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Abantu abaningi bacabanga ukuthi ushukela wegazi ungangeza kuphela ngesifo sikashukela.
Kepha kunezifo ezimbalwa lapho i-hyperglycemia ibonwa khona.
Zonke izimbangela zokwanda ushukela wegazi kuyaxoxwa ngazo esihlokweni.
Imikhuba emibi emadodeni nakwabesifazane
Uphuzo oludakayo kuvame ukudala ushukela omningi.
Utshwala bungena ngokushesha emangqamuzaneni omanyikwe. Ngaphansi kwethonya lazo, ukukhiqizwa kwe-insulin kuqala ukukhuphuka, amazinga e-glucose ayawa. Kepha kunesifiso esinamandla.
Futhi ukudla kakhulu ngokweqile kanye nokuphuza ejwayelekile kudala umthwalo omkhulu kumanyikwe futhi kunciphisa ukusebenza kwawo. Isifo sikashukela siyakhula. Amadoda nabesifazane abanempilo bangaphuza utshwala ngokuphepha kanye ngesonto.
Abanesifo sikashukela bavunyelwe ukuphuza utshwala kuphela ngamaholide amakhulu. Umthamo ophelele ingilazi eyodwa yewayini elimhlophe noma elibomvu, amagremu angama-250 ebhiya. Kungcono ukwenqaba ugwayi. INicotine inomphumela ongemuhle kumanyikwe ahlanganiswe notshwala. Ngaphansi kwethonya lotshwala, amakhambi anobuthi akhona kugwayi agcinwa emzimbeni isikhathi eside.
Kuhle ukuqeda umkhuba wokuphuza ikhofi ekuseni.
Ngemuva kwakho konke, inani le-caffeine eliqukethwe endebe yesiphuzo se-tonic lanele ukunciphisa ukuzwela kwamangqamuzana ukungena ku-insulin ngo-15%.
Ama-diabetes ayanconywa futhi ukuthi aphuze itiye elinamandla.
Ukudla kakhulu i-carbohydrate
Ama-carbohydrate (ushukela) anika umzimba womuntu amandla adingekayo empilweni. Kepha ama-carbohydrate amaningi ekudleni kuvusa i-hyperglycemia.
Abanye abantu benza ngaphandle koshukela, abanye bafaka izingcezu eziningana zewayini elicwengiwe eteyeni.
Ososayensi bachaza umehluko kwezintandokazi zokunambitheka ngezinga lomsebenzi wefuzo, obhekene nokusetha ama-receptors ezilimi. Ukucabanga okubukhali, kuncipha isidingo samaswidi, okuphambene nalokho.
Abesifazane ngokwemvelo abanandaba kangako nokuthanda ushukela. Ngakho-ke, bavame ukukhetha amaswidi ekudleni.
Izifo zesistimu ye-Endocrine
Izitho ze-Endocrine zakha ama-hormone athile, kufaka phakathi i-insulin. Uma uhlelo lungasebenzi kahle, indlela yokuthathwa koshukela ngamaseli iyaphazamiseka. Ngenxa yalokhu, kukhona ukwanda okuqhubekayo koshukela wegazi.Ama-pathologies amakhulu e-endocrine aholela kwizimpawu zesifo sikashukela yi-pheochromocytoma, i-thyrotooticosis, isifo sikaCushing.
I-Pheochromocytoma ibangela ukugcwala okukhulu kwe-plasma ye-norepinephrine ne-adrenaline. Lezi zinto zinomthwalo wokuhlushwa ushukela. I-Thyrotooticosis yisimo se-pathological yegland yegland, lapho umzimba uqala ukukhiqiza ama-hormone e-thyroid ngokweqile. Lezi zinto zandisa amazinga kashukela.
Isifo sikaCushing yisifo se-neuroendocrine lapho i-adrenal cortex ikhiqiza khona ama-hormone ngokweqile.
Izifo zezinso, amanyikwe, isibindi
Izinguquko ezinzima kwesibindi, ama-pancreas athinta izinga le-glycemia esegazini.
Ukuhlushwa ushukela kuyanda. Lokhu kungenxa yokuthi isibindi nama-pancreas kubandakanyeka ekwakheni, ukugcinwa nokufakwa kweglue.
