YIMUPHI UDOKOTELA OPHATHA ISIFO SIKASHUKELA NOKUTHI KUBIZWA INI NGOKUTHI: OCHWEPHESHE KULESI SIFO ESIYISISEKELO KANYE NEZINKINGA ZASO

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Isifo sikashukela i-mellitus yisifo esingavela kunoma yimuphi unyaka. Ngeshwa, lokhu kugula kutholakala ezigulini ezindala, nasezinganeni.

Lesi sifo asikwazi ukwelapheka ngokuphelele, kepha isiguli singasilawula isimo sakhe.

Ngemuva kokuqala kwezimpawu zokuqala zesifo sikashukela, abaningi banesifiso sokuthi udokotela kumele abonane namazinga aphezulu kashukela nokunye ukubonakaliswa kwalesi sifo.

Yimuphi udokotela okufanele ngithinte ushukela wegazi ophezulu kubantu abadala nasezinganeni?

Umelaphi angabona ukukhula kwesifo sikashukela. Kungaba udokotela womndeni noma udokotela wesifunda.

Uchwepheshe wenza isiphetho ngemiphumela yokuhlolwa kwegazi (ihlolwa nezinga le-glucose). Kaningi, lokhu kugula kutholakala ngengozi lapho isiguli sihlolwa ngokuhleliwe.

Kwezinye izikhathi, kwenziwa isinqumo sokuya esibhedlela ngenxa yempilo engeyinhle. I-Therapist ayiphathi i-glycemia. Ukulwa nalesi sifo, udinga ukuxhumana nomunye uchwepheshe. Ukwelashwa kwesifo sikashukela kwenziwa yi-endocrinologist.

Ubuye alawule isiguli. Ngokusekelwe emiphumeleni yokuhlaziywa, udokotela ohambayo uhlola izinga lesifo futhi anikeze ukwelashwa okuyilo, ukuhlanganisa nokudla. Uma isifo sikashukela sinika ubunzima kwezinye izitho zomzimba, isiguli kufanele sihambele ochwepheshe abalandelayo: udokotela wamathambo, nodokotela wezifo zamehlo, udokotela ohlinza izinzwa noma udokotela ohlinza ngemithambo.

Ngokuhambisana nesiphetho esamukelwe ngesimo sempilo, i-endocrinologist inquma ngokuqokwa kwezidakamizwa ezisizayo. Ngenxa yabo, ukusebenza okuzinzile komzimba kuyagcinwa.

Ngubani igama likadokotela wohlobo 1 nesifo sikashukela sohlobo 2?

Isici sofuzo sibalulekile ekuthuthukiseni lesi sifo. Ngaphandle kwalokhu, isifo sikashukela sohlobo lokuqala sidluliselwa ezihlotsheni kaningi kunokugula kohlobo lwesibili.

Izinhlobo ezahlukahlukene zesifo sikashukela mellitus ziphathwa udokotela ofanayo - i-endocrinologist.Ngohlobo lokuqala lwesifo, ezimweni eziningi, inkambo ebukhali iyaphawulwa.

Kulokhu, ama-antibodies akhiwa emzimbeni. Bacekela phansi amaseli we-pancreas, futhi bakhiqiza ne-insulin. Ngenxa yokukhubazeka kwama-hormone emgudwini wesisu, ukuphathwa kwamalungiselelo wethebhulethi kuleli cala kungabekwa ngaphandle.

I-pathology yohlobo lwesibili lwakhiwa lapho amaseli alahlekelwa ukuzwela kwawo ukuthola i-insulin. Ngasikhathi sinye, izakhi zomzimba eziseleni ziningi. I-insulin ayinikezwa zonke iziguli. Isiguli sivame ukunikezwa ukulungiswa kwesisindo okubushelelezi.

Ngokuthuthukiswa kwalesi sifo, kubalulekile ukulandela umsoco ofanele. Ukudla kukhethwe futhi yi-endocrinologist. Ngasikhathi sinye, ushukela, ufulawa, utshwala, ilayisi, i-semolina akhishwe kwimenyu.

I-endocrinologist ikhetha izidakamizwa ezifanele kakhulu ze-hormonal, izidakamizwa ukukhuthaza ukucashelwa kwe-insulin. Ngemuva kwenkambo eyinhloko yokwelashwa, kunikezwe inkambo yokulungiswa.

Yikuphi uchwepheshe ophatha unyawo lwesifo sikashukela?

Ngokuvamile, iziguli ezinesifo sikashukela ziba nenkinga ejwayelekile - unyawo lwesifo sikashukela.

Lapho kuvela izibonakaliso zokuqala zale nkinga esigulini, kuphakama umbuzo wokuthi udokotela ophatha unyawo lwesifo sikashukela uzisebenzisa kanjani, nokuthi yiziphi izindlela zokwelapha ezisetshenziswayo.

Esikhathini esiningi, unyawo lwesifo sikashukela luphathwa udokotela obambelele ezikhathini ezithile oye wenza izifundo ezikhethekile ukwelapha lesi sifo.

Umsebenzi kadokotela wokwelashwa konyawo lwesifo sikashukela ukwenza ukuhlolwa kwenhloso kwesiguli, kanye nokukhetha uhlobo olusezingeni elifanele lokwelashwa. Ngenqubo yokuxilongwa, udokotela uhlola izinga lomonakalo ohlelweni lwe-vascular, futhi akhombe nezimbangela eziba nomthelela ekwandeni kwezinkinga.

Ngubani emtholampilo obhekana nezinkinga zesifo sikashukela esweni?

Isifo sikashukela i-mellitus sibangela izinkinga ezinzima, kufaka phakathi ukulimala kwezitho zombono.

Ngokuthuthukiswa kwe-retinopathy yesifo sikashukela e-retina, imikhumbi emincane ilimele.

Lokhu kuholela ekuthatheni, ukufa kancane kwamangqamuzana anecala lokubona isithombe. Ukuxilongwa okufika ngesikhathi kwezinkinga, isiguli kumele sivakashele njalo i-ophthalmologist. Akukhathalekile ukuthi uluhlobo luni lwesifo sikashukela olukhona.

Ukutholwa kusenesikhathi kwe-retinopathy kuzosiza ukuvikela ukungaboni ngokuphelele. Ukwelashwa kwenziwa ngaphansi kokuqondisa kwe-ophthalmologist, kanye nokubamba iqhaza kwe-endocrinologist. Ukugcina umbono, amavithamini anikezwa isiguli ngemijovo.

Kulokhu, ukwelashwa nge-angioprotectors kuyenziwa. Endabeni ye-retinopathy esigabeni sokugcina, kwenziwa imisebenzi yokuhlinzwa ne-laser.

Ukuze isifo singahambi, isiguli sidinga ukulawula izinga loshukela wegazi. Ukuze wenze lokhu, udinga ukusebenzisa amaphilisi aqukethe ushukela, umfutho wegazi ophansi, ukhiphe ukukhuluphala ngokweqile, ulandele indlela yokudla ebekwe udokotela.

Yimuphi udokotela ozosiza ukwelapha i-neuropathy?

I-neuropathy yesifo sikashukela iyinhlangano yama-syndromes yomonakalo ezingxenyeni ezihlukile ze-autonomic and peripheral system system.

Ubunzima buvela ngenxa yokwephulwa kwezinqubo ezahlukahlukene ze-metabolic kushukela. Nge-neuropathy yesifo sikashukela, ukuntuleka kokuzwela, ukuhanjiswa okungahambi kahle kokufakelwa izinzwa kuyisici. Ukubonakaliswa komtholampilo kwalesi sifo kuhlukile.

Ukwelapha i-neuropathy yesifo sikashukela kwenziwa ngama-neuropathologists, ama-endocrinologists, ama-dermatologists, kanye nodokotela be-urologist. Kulokhu, konke kuya ngezimpawu zokubonakaliswa kokugula. Isizathu esiyinhloko sokuthuthukisa isifo sikashukela i-glucose ephakeme.

