Izimbangela zoshukela wegazi ophakeme - okufanele ukwenze futhi kuhlangene ngani?

Ijenali yezokwelapha yesiNgisi ishicilele imiphumela yocwaningo oluhlola ubudlelwane phakathi kwe-glycated hemoglobin nokufa komuntu wesilisa. Lokhu kuhlolwa kufaka phakathi amavolontiya angama-4662 aneminyaka engama-45-79, iningi lawo belingenaso isifo sikashukela.

Kwabesilisa abane-HbA1C yabo engangeqi i-5% (okujwayelekile kumuntu omdala), ukubulawa kwabantu ngenxa yokuhlaselwa yisifo senhliziyo nokushaywa unhlangothi (izimbangela eziphambili zokufa kwabanesifo sikashukela) kwaba phansi kakhulu. Iphesenti ngalinye elengeziwe le-hemoglobin eline-glycated linyusa amathuba okufa ngama-28%. Ngokwalezi zibalo, i-7% HbA1C inyusa ukufa kwabantu ngama-63% uma kuqhathaniswa nokujwayelekile. Kepha ngesifo sikashukela, i-7% ingumphumela omuhle!

Ngokusho kokuqashelwa kwezifo eziwumshayabhuqe, eRussia azikho ngaphansi kwesifo sikashukela esingaphansi kwezigidi eziyi-8 (90% isifo sikashukela sohlobo 2), abayizigidi ezi-5 abasasoli noshukela ophezulu egazini labo. Zonke izinhlobo zikashukela zingama-oxidizing agents abulala imithambo yegazi nezicubu zomzimba womuntu, ingasaphathwa eyokuthi imvelo emnandi iyisimo esikahle sokuzala kwamagciwane.

Kepha, ngasikhathi sinye, ushukela ubelokhu ukhona futhi uzoba ngumthombo ophambili wamandla wemisipha, ubuchopho, izitho zomzimba. Ungawuthola kanjani lo mhlaba ophakathi nendawo, okuvumela ukuthi ube nempilo ngokudla okucolisisiwe nokuphila okungasebenzi kwabaningi esaphila nabo?

Kungani sidinga ushukela

Igama elithi "ushukela wegazi", elalisetshenziswa empilweni yansuku zonke, lalakhiwa odokotela be-Middle Ages, ababekholelwa ukuthi izikhalazo zokuvama njalo esikhwameni, ukoma nokuya njalo endlini yangasese kuhlotshaniswa noshukela omningi emzimbeni.

Kulokhu sikhuluma nge-glucose - ngenxa yalokho, wonke ama-carbohydrate awephulwe kuyo. Inani laso kumele lishintshwe ukuze wonke amaseli, futhi okokuqala ubuchopho, amukele ngokukhululekile umthombo obalulekile wamandla, futhi izinso zingawucindezeli umchamo.

Khumbula ingane egulayo: isimo se-acetone singabonakala ngokuphoxeka, ukuhlanza, ubuthakathaka, ukozela. Ngokushoda kwama-carbohydrate, umzimba wengane uthatha amandla emafutheni.

Ingxenye ye-glucose evela ngaphandle, isibindi sibeke ngendlela ye-glycogen. Ngokuntuleka kweglucose, ama-hormone akhethekile aguqula i-carbohydrate eyinkimbinkimbi ibe ushukela. I-glucose egazini esegazini ilawulwa yi-hormone insulin, eyenziwe ngamaseli we-pancreatic b.

Amanye ama-hormone nawo athinta izinga lawo:

1. I-Adrenaline, i-norepinephrine, i-glucocorticoids - ama-hormone ahlelwe eminyangweni ehlukahlukene yezindlala ze-adrenal;
2. I-Glucagon - icushiwe lapho amazinga kashukela ewela ngaphansi kokujwayelekile;
3. "Ama-hormone eqembu" we-hypothalamus kanye ne-pituitary gland ekhanda - abhekene nokuqamba kwe-adrenaline, ikhono le-glucocorticoids.

