Ungayiqala kanjani impilo entsha ngemuva kokutholakala nesifo sikashukela: i-endocrinologist iphawula ngemibono evamile eyiphutha nezicupho eziyingozi zengqondo

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Sibuze uDkt Rizin ukuthi asitshele ukuthi yini okudingeka uyilungiselele ngemuva kokuthola lesi sifo, mayelana nemidwebo equkethe isifo sikashukela (kwesinye isikhathi engenzi lutho ngokoqobo) nangokwamukela ukugula kwakho.

Ukuxilongwa kwe-"mellitus" yesifo sokuqala esivezwa udokotela kuhlale kushaqisa kakhulu ngokomqondo isiguli, ukumangala, ukushaqeka, ukwesaba imibuzo engaziwa neminye eminingi. Isimo sokuphila kwamuva sibukeka sidabukisa kakhulu: imijovo engapheli, imikhawulo enzima kwezondli nokuzivocavoca komzimba, ukukhubazeka ... Ngabe amathemba awusizi kangako? Impendulo enemininingwane iyanikeza UDilyara Ravilevna Rizina, udokotela obambele wezifo zaseMedical Clinic endaweni yaseKhoroshevsky, kuye sidlulisa izwi.

Ngemuva kokuxilongwa kwe-mellitus yesifo sikashukela sekuveziwe, isiguli, njengomthetho, okokuqala sidlula esigabeni sokuphika: imvamisa uqala ukukholwa ukuthi kungenzeka alulame ngokusebenzisa ezinye izindlela - ngaphandle kwe-insulin kanye / noma amaphilisi. Lokhu kuyingozi enkulu, ngoba ngaphandle kokwelashwa okufanelekile siphuthelwa isikhathi esibalulekile, izinkinga ziyakhula, zivame ukungaphenduki.

Ngemuva kokuxilonga, isiguli kudingeka siqonde ukuthi lesi sifo, yize singelapheki, singalawulwa. Ngendlela efanele yezempilo yakho, ngeke kube nezinkinga. Uma konke kwenziwa kahle, ungajabulela ngokugcwele yonke injabulo yempilo, ukudla okumnandi, ukudlala imidlalo, ukuzala izingane, ukuhamba nokuhola indlela yokuphila esebenzayo.

Udinga ukubhalisa ku- "School of Diabetes" ekuqaleni kohambo lwakho, lapho uzothola khona ithuba lokulalela izinkulumo, ubuze yonke imibuzo ethokozisayo, funda inqubo yokujova nokuzithiba.

Ukuthola iqembu lakho lokusekelwa kubalulekile. Qiniseka ukuthi ukuxhumana nabantu abanesifo sikashukela, kunokuningi kwabo, futhi ngokubambisana kulula ngaso sonke isikhathi ukunqoba ubunzima.

Kubalulekile ukuvakashela i-endocrinologist yakho ngesikhathi esifanele. Masinyane ngemuva kokuxilongwa, kungcono ukukwenza kaningi lokhu, okungenani kanye njalo emavikini angama-1-2. Kodwa ngemuva kokuthi irejimeni yokwelashwa ikhethiwe, ungafika ekwemukelweni kanye nesikhathi esiyi-1 ezinyangeni ezi-3 ukwenza izivivinyo futhi, mhlawumbe, ulungise ukwelashwa. Kubalulekile futhi ukuvakashela abanye ochwepheshe abakhethekile: udokotela wezifo zamehlo, udokotela wezifo zengqondo, futhi ngokobufakazi besazi senhliziyo, okungenani kanye ngonyaka. Yazisa impilo yakho, uyinakekele, uvikele ukuthuthukiswa kwezinkinga.

Isidingo sokuqapha ushukela nsuku zonke sizongezwa empilweni yakho. Kuhlobo lwe-1 isifo sikashukela kanye nangesikhathi sokukhulelwa, ukuqapha okuvame kakhulu kuyadingeka - kusuka kuzilinganiso ezi-4 kuye kwezingu-8 ngosuku, lokhu kuyadingeka ukwenza izinqumo ngesikhathi esifanele ngenani le-insulin elawulwa, nokulungiswa kwezimo ze-hypo.

Ukwelashwa okukhethiwe kohlobo lwe-2 yesifo sikashukela, ukuqapha okunjalo kaningi akudingekile, kwanele ukuqapha izinga le-glucose izikhathi ezi-1-2 kuphela ngosuku. Ukwenza lokhu kaningi kuyadingeka kuphela uma kuhlelwa ukulungiswa kokwelashwa noma uma kunezikhalazo zempilo engeyinhle.

