Izinkinga Zesifo Sikashukela: Ukuvimbela Ukwelashwa

Uma isifo sikashukela sohlobo 1 noma uhlobo 2 siphathwa kabi noma singalawulwa nhlobo, ushukela wegazi lesiguli uyohlala ungaphezu kokujwayelekile. Kulesi sihloko, asicabangi ngesimo lapho, ngenxa yokwelashwa okungafanele, ukuhlangana kweglucose egazini, ngokuphambene nalokho, kuphansi kakhulu. Lokhu kubizwa nge- "hypoglycemia." Ungakuvimbela kanjani, futhi uma sekuvele kwenzekile, ke ukuthi ungamisa kanjani ukuhlaselwa, ungathola lapha. Futhi ngezansi sizoxoxa ngokuthi yiziphi izinkinga zesifo sikashukela eziphakama ngenxa kashukela wegazi ophakeme.

Izinkinga zesifo sikashukela ngenxa kashukela omningi ziba nzima futhi zingamahlalakhona.

Isifo sikashukela ketoacidosis ne-hyperglycemic coma

Izinkinga ezinkulu zesifo sikashukela yi-ketoacidosis yesifo sikashukela ne-hyperglycemic coma. Ziyakhula lapho ushukela wesiguli ungeyona nje ephezulu, kepha uphezulu kakhulu. Uma bengalashwa ngokuphuthumayo esibhedlela, ngokushesha baholela ekulahlekelweni kokungazi nokufa. Funda izindatshana eziningi:

• Isifo sikashukela sikashukela.
• I-Hyperglycemic coma.
• Ungawelapha kanjani umkhuhlane, ukugabha kanye nohudo ukuvimbela izinkinga ezinzima zesifo sikashukela.

Yini i-ketoacidosis yesifo sikashukela, i-hyperglycemic coma nezindlela zokuvimbela izinkinga ezinzima - bonke abanesifo sikashukela kudingeka bazi. Ikakhulu iziguli ezinesifo sikashukela sohlobo 1, kanye neziguli esezikhulile ezinesifo sikashukela sohlobo 2.

Uma isimo silethwa ukuthi kuphakama izingqinamba ezinzima, khona-ke odokotela kufanele basebenze kanzima ukuze “basikhiphe” isiguli, kanti futhi kanti kanti kanti futhi nezinga lokushona liphezulu kakhulu, kungu-15-25%. Noma kunjalo, iningi leziguli ezinesifo sikashukela zikhubazeka futhi zife ngaphambi kwesikhathi hhayi ngenxa yokugula kakhulu, kepha ngenxa yezinkinga ezingapheli. Ngokuyisisekelo, lezi yizinkinga ngezinso, imilenze kanye nokugqoloza kwamehlo, okubhalwe kulo lesi sihloko.

Izinkinga zesifo sikashukela esingamahlalakhona

Izinkinga ezingapheli zesifo sikashukela zenzeka lapho isifo siphathwa ngendlela engafanele noma ngendlela engafanele, kodwa nokho kungasibi ngokwanele ukuthi i-ketoacidosis noma i-hyperglycemic coma kungenzeka. Kungani izinkinga zesifo sikashukela esingamahlalakhona ziyingozi? Ngoba bakhula okwamanje ngaphandle kwezimpawu futhi akubangeli ubuhlungu. Uma kungekho zimpawu ezingemnandi kumuntu onesifo sikashukela, akukho okushukumisela ukuphathwa ngokucophelela. Izimpawu zezinkinga zesifo sikashukela ezinso, izinso nemilenze yamehlo zivame ukwenzeka lapho sekwephuze kakhulu futhi umuntu ophelele ekufeni. Izinkinga zesifo sikashukela ezingalapheki yilokho okudingeka ukwesabe kakhulu.

Izinkinga zesifo sikashukela sezinso zibizwa nge- “diabetesic nephropathy.” Izinkinga zamehlo - retinopathy yesifo sikashukela. Ziyavela ngoba ushukela ophakeme ulimaza imithambo yegazi emincane nemikhulu. Ukugeleza kwegazi kuya ezithweni nasemangqamuzaneni kuyaphazamiseka, ngenxa yalokho kubulawa yindlala nokuqothuka. Ukulimala ohlelweni lwezinzwa nakho kuvamile - isifo sikashukela se-neuropathy, esidala izimpawu ezahlukahlukene. Izinkinga zonyawo lwesifo sikashukela ziyinhlanganisela yokuqhekeka kwemithambo yegazi eyondla izingxenye ezisezingeni eliphansi ngenzwa yesinzwa.

Funda izindatshana ezinemininingwane:

I-nephropathy yesifo sikashukela iyimbangela eyinhloko yokwehluleka kakhulu kwezinso. Abantu abanesifo sikashukela bakha inani elikhulu “lamakhasimende” ezikhungo zokuhlinzwa, kanye nodokotela abahlinzayo abahambisa izinso. Isifo sikashukela i-retinopathy siyimbangela eyinhloko yobumpumputhe kubantu abadala bobudala bokusebenza emhlabeni wonke. I-Neuropathy itholakala ezigulini ezi-1 kwezi-3 ngesikhathi sokuxilongwa isifo sikashukela, futhi kamuva kweziguli ezi-7 kweziyishumi. Inkinga evame kakhulu ukuthi ibangelwa ukulahleka kwemizwa emilenzeni. Ngenxa yalokhu, iziguli ezinesifo sikashukela zisengozini enkulu yokulimala emlenzeni, ukuqashelwa okuqhamukayo kweziguli ezinqunyiwe kanye nokuqunjelwa kwemikhawulo engezansi.

