Wonke umuntu ophethwe yisifo esiyingozi njengesifo sikashukela uyazi ukuthi ukwanda kweshukela egazini kuwuphawu olujwayelekile lokukhula kwesifo "esimnandi".
Uma izimpawu zeshukela ephezulu yegazi kubantu abadala zibonakala, khona-ke ukuvakashela udokotela akufanele kuhlehliswe.
Lokhu kungenxa yokuthi namuhla umuthi uhlukanisa izinhlobo ezintathu zokuphambuka okuchaziwe kokujwayelekile - mnene, ulinganisele, unzima. Uma inani likashukela liqhathaniswa nophawu olungu-16 mmol / l, isiguli singathola "ukuthokozela" komthambo.
Ukuze usungule iqiniso lenkomba yeshukela ephezulu, udinga ukulawula inhlalakahle yakho futhi wazi nezimpawu eziphambili ze-pathology enjalo. Izimpawu nje zokuba khona kweglucose ngenhla kwejwayelekile egazini kuzoxoxwa ngazo endatshaneni yanamuhla.
Imikhuba kubantu abanempilo futhi abanesifo sikashukela
Ukuvimbela ukwakheka kwezifo ezinqala, umuntu kufanele abe nombono wezinga elivumelekile likashukela kumuntu omdala. Ukuze uzinzise inkomba yaso, umzimba usebenzisa i-insulin.
Kodwa-ke, ngokukhiqizwa okunganele kwevolumu edingekayo yale hormone noma uma kungekho okusabela okugcwele kuyo kusuka ohlangothini lwamaseli, izinga le-glucose liyakhuphuka.
Ukuthola inkomba yokujwayelekile, enqunywe yizindinganiso zezokwelapha, izinombolo ze-lactin, udinga ukuxhumana ne-World Health Organisation ukuthola imininingwane. Amayunithi aphelele enani leshukela elinempilo ohlelweni lokujikeleza kwegazi asenziwe namuhla.
Ngakho-ke, okuqukethwe kweglue ejwayelekile kunqunywa ngokuhlolwa kwegazi futhi kufanele kuhluke phakathi kuka-3.5-5,5 mmol / L.Kumele kuqashelwe ukuthi izinga loshukela kushukela wesifo semvelo engaxhomekeki kwe-insulin lifana namasampula omuntu ophile ngokuphelele.
Ngale ndlela yesifo esigabeni sokuqala, ukugxuma okukhulu kwe-lactin akubonakali, okubonakala phambi kwezimpawu zesifo. I-Pathology ivame ukutholwa kuphela ekulethweni kokuhlaziywa.
Izimpawu Zokuphakama Kwegazi Ushukela Kumuntu Omdala
Izimpawu zesifo "esimnandi" ziyafana ngobuningi beziguli ezibonwe .. Yiqiniso, kungahlukahluka ngokuya ngesigaba sobudala, ubulili, isikhathi salesi sifo.Izibonakaliso eziphambili zesilinganiso esibalulekile soshukela sizochazwa ngezansi uma kubhekwa ubulili besiguli.
Emadodeni
Abamele ubulili obunamandla bakhombisa lezi zimpawu ezilandelayo zevolumu ye-glucose engajwayelekile ohlelweni lokujikeleza:
- isidingo esengeziwe samanzi, ukuhlaselwa njalo komile. Lokhu kungenxa yokuthi inkomba enkulu ye-glucose enqubweni yokuphuma "ekubambeni" okunikezwayo okuningi koketshezi. Ukuze wenzele ukusweleka kwaso, kufanele uphuze njalo;
- umlomo owomile, ngisho nangemva kokuphuza amanzi;
- ukuchama njalo (usuku, ubusuku). Lokhu kungenxa yengcindezi ekhuphukayo ezinso ngenxa yesisindo esikhulu sokujikeleza kwegazi;
- ukuphuma komchamo kuphakeme kunokujwayelekile;
- umuzwa ongapheli wokuqina, ubuthakathaka. Ukubukeka kokukhathala okusheshayo, ngisho nokuzivocavoca okuncane komzimba, okubangelwa ukungondleki kahle kwemisipha nezinye izicubu;
- umfutho wegazi ophakeme;
- kukhona ukukhuphuka noma ukwehla kwesifiso sokudla. Ngaphandle kwezinga elibalulekile le-lactin, izitho zingaphansi kokulamba, ngenxa yalokho zinikeza lesi siginali ebuchosheni;
- uphawu oluphambili lwesifo sikashukela yisidingo esandayo samaswidi, kanye nesethi enkulu noma ukuncipha kwesisindo somzimba;
- ukuthikameeka okubukwayo kuyabonakala, ukufiphaza kuvela, amabala phambi kwamehlo.