Ngama-pancreatitis, i-cirrhosis, ukuba khona kwama-tumor formations, i-insulin iyayekiswa ukukhululwa ngevolumu edingekayo. Umphumela walokhu isifo sikashukela sesibili.
Imbangela ye-hyperglycemia kungaba ukwephulwa kwezinso. Lapho amandla okuhlunga alesi sitho ancipha, kutholakala ushukela emchameni. Lesi simo sibizwa ngokuthi yi-glucosuria.
Uma izifo zesibindi, izinso kanye nama-pancreas zitholakala enganeni, kuyadingeka ukuqhubeka nokwelashwa ngokushesha lapho i-pathology iqhubeka, ingane izobhekana nesifo sikashukela.
Isifo sikashukela mellitus
Imbangela ejwayelekile yokwanda kweglue glucose yisifo sikashukela. Kunezinhlobo ezimbili zalesi sifo:
- uhlobo lokuqala. Kulokhu, ukukhiqizwa kwe-insulin kumisiwe ngokuphelele. Lokhu kuchazwa yiqiniso lokuthi amasosha omzimba abulala amaseli abhekele ukukhiqizwa kwe-hormone. Njengomthetho, i-pathology iziveza ebuntwaneni. Lesi sifo enganeni sidalwa yigciwane noma izakhi zofuzo;
- uhlobo lwesibili. Ushukela onjalo uyakhula, kusukela eminyakeni yobudala ephakathi. I-insulin iyenziwa, kepha amaseli awakwazi ukukusebenzisa. Noma i-hormone ayakhelwanga ngamanani anele.
Uhlobo lwesibili lwesifo sikashukela lubangelwa yizici eziningi: ukungondleki, ukukhulupha ngokweqile, umsebenzi ophansi. Ngakho-ke, ukuze ugweme ukuthuthukiswa kwesifo, kunconywa ukuhola indlela yokuphila enempilo, ulandele ekudleni.
Ukwanda kwesikhashana kanye nezinye izimbangela zokwephulwa
Ukwanda okuqhubekayo kweshukela egazini akuqapheleki njalo.
Kwesinye isikhathi ushukela unyuka ngemithi, ukusha, njll.
Ngemuva kokuqedwa komphumela wento evusayo, izinga le-glycemia libuyele kwelejwayelekile.
Ukwanda kweshukela kusikhashana kungabonakala ngokuzivocavoca ngokweqile komzimba, ukucindezela okukhulu, ubuhlungu obuhlala isikhathi eside, izifo ezibangelwa amagciwane kanye namagciwane, izinga lokushisa lomzimba eliphakeme. Cabanga ngezimbangela ezivame kakhulu.
Ukwemukela kanye nomphumela wezidakamizwa
Amaqembu alandelayo wezidakamizwa angadala i-hyperglycemia:
- I-diuretics yeqembu le-thiazide. Isibonelo, indapamide;
- ama-beta blockers asetshenziselwa ukwelapha ukuphazamiseka kwenhliziyo. Ikakhulu, iCarvedilol neNebivolol;
- glucocorticoids. Kwangathi angandisa kakhulu ushukela we-plasma;
- amaphilisi ama-hormone;
- izindlela zokuvimbela inzalo ngomlomo;
- ezinye izinto ze-psychotropic;
- imishanguzo yokulwa nokuvuvukala ye-steroidal. Lokhu kuyiqiniso ikakhulukazi nge-prednisolone. Ukusetshenziswa isikhathi eside kuholela kushukela onesifo sikashukela.
Le mithi isiza ukubhekana nesifo esithile. Kepha enye yezakhiwo zabo yikhono lokukhulisa ushukela we-glucose. Ngokusetshenziswa isikhathi eside kwalezi zidakamizwa, ikakhulukazi ekugugeni nasekukhulelwe, isifo sikashukela singenzeka. Ngakho-ke, awunakusebenzisa kabi izidakamizwa kuleli qembu, ziqoke ngokwakho.
Ukuhlaselwa yisifo senhliziyo esibi, i-angina pectoris
Kwi-infarction ebabayo ye-myocardial, ukwenyuka okukhulu kweshukela le-serum yegazi kuyabonakala.
Ukwanda kwe-triglycerides, iprotheni eyi-C-reactive, nakho kuyenzeka.
