Ushukela wegazi ojwayelekile emadodeni emva kweminyaka engama-50 nengama-60

Lapho umuntu emdala, lapho ephinyiselwa kancane khona kuyizimpawu zesifo sikashukela. Ebudaleni, lesi sifo sikhula kancane. Ngemuva kwe-50-60, izinga likashukela wegazi emadodeni liqala ukukhuphuka kuphela ngemuva kokudla, lihlale livamile ekuseni. Abantu abaningi bathi ukuwohloka kwenhlala-kahle, ukukhathala kuze kube yiminyaka, iminyaka eminingi bengasoli isifo sikashukela. Ngemuva kweminyaka engama-50, lesi sifo sitholakala ngengozi ngenkathi kuhlolwa udokotela, noma ngemuva kwezinkinga.

Ingozi yesifo sikashukela emadodeni

Sekuyisikhathi eside kusungulwa ukuthi okubaluleke kakhulu kunazo zonke izimbangela zesifo sikashukela ukukhuluphala. Okuyingozi kakhulu ngama-visceral fat, atholakala ezungeze izitho zangaphakathi futhi enza "ubhiya" esiswini emadodeni asukela eminyakeni engama-40-50 ubudala. Ngokweqile kwamafutha, ama-lipids egazi akhula ngokungenakuvinjwa, futhi alandelwe ngamazinga we-insulin. Amadoda akhuluphele ngokuvamile akhetha ukudla okune-carb ephezulu, okuholela ekunikezeni ushukela njalo kanye ne-insulin egazini, kuphakamisa ukumelana ne-insulin, nangemva kokuba sikashukela.

Eminyakeni eyishumi edlule, inani lamadoda agcwele eRussia seliphindeke kabili. Manje ama-55% amadoda angaphezu kwama-60 ahlushwa ukukhuluphala. Isigamu sabo sibheka ngokweqiniso isisindo sabo njengokujwayelekile futhi asihleleli ukwenza noma yini ukukususa. Abesifazane banomthwalo wemfanelo omkhulu empilweni yabo, yingxenye yesithathu yabo eyenqaba ukuguqula indlela abadla ngayo, abanye bonke badla njalo futhi balahlekelwe namafutha amaningi. Ngenxa yalokhu, izigameko zesifo sikashukela emadodeni aphakathi nendawo ziphezulu ngamaphesenti angama-26% kunabesifazane. Ngokuqala kokuya esikhathini, ubungozi bokugula kwabesifazane banda kakhulu. Ngemuva kweminyaka engama-60, izehlakalo zesifo sikashukela emadodeni nakwabesifazane cishe ziyefana.

Isifo sikashukela nokucindezela kuzoba yinto yesikhathi esedlule

• Ukwehlela ushukela -95%
• Ukuqedwa kwe-vein thrombosis - 70%
• Ukuqedwa kokushaya kwenhliziyo okuqinile -90%
• Ukuqeda umfutho wegazi ophakeme - 92%
• Ukwanda kwamandla ngesikhathi sosuku, ngcono ukulala ebusuku -97%

Izimpawu Zesifo Sikashukela

Izimpawu zesifo sikashukela ezijwayelekile kumadoda:

1. Ukukhathala.
2. Ukuchama kaningi. Uma ungavuki ukusebenzisa indlu yangasese ebusuku ngaphambili, futhi ngemuva kweminyaka engu-60 uqalile, isifo sikashukela singasolwa.
3. Ukwephulwa kwe-potency.
4. Izikhumba ezomile zomile, ukoma okungapheli.
5. Isikhumba esomile, esinobuthakathaka, ikakhulukazi emaqakaleni nasemuva kwezintende.
6. I-candidiasis ephindaphindwayo ku-glans penis kanye nejwabu.
7. Ukwehla kwezakhiwo zokuvuselela isikhumba. Izilonda ezincane ziyavutha, ziphilise isikhathi eside.

Kwamanye amadoda, isifo sikashukela asymptomatic iminyaka embalwa yokuqala futhi singabonakala kuphela ngokuhlolwa. Ngemuva kweminyaka engama-50, ama-endocrinologists ancoma ukunikela ngegazi ngoshukela njalo eminyakeni emi-3, lapho kunesisindo eseqile - minyaka yonke. Ukwelashwa kufanele kuqalwe masinyane lapho izinga leglucose yegazi lisondela emkhawulweni ophezulu ojwayelekile.

Ungasithola kanjani isifo sikashukela

Indlela elula yokuthola ushukela wakho wegazi ukusebenzisa i-glucometer ephathekayo. Ungayithatha kumhlobo onesifo sikashukela. Yebo, futhi izindawo zokucwaninga eziningi zentengiso zinikeza usizo lokuzimisela ngokushesha ushukela ngethonsi legazi eliphuma emunweni. Ukuhlaziywa kwenziwa ngokuqinile esiswini esingenalutho. Le ndlela yokulinganisa inephutha eliphakeme kunalokho. Ngosizo lwayo, kutholakala okungaphezu kokujwayelekile okujwayelekile okujwayelekile.

Ukuze uqiniseke ngokungabikho kwesifo sikashukela, udinga ukudlula ekuhlolweni kwe-glucose biochemical test. Igazi lithathwa emthanjeni wesisu ongenalutho. Ngobusuku bokunikela kufanele ugweme utshwala, ukucindezela, ukusebenza ngokweqile.

Ucwaningo olunembe kakhulu ukuhlolwa kokubekezelela ushukela. Ikuvumela ukuthi ukhombe ukubekezelela ukukhuphuka kwe-glucose. Lokhu ukuphazamiseka kokuqala kokudla ushukela, okuyisandulela sikashukela. Zelashwa ngempumelelo ngokungafani nesifo sikashukela, okuyisifo esingamahlalakhona futhi sidinga ukwelashwa impilo yonke.

Izimo ezinoshukela zamadoda aphakathi nabadala

Izinga loshukela wegazi lenyuka kanye nobudala. Amanani aphansi kakhulu abonakala ezinganeni ezingaphansi kweminyaka engu-14. Ukusuka eminyakeni eyi-14 kuye kwengama-60, kubo bobabili ubulili, izinkambiso zihlala zisezingeni elifanayo, ukusuka eminyakeni engama-60, ukwanda kuvunyelwe.

Amanani kashukela, izinkomba emadodeni:

Noma kuvela ukuthi ushukela wegazi weqiwe, kusesekuseni kakhulu ukuthola isifo sikashukela. Ukuqeda iphutha, igazi liphinda linikelwe futhi, uqiniseke kulo elebhu, ugcina ngokucophelela imithetho yokulungiselela ukuhlaziywa.

Izizathu zokuphambuka kusuka kokujwayelekile

Ngisho nokuphambuka okuphindaphindiwe kweglucose ejwayelekile akuvami ukuthi kube yi-mellitus yesifo sikashukela. Noma yikuphi ukucindezelwa ngokomzimba nangokwengqondo, ukudla, ama-hormone, eminye imishanguzo ithinta izinga likashukela wegazi. Futhi, ukuphambuka kungaba ngamaphutha wokulinganisa.

Ushukela omningi

Ushukela wegazi, odlula njalo okwejwayelekile, ubizwa nge-hyperglycemia. Izimbangela zalesi simo ngemuva kweminyaka engama-50:

• Ama-pathologies we-carbohydrate metabolism, kufaka phakathi isifo sikashukela nezimo ezandulelayo. Emadodeni angaphezu kweminyaka engama-50, isifo sohlobo 2 sivame ukutholakala. Eminyakeni ephakathi, ezinye izinhlobo zesifo sikashukela ziqala ezimweni ezingavamile kakhulu.
• Ukungahambisani nezidingo zokuhlaziywa. I-Caffeine, ukuvivinya umzimba kanye nokubhema ngaphambi kokusampula kwegazi, imizwa, kubandakanya nokwesaba umjovo, kungavusa ushukela.
• Izifo ezithinta isizinda se-hormonal: i-thyrotooticosis, i-hypercorticism, izimila ezikhiqiza ama-hormone - bheka i-athikili nge-insulinoma.
• Izifo zesibindi nama-pancreas: ukuvuvukala okubabayo nokungamahlalakhona, i-cystic fibrosis, i-benign ne-neoplasms enobungozi.
• Imithi: ama-hormone, ama-diuretics.

Uma isilinganiso soshukela wegazi seqiwe kaningi, impilo yesiguli isengozini. Ushukela ongaphezulu kwe-13 mmol / L uletha umzimba esimweni sokuwohloka okubabayo, i-ketoacidosis ingaqala, bese ilandelwa yi-hyperglycemic coma.

Uma owesilisa enoshukela wegazi ophakeme ngokweqile, kudingeka axhumane nodokotela we-endocrinologist. Lapho izinombolo zedlula i-16-18 mmol / l, kufanelekile ukubiza i-ambulensi, noma ngabe uzizwa ungcono ngokwazi ukuzimela.

