Inkambo ende yesifo sikashukela engancikile i-insulin iholela ekulimaleni kwezakhi zomzimba kanye nasekuphethweni kwezinzwa. Ngakho-ke, izidakamizwa zesifo sikashukela sohlobo 2 kwesinye isikhathi siyadingeka nje.
Ukuhlolwa okukhethekile kwe-neuropsychiatric, lapho iziguli ezingama-620 zokuxilongwa kwesifo sikashukela ezingancikileli e-insulin zahlanganyela, kwabonisa ukuthi abantu abangama-431 bazwakalise ukuphazamiseka kwengqondo okuphathelene namazinga ahlukahlukene. Ngaphezu kwalokho, kuzo zonke izimo, ukutholwa kanzima kutholakele. Lezi zibalo ziyacatshangelwa, okusho ukuthi abanesifo sikashukela badinga ukuvikela uhlelo lwabo lwezinzwa.
Pathologies yesistimu yezinzwa njengomphumela wesifo sikashukela
I-Polyneuropathy ngumqondo oyinkimbinkimbi ohlanganisa iqembu lezifo ze-nerve endings.
I-Polyneuropathy yathuthuka ibhekene nesizinda sokukhula okungalawulwa emzimbeni wesiguli esinesifo sikashukela i-mellitus.
Ukwelashwa okungasebenzi noma ukungahambisani nemithetho yokuvimbela kungaholela ekwakhiweni kwenani elikhulu le-pathologies.
Izifo ezivame kakhulu ezithinta isifo sikashukela yilezi ziphetho zezinzwa ezilandelayo.
- I-Diffuse peripheral polyneuropathy iyinkimbinkimbi yesifo sikashukela esivame kakhulu phakathi kwezifo ze-CNS. Izikhalazo zesiguli zihambisana nomuzwa wokuphola, ukuzindla nokugabha ezinyaweni nasemilenzeni. Izimpawu zenzeka ekuphumuleni, lapho izinyawo zingatholi ngxabano. Isikhumba ezinyaweni siyakhukhumala bese somile. Ukuzwela kwemilenze kuncishiswa kakhulu noma kunyamalale ngokuphelele, okudala izinkinga ezinkulu. Isiguli kungenzeka singaboni amabele namanxeba asuka ezicathulweni ezingakhululeki, eshiswa kubhavu oshisa ngokweqile noma i-heating pad.
- I-Autonomic neuropathy yisifo esenzeka ngenxa yokulawulwa kwemizwa engasebenzi kahle ezithweni zangaphakathi. Ngomonakalo ohlelweni lwezinhliziyo, isiguli siba nesiyezi, ubuthakathaka obukhulu, kube mnyama emehlweni, izibuko. Nge-neuronomic ye-autonomic, ukuthuthukiswa kwe-infarction ye-myocardial kuyingozi, ngoba lesi sifo siziveza ngokwethypic, ngaphandle kwezimpawu ezisobala. Ukusuka kwipheshana lesisu kukhona ukuhlaselwa kokuhlanza, ukushisa kwenhliziyo nesifo sohudo ngezikhathi ezithile. Kukhona ukwephulwa kokujuluka, ngenxa yalokho, ukujuluka ngokweqile kwamahlombe, intamo nobuso kuyaqhubeka. Ukungasebenzi kahle kwe-genitourinary kuholela kokugcinwa komchamo nokuqina. Ukwehlula ipheshana lokuphefumula elingaphezulu nelingezansi kuyingozi kakhulu ngesikhathi sokuhlinzwa ngaphansi kwe-anesthesia. Udokotela obulala izinzwa kufanele axwayiswe ngalokhu ngaphambi kokuhlinzwa.
- I-Radiculopathy iyindlela yokwelapha lapho izinzwa zomgogodla zihlupheka khona. Iziguli zikhononda ngobuhlungu obukhulu bokudubula kubo bonke ubude bomgogodla. Ngaphezu kwalokho, izinhlungu zinganikeza izindawo ezikude zomzimba.
- I-Mononeuropathy yenzeka ngenxa yokulimala kwezinzwa ezithile. Izimpawu eziphambili zalesi sifo kubuhlungu obuzenzakalelayo, ukwephula uzwela ezingxenyeni ezithile zomzimba. Imizwa ye-cranial ivame ukuhileleka, ngakho-ke iziguli zinama-asymmetries ebusweni, ukungazizwa kahle kwendlebe, ukubona kabili, ubuhlungu obukhulu engxenyeni eyodwa yobuso. I-Mononeuropathy ne-radiculopathy inyamalala ngokuzumayo ngemuva kwezinyanga ezi-3-18.
Ngaphezu kwalokho, i-encephalopathy, i-pathology ethinta ubuchopho, ingakhula.
Isibonakaliso esiyinhloko ukukhubazeka kwenkumbulo, kanye nokungakhathaleli, ukukhathala, ukulala okungekuhle, imizwa ngokweqile.
Imikhambi yesifo sikashukela esingancikeli i-insulin
Ngokugcina izinga le-glucose ejwayelekile, onesifo sikashukela uzizwa kahle.
Phakathi kwezimbangela ezinkulu zezifo zohlelo oluphambili lwezinzwa, ukwelashwa okungafani konke kwesifo sikashukela uqobo kuhlukaniswa.
Lesi simo sikhulu ngokuxineka kwe-arterial hypertension kanye nokuntuleka kwamavithamini we-B.
