Isifo sikashukela yisifo sohlelo lwe-endocrine esibeka ingozi empilweni. Kepha ukuxilongwa okufika ngesikhathi nokwelashwa okunekhono kuvimbela ukukhula kwayo futhi kunikeze isiguli ithuba lempilo ephelele.
Ngaphambi kokuqala izindlela zokwelapha, i-endocrinologist yenza ukuxilongwa, ithole imbangela ye-pathology.
Kungemva kokuthola uhlobo lwesifo sikashukela kuphela, udokotela eqala ukwelashwa okufanele, ngenxa yokuthi umehluko phakathi kohlobo 1 nohlobo 2 lwesifo sikashukela mkhulu kakhulu. Uhlobo lokuqala lwesifo sikashukela luba lapho umzimba untula i-insulin. Okwesibili kubangelwa ukweqiwa kwe-insulin kanye nokulahleka kwe-digestibility yayo.
Izici ezijwayelekile zesifo
Isifo sikashukela ukugula okubangelwa yi-metabolic ne-glucose egazini ngokweqile.
Lesi simo se-pathological sivela ngenxa yokuntuleka kwe-insulin. Ngaphandle kwawo, umzimba awukwazi ukubekezelela, futhi ushukela, onqwabelana egazini, ukhishwa kanye nomchamo. Ngenxa yalokhu, umuntu uqala ukwanda okuqhubekayo kokuhlushwa ushukela, okungawi njengokuyalelwe.
Ngenxa yalokhu, ngokweqile kwe-glucose emzimbeni, amaseli ahlushwa ukuntuleka kwawo. Ngaphezu kwalokho, i-metabolism yamanzi iyakhubazeka: izicubu ziphelelwa amandla okugcina amanzi, futhi umthamo omkhulu we-fluid uyakhishwa ngokusebenzisa izinso. Lesi sifo esingamahlalakhona sidala ukuphazamiseka okuningi emzimbeni.
Kuyaphawuleka ukuthi ezinye izilwane ezifuywayo zinesifo sikashukela. Le pathology ingakhula ngenxa yezizathu eziningi. Isifo sikashukela i-mellitus sihlukaniswa ngokwezimpawu ezahlukahlukene ezifakiwe ekwakhiweni kwalesi sifo, sivumele incazelo enembile kakhulu yesimo sikashukela.
Ukuhlukaniswa ngeziqu:
- ukugula okumnene (1 degree) - inkambo enhle kakhulu yesifo;
- ukwehla okulinganiselayo (2 degree) - kuvela izimpawu zesifo sikashukela;
- inkambo enzima yesifo (3 degree) - ukuqhubeka njalo kwalesi sifo kanye nokungenakwenzeka kokulawulwa kwaso kwezokwelapha;
- inkambo enzima engaphenduki ngenxa yezinkinga ezisongela impilo (I-4 degree) - i-gangrene yemikhawulo iyakhula, njll.
Ukuhlukaniswa ngohlobo:
- eyokuqala;
- owesibili.
Isifo sikashukela se-Gestational (sesikhashana) senzeka kwabesifazane abakhulelwe bese sinyamalala ngokushesha ngemuva kokuzalwa kwengane.
Uma i-pathology ingatholakali ngesikhathi, kungavela lezi zimo ezilandelayo:
- zonke izinhlobo zezilonda zesikhumba (ama-pustule, amathumba, njll.);
- i-caries kanye nezinye izifo zamazinyo;
- iba mncane futhi ilahlekelwe ubudonga besitsha somkhumbi, inani elikhulu le-cholesterol lifakwa, bese i-atherossteosis ikhula;
- i-angina pectoris - ukuhlaselwa ubuhlungu besifuba;
- ukukhuphuka okuqhubekayo kwengcindezi;
- izifo zohlelo lomchamo;
- ukuphazamiseka kwesistimu yezinzwa;
- kunciphise ukusebenza kokubuka.
Umehluko phakathi kohlobo 1 nesifo sikashukela sohlobo 2
Uma isifo sikashukela sitholwa ngendlela yesikhathi, uhlobo lwayo luzimisele ukukhetha ukwelashwa okufanele. Ngempela, kusigaba sokuqala sokukhula kwesifo lapho ukwelashwa kohlobo lokuqala nolwesibili kuhluke kakhulu.
Uhlobo 1 no-2 sikashukela kungahlukaniswa ngalezi zindlela ezilandelayo:
- izizathu. Eyokuqala iqala ukuthuthukiswa ekushoneni kwe-insulin okuqatha. Owesibili - ukhula ngokweqile kwe-insulin, lapho amaseli engayithathi;
- ogulayo. Esokuqala sibizwa ngokuthi sobusha, ngoba ziyagula kubantu abasha abangaphansi kweminyaka engama-30. Uhlobo 2 lwe-pathology luthinta abantu abadala abagubhe usuku lwabo lokuzalwa lwamashumi amane;
- izici zokuthuthuka. Esokuqala isifo esinefa futhi sizibonakalisa ngaso leso sikhathi, kwesinye isikhathi okuholela emiphumeleni emibi. Elesibili likhula kancane kuze kuqale ukungasebenzi kahle emzimbeni;
- indima ye-insulin. Uhlobo lokuqala lwe-pathology lubhekwa njengelungelapheki, ngoba onesifo sikashukela sincike ku-insulin impilo yakhe yonke, okwesibili kungukuzimela kwe-insulin;
- izimpawu zesifo. Owokuqala uhambisana nezimpawu ezinzima kusukela ekuqaleni. Eyesibili ayinazimpawu isikhashana, kuze kube yilapho umuntu egula ngokuphelele.
- isisindo somzimba. Ngohlobo 1, iziguli zehlisa isisindo, ngohlobo 2, zikhuluphele.
Izimbangela kanye nezimpawu zesifo
Uhlobo olu-1 (ulutsha)
Isifo sikashukela sokuqala noma esincike ku-insulin sikhula njengempendulo ekubhujisweni kwamaseli we-pancreatic beta. Umzimba uphelelwa amandla okukhiqiza inani elifunekayo lehomoni, okuholela ekwehliseni okukhulu kwe-insulin egazini.
Izimbangela zokwenzeka:
- amagciwane;
- umdlavuza
- i-pancreatitis
- ama-pathologies we-pancreas anemvelo enobuthi;
- ukucindezela
- izifo ze-autoimmune lapho amasosha omzimba ehlasela amaseli womongo;
- iminyaka yezingane;
- iminyaka efinyelela eminyakeni engama-20;
- ukungondleki;
- ifa.
Izimpawu ziyanda emvelweni futhi ziyaqhubeka ezinsukwini ezimbalwa. Kwenzeka kaningi ukuthi umuntu ongazi ukuthi kutholakala ukuthi uphethwe yini, uzumeke alahlekelwe ukwazi. Isikhungo sezokwelapha sitholakala ukuthi sinesifo sikashukela.
Izimpawu eziphambili yilezi:
- ukomela okungagculisi (kufinyelela kumalitha ama-3-5 amanzi uketshezi ngosuku);
- iphunga le-acetone emoyeni;
- ukwanda kwesifiso sokudla;
- ukwehla okubukhali futhi okubonakalayo kwesisindo somzimba;
- ukuchama njalo, imvamisa ebusuku;
- ukukhishwa komchamo omkhulu;
- amanxeba empeleni awapholi futhi abe mnandi;
- isikhumba esikhanyayo;
- kuvela amathumba nezifo fungal.
Noma yiziphi zalezi zimpawu ziwuphawu lokuxhumana nesikhungo sezokwelapha.
Izinhlobo ezi-2
Isifo sikashukela sesibili noma esinga-insulin siyakhula lapho kukhiqizwa i-insulin ngamanani amaningi. Amangqamuzana omzimba awakwazi ukudonsa ushukela, futhi aqongelela egazini. Ngokuhamba kwesikhathi, ushukela ukhishwa kanye nomchamo.
Izimbangela zokwenzeka:
- ukukhuluphala
- isici sefa
- iminyaka engaphezu kuka-40;
- ukuba khona kwemikhuba emibi;
- umfutho wegazi ophakeme;
- ukumuncwa kokudla ngamanani amaningi;
- impilo yokuhlala;
- intsha engasebenzi yintsha (kuyaqabukela);
- umlutha wokudla okusheshayo.
I-Pathology iba kancane kancane eminyakeni eminingana. Ngokuhamba kwesikhathi, umbono womuntu uqala ukuwa, umuzwa wokukhathala okungapheli uyavela, futhi inkumbulo iba mubi.
Abantu abaningi abacabangi nokuhlolwa ushukela, ngoba abantu asebekhulile bathi ukwehla kwezinguquko ezihlobene nobudala bemvelo. Njengomthetho, isifo sikashukela esinga-insulin sitholwa ngengozi.
Izimpawu okufanele ucatshangelwe:
- ukukhathala
- ukuncipha kokubonwayo;
- izinkinga zenkumbulo
- izifo zesikhumba: isikhunta, amanxeba angapholi kanye namathumba;
- isikhumba esikhanyayo;
- ukoma okungagculisi;
- ukuchama njalo ebusuku;
- izilonda emilenzeni nasezinyaweni;
- ukushuba emilenzeni;
- izinhlungu ngesikhathi sokuhamba;
- i-thrush, ecishe ingaphenduli ekwelashweni.
Lapho nje lesi sifo singena esigabeni esiyingozi sentuthuko, kuzovela lezi zimpawu ezilandelayo:
- ukunciphisa isisindo;
- ukulahleka kombono;
- i-pathology yezinso;
- ukushaya kwenhliziyo;
- isifo sohlangothi.
Ukwelashwa nokuvimbela
Ukwelashwa kukhethwa ngawodwana, kuya ngesimo sesiguli, imbangela nohlobo.
Ekwelashweni kwezinhlobo 1 no-2 - okuningi okufana. Kepha kukhona umehluko olandelayo:
- insulin. Uhlobo loku-1, umuntu kuze kube sekupheleni kwempilo yakhe kuncike kumijovo ye-insulin; ngohlobo 2, isiguli asiyidingi i-insulin;
- ukudla. Uhlobo 1 lubandakanya ukubambelela ngokuqinile ekulinganiseni kwe-BZHU nokulawula okuqinile ekusebenziseni ushukela ukulungisa umthamo we-insulin. Uhlobo 2 lubandakanya ukwenqatshwa kokudla okunama-carbohydrate amaningi, uhlelo lwe-Pevzner lokudla okungenamsoco (ithebula No. 9), okudingekile ukwandisa ukuzwela komzimba ku-insulin;
- indlela yokuphila. Ekuqaleni, kubalulekile ukugwema izimo ezicindezelayo nemithwalo eyeqile, vakashela udokotela njalo ngenyanga, ukukala ushukela usebenzisa i-glucometer kanye nemichilo yokuhlola. Okwesibili kufaka indlela yokuphila elandelayo: ukudla, ukunciphisa umzimba nokuzivocavoca umzimba njalo kungayithuthukisa kakhulu impilo kahle futhi kuholele ekululameni ngokuphelele;
- ukwelashwa ngezidakamizwa. Ekuqaleni, imijovo ye-insulin nezidakamizwa iyadingeka evimbela zonke izinhlobo zezinkinga. Elesibili lidinga amaphilisi anciphisa ushukela athuthukisa ukuthambekela kweglucose.
Amavidiyo ahlobene
I-Chet ihlukile kunhlobo lweshukela 1 kuhlobo 2:
Ngasizathu simbe, kukholelwa ukuthi le nkinga ayinakulapheka, futhi abanesifo sikashukela abaphili bade babe badala. Lokhu kungumbono oyiphutha.
Isifo sikashukela asisiwona umusho, kepha siyindlela yokuxwayisa ukuthi isikhathi sokushintshela ekudleni okunempilo, uyeke ukubhema futhi uhlanganyele nemfundo yomzimba. Indlela efanele yokuthola ukwelashwa iyisiqinisekiso sempilo ende futhi ejabulisayo.
