Isifo sikashukela yisifo esingamahlalakhona esiyimbangela yokungasebenzi kahle kwezigcawu zeLagrange emaphashini, umsebenzi okuwukuhlanganiswa kwe-insulin noma ukuvela kokungazwisisi kwamangqamuzana ezicubu zomzimba emiphumeleni ye-hormone kuzo. Abathinteka kakhulu ekuthuthukisweni kwalesi sifo abesifazane.
Lesi simo singenxa yokuthi abesifazane, ngenxa yephysology yabo, bathambekele kakhulu ekugcwala. Ukukhuluphala kungenye yezimbangela zesifo sikashukela. Ukusakazeka kabanzi kwalesi sifo kudinga izindlela zokuvimbela ukwenzeka kwalesi sifo.
Ukuvimbela isifo sikashukela kubantu besifazane kufanele kufake nezinyathelo okuhloswe ngazo ukuguqula isisindo somzimba, kufane nokulinganisela ibhalansi yomzimba kanye nokwenza ngcono izinqubo ze-metabolic emzimbeni.
Isifo sikashukela emzimbeni wowesifazane sikhula ngezinhlobonhlobo ezimbili:
- uhlobo lokuncika kwe-insulin 1 isifo sikashukela;
- uhlobo olunga-insulin-oluncike ku-2 isifo sikashukela.
Izindlela zokuvikela ushukela
Ukuvimbela lesi sifo kungahlanganisa ukusetshenziswa kwemithi, ezemidlalo, izinqubo zomzimba nezindlela zokwelapha zendabuko.
Ukuvimbela ushukela kwabesifazane kuya ngohlobo lwesifo esitholakele emzimbeni.
Umsizi omkhulu ekuvimbeleni isifo sikashukela ukugcinwa kwendlela efanele, okufanele ifake lezi zinto ezilandelayo:
- Sebenzisa ukudla okulinganiselayo nokunokulinganisela. Ukudla kufanele kube namakhemikhali amancane nezithelo eziningi, imifino namakhambi. Kuyadingeka ukunciphisa ukusetshenziswa kukashokholethi notshwala. Kungcono ukudla ngokwendlela yokuqhekeka, uhlukanise umthamo wokudla nsuku zonke ngezikhathi ezingama-5-6.
- Ukunikeza amandla omzimba olinganiselayo emzimbeni. Ukuhamba nsuku zonke ebangeni elingamakhilomitha amathathu kube nomthelela omuhle ekusebenzeni kwamanyikwe nasistimu yenhliziyo. Ukuhamba kunomthelela ovuselelayo kuwo wonke umzimba.
- Uma kungenzeka, umzimba kufanele uvikeleke ekucindezelweni okuhlukahlukene. Kunconywa ukuthi imizwa engemihle igwenywe noma nini lapho kungenzeka.
- Ukuqapha okuqhubekayo kwezinga loshukela egazini. Lokhu kuyadingeka ukuqapha ukubekezelela ushukela.
Lezi zindlela zokuvimbela zihle kakhulu kumuntu onempilo, kepha uma umuntu enesimo sikashukela esedlule, azifanele.
Ezimweni ezinjalo, izidakamizwa zisetshenziselwa ukuvikela lesi sifo.
Ukuvimbela izinhlobo zokuqala nesibili zesifo sikashukela
Uhlobo 1 sikashukela alunakuvinjwa. Akunakwenzeka ukuvimba ukuthuthukiswa kwalolu hlobo lwesifo noma ngabe kusetshenziswa imithi ekhethekile ukuvikela isifo sikashukela.
Imbangela yalesi simo ifa lomuntu onesifo. Kufanele kukhunjulwe ukuthi uhlobo 1 lwesifo sikashukela lufa.
Ukuze sinciphise umthelela emzimbeni wesifo sikashukela, ukungasebenzi komzimba kufanele kuqiniswe futhi kugwenywe izifo ezihlaselayo ezahlukahlukene.
Ukuthuthukiswa kwesifo sikashukela sohlobo 2 emzimbeni kungadalwa ukukhulelwa, lapho kuqhuma khona ama-hormonal. Kodwa-ke, esimweni sokukhulelwa, ukuphuma kwehomoni okuholela ekubandakanyekeni kwe-glucose engalawuleki kwenzeka kakhulu.
Ngokuvamile, ukukhula kwesifo sikashukela sohlobo 2 kubhekwa kwabesifazane abakhuluphele ngokweqile. Ngenqubo yokwenza izindlela zokuvimbela, uzodinga ukubuka izondlamzimba zokudla, ukuthatha imishanguzo enconywa udokotela wakho futhi ugcine impilo enempilo.