Amanye amakhompiyutha anjenge-hormone akhulisa ushukela, kepha izinqubo ezingemuva zilawulwa kuphela nge-insulin. Uhlelo lwezinzwa lwe-autonomic luvuselela ukusebenza kwabo: ukuncipha kulawulwa ngumnyango we-parasympathetic, futhi ukwanda kulawulwa ngabazwela.

Ingabe kunesigqi sansuku zonke se-glucose? Izinkomba ezisezingeni eliphansi kumitha zingabonwa kumahora angu-3-6 ekuseni. Ukuphazamiseka ezinqubweni ze-metabolic kuvezwa ku-glucose ephakeme (hyperglycemia) futhi kwehlisiwe (hypoglycemia). Kokubili lokho, nesinye isimo kuyinto engathandeki kakhulu kumzimba.

Yini ingozi ushukela ophezulu

IGlucose isebenza njengomthombo wamandla kuphela ngemuva kokungena esitokisini. Kulokhu, umqhubi wayo i-insulin yendabuko ekhiqizwa yi-pancreas. Uma akwanele noma ngenxa yezizathu ezahlukahlukene ilahlekelwa amandla ayo okusebenza, ushukela uqongelela egazini, kuyilapho amaseli eqhubeka nokubulawa yindlala, efuna ingxenye entsha yokudla kithi.

Ushukela ongeqile kusetshenzwe uguqulwa ube ngamafutha e-visceral, afakwa kwizitho zangaphakathi. Ingxenye yesigcino igcina isibindi, ikhiqiza ushukela lapho unganikezwa ngokwanele ukudla.

Uma ushukela wegazi ukhuphuka phakathi nosuku, okufanele ukwenze kuzoncika esikhathini sokulinganisa: ngaphambi kokudla noma ngemuva. Ukuze ukudla kuguqulwe kube amandla okuphila, kunokuba kufakwe "kudepho lamafutha", ukudala izimfuno zezinkinga ezintsha zezempilo, kubalulekile ukugcina ibhalansi ye-glycemic ibhalansi.

Iglucose ethe xaxa, kanye nokushoda, kulimaza umzimba womuntu. Ama-Sugars kuyo asebenza njengama-oxidizing agents, akha amaprotheni ahlukahlukene kanye ne-acid.

Inqubo yokuvuvukala kumaseli ibizwa ngokuthi i-glycation. Umphumela wayo ukuhlangana kobuthi obungaqhubeka emzimbeni kuze kufike unyaka. Kuyacaca ukuthi ngokukhuphuka kokugxilwa kwe-glucose, ubuthi obunobuthi buvela ngokuzikhandla ngokwengeziwe.

Kunenye futhi into ebeka engcupheni ekhulisa ukuqoqwa kwama-free radicals. Lokhu ngukukhathazeka oxidative, okuvusa ukukhula kwezifo ezingathi sína:

• Ama-retinopathies, ukulimaza okubukwayo;
• Ama-pathologies enhliziyo nemithambo yegazi;
• Ukwehluleka kwangempela
• Izinguquko ezenzeka ebuchosheni;
• Ukuqinisa ukuguga komzimba wonke.

Okungenani, amanani aphezulu eglucose anomthelela ekunciphiseni ukusebenza, ukukhuluphala kwesisindo, kanye nokwenyuka komfutho wegazi.

I-Hyperglycemia

Kuthiwani uma kuphakama ushukela wegazi? Ushukela omningi osegazini ungaba ukusabela okuguqukayo, okuqinisekisa ukulethwa kwamandla wezicubu ngokusetshenziswa kwawo okuphezulu (ngokuxineka kwemisipha, ubuhlungu obukhulu, ukukhathazeka ngokweqile, ukwethuka). Umehluko onjalo uvame ukuhlala isikhashana futhi awunikezi isizathu sokukhathazeka.

Uma i-glucometer ihlala ibonisa izinkomba ezinoshukela eziphakeme, kusho ukuthi inqwabelana egazini ngokushesha kunokuba umzimba ikwazi ukuyicubungula. Esimweni esinjalo, kungahle kube nokungasebenzi kahle ohlelweni lwe-endocrine: ukungasebenzi kahle kwephaneli, ukudakwa komzimba, ukubonakala koshukela ekuhlolweni komchamo.

I-Hyperglycemia ibonakala ngokusetshenziswa kwamanzi amaningi we-fluid, ukwanda kokuchama, lapho ushukela ukhishwa khona ngobuningi, isikhumba nolwelwesi lwama-mucous lubukeka lome.

I-Hyperglycemia akuyona inkinga yabanesifo sikashukela kuphela: indlala yegilo, isibindi, i-hypothalamus (okuyingxenye yobuchopho obhekene nezindlala ze-endocrine) nezinye izingxenye zohlelo lwe-endocrine, uma imisebenzi yabo inciphisiwe, ihlinzeka ngoshukela owengeziwe wegazi. Lesi simo sihambisana nokuwohloka kokusebenza kwamasosha omzimba, izinqubo zokuvuvukala, ukungasebenzi ngocansi nobuthakathaka obujwayelekile.

Isifo sikashukela sitholakala ngokufundwa kwe-glucometer kusuka ku-5.5 mmol / L (okubizwa ngokuthi "ushukela olambile", ngaphandle komthwalo wokudla). Uma ushukela wakho wegazi uphakanyisiwe kancane, ukuhlolwa okwengeziwe kuzokutshela ukuthi wenzeni. Ku-6-7 mmol / L esiswini esingenalutho, ungacabanga nge-prediabetes, uphakamisa ukuguqulwa kwendlela yokuphila (ukudla okune-carb ephansi, ukulawula ukusebenza komzimba nesizinda semizwa, ukuqaphela izinkomba ze-glucose) ngaphandle kokuxhaswa kwezidakamizwa.

Umuntu angacabanga ukuthuthukiswa kwe-hyperglycemia uma okungenani ezinye zezimpawu zibonakala:

1. Umile njalo;
2. Ulwelwesi lwe-mucous olwenziwe ngokweqile;
3. Ukuchama okuchazayo;
4. Ukuluma endaweni ye-pubic kanye nasesikhunjeni sonke;
5. Izinkinga zombono oqondile;
6. Ukwehla kwesisindo okungenasizathu;
7. Ukukhathala, ukozela;
8. Amanxeba okuphulukisa amade;
9. Ukwehla kanye nokuqina kwemilenze;
10. Ukutheleleka njalo okuyisikhunta, kungalapheki kahle;
11. Ukufushane komoya onephunga le-acetone.

Uma ushukela wegazi ophakeme, yini okufanele uyenze? Okokuqala, hlola "ubukhulu benhlekelele", okungukuthi, qhathanisa ukusebenza kwakho nokujwayelekile.

Okushukela kubhekwa njengokujwayelekile

Izinga likashukela libalwe maphakathi nekhulu lamashumi amabili ngemuva kokuhlola iziguli ezingaphezu kwenkulungwane, ezinempilo nezeshukela. Esimweni sokuqala, indlela ejwayelekile ye-plasma glucose ingu-3.3-5.5 mmol / l ngaphandle komthwalo. Kwesibili - kusuka ku-7 (ushukela "ushukela) kuya ku-10 mmol / l (ngemuva kokulayisha). Imiphumela isivele ibonakala lapho i-glucometer inyukela ku-6.0 mmol / L.

