Isifo sikashukela kanye nokwelashwa kwaso
Uma uqala ukubheka, kungathathwa isinqumo sokuthi ukusetshenziswa kwezidakamizwa ezinciphisa ushukela kuyindaba elula, ngoba ukwelashwa kwe-insulin inqubo eyinkimbinkimbi. Imijovo engapheli iyesabisa futhi ibangela ukuphazamiseka okuningi kwiziguli.
Ake sithi udokotela wakho uthola isifo sikashukela sohlobo II. Lapho esejwayelana nemiphumela yokuhlolwa, wakunqumela ukudla, kanye nethamo elincane noma isilinganiso somuthi onjengoshukela. Kungenzeka ukuthi ukudla okukodwa kuzokwanela.
Kwezinye izimo, uma uthambekele ngokweqile, udinga nje ukunciphisa umzimba. Ngesifo sikashukela sohlobo II, akudingekile ukuthatha izidakamizwa, ungalandela isidlo sekhalori ephansi nesisindo esijwayelekile. Ukulwa namafutha akuwona neze umsebenzi olula, kepha le mpi ikufanele ukuwina uma impilo yakho uyithanda.
Uma unikezwe umuthi
- Wellness izolandela. Lokhu kumele kuqinisekiswe ngokuhlaziywa. Uma kungazelelwe izivivinyo zingalungile - udokotela unyusa umthamo womuthi. Ngemuva kwalokho, udinga kuphela ukulandela ukudla futhi ungashisekeli ngokuzivocavoca umzimba. Izinkinga ezifana ne-hyperglycemia azikhuli, isimo sakho sizinzile, izinkinga ezingalapheki zingavela ngokuhambisana nobudala. Ukufa ngeke kulandele.
- Izimpawu azishabalali ngokuphelele, naphezu kokukhululeka kwesimo. Usakhathazekile ngobuthakathaka, umlomo owomile, njll. Ngokunokwenzeka, udokotela wakho unqume umuthi obuthakathaka. Unqunywe isidakamizwa esinamandla njenge-mannyla. (Uma wephula ukudla, khona-ke umphumela wesidakamizwa esinciphisa ushukela uyancipha uze unyamalale).
- Okwesikhashana usinxephezela isifo sikashukela, kodwa kwavela ukuthi unqunywe umuthi obuthakathaka. Ngemuva kwezinyanga ezimbalwa noma iminyaka, uzoqala ukuthatha umthamo omkhulu wokusebenza kahle. Kwenqatshelwe ngokuphelele ukuzikhulisa ngokuzimele inani lemithi futhi akunangqondo. Umuthi uzokulimaza kuphela noma ubangele imiphumela emibi. Umzimba wakho kungenzeka ungaphenduli kulo muthi ngenxa yokulutha. Noma ukugula kwakho kuyaqhubeka ukuthuthuka. Kulesi simo, udinga ukubona udokotela nakanjani.
- Uthatha umuthi oqinile futhi uzizwa ungcono. Kepha lapho isimo sakho siba sibi kakhulu futhi uzizwa kabi futhi. I-manin enamandla yezidakamizwa ayisizi. Akunasidingo sokwandisa umthamo! Kuyaphuthuma ukushintshela ekwelashweni kwe-insulin. Kungenzeka ukuthi usuvele uqalile i-hyperglycemia - imilenze yakho isibekekile, waqala ukubona kahle. Into esemqoka ukunganqikazi. Indlela yakho ilele kudokotela ukuthola ukuthi kwenzekeni: ngabe unesifo sikashukela sohlobo II, noma usalokhu uthayiphe isifo sikashukela. Esimweni sokuqala, i-PSM vele ayisebenzi, futhi ama-pancreas akho asengozini. Kunconywa ukuya esibhedlela.
- Uma kutholakala ukuthi unesifo sikashukela sohlobo lwe-I, akukho lapho ungaya khona, futhi udinga ukushintshela ku-insulin. Kwesinye isigameko, uzolindela ukufa okusheshayo komuntu onesifo sikashukela, noma izinkinga ezingalapheki ezizokubulala kungekudala. Ungathola isifo senhliziyo, ukuqina noma ukulahleka okuphelele kombono, imilenze ephansi, ukuhluleka kwezinso. Ukufa okuvela kwi-nephropathy kunamandla; kunzima kakhulu kunokuhlaselwa yisifo sohlangothi nokushaya kwenhliziyo. Ngakho-ke, shintshela ngokushesha imijovo ye-insulin. Ngokuqukethwe ushukela omningi, izinkinga zithuthukisa ngokushesha okukhulu (iminyaka engama-5-7).
