Uhlelo lwesinyathelo ngesinyathelo kokufanele ukwenze uma ushukela wegazi ukhuphuka kakhulu

Ushukela wegazi unomkhuba wokukhuphuka kanye nokuwa. Kuya ngezici zangaphakathi nezangaphandle.

Isizathu esikhulu sokwanda okubukhali kwamazinga kashukela ukusetshenziswa njalo kokudla okumnandi, kusengaphambili nokuchayeka ezimweni ezicindezelayo.

Ekubonakalisweni kokuqala kokukhula okuthe xaxa kweshukela, udinga ukuxhumana nodokotela we-endocrinologist ngokushesha okukhulu. Uchwepheshe uxilonga noma, ngakolunye uhlangothi, ugwema isifo sikashukela. Ezimweni eziningi, yile ndlela yokusebenza kwengqondo enganikeza ukwanda okubukhali kwamazinga kashukela ngemiphumela emibi.

Izimbangela zokwanda okukhulu kweglucose egazini likashukela nakubantu abaphilile

Izizathu zokuguquguquka okungalindelekile koshukela kushukela 1, kanye nohlobo 2, kuhlotshaniswa nokuntuleka kwekhono le-insulin lokulawula umthamo walo emzimbeni. Yi-hormone eyinhloko esehlisela okuqukethwe ushukela kufinyelele ezingeni elifanele.

Kwezinye izimo, umuntu ophilile angadla ubumnandi obedlula obudingwa ngumzimba.

Kulokhu, kukhona ukwanda koshukela wegazi. Kodwa-ke, umzimba, emsebenzini okungekho ukwephulwa okukhulu, uyakwazi ukunqoba lokhu ngokuzimela. Isifo sikashukela ayisona isizathu esisodwa sokwanda kweshukela egazini.

Ngaphezu kwesifo sikashukela, izizathu ezilandelayo zingahlukaniswa:

• ukudla okuphukile;
• ukuphazamiseka, izifo zomgudu wokugaya ukudla;
• ukuba khona kobuhlungu besikhathi eside;
• ukwehluleka okubukhali kwama-hormone emzimbeni (ukuya esikhathini noma ukuya esikhathini kubantu besifazane);
• izifo ezithathelwanayo, ezibangelwa yigciwane ezikhuthaza ukwanda kwamazinga okushisa.

Izifo ezihambisana nokuphazamiseka kohlelo lwe-endocrine, ama-pancreas, isibindi nazo zingaba imbangela enkulu yokwanda koshukela wegazi.

Ungathola kanjani ukuthi ushukela ugxilile: izimpawu nezimpawu

Uma kwenzeka kukhuphuka ushukela wegazi emzimbeni, izinguquko ezithile ziqala ukwenzeka. Isikhombisi esikhulu umuzwa wokoma, umlomo owomile, kanye nokunxenxa kakhulu ukusebenzisa indlu yangasese. Ukubonakala kwalezi zimpawu kungachazwa ngokwanda komthwalo osetshenziswa ezinso.

Njengoba wazi, yibo abasusa ushukela omningi emzimbeni. Uketshezi olahlekile kukhishwa izicubu. Ngalesi sizathu, kukhona njalo ukoma nesifiso sokuvakashela indlu yangasese.

Ezinye izinkomba zifaka:

• ukugabha, isicanucanu: Izimpawu ziyavela phakathi kokudla;
• ukukhathala: ngenxa yokuthi amaseli omzimba awatholi inani lamandla adingekayo;
• ukulamba okungapheli, ukunciphisa umzimba ngokushesha: isimo esifanayo singachazwa ukuthi uma kwenzeka kuba nokuntuleka kwamandla, umzimba uyikhipha kwizicubu zemisipha, kanye namaseli wamafutha;
• ukungaboni kahle: lokhu kungenxa yokungasebenzi kahle kwemithambo yegazi. Lokhu kuqinisekisa ukukhula kwesifo. I-retinopathy yesifo sikashukela ivusa ukwehla okubukhali kombono noma ukulahleka kwayo ngokuphelele.

Uma ushukela wegazi ukhuphuka kakhulu, kufanele wenzeni ekhaya?

Unganciphisa ngokushesha ushukela wegazi ekhaya usebenzisa imishanguzo ekhethekile. Akunconyelwe ukwenza ukukhethwa kwamathebhulethi ngokwawo. Ngemuva kwakho konke, izinga eliphansi likashukela liholela ku-hypoglycemia. Esimweni esibucayi kakhulu, lokhu kuholela ekhefeni, kwezinye izikhathi ekufeni kwesiguli.

Yimiphi imishanguzo okufanele ilashwe?

Izidakamizwa eziklanyelwe ukwehlisa ushukela wegazi yizo ezivame kakhulu futhi ziyadingeka. Lokhu iqiniso kungenxa yokuthi isifo sikashukela sitholakala kubantu abangu-10% emhlabeni.

