Ake sithole ngezinga lakho likashukela egazini (Ukuhlolwa Kweshukela Egazini)? Ingabe lokhu kwenzelwa isifo sikashukela kuphela?

Sawubona! Unjani? Namuhla sizokhuluma ngesihloko esibalulekile kubantu abaningi. Okungukuthi, ukuhlola amazinga kashukela egazini, noma njengoba sikubiza kanjalo, "Ukuhlolwa Kweglucose Egazini". Mhlawumbe uke wakwenza lokhu "kuhlolwa". Noma mhlawumbe uke wezwa othile ekhuluma ngakho. Ake sibone ukuthi kuyini, kungani kwenziwa, nokuthi kwenziwa kanjani, konke ngamagama alula.

Kuyini Ukuhlolwa Kweglucose Egazini?

Kalula nje, lokhu ukuhlolwa okulinganisa inani le-glucose (ushukela) egazini lakho. Lokhu kusetshenziselwa kakhulu ukuthola ukuthi unesifo sikashukela noma usengozini yokuthola isifo sikashukela. Kodwa-ke, lokhu kuhlolwa akusetshenziselwa isifo sikashukela kuphela. Sizoxoxa ngalokho kamuva.

Kunezinhlobo ezimbili eziyinhloko zalolu vivinyo.

Manje bheka, kunezindlela ezimbili zokwenza lokhu kuhlolwa ushukela egazini.

• Ukuhlolwa kwe-glucose egazini le-capillary: Lokhu kuhilela ukubhoboza umunwe wakho ngenaliti encane bese uthatha ithonsi legazi. Ezinganeni ezincane, lokhu kuvame ukwenziwa kusukela esithendeni. Ithonsi legazi libe selibekwa emgqeni wokuhlola bese lifakwa kumitha ye-glucose, engalinganisa amazinga kashukela egazini lakho ngemizuzwana embalwa. Kungenzeka ukuthi uke wababona abantu abanesifo sikashukela behlola ushukela wabo egazini ekhaya ngale ndlela. Lokhu kunikeza imiphumela esheshayo kakhulu.

• Ukuhlolwa kwe-glucose egazini le-Venous/Plasma: Lokhu kuhilela ukuthatha inani elincane legazi emthanjeni osengalweni yakho usebenzisa isirinji. Lokhu kwenziwa yi-phlebotomist, umuntu oqeqeshwe ukuthatha igazi. Lokhu kuvame ukwenziwa kanye nezinye izivivinyo zegazi, njenge-Basic Metabolic Panel (BMP). Isampula yegazi bese ithunyelwa elabhorethri ukuze ihlolwe.

Ngokuvamile, imiphumela etholwe ekuhlolweni kwegazi emithanjeni inembe kakhulu kunaleyo etholwe ekuhlolweni kweminwe.

Zikhona yini ezinye izinhlobo zokuhlolwa kwe-glucose?

Yebo, kunezinye izindlela eziningana.

• Ukuhlolwa Koshukela Ogazini Ozila Ukudla: Lokhu futhi kuyindlela ebalulekile yokuthola ukuthi unesifo sikashukela. Izinga likashukela egazini liyashintsha ngemva kokudla. Ngakho-ke, ngokwenza lokhu "kuhlolwa" ngemva kwamahora ambalwa (ngokuvamile amahora angu-8-12) ngaphandle kokudla noma ukuphuza noma yini (ungaphuza amanzi kuphela), ungathola umbono ocacile "ngoshukela wakho wegazi oyisisekelo".

• Ukuqapha ushukela egazini ekhaya: Lokhu kubaluleke kakhulu kubantu abanesifo sikashukela. Baqapha amazinga kashukela egazini labo njalo, kungaba nge-glucometer ehlaba umunwe wabo ngenaliti encane, noma nge-continuous glucose monitor (CGM), ithuluzi elincane elinamathiselwe esikhumbeni. Ukuhlala uqaphela amazinga kashukela egazini lakho ngale ndlela kubalulekile ukuze ugcine isifo sikashukela sakho silawulwa.

Iyini ngempela i-glucose (ushukela) egazini?

Cabanga ngakho, i-glucose inguphethiloli oyinhloko onika imizimba yethu amandla. Le glucose ikhiqizwa kakhulu ngama-carbohydrate ekudleni esikudlayo nesikuphuzayo. Isibindi sethu siphinde sikhiqize i-glucose ethile. Le glucose ihamba ngegazi iye emangqamuzaneni emzimbeni wonke, lapho inikeza khona amandla ayidingayo.

