Isifo sikashukela mellitus namuhla siyinkinga enkulu kakhulu yezempilo emhlabeni. Ngeshwa, lesi sifo sigcina izinga lokukhula kwalo ngenxa yezinga eliphansi lempilo, amazinga aphezulu okushona kwabantu ngenxa yezinkinga nokukhubazeka kwangaphambi kwesikhathi.
Ukuvimbela isifo sikashukela akuhlali kuthathwa kalula, futhi ngeze, ngoba ngenxa yalokhu, ungasigwema lesi sifo.
Okuyisisekelo ekuvinjelweni kwesifo sikashukela emadodeni nakwabesifazane
Ukugula ushukela kungakhula ngamunye wethu, kungakhathalekile ubulili. Kodwa-ke, kuyaphawuleka ukuthi kwabesifazane, isifo sikashukela sitholakala kaningi.
Okuyinhloko
Lolu hlobo lokuvimbela luhlose ukuvimbela ukuqhubeka kwesifo sikashukela, futhi ekuhambeni kwesikhathi ukuqeda ngokuphelele i-pathology.
Udinga ukuqonda ukuthi ngesifo sikashukela sohlobo 1 lokhu akunakwenzeka, azikho izidakamizwa ezizokusiza. Konke kukhulunywa ngefa. Unganciphisa kuphela umthelela wesifo ngokuqinisa ukungatheleleki futhi uzame ukugwema izifo ezithathelwanayo uma kungenzeka.
Isisekelo sokuvinjwa kwesifo sikashukela sohlobo 2 ekudleni. Isimo saso esikhulu ukwehla kwama-carbohydrate. Ukulandela ukudla kubalulekile kakhulu kubantu abajwayela ukukhuluphala. Lokhu kusebenza kwabesifazane nabesilisa. Ukudla okhethwe kahle ngeke kugcine isisindo sakho nje kuphela, kodwa futhi kukuvumela ukuthi udle kamnandi.
Ngakho-ke, sisusa ekudleni kusuka ku:
- amaswidi ahlukahlukene;
- ukubhaka nokubhaka;
- ushukela omnandi nobhiya;
- ukudla okuthosiwe nezinongo;
- amagilebhisi nobhanana.
Siphindisela ekudleni:
- okusanhlamvu nezithelo ezintsha ovunyelwe kuzo;
- i-sauerkraut nobhontshisi obilisiwe;
- izithelo ezimuncu;
- buyisela itiye elimnyama itiye eluhlaza (ngaphandle koshukela);
- esikhundleni sekhofi siphuza i-chicory.
Futhi-ke, zama ukuyeka ukubhema notshwala. Iphuzu elibalulekile ekudleni ukulingana kwamanzi. Kwenze umthetho wokuphuza ingilazi yamanzi angenalutho ekuseni. Futhi inani elifanayo ngaphambi kokudla ngakunye.
Kuzoba wusizo olukhulu ukuqala ukudla ngokweqile. Yidla izikhathi ezingama-5-6 ngosuku, kepha kancane kancane. Konke lokhu okungenhla akunangqondo uma umuntu engaqeqeshiwe ngokomzimba.
Njalo nikeza umzimba wakho umthwalo, ngisho omncane: uhambe ngaphezulu, uye echibini, wenze izivivinyo zomzimba. Uma isiguli sisengozini yesifo sikashukela, kufanele sihlolwe njalo.
Okwesibili
Kulokhu, umsebenzi oyinhloko ukulwa nezinkinga ezikhona zesifo sikashukela. Lokhu kusho ukuthi umuntu isikhathi eside ubephethwe yisifo sikashukela. Isisekelo control ushukela wegazi. Lokhu kungenziwa ngokuzimela nge-glucometer, futhi uma kunesidingo, thatha i-insulin kumthamo onconywe udokotela wakho.