Manje udinga uhlu lwezimpawu zalesi sifo kubantu besifazane.
Kwabesifazane
Ngeshwa, ngokuvamile izimpawu ze-lactin esegazini ngaphezulu kwejwayelekile zivele ekuphakameni kwesifo, kunokuba kuqalwe kuso.
Owesifazane angabona izimpawu zikashukela ezikhuphukile, njengokuthi:
- isifiso sokudla ngokweqile ngaphandle kokuthola isisindo;
- ukubonakala komzwa wokungabekezeleleki, ukudangala, ukozela phakathi nosuku;
- ukuzwela kwezinyawo, izandla ziyaguquka;
- amanxeba, ukuhlukunyezwa, imihutu ipholisa isikhathi eside;
- ukuvuvukala okuqhubekayo kohlelo lwezitho zofuzo.
Owesifazane okhulelwe kufanele anikeze ukubaluleka okukhulu kakhulu ezingeni le-glucose emithanjeni yegazi, ngoba impilo yengane yakhe engakazalwa incike kulokhu.
Kwabesifazane abakhulelwe
Ukulimala okuvame ukuchaza ukuqhubeka ngaphandle kokuguqukela esigabeni esibi kakhulu. Kodwa ezinye izibonakaliso kufanele zibangele umuzwa wokuqaphela kowesifazane okhulelwe futhi ube yisizathu sohambo olusheshayo lokuya kudokotela.
Izimpawu kashukela wegazi ophezulu kwabesifazane abakhulelwe zifaka:
- umbono ongalungile;
- umuzwa ongapheli wokoma;
- ukulamba okungapheli;
- umfutho wegazi ophakeme
- ukozela, ubuthakathaka obujwayelekile;
- ejwayelekile, futhi kwesinye isikhathi ukuchama okungalawuleki.
Ukukhulisa ushukela njengophawu lwesifo sikashukela
Ukwanda okusheshayo kwe-glucose, enezimpawu ezahlukahlukene kakhulu, imvamisa kunenkomba ecacile yokuthuthuka kwesifo sikashukela.
Lokhu kugula kuyinto ecashile.
Isibonelo, izimpawu zokuqala zesifo sikashukela sohlobo I zingavela ezinyangeni ezimbalwa kuphela ngemuva kokulashwa kwesifo semvelo segciwane. Abantu abaneminyaka engama-40 kuya kwengama-5 ubudala baba yingxenye enkulu yeqembu eliyingozi, futhi ngesifo sikashukela sohlobo II abakwazi ukuzwa izimpawu zokuqala zalo isikhathi eside.
Kepha ekwelashweni okuphumelelayo kwezifo, udinga ukubheka amaphuzu ayisi-2, ahlanganisa ukuxilongwa ngesikhathi nangendlela efanele yokwelashwa. Kodwa-ke, isenzo sokuqala sokuphumelela kwecebo sizoba umzamo wokunciphisa izinga le-lactin ngenye yezindlela ezilandelayo.
Unganciphisa kanjani?
Namuhla, kunezindlela eziningi zokunciphisa inani loshukela. Ngamunye wabo ubonakala ngokuba khona kwezici ezithile okufanele wonke umuntu azi.
Izinketho zokunciphisa ushukela zifaka:
- ukwelashwa kwezidakamizwa;
- umuthi wendabuko;
- ukudla
Ake sibheke ngakunye ngokuningiliziwe.
Ukwelashwa ngezidakamizwa
Umkhakha wanamuhla we-endocrinology unezinhlobo ezinhlanu zezidakamizwa isenzo sawo sihlose ukwehlisa amazinga kashukela.
Bahlukaniswe ngamaqembu ama-2 alandelayo wezidakamizwa:
- hypoglycemicanciphisa umthamo we-lactin emithanjeni yegazi. Umsebenzi wabo oyinhloko ukukhuthaza ukukhiqizwa kwe-insulin yendabuko, ekhonjiswa ngobuningi besiguli (isisindo sikhuphuka). Abamele Bright beqembu bafaka i-saltides, i-sulfonylureas;
- antihyperglycemicevimbela amazinga eglucose ukuba adlule okuvamile okuvumelekile. Imithi isiza ukukhulisa ukungena kwe-lactin engenasici ngaphandle kokuvuselela umsebenzi we-pancreatic. Ama-Thiazolidinediones, ama-biguanides, ama-blocker we-alpha-glucosidase angabizwa lapha.
