Njengoba izibalo zomhlaba zibonisa, inani leziguli ezinesifo sikashukela lenyuka minyaka yonke ngo-0-0-0,5%. Ukusabalala okunjalo kwesifo kubangelwa yizici eziningana - ukungondleki, ukukhuluphala ngokweqile, okuyiqiniso ikakhulukazi phesheya, ukucindezelwa kaningi, indlela yokuphila yokuhlala, njll.
Isibonakaliso esibonakalayo sokuthuthuka kwesifo sikashukela wukukhuphuka kweglucose egazini, okuthi kusikhathaza kakhulu isimo esijwayelekile sesiguli - ukukhathala kuyavela, umlomo owomile nendlala engapheli iqala ukukhathaza, kunokujuluka kokuphefumula, ukufuphala kanye nokunye okuningi. Ngeshwa, lesi sifo aselapheki, ngakho-ke zonke iziguli kufanele zenze into eyodwa kuphela - ukubheka njalo ushukela wegazi kushukela futhi kuzivikele ekukhuphukeni ngokulandela ukudla okwelaphayo futhi zidle nemithi ekhethekile.
Imisebenzi yeglucose
IGlucose ayingeni emzimbeni womuntu ngendlela yayo emsulwa (uma kuphela ngokuphathwa kwe-intramuscular noma intravenous ngesimo somuthi). Inani elincane lazo likhiqizwa isibindi, kepha iningi laso lingena ngqo emzimbeni ngokudla okushukela. Lokhu ushukela kuyacutshungulwa bese kuphulwa kuhlukaniswe izinto eziningana, bese kudonswa egazini. Lo msebenzi wenziwa yi-insulin, ekhiqizwa ama-pancreas. Kungakho ukuthuthukiswa kwesifo sikashukela kuhlotshaniswa nokuphazamiseka ekusebenzeni kwalo mzimba.
Kodwa-ke, kufanele kwaziwe ukuthi isifo sikashukela sinye yezinhlobo ezimbili - uhlobo 1 nohlobo 2. Esimweni sokuqala, kukhona ukwehla ekukhiqizweni kwe-insulin yi-pancreas futhi kubizwa ngokuthi kuya nge-insulin, okuvame kakhulu ukubangelwa yisici esenzelwa ifa. Futhi kwesibili - i-insulin ikhiqizwa ngamanani anele, kepha ayikwazi ukwenza imisebenzi yayo futhi yehlise ushukela (ongathembele kwe-insulin).
Kepha uma kungenzeka, izimpawu ezinalezi zinhlobo ezimbili zezifo ziyefana - izinga loshukela egazini liyakhuphuka, isimo esejwayelekile siyanda. Ngakho-ke, wonke umuntu onesifo sikashukela kufanele azi ukuthi ushukela osegazini kuyinto evamile kangakanani, nokuthi kungakanani okudinga ukwelashwa ngokushesha.
Ungabhekisisa kanjani ushukela wegazi?
Ukuqapha amazinga kashukela egazini, akudingekile ukuthi uvakashele imitholampilo nsuku zonke futhi uvivinye lapho. Ukuze wenze lokhu, ungamane uthenge i-glucometer kunoma iyiphi ikhemisi (ungayisebenzisa kanjani ichazwa ngokuningiliziwe emiyalweni) futhi uyisebenzise nsuku zonke - ekuseni (esiswini esingenalutho), ntambama (ngemuva kokudla) nakusihlwa.
Yonke imiphumela kumele iqoshwe kwidayari. Lokhu kuzokuvumela ukuthi ulandelele inkambo yesifo futhi ulawule isimo sakho. Kepha ukuze ufinyelele iziphetho zakho ngokufanele, kufanele wazi ukuthi ushukela wegazi ushukela ungakanani.
Yini amanani ajwayelekile?
Isifo sikashukela ngasinye sinamazinga kashukela aso. Lokhu kungenxa yezici eziningana:
Ushukela wegazi weNorma ngemuva kokudla- ngeminyaka;
- ubulili;
- uhlobo lwesifo.
Ngemuva kweminyaka engama-50, amazinga kashukela wegazi ayakhuphuka, okubangelwa yizinguquko ezihlobene nobudala emzimbeni futhi zingokwemvelo. Ngakho-ke, lapho sebefika eminyakeni engama-50-60, abantu abaningi banomlando we-prediabetes. Abesilisa nabo banamazinga aphezulu kashukela egazini kunabesifazane. Futhi lokhu kungenxa yezimpawu zomzimba.
Ngokuvamile, ushukela wegazi kushukela sikhuphuka kancane nje kunenkambiso ejwayelekile kubantu abanempilo. Le nkomba ingaba semingceleni ephezulu noma idlule ngo-0.5-1 mmol / L. Ithebula elingezansi lichaza izindlela zokushukela egazini, kucatshangelwa zonke izici.
Ushukela wegaziUkuqapha kahle lezi zinkomba ngokwakho, kufanele wazi imithetho yokwenza ukuhlolwa kwegazi ekhaya. Isikhathi sokuqala udinga ukukala ushukela wegazi esiswini esingenalutho, bese kuthi emva kwehora elilodwa neli-2 udlile. Lokhu kubaluleke kakhulu, ngoba kungale ndlela kuphela lapho kungenzeka khona ukulandelela ukuthi ama-pancreas akhiqiza i-insulin yini noma uma kushoda kakhulu okukhona emzimbeni wakhe. Ukuhlaziywa kokugcina kufanele kwenziwe ngaphambi kokulala.
