Izimpawu eziphambili nezindlela zokwelashwa zesifo sikashukela esisebusweni

I-mellitus (DM) i-latent noma i-latent yesifo sikashukela iyingozi enkulu kulesi siguli, ngoba ngokuvamile lesi asiziboni nezimpawu zokukhula kwalesi sifo.

Kepha cishe sonke isifo sibolekela ekwelashweni okunzima kakhulu ngokunganakwa kwayo noma ukutholwa kwayo odokotela ngokungafanele.

Ngakho-ke, noma ngubani kufanele azazi izimpawu zesifo sikashukela se-latent ukuze afune usizo lodokotela ngokushesha.

Isifo sikashukela se-LADA: yini?

Akuwona wonke umuntu onombono wokuthi, ngaphezu kwezinhlobo eziphambili zesifo sikashukela, kunezinhlobo zazo ezikhethekile, ezibandakanya i-LADA.

Igama ngokwalo labelwa uhlobo lwakamuva lwesifo sikashukela se-autoimmune olubonwa ezigulini zesigaba sebudala, kanti izingane azivezi kuso.

Kumele kuqashelwe ukuthi isiguli ngasinye esiwela eqenjini le-LADA-sikashukela, kanye nabantu abanesifo sikashukela sohlobo I, sidinga ukwelashwa okuphuthumayo kwe-insulin.Imvamisa, kanye nokwanda koshukela wegazi, umzimba wesiguli uqala ukuhlushwa ukuwohloka kwamaseli we-pancreatic abhekene nokukhiqizwa kwe-insulin.

Njengomphumela, izinqubo ze-autoimmune zenzeka. Isimo esibuhlungu kanjalo sihambisana nokubhujiswa kwengqamuzana ngalinye lezinto ezisetshenziselwa i-insulin isiguli esidlula iminyaka engama-35. Kumele kukhunjulwe ukuthi ukugula okunesifo sikashukela kwalolu hlobo kuya ngokuhamba kancane futhi kufane nokuthuthukiswa kwesifo sikashukela sohlobo II.

Kuliqiniso, kunomehluko munye oqakathekileko hlangana nabo, owabila ngeqiniso lokuthi esimweni sokuqala woke amaseli we-beta afa ngokuphelele, okuholela ekunqanyelweni kokukhiqizwa kwama-hormone.

Imvamisa, ukuthembela okuyi-100% ekutholeni umthamo owengeziwe we-insulin kwakheka esikhathini seminyaka eyi-1-3 kusukela ngesikhathi sokubunjelwa kwalesi sifo.

Ngaphezu kwalokho, lesi sifo sihambisana nezimpawu ezijwayelekile kwabesilisa nabesifazane.

Izinhlobo zesifo

Lesi sifo okukhulunywa ngaso sehlukaniswe ngamafomu ama-2. Ngamunye wabo unesici sakhe esihlukile. Ngaphezu kwalokho, ngisho nokwelashwa kwesigaba sokuqala salezi zifo zombili kwenziwa ngokwezinhlelo ezahlukahlukene.

Kodwa-ke, isikhathi esiningi sidlula kusukela ngesikhathi sokuxilongwa kwesifo sikashukela, okuphinyiselwe kancane kuyizimpawu zezinhlobo zaso, futhi inkambo yokwelashwa isivele iqhubeka cishe ngendlela efanayo.

Namuhla, odokotela bahlukanisa lezi zifo ezilandelayo:

1. thayipha isifo sikashukela. Kubhekwa njengohlobo oluncike kwe-insulin futhi kungokwesigaba sokugula okunzima, futhi iziguli kufanele zilandele indlela yokudla eqinile. Lolu hlobo lwesifo sikashukela lubhubhisa amaseli ama-pancreas. Abantu abanokuxilongwa okunjalo baphoqelelwa ukuthi bajova i-insulin njalo, ngoba ibhujiswa emgodini wokugaya ukudla;
2. Uhlobo II isifo sikashukela mellitus. Lesi sifo esichaziwe asizimele futhi senziwa ezigulini ezineminyaka engaphezu kwengama-40 ubudala ezikhuluphele. Ngaleso sikashukela, amangqamuzana asemzimbeni athola izakhi ngokweqile, okuholela ekulahlekelweni kwazo kokuzwela kwe-insulin.

