Ngaphandle kokungefani okuningi phakathi kwegazi le-venous ne-capillary, ku-mellitus yesifo sikashukela, kukalwa into eyodwa kuphela - ukubalwa kwegazi likashukela okuvela emithanjeni (okwejwayelekile noma kwe-pathological).
Kepha lolu cwaningo aluphelele - lunikeza umbono kuphela ngokujwayelekile, izinga elijwayelekile ngesikhathi sokugeleza kwegazi emithanjeni.
Ngasikhathi sinye, ukuhlaziya ngomunwe kukhombisa okuqukethwe ushukela ngqo ezicutshini, okuyinjongo ephambili yokuhamba koshukela - nakhu kuyadliwa.
Izimpawu zokwanda ushukela wegazi
Izimpawu ze-hyperglycemia (ushukela wegazi ngokweqile, ushukela onembile) izinkomba zangaphandle nezangaphakathi.
Izimpawu zokuqala zangaphandle zifaka ukwanda okuhlelekile:
- imizwa yendlala (isimo esingabekezeleleki ngokomzimba);
- ukoma (ukungagculiseki);
- imvamisa yokuchama;
- i-emaciation (ukunciphisa umzimba), kungakhathaleki kaningi futhi kunempilo eyondlayo.
Olunye lwezimpawu ezisezingeni eliphezulu amabala omchamo asele engutsheni yangaphansi, lapho omisiwe, aguqula umbala wendwangu ukuba mhlophe, kepha izindawo lapho zibakhona kuba nezinkanyezi (uma izingubo zigqokwa isikhathi eside, bathi "womile njenge-cola"). Futhi uma ngichama ukuzama ulimi (abaphilisi bakudala bakwenza lokho), uyobe enambitheka kamnandi.
Kuyaphawuleka izinguquko engxenyeni yohlelo lwezinzwa nama-integuments (isikhumba nolwelwesi lwamafinyila). Eyokuqala izinguquko embonweni (ngenxa yokusebenza kwengqondo engasebenzi kahle), ngokuyinhloko ohlangothini lombono. Lokhu kufiphalaka, ukufiphala kwesithombe, ukubukeka kokulunywa, izinhlungu, "isihlabathi emehlweni" ezigabeni zokuqala ze-hyperglycemia - nokulahleka kwezindawo ezibonakalayo, ukwenzeka kwengozi kanye nokucishe kube yimpumputhe ephelele.
I-psyche iyashintsha, isiguli siba:
- uvalo
- -ngacasuki;
- thinta;
- izinyembezi;
- ukukhathala okungenangqondo (kuze kufike ekuqhekekeni okuphelele).
Ukuphazamiseka kwesicubu semetabolism kuholela ekushintsheni kokuzwela kwesikhumba (kusuka esimweni sokweqisa kuye ku- "insensens mbao"), ikakhulukazi ukulunywa kwesiguli ngokulunywa kwesikhumba ezindaweni ezithambile ikakhulukazi (ezindaweni zamakhaza, endaweni esondelene).
Njengomphumela wokuphazamiseka isikhathi eside kwe-carbohydrate metabolism, kwenzeka izinguquko ezingasho lutho emalungeni we-mucous:
- ukudunwa (imifantu ekhoneni lomlomo);
- izilonda ezingajwayelekile noma ezijulile (kuze kufike elceration) emgodini womlomo;
- okubhekwe phansi noma okuqoqiwe okujwayelekile kwe-cornea.
Ukuqhubeka isikhathi eside (iminyaka eminingana) ukuba khona koshukela omningi egazini kuholela ekuhlulekeni kwazo zonke izinhlelo zomzimba - ukwehluleka kwezitho eziningi:
- i-hepatic;
- izinso;
- i-cardiopulmonary;
- umsipha;
- i-endocrine.
