Ukuhlola ushintsho emazingeni kashukela egazini phakathi nosuku, kunohlobo olukhethekile lokuhlola ushukela olubizwa ngephrofayili ye-glycemic. Umnyombo wale ndlela ukuthi isiguli ngokuzimela silinganisa izinga le-glucose kaningana ngosuku sisebenzisa i-glucometer noma sinikele ngegazi elizitholelayo esifundweni esifanayo elabhorethri. Isampula yegazi yenziwa kokubili esiswini esingenalutho nangemva kokudla. Inani lezilinganiso lingahluka. Kuya ngohlobo lwe-mellitus yesifo sikashukela, inkambo yayo ejwayelekile nemisebenzi ekhethekile yokuxilonga.
Imininingwane ejwayelekile
Ukuhlolwa kwe-glucose kashukela kwenza sikwazi ukuqonda ukuthi izinga le-glucose esegazini liguquka kanjani phakathi nosuku. Ngenxa yalokhu, unganquma ngokwehlukile izinga le-glycemia esiswini esingenalutho nangemva kokudla.
Lapho unikeza iphrofayili enjalo, i-endocrinologist yokubonisana, njengomthetho, incoma ukuthi ngaphi amahora isiguli adinga ukuthatha isampula yegazi. Kubalulekile ukunamathela kulezi zincomo, kanye nokuthi ungephuli irejimeni yokudla ukuze uthole imiphumela ethembekile. Ngenxa yemininingwane evela kulolu cwaningo, udokotela angahlola ukusebenza kwekhambi elikhethiwe futhi, uma kunesidingo, alilungise.
Kaningi phakathi kwalokhu kuhlaziya, kunezindlela ezinjalo zokunikela ngegazi:
- Kathathu (cishe ngehora lesi-7:00 esiswini esingenalutho, ngo-11: 00, inqobo nje uma isidlo sasekuseni sasicishe sibe ngu-9:00 kanti ngo-15: 00, okungukuthi, amahora ama-2 ngemuva kokudla kwasemini);
- amahlandla ayisithupha (esiswini esingenalutho futhi njalo emahoreni ama-2 ngemuva kokudla phakathi nosuku);
- amahlandla ayisishiyagalombili (ucwaningo lwenziwa njalo ngamahora ama-3, kubandakanya nesikhathi sobusuku).
Ukulinganisa amazinga eglucose ngosuku ngaphezu kwezikhathi eziyi-8 akunakwenzeka, futhi kwesinye isikhathi inani elincane lokufundwa lanele. Ukwenza isifundo esinjalo ekhaya ngaphandle kokuqokwa ngudokotela akunangqondo, ngoba uyena kuphela ongancoma imvamisa efanelekile yesampula yegazi futhi ahumushe kahle imiphumela.
Ukuthola imiphumela efanele, kungcono ukuhlola impilo yemitha ngaphambi kwesikhathi
Ukulungiselela ukutadisha
Ingxenye yokuqala yegazi kufanele ithathwe ekuseni ngesisu esingenalutho. Ngaphambi kwesigaba sokuqala sokufunda, isiguli singaphuza amanzi angenawo amakhabhoni, kepha awukwazi ukuxubha amazinyo akho ngezinyo noshukela oqukethe ushukela. Uma isiguli sithatha noma imuphi umuthi ohlelekile ngehora elithile losuku, lokhu kufanele kubikwe kudokotela oholayo. Ngokufanele, akufanele uphuze noma yimuphi umuthi ongaphandle ngosuku lokuhlaziywa, kepha kwesinye isikhathi ukweqa iphilisi kungaba yingozi empilweni, ngakho-ke udokotela kuphela okufanele anqume izindaba ezinjalo.
Ngobusuku bephrofayili ye-glycemic, kungakuhle ukulandela irejimeni ejwayelekile futhi ungazibandakanyi nokuzivocavoca umzimba okukhulu.
Imithetho yesampula yegazi:
Unganikela kanjani ngegazi ushukela ngesikhathi sokukhulelwa- Ngaphambi kokukhohliswa, isikhumba sezandla kufanele sihlanzeke futhi somile, akumele kube nezinsalela zensipho, ukhilimu kanye neminye imikhiqizo yokuhlanzeka kuyo;
- akunqweneleki ukusebenzisa izixazululo eziqukethe utshwala njenge-antiseptic (uma isiguli singenalo ikhambi elidingekayo, kufanele ulinde kuze kube yilapho isixazululo soma ngokuphelele esikhunjeni bese sengeza indawo yomjovo ngendwangu ye-gauze);
- igazi alinakukhishwa, kepha uma kunesidingo, ukwandisa ukuphuma kwegazi, ungasincekisa isandla sakho kancane ngaphambi kokubhoboza bese ulibamba imizuzu embalwa emanzini afudumele bese ulesula lome.
