I-glucose yi-carbohydrate evame kakhulu edingwa ngumzimba ukuhlinzeka amandla kumaseli nezicubu. Imvamisa, kufanele isuke kumayunithi angama-3.3 kuya kwangama-5.5. Kepha kwenzeka ukuthi lapho kuhlolwa igazi, kutholakala ushukela wegazi wamaunithi ayi-16. Lokhu kusho ukuthi izitho azikutholi umsoco, i-carbohydrate metabolism ayonakalisiwe, futhi ama-pathologies ayingozi angakhula ngokuzayo. Ngakho-ke, umuntu ngamunye kufanele ngezikhathi ezithile ahlole izinkomba ze-glycemia, ikakhulukazi kubantu abanefa elibi, ukukhuluphala, umfutho wegazi ophakeme, ubudala obudala obungaphezu kweminyaka engama-50.
Futhi, abanesifo sikashukela kufanele bahlolwe njalo besebenzisa i-glucometer, ukuze ngamanani abucayi, bathathe izinyathelo ezifanele zokuzinza isimo sabo.
Ushukela Wegazi 16 - Kusho Ukuthini
Kwezinye iziguli ezihlangana okokuqala ne-hyperglycemia, lapho ushukela ungagxuma ufike ku-16.1-16.8 mmol / l nangaphezulu, kunesifiso sokuxazulula inkinga ngokushesha bese yehlisa izinkomba zayo. Kepha ukwehla okubukhali kweglucose egazini kungadala i-hypoglycemia.
Ukuthuthukiswa kwe-hyperglycemia kungaphakanyiswa yizimpawu ezilandelayo:
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%
- ukoma okwandayo;
- ukutholwa kwesisindo okubonakalayo noma ukunciphisa isisindo;
- ukuchama njalo;
- ukoma, ukudonsa kwesikhumba;
- umbono omfiphele;
- arrhythmia;
- ukuphulukiswa okungekuhle kokulimala, ukuhlukunyezwa, amanxeba;
- ukungatheleleki kokudangala kanye nokuthambekela kwezifo ezithathelwanayo, ezibangelwa amagciwane;
- ukuphefumula kanzima
- ukushuba kwemilenze;
- ukulunywa
I-hyperglycemia ye-acute iholela ukomisa, i-ketoacidosis, ukwazi ukungasebenzi kahle, futhi ezimweni ezibucayi, ukuya ekhefeni likashukela. Ezigulini ezingakaze zibe nesifo sikashukela, izimbangela zokuphakama koshukela okufika kuma-unit ayi-16,2 yile:
- ukuqala kwesifo sikashukela. Isimo esiphikelelayo se-hyperglycemic wuphawu lwaso lwesici;
- umsoco osuselwa kokudla okuphezulu kuma-carbohydrate;
- izimo ezicindezelayo. Ukuvela kwe-post-stress hyperglycemia kuvame ukubonwa kubantu abanezifo ezibuthaka;
- ukusebenzisa kabi utshwala, ukubhema;
- ukushaya kwenhliziyo noma unhlangothi;
- ukuvuvukala noma umdlavuza wamanyikwe.
Ushukela ungakhuphukela ku-16,3 kwabesifazane abakhulelwe. Kepha lapha le nto yesikhashana. Kuhlotshaniswa nezinguquko ze-hormonal emzimbeni noma isifo sikashukela sokukhulelwa. Ngokuyinhloko, inyamalala ngemuva kokubeletha. Kunoma yikuphi, owesifazane kufanele abe ngaphansi kokuqashwa njalo kongcweti, ngoba isimo esinjalo asithathwa njengesijwayelekile futhi singalimaza bobabili umama okhulelwe kanye nongane. Ngokuthakazelisayo - isifo sikashukela se-fetus.
Amanani kashukela amayunithi ayi-16.4 angatholakala ezinganeni ezisanda kuzalwa. Isizathu salokhu sinezici eziningi, ngokwesibonelo, ukukhululwa okwanele kwama-hormone athile noma ukuphathwa ngokulingene kweglucose enganeni ekhuluphele. I-hyperglycemia yesikhashana ivusa ukwethulwa kwe-glucocorticosteroids, indlala yomoya-mpilo, ama-candidiasis ajwayelekile, njll.