I-nephropathy yesifo sikashukela ne-retinopathy ngokuvamile ayizibangeli zimpawu ngaphambi kokuba iguqulwe. Uma ukwehluleka kwezinso kufinyelela esigabeni sokugcina, khona-ke isiguli sikashukela kufanele sihambe siyothola izinqubo zokuhlinzwa dialysis noma sifune ithuba lokufakelwa izinso. Ngokuqondene ne-retinopathy, ukulahleka kombono kungamiswa ngokuhlanganisa i-laser photocoagulation ye-retina ekwelashweni kahle kwesifo sikashukela. Yize bambalwa abantu abakwaziyo ukubuyisa ngokuphelele umbono. Izindaba ezimnandi ukuthi, i-neuropathy yesifo sikashukela iguqulwa ngokuphelele uma ushukela wegazi ulawulwa kahle. Landela uhlelo lwe-1 yesifo sikashukela noma uhlobo lwe-2 sikashukela. Funda futhi isihloko esithi “Izinjongo zokunakekelwa kwesifo sikashukela. Yini ongayilindela lapho ushukela wegazi usujwayelekile. ”

Isifo sikashukela silimaza hhayi kuphela esincane, kodwa futhi nemithambo yegazi emikhulu, sinomthelela ekuthuthukiseni i-atherosclerosis. Ngenxa yalokhu, abanesifo sikashukela babulawa yisifo senhliziyo noma isifo sohlangothi eminyakeni eyi-10 ukuya kwengama-30 ngaphambi kwalokho ababenakho. Futhi, ukuvaleka kwemikhumbi emikhulu enama-atherosulinotic plaques kuholela kwisidingo sokunciphisa imilenze. Ngenhlanhla, kungokoqobo ukunciphisa ijubane lokukhula kwe-atherosclerosis. Udinga ukulandela uhlelo lokwelapha isifo sikashukela sohlobo lwe-1 noma uhlelo lokwelapha isifo sikashukela sohlobo 2, ubhekele ushukela wakho wegazi, kanye nomfutho wegazi ne-cholesterol.

Izifo ezihambisana nazo

Esihlokweni sanamuhla, sixoxa ngezinkinga ezingapheli zesifo sikashukela ezivela kushukela ophezulu wegazi. Ngeshwa, izifo ezihlangene nazo zivame ukubonakaliswa, okungeyona imiphumela yesifo sikashukela, kepha kuhlotshaniswa naso. Sizohlaziya ukuthi yiziphi izifo ezivamile ezivame kakhulu ohlotsheni 1 nohlobo 2 lwesifo sikashukela, sichaze kafushane ukuvimbela kwazo kanye nokwelashwa kwazo.

Njengoba wazi, imbangela yesifo sikashukela sohlobo 1 ukuthi amasosha omzimba aziphatha ngokungalungile. Kuhlasela futhi kubhubhise amaseli we-pancreatic beta akhiqiza i-insulin. Ngaphezu kwalokho, iziguli ezinesifo sikashukela sohlobo 1 zivame ukuhlaselwa i-autoimmune kwamanye ama-tishu akhiqiza ama-hormone ahlukahlukene. Ngohlobo 1 sikashukela, izivikeli mzimba zivame ukuhlasela i-yegland yegland “okuyinkampani”, okuyinkinga yeziguli eziyi-⅓. Isifo sikashukela sohlobo loku-1 sikhulisa nengozi yezifo ze-autoimmune zezindlala ze-adrenal, kepha le ngozi isephansi kakhulu.

Bonke abantu abanesifo sikashukela sohlobo loku-1 kudingeka ukuthi igazi labo lihlolwe amahomoni we-thyroid okungenani kanye ngonyaka. Sincoma ukuthatha ukuhlolwa kwegazi hhayi kuphela i-hormone ekhuthaza i-thyroid (i-thyrotropin, TSH), kodwa futhi nokubheka amanye ama-hormone. Uma kufanele uphathe izinkinga nge-yegilo yegilo ngosizo lwamathebulethi, khona-ke umthamo wabo akufanele ulungiswe, kepha njalo emavikini ama-6 kuya kwele-12 kufanele alungiswe ngokwemiphumela yokuhlolwa kwegazi okuphindaphindwe kwama-hormone. Futhi, hlanganisa ukudla okune-carbohydrate ephansi nokudla okungenama-gluten ukugcina amasosha omzimba wakho evuseleleka kakhudlwana. Kuyini ukudla okungenama-gluten - kutholakala kalula kwi-Intanethi.

Izifo ezivamile ezinesifo sikashukela sohlobo 2 ziyi-hypertension ye-arterial, izinkinga nge-cholesterol yegazi ne-gout. Uhlelo lwethu lokwelapha isifo sikashukela sohlobo 2 lusheshe lujwayele ushukela wegazi, kanye nomfutho wegazi ne-cholesterol.

Ukudla okuphansi kwe-carbohydrate & Gout

Isisekelo sezinhlelo zethu zokwelapha isifo sikashukela 1 nohlobo 2 uhlobo lokudla oluphansi lwe-carb. Kukholelwa ukuthi kukhulisa okuqukethwe kwe-uric acid egazini. Uma uhlushwa yi-gout, kungaba kubi kakhulu, kepha noma kunjalo, izinzuzo zemisebenzi esiyincomayo yokwelapha isifo sikashukela idlula le ngozi. Kucatshangwa ukuthi lezi zinyathelo ezilandelayo zingadambisa i-gout:

• phuza amanzi amaningi kanye netiye le-herbal - 30 ml koketshezi nge-1 kg yesisindo somzimba ngosuku;
• qaphela ukudla i-fiber eyanele, ngaphandle kokulandela ukudla okune-carbohydrate ephansi;
• yenqaba ukudla okungenamsoco - okuthosiwe, okubhemayo, nokudla okungapheli;
• thatha ama-antioxidants - uvithamini C, uvithamini E, i-alpha lipoic acid nabanye;
• thatha amaphilisi e-magnesium.

