Ekwelapheni isifo sikashukela sohlobo 1 noma uhlobo 2, sibeka umgomo wokufisa: ukugcina ushukela wegazi ngaso sonke isikhathi njengoba kunjalo nakubantu abaphilile abanesifo sikashukela. Uma lokhu kungenzeka, ke isiguli sinesiqinisekiso esiyi-100% sokuthi ngeke abe nezinkinga ezejwayelekile zesifo sikashukela: ukwehluleka kwezinso, ukungaboni noma isifo sonyawo. Izindlela esizisebenzisayo ukulawula ushukela wegazi ngasikhathi sinye ukuvikela okuhle kwezinkinga "ezihlobene nobudala": isifo sokuqina kwemizwa, ukushaya kwenhliziyo, unhlangothi, izifo ezihlangene.
Okokuqala, ake sithole ukuthi yini ushukela obonwa kubantu abanempilo, abanempilo ngaphandle kwesifo sikashukela. Iminyaka eminingi, uDkt Bernstein wasebenzisa isikhathi esiningi nomzamo ukuthola lokho. Uncenga ukuthi alinganise ushukela wegazi labashadikazi nezihlobo zabanesifo sikashukela abeza kuye isikhathi sokuqokwa. Futhi, kuvame ukuhanjelwa ngabathengisi, bezama ukubakhombisa ukuthi basebenzise ama-glucometer omkhiqizo abawukhangisayo. Ezimweni ezinjalo, udokotela uhlala egcizelela ukuthi umthengisi ulinganisa ushukela wakhe nge-glucometer, ekhangisa, futhi ngokushesha athathe igazi emthanjeni wakhe ukuze enze ucwaningo lwelabhorethi futhi ahlole ukunemba kwe-glucometer.
Kuzo zonke lezi zimo, kubantu abaphilile, ushukela ngu-4.6 ± 0.17 mmol / L. Ngakho-ke, inhloso yethu ekwelashweni kwesifo sikashukela sohlobo 1 nohlobo 2 ukugcina ushukela wegazi ozinzile ongu-4,6 ± 0,6 mmol / L, nganoma isiphi iminyaka, ngaphambi nangemva kokudla, ukumisa “ukugxuma” kwakhe. Ukwelashwa kwesifo sikashukela kwendabuko kungukudla okulinganiselayo kanye nemithamo ephezulu ye-insulin. Abavumeli ukufeza imiphumela enjalo, njengokungathi onesifo sikashukela akazange azame. Ngakho-ke, odokotela bamane bakhombisa amazinga ashukela aphezulu egazi okuqinisekisa iziguli. Futhi ngalesi sikhathi, iziguli ekushayeni okugcwele ziba nezinkinga zesifo sikashukela.
Ungawugcina kanjani ushukela wegazi ojwayelekile
Sinikeza ukudla okune-carbohydrate ephansi esikhundleni sokudla "okunokulinganisela" ukulawula uhlobo 1 nohlobo 2 sikashukela. Kulokhu kudla, ushukela wegazi cishe awukhuphuki ngemuva kokudla. Ama-carbohydrate ambalwa adla ushukela, i-insulin encane adinga ukuyifaka. Imithamo emincane ye-insulin, ngokungafani neyayo enkulu, isebenza ngokunenkani nangokuqagela. Ukuphuma ushukela kuyaphela, kugcinwa kuyinto evamile. Bheka uhlelo lwethu lwesifo sikashukela sohlobo 1 noHlelo 2 Lokulawulwa Sikashukela, olubhekiswe ngezansi. Uma ulandela ukubusa ngokucophelela, khona-ke ushukela wegazi uyehla ube uvamile emva kwezinsuku ezingama-2-3, bese sonke isikhathi sihlala sijwayelekile.
Ngokuqondene ne-hemoglobin ye-glycated, kubantu abanempilo, abanempilo, lesi sikhombisi sivame ukuba ngu-4.2-4.6%. Ngakho-ke, kudingeka siwulwele. Ngaphezu kwalokho, indlela esemthethweni ye-hemoglobin esemthethweni efinyelela ku-6.5%. Lokhu kucishe kuphindeke ka-1.5 kunabantu abaphilile! Okubi kakhulu, baqala ukwelapha ushukela kuphela lapho le nkomba inyukela ku-7.0% noma ngaphezulu.
