Yini ukwehla kokubekezelela i-glucose: izimbangela, izimpawu nezindlela zokwelashwa

Isimo esibi somzimba ukwehla kokubekezelelwa kwe-glucose. Ingozi ye-pathology ilele esimweni esifihlekile sesibonakaliso.

Ngenxa yokwelashwa okungazelelwe, ungaphuthelwa ukuthuthukiswa kwezifo ezimbi, kufaka phakathi isifo sikashukela sohlobo 2. Ukwelashwa nokudla okufika ngesikhathi kuphela okunika ithuba lokususa izinkinga ezingaba khona.

Ukwehla ukubekezelela ushukela: kuyini?

Ngaphansi kwezimo ezijwayelekile zansuku zonke, umuntu uyakwazi ukuphatha ukudla kaningana ngosuku, angabali ukudla okulula.

Kuya ngokuthi kukuphi ukudla okwadliwayo nokuthi kukangaki, inkomba kashukela wegazi ingashintsha. Lokhu kujwayelekile.

Kwesinye isikhathi kuba nokuxhuma okubukhali kwe-glucose ekuqondeni kokukhuphuka noma ukuncipha, okungabhekwa njengokujwayelekile kwe-ICD-10.

Ukugxuma okunjalo egazini, lapho kungekho sizathu salokhu, kubhekwa njengokuphula umthetho wokubekezelela ushukela. Ungathola ngalesi simo kuphela ngokuhlola igazi noma umchamo ngokwe-ICD-10.

Ukwephulwa kokubekezelelana - ingabe isifo sikashukela noma cha?

Muva nje, kuye kwaqala ukubhekwa njengesifo eseceleni, esingaboniswa yiziphi izimpawu futhi siqhubeka ngendlela yamuva.

Ukuhlolwa kwegazi, njengomchamo, kuzokhombisa amanani amukelekayo eglucose, futhi ukuhlolwa kokubekezelela ushukela kuphela kungakhombisa ukwakheka kwe-insulin okuqinile kanye nokwehla kweshukela lokugaya ushukela.

Uma ulandela isithombe somtholampilo, khona-ke lesi sifo singabhekwa njenge-prediabetes. Ukufundwa kweglucose yesiguli nakanjani kuzophakama kunokujwayelekile.

Kodwa ngeke kube yinto ebucayi kakhulu futhi ngeke kube yisisekelo se-endocrinologist ukuthola isifo sikashukela. I-insulin ikhiqizwa ngaphandle kwezimpawu ezisobala zokuphazamiseka kwe-endocrine.

Isiguli kufanele sibekwe engcupheni ngokubekwa phambili ekuthuthukisweni kwesifo sikashukela uma ukuhlolwa kubonise umphumela omuhle. Ngakho-ke, ukubaluleka kokuhlolwa kokushukela kwe-glucose kusobala.

Ukukhulelwa kanye nesifo sikashukela

Ukuhlolwa ngesikhathi sokukhulelwa kuvame ukukhombisa umbono oncishisiwe we-glucose womzimba, ngamanye amagama i-pseudo -abetes.

Ngenxa yokwehla kokuzwela kwe-insulin, isimo se-prediabetes siyatholakala. Isizathu amazinga akhuphukile ama-hormone.

Ezimweni zokwelashwa, kunezibalo ezibonisa ukuthi ngamaphesenti angama-90, izinguquko emzimbeni ngemuva kokuzalwa kwengane okuvusa ukukhula kwesifo sikashukela sohlobo 2.

Izizathu zokwephulwa

Izimbangela zokwephula zombili ziyisiphetho sefa kanye nendlela yokuphila.

Izici ezifaka isandla ekuthuthukiseni lesi sifo yilezi:

• isakhi sofuzo (uma kukhona izihlobo ezinesifo sikashukela noma i-prediabetes);
• ukukhuluphala
• gout
• i-arterial hypertension;
• i-hypothyroidism;
• isifo sokuqina kwemizwa;
• i-pancreatitis
• umsebenzi ophansi womzimba;
• ukungondleki;
• cholesterol ephezulu;
• ukumelana ne-insulin, lapho ukuzwela kwezicubu zomzimba kuncipha emiphumeleni ye-insulin;
• izifo zesistimu ye-endocrine;
• izidakamizwa ze-hormonal;
• iminyaka emva kweminyaka engama-45.

Kwabesifazane abakhulelwe, amathuba wokuphulwa okunjalo kwenzeka:

• ngesisindo somzimba esandisiwe;
• isiphetho sofuzo;
• ukufinyelela eminyakeni engama-30;
• ukuxilonga i-prediabetes ekukhulelweni kwangaphambilini;
• i-polycystic ovary.

Iglucose yegazi ngisho nakubantu abaphilile inyuka nge-1 mg /% njalo eminyakeni eyi-10 ubudala.

Lapho wenza isivivinyo sokubekezelela ushukela - 5 mg /%. Ngakho-ke, cishe i-10% yabantu asebekhulile bane-prediabetes. Isizathu esiyinhloko sithathwa njengokushintsha kwamakhemikhali ngobudala, umsebenzi womzimba, ukudla kanye nezinguquko ezenzweni ze-insulin.

