Abantu abanesifo sikashukela bavame ukuba nekhanda. Akuwona wonke umuntu owaziyo, kepha lolu phawu luvame ukuhambisana nalesi sifo.
Kuhlobo 1 lwesifo sikashukela, lolu phawu lwenzeka ngenxa yokungasebenzi kahle kokuhlanganiswa kwe-insulin. Ngaphezu kwalokho, ngalesi sikhathi egazini kukhona inkomba ephezulu kashukela. Le nto ibizwa nge-hyperglycemia, ngokumelene nesizinda sayo sokudakwa komzimba, ngenxa yalokho okukhona ukwephulwa emsebenzini kwe-NS.
Ngohlobo 2 lwesifo sikashukela, esivame ukutholwa ezigulini esezikhulile, ikhanda elivela kakhulu livame kakhulu. Ngempela, kule minyaka, ngaphezu kwalesi sifo esiyisisekelo, kungahle kube ne-hypertension ye-arterial nezinye izifo ezithinta kabi ukusebenza kwengqondo kanye nohlelo lwe-vascular whole.
Ngakho-ke, kubalulekile ukwazi ukuthi yini ebanga ikhanda lesifo sikashukela nokuthi yikuphi ukwelashwa okungasiza kulokhu. Kepha ukuxazulula le nkinga, kumele kuqedwe izifundo ezimbalwa, kufaka phakathi i-MRI, ngoba kunezizathu eziningi zale nto, ezixazululwa ngezindlela ezahlukahlukene zokwelapha.
Yini engadala isifo sikashukela?
Kunezici ezi-4 eziphambili ezibangela lolu phawu olungathandeki:
- isifo sikashukela se-neuropathy.
- i-hypoglycemia;
- i-hyperglycemia;
- glaucoma
Ukulimala kwekhanda kushukela, uma kungekho isinxephezelo, kwenzeka ngemuva kwesizinda se-nephropathy. Lesi simo sivezwa ngumonakalo wemicu yezinzwa, obonakaliswa yizimpawu ezahlukahlukene.
Lapho izinzwa ze-cranial zibandakanyeka kwinqubo ye-pathological, lokhu kungadala ubuhlungu obuqinile futhi obungapheli ekhanda. Imvamisa ngalesi simo, kutholakala ukuxilongwa okuyiphutha, ngokwesibonelo, i-migraine. Ngakho-ke, ukwelashwa okungalungile kuyenziwa, okuholela ekubonakaleni kwezimpawu eziyingozi ngokwengeziwe.
Ukuvimbela ukuthuthukiswa kwe-neuropathy, kubalulekile ukubhekisisa ukunakekelwa koshukela. Ungafinyelela ukusebenza okuzinzile kuhlobo 2 sikashukela uma uthatha amaphilisi eSiofor asuselwa ku-metformin.
Futhi, ikhanda lingagula nge-hypoglycemia. Lesi simo senzeka lapho kuba khona ushukela, ngenxa yokuthi amaseli ayeka ukukhipha amandla adingekayo empilweni yomzimba wonke.
Imvamisa, ukuswelakala kweglucose kuqala ngokuphathwa kabi kwe-insulin noma ngemuva kokusebenzisa ngokungafanele izidakamizwa ezinciphisa ushukela. Kepha futhi ukudla okudla ukudla okune-carbohydrate okuningi kungadala isimo esifanayo.
Futhi njengoba i-glucose ingumthombo wamandla oyinhloko ohlinzeka ubuchopho ngokusebenza okujwayelekile, ukuswelakala kwayo kuholela ekhanda elixegayo. Ngaphezu kwalokho, lesi akusona ukuphela kophawu lwe-hypoglycemia. Ezinye izinkomba zokuswela ushukela zifaka:
- uvalo
- ukujuluka
- ukufikelwa yithemba
- isiyezi nesifo sikashukela;
- Ukukhathazeka
- ukuthuthumela.
Isifo sekhanda sikashukela singenzeka futhi lapho ushukela wegazi uphakanyisiwe. I-Hyperglycemia inethonya elibi ngokwedlulele enhliziyweni, ezinhlelweni ze-neva nezemithambo yegazi.
