I-Prediabetes: Ushukela Wegazi: Ukwelashwa KweMetformin

Odokotela bakhala i-alamu: ushukela uzoba imbangela ehamba phambili yokufa ngonyaka ka-2030. I-harbinger yayo i-prediabetes, izinga loshukela wegazi osuvele ukhula futhi wedlula okujwayelekile.

Indlela yokuphila yanamuhla isekude kakhulu nokuphelele: sayeka ukuhamba, ukudlala imidlalo, futhi esikhundleni sokudla okunempilo sikuluma ukudla okusheshayo. Zonke lezi zinto zithinta kabi impilo yethu.

Nge-prediabetes, ukungasebenzi kahle kwe-pancreas, akusakwazi ukukhiqiza inani elidingekayo le-insulin. Ngokuvakashela udokotela ngesikhathi futhi alandele zonke izincomo zakhe, izingqinamba zingagwenywa.

Yini isifo sikashukela?

Isifo sikashukela yisimo lapho ukubekezelelwa kwe-glucose kuthinteka khona. Okusho ukuthi, ushukela oza nokudla awukwazi ukugaywa kahle. Ngenxa yalokhu, ama-hormone anciphisa ushukela awakhiqizwa ama-pancreas ngamanani adingekayo.

Uma isiguli sitholakale sinesifo sikashukela, amathuba akhe okuba nesifo sikashukela sohlobo 2 ayanda. Noma kunjalo, ungesabi ngokushesha. Lesi simo siyelashwa uma isiguli senza yonke imizamo yokwenza kanjalo. Ukuze wenze lokhu, udinga ukuhola indlela yokuphila esebenzayo, ulandele indlela ekhethekile yokudla futhi uthathe izidakamizwa ze-hypoglycemic.

Lapho isiguli sidlula isivivinyo sikashukela, nge-prediabetes, imiphumela yocwaningo iyoba amanani kusuka ku-5.5 kuya ku-6.9 mmol / L. Kulokhu, okujwayelekile kumuntu ophile kahle kuze kufike ku-5.5 mmol / L, futhi okujwayelekile kwisifo sikashukela kungaphezu kuka-7 mmol / L.

Ngaphezu kwalokho, ukuhlaziywa okukodwa kungenzeka kungabi ubufakazi obunembile bokuthuthuka kwe-prediabetes noma isifo sikashukela. Ukuhlonza ama-pathologies angathi sína, ucwaningo ekuletheni ushukela kudinga ukwenziwa kaningana.

Lapho uthatha igazi kusuka emunweni ukukala amazinga kashukela, izici eziningana zidlala indima ebalulekile. Lokhu kungaba injabulo, ukudla okudliwayo noma ikhofi edakiwe ekuseni, uhlobo oluqinile lomzimba, ukuphuza imithi nabanye.

Ngezansi ungazijwayeza imininingwane esetafuleni, enikeza izinkomba eziphambili zezinga le-glucose kanye nohla lwamanani wesimo esiphakathi nesifo sikashukela:

Uma amahlandla amaningi ukuhlaziya kwesisu esingenalutho kukhombisa amanani agqamile, udokotela uyalela ukuthi kwenziwe okunye ukuhlolwa kwe-hemoglobin ye-glycated.

Lolu cwaningo lude impela (cishe izinyanga ezintathu), kepha libonisa amazinga aphakathi kashukela futhi lusiza ekuxilongeni ngokufanele.

Izimpawu nezimpawu ze-prediabetes

Isibonakaliso esiyinhloko, amazinga kashukela akhuphukile, angabonakala ngokutadisha. Izindlela eziphambili zokuxilonga ukuhlolwa kwegazi kwe-capillary, ukuhlolwa kokubekezelela ushukela ngomlomo kanye nokuhlolwa kwegazi kwe-venous ye-glycosylated hemoglobin.

Eqinisweni, azikho izimpawu ezibekiwe zesimo sangaphambi kwesifo sikashukela.

Abantu abaningi abanamazinga aphezulu kashukela kufanele bangasoli i-prediabetes isikhathi eside.

Noma kunjalo, okudingayo ukunaka ngokushesha uku oma emgodini womlomo, ukoma okungapheli kanye nokunxenxa njalo endlini encane “okuncane”.

Izimpawu ezingathi sína yilezi:

• umbono onciphile;
• umuzwa wendlala;
• ukulala kabi;
• ukukhathala
• ukungahambi kahle;
• ikhanda
• iminyakazo
• ukunciphisa isisindo esincane.

Abanye abantu kungenzeka kakhulu ukuthi bahlakulele isifo sikashukela bese bethayipha isifo sikashukela 2 kunabanye. Iqembu lengcuphe lifaka:

1. Abantu abanesifiso sokuthola ifa.
2. Abantu abakhuluphele.
3. Abantu abavela eminyakeni engu-40 kuya kwengama-40 ubudala nabadala.
4. Abesifazane ababelethe ingane enesisindo esingaphezu kwama-4 kg futhi batholakala benesifo sikashukela sokukhulelwa.
5. Abesifazane abane-polycystic ovary.
6. Abantu abaphila impilo yokuhlala.

Izici zokwelashwa kwe-prediabetes

Isahlulelo sokuthi i-prediabetes siyingozi futhi singashiywa singalashwa yiphutha. Ukunganaki impilo yakho kungaholela emiphumeleni emibi futhi engenakuphikwa.

Kepha abantu abalandela yonke imiyalelo kadokotela wabo banezibikezelo ezinhle.

Uchwepheshe uthuthukisa uhlobo oluthile lokwelashwa kweziguli, ebheka izici zesimo sakhe sempilo.

Imithetho eyisisekelo okufanele ibonwe lapho kukhulunywa nge-prediabetes, kanye nokuvikela, yile:

• ukudla okhethekile;
• indlela yokuphila esebenzayo;
• ukulawula ushukela wegazi nge-glucometer;
• ukuthatha imishanguzo.

Kumele kuqashelwe ukuthi kuphela ngokugcwalisa umthetho ngamunye ngokuhlanganiswa nabanye kungatholakala imiphumela yangempela lapho isilinganiso se-glucose siphezulu sifinyelela ku-5.5 mmol / L. Iziguli ezisebenzisa kuphela izidakamizwa ze-hypoglycemic azikwazi ukufezekisa ukwehla ushukela futhi zidlule nezimpawu ze-prediabetes. Ukudla amaswidi, ukudla okunamafutha, namakhekhe, iziphuzo ezinoshukela, iziguli zenza iphutha elikhulu futhi zikhuphula amazinga abo aphezulu we-glycemia.

Kubaluleke kakhulu ekwelapheni imibuso yangaphambi kwesifo sikashukela ukwehlisa isisindo. Ngakho-ke, isiguli singathembela ukwehla kwamazinga eglucose kanye nentuthuko yomzimba wonke.

Uma umuntu esengozini yokuthola isifo sikashukela bese uthayipha 2 isifo sikashukela, kuzomsiza futhi ukulandela le mithetho.

Ukudla okunempilo ekwelapheni i-prediabetes

Ukudla kungenye yezinto eziphambili zokuthola ukululama okuphumelelayo kweziguli hhayi kuphela nge-prediabetes, kodwa nezinye izifo ezingathi sína.

Kubaluleke kakhulu ukuthatha ukudla ngezingxenye ezincane, kepha kaningi - kuze kube izikhathi ezi-6 ngosuku. Isiguli esitholakala sine-prediabetes kufanele sihambele isazi sezempilo esizokwakha uhlelo lokudla komuntu siqu. Ngakho-ke, isiguli asikwazi ukwehlisa kuphela ushukela, sikhohlwe ngezimpawu ezicasulayo, kepha futhi sikhiphe amaphawundi angeziwe.

Ukudla ngokugula okunjalo kuhilela ukwenqatshwa ngokuphelele kwamafutha (ukudla okusemathinini, amasoseji, ushizi), ukudla okuthosiwe, imikhiqizo equkethe ama-carbohydrate egayiwe (izimpahla ezibhakiwe, amaswidi, ushokoledi, amakhekhe, uju, ujamu, ushukela).

Kepha ekudleni kweziguli kungafaka imikhiqizo elandelayo:

1. Isinkwa (ama-coarse noma i-rye).
2. Imikhiqizo ye-lactic acid engenawo amafutha (ushizi we-cottage shizi, ukhilimu omuncu, ubisi olubilisiwe olubilisiwe, i-kefir).
3. Inyama yokudla nenhlanzi (inyama yonogwaja, inkukhu, iturkey, i-hake nabanye).
4. Izithelo ezingenakuthunyelwa (ulamula, owolintshi, pomelo, iplamu, ukhilimu omuncu, i-grapefruit, ipiche).
5. Imifino (iklabishi, izaqathi, utamatisi, ithanga, ukhukhamba, imifino).
6. I-oat, ibhali le-pearl ne-buckwheat.
7. Imikhiqizo enosawoti.

Ukwelashwa kwezidakamizwa ze-prediabetes

Njengamanje, ama-endocrinologists angaphezulu nangaphezulu anquma iziguli zeMetformin 850 noma eziyi-1000. Lesi yisikhungo se-hypoglycemic esinganciphisa inani le-glucose ekhiqizwa esibindini futhi siqede ukubekezelelwa kwe-glucose. Ngaphezu kwalokho, abanesifo sikashukela kanye neziguli ezinesimo esiphakathi bangase baphikise ukuthi ukuthatha iMetformin kusiza ukwehlisa isisindo somzimba ngokweqile. Vele, lo mphumela ungatholakala kuphela ngokubheka indlela odla ngayo nokuphila impilo esebenzayo.

