Isifo sikashukela yisifo esibonakaliswa kuso ushukela omkhulu wegazi. I-Pathology ihlotshaniswa nokwakheka okunganele kwe-hormone insulin (uhlobo 1 lwesifo) noma ukwephulwa kwesenzo sayo (uhlobo 2).
Ngokuqhubeka kwesifo sikashukela, izinga lempilo yabantu abagulayo liyawohloka. Umuntu onesifo sikashukela ulahlekelwa amandla okuhamba, bheka, ukuxhumana. Ngezinhlobo ezinzima kakhulu zesifo, ukuma ngesikhathi, isikhala siyaphazamiseka.
Uhlobo lwesibili lwesifo lwenzeka kubantu asebekhulile futhi, njengomthetho, zonke iziguli zesithathu zifunda ngokugula kwakhe kakade ngokumelene nesizinda sokubukeka kwezinkinga ezinzima noma ezingalapheki. Iziguli ziyaqonda ukuthi isifo sikashukela yisifo esingelapheki, ngakho-ke bazama ukugcina isimo sinxephezela ngokunxephezelwa kwe-glycemic.
Ukukhubazeka ngesifo sikashukela sohlobo 2 kungumbuzo obuzwa njalo oxoxwa phakathi kweziguli uqobo, izihlobo, iziguli nabodokotela bazo abakhona. Wonke umuntu unesifiso ngombuzo wokuthi isifo sikashukela sohlobo 2 sikunikeza yini ukukhubazeka, futhi uma kunjalo, singatholakala kanjani. Okuningi ngalokhu esihlokweni.
Kancane ngesifo sikashukela sohlobo 2
Le ndlela yalesi sifo ibonakala ngokumelana ne-insulin, okungukuthi, isimo lapho amangqamuzana nezicubu zomzimba womuntu eyekayo ukuphendula esenzweni se-pancreatic hormone insulin. Yenzelwe futhi iphonswe emgodini wegazi ngamanani anele, kepha imane "ayibonwe."
I-Mechanism secretion ye-insulin
Ekuqaleni, insimbi izama ukunxephezela leso simo ngokukhiqiza izinto ezisebenza kakhulu ngama-hormone. Kamuva, isimo sokusebenza siyaphela, i-hormone ikhiqizwa kancane kakhulu.
Isifo sikashukela sohlobo 2 sithathwa njengesifo esijwayelekile, esibalelwa ngaphezu kwe-80% yazo zonke izimo ze- "sifo esiphundu". Ukhula, njengomthetho, emva kweminyaka engama-40 kuya kwengama-5, kaningi ngokumelene nesizinda se-pathological body mass noma ukungondleki.
Isiguli sinikezwa nini iqembu lokukhubazeka?
Ukukhubazeka ngohlobo 2 lwesifo sikashukela sohlobo lwesibili kungenzeka, kepha kulokhu isimo sesiguli kufanele sihlangabezane nenqubo ethile ehlolwe ngamalungu ekhomishini yezokwelapha neyezenhlalo:
- amandla okusebenza - kungenzeka ukuthi umuntu abhekwe hhayi nje ukwenza imisebenzi ejwayelekile, kepha futhi kungenye indlela elula yokusebenza;
- amandla okuhamba ngokuzimela - abanye abanesifo sikashukela ngenxa yezinkinga ezivela emikhunjini badinga ukunqunywa kokukodwa noma zombili izitho eziphansi;
- ukuma ngesikhathi, isikhala - izinhlobo ezinzima zesifo zihambisana nokuphazamiseka kwengqondo;
- ikhono lokuxhumana nabanye abantu;
- Isimo esijwayelekile somzimba, izinga lesinxephezelo, izinkomba zaselebhu, njll.
Kubalulekile! Ukuhlola isimo seziguli ngokuya ngezinqubo ezingenhla, ochwepheshe banquma ukuthi yiliphi iqembu elibekwa esimweni ngasinye somtholampilo.
