Umuntu otholakala ukuthi unesifo sikashukela ukhathazeka kakhulu ngokuthi uluhlobo luni lwesifo sikashukela, yiziphi izimbangela zokuqalwa kanye nokukhula kwalesi sifo emzimbeni nokuthi yini esiza ekululameni kwesifo sikashukela.
Ukuthuthukiswa kwesifo sikashukela emzimbeni kuhlotshaniswa nokuntuleka kwe-insulin noma ukuvela kokungazweli kwama-cell of izicubu ezithembele ku-insulin kuleli hormone elinenani elijwayelekile emzimbeni wesiguli.
Kunezinhlobo ezimbili zezifo:
- Uhlobo lwe-1 yesifo sikashukela ukugula okuncike e-insulin, lapho kunqamuka ukukhiqizwa kwe-insulin noma ukuncipha kokukhiqizwa kwe-insulin kube yincane kakhulu inani. Lolu hlobo lokugula lukulukhuni kakhulu futhi kunzima kakhulu ukululawula.
- Uhlobo lwesifo sikashukela sohlobo 2 kubhekwa njengesifo esikhula kakhulu kubantu asebekhulile. Lesi sifo sibonakaliswa ukukhiqizwa kwe-insulin okuhamba kancane kanye nokuvela kokungatheleleki kwamaseli we-insulin kwe-insulin.
Ukuthuthuka kwesifo sikashukela kungabangelwa ukungondleki okungafanele futhi okungahambi kahle, ukuvela kwezimo ezicindezelayo ezivame kakhulu, ukukhuluphala ngokweqile, ukuthuthukiswa kokutheleleka ngegciwane emzimbeni, izinkinga nge-heredity kanye nezifo zesisu.
Izimpawu eziphambili zalesi sifo yilezi ezilandelayo:
- ukubonakala komzwa onamandla wokoma;
- ukwabiwa kwenani elikhulu lomchamo;
- kwezinye izikhathi, ngenxa yokukhishwa komchamo omkhulu, ukuphuma komzimba kwenzeka.
Ukuxilongwa kwalesi sifo kwenziwa ngendlela yebhubhoratri yokulinganisa inani loshukela kwiplasma yegazi.
Isifo sikashukela sohlobo 1 aselapheki futhi sidinga ukwelashwa kwe-insulin impilo yonke. Ukulawulwa kwe-glucose esigulini esinohlobo lwesifo sikashukela kwenziwa ngokuphathwa kwemithamo ye-insulin echazwe ngokuqinile.
Ukulawulwa kwesifo sikashukela kusiza ukugwema ukuthuthukiswa kwezinkinga emzimbeni ezibangelwa yi-glucose ephezulu emzimbeni.
Lapho kukhona uhlobo 2 lwesifo sikashukela emzimbeni wesiguli, ukwethulwa kwe-insulin emzimbeni kudingeka kuphela ezimweni eziphuthumayo.
Ngokukhuphuka okuncane kweglucose ye-plasma, kwanele ukuthatha imithi efanelekile evusa umsebenzi wamaseli we-pancreatic beta, okwandisa ukukhiqizwa kwe-insulin.
Yini okufanele uyenze uma kutholakala isifo sikashukela sohlobo 1?
Ukwenza izindlela zokwelapha akuholeli ekwelashweni okuphelele kwalesi sifo, futhi ngemuva kokuvela kwesifo sikashukela emzimbeni, akunakulashwa ngokuphelele, kuhlala kumuntu impilo yonke.
Ukwelashwa kwalesi sifo kwenziwa yi-endocrinologist, uhlobo lokwelashwa olwenziwayo luza ngohlobo lwesifo sikashukela esitholakele kanye nezimpawu zomzimba womuntu.
