Isifo sikashukela sinesifo esibonakala ngezinga eliphakeme njalo le-glucose egazini. Isifo sikashukela sokubeletha (HSD) sisodwa njengendlela ehlukile yesifo sikashukela , ngoba iqala ukukhulelwa ngesikhathi sokukhulelwa. Kule nkinga, lokhu kuhlasela kungenziwa kuphela ngesikhathi sokukhulelwa futhi kuphele emva kokubeletha, futhi kungase kube yi-harbinger ye-Type I yesifo sikashukela. Cabanga ngezimbangela, izimpawu zomtholampilo, ukuhlolwa kwengculazi kanye nokwelashwa kwesifo sikashukela somama wesifo sikashukela.
Isifo sikashukela sokubeletha (HSD) ekukhulelweni - izimbangela kanye nezingozi zobungozi
Isizathu esiyinhloko sokushukela kwesifo sikashukela sinciphisa ukuzwela kwamangqamuzana ku-insulin (ukuvimbela i-insulin) ngaphansi kwethonya elikhulu le-progesterone ne-estrogens. Yiqiniso, ushukela ophezulu wegazi ngesikhathi sokukhulelwa awutholakali kubo bonke abesifazane, kodwa kuphela kulabo abanesimo esinqunyiwe (cishe ngo-4-12%). Cabanga ngezici ezingozini zokuphefumula kwesifo sikashukela esinesifo sikashukela (HSD):
- ukukhuluphala ngokweqile noma ukukhuluphala;
- ukutholakala kwesifo sikashukela esihlotsheni esiseduze;
- Isifo sikashukela sokugonywa sitholakale ngesikhathi sokukhulelwa kwangaphambilini;
- ukuzalwa kwezingane ezinesisindo esingaphezu kuka-4 kg kusuka kokukhulelwa kwangaphambilini;
- ukukhipha isisu okuvamile njalo ku-anamnesis;
- ukuzalwa kwezingane ezifile ku-anamnesis.
Izici ze-carbohydrate metabolism ekukhuleni kwesifo sikashukela
Ngokuvamile, ngesikhathi sokukhulelwa, ama-pancreas ahlanganisa ama-insulin amaningi kunabantu abajwayelekile. Lokhu kubangelwa ukuthi ama-hormone wokukhulelwa (estrogen, progesterone) anomsebenzi we-counterinsul, njll. bayakwazi ukuncintisana ne-molecule ye-insulin yokuxhumana nama-receptors eselula. Izimpawu zomtholampilo eziqakatheke kakhulu ziba ngesonto lama-20-24, lapho kuvela enye isakhi esakhiqiza i-hormone - i- placenta , bese izinga lokukhulelwa kwama-hormone liba liphakeme nakakhulu. Ngakho-ke, ziphazamisa ukungena kwamangqamuzana e-glucose angene esitokisini, ehlala egazini. Kulesi simo, amangqamuzana angayitholanga i-glucose, ahlale elambile, futhi lokhu kubangela ukususwa kwe-glycogen esibindi, okuholela ekukhuphukeni okweqanda egazini.
Isifo sikashukela sokugaya - izimpawu
Umtholampilo wesifo sikashukela sokugulisa ufana nesifo sikashukela esikhwameni esingazithwali. Iziguli zikhononda ngomlomo owomile njalo, ukoma, polyuria (ukukhuphuka nokuvama njalo). Abantu abanjalo abakhulelwe bakhathazekile ngobuthakathaka, ubuthongo, nokuntuleka kwesidlo.
Esifundweni selabhuthrikhi, izinga eliphakeme le-glucose egazini kanye nomchamo, kanye nokubonakala kwemizimba ye-ketone emcinini. Ukuhlaziywa ushukela ngesikhathi sokukhulelwa kwenziwa kabili: okokuqala ngesikhathi esisuka emavikini angu-8 ukuya kwangu-12, futhi okwesibili - emavikini angu-30. Uma isifundo sokuqala sibonisa ukukhuphuka kweglucose yegazi, ukuhlaziywa kunconywa ukuba kuphindwe. Esinye isifundo segazi glucose ibizwa ngokuthi i-glucose test tolerance test (TSH). Kulesi sifundo, izinga le-glucose lokuzila liyalinganiswa futhi amahora amabili emva kokudla. Umkhawulo wendabuko kwabesifazane abakhulelwe yilezi:
- 4-5,2 mmol / l - uma uhlolwa ngesisu esingenalutho;
- ayikho ngaphezu kuka-6.7 mmol / l - uma ihlolwe amahora amabili ngemva kokudla.
Ukudla ngesifo sikashukela esithinta isifo sikashukela (HSD)
Indlela eyinhloko yokwelashwa kwesifo sikashukela sokugaya isifo sokudla nokuzivocavoca umzimba. Kusukela ekudleni akufanele kubandakanye wonke ama-carbohydrate angama-digestible kalula (amaswidi, imikhiqizo yefulawa). Kumele kuthathwe indawo ye-carbohydrate eyinkimbinkimbi nemikhiqizo yamaprotheni. Yiqiniso, ukudla okunempilo kowesifazane onjalo kuzothuthukisa isazi sezinsuku.
Ekuphetheni, umuntu akakwazi ukusiza ukusho ukuthi isifo sikashukela esiyisifo esiyingozi siyingozi uma singelashwa. I-HSD ingaholela ekuthuthukiseni i-gestosis esedlule, ukutheleleka komama kanye nesisu, kanye nokuvela kwezinkinga ezijwayelekile zesifo sikashukela (izifo zezinso nezinso).