Isifo sikashukela i-mellitus yisifo esivamile kubantu abasha nabadala. Kodwa-ke, iziguli eziningi nodokotela bafuna impendulo yombuzo wokuthi ungaluqeda kanjani ushukela wesifo sikashukela sohlobo lwaphakade? Impumelelo yokwelashwa incike ezicini eziningi - ubude besifo, izinkinga ezingaba khona, ukusebenza kwamanyikwe.
Noma kunjalo, kuyadingeka ukulwa nokugula. Izibalo zikhombisa ukuthi esikhathini esisuka ku-1980 kuya ku-2016, inani labanesifo sikashukela lenyuka lisuka kwizigidi eziyi-108 laya kwezi-500. Ngokwama-phesenti, ukwanda kwalesi sifo kusuka ngo-1980 kuya ku-2016 kwenyuka kusuka ku-4,7 kuye ku-8.5%. Umgadli ekwakheni "isifo sikashukela" yiNdiya (50.8 million), iRussia ayihambanga kangako, ithatha indawo yesine (izigidi eziyi-9.6).
Ngaphezu kwalokho, i-90% yabo bonke abantu abanesifo sikashukela bahlushwa uhlobo lwesibili lokugula. Ukuvimbela ukusakazeka ngokushesha kwalesi sifo, kufanele wazi umsuka waso, izimpawu, izindlela zokwelashwa, kanye nezindlela zokuthibela.
Izinhlobo zesifo sikashukela
Isifo sikashukela yi-endocrine pathology. Ngesifo sohlobo 1, ukungasebenzi kahle kwamanyikwe, noma ngokunembile, amaseli wayo we-beta akhiqiza i-insulin. Ngenxa yalokhu, i-hormone iyayeka ukukhiqizwa ngokuphelele, futhi izinga likashukela egazini lomuntu liyakhula ngokuqinile.
Imvamisa kuba khona isifo sikashukela sohlobo 1 ezinganeni, ukuthuthukiswa kwaso esizukulwaneni esidala kunqabile. Ukwelashwa kwesifo kubandakanya izinto eziningi ezifana nendlela yokuphila esebenzayo, ukudla, ukulawula ukugcwala kwe-glucose egazini kanye nokwelashwa kwe-insulin. Ngeshwa, okwamanje akunakwenzeka ukuqeda isifo sikashukela sohlobo 1, ngoba umzimba awukwazi ukukhiqiza i-insulin ngokuzimela.
Ngohlobo lwe-2 endocrine pathology, kukhiqizwa i-insulin, kepha kunokuphazamiseka emthonjeni wamangqamuzana abona le hormone. Ngenxa yalokhu, i-glucose ayidonswa amangqamuzana okuphefumula futhi inqwabelana egazini, okuholela kwizimpawu ezijwayelekile.
Imvamisa, uhlobo lwesibili lwesifo luqala kubantu abangaphezulu kweminyaka engama-45 abaphila impilo engasebenzi futhi / noma banothe kakhulu.
Ungasusa isifo sikashukela sohlobo 2, kodwa kudinga umzamo omkhulu nokukhuthazela esigulini.
Izimbangela zesifo
Abantu ezweni lanamuhla baqala ukuhlala isikhathi eside emsebenzini ehhovisi kuze kuhlwe, abanaso isikhathi semidlalo nokupheka ukudla okunempilo. Esikhundleni salokho bagibela zonke izinhlobo zezimoto futhi badla ukudla okusheshayo.
Kulokhu, isifo sikashukela saziwa ngokusemthethweni njengobhubhane lwekhulu lama-21. Izici ezibalulekile zokuthuthukiswa kwalesi sifo zibandakanya okulandelayo:
- Khuluphele, okungadalwa ukungahambisani nokudla, ukuphazamiseka kwehomoni noma izici zofuzo.