Ngohlobo 1 isifo sikashukela, ukwelashwa kwe-insulin kungumsebenzi obalulekile. Ukwethulwa kwe-insulin kukuvumela ukuthi ulawule izinga le-glucose emzimbeni. Namuhla, kukhiqizwa izinhlobo ezahlukene zemi insulin. Ngokuya ngesikhathi sokusebenza, ama-insulin ahlukaniswe izidakamizwa ezimfishane, eziphakathi nezinde.
Ukuthatha i-insulin yokwelapha isifo sikashukela kudinga ukuthi kungeniswe emzimbeni lapho kungekho ukukhuluphala, indawo eyi-0.5-1 ye-insulin ngekhilogremu eyodwa.
Ukwelashwa kwesifo sikashukela kudinga ukudla okufanele. Ukudla kwesiguli kususelwa ekunciphiseni kokudla kwe-carbohydrate. Ukwehliswa kokudla okuqukethe i-cholesterol nakho kuyadingeka. Le mikhiqizo ifaka:
- ibhotela;
- amafutha anamafutha;
- amanoni;
- isikhupha seqanda;
Izithelo nemifino eyengeziwe kufanele ingezwe ekudleni. Akuvunyelwe ukusetshenziswa noma ukunciphisa ukusetshenziswa okungenani kwemikhiqizo elandelayo yomsuka wesitshalo:
- amagilebhisi;
- i-Persimmon;
- omisiwe;
- ubhanana
- amazambane
Ukusetshenziswa kwamajusi amnandi neziphuzo ezinamakhabhoni, aqukethe ushukela omkhulu, akunconywa.
Kuyo yonke impilo, ukuthuthukisa isimo somzimba kufanele kube semfundo yomzimba. Ukuzivocavoca okulinganiselayo kungasenza ngcono isimo sesiguli.
Ukuhambisana nazo zonke izincomo ezitholwe kudokotela oholayo kukuvumela ukuthi ulondoloze izinga loshukela ngaphakathi kwezinkomba ezimiselwe ngokomzimba futhi ungesabi ukuthuthuka kwezinkinga ezinkulu nokuphazamiseka emzimbeni.
Yini okufanele uyenze lapho uthola uhlobo 2 sikashukela?
Ekwelashweni kwe-Type 2 sikashukela mellitus, i-insulin ayidingeki, ezimweni ezingavamile, amalungiselelo e-hormone asetshenziselwa ukunciphisa ushukela omningi kakhulu emzimbeni, okungaholela ekhefeni le-hyperglycemic. Ekwelashweni, kusetshenziswa ukwelashwa kokudla kanye nemfundo yomzimba, ngaphezu kwalokhu, kusetshenziswa ukwelashwa kwezidakamizwa, okubandakanya ukuthatha imithi ye-hypoglycemic.
Le mishanguzo ikhulisa ukuzwela kwamaseli we-insulin ancike kuma-insulin, okwandisa ukungena kweglucose kumaseli ngokusebenzisa ulwelwesi lweseli. Kanye nalezi zindlela, kwenziwa umsebenzi wokuvimbela ukuvikela ukwanda kwezinkinga emzimbeni.
Ukuze ukwazi ukuzilawula ushukela emzimbeni, kusetshenziswa ama-compact glucometer.
Amakhambi aphumelela ikakhulukazi ekwelapheni lesi sifo. Amakhambi awusizo wesifo sikashukela, ukusetshenziswa kwawo anconywe ngabodokotela bendabuko nabachwepheshe bezokwelapha kwendabuko, kumi kanjena:
- i-black elderberry;
- umlotha wasentabeni;
- raspberries;
- ama-sitrobheli asendle;
- ijikijolo
- kamalibhele omhlophe;
- imbewu ye-alfalfa;
- okusanhlamvu kwe-oat;
- isikhumba sembuzi
- i-burdock izimpande nabanye abanye.
Ukulungiswa kwamakhambi akuneli nje ekwehliseni ushukela wegazi, kodwa futhi kuthinta kahle ukusebenza kwezitho zangaphakathi nezinhlelo zazo.
