Ku-mellitus yesifo sikashukela, izinguquko ze-pathological ezenzeka emzimbeni zihambisana nezinga eliphakeme le-glucose egazini. Ukwedlula isikhathi eside kwezinga elijwayelekile le-glycemia kuholela ekuhlanganiseni kwama-glucose nama-molecule wamaprotheni, ukulimala kwama-molecule e-DNA ne-RNA.
Ukuphazamiseka kwe-hormonal metabolism ephazamisekile, kanye nokunikezwa kwegazi okungekuhle nokufakwa emqondweni, kuholela ezinkingeni zokukhulelwa ingane. Izimbangela zokuzala kwabesifazane nabesilisa azifani, kepha umphumela wokugcina yisidingo sokufakwa ngaphakathi, okuqashelwe ngabanolwazi bezibhedlela kanye nochwepheshe bemibhangqwana abafuna ukuba nengane.
Isifo sikashukela kanye nokuzala inzalo kuhlobene kakhulu, inkambo yesifo sikashukela i-mellitus, inkinga yokuphazamiseka kwe-metabolic kanye ne-hormonal, ngakho-ke, nobunzima bokuqamba, okokuqala, udinga ukufeza imigomo ye-glycemia, yenza isisindo sibe yimbi, bese uya esikhungweni sokuhlela ngosizo olukhethekile. umndeni.
Ukungazali kwabesifazane abanesifo sikashukela
Olunye lwezimpawu zokuqala ezihambisana nohlobo 1 sikashukela emantombazaneni yisifo sokujikeleza kokuya esikhathini esiqhubeka ezimweni ezinzima zesifo. Ukubuyiswa kwesifo sikashukela esibi kuholela ekuthuthukisweni kwesifo seMoriak's, okuhambisana nokuntuleka kokuya esikhathini.
Uma i-mellitus yesifo sikashukela ilinganiselwe, khona-ke ukwanda okujwayelekile komjikelezo wokuya esikhathini kungafika ezinsukwini ezingama-35 noma ngaphezulu, izinkathi ezingandile nezincane, nesidingo esikhulayo se-insulin ngesikhathi sokuya esikhathini.
Enhliziyo yokuphazamiseka kwemjikelezo ukwehluleka kwe-ovarian. Lokhu kungaba zombili ukubonakaliswa kokuxhumana okuphukile phakathi kwama-ovari ne-pituitary gland, kanye nokukhula kwenqubo yokuvuvukala ye-autoimmune kubo.
Ukwephulwa kokwakhiwa kwama-hormone ocansi ohlobo lwe-2 mellitus kuholela ekukhuleni kwama-ocycycycyic, ukukhuphuka kwezinga lamahomoni ocansi abesilisa. I-Hyperinsulinemia yohlobo 2 sikashukela iholela ekunciphiseni kwempendulo kuma-hormone ocansi abesifazane.
I-ovulation ene-polycystic ovary syndrome ayikho noma iyivelakancane, ukuphazamiseka kwe-hormonal kubhebhethelwa yisisindo ngokweqile, lapho abesifazane bavame ukuhlushwa ukungakwazi ukukhulelwa.
Ukwelashwa kokungacwilisa isifo sikashukela kwabesifazane kwenziwa kulezi zindawo ezilandelayo:
- Kuhlobo 1 sikashukela mellitus: i-insulin therapy, ama-immunomodulators ane-autoimmune ovarian kuvimba.
- Nge-Type 2 sikashukela mellitus: ukuncipha kwesisindo, okutholakala ngokudla, ukusetshenziswa kweMetformin, ukusebenza komzimba okusebenzayo, ukwelashwa kwehomoni.
Ukuphathwa kwe-insulin ezigulini kwenziwa ngokusebenzisa izindlela ezinde zokubuyisa ukucasulwa kwangemuva, kanye nokufakwa okufushane noma okufushane kakhulu okufakwayo okufakwa ngaphambi kokudla okuyinhloko. Ngohlobo 2 sikashukela, abesifazane abangakwazi ukuthola isinxephezelo se-hyperglycemia futhi babuyisele i-ovulation badluliselwa ku-insulin.