Ngokuthuthukiswa kohlobo II lwalesi sifo esichaziwe, akuvamile ukuthi kunikezwe isiguli insulin. Futhi i-endocrinologist ixazulula lo mbuzo kuphela. Kuliqiniso, ukudla okwenzelwe ngokukhethekile kuvame ukubekelwa iziguli ezinje, okuhloswe ngazo ukunciphisa isisindo somzimba, kepha kungabi ngaphezu kwama-3 kg ngenyanga.

Lapho ukudla kungenamphumela omuhle, odokotela bathi amaphilisi, isenzo sawo okuhloswe ngawo ukwehlisa amazinga kashukela egazini. I-insulin isetshenziswa ezimweni ezihlukile lapho lesi sifo singase sisongele impilo yesiguli.

Kungani ushukela wegazi osabambile uvela?

Ukwenziwa kweshukela e-latent kungavela kubo bonke abesilisa nabesifazane, okuzimele ngokuphelele ubudala babo. Kodwa-ke, wonke umuntu kufanele azi ngezizathu zakhe eziphambili.

Ngakho-ke, ushukela ofihliwe uvela lapho:

• izinqubo zokutheleleka;
• ukukhulelwa
• i-neurosis, ukucindezela;
• isakhi sofuzo;
• ukukhuluphala;
• ukuthatha ama-steroid;
• izifo ze-autoimmune;
• ukwehluleka kwezinso.

Ngaphezu kwalokho, "inkathazo" enjalo ingenzeka ngokumelene nesizinda sokushaywa unhlangothi, ukuhlaselwa yinhliziyo, ukusebenza kanzima komzimba. Ukubhema, ukusebenzisa kabi utshwala, ukungasebenzi kahle kwezinqubo ezijwayelekile emgodini wokugaya ukudla, kanye nokusetshenziswa kwemithi ethile nakho kungaholela ekwandeni kwamazinga e-lactose egazi.

Izimpawu nezimpawu zesifo sikashukela esisekupheleni kwabesifazane nabesilisa

Isifo sikashukela esisezingeni eliphakeme sicishe sibe yi-asymptomatic futhi siyindlela yesifo sikashukela.

Njengoba igama lisho, isici esithile sokugula okunjalo ukungabi bikho kwezimpawu ezingabonisa ukukhula kwaso. Leli fomu luhlobo lomngcele ongaphezu kwesoshukela weqiniso osuvele lukhona.

Ngalesi sizathu, ukuxilongwa kwayo ngesikhathi esifanele kuyimpumelelo enkulu, ngoba kunethuba lokuvikela ukuqala kwefomu elingamahlalakhona. Namuhla, odokotela bakhombisa izimpawu umuntu ngamunye onokuthi ufunde ngazo mayelana nokwakhiwa kwesifo esichaziwe. Ngaphezu kwalokho, lezi zimpawu ziyehluka kancane ngokuya ngobulili.

Owesifazane onesifo sikashukela esifihlekile ubona ukuthi:

• isikhumba esomile, imichilo kanye nolunye ulaka lwesikhumba olubangelwa amagciwane, amagciwane omvelo we-pathogenic;
• umlomo owomile, ukoma okungapheli;
• ukwephulwa kwesisindo somzimba kuthande ukwanda kwaso;
• ubuthongo obunenkathazo, amazwe acindezelayo, angenamusa.

Ngokuqondene nabesilisa, isikhathi sabo sokuqala sesifo sikashukela se-latent empeleni asibonakali ngenxa yokungabikho kwezimpawu zaso zangaphandle. Lokhu kuyinkimbinkimbi kakhulu inqubo yokuhlonza lesi sifo.

Kodwa-ke, okulandelayo kufanele kuqwashise indoda:

• ukuhlaselwa njalo kwendlala enzima, ngenxa yobunzima ukumunca ushukela;
• ukuhlaselwa ukukhathala okungapheli, ukozela nokukhathala ngenxa yokuntuleka kwamandla;
• okucasulayo, umuzwa okhanyayo esikhunjeni (izintende, ubuhlalu, izinyawo);
• izinguquko ezisheshayo zesisindo;
• ukujuluka okukhulu.

Uma okungenani unezimpawu ezimbalwa ezingenhla, kungaba ngowesifazane noma owesilisa, kufanele uthintane nodokotela ngokushesha.

Ungayithola kanjani futhi uyixilonge?

Ngakho-ke, ngokuvamile isiguli sibhekela ekunakekelweni kwezokwelashwa okufanele ngisho nefomu elinganakiwe.