Ukuze ulondoloze isimo esijwayelekile somzimba, udinga ukubheka njalo izinga le-glycemia bese ulandela konke ukunconywa ngudokotela.
Izimpawu ezejwayelekile kakhulu eziveza ukungasebenzi kahle ekusebenzeni okuvamile kohlelo lwezinzwa oluphakathi yilezi:
- ukukhathala
- ukulala kabi;
- ukungahambi kahle;
- ukunciphisa isikhathi sokunakwa;
- ukunganaki
- izinyembezi;
- ukunganeliseki kwangaphakathi;
- isimo sokudangala;
- umuzwa wokukhathazeka;
- ukwesaba ngokweqile;
- ukunciphisa imibuthano yezintshisekelo.
Lezi zimpawu zenzeka kaningi kubantu abake baba ne-hypoglycemic noma i-ketoacidotic coma, nabaphethwe yi-isifo sikashukela sikashukela. Iziguli ezinokuqukethwe ushukela okuphakathi kwebanga elijwayelekile mancane amathuba okuthola ukuphazamiseka kwemithambo yezinzwa kanye nezinzwa.
Ngaphambi kokuthatha i-sedative, isiguli kufanele sibonane nochwepheshe. Kunezidakamizwa eziningi emakethe yamakhemikhali ezinesimo esilinganayo sokusebenza:
- Ama-antidepressants - u-Asafen, Amitriptyline, Imizin, Pyrazidol.
- Ama-tranquilizer - Grandaxinum, Mezapam, Oxazepam, Rudotel.
- Ama-antipsychotic - uSonapax, u-Eglonil, uFrenolon.
- Izidakamizwa zeNootropic - I-Nootropil, iPiracet.
Lezi zinhlobo zemithi zisetshenziswa ngokuya ngokuxilongwa okwenziwe udokotela. Ku-depression-hypochondriac syndrome, izidakamizwa ezibulala izinhlungu nezidakamizwa eziqinisa jikelele zichaziwe.
I-Obsessive-phobic syndrome inganqotshwa ngokusebenzisa ama-antipsychotic (amaphilisi okulala) nama-tranquilizer.
Ukuvikelwa kwezifo ze-CNS
Ukubekezela nokubopha ifahlezi ngenqindi, ungavimba imiphumela yesifo sikashukela.
Into esemqoka ukuvimbela ukwanda kokuqukethwe ushukela.
Inani elivumelekile le-glucose lapho kudlula isivivinyo se-glycated hemoglobin ngu-8%. Ukungezelela inkomba kuzonyusa amathuba we-peloic kanye / noma we-neural pathologies.
Ukuze ugcine ushukela wakho ujwayelekile futhi uzuze ukulinganisela kwengqondo nangokomzimba, kufanele ulandele le mithetho yokuvikela elandelayo:
- Yenqaba imikhuba emibi - ukubhema nokuphuza utshwala.
- Ukusemandleni ngangokunokwenzeka ukuba unyakaze: ukwenza ukugijima, ukubhukuda ngoshukela, ukuhamba, i-yoga, i-Pilates, ezemidlalo.
- Namathela ekudleni okunesifo sikashukela okuvimbela ukudla okugaywa kalula ama-carbohydrate, ukudla okunamafutha nokuthosiwe.
- Njalo qaphela ukugcwala kwe-glucose egazini. Ngesifo sikashukela esincike ku-insulin, ushukela uhlolwa ngaphambi kokujova ngakunye, onesifo sikashukela esingancikeli i-insulin - kathathu ngosuku (ekuseni, ntambama, kusihlwa).
- Thatha imishanguzo ebekwe udokotela wakho ngesikhathi.
- Zama ukugwema ukuphazamiseka okukhulu ngokomzwelo futhi uthathe izinto ezincane enhliziyweni.
Yonke imizamo incishiswa ithi "cha" lapho isiguli, sesizwile ukuxilongwa kwayo, sicabanga ukuthi lokhu kuqeda impilo. Iningi labanesifo sikashukela, ngokuphathwa okufanele, bahlala ngokuphila nabantu abanempilo futhi futhi isikhathi eside, ngoba bayikhathalela kangcono impilo yabo. Kunecala elaziwayo lapho owesilisa onesifo sikashukela sohlobo 1, esambulwa kuye esemncane, egubha usuku lokuzalwa kwakhe lwe-90. Uma isiguli siqonda ukuthi isifo sikashukela akuyona ukuphela kwempilo yaso, singakwazi futhi silwe, khona-ke siyophumelela.
Noma ezimweni ezicindezelayo, lapho kukhuphuka izinga likashukela, futhi isiguli sizwa ukucasuka nentukuthelo, ukulala kwakhe kuphazamisekile, ungathula ngosizo lwamakhambi abantu. Ama-broths kanye ne-infusions ye-hawthorn, i-eleutherococcus, i-ginseng, i-valerian, i-motherwort ne-peony isiza ngokuphelele. Banokuthula okuzolile futhi okuvusa imizwa, ngakho-ke bayasiza ekutholeni isiguli ngokushesha ngokwanele. Kungcono ukungasebenzisi i-tinctures yotshwala, ngoba kungaholela ekunciphiseni okukhulu kokuhlushwa ushukela.
Ukuxutshwa kuchazwe ngokuningiliziwe kuvidiyo ekulesi sihloko.
