Iminyaka “yamashumi amahlanu futhi” yishukela esivame kakhulu kwabesifazane. Kodwa-ke, iningi lamantombazane alazi nakancane ngokuthuthuka kwesifo esinamandla.
Inkohliso yayo ukuthi kusukela ekuqaleni cishe icishe ibe yi-asymptomatic. Noma ngabe isifo sikashukela siyabonakala, abesifazane bavame ukuthi lezi zimpawu kwezinye izifo.
Ngeshwa, lapho lesi sifo sitholwa, isifo siziveza ngezwi eligcwele, nomphumela waso owonakalisayo emzimbeni usobala. Ngakho-ke, kubaluleke kakhulu ukwazi izimpawu zesifo sikashukela kwabesifazane ngemuva kweminyaka engama-50 nezindlela zokulwa nakho.
Izici zobungozi:
- ukuba khona kwezihlobo ezinesifo sikashukela;
- ukukhuluphala (njengenketho - ukukhuluphala ngokweqile);
- ukwelashwa isikhathi eside;
- ukungasebenzi ngokomzimba;
- ukungazinzi, ukucindezelwa njalo.
Ngayinye yalezi zici yandisa ubungozi bokuthola lesi sifo (futhi kungahle kube nenhlanganisela yazo eziningana).
Izimpawu zokuqala zesifo sikashukela kwabesifazane ngemuva kweminyaka engama-50-60
Cabanga ngezimpawu zokuqala zesifo sikashukela, ezikwenza uzwakale u-alamu.
Ubuthakathaka obuqhubekayo
Isizathu sokulimazeka komthamo osebenzayo, i-malaise nobuthakathaka ukuthi i-glucose ayinangeni kumaseli ngenani elifanele.
Umzimba uncishiswa indawo ebalulekile yokugcina amandla ukuze kulondolozwe izinga elijwayelekile zonke izinqubo ezihambisana nokuphila.
Ukuqina kwegazi kuholela eqinisweni lokuthi i-oxygenation yezitho nezicubu iyawohloka. Ingqondo iyathinteka ikakhulukazi. Uma kungekho zinyathelo ezanele zokwelapha, i-hypoxia iyabonakala. Esimweni esingesihle, lokhu kugcwele imivimbo ye-ischemic.
Ukulahleka okuyingxenye noma, ngakolunye uhlangothi, izinhlungu emilenzeni, umuzwa wokuba buthakathaka kwemisipha kungaba yizimpawu zokuphazamiseka kwesifo sikashukela okufana ne-neuropathy, izilonda ze-vascular, noma unyawo lwesifo sikashukela. Konke lokhu, kuhlanganiswe nokuwohloka kokuhlinzekelwa kwegazi ezicutshini, kuholela ekubonakaleni kwezilonda zezimpawu zethempeli kanye nokulimala kwemilenze.
Esinye isizathu sokuqubuka njalo komzimba ukusebenza kwezinso. Ngokufa kwe-glomeruli, igazi lihlanzwa kubi. Lokhu kuvusa indlala komoya-mpilo ezingeni lamaselula. Ngesikhathi esifanayo, inqubo ye-hematopoiesis ngokwayo iyahlupheka.
Ukomela ngemuva kokudla
Owesifazane uzizwa ukukhathala okuxakile ngemuva kokudla. Lokhu kungenxa yokuthi ushukela ongena emzimbeni kanye nokudla awuphuliwe yi-insulin.
Ukuhlushwa ushukela kuyanda. Lokhu kuchaza imizwa yokukhathala.
Ngemuva kwesikhashana, le nto iba engalapheki. Kamuva, lokhu kuholela ekujuleni kwenkumbulo nasekubuyeni kwengqondo.
Ukoma okukhulu
Umlomo owomile futhi ongathandeki kungenye yezindlela zokubonisa zombili izinhlobo zesifo sikashukela.
Ngenxa yokuchama kaningi, umzimba ulahlekelwa uketshezi futhi uphoqelelwa njalo ukunxephezela ukulahlekelwa. Ebantwini abaphilile, ukoma kubangelwa yinala yokudla okunosawoti noma ukungasebenzi kahle kwesikhashana emzimbeni.
Ngo sikashukela, le ndaba iba ehlelekile. Inani loketshezi oludakayo phakathi nosuku lufika kumalitha ayi-5.
