Ukuba khona kwesifo esifana nesifo sikashukela kusho ukuqapha okuphoqelekile kwe-glycemia ukuvikela imiphumela yezempilo.
Ukuqapha njalo kwenkomba usebenzisa i-glucometer kukuvumela ukuba wazi amazinga kashukela, ukugwema ukweqa okubukhali, kanye nokulungisa ukwelashwa uma kunesidingo. Amaphutha ekudleni noma ukwephulwa kwesikimu sokulimala kwe-insulin nokuphuza imithi kungadala ukuguquguquka njalo kwe-glycemia.
Ezimweni ezinjalo, ushukela wamayunithi angama-20 noma ngaphezulu uba umphumela wokulinganisa ojwayelekile esigulini. Ukuvela kwezinombolo ezinjalo esikrinini semitha kufanele kube yisizathu sokwamukelwa ngokushesha kwezinyathelo zokwenza inkomba ibe yjwayelekile.
Izimbangela zokukhuphuka kweglue
Amazinga we-Glycemia angakhuphuka ngenxa yezizathu eziningana:
- ukwanda ngaphansi kwethonya lezinto ezicasulayo;
- ukuthuthukiswa kwezifo ezithile.
Ukwanda kwe-glucose kwenzeka ngenxa yokwephulwa kokucutshungulwa kwama-carbohydrate anikezwe ngokudla. Noma yikuphi ukuphambuka kwesilinganiso sokulinganisa kusuka kokujwayelekile osunguliwe (esiswini esingenalutho esingu-3.3 -5.5 mmol / l) sibonisa ukuba khona kokuphambuka okungenzeka emsebenzini womzimba.
Izici ezivusa ushukela wamayunithi angaphezu kwangama-20:
- Ukudla okungalinganiseli. Ngesikhathi sokudla, izinga loshukela lihlala liphezulu, ngoba kunenqubo esebenzayo yokucutshungulwa kwayo.
- Indlela yokuphila. Abantu abangenawo umsebenzi wokuzivocavoca kungenzeka bathola ukwanda kwe-glucose.
- Ukucindezeleka noma imizwa ngokweqile. Ngalezo zikhathi ezinjalo, ushintsho enkombeni ye-glycemic lubonwa emzimbeni.
- Imikhuba emibi. Ukuphuza utshwala nokubhema ugwayi kuyayiphazamisa impilo yomuntu, kubandakanya kungaholela ekwenyukeni koshukela wegazi.
- Izinguquko zeHormonal. Ukukhulelwa, ukuya esikhathini, noma i-premenstrual syndrome kungakhuphula amazinga kashukela.
Izifo ezibangela ukwanda kwe-glycemia:
- Isifo sikashukela i-mellitus namanye ama-endocrine pathologies okuholela kokungasebenzi kahle kwe-secretion ye-hormone.
- Izifo ze-pancreas noma i-neoplasms ekuyo, ezinciphisa ukukhiqizwa kwe-insulin futhi zibe nomthelela ekuphazamisekeni kwe-metabolic.
- Ukuthatha umuthi othize, ongakhuphuka kuwo ushukela (ama-diuretics, ama-steroid nama-hormonal drug, contracepatives)
- I-Pathology yesibindi. Okuyingozi kakhulu i-cirrhosis, isimila, i-hepatitis. Lesi sitho sikhiqiza i-glycogen, ngakho-ke noma ikuphi ukuphambuka ekusebenzeni kwayo kuholele ekukhuleni kweglucose.
Isifo sikashukela sibhekwa njengembangela evame kakhulu yokwanda koshukela. Umuntu otholwe enalesi sikhathi ngaso sonke isikhathi akazami ukuthola ukuthi kusho ukuthini nokuthi lesi simo singalawulwa kanjani.
Lesi sifo sibonakaliswa ukuguquguquka kwesikhombi, izinga laso eliya ngezici eziningi:
- ukudla;
- ukwenza ukwelashwa kwe-insulin;
- ukuthatha izidakamizwa ezinciphisa ushukela;
- frequency control glycemic.
Kungakhathaleki ukuthi iyini imbangela yokwephulwa kwezinga likashukela, isiguli kumele sithathe zonke izindlela ngendlela esifike ngesikhathi ukuze sihambise inkomba ejwayelekile. Amacala angawodwa ekukhuleni kwe-glycemic akakwazi ukuba yisizathu sokuxilongwa okufana nesifo sikashukela, kepha adinga ukunakekelwa kwempilo yawo ukuze isimo singabi sibi kakhulu.
