Izindlela zokuxilonga zesifo sikashukela se-LADA: ukuhlaziywa koshukela okulandelayo kanye nencazelo yayo

Inani elikhulu labantu namuhla libhekene nezindlela zakamuva zesifo sikashukela.

Lolu hlobo lokuphazamiseka alutholakali kusetshenziswa ukuhlola okujwayelekile kwe-serum glucose.

Ngakho-ke, kwahlaziywa ukuhlaziywa okukhethekile koshukela we-latent noma isifundo esinomthwalo we-carbohydrate.

Ngabe iliphi ushukela okufanele libe kumuntu ophile kahle?

Umuntu ngamunye unesilinganiso esithile sikashukela egazini lakhe. Izinga lokugxila koshukela libonisa ukusebenza kwamanyikwe futhi likuvumela ukuthi ukhombe ubukhona be-pathologies engathi sína.

Kuyasiza ukwazi izinga le-glycemic kubantu abaphilile. I-World Health Organisation igunyaze amanani aphezulu kashukela we-serum kubantu abadala nasezinganeni.

Ngakho-ke, ezinsaneni ezisukela osukwini lwesibili lokuzalwa luze lufike enyangeni, ushukela usezingeni lika-2.8-4.4 mmol / l. Ukusuka ezinsukwini ezingama-30 kuye eminyakeni eyi-14, ushukela ukhuphukela ku-3.3-5.5 mmol / L. Kwentsha nakubantu abadala, kuvunyelwe okujwayelekile ebangeni le-3.5-5,5 mmol / l.

La magugu ahlobene nezifundo zaselebhu zegazi le-capillary. Umphumela wesifundo se-plousma ye-venous uzohluka kakhulu: okujwayelekile kufinyelela ku-6.6 mmol / l.Uma amanani ephakeme kunokwejwayelekile, lowo muntu uba ne-hyperglycemia, uma iphansi, i-hypoglycemia.

Ngisho nesimo esifushane esinjalo siyingozi emzimbeni. Ukuphambuka okungapheli kusuka kunani elifanele kuholela emiphumeleni engenakuphikwa.

Njengoba sikhula, ukuzwela kwamangqamuzana kuyi-insulin hormone kuyancipha. Lokhu kungenxa yokuthi amanye ama-receptors ayafa, futhi isisindo somzimba siyakhuphuka. Lokhu kwandisa ingozi yokuba nesifo sikashukela esisezingeni eliphezulu.

Ungasithola kanjani isifo sikashukela esiseqophelweni eliphezulu?

Ifomu le-latent libizwa nangokuthi i-prediabetes. Ubungozi balesi simo, odokotela batholile muva nje. Isikhathi eside bekukholelwa ukuthi isifo sikashukela esisobala kuphela esisongela impilo nempilo. Ifomu lokugcina liyingozi ngoba alizivezi ngezimpawu ezikhulunywayo.

Umuntu akasole ngisho ukuthi unenkinga ye-endocrinological. Ngaleso sikhathi, lesi sifo siyaqhubeka, okuholela ekuthuthukisweni kwezinkinga ezivela emithanjeni, izinso, inhliziyo. I-pathology enganakwa nemiphumela yayo kunzima ukuyelapha. Ngakho-ke, kubalulekile ukuthola ushukela we-latent ngesikhathi.

I-Pathology ingasolwa yizimpawu ezilandelayo:

• ukoma okungapheli;
• ukukhulisa ukukhuthaza ukhipha isigaxa;
• ukwehla kwesisindo ngemuva kokudla okujwayelekile (cishe ama-5 kg ​​ngenyanga);
• ukungasebenzi kahle kwe-erectile.

Ukuhlonza isifo sikashukela esisekupheleni, kudingeka wenze isikhathi sokudibana ne-endocrinologist.

Uchwepheshe uzobeka izivivinyo eziningana:

• isivinini sokuhlola ushukela we-serum ngomthwalo we-carbohydrate;
• ucwaningo lwe-glycated hemoglobin;
• ukuzimisela kwama-antibodies kuma-pancreas, C-peptide.

Ukuhlaziywa kweshukela okwenziwe ngokweqile: kuyini?