Kuyini ukulawula kahle ushukela
I-American Diabetes Association ibika ukuthi “ukulawula isifo sikashukela” kusho:
- ushukela wegazi ngaphambi kokudla - kusuka ku-5.0 kuya ku-7.2 mmol / l;
- ushukela wegazi amahora ama-2 ngemuva kokudla - hhayi ngaphezu kwe-10.0 mmol / l;
- i-glycated hemoglobin - 7.0% nangaphansi.
Sifanelekela le miphumela "njengokwehluleka ngokuphelele ukulawula isifo sikashukela."
Imihlahlandlela esemthethweni ekhishwe yi-American Diabetes Association, nangemva kwayo inkonzo yethu yezempilo yasekhaya, iphakamisa ukuthi onesifo sikashukela uzodla ukudla okulinganiselayo okunama-carbohydrate. Ukudla okune-carbohydrate ephezulu kudinga ukujova imithamo emikhulu ye-insulin ukuze ngandlela-thile kunciphise ushukela wegazi. Futhi imithamo ephezulu ye-insulin iholela ekwandeni kwezifo ze-hypoglycemia. Ngakho-ke, odokotela nezikhulu zezokwelapha baphakamisa amazinga kashukela wegazi emzameni wokunciphisa ubungozi be-hypoglycemia enzima, engaholela ekufeni noma ukukhubazeka.
Uma isifo sikashukela selashwa ngokudla okuphansi kwe-carbohydrate, imithamo ye-insulin iyadingeka izikhathi ezimbalwa ngaphansi. Ingozi ye-hypoglycemia inciphiswa kaninginingi ngaphandle kwesidingo sokugcina ushukela wegazi ophakeme ngokwenziwe. Umzimba womuntu kulezo zimo usebenza ngokubikezela. Ngemuva kokudla okunama-carbohydrate aphansi, umuntu onesifo sikashukela wazi kahle ukuthi ushukela wakhe wegazi uzoba njani, ngokuya ngokudla okudlayo nomthamo we-insulin. Manje usengahlelela indlela adla ngayo, umsebenzi wokuzivocavoca kanye nemijovo ye-insulin ukuze alondoloze kahle ushukela wegazi ojwayelekile, njengabantu abanempilo. Lokhu kusho impilo enhle kanye nengozi yokungabikhona kwezinkinga zesifo sikashukela.
Hlela isheke legazi lakho
Ngakho-ke, kubantu abadala abaphilile abanganamafutha futhi abangakhulelwe, ushukela wegazi uvame ukuvela usondele ku-4,6 mmol / L. Ezinganeni, imvamisa iphansi kancane. Kungakapheli ihora elilodwa ngemuva kokudla okugcwele ama-carbohydrate “asheshe,” ushukela wegazi ngisho nakubantu abaphilile ungahlala uphakeme. Le nto ayinakuthathwa njengendalo. Ngoba kuwo wonke umlando wesintu, ama-carbohydrate “asheshe” acwengekile ayengekho abantu ukuba bawadle. Ukudla kokhokho bethu kwaba kucebile kuma-carbohydrate kungakapheli iminyaka eyizinkulungwane eziyi-10 edlule, ngentuthuko yezolimo, nangaphambi kwalokho kwakukhona amaprotheni amaningi kuyo.
Namuhla, izakhamizi zamazwe athuthukile zidla ngaphezulu kuka-70 kg kashukela ngonyaka kumuntu ngamunye. Lokhu akubandakanyi ushukela wethebula kuphela, kepha futhi kufakwa ezitsheni neziphuzo ekukhiqizeni kwazo kwezimboni. Okhokho bethu abakwazanga ukudla inani lama-carbohydrate ahlanjululiwe esikudla manje onyakeni. Ngakho-ke, umzimba womuntu awuzange uhambelane nofuzo nokusetshenziswa kwama-carbohydrate “asheshe”. Ngokusekelwe kukho konke lokhu kucatshangelwa, sikushaya indiva ushukela wegazi kubantu abanempilo ngemuva kokudla okugcwele kakhulu ama-carbohydrate, bese sibeka izinga likashukela wegazi leshukela likashukela we-4.6 ± 0.6 mmol / L.
