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Ngawaphi amanqanaba esiqhelo eswekile yegazi?

Ngawaphi amanqanaba esiqhelo eswekile yegazi?Imfundo yezeMpilo

Amanqanaba eswekile yegazi lixabiso leswekile umntu anayo egazini nangaliphi na ixesha. Ukuba namanqanaba eswekile ephezulu okanye asezantsi egazi kunokubonisa imeko esempilweni enokuthi ifune unyango. Sebenzisa oku kujongwa kwinqanaba lamanqanaba eswekile yegazi ukuqonda ukuba amanqanaba eswekile yegazi athetha ntoni.





Ngawaphi amanqanaba esiqhelo eswekile yegazi kubantu abasempilweni?

Amanqanaba eswekile yegazi anokuba yinto yesiqhelo, ephezulu, okanye esezantsi, kuxhomekeke kubungakanani beswekile yegazi egazini labo. Iswekile iswekile elula ekhoyo egazini ngalo lonke ixesha. Amanqanaba eswekile yegazi aqhelekileyo anokulinganiswa xa umntu ezila ukutya, esitya, okanye emva kokuba etyile. Inqanaba eliqhelekileyo leglucose kubantu abadala, ngaphandle kweswekile, abangakhange badle ubuncinci iiyure ezisibhozo (ukuzila ukutya) kunjalo ngaphantsi kwe-100 mg / dL . Inqanaba leswekile yegazi eliqhelekileyo kubantu abadala, ngaphandle kweswekile, kwiiyure ezimbini emva kokutya ngama-90 ukuya kwi-110 mg / dL.



Izinto ezininzi zichaphazela amanqanaba eswekile yegazi imini yonke:

  • Uhlobo lokutya okutyiweyo, kangakanani, nini
  • Umsebenzi womzimba
  • Amayeza
  • Iimeko zonyango
  • Ubudala
  • Uxinzelelo
  • Ukuphelelwa ngamanzi emzimbeni
  • Isigulo
  • Ukuya exesheni
  • Utywala

Inqanaba elifanelekileyo leswekile yegazi kuye nakubani na ngaphandle kweswekile okanye i-prediabetes, nokuba ungakanani na, kusasa kufuneka ibe ngaphantsi kwe-100 mg / dL. Khumbula, amanqanaba eswekile yegazi anokutshintsha imihla yonke ngenxa yezinto ebezikhankanyiwe ngaphambili.

Iitshathi zenqanaba leswekile yegazi kwabo banesifo seswekile

Amanqanaba eswekile esiqhelekileyo egazi, kwabo banesifo seswekile, aya kwahluka ngokuxhomekeke kubudala bomntu nexesha losuku. Makhe sijonge ukuba amanqanaba eswekile yegazi kufuneka abe yintoni, kwabo banesifo seswekile, ngokusekwe kwiminyaka yabo.



Amanqanaba eswekile eqhelekileyo egazini ebantwaneni

Umncinci kuneminyaka emi-6 ubudala mg / dL
Ukuzila ukutya 80-180
Ngaphambi kokutya 100-180
Iiyure ezingama-1-2 emva kokutya ~ 180
Ixesha lokulala 110-200

Abantwana abangaphantsi kweminyaka emi-6 ubudala kufuneka babe namanqanaba eglucose egazini aqala malunga I-80 ukuya kwi-200 mg / dL Usuku ngalunye. Olu luhlu luthathwa ngokuba lusempilweni, kwaye isixa se-glucose emzimbeni womntwana siya kutshintsha ukusuka kwixesha lokuvuka kwabo emva kokuba betye ukutya kwaye kwakhona ngaphambi kokulala. Ngesi sizathu, abantwana abanesifo seswekile okanye iziqendu ze-hypoglycemic banokuba nazo kuvavanywa amanqanaba eswekile yegazi ezinzulwini zobusuku ngabazali babo.

