Ungalehlisa Kanjani Izinga Loshukela Wegazi Ngokushesha?

Ezweni lanamuhla lezempilo, ukugcina amazinga kashukela egazini kubaluleke kakhulu. Akukhona nje ukuzizwa kahle manje; futhi kumayelana nokuhlala unempilo ngokuhamba kwesikhathi. Abaningi bethu bavame ukuba nombuzo, "Ngilawula kanjani sikashukela?" Lesi sihloko silapha ukuze sikusize uqonde ukuthi wehlisa kanjani izinga likashukela egazini ngokushesha. Sizohlaziya isayensi, sabelane ngamathiphu athile, futhi sikunikeze izeluleko zochwepheshe ukuze ukwazi ukulawula ushukela wakho ngokuzethemba. 

I-glucose, noma ushukela, iwumthombo obalulekile wamandla emzimbeni wakho. Idlala indima ebalulekile ekunikezeni amandla imisebenzi yamaselula futhi inikeze amandla okusebenza kwe-metabolism, ukukhula, nokusebenza komzimba. Kodwa eningi kakhulu egazini lakho kungadala izinkinga ezifana nesifo sikashukela noma ezinye izinkinga zempilo. Yingakho kubalulekile ukuyigcina isezingeni. 

Izici Ezithinta Amazinga Kashukela Egazini

Impendulo yombuzo othi "Indlela yokwehlisa ushukela wegazi" iqala ngokuqonda izici ezithinta amazinga kashukela egazini. 

• Indima yokudla: Ukudla kudlala indima enkulu ekulawuleni amazinga kashukela egazini. Imikhiqizo yokudla egcwele amakhabhohayidrethi alula noshukela ingabangela ukwanda okusheshayo, kuyilapho ama-carbohydrate ayinkimbinkimbi nokudla okunothe nge-fiber kuvame ukuba nomthelela kancane kancane. Ukuqonda inkomba ye-glycemic yokudla kuba semqoka kulabo abahlose ukugcina amazinga eglucose alinganayo. 
• Umsebenzi womzimba nomthelela wawo: Ukuzivivinya umzimba kungenye into ebalulekile ethonya ushukela osegazini. Abantu abajima kancane noma abangazivocavoci nhlobo banamathuba aphezulu okwanda kwamazinga kashukela egazini. Ukuzivocavoca njalo kusiza ukuthuthukisa ukuzwela kwe-insulin, okusho ukuthi amangqamuzana omzimba akwazi kangcono ukusebenzisa ushukela otholakala egazini ukuze abe namandla, ngaleyo ndlela ehlise amazinga kashukela egazi. Kodwa-ke, uhlobo, ubude besikhathi, kanye nokuqina kokuzivocavoca kungase kuthinte amazinga kashukela egazini. 
• Ithonya le ukucindezeleka: Ukucindezeleka kunomthelela omkhulu kodwa ovame ukubukelwa phansi kumazinga kashukela egazini. Ibangela ukukhiqizwa kwamahomoni okucindezeleka (i-adrenaline ne-cortisol), okuholela ekukhuphukeni kwamazinga kashukela egazini. Ukucindezeleka okungapheli kungabangela ukungalingani kwesikhathi eside ekulawuleni ushukela wegazi. 
• Sleep: Ukulala kwekhwalithi kubalulekile ekugcineni ibhalansi yamahomoni, okuhlanganisa ne-insulin, esiza ukulawula ushukela wegazi. Ukuphazamiseka kokulala kungase futhi kuthinte isifiso sokudla nokukhetha ukudla, okungaba nomthelela ekulawuleni ushukela wegazi. 
• Umthelela wokuguqulwa kwama-hormone: Ukushintshashintsha kwama-hormone ngesikhathi sokuthomba, ukuya esikhathini, ukukhulelwa, nokunqamuka kokuya esikhathini kungase kuthinte amazinga kashukela egazini. Amahomoni egilo, amahomoni okukhula, kanye ne-cortisol nakho kungathonya likashukela egazini umthetho.

Ungawehlisa Kanjani Ushukela Wegazi Ngokushesha

• Izinguquko ezisheshayo zokudla: Enye yezindlela eziqondile zokwehlisa amazinga kashukela egazini iwukushintsha ngokushesha ukudla. Ukufaka imikhiqizo yokudla enenkomba ephansi ye-glycemic, njengemifino enamahlamvu, okusanhlamvu okuphelele, nezinye izithelo, kungasiza ukuzinzisa igazi Ukwengeza, ukuhlala unamanzi amaningi ngokuphuza amanzi amaningi usuku lonke kungasiza ekugcineni izinga le-glucose elinempilo. 
• Ukuzivocavoca njengekhambi elisheshayo: Ukwenza ukukhanya kuya ekusebenzeni okulinganiselwe ngokomzimba kunganciphisa ngempumelelo ushukela wegazi ngokushesha. Imisebenzi efana nokuhamba ngokushesha, ukugibela ibhayisikili, noma i-yoga ingakhuthaza imisipha ukuthi idle i-glucose eyengeziwe ukuze ibe namandla, yehlise amazinga kashukela egazini. Umuntu ngamunye kufanele aqaphe amazinga kashukela egazini ngaphambi nangemuva kokuzivocavoca ukuze aqonde umthelela futhi agweme i-hypoglycemia. 
• Ukulungiswa kwemithi kanye ne-insulin: Ukulungisa imithi noma ukuthathwa kwe-insulin kunganciphisa ngokushesha amazinga eglucose aphezulu kulabo abanesifo sikashukela. Ukuqinisekisa ukuphepha nokusebenza ngempumelelo, kufanele wenze le ndlela ngaphansi kokuqondisa kochwepheshe bezempilo. 