Ochwepheshe be-MSEC - iqembu lodokotela abaqeqeshiwe abanquma ukuthola ukukhubazeka
Izici Zamaqembu
Kunamaqembu amathathu okhubazekile, elinye lawo angatholakala kwisifo sikashukela esinesifo sohlobo 2.
Iqembu lokuqala
Lesi sigaba singanikezwa isiguli ezimweni ezilandelayo:
Ngabe isifo sikashukela singalashwa sisencane?- i-pathology ye-analytez ezibukwayo, ehambisana nokuncipha okubukhali kombono noma ukulahleka kwayo ngokuphelele kwamehlo noma kuwo womabili;
- ukulimala kwesistimu yezinzwa ephakathi, okubonakaliswa ukuphambuka kwengqondo, ukwazi ukungasebenzi kahle, ukujwayela;
- i-neuropathy, ehambisana nokukhubazeka, i-ataxia;
- Isigaba seCRF 4-5;
- ukwehluleka kwenhliziyo okukhulu;
- ukwehla okubucayi koshukela wegazi, okuphindwe kaningi.
Njengomthetho, abanesifo sikashukela abanjalo abahambi ngaphandle kosizo, bahlushwa isifo sokuwohloka komqondo, futhi kunzima ngabo ukuxhumana nabanye. Iningi linokunqunywa kwemikhawulo engezansi, ngakho-ke azihambi lodwa.
Iqembu lesibili
Ukuthola leli qembu lokukhubazeka kungenzeka kulezi zimo ezilandelayo:
- ukulimala kwamehlo, kepha hhayi kangako njengokukhubazeka kweqembu 1;
- isifo sokuqina kwesifo sikashukela;
- ukwehluleka kwezinso, kuhlanganiswe nokuhlanjululwa kwegazi okusekwe nge-hardware noma ukuhlinzwa kwe-organ transmit
- ukulimala ohlelweni lwezinzwa olungemuva, olubonakaliswa yi-paresis, ukwephulwa okuqhubekayo kokuzwela;
- imikhawulo ekwazini ukuhambahamba, ukuxhumana, ukusizakala ngokuzimela.
Kubalulekile! Abantu abagulayo kuleli qembu badinga usizo, kepha abaludingi amahora angama-24 ngosuku, njengasekuqaleni.
Ukusetshenziswa kwezinsiza zokuhamba kuwuphawu lokukhubazeka kanye nesidingo sosizo oluvela kumaqembu wesibili
Iqembu lesithathu
Ukusungulwa kwalesi sigaba sokukhubazeka kushukela kungenzeka ngokuqina kwesifo, lapho iziguli zingakwazi ukwenza umsebenzi wazo ojwayelekile. Ochwepheshe bekhomishini yesazi sezokwelapha nezenhlalo iphakamisa ukuthi labo bantu abanesifo sikashukela bashintshe izimo zabo ezijwayelekile zomsebenzi ukuze benze umsebenzi olula.
Yini inqubo yokusungula ukukhubazeka?
Okokuqala, isiguli kufanele sithumele ukudluliselwa ku-MSEC. Lo mbhalo ukhishwa yisikhungo sezokwelapha lapho isifo sikashukela sigcina khona. Uma isiguli sinezitifiketi zokwephulwa kwemisebenzi yezitho zomzimba nezinhlelo zomzimba, igunya lokuvikela umphakathi lingakhipha nokudluliselwa.
Uma isikhungo sezokwelapha senqaba ukunikeza umuntu okudluliselwe kuye, umuntu unikezwa isitifiketi angaphendukela kuso ngokuzimele ku-MSEC. Kulokhu, umbuzo wokusungula iqembu lokukhubazeka wenzeka ngendlela ehlukile.
