Ukuzivocavoca ushukela kunendima ekhethekile ekwelashweni. Lesi sifo sidinga ukubuyekezwa kwendlela edlule.
Kuyadingeka ukuhlela hhayi kuphela ukudla, kepha nezindlela zokwelapha. Indlela ehlanganisiwe izosiza ukulawula ukuthuthukiswa kokulimala kakhulu futhi kuzovikela izinkinga.
Isifo sikashukela nokuzivocavoca
Ukuqeqeshwa ngo-systemic kunomthelela omuhle empilweni ephelele:
- amandla akhuphukayo;
- umfutho wegazi uyancipha;
- amandla ayanda;
- Ukuzilawula kwesisindo somzimba kuyasungulwa.
Amakilasi ahlelwe kahle aletha iziguli zesifo sikashukela izinzuzo ezengeziwe.
Isibonelo, kwandisa ukuzwela komzimba ku-insulin, okukuvumela ukuthi usebenzise inani elincane ukunciphisa ushukela we-glucose. Ngaphezu kwalokho, ingozi yokuthola izifo zenhliziyo iyancishiswa, ukulala kuyathuthuka, futhi ukumelana ngokomzwelo nokucindezelwa kuyaqiniswa.
Ukuqeqeshwa Kwamandla kukhulisa isisindo semisipha ngokunciphisa ukumelana ne-insulin. Ukusebenza kwe-Cardio akuholeli ekwenyukeni kwesisindo semisipha, kepha kuthinta isenzo se-insulin.
Ucwaningo lwakamuva luveze ukuthi ukuzivocavoca kuphumelela izikhathi eziyishumi kunokuba kunenqwaba yezidakamizwa (Glucophage, Siofor).
Umphumela ulingana ngqo nesilinganiso samafutha esinqeni nasemisipha. Inani elikhulu lama-deposits liyanciphisa.
Ukusebenza ngaphezu kwezinyanga ezi-2 kuya kwezi-3 kukhulisa kakhulu ukuzwela kwe-insulin. Iziguli ziqala ukwehlisa isisindo ngenkuthalo ngokwengeziwe, futhi amazinga eglucose aba lula ukulawula.
Thayipha ukucindezelwa kwesifo sikashukela 1
Ukuqeqeshwa kufanele kuhlukaniswe izigaba ezi-3:
- ukufudumeza imizuzu emi-5: ama-squats, ukuhamba endaweni, imithwalo yamahlombe;
- ukukhuthaza kuthatha imizuzu engama-20-30 futhi kufanele kube ngu-2/3 womthwalo ophelele;
- ukwehla komnotho - kuze kufike kumizuzu emi-5. Kuyadingeka ukushintsha ngokushekile kusuka ekugijimeleni ekuhambeni, ukwenza izivivinyo ezingalweni nasefolweni.
Uhlobo I diabetics kwesinye isikhathi sihlushwa izifo zesikhumba.
Ngemuva kokuqeqeshwa, nakanjani kufanele ugeze noma usule ngethawula. Insipho kufanele ibe ne-pH engathathi hlangothi.
Thayipha 2 isifo sikashukela
Amandla ohlobo lweshukela sikashukela kusiza ekuqedeni isifo esihlangene. Kodwa-ke, akufanele njalo wenze izivivinyo zeqembu elilodwa lomsipha, kufanele zishintshe.
Ukuqeqeshwa kufaka:
- Amakati
- bacindezele;
- izinsimbi ezinesisindo nezinduku.
Ukuqeqeshwa kweKadio kusiza ekuqiniseni inhliziyo futhi kuguqule umfutho wegazi:
- egijima
- ukushushuluza;
- ukubhukuda
- ukugibela ibhayisekili.
Ukuqina kumele kukhule kancane, njengoba umzimba uyaqina. Lokhu kuyadingeka ekuthuthukiseni nasekugcinweni kokuqina komzimba.
Thayipha ukucindezelwa kwesifo sikashukela esingu-3
Akukho ukuqashelwa okusemthethweni kumibuthano yezokwelapha yesifo sikashukela sohlobo 3. Isimo esifanayo sithi isiguli sinezimpawu ezifanayo zohlobo I no-II.Ukwelashwa kweziguli okunjalo kunzima, ngoba odokotela abakwazi ukunquma ngokunembile izidingo zomzimba.
Njengoba kunesifo sikashukela esiyinkimbinkimbi, abantu bayalwa ukuba bahambe izintaba.
Ngokuhamba kwesikhathi, ubude bawo nobungqabavu kufanele bukhule.