Imithi esetshenziselwa ukwelapha isifo sikashukela sohlobo 2
Ukwelashwa kwezidakamizwa kufanele kwenziwe esigulini esine-mellitus engavikelekile nge-insulin uma kwenzeka ukuthi ukuthola imiphumela emihle akunakwenzeka ngosizo lokudla nokuzivocavoca.
Ukuthola imiphumela emihle ekwelashweni kwesifo sikashukela sohlobo 2 sikashukela, asikho isidingo sokuhlelela izondlamzimba ezifanele nokuhlinzekwa kokuzivocavoca umzimba njalo, kodwa futhi sisebenzise nemithi.
Isenzo semithi sihloselwe ukuqinisa izinga likashukela emzimbeni wesiguli ngokuvuselela ukukhiqizwa kwe-pancreatic insulin noma ngokwakha isithiyo ekungeneni kweglucose kusuka ku-lumen ye-gastrointestinal tract in the gazi.
Amaqembu ajwayelekile futhi athandwayo wezidakamizwa ezisetshenziselwa ukwelashwa yilezi ezilandelayo:
- i-alpha glucosidase inhibitors;
- ukulungiswa kweqembu le-sulfonylurea;
- ama-biguanides.
Ukukhethwa kwezidakamizwa zeqembu elilodwa noma elinye kuncike ezicini eziningi, ikakhulukazi izinga le-hyperglycemia, isimo sesiguli, ukuba khona noma ukungabikho kwezinkinga nezifo ezihambisanayo nokuthandwa yiziguli.
Ukuzikhethela kwezidakamizwa kuyathinteka nezimpawu zohlelo lokusebenza kanye nokuba khona kwemiphumela emibi engaba khona, iminyaka yesiguli nesisindo somzimba.
Izici zemithi esetshenziswa ekwelapheni isifo sikashukela
Ama-inhibitors we-Alpha glucosidase ayizidakamizwa ezintsha, le mishanguzo inikezela emzimbeni ukwehla kokufakwa kwe-carbohydrate emathunjini amancane.
Umuthi owaziwa kakhulu kuleli qembu yiGlucobay. Lesi sidakamizwa yi-acarbose pseudotetrasaccharide. Ithuluzi elisehlelweni lokufaka isicelo lifakazele ukusebenza kwalo okuphezulu, lesi sidakamizwa sinikeza ukwehla okukhulu kokufakwa kweshukela kusuka ku-lumen yamathumbu amancane, ngaphezu kwalokho, umuthi uvimbela ukukhula kwe-glucose egazini kanye nokuvela kwe-hyperglycemia emzimbeni.
Isikhombisi esiyinhloko sokusetshenziswa kwaleli thuluzi ukushoda kokulawulwa kwekhwalithi ezingeni ushukela emzimbeni wesiguli ngokudla kokudla.
Isidakamizwa sisetshenziswa ekwelapheni isifo sikashukela sohlobo 2 ezigulini ezinezinga elijwayelekile le-insulin.
Umuthi ungasetshenziswa ngokuphathwa kabi ushukela ngesikhathi sokwelashwa kwe-insulin nangokuncipha komthamo we-insulin osetshenzisiwe.
IGlucobai ayinconyelwa iziguli ezinesifo se-gastrointestinal, futhi umuthi ubekelwa ubukhona be-gastroparesis esigulini ngenxa yesifo sikashukela sesifo sikashukela.
Enye yezidakamizwa ethandwa kakhulu futhi ephumelelayo etholakala sulfonylurea. Lawa ma-ejenti akhulisa inani le-insulin eyenziwe, asebenze i-insulin yomzimba futhi anciphise inani le-glycogen esibindini.
Izidakamizwa ezaziwa kakhulu, ezisebenzayo nezidumile yilezi zidakamizwa ezilandelayo kuleli qembu:
- I-Gliclazide;
- I-Glibenclamide;
- I-Glimepiride.
