Lefu la tsoekere ke mofuta oa boemo ba tšebetso ba manyeme, bo bonahatsoang ke ho hloleha ha bona ho nka karolo ha metabolism ea carbohydrate. Mefuta e 'meli ea lefu la tsoekere e khetholloa ho latela mochini oa lefu lena: motho ea its'episang insulin, ea sa ts'epeng insulin.
Lefu la tsoekere la Mofuta oa 1 le tsamaisana le ho haella ha lihlekehleke tsa "pancreatic" tsa Langerhans-Sobolev ho hlahisa palo e lekaneng ea "insulin" e sebetsang, e amehang ho phatloheng ha tsoekere. Boloetse ba mofuta oa 2 bo tšoauoa ka ho fokotseha hoa kutloisiso ea lisele ho insulin boemong bo tloaelehileng ba motsoako oa eona. Liphetho tsa mefuta ena ka bobeli ea lefu le tšoanang - hyperglycemia.
Ho balloa ha tsoekere e tloaelehileng
Ho na le boemo bo bitsoang prediabetes. Ena ke nako e etelletseng pele lefu lena le khethollo ea tsoekere ea mali e phahame ho feta e tloaelehileng, empa e sa lekana ho etsa tlhahlobo ea lefu la tsoekere. Maemong ana, boleng ba tsoekere bo hlahisoa tafoleng (mmol / l).
| Contingent | Bonyane | Boholo |
| Batho ba baholo le bana ho tloha lilemong tse 5 | 5,6 | 6 |
| Ho tloha selemo ho isa ho lilemo tse 5 | 5,1 | 5,4 |
| Ho tloha tsoalong ho fihlela ka selemo | 4,5 | 4,9 |
Lipalo tsa mali tsa Venous
Matšoao a bitsang tsoekere maling a capillary le venous a fapana. Ha u nka thepa ho tsoa mothapong, liphetho li tsejoa ka le hlahlamang (nako e telele ho feta ha ho hlahlobeloa monoana). Sephetho se phahameng ha sea lokela ho tšosa, hobane esita le 6 mmol / L e nkoa e le boemo bo tloaelehileng ba tsoekere ho bana ba ka holimo ho lilemo tse 5 le batho ba baholo.
Keketseho ea 'mele ea tsoekere
Keketseho ea tekanyo ea tsoekere e ka ba ea pathological (ho tsoa mokokotlong oa lefu lena) le 'mele (e hlahisoang ke mabaka a itseng a ka ntle kapa a ka hare, e nang le tlhaho ea nakoana, ha se ponahatso ea lefu lena).
Keketseho ea 'mele ea tsoekere ea mali e ka ba lebaka la lintlha tse latelang:
- ho ikoetlisa ka ho feteletseng;
- maemo a sithabetsang;
- ho tsuba;
- kamohelo ea shaoara e fapaneng;
- tšebeliso ea lithethefatsi tsa steroid;
- boemo ba pelehi;
- nakoana kamora ho ja.
Ho ikoetlisa ke e 'ngoe ea lintlha tsa' mele ea ho iphelisa ka mmele
Tloaelo ea tsoekere e nang le foromo e ikemetseng ea insulin
Matšoao a tloaelehileng a boholo ba "glucose" mellitus ea mofuta o ikemetseng oa insulin ha a fapana le lipalo tsa motho ea phetseng hantle. Mofuta ona oa lefu ha o bolele ho fokotseha ho matla hoa matšoao. Maemong a mangata, ho ka etsahala hore u ithute ka ho ba teng ha lefu la tsoekere feela kamora ho qeta liteko, hobane matšoao a tšoaetso ea insulin a bobebe.
Kliniki ea tsoekere e phahameng
Matšoao a hyperglycemia ho tsoekere e sa itšetleheng ka insulin, qalong, a ka lumellana le lipontšo tsa mofuta oa 1 pathology:
- maikutlo a lenyora;
- molomo o omileng
- polyuria;
- bofokoli le mokhathala;
- ho otsela
- ho fokotseha butle butle ha pono ea mahlo.
