Wonke umuntu osekhulile, othambekele kokugcwala futhi onesifo sofuzo, kudingeka azi ukuthi yiziphi izimpawu zesifo sikashukela emadodeni emva kweminyaka engama-60.
Yize izibalo zikhombisa ukuthi isibalo sabantu besifo sikashukela besifazane siphindwe kabili kunaleso sabantu besilisa, inani labesilisa abatholakala benesifo sikashukela landa njalo minyaka yonke.
Ukuxilongwa ngesikhathi kungavikela isiguli ekuthuthukisweni kwezinkinga eziningi. Kubaluleke kakhulu ebudaleni, lapho umzimba ungakwazi ukulwa nalesi sifo ngokugcwele.
Izinhlobo zesifo sikashukela nezimbangela
Imbangela enkulu yesifo sikashukela ukuphazamiseka kwe-autoimmune emzimbeni. Ngenxa yalokhu, ukukhiqizwa kwehomoni ye-hypoglycemic kuphazamiseka noma kumiswe ngokuphelele. Ngeshwa, kulesi sigaba ekwakhiweni kwemithi yesimanje, isifo sikashukela asikwazi ukunqotshwa ngokuphelele. Kunezinhlobo eziningi zalesi sifo:
- Uhlobo lokuqala, lapho ukukhiqizwa kwe-insulin kumisa khona ngenxa yokuphazamiseka kokusebenza kwamaseli we-beta wezinto ezisetshenziswayo ze-islet. Lolu hlobo lwesifo sikashukela luba khona ebuntwaneni noma ebusheni. Ngokuvamile, lesi sifo sitholakala siseminyakeni engu-5 kuya kwengu-12, ngakho-ke uhlobo 1 sikashukela lubizwa ngokuthi ulutsha. Ingxenye ebalulekile ekwelapheni lesi sifo ukwelashwa kwe-insulin.
- Uhlobo lwesibili lwe-pathology lukhula eseminyakeni yobudala, luqala eminyakeni yobudala engama-40. Kulokhu, i-insulin ikhiqizwa ama-pancreas, kepha amangqamuzana nezicubu ezingabonakali akuboni ngokwanele. Ezigabeni zokuqala zokuqhubeka kwezifo, izinga le-glycemia lilawulwa ukwelashwa kokudla nokuvivinya umzimba njalo. Ngokuhamba kwesikhathi, ukwehla kwe-pancreatic kwenzeka, njengomphumela lapho isiguli sisebenzisa ama-hypoglycemic agents.
- Isifo sikashukela sokutholwa yisifo esikhula kubantu besifazane ngesikhathi sokukhulelwa. Ushintsho lwe-pathological emazingeni kashukela luhambisana nezinguquko ze-hormonal emzimbeni womama oselindele. Lesi sifo siyingozi ngoba singaba yi-asymptomatic isikhathi eside. Ezimweni eziningi, kudlula ngemuva kokuzalwa kwengane, kepha kwesinye isikhathi kuguquka kube uhlobo 2 sikashukela.
Phakathi kwezizathu zokwakhiwa kwesifo sikashukela sohlobo 1 ngokuyinhloko ukukhiqizwa kwama-antibodies kumaseli abo emzimbeni (inqubo ye-autoimmune), ezinye izifo ezithathelwanayo (ama-mumps, i-rubella, i-mononucleosis kanye ne-hepatitis engapheli), kanye nokwanda komsebenzi wama-T cell.
Izici ezibangela isifo sikashukela sohlobo 2 ukuzalwa kwengozi nokukhuluphala. Ngaphezu kwalokho, kunezici ezithile zobungozi:
- ukulimala, izifo kanye nomonakalo kumanyikwe;
- ukutheleleka ngegciwane (isb. i-rubella, iminyuzi, ingxibongo, isifo sokusha kwesibindi);
- isigaba seminyaka (kusuka eminyakeni engama-40 kuya kwengama-5 ubudala);
- ukucindezeleka okungapheli kanye nokuphazamiseka kwemizwa;
- umfutho wegazi ophakeme
- Isifo se-Itsenko-Cushing esedlule nesidlulegaly;
- I-Pathology yokukhulelwa nokuzalwa kwengane ngaphezu kwe-4kg.
Izimpawu zokuqala zesifo sikashukela emadodeni
"Ukugula Okumnandi" kucashile kakhulu, ngakho-ke, kungadlula isikhathi esifihlekile. Emadodeni angaphezu kweminyaka engama-60, lesi sifo emabangeni okuqala ahamba ngaphandle kokubonakaliswa okuningi. Kulokhu, iWorld Health Organisation incoma ngokuqinile ukuthi kwenziwe isivivinyo sikashukela wegazi njalo ezinyangeni eziyisithupha.