Ukuvinjwa kwesibili kuhlale kunqunywa uhlobo lokuxakaniseka:
- uma lesi sifo sithinte inhliziyo nemithambo yegazi, udinga ukugcina ukulawula i-cholesterol nomfutho wegazi. Isiguli kufanele siyeke ukubhema futhi sibususe ngaphandle utshwala;
- Ukuvinjwa kwezifo zamehlo kuqukethe ukuvakasha okufika ngesikhathi nangejwayelekile kwabadokotela bezingane. Ukwelashwa kwalezi zi-pathologies esiteji sokuqala kunikeza umphumela omuhle kakhulu;
- noma yiziphi izilonda zesikhumba kufanele ziphathwe nge-antiseptics;
- ukuhlanzeka njalo kwe-patity yomlomo kuphoqelekile (ukuze ugweme ukuthuthukiswa kwe-infi infiniti).
I-Tertiary
Le prophylaxis ihlose ukulondolozwa isikhathi eside kwe-beta-cell yomsebenzi wayo wobumfihlo. Lokhu kusebenza ezigulini ezinesifo sikashukela esibonakalayo.
Yiziphi izindlela okufanele zibhekwe ukuze ungaguli?
Isimo esiyinhloko ukunciphisa umzimba. Kulula - shintsha indlela odla ngayo ngaphambili futhi wandise imisebenzi yomzimba. Kuzokubiza izikhathi eziningana ngaphansi kokulashwa kwesifo sikashukela uqobo.
Kungani kubalulekile ukunciphisa umzimba? Ngoba amafutha aqoqiwe esikhathi esizayo enza izicubu zomzimba zingazwisisi i-insulin yawo.
Musa ukubheka izaba zobudala, ukubala, noma ukungalingani kwe-hormonal. Wonke umuntu angancipha isisindo! Kuyadingeka kuphela ukunciphisa okuqukethwe kwekalori kokudla. Inani eliqondile lama-kilojoule lingakhethwa.
Landela umthetho: indlela ejwayelekile yansuku zonke yabesifazane kufanele yehlise okuhlobene nalena edlule, kepha okungenani ibe yi-1200 kcal, emadodeni - cishe i-1500 kcal.
Futhi owesibili: ukuzivocavoca umzimba kufanele kube okuphoqelekile, kepha kungenzeka. Lokhu akunzima ukwenza, kungaba yisifiso. Anele imizuzu engama-30 ngosuku ukuze anikele kunoma yikuphi ukuvivinya umzimba.
Ungakuvimbela kanjani ukukhula kwesifo enganeni?
Ukuvimbela isifo sikashukela ezinsaneni kuqala kusukela ngesikhathi sokuzalwa. Kuhle kakhulu uma ingane iphuza ubisi lwebele kuze kube unyaka, ngoba ngaphezu kwezakhi ezisebenzisekayo zokulandela umkhondo, ingane ithola amasosha omzimba athize nama-hormone adingekayo ekugomeni okuhle futhi iqinise i-psyche yengane.
Uma uthatha isinqumo sokushintshela ekudleni okungelona okwenziwayo, khona-ke makube-lactose-free.
Khumbula ukuthi ubisi lwenkomo luyisisekelo sanoma yikuphi ukuxubana, okungalungile kumakhansele angantekenteke wengane. I-metabolism ezinganeni isheshisiwe, futhi lesi sifo sikhula ngokushesha. Futhi njengoba bematasa kakhulu ngokwemvelo, ngokuvamile abaziboni izimpawu eziyingozi futhi abakhonondi kubazali babo ngokuphuka kwabo.
Futhi uma lesi sifo sitholakala, khona-ke cishe cishe siyindlela yokuya nge-insulin. Ukuvinjwa kwesifo sikashukela kubaluleke kakhulu uma okungenani esinye sezihlobo ezisondelene sinale ndlela yokugula.
Ngokuvamile, ukuvikela izingane kwehle emithethweni efanayo neyabantu abadala:
- ukudla ngendlela efanele kubaluleke kakhulu uma ingane inomkhuba wokukhuluphala ngokweqile;
- ukuya ezigabeni zemidlalo;
- umoya wokugwema izifo ezithathelwanayo;
- ukungacasuli ingane, kufanele kube nomoya ezolile ekhaya.