Kunemininingwane engakaqinisekiswa ngokusemthethweni ukuthi imbangela ye-gout ayidli inyama, kepha yanda amazinga e-insulin egazini. Lapho i-insulin ijikeleza egazini, kulapho izinso ziba kakhulu uric acid, futhi ngenxa yalokho ziqongelela. Kulokhu, ukudla okune-carbohydrate ephansi ngeke kube yingozi, kepha kube lusizo kuma-gout, ngoba kwenza amazinga we-insulin ajwayelekile abe ngokwejwayelekile. Umthombo walolu lwazi (ngesiNgisi). Kubonisa nokuthi ukuhlaselwa kwe-gout akuvamile uma ungadli izithelo, ngoba ziqukethe ushukela wokudla oyingozi oyingozi - i-fructose. Sigqugquzela wonke umuntu ukuthi angadli ukudla okunoshukela okuqukethe i-fructose. Noma imfundiso yombhali uGary Taubes ingaqinisekisiwe, kuyafana, isifo sikashukela nezinkinga zayo ezingapheli, okuyinto ukudla okune-carbohydrate okusiza ukukugwema, kuyingozi kakhulu kune-gout.

I-neuropathy yesifo sikashukela

Uma isiguli esinohlobo lwe-1 noma isifo sikashukela siphathwa kabi futhi sinoshukela wegazi ophakeme, lokhu kulimaza izinzwa futhi kuphazamise ukuqhutshwa kwemizwa yezinzwa. Le nkinga ibizwa ngokuthi yi-diabetesic neuropathy. Imisipha idlulisela amasiginali kusuka kuwo wonke umzimba iye ebuchosheni nasemgogodleni, kanye nezimpawu zokulawula kusuka lapho emuva. Ukuze ufike esikhungweni, ngokwesibonelo, ukusuka ezinzwaneni, ukuthatheka kwezinzwa kufanele kuhambe ibanga elide. Ngale ndlela, izinzwa zithola umsoco ne-oksijini emithanjeni yegazi emincane kakhulu ebizwa ngokuthi ama-capillaries. Ukwanda koshukela egazini kushukela kungalimaza ama-capillaries, futhi negazi liyeke ukugeleza ngabo. Ngenxa yalokhu, ingxenye yezinzwa izokufa, iketanga lizophulwa futhi isinali ngeke likwazi ukufinyelela kuzinhlangothi zombili.

I-neuropathy yesifo sikashukela ayenzeki ngokushesha, ngoba inani lezinzwa emzimbeni likhulu ngokweqile. Lolu uhlobo lomshuwalense, olutholakala kithi ngokwemvelo. Kodwa-ke, lapho iphesenti elithile lezinzwa lilimele, kuboniswa izimpawu ze-neuropathy. Uma i-nerve ihlala isikhathi eside, maningi amathuba okuthi izinkinga ziqhamuke ngenxa kashukela wegazi ophakeme. Ngakho-ke, akumangalisi ukuthi i-neuropathy yesifo sikashukela ivame ukudala izinkinga zokuzwela emilenzeni, eminweni, kanye nokungakwazi ukusebenza emadodeni.

Ukulahlekelwa umuzwa wezinzwa emilenzeni kuyingozi enkulu kunazo zonke. Uma umuntu onesifo sikashukela eyeka ukuzwa ukushisa nokubanda, ingcindezi nobuhlungu ngesikhumba sezinyawo zakhe, khona-ke ingozi yokulimala emlenzeni izokwenyuka amakhulukhulu amahlandla, kanti isiguli ngeke sikunake lokho ngesikhathi. Ngakho-ke, iziguli ezinesifo sikashukela ngokuvamile kufanele zinqume izitho ezingezansi. Ukuze ugweme lokhu, funda futhi ulandele imithetho yokunakekelwa kwezinyawo sikashukela. Kwezinye iziguli, i-neuropathy yesifo sikashukela ayibangeli ukulahleka kokuzwa kwezinzwa, kepha kunalokho izinhlungu ze-phantom, ukudonsa nokuzwa okushisayo emilenzeni. Funda "Umlenze uphethwe yisifo sikashukela - okumele ukwenze." Ngendlela, muhle, ngoba onesifo sikashukela ukhuthaza ukwelashwa okujulile.

Izimpawu ezijwayelekile zesifo sokuqina kwesifo sikashukela ukubanjwa kwesiyezi, ukufiphala, ubunzima bokugwinya nokugaya (isifo sikashukela gastroparesis), ukuphazamiseka kokukhuluma, ukungapheleli kokuphelela kwesibindi, nabanye. Funda kabanzi esihlokweni esithi "Diabetesic Neuropathy." Izindaba ezimnandi: le nkinga yesifo sikashukela iguqulwa ngokuphelele. Landela uhlelo lokwelapha isifo sikashukela sohlobo lwe-1 noma uhlelo lokwelapha isifo sikashukela sohlobo 2 - futhi ngemuva kwezinyanga ezimbalwa noma iminyaka, ukuhanjiswa kwezinzwa kuzolulama ngokuphelele. Bheka futhi isihloko esithi “Izinjongo zokunakekelwa kwesifo sikashukela. Yini ongayilindela lapho ushukela wegazi usujwayelekile. ” I-neuropathy yesifo sikashukela ihlala ihambisana ne-atherossteosis. Lapho isifo sikashukela siqala ukuphathwa ngokucophelela, khona-ke ukuhanjiswa kwenzwa kubuyiselwa ngokuphelele. Kepha ama-atherosclerotic plaque, alas, awasuswa ezindongeni zemithambo yegazi ngaphandle kokuhlinzwa okwamanje. Izindlela esizincomayo zisiza kuphela ukubambezela ukuthuthuka okuqhubekayo kwe-atherossteosis.

Izinkinga Zesifo Sikashukela Nombono

I-retinopathy yesifo sikashukela iyinkinga yamehlo namehlo avela ngenxa kashukela wegazi ophakeme. Ezimweni ezinzima, kubangela ukulahleka okukhulu kombono noma ukungaboni ngokuphelele. Ngenxa ye-retinopathy yesifo sikashukela, amashumi ezinkulungwane zabantu obudala bokusebenza ababoni emhlabeni wonke unyaka ngamunye.

Okubaluleke kakhulu, ngesifo sikashukela, ukonakala okubukhali embonweni noma ubumpumputhe obugcwele kungenzeka ngokuzuma. Ukuvimbela lokhu kungenzeki, iziguli ezinesifo sikashukela sohlobo 1 nohlobo 2 kufanele zihlolwe ngudokotela wezifo zamehlo okungenani kanye ngonyaka, futhi mhlawumbe njalo ezinyangeni ezi-6. Ngaphezu kwalokho, lokhu akufanele kube yi-ophthalmologist ejwayelekile evela emtholampilo, kodwa uchwepheshe ku-retinopathy yesifo sikashukela. Labo dokotela basebenza ezikhungweni zokunakekelwa kwabanesifo sikashukela ezikhethekile. Benza izivivinyo umuthi ongaziwa ukuthi usemtholampilo awukwazi ukuzenza futhi awunazo izinto zalokhu.

Iziguli ezinesifo sikashukela sohlobo 2 kumele zihlolwe ngudokotela wezifo zamehlo ngesikhathi sokuxilongwa, ngoba imvamisa zazinesifo sikashukela “buthule” esakhula ngokuhamba kweminyaka. Ngohlobo lwesifo sikashukela sohlobo 1, kunconywa ukuthi uvakashele i-ophthalmologist okokuqala eminyakeni emi-3-5 ngemuva kokuqala kwesifo. Udokotela wezifo zamehlo uzokhombisa ukuthi udinga kangaki ukuthi uphinde uhlolwe kuye, kuye ngokuthi isimo samehlo akho sizokuba sibi kangakanani. Lokhu kungaba njalo eminyakeni emi-2 uma i-retinopathy ingatholakali, noma kaningi, kuze kube izikhathi ezi-4 ngonyaka uma kudingeka ukwelashwa okunamandla.

Isizathu esiyinhloko sokwenza i-retinopathy yeswekile sikashukela wegazi ophezulu. Ngokufanelekile, ukwelashwa okuyinhloko ukusebenzisa ngenkuthalo uhlelo lohlobo lwe-1 yesifo sikashukela noma uhlelo lwe-2 yesifo sikashukela. Ezinye izinto futhi zibandakanyeka ekwakhiweni kwale nkinga. Indima ebalulekile idlalwa yifa. Uma abazali babenesifo sikashukela se-retinopathy, khona-ke inzalo yabo ingaba nengozi enkulu. Kulokhu, udinga ukwazisa i-ophthalmologist ukuze iphaphame ikakhulukazi. Ukunciphisa ukulahleka kombono, isiguli sikashukela sidinga ukubhekisisa umfutho wegazi (ukuthi sikwenza kanjani) futhi siyeke ukubhema.

Ngaphezu kwe-retinopathy, ezinye izinkinga zesifo sikashukela ngombono yi-glaucoma kanye ne-cataralog. I-Glaucoma ingukucindezela okwandisiwe ngaphakathi kweso. I-Cataract - ukugcwala kwamalensi (ilensi). Zonke lezi zinkinga zingaholela ebumpumputhe uma zishiywe zingalashwa. I-Ophthalmologist ngesikhathi sokuhlolwa kufanele ihlole izinga lokucindezelwa kwe-intraocular futhi ihlole i-lens, futhi hhayi nje ukufaka isithombe se-fundus. Funda izindatshana ezinemininingwane:

• I-retinopathy yesifo sikashukela.
• Glaucoma
• I-Cataract yesifo sikashukela.

Isifo Sikashukela Sikashukela

Isifo sikashukela i-nephropathy siyinkimbinkimbi yesifo sikashukela ezinso. Njengoba wazi, izinso zihlunga imfucuza egazini, bese zizisusa ngomchamo. Izinso ngalinye liqukethe amangqamuzana akhethekile ayisigidi, angamahlunga egazi. Igazi ligeleza lize licindezelwe. Izici zokuhlunga kwezinso zibizwa ngokuthi yi-glomeruli. Ku-diabetes, glomeruli ye-renal iyalimala ngenxa yokuqukethwe okukhulayo kwe-glucose egazini elihamba phakathi kwabo. Ehlungwini lezinso, ibhalansi kagesi iyaphazamiseka, ngenxa yokuthi amaprotheni angena kanjani emchameni avela egazini, ngokuvamile okungafanele afike lapho.

Okokuqala, ukuvuza kwamaprotheni ama-molecule wesilinganiso esincane kunazo zonke. Lapho ushukela omningi ulimaza izinso, ubukhulu benkonjane yamaprotheni bungatholakala kumchamo. Esigabeni esilandelayo, akhuphuki ushukela wegazi kuphela, kepha nomfutho wegazi, ngoba izinso azikwazi ukubhekana nokukhipha uketshezi olwanele emzimbeni. Uma ungathathi amaphilisi anciphisa umfutho wegazi, khona-ke umfutho wegazi ophakeme usheshisa ukubhujiswa kwezinso.Kukhona umbuthano onobungozi: lapho umfutho wegazi ophakeme uqina, izinso zichithwa ngokushesha, futhi lapho zilimala kakhulu izinso, umfutho wegazi ukhuphuka futhi uba namandla okulwa nezenzo zezidakamizwa.

