Odokotela nabaqeqeshi abavumelani ngombono wabo wokuthi ukuqeqeshwa sikashukela kufanele kube yingxenye yempilo. Ukuqeqeshwa kwabanesifo sikashukela kungenziwa ngabantu abaphethwe yilolu hlobo lokuqala lwesifo sikashukela nabantu abanohlobo lwesibili lwesifo. Ngaphezu kwalokho, iziguli ezinezinkinga zomlenze ngenxa yokuqhubeka kwesifo kufanele futhi zenze imisebenzi yomzimba.
Odokotela bavame ukusho ukuthi isifo sikashukela asisona isifo, kodwa indlela yokuphila nemidlalo nokuqina kungalithuthukisa kakhulu izinga lempilo yomuntu onesifo sikashukela.
Ngesikhathi sokuqeqeshwa, kukhona ukwanda kokufakwa kweglue kusuka ku-plasma yegazi ngamaseli emisipha. Ukuqina kwesifo sikashukela kungakhulisa ukuzwela kwama-insulin receptors kumaseli kuya ku-insulin. Lokhu kuholela ekutheni ushukela ngemuva kokuqeqeshwa emzimbeni wesiguli uyawa, futhi lokhu, kukuvumela ukuthi unciphise umthamo wezidakamizwa ezisetshenziselwa ukwehlisa izinga likashukela emzimbeni. Kwezinye izimo, ukuqeqeshwa sikashukela kunganciphisa ngisho nethamo le-insulin elisetshenziselwe umjovo.
Amakilasi wokuqina ukuvumela ukuba unikeze ingcindezi enhliziyweni kanye nesistimu ye-vascular yomzimba womuntu ophethwe isifo sikashukela nokuziphatha kwenhliziyo. I-cardiotraining enjalo inomphumela omuhle esizweni somsipha wenhliziyo ukuvimbela ukwenzeka kweziphazamiso zenhliziyo, okuvame ukwenzeka ngesikhathi sokuqhubeka kwesifo sikashukela.
Esimweni lapho umuntu enoshukela emzimbeni, ukuvivinya umzimba kungenzeka futhi kuyadingeka. Ukuvivinya amathoni umzimba kukhulisa ubungqabavu futhi kuthuthukisa ukuzipholisa.
Ngenxa yemidlalo kwabanesifo sikashukela kwenzeka:
- Ukwenza ngcono zonke izinqubo ze-metabolic emzimbeni.
- Ukusheshisa kwe-oxidation kashukela nokusetshenziswa kwayo yizo zonke izicubu zomzimba.
- Ukushesha kwe-protein metabolism.
- Ukuqinisa inqubo yokuqhekeka kanye nokushisa amanoni.
- Isimo esijwayelekile somzimba siyathuthuka.
- Izinkomba zikashukela emzimbeni wesiguli zisondela enkambisweni yomzimba.
Ukuze uvivinye umzimba ku-mellitus yesifo sikashukela kungalimazi, kuyadingeka ukulandela izincomo ezinikezwe ngumqeqeshi kanye ne-endocrinologist.
Iziphakamiso zemidlalo ezibalulekile zesifo sikashukela
Izincomo eziphambili okufanele zilandelwe lapho usebenzisa ezemidlalo kubantu abanesifo sikashukela yile ndlela elandelayo:
- I-glucose emzimbeni wesiguli kufanele ilawulwe ngokuqinile. Lokhu, izilinganiso zikashukela wegazi ku-plasma yegazi zenziwa ngaphambi kokuqeqeshwa, ngesikhathi semidlalo nangemva kokuqeqeshwa. Ukuqeqeshwa kufanele kuyekwe uma ushukela eqala ukuwela ngaphansi kokujwayelekile.
- Kufanele kukhunjulwe ukuthi ukuzivocavoca okuhleliwe ekuseni kuholela ekwehlelweni komthamo we-insulin ofuna ukungena emzimbeni wesiguli.
- Ngesikhathi sokuqeqeshwa, kufanele ube ne-glucagon noma umkhiqizo onokuqukethwe okuphezulu kwama-carbohydrate asheshayo.
- Isiguli kufanele sinamathele ngokuqinile esimisweni esikhethekile sokudla nesikhathi sokudla.
- Ngaphambi kokuqeqeshwa, uma kunesidingo, ukujova kwe-insulin esiswini kwenziwa. Ukufakwa kwama-insulin emlenzeni noma engalweni akunconywa ngaphambi kokuzivocavoca.
- Kufanele udle ukudla okuhle amahora ambalwa ngaphambi kokudlala imidlalo.
- Ngenqubo yokwenza imidlalo, kufanele uphuze amanzi amaningi futhi ngesikhathi sokuqeqeshwa, amanzi kufanele ngaso sonke isikhathi asesondele.
Izincomo ezikhonjisiwe zivamile futhi zilinganiselwa kakhulu. Umuntu ngamunye onesifo sikashukela obandakanyeka kwezemidlalo, udokotela ohambela i-udokotela we-endocrinologist ngamunye ulungisa imithamo ye-insulin, ukudla kanye nezinga lomzimba. Ngoshukela wegazi ongaphezulu kwama-250 mg%, isiguli esinesifo sikashukela akufanele sivunyelwe ukuzivocavoca. Imidlalo ibuye iphikiswe ekuthuthukisweni kwe-ketoacidosis emzimbeni.
Ngaphambi kokuqeqeshwa, kufanele kwenziwe ukuhlolwa kwengcindezi, okwenzeka lapho ukubakhona kanye nokuba khona kwezinhlobo ezahlukahlukene zezinkinga eziphikiswa ukuthuthukiswa kwesifo sikashukela emzimbeni kuqashwa.
Ukwenza imidlalo nesifo sikashukela kuvunyelwe kuphela ngemuva kokuthola yonke imiphumela yokuhlolwa komzimba nokuhlaziywa kwabo.
Ngaphambi kokuqala imidlalo ehlelekile, udokotela kufanele anikeze isiguli izincomo zokuthi ungazivocavoca kangcono kanjani ngokwenza izivivinyo.
Umuntu ngamunye unezimpawu zakhe zomzimba ngamunye, ngakho udokotela uthuthukisa izincomo zakhe ebheka uhlobo lwesifo kanye nezimpawu zomzimba ngamunye.
Ngohlobo 2 sikashukela noma isifo sikashukela sohlobo 1, kusetshenziswa iqoqo lokuvivinya umzimba elingazuzisa umzimba futhi lingalimazi.
Imithetho eyisisekelo yokuqina kwesifo sikashukela
Ngaphambi kokuqala amakilasi avamile wokuzivocavoca, kufanele uthintane nodokotela wakho. Udokotela we-endocrinologist-diabetesologist ophatha isiguli kuphela ongawazi wonke umlando walesi sifo futhi okwazi ukuhlola kahle isimo sesiguli. Udokotela ohambelayo unquma ukuthi imithwalo evunyelwe kangakanani emzimbeni nokuthi iliphi ivolumu.
Umbuzo wokukhethwa kokuzivocavoca namandla amakhulu unqunywa ngokuhlukile, ngokwesibonelo, ukuqeqeshwa okunconyelwe umuntu oyedwa onesifo sikashukela sohlobo 2 kungahle kungamfaneli omunye umuntu onhlobo olufanayo lwesifo sikashukela. Lokhu kwenzeka ngenxa yokuthi umzimba ngamunye unezimpawu zawo zomzimba.
Ngesikhathi sokuqeqeshwa, amazinga eglucose emzimbeni kufanele abhekwe .. Lapho umsebenzi womzimba wenziwa emzimbeni, ukwehla kwamazinga kashukela kuyabonakala. Kulandela ukuthi udokotela olapha isiguli kufanele ehlise isilinganiso esilinganiselwe se-insulin sokujova. Ukuze unqume ukuthi kungakanani okudingeka ukunciphisa umthamo womuthi oqukethe i-insulin, kuyadingeka ukukala ukugcwala koshukela egazini esiswini esingenalutho ngaphambi kwesifundo nengxenye yehora ngemuva kokuphela kokuzivocavoca.
Ukunikeza umthelela omuhle emzimbeni, umthwalo ngesikhathi sokuqeqeshwa, ngokwesibonelo, ngohlobo lwe-2 mellitus yesifo sikashukela, kufanele lenyuswe kancane kancane. Le ndlela izokuvumela ukuthi uqeqeshe hhayi kuphela izicubu zomzimba, kepha futhi wenze ukuqeqeshwa kwemisipha yenhliziyo - okubizwa nge-cardiotraining, okuzoqinisa kakhulu i-myocardium futhi kuthuthukise ukusebenza komzimba, kuvimbele ukukhula kwezinkinga ezihambisana nokwanda kwesifo sikashukela.
Isikhathi sokuqeqeshwa kufanele siqale ngemizuzu eyi-10-15 kanye ngosuku futhi kancane kancane sikhule siye kumizuzu engama-30 ukuya kwengama-40. Kunconywa ukuqeqesha izinsuku ezingama-4-5 ngesonto.
Ngemuva kokulungisa umthamo we-insulin osetshenzisiwe, izondlamzimba kufanele zilungiswe. Ekudleni, umuntu kufanele acabangele ukwehla komthamo osetshenzisiwe we-insulin kanye nezidingo zomzimba ezikhuphukile maqondana nokuqeqeshwa ukuhlinzeka amandla.
Ukulungiswa kokudla ngokushintshwa kwezinguquko empilweni kwenziwa ngudokotela wesifo sikashukela.