Uma ushukela wegazi ungaphezulu kokujwayelekile, yini okufanele ngiyenze? Lapho inqubo yokugaya iphazamiseka futhi ushukela udonswa ngokwengxenye, izinga lawo lizokhula kancane kancane. Uma kungenayo i-insulin emzimbeni (enesifo sikashukela sohlobo 1), noma ingahambelani nemisebenzi yayo ngenxa yokuncipha kokuzwela kwama-cell receptors kuma-hormone (onesifo sikashukela sohlobo 2), umzimba awutholi amandla awadingayo, ngenxa yalokho ukukhathala okungamahlalakhona . Ukuqeda ushukela ngokweqile, uhlelo lwezakhi zofuzo ligcwala izinso, yingakho uhambo oluya ethoyilethi seluvama kakhulu.

Uma ushukela wegazi uhlala ubuningi, uyaqina futhi ungabe usangena ngemithambo emincane. Ukuphazamiseka ekunikezelweni kwegazi akuyona inkomba yezimonyo ngendlela yenethiwekhi ye-varicose esikhunjeni, kepha kuyinkinga enkulu yomzimba wonke.

Uma ushukela wegazi ophakeme, yini okufanele uyenze? Ukuguqulwa kwendlela yonke yokuphila kuzosiza ukuphatha ushukela: umsoco ophansi we-carb, ukukhathazeka okwanele ngokomzimba nangokomzwelo, ukuqapha iphrofayili yakho ye-glycemic.

Ungalithola kanjani ushukela wakho?

Ushukela wegazi ophakeme - okufanele ukwenze? Ukuhlaziywa okujwayelekile akusona isizathu sokwethuka, ngoba kubonisa izinga leshukela ngesikhathi sokuhlolwa, ngakho-ke ngeke kube inhloso.

Idatha ye-glycated hemoglobin ayincikile ekusetshenzisweni kwezidakamizwa noma kokudla, ingcindezi engokomzwelo neyomzimba. Inani lamaseli egazi abomvu acwengekileyo lilinganiswa njengephesenti. Le mizimba yegazi ihlala izinsuku ezingama-120, kungakuhle ukuthi uthathe izivivinyo ezinjalo njalo ezinyangeni ezi-4.

Ukuguqula amaphesenti abe yizilinganiso ezijwayelekile m / mol ngathi, sebenzisa itafula.

Kuyafaneleka ukubheka izincomo ezilandelayo:

• Izinga loshukela alincikile ebulilini.
• Ngeviki lama-24- 28, abesifazane abakhulelwe baphumelela ukuhlolwa kwamahora amabili okubonisa ukubekezelelwa kwe-glucose.
• Ngemuva kweminyaka engama-40, hlola i-hemoglobin yakho ye-glycated izikhathi ezi-3 ngonyaka.
• Ezinganeni ngemuva kweminyaka engu-5, isilinganiso seshukela sisondele kubantu abadala: ezinsaneni kuze kube unyaka - 2.8-4.4 mmol / l, kuze kufinyelele ezinhlanu - 3.3-5.0 mmol / l.
• Kubalulekile ngaso sonke isikhathi ukugcina amanani ajwayelekile e-glycated hemoglobin.

Ungakulungiselela kanjani ukuhlaziya?

1. Ushukela wokuzila unikezwa ekuseni ngemuva kokuqhekeka kwamahora angama-8 kuya kwe-12 kokudla. Kubalulekile ngasikhathi sinye ukulala kahle, ukungabuphuzi utshwala namaswidi amaningi ngosuku olusebusuku.
2. Shintsha indlela odla ngayo nendlela ophila ngayo ngaphambi kosuku lokuhlaziywa akukufanele, ngoba umphumela ngeke ube inhloso.
3. Ukuhlolwa kokubekezelela kwe-glucose kuyinkathazo: isiguli sinikezwa u-75 g we-glucose bese umphumela uhlolwa kabili (ngokuphumula kwehora eli-1). Ukuhlaziywa kubalulekile ekuhlolweni kwe-prediabetes kanye nesifo sikashukela, yize kuyisicefe ngesikhathi. Phakathi kokukalwa ongakwazi ukukudla, ukukhathazeka, ukuhambisa okuningi.
4. I-Glycated hemoglobin, ethola ushukela wegazi ngamaphesenti, inqubo esheshayo ehlola imiphumela yezinyanga ezintathu. Kodwa ukuhlolwa okunjalo akulungele abesifazane abakhulelwe. Ungayithatheli ezifweni ezithathelanayo eziyingozi. Uma kunesidingo, kuyadingeka ukwazisa umsizi welebhu ukuze unake lezi zimo uma kubekwa phansi.
5. Ungahlola ushukela wakho ngemitha ye-glucose esiswini esingenalutho futhi ngemuva kokudla (ngemuva kwamahora ama-2) ngokwakho, ukulungisa umthamo we-insulin.