Njengoba i-nephropathy yesifo sikashukela ikhula, amaprotheni amaningi ngokwengeziwe adingeka umzimba ayakhishwa emchini. Kukhona ukuntuleka kwamaprotheni emzimbeni, i-edema ibonwa ezigulini. Ekugcineni, izinso ekugcineni ziyeka ukusebenza. Lokhu kubizwa ngokuthi ukwehluleka kwezinso. Esimweni esinjalo, ukuze isiguli sisinde, kudingeka senziwe inqubo yokudayela njalo noma ukuhlinzwa ngezinso.

Emhlabeni jikelele, amashumi ezinkulungwane zabantu minyaka yonke baphendukela ezikhungweni ezikhethekile ukuthola usizo ngoba banokwehluleka kwezinso ngenxa yesifo sikashukela esinesifo sikashukela. Iningi “lamaklayenti” odokotela abahlinzayo ababandakanyeka ekufakweni kwezinso, kanye nasezikhungweni zokuhlwitha izifo, baba yisifo sikashukela. Ukwelapha ukwehluleka kwezinso kuyabiza, kubuhlungu, futhi akufinyeleleki kuwo wonke umuntu. Izinkinga zesifo sikashukela ezinso zinciphisa kakhulu isikhathi sokuphila sesiguli futhi zilimaza ikhwalithi yaso. Izinqubo zokuxilongwa kwemizimba azijabulisi kangangokuba ama-20% abantu abathobela, ekugcineni, abenqabe ngokuzithandela, ngaleyo ndlela azibulale.

Indima ebalulekile ekwakhiweni kwezinkinga zesifo sikashukela ezinso idlalwa ngefa. Uma abazali behlushwa yi-nephropathy yesifo sikashukela, khona-ke inzalo yabo kungenzeka. Noma kunjalo, uma unakekela impilo yakho ngesikhathi, khona-ke ukugwema ukwehluleka kwezinso ngohlobo 1 nesifo sikashukela kungokoqobo, noma ngabe wazuza izinhlobo zofuzo ezingaphumelelanga. Ukuze wenze lokhu, udinga:

• Lawula ngokuqinile ushukela wegazi ngokugcwalisa uhlelo lokwelapha isifo sikashukela sohlobo 1 noma uhlobo lwenkinga yesifo sikashukela 2;
• njalo ezinyangeni ezintathu ukuthatha ukuhlolwa kwegazi nomchamo okuhlola ukusebenza kwezinso;
• ube nomqaphi omuhle wegazi emzimbeni futhi uvame ukukala umfutho wegazi, okungcono kanye ngesonto.

Uma umfutho wegazi ophakeme usukhulile futhi ungeke uthathwe ngaphansi kokulawulwa ngaphandle kwamathebulethi "amakhemikhali", kuzodingeka ukuthi ubone udokotela ukuze akunikeze umuthi - i-ACE inhibitor noma i-angiotensin-II receptor blocker. Funda kabanzi mayelana nokwelashwa kwe-hypertension kushukela. Izidakamizwa ezivela kulawa makilasi hhayi kuphela umfutho wegazi ophansi, kodwa futhi zinomphumela ovikelekile wezinso. Zivumela iminyaka eminingana ukubambezela isigaba sokugcina sokwehluleka kwezinso.

Izinguquko zokuphila kweziguli ezinesifo sikashukela sohlobo lokuqala nohlobo 2 zisebenza kahle kakhulu kunezidakamizwa ngoba zisusa izimbangela zokulimala kwezinso, hhayi nje “ukugoqa” kwezimpawu. Uma uqondisa uhlelo lokwelashwa kwesifo sikashukela sohlobo lwe-1 noma uhlobo lwe-2 yesifo sikashukela futhi ulondoloze ushukela ojwayelekile wegazi, khona-ke i-nephropathy yesifo sikashukela ngeke ikusongele, kanye nezinye izinkinga. Imisebenzi esiyincomayo ibuyisa ushukela wegazi kanye nomfutho wegazi ube usujwayelekile.

Imithambo yegazi iqubuka kanjani

Uma isifo sikashukela singalawulwa kahle, ngenxa yokuthi isiguli sinamazinga aphezulu kashukela izinyanga kanye neminyaka, khona-ke lokhu kulimaza izindonga zemithambo yegazi kusuka ngaphakathi. Zimbozwe ngamathafa e-atherosclerotic, imitha yawo ebanzi, ukuphuma kwegazi emithanjeni kuyaphazamiseka. Ezigulini ezinesifo sikashukela sohlobo 2, imvamisa akuyona kuphela i-glucose egazini, kodwa futhi ngokweqile kanye nokuntuleka kokuzivocavoca. Ngenxa yempilo engenampilo, banezinkinga nge-cholesterol yegazi nomfutho wegazi ophakeme. Lezi yizici ezengeziwe zobungozi ezilimaza imikhumbi. Kodwa-ke, ushukela wegazi ophakeme ngenxa yohlobo 1 noma 2 sikashukela udlala indima enkulu ekwakhiweni kwe-atherosclerosis. Kuyingozi kaningi ukwedlula izivivinyo zokuqina komfutho kanye nokuhlolwa okungekuhle kwe-cholesterol.

Kungani i-atherosclerosis iyingozi kangaka futhi idinga ukunakwa ukunqanda ukukhula kwayo? Ngoba ukuhlaselwa yisifo senhliziyo, imivimbo kanye nezinkinga zomlenze kushukela sikhula ngokunembile ngoba imithambo ihlanganiswe nama-atherosclerotic plaque, futhi ukuphuma kwegazi kuyaphazamiseka ngenxa yalokho. Ngohlobo 1 nesifo sikashukela sohlobo 2, ukulawulwa kwesifo sokuqina kwemizwa yisinyathelo sesibili esibaluleke kakhulu ngemuva kokugcina ushukela wegazi ojwayelekile. I-Myocardial infarction yilapho ingxenye yemisipha yenhliziyo ifa ngenxa yokunganele kwegazi. Esikhathini esiningi kakhulu, ngaphambi kokuqala kokuhlaselwa yinhliziyo, inhliziyo yomuntu yayiphilile ngokuphelele. Inkinga ayikho enhliziyweni, kodwa ezitsheni eziyondla ngegazi. Ngendlela efanayo, amangqamuzana obuchopho angafa ngenxa yokuphazamiseka ekunikezelweni kwegazi, futhi lokhu kubizwa ngokuthi yisifo sohlangothi.