I-Gliclazide isebenza kakhulu esenzweni sayo uma iqhathaniswa ne-glibenclamide. Lesi sidakamizwa sivusa isigaba sokuqala sokuhlanganiswa kwe-insulin ye-hormone. Ngaphezu kwalokho, lesi sidakamizwa sinciphisa ukubonwa kwegazi, okuthuthukisa ukuhamba kwegazi.
Izidakamizwa zeqembu le-Biguanide azisetshenziswa kaningi ngenxa yokuba khona kohlu olukhulu lwe-contraindication.
Lezi zimali azivunyelwe ukusetshenziswa uma isiguli sinezifo ezingamahlalakhona zezinso, inhliziyo nesibindi. Ngaphezu kwalokho, imithi yaleli qembu ayinconywa ukuthi isetshenziswe iziguli esezikhulile.
AmaBiguanides athinta i-metabolism, evimbela inqubo ye-gluconeogeneis futhi andise ukuphendula kwamangqamuzana izicubu ukungena ku-insulin.
Ukudla okunempilo kanye nokusetshenziswa kwemithi yesifo sikashukela
Amakhambi we-Folk kashukela asetshenziswa ngokufana nokwelashwa. Noma yikuphi ukuqoqwa kwe-herbal kusifo sikashukela kufanele kuguqulwe njalo ezinyangeni ezi-2-3. Ukusetshenziswa kwamakhambi esifo sikashukela kuvimbela ukuvela kwezilonda zohlelo lwethambo nenhliziyo, izinto zesitho sokubona, uhlelo lomchamo nesibindi.
Uma kungenzeki ukuvimba ukuvela kwezinkinga, ukusetshenziswa kwamakhambi esifo sikashukela kungabambezela ukuqala kwezinkinga ezinjalo. Amalungiselelo amakhambi asetshenziswa ngokuhlanganiswa neminye imithi yokwelashwa yendabuko yendabuko.
Ukwenza ngcono isimo somzimba uma usebenzisa amalungiselelo amakhambi kuzibonakalisa emavikini angama-3-4 ngemuva kokuqala kokuthatha umuthi. Ngaphambi kokuthi uqale ukuthatha noma yimuphi umuthi, kufanele uthintane nodokotela wakho. Ngaphezu kwalokho, kufanele uzijwayeze nohlu lwe-contraindication ukuthi zonke izingxenye ezifakiwe kuqoqo lwamakhambi zinazo.
Ukwelashwa kokudla sikashukela kukhiqizwa udokotela noma odokotela besifo sikashukela.
Lapho wenza umuntu onesifo sikashukela, kufanele alandelwe:
- Ukusuka ekudleni kufanele kungafakwa ukusetshenziswa koshukela nakho konke ukudla okuqukethe ushukela omkhulu.
- Ama-sweeteners kufanele asetshenziselwe ukufaka ukunambitheka okumnandi ekudleni.
- Ukuze wenze lula ukusebenza komzimba kwamafutha, kunconywa ukusebenzisa izinongo.
- Kunconywa ukuthi udle kakhulu ugalikhi, u-anyanisi neklabishi, isilimo esidliwayo esinamagatsha anamanzi nesipinashi.
- Ukusuka ekudleni kufanele kungafaki ikhofi, okufanele ithathelwe indawo nge-chicory.
Sebenzisa izivivinyo ukwelapha isifo sikashukela
Nika iqhaza ekwehliseni inani loshukela egazini le-plasma yesiguli esinezifo zokuzivocavoca zesifo sikashukela futhi unikeze amandla omzimba emzimbeni.
Ochwepheshe emkhakheni wokuzilolonga basungule amasethi ahlukahlukene okuzivocavoca umzimba anconyelwa ukwenziwa uma kukhona isifo sikashukela emzimbeni.
Ukuzivocavoca okunjalo kunconywa kwiziguli ezingenazo izinkinga ezinkulu emzimbeni.