Amakhambi esintu
Ukuqeda ubunzima obunje njengoba ushukela uphakeme kunokujwayelekile egazini, ungalandela lezi zindlela zokupheka zabantu
- hlanganisa ujusi we-1 kalamula neqanda elibomvu. Ingxube ebangelwa ithathwa kungakapheli izinsuku ezintathu - esiswini esingenalutho ekuseni. Ngemuva kwezinsuku eziyi-10, isifundo sezinsuku ezi-3 singaphindwa;
- Kufakwa amaqabunga ayi-10 enkomishini e-1 enamanzi abilayo, abese efakwa usuku endaweni efudumele. Ukukhishwa okubangelwa kudakiwe enkomishini engu-¼ amahora angu-0.5-1 ngaphambi kokudla. Isikhathi sesifundo singamaviki amabili;
- i-decoction yezingxenye ezilinganayo zama-blueberries, ama-rhizomes e-dandelion, iqabunga le-nettle. Iqoqo eliphumelelayo lenziwa kabusha kuyi-thermos bese lishiyelwa ubusuku obu-1. Kufanele uphuze i-tincture usuku lonke engxenyeni yenkomishi.
Ngokungeziwe kokukhethwa kukho okubalwe ngenhla, unganciphisa ushukela ngokudla okulinganiselayo.
Umsoco
Ukulungisa indlela odla ngayo ejwayelekile kuyindlela elula, ephumelela kakhulu yokunciphisa okuqukethwe ushukela. Yini okudingeka uyenze? Odokotela batusa ukuthi ukudla okuqukethe inkomba ebalulekile ye-glycemic (GI) kungafakwa ekudleni okujwayelekile.
Ukudla okuphezulu kwe-GI kufaka:
- amakhekhe
- ama-marshmallows;
- amaswidi;
- Amakhekhe
- ikhekhe elimnandi.
Ukudla okunesilinganiso se-GI kuvunyelwe ukungadli amahlandla angaphezu kwama-3 ngeviki. Lokhu kufaka phakathi:
- i-buckwheat;
- Ijusi entsha
- ikhofi
- amajikijolo ngamanye, izithelo;
- newayini elibomvu.
Kodwa ukuze wehlise ngempumelelo inani ushukela, udinga ukudla ukudla okunjalo nge-GI ephansi:
- ukudla kwasolwandle;
- inyama ye-turkey, inkukhu;
- izithelo ezomisiwe;
- imikhiqizo yobisi enamafutha amancane.
Kufanele ngimbone nini udokotela?
Ukuba khona kwe-lactin kungaphansi kwezinguquko ezihamba kancane.Kepha umzimba womuntu uxwayisa ngokuqala kwenqubo enjalo kusengaphambili ngezimpawu ezahlukahlukene.
Okunye ukuthi lapho isiguli simane singazinaki izibonakaliso ezithile noma sikholwe ukuthi isizathu sikhona kwenye indawo. Ngakho-ke, kubaluleke kakhulu ukuba nomqondo wezimpawu zokuqala ze-hyperglycemia.
Uma umuntu eqaphele ukuvela okungenani kophawu olulodwa olukhonjiswe ngaphezulu, khona-ke lesi yisizathu esihle sokuya kudokotela ukuze athole usizo lochwepheshe, ngaphambi kokuba kudale kakhulu.
Usizo lokuqala lokuhlaselwa kwe-hyperglycemia
Ukunikeza usizo lokuqala olunolwazi, isiguli kufanele ekuqaleni silinganise inani loshukela egazini.
Uma inani eliphumela lingaphezu kwe-14 mmol / l, esigulini esinohlobo I, uthayipha isifo sikashukela esithatha i-insulin, kuyadingeka ukwethula ama-cubes ayi-2 egciwane lesikhashana esisebenza esigulini, kanye nokunikeza amanzi amaningi.
I-glucose kufanele ilinganiswe njalo emahoreni angama-2-3 ngokwethulwa kwamayunithi ama-2 we-insulin kuze kufike lapho izinga eliphilile libuyiselwa. Uma ukuthuthuka kungenzeki, udinga ukubiza i-ambulensi.
Amavidiyo ahlobene
Izimpawu eziphambili ezingakusiza ukuthi uqaphele isifo sikashukela yilezi:
Ukufingqa le ndatshana, singaphetha ngokuthi womabili amazinga aphansi noshukela ayingozi emzimbeni womuntu. Ngalesi sizathu, wonke umuntu kufanele alawule inkomba yakhe ukuze kusungulwe isikhathi seqiniso lokwedlula inqubo evunyelwe.
Kungalesi simo sobudlelwano kuphela esingaba nomphumela ongemuhle wokuthi umzimba uvikeleke ngendlela yokwenziwa kwesifo sikashukela. Ngisho nokwanda okuncane kwesamba se-lactin ngaphezulu kwesejwayelekile yisikhathi sokuvakashela udokotela.