Okwamanje, kunamathuluzi amaningi atholakalayo wokuzihlola, kaningi lawa angama-glucometer aphathekayo, kulula ukuwasebenzisa, alula ukuthatha nawe. Kukhona ama-glucometer adlulisela idatha ku-smartphone noma ngokushesha kudokotela, akhiqize ngokuzenzakalelayo amagrafu amahle, acacile okushintshashintsha kwamazinga kashukela. Kuthatha isikhathi esingaphansi komzuzu owodwa ukukala ushukela.

Izindlela zanamuhla zokuqapha i-glucose eqhubekayo azidingi ukukhishwa nsuku zonke. Ukufakwa kuthatha iminithi elingu-1, futhi adinga ukushintshwa isikhathi esingu-1 emavikini ama-2.

Kodwa-ke, akwanele ukumane ulinganise izinga likashukela, kungakuhle ukuthi ubhale lesi sibalo kudayari yokuzithiba, futhi uthathe isinqumo ngesidingo sokwethula umthamo owengeziwe we-insulin noma uphuze isiphuzo esimnandi.

Odokotela bakulangazelela kakhulu ukuzwa kudayari okuvela kuwe - lokhu kubalulekile ekuthatheni isinqumo ngesidingo sokulashwa kwemithi.

Kufanele ubuyekeze okudlayo. Iziguli ezinesifo sikashukela sohlobo lwe-2 mellitus (ngaphambili eyabizwa ngokuthi yi-insulin-Independent) zinikezwa izincomo zokudla kanye nalokho okubizwa ngokuthi “ukukhanya kwethrafikhi yokudla” - imemo enezeluleko ekukhetheni.

Imikhiqizo ekuyo ihlukaniswe ngamaqembu amathathu, kuye ngekhono lokukhulisa ushukela wegazi futhi inomthelela ekuthuthukiseni ukumelana ne-insulin (ukumelana ne-insulin) kanye nokuthola isisindo. Uhlobo 2 sikashukela i-mellitus imvamisa (kepha hhayi njalo!) Sihambisana nokukhuluphala, kuleli cala kubaluleke kakhulu ukuqala ukunciphisa isisindo kahle. Ngokwejwayelekile kwesisindo somzimba, kwesinye isikhathi kungenzeka ukufinyelela izinga elijwayelekile likashukela wegazi, noma ngaphandle kokuthatha umuthi.

Imikhuba yokudla, njengayo yonke eminye imikhuba, kunzima ukuyishintsha. Isisusa esihle sibalulekile lapha. Uma unesifo sikashukela sohlobo 2, kuzodingeka ukuthi ubuyekeze lokhu kudla. Kepha ungacabangi ukuthi manje kufanele udle ama-buckwheat kuphela, amabele enkukhu nama-apula aluhlaza (ngokumangazayo, le nsumansumane ivame kakhulu). Kubalulekile ukuqala ukulawula isisindo somzimba futhi ususe ngokusobala ukudla okungenampilo kubhasikidi wakho wokudla, lokho okubizwa ngokuthi ukudla okungenamsoco (kwesinye isikhathi kubizwa nangokuthi "amakhalori angenalutho"). Lokhu kufaka phakathi ukudla okuphezulu kumanoni noshukela (ukudla okusheshayo, ama-chip, iziphuzo ezinoshukela), kanye ne-fructose, okuqinisa umkhiqizo njengomkhiqizo onempilo futhi kuthengiswa ngisho naseminyangweni yabantu abanesifo sikashukela (okwamanje, ukudla i-fructose kuholela ekwandeni kwamafutha e-visceral (ngaphakathi) kanye nokwanda kokuqina kwe-insulin, kanye nokwanda kwabalamuli bokuvuvukala emzimbeni). Kepha uma unikezwe umdlandla omkhulu wendlela yokuphila enempilo, ngeke uphumelele. Ukusuka kuyo yonke eminye imikhiqizo ungazenzela ukudla okumnandi nokuhlukahlukene, okuthe, ngendlela, okuzohambisana nawo wonke umndeni wakho.

Ngohlobo lwe-1 isifo sikashukela mellitus (ngaphambili esasibizwa ngokuthi yi-insulin), esikhathini esiningi awudingi ukuzikhawulela ekudleni kwakho. Kuyadingeka kuphela ukususa ukudla okunenkomba ye-glycemic ephezulu kakhulu ekudleni, ngoba ngisho nokuphathwa kwe-insulin okufika ngesikhathi kungenzeka kungabi sesikhathini sokunyuka kwenani likashukela wegazi. Okokunye, ungaqhubeka nokudla zonke izitsha zakho ozithandayo bese unamathela ekudleni kwakho okujwayelekile. Udinga nje ukuthola ukuthi ayini ama-carbohydrate nokuthi yikuphi ukudla okuqukethe ukuze uqonde ukuthi ingakanani i-insulin edingekayo.

