Yini ukumelana ne-insulin kufanele kwaziwe kuzo zonke iziguli ezinesifo sikashukela sohlobo 2. Lesi simo sibonisa ngokungaphenduki kahle kwe-metabolic emzimbeni okwenzeka emzimbeni kuya kwe-insulin ye-hormone evezwe ngamanyikwe. Lesi simo sikhombisa ukukhula kwangaphambili kwesifo sikashukela sohlobo 2. Izimpawu zingakhombisa isifo sikashukela sokuthambisa kanye ne-prediabetes.
Ukwelashwa kokumelana ne-insulin kuhlobene ngqo nokulahlekelwa kwesisindo somuntu. Ngalesi simpawu, isiguli sivame ukuba nenkinga yokukhuluphala ngokweqile. Yize kunezimo lapho isiguli sitholakala simelana ne-insulin, lapho kunezinkinga ngesisindo ngokweqile.
Uma kukhona izinsolo zokuthi wephulwa umthetho, kudingeka ukuthi kuhlolwe i-insulin futhi kufanele kuthathwe ukwelashwa okufanele ngokususelwa emiphumeleni yakho.
Ukuhlolwa kokumelana ne-insulin kuwuhlobo oluphambili lokuxilonga olusiza ekuboneni ukuba khona kwe-pathological disorder. Kubalulekile ukuhlaziya izimpawu ezibonakala kubantu. Indlela ehlanganisiwe kuphela ezosiza ekuboneni ukuba khona kwalesi sifo.
Ukuxilongwa kwe-insulin ukumelana kwenziwa ngqo esikhungweni sezokwelapha. Lapho kuvela izimpawu zokuqala zokugula, kufanele ufune usizo kuchwepheshe.
Ukuze uphendule ngesikhathi esifanele ezinkingeni zezempilo ezivelayo, kufanele kuqondwe ukuthi iziphi izimpawu ezihambisana nokuqhubeka kokuphazamiseka kwengqondo. Uma unganaki izimpawu zesifo, khona-ke cishe akunakwenzeka ukuthi usithole. Ukuqhubeka kokuphazamiseka kuyingozi kakhulu emzimbeni, ikakhulukazi ezinganeni. Ukumelana ne-insulin nakho kuvamile, njengakwabadala. Kepha imiphumela engemihle ingagwenywa - funda nje ukuthi yiziphi izimpawu ezibonisa ukwanda kwesifo.
Konke okudingeka ukwazi ngalesi sifo?
Ukungaxiniseki kwe-insulin kungaba yingxenye ye-metabolic syndrome, kuvame ukuhlotshaniswa nengozi eyengeziwe yesifo senhliziyo.
Uma ukuvela kwe-insulin kuboniswa, khona-ke lokhu kungakhombisa izigaba zokuqala zokuqhubeka kwesifo sikashukela sohlobo 2.
Ukumelana ne-insulin kungenzeka ngenxa yokuqageleka kofuzo kwesiguli, ukubonakala kwayo kuba imbangela yendlela engalungile noma izifo ezithile ezingamahlalakhona.
Ubunzima bokuxilongwa bokuthi akukho zimpawu ezithile zesi sifo. Zonke izimpawu ziyafana nalezo ezinesifo sezinye izifo. Ngakho-ke, ukuhlonza imvamisa kwe-pathological kuba nzima.
Ukumelana ne-insulin kungahle kuhlotshaniswe nezifo ezifana:
- ukukhuluphala kwesibindi;
- i-acanthosis emnyama;
- isifo sokuqina kwemizwa;
- Izinkinga ngomsebenzi wokuzala kwabesifazane.
Ukumelana ne-insulin, izimpawu zazo ezichazwe ngenhla, kuwuphawu olukhulu lokuthi kunezinkinga zempilo emzimbeni womuntu. Futhi lapho isiguli sithola imbangela yalesi simo ngokushesha, indlela yokwelashwa isebenza kahle.
Uma kutholwa ukumelana ne-insulin, ukwelashwa kufanele kuqalwe ngokushesha.
Njengoba kushiwo ngenhla, lesi sifo sinqunywa ngokukhishwa kohlolo olukhethekile.
Ukwelashwa okuyinhloko ukuthi udokotela ulungisa kahle indlela yomuntu yokuphila, amncome ukudla okhethekile futhi amnikeze umuthi ofanele
Ukuthola ukumelana ne-insulin, ukuhlolwa kwegazi kuyiswa ngqo esikhungweni sezokwelapha.
Kungani kuvela lesi sifo?
Kungani ukuvela kwe-insulin kuvela nezizathu zalesi simo?
Lo mbuzo uvame ukubuzwa iziguli lapho uthola ukungasebenzi kahle emzimbeni.
Kunezizathu eziningi ezingavusa ukuqhubekela phambili kokwephulwa kwe-pathological.
Okusemqoka yile elandelayo:
- Izinkinga ezinkulu ngokukhuluphala.
- Ukukhulelwa
- Ukutheleleka noma ukugula kakhulu.
- Ukuxineka
- Inertness and ngokweqile.
- Ukusetshenziswa kwama-steroid.
Izizathu eziholela ekubukekeni kwezimpawu zokuqala zokuphikisana ne-insulin zingokulandelayo:
- ukuthatha imishanguzo ethile;
- ubudala
- ukulala ezinkingeni (ikakhulukazi ukuqwasha)
- ukubhema
Akuzona njalo izizathu ezinjalo ezingavusa ukukhula kwesimo se-pathological. Kwesinye isikhathi ibonakala njengomphumela wokukhula kwesifo sikashukela ngenxa yokuvela kolwelwesi.
Uhlobo 2 isifo sikashukela kanye nohlobo lokungamelana ne-insulin kuhlobene kakhulu.
Odokotela batusa ukuthi uguqule indlela yakho yokuphila futhi ulandele ukudla okukhethekile. Ukulungiswa kuzosiza ukubhekana hhayi nesifo sikashukela uqobo, kodwa futhi nokunqoba le-pathology. Imenyu yokumelana ne-insulin ifana nokunconyelwe ukutholwa kwesifo sikashukela sohlobo 2.
Ngokuvamile, kuhlolwa ukumelana ne-insulin lapho umuntu wesifazane etholakala ukuthi unesifo se-ovary polycystic noma lapho isiguli sinezilonda zesikhumba ngendlela ye-black acanthosis.
Okuqukethwe kwamahomoni we-leptin kanye ne-insulin ukumelana kuyizinkomba ezimbili ezihlobene kakhulu. Ikakhulu uma kukhulunywa ngomzimba wesifazane. Abesifazane abaningi ngenxa yokuphazamiseka kwama-hormone baqala ukuba nesifo esinjenge-polycystic ovary syndrome. Kuhlotshaniswa nokwehluleka kumjikelezo wokuya esikhathini kowesifazane noma ukungabikho kokuya esikhathini ngokuphelele. Ngalezi zimpawu, inkinga yokuzwela kwe-insulin ivame ukutholakala emzimbeni.
Izindlela ezahlukahlukene zokumelana ne-insulin ziyaziwa. Ngakho-ke, kunzima ukunquma ukuqala kwesifo ngokwakho, ukuxilongwa kufanele kwenziwe udokotela onolwazi.
Ngemuva kokuxilongwa, udokotela unquma ukwelashwa okufanele.
Yiziphi izifo ezingahlanganiswa nalokhu kugula?
Izidakamizwa ezinciphisa ukumelana ne-insulin akufanele ziqale ngokwazo. Kungemva kokubonisana kwasekuqaleni nodokotela lapho ungaqala khona ukwelashwa ngemithi ethile.
Kunezinhlobo ezahlukahlukene zokumelana ne-insulin, ukukhethwa kwemithi kuhlobene ngqo nohlobo olukhonjwawe lwe-pathology.
Kubalulekile ukucubungula ukuba khona kwezifo ezikhona kanye nezigameko ezenzeka ezigulini ezinenkinga yokuxilongwa okunjalo. Lesi sifo senzeka ngokumelene nesizinda sezinye izifo. Ngakho-ke, ukuhlolwa okuphelele komzimba wonke kuphela okuzokusiza ukhethe uhlobo lwangempela lokwelashwa.
Kukhona ukuthuthukiswa kokumelana ne-insulin ngaphandle kwesisindo ngokweqile, kepha imvamisa i-pathology ihambisana nokukhuluphala. Imvamisa, iziguli ezinenkomba yesisindo somzimba esingaphezu kwamakhilogremu amabili nanhlanu zisengozini. Le nkomba ibalwa kalula, udinga ukuthatha isisindo somzimba bese uhlukanisa ngobude ngamamitha.
Kungcono ukunikela ngegazi ngokumelana ne-insulin lapho okhalweni lwamadoda lungaphezu kwamasentimitha ayikhulu namabili, kuthi kwabesifazane bangaphezulu kwamasentimitha angama-89.
Iqembu lengcuphe lifaka phakathi abantu abangaphezulu kweminyaka engamashumi amane.
