Ngenxa yokubala kwegazi okujwayelekile, umuntu uzizwa exwayile, esebenzayo, esebenza kahle. Lapho nje inqubo ye-pathological ikhula emzimbeni noma izici ezingezinhle inomthelela wayo, ukuhlaziya kungakhombisa imiphumela eyethusayo. Isibonelo, ushukela wegazi 24 uthathwa njengesimo esiyingozi okufanele sisuswe masinyane. Ngenxa yomuthi wanamuhla, i-hyperglycemia ingamiswa ngokushesha okukhulu. Into esemqoka ukuthola imbangela yayo bese uzama ukuyixosha.
Ushukela Wegazi 24 - Kusho ukuthini
Izizathu zokukhula kwe-glycemia kungaba yizici ezimbi zokuvusa noma ukukhula kwezifo ezithile. Amanani asuka kumayunithi angama-24,2 kuya kwangama-24,9 aqoshwa uma kwenzeka ephula ukucutshungulwa kwama-carbohydrate angena emgodini wokugaya ukudla. Ukuphambuka kusuka kokujwayelekile kwe-3.3-5.5 mmol / l sekuvele kubhekwe njenge-pathological futhi kudinga ukubhekwa ngokushesha kwezokwelapha.
Izici ngenxa yokuthi ushukela ungagxumela ku-24,8 mmol / l yile:
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%
- ukusika okungalungile - hhayi esiswini esingenalutho. Lapho ukudla okugayiwe kufakwa emgodini wegazi, amazinga kashukela ahlala enyuka. Bona ukuthi unganikela kanjani ngegazi ushukela;
- ukuntuleka kokuzivocavoca kanye nokuntuleka komzimba oludingekayo. Abantu abanokuphila kokuhlala njalo bavame ukuzwa i-glycemia, futhi baqopha amanani kashukela ngaphakathi amayunithi angama-24.3 nangaphezulu;
- impilo ekucindezelekeni, ukucindezelwa kwengqondo ngokwengqondo kunganikeza umfutho wokukhulisa amazinga kashukela;
- ukuba khona kwemikhuba emibi. Ukusetshenziswa okuhleliwe kotshwala, ukubhema kuthinta kabi isimo sempilo;
- izinguquko ze-hormonal. Kwabesifazane ngesikhathi sokuya esikhathini, ushukela ungatholakala, ufinyelele ku-24,4 mmol / L. Futhi, ukukhulelwa kungaholela esimweni esifanayo. Ngemuva kwalokho umama okhulelwe utholakala enesifo sikashukela sokukhulelwa, futhi silawula inhlala-kahle yakhe engakazalwa.
Kulezi zifo ezinomthelela ekubonakala kwe-glycemia, okulandelayo kuyahlukaniswa:
- isifo sikashukela i-mellitus kanye ne-endocrine ukuphazamiseka, okuholela ekungasebenzi kahle ekukhiqizweni nasekufakweni kwe-insulin;
- izifo ezithinta i-pancreas;
- ukusetshenziswa isikhathi eside kwama-antidepressants, izidakamizwa ze-psychotropic, ama-anabolics, ama-steroid, izindlela zokuvimbela inzalo zomlomo zivame ukusebenza njengezinyathelo zokuvuselela amazinga kashukela aphezulu;
- i-hepatic pathologies lapho inqubo yokukhiqizwa kwe-glycogen iphazamiseka khona, okuholela ekwandeni kwamanani eglucose.
Isifo sikashukela siyindlela eyingozi futhi eyingozi kakhulu lapho ushukela ungakhula ube ngamanani angama-24,7 nangaphezulu. Ukushintshashintsha okunjalo kuhlotshaniswa nendlela yokuphila, umsoco, umuthi kanye nemvamisa yokuqapha amanani wegazi. Kungakhathaleki ukuthi yiziphi izizathu zokuphulwa, isiguli kumele sithathe zonke izindlela zokwenze lesi simo silinganiselwe futhi sazi okufanele sikwenze uma kugxuma ushukela obukhali.