Amanqanaba eswekile yegazi aqhelekileyo kulutsha

Ubudala be-6-12 mg / dL
Ukuzila ukutya 80-180
Ngaphambi kokutya 90-180
Iiyure ezingama-1-2 emva kokutya Ukufikelela kwi-140
Ixesha lokulala 100-180

Abantwana abaneminyaka emi-6 ukuya kweli-12 kufuneka babe namanqanaba eswekile yegazi aphakathi kwe-80 ukuya kwi-180 mg / dL ngaphezulu kosuku. Amanqanaba eswekile yegazi ayenyuka emva kokutya isidlo kuba umzimba wophula ii-carbohydrate kwi-glucose, ethi ihanjiswe kulo lonke igazi. Ukugcina iswekile yegazi lomntwana ekunyukeni kakhulu ngaphambi kokuba alale, ngakumbi ukuba unesifo seswekile, zama ukunciphisa amashwamshwam phambi kokuba alale.

Ezinxulumene: Iingcebiso zokulala kubantwana abanesifo seswekile

Amanqanaba eswekile yegazi aqhelekileyo kulutsha

Ubudala 13-19 mg / dL
Ukuzila ukutya 70-150
Ngaphambi kokutya 90-130
Iiyure ezingama-1-2 emva kokutya Ukufikelela kwi-140
Ixesha lokulala 90-150

Abakwishumi elivisayo kufuneka babenamanqanaba eswekile yegazi aphakathi kwe-70 ukuya kwi-150 mg / dL ngexesha losuku lwabo. Iminyaka yeshumi elivisayo inokuba yeyona nto inzima kakhulu kubantu abakwishumi elivisayo abanesifo seswekile ukulawula kuba ukulawula isifo seswekile kufuna uxanduva kunye nolawulo lokuziphatha olungaqhelekanga kulutsha oluninzi. Ulutsha kufuneka lujolise ekugcineni amanqanaba eswekile yegazi phakathi kwe-70 ukuya kwi-150 mg / dL imini yonke ngokubukela ukutya abakutyayo, ukuzilolonga, nokuthatha amayeza abo eswekile ukuba banayo.

Amanqanaba eswekile eqhelekileyo yegazi kubantu abadala

Iminyaka engama-20 + ubudala mg / dL
Ukuzila ukutya Ngaphantsi kwe-100
Ngaphambi kokutya 70-130
Iiyure ezingama-1-2 emva kokutya Ngaphantsi kwe-180
Ixesha lokulala 100-140

Abantu abadala abaneminyaka engama-20 okanye ngaphezulu baya kuba namanqanaba eswekile egazini aphakathi kwe-100-180 mg / dL ngaphezulu kosuku. Xa uvuka kusasa, iswekile yegazi lakho lokuzila kufuneka ibe sezantsi kuba awukutyanga ukutya malunga neeyure ezisibhozo. Ukuba umdala kwaye unengxaki yokulawula iswekile, umboneleli wakho wezempilo unokukunceda ukuba ube nesicwangciso sonyango sokulawula iswekile yegazi lakho ngcono.

Amanqanaba eglucose egazi ngaphandle kwezi zigaba zidweliswe apha ngasentla zahlulwe njengaseswekile ephezulu yegazi okanye esezantsi. Amanqanaba eswekile yegazi athathelwa phezulu ukuba angaphezulu kwe-130 mg / dL ngaphambi kokutya okanye i-180 mg / dL kwiyure enye ukuya kwezimbini emva kwesidlo. Abantu abaninzi abayi kuqala ukufumana iimpawu ezivela kwiswekile ephezulu yegazi de amanqanaba abo abe 250 mg / dL okanye ngaphezulu . Elona zinga liphezulu leswekile yegazi elithathwa ngokuba likhuselekile liya kuxhomekeka emntwini nokuba unesifo seswekile, kodwa iya kuba phakathi kwe-160 ukuya kwi-240 mg / dL.