Empa tleliniki ha e sokele 'mele oa mokuli. Bothata bo boholo ke hore maemo a tsoekere ea mali ka holim'a a tloaelehileng ke phello ea ts'ebetso e sa sebetseng ea liphio, tsamaiso ea methapo e kholo, ho potoloha ha mali, Analysical visual, le system ea musculoskeletal.
Matšoao a pele a hyperglycemia
U lokela ho hlokomela 'mele oa motho ka hloko, ho lekola hore na o tla fofa hakae maemong a tsoekere ea mali. Nako e phahameng hang hang ka mor'a ho ja e nkuoe e le kotsi. Maemong a joalo, u ka bona boteng ba lipontšo tsa tlholeho:
- maqeba a malelele a neng a sa fole, ho hlakaha letlalong le mucous membrang;
- ho tsitsipana likhutlong tsa molomo;
- likhahla tse tsoang mali;
- ts'ebetso e fokotsehileng;
- ho hloka botsitso maikutlong.
Methati e boima
Ho qoba monyetla oa ho ba le mathata a lefu la tsoekere ho lefu la mofuta oa 2, bakuli ha baa lokela ho thibela nts'etsopele ea hyperglycemia feela, empa ba laole le phokotso ea matšoao a ka tlase ho tloaelehileng. Ka mantsoe a mang, u lokela ho boloka boemo ba tsoekere bo maemong a thata (mmol / l):
- hoseng pele ho lijo - ho fihlela ho 6.1;
- lihora tse 'maloa ka mor'a lijo tsa hoseng, lijo tsa motšeare, lijo tsa mantsiboea - eseng ho feta 8;
- pele u robala - ho fihlela ho 7.5;
- ka moroto - 0-0.5%.
Mokhoa oa ho lekanya oa Glycemia
Mokuli e mong le e mong ea tšoeroeng ke "lefu le monate" a ka utloa ho putlama ho hoholo maemong a bona, a amanang le ho tlolela glugose. Tse ling li tšoauoa ka liphetoho tsa hoseng, ho latela lijo, ha tse ling li ikutloa li fetoha pele ho robala. Ho itsoella pele ka liphetoho tse sa lebelloang ka lefu la mofuta oa bobeli, o lokela ho shebisisa matšoao ka glucometer:
- maemong a puseletso makhetlo a mararo ka beke;
- pele ho lijo tse ling le tse ling tse mabapi le kalafo ea insulin;
- pele ho sejo se seng le se seng le lihora tse 'maloa ka mor'a hore ho sebelisoe litafole tse theolelang tsoekere;
- ka mor'a ho ikoetlisa ka matla, ho ikoetlisa;
- ka maikutlo a tlala;
- bosiu (joalo ka ha ho hlokahala).
Buka ea Boitekolo - Mothusi oa Tsoekere ea Letsatsi le Letsatsi
Ho bohlokoa hore u tlalehe liphetho tsohle ka daeteng kapa ka karete, e le hore endocrinologist e ka latela mohlala oa lefu lena. Mona, ngola mefuta ea lijo tse sebelisitsoeng, matla a ho ikoetlisa, palo ea liente tsa ente, ho ba teng ha maemo a sithabetsang le mafu a tšoaetsanoang a tšoaetsanoang.
Mofuta oa lefutso ke eng?
Lefu la tsoekere la botšehali le tšoauoa ka nts'etsopele ea lefu lena ho basali baimana. Karolo ea eona ke tlasa tsoekere ea mali ka mor'a lijo tse nang le litekanyetso tse tloaelehileng tsa ho itima lijo. Kamora ho hlaha, pathology ea nyamela.
Sehlopha se kotsing ea nts'etsopele se kenyeletsa:
- bana;
- basali ba nang le boima ba 'mele bo phahameng;
- lilemo tse fetang 40;
- ho ba le lefa la tsoalo;
- ho tšoaroa ke ovary ea polycystic;
- nalane ea lefu la tsoekere.