Ushukela ophansi

Ushukela ophansi, noma i-hypoglycemia, engaphezu kweminyaka engama-50 ukuvela. Imvamisa imbangela yaso ithathwa ngokungafanele ngegazi: ngemuva kokuqina isikhathi eside, umkhuhlane ophakeme, ubuthi, ukuzila isikhathi eside. Futhi, ama-tumors nama-pathologies amakhulu ama-pancreas, isibindi, kanye nesisu kungaholela ekwehlekeni kweglucose.

Siqala ukuzizwa ushukela wegazi ophansi ngokushesha kakhulu kunokuphakama. Lapho nje iwela ngaphansi kokujwayelekile, kuvela izimpawu zesimo: ukuthuthumela kwangaphakathi, indlala, ikhanda. I-Hypoglycemia ingaqedwa ngoshukela ojwayelekile. Uma iphinda kaninginingi, kufanelekile ukuvakashela udokotela futhi ukhombe imbangela yokugula.

Imiphumela yeshukela ephezulu emadodeni

Ngaphezulu kweglucose ejwayelekile, njengomthetho, azinazimpawu, ngakho-ke amadoda akhetha ukungayinaki idatha yokuhlola futhi ahlehlise ukwelashwa. Kuyo yonke le minyaka, noma amashumi eminyaka okuphila okunoshukela wegazi ophakeme emzimbeni, izinguquko ezingenakuphikwa ziqongelela:

1. I-retinopathy Okokuqala, ukukhathala kwamehlo, izimpukane, umgubuzelo kuvela, khona-ke umbono uncishiswa ngokungenakuphikiswa kuze kube ubumpumputhe.
2. I-Nephropathy Izinso ziqala ukuvuza amaprotheni, izicubu zazo kancane kancane zithathelwa indawo yi-connective, bese ukwehluleka kwezinso kuqale ukukhula.
3. Ukungabi namandla nokuzala. Ushukela omningi wegazi uthinta ngokungathandeki ukusebenza kohlelo lokuzala.
4. I-Neuropathy ithinta umzimba wonke. Kuqala ngokuxineka kwezitho, bese kuba nezilonda ezingapholi ezinyaweni kanye nokwehluleka kwezitho ezibalulekile.
5. I-Angiopathy. Izitsha ziba mncane kancane, ziba buthaka, ziyeke ukuhambisa igazi ezicutshini. Ukushaywa unhlangothi nokushaya kwenhliziyo yimiphumela yesikhathi eside yesifo sikashukela esithuthukile.
6. Encephalopathy Ngokuntuleka kokudla okunempilo, ukusebenza kobuchopho kuya ngokuya kukhula, kuze kube sezingeni lokukhubazeka kokukhuluma nokuhlangana kokunyakaza.

Ungakuvimbela kanjani ukwanda koshukela

Isimo sikashukela segazi emadodeni emva kweminyaka engama-50 singenzeka kuphela ngesimo sokuzibophezela empilweni yabo.

Izincomo zama-endocrinologists ekuvimbeleni isifo sikashukela:

1. Gwema Ukukhuluphala Ngokweqile. Ingozi yesifo sikashukela ikhuphuka kakhulu ngenzuzo yesisindo. Ifomula elula kunazo zonke yokubala isilinganiso sesisindo sendoda kusuka eminyakeni engama-50: (ukuphakama (cm) -100) * 1.15. Ngokuphakama okungama-182 cm, isisindo kufanele sibe cishe (187-100) * 1.15 = 94 kg.
2. Shintsha umsoco. Isifo sikashukela i-mellitus senzeka hhayi ngezinyo elimnandi nje kuphela, kodwa futhi nakumadoda adla ngokweqile, ngakho-ke kufanelekile ukuthi kuqinisekiswe okuqukethwe kokudla kwekhalori. Ukuze banciphise imiphumela yesifo esikhulayo, odokotela balulekisa ukunciphisa inani lama-dessert, imikhiqizo yebhikawozi, amafutha emfuyo - mayelana nokudla kwabanesifo sikashukela >>.
3. Zama ukulala ngokwanele. Amazinga ajwayelekile ama-hormone, futhi ngenxa yalokho ushukela wegazi, kungenzeka kuphela ngesilinganiso esanele sokulala ebusuku.
4. Ukwehlisa ushukela wegazi lakho, qala ukuzivocavoca imisipha yakho. Ngemuva kweminyaka engama-50, ngaphambi kokuya ejimini, kufanelekile ukuthola imvume yomelaphi. Kepha ukuhamba, ibhayisekili, ukubhukuda cishe akunazimpikiswano.