Emzimbeni wesifazane, izinguquko ze-hormonal zonyaka othile zinikezwa njalo. Akunjalo kuzo zonke izimo, izimo ezinjalo ziqhubeka kahle.
Kwezinye izimo, ukulungiswa kabusha kwesizinda se-hormonal kubangela imiphumela emibi, enye yazo ukwanda koshukela wegazi.
Ngalesi sizathu, ubulili obulungile ukuze kulawulwe isimo futhi kusheshe kutholakale lesi sifo kunconywa ngezikhathi ezithile ukulawula izinga likashukela egazini. Iziguli ezineminyaka engaphezu kwengama-40 kuya kwengama-40 ubudala kufanele ziqashwe cishe njalo isigamu sonyaka.
Ukuhlaziywa kwe-biochemical kwegazi le-capillary ne-venous: uyini umehluko?
Ukuhlolwa ushukela wegazi kuwumkhuba ojwayelekile. Le ndlela yokuhlola iyatholakala esidlangalaleni, kulula ukuyiqhuba futhi inembile.
Ukuhlaziywa kwe-biochemical kukuvumela ukuthi ukhombe ngokushesha ukwephulwa emzimbeni we-carbohydrate metabolism noma inkambo esebenzayo yesifo sikashukela.
Lolu hlobo lokuhlola luvame ukwenziwa njengengxenye yokuhlolwa kwezokwelashwa noma ngesikhathi sokuxilongwa kokuqala. Njengomthetho, amasampula egazi athathwa esikhwameni somunwe ocwaningweni.
Ngokuxilongwa kokuqala, le ndlela ilungile. Kodwa-ke, ngenxa yokungahambelani kokwakhiwa kwegazi le-capillary emiphumeleni yokuhlaziywa okunjalo, kungahle kube namaphutha.
Ukuqinisekisa ukuthi imiphumela ithembekile, udokotela angenza ukuhlola okungeziwe kwesimo sempilo sesiguli ngokumnikeza incwadi yokuhlolwa kwegazi okujwayelekile ushukela lapho i-biomaterial isithathwa emthanjeni.
Ithebula lamazinga kashukela egazini kwabesifazane ngokuguga kokuzila
Ukuxilonga kahle, udokotela uhlaziya izinga likashukela egazini, eliqhathanisa nezinkambiso ezisetshenziswayo ngokuvamile.
Kodwa-ke, isibalo "esiphilile" asifani kuzo zonke iziguli. Izinga le-glycemia emzimbeni wabesifazane, njengezinye izigaba zeziguli, lithonywa yiminyaka yobudala.
Omdala lowesifazane, lapho ephakama umkhawulo ovumelekile we-glycemia. Izinkomba ezijwayelekile zabesifazane abavela eminyakeni yobudala ehlukene zikhonjisiwe kuthebula elingezansi.
Kusuka emunweni
Ithebula lezilinganiso zamazinga kashukela egazini eliyinqaba kwabesifazane ngeminyaka:
Ubudala besifazane | Okuqukethwe ushukela |
ngaphansi kweminyaka eyi-14 | 2,8 - 5.6 mmol / l |
14 - 60 yeminyaka | 4.1 - 5.9 mmol / l |
Iminyaka engama-60-90 ubudala | 4.6 - 6.4 mmol / l |
kusuka eminyakeni engama-90 nangaphezulu | 4.2 - 6.7 mmol / l |
Kusuka kumthambo
Ngokuqondene nezinkomba ezivela emthanjeni, izinga lawo akufanele lidlule ku-6 mmol / l.
Lo mkhawulo uthathwa njengokujwayelekile kumantombazane anempilo, amantombazane nabesifazane bayo yonke iminyaka, kusukela eminyakeni emi-5. Uma inkomba iphakathi kuka-6 no-7.1 mmol / l, isiguli sitholakala sinesimo “sokwelashwa kuqala”.
