Ngokungangabazeki, ukondliwa kwezilonda zesisu noshukela kufanele kukhethwe ngakunye ngokuya ngesimo sempilo yomuntu kanye nezimpawu zomzimba wakhe.
Uma sikhuluma ngokuthi hlobo luni lokudla okufanele lube yisifo sikashukela, lapho-ke, okokuqala, udinga ukunaka ukuthi hlobo luni lwesifo isiguli esinalo, nokuthi yiziphi izifo eziseceleni ezihlaselwe ngemuva kwesizinda sokugula okukhulu.
Okokuqala, ngithanda ukuqaphela iqiniso lokuthi isifo sikashukela singenye yezifo eziyingozi kakhulu. Kubandakanya izinguquko eziningi ezingezinhle ezithinta kabi impilo yonke yesiguli.
Uhlu lwemiphumela emibi kakhulu lubandakanya:
- Izinkinga ngemikhawulo engezansi, ekhombisa njengonyawo lwesifo sikashukela;
- i-nephropathy;
- i-gastroparesis;
- i-gastroenteritis;
- angiopathy nokuningi.
Ngaphezu kwalokho, kubalulekile ukuqaphela ukuthi kaningi, zonke lezi zifo zibonakala ziyinkimbinkimbi. Kungakho kunzima kakhulu ukulwa nalesi sifo. Akusabeki futhi iqiniso lokuthi konke lokhu kuhlonza okubalwe kwisifo sikashukela kungenzeka. Lokho wukuthi, kwanele ukunqoba isifo esisodwa, njengoba kusilandela esinye isifo.
Kumele kuqashelwe ukuthi odokotela bahlala bancoma ukwelapha izifo ngendlela eyinkimbinkimbi futhi ngemuva kokululama balandele izincomo ezicacile, balandele indlela odla ngayo futhi baphila impilo enhle kakhulu.
Kuboniswa kanjani lokhu kuhlanganiswa?
Enye yezinkinga ezinkulu zesifo sikashukela yi-gastroenteritis. Ngalesi sifo, kuphawulwa ukukhubazeka okuyingxenye yesisu, ngenxa yokuthi umuntu uqala ukuzizwa equnjelwa kakhulu, kuba nzima kuye ukusula isisu sakhe.
Isizathu sokuthuthukiswa kwalomphumela sithathwa njengezinga eliphezulu likashukela elihlala isikhathi eside (cishe iminyaka eminingana), ngenkathi kungekho zinyathelo zezokwelapha ezithathiwe ukuqeda amazinga aphezulu kashukela. Kungakho, odokotela bancoma kakhulu ukuthi isiguli sabo silinganise amazinga kashukela futhi siqaphele ukuthi ngesifo sikashukela, ukuthuthukiswa kwe-pathologies nezifo ezihambisanayo kungenzeka.
Ngaphezu kwezinkinga zesisu ezichazwe ngenhla, abantu abanesifo sikashukela bavame ukubhekana nezinkinga ezinjenge-gastritis.
Noma yiziphi izifo zamapheshana emathunjini zihlobene ngokuqondile nokusebenza kohlelo lwezinzwa. Ngemuva kokuphela kokuphela kwezinzwa, inqubo ye-metabolic iyaphazamiseka emzimbeni, kanye nokuhlanganiswa kwama-asidi, ngaphandle kwawo akunakwenzeka ukuqinisekisa ukugaya okujwayelekile.
Ngenxa yokuphazamiseka okunjalo, hhayi kuphela isisu ngokwaso esihlupheka, kodwa futhi namathumbu omuntu uqobo.
Imvamisa uphawu lokuqala lokuphulwa okunjalo lushisa kakhulu. Uma sikhuluma ngohlobo olunzima lokuxakeka, khona-ke ezinye izimpawu zingenzeka, kuze kube sezingeni lokuthi kuqala isilonda sesisu nazo zonke izimpawu ezihambisana naso.
Kungakho, uma noma yimuphi umuntu enomuzwa wokuthi unokuphazamiseka ohlelweni lokugaya ukudla noma ezinye izinkinga ezisobala zempilo, kufanele abonane nodokotela wakhe ngokushesha.