Kepha kungani kunokwehla ushukela? Izizathu zalesi simo ziningi. Kungaba yingcindezi, ukucindezelwa okukhulu, ukutheleleka, ukudla ngokweqile nokunye okuningi.
Nge-hyperglycemia, ukuphathwa ikhanda kungenye yezimpawu zokuqala. Bese kuthi ukoma, ukuthuthumela kwemikhawulo, indlala, isikhumba, isikhumba kanye nokushaya kwenhliziyo okuhlala njalo sikujoyina.
Ukuvimbela ukukhula kwe-hyperglycemic coma ezigulini ezithololwe uhlobo lwesibili sikashukela, kuyadingeka ukuthatha umuthi Siofor ngokuhlelekile. Umuthi usheshe uguqule amazinga kashukela, ngaphandle kokubamba iqhaza ekuthuthukisweni kwe-hypoglycemia, ngoba ayithinti ukwenziwa kwe-insulin.
Ikhanda lisenokulimala lapho kuvela i-glaucoma, okuwumngane ojwayelekile wohlobo lwesibili sikashukela. Ngemuva kwakho konke, izinzwa ze-opic zizwela kakhulu i-hyperglycemia.
Nge-glaucoma, umbono uwa ngokushesha, okuvame ukuholela ekungaboni. Kepha kungaba khona ikhanda ngale nkinga?
Iqiniso ngukuthi lesi sifo sibonakaliswa yingcindezi ephezulu ye-intraocular, ehambisana nobuhlungu obukhulu obuqandayo emehlweni, ekhanda, isicanucanu nokuhlanza. Ukuvimbela ukukhula kwengxaki enjalo, kubalulekile ukuthi kuqinisekiswe ukuqina kweglucose egazini.
Ngakho-ke, ngesifo sikashukela sohlobo 2, kufanele uphuze uSiofor kumthamo obekwe udokotela wakho.
Ungakuqeda kanjani ukuphathwa yikhanda kushukela?
Uma i-pain syndrome ebangelwa yi-neuropathy ingahambi isikhathi eside. Lapho-ke umsebenzi omkhulu ukuqinisa ushukela wegazi.
Kuyaphawuleka ukuthi ukususa ikhanda lobuhlungu kuleli cala ngosizo lwe-analgesics cishe akunakwenzeka. Ukwelashwa kwe-Opiate kuyasebenza, kepha kubangela umlutha wezidakamizwa. Akujwayelekile ukuthi udokotela anqume ama-antidepressants anciphisa ukuqina kohlelo lwezinzwa.
Izinqubo ze-Physiotherapeutic (i-acupuncture, i-magnetotherapy, i-massage, ukuvezwa kwe-laser) kanye nokuzivocavoca komzimba kusiza nge-neuropathy ekhanda. Ekhaya, ungenza umuthi wamakhambi, kepha kufanele uqale uthintane nodokotela wakho.
Isifo sekhanda sikashukela esidalwa yi-hypoglycemia siyayeka uma kukhona umkhiqizo owandisa ushukela wegazi. Ukudla okunjalo kufaka ama-carbohydrate asheshayo - amaswidi, iziphuzo ezinoshukela, uju nokuningi. Ungathatha futhi amaphilisi kashukela angama-2-3.
Usizo lokuqala lwe-hypoglycemia umcimbi obaluleke kakhulu. Ngempela, ngokukhula komkhovu, i-edema yamakhemikhali ivela, okuholela ekuphazamisekeni okungalungiseki ohlelweni oluphambili lwezinzwa. Ezigulini esezikhulile, konke kungaholela ekushayweni noma ekuqaqanjisweni kwe-myocardial, okuvame ukuholela ekufeni.
Ukususa ikhanda eline-hyperglycemia, udinga ukuxhumana nodokotela we-endocrinologist. Udokotela uzonikeza izidakamizwa eziqinisa okuqukethwe ushukela (iSiofor) kanye nezimali ezithuthukisa isimo esivamile sesiguli.
