Yiziphi izivivinyo okufanele zithathwe uma usola ukuthi unesifo sikashukela: amagama ezifundo eziphambili nezengeziwe

Imvamisa abantu abanenkinga ye-endocrine bathi izimpawu zabo ziya eminyakeni, ukukhathala okungapheli, ukuntuleka kokulala, njll.

Sizohlaziya ukuthi yiziphi izivivinyo zesifo sikashukela okufanele zinikezwe umuntu ngamunye ukuze zazi ngesimo sazo ngesikhathi, okusho ukuthi bazozivikela emiphumeleni emibi yeglucose ephezulu.

Yiziphi izimpawu okudingeka uhlole ngazo isifo sikashukela emtholampilo?

Ukuhlaziywa okuvumela ukuthi unqume okuqukethwe i-glucose esegazini kutholakala kuwo wonke umuntu - kungathathwa ngokuphelele kunoma yisiphi isikhungo sezokwelapha, noma ngabe sikhokhelwe noma esidlangalaleni.

Izimpawu ezikhomba ukuthi kufanele uthintane nodokotela ngokushesha:

• gxuma ebalulekile kwesisindo (ukuzuza noma ukulahlekelwa) ngaphandle kwezinguquko ezinkulu ekudleni;
• umlomo owomile, ukoma njalo;
• ukuphulukiswa kancane kwamanxeba, ama-abrasions kanye nokusikeka;
• ubuthakathaka kanye / noma ukozela;
• ukukhathala;
• isicanucanu (kaningi - ukuhlanza);
• isikhumba esikhanyayo;
• kwehlise i-acuity ebonakalayo;
• ukuzindla kwenhliziyo nokuphefumula;
• ukuchama njalo, ukukhuphula umchamo nsuku zonke.

Ubungakanani bezimpawu kuncike esikhathini sesifo, izici zomzimba womuntu kanye nohlobo lwesifo sikashukela.

Isibonelo, indlela ejwayelekile kunazo zonke, ebizwa ngokuthi yesibili, ibonakala ngokuwohloka kancane kancane, abantu abaningi baphawula izinkinga emizimbeni yabo esiteji esithuthukile.

Yimuphi udokotela okufanele ngibe naye uma ngisola isifo sikashukela?

Njengomthetho, iningi labantu elisolayo ukuba khona kokuphazamiseka kwe-metabolic emizimbeni yabo liphendukela kumelaphi kuqala.

Ngemuva kokunquma ukuthi kuhlolwe igazi nge-glucose, udokotela uvivinya imiphumela yayo futhi, uma kunesidingo, uthumela loyo ku-endocrinologist.

Uma ushukela ujwayelekile, umsebenzi kadokotela ukuthola ezinye izimbangela zezimpawu ezingathandeki. Ungaphendukela naku-endocrinologist ngokwakho, ngoba ukwelashwa kwesifo sikashukela sanoma yiluphi uhlobo kuyikhono lodokotela onjalo.

Inkinga kuphela ukuthi kude kakhulu nazo zonke izikhungo zezempilo zikahulumeni lochwepheshe ukhona.

Yiziphi izivivinyo engizidingayo ukuze ngihlolwe isifo sikashukela?

Ukuxilongwa kwesifo sikashukela kufaka izifundo eziningana. Ngenxa yendlela ehlanganisiwe, udokotela angakhomba ubulukhuni bokwephulwa kwe-carbohydrate metabolism, uhlobo lwesifo nezinye izici, ekuvumela ukuthi unikeze ukwelashwa okwanele.

