Ingabe unoshukela omningi kakhulu emchameni wakho? (I-Glycosuria)

Wake wacabanga ukuthi umchamo wakho, okungukuthi, umchamo, ungakunikeza izinkomba mayelana nezinkinga ezithile emzimbeni wakho? Yebo, kuyiqiniso. Ngezinye izikhathi, ngaphandle kokuqaphela, kwenzeka izinguquko ezihlukahlukene emzimbeni wethu. Enye into enjalo izinga likashukela, okungukuthi, izinga likashukela, emchameni, eliphakeme kunejwayelekile. Yilokhu esikubiza ngezokwelapha ngokuthi i-glycosuria . Ungesabi kakhulu uma uzwa leli gama. Namuhla, sizoxoxa ngakho konke ngendlela elula ongayiqonda.

Kuyini i-glucosuria?

Kalula nje, i-glucosuria yilapho unoshukela omningi (i-glucose) emchameni wakho kunokuvamile. Kujwayelekile ukuba noshukela omncane emchameni wakho. Kodwa-ke, uma ukuhlolwa komchamo kukhombisa ukuthi izinga likashukela lingaphezu kwama-milligram angu-0.25 nge-milliliter (0.25 mg/ml), khona-ke leso yisimo esibizwa ngokuthi i-glucosuria.

Ngezinye izikhathi lokhu kungaba uphawu lwesimo esibizwa ngokuthi i-hyperglycemia , okuyishukela ephezulu egazini. Kodwa-ke, kungenzeka nakubantu abanamazinga ajwayelekile kashukela egazini noma aphansi. Isibonelo, uma izinso zakho zingahlungi kahle imfucuza, ungase ube ne-glycosuria.

Ziyini izimpawu ze-glucosuria?

Akuwona wonke umuntu onezimpawu ezisobala zalesi simo. Ungase ube naso iminyaka eminingi kodwa ungazi nokuthi sikhona. Kodwa-ke, ngokuhamba kwesikhathi, uma singelashwa, okulandelayo kungenzeka:

Izimpawu ezivamile

• Ukoma kakhulu noma indlala: Ingabe uzizwa womile ngaso sonke isikhathi? Ingabe uzizwa sengathi awutholi amanzi anele kungakhathaliseki ukuthi uphuza kangakanani? Noma uma ulambile, futhi usazizwa ulambile ngemva kokudla, lokho kungaba uphawu lwalesi simo.
• Ukuphelelwa amanzi emzimbeni: Umzimba ungalahlekelwa amanzi amaningi bese uphelelwa amanzi emzimbeni.
• Ukuchama kaningi kunokujwayelekile: Uma uzithola udinga ukuchama kaningi, lokho nakho kuyinto okufanele uyihlole.

Izimpawu ezihambisana nesifo sikashukela

Uma i-glucosuria iyisibonakaliso sesimo esifana nesifo sikashukela sohlobo 2 , ungase ubhekane nalokhu okulandelayo:

• Ukukhathala: Uma uhlala uzizwa ukhathele noma ulele ngaphandle kwesizathu.
• Ukwehla kwesisindo okungachazeki: Uma wehlisa isisindo ngokuzumayo ngaphandle kokushintsha imikhuba yakho yokudla.
• Umbono uyashintsha: Umbono wakho ungase uzwakale ungacacile.
• Ukuguquka kombala wesikhumba lapho isikhumba sihlangana khona: Uma isikhumba siphenduka sibe mnyama noma sibe nsundu ezindaweni ezifana namakhwapha, ngaphakathi kwezindololwane, kanye nokugoba kwentamo.
• Amanxeba athatha isikhathi eside ukuphola: Ngisho nesilonda esincane noma ukuklwebheka kuthatha isikhathi eside ukuphola.

Yiziphi izimbangela ze-glucosuria?