Ekuqaleni, lokhu kungabonakala kuyinkimbinkimbi futhi kuwumthwalo, kodwa ekusebenzeni, ikakhulukazi kulezi zinsuku, lapho kunenqwaba yezicelo ezilungele i-smartphone, ngeke kuthathe isikhathi esiningi. Akudingekile ukuphatha izikali ze-elekthronikhi futhi ukale ngokucophelela yonke imikhiqizo. Amayunithi wokulinganisa izincazelo esisetshenziselwa lokhu: isipuni, ingilazi, usayizi ngenqindi, ngentende, njll. Ngokuhamba kwesikhathi, wena, uma ubheka umkhiqizo, ngeke ube mubi ukwedlula umondli wezempilo onolwazi ukuthola ukuthi kuqukethe i-carbohydrate engakanani.

Into elandelayo yisidingo sokusetshenziswa kwezidakamizwa. Kufanele utshele udokotela wakho we-endocrinologist ngempilo yakho ejwayelekile, futhi ngokususelwa kulolu lwazi, udokotela uzokweluleka ngohlobo oluphelele lokwelashwa.

Uma sixoxa ngohlobo 2 lwesifo sikashukela i-mellitus (ngaphambili esasibizwa ngokuthi yi-insulin-sincike), lapho-ke imvamisa yokwelapha iqala ngamalungiselelo wethebhulethi, okufanele athathwe kuphela izikhathi ezi-1 noma ezi-2 ngosuku. Kwesinye isikhathi, uma kunezinkomba ezithile, siqala ukwelashwa ngokushesha ngezidakamizwa ezijogelwayo (i-insulin noma i-aGPP1). Kepha imvamisa sikhuluma ngomjovo owodwa ngosuku, ngokwesibonelo ebusuku noma ekuseni.

Ngohlobo 1 sikashukela, okuwukuphela kwendlela yokwelashwa ukwelashwa kwe-insulin.Kunezinhlelo ezahlukahlukene, kepha kaningi kuyindlela eyisisekelo yokwelapha i-bolus, lapho ufaka i-insulin isikhathi eside ngo-1-2 ngosuku, futhi wenza “ujab” we-insulin esebenza isikhathi esifushane ngaphambi kokudla. Lokhu kungahle kubonakale kuyinkimbinkimbi kakhulu ekuqaleni, kodwa akukhona! Amapeni wesirinji anamuhla angamadivayisi alula kakhulu. Ungafaka i-insulin ngemizuzwana nje embalwa, uyihambise uhambe nayo, uhambe ngaphandle kobunzima.

Kukhona ne-pump insulin yokwelapha. Kuyinto elula ngisho nangokwengeziwe, ayidingi ukukhishwa njalo, futhi ngisho nesifo sikashukela se-labile singalawulwa. Ngosizo lukadokotela, ungafaka uhlelo lwe-insulin ngqo kwizidingo zakho.

Kodwa-ke, iphampu ayikabi yisixhobo "esivaliwe se-loop", kufanele ulawule ushukela wakho futhi ukwazi ukubala i-XE (amayunithi wesinkwa).

Lapho kukhona isifo sikashukela mellitus, ezemidlalo azinqunyelwe kuwe kuphela, kodwa futhi zikhonjisiwe! Lokhu kungenye yezindlela zosizo lokwelashwa, noma kungangeni esikhundleni sokwelashwa kwe-insulin. Ngokusebenza komzimba, izicubu zethu zidonsa ushukela ngisho ngaphandle kokubamba iqhaza kwe-insulin, ngenxa yalokho, lapho kudlalwa ezemidlalo, izinga le-glycemia lijwayelekile, futhi nesidingo se-insulin siyancipha.

Engxoxweni yangasese, iziguli zingakhalaza ngokwenqaba kwengqondo ukubona lesi sifo. Abantu bavele bakhathale ngesidingo sokulawula isifo sikashukela: bafuna ukuyeka - futhi noma yini eyenzekayo. Akunakusho ukuthi kufanele unqotshwe ubuthakathaka obunjalo besikhashana. Noma ngabe okwamanje ungasabhekani kahle noshukela ophezulu, izinkinga ziqala ngokushesha ukuthuthuka, lapho ikhwalithi yempilo yakho izohlupheka khona maduze, futhi ngeke ukwazi ukubuyisa isikhathi esilahlekile. Isifo sikashukela singenza ube namandla futhi sikunikeze amandla okuphila impilo ende, ejabulisayo! Yebo, kufanele uziqaphele kakhulu ngawe, kepha iqiniso lokuthi ulawula ukudla kwakho, ukuvivinya umzimba, ukuhambela odokotela njalo, kungakunikeza ithuba.

 

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