Ezimweni eziningi, i-mellitus yesifo sikashukela sohlobo lwesibili ayinakuvinjwa kuphela, kodwa futhi ihlulwe ngisho nakulezo zimo lapho kutholakala kumuntu ngokuzethemba okugcwele.
Ukudla kwabesifazane abanesifo sikashukela
Ukudla sikashukela yisisekelo ngaphandle kwezindlela zokuvimbela ezingeke zikhiqize umphumela ohambelana nawo. Kubaluleke kakhulu ukulandela ukudla uma owesifazane enesifo sofuzo sokukhuluphala ngokweqile. Ngendlela efanelekile yokuthuthukisa isidlo, awukwazi nje ukugcina isisindo somzimba ngaphakathi kobubanzi obujwayelekile, kepha futhi udla okumnandi. Ukudla okunjalo kuzovikela umzimba wowesifazane hhayi kwisifo sikashukela kuphela, kepha futhi nakwezinye izifo eziningi.
Okukhethwa kukho okuhle kungukudla okuneqhwa. Lokhu kudinga isidlo sansuku zonke esihlukaniswe izidlo ezingama-5-6 ngosuku.
Okokuqala, lapho usungula indlela yokudla, kufanele uyeke ukusetshenziswa kwama-carbohydrate angagaya kalula. Imikhiqizo equkethe la ama-carbohydrate ifaka amaswidi ahlukahlukene, izimpahla ezibhakiwe, ushukela, ubhiya, isodas, imifino nezithelo ezithile. Ungadla ama-dessert akhethekile ngaphandle koshukela
Ukudla komuntu wesifazane kufanele kufake ukudla okuwusizo njengoku:
- okusanhlamvu okuhlukahlukene - i-buckwheat, ibhali ne-oatmeal;
- imifino emisha nezithelo kusuka kuhlu lwesifo sikashukela esivunyelwe;
- ubhontshisi obilisiwe, isilimo esidliwayo esinamagatsha anamanzi, isoso.
Kunconywa ukunciphisa umkhawulo wokudla ubhanana namagilebhisi. Ukuze ungasebenzisi umthwalo owengeziwe kuma-pancreas futhi ungaphazamisi ukusebenza kwawo, kufanele wenqabe ukusebenzisa ukudla okuthosiwe nokudla okunezipayisi nokunosawoti.
Kunconywa ukuba ushintshe itiye elimnyama eliqediwe libe luhlaza obuthakathaka, nekhofi libe yi-chicory. Kufanele ukulahle ngokuphelele ukusetshenziswa koshukela noma ukubuyiselele nge-sweetener.
Ukuze uphila impilo enempilo futhi ungavumeli ukuvela kweziphithiphithi emsebenzini wamanyikwe, kunconyelwa ukuthi abesifazane bayeke ngokuphelele ukubhema nokuphuza utshwala. Ngenqubo yokulondolozwa kwempilo enempilo, umuntu akufanele akhohlwe ngokulinganisela kwamanzi asemzimbeni.
Kuyadingeka ukuthi uphuze okungenani amanzi angama-250 ml nsuku zonke esiswini esingenalutho ekuseni futhi ngaphambi kokudla ngakunye.
Ukusebenza ngokomzimba kanye nemithi yendabuko yokuvimbela isifo sikashukela
Ukufaka umthwalo wezemidlalo ejwayelekile emzimbeni yinto ebalulekile ekuvinjelweni kwesifo sikashukela. Ukuzivocavoca umzimba ngosuku okungenani imizuzu engama-30 kubhekwa njengokukhetha okuhle kakhulu.
Uma kunesidingo, ezemidlalo zingahlukaniswa ngezindlela ezintathu ngosuku. Isikhathi sendlela ngayinye kufanele okungenani sibe yimizuzu eyi-10. Ungakhohlwa ukuhamba emoyeni omusha. Kungcono ukuhamba nsuku zonke ngesikhathi sokuhamba kwamamitha ayi-1000-1500.
Into ebalulekile enqubekweni yokuqinisa ukungatheleleki kanye nokuvinjwa kwesifo sikashukela ukunciphisa umthelela emzimbeni wokuwohloka kwemizwelo, ama-endocrinologists ancoma ukwesaba okungatheni.
Ukusetshenziswa kowesifazane okunhlobonhlobo kwama-decoctions amakhambi okwelapha kunomthelela omuhle emzimbeni. Ukuvimbela, njengesiphuzo, ungasebenzisa i-infusions eyenziwe ngamaqabunga ama-sitrobheli asendle noma ama-walnuts, amajikijolo asendle nama-blueberries.
Njengesinyathelo sokuvimbela, kunconywa ukuthatha igazi kanye njalo ezinyangeni eziyisithupha ukuhlaziya isimo se-glucose kuso.
