Isikhathi imali: kwenziwa malini ukuhlola ushukela egazini?

I-glucose yomzimba ilingana ne-petrol ethangini lezimoto, ngoba ingumthombo wamandla. Egazini, kuvela njengokuqhekeka kwe-carbohydrate, esiyithola ngokudla.

I-hormone ekhethekile, i-insulin, ekhiqiza amanyikwe, ibhekene namazinga kashukela.

Unganquma le nkomba ngokwenza ukuhlaziywa kwelebhu. Sizohlola lokhu okulandelayo: kungani futhi kudingelwa kubani, kuhlolwe kangakanani ukuthi kwenziwa ushukela nokuthi kunikelwa kanjani.

Kungani unikele ngegazi ushukela?

Okuqukethwe ushukela kufanele kube okujwayelekile. Lokhu kusho ukuthi i-pancreas isebenza kahle futhi ikhipha ama-hormone amaningi njengoba edingeka okwamanje.

Uma kwenzeka ukungasebenzi kahle kwe-pancreatic, kungadalwa i-glucose eyeqile noma yokuntuleka, okuyingozi ngokulinganayo.

Lokhu kwenzeka ngesifo sikashukela, ezinye izindlela zesistimu ye-endocrine, nangemva kokuphuza imithi ethile. Futhi, abesifazane abakhulelwe kungenzeka ukuthi babalwa neqembu eliyingozi ngenxa yokuthi ngokwehluleka kwe-hormonal, isifo sikashukela sokukhulelwa singakhula.

Umuntu ophilile welulekwa ukuba ahlaziye njalo ngeminyaka emithathu. Abantu abangaphezu kweminyaka engama-45, abanesisindo somzimba ngokweqile futhi abahola indlela yokuphila engasebenzi kufanele bahlole igazi labo kanye ngonyaka.

Abesifazane kudingeka benze lokhu ngesikhathi sokukhulelwa nangemva kokubeletha, kanti ingane inceliswa ibele. Izimpawu ezithile zingakhombisa i-hypo- noma i-hyperglycemia.

Qiniseka ukuthi uhlolwa ngokungavamile uma une:

• ukuchama kwanda;
• isikhathi eside ukuklwebheka kanye namanxeba amancane awapholi;
• umuzwa ongapheli wokoma;
• umbono wehla kakhulu;
• kukhona ukwehlukana okungapheli.

Izinhlobo ezahlukahlukene zokuhlolwa kwelebhu kanye nokubaluleka kwazo kliniki

Ngaphezu kwesisekelo, esinquma izinga leshukela, kunezinhlobo eziningana zokuhlaziywa.

Ezimweni zaselebhu, igazi liyahlolwa:

1. izinga loshukela. Lesi sivivinyo esivame kakhulu esinqunyelwe njengenyathelo lokuvimbela noma uma usola okuqukethwe okukashukela noma okwehlisiwe. Igazi linikelwa kusuka kumthambo noma kusuka emunweni. Okufuneka kuqala umnikelo wegazi "esiswini esingenalutho" ukuze kungahlanekezeli umphumela;
2. ukubekezelela ushukela (ngokuzivocavoca). Kuqukethe izigaba ezintathu. Okokuqala ukuvivinya ushukela okujwayelekile, bese isiguli sinikezwa uketshezi olunoshukela ukuze siphuze futhi izivivinyo eziphindaphindwe zenziwe kabili ngezikhathi ezithile zehora elilodwa. Ivumela ukuthola ukuphazamiseka kwe-carbohydrate metabolism;
3. Ama-peptides. Kubekelwe ukuthi kuhlolwe ukusebenza kwamaseli we-beta, abhekele ukwenziwa kwe-insulin. Kuyasiza nalabo ochwepheshe ukuthola uhlobo lwesifo sikashukela;
4. izinga le-fructosamine. Lokhu kuvivinya kunqunyelwe abanesifo sikashukela ukuthola isilinganiso se-glucose esikhathini esingamasonto amabili. Le mininingwane isiza ukuqonda ukuthi isifo sikashukela singakhokhelwa ngokwelashwa, isb. gcina okuqukethwe ushukela ngaphakathi kwemikhawulo ejwayelekile;
5. glycated hemoglobin. Ikuvumela ukuthi uhlole i-hemoglobin, eyakhiwa ngokuxhumana noshukela egazini. Yabela abanesifo sikashukela ukuthi bahlole ukwelashwa futhi bakhombe izinhlobo ezifihliwe zikashukela (ezigabeni zokuqala);
6. ukubekezelelwa kwe-glucose ekhulelwe. Igazi linikelwa ngendlela efanayo nokuhlola ushukela okujwayelekile ngomthwalo;
7. izinga le-lactate (lactic acid). I-lactic acid ingumphumela wokuqhekeka kwe-glucose kumaseli. Emzimbeni ophilile, i-lactate idonswa izicubu. Lokhu kuhlolwa kudluliswa, njengokuhlola okuningi, esiswini esingenalutho.

Ngabe ngidinga ukulungiselela ukuhlaziya ekhaya?

Ngokuthenjwa kwemiphumela, udinga ukulandela izincomo ezethulwa yiwo wonke umuntu ngaphambi kokuthatha i-biomaterial.

