Lo mbuzo uvame ukubuzwa yiziguli ngesikhathi sokudibana ne-endocrinologist. Ngempela, ukukhathala kungumlingani ojwayelekile wesifo sikashukela, ngoba kungumphumela weqa ushukela osegazini nezinye izinkinga zesifo “sikashukela”.
Kufanele uqonde ukuthi ukukhathala okujwayelekile kuyanyamalala ngemuva kokuphumula, kuyilapho ukukhathala okungapheli kungenjalo. Ngokwe-American Diabetes Association, abantu abangama-61% abanesifo sikashukela esisanda kutholakala banezikhalazo zokukhathala okungapheli. Ake sizame ukuqonda izimbangela zalesi simo futhi sithole ukuthi yini ongayenza ngayo uqobo, nokuthi yini edinga ukuvakashelwa udokotela okuphoqelekile.
Kungani sikhathala ngenxa yesifo sikashukela
Izimbangela ezibangela ukukhathala okungamahlalakhona ziningi:
- Ugxuma kushukela wegazi;
- Ezinye izinkomba zesifo sikashukela;
- Izinkinga zesifo sikashukela
- Izinkinga zengqondo nezomzwelo ezihambisana nesifo sikashukela;
- Isisindo esiningi.
Ake sixoxe kabanzi ngesizathu ngasinye.
Ushukela wegazi uyakhithika
Isifo sikashukela sithinta indlela umzimba olawula futhi usisebenzisa ngayo ushukela. Lapho sidla, umzimba wehla ukudla kube ushukela olula. Esikhathini sikashukela, la mashukela aqongelela egazini esikhundleni sokungena kumaseli adinga ushukela ukukhiqiza amandla.
Uma amaseli omzimba engalutholi ushukela, lokhu kuyakhonjiswa, ngakolunye uhlangothi, nomuzwa wokukhathala nobuthakathaka. Imithi yesifo sikashukela, efana ne-insulin ne-metformin, isiza lo ushukela ukuthi ungene kumaseli futhi uwuvimbe ekuqongeleleni egazini.
Imiphumela emibi engenzeka yezidakamizwa zesifo sikashukela ingaba ushukela ophansi, isb. Hypoglycemia. Futhi yena, ubangela umuzwa wokukhathala, ikakhulukazi kulabo abazizwa banciphisa ushukela wegazi. Lokhu kukhathala kungahlala isikhathi eside ngemuva kokuthi isiqephu se-glycemia sidlulile.
Ezinye izinkomba zesifo sikashukela
Ezinye izibonakaliso "zesifo sikashukela" nazo zenza umuntu azizwe ekhathele njalo. Lokhu kufaka phakathi:
- Ukuchama okusheshayo;
- Ukoma okuqothulayo nomlomo owomile;
- Indlala njalo;
- Ukwehla kwesisindo okungachaziwe;
- Umbono ofiphele.
Ngabo, abangezi ukukhathala, kepha bandisa ukwanda okujwayelekile. Futhi ngokunembile ukuthi ngokwengqondo nangokomzimba kuqeda umuntu. Futhi, lezi zimpawu ziphazamisa ukulala, zikwenze uvuke kaningi ebusuku, bese uya endlini yangasese noma uphuze amanzi. Ukulala okuphazamisekile kancane kancane kuphenduka ukuqwasha futhi kumane kwenezela ukukhathala.
Izinkinga zesifo sikashukela
Lezi zingqinamba zivame ukuvela lapho ushukela wegazi uhlala uphakeme isikhathi eside. Okufanele unake:
- Izinkinga zezinso, kubandakanya ukwehluleka kwezinso;
- Ukutheleleka njalo;
- Isifo senhliziyo
- Ukulimala komgogodla (i-neuropathy).
Zombili lezi zinkinga nezidakamizwa ezisetshenziselwa ukwelapha zingakhulisa umuzwa wokukhathala okungapheli.
