Ungayibona kanjani kusengaphambili isifo sikashukela - izimpawu nezimpawu ze-pathology

Isifo sikashukela yisimo esidalwa lapho i-glucose ekhuphukayo inqunywa egazini ngenxa yokuthi i-pancreatic gland ayikwazi ukuhlanganisa i-insulin emihlanganweni edingekayo. Lesi sifo singaba khona kubantu abadala nasezigulini ezingane. Odokotela bagcizelela ukuthi i-prediabetes inqubo emngcele phakathi kokusebenza okujwayelekile komzimba nokugula okubizwa ngokuthi yisifo sikashukela i-mellitus.

Ngokungafani nesifo sikashukela, isifo sikashukela yisimo eselaphekayo. Ukuze uvikele ukuguqulwa kwayo ekubeni yi-hyperglycemia ephikelelayo, umuntu kufanele anake kakhulu impilo yakhe, aguqule uhlobo lokudla okunempilo, akhuphule ukusebenza komzimba futhi alwe nokusebenza ngokweqile.

Kepha uma lezi zinguquko ezingokwesigaba se-endocrine sphere zingashiywa ngaphandle kokunakekelwa okufanele, kungekudala, i-prediabetes izoholela ekwakhiweni kwesifo sikashukela sohlobo 2.

Isimilo esivamile

Nge-prediabetes, umuntu unezinkinga nokubekezelelwa kwe-glucose emzimbeni. Lokho kusho ukuthi, ngenxa yokuthi ushukela ongena egazini awungenwa kahle, ukugxilwa kwawo kuqala ukwanda. Ngokuphazamiseka okunjalo, iziguli zitholakala ngamazinga kashukela asheshayo okudla, aqala ku-5.5 kuya ku-6.9 mmol / L.

Izindlela eziphambili zesifo sikashukela yilezi ezilandelayo:

• ushukela wegazi osheshayo - 5.5-6.99 mmol / l;
• izinga le-carbohydrate amahora ama-2 ngemuva kokudla - 7.9-11.0 mmol / l;
• inkomba ye-glycated hemoglobin ingu-5.8-6.4 mmol / l.

Engcupheni yokuvela kwezimpawu zesifo sokugula kwesimo sangaphambi kwesifo sikashukela ngabantu abakhuluphele, abesifazane nabesilisa abaneminyaka engaphezu kwengama-50, abesifazane abanomlando otholakele we-polycystic ovary kanye nesifo sikashukela sokukhulelwa, kanye neziguli ezinokwenyuka kwe-cholesterol kanye ne-triglycerides egazini .

Izici eziningi zinomthelela ekuphazamisweni kwe-carbohydrate metabolism, kufaka phakathi:

• ukwanda ngezikhathi noma kokuphikelela kwengcindezi yegazi;
• i-pathologies engapheli yezitho zangaphakathi, ikakhulukazi, inhliziyo, izinso, isibindi;
• ukusetshenziswa kwezidakamizwa ezibizwa ngokuthi yi-diabetogenic, okungukuthi, izindlela zokuvimbela inzalo ngomlomo kanye nama-glucocorticoids;
• impilo yokuhlala;
• izimo ezicindezelayo;
• izifo ze-endocrine;
• izifo ze-autoimmune;
• imikhuba emibi (ukubhema, ukuphuza);
• isakhi sofuzo.

Ezinganeni, ukubekezelelwa kwe-glucose engasebenzi kahle akuvamile kunakubantu abadala. Izimbangela zokubonakala kwayo ezigulini ezincane zingadluliselwa ukugula okutheleleka, izimo zokushaqeka, ukucindezela okukhulu noma ukungenelela kokuhlinzwa.

Iliphi ushukela wegazi lomuntu ophilile?

Kungumkhiqizo ophukile wezakhi eziyinkimbinkimbi ze-carbohydrate futhi ungena egazini liphuma emgodini wokugaya ukudla.

Ekuphenduleni ekwandeni kwamazinga kashukela emzimbeni, ama-pancreas akhiqiza inani elifanelekile le-insulin ye-hormone, esiza ukusiza ukufaka i-glucose ezindaweni eziqokiwe. Kumuntu ophile saka, ushukela egazini ngu-3.5-5,5 mmol / L.

