Yini amazinga evamile kashukela egazini emadodeni?

Wonke umuntu kufanele anakekele impilo yakhe. Minyaka yonke zivivinywa ngochwepheshe abancane, zivivinywe.

Olunye lolo vivinyo ukunqunywa kweglucose yegazi.

Imiphumela yalolu cwaningo isiza ekuboneni ukuthi ushukela ungakanani egazini nokuthi ama-pancreas angamelana yini nemisebenzi yawo.

I-pancreas yisitho se-endocrine esenza ukuthi kukhiqizwe ama-hormone ama-2 amakhulu - i-glycogen ne-insulin. Lesi sakamuva sinikeza ushukela wegazi ojwayelekile. Ngaphansi kwethonya lezinto ezahlukahlukene, ama-pancreas angayeka ukukhiqiza i-insulin, futhi ushukela wegazi uzokwenyuka. Inhlolovo izokuvumela ukuthi ukhombe izinkinga ngesikhathi bese uqala ukubhekana nazo.

Kudingeka ukuthi kuhlolisiswe nini?

Emzimbeni wamadoda, kukhiqizwa ama-hormone amaningana abhekene ne-metabolism.

1. I-hormone yokukhula iyisitha esiphikisana ne-insulin, inyusa ushukela wegazi.
2. I-Adrenaline iyinto ehlanganiswe nezindlala ze-adrenal futhi inyusa ushukela wegazi.
3. I-Dexamethasone ne-cortisol kungama-glucocorticosteroid mahorm abandakanyeka ezinqubweni ze-endocrine. Banomsebenzi amazinga we-carbohydrate kanye nokukhiqizwa kwe-glucose esibindini.

Izinga likashukela lincike kuleyo nalezi zinto, ngakho-ke, nge-glucose ephezulu egazini, kunconywa ukuthola inani lale mahormone.

Ngobudala, amadoda angaba nezinkinga ze-metabolic futhi athuthukise isifo sikashukela. Ukuze uqaphele ukwephulwa ngesikhathi, wonke amadoda ngemuva kweminyaka engama-30 kufanele avivinye kanye ngonyaka.

Uma owesilisa eqala ukubona izimpawu zesifo sikashukela, kufanele axhumane nodokotela osendaweni ukuze ahlolwe ngodokotela.

Izimpawu Zoshukela Omkhulu

• ukoma
• ukuchama njalo
• umuzwa ongapheli wendlala;
• ikhanda
• isicanucanu nokuhlanza
• ubuthakathaka kanye nokulimala;
• ukunciphisa umzimba;
• kwehlise ukungatheleleki;
• amanxeba amade angapholi (ukusikeka, ummbila, imifantu);
• isikhumba esikhanyayo.

Uma owesilisa eba nokukhuluphala kakhulu, khona-ke kubaluleke kakhulu kuye ukuthi ahlole izinga likashukela wegazi. Isisindo esithe xaxa singavusa ukumelana ne-insulin - isimo lapho izitho nezicubu ziyeka ukuzizwa zinsulin, ngenxa yokuthi i-glucose ayicutshungulwa ibe amandla, kodwa igcinwe egazini.

Ungasiphumelela kanjani isivivinyo sikashukela?

Ukuze udlule ekuhlolweni kwegazi ushukela, udinga ukuxhumana nodokotela wakho wasendaweni. Uzobhala okudluliselwa kukho ukuze ayohlolwa.

Igazi linikelwa kanjena:

• ekunqumeni ushukela wegazi kuyadingeka ukuhlola igazi le-capillary, ngakho-ke igazi lizothathwa emunweni;
• Ukuhlaziywa kumele kudluliswe ngokuqinile esiswini esingenalutho;
• isidlo sokugcina kufanele sibe amahora angama-8 kuya kwayi-12 ngaphambi kokuhlaziywa;
• ukudla kwakusihlwa kufanele kube lula - isaladi yemifino, okusanhlamvu, inyama ebilisiwe;
• ngosuku lokuhlolwa, kunconywa ukuthi ungabhemi, ungaxubhi amazinyo akho futhi ungasebenzisi i-mouthwash;
• ekuseni ungaphuza ingilazi yamanzi.

Amanani ashukela ajwayelekile ngokweminyaka

Amanani asuka ku-3.3 kuya ku-5.5 mmol / L abhekwa njengamazinga kashukela egazi ajwayelekile kubantu abaneminyaka eyi-14 kuye kwengama-60. Kwamanye amaqembu wobudala, okujwayelekile kuhlukile kancane.

Ithebula lamanani kashukela ngeminyaka:

Njengoba kungabonakala etafuleni ngeminyaka, ushukela wegazi uyakhuphuka. Lokhu kungenxa yezinguquko ezahlukahlukene emzimbeni. Ithonya lemvelo, imikhuba emibi, ukungondleki, ukukhuluphala - konke lokhu kuholela ekuphulweni kokufakwa kwe-insulin kanye nokwanda kwezinga lesikhombisi.

Uma kusolwa isifo sikashukela, isiguli sinikezwa ukuhlolwa kwe-glycated hemoglobin noma iHbA1C. Ibonisa i-glycemia ephakathi ezinyangeni ezi-3 ezedlule. Umphumela wayo kufanele ube ebangeni elisuka ku-5.0 liye ku-5.5%. I-HbA1C ephezulu ikhombisa isifo sikashukela.

