Uma udokotela esola ukuthi isiguli sinezinga eliphakeme likashukela, umthumela ukuba ayohlolwa isifo sikashukela.
Inani leziguli ezitholakala zinalesi sifo lenyuka minyaka yonke. E-Russia, imininingwane esemthethweni kuphela ebonisa isibalo esikhulu sabantu abanesifo sikashukela abayizigidi eziyi-9,6.
Kukholelwa ukuthi lesi sifo singumphumela wendlela engalungile. Impela, ubuntu buyekile ukuhamba, bakhetha ukuhamba ngaphezulu, ama-TV namagajethi athatha indawo yemisebenzi yangaphandle, futhi ukudla okufanele komzimba kufakwa endaweni yokudla okungenamsoco. Zonke lezi zinqubo zithinta kabi isimo sempilo yabantu. Njengomphumela wokusetshenziswa kwama-carbohydrate wokugaya kalula, isisindo somzimba kanye namazinga kashukela egazini ayanda ngokuqina.
Yiziphi izimbangela zesifo sikashukela futhi sitholakala kanjani? Ngemuva kwakho konke, ukuxilongwa okufika ngesikhathi nakho kusho lukhulu ekwelashweni kwezifo ezinkulu. Izimpendulo zale mibuzo zingatholakala kule ndatshana.
Ukuthola ukugula ngezivivinyo
Kunezindlela eziningi zokuchaza "isifo esimnandi."
Kwi-Intanethi, ungathatha ngisho nesivivinyo sikashukela esiku-inthanethi ukuthola ukuthi isifo sikashukela siyikhaya yini. Ukuze wenze lokhu, phendula imibuzo ebuziwe. Zihlanganiswa kakhulu nobudala, inkomba yomzimba, ushukela wegazi, izihlobo ezihlushwa isifo sikashukela, nabanye.
Lapho wenza lolu vivinyo ngaphandle kokuhlolwa, umuntu angathola ukuthi yini amathuba okuthola isifo naye. Kodwa-ke, imiphumela yayo iyangabaza kakhulu, ngoba ukuze uthole ukuxilongwa, udinga ukutadisha ukwakheka kwegazi noma umchamo womuntu.
I-glucometer iyithuluzi lokulinganisa ukugcwala kweglucose egazini. Idivayisi enjalo inganquma ngokushesha futhi ngokunembile izinga leshukela lesiguli. Imvamisa, kumuntu ophilile, i-glucose esheshayo iphakathi kuka-70 no-130 mg / dl.
Imvamisa, ama-glucometer afakwe imicu yokuhlola nezihlakala. Ungabona kanjani ukuthi kukhona ushukela ekhaya usebenzisa le divayisi?
Ukuze wenze lokhu, yenza izinto ezilandelayo:
- Geza izandla kahle ngensipho ngaphambi kwenqubo.
- Goqa bese uphatha umunwe nge-antiseptic.
- Usebenzisa isikhwehlela, bhoboza umunwe ohlangothini.
- Susa ithonsi lokuqala legazi ngebhanela.
- Cwilisa okwesibili emucu wokuvivinya bese ubeka kumitha.
- Lindela umphumela esibonisweni.
Sebenzisa ikhithi ye-A1C isifundo esinembile soshukela wegazi. Le ndlela ifaka ukukala izinga le-hemoglobin ye-glycated izinyanga ezintathu kanye nokuthola inani eliphakathi.
Ukunqunywa kwezinga leshukela nakho kwenziwa kusetshenziswa imichilo ekhethekile yokuhlola umchamo. Kodwa-ke, le ndlela yokuxilonga ayisebenzi kakhulu. Umucu wokuhlola ungathola kuphela ushukela omkhulu we-glucose. Kumele kuqashelwe ukuthi ngezinga elijwayelekile le-glucose egazini, ubukhona bayo kumchamo busuka ku-0 iye ku-0,02%. Lapho umuntu enamazinga aphezulu kashukela egazini usebenzisa umucu wokuhlola, kudingeka adlule ezifundweni ezingeziwe ukuze aqaphele ngokuphelele ukugxila kwe-glucose.