Ingozi kashukela omningi
Lapho utadisha umphumela wokuhlolwa kwegazi kwezinga likashukela eliqukethwe kulo, umuntu kufanele aqondiswe yisimo esinqunyelwe esingu-5.5 mmol / L.
Ukweqiwa okwedlulele kwesikhombi kubhekwa njengamanani ngaphezulu kwe-7.8 mmol / L, kanye nokwehla - ukutholwa kwedatha okungaphansi kuka-2.8 mmol / L.
Lapho lezi zibalo zifinyelelwa, izinguquko ezingenakuphikwa ziqala emzimbeni.
Imiphumela emibi yilena:
- izilonda zohlelo lwezinzwa;
- ukwehla kwenzeka njalo;
- ubuthakathaka obukhulayo, obuhambisana nokulahleka kokukhalipha okuyisisekelo;
- ukoma ngenxa ye-hyperglycemia;
- ukomisa ngemuva kwe-ketoacidosis;
- umphumela obulalayo.
Amanani obucayi kashukela angaholela ku-hyperglycemic coma ahlukile esigulini ngasinye. Abanye abantu babika impilo ejwayelekile ngisho nangamazinga eglucose afinyelela ku-17 mmol / L, ngakho-ke ababoni isimo esiba sibi kakhulu. Kulokhu, umuthi ukhule ngamazinga okulinganisa wesibonakaliso kuphela, athathwe njengabulawa ngabantu.
Isifo sikashukela esibucayi singadala i-ketoacidosis coma. Lesi simo sivame ukubonwa kakhulu kwiziguli ezithembela ku-insulin. Kwenzeka ngokumelene nesizinda sokwehla kwe-glycemia.
Izimpawu ezihambisana ne-ketoacidosis coma:
- ukuqala kokuqothuka komzimba;
- ukozela
- isikhumba esomile
- ukubonakala kwephunga le-acetone kusuka emgodini womlomo;
- ukuphefumula okujulile.
Umaki we-glycemia ka-55 mmol / L udinga ukwelashwa okuphuthumayo ukuze ugweme ukuqala ngokushesha kokufa. Ukwehla ushukela kuholela ekulimaleni kwengqondo. Lokhu kuhlasela kwenzeka kungazelelwe futhi kuhambisana nobuhlungu, ukubanda, isiyezi, ubuthakathaka, ngisho nokujuluka.
Izimpawu Zokuziphatha Okubalulekile
Ukwanda kwe-glycemia kuhambisana nezimpawu ezilandelayo:
- ukoma okukhulu;
- ukuchama njalo;
- umlomo owomile
- ukubukeka okubukhali kokunxanela, ukubekeka phansi;
- ukukhathala
- ukungahambi kahle;
- Isiyezi
- ukulunywa
- Ukukhathazeka
- ukuqwasha
- ukuvela kwamabala amabala esikhunjeni;
- izinhlungu emalungeni;
- ukushuba kwemilenze;
- izikhathi zokuhlanza nenhliziyo.
Izimpawu zesimo se-ankle:
- ukulahleka okubukhali ngejubane lokusabela;
- uphunga i-acetone ephuma emlonyeni wakho;
- ukozela kufana nokuqothuka.
Uma kwenzeka lezo zimpawu, ushukela kufanele ulinganiswe ngokuphuthumayo. Lapho inkomba ifinyelela amanani abucayi, kubalulekile ukubiza iqembu lezokwelapha. Ngaphandle kwalokho, ingozi yokufa iyanda.
Izindlela zokunciphisa inkomba
Ukuvuka okubukhali kumazinga kashukela kuvame ukwenzeka phakathi kwamaphutha wokudla okunempilo. Kungakho zonke iziguli ezinesifo sikashukela kufanele ziqaphe ngokucophelela ukudla kwazo ukuze zivikele ukuguquguquka kwesikhombisi. Isimo lapho izinga le-glycemia seliphezulu kakhulu kunokujwayelekile, alinakwa. Udinga ukwazi ukuthi yini okufanele uyenze ezimweni ezinjalo ukuze zikwenze ngokwejwayelekile.
