Lapho umuntu etholakala ukuthi unesifo sikashukela, kudingeka aguqule ngokuphelele indlela yakhe yokuphila ukuze akhokhele lesi sifo. Ukuze ufeze lokhu, udinga ukulandela indlela odla ngayo, uphuze ngayo izidakamizwa ezinciphisa ushukela, njengeMetformin, dlala ezemidlalo, kwesinye isikhathi ujwayele ukwelashwa nge-insulin. Ngakho-ke, inkambo yesifo ingalawulwa, kepha kudinga umzamo othile.
Ingxenye ebalulekile yokwelashwa okuphumelelayo kokugcina hhayi nje isifo sikashukela, kodwa futhi ne-asthma kungumzimba womzimba. Kepha kungenzeka yini ukuthi ugijime ngesifuba somoya nesifo sikashukela?
Ungajaha izifo ezifana nalezi, ngoba ukuzivocavoca okuhleliwe nokufanele ngalomdlalo kuvimbela ukukhuluphala, ukuthuthukiswa kwezinkinga ngenhliziyo nemithambo yegazi, ukuthuthuka kwemizwa, amandla omsebenzi kanye nokukhulisa ukungatheleleki komzimba.
Kepha umphumela omuhle kakhulu ovela ekushisekeni ngokomzimba ukusebenza kweenqubo ze-metabolic kanye nokwanda kokufakwa kweglucose. Ngenxa yalokhu, kwezinye izimo, ungasusa ngokuphelele ukuthembela kwe-insulin noma unciphise kakhulu umthamo wezidakamizwa ze-antidiabetes.
Ukuhamba nokugijima
Uhlobo olufanele lomsebenzi wokuzivocavoca wesifo sikashukela ne-asthma uhamba. Ngemuva kwakho konke, ngisho nokuhamba ibanga elide kuzoba umthwalo omuhle womzimba, lapho i-glycemia ifane nsejwayelekile, izicubu zomzimba zizokhiqizwa futhi ama-endorphins azoqala ukukhiqizwa - ama-hormone athuthukisa imizwa. Phakathi kokunye, ukuzivocavoca okulinganiselayo kunomthelela ekunciphiseni isisindo futhi kuvimbela ukuthuthukiswa kokukhuluphala esikhathini esizayo.
Ukuhamba ikakhulukazi kuzoba wusizo kulezi ziguli, ngenxa yezizathu zempilo, ezingeke zingene kwezemidlalo. Lesi sigaba sihlanganisa abantu asebekhulile nalabo abaye baba nezinkinga zesifo sikashukela noma banezinye izifo ezinkulu.
Uma ukuqeqeshwa kukhethwe kahle, khona-ke ngeke kube nemiphumela emibi evela kuyo. Ngokuphambene nalokho, lokhu kuzokuvumela ukuthi ushise amakhalori angaphezulu, uthuthukise imizwa futhi ubuyisele ithoni yemisipha.
Kodwa-ke, bonke abanesifo sikashukela badinga ukukhumbula ukuthi ngemuva kokuzivocavoca ngokomzimba bangakhulisa i-hypoglycemia, ebonakala ngokuhla okungazelelwe kwamazinga kashukela. Ngakho-ke, ngaso sonke isikhathi kufanele uphathe isiphuzo noma i-carbohydrate, isibonelo, uswidi noma ujusi omnandi. Noma ngokudla okulinganiselayo nokudla okujwayelekile, amathuba e-hypoglycemia ancishisiwe.
Uma isiguli sinesifo sikashukela sohlobo 2, odokotela bancoma ukuthi azilolonge ngokuhamba kwe-Nordic. Noma kunjalo lolu hlobo lokuzivocavoca lomzimba lusetshenziselwa ukuqala ukusebenza okujwayelekile kohlelo lwe-musculoskeletal kanye nokuvimbelwa kwezifo zenhliziyo.
Yize ukuhamba kweNordic sekuthole isimo somdlalo ogcwele ngokuphelele muva nje, akuzange kumnqande ukuthi abe ngomunye wemithwalo ehamba phambili yabasubathi abangaqeqeshiwe nabantu abakhubazekile. Ngempela, ukuhamba kwe-Nordic kukuvumela ukuthi ulawule ubukhulu bemithwalo, ngokuya ngezidingo zomzimba ngamunye, futhi futhi ikuvumela ukuthi ugcine ama-90% emisipha isesimweni esihle.
Kumakilasi, kufanele usebenzise induku ekhethekile, engathengwa esitolo sezemidlalo. Umhlanga wobude obungafanele uzodala umthwalo owengeziwe emgogodleni nasemadolweni.
Ukuhamba ngeFinnish ngenduku ekhethekile kwenza umthwalo osemzimbeni uthambile futhi ulinganise. Ngaphezu kwalokho, amakilasi ejwayelekile kulo mdlalo akhulisa ukungatheleleki, futhi okubaluleke kakhulu, atholakala kubantu abanezifo ezahlukahlukene.
Ijubane lokunyakaza likhethwe ngawodwana, kuyilapho kungekho zindinganiso ezithile. Ngakho-ke, ukuncika nokuqhuqha ngokumelana nenduku, umuntu angakwazi ukuhamba ngesigqi sakhe, okuzomvumela ukuthi athuthukise kakhulu inhlala-kahle yakhe futhi aqinise ukungabikhona komzimba wakhe.
Ngokuphathelene nokugijima, kuzoba wusizo ekuqaleni kwesifo sikashukela, lapho isiguli singekho esigabeni esishiwoyo sokukhuluphala, nangaphandle kwezici ezengeziwe zobungozi. Kepha uma ukuhamba kukhonjiswa cishe wonke umuntu, khona-ke kukhona imikhawulo yokubaleka:
- i-retinopathy
- ukuba khona kwesisindo esingaphezu kwamakhilogremu angama-20;
- isifo sikashukela esibuhlungu, lapho i-glycemia ingalawulwa, okungaholela emiphumeleni emibi yokuxineka okusebenzayo.
Ngalezi zizathu, ukugijimela kulungele ushukela omnene. Ngenxa yokushiswa kwekalori okusheshayo, ukuqiniswa kwemisipha, kuhlanganiswe nokwelashwa kokudla kanye nokusetshenziswa kwezidakamizwa ezilwa nesifo sikashukela ezifana neMetformin, ungathuthukisa kakhulu imetabolism futhi unxephezele isifo sikashukela.
Noma kunjalo, awukwazi ukugijima amabanga amade ngokushesha nangejubane elikhulu. Kunconywa ukuqala ngokuhamba, ukuthuthukisa amalunga kanye nama-sprains.
Ukuqina komthwalo kumele kukhushulwe kancane, ngaphandle kokubandakanya ukwabiwa kabusha kwamathuba. Ngempela, ngesifuba somoya nesifo sikashukela, umsebenzi oyinhloko akuyona ukuthola ukunqoba kwezemidlalo, kodwa ukwenza izinqubo ze-metabolic.
Kodwa-ke, kufanelekile ukukhumbula ukuthi kuphela umthwalo olinganiselayo ongaba nomthelela ekunciphiseni isisindo futhi unciphise ingozi yezifo ze-vascular kanye nenhliziyo, uqinise ukungatheleleki futhi uvikele ukukhula kwezinkinga zesifo sikashukela.
Labo sikashukela abazizwa kahle akufanele babe ngamavila futhi bathathe indawo yokugijima ngokuhamba, ngoba umthwalo kufanele ube mnene, kepha ungabi lula.
Imithetho Yesifo Sikashukela Yokugijima
Kunezincomo eziningi ezibalulekile okufanele zilandelwe sikashukela.
Ngakho-ke, ngaphambi kweklasi, udinga ukukala ushukela wegazi.
Ngaphezu kwalokho, umuntu onesifo sikashukela kufanele abe nama-carbohydrate asheshayo naye, isibonelo ucezu kashukela noma ushokoledi.
Ngemuva kokugijima, kungakuhle ukuphuza ingilazi yejusi elisanda kufakwa noma udle isithelo esimnandi. Uma izinga likashukela ekuqaleni liphakanyisiwe, kungadingeka ukuthi ube nesidlakela ngesikhathi sokuzivocavoca.
Futhi, kwisifo sikashukela, izincomo ezilandelayo kufanele zibhekwe:
- sebenza ngamandla bese ulayisha ngokweqile umzimba ku-contraindified;
- yonke imithwalo kumele iqiniswe kancane kancane, ngaphandle kokubekwa ngokweqile;
- udinga ukukwenza njalo, ngoba ngezikhathi ezithile ukuqeqeshwa kuzoba nzima emzimbeni;
- Awukwazi ukuvivinya esiswini esingenalutho, ngoba lokhu kungaholela ekwehlekeni kokuxineka koshukela;
- kungcono ukuqhuba ngaphambi kokudla kwasemini kanye namahora amabili ngemuva kwesidlo sasekuseni esigcwele.