Nini Ukuxhumana Nodokotela

Uma amazinga kashukela egazi ehlala ephezulu ngendlela eyingozi naphezu kwalezi zinyathelo noma uma uhlangabezana nezimpawu zamazinga aphezulu kashukela egazini, njengokoma ngokweqile, ukuchama njalo, umbono ongenalutho, ukukhathala, ukuncipha kwesisindo okungaziwa kanye nokutheleleka, kubalulekile ukuthintana nodokotela wakho ukuze uthole isiqondiso. Lezi zimpawu zibonisa ukuthi amazinga kashukela egazini aphakeme ngokuyingozi futhi angadinga ukunakekelwa kwezempilo. 

Udokotela anganikeza iseluleko esihambisanayo, alungise imithi, futhi anikeze ukungenelela okusheshayo uma kunesidingo. 

Uma uhlangabezana nokubonakaliswa okungathi sína njengokuphefumula kanzima, ubuhlungu besifuba, ukudideka, ubuthakathaka obudlulele, noma ukulahlekelwa ukwazi, funa usizo oluphuthumayo lwezokwelapha ngokushesha njengoba lezi zimpawu zingase zibonise ukugula okukhulu, njenge-diabetic ketoacidosis (DKA) noma i-hyperosmolar hyperglycaemic state (HHS), edinga ukwelashwa ngokushesha endaweni yasesibhedlela. 

Liyini ibanga le-Hyperglycemia?

• Amazinga kashukela egazi avamile futhi aphakeme: Amazinga kashukela egazini abhekwa njengejwayelekile lapho amazinga eglucose yokuzila ephakathi kuka-70 kuya ku-99 mg/dL futhi amazinga e-postprandial (2hrs) angaphansi kuka-140 mg/dL. Amazinga angaphezu kwalezi zigaba angase abonise i-hyperglycemia noma i-prediabetes. Umkhawulo we-hyperglycemia: 
• I-Hyperglycemia: I-Hyperglycemia ivamise ukutholakala lapho amazinga kashukela egazini edlula i-180 mg/dL ngemva kokudla noma u-130 mg/dL ngenkathi uzilile. Le mingcele isebenza njengezinkomba zochwepheshe bezokwelapha ukuze bahlole futhi balawule ingozi yezinkinga ezihlobene noshukela ophezulu wegazi. 
• Ukubaluleka kwezigaba ezihlukene: Kubalulekile ukuqaphela ukuthi amazinga kashukela egazini angahluka phakathi kwabantu, ikakhulukazi labo abanesifo sikashukela. Odokotela bavamise ukubeka izinhloso eziqondene nawe ngokusekelwe ezintweni eziningi, okuhlanganisa iminyaka yobudala, ubude besikhathi sesifo sikashukela, kanye nokuba khona kwezinye izimo zezempilo. 

Isiphetho

Ukulawula amazinga kashukela egazini kudinga indlela ehlukahlukene, ehlanganisa ukuguqulwa kokudla, ukuvivinya umzimba njalo, ukulawula ukucindezeleka, nokunamathela eselulekweni sezokwelapha. Ukuqaphela izici ezithonya amazinga e-glucose nokusebenzisa amasu okunciphisa ushukela wegazi ophakeme kungakhuphula kakhulu izinga lempilo futhi kwehlise amathuba okuba nezinkinga ezihlobene nesifo sikashukela. Njengoba uhambo oluya kushukela osegazini olinganiselayo luqondene nomuntu ngamunye, ukufuna isiqondiso sodokotela kuhlala kuyinsika yokuphatha ngempumelelo. Ngakho-ke manje kufanele ukuthi uthole impendulo yokuthi "uwehlisa kanjani amazinga kashukela egazini". 

Imibuzo Evame Ukubuzwa

1. Yikuphi ukudla okuzokwehlisa ushukela wegazi ngokushesha? 

Ukudla okungasiza ukwehlisa ushukela wegazi ngokushesha kuhlanganisa imifino enamaqabunga, amantongomane, imbewu, okusanhlamvu, nokudla okunothe nge-fiber. Lokhu kudla kunenkomba ye-glycemic ephansi futhi kungasiza ukuzinzisa amazinga kashukela egazini. 

2. Ingabe ushukela wegazi ongu-200 ujwayelekile ngemva kokudla?

Izinga likashukela egazini lika-200 mg/dL noma ngaphezulu ngemva kokudla lingabonisa isifo sikashukela noma i-prediabetes. Ukubonana nodokotela ukuze uthole ukuxilongwa okufanele kanye nohlelo lokuphatha kubalulekile. 

3. Liyini izinga likashukela elijwayelekile ngokweminyaka?

Amazinga kashukela ajwayelekile angahluka ngokweminyaka. Izinga le-glucose yokuzila lika-70 kuya ku-99 mg/dL kanye nezinga le-postprandial elingaphansi kuka-140 mg/dL libhekwa njengento evamile kubantu abaningi abadala. Izingane, intsha, kanye nabantu abadala asebekhulile bangase babe nezigaba ezifanele ezihlukene, okufanele kuxoxwe ngazo nodokotela ohlobene.