Abantu abaningi bayazi ngesifo esikhulu njengesifo sikashukela, ngoba lesi sifo sibhekwa njengenye yezinkinga ezivame kakhulu emphakathini. I-pathology ye-endocrine Apparatus iqala ngokunganakwa, ngoba izigaba zokuqala zinxephezelwa amandla angaphakathi omzimba. Imvamisa ukutholakala kwegciwane kuqinisekiswa kakade phakathi kokubonakaliswa kwemitholampilo.
Ukwaziswa kokuthi kunqunywa kanjani isifo sikashukela ekhaya ngeke kuvume kuphela ukuqala ukwelashwa okufika ngesikhathi, kodwa futhi nokulungisa isimo sesiguli, kanye nokuthola isinxephezelo esizinzile, ngaphandle kokuholela ekwakhiweni kwezinkinga.
Izinhlobo zesifo sikashukela
Kufanele kukhunjulwe ukuthi kunezinhlobo eziningana zezifo, kepha ngasinye sazo sihambisana ne-hyperglycemia (isimo lapho kukhuphuka khona amazinga eglucose egazini). Kungaba nezizathu eziningana, ngesisekelo lapho ukwahlukaniswa kwe-endocrine pathology yakhelwe khona:
- I-mellitus yesifo sikashukela esincike ku-insulin (uhlobo 1) - lesi sifo sitholakala kakhulu kubantu abasha, esihambisana nokuhluleka kweseli kwe-pancreatic. Isitho asikwazi ukuhlanganisa inani elanele le-insulin, umphumela ohambisana nokungena kweglucose kumaseli nokuncipha kwe-glycemia.
- Isifo sikashukela esinga-insulin (uhlobo 2) - esivame kakhulu kubantu abadala. Ama-pancreas akhiqiza inani elanele le-hormone, kodwa izicubu namaseli omzimba “awakuboni” lokho, kulahlekelwa umuzwa wazo.
- Isifo sikashukela sokukhulelwa - senzeka ngesikhathi sokukhulelwa, kuvame ukudlula ngemuva kokubeletha. Ngokwendlela yokuthuthuka, kuyafana nesifo sohlobo 2.
- Isifo sikashukela se-Neonatal - sikhula ezinganeni ezisanda kuzalwa, sihlotshaniswa ne-pathology yefa.
Ungasibona kanjani isifo ekhaya
Abantu abaningi abazi ukuthi imaphi amadivaysi angasetshenziswa ukubona isifo sikashukela, noma kunjalo, bayazazi izimpawu zaso.
Ukucaciswa kokuba khona kwesithombe somtholampilo walesi sifo kungenye yezigaba zokuxilongwa "kwasekhaya"
Ngokusekwe kwezinye izibonakaliso, ungacabanga ngokuba khona kwe-endocrine pathology:
- ukoma
- umlomo owomile
- ukukhipha ukuphuma komchamo;
- ukulunywa kwesikhumba;
- ukwanda kwesifiso sokudla, okuhambisana nokuncipha kwesisindo somzimba;
- amanxeba amade angalapheki, ama-abrasions, ama-rashes;
- ubudlova, ukungaphatheki kahle, ukuphazamiseka kokulala.
Kufanele futhi ukubheka isimo sakho kubantu abanezihlobo ezinesifo sikashukela, ikakhulukazi emigqeni yohlu lozalo ngqo.
Amathuluzi Okuhlonza Abalulekile
Umzamo omningi wokuthola ushukela ekhaya awudingekile. Ukuze wenze lokhu, vele uthenge ekhemisi:
- imichilo yomhloli;
- imitha kashukela wegazi;
- isethi yokulinganisa i-A1C (glycosylated hemoglobin).
Yonke le mishini nezinto ezisizayo ezisetshenziselwa ukuthola umuntu omdala noma ingane kulula ukuyisebenzisa. I-tata ifaka imiyalo. Izindleko ziyahlukahluka kusuka kuma-ruble angama-500 kuye kwangama-6000, kuya ngenkampani nezwe lokukhiqiza.
Imichilo Yokuhlola Ushukela
Imichilo ekhethekile ehlanganiswe nama-reagents izosiza ukunquma isifo sikashukela. Babhekwa njengento elula ukuyisebenzisa. Uketshezi noma ukuchitheka kwegazi kubangela ukuhlukaniswa kwesiqalo somhloli. Izinkomba zihlolwa ngombala wokugcina.
Imichilo Yesifo Sikashukela - Indlela Yokubiza Engabizi
Ukuhlonza amazinga kashukela usebenzisa imichilo yokuhlola, kufanele ulandele imithetho elula:
- Geza izandla ngensipho, yomile kahle, ifudumele.
- Beka amadivayisi adingekayo ku-gauze ehlanzekile noma i-napkin.
- Umunwe lapho okuzobekwa khona isampula kuzokwenziwa ukuthi uhlushwe, uphathwe ngotshwala.
- Ukubhoboza kwenziwa ngenalithi oyinyumba yesirinji noma isifishane ekhemisi.
- Ithonsi legazi kufanele lifakwe emgqeni wephepha endaweni ephathwe nge-reagent (ekhonjiswe kwimiyalo).
- Umunwe kufanele ucindezelwe ngocezu lukotini.
Umphumela ungatholakala ngaphakathi kweminithi elingu-1 (kubahloli abahlukahlukene ngokuhlukile). Ngokuya izinkomba ze-glycemic, kuvela umbala othile, okumele uqhathaniswe nesilinganiso esihambisana nemiyalo. Umthunzi ngamunye uhambelana nezinombolo ezithile ze-glycemic.
