IGlucose yi-monosaccharide eyingxenye yama-poly- kanye nama-disaccharides. Into ihlala isemzimbeni womuntu, ihlinzeka ngochungechunge lwezinqubo ze-biochemical. Izinga le-glucose egazini ligcinwa ngezinga elifanele, ngoba ukuya ngale kwezibalo kuholela ekwakhiweni kwemiphumela engathandeki nezinqubo ze-pathological.
Izinkomba kubantu abadala nasezinganeni zinokuhluka okuncane, okubhekwayo ngesikhathi sokuxilongwa. Isimo soshukela wegazi ezinganeni, kanye nokuphambuka okungenzeka nezindlela zokulungiswa kuxoxwa ngazo ngezansi.
Ukusebenza kwe-glucose emzimbeni wengane
Lapho ungena epheshaneni lesisu, ukudla kudilizwa kube izingxenye ezincane (ama-carbohydrate, amafutha, amaprotheni). Ngaphezu kwalokho, lapho kugayishwa, le “mpahla yokwakha” ibuye ihlukane nezinto ezihlelekile, enye yazo okuyi-glucose.
I-monosaccharide ingena emgudwini wegazi, ngenxa yalokho ubuchopho buthola umyalo wokukhulisa izinga le-glycemia. Ukuphendula, isistimu yezinzwa ephakathi idlulisela isibonakaliso kuma-pancreas, okhipha ingxenye ye-insulin ukuze kusatshalaliswe ushukela emangqamuzaneni nasezicubu zomzimba.
I-insulin yi-hormone “eyisihluthulelo” sokungena kweglucose kumaseli. Ngaphandle kosizo lwakhe, izinqubo ezinjalo azenzeki, futhi izinga eliphakeme le-glycemia lihlala egazini. Ingxenye ye-monosaccharide isetshenziselwa izindleko zamandla, futhi inani elisele ligcinwa kuma-adipose nezicubu zemisipha.
Inqubo ye-glucose engena kumaseli womzimba
Ekupheleni kokugaya, izindlela zokubuyela emuva ziqala, ezibonakaliswa ngokwakhiwa kweshukela kusuka ku-glycogen ne-lipids. Ngakho-ke, amazinga kashukela wegazi abhekwa njalo futhi agcinwe ngezinga elifanele.
Imisebenzi ye-monosaccharide emzimbeni wengane:
- ukubamba iqhaza ezinhlelweni eziningi ezibalulekile ze-metabolic;
- "uphethiloli" wamaseli nezicubu;
- ukugqugquzela ukusebenza kwamaseli nezicubu;
- ukondleka kwengqondo;
- impumuzo yendlala;
- ukunciphisa umthelela wezimo ezicindezelayo.
Yiziphi izinkomba ezibhekwa njengejwayelekile?
Amanani kashukela ancike esigabeni seminyaka futhi akhonjiswe kuthebula (ku-mmol / l).
Iminyaka yezingane | Ileveli Minimum evunyelwe | Ileveli ephezulu evunyelwe |
Ukuzalwa okusha | 1,6 | 4,0 |
Kusuka emavikini lamabili kuya enyakeni | 2,8 | 4,4 |
Isikhathi se-prechool | 3,3 | 5,0 |
Isikhathi sesikole nangaphezulu | 3,33 | 5,55 |
Uma ushukela wegazi ukhuphuka (ngaphezu kwe-6 mmol / l egazini le-capillary), udokotela uqinisekisa ukuba khona kwesimo se-hyperglycemic. Kungaba ngokomzimba (okwesikhashana), kungadingi ukungenelela kwezokwelapha, bese kunyamalala ngokwayo. Kungenzeka kube yi-pathological, kudinga ukulungiswa kwezokwelapha.
Okuqukethwe ushukela ophansi (2,5 mmol / L noma ngaphansi) kubonisa isimo se-hypoglycemic. Kuyingozi ngoba izitho nezinhlelo zomzimba azitholi amandla anele okusebenza kahle.