Umfutho wegazi ophakeme
Inkomba yegazi likashukela “igxuma” ngenxa yezizathu ezilandelayo:
- ukumunwa okungalawulwa kwemikhiqizo eyingozi. Ukwanda kokuhlushwa kwe-cholesterol "embi" esegazini kunomthelela ekugqasheni okuyingxenye kwe-lumen ye-vascular. Umphumela walokhu ukwanda kwezinga lomfutho wegazi;
- onesifo sikashukela, igazi liyabonakala kakhulu kunokujwayelekile. Lokhu kuwuphawu lokuthi udinga ukushintsha ukudla futhi usebenze ukuze uthuthukise isimo somzimba.
Isisindo eszuzayo
Abesifazane abathambekele ekutholeni amakhilogremu angeziwe mhlawumbe yibo abayingozi kakhulu kusifo sikashukela.
Okunye ukubonakaliswa kwesifo sikashukela eminyakeni engama-50 noma ngaphezulu isifiso esibi sokungalawuleki. Ngaphezu kwalokho, ukhangwa ukuthi adle okumnandi, kepha ngasikhathi sinye, ukudla okungenamsoco nosawoti omningi, ushukela kanye namafutha.
Lokhu kungenxa yokungasebenzi kahle kwe-carbohydrate metabolism. Ngisho nangemva kwesidlo sakusihlwa esimnandi, ngokusobala indlala iyazizwa. Yilezi zinto ezivuselela inkanuko futhi zilimaze ukusebenza kwamanyikwe. Ngenxa yokudla okungalinganiseli, kukhona ukwanda ushukela wegazi.
Kuba nzima ngokwengeziwe ukuthi umzimba uwulahle. Isibonakaliso esesabisa kakhulu ukuvela kwamafutha "lifebuoys" esiswini. Lesi isibonakaliso esithile sokuthi ilahlekelwa umuzwa we-insulin.
Ezinye izibonakaliso zesifo sikashukela
Ezinye izinkomba zesifo sikashukela zifaka:
- ukuchama okwenzeka njalo;
- isethi ebukhali, futhi kwesinye isikhathi - ukulahleka okusheshayo kwesisindo somzimba;
- ukwelashwa kwesilonda isikhathi eside;
- Izinkinga zokubuka;
- ukulala okuthuthuka, ubungozi bokucindezeleka;
- ikhanda
- ukungaphatheki kahle, ukwesaba ngaphandle kwesizathu esibonakalayo;
- ukushuba kwemilenze;
- ukonakala komlomo (izinsini ukopha, ukuzilimaza kwamazinyo);
- izifo ezithathelanayo zowesifazane;
- Izinkinga ngempilo yezocansi;
- ukulunywa ngofuzo.
Izimpawu zokugula kwabesifazane ngemuva kweminyaka engamashumi amahlanu, kuya ngohlobo
Izimpawu zesifo sikashukela sezinhlobo ezahlukahlukene zihlukile kancane.
Uhlobo olu-1
Uhlobo 1 sikashukela luvela ebusheni. Ukugcina ukugcwala okujwayelekile kwe-glucose kwenziwa kusetshenziswa imijovo ye-insulin. I-pancreas ayihlanganisi i-insulin noma, njengenketho, imfihlo yayo ayanele.
Lesi sifo sikhonjiswa yizimpawu ezilandelayo:
- ukunciphisa umzimba ngokushesha;
- umuzwa wokoma, ukoma ukoma kwesikhumba kanye nezicubu zomzimba;
- ikhanda
- isicanucanu, ukuhlanza
- ukungakhululeki enhliziyweni;
- imilenze emincane;
- ukuphazamiseka kokulala, ukungaphatheki kahle okungenasizathu, ukuthambekela kokudangala;
- Izinkinga zokubuka;
- isimo esibi sesikhumba.
2 uhlobo
Ngokungafani nesifo sikashukela sohlobo loku-1, isifo sikashukela esisezingeni lesibili sikhula ngokuhlukile: ukugcinwa kwe-insulin kungaba yinto evamile. Inkinga enkulu ukuthi umuzwa womzimba kuyo uyancipha. Ngakho-ke, akukho ukusilela ngokuphelele kwe-insulin, kodwa isihlobo.
Lesi sifo sikhonjiswa yizimpawu ezinjalo:
- ukungatheleleki komzimba, ukubanda okuvame kakhulu kunangaphambili;
- inzuzo yesisindo, "muhle kakhulu" isifiso sokudla;
- izimpawu zangaphandle zokungalingani kwe-hormonal (ukubukeka "amadevu" kanye "nentshebe");
- ukukhula okuphuzi (i-xanthomas) ebusweni besikhumba;
- ukozela (ikakhulukazi ngemuva kokudla);
- umfutho wegazi ophakeme
- izilonda zesikhumba ezingahambi kahle;
- ukungaboni kahle
- ukulahleka okuyingxenye kwemizwa emilenzeni.
