Isifo sikashukela yi-pathology ye-endocrine apparatus, edinga ukulungiswa njalo kwezinga le-glucose emzimbeni ngokumelene nesizinda samanani aso aphezulu. Ukwehliswa kanye nokuxhaswa kwezinkomba ezisezingeni elamukelekayo kuyisihluthulelo sempilo ephezulu yeziguli nokuvimbela ukuthuthukiswa kwezinkinga zesifo "esimnandi". Lo mbhalo uchaza ukuthi unganciphisa kanjani ushukela wegazi ngemithi, ukwelashwa kokudla kanye namakhambi abantu.
Izimpawu zezifo
Izimpawu ze-glycemia ephezulu zivezwa kanjena:
- ukomela okungapheli kungukubonakaliswa kokuqala nokusobala;
- i-polyuria (inani elikhulu lomchamo likhishwe);
- i-polydipsia - ebonakala ngokwanda kwesifiso sokudla kanye nokwehla kwesisindo somzimba;
- ikhanda
- ukulunywa kwesikhumba;
- ulwelwesi olomile lwe-mucous;
- shintsha ezingeni lokuzwela;
- ukuqunjelwa, kulandelwa yisifo sohudo.
Izinkomba zaselebhu nazo ziyashintsha. Izinga le-glucose egazini lisuka emunweni liphezulu ngaphezu kuka-5.6 mmol / L, kusuka kumthambo - ngaphezulu kuka-6 mmol / L. Ushukela ungavela kumchamo (glucosuria).
Kungani amazinga eglucose ephakeme?
Ama-carbohydrate, ikakhulukazi, ama-monosaccharides, abhekwa njengomthombo wamandla amakhulu wabantu. Izinqubo zamandla zibalulekile ekusebenzeni kwazo zonke izitho nezinhlelo zomzimba. Lapho kudliwe ngokudla, ama-carbohydrate ayaqhekeka abe yizakhi ezilula futhi adonswe odongeni lomgudu wokugaya ungene egazini. Uhlelo lonke lokujikeleza kwegazi luxhumene ngokuqondile nesibindi. Lokhu kungukuhlanzwa kobuthi, ukucutshungulwa okwengeziwe kwezinto ze-organic kushukela.
Inqubo yokuhlukanisa yenzeka ngasikhathi sonke isikhathi, noma umuntu ephumule. Inani elithile likashukela lingena emangqamuzaneni (ngosizo lwe-insulin) ukuqinisekisa umsebenzi walo obalulekile, okusele - kuya izicubu nezicubu ze-adipose.
Izinkomba ze-glucose emzimbeni zilawulwa yingxenye ethile ye-endocrine apparatus (i-pituitary gland and pancreas). I-pituitary gland “iyalela” ama-pancreas ukukhiqiza ama-hormone anele ukwehlisa ushukela wegazi ngokuwuthumela kumaseli. Izifo ezithathelwanayo, ukucindezelwa, ukusebenza ngokomzimba kudinga ukulungiswa kwenani le-insulin eyenziwe.
Isikimu Esinempilo Soshukela
Ngoshukela, le ndlela iyaphazamiseka. Uma ama-pancreas engakwazi ukukhiqiza inani elidingekayo le-hormone, kuqubuka uhlobo lwesifo esincike e-insulin. Isifo sikashukela sohlobo 2 (esingeyona insulin-sincike) sibonakaliswa ngokwanele kwe-insulin, kepha amaseli omzimba alahlekelwa umuzwa wawo ngalo, okusho ukuthi ukwehla kushukela wegazi nakho akwenzeki.
Kubalulekile! I-Hyperglycemia ingaba wuphawu lwe-cirrhosis yesibindi, i-hepatitis, i-pituitary pathology.
Izindlela zokwelashwa
Imithi izosiza ukwehlisa ushukela wegazi ngokushesha. Uhlobo lokuqala lwe- "isifo esimnandi" ludinga ukwelashwa kwe-insulin. Ngezinhloso zokwelapha, izidakamizwa zesikhathi esihlukile sokusebenza nesikhathi sokuqala komphumela zisetshenziswa.