Ngakho-ke, izifundo ezilandelayo ziyadingeka:

1. ukuhlolwa kweglucose yegazi. Inikezwa ngokuqinile esiswini esingenalutho, kusuka emunweni noma emvinini. Umphumela ubonwa njengokujwayelekile ebangeni ukusuka ku-4.1 kuye ku-5.9 mmol / l;
2. ukuzimisela kwezinga le-hemoglobin ye-glycated. Isikhombi esibaluleke kunazo zonke esenza kube lula ukubona ubunzima bokuphazamiseka emzimbeni. Ibonisa ushukela ojwayelekile weglue wezinyanga ezintathu ngaphambi kokuqoqwa kwe-biomaterial. Ngokungafani nokuhlolwa kwegazi okujwayelekile, okuncike kakhulu ekudleni nakwizinto eziningi ezihlobene, i-hemoglobin ye-glycated ikuvumela ukuba ubone isithombe sangempela salesi sifo. Imvamisa kuze kube yiminyaka engama-30: ngaphansi kuka-5.5%; kuze kufike ku-50 - hhayi ngaphezulu kuka-6.5%, esemdala - aze afike ku-7%;
3. ukuvivinya ushukela. Le ndlela yokuxilonga (ngokuzivocavoca) ikuvumela ukuthi unqume ukuthi umzimba ulukhipha kanjani ushukela. Igazi lithathwa esiswini esingenalutho, khona-ke isiguli sinikezwa isisombululo se-glucose ukuphuza, ngemuva kwehora elilodwa noma amabili, i-biomaterial iyabuye ithathwe. Inani elifinyelela ku-7.8 mmol / L libhekwa njengejwayelekile, lisuka ku-7.8 liye ku-11.1 mmol / L - isimo sangaphambi kwesifo sikashukela, ngenhla kuka-11.1 - isifo sikashukela;
4. ukuzimisela kweprotein esebenzayo. Ibonisa ukuthi ama-pancreas athinta kanjani. Isikhathi esijwayelekile: 298 kuya ku-1324 mmol / l. Ukuhlolwa kwenziwa ngenhloso yokuthola isifo sikashukela ngesikhathi sokukhulelwa, futhi uma i-glucose yegazi ijwayelekile, futhi kunezimpawu zokuthi umtholampilo we-carbohydrate metabolite awukho.

Yini igama lokuhlolwa kwegazi elabhorethri ukuqinisekisa isifo sikashukela?

Ngaphezu kwezivivinyo ezibhalwe ngenhla, ukulethwa okuphoqelekile ekuxilongeni isifo sikashukela, kungahlolwa ezinye izivivinyo.

Nawa amagama ezinye izifundo:

• izinga le-insulin;
• ukuzimisela kwophawu lwesifo sikashukela;
• ukutholwa kwama-antibodies kuma-insulin kanye ne-beta cell yamanyikwe.

Lezi zivivinyo "zimincane", kungenzeka ukuthi zazo kungenzeka ziqinisekiswe udokotela.

Ukuxilongwa okuhlukile kwesifo sikashukela sohlobo lwe-1 no-2

Lolu hlobo lokuxilongwa kaningi lwenziwa ngesikhathi sokuhlolwa kokuqala ukukhomba uhlobo oluthile lwesifo sikashukela. Okuqukethwe kwezinga le-insulin egazini lomuntu kuthathwa njengesisekelo.

Ngokuya ngemiphumela, enye yezindlela zesifo sikashukela ihlukaniswa:

• angiopathic;
• i-neurotic;
• kuhlangene.

Ukuhlaziywa futhi kukuvumela ukuba uhlukanise ngokucacile phakathi kwesifo esikhona kanye nesimo esibizwa nge- "prediabetes."

Esimweni sesibili, ukulungiswa kokudla okunempilo kanye nendlela yokuphila kusiza ukugwema ukwanda kwalesi simo, ngaphandle kokusebenzisa umuthi.

Uhlelo lokuhlolwa kweziguli ngesiguli

Umuntu otholakala ukuthi unesifo sikashukela kumele abhaliswe emtholampilo endaweni ahlala kuyo, esikhungweni esikhethekile, noma esikhungweni sezokwelapha esikhokhelwayo.

Inhloso: ukuqapha inkambo yokwelashwa, kanye nokuvimbela ukuthuthukiswa kwezinkinga eziholela ekuwohlokeni okukhulu kwesimo.