Izimbangela zokukhula kwalesi sifo
Vele, isizathu esibaluleke kakhulu sokuwohloka kwenhlala-kahle, esaziwa ngesifo sikashukela, sithathwa njengamazinga kashukela aphezulu. Kungenxa ye-glucose eyandayo emzimbeni womuntu lapho ama-pathologies aqala ukukhula, enye yazo yi-gastroenteritis. Kuhambisana nezimpawu ezinjengokuphazamiseka kohlelo lwezinzwa, izilonda ze-peptic esiswini, i-acidity ephezulu, ukukhuphuka kokugaya nokunye okuningi.
Ngokuvamile, zonke izifo ezichazwe ngenhla zibhekwa njengezimbangela ze-gastroenteritis. Isibonelo, uma isiguli sinezifo zemithambo yegazi noma kukhona ukulimala esiswini, khona-ke kungenzeka ukuthi asheshe abe nalesi sifo esivele sisho.
Futhi, iziguli ezinalokhu kutholakala kwezifo zingakhononda ngokuzwa okungapheli kwesisu noma ukushisa kwenhliziyo, okuzibonakala ngemuva kokudla ngakunye. Ukuqunjelwa, isisu esidabukisayo, noma ukuqhakaza kusenokwenzeka. Futhi-ke, umuzwa wokucanuzelelwa kwenhliziyo noma wokuhlanza uvame kakhulu.
Ngokuvamile, kufanele kwaziwe ukuthi izimpawu eziningi ziyafana nalezo ezihambisana ne-gastritis noma isilonda sesisu.
Kodwa uphawu olungathandeki kakhulu lwe-gastroparesis iqiniso lokuthi lesi sifo sihlala sihambisana nezinga likashukela eliphakeme kakhulu, ngenkathi kunzima kakhulu ukusinciphisa.
Isibonakaliso esifanayo siphawulwa ngesifo esinjenge-gastroenteritis.
Odokotela batusa ukuthi zonke iziguli ezitholakala zinokuxilongwa okungenhla zisondele empilweni yazo ngokunakekelwa okukhethekile. Badinga ukubheka amazinga abo kashukela njalo, babheke ukuthi yimiphi imikhiqizo eku-menyu, njalonjalo. Ngale ndlela, kungukudla okudingeka kukhethwe ngokukhethekile. Izinga loshukela azoba nalo, nokuthi uhlelo lokugaya ukudla kanye nomsebenzi wepheshana esiswini, kuya ngokuthi isiguli sidla kahle kangakanani.
Ungasithola kanjani lesi sifo?
Ukuthola ubunzima besifo, kufanele uhlaziye izinkomba zezempilo zesiguli amasonto ambalwa. Kulokhu, isiguli sinikezwa ifomu elikhethekile elinezinkomba eziphambili, lapho lifaka imininingwane ngezinguquko empilweni yalo.
Kubalulekile ukulawula ukuthi umsebenzi wesisu ushintsha kangakanani, yikuphi ukuphambuka okwengeziwe okukhona, noma ngabe kukhona ukuphazamiseka emsebenzini wezinye izitho nokunye okuningi.
Kumele kukhunjulwe ukuthi amathumbu axhumene ngokuqondile nezinye izitho, ngakho-ke, uma kukhona ukungasebenzi kahle emsebenzini wawo, khona-ke, ngokufanelekile, nezinye izitho zizosebenza kahle.
Kepha ngaphezu kokuhlaziya ushintsho izinkomba zezempilo, kubalulekile ukuthi uhlolwe imitholampilo, okungukuthi, kufanele ugwinye uthumbu. Kulokhu, kufanele uthintane nodokotela we-gastroenterologist ngokushesha, okumele anqume ukuthi ngabe kukhona yini okungahambi kahle emsebenzini esiswini.
Odokotela batusa ukulandela imithetho enjalo uma udinga ukuthola ukuthi amathumbu asebenza kahle kangakanani:
- Kala ushukela wakho ngehora elilodwa noma amathathu ngemuva kokudla.
