Cishe zonke iziguli ezithole isifo esixilongwa ngokuthi isifo sikashukela zinomdla kumbuzo wokuthi hlobo luni lwezinzuzo abantu abanjalo abanelungelo lazo.
Lapha kufanele kukhunjulwe ukuthi njalo uhlu lwamalungelo eziguli ezinjengama-endocrinologists luza ngokuya landa.
Kungcono ukuthi ngezikhathi ezithile ube nentshisekelo ekuphindweni okusha futhi uchaze kahle ukuthi yimaphi amalungelo abantu abanesifo sikashukela abakhona njengamanje. Isibonelo, kuyaziwa ukuthi kukhona usizo oluthile ezigulini ezivela ezinhlanganweni ezigunyazwe uhulumeni ngesimo sokukwazi ukuthenga yonke imishanguzo edingekayo mahhala.
Ngaphezu kwalokho, zingatholakala zombili ekhemisi ekhethekile, esikhungweni sezokwelapha esihambisanayo. Kubalulekile ukukhumbula ukuthi i-endocrinologist yomuntu siqu ingakucacisa kahle ukuthi iziphi izinzuzo abantu abanazo lezi ziphazamiso ze-carbohydrate metabolism abanelungelo lazo.
Uhlelo losizo lukahulumeni olucubungwayo luhlobene ngqo neqiniso lokuthi iziguli eziningi ezitholakala zinesifo sikashukela zilinganiselwe, ngokuyinhloko ngokomzimba. Ngaphezu kwalokho, imvamisa abawutholi umsebenzi ngokukhethekile kwabo ngenxa yokuba khona kokuphulwa okuthile emsebenzini othile.
Isibonelo, uma sikhuluma ngabashayeli bezithuthi zomphakathi noma abantu abasebenza ngezinqubo eziyinkimbinkimbi, kungenzeka bangavunyelwa ukwenza imisebenzi enjalo.
Kungakho ukuqaphela ukuthi yiziphi izinzuzo zenkinga ethile ye-endocrine ethembele kuyo esimweni esithile kuzosiza umuntu azondle yena nomndeni wakhe.
Ungakhohlwa ukuthi izinzuzo ezigulini zinganikezwa zombili ngesimo sezinto ezibonakalayo nangokuhlinzeka ngemithi ethile.
Imvamisa babuyiselwa ngeminye imikhiqizo ekhethekile. Lo mbhalo uzoba wusizo kubantu abaningi. Idalula ngokuphelele udaba lokuthola izinzuzo eziyisisekelo zeziguli ezinesifo sikashukela, ezincike kulokhu kugula okucutshungulwayo.
Iziphi izinzuzo zeziguli ezinesifo sikashukela?
Uhlobo olu-1
Bonke abantu abahlushwa isifo sikashukela sohlobo 1, ngaphandle kokuthola imithi yonke kanye namadivayisi adingekayo ukuthola ushukela wegazi.
Ezimweni eziphuthumayo, umbuso uhlinzeka ukunakekelwa kwasekhaya kwabasebenzi bezenhlalo. Imvamisa iziguli ezinalolu hlobo lwesifo zihlala zikhubazekile.
Kungenxa yalesi sizathu ukuthi bakwazi ukujabulela yonke imihlomulo esebenza kulesi sigaba se-endocrinologists yeziguli. Kubalulekile ukuqaphela ukuthi cishe yonke imishanguzo ehloselwe abantu abanesifo sikashukela ifakiwe ohlwini lwayo yamahhala.
Ngaphezu kwalokho, uma umuntu esethole ukukhubazeka othile welulekwa umuthi ofanele, ongabhekwa njengowuthandayo, lowo muthi ungatholwa ngosizo lukahulumeni.
Ungakhohlwa ukuthi iresiphi ekhishwe uchwepheshe wakho uqobo unempilo ethile eshalofini. Ngaphezu kwalokho, uma sikhuluma ngemithi ejwayelekile, ungathinta ikhemisi eliseduzane ngezinsuku ezingamashumi amathathu.
Kepha izidakamizwa ze-narcotic, udinga ukuqinisekiswa udokotela njalo ngeviki. Emithini enomphumela oqinile we-psychotropic, umuthi kadokotela usebenza izinsuku eziyi-8.
Uma uchwepheshe enze inothi "i-CITO" kuresiphi, khona-ke sikhuluma ngokuphuthumayo kokutholwa.
Kungaleso sizathu kufanele bakunikeze umuthi esikhungweni esifanele uma sikhona, kungabikho cala ngaphambi kwesonto elilodwa ukusuka ngosuku lokwelashwa.
Izinhlobo ezi-2
Kubalulekile ukuqaphela ukuthi amathuluzi akhethekile wokulinganisa ushukela we-serum nazo zonke izinhlobo zezakhi zawo angatholakala ngesaphulelo.
Bobabili abantu abanohlobo lokuqala lwesifo sikashukela futhi kwesesibili bangathembela kubo. Lokhu kuvame ukusebenza kulabo abadinga i-insulin.
Izinsizakusebenza ezahlukahlukene zama-glucometer zibalwa ngendlela yokuthi zingakwazi ukuqiniseka ukusebenza kahle kwenqubo efanelekile cishe kathathu ngosuku. Uma iziguli ze-endocrinologists zingenasidingo sangempela se-insulin, khona-ke kufanele zithole imichilo okuthiwa yi-test strips. Isimo sibahlinzeka ngenani lecezu elilodwa ngosuku.
Kubalulekile ukuqaphela ukuthi phakathi kwabahlomuli abangadingi ukwesekwa kwe-insulin, kukhona okuhlukile. Abantu abane-Type 2 sikashukela mellitus, ngasikhathi sinye njengokulimazeka okubukwayo, bangathembela ku-glucometer kanye nezinsizakalo ezihlobene kanye ngosuku kusabelomali sombuso.
Izwe linikeza ithuba kulabo abadinga ukuthola ukuvikeleka komphakathi okunamathiselwe.
Kunikezwa nini ukukhubazeka?
Njengoba wazi, isinqumo ngokukhubazeka, ngokuya ngobunzima balesi sifo, senziwa ngokwesisekelo sobuchwepheshe bezokwelapha nakwezenhlalo.
Ukudluliselwa okuhambisanayo kwemizimba ekhipha isinqumo sokugcina kukhishwa kuphela nguchwepheshe ofanelekile oqondene naye.
Wonke umuntu angaphikelela ekuzihlolweni ngokwakhe. Udokotela akanalungelo lokwenqaba. Isifiso esibaluleke kakhulu sesiguli sizokhonjiswa indlela ekhethekile.
Ungakhohlwa ukuthi iqiniso lokuthi uyagula akusona sonke isikhathi isizathu sokuthola isimo sokukhubazeka. Ukukhubazeka kunikezwa ngokukhubazeka okukhulunywayo, okuholela ekuholeni komkhawulo omkhulu wempilo futhi, ngokufanele, ukukhubazeka.
Ungakhohlwa ukuthi kukhubazekile ukuthi yizo kuphela lezo ziguli ezithola uhlobo olunzima lwalesi sifo.
Lokhu kuyiqiniso ikakhulukazi kubantu abane-retinopathy (lapho umuntu eyimpumputhe phambi kwamehlo abo bobabili), kanye ne-neuropathy (lapho kukhubazeka amandla aphambili kanye ne-ataxia).
Izifo ezilandelayo zingangezwa futhi kulesi sigaba: i-encephalopathy yesifo sikashukela enokuphazamiseka kwempilo yengqondo, ukwehluleka kwenhliziyo okuqine, ukuqina kwengqondo okuqinile kwemilenze (i-gangrene, unyawo lwesifo sikashukela), ukuhluleka kwe-renal okungapheli kanye nokuqina komzimba.
Iziguli ezinala ma-pathologies zidinga usizo oluphuthumayo njalo ngabantu abangabazi, ngoba azitholi nethuba lokuzinakekela. Njengomthetho, banezinkinga ezinkulu zokuhamba.
Ukukhubazeka kweqembu lesibili kushukela kuhloselwe kuphela labo abangakufuni njalo ukunakekelwa kwezihlobo namalungu omndeni.
Kubalulekile ukugcizelela ukuthi ukuphazamiseka okubucayi kwe-pathological kwezitho zangaphakathi kuyabizwa, kepha hhayi kangako njengalabo abangathola iqembu lokuqala.
Baphethwe yi-retinopathy yesigaba sesibili nesesithathu. Kepha ukukhubazeka kweqembu lesithathu kuphawulwa ngokuqina kwesi sifo.
Ngala ma-pathologies, ukwephulwa okuncane kokusebenza kwezitho zangaphakathi kuyaphawulwa. Kamuva, bona, kungaholela ekuvinjelweni kokuhamba. Futhi, iziguli ezifaka isicelo seqembu lesithathu lokukhubazeka zingathola imingcele yokusebenza kwabasebenzi. Kunoma yikuphi, inkambo yokugula kwesifo ingalandelelwa kalula.
Izinzuzo zabantu abanesifo sikashukela ngaphandle kokukhubazeka
Okokuqala, kufanele kuphawulwe ukuthi iziguli zingathola izinto ezilandelayo mahhala:
- izimpahla zasendlini ezinikeza isiguli ithuba lokuzinakekela ngokungenasisekelo. Lokhu kusebenza ezimweni lapho yena ngokwakhe engasakwazi ukwenza lokhu;
- ingxenye yezindleko zezindleko zokusetshenziswa;
- isihlalo esinamasondo, iminyakazo neminye imishini.
Ungathola kanjani?
Ukwamukela zonke izinzuzo ezinikezwe umbuso, kufanele ube nencwadi ekhethekile enikezwe noma yisiphi isiguli. Ngokusekelwe kuyo, izinhlangano eziphethe kufanele zinikeze iphakethe eligcwele losizo lwamahhala.
Izinzuzo zezingane
Njengoba wazi, izingane ziyisigaba esikhethekile seziguli ezinale nkinga ye-endocrine.
Ngaphandle nje, banelungelo lokuthola ukwelashwa okufanele ezindaweni zokuhlwaya, kufaka phakathi ukwelashwa nabazali.
Kubalulekile ukuqaphela ukuthi amathikithi abuye akhokhwe nguhulumeni.
Imiphi imithi engingayithola?
Okwamanje, uhlu lwemithi ekhethekayo selwukhulu kakhulu. Zitholakala ekhemisi ngokusho umuthi we-endocrinologist.
Uhlu lubandakanya ama-ejenti alandelayo we-hypoglycemic:
- I-Acarbose kumathebhulethi;
- I-Glibenclamide;
- Glycidone;
- IGlucophage;
- Glibenclamide + Metformin;
- I-Glimepiride;
- I-Gliclazide.
Amavidiyo ahlobene
Mayelana nokuthi iziphi izinzuzo ezihlobene neziguli ezinesifo sikashukela sohlobo 1 nohlobo 2, kule vidiyo:
Kubalulekile ukukhumbula ukuthi umbuso usiza izakhamizi zawo esimweni esinzima futhi uzihlinzeka ngosizo lwamahhala ngendlela yezidakamizwa ezikhethekile nemishini yokulinganisa amazinga kashukela egazini. Njengoba ukwelashwa kwesifo sikashukela kubiza kakhulu, akufanele wenqabe usizo olunjalo.