Njengoba ukwazi ukubona, kukhona izivivinyo ezahlukahlukene ezinganquma izinga likashukela egazini. Kodwa-ke, lapho ukhetha inketho enhle kakhulu, udinga ukuhlala ucinga ngezindlela zokucwaninga ezisheshayo.
Ukuhlolwa okubonakalayo, isibonelo, ukusebenzisa i-glucometer, futhi kwesinye isikhathi imichilo yokuhlola, kuzosiza ukukhombisa ngokushesha izinga le-glycemia.
Izinhlobo zesifo sikashukela
Wonke umuntu uyazi ukuthi lesi sifo siqhamuka ngemuva kwesizinda sokuphazamiseka kwe-autoimmune. Kunezinhlobo ezimbili eziphambili zesifo sikashukela - esincike ku-insulin (uhlobo 1) nokungathembeki kwe-insulin (uhlobo 2). Ngaphezu kwalokho, kukhona isifo sikashukela sokukhulelwa kanye neonatal. Uyini umehluko phakathi kwezinhlobo zalesi sifo?
Ukuthuthukiswa kwesifo sikashukela sohlobo 1 kwenzeka esemncane. Amaseli weBeta asesiqhingini saseLangerhans se-pancreas ayeka ukukhiqiza i-insulin. Ngakho-ke, imijovo esefika ngesikhathi futhi ejwayelekile ye-hormone enciphisa ushukela idlala indima enkulu ekwelashweni kwalesi sifo. Kumele kuqashelwe ukuthi yi-10% kuphela yabo bonke abanesifo sikashukela abahlaselwa yilolu hlobo lwalesi sifo.
Okuvame kakhulu isifo sikashukela sohlobo 2. Ibonakala kakhulu kubantu bathambekele ekukhuluphisweni ngokweqile futhi banesifiso sokuthola ifa. Ngakho-ke, uma umuntu enezihlobo ezinalolu hlobo lokuxilonga, khona-ke kungenzeka ukuthi lokhu kugula kuvela kuye. Isifo sikashukela sohlobo 2 sivame ukuthinta abantu asebekhulile nabadala. Isifo esithambile singalawulwa ngokubheka izondlamzimba ezifanele nokuvivinya umzimba njalo.
Isifo sikashukela sokutholwa komzimba sikhula kubantu besifazane abakhulelwe ngenxa yokushintshwa kwama-hormone emzimbeni. Yize lesi sifo esikhathini esiningi sihamba sodwa ngemuva kokubeletha, umama okhulelwe udinga ukubonwa njalo ngudokotela ukuvimbela ukukhula kwesifo sikashukela sohlobo 2 nezinye izinkinga.
Isifo sikashukela se-Neonatal isifo sikashukela yisifo esidalwa ukungasebenzi kahle kwezakhi zofuzo. Ngenxa yalokhu, ama-pancreas awakwazi ukukhiqiza ngokuphelele i-insulin.
Izimpawu zesifo sikashukela
Abantu abaningi babuza ukuthi bangaqonda kanjani ukuthi unesifo sikashukela? Isimo somtholampilo salesi sifo sikhulu kakhulu. Okokuqala, udinga ukunaka ukuchama kaningi nokoma okunganqobeki. Izimpawu ezinjalo kwisifo sikashukela zikhombisa ukwanda kokusebenza kwezinso.
Lapho ushukela wegazi ukhuphuka, izinso ziqala ukusebenza kanzima ukususa ushukela omningi emzimbeni.
Kodwa-ke, le nqubo idinga isamba esikhulu soketshezi, izinso eziqala ukuzithathela izicubu namaseli. Ngenxa yalokhu, umuntu uhambela njalo endlini yangasese futhi ufuna ukuphuza.
Ezinye izinkomba ezikhombisa ukuthi ushukela wegazi lakho lenyukile zingafaka:
- umlomo owomile, indlala engenangqondo;
- ikhanda kanye nesiyezi ngesifo sikashukela kanye nesimo sangaphambi kwesifo sikashukela;
- ukuhwaqa noma ukubekeka kwemikhawulo engezansi;
- ukungabekezeleleki nokukhathala okungapheli;
- ukunciphisa umzimba ngokushesha;
- ukwanda kwengcindezi yegazi;
- ukuphulukiswa okude kwezilonda nezilonda;
- ukungaboni kahle
- isikhumba esikhanyayo;
- Izinkinga zocansi;
- ukuya esikhathini okungajwayelekile kwabesifazane.
