Ukuhlolwa kwe-Post-prandial Blood Sugar (PPBS) kukhombisa ukuthi umzimba wakho uwuphatha kanjani ushukela ngemuva kokudla. Lokhu kunikeza imininingwane ebalulekile empilweni yakho ye-metabolic. Ukusabela komzimba wakho kuma-carbohydrate ngesikhathi sokugaya kubonisa kangcono kulokhu kuhlolwa kunasekuhlolweni kokuzila ukudla. Ukuhlolwa ushukela wegazi ngemva kokudla kudlala indima ebalulekile empilweni ye-metabolic.

Izinga lakho le-glucose egazini ngemuva kokudla nalo liyisici esibalulekile esiyingozi Isifo senhliziyo. Lokhu kuyinto enkulu njengoba kusho ukuthi ukufundwa kwangemuva kokudla kubaluleke kakhulu kunokulinganisa i-glucose yokuzila ukudla. 

Lo mhlahlandlela ophelele uchaza konke mayelana nezinga likashukela we-post-prandial. Uzofunda futhi ngezinyathelo zokuzilungiselela nokuthi ungayiqonda kanjani imiphumela yakho ukuze uqaphe impilo yakho ye-metabolic kangcono.

Iyini i-Post-prandial Blood Sugar?

Ushukela wegazi we-post-prandial usho inani le-glucose egazini lakho ngemva kokudla. "I-Post-prandial" isho nje "ngemuva kokudla." Odokotela bayakala amazinga kashukela amahora amabili ngqo ngemva kokuqala ukudla kwakho. Umzimba wakho uphula ama-carbohydrate abe yi-glucose engena egazini lakho ngesikhathi sokugaya. Amanyikwe akhipha i-insulin ukusiza amaseli akho ukuthi asebenzise le glucose ukuze athole amandla noma ayigcine.

Ukuhlolwa kwegazi kwe-PPBS kubonisa ukuthi le nqubo isebenza kanjani. Ushukela osegazini kubantu abangenaso isifo sikashukela uqala ukukhuphuka emizuzwini eyi-10 ngemuva kokudla. Iphakama cishe imizuzu engama-60 kamuva futhi ibuyela kokujwayelekile phakathi namahora angama-2-3. Abantu abane sikashukela noma ukumelana ne-insulin kubonisa iphethini ehluke kakhulu.

Kufanele Uwuthole Nini Ushukela Wegazi We-Post-Prandial?

Uhlobo lwento okufanele lukwenze ucabange ngokuthola ukuhlolwa kwe-PPBS luhlanganisa:

• Ukuvuthwa njalo
• Ukoma okungajwayelekile
• Umbono ophundlekile
• Ukukhathala okuqhubekayo
• Ukutheleleka okuphindaphindiwe
• Izilonda eziphola kancane

Odokotela bavame ukusikisela lokhu kuhlolwa uma:

• Iba nesifo sikashukela emlandweni womndeni wakho
• Ingabe ukhuluphele noma obese
• Yiba nomfutho wegazi ophakeme noma i-cholesterol
• Ingabe owesifazane nge I-PCOS
• Thatha imithi yesikhathi eside ye-steroid
• Ngaphambilini nganginoshukela wegazi osheshayo
• Ungawuvivinyi umzimba kakhulu

Abesifazane abakhulelwe badinga lokhu kuhlolwa ukuze bahlole isifo sikashukela sokukhulelwa esingavela ngesikhathi sokukhulelwa.

Kungani Ngidinga Ukuhlolwa Koshukela Wegazi Kwangemva kwe-Prandial?

Ukuhlolwa kwe-PPBS kunemisebenzi embalwa ebalulekile:

• Ukuhlolwa kusiza ukuhlonza i-prediabetes kanye nezinhlobo ezahlukene zesifo sikashukela (Uhlobo 1, Uhlobo 2, nokukhulelwa). Ngaphezu kwalokho, kuyasiza ekuboneni ingozi yakho yesifo senhliziyo.
• Abantu asebezazi ukuthi banesifo sikashukela basebenzisa ukuhlolwa ukuze babone ukuthi ukwelashwa kwabo kuyasebenza yini. Imiphumela ibonisa ukuthi ingabe imithi yabo yamanje, umthamo we-insulin, noma izinguquko zendlela yokuphila ziyawenza yini umehluko.
• Ngaphezu kwalokho, kubonisa ukuthi umzimba wakho ukuphatha kanjani ukudla okuthile. Lokhu kusiza odokotela bakunike iseluleko esiqondene nawe mayelana Ukudla nokuzivocavoca.

Inqubo yokuhlolwa kwe-Post-Prandial Blood Sugar

Isivivinyo sisebenza kanje:

Uqala ngokudla ukudla okuvamile ngenani lakho elijwayelekile lama-carbohydrate. Amahora amabili ngemva kokuqala ukudla, i-phlebotomist ithatha isampula yegazi. Isikhathi sibalulekile ngoba amazinga eglucose ezigulini ezinesifo sikashukela avame ukuba phezulu ngaleso sikhathi.

