Isifo sikashukela yisifo esibi, lapho impilo yakhona isiguli ishintsha kakhulu.
Ngaphandle kokulawulwa okudingekayo kwe-glycemia kanye nokuvinjwa kwezinkinga, ushukela uthuthuka ngesivinini esikhulu; kancane kancane ubulala wonke amalungu omuntu.
Kodwa-ke, noma ngabe kukhona ukwelashwa okuphezulu kwezidakamizwa, lesi sifo asikuvimbi ukuthuthukiswa kwaso. Imithi ivimba lezi zinqubo kuphela, kepha akunakwenzeka ngokuphelele ukuba isuswe.
Ngaphezu kwezindlela zokubamba ongezansi, iziguli zinikezwa nokwelashwa kokuhlinzwa isifo sikashukela. Le ndlela izothuthukisa isimo sesiguli bese ilawula ushukela wegazi ophakeme, futhi iqinise nomfutho wegazi.
Lo mphumela utholakala ngokunciphisa umthwalo esibindini nasezinso, okuvimba kakhulu ukubhujiswa kwezitho zomzimba. Futhi, ngemuva kokuhlinzwa, i-cholesterol ephezulu ne-triglycerides iyakhishwa.
Ukusetshenziswa kwezindlela zokuhlinza ekwelapheni uhlobo 1 nohlobo 2 lwesifo sikashukela
Ngiyathayipha
Kwezinye izimo, ukukhula okusebenzayo kohlobo lwe-1 yesifo sikashukela kungadinga ukungenelela kokuhlinzwa ngenxa yokuthuthukiswa kwezinkinga. Isibonelo, ngenxa yokuhlinzwa emzimbeni we-vitreous, isimo seso singathuthukiswa ku-retinopathy yesifo sikashukela.
Ukulimala kwezinso okunzima kungenzeka ngenxa yesifo sikashukela, futhi ukudluliselwa kwemvelo kuthathwa njengokwelashwa.
Kukhona nezinye izindlela zokwelashwa kokuhlinzwa kwesifo sikashukela sohlobo 1, ngokwesibonelo, ukwethulwa kokusebenza kwamaseli we-pancreatic emzimbeni wesiguli, kodwa-ke, le nqubo okwamanje iyindlela yokuhlola, futhi ukuze yenziwe, isiguli kufanele sihlangabezane nenqubo ethile.
Ukudluliselwa kwamanyikwe noma amaseli waso aslet kungenzeka. Lezi zinhlobo zokusebenza zibiza kakhulu, futhi ngemuva kokuba zenziwe, isiguli sinconywa ukuthatha imishanguzo ye-immunosuppressive. Lokhu kuyadingeka ukuze umzimba ungenqabi izicubu ezintsha.
Uhlobo II
Uma kwenzeka ukukhuluphala kwisifo sikashukela, ukungenelela kokuhlinzwa kunganciphisa kakhulu isisindo, futhi kumsindise ekuphuzeni izidakamizwa ezinciphisa ushukela wegazi nokusetshenziswa okwengeziwe kwe-insulin.
Kuyafaneleka futhi ukucabanga ukuthi lapho ulahlekelwe isisindo ngokweqile, kunomphumela wezifo ezihambisana nokukhuluphala kanye nesifo sikashukela, njengokuhluleka ukuphefumula, i-pathologies yokuhlangana kwamalungu omgogodla, umfutho wegazi ophakeme nabanye.
Kungcono ukuthi uthintane nodokotela ohlinzayo onguchwepheshe lapho kusetshenziswa izindlela zokulondolozwa ezinjengokwelashwa kokudla, ukusetshenziswa kwezidakamizwa ezinciphisa ushukela, nokunye, akusizi isiguli ukuthi sinxephezele i-carbohydrate metabolism.
