Ukuqaphelisisa inani likashukela egazini kungumcimbi obalulekile okuvumela ukuthi unqume ngokuhamba kwesikhathi izifo ezinamandla kakhulu zesikhathi sethu, okungukuthi, isifo sikashukela mellitus. Iqiniso ngukuthi izigidi zabantu emhlabeni wethu nazo azisoli ngisho nokuthi ikhona le nkinga, ngakho-ke bayakugwema ukuvakashela udokotela, bahlukumeze ukudla okune-carbohydrate futhi benqaba ukuguqula indlela yabo yokuphila ngendlela efanele.
Kodwa kungukuziphatha ngqo okunjalo okuyisici esidonsayo kakhulu ekuthuthukisweni kwe-hyperglycemia kanye nokuvela emzimbeni womuntu wokuphazamiseka okuningi okubi okuhambisana nalesi simo. Ukusuka ekuxakaneni okwandayo koshukela egazini, zonke izitho zangaphakathi ziyahlupheka.
Umuntu ogulayo uqala ukuzizwa ekhathele futhi ephuke ngisho noma elele ngokuphelele. Ezigulini ezinjalo, ukusebenza kwenhliziyo kuphazamiseka kakhulu, bakhala ngokulimazeka okubukwayo, ukuchama kaningi kanye nomuzwa oqhubekayo wokoma.Uma lokhu kudla okunconyelwayo kungalandelwa futhi ukwelashwa kungaqalwa ngesikhathi esifanele, kuvela izinkinga ezimbi zesimo se-pathological kubantu abagulayo, omunye wabo okuyi-hyperglycemic coma.
Isistimu yezinzwa ephakathi ithinteka ikakhulu ngokuswelakala kwe-glucose.
Nge-hypoglycemia enzima engaphansi kuka-2.2 mmol / l, ukubonakaliswa okunjengolaka nokungahambi kahle, umuzwa wokulamba kakhulu kanye nomuzwa we-palpitations esifubeni kuyimpawu.
Imvamisa ezigulini ezinjalo, ukufiphala ngisho nezimo ezibulalayo ezinomphumela obulalayo zingavela. Ngokunikeza konke ukwephulwa okungabangelwa ushintsho ezingeni elijwayelekile le-glucose egazini, singaphetha.
Ukulawulwa kwe-Glycemia inqubo ebaluleke kakhulu yokuxilonga ekuvumela ukuthi usole ukuthuthukiswa kwesifo esiyinkimbinkimbi esigabeni sokuqala, lapho umuntu engakahlangabezana nezinkinga ezisongela impilo zenqubo ye-pathological.
Ushukela wegazi ojwayelekile kusihlwa kumuntu onempilo
Ekhuluma ngesimo soshukela kubantu abanempilo kusihlwa, umuntu kufanele abheke iqiniso lokuthi le nkomba akuyona inani elizinzile.
I-glucose egazini ingaguquki hhayi ngokushintshana emsebenzini we-insulin namanye ama-hormone. Kuya kakhulu esimweni sokudla komuntu, indlela yakhe yokuphila kanye nokuzivocavoca umzimba.
Njengomthetho, odokotela batusa ukukala ushukela wegazi osheshayo ekuseni namahora amabili ngemuva kokudla. Ebantwini abaphilile, inani kusihlwa le-glucose lihlolwe kuphela uma kunezimpawu ezibonisa ukukhula okungaba khona kwezimpawu zesifo sikashukela.
Imvamisa, igazi le-capillary kumele libe noshukela osheshayo we-3.3-5.5 mmol / L, kuthi ngemuva komthwalo we-carbohydrate kanye namahora amabili ngemuva kokudla, kungabi ngaphezu kuka-7.8 mmol / L. Uma kuphambuka lezi zibalo kutholakala, odokotela bavame ukukhuluma ngokubekezelelwa kwe-glucose engasebenzi ezigulini noma ezinesifo sikashukela.
Uma sikhuluma ngabesifazane abakhulelwe, kubalulekile ukubheka iqiniso lokuthi ushukela osegazini labo ungakhula ngenxa yesifiso sokudla. Ukulawula izindlela ezinjalo, nge-trimester yesibili neyesithathu yokukhulelwa, ukuhlanganiswa kwe-insulin, okulawula amanani ajwayelekile eglue, kukhuphuka kancane emzimbeni wowesifazane.
Imvamisa, ushukela kwabesifazane abakhulelwe kufanele ube ku-3.3 kuye ku-6.6 mmol / L ngokunyuka okuncane kuya ku-7.8 mmol / L kusihlwa, ngemuva kokudla.
Izinga elijwayelekile le-glucose esegazini lengane ephilile ayixhomeki kangako osukwini losuku, kepha ekusebenzeni kwalo ngokomzimba, ukuhambisana nokudla okufanele, kanye nobudala bengane.