Izinyathelo zokuqoqa igazi zihlanganisa:

• I-phlebotomist ithola umthambo omuhle bese ihlanza indawo
• Bafaka inaliti ukuze bakhiphe igazi
• Igazi lingena ebhodleleni ukuze lihlolwe elebhu
• Uthola ibhandishi khona lapho

Ngokuvamile uzothola imiphumela yakho emahoreni angu-1-2.

Uzilungiselela Kanjani Ukuhlolwa Koshukela Wegazi Wange-Post-Prandial?

Umsebenzi wokulungiselela ulula kodwa ubalulekile:

• Yidla lokho obuvame ukukudla ngenani lakho elijwayelekile lama-carbohydrate. Ukuhlolwa kudinga ukubona ukuthi umzimba wakho ukuphatha kanjani ukudla okuvamile. 
• Ungadli noma uphuze noma yini enye phakathi namahora amabili phakathi kokudla kwakho nokudonsa igazi.
• Gwema ukuzivocavoca futhi uzame ukuhlala uzolile ngesikhathi sokulinda. Kokubili ukucindezeleka nokusebenza ngokomzimba kungashintsha ushukela wakho wegazi. 
• Uma uthatha umuthi wesifo sikashukela, buza udokotela wakho mayelana nokubeka isikhathi nokuhlolwa ukuze uthole imiphumela enembile.
• Ungakwazi ukuphuza amanzi ngaphambi kokuhlolwa.

Amanani wemiphumela ye-Post-Prandial Blood Sugar

Izinga likashukela wegazi we-Post-prandial liyashintsha ngokweminyaka yobudala:

• Abantu abadala abangaphansi kweminyaka engama-50: Ngaphansi kuka-140 mg/dL
• Abantu abadala 50-60: Ngaphansi kuka-150 mg/dL
• Abantu abadala abangaphezu kweminyaka engama-60: Ngaphansi kuka-160 mg/dL

Nakhu okujwayelekile emaqenjini ahlukene:

• Abantu abadala abangenaso isifo sikashukela: Ngaphansi kuka-140 mg/dL
• Abantu abadala abanesifo sikashukela: Ngaphansi kuka-180 mg/dL
• Abesifazane abakhulelwe abanesifo sikashukela: Ngaphansi kuka-120 mg/dL
• Izingane ezingaphansi kweminyaka engu-6: Kufika ku-180 mg/dL ngemva kokudla
• Iminyaka engu-6-12: Kufika ku-140 mg/dL ngemva kokudla
• Intsha (13-19): Kufika ku-140 mg/dL ngemva kokudla

Isho Ukuthini Imiphumela Engavamile

Imiphumela engaphandle kobubanzi obujwayelekile ikhomba izinkinga ezihlukene:

• Ukufundwa okuphezulu (140-199 mg/dL) kungase kusho i-prediabetes. Lokhu kukhombisa ukuthi umzimba wakho awuwuphathi ngendlela efanele i-glucose. Ngaphandle kokwelashwa, amathuba okuba nesifo sikashukela sohlobo 2 ayenyuka.
• Ukufundwa noma ngaphezulu kuka-200 mg/dL ngemva kwamahora amabili kusho ukuthi unesifo sikashukela. Umzimba wakho udonsa kanzima ukulawula ushukela egazini, futhi uzodinga usizo lwezokwelapha.
• Kwesinye isikhathi amazinga e-post-prandial ehla ngaphansi kwamazinga okuzila. Lo mphumela ongajwayelekile ungase usho i-hypoglycemia esebenzayo, izinkinga zokuzwela kwe-insulin, i-glucagon-like peptide-1 eningi kakhulu, noma izinkinga zamahomoni aphikisayo. Izinkinga zokugaya ukudla ezifana ne-gastroparesis nazo zingenza amazinga kashukela egazini angabikezeleki.
• Ukufundwa okuphezulu kwe-post-prandial okungathuthuki kungaholela ezinkingeni ezibucayi zezempilo. Lokhu kuhlanganisa isifo senhliziyo, ukulimala kwezinso, izinkinga zezinzwa, nezinkinga zamehlo. Ukuhlola njalo kubalulekile uma unesifo sikashukela noma ungase ube naso.

Isiphetho

Amazinga kashukela egazini ngemva kokudla atshela okuningi mayelana nempilo yakho ye-metabolic. Ukuhlola njalo kungathola izimpawu zokuqala ze-prediabetes noma isifo sikashukela ngaphambi kokuba kube nezinkinga. Lezi zilinganiso zembula okuningi mayelana nendlela umzimba wakho osebenza ngayo i-glucose uma kuqhathaniswa nokuhlolwa kokuzila ukudla kuphela.

