Ingabe udokotela wakho ukutshelile ukuthi uhlole ushukela wegazi? Noma ingabe uyesaba kancane noma unesifiso sokwazi ngakho ngoba othile emndenini wakho unesifo sikashukela? Kungakhathaliseki ukuthi yisiphi isizathu, kubaluleke kakhulu kithi sonke ukuba siqaphele lokhu kuhlolwa ushukela wegazi, okungukuthi, ukuhlolwa kweglucose egazini. Ngakho-ke namuhla, sizoxoxa ngakho konke ngendlela elula kakhulu, ngendlela ongayiqonda.
Kalula nje, kuyini ukuhlolwa kweglucose egazini?
Lokhu kulula kakhulu. Lokhu kuhlola kulinganisa inani le-glucose, noma 'ushukela' njengoba sonke sazi, egazini lakho. Lokhu kwenziwa kakhulu ukuthola ukuthi unesifo esibizwa ngokuthi isifo sikashukela noma cha.
I-glucose ingumthombo oyinhloko wamandla amangqamuzana emizimba yethu. Ikhiqizwa yisibindi sethu, kanye nokudla neziphuzo eziqukethe ama-carbohydrate esikudlayo. Le glucose ithwalwa ngegazi iye emaseli emzimbeni wonke. Ngakho-ke, kubaluleke kakhulu ukugcina amazinga ethu kashukela egazini esezingeni elifanele. I -hormone eyinhloko esisiza ukwenza lokhu yi-insulin .
Uma umzimba womuntu ukhiqiza i-insulin encane, noma uma umzimba ungakwazi ukuyisebenzisa kahle i-insulin oyikhiqizayo, amazinga kashukela egazini ayakhuphuka. Lesi simo sibizwa ngokuthi i-Hyperglycemia . Lokhu ngokuvamile kuyisibonakaliso esiyinhloko sesifo sikashukela.
Yiziphi izindlela eziyinhloko zokwenza lolu vivinyo?
Kunezindlela ezimbili eziyinhloko zokuhlola ushukela egazini. Cishe usuzibonile zombili. Ake sibheke ukuthi ziyini lezi zindlela ezimbili.
| Indlela yokuhlola | Kwenzekani? |
|---|---|
| Ukuthatha ithonsi legazi esihlokweni somunwe (Ukuhlolwa Kweglucose Yegazi Egazini Le-Capillary) | Lena indlela eshesha kakhulu. Uhlaba umunwe wakho ngenaliti encane bese uthatha ithonsi legazi, ulibeke emgqeni wokuhlola, bese ulifaka ku-glucometer. Ungabona imiphumela ngemizuzwana embalwa. Kubantwana abancane, lokhu kwenziwa ngokuthatha ithonsi legazi esithendeni. |
| Ukuhlolwa kwe-glucose yegazi le-venous/plasma | Lokhu kuhilela ukuthatha inani elincane legazi emthanjeni osengalweni yakho bese uthumela isampula elabhorethri. Lokhu kuvame ukwenziwa kanye nokunye ukuhlolwa kwegazi (isb., i-Basic Metabolic Panel). Kungathatha usuku noma ezimbili ukuthi imiphumela ibuye. Le ndlela inembe kakhulu kunezinye izindlela. |
Ezinye izinhlobo ezikhethekile zokuhlolwa
Ngaphezu kwalezi zindlela ezimbili eziyinhloko, kunezinye izivivinyo eziningana ezikhethekile.
- Ukuhlolwa Koshukela Ogazini Ozila Ukudla: Lokhu ukuhlolwa okuyinhloko okusetshenziselwa ukuxilonga isifo sikashukela. Kufanele unikeze igazi ngemva kokuthi ungadlanga noma uphuze lutho cishe amahora angu-8-12. Njengoba lokho okudlayo nokuphuzayo kuthinta amazinga kashukela egazini lakho, ukwenza ukuhlolwa ngenkathi uzila ukudla kungakunikeza isithombe esicacile samazinga kashukela egazini lakho lokuqala.
- Ukuqapha I-glucose Ekhaya: Abantu abanesifo sikashukela basebenzisa le ndlela ukuqapha amazinga kashukela egazini labo nsuku zonke. Lokhu kuhilela ukusebenzisa idivayisi efana ne-glucose meter noma i- continuous glucose monitor (CGM) enamathele esikhumbeni.
Ufuna ukwenza nini lokhu kuhlolwa?
Kungase kube nezizathu eziningana zokuthi kungani udokotela wakho engase ancome lokhu kuhlolwa.
- Njengengxenye yokuhlolwa kwezokwelapha okuvamile: Ngezinye izikhathi udokotela uzokucela ukuthi wenze uchungechunge lokuhlolwa kwegazi okuvamile (isib. i-Basic Metabolic Panel - BMP noma i-Comprehensive Metabolic Panel - CMP ). Lokhu kungafaka ukuhlolwa kwe-glucose.
- Uma kuvela izimpawu: Uma unezimpawu zoshukela ophezulu egazini (i-Hyperglycemia) noma ushukela ophansi egazini (i-Hypoglycemia). (isib. ukuchama njalo, ukoma ngokweqile, indlala enkulu, ukwehla kwesisindo ngokuzumayo, ukubona okufiphele, ukukhathala).
- Ngesikhathi sokukhulelwa: Lokhu kuhlolwa kwenziwa ukuze kuhlolwe isifo sikashukela sokukhulelwa, esingase senzeke ngesikhathi sokukhulelwa.
