Igama elithi glycemia linghunyushwa ngokwezwi nezwi ngokuthi "igazi elimnandi." E-terminology yezokwelapha, leli gama libhekisela ushukela wegazi. Ngokokuqala ngqa leli gama lalisetshenziswa ngusosayensi waseFrance wekhulu le-4 uClaude Bernard.
Hlukanisa phakathi kwe-glycemia ejwayelekile, ephezulu noma ephansi. Okuqukethwe kweglucose okulinganiselwa ku-3-3,5 mmol / L kubhekwa njengokujwayelekile. Lesi sikhombisi kumele siqine, ngaphandle kwalokho noma yikuphi ukuphambuka kusuka kokujwayelekile kungaholela ekusebenzeni kahle kwengqondo.
I-Hypoglycemia ikhombisa okuqukethwe ushukela omncane emzimbeni. Izinga eliphakeme kwezokwelapha liboniswa ngegama elithi hyperglycemia. Ukhuphuka noma wehlise leli zinga kungaholela emiphumeleni engenakuphikiswa emzimbeni womuntu. Uma okuqukethwe ushukela kuphambuka kokujwayelekile, umuntu uyozizwa enesiyezi futhi enesizungu, alahlekelwe ukwazi noma ikomisa kungenzeka.
Uma izinga le-glycemia livamile, umzimba womuntu usebenza ngokujwayelekile, umuntu akakhonondi ngenhlala kahle, ubhekana nanoma ikuphi ukucindezelwa komzimba.
Izimpawu ze-Hyperglycemia
Imvamisa, ukwanda kwe-glucose emzimbeni kubhekwa ezigulini ezinesifo sikashukela noma kubantu abaphethwe yilesi sifo. Kwesinye isikhathi i-hyperglycemia kungenzeka ingenzeki, futhi izimpawu zayo zifana nezinye izifo.
Imvamisa ukukhula kwe-glycemia kubangela ukukhathazeka okungapheli, ukudla njalo okuphezulu kwekhabhoni, ukudla ngokweqile, impilo yokuhlala phansi. Izimpawu eziphambili ze-glycemia ebonakala ushukela ophezulu zifaka:
- umuzwa ongapheli wokoma;
- ukulunywa kwesikhumba;
- ukuchama njalo;
- ukunciphisa isisindo noma isisindo somzimba;
- umuzwa ongapheli wokukhathala;
- ukungaphatheki kahle.
Nge-glucose ebucayi egazini, ukulahlekelwa okwesikhashana ukwazi noma i-coma kungenzeka. Uma, phakathi kokuhlolwa kwegazi likashukela, kwatholakala ukuthi izinga laso liphakeme, lokhu akukhombisi ukuthi isifo sikashukela yi-mellitus.
Mhlawumbe lesi yisimo semingcele esibonisa ukwephulwa ohlelweni lwe-endocrine. Kunoma ikuphi, i-glycemia engasebenzi kahle kufanele ihlolwe.
Izimpawu ze-hypoglycemia
Ukwehla kwezinga likashukela noma i-hypoglycemia kujwayelekile kubantu abanempilo lapho besebenza kakhulu ngokomzimba noma kulandela ukudla okuqinile okuqukethe okuphansi kwekhabhoni. Ezigulini ezinesifo sikashukela, ukuvela kwe-hypoglycemia kuhlotshaniswa nethamo elikhethiwe le-insulin, kwesinye isikhathi kwenzeka.
Izimpawu ezilandelayo ziyimpawu ye-hypoglycemia:
- umuzwa wendlala enkulu;
- isiyezi esiqhubekayo;
- ukwehla kokusebenza;
- isicanucanu
- ubuthakathaka bomzimba ohambisana nokuthuthumela okuncane;
- ukungashiyi umuzwa wokukhathazeka nokukhathazeka;
- ukujuluka.
