Yini i-prediabetes: izinkomba zamazinga kashukela wegazi, izimbangela kanye namaqhinga okuthola ukwelashwa

Isifo sikashukela yisimo somngcele womzimba lapho izinga likashukela esegazini, noma liphezulu, alanele ngathi ukuthola isifo uqobo.

Ukukhohlisa kwalesi sifo kusenkambweni yayo ye-asymptomatic. Kuyinto i-harbinger yesifo esinzima kakhulu: uhlobo 2 sikashukela.

Ngenhlanhla, lokhu akwenzeki kaningi - ezimweni ezingama-25%. Indlela yokuphila efanelekile nokwelashwa okufanele kuzosiza ekugwemeni ukuthuthukiswa kwalesi sifo.

Yini isifo sikashukela?

Imbangela ye-pathology ukungakwazi kwamaseli ukumunca i-insulin ngesilinganiso esifanele. Ngenxa yalokho, ushukela ongena emzimbeni ngokudla unqwabelana egazini.

Ingozi ye-PD isengozini enkulu yokuba nesifo sikashukela esinga-insulin.

Kepha akufanele unovalo - lesi sifo sisabela kahle ekwelashweni. Basho nge-pathology lapho inani kashukela wegazi liwela phakathi kwebanga le-100-125 mg / dl.

Ubani ongahlaselwa yisifo sikashukela?

Kusungulwe ukuthi cishe abantu baseRussia abacishe babe yizigidi eziyisishiyagalombili bahlushwa yile nkinga, futhi ngokusemthethweni abantu abangaphezu kwezigidi ezi-2,5 banesifo sikashukela. Abaseleyo (abacishe babe ngu-2/3) abafuni usizo lodokotela, futhi iningi labo alazi ngisho nalesi sifo.

Iqembu lengcuphe lifaka:

• iziguli ezikhuluphele. Kulokhu, amathuba okuthola isifo sikashukela anda ngengxenye yesithathu;
• umfutho wegazi ophakeme;
• abantu abanefa elibi (kukhona abanesifo sikashukela phakathi kwezihlobo);
• abesifazane abanesifo sikashukela sokukhulelwa;
• iziguli ezine-cholesterol ephezulu;
• abesifazane abane-ovary polycystic;
• abantu abadala
• iziguli ezingalashwa isifo se-periodontal noma i-furunculosis.

Isifo sikashukela singatholakala nasezinganeni. Lokhu kwenzeka ngenxa yokutheleleka kwangaphambilini noma esikhathini sokusebenza. Ngakho-ke, kubaluleke kakhulu ukubheka isimo sengane ngesikhathi sokuvuselelwa kwayo.

Izizathu zokuthuthuka

Inkinga enkulu ukusabela okungalungile komzimba kuma-insulin (immune), yize iqiniso ukuthi ama-pancreas akhiqiza ngokujwayelekile.

Umsebenzi oyinhloko we-hormone ukulethwa kweglucose (futhi, ngakho-ke, amandla) kumaseli wezicubu zazo zonke izitho zomzimba. IGlucose ingena egazini njengengxenye yokudla.

Ngakho-ke, ukudla okumnandi kukhulisa kakhulu i-glycemia, ngoba igxilwa ngokushesha okukhulu. Uma ushukela ungena emzimbeni kaningi, umzimba ufaka "ukuzivikela". Amaseli alahlekelwa amandla abo okubona i-insulin futhi angavumeli ukuba i-glucose idabule. Le yindlela ukukhula kwe-PD.

Izimpawu

Isithombe somtholampilo se-PD siyefana nezimpawu zesifo sikashukela sohlobo 2 noma engekho ngokuphelele. Ngakho-ke, ukuze ungaphuthelwa ukubonakaliswa kokuqala kwe-prediabetes, kubalulekile ukwenza uhlolo oludingekayo lwezempilo njalo ngonyaka.

Lesi sifo sivusa ukwenzeka kwalezi zimpawu ezilandelayo:

• umuzwa wokoma. Ngenxa ushukela okhuphukile, igazi liyaqina, futhi umzimba udinga uketshezi olwengeziwe ukuze ulufafaze;
• iphupho elibi. Lokhu kwenzeka ngenxa yokulimazeka kwe-glucose metabolism;
• ukuchama kaningi, njengoba isiguli siphuza amanzi amaningi;
• ukwehla kwesisindo kwe-asymptomatic. Njengoba imithambo yegazi ingenakubamba ushukela ngokuphelele, ihlala kuyi-plasma yegazi futhi ingangeni ezicutshini zezitho zomzimba. Lezi zokugcina zentula umsoco, futhi umuntu wehlisa isisindo;
• umbono onsundu, izinduna, kanye ne-pruritus. Lokhu kungumphumela wokuhamba kwegazi okungekuhle (ngenxa yokuqina, igazi lidlula kabi ngemithambo emincane);
• izicubu zomsipha. Nge-prediabetes, zonke izitho zihlangabezana "nokuntuleka" kokudla;
• umkhuhlane;
• i-migraine Njengoba lesi sifo sibangela ukulimala (okuncane) emithanjeni yobuchopho, umuntu uzwa izinhlungu.

