IGlucose ingumthombo oyinhloko wamandla emzimbeni. Kwakhiwa ama-enzyme aqhamuka kuma-carbohydrate atholakala ekudleni. Igazi liyithwala kuwo wonke amaseli omzimba.
Ukwephulwa kokuguqulwa kwama-carbohydrate, kanye nenqubo yokulethwa kweglucose, kungaholela ekwandeni kwamazinga kashukela egazini.
Ukuguqulwa kwama-carbohydrate ku-glucose kwenziwa ngezinqubo eziningana zemvelo, i-insulin namanye ama-hormone anomthelela kokuqukethwe kwakhe emzimbeni. Ngaphezu kwesifo sikashukela, izizathu zokwanda koshukela wegazi kungenzeka zingezinye.
Izinga legazi
Izinga loshukela wegazi alikho njalo, izici ezahlukahlukene zithonya inani lazo. Okujwayelekile kubhekwa njengezinkomba ze-3.5-5.5 mmol / lit. Igazi elithathwe emunweni linezilinganiso eziphansi kune-venous.
Inkomba ejwayelekile ezinganeni ngu-2.8-4.4 mmol / lit.
Ngaphezulu komkhawulo ovunyelwe kubantu asebekhulile, kanye nakwabesifazane abakhulelwe. Amazinga kashukela wegazi ayashintshashintsha usuku lonke futhi kuya ngokudla. Izimo ezithile zomzimba zingaholela ekhuphukeni kwezinga likashukela (hyperglycemia), kunezifo ngaphandle kwesifo sikashukela, okuyisimo salo.
Ukwanda ngokomzimba kushukela
Izinto eziningi zingavusa ukwanda kwe-glucose.
Lokhu kungenzeka kumuntu ophile ngokuphelele emacaleni alandelayo:
- Ngokudla okungalinganiseli okuphezulu kuma-carbohydrate. Emzimbeni ophilile, ukwanda kwesikhombisi kuzoba okwesikhashana, i-insulin izobuyisa konke kube okujwayelekile. Ngokuthanda ngokweqile amaswidi, kufanelekile ukucabanga ngokungenakuqhathaniswa kokukhuluphala, ukonakala kwesimo semithambo yegazi.
- Lapho uthatha imishanguzo ethile. Lokhu kufaka phakathi i-beta-blockers engakhethi, ezinye diuretics, glucocorticoids.
- Ukucindezela, ukucindezelwa ngokweqile komzimba nangokwengqondo kuholela ekulahlekelweni kokungazethezeki, ukukhiqizwa okungasebenzi kahle kwama-hormone kanye nokuncipha kwezinqubo ze-metabolic. Kuyaziwa ukuthi ngesikhathi sokujabula nokucindezela, ukukhiqizwa kwe-glucagon, umphikisi we-insulin, kuyanda.
- Ukungasebenzi kahle komzimba (ukuntuleka kokuzivocavoca) kubangela ukuphazamiseka kwe-metabolic.
- Ngobuhlungu obukhulu, ikakhulukazi, ngokushiswa.
Kwabesifazane, ukwanda koshukela wegazi kungahle futhi kuhambisane ne-premenstrual syndrome. Ukusetshenziswa kotshwala kukhuthaza i-hyperglycemia.
Ividiyo ngezimbangela ze-glycemia eyandayo:
Izimbangela ze-glucose ezikhuphukayo zegazi
I-glucose etholakala ezithweni zokugaya ayigcini ngokungena emangqamuzaneni, kodwa futhi inqwabelana engxenyeni yesibindi neye-cortical yezinso. Uma kunesidingo, iyasuswa ezithweni futhi ingene egazini.
Ukulawulwa kwamazinga we-glucose kwenziwa yi-neva, i-endocrine system, i-adrenal gland, amanyikwe nokuyingxenye yobuchopho - uhlelo lwe-hypothalamic-pituitary. Ngakho-ke, kunzima ukuphendula umbuzo wokuthi yiliphi i-organ elibhekele inkomba kashukela ephezulu.
Ukwehluleka kwayo yonke le ndlela eyinkimbinkimbi kungaholela ku-pathology.
