Isifo sikashukela yisifo esikhohlisayo esinikeza inqwaba yezinkinga. Lesi sifo esinemvamisa efanayo sithinta umzimba wabesifazane nabesilisa. Futhi uma ubulili bungakhuphi ngandlela thile isifo, khona-ke izici ezihlobene nobudala zibaluleke kakhulu phakathi kwezinto ezingasheshisa ukukhula kwesifo.
Kwabesifazane, isikhathi sokubhekelwa phambili kwesifo sikashukela esihlobene nobudala siqala kusuka eminyakeni engama-45-50 futhi sihlala kuze kube sekupheleni kwempilo.
Ngalesi sizathu, ngemuva kosuku "lomngcele", ubulili obunobulungiswa bunconywa ukuthi buhlole njalo amazinga kashukela wegazi ngezinjongo zokuthibela, futhi uma kutholakala amazinga aphakeme, ngokushesha thatha izinyathelo.
Umphumela wezinguquko ezihlobene nobudala emzimbeni wesifazane ngemuva kweminyaka engama-40 ezingeni le-glycemia
Ngemuva kweminyaka engaba ngu-40, ushintsho olukhulu lwamahomoni luqala emzimbeni wowesifazane.
Uhlelo lokuzala, ngokwemithetho yemvelo kamama, aludingelwa ngumfazi kukho konke impilo yakhe, kancane kancane luqala ukwenza umsebenzi wakhe buthaka.
Umphumela woshintsho olunjalo akuyona nje izinguquko zangaphandle, kepha futhi nezinguquko ezingathi sína zama-hormone ezithinta ukusebenza komzimba, i-endocrine, ukujikeleza kwegazi nezinye izinhlelo eziningi.
Ngaphansi kwethonya lezinguquko ezihlobene nobudala, kwenzeka izinguquko ezingathi sína zama-hormone ezingathinta ngqo i-carbohydrate metabolism.
Ngenxa yalokhu, abesifazane abanefa eliyindlalifa bakhulisa ubungozi bokukhuthazelela ukubekezelela ushukela kanye nesifo sikashukela sezinhlobo ezimbili zokuqala nezesibili.
Izinkomba zokuhlaziywa kwe-plasma glucose
Izinga le-glycemia egazini le-capillary lingumqondo oguquguqukayo. Imvamisa, le nkomba iyashintsha phakathi nosuku, ngisho nasezigulini ezinempilo, iwele ngemuva kokuzivocavoca umzimba futhi yephule okuyisisekelo ngemuva kokudla kakhulu ukudla okunamafutha.
Ukuze ugweme amaphutha, kuyabhekelelwa ukuthi ushukela we-plasma ususisiwe.
Ngalezi zinhloso, igazi livame ukuthathwa emunweni. Kepha uma kunesidingo, inani elidingekayo legazi le-venous nalo lingathathwa, okuqukethwe ushukela okuhlala njalo.
Ukuhlola ushukela we-plasma kungadingeka ngokubona kukadokotela ezimweni ezilandelayo:
- njengengxenye yokuhlolwa okujwayelekile, lapho isiguli sesineminyaka engama-40 ubudala;
- ukubonakala kwezimpawu ze-hypo- ne-hyperglycemia;
- ukutholwa kokukhubazeka emsebenzini wezitho zesistimu ye-endocrine;
- ukusetshenziswa kwama-diuretics noma ama-corticosteroids;
- umfutho wegazi ophikelelayo ngokukhuphuka kwengcindezi kusuka ku-14/90 mm Hg futhi phezulu;
- ukwephulwa kwesibindi (i-cirrhosis);
- isimo sangaphambi kwesifo sikashukela;
- ukuba khona kwesifo sikashukela;
- isidingo sokuhlaziywa kwamanyikwe;
- umuzwa ongapheli wobuthakathaka kanye nokusebenza okunciphile.
Futhi, ngokubona kukachwepheshe, isizathu sokuhlaziywa singaba yiziphi ezinye izinto ezinomthelela ekuthuthukiseni ukuphazamiseka kumetaboliki we-carbohydrate.
Kuvela emthanjeni noma emunweni - kuvela kuphi lokho?
Ukuhlolwa kwegazi ngoshukela (ukuhlaziya okujwayelekile) kuvame ukwenziwa njengengxenye yokuhlolwa kwezokwelapha. Ezimweni ezinjalo, umsizi welebhu uzoba negazi elanele le-capillary elithathwe esihlangwini somunwe ukuze alitadishe.
Ukuhlolwa okunjalo kuthathwa esiswini esingenalutho. Futhi ngokudlula kwayo akudingekile neze ukuthi kube nezici ezibonisa amathuba aphezulu okuthola isifo sikashukela.
Uma isiguli sesivele siveze isikhathi esisodwa noma ukwephulwa okungapheli kwe-carbohydrate metabolism, udokotela ohambelayo angafuna ukulethwa kwegazi kusuka emithanjeni.
Njengoba ukugcwala kukashukela egazini le-venous kuzinzile kakhulu kunegazi le-capillary, uchwepheshe angadinga imininingwane esezingeni lokuqukethwe ushukela egazini le-venous yegazi ukwenza umbono oqondile ngesimo sempilo sesiguli.