Ukuxilonga: Izinhlobo zokuhlaziya

Njengoba lesi sifo singenazo izimpawu ezisobala, kudingeka ukubonisana nodokotela ukuze usithole. Ngesikhathi sokuhlolwa, isiguli sibonisa ukucwilisa isikhumba, isisindo ngokweqile. Umuntu ukhononda ngokungahambi kahle, ubuthakathaka, umlomo owomile. Ngokusekelwe emlandweni wezokwelapha, udokotela unquma izivivinyo.

Ungasithola lesi sifo usebenzisa izivivinyo ezilandelayo zelebhu:

• ukutholwa kokubekezelela ushukela (ngomlomo);
• isivivinyo segazi sokuzila (capillary);
• ushukela emchameni.

Esimweni sokuqala, isampula yegazi yenziwa ngemuva kwamahora ayisishiyagalombili okuzila ukudla.

Ucwaningo lukhombisa ukuthi umzimba ulimaza kahle kangakanani ushukela. Ukuxilongwa kwe-PD (noma isifo sikashukela esidala) kungenzeka uma amanani ayo ewela phakathi kwe-100-125 mg / dl noma (5, 56-6, 95 mmol / l).

Ukukhuluma ngokuzethemba nge-prediabetes, isifundo esisodwa asanele. Uzodinga ukuthi uhlaziye kaninginingi, ngoba ukunemba kwemiphumela kungathinteka injabulo, inkomishi yekofi, ukuthatha umuthi nezinye izizathu.

Uma ngemuva kokulinganisa okuphindaphindiwe ukuhlushwa ushukela kuhlala kuphezulu kakhulu, kuchazwe ukuhlaziywa kwe-hemoglobin ye-glycosylated. Kwembula amazinga kashukela aphelele ezinyangeni ezintathu ezedlule. Lapho likhuphuka inani le-glycogemoglobin, likhulu ingozi yokuthola isifo sikashukela. Ngokuvamile, lezi zinkomba zingama-4-5.9%.

Isiguli simenyelwa ekuvumeleni uhlobo lwesimanje lokuxilongwa - umthwalo we-prenisone-glucose:

• izinsuku ezintathu ngaphambi kokuhlaziywa, isiguli kufanele sidle ukudla okuqukethe okungenani ama-300 g ama-carbohydrate;
• kubalulekile ukuthi amaprotheni namafutha ekudleni ajwayelekile;
• 2 amahora ngaphambi kokuqala komthwalo weglucose, isiguli siphathwa isidakamizwa i-Prednisol (12,5 g).

Uma ukuhlolwa okwenziwe esiswini esingenalutho kuveza inani elingaphezu kuka-5.2 mmol / L, kuthi ngemuva kwamahora ama-2 lidlule ku-7 mol / L, kutholakala ukuthi kunikwa iPD.

Ukuhlolwa kwe-Staub-Traugott kungenye indlela yokuthola isifo sikashukela se-latent. Umongo wayo ulele eqinisweni lokuthi ngaphambi kokuthatha igazi, isiguli siphuza i-50 g yesisombululo sikashukela futhi - ngemuva kwamahora ayi-1.5. Njengoba kumuntu ophile kahle, amanani kashukela akhuphuka kuphela ngemuva komthamo wokuqala, khona-ke ukwanda kwawo okubukhali kuwo womabili amacala kubonisa i-PD.

Ushukela wegazi

Amanani ayisisekelo we-glucose we-PD nesifo sikashukela aboniswa ngezansi:

Isidingo kanye nemvamisa yokuhlolwa

Ukuxilongwa kwelabhoratri kwenziwa kahle njalo. Imiphumela yayo izoveza ukuthi kusebenza kahle indlela odla ngayo nohlobo lwakho.

Ukuhlolwa kuyasebenza, kusiza ukuthola lesi sifo sisendleleni. Ukwelashwa okwenzelwe kahle kuzomisa ngokuphelele i-PD.

Ukuhlaziywa kuthathwa kahle kakhulu ezindaweni zokucwaninga ezikhokhelwayo, ngoba zihlome ngemishini yobuchwepheshe obuphezulu nama-reagents anamuhla. Ukunemba kwemiphumela yocwaningo emitholampilo enjalo kuphakeme kakhulu. Kubalulekile ukuhlola izinso njalo: nikela ngegazi nomchamo ukuze kuhlaziywe. Udinga ukubheka ushukela njalo, ngakho-ke i-glucometer kufanele ibe sekhaya.

Uma uneminyaka engama-45 (noma ngaphansi) futhi unamaphawundi angeziwe, udinga ukwenza izivivinyo njalo ngonyaka. Lapho isisindo sejwayelekile - kanye njalo eminyakeni emithathu.

Izici ezikhulisa amathuba wesifo

Izici ezikhulisa amathuba okuba nesifo sikashukela zifaka:

• amanani wokucindezela kwegazi ayakhuphuka (140/90) kanye ne-cholesterol ephezulu;
• amalungu omndeni aseduze ahlushwa isifo sikashukela esinga-insulin;
• isifo sikashukela sokutholwa sesitholakele kumama wakho noma kuwe;
• ukusebenza komzimba okubuthakathaka (kufika emahoreni ama-3 ngeviki);
• isisindo sengane esanda kuzalwa idlula ama-4 kg;
• kutholakala ukuthi une-hypoglycemia (ushukela omncane phakathi kokudla);
• ukusetshenziswa kwesikhathi eside kwemithi yesibonisi esetshenzisiwe;
• ukusetshenziswa njalo kwekofi (ngaphezu kwezinkomishi ezi-3 ngosuku);
• izinduna kanye neminye imishayo yesikhumba;
• isifo se-periodontal.

Ukwelashwa

Umongo walokhu kwelashwa ukugcina ushukela ujwayelekile. Into esemqoka ukuzama ukuguqula indlela yokuphila ejwayelekile.

Okokuqala, udinga ukubukeza okudlayo.

Ukudla kufanele kugcwaliswe kabusha ngokudla okune-fiber.

Ukudla okunamafutha kumele kuncishiswe. Kubalulekile ukulawula inani lama-carbohydrate adliwayo (ubisi, amaswidi).

Khulisa ukusebenza komzimba (impilo). Qeqesha umzimba wakho, unwebe isikhathi sokuqeqeshwa. Qala ngokuhamba ngezinyawo. Kuhle kakhulu ukuvakashela ichibi. Xhuma abantu abasondelene nezifundo zakho. Uma ukwelashwa kubandakanya ukufaka imishanguzo ethile, landela imiyalo kadokotela ngokuqinile.

Utshwala

Iziphuzo eziqukethe notshwala zithinta umzimba ngezindlela ezihlukile. Ngakho-ke, utshwala noma i-cocktails enokuqukethwe ushukela omningi, kunjalo, i-contraindication ku-prediabetes.

Kepha leli akusilo iphuzu. Iqiniso ukuthi noma ibuphi utshwala buvusa i-hypoglycemia yesikhashana: isibindi siyayeka ukukhiqizwa kwe-glucose, bese ushukela wehla ngezansi ngokujwayelekile (amayunithi angama-3.3). Ngama "libations" avamile lesi senzo sibanjwa izinsuku ezimbalwa. Okusho ukuthi, udinga ukuphuza ngokuqinile i-dosed.

Ama-cocktails amnandi notshwala ayenqatshelwe ngokuphelele.

Kuyiphutha ukucabanga ukuthi utshwala kwi-PD bunganciphisa ushukela. Ngakolunye uhlangothi, ingozi yokuba nesifo sikashukela sohlobo 2 iphezulu kakhulu. Utshwala obungenampilo bebonke bungabulala, ngoba umzimba ogulayo awukwazi ukubhekana nesihlungu esikhulu sobuthi.

Nge-prediabetes noma isigaba esisheshayo salesi sifo, usengaphuza, kepha udinga ukwenza lokhu ngezikhathi ezithile futhi hhayi ngaphezu kwe-150 g ye wayini eyomile noma i-250 ml kabhiya.Noma yiliphi inani lotshwala livinjelwe ngokuphelele uma i-PD ihlotshaniswa namanye ama-pathologies:

• purines ngokweqile egazini;
• izifo zamanyikwe kanye nesibindi;
• isifo sezinso;
• isifo sokuqina kwemizwa.

I-Passion kabhiya iholela ekuzuzeni isisindo ngokushesha. Abesifazane bavame ukuba umlutha wesiphuzo esinamandla.

Amavidiyo ahlobene

Kuyini prediabetes futhi ukwelashwa kanjani? Izimpendulo kuvidiyo:

Ukungasebenzi kahle kokuthathwa koshukela kusabela kahle ekwelashweni. Ekwelapheni i-prediabetes, okuningi kuya ngesiguli uqobo. Uma uthola amandla kuwe futhi uguqule impilo yakho, ungathembela ekuthini isimo sisesimweni ngaphandle kokwelashwa.