Umnyombo wenqubo ekuqoqweni nasekufundweni kwe-serum ngezikhathi ezithile ngaphambi nangemva kokudla umkhiqizo we-carbohydrate.

Ngokungafani nesifo sikashukela esedlule, indlela yaso yokwelashwa ingalapheka. Ngakho-ke, ungazinaki imiyalo kadokotela.

Ngemuva kwakho konke, izinkinga ze-endocrine pathology zingathi sína: isifo sikashukela siyimbangela yesithathu eholela ekufeni.

Izinkomba kanye ne-contraindication zokuphasa isivivinyo

Udokotela ubhala edlulisela ukuhlolwa ngomthwalo we-carbohydrate walezo ziguli ezinezimpawu zesifo sikashukela (ukoma, ukunciphisa umzimba ngokungenangqondo, ukwanda kwe-diuresis yansuku zonke, ukukhathala okungapheli).

Okuphoqelekile ukuhlaziya okunjalo ngesikhathi sokukhulelwa. Kwabesifazane abasezikhundleni, umthwalo kuzo zonke izitho, kubandakanya namanyikwe.

Imvamisa, abesifazane abakhulelwe bagula ngohlobo lwesifo sikashukela, okuthi ngaphandle kokwelashwa bangene kwifomu lesibili. Ngaphezu kwalokho, uma ungalawuli ipharamitha kashukela, ingane eneziguquko ze-pathological ingazalwa.

Ukuhlolwa kweglucose okusafika kunqunyelwe ezimweni ezinjalo:

• ushukela kwatholakala lapho kuhlaziywa khona umchamo jikelele;
• isiguli emndenini saba nesifo sikashukela;
• ukukhuluphala;
• kutholakale umfutho wegazi ophakeme;
• i-serum glycemia ejwayelekile idluliwe.

Inqubo yokuxilonga inezinto eziningi eziphikisana. Kwenqatshelwe ukwenza ushukela ocashile ezimweni ezinjalo:

• ukuba khona komzimba wenqubo yokuvuvukala;
• kukhona i-endocrine pathology ngaphandle kwesifo sikashukela;
• umsebenzi owengeziwe we-yegilo yegilo;
• ngemuva kokuhlinzwa, ukutholwa kokudla esiswini kwatholakala;
• kukhona isimila esilinganayo;
• kutholakale nesifo esingamahlalakhona emathunjini;
• ukungasebenzi kwesibindi;
• Ukwelashwa kwenziwa ngezidakamizwa ezithinta ukucubungula i-glucose.

Noma yisiphi salezi zimo sihambisana nokukhiqizwa okunganele kwe-insulin hormone.

Ukulungiselela ucwaningo kanye namasampula ezibonakalayo

Kwenzeka ukuthi ukuhlolwa kwe-glucose ye-latent kukhombisa umphumela ongamanga. Lokhu kwenzeka uma isiguli singakulungele ukuhlolwa kwelabhoratri.

Uma inkomba kashukela idlula okujwayelekile, futhi umuntu uzizwa ejwayelekile, noma inani lilungile, kepha kunezimpawu zesifo sikashukela, lapho-ke udinga ukuphinda uhlaziye, uqaphela imithetho ethile.

Ochwepheshe batusa ukulungiselela kanjena:

• ungadli ekuseni ngaphambi kokuhlolwa. Isidlo sokugcina kufanele sibe ngaphambi kobusuku buka-18: 00 kusihlwa. Kubalulekile ukuthi ukudla kukhanye, kungaqukethe ama-carbohydrate ngokweqile;
• yeka ukuthatha izidakamizwa ezithinta ukugcwala kwe-glucose ku-serum (uma izidakamizwa zingabalulekile);
• Ungabi novalo ngesikhathi sokuxilongwa;
• ungabhemi, ungabuphuzi utshwala ngosuku olwandulela uvivinyo;
• Musa ukulayisha ngokweqile ngokomzimba nangokomzwelo ngakusasa ngovivi.

Izinto ezibonakalayo ziqoqwa ngokuya nge-algorithm elandelayo:

• umhlengikazi uthatha i-serum evela emunweni wesiguli (umthambo);
• isiguli sinikezwa isiphuzo sikashukela (amagremu angama-75 kashukela oxutshwe ngenani elincane lamanzi);
• ihora ngemuva kokuba i-cocktail ithathiwe, igazi lidonswa okwesibili;
• ngemuva kwelinye ihora, i-paramedic ithola i-plasma okwesithathu.

