Imithetho yokuqoqa, izindlela zokwenza kanye nokuhlolisisa ukuhlaziya umchamo ushukela

Ukuhlolwa komchamo ushukela kuyadingeka uma udokotela ohambelayo esola ukuthi umuntu uthola isifo sikashukela noma esinye isifo esihambisana nomsebenzi wezinso.

I-glucose yinto ebalulekile yegazi, kepha ukuba khona kwayo kumchamo kusebenza njengophawu oluphambili lokubonakala kwe-pathology kumuntu. Ukuthola ulwazi oluthembekile, ukuhlaziywa kwenziwa ngomchamo wokuba khona kwe-glucose kuwo, okuhlukile ekuhlolweni komchamo ojwayelekile yi-algorithm nezindlela zokusebenza.

Kungani bedlulisa umchamo ushukela?

I-glucose ingaba khona kumchamo wesintu, kepha ekuhlolweni okuphansi. Ushukela omncane uzobhekwa njengejwayelekile. Ngokuqukethwe kwe-carbohydrate ephezulu emchini, singakhuluma ngokuba khona kwe-glucosuria ebantwini.

I-Glucosuria yenzeka ngenxa yezizathu eziningi, okuyinhloko okuyikhona:

• ukungasebenzi kahle kohlelo lwe-endocrine;
• ukucindezelwa okungapheli;
• ukusebenza ngokweqile;
• umuthi ngokweqile.

Njengompendulo womzimba womuntu, kuphakama izinga le-glucose kumchamo. I-Glucosuria ivela ngokumelene nesizinda sokuqubuka kwesifo sikashukela nokufakwa kweglue kalula ezinso.

Ukuthatha isampula lomchamo ushukela kubalulekile ngezimpawu ezilandelayo:

• ikhanda
• umuzwa ongapheli womlomo owomile nokoma;
• umuzwa ongapheli wendlala;
• ukuchama okuphikelelayo;
• ukubonakala kwezinkinga zokubuka;
• umuzwa ongapheli wokukhathala;
• ukuvundeka njalo kwemilenze nezingalo.

Isizathu sokuhlaziywa okuphuthumayo ukwehliswa kwesisindo esisheshayo ngumuntu. Kwabesilisa, izinkinga nge-potency ziyabonakala, kwabesifazane - ukwephulwa komjikelezo wokuya esikhathini.

Imithetho yokuqoqa

Ukuqoqwa komchamo ukuze kutholakale ushukela kuwo kudinga ukulungiselelwa kokuqala. Ngaphandle kwayo, udokotela ngeke akwazi ukuthola idatha efanelekile futhi enokwethenjelwa ngezimbangela ezingaba khona zeglucose omchamo.

Okuningi kuya ngohlobo lokuhlaziywa. Hlela okukhethiwe kokusa kokuphuma ekuseni nansuku zonke.

Imininingwane enembayo ihlinzeka ukuhlaziywa kwezinsuku zonke. Ngosizo lwayo, kungenzeka ukukhomba izinga lokubonakaliswa kwe-glucosuria.

Ukulungiselela ukulethwa

Izindlela zokuzilungiselela zokudlula zombili izinhlobo zokuhlaziywa esigulini ziyehluka kancane. Kunconywa ukuthi uyeke ukuthatha imithi ngosuku olungaphambi kwenqubo. Musa ukuthatha ama-diuretics.

Ngokwengeziwe, imibandela elandelayo kufanele ibonwe:

• ungadli imikhiqizo engashintsha umbala womchamo (i-balkwheat, utamatisi, ikhofi, amawolintshi, amabhele, itiye) phakathi nosuku nosuku lokuhlaziywa;
• izitsha ezomile zangaphambi kwesitoko zokuhlaziywa (okuncane kokuhlaziywa kokusa, 3-ilitha nsuku zonke);
• ungazibandakanyi nezokuzivocavoca umzimba kanye nemidlalo ngaphambi kokuthatha izivivinyo;
• ungasebenzi ngokweqile;
• ngosuku lokuhlaziywa, phatha inhlanzeko yezitho zangasese (geza izitho ngensipho bese usula ngethawula lephepha);
• ekuhlaziyeni ekuseni, isiguli akufanele sidle noma yikuphi ukudla ekuseni.

Ungakuqoqa kanjani ukuhlaziya nsuku zonke?

Uma ukuhlaziya kwasekuseni kunikezwa isikhathi esisodwa, khona-ke nsuku zonke kufaka ukuqoqa umchamo usuku lonke. Ngenqubo, udinga umthamo omkhulu ongahlalisa amalitha ama-3 omchamo. Emini, isiguli sisebenzisa amanzi ngesilinganiso esijwayelekile, sigcina izitho zangasese zihlanzekile.

Lapho udlula ukuhlaziywa kwansuku zonke, i-algorithm elandelayo yezenzo inikezwe:

• uhambo lokuqala ekuseni eya ethoyilethi ngokuthulula isinye ngaphandle kokuqoqa umchamo;
• kusuka ohambweni lwesibili, umchamo uqoqwe esitsheni esikhulu esikhulu;
• ukuqoqwa kwenzeka kungakapheli amahora angama-24 (kusukela ekuseni kuze kube sekuseni);
• isikhathi ngasinye, isitsha esinomchamo oqoqiwe sifakwa esiqandisini, lapho khona amazinga okushisa aphakeme ka-4-7⁰C;
• ngosuku olulandelayo, isiguli siqopha inani lomchamo owabelwe yena ngosuku;
• ibhange liqopha isisindo, ukuphakama komuntu;
• ngemuva kokudlula kokuhlaziywa, okuqukethwe embizeni kuyanyakaziswa;
• ama-200 ml kuphela athathwa kulo lonke ivolumu lomchamo futhi athululelwa esitsheni esiyinyumba nesomile ngaphambili;
• Lesi siqukathi sidluliselwa kwingcweti.

