Ukugcina amazinga kashukela egazini (i-glucose) anempilo kuyisici esibalulekile empilweni yonke, ikakhulukazi kubantu abanesifo sikashukela noma abanesifo sikashukela esingakafiki. Ukuqapha ushukela egazini kuyithuluzi elibalulekile elihlinzeka ngefasitela kulesi sici esibalulekile se-metabolism yethu, okunika abantu amandla okwenza izinqumo ezinolwazi mayelana nokudla kwabo, imithi yabo, kanye nendlela yabo yokuphila.
Kungani I-glucose Ibalulekile?
I-glucose, etholakala ekudleni esikudlayo, iyona eyinhloko yamandla amangqamuzana omzimba wethu. I-hormone i-insulin, ekhiqizwa yi-pancreas, isebenza njengesihluthulelo, ivumela i-glucose ukuthi ingene emaseli futhi isetshenziselwe amandla. Ku-diabetes, lolu hlelo luyaphazamiseka: noma umzimba awukhiqizi i-insulin eyanele (Uhlobo 1) noma umelana nemiphumela yayo (Uhlobo 2). Lokhu kuholela ku-hyperglycemia, noma ushukela wegazi ophezulu, okuthi, uma kungapheli, kungalimaza imithambo yegazi kanye nemizwa, okuholela ezinkingeni ezithinta amehlo, izinso, inhliziyo, nezinyawo. Ngokuphambene nalokho, i-hypoglycemia (ushukela wegazi ophansi), evame ukuba yingozi yemithi yesifo sikashukela, ingabangela isiyezi, ukudideka, futhi ezimweni ezimbi kakhulu, ukulahlekelwa ukwazi.
Ukuvela Kokuqapha: Kusukela Kumchamo Kuya Ku-Interstitial Fluid
Ngokomlando, ukuqapha ushukela kwakungalungile, kuncike ekuhlolweni komchamo ukuze kutholakale ukuthi kukhona ushukela—isibonakaliso esibambezelekile nesingaqondile. Uguquko lwaqala ngokusungulwa kwe-personal blood glucose meter (BGM) ngawo-1970. Lokhu kuhilela ukuthola iconsi elincane legazi ngokulihlaba ngomunwe, ukulifaka emgqeni wokuhlola, bese ulifaka kumitha ukuze lifundwe. Nakuba linembile okwesikhashana, linikeza isithombe esincane nje, liphuthelwa ukushintshashintsha phakathi kokuhlolwa.
Okushintshe umdlalo kube ukuthuthukiswa kwama-Continuous Glucose Monitors (ama-CGM). Lezi zinhlelo zisebenzisa inzwa encane efakwe ngaphansi kwesikhumba (ngokuvamile engalweni noma esiswini) ukukala amazinga kashukela kuketshezi olungaphakathi njalo ngemizuzu embalwa. Idatha idluliselwa ngaphandle kwentambo kumuntu otholayo noma ku-smartphone, ikhombisa izitayela zesikhathi sangempela, amaphethini omlando, kanye nemicibisholo eqondisayo ekhombisa ukuthi ushukela uyakhuphuka noma uyawa. Le "movie" yamazinga kashukela, ngokungafani "nezithombe ezimfushane" ezivela ezintini zeminwe, ivumela ukuqonda okungakaze kubonwe ngaphambili kokuthi ukudla, ukuvivinya umzimba, ukucindezeleka, kanye nemithi kuthinta kanjani ushukela womuntu emini nasebusuku.
Izindlela Eziyinhloko Nokusetshenziswa Kwazo
Amamitha Egazi Ajwayelekile Okushukela (BGMs): Ahlala eyithuluzi elifinyeleleka kakhulu nelisetshenziswa kabanzi. Kubalulekile ekulinganisweni kwe-CGM kanye nokwenza izinqumo zokwelashwa ngokushesha, ikakhulukazi lapho ukufundwa kwe-CGM kungase kungathembeki (isb., ngesikhathi sokushintsha okusheshayo kweglucose).
Ama-Continuous Glucose Monitors (CGMs): Aya ngokuya eba indinganiso yokunakekelwa, ikakhulukazi kubantu abasebenzisa ukwelashwa kwe-insulin okunamandla. Abaluleke kakhulu ekuboneni izitayela, ekuvimbeleni ukuphakama nokwehla, kanye nokuhlola umthelela wokukhetha indlela yokuphila. Izinhlelo ezidumile zifaka phakathi i-Dexcom G7, i-Freestyle Libre, kanye ne-Medtronic Guardian.
Ama-CGM Ochwepheshe: Agqokwa isikhathi esilinganiselwe (ngokuvamile izinsuku eziyi-10-14) ngaphansi kwesiqondiso sikadokotela ukuze kuqoqwe idatha yokuxilonga ukuze kulungiswe ukwelashwa.
Ezinqumweni ezibalulekile zempilo, indlela yokulinganisa ngqo yamamitha eglucose egazi avamile inikeza ukunemba nokuthembeka okungenakuphikiswa. Ngenkathi abaqaphi beglucose abaqhubekayo bengabonisa izitayela, idatha yabo itholakala kuketshezi oluphakathi futhi inokulibaziseka kwemizuzu eminingana. Ngesikhathi sokushintshashintsha okusheshayo koshukela egazini noma lapho kuvela izimpawu ze-hypoglycemia, bangase bahluleke ukubonisa izinga langempela likashukela egazini. Ngokuphambene nalokho, amamitha eglucose egazi avamile ahlaziya ngqo igazi le-capillary, alethe amanani asheshayo naqondile. Asebenza njengendinganiso yegolide yokulinganisa abaqaphi beglucose abaqhubekayo, ukulungisa umthamo we-insulin (ikakhulukazi ngaphambi kokudla kanye nokulala), kanye nokubhekana nezimpawu zokungakhululeki ngokomzimba. Njengoba engathinteki ngamaphutha ezinzwa, ukuphazamiseka kwesignali, noma izinkinga zokulinganisa, amamitha endabuko nawo asebenza kahle kakhulu futhi afinyeleleka kalula. Amelela itshe eliqondile nelithembekile kakhulu lokwenza izinqumo ekuphathweni kwesifo sikashukela. Ngakho-ke, ukuhlanganisa ukuhlolwa okunembile kwendawo yokunakekelwa kwamamitha eglucose egazi avamile nezitayela ezishintshashintshayo ezivela ekuqapheni i-glucose okuqhubekayo kuyindlela ephephile nehlakaniphile kakhulu yokufeza ukulawulwa kwe-glycemic okuhle kakhulu.
Ukunika Amandla Ngolwazi
Ekugcineni, ukuqapha ushukela egazini akuyona into eyinhloko kodwa kuyindlela enamandla yokufeza lokhu: ukufeza impilo engcono nokuvimbela izinkinga. Ngokuhumushela izinombolo olwazini olusebenzayo—ukuqonda ukuthi yikuphi ukudla kwasekuseni okwandisa ushukela wakho noma ukuthi ukuhamba ngemva kwesidlo sakusihlwa kusiza kanjani ukuwulawula—abantu bashintsha kusuka ezigulini ezingenzi lutho baye kubaphathi abasebenzayo bempilo yabo. Kungakhathaliseki ukuthi ngokusebenzisa izinti zeminwe zendabuko noma izinzwa eziqhubekayo ezithuthukisiwe, lokhu kuqapha kuyindlela ebalulekile yokuphendula eyenza ukuphathwa kwesifo sikashukela okuphumelelayo nokwenziwe ngokwezifiso kwenzeke.
Uhlelo Lokuqapha Oluningi lwe-ACCUGENCE ® lunganikeza izindlela ezine zokuthola ushukela egazini, luhlangabezane nezidingo zokuhlolwa zabantu abanesifo sikashukela. Indlela yokuhlola ilula futhi iyashesha, futhi inganikeza imiphumela yokuhlolwa enembile, ikusize uqonde isimo sakho somzimba ngesikhathi futhi uthole imiphumela engcono yokunciphisa isisindo nokwelashwa.
Isikhathi sokuthunyelwe: Disemba 17-2025