Ungawehlisa kanjani i-glycemia:
- Landela ukudla. Umsoco ophansi we-carbohydrate usiza ukuguquguqula ushukela futhi uvikele ukuthi ungagxili. Noma yimaphi amaphutha ekudleni ayimbangela yokuncipha kwalesi sifo. Ukudla okulinganiselwe kunconywa kuzo zonke izinhlobo zezifo futhi kungakhathalekile ukuba khona kwezinkinga. Izinsuku ezimbalwa ngemuva kokushintsha indlela yokudla ejwayelekile ekudleni, intuthuko ibonwa kanye nengozi yama-pathologies asekhulile akhula ngemuva kwesifo sikashukela ayancishiswa.
- Landela izeluleko zokwelashwa mayelana nokudla izidakamizwa ezisiza ukwehlisa ushukela wegazi nokwelashwa kwe-insulin.
Usizo lokuqala lwe-hyperglycemia ebalulekile:
- Faka umuntu ngenkani nge-insulin ngokuya ngomthamo obekwe udokotela. Kubalulekile kuphela ngaphambi kokujova ukuze uqiniseke ukuthi isizathu sokuwohloka ngokuqinisekile sikhuphuka ushukela. Ukuze wenze lokhu, vele ulinganise izinga layo usebenzisa i-glucometer. Ngaphandle kwalokho, ukuphathwa kwe-insulin okwengeziwe ngemuva kwesilinganiso senani leshukela esele eliphansi akukwazi ukwengeza isimo kuphela, kodwa futhi kuholele ekufeni.
- Shayela ithimba lezokwelapha uma inhlalakahle yakho ingakabuyi kokujwayelekile. Iziguli ezibucayi zizoyiswa esibhedlela lapho zizonikezwa khona usizo oludingekayo.
Ngemuva kokuhlelwa ushukela, izinga layo kufanele lihlolwe elinye ihora, ngoba kungenzeka ukuthi inani elingaphezulu le-insulin lifakwe ngephutha, ngakho-ke, inkomba ingancipha.
Ukulungisa i-glycemia, udinga ukuvakasha njalo kudokotela okuthi, ngemiphumela yezifundo kanye nokuhlolwa kwesiguli, anikeze ukwelashwa okufanele. Uchwepheshe usiza ukumisa umthamo ophelele womuthi wokwelapha i-insulin, ngoba kungukubalwa okungalungile kwenani le-hormone okuyimbangela evamile yokuguquguquka kwesikhombi.
Izindlela zokuvimbela ezijwayelekile
Ukukhula kwe-Glycemia kuya kumazinga abucayi kungavinjelwa ngosizo lwezincomo ezilula kepha ezisebenzayo:
- Thatha izidakamizwa ezinqunywe ngudokotela wakho ngesikhathi esifanele okuhlose ngaso ukugcina amazinga ashukela ajwayelekile.
- Yenqaba ukusetshenziswa kwama-carbohydrate ashesha ukugaya namaswidi.
- Susa imikhuba emibi, ungene esikhundleni sayo kwezemidlalo, kanye neminye imisebenzi ewusizo yomzimba.
- Gada uhlobo nenani le-insulin elikhishwe ngesikhathi sokujova, futhi ukwazi ukubala umthamo. Ngaphezu kwalokho, kubalulekile ukunikeza imijovo ngaphambi kokudla, hhayi ngemuva kokudla. Lokhu kuzosiza ukugwema ukukhuphuka okubukhali kwe-glucose.
- Gada ushukela. Kulokhu, isiguli ngasinye sidinga ukuthenga i-glucometer. Ngokusebenzisa uhlelo lokusebenza olunjalo, ukuhlolwa kwe-glucose kungenziwa noma kuphi. Lokhu kuzokwenza ukuthi kube nezinyathelo ukuthatha izinyathelo ezidingekayo lapho ikhuphuka, kanye nokuwa.
Ividiyo mayelana nemigomo yokudla okunempilo kushukela:
Noma yikuphi ukuwohloka kwenhlala-kahle okwenzeka ngemuva kwesizinda se-hyperglycemia, ezinye izindlela zokupheka akufanele zisetshenziswe. Abasenzi isimo sijwayelekile, kodwa bangasenza sibe sibi kakhulu futhi siholele emiphumeleni eyingozi kakhulu.
