Lesi sifo, esaziwa ngokuthi isifo sikashukela, sibhekwa njengenye yesifo esivame kakhulu namuhla. Lesi sifo sihlotshaniswa nokuphazamiseka okukhulu kwezitho zezitho zohlelo lwe-endocrine. Ngakho-ke, ama-endocrinologists abamba iqhaza ekwelashweni kwesifo sikashukela.
Kukhona ukwahlukaniswa okubonakalayo kwezimpawu nezimpawu zohlobo 1 sikashukela, kodwa-ke, indlela ehluke ngokuphelele yesifo yaziwa nangomuthi. Isici saso iqiniso ukuthi ihlanganisa nezimpawu zezinhlobo ezimbili zokuqala.
Imvamisa, odokotela be-endocrinologists babeqopha isithombe esingaqondakali, esingacacanga salesi sifo lapho kunezinhlanganisela ezihluke ngokuphelele zezimpawu ezazithiya ukuxilongwa, ukuxilongwa kanye nokukhethwa kwezindlela zokwelapha ezifanele. Kwezinye iziguli, izimpawu zombili zesifo sikashukela sohlobo 1 nohlobo 2 zazibonwa ngasikhathi sinye.
Njengoba sazi iqiniso lokuthi izindlela ezahlukahlukene ngokuphelele zazisetshenziselwa ukwelapha izinhlobonhlobo zesifo ngasinye, kwakunzima impela ukuthola indlela ethile yokwelapha. Ngakho-ke, ukwahlukaniswa kukhulisiwe. Kuvele uhlobo olusha lwesifo sikashukela, kepha i-World Health Organisation ayikwazanga ukwamukela lokho ngokusemthethweni.
Umlando wokuvela
Emuva ngo-1975, ososayensi bahlukanisa ushukela baba izinhlobo ezimbili. Kodwa-ke, kakade kuleso sikhathi ngokuhamba kwesikhathi, usosayensi u-Bluger waphawula ukuthi esikhathini esiningi kuba nezimo lapho izimo zakhona zingahambelani nanoma yiziphi izinhlobo ezithile.
Uhlobo lokuqala lwesifo sikashukela lubonakala ngokungabikho kwehomoni ebizwa ngokuthi yi-insulin emzimbeni. Ukugcina impilo, okuqukethwe kwayo kufanele kwenziwe kabusha ngosizo lomjovo okhethekile, okufanele wenziwe ngokuqinile ngokudla. Uhlobo lwesibili lwesifo lubonakala ngokufakwa kwezicubu ze-adipose ezicutshini zesibindi.
Ukubonakaliswa kwale ndlela kusebenza kanjena:
- Kukhona ukwehluleka ku-carbohydrate metabolism, ngenxa yalokho okukhona ukwephulwa kwebhalansi yama-lipids emzimbeni womuntu.
- Isibindi ngokushesha siqala ukuthola inani elikhudlwana lamafutha acid.
- Isibindi asikwazi ukuzisebenzisa ngendlela yesikhathi.
- Ngenxa yalokhu, kwakheka amanoni.
Kwezokwelapha, kuyaziwa ukuthi le nqubo akuyona uphawu lwesifo sohlobo lokuqala. Kodwa-ke, lapho kutholakala uhlobo lwesithathu sikashukela, zombili lezi zimpawu zikhona ngasikhathi sinye.
Isifo sikashukela sohlobo 3 sithathwa njengobunzima kakhulu obukhulu. Inkomba yoshukela wegazi esheshayo ifinyelela ku-14 mmol / l, kuyilapho i-glycemia engaba ngu-40 - 5 ° g / l iphinde ibonwe ngesikhathi sokuhlolwa komchamo. Futhi, ngohlobo lwe-03, ukuthambekela kwe-ketoacidosis, kanye nokuguquguquka okubukhali ku-glycemia, kuyaphawulwa.
Ukusebenza okujwayelekile kwalezi ziguli kusekelwa ngemithamo ephezulu ye-insulin. Ngesikhathi, isiguli kufanele sithole amayunithi angaphezu kwe-60 ehormone. Ungase futhi uqokomise isibonakaliso esinjalo saleli banga lokugula, njengesikhwanyana semithambo yegazi yokuqalwa kwasendaweni okuhlukahlukene.
Ukwelashwa, okubuye kusho ukuthi kufanele bondle kahle, kufanele kufike ngesikhathi.
Izimpawu
Uma kutholakala ukuthi isifo sikashukela esigulini okokuqala, ubukhulu bokunqunywa bungatholakala kuphela ngemuva kochungechunge lwezivivinyo, kanye nokulandelela amandla enkomba etholakele. Kungemva kokuthatha lezi zinyathelo kuphela lapho i-endocrinologist ingakunikeza ukwelashwa okwanele. Ngenxa ye-hyperglycemia, ukwelashwa nokudla kuhlobene kakhulu.
Kuyaqapheleka ukuthi noma yiluphi uhlobo lwesifo sikashukela lukhula kancane kancane ngokwanda kancane kwezimpawu. Phakathi kwezimpawu zokuqala, okulandelayo kungahlukaniswa:
- Ukoma okuhlala njalo okungahambi ngisho nangemva kokuba isiguli siphuza. Umuntu onesifo sikashukela angaphuza amanzi angaphezu kwamalitha amahlanu ngosuku.