Ngo-2006, iMetformin yahlolwa yi-International Diabetes Federation. Umuthi watholakala ukuthi usebenza kahle futhi unconyelwe ukwelashwa kokuqala kwe-prediabetes kanye nohlobo 2 sikashukela. Izibalo zithi iMetformin yehlise amathuba okuba nesifo sikashukela, imiphumela yaso emibi kanye nezinga lokufa kwabantu cishe ngamaphesenti angama-30. Ukwelashwa kwe-insulin kanye namalungiselelo we-sulfonylurea awukwazi ukufeza umphumela omkhulu kangaka.

Emhlabeni, le ejenti ye-hypoglycemic ithandwa kakhulu. Ngakho-ke, akumangazi ukuthi emakethe yezokwelapha yaseRussia kunezidakamizwa eziningi eziqukethe i-metformin esebenzayo yezinto, isibonelo, i-Glucofage, i-Glycomet, iMetformin-BMS, iMetfogamma nabanye.

Ngokusebenzisa ngendlela efanele kanye nokuhambisana nemithamo, lesi sidakamizwa akuvamile ukuba sibangele ukusabela okubi. Kodwa-ke, iMetformin inokuphikisana okuthile:

• ukukhulelwa kanye nokuncelisa;
• ukungabekezelelani komuntu ngamunye engxenyeni;
• i-lactic acidosis kanye nesimo se-precomatose;
• ukungenelela kokuhlinzwa;
• uphuzo oludakayo;
• ukuntenga kwe-hepatic / renal / adrenal;
• izifo ezithathelwanayo;
• unyawo lwesifo sikashukela;
• ukomisa kanye ne-hypoxia.

Ekuqaleni kokwelashwa, iziguli zithatha i-1000 mg yesidakamizwa ngosuku, ziphuza amanzi amaningi. Kufanele ngithathe isikhathi esingakanani i-metformin? Umuthi onomthamo we-1000 mg usetshenziselwa amaviki 1 kuya ku-2. Lapho-ke umthamo ungakhuphuka. Kodwa-ke, wonke la maphuzu kufanele axoxwe nochwepheshe. Ukuzelapha kungavunyelwe ngokuphelele.

Isilinganiso esiphezulu somuthi singama-3000 mg ngosuku. Odokotela abaningi batusa ekuqaleni kokwelashwa ukuthi bahlukanise imithamo kube yimithamo engama-2-3, ukuze umzimba ukwazi ukuzivumelanisa nezimo nomuzwa wesenzo somuthi.

Ngenkathi umzimba usujwayela iMetformin, isiguli singakhalaza ngokugaya ukudla, kepha lokhu kusabela okujwayelekile okuhamba ngokwayo ngemuva kwamasonto angu-1-2.

Umuthi wendabuko ekulweni ne-prediabetes

Izindlela zokwelashwa ezingeke zikwazi ukwelapha ngokuphelele isifo se-prediabetes, kodwa-ke, zizosiza ukwehlisa amazinga kashukela futhi kuqinise nokuvikelwa komzimba.

Inzuzo yemithi yemvelo ngaphezulu kwemithi ukuthi ayibangeli imiphumela emibi. Umzuzu kuphela i-hypersensitivity yesiguli kunoma yiziphi izingxenye zesitshalo.

Ngokuhambisana nokwelashwa ngezidakamizwa, amakhambi esintu azosiza ukuqeda ngokushesha lesi sifo.

Izakhiwo ezinciphisa ushukela zitholakala ngezitshalo ezinjalo:

1. I-Goatberry officinalis.
2. Amaqabunga e-Walnut
3. Amabhodwe Obhontshisi.
4. Ama-Blueberries nama-blueberries ku-mellitus yesifo sikashukela wanoma yiluphi uhlobo.
5. I-Lingonberry.
6. Amajikijolo eRowan.
7. Cuff
8. Garlic.
9. Izimpande ze-dandelion.

Izitshalo ezinjalo zemithi zisetshenziswa ngendlela yama-decoctions, infusions, tee noma ama-tinctures. Imiyalelo yokulungiselela imithi yemvelo ingatholakala kwi-Intanethi. Ngaphezu kwalokho, amaqoqo e-phyto asenziwe ngomumo angathengwa ekhemisi. Abadume kakhulu yi-Arfazetin, Vitaflor, Stevia nabanye.

Amakhambi ezitshalo nezitshalo zinamavithamini adingeka kakhulu esigulini esibuthaka ngokuxilongwa kwe-prediabetes. Ukwelashwa kwezifo ezilinganayo:

• amajikijolo e-viburnum;
• ama-rosehip amajikijolo;
• yarrow;
• ISt. Wort
• amaqabunga e-currant.

Usebenzisa inhlanganisela yezidakamizwa namakhambi abantu, ungazinikeza izinkomba ezijwayelekile zoshukela. Ngokubuka izondlamzimba ezifanele nokudlala imidlalo, isiguli sizosusa izimpawu ze-prediabetes. Ngakho-ke, umuntu angenqaba ushukela futhi ajabulele impilo isikhathi eside ngaphandle kokucabanga ngezinkinga zako.

Ividiyo ekulesi sihloko ichaza ukuthi yiziphi izindlela ezingasetshenziswa ukunqoba isifo sikashukela.