Umphumela we-hyperglycemia, osufinyelele kwisimo sikashukela osukhona, yile:
- i-hepatosis enamafutha;
- i-myocardial dystrophy;
- ukuhlaselwa yinhliziyo kwezitho zomzimba (inhliziyo, ubuchopho, amaphaphu);
- isifo sikashukela sikanyawo;
- izilonda ezinde zezinyawo nemilenze;
- isifo sikashukela esinesifo sikashukela ngesidingo sokunciphisa izingxenye ezingezansi ngokushesha kwizinga lamalunga edolo (ukushiya izigaxa zobude obukhulu kamuva kusenza sibe nesidingo sokunciphisa izitho ngezinga elithile).
Umphumela wokungasebenzi kahle kwe-endocrine nokungabikhona kokuhlinzekwa kwezicubu zomzimba nezemisipha kuholela ezinkingeni zabesilisa nabesifazane, ukungazali noma ukuzalwa kwezingane ezigulayo ngokusobala.
Izinkomba zokucindezelwa kwangaphakathi zibandakanya ucwaningo:
- igazi - kufinyelela ezingeni likashukela kulo;
- umchamo: kufanelekile - kwe-glucose; ngobungako - ekuboneni ubungako beglucose elahlekile ngumzimba ngomchamo.
Unganikela kanjani ngegazi?
Ukulungiselela ukuhlolwa kubandakanya ukuba esiswini esingenalutho, isidlo sokugcina kufanele siqedwe amahora angama-8 ngaphambi kokukhohliswa.
Ukuphuza kubandakanya iziphuzo ezingafakwanga kuphela - amanzi amaminerali noma amanzi angenalutho. Imikhiqizo yewayini ayifakwanga ngokwezigaba; naphezu kokungalawulwa kokulangazelela utshwala, isihloko kufanele siyeke ukuphuza utshwala ezinsukwini ezi-2 ngaphambi kokuhlaziywa. Izidingo ezifanayo zisebenza ekubhemeni (yeka isigamu sosuku ngaphambi kwenqubo). Ukusetshenziswa kokwetshungatha kufanele futhi kubambezeleke okwesikhashana.
Izisebenzi zomzimba kanye nabasubathi ngalesi sikhathi kufanele bakhansele imithwalo yamandla noqeqesho.
Kungakhathalekile ukuthi hlobo luni lwensiza (umsebenzi), izimo ezicindezelayo kufanele zigwenywe.
Ukuhlaziywa kungathinta usuku lokufunda:
- iseshini yokuzivocavoca;
- i-physiotherapy;
- Ukuhlolwa kwe-X-ray.
Uma kungenzeka (nangemvume kadokotela ohambele), umuthi kufanele ukhanshelwe ngalesi sikhathi, uma kungenzeki lokho, vele uxwayise udokotela osebenza elabhoratri.
Uma lezi zimo zihlangabezana, ukuthembeka kohlolo lwegazi ngendlela ye-expression (glucometer) kuzoba ngaphezulu. Ukuhlolwa okunembile kwenkomba, kufanele uthathe igazi elivela emunweni noma emvinini (ngokuya ngemiyalo kadokotela).
Ividiyo evela kusazi:
Uyini umehluko phakathi kokuhlolwa kwegazi kwe-capillary ne venous?
Ukuhlolwa kwegazi ushukela ngokulithatha emunweni (kusukela kwinethiwekhi ye-capillary) isifundo esinganembi kakhulu ngenxa yezinto eziningi ezithintayo - kusuka ebusheni bezandla kuye kwizimpawu zokuhoxisa noma ukuhoxiswa kwe-narcotic.
Ihluthwe yithonya lama-metabolites izicubu, igazi le-venous lazisa ngenkomba ejwayelekile yeshukela legazi kuwo wonke umzimba.
Amanani aphelele kashukela we-plasma (igazi le-venous) yimingcele ukusuka ku-4,6 kuye ku-6.1, nge-capillary (kusuka emunweni) - ukusuka ku-3.3 kuya ku-5.5 mmol / L.
Lolu cwaningo lungaqhutshwa elabhorethri yanoma yisiphi isikhungo sezokwelapha lapho kutholwa udokotela ohamba khona (i-endocrinologist, udokotela wezifo zezokwelapha).
