Isidumbu sowesifazane siphendula ngendlela ehlukile kwesifo esinjengalesi sikashukela.
Ngakho-ke, lapho izinkimbinkimbi zezimpawu ezihambisana nesifo sikashukela, zingahluka ezinye izici zabesifazane.
Uma unikezwe ukuthi ukuxilongwa kusenesikhathi kubaluleke kakhulu ekugcineni impilo yesiguli, udinga ukwazi - yiziphi izimpawu zesifo sikashukela ebulilini obulungile?
Ungasibona kanjani isifo sikashukela: izimpawu zokuqala kwabesifazane
Kuyaqapheleka ukuthi iningi lezimpawu zesifo kubantu besifazane nabesilisa azifani. Isiguli siqala ukuzizwa somile, sihambisana ne-polyuria - ukwanda kokuchama.
Esigulini esinesifo sikashukela, ukuhamba ebusuku ukuya endlini yangasese kuyinto ejwayelekile, ngokuvamile okungenani kabili ebusuku. Isifiso esandayo sokudla singakhula.
Ngokuya ngohlobo lwesifo, kokubili ukutholakala kwesisindo kungenzeka, futhi, ngakolunye uhlangothi, ukunciphisa isisindo esibonakalayo, noma kungaba nokudla okunempilo okuthuthukisiwe. Kukholelwa kakhulu ukuthi abantu besifazane kungenzeka ukuthi bathole isisindo ngoshukela omningi, kepha izifundo zokwelapha azikuqinisekisi lokhu.
Esigabeni esilandelayo sokukhula kwesifo, ukukhathala okusheshayo kuyavela, ukozela kungavela ngisho nokuphumula okwanele okwanele. Lokhu kungenxa yokuntuleka kwamandla emangqamuzaneni ngenxa yokungalingani kwe-insulin noma ngenxa yokwanda kokumelana ne-insulin.
Kulesi sigaba, i-episodic wastani i-hypoglycemia nayo ingavela - ukwehla kwamazinga kashukela.
Isibonakaliso esibonakalayo sesifo sikashukela sikhuphuka izithukuthuku.. Lesi sibonakaliso senzeka kwabesilisa nabesifazane, kepha esimweni sesibili sisobala kakhulu, ngoba umzimba wesifazane, ngenxa yemvelaphi ehlukile yama-hormone, awuthambekele kangako ekusithekeni kokujuluka ngokweqile kwephepha noma ngesikhathi sokuzivocavoca umzimba.
Ukuthukwa kushukela sikashukela kuhlotshaniswa nemiphumela elimazayo ye-glucose eyeqile kuhlelo lwezinzwa lwe-autonomic. Umsebenzi ongalungile womnyango wakhe onozwela unesandla ekujuleni. Iziguli zibonakala ngokujuluka kokujuluka kwesifutho esiphezulu.
Kulokhu, isikhumba sengxenye engezansi yomzimba singantula umswakama futhi somile kakhulu. Isibonakaliso esibonakalayo ukujuluka okuyiphutha okwenzeka lapho isiguli sidla isidlo. Lokhu kungenxa yokusabela komzimba othintwe yisifo sikashukela ukwehla kokuxineka kweglucose. Umphumela olimazayo wesifo sikashukela ohlelweni lwe-hormonal uholela ekubonakaleni kwezinye izimpawu zesifo, isimilo kuphela kwabesifazane.
Izimpawu ezibonakalayo zifaka phakathi kokungafani kokuya esikhathini kweziguli.
Okokuqala, ukungahloniphi kuyaphawuleka. Ukubambezeleka kokukhululwa nyangazonke kuwuphawu lweziguli ezingaphezu kwesigamu ezinesifo sikashukela.
Ngaphezu kwalokho, ezigulini ezinesifo sikashukela sohlobo 1, izikhathi zomjikelezo zingahluka. Konke lokhu kuyengeza impilo yomqondo, futhi ngokuhamba kweminyaka ubukhulu bokuthi le nto luyanda. Iziguli zabesifazane kungenzeka kakhulu kunamadoda ukuba nezinkinga zesikhumba ngenxa yesifo sikashukela.
Isikhumba siqala ukuzwa imiphumela yokulahleka kwamanzi okusebenzayo ngenxa ye-polyuria. Okokuqala, ukoma ngokweqile nokuhlala uvela, ngokuhamba kwesikhathi nokucaphuka kukhula, kubangele ukulunywa.
