Uma izinkomba ze-glycemia zingaphakathi kwemingcele ejwayelekile, lokhu kusho ukuthi i-carbohydrate metabolism emzimbeni iqhubeka ngaphandle kokuphazamiseka. Amaseli nezicubu zondliwa amandla, futhi zingabhekana kalula nemithwalo ehlukahlukene. Kumadosi alinganiselayo (3.3-5.5 mmol / l), "i-organic fuel" iyadingeka ukuqinisekisa ukusebenza kwazo zonke izitho nezinhlelo ezibalulekile. Uma ushukela wegazi ungama-23 noma ngaphezulu, khona-ke singasho ngokuqinisekile ukuthi izinguquko ezingenakuphikwa ziqala, ngoba ukukhiqizwa kwe-insulin kukhuphuka, okulimaza i-pancreas. Esikhathini esizayo, kuvela izifo ezingathi sína, okuholela ogulayo ekukhubazekeni noma ekufeni.
Ushukela wegazi 23 - Kusho ukuthini
I-Hyperglycemia syndrome ihlukaniswe ngombandela:
- ukwehla okuqinile - ukuya kumayunithi ayi-10;
- maphakathi - kuya ku-16 futhi esindayo - kusuka kumayunithi ayi-16;
- isimo se-predkomatoznoe - amayunithi angaphezu kuka-16,5;
- I-hyperglycemic coma - ngaphezu kwama-55,5 mmol / l.
Izici ezifaka isandla ekunyukeni kokugxilwa kwe-glucose ku-23.1 zingaba ngokomzimba nangokwendalo:
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%
- ukushoda kwe-insulin ekwakhiweni kwesifo sikashukela ngohlobo lokuqala noma lwesibili;
- ukuvuvukala noma inqubo ye-oncological eyenzeka kumanyikwe;
- ukuphazamiseka kwe-endocrine;
- izifo ezithathelwanayo noma ezingamagciwane;
- isifo sesibindi;
- isakhi sofuzo;
- ukusetshenziswa ngokweqile kokudla okunekhalori ephezulu;
- ukulawulwa ngokweqile kwengqondo-ngokomzwelo noma ngokomzimba;
- ukuhlukunyezwa kwezidakamizwa, umphumela ongemuhle wayo ukwanda kokugxila kwe-glucose kuze kube semikhawulweni ephezulu;
- ukungalingani kwe-hormonal.
Lapho kukhona ushukela egazini elisezingeni lamayunithi angama-23.2- 23.3 esigulini, kubhekwa okulandelayo:
- ukuchama njalo (ngisho nasebusuku);
- ukoma okunganqamuki nomlomo owomile njalo;
- ukwehla noma ukuzuza kwesisindo somzimba ngaphandle kwesizathu esibonakalayo;
- ukugcwala okubonakalayo okufiphele;
- isikhumba esomile
- ukuzindla, ukudinwa, izinhlungu zomlenze;
- ubuvuvu, ukungabi namandla, ukusebenza kahle okuncane;
- ubudlova, ukungakhathali, ukunganaki;
- ukuphefumula okunomsindo.
Ngabe kufanele ngesabe
Njengoba kunamazinga aphezulu kashukela afakwe egazini, umuntu uhlala ezizwa ekhathele. I-glucose ethe xaxa ilimaza umzimba kancane kancane, okuholela ekwakhiweni kwezinqubo eziningi eziyingozi ze-pathological kanye nokuphazamiseka kokusebenza:
- isikhumba esomile esinobuthi;
- ukonakala okubonakalayo ku-visual acuity kanye nomonakalo ku-retina;
- i-furunculosis;
- Ukukhuluphala ngokweqile
- amazinga akhulayo we-cholesterol embi;
- izinguquko ze-atherosulinotic;
- i-thrombophlebitis;
- i-lameness, i-gangrene;
- ukungasebenzi ngocansi emadodeni;
- angina pectoris nezinye izinkinga zenhliziyo;
- ketoacidosis - into okwenzeka ngayo isibalo semizimba ye-ketone egazini nomchamo ukhuphuka;
- I-hyperglycemic coma.
Ukunquma ama-indices kashukela kuvumela ukuhlolwa kwegazi okusobala, ukuhlolwa okujwayelekile komchamo negazi, ukuhlolwa kwegazi okune-biochemical. Ngokweqile kwe-glucose isikhathi eside emgodini wegazi onamanani angama-23,4-23,5 nangaphezulu, kwenziwa izivivinyo ezingeziwe, ezinqunywa yi-endocrinologist. Ukubona nokuvikela izingqinamba zesifo sikashukela, kuyadingeka ukubonana nodokotela wamehlo wezifo zengqondo, udokotela wenhliziyo. Batshela isiguli ukuthi senzeni lapho sikhomba isifo esithile, nokuthi singakuvimbela kanjani ukuthuthuka kwayo okuqhubekayo.
Okufanele ukwenze uma izinga ushukela lingaphezulu kwama-23
Izindlela zokwelapha zokwenza kube ngokwejwayelekile ukuhlangana kweglucose egazini kususelwa ekuqothulweni kwesifo esingaphansi esidala ukwanda kwenqubo ye-pathological. Nge-hyperglycemia engahlotshaniswa nesifo sikashukela, ukulawulwa kwekhadinali kwendlela yokuphila kanye noshintsho ekudleni okujwayelekile kukuvumela ukuthi uguqule amanani kashukela.
Ohlelweni lwesifo sikashukela sokuqala esincike ku-insulin, ukujova okuhleliwe kwe-insulin kuvumela ukugxila okujwayelekile koshukela kulethe okujwayelekile. Uhlobo lwesifo sikashukela olungathembisi i-insulin luhilela ukusetshenziswa kwezidakamizwa ezinciphisa ushukela nokulungiswa komsoco.
Ukuze uvimbele ukwanda kwenhliziyo lapho kuvela izimpawu ezinzima zikashukela ophezulu, kuyadingeka ukunikeza usizo lokuqala kohlukunyezwa:
- ukukala izinga glycemia. Ngamanani amayunithi angama-23.6-23.7 nangaphezulu, shayela i-ambulensi;
- ngaphambi kokufika kochwepheshe banikeze isisulu isiphuzo;
- esesimweni esidabukisayo, thinta ibunzi, intamo kanye nezihlakala zesiguli ngethawula elimanzi;
- qaphela umoya wakho. Uma yephulwe, yenza ukuhlenga kabusha.
Esibhedlela, kuthathwa umthamo othile we-insulin esigulini bese kunikezwa ukwelashwa okufanele. Ngokwesifo sikashukela esingancike e-insulin, kusetshenziswa imishanguzo yomlomo yamaqembu ahlukahlukene we-antidiabetes.
- I-Metformin - lo muthi ungoweqembu lama-Biguanides. Umgomo wesenzo sawo ukwandisa ukuzwela kwezicubu ngemiphumela ye-insulin, ukuthuthukisa ukuhamba kwegazi emzimbeni, kanye nokunciphisa ukuqina kwama-capillaries. Ukusuka ekuphikisweni, izifo ezibucayi zesibindi, ukhokho wesifo sikashukela, ziyahlukaniswa.
- I-Glimepiride iyisidakamizwa esihlobene ne-sulfonylurea derivatives. Isenzo salo ukuvusa amaseli e-pancreatic ukukhiqiza i-insulin. Imithi ihlukaniswe ngemithi yokuthwala izifo zezingane, isibindi nezinso. Ukwemukelwa kuqala ngomthamo omncane. Ngemuva kwalokho kancane kancane wandise okujwayelekile ekwelashweni.
Ukudla kokudla
Uma izinga lokuhlushwa kwe-glucose lenyukela emikhawulweni yamaayunithi angama-23,8-23,9, kuyadingeka ukulungisa uhlelo lokudla okunempilo usebenzisa isidlo esiphansi se-carb. Udokotela we-endocrinologist noma udla izakhamzimba kumele atshele isiguli ukuthi senzeni ukuze zivimbele amanani abucayi kanye nokuthuthukiswa kwemiphumela eyingozi.
Khipha kwimenyu - i-pasta, isinkwa esivela kufulawa we-premium, amaswidi (kufaka ushokoledi), ushukela, ilayisi elimhlophe, i-semolina, amazambane.
Ukudla kwansuku zonke kufanele kube khona - Izinhlobo zokudla zenyama / inhlanzi, imifino, izithelo ezingafakwanga, amasamu, imifino, okusanhlamvu (ikakhulukazi ama-nokunye okufana nokolweni), uwoyela wemifino, imikhiqizo yobisi enobisi olunamafutha amancane, i-chicory.
Iziguli ziyanconywa:
- udle okuncane, kepha uvame izikhathi ezingama-5-6 ngosuku ngezingxenye ezincane;
- khuphula inani lamaprotheni afakwe ngokudla;
- phuza okungenani amalitha ama-3 amanzi ngosuku (zombili amanzi amsulwa kanye namakhambi, amakhompiyutha angenawo ushukela, i-infusions ehlukahlukene, itiye kufanelekile);
- yidla izithelo nemifino eminingi;
- qaphela umbuso womsebenzi nokuphumula;
- ukuzivocavoca nsuku zonke. Kukulungele lokhu ukubhukuda echibini, ukugijima okukhanyayo, ukuhamba emoyeni omusha, ukuhamba ngamabhayisekili, ukuvivinya umzimba ekuseni;
- yenqaba okuthosiwe, okunezipayisi, ukudla okubhemayo, amasoseji, imikhiqizo eseqedile.
Ukwelashwa okuhlukile
Izindlela zokwelapha ezingezona zesiko zingasetshenziswa kuphela ngemuva kokubonisana nodokotela wakho. Amakhambi athandwa kakhulu futhi asebenzayo yilawa:
- Amafutha okupholisa amanxeba amade angapholi, kuvame ukuvela emzimbeni kwabanesifo sikashukela. Izaqathe ezintsha zibunjiwe futhi zihlanganisiwe. Babekwa esitsheni esincane bathelelwa phezulu ngamafutha zemifino. Bese ibhaha ngamanzi okugeza imizuzu eyi-15, ipholile, icwenge ngokusebenzisa i-cheesecloth. Ukwakheka okubangelwa kugcinwa esiqandisini futhi kusetshenziswe lapho kunesidingo.
- I-Rhizome ye-horseradish. Izithelo ezihlanjululwe zithathwa futhi zihlanganiswa nobisi omuncu ngokwesilinganiso esingu-1: 10. Thatha isipuni esikhulu kathathu ngosuku ngaphambi kokudla main. Leli thuluzi liholela ekunciphiseni kancane kancane kwamanani kashukela osegazini.
- Lilac Amahlamvu esihlahla aqhutshwa njengetiye futhi aphuzwe njengokufiswa ngaphandle kwemikhawulo, kungakhathaleki isidlo. Futhi entwasahlobo, ungakwazi ukuqoqa ukuvuvukala okuvuvukala kwesitshalo kanye nezipuni ezimbili ezinkulu zezinto ezingavuthiwe uthele izinkomishi ezi-2 zamanzi abilayo. Phikelela amahora ayi-6, ubunzima, thatha phakathi nosuku, uhlukanise umkhiqizo okhiqizwayo izikhathi eziyi-3-4.
- Ijusi lelamula liyancitshiswa lihlanganiswe neqanda eluhlaza. Shaya, uphuze i-cocktail ephumela esiswini esingenalutho izinsuku ezintathu zilandelana. Ngemuva kwezinsuku eziyi-10, izifundo ziphindwa. Le ndlela yehlisa ushukela kahle.
Ukunyuka njalo kwamazinga kashukela egazini kudinga ukunakekelwa okusheshayo kwezokwelapha kanye noshintsho ekudleni. Ukwelashwa ngesikhathi kuzogwema ukuthuthukiswa kwezinkinga ezinkulu futhi kusenze ngcono kakhulu isimo sesiguli.
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