Izinkomba ze-Pathological, ezibhekwa njengezinkomba ezisobala zesifo sikashukela, zifaka umkhawulo we-7.1 mmol / l nangaphezulu kunoma iyiphi iminyaka. Uma isibalo seqa kakhulu umaki okhonjisiwe, singasho ngokuphephile ukuthi izinqubo zesifo sikashukela somzimba sesiguli ziqala ukugcwala.
Yiliphi inani likashukela wegazi ngemuva kokudla kubhekwa njengento evamile kumuntu omdala?
Ukwanda kwe-glycemia ngemuva kokudla yinto yemvelo. Ngemuva kokudla engena emzimbeni, ushukela ungena egazini, ngenxa yokuqhekeka lapho amanyikwe eqala ukukhiqiza khona i-insulin ngenkuthalo.Umphumela ukwanda okukhulu kwe-glycemia.Kubantu abadala abanempilo, izinga likashukela ihora elilodwa ngemuva kokudla akufanele libe ngaphezulu kuka-5.4 mmol / L. Imvamisa le nkomba ayidluli ku-3.8-5.2 mmol / l.
2 amahora emva kokudla, inkomba yehla kancane, yehla yaya ku-4,6 mmol / L, ngemuva kwalokho ukwehla kancane kancane kwenombolo kuya emkhawulweni “onempilo” kuqala.
Uma uchungechunge lwezenzo olunjalo lungenzeki, futhi amanani anciphise kakhulu noma ancishisiwe umkhawulo owamukelekayo, khona-ke isiguli sinokuphulwa kwe-carbohydrate metabolism noma isifo sikashukela.
Ukwephulwa okukodwa kwesiko akuthathwa njenge-pathology. Ukwephulwa okunjalo kungadalwa yizici zangaphandle, okubandakanya ukusetshenziswa kwemithi, ukucindezela, ukudla ngokweqile noma ukudla okunoshukela neziphuzo zotshwala, kanye nezinye izimo.
Ukuhlolwa kwegazi likashukela ngomthwalo: ayini umkhawulo wesimo esijwayelekile?
Ukuqapha ngokucophelela ukusabela kwama-pancreas ushukela olungena egazini futhi ukubona ukuthi kulesiphi isigaba ukwehluleka kwenzeka, kuhlolwa ushukela owenziwe umthwalo. Kulokhu, i-biomaterial ithathwa amahora ama-2 amahlandla ama-4. Ukuhlolwa kunikezwa esiswini esingenalutho, ngemuva kokuthatha ingxenye yesisombululo sikashukela.
Kukhona nezindlela ezihlukile zokuhlola isimo sempilo sesiguli ukuze sihlolwe:
- uma izinga le-glycemia ngemuva kokukhwabanisa okudingekayo lalifika ku-3,5 mmol / l, isiguli sakha i-hypoglycemia. Lokhu kuphakamisa ukuthi iziphathimandla zintula inani elifunekayo lokudla ukuze lisebenze kahle;
- inkomba efinyelela ku-7.8 mmol / l ikhombisa ukuthi owesifazane uphilile ngokuphelele, futhi wonke amasistimu omzimba asebenza ngaphandle kokwehluleka;
- amanani asukela ku-7.8 kuya ku-11 mmol / l akhombisa isimo se-prediabetesic. Iziguli ezinjalo kufanele ziyinake kakhulu impilo yazo futhi zishintshele ekudleni okune-carb ephansi ngokushesha;
- uma ukuhlaziywa bekukhombisa umphumela we-11.1 mmol / l, isiguli sinesifo sikashukela.
Ngenxa yobukhulu bale ndlela yokuhlola, kungenzeka ukuthola imiphumela efanele.
Amazinga e-glucose avumelekile ezigulini ezinesifo sikashukela: imingcele ephezulu nangaphansi
Kunemikhawulo ephezulu nephansi ushukela wegazi, okuyingozi empilweni yomuntu. Lezi zinkomba zimbi ngokufanayo kubantu abaphilile neziguli ezinesifo sikashukela.Ngakho-ke, inani lomngcele lapho umzimba “ukhanyisela isibomvu” ngu-3.5 mmol / L. Ukwehla kwezinkomba ezingezansi kwalolu phawu kungadala imiphumela ebulalayo.