Ukwelashwa kokuhlinzwa kwe-metabolic syndrome
Lolu hlobo lokungenelela kokuhlinzwa lubizwa ngokuthi “ukuhlinzwa kwe-metabolic”, kusetshenziswa le ndlela, ukwelashwa kwezinkinga ezibangelwa isifo sikashukela kwenziwa, lokhu kufaka: amazinga aphezulu egazi e-triglycerides kanye / noma cholesterol, umfutho wegazi ophakeme nabanye.
Izinkomba kanye ne-contraindication
Izinkomba:
- ukuba khona okunzima ukulawula uhlobo 2 lwesifo sikashukela, ukuxhomekeka kwe-insulin akudluli iminyaka engu-7;
- thayipha i-2 mellitus yesifo sikashukela, ngaphansi kweminyaka eyi-10 yokuba khona kwalesi sifo;
- ukuhlinzwa kunqunyelwe iziguli ezinesifo sikashukela esine-pancreas eyanele;
- thayipha isifo sikashukela esi-2.
Kulokhu, iminyaka yesiguli kufanele ihluke kusuka eminyakeni engama-30 kuye kwengama-65.
Contraindication:
- ushintsho olunzima nolungenakuphikwa kulolo lungu: inhliziyo, amaphaphu, izinso nesibindi;
- ukuba khona kwemikhuba emibi efana notshwala nokubhema.
Ukulungiselela isiguli
Kuyadingeka ukuthatha amalungiselelo wokuhlinzwa ngokuphelele ukuze unciphise ubungozi bezinkinga ezingaba khona.
Imithetho yokulungiselela imi kanje:
- ezinsukwini eziyishumi ngaphambi kokuqokwa kokungenelela kokuhlinzwa, kuyadingeka ukuyeka ukuphuza imithi ethinta ukuqina kwegazi;
- ngosuku olwandulela ukuhlinzwa, kuvunyelwe kuphela izidlo zokukhanya. Emahoreni ayi-12, ukudla nokuphuza akuvunyelwe;
- ngaphambi kokulala futhi ekuseni kubalulekile ukubeka i-enema yokuhlanza;
- Kunconywa ukuthatha i-shower eshisayo ekuseni usebenzisa ama-antibacterial gels.
Intuthuko yokusebenza
Ukuze kwehliswe ukucashuka kwehomoni iGhrelin, ongoti benza umsebenzi wokukhipha ingxenye ethile yesisu, lokhu kuyadingeka futhi ukuvimbela ukwanda kwalesi sitho.
Izinketho zomsebenzi
Inhloso yalokhu kusebenza ukuguqula i-anatomy yephephabhuku esiswini ukuze kufinyelelwe ekudleni okukude nebanga ukusuka kumanyikwe, ngaphandle kokuthinta imisebenzi ye-metabolic engxenyeni ye-distal yesibeletho.
Isikhathi sokuvuselelwa kwezinkinga kanye nezinkinga ezingenzeka
Isiguli sizoba emtholampilo isikhathi esingangesonto elilodwa, futhi isikhathi sokuvuselelwa sisuka emavikini amathathu kuya kwayi-4, ngemuva kwalokho kuzokwazi ukubuyela endleleni ejwayelekile yempilo.
Ngemuva kokuhlinzwa, lowo osebenza ngokudla uzonikeza isiguli ukudla okukhethekile, okumele kulandelwe kuze kuphume.
Izinkinga ngemuva kokungenelela kokuhlinzwa kungenzeka, ikakhulukazi njengoba uhlobo lokuhlinzwa olubhekwayo luyinkimbinkimbi kakhulu futhi lungathwala into eyingozi.
Imiphumela emibi engaba khona yesifo sikashukela esingalungile:
- ubumpumputhe
- ukushaya kwenhliziyo;
- ukwehluleka kwezinso;
- isifo sohlangothi;
- ezinye izinkinga eziyingozi.
Ukusebenza kokuhlinzwa kokukhuluphala kwabanesifo sikashukela
Amathuba wokuxolelwa okuyinkimbinkimbi kuya ngohlobo lokuhlinzwa, iphesenti liyahlukahluka kusuka ku-70 liye ku-98 iminyaka engama-8-30.Le nkomba incike ekunikezelweni kwe-insulin emzimbeni womuntu.
Ngokusekelwe kwimininingwane yocwaningo evela kodokotela baseMelika, ukuhlinzwa kwe-gastroshunt kuvumela ukuxolelwa okuzinzile phambi kwenhlobo yesifo sikashukela sohlobo II e-92% yeziguli.
Lokhu kusho ukuthi isiguli asisadingi noma yikuphi ukwelashwa okwengeziwe okuhlose ukwehlisa ushukela wegazi.
Ingabe i-anesthesia ejwayelekile neyasendaweni singasetshenziswa kwisifo sikashukela?
Ukuhlinzwa ngokuvamile akunakukwenza ngaphandle kwe-anesthesia. Kodwa-ke, ezimweni eziningi zabanesifo sikashukela, kungadala imiphumela emibi ehlukahlukene.
Izinkinga ezingenzeka ngenxa ye-anesthesia in diabetesics can be fapaneng: amazinga anda we-glycemia, ukwanda kwesistimu yenhliziyo nokunye ukuphazamiseka emzimbeni. Ezigulini ezinjalo, kuyadingeka ukuthi kuqashwe ngokukhethekile umsebenzi wazo zonke izitho nezinhlelo zombili ngesikhathi sokuhlinzwa ngemuva nangemva kokuhlinzwa.
Kungenzeka ukwenza ukuhlinzwa usebenzisa i-anesthesia ejwayelekile, noma kunjalo, ngaphambi kwalokhu, isiguli kufanele senze izinyathelo ezilandelayo:
- ngaphambi kokuqala kokusebenza, kufanele ukhansele i-SRP;
- hlola amazinga kashukela egazini;
- esimweni samanani we-HC angaphansi kuka-5.0 mmol / l, glucose we-intravenous uyalawulwa.
Uma kudingeka ukungenelela okuncane kokuhlinza, khona-ke kuleli cala awukwazi ukubheka ku-anesthesia ejwayelekile, kepha ngeledlule. Ngosuku lokuhlinzwa, imijovo ye-insulin yasekuseni iyabambezeleka kuze kuqede ukuhlinzwa.
Kungadingeka futhi ukuzila ukudla amahora amaningi ngaphambi kokuthi kuqale. Ngemuva kokuphothula ukungenelela, amazinga kashukela wegazi ayaqashwa futhi, uma kunesidingo, anganciphisa noma andise umthamo wezidakamizwa, oncike izinkomba ze-glucose.
Ushukela wegazi ngemuva kokukhishwa yinyongo
Ngemuva kokuhlinzwa ukuze kususwe i-gallbladder, iziguli eziningi ezingakaze zibe nesifo sikashukela zithola lesi sifo.
Lokhu kungenxa yokuthi ushintsho ekwakhekeni kwe-bile luholela ekwehleni kwezakhi zomzimba. Ngakho-ke, umzimba awukwazi ukucubungula ukudla ngokujwayelekile.
Lokhu kuholela ekwandeni kweshukela egazini kanye ne-cholesterol. Ngakho-ke, iziguli ezinesifo sikashukela kufanele zivame kakhulu ukuvakashela udokotela futhi ziqaphe njalo ushukela wegazi.
Amavidiyo ahlobene
Izinhlobo zokwelashwa ngokuhlinzwa kwesifo sikashukela:
Ngaphezu kwezindlela zokwelashwa ezivumayo, kwesinye isikhathi abanesifo sikashukela bangabekelwa ukwelashwa okuhlinzwa. Ezimweni eziningi, kuboniswa iziguli ezinesifo sikashukela sohlobo 2. Kuyazuzisa ukuqonda ukuthi ngisho nokwelashwa okunje ngeke kukwazi ukwelapha ngokuphelele isifo sikashukela, kuyonciphisa kakhulu izinqubo zayo zokuthuthuka.