Ngemuva kokuhlaselwa yisifo senhliziyo, wonke amanani abuyela kokujwayelekile. Nge-angina pectoris, isifo sikashukela yisifo esijwayelekile.
Ukwanda kwamazinga kashukela ngesikhathi sokushiswa, ukuhlinzwa esiswini
Ngemuva kokuhlinzwa kwi-duodenum noma esiswini, kuvame ukwenzeka isimo lapho ushukela udonswa ngokushesha usuka emathunjini ungene egazini.
Lokhu kunciphisa ukubekezelela ushukela. Ngenxa yalokhu, kunezimpawu zesifo sikashukela.
Ukulimala kobuchopho obuhlungu nakho kungenye yezimbangela ze-hyperglycemia. Izimpawu zesifo sikashukela zivele nomonakalo we-hypothalamus, lapho amandla ezinto zokusebenzisa ushukela ancipha.
Izimpawu nezimpawu zezinga eliphakeme
Uma izinga le-plasma glycemia liphezulu kakhulu, izimpawu ezithile ziqala ukuvela kumuntu. Isibonelo:
- ukulahlekelwa amandla;
- ukuchama njalo;
- ukujuluka;
- ukoma okungagculisi;
- umuntu uqala ukuzwa ukugula, ukugabha kwenzeka;
- umuzwa ongapheli womlomo owomile;
- iphunga elibukhali le-ammonia elivela emgodini womlomo;
- i-acuity ebonakalayo ingancipha;
- isisindo siqala ukwehla ngokushesha, naphezu kweqiniso lokuthi izinga lokuzivocavoca umzimba, ukudla kudla kuhlala kungashintshiwe;
- kukhona umuzwa oqhubekayo wokuntuleka kokulala.
Ngaphezu kwezimpawu ezingenhla, amadoda abike amacala okuwohloka kobulili. Lokhu kuchazwa yiqiniso lokuthi i-testosterone iqala ukukhiqizwa ngamanani anganele. Kwabesifazane, izifo ezithathelwanayo zezitho zangasese zingaba kaningi.
IHormone Esegazini
Ama-pancreas anamaqembu amaningi amaseli angenazo izigaxa futhi abizwa ngama-islets of Langerhans. Lezi ziqhingi zakha i-insulin ne-glucagon. Lesi sakamuva sisebenza njengomphikisi we-insulin. Umsebenzi wawo ophambili ukwandisa amazinga kashukela.
Ama-Hormon angakhuphula ushukela we-plasma nawo akhiqizwa i-pituitary, thyroid kanye ne-adrenal gland Kubandakanya:
- i-cortisol;
- ukukhula kwehomoni;
- adrenaline
- i-thyroxine;
- triiodothyronine.
La mahomoni abizwa ngokuthi ama-contrainsular. Uhlelo lwezinzwa lwe-autonomic luphinde luthinte i-carbohydrate metabolism.
. Lapho kuvela izimpawu ze-hyperglycemia, kubalulekile ukuthi uhlolwe ngokuphelele. Lokhu kuzokwenza kucace ukuthi kungani izinga likashukela ligxuma.
Ukuhlolwa kwe-glucose
Kuhlolwa igazi ukuze kutholakale ukuhlushwa kwe-glycogen. Isampula ye-plasma ithathwa emunweni. Ukuhlolwa kwenziwa esiswini esingenalutho.
Izinga elijwayelekile liyahluka lisuka ku-3.3 liye ku-5.5 mmol / L.
Ngezinye izikhathi benza iphrofayili ye-glycemic, ukuhlolwa komthwalo weglucose, ijika leshukela.
Ucwaningo lwenziwa kunoma yimuphi umtholampilo noma isibhedlela. Uma singekho isikhathi sokuhlala emigqeni, kufanelekile ukuthenga i-glucometer, ezokuvumela ukuthi uhlaziye ekhaya.
Amavidiyo ahlobene
Izizathu eziyinhloko zokwakhiwa kashukela wegazi ophezulu:
Ngakho-ke, ushukela wegazi ungakhuphuka ngenxa yezizathu ezahlukahlukene. Hhayi ukuthi lesi simo sibonisa ukukhula kwesifo sikashukela. Kepha kunoma yikuphi, kubalulekile ukuthola ukuxilongwa nokwelashwa okuphelele.