Ukujwayelekile kweshukela egazini kwabesifazane kuyinkomba ebonisa inkambo ye-carbohydrate metabolism emzimbeni. Uqondiswa odokotela bezobuchwepheshe ezihlukene ekutholeni isimo sempilo, futhi ukwehluka kwamanani ajwayelekile kungabonisa hhayi kuphela isifo sikashukela , kodwa ezinye izifo eziningi.
I-glucose egazini - iyini?
Ushukela egazini (i-glucose) yinto ewumsebenzi wayo ukuhlinzeka ngamaseli namathissi ngamandla adingekayo ekusetshenzisweni kwe-metabolism efanele. Ukudla kwe-glucose kuvela ngaphandle - kanye nokudla okuqukethe ama-carbohydrate. Uma i-glucose ingena emzimbeni ngokweqile, bese isendaweni yokugaya, ngenxa ye-enzyme, iphenduke ibe yi-glycogen iphinde ibekwe esibindi, lapho kukhona uhlobo lwephasti yalo mthombo. Uma ushukela ngokudla akwanele, umzimba uchitha imali etholakalayo.
Ngokuyinhloko, ukuhlunga kweglucose egazini kulawulwa yi-hormone ye-pancreas insulin , esisiza amangqamuzana ukuthi athathe le nto, nesibindi - ukwakha ngesisekelo sayo glycogen (uhlobo lokuglucose lokugcina). Ngaphezu kwalokho, amasistimu aphakathi kwemizwa ne-vegetative, i-pancreas hormone glucagon, ama-hormones adrenal (i-epinephrine, i-hormone ye-glucocorticoid), i-hormone ye-thyroid i- thyroxine iqhaza emthethweni wezinga leshukela. Uma konke kusebenza ndawonye, izinga le-glucose egazini ligcinwa cishe elifanayo.
Ukuhamba okusheshayo kwezemvelo "ama-jumps" amazinga e-glucose phakathi nosuku kungenziwa ngaphansi kwethonya lezi zinto ezilandelayo:
- ukudla;
- ukungabi khona kwesikhathi kokudla;
- umsebenzi womzimba;
- ukudumazeka ngokomzwelo.
Ukuhlolwa kwegazi ngoshukela
Ukutadisha inani leshukela egazini kuqhutshwa njengengxenye yokuhlolwa kokuvimbela, kanye nezinhloso zokuxilonga lapho kukhona izikhalazo ezithile kanye nezibalo. Izimpawu ezilandelayo zingase zibe imbangela yokuxilongwa:
- ukoma njalo;
- ukuvuthwa okuvamile;
- ukoma emgodini womlomo;
- isethi esisheshayo noma ukulahlekelwa isisindo;
- ukujuluka okukhulu;
- itching;
- iphunga le-acetone emlonyeni ;
- izinhliziyo zomzimba;
- ukunciphisa amandla okubukwa;
- ubuthakathaka besikhathi eside.
Isivivinyo segazi se-glucose senziwa njalo ngeziguli ezine-diabetes mellitus nalabo abasengozini yokuthuthukisa lesi sifo:
- Abantu abanezihlobo eziseduze eziphethwe yisifo sikashukela mellitus;
- abantu abangaphezu kuka-40;
- ukuhlupheka ngenxa yokukhuluphala.
Ngaphezu kwalokho, lolu cwaningo luyadingeka ukuba lwenziwa ngabesifazane abakhulelwe futhi kungadingeka ukuthi izifo ezinjengezifo ezinjengokuthi:
- i-pancreatitis;
- isifo se-thyroid;
- ukwelashwa kwezigulane eziyingozi;
- isifo somfutho wegazi , njll
Lokhu kuhlaziywa kwenziwa ngezindlela eziningana, lapho igazi lingathathwa khona emunwe noma kusuka emthanjeni. Izindlela ezimbili eziyinhloko ekuhloleni kwelabhoratri:
- ukuzimisela kokuzila i-blood glucose;
- ukuzimisela kwe-sugar index nge-glucose load.
Ukuhlolwa kwegazi ushukela - ukuthi ungalungisa kanjani?