- Ukuhlolwa kuveza ukuthi unesifo sikashukela sohlobo II, futhi nezidakamizwa ezinamandla kakhulu azisizi. Kunezisombululo eziningi zenkinga:
- ithuba lokugcina lokulibaziseka kwe-insulin ukwelashwa kwe-PSM (amalungiselelo we-sulfonylurea) kanye nomuthi weqembu elikhuluuanide;
- izidakamizwa ze-hypoglycemic kanye ne-insulin. Ekuseni - amaphilisi, kusihlwa - insulin (10-20 UNITS);
- ukwenqaba kwamathebulethi kuthandelwa i-insulin isikhathi esiyisithupha kuya kwamabili. Ngalesi sikhathi, amanyikwe azokwazi "ukuphumula", futhi kungenzeka ubuye ngokudla izidakamizwa, uyeke i-insulin.
Imiphumela emibi yezidakamizwa ezinciphisa ushukela
Uzijwayele ngezimo eziningi ezihambisana nokuqhubeka kwezifo ezahlukahlukene. Ukwelapha isifo sikashukela sohlobo II akulula. Isimangalo sokuthi isifo sikashukela sohlobo II silula kunesifo sikashukela sohlobo lwangempela singamanga. Akumele sikhohlwe mayelana ne-hyper- ne-hypoglycemia kanye nezinkinga ezingamahlalakhona. Lokhu kungaholela emiphumeleni engadingekile.
Isifo sikashukela sohlobo II asisiyona ingozi esabisayo uma sizibonakalisa ngesimo esithambile ngemuva kokufinyelela iminyaka engamashumi ayisithupha. Njengoba kunesimo esigculisayo sesiguli, ukudla kanye nokwehla kwesisindo, ukusetshenziswa kwamakhambi nezidakamizwa ezinciphisa ushukela, lesi sifo kulula impela.
- Uma uthatha izidakamizwa ezikhuthaza i-insulin, i-hypoglycemia, ukusabela komzimba ngendlela yokuqhuma kanye nokuqhuma, kanye nokulunywa, kungenzeka. Isicanucanu nokuphazamiseka kwephephabhuku lesisu, ushintsho ekwakhekeni kwegazi nezinye izinkinga ezingenzeka azikhishwa.
- Ukusetshenziswa kwe-biguanides, ikakhulukazi uma isiguli sinokuphambana kuleli qembu lezidakamizwa, kugcwele imiphumela emibi efanayo. Ezinye zazo zingaholela ku-lactic acidosis (ikhefi ngokuqukethwe okunyuke kwe-lactic acid egazini, kube nomphumela obulalayo). Ukuxabana nokuthatha i-biguanides kungukuhluleka kwezinso nokuqina kwesibindi, umlutha wotshwala noma uphuzo oludakayo, izifo zohlelo lwethambo nenhliziyo.
Kuyadingeka ukuthi unake inani le-contraindication yokuthatha ama-hypoglycemic agents, lapho ukusetshenziswa kwalezi zidakamizwa kungenzeki noma kungathandeki. Vele, i-contraindication enkulu izoba yisifo sikashukela sohlobo lwe-I. Ukuzijwayela ngalezi zimo ezilandelayo kubalulekile ngokulinganayo. Lapho ukubola kwesifo sikashukela sohlobo II kubulala izifo noma ukulimala, kanye namacala adinga ukungenelela kokuhlinzwa, izidakamizwa ezinciphisa ushukela akufanele zithathwe.
Uma wazi nge-hypersensitivity yezidakamizwa zeqembu elithile, kufanele futhi wenqabe ukuzisebenzisa. Endabeni ye-hypoglycemia ebangelwa isifo sikashukela nezifo zesibindi nezinso, kuyingozi ukuzibeka engcupheni: kungcono ukusebenzisa i-insulin ukwelashwa. I-insulin isetshenziswa kuzo zonke izimo lapho isiguli sine-contraindication. Esimweni sokukhulelwa, abesifazane bavame ukudluliselwa ekwelashweni kwe-insulin, noma i-insulin isetshenziswa lapho isiguli sisahlinzwa kanzima.