Lapho ubheka ushukela ekhaya, kubalulekile ukwazi ukuthi yiziphi izindinganiso okufanele ziqondiswe, ngoba kumuntu ophilile nomuntu onesifo sikashukela ziyahlukahluka.

Ungahlola kanjani ushukela nge-glucometer?

1. Funda imiyalo;
2. Izandla kufanele zigezwe ngamanzi ashisayo kanye nensipho;
3. Umunwe wendandatho (imvamisa ngakwesobunxele) kufanele womiswe ngesikwele sezinwele, kungcono ukungasebenzisi utshwala (kuhlanekezela umphumela);
4. Faka umucu wokuhlola kumitha bese ulindela isiginali yomsindo;
5. Ngopeni olukhethekile noma isikhwebu, bhoboza umunwe wakho;
6. Ithonsi lokuqala kufanele lisulwe ngethala lekotini elomile;
7. Okwesibili ukunamathisela kumucu wokuvivinya ngemuva kokuvela kwesithombe esidonsa. Ngemuva kwemizuzwana embalwa, ungafunda umphumela.

Ushukela wegazi ophakeme: okufanele ukwenze?

Akuwona ama-pancreas kuphela angaba imbangela kashukela ophezulu. Uma ukuxilongwa okuhlukile kuveze i-hepatitis noma i-pituitary gland neoplasm, i-psychology eyinhloko kufanele ilashwe.

Ukudla ushukela omningi

Ushukela omningi, i-endocrinologist izoncoma ukuthi kudliwe i-carb ephansi - ithebula No. 9. Isimo sayo esiyinhloko ukukhipha ukudla okususelwa kumakhabhathi asheshayo ekudleni: ushukela, i-pastries, i-pasta, amazambane, amaswidi, ujamu, uju, iziphuzo ezinoshukela kanye namajusi, utshwala.

Isisekelo sokudla kufanele kube imifino ekhula ngaphezu kwenhlabathi (ubhontshisi, i-zucchini, ukhukhamba, iklabishi, utamatisi, njll.), Okusha kakhulu. Ukwelashwa okushisa kufanele kube kuncane. Imikhiqizo yamaphrotheni: inyama, inhlanzi, amaqanda, imikhiqizo yobisi, uma uyisebenzisa ngokulinganisa, ngaphandle kwesinkwa nezitsha eziseceleni eziyingozi futhi ungcono ekuseni, ungathinti izinkomba ze-glucometer.

Lapho ukhetha imikhiqizo, iqondiswa okuqukethwe yikhalori yawo kanye nenkomba ye-glycemic. Ngaphezu ushukela, kuyadingeka ukulawula inani likasawoti ezitsheni.

Kuthiwani ngoswidi?

Ama-sween synthetic angama-carcinogens, akhanselwa ngezikhathi ezithile emazweni athuthukile. Kunoma ikuphi, umthamo we-saccharin, i-aspartame, i-sucracite kufanele ube nomkhawulo ngokuqinile. Ukusetshenziswa kwama-analogues wemvelo njenge-stevia kuyamukeleka uma umzimba ungaphenduli ngemiphumela engathandeki ngendlela yokuphazamiseka kwengqondo kwe-dyspeptic.

