Amayunithi eshukela 5.6 uyinkomba evumelekile ye-glucose. Kodwa-ke, imiphumela yokuhlolwa kwegazi, esukela kumayunithi angama-5.6 kuya kwayi-6.9, kufanele ibe nokuqaphelisisa, ngoba ukweqiwa okunjalo kungakhombisa ukwanda kwesimo se-prediabetesic.
Isifo sikashukela yisimo esisemngceleni esivumelana nokusebenza okujwayelekile komzimba wonke nesifo sikashukela. Ngamanye amagama, ama-pancreas asebenza ngokujwayelekile, kepha ukukhiqizwa kwe-insulin kwenziwa ngamanani amancane.
Zonke iziguli ezitholakale zinesifo sikashukela zisengozini, ngokulandelana, amathuba okuthuthuka kwesifo sikashukela sohlobo 2 sikhuphuka kakhulu.
Cabanga ukuthi yini isimo sangaphambi kwesifo sikashukela, futhi yiziphi izindlela ezidingekayo ekuxilongeni? Futhi uthole ukuthi iziphi izimpawu ezibonisa ukukhula kwe-prediabetes?
Isimo se-Prediabetes
Ngakho-ke, sitholakala nini isimo sangaphambi kwesifo sikashukela? Uma uthembele ekuhlolweni kwegazi, kepha ungakhuluma nge-prediabetes lapho amanani eglucose edlula amayunithi angama-5.6, kodwa engaphakeme kune-7.0 mmol / L.
Lawa magugu akhombisa ukuthi umzimba womuntu awuphenduli kahle lapho kuthathwa ushukela okukuwo. Ezimweni zokwelashwa, lesi simo sibizwa ngokuthi umngcele. Lokho wukuthi, udokotela akasenaso isizathu sokukhuluma ngesifo sikashukela, kepha isimo sesiguli sikwenza uqaphele.
Ukuze kutholakale isifo i-prediabetes, kudingeka izivivinyo eziningana zaselebhu. Okokuqala, isiguli sithatha igazi esiswini esingenalutho, okuqukethwe ushukela emzimbeni kunqunywa.
Isinyathelo esilandelayo ukuqokwa kohlolo lwe-glucose susceptibility, olwenziwa ngokulandelayo:
- Kudonsa igazi elilodwa esiswini esingenalutho.
- Umthwalo kashukela ngendlela kashukela ocibilikisiwe kuketshezi olunikezwa isiguli ukuba luphuze.
- Amasampula egazi amaningana athathwa ngezikhathi ezithile.
Izinkomba ezijwayelekile zoshukela esiswini esingenalutho yizindinganiso ezilandelayo - amayunithi angama-3.3-5,5. Uma ucwaningo lukhombisa umphumela wamayunithi angama-5.6, khona-ke singakhuluma ngesimo se-prediabetesic state. Lokhu kunikezwe ukuthi uketshezi lwebhayoloji lwaluthathwe emunweni wesiguli.
Esimweni lapho kuhlolwa khona igazi le-venous yegciwane, khona-ke okuqukethwe ushukela okujwayelekile kuze kuyunithi engu-6.1, futhi ngamanani asemngceleni, inani lizohluka kusuka ku-6.1 kuye ku-7.0 mmol / l.
I-Decoding glucose susceptibility test:
- Kufika kumayunithi angama-7.8 kuyinto ejwayelekile.
- Amayunithi angu-8 - 11 - i-prediabetes.
- Amayunithi angaphezu kuka-11.1 - isifo sikashukela.
Akukhishwa ukuthi imiphumela yokuhlolwa kwegazi ingahle ibonakale iyinhle noma ngamanga njengengalungile, ngakho-ke, ngokusho kokuhlaziywa okukodwa, lesi sifo sitholakele.
Ukuqiniseka ngokutholwa, kunconywa ukuthi wenze isifundo kaninginingi (mhlawumbe kabili noma kathathu), nangezinsuku ezahlukahlukene.
Ubani osengozini?
Ngokusekelwe kwizibalo ezisemthethweni zezokwelapha, singasho ukuthi cishe abantu baseRussia abayizigidi ezintathu banesifo sikashukela. Kodwa-ke, ucwaningo lwe-epidemiological luhlinzeka ngemininingwane yokuthi abantu abangaphezu kwezigidi eziyi-8 banesifo sikashukela.
Lolu lwazi luveza ukuthi ngaphezu kwe-2/3 yabantu abanesifo sikashukela abafuni usizo lwezokwelashwa ukuthola usizo olufanele, ngokulandelana, futhi abalutholi usizo oludingekayo.
Ngokwesincomo seWorld Health Organisation, ukuhlolwa kwegazi ngoshukela ngemuva kweminyaka engu-40 kufanele kwenziwe okungenani kathathu ngonyaka. Uma isiguli sisengozini, khona-ke isifundo kufanele senziwe izikhathi ezingama-4-5 ngonyaka.
Iqembu lengcuphe lifaka izigaba zabantu:
- Iziguli ezikhuluphele. Ukuze uthuthukise kakhulu impilo yakho, ngokulandelana, ukunciphisa amathuba okuba nesifo sikashukela, udinga ukulahlekelwa ngu-10% wesisindo esiphelele.
- Abantu abane-hypertension (ukwenyuka okungapheli kwengcindezi yegazi emzimbeni).
- Isigaba sabantu abanezihlobo eziseduze abanomlando wesifo sikashukela.
Basengozini abesifazane abanesifo sikashukela sokukhulelwa ngesikhathi sokukhulelwa.
Izimpawu zesimo se-prediabetesic
Uma umuntu eba nokukhuluphala ngokweqile noma ukukhuluphala ngokweqile, ephila impilo yokuhlala phansi, engadli kahle, azi ngemidlalo kuphela nge -everay, khona-ke kuphephile ukusho ukuthi unamathuba aphezulu okuthola i-prediabetes.
Esikhathini esiningi samacala, abantu abagxili kuzimpawu zokuqala ezimbi. Ungasho ngisho nangokwengeziwe, abanye, bazi ukuthi ushukela wegazi uphakeme kunokwejwayelekile, ungathathi sinyathelo.
Ushukela wegazi akuyona nje inani noma isibalo, kuyinkomba yokuthi ama-pancreas asebenza ngokuphelele yini. Futhi njengoba umzimba womuntu uyindlela ehlangene, ukwephulwa endaweni eyodwa kungaholela kokuphazamiseka kwenye.
Isimo somtholampilo sesimo se-prediabetesic sibonisa izimpawu nezimpawu ezilandelayo:
- Isifo sokulala. Lesi sibonakaliso siqala uma kwenzeka ukungasebenzi kahle kwezinqubo ze-metabolic, kuphambana nesizinda sokuwohloka ekusebenzeni kwamanyikwe, ukwehla kokuhlanganiswa kwe-insulin emzimbeni.
- Isifiso esijwayelekile sokuphuza, ukwanda kwamandla adonsile omchamo ngosuku. Lapho ushukela egazini lomuntu luqongelela, futhi lungangenwa ngokuphelele, lesi simo siholela eqinisweni lokuthi igazi liba likhulu. Ngokuhambisana nalokhu, umzimba udinga isamba esikhulu soketshezi ukuwuhluza.
- Ukwehla okubukhali kwesisindo somzimba ngaphandle kwesizathu. Lapho kubhekwa ukuphazamiseka kokukhiqizwa kwama-hormone, ushukela wegazi lomuntu uqongelela, kepha awukwazi ukudonswa ezingeni lamaselula, okuholela ekunciphiseni isisindo nokushoda kwamandla.
- Isikhumba siyabukeka futhi sibabaza, ukubona okubonakalayo kukhubazekile. Ngenxa yokuthi igazi selibe likhulu ngokweqile, kuba nzima kulo ukuhamba ngemithambo yegazi emincane nemithambo yegazi, ngenxa yalokho, ukuhamba kwegazi emzimbeni kuyaphazamiseka, okuholela ezimeni ezinjalo.
- Izimo ezivuselelayo. Njengoba kunokwephulwa kokujikeleza kwegazi okugcwele, inqubo yokondliwa kwezicubu ezithambile icasuke ngokomqondo, lokhu kuholela ekuwohlokeni kwemisipha.
- Ubuhlungu bekhanda. Ngokuphikisana nesizinda sesimo se-prediabetesic, imithambo yegazi emincane ingalimala, okuholela ekuphazamisekeni kokujikeleza kwegazi.
Izimpawu ezinjengalezi kufanele ziqwashise noma yimuphi umuntu, ngoba ngokukhombisa kwezimpawu, umzimba usikhombisa ukuthi angeke usebenze kwimodi yangaphambilini.
Isifo sikashukela akusona isifo sikashukela, kuyisimo esiphinda siguqulwe uma kuthathwa izinyathelo ezifanele zokuvimbela ngesikhathi.
Okufanele ukwenze
Uma ukuhlolwa kwegazi esiswini esingenalutho kuveza umphumela kashukela wamayunithi angama-5.6 noma ngaphezulu kwalokho, khona-ke kunconyelwa ukuthi uvakashele i-endocrinologist.
Futhi, udokotela uzongcwelisa ngokuphelele lokho okubandakanya isimo sangaphambi kwesifo sikashukela, imaphi amaqhinga okuphatha adingekayo, uzonikeza izincomo nezeluleko zokuvikela ukukhula kwesifo sikashukela esigcwele.
Njengoba ukuzijwayeza kukhombisa, uma izinyathelo ezidingekayo zithathwa esiteji sesifundazwe sangaphambi kwesifo sikashukela, isiqubulo somusa siyathandeka, futhi maningi amathuba okusho ukuthi isifo sikashukela ngeke sikhule.
Kwenziwe ucwaningo e-United States ukuthi ukulungiswa kwendlela yokuphila kuyindlela enhle kakhulu yokuvikela isifo sikashukela uma kuqhathaniswa nemithi.