Kubalulekile! Ukuba khona kwesifo sikashukela kuphakamisa ukuqapha njalo kwezinkomba ze-glucose ukuvikela izinkinga eziyingozi ngesikhathi esifanele. Ukwenza ukuxilongwa ekhaya, ama-glucometer aphathekayo avumela isiguli ngasinye ukuba sizitholele. Embule ushukela omningi egazini, ngokwesibonelo, ama-24.1 mmol / l nangaphezulu, uzokwazi ukulungisa ukwelashwa futhi agweme ubunzima.
Yini ingozi
Lapho behlola igazi ushukela, ochwepheshe bagxila ku-5.5 mmol / L. Izinga elibucayi amayunithi angama-7.8. Lapho nje ushukela egxiliswe egazini ngenani elinjalo, kwenzeka izinguquko ezingaphenduki emzimbeni.
Imiphumela eyingozi futhi enkulu kakhulu ye-glycemia yile:
- izilonda zohlelo lwezinzwa;
- izimo zokwehluleka;
- ubuthakathaka obungapheli nokungabi namandla ngokudonswa kokukhishwa okuyinhloko;
- i-hyperglycemic coma;
- ukomisa okubangelwa i-ketoacidosis;
- umphumela obulalayo.
Kulezi zifo ezenzeka ngokuba ne-hyperglycemia ephindaphindayo, unyawo lwesifo sikashukela, i-retinopathy, i-micangiopathy, izilonda eziyizidlakudla, ukwehluleka kwezinso, i-gangren, i-polyneuropathy. Cishe zonke ziholela ekukhubazekeni nasekulahlekelweni kwekhono lokuzinakekela.
Amanani ashubile we-glucose aholela ekhefeni nasekufeni angawomuntu ngamunye esiguli ngasinye. Abanye abantu bazizwa bekhulu ngenani lika-17 mmol / l, kwezinye iziguli ezinokuhlaziywa okunjalo, ukufa kungenzeka. Ngakho-ke, izinkomba ezingama-24,6 noma ngaphezulu kwezokwelapha azinakubhekwa njengezibulalayo esigulini.
Izimpawu ezihambisana ne-ketoacidosis coma zibandakanya:
- ukomisa kakhulu;
- ukozela
- ukomiswa kwe-mucosa nesikhumba;
- iphunga eliphikelelayo le-acetone ephuma emlonyeni;
- ukuphefumula kanzima.
Ungaqonda ngaphandle kwemitha kashukela egazini nokuhlolwa kwegazi kwelebhu ukuthi i-hyperglycemia yenzeka emzimbeni ngezimpawu ezilandelayo:
- ukoma okuqinile, okungenakuphikiswa (umuntu uyakwazi ukuphuza amalitha u-3.5-4 ka-fluid ngosuku);
- ukuchama njalo;
- umlomo owomile
- ukhathala nobuthongo;
- ukukhala kwendlebe;
- ukuluma kwezitho zangasese (kaningi kwabesifazane);
- ukungahambi kahle, uvalo;
- ukukhathazeka, ukuqwasha;
- ukubonakala esikhunjeni sezindawo zokugcotshwa kwemibala namanxeba amade angapholi;
- izinhlungu ezihlangene nezemisipha;
- ukushuba kwemilenze;
- ukuhlaselwa okungenamsoco kokuhlanza nenhliziyo.
Isimo se-precomatose sibonakaliswa ngu:
- ukulahleka okubukhali kokugxilisa ingqondo kanye nesivinini sokuphendula;
- ukuzindla kwenhliziyo;
- ukwehla kwengcindezi yegazi;
- iphunga elimenyezelayo le-acetone eliphuma emlonyeni;
- ukozela, kufana nokufikelwa amandla.
Ngezimpawu ezinjalo, ukugcwala koshukela egazini kufanele kunqunywe ngokushesha. Uma izinkomba zidlule uphawu lwe-7 futhi zafinyelela ku-24,5, udinga ukushayela i-ambulensi.