Imvamisa, i-hypoglycemia inqunywa ngokungahleliwe ngesikhathi sokuhlolwa kwegazi okulandelayo. Imvamisa abantu abane-hypoglycemia abazinaki izimpawu futhi kunzima kakhulu ukunquma ukwehla kweshukela emzimbeni. Ngamazinga kashukela ashubile, umuntu angawela enkingeni.
Izindlela zokunquma okuqukethwe ushukela
Ukunquma izinga le-glycemia kwezokwelapha zesimanje, kusetshenziswa izindlela ezimbili eziyinhloko.
- Ukuhlolwa kwegazi ngoshukela.
- Ukuhlolwa kokubekezelela kwe-glucose
Uhlobo lokuqala lokuhlaziywa lususelwa ekunqumeni izinga le-glycemia esigulini egazini elithathwe esiswini esingenalutho. Igazi lithathwa emunweni womuntu. Le yindlela ejwayelekile yokuthola i-glycemia kubantu.
I-glycemia ephakanyisiwe ayivezi njalo umuntu onesifo sikashukela. Imvamisa, ukuxilongwa okwengeziwe kungenziwa ukuqinisekisa lokhu kutholwa.
Ukuze uqiniseke ukuthi ukutholakala kwesifo kutholakala ukuthi kunembile, kunikezwe ezinye izivivinyo eziningi zoshukela, singasho ukuthi lolu hlobo lokuhlolwa kwesifo sikashukela. Ngesikhathi sokuhlolwa, isiguli kufanele sikukhiphe ngokuphelele ukusetshenziswa kwezidakamizwa ezithinta isizinda sehomoni.
Ukuthola idatha ethembekile, udokotela unezela ngokuhlolwa kokubekezelela ushukela. Umnyombo wokuhlaziywa kanjengokulandelayo:
- Isiguli sithatha isivivinyo segazi esingenalutho;
- Ngokushesha ngemuva kokuhlaziywa, kuthathwa ama-75 ml. ushukela omanzi we-soluble;
- Ngemuva kwehora kwenziwa ukuhlolwa kwegazi kwesibili.
Uma izinga likashukela egazini likububanzi obungu-7.8-10.3 mmol / l, khona-ke isiguli sithunyelwa ekuhlolweni okuphelele. Izinga le-glycemia ngaphezulu kwe-10.3 mmol / L libonisa ubukhona besifo sikashukela esigulini.
Ukwelashwa kwe-Glycemia
I-Glycemia idinga ukwelashwa. Kunqunywe ngudokotela esimweni ngasinye ngokususelwa ezingeni likashukela, iminyaka nesisindo sesiguli, kanye nezinye izinto eziningi. Kodwa-ke, ukwelashwa kungenzeka kungasebenzi uma umuntu engashintshi imikhuba yakhe futhi engaguquki nendlela yakhe yokuphila.
Indawo ekhethekile ekwelashweni kwe-glycemia inikezwa ekudleni. Zonke iziguli ezinokuqukethwe kwe-glucose ephezulu emzimbeni kufanele zidle umkhiqizo, ama-carbohydrate anenkomba ephansi ye-glycemic.
Kokubili nge-hyperglycemia ne-hypoglycemia, umsoco kufanele wenziwe izingxenye ezincane izikhathi ezi-5-6 ngosuku. Ukudla kufanele ikakhulukazi kube namaprotheni nama-carbohydrate ayinkimbinkimbi. Yile mikhiqizo engagcwalisa umzimba ngamandla isikhathi eside.
Lapho welapha i-glycemia, abantu akufanele bakhohlwe ngokuzikhandla ngokomzimba okulinganiselayo. Kungaba ukuhamba ngebhayisikile, ukugijima noma ukuhamba ngezinyawo.
I-Glycemia isikhathi eside kungenzeka ingazivezi, noma kunjalo, lapho itholakele, kuyadingeka ukuthi iqale ngokushesha ukwelashwa kwayo.