Ukuqapha njalo kukuvumela ukuthi ukhombe lesi sifo esisesigabeni se-prediabetes, okuthi kwezinye izimo sikwazi ukuqeda lesi sifo ngendlela esifike ngesikhathi.
Ukusetshenziswa kwezidakamizwa ukuvikela ukugula
Njengamanje, kunezidakamizwa ezintathu eziphambili ezisetshenziselwa ukuvimbela ukuthuthukiswa kwesifo sikashukela.
Lawa maphilisi akhombise imiphumela emihle kakhulu ekuvimbeleni ukukhula kwesifo emzimbeni wesifazane. Yonke le mishanguzo iyanconywa kubantu abanokubekezelela i-glucose. Noma imiphi yale makhambi ayinconywa uma umzimba unoshukela wegazi ophakeme.
Le mithi imi ngale ndlela elandelayo:
- I-Metformin;
- I-Xenicap;
- I-Acarbose.
I-Metformin yi-ejenti yokuphikisana nesifo sikashukela engokwesigaba sama-bigunides. Yiziphi izakhiwo eziphambili zaleli thuluzi? Lesi sidakamizwa siyakwazi ukuthonya inqubo ye-ATP synthesis ku-mitochondria - inqubo yokukhiqiza iyancipha, ikhuthaza ukwenziwa kwe-glycogen, umuthi uthinta amaseli wezicubu zomzimba ngendlela yokuthi ukwanda kwezindonga zazo kukhule ushukela.
Leli thuluzi lisetshenziswa njengesisekelo sokwelashwa kokuvimbela ngesikhathi semisebenzi okuhloswe ngayo ukuvimbela ukukhula kwesifo sikashukela sohlobo 2. Leli thuluzi lingasetshenziswa njengesidakamizwa ukuvimba ukuthuthukiswa kwezinkinga lapho kukhona isifo sikashukela.
Njenganoma yimuphi omunye umuthi, umuthi une-contraindication nemiphumela emibi. Imiphumela emibi yile:
- ukulahleka kwesifiso sokudla;
- ubuthakathaka bubonakala emzimbeni;
- ukuba khona kwe-megaloblastic anemia emzimbeni.
Contraindication yilezi:
- iminyaka yesiguli efinyelela eminyakeni eyi-15;
- infarction myocardial;
- isifo sikashukela;
- ukungahambi kahle komzimba ezingxenyeni zomuthi;
- ukwehluleka okunzima kwezinso;
- izifo ezithathelwanayo ezinzima;
- utshwala.
Enye iprophylactic yiXenical. Lesi sidakamizwa yisidakamizwa esinciphisa i-lipid esiza ukunciphisa ukugaya kwamafutha ohlelweni lokugaya ukudla. Ukusetshenziswa kwalesi sidakamizwa kunconywa kuphela kulabo besifazane abajwayele ukukhuluphala. Leli thuluzi lisetshenziselwa ukunciphisa inani lamanoni amaningi kubantu.
I-Acarbose iyi-synthetic glucosidase inhibitor. Lesi sidakamizwa sinciphisa ukugaya okwama-carbohydrate emgodini wokugaya ukudla, okuholela ekunciphiseni kweglucose yegazi.
Izincomo eziphambili zokuvikela isifo sikashukela
Ukuze uvimbele ukukhula kwesifo sikashukela emzimbeni wowesifazane onomqondo walokhu, kunconywa ukulandela lezi zincomo:
- Ukulawula isisindo somzimba.
- Ukulonda impilo esebenzayo. Akunconywa ukusebenzisa isikhathi ngemuva kokubheka ikhomputha noma i-TV. Ukuhamba njalo kunomthelela ekuphilisweni komzimba, kanye nokusebenza ngokomzimba kushukela.
- Ukuhambisana nezincomo zesazi sokudla kanye ne-endocrinologist.
- Ukwenqaba ukudla ukudla okunama-carbohydrate asheshayo ekwakhekeni kwawo.
- Amafutha e-polyunsaturated atholakala ku-oyela yemifino ewuketshezi kufanele adliwe.
- Kufanele wenqabe ukusebenzisa inyama ebunjiwe ebomvu.
- Nakekela isimo sohlelo lwezinzwa - gwema ukucindezelwa kwezinzwa.
Ngaphezu kwalokho, lapho wenza izindlela zokuvimbela, imithi kufanele isetshenziswe ngokuya ngohlobo lomuntu ngamunye lomthamo olukhiqizwa yi-endocrinologist ngqo esigulini.
U-Elena Malysheva kule vidiyo uzokutshela ukuthi ungakuqonda kanjani ukuthi umuntu wesifazane unesifo sikashukela.