Kunezizathu ezintathu eziyinhloko zalokhu:

Izizathu eziyinhloko

1. Umzimba wakho awukhiqizi noma awusebenzisi i-insulini ngendlela efanele: I-insulini iyi-hormone esiza ukulawula ushukela emizimbeni yethu. Uma kunenkinga ngalokhu, ushukela egazini uyakhula futhi ushukela ungakhishwa nasemchameni.

2. Ukuthola ushukela omningi kakhulu ukuze umzimba wakho ukwazi ukuwuphatha ngesikhathi esisodwa: Ngezinye izikhathi uma sidla ukudla okunoshukela omningi ngesikhathi esisodwa, umzimba wethu awukwazi ukuwuphatha wonke.

3. Unesifo sezinso: Uma kunenkinga ngezinso ezimunca ushukela emzimbeni, ushukela uzokhishwa emchameni.

Ezinye izimo zezokwelapha ezibangela i-glucosuria

Ikakhulukazi, abantu abanezimo zezokwelapha ezilandelayo bangase babe ne-glucosuria:

• Isifo Sikashukela Sohlobo 1 kanye Nohlobo 2: Kulezi zimo, i-pancreas yakho ayikhiqizi i-insulin eyanele, noma umzimba wakho awusabeli kahle ku-insulin.
• Isifo Sikashukela Sokukhulelwa: Abanye abantu baba namazinga aphezulu kashukela egazini (i-hyperglycemia) ngesikhathi sokukhulelwa. Lokhu kungaholela kusifo sikashukela sohlobo 1 nohlobo 2, kanye ne-glycosuria.
• I-Fanconi Syndrome: Kulesi simo, izinso zakho zinobunzima bokumunca izinto ezithile, njenge-potassium, i-phosphorus, kanye ne-glucose, emzimbeni wakho. Esikhundleni salokho, lezi zinto zikhishwa emchameni wakho.
• I-Glycosuria Yezinso: Lesi yisimo esizuzwa njengefa. Kulesi simo, i-glucose ikhishwa emchameni yize izinga likashukela egazini lakho lijwayelekile. Lesi simo singavela uma izinguquko ezithile zofuzo zibangela ukukhubazeka ezinso, ikakhulukazi lezo ezithinta ukusebenza kwama-renal tubules.

Cabanga ngakho, ngezinye izikhathi sidla ukudla okumnandi neziphuzo eziningi ephathini, akunjalo? Ngezikhathi ezinjalo, izinga likashukela emchameni lingakhuphuka okwesikhashana. Lokhu kubizwa ngokuthi i-alimentary glycosuria . Uma ungenaso esinye isifo esithinta izinga likashukela egazini, lokhu kuzobuyela esimweni esijwayelekile phakathi namahora ambalwa. Ngakho-ke akukho okufanele ukhathazeke ngakho.

I-glucosuria itholakala kanjani?

Odokotela basebenzisa izindlela eziningana zokuxilonga lesi simo:

• Ukuhlolwa komchamo: Lokhu kuhilela ukuthatha isampula yomchamo kuwe bese uyithumela elabhorethri. Kufakwa umucu wokuhlola esampula bese kulinganiswa izinga likashukela emchameni wakho. Kulula kakhulu.
• Ukuhlolwa kwe-glucose egazini: Udokotela uzothatha isampula yegazi lakho alithumele elebhu. Lokhu kuzokusiza ukuthi ubone ukuthi unesifo sikashukela esiphezulu egazini (i-hyperglycemia) kanye ne-glycosuria.
• Ukuhlolwa kwe-A1C: Lokhu kuhlolwa kusebenzisa neconsi elincane legazi elivela emunweni wakho noma inani elincane legazi elivela emthanjeni. Lokhu kuhlolwa kukhombisa izinga lakho elijwayelekile likashukela egazini ezinyangeni ezintathu ezedlule.

Iphathwa kanjani i-glucosuria?