Ngokuqondene ne-hyperglycemia, i-17 mmol / L ibhekwa njengophawu olubucayi. Kodwa-ke, kwezinye iziguli, umkhawulo we-18-19 mmol / L uthathwa njengomngcele ofanayo.
Izizathu zokuphambuka kwezinkomba kusuka kokujwayelekile
Ukwanda ushukela kukude kuzo zonke izimo ukuqinisekiswa kwesifo sikashukela. Kunezici zangaphakathi nezangaphandle ezingakhuphula futhi zinciphise izinga le-glycemia emzimbeni wowesifazane. Funda kabanzi mayelana nezimbangela ezingaba khona zokuthuthukiswa kwama-pathologies ngezansi.
Phansi
I-Hyperglycemia ayihlali ikhula emzimbeni wowesifazane. Kwezinye izimo, abesifazane bahlupheka ngamanani aphansi.
Imvamisa imbangela ye-hypoglycemia yilena:
- ukunamathela ekudleni okuphansi kwe-carb;
- ikhefu elikhulu phakathi kokudla;
- ukusetshenziswa kokudla okunekhalori ephansi ngemuva kokuzikhandla okukhulu ngokomzimba;
- isimila se-pancreatic;
- ukubhema
- ukuphazamiseka kwehomoni okubangelwa izinguquko ezihlobene nobudala.
Ukucindezela okungapheli nakho kungaholela ekwehlekeni koshukela wegazi. Ukuthola imbangela yokwakhiwa kwe-pathology, kusetshenziswa izinketho ezahlukahlukene zocwaningo lwezokwelapha.
Phezulu
Izimo ezilandelayo zingaholela ekwandeni kwezinkomba ze-glycemia:
- i-pathology kuma-pancreas (ukukhuphula i-pancreatitis engapheli, ubuthi, njalonjalo);
- ukuphazamiseka ohlelweni lwe-endocrine;
- i-premenstrual syndrome kanye nesikhathi sokuya esikhathini;
- ukubhema
- impilo yokuhlala;
- ushintsho oluhlobene nobudala bama-hormone (ukuya esikhathini);
- ukuba khona kwesifo sikashukela sokukhulelwa ngesikhathi sokukhulelwa.
Ukwenza ukuxilongwa kokugcina, kuyadingeka ukuhlolwa okwengeziwe.
Ukwelashwa
Ukuqapha kanye nokwelashwa ngesikhathi kwe-hyperglycemia kuyizici ezibaluleke kakhulu ekuqedeni ukuphazamiseka emgudwini we-carbohydrate metabolism.
Ukuze unqume ngokunembile isu lezokwelapha, kudingeka ukuthi kuhlolwe nodokotela nemiphumela yokuhlolwa. Kungale ndlela kuphela lapho singakwazi ukuthola kahle imbangela yokwakhiwa kwe-pathology futhi ukhethe kahle iqoqo lezinyathelo ezifanele.
Uma imbangela yokwanda kwalesi sifo bekuyisifo sikashukela, udokotela uzochaza ukuthi isiguli sithatha izidakamizwa ezinciphisa ushukela. Endabeni yokuthuthuka kwe-pathology ngenxa yengcindezi, isiguli singabeka ukunqunyelwa kokunye.
Lapho i-pancreatitis noma ukungasebenzi kahle kwe-yegilo yegilo kanye nezinye izitho iba imbangela ye-hyperglycemia, kuthathwa izinyathelo zokuqeda inqubo yokuvuvukala nokwenza umsebenzi wabo ube ngokwejwayelekile.
Amavidiyo ahlobene
Ngokwesimo sikashukela wegazi kwabesifazane ngeminyaka yobudala kule vidiyo:
Kungaba nezizathu eziningi zokwandisa noma ukwehla kwezinga likashukela emzimbeni wowesifazane. Ngakho-ke, lapho esetholile ukuphambuka okunjalo ngokwakho, umuntu akufanele anganaki ukulawulwa okwengeziwe kwesimo futhi afune usizo oluvela kudokotela ngesikhathi esifanele.