Isimo soshukela wegazi kusuka emthanjeni - izinkomba zande futhi zinciphile

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Ukuhlolwa kwegazi kuyindlela evamile ekutholakalweni kwezifo eziningi.

Ezimweni eziningi, ukuqoqwa kwesampula kwenzeka kusukela kutholakale kalula, kodwa futhi kungenzeka ukuthi kuhlolwe izinto ezibonakalayo.

Inketho yokugcina izokuvumela ukuthi unqume imininingwane ethembekile kakhulu mayelana nezinkomba, kepha ngenxa yokuphila okufushane eshalofini akuvamile ukusetshenziswa.

Isimo sikashukela wegazi esivela emthanjeni naso sihlukile; sinemingcele ephakeme kunesampula le-capillary.

Ushukela wegazi ovela emithanjeni nasezandleni zomunwe: uyini umehluko

Okuvame kakhulu ukusampula kwegazi kusuka emunweni.

Noma kunjalo, imiphumela ngeke ibe inembile njengalapho kuhlolwa isampula ye-venous.

Igazi elinjalo linokuzala okuningana, okukuvumela ukuthi uthole imininingwane ethembekile kakhulu mayelana nezinkomba.

Izinto ezibonakalayo ze-Venous ziwohloka ngokushesha kakhulu kune-capillary, echaza ukutholakala kwayo.

Futhi umehluko yinto ejwayelekile kashukela ovela emithanjeni nasesandleni somunwe. Esimweni sokuqala, imingcele isuka ku-4.0 iye ku-6.1 mmol / L, kanti kwesibili isuka ku-3.3 iye ku-5.5 mmol / L.

Izinga le-glucose egazini lisuka emithanjeni esiswini esingenalutho ngobudala: itafula

Akukho mehluko kumanani ajwayelekile wokuzila kwegazi kusuka emithanjeni phakathi kowesilisa nowesifazane, kepha kukholelwa ukuthi amadoda anezinga likashukela elizinzile ngokwengeziwe. Umehluko uthinteka ngenxa yobudala. Imikhuba yethulwa etafuleni:

IminyakaIzinga elincaneIzinga eliphakeme
Kusuka ekuzalweni kuya kunyaka ongu-1 (izinsana)3.3 mmol / l5.6 mmol / l
U-1 kuya ku-14 ubudala (izingane)2.8 mmol / L5.6 mmol / l
Iminyaka eyi-14 kuye kwengama-59 (intsha kanye nabantu abadala)I-3.5 mmol / l6.1 mmol / l
Bangaphezu kuka-60 (abadala)4.6 mmol / l6.4 mmol / l

Ukukhuphela ngaphandle ukubakhona kwanoma iyiphi i-pathologies, inkomba efanelekile akufanele ibe ngaphezu kuka-5.5 mmol / L.

Ukwanda kwalezi zinani kubantu abadala kungakhombisa imibandela elandelayo:

  • I-6.1-7 mmol / l (esiswini esingenalutho) - ushintsho ekubekezelweni kweglucose.
  • I-7.8-11.1 mmol / L (ngemuva kokudla) - ushintsho ekubekezelweni kweglucose.
  • Ngaphezulu kuka-11.1 mmol / L - ukuba khona kwesifo sikashukela.

Ngesikhathi sokukhulelwa, njengomthetho, umngcele ojwayelekile kashukela egazini le-venous uyanda ngenxa yokuqina kokuzwela komama abakhulelwe ukuthola i-insulin. Isibalo akufanele sibe ngaphezu kuka-7.0 mmol / l futhi sibe ngaphansi kuka-3.3 mmol / l. Kwi-trimester yesithathu noma uma kwenzeka kweqisa into evunyelwe, owesifazane okhulelwe uthunyelwa ukuyohlolwa kwe-glucose. Kubandakanya ukuqoqa igazi kaningana, ekuqaleni kwenqubo, owesifazana uthatha umthamo obekiwe we-glucose.

Imvamisa kubantu besifazane abakhulelwe kuba nokukhula kwesifo sikashukela sokukhulelwa phakathi namasonto angama-24-28 wokukhulelwa, kepha, njengomthetho, lesi sifo siyanyamalala ngemuva kokubeletha. Kwezinye izimo, kungangena ohlotsheni lwesibili sikashukela.

Ukunqanda ukuthuthukiswa kwesifo sikashukela sokuthambisa, esimweni esibi kakhulu kungaholela ekuphuthweni kwesisu, owesifazane kufanele alandele imithetho embalwa elula:

  • Yidla ngakwesokudla.
  • Vivinya umzimba njalo.
  • Kaningi ukuhamba emoyeni omusha.
  • Susa noma unciphise izimo ezicindezelayo nengcindezi engokomzwelo.

Ngezinguquko ezihlobene nobudala, ukuzwela kwezicubu eziya ku-insulin kuba phansi, ngenxa yokufa kwamanye ama-receptors.

Izimbangela zokuphambuka kwemiphumela yokuhlaziywa kwe-venous glucose kusuka kokujwayelekile

Izici ezilandelayo zingathinta ukuphambuka kusuka kumazinga ashukela ajwayelekile avela emthanjeni:

  • Ukuba khona kwesifo sikashukela mellitus hlobo I noma II.
  • Isifo sezinso.
  • I-overdose yama-antibacterial agents.
  • Izinqubo zokuvuvukala ze-neoplasms ezithinta ama-pancreas.
  • Ukuba khona komdlavuza.
  • Izifo ezithathelwanayo.
  • Ukuhlaselwa yisifo senhliziyo.
  • Izinkinga zezicubu ezixhunywayo.
  • Isifo sokuwa
  • IHepatitis.
  • Ukweqisa kwemithi elwa namagciwane.
Ezinye izizathu zifaka: ukucindezelwa okungapheli, inani elikhulu le-caffeine ekudleni, ukuhlukunyezwa kwe-nicotine, ukusebenza ngokweqile komzimba, ukudla okuhlala isikhathi eside.

Izinga elikhulayo

Izizathu zomzimba zokwanda koshukela zingaba:

  • ukulimala kwengqondo ebuhlungu;
  • ukubanjwa kwesithuthwane;
  • ukungenelela kokuhlinzwa;
  • ukungezwani kwe-etiology yezinzwa;
  • ukuqhuma, ukulimala;
  • ukwethuka kobuhlungu;
  • ifomu elinzima le-angina pectoris;
  • ukusha;
  • umsebenzi wesibindi okhubazekile.

Ukusetshenziswa kwezidakamizwa ezithile nakho kunomthelela ekwandeni kwamazinga kashukela.

Imithi evusa le nqubo:

  • ukulawulwa kokubeletha;
  • antidepressants;
  • ama-steroid;
  • okokugcobisa;
  • tranquilizer.
Ukusetshenziswa isikhathi eside kwezidakamizwa ezithile kubeka engcupheni yokuba nesifo sikashukela.

Futhi, izinga lingakhuphuka ngenxa yezimo ezicindezelayo, lokhu kungenxa yokuthi ama-hormone athile angena egazini, okuvusa ukwanda kwenqwaba kashukela egazini. Kuyaqapheleka ukuthi leli zinga libuyela kwelejwayelekile lapho ukubonakaliswa okukhathazayo kutholakala njengokujwayelekile ngumbuso ozolile.

Imbangela eyinhloko ye-hyperglycemia ukuba khona kwesifo sikashukela. Abanye bangaba:

  • Pheochromocytoma. Ngenxa yokuba khona kwalesi sifo, ukukhiqizwa ngokweqile kwama-adrenaline nama-norepinephrine kwenzeka. Isibonakaliso sokuqala sokuba khona kwe-pheochromocytoma ukuqina wegazi, ezinye izinkomba zifaka: ukwenama kwenhliziyo, isimo sokwesaba okungenampilo, ukukhuphuka kokujuluka kokunye kanye nenjabulo yovalo.
  • Izifo ze-pancreatic, ukwakheka kwe-tumor, inkambo ye-pancreatitis kwifomu elingamahlalakhona.
  • Ukungasebenzi kahle kwesimo sethambo kanye ne-thyroid kuholela ekukhipheni ushukela egazini, okubuye kukhuphule ukuqina kwalo.
  • Izifo zesibindi ezingamahlalakhona: i-cirrhosis, i-hepatitis, ukwakheka kwesimila.

Inani elincishisiwe

Izinga likashukela elincishisiwe lingakhombisa okulandelayo:

  • Izinqubo zeTumor zamanyikwe.
  • Ipeni lesirinji elibi, okuholele ekuqothulweni kwe-ejenti ye-hypoglycemic.
  • Ukuba khona kwemikhuba emibi efana notshwala nokubhema.
  • Ukusetshenziswa kwamacwecwe ne-insulin ngaphandle kokunciphisa umthamo ngenkathi kwehlisa isisindo somzimba.
  • Isikhathi esifushane ekudleni.
  • Ukuzivocavoca ngokomzimba okungenayo okwanele kwe-caloric.
  • Yehlisa inqubo yokukhipha i-insulin emzimbeni, ehambisana nokwehluleka kwe-hepatic ne-renal.
  • I-trimester yokuqala yokukhulelwa ne-lactation.
  • I-insulin ngokweqile.
  • Isifo sikashukela se-gastroparesis.
  • Ukuntuleka kwamakhono okuzithiba wesifo sikashukela i-mellitus, okuholela ekutheleleni ngokweqile kwe-insulin noma amaphilisi.
  • Ukwephulwa kokugaya ngenxa yokuba khona kwezifo ze-gastroenterological.
  • Ukuzwela insulin ngemuva kokubeletha.
  • Ukuhlukunyezwa kotshwala.
  • Ukwehluleka ukulandela imithetho yendlela yokuphatha i-insulin, okubuye kwabangela umjovo ojulile.

Izinga eliphansi lingakhombisa okulandelayo:

  • Ukungasebenzi komzimba.
  • Ukuba khona kwama-pathologies e-endocrine ehlukahlukene.
  • Izinkinga zokudla.
  • Utshwala
  • Ukukhuluphala ngokweqile
Izinkomba ezibonisa ukunciphisa (i-hypoglycemia) noma ukukhuphuka (kwe-hyperglycemia) kuthola inqubo ye-pathological emzimbeni, kwesinye isikhathi futhi ingaguquki.

Kakhulu, indlela yokuqoqa i-biomaterial inconyelwa uchwepheshe oholayo futhi imvamisa isifundo esisodwa ngeke sanele ekutholeni isifo esinembile. Ngale ndlela, izinga le-glucose lihlala lingafani futhi ijika lezinkomba ezinjalo liqhathaniswa nezimpawu nezinye izici liyindlela ebaluleke kakhulu yokwenza ukuxilongwa okunembile.

Ukuhlaziywa kwegazi le-venous ushukela kunembe kakhudlwana, ngokungafani nokucwaninga kwezinto ezithathwe emunweni, futhi kunobubanzi obujwayelekile obuphakeme, obuhunyushelwa ngokuya ngeminyaka nezinye izinto.

Ngokunikezwa kungenzeka komphumela omuhle-ongewona, futhi lapho ukuhlolwa kabusha kunganikeli isithombe esicacile, ezinye izindlela zokuxilonga zingabekwa: ukuhlolwa kokubekezelela ushukela nokuhlolwa ushukela kokulayisha okuphoqelelwe.

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