Isici sokuphendula kwelenombolo yangaphandle ekukhuleni kwalesi sifo se-endocrine kubantu besifazane ukusabela okungekuhle kwe-mucosa yenzalo.
Kuthintwa yinkimbinkimbi yezici ezingezinhle, okungukuthi: ukomisa kanye nokwehla kwezinga lokungazethembi, ikakhulukazi kwasekhaya.
Ngenxa yalokhu, imifantu ivela ku-mucosa, ibhalansi ye-acid esekwe esithweni sangasese iyaphazamiseka. Ngaphezu kwalokho, ulwelwesi lwama-mucous luba mncane futhi lube lomile, okudala izimo ezinhle zokuthuthuka kwezifo zokukhunta. Okuqukethwe okuphezulu koshukela egazini okungaguqukanga kube amandla nakho kuthinta i-lens yeso.
I-edema ethile iyenzeka, okuholela ekulimazelweni okubukwayo. Umcimbi ungakhula ngokuhamba kweminyaka, futhi kungenzeka ngokushesha okukhulu. Kaningi, abesifazane abanaki lolu phawu lwesifo sikashukela, abaxhumanisa ukwehla kwamandla okubuka nemiphumela elimazayo yokusebenza kwe-PC noma izinto ezihlobene nobudala.
Okwamanje, i-edema lens iyona engaholela ekungaboni kahle kwesiguli. Ngokuphikisana nesizinda soshukela olwedlulele kanye nezinkinga ezihlobene nama-hormone kwabesifazane, ezinye izifo zesifo sezinzwa zingakhula futhi.
Ikakhulu, ukuvela kwe-amenorrhea ne-oligomenorrhea kuyabhekwa.
Iqembu lengozi lifaka abesifazane abanesifo sikashukela sohlobo 1. Ngemuva kokuphathwa komjovo we-insulin noma womjovo okhethekile, lezi zimpawu zivame ukunyamalala ngaphandle kokuthola ukwelashwa okuthile.
Izimpawu eziphambili zesifo sikashukela kwabesifazane ngemuva kweminyaka engama-30 ukuya kwengama-40
Ukuthuthukiswa kwalesi sifo kwabesifazane ngemuva kweminyaka engamashumi amane kunezici eziningi. Vele, izimpawu eziphambili zivame ukuhlala zingashintshi, kepha kunezimpawu ezikhethekile zesifo, futhi uhlobo lwenkambo yesifo sikashukela lungashintsha.
Ngemuva kweminyaka engama-40, kuhlangana uhlobo lwesibili lwalesi sifo, imvamisa ngokumelene nesizinda sokukhuluphala noma ukukhuluphala ngokweqile.
Imvamisa, isifo sikashukela ngemuva kweminyaka engamashumi amane sibekezelelwa kalula ngabesifazane. Kepha kufanelekile ukwazi ukuthi izimpawu zalesi sifo zivame ukuboniswa izimpawu zezinguquko ezingahambisani nobudala eziqala ukubonakala kulonyaka.
Ngakho-ke, esikhathini seminyaka engaba ngu-30 kuya kwengama-40 kuye ngokuya ngezimpawu ngazinye, izinkinga ze-gynecological ezihambisana nokukhula kwesifo sikashukela ziyanda. Ukuqothulwa komsebenzi wokuzala ohlinzekelwe ukuziphendukela kwemvelo kufakwa esikhundleni sokulahleka okubukhali nangaphambi kwesikhathi kokuzala.
Ngemuva kweminyaka engama-30, futhi kaningi - iminyaka engama-40, iziguli eziningi zivame ukuba nesikhathi sokuya esikhathini.
Ngasikhathi sinye, ukwenziwa ngokwejwayelekile kwe-glucose, kanye nokunciphisa isisindo kanye nokugcina amanani ajwayelekile isikhathi eside, kungaholela ekubuyiselweni kwemisebenzi yokuzala.
Qaphela ukuthi kwabesifazane lapho isifo sikashukela saqala ukukhula ngemuva kwamashumi amane, ukuvela kwezifo zemithambo yegazi kuyinto ebonakala kakhulu. Ukuzijwayeza kukhombisa ukuthi imikhumbi yezingalo - izingalo futhi ikakhulukazi imilenze - yikhona okuqala ukuhlupheka.