- Indlela yokuphila esezingeni eliphansi ekhulisa amathuba okukhula ngokweqile kanye nokukhuluphala ngokweqile.
- Isigaba sobudala. Ngohlobo 1 sikashukela, isizukulwane esincane siyahlupheka, ngohlobo 2 - abadala.
- Ukudla imikhiqizo yebhikawozi, ukudla okunamafutha aqukethe inani elikhulu likashukela.
- Isisulu sokuqothuka. Uma abazali benenkinga yesifo sikashukela, khona-ke ingane yabo kungenzeka nayo ukuthi ibe nalesi sifo.
- Inkinga yokukhulelwa noma isifo sikashukela sokukhulelwa, okuholela ekuthuthukisweni kwesifo sohlobo 2.
Ngaphezu kwalokho imbangela yokuqhamuka kwalesi sifo kungaphambuka esisindweni somzimba wosanda kuzalwa uma ingaphansi kwe-2.2 kg nangaphezulu kuka-4.5 kg. Ngalesi sisindo, ingane inethuba lokukhula okungafanele kwezitho zayo zangaphakathi.
Izimpawu kanye Nezinkinga Zesifo Sikashukela
Isifo sikashukela sithinta umsebenzi wezitho eziningi zomzimba, ngakho-ke, sinezimpawu eziningi, ezithi: Ukomela kanye nesifiso esiqhubekayo sokudambisa isidingo yizimpawu ezimbili eziyinhloko zesifo. Ukuphazamiseka kwendlela yokugaya ukudla: ukuqunjelwa, isifo sohudo, isicanucanu, ukuhlanza. Ukuvuvukala, ukuzindla, nokuxaka kwemilenze nezingalo.
Ukulimazeka okubukwayo (ezimweni ezingavamile). Ukwehla okusheshayo noma ukwanda kwesisindo. Ukupholisa inxeba isikhathi eside. Ukukhathala njalo nesiyezi. Umuzwa ojwayelekile wendlala.
Uma umuntu eqaphela okungenani eyodwa yalezi zimpawu ezingenhla ekhaya, udinga usizo ngokuxakile kudokotela ongamnikeza okunye ukuxilongwa. Ukwelashwa okungafani ngqo kwesifo sikashukela sohlobo 2 kungaholela emiphumeleni emibi:
- I-Hypersmolar coma, edinga ukulashwa ngokuphuthumayo esibhedlela.
- I-Hypoglycemia - ukwehla ngokushesha kweglucose yegazi.
- I-retinopathy ukuvuvukala kwe-retina okubangelwa ukulimala kwemikhumbi emincane.
- I-Polyneuropathy ukwephula ukuzwela kwezitho ezibangelwa ukulimala kwezinzwa nemithambo yegazi.
- Isifo i-Periodontal yisifo esidalwa yizinsini esenzeka ngenxa yokulimala kokudla emzimbeni we-carbohydrate metabolism kanye nokusebenza kwemithambo yegazi.
- I-Erectile dysfunction (emadodeni), amathuba okwenzeka kuwo ahluka ukusuka kuma-20 kuye kwangama-85%.
Ukungabi bikho kwesifo sikashukela kuholela ekutholakaleni kwamakhaza njalo kwa-SARS kubantu ngenxa yokwehla kokungazinzi komzimba.
Izici ezithinta ukuqhubeka kwesifo
Ukwelashwa kwesifo sohlobo 2 kuya ngezinto eziningi ezithinta ukusebenza kahle kokululama:
Ukuhlangenwe nakho kwalesi sifo. Lapho isiguli sitholakala ngokushesha nalesi sifo, ukwelashwa ngokushesha kuzoqala. Ngakho-ke, ukuthi kungenzeka kwekhambi eliphelele kuleli cala kukhulu impela.