Ku-diabetes, izinga elibucayi likashukela egazini, lifinyelela emingceleni ka-16.9 nangaphezulu, libonwa ngenxa:
- izifo ezithathelwanayo kanye nezifo;
- ukuthatha imishanguzo ethile - ama-corticosteroids, ama-diuretics, ama-beta-blockers;
- ukuntuleka kwamavithamini okungamahlalakhona;
- ukuntuleka kokuzivocavoca umzimba;
- ukwephulwa kokudla okuphansi kwe-carb okunqunywe yi-endocrinologist;
- ukweqa ukuphathwa kwezidakamizwa ezinciphisa ushukela;
- izifo ezithinta isibindi;
- ukungalingani kwe-hormonal;
- ngokweqile ngokwengqondo-ngokomzwelo.
Ukuze ukwazi ukubhekana nalesi simo ngendlela esifike ngesikhathi futhi uvikele inhlekelele, udinga ukuxhumana nochwepheshe. Uzokutshela okufanele ukwenze esigulini, nokuthi yiziphi izindlela zokwelapha okufanele uzikhethe. Ngezindlela eziningi, ukwelashwa kuncike kumbangela yokuthuthuka kwenqubo ye-pathological. Ukuyikhomba, kufanele udlule ochungechungeni lwezivivinyo uphinde uphinde uvivinye.
Kuyini ubungozi?
Uma i-glycemia ingelashwa futhi izimpawu ezethusayo zinganakwa ngokuqhubekayo, lesi sifo sizothuthuka, sichithe zonke izitho nezinhlelo ezibalulekile. IComa ibhekwa njengeyingozi ikakhulukazi. Izimpawu zakhe ziba kancane kancane. Ngokuthola isifo sikashukela esincike ku-insulin, ikomaacidosis coma iyenzeka, ngendlela yokungathembeki kwe-insulin, i-hyperosmolar coma iyisimo esibucayi.
Ingozi ye-ketoacidosis inyuka ngamazinga kashukela wegazi afinyelela ku-16,5 mmol / L. Okokuqala, umzimba uzama ukubhekana noshukela ngokweqile ngokwawo, kodwa bese kuvela izimpawu zokuqala zokuphazamiseka:
- dyspepsia
- Ubuhlungu esiswini;
- iphunga le-acetone elisuka emlonyeni - bheka i-athikhi ye-acetone syndrome;
- isikhumba esomile
- ukuthamba kwamehlo.
Ukwazi isiguli kukhubazekile, bese ewa ukhubazekile. Ukwelashwa okuyisisekelo kuhloselwe ukwehlisa ukugxila kwe-glucose nokubuyisa umzimba.
I-Hyperosmolar coma ibonakala ngentuthuko ende. Izinga likashukela, eliqhubeka ngokuchanywa umchamo, lingafinyelela amayunithi angama-40-50.
Izimpawu zobuntu zifaka:
- ukozela
- ukungabi namandla;
- ulwelwesi lwe-mucous olomile nesikhumba;
- Ukuhoxiswa kwezimpawu zokubuka iso;
- ukuphefumula okuningana njalo;
- ukuntuleka kwephunga le-acetone.
Uma unganikeli usizo kohlukunyezwa, ukuthuthukiswa kokuhluleka kwezinso kungenzeka. Ngaphezu kwalokho, okuqukethwe isikhathi eside kwe-glucose okuphezulu kungaholela kwamanye, ama-pathologies angathi sína: i-gangrene, unyawo lwesifo sikashukela, ukungaboni, umfutho wegazi ophakeme, i-polyneuropathy, i-nephropathy. Iningi lazo liphela ngokukhubazeka.
Okufanele ukwenze uma izinga likashukela lingaphezu kwe-16
Ngemuva kokuthola imiphumela yokuxilonga, isiguli sinqunywe ukwelashwa okufanele. Ungasinxephezela isifo sikashukela ngokushintsha indlela odla ngayo nendlela yakho yokuphila. Ekuqaleni, uhlobo lokugula oludinga i-insulin, kunqunywa ukwelashwa kwe-insulin. Umuthi uphathwa kaninginingi ngosuku ngaphambi kokudla. Udokotela utshela ukuthi ungasibala kanjani isilinganiso, futhi imiphi imithetho yokusebenzisa umuthi okufanele ilandelwe ngokuqinile.
Ohlelweni lwesibili, olungatheni i-insulin, i-insulin nayo ingabekwa uma ushukela wegazi uneminyaka eyi-16. Baphendukela kulokhu ezimeni ezinganakwa lapho izindlela ezivamile zokwelashwa zinganikeli umphumela owafunayo wokwelapha. Yini okufanele uyenze nge-hyperglycemia esefinyelele ezingeni elibucayi le-16.7 nangaphezulu?
Ukwelapha kungokulandelayo:
- Ukwethulwa kwe-insulin. Umthamo unqunywa ngawodwana. Imvamisa ngezimpawu ezikhomba isimo sokuthandeka, basebenzisa uhlobo lomuthi ngokuvezwa okusheshayo okungenzeka.
- Ukusetshenziswa kwamaphilisi okwehlisa ushukela okwenzeka isikhathi eside, ama-Biguanides noma ama-sulfonylurea.
- Ukuhambisana nombuso wokuphuza.
- Ukuzivocavoca okulinganiselayo ngezindlela ezithambile zesifo sikashukela.
- Ukwelapha okwelapha.
- Ukusetshenziswa kwezindlela zokupheka zabantu. Umuthi ohlukile ungabhekwa njenge-adjunctive therapy. Udinga ukudingida ukwelashwa okunjalo nodokotela wakho ukuze ungasifaki lesi simo - izindlela zokupheka zesifo sikashukela ezidumile.
Ukudla
Kuyo yonke imikhiqizo ekhona, iziguli ezinoshukela wegazi ongu-16.6 mmol / l zilungisiwe, kufanele ukhethe isidlo esiphansi se-glycemic:
- i-buckwheat;
- amakhowe;
- amantongomane
- iklabishi, kufaka phakathi i-broccoli;
- I-Jerusalema artichoke;
- izithelo ezisawolintshi;
- Isipinashi
- ithanga;
- imbewu yelanga;
- iparsley;
- anyanisi oluhlaza;
- ukhukhamba
- i-zucchini;
- uwoyela onamafutha noma odlwenguliwe;
- izindle;
- okusanhlamvu okuphelele.
Ongakukhetha: Lapha ungathola itafula eliphelele lama-indices womkhiqizo we-glycemic - diabetiya.ru/produkty/glikemicheskij-indeks-produktov.html
Ukuvinjelwa kufaka phakathi:
- ukudla okusheshayo
- iziphuzo zekhabhoni, iziphuzo ezithambile;
- ujusi wokugxilisa okugxilile;
- ushokoledi, ikofi;
- ukubhaka ibhotela;
- isinkwa esimhlophe;
- Caramel
- izithelo ezimnandi;
- inyama enamafutha nenhlanzi.
Ukuhambisana nokudla kuyiphuzu elibalulekile ekwelashweni kwesifo sikashukela nasekulweni ne-hyperglycemia. Udinga ukudla ngezingxenye ezincane izikhathi ezi-5-6 ngosuku. Kubaluleke kakhulu ukuphuza amanzi amaningi, ngoba ngenxa ye-glucose eyeqile, umzimba uzama ukuwasusa ngokwemvelo, ngohlelo lwe-genitourinary. Ngenxa yalokho, ukuphuma komzimba kungakhula.
Ukuvimbela
Ungakugwema ukwanda okubukhali kweglucose ngokwenza izindlela eziningi ezilandelayo:
- njalo ube ne-insulin nawe;
- Ungadli ukudla okuqukethe ama-carbohydrate amaningi, noma impilo enhle kakhulu;
- qaphela umthamo we-insulin olawulwa;
- ukulinganisa ushukela ngokuhlelekile. Ukuze wenze lokhu, akudingeki ukuthi uye emtholampilo, uvuke ekuseni kakhulu. Kwanele ukuthenga i-glucometer - imitha yeglucose ephathekayo;
- yeka imilutha elimazayo;
- zivivinya umzimba njalo.
- uma kungenzeka, gwema ukucindezela nokukhathazeka okungadingekile.
Ngokuhlanganiswa noshukela egazini lamayunithi ayi-16, kuyaphuthuma ukuthatha zonke izindlela ezinokwenzeka zokuqinisa isimo sesiguli. Imvamisa, kuma-diabetes, amanani okuhlushwa abuyele kokujwayelekile ezinsukwini ezimbalwa ngemuva kokuphathwa kwe-insulin.
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