Ukuzinikela ngegazi ku-glucose kuletha imiphumela enokwethenjelwa kakhulu, kufanele ulandele lezi zincomo:
- Amahora angu-8-12 ngaphambi kokuba uthathe igazi, ungathathi ukudla (kuphela amanzi angabonakali avunyelwe).
- Ungaphuzi utshwala ngosuku ngaphambi kokuhlolwa.
- Uma kungenzeka, ungathathi imithi ngosuku ngaphambi kwenqubo.
- Ngaphambi kokuhlaziywa, musa ukuxhaphaza amazinyo noma ukuhlafuna i-gum.
- Ungashintshi ukudla okuvamile ikakhulukazi ngaphambi kokuhlolwa.
- Dlulisa usuku lokuhlaziywa uma kwenzeka isimo esibandayo esibucayi, sitholwa ngesikhathi sokuthungatha.
Isivivinyo segazi sokuzila ushukela
Uma udokotela eqoke lokhu kuhlaziywa, kuyafaneleka ukubuza ukuthi unganikela ngegazi ukuze usebenzise kahle i-glucose bese ufika ebhodini ekuseni. Kunconywa ukuthi isidlo sokugcina ngosuku ngaphambi kokutadisha akusilo futhi kungakapheli amahora angu-20. Ukuhlaziywa kungenziwa ekuhlolweni kwegazi legazi, bese kuthi indaba isuswa emgqeni ohlangothini lwendlala. Ukuze uthole isifundo esihlukile ngoshukela, igazi livame ukuthathwa kusuka emathinini eminwe. Imiphumela inikezwa ngamahora ambalwa noma ngosuku olulandelayo.
Kukhona indlela ecacile yokunquma ushukela wegazi, etholakalayo ekwenzeni ekhaya. Kulesi simo, imitha ephathekayo isetshenziselwa kanye nesigcawu esikhethekile sokuhlola, okukhona lapho kunconywa khona bonke abantu abane-diabetes mellitus. Umphumela ngenxa yale ndlela izaziwa ngemizuzwana embalwa. Uma usebenzisa idivayisi, kuyadingeka ukuba ulandele imithetho eminingana futhi uqaphele isikhathi nemibandela yokugcinwa kwemigqa yokuhlola, ngaphandle kwalokho umphumela uzoba iphutha.
Ukuhlolwa kwegazi ngoshukela ngomthwalo
Uhlobo lwesibili lwesifundo luvame ukushiwo uma izinga lokushukela egazini ekudleni kwabesifazane lidlulile (kukhona ukusola kwesifo sikashukela) noma umuntu usuvele esitholwa ukuthi unezinkinga zemetrohydrate emetabolism. Ukuhlaziywa kwemithwalo kubonisa ukuthi i-glucose ngokugcwele ixhunyiwe kanjani futhi idilizwe emzimbeni. Inqubo ihlala isikhathi eside - okungenani amahora amabili, lapho igazi kuthathwa okungenani kathathu:
- okokuqala - ngesisu esingenalutho;
- okwesibili - ihora emva kokusetshenziswa kwesisombululo se-glucose, esilungisiwe ngesilinganiso sika-1.75 g ngegrimu yesiguli ngasinye;
- okwesithathu - ihora kamuva.
Lokhu kuhlaziywa kubizwa nangokuthi i-glucose-tolerant test, futhi ukulinganisa kwesibonakaliso ngemuva kokudla isisombululo seglucose kubonisa ukuthi isithombe soshukela egazini senyuka kanjani emva kokudla. Ngemuva kwemizuzu engama-60 emva kokudla amanzi amnandi, izinga leshukela legazi liphakama ngokuqhathaniswa nomphumela wesisu esingenalutho, kodwa akufanele kudlule imingcele ethile. Emva kwamaminithi angu-120, ukuhlushwa kwe-glucose kufanele kuyancipha.