Isifo Sikashukela Nemidlalo
Umphumela omuhle kakhulu ubonwa ngokuzivocavoca ngokunyakaza okujwayezelayo, okukuvumela ukuba ulayishe izingalo nemilenze ngokulinganayo. Imidlalo elandelayo ihlangabezana nale mibandela:
- ehamba
- ukugijima;
- ukubhukuda
- ukugoqa;
- ukugibela ibhayisekili.
Okubaluleke kakhulu ubukhona bamakilasi. Ngisho nekhefu elincane lezinsuku eziningana linciphisa umphumela omuhle.
Ungaqala ngokuhamba okulula. Lesi sifundo sisebenza kakhulu ngoba siphoqa amandla omsebenzi aphezulu we-insulin, akhiqizwa ngumzimba noma avela ngaphandle.
Izinzuzo zokuhamba ngokuthula:
- ukuphuculwa kwenhlala-kahle;
- ukuntuleka kwemishini ekhethekile;
- ukunciphisa umzimba.
Ukuhlanza ifulethi sekuvele kuwukuqeqeshwa okusebenzayo
Phakathi kwemithwalo evunyelwe ekhona:
- ukuhlanza indlu;
- uhambe emoyeni omusha;
- ukudansa
- Ukuhlelwa kwesakhiwo somuntu siqu;
- ukukhuphuka izitebhisi.
Akunandaba noma ukuqina kokusebenza komzimba, kuyadingeka ukuthi uhlole njalo izinga le-glucose. Yenza lokhu ekilasini, ngaphambi nangemva kwabo. Konke ukukhohlisa okuphathelene nokuzivocavoca umzimba kumele kuvunyelwe kuqala kuvunyelwe nodokotela.
Umphumela wokusebenza ngokomzimba emazingeni kashukela
Ngesikhathi sokusebenza komzimba emzimbeni kunezinqubo eziningi zomzimba.
I-glucose etholakala ekudleni idluliselwa emisipha esebenzayo. Uma kunevolumu eyanele, iyasha emangqamuzaneni.
Ngenxa yalokhu, izinga loshukela liyancipha, okuthinta isibindi.
Izitolo ze-glycogen ezigcinwe lapho ziyaqhekeka, zinikeze ukudla kwemisipha. Konke lokhu kuholela ekunciphiseni kokuhlushwa kashukela egazini. Inqubo echaziwe iqhubeka emzimbeni womuntu ophilile. Ku-diabetes, kungenzeka ngenye indlela.
Imvamisa kunezinkinga ngesimo se:
- ukwehla okubukhali ushukela;
- ukwanda okusheshayo kokuhlushwa kwe-glucose;
- ukwakheka kwezidumbu ze-ketone.
Izici ezibalulekile ezinquma ukwenzeka kwalezi zinqubo kuzoba yilezi:
- izinga ushukela lokuqala;
- isikhathi sokuqeqeshwa;
- ukuba khona kwe-insulin;
- umthwalo osindayo.
I-Hypoglycemia Prevention
Indlela engacabangi ngokuqokwa komsebenzi wokuzivocavoca kungaholela ezinkingeni ezinkulu.
Ngaphambi kokuqala amakilasi ejwayelekile, kufanele unqume ngamunye ukuthi uluhlobo luni lokuzivocavoca olufanele. Imininingwane enembile kakhulu izobikwa yi-endocrinologist.
Kodwa-ke, kunoma yikuphi, ukuhlaziywa kwe-glucose kwenziwa. Kwezinye izimo, kuyadingeka ukwandisa inani lokudla kokudla. Ukwanda kwama-carbohydrate kungenzeka ngaphambi noma ngemuva kokuzivocavoca, ngokuya ngezimpawu ze-metabolism.
Ukuphathwa okwengeziwe kwe-insulin kuzonquma uhlobo lokuzivocavoca olwenziwe. Isiguli kufanele sazi kahle ukuthi imiphi imithwalo elusizo kuye.
Kunezincomo eziningi:
- ukuba njalo kubaluleke kakhulu kushukela. Njalo ngesonto, kwenziwa amakilasi ama-3 okungenani, isikhathi sawo esingaphezu kwemizuzu engama-30;
- ukukhulisa umthwalo esikhathini esifushane kukhulisa isidingo sama-carbohydrate, adonswa ngokushesha okukhulu. Ukuzivocavoca isikhathi eside ngokulinganisela kudinga ukuphathwa kwe-insulin okwengeziwe kanye nokwanda kokudla izakhamzimba;
- njengoba umthwalo unyuka, ingozi yokuthuthuka kwe-hypoglycemia iyanda. Lokhu kusho ukuthi i-insulin isebenza ngokwengeziwe amahora ambalwa ngemuva kokuzivocavoca. Ingozi iyanda uma amakilasi abesemoyeni omusha;
- ngomthwalo wesikhathi eside obuhleliwe, kuvunyelwe ukwehlisa umthamo we-insulin, ukusebenza kwawo kwenzeka ngemuva kwamahora angama-2-3;
- kubalulekile ukuzwa umzimba. Umuzwa wobuhlungu ukhombisa izinqubo ezingejwayelekile emzimbeni. Ukungajabuli kufanele kuphoqelele ukunciphisa ukwehla noma isikhathi samakilasi. Isifo sikashukela siyadingeka ukuze kugwenywe ukuthuthukiswa kwezimpawu eziyisisekelo (ukuthuthumela, ukuzuma, ukulamba nokoma, ukuchama kaningi), okwandulelwa ushintsho olubi emazingeni kashukela. Kuzodala ukuyeka okubukhali kokuqeqeshwa;
- umsebenzi womzimba kufanele ube ngaphezu kokudla okunempilo, futhi hhayi izaba zobunjalo bayo obungenangqondo. Ukusebenzisa amakhalori ngokweqile ngethemba lokushisa ngesikhathi sokuvivinya umzimba akukufanele ukuzijwayeza. Lokhu kudala izithiyo kulawulo lwesisindo;
- iqoqo lokuzivocavoca kufanele licabangele ubudala besiguli. Eminyakeni elandelayo, ukukhuphuka okuncane komthwalo kwanele;
- yenza yonke izivivinyo ngenjabulo;
- awukwazi ukubhekana nokuhlushwa okushukela okuphezulu okungaphezu kuka-15 mmol / l noma ukuba khona kwama-ketones kumchamo. Kuyadingeka ukwehlisela ku-9.5 mmol / l.;
- i-insulin esebenza isikhathi eside kufanele incishiswe ngo-20-50%. Ukulinganisa ushukela okuqhubekayo ngesikhathi samakilasi kuzosiza ukulungisa umthamo;
- thatha ama-carbohydrate alula emakilasini ukuvikela ukunciphisa ushukela;
- ezigulini ezikudla okune-carb ephansi, lapho kwehlisa amazinga eglucose, kudla kufika ku-6-8 g wama-carbohydrate asheshayo.
Ukuqapha
Ngesikhathi sokuzivocavoca umzimba, abanesifo sikashukela kufanele bagcine le mithetho elandelayo:
- ukukala amazinga kashukela njalo;
- ngomthwalo omkhulu, thatha i-0.5 XE njalo ngehora le-0.5;
- ngokusebenza okuphezulu komzimba, ukunciphisa umthamo we-insulin ngo-20-40%;
- kuzimpawu zokuqala ze-hypoglycemia, izakhamzimba ezinamakhompiyutha ziyadingeka;
- Ungadlala ezemidlalo kuphela ngenqwaba yoshukela egazini;
- sabalalisa kahle umsebenzi womzimba.
Kuyadingeka ukwenza uhlelo:
- imidlalo yokuzivocavoca yasekuseni;
- ezemidlalo ezisebenzayo amahora ambalwa emva kwasemini.
Contraindication
Ukuzivocavoca ngokomzimba kushukela kunokwephulwa:
- izinga ushukela lingaphezu kwe-13 mmol / l kanye nokuba khona kwe-acetone emchameni;
- okuqukethwe ushukela okubucayi - kuze kufike ku-16 mmol / l;
- ukuwohloka komzimba, ukuvuvukala kwamehlo;
- isifo sikashukela sikanyawo;
- isikhathi esingaphansi kwezinyanga eziyi-6 sidlulile ngemuva kokuqunjelwa kwe-laser retinal;
- umfutho wegazi ophakeme
- ukungazweli kwezimpawu ze-hypoglycemia.
Akuyona yonke imithwalo efanelekile kwabanesifo sikashukela. Bayalwa ukuba bagweme imidlalo ebuhlungu nezimo ezicindezelayo:
- diving
- ukukhuphuka kwentaba;
- ukukhulisa isisindo;
- hang gliding;
- noma yikuphi ukulwa;
- i-aerobics
- imidlalo yokuxhumana: ibhola, hockey.
Amavidiyo ahlobene
Imithetho eyisisekelo yamakilasi wokuqina wesifo sikashukela:
Ukuze ulawule inkambo yesifo sikashukela, ngaphezu kokudla okufanele, ukuzivocavoca kubalulekile. Kodwa-ke, isiguli kufanele sazi ukuthi yikuphi ukuvivinya umzimba okuvunyelwe kuye. Le yinkimbinkimbi ihlanganiswa ngokulandelana ekucabangeni kweminyaka yobudala, izifo ezingamahlalakhona kanye nesimo jikelele sesiguli.