Kwesinye isikhathi kuba khona ukumelana ne-insulin ngenxa yokungasebenzi kahle kwesibindi, kuba khona uma izihlobo eziseduze zesiguli zinesifo sikashukela sohlobo 2, umfutho wegazi ophakeme noma i-atherosclerosis.
Kuyaphawuleka ukuthi isifo sikashukela sohlobo 1 akuyona imbangela yokuqhamuka kwalesi sifo. Uma ngaphambili owesifazane ayenohlobo lwesifo sikashukela, kuyodingeka ukuthi ahlolwe ukuze kubonakale ukuthi ukhona noma ukungabikho kwe-pathology.
Uhlu lwezimbangela zokuqhamuka kwalesi sifo lude. Ngakho-ke, ukwelashwa kufanele kuqale kuphela emva kokuhlolwa okuphelele.
Okufanayo kusebenza ezindleleni zokwelashwa zendabuko, kanye nokulandela indlela ekhethekile yokudla. Uhlu lwemikhiqizo enconyiwe lukhethiwe ngokuya ngemiphumela yokuthola lesi sifo esiyisisekelo nokukhomba izimbangela zentuthuko yokuphazamiseka kwengqondo.
Ukwelashwa nokuxilongwa
Udokotela uhlala ehlonza lesi sifo kuphela ngemuva kokuhlolwa okuphelele komzimba. Hhayi imininingwane yokuthi iliphi ushukela egazini elibhekwayo, kodwa futhi nazo zonke izikhalazo zesiguli. Indlela ehlanganisiwe kuphela eyonquma imbangela yangempela yokuthuthuka kokwehluleka futhi inikeze uhlobo olufanele lokwelashwa.
Ungakudlulisa kanjani ukuhlaziya? Kubalulekile ukukhumbula ukuthi udinga ukwenza lokhu ngesisu esingenalutho ekuseni.
Ngemuva kokuthi izivivinyo zidlulile futhi nazo zonke izimpawu umuntu abhekwe nazo, ungaqala ukukhetha uhlobo lwelashwa.
Ungaselapha lesi sifo ngamakhambi abantu ngosizo lwezindlela zemithi yendabuko.
Qiniseka ukuthi udokotela unquma ukudla okungenani isonto, ngemuva kwalokho kunikezwe ukuhlolwa okuphindaphindiwe. Futhi ngokwemiphumela, udokotela uthi yikuphi ukudla okungafakwa ekudleni okuqhubekayo.
Uhlobo lokwelashwa luyohlala lufaka isidingo sokuyeka ngokuphelele imikhuba emibi. Isiguli kuzofanela sikhohlwe ukuthi buyini utshwala noma ukubhema.
Ukuze unciphise ukumelana ne-insulin, kudingeka ushintshe kakhulu indlela yakho yokuphila bese uqala ukwelashwa kwezifo ezingaphansi.
Kumele kwaziwe ukuthi ukwelashwa kwenziwa ngezindlela eziningi:
- Isidingo se-insulin singehliswa.
- Ukuzwela kwamaseli esenzweni se-insulin kungandiswa.
Udokotela ohambelayo uzosiza ekuboneni ukuthi iyiphi indlela ehamba phambili.
Ungakukhetha kanjani ukudla okufanele?
Ukuguqula ushukela nokubekezelela i-insulin ngokwejwayelekile kubaluleke kakhulu ukukhetha ukudla okufanele. Yikudla okuthinta okuqukethwe ushukela emzimbeni womuntu. Ukudla okune-carbohydrate eningi kunika ushukela xaxa Futhi uma izicubu zingaboni i-insulin, khona-ke umuntu angaqala ukuthuthukisa isifo sikashukela sohlobo 2.
Uma ukumelana kwe-insulin nesisindo ngokweqile, futhi ikakhulukazi isifo sikashukela, kutholakala, khona-ke inani lama-carbohydrate asetshenzisiwe kufanele ancishiswe.
Indlela yokuthuthukisa ukumelana ne-insulin ihlobene ngqo nesifo sikashukela sohlobo 2. Kaningi, lezi zifo ezimbili zenzeka ngasikhathi sinye. Kungakho, ukudla okuhambisana nalokhu kuxilongwa kufana kakhulu.
Imikhiqizo enconyiwe ifaka:
- Imifino nezithelo kunikeza i-fiber namavithamini.
- Imikhiqizo yobisi enamafutha amancane ukunikeza umzimba nge-calcium futhi iqinise namathambo. Imikhiqizo yobisi enamafutha akufanele idliwe, ngoba ukudla okunamafutha amaningi kungandisa ukumelana ne-insulin.