Kusukela ngawo-1990s, kutholakale ukuthi ushukela wegazi ophakeme kanye nokukhuluphala kuyacasula amasosha omzimba. Ngenxa yalokhu, ukugxila okuningana kokuvuvukala kwenzeka emzimbeni, kufaka phakathi ngaphakathi ezindongeni zemithambo yegazi. I-cholesterol yegazi inamathela ezindaweni ezithintekile. Lokhu kwakha ama-atherosselotic plaque odongeni lwemithambo yegazi, ekhula ngokuhamba kwesikhathi. Funda kabanzi kokuthi “I-Atherosclerosis Ikhula Kanjani Esifo Sikashukela.” Lapho ukuxhumeka kwezinqubo zokuvuvukala ne-atherossteosis kumiswa, lokhu kwakuyimpumelelo yangempela. Ngoba bathola izinkomba zokuvuvukala okujikeleza egazini.

Manje usungathatha ukuhlolwa kwegazi ngenxa yezingozi zenhliziyo kanye nokuhlola kahle ubungozi bokuhlaselwa yisifo senhliziyo nokushaywa unhlangothi kunokuba kuhlolwe i-cholesterol. Kukhona nezindlela zokucindezela ukuvuvukala, ngaleyo ndlela kuvimbele i-atherosulinosis futhi kwehlise ingozi yenhlekelele yenhliziyo. Funda kabanzi "Ukuvimbela ukushaya kwenhliziyo, unhlangothi kanye nokwehluleka kwenhliziyo kwisifo sikashukela."

Kubantu abaningi, ushukela wegazi awuhlali uphakame ngokuqinile, kepha ukhuphuka amahora ambalwa kuphela ngemuva kokudla ngakunye. Odokotela bavame ukubiza lesi simo ngokuthi i-prediabetes. Ushukela unyuka ngemuva kokudla ubangela ukulimala okukhulu emithanjeni yegazi. Izindonga zemithambo ziba zinamathele futhi ziyavutha, izingwebe ze-atherosclerotic zikhula kubo. Amandla wemithambo yegazi yokuphumula nokwandisa ububanzi bawo ukunciphisa ukuhamba kwegazi kuyawohloka. Isifo sikashukela sisho ingozi eyengeziwe yokuhlaselwa yisifo senhliziyo nokushaywa unhlangothi. Ukuze umlaphe ngempumelelo futhi ungabi yisifo sikashukela "esigcwele", udinga ukuqeda amazinga amabili wohlelo lwethu lokwelashwa sikashukela sohlobo 2. Lokhu kusho - ukulandela ukudla okuphansi kwe-carbohydrate nokuzivocavoca ngentokozo.

Izinkinga zesifo sikashukela nokuphila obuseduze

Thayipha 1 futhi uthayiphe ushukela ongu-2, uma ungalawulwa kahle, unomthelela omubi empilweni. Izinkinga zesifo sikashukela zinciphisa isifiso sobulili, zenze buthaka amathuba, futhi zinciphise imizwa yokwaneliseka. Esikhathini esiningi, amadoda akhathazekile ngakho konke lokhu, futhi ikakhulukazi imininingwane engezansi ihloselwe bona. Noma kunjalo, kunobufakazi bokuthi abesifazane abanesifo sikashukela bahlushwa i-anorgasmia ngenxa yokulimala kwe-neural. Futhi, impilo yabo yokusondelana iyakhula ngokutheleleka kwabesifazane njalo. Isikhunta esidala ukudla okushukela, noshukela ongaphathwa kahle kudala indawo enhle yokuzala.

Sixoxa ngemiphumela yezinkinga zesifo sikashukela empilweni yabesilisa yezocansi nokuthi ungazinciphisa kanjani izinkinga. Ukwakheka kobumba besilisa kuyinqubo eyinkimbinkimbi ngakho-ke inqubo ethambile. Ukuze konke kusebenze kahle, imibandela elandelayo kufanele ihlangane ngasikhathi sinye:

• okuhlushwa okujwayelekile kwe-testosterone egazini;
• izitsha ezigcwalisa ipipi ngegazi zihlanzekile, azinawo amachashaza atherosulinotic;
• izinzwa ezingena ohlelweni lwezinzwa lwe-autonomic futhi zilawule umsebenzi we-erection ngokujwayelekile;
• ukwenziwa kwezinzwa ezinikeza imizwa yokweneliseka ngokocansi akuphazamiseki.

I-neuropathy yesifo sikashukela ukulimala kwezinzwa ngenxa kashukela wegazi ophakeme. Kungaba ngezinhlobo ezimbili. Uhlobo lokuqala ukuphazamiseka kohlelo lwezinzwa lwe-somatic, olusebenzisa ukunyakaza nokuzwa. Uhlobo lwesibili kungukulimazeka kwezinzwa ezingena ohlelweni lwezinzwa lwe-autonomic. Lolu hlelo lulawula izinqubo ezibaluleke kakhulu ezingazi lutho emzimbeni: ukushaya kwenhliziyo, ukuphefumula, ukuhamba kokudla ngamathumbu nabanye abaningi. Uhlelo lwezinzwa lwe-autonomic lulawula ukwakheka kobumba, futhi uhlelo lwe-somatic lulawula imizwa yenjabulo. Izindlela zezinzwa ezifika endaweni yofuzo zinde kakhulu. Futhi isikhathi eside lapho, iba yingozi enkulu yokulimala kwabo kushukela ngenxa kashukela wegazi ophakeme.

