Okufanele ukwenze uma ushukela wegazi ukhuphuka u-13 mmol

Ushukela wegazi uyindlela yokuthola izinqubo eziningi emzimbeni womuntu onempilo nasekwelapheni isifo sikashukela. Izinga le-glucose (glycemia) ekuhlaziyeni libonisa isimo se-carbohydrate metabolism. Ngokusho kwalesi sikhombisi, umuthi, amamenyu nendlela yokuphila yesiguli iyalungiswa. Yini esongela ukwanda kwe-glucose futhi yini okufanele uyenze uma ushukela wegazi engu-13?

Iglucose yegazi - ejwayelekile ne-pathological

Banikela ngegazi "ngoshukela" njalo, esivivinyweni ngasinye sokuvimbela ukwelashwa, lapho bengena enkulisa, batadisha, besebenza.

Izinombolo emiphumeleni zikhombisa ukuthi mangaki ama-mmol kashukela ngamunye kwilitha eyi-1 yegazi lesiguli.

Kunemikhawulo ngokomzimba yemikhawulo kashukela wegazi yokuzila ukudla nangemva kokudla.

Uma isiguli sinokusola kokubekezelela ushukela, lapho-ke kwenziwa ukuhlaziya okukhethekile kwe- “curve ushukela”, okukhombisa ukufakwa kweglucose ku-dynamics. Isisekelo sokusolwa kwesimo se-prediabetesic singaphezu kokuqukethwe koshukela ekuseni ngaphambi kokudla.

Ukufundwa koshukela okujwayelekile:

• Kumuntu ophilile: ngaphambi kokudla akukho okuphezulu kune-5 mmol l, amahora ama-2 ngemuva kokudla kuze kufike ku-5.5 mmol l;
• Esigulini esinesifo sikashukela esitholakele: ngaphambi kokudla kusuka ku-5 kuye ku-7.2 mmol l, amahora ama-2 ngemuva kokudla kungadluli ku-10 mmol l.

Ukwehluka komuntu ngamunye kumazinga kashukela ekuhlaziyeni kwamukelekile. Kodwa-ke, inombolo 7 (7.8) mmol / litre ibalulekile uma iphindwa kaninginingi. Isiguli sitholakala sine-prediabetes, okukhombisa ukuthi sekuvele ukuthi kukhona ukuphula umthetho ekugayweni kwama-carbohydrate kanti isimo sesiguli sichazwa njenge-hyperglycemia. Ukulawulwa okunamandla, isiguli sinikezwa ukuhlaziywa kwejika leshukela.

Uma ushukela wegazi engu-13, umbuzo-ke uthi "wenzeni?" okucelwe maqondana nomuntu onesifo sikashukela. Okomuntu ophilile, inkomba enjalo ayisiyo uphawu.

IGlucose 13 - kusho ukuthini

Isilinganiso sokuhlaziywa kweglucose yegazi esingu-13 mmol / L kuvame ukuba umugqa womuntu. Isibalo se-13 mmol l sibonisa ukuthi isiguli sisesigabeni sokuqala se-hyperglycemia esesilinganisweni. Lapha, i-metabolism iyinkimbinkimbi yi-acetonuria - ukukhishwa kwe-acetone kumchamo. Ukwanda okwengeziwe koshukela wegazi kusongela impilo yeziguli.

Izimpawu ze-hyperglycemia:

• Ukuchama kaningi, umchamo ungaba nephunga elisobala le-acetone (iphunga elifanayo lingaqhamuka eminwe yeminwe yesiguli nomoya wakhe;
• Umile;
• Ukwehla emzimbeni, okunqunywa ngokusobala isikhumba esigoqekile seminwe, amehlo acwengekile;
• Ubuthakathaka, umbono ongathambile.

Usizo lokuqala lwe-glucose ephezulu

Ukuze uzinze lesi simo, isiguli esincike ku-insulin kufanele sinikezwe umthamo ojwayelekile womuthi ngaphandle kwesheduli. Uma ngabe le ndlela ayizange iholele ekuphuculeni okukhulu ngemuva kwesikhashana, khona-ke isiguli kufanele siphindaphinde ukujova. Ngaphezu kwalokho, kunezimo ezimbili ezingabakhona:

1. Izinyathelo ezithathiwe zisizile, izinga likashukela lehla. Ukuze uzinzise lesi simo, abanesifo sikashukela kufanele banikezwe i-carbohydrate encane yokugaya. Kungaba uswidi noma ingilazi yetiyi elimnandi elifudumele (elithandekayo).
2. Izindlela zokwelapha zazingenamphumela. Isimo sesiguli siyaqhubeka siba sibi, izinga le-glucose liyabekwa noma liyehla.

Kwenzekani uma unganaki inketho 2? Ushukela wegazi uzokhuphuka ngokuqina, ngoba i-metabolism ayikwazi ukunikeza isilinganiso esanele sokuthathwa kwe-glucose, futhi umzimba (ngokumelene nesizinda sikashukela kumchamo) uyaqhubeka nokulahlekelwa uketshezi.

Inqubo isongela ukungena esigabeni se-hyperosmolar coma, lapho izinombolo zifinyelela ku-55 mmol l.

