Abantu abanokulimazeka okungama-glucose okungalapheki emzimbeni kufanele bathathe igazi likashukela ukuze bakwazi ukulawula isimo sabo ngamandla abo. Futhi, lolu cwaningo lwenziwa kwezinye izimo ze-pathological, ngaphambi kwezinqubo ezihlaselayo nokungenelela kokuhlinzwa. Ukuze uthembeke futhi unembe ngemiphumela yokunikela ngegazi, udinga ukulungiselela kusengaphambili. Iziguli zivame ukubathanda ochwepheshe lapho kudingeka ukunikela ngegazi, futhi yiziphi izindlela zokulungiselela ezizodingeka?
Inani leglucose
Ososayensi bakufakazele ukuthi i-glucose iyi-organic compase engadalwa yisibindi. Kepha ngokuyisisekelo ungena emzimbeni ngokudla. Ngemuva kokuthi imikhiqizo ingenise umgudu wokugaya ukudla, ukuhlukana kwabo okusebenzayo kube izingxenye ezincane kuyaqala. Ama-polysaccharides (noma ama-carbohydrate ayinkimbinkimbi) agqekeza abe ama-monosaccharides - ushukela, odonswa amathumbu futhi anikeze amandla enhliziyweni, amathambo, ubuchopho, izicubu.
Umzimba womuntu uhlala uqukethe amandla okonga ngenxa yezinqubo ze-intracellular. Ngosizo lwabo, kukhiqizwa i-glycogen. Lapho izindawo zayo zokugcina ziphelile, okungenzeka ngemuva kosuku lokuzila noma lokuxineka kakhulu, i-glucose yakheka kusuka ku-lactic acid, glycerol, amino acid.
Isifo sikashukela nokucindezela kuzoba yinto yesikhathi esedlule
- Ukwehlela ushukela -95%
- Ukuqedwa kwe-vein thrombosis - 70%
- Ukuqedwa kokushaya kwenhliziyo okuqinile -90%
- Ukuqeda umfutho wegazi ophakeme - 92%
- Ukwanda kwamandla ngesikhathi sosuku, ngcono ukulala ebusuku -97%
Lapho udinga ukuhlaziya
Isampula yegazi likashukela iyanconywa lapho:
- izivivinyo zonyaka zezokwelapha ngezinhloso zokuvimbela;
- ukukhuluphala;
- ukuba khona kwezifo zesibindi, i-pituitary, yegland yegilo;
- ukuba khona okusolayo kwe-hyperglycemia. Ngasikhathi sinye, iziguli zikhononda ngokuchama kaningi, ukoma okungapheli, ukubona okungathinteki, ukukhathala okwandayo, ukungavikeleki komzimba;
- i-hypoglycemia esolwayo. Izisulu zikhulise ukulangazela, ukujuluka ngokweqile, ukufeyila, ubuthakathaka;
- ukuqaphela njalo isimo sesifo sikashukela;
- ukukhulelwa ukukhipha isifo sikashukela sokukhulelwa;
- i-pancreatitis;
- sepsis.
Bathatha igazi likashukela ne-cholesterol ngisho nakubantu abaphilile ngokuphelele, hhayi nje labo abanesifo sikashukela. Kuyadingeka ukulawula ukwakheka kwegazi ngokungasebenzi ngokomzimba, ukuba khona kwesisindo ngokweqile, umlutha wemikhuba emibi, umfutho wegazi ophakeme.
Ngabe isampula yegazi likashukela ivelaphi?
Isampula yegazi yenziwa kusuka esikhwameni. Lokhu kuhlola kusiza ekutholeni ukuqoqwa kwezinto ezi-glycosylating egazini le-capillary. Lolu uhlobo olujwayelekile kakhulu lokuhlaziya. Ema-laboratories ezigulini zabantu abadala, igazi likhishwa emunweni wendandatho. Ezinganeni ezisanda kuzalwa, i-biomaterial iqoqwa kusuka kuzwane olukhulu.
Inqubo yokuhlaziya ejwayelekile imi kanje:
- umunwe wenzelwa amandla amakhulu ukuthuthukisa ukugeleza kwegazi endaweni lapho kuzokwenzeka khona amasampula egazi;
- khona-ke isikhumba sisulwa ngendwangu kadoti ecijwe ku-antiseptic (utshwala) bese yomiswa ngendwangu eyomile;
- ukubhoboza isikhumba ngesikhafu;
- iconsi lokuqala legazi lisuliwe;
- ukuthola inani elifanele le-biomaterial;
- i-wad ene-antiseptic isetshenziswa esilondeni;
- igazi lithathwa elabhorethri futhi linikeze imiphumela ngakusasa kakhulu ngemuva kokubeletha.
Isampula yegazi likashukela nayo ingenziwa ivela emthanjeni. Lokhu kuhlolwa kubizwa ngokuthi yi-biochemical. Ngiyabonga ngayo, kanye noshukela, ungabala izinga lama-enzyme, i-bilirubin namanye amapharamitha egazi, okumele alawulwe bobabili abanesifo sikashukela kanye nezinye izifo eziwushukela. Ukulawula izinkomba zikashukela ekhaya, kusetshenziswa ama-glucometer - amadivaysi akhethekile atholakalayo. Isifo sikashukela kufanele sizisebenzise nsuku zonke.
Ukuhlaziywa kwenziwa ngokulandelayo:
- uvule idivaysi, lungiselela, ngokucacile ngokwemiyalo;
- izandla ziyagezwa ziphathwe nge-antiseptic;
- nge-lancet engena i-glucometer, kubhoboze isikhumba;
- iconsi lokuqala legazi lisuliwe;
- inani elifanele legazi lisetshenziselwa umucu wokuhlola;
- ngemuva kwesikhathi esithile, umphumela wokusabela kwamakhemikhali wamakhemikhali aphendule egazini lendaba uboniswa esikrinini.
Idatha igcinwa kwimemori yedivayisi noma kubhukwana, okumele ligcinwe njalo uma kunesifo sikashukela. Amanani awethembekile ngempela, ngoba idivaysi inikeza iphutha elincane ngenxa yoyilo lwayo. Kodwa ukunikela ngegazi ngoshukela nokulawula ukusebenza kwawo kubalulekile kuwo wonke umuntu onesifo sikashukela.
Isampula yegazi elebhu, kanye nokuhlolwa kwe-glucometer, cishe akunabuhlungu. Imvamisa, ngemuva kokudlula kokuhlaziywa, isilonda siyeka ngokushesha ukopha, futhi ukungaphatheki kahle kuzwakala kuphela lapho ingcindezi isetshenziswa endaweni ebuhlungu. Zonke izimpawu ezingemnandi zinyamalale ngosuku ngemuva kokubulawa.
Umehluko phakathi kwegazi elivela emunweni nakwelithambo
Uma siqhathanisa igazi le-venous noshukela wegazi we-capillary, khona-ke izinombolo zizohluka kancane. Egazini le-venous, amanani we-glycemic angaphezulu kwe-10%, okubhekwa njengejwayelekile ezinganeni nakubantu abadala. Enye yezindlela ezisetshenziswa kakhulu zokuxilonga ukubekezelelwa kwe-glucose.
Ukukhwabanisa kumele kwenziwe:
- ukubekezelela i-glucose engasebenzi kahle ezihlotsheni;
- ukukhuluphala, okuvame ukubonwa ngesifo sikashukela;
- ukuba khona kokuzikhipha isisu kanye namacala okuzala;
- umfutho wegazi ophakeme ne-cholesterol;
- izifo ezingalapheki;
- i-pathologies yesistimu yezinzwa yemvelaphi engaqinisekile.