Ezigulini ezinesifo sikashukela sohlobo lwe-2 ezingalashwa nge-insulin nhlobo noma ezithola imithamo ephansi kakhulu ye-insulin enwetshiwe, uDkt Bernstein uncoma ukubeka imigomo kashukela wegazi ka-4.4-4.7 mmol / L ngaphambi nangemva kokudla, i.e. ngomuntu omncane ukuphambuka. Ezigulini ezinesifo sikashukela sohlobo 2 eziphathwa ngemithamo eqinile ye-insulin, kanye nasezigulini ezinesifo sikashukela sohlobo 1, isimo siyinkimbinkimbi ngokwengeziwe. Lapho ushukela wegazi labo ehla, umzimba awukwazi “ukucima” isenzo se-insulin elimele. Ngakho-ke, kukhona njalo ingozi yokuthi izinga le-glucose egazini lizokwehla kakhulu, okungukuthi, i-hypoglycemia izokwenzeka. Ngakho-ke, ngenxa yezizathu zokuphepha, kwabanesifo sikashukela esinjalo, izinga lokuqala likashukela egazini lingasetwa ku-5.0 ± 0.6 mmol / L. Uma usujwayela ukuhlala noshukela onjalo, bese ulinciphisa ngokusula ku-4.6 ± 0.6 mmol / l amasonto ambalwa.
Bonke abanesifo sikashukela belulekwa ukuthi baguqule ushukela wegazi labo lapho nje sebethola ukuthi lingaphezulu noma ngaphansi kwamanani okuhlosiwe kuwo. Kulokhu, kusetshenziswa imijovo yemithamo emincane ye-insulin “esheshayo,” kanye namaphilisi kashukela. Funda izindatshana eziningi zokukhululeka kwe-hypoglycemia kanye nokubalwa kwemithamo ye-insulin. Ngenxa yalokhu, ushukela wegazi lethu uhlala usujwayelekile, njengoba okhokho bethu babenayo ngaphambi kokuqala kwezolimo.
Lapho udinga ngokukhethekile ukugcina ushukela ophezulu
Kunohlu olubanzi lwezimo lapho izinga likashukela wegazi eliqondiwe lidinga ukusethwa liphezulu. Zonke lezi zimo zithinta kuphela abanesifo sikashukela abathembela ku-insulin, abangaba sengozini ye-hypoglycemia. Nalu uhlu lwabo:
- Ngaphambi kokuqala ukwelashwa, isiguli sikashukela saphila noshukela omningi kakhulu iminyaka eminingi.
- Ekuqaleni kokulashwa kwesifo sikashukela ngemijovo ye-insulin.
- Kwabashukela abasebenza kanzima kanzima.
- Ezinganeni ezincane ezinamazinga aphakeme futhi angahlelekile okusebenza komzimba.
- Uma isiguli singakwazi noma singafuni ukulandela irejimeni ngqo.
- Nge-diabetes ye-gastroparesis.
Uma isiguli esinesifo sikashukela sinoshukela wegazi ophakeme isikhathi eside ngaphambi kokuqala ukwelashwa, khona-ke sihlangabezana nezimpawu ezingemnandi ze-glycemia, uma ngokushesha uzama ukwehlisa ushukela ube uvamile. Esimweni esinjalo, sibeka amazinga okuqala eglucose egazini aphezulu kakhulu, futhi kamuva kancane kancane sehlise okujwayelekile kumaviki ambalwa. Isibonelo. Isiguli esinesifo sikashukela sahlala isikhathi eside sinoshukela wegazi ongaba ngu-14 mmol / L. Kulokhu, kuqala ushukela wayo uncishiselwa ku-7-8 mmol / l futhi uvunyelwe ukujwayela "impilo entsha". Futhi-ke baphinde banciphiswe babejwayelekile.
