Izibalo zikhombisa ngokungananazi ukuthi inani leziguli ezinesifo sikashukela liyanda emhlabeni minyaka yonke. Abantu abaningi abaqale bahlangana nokugula bathi abakaze babone izimpawu zesifo phambilini. Kepha kunjalo? Isifo sikashukela i-mellitus, ikakhulukazi uhlobo 2, yisifo esingelapheki asiqali ngokuzumayo. Imvamisa inkinga yandulelwa yisikhathi lapho izinga likashukela wegazi linamanani emingcele, kodwa kuqala izimpawu zoMala. Ungabazi kanjani ngesikhathi ukuvimbela ukubonakaliswa (kokuqala) kwesifo?
Ngubani osengozini
Kungenzeka ukuthi akekho noyedwa emhlabeni ovinjelwe ukukhula kwesifo sikashukela. Kodwa-ke, kuneqembu labantu abanamathuba aphezulu kakhulu okugula. Phakathi kwezingozi zokuqala, Yiqiniso, ifa. Uma phakathi kwezihlobo, ikakhulukazi abazali, kukhona okungenani isiguli esisodwa, khona-ke amathuba aphezulu okuqala kwesifo aqhubeka impilo yonke. Ezinye izinto ezibonisa ukuba khona kwesifo sikashukela kufaka phakathi:
- umama osemncane okungenani owazala umntwana onesisindo esingaphezu kwama-4 kg;
- ukuzala esikhathini esidlule;
- abantu abakhuluphele abane-gouty arthritis;
- iziguli ezake zathola i-glucosuria engahleliwe (ushukela emchameni);
- isifo se-periodontal (i-gum pathology) okunzima ukwelapha;
- ukungaphumeleli ngokungazelele;
- Zonke iziguli ezingaphezulu kweminyaka engama-55.
Kodwa-ke, hhayi kuphela izici ezibonakalayo zangaphandle ezinezimfanelo zokwenziwa kwesifo sikashukela. Okunye ukonakala egazini okulula kwegazi nomchamo kubalulekile ngokufanayo ekuvimbeleni isifo sikashukela. Lezi izinkomba ezilandelayo:
- i-bilirubin iyi-enzyme yesibindi ekhuphuka ngomsebenzi okhubazekile;
- i-triglycerides - i-atherosulinosis factor, ekhombisa izinkinga ngama-metabolism wama-carbohydrate;
- i-uric acid (hhayi ukuthi ididaniswe ne-urea) - inkomba yokulimala kwe-purine metabolism emzimbeni;
- i-lactate - kukhombisa izinkinga ngokulingana nosawoti wamanzi.
Noma umfutho wegazi ojwayelekile ubamba iqhaza - inani lawo liphezulu, likhulu ithuba lokuthola isifo sikashukela. Enye yezimo eziphambili zokuvimbela ukuqhubeka kwe-prediabetes ukuqapha ngokuqinile izinkomba ezingenhla nokwelashwa okufika ngesikhathi kwezinguquko ezitholiwe.
Izimpawu ezifihliwe ngokungaqondile zibonisa ukuba khona kwe-prediabetes
Isimo ngaphambi kwesifo sikashukela asisona isifo. Ngakho-ke, abantu abaningi bazibona bephilile ngokuphelele, bengazinaki ezinye zezinto "ezincane" eziqala ukukhathaza umuntu. Kodwa-ke, ungakufaki ukubaluleka kubo ngokunganaki, ngoba kungalesi sikhathi lapho ushukela usengavinjelwa ngokushintsha okukhulu izici zokudla komzimba kanye nokuzivocavoca umzimba.
Izimpawu ezibonisa ukuba khona kwesifo sikashukela kufanele zifake:
- ukuphulukisa isikhathi eside amanxeba amancane ngemuva kokusikeka noma ukuhlukunyezwa;
- ubuningi bezinduna namathumba;
- ukuvela kwegazi okuvamisile ngemuva kokuxubha kwamazinyo;
- noma yikuphi ukulunywa - isikhumba, i-inguinal noma isikhumba nje;
- izinyawo ezibandayo;
- isikhumba esomile
- buthakathaka ekusondaneni, ikakhulukazi esemncane.
Kuzo zonke lezi zimpawu ezingenhla, kukhona izifo "zazo", kepha ukuba khona kwazo kuhlale kubangela ukukhathazeka mayelana nokukhula kwesifo sikashukela.
Uma okungenani kuvela uphawu olulodwa olusolisayo, khona-ke amanye amaqhinga alula kakhulu. Okokuqala udinga ukudlulisa ushukela wegazi esiswini esingenalutho nangemva kokudla okujwayelekile, kanye nokuhlolwa komchamo wokuhlola. Uma izinkomba zivamile, kusesekuseni kakhulu ukuthi wehlise umoya. Ukuhlolwa kokubekezelela ushukela kuyadingeka. Kwenziwa ngokuthatha ushukela esiswini esingenalutho, bese kuthi ngemuva kwamahora amabili kudle amagremu angama-75 kashukela ancibilikisiwe emanzini. Isifo sikashukela sitholakala ezimweni ezintathu:
- uma ushukela wokuzila usujwayelekile, futhi ngemuva kokuthi isivivinyo sikhuphukele ku-7.8 mmol / l;
- Zombili lezi zihlaziyo zingaphezulu kwesejwayelekile, kepha azifikanga ku-11.1 mmol / l;
- uma ushukela wokuzila uphansi, futhi owesibili uphakeme kakhulu (ngaphezu kwe-2 mmol / l), yize iqiniso lokuthi lokho kuhlaziya kuvamile (isibonelo: ukuzila ukudla okungu-2.8 mmol / l, ngemuva kokuhlolwa - 5.9 mmol / l).
Emadolobheni amakhulu, kunemibandela yocwaningo oluningilizayo, ngoba kungenzeka ukuthi utadishe izinga le-insulin ye-hormone esiswini esingenalutho. Uma ngabe le nkomba ingaphezulu kwe-12 IU / μl, lokhu futhi kuyisici esikhuluma nge-prediabetes.
Unganciphisa kanjani ukukhula kwesifo
Isifo sikashukela asisona isimo esibucayi kakhulu, ngakho-ke, ngendlela efanele empilweni yakho, kungenzeka ukuthi kunciphise amathuba okuba nesifo sikashukela. Ukuze wenze lokhu, udinga:
- ukulawula ngokucindezela umfutho wegazi;
- ukunciphisa inani lama-carbohydrate ekudleni;
- ukunciphisa umzimba;
- khulisa umsebenzi wezocansi nomzimba;
- Gwema ukudla ngokweqile, kepha ungafanga yindlala;
- njalo ngenyanga qaphela izinga loshukela esiswini esingenalutho nangemva kokudla.
Ukuze uzinzise prediabetes, udinga usizo lowelaphi kanye ne-endocrinologist. Bazophakamisa izindlela zokudla, amaphilisi okunciphisa umfutho wegazi, kwesinye isikhathi banikeze nemithi yokwelapha ukukhuluphala. Iqoqo lezinyathelo okuhloswe ngazo ukuguqula indlela yokuphila kanye nokulungisa ukuphazamiseka kwezempilo okukhona kuzosiza ukuhlehlisa ukuqhubeka kwesifo sikashukela iminyaka eminingi.