Ukuhlola ukubekezelela kufaka phakathi isampula ye-biomaterial kusuka kumthambo. Ukulungiselela inqubo akuhlukile ekuhlolweni okujwayelekile. Ngemuva kokunikela ngegazi kokuqala, isiguli siphuza ikhambi elimnandi eliqukethe ushukela. Ngemuva kwehora, bese kuthi ngemuva kwamahora amabili, udinga ukuthi uphinde uhlolwe. Imininingwane etholakalayo isivumela ukuthi sinqume ushukela wokuzila ukudla, kanye nezinguquko zawo ngemuva kwesikhathi esithile ngemuva komthwalo omnandi.
Ukulungiswa kokuhlaziywa
Imvamisa, iziguli eza kuqala ukunikela ngegazi ngoshukela nezinye izinkomba zizofunda ukuthi zingalungiselela kanjani ukuhlolwa kudokotela ekhipha incwadi edlulisela ekuxilongeni. Ukulungiselela inqubo kuyadingeka. Lokhu kuzohlinzeka ngemininingwane ethembekile kungakapheli usuku ngemuva kokuthatha igazi.
Usuku ngaphambi kokuhlaziywa kunconyiwe Ngokwenqabe kwenqaba utshwalafuthi isidlo sakusihlwa kusihlwa ngokudla okulula. Awukwazi ukudla noma yini ekuseni. Kuvunyelwe ukuphuza ingilazi yamanzi abilisiwe. Kuyinto engathandeki futhi ukuxubha amazinyo akho, ukubhema, ukuhlafuna izinsini. Kubalulekile ukuthi uzivikele ekucindezelekeni ngangokunokwenzeka, ngoba ithonya labo lingaphambukisa imiphumela yokuxilongwa.
Uma ingane ithatha igazi ngoshukela, ngaphambi kokuhlaziywa, akufanele ihlanganyele emidlalweni yangaphandle. Uma wayesaba udokotela futhi wavele wakhala izinyembezi, kuyadingeka ukumvumela ukuba ahlise umoya, futhi anikele ngegazi okungenani isigamu sehora kamuva. Le nkathi kufanele yanele ukuthi ushukela wegazi ubuyele kumanani ayo weqiniso.
Futhi, ngaphambi kokuthatha isivivinyo, akufanele uvakashele indlu yokugezela, wenze inqubo yokuxilonga, ikhaliphe. Kungcono ukuthi sekudlule izinsuku eziningana kusukela esikhathini sokugcina kwabo. Ukuphuza umuthi (uma ubalulekile) kufanele kuxoxwe ngakho nodokotela wakho. Umsizi welebhu kufanele aziswe ukuthi imaphi amalungiselelo isiguli asithathayo.
Inkomba ejwayelekile yoshukela esigabeni sabadala seziguli ingu-3.89 - 6.3 mmol / L. E-nursery, kusuka ku-3.32 kuya ku-5.5 mmol / L.
Funda kabanzi ngamazinga kashukela wegazi lapha.
Kwenzeka ukuthi izinkomba zihlukile ekuvumelaneni kwe-glucose ejwayelekile. Lapha, kufanelekile i-alamu kuphela ngemuva kokuhlaziywa kwesibili, ngoba kungandisa ukwanda kweglucose:
- ukusebenza ngokweqile;
- ukucindezela okukhulu;
- ukungalingani kwe-hormonal;
- i-hepatic pathology.
Uma ushukela wehlisiwe, khona-ke isimo esifanayo singachazwa ngotshwala noma ubuthi bokudla, kanye nezinye izizathu. Noma ngabe igazi likashukela ngemuva kokuhlaziywa kwesibili kukhombisa ukuphambuka kokujwayelekile, isifo sikashukela asitholakali ngokushesha. Okokuqala, udokotela uzoncoma isisulu ukuba siphinde sicabange indlela yokuphila, silungise imenyu. Futhi ngemuva kwezivivinyo ezingeziwe, uzonquma ukwelashwa okufanele.