“Tsoekere e phahameng” le “tsoekere e fokolang” ke eng e kotsi bophelong bo botle?

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Boemo ba tsoekere (glucose) ho plasma ea mali ke mohopolo oa bohlokoa ho bakuli ba nang le lefu la tsoekere la mofuta oa II. Glucose e phahameng hangata ke eona feela sesupo sa mantlha sa lefu lena. Ho ea ka bongaka, 50% ea bakuli ba nang le lefu la tsoekere ba tseba feela ka lefu la tsoekere ha le fihla mehatong e tsoelang pele le e thata.

Ha re leke ho bona hore na hobaneng boemo ba mmele o tsitsitseng oa 'mele tsamaisong ea potoloho e le bohlokoa haholo molemong oa bophelo ba motho, ke ka mabaka afe ho nang le ho leka-lekana ha tsoekere maling. Re tla boela re fumane hore na matšoao a boemo ba tsoekere a tloaelehile le hore na liphetoho tse teng maemong a tloaelehileng li ama 'mele joang.

Tekanyetso ea tsoekere le lefu la tsoekere

“Tsoekere maling” ke polelo e tloaelehileng bakeng sa kakaretso ea tsoekere e qhibilihang ho plasma e potileng ka har'a likepe.

Ebile, tekanyo e phahameng ea tsoekere ke ponahatso ea mantlha ea lefu la tsoekere - metabolism ea metabolism. Boloetse bona, bo na le mekhoa e mengata e ntlafatsang ea ntlafatso le matšoao a kopantsoeng, empa sesupo sa mantlha ke "tsoekere e phahameng".

Glucose ea mali ke boleng boo ba tsoekere ba nang le lefu la tsoekere ba lokelang ho bo hlokomela (ho lekanya le ho supa matšoao).

  1. Ho lekola maemo a nama ea lik'habohaedreite ke e 'ngoe ea likarolo tsa mantlha tsa kalafo ea bakuli ba nang le lefu la tsoekere.
  2. Karolo ea bobeli ke kalafo ea insulin (haeba e bontšoa ke lingaka). Insulin ke hormone e laolang maemo a tsoekere. Ho lefu la tsoekere, insulin 'meleng ha ea lekana, kapa lisele ha li e arabe hantle.
Tsoekere e phahameng le e tlase ka ho tšoanang ha e ratehe ho 'mele, empa haeba khaello ea tsoekere e ka felisoa habonolo maemong a mangata, joale boemo bo phahameng ba lik'habohaedreite bo kotsi le ho feta.
Ka linako tse ling, ho hlokahala meriana khafetsa ho lokisa hyperglycemia: batho ba nang le lefu la tsoekere bo tsoetseng pele ba etsa ente ea insulin khafetsa: sena se fokotsa ho ata ha carbohydrate. Boemong ba pele, matšoao a lefu la tsoekere a ka felisoa ka ho ja ka mokhoa o leka-lekaneng le khalemelo ea boikoetliso ba 'mele.

Metabolism ea lik'habohaedreite 'meleng

Mosebetsi oa mantlha oa tsoekere 'meleng ke ho fa lisele le linama matla bakeng sa lits'ebetso tsa bohlokoa tsa' mele.
Ho lumeloa hore lisele tsa methapo li hloka tsoekere e hloekileng ho feta tsohle, empa ha e le hantle, ha ho na ts'ebetso e le 'ngoe ea' mele e ka etsang ntle le lik'habohaedreite.

Re thathamisa likarolo tsa bohlokoa ka ho fetisisa tsa tsoekere metabolism 'meleng oa motho:

  • Glucose e kena maling ho tsoa mala le sebete (glycogen e teng ka har'a sebete - polokelo ea polysaccharide, e sebelisoang joalo ka ha ho hlokahala);
  • Sisteme ea potoloho e nka tsoekere ho pholletsa le 'mele - ka hona, lisele le lisele li fanoa ka matla;
  • Ho monya ha tsoekere maling ho hloka ho ba teng ha insulin, e hlahisoang ke lisele tsa "pancreatic";
  • Kamora ho ja, boemo ba tsoekere bo nyoloha ho batho bohle - empa ho batho ba phetseng hantle keketseho ena ha e bohlokoa ebile ha e lule nako e telele.