Njengoba isithombe somtholampilo we-pathology singakhulunywa, kuba nzima ukusibona. Kepha uma ulalelisisa impilo yakho, ungazibona lezi zimpawu ezilandelayo:
- Ukwehla kwesisindo okusheshayo Le nqubo ihambisana nokwephula ukumuncwa kwama-carbohydrate, ngenxa yokuthi amaseli adonsa amandla emafutheni izicubu zomzimba.
- Ukukhathala okungamahlalakhona nokungahambi kahle. Izimpawu ziphakama ngenxa yendlala yamaseli nokuvezwa kwemizimba ye-ketone - imikhiqizo enobuthi yokuqhekeka kwamafutha.
- Ukulunywa nokubomvu ezindaweni ezahlukahlukene zesikhumba, ikakhulukazi ezintendeni zezandla, ezinyaweni naku-groin.
- Ezinye izinkomba zifaka indlala ephikelelayo nokujuluka ngokweqile.
Ushintsho olungenhla lwe-pathological luyizimpawu zokuqala zesifo sikashukela. Kwesinye isikhathi badidaniswa nengcindezelo elula noma ukusebenza ngokweqile.
Kepha kungcono ukuya ehhovisi likadokotela uye kohlola ushukela wegazi ukuze uqiniseke ukuthi asikho yini noma isifo.
Izimpawu Zokufika Kwesifo Sikashukela ezisheshayo
Ezigabeni zakamuva zokuqhubekela phambili kwe-pathology, kuvela izimpawu zokuthi kwenzeka. Okokuqala, womile njalo ne-polyuria. Lezi zimpawu ezimbili ezihlangene ziyavela ngenxa yomthwalo owandayo ezinso. Zisusa zonke izinto ezinobuthi emzimbeni, kufaka noshukela ngokweqile.
Njengoba ushukela udonswa ngobuningi obukhulu, izinso zidinga amanzi amaningi, eziqala ukuzidweba ezithweni zemisipha. Ngenxa yalokhu, isiguli sihlala siphuza amanzi futhi kwesinye isikhathi siya endlini yangasese "kancane kancane". Kumele kuqashelwe ukuthi ukuba khona kweshukela kumchamo kungenye yezinkomba ze-hyperglycemia.
Ngokungafani nabesifazane abaye bakhuphula isisindo somzimba ekuqaleni kwalesi sifo, amadoda ahlushwa izitho zangaphakathi. Ezinye izinkomba zokuchuma kwe "kugula okumnandi" yilezi:
- ukwephulwa kwezinsiza ezibukwayo;
- ukunciphisa isikhathi sokunakwa;
- ukuphulukiswa isikhathi eside kwe-abrasions kanye namanxeba;
- ukopha kwezinsini, ukuthambisa i-enamel yezinyo;
- ukuzindla nokukhubazeka kwemikhawulo engezansi.
Ngaphezu kwazo zonke lezi zimpawu, isifo sikashukela sithinta umsebenzi wocansi wendoda. Imizimba yeKetone ayithinti kuphela ukusebenza kwengqondo, kepha futhi inciphisa ukukhiqizwa kwe-testosterone. Ngenxa yalokhu, isifiso sobulili sincishisiwe, khona-ke kunezinkinga nge-erection, orgasm kanye ne-ejaculation.
I-metabolism ephazamisekile yama-carbohydrate, amafutha kanye namaprotheni ifaka ukulimala esakhiweni se-DNA. Ngenxa yalokhu, inani lesidoda esikhiqizwayo liyancipha, bese kuthi inzalo ikhule. Ngaphezu kwalokho, inkinga nge-potency yenzeka ngenxa yokuphazamiseka kokujikeleza kwegazi. Isifo sikashukela sithinta imithambo emincane cishe yazo zonke izitho zomzimba.
Ukuze ungonakalisi impilo yakho yabesilisa, udinga ukwenze i-glucose ngokwejwayelekile, udle ngakwesokudla, uhole indlela yokuphila esebenzayo, futhi ulwe namaphawundi angeziwe. Kodwa-ke, lezi zinyathelo ngeke zithuthukise umsebenzi wezocansi, ngakho-ke isiguli kuyodingeka sifune usizo kudokotela ofanele.
