Uma ushukela omkhulu wegazi 25, yini okufanele uyenze nokuthi ungayelapha kanjani?

Isifo sikashukela isifo sikashukela yisifo esiba yindlela yokuphila. Ukuvimbela lesi sifo akuyona nje izincomo ngaphandle kokukhetha kubo bonke abantu, hhayi umsebenzi ngamunye neziguli ezisengozini, kodwa futhi nezivivinyo ezijwayelekile.

Okulula kwalokhu ukuhlolwa kweglucose yegazi. Kungukuhlaziywa okulula futhi okusheshayo okukuvumela ukuthi ukhombe ukuphambuka, ukwenza i-prognosis ye-hyperglycemia noma i-hypoglycemia.

Ushukela omkhulu wegazi

Isifo sikashukela yisifo esingelapheki esidinga ukubhekwa njalo. Ngaphandle kwalokho, ungaqala isifo, futhi izinkinga zingaholela emiphumeleni edabukisa kakhulu. Abantu abanesifo sikashukela bavivinya njalo ushukela, futhi awudingi ukuya ndawo - i-glucometer, ithuluzi elikhethekile okulula ukulisebenzisa, lizokhombisa idatha yamanje.

Udokotela unikeza ukwelashwa okukhethekile kweziguli ezinesifo sikashukela - lokhu kudla ngemithi ethile noma ukuphatha i-insulin ye-hormone. Uma ungawuphuthi umuthi ngesikhathi, noma ungawuphathi i-hormone ngesikhathi, izinga likashukela lingagxuma kakhulu, lenyuke ngaphezu kwama-20 amayunithi. Lezi izinkomba eziyingozi ezidinga ukunakekelwa okuphuthumayo kwezokwelapha.

Kusho ukuthini ushukela izingxenye ezingama-25 egazini

Izinombolo ezinjalo zingamaki wombuso we-hyperglycemic state, ikhulisa kakhulu inhlala-kahle yesifo sikashukela, futhi izimpawu ezingezinhle zihlala zihambisana nedatha enjalo kumamitha. Ingozi yokuthola izinkinga ezinzima kakhulu, ngakho-ke ukunakekelwa kwezokwelapha kufanele kube ngokushesha.

Udinga ukuqonda ukuthi ushukela wegazi akuyona intengo eqhubekayo - le nkomba ihlala iguquguquka. Unqikaza kubantu abaphilile. Kepha kwabanesifo sikashukela, noma yikuphi ukukhuphuka kubalulekile: ukulungiswa kuyadingeka.

Kuyaziwa ukuthi abantu abanesifo sikashukela kufanele balandele ukudla okuthile. Noma ikuphi ukuphambuka kuyo kunikeza ushintsho enkombeni engemihle. Lokho wukuthi, ukudla okulimazayo (ngokwesibonelo, lokho kuqukethe ama-carbohydrate asheshayo) kungaholela ekugxumeni ushukela. Kepha noma yikuphi ukucindezeleka, okunye ukugula, ukulala kabi kuthinta namazinga kashukela.

Uma ushukela ukhuphuke waya kuyunithi engama-25, udinga ukukhomba imbangela yalokhu kukhula: kungaba umuthi ophuthelwe noma umjovo we-hormone ongenziwanga ngesikhathi. Imenyu nayo idinga ukulungiswa - uma konke kwenziwa kahle, ukufundwa ushukela kuzobuyela kokujwayelekile ngemuva kwezinsuku ezingama-2-3.

Ukungasebenzi kahle kwe-insulin

Ngohlobo lokuqala lwesifo sikashukela, njengoba wazi, isiguli sidinga ukwelashwa kwehomoni. Lolu wuhlobo lwesifo sikashukela esincike ku-insulin lapho ukuphathwa kwe-insulin kungamiswa. Esikhathini sikashukela sohlobo lwesibili, kudingeka izindlela zokudla ezikhethekile, kanye nokuzikhandla okuthile komzimba, ukulungiswa kwendlela yokuphila.

Kungani i-insulin ingahlali isiza ngoshukela ophezulu:

1. Umthamo wesidakamizwa awusetshenziswanga kahle;
2. Ukudla kwephulwe;
3. Umjovo awulungile;
4. Ukugcinwa kwama-ampoules womuthi endaweni engafanele;
5. Izidakamizwa ezahlukahlukene zixubene kwisirinji efanayo;
6. Indlela yokusebenzisa umuthi ayilungile;
7. Imijovo idlulela endaweni yokwenza;
8. Inaliti isuswa masinyane emithanjeni yesikhumba;
9. Ngaphambi komjovo, isikhumba sigcotshwa ngotshwala.

Ekuboneni kokuqala, izizathu zingezobuchwepheshe kuphela, i.e. ngokuya ngazo zonke izincomo, umphumela uzoba njalo. Singasho ukuthi lokhu kunjalo, kepha izizathu ezingenhla zivame kakhulu, ngoba iphesenti lokusebenza ngempumelelo kwe-zero alilincane kangako.

Yini iziguli ezithembela i-insulin okufanele ziyazi

Zonke iziguli ezinesifo sikashukela sohlobo 1 kufanele ziqonde ngokucacile izici zesifo sazo, futhi zazi ngokuningiliziwe ukuthi, i-insulin ilimale kanjani.

Umuntu kufanele enze amaphutha athile kuphela lapho kugcinwa ama-ampoules (ngenxa yokunganakwa kwe-banal), ngoba umuntu angalindela ukungabikho komphumela wokwelapha umuthi. Kuphakathi kokuthi ngeke kusebenze nakancane, noma ukusebenza kwayo kuzokwehliswa ngo-50%. Uma ngesikhathi somjovo inaliti uphuma ngokushesha kakhulu esibayeni sesikhumba, enye ingxenye yezidakamizwa ingahle iphume - umphumela we-hormone uzokwehla ngokwemvelo.

Futhi isizathu esivamile sokungasebenzi komuthi, uma umjovo wenziwa njalo endaweni efanayo. Ngokushesha, amafomu okumbopha kule ndawo, futhi lapho inalithi ifika lapho, umuthi uzongenzwa kancane kancane.

Uma ukusola ushukela ophezulu, okuthi noma ngemuva kokuthi umjovo ungabuyeli kokujwayelekile, kungukuphuza okungalungile komuthi, udinga ukubonana nodokotela ngokuphuthumayo. Akunakusho ukuthi umuntu kufanele azikhethele ngokwakhe umthamo - kukhona ukunqatshelwa kwezigaba kulokhu, ngoba ngenxa yephutha, isimo se-hyperglycemic noma ngisho nesifo sikashukela singakhula.

Kuyini ketoacidosis?

Izinga le-glucose legazi lamayunithi angama-25 lingadala i-ketoacidosis. Umzimba womuntu wenziwe ngendlela yokuthi ubophezelekile ukuthola amandla ngokuba khona kwawo, kepha wona awutholi i-glucose, futhi uzama ukubuyisa amandla kagesi ngokuhlukanisa amadiphozithi.

Lapho amafutha ephukile, izidumbu ze-ketone ziyakhishwa. Zinobuthi emzimbeni womuntu, futhi leli qiniso lidangalisa ukudakwa. Lokhu kugula kubonakaliswa yizinhlobo eziningi zezimpawu ezingezinhle, futhi inhlala-kahle yomguli iba mandundu kakhulu.

Ibonakala kanjani i-ketoacidosis:

• Isiguli siyagula - unobuthi, uyingozi, ubuthakathaka, amandla okusebenza ancishisiwe;
• Ukuchama kuvame kakhulu futhi kube nephrofayili;
• Kusuka emgodini womlomo - iphunga elithile elihlaselayo;
• Ukuqhaqhaqaza kanye nesicanucanu kungenye yezimpawu eziphambili zokudakwa;
• Indlela yokugaya iphukile;
• Ukucasuka kanye novalo ngaphandle kwesizathu;
• Insomnia;
• Ushukela wegazi ophakeme - kusuka kumayunithi angama-20 noma ngaphezulu.

Ku-ketoacidosis yesifo sikashukela, ukubona okubonakalayo kukhubazekile - kunzima esigulini ukuhlukanisa phakathi kwezinto, konke okufana nenkungu. Uma ngalesi sikhathi isiguli siphumelela ukuhlolwa umchamo, kuzotholakala izidumbu ze-ketone lapho. Akunakwenzeka ukwelapha lesi simo ngokwakho, futhi ukungasinaki ngeke kusebenze - kungenzeka ukuthi kunokhokho abaphezulu, bese kuba ukhubazekile.

I-ketoacidosis iphathwa kuphela ngaphansi kwezimo zokuma. Isiguli kufanele sinikezwe umthamo owanele we-insulin. Ngemuva kwalokho odokotela basebenzise ukwelashwa okuhlose ukubuyisa ukuntuleka kwe-potassium, uketshezi namaminerali athile abalulekile.

Kukalwa kanjani ushukela wegazi

Le nqubo ivame ukwenziwa esiswini esingenalutho. Isampula yegazi ingathathwa emtholampilo, noma ungayenza ekhaya usebenzisa i-glucometer. Ngasikhathi sinye, khumbula: izinto zasekhaya zikuvumela ukuthi unqume izinga le-glucose ku-plasma, egazini ngokwalo lolu phawu luzokwehla ngo-12%.

Ukuhlaziywa kwenziwa kaningi uma, ngesikhathi sokuhlolwa kwangaphambilini, izinga elilinganisiwe lalingaphezulu kwamayunithi ayi-12, kodwa ngasikhathi sinye, alukho uhlobo lwesifo sikashukela olatholakala kumuntu. Uma izinkomba ezinjalo zitholwa okokuqala, umuntu udinga ukuya kudokotela.

Isiguli kuzodingeka siphumelele isivivinyo esibonisa ukungabekezeleleki kwe-glucose, sinquma isimo salokho okubizwa ngokuthi yi-prediabetes. Lokhu kucubungula kunqunyelwe ukuthi kukhishwe ukuqhubeka kwesifo futhi kuthola ukwehluleka ukumunca ushukela.

Ukuhlolwa kokubekezelela i-glucose kumele kudluliswe ngabantu abakhuluphele, iziguli zesigaba 40+, kanye nalabo abasengozini yokuba nesifo sikashukela. Okokuqala, umuntu uzodlulisela ukuhlaziywa esiswini esingenalutho, bese ephuza ingilazi kashukela oxutshwe, bese kuthi ngemuva kwamahora ama-2 kuvivinywe kuphindwe.

Odinga ukukwenza ukuze uthole idatha efanele

Umphumela oyiphutha walolu cwaningo awuvamile. Izimo eziqinile kufanele zibhekwe ukuze umphumela wokuhlaziywa ungamanga.

Ukuze ukuthembeka komphumela kufanele kube:

1. Thatha ukuhlaziywa kungakapheli amahora ayishumi emva kwesenzo sokugcina sokudla;
2. Ngosuku olwandulela lolu cwaningo, ungazibandakanyi nokusebenza kanzima, ungavumeli ukulindwa ngokweqile kwengqondo;
3. Awungeke ukuguqule ukudla ngosuku oluzayo lokunikela ngegazi (ungangenisi imikhiqizo emisha, exotic, njll.) Ekudleni;
4. Ukuxineka nokucindezeleka okungokomzwelo kungenye iphuzu elithinta amazinga eglucose, ngakho-ke udinga ukuwagwema ngaphambi koshintsho;
5. Lala ngokwanele ngosuku olwandulela ushintsho.

Ungakhuluma ngokubekezelela i-glucose engasebenzi kahle uma ukuhlaziya kukhombisa i-7 mmol / L esiswini esingenalutho kanye no-7.8-11, 1 mmol / L. Uma umaki uphansi kakhulu, asikho isizathu sokukhathazeka.

Uma ushukela wegazi ukhuphuka kakhulu, isiguli kuyodingeka senze i-ultrasound yamanyikwe, futhi sihlolwe nama-enzyme.

Ukugxuma kukashukela wegazi kuyithinta kanjani inhlala-kahle yesiguli

Mayelana nokwanda ushukela akuyona uphawu kuphela ekuhlaziyeni okuhambisanayo. Impilo yomuntu iba mubi kakhulu, nezimpawu ze-hyperglycemic zibanzi.

Nge-hyperglycemia, umuntu:

• Ukuhlangabezana nokuchama okuvamisile;
• Ukuhlushwa kusuka ekhanda elivela njalo;
• Ekhathele kakhulu, isimo sakhe sibuthakathaka, akanandaba;
• Uzwa ukungasebenzi kahle - noma kwehliswe noma kube ne-hypertrophied;
• Uzwa sengathi amasosha omzimba aphela amandla;
• Ukuhlangabezana nezinkinga zombono;
• Izikhalazo zesikhumba esikhanyayo nomlomo owomile.

Ukulawula amanani eglucose wegazi, umuntu kufanele alandele indlela efanele yokudla okwelaphayo.

Ukudla noshukela ophezulu

Ukudla kokudla kuhloselwe ukwenqaba ukudla okugcwele ama-carbohydrate asheshayo. Futhi uma kukho konke okunye isiguli sinesisindo somzimba esengeziwe, khona-ke udokotela cishe uzokuya nokudla kwe-carb ephansi. Ngasikhathi sinye, kunconywa ukuthi ungezelele ekudleni ngemikhiqizo enenqwaba yezakhi ezizwakalayo namavithamini.

Ukudla Kwesifo Sikashukela:

1. Ukudla kwansuku zonke kufanele kugcinwe ibhalansi ye-BZHU;
2. Lapho ukhetha ukudla, inkombandlela iya etafuleni le-glycemic index, kufanele libe selusondele nesiguli;
3. Imvamisa yokondleka iyalungiswa - udinga ukudla kaningi, kepha ngezingxenye ezincane (izidlo ezikulu ezintathu zokudla okuncane noma ezimbili);
4. Izithelo ezithile, imifino, amakhambi nokudla kwamaprotheni kwakha isisekelo sokudla;
5. Qiniseka ukuthi ulawula ukulingana kwamanzi

Kunikezwa izincomo eziqondakalayo impela ngudokotela ozokuselapha. Uma kunesidingo, ungaxhumana nomuntu odla ukudla okwakhe, uma ecela, angahlakulela ukudla okuningiliziwe ngezinketho zemikhiqizo, izitsha, inhlanganisela, amasayizi wengxenye, njll.

Odokotela baqhuba izifundo eziningana ukuthola ukuxilongwa okunjalo kwesifo sikashukela. Ekutholakalweni kwesifo sikashukela sasemuva, ukuhlolwa kweStub-Traugott, ukuhlolwa kwe-antibody, nokuhlolwa kwegazi kwe-hemoglobin ye-glycated

Zonke izikhathi zokuqokwa ziyisivumelwano sodokotela. Kepha iqiniso lokuthi badinga ukubhekelelwa uma ushukela ephezulu liphezulu ngokungangabazeki. Akufanelekile ukulindela okujwayelekile, noma ngabe izinkomba zibuyele kumugqa ojwayelekile, kusafanele ukubheka ukuthi ngabe konke kuhamba kahle yini.

Ividiyo - Ukuhlola isifo sikashukela.