Kungani sidinga ukuhlolwa kwephrofayili ye-glycemic?

Ukusebenza kokwelashwa kwezifo ezinjengesifo sikashukela kuncike kakhulu emiphumeleni yokuhlola ukuhlangana kweglucose equkethe egazini lesiguli.

Ukulawulwa kwale nkomba kwenziwa kalula ngokusebenzisa iphrofayili ye-glycemic (GP). Ukulandela isiguli imithetho yale ndlela ivumela udokotela ukuthi anqume ukufaneleka kwemithi ebekiwe futhi, uma kunesidingo, ulungisa irejimeni yokwelashwa.

Iyini iphrofayili ye-glycemic?

Kuhlobo lwe-mellitus yesifo sikashukela 1 noma uhlobo 2, kubalulekile ukukala njalo izinga le-glucose egazini. Ukuqashwa kokusebenza kwenziwa kangcono ngokususelwa kunqubo yokuhlola iphrofayili ye-glycemic.

Kuyisivivinyo ngokusebenzisa izilinganiso ku-glucometer, eyenziwa ekhaya. Ukuqapha inkomba kwenziwa kaningana ngosuku.

I-GP iyadingeka eqenjini elilandelayo labantu:

1. Iziguli ezincike kuma-insulin. Imvamisa yezilinganiso zokulawula kufanele isungulwe yi-endocrinologist.
2. Abesifazane abakhulelwe asebevele banesimo sokukhulelwa sikashukela, kanye nabesifazane abasengozini yokukuthola ngesikhathi sokukhulelwa.
3. Iziguli ezihlushwa isifo sohlobo 2. Inani lokuhlolwa ngaphakathi kwephrofayili ye-glycemic lincike kwezidakamizwa ezithathiwe (amaphilisi noma imijovo ye-insulin).
4. Iziguli ezinesifo sikashukela ezingalandeli ukudla okudingekayo.

Isiguli ngasinye sinconywa ukuba siqophe imiphumela kudayari ukuze siyikhombise kudokotela wayo. Lokhu kuzomvumela ukuthi ahlole isimo esivamile somzimba wesiguli, alandelele ukuguquguquka kweshukela, futhi alungise nethamo lokungena kwe-insulin noma izidakamizwa.

Imithetho yesampula yegazi yokucwaninga

Ukuthola umphumela othembekile lapho uqapha iphrofayili, kubalulekile ukulandela imithetho eyisisekelo:

1. Izandla kufanele zihlanzeke ngaphambi kokulinganiswa ngakunye. Kungcono ukuthi ukhipha igciwane endaweni yokubulala utshwala ngotshwala.
2. Phatha indawo yokubhoboza ngo-ukhilimu, kanye nezinye izindlela ezihlose ukunakekelwa komzimba, ngaphambi kocwaningo akufanele kube njalo.
3. Igazi kufanele liphumele ngaphandle komunwe kalula, akudingekile ukuthi ucindezele emunweni.
4. Ukuzivocavoca kwesiza esilungiselelwe ukubhoboza umzimba kusiza ukuthuthukisa ukujikeleza kwegazi ngaphambi kokuhlolwa.
5. Ukulinganisa kokuqala kwenziwa ngesisu esingenalutho, futhi isikhathi esilandelayo sezifundo zokulawula isethwe ngokuya ngezincomo zikadokotela. Imvamisa kwenziwa ngemuva kokudla.
6. Ebusuku, ukuqashwa kwezinkomba nakho kuyaqhubeka (ngaphambi kokulala, phakathi kwamabili, nango-3 ntambama).

Isifundo sevidiyo nencazelo enemininingwane yendlela yokulinganisa ushukela wegazi:

Ngemuva kokubonisana nodokotela, kungadingeka ukuthi ukhansele izidakamizwa ezinciphisa ushukela isikhathi sokubheka i-glycemia. Okuhlukile yimijovo ye-insulin, ayinakuvinjwa. Ngaphambi kokulinganisa inkomba, akudingekile ukuphatha i-hormone ngaphandle kokuzizwa, ngoba akunakwenzeka ukwenza uhlaziyo ngemuva komjovo. I-Glycemia izokwehliswa ngokungemthetho futhi ngeke ivume ukuhlolwa okulungile kwesimo sempilo.

Amazinga kashukela wegazi ajwayelekile

Ukuhunyushwa kwamanani eglucose atholakala ngesikhathi sokulinganiswa kufanele kwenziwe ngokushesha.

Izinga lezinkomba zephrofayli ye-glucosuric:

• sisuka ku-3.3 kuya ku-5.5 mmol / l (abantu abadala nezingane ezingaphezu kwezinyanga eziyi-12);
• kusuka ku-4,5 kuye ku-6.4 mmol / l (abantu asebekhulile);
• kusuka ku-2.2 kuye ku-3.3 mmol / l (izingane ezisanda kuzalwa);
• kusuka ku-3.0 kuye ku-5.5 mmol / l (izingane ezingaphansi konyaka owodwa).