Ukwelashwa kuncike embangela yalesi simo. Uma isimo esiyisisekelo seselashiwe, amazinga kashukela omchameni wakho kufanele abuyele esimweni esijwayelekile.

Kuye ngesimo sakho, udokotela wakho angase ancome okukodwa noma ngaphezulu kwalokhu okulandelayo:

• Yidla imifino eminingi kanye nokusanhlamvu okuphelele: I-fiber abayinikezayo iyasiza ekulawuleni ushukela egazini.
• Thola umsebenzi owengeziwe womzimba: Kuhle ukuvivinya umzimba ngosuku.
• Imithi efana ne-Metformin: Le yimithi esetshenziselwa ukwelapha isifo sikashukela. Kungenzeka ukuthi uke wezwa ngayo ngaphansi kwamagama omkhiqizo afana ne-Glucophage®, i-Glumetza®.
• I-insulin: Abanye abantu abanesifo sikashukela kudingeka bathathe imijovo ye-insulin.
• Eminye imithi: Kukhona nemithi emisha efana ne-`Dulaglutide (Trulicity®)` noma i-`Semaglutide (Ozempic®)`.

Kwenzekani uma ngine-glucosuria?

Uma ulandela uhlelo lokwelashwa njengoba udokotela wakho ekuncoma, ungalindela ukuthi isimo sakho sithuthuke. Eqinisweni, izimo eziningi ze-glycosuria zizophela ngokuphelele uma isimo esiyisisekelo seselashwa. Khuluma nodokotela wakho mayelana nohlelo lokwelashwa olufanele wena.

Ngezinye izikhathi, uma une-glucosuria ngaphandle kwesimo sempilo esiyinhloko esiyisisekelo, ungase ungadingi ukwenza lutho. Kodwa-ke, kubalulekile ukubona udokotela uma uthola izimpawu ezintsha.

Ingabe i-glucosuria ingavinjelwa?

Akunakwenzeka njalo ukuvimbela lokhu, ikakhulukazi uma kubangelwa izimo zofuzo. Kodwa-ke, uma une-glycosuria ngenxa yesifo sikashukela sohlobo 2 noma isifo sikashukela sokukhulelwa, kunezinto ongazenza ukuze unciphise ingozi yakho. Uma wena nodokotela wakho senithole izindlela zokulawula isimo esiyisisekelo, amazinga kashukela omchamo wakho kufanele abuyele esimweni esijwayelekile.

Yikuphi ukudla okufanele sikudle?

Lokhu kudla ngeke kunyuse amazinga kashukela egazini lakho futhi kungasiza ekunciphiseni ingozi ye-glucosuria:

• Imifino enamaqabunga: Izinto ezifana nesipinashi, i-kale, kanye nemifino eluhlaza.
• I-yogurt elula, engenashukela.
• I-oats esikiwe ngensimbi.
• Ama-carbohydrate aphelele: Izinto ezifana nelayisi elinsundu, i-oatmeal, isinkwa esiphelele, kanye ne-pasta.

Yiziphi izinto okufanele sizigweme ukuzidla?

Uma unezinga eliphezulu likashukela egazini kanye ne-glycosuria, kungcono ukunciphisa ukudla neziphuzo ezilandelayo:

• Ama-carbohydrate amhlophe njengesinkwa esimhlophe, ilayisi elimhlophe, kanye ne-pasta emhlophe.
• Izithelo ezomisiwe: Lezi zinoshukela omningi.
• Ukudla okucutshunguliwe: Izinto ezifana nokusanhlamvu kwasekuseni okunoshukela kanye nokudla okulula okupakishiwe.
• Inyama ecutshunguliwe: Izinto ezifana ne-ham, ubhekeni, amasoseji.
• Ukudla okunoshukela omningi: Ukudla okumnandi okufana namakhekhe, amabhisikidi, kanye namaswidi.

Kunini lapho udinga ukubonana nodokotela?

