Uvavanyo lweswekile yegazi

Uvavanyo lweswekile yegazi lilinganisa inani leswekile ebizwa ngokuba yiglucose kwisampulu yegazi lakho.

Iswekile ngumthombo omkhulu wamandla kwiiseli ezininzi zomzimba, kubandakanya iiseli zengqondo. Iswekile sisiseko sokwakha ii-carbohydrate. IiCarbohydrate zifumaneka kwiziqhamo, ukutya okuziinkozo, isonka, ipasta kunye nerayisi. IiCarbohydrate ziguqulwa ngokukhawuleza zibe yiglucose emzimbeni wakho. Oku kunokunyusa inqanaba leglucose yakho.

IiHormone ezenziwe emzimbeni zinceda ukulawula inqanaba leswekile yegazi.

Isampulu yegazi iyafuneka.

Uvavanyo lunokwenziwa ngezi ndlela zilandelayo:

• Emva kokuba ungakhange utye nantoni na ubuncinci iiyure eziyi-8 (ukuzila ukutya)
• Ngalo naliphi na ixesha lomhla (ngokungacwangciswanga)
• Kwiiyure ezimbini emva kokuba usele isixa esithile seswekile (uvavanyo lokunyamezelana ngeswekile yomlomo)

Xa kufakwa inaliti ukutsala igazi, abanye abantu baziva iintlungu eziphakathi. Abanye baziva behlaba okanye behlaba kuphela. Emva koko, kunokubakho ukubetha okanye ukutyumza kancinci. Oku kuya kuhamba kungekudala.

Umboneleli wakho wezempilo unokuyalela olu vavanyo ukuba uneempawu zesifo seswekile. Ngaphezulu kokulindelekile, umboneleli uya kuyalela uvavanyo lokuzila ukutya kweswekile.

Uvavanyo lweglucose lukwasetyenziselwa ukubeka esweni abantu esele benesifo seswekile.

Uvavanyo lunokwenziwa kwakhona ukuba:

• Ukwanda kokufuneka uchame kangaphi
• Kutshanje kufumaneke ubunzima obuninzi
• Umbono omfiliba
• Ukudideka okanye utshintsho kwindlela oqhele ukuthetha ngayo okanye indlela oziphatha ngayo
• Ukuphelelwa ngamandla
• Ukuxhuzula (okokuqala ngqa)
• Ukungabikho zingqondweni okanye isiqaqa

UKUHLAZIYWA KWABASHUKILEYO

Olu vavanyo lunokusetyenziselwa ukukhusela umntu onesifo seswekile.

Iswekile ephezulu yegazi kunye neswekile ayinakho ukubonakalisa iimpawu kumanqanaba okuqala. Uvavanyo lweswekile lwegazi olukhawulezayo luhlala lusenziwa kwisikrini seswekile.

Ukuba ungaphezulu kweminyaka engama-45, kuya kufuneka uvavanywe rhoqo kwiminyaka emi-3.

Ukuba utyebile (isalathiso sobunzima bomzimba, okanye i-BMI, engama-25 okanye ngaphezulu) kwaye unayo nayiphi na imeko yomngcipheko ongezantsi, buza umboneleli wakho malunga nokuvavanywa kwiminyaka engaphambili kwaye rhoqo:

• Inqanaba leswekile yegazi kuvavanyo lwangaphambili
• Uxinzelelo lwegazi lwe-140/90 mm Hg okanye ngaphezulu, okanye amanqanaba e-cholesterol angenampilo
• Imbali yesifo sentliziyo
• Ilungu leqela elinomngcipheko omkhulu (i-Afrika yaseMelika, iLatino, iMelika yaseMelika, iAsia American, okanye isiQithi sePacific)
• Umfazi obekhe wafunyaniswa ukuba unesifo seswekile
• Isifo sePolycystic ovary (imeko apho umfazi enokungalingani kwamahomoni esini sabasetyhini abangela ii-cysts kwii-ovari)
• Isalamane esisondeleyo seswekile (njengomzali, umntakwabo, okanye udade)
• Akasebenzi ngokwasemzimbeni

Abantwana abaneminyaka eli-10 nangaphezulu abatyebe kakhulu kwaye ubuncinci benobungozi obuchazwe apha ngasentla kufuneka bavavanyelwe uhlobo lweswekile yesi-2 rhoqo kwiminyaka emi-3, nokuba abanazimpawu.

Ukuba ubuvavanya uvavanyo lweglucose yegazi, inqanaba eliphakathi kwe-70 kunye ne-100 mg / dL (3.9 kunye ne-5.6 mmol / L) ithathwa njengesiqhelo.

Ukuba uvavanyo lwe-glucose olungenahleliwe, isiphumo esiqhelekileyo sixhomekeke ekubeni ugqibele nini ukutya. Uninzi lwexesha, inqanaba leswekile yegazi iya kuba yi-125 mg / dL (6.9 mmol / L) okanye iphantsi.

Imizekelo engentla ibonisa imilinganiselo eqhelekileyo yeziphumo zolu vavanyo. Amaxabiso esiqhelo ahluka kancinci phakathi kweelebhu ezahlukeneyo. Ezinye iilebhu zisebenzisa imilinganiselo eyahlukeneyo okanye zinokuvavanya iisampulu ezahlukeneyo. Thetha nomboneleli wakho malunga nentsingiselo yeziphumo zakho zovavanyo.