Izinga ushukela egazini - okuvamile
Isimiso sokusungulwa kwe-glucose egazini esithathwe emunwe esibelethweni esingenalutho asihambanga ngalezi zimpawu ezilandelayo: 3.3-5.5 mmol / l. Uma igazi elibizayo lihlolwe, elingafani nemingcele ye-hematological, ukujwayelekile kweshukela egazini kwabesifazane nabesilisa kunqunywa ngaphakathi kuka 3.5-6.05 mmol / l. Ngokuqondene nokuhlaziywa kwe-glucose tolerance, kubantu abanempilo emva kwesisombululo se-glucose esiphuzile ngemuva kwamahora amabili isibonakaliso akufanele sidlule i-7.8 mmol / l (okujwayelekile kwanshukela yegazi ngemva kokudla).
Ushukela wegazi - ithebula ngaminyaka
Kubantu bezinhlobonhlobo zeminyaka ehlukene, izinga elivumelekile le-glucose egazini legazi lihluka kancane, elingachazwa yizinguquko ze-hormone zenyama emzimbeni, okungavamile emsebenzini wezitho zangaphakathi. Kule ndaba, ubulili bokubaluleka kokuhlolwa akukhathaleki - izinkomba zifana nabesifazane namadoda. Iyini isimiso segazi glucose, itafula ngokudala, elinikezwe ngezansi, lingashukumisa.
Ubudala, iminyaka | Isilinganiso se-glucose, mmol / l |
| 16-19 | 3.2-5.3 |
| 20-29 | 3.3-5.5 |
| 30-39 | 3.3-5.6 |
| 40-49 | 3.3-5.7 |
| 50-59 | 3.5-6.5 |
| 60-69 | 3.8-6.8 |
| 70-79 | 3.9-6.9 |
| 80-90 | 4.0-7.1 |
Ukwandisa ushukela wegazi
Uma izinga lokushukela egazini labesifazane lidlulile, kubalulekile ukwazi ukuthi lokhu kukhuliswa kangakanani. Ukungajwayelekile kwemvelo kubonakala uma i-glucose yegazi ibonakala ngamanani alandelayo:
- 5.5-6.05 mmol / l kusuka emunwe kanye no-6.05-7.05 mmol / l kusukela esimweni sesandulela-sandulela ngesifo sikashukela;
- ngaphezu kuka-6.05 mmol / l kusuka emunwe futhi okungaphezu kuka-7.05 mmol / l kusukela kwesifo sikashukela - isifo sikashukela.
Ukuphakama kweshukela egazini kudala
Ngaphezu kokubambisana nokuthuthukiswa kwesifo sikashukela, amazinga e-glucose egazi angakhula ngenxa yezici ezilandelayo:
- ukucindezeleka okukhulu, ukugula kwengqondo;
- i-premenstrual syndrome;
- ukuphathwa kabi kotshwala;
- ukuhluleka kwe-hormone ;
- i-pancreatitis eyingozi noma engapheliyo;
- umdlavuza we-pancreatic;
- ukungasebenzi kwezinso, izidakamizwa, isibindi;
- i-hyperteriosis;
- i-Itenko-Cushing syndrome;
- isithuthwane;
- i-acromegaly;
- ukushaywa;
- i-infarction ye-myocardial;
- ukuhlukunyezwa kwengqondo;
- ukudla okungalingani;
- ukuthatha imithi ethile (i-diuretics, i-corticosteroids, i-anti-depressants, i-salicylates, amalungiselelo e-lithium, njll).
Indlela yokunciphisa ushukela wegazi?
Umkhuba weshukela egazini kulabo besifazane abanesifo sikashukela mellitus ulawulwa ngokwezokwelapha:
- esifo sikashukela sohlobo lokuqala - amalungiselelo anesifo se-insulini;
- nge-type 2 isifo sikashukela esinamafutha - amanxusa asithinta ukumuncwa kwe-carbohydrate noma alawula ngokuphelele umzimba we-carbohydrate metabolism (izidakamizwa ze-biguanides, sulfonylurea, njll).
