Kukhona ushukela emchameni, kodwa hhayi egazini: uphawu olwethusayo noma okujwayelekile?

Amanani eglucose egazini angenye yezinkomba ezibalulekile zesimo somzimba kanye nokunemba kokusebenza kwaso.

Njengoba kukhuphuka ushukela egazini, ama-rebu tubules aqala ukulahlekelwa amandla awo okufaka i-glucose ejwayelekile kusuka kumchamo kuye egazini.

Ukuphazamiseka okufanayo kuholela ekwandeni kokugxila kwe-glucose kumchamo. Le nqubo ibizwa nge- glucosuria. Noma kunjalo, kunezindlela zokuphulwa lapho kunoshukela emchameni, kodwa hhayi egazini.

Igazi nomchamo ushukela: kuyini

Le khompiyutha ibukeka iqinisekisa ukusebenza kahle kwezicubu nezitho zomzimba, ikakhulukazi ubuchopho, obungenakusebenzisa ukufaka esikhundleni se-carbohydrate echaziwe.

Ukuntuleka kweglucose, ngaphandle kwalokho - i-hypoglycemia, kuyisimo esiyingozi lapho ukusebenza kwengqondo ikakhulukazi, nomzimba wonke, kuncipha.

Lokhu kungenxa yokuthi umzimba uqala ukusebenzisa ama-fake awo uqobo futhi, ngenxa yalokho, inqubo yokwakhiwa kwamakhompiyutha e-ketone yethulwa.

Kumuntu ophile kahle, ngemuva kokudlulisa okokuhlunga kwe-renal nge-glucose, kumunca ukungena kwegazi. Imvamisa, kumchamo, empeleni akufanele ubekhona. Kepha, lapho kunqunywa ushukela kumchamo, kungenzeka ukuthi ucabange ukufakwa okungaphelele kweglucose egazini ku-tubules yezinso.

Iminyaka ngeminyaka

Imvamisa, amanani eglucose kumchamo akufanele wedlule amanani we-0.06-0.08 mmol / L.

Njengoba izindlela ezisetshenziswayo zokuxilonga zingenayo imizwa eyanele, azivezi ukugxila okunjalo okuyisizotha futhi kuyisiko ukusho ukuthi abukho ushukela emchameni.

Ngokususelwe kulokhu, isethenjwa sokujwayelekile sifanekiselwa ukungabikho koshukela ngokwemiphumela yocwaningo lwezinto eziqoqiwe.

Noma kunjalo, kunamazinga athile wezokwelapha nawo angahlobene ne-pathologies. Ushukela we-urine ungadlula ireferensi, kepha hhayi i-pathological.

Odokotela baxosha izinkomba ze-glucose ezilandelayo emchameni:

1. Endabeni yesidalwa esiphilile, amanani awadluli ku-1.7 mmol / L.
2. Lapho kukhona ukuphambuka okuhleliwe okudinga ukungenelela kwezokwelapha, kubalwa izinga le-2.8 mmol / l.
3. Kwabesifazane, ngesikhathi sokukhulelwa, ukugcotshwa koshukela emchameni kungafinyelela ku-7.0 mmol / L.

Izinkomba zingahluka kancane ngokuya ngobulili:

• Abesifazane zithambekele kakhudlwana kwi-glucosuria. Ngokuyisisekelo, ibonwa ineminyaka engaphezu kwengu-30 ubudala, ngesikhathi sokukhulelwa noma isisindo somzimba ngokweqile. Lapho kunqunywa i-glucosuria, kuyadingeka ukugxila kumanani womkhawulo wezinso, abesifazane okufanele babe ku-8.9-10 mmol / l, inqobo nje uma ushukela womchamo ungeqi ku-2.8 mmol / l.
• Emadodeni umbundu ukhuliswa kancane uma uqhathaniswa nobulili besifazane futhi umelwe yisikhawu kusuka ku-8.9 kuya ku-11 mmol / l. Ngokuzayo, la manani angancipha, kepha imikhawulo evumelekayo inqunywa kuphela. Ngasikhathi sinye, ushukela kumchamo akufanele udlule ku-2.8 mmol / L. Uma inani lidlula imingcele evunyelwe, khona-ke kukhona izimfuneko zokuthuthuka kwesifo sikashukela.
• Ezinganeni umbundu ulingana nomuntu omdala futhi ucishe ube yi-10 mmol / l, kubhekwa njengokujwayelekile kodokotela njengokuphumula kwe-10-12.65. Imvamisa, ukwanda kwamanani eglucose yengane kungumphumela wokuqhubeka kwesifo sikashukela. Kulezo zimo lapho kutholakala ukuthi ushukela kumchamo utholakala ngevolumu engu-0.5%, khona-ke ushukela osegazini ukhuphuka ufike ku-9.7 mmol / l.

Kungani ushukela umchamo kodwa ungekho egazini

Izizathu zokuvela kokugxila ngokweqile kwe-glucose kumchamo zingahluka. Ngokuvamile, ukwanda okunjalo kucasulwa yilezi zimo ezilandelayo zokugula:

• isifo sikashukela mellitus;
• ubuthi obunobuthi;
• izinqubo zesimila sobuchopho;
• i-hyperthyroidism;
• ukulimazeka kwezinso;
• ukungasebenzi kahle kwamanyikwe;
• izifo ezithathelwanayo.

Esikhathini sikashukela, ushukela osegazini ukhuphuka kanye nomchamo. Kepha, kwesinye isikhathi ushukela wegazi kungenzeka ungakhuphuki, kepha ngasikhathi sinye ubhekwe kakhulu ukugxila kumchamo. Imvamisa, le nto icasulwa ukuntuleka kwe-insulin - i-pancreatic hormone ayanele emzimbeni, okuthi kuyo kuholele "ukusetshenziswa" kwe-glucose engaphelele. Enye yezimo ezingaholela emiphumeleni enjalo yocwaningo lwelaborin womchamo yi-pancreatitis.

Futhi, ushukela ungavela umchamo ngenxa yesifo sezinso. Kulesi sambatho, amaprotheni akhona nomchamo. Isifo sezinso esivame kakhulu esiholela emiphumeleni yokuhlola efanayo yomchamo yi-nephritis.

Yiziphi izimpawu okufanele ziqwashise

Ukugxiliswa okuphezulu komchamo esiteji sokuqala kungenzeka kungakhombisi zimpawu ezithile. Noma kunjalo, ngokuzayo, izinqubo ezingenakulungiswa ziqala ukwenzeka, okuholela ekuwohlokeni kwesimo esejwayelekile kanye nokubonakala kwezimpawu ezibonakalayo. Kungenzeka ukuthi uthathe amanani aphezulu we-glucose kumchamo hhayi kuphela ngemuva kokubonana nodokotela nokuhlolwa, kodwa futhi ngokudonsela ukunaka kokuba khona kwalezi zibonakaliso:

1. Ukuchama kaningi, ngokunyuka okukhulu komchamo okukhishwe ngumzimba.
2. Kukhona ukwanda kokoma, umuntu uqala ukuzwa ulwelwesi lwe-mucous lomile lwesibeletho somlomo, ikakhulukazi ebusuku.
3. Ukukhathala okusheshayo ngenkathi kusebenza imithwalo ejwayelekile, kuyilapho kunobuthakathaka obujwayelekile nokunganaki.
4. Ngokuvamile ukuhlaselwa isicanucanu kwenzeka, kwezinye izimo kungafinyelela izifiso zemetic.
5. Kunekhanda elijwayelekile okunzima ukuyiqeda ngama-painkiller ajwayelekile.
6. Umuntu uqala ukulahleka okungenakuqhathaniswa kwesisindo somzimba ngokumelene nesizinda sokukhula kwendlala.
7. Kukhona isikhumba semvelo esingaziwa.
8. Ngokunyuka okuphawulwe kwe-glucose kumchamo, ukulimala okubukwayo kwenzeka.