Ungenza kanjani lapho isiguli sisaqala ukwelapha isifo sakhe sikashukela ngemijovo ye-insulin? Ezinsukwini zokuqala, iziguli zivame ukwenza amaphutha lapho zibala imithamo ye-insulin. Futhi kulungile kuze kufike umkhuba. Udinga nje ukusebenzisa isu eliphephile ukuze uzivikele ku-hypoglycemia enzima. Isibonelo, ekuqaleni ungalwela ukwehlisa ushukela wegazi ufike kuma-6.7 mmol / L kuphela. Emavikini ambalwa, imijovo ye-insulin engenabuhlungu ihlanganiswa nokulawulwa ngokuphelele koshukela wegazi. Sasiqiniseka ukuthi ushukela awukaze wehle ngaphansi kwezingu-3.8 mmol / l - futhi kuphela emva kwalapho kancane kancane sikhulisa umthamo we-insulin ukwehlisa ushukela ufinyelele ezingeni lokuhlaselwa ngalo.
Ezigulini ezinesifo sikashukela esincike ku-insulin ezisebenza kanzima ngokomzimba, kunengozi eyengeziwe ye-hypoglycemia. Ngakho-ke, bangalulekwa ukuba balondoloze ushukela wegazi ophakeme kuneleveli yethu ejwayelekile yokuqondisa. Okufanayo kusebenza ezinganeni ezincane ezinamazinga aphezulu futhi angalindeleki omzimba.
Siphawula ngamafuphi abantu abanesifo sikashukela abangakwazi noma abangafuni ukulandela ngokucophelela izincomo, ukuze bagcine irejimeni. Ngokuqinisekile bayoba nama-surges ushukela. Uma ungaliqoqi ngokweqile izinga lokugxilwa kweglucose egazini, khona-ke lokhu kuzuba kuzoholela ku-hypoglycemia. Empeleni lesi yisimo esifanayo nasekwelashweni okuvamile kwesifo sikashukela, lapho isiguli sidla ekudleni okulinganiselayo.
Icala elibi kakhulu elileziguli ezinesifo sikashukela ezinesifo sikashukela ezinesifo sikashukela - ezibambezele esiswini ngemuva kokudla. Lokhu kuyinkimbinkimbi yesifo sikashukela esenza ukuthi ushukela wegazi ube nzima ngokwengeziwe ngokudla kwe-carb ephansi. Kubangela ukugcwala kushukela wegazi, okunzima kakhulu ukubushelelezela. Esikhathini esizayo esiseduze, kuzovela incwadi eningilizayo esizeni ukuthi ingenza kanjani esimweni esinjalo.
Ongakulindela lapho ushukela wakho wegazi ubuyela kokujwayelekile
Ebantwini abagcina ushukela wegazi ozinzile ojwayelekile, izinkinga zesifo sikashukela zesikhathi eside azikhuli nakancane. Ngaso leso sikhathi, noshukela ophakeme omncane uthwala ubungozi bokuthola ubunzima besifo sikashukela. Kepha ukusondela kwakho ushukela kuvamile, kunciphisa ubungozi bezinkinga. Okulandelayo, sizochaza kabanzi ngezinguquko ezinhle ezibonwa yiziguli ezinesifo sikashukela ngemuva kokuba sezifunde ukulawula kahle isifo sazo.
Ukunyusa amandla, ukuthuthukisa amakhono engqondo
Okokuqala, abanesifo sikashukela abanamathela kuhulumeni basheshe babone ukuthi ukukhathala kwabo okungapheli sekunyamalale. Kukhona amandla amaningi, ukusebenza kahle kanye nethemba elihle. Iziguli eziningi, ngaphambi kokuqala ukubuyisa ushukela wazo ziyejwayelekile, zithi zizizwa zisejwayelekile. Kamuva, lapho sebezwile imiphumela yohlelo lokwelapha isifo sikashukela sohlobo lwe-1 noma uhlobo 2 lokuthola isifo sikashukela, bathi muhle kakhulu. Inhlala-kahle yabo iba yinhle ngokumangazayo. Abaningi abakholelwa ngisho ukuthi lokhu kuyenzeka kubo.