Ngokuqhubeka kwesifo, ubuchopho buthinteka kakhulu. Njengoba i-glucose ingangenwa kahle emangqamuzaneni, ayinawo amandla futhi iqala "ukubulawa yindlala." Ngenxa yalokhu, umuntu onesifo sikashukela akakwazi ukugxila ngokujwayelekile, uzizwa ikhanda nokukhathala. Esola ngisho nezinye zalezi zimpawu, umuntu kufanele aye kudokotela we-endocrinologist futhi ayohlolwa isifo sikashukela. Kufanele kuqondwe ukuthi imiphumela yesifo ingalawuleki, ngakho-ke, ukwelashwa ngokushesha kuqala, kube ngcono esigulini.
Kepha isifo sikashukela sinqunywa kanjani? Well, udinga ukuthola ukuthi.
Imiphumela yokuxilongwa kungaziwa
Uma isifo sikashukela singanqunywa ngesikhathi, khona-ke kungenzeka kube nezinkinga ezahlukahlukene.
Ukuzivocavoca okungahambi kahle ngokomzimba, ukudla okungekuhle, amasheke we-glucose ngezikhathi ezithile, kanye nokungahambisani nemithi kungaba yizici ezingathonya ukuqhubeka kwezifo.
Ngesikhathi sokwelashwa kwe-mellitus yesifo sikashukela, kubaluleke kakhulu ukunamathela kuyo yonke imithetho engagcina i-glycemia ejwayelekile.
Ngaphandle kwalokho, imiphumela elandelayo ingahle ivele:
- Isifo sikashukela esinesifo sikashukela, esidinga ukulaliswa esibhedlela isiguli ngokushesha, ngoba kungenzeka ukuthi sife kakhulu.
- I-retinopathy yesifo sikashukela yisifo esihambisana nombono ongenampilo, ukwephula ubuqotho besithombe nokucaca kwako, ngenxa yokuvuvukala kwemikhumbi emincane e-retina yezimpawu zokubuka iso.
- Isifo sikashukela i-nephropathy yisifo esenzeka emzimbeni ngenxa yokulimala kokusebenza kwezinso noma ukuhluleka kwezinso.
- Isimo se-hypoglycemic lapho amazinga eglucose egazini ancipha kakhulu.
- Ukunciphisa ukuvikela komzimba, ngenxa yalokho, kunamathuba amahle okutheleleka ngegciwane kanye nezifo ezithathelanayo.
- Ukuthuthukiswa kwe-angiopathy yisifo lapho izindonga zemithambo zichithwa khona, futhi kulimale nemithambo yegazi.
- I-Encephalopathy yisifo lapho izakhi zobuchopho zonakaliswa khona. Kuhlotshaniswa nokukhubazeka kwe-microcirculation, ukufa kwamangqamuzana ezinzwa nokuncipha kwe-oksijini.
- Ezinye izinkinga zihlanganisa umfutho wegazi ophakeme, isifo senhliziyo, kanye nonyawo lwesifo sikashukela.
Ukungazinaki kuwe kungaholela emiphumeleni engathandeki futhi engenakuphikwa. Ngakho-ke, lapho uzizwa izimpawu ezijwayelekile zesifo sikashukela, isivivinyo siba umsizi omuhle ukuthola izinga loshukela egazini. Into esemqoka ukukhetha inketho esheshayo nephumelela kunazo zonke.
Kumbuzo: "Nginesifo sikashukela, yini okufanele ngiyenze ngokulandelayo?" Impendulo ilula - ukwelashwa. Udokotela uhlakulela uhlelo lokwelapha olulodwa okufanele isiguli silunamathele. Ukwelashwa kokudla ushukela kanye nokuzivocavoca nakho kubalulekile. Ngokuqapha njalo, lesi sifo asisho ingozi enkulu, futhi ungaphila naso ngokugcwele.
Kwividiyo ekulesi sihloko, udokotela uzokhuluma ngokuhlolwa kokuthola isifo sikashukela.
