Uma ushukela wegazi ungu-10: kusho ukuthini, hlobo luni lwesifo sikashukela?

Ushukela ophezulu wegazi awulona njalo uphawu lwesifo esisehlelweni olunjengokuthi isifo sikashukela. Amanani aphezulu angaba izinkomba zamanye ama-endocrine pathologies, ingcindezi ngaphambi kosuku lwesampula legazi, ukucindezela ngokomzimba nangokwengqondo.

Ushukela nawo uyakhuphuka kwabesifazane abakhulelwe - kaningi ngesikhathi sokukhulelwa le nkomba esegazini inyuswa ngokungajwayelekile, kepha ngemuva kokubeletha wonke amanani abuyela kokujwayelekile. Kodwa noma kunjalo, ezimweni eziningi, ushukela ophakeme uyisithunywa esiqondile se-prediabetes, hhayi manje isifo, kodwa usongo lwaso ngqo.

Yini isifo sikashukela?

Ake sithi isiguli sihlela ukuhlolwa. Futhi ngesimo semiphumela kukholamu "glucose" unophawu lwe-10. Lokhu kuyinani eliphakeme, inikezwe ukuthi okujwayelekile kububanzi obu-3.3-5.5 mmol / L. Kuyiqiniso, akekho umuntu ozosithola isifo sikashukela ngokushesha.

Futhi kaningi ukwanda kwamanani kukhombisa i-prediabetes. Igama linamaphutha: leli igama lesimo esandulela ukukhula kwesifo. Lesi yisimo somngcele, i-mellitus yesifo sikashukela asingabekwa, kepha vele akunakwenzeka ukushiya isimo singashintshiwe.

Ukuthola ukugula, kwenziwa uchungechunge lokuhlolwa. Okokuqala, isiguli sithatha igazi esiswini esingenalutho ukuze kuhlolwe ukuthi kugxilwe ushukela. Ngemuva kwalokho, ukuhlolwa kokubekezelela i-glucose (GTT) kuyimpoqo. Lokhu kuhlola kufaka amasampula egazi aphindaphindwe. Okokuqala, isampula ithathwa esiswini esingenalutho, bese kuthi ngemuva kwehora isiguli siphuze ikhambi le-glucose elihlanjululwe.

Ngemuva kokubheka isampula yegazi elisheshayo, izinga likashukela elamukelekayo akufanele lidlule inani lokubhala le-5.5 mmol / L. Lapho uthatha igazi le-venous, uphawu lwe-6.1 luzokhuluma ngesimo esejwayelekile (kodwa hhayi ngaphezulu).

Ukuhlaziywa kwe-GTT kukhishwe njengoba kulandelayo:

1. Okuqukethwe ushukela kuze kufike ku-7.8 mmol / L kuyinto ejwayelekile;
2. Ibanga le-7.8-11 mmol / L libhekwa njengophawu lwe-prediabetes;
3. Amanani amakhulu kune-11 asevele enoshukela.

Ubani osengozini yokuba nesifo sikashukela?

Imininingwane ekhathazayo: ngokwezibalo, izingxenye ezimbili kwezintathu zeziguli azazi ngokuxilongwa kwazo noma zimane zixhumane nodokotela ukuthola ukwelashwa okwanele okufika ngesikhathi. Abantu bayahlolwa, bavame ukungasinaki isicelo sikadokotela sokuhlolwa kwegazi uma amanani kashukela eshaqisa.

Iqiniso ngukuthi isikhathi esithile lesi sifo siyi-asymptomatic, noma izimpawu zaso azivezwa kangako kangangokuba umuntu uqala ukukhathazeka ngempilo yakhe.

Ngakho-ke kuvela ukuthi isiguli simane siphuthelwa isigaba esiguqukayo se-prediabetes. Isikhathi lapho ukulungiswa kwesimo kungenzeka ngaphandle kokwelashwa, kulahlekile. Futhi ezimweni eziningi, ukuxilongwa kwe-prediabetes, ukulungiswa komsoco nokuhlelwa kwesisindo kwanele ushukela ukubuyela kokujwayelekile.

Kungashiwo nakanjani ukuthi okulandelayo kusengozini ye-prediabetes:

• Abantu abanezihlobo zabo kutholakale ukuthi banesifo sikashukela i-mellitus;
• Iziguli ezikhuluphele;
• Abantu abane-hypertension ye-arterial;
• Abesifazane abatholakale benesifo sikashukela sokukhulelwa ngesikhathi sokukhulelwa.