Lapho kukhona ukukhuluphala, ukuthi kungenzeka ukuthi ukhulelwe kuvela kuphela ngemuva kokuncipha kwesisindo. Ngasikhathi sinye, hhayi kuphela ukuthi izinzwa zezicubu zokunyuka kwe-insulin zande, kepha ukulinganisela okulinganiselwe kwama-hormone phakathi kwama-femu ubulili besifazane nabesilisa kuyabuyiselwa futhi nenani lemijikelezo ye-ovulatory landa.
Uma kwenzeka kune-polycystic ovary syndrome, lapho ungekho khona umphumela wokwelashwa kwe-hormonal kanye nokulungiswa kwe-hyperglycemia, ukwelashwa kokuhlinzwa kungadingeka - ukuhlelwa kabusha okwenzelwe ukwakheka kwe-ovarian.
Kwabesifazane abanesifo sikashukela i-mellitus, ngaphambi kokuhlela ukukhulelwa, ukuqeqeshwa okukhethekile kufanele kwenziwe, kufaka phakathi, ngaphezu kokuqinisa i-glycemia ezingeni lamanani okuhlosiwe, izinyathelo ezinjalo:
- Ukukhonjwa kanye nokwelashwa kwezinkinga zesifo sikashukela.
- Ukulungiswa kwe-hypertension ye-arterial.
- Ukukhonjwa nokwelashwa kwe-foci yokutheleleka.
- Ukulawulwa komjikelezo wokuya esikhathini.
- Ukugqugquzelwa kwe-ovulation nokuxhaswa kwama-hormone kwesigaba sesibili somjikelezo.
Ngaphezu kwezinkinga zokukhulelwa, ukulondolozwa kokukhulelwa kubalulekile ezigulini ezinesifo sikashukela, ngoba isifo sikashukela sivame ukuhambisana nokuphathwa kabi kwesisu. Ngakho-ke, ekuqaleni kokukhulelwa, kunconywa ukuthi kuthwale ukuqapha njalo ngudokotela wezifo zabesifazane esibhedlela.
Ukuvimbela ukungazalwa kahle ezinganeni, ukuphuza utshwala kufanele kuncishiswe futhi nokubhema kuqedwe okungenani izinyanga eziyisithupha ngaphambi kokukhulelwa okuhleliwe.
Udinga futhi ukushintsha kusuka kumithi enciphisa ushukela uye kwi-insulin (kunconywa kadokotela).
Kufanele zithathelwe indawo neminye imishanguzo ye-antihypertensive drug eqenjini le-enimeensens-converting enzyme.
Isifo sikashukela kanye nokuzala kwabesilisa
Izimbangela zokungazalani emadodeni onesifo sikashukela sohlobo lokuqala zivame kakhulu ukuba yizinkinga ezifana nesifo sikashukela sezinzwa. Ukubonakaliswa kokwephulwa kokuhlinzekwa kwegazi nokungafakwa kahle kwezindlu kungukubuyisa imvelo
Kulesi simo, kukhona "ukoma" ubulili, lapho, naphezu kokufezeka kwe-orgasm, i-ejaculation ayenzeki. Futhi i-ejaculate iphonswa nge-urethra phakathi kwe-bladder. I-pathology enjalo ithinta iziguli ngenkambo ende yesifo kanye nokunxeshezelwa okungekuhle kwe-hyperglycemia.
Ukubona ukwephulwa kwe-ejaculation ejwayelekile, kwenziwa i-urinalysis. Ukwelashwa kwenziwa kusetshenziswa izidakamizwa ezibandakanya i-lipoic acid: i-Espa-Lipon, iThiogamma. I-Berlition nayo ingasetshenziselwa isifo sikashukela.
Kunconywa ukuhlangana okuphelele kwe-bladder. Imvamisa, ukushushumbisa okwenziwe ngemvelo kungasiza.
Isifo sikashukela nokungazali emadodeni anhlobo lwesibili lesifo kunendlela ehlukile ebudlelwaneni. Ukungabonakali kokukhulelwa kuhlotshaniswa nezinga elincishisiwe le-testosterone, okuwumphumela wokuhlinzekelwa kwegazi okulimazayo kuma-testicles kanye nokwehla kwamaseli abo e-Lading ahlanganisa le hormone.
Ukhuluphele, ikakhulukazi esiswini, kuholela kulemiphumela elandelayo:
- Ezicubu ze-adipose, kwakhiwa i-enzyme ye-aromatase ngenani elandayo.
- I-Aromatase iguqula ama-hormone ocansi abesilisa abe awesifazane.
- Ama-estrogens avimba ukukhiqizwa kwe-hormone yokukhula kanye ne-luteinizing hormone.
- Izinga le-testosterone esegazini liyancipha.
Ekwelapheni ukungazala ngezinga eliphansi lamahomoni, imithamo ephansi yezidakamizwa ze-androgenic, ama-antiestrogens, i-chorionic gonadotropin neminye imithi evusa ukukhiqizwa kwama-hormone isetshenziswa.
Ngohlobo 1 nesifo sikashukela sohlobo 2, ukuzala kungaba khona ngokuncipha kwesidoda. Lapho wenza izifundo ze-semen zeziguli ezinesifo sikashukela, kwatholakala ukutholakala kokulimala kwamangqamuzana e-DNA ne-RNA, okuhambisana nokuxinana kwama-molecule wamaprotheni
Ukushintshwa okunjalo kwe-pathological kuholela ekwandeni okungenzeka kokuphuphuma kwesisu, ubunzima bokuthola iqanda le-fetus, kukhulisa ubungozi bokuphazamiseka okuvela esibelethweni, abaningi babo abangahambelani nempilo.
Izinguquko ezisetshenzisweni sofuzo zivame ukuthuthuka ngobudala kanye nenkambo yesifo sikashukela engabaliwe.
Ngakho-ke, ezinye iziguli ezinesifo sikashukela sohlobo lokuqala azinconywa ukuhlela ingane ngenxa yengozi enkulu yezifo zokuzalwa.
Imbangela engokwengqondo yokungazali kushukela
Ukwehluleka ukukhulelwa kuholela ekwandeni kwezimpawu zokuxineka ngokomzwelo, ukukhuphuka kokukhathazeka, noma ukucindezeleka. Ukugxila okwandayo enkingeni yokungazaleli kubangela izingxabano ngaphakathi kwezithandani, okuqinisa ubudlelwane babalingani kanye nekhwalithi yempilo yezocansi.
Izinkinga ziyanda uma owesilisa enobuthakathaka obuthile nezimpawu zokungabi namandla. Ukuqeda lezi zinkinga, kunconyelwa ukuthi kwenziwe ukwelashwa okuphelele kokungabi namandla kuhlobo lwe-mellitus 2 noma uhlobo 1. Ukungezwani empilweni yomndeni kuvusa inkambo engazinzi yesifo sikashukela nokungalingani kwe-hormonal, okubuye kube nzima ukukhulelwa.
Ezimweni ezinjalo, ngaphezu kokwelashwa okunqunyelwe ukulungiswa kwesifo sikashukela, kunconywa ukuthi wenze inkambo ye-psychotherapy. Ukubuyisela amaphethini okulala ajwayelekile, umsoco omuhle, ukuphumula okwenele kanye nesimo esihle ngokomqondo emndenini akunakubaluleka kangako ekubuyiselweni kokushaywa kocansi nokukhulelwa kwengane ngemithi.
Isazi se-andrologist esivela kule vidiyo kulesi sihloko sizokhuluma ngomphumela wesifo sikashukela ekusebenzeni kwezocansi.
