Ukuhlolwa kweglue glucose kuvame ukwenziwa lapho kusolwa isifo sikashukela noma uma kukhona i-pathology ukuze kuhlolwe ukusebenza kwezokwelapha.
Le ndlela yokuxilonga elebhu isetshenziswa futhi ukuthola ezinye izifo ezithile ze-endocrine sphere.
Lapho kufakwa ekuhlolweni kwegazi ushukela, abantu abadala kufanele bacabangele ama-nuances athile.
Ubani odinga ukuhlola ushukela we-plasma?
Kunconywa ukugxila kweglue glucose ukuthi kuhlolwe njalo kwabanesifo sikashukela, kanye nalabo bantu abanesifiso sokuthola ifa lokuphazamiseka kwengqondo.
Isimo se-prediabetes futhi siyinkomba yokuhlolwa. Ushukela we-plasma ungakhuphuka noma unciphise ngezifo ezahlukahlukene.
Odokotela banikeza umuntu umhlahlandlela wokuhlaziywa kwe-plasma ye-glucose kulezi zimo ezilandelayo:
- Ukuqashelwa kwesiguli ngesifo esinezimboni eziningi ngokweqile futhi esimpofu;
- isifo sikashukela sokukhulelwa;
- ukuthatha i-glucocorticosteroids, izidakamizwa ze-diuretic, izindlela zokuvimbela inzalo ngomlomo;
- umfutho wegazi ophikelelayo we-degree yokuqala;
- ukuba khona kwe-cirrhosis;
- ukuqaphela ukusebenza kwamanyikwe.
Kufanele unikele ngegazi ezingeni le-glycemia lapho kunezimpawu ezinjalo:
- ukoma okungagculisi;
- ubuthakathaka
- ukungazi kahle;
- ukwanda kwe-diuresis yansuku zonke;
- ukozela
- izikhathi zokuhlanza;
- isikhumba esikhanyayo;
- ukugoba okwenziwe njalo;
- furunculosis.
Ukulungiselela ukuqoqwa kwezinto zokucwaninga
Ukuthola umphumela weqiniso, umuntu kufanele alungiselele amasampula egazi. Imvamisa ukuhlaziya kunikezwa ekuseni. Ukulungiselela kuqala kusihlwa.
Izincomo:
- nikela ngegazi ukuze uhlolwe isisu esingenalutho. Ukudla kokugcina kufanele kube ebusuku ngaphambi kuka-18: 00;
- yeka ukuphuza ubumnandi, utshwala, iziphuzo zobisi olunomuncu, ikofi, itiye, ama-herbal infusions amahora angu-8-9 ngaphambi kokuhlolwa. Kuvunyelwe ukuphuza ingilazi yamanzi ahlanziwe;
- lala kahle ngaphambi kokuhlaziywa. Usuku olungaphambi kwakho akufanele udalule umzimba ukucindezelwa ngokomzimba, ukucindezelwa.
Izici ezilandelayo zingathinta ukuthembeka komphumela:
- ukomisa;
- ukuphuza ngokweqile uketshezi;
- izifo ezithathelwanayo, ezingamagciwane;
- ukukhulelwa
- isimo sokucindezela ngemuva;
- ukubhema phambi kwe-biomaterial;
- ukwanda kwezifo ezingamahlalakhona;
- ukuphumula kombhede.
Ukuguqula imiphumela yokuhlolwa kwegazi kwe-glucose kubantu abadala
Udokotela kumele asuse ukuhlaziya.Kodwa futhi kuyasiza ukuthi isiguli sazi ukuthi yiliphi izinga le-glycemia elivezwe umsizi welebhu okhuluma ngalo.
Uma umphumela wokuhlaziywa ungaphansi kuka-3.3 mmol / L, lokhu kubonisa isimo se-hypoglycemic. Amanani asezingeni le-6-6.1 mmol / L akhombisa ukungatheleleki kwe-glucose yamaseli, i-prediabetes.
Uma ukuhlushwa koshukela kudlula i-6.1 mmol / l, lokhu kusho ukuba khona kwe-endocrine pathology engathi sína. Kumuntu ophile saka, izinga le-glycemia ku-serum likububanzi obungu-3.3-5,5 mmol / L.
Kubantu abanesifo sikashukela, ukuhlaziya kwe-serum ushukela kuqondwe ngokuhlukile. Ngakho-ke, inani elifinyelela ku-6 mmol / l libonisa isifo esincishwe kahle sohlobo lwesibili. Uma inani lifinyelela ku-10 mmol / l, lokhu kubonisa ukuba khona kohlobo lokuqala lwesifo sikashukela kumuntu.
Abantu abanenkinga ye-endocrine abathatha izidakamizwa ezinciphisa ushukela noma bajova i-insulin hormone kufanele igazi labo lihlolwe isisu esingenalutho futhi bangasebenzisi imishanguzo elawula ushukela kusukela ekuseni ngaphambi kokuthatha i-biomaterial.
Ukuwohloka okunjalo kuphathelene nokuhlaziywa okwenziwe ngesampula yegazi kusuka emunweni. Uma i-biomaterial yathathwa emthanjeni, amanani angaphakama kancane.
Ngakho-ke, okuqukethwe ushukela ku-plousma ye-venous kusuka ku-6 kuye ku-6,9 mmol / l kubonisa isimo se-prediabetes. Umphumela ongaphezulu kwe-7 mmol / L ukhombisa ukuthi ama-pancreas awakhiqizi i-insulin.
Ishadi lokuhlola ushukela wabantu abadala
Kukholakala ukuthi okuqukethwe ushukela okujwayelekile egazini elithathwe emunweni kuhla kusuka ku-3.3 kuya ku-5.5 mmol / L. Kepha lapho kubalwa imiphumela yokuhlaziywa, kunconywa ukuthi unake iminyaka yesiguli.
Isibonelo, kubantu asebekhulile, ukugxila kwe-glucose kuphakama kancane kunasebasha. Lokhu kungenxa yezinguquko ezihlobene nobudala, ukonakala kwamanyikwe.
Izindinganiso zokuhlaziywa kwe-plasma ushukela kubantu abadala ngeminyaka kukhonjiswe kwithebula elingezansi:
| Inani leminyaka | Imvelo, mmol / l |
| esiswini esingenalutho | |
| kusuka eminyakeni eyi-14 kuye kwengama-35 | 3,3-5,5 |
| abesilisa nabesifazane abaneminyaka engama-35-50 ubudala | 3,9-5,7 |
| abantu abaneminyaka engama-50-60 ubudala | 4,3-6,3 |
| kusuka eminyakeni engama-60 kuye kwengama-90 | 4,6-6,3 |
| ngaphezulu kweminyaka engama-90 | 4,3-6,6 |
| avivinye ihora ngemuva kokudla | |
| abesilisa nabesifazane bayo yonke iminyaka | kufika ku-8.9 |
| funda amahora ambalwa ngemuva kokudla | |
| amadoda, abesifazane abaneminyaka engama-20-90 ubudala | kufika ku-6.7 |
Imvamisa kwabesifazane abakhulelwe yi-3.7-5.9 mmol / l (lapho bethola uketshezi lwegciwane kusuka emunweni). Izinga lokuhlaziya ushukela we-venous biomaterial sampling liyahluka phakathi kwe-3.7-6.1 mmol / l.
Izizathu zokuphambuka kusuka kokujwayelekile
Kunezizathu eziningi zokuphambuka kwezinga le-glycemia kusuka kokujwayelekile.Okungenangozi kakhulu ukulungiswa okungalungile.
Ngakho-ke, ezinye iziguli, izinsuku ezimbalwa ngaphambi kokudlulisela i-plasma ukuhlolwa kwelabhoratri, zishintsha indlela yazo yokuphila evamile, ziqale ukudla ukudla okunempilo. Lokhu kuholela emiphumeleni ehlanekezelwe.
Ngokuvamile amanani aphansi kakhulu noma aphezulu okuhlaziywa adonswa yinqubo ye-pathological emzimbeni. Kubalulekile ukukhomba imbangela yangempela yokuphambuka kusuka kokujwayelekile futhi ikuguqule.
Izinga elikhulayo
Ushukela ophakeme uwuphawu olubonakalayo lwesifo sikashukela. Kepha lesi akusona ukuphela kwesizathu sokuphambuka kokujwayelekile kuya phezulu.
Umphumela omkhulu ubonwa ezimeni ezinjalo:
- isithuthwane
- ukudla ukudla okungenamsoco ngaphambi kokulala noma ekuseni ngaphambi kokuhlaziywa;
- ukwephulwa kwe-gland yegilo;
- ukukhathala komzimba;
- isifo se-adrenal gland;
- ukweqisa ngokomzwelo;
- ukuthatha umuthi osuselwa ku-indomethacin, i-thyroxine, i-estrogen, i-nicotinic acid;
- injabulo eqinile ngaphambi noma ngesikhathi sokunikela ngegazi ukuze kuhlolwe elebhu;
- izinqubo ze-pathological gland gland.
