Ukuxilongwa nokwelashwa isifo sikashukela sohlobo 2

Uhlobo 2 lwesifo sikashukela i-mellitus (esingathembeleli ku-insulin) yisifo esibonakala ngokukhiqizwa kwe-carbohydrate engaphazamiseki emzimbeni. Esimweni esijwayelekile, umzimba womuntu ukhiqiza i-insulin (ihomoni), ephenya ushukela emangqamuzaneni omzimba wezicubu zomzimba.

Ku-mellitus yesifo sikashukela enganciki i-insulin, la maseli akhishwa ngokwengeziwe, kepha i-insulin ayinikezi amandla ngendlela efanele. Kulokhu, i-pancreas iqala ukuyikhiqiza ngokuziphindisela. Ukukhuphuka okuthe xaxa kudambisa amaseli omzimba, ushukela osele uqongelela egazini, ukhula ube uphawu oluphambili lwesifo sikashukela sohlobo 2 - i-hyperglycemia.

Izimbangela zokwenzeka

Izimbangela ezingalingani zesifo sikashukela sohlobo 2 azikasungulwa. Ososayensi bakufakazele ukuthi lesi sifo sivame kakhulu kwabesifazane nasebusheni ngesikhathi sokuthomba. Abamele umjaho wase-Afrika waseMelika bavame ukugula.

Thayipha isifo sikashukela esingu-2 ku-40% wamacala ayisifo esifuze njengefa. Iziguli zivame ukuqaphela ukuthi umkhaya wakubo uqobo uhlushwa isifo esifanayo. Ngaphezu kwalokho, thayipha isifo sikashukela esingu-2, kanye nefa, kungadala indlela yokuphila engajwayelekile, kanye nomthelela ongemuhle kwezemvelo.

Ngakho-ke, izimbangela zesifo sikashukela sohlobo 2 yilezi:

1. Ukukhuluphala ngokweqile
2. Ubuhlanga;
3. Indlela yokuphila;
4. Ukudla;
5. Imikhuba emibi;
6. Umfutho wegazi ophezulu we-Arterial.

Ukukhuluphala ngokweqile, ikakhulukazi i-visceral, lapho amaseli wamafutha etholakala ngokuqondile emgodini wesisu futhi amboze zonke izitho zomzimba. Ezimweni ezingama-90%, izimpawu zohlobo 2 lwesifo sikashukela zivela kubantu abakhuluphele. Imvamisa lezi yiziguli ezinesisindo eseqile ngenxa yokungondleki kanye nokusetshenziswa kokudla okungenamsoco.

Ubuhlanga kungenye imbangela yesifo sikashukela sohlobo 2. Isibonakaliso esinjalo sikhonjiswa kakhulu lapho indlela yendabuko yokuphila iguquka iye ngqo. Uhlobo 2 sikashukela kanye nokukhuluphala kubangela impilo yokuhlala, ukungabikho kwanoma yimuphi umsebenzi womzimba nokuhlala njalo endaweni eyodwa.

I-mellitus yesifo sikashukela enganciki i-insulin nayo ivela ngenxa yezimpawu zokudla okuthile (ngokwesibonelo, ezemidlalo noma zezemidlalo). Lokhu kwenzeka lapho kudliwa inani elikhulu lama-carbohydrate, kepha kunokuqukethwe okuncane kwe-fiber emzimbeni.

Imikhuba emibi yizizathu ezinhle zesifo sikashukela sohlobo 2. I-Alcohol ilimaza izicubu ze-pancreatic, inciphisa imfihlo ye-insulin futhi ikhulisa ukuzwela kwayo. Lesi sitho kubantu abahlaselwe lo mkhuba sikhuliswa kakhulu, namaseli akhethekile anesibopho sokwenza i-insulin ngokuphelele i-atrophy. Kuyaphawuleka ukuthi ukuphuza utshwala obuncane ngosuku (48 g) kunciphisa ubungozi besifo.

