Isifo sikashukela i-mellitus singenye yezifo ezikhohlisayo - naphezu kwezinga lokuthuthuka kwemithi, abakaze bafunde ukuyelapha ngokuphelele.
Izimpawu zokuqala zokuphazamiseka kwe-endocrine ezimweni eziningi ziya zinganakwa, ngakho-ke umuntu uqala afunde ngesimo sakhe ngokudlulisela ukuhlaziya ukuthola izinga leshukela.
Cabanga ukuthi yini imvelo ushukela wegazi kubantu abadala ezimweni ezihlukile.
Ukuhlola imiphumela yokuhlolwa kweglucose
Ukuhlolwa kwegazi ukuthola inani likashukela kukuvumela ukuthi ukhombise ngokushesha futhi ngokuthembekile ubukhona bezinkinga ze-metabolic, kanye nesifo sikashukela esatholakala ngaphambilini - ukuqapha isimo sesiguli.
Kunezindlela ezahlukahlukene zokuthola inkomba ehlaziyiwe: izilinganiso zingathathwa kusetshenziswa imitha kashukela wegazi ekhaya noma unikele ngegazi elabhoratri.
Kukhona i-drawback eyodwa kuphela kokukhethwa kokuqala - idivaysi iyakwazi ukunquma okuqukethwe kwe-glucose kuphela, futhi ezimweni zelebhu kungenzeka ukuthola enye idatha ebalulekile ekuhloleni isifo sikashukela.
Uma esethole ifomu nemiphumela yokuhlaziywa, umuntu angahlola izinga lokuphambuka kwabo ejwayelekile, ngoba imininingwane enjalo ihlala inikezwa kukholomu ehambisanayo yetafula.
Kodwa-ke, udokotela kuphela okufanele aqonde imininingwane etholakele, ngoba imvamisa hhayi inkomba eyodwa, kepha ukuhlanganiswa kwawo kubalulekile.
Kukhona into efana nokukhula ngokomzimba koshukela wegazi. Kungabangelwa:
- ukucindezela okukhulu;
- ukubhema ngaphambi kokuthatha isivivinyo;
- ukuphuza utshwala izinsuku ezingama-1-2 ngaphambi kokudla;
- ukuzikhandla okukhulu ngokomzimba;
- ukudla ngokweqile kwe-carbohydrate ngosuku olwandulela ucwaningo;
- inkathi yesikhathi ngaphambi kokuya esikhathini;
- ukusetshenziswa kwamaqembu athile wemithi;
- ikhefu elinganele phakathi kokudla.
Njengomthetho, ukuphinda kuhlaziywe, umuntu uthola imiphumela engaphambuki kokujwayelekile.
Yiliphi izinga likashukela wegazi elibhekwa njengejwayelekile kubantu abadala: itafula leminyaka
Ngokuya ngohlobo lokuhlaziya kanye nohlobo lwegazi le-biomaterial (venous noma capillary igazi), amanani angahluka kancane. Kuyafaneleka futhi ukubheka ukulungiswa kwenombolo yeminyaka - emaqenjini asebekhulile, ukukhuphuka okuncane kwezinga le-glucose kuyamukelwa, kuthathwe njengokujwayelekile komzimba.
Esiswini esingenalutho
Igazi linikelwa ngokuqinile esiswini esingenalutho, ngakho-ke ngaphambi kokuya emtholampilo noma elabhorethri ungaphuza kuphela amanzi ahlanzekile (ukudla akumele kuthathwe okungenani amahora ayisishiyagalombili).
Iglucose egazini kumuntu omdala onempilo:
| Isigaba | Lapho uqoqa igazi le-venous, mmol / l | Lapho uthatha igazi le-capillary, mmol / l |
| Isimo esijwayelekile | 4-6,1 | 3,3-5,5 |
| Isifo sikashukela | 6,1-6,9 | 5,5-6,7 |
| Isifo sikashukela | 7.0 nangaphezulu | Ngaphezulu kuka-6.7 |
Ngesikhathi sokukhulelwa, ngenxa yezizathu zomzimba, ushukela wegazi ungakhula okwesikhashana - umkhawulo ovumelekile ovunyelwe wabesifazane abasesimweni esijabulisayo lapho bedlulisa ukuhlaziywa kwesisu esingenalutho ngu-6.6 mmol / l.
Ngemuva kokudla
Imvamisa, umphumela uvivinywa ngemuva kwamahora amabili udlile.
Ithebula kashukela wegazi kubantu abadala ngemuva kokudla:
| Umphumela | Inani, mmol / L |
| Norm | Ngaphansi kuka-7.8 |
| Isifo sikashukela | 7.8 kuya ku-11.1 |
| Isifo sikashukela | Ngaphezu kwe-11.1 |
Amanani akhonjisiwe aqashelwa afanayo ngegazi le-capillary ne-venous.
Ushukela wegazi ojwayelekile kubantu abadala abanesifo sikashukela
Lapho umuntu etholakala ukuthi unesifo sikashukela, kusho ukuthi kuzodingeka njalo uqaphele ushukela wakho wegazi. Umjaho wamahhashi uyingozi kakhulu emzimbeni, ngakho-ke kudingeka ukuthi ulondoloze inani elifanele kuzo zonke izindlela ezitholakalayo.