Kunezinqubo ezahlukahlukene emzimbeni wethu ezisiza ukugcina izinga elifanele le-glucose egazini. I-hormone i-insulin idlala indima enkulu kulokhu.

Into ebaluleke kakhulu ukugcina amazinga akho kashukela egazini esezingeni elifanele.

Uma amazinga kashukela egazini lakho ephakeme njalo, kubizwa ngokuthi i-hyperglycemia. Lokhu kuvame ukuba uphawu lwesifo sikashukela. Isifo sikashukela senzeka lapho i-pancreas yakho ingakhiqizi i-insulin eyanele, noma lapho umzimba wakho ungakwazi ukusebenzisa kahle i-insulin oyikhiqizayo.

Kunini lapho udinga ukuhlola khona ushukela egazini lakho?

Kunezizathu eziningana zokwenza lokhu 'kuhlolwa'. Bheka ukuthi kukhona yini okusebenzayo kuwe:

• Njengokuhlolwa kwegazi okuvamile okuyalelwe udokotela wakho: Ngezinye izikhathi udokotela wakho uzo-oda i-"Basic Metabolic Panel (BMP)" noma i-"Comprehensive Metabolic Panel (CMP)" njengokuhlolwa kwegazi okuvamile. Womabili lawa "maphaneli" ahlanganisa nokulinganisa amazinga akho e-glucose.
• Uma unezimpawu zoshukela ophezulu noma ophansi egazini: Uzizwa womile kakhulu, uchama njalo, wehlisa isisindo, futhi uzizwa ukhathele, okuyizimpawu zoshukela ophezulu egazini (Hypoglycemia), noma uma unezimpawu zoshukela ophansi egazini (Hypoglycemia), njengokujuluka, ukuthuthumela, ukuzizwa uqhaqhazela, kanye nokuzizwa ulambile, udokotela wakho uzoyala lolu vivinyo.
• Ngesikhathi sokukhulelwa: Abanye abantu bangaba nohlobo lwesikhashana lwesifo sikashukela olubizwa ngokuthi "isifo sikashukela sokukhulelwa" ngesikhathi sokukhulelwa. Lena futhi indlela ushukela wegazi olinganiswa ngayo lapho kwenziwa "ukuhlolwa kokubekezelela ushukela" ukuze kutholakale.
• Uma uthatha imithi ethile isikhathi eside: Isibonelo, imithi efana ne-corticosteroids ingathinta amazinga kashukela egazini lakho uma isetshenziswa isikhathi eside. Ezimweni ezinjalo, udokotela wakho angase akucebise ukuthi uhlole amazinga kashukela wakho njalo.

Ukuhlolwa ushukela egazini okuvame kakhulu ukuhlola isifo sikashukela sohlobo 2 (T2D). Uma unezici eziyingozi zesifo sikashukela (isib., umlando womndeni wesifo sikashukela, ukukhuluphala ngokweqile, ukuntuleka kokuvivinya umzimba), udokotela wakho angancoma ukuthi uthole lokhu kuhlolwa njalo, kungakhathaliseki ukuthi uneminyaka emingaki. I-American Diabetes Association incoma ukuthi wonke umuntu oneminyaka engaphezu kwengu-35 ahlolwe njalo.

Kufanele uzilungiselele kanjani ngaphambi kwalolu vivinyo?

Uma wenza ukuhlolwa kwe-glucose yegazi ngokuzila ukudla,Ungadli noma uphuze lutho (ngaphandle kwamanzi) amahora angu-8 kuya kwangu-12 ngaphambi kokuhlolwa.

Uma ukuhlolwa kwakho ushukela egazini kwenziwa njengengxenye ye-"Basic Metabolic Panel (BMP)" noma i-"Comprehensive Metabolic Panel (CMP)", kungadingeka futhi uzile ukudla amahora ambalwa. Kodwa-ke, uma udinga ukulandela noma yimiphi imiyalelo ekhethekile, udokotela wakho uzokwazisa kusengaphambili. Ngakho-ke akukho okufanele ukhathazeke ngakho.

Kwenzekani ngesikhathi sokuhlolwa?

Lokhu kuyahlukahluka kancane kuye ngohlobo lokuhlolwa okwenzayo.

Esivivinyweni lapho igazi lithathwa khona emthanjeni (ukuhlolwa kwe-glucose ye-venous):

• Uzohlaliswa esihlalweni.
• Udokotela we-phlebotomist uzobe esekhetha umthambo olula engalweni yakho ukuze akhiphe igazi kuwo. Ngokuvamile, usuke usendololwaneni.
• Uma umthambo usutholakele, indawo iyahlanzwa kahle futhi ihlanzwe ngamagciwane.
• Bese kufakwa inaliti encane emthanjeni bese kuthathwa isampula yegazi.
• Ngemva kokufakwa kwenaliti, inani elincane legazi liqoqwa epayipini elincane lokuhlola.
• Ngemva kokuthathwa kwesampula yegazi, inaliti iyasuswa bese kubekwa ucezu lwekotini noma i-gauze endaweni ukuze kumiswe ukuphuma kwegazi.
• Ekugcineni, faka ibhandishi elincane endaweni bese uqeda. Kulula kakhulu.

Ekuhlolweni komunwe (ukuhlolwa kweglucose egazini le-capillary):

• Isisebenzi sezempilo sizokubuza ukuthi uzothatha igazi kuluphi umunwe.
• Ngemuva kwalokho, iminwe yakho ihlanzwa nge-alcohol swab.
• Okulandelayo, inaliti encane ebizwa ngokuthi "i-lancet" (lokhu kuvame ukuba sedivayisini encane yepulasitiki) isetshenziswa ukuhlaba isihloko somunwe. Lokhu akubuhlungu kakhulu.
• Bese ucindezela i-fingertip yakho kancane ukuze ukhiphe ithonsi legazi.
• Lelo thonsi legazi libekwa emgqeni wokuhlola oxhunywe ku-glucometer.
• Ngemva kokuthatha igazi elanele lokuhlolwa, bazokunika ucezu lukakotini noma i-gauze ukuze bamise ukopha futhi bakucele ukuthi ubambe iminwe yakho ngokuqinile.
• Ngemizuzwana embalwa, i-glucometer izobonisa izinga likashukela egazini lakho esikrinini.

Uyabona, lokhu kulula kakhulu.

Kuthatha isikhathi esingakanani ukwazi imiphumela?

Uma uhlolwe ushukela egazini lemithambo yegazi, ungathola imiphumela zingakapheli izinsuku ezimbili noma ngaphezulu.

Imiphumela yokuhlolwa kwe-glucose yegazi le-capillary ingabukwa ngemizuzwana embalwa nge-glucometer.

Kufanele libe yini izinga likashukela egazini elijwayelekile?

Izinga likashukela egazini elinempilo kumuntu ongenayo isifo sikashukela kufanele libe phakathi kwama-milligram angu-70 no-99 nge-deciliter (mg/dL) . Okusho ukuthi, kuma-millimoles ngelitha (mmol/L), phakathi kuka-3.9 no-5.5 (3.9-5.5 mmol/L) .

Ngezinye izikhathi, amanani aphakathi kuka-50 mg/dL (2.8 mmol/L) no-70 mg/dL (3.9 mmol/L) angaba “avamile” nakubantu abangenaso isifo sikashukela.

Kusho ukuthini ukuthi ushukela wegazi uphezulu?

Uma izinga lakho likashukela egazini liphakathi kuka-100 mg/dL no-125 mg/dL (5.6 mmol/L no-6.9 mmol/L), ngokuvamile kusho ukuthi une -prediabetes . Abantu abane-prediabetes banethuba elingu-50% lokuthola isifo sikashukela sohlobo 2 eminyakeni emihlanu kuya kweyishumi ezayo. Kodwa ingxenye engcono kakhulu ukuthi, ungathatha izinyathelo zokuguqula i-prediabetes.

Uma izinga lakho likashukela egazini lingu-126 mg/dL (7.0 mmol/L) noma ngaphezulu ekuhlolweni kashukela egazini okuzila ukudla kaningi, ngokuvamile kusho ukuthi unesifo sikashukela. Abantu abanesifo sikashukela sohlobo 1 bangaba namazinga kashukela egazini aphezulu kakhulu (200 mg/dL noma 11.1 mmol/L noma ngaphezulu).

Kunoma ikuphi, udokotela wakho cishe uzoyala ukuhlolwa kwe-A1c ngaphambi kokuthola isifo. Ukuhlolwa kwe-A1c kubonisa amazinga akho ajwayelekile kashukela egazini ezinyangeni eziningana.

Zikhona yini ezinye izizathu ezenza amazinga kashukela egazini akhuphuke?

Yebo, ngaphandle kwesifo sikashukela, amazinga kashukela egazini angakhuphuka ngenxa yezizathu eziningana:

• Izinkinga ngezindlala zakho ze-adrenal, isibonelo, i-Cushing syndrome.
• Izinkinga ngama-pancreas akho, isibonelo, i-pancreatitis.
• I-Hyperthyroidism.
• Ukuchayeka ekucindezelekeni okukhulu kwengqondo, isibonelo ngemva kokuhlinzwa noma ingozi enkulu (ukuhlukumezeka).
• Imithi ethile, ikakhulukazi ama-corticosteroids.

Kusho ukuthini ukuthi ushukela wegazi uphansi?

Izinga likashukela egazini elingu-70 mg/dL noma ngaphansi (i-Hypoglycemia) libhekwa njengeliphansi kakhulu kumuntu omdala onesifo sikashukela.

Izigameko ze-hypoglycemia zivame kakhulu kubantu abanesifo sikashukela sohlobo 1. Zingathinta nabantu abanesifo sikashukela sohlobo 2 abaphuza imithi ethile. Kodwa-ke, azivamile kubantu abangenaso isifo sikashukela.

Ngisho noma ungenaso isifo sikashukela, amazinga aphansi kashukela egazini angaba uphawu lwalokhu okulandelayo:

• Isifo sesibindi
• Isifo sezinso
• I-Hypothyroidism
• Isifo sika-Addison (ukungasebenzi kahle kwe-adrenal)
• Inkinga Yokusetshenziswa Kotshwala (AUD)
• I-Insulinoma (Lesi isimila esingavamile kakhulu)

Lezi zimo zivame ukubangela izigameko ezivame ukuba noshukela wegazi ophansi. Umuntu ongenaso isifo sikashukela akufanele esabe ukufundwa okukodwa koshukela egazini ophansi.

Kuvamile ukuzizwa wesaba uma ubona umphumela wokuhlolwa ongavamile. Kodwa khumbula, izinga likashukela egazini elilodwa eliphezulu noma eliphansi akusho ukuthi unesifo esithile noma udinga ukwelashwa. Odokotela basebenzisa okungaphezu nje kokuhlolwa kwegazi ukuthola izifo ezifana nesifo sikashukela. Ungesabi ukubuza udokotela wakho imibuzo. Bakhona ukukusiza.

Kulungile, yiziphi izinto okudingeka sizikhumbule kukho konke lokhu? (Umyalezo Wokuya Ekhaya)

Kulungile, sesikhulume kakhulu ngalokhu "Ukuhlolwa Kweglucose Egazini". Nazi ezinye izinto okufanele uzikhumbule kafushane:

• Nakuba ukuhlolwa kukashukela egazini kusetshenziselwa kakhulu ukuxilonga isifo sikashukela, kunganikeza nezinkomba mayelana nezinye izimo zempilo.
• Ngaphezu kokuhlolwa okusheshayo kweminwe, kunezivivinyo ezinembile kakhulu ezenziwa elebhu ngokukhipha igazi emthanjeni.
• Ukuhlolwa kukashukela egazini okuzila ukudla kungakunikeza umbono omuhle wamazinga kashukela egazini lakho lokuqala.
• Ngaphambi kokuba wesabe ngemiphumela, qiniseka ukuthi ukhuluma nodokotela wakho. Ungenzi ukuxilongwa ngokusekelwe emiphumeleni yokuhlolwa okukodwa.
• Uma usengozini yokuthola isifo sikashukela, noma unezimpawu, kubaluleke kakhulu ukuthi lokhu kuhlolwa kwenziwe njalo njengoba kuqondiswe udokotela wakho.
• Ukugcina amazinga kashukela egazini ngaphakathi kwesilinganiso esijwayelekile kubalulekile ukuze ube nempilo enhle.

Ngakho-ke, uma udokotela wakho eke wakucela ukuthi wenze lokhu "(Ukuhlolwa Kweglucose Egazini)", akukho okufanele ukwesabe noma ukusole ngakho. Kuyinto ebalulekile nje okufanele uyenze ukuhlola impilo yakho. Uyaqonda?

Ushukela egazini, ukuhlolwa kwe-glucose, isifo sikashukela, izinga likashukela, ukuhlolwa kokuzila ukudla, i-hyperglycemia, i-hypoglycemia