- Izindlela zesenzo esifushane - lokhu kufaka i-ultrashort nama-insulin amafushane. Ukwehla ushukela wegazi kwenzeka ngemuva kwemizuzu eyi-10-45 kusuka esikhathini sokulawulwa komuthi. Abamele - i-Actrapid, i-Humulin Regular, i-Novorapid.
- Ukufakwa okugcwele isikhathi eside yizinto zokwelapha ezinomphumela wazo ukhula emahoreni ambalwa ukusuka ngomjovo futhi uhlala amahora angama-24. Leli qembu lifaka ama-insulin aphakathi nendawo futhi asebenza isikhathi eside (uLantus, Levemir, Protofan).
Ngaphezu kwalokho, izidakamizwa ze-hormonal ziyehluka ngemvelaphi. Zingahlanganiswa kusuka kumanyikwe ezinkomo, izingulube noma zingafaniswa ne-insulin yabantu. Ifomu le-analog litholakala kusetshenziswa uhlobo oluthile lwe-Escherichia coli ngokubuyisela izinsalela ze-amino acid emamolekyuli e-hormone.
Ukwethulwa kwe-insulin - okuyisisekelo sokwelashwa okunye esikhundleni sikashukela
Izidakamizwa ezinciphisa ushukela
Kukhona izidakamizwa ngendlela yamathebulethi angehlisa ngempumelelo ushukela. Zivame ukubekelwa uhlobo 2 sikashukela mellitus. Iqembu ngalinye lezidakamizwa zomlomo okuhloswe ngalo ukwehlisa ushukela wegazi linomphumela kusixhumanisi esithile kuhlelo lokuthuthuka kwalesi sifo.
Amavithamini sikashukela- Okususelwa ku-sulfonylureas. Ukukhuthaza amaseli we-insulin-secreting kusiza ukuqeda i-hyperglycemia. Abamele - Maninil, Glyrid, Diabeteson. Imithi kuleli qembu inganciphisa i-glycated hemoglobin nge-2%.
- IBiguanides. Ukwehlisa ushukela wegazi kwenzeka ngokuwuyisa kumaseli nezicubu zomzimba. Iqembu alisetshenziselwa ukwehluleka kwezinso nezinhliziyo, ngoba ubungozi bokukhula ketoacidosis luyanda amahlandla ambalwa. I-Metformin izosiza ukwehlisa ushukela ngokushesha.
- Okukhishwe nguTiazolidinedione. Izindlela zithuthukisa ukuzwela kwamangqamuzana kuyi-hormone yamanyikwe. Akunakwenzeka ukunciphisa ngokushesha ushukela wegazi ngale mishanguzo. Isenzo sabo siqala emavikini ambalwa ngemuva kokuqala kokusetshenziswa.
- Meglitinides. Abamele - Starlix, Novonorm. Imithi incike ngqo ezinkombeni ze-glucose. Lapho iphakama kakhulu, izidakamizwa ezengeziwe zivusa umsebenzi wamaseli wokuvikela i-insulin.
- Izimali ezihlanganisiwe. Izinto zokwelapha, ezifaka ngasikhathi sinye izingxenye ezisebenzayo zezenzo ezahlukahlukene, zingezakho.
Umsebenzi womzimba
Njengomthetho, ochwepheshe abakhawulelwanga ekunqumeni imithi. Izimo eziphoqelekile zihambisana nokudla okuphansi kwe-carb, ukusebenza ngokomzimba kanye nokujwayelekile kwesizinda se-psychoemotional.
Ukwehla ushukela wegazi kwenzeka ngemuva kwamadina nokuqeqeshwa okusebenzayo, njengoba lezi zinqubo zihambisana nokusetshenziswa kwezimali zamandla. Imithwalo eyeqile ayivunyelwe. Kungcono ukuzinika isikhathi sokuhamba ngezinyawo, i-yoga, ukubhukuda nokuhamba ngamabhayisekili.