Tshela udokotela uma uzizwa kanje:

• Izimpawu ze-glucosuria, njengokukhathala, ukoma ngokweqile, kanye nokuchama njalo, ziyavela.
• Uma unesifo sikashukela futhi ubona ushintsho olusheshayo ezimpawini zakho.

Kunini lapho kudingeka uye e-Emergency Treatment Unit (ETU) ?

Izimpawu ze-glucosuria azibonakali ngaso sonke isikhathi. Futhi akunakwenzeka ukwazi kahle ukuthi kungakanani ushukela osemchameni wakho ngaphandle kokuhlolwa komchamo. Kodwa-ke, izimpawu zoshukela ophezulu egazini (i-hyperglycemia) kulula ukuzibona. Futhi zingabonisa inkinga enkulu kakhulu .

Uma unezinye zalezi zimpawu, shayela u-1990 ngokushesha noma uye ekamelweni lezimo eziphuthumayo eliseduze:

• Uma izinga lakho likashukela egazini liphakeme kune-250 mg/dL. (Ungathenga i-blood glucose monitor kunoma iyiphi ikhemisi.)
• Uma unezinhlungu zesisu ezinzima.
• Uma unenkinga yokuhlala uphapheme.
• Uma isikhumba somile.
• Uma ukushaya kwenhliziyo kushesha.
• Uma ukuphefumula kushesha.

Ingabe kuvamile ukuthi abantu abanesifo sikashukela babe ne-glucosuria?

I-Glycosuria ingaba uphawu lwesifo sikashukela esingalashwanga noma esingalawulwa kahle. Kodwa-ke, uma usuthole indlela yokulawula amazinga kashukela egazini lakho, izimpawu ze-glucosuria kufanele ziphele.

I-glucosuria ngokwayo akuyona into okufanele ukhathazeke ngayo. Kodwa-ke, uma kwenzeka kanye noshukela ophezulu egazini, kungaba uphawu lokuthi unesinye isimo esidinga ukwelashwa. Uma ukuhlolwa kukhombisa ukuthi izinga likashukela lomchamo wakho liphezulu, khuluma nodokotela wakho ngalokho okufanele ukwenze ngokulandelayo nokuthi ungazinciphisa kanjani izimpawu zakho. Uma isimo esiyisisekelo seselashwe, izinga likashukela lomchamo wakho kufanele libuyele esimeni esijwayelekile.

Amaphuzu abaluleke kakhulu (Umyalezo Wokuya Ekhaya)

Kulungile, ngakho-ke, kusukela kulokho esikhulume ngakho, lezi yizinto ezibaluleke kakhulu okudingeka uzikhumbule:

• I-Glycosuria ukuba khona koshukela omningi (i-glucose) emchameni.
• Kungaba nezizathu eziningana zalokhu. Izinto ezifana nesifo sikashukela, izinkinga zezinso, kanye nokudla ama-carbohydrate amaningi ngesikhathi esisodwa.
• Izimpawu azibonakali zifana kuwo wonke umuntu. Bheka izinto ezifana nokoma njalo, ukuchama njalo, kanye nokukhathala.
• Ungakhathazeki. Kungatholakala futhi, ezimweni eziningi, kwelapheke ngokwelapha imbangela eyinhloko.
• Uma unokungabaza noma izimpawu, qiniseka ukuthi ubona udokotela. Ngemuva kwalokho ungathola iseluleko nokwelashwa okufanele.
• Ukugcina ukudla okunempilo kanye nendlela yokuphila esebenzayo kusiza ekuvikeleni ezifweni eziningi.

Khumbula, nguwe okufanele uqaphele kakhulu impilo yakho. Uma unezinkinga, buza, uthole, bese uthola ukwelashwa. Khona-ke ungahlala uphilile!

I- Glycosuria, ushukela emchameni, isifo sikashukela, isifo sezinso, i-hyperglycemia, izimpawu, impilo