Uhlobo lwesifo sikashukela sohlobo 2 luvame ukuvela kanye nenye inkinga - umfutho wegazi ophakeme. Lesi yisifo esingalapheki kubantu abadala, esihambisana nokwenyuka isikhathi eside komfutho wegazi. Kaningi, izimbangela zesifo sikashukela kanye nomfutho wegazi ophezulu ziyefana.

Izimpawu zokugula

Izimpawu zohlobo 2 lwesifo sikashukela zifihlwe isikhathi eside, kanti ukuxilongwa kaningi kunqunywa ngokuhlaziywa kwe-glycemia. Isibonelo, ngesikhathi sokuhlolwa kwezokwelapha ngezikhathi ezithile. Uma kusungulwe isifo sikashukela sohlobo 2, izimpawu zingavela ikakhulu kubantu abadala abangaphezu kweminyaka engama-40, kodwa noma kunjalo labo abagulayo abakhalazi ngokukhathala okungazelelwe, ukoma, noma i-polyuria (ukwanda kokuchama).

Izimpawu ezihlaba umxhwele kakhulu zesifo sikashukela sohlobo 2 ukulunywa kwanoma iyiphi ingxenye yesikhumba noma yendawo yesitho sangasese.Kepha lolu phawu luvame kakhulu, ngakho-ke ezimweni eziningi, iziguli zithanda ukufuna usizo lukadokotela wamazinyo noma i-gynecologist, zingasoli ngisho nokuthi zinazo izimpawu zesifo sikashukela sohlobo 2.

Kusukela ekuqaleni kokubonakaliswa kwalesi sifo ekuxilongeni ngokunembile, kuvame ukuthatha iminyaka eminingi, ngalesi sikhathi, iziguli eziningi ezinezimpawu zohlobo 2 sikashukela sezivele zithola isithombe somtholampilo sezinkinga ezenzeka sekwephuzile.

Lesi sifo sikhula ngezigaba eziningana futhi kunezinhlobo eziningana zobulukhuni:

1. Iziqu zobumnene. Imvamisa itholakala ngokuhlolwa kwezokwelapha okufanelekile futhi okuphelele. Izimpawu zesifo sikashukela sohlobo 2 ngeke zizwakale ngokuphathwa okufanele. Ukwelashwa kuzobandakanya ukulandela indlela elula yokudla, kanye nokuthatha i-1 capsule ye-hypoglycemic.
2. I-Medium degree. Lapha, izimpawu zesifo sikashukela sohlobo 2 zingavela, kodwa ngaphandle kwezinkinga eziningi zomzimba. Kungenzeka ukuthuthukisa lesi simo ngokusebenzisa izidakamizwa ezimbalwa ezinciphisa ushukela ngosuku.
3. Iziqu ezikhulu. Izimpawu zesifo sikashukela sohlobo 2 ngaleli fomu zizoba nemiphumela ebucayi, kufaka phakathi ukulashwa esibhedlela esiphuthumayo kanye nokuhlinzwa ngaphandle kokuhlinzwa. Ngaphezu kokuthatha izidakamizwa ezinciphisa ushukela, kuyodingeka uguqukele kosizo lwe-insulin.

Isigaba 2 sikashukela mellitus:

• Isinxephezelo. Isiteji siguqulwa ngokuphelele futhi ngokuzayo isiguli sizolulama ngokuphelele, ngoba izimpawu zohlobo 2 lwesifo sikashukela aziveli lapha noma zibonakale kancane.
• Okuncishanisiwe. Kuzodingeka ukwelashwa okungathi sína, ezinye izinkomba zesifo sikashukela sohlobo 2 zingaba khona esigulini impilo yakhe yonke.
• Ukubuyiselwa. I-metabolism yama-carbohydrate emzimbeni iguqulwe ngokuphelele futhi iphazamisekile, akunakwenzeka ukubuyisela umzimba kwifomu lawo "lempilo" lasekuqaleni.

