Ku-mellitus yesifo sikashukela, kunesikhathi lapho ukwephulwa kwe-carbohydrate metabolism emzimbeni sekuvele kukhona, kepha izimpawu ezijwayelekile azikabonakali.
Ushintsho olunjalo lubizwa ngokuthi i-latent (i-latentabetes noma i-prediabetes).
Ngokukhonjwa kwayo, izindlela zokuxilonga zaselabhoratri ziyasetshenziswa. Uma isifo sikashukela sitholwa kusukela ekuqaleni, kuzoba lula ukuselapha, ngoba ukuphazamiseka okungalungiseki akukenzeki ezithweni.
Izimpawu zokuqala kwesifo sikashukela kubantu besifazane
Kunzima impela ukuthola isifo sikashukela esenzakalweni sokuqala, ngoba izimpawu ezihlukile azikwenzi ukuthi kusolwe lesi sifo, inkambo yesifo sikashukela ihamba kancane.
Kwenzeka eseminyakeni lapho kunezifo ezikhona, ezinezimpawu ezifanayo nesifo sikashukela.
Izimpawu zokuqala zesifo sikashukela esisezingeni eliphezulu zingaba ngale ndlela elandelayo:
- Ubuthakathaka nokukhathala okungamahlalakhona.
- Ukomela ngemuva kokudla.
- Khulisa ukoma.
- Ukuchama ngokweqile.
- Ukhuluphele.
- Ukwanda kwesifiso somlutha nokudla okumnandi.
Uhlobo lokugcina lwesifo sikashukela lungaqala ngobuthakathaka, isiyezi kanye nokusebenza okunciphile. Izimpawu zokuqala ezigulini zingaba ukungabi namandla ngemuva kokulala kahle, ezimweni zokuphumula kahle, ukondleka kahle nokunethezeka kwengqondo, kuzwakala ukukhathala okungapheli.
Futhi uma lobu buthakathaka bukhula ngemuva kokudla, khona-ke lokhu kungaba ukubonakaliswa kwesifo sikashukela. Ukwehla emzimbeni ngemuva kokudla kungenzeka ngezikhathi ezithile futhi ngokujwayelekile, kepha uma imizwa enjalo iba njalo, ngemuva kokudla uhlala ufuna ukulala, kunzima ukugxila emsebenzini, lokhu kufanele kube yisikhathi sokuhlolwa okuthile kokuxilongwa kwesifo sikashukela esingelapheki.
Ukomzwa ngesifo sikashukela esidala kanye nezimpawu ezihambisana nakho: umlomo owomile, ulwelwe olungemnandi, nalo luphakathi kwezimpawu zokuqala. Owesifazane uzizwa enesifiso sokuphuza, yize ephuza amanzi amaningi kunokujwayelekile.
Ngomthamo omkhulu wamanzi okuphuza futhi ngenxa yokuthi i-glucose, lapho ikhishwa emzimbeni, idonsa amanzi, ukuchama kuba njalo futhi nenani lomchamo liyakhuphuka. Uma i-diuresis ngosuku ikhuphuka kakhulu, khona-ke ukutholakala kwesifo sikashukela se-latent kungatholakala.
Ukukhuluphala ngokweqile kungadala isifo sikashukela sohlobo 2. Ukuphazamiseka kokudla kwamafutha nokuntuleka kokuzwela kwe-insulin kushukela kukhula ngasikhathi sinye. Uhlobo lokugcina lwesifo sikashukela lukhonjiswa ngesimo esibonisa izicubu ze-adipose okhalweni. Lokhu kungenxa yokungalingani kuma-hormone ocansi abesifazane.
Imvamisa, lolu hlobo lokukhuluphala luhlanganiswa nomfutho wegazi ophakeme, futhi lusebenza njengengozi yengozi yesifo sikashukela se-latent.
Isifiso esandayo nesifiso sokudla amaswidi, uma avela njalo, angaba nale ncazelo: ngesifo sikashukela esisebusweni, i-glucose esegazini seqile, kepha ayikho sezitho zomzimba, ngoba i-insulin ayikwazi ukumsiza ukuthi angenele amaseli. Ngakho-ke, ubuchopho, lapho isikhungo sendlala sitholakala khona, ngosizo lwezimpawu eziya esiswini, sifuna ukugcwalisa ukuntuleka kokudla okunempilo.
Ukulahlekelwa isisindo sikashukela kunzima kakhulu, ngoba ngokuntuleka kwe-insulin emzimbeni, kuqalwa uchungechunge lokuphendula okuphathelene nezinto eziphilayo okuqhakambisa ukugcwala kwawo. Ama-acid acid, kanye ne-glucose, anomthelela olimazayo emithanjeni yegazi, isibindi kanye nohlelo lwezinzwa.
Ngaphezu kwalezi zimpawu eziyisisekelo ze-mentitus yesifo sikashukela esedlule, izimpawu kwabesifazane zingafaka:
- Ukwehla kwesisindo okungazelelwe, ikakhulukazi ngohlobo lokuqala lwesifo sikashukela.
- Ukuluma nokuvutha endaweni yabesifazane abanesifo sikashukela.
- Ubuhlungu bekhanda.
- Umqubuko
- Ukunambitheka kwensimbi emlonyeni.
- Isikhumba esomile.
- Ubuhlungu nokusikeka kwimisipha yethole.
- Ukuphazamiseka kokulala.
- Ukudana
Ukuhlakulela isifo sikashukela se-latent kungenzeka kubantu besifazane abaneminyaka engama-50 njengezimpawu zokuncipha kombono, amaphuzu asintantayo phambi kwamehlo, umbono ongashayi mkhuba.
Isifo sikashukela esisezingeni eliphezulu singaziveza njengezifo ezithathelwanayo ezihlala njalo, ezichazwa ukungatheleleki okuphansi.
Izinwele futhi zidala izinkinga eziningi kubantu besifazane, ziba zomile futhi ziqhume, kukhuphuke ukulahleka kwezinwele, kunalokho, ukukhula kwazo kuyathuthukiswa.
Izimpawu zesifo sikashukela esisekupheleni zingaholela abesifazane ku-gynecologist. I-thrush engapheli ne-gardnerellosis emelana nemithi ye-antifungal ingahle ihambisane nesifo sikashukela esibonisiwe.
Ngaphezu kwalokho, ukuqaphela maqondana nentuthuko yesifo sikashukela kufanele kukhonjiswe kwabesifazane abanezimpawu ze-polycystic ovary, ngokuphathwa kabi kwesisu ngesikhathi sokukhulelwa, lapho kuzalwa ingane enesisindo esingu-4,5 kg. Kuyingozi ikakhulukazi kwabesifazane uma isifo sikashukela sokukhulelwa sabonwa ngesikhathi sokukhulelwa.
Ngokulimazeka kwe-carbohydrate metabolism kubantu besifazane, ukukhishwa kokugcotshwa kwesitho sowesifazane sangasese kuyancipha, okuthi, kanye nokwehla kwesifiso sobulili, kuholele kobuhlungu nasekujabuleni ngesikhathi sokulala.
Abesifazane abephathwe isikhathi eside wokubeletha kungenzeka bangasoli ukuthi isifo sikashukela esisekupheleni singathinta uhlelo lokuzala.
Ukuxilongwa kwesifo sikashukela sasemuva
Uma kukhona izinsolo zokuthi isifo sikashukela esenzeka kanye nezimpawu kubantu besifazane ziyimpawu yalesi sifo, khona-ke ukuhlolwa kwegazi kuzosiza ukusithola. Ngaso leso sikhathi, ushukela wegazi, uma wenziwa ngesisu esingenalutho, ungakhombisa izinga elijwayelekile.
Ngakho-ke, ukuhlolwa komthwalo kusetshenziselwa ukuhlaziya ushukela we-latent Ukuze uqalise ukusebenza, imibandela elandelayo kufanele ihlangatshezwe:
- Okwezinsuku ezintathu, noma ukudla noma uhlobo lokuphuza alushintshi.
- Ungavumeli ukujuluka ngokweqile.
- Musa ukuphuza utshwala phakathi nosuku.
- Ngosuku lokuhlolwa, khansela ezemidlalo, ungaphuzi ikhofi noma intuthu.
