Ukuhlobana kwesifo sikashukela

Izingqinamba zecebo lokulwa nokwanda kwezifo ezigcwele i-endocrinological yi-ajenda yezingqungquthela eziningi zezokwelapha ezijwayelekile zamazinga ahlukahlukene. Izinkinga zangempela zesifo sikashukela azincipha. Enye yezinto eziphambili ukuthi izidingo zempilo ezichazwe ngokucacile ziyafinyelelwa amayunithi eziguli. Ochwepheshe bathi ezimweni eziningi, ungafinyelela isinxephezelo esiphikelelayo se-glycemia (ushukela wegazi). Ngabe umongo wesifo sasendulo ushintshile noma ingabe indlela yokwelashwa kwayo iguquliwe?

Izingane ziyisigaba esikhethekile sikashukela

Minyaka yonke, ukwanda kwesibalo sabashukela abancike e-insulin kuyanda. Iqembu leziguli zohlobo 2 ezingalashwa i-insulin, livame ukufaka abantu abaneminyaka engama-45. Izinkinga zabo ukuthi kunzima ukuthi iziguli ezindala ziguqule indlela yazo yokudla nendlela yazo yokuphila mayelana nalesi sifo. Izibalo zezokwelapha ziningi kangangokuba isilinganiso samaqembu 1 no-2 sibukeka njengephesenti le-10 nele-90.

Okunye ukuphazamiseka emzimbeni kuhlangana nokuxilongwa okuyinhloko kweziguli ezihlobene nobudala: ukungasebenzi komzimba wesisu, ukukhuluphala, umfutho wegazi ophakeme. Ama-Pathologies adinga ukuthi isiguli silinganiselwe ezintweni zokudla ("okusheshayo" ama-carbohydrate, amafutha ezilwane). Kepha ku-arriers ye-Type II diabetesics kukhona okuhlangenwe nakho kwempilo, amakhono nolwazi okufanele lusetshenziswe kahle.

Ezigulini ezinjalo, isikhathi sokuzalwa kwengane esinomthwalo wemfanelo sisemuva, okuyinto, kunalokho, esiphambi kwentsha. Ingane enenkinga yokuxilonga kufanele ifunde ukubala ngokunembile "amayunithi wesinkwa" anemibandela, okubonisa isilinganiso: i-12 g yesinkwa emkhiqizweni odliwayo kanye nomthamo we-insulin esebenza ngokushesha. Ukuze ukwazi ukuqonda ukwelashwa okufakwa esikhundleni se-hormone, ilebuli, izinhlobo, izimo zokugcina izidakamizwa ezisehlisa ushukela ezisetshenzisiwe.

Kuze kube yilowo mzuzu, abazali noma abantu abathatha indawo yabo kufanele benzele yena. Ukondliwa kwengane egulayo akuhlukile kokujwayelekile. Umzimba wakhe uyakhula futhi ukhula, ngakho-ke, udinga isethi ephelele yezakhamzimba. Le nsizwa ishukumisela okuningi.

Imvamisa, isu lokwelashwa lincike kakhulu embangela yesifo sikashukela. I-hyperglycemia yesikhathi eside (ushukela wegazi ophakeme) ibangelwa ukushoda kwe-pancreatic hormone. Noma emzimbeni kunezinto eziphikisana nomsebenzi we-insulin. Isici sesifo se-endocrine siyinkambo engapheli kanye nokwephulwa kwazo zonke izinhlobo ze-metabolism (i-carbohydrate, amaprotheni, amafutha, usawoti wamanzi, amaminerali).

Endaweni ekhethekile engcupheni yokuqalwa kwesifo yizingane ezineminyaka engu-10-12 ubudala, ezisekuqaleni kwenkathi yokuthomba - kwimvelaphi yokuguqulwa kwehomoni. Uhlobo lwesifo sikashukela esethembele ku-insulin sicasulwa ngokuqubuka kwamagciwane ngezikhathi ezithile zonyaka. Amaseli e-pancreatic akhethekile abizwa ngokuthi "islets of Langerhans" anqaba ukwenza i-insulin.

Ucwaningo lwanamuhla lufakazela ukuthi ngokuvamile lubhekele ukwenziwa kwamaseli e-beta - amasosha omzimba. Uma imisebenzi yayo iphazamiseka, amasosha omzimba aqala ukukhiqizwa egazini. Ziqondiswe ngokumelene nezicubu zazo emzimbeni womuntu. Konke okuthinta kabi amasosha omzimba ngokungaqondile kuholela kwisifo sikashukela.

Izibalo zezokwelapha zikhombisile ukuthi amathuba okuthola isifo sikashukela sohlobo 2 ngu-80%, kwabokuqala abangu-10% uma omunye wabazali egula

"Amaqembu anobungozi" wohlobo 1 sikashukela

Isici sengozi yofuzo siyabonakala, ikakhulukazi lapho sithola ifa lesifo sikashukela esizimele. Ucwaningo lwakamuva oluphumelelayo lwesayensi lukhombisa ukuthi ngemuva kokuzalwa, isandiso sofuzo kusifo sikashukela sakha isimo esingahle sibe khona kwisifo sikashukela. Ngakho-ke, umuntu uxwayiswa mayelana nokuthi kungenzeka kwentuthuko yayo.