Ukuxilongwa kwe-glucose ezinganeni
Yiliphi izinga likashukela kuzingane ezisanda kuzalwa kanye nasezinsaneni esezikhulile ezizosiza ekutholeni ukuxilongwa kwelabhoratri. Indlela yokuhlola eyinhloko ukuhlolwa kwegazi likashukela ngesampula yegazi eyi-capillary. Imithetho yokulungiselela ingane ayifani nokuhlolwa komuntu omdala:
- igazi kufanele linikezwe esiswini esingenalutho;
- ekuseni ngaphambi kokuxilongwa awukwazi ukuphuza itiye, iziphuzo ezinekhabhoni, amakhompiyutha (kuvunyelwe kuphela amanzi);
- Musa ukuxubha amazinyo akho ukuze ushukela ngezinyo osetshenzisiwe ungangeni emzimbeni.
Ukuhlonza amazinga kashukela kuyinto iphuzu elibalulekile ezivivinyweni zonyaka zokuvimbela unyaka ngamunye.
Uma imiphumela kadokotela ingagculisi, kunqunywa ukuhlolwa kokubekezelela. Izinto zesampula zalolu cwaningo zenziwa emthanjeni. Ngokulandelayo, ingane iphuza ikhambi elimnandi. Ngemuva kwesilinganiso esithile sesikhathi, igazi lithathwa futhi.
Uchwepheshe futhi unquma ukulawula kwezinkomba zoshukela emchameni. Imvamisa, bekungafanele, kepha ngekukhula kwesimo se-pathological, i-glucosuria yenzeka. Ukuqoqa umchamo wokuhlaziywa, udinga ukuqoqa impahla amahora angama-24.
Ingxenye yokuqala idedelwa endlini yangasese, kusukela kwesibili baqala ukuqoqa umchamo esitsheni esikhulu, lapho kugcinwe khona esiqandisini noma kwenye indawo epholile. Ngakusasa ekuseni, u-150 ml uthelwa embizeni ehlukile bese uthunyelwa elabhorethri.
Ukuxilonga ekhaya
Ukuthi kungakanani ushukela osegazini lengane kungacaciswa ekhaya. Ukuze wenze lokhu, udinga i-glucometer - idivaysi ephathekayo ekhombisa izinga le-glycemia ngemuva kokufaka ithonsi legazi esiqeshini sokuhlola esikhethekile siphathwa ngamakhemikhali asebenzayo.
Imithetho yokuthola izinkomba zikashukela enganeni ene-glucometer:
- Izandla zendaba nomuntu ozohlaziya kufanele zigezwe kahle.
- Ungaphatha umunwe ngotshwala, kepha kudingeka ulinde kuze kube yilapho indawo yomile.
- Ungabhoboza umunwe oyindandatho, umunwe ophakathi nendawo, umunwe omncane ngesikhafu. Sebenzisa i-earlobe kanye nesithende (ezinganeni ezisanda kuzalwa nezinsana).
- Lapho kutholakala kabusha isifo, ukugwazwa endaweni efanayo akudingekile. Lokhu kuzokhulisa ubungozi bokwenza inqubo yokuvuvukala.
- Ithonsi lokuqala lisuswa ngokotini, okwesibili kufakwa kumucu wokuhlola endaweni ebekiwe.
- Idivayisi ibonisa umphumela esikrinini.
I-Glucometer - umsizi wasekhaya ukuqapha i-glycemia
Izizathu zokuchezuka kwezinkomba
Kunezici zomzimba nezokuphambuka okuvusa izinguquko ezingeni le-glycemia. Ngokusebenzisa kancane ama-carbohydrate noma ngokuphula ukumuncwa kwawo, kwenzeka i-hypoglycemia. Ezinye izimbangela zoshukela ophansi zingafaka:
- indlala eyaphoqwa isikhathi eside;
- inqubo yokuvuvukala yamanyikwe, isisu namathumbu, lapho ukumunca kwe "izinto zokwakha" kushintsha;
- izifo zesimo esingamahlalakhona;
- ukuba khona kwe-insulin-secreting tumor (insulinoma), ekhipha ngokungananazi inani elithile le-insulin egazini;
- ukulimala kobuchopho obuthakathaka kanye nokunye ukulimala kwengqondo;
- ubuthi ngezinto ezinobuthi nezinobuthi.
