Ushukela wegazi 5.5 - ingabe lokhu kuyinto esejwayelekile noma ephambukayo?

I-glucose nguphethiloli womzimba womuntu. Lokhu kungumthombo wamandla obaluleke kakhulu kuwo wonke amaseli, futhi ukusebenza kwamaselula kukalwa ngokuyinhloko ngokuthi bakhulisa kanjani ushukela. Le ngxenye ingena emzimbeni nokudla, ihlukaniswe emzimbeni wokugaya ukudla ngamangqamuzana.

Emva kwalokhu, ushukela nezinye izinto ezibalulekile ziyajwabuzwa, kepha izinto ezingathengelwanga (ama-slags) ziyaphuma ezithweni ezivelelayo.

Ukuhlolwa kweglucose yegazi: kungani ukwenze

IGlucose yi-monosaccharide (isb. I-carbohydrate elula). Iyadingeka ngawo wonke amaseli omzimba, futhi lo muthi, uma kudingeka emzimbeni womuntu, ungafaniswa nophethiloli wemoto. Ngaphandle kwemoto yokugcina ngeke ihambe, futhi nomzimba: ngaphandle kwe-glucose, wonke amasistimu ngeke asebenze ngokujwayelekile.

Isimo se-glucose esegazini senza ukuthi sikwazi ukuhlola impilo yabantu, lokhu kungenye yezimpawu ezibaluleke kakhulu (kanye nomfutho wegazi, ukushaya kwenhliziyo). Ushukela ojwayelekile oqukethwe kukudla, ngosizo lwe-insulin ekhethekile ye-hormone, uyaphulwa bese uhanjiswa egazini. Futhi ushukela omningi ekudleni, kuzokhiqizwa ama-pancreas amaningi.

Iphuzu elibalulekile: umthamo we-insulin okhiqizwayo awunqunyelwe, ngakho-ke ushukela owedlulele ngokuqinisekile uzofakwa emisipha, esibindini, nakumaseli wezicubu ze-adipose. Futhi uma umuntu esebenzisa ushukela ngaphezu kwesilinganiso (futhi lokhu namuhla, ngeshwa, kuyisimo esivame kakhulu), khona-ke lolu hlelo oluyinkimbinkimbi lwama-hormone, amaseli, amasistimu we-metabolic angahluleka.

Kodwa ukwehluleka kungenzeki hhayi kuphela ngenxa yokuhlukunyezwa kwamaswidi. Lokhu kwenzeka futhi ngenxa yezinkinga zokudla, ngenxa yokwenqatshwa kokudla, ukudla okunganele okungena emzimbeni. Kulokhu, izinga le-glucose lehla, amaseli obuchopho awakutholi umsoco ofanele. Kuthinta ukuphazamiseka kwe-glucose kanye nokuwohloka komzimba pancreatic.

Ukuxilongwa kweglucose

Abantu bamane bathi "ukuhlolwa kweshukela." Lamagama akhombisa ukugcwala kwe-glucose etholakala egazini. Futhi kufanele ingene isikhawu esithile - 3.5-5.5 mmol / l. Yile ndlela amanani aphilile abukeka ngayo, okuqinisekisa ukuthi konke kuhleliwe nge-carbohydrate metabolism kulesi sigaba. Futhi i-carbohydrate metabolism uqobo iyisimiso lapho impilo yezinye izitho incike khona.

Isifo sikashukela i-mellitus ngesinye sezifo ezivame kakhulu ezingamahlalakhona. Abaphenyi bathi eminyakeni eyi-10 inani labanesifo sikashukela lizophinda kabili. Lokhu kusikisela ukuthi izici ezibangela lesi sifo zivame kakhulu kangangokuba umzimba awunathuba lokumelana nazo.

Ukuxilongwa kwalesi sifo kufakwe phakathi. Kunezindlela eziningana ezifundisayo ezazisa ngokushesha ukuthi liyini izinga le-glucose emzimbeni wesiguli.

Ezinye zalezi zindlela yilezi:

1. I-biochemistry yegazi. Ukuhlaziywa okunjalo kubhekwa njengethuluzi lokuxilonga indawo yonke, elisetshenziswa kokubili ekuhlolweni okujwayelekile komuntu nasekufundeni kokucwengisisa. Kuyasiza ukulawula ngokushesha umugqa wonke wezinhlaka ezibalulekile zezempilo, kufaka phakathi noshukela weglucose.
2. "Ukuhlolwa kokubekezelelwa kwe-Glucose ngomthwalo." Lolu cwaningo lwembula ukunqwabelana kwe-glucose kwiplasma yegazi. Umuntu umenyelwa ukunikela ngegazi esiswini esingenalutho, bese ephuza ingilazi yamanzi nge-glucose ehlanjululwe. Futhi isampula yegazi iphindwa njalo ngehora ngalinye amahora amabili. Le ndlela enembile yokuthola ushukela.
3. Ukuhlaziywa kwe-hemoglobin ye-glycated. Le ndlela ihlaziya inhlanganisela ye-hemoglobin ne-glucose. Uma ushukela wegazi uphezulu, izinga le-glycogemoglobin lizoba ngaphezulu. Yile ndlela amanani we-glycemia (isb. Okuqukethwe ushukela) alinganiselwa enyangeni edlule kuya kwezintathu. Zombili lezi zinhlobo zabanesifo sikashukela kufanele zenze lolu cwaningo njalo.
4. Ukuhlolwa kokubekezelela kwe-glucose kwe-C-peptide. Futhi le ndlela iyakwazi ukulinganisa ukusebenza kwalezo zingqamuzana ezikhiqiza i-insulin. Ukuhlaziywa kunquma uhlobo lwesifo sikashukela. Kubaluleke kakhulu ekuxilongeni inkambo yesifo sezinhlobo ezimbili.

Ngaphezu kwalezi zivivinyo ezibalulekile, kwenziwa izivivinyo zamazinga we-fructosamine kanye nokuhlaziywa okukhethekile kwamazinga we-lactate. Indlela yokuqala ibalulekile ekwelashweni kwesifo sikashukela; inika ithuba kodokotela lokuhlola ukuthi zisebenza kanjani izindlela zabo zokwelapha. Indlela yesibili iveza ukuhlangana kwe-lactic acid, kukhiqizwa ngumzimba ngokusebenzisa i-anaerobic glucose metabolism (isb., I-oxygen-free metabolism).

Futhi kunendlela ekhanyayo esekwe ekuphenduleni okufanayo okufundwa ngesikhathi sokuhlaziywa kwelabhoratri. Kepha ngokuhamba kwesikhathi lolu cwaningo lungelula kunazo zonke, ngaphezu kwalokho, lungenziwa kunoma yiziphi izimo (kufaka phakathi ekhaya). Ithonsi legazi kufanele libekwe kumucu wokuhlola, ofakwe engxenyeni ekhethekile yemitha, kuthi ngemuva kwemizuzwana embalwa umphumela uphambi kwakho.

Ungakuthola kanjani ukuhlolwa koshukela

Lolu cwaningo luthatha uhlobo lwesampula legazi lesiguli kusuka emunweni noma emithanjeni yensimbi; lenziwa ekuseni ngesisu esingenalutho. Ukuqeqeshwa okukhethekile akudingekile. Into esemqoka okufanele isiguli sazi ukuthi awukwazi ukudla noma yini ngaphambi kokuhlaziywa, njengokuphuza kuphela (amanzi ahlanzekile kuphela), kepha ngasikhathi sinye, ikhefu phakathi kokulethwa kohlaziyo nesidlo sokugcina akumele lidlule amahora ayi-14.

Kubalulekile futhi ukuthi ngosuku olwandulela ucwaningo, umuntu angadabuki, kukhiqizwe ama-hormone ahlangana nama-pancreatic mahs, yingakho ukuhlaziya kungakhombisa ukukhuphuka kweglucose. Kepha lokhu ngeke kukhulume ngesifo sikashukela. Igazi kuzofanele libuyiselwe.

Ungasusa kanjani imiphumela yokuhlaziya kahle

Namuhla ngezindlela ezinikezwe isiguli, asikho nje kuphela isikhombisi esikhonjwe kuye, kodwa futhi nemikhawulo esejwayelekile. Futhi umuntu uqobo uyakwazi ukuhlola ukuthi amanani athile ahambisana yini nenqubo evamile.

Isiqondiso kusakhiwo esilandelayo:

• Kumuntu omdala, indlela ejwayelekile ye-glucose ingu-3.89-5.83 mmol / L. Kepha ngokuvamisile ungathola uhla olunje ngo-3.3-5.5 mmol / L. Onke lamagugu angabhekwa njengokujwayelekile.
• Kubantu abasesigabeni seminyaka engu-60+, okujwayelekile kuzoba amayunithi ayi-6.38.
• Izinga le-ushukela elijwayelekile kowesifazane okhulelwe lizoba amayunithi angama-3.3-6.6. Isikhathi sokukhulelwa, ukwanda okuthe xaxa kweglucose kuzoba yinto evamile.

Uma ukuhlaziya kuveza ukwanda kwe-glucose, lokhu kubonisa i-hyperglycemia. Imininingwane enjalo kungenzeka ukuthi ikhulume ngesifo sikashukela. Kepha hhayi lesi sifo kuphela esingahle sifihlwe ngemuva kwamanani aphezulu kashukela, singaba umaka wezinye izindlela ze-endocrine, nezifo zesibindi, nezifo zezinso, kanye nophawu lwe-pancreatitis esibi noma esingamahlalakhona.

