Ukuhlolwa kweshukela egazini ngomthwalo

Isifo sikashukela ngenye yezindlela ezivame kakhulu ze-endocrinological pathologies. Ezweni lethu, isibalo seziguli ezinalesi sifo sisondela embundwini wezifo zobhubhane. Ngakho-ke, incazelo kashukela wegazi ifakiwe ohlelweni lokuhlolwa kwezokwelapha kwabantu.

Imininingwane ejwayelekile

Uma kutholakala amanani aphakeme noma asemngceleni, kuhlolwa ngokujulile i-endocrinological - ukuhlolwa kwegazi ngoshukela ngomthwalo (ukuhlolwa kokubekezelela ushukela). Lolu cwaningo lukuvumela ukuthi uthole i-diagnostic yesifo sikashukela noma isimo esandulelayo (ukubekezelela ushukela). Ngaphezu kwalokho, izinkomba zokuhlola ngisho nokuwedlula kanye okurekhodwe kwesilinganiso se-glycemia.

Igazi likashukela elinomthwalo linganikelwa emtholampilo noma esikhungweni sangasese.

Ngendlela yokwethula i-glucose emzimbeni, izindlela zokucwaninga (zomlomo) nezangaphakathi zenziwa zodwa, ngayinye inendlela yayo yokuhlola kanye nenqubo yokuhlola.

Ungathola i-glucose kumthamo ofanele ekhemisi ukuze uhlolwe isifo.

Ukulungiselela ukutadisha

Udokotela kufanele azise isiguli mayelana nezici zocwaningo oluzayo nangenhloso yalo. Ukuthola imiphumela enokwethenjelwa, ushukela wegazi onomthwalo kufanele unikezwe ngokulungiselela okuthile, okufana nezindlela zomlomo nezokufakwa ngaphakathi:

• Ezinsukwini ezintathu ngaphambi kocwaningo, isiguli akufanele silinganisele ekudleni futhi, uma kungenzeka, siphathe ukudla okune-carbohydrate (isinkwa esimhlophe, amaswidi, amazambane, i-semolina nephalishi yerayisi).
• Ngesikhathi sokulungiselela, kunconywa umzimba olinganiselayo. Ukweqisa kufanele kugwenywe: ukusebenza kanzima ngokuzikhandla nokulala embhedeni.
• Ngosuku olwandulela isidlo sokugcina asivunyelwe kungakapheli amahora ayi-8 ngaphambi kokuhlolwa (amahora ayi-12).
• Ngesikhathi sonke, ukuthathwa kwamanzi okungenamkhawulo kuvunyelwe.
• Kuyadingeka ukukhipha ukusetshenziswa kotshwala nokubhema.

Senziwa kanjani isifundo?

Ekuseni ngesisu esingenalutho, kuthathwa isampula yegazi yokuqala. Bese kuthi ngokushesha emizuzwini embalwa isixazululo siqukethe i-glucose powder esilinganisweni esingu-75 g no-300 ml wamanzi sidakiwe. Kufanele uyilungiselele ekhaya kusengaphambili futhi ufike nayo. Kungathengwa amaphilisi we-glucose ekhemisi. Kubaluleke kakhulu ukwenza ukuqoqwa okulungile, ngaphandle kwalokho isilinganiso sokumunca i-glucose sizoshintsha, esizothinta imiphumela. Akunakwenzeka futhi ukusebenzisa ushukela esikhundleni se-glucose ukuthola isisombululo. Akukho ukubhema okuvunyelwe ngesikhathi sokuhlolwa. Ngemuva kwamahora we-2, ukuhlaziywa kuyaphindwa.

Indlela Yokuhlola (mmol / L)

Ukuze uqinisekise noma ungafaki isifo sikashukela, kudingeka kuhlolwe kabili ushukela onomthwalo. Ngokuyalelwa ngudokotela, ukunqunywa okuphakathi kwemiphumela nakho kungenziwa: isigamu sehora nemizuzu engama-60 ngemuva kokuthatha isisombululo se-glucose, kulandelwa ukubalwa kwe-hypoglycemic ne-hyperglycemic coefficients. Uma lezi zinkomba zihlukile kunesilinganiso esiphikisana nesizinda seminye imiphumela egculisayo, isiguli sinconywa ukuba sinciphise inani lama-carbohydrate adla ngokudla ekudleni bese siphinda isivivinyo ngemuva konyaka.

Ukuhlolwa kokubekezelela kwe-glucose kudinga igazi le-capillary

Izimbangela zemiphumela engalungile

• Isiguli asigcinanga ukubusa kokusebenza ngokomzimba (ngomthwalo owedlulele, izinkomba zizobe zibukelwe phansi, futhi uma kungekho umthwalo, okuphambene nalokho, ku-overestimated).
• Isiguli ngesikhathi sokulungiselela sidle ukudla okunekhalori ephansi.
• Isiguli besiphuza imithi ebangela ushintsho ekuhlolweni kwegazi.
• (i-thiazide diuretics, i-L-thyroxine, inzalo yokuvimbela inzalo, ama-beta-blockers, amanye ama-antiepileptic nama-anticonvulsants). Yonke imishanguzo ethathiwe kufanele ibikwe kudokotela wakho.

Kulesi simo, imiphumela yocwaningo ayisebenzi, futhi yenziwa futhi kungakapheli isonto.

Ungaziphatha kanjani ngemuva kokuhlaziywa

Ekupheleni kocwaningo, iziguli ezimbalwa zingaqaphela ubuthakathaka obukhulu, ukujuluka, izandla eziqhaqhazelayo. Lokhu kungenxa yokudedelwa kwamaseli e-pancreatic ekuphenduleni ukungena kwe-glucose yenani elikhulu le-insulin kanye nokwehla okukhulu kwezinga layo egazini. Ngakho-ke, ukuvikela i-hypoglycemia, ngemuva kokuhlolwa kwegazi, kunconyelwa ukudla ukudla okune-carbohydrate, bese uhlala ngokuthula noma, uma kungenzeka, ulale phansi.

Ukuhlolwa kwegazi likashukela ngomthwalo kunomthelela omkhulu kumaseli we-pocrreas e-endocrine, ngakho-ke uma isifo sikashukela sisobala, akunakwenzeka ukusithatha. Ukuqokwa kufanele kwenziwe kuphela ngudokotela ozokhumbula wonke ama-nuances, ama-contraindication angenzeka. Ukuzilawula kokuhlolwa kokukhiqizwa kwe-glucose akwamukeleki, yize kusetshenziswa ukusetshenziswa kabanzi kokutholakala nemitholampilo ekhokhelwayo.

Contraindication esivivinyweni

• zonke izifo ezithathelwanayo ezihlasela kakhulu;
• i-myocardial infarction, unhlangothi;
• ukwephulwa kwe-electrolyte metabolism;
• ukwanda kwe-pathologies engapheli;
• ukuqina kwesibindi;
• Izifo zesistimu ye-endocrine: pheochromocytoma, i-acromegaly, i-Cushing's syndrome kanye nesifo, i-thyrotooticosis (umzimba ukhuphule amazinga ama-hormone akhulisa ushukela egazini);
• isifo samathumbu esine-malabsorption enzima;
• isimo ngemuva kokukhipha kabusha kwesisu;
• ukuthatha izidakamizwa ezishintsha okuqukethwe ushukela ekuhlolweni kwegazi.

Ezimweni ze-malabsorption yamathumbu, i-glucose ingahanjiswa ngaphakathi

Layisha ukuhlolwa kwe-intravenous

Yabelwe kancane. Igazi likashukela elinomthwalo wale ndlela lihlolwe kuphela uma kukhona ukwephulwa kokugaya nokufakwa emzimbeni wokugaya ukudla. Ngemuva kokulungiselela kokuqala kwezinsuku ezintathu, ushukela uphethwe ngaphakathi ngendlela yesisombululo se-25%; okuqukethwe kwayo kusegazini kunqunywa izikhathi eziyisishiyagalombili ngasikhathi sinye.