Ukuqonda imiphumela

Uma umuntu enempilo futhi kungekho okubhekwayo kushukela, khona-ke imiphumela yesheke izoba ngaphakathi kweleveli.

Uma i-glucose ilingana no-3.5-5,5 mmol / l esiswini esingenalutho, ifinyelela ku-8 mmol / l ngehora ngemuva kokulayisha kwe-carbohydrate, ifike ku-5.5 mmol / l ngemuva kwemizuzu engu-120, lokhu kusho ukuthi amanyikwe ngokusebenza kahle, futhi alukho uhlobo lwakamuva lwe-pathology.

Uma ushukela wokuzila ungama-4.5-6 mmol / L, futhi ngemuva kwamahora ambalwa ngemuva kokuphuza isisombululo se-glucose - 5.6-8 mmol / L, lokhu kukhombisa i-prediabetes. I-pathology ecacile ikhonjiswa ileveli kashukela ngokweqile kwe-11 mmol / l ngemuva kokufakwa emanzini amtoti.

Izinkomba ze-overstated zingakhombisa:

• ukuphazamiseka kwesistimu ye-autonomic neva;
• ukusebenza ngokweqile kwe-yegilo yegilo, i-pituitary gland;
• isifo sikashukela sokukhulelwa;
• ukuvuvukala okungamahlalakhona noma okukhanyayo kumanyikwe;
• ukungasebenzi kohlelo oluphambili lwezinzwa;
• ukuthuthukiswa kokumelana ne-hormone ye-insulin.

Imbangela ejwayelekile yisifo sikashukela se-latent. Uma isheke likhombise ukuphambuka kokujwayelekile, kuzodingeka ukuthi uqale ukwelashwa ngokushesha okukhulu. Iziguli ezinefomu lokugcina lesifo zichazwa njengokwelashwa okufana nalokhu okukhethiwe kohlobo lwesifo sikashukela sohlobo II. Umehluko wawo umthelela omnene ngokwengeziwe emzimbeni.

Ngokuvamile, i-endocrinologists incoma ukudla okukhethekile, kunqume izidakamizwa ezinciphisa ushukela, zithuthukise imetabolism futhi zisekele ukusebenza kwamanyikwe.

Ukuxilonga kanye nenqubo yokuxilongwa kwesifo sikashukela se-LADA

Isifo sikashukela esijwayelekile emkhakheni wezokwelapha sinamagama ahlukile: i-lada-kishukela, i-latent, i-autoimmune, isifo sikashukela 1.5.

Izindlela zokuhlonza yilezi:

• isiguli sinezimpawu zobuntu;
• ukuncipha kokuzwela kwamaseli kuya kuma-insulin hormone;
• ukuzila ushukela wegazi.

Ukuhlolwa okukodwa koshukela okufihliwe ukuthola ukuthi akutholakalanga akwanele. Odokotela babuye bafundele amazinga e-ESR ngesikhathi sokufunda kwe-plasma jikelele. Ukwakheka komchamo, i-serum biochemistry kuyafundwa. Okuqukethwe kwe-glucagon, i-leptin, i-proinsulin, i-pancreatic peptide, i-microalbumin iyatholakala.

Amavidiyo ahlobene

Mayelana nezimpawu nezimpawu zesifo sikashukela esisetshenzisiwe kule vidiyo:

Ukuhlaziya ushukela we-latent kukuvumela ukuthi uthole isifo sikashukela esigabeni sokuqala sokukhula kwayo. Lokhu kuhlolwa kungabizwa ngezindlela ezihlukile: ngomthwalo we-carbohydrate, LADA, autoimmune, latent. Kwenziwa ngokusho kwe-algorithm ethile. Ukuthola idatha efanele, isiguli kufanele silandele imithetho ethile.

Musa ukwenqaba uhlobo lokuxilongwa elabhorethwe ngudokotela. Ngemuva kwakho konke, ukuhlaziya kunomthwalo we-carbohydrate okuvumela ukuthi ubone ukungasebenzi kahle kwe-pancreatic ngesikhathi futhi ugweme izinkinga zesifo sikashukela.