Ukuhlolwa ushukela wegazi nezinye izindlela zokuxilonga
Iqiniso lokuthi umuntu wesifazane uyagula unesifo sikashukela lifakazelwa ukugcotshwa kwe-glucose esheshayo, elinganiswe egazini le-capillary, ngaphezulu kuka-6.5 mmol / L. Emchameni wabantu abaphilile, i-glucose ayikho ngoba igcinwa ngezihlungi ze-renal.
Ngokukhuphuka kokuhlushwa ushukela okungaphezu kuka-9-10 mmol / l, izithiyo zezinso azikwazi ukubekezelela. Lokhu kuchaza ukukhonjwa kwayo ekuhlaziyeni komchamo. Ukunquma ushukela emchameni, kukhona imichilo yenkomba ekhethekile.
Ukuxilongwa kwesifo sikashukela kubandakanya:
- isivivinyo sikashukela esisheshayo (ukuhlolwa kwegazi kwe-capillary);
- ukuhlaziya ushukela kanye nama-ketones emchameni. Ukuba khona kwabo kukhombisa isifo sikashukela esingakhokhelwa;
- Ukuhlaziywa kwe-glycosylated hemoglobin. Esikhathini sikashukela, le nkomba inyuka kakhulu;
- Ukuhlaziywa kwe-insulin ne-C-peptide. Kuhlobo lwesifo sikashukela sohlobo 2, ahlala engaguquki, kuhlobo 1 sikashukela, ancishiswa kakhulu;
- ukuhlolwa kwengcindezi. Ngaphezu kwe-glucose esheshayo, le nkomba inqunywa amahora ama-2 ngemuva kokufakwa kwesisombululo sokulayisha (1.5 g wamanzi, 75 g ushukela). Ubukhulu obubi yi-6.6 no-11.1 mmol / L esiswini esingenalutho nangemva kokulayisha ushukela, ngokulandelana.
Izici zokwelapha
Ukwelashwa kufanele kuqalwe ngokushesha ngemuva kokuthi kutholakale isifo. Isifo sikashukela asikwazi ukwelashwa, kepha ukuhambisana nayo yonke imiyalo kadokotela kungathuthukisa ikhwalithi yempilo. Izindlela ezikhethekile zokwelapha zinqunywa uchwepheshe.
Kwabanye, kwanele ukulandela indlela yokudla nokubheka amazinga kashukela egazini ledivaysi, abanye banikezwa izidakamizwa ezinciphisa ushukela, kanti abanye badinga imijovo ye-insulin ejwayelekile.
Iphuzu elibalulekile labesifazane ngemuva kweminyaka engama-50-55 ukuvikela "isifo sikashukela":
- uma udla okulungile futhi okulinganayo, khona-ke ngeke kube khona ukwanda ushukela;
- ukudla okondlayo, inani lokudla ngosuku - kusuka ku-4 kuye ku-5;
- awukwazi ukwenza ngaphandle kwesinkwa? Nikeza ukukhetha kuhlobo lwayo lwama-rye ne-bran. Zama ukuqeda ngokuphelele imikhiqizo eseqediwe kanye nemikhiqizo enezithako zamakhemikhali ekudleni;
- ikhofi, utshwala, ugwayi - uvinjelwe;
- ukuvivinya umzimba okujwayelekile kunomphumela omuhle empilweni. Ikakhulu, ukuvivinya umzimba ngokuzivocavoca komzimba kufaka isandla ku-normalization okusheshayo yezinqubo ze-metabolic kanye nokunciphisa umzimba;
- Isimo sengqondo esihle kanye nethemba, njengoba umkhuba ukhombisa, ukuvikela okungcono kakhulu kwezinkinga eziningi zezempilo, kufaka phakathi isifo sikashukela.
Amavidiyo ahlobene
Mayelana nezimpawu eziphambili zesifo sikashukela kwabesifazane abakuvidiyo:
Ukwelashwa okufanele, okujwayelekile futhi okucatshangwayo kusiza ukugwema ukubola kwesifo kanye nezinkinga. Noma ikuphi ukuwohloka kwenhlalakahle kufanele kushaqise! Landela lezi zincomo futhi uphile!