Ukuhlaziywa kwe-mellitus yesifo sikashukela se-latent kungathembeka uma sekudlule amahora ayi-10 kuye kwayi-14 kudliwe okokugcina. Isiguli silinganisa izinga likashukela esiswini esingenalutho, bese sinikeza u-75 g we-glucose oncibilikisiwe emanzini. Ngemuva kwehora namahora amabili, udinga ukuphinda unqume okuqukethwe ushukela, okuthi igazi lithathwe futhi.
Umphumela okhonjwa uhlolwa ngale ndlela elandelayo:
- Kufika ku-7.8 mmol / L kuyinto ejwayelekile.
- Ukusuka ku-7.8 kuya ku-11 kuyinkomba yesifo sikashukela se-latent kwabesifazane (ifomu le-latent).
- Ngaphezulu kwe-11 mmol / l - ukuxilongwa: isifo sikashukela.
Ukwelashwa kwesifo sikashukela esisebusweni
Uma kutholakala isifo sikashukela se-latent, kuphakama umbuzo: kungenzeka yini ukwelashwa ukuze izimpawu zesifo zingabonakali, futhi nokukhuphuka kukashukela kuvinjelwe. Odokotela bakholelwa ukuthi kubaluleke kakhulu ukuthi isiguli siqaphele ushukela kusenesikhathi. Njengoba izindlela zokuvimbela zingasinqanda lesi sifo.
Ukwelashwa kwesifo sikashukela se-latent kwenziwa emikhondweni eminingana:
- Ukwelashwa kokudla.
- Umuthi wamakhambi wesifo sikashukela.
- Kwenziwe umsebenzi womzimba.
- Ukwehla kwesisindo.
- Umuthi we-prophylactic.
Ukudla sikashukela okwenzeka kamuva kubekelwa umkhawulo wama-carbohydrate alula: ushukela, amaswidi, ujamu, uphudingi, i-confectionery, amagilebhisi, ubhanana, amazambane, ubhontshisi, isinkwa esimhlophe, ilayisi, i-semolina. Ukudla okunamafutha neziphuzo zotshwala akuvunyelwe
Ukudla kufanele kufake ukudla okune-fiber yokudla: i-oatmeal, imifino, isinkwa se-bran, inyama enamafutha amancane, inhlanzi, ukudla kwasolwandle. Iziphuzo eziwusizo zobisi olunoshukela noshizi we-cottage shizi.
Amakhambi anomphumela we-hypoglycemic akhonjiswa ekuqaleni kwesigaba, ngoba ngenkathi ukubonakaliswa kwesifo sikashukela kungukubekezelela okunciphisiwe kuma-carbohydrate, kungalapheka, noma okungenani kuvimbele isithombe esiphelele somtholampilo sikashukela mellitus ekubonakaliseni. Esigabeni se-prediabetes, ama-infusions kanye nama-decoctions wezitshalo asetshenziswa: iqabunga le-walnut, izithelo namahlamvu aluhlaza okwesibhakabhaka, i-garcinia, umlotha obomvu wentaba ne-chokeberry, pods yobhontshisi.
Ukuze wehlise isisindo futhi ukhuphule umsebenzi, kunconywa ukubandakanyeka kwezemidlalo ezifinyeleleka, ukubhukuda, ukuhamba ngezinyawo, ukwelashwa ngokomzimba, i-yoga nokudansa. Ubuncane obudingekayo yimizuzu engu-150 ngeviki.
Ukwehliswa ngokweqile kwesifo sikashukela esisebunyeni kunciphisa ingozi yokuqhubeka kwezifo, kubuyisela umuzwa wokutholwa kwezicubu kuma-insulin. Esigulini ngasinye, isidingo sokuphuza i-caloric kumele sibalwe ngaphesheya, ukuze ngaphezulu kwesonto, ukuncipha kwesisindo kusuka ku-500 g kuya kwikhilogremu.
Lapho uhlanganisa isisindo ngokweqile ne-carbohydrate metabolism engasebenzi kahle, imithamo emincane yemithi yokunciphisa ushukela ingabekwa njenge-prophylaxis: Glucobai, Metformin. Ividiyo ekulesi sihloko ikhuluma ngezimpawu zesifo sikashukela.
