Kusankha kuyezetsa magazi kwa shuga (glucose)

Kusanthula shuga m'magazi ndi chizindikiro chodalirika komanso chofunikira kwambiri chokhudza thanzi la anthu omwe ali ndi matenda ashuga. Kuwerengetsa kuyezetsa magazi kwa shuga ndikofunikira kuti mumvetsetse momwe zinthu zilili ndi matenda osokoneza bongo monga matenda a shuga, chifukwa nthawi zambiri pamakhala popanda zizindikiro.

Kodi kuyezetsa magazi kwa shuga kumawonetsa chiyani

Odwala omwe ali ndi matenda ashuga, kuyezetsa magazi kumachitika, mosasamala mtundu wa shuga. Kuyesedwa kwa magazi kumakupatsani mwayi wofufuza momwe matenda a metabolic amathandizira ndikusankha njira zoyenera kuchitira wodwala matenda ashuga. Kusanthula kumawunikira zizindikiro monga glucose m'madzi a m'magazi, komanso kuchuluka kwa hemoglobin ya glycated.

Glucose ndiye gwero lalikulu komanso lofunikira kwambiri lamphamvu kuzinthu zonse za thupi, makamaka ubongo. Nthawi zambiri, kusanthula kumatsimikizira glucose pamtunda kuchokera 3mmol / l mpaka 6 mmol / l, omwe ndi mphamvu zolimbitsa thupi za glycemia. Glucose imatha kuyezedwa onse m'magazi a capillary, pogwiritsa ntchito mini-glucometer, komanso m'magazi a venous pogwiritsa ntchito chosanthula cha stationary. Kuchuluka kwa shuga m'magazi a capillary magazi ndi venous amatha kusiyanasiyana pang'ono, pafupifupi, pafupifupi shuga 1mmol / l ndikuloledwa.

Kudziwitsa kuchuluka kwa shuga mu labotale yazachipatala pogwiritsa ntchito chosanthula chaumwini

Kodi shuga ndi chiyani?

Mwazi wamagazi ndiye chisonyezo chachikulu chomwe chikuwonetsa ntchito ya kagayidwe kazakudya m'thupi la munthu. Kuwonongeka kwathunthu kwa ziwalo ndi machitidwe kumayambitsa kagayidwe kazakudya m'thupi, kotero kuti mwa kuchuluka kwa glucose mu plasma ndi hemoglobin, munthu akhoza kuweruza magwiridwe antchito a ziwalo ndi machitidwe monga kapamba, chiwindi, ndi dongosolo la neurohumoral.

Chofunikira kwambiri ndikuwunika shuga wa plasma mwa anthu omwe ali ndi matenda osiyanasiyana a shuga. Mu matenda a shuga, pali kuphwanya kupanga kwa insulin - ndiye mahomoni omwe amachititsa kuti shuga azigwiritsidwa ntchito, zomwe zimapangitsa kuti magazi azikundana, pomwe maselo amthupi amayamba kufa ndi njala ndikusowa mphamvu. Kwa odwala omwe ali ndi matenda a shuga omwe amadalira insulin, kuwunika magazi glycemia ndikofunikira, chifukwa kuchuluka kwa insulin kapena kuchepa kwake kumakhudza kwambiri kupitirira kwa shuga. Pokhapokha popanga shuga nthawi zonse shuga amatha kusungidwa bwino kwambiri.

Malamulo Akuyang'anira

Kuti muwonjezere kulondola kwa zotsatira za kusanthula ndikupeza chidziwitso chofunikira kwambiri pakupanga magazi, musanapereke kusanthula, ndikofunikira kutsatira malamulo ena:

• M'pofunika kusiya kumwa zakumwa zoledzeretsa ndi zakumwa zoledzeretsa pafupifupi tsiku lisanachitike kusanthula. Mowa umakhudza kwambiri kapangidwe ka magazi.
• Ndikulimbikitsidwa kuti mudye chakudya chanu chomaliza maola 10 musanakumane ndi mayeso a shuga, i.e. pamimba yopanda kanthu. Nthawi yomweyo, kumwa madzi opanda madzi popanda zowonjezera sikuletsedwa.
• Patsiku la mayeso achangu mwachindunji, muyenera kudumpha kutsuka m'mawa, chifukwa mano ambiri ali ndi shuga omwe amatha kulowa m'mimba. Kutafuna mano kumafanana.

Magazi am'manja

Zimalola kuti munthu azindikire msanga kuchuluka kwa shuga m'magazi a m'magazi a m'mapapo a capillary, omwe siachidziwikire kwambiri, koma chidziwitso chofunikira. Njira imeneyi ndi yotheka kunyumba. Pazofufuza zam'nyumba zoterezi, pali magawo osiyanasiyana a shuga a magazi onyamula. Komabe, kuwongolera koteroko kunyumba, ndikofunikira kuyang'anira njira zamayendedwe a mita, chifukwa kuyika mizere yotseguka kumayambitsa kusayenerera kwawo. Onetsetsani kuti mukutsatira mosamalitsa zofunikira zaukadaulo ndi malangizo omwe adabwera ndi mita!

