Unganikela kanjani ngegazi ushukela ngomthwalo: ukulungiswa kanye nendlela yokuhlolwa kweglucose

Ukuhlolela i-carbohydrate metabolism engasebenzi kahle kuzosiza ukuvikela ukuqhubeka kwesifo sikashukela kanye nezifo ezithile ze-endocrine.

Indlela efundisayo enobuncane be-contraindication ukuhlolwa kokubekezelela ushukela.

Kususelwa ekuthini umzimba wenziwe ekwamukelweni nasekusetshenzisweni kweglucose ibe amandla ekusebenzeni kwayo okujwayelekile. Ukuze imiphumela yocwaningo ithembeke, kufanele wazi ukuthi ungayilungiselela kanjani nokuthi ungayithatha kanjani isivivinyo sokubekezelela ushukela.

Ngubani odinga ukuhlolwa kokubekezelela ushukela?

Umgomo wale ndlela ukukalwa okuphindaphindiwe kwezinga le-glucose ku-plasma. Okokuqala, ukuhlaziya kwenziwa esiswini esingenalutho, lapho umzimba ungasebenzi entweni ethile.

Ngemuva kwalokho, ngemuva kwezikhathi ezithile ngemuva kokuba ingxenye yeglucose ihanjiswe egazini. Le ndlela ikuvumela ukuba ulandelele ngokudidayo izinga kanye nesikhathi sokufakwa ushukela ngamangqamuzana.

Ngokusho kwemiphumela, ukwephulwa kwe-carbohydrate metabolism kungahlulelwa. I-glucose ithathwa ngokuphuza into ebunjiwe ngaphambili emanzini. Indlela ye-intravenous yokuphatha isetshenziselwa i-toxicosis kwabesifazane abakhulelwe, ubuthi, yezifo zesisu.

Njengoba inhloso yokuhlolwa ukuvimbela ukuphazamiseka kwe-metabolic, kunconywa ukuthi kudlule isivivinyo sokubekezelela i-glucose ezigulini ezisengozini:

• iziguli ezinomfutho wegazi ophakeme umfutho wegazi wazo odlula inani eliphakeme kune-140/90 isikhathi eside;
• abantu abakhuluphele;
• iziguli ezihlushwa i-gout ne-arthritis;
• iziguli ezinomdlavuza wesibindi;
• abesifazane abaye baba nesifo sikashukela sokukhulelwa ngesikhathi sokukhulelwa;
• iziguli ezine-polycystic ovary ezenziwe ngemuva kokuphuphuma kwesisu;
• abesifazane abanezingane abakhubazekile futhi abane-fetus enkulu;
• abantu abahlushwa ukuvuvukala okujwayelekile esikhunjeni nasemgodini womlomo;
• abantu abanamazinga we-cholesterol adlula inkomba ye-0.91 mmol / l;

Kuhlaziywa futhi kunikezwe iziguli ezinezilonda zohlelo lwezinzwa lwe-etiology engaziwa, kulabo abakade bethatha ama-diuretics, ama-hormone, ama-glucocorticode isikhathi eside. Ukuhlolwa kukhonjiswa ngesifo sikashukela i-mellitus ukuze kulandele umkhondo oshukumisayo ekwelashweni kwezifo kubantu abane-hyperglycemia ngesikhathi sokuxineka noma ukugula.

Sebenzisa le ndlela ukuthola isimo semithambo yegazi. Ukuhlolwa kukhonjiswa kubantu abanempilo engaphezu kweminyaka engama-45 nakulabo abanezihlobo ezisondelene nesifo sikashukela. Badinga ukuhlolisiswa kanye njalo eminyakeni emibili.

Contraindication yalolo cwaningo ifaka:

• izifo ezithathelwanayo ezihlasela kakhulu, izinqubo zokuvuvukala;
• izingane ezingaphansi kweminyaka engu-14;
• i-trimester yokugcina yokukhulelwa;
• ukwanda kwe-pancreatitis;
• ukugula kwe-endocrine: Isifo sikaCushing, i-acromegaly, umsebenzi owandisiwe we-thyroid gland, pheochromocytoma;
• ukuzalwa kwakamuva;
• isifo sesibindi.

Ukusetshenziswa kwezidakamizwa ze-steroid, ama-diuretics nezidambisi ze-antiepileptic kungahlanekezela imininingwane yokuhlaziya.

Imiyalo yokulungiselela iziguli ngaphambi kokunikela ngegazi nge-glucose

Ukuhlolwa kufanele kwenziwe esiswini esingenalutho, okungukuthi, isiguli akufanele sidle amahora ayisishiyagalombili ngaphambi kocwaningo. Ngokwemiphumela yokuhlaziywa kokuqala, udokotela uzokwahlulela uhlobo lokwephulwa, akuqhathanise nemininingwane elandelayo.

Ukuze imiphumela ithembeke, iziguli kufanele zihambisane nemibandela ethile yokulungiselela isivivinyo sokubekezelela i-glucose:

• kwenqatshelwe ngokuqinile ukuphuza utshwala okungenani izinsuku ezintathu ngaphambi kokuhlolwa;
• Ngobusuku obusezingeni lokuhlaziywa, awukwazi ukwenza imisebenzi eqinile yomzimba;
• Musa ukushiswa yilanga, i-overheat noma i-supercool;
• Akufanele ulambe izinsuku ezintathu ngaphambi kokuhlolwa, kanye nokudla ngokweqile;
• awukwazi ukubhema ubusuku obudlule nangesikhathi sokufunda;
• injabulo eyeqisayo kufanele igwenywe.

Ukuhlaziywa kukhanseliwe uma kwenzeka isifo sohudo, ukungena kwamanzi okunganele kanye nokuphelelwa ngumzimba okubangelwa yilesi simo. Wonke ama-marinade, usawoti, imikhiqizo ebhemayo kufanele ingafakwa ekudleni.

I-GTT ayinconywa kwiziguli ngemuva kokuhlupheka ukubanda, ukusebenza. Ezinsukwini ezintathu ngaphambi kokuhlolwa, ukuphathwa kwezidakamizwa ezinciphisa ushukela, izidakamizwa ze-hormonal, inzalo, amavithamini akhanseliwe.

Ngabe ukuhlaziya kwenziwa ekuseni noma nganoma isiphi isikhathi sosuku?

Ukuhlola kwenziwa kuphela ekuseni, ngoba ukuzila isikhathi eside kungaphambanisa idatha yocwaningo.

Indlela yokuhlola ushukela wegazi ngomthwalo

Ukuhlaziywa kwenziwa ngezigaba eziningana:

1. isampula yegazi yokuqala ithathwa ekuseni, esiswini esingenalutho. Ukuzila isikhathi eside okungaphezulu kwamahora ayi-12 akunconywa;
2. isampula elandelayo yegazi yenzeka ngemuva kokulayisha ushukela emzimbeni. Iyachithwa emanzini, idakwe ngokushesha. Thatha i-85 g ye-glucose monohydrate, futhi lokhu kufana namagremu angama-75 ento emsulwa. Le ngxube ihlanjululwa ngesigaqa se-citric acid ukuze ingabangeli umuzwa wokucanuzelelwa kwenhliziyo. Ezinganeni, umthamo uhlukile. Ngesisindo esingaphezu kwama-45 kg, kuthathwa umthamo wabantu abadala weglucose. Iziguli ezikhuluphele zandisa umthwalo ziye kuma-100 g. Ukuphathwa kwe-Intravenous akuvamile ukwenziwa. Kulokhu, umthamo kashukela uphansi kakhulu, ngoba iningi lawo alilahleki ngesikhathi sokugaywa, njengasesimweni sokuphuza uketshezi;
3. nikela ngegazi amahlandla amane ngesikhawu sesigamu sehora. Isikhathi sokwehla kweshukela sibonisa ubulukhuni boshintsho lwe-metabolic emzimbeni wesifundo. Ukuhlaziywa kwezikhathi ezimbili (esiswini esingenalutho kanye kanye ngemuva kokuzivocavoca) ngeke kunikeze imininingwane ethembekile. Inani eliphakeme le-plasma glucose enale ndlela kuzoba nzima kakhulu ukubhalisa.