Isibonakaliso esithile salesi sifo singabhekwa njengokuxineka okungenasizathu, futhi njalo, ngaphandle kwesimo sezulu, izandla nezinyawo ezibandayo.Kusukela kule nkathi ukwehla kokukhiqizwa kwama-hormone abesifazane besifazane kuqala, kuvuselelwa yithonya lesifo sikashukela, iziguli zinobungozi obukhulu besifo senhliziyo.
Yizifo zesibili ezivame kakhulu ezenzeka kwabesifazane abanesifo sikashukela abangaphezu kwamashumi amane.
Okokugcina, isifo esibucayi kakhulu sokwelashwa kwabantu besifazane abangaphezu kweminyaka engama-30, futhi kaningi iminyaka engama-40, ukuthuthukiswa kwezindawo ezicasulayo ezingenasisekelo. Ngokwezibalo, ukuphazamiseka okuxinzekayo okubonakalayo kutholakala cishe ezigangeni ezingama-90 zeziguli.
Cishe ingxenye yabesifazane abanesifo sikashukela kwesinye isikhathi bathambekele ekucindezelekeni okulingene. Kepha ukuthuthukiswa kokudangala okukhulu ngaphansi kwethonya lesifo sikashukela kubonwa kakhulu, esikhathini esiningi kwabesifazane bathambekele ekuphazamisekeni kwengqondo okunjalo.
Isibonakaliso sohlobo lwesifo sikashukela sohlobo 2 kule nkathi yobudala singabuye sibe ukonakala okukhulu esimweni samazinyo. Kodwa-ke, le ndaba iyimpikiswano impela.
Impela, ochwepheshe abaningi bayawubona umthelela omubi we-glucose ephezulu kanye nokuphelelwa amandla okuhambisana nayo koqweqwe lwawo lwamazinyo, kepha qaphela ukuphindaphindwa kwezinto ezithinta le nqubo, ezinye zazo ezingahambelani nokukhula kwesifo sikashukela. Kuyaqapheleka ukuthi isifo sikashukela sohlobo lokuqala ngemuva kweminyaka engama-40 sikhula ngokuqabukela.
Kunzima ukukhomba noma yiziphi izimpawu ezithile ezingakheki kwamanye amaqembu wobudala kuleli cala.
Isifo sikashukela sokukhulelwa sikhonjiswa kanjani emantombazaneni akhulelwe?
Isifo sikashukela sokukhulelwa yisifo esithile se-endocrine disorder esitholakala emzimbeni wowesifazane okhulelwe. Amaphesenti amabili kuya kwamane abesifazane abakhulelwe ezweni lethu aba nalesi sifo. Ukwanda koshukela egazini ngaphezu kwezindlela ezimisiwe kuvame ukukhula kusuka kumaviki angama-24.
Ukuthuthuka kwalesi sifo kungenzeka futhi, ikakhulukazi kwabesifazane abakhulelwe, abasengozini ethile yalolu hlobo lwesifo sikashukela. Lokhu kufaka phakathi:
- abesifazane abakhuluphele;
- ukhulelwe sekwephuzile;
- ngofuzo kusengaphambili;
- ehlushwa i-polycystic ovary.
Imvamisa, abesifazane abakhulelwe abezwa zimpawu zalesi sifo futhi bazikhombe kuphela ngemuva kokhetho oluphoqelekile lokuhlolwa.
Ngaphezu kwalokho, ezinye zezimpawu ziguqulwa izinguquko enhlalakahleni yesimilo sowesifazane wesifundo cishe sonke isikhathi sokukhulelwa. Phakathi kokuboniswa okuthile okubonisa ukuthi izinga eliphezulu le-glucose, umbono ofiphele kufanele uphawulwe.
Ezinye izinkomba, njengokukhula kwesifiso sokudla, ukoma, nokuchama okuvamisile, cishe akukaze kubangele ukukhathazeka kwabesifazane, ngoba nakho kutholakala kubantu besifazane abakhulelwe abanamazinga e-glucose ajwayelekile.Naphezu kweqiniso lokuthi ezimweni eziningi, izinga likashukela ngemuva kokuzalwa kwengane lenziwa ngendlela ejwayelekile ngaphandle kwezinyathelo zezokwelapha, ukwanda okukhulu kulo kuthwala ubungozi bokuphazamiseka kokukhula ekwakhekeni kwengane.
Ikakhulu, isifo sikashukela sokukhulelwa ku-trimester yesithathu singadala i-macrosomia ye-fetus.
Ukwanda okukhulu kosayizi nesisindo sengane kubangela ubunzima ekuxazululeni kusukela ekukhulelwe futhi yisizathu sokuqokwa kwesigaba se-cesarean.