Ngaphezu kwalokho, kwezemidlalo kuyadingeka ukuthenga izicathulo ezisezingeni eliphezulu futhi ezintofontofo. Kwabanesifo sikashukela, lo mthetho ubaluleke kakhulu, ngoba ngisho nokuklanywa okuncane kungaba yinkinga enkulu, ngoba isici sizophola isikhathi eside.
Isifo sikashukela esinquma ukuqala ukugijimela kufanele sibonane nodokotela we-endocrinologist kanye nomqeqeshi wezemidlalo ozoqhathanisa zonke izingozi futhi akhethe uhlobo nesikhathi esifanele samakilasi. Ngakho-ke, ngesigaba esithuthukile sikashukela kanye nesifuba somoya, lokhu kungaba ukuhamba kancane (kufika imizuzu eyi-15), futhi ngesimo esizinzile nokunxeshezelwa ngalesi sifo, isikhathi sokuqeqeshwa singafinyelela ihora lokuhamba ngokushesha noma ukugijimisa imizuzu engamashumi amathathu.
Bonke abanesifo sikashukela kufanele bakhumbule ukuthi ngaphambi, ngesikhathi noma ngemuva kokuzivocavoca komzimba bangaba ne-hypoglycemia noma i-hyperglycemia. Ukuze ushukela wegazi ungehli uye emazingeni abucayi, kufanele ulandele ngokucophelela ukudla, ugijime njalo futhi ngasikhathi sinye.
Futhi, ngaphambi kokuzivocavoca ngakunye, udinga ukukala i-glycemia. Ngaphambi kokuqala amakilasi, kunconywa ukubonana nodokotela ozolungisa ukwelashwa kwe-insulin nokudla. Kubalulekile ukwandisa inani lamanzi asetshenziswa, ngoba ngesikhathi sokuzivocavoca umzimba ulahlekelwa uketshezi oluningi.
Ngokugxuma ushukela ngokuzumayo, umuntu onesifo sikashukela angaba nesiphuphu, ngakho-ke, ngisho nangesifo esizimele sesifo se-insulin kanye ne-glycemia engalawulwa, imidlalo ingabekwa. Ezigulini ezineminyaka yobudala engama-35, kanye nenkambo ende yalesi sifo (kusuka eminyakeni eyi-10), kungakuhle ukuthi kwenziwe izivivinyo ezikhethekile ngaphambi kokuqeqeshwa.
Ngaphezu kwalokho, kunezici ezengeziwe zobungozi. Isibonelo, ukubhema noma i-atherossteosis, okwenza impilo ibe nzima kakhulu futhi kungavimba hhayi ukugijima kuphela, kepha nokuhamba okulula.
Ukusebenza Kwezemidlalo Ukuthuthukisa Izidakamizwa
Ngaphandle kwentuthuko yamakhemikhali, izindlela ezingcono kakhulu zokulwa nokukhuluphala ngokweqile, njengakuqala, imidlalo kanye nokudla okufanele.
Kodwa-ke, kunezidakamizwa ezimbalwa, ukusebenza kwazo okuqinisekiswa odokotela abaningi, kusiza ukusheshisa izinqubo ze-metabolic futhi kunciphise ukugcwala koshukela.
Umphakathi wokudla okunempilo unikezela ngemikhiqizo yokunciphisa umzimba eningana. Izidakamizwa ezihamba phambili zibandakanya iMetformin nezimpawu zayo uSiofor neGlucofage. Lawa ma-ejenti angenabungozi anomphumela oyinkimbinkimbi, njengoba kufakazelwa izifundo eziningi.
Kufanelekile futhi ukugqamisa ezinye izimali, ezibandakanya:
- ISibutramine (Meridia, Reduxin, Lindaxa, Goldline) ziyizidakamizwa ezidumile ezivimbela isifiso sokudla, kepha azikhishwe ngaphandle kokuthola umuthi, ngoba zinemiphumela emibi eminingana eyingozi.
- I-Orlistat (i-Orsoten, i-Xenalten, i-Xenical) - icindezela inqubo yokufakwa emanzini, kepha uma ukwamukela kwayo kungahlanganisiwe ekudleni, kuyophumelela futhi kubangele ukucasuka.