Ukuxilongwa kwalesi sifo

Ukuxilongwa kwe-mellitus yesifo sikashukela esingancikeli i-insulin ezimweni eziningi kususelwa ekutholakalweni kwesibonakaliso se-hyperemia (ushukela wegazi ophakeme) kanye nezimpawu ezijwayelekile zohlobo 2 sikashukela (ukukhuluphala okungenhla, ifa, njll.).

Uma lezi zimpawu zingatholakali ngasizathu simbe, ukuntuleka kwe-insulin ngokuphelele kungasungulwa ngaphandle kwalokho. Ngalo, isiguli sehlisa isisindo ngokumangalisayo, sizwa ukoma okungapheli, ukuthuthukiswa kwe-ketosis (ukuwohloka okusebenzayo kwamafutha okwandisa ukongiwa kwamandla ngenxa yokuqukethwe okuphansi kwama-carbohydrate emzimbeni).

Njengoba uhlobo lwe-2 yesifo sikashukela esijwayelekile ukuvame ukubangelwa isifo, ukuboniswa kwezifo kukhonjwa ukuvimbela ukwanda kwalesi sifo. Lokhu kuhlolwa kweziguli ngaphandle kwezimpawu zesifo sikashukela sohlobo 2.

Le nqubo yokunquma izinga le-glycemia yokuzila ukudla iboniswa kubantu abaneminyaka engaphezu kwengama-40 ubudala 1 isikhathi eminyakeni emi-3. Okuphuthumayo ikakhulukazi kulolu cwaningo ngabantu abaphila ngokweqile.

Iziguli ezisencane kufanele zihlolwe isifo sikashukela esinga-insulin ezimweni ezinjalo:

• Bakhuluphele ngokweqile;
• Phila impilo yokuhlala phansi;
• Unenkinga ye-hypertension ye-arterial;
• Izinga le-lipoprotein ephezulu ye-density (HDL) liphakeme kunelijwayelekile;
• Unesifo senhliziyo;
• Owesifazane wabeletha ingane enesisindo esingaphezu kwama-4 kg kanye / noma ehlushwa i-polycystic ovary syndrome (ukuphazamiseka okuhlukahlukene kokusebenza kwesibeletho).

Olunye uvivinyo ukuvivinya ushukela. Ngaphambi kwenqubo, ogulayo kufanele adle ukudla okungama-200 g okuqukethe i-carbohydrate ngosuku izinsuku eziningana, futhi amanzi angenawo ushukela angadakwa ngamanani angenamkhawulo. Imvamisa, ukubalwa kwegazi likashukela kuzodlula ku-7.8 mmol / L.

Ukuxilongwa okuyikho amahora 10 ngemuva kokudla kokugcina, kwenziwa ukuhlolwa. Kulokhu, igazi lingathathwa kuwo womunwe nangomhlambo. Ngemuva kwalokho isifundo sisebenzisa ikhambi le-glucose ekhethekile bese sinikela ngegazi izikhathi ezi-4: emva kwengxenye yehora, ihora eli-1, amahora angama-1.5 kanye nama-2.

Ngokwengeziwe, ukuhlolwa komchamo ushukela kunganikezwa. Ukuxilongwa lokhu akulungile ngokuphelele, ngoba ushukela emchameni ungavela ngenxa yezinye izizathu eziningi ezinghlobene nesifo sikashukela (uhlobo 2).

Ukwelashwa kwezifo

Ungaselapha kanjani isifo sikashukela sohlobo 2? Ukwelashwa kuzoba okuphelele. Abantu abatholakala benokukhuluphala bazokwabelwa ukudla kuqala. Umgomo wakhe kuhloswe ngawo ukunciphisa umzimba ngokuncipha ngokulondolozwa kwawo. Ukudla okunjalo kubekelwe isiguli ngasinye esinale nkinga, ngisho nalabo abangatholakalanga ukuthi banesifo sikashukela sohlobo 2.

Ukwakheka kwemikhiqizo kuzokhethwa ngudokotela ohambelayo. Imvamisa, ukungena nsukuzonke amakhalori kuzoncishiswa kube yi-1000-1200 kilojoule kwabesifazane noma ku-1200-1600 emadodeni. Isilinganiso se-BJU (amaprotheni-fat-carbohydrate) kuhlobo lwe-2 mellitus yesifo sikashukela sifana nesokuqala: 10-35% -5- 35%%%.