Uma ushukela ungaphezu kokujwayelekile, ingabe leso sikashukela?

Vele, ukuhlaziya okukodwa akwanele ukwenza ukuxilongwa. Uma kutholakala noma yimaphi amanani amabi (kunoma iyiphi indlela), izivivinyo ziphindaphindeka kabili, isiguli sinikezwa izifundo ezithuthukile.

Kaningi, ukuhlaziya kokuqala kukhombisa ushukela omningi, kepha lokhu kungenxa yokuzivocavoca okukhulu ngokomzimba ngaphambi kovivinyo noma ukushaqeka okungokomzwelo okukhulu. Ngisho nokuphuza utshwala ngosuku olwandulela ukuhlaziywa kungathinta imiphumela.

Kunesimo somkhawulo esibizwa ngokuthi odokotela prediabetes, futhi lesi sigaba singekho futhi kufanele silawulwe, ngaphandle kokunikeza lesi sifo ithuba lokuthuthuka.

Ngabe amayunithi angama-5.5 ajwayelekile?

Yebo, izinkomba ezinjalo zibonisa ukuthi i-carbohydrate metabolism emzimbeni ihamba kahle. Ezinye iziguli ezisolisayo ikakhulukazi zibona ukuthi uphawu lwe-5.5 luyinani eleqile lesilinganiso, bese liqala ukukhathazeka. Isimo esinjalo asisijwayelekile kuma-hypochondriacs, abantu abakwaziyo "ukuzihlola" izifo ngokwabo, ikakhulukazi, okuyiqiniso, elingekho.

Eqinisweni, uphawu olunjalo luyinto evamile, futhi akukho kungabaza ngalokho. Futhi uma usunokungabaza, phumelela isivivinyo ngemuva kwesikhathi esithile (vele ungakhathazeki ngosuku olwedlule).

Ushukela uyaguquguquka ngisho naphakathi nosuku, ngoba izinga alisoze lifane ekuhlaziyeni okuhanjiswe ngezikhathi ezihlukile.

Uma isiyaluyalu singasasebenzi, udinga ukuthatha isinyathelo. Okungukuthi, ukuthatha ukuvimbela ngokuphelele kwesifo sikashukela kanye nezinye izifo ze-metabolic. Lokhu kusebenza kuwo wonke umuntu, futhi indlela elinganiselayo yezindlela zokuzivikela ngeke nakanjani isebenze.

Imfundo yomzimba yokulwa nesifo sikashukela

Akunakwenzeka ukubukela phansi ukubaluleka komsebenzi womzimba womuntu wokugcina impilo yakhe. Kungabonakala, buyini ubudlelwano phakathi kwemfundo engokomzimba neglucose efanayo? Kepha ukuxhumana yikhona okusondele kakhulu: ukusebenza ngokomzimba kwandisa ukuthambekela kwamaselula kwe-insulin. Lokhu-ke, kuthulula ama-pancreas - akudingeki ukuthi kusebenze ngaphezu kokujwayelekile kokukhiqizwa kwe-insulin.

Ngakho-ke, abasubathi kanye nabantu abamatasa ngokwasemzimbeni bakubona kulula kakhulu ukugcina amazinga kashukela ngaphakathi kwemikhawulo eyamukelekayo. Ngasikhathi sinye, imfundo yezomzimba ayidingeki kuphela kulabo abayilungu leqembu eliyingozi lesifo sikashukela. Lokhu kusebenza kuwo wonke umuntu, ngaphandle kokukhetha, futhi kusebenza kabili kubantu abakhuluphele.

Ukukhuluphala akusilo ize uma kuqhathaniswa nebhomu lesikhathi. Kuyalimaza izindlela eziningi ezenzeka emzimbeni womuntu, umsebenzi wezinhlelo zonke. Futhi abantu abakhuluphele ngokweqile kungenzeka kakhulu babe nesifo sikashukela kunabantu abagcina isisindo sabo sijwayelekile.

Uhlobo luni lwemfundo yomzimba efanelekile? I-normalization ye-carbohydrate metabolism ithonywa kahle ngamandla, ukuqeqeshwa kwe-aerobic nokuqina okuphezulu. Futhi uma imfundo yokomzimba iba yingxenye yempilo yomuntu, amakilasi ejwayelekile, ngomthwalo olinganiselayo, kumodi efanele, khona-ke ukukhiqizwa kwe-insulin kuzoba okujwayelekile.

Izeluleko ezi-6 zesifo sikashukela

Akuwona kuphela umdlalo obhekwe njengeyona ndlela evikela umuntu ukuthi angabi nesifo sikashukela. I-Endocrinologists yenze izincomo ezimbalwa ezilula, ukuqaliswa kwayo akudingi ukutshalwa kwezimali okukhethekile kusuka esigulini, noma eminye imizamo eqatha.

Amathiphu we-Endocrinologists:

1. Amanzi angumthombo oyinhloko wamanzi angenayo. Konke okunye, kufaka phakathi iziphuzo neziphuzo ezithambile, kumnandi, kepha asiphuzi isiphuzo semvelo esinenani elikhulu loshukela nezithasiselo zekhwalithi ezingathandeki. Amanzi akaqedi ukoma kuphela - agcina i-glucose ne-insulin ilawulwa. Olunye ucwaningo olukhulu lwaqinisekisa ukuthi abantu abakhuluphe ngokweqile abaphuza kuphela amanzi asobala esikhundleni se-soda ngesikhathi sokudla awaneli nje ngokuncipha kwamazinga kashukela, kodwa futhi bakhuphula ukuzwela kwe-insulin.
2. Vivinya isisindo sakho. Yebo, le mfuneko ihlala ihlotshaniswa nezimfanelo zomuntu zokuthamba, kepha lokhu kunjalo lapho amandla okuziphatha ezenezela impilo yomzimba. Ukwehla kwesisindo akudingekile ukuqhubeka nokudla okuqinile. Kunomqondo olula wokudla okufanele, lapho uhlu lokudla oluvunyelwe lungagcini ohlwini oluncane. Kepha kunemithetho ethile yokupheka, inhlanganisela yokudla, amakhalori, njll esiza ukunciphisa umzimba. Kumuntu okhuluphele kakhulu, amanoni aqongelela eduze kwesisu, kanye nokuzungeza isibindi, okuthi kuwo umzimba uzwe ngokungafanele nge-insulin.
3. Yekani ukubhema. Kukhona ucwaningo olwembulile: kumuntu oyekile ukubhema, eminyakeni emihlanu ngemuva kwalokhu, ubungozi bokuthola isifo sikashukela buncishiswa cishe yi-13%. Eminyakeni engamashumi amabili kamuva, ubungozi bulinganiswa nezinkomba ezifanayo abantu abangakaze babheme abangaziqhayisa ngazo.
4. Yidla ukudla okuncane. Ukudla okusepuletini kufanele kubukeke sengathi awulambile kakhulu, futhi uzodla okuncane. Yidla kancane, vumela umzimba uthole isikhathi esanele. Isiginali eya ebuchosheni mayelana nokuhlanjululwa sekwephuze kakhulu, ngoba umuntu uthambekele ekudla ngokweqile. Iqiniso elilodwa kuphela elanele: kubantu abaguqukela ekudleni ngezingxenye ezincane, ubungozi besifo sikashukela buncishiswa cishe ngo-46%.
5. Thola ukudla okuningi okune-fiber. Kungaba lula nokunyibilika. I-soluble fiber, ethola uketshezi, yakha ingxube ye-jelly emgodini wokugaya ukudla, eyehlisa inqubo yokugaya. Lokhu kusho ukuthi ushukela ungena egazini kancane kancane. I-fiber engabonakali futhi ivimbela ushukela ukuba ukhuphuke kakhulu.
6. Ukuvinjwa kokuntuleka kwe-Vitamin D. Uma ukugcwala kwe-cholecalciferol esegazini kuyinto evamile, khona-ke ingozi yohlobo 2 lwesifo sikashukela incishiswe ibe ngu-43%. Vitamin A inomphumela omuhle kumaseli ahlanganisa i-insulin. Ukuze wenzele ukuswelakala kwaso lapho kungekho ilanga lemvelo, kufanele ufake phakathi izinhlobo ezinamafutha ezinhlanzi nezinhlanzi zesibindi.

Enye ithiphu - ungayeki ikhofi. Isiphuzo sekhwalithi asisi sibi njengombono osunguliwe waso. Indebe yekhofi yansuku zonke isiza ukunciphisa ingozi yesifo sikashukela ngamaphesenti ayi-10 kuye kwangama-54! Lokhu kuhluka kuchazwa ngobungako nekhwalithi yesiphuzo esiphuziwe. Kepha ikhofi kuphela okufanele idakwe ngaphandle koshukela. By the way, itiye linomphumela ofanayo.

Isifo sikashukela yisifo esingathinta umuntu ngokoqobo kunoma isiphi iminyaka. Vele, kubantu besigaba 40+ amathuba okuthola ukugula aphakame kakhulu, futhi izici ezinomthelela ekuqaliseni kwalesi sifo zandisa lokhu kungenzeka.

Ngakho-ke, ngoshukela ngenani lika-5.5, kuyadingeka ukuthatha ukuvimbela lesi sifo ukuze lolu phawu luhlale lusezingeni elifanele iminyaka eminingi ezayo.

Ividiyo - Ushukela nobuchopho bethu.