Kwisibonakaliso sokuqala sokugula okunokwenzeka, udinga ukuphuthuma kudokotela. Njengoba sekushiwo, lesi yisimo esihlelekayo, kepha uma usibona ngesikhathi.

Kubonakala kanjani i-prediabetes?

Abantu abakhuluphele abajwayele ukungasebenzi ngokomzimba bathambekele kakhulu kushukela. Iziguli ezingaba khona azibheki ezinye izimpawu njenge-harbinger yesifo, noma zimane zingazi ukuthi kufanele zisabele kanjani ngokufanele. Ngakho-ke, kubaluleke kakhulu ukuthi uhlolwe njalo ngonyaka ukuze ngesikhathi sokuhlolwa okujwayelekile uthole izeluleko zochwepheshe.

Izimpawu zesifo sikashukela:

1. Inkinga yokulala. Zibangelwa yizingqinamba ezindleleni ze-glucose metabolism, kanye nokwephulwa kokusebenza kwamapancishithi ngokwehla komkhiqizo we-insulin.
2. Ukomela okukhulu, umlomo owomile ongavamile. Ukhuphuka ushukela kuholela ekuqineni kwegazi, umzimba udinga amanzi amaningi ukuwugxilisa, ngenxa yalokho ukoma kuvela. Futhi ekuphenduleni - isiphuzo esiningi kanye nesifiso esijwayelekile ukuya endlini encane.
3. Ukwehla kwesisindo okubukhali. I-glucose uma kwenzeka ukwehluleka kwe-insulin kuqongelela egazini futhi kungangeni kumaseli wezicubu. Lokhu kuholela ekushoneni kwamandla nokuncipha kwesisindo. Kodwa lolu phawu aludingekile, abanye abantu baqaphela okuhlukile - isisindo siyakhula.
4. Isikhumba esikhanyayo, izinkinga zokubuka. Futhi le nto ihambisana nokuqina kwegazi, iba nzima ngokwedlule ukuthi idlule emithanjeni emincane.
5. Ukugoqeka kwemisipha. Ama-Nutrients awakwazi ukungena ngokugcwele kwezicubu, futhi izicubu zisabela ngalesi sifo esivumayo.
6. Migraines kanye nekhanda lamandla ahlukahlukene. Ukulimazeka emikhunjini emincane kuholela ekuphazamisekeni kwegazi.
7. I-ovary yePolycystic. Ukugula okunjalo kohlelo lokuzala kwabesifazane kuvame ukuba uphawu lwesifo se-prediabetes, ngakho-ke, abesifazane abanesifo sokuxilonga esifanayo kudingeka bahlole igazi ngoshukela.

Izimpawu akudingeki zivele konke ngasikhathi sinye. Kwesinye isikhathi azikhulunyelwa kangako ukuthi umuntu wethuke kakhulu. Futhi umkhawulo wokuqonda, ubuhlungu nokungahambi kahle uhlukile kuwo wonke umuntu. Ngakho-ke, kubaluleke kakhulu ukuthi uhlolwe minyaka yonke ngaphandle kokulinda isizathu sokubona udokotela.

Okufanele ukwenze uma kutholakala isifo sangaphambi kwesifo sikashukela

Uma konke ukuhlolwa sekuphothuliwe futhi kwenziwa kabili, isiguli kufanele size kudokotela wobugqirha we-endocrin ezobonisana. Uzonikeza i-prognosis eqondile yokwelashwa kwe-prediabetes, nakanjani uzohambisana naye nezincomo. Futhi uma isiguli sibalalela, khona-ke ubungozi bokukhula kwe-pathology buzoncishiswa.

Ngokuqondene nezenzo zezidakamizwa, aziyona uphawu lwe-prediabetes. Ukuhlelwa ngokwejwayelekile kokudla okunempilo, ukusebenza ngokomzimba okulinganiselayo, ukulungiswa kwesisindo - lezi yizinsika ezintathu, futhi ukuvimbela ushukela kususelwa kuzo. Ngokuvamile lokhu kwanele ukuze ukuxilongwa okukhohlisayo kungesabisi ithemba lokuthuthuka kwayo.

Ngaphezu kwalokho, ukuhlolwa okwenziwe ososayensi abavela e-United States kwabonisa:

1. Imithi, njengendlela eyinqayizivele yokuvikela isifo sikashukela, inciphisa ubungozi bokuyiqhakambisa ngama-31%;
2. Ukulungiswa kokudla okunempilo, ukwanda kokuzivocavoca ngokomzimba ngokwejwayelekile kwesisindo kunciphisa amathuba okukhulisa ushukela ngo-58%.

