Isifo sikashukela singesinye sezifo ezimbi kakhulu ezithinta abantu banoma ibuphi ubudala. Kuyiqiniso elaziwayo ukuthi isifo sikashukela asikwazi ukuqeda i-100%, kepha singalawulwa ngokuphelele isikhathi eside. Ngakho-ke, udinga ukwazi ukuthi yimuphi udokotela oxhumana naye.
Udokotela wendawo, udokotela womndeni noma owelaphi angabona ukuphazamiseka kwe-carbohydrate metabolism, umphumela wokuhlolwa kwe-glucose uvame ukwanela lokhu. Njengomthetho, isifo sikashukela sitholakala ngokuphelele ngengozi, ngesikhathi sokuhlolwa kwezokwelapha okujwayelekile noma izimpawu zomlingiswa.
I-Therapist ayiphathi i-hyperglycemia, ukulwa nesifo, udinga ukuxhumana nomunye udokotela. Udokotela osebenzelana nalolu daba ubizwa nge- endocrinologist. Kungumsebenzi wakhe ohlanganisa ukuphathwa kwesifo sikashukela. Udokotela ohambelayo unikeza ukuqondiswa kokuhlolwa kwelebhu, ngokusho kwemiphumela yabo, ehlola ubungako be-pathology, itusa inkambo efanelekile yokwelashwa nokudla.
Uma kunenkinga evela kwizitho nezinhlelo, isiguli sinconywa ukubonana nabanye odokotela: i-cardiologist, ophthalmologist, udokotela ohlinzeka ngemithambo, udokotela wamathambo. Kusukela esiphethweni sabo, udokotela wesifo sikashukela we-endocrinologist unquma ngokuqokwa kwemali eyengeziwe.
Udokotela akazibandakanyi ekwelapheni isifo sikashukela kuphela, kodwa nakwezinye izimo ze-pathological:
- ukukhuluphala
- ukungazali
- goiter;
- isifo sokuqaqamba kwamathambo;
- izifo ze-oncological nezinye;
- i-hypothyroidism syndrome.
Isazi se-endocrinologist sisodwa asikwazi ukubhekana ngokuphelele nezifo eziningi, ngakho-ke, i-endocrinology ihlukaniswe izigaba ezincanyana. Udokotela ohlinzayo nge-endocrinologist uphatha isifo sikashukela, kanye nezinkinga zaso ngohlobo lwe-gangrene, izilonda, futhi uma kunesidingo, wenza ukwelashwa kokuhlinzwa.
I-endocrinologist-geneticist monitorsist ifa, isibonelo, isifo sikashukela, ukukhula okukhulu noma okufushane. Odokotela ababandakanyeka ekungazalani kwabesifazane, ukuxilongwa nokwelashwa kwezifo ze-thyroid kubizwa ngokuthi yi-endocrinologist-gynecologist, futhi i-endocrinologists yezingane ibandakanyeka ekuphazamisekeni kwe-endocrine gland, izinkinga zokukhula ezinganeni.
Ngenxa yokwehlukaniswa ngezigaba ezincane, kungenzeka ukuthi ungene ngokujulile ezimbangela zesifo, ube nekhono ngokwengeziwe kulokhu. Ungathola ukuthi yimuphi udokotela ophatha isifo sikashukela ebhukwini lomtholampilo noma ku-GP yakho.
Izizathu zokuvakashela i-endocrinologist
Isiguli sidinga ukubonana nodokotela we-endocrinologist lapho enezimpawu: ukoma okungaguquki, ukulunywa kwesikhumba, izinguquko ezisheshayo zesisindo, izilonda ezihlala njalo zokuvuvukala zolwelwesi lwama-mucous, ubuthakathaka bemisipha, ukwanda kokudla.
Lapho kuvela izimpawu eziningana ebusweni mayelana nokukhula kwesifo sikashukela, izinhlobo ezivame kakhulu ezi-2. Udokotela we-endocrinologist kuphela ongaphika noma aqinisekise ukutholakala kwesifo.
Imvamisa, ukuvakashela lo dokotela, qala ngokubonisana nodokotela wezokwelapha, udokotela wesifunda. Uma eyalela ukunikela ngegazi, ukuhlaziya kuzokhombisa ukukhuphuka noma ukuncipha kwe-glycemia, kulandelwe yisidluliselwa kudokotela ozinakekela ophethe le nkinga.
Esikhungweni sikashukela sanoma yiluphi uhlobo, isiguli sibhalisiwe, bese udokotela enquma uhlobo lwesifo, akhethe imishanguzo, akhombe ama-concomitant pathways, anqume imithi yesondlo, aqaphe ukuhlaziywa kwesimo nesiguli.
Uma umuntu onesifo sikashukela efuna ukuphila impilo ephelele, kudingeka avivinye njalo futhi anikele ngegazi likashukela.
Siphathwa kanjani isifo sikashukela
Udokotela uzokutshela ukuthi isifo sikashukela singaba ezinhlotsheni ezimbili - esokuqala nesesibili, umehluko ekudleni kwe-insulin. Isifo sohlobo lwesibili kulula ukusiqhuba, sithathwa njengezimele nge-insulin ye-hormone. Lesi sifo asikwazi ukwelapheka, singagcinwa kahle size sinciphise amathuba okuba nezinkinga.