Imichilo Yokuhlola Ye-Glucosuria
Ukuvela koshukela emchameni kungenye yezindlela ezibalulekile umuntu asenesifo sikashukela. IGlucosuria nayo inqunywa kusetshenziswa imicu yokuhlola.
Ukuze uthole imiphumela efanele futhi uqede lesi sifo ngendlela esifike ngesikhathi, ukuxilongwa kufanele kwenziwe kabili ngosuku. Isikhathi sokuqala kufanele sibe sesiswini esingenalutho, esesibili - ngemuva kwamahora ayi-1.5-2 ngemuva kokudla ukudla.
I-Glucosuria - ukubonakaliswa kwesifo sikashukela
Umchamo kufanele uqoqwe esitsheni futhi umucu kufanele wehliselwe kuwo, ngemuva kokubamba isikhathi eside njengoba kukhonjisiwe emiyalweni. Umhloli akachotshoziwe, akasulwe. Zibekwe endaweni eyisicaba, futhi ngemuva kwemizuzu embalwa, hlola umphumela ngokuya ngombala otholakele.
Amamitha kashukela egazi
Lawa madivayisi akuvumela ukuthi uthole imininingwane efanelekile mayelana nesifo sakho sikashukela, ukwelashwa kwako okufanele kuqale ngokushesha ngemuva kokuxilongwa kokuthola isifo. Ama-Glucometer amadivaysi aphathekayo ahlanganiswe nomzimba onesibuko nezinkinobho eziningana zokulawula, ibhethri, izingwegwe (amadivaysi okubhoboza umunwe) nemichilo yokuhlola.
Umphumela wokuxilongwa uboniswa ngemuva kwemizuzwana engu-5-25. Amadivaysi amaningi akwazi ukubala idatha esezingeni eliphakathi kashukela emiphumeleni egcinwe kwimemori, xhuma kumakhompiyutha akho namanye amagajethi. Kukhona lezo ezinokulawulwa kwezwi nemisindo ekhethekile eyenzelwe ukuvumelana nabantu abadala kanye neziguli ezikhubazekile.
Isimiso sokusebenza sinje:
- Ngemuva kokuvula, idivaysi ingabonisa ikhodi yemichilo yokuhlola edinga ukufakwa kumitha. Ngemuva kokufaka umucu endaweni ekhethekile, isisetshenziswa esilungele ukusetshenziswa.
- Umunwe ugwazwe ngensimbi, kufakwa amaconsi egazi emseleni.
- Umphumela weleveli kashukela wegazi uboniswa esikrinini.
- Imichilo esetshenzisiwe kanye ne-lancet kuyalahlwa.
Sebenzisa imitha kuyindlela engabizi futhi enembile yokuxilonga.
Kubalulekile! Indwangu ayithathwa hhayi kuphela emunweni, kepha kusuka ehlombe, engalweni, nasethangeni.
I-A1C eyinkimbinkimbi
Lokhu kuvivinya i-mellitus yesifo sikashukela, ekuvumela ukuthi unqume izinkomba ze-glycemia ezinyangeni ezi-3 zokugcina ngokususelwa kuzinga le-hemoglobin ye-glycated (glycosylated). Umuntu kufanele athenge i-analyzer ekhethekile ekhemisi elenzelwe inani elithile lezinto zokulinganisa futhi enenombolo efanayo yemichilo ekuhlolweni.
Umthetho oyisisekelo wokusetshenziswa kwensiza inani elanele legazi lokuxilongwa. Ukuhlaziywa kudinga okungaphezulu kwe-glucometer ejwayelekile, ngakho-ke, ngemuva kokuba umunwe kugwetshwe, igazi liqoqwa ku-pipette ekhethekile. Ipayipi lixhunywe kuflaskhi lapho kutholakala khona i-reagent. Ngemuva kokuvusa, kufakwa ithonsi legazi kwiflask ese strip strip.
Umphumela uboniswa esikrinini ngemuva kwemizuzu engu-5. Akufanele uqale ukuxilonga ngedivayisi enjalo. Kuyabiza futhi kungenzeka kungadingeki isikhathi esingaphezu kwesisodwa (kuncike ekungabikhona kwesifo sikashukela kuleyo ndaba).
I-A1C tata - ihlaziyi ebizayo kodwa efundisayo
Okuthinta ushukela
Ukutholwa kwamazinga kashukela egazini aphezulu kunokwejwayelekile akusho ukuthi kufanele ubhekane ngokushesha nalesi sifo (ikakhulukazi amakhambi abantu, njengoba iziguli zithanda). I-Hyperglycemia ingenzeka hhayi kuphela ngokumelene nesizinda sikashukela, kodwa futhi ngaphansi kwethonya lezinto eziningi:
- ukuguquguquka kwesimo sezulu;
- ukuhamba, uhambo;
- ukuba khona kwezifo ezithathelwanayo;
- isizinda esicindezelayo;
- ukuhlukunyezwa kwemikhiqizo esekwe nge-caffeine;
- ukusetshenziswa kwesikhathi eside kwama-steroid noma izindlela zokuvimbela inzalo zomlomo ezihlanganisiwe;
- ukuntuleka kokuphumula.
Udokotela ozosiza ekunqobeni nasekwelapheni lesi sifo kufanele aboniswane uma imiphumela ethuthukisiwe iphindwa izinsuku eziningana futhi engahlotshaniswa nezinye izici ezihlobene. Impendulo yokuhlolwa ne-A1C tata ngenhla kwe-6% idinga i-endocrinologist, futhi ngaphezulu kwe-8% isikhalazo esiphuthumayo ngenxa yengozi enkulu yokuphelelwa yisifo sikashukela. Kufanele kukhunjulwe ukuthi ukuxilongwa okufika ngesikhathi kuyisihluthulelo somphumela omuhle wesifo.