I-Yoga - izinga elivumelekile lokusebenza ngokomzimba nge-hyperglycemia
Ukusebenza ngokomzimba kuvunyelwe uma okuqukethwe ushukela egazini le-capillary kungaphakeme kune-15 mmol / l, ngoba izinombolo ezibucayi kakhulu zibangela umphumela ophambene.
Kuyafakazelwa ukuthi indlela yokusebenza komzimba yandisa ukuzwela kwamangqamuzana nezicubu zomzimba ku-insulin. Ukwanda kokubekezelela i-glucose kwaphawulwa ezigulini ezinesifo sikashukela sohlobo 2 ngesikhathi soqeqesho lonyaka owodwa ngezinhlelo ezikhethekile. Ngesifo sohlobo 1, izinga elanele lomsebenzi wasivumela ukuthi sinciphise isidingo se-insulin emaunithi angama-20 ngosuku.
Ukondleka kwezokwelapha
Ukwelashwa kokudla kungenye indlela ephumelelayo esehlisa ushukela. Kusetshenziswa njengendlela ehlukile futhi ngesimo secandelo lokwelapha eliyinkimbinkimbi. Izimiso zokudla okunje yilezi ezilandelayo:
- ukwenqaba ushukela, ukusetshenziswa koshukela;
- ukwehla kokudla kwe-carbohydrate, ukusetshenziswa kwama-polysaccharides acebile ku-fiber nokunye okokudla fiber;
- ukunqunyelwa kwamaprotheni emvelaphi yezilwane, ukukhetha kunikezwa ukutshala izinto zamaprotheni;
- ukudla okuvame ukwenzeka;
- Ukuhambisana nokudla okubalwa nsuku zonke kwekhalori;
- imikhawulo kasawoti noketshezi (amanzi angabi ngaphezu kwamalitha ayi-1.5 ngosuku).
Lapho uhlanganisa imenyu, inkomba ye-glycemic yemikhiqizo iyabhekelwa - inkomba ekhombisa izinga lokukhuphuka kweglucose egazini ngemuva kokudla isidlo esithile. Kunconywa ukufaka imikhiqizo eminingi ekudleni enganciphisa izinga le-glycemia ibe ngamazinga ajwayelekile.
Ama-Blueberries
Uma ushukela uphakeme, ama-blueberries kanye nokufakwa kwamaqabunga awo kufanele kudliwe. Nsuku zonke udinga udle izingilazi ezi-2 zamajikijolo. Ukuze ulungiselele ukumiliselwa okwenziwe ngomuthi, ithisipuni lamaqabunga aqotshwe kahle lithululelwa ngengilazi yamanzi abilayo. Ngemuva kwesigamu sehora, ikhambi eliphumayo liyahlungwa futhi lidakwe phakathi nosuku. Ngaphezu komphumela we-hypoglycemic, ama-blueberries anesilinganiso esibalulekile sama-binders, i-acid, uwoyela obalulekile namavithamini ekwakhiweni kwawo.
Ama-Blueberries - i-berry enganciphisa ushukela wegazi
Ukhukhamba
Lokhu "kuhlala" kombhede kuqukethe amanzi angaphezu kuka-95%, kunenkomba ye-glycemic ephansi. Izinsuku zokuzila ngesisekelo lamakhukhamba zilungele abanesifo sikashukela (kunconywa ukudla ama-1.8-2 kg yemifino ngosuku).
I-Jerusalema artichoke
Into esemqoka esephepheni 'lobumba "yi-inulin. Le yi-polysaccharide, eyi-mumeleli wefiber yokudla. Kusetshenziswa embonini ukukhiqiza i-fructose. I-Inulin inezindawo ezilandelayo:
- ibuyisela indlela yokugaya ukudla, ibuyisa i-microflora yamathumbu;
- kwehlisa ushukela wegazi
- isusa i-cholesterol eyeqile emzimbeni;
- kuthuthukisa izinqubo zokwakheka kwegazi.