Izindlela zokuzivocavoca ezilula kakhulu nezijwayelekile yilezi ezilandelayo:
- Ebambelele emuva kwesihlalo noma odongeni, isiguli kufanele siphakamise umzimba wakhe ezinzwaneni zakhe izikhathi eziyi-15 ukuya kwezi-20.
- Ukubamba ingemuva kwesihlalo, kufanele uhlale phansi amahlandla ayi-10.
- Isiguli silele emhlane wakhe siphakamise imilenze yakhe nge-angle engama-60 degrees, ngemuva kwalokho kufanele acindezele izinyawo zakhe odongeni alale kulesi sikhundla imizuzu emithathu kuya ku-5.
- Isiguli kufanele sihlale esihlalweni sokulungisa isandisi ezinzwaneni futhi ugobe imilenze ezinhlangothini zamadolo kusuka amahlandla ayi-8 kuye kwali-15 ngendlela eyodwa.
- Ngemuva kwemfundo yokuzivocavoca kunconywa ukuqhuba ukuhamba emoyeni omusha. Ngenkathi uhamba, kunconywa ukuthi kuguqulwe phakathi kokusheshisa okusheshayo nokuhamba kancane.
Ukuzivocavoca kufanele kwenziwe kaningi njengoba isiguli sithola, kepha umzimba akufanele ukhathale.
Ngenqubo yokwenza izivivinyo zomzimba, umthwalo kufanele wenyuswe kancane kancane, ngaphandle kokucindezela umzimba ngokweqile.
Izindlela zokupheka ezidumile zomuthi wendabuko
Ukugqugquzela ukukhiqizwa kwe-insulin kungenye yezici zenhlala-kahle yomuntu onesifo sikashukela. Enye yezindlela ezisebenzayo zomuthi wendabuko ovuselela ukukhiqizwa kwe-insulin yi-pancreas yi-tincture kathathu yesifo sikashukela yanoma yiluphi uhlobo.
I-tincture ephindwe kathathu iqukethe izinto ezintathu, ukulungiswa kwayo kungokulandelayo.
I-300 ml ye-vodka kufanele ithululelwe ku-50 amagremu anyanisi, ichotshozwe esimweni sephalishi, futhi ingxube ephumayo kufanele igcinwe izinsuku eziyi-5 ebumnyameni. Ngemuva kwalokhu, ingxube kufanele ihlungiwe.
I-300 ml ye-vodka ithululelwa kumakhilogremu angama-50 amaqabunga e-walnut, ngemuva kwalokho le ngxube isineminyaka isonto lonke ebumnyameni. Ngemuva kokuthi ingxube isifakiwe, kufanele ihlungiwe.
Ukulungiselela ingxenye yesithathu, kuzodingeka ugaye i-cuff yotshani bese uyigcwalisa ngo-300 ml we-vodka. Umxube obangelwa kufanele ufakwe isonto lonke endaweni emnyama, ngemuva kokungeniswa, inhlanganisela iyahlungwa.
Ukulungiselela umuthi wokugcina, kufanele uthathe i-150 ml yesakhiwo sokuqala, usixube no-60 ml wesibili no-40 ml wesithathu. Ukwakheka okubangelwa kufanele kuthathwe isipuni esisodwa nsuku zonke imizuzu engama-20 ngaphambi kokudla kwasekuseni nangaphambi kokulala.
Ehlelweni lokwelashwa kwesifo sikashukela ukuthuthukisa ukukhiqizwa kwe-insulin, ukusetshenziswa kwama-oorn acorn ngesimo se-powder, iBrussels ihlumela ujusi, ingxube yejusi kalamula kanye namaqanda, ijusi le-burdock ne-tincture ye-lemons kunikeza umphumela omuhle kakhulu.
Kwividiyo ekulesi sihloko, kwethulwa izindlela zokupheka ezinesifo sikashukela eziningana.