Ngemuva kokudla le nkomba, kunjalo, iyavuka, kepha ngemuva kwamahora amabili kufanele ibuyele kokujwayelekile. Kuyisiko ukukhuluma ngokubekezelela i-glucose engasebenzi kahle ngokwanda ushukela kuya ku-6.9 mmol / L, kanye nesifo sikashukela mellitus uma izinga likashukela likhuphuka ngaphezu kuka-7 mmol / L.

Izithombe zemitholampilo

Kungenzeka ukuthola isimo se-prediabetes ngesikhathi kuphela uma kuhlolwa ngezikhathi ezithile zezokwelapha. Ukubekezelela i-glucose engasebenzi kahle kungenye yezinqubo ezicashile ze-pathological, ezimeni eziningi zokwelapha ziyi-asymptomatic. Ukubonakaliswa kwe-pathology kuvela kakade esiteji esithuthukile.

Isifo sikashukela sinokuhambisana nezimpawu ezinjengokuthi:

• ukomela okukhulu, okuchazwa yisifiso somzimba sokwenza ukuntuleka koketshezi nokwenza igazi lingajwayelekile ukususa izinkinga ngokuhamba kwalo ngemithambo;
• ukukhuphuka kwesifiso sokuchama, ikakhulukazi ebusuku;
• ukulahleka kwesisindo okusheshayo nokungazelelwe okuhambisana nokushoda kokuhlanganiswa kwe-insulin, ukushoda kokuthathwa koshukela kanye nokuntuleka kwamandla okuqinisekisa ukusebenza okujwayelekile kwezakhi zezitho;
• ukwanda kokuhlushwa ushukela kuholela ekuzweni kokushisa emzimbeni;
• ukuvela kokuqunjelwa, okunomthelela kumthelela omubi wokunganele kwe-glucose kwezicubu zemisipha;
• Izinkinga zokulala ngesimo sokuqwasha ukuthuthukisa isendlalelo sangemuva sokuphazamiseka kwe-hormonal kanye nokukhiqizwa okunganele kwe-insulin;
• ukulimala odongeni lwe-vascular kanye nokwanda kokuqina kwegazi kuholela ekubukekeni kokulunywa ezingxenyeni ezihlukene zomzimba kanye nokwehla okukhulu kwekhwalithi yombono;
• ikhanda le-migraine nosizi emathempelini;
• I-hyperglycemia, engadluleli ngemuva kwamahora amabili noma ngaphezulu ngemuva kokudla.

Imvamisa, ukubekezelelwa kwe-glucose okuthikamezayo kutholakala kwabesifazane abavuthiwe ngisho nakumantombazane amancane. Lokhu kungenxa yokuthi umzimba wesifazane uhlala uhlangabezana nokuxhuma kwama-hormone athinta kabi amazinga e-insulin.

Nge-prediabetes, ubulili obuthakathaka bungakhula thintitha.

Iqiniso ngukuthi ushukela uyindawo ekahle yokuzalela yesikhunta sohlobo lweCandida. Kulokhu, ukuthatha amakhambi emithi kuyaqabukela kusithuthukisa isimo.

Ukuqeda i-thrush, owesifazane onesifo se-prediabetes kufanele ahlolwe udokotela we-endocrinologist, enze ngokwejwayelekile ukudla kwakhe futhi afinyelele ukuncipha kweglucose yegazi.

Isilinganiso esandayo sikashukela emzimbeni sithinta kabi ukusebenza kwesigaba sokuzala samadoda. Abamele ingxenye yengxenye eqinile yesintu ephethwe yi-prediabetes bavame ukwehla kwe-libido, ukuncipha kwe-potency, kanye ne-erectile dysfunction.

Izimpawu ezinganeni

Ungasola ukuthuthukiswa kwe-prediabetes enganeni encane ngenxa yezimpawu ezilandelayo:

• ukoma okukhulu;
• ukusetshenziswa njalo kwendlu yangasese, ikakhulukazi ebusuku;
• ukulamba ngokweqile, okubandakanya ukwanda kokuvama kokudla nokwanda kwesisindo somzimba;
• ukukhathala okukhulu lapho ingane idinwa ngokushesha kunontanga yayo lapho yenza izivivinyo zomzimba noma imidlalo esebenzayo;
• ikhanda le-migraine;
• ukushuba kwemilenze;
• isikhumba esikhanyayo;
• ukwehla kwekhwalithi yokubuka.

