Ukuxilonga isifo sikashukela, i-endocrinologist inquma ukuhlolwa kwegazi ngoshukela ezigulini. Ngesifo, inhlala-kahle yesiguli incike kuzinga layo.
Ucwaningo lukuvumela ukuthi uthole inani le-glucose esegazini, futhi ukuthi yinto eyodwa enoshukela, ungaqonda lapho ufunda ukwakheka kwe-biochemical.
Ushukela uqondwa njenge-sucrose, okhona kuwo umoba, isundu, i-beet. Ngokwesakhiwo sayo, ushukela yi-monosaccharide equkethe i-carbohydrate eyodwa kuphela. Kepha ushukela uyi-disaccharide.
Inama-carbohydrate amabili, kufaka noshukela. Umehluko futhi ukuthi ushukela omsulwa awunakuba ngumthombo wamandla. Uma ingena emathunjini, igaxana ibe yi-fructose ne-glucose, edinga ukuthi kusetshenziswe i-insulin.
Ingabe ukuhlolwa kwegazi ngoshukela noshukela kuyinto efanayo noma cha?
Ukunikela ngegazi likashukela noshukela kuyinto eyodwa nokuhlaziywa okufanayo; kubandakanya ukuthola ulwazi mayelana nezinga le-glucose eplasma.
Ngobungako bento, singaphetha ngesimo sempilo sesiguli. Kubalulekile ukugcina ibhalansi kashukela.
Lapho kuthakwa kakhulu ngokudla, kulapho kudingeka khona kakhulu ukucubungula i-insulin. Lapho izitolo zama-hormone ziphela, ushukela ufakwa esibindini, izicubu ze-adipose.
Lokhu kusiza ukukhulisa amazinga kashukela we-plasma. Uma inani layo lehlile, liphazamisa ubuchopho. Ukungalingani kwenzeka lapho ama-pancreas akhiqiza ukungasebenzi kahle kwe-insulin.
Ngabe iglucose yegazi ibhekene nani?
IGlucose ngumhlinzeki wamandla omkhulu womzimba womuntu.Umsebenzi wawo wonke amaseli awo kuya ngento.
Inikeza izinqubo ze-metabolic. Iphinde isebenze njengohlobo lokuhlunga olungavumeli ubuthi ukuthi bungene. Kuyinto monosaccharide ekwakhiweni. Le nto engenakristalu engenamibala, i-soluble emanzini, ibandakanyeka ekudleni komzimba we-carbohydrate.
Amandla amaningi adingekayo ukuze kugcinwe imisebenzi yabantu akhiqizwa ngenxa ye-glucose oxidation. Ukutholwa kwaso kutholakala cishe kuzo zonke izitho nezicubu.
Imithombo esemqoka yalokhu yinto isitashi, i-sucrose, eqhamuka ekudleni, kanye ne-glycogen egcinwe esibindini endaweni egciniwe. Inani le-glucose equkethe izicubu, igazi, akumele lidlule ku-0,1 - 0,12%.
Iminyaka ngeminyaka
Okujwayelekile kubhekwa njengesibonakaliso sezinga lezinto ku-plasma kumuntu onempilo ebangeni le-3.3-5.5 mmol / L. Kungashintsha ngaphansi kwethonya lesimo esingokomzwelo, ukusetshenziswa kwemikhiqizo ye-carbohydrate, ukuvezwa kokuzivocavoca ngokweqile komzimba.
Ukuhlukahluka okuhlukahlukene okwenzeka emzimbeni nakho kuthinta amazinga kashukela. Lapho kunqunywa izinkambiso, ziqondiswa iminyaka yobudala, ukukhulelwa, ukudla ukudla (ukuhlaziywa kwenziwa esiswini esingenalutho noma ngemuva kokudla).
Amanani ajwayelekile (ku-mmol / l):
- izingane ezingaphansi kwenyanga eyodwa yobudala - 2.8 - 4.4;
- ubudala kusukela enyangeni kuya eminyakeni eyi-14 - 3,33 - 5.55;
- abantu abadala kusukela kwabaneminyaka eyi-14 kuye kwengama-50 - 3.89 - 5.83;
- mdala kuneminyaka engama-50 - 4.4 - 6.2;
- ubudala obuphambili - 4.6 - 6.4;
- abantu abadala abangaphezulu kweminyaka engama-90 - 4.2 - 6.7.