- Naka uma izinga le-glucose lingavuki masinyane ngemuva kokudla, kepha ngemuva kwamahora amahlanu, kanti azikho izizathu ezikhethekile zalokhu.
- Ngaphandle kokuthi isiguli sidle isidlo sakusihlwa ngesikhathi, ekuseni unoshukela ophakeme.
- Hhayi-ke, kufanele futhi uxwaye uma amazinga eglucose ekuseni ehlala eshintsha, ngaphandle kwesizathu esithile.
Kukhona enye ingxenye yezeluleko ezingakusiza ekuboneni ukuthi unezinkinga zesisu.
Kuqukethe ukuthi isiguli singayifaki i-insulin ngaphambi kokudla, futhi futhi yeqa isidlo sakusihlwa, kodwa ngaphambi kokulala isivele senza umjovo we-insulin. Uma ushukela ujwayelekile ekuseni, khona-ke azikho izinkinga zesifo sikashukela, kodwa uma inani le-glucose egazini lincipha kakhulu, singasho ukuthi sikhuluma ngokucindezela lesi sifo.
Ukuhlolwa okufanayo kungenziwa nalezo ziguli ezinesifo sikashukela sohlobo 2, kuphela esikhundleni se-insulin udinga ukuthatha izidakamizwa ezonciphisa ushukela udokotela azibekile zona.
Futhi, i-gastroparesis yesifo sikashukela ingatholakala kulezi ziguli ezikhononda ukuthi ngaphandle kokudla kwakusihlwa zihlala zinoshukela ophansi ekuseni noma ngaphakathi kwemikhawulo ejwayelekile, kepha uma zidla isidlo sakusihlwa, ushukela-ke ekuseni uyoba mkhulu kunokujwayelekile.
Ungaselapha kanjani lesi sifo?
Okokuqala, lezo ziguli ezine-gastroenteritis ezifakiwe kufanele ziqonde ukuthi kudingeka ziqaphele impilo yazo ngokucophelela. Izindlela eziphambili zokwelashwa zihloselwe ukubuyisela impilo yamathumbu, nomsebenzi wesisu uqobo. Kepha ngasikhathi sinye, izidakamizwa eziningi ezinconyelwa iziguli ezejwayelekile, iziguli ezinalolu hlobo lokuxilonga zigcinelwe izazi zesifo sikashukela. Futhi kuyodingeka wenqabe ukuzikhandla ngokomzimba.
Sekushiwo ngenhla ukuthi i-vagus nerve ibhekwa njengembangela enkulu yokwanda kwalesi sifo. Kungakho, into yokuqala okufanele yenziwe ukubuyisa ukusebenza kwayo. Ngenxa yalokho, uhlelo lwenhliziyo yomuntu, kanye nesisu sakhe kuzosebenza ezingeni elifanele.
Uma sikhuluma ngendlela yokwelapha ngempumelelo i-gastritis noma i-gastroparesis kwisifo sikashukela, khona-ke lapha, okokuqala, kubalulekile ukunamathela ekudleni okufanele futhi ulandele konke ukunconywa ngudokotela. Udokotela ubuye anikeze imithi efanelekile kanye nokuzivocavoca ukwelashwa kwesifo sikashukela.
Isiguli sitshelwa ukuthi sikuyekele ngokuphelele ukudla okuomile futhi kudle ukudla okwuketshezi noma okune-ketshezi .. Ukulandela ukudla okufanele kuzokwenza amazinga eglucose abejwayelekile, futhi kugweme nokuqhuma kokunye ushukela.
Odokotela baphinde bancome ukuthi iziguli ezisengozini zisebenzisa itshungama ukuvimba lesi sifo. Kuphela manje kufanele kube noshukela kuphela. Udinga ukuyihlafuna ihora elilodwa ngemuva kokudla. Zonke lezi zincomo ezingenhla zizosiza ekwelapheni izinkinga zakho zezempilo futhi zivikele ukukhula kwezifo ezintsha. Ividiyo ekulesi sihloko izokutshela ukuthi ungazigwema kanjani izilonda zesisu.