glucose, kusetshenziswa izindlela ezimbili eziyinhloko:
- Isampula yegazi leCapillary.
- Amasampula egazi ama-venous.
I-glucose ye-Intravenous iyadingeka lapho isiguli sinenkinga yezifo zohlelo lokugaya ukudla noma ukuphazamiseka kwe-metabolic. Kulokhu, ushukela awukwazi ukudonswa uma uthathwe ngomlomo.
Ukuhlolwa kokubekezelela ushukela kubekwa ezimeni ezinjalo:
- Uma kunokuqagela okwenzelwa ifa (izihlobo eziseduze zinenkinga yesifo sikashukela mellitus 1 noma 2);
- Uma kunezimpawu zesifo sikashukela ngesikhathi sokukhulelwa.
Ngendlela, umbuzo wokuthi ngabe isifo sikashukela sitholwa njengefa kufanelekile kubo bonke abantu abanesifo sikashukela.
Amahora ayi-10-12 ngaphambi kokuhlolwa kuyadingeka ukwenqaba ukudla noma yikuphi ukudla neziphuzo. Uma kunemithi ethile ethathiwe, kufanele uqale ubonane nodokotela oyi-endocrinologist uma ukusetshenziswa kwabo kuzothinta imiphumela yokuhlaziywa ku-ICD 10.
Isikhathi esifanele sokudlulisela ukuhlaziywa sisuka ku-7.30 a.m. kuye ku-10 a.m. Ukuhlolwa kwenziwa ngale ndlela:
- Okokuqala, igazi elisheshayo linikezwa okokuqala.
- Ngemuva kwalokho kufanele uthathe ukwakheka kohlolo lwe-glucose.
- Ngemuva kwehora elilodwa, kuphinde kunikelwe ngegazi.
- Amasampula egazi wokugcina eGTT anikezwa eminye imizuzu engama-60.
Ngakho-ke, kudingeka okungenani amahora angama-2 ukuhlolwa. Ngalesi sikhathi, kwenqatshelwe ngokuphelele ukudla noma iziphuzo. Kungcono ukuthi ugweme ukusebenza ngokomzimba, ngokweqiniso, isiguli kufanele sihlale noma silele.
Futhi kwenqatshelwe ukuthatha noma yiziphi ezinye izivivinyo ngesikhathi sokuhlolwa kokubekezelela ushukela okhubazekile, ngoba lokhu kungavusa ukwehla ushukela wegazi.
Ukuze uthole umphumela othembeke kakhulu, ukuhlolwa kwenziwa kabili. Isikhathi sokuphumula yizinsuku ezingama-2-3.
Ukuhlaziywa akunakwenziwa ezimweni ezinjalo:
- isiguli siphansi kwengcindezi;
- kwakukhona ukuhlinzwa noma ukuzalwa kwengane - kufanele uhlehlise isivivinyo izinyanga eziyi-1.5-2;
- isiguli sithola ukuya esikhathini njalo ngenyanga;
- kunezimpawu ze-cirrhosis ngenxa yokusebenzisa kabi utshwala;
- nanoma yiziphi izifo ezithathelwanayo (kufaka phakathi umkhuhlane kanye nomkhuhlane);
- uma umuntu ovivinya ehlushwa izifo zohlelo lokugaya ukudla;
- phambi kwamathumbu amabi;
- nge-hepatitis nganoma yiluphi uhlobo nesigaba;
- uma umuntu ebesebenza kanzima ngosuku lwangaphambilini, egcotshwa umfutho owengeziwe, noma engalalanga isikhathi eside;
- uma ukudla okuqinile kulandelwa.
Uma ungazinaki esinye sezici ezibaliwe ngenhla, kanye nangesikhathi sokukhulelwa, ukuthembeka kwemiphumela kuzoba ngokungabaza.
Nakhu ukuhlaziya okujwayelekile kufanele kubukeke: izinkomba zesampula yegazi yokuqala akufanele ibe ngaphezulu kuka-6.7 mmol / L, owesibili - hhayi ophakeme kuno-11.1 mmol / L, owesithathu - 7.8 mmol / L. Amanani angahluka kancane ezigulini esezikhulile nasezinganeni, futhi izinga likashukela ngesikhathi sokukhulelwa nalo lihlukile.
Uma, ngokubhekelwa okuqinile kwayo yonke imithetho yokuhlaziywa, izinkomba zihlukile kunokwejwayelekile, isiguli sinokwephula ukubekezelelwa kwe-glucose.
Isimo esifanayo kungaholela ekukhuleni kohlobo lwesifo sikashukela sohlobo 2, futhi ngokungazinaki ezinye amasiginali we-alamu, kwisifo sikashukela esincike ku-insulin. Lokhu kuyingozi ikakhulukazi ngesikhathi sokukhulelwa, ukwelashwa kuyadingeka, noma ngabe izimpawu ezicacile azikatholakali.
Kungani ukubekezelelwa kwe-glucose kuthikamezeka
Izizathu zokwanda okungenangqondo noma ukwehla kushukela wegazi kungaba:
- Izingcindezi zakamuva kanye nokushaqeka kwezinzwa.
- Isisulu sokuqothuka.