Ngakho-ke, uhlelo lokuhlolwa kwezokwelapha lumi ngalendlela elandelayo:

1. Ukuhlolwa kwegazi (kwemitholampilo nangokwamakhemikhali). Sukiswa kabili ngonyaka. Ziveza ukuba khona kwezinkinga zesifo sikashukela ezigabeni zazo zokuqala;
2. urinalysis. Qasha kanye ngekota. Njengoba uhlelo lomchamo luhlupheka endaweni yokuqala ezimweni zokuphazamiseka kwe-carbohydrate metabolism, ukuqapha okuthuthukile kuyadingeka ngesimo salo;
3. umchamo wansuku zonke we-microalbuminuria. Hlukanisa ukuze ususe ingozi yokuthola leyo nkinga enkulu njengokuthi unesifo sikashukela. Njengomthetho, isifundo senziwa kanye ngonyaka;
4. ECG. Kubekwa ngemvamisa kusuka kusikhathi esisodwa kuye kaningi ezinyangeni eziyi-12 (kuya ngeminyaka yesiguli nesimo sesistimu yenhliziyo). Kwembula izimpawu ze-ischemia, ukuphazamiseka kwesigqi, njll. Kuyadingeka ngoba isifo sikashukela sikhulisa ubungozi bokukhula kwe-pathologies yenhliziyo nemithambo yegazi kaningana;
5. i-fluorography. Kunqunywa kanye ngonyaka, ngoba abanesifo sikashukela banciphise ukungatheleleki, okuvumela ukuthi amagciwane namagciwane adlule, okwandisa kakhulu ingozi yokuthola isifo sofuba;
6. vakashela ku-ophthalmologist. Udokotela ubheka i-acuity ebonakalayo, ingcindezi ye-intraocular, isimo semithambo yegazi nokuningi. Inhloso: ukukhipha ukuthuthukiswa kwezinkinga zesifo sikashukela, futhi uma zikhona, ukukhetha ukwelashwa okwanele;
7. I-Ultrasound yezinso. Kwenziwa njalo uma isifo sikashukela sisesigabeni esithuthukile. Ucwaningo lukuvumela ukuthi uqaphele ukuthuthukiswa kokuhluleka kwezinso nezinye izinkinga ngesikhathi;
8. dopplerography yemithambo yemikhawulo ephansi. Kunqunywe uma kunesisindo esingeqile kanye nezikhalazo zemithambo ye-varicose.

I-algorithm yokunquma ushukela wegazi ekhaya

Indlela elula futhi ejwayelekile ukusebenzisa i-glucometer. Lolu hlelo lokusebenza kufanele lutholakale kunoma ngubani otholakala ukuthi unesifo sikashukela.

Imithetho yesampula yegazi:

• geza izandla kahle ngensipho;
• gcoba kahle indawo yokubhoboza ukuze igazi linamathele kule ndawo;
• phatha le ndawo nge-antiseptic, ngokwesibonelo, ngebhakabhaka elikhethekile elilahlayo noma uvolo wekotoni ofakwe utshwala;
• uthango ngenaliti eyinyumba yokulahla ngokuphelele. Kumamitha weshukela egazi wanamuhla, vele uchofoze inkinobho ethi "Qala", bese ukubhoboza kuzenzakalela;
• lapho kuvela igazi, lisebenzise ku-reagent (strip test);
• iswidi likotoni elicwiliswe etshwaleni, linamathela endaweni yokubhoboza.

Umuntu udinga kuphela ukuhlola umphumela futhi awubhale ephepheni nosuku nesikhathi. Njengoba odokotela bancoma ukuhlaziya amazinga kashukela kaningana ngosuku, kuzodingeka ukuthi ugcine “idayari” enjalo njalo.

Amavidiyo ahlobene

Mayelana nokuhlola okudingeka ukwenze ukuze uthole isifo sikashukela, kuvidiyo:

Ukuxilonga isifo sikashukela akunzima kakhulu - ngemuva kokuhlola imiphumela yezifundo ezintathu kuya kwezine kuphela, udokotela angakha isithombe esiphelele salesi sifo, anikeze umuthi wokulungisa isimo, futhi anikeze nezincomo maqondana nokudla nendlela yokuphila.

Kunenkinga eyodwa namuhla - iziguli ziza ukubona udokotela esezingeni eliphezulu, ngakho-ke sincoma ukwelapha impilo yakho ngokucophelela - lokhu kuzokusindisa ekukhubazekeni nasekufeni.