Ukudla sikashukela

Into yokuqala i-endocrinologist ebeka kuyo ukugcizelela. Kusukela ngesikhathi sokutholwa kwe-prediabetes, kufanele kube ukwelashwa. Abanye abantu besaba le ncazelo uqobo kanye nethemba lokudla ukudla okumnandi okusha okumnandi impilo yabo yonke. Kepha lokhu, ngokweqiniso, kuwubandlululo olukhulu.

Ukudla okwenziwe umtholampilo kungaba yinto emnandi, omunye umbuzo ukuthi umuntu akafuni ukulahlekelwa yimikhuba yakhe yokudla edlule, kude nezinkinga zezempilo.

Yini imigomo yokudla okufanele ezigulini ezine-prediabetes:

1. Ukushintshwa ngokwejwayelekile kwamanani eglucose ngaphambi nangemva kokudla;
2. Ukushintshwa ngokwejwayelekile kwamanani we-insulin ngaphambi nangemva kokudla;
3. Izinyathelo zokunciphisa isisindo;
4. Ukuhlelwa ngokweqile kwengcindezi yegazi;
5. Ukuqedwa kwezinkinga ezinobumnene (uma kukhona sekuvele), ukuvikela kakhulu.

Iqembu ngalinye lomkhiqizo linendlela yalo. Iziguli eziningi ziyamangala ukuthi izincomo ze-endocrinologist zihluke kakhulu emihlanganweni yakhe ngokudla komuntu onamazinga aphezulu kashukela.

Le mikhiqizo ingeza umthwalo we-pancreas, ngokuyiphoqa ukuthi isebenze ngokungaphezu kwamandla ayo, futhi, njengoba ukhumbula, yi-pancreas ebhekele ukukhiqizwa kwe-insulin yemvelo.

Ngokukhethekile, i-prediabetes ibonakala ngokugcinwa kwe-insulin secretion (kwesinye isikhathi ukufihla kubuye kube ngokweqile), kepha imikhiqizo ene-GI ephezulu ikhuthaza ukukhishwa kwe-hormone. Ngenxa yalokhu, ukumelana ne-insulin kukhuphuka, isisindo somuntu siyakhula, futhi i-prognosis yokululama ayisavunyelwa kangako.

Yini ongayidla nge-prediabetes

Ungadla imifino, kepha hhayi yonke. Yidla okutshala ebusweni bomhlaba - iklabishi, ubhontshisi, isitshalo seqanda. Ungadla imifino ekhula ngaphansi komhlaba, kepha eluhlaza kuphela (ama-radives nama-turnips). Kepha i-yam, amazambane kanye ne-beets ayifakwa ngaphandle noma kufakwe kwimenyu kancane ngangokunokwenzeka.

Imikhiqizo yobisi olu-Sour ingadliwa, kepha hhayi ngaphezulu kwe-150 ngosuku. Ungaphuzi ubisi! Ungadla ushizi wekhishi no-ukhilimu omuncu, ngaphezu kwalokho, kwanoma yikuphi okuqukethwe kwamafutha. Zizwe ukhululekile ukudla imifino kanye namasaladi, vele ubuke ikhwalithi yale mikhiqizo. Ama-Avocados, amaplamu, ama-aphula kanye namapheya (kodwa hhayi ngaphezulu kwe-100 g ngosuku) nawo azosebenza.

Imininingwane ebaluleke kakhulu yamafutha:

• Ushizi, ukhilimu omuncu kanye noshizi we-cottagein onokuqukethwe okungokwemvelo kwamafutha akuvunyelwe;
• Amafutha omnqumo, ukhilimu kanye kakhukhunathi;
• Kufanelekile ukulahla i-sunflower, i-rapeseeded kanye namafutha ommbila;
• Ungadla amaqanda ungabi ngaphezu kwezicucu ezi-3 ngosuku;
• Amafutha wezilwane nezinqolobane azenqatshelwe (kepha ngaphandle kokuhlukunyezwa);
• Inyama, noma yiziphi izinhlanzi nanoma iyiphi inyoni akuzona izinhlobo zamafutha aphansi kuphela (yize zithandwa).