Uma ukuhamba kwegazi emithanjeni kukhubazekile, kungcono kakhulu, ukwakheka kuzoba buthakathaka, noma kungabikho lutho oluzosebenza. Sixoxe ngenhla ukuthi isifo sikashukela silimaza kanjani imithambo yegazi nokuthi siyingozi kangakanani. I-atherossteosis ivame ukulimaza imithambo yegazi egcwalisa ipipi ngegazi ngaphambili kunemithambo yegazi elondla inhliziyo nobuchopho. Ngakho-ke, ukwehla kwe-potency kusho ukuthi ingozi yokuhlaselwa yisifo senhliziyo kanye nesifo sohlangothi iyakhula. Thatha lokhu ngokungathi sína ngangokunokwenzeka. Yenza yonke imizamo ukuvimbela isifo sokuqina kwemvelo (ukuthi ungakwenza kanjani lokhu). Uma ngemuva kokuhlaselwa yisifo senhliziyo kanye nesifo sohlangothi kufanele ushintshe ukukhubazeka, khona-ke izinkinga zibonakala sengathi zikhuluma ngokunganaki.

I-testosterone yi-hormone yobulili yabesilisa. Ukuze indoda ihlanganyele kwezocansi futhi ikujabulele, kufanele kube nezinga elijwayelekile le-testosterone egazini. Leli zinga liya ngokuncipha ngokuhamba kweminyaka. Ukushoda kwe-testosterone kwegazi kuvame ukutholakala emadodeni aphakathi nabadala, futhi ikakhulukazi kwabanesifo sikashukela. Muva nje, kuyaziwa ukuthi ukuntuleka kwe-testosterone esegazini kukhulisa inkambo yesifo sikashukela, ngoba kunciphisa ukuzwela kwamangqamuzana ku-insulin. Kukhona umbuthano onobungozi: isifo sikashukela sinciphisa ukugcwala kwe-testosterone esegazini, kanti ne-testosterone encane, kuba nzima kakhulu isifo sikashukela. Ekugcineni, isizinda sama-hormone egazini lowesilisa siphazamiseka kakhulu.

Ngakho-ke, isifo sikashukela sihlasela umsebenzi wobulili wowesilisa ngezindlela ezintathu ngasikhathi sinye:

• kuthuthukisa ukuvalwa kwemikhumbi ngama-atherosulinotic plaque;
• kudala izinkinga nge-testosterone egazini;
• kuphazamisa ukuhanjiswa kwesibindi.

Ngakho-ke, akumangazi ukuthi abantu besifo sikashukela besilisa bavame ukuthola ukwehluleka ezimpilweni zabo. Ngaphezu kwesigamu sabantu besilisa abanesifo sikashukela sohlobo lwe-2 iminyaka emi-5 noma ngaphezulu bakhala ngezinkinga ze-potency. Bonke abanye banezinkinga ezifanayo, kepha ababonwa kodokotela.

Ngokuqondene nokwelashwa, izindaba zinhle futhi zimbi. Izindaba ezimnandi ukuthi uma ulandela ngenkuthalo uhlelo lohlobo lwe-1 yesifo sikashukela noma uhlelo lokwelapha isifo sikashukela 2, bese kuthi ngokuhamba kwesikhathi, i-nerve conduction ibuyiselwe ngokuphelele. Ukushintshashintsha izinga le-testosterone esegazini nakho kungokoqobo. Sebenzisa le njongo izindlela ezinqunywe ngudokotela, kepha hhayi "izimpahla ezingaphansi" ezitolo esitolo sex. Izindaba ezimbi ukuthi uma imithambo yegazi yonakele ngenxa ye-atherossteosis, khona-ke akunakwenzeka ukuyelapha namuhla. Lokhu kusho ukuthi i-potency kungenzeka ingabuyiswa, naphezu kwayo yonke imizamo.

Funda i-athikili eningiliziwe, Isifo Sikashukela kanye Nokungenelela Emadodeni. Kuyo uzofunda kuyo:

• indlela yokusebenzisa kahle iViagra kanye “nezihlobo” zayo ezingaziwa;
• yiziphi izindlela zokulinganisa izinga le-testosterone egazini;
• Ama-penile prosthetics ayindlela yokugcina uma konke okunye kwehluleka.

Ngikhuthaza ukuthi uthathe ukuhlolwa kwegazi kwe-testosterone, bese kuthi uma kunesidingo, uthintane nodokotela ukuthi ungalilinganisa kanjani izinga laso. Lokhu akudingeki nje ukubuyisela i-potency kuphela, kodwa futhi nokwandisa ukuzwela kwamangqamuzana ukungena ku-insulin nokwenza ngcono inkambo yesifo sikashukela.

Isifo sikashukela kanye nokukhubazeka kwememori

Isifo sikashukela siphazamisa inkumbulo neminye imisebenzi yobuchopho. Le nkinga yenzeka kubantu abadala ngisho nasezinganeni ezinesifo sikashukela sohlobo 1 nohlobo 2. Isizathu esiyinhloko sokulahlekelwa kwenkumbulo kushukela sikulawulo olubi loshukela egazini. Ngaphezu kwalokho, ukusebenza kobuchopho obujwayelekile kuyaphazamiseka hhayi ngoshukela owandayo, kepha futhi nezimo ezivame kakhulu ze-hypoglycemia. Uma uvila kakhulu ukwelapha isifo sakho sikashukela ngokukholwa okuhle, ngakho-ke ungamangali lapho kuba nzima ukukhumbula okudala nokukhumbula ulwazi olusha.