Okujwayelekile ezinganeni nakwabesifazane abakhulelwe
Umphumela walesi sikhombisi ukhishwa hhayi kuphela ngokuzikhandla okukhulu ngokomzimba noma ukucindezelwa, kepha futhi nangobudala, ubulili, kanye nesimo esithile sezinto ezifundwayo (ngokwesibonelo, ukukhulelwa).
Imikhuba yabesifazane abakhulelwe iphakeme ngenxa yomsebenzi omningi womzimba, odinga ukwakheka kakhulu komzimba kanye nesidingo esikhulu se-glucose.
Ucwaningo olwenziwe okungenani kabili (ezikhungweni ezingama-8 kuya kwezi-12) luvumela abesifazane abakhulelwe isibalo (ku-mmol / l) ukuya ku:
- I-6.0 ye-capillary;
- 7.0 ngegazi eline-venous.
Kuzo zonke izimo zokungabaza, kwenziwa isivivinyo sokubekezelela ushukela egazini noma kusetshenziswa okunye ukuhlolwa (ngokwesibonelo, i-fructosamine noma kokuqukethwe kwe-glycated hemoglobin).
Uma izinkambiso zezinkomba zoshukela wegazi zabesilisa nabesifazane abangakhulelwe ziyafana (zisuka ku-3.3 ziye ku-5.5 zama-capillary futhi zisuka ku-3.7 kuye ku-6.1 mmol / l we-venous), khona-ke ezinganeni kunemingcele ethile ngenxa yobudala.
Ngakho-ke, le nkomba yegazi le-capillary ezinganeni ilingana no:
- kuze kube unyaka owodwa we-2.8-4.4;
- kusuka onyakeni 1 kuya eminyakeni emi-5 3.3-5.0;
- ngaphezulu kweminyaka emi-5 ihambelana nezinkomba zabantu abadala (3.3-5.5 mol / l).
Ukuhlolwa kwezingane okusolwa ukuthi zine-hyperglycemia kanye nesifo sikashukela, kanye nabesifazane abakhulelwe (obengozi yabo yokuthola isifo iphakeme kakhulu kunaleyo yabesifazane abangakhulelwe) ayikhawulwanga ekuhlolweni kwegazi nomchamo ngamazinga eglucose.
Kwenziwa ucwaningo oluphelele lwayo yonke imvelaphi ye-hormonal kanye nomsebenzi wegciwane ngalinye le-endocrine, kufaka phakathi okuqukethwe ama-pituitary mahorm kanye ne-adrenal gland. Njengoba ubungozi bokuthola ifa lesi sifo luphakeme impela futhi luyakhula ngesizukulwane ngasinye, kuthathwa izinyathelo zokukhipha ubukhona bokuthi kukhona iziphithiphithi zofuzo zofuzo ezisebenza njengesisekelo sokuba khona kwezinhlobo ezingafani zesifo sikashukela njenge-DIAMOND syndrome.
Indlela yokuhlolwa kofuzo kanye nezifundo ezicashile ngokwedlulele inganciphisa ubungozi be-MODI-sikashukela, isifo sikashukela se-LADA nezinye izinhlobo zesifo nge-etiology esingakaqondakali ngokuphelele.
Kanye nokuxazulula izinkinga zamasu (ukwelapha iziguli, ukuphatha ukukhulelwa ngokucophelela ngangokunokwenzeka, ukuqapha inqubekelaphambili yayo kusetshenziswa indlela ye-ultrasound, ukusiza ekuhleleni umndeni), kanye nokuthatha izinyathelo ezisebenzayo kakhulu zokubuyela empilweni isiko lokudla nomzimba, ukuxilongwa kwelabhoratri kuhlala kungomunye wemisebenzi esemqoka yokwelapha Izifo lapho indlela elula futhi izamile isasebenza - ucwaningo lwegazi elithathwe emithanjeni noma emunweni.