Kuyacasula:
- izifo zomgudu wokugaya ukudla, kuwo ama-carbohydrate angabhubhisi emzimbeni, ikakhulukazi, izinkinga zokwenza umsebenzi;
- izilonda ezithathelwanayo zezitho ezahlukahlukene ezephula i-metabolism;
- ukulimala kwesibindi (i-hepatitis nabanye), njengesitoreji se-glycogen;
- ukufakwa okungafanele kwe-glucose kumaseli kusuka emithanjeni yegazi;
- ukuvuvukala nezinye izifo zamanyikwe, izindlala ze-adrenal, ubuchopho;
- ukulimala kwe-hypothalamus, kufaka phakathi lezo ezitholwe ngesikhathi sokukhohlisa kwezokwelapha;
- ukuphazamiseka kwe-hormonal.
Ukwanda kwesikhashana kwenkomba kwenzeka ngokubanjwa kwesithuthwane, ukushaya kwenhliziyo nokuhlaselwa i-angina pectoris. Uma izinga likashukela wegazi likhuphuke ngaphezu kokujwayelekile, lokhu akuvezi njalo isifo sikashukela.
Abanye abantu banokwenyuka okuqinile kweshukela. Kodwa-ke, leli nani alifinyeleli kwisibalo lapho kutholakala khona isifo sikashukela. Lesi simo sibizwa ngokuthi ukuncipha kokubekezelela i-glucose (kusuka ku-5.5 kuye ku-6.1 mmol / l).
Lesi simo phambilini sahlukaniswa ngokuthi yi-prediabetesic. Ezimweni ezingama-5%, iphela ngohlobo 2 sikashukela. Engcupheni kuvame ukuba ngabantu abakhuluphele.
Izimpawu ze-Hyperglycemia
Ngingaqonda kanjani uma umuntu enoshukela wegazi ophakeme?
Izimpawu ze-hyperglycemia:
- Ukwanda kokuchama kanye nomchamo.
- Umbono wehlisiwe.
- Isifiso esingapheli sokuphuza, umlomo owomile. Isidingo sokuphuza ngisho nasebusuku.
- Isicanucanu nekhanda.
- Ukwanda okukhulu kwesifiso sokudla kanye nenani lokudla okudliwayo. Kulesi simo, isisindo somzimba sehlile, kwesinye isikhathi kakhulu.
- I-Lethargy kanye ne-ukozela, ubuthakathaka obungapheli kanye nesimo esibi.
- Isikhumba esomile nesikhanyayo, ukuphulukiswa kancane kwamanxeba nokulimala, ngisho okuncane kakhulu. Amanxeba avame ukugcwala, i-furunculosis ingaqhamuka.
Kwabesifazane, ngokukhuphuka kwezinga likashukela, kuvame ukuba nezilonda ezithathelanayo zezitho zangasese, okunzima ukuzelapha. Kwesinye isikhathi kuba khona ukulimazeka okungenamsoco esithweni sangasese nakulwelwesi lwama-mucous. Amadoda athuthukisa amandla.
Ukwanda okubukhali kwesikhombi (okufika ku-30 mmol / l) kuholela ekuwohlokeni okusheshayo. Ukuguqulwa, ukulahleka kokuma nokuqonda kuyabonakala. Umsebenzi wenhliziyo uya ngokuba mkhulu, ukuphefumula okujwayelekile akunakwenzeka. Kungafika inkathazo.
Iziguli zivame ukungaqondi, ngenxa yazo okukhona ukuwohloka kwenhlala-kahle. Vala ezinye izinguquko ezibonakalayo ezingcono ezenzeka kumuntu.
Ungasihlukanisa kanjani lesi sifo?
Izimbangela kanye nezinkomba zeglucose ephezulu yegazi kunqunywa ukuhlolwa kwelebhu obizwa nge-glucose tolerance test (TSH). Ekuseni ngesisu esingenalutho, kuthathwa igazi ukuthola inkomba. Ngemuva kwalokho, kuphakama isixazululo sikashukela kumuntu, ngemuva kwamahora amabili kuhlolwe okwesibili igazi.