Iimpawu zeswekile esezantsi yegazi

Hypoglycemia kwenzeka xa amanqanaba eglucose esehla kakhulu. Iswekile esezantsi yegazi inokubangelwa zizinto ezininzi kubandakanya iintlobo ezimbini ezahlukeneyo zesifo seswekile, amayeza athile, utywala, iingxaki ze-endocrine, ukuphazamiseka kwindlela otya ngayo, ukukhulelwa (isifo seswekile sokukhulelwa), kunye nokuphazamiseka kwesibindi, izintso, okanye intliziyo.

Nazi ezinye zeempawu eziqhelekileyo umntu anokufumana iswekile esezantsi yegazi:

  • Ubumhlophe
  • Ukuba nesiyezi
  • Ukudideka
  • Ukucaphuka
  • Ukuxakeka
  • Uvalo
  • Ixhala
  • Ukugodola
  • Ukubila
  • Ukubamba
  • Ukuba nenqanaba lentliziyo elikhawulezayo
  • Ulusu oluthuthu
  • Indlala
  • Ukulala
  • Ukufa isiqaqa
  • Imilebe ekrwitshiweyo

Ukuba iswekile esegazini lakho iphantsi ungaqala ukuziva ezinye zeempawu zokuqala zehypoglycemia enesiyezi, ukuba nentloko elula, okanye ukubila. Ekuphela kwendlela yokwazi ngokuqinisekileyo ukuba iswekile yegazi lakho isezantsi kukuyivavanya ngo imitha yeswekile okanye enye isixhobo esweni iswekile.

Ukuba awukwazi ukufikelela kwezi zixhobo kwaye uqale ukuziva iimpawu zeswekile esezantsi yegazi, yidla Iigrama ezili-15 carbs okanye uthathe inyibilike ngokukhawuleza ipilisi ye-glucose ukunyusa amanqanaba eswekile yegazi kunye nokuphepha ezinye iimpawu, ngokwe American Diabetes Association (ADA). Nje ukuba iswekile yakho yegazi ibuyele kuluhlu lwayo ekujoliswe kulo, unokuba nokutya okulula okanye isidlo ukuze uqiniseke ukuba ayiphinde yehle.

Nazi ezinye iindlela zokuphila kunye nonyango olunokunceda ukunyanga i-hypoglycemia:

  • Yitya ukutya okusempilweni okugcweleyo ukutya konke ezenziwa kancinci.
  • Thatha kwisifo seswekile okanye amayeza seswekile njengoko kucetyisiwe ngumboneleli wakho wezempilo.
  • Sebenzisa ikiti yeglucagon kwimeko zonxunguphalo. IGlucagon yincindi yedlala ephakamisa amanqanaba eswekile yegazi ngokukhawuleza.

Iimpawu zeswekile yegazi ephezulu

Hyperglycemia ligama lonyango kwiswekile ephezulu yegazi. I-Hyperglycemia yenzeka xa umzimba ungenayo i-insulin eyaneleyo okanye xa ungakwazi ukusebenzisa i-insulin ngokuchanekileyo. Izinto ezininzi zinokubangela amanqanaba aphezulu eswekile yegazi afana Uhlobo lwe-1 yeswekile Uhlobo lwe-2 yeswekile, uxinzelelo, ukugula, okanye into yokusa . Ukuba une-hyperglycemia okanye ukrokrela ukuba unayo, ukuthetha nomboneleli wezempilo kuhlala kungumbono olungileyo. Ugqirha unokukunceda ubone ukuba yintoni ebangela amanqanaba eswekile yegazi lakho kwaye uyithobe kuluhlu olusempilweni.

Nazi ezinye zeempawu eziqhelekileyo ezinokubonisa i-hyperglycemia:

  • Ukudinwa
  • Ukuchama rhoqo
  • Intloko ebuhlungu
  • Umbono omfiliba
  • Kunzima ukugxila
  • Ukwanda ukoma
  • Ukuhla ukusinda

Ukunganyangwa kwe-hyperglycemia kunokukhokelela kwimeko ebizwa ngokuba yi-ketoacidosis yeswekile. I-Ketoacidosis kulapho umzimba udala iimveliso zenkunkuma ezibizwa ngokuba zii-ketone ezinokwakha egazini kwaye zisongela ubomi. Iimpawu ze ketoacidosis zibandakanya:

  • Intlungu zesisu
  • Ubukho beetoni
  • Ukuhlanza
  • Ukudinwa
  • Ukulahleka kombono (kwiimeko ezinqabileyo)

Kuya kufuneka ufune unyango kwangoko ukuba iswekile yegazi lakho ifikelela kuma-400 mg / dL okanye ngaphezulu.

Xa abaguli befumana nakuphi na kwezi kuhamba kunye namanqanaba eswekile egazi aphakamileyo, abaguli abanesifo seswekile bayacetyiswa ukuba baye ngqo kwi-ER ukuthintela ikhoma enokubangelwa sisifo seswekile, utshilo uVikram Tarugu, MD, ugqirha wesisu kunye ne-CEO ye I-Detox yaseMzantsi Florida . Izigulana eziphakamise iswekile yegazi nazo zinokuza nomoya opholileyo, onjenge-ketone.

Nazi ezinye iinguqulelo kwindlela yokuphila kunye nonyango olunokunceda ukunyanga i-hyperglycemia:

  • Yityaiphela, ukutya okuneswekile esezantsizenziwe kancinci ukugcina inani leswekile emzimbeni kwinqanaba elisezantsi.
  • Yenza umthambo kuphela ukuba akukho ketoni zikhona egazini. Ungajonga ukuba uneetoni ngovavanyo lomchamo okanye imitha yeswekile yegazi.
  • Sela amanzi amaninzi ukunceda umzimba wakho ususe iswekile kumchamo wakho.
  • Lungisa i- insulin . Umboneleli wakho wokhathalelo lwempilo unokukunceda ufumane iidosi ezichanekileyo ze-insulin xa iswekile yegazi lakho inyuka okanye isihla.
  • Thatha amayeza ngokweengcebiso zomboneleli wakho wezempilo. Amanye amayeza aqhelekileyo amiselweyo eswekile ephezulu yegazi IMetformin HCl , IGlipizide , kunye IGlyburide .

Uza kubona nini umboneleli wezempilo

Ukufumana iingcebiso zonyango kumboneleli wezempilo njenge-endocrinologist yeyona ndlela ifanelekileyo yokufunda ngakumbi malunga nokuba amanqanaba eswekile yegazi akho apho kufanele ukuba abe khona. Ukungafumani unyango olufanelekileyo kumanqanaba eswekile esezantsi okanye aphezulu egazi kunokuba nzima kwaye kukhokelele kwiingxaki zempilo, ngakumbi kwabo banesifo seswekile. Iingxaki zesifo seswekile zibandakanya ukonakala kwentliziyo, isifo sezintso, isifo sentliziyo, okanye isifo sentliziyo.

Ukuba ubona umboneleli wezempilo malunga namanqanaba eswekile yegazi, zilungiselele ukuphendula imibuzo malunga nemingcipheko enje ngento oyityayo, ubungakanani bomthambo owenzayo, kunye nembali yosapho lwakho. Abanye ababoneleli ngezempilo banokufuna ukuthatha isampulu yegazi ukuvavanya amanqanaba eswekile yegazi. Banokuyalela i Uvavanyo lwe-A1C Luvavanyo lwegazi olulinganisa amanqanaba eswekile yegazi kwiinyanga ezininzi. Kuya kufuneka ukhawuleze ngaphambi kweeyure ezisibhozo ngaphambi kokuba ufumane iziphumo zovavanyo ezichanekileyo, ke kusoloko kungumbono olungileyo ukujonga ngaphambi kwedinga lakho.

Ukuba inqanaba leswekile yegazi lakho lingaphezulu kwe-250 mg / dL, kuya kufuneka uye kwi-ER ukuze ufumane unyango kwangoko, utshilo uGqirha Tarugu. Amagumbi kaxakeka axhotyiswe ukuphatha amanqanaba aphezulu eswekile yegazi kwaye anokuhambisa unyango olufana nonyango lwe-insulin kunye nolwelo okanye i-electrolyte.