Ukusebenza kwamanyikwe. Uhlobo lwesibili sikashukela lungalashwa kuphela uma i-pancreatic parenchyma igcinelwe ukusebenza kwayo okwanele. Ngokumelana ne-insulin, isitho sisebenza ngemodi ethuthukisiwe futhi siyashesha ukuphuma, ngakho-ke ukuxilongwa nokwelashwa okufika ngesikhathi kungalonda ukusebenza kwawo.
Ukuthuthukiswa kwezinkinga. Uma isiguli singakabi nayo isifo sikashukela i-retinopathy (ukuvuvukala kwe-retina), ukuhluleka kwezinso noma ukuphazamiseka kwemizwa, khona-ke sinethuba lokwelapha isifo sikashukela.
Ukuze ungaqali lesi sifo futhi uvikele ukukhula kwemiphumela emibi, kufanele ulandele le mithetho:
- Shintsha indlela yakho yokuphila. Uma isiguli sizibekele umgomo wokuqeda ushukela ngokuphelele, khona-ke kufanele akhohlwe yimibuthano ende embhedeni futhi, ekugcineni, ungene kwezemidlalo. Ukuze wenze lokhu, ungavakashela ichibi, ugijime ekuseni, udlale imidlalo noma uhambe imizuzu okungenani engama-30 ngosuku.
- Kufanele ukhohlwe ngokudla okungenamsoco: ukudla okusheshayo, amaswidi, iziphuzo ezinekhabhoni, inyama ebhemayo nokudla okuthosiwe. Ukudla okufanele kufaka phakathi ukudla imifino nezithelo ezingafakiwe, ama-carbohydrate ayinkimbinkimbi, ukudla okunamafutha amancane kanye nokudla okunama-fiber amaningi.
- Ukugcina ukwelashwa okuyinkimbinkimbi, okungukuthi, ukusetshenziswa kwezidakamizwa ezinciphisa ushukela noma imijovo ye-insulin. Kubalulekile futhi ukuthi ngaso sonke isikhathi ugadle izinga leglucose egazini.
Isici esibalulekile esinquma ukwelashwa kabusha kwesiguli ukuphumelela kwakhe nokuzimisela kwakhe. Kaningi, abanesifo sikashukela, abangayitholi imiphumela esheshayo, bayaxineka.
Ngakho-ke, ngesikhathi sokwelashwa kweziguli, indima ebalulekile idlalwa ukusekelwa kwabantu abaseduze kwakhe.
Izindlela ze-Folk zesifo sikashukela
Umuthi ohlukile kanye nenkambo eyinhloko yokwelashwa unganikeza ikhambi elisebenzayo lesifo. Vele, akunakwenzeka ukwenqaba imishanguzo nganoma yisiphi isimo, kodwa ngokuhambisana nezindlela zokupheka zabantu ungathola imiphumela engcono.
Ngaphezu kwalokho, imishanguzo eminingi yemvelo ayigcini nje ngokunciphisa ushukela, kodwa futhi ithuthukisa nokuvikelwa komzimba. Ngezansi kunezindlela ezimbalwa zokupheka ezilula ezisiza ukunqoba ukugula:
- IFlamu emnyama ivimba ukuguga okusheshayo komzimba, ithuthukise indlela yokugaya ukudla futhi isize ukuqeda ukuqunjelwa. Isigamu sezipuni zamapulangwe ezithelo kufanele ahlanganiswe noju (5 g). Le ngxube idliwe ngaphambi kwesidlo sasekuseni. Ukwelashwa kuthatha izinyanga ezi-1.5 kuye kwezingu-2. Uma isiguli sinemizwa yokungezwani noju, ukusetshenziswa kwaso kufanele kungafakwa eceleni. Kulokhu, kudliwa iplamu kuphela.