Inani elincishisiwe
Ushukela ophansi utholakala kakhulu kubantu kune-hyperglycemia. Imvamisa, okuqukethwe ushukela kwehla okujwayelekile ngaphansi kokungondleki, ukungondleki, ukudla okuqinile, nendlala.
Ezinye izimbangela ezivamile ze-hypoglycemia yilezi:
- ezemidlalo ezisebenzayo;
- ubuthi botshwala;
- i-hepatic pathology;
- ukwephulwa kwezinqubo ze-metabolic;
- i-enteritis;
- isimila kumanyikwe;
- i-pancreatitis
- i-sarcoidosis;
- ukuphambuka ohlelweni oluphambili lwezinzwa;
- ubuthi ngamakhemikhali anobuthi;
- ukuphazamiseka kwemithambo yegazi.
Yini okufanele uyenze ukulungisa izinga le-glycemia?
Uma ukuhlolwa kwelabhoramu kwe-serum ye-glucose kukhombisa ukuphambuka kusuka kokujwayelekile, khona-ke umuntu kufanele abonane nodokotela ohlinzayo. Izazi zesifo sikashukela ngokuhlaziywa okungekuhle kufanele zivakashelwe yi-endocrinologist.
Ukuthola izimbangela ze-glycemia ephansi noma ephezulu, udokotela uzokwenza inhlolokhono yesiguli, ahlole ikhadi bese ebhekisa ekuxilongeni okwengeziwe.
Ukuhlolwa kwegazi okujwayelekile, umchamo, i-ultrasound yezitho zangaphakathi kungabekwa. Ngokusekelwe emiphumeleni yokuhlolwa, uchwepheshe uzokuxilonga futhi akhethe uhlobo lokulashwa. Ukwenza ngokwejwayelekile izinga le-glycemia, lezokwelapha, abantu, izindlela zokuhlinzwa zingasetshenziswa
Esimweni se-prediabetes, kwesinye isikhathi ukubukezwa kokudla nokudla, ukulungisa umzimba ngokwanele. Izazi zesifo sikashukela ukwenza ushukela ajwayelekile zidinga ukukhethwa komuthi, umthamo, uhlobo lomthamo.
Lapho kukhona i-pancreatitis, ukuphazamiseka kwemithambo yegazi, i-cirrhosis, kukhethwa izidakamizwa ezihlose ukumisa izimbangela nezimpawu ze-pathology.
Ukuhlinzwa kuboniswa ekuhloleni isimila kumanyikwe.
Ngokuthambekela kwe-hypoglycemia, umuntu kufanele abukeze lokho akudlayo, akucebise ngemikhiqizo enenkomba ye-glycemic ephezulu, futhi agweme izikhathi ezinkulu phakathi kokudla. Akunconywa futhi ukuthi uzithobe umzimba ngokuzivocavoca okunamandla ngokomzimba.
Okufanele ukwenze kumuntu ukwenza amazinga e-glucose abe ngokwejwayelekile kufanele kwalulekwe udokotela ojwayelekile noma i-endocrinologist, ngokususelwa kwimiphumela yokuhlolwa. Ngokuphathelene nokulungiswa kokudla okunempilo, udinga ukuxhumana nomuntu okondlayo.
Amavidiyo ahlobene
Ungasusa kanjani ukuhlolwa kwegazi? Imiyalo enemininingwane kuvidiyo:
Ukuhlaziywa kwe-serum ngoshukela kungenye yezindlela zokuphoqelela zokuvimbela izifo ezifakiwe. Ukuhumusha kahle imiphumela yocwaningo, udinga ukwazi ukuthi imiphi amazinga ejwayelekile kashukela, yini ukuphambuka, futhi bakhuluma ngani.
Uma ukuhlaziywa kungalungile, kufanele uthinte owelaphi wakho noma we-endocrinologist: amanani angancishisiwe futhi aqhakanjisiwe angakhombisa i-pathology enzima. Ngokushesha lapho lesi sifo sitholakala, ukwelashwa kusheshe futhi kube lula, mancane amathuba okuthuthuka kwezinkinga.