Izinkomba ezijwayelekile ze-glycemia ezinganeni zeminyaka ehlukene yilezi:
- izinyanga zokuqala eziyi-12 zokuphila - 2.8-4.4 mmol / l;
- kusuka onyakeni 1 kuya eminyakeni emi-5 - 3.3-5.0 mmol / l;
- izingane ezineminyaka engaphezu kwemihlanu - 3.3-5.5 mmol / l.
Ushukela wegazi ojwayelekile ngesikhathi sokulala kohlobo 1 nohlobo 2 sikashukela
Iziguli ezinesifo sikashukela, njengoba isifo sazo ziqhubeka, zifunde ukuphila ngendlela ejwayelekile nge-glucose ephezulu yegazi.Kubantu abanjalo, izinkambiso zama-carbohydrate asemzimbeni ziphezulu, futhi ngamazinga kashukela e-serum yegazi njengakuwo abantu abaphilile, kunalokho, kungaba kubi.
Njengoba wazi, isifo sikashukela sitholakala kubantu abathi, lapho kuhlolwa ushukela osheshayo, kunqunywa ukuthi kungaphezu kuka-7.0 mmol / L, kuthi ngemuva kokuhlolwa okunomthwalo emahoreni amabili kunganciphi ngezansi kuka-11.1 mmol / L.
Imvamisa, kusihlwa, kubantu abanesifo sikashukela sohlobo 1 nohlobo 2, ushukela wegazi unqunywa ezingeni lika-5.0-7.2 mmol / L. Lezi zinkomba ziqoshwa ngokuhambisana nazo zonke izincomo eziphathelene nokudla, ukuthatha imishanguzo ukunciphisa ushukela ngamanani anele nokuzivocavoca okulinganiselayo.
Izizathu zokuphambuka kwezinkomba kusuka kokujwayelekile
Odokotela baxwayisa ngokuthi ama-ushukela wakusihlwa angahlotshaniswa namaphutha kuphela ekudleni kwesifo sikashukela noma umuntu othambekele ekuthuthukisweni kwe-hyperglycemia.
Ezinye zezimbangela ezivame kakhulu zokunyuka kweshukela kwe-serum kubantu abanjalo yile:
- ukusetshenziswa kwamanani amakhulu okudla kwe-carbohydrate ntambama nakusihlwa;
- ukungasebenzi kahle komzimba komuntu usuku lonke;
- ukuhlukunyezwa kweziphuzo ze-carbonated kanye namajusi amnandi ngesikhathi sokulala;
- ukudla ukudla okwenqatshelwe, noma kuncane.
Izikhala zikashukela zakusihlwa azithinteki ngokugxila kwe-insulin nokucindezela ama-hormone, noma izidakamizwa ukwehlisa ushukela. Le nkomba incike kuphela ohlotsheni lokudla kwabantu kanye nenani lama-carbohydrate awachitha nokudla phakathi nosuku.
Yini okufanele ngiyenze uma ushukela wami we-plasma ukhuphuka ngemuva kwesidlo?
Ukuze okuqukethwe ushukela kungakhuphuki kusihlwa futhi akunikeleli ekwakhiweni kwezinkinga ezinzima emzimbeni wesiguli, odokotela batusa ukuthi balandele izincomo ezilula, kufaka phakathi:
- ukudla ama-carbohydrate ayinkimbinkimbi anesikhathi eside sokuwohloka;
- ukwenqatshwa kwesinkwa esimhlophe namakhekhe athanda okusanhlamvu okugcwele okusanhlamvu nefayibha;
- ukudla isidlo sasemini kanye nesidlo sakusihlwa inani elikhulu lezithelo nemifino, kanye nemifino nokusanhlamvu okunenkomba ye-glycemic ephansi;
- ukubuyisela ama-carbohydrate ngezitsha zamaprotheni ezinelisa indlala futhi kugcwalise umzimba ngamandla;
- ukuqina kokudla ngokudla kwe-acidic, njengoba kuvimbela ukwanda kwamazinga kashukela ngemuva kokudla.
Amavidiyo ahlobene
Mayelana noshukela wegazi ngemuva kokudla kuvidiyo:
Iziguli ezine-hyperglycemia kufanele zinake indlela yazo yokuphila, ziyenze isebenze futhi igcwele. Ngakho-ke, kusihlwa, ochwepheshe batusa ukuthi abantu abanesifo sikashukela bachitha ihora noma amabili emoyeni omusha, behamba epaki.
Abantu abakhuluphele kufanele banake isisindo sabo futhi banakekele ukunciphisa isisindo sabo. Ungathola imiphumela emihle ekunciphiseni isisindo ngokusebenzisa isethi ekhethekile yokuzivocavoca.