Ukubuza lo mbuzo, ukuthi unganciphisa kanjani ushukela wegazi uma kwenzeka ukwedlula kancane okujwayelekile, kubalulekile ukuthi ubuyekeze ukudla. Kubalulekile ukunciphisa ukudla kwama-carbohydrate ekudleni. Kumele uzikhiphe ohlwini kusuka kumikhiqizo elandelayo:
- isinkwa esimhlophe;
- i-pasta;
- amaswidi;
- amazambane;
- iwayini;
- iziphuzo ze-carbonated, njll.
Ngesikhathi esifanayo, kunconywa ukwandisa ukusetshenziswa kwemikhiqizo esisiza ukunciphisa amazinga kashukela:
- ithanga;
- utamatisi;
- anyanisi;
- ukhukhamba;
- isipinashi, njll.
Ezimweni ezehlukene, ezibonakala ngezinga eliphezulu le-glucose egazini, kunezimo lapho kudingeka khona ukunciphisa ushukela egazini ekhaya. Ngaphezu kwezidakamizwa ezibekiwe udokotela, lokhu kungenziwa ngosizo lwezindlela zomuntu. Nazi izindlela ezimbalwa kulabo abafuna indlela yokunciphisa ngokushesha ushukela wegazi ngaphandle kwemithi.
Iresiphi # 1
Izithako:
- Amaqabunga eBilberry - 1 ithisipuni. isipuni;
- amanzi - ingilazi eyodwa.
Ukulungiselela nokusebenzisa:
- Thela izinto zokusetshenziswa zemifino ngamanzi abilayo.
- Ukumelela isigamu sehora.
- Ukucindezeleka.
- Yidla izinkomishi ezintathu ngosuku ngosuku kathathu ngosuku.
I-Recipe No. 2
Izithako:
- amaqabunga e-bay - ama-10 ama-pcs.;
- amanzi - izinkomishi ezintathu.
Ukulungiselela nokusebenzisa:
- Beka amaqabunga e-laurel endaweni ye-thermos, uthele amanzi abilayo.
- Ngamahora angu-2-3.
- Phuza isigamu seglasi nsuku zonke.
Iresiphi # 3
Izithako:
- i-chicory root powdery - ithebula eli-2. izinkezo;
- amanzi - 0.5 amalitha.
Ukulungiselela nokusebenzisa:
- Thela amanzi ase-chicory.
- Letha emathumba bese ubilise imizuzu eyishumi.
- Cool, isihlungi.
- Thatha isigamu seglasi kabili noma kathathu ngosuku.
Ishukela legazi elinciphile
Kukhona namacala lapho i-glucose yegazi ephansi iphawulwa. Ngenkomba ye-laboratory enjalo, lezi zibonakaliso ezilandelayo zomtholampilo zivame ukuzwa: ukugula okuvamile, ubuthakathaka, ukucindezeleka, ukulala, ukuzulazula, ukunxanxathela, ukuthuthumela, njll. Ngokwemvelaphi yeshukela elincishisiwe egazini, izitho zomzimba nezinhlelo azitholi izakhi ezanele, ezithinta ngokushesha ukusebenza kwekhanda ubuchopho.
I-sugar ephansi yegazi ibangela
I-glucose eyancipha egazini ingaba umphumela wezinto ezilandelayo:
- ukuzila isikhathi eside;
- ukuphelelwa amanzi;
- isimo somkhuhlane;
- Isifo sika-Addison ;
- i-gipoterioz;
- Isifo sikaGirke;
- izifo eziphilayo;
- ukuhluleka kwenhliziyo;
- ukulimala kwesibindi esikhulu;
- ukushisa utshwala, amakhemikhali amancane;
- i-meningitis, njll.
Indlela yokwandisa ushukela wegazi?
Ukuphakamisa amazinga kashukela ekhaya ekhaya, ungenza lokhu okulandelayo:
- Ukuphuza ithebhulethi ye-glucose.
- Ukuphuza ikomidi lethiyi elibuthaka elimnandi.
- Phuza ingilazi yejusi yesithelo esisha esicwebezela nge-pulp.
- Yidla izinkezo ezimbalwa uju noma ujamu, candy.
- Yidla izingcezu ezimbalwa zama-apricot omisiwe, amakhiwane.
- Thatha ibhanana.