Inqubo yokuguga ivusa ukwehla kwesisindo somzimba onciphile, futhi inani lamafutha liyakhuphuka. Kuyavela ukuthi i-glucose, i-insulin, i-glucagon kanye nephesenti lokuqukethwe kwamafutha kuncike komunye nomunye.

Uma umuntu engenakho ukukhuluphala ekugugeni, khona-ke abukho ubudlelwano phakathi kwama-hormone. Ebudaleni, inqubo yokulwa ne-hypoglycemia iyaphazamiseka, lokhu kungenxa yokuwohloka kwempendulo ye-glucagon.

Izimpawu

Esigabeni sokuqala, akukho zimpawu zokuphulwa okunjalo.

Isiguli, njengomthetho, sinesisindo esiningi noma ukukhuluphala, kanti ukuhlolwa kwembula:

• akukho glucose kumchamo;
• ukuzila ukudla okujwayelekile.

Esimweni sesifo sikashukela esaphawulwa:

• isifo se-periodontal kanye nokuvela kwezinsini ezikhipha igazi;
• i-furunculosis;
• ukungabi namandla, ukungahambi kahle kokuya esikhathini kwabesifazane;
• ukulunywa kanzima kwesikhumba, ukoma;
• ukuphulukiswa kwamanxeba esikhunjeni isikhathi eside kunokujwayelekile;
• angioneuropathy.

Ngokuqina kwesimo, okulandelayo kuyabonakala:

• isidingo esengeziwe samanzi ngenxa yomlomo owomile;
• ukuchama njalo
• kwehle ukungatheleleki, ngenxa yokuthi izinqubo zokuvuvukala nokuvuvukala zivame ukwenzeka.

Ngabe kwenziwa kanjani ukuhlaziya?

Ukuze wazi ukuthi ngabe kukhona ukwephulwa kokubekezelelwa kwe-glucose, kwenziwa amasampula egazi.

Ukuhlolwa kungabelwa futhi ukuze kuqinisekiswe, lokhu kwenziwa ezimeni ezinjalo:

• kunezihlobo ezinesifo sikashukela sohlobo 1 noma uhlobo 2, okungukuthi, uma kunesici sofuzo;
• ukuba khona kwezimpawu eziwuphawu lwesifo sikashukela ngesikhathi sokukhulelwa.

Ukuhlolwa kudinga ukulungiswa okuthile yisiguli. Kuyadingeka ukwenqaba ngokuphelele ukudla neziphuzo amahora angama-10-12 ngaphambi kokuhlolwa. Lapho uthatha umuthi, kufanele uthintane nodokotela we-endocrinologist mayelana nethuba lethonya labo kumphumela wokuhlaziywa.

Isikhathi esifanele sokuhlolwa kubhekwa ukuthi sisuka ku-7.30 a.m. kuya ku-10.

Inqubo yokuphasa isivivinyo imi kanje:

• okokuqala igazi lithathwa esiswini esingenalutho;
• isiguli sinikezwa ukuthi sisebenzise ukwakheka kohlolo lwe-glucose;
• igazi linikezwa kaningi ngehora;
• emva kwelinye ihora, kuthathwa igazi.

Kuthatha amahora ama-2 ukuphothula isivivinyo, kuyenqatshelwa ukuthatha ukudla neziphuzo ngalesi sikhathi, kungakuhle ukuzola, ukuhlala noma ukulala phansi.

Akwamukelekile ukwenza ezinye izivivinyo, ngoba lokhu kungaba yinqumo yokunciphisa amazinga kashukela egazini. Ukuqinisekisa umphumela, ngemuva kwezinsuku ezingama-2-3 isivivinyo siphindwa.

Ukuhlaziywa akwenziwa lapho:

• ukuqina kwesibindi;
• isimo sokuxineka;
• ukuya esikhathini;
• ukungenelela kokuhlinzwa ngemuva kokubeletha (ukuhlolwa kuyamukeleka ngemuva kwezinyanga ezi-2);
• izifo ezithathelwanayo;
• i-hepatitis;
• amathumba amabi;
• ukudla okuqinile.

Uma enye yalezi zinto ikhona ngesikhathi sokukhulelwa, umphumela wokuhlolwa ungalungile.

Izindlela zokwelapha

Ngokuyisisekelo, imithi ayisetshenziswa ekwelapheni i-prediabetes.

Ukwelashwa okubalulekile kufaka:

• ukulungiswa kokudla. Lokhu kusho ukungafakwa ngokuphelele kwamaswidi, ukuncipha kokudla kwama-carbohydrate okugaya, kanye nokuvinjwa kokudla ukudla okunamafutha. Ukudla okunempilo okudingakalayo, cishe izikhathi ezi-5 ngosuku;
• ukukhuphuka komzimba. Zonke izinsuku lokhu kufanele kunikezwe imizuzu engama-30-60;
• ukulawula isisindo.

Uma ukulandela le mithetho kungakhiqizi imiphumela, izidakamizwa ezinciphisa ushukela zinqunywa uchwepheshe.

Amavidiyo ahlobene

Ngabe ukubekezelela ushukela okhubazekile kungalapheka? Impendulo ekuvidiyo:

Iningi alikufaki ukubaluleka kwezimpawu zesifo futhi aliboni ukuthi i-pathology enjalo ingaba yingozi empilweni. Ukuvimbela ukukhula kwesifo esibi, kubalulekile ukuthi kuhlolwe udokotela njalo ngonyaka.