Ekugcineni kuholela ekushintsheni kwesakhiwo, imigomo yokusebenza kwamangqamuzana ezinzwa. Ochwepheshe basebenzise ngenkuthalo izindlela ezahlukahlukene zokwelapha ngokomzimba ekwelapheni i-neuropathy yesifo sikashukela: ukwelashwa kwe-laser, ukukhuthaza kukagesi izinzwa, kanye nokuzivocavoca umzimba.

Ngasikhathi sinye, iziguli zithatha izidakamizwa zeGroup B, ama-antioxidants, izidakamizwa eziqukethe i-zinc noma i-magnesium.

Uma i-neuropathy yesifo sikashukela ihambisana nobuhlungu obukhulu, isiguli sinikezwa imithi ekhethekile yezinhlungu, kanye nama-anticonvulsants.

Ama-Endocrinologists mayelana nesifo sikashukela: izimpendulo zemibuzo namathiphu

Izimpendulo zama-endocrinologists emibuzweni ebaluleke kakhulu yesifo sikashukela:

UValery, oneminyaka engama-45. Ngatholakala nesifo sikashukela sohlobo 2. Manje impilo yami yonke kufanele ngiphuze amaphilisi ngehora, ngilinganisele ekudleni? Kuzokwenzekani uma uqhubeka nendlela yakho ejwayelekile? Impendulo evela ku-endocrinologist V. Vasilieva. Isici esibalulekile ekwelashweni kwesifo sikashukela izinguquko zokuphila (umsebenzi owanele womzimba, umsoco olinganiselayo, isisindo esijwayelekile). Uma imisebenzi inganikeli ngcono, kunqunyelwe umuthi. Kumele athathwe njalo. Kungenzeka ukuthi ngokuhamba kwesikhathi, umthamo wezidakamizwa uzoncipha, noma udokotela azikhansele ngokuphelele. Uma kungenziwa izinguquko zokuphila, ushukela ngeke uqale ukwehla ngokwawo. Kulokhu, i-hyperglycemia izokhula, okuthi ngokuhamba kwesikhathi ingaholele ekulimaleni kokuphela kwezinzwa, ukungaboni kanye nezinye izinkinga ezinkulu;
U-Alexandra, oneminyaka engama-30. Ngokwazi kwami, ushukela uwukudla kwengqondo. Ngabe amakhono ami obuhlakani ayoncipha uma ngishiya ushukela. Lokhu kubaluleke kakhulu kimi, ngoba umsebenzi uhlobene nomsebenzi wobuchopho. Impendulo evela ku-endocrinologist uPashutin M. Glucose iyigagasi lamandla ubuchopho. Ngempela kunjalo. Ku-mellitus yesifo sikashukela, kuyadingeka ukunciphisa ukusetshenziswa kwama-carbohydrate alula (ushukela, kanye nokunye ukudla okunenkomba ye-glycemic ephezulu). Abanesifo sikashukela bayalulekwa ukuba basebenzise inani elifanele lama-carbohydrate ayinkimbinkimbi. Ngenkathi yokuqhekeka kwabo, kukhiqizwa ushukela. Ngakho-ke, umsebenzi wobuchopho uzogcinwa ngezinga elijwayelekile. Ngokuvumelana nalokho, awuzenzi "isiphukuphuku." Kodwa-ke, ngenxa yendlala ende ye-carbohydrate, ukusebenza kungancipha kancane;
UVladimir, oneminyaka engama-50. Sekuphele iminyaka eyi-15 ngihlaselwa yisifo sikashukela. Izinyanga ezimbalwa ezedlule ziphazanyiswe ukuqhekeka okujulile, nobuhlungu ezithendeni, okhilimu abasizi ngalutho. Yini okufanele uyenze kuleli cala? Ngiyabonga! Impendulo ivela ku-endocrinologist V. Vasilyeva. Okokuqala, thintana nodokotela wakho we-endocrinologist. Ukwakheka “konyawo lweswekile” esigulini kungakhombisa isidingo sokulashwa kokwelashwa ukwehla amazinga kashukela. Ama-diabetes amaningi anakekela izinyawo zawo egumbini elikhethekile le-pedicure yezokwelapha (hhayi ngaphezulu kwesikhathi esingu-1 ngenyanga).