- I-Fluoxetine (Prozac) iyi-antidepressant ecindezela ukuvuselelwa kwe-serotonin.
- I-Acarbose (Glucobai) - inciphisa ukumuncwa kwama-carbohydrate, kepha uma ungondlekile kahle ungavusa uhudo.
Kuyafaneleka futhi ukusho ama-burners ayinkimbinkimbi wamafutha athathelwa abasubathi bochwepheshe. Lawa ama-peptides, ama-anabolics, i-Ephedrine neClenbuterol.
Kepha kwabanesifo sikashukela, iMetformin izoba inketho ezinhle kakhulu. Ngakho-ke, kufanele ucabangele lesi sidakamizwa ngemininingwane eminingi.
Ithuluzi elingeleqembu le-Biguanides, umphumela walo usekelwe ekuvinjelweni kwe-gluconeogeneis. Kuphinde kukhulise ukuzwela kwe-insulin kwama-receptors asepherishi futhi kuthuthukisa ukumuncwa kwe-glucose yimisipha.
I-Metformin inganciphisa ushukela oyisisekelo, nokuqukethwe kwawo ngemuva kokudla. Umuthi awukhuthazi ukugcinwa kwe-insulin, ngakho-ke, akubangeli i-hypoglycemia.
Njengoba kushiwo ngenhla, lo muthi unesandla ekunciphiseni kwesisindo esikhulu kushukela, okuhambisana nokukhuluphala. Isebenza nge-anaerobic glycolysis, inciphisa ukumuncwa kokudla kanye noshukela emgungwini wesisu, inikeze imiphumela yokwehliswa kwe-fibrinolytic ne-lipid-lipid.
Umthamo wansuku zonke gramu eyodwa. Ngemuva kwezinsuku eziyi-10-14, inani lingakhushulwa, okunqunywa ngokuhlushwa ushukela.
Umthamo wokulungisa ojwayelekile ngu-1.5 -2 g, ophelele ungama-3 amagremu. Ukunciphisa imiphumela emibi yesidakamizwa emgodini wokugaya ukudla, inani eliphelele lomuthi lihlukaniswe kabili, amathathu.
Ithebhulethi zithathwa inqubo noma ngemuva kokudla, gezwa ngamanzi. Umthamo weziguli esezikhulile ubalwa ngokuya ngesimo sezinso zabo.
Mayelana nemiphumela emibi, ngemuva kokuthatha iMetformin kaningi kuba nezinkinga ngepheshana lesisu, ezinjengobuhlungu besisu, isicanucanu, isifiso sokudla, urhudo nokugabha. Imvamisa, izimpawu ezinjalo zivela ekuqaleni kokwelashwa, kepha bese zidlula zodwa.
Kwesinye isikhathi nge-hypersensitivity to the drug, isiguli sihlakulela i-erythema elinganiselayo. Futhi kwezinye isifo sikashukela ngemuva kokuthatha isidakamizwa esinjengeMetformin 850, ukumuncwa kabi kwe-vithamini B12 kanye nokwehla kokuxineka kwayo egazini, okubangela i-megaloblastic anemia kanye ne-hematopoiesis kukhubazeka.
Ngesinye isikhathi, i-lactic acidosis ingahle ikhule. Kulokhu, iphilisi liyamiswa.
Ukuxhumana kokuthathwa kokuthatha iMetformin yile:
- isifo sikashukela kanye ne-ketoacidosis;
- iminyaka efinyelela eminyakeni eyi-15;
- gangren
- isifo sohudo noma ukugabha;
- i-infarction ye-myocardial eyingozi kakhulu;
- isifo sikashukela sikanyawo;
- izinkinga zezinso nesibindi;
- umkhuhlane
- i-lactic acidosis;
- izifo ezithathelwanayo nokuningi.
Ngakho-ke, kushukela, ukuthatha izidakamizwa ezilwa nokukhuluphala kumele kuhlanganiswe nokugijima noma ukuhamba. Lokhu kuzonciphisa futhi kugcinwe isisindo esijwayelekile, kuqinise i-glycemia, kuthuthukise ukusebenza kwenhliziyo nemithambo yegazi, kwehlise izinga le-triglycerides ne-cholesterol egazini.
Ividiyo ekulesi sihloko ikhuluma ngezinzuzo zokusebenzisa isifo sikashukela.