Izinguquko ezivumelekile ku-glucose ekucabangeni ukudla okulula:

• ushukela akufanele udlule i-6.1 mmol / l.
• Amahora ama-2 ngemuva kokudla okungenamsoco nganoma yimiphi imikhiqizo equkethe ama-carbohydrate, izinga le-glycemia akufanele libe ngaphezulu kuka-7.8 mmol / L.
• ukuba khona kwe-glucose kumchamo akwemukeleki.

Ukuphambuka kusuka kokujwayelekile:

• ukuzila okusheshayo kwe-glycemia ngaphezulu kuka-6.1 mmol / l;
• ushukela ngemuva kokudla - 11.1 mmol / l nangaphezulu.

Izici eziningi zingathonya ukunemba kwemiphumela yokuzithiba kwe-glycemia:

• izilinganiso ezingalungile ngosuku oluhlaziyiweyo;
• ukweqa ucwaningo olubalulekile;
• ukungahambisani nokudla okuqhamile, ngenxa yalokho isilinganiso segazi esihleliwe singenakuguqulwa;
• ukunganaki imithetho yokulungiselela izinkomba zokuqapha.

Ngakho-ke, imiphumela ngqo yephrofayili ye-glycemic incike ngqo ekunembeni kwezenzo ngesikhathi sesilinganiso.

Ungayinquma kanjani i-GP yansuku zonke?

Inani lansuku zonke lephrofayili ye-glycemic libonisa isimo soshukela ngesikhathi sokuhlaziywa kwamahora angama-24.

Umsebenzi osemqoka wokubheka inkomba ekhaya ukuthatha izilinganiso ngokuya ngemithetho yesikhashana esungulwe.

Isiguli kufanele sikwazi ukusebenza nemitha futhi siqophe umphumela ngokufakwa okufanele kwidayari ekhethekile.

Imvamisa ye-GP yansuku zonke ihlelwe ngokuqondene nomuntu ngamunye (imvamisa izikhathi eziyi-7-9). Udokotela angakunquma ukuqapha okukodwa kwezifundo noma inani lezikhathi eziningana ngenyanga.

Njengendlela eyengeziwe yokuqapha izinga le-glycemia, iphrofayili ye-glucosuric efushane isetshenzisiwe.

Kuqukethe ukuthatha izilinganiso zegazi ezi-4 ukunquma okuqukethwe ushukela okukuyo:

• Isifundo esingu-1 esiswini esingenalutho;
• Izilinganiso ezi-3 ngemuva kokudla okuyinhloko.

I-GP yansuku zonke uma iqhathaniswa efinqiwe ikuvumela ukuba ubone isithombe esiphelele nesinokwethenjelwa sesimo sesiguli namaglucose.

Ukuhlola okufushane kunconyelwa kakhulu ezigulini ezilandelayo:

1. Abantu babhekene nokuboniswa kokuqala kwe-hyperglycemia, okuyiyo ukudla okwenele okwenele. Imvamisa ye-GP isikhathi esisodwa ngenyanga.
2. Iziguli ezikwazi ukugcina i-glycemia ingaphansi kwemikhawulo ejwayelekile ngokuthatha umuthi. Badinga ukubheka i-GP kanye ngesonto.
3. Iziguli ezincike kuma-insulin. I-GP efushane iyanconywa ukuqapha nsuku zonke. Ngokuvamile, izinga elijwayelekile le-glycemia lingagcinwa yiziguli ezihlala ziqapha, kungakhathalekile ukuthi udokotela uthini.
4. Ikhulelwe isifo sikashukela sokukhulelwa. Kubaluleke kakhulu ukuthi iziguli ezinjalo ziqaphele i-glycemia nsuku zonke.

Izinto zevidiyo eziphathelene nezimpawu zesifo sikashukela:

Yini ethinta incazelo yephrofayili?

Umphumela wokuhlolwa nobuningi bokuphindwaphindwa kwawo kuncike ezicini eziningana:

1. Imitha esetshenzisiwe. Ukuqapha, kungcono ukusebenzisa imodeli eyodwa kuphela yemitha ukugwema ukungalungi. Lapho ukhetha i-apparatus, kufanele kubhekwe ukuthi amamodeli wamadivayisi alinganisa ukuhlangana kwe-glucose ku-plasma yegazi alungele kakhulu ukuhlolwa. Izilinganiso zabo zithathwa njengezinembile. Ukubona amaphutha kuma-glucometer, imininingwane yabo kufanele ngezikhathi ezithile iqhathaniswe nemiphumela yamazinga kashukela ngesikhathi sokufaka isampula kwegazi ngabasebenzi baselebhu.
2. Ngosuku locwaningo, isiguli kufanele siyeke ukubhema, futhi sikhiphe ukucindezelwa ngokomzimba nangokomqondo ngangokunokwenzeka ukuze imiphumela ye-GP ithembeke ngokwengeziwe.
3. Imvamisa yokuhlolwa kuncike enkambweni yesifo, efana nesifo sikashukela. Imvamisa yokusetshenziswa kwayo kunqunywa ngudokotela, kucatshangelwa izici zomuntu ngamunye ogulayo.

Ukusetshenziswa kokuhlolwa kuhlangene nokwelashwa kwesifo sikashukela kwenza ukuthi sikwazi ukulawula isimo futhi, kanye nodokotela, senze ushintsho kunhlobo yokwelashwa.