Iswekile yegazi elinganiswa luvavanyo lwegazi oluvela emthanjeni ithathwa njengechanekileyo ukuba iswekile yegazi ilinganiswe ukusuka kumnwe womnwe ngeemitha zeswekile yegazi, okanye iswekile yegazi elinganiswa ngokujonga iswekile eqhubekayo.

Ukuba ubunokuvavanya ukutya kweglucose:

• Inqanaba le-100 ukuya kwi-125 mg / dL (5.6 ukuya kwi-6.9 mmol / L) kuthetha ukuba unengxaki yokungasebenzi ngokuzila ukutya, uhlobo lwesifo seswekile. Oku kwandisa umngcipheko wokuphuhlisa uhlobo lwesifo seswekile.
• Inqanaba le-126 mg / dL (7 mmol / L) okanye ngaphezulu kuthetha ukuba unesifo seswekile.

Ukuba uvavanyo lweglucose lwegazi lungahleliwe:

• Inqanaba lama-200 mg / dL (11 mmol / L) okanye ngaphezulu kuhlala kuthetha ukuba unesifo seswekile.
• Umboneleli wakho uya ku-odola iswekile yegazi yokuzila ukutya, uvavanyo lwe-A1C, okanye uvavanyo lokunyamezelana ngeswekile, ngokuxhomekeke kwiziphumo zovavanyo lweglucose.
• Kumntu onesifo seswekile, iziphumo ezingaqhelekanga kuvavanyo lweswekile yegazi ngokungahleliwe kunokuthetha ukuba isifo seswekile asilawulwa kakuhle. Thetha nomboneleli wakho malunga neenjongo zakho zeswekile yegazi ukuba unesifo seswekile.

Ezinye iingxaki zonyango zinokubangela inqanaba leswekile yegazi ephezulu kuneqhelekileyo, kubandakanya:

• Idlala lengqula eligqithisileyo
• Umhlaza wepancreatic
• Ukudumba nokudumba kwepancreas (pancreatitis)
• Uxinzelelo ngenxa yomothuko, ukubetha, isifo sentliziyo, okanye uqhaqho
• Amathumba aqhelekileyo, kubandakanya i-pheochromocytoma, i-acromegaly, i-Cushing syndrome, okanye i-glucagonoma

Inqanaba leswekile yegazi esezantsi kunesiqhelo (hypoglycemia) inokuba ngenxa:

• I-Hypopituitarism (ingxaki yebhinqa)
• Ukungasebenzi kwe-thyroid gland okanye i-adrenal gland
• Ukudumba kwi-pancreas (insulinoma - kunqabile)
• Ukutya okuncinci kakhulu
• I-insulin eninzi okanye amanye amayeza eswekile
• Isibindi okanye isifo sezintso
• Ukwehla kobunzima emva kotyando lokwehlisa umzimba
• Ukuzilolonga ngamandla

Amanye amayeza anokunyusa okanye anciphise inqanaba leswekile yegazi. Phambi kokuba wenze uvavanyo, xelela umboneleli wakho ngawo onke amayeza owathathayo.

Kubafazi abathile abancinci abancinci, inqanaba leswekile egazini elingaphantsi kwama-70 mg / dL (3.9 mmol / L) inokuba yinto eqhelekileyo.

Akukho mngcipheko ubandakanyekileyo ekuthatheni igazi lakho. Imithambo kunye nemithambo iyahluka ngobukhulu ukusuka komnye umntu ukuya komnye nakwelinye icala lomzimba liye kwelinye. Ukufumana isampulu yegazi kwabanye abantu kunokuba nzima ngakumbi kunabanye.

Eminye imingcipheko enxulumene nokutsalwa kwegazi incinci, kodwa inokubandakanya:

• Ukopha kakhulu
• Ukufa isiqaqa okanye ukuziva ungenantloko
• Ukugqobhoza okuninzi ukufumana imithambo
• I-Hematoma (igazi eliqokelela phantsi kwesikhumba)
• Usulelo (umngcipheko omncinci nangaliphi na ixesha ulusu lwaphukile)

Iswekile yegazi engaqhelekanga; Inqanaba leswekile yegazi; Ukuzila ukutya iswekile yegazi; Uvavanyo lweglucose; Uvavanyo lweswekile - uvavanyo lweswekile yegazi; Iswekile - uvavanyo lweswekile yegazi

• Uhlobo lwe-2 yeswekile- ukubuza ugqirha

• Uvavanyo lwegazi

Umbutho weSwekile yaseMelika. 2. Ukwahlulahlula kunye nokuchonga isifo seswekile: imigangatho yokhathalelo lonyango kwisifo seswekile-2019. Unonophelo lweSwekile. 2019; 42 (iSuppl 1): S13-S28. IINKCUKACHA: 30559228.

IChernecky CC, iBerger BJ. Iswekile, iiyure ezi-2 zasemva kokuyanda-serum yesiqhelo. Ku: IChernecky CC, iBerger BJ, ii-eds. Iimvavanyo zaselebhu kunye neenkqubo zokuqonda isifo. Umhla wesi-6. ISt Louis, MO: Elsevier Saunders; Ngo-2013: 585.

IChernecky CC, iBerger BJ. Uvavanyo lokunyamezelwa kweglucose (GTT, OGTT) -indlela eqhelekileyo yegazi. Ku: IChernecky CC, iBerger BJ, ii-eds. Iimvavanyo zaselebhu kunye neenkqubo zokuqonda isifo. Umhla wesi-6. ISt Louis, MO: Elsevier Saunders; Ngo-2013: 591-593.