Izindaba ezimnandi ukuthi uma ulandela ngokucophelela uhlelo lohlobo lwe-1 yesifo sikashukela noma uhlelo lwe-2 lwesifo sikashukela, khona-ke inkumbulo yesikhathi esifushane neyesikhathi eside ivame ukuthuthuka. Lo mphumela uzwakala ngisho nabantu asebekhulile. Ngemininingwane engaphezulu, bheka isihloko esithi “Izinjongo zokwelashwa kohlobo 1 nesifo sikashukela sohlobo 2. Ongakulindela lapho ushukela wakho wegazi usujwayele. ” Uma unomuzwa wokuthi inkumbulo yakho idlondlobale, khona-ke into yokuqala ukukwenza ngokuphelele ukulawula ushukela wegazi izinsuku ezingama-3-7. Lokhu kuzokusiza ekutholeni lapho wenza khona amaphutha nokuthi kungani isifo sikashukela siphume ezandleni. Ngasikhathi sinye, abanesifo sikashukela bayaguga, njengabo bonke abantu. Futhi ngobudala, inkumbulo ivame ukwenza buthaka ngisho nakubantu abangenaso isifo sikashukela.

Ikhambi lingabangelwa umuthi, omphumela walo obubi kakhulu, ukozela. Kunezidakamizwa eziningi ezinjalo, ngokwesibonelo, ama-painkiller, anqunyelwe i-neuropathy yesifo sikashukela. Uma kungenzeka, phila impilo enempilo, zama ukuthatha amaphilisi "amakhemikhali" ambalwa. Ukuze ulondoloze inkumbulo ejwayelekile kule minyaka edlule, lalela ukunqandwa kokuthuthukiswa kwe-atherosclerosis, njengoba kuchazwe esihlokweni esithi “Ukuvimbela Ukuhlaselwa yisifo senhliziyo, isifo sohlangothi kanye nokwehluleka kwenhliziyo kushukela”. I-atherossteosis ingadala ukushayeka kwengqondo okungazelelwe, futhi ngaphambi kwalokho kancane kancane yenze buthaka imemori.

Izinkinga zonyawo lwesifo sikashukela

Uhlobo 1 no-Type 2 diabetesics bavame ukulahlekelwa umuzwa emilenzeni yabo ngenxa yesifo sikashukela se-neuropathy. Uma le nkinga ibonakala, khona-ke umuntu onesikhumba sonyawo akasakwazi ukuzwa ukusikeka, ukusikaza, ukubanda, ukushisa, ukuconsa ngenxa yezicubu ezingakhululeki nezinye izinkinga. Ngenxa yalokhu, umuntu onesifo sikashukela angaba namanxeba, izilonda, izilonda, ukushiswa noma i-frostbite emilenzeni, okuyinto angayikusola kuze kuqale i-gangren. Ezimweni ezinzima kakhulu, iziguli ezinesifo sikashukela azinaki ngisho namathambo ephukile onyawo.

Esikhathini sikashukela, ukutheleleka kuvame ukuthinta amanxeba emilenze angalashwa. Imvamisa, iziguli ziye zalimaza ukuhanjiswa kwezinzwa futhi, ngasikhathi sinye, ukuphuma kwegazi emithanjeni eyondla izinyawo ezingezansi kunzima. Ngenxa yalokhu, amasosha omzimba awakwazi ukumelana namagciwane kanti amanxeba awaphili kahle. Imiphumela ebuhlungu yenzeka lapho ukutheleleka kusakazekela ezithweni ezijulile, kuthinta ngisho namathambo futhi kubangele ubuthi begazi.

Izilonda kuphela kwesifo sikashukela sikashukela

Ubuthi begazi bubizwa ngokuthi i-sepsis, futhi ukutheleleka kwamathambo kubizwa nge- steomyelitis. Ngegazi, amagciwane amancane angasakazeka emzimbeni wonke, athelele amanye izicubu. Lesi simo sisongela impilo kakhulu. I-Osteomyelitis kunzima ukuyelapha. Imithi elwa namagciwane inamandla awasizi, noma ngabe iphathwe kanjani ngaphakathi. Kulokhu, ukunqunywa okuphuthumayo kuphela kwalo lonke unyawo noma umlenze okungasindisa impilo yesifo sikashukela.

I-neuropathy yesifo sikashukela ingaholela ekwephulweni kwemishini yonyawo. Lokhu kusho ukuthi lapho uhamba, ingcindezi izofakwa ezindaweni ezingenzelwe lokhu. Ngenxa yalokhu, amathambo azoqala ukuhamba, kanti futhi nengozi yokuqhekeka izonyuka nangaphezulu. Futhi, ngenxa yengcindezi engalingani, amabele, izilonda kanye nemifantu kuvela esikhunjeni semilenze. Ukuze ugweme isidingo sokunciphisa unyawo noma wonke umlenze, udinga ukutadisha imithetho yokunakekelwa kwezinyawo ngesifo sikashukela bese uyilandela ngokucophelela.

Umsebenzi obaluleke kakhulu ukulandela uhlelo lokwelapha isifo sikashukela sohlobo lwe-1 noma uhlelo lokwelapha isifo sikashukela sohlobo 2 ukwehlisa ushukela wegazi lakho futhi kugcinwe kuyinto evamile. Ngenxa yalokhu, i-nerve conduction kanye nokuzwela emilenzeni kuzolulama ngokugcwele emavikini ambalwa, izinyanga noma iminyaka, ngokuya ngobunzima bezinkinga esezithuthukile. Ngemuva kwalokhu, isifo sikashukela sonyawo ngeke sisongelwa.

Ungabuza imibuzo emazwaneni mayelana nokwelashwa kwezinkinga zikashukela, abaphathi besayithi bayashesha ukuphendula.