Izindlela ezisebenza kahle zokunciphisa amazinga kashukela yilezi:

• sulfonylureas: ethandwa kakhulu phakathi kweziguli ezinesifo sikashukela. Izidakamizwa ezinjalo zinomphumela ophindwe kathathu emzimbeni: amaphilisi avusa ukukhiqizwa kwe-insulin, ehlise izinga likashukela esibindini, futhi athuthukise ikhwalithi ye-insulin ekhiqizwayo, ethinta amaseli. Ukuqokwa kwabo kufanele kwenziwe ngudokotela oqeqeshiwe ngemuva kokutadisha izici zenkambo yesifo, kanye nesimo sesiguli;
• ama-biguanides: le mishanguzo ilukhuni ngokwengeziwe, inemikhawulo eminingi kakhulu. Azisetshenziswanga ukuthuthukisa ukukhiqizwa kwe-insulin, kepha ukusebenzisa ushukela ngaphakathi kwezicubu. Ngenxa yesikimu esinjalo, amangqamuzana e-beta ahlala ephethe i-insulin njalo. Kulokhu, isifiso sokudla sesiguli siyancipha. Lokhu kunomthelela omuhle empilweni yeziguli ezinesifo sikashukela. AmaBiguanides abuye anciphise ukumuncwa kwe-glucose emathunjini, futhi enze ngokwejwayelekile okuqukethwe kwe-lipid emzimbeni;
• izidakamizwa ezivimba ukuthathwa koshukela esiswini: Le yimithi ejwayelekile ezweni. Namanje basahlolwa ezindaweni zokuvivinya iziguli, emitholampilo. Abathuthukisi bayathemba ukuthi izidakamizwa ezinjalo azinayo imiphumela emibi. Zingasetshenziselwa noma yiluphi uhlobo lwesifo sikashukela (kanye nama-Biguanides, i-insulin nezinye izidakamizwa ukwenza isimo sesiguli sibe ngokwejwayelekile).

Imigomo yokudla okuhle koshukela

Ukudla okhethwe kahle kukuvumela ukugcina ushukela evamile.

Ochwepheshe batusa ukulandela izimiso ezithile zokudla okunempilo, okungukuthi:

• thatha ukudla ngezingxenye ezincane, okungenani izikhathi ezingama-5-6 ngosuku;
• imenyu kufanele ifake imikhiqizo enenkomba ye-glycemic ubuncane;
• 2 amahora ngaphambi kokulala, umuntu akufanele adle;
• Amafutha agcwele, ama-carbohydrate alula, iziphuzo ezidakayo kufanele zingafakwa ekudleni.

Ngoshukela owandayo, le nkomba izosiza ukunciphisa lesi sikhombisi: okusanhlamvu okwenziwe okusanhlamvu okuhlanganisiwe, inhlanzi, inyama enamafutha amancane, kanye nokudla kwasolwandle, izithelo zikawolintshi, ama-aphula aluhlaza, ama-cherries, imbewu ye-sunflower, amantongomane.

Izindlela zokupheka eziwusizo zemithi yendabuko

Amakhambi ama-Folk asetshenziswa futhi ngenkuthalo ukwehlisa ushukela wegazi.

Iqembu lezitshalo ezisebenza kahle kakhulu nezijwayelekile zihlanganisa:

• umhlonyane, iSt John wort;
• ama-walnuts, ama-clover;
• i-dieelle, i-plantain.

Kukhona ezinye izitshalo zokwelapha ezenzelwe ukwehlisa ushukela.

Esimweni ngasinye, akhethwa ngamunye. Ukwenza i-glucose ibe ngokwejwayelekile, kunconywa ukusebenzisa u-anyanisi ekudleni. Ngaphezu kwalokho, ungaphuza izipuni ezi-2 zikajusi ka-anyanisi ngaphambi kokudla okukhulu.

Ngabe kuyadingeka yini ukubiza udokotela uma izinkomba sezikhuphuke kakhulu?

Izinqubo ezingeke ziguqulwe zingase ziqale (isb., I-neuropathy, izinkinga zesikhumba, isifo se-vascular, kanye nokuphazamiseka kokulala okujwayelekile, ukudangala).

Ekwelashweni kokuqala, uchwepheshe wembula izinga le-glucose egazini futhi anqume ukwelashwa. Njengomthetho, odokotela banquma imithi yomlomo.

Uma bengenawo umphumela owufunayo, kunqunywa inkambo yemijovo yomuthi ofanayo. Isikhathi saso sinqunywa ngawodwana.

Ividiyo elusizo

Ungayinciphisa kanjani ngokushesha i-glucose egazini ekhaya:

Udokotela uzozama ukuqeda zonke izimbangela eziholele ekwakhiweni kwalesi sifo. Kulokhu, isiguli kufanele siqinisekise ukuthi imikhuba emibi ayikho, futhi umsebenzi womzimba ugcinwa ngezinga elifanele.

Kodwa-ke, ungakhohlwa ukuthi imithwalo ephezulu kakhulu ingabuye iholele ekhuphukeni kwamazinga kashukela emzimbeni. Ngemuva kokuvakashela udokotela, wehlise izinga le-glucose, isiguli sidinga ukubheka isimo saso njalo.