Isifo Sikashukela Wegazi Likashukela

Ukulandelela nokulungisa amazinga kashukela egazini kushukela kufanele kube umkhuba kubantu abanalesi sifo, ngoba ukuphela kwendlela yokugwema izinkinga eziyingozi. Kepha umuntu angayilimaza kanjani impilo ekulandeleni izinkambiso ezijwayelekile zezinkomba, futhi kufanelekile, ngokuvamile, ukuthi abanesifo sikashukela bagxile kuzo? Ake sibheke ukuthi yiliphi izinga le-glucose elibhekwa njengelilungile, nini futhi kanjani engcono kakhulu yokuthatha isampula legazi ukuze lihlaziywe, kanye nama-nuances wokuziqapha.

Ushukela ophakeme - uvelaphi?

Ama-carbohydrate angena emzimbeni ngokudla noma okuvela esibindini, okuluhlobo lwedepho kubo. Kepha ngenxa yokushoda kwe-insulin, amangqamuzana awakwazi ukwengeza ushukela bese elamba. Ngisho noma enokudla okwanele nokudla ngokweqile, umuntu onesifo sikashukela angazizwa elambile njalo. Kufana nokuntanta emfuleni ogeleza ngokugcwele ebhokisini elivalekile - kukhona amanzi nxazonke, kepha awukwazi ukudakwa.

Ushukela luqongelela egazini, futhi izinga layo eliphakeme ngokuphelele liqala ukusithinta kabi isimo somzimba: izitho zangaphakathi ziyahluleka, uhlelo lwezinzwa luyathinteka, futhi umbono uyancipha. Ngaphezu kwalokho, ngenxa yokuntuleka kwamandla, umzimba uqala ukusebenzisa amafutha awo uqobo, futhi imikhiqizo evela ekucutshungweni kwayo ingena egazini. Ukuphela kwendlela yokugwema imiphumela emibi yezempilo ukuphatha i-insulin.

Izimpawu Universal

Ukuze uvikele ukwanda kwesimo, isiguli kufanele ngaso sonke isikhathi siqaphele ukuthi izinqubo ze-metabolic emzimbeni wakhe zenzeka kanjani. Ukuze lokhu kwenzeke, kudingeka ukukala njalo ushukela egazini futhi ukwazi ukubona izimpawu zokuqala zokukhula kwayo ngesikhathi.

Ngokunyuka ushukela, uzizwa womile

Izimpawu zeglucose eyeqile yilezi:

• ukwanda kwesifiso sokudla;
• ukoma okungapheli;
• umlomo owomile
• ukunciphisa isisindo;
• ukulunywa kwesikhumba;
• ukuchama kaningi nokwanda kwenani lomchamo okhiqizwayo;
• ikhanda, isiyezi;
• ukulahleka kombono;
• ukukhathala;
• ukuphulukiswa okuhamba kancane kwezilonda esikhunjeni kanye nolwelwesi lwama-mucous;
• ukungaboni kahle

Imiphumela yokudlanga kweglucose ingaba yimbi kakhulu

Yini egcwele amazinga aphezulu kashukela?

Ukweqile kweglue egazini kubangela izinkinga eziningi zesifo, kube nezimpawu ezahlukahlukene ezingemnandi:

Kufanele kube malini ushukela wegazi

• I-Diabetesic coma - isicanucanu, ukuhlanza, kwehlise izinga lokushisa komzimba kanye nomfutho wegazi, ubuthakathaka nekhanda.
• I-Lactic acid coma - kwenzeka ngohlobo 2 sikashukela. Ngaphambi kokuthi umchamo unyamalale futhi nengcindezi yehle kakhulu, umuntu uzwa ukomela okukhulu kanye nokuchama kaningi izinsuku eziningana.
• I-Ketoacidosis - kaningi ithinta iziguli ezinesifo sikashukela sohlobo 1, kwezinye izimo nazo zigula ngohlobo 2 olubi. Ukuphefumula kuyashesha, buthakathaka ukukhula, iphunga elinamandla le-acetone livela emlonyeni.
• I-Hypoglycemia - gxuma ebukhali emazingeni kashukela phansi. Ushukela ophansi ubangela isiyezi, ubuthakathaka, ukwazi ukudideka. Ukuxhumana nokukhulumela izimoto kukhubazekile.
• I-Diabetesic retinopathy - ukuthuthukiswa kwe-myopia nobumpumputhe kulabo abahlushwa yisifo sohlobo lwesibili iminyaka engaphezu kwengu-20. Ukushuba kwama-capillaries we-retina kanye ne-hemorrhage kube imbangela yokuwohloka kwaso.
• I-Angiopathy - ukulahleka kwe-plastiki, ukukhuphuka kwabantu kanye nokuncipha kwezindonga zemithambo yegazi, okubangela ukuphazamiseka ekusebenzeni kwengqondo nemisipha yenhliziyo, kuphinde kukhuthaze i-arrhythmia, i-angina pectoris, unhlangothi kanye nokuhlaselwa yisifo senhliziyo, njengoba isiguli sikhuphuka lapho sicindezelwa.
• I-Nephropathy - fragility yama-capillaries kanye nezihlungi ze-renal. Isiguli sizwa ubuthakathaka, ikhanda, ukoma okunzima, izinhlungu ezibuthakathaka esifundeni se-lumbar. Izinso azikwazi ukuhlanza igazi, kepha ngasikhathi sinye, amaprotheni adingekayo akhishwa emzimbeni, ngakho-ke kubaluleke kakhulu ukubheka ubukhona bawo emchini.
• I-Polyneuropathy ukulahleka kancane kancane kokuzwela kweminwe nezinzwani ngenxa yomonakalo we-peripheral nerve fibers and endings. Izinkinga ziqala ukubonakala njengokuxaka nokuqina kwamalunga, okuthi ngokuhamba kwesikhathi kuphele ngokuphelele ukuzwela kwawo.
• Unyawo lwesifo sikashukela - ukwephulwa kokujikeleza kwegazi ezinyaweni kanye nokwehla kokuzwela kwabo. Izilonda zesikhumba kule ndawo zipholisa isikhathi eside futhi kungaholela ekufeni kwezicubu kanye negenge.
• Isifo sikashukela sokukhulelwa ukuphula izinto ngesikhathi sokukhulelwa, okungaqala kube uhlobo lwesifo 2. Kunobungozi obukhulu ukuthi ingane ihlushwa ukukhuluphala nesifo sikashukela.

Ngaphezu kwalezi zinkinga, ukungakwazi ukulawula inani le-glucose egazini likashukela kungaholela ekukhuleni kwe-stomatitis, i-gingivitis, isifo se-periodontal, i-pathologies yesibindi kanye nokwanda kwesisu. Kwabesilisa abanesifo sikashukela sohlobo olubi, ukungabinamandla kuvame ukutholakala. Ekhulelwe, ukuphuphuka kwesisu, ukufa kwengane, noma ukuzalwa ngaphambi kwesikhathi kungenzeka ngesikhathi sokukhulelwa.

Ukuqeda imiphumela ye-hyperglycemia kunzima kakhulu kunokungakuvumeli.

Kufanele kwenziwe nini ukuhlolwa kwegazi?

Esikhathini sikashukela, okuqukethwe ushukela egazini kungashintsha kaningi kakhulu futhi kakhulu, ngakho-ke kubalulekile ukulandela uhlelo oluthile lokukala izinga lalo. Ngokufanelekile, igazi lithathwa cishe izikhathi ezingama-7 ngosuku:

• ngokushesha ngemuva kokuvuka;
• ngemuva kokuxubha amazinyo akho noma ngaphambi nje kokudla kwasekuseni;
• ngaphambi kokudla ngakunye phakathi nosuku;
• ngemuva kwamahora ama-2 ngemuva kokudla;
• ngaphambi kokulala;
• maphakathi nobuthongo bobusuku noma cishe ngo-3.00 a.m., ngoba ngalesi sikhathi sosuku amazinga eglucose mancane futhi angavusa i-hypoglycemia;
• ngaphambi kokuqala noma yimuphi umsebenzi nangemva kwawo (umsebenzi onamandla wengqondo nawo ungohlobo lomsebenzi ofanayo), esimweni sokuxineka okukhulu, ukwethuka noma ukwethuka.