Izici zokwelashwa kwalesi sifo
Okokuqala, isiguli kufanele sihlolwe ezinye izivivinyo ukuze siqiniseke ngokwanda koshukela. Kunezivivinyo eziningi ezisiza ukunquma izinga le-glycemia, kepha okulandelayo kubhekwa njengokuthandwa kakhulu.
| Iminyaka yobudala | Uhlobo lokuhlaziywa | Isimo sikashukela kumuntu ophile saka |
| Uneminyaka engama-61 - 69 ubudala | Ukuhlolwa kweshukela kwegazi le-capillary | 4,6 kuye ku-6.4 mmol / L (esiswini esingenalutho) |
| Ukuhlolwa kokubekezelela kwe-glucose (ngomthwalo lapho isiguli sithatha uketshezi ngoshukela) | ngaphansi kuka-7.8 mmol / l (ngemuva kokusetshenziswa kwamanzi amnandi) | |
| Ukuhlolwa kwe-glycosylated hemoglobin (kwenziwe isikhathi esingaphezu kwezinyanga ezintathu) | sisuka ku-4,5 kuye ku-6.1% | |
| I-Urinalysis | Imvamisa, umchamo awunawo ushukela noma ukuqina kwawo kungadluli ku-0,02%. |
Uma imiphumela yocwaningo idlula amanani ajwayelekile, lokhu kukhombisa ubukhona besifo sikashukela esigulini. Ngemuva kokuthola ukuxilongwa, udokotela uqala ukwenza uhlobo lokwelashwa lwamadoda. Ukululama okuphumelelayo kuqukethe izinto ezintathu, ezilandelayo:
- Ukudla okuphansi kwe-carb. Kusukela ekudleni kuzodingeka ukhiphe ushokoledi, amakhekhe, u-ayisikhilimu, izithelo ezimnandi namajikijolo (amagilebhisi, ikhabe, ama-sitrobheli, ama-raspberry). Kuyadingeka futhi ukukhohlwa ngokudla okunamafutha nokuthosiwe. Esikhundleni salokho, udinga ukudla izithelo ezingafakwanga (ulamula, ama-aphula aluhlaza, ama-cherries) nemifino emisha (utamatisi, ukhukhamba) kanye nemikhiqizo yobisi olunobisi oluncane olunamafutha.
- Ukuzivocavoca umzimba. Ngokukhuluphala kakhulu, ukudlala imidlalo akulula. Ngakho-ke, ngisho nokuhamba okungenani imizuzu engama-30-60 ngosuku kufanelekile ukuqala. Kunobuchwepheshe obuningi obukhethekile, ngokwesibonelo, ukuhamba kweNordic kanye nendlela yezempilo.
- Ukuthatha izidakamizwa ze-hypoglycemic noma i-insulin.
Ngaphezu kwalokho, kufanele ubheke njalo ukugcwala kwe-glucose egazini.
Imiphumela yokuxilongwa kungaziwa
Ukungasebenzi kwisifo sikashukela kuholela emiphumeleni emibi kakhulu.
Ngokuhamba kwesikhathi, isifo sikhubaza cishe zonke izinhlelo zezitho.
Okokuqala, isifo sikashukela siholela ekuqineni kwezindonga zemithambo yegazi nokujikeleza kwegazi okungekuhle, bese-ke ama-pathologies akhula:
- ezihambisana nesistimu yenhliziyo: umfutho wegazi ophakeme, i-angina pectoris, isifo sokuqina kwemithambo yegazi, ukufakwa kwe-myocardial infarction;
- i-retinopathy - ukuvuvukala kwe-retina yezingqimba zamehlo, okuholela ekulimazeni okubukwayo nasekubonakala kokukhubazeka okuhlukahlukene;
- unyawo lwesifo sikashukela - isimo esihlanganisa izinqubo ze-pathogenic ezenzeka emaphethelweni aphansi - ukusuka ezilonda ekuthuthukisweni kwe-gangrene, lapho sizokhuluma kuphela ngokuqunjelwa;
- i-encephalopathy - isifo lapho amangqamuzana ezinzwa efa khona, izimpawu zesifo zihlala ziba nesiyezi, ukukhubazeka kwenkumbulo, ukulala kabi, izinkinga zokuhlushwa nokubona okufiphele;
- isifo sikashukela - i-nephropathy yesifo sikashukela - umsebenzi wezinso okhubazekile ngenxa yokulimala kwezithonjana ze-glomerular.
Ukusukela eminyakeni yobudala engama-41, kubaluleke kakhulu ukuthi owesilisa abhekele impilo yakhe ngokunakekelwa okukhethekile. Lokhu ikakhulukazi kuthinta labo abasengozini yokuthola isifo sikashukela. Izimpawu zomzimba zingasakaza izinqubo ezibucayi ze-pathological ezidinga ukubhekwa ngokushesha okukhulu.
Izimpawu zesifo sikashukela kuxoxwa ngazo kule vidiyo kulesi sihloko.
