Iziguli zesifo sikashukela ziphoqelelwa ukuba zilawule ushukela wazo wegazi. Ngokuntuleka okukhulu kwe-insulin, izinga lingakhuphukela kuma-20 mmol / l nangaphezulu.
Kuyadingeka ukunciphisa ngokushesha izinamba ze-glucometer, ngaphandle kwalokho isimo sizophuma futhi umuntu angaba nenkinga ye-hyperglycemic. Izinga lethu likashukela wegazi lingama-20, okufanele ukwenze nokuthi ungasilungisa kanjani ngokushesha isimo sesiguli, ochwepheshe bethu bazotshela.
Imiphumela yenkinga ye-hyperglycemic
Lapho kutholakala ukuthi unesifo sikashukela, kulinganisa ushukela wegazi nsuku zonke. Uma uzizwa ungasasebenzi, ungathatha izilinganiso izikhathi eziningana ngosuku. Inqubo elula izosindisa isiguli enkingeni ye-hyperglycemic.
Uma isiguli singalahli ushukela ngesikhathi, kwenziwa izinguquko:
- Ukulimala ohlelweni oluphambili lwezinzwa;
- Ubuthakathaka, ukufoka;
- Ukulahleka kwemisebenzi eyisisekelo ye-Reflex;
- I-Coma ngemuva kweshukela eliphezulu.
Odokotela abahlali bakwazi ukususa isiguli ekhefini, kulokhu konke kugcina ngokufa. Kubalulekile ukuqaphela ushukela osuku ngesikhathi bese ushayela udokotela ngokushesha.
Ukwanda okubukhali koshukela kuya ku-20 mmol / l kuhambisana nezimpawu:
- Ukukhathazeka kuyanda, isiguli siyayeka ukulala;
- Isiyezi esivame ukuvela;
- Umuntu uba okubabayo, buthaka buvele;
- Ukuchama kaningi;
- Ukuphendula imisindo engaphandle, ukukhanya, ukungaphatheki kahle;
- Ukoma nokoma kwe-nasopharyngeal mucosa;
- Amabala avela esikhunjeni;
- Isikhumba esikhanyayo;
- Imilenze iyaqina noma ibuhlungu;
- Umuntu uyagula.
Ukuvela kwanoma yiziphi izimpawu eziningana kufanele kudale ukukhathazeka kwezihlobo zesiguli. Kunconywa ukuba ngokushesha ulinganise izinga loshukela bese uthintana nodokotela.
Ngokushesha ngaphambi kokukhwabanisa kwe-hyperglycemic, kuvela ezinye izimpawu:
- I-odorone ye-acetone evela emgodleni womlomo;
- Isiguli siyayeka ukuphendula izwi;
- Ukuphefumula kuya ngokuya njalo;
- Isiguli silala.
Ukulala okwandulele kwe-hyperglycemic coma kufana nokuquleka. Umuntu akaphenduli ukukhala, ukukhanya, ukuyeka ukuzulazula ngesikhathi nangesikhala. Ukuqhaqhazela okungazelelwe kuthatha umuntu okwesikhashana ekubandezelweni, kepha ngokushesha uwe emuva kubuhlungu. Isiguli sibekwe endaweni yokunakekela abagulayo, lapho bezama ukusindisa impilo yakhe.
Kaningi i-hyperglycemic coma itholakala kalula ezigulini ezinhlobo lokuqala lwesifo sikashukela. Ngohlobo lwesibili, kubalulekile futhi ukubona izindlela zokuphepha. Ukuhambisana nerejimeni yansuku zonke, umsoco ofanele, ukwelashwa okujwayelekile nokukalwa nsuku zonke kwamazinga kashukela egazini kuzosiza ukuvikela lesi simo.
Yini eyandulela ukwanda koshukela
Esigulini esinesifo sikashukela i-mellitus, izinkomba ze-glucometer engu-20 nangaphezulu mmol / l zingadalwa yizici zangaphandle:
ukwenqaba ukulandela ukudla noma ukudla okwenqatshelwe;
- Ukungasebenzi okwanele komzimba;
- Ukuxineka, ukukhathala emsebenzini;
- Imikhuba elimazayo: ukubhema, utshwala, izidakamizwa;
- Ukungalingani kweHormonal;
- Ayenziwanga ngomjovo we-insulin ngesikhathi;
- Ukusetshenziswa kwezidakamizwa okuvinjelwe abanesifo sikashukela: ukubamba inzalo, i-steroid, i-diuretics eqinile.
Ezinye zezimbangela ezijwayelekile zangaphakathi yilezi:
- Ushintsho ohlelweni lwe-endocrine, olushintsha isizinda se-hormonal;
- Ushintsho ekusebenzeni kwamanyikwe;
- Ukubhujiswa kwesibindi.
Gwema ukugeleza okuningana koshukela kungabonwa kuphela ukudla futhi udle nemithi enqunyelwe ngesikhathi. Abantu abanesifo sikashukela badinga ukuzivocavoca kancane. Kanye noma kabili ngesonto kunconywa ukuthi uvakashele ejimini.
Imishini yeCardio efanele ukulayisha: i-treadmill, i-oars. Ukuzivocavoca okwenziwa ngaphansi kokuqondisa komqeqeshi. Isebenza kahle njengomthwalo wamakilasi we-yoga noma izivivinyo ukuze ulondoloze umgogodla. Kepha amakilasi kufanele abanjelwe esikhungweni esikhethekile futhi ngaphansi kokuholwa ngumqeqeshi wezokwelapha.
Ungahlolwa kanjani
Akuzona njalo izinkomba zemitha yeglucose yasekhaya ingahle ihambelane nalokho okungokoqobo. Iziguli ekhaya azizithatheli kalula le nqubo, futhi isiphuzo sesiphuzo esimnandi noma ucezu lukashokholeti lungashintsha i-glucometer. Ngakho-ke, uma kusolwa amazinga aphezulu kashukela we-20 mmol / L noma ngaphezulu, kuhlolwa ukuhlolwa kwelabhoratri.
Okokuqala, kuyanconywa ukuthatha ukuhlolwa kwegazi kwe-biochemical kusuka kumthambo.. Ukunemba komphumela kuya ngezindlela zokulungiselela. Ngaphambi kwenqubo, kunconywa:
- Amahora ayishumi ngaphambi kwenqubo, ungadli noma yikuphi ukudla;
- Akunconywa ukuthi kungeniswe ukudla okusha noma izitsha ekudleni ezinsukwini ezintathu ngaphambi kwenqubo;
- Musa ukunikela ngegazi ngoshukela ngesikhathi sokuxineka noma ukucindezelwa. Izinguquko ezingokomzimba noma ezingokomzwelo zingadala ukugxuma okwesikhashana kweglucose yegazi;
- Ngaphambi kwenqubo, umuntu kufanele alale kahle.
Kungakhathalekile ukuthi yiziphi izinkomba ngemuva kokunikela ngegazi lokuqala, kunconyelwa ukuhlolwa okwengeziwe kula maqembu alandelayo:
- Abantu abangaphezu kweminyaka engama-45;
- Obese 2 no-3 degrees;
- Abantu abanomlando wesifo sikashukela.
Ukuhlaziywa kokubekezelela ushukela kwenziwa kulezi zinyathelo ezilandelayo:
- Isiguli sinikezwa isiphuzo sesisombululo se-glucose;
- Ngemuva kwamahora ama-2, igazi lidonswa emthanjeni.
Uma, ngemuva kokulayisha emzimbeni, izinkomba zikashukela ziyi-7.8-11.0 mmol / l, khona-ke isiguli sisengozini. Unikezwe umuthi wokunciphisa ushukela kanye nokudla okune-khalori ephansi.
Uma inkomba enomthwalo we-11.1 noma i-20 mmol / l, kutholakala ukuthi isifo sikashukela siyatholakala. Isiguli sidinga ukwelashwa kanye nokudla okukhethekile.
Ukwehlisa ukungasebenzi kahle, kulandelwa le mithetho elandelayo:
- Ngaphambi kwenqubo, kungakuhle ukuthi ungadli lutho amahora ayisithupha;
- Ngaphambi kwenqubo, izandla zigezwa kahle ngensipho, ngaphandle kwalokho amafutha avela kuma-pores angathinta umphumela;
- Ngemuva kokudonswa umunwe, ithonsi lokuqala lisuswa nge-cotton swab, alisetshenziselwa ukuhlaziywa.
Kwehlisa ukunemba kwemiphumela yokusebenza kwekhaya kanye neqiniso lokuthi kusebenza nge-plasma kuphela.
Usizo lokuqala kwabalimele
Wonke amalungu omndeni wesiguli onesifo sikashukela kufanele azi ukuthi anganikeza kanjani usizo lokuqala lwe-gxuma ebukhali kushukela.
Usizo lokuqala lubandakanya izenzo:
- Shayela ithimba le-ambulensi ngokushesha;
- Uma isiguli silahlekelwa ukwazi, khona-ke kunconywa ukuyibeka ohlangothini lwesokunene. Qinisekisa ukuthi ulimi aluweli, futhi umuntu akaqedi;
- Kunconywa ukuthi uhlale ukhuluma nomuntu ohlukumezekile ukuze angalahli amandla;
- Nikeza isipuni ukuze uphuze itiye elinamandla.
Ukudla okufanele njengokuvikelwa
Ngamazinga kashukela aphezulu, yonke imikhiqizo inconywa ukuthi ihlukaniswe ngamaqembu amabili: kuvunyelwe futhi kunqatshelwe, ngokusho kwetafula:
| Iqembu elivunyelwe | Kuvinjelwe | Izincomo |
| Izitshalo ezimpande | Ubhatata | Okusha, okubilisiwe noma okubunjiwe. |
| Imifino: ithanga, i-zucchini, u-squash, isitshalo seqanda, utamatisi, ukhukhamba. | Ungazibandakanyi notamatisi, ikakhulukazi izinhlobo ezimnandi. | Kubhakwe ku-foil, eyosiwe, ebilisiwe. |
| Izithelo | Ubhanana, amapheya amnandi, apula. | Akudluli ama-pcs ayi-1-2. ngosuku. |
| Amajusi, ngokwemvelo kuphela ngaphandle koshukela ongeziwe. | Gcina izimbiza noshukela. | Icwilisiwe ngamanzi ngesilinganiso se-½. |
| Ukudla kwasolwandle | Yomiswe ngosawoti kanye nokudla kwasolwandle okubunjiwe, ukudla okusemathinini. | Kubilisiwe noma kubhakwe, ngaphandle kwamafutha. |
| Inyama enamafutha amancane: i-turkey, unogwaja, isifuba senkukhu, i-veal. | Zonke izidlo ezinamafutha. | Noma yikuphi ukupheka ngaphandle kokuthosa emafutheni kanye ne-batter. |
| Amantongomane ngenani elincane. | Imbewu sunflower namantongomane, ethosiwe ngosawoti noma ushukela. | Kusha ngaphandle kosawoti ongeziwe. |
| Imikhiqizo yobisi olu-Sour: i-kefir ephansi enamafutha, iyogathi ngaphandle koshukela nodayi. | Amafutha ukhilimu omuncu, ibhotela, ukhilimu, ubisi olunokuqukethwe kwamafutha ngaphezulu kwe-1.5%. | Ngokunambitheka, amajikijolo wemvelo afakwa ku-kefir: ama-blueberries, ama-raspberries, ama-sitrobheli, ama-cherries. |
| Izihlobo. | I-Semolina, ama-flakes osheshayo. | Kubilisiwe. |
| Isinkwa seRye. | Noma yimaphi ama-khekhe kakolweni namakhekhe. |
Kanye ngenyanga, ucezu lukashokoleti omnyama onamafutha khontshisi we-cocoa okungenani angama-70% uvunyelwe.
Kwenqatshelwe ukuthi iziguli ezinesifo sikashukela zingadli noma yiziphi iziphuzo eziqukethe utshwala. Noma yimiphi imikhiqizo eqeda ukudla, ukudla okuhlala emgwaqweni akufakiwe kumenyu. Ukudla kufanele kube nemikhiqizo yemvelo kuphela elungiselelwe ekhaya.
Ushukela wegazi 20, okufanele ukwenze, yini imiphumela yezinkinga ze-hyperglycemic nokuthi ungasinikeza kanjani isiguli usizo lokuqala, abafundi bethu bafundile. Ungesabi. Isisulu sinikezwa usizo lokuqala bese kubizwa udokotela.