- I-zemon zemon inethonya elihle ekusebenzeni kwamanyikwe nesibindi. Iresiphi enjalo ingasetjenziswa ngitjho nokuzala umntwana. Ukuze wenze lokhu, uzodinga i-zest zest (100 g), iparsley (300 g), i-garlic (300 g). Gaya lezi zithako nge-blender noma i-grinder yenyama ukwenza i-slurry. Ngemuva kwalokho ibekwa embizeni yengilazi bese ifakwa amasonto amabili. Umuthi onjalo kumele uphuzwe kathathu ngosuku isigamu sehora ngaphambi kokudla.
- I-Bitter melon yehlisa ushukela ophakeme. Umkhiqizo onjalo akulula ukuwuthola, kepha unomphumela omuhle kakhulu. Kunconywa ukudla i-100 g ye-melon ebabayo nsuku zonke, kungakhathaleki ukuthi kudliwe kangakanani.
- I-art artokeoke 'iyi-peari yobumba,' njengoba abantu besho. Umkhiqizo onjalo unciphisa ukuhlangana kweglucose egazini, kuthuthukisa izinqubo zokugaya ukudla futhi kube nomphumela we-laxative. Sebenzisa izithelo ezi-2-3 ngosuku, njengengxenye yezinye izitsha, futhi ngokwahlukana.
Ukwelashwa ngemishanguzo yabantu kungenziwa ngaphakathi kumuntu okhulile nakwengane. Into esemqoka ukwazi mayelana nokuphendula okungahle kwenzeke, ngokwesibonelo, kuju, futhi kungafakwa imikhiqizo ekhuthaza ukungezwani komzimba.
Ukuhlanganiswa kwemiphumela etholakele
Ngemuva kokulashwa kwesifo sikashukela kuveze imiphumela efiselekayo yesiguli, okungukuthi, izinga likashukela selibuyele kwesejwayelekile futhi izimpawu zesifo sezidlulile, kubaluleke kakhulu ukuligcina leli lizwe. Ukuze wenze lokhu, landela lezi zincomo:
- Ngezikhathi ezithile, qapha izinga lakho loshukela nge-glucometer, ikakhulukazi uma uzizwa womile futhi, noma uma ukhulisa isisindo somzimba.
- Gcina umsoco ofanele ngaphandle kokudla kakhulu ufulawa nemaswidi, ngoba aqukethe amafutha kanye nama-carbohydrate angagaya ukudla kalula.
- Zicindezele ngokuzivocavoca okusesilinganisweni, kungaba noma yini: ama-Pilates, i-yoga yabanesifo sikashukela, ukubhukuda nokuningi.
- Udinga ukudla okungenani izikhathi ezi-5 ngosuku, kepha ngezingxenye ezincane.
- Ukucindezela kunomthelela othile ekwandeni kwamazinga kashukela.
- Lala ngokwanele, phumula enye nenye imithwalo.
Futhi-ke, ukwelashwa kwesifo sikashukela sohlobo 1 akunakuyiqeda ngokuphelele inkinga. Umuthi wesimanje awazi ukuthi ungalunqoba kanjani uhlobo lokuqala lwesifo, kepha minyaka yonke uveza amaqiniso amasha alesi sifo. Mhlawumbe kungekudala, isintu sizokwazi ukufunda ukuthi singasusa kanjani isifo sikashukela.
Ngokuxilongwa kusenesikhathi nokwelashwa okufika ngesikhathi, ungakhohlwa ngesifo sikashukela sohlobo 2 isikhathi eside. Noma kunjalo, isiguli kufanele sigcine ukudla okufanele, impilo esebenzayo futhi siqaphe njalo amazinga kashukela kuyo yonke impilo yakhe elandelayo. Kumele kukhunjulwe ukuthi imizwa engemihle nayo ithinta inkambo yesifo, ngakho-ke kufanele kugwenywe. Ukwazi ukuthi ungalapha kanjani isifo sikashukela sohlobo 2, ungagwema imiphumela emibi yesifo futhi uqinisekise impilo ephelele.
Izimiso zokwelapha isifo sikashukela sohlobo 2 zichazwe kuvidiyo kule ngxenye.