Ukuvivinya umzimba kusiza ukulawula ushukela

Imisipha, i-aerobic, imithwalo ye-Cardio ithuthukisa izinqubo ze-metabolic, ithuthukisa ukufakwa kweglucose ngezicubu. Ngemuva kokuzivocavoca okusebenzayo, impilo kanye nemizwa iyathuthuka - izimo ezibalulekile zokushintshwa kwe-glycemia.

Akuwona wonke umuntu ongavakashela iklabhu lokuzilolonga, kepha abantu abaningi bangasebenzisa amabhayisekili, ukubhukuda, ukuhamba ngezinyawo, ukudansa, ithenisi, i-badminton. Kubalulekile ukwenza isethi yokuzivocavoca emoyeni ohlanzekile, ngoba igumbi elinamafutha lingavusa i-hypoglycemia - isimo esisongela impilo. Isikhathi esisebenzayo kufanele sinikezwe okungenani izinsuku ezi-5 ngesonto imizuzu engama-30-60.

Ingabe kufanele ngishintshele emithini yokwelashwa?

Kuyacaca ukuthi ikhambi elingcono kakhulu lesifo sikashukela liwukudla okufanele, ngoba izidakamizwa ze-hypoglycemic zisiza ukulawula ushukela ngama-30% kuphela. Uma umuntu ophilile engadla ama-carbohydrate ayi-300 g ngosuku, khona-ke kukhona abantu abaningi abanesifo sikashukela kanye nama-85 g.

Kepha ngisho nokudla okuqinile, akuwona wonke umuntu ongalawula ushukela ngo-100%. Lokhu kuyiqiniso ikakhulukazi kwabanesifo sikashukela abanesifo sohlobo 2 nokwehluleka kwezinso.

Umthamo nohlu olunqunywe udokotela kumele lubhekwe ngokuqinile. Ukulawulwa koshukela, kuye kwakhiqizwa izinhlobo ezi-4 zemithi ezihlukile ekubumbeni nasendleleni yokuthonya kule nkinga.

• Izindlela zokwelapha ezihlisa ukumelana kwe-insulin kwama-receptors ama-greatuanides nama-thiazolinediones (Glucofage, Metformin, Rosiglitazone, Pioglitazone).
• Ukuqina kokukhiqizwa kwe-endo native insulin b-cell izidakamizwa ze-sulfonylurea (Diabeteson, Maninil) nobumba.
• Ama-asccinomimetics asiza ukulawula isisindo kanye nesifiso sokudla ngokusekela ama-enzyme akhethekile - ama-incretin abandakanyeka kwinqubo ye-metabolic (Viktoza, Yanuviya, Baeta, Galvus).
• Imithi elawula ukufakwa kweglucose ngezindonga zamathumbu (Glucobai, Acarbose).

Musa ukunquma izidakamizwa ze-hypoglycemic zezifo zesibindi nezinso, ukuhluleka kwenhliziyo (CHD, ukushaya kwenhliziyo), unhlangothi, ukukhulelwa, i-hypersensitivity ezingxenyeni zemithi, ebuntwaneni, esimweni sokukhathazeka kwesifo sikashukela. Ama-asccinomimetics asebenza kuphela ngamanani aphezulu we-glucometer.

Ekuhlinzweni kokuhlinzwa, ukulimala okungathi sína, ukukhulelwa, uhlobo olubi lwezifo ezithile, ukungasebenzi kahle kwamathebhulethi esiguli kudluliselwa ku-insulin. Imijovo isetshenziswa njenge-monotherapy noma ekwelashweni okuyinkimbinkimbi.

Ngezinhlobonhlobo ezinjalo zezidakamizwa, ngisho nodokotela onolwazi, ebheka iminyaka yobudala, ama-contraindication, isigaba sesifo, ama-psychologist ahlangana nawo, akukho lula ukwenza ukukhetha. Futhi ukuzivivinya ngempilo yakho kuyingozi.

