Ukuhlolwa kwegazi okusheshayo - yini imvelo yoshukela?

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Lapho umuntu edla ama-carbohydrate emzimbeni, acutshungulwa ku-glucose, okudingekayo ukuqinisekisa ukusebenza kwawo okubalulekile. Into le ingumthombo wamandla. Ngokwezinga likashukela ku-plasma, umuntu angahlulela ikhwalithi yomsebenzi wazo zonke izinhlelo zomzimba. Noma yikuphi ukuphambuka kusuka kumasiginali evamile ukuba khona kwe-pathologies engathi sína: isifo sikashukela, umdlavuza we-pancreatic, ukugula kwesibindi.

Womabili amazinga aphakeme we-glucose athinta isimo esivamile sesiguli, ngakho-ke kubaluleke kakhulu ukuxilonga ngesikhathi esifanele.

Ukuhlaziywa kwesimo esejwayelekile sikashukela wegazi kunikezwa esiswini esingenalutho, ngoba ngemuva kokudla ukudla izici zayo ze-metabolic zishintsha kakhulu, futhi lezi zifundo ngeke zithembeke. Izinkomba ze-hypoglycemic esele zingahluka ngokuya ngobulili, iminyaka yesiguli.

Ukunqunywa kokuhlushwa kwe-glucose egazini le-capillary ne-venous

Ukuxilongwa kwamazinga kashukela kukuvumela ukuthi unqume ukugxila ku-plasma kashukela, okusebenza njengezinto ezibonakalayo zamandla omzimba.

Iyadingeka yiwo wonke izicubu, amaseli, futhi ikakhulukazi ubuchopho. Ngokuntuleka kwayo (i-hypoglycemia), umzimba usebenzisa zonke izinsiza zawo ezinonile.

Izidumbu ze-ketone ezivelayo zibeka ubuthi emzimbeni ngemiphumela yazo enobuthi.Igazi likashukela linikelwa ekuseni, esiswini esingenalutho.

Ukudla akufanele kube ngaphansi kwamahora ayisishiyagalombili ngaphambi kocwaningo. Amasampula wezinto ezibonakalayo ayenziwa elabhoratri elivela emithanjeni nangomunwe. Ekhaya kusetshenziswa i-glucometer.

Imvamisa, lapho kunqunywa ukugxilwa ku-plasma ye-glucose, kuthathwa igazi le-venous, umphumela kuleli cala unemba ngokwengeziwe. Inani lezinto ezisetshezini kusuka emthanjeni liphezulu kunelisuka emunweni ngamaphesenti ayi-11.

Yiliphi izinga likashukela wegazi elithathwa njengejwayelekile kwabesilisa nabesifazane abadala abasesiswini esingenalutho

Izinga le-glucose lincike hhayi kuphela endaweni eyisampula, kepha futhi nobudala bomuntu.

Ezigulini esezikhulile, inani lezinto lizophakama kunasebasha. Ubulili cishe abunangqondo.

Abesilisa nabesifazane kufanele babe nezinga likashukela phakathi kuka-3.5 no-5.5 mmol / L.

Inani lazo landa kancane kwabesifazane ngesikhathi sokuya esikhathini, ngokuqala kokuya esikhathini. Lezi zinkomba ziyiqiniso kuphela esiswini esingenalutho.

Kusuka emunweni

Kubo bobabili ubulili, umkhuba ushukela osegazini ovela emunweni akufanele wedlule ku-5, 5 mmol / L.

Kusuka kumthambo

Kwabesifazane abaneminyaka engu-14 kuye kwengama-60 ubudala abanamasampula egazi a-venous, umphumela we-4.1 kuye ku-6.1 mmol / l uthathwa njengokujwayelekile.

Umkhawulo ophezulu wamanani amukelekayo abesifazane ngaphezulu kweminyaka engama-60 ngu-6.4 mmol / L. Kumadoda amadala, amanani ajwayelekile aqala ku-4,6 kuye ku-6.4 mmol / L.

Ezigulini esezikhulile ezineminyaka engaphezu kwengama-90 ubudala, okujwayelekile akuphakeme kune-6, 7 mmol / l.

Ukuzila ushukela wegazi ezinganeni nasebusheni

Kuze kube cishe iminyaka eyi-12 yobudala, amazinga kashukela e-plasma ezinganeni aphansi kunabantu abadala (mmol / l):

  • izingane ezisanda kuzalwa kuze kufike enyangeni - zisuka ku-2.7-3.2;
  • izinsana kusuka ezinyangeni ezi-1 kuye kweziyi-5 - zisuka ku-2.8 ziye ku-3.8;
  • izingane ezisukela ezinyangeni eziyisithupha kuya kwezingu-9 - zisuka ku-2.9 ziye ku-4.1;
  • izingane ezinonyaka owodwa ubudala - zisuka ku-2.9 ziye ku-4.2;
  • kusuka onyakeni kuya eminyakeni emibili - kusuka ku-3.0 kuye ku-4,4;
  • izingane ezineminyaka engu-3-4 ubudala - ukusuka ku-3.2 kuye ku-4, 7;
  • Iminyaka engama-5-6 - isuka ku-3.3 kuya ku-5.0;
  • Iminyaka engu-7-16 ubudala - ukusuka ku-3.3 kuya ku-5.3;
  • intsha esukela eminyakeni eyishumi kuya kwengu-17 - isuka ku-3.3 iye ku-5.5.
Ekukhuleni, amazinga kashukela alingana nezindlela zabantu abadala.

