Uhlobo lwesifo sikashukela luxhomeke enkambweni yenqubo ye-pathological kanye nenkomba ye-glycemic. Kulesi sihloko, sizobheka isimo uma ushukela wegazi ungu-7 - okufanele wenziwe ngokushesha, uyingozi kangakanani le nkomba yezempilo.
Kunezinhlobo ezi-2 ze-pathology. Ziyahlukahluka ngendlela yokusebenza kwentuthuko. Uhlobo lokuqala lwesifo luphawu lwabantu abasha. Iqembu lengcuphe lifaka phakathi intsha nentsha kungakhathalekile ebulilini ngenxa yokungasebenzi kahle kwe-carbohydrate metabolism.
Izici ezilandelayo zivusa ukuthuthukiswa kwalesi sifo:
- Ukutheleleka ngegciwane;
- Ukuncelisa amabele ngenkomo yemvelo nobisi lwembuzi kuphakamisa isifo sikashukela;
- Umsebenzi onamandla wamaseli we-T-killer, lapho kukhona ukwephula amasosha omzimba.
Imbangela yesifo sikashukela sohlobo 2 yile:
- Isimo sempilo
- Isisindo esiningi;
- Ukuqhekeka kwenhliziyo;
- Ukutheleleka
- Iminyaka
- Umfutho wegazi ophakeme
Izimpawu zesifo sikashukela
Ukuthola lesi sifo ekhaya, udinga ukubheka ukungakhululeki. Izimpawu eziphambili zalesi sifo yilezi:
- Umlomo owomile;
- Umile njalo;
- Ukukhathala;
- Isiyezi
- Izifo ezithathelanayo eziqhubekayo;
- Isikhumba esikhanyayo;
- Umbono wehlisiwe;
- Ukuphulukiswa kwesilonda esibuhlungu;
- Ukuchama kaningi;
- Ukunweba ukwelashwa kwezifo ezahlukahlukene.
Ukuhlaziywa
Ukwehlukanisa isifo sikashukela, kufanele kwenziwe isivivinyo sikashukela. Ngaphambi kokuhlolwa, kuyadingeka ukwenqaba ukudla amahora angama-10. Kwenqatshelwe ukudla i-caffeine nemikhiqizo equkethe utshwala amahora angama-24 ngaphambi kwenqubo. Isampula yegazi yenziwa esiswini esinciphile, ekuseni kuphela.
Imiphumela yokuhlaziywa izosiza ukukhomba isimo sezinqubo ze-metabolic, kanye nokuba khona kokuphambuka kusuka esimweni esisunguliwe se-glycemia. Ukuhlolwa kusiza ukukhomba i-pathology yangaphambilini yesimo.Kubantu abaphilile, isilinganiso sikashukela esisheshayo ngu-3.3-5.5 mmol / L. Uma le mininingwane inyuswa, isiguli sinqunywe ukuphindaphindwa, kanye nezinye izifundo zokuthola i-pathology.
Inkomba engu-5.5-6.9 mmol / l ibonisa isimo sikashukela esandulelayo. Ku-7 mmol / l, kungavele kube nokuphikiswa kokuthi isifo esinegciwane eligcwele siyakhula.
Norm
Igama elithi "ushukela wegazi" lisho ukugcwala kwe-glucose kuketshezi oluphambili. Kunemingcele echazwe ngokucacile yenkomba enjalo. Bayathinteka ngeminyaka yomuntu, ukudla kwakhe. Noma kunjalo, inkomba enjalo kufanele inakekelwe kunani le-7 mmol / ilitha.
Ukuqoqwa koshukela kuguquka njalo. Njengoba uthathe ukuhlaziya ngokushesha ngemuva kokudla, ungathola ukugcotshwa koshukela kuphakama ngemuva kwamahora ambalwa. Kuyadingeka ukuqapha ngokucophelela inkomba enjalo, ngoba uma ukwanda kwayo kungabhekwa ngesikhathi esifanele, izinguquko ezingenakulungiswa zizolandela.
Kumuntu omdala, inani lizoba ngu-3.7-5.3 mmol / L. Ukuthatha igazi emthanjeni, ungathola inkomba ephakeme - ifike ku-6.2 mmol / L. Ngaphezu kwalokho, ushukela ngemuva kokudla uyakwazi ukukhuphukela ku-7.8. Kodwa-ke, ngemuva kwamahora ama-2, uzolulama.
Lapho ukuhlolwa kwegazi okusheshayo kukhombisa ukuthi ushukela mkhulu kuno-7, umuntu lowo usesimweni esiyingozi. Le nto isivele ibhekwa njenge-pathology lapho i-insulin ye-hormone isakhiqizwa ngumzimba, noma kunjalo, kunezici ezingezinhle ngokutholwa kwe-monosaccharides. Uhlobo 2 sikashukela lubonakala ngokuthi i-glucose metabolism iyaphazamiseka emzimbeni.
Lapho uthatha igazi lokuhlaziywa ngomunwe, inani elitholwayo lizoba eliphansi kakhulu (ngama-20%) kunedatha uma kuthathwa igazi le-venous. Kubantu abathathe umhlalaphansi nabadala, izinga elijwayelekile le-glucose libhekwa njenge-4.7-6.6 mmol / l.
Isikhombi esijwayelekile kwabesifazane abakhulelwe yi-3.3-6.8 mmol / L. Enganeni, konke kuncike eminyakeni yobudala:
- Kuze kube yiminyaka emibili - 2.7-4.4 mmol / l;
- Kuze kube yiminyaka engu-7 - 3.2-5.1 mmol / l;
- Kusuka eminyakeni eyi-14 - 3.2-5.5 mmol / L.
Ngokwanda ushukela ngaphezulu kuka-7 mmol / l, usizo lukadokotela nezenzo zokwelapha okuhloswe ngalo ukumisa inqubo ye-pathological luyadingeka.
Ukuzihlola kwe-glucose egazini
Ekhaya, kubalulekile ukuthi isiguli silinganise lezi zinkomba usuku lonke. Ngale njongo, kusetshenziswa i-glucometer Idivaysi ye-elekthronikhi inesikrini nenalithi yokukha umunwe. Usafuna imichilo yokuhlola ethengiwe ngokwahlukana. Idivaysi kulula ukuyisebenzisa.
Ukukala, udinga ukubhoboza isihloko somunwe wakho, ukhiphe igazi elincane kuyo, ukuze ubeke umucu wokuhlola. Ngemuva kwemizuzwana embalwa, imitha izonikeza imiphumela yocwaningo. Inqubo ayinabuhlungu. Idivayisi incane - kulula ukuyihambisa.
Inqubo kumele yenziwe ngemuva kwesidlo, kubhekwe umbuso olandelayo
- Ngemuva kwemizuzu engu-5-7;
- Ngemuva kwemizuzu engu-15-17;
- Ngemuva kwemizuzu engama-30;
- 2 amahora kamuva.
Izindlela zokunciphisa ushukela wegazi
Inani elingu-7 mmol / l nangaphezulu, kufanele kuthathwe izinyathelo eziphuthumayo ukwenza le nkomba ibe ngejwayelekile. Qiniseka ukuthi ubukeza imenyu.
Ekudleni faka ukudla okunempilo kuphela:
- Isinkwa se-rye esakhiwe ngamagatsha;
- Ukudla kwasolwandle;
- I-Legumes;
- Amakhowe;
- Inyama ethambile;
- Imikhiqizo yobisi;
- Izipho zemvelo ezingenakuthunyelwa - izithelo, imifino;
- Ushokoledi omnyama;
- Amantongomane.
Imigomo yokudla okuphansi kwe-carb enenkomba ye-glucose engu-7 mmol / l nangaphezulu yilena:
- Kuyadingeka ukususa ukudla okuqukethe ushukela omsulwa noma ukudla okuguqula ngokushesha kube ushukela kusuka etafuleni lokudla. Lezi yizo zonke izinhlobo zamaswidi namaswidi, ipasta nesitashi, okusanhlamvu.
- Inani lama-carbohydrate ekudleni akufanele libe ngaphezulu kuka-120 g ngosuku.
- Kufanele udle izikhathi ezi-5 ngosuku, izingxenye ezincane.
Imikhiqizo okufanele ilahlwe nenkomba ngenhla kuka-7 mmol / l:
- Ushukela
- Izaqathi;
- Amaswidi namaswidi;
- Iporridge
- Amazambane
- Ithanga
- AmaBets;
- Anyanisi;
- Ushizi wekotishi;
- I-Paprika
- Ubisi oluvinjelwe
- Ama-Chips;
- Amakhekhe;
- Amadombolo
- Amadombolo
- Isithandwa
- Amasoso;
- Izikhundla ezinoshukela.
Ukuzivocavoca umzimba kuzosiza ukunciphisa ushukela. Imicimbi enjalo ingenye yemithetho eyisisekelo yokulinganisa amazinga eglucose. Kodwa-ke, umsebenzi womzimba ngokuqinisekile kufanele wenziwe ngokulinganisela. Bakhethwa ngudokotela ngokuqinile, ngokwezimpawu zomzimba wesiguli. Kungani kunakwa kakhulu kule nkinga - manje sizohlaziya ngemininingwane eminingi.
Indlela yokuphila esebenzayo inikeza inani elikhulu lamandla. Ngemuva kokuzivocavoca, kudonswa ushukela. Abanye ochwepheshe bakholelwa ukuthi lapho izivivinyo zikhethwe kahle, awudingi ukusebenzisa i-insulin. Kodwa-ke, kunzima kakhulu ukufeza umphumela onjalo ophelele ngosizo lwemfundo yomzimba. Kepha lezi zinyathelo zinganciphisa ukuncika kuye.
Kunokubuyekezwa okuningi okuhle mayelana nokwelashwa kwe-pathology notshwala. Ezinye iziguli isikhathi eside ngaphambi kokudla zithatha i-100 g yotshwala futhi zizizwa zimnandi. Le nto ichazwa iqiniso lokuthi utshwala buvimba ukukhishwa kwe-glucose esibindini, futhi futhi akuvumeli ama-hormone adala ukuthi kukhiqizwe ushukela ukukhuphuka.
Lapho ukwanda kwamazinga kashukela kukhula ngokuqhathanisa nesizinda se-pathology yezitho zangaphakathi, okuthatha ingxenye ebonakalayo ekusakazweni koshukela, khona-ke lesi sifo sikashukela siyindilinga.
Kulokhu, imiphumela enjalo kufanele iphathwe kanyekanye ngesifo esiyinhloko:
- I-Cirrhosis noma i-hepatitis yesibindi;
- I-Pathology ye-pituitary gland;
- Ukuvuvukala kwesibindi;
- I-Pathology ye-pancreas.
Ngokwenyuka okuncane kwe-hyperglycemia, uchwepheshe angakunikeza le mithi elandelayo:
- Urea sulfonyl;
- IBiguanides.
Le mishanguzo isiza ukwehlisa amanani eglucose, ngenkathi ingavuseleli ukwanda kokukhiqizwa kwe-insulin.
Ukuvimbela
Izinyathelo zokuvimbela i-hypo- ne-hyperglycemia - ukondleka okufanele nokuvivinya umzimba ngendlela efanele. Yiziphi izindlela nezindlela okufanele zisetshenziswe - udokotela ozokutshela uzokutshela. Uchwepheshe kuphela, osuselwa kubucayi benqubo ye-pathological, iminyaka yesiguli kanye nezimpawu zakhe zomzimba, azokwazi ukukhetha ukwelashwa okwanele.