Uma ushukela omningi ungelashwa

Izici ezibangela ukuthambekela kokuthayipha isifo sikashukela esingu-2:

• Isisindo esengeziwe (isigaba sesibili sokukhuluphala);
• Umfutho wegazi ophakeme (ngenhla kwe-140/90 mm Hg;
• Izinga eliphakeme le-cholesterol ephelele futhi "embi";
• I-ovary yePolycystic;
• Isibindi sokuqothuka (lapho umndeni unesifo sikashukela nganoma yiluphi uhlobo lwesifo);
• Abesifazane abazale izingane ezinesisindo esikhulu (kusuka ku-4,5 kg);
• Abesifazane abakhulelwe kutholakala ukuthi banesifo sikashukela sokukhulelwa.

Ushukela ophakeme okwesikhashana awuzivezi, kepha ukungabi bikho kwezimpawu akulondolozi ezinkingeni ezinkulu: i-hyperglycemic coma, iketoacidosis yesifo sikashukela, edinga ukunakekelwa ngokushesha kwezokwelapha. Isimo esibucayi sisebenzelana ne-10% yesifo sikashukela, abanye bafa ngemuva kokuqunjelwa umlenze nokuqunjelwa umlenze, ukushayiswa inhliziyo, unhlangothi, ukuhluleka kwezinso, futhi baphelelwe umbono.

Ushukela obabayo uveza imithambo yegazi. ICalcium ihlala ezindongeni ezilukhuni, kancane kancane uhlelo lokuhlinzekelwa ngegazi luba njengepayipi lamanzi elivuthayo. Lapho ukhuphuka ushukela, ngokushesha imikhumbi iyalimala bese kuba nezinkinga ezibulalayo. Umuntu ophilile akanalo ushukela omningi.

Kumadoda anesisindo esingu-75 kg, umthamo wokujikeleza kwegazi uphuza amalitha ama-5. Ushukela ojwayelekile (5.5 mmol / L), ithisipuni likashukela (5 g) kufanele lichithwe kulo. Ukuze ulondoloze ukulinganisela, ama-microdoses of glucose nama-hormone alawula ibhalansi angena egazini njalo ngomzuzwana wosuku usuku lonke.

Kungani kuphakanyiswa ushukela wegazi, nokuthi yini okufanele uyenze kuqala, ukuhlolwa okugcwele kuzotshela. Ngempela, hhayi nje kuphela abanesifo sikashukela abanamanani aphezulu kwi-glucometer - ezinye izidakamizwa (ama-diuretics, ama-corticosteroids, ama-β-blockers, ama-antidepressants, ama-contraceplication ama-hormonal), amazinga okuxineka aphezulu, anciphise impilo ye-pituitary and adrenal gland, kanti nezifo zibuye zikhuphule i-glucometer.

Ukuhlangana nodokotela irejimeni yokwelashwa nganoma yisiphi isifo, chaza ukuthi umuthi obekiwe ulithinta kanjani ushukela.

Uma ushukela wegazi ukhuphuka kakhulu, kufanele ngenzeni? Ukwanda okusheshayo kweshukela kushesha kwenzeka ngokuhlaselwa yisifo senhliziyo, i-angina pectoris, izinhlungu ezinzima nge-adrenaline rush, ukuhlaselwa isithuthwane, ukusha, ukulimala ekhanda nokuhlinzwa kwesisu. Ukwelapha kuleli cala kuyimpawu.

Cishe i-6% yabantu bomhlaba namuhla banesifo sikashukela i-mellitus - i-pathology, isibonakaliso esiyinhloko sawo ushukela wegazi ophezulu. Izici zangaphandle zithonya ukukhula kwesifo, izakhi zofuzo nazo zidlala indima, kepha okuningi kuncike kithi. Lawula amapharamitha akho abalulekile!

Ku-video i-https - chemistry yomzimba: ushukela.