Ngesikhathi sokuhlaziywa, kuyadingeka ukusebenzisa insiza efanayo, ngoba ukulinganiselwa kwama-glucometer ahlukile kungahluka. Umthetho ofanayo uyasebenza kwimichilo yokuhlola: uma imitha isekela ukusetshenziswa kwezinhlobo zazo eziningi, ocwaningweni usadinga ukusebenzisa uhlobo olulodwa kuphela.
Ngosuku olungaphambi kokuhlaziywa, isiguli sinqatshelwe ngokuphelele ukuthi siphuze utshwala, ngoba singaphambanisa kakhulu imiphumela yangempela
Izinkomba
Odokotela banquma ucwaningo olunjalo ezigulini ezinesifo sikashukela, zombili izinhlobo zokuqala nezesibili. Kwesinye isikhathi amagugu wephrofayili ye-glycemic asetshenziselwa ukuthola isifo sikashukela kwabesifazane abakhulelwe, ikakhulukazi uma amanani abo okushukela eglucose ehluka ngokuhamba kwesikhathi. Izinkomba ezijwayelekile zalolu cwaningo:
- ukuxilongwa kobunzima balesi sifo ngokuxilongwa kwesifo sikashukela i-mellitus;
- ukuhlonza lesi sifo ekuqaleni, lapho ushukela ukhuphuka khona kuphela ngemuva kokudla, futhi esiswini esingenalutho amanani aso ajwayelekile asekhona;
- Ukuhlolwa kokusebenza kokulashwa kwezidakamizwa.
Isinxephezelo yisimo sesiguli lapho ushintsho olukhona olukhona lulinganiselwe futhi lungathinti isimo somzimba jikelele. Endabeni yesifo sikashukela i-mellitus, ngoba lokhu kuyadingeka ukufezekisa futhi kulondolozwe izinga elihlosiwe seglucose egazini futhi kunciphise noma kukhiphe ukuphuma kwalo okuphelele kumchamo (kuya ngohlobo lwesifo).
Isikolo
Okujwayelekile kulokhu kuhlaziya kuya ngohlobo lwesifo sikashukela. Ezigulini ezinesifo sohlobo 1, kubhekwa kunxephezelwe uma izinga le-glucose kunoma yiziphi izilinganiso ezitholakele ngosuku lingeqi i-10 mmol / L. Uma leli nani lihlukile ngaphezulu, kungadingeka kakhulu ukubuyekeza uhlelo lokuphatha kanye nomthamo we-insulin, futhi futhi unamathele okwesikhashana ekudleni okuqinile.
Ezigulini ezinomdlavuza wesifo sikashukela sohlobo 2, izinkomba ezi-2 ziyahlolwa:
- i-glucose esheshayo (akufanele ibe ngaphezu kwe-6 mmol / l);
- izinga loshukela egazini phakathi nosuku (akufanele libe ngaphezulu kwe-8.25 mmol / l).
Ukuze kuhlolwe isilinganiso sokubuyiswa kwesifo sikashukela, ngaphezu kwephrofayili ye-glycemic, isiguli sivame ukunikezwa isivivinyo somchamo sansuku zonke ukuthola ushukela kuso. Ngohlobo 1 sikashukela, okufika ku-30 g ushukela kungakhishwa ezinso ngosuku, ngohlobo 2 kufanele kungabikho mchamo ngokuphelele. Le mininingwane, kanye nemiphumela yokuhlolwa kwegazi kwe-glycosylated hemoglobin namanye amapharamitha we-biochemical kwenza sikwazi ukunquma kahle izici zenkambo yesifo.
Ukwazi ngoshintsho emazingeni kashukela egazini usuku lonke, ungathatha izindlela ezidingekayo zokwelapha ngesikhathi. Ngenxa yokuxilongwa okuningiliziwe kwelebhu, udokotela angakwazi ukukhetha umuthi omuhle kakhulu wesiguli futhi amnikeze izincomo eziphathelene nokudla, indlela yokuphila kanye nokuzivocavoca umzimba. Ngokugcina izinga likashukela okuhlosiwe, umuntu unciphisa kakhulu ubungozi bokuthola ubunzima obukhulu besifo futhi athuthukise ikhwalithi yempilo.