Ngokulandelayo, isiguli siqoqa imibhalo edingekayo. Uhlu lubandakanya:
- ikhophi nephasiphothi yangempela;
- ukudluliselwa kanye nokusetshenziswa kwezindikimba ze-MSEC;
- ikhophi kanye noqobo lwencwadi yomsebenzi;
- umbono wodokotela ohambela yonke imiphumela yokuhlolwa okudingekile;
- isiphetho sokuhlolwa kongcweti abancane (udokotela ohlinzayo, i-ophthalmologist, i-neuropathologist, nephrologist);
- ikhadi lesikhathi sokuphuma kwesiguli.
Udokotela ohambelayo ungumsizi ekutholeni iqembu lokukhubazeka
Uma isiguli sithola ukukhubazeka, ochwepheshe abavela kukhomishini yezokwelapha neyenhlalo bathuthukisa uhlelo olukhethekile lokuvuselela lo muntu. Ivumelekile isikhathi kusukela esikhathini sokukhubazeka lapho kusungulwa kuze kube kuhlolwa kabusha okulandelayo.
Izinzuzo zabakhubazekile abanesifo sikashukela
Kungakhathaleki ukuthi yisiphi isizathu lapho kwasungulwa khona isimo sokukhubazeka, iziguli zinelungelo lokusizwa nesimo nezinzuzo ezigabeni ezilandelayo:
- izindlela zokuvuselela;
- ukunakekelwa kwezempilo kwamahhala;
- ukudala izimo zokuhlala ezifanele;
- imixhaso;
- zokuhamba ezikhululekile noma ezingabizi kakhulu;
- ukwelashwa kwe-spa.
Izingane, njengomthetho, zinhlobo lwesifo esincike e-insulin. Bathola ukukhubazeka lapho befika ebudaleni, kugcwaliswa kuphela iminyaka eyi-18.
Amacala okuthuthukiswa kohlobo lwesifo sikashukela sohlobo 2 ezinganeni ayaziwa. Kulokhu, ingane ithola usizo lombuso ngendlela yezinkokhelo zanyanga zonke.
Iziguli zinelungelo kanye ngonyaka lokukhulula ukwelashwa kwe-spa. Udokotela ohambelayo ubhala imiyalelo yemithi edingekayo, i-insulin (ngesikhathi sokwelashwa kwe-insulin), isirinji, uvolo okotini, amabhandeshi. Njengomthetho, lawo malungiselelo wokukhetha anikezwa emakhemisi wombuso ngenani elanele lezinsuku ezingama-30 zokwelashwa.
Uhlu lwezinzuzo lubandakanya le mithi elandelayo, ekhishwa mahhala:
- izidakamizwa ze-hypoglycemic zomlomo;
- insulin;
- phospholipids;
- izidakamizwa ezithuthukisa isimo sokusebenza kwama-pancreas (enzymes);
- amavithamini izakhiwo;
- izidakamizwa ezibuyisela izinqubo ze-metabolic;
- ama-thrombolytics (ama-blood thinner);
- i-cardiotonics (izidakamizwa zenhliziyo);
- okokugcoba.
Kubalulekile! Ngaphezu kwalokho, abantu abakhubazekile kunoma yiliphi iqembu banelungelo lokuthola impesheni, inani elivunyelwe ngumthetho ngokuya ngeqembu elikhubazekile elikhona.
Imali yesibonelelo evela kuhulumeni ingesinye sezigaba ekusizeni abanesifo sikashukela abakhubazekile
Ungakuthola kanjani ukukhubazeka kwisifo sikashukela wudaba ongahlala uthintana ngalo nodokotela wakho we-endocrinologist noma uchwepheshe ovela kwiKhomishini ye-MSEC.
Nginombono wokuthi ngeke nginqabe: inqubo yokuthola ukukhubazeka ibhekwa njengenqubo ende, kepha kusafanelekile ukuzama ukufeza ukusungulwa kokukhubazeka. Wonke umuntu onesifo sikashukela kufanele angazi ngemisebenzi yakhe (ukufeza isimo sesinxephezelo), kodwa futhi ngamalungelo nezinzuzo.