Imvamisa vele unikeze amanzi anyosiwe ukuphuza. Kwesinye isikhathi ushukela uphathwa ngaphakathi. Ukuhlola kwenziwa emalabhoratri e-biochemical. Kukhona nethuba lokuqhuba isifundo ngemitha yeglucose yasekhaya.
Ngaphambi kwenqubo, ukulungiselela okukhethekile kuyadingeka, ngoba izici eziningi zokuphila nokondleka zingahlanekezela isithombe esifanele.
Ukuthola imiphumela efundisayo, kufanele:
- hlaziya ngesisu esingenalutho, awukwazi ukudla amahora angama-8 kuya kwayi-12, hhayi ngaphezulu kwe-14;
- ungabuphuzi utshwala izinsuku eziningana, ungabhemi ngaphambi kocwaningo;
- landela ukudla okunconyelwe isikhathi esithile;
- gwema imithwalo eyeqile kanye nezingcindezi;
- wenqaba ukuthatha imishanguzo - ama-hormone, ukushisa ushukela kanye nabanye.
Ngemuva kokudla kakhulu ushukela, kubalulekile ukusebenzisa amahora amabili ngaphambi kokuba isampula legazi elilandelayo liphumule. Ucwaningo alwenziwa uma ukuhlolwa kwegazi okulula kukhombisa izinga likashukela elingaphezu kuka-7.0 mmol / L. Isikolo esiphakeme sivele sikhombisa ushukela.
Lolu cwaningo alwenzelwa izifo ezibangelwa ukugula kakhulu futhi, uma kunesidingo, ukubanjwa njalo kwezidakamizwa ezithile, ikakhulukazi, ama-diuretics, ama-glucocorticosteroids.
Imiphumela ye-TSH:
Ukuhlaziywa | Igazi | I-Plasma |
---|---|---|
Norm | < 7.5 | < 7.8 |
Ukubekezelelwa okungahambi kahle | 7.6-10.9 | 7.9-11 |
Isifo sikashukela mellitus | >11 | >11.1 |
Ukuphazamiseka emgudwini weglucose nakho kungabheka izinkomba zezinye izinhlanganisela ezizosiza ukuqonda ukuthi kungani kube nokwenyuka kwezinga likashukela:
- i-amylin - ilawula izinga le-glucose kanye ne-insulin;
- i-incretin - ilawula ukukhiqizwa kwe-insulin;
- i-glycogemoglobin - ikhombisa ukukhiqizwa kwe-glucose izinyanga ezintathu;
- i-glucagon - i-hormone, umphikisi we-insulin.
Ukuhlolwa kokubekezelela kuyafundisa, kepha kudinga ukugcinwa ngokucophelela kwayo yonke imithetho yokuziphatha ngaphambi kokusampula kwegazi.
Izindlela zokunciphisa isilinganiso
Uma isifo sikashukela singatholakali, kuyadingeka ukuthola izizathu zokwanda kwe-glucose. Uma izinkinga zibangelwa ukuthatha imishanguzo, udokotela kufanele akhethe ezinye izindlela zokwelashwa.
Ezigulini zomgudu wokugaya ukudla, isifo sokuphazamiseka kwesibindi noma ama-hormone, izindlela zokwelapha zakhiwa ukuthi, kanye nokwelashwa kwesifo esikhona, qinisa ushukela bese ubuyisela esimweni esijwayelekile. Uma kungenzeki ukwehlisa inkomba, kudakwa i-insulin noma izidakamizwa ezivutha ushukela.
Izindlela zokunciphisa ushukela ziwukudla okukhethwe ngokukhethekile, umsebenzi womzimba kanye nemithi.
Ukudla
Ukuthuthukiswa kokudla kusiza ukuguqula ukwakheka kwegazi, futhi kwesinye isikhathi kuqedwe ngokuphelele enkingeni. Ukuze uzinze ushukela, kuphakama ukudla u-9. Ukudla okunempilo kunconyelwa ezingxenyeni ezincane izikhathi ezi-5-6 ngosuku. Akufanele ulambe. Imikhiqizo idinga ukulawula inkomba ye-glycemic nokuqukethwe kwekhalori.
Ungadla izinhlobo ezinamafutha aphansi enyama, izinkukhu nenhlanzi. Ukudla okunefiber ecebile kuyasiza. Kuyadingeka ukukhipha utshwala.
