Isifo se-Endocrine sibangelwa ukungapheleli okuyingxenye noma ngokuphelele kokukhiqizwa kwe-pancreatic insulin. Kubonakala njengokuphazamiseka okukhulu kwe-metabolic, njengoba kufakazelwa yizimpawu ze-hyperglycemia (glucose ephezulu yegazi), ukuba khona kwe-carbohydrate emchameni. Ngabe ukwelashwa kwesifo sikashukela se-latent kwehlukile kunhlobo yayo evamile? Kuhlanganisani futhi kwenziwa kanjani?
Ukuhlukaniswa kwesifo sikashukela nokusetshenziswa kwegama elithi “ukwelashwa”
Izinhlobo ezejwayelekile zesifo sikashukela i-mellitus (DM), ezingancikile ekuthini i-insulin i-hormone zithathwa njengezinhlobo eziyinhloko zalesi sifo ezenzweni zokwelashwa. Njengamanje, zithathwa njengezingenakuphikwa yimithombo esemthethweni. Kunzima ikakhulukazi ukwelapha uhlobo olunzima lwesifo sikashukela sohlobo lwe-1 ngokushintshashintsha okukhulu koshukela.
Uma kucatshangelwa izici zokwelashwa kwalesi sifo, ikhambi laso eliphelele alisho. Isinxephezelo esihle ukugcinwa kwesifo sikashukela ngesakhiwo esiseduze nempilo ejwayelekile. Ukusetshenziswa kwegama elithi “ukwelashwa” akufanele kukhuthaze ithemba eliyingozi. Kufanelekile ochwepheshe neziguli ukusebenzisa umqondo “wokulawulwa kwesifo sikashukela”.
Ukuchazwa kwaso ukusetshenziswa:
- imishanguzo enciphisa ushukela wegazi (amaphilisi, imijovo, imithi ye-homeopathic);
- amadivaysi alungisa izinga layo (ama-glucometer);
- isidlo esikhethekile (ikhalori ephansi, enokusatshalaliswa okufanayo kwama-carbohydrate);
- ukukhipha ukusebenza komzimba.
Njengoba kunezimpawu zakamuva kodwa isifo okuxilongwa ngaso, ukwelashwa kuvame ukufana nesifo sikashukela esiyinhloko
Kuhlukaniswa kwezifo ze-endocrine, njengomzuzwana ohlukile, odokotela bahlukanisa isimo somzimba lapho kutholakala ukuthi isifo sikashukela esisheshayo noma esisheshayo. Ngayo, ukubekezelela ushukela kukhubazeka. Isikhundla okuthiwa yisifo se-prediabetesic sivezwa ukugcwala koshukela egazini eliseduze namanani ajwayelekile. Umuntu usesimweni somngcele: akaguli okwamanje, kepha usenempilo enhle impela.
Isikhathi sesigaba sesifo sikashukela se-latent sisodwa, zincike kulezi zinto ezilandelayo:
Isifo sikashukela esifihlekile ngesikhathi sokukhulelwa- izici zomzimba nezomzimba;
- isakhi sofuzo;
- ukungatheleleki (ukuzalwa kabusha nokutholakele);
- izimo nendlela yokuphila.
Isimo esengeziwe sokuthuthuka kwemicimbi ngenxa yokuphazamiseka ekulinganiselweni okungaguquki kwe-metabolism kuyahlukahluka: zonke izimpawu zinganyamalala, zihlale ngokuphila noma zibonakale njengohlobo 2 sikashukela. Uhlobo lwe-1 luqala, njengomthetho, impela, nezimpawu ezisobala ze-hyperglycemia ende (ukoma okonakalisayo, isifiso sokudla, ukuphindaphindana nokuchama ngokweqile).
Ukuhlolwa kokuhlonza isifo sikashukela sasemuva
Kunemikhakha eminingana yabantu abasengozini yesifo sikashukela. Ngokucabanga kokuxilongwa, okulandelayo kuyahlaziywa:
- ama-metabolic pathologies we-metabolic kubazali;
- ukuba khona kwezifo ze-pancreatic (pancreatitis, umdlavuza);
- izimpawu zokutheleleka ngegciwane (umkhuhlane, i-rubella);
- uhlobo kanye nesimo sohlelo lwezinzwa (oluhle);
- inkomba yesisindo somzimba (ngaphezulu kwama-25).
I-BMI ibalwa ifomula: isisindo (kg) ihlukaniswe ukuphakama (m) kukalwa. Inkomba yama-25 kuya kwangama-30 ibonakala ngesigaba esingu-1 sokukhuluphala; 30–40 - kwesibili, kungaphezulu kwe-40 - kwesithathu.
Ezigulini ezisengozini, izivivinyo ezijwayelekile zenziwa izikhathi ezi-1-2 ngonyaka
Isifo sikashukela esibuhlungu asinaso isithombe esibonakalayo esicacile. Ukuxilongwa okuyinhloko okwenzelwa ukuyikhomba ngokunembile kungokulandelayo:
- ucwaningo olubizwa nge-glucose tolerance test (GTT);
- ukuhlaziywa kwe-hemoglobin ye-glycated, ejwayelekile - kuze kufike ku-7 mmol / l;
- Ukuhlaziywa kwe-C-peptide.
I-GTT inqunywe ngudokotela, ke, usebenzisa idatha etholakele - izinkomba ze-carbohydrate, kwakhiwa "ijika leshukela". Umphumela omuhle wokuhlola ukuphambuka kumanani ajwayelekile awuthathwa njengesisekelo sokutholwa kwe-100% lesigaba sokugcina sesi sifo. Izindlela ezibalulekile zokuhambisana nezokusiza zingukuhlaziya konke.
Ukuhlaziya okujwayelekile kanye nokuhlolwa okuningiliziwe kwemiphumela yabo yi-endocrinologist kukuvumela ukuthi ubambe ukuguqulwa komzimba kwesimo esibuhlungu.
Imiphumela engathandabuzekiyo kufanele ihlolwe kabili, ngokuya ngezifundo eziphindaphindwayo.
Izici zokwelapha zesifo sikashukela esisebusweni
Umgomo wezinyathelo zokwelapha ukwenzeka okujwayelekile kwezinqubo ze-metabolic. Imvamisa, ukulungiswa kwesisindo somzimba kuyadingeka. Uma kutholakala ukuthi isifo sisekuqaleni, kungenzeka ukuthi kulungiswe ukuphazamiseka emzimbeni (metabolic emzimbeni) usebenzisa ukudla okukhethekile. Yakha imigomo yokudla okwelapha. Kufanele kube okujwayelekile, okuhlukahlukene, okunempilo. Ochwepheshe bahlukanisa ukudla njengethebula le-9.
Ngokuya ngokuhlinzekiwe okunconyiwe, imikhiqizo eminingi evinjelwe ifaka:
- ushukela, ujamu, amaswidi;
- confectionery, khekhe;
- izitsha ezinamafutha, ezinosawoti nezibhemayo;
- iziphuzo ezidakayo;
- ezinye izithelo (amagilebhisi, ubhanana).
Kudingeka kukhethwe ikhalori ngayinye nsuku zonke. Ngomzimba olinganiselayo ngokomzimba kanye nesisindo somzimba esifanele, kuze kufike ku-35 kcal nge-1 kg yesisindo ibalwa. Ukukhuluphala kwama-degree ahlukahlukene kunika isizathu sokunciphisa ukubamba kokudla okunama-khalori aphezulu ngo-10-15 kcal.
Uma ukusetshenziswa kokudla kungalethi imiphumela emihle, bese usebenzisa usizo lwemithi enciphisa ushukela. Imvamisa, lokhu kwenzeka ngemuva kwezinyanga ezi-3 zemizamo engaphumelelanga yokufinyelela amanani ajwayelekile we-glycemia. Njengomthetho, umthamo wokuqala wama-ejenti omlomo (amaphilisi) mancane. Ama-pancreas, athola ukwesekwa ngokwezokwelapha, kungenzeka abuyisele amandla aphelelwe amandla futhi abuyele esimweni sakhe esejwayelekile sokusebenza.
Kumuntu ophilayo osesimweni sokubonakaliswa kwesinye isifo (i-yegilo gland, i-lupus erythematosus, ukutheleleka), ukukhulelwa, okuhambisana ngokuhambisana nesifo sikashukela esiseza esikhathini esidlule, ukwelashwa kwe-episodic insulin kungadingeka. Imithamo yemijovo kanye nohlobo lwamahomoni aphathwe ngaphandle, inhlanganisela yezenzo zabo ezimfishane nezinde futhi isungulwa yi-endocrinologist. Ukuziguqula kabusha kwama-regimens okwelashwa akuvunyelwe, okungaholela ezinkingeni nasekuthuthukisweni okungekuhle kwesifo.
Esikhathini sokushintshwa, izindlela zokwelapha ezingezona zendabuko zisiza ukubhekana nokubekezelelwa kwe-glucose engasebenzi kahle ukuvimbela nokuqinisa amandla okuvikela:
- amakhambi we-homeopathic;
- amaminerali kanye namavithamini;
- i-acupressure ne-reflexology;
- yinkimbinkimbi yokuzivocavoca umzimba nokuphefumula.
Ngaphambi kokusetshenziswa kwabo, ukubonisana nodokotela onguchwepheshe kuyadingeka. Hlanganisa izindlela zokwelapha ezisebenzisayo ezifaka isandla ekusetshenzisweni kweglucose eyeqile emzimbeni ngamaseli wezicubu. Lokhu kukuvumela ukuthi ukhuphule ukusebenza kahle, uthuthukise inhlala-kahle yesifo sikashukela. Ngokuphikisana nesizinda sokusetshenziswa kokudla okunengqondo, ukunciphisa ukukhulupha ngokweqile, kanye nokwandisa umsebenzi wezimoto, kuvame ukwenzeka ngcono isimo samaseli we-pancreatic beta. Imiphumela etholakele ingagcinwa kuphela uma indlela yokuphila enempilo kanye nemikhawulo yokudla ibonwa.