Imizamo ebalulekile yokunciphisa ukuthuthukiswa kwesifo sikashukela kubantu abasha abasengozini yile:

Izindlela zokwelapha ezintsha zesifo sikashukela sohlobo 2

• Thatha ukusekela kude nokugoma uhlelo lwesibili. Leyo mpikiswano esivele inempikiswano ithola ukuqinisekiswa okuthe xaxa ngesibalo sokwanda okuqhamile kwezigameko zohlobo lwe-1 mellitus yesifo sikashukela ngemuva nje kokugoma kokuvimbela.
• E-kindergarten, isikole kufanele sigweme ukutheleleka ngokutheleleka ngegciwane le-herpes virus (stomatitis, chickenpox, rubella). Ukutheleleka kaningi kungenzeka isikhathi eside i-asymptomatic, i-latent (ekusithekeni) kanye nezimpawu ze-atypical.
• Yenza njalo ukuvimbela i-dysbiosis yamathumbu, ukukhomba ukwephulwa kwama-enzymes.
• Zivikele ekucindezelekeni ngezindlela ezifinyelelekayo (blockages kwengqondo, izivivinyo zokuphefumula, umuthi wamakhambi).

Kubantu abanesifiso sokuthola isifo sikashukela, kubalulekile ukubheka isisindo somzimba nganoma iyiphi iminyaka. Okujwayelekile ngokwejwayelekile inani elitholwe ngenxa yomehluko wokukhula, olinganiswa ngo-cm, kanye ne-coefflication eyi-100. Isibalo sihlaziywa nesisindo sangempela, ngo-kg. Enganeni yobuntwana (kuze kube unyaka 1), isisindo esijwayelekile sibalwa ngokuya ngamatafula akhethekile.

Enye indlela yokwelashwa kwe-insulin?!

I-Synthesised, etholakala ngezindlela zokwenziwa, ezifanayo nezomuntu, i-pancreatic hormone ngumholi ongaphikiswa phakathi kwezidakamizwa ezinciphisa ushukela. Imijovo ye-insulin ngokushesha futhi ngempumelelo i-glucose yegazi. Kepha kunezizathu eziningi zokuthi kungani ukusetshenziswa kwayo kungamukeleki esigulini esithile (ukungabekezeleleki okuthile kulo muthi, ukungakwazi ukulawula i-glycemia).

Phezu kwezinkinga zesifo sikashukela ezinganeni, ekwelashweni kwalesi sifo zibhekene nombuzo wokuthi yini engathatha indawo yokwelapha nge-insulin noma ukuthi isho ukuthini ukuyisebenzisa ngokuhambisana naso. Ukusebenza kahle okukhulu, ngokwesibonelo, kuthiwa yi-acupuncture. Kepha njenganoma iyiphi enye indlela, inemibuzo engaphenduleki.

Iziguli ezinquma ukuzisebenzisa ziyacelwa ukuthi zazi ngalokhu:

1. Inqubo kumele yenziwe nguchwepheshe onolwazi ngesheduli yesikhathi.
2. Iseshini yangempela yokugomela ayibuhlungu. Ubuhlungu abuyena owokubizwa ngokuthi "umuzwa okuhlosiwe."
3. Kunzima ngokwengqondo ukwenza uhlobo lwenalithi nenqubo yonke.

Ukusetshenziswa kwomuthi wamakhambi kunconyelwa kakhulu kwiziguli esezikhulile. Isenzo sezitshalo zemithi sithambile futhi seluliwe esenzweni saso. Kunoma yikuphi, iziguli kufanele ziqaphele futhi zinake lapho zihlangana nezindlela ezintsha ezethembisa ukwelashwa okungu-100% kwalesi sifo.

Uhlobo lwendabuko lokwelapha isifo sikashukela: izidakamizwa ezokwehlisa ushukela wegazi, ukudla okuvimba ukusetshenziswa kwe-carbohydrate "okusheshayo", nokusebenza ngokomzimba okusebenzayo

Kuze kube manje, umuthi awunazo izindlela zokubuyisela ngokuphelele umsebenzi we-pancreatic okhubazekile - ukukhiqiza i-insulin. Kepha izindlela eziningana ezilungile nezindlela zokulungisa ushukela ophezulu wegazi ziye zahlolwa. Basiza ukukhulisa ukusebenza kahle komzimba futhi bathuthukise nenhlala-kahle yomuntu.

Lokhu kufaka phakathi:

• amakhambi we-homeopathic;
• amaminerali kanye namavithamini (amaqembu B, ascorbic acid, A, PP);
• izixazululo zamanzi ezisebenza nge-elekthroniki (idivaysi "Isazi");
• i-acupuncture ne-acupuncture (i-acupuncture);
• ukuzivocavoca ngokomzimba nokuphefumula (iFlorov simulator);
• iphunga ne-reflexology kusetshenziswa uju, i-leeches, imikhiqizo yensimbi, njll.

Izinto zamakhemikhali (chromium, vanadium, magnesium) zandisa ukubekezelelwa kwe-glucose. Kunconywe izithako zemifino, eziqukethe izingxenye zazo zokwakheka kwamakhambi wesenzo se-hypoglycemic (galega, chicory, ubhontshisi). Okunye ukuzivocavoca ngokomzimba nokuphefumula kwabanesifo sikashukela kuthathwa ohlelweni lwezempilo lwakudala lwe-yