Isifo sikashukela esikhokhelwayo yisimo esibi esingadala imiphumela eyingozi yezempilo. Ukuze uthole ukuxilongwa okuqondile futhi ukhethe ukwelashwa, kubalulekile ukwenza ukuxilongwa okuningiliziwe.
Kunezindlela eziningi zokusiza ezisiza ekutholeni inani lesinxephezelo. Ngokwemiphumela yocwaningo, ochwepheshe banquma imithi futhi banikeze izincomo ngokulungiswa kwendlela yokuphila.
Kuyini ukunxeshezelwa?
Uma izinga likashukela emzimbeni lisondele kokujwayelekile ngangokunokwenzeka, singakhuluma ngokunxenxa i-pathology. Lokhu ungakuthola ngokubuka ukudla okhethekile. Kufanele futhi uhambisane nombuso okhethekile wosuku.
Ukudla kufanele kukhethwe ngokuya ngomsebenzi wesiguli. Uma le nto ingabhekwa, kukhona ubungozi bokushoda noma okweqile kwe-insulin. Ukusuka kumenyu kufanele kususwe ama-carbohydrate adonswa ngokushesha kakhulu. Kwenzeka okufanayo nasemikhiqizweni kashukela.
Kwesinye isikhathi lezi zenzo azinikezi imiphumela efiselekayo. Esimweni esinjalo Ukuqinisekisa amazinga adingekayo kashukela, kunconywa umuntu ukuthi asebenzise i-insulin.
Udokotela wakho angakunikeza izidakamizwa ezithinta inani loshukela. Ngenxa yokusebenzisa kwabo kungenzeka ukunciphisa okuqukethwe le nto.
Umongo wesifo sikashukela esikhokhelwayo
Abantu abaningi banesifiso sokuthi kuyini ukukhokhela ushukela. Leli gama liqondwa njengombuso ophakathi nendawo ophawulwa ngokwakhiwa kwesifo sikashukela sohlobo oluphakathi kwesigaba esinxephezelwe nesigaba sokubuyiselwa kwemali. Lapho le ndlela ye-pathology yenzeka, ukugxila kwe-glucose kudlulwa. Kungadala ukuncipha kwesifo sikashukela.
Ukudilizwa yinqubo eyingozi ekwakhiweni kwesifo sikashukela esivelisa imiphumela eyingozi.
Ukukhokhelwa ushukela kuhambisana nokususwa cishe kuka-50 g kashukela emchameni. Iglucose yegazi ayikho ngaphezu kwe-13.8 mmol / L. I-acetone ekulesi simo ayitholakali, ngenkathi esigabeni sokubuyiselwa kwemali ivame ukubakhona.
Ngokuthuthukiswa kokuncipha kwesifo sikashukela, umuntu akufanele esabe ngokuvela kwe-hyperglycemic coma. Umuntu akaphathekile kahle empilweni, noma kunjalo, uhlala ezinzile futhi ephulwa ngaphandle kokuthi izincomo zezokwelashwa ziyalandelwa.
Izizathu Zokukhokha
Kunezici eziningana eziholela ekwakhiweni kwesifo sikashukela esingakhokhwanga. Lokhu kufaka lokhu okulandelayo:
- Izinkinga zokudla;
- Ukwelashwa okungasebenzi;
- Izimo ezicindezelayo;
- Ukulahleka okumamanzi okuhlaba umxhwele ngenxa yokwanda kokushisa.
Kuyafaneleka ukubheka ukuthi izimo ezicindezelayo zithinta izinqubo ze-metabolic, ezingadala ukwanda kwamazinga kashukela. Ukulahleka kukamanzi ngenxa yokwanda kwezinga lokushisa kunomthelela ofanayo.
Ngakho-ke, isisekelo sokwelashwa kokuncishiswa kwesifo sikashukela sohlobo 2 ekudleni. Lokhu kusiza ukuvimbela ukukhula kwesimo esiyingozi - isigaba sokubola. I-glycemia yesikhathi eside ingadala izinkinga ezinkulu eziholela ekukhubazekeni nasekufeni.
Izindlela Zokuxilonga
Ukunquma isigaba sesifo sikashukela, udinga ukuhlola izinkomba eziningi zemitholampilo nesimo esivamile sesiguli. Esigabeni sesinxephezelo, imiphumela yokuhlola kanye nenhlala kahle yesiguli kusondele kokujwayelekile.
Ukunquma ukukhokha okuncane kwe-pathology, kuhlolwa izinkomba ezinjalo:
- IGlycated hemoglobin;
- Izinga loshukela lomchamo;
- Shintsha emazingeni kashukela ngokudla;
- Umthamo we-cholesterol;
- Inkomba yesisindo somzimba;
- Okuqukethwe kweLipid.
Ucwaningo olufundisayo kunazo zonke ukuhlolwa kwe-glycated hemoglobin. Ngosizo lwayo, kungenzeka ukunquma izinga kashukela ezinyangeni ezi-3 ezedlule. Ebantwini abaphilile, le pharamitha ibalelwa ku-4.5-7,5% we-hemoglobin ephelele.
Lapho kunxephezela isifo sikashukela, i-hemoglobin ye-glycated yi-6-9%. Uma ngabe ipharamitha ingaphezulu kwe-9%, lokhu kubonisa isigaba sokuncipha kwesifo sikashukela. Uma kuvela, ngeke kwenzeke ukuthi kulondolozwe izinga elijwayelekile likashukela nganoma yiziphi izindlela. Lokhu kuphulwa kungumphumela wamaphutha ekunakekelweni kwezidakamizwa, ukuphathwa kwezidakamizwa okungekho emthethweni.
Enye inkomba ebalulekile yokuhlola izinga lesinxephezelo yi-fructosamine. Le nto yenziwa ngokubopha amaprotheni e-glucose ne-plasma.
Uma amazinga e-fructosamine enyuka, lokhu kukhombisa ukukhuphuka kwe-glucose emavikini adlule ama-2-3. Ngenxa yalokhu kuxilonga, kungenzeka ukugcina isimo sesiguli silawulwa.
Kwisimo esijwayelekile, le nkomba ayikho ngaphezu kwe-285 μmol / L.
Kungamanani e-hemoglobin ye-glycated ne-fructosamine esivumela ukuthi sihlole ubungozi bezilonda ezihlukahlukene zenhliziyo nemithambo yegazi. Esigabeni sokunxeshezelwa kwesifo sikashukela, konke ukusongela kuncane, ngokuncipha kunamazinga aphakathi, esigabeni sokunciphiswa ingozi ingozi ephezulu kakhulu.
Ukuvimbela Izinkinga
Ukuze uvikele ukuguqulwa kwesifo sikashukela esilinganiselwe ukubola, kubalulekile ukwenza ukuzihlola nokuhlola izivivinyo ezihlelekile. Uhlobo lwesifo sikashukela esihlanganisiwe esingu-2 oludingekayo.
Ukuxilongwa okujwayelekile kubaluleke kakhulu ezigulini ezinokubekezelelwa kokukhubazeka kwe-glucose. Ukuhlolwa okuhleliwe nakho kubalulekile kubantu abanesifiso sokuthola ifa. Kwenzeka okufanayo nakwabesifazane ababelethe ingane efile noma ingane enesisindo esikhulu somzimba.
Abantu abanesifo sikashukela kudingeka bahlole ngokuhlolwa kwezinso izinso, bahlole isimo semikhumbi, futhi babe nesifuba esifubeni. Ukubonisana njalo nodokotela wezinhliziyo, udokotela wamazinyo nodokotela wamazinyo kuyadingeka. Lokhu kuzosiza ukugwema imiphumela emibi.
Ukukhokhela ushukela yisimo esiphakathi nendawo lapho impilo yabantu ihlala yanelisa.