Ushukela wegazi kwabesifazane abakhulelwe esiswini esingenalutho

Kwabesifazane abakhulelwe, ushukela wegazi ungaphakanyiswa. Lokhu kungenxa yezinguquko ze-hormonal emzimbeni. Amanani aqala ku-3.3 kuya ku-6.6 mmol / L..

Inani ngenhla kwalemingcele libonisa ukwenzeka kwesifo sikashukela sokukhulelwa. Lesi simo siyingozi kakhulu kuzingane. Kudlula kaningi ngemuva kokuzalwa kwengane.

Abanye besifazane bangahlakulela isifo sikashukela sohlobo 2, ngakho-ke ngesikhathi sokukhulelwa kubalulekile ukuthola ukuthi kukhona okungahambi kahle ngesikhathi esifanele.

Amanani eglucose amukelekile kumuntu onesifo sikashukela ekuseni ngaphambi kokudla

Kubalulekile ukuthi abanesifo sikashukela bagcine ushukela ngaphambi kokudla endaweni ephakeme kunama-6.2 mmol / L. Izinkomba zingathinta izifo zesisu ngenxa yokulimala kwe-glucose.

Izizathu zokuphambuka kwenkomba kusuka kokujwayelekile

Ukuhlukumezeka ushukela we-plasma kubhekwa ne:

  • ushintsho olubukhali ekudleni;
  • isifo sikashukela mellitus;
  • ukukhulisa ukuzikhandla komzimba;
  • izinga lokushisa eliphakeme;
  • izifo zamanyikwe (ngokubonakala kwama-tumor neoplasms);
  • ukugula kwe-endocrine (hypothyroidism, isifo sika-Addison, hypopituitarism);
  • umsebenzi owengeziwe wama-hormone ovimbela ukukhiqizwa kwe-insulin;
  • i-overdose yezidakamizwa ze-hypoglycemic;
  • izifo ezinzima zesibindi (i-cirrhosis, i-carcinoma, i-hepatitis);
  • izinkinga zezempilo zezinso;
  • ukuphazamiseka kokukhuthazelela i-fructose;
  • ukudakwa kotshwala;
  • ubuthi be-arsenic, ama-antihistamines, i-chloroform;
  • ukuthatha ama-steroid; ama-thiazides, ama-estrogens;
  • ukukhuluphala;
  • ushukela okhulelwe.
Ezinganeni ngaphambi kwesikhathi, ushukela ukhuphuka uma omama babo benesifo sikashukela. Engcupheni kukhona neziguli ezinokugula kwenhliziyo okuye kwaba nokuhlaselwa yinhliziyo nokushaywa unhlangothi.

Kungani kuvuka

I-Hyperglycemia iwuphawu lokwephulwa kwe-carbohydrate metabolism. Imvamisa, lesi simo sikhula kusifo sikashukela i-mellitus, i-pathologies yohlelo lwe-endocrine.

Isiguli sinokuchama kaningi, ukoma okungapheli, ukwehla kwamandla okubuka, ikhanda, ukungasebenzi kahle, ukukhubazeka kwenkumbulo, ukwehla kwesisindo, ukuphulukiswa kwamanxeba okungekuhle, nokunciphisa ukungazweli.

Phakathi kwezimbangela eziphambili zokwanda kwe-plasma glucose:

  • i-pancreatitis
  • umdlavuza we-pancreatic;
  • ukwanda komsebenzi we-thyroid;
  • ukukhiqizwa okusebenzayo kwe-glucagon ye-hormone;
  • ukucindezela
Ukudliwa kwe-prednisolone, blockers, glucagon, i-estrogen kwesinye isikhathi kubangela ukwanda kwenani le-glucose egazini.

Kungani kuncipha

Ukuhambisana nokudla okuqinile kucasule i-hypoglycemia, lapho umzimba uswela izakhi zomzimba, izimo ezicindezelayo, ukungahambisani nombuso wokuphuza, imikhiqizo elungiselelwe kakhulu, ukucindezela ngokomzimba, ukuphuza ngokweqile i-alcohol.

Inani le-glucose lingancipha nge-overdose ye-saline ngesikhathi sokujova kwe-intravenous.

Ukukhathala, ukukhathala, isiyezi - isikhathi sokuvakashela udokotela bese uhlaziya.

Amavidiyo ahlobene

Mayelana nokuzila ushukela wegazi kusuka umunwe kuvidiyo:

Izinga loshukela wegazi osheshayo licishe lingaguquki kubo bobabili ubulili. Inkomba iyahlukahluka ngokuya ngeminyaka. Izinga le-ushukela elijwayelekile kumuntu ophilile lisuka ku-3,5 liya ku-5.5 mmol / L. Leli nani lenyuka kancane lapho igazi lidonswa emthanjeni.

Kwabakhulileyo, okujwayelekile kukhuphukela ku-6.4 mmol / L. Kwabesifazane abakhulelwe, ukuphambuka kukhombisa ukuthuthukiswa kwesifo sikashukela sokukhulelwa. Ezinganeni, izinkomba zingaphansi kunabantu abadala, kodwa ngemuva kokuphela kwesikhathi sobusha, amanani aqhathaniswa.

Ukuqapha amazinga kashukela egazini nokugcina amanani abo ajwayelekile kuzosiza ukugwema ukuthuthukiswa kwezinkinga ezahlukahlukene ngesimo sikashukela, ukugula kwenhliziyo, izinkinga nezinso, isibindi kanye namehlo.

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