Uma kukhona inhlanganisela yokubonakaliswa okungu-2 noma ngaphezulu, udinga ukuxhumana nomeluleki futhi uhlolwe izivivinyo zaselabhorethikunye naye. Ngemuva kokuthola imiphumela, udokotela uzokudlulisela kudokotela okhethekile - i-endocrinologist, nephrologist nabanye, ngokuya ngokuchezuka kwezempilo okukhona.

Ezimweni lapho i-glucose kumchamo ifinyelela inani elibucayi le-20 mmol / L noma ngaphezulu, kunosongo olukhulu empilweni - ukuvela kokuqina, ukuphefumula kanye nemithambo yenhliziyo kuyaphazamiseka.

Izindlela zokuhlonza ezidingekayo

Izindlela zokucwaninga zobubanzi kanye nobungako ezisetshenziswayo zisetshenziselwa ukuthola ushukela kumchamo. Ngokwesakhiwo salezi zindlela, kunqunywa ukuhlolwa komchamo nsuku zonke nokujwayelekile.

Izindlela zokuxilonga zokulinganisa zibandakanya ukutholwa kwe-glucose kumchamo.

Amasu anjalo ashibhile ngoba ama-reagents asetshenziswa emapheshana ephepha, avame ukumelwa yi-glucophane ne-glucotest.

Naphezu kokulula kwabo, kungenzeka ukuthi uhlole ukwephulwa kwezinqubo ze-metabolic zama-carbohydrate. Isibonelo, i-glucosuria itholakala lapho ushukela emchameni ufinyelela ku-2 mmol / L.

Izindlela zokubhekisisa zifaka lezi zinhlobo ezilandelayo zezifundo:

• i-polarimetric;
• i-glucose oxidase enzymatic;
• Indlela yokuthola.

Esimweni salezi zinqubo, ikhono le-glucose lokwenza amakhompiyutha nama-reagents ahlela kabusha izakhiwo zesisombululo asetshenziswa. Izinguquko ezivelayo zibonisa okuqukethwe ushukela ngevolumu yomchamo ngamunye.

Uma i-glucose itholwa umchamo, umphumela ofanayo awunakushaywa indiva, ngoba lesi sibonakaliso okokuqala sikhombisa ukungasebenzi kwamanyikwe nezinso. Ngemiphumela enjalo yocwaningo, kungafuneka isheke lesibili, ngakho-ke umphumela ungahle uhlanekezelwe yizinto zangaphandle. Uma ushukela kumchamo uhlala uphakeme, kuqokwa izivivinyo ezengeziwe kanye nokuhlolwa kwe-Hardware, inhloso yazo ukuthola umthombo we-glucosuria.

Ngesikhathi sokukhulelwa, i-glucosuria ingaba ngumphumela wokucindezelwa okutholwe ngumzimba wowesifazane ngesikhathi sokukhulelwa, kufaka phakathi izinso ngenxa yokukhula kwe-intrauterine kwesibeletho.

Okufanele ukwenze ukubuyisela ukusebenza okujwayelekile komzimba

Ngaphezu kokwelapha i-pathologies eholela ushukela emchameni, udokotela uncoma ukulandela ukudla okuthile, okubhekiselwe ikakhulukazi kubantu abanesifo sikashukela.

Ukudla okunjalo kusho ukungafakwa kokudla okulandelayo ekudleni:

• ukudla, okuqukethe ama-carbohydrate ngamanani abalulekile;
• imikhiqizo equkethe utshwala;
• ukudla okuthosiwe nokunamafutha ngokweqile;
• I-Confectionery

Uma kwenzeka kwesisindo somzimba ngokweqile kuyadingeka ukuqina. Inqubo yokufaka ushukela egazini ngokwejwayelekile yinde, ngakho-ke kunconyelwa ukulandela ngokuqinile zonke izincomo zezokwelapha futhi unamathele ohlelweni olukhethwe uchwepheshe.