Ukuhlolwa kwegazi ushukela - ubani igama futhi kubonisani?

Impilo yabantu incike kuzinkomba eziningi, lapho indima ebalulekile inikezwa khona emazingeni kashukela, anezimpawu eziningana (hemoglobin, lactate, njll). Okubaluleke ngokukhethekile ushukela.

Le nkomba idinga ukuqashwa ngezikhathi ezithile, ngoba ushukela ubalulekile emzimbeni futhi ungumthombo wamandla weseli ngalinye.

Ungathola izinga layo ngokudlula ukuhlaziywa okufanele. Odokotela bacebisa ukwenza le nqubo kanye ezinyangeni eziyisithupha. Enkulumweni yansuku zonke, ungezwa amagama ahlukile, kepha akuwona wonke umuntu owazi igama lokuhlolwa kwegazi likashukela egameni lezokwelapha.

Ngenxa yakhe, uyakwazi ukubona izifo eziningi ezingakwazi ukuziveza isikhathi eside, njengesifo sikashukela.

Ngabe kuthiwa yini ukuhlola ushukela wegazi?

Njengoba igazi liqukethe izinto eziningi ezahlukahlukene, kwezokwelapha umqondo onjengokuthi "ukuhlolwa ushukela" awukho. Igama elifanele "Ukuhlolwa kweglue glucose."

Ifomu lezokwelapha libizwa ngokuthi "yi-GLU" futhi linikeza imininingwane efanele mayelana nokudla kwe-carbohydrate metabolism.

Le nkomba ifanelekile lapho kwenziwa izifundo ezikhethekile, noma lapho bedlulisa ukuhlaziya kwamakhemikhali. Kukalwe ngo-mmol / amalitha (mm / l).

Unganikela kanjani ngegazi ushukela?

Igazi le-glucose linikelwa kusuka ngomunwe nangowowayini.

Ukuze uhlaziyo lukhombise umphumela ofanele kakhulu, kuyadingeka ukulungiselela kahle:

• cishe ngosuku noma ezimbili ngaphambi kokunikela ngegazi akunconywa ukuba udle inani elikhulu lokudla, ikakhulukazi amafutha. Kufanele alahle utshwala;
• kudla ukudla okunganciphisa amazinga kashukela, ngoba kungathinta umphumela;
• isikhathi esiphakathi kokudla kokugcina nokunikela ngegazi kufanele okungenani sibe amahora angama-8, futhi kungcono amahora angama-12. Kunqatshelwe ngokuphelele ukubhema ngalesi sikhathi. Amanzi kuphela angenamakhabhoni angenawo amakhabhoni avunyelwe;
• Ngaphambi kwenqubo, kunconywa ukuthi ungafaki konke ukusebenza komzimba;
• uma ungathatha noma imuphi umuthi, udokotela kufanele azi ukuthi lo mzuzu kufanele ubhekwe ngesikhathi sokufunda. Kwesinye isikhathi ukuhlaziya kuhlehliselwa kwelinye ithemu;
• zama ukungadabuki futhi ugweme ukucindezela, njengoba isimo sokomoya sithinta ukwakheka kwegazi;
• uma kukhona izifo ezithathelwanayo, khona-ke umnikelo wegazi kufanele ubambezelwe ukugwema ukuthola umphumela ongalungile;
• ekuseni, akunconywa ukusebenzisa amazinyo ngenxa yokuqukethwe ushukela. Futhi, musa ukuhlafuna usinsamu onoshukela;
• ngemuva kokubhucungwa, i-physiotherapy, i-x-ray ne-ultrasound akukwazi ukuthi ihlolwe.

Ukuthola imiphumela yocwaningo

Ngezinga eliphansi, i-hypoglycemia iyabonakala, okukhombisa ukwephulwa kokusebenza okujwayelekile kwezinso, izidakamizwa ze-adrenal, amanyikwe noma isibindi.

Ukudla kunomthelela omubi kakhulu kumazinga kashukela futhi kuphazamisa ukusebenza okujwayelekile komzimba, ikakhulukazi ubuchopho.

I-Hyperglycemia, kunalokho, ikhombisa ushukela omningi. Kubonwa ikakhulu ezigulini ezinesifo sikashukela, esinezinkinga ze-thyroid noma zesibindi. Inqubo yokuvuvukala nayo ingaba nomthelela ekwandeni.

Amazinga kashukela wePlasma ngeminyaka

Inani elivumelekile likashukela wegazi ezinganeni nakubantu abadala lihlukile. Akuncike eminyakeni yobudala kuphela, kepha futhi nesikhathi sokuhlaziywa.

Kungcono ukukuthatha ngaphambi kuka-9 ekuseni ukuthola umphumela onokwethenjelwa kakhulu. Ezinganeni ezingaphansi kweminyaka engu-12 ubudala, amanani asuka ku-5 kuye ku-10 mm / l abhekwa njengokujwayelekile. Ezinganeni ezisukela eminyakeni engu-13 ubudala, inkomba iyefana nakwabadala.

Uma umzimba wabantu abadala uphilile, khona-ke izinga likashukela lizoba ebangeni elisuka ku-3.2 liye ku-5.5 mm / l. Lapho uthatha ukuhlaziywa ngemuva kokudla ukudla, inkomba efinyelela ku-7.8 mmol / ilitha izobhekwa njengejwayelekile. Lokhu kugxila kuthathwa njengokujwayelekile kuphela uma igazi lithathwe emunweni.

Izinga likashukela eliseduze ne-6 mm / l libonisa isimo sangaphambi kwesifo sikashukela ngenxa yokwehla komkhiqizo we-insulin. Umphumela wokuhlolwa kwegazi okuvela emthanjeni, akufanele udlule ku-6.1 mm / L.

Ukuhlunga ngomthwalo ushukela kubhekwa njengokujwayelekile uma kungeqi ku-7.8 mm / l.

Kwabesifazane abakhulelwe, izinga le-glucose lihlala liguquka ngenxa yamazinga ama-hormone nezilinganiso ukusuka ku-3.3 kuye ku-6.6 mm / l.

Kulokhu, ukuphambuka okuncane akubhekwa njenge-pathology, ngoba ngesikhathi sokukhulelwa i-pancreas ayihlali ikwazi ukubhekana nomthwalo, okuholela ekukhuleni kancane ushukela.

Izizathu zokwanda nokwehla

Izimpawu nezizathu zokulengiswa ushukela

Esiswini esingenalutho, inani elincane likashukela lisegazini lomuntu. Ngemuva kokudla, leli zinga likhuphuka kancane, kepha hhayi isikhathi eside, uma nje zonke izitho zisebenza kahle futhi kukhiqizwa i-insulin eyengeziwe.

Isifo sikashukela, i-insulin ayanele, ngakho-ke ushukela ukhuphuka isikhathi eside, othinta kabi uhlelo lwezinzwa, amehlo, nezinso. Kukhona ubungozi bokuthola unhlangothi noma ukuhlaselwa yisifo senhliziyo.

Kunezizathu eziningana ezingakhuphula izinga lakho loshukela:

• ukungezwani kwemizwa okwenzeka njalo;
• ukwephulwa emsebenzini wezindlala ze-adrenal;
• izifo ezithathelwanayo;
• umuthi omude;
• ukuntuleka kokudla okufanele.

Kunezimpawu eziyinhloko ezibonakala ngokukhuphuka ushukela: emlonyeni kunomuzwa ongapheli wokoma kanye nomuzwa wokuwoma, ubuhlungu nobuthakathaka emilenzeni ngemizwa evuthayo kanye nama-goosebumps. Ezimweni ezinzima kakhulu, kuvela izilonda eziyinqaba noma i-gangrene.

Izimpawu nezimbangela kashukela ophansi

Uma inkomba ye-glucose emzimbeni isesimweni esingaphansi kuka-4 mm / l, khona-ke lokhu kukhombisa inani layo elingabukelwa phansi. Ushukela ophansi ubonakaliswa ukukhanda ikhanda, umuzwa ongapheli wendlala nokukhathala, umbono ofiphele, ukujuluka ngokweqile.

Iziphi izindlela ezingeziwe zokuxilonga ezingakunquma?

Kwezinye izimo, izivivinyo ezengeziwe zibekelwa ukunquma ngokunembile ukutholwa:

• urinalysis ukuthola amazinga eglucose ne-acetone. Esikhathini sikashukela i-mellitus, lokhu kuhlaziya kusebenza kakhulu njengokuqapha nokwelashwa kwansuku zonke;
• ukuhlolwa kokulethwa kwe-insulin. Lokhu kuhlola kusebenza ezigulini ezine-glycemia ephezulu. Le ndlela isiza ngokunemba ukuze ufunde ngobukhona be-mellitus yesifo sikashukela noma ukungabikho kwayo;
• I-peptide - Lokhu kuyiprotheni equkethwe kumamolekyuli e-proinsulin, ngaphandle kwe-cleavage lapho i-insulin ingakhiqizwa khona. Imvamisa, ukuhlaziya kwenziwa ngokuhambisana nesivivinyo sokubekezelela i-glucose ukuthola impendulo ku-insulin, isigaba sokuxolelwa, noma ukuthola ukwelashwa okudingekayo;
• leptin assay, ekuvumela ukuthi wazi inqubo yokukhipha amandla nokudla. Iphinde inqume ubungako besifo sikashukela sohlobo 2 nokuba khona kwezinkinga ze-metabolic;
• ukuhlolwa kwama-antibodies kumaseli we-beta wamanyikwe. Le nkomba ibaluleke kakhulu, ngoba ikuvumela ukuthi unqume kusengaphambili lesi sifo ngaphambi kokuqala kwezimpawu zokuqala.

Amavidiyo ahlobene

Mayelana namazinga kashukela egazini kuvidiyo:

Konke lokhu kuhlaziya kunqunywe yi-endocrinologist. Kubalulekile ukulungiselela kahle ukulethwa kwabo ukuze uthole imiphumela yenhloso nokwelashwa okusebenzayo.