Ngemuva kwalokho kubalwa inkomba ekhethekile elabhorethri - i-glucose assimilation coeffnty, okuyisilinganiso esikhombisa ukuthi kukhona noma ukungabi bikho kwesifo sikashukela. Isimo sakhona singaphezu kwe-1,3.

Ukuhlolwa kokubekezelela kwe-glucose kwabesifazane abakhulelwe

Isikhathi sokukhulelwa ukuvivinya amandla komzimba wesifazane, wonke amasistimu awo asebenza ngomthwalo ophindwe kabili. Ngakho-ke, ngalesi sikhathi, ukwanda kwezifo ezikhona kanye nokubonakaliswa kokuqala kwezinto ezintsha akujwayelekile. IPlacenta ngobuningi ikhiqiza ama-hormone akhulisa ushukela wegazi. Ngaphezu kwalokho, ukuzwela kwezicubu kuya ku-insulin kuncishisiwe, ngenxa yokuthi kwesinye isikhathi sikhula sikashukela. Ukuze ungaphuthelwa ukuqala kwalesi sifo, abesifazane abasengozini kufanele babhekwe yi-endocrinologist, futhi bahlole igazi likashukela emithwalweni yamasonto angama-24-28 lapho amathuba okuthola i-pathology ephakeme kakhulu.

Bonke abesifazane abakhulelwe kumele bahlolwe.

Izici Zobungozi Besifo Sikashukela:

• cholesterol ephezulu ekuhlolweni kwegazi;
• ukwanda kwengcindezi yegazi;
• iminyaka engaphezu kwengu-35;
• ukukhuluphala
• i-glycemia ephezulu ngesikhathi sokukhulelwa kwangaphambili;
• i-glucosuria (ushukela ku-urinalysis) ngesikhathi sokukhulelwa esidlule noma okwamanje;
• isisindo sezingane ezizalwe kusukela ezikhulelwe esikhathini esidlule singaphezu kwama-4 kg;
• usayizi omkhulu we-fetus, onqunywa yi-Ultra;
• ukuba khona kwesifo sikashukela ezihlotsheni eziseduze;
• umlando we-pathologies we-obstetric: i-polyhydramnios, ukuphuma kwesisu, ukungalungi kahle kwe-fetus.

Igazi likashukela elinomthwalo kwabesifazane abakhulelwe kunikelwa ngokwemithetho elandelayo:

• Ukulungiswa okujwayelekile kwenziwa ezinsukwini ezintathu ngaphambi kwenqubo;
• kusetshenziswa kuphela igazi elivela emithanjeni ye-ulnar ocwaningweni;
• igazi lihlolwa kathathu: esiswini esingenalutho, bese kuba ihora namahora amabili emva kokuhlolwa kwengcindezi.

Ukuguqulwa okuhlukahlukene kokuhlolwa kwegazi ushukela onomthwalo kwabesifazane abakhulelwe kwahlongozwa: ukuhlolwa kwehora nehora. Noma kunjalo, le nguqulo ejwayelekile isetshenziswa kaningi.

Indlela Yokuhlola (mmol / L)

Abesifazane abakhulelwe banesimo esivamile se-glucose egazini kunabesifazane nabesifazane abangakhulelwe. Ukwenza ukuxilongwa ngesikhathi sokukhulelwa, kwanele ukwenza lolu hlaziyo kanye.

Owesifazane onesifo sikashukela sokukhulelwa okhonjwe kungakapheli izinyanga eziyisithupha ebelethile uyanconywa ukuthi aphindaphinde ushukela wegazi ngomthwalo ukuthola isidingo sokulandelwa okwengeziwe.

Imvamisa, ukubonakaliswa kwesifo sikashukela akwenzeki ngokushesha. Umuntu angahle angacabangi ukuthi inkinga ikhona. Ukutholwa kwesifo ngesikhathi esifanele kubalulekile kumguli. Ukwelashwa kusenesikhathi kwehlisa amathuba okuba nezinkinga, kuthuthukisa ikhwalithi yempilo, kwenza i-prognosis engcono.