Abazali bayabona ukuthi izingane zivame ukucelwa ukuba zidle, ziba mnyama, kuqubuke ukuzamazama kwemilenze. Kamuva, kuvela isifo sobuhlungu besisu, ingane iba nomunyu. Kufanele kukhunjulwe ukuthi izingane ezingaphansi kweminyaka engu-6 azazi ngokwenzekayo kuzo, ngakho-ke kubalulekile ukuthi abazali bazi zonke izinto ezincane ngesimo sengane.
Ngokuwohloka okuphindaphindiwe kwalesi simo, into yokuqala okufanele yenziwe ukubheka amanani kashukela
I-Hyperglycemia yemizimba, engadingi ukungenelela kwezokwelapha ofanelekile, ivela iphikisana nesizinda sokudla okukhulu kwama-carbohydrate emzimbeni. Njengomthetho, izingane zithanda ukuhlukumeza amakhekhe namaswidi. Abantu abaningi bakhohlwa ukuthi kungemva kokudla lapho ukunyuka kwe-glycemia, okuthathwa njengokujwayelekile kwamazinga kashukela.
Kodwa-ke, kuyiminyaka yobudala bezingane - isikhathi lapho ukuvela kohlobo lwe-insulin oluncike kushukela kungenzeka. Iningi lososayensi lize lichaze amacala okuthuthuka kwesifo sohlobo 2 kubafana abaneminyaka eyi-12-13, okuhambisana nesisindo somzimba kanye nokukhula komelana ne-insulin.
Ezinye izimbangela ze-hyperglycemia:
- ifa;
- ukuba khona kwezinqubo zesimila, kubandakanya nama-pancreas;
- i-endocrine pathologies yezinye izindlala;
- izifo ezithathelwanayo;
- ukusetshenziswa isikhathi eside kwezidakamizwa ze-hormonal.
I-Hyperglycemia ingatholakala noma ushukela usujwayelekile. Lokhu kungenzeka uma imithetho yokuhlaziya ingalandelwa.
Izingane ziphuza, zichame futhi zidle kakhulu. Lokhu kuwuphawu lwezimpawu ezintathu, ngokubonakala kwalo ongacabanga ngalo mayelana nokukhula kwe-hyperglycemia. Ngokuqhubeka kwesimo, ingane ikhala ngekhanda, isiyezi, inkungu phambi kwamehlo, ubuhlungu besisu. Ingane iyaphazamiseka, ilele. Iphunga le-acetone libonakala emoyeni ophelile.
I-polyphagy ingenye yezimpawu zesimo se-hyperglycemic lapho ingane idla kakhulu, kepha ingalulami
Kubalulekile! Ekuhlolweni, isikhumba esomile, izindebe ezishintshiwe zibonakala kahle. Udokotela unquma ukuba khona kwe-tachycardia, ukushesha komoya.
Izeluleko Zomzali
Ukuntuleka kosizo oluqeqeshiwe okufika ngesikhathi kungaholela ekwakhiweni kwe-precoma, bese kuba ukoma. Uma ingane iwa enkingeni, kunamahora angama-24 kuphela ukubuyisela impilo yayo. Kungakho kubalulekile ukukwazi ukulawula ushukela enganeni yakho nakuwe.
Ungafunda kabanzi ngokujwayelekile koshukela wegazi kwabesifazane okulesi sihloko.
Ukuvimbela lokhu kungenzeki, kubalulekile ukulandela izincomo ezisiza ukugcina izinga loshukela wegazi enganeni:
- dlisa kaningi, kepha ngezingxenye ezincane;
- khipha ukudla okusheshayo neziphuzo ze-carbonated ekudleni;
- nika ukuthanda ukudla okunempilo (inyama, inhlanzi, imikhiqizo yobisi, okusanhlamvu, izithelo nemifino);
- hlinzeka ngohlobo lokudla olwanele;
- thumela ingane kumdanso, iklabhu yezemidlalo;
- uma unesifo sikashukela, cela uthisha wekilasi esikoleni noma uthisha wasenkulisa ukuthi abheke ukuthi ingane iyini nokuthi unjani.
Ukuhambisana nezincomo kuzosiza ukugcina izinga elijwayelekile le-glycemia futhi kuvikele ukuthuthukiswa kwezimo ze-pathological.