Yini okufanele uyenze uma izinkomba zanda?

Izinombolo eziphakeme zibonisa ukuthi ama-pancreas ngasizathu simile ukukhiqiza inani elidingekayo le-insulin noma izicubu ziyeke ukwamukela (izinhlobo 1 no-2 sikashukela, ngokulandelana).

Akekho udokotela ozoxilonga ngokusekelwe kumphumela wokuhlaziywa okukodwa, ngakho-ke, isiguli sabelwe:

• ukuhlolwa kwegazi nge-insulin,
• ukuhlolwa kokuzivocavoca ushukela
• urinalysis ushukela.

Ngokusekelwe emiphumeleni yazo zonke lezi zivivinyo, udokotela angenza ukuthi ahlole uhlobo lwe-1 yesifo sikashukela noma ukumelana ne-insulin, okuholela ekubukekeni kwesifo sikashukela sohlobo 2. Zombili lezi zizathu kufanele ziphathwe kahle, ngakho-ke isiguli sizodluliselwa ukuze kuboniswane nodokotela ovumayo (endocrinologist).

Izimbangela ze-hypoglycemia

Ushukela omncane wegazi uyinkinga eyingozi yesifo sikashukela, engaphenduka i-coma futhi iholele ekufeni.

Izizathu zokwehla kakhulu ushukela zifaka:

1. Isibalo sethamo esingalungile.
2. Ambalwa amayunithi esinkwa esidliwayo. Lokhu kwenzeka lapho kwenziwa umjovo, ngokwesibonelo, ku-5 XE, kanti umuntu udle ama-3 kuphela.
3. Umsebenzi womzimba. Noma yimuphi umsebenzi - ukuhamba, ukugijima noma ukubhukuda - kunciphisa ushukela wegazi. Lokhu kumele kubhekwe.
4. Ahleke Futhi kubhekisa kwesinye sezimbangela ze-hypoglycemia.

Ukuze ushukela unganciphi ngesikhathi sezemidlalo, abadinga isifo sikashukela badinga:

1. Thela ama-carbohydrate angaphansi noma aphakathi ngaphambi kweklasi. Bazoncibilika isikhathi eside futhi bavikele ushukela ukuthi ungawa.
2. Njengoba ukuqeqeshwa kuvame ukwenzeka kaningi ngesonto, umthamo we-insulin oyisisekelo kufanele uncishiswe ngosuku lokuqeqeshwa.
3. Ngesikhathi sesifundo, ukuphathwa kwe-glycemic kuyimpoqo. Uma ushukela uncishisiwe, yidla ubhanana noma uphuze ujusi.

Izimpawu ze-hypoglycemia zifaka:

• ukuzindla kwenhliziyo;
• ukujuluka ngokweqile;
• inkulumo edidekile nokwazi;
• Ukuziphatha okungafanele (ukuhleka noma ukukhala okukhaliphile);
• ulaka olungenangqondo.

Iziguli ezinesifo sikashukela kufanele ngaso sonke isikhathi zibe ne-glucometer nazo, kanye nesitifiketi esikhethekile sikashukela. Ngakolunye uhlangothi lwephephothi elinjalo kubhalwe ukuthi: "Nginesifo sikashukela. Uma ngingaqapheleki, shayela i-ambulensi ngokushesha."

Ngakolunye uhlangothi, kuboniswa imininingwane yomuntu:

• Igama eliphelele;
• iminyaka
• indawo yokuhlala;
• ukuxilongwa okunembile nesipiliyoni sesifo;
• inombolo yocingo yesihlobo.

Ngaphezu kwalokho, udinga njalo ukuba nama-carbohydrate asheshayo nawe. Kungcono uma kuyi-glucose kumathebhulethi. Ungathenga futhi isisombululo se-40% se-glucose ku-buffus. Le ampoule yepulasitiki evula kalula. IGlucose izophakamisa ushukela wegazi ngokushesha.

Kokudla, kungcono ukunikeza ukukhetha kuma-carbohydrate asheshayo:

• Chocolate
• ushukela ocoliweyo;
• ujusi okhanyayo, ngokwesibonelo, ujusi we-apula - ujusi onepulpiti ukhuphula ushukela isikhathi eside ngoba uqukethe i-fiber;
• ubhanana

Inkulumo yevidiyo yezimbangela nezimpawu zesifo sikashukela:

Ukukhuluphala ngokweqile, imikhuba emibi, ukungondleki kuholela emsebenzini we-pancreatic. Ngakho-ke, emadodeni ngemuva kweminyaka engama-30, kuyadingeka ukuthi ngaso sonke isikhathi kuqashwe okuqukethwe ushukela egazini, futhi uma kukhuphuka, ngokushesha thintana nodokotela oyi-endocrinologist ukunquma ukwelashwa.

Ukuxilongwa ngesikhathi sikashukela kuzosiza ukuvimba ukuthuthukiswa kwezinkinga ezinkulu futhi kusize umuntu ukuba aphile isikhathi eside futhi anxeshezelwe.