Izindinganiso zabanesifo sikashukela yilezi ezilandelayo:
- ekuseni, ngaphambi kokudla - hhayi ngaphezulu kuka-6.1;
- amahora amabili kuya kwamathathu ngemuva kokudla - ngaphansi kuka-8.0;
- kusihlwa, ngaphambi kokulala, imitha kufanele ikhombise inani elingeqi ku-7.5.
Ukwenza isithombe esinokwethenjelwa sesifo, odokotela batusa ukuthatha izilinganiso njalo futhi baqophe imiphumela yabo kudayari ekhethekile.
Isibonelo, uma umuntu esethatha amaphilisi anciphisa ushukela, ushukela wegazi udinga ukunqunywa ngaphambi kokudla, kanye namahora ambalwa emva kwawo. Uma isifo sikashukela sisesimweni sokunxephezela, ukukalwa kathathu ngeviki kwanele, uma kuya nge-insulin, khona-ke kufanele kwenziwe ngemuva kokudla ngakunye.
Uma inkomba ingaphandle kobubanzi obamukelekayo, kusho ukuthini?
Isimo esivame ukwamukelwa sisukela ku-3.3 kuya ku-5.5 mmol / L.
Ngokuphambuka ngakolunye uhlangothi, odokotela bazama ukuthola izimbangela zalesi simo futhi bakhethe ukwelashwa okulungele isiguli.
Kungakhathaleki ukuthi umuntu uzizwa enezimpawu ezingemnandi noma cha, lapho kunesimo sokuthola ifa likashukela, lokho kuhlaziywa kumele kuthathwe okungenani kanye ngonyaka.
Phezulu
Isizathu esikhulu sokwanda koshukela egazini sikashukela. Kodwa-ke, kukude njalo ukuthi lokhu kuphazamiseka kwe-endocrine kubangele ukwanda kwenkomba.
Izimbangela ze-hyperglycemia zingaba ezinye:
- ukwephulwa kwenqubo yokuhlukanisa ama-carbohydrate ngenxa yezifo zomgudu wokugaya ukudla;
- ukuphazamiseka kwe-hormonal;
- ukulimala kwe-hypothalamus;
- ukwephulwa kwenqubo yokufaka i-glucose kusuka emithanjeni yegazi iye emangqamuzaneni;
- ukulimala kwesibindi okungathi sína;
- izifo zobuchopho, i-adrenal gland, noma i-pancreas.
Izindlela zanamuhla zokuxilonga zenza kube lula ukwahlukanisa izizathu eziyiqiniso zokuthi kukhona ukwanda kwe-glucose egazini.
Ngokudlulela isikhathi eside kwamazinga kashukela, ingozi yokuhlaselwa yisifo senhliziyo nemivimbo iyanda, ukusebenza komzimba kuyancipha, kuqhamuka izinkinga zokubuka, ukusebenza kwezitho zangaphakathi (izinso, okokuqala), kanye nohlelo lwezinzwa.
Amanxeba awapholi kahle, ezimweni ezinzima, ukukhula kwe-gangrene. Uma isimo singalawulwa, ushukela ungakhuphuka ube namanani abucayi, okuzoholela ekhefeni nasekufeni.
Umzimba ungasizwa ngezindlela ezilandelayo:
- ukuhambisana nokubusa okujwayelekile komsebenzi nokuphumula (ubuncane besikhathi sokulala ebusuku: amahora ayisikhombisa kuya kwayisishiyagalombili);
- ukuqedwa kwezimo ezicindezelayo;
- ukulungiswa kwezakhi zomsoco (okuqinile "cha" okuthosiwe, okunosawoti kanye namafutha, kanye namaswidi);
- ukwenqaba utshwala nogwayi;
- ukuzivocavoca nsuku zonke;
- ukulungiswa kwesisindo, uma kukhona "okweqile";
- ukudla njalo, kepha ngezingxenye ezincane;
- uhlobo lokujwayelekile lokuphuza.
Phansi
Lapho izinga likashukela wegazi lehla ngezansi ngokwejwayelekile, umuntu uphethwe yizinkinga zokulala, ukungabinakho ukuqina, ubuthakathaka obukhulu, ukukhathala okungapheli, ikhanda, isicanucanu, ukukhathazeka, ukujuluka kanye nendlala engapheli.Izimbangela ezingaba khona ze-hypoglycemia:
- isifo sikashukela mellitus;
- ama-neoplasms kuma-pancreas;
- ukwephulwa kwe-carbohydrate metabolism ngenxa yezifo zobuchopho, isisu, isibindi noma i-adrenal gland;
- ukuntuleka kwemvelo ye-enzyme.
Amazinga we-glucose anciphile angaholela ku-hypoglycemic coma nokufa, ngakho-ke ukwelashwa kufanele kuqalwe ngokushesha ngemuva kokuthola ukuphambuka kokujwayelekile.
Amavidiyo ahlobene
Iliphi izinga ejwayelekile kashukela wegazi kwabesifazane abadala kanye nabesilisa? Izimpendulo kuvidiyo:
Njengamanje, ukwelashwa kwesifo sikashukela akunzima - ukudla, ukuthatha imishanguzo ekhethwe kahle kanye nokugcina indlela efanele yokuphila kungasenza sibe ngcono isimo sesiguli ngesikhathi esifushane.
Isisekelo sokwelashwa okuphumelelayo yindlela esethembekile yomuntu uqobo futhi, njengoba ukuzivocavoca kukhombisa, ukuqinisekisa isimo sengqondo esinjalo empilweni yomuntu munye wemisebenzi enzima kakhulu ekulweni nesifo sikashukela.