Ucwaningo luhlinzeka ngemininingwane elandelayo:
- Uma ushintsha ukudla, ukwandisa ukusebenza komzimba, isiguli siyakwazi ukwehlisa isisindo cishe nge-10% yesisindo sokuqala. Futhi, le miphumela inciphisa amathuba okuthola ushukela ngo-55%.
- Uma uthatha umuthi (Metformin 850), khona-ke amathuba we-pathology ancipha ngama-30% kuphela.
Ngakho-ke, singaphetha ngokuqiniseka ukuthi ukulungiswa kwendlela yokuphila "kuyintengo" encane impilo yomuntu. Kumele kuqashelwe ukuthi lapho isiguli sishiya ikhilogremu amaningi, isimo sakhe sizothuthuka ngokwengeziwe.
Umsoco olinganiselayo
Zonke iziguli ezitholakala zinesimo se-prediabetesic kufanele zazi ukuthi yikuphi ukudla okudingayo nokuthi yikuphi ukudla ezingakudla, futhi okufanele kulahlwe ngokuphelele.
Iseluleko sokuqala sabezokudla ukudla ukudla okuncane njalo. Ngaphezu kwalokho, kuyadingeka ukushiya i-carbohydrate yokugaya. I-confectionery, i-khekhe, izitsha ezinoshukela ezahlukahlukene azivunyelwe.
Uma usebenzisa ukudla okunje, khona-ke lokhu kuholela ekwandeni kokuxineka kweglucose emzimbeni. Kodwa-ke, njengoba izinqubo ze-metabolic zenzeka nokuphazamiseka, ushukela awukwazi ukudonswa ngokuphelele; ngenxa yalokho, buthelela emzimbeni.
Isimo sangaphambi kwesifo sikashukela sinokulinganiselwa okuthile kokudla. Ungadla ukudla okuningi, kepha udinga ukukhetha lezo zitsha ezinenkomba ephansi ye-glycemic kanye nenani eliphansi lamafutha.
Izimiso zokudla okunempilo:
- Yidla ukudla okunamafutha amancane, okune-fiber-rich amaningi.
- Bala izitsha zamakhalori.
- Thuthukisa ukudla ngemifino, amakhambi nezithelo.
- Yehlisa ukudla okungaphezulu kwesitashi.
- Izindlela zokupheka eziphambili ziyabilisa, ukubhaka, ukubila.
Isiguli uqobo singabhekana ngokuphelele nayo yonke imigomo yokudla okunempilo, okuvumelekile noma okuvinjelwe. Namuhla, ngenxa yokwanda kwe-pathology, kunolwazi oluningi ngalesi sihloko.
Ungaphendukela futhi kwezokwelapha, ezizokusiza ukudala imenyu yokulinganisela yomuntu ngamunye, ucabangele indlela yokuphila yesiguli kanye nezimpawu zayo.
Ukwelashwa okuhlukile
Iziguli ezinesimo sangaphambi kwesifo sikashukela zingasebenzisa amakhambi abantu asiza ukuguqula amazinga kashukela ngokwejwayelekile. Kodwa-ke, kanye nabo, umuntu akufanele akhohlwe ngokudla okunengqondo kanye nokuzivocavoca umzimba.
Ukubuyekezwa kwabanesifo sikashukela kubonisa ukuthi i-buckwheat ngempumelelo yehlisa ushukela, ithuthukisa inhlala-kahle. Ukuze ulungiselele isidlo "sokwelapha", gaya ama-grits nge-grinder yekhofi. Nge-250 ml ye-kefir, wezipuni ezimbili zika okusanhlamvu osikiwe, shiya ubusuku. Kunconywa ukuthi udle ekuseni ngaphambi kwesidlo sasekuseni esikhulu.
Indlela engaphumeleli yokwenza ushukela ajwayelekile kube yisilinganiso sokuphulukisa esuselwa ezinhlangeni zefilakisi. Ukuyilungisa, udinga uthele isipuni esisodwa sembewu ku-250 ml wamanzi, ulethe ku-thumba. Phuza ingilazi eyodwa ekuseni ngaphambi kokudla. Isikhathi senkambo yokwelapha asinamkhawulo.
Ingxenye ebalulekile yokwelashwa kwe-prediabetes ukwanda komzimba. Ungazikhethela umdlalo ngokwakho, ngokuya ngokuthanda komuntu ogulayo: ukubhukuda, ukuhamba ngamabhayisekili, ukuhamba ngezinyathelo ezisheshayo, i-volleyball, njll.
Uma kungakapheli izinyanga eziyisithupha kudliwe, ezemidlalo nezindlela zabantu akunakwenzeka ukwenza izinkomba zikashukela zijwayelekile, khona-ke amaphilisi anqunyelwe ukusiza ukwandisa ukuzwela kwezicubu kushukela. Izidakamizwa ezinhle kakhulu yiGliclazide, Glycvidone, Metformin.
Imininingwane mayelana nezimpawu zesifo sikashukela izotshela uchwepheshe kule vidiyo ekulesi sihloko.