Isifo sikashukela sohlobo 2 sizokwelashwa ngokwenyusa ukusebenza komzimba. Udinga ukuqala ngokuzivocavoca i-aerobic njengokubhukuda noma ukuhamba njalo isigamu sehora izikhathi ezingama-3-5 ngosuku. Ngokuhamba kwesikhathi, umthwalo kufanele ukhuphuke, ngaphezu kwalokho, ungaqala amanye ama-mazoezi ejimini.

Ngaphezu kwesisindo esisheshayo, ukwelashwa kwenhlobo yesifo sikashukela sohlobo 2 ngokusebenza ngokomzimba kuzobandakanya ukwehla kokumelana ne-insulin (ukwehla kokuphendula kwezicubu kuma-insulin) ngenxa yokwanda kwemoto.

Ukwelashwa kwesifo sikashukela sohlobo 2 kuzobandakanya ukuthatha imishanguzo eyehlisa ushukela wegazi.

Izidakamizwa ze-antidiabetic zihlukaniswe izinhlobo eziningi:

1. Izinzwa;
2. Ukulungiselela kweSulfonylurea iglinides. Khulisa ukuvikelwa kwe-insulin ngenxa yokuchayeka kumaseli e-beta;
3. Izidakamizwa ezinciphisa ukuthathwa koshukela (i-acarbose ne-gar gum). I-Acarbose ivimba i-alpha-glycosidases emathunjini amancane, inciphisa ukumuncwa kwama-carbohydrate, isiza ukukhuthaza i-glucose esibindini;
4. Insulin

Ama-Sensitizer (metamorphine ne thiazolidinedione) ekwelapheni isifo sikashukela sohlobo 2 anqunyelwe ukunciphisa umuzwa womzimba we-insulin. I-Metamorphine inciphisa ukukhiqizwa kwe-glucose yisibindi. Ukwamkelwa kwenziwa ngomlomo ngesikhathi sokudla, futhi umthamo uzonikezwa udokotela oholayo. Ama-Thiazolidinediones ahlose ukuthuthukisa isenzo se-insulin, abhubhisa i-glucose kwezicubu zethambo.

Imijovo ye-insulin ibekelwe kuphela izigaba ezithuthukile zalesi sifo, lapho ukudla, ukusebenza ngokomzimba kanye nemithi yokulwa nesifo sikashukela kungasakwazi ukufeza umsebenzi wazo noma kungekho miphumela evela ekwelashweni kwangaphambilini.

Kusha ekwelashweni

Ngaphezu kwezindlela zendabuko zokwelapha isifo sikashukela sohlobo 2, kukhona ezinye izinto eziningi ezitholwe ososayensi. Iningi labo alikabukeli ukusebenza kwabo, futhi ngenxa yalokho bakhethwa ukuthi basebenziswe ngokuqapha.

I-Fibre izonikeza usizo olwengeziwe kulabo abanciphisa isisindo ekwelapheni isifo sikashukela sohlobo 2. Ukuphatha i-cellulose yesitshalo emgogodleni wayo, izosusa ngokushesha izinto ezinobungozi kanye nobuthi emzimbeni, futhi imunze amanzi ngokweqile. Ngaphezu kwalokho, ukwanda esiswini, i-fiber ibangela umuzwa wokugcwala kanye nesisu esigcwele, esizovumela umuntu ukuthi agcotshwe kaningi ngokushesha futhi angazizwa elambile.

Inketho esebenzayo (kepha kuphela njengendlela yokuvimbela kanye nokuvuselela) yazo zonke izindlela zesimanje zokwelapha isifo sikashukela sohlobo 2 yindlela yeBuraev, ebizwa nangokuthi "umuthi we-herbal." Kwenziwe ngokuvivinya eqenjini lamavolontiya ngo-2010 eSredneuralsk. Isilinganiso sobudala seziguli yiminyaka engama-45-60, inkambo yokwelashwa iyizinsuku ezingama-21.

Zonke izinsuku, abantu babedla imikhiqizo yezilwane nemifino. Phakathi kwezithako bekukhona imikhiqizo engakajwayelekile: amagxolo e-aspen, amafutha e-bear, i-propolis, i-fir oil nejusi le-berry. Yonke le mikhiqizo yayisetshenziswa ngokuhambisana nokudla okuchaziwe No. 9 no 7. Ngaphezu kwalokho, bonke ababambe iqhaza kulolu vivinyo bahlolwa nsuku zonke ngodokotela kanye nezivivinyo eziningi zelebhu.

Muva nje, indlela entsha yokwelapha amaseli we-stem ibalulekile. Isiguli esikhungweni esikhethekile ngaphambi kokuhlinzwa sithathe inani elifanele lezinto zokuphila lapho kukhethwa udokotela oya khona. Amaseli amasha akhula futhi asakazeka kuwo, angeniswa emzimbeni wesiguli kamuva.

Izinto ezibonakalayo ziqala ngokushesha ukuthungatha izicubu "ezingenalutho", kuthi ekugcineni kwenqubo zixazululwe lapho, zenze uhlobo "lwesichibi" esithweni esilimele. Ngale ndlela, hhayi kuphela ama-pancreas abuyiselwe, kepha nezinye izitho eziningi. Le ndlela yinhle kakhulu ngoba ayidingi mithi eyengeziwe.

Enye indlela entsha i-autohemotherapy. Inani elithile legazi likhishwa esigulini, lihlanganiswe nekhambi elihlukaniswe ngamakhemikhali bese liphola. Inqubo ihlala cishe izinyanga ezi-2 ngokuphatha umuthi wokugomela obilisiwe. Izilingo zisaqhubeka, kepha uma ukwelashwa okunjalo sekuqala ukusetshenziswa, kuzokwazi ukwelapha ngisho noshukela esigabeni esithuthuke kakhulu, kumise ukuthuthukiswa kwezinye izinkinga.

Ukuvikelwa kwezifo

Ukuze uvikele lokhu futhi uzivikele, udinga ukulandela imithetho embalwa elula:

• Gcina isisindo somzimba esijwayelekile;
• Vivinya umzimba njalo;
• Ukudla okufanele;
• Gcina inani loshukela egazini lingaphansi kwemingcele eyamukelekayo, kanye nokubheka njalo umfutho wegazi ne-cholesterol;
• Zinakekele ngokucophelela;
• Thatha imithamo emincane ye-aspirin;
• Isimo somzwelo esizinzile.

Kufanele uhlole njalo isisindo sakho. Lokhu kwenziwa kangcono kusetshenziswa itafula le-index mass body. Ngisho nokulahleka okuncane kwama kilogramu kuzonciphisa kakhulu isidingo sokwelashwa kwesifo sikashukela sohlobo 2. Ngokuvimbela, kungakuhle ukhethe umdlalo noma umsebenzi ozokwandisa izinga lokushaya kwenhliziyo.

Nsuku zonke, udinga ukuchitha isigamu sehora ezinhlobonhlobo zokuvivinya umzimba. Ochwepheshe babuye belulekwe ukuthi bafake izivivinyo zokuvivinya umzimba. Ukuzikhandla ejimini akudingekile, ngoba ukusebenza komzimba kungahlanganisa ukuhamba okujwayelekile, umsebenzi wasendlini noma engadini.

Kuyadingeka ukulandela ukudla okulinganiselayo, okuqeda ukusetshenziswa kwe-voluminous kokudla okunamafutha, utshwala, ufulawa kanye nama-sodas ashukela. Akudingekile ukushiya ngokuphelele le mikhiqizo; inani labo kufanele lincishiswe libe lincane. Ukudla okwenziwa njalo ngezingxenye ezincane kuzosiza ukugcina ushukela wegazi ojwayelekile.