Ukwedlula okujwayelekile
Ukungezelela ushukela wegazi kwabanesifo sikashukela kuyingozi, ngoba kungenzeka ukuthi bahlakulele i-hyperglycemia. Lesi simo sivame ukwenzeka phambi kwe-pathologies yesistimu ye-endocrine futhi kubonakaliswa ukweqiwa okukhulu kwesilinganiso sokukhishwa ushukela egazini, umzimba ongenaso isikhathi sokubhekana nakho.
Njengomthetho, i-hyperglycemia kuma-diabetesics ayihlali isikhathi eside - amahora ambalwa. Kodwa-ke, uma lesi simo sihlala isikhathi eside impela, isiguli sidinga ukunakekelwa ngokushesha kwezokwelashwa.
Izinga eliphansi le-hyperglycemia liphephile ngokomzimba - lingakwazi ukubhekana nalo lodwa. Futhi lapho kunokukhulu ukweqiwa ushukela wegazi, vele kuholela ekudakweni. Kulokhu, izimpawu ezifana:
- ukoma okukhulu;
- ukuchama njalo;
- ukuzindla kwenhliziyo;
- ukwanda kwengcindezi yegazi;
- ukukhathala, njll.
Izindlela ezinamandla ze-hyperglycemia zihambisana nokuvela kanuxanxu, ukuhlanza kakhulu nokuphelelwa ngamandla. Ukulahlekelwa ukwazi kanye nokuqalwa kwe-hyperglycemic coma, engahle ihlanganise ukuqala kokufa ngokuzumayo, kungenzeka.
Izigaba ze-HyperglycemiaUma i-hyperglycemia ihlala isikhathi eside, khona-ke lokhu kuholela ekuphazanyisweni kwe-metabolic okuqhubekayo, okubandakanya ukungasebenzi kahle emasosheni omzimba, izitho zohlelo lokuzala, kanye nokunikezwa kwegazi kuwo wonke izicubu nezitho zomzimba.
Ukwehlisa okujwayelekile
Ushukela omncane wegazi kuthiwa yi-hypoglycemia. Lesi simo siyingozi njenge-hyperglycemia. Ngo-diabetesics, ukuqala kwe-hypoglycemia kwenzeka ikakhulukazi ngokumelene nesizinda sokusetshenziswa okungafanele kwemijovo ye-insulin, lapho isiguli singahambelani nohlelo olubekwe udokotela.
I-Hypoglycemia iba lapho ushukela wegazi wehla ngaphansi kuka-3.3 mmol / L. Izimpawu eziphambili zokukhula kwalo yilezi:
- ubuthakathaka
- i-tachycardia;
- umuzwa onamandla wendlala;
- ukuphazamiseka kwemizwa;
- ukubonakala kokukhathazeka nokwesaba;
- ukucwilisa isikhumba;
- ukulahlekelwa ukwazi.
Ukuboniswa kokuqala kwe-hypoglycemiaIngozi ye-hypoglycemia ukuthi ingaholela enkomeni ye-hypoglycemic, nayo engabulala. Futhi uma unikezwe konke lokhu okungenhla, kufanele kwaziwe ukuthi umuntu kufanele aqaphe njalo amazinga kashukela wegazi, ngisho nalowo ongahlushwa yisifo sikashukela. Emva kwakho konke, lezi zimo (i-hypoglycemia kanye ne-hyperglycemia) zingenzeka kubantu abaphilile ngokuphelele.
Ushukela ngesikhathi sokukhulelwa
Isifo sikashukela i-mellitus yisifo esingaqalwa noma yinini, kufaka phakathi ukuzala. Kwabesifazane abakhulelwe, kwenzeka futhi kaningi, kodwa kulokhu sikhuluma ngesifo sikashukela sokukhulelwa. Akubhekwa njenge-pathology, kepha kwandisa ubungozi bokuthola isifo sikashukela sohlobo 2 kubantu besifazane esikhathini esizayo futhi kukhulisa amathuba okuba nengane enkulu, okungaholela ezinkingeni ezinkulu ngesikhathi sokuzalwa kwengane.
Kungenxa yalesi sizathu ukuthi abesifazane abakhulelwe belulekwa ukuthi bahlole igazi njalo ngeviki ukubheka ushukela wegazi labo. Isifo sikashukela sokukhulelwa, singedlula kancane amanani ajwayelekile futhi, njengomthetho, asidluli i-6 mmol / l. Kodwa-ke, uma imiphumela yokuhlaziya ikhombisa ukuthi izinga loshukela lidlula kakhulu la manani, owesifazane uyadingeka ukuze alaliswe esibhedlela ngokuphuthumayo.
Lokhu kungenxa yokuthi ngesifo sikashukela sokukhulelwa, ingozi yokungagcini kokuzalwa kwengane enkulu inyuka, kepha futhi nokuthuthukiswa kwama-pathologies angathi sína esibelethweni ngisho nangesikhathi sokukhula kwengane. Futhi kaningi lesi sifo siholela ku-hypoxia, lapho ingane iqala ukuzwa ukuntuleka komoya-mpilo, okuyiqiniso, okuthinta ukukhula kwakhe ngokomzimba nangokwengqondo.
Izinhlobo zikashukela wegazi kwabesifazane abakhulelwe
Ukwelashwa kwesifo sikashukela sokukhulelwa kubandakanya ukubambelela ekudleni okwelaphayo kanye nokwelashwa kwe-insulin. Yonke le misebenzi yenziwa ngaphansi kokuqashwa okuqinile kwabasebenzi bezokwelapha.
Uma wazi ukuthi ushukela wegazi lomuntu kufanele ube yini futhi ugade lezi zinkomba, ungakugwema ukuvela kwezinkinga eziningi zempilo.