- Uma uthatha imithi ethile: Uma uthatha imithi engathinta amazinga kashukela egazini lakho (isib. ama-corticosteroids ) isikhathi eside, udokotela wakho angakucela ukuthi uhlole amazinga kashukela egazini lakho njalo.
- Ingozi yesifo sikashukela: Uma unezici ezingabangela isifo sikashukela (isib. umlando womndeni, ukukhuluphala), udokotela wakho angancoma lokhu kuhlolwa kungakhathaliseki ukuthi uneminyaka emingaki. Ngokuvamile kunconywa ukuthi noma ubani oneminyaka engaphezu kwengu-35 athole lokhu kuhlolwa njalo.
Uzilungiselela kanjani ngaphambi kokuhlolwa?
Uma wenza i-Fasting Blood Glucose Test, akufanele udle noma uphuze lutho amahora angu-8 kuya kwangu-12 ngaphambi kokuhlolwa. Kodwa-ke, kulungile ukuphuza amanzi.
Into ebaluleke kakhulu ukulandela imiyalelo enikezwe udokotela wakho noma ilebhu ngqo. Kungase kube neminye imiyalelo ekhethekile yokuhlolwa kwakho, ngakho buza ngayo.
Zisitshelani izindinganiso ezisembikweni?
Kulungile, manje ake sibone ukuthi imiphumela yalolu vivinyo ithini. Lawa manani avame ukulinganiswa ngama-milligram nge-deciliter (mg/dL).
| Izinga likashukela egazini lokuzila ukudla (mg/dL) | Incazelo |
|---|---|
| 70 - 99 mg/dL | Ibanga Elijwayelekile: Leli izinga elijwayelekile elinempilo kumuntu ongenaso isifo sikashukela. |
| 100 - 125 mg/dL | I-Prediabetes: Lesi yisibonakaliso esiyisixwayiso! Amazinga kashukela egazini lakho aphezulu kunokuvamile, kodwa awaphezulu ngokwanele ukuthi angabhekwa njengesifo sikashukela. Lesi simo singaguqulwa ngokushintsha indlela yokuphila. |
| 126 mg/dL noma ngaphezulu | Isifo Sikashukela: Uma izinga likashukela egazini lakho lokuzila ukudla liphakeme kunaleli nani izikhathi ezingaphezu kwesisodwa, ungase ube nesifo sikashukela. Udokotela wakho angase akucele olunye ukuhlolwa, njenge-A1c, ukuqinisekisa lokhu. |
| Ushukela ophansi egazini (i-Hypoglycemia) | |
| 70 mg/dL noma ngaphansi | Ushukela Ophansi Egazini: Lesi futhi yisimo esidinga ukunakwa. Lokhu kuvame kakhulu kubantu abanesifo sikashukela. Uma umuntu ongenaso isifo sikashukela enaleli zinga, imbangela kufanele itholakale. |
Ingabe zikhona ezinye izizathu zokushintsha kukashukela egazini ngaphandle kwesifo sikashukela?
Yebo. Nakuba isifo sikashukela siyimbangela eyinhloko, ezinye izici zingabangela nokuthi amazinga kashukela egazini akhuphuke noma ehle.
Ezinye izizathu zamazinga aphezulu kashukela:
- Izinkinga ze-adrenal gland (isib. i-Cushing Syndrome )
- Izinkinga ze-pancreatic (isb., i-pancreatitis )
- I-Hyperthyroidism
- Ukucindezeleka okukhulu kwengqondo noma ngokomzimba, njengokuhlinzwa noma ingozi enkulu
- Imithi ethile, ikakhulukazi ama-corticosteroids
Ezinye izizathu zamazinga aphansi kashukela egazini:
- Isifo sesibindi noma sezinso
- I-Hypothyroidism
- Izinkinga ze-adrenal gland njengesifo sika-Addison
- Ukusetshenziswa kotshwala ngokweqile
- Izimila ezingavamile njenge -insulinoma
Khumbula, ungesabi ukucabanga ukuthi unesifo ngoba nje umphumela owodwa wokuhlolwa uyashintsha. Udokotela wakho ngeke enze isinqumo ngokusekelwe ekuhlolweni okukodwa. Uzocabangela izimpawu zakho, eminye imiphumela yokuhlolwa, kanye nomlando wakho wonke wezempilo ukuze afinyelele esiphethweni.
Ngakho-ke uma unemibuzo noma ukukhathazeka ngombiko wakho, sicela ungazigcini wedwa futhi ukhulume ngokukhululekile nodokotela wakho. Uzokuchazela konke.
Umlayezo Wokuya Nawe Ekhaya
- Ukuhlolwa kweGlucose Egazini kuyindlela elula yokuhlola igazi esetshenziswa ngokuyinhloko ukuxilonga isifo sikashukela.
- Uma uhlolwa ngokuzila ukudla, kubalulekile ukuthi ungadli noma uphuze amahora angaba ngu-8-12, njengoba kuqondiswe udokotela wakho.
- Ungesabi umphumela owodwa ongavamile. Udokotela ucabangela izici eziningana lapho ethola isifo.
- Uma izinga likashukela egazini lakho lisesigabeni 'se-prediabetes', kuyisibonakaliso esiyisixwayiso. Lingabuyiselwa esimweni esijwayelekile ngokudla okufanele kanye nokuzivocavoca umzimba.
- Ungalokothi unqikaze ukuxoxa nodokotela wakho nganoma yikuphi ukukhathazeka onakho mayelana nemiphumela yokuhlolwa kwakho kanye nesimo sakho sempilo.
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