Izimpawu ze-hyperosmolar coma:

• Ukoma okungenakuqedwa;
• Izici zobuso ezibukhali;
• Ukudideka, ukulahlekelwa ukwazi.

Isiguli esinezimpawu ezifanayo (noma kungcono singalindi ezinjalo) kufanele sithuthelwe esikhungweni sezokwelapha.

Kubantu okutholakala ukuthi banesifo sikashukela sohlobo 2 sikashukela (i-insulin-esizimele), isimo se-hyperglycemia esilinganiselayo singakhula ngokuhamba kweminyaka.

IGlucose 13 yesifo sikashukela sohlobo 2

Uma imitha ye-glucose yasekhaya ivame ukukhombisa ukukhuphuka kwe-glucose kuze kufike ku-13 mmol l, khona-ke isiguli kudingeka siye kudokotela we-endocrinologist. Ezigulini ezinesifo sikashukela isikhathi esingaphezu konyaka, umzimba uphela kancane kancane ulahlekelwe ushukela. Isiguli "sivumela futhi sivumelane" nezinguquko ze-pathological, eyeka ukuzizwa. abantu abanjalo bangahle bakhononde ngempilo yabo noma kufundwa nge-glucose eduze 17.

Kodwa-ke, inani le-13 mmol l liyinkomba yesidingo somzimba se-insulin evela ngaphandle.

Isifo sikashukela ngasinye sizama ukuhlehlisa isikhathi somjovo wokuqala we-insulin. Unxenxa udokotela uqobo, ukuthi amaphilisi angahanjiswa ngawo. Kunzima kakhulu ukwamukela ngokwengqondo inhloso yemijovo, kepha ukwesaba akunasisekelo.

Isiguli kwesinye isikhathi sidinga umjovo owodwa kuphela ngosuku ukuze sikhiqize i-insulin ethe xaxa ngomzimba wayo. Amasu wokuphathwa anqunywa ngawodwana. Abanye bavele badubule ebusuku, abanye bajova ngaphambi kokudla. Umthamo wamathebulethi nawo uyashintshwa. Kwesinye isikhathi ukuncipha kufinyelela ku-50%.

Izinkinga ezingaba khona ngenxa yokubonisana nodokotela ngaphambi kwesikhathi

Ukweqisa okungama-glucose egazini ngaphandle kokulungiswa kuholela ekuthuthukisweni kwezinkinga ezinzima ezivela kuzo zonke izitho nezinhlelo, ngaphandle kokuhluka. Lokhu:

• Ukuphazamiseka kwenhliziyo. Izinga lokukhula kwenhliziyo ekuphumuleni liyakhula, i-tachycardia kanye nokuhluleka kwenhliziyo okuqhubekayo.

• Ukulimazeka kokuzwela. Isiguli siyayeka ukuzwa ukulimala kwesikhumba nokuthintwa okuncane. Umuzwa wokuba nama-goosebumps, izitho ezilele ulele. Lokhu kuholela ekunikezelweni kokulimala kwesikhumba okuncane okugwazwa yisiguli.

• Ukudla kuyacasuka. Isisu singakhulisa noma sinciphise ukusebenza kwezimoto. Isiguli sihlangabezana nezimpawu zokugaya: usizi esiswini, i-belching, flatulence. Kusukela emathunjini - isifo sohudo siyashintsha ngokuqunjelwa okuqhubekayo.

• Ukuphazamiseka kwe-urogenital kukhula ngokumelene nesizinda sokulahleka kokuzwela kokuphela kwezinzwa kwesifunda se-lumbosacral. Kwabesifazane, lokhu kuboniswa ukoma kwesitho sangasese sowesifazane, okuholela kuma-microtraumas kanye nezifo ezithathelanayo. Kwabesilisa, le ndlela yokusongela isongela ngokulahleka kwe-potency. Kusuka ohlelweni lomchamo, lokhu (kungakhathalekile ubulili) ukuthuthukiswa kokuxinana, izinqubo zokutheleleka, ukubonakala komchamo osasele.

Izimpawu ezingenhla zifakiwe emcabangweni we- "diabetesic neuropathy", oqala ukumelana nesizinda sesikhathi eside se-hyperglycemia. Kwi-neuropathy yesifo sikashukela, uhlelo lwezinzwa olungemuva luyathinteka, zombili ezizimele (ezisebenza nge-reflexes) ne-somatic (ezisebenza ngaphansi kokulawulwa kwengqondo yomuntu).

Kodwa-ke, izindaba ezimnandi ukuthi ukubhekwa njalo kwezinga likashukela wegazi lesiguli sikashukela, ukukugcina kungokwamukeleka (kufika ku-10 mmol / l ngemuva kokudla) imikhawulo kuholela ekubuyiselweni kancane kancane kokuphela kwezinzwa.

Ukwemukelwa kwezinyathelo ezanele, ukubhekwa kwezokwelashwa, uma izinga likashukela lingama-13 noma ngaphezulu, kuyizinyathelo ezidingekayo zempilo ende negcwele enomlando wesifo sikashukela. Ezingeni lamanje lezokwelapha, lokhu kuyenzeka.