Imvamisa iziguli ngokwazo, kanye nabalingani bazo nezihlobo zikhononda ngokuthi abanesifo sikashukela abanenkumbulo emibi. Lokhu kusho ukuthi banenkumbulo yesikhashana esibuthakathaka yemicimbi yakamuva. Lapho ushukela wegazi usujwayelekile, ezigulini ezinesifo sikashukela, inkumbulo yesikhashana iba ngcono kakhulu. Futhi, uma ukuhlolwa kukhombisa ukuntuleka kwama-hormone e-thyroid egazini, lapho-ke udinga ukuxhumana nodokotela we-endocrinologist futhi uthathe amaphilisi azowunikeza. Lokhu kusiza ukuthuthukisa inkumbulo. Kuze kube seqophelweni lokuthi izimpawu zokuwohloka komqondo okunyamalala kunyamalala ezinyangeni ezimbalwa. Ekugcineni, ukuthuthuka okukhulu kwimemori kuba sobala kwabanesifo sikashukela nakulabo abaseduze naye.
Ubuhlungu nobuhlungu bomlenze buyanyamalala
I-neuropathy yesifo sikashukela i-nerve conduction disorder eyenzeka ngenxa yezinga le-glucose eliphakeme elingamahlalakhona. I-neuropathy yesifo sikashukela ibangela izimpawu eziningi nezinkinga eziningi. Ukuvezwa kwayo okuvame kakhulu yizinkinga ngemilenze, okungukuthi, imilenze ilimele noma, kunalokho, ilahlekelwa umuzwa wayo. Lapho ushukela wegazi usubuyile kokujwayelekile, ezinye izinkomba zesifo sikashukela se-diabetes zihamba ngokushesha, kanti ezinye zingadala inkathazo iminyaka embalwa. Futhi akukho okungabikezelwa kusengaphambili lapha.
Uma unesibindi (ukulahleka kwemizwa) emilenzeni yakho, khona-ke ungathemba ukuthi le nkinga izoqala ukuwohloka kancane kancane ngemuva kwamasonto ambalwa kokusebenzisa ngokucophelela uhlelo lohlobo lwe-1 yesifo sikashukela noma uhlobo lwe-2 yesifo sikashukela. Kepha ngokuya kwesikhathi sokubuyiselwa kokuzwela emilenzeni, asithembisi lutho kusengaphambili. Ezigulini eziningi ezinesifo sikashukela, imilenze ithinta ushukela wegazi kakhulu. Abantu abanjalo abanesifo sikashukela bayazi lapho ushukela wabo ukhuphuka, ngoba ngokushesha bazizwa bebanga emilenzeni yabo.
Ngakolunye uhlangothi, kwezinye iziguli ezazikade zikhononda ngokuxineka emilenzeni, ngemuva kokujwayela ushukela wegazi, imilenze iqale ukulimala. Ngaphezu kwalokho, lezinhlungu zinamandla kakhulu, futhi kunzima ukuzikhipha ngokuthile. Zingahlala izinyanga ezimbalwa, kepha ekugcineni zidlule. Ngokunokwenzeka, izinzwa ziqala ukukhipha amasiginali wezinhlungu ngesikhathi sokuqala lapho ukubuyiswa kwazo kubuyiselwa. Esimweni esinjalo, udinga ukubekezela, awukwazi ukuya ndawo, ngokuhamba kwesikhathi lezinhlungu zizonyamalala. Into esemqoka ukuthi ubungozi bokuthi unqunywe unyawo noma umlenze wehlisiwe.