'Mele o lula o laola tšilafalo ea tsoekere maling, e boloka homeostasis (botsitso). Haeba ho leka-lekana ho sa fumanoe, 'me liphoso tse joalo li etsahala khafetsa, litsebi tsa endocrinologists li bua ka ho ba teng ha lefu la tsoekere - tsamaiso e matla ea methapo ea metabolic.

Hobane ho bohlokoa ho tseba boemo ba hau ba tsoekere

Boemo boo ho bona maemo a tsoekere a phahameng a bitsoang hyperglycemia, 'me palo e nyane ea tsoekere e bitsoa hypoglycemia.
Ho fumana boemo ba hau, tlhahlobo e le 'ngoe ha e lekane. Hoa hlokahala ho tsamaisa disampole tse 'maloa ka matsatsi a fapaneng le ka linako tse fapaneng tsa letsatsi, hammoho le ka mpeng e se nang letho le ka mor'a ho ja. Haeba liteko li lula li bontša hore "tsoekere e phahame," ho na le mabaka 'ohle a ho belaela lefu la tsoekere.

Naheng ea Rashea, tsoekere ea mali e lekantsoe limilimone ka litha e le ngoe (mmol / l). Europe le USA, litekanyo li etsoa ka li-milligrams ka desilita (mg / dts). Ha ho thata ho fetolela matšoao a mang ho a mang: 1 mmol / L ke 18 mg / dl.
Litefiso tsa tsoekere ke khale li tsejoa -3.9-5 mmol / l
Kamora ho ja hora, lipalo tsena li phahame hanyane (5.1-5.3). Ho batho ba phetseng hantle, sethala sa tsoekere se fapana ka har'a meeli ena, empa ka linako tse ling (ha motho a ja haholo ke lik'habohaedreite tse potlakileng) a ka fihla ho 7 mmol / l. Ho diabetes, matšoao a kaholimo ho 7 ho isa ho 10 a nkuoa e le boemo bo amohelehang. Ka litekanyetso tse joalo, kalafo e khethehileng ha e laeloe kamehla, e lekanyetsoa feela ho ja. Haeba boemo bo ka holimo ho 10, lingaka li hlahisa potso ea khalemelo ea lithethefatsi.

Seo motho e mong le e mong a hlokang ho se tseba mabapi le maemo a tsoekere:

  • Litefiso tsa tsoekere ea plasma li tšoana ho lilemo tsohle le bong;
  • Kamora ho ba le lilemo tse 40, ho bohlokoa hore u hlahlobe litaba tsa tsoekere selemo le selemo;
  • Lijo tse nang le lik'habohaedreite tse tlase ke mokhoa oa ho thibela lefu la tsoekere;
  • Lefu la tsoekere ha le hlahe hanghang - hangata prediabetes e li etella pele: boemo bona bo ka boela bo lokisoa ka phepo e nepahetseng.

Ho fokotseha ha glucose le kalafo ea insulin ke litlamorao tse ke keng tsa qojoa tsa lefu la tsoekere mehatong e tsoetseng pele ea lefu lena. Ho fihlela joale, meriana e ke ke ea phekola lefu la tsoekere ka botlalo. Leha ho le joalo, haeba u latela lijo, u lekole kamehla 'me u se ke oa fetoa ke liente, u ka qoba matšoao a matla a hyperglycemia le mathata a bakoang ke litekanyo tse phahameng tsa tsoekere.

Lefu la tsoekere: Liphetho

Ho se leka-lekane hofe kapa hofe ho sa feleng (homeostasis) 'meleng ho lebisa ho psychology. Mokhelo ha o tsoekere.