Ukubhekisisa ikakhulukazi kufanele kukhokhwe emilenzeni yakho, ngoba yile ngxenye yomzimba ehlushwa kakhulu kusukela ekwelashweni okungafanele kwesifo sikashukela 2. Kuzoba wusizo ukwenza izivivinyo zamehlo ezivamile. Ukuthatha i-aspirin kuzonciphisa ingozi yokuhlaselwa yisifo senhliziyo, imivimbo kanye nezinhlobo ezahlukahlukene zesifo senhliziyo futhi, ngenxa yalokho, ukuthuthuka okuqhubekayo kwesifo sikashukela se degree yesibili. Qinisekisa ukuthi ukuxoxa nodokotela wakho kufanelekile yini.

Ososayensi kade baveza ubufakazi bokuthi ukucindezela, ukukhathazeka nokucindezela kuthinta ngqo imetabolism.Isimo somzimba kanye nokuxhuma ngokungazelelwe kwesisindo ngendlela eya ngokwanda noma ukwehla kuthinta kabi impilo yomuntu. Ngakho-ke, isimo sengqondo sokuthula ezinkingeni zokuphila kanye nesiyaluyalu kuzokuthinta nakanjani ukukhula kwesifo.

Izinkinga ngemuva kwesifo sikashukela

Uma isifo sikashukela sohlobo 2 singalashwa ngesikhathi, imiphumela yesifo ingaba mibi. Izinkinga ezinkulu:

• Isifo sikashukela sikashukela
• Ukuvuvukala;
• Izilonda.

Inketho yokuqala yenzeka ezigulini ezibhekene nengcindezi enkulu, uma zisesimweni sokuthokoza okungapheli. Ushukela wegazi ufinyelela ezingeni elibucayi, umphumela wokuphelelwa ngumzimba.

Ngaphambi kokwenza ukuxilongwa, bakhononda ngemizwa eyengeziwe yokoma kanye nokuchama okwengeziwe. Emaphathini angama-50%, lezo zimpawu zohlobo 2 sikashukela zibangela ukushaqeka, ukukhohlisa nokufa. Ekubonakalisweni kokuqala kwezimpawu (ikakhulukazi uma umuntu eyazi ukuthi utholakele), kufanele ubonane nodokotela ngokuphuthumayo ozokunikeza ukungeniswa kwezixazululo ezikhethekile kanye nokuphathwa okwengeziwe kwe-insulin.

Ngohlobo 2 sikashukela, imilenze ihlala ivuvukala ngenxa yokuthi imithambo yegazi ilimele nokuzwela kwezitho kunciphe. Izimpawu eziphambili iminjunju ebukhali nebucayi ebangelwa ukugqoka izicathulo ezingakhululeki noma ukutheleleka kwezinyawo noma ukusikwa okulula. Isiguli singazizwa sikhala ngokuthi “ama-goosebumps” esikhunjeni, imilenze yaso ivuvukele futhi ibomvu, futhi ukuklwebeka okuncane kuphulukisa kaningana. Imilenze ingaphuma.

Izilonda zikhula ikakhulukazi ezinyaweni, ezimweni ezingavamile, emilenzeni. Kuyaphawuleka ukuthi ukuvela kwenkinga enjalo kutholakala kuziguli ezinesifo sikashukela sohlobo 2 kuphela. Emabangeni okuqala, kubuhlungu obuncane kuphela obonakala endaweni ye-neoplasm, kodwa ngokuhamba kwesikhathi, isilonda sanda ngosayizi, i-plaque enamafomu angathandeki ngaphakathi.

Ngokulashwa okufanele futhi okufika ngesikhathi, ubomvu ushiya isilonda, isilonda siyapholisa kancane kancane. Uma inkinga inganakwa, isilonda siyofinyelela ithambo, singene ezicutshini zezitho. IGangrene ingakheka lapho. Ezimweni ezinjalo, ukungenelela kokuhlinzwa kuyadingeka, esimweni esithuthuke kakhulu - ukunqunyelwa okuphelele kwemilenze.