Izinkinga zePotency emadodeni
Izinkinga zePotency zithinta okungenani ama-65% amadoda wesifo sikashukela. Mhlawumbe, leli phesenti liphezulu kakhulu, abaningi nje abaziwa udokotela. Impotence ibangelwa ukuphazamiseka ekungenisweni kwe-nerve, blockage ye-atherosulinotic yemithambo yegazi egcwalisa i-penis ngegazi, noma zombili ngasikhathi sinye. Kungaba ngokwengxenye noma okuphelele. Uma amandla omuntu okungenani agcinwe ngokwengxenye, lapho-ke singalindela ukuthi ngenxa yokujwayelekile ushukela egazini, uzobuyiselwa ngokuphelele. Futhi lokhu kungenzeka emavikini ambalwa.
Ngeshwa, uma "umngane wakudala" engakhombisi zimpawu zokuphila, ngakho-ke akukho lutho olungenziwa. Lokhu kusho ukuthi imithambo isivele ihlaselwe kakhulu yi-atherossteosis, futhi ukujwayela noshukela wegazi akusizi. Zama izindlela zokwelapha ezichazwe esihlokweni sethu esinemininingwane, "Ukungabi namandla Sikashukela." Wonke umuntu uyazi ngamathebulethi eViagra. Bambalwa abantu abazi ukuthi i-Viagra inezinye "izihlobo" ezimbalwa ezivela ezinkampanini zemithi ezincintisanayo. Kunengqondo ukuzama bonke ukunquma ukuthi imaphi amaphilisi ahamba phambili kuwe. Funda kabanzi ku-athikili ekhonjiswe ngenhla.
Khumbula futhi ukuthi i-hypoglycemia inomphumela omubi kakhulu ku-potency yowesilisa. Ngemuva kokuhlaselwa yi-hypoglycemia, ukungakwazi ukuvela kungazibonakalisa ezinye izinsuku eziningana, ngezikhathi ezingezinhle kakhulu. Ngale ndlela, umzimba womuntu onesifo sikashukela ujezisa inkosi yakhe ngokunganakekelwa. Le yingxabano eyengeziwe ukuvama ukukala ushukela wegazi nge-glucometer futhi ungagcini emigqeni yokuhlolwa.
Ukuthuthukiswa kokwehluleka kwezinso kuvinjelwe
Ukudla okune-carbohydrate engaziphathi izinso ngese. Kucatshangwa ukuthi izinso zivuselela ngokwazo uma zingasadakwanga ubuthi obuphakanyiswe ushukela wegazi ophakeme.Inani lamaprotheni kumchamo liyancipha ngemuva kwezinyanga ezimbalwa, kepha le nqubo ingelula iminyaka engu-1-2. Futhi, isilinganiso sokuhlunga kwe-glomerular sithuthukiswa ngokuya ngemiphumela yokuhlolwa kwegazi.
Odokotela bavame ukucebisa ukunciphisa imvelo yokudla ngamaprotheni ukuze kungalayishi ngokweqile izinso futhi ngenxa yalokho kubambezele ukukhula kwezinso. UDkt Bernstein uthi lokhu akulungile. Esikhundleni salokho, udinga ukunciphisa umkhawulo wokudla kwe-carbohydrate yakho futhi wenze yonke imizamo ukuze ulondoloze ushukela wegazi ojwayelekile. Qiniseka ukuthi ufunda "I-Low-Carbohydrate Diet kanye Nezinkinga Zesifo Sezinso".
Ukugcina umbono wesifo sikashukela kungokoqobo
Izinkinga zesifo sikashukela sokubuka i-retinopathy yesifo sikashukela, ikhathalogu kanye ne-glaucoma. Zonke lezi zinkinga zithuthuka kakhulu lapho umuntu onesifo sikashukela elawula ushukela wegazi lakhe futhi eligcina liqinile futhi livamile. Njengakwezinye izinkinga zesifo sikashukela, konke kuncike ebubini besifo, i.e., noma ngabe baqala ukwelashwa ngokufanele ngesikhathi ngokudla okune-carbohydrate ephansi kakhulu.