Hyperglycemia le hypoglycemia li baka lipontšo tse bohloko, tse atisang ho baka mathata kapa ho holofala.

Tsoekere e phahameng

Tumelo e tsebahalang ea hore lefu la tsoekere ke phello ea tšebeliso e feteletseng ea lipompong ha se nnete, empa ehlile e na le lijo-thollo tse nang le kelello.
Ha tsoekere e nyoloha butle butle, insulin le eona e hlahisoa butle butle. Empa ha e le ka lebaka la bongata ba lijo tse nang le lik'habohaedreite tse ngata, limolek'hule tse ngata tsa tsoekere li kena maling, 'mele o arabela ka ho eketseha ha insulin ho fokotsa tsoekere.

Haeba tsoekere e tsoekere le insulin li tsoela pele khafetsa ka lilemo tse 'maloa, manyeme a tla fela. Mmele o tla hlahisa insulin e nang le phoso kapa palo e nyane ea lihomone tse sa khone ho sebetsana le tsoekere e kenang 'meleng.

Ntle le moo, ka index ea glycemic e phahameng haholo, motho o hlaolela boemo bo bitsoang khanyetso ea insulin: ho lemalla ha cellular ho insulin le ho hloka karabelo e nepahetseng ea li-receptor. Ho hanyetsa le ho ba teng ha nako e telele ho ka fetoloa mofuta oa lefu la tsoekere la II.
"Tsoekere e phahameng" - hase kamehla letšoao la lefu la tsoekere. Ka linako tse ling tsoekere e feteletseng e ka bakoa ke:

  • Tšebeliso ea nako e telele ea lithethefatsi tse ling (corticosteroids, antidepressants);
  • Ho hlobaela ha adrenal;
  • Tšoaetso
  • Khatello ea maikutlo e sa foleng;
  • Pathologies ea tšoelesa ea pituitary.

Matšoao a mantlha a hyperglycemia ke lenyora, ho ntša metsi kapele, letlalo le omeletseng, pono e foufetseng, ho otsela, ho ts'oaroa ke tšoaetso, ho folisa leqeba le fosahetseng. Matšoao ana kaofela a bontša mohato o tsoelang pele oa metabolism ea metabolism. Tekanyo e phahameng ea tsoekere e lebisa tšenyehong ea methapo ea mali, ts'ebetso ea mokokotlo o sa sebetseng hantle, pono e fokotsehileng, neuropathy (tšenyo ea methapo ea kutlo).

Mathata a kotsi ka ho fetisisa a nang le tsoekere e ngata: hyperglycemic coma, ketoacidosis (chefo ea 'mele ke lihlahisoa tsa metabolism ea carbohydrate).

Tsoekere e tlase

Hypoglycemia hangata e bakoa ke khaello ea phepo e nepahetseng kapa e sa lokelang, meroalo e mengata haholo ('meleng le kelellong). Lijo tse nang le index e phahameng ea glycemic (li-sweets le lik'habohaedreite tse potlakileng) qalong li eketsa boemo ba tsoekere ka matla, empa ebe li baka ho theoha ha tsona ka potlako, e lebisang liphellong tsa pathological.

Hoa baka "tsoekere e tlase":

  • lethargy
  • bofokoli
  • ho otsela
  • hlooho e bohloko
  • botenya ba maoto le matsoho
  • tlala ea kamehla.

Phekolo ea hypoglycemia ea kamehla ke phepo e nepahetseng ea lijo tse itseng ka nako e khutšoane.

Motho e mong le e mong o hloka ho laola index ea glycemic, empa haholo batho ba nang le tšekamelo ea lefu la tsoekere. Mokhoa o atlehang haholo oa ho boloka homeostasis ke ho latela mokhoa oa ho ja, ho fetola litlhare tsa k'habohaedreite lenaneng, le ho hlahlojoa khafetsa tleliniking.

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