Iziguli zidinga ukuqapha ngokucophelela ukuhambisana nale algorithm. Umchamo kufanele uqoqwe esitsheni esisodwa esijwayelekile. Akufanele igcinwe emazingeni okushisa asekamelweni. Idatha ethembekile ibonisa okudluliselwe ngaphakathi kwamahora ayi-1.5 kusukela ngesikhathi sokukhishwa kokugcina kwe-bladder. Uma ngabe le nkathi yeqiwe, ucwaningo lunikeza imininingwane enganembile ngenxa yokushintsha okusheshayo kokuhlangana kwamakhemikhali omchamo.

Ushukela ekuhlolweni komchamo ngesikhathi sokukhulelwa

Ngesikhathi sokusebenza okujwayelekile kowesifazane okhulelwe, lolu hlobo lwe-carbohydrate akufanele lubonwe kumchamo.

Kusukela ngesonto lama-27 lokukhulelwa, abesifazane bavame ukuba nezikhala lapho kukhuphuka ushukela womchamo. Lokhu kungenxa yesidingo se-fetus se-glucose. Ngenxa yalesi sizathu, umzimba kamama uqala ukukhiqiza ushukela owedlulele, kwehlisa ukukhiqizwa kwe-insulin isikhashana.

Ukuba khona kwe-glucose kumchamo wabesifazane abakhulelwe kuhlangene nomthwalo omkhulu ezinso. Akukona ngaso sonke isikhathi ukuhluza okweqile, kudlulisa ingxenye kumchamo. Ukubhekwa kwesikhashana esifushane nokungashayi kushukela okuchichimayo kwabesifazane abakhulelwe kubhekwa njengento evamile ngokomzimba.

Ngokubonakaliswa okuhleliwe kwalesi simo, owesifazane okhulelwe kungenzeka abe nesifo sikashukela.

Lokhu kuvezwa yizimpawu:

• isifiso esinamandla;
• ukoma okuphikelelayo, umlomo owomile;
• ukuchama njalo;
• ukwanda kwengcindezi yegazi;
• ukubukeka kwezifo esithweni sangasese.

Iqembu lengcuphe abesifazane:

• ukhulelwe ngemuva kweminyaka engama-30;
• ukuba noshukela omningi kanye nomchamo ngaphambi kokukhulelwa;
• ukukhuluphala;
• ukubeletha ingane yokuqala enesisindo esingaphezu kuka-4.5 kg.

Izincomo ezilandelayo zizosiza ukugwema ukuvela kwe-glucose kumchamo kwabesifazane abakhulelwe:

• phumula;
• ukutjheja amandla wesisindo;
• Ukuba ngaphansi kokuqashwa njalo kwe-gynecologist;
• ukuyeka ukubhema notshwala ngesikhathi sokukhulelwa;
• ukulethwa njalo kwezivivinyo;
• ukudla kokudla.

Izindlela zokunquma ushukela kumchamo

Ukuhlolwa okujwayelekile kwehluleka ukuthola ubukhona noma ukungabikho koshukela emchameni.

Kulokhu, kusetshenziswa izindlela ezikhethekile:

• Ukuhlolwa kweNilander;
• ukuhlolwa kwe-oxidase ye-glucose;
• Ukuhlolwa kwe-Gaines;
• indlela yokwenza umbala;
• indlela ye-polarimetric.

Itafula lokuchazwa kwezindlela zokunqunywa kweshukela:

Imigomo nokuhunyushwa kokuhlaziywa

Amanani omchamo anezinkomba:

• umthamo ojwayelekile womchamo ngosuku - kusuka ku-1200 kuya ku-1500 ml;
• umbala - ophuzi ophuzi;
• ukwakheka komchamo kuyinto esobala;
• izinga loshukela - alikho ngaphezulu kuka-0,02%;
• Izinga le-pH - elingaphansi kwama-5, hhayi ngaphezulu kwama-7;
• ukuntuleka kwephunga eliphunga kakhulu;
• inani lamaprotheni lifinyelela ku-0,002 g / l.

Izinto zevidiyo ezivela kuDkt Malysheva mayelana nezindlela nezimbangela zokushintsha kokuhlaziywa komchamo:

Uma amanani ajwayelekile edlulwa, uchwepheshe ukwazile ukuqoqa isithombe esigcwele futhi aqonde imininingwane yocwaningo ngale ndlela elandelayo:

• ukuphuma komchamo ngokweqile ngosuku - ukuthuthukiswa kwe-polyuria ngokumelene nesizinda somthwalo wamanzi omkhulu emzimbeni njengesibonakaliso esicacile sesifo sikashukela noma i-insipidus yesifo sikashukela;
• umbala omnyama - ukuntuleka kwamanzi emzimbeni noma ukugcinwa kwawo izicubu;
• umchamo we-turbid - ukuthuthukiswa kwe-urolithiasis noma izifo zokuvuvukala zezinso, isinye isikhathi ngenxa yokuba khona kobomvu;
• ukukhuphuka kokuhlushwa ushukela - isifo sikashukela, i-renal glucosuria;
• i-pH ephezulu - ukungasebenzi kahle kwezinso;
• iphunga elimnandi - ushukela, imizimba eminingi ye-ketone;
• amaprotheni amaningi - i-pyelonephritis, i-cystitis, umfutho wegazi ophakeme, i-urethritis, isifo sofuba sezinso, i-prostatitis (emadodeni).