Kunamaqembu wemikhiqizo okufanele akhishwe kwimenyu, amanye - ukusebenzisa ngokungajwayelekile nangokuqapha.
Kuvinjelwe:
- amasoseji (konke, kufaka phakathi amasoseji aphekwe kanye nososo);
- ukubhaka, amakhukhi;
- amaswidi, ushukela, izinhlaka;
- izinhlobo ezinamafutha zenyama, inhlanzi;
- ibhotela, ushizi, ushizi we-cottage shizi.
Ungayisebenzisa ngokulinganisela, unciphisa ingxenye ngezikhathi ezi-2:
- isinkwa, izinkwa;
- izithelo, zinikeza okuthandwa usawoti;
- I-pasta
- amazambane
- iphalishi.
Odokotela batusa ukudla imifino eningi ngendlela entsha, ebilisiwe nenomusi. Kokusanhlamvu, kufanelekile ukulahla i-semolina nelayisi. Okuwusizo kakhulu i-barley porridge. Cishe wonke amabele angasetshenziswa. Kodwa-ke, awukwazi ukudla okusanhlamvu okusheshayo, i-granola, kufanele usebenzise kuphela okusanhlamvu okungokwemvelo.
Ama-broths acebile a-contraindified, kungcono ukudla imifino. Inyama enamafutha amancane nezinhlanzi zingabiliswa ngokuhlukile futhi kufakwe kusobho. Naphezu kwemikhawulo eminingi, ungadla okuhlukahlukene.
Ividiyo mayelana nemigomo yokudla:
Imfundo yomzimba
Ukuzivocavoca okulinganiselayo emidlalweni emnandi kusiza ukuthuthukisa izinqubo ze-metabolic emzimbeni. Lokhu akufanele kuthuthukiswe.
Kufanele ukhethe indlela emnandi hhayi enzima:
- Ukuhamba ngezinyawo
- ukubhukuda - ehlobo endaweni yokugcina amanzi evulekile, ngezinye izikhathi echibini;
- ukushushuluza, amabhayisekili, izikebhe - ngokusho kwesizini nentshisekelo;
- Ukuhamba noma ukugijima kweSweden;
- Yoga
Amakilasi akufanele aqine, kepha ahlala ejwayelekile. Isikhathi - ukusuka engxenyeni yehora kuya kweyodwa nesigamu.
Ukukhethwa kwezidakamizwa ukwehlisa ushukela kwenziwa uma kudingekile ngudokotela.
Umuthi wamakhambi
Ezinye izitshalo, izithelo nezimpande kuzosiza ukwehlisa ngempumelelo amazinga kashukela:
- Amashidi we-laurel (izingcezu eziyi-10) athululela ku-thermos futhi athulule ama-200 ml wamanzi abilayo. Shiya amahora angama-24. Phuza indebe ye-по efudumele amahlandla ama-4 ngosuku.
- 1 tbsp. i-spoonful ye-horseradish eqoshiwe ithululelwa ngo-200 ml weyogathi noma i-kefir. Thatha isipuni kathathu ngosuku ngaphambi kokudla.
- Amagremu ama-20 wezindonga zokwahlulela kwe-walnut abilisiwe engilazini yamanzi ihora ngaphezulu kokushisa okuphansi. Ukwemukelwa - isipuni kathathu ngosuku ngaphambi kokudla. Ungagcina umhluzi izinsuku eziningana esiqandisini.
- Amajikijolo kanye nama-blueberries anikeza umphumela omuhle. 2 tbsp. wezipuni zezinto ezingavuthiwe uthele ingilazi yamanzi abilayo, gcizelela ihora. Thatha inkomishi before ngaphambi kokudla.
Kufanele kukhunjulwe ukuthi ngemuva kwamacala okuqala kokuvela kwe-pathology, kuzodingeka ukuthi uqaphe njalo ushukela. Ukuvakashela udokotela nelabhorethri kufanele kube njalo. Le nkomba ibalulekile ekunqumeni ukuqina kanye nokunemba kwezinqubo ze-metabolic emzimbeni. Ukwehla ngokweqile noma ukuncipha kwe-glucose kuholela emiphumeleni emibi esigulini.