Ungakuvikela kanjani ukugula ngesikhathi sokukhulelwa?
Olunye uhlobo lwesifo sikashukela yi-gestational (GDM). Kubonwa kuphela komama abakhulelwe ngesikhathi sokukhulelwa. Ngabe owesifazane obelethayo angasigwema isifo sikashukela? Yebo, uma, kanye ne-gynecologist kanye ne-endocrinologist, ukhulisa futhi ulandela ngokuqinile indlela yokudla ekhethekile.
Ukondliwa okufanelekile akuhloselwe ukwehlisa isisindo sikamama olindelekile, kepha kwenzelwe ukubuyisa ushukela kokujwayelekile..
Lokhu kusiza emaphesheni angama-90%. Ukudla akufanele kube phezulu kakhulu kilojoule, kepha ngasikhathi sinempilo. Ngalesi sizathu, ungawalahli ngokuphelele ama-carbohydrate. Ungakhohlwa ngokudla kwamaprotheni. Umama olindele uboniswa kakhulu ngokomzimba.
Kungcono ukwenza izikhathi ezi-2-3 ngesonto. Kungaba ukubhukuda nokuhamba noma izivivinyo ezikhethekile zabesifazane abakhulelwe. Kepha imisebenzi ebuhlungu njengokugibela amahhashi, ukuhamba ngebhayisekili noma ukuhamba ngezikebhe kufanele kugwenywe.
Ungayinciphisa kanjani ingozi yezifo ekugugeni?
Abantu abaneminyaka engaphezu kwengu-65 ubudala bathambekele kakhulu kwisifo sikashukela. Isizathu salesi simo ukuguquka komzimba kokuma komzimba emzimbeni wokuguga, futhi ngenxa yalokho, ukwehla kokumelana ne-insulin.
Noma ingozi yokuthola ushukela kubantu asebekhulile iphezulu impela, lokhu akusho ukuthi nakanjani uzoba nesifo sikashukela lapho usufika eminyakeni yokuthatha umhlalaphansi.
Lutho neze. Okuningi kuncike kwindlela yokuphila, izifo ezikhona, ukusebenza ngokomzimba kanye nemikhuba yokudla.
Ukuvimbela esimweni esidala kubandakanya:
- ukuhlolwa kwegazi ushukela (izivivinyo);
- ukulungiswa komsoco;
- ukuphumelela ukuhlolwa kwezokwelapha okuhleliwe;
- Ukuzivocavoca umzimba on inhlala-kahle.
Izidakamizwa zokuvimbela nezindlela zabantu
Phakathi kwemithi esiza ukuvimbela isifo sikashukela, kufanele kuphawulwe:
- I-Metformin. Kuboniswa ukuvikela isifo sikashukela sohlobo 2. Ezimweni ezingama-30%, ngenxa yalesi sidakamizwa, kungenzeka ukumisa ukuqhubeka kwe-pathology. Kuyatholakala ngesimo sethebhulethi. Ukuzelapha ngokwakho akwamukeleki. Umthamo kumele uxoxwe nodokotela wakho;
- I-Xenical. Inconyelwe iziguli ezikhuluphele. Kutholakala kwifomu le-capsule;
- I-Acarbose. Yehlisa ukwehla kwezakhamzimba, futhi ngenxa yalokho, ushukela wegazi. Yini isifundo ukuphuza amaphilisi, udokotela uzokutshela.
Kunemithi yesintu evimbela ushukela. Zonke zisetshenziswa ngokuhlanganiswa nezindlela zokwelapha eziphambili.
Kungenzeka yini ukugwema lesi sifo ngengqondo eyindlalifa?
Ifa elibi ngesinye nje sezici zobungozi. Izifo zofuzo ezenzeka emndenini wakho azisho nakancane ukuthi isiphetho sakho yisiphetho esinqunyelwe kusengaphambili.
Kukhona ubungozi bokuthuthukisa i-pathology nokuningi. Kepha futhi kungenziwa ukuthi kwenziwe uma kuthathwa izinyathelo ezithile. Kuyafakazelwa ukuthi kunofuzo olukhulisa ubungozi bokuthola isifo sikashukela luze lucishe lube ngama-80%.
Kepha kubantu abanale gene, lesi sifo sizibonakalise ngamacala ayi-15% kuphela, ngoba badla kahle futhi benza nemidlalo imizuzu engama-40-60 ngosuku. Shintsha indlela oziphatha ngayo. Yebo kunzima. Kepha kufanele uzame, ngoba izifo ezingamafa zingamelana nezindlela zokwenza impilo yangaphambili.
Izindlela zokwelapha isifo sikashukela
Uhlobo olu-1
Udinga ukulungela ukwelashwa insulin impilo yonke. Kuyiqiniso, ukuqapha amazinga kashukela egazini kuyimpoqo. Kuyadingeka ukuthi kubhekwe ku-endocrinologist ngaso sonke isikhathi. Ukudla kuyadingeka.
Kodwa-ke, lokhu akusho ukuthi ungasho okuhle ekudleni okumnandi. Manje nje kufanele kube nezakhamzimba eziningi ekudleni (kuze kufike ku-50%), namaprotheni namafutha, ngokulandelana, ama-20% no-30%.
Kulesi simo, ukudla kuzosala kumnandi, kepha kuzolunga. Funda ukubala amakhalori.
Izinhlobo ezi-2
Uhlobo lwesibili sikashukela lungalawulwa ngezindlela ezilandelayo:
- imfundo yokuzivocavoca nokudla okuphansi kwe-carb;
- ukuthatha imijovo kanye nemijovo ye-insulin.
Ukudla kuvamile ushukela. Faka ukudla ekudleni okukhona nezinto ezilandelwayo namavithamini. Futhi zama ukwenqaba ngokuphelele usawoti.
Isifundo somzimba sizosusa ama-carbohydrate angenasidingo. Prakthiza ukubhukuda, ukuhamba ngezinyawo, ukuhamba ngamabhayisekili. Ezimweni ezimbi kakhulu, kukhonjiswa umuthi kanye ne-insulin.
Ungakuvimbela kanjani ukuthuthukiswa kwezinkinga zesifo sikashukela
Isifo sikashukela asinaso isihluku. Kuthinta izitho eziningi zomzimba. Ngakho-ke, ukuvimbela esimweni ngasinye kuncishiswa ekuqaphelekeni kwezokwelapha ngudokotela wezifo zamehlo noma udokotela wamehlo, udokotela ohlinzayo noma udokotela wezifo zamehlo.
Ukubuka izeluleko zabo ngokuqinile, ungabambezela ukuqala kwezinkinga amashumi eminyaka, futhi abanye bayeke ngokuphelele. Konke kusezandleni zakho.
Umuntu onesifo sikashukela ulithola kanjani iqembu lokukhubazeka?
Uma kutholakala ukuthi lesi sifo sitholakele, udokotela ozohlinzeka isiguli kufanele ahlolwe i-VTEC futhi uzoletha yonke imibhalo ekhomishini. Isisekelo sokukhubazeka kuzoba usizi lokuxakeka.
Amavidiyo ahlobene
Ungasivimbela kanjani isifo sikashukela:
Yize kungenakwenzeka ukwelapha ushukela ngokuphelele, alas, kunezindlela eziphumelelayo zokusivimbela. Ukuxilongwa ngesikhathi kanye nokwelashwa okuseqophelweni eliphezulu, izeluleko zezokwelapha kanye nokuzivocavoca ngokomzimba, kanye nesimo esihle sengqondo kunika umuntu wonke amathuba okuvimba i-pathology futhi aphile impilo ephelele.