Kwabesifazane abakhulelwe, inkomba ingadlula amanani ajwayelekile (aze afike ku-6.6 mmol / l). I-Hyperglycemia ekulesi sikhundla akuyona indlela yokusebenza; ngemuva kokuzalwa kwengane, amazinga kashukela we-plasma abuyele kwesejwayelekile. Ukushintshashintsha kwezimpawu izinkomba kwezinye iziguli kuyaphawuleka ngesikhathi sokukhulelwa.
Yini ekhulisa i-glycemia?
I-Hyperglycemia, ukwanda koshukela wegazi, kuwuphawu lomtholampilo olukhombisa ukwanda kwe-glucose uma kuqhathaniswa namazinga ajwayelekile.
I-Hyperglycemia inamazinga amaningana obunzima ngokuya ngoshukela oqukethwe egazini:
- ifomu lokukhanya - 6.7 - 8.2 mmol / l;
- ubukhulu obukhulu - 8.3 - 11.0 mmol / l;
- ifomu elinzima - amazinga kashukela egazi ngenhla kwe-11.1 mmol / l.
Uma inani le-glucose egazini lifinyelela iphuzu elibucayi le-16.5 mmol / L, kukhuphuka ikhefu lesifo sikashukela. Uma inkomba idlula i-55,5 mmol / l, lokhu kufaka isandla ekuthuthukiseni i-hyperosmolar coma. Ingozi yokufa iphakeme kakhulu.
Kungani ushukela we-plasma wehliswe
Isiyezi, ubuthakathaka, isifiso sokudla esingesihle, ukoma kungaba yizimpawu zokuthi umzimba awunayo i-glucose. Uma izinga layo ekuhlaziyeni libonisa ngaphansi kwama-3.3 mmol / l, lokhu kubonisa ukukhula kwe-hypoglycemia.
Kanye namazinga kashukela amaningi, lesi simo siyingozi kakhulu kwabanesifo sikashukela. Ngokuwohloka kwenhlala-kahle, ukoma uyakhula, futhi umuntu angafa.
Inani ushukela ku-plasma liyancishiswa ngenxa yezizathu ezilandelayo:
- ukuzila ukudla, noma ukunqabela isikhathi eside ekudleni;
- ukomisa komzimba;
- ukuthatha imishanguzo, ku-contraindication lapho kuboniswa ukwehla kwezinga likashukela (ezinye izidakamizwa zokucindezela);
- izifo zamapheshana emathunjini, amathumbu, isibindi, amanyikwe;
- ukukhuluphala
- ukugula kwezinso, isifo senhliziyo;
- ukusweleka kwamavithamini;
- ukuba khona kwe-oncological pathologies.
Ukukhulelwa kwezinye iziguli kuphakamisa ukwehla kushukela wegazi. Ukwehla kweshukela kukhombisa ukuthi umuntu uba nesifo sikashukela, noma kukhona izifo ezithinta izinga lakhe.
Lesi simo kungaholela ekuhlinzweni kwezitho zangaphakathi. Futhi, kwesinye isikhathi inani le-glucose liyancipha ngenxa yokuzivocavoca okunzima ngokomzimba, izimo ezicindezelayo, zokwaliwa ukudla kanye nemithi.
Amavidiyo ahlobene
Mayelana namazinga kashukela egazini kuvidiyo:
I-glucose yisakhi esidingekayo. Unesibopho sokuthola isigamu samandla adingekayo kumuntu ukuze aphile nokusebenza okujwayelekile kwawo wonke izicubu nezitho zomzimba.
Izinkomba ze-glucose eyeqile, kanye nokwehla kwenani egazini, kukhombisa ukuba khona kwezifo ezinzima, ezinjengoshukela, isifo sesibindi, nokwakheka kwesimila.
I-Hypoglycemia yenzeka indlala isikhathi eside, yenzeka ezinsaneni ngaphambi kwesikhathi omama bazo babenomlando wesifo sikashukela mellitus. Ukuxilonga izifo, udokotela unquma ukuhlolwa kwegazi ngoshukela, okuwukucacisa kwezinga le-glucose equkethe kulo.