- Ukomisa ngokweqile kolwelwesi lwe-mucous lomlomo. Le nto ayinciki esilinganisweni samanzi sansuku zonke esidakiwe.
- Ushintsho olusheshayo lwesisindo, ukulahleka kwalo noma inzuzo.
- I-Hyperhidrosis isho ukujuluka okukhulu, okuzwakala kakhulu ezintendeni zezandla.
- Ukukhathala kuhambisana nobuthakathaka bemisipha, noma kungabikho ngokuphelele komzimba.
- Nganoma yiluphi uhlobo lwesifo sikashukela, ukuphulukiswa kwesilonda isikhathi eside kuyabonakala. Ngisho nokuklanywa okuncane kungaba isilonda esihlanzekile esinegciwane.
- Isikhumba simbozwe ngokungenangqondo ngama-pustule.
Uma umuntu eqaphele okungenani eyodwa yalezi zibonakaliso ezingenhla, kuyadingeka ukufuna izeluleko se-endocrinologist. Uma izifundo zembula izimpawu ze-hyperglycemia kuhlobo 2 sikashukela, singakhuluma ngokuthuthukiswa kwesifo sikashukela sohlobo lokuqala, lwesibili noma lwesithathu.
Ekhuluma ngokuqondile ngohlobo lwesithathu sikashukela, kufanelekile ukuthi ungabalwa ngenhlanganisela ekhethekile yezimpawu. Kusenesikhathi, odokotela bahlukanisa lezi zimpawu ezinesifo sikashukela:
- Isimo esingabuyisi, nokukhathazeka.
- Ukudana komoya kanye nomuzwa wokunganaki konke, kubandakanya impilo yabo.
- Ukudideka, ukungakwazi ukubona okwaziwayo.
- Ukukhohlwa.
Uma izimpawu zinganikezwa ukunakwa okufanele, zizothuthuka. Okulandelayo kuzovela:
- Ama-hallucinations, ukukhohlisa nokunye ukuphazamiseka kwengqondo.
- Ukusebenza okunzima kwemisebenzi yokunyakaza.
- Ubunzima bokucabanga.
- Ukuhlaselwa kokukhishwa.
Isifo sikashukela kanye ne-Alzheimer's
Isifo i-Alzheimer's sibonisa ngokulahlekelwa inkumbulo nokuzithanda. Eminyakeni embalwa edlule, izimbangela zokuqhamuka kwalesi sifo bezingaqondakali ngokuphelele, kuze kube ngu-2000 kwakuyisifo esingelapheki esesabisa wonke umuntu.
Ngo-2005, kwenziwa olunye ucwaningo ngaphansi kokuholwa kososayensi abavela eBrown University, lapho kwembulwa khona ukuthi imbangela enkulu yalesi sifo ibhekwa njengokuntuleka kwe-insulin ezicutshini zobuchopho.
Ukuntuleka kwe-hormone kucasisa ukwakheka kwezigcawu ze-beta amyloid. Lezi zifundiso zona ziholela ekulahlekelweni yinkumbulo kancane kancane, nasekuqhubekeni kwengqondo iyonke.
Ngalesi sizathu, umuntu angazwa njalo ukuthi uhlobo lwesithathu sikashukela yisifo sikashukela sobuchopho.
Kuyavela ukuthi isifo se-Alzheimer ngeke sisabizwa ngokuthi umusho, ngoba singabuye sidluliselwe esigabeni sokuxolelwa ngokugcina izinga elifanele lokuqukethwe kwe-insulin.
Ukwelashwa
Isifo sikashukela sohlobo 3 kufanele siphathwe ngokuphelele. Kuyaphawuleka ukuqaphela ukuthi ukwelashwa ngezidakamizwa kubhekwa njengento ebalulekile. Kodwa-ke, izidakamizwa ezinciphisa ushukela nemithamo ye-insulin akuyona yonke.
Ukudla kubhekwa njengenye yezindlela zokuphoqelela zesifo sikashukela sanoma yiluphi uhlobo. Ukudla kufanele kube nokulinganisela. Amamenyu kumele akhelwe ngokuyinhloko kusuka ekudleni kwamaprotheni, futhi adle ukudla kokudla koshukela.
Lolu hlobo lokudla luqukethe ukudla ukudla okuphansi kwe-carbohydrate. Ukondliwa okufanelekile kuyimbangela ngaphandle kwalokho ukwelashwa akunakwenzeka.
Ngaphezu kwalokho, isiguli kufanele siyeke noma imiphi imikhuba emibi ngokushesha okukhulu. Ukubhema notshwala kunciphisa ukuzwela kwamangqamuzana ku-insulin. Ukunciphisa ingozi yokukhuluphala ngenxa yohlobo 3 sikashukela mellitus, kubalulekile futhi ukuzivocavoca ngokulinganisela.
Naphezu kweqiniso lokuthi isifo sikashukela aselashwa, izimpawu zaso zingaqedwa ngokulandela zonke lezi zincomo. Ividiyo ekulesi sihloko izokukhombisa ukuthi wenzeni ngesifo sikashukela.