Uhlu lwamazinga kashukela wegazi kwabesifazane ngemuva kweminyaka engama-50-60
Ukuze uvikele amaphutha ngesikhathi senqubo yokuxilonga futhi uthole imininingwane enenhloso enkulu, ochwepheshe basebenzisa izinkomba ezijwayelekile ezijwayelekile ezigabeni ezahlukahlukene zabesifazane.
Amazinga kashukela wegazi kwabesifazane ngeminyaka:
| Iminyaka | Ukuzila ushukela | Ushukela ngemuva kokudla (isilinganiso esinempilo) |
| kufika eminyakeni engama-50 | 3.3-5.5 mmol / l | 7 mmol / l |
| Iminyaka engama-51-60 ubudala | 3.8-5.8 mmol / l | 7 mmol / l |
| Iminyaka engama-61-90 ubudala | 4.1-6.2 mmol / l | 7 mmol / l |
| kusukela eminyakeni engama-91 nangaphezulu | 4.5 - 6.9 mmol / l | 7 mmol / l |
Uma isiguli sivele siveze izimpawu zesifo sikashukela noma ukuhlukunyezwa emzimbeni we-carbohydrate metabolism, inqubo yaso ingahle isethwe ngudokotela ohamba yedwa.
Inani lingashiyana kakhulu noma kancane kusuka kumazinga amukeleka ezigulini ezinempilo. Kodwa-ke, kuzobhekwa njengokujwayelekile ecaleni elithile lezokwelapha.
Iglue glucose ejwayelekile kwabesifazane asebekhulile abanesifo sikashukela
Njengoba sishilo ngenhla, kushukela, kokubili asebekhulile nasebancane, azikho izinkomba ezijwayelekile zesimo esijwayelekile.
Imvamisa, ezigulini ezinjalo, isibalo, esingabhekwa njengesinkomba sokuqina kwesimo, sinqunywa udokotela oholayo, kucatshangelwa izici zomzimba kanye nenkambo yesifo.
Ngaphandle kwezinhlaka ngazinye ezisungulwe ngudokotela ohambelayo, isiguli esinesifo sikashukela kufanele silwele ukusondeza izinga le-glycemia eduze komuntu onempilo, owamukelekayo ngenxa yobudala bakhe.
Izindinganiso ezinjalo zizobe ziphephile ngangokunokwenzeka ezempilo, ngoba ngokufaka ushukela okujwayelekile egazini, ingozi yokuba nengxaki yesifo sikashukela icishe ibe ngu-zero.
Izimbangela zokukhuphuka koshukela asebekhulile asebekhulile
Isizathu esiyinhloko esidala ukukhula kwesifo sikashukela kwabesifazane asebekhulile ukuncipha kokuzwela kwamaseli we-beta, abhekene nokuqalisa inqubo yokukhiqiza i-pancreatic insulin.
Ngalesi sizathu, izimo zilungele ukuthuthukisa isifo sikashukela.
Isizathu sesibili esinomthelela ekuthuthukisweni kwesifo sikashukela esegugile ukuba khona kwezifo ezihambelana nalokhu, ukwelashwa kwakho kudinga umuthi ojwayelekile (kwesinye isikhathi onamandla). Iningi lazo linemiphumela emibi ehlukahlukene, okubandakanya ukungasebenzi kahle emsebenzini wegayidi yokugaya ukudla.
Ngenxa yalokhu, ukuqina kwamanyikwe kuyaphazamiseka. Ngenxa yalokho, kukhona ukwehla kwezinga lokukhiqizwa kwe-insulin noma ukuncipha kokuzwela kwamangqamuzana ukuya glucose. Futhi lesi isizinda esihle sokuqalwa kwesifo sikashukela.
Izinkomba zokuqapha ngemitha ye-glucose yasekhaya
Ukuqapha impilo yakho, akudingekile ukuthi uvakashele njalo elebhu. Izilinganiso zingenziwa ekhaya, kusetshenziswa i-glucometer emile.
Isisekelo sokuzixilonga kungaba yidatha esetafuleni, ekhombisa okujwayelekile kwabesifazane beminyaka ehlukile.
Endabeni yokutholwa okuqinile kwezinkomba eziphakeme, kufanele ufune usizo lodokotela.
Kubiza malini ushukela?
Izindleko zama-glucometer zokusebenzisa ekhaya zingahluka kusuka kuma-ruble angama-450 kuya kwangama-1500.Le nkomba ingathinteka kusethi yemisebenzi yedivayisi, idumela lomenzi, inani lezinto ezihlobene kusethi, njalonjalo. Uma ufuna ukonga imali, ungabheka okunikezwayo emakhemisi online okuthengisela ngezikhathi ezithile izimpahla ezikhona ngesaphulelo.
Amavidiyo ahlobene
Mayelana namazinga kashukela wegazi kwabesifazane ngaphambi nangemva kweminyaka engama-50 kuvidiyo:
Umkhawulo wobudala beminyaka engama-40-45 womzimba wowesifazane isikhathi esibalulekile ngokuya ngezinguquko zomzimba. Ngakho-ke, abesifazane asebefinyelele eminyakeni efanele kufanele baqinise ukulawula isimo sabo sempilo.
