Ngobudala, abesilisa bavame ukuhlangana nazo zonke izinhlobo zezinkinga zempilo, bavame ukuhlotshaniswa nendlela yokuphila engafanele, ukukhuluphala ngokweqile, ukucindezela, ukubekeka phambili kofuzo.
Okunye kokuhlukumezeka okungathi sína kufanele kubizwe ngokuthi yisifo sikashukela, ngemuva kweminyaka engu-50, ngobuningi bamacala, kukhula isifo sikashukela sohlobo 2. Impilo yesiguli izoncika kakhulu ekutholeni isikhathi inkinga kanye nokwelashwa osezingeni eliphakeme.
I-diabetes mellitus yisifo se-endocrine, iba ngumphumela we-hyperglycemia, lapho ukugcotshwa kweglucose yegazi kukhuphuka isikhathi eside. Nge-pathology kubantu, izinqubo ze-metabolic emzimbeni ziyaphazamiseka, izitho nezinhlelo azisebenzi kahle.
Isimo singase sibe sibi kakhulu uma indoda ingafuni ukubona udokotela, ingayinaki leyo malaise. Imvamisa, izimpawu zokuqala zesifo azinakwa, ukuwohloka okusheshayo kwenempilo kubangelwa ukondleka okungafanele, ukukhathala komsebenzi nokucindezelwa.
Izimpawu nemiphumela yesifo sikashukela emadodeni
Isifo sikashukela i-mellitus sikhula kancane, ekuqaleni owesilisa utholakala enesimo somngcele esibizwa nge-prediabetes. Kulokhu, ukwephulwa kwe-carbohydrate metabolism sekuvele kwenzeka, kepha hhayi kangako ukuthi sikhule sikashukela. Ngokuhamba kwesikhathi, kukhona ukwehla kokubekezelela i-glucose.
Izimpawu ezisobala zesifo sikashukela sezivele zibonakale lapho kwenzeka ushintsho olungaphenduki engxenyeni yenhliziyo nakwamanye amasistimu. Isibonakaliso sokuqala sesifo sikashukela endodeni esukela eminyakeni engama-50 kuye kwengama-60 izoshintsha ngokushesha isisindo somzimba, zombili izindlela zokunciphisa isisindo kanye nokwanda. Isiguli esine-diagnostic efanayo sizobhekana:
- ngokoma;
- ukuchama njalo;
- umlomo owomile
- ukunambitheka kwensimbi okungathandeki.
Ngokuphula izinqubo ze-metabolic, i-pigmentation yesikhumba sobuso nezandla yenzeka. Imvamisa indoda ibala ukutheleleka ukhunta emlonyeni wakhe, esikhunjeni semilenze yakhe, i-furunculosis. Uma isifo sikashukela sikhula sisiba umuntu mdala, kuzodala ubuthakathaka obukhulu, okuhambisana nomuzwa wokukhathala okungapheli, isiyezi.
Inqubo ye-pathological, ikakhulukazi ngaphandle kokwelashwa okwanele, kuzoholela ekuwohlokeni okukhulu kwamasosha omzimba, okuzobonakala njengokutheleleka njalo kwegciwane. Amadoda ane-hypoglycemia ahlushwa isikhumba esomile esidalwe ukomiswa okukhulu kwesikhumba. Ngaphezu kwalokho, amanxeba asemzimbeni aphulukisa isikhathi eside kakhulu kunokujwayelekile.
Izimpawu zokuqala zesifo sikashukela emadodeni yilezi:
- ushintsho kwimikhuba yokudla (isidingo esengeziwe sokudla okunempilo, okugaya ukudla kalula);
- ushintsho esimweni sokusebenza kwengqondo ngokwengqondo (ukuguquguquka kwemizwelo, ukwesaba, ukucindezelwa);
- ukuphazamiseka kokulala, ikhanda.
Kumuntu oneminyaka engama-51-55 ubudala, ngokumelene nesizinda sikashukela, kuzokwenzeka ukungasebenzi kahle kwezocansi, lesi sifo sizobangela ukuncipha kokukhiqizwa kwe-testosterone (i-hormone yabesilisa abesilisa abaphambili). Ngenxa yalokho, i-sex drive ne-potency ziyanyamalala. Futhi, kukhona ukwehla kokugeleza kwegazi liye ezithweni sangasese, ukungabi namandla kuyaqhubeka kancane, indoda iba inzalo.
Odokotela bathi ukwehlisa ushukela wegazi kuphela ngeke kuthuthukise umsebenzi wobulili kwisifo sikashukela, ukukhombisa amandla amahle akhonjiswayo:
- ukunciphisa umzimba;
- wandise ukusebenza komzimba;
- thatha umuthi ukuze uthuthukise ukujikeleza kwegazi.
Ukuhlanganiswa kwesifo sikashukela endodeni kuzoba ukungaboni kahle - isifo se-retinopathy. Ngenxa kashukela wegazi ophakeme nengcindezi eyeqile, imithambo yegazi emehlweni ilimele, bese kuthi ukwehluleka kwegazi kuzwakale. Ngokuhamba kwesikhathi, i-retina ingahle iphume ngokweqile, kukhiqize ukwakheka kwamehlo, futhi ilensi yeso iba namafu. Ku-58, owesilisa angahle alahlekelwe umbono wakhe onesifo sikashukela.
Ngaphezu kwamehlo, izinso zesiguli ziyahlupheka, i-glomeruli, izicubu zomzimba ekuqaleni zilimele, bese kwenzeka i-nephropathy. Lesi sifo sinokuqhubeka ngezigaba eziningana, isigaba sokuqala singakhonjwa kuphela ngenxa yokuhlolwa okukhethekile kwelebhu. I-Nephropathy ingakhula iminyaka eminingi. Ngaphandle kokwelashwa okufanele, ukwehluleka kwezinso kuzokwenzeka.
Ngemuva kwesikhathi esithile, inqubo ye-pathological emithanjeni ifinyelela ebuchosheni, ngaleyo ndlela ibangele i-encephalopathy, lapho amangqamuzana ezinzwa efa, ukugeleza kwegazi kuya kuba kubi. Izimpawu zokuqala kufanele zibizwe ikhanda, ukulahleka kokuxhumana, ukukhathala okusheshayo.
Amadoda amaningi anesifo sikashukela ngaphandle kokwelashwa abika ubunzima emilenzeni yabo, ngokwesibonelo, izilonda zonyawo lwesifo sikashukela.
Ungasibona kanjani isifo sikashukela?
Izimpawu zesifo sikashukela emadodeni ngemuva kweminyaka engama-50 kufanele kube yisizathu sokwelashwa okushesha kakhulu esikhungweni sezokwelapha. Futhi kudingeka wazi ukuthi uhlobo lwesifo sikashukela se-latent (i-latent) singenzeki ngaphandle kwezimpawu nhlobo, kunzima ukusithola ngisho nangosizo lokucwaninga:
- umchamo
- igazi.
Isibonakaliso esibonakalayo kuleli cala kuzoba ukwephula ukubekezelelwa kwe-glucose. Lokhu kuhlola kukuvumela ukuthi uthole ubunzima besifo uma wenza isifundo esiswini esingenalutho esibhedlela.
Ukushintsha ukuguquguquka kweminwe kuzosiza ngokuzimela ukusola ukuthi kukhona uhlobo 2 lwe-mellitus yesifo sikashukela. I-Dystrophy yama-tendon ngeke ivumele izintende zihlanganiswe ngendlela yokuthi yonke iminwe esesandleni ixhumene ngokuqinile. Ngesikhathi sokuhlolwa, iminwe yesifo sikashukela esineminyaka engamashumi amahlanu ubudala iyagoba ukuze kube yiziqatha nje kuphela ezithinta.
Indlela yesibili yokuthola isifo sikashukela ukuphakamisa uzwane olukhulu cishe ngama-50 degrees. Uma indoda igula, lesi senzo singadala ubunzima obukhulu. Lapho kungenakwenzeka ukukhipha umunwe kusuka phansi, lokhu kubonisa ukuphazamiseka okukhulu kwe-metabolic.
Izici Zobungozi Besifo Sikashukela
Izimbangela zalesi sifo zingase zibe inkambiso yofuzo. Lapho omunye wabazali egula isifo sikashukela sohlobo 2, amathuba okuthola ifa lokugula kwengane yi-cishe angama-70%. Uma bobabili abazali begula, ingozi yokuba nengane enengane yesifo sikashukela yi-100%.
Indoda ekhuluphele eneminyaka engama-53-56 ubudala futhi iba sengozini yokuthola i-carbohydrate metabolism disorder, isifo esithathelwanayo singaba imbangela yokwanda kwesifo sikashukela:
- i-hepatitis;
- umkhuhlane
- inkukhu yenkukhu;
- rubella.
Izimo ezicindezelayo ezivame ukwenziwa, indlela yokuphila engasebenzi, kanye nomfutho wegazi ophakeme akuyona ingozi.
Akunandaba noma ngabe kunezimpawu zesifo sikashukela emadodeni, odokotela bancoma ngokuqinile ukuthi iziguli ezineminyaka engaphezu kwengama-50-52 zinikela ngegazi ushukela minyaka yonke.
Uma isimo somngcele sitholakala ngokuhamba kwesikhathi, emacaleni angaba ngu-70% kunethuba elikhulu lokumisa ukuqhubeka kwesifo sikashukela.
Ukwelashwa
Kumele kuqashelwe ukuthi ukuxilongwa kwesifo sikashukela akudingi ukuthi kuthathwe kakhulu. Kwesinye isikhathi kuyenzeka ukuthi ugcine lesi sifo silawulwa wukudla okulinganiselayo.
Kodwa-ke, amadoda amaningi asaphoqeleka ukuthi athathe izidakamizwa ze-hypoglycemic, lapho lokhu akwanele, udokotela unquma imijovo ye-insulin. Kwenzeka ukuthi i-insulin kumele ifakwe nezinye izidakamizwa ukuze ijwayele ushukela wegazi. Njalo ngonyaka kuvela ukwelashwa okusha kwesifo sikashukela, kepha ukuphatha lesi sifo kuhlala kuyinkinga enkulu. Ngakho-ke, kungcono ukungalethi esikhathini lapho ukwelashwa kudingeka khona, kepha ukuvikela isifo sikashukela.
Ukwelashwa kwe-hypoglycemia kubandakanya:
- ukuhleleka okuhlelekile kokuhlushwa koshukela egazini, isisindo somzimba;
- ukulandela ukudla okunqunyiwe;
- ukugcina impilo esebenzayo nomzimba onengqondo.
Umuthi wesifo sikashukela uqukethe imijovo ye-insulin, izidakamizwa ukwehlisa ushukela wegazi. Lapho isifo sikashukela sinikeza ukubonakalisa ukungasebenzi kahle kwe-erectile, udokotela uncoma inani elikhulu lemithi: amaphilisi, amaphilisi, ama-suppositories.
Noma yimuphi umuntu oneminyaka engama-54-59 ubudala kufanele aqonde ukuthi isifo sikashukela asisona isifo esibulalayo, ungaphila impilo ejwayelekile naye. Ukuvimbela imiphumela emibi, kufanele ulandele imithetho ezokuvumela ukuthi ugcine ushukela wegazi ngaphakathi kwemikhawulo ejwayelekile. Ividiyo ekulesi sihloko iqhubeka nengqikithi yezinkinga zesifo sikashukela.