- Ukukhuluphala ngokweqile kanye nokukhuluphala njengokuxilongwa.
- Indlela yokuphila yokwehlisa ukuthula.
- Ukuhlukumezeka kwe-confectionery namaswidi.
- Ukulahleka kokuzwela kweseli kuya ku-insulin.
- Ngesikhathi sokukhulelwa.
- Ukukhiqizwa okunganele kwe-insulin ngenxa yokuphazamiseka kwepheshana lesisu.
- Ukungasebenzi kwe-gland yegland kanye nezinye izitho zohlelo lwe-endocrine, okuholela ekwandeni koshukela wegazi.
Ukungabikho kwezindlela zokuvimbela lapho zikhona lezi zinto kuholela ekuthuthukisweni kohlobo lwesifo sikashukela sohlobo 2 - okungukuthi, kutholakala.
Izindlela zokwelashwa kokubekezelela ushukela okhubazekile
Kusetshenziswa amaqhinga amabili okwelapha: izidakamizwa nokunye. Ngokuxilongwa okufika ngesikhathi, ukwelashwa ngezindlela ezihlukile kwesinye isikhathi sekwanele, ngaphandle kokuthatha umuthi.
Ukwelashwa okungeyona yezidakamizwa ukubekezelela ushukela okhubazekile kusekelwe ezimisweni eziyisisekelo ezifana nalezi:
- Ukudla okunezinhlanzana ezingxenyeni ezincane. Udinga ukudla izikhathi ezingama-4-6 ngosuku, kanti ukudla kwakusihlwa kufanele kube nekhalori ephansi.
- Nciphisa ukusetshenziswa kwemikhiqizo kafulawa, namakhekhe, namaswidi.
- Lawula ngokuqinile isisindo, ugweme ukumiswa kwamafutha.
- Ukwenza imifino nezithelo kube yimikhiqizo yokudla eyinhloko, kungafaki lezo kuphela ezinesitashi esikhulu nama-carbohydrate - amazambane, ilayisi, ubhanana, amagilebhisi.
- Qiniseka ukuthi uphuza okungenani amalitha ayi-1.5 wamanzi amaminerali ngosuku.
- Uma kungenzeka, khetha ukusetshenziswa kwamafutha ezilwane, ukhetha uwoyela wemifino.
Imvamisa, ukulandela le mithetho yokudla okunempilo kunikeza umphumela omuhle. Uma kungatholakali, kubekwa izidakamizwa ezikhethekile ezinomthelela ekujwayekeni kwe-glucose metabolism kanye ne-metabolism. Ukuthatha izidakamizwa eziqukethe ama-hormone akudingeki kuleli cala.
Izidakamizwa ezaziwa kakhulu nezisebenzayo ezibekelwe ukwenza ngcono i-glucose metabolism emzimbeni:
- IGlucophage;
- I-Tonorma;
- I-Metformin;
- I-Acarbose;
- Glucofay;
- Amaril.
Konke ukuqokwa kufanele kwenziwe ngudokotela ngokuqinile. Uma, ngasizathu simbe, ukuphuza umuthi kungathandeki noma kungenakwenzeka, ngokwesibonelo, ngesikhathi sokukhulelwa, ukubekezelelwa kwe-glucose engalapheki kuphathwa ngenye indlela yokupheka, ikakhulukazi, izinhlobo eziningi ze-herbal infusions kanye nama-decoctions.
Izitshalo ezilandelayo zokwelapha zisetshenziselwa: amaqabunga amnyama, ubusika, izimpande zohlobo lwe-burdock kanye nama-inflorescences, ama-blueberries. I-Steamed buckwheat idume kakhulu ekwelashweni.
Kunezindlela eziningi kakhulu zokulwa noshukela wegazi ongazinzi. Kepha ngasikhathi sinye, kubalulekile ukulonda impilo enempilo, ikakhulukazi ngesikhathi sokukhulelwa nokuncelisa.
Ukuyeka ukubhema nokuphuza utshwala, ukuhamba emoyeni omusha, ukudlala ezemidlalo, ukulandela indlela odla ngayo - konke lokhu kuthinta kakhulu ukubekezelelwa kwe-glucose komzimba futhi kungasiza ekugwemeni ukuguqula ukuphazamiseka okuncane kube yi-pathology, ikakhulukazi ngesikhathi sokukhulelwa.
Iphuzu elibaluleke ngokulinganayo yisimo sohlelo lwezinzwa. Ukucindezela njalo nokukhathazeka kungaba yinto enqumayo. Ngakho-ke, uma kunesidingo, kufanelekile ukuxhumana nodokotela wezengqondo. Uzosiza ukuzidonsela ndawonye, ayeke ukukhathazeka, futhi uma kunesidingo, unikeze umuthi osiza ukuqinisa uhlelo lwezinzwa.
Futhi ithiphu lokugcina: ungayinaki impilo yakho futhi ungakunaki ukuhlolwa kwonyaka okuhleliwe, noma ngabe okwamanje uzizwa wanelisekile.
Kulula ukuvikela noma ukwelapha noma yisiphi isifo ekuqaleni, kunokuba silwe izinyanga noma iminyaka.