Ngaphandle kokuthi odokotela bezingane baseMelika ngemuva kwezifundo abaziphawuli ezinye izinto ezihlukunyezwa ezingaba yizingane ngokunyuka kwezinga likashukela kumama, le nkomba kufanele ibhekwe ngesikhathi sokukhulelwa.
Ukuhlaziywa koshukela wegazi: okwejwayelekile nokuphambuka
Ukuba khona kwezimpawu zesifo sikashukela isikhathi sokuxilongwa uchwepheshe. Wenza ukuhlolwa kwegazi kokuqukethwe kwe-glucose okuhlobene, ngokwemiphumela lapho kunikezwe khona ukuhlolwa okwengeziwe, futhi kusungulwa inqubo yokwelashwa.
Amanani ajwayelekile abhekwa njengoshukela esigabeni se-3.5 - 6 mmol ilitha ngalinye legazi.
Muva nje, noma kunjalo, le "plug" inwetshiwe yaba ngu-6.5 mmol. Uma ucwaningo lukhombisa okuqukethwe ushukela ebangeni le-6.5-7 mmol, bakhuluma nge-prediabetes noma isigaba sokuqala salesi sifo. Ushukela we-8-10 mmol uholela emiphumeleni ebalulekile kwempilo yeziguli. Futhi okuhlushwa okuyingozi kakhulu kwe-glucose kusuka kumayunithi ayi-12 noma ngaphezulu.
Ukuhlaziywa kwenziwa ngesisu esingenalutho, ekuseni. Ukuze izinkomba zinembile, kubalulekile ukuthi ungadli ukudla okuqala ngehora lesithupha kusihlwa, futhi ngosuku olwandulela ukunikela ngegazi, wenqaba ukudla ukudla okumnandi.
Izimiso zokwelashwa
Ngokusekelwe emiphumeleni yokulinganisa izinga le-glucose, kanye nangemva kokuhlolwa okukhethekile kokumelana ne-insulin, uhlobo lwesifo sikashukela kanye nesigaba salesi sifo kunqunywa. Ngokuya ngale mininingwane, kunikezwa ezinye izindlela zokwelashwa.
Ngakho-ke, ngesifo sikashukela sohlobo loku-1, ukuphathwa kwe-insulin okuhlala njalo kungasindisa impilo yesiguli futhi yenze isimo sayo sibe yisijwayelekile.
Ngasikhathi sinye, kunconywa izincomo zokudla, kuthathwa ukuhlolwa okugcwele komzimba, futhi kuthathwe izinyathelo zokumisa noma ukuqeda i-pathologies ekhonjwayo. Ngohlobo 2 lwesifo sikashukela, kusetshenziswa izidakamizwa ezinciphisa ushukela.
Okwamanje, izindlela zamaqembu amathathu amakhulu asokhemisi asetshenziswa ngenkuthalo. Ngakho-ke, uSiofor noMetformin bangabameli be-Biguanides. Amalungiselelo weSulfonylurea asetshenziswa, isibonelo, i-Amaryl kanye nokuphuma kwayo. Akusetshenziswanga kabanzi udaka i-Novonorm, i-Acarbose nezinye izidakamizwa.
Izibhebhe zeSiofor
Izigaba zokuqala zesifo sikashukela esingancikileli i-insulin ziphendula kahle ekwelashweni kokudla nasekunciphiseni isisindo.
Ukudla kwe-carb ephansi kuyakhonjiswa, lapho kuvela khona imikhiqizo ethile enoshukela, izithelo ezimnandi neziphuzo, kanye nelayisi, okusanhlamvu okuningi, ama-buns nesinkwa esimhlophe. Isisekelo semenyu siyimifino emisha ne-stewed, nenyama ebilisiwe ebanzi, inhlanzi ehlukahlukene.
Amavidiyo ahlobene
Mayelana nezimpawu zesifo sikashukela kwabesifazane abakuvidiyo:
Ngokuvamile, umzimba wesifazane uphendula ngokuthuthukiswa kwesifo sikashukela cishe ngendlela efanayo neyowesilisa. Umehluko othile usezimpawu zokusabela kohlelo lokuzala, kanye nasezimpawuni zimpawu zokushintsha okuhlobene nobudala. Izisekelo zokwelashwa, itafula lokudla nokwelashwa kwesondlo ziyefana kwabesilisa nabesifazane.