Ukulawula kumele kungene kulo mkhuba

Labo abagule isikhathi eside ngokwanele bangakwazi ukubona ngemizwa yabo ukuthi ukwehla noma ukwanda kwamazinga kashukela, kodwa odokotela batusa ukuthi izilinganiso zithathwe ngaphandle kokungabikhona kwezinguquko ezikhona enhlalakahleni. Ucwaningo olwenziwe ososayensi baseMelika lukhombisile ukuthi inani eliphansi lezilinganiso lilinganiswa izikhathi ezi-3-4 ngosuku.

Okubalulekile: izici ezilandelayo zithinta kakhulu ukubonakala kwemiphumela yokuhlolwa:

• yisiphi isifo esingamahlalakhona esigabeni esibuhlungu;
• Ukuba sesimweni sokuxineka;
• ukukhulelwa
• i-anemia
• gout
• ukushisa ngokweqile emgwaqweni;
• umswakama ngokweqile;
• ukuba sendaweni ephakeme kakhulu;
• umsebenzi wokushintsha ebusuku.

Lezi zinto zithinta ukwakheka kwegazi, kubandakanya inani le-glucose ekulo.

Ungayenza kanjani isampula yegazi

Kumuntu onesifo sikashukela, ikakhulukazi labo abathola ukwelashwa kwe-insulin, kubaluleke kakhulu ngemuva kokuxilongwa ukuze ufunde indlela yokubheka ngokuzimela isimo sabo kanye noshukela ngokushesha. Idivayisi enjenge-glucometer, okumele ibe khona kuzo zonke iziguli, iyasiza ukubhekana nalo msebenzi.

Ama-glucometer anamuhla akuvumela ukuthi uqaphele kunoma yiziphi izimo

Empilweni yansuku zonke, izinhlobo ezimbili zama-glucometer asetshenziswa namuhla: isampula elivamile nelisasa kakhulu.

Ngokucwaninga, igazi lokuqala lingathathwa kuphela emunweni. Ukuze wenze lokhu, isikhumba esikuso sihlatshwa ngensimbi (inaliti ebukhali ekhethekile), kanti nethonsi legazi elabelwe libekwa kumucu wokuhlola. Ngemuva kwalokho kufanele kwehliswe ku-glucometer, okuthi ngaphakathi kwemizuzwana eyi-15 ihlaziye isampula bese inika umphumela. Inani elitholwe lingagcinwa kwimemori yedivayisi. Amanye ama-glucometer akwazi ukubona inani elijwayelekile lemininingwane yesikhathi esithile, futhi akhombise ukuguquguquka kwezinkomba ngendlela yamagrafu namashadi.

Ama-glucometer esizukulwane esisha ahlaziya igazi elithathwe hhayi kuphela emunweni, kodwa nasengalweni, isisekelo sesithupha ngisho nasesangeni. Kufanele kuqashelwe ukuthi imiphumela yamasampula wokuhlola athathwe ezindaweni ezahlukene ayohluka, kepha ukuguquka okusheshayo kwezinga leshukela kuzobonisa igazi kusuka emunweni. Le yingqondo ebalulekile, ngoba kwesinye isikhathi udinga ukuthola idatha ngokushesha okukhulu (ngokwesibonelo, ngokushesha ngemuva kokuzivocavoca noma isidlo sasemini). Uma i-hypoglycemia isolwa, kunconywa ukuthatha igazi kusuka emunweni ngemiphumela efanele kunazo zonke.

Imichilo yokuhlola, njengemitha ngokwayo, ingathengwa ekhemisi. Uma umucu odingekayo ukuze umanzi ngenkathi yenqubo, uvolo wekotoni noma ithawula lephepha ngaphandle kwendawo yokusiza kungcono kulokhu (lokhu kungathinta ukunemba kwemiphumela).

Kukhona enye inguqulo yemitha - ngesimo sepeni yomthombo. Idivaysi enjalo yenza ukuthi inqubo yokusampula icishe ibe buhlungu.

Noma ngabe uluhlobo luni lwedivayisi oyikhethayo, kuzoba lula futhi kube lula ukukala ushukela ngamunye wabo - ngisho nezingane ziyazisebenzisa.

Ukufundwa kweshukela egazini kwabanesifo sikashukela

Isimo se-glucose esegazini sibaluleke kakhulu kwiziguli ezinesifo "sikashukela". Umuntu ngamunye onesifo sikashukela unezinga lakhe likashukela egazini - lelo okudingeka ulilwele. Ngeke ifane nenkomba ejwayelekile kumuntu onempilo (umehluko ungasukela ku-0,3 mmol / l uye kumayunithi ambalwa). Lolu luhlobo lwama-beacon ezigulini ukuze zazi okufanele zinamathele kukho ukuze zizizwe zizinhle. Isimo sikashukela ngamunye kwisifo ngasinye sikashukela sinqunywa ngudokotela, ngokususelwa enkambweni yesifo, ubudala besiguli, isimo esijwayelekile, kanye nokuba khona kwamanye ama-pathologies.

Umuntu ngamunye onesifo sikashukela une- “ushukela ojwayelekile” wakhe

Ithebula libonisa amanani aphakathi kwesiguli sikashukela angagxila kulo lapho likala ushukela ngaphambi kokudla:

Njengokulindelekile, uma umuntu edlile, inani le-glucose egazini lakhe lizokhula kakhulu. Kuphela kubantu abaphilile, kuzoqala ukwenqaba, kepha kwisifo sikashukela - hhayi. Izinga layo elikhulu lihlelwe imizuzu engama-30-60 ngemuva kokudla futhi lingaphezu kuka-10.0 mmol / L, futhi ubuncane - 5.5 mmol / L.

I-Glycated hemoglobin - yini

Lolu hlobo lwe-hemoglobin luyanconywa ukuthi lusetshenziselwe ukuthola imiphumela efanelekile yokutholakala kwesifo sikashukela. Ukuhlaziywa kwezinga le-hemoglobin ye-HbA1C ukuhlolwa kwegazi kusetshenziswa inhlanganisela ye-hemoglobin ebomvu yeseli eglucose enezinzuzo eziningana:

• isampula yegazi yenziwa nganoma yisiphi isikhathi, okungukuthi, noma kungadingeki esiswini esingenalutho;
• ngaphambi kokuthi kudingeke ukuthatha isixazululo sikashukela;
• ukuthatha noma yimuphi umuthi oguliswa yisiguli akuwuthinti umphumela;
• isimo sokuxineka, ukuba khona kwesiguli esinegciwane noma isifo se-catarrhal akusiphazamisi esifundweni;
• Ukuhlaziywa kubhekwa njengokuthembekile;
• kwenza sikwazi ukuhlola ukuthi isiguli silawule malini we-glucose ezinyangeni ezi-3 ezedlule.

I-hemoglobin ye-Glycated ikuvumela ukuthi uthole imininingwane efanele kunazo zonke.

Okubi kwe-HbA1C yile:

• izindleko eziphakeme zocwaningo;
• ngokushoda kwama-hormone e-thyroid, izinkomba zingashintshwa ngokweqile;
• esimweni se-anemia ne-hemoglobin ephansi, kunethuba lokuhlanekezela imiphumela;
• ukuhlolwa kwenziwa kude nayo yonke imitholampilo;
• kunombono wokuthi ukuthatha inani elikhulu lamavithamini E no-C kuthinta ukuthembeka kwemininingwane yocwaningo.

Ithebula le-glycated hemoglobin ku-mellitus yesifo sikashukela:

Ukucwaninga kokuhlushwa kwe-hemoglobin ye-glycated kwenziwa kulezi zimo ezilandelayo:

• isimo prediabetesic kanye nesifo sikashukela;
• ukuqaphela amandla wesimo sikashukela;
• Ukubheka ukusebenza ngempumelelo kwendlela enqunyelwe.

Ukugcina amazinga aphezulu kashukela egazini sikashukela kungumsebenzi omkhulu kulabo abanalesi sifo. Ngenhlanhla, namuhla, abanesifo sikashukela banethuba nganoma yisiphi isikhathi ukuthola inani le-glucose egazini futhi, uma kunesidingo, bathathe izinyathelo zokukhipha amathuba okuba nezinkinga noma bamane bazizwe bengasajabule.