I-Jerusalem artichoke, esehlisa amazinga kashukela, inalokhu kube nomphumela futhi ngenxa yokuba khona kwe-chromium ekwakhiweni kwayo. Lesi sithako sesibili esisebenzayo esingalawula i-glycemia ngaphandle kwezidakamizwa. I-Chromium ithinta umsebenzi we-insulin, inciphisa ukumelana ne-insulin.
Ijusi yemifino
Ukusetshenziswa kwansuku zonke kwamajusi kusuka ku-radish, iklabishi, amazambane, ama-beet, i-zucchini kanye notamatisi kunemiphumela elandelayo:
- kuqeda i-hyperglycemia;
- isusa uketshezi emzimbeni;
- i-cholesterol ejwayelekile;
- ibuyisela izinqubo zokugaya.
I-chicory
Umkhiqizo wamakhambi, ongewona nje kuphela umuntu ophuza ikhofi, kodwa futhi ongumuthi. I-chicory enciphisa ushukela inomphumela ofanayo ngenxa yokuba khona kwe-inulin ekwakhiweni. Umkhiqizo uqukethe ama-glycosides wemifino amaningi, uwoyela obalulekile, ama-organic acid, ama-bioflavonoid, amavithamini nezinto zokulandela umkhondo.
I-chicory - isiphuzo esinezakhiwo zokwelapha
Kubalulekile! Yonke imikhiqizo engenhla ingadliwa futhi iphuzwe nganoma uluphi uhlobo lwe- “matenda amnandi”. Ngaphezu kokwehlisa amanani kashukela egazini, izitsha ezisuselwa kuzo zingagcwalisa umzimba wabanesifo sikashukela nazo zonke izinto ezibalulekile.
Izindlela zabantu
Ukuqedwa kwe-hyperglycemia kungenzeka kanye nezindlela zabantu. Izindlela zokupheka ezisebenzayo zidluliselwa ezizukulwaneni ngezizukulwane. Kodwa-ke, kufanele kukhunjulwe ukuthi izindlela ezinjalo kufanele zisetshenziswe kuphela ngemuva kokubonisana nodokotela wakho wezempilo.
Inombolo yeresiphi
Hlanganisa iqanda lenkukhu (eluhlaza) nengxenye yengilazi yejusi kalamula. Phuza ihora ngaphambi kokudla kathathu ngosuku. Isifundo izinsuku ezintathu. Ukwelashwa okuphindayo kuvunyelwe ngemuva kwezinsuku eziyi-10.
Inombolo yeresiphi 2
Hlambulula izimpande ze-dandelion kahle, u-chop. Thela isipuni sesisindo esidingekayo ngengilazi yamanzi abilayo. Unzima ngemuva kwemizuzu engama-30. Phuza ikhambi phakathi nosuku.
Inombolo yeresiphi 3
Thela i-linden iqhakaze ngamanzi (ngesilinganiso senkomishi e-1 yezinto zokusetshenziswa okungu-1.5 amalitha koketshe). Ngemuva kokubilisa, yehlisa ukushisa uze ufike imizuzu engu-15. Inhlungu. Sebenzisa esikhundleni sokuphuza amanzi.
Inombolo yeresiphi 4
Ipinish yamphunga we turmeric engilazini yamanzi abilayo. Faka imizuzu engama-40. Thatha ekuseni nakusihlwa.
Inombolo yeresiphi 5
I-Plantain ijusi (ithengwe ekhemisi noma eyenziwe ekhaya) thatha 2 tbsp. kathathu ngosuku.
Ukuze usebenze ngempumelelo wezokwelapha, kunconywa ukuhlanganisa umuthi wendabuko kanye nokusetshenziswa kwamakhambi abantu. Ukwehla okuqhubekayo kwamazinga kashukela kuya ezinombolweni ezijwayelekile kukhombisa umphumela omuhle wokwelashwa.