Impilo engokwengqondo nengokomzwelo
Ukuphila nesifo sikashukela kuyithinta kakhulu impilo yengqondo yomuntu. Ngokusho kocwaningo olwenziwe ngonyaka ka-2016, ukudangala kubantu abanesifo sikashukela kukhula kaningi izikhathi ezi-2 kuneyabanye. Ukudana komoya kwenza ukuthi kube nzima ukulawula ushukela, kubhebhethekisa ukulala, futhi kuhambisane nokukhathala okukhulu.
Ngaphezu kokudangala, abantu abanesifo sikashukela bajwayela ukukhathazeka ngempilo yabo. Futhi ukukhathazeka okungapheli kuyafana emiphumeleni yayo emibi emzimbeni ngokudangala.
Isisindo esiningi
Abantu abaningi abanesifo sikashukela sohlobo 2 banamakhilogremu angeziwe noma ukukhuluphala ngokweqile okwenza ukuba abasingathi babo baphaphame. Okuxhumanisa ukukhulupha ngokweqile nokukhathala:
- Amaphutha enkambiso yokuphila eholela ekuzuzeni isisindo, ngokwesibonelo, ukuntuleka kokusebenza okusebenzayo noma ukudla okungenampilo;
- Ukuhambisa umzimba osindayo ogcwele kudinga amandla amaningi;
- Ukuphazamiseka kokulala ngenxa yezinkinga ezihambisana nokukhuluphala, njenge-apnea yokulala (ukuboshwa kokuphefumula ephusheni).
Ungabhekana kanjani nokukhathala okungapheli kwisifo sikashukela
Kunezinguquko eziningi zendlela yokuphila ezingasiza ukulwa kokubili isifo sikashukela nokukhathala:
- Ukuthola isisindo esinempilo (zuza noma ulahle amakhilogremu, kuya ngesimo);
- Ukuzivocavoca njalo;
- Ukudla okunempilo;
- Ukusekela ukuhlanzeka kokulala okunempilo, kufaka phakathi inqubo evamile, ukulala ngokwanele (amahora angama-7-9) nokuphumula ngaphambi kokuphumula kobusuku;
- Ukuphathwa kwemizwelo nokunciphisa ukucindezelwa;
- Ukusekelwa kwabangane nomndeni.
Isilinganiso esisebenza kahle ekulweni nokukhathala okungapheli siyisinxephezelo esihle sesifo sikashukela:
- Ukuqapha okuqhubekayo kwamazinga kashukela egazini;
- Ukuhambisana nokudla okuvimbela ama-carbohydrate noshukela olula;
- Ukuthatha yonke imithi ebekwe udokotela wakho;
- Ukwelashwa okufika ngesikhathi kuzo zonke izifo ezihlangene- inhliziyo, izinso, ukucindezelwa nokunye.
Ezinye izimbangela zokukhathala
Kunezizathu, futhi azihlobene ngqo nesifo sikashukela, ngokwesibonelo:
- Ukugula kakhulu;
- Ukucindezelwa okungahambisani noshukela;
- I-Anemia
- Isifo samathambo noma ezinye izifo ezingamahlalakhona ezihambisana nokuvuvukala;
- Ukungalingani kweHormonal;
- Ukulala kwe-apnea;
- Imiphumela emibi yezidakamizwa.
Lapho uzobona udokotela
Esikhathini sikashukela, kuyadingeka ukubonana nodokotela njalo ukuze kubhekwe futhi kulawulwe ukuthuthukiswa kwalesi sifo. Uma ukukhathala kuqala ukubonakala noma kuba kubi kakhulu, vakashela udokotela wakho ukuze uqiniseke ukuthi ukwelashwa okuhleliwe akukubangeli imiphumela emibi nokuthi awunazinkinga zesifo sikashukela. Uma ukukhathala kuhambisana nezimpawu ezinjengomkhuhlane, ukubanda noma okunye ukufiphala, lokhu kungakhombisa ukuba khona kokutheleleka emzimbeni, okusho ukuthi udokotela kumele abonwe!
Iziphetho
Ukukhathala okungamahlalakhona kuyicindezela kakhulu impilo, kepha isimo singathuthuka kakhulu uma uligcina izinga likashukela kuluhlu oluhlosiwe futhi uguqula indlela yokuphila ngokuhambisana nezincomo ezingenhla.