Iziphakamiso zibukeka kanjena:

1. ngaphambi kokuthatha isivivinyo futhi okungenani amahora ayi-12 ngaphambi kwaso, awukwazi ukudla ukuze isisu singenalutho;
2. ngosuku olulodwa ngaphambi kokudlula kwenqatshelwe ukuphuza utshwala;
3. Ngaphambi kokuthatha isivivinyo, kungcono ukungaziphathi izinyo namazinyo omlomo nge-amazinyo noma ngosizo lokuhlanza, noma usebenzise itshungama. Zingaqukatha ushukela, ongangena egazini bese uhlanekezela umphumela;
4. futhi udinga ukwethula umkhawulo wosuku wekhofi, itiye neziphuzo ezimnandi, futhi ungafaki izinongo, amanoni, othosiwe namaswidi ekudleni ngalesi sikhathi.

Luhlolwa kanjani ushukela wegazi?

Iglucose yokuqala ihlolwa ngokushesha lapho izalwa. Ukuze wenze lokhu, usebenzisa isikhwehlela, yenza ukubhoboza esithendeni sengane uthathe inani elifanele legazi.

Isampula yegazi kwiziguli zabantu abadala yenziwa ekuseni, emva kwalokho kuthunyelwe i-biomaterial ukuthi ihlolwe.

Igazi le-venous noma le-capillary (kusuka emunweni) lifanelekile njengezinto zaselebhu. Umehluko omncane omncane ukuthi inani elikhudlwana, okungenani i-5 ml, kufanele linikelwe kusuka kumthambo.

Izindinganiso zeglucose zegazi ezivela emithanjeni nangomunwe nazo ziyahluka. Esimweni sokuqala, i-6.1-6.2 mmol / L ithathwa njengejwayelekile, kuthi kwesesibili, 3.3-55 mmol / L.

Zingaki izinsuku lapho kwenziwa khona ushukela emtholampilo?

Isikhungo ngasinye sezokwelapha sine-algorithm efanayo: engxenyeni yokuqala yosuku, igazi elivela ezigulini lithathwa ukuze lihlaziywe, bese kuthi engxenyeni yesibili ihlolwe.

Ekupheleni kosuku lokusebenza, imiphumela isilungile, futhi ekuseni isatshalaliswa emahhovisi odokotela.

Ukukhishwa kwenziwa kuphela kwezinkomba ezimakwe "cito", okusho ngesiLatini "okuphuthumayo". Ezimweni ezinjalo, ukuhlaziya kwenziwa ngokungejwayelekile ukusheshisa ukukhishwa kwawo. Ungalindela umphumela wakhe ngenkathi uhleli ephaseji ngaphansi kwehhovisi.

Ukwehlisa isivivinyo sikashukela: okujwayelekile nokuphambuka

Inani ushukela libizwa index index glycemic. Ngomzimba ophilile, uma igazi lithathwe emunweni, okufundwayo kusuka ku-3.3-5.5 mmol / L.

Ngegazi elithathwe emthanjeni, u-6.1-6.2 mmol / L uthathwa njengokujwayelekile. Uma inkomba ye-glycemic ingaphansi noma ingaphezulu kokujwayelekile, khona-ke okunye ukuhlolwa kwegazi kunqunyelwe.

Lapho uthola ukuthi usebenzisa idatha elandelayo:

• uma izinga likashukela lingaphezu kuka-7 mmol / l, isifo se-prediabetes sitholakala;
• uma izinga likashukela lingama-7 noma ngaphezulu ama-mmol / l, ukuxilongwa kokuqala kwesifo sikashukela kwenziwa ngisho nangaphandle kwezimpawu zesimilo, emva kwalokho kunqunyelwe ukuhlolwa kokubekezelela ushukela;
• uma ukuhlolwa okunomthwalo kukhombisa ngaphezu kwe-11 mmol / l, qinisekisa ukutholwa kokuqala;
• uma ngesikhathi sokukhulelwa ushukela wegazi ngu-4.6-6.7 mmol / l, isifo sikashukela sokukhulelwa singakhula;
• uma izinga le-hemoglobin ye-glycated liyi-6.5-7%, lokhu kubonisa ukwelashwa okulungile;
• uma ukuhlolwa kwesifo sikashukela kwe-hemoglobin ye-glycated kukhiqize umphumela ongaphezulu kwama-8%, khona-ke ukwelashwa kungasebenzi.

Izindleko zokuhlaziywa kwelabhoratri

Kungadingeka ukuthi uthenge isethi eyisisekelo efanelekile yalokhu: isicubu esifiphele nesiphuzo esidakayo.

Emtholampilo wangasese, ukuhlolwa kwe-glucose eyisisekelo kuzodla kusuka kuma-ruble angama-200, ukuthola izivivinyo ezikhethekile kuzodingeka ukhokhe kusuka kuma-ruble angama-250.

Ngaphezu kwalokho, izindleko zokuhlaziya zingahluka ngokuya ngenqubomgomo nenqubomgomo yesikhungo sezokwelapha esizimele.

Amavidiyo ahlobene

Kwenziwa kanjani ukubala okuphelele kwegazi? Impendulo ekuvidiyo:

Ukuhlolwa kwelebhu ye-glucose ukuphela kwendlela yokuthola umphumela onembile kunazo zonke! Enye indlela, ama-glucometer asetshenzisiwe, anikeza umphumela osheshayo, kepha hhayi umphumela onembe kakhulu.