Izindlela zokuqeda i-prediabetes

Ukunganaki le nkinga kugcwele ngemiphumela edabukisayo kumuntu ogulayo, ngoba kungekudala noma inqubo ebuhlungu iguqula ibe yisifo sikashukela uqobo.

Ngaphambi kokuqala ukwelashwa, isiguli kufanele siye esivivinyweni segazi ukunquma izinga kashukela emzimbeni, futhi, futhi uma kudingeka, isivivinyo sokubekezelela i-glucose ngomlomo.

Ukuhlolwa kwemiphumela yokuhlaziya kwenziwa ngudokotela we-endocrinology. Ukuba khona kwesifo esintwini kuboniswa yizinga elikhuphukile likashukela kuplasma wegazi, odlula uphawu lwe-6.1 mmol / L.

Ukwelashwa kwesifo sikashukela kufaka amaphuzu amaningi abalulekile:

• ukushintsha izindlela zokudla nokulandela ukudla okhethekile;
• ukukhululwa komzimba;
• ukulahla amakhilogremu angeziwe nemikhuba emibi.

Ngaphezu kwalokho, odokotela batusa ukuthi iziguli ezinoshukela omningi wegazi zilawule izinga lomfutho wegazi ne-plasma cholesterol. Kwesinye isikhathi ama-endocrinologists anikeza abantu abanesifo sikashukela ukusetshenziswa kwemithi, ikakhulukazi iMetformin, umenzeli we-hypoglycemic ukunciphisa inani loshukela okhiqizwa isibindi.

Umsoco ku-prediabetes unezici eziningi, kufaka phakathi:

• ukuncishiswa kwesayizi;
• ukwenqaba ukudla ama-carbohydrate ane-digestibility esheshayo, iziphuzo ezinekhabhoni, ukudla okuthosiwe nokubhemayo;
• isingeniso kumenyu yansuku zonke yemikhiqizo enenkomba ye-glycemic ephansi nokuqukethwe kwamafutha aphansi;
• ukusetshenziswa okwengeziwe kwamanzi ahlanzekile, amakhambi, imifino namakhowe;
• ukungafakwa kokudla okunamafutha amancane ekudleni kanye nokwehliswa kokusetshenziswa kwerayisi elimhlophe namazambane.

Ukuzivocavoca kudlala indima enkulu ekwelashweni kwesimo se-prediabetes. Ngokuhambisana nokudla, ezemidlalo zivumela iziguli ukuthi zithole imiphumela emihle futhi zenze ushukela abejwayelekile. Umsebenzi womzimba kufanele ube olinganiselayo. Ingakhuphuka kuphela kancane kancane futhi ngaphansi kokuqondisa kochwepheshe.

Kungani i-prediabetes iyingozi?

Ukuphazamiseka kwesifo sikashukela akunakwa. Iqiniso ngukuthi ngokuhamba kwesikhathi, ukwephulwa kokungabekezeleli kwe-glucose kuba uhlobo 2 lwesifo sikashukela, okuyisifo esingelapheki eselimaza kakhulu impilo yabantu.

Isifo sikashukela singadidaniswa nezinye izinguquko eziningi ze-pathological ezithweni nasezinhlisweni:

• ukonakala kwesimo semithambo yegazi nokukhula kwezicubu ze-tischemia okubangelwa ukwephulwa kokuhlinzekwa kwegazi labo;
• ukuphazamiseka kwemizwa;
• izilonda zokulimala kanye ne-gangrene;
• kunciphe umbono.

Amavidiyo ahlobene

Mayelana nomqondo kanye nokwelashwa kwe-prediabetes kule vidiyo:

Uma isimo somuntu onesifo se-prediabetes sanda, nezinhlobo ezahlukahlukene zezinkinga zivela, akufanele uhlehlise ukuvakasha kudokotela. Uchwepheshe uzoqhuba zonke izifundo ezidingekayo futhi anikeze nemithi yokuguqula izinqubo ze-pathological.