Ungasithatha kanjani isivivinyo sokubekezelela ushukela lapho ukhulelwe?

Ukuhlolwa kuphoqelekile ukukhulelwa emavikini angama-24-28. Lokhu kuhlotshaniswa nengozi yokuba nesifo sikashukela sokukhulelwa, esiyingozi kakhulu kumama nengane yakhe engakazalwa.

Ukuzihlola ngokwakho kudinga ukuqapha lapho ufinyelela, ngoba umthamo omkhulu kashukela ungalimaza ingane.

Nikeza ukuhlaziywa ngemuva kokuhlolwa kokuqala. Uma ukusebenza kwayo kungekuphezulu kakhulu, vumela i-GTT. Umthamo olinganiselwe we-glucose ngu-75 mg.

Uma kusolwa ukutheleleka, ukuhlolwa kukhanseliwe. Yenza isivivinyo kuze kube kuphela amasonto angama-32 wokukhulelwa. Isifo sikashukela se-Gestational sitholakala ngamanani angenhla kwe-5.1 mmol / L esiswini esingenalutho kanye no-8.5 mmol / L ngemuva kokuhlolwa kwengcindezi.

Lunjani lolu cwaningo ezinganeni?

Ezinganeni, umthamo ukhethwa ngokuhlukile kunowabantu abadala - i-1.75 g kafulawa ngekhilogremu yesisindo somzimba, hhayi ngaphezu kwama-75 g. Kuze kube neminyaka eyishumi nane, i-GTT ayinconywa, ngaphandle kwezinkomba ezikhethekile ze-pathologies ezinganeni ezisanda kuzalwa.

Imiphumela ibhalwa kanjani?

Ebantwini, umphumela ongaphansi kuka-7.8 mmol / L uthathwa njengento evamile ngemuva kokuzivocavoca.

Uma isiguli sikhubazekile ukubekezelela ushukela, inkomba isukela kumayunithi angama-7,9 iye kuma-11 mmol / L. Ngomphumela we-11 mmol / l ngaphezulu, singakhuluma ngesifo sikashukela.

Amavidiyo ahlobene

Unganikela kanjani ngegazi ushukela ngesikhathi sokuzivocavoca:

Isifo sikashukela mellitus sisho ukugula lapho kunconywa ukuhlolwa kokusebenzisa ushukela egazini ukuze kuhlolwe ukusebenza ngempumelelo kwezindlela zokwelashwa. Noma isiguli singenakho ukuxilongwa okunjalo, ucwaningo luvezwa ngenxa yokuphazamiseka kwe-endocrine, izinkinga ze-thyroid, ukukhuluphala ngokweqile, umfutho wegazi ophakeme, isifo samathambo.

Kuhlaziywa ukuze kutholakale izinga lokuthathwa koshukela ngumzimba. Ukuhlolwa kwenziwa ngomthwalo, isiguli siphuza isixazululo sento emva kokuthathwa kweyisampula yegazi lokuqala esiswini esingenalutho. Ngemuva kwalokho ukuhlaziywa kuyaphindwa.

Le ndlela ikuvumela ukuba ulandelele ngokuguquguqukayo amandla we-metabolic emzimbeni wesiguli. Kumuntu ophile kahle, izinga likashukela wegazi liyakhuphuka futhi liwe emazingeni ajwayelekile, futhi kwabanesifo sikashukela lihlala liphezulu njalo.