Okufanele ukwenze uma izinga ushukela lingaphezulu kwama-24
Ukuqhuma okungazelelwe koshukela wegazi kuvame ukuqoshwa kakhulu ngenxa yamaphutha wokudla okunempilo. Iziguli ezinesifo sikashukela kufanele zinamathele ekudleni okukhethekile futhi ziqaphele ngokucophelela ukudla kwazo ukuze kungabikho ukuguquguquka okunjalo. Ezimweni lapho i-glycemia idlula khona into evumelekile, udinga ukwazi ukuthi yini okufanele uyenze ukuze uzinzise isimo:
- Landela ukudla okunconywe yi-endocrinologist noma isazi sezempilo. Kungakhathaleki ukuthi yini imbangela yesifo kanye nokuba khona kwezinkinga, isiguli kufanele ngaso sonke isikhathi sidle kuphela lokho kudla okungeke kubangele ukwanda kwamazinga kashukela.
- Landela zonke izincomo ezinikezwe udokotela futhi uqiniseke ukuthi udla imishanguzo ayeyaliwe.
Ngamamaki kashukela wezempilo afinyelela amayunithi angama-24, usizo lokuqala luyadingeka:
- phatha i-insulin ene-subcutaneous ku-dose evamile. Into esemqoka ngaphambi kwalokhu ukuthola ukuthi imbangela yesimo esibi somuntu ohlukunyeziwe ilele ushukela ophezulu. Lapho nje ushukela ubuyela kokujwayelekile, kufanele uhlolwe njalo ngemizuzu engama-20;
- shayela i-ambulensi uma, ngemuva kwemijovo emibili, isimo sempilo yomuntu singathuthuki
I-endocrinologist ibandakanyeka ekwelashweni kwesifo sikashukela. Ngemuva kokuthola imiphumela yokuhlolwa nokuhlola isiguli, ubeka ukwelashwa futhi asize ukuthola umthamo we-insulin, ngoba ukubalwa okungalungile kwesidakamizwa kungaba yimbangela yokugxuma okubukhali ku-hyperglycemia.
Kubalulekile! Uma umuntu engatholakali onesifo sikashukela, kepha izinga likashukela wegazi likhuphukele kuma-24 noma ngaphezulu, kwenqatshelwe ngokuphelele ukuphatha i-insulin yedwa.
Ukuvimbela
Ukwanda kwe-glycemia kuya kuma-24 mmol / l kungavinjelwa ngokubheka izincomo eziningi ezilula:
- thatha imishanguzo ngesikhathi egcina amazinga kashukela ebangeni elifanele;
- ukwala amaswidi namanye ama-carbohydrate akhanyayo;
- ngokwezigaba zenqaba imikhuba emibi, uzibuyisele ezemidlalo kanye nokuzivocavoca umzimba okujwayelekile;
- lawula inani le-insulin elungiselelwe futhi ufunde ukubala umthamo. Isikhathi sokuphatha umuthi asibalulekile kangako. Imijovo inikezwa ngaphambi kokudla ukuze ugweme ukwanda okukhulu kwamanani kashukela;
- sebenzisa ezinye izindlela njengengxenye eyengeziwe yokwelapha. Ama-decoction amaningi nezimali kuzosiza ukuvikela ukonakala kwempilo ngemuva kwe-hyperglycemia. Isibonelo, isinamoni enoju lubhekwa njengekhambi elihle. Uthathwa esiswini esingenalutho nsuku zonke kwesipuni esincane;
- ushukela ungakhuphuka ngenxa yengcindezi, ngakho-ke abantu abanesifo sikashukela kudingeka bagweme ukukhathazeka futhi, uma kungenzeka, bakha isimo senhliziyo esimnandi esiseduze kwabo.
Uma izinga eliphezulu likashukela egazini ligxilisiwe okokuqala, asikho isidingo sokwethuka. Mhlawumbe, ngemuva kokuhlolwa kwegazi okulandelayo, okufanele kwenziwe ngokushesha, isimo sizinza ngaphandle kokungenelela kwezokwelapha. Uma kutholakala isifo sikashukela, konke kumele kwenziwe ukulungisa izinkomba futhi kuthuthukise inhlala-kahle yakho.
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