Ukushintsha ushukela wegazi kuyindlela engcono yokwelapha izinkinga zamehlo kushukela. Zonke izindlela zokwelapha ezihlinzekwa ngamehlo ezamehlo, ngokuya ngokusebenza kwazo okulondoloze umbono, azange zilale ngohlelo lwe-1 yesifo sikashukela sohlobo noma uhlelo lwe-2 yesifo sikashukela. Vele, uma izinkinga ezibukhali zesifo sikashukela sezivele sezakhiwe, awukwazi ukwenza ngaphandle kosizo lwezokwelashwa. Ngasikhathi sinye, ukuqiniswa kwe-laser kwe-retina noma ezinye izindlela zokwelashwa kungasiza, kodwa kungenzi isikhundla, isenzo sesiguli ngokwelashwa kwesifo sikashukela.
Enye intuthuko
Kokudla ekudleni okune-carbohydrate eningi, imiphumela yokuhlolwa kwegazi kwe-cholesterol "enhle" ne "embi", i-triglycerides, nezinye izinto ezibeka engcupheni yenhliziyo ithuthuka kakhulu. Lokhu kungabonakala uma uphumelela izivivinyo ngaphambi kokuqala 'kwempilo entsha,' bese uphinde emva kwezinyanga ezi-2. Imiphumela yokuhlola izoqhubeka nokuthuthuka kancane kancane cishe unyaka owodwa.
Ushukela wegazi ophakanyisiwe uye wafakazelwa ukuvimbela ukukhula nokukhula kwezingane ezinesifo sikashukela sohlobo 1. Uma ukwazi ukwengeza ushukela ebuntwaneni noma ebusheni, khona lapho abanesifo sikashukela abasebancane baqala ukukhula futhi bakhule ngokushesha, bebamba izimbotshana zabo.
Ukubonakaliswa okubi kakhulu kwe-neuropathy yesifo sikashukela yi-gastroparesis, isb. Isifo sikashukela i-gastroparesis iholela ekubambezelweni kokukhipha isisu ngemuva kokudla. Le nkinga ilimaza kakhulu ukulawulwa kweshukela egazini ekudleni okune-carbohydrate ephansi kakhulu. Ngakho-ke, i-gastroparesis yesifo sikashukela iyaphazamisa ezinye izinkinga. Funda ukuthi ungayilawula kanjani i-gastroparesis yesifo sikashukela.
Intuthuko enkulu ozoyizwa umuzwa wokuthi ugwetshelwe ukufa. Ngoba izinkinga ezesabekayo zesifo sikashukela - ukwehluleka kwezinso, ukungaboni, ukunqunywa kwawo wonke unyawo noma umlenze - akusasongelwa. Kungenzeka wazi iziguli zesifo sikashukela eziphila nezinkinga ezishiwo ngenhla. Lokhu akuyona impilo, kepha ukuhlukunyezwa okukhulu. Abantu abaphishekela ngenkuthalo uhlelo lwethu lokwelapha isifo sikashukela sohlobo lwe-1 noma uhlelo lwe-2 yesifo sikashukela bakhululeka kakhulu ngoba abekho engcupheni yokwabelana ngesiphetho salaba abanye.
Ukugcina ushukela wegazi ojwayelekile kushukela, njengabantu abaphilile, abancane, kuwumgomo wangempela uma silandela izincomo zethu ngenkuthalo. Impilo yakho kanye nezinga lempilo yakho kuncike kuwe kuphela. Ngaphandle kwabathandekayo bakho, akusabheki muntu. Umbuso, ngokungafani nalokhu, unentshisekelo yokuqeda abashukela kushukela kusenesikhathi ukuze kwehliswe umthwalo kwisabelomali.
Noma kunjalo, sethemba ukuthi ukuhlakanipha kuzonqoba. Ukudla kwe-carb ephansi kungekudala kuzoba ukwelashwa kwesifo sikashukela okwaziwa ngokusemthethweni. Kepha lesi sikhathi esijabulisayo sisekude, futhi udinga ukuthatha isinyathelo manje ukuze uphile ngokujwayelekile ngaphandle kokukhubazeka ngenxa yezinkinga zesifo sikashukela.