Ukuhlolwa kwe-PPBS kulula kodwa kuyasebenza. Udinga nje ukudla ukudla okuvamile, ulinde amahora amabili, bese udonsa igazi lakho. Imiphumela ibonisa ukuthi umzimba wakho uwaphatha kahle kangakanani ama-carbohydrates ngesikhathi sokugaya.

Ukuhlola okuvamile kwangemva kokudla kuzuzisa abantu asebevele benesifo sikashukela. Lokhu kubasiza ukuthi babuyekeze ukuthi izinhlelo zabo zokwelapha zamanje ziyasebenza yini noma zidinga izinguquko. Odokotela bangasebenzisa le datha ukuze benze izincomo zokudla okuqondene nomuntu ngamunye ngokusekelwe ezimpendulo zomzimba wakho.

Ukulawula ushukela egazini kusho okungaphezu nje kwezinombolo zokulandelela. Ukuhlolwa ngakunye kudala isithombe esicacile sempilo yakho ye-metabolic futhi kusiza ekuvimbeleni izinkinga ezinkulu njengesifo senhliziyo, ukulimala kwezinzwa, nezinkinga zokubona. Ukuzinikela kwakho okuqinile ekuqapheni okuvamile namuhla kuholela empilweni engcono kusasa.

Imibuzo Evame Ukubuzwa

1. Kwenzekani uma i-Prandial Blood Sugar iphezulu?

Ushukela ophakeme we-post-prandial ungakushiya uzizwe unenkungu, ukhathele futhi uguquguquka. Lezi zimpawu zivela ngokushesha. Ingozi yakho yesifo senhliziyo, unhlangothi, futhi izinkinga zezinso zanda ngamazinga aphezulu esikhathi eside. Ukukhuphuka kweglucose yegazi ngemuva kokudla kungasheshisa isifo sezinso kanye ne-retinopathy.

2. Kwenzekani uma i-Prandial Blood Sugar iphansi?

Izimpawu nezimpawu zoshukela wegazi ophansi we-post-prandial (hypoglycemia) zifaka:

• Ukuphoqa
• Ukuthuthumela
• Ukuzizwa ubuthakathaka, ukulamba, kanye nesiyezi. 
• Umbono ophundlekile 
• Inkulumo emisiwe 
• Ukudideka 
• ukuquleka noma ukuquleka nakho kungenzeka

Kufanele uthathe amagremu ayi-15 wamacarbohydrate ngokushesha - zama ijusi yezithelo, amaphilisi eglucose, noma uju.

3. Liyini izinga le-Prandial Blood Sugar elijwayelekile?

Iminyaka yakho inquma ushukela wegazi ojwayelekile we-post-prandial:

• Ngaphansi kweminyaka engama-50: ngaphansi kuka-140 mg/dL
• Iminyaka engu-50-60: ngaphansi kuka-150 mg/dL
• Ngaphezu kweminyaka engama-60: ngaphansi kuka-160 mg/dL

Iziguli ezinesifo sikashukela kufanele zihlale ngaphansi kuka-180 mg/dL amahora amabili ngemva kokudla.

4. Yini inkomba yokuhlolwa kwe-Prandial Blood Sugar?

Ungase ukudinge lokhu kuhlolwa uma uchama njalo, uzizwa wome ngendlela engavamile, ubona ukufiphala, uzizwa ukhathele, uthola izifo ezivamile, noma unezilonda eziphola kancane. Ukuhlola kusiza abantu okungenzeka babe nesifo sikashukela, kudingeka bahlole ukusebenza kokwelashwa kwabo, noma babe nezici ezisengozini yenhliziyo.

5. Indlela yokunciphisa ushukela wegazi we-post-prandial?

Lawa maqhinga asebenza kahle:

• Nciphisa amaswidi, isinkwa esimhlophe, ilayisi namazambane
• Sebenzisa amafutha omnqumo esikhundleni sebhotela
• Yidla ukudla kwasekuseni okucebile ngamaprotheni
• Hamba ngezinyawo ngemva kokudla
• Yidla imifino yakho namaprotheni ngaphambi kwama-carbohydrate

6. Yisiphi isikhathi esingcono kakhulu sokuhlola ushukela wegazi?

Ukufundwa kwasekuseni kuhlala kuhambisana kakhulu noshintsho oluncane lwansuku zonke. Hlola ncamashi amahora amabili ngemva kokuqala ukudla ukuze uthole amazinga angemva kokudla. Lesi sikhathi sibamba amazinga aphezulu eglucose ezigulini ezinesifo sikashukela.

7. Kungani ushukela wakho wegazi we-post-prandial ubalulekile?

I-glucose yakho yangemva kokudla ibikezela isifo senhliziyo kangcono kune-HbA1c kanye ne-glucose esheshayo. Ingabona izinkinga zokucubungula i-glucose kusenesikhathi ngaphambi kokuba i-glucose yokuzila ikhuphuke. Ukuhlola okuvamile kukusiza ukuthi ulungise ukudla kwakho kanye nemithi ukuze ube nempilo engcono isikhathi eside.