- Ukudla okusanhlamvu okuphelele okunenkomba ephansi ye-glycemic.
- Amantongomane aqukethe i-fiber, amaprotheni namafutha enempilo.
- Izinhlanzi ezinjenge-salmon, i-herring, i-mackerel noma i-sardine, ziwumthombo wamafutha "amahle", ikakhulukazi alungele uhlelo lwezinhliziyo.
- Inyama noma izinsalela eziyimidumba zingumthombo omuhle kakhulu wamaprotheni.
Lokhu kungukudla okunenkomba ye-glycemic ephansi.
Eqinisweni, ukumelana ne-insulin kungalapheka ngokuphelele, kepha kuphela uma usondela lolu daba ngokuphelele futhi ulandela konke ukunconywa kukadokotela onolwazi.
Udinga ukwethemba udokotela wakho futhi uzitadishe ngokuzimele izici zesifo sakho. Kubalulekile ukwazi izinhlobo zesifo, ukuqonda umsebenzi owathinta izitho zangaphakathi nokuthi buyini ubudlelwano phakathi kwabo. Abesifazane abaningi ababhekene nenkinga efana nokuzala kuzalwe kufanele bazi ukuthi lesi simo singahambelana ngqo nokungaboni komzimba kwe-insulin.
Ukuze uqonde ngokunembile ukuthi ungakuphatha kanjani ukwephulwa okutholakele, kufanele wazi ukuthi kungani kwavela.
Izindlela zokwelapha
Uma kungenzeka ukuthi unqume ukuthi uluhlobo luni lwesifo umuntu analo - ukumelana ne-insulin noma i-insulin engavimbelani nesifo sikashukela, ungaqala ukwelashwa kwalesi sifo.
Izidakamizwa ezinconyelwa odokotela kuleli cala cishe ziyefana nesifo sikashukela sohlobo 2.
Le mithi yile:
- IGlucophage;
- Siofor;
- I-Acarbose;
- I-Troglitazone nabanye abaningi.
Kodwa ngaphezu kwale mishanguzo, odokotela basengancoma amavithamini ahlukahlukene. Uma lesi sifo sihambisana nesibonakaliso esinjengokulahleka kwezinwele, khona-ke odokotela bangancoma amavithamini akhethekile azosiza ukuguqula isizinda se-hormonal kwabesifazane noma emadodeni. Kwabamele ingxenye efanelekile, kungabekwa imishanguzo ye-hormonal, bayasiza ukubhekana nalesi sifo.
Akumele sikhohlwe ngemisebenzi yomzimba. Ukuzivocavoca okubalulekile kufaka isandla ekululameni komuntu.
Ngokusekelwe ezifundweni ezimbili ezibaluleke kakhulu ezenziwa eFinland, kungenzeka ukufakazela ukuthi iziguli ezilandela ukudla okufanele futhi zenze isilinganiso esanele sokuzivocavoca ngokomzimba zinqoba lesi sifo ngokushesha kunalabo abathatha umuthi owodwa kuphela.
Uma umuntu enamathela endleleni efanele futhi aqeda yonke imikhuba yakhe emibi, khona-ke unempilo engcono kakhulu kunomuntu ongayinaki le mithetho. Kepha hhayi lokhu kuphela okuyiyona nto esemqoka kuleli cala. Indima ebalulekile idlalwa yifa. Abantu abanezihlobo zabo eziseduze ezihlaselwe yilokhu kuphazamiseka bathambekele kukho.
Kwenziwe ucwaningo oluningi emhlabeni wonke ukuthi kungani kungaqhamukanga i-insulin emzimbeni womuntu, futhi cishe bonke bakubonise ukuthi lesi simo sihlobene ngqo nokukhula kwesifo sikashukela sohlobo 2. Ngakho-ke, into yokuqala edinga ukwenziwa kumuntu otholakala ukuthi unale nkinga ukuqiniseka ukuthi akanaso isifo sikashukela.
Kubalulekile, ngemuva kokushintsha isimo sibe yiso leso, ukuphumelela ukuhlolwa njalo nokubheka inhlala-kahle yakho. Indlela enjalo izosiza ukugwema imiphumela emibi ngokuzayo. Kungcono ukuhola impilo enempilo nokwenza umsebenzi owanele womzimba, khona-ke impilo izoba namandla ngokwengeziwe.
Imininingwane yokulwa ne-insulin inikezwe kuvidiyo kule ndatshana.