Indlela esemqoka yokususa i-pathology wukudla, okuhlinzeka ngokwenqatshelwa kwezitsha ezinosawoti, ezinamafutha, ezimpuphu nezinoshukela. Ngokwalokho kunconywa, izinkomba ze-glycemia zihlala zingaphansi kwemingcele eyamukelekayo. Uchwepheshe wesifo sikashukela weluleka ngokunikeza ukuthanda okulandelayo:
- inyama ebusayo, inhlanzi;
- imifino, izithelo;
- imikhiqizo yobisi.
Uma ukudla kunganikeli umphumela, kukhonjiswa ukuthi uphuze izidakamizwa ezisiza ngokwejwayelekile izinga le-glycemia, yeseka isifo sikashukela. Yimuphi udokotela ophatha lesi sifo awathinti imishanguzo enconyiwe
Kubaluleke kakhulu ukuqapha impilo yakho futhi uthathe izivivinyo ngendlela yesikhathi, izazi zesifo sikashukela zivame ukubekela usuku lokuvakasha kwazo kusenesikhathi. Ngenxa yokulandela izincomo zikadokotela, kungenzeka ukuthi uqaphele ushintsho oluncane kakhulu emzimbeni ngesikhathi, ikakhulukazi uhlobo lwesifo sikashukela. Imiphumela yokuhlaziywa isiza ekukhetheni amaqhinga wokwelashwa, shintsha umthamo wemithi esivele ibekiwe.
Izazi zesifo sikashukela zithi ngendlela yokuqala yesifo sikashukela, ukudla nakho kubalulekile, kodwa ngeke kusize ukuguqula lesi simo. Ngalesi sizathu, kunesidingo esiphuthumayo sokujova i-insulin, udokotela kufanele anqume umthamo wayo kanye nobuningi bokuphatha. Uma isiguli singazizwa kahle ngemuva komjovo, kungenzeka kunikezwe enye inqubo yokwelashwa kwe-hormone.
Yimuphi udokotela ophatha isifo sikashukela ezinganeni? Isazi se-endocrinologist naso sikwenza lokhu. Izimbangela zalesi sifo zihambisana nefa elibi. Uma omunye wabazali esegula nesifo sikashukela:
- ingane ibhalisiwe ne-endocrinologist;
- uma i-hyperglycemia itholakele, ukwelashwa kuthathwa ngokushesha.
Udinga ukwazi ukuthi into esemqoka ekwelapheni isifo sikashukela ezinganeni wukuqokwa okunembile kunakho konke kokuqokwa. I-Pathology ezinganeni ikhula kaningi ngokushesha kunabantu abadala, udokotela wesifo sikashukela uzokutshela ngalokhu.
Ngendlela efanele, ingane izobuyela ngokushesha empilweni ephelele.
Izincomo ezijwayelekile zokwelashwa kwesifo sikashukela sohlobo lokuqala nolwesibili kuzoba yilezi: ukudla, inhlanzeko yomuntu siqu, imisebenzi yangaphandle, indlela yokwandisa ukungatheleleki, ukuhamba emgwaqweni, i-immunotherapy, ukuthatha ama-vitamin complexes, ukuphathwa ngqo kwe-insulin.
Eminyakeni yamuva nje, kube noshintsho kwezokwelapha, kunezidakamizwa ezingaphezulu kwalokho:
- asize ukugcina umzimba;
- vimbela ukuvela kwezinkinga zesifo.
Mhlawumbe ukusetshenziswa komuthi owodwa onjalo wokuguqula kungaba yinsindiso yangempela esigulini uma enoshukela. Yimuphi udokotela ozokuselapha kuya ngohlobo lokuphazamiseka emzimbeni.
Uma isiguli singasiphuthi umuthi obekiwe, sidelela imiyalo kadokotela, isimo sakhe siba sibi kakhulu, isifo sikashukela singena esigabeni esibi kakhulu.
Izinkinga ezinokwenzeka
Lapho udokotela enquma izidakamizwa, khona-ke kufanele zithathwe. Lokhu kusiza ukugwema imiphumela emibi. Imvamisa kungumbuzo wokunciphisa ikhwalithi yokubona, i-gangrene, isifo sikashukela, i-lactic acidosis, ukucekelwa phansi kwemithambo yegazi, izilonda ezihamba ngamathambo, ukuhluleka kwe-renal, isifo sokuqina kwemithambo yegazi, izinkinga zomlenze, ukuhluleka kwenhliziyo.
Izifo ezenzeka kanyekanye zibhebhethekisa inhlala-kahle yesifo sikashukela, ngokunikezwa kwangezelelwe, isidingo sokungenelela kokuhlinzwa siyovela, isiguli singafa. Njenganoma yisiphi esinye isifo, isifo sikashukela kulula ukusivimba kunokukwenza isikhathi eside. Ngakho-ke, bonana nodokotela ngokusola okuncane kokugula.
UDkt Bernstein uzokhuluma ngezindlela eziphumelela kakhulu zokwelapha isifo sikashukela kule vidiyo kulesi sihloko.