M magazi a vein

Kuphatikiza magazi kwa venous kumachitika pang'onopang'ono kapena potayira, i.e. kuchipatala. Magazi ochokera m'msempha amatengedwa ndi kuchuluka kwa 3-5 ml. Magazi ambiri amatengedwa ndikofunikira kuti adziwe kuchuluka kwa magazi mu chosakanizira chokha. Pulogalamu yojambula yokha imakuthandizani kuti mupeze zambiri zolondola pamlingo wa glycemia.

Njira yotenga magazi a venous kuti azindikire kuchuluka kwa glucose siyosiyananso

Mitundu yazotsatira

Kuti mumasulire bwino kusanthula, muyenera kudziwa kuchuluka kwa kuchuluka kwa shuga komanso kuchuluka kwake komwe amayeza. M'mitundu yambiri yokhala ndi zotsatirapo, magawo azomwe amakhala ndi zinthuzo amakhala pafupi ndi zomwe zapezeka kuti ndizosavuta kuyendera manambala ndi zotsatira.

Mwazi wamagazi

Kodi glucose amtundu wanji? Ngati zonse zili zomveka bwino ndi glucometer - zimangowonetsa zokhudzana ndi glucose, ndiye kuti zinthu zimakhala zovuta kwambiri ndi owunika pokhapokha, popeza kuchuluka kwazinthu zambiri kumatsimikiziridwa pakuwunika kwa biochemical. Pamafamu a shuga amasonyezedwa, koma pa owunika akunja amasankhidwa kuti shuga monga GLU, yemwe kuchokera ku Chilatini amatanthauza shuga. Mlingo wabwinobwino wa glycemia umachokera pa 3,33 mpaka 6.5 mmol / l - izi ndizofanana ndi zachikulire. Mwa ana, miyambo ndi yosiyana pang'ono. Amakhala otsika kuposa akuluakulu. Okuva ku 3,33 okutuuka ku 5.55 - mu baana abato omwaka wa pulayimale, ne mu baana abato - okuva ku 2,7 okutuuka ku 4.5 mmol / l.

Ndikofunikira kudziwa kuti omwe amasanthula makampani osiyanasiyana amatanthauzira mosiyana, koma zikhalidwe zonse zimakhalabe mkati mwa 1 mmol / l.

Ngakhale nthawi zambiri shuga m'magazi amayesedwa mol / l poyesa magazi, mayunitsi ena monga mg / dl kapena mg% angagwiritsidwe ntchito mwa ena openda. Kutanthauzira izi kukhala mol / L, ingogawani zotsatila ndi 18.

Tebulo likuwonetsa miyezo yolimbikitsa ya shuga.

Zotsatira pansipa

Momwe kuchuluka kwa shuga m'magazi kumagwera m'munsi mwa thupi, matendawa amatchedwa hypoglycemia. Zimathandizirana ndi mawonekedwe azikhalidwe. Munthu amakhala ndi vuto la kufooka, kugona komanso kumva njala. Zifukwa zochepetsera shuga zitha kuphatikizaponso:

• kusowa kwa chakudya kapena kusowa kwa chakudya cham'madzi;
• mlingo wosankhidwa wa insulin;
• Hypersecretion wa insulin;
• zolimbitsa thupi;
• matenda a neurohumoral;
• kuwonongeka kwa chiwindi.

Zotsatira Zapamwamba

Pa plasma glucose yokhazikika pazabwino zonse, zomwe zimachitika monga hyperglycemia. Hyperglycemia ikhoza kukhala yogwirizana ndi zotere:

• kuphwanya malamulo opereka magazi;
• kupsinjika kwa m'maganizo kapena kwakuthupi panthawi yoyesedwa;
• zovuta za endocrine;
• kapamba (kutupa kwa kapamba);
• poyizoni.

Ma Assona a Glucose Ofunika

Kwa endocrinologists, popanga njira zoyendetsera wodwalayo, palibe chidziwitso chokwanira pakukula kwa shuga m'magazi a zotumphukira, chifukwa izi, odwala matenda a shuga amakhala ndi kuyesedwa kwapadera kwa magazi chifukwa cha shuga, momwe magawo monga glycosylated kapena glycated hemoglobin, kuyesedwa kwa glucose kumayesedwa.

Glycated hemoglobin ndiye kuchuluka kwa shuga monga kuchuluka kwa mapuloteni am'magazi. Zomwe zimaganiziridwa zimawerengedwa kuti 4,8 - 6% ya kuchuluka kwa mapuloteni onse. Glycated hemoglobin ndi chisonyezo cha kagayidwe kazachilengedwe m'thupi miyezi 3 yapitayo.

Chiyeso chololera chimachitika kwa odwala onse omwe ali ndi matenda osokoneza bongo omwe amawayikira, ndipo zimakhazikitsidwa pakuyesa kwa kupsinjika ndi glucose ndikutsimikiza kwamisempha nthawi inayake 60, 90 ndi 120 maminiti kuyambira pakugwiritsa ntchito 75 g ya shuga.