Manje ososayensi bathembisa ukuthi ukuthanda abantu ngokweqile akufanele kube kubi ngokudla kwezilwane. Amafutha enyama nawezilwane anokuqukethwe kwamafutha emvelo akunangozi uma umuntu ekwazi ukungena kahle le mikhiqizo kumenyu. Okusho ukuthi, uma inyama nsuku zonke ekudleni, futhi ngisho nasezitsheni eziningana, akukho lutho oluhle lapha. Kodwa ukwenqaba inyama ebomvu efanayo akukufanele. Yidla ngendlela yokuthi uzizwe ugcwele, kepha ungazidli ngokweqile.

Omunye umbuzo ukuthi ungapheka kanjani. Usawoti - omncane ngangokunokwenzeka, othosiwe, onephunga nokubhema - ususe ekudleni. Pheka, isitshulu, bhaka, zama izindlela ezintsha ezinempilo futhi ufunde ukujabulela ukunambitheka kokudla okuphekwe kahle.

Kungani kubaluleke kakhulu kwi-prediabetes ukuthi ungayeki amaprotheni

Amaprotheni abekhona, futhi, ngokusobala, azosala eyinto yokuqala yokwakha odongeni lweseli. Izinto ezisebenza ngokusebenza kanye namahomoni futhi, ingxenye enkulu, aqukethe amaprotheni. Futhi udinga amaprotheni njalo, ngoba nsuku zonke umzimba uthola izinqubo zokuvuselela umzimba.

Ngaphandle kwamaprotheni, akunakwenzeka ukuthi ucabange ukudla okunempilo nokufanele. Ngabe ivelaphi le nto ebalulekile? Luhlobo luni lokudla oluqukethe?

Imikhiqizo yamaphrotheni:

• Ukudla kwasolwandle;
• Inyama, inkukhu nenhlanzi (noma yikuphi);
• Imbewu namantongomane (ngemikhawulo ecacile);
• Ufulawa we-Walnut;
• Amaqanda
• I-curd.

Abantu bathambekele kwi-hypochondria, bafunda nge-prediabetes, bahlala ekudleni okuqinile nokungenanjongo. Badla inkukhu ebilisiwe kuphela, isobho zemifino kanye namaqabunga esaladi. Vele, ukudla okunjalo akunakubizwa ngokuthi ukwahluka noma ukuqeda.

Isikhathi sokuqala sinzima: udinga ukwenza imenyu yokulinganiselwa yesonto, izinhlobo ezintathu (ukuze zinamathele ekushintshanisweni), emva kwalokho ukudla sekuyinto ejwayelekile, izinqubo ezizenzakalelayo ziyavuselelwa. Isinyathelo esifanele ukuya kudokotela onempilo, uchwepheshe, azi ngokuxilongwa kwakho, uzokwenza imenyu elungile ngempela.

Ukuzivocavoca ku-prediabetes

Ukungezelela ukusebenza komzimba kungenye isincomo sezokwelapha esiyimpoqo. Ukondleka okufanele + ukulwa nokungasebenzi komzimba nakanjani kuzosebenza.

Ungaqala ngokuhamba okusebenzayo. Hamba ngaphezulu, uhambe ngejubane elisheshayo. Ungenzi izaba zakho, izinyathelo ezinjalo ziyadingeka nephuzu. Kancane kancane khulisa umthwalo. Namuhla, ngisho nalabo abangenalo ithuba lokuya ekuzivocavoca noma ejimini, bangafaka amakilasi okuqeqesha kwi-Intanethi, futhi bahlele ukusebenza okugcwele egunjini elinomoya omuhle.

Khumbula ukuthi ngesikhathi sokuzivocavoca, futhi ekugcineni kokuzivocavoca, ushukela uphenduka umthombo wamandla. Amathishu akhulisa ukuthambekela kwawo kwe-insulin, futhi ubungozi besifo sikashukela ngokwemvelo buncipha.

I-algorithm ilula: uma izinga kashukela wegazi lifinyelela ku-10, qiniseka ukuthi uphinde uphinde uhlaziye. Bese uvakashela i-endocrinologist, uhlolwe ezinye izivivinyo, futhi uchwepheshe uzokunikeza imiyalo ngayinye ngokuya ngemiphumela yabo.

Isifo sikashukela simane siyisixwayiso, isimo esiguqukayo nesinomthelela omuhle kanye nesibopho esikhulu sesiguli uqobo.

Ividiyo - Okufanele ukwenze uma kutholakala ukuthi kutholakala isifo sikashukela.