Ngemuva kokuvela kwezimpawu zokuqala zokugula okunjengokuthi isifo sikashukela siqale ukuvela, abantu abaningi banesithakazelo embuzweni wokuthi yimuphi udokotela oxhumana noshukela ophezulu wegazi.
Vele, into yokuqala kufanele uxhumane ne-endocrinologist yendawo yakho bese uphumelela zonke izivivinyo ezidingekayo. Ngaphezu kwalokho, lapho lokhu kungenziwa ngokushesha, ukwelashwa kuzoba okusebenzayo kakhudlwana, ikakhulukazi uma kuziwa ezinganeni.
Kubalulekile ukukhumbula ukuthi ezinganeni nakubantu abadala izimpawu zesifo zihlukile kakhulu, ikakhulukazi uma kuziwa ezigulini ezincane kakhulu. Zivame ukufana nezimpawu zezinye izifo. Kungakho ukuxilongwa kwalesi sifo kuvame ukubambezeleka unomphela, lapho inkambo yesifo iqala ukuthuthuka ngokuqinile.
Izimpawu eziphambili zesifo sikashukela ezinganeni yilezi:
- Ukwehla kwesisindo, ngokudla okuhle.
- Umuzwa ohlala womile.
- Ngenxa yokungena kwesiguli uketshezi, ingane ichaza kaningi.
- Ukuzwa njalo kukhathala.
- Indlala enkulu.
Isizathu sazo zonke lezi zimpawu ukuthi umzimba awukwazi ukudonsa kahle ushukela, ngenxa yalokho awutholi amandla anele. Isibonelo, uphawu lokuqala luvela ngenxa yokuthi umzimba ushisa amafutha ukuze uthole amandla alahlekile. Futhi, ngenxa yokuthi i-glucose ayidonswa kahle.
Ukomala kuhlotshaniswa noshukela wegazi ophakeme, futhi kuholela ekuthandeni ukuchama. Futhi, ngokweqiniso, ukukhathala okungapheli kuhlotshaniswa nokuntuleka kwamandla. Umzimba uzama ukuthola imithombo emisha yezakhi eziwusizo, futhi ingane izwa imizwa engapheli yendlala.
Kuyaziwa ukuthi ezinganeni ushukela uqala ukukhuphuka kakhulu. Ngakho-ke, ukuqubuka esikhunjeni, ngendlela yesikhunta noma ezinye izifo, kungenzeka. Kumele kwaziwe ukuthi ezigulini ezisezincane, uhlobo 1 sikashukela luvame ukubonwa. Liziveza ngokuzumayo, kunokuwohloka okuqinile enhlalakahleni. Kepha, kusobala, isifo sikashukela sohlobo lwesibili siyenzeka, kepha kunzima kakhulu ukusithola, lokhu kungenxa yokuthi siveza okubi kakhulu.
Ukuze kuhlukaniswe isifo sikashukela sohlobo 1 kwesibili, kuyadingeka ukwenza ucwaningo olufanele, okungukuthi, ukwenza uhlolo lwegazi lwe-C-peptide ne-glucose.
Lesi sifo sibonisa kanjani kubantu abadala?
Uma sikhuluma ngezimpawu ezikhombisa ukwenzeka kwesifo sikashukela kubantu abadala, kubalulekile ukuthi uqaphele ubukhona bezimpawu ezinjengokuthi:
- I-polyphagy, ehambisana nokwehla okukhulu kwesisindo somzimba;
- Ukuchama okuningi ngesifiso esijwayelekile;
- Umlomo owomile nokoma okungapheli.
Kumele kuqashelwe ukuthi zonke lezi zibonakaliso ziyavela uma izinga likashukela wegazi liphezulu kakhulu. Isifo sikashukela siqala ukukhula
icala lapho izinga likashukela likhuphuka lize lilinganiselwe. Ngakho-ke, ngokuvamile zonke izimpawu ezicacile zivela kuphela lapho lesi sifo sisesigabeni sokugcina.
Esikhathini sokuqala, lesi sifo singatholakala kuphela ngosizo lokuhlolwa okwenziwe kahle. Isibonelo, kunethebula elikhethekile lapho kubekelwa khona amanani avumelekile wesimo se-glucose esegazini. Ngokusekelwe kule mininingwane, udokotela angakwazi ukuthola ukuthi isifo sinesifo sikashukela noma cha.
Yebo, kubalulekile, ukunaka izimpawu ezihambisana nalesi sifo. Isibonelo, uma ukushuba kwamaphethelo aphansi kuvame ukubonwa, ngaphandle kokuhlaselwa okubucayi kobuhlungu benhliziyo, ukugcwala emaphethelweni aphansi, ukuqubuka okuningana esikhunjeni, kanye nasemgodini womlomo, lokhu kungabhekwa njengophawu kashukela omningi.
Isifo sikashukela esisezingeni eliphezulu - ungasithola kanjani?
Kumele kuqashelwe ukuthi lesi sifo singafihlwa. Ngakho-ke, noma yimuphi umuntu kufanele aqonde ukuthi kuziphi izimo lapho edinga khona afune usizo lwezokwelashwa ngokuphuthumayo
Imvamisa isifo sikashukela sikhula ngokuphelele. Lolu uhlobo lwakamuva lwalesi sifo lapho kungabikho zimpawu ezisobala eziqaphelekayo.
Kungakho lesi sifo sitholakala kuphela ngesikhathi sokuhlolwa okujwayelekile noma lapho kutholakala ezinye izifo.
Kumele kukhunjulwe ukuthi isifo sikashukela sihlala sihambisana nokukhathala okwandayo, izinqubo ezahlukahlukene zokuvuvukala esikhunjeni, kanye namanxeba okuphulukiswa okungahambi kahle. Ushukela ophakeme unomphumela omubi wokungaziguli. Kulesi simo, isiguli sivame ukuhlushwa izifo ezihlukahlukene zegciwane, ukuvela kwe-purring kuvela esikhunjeni kanye nolwelwesi lwama-mucous, oluhambisana nokuvuvukala okunzima.
Ungakhohlwa ngomonakalo ongabakhona emikhunjini emincane. Ukuthi kungenxa yokuthi amanxeba ahlukahlukene nokulimala kuphulukisa kancane kakhulu
Uhlu lwabantu abasengozini lubandakanya:
- Abesifazane abahlushwa i-polycystic ovary.
- Iziguli zitholakala ukuthi zine-hypertension ye-arterial, kanye nalabo abanenkinga yokuntuleka kwe-potassium.
- Iziguli ezikhuluphele noma ezikhuluphele kakhulu;
- Uma kunabantu emndenini nabo abanesifo sikashukela, ikakhulukazi uma beyizihlobo zegazi.
Kufanele kukhunjulwe ngaso sonke isikhathi ukuthi uma ngesikhathi kuveza ukubekezelela okwengeziwe komzimba ku-glucose, lapho-ke kuzokwazi ukubona i-prediabetes ngesikhathi.
Ungawasusa kanjani amazinga kashukela aphezulu?
Kuyacaca ukuthi ushukela wegazi ophakeme kakhulu udinga ukungenelela. Ngaphandle kwalokho, izinqubo ezingenakulungiswa zingaqala, ngokwesibonelo, ushintsho oluthile ezicutshini olubangela ukukhula kwe-neuropathy, izifo ze-vascular, izinkinga zesikhumba, ukuphazamiseka kokulala, ukucindezelwa kanye nokutheleleka okuhlukahlukene.
Ekuvakasheni kokuqala kwesiguli, udokotela kufanele anqume izinga le-glucose egazini, emva kwalokho anikeze ukwelashwa okufanele. Isibonelo, ukwelashwa ngosizo lwezidakamizwa ezikhethekile, ezinomphumela oqondile ekwehliseni amazinga kashukela wegazi, kubhekwa njengokusebenza kakhulu. Uma zingasizi, khona-ke imijovo yomjovo womuntu i-insulin analogue.
Kuyadingeka ukuqeda zonke izimbangela eziholele ekuqhamukeni kwalesi sifo. Kuyadingeka ukuhola indlela yokuphila efanelekile, uqiniseke ukuthi ayikho imikhuba emibi, uzithwale ngenani elanele lokuvivinya umzimba. Kuliqiniso, kanye nalokhu akufanele sikhohlwe ukuthi ukusebenza ngokweqile komzimba nakho kungadala ukukhula koshukela ophezulu.
Ukunakekelwa okukhethekile kufanele kuthathwe ekwelapheni isifo sikashukela kwabesifazane abakhulelwe. Ngokuqondene nezinguquko ezithile ze-metabolic emzimbeni wazo, izinqubo ezibuyisanayo zivame ukwenzeka.
Enye yazo kungaba ukugxuma okubukhali ushukela wegazi. Mhlawumbe ukuthuthukiswa kokungavikeleki kwezicubu zomzimba esenzweni se-insulin ye-hormone. Lokhu kuba imbangela yesifo sikashukela kwabesifazane abakhulelwe.
Kumele kwaziwe ukuthi lesi simo sabelwe ngendlela ehlukile yalesi sifo, sibizwa ngokuthi yi-gestationalabetes. Imvamisa iqhubeka ngaphandle kwezimpawu ezisobala futhi itholakala ngokwenza izivivinyo ezikhethekile zelebhu.
Kulokhu, kuyadingeka ukwenza njalo ukucwaninga kwamazinga kashukela kwabesifazane abakhulelwe. Ikakhulu phakathi nenyanga yesine kuya kwesishiyagalombili yokukhulelwa. Uma lokhu kungenziwa, khona-ke kunengozi enkulu yokuthi ingane ingahle ibe nokwakheka kwenhliziyo, nezinye izilonda zomzimba, kuze kufike ku-cerebral palsy.
Isimo se-hypo- kanye ne-hyperglycemia sichazwe kuvidiyo kule ndatshana.