Ho laola boteng ba methapo ea kutlo ea methapo kapa kutloelo-bohloko ea lisele tsa 'mele ho glucose kamora beke ea 24 ea boimana, ho etsoa tlhahlobo e khethehileng. Mosali o nka mali a capillary ka mpeng e se nang letho. Ebe o noa phofo ea tsoekere e tlotsitsoeng ka metsing. Lihora tse peli hamorao, thepa e boetse ea bokelloa. Tloaelo ea karolo ea pele ea mali e fihla ho 5.5 mmol / L, sephetho sa karolo ea bobeli se fihla ho 8,5 mmol / L. Haeba ho hlokahala, ho ka ba le lithuto tse ling tsa bohareng.
Kotsi bakeng sa ngoana
Ho boloka litekanyo tsa tsoekere kahare ho seemo se tloaelehileng ke ntlha ea bohlokoa bakeng sa kholo le kholo ea lesea nakong ea bophelo ba popelo. Ka keketseho ea glycemia, kotsi ea macrosomia e eketseha. Ena ke boemo ba methapo ba bophelo bo khetholloang ke sete ea boima bo feteletseng ba ngoana le keketseho ea kholo ea hae. Ho potoloha ha hlooho le boemo ba boko li lula li le maemong a tloaelehileng, empa matšoao a mang a ka baka mathata a maholo ha ngoana a hlaha.
Phello ke likotsi tsa tlhaho ea masea ho lesea, likotsi le likeleli ho mme. Haeba boteng ba pathology e joalo bo ne bo khethiloe nakong ea tlhahlobo ea ultrasound, joale ho etsoa qeto ea ho baka tsoalo pele ho nako. Maemong a mang, ngoana a ka 'na a se be le nako ea ho hola hore a tsoaloe.
Tlhahiso ea Boimana e khothalletsoang
Ho tsamaellana le lijo, ho qoba ho ikoetlisa haholo, ho itaola ho u lumella ho fetola boemo ba tsoekere ka tloaelo. Nakong ea moimana, moetlo o joalo ka tsela e latelang (mmol / l):
- boholo pele ho lijo - 5.5;
- kamora hora ho fetisisa - 7.7;
- kamora lihora tse 'maloa, ka nako ea ho robala, bosiu - 6.6.
Ho laola tsoekere ea bokhachane - mohato o lokelang oa ho itšireletsa oa lefu la tsoekere
Melao ea taolo le khalemelo
Li-indices tsa tsoekere tse mofuta oa 2 diabetes tse ka khalemeloang habonolo, empa sena se hloka hore motho a sebetse ka thata, e leng ho boloka melao e 'maloa. Li ka sebelisoa hape e le mehato ea thibelo ea mofuta oa lefu la pelo.
- Lijo li lokela ho ba teng khafetsa, empa ka bongata bo bonyenyane (lihora tse ling le tse ling tse 3 ho isa ho tse tharo).
- Qoba lijo tse halikiloeng, tse tsubeloang, tse khabeloang ka linoko tse ngata, lijo tse potlakileng.
- Khaotsa ho ikoetlisa ka ho feteletseng, leka-lekane mekhoa ea ho ikoetlisa le ho phomola.
- Kamehla ba le litholoana tse tla khotsofatsa tlala ea hau haeba e ka hlaha.
- Laola mofuta oa joala.
- Hlahloba matšoao a tsoekere hangata ka mekhoa ea ho itlhahisa lapeng.
- Likhoeling tse ling le tse ling tse 6, etela endocrinologist 'me u hlahlobe tšebetso ho feta nako.
- Fokotsa tšusumetso ea maemo a sithabetsang.
Hore na lefu lena ke la mofuta ofe, ho latela likeletso tsa litsebi ho ke ke ha boloka litekanyetso tse tloaelehileng le ho thibela nts'etsopele ea mathata, empa le ho ntlafatsa bophelo ba mokuli.