Kepha kusenokwenzeka ukuyikhomba. Ukuqashelwa kwe-mellitus yesifo sikashukela se-latent kwenziwa ngokusebenzisa isivivinyo sokubekezelela i-glucose - TSH.

Umnyombo wenqubo ukuthi isiguli silinganisa izinga loshukela esiswini esingenalutho, emva kwalokho sinikezwe i-75 ml kashukela. Ngemuva kwamahora ama-3, ukulinganisa kuyaphindwa. Lapho kutholwa izinguquko ezithile, kutholakala isifo sikashukela, noma ngabe kuyindlela yokuphamba.

Kodwa-ke, le ncazelo yesifo sikashukela iyabasebenzi kakhulu. Le ndlela yamukelekile uma kukhona amakhono asethuthukile elebhu. Ngalesi sizathu, enye inketho engasho lutho isetshenziswa ukuthola indlela yakamuva yesifo sikashukela.

Indlela elula ifaka ukulethwa komchamo ngesiguli ngaphambi nangemva kokudla umthamo othile wama-carbohydrate. Isihlungi sokuvikela umuntu ophilile asidlulisi ushukela, kanti uma singena kumchamo, kunesizathu sokucabanga ukuthi kunenqubo yokuthuthuka kwesifo sikashukela esisezingeni eliphezulu.

Ukwelashwa kweshukela likashukela

Isifo sikashukela esisezingeni eliphakeme siyisifo esiyingozi esiyingozi, ngenxa yalesi sizathu ukwelashwa kwawo kufanele kwenziwe ngokuvakasha okuphoqelekile esikhungweni sezokwelapha. Kepha ukwelapha akudingi umzamo obalulekile.

Namuhla kunezindlela eziningana zokwelashwa zezifo ezichaziwe, ezibandakanya:

1. ukwelashwa ngezidakamizwa. Isifo sikashukela esisezingeni eliphakeme siphathwa ngemijovo efanelekile ye-insulin. Ukuze kuthuthukiswe ukuzwela kwaleli hormone kusuka esakhiweni se-peripheral, kanye nezicubu zomzimba, odokotela batusa ukusetshenziswa kwezidakamizwa ezinciphisa ushukela wegazi ngendlela yamathebulethi. Ngaphezu kwalokho, kwesinye isikhathi kususelwa ku-Biguanides - glitazones;
2. amakhambi abantu. Inkambo yesifo esichaziwe ingenziwa lula yile ndlela. Kepha ngaphambi kokusebenzisa le ndlela, kufanele uthintane nodokotela ngaphandle kokuhluleka. Ekwelashweni kwesifo sikashukela, cishe izinhlobo ezingamakhulu amabili zamakhambi asetshenzisiwe, aqukethe izinto ezinciphisa ubukhona be-glucose. Kodwa-ke, ngale nketho, akufanele uthembele kumphumela osheshayo;
3. ukudla nokuzivocavoca. Umgomo oyinhloko wohlelo lokudla okungenamsoco sikashukela ukunciphisa inani lamafutha adliwayo, ama-carbohydrate ahamba ngokugaya ukudla ngokukhetha kokudla okugcwele amaprotheni, i-potassium. Imifino kufanele idliwe iluhlaza noma ibhakiwe. Futhi, umuntu onesifo sikashukela akufanele "azidle" ngetiye, ikhofi notshwala, ngoba kuholela ekulahlekeni kwe-calcium. Ukuzivocavoca kuholela ekunciphiseni isisindo, okubaluleke kakhulu kwishukela sikashukela.

Amavidiyo ahlobene

Mayelana nezimpawu zesifo sikashukela se-latent kule vidiyo:

Ukufingqa, singaphetha ngokuthi isifo esiyingozi njengesifo sikashukela sangemuva sidinga indlela ebucayi kakhulu nethembekile ekutholakaleni kwayo, kanye nokwelashwa. Yize iqiniso lokuthi lesi sifo siyimfihlo, kodwa nokho kunezimpawu esingasithola ngazo.

Ngokuvamile, impumelelo yokwelapha incike ekutheni i-pathology yatholakala nini, nokuthi iyiphi indlela esetshenzisiwe. Inketho enhle yinhlanganisela efanelekayo yokwelashwa kwezidakamizwa nezindlela zokupheka zemithi yendabuko kanye neqoqo lokuzivocavoca umzimba. Kodwa-ke, inkambo yokwelashwa kufanele inqunywe kuphela uchwepheshe ngemuva kokuphasa izivivinyo ezifanele.