Imithetho eyengeziwe yokuzivocavoca yesifo sikashukela
Ngenqubo yokuqeqeshwa, kunconywa ukulawula imizwa yakho. Kuyadingeka ukuthola ukuthi kufanele uzibandakanye noma yini ukuzivocavoca ngosuku oluqondile ngezinga lokuqukethwe ushukela emzimbeni wesiguli. Uma kwenzeka ukuthi ekuseni ukuqoqwa koshukela ku-plasma kungaphansi kwe-4 mmol / L noma kudlule inani le-14 mmol / L, kungcono ukukhansela ezemidlalo. Lokhu kungenxa yokuthi ngesilinganiso esiphansi sikashukela emzimbeni, ukuthuthukiswa kwe-hypoglycemia kungenzeka ngesikhathi sokuqeqeshwa, futhi ngokuqukethwe okuphezulu, okuphambene nalokho, i-hyperglycemia iyakhula.
Ukuzivocavoca ngesifo sikashukela kufanele kumiswe uma isiguli sithola ukuphefumula kanzima, imizwa engathandeki esifundeni senhliziyo, ikhanda kanye nesiyezi. Uma ukhomba lezi zimpawu ngesikhathi sokuqeqeshwa, kufanele uthintane nodokotela ukuze uthole izeluleko nokulungiswa kokuvivinya umzimba.
Akufanele uyeke masinyane ukuqina. Ukuze ube nomphumela omuhle emzimbeni, amakilasi kufanele abe ejwayelekile. Umphumela wokudlala imidlalo awaveli ngokushesha, kodwa ngemuva kwesikhashana. Lapho uyeka ukuzivocavoca, umphumela omuhle ongahlali isikhathi eside, bese izinga likashukela wegazi likhuphuka futhi.
Lapho wenza amakilasi egumbini lokuzivocavoca kufanele akhethe izicathulo zezemidlalo ezifanele. Lokhu kungenxa yokuthi lapho uqhuba ezemidlalo, izinyawo zesiguli zithola umthwalo osindayo, okuthi uma izicathulo zikhethwe ngokungafanele, kungaholela emmbayini nasezithungwini.
Lesi simo asemukeleki esigulini esinesifo sikashukela i-mellitus, ikakhulukazi kulezi ziguli ezinesifo sikashukela sohlobo 2, lapho i-neuropathy yemilenze ingakhula khona. Lapho kwenzeka lokhu kwephulwa, kukhona ukwephulwa kokuhlinzekelwa kwegazi emikhawulweni engezansi.
Isikhumba emilenzeni ngenxa yokuthuthuka kwalesi sifo siyoma futhi sibe mncane futhi silimale kalula. Amanxeba atholakala ebusweni besikhumba esinjalo aphola isikhathi eside. Lapho ama-microorganic engena ngaphakathi kokulimala okuphumayo, kuqongelela ubandlululo, bese kuthi lapho sisuswa, kufakwe isilonda endaweni yesilonda, okuthi ngokuhamba kwesikhathi kubangele ubunzima, njengesilonda sikashukela.
Ukuthatha isinqumo sokuqina, kufanele ukhethe uhlobo olufanele lokuqina kwamakilasi akho. Ukukhetha kuyoncika ekubeni khona noma ukungabikho kwezifo ezengeziwe.
Kwezinye izimo, ukuvivinya umzimba kungaxhunywa ekuqalisweni kokuzivocavoca kwamandla.
Iziphakamiso zeziguli eziziqeqeshela amandla
Ukusetshenziswa kokuzivocavoca kwamandla kunomphumela okhulunywayo emzimbeni wesiguli kuphela uma ukudla kokudla kulungiswa futhi isiguli sidla ngokuqinile ngokuhambisana nokudla okusha futhi ngokuqinile ngokohlelo olwakhiwe ngokukhethekile.
Lapho enza izivivinyo zamandla, isiguli esinesifo sikashukela kufanele silawule ngokuqinile impilo kanye nesimo somzimba jikelele. Lapho kuvela izimpawu zokuqala zokuphambuka esimweni esijwayelekile, isiguli siyelulekwa ukuba senqabe ukwenza izivivinyo zamandla.
Kufanele kukhunjulwe ukuthi ukwenza izivivinyo ngemishini yamandla kuyinto ebuhlungu. Musa ukucindezela ngokweqile emzimbeni.
Kuyadingeka ukuqala ukubulawa nge-barbell noma izinsimbi ngemuva kokuba umzimba ulungiselele ngokufanele izivivinyo ezinjalo.
Lapho wenza umthamo wamandla okuvivinya umzimba, kufanele ahlukaniswe ukuze ukuthuthukiswa komsipha ofanayo kwenzeke.
Ngemuva kokufaka umthwalo we-anaerobic emzimbeni, ikhefu kufanele lenzelwe ukuphumula okuphelele kwezicubu zomzimba. Ividiyo kulolu chungechunge iyaqhubeka nengqikithi yemidlalo yoshukela.