Ngaphezu kwalokho, wonke umuntu onesifo sikashukela kufanele abe nemitha yeglucose egazi. Lapho kuvela izimpawu zokuqala ezingezinhle, kufanele usebenzise le divayisi. Uma idivaysi ikhombisa ukuthi izinga likashukela liphezulu kakhulu, khona-ke i-insulin iyafakwa, futhi uma kwenzeka unesifo sikashukela sohlobo 2, udinga ukuphuza amanzi amaminerali we-alkali futhi uthathe uSiofor.
Ukuqeda ukukhanda kwekhanda ku-glaucoma, kubalulekile ukwenza ngokwejwayelekile ukucindezela kwe-intraocular. Ngale njongo, kunikezwa izidakamizwa eziningana:
- i-carbonic anhydrase inhibitors nama-diuretics;
- ama-myotic;
- izidakamizwa ze-drenergic;
- beta blockers.
Kodwa-ke, ngaphambi kokusebenzisa leyo mishanguzo, uma ikhanda lakho libuhlungu nesifo sikashukela, kufanele uthintane nodokotela wakho. Yize kunjalo, ezinye zazo azihlangani nemithi esetshenziselwa i-hyperglycemia engalapheki. Ngakho-ke, ukuzelapha kungakhulisa isimo sesiguli futhi, esikhundleni sokukhululeka okulindwe isikhathi eside, kuholele emiphumeleni emibi eminingana, kuze kufinyelele nokulahlekelweni kombono kushukela.
Kukhona futhi izici ezimbalwa ezingadala ikhanda lesifo sikashukela se-glaucoma. Lokhu kufaka phakathi ukuhlala isikhathi eside egumbini elimnyama noma ukuhlala ngaphandle ngaphandle kwesibuko.
Ngaphezu kwalokho, ingcindezi ye-intraocular ingakhuphuka ngesimo somzimba esingakhululeki ngesikhathi sokulala, i-hypothermia noma ukushisa ngokweqile, ukukhulisa ukuzikhandla komzimba nangemva kokuphuza.
Ngakho-ke, ukuze asuse ikhanda lekhanda ku-glaucoma, isifo sikashukela sidinga ukulandela yonke le mithetho.
Izindlela zokuvimbela
Akunakwenzeka ukukhipha ikhanda ngaphandle kokuthi isifo sikashukela silandelwa ukudla okukhethekile. Umgomo wayo oyisisekelo ukudla ukudla okuphansi kwe-carb. Le ndlela izovumela osele ngosuku lwesithathu lokudla okunempilo ukuba ijwayele amanani eglucose futhi ivikele ukuthuthukiswa kwezinkinga.
Kulokhu, ukudla kufanele kuthathwe izingxenye ezincane. Imikhiqizo yamaphrotheni ihamba phambili - inhlanzi enamafutha amancane, inyama noshizi we-cottage shizi Ukusetshenziswa kwamafutha ezilwane kufanele kube nomkhawulo futhi kufakwe esikhundleni samafutha zemifino.
Ngaphezu kwalokho, ukuvimbela ukuvela kwezimpawu ezingemnandi, iziguli ezithembela i-insulin kudingeka zifunde ukuphatha i-hormone ngasikhathi sinye. Futhi, ngesifo sezinhlungu esihlotshaniswa nesifo sikashukela, izidakamizwa ezivela eqenjini le-sulfonamide ziyasebenza.
Ungaphendukela futhi kumasu angajwayelekile wokulapha. Isibonelo, i-acupressure ingavuselela ikhanda lesifo sikashukela emizuzwini embalwa. Ukuze wenze lokhu, faka isithupha engalweni kungakapheli imizuzu eyi-15.
Ngaphezu kwalokho, ngesifo sikashukela, kuyadingeka ukuthatha ama-vitamin complexes. Okubaluleke ngokufanayo umbuso olungile wosuku nokulala okugcwele kwamahora ayisishiyagalombili. Ukuhambisana nayo yonke le mithetho kuzonciphisa ukwenzeka kwezinhlungu zekhanda. Ividiyo ekulesi sihloko izokutshela ukuthi wenzeni ngekhanda lesifo sikashukela.
