Ukuxineka kakhulu uvivinyo olunzima kuwo wonke umzimba. Kungadala ukuphazamiseka okukhulu ekusebenzeni kwezitho zangaphakathi futhi kubangele izifo eziningi ezingamahlalakhona, njengomfutho wegazi ophakeme, isilonda esiswini, kanye ne-oncology. Ezinye izazi ze-endocrinologists zikholelwa ukuthi ukucindezela kungaholela ekwakhiweni kwesifo esiyingozi njengesifo sikashukela.
Kepha ukuthinta okwenzeka ngokomzimba nangokomzwelo kuba namuphi umphumela kumanyikwe futhi ushukela wegazi ungakhuphuka ngenxa yomonakalo wezinzwa? Ukuzwisisa le nkinga, udinga ukuqonda ukuthi kwenzekani kumuntu ngesikhathi sokuxineka nokuthi kuthinta kanjani amazinga kashukela kanye nokuthathwa koshukela.
Izinhlobo zokucindezela
Ngaphambi kokukhuluma ngomphumela wokuxineka emzimbeni womuntu, kufanele kucaciswe ukuthi siyini ngempela isimo sokuxineka. Ngokusho kwesigaba sezokwelapha, ihlukaniswe izigaba ezilandelayo.
Ukucindezelwa okungokomzwelo. Kuvela njengomphumela wokuhlangenwe nakho okuqinile ngokomzwelo. Kubalulekile ukuqaphela ukuthi kungaba okuhle nokubi. Okuhlangenwe nakho okungathandeki kufaka phakathi: usongo empilweni nasempilweni, ukulahlekelwa othandekayo, ukulahleka kwempahla ebizayo. Ngasohlangothini oluhle: ukuba nengane, umshado, ukunqoba okukhulu.
Ukucindezelwa ngokomzimba. Ukulimala okungathi sína, ukushaqeka kobuhlungu, ukuzikhandla ngokweqile komzimba, ukugula kakhulu, ukuhlinzwa.
Ezengqondo. Ubunzima ebudlelwaneni nabanye abantu, ukuxabana kaningi, amahlazo, ukungaqondi.
Ukucindezela kokuphatha. Isidingo sokwenza izinqumo ezinzima ezibalulekile empilweni yomuntu kanye nomndeni wakhe.
Izimbangela zokunyuka kwengcindezi ushukela
Ngolimi lwezokwelapha, ukugxuma okubukhali kushukela wegazi esimweni esicindezelayo kubizwa ngokuthi "yi-hyperglycemia ye-stress-ikiwa." Isizathu esiyinhloko salesi simo ukukhiqizwa kwamahhala kwe-adrenal kwama-corticosteroids ne-adrenaline.
I-Adrenaline inethonya elihle kumetabolism yomuntu, ibangela ukwanda okukhulu koshukela wegazi nokwenyuka kwezicubu zomzimba. Kodwa-ke, indima ye-adrenaline ekwandeni kwamazinga kashukela ayigcini lapho.
Ngokuchayeka isikhathi eside kwengcindezi kumuntu, ukuqina kwe-adrenaline egazini lakhe kukhuphuka kancane, okuthinta i-hypothalamus bese kuqala uhlelo lwe-hypothalamic-pituitary-adrenal. Lokhu kusebenze ukukhiqizwa kwe-cortisol yama-stress.
I-Cortisol yi-glucocorticosteroid hormone omsebenzi wayo oyinhloko ukulawula i-metabolism yomuntu esimweni esicindezelayo, futhi ikakhulukazi i-carbohydrate metabolism.
Ngokusebenza kwamaseli wesibindi, i-cortisol ibangela ukukhiqizwa okukhuphukile kwe-glucose, ekhishwa masinyane egazini. Ngasikhathi sinye, i-hormone inciphisa kakhulu amandla wezicubu zomzimba ukucubungula ushukela, ngaleyo ndlela igcine isilinganiso esikhulu samandla omzimba.
Iqiniso ngukuthi noma ngabe iyini imbangela yokuxineka, umzimba uhlangabezana nakho njengengozi enkulu esisongela impilo nokuphila komuntu. Ngalesi sizathu, uqala ukukhipha amandla ngentshiseko, okufanele isize umuntu ukuba azifihle engcupheni noma angene emzabalazweni nayo.
Kodwa-ke, imvamisa imbangela yokucindezela okukhulu kumuntu yizimo ezingadingi amandla amaningi omzimba noma ukukhuthazela. Abantu abaningi bahlangabezana nengcindezi enkulu ngaphambi kokuhlolwa noma ukuhlinzwa, bekhathazeka ngokulahlekelwa yimisebenzi noma ezinye izimo ezinzima zempilo.
Ngamanye amagama, umuntu akenzi umsebenzi ophakeme womzimba futhi akadingi ushukela ogcwalise igazi lakhe emandleni amsulwa. Ngisho nomuntu ophilile ngokuphelele osesimweni esinjalo angazizwa eshayekile.
Futhi uma umuntu enethuba lokuthola isifo sikashukela i-mellitus noma unesisindo ngokweqile, khona-ke imizwa enjalo eqinile ingaholela ekukhuleni kwe-hyperglycemia, nayo engadala izinkinga ezifana ne-glycemic coma.
Izingcindezi ziyingozi ikakhulukazi kubantu asebetholakale ukuthi banesifo sikashukela, ngoba kule ndaba izinga likashukela lingakhuphukela ezingeni elibucayi ngenxa yokwephulwa ekukhiqizeni i-insulin. Ngakho-ke, bonke abantu abanamazinga aphezulu kashukela, ikakhulukazi onesifo sikashukela sohlobo 2, kufanele banakekele uhlelo lwabo lwezinzwa futhi bagweme ukucindezeleka okukhulu.
Ukwehla izinga likashukela ngesikhathi sokuxinwa, okokuqala kudingekile ukususa imbangela yesipiliyoni bese kuthulisa izinzwa ngokuthatha i-sedative. Futhi ukuze ushukela ungaqali ukuvuka futhi, kubalulekile ukuthi ufunde ukuhlala uzolile kunoma yisiphi isimo, ongasilolonga ngaso sonke isikhathi ngokuzivocavoca ngokuphefumula, ukuzindla nangezinye izindlela zokuphumula.
Ngaphezu kwalokho, iziguli ezinesifo sikashukela kufanele ngaso sonke isikhathi zibe nomthamo we-insulin nazo, noma ngabe umjovo olandelayo akufanele wenzeke maduze. Lokhu kuzokwehlisa ngokushesha ushukela weglue ngesikhathi sokuxineka futhi kuvikele ukukhula kwezinkinga eziyingozi.
Kubalulekile futhi ukuqaphela ukuthi kwesinye isikhathi izinqubo zokulimala ezifihliwe, isiguli esingahle singasoleki, ziba yingcindezi enkulu yomzimba.
Kodwa-ke, zingavusa nokugula, njenge-hyperglycemia ku-mellitus yesifo sikashukela, lapho ushukela uzohlala ukhuphukela emazingeni abucayi.
Ukulimala ohlelweni lwezinzwa
Isistimu yezinzwa yomuntu ingaba nesifo sikashukela, hhayi kuphela ngaphansi kwethonya lokucindezela okukhulu, kodwa futhi ngqo ngenxa kashukela wegazi ophezulu. Ukulimala ohlelweni lwezinzwa kushukela kuyinkinga evame kakhulu yalesi sifo, okuthi ngezinga elithile noma kwesinye senzeke kubo bonke abantu abanamazinga aphezulu kashukela.
Imvamisa, i-peripheral nervous system ihlushwa ukuntuleka kwe-insulin noma ukunganakwa kwezicubu zangaphakathi. Le pathology ibizwa ngokuthi yi-peripheral diabetesic neuropathy futhi ihlukaniswe izigaba ezimbili ezibalulekile - i-distal symmetric neuropathy futhi isabalalisa i-autonomic neuropathy.
Nge-distal symmetric neuropathy, iziphetho zezinzwa ezingemuva nangaphezulu zithinteka ikakhulukazi, ngenxa yalokho balahlekelwa ukuzwela nokuhamba.
I-distal symmetric neuropathy yezinhlobo ezine eziyinhloko:
- Ifomu le-sensory, livela ngomonakalo kuma-sensory nerve;
- Ifomu lemoto lapho izinzwa zemoto zithinteka kakhulu;
- Ifomu le-Sensomotor, lithinta izinzwa zombili zemoto nezinzwa;
- I-Proximal amyotrophy, ifaka uhla lonke lwe-pathologies yesistimu ye-neuromuscular ye-peripheral.
I-Diffuse autonomic neuropathy iphazamisa ukusebenza kwezitho zangaphakathi nezinhlelo zomzimba futhi ezimweni ezinzima iholela ekwehlulekeni kwabo okuphelele. Ngalesi sifo, umonakalo kungenzeka:
- Uhlelo lwenhliziyo. Izibonakalisa ngesimo se-arrhasmia, umfutho wegazi ophakeme futhi ne-infyoction ye-myocardial;
- Amapheshana wesisu. Kuholela ekukhuleni kwe-atony yesisu kanye nesinye inyongo, kanye nohudo olusebusuku;
- Uhlelo lwe-genitourinary. Kubangela ukungahambi kahle komchamo nokuchama kaningi. Imvamisa kuholela kokungabi namandla;
- Ukulimala okuyingxenye kwezinye izitho nezinhlelo (ukungabikho kwe-pupillary Reflex, ukukhuphuka kokujuluka kokuningi, nokuningi).
Izimpawu zokuqala ze-neuropathy ziqala ukuvela esigulini ngokwesilinganiso seminyaka emi-5 ngemuva kokuxilongwa. Ukulimala ohlelweni lwezinzwa kuyokwenzeka ngisho nangokwelashwa okufanele kanye nenani elanele lemijovo ye-insulin.
Isifo sikashukela yisifo esingelapheki esihlala singelapheki noma ngabe sitshala sonke isifiso sakho kukho. Ngakho-ke, umuntu akufanele alwe nephropathy, kepha zama ukuvimba izinkinga zayo, amathuba ayo azokhula ikakhulukazi lapho ukungabikho kokunakekelwa komzimba okuyisilinganiso kanye nomthamo ongafanele we-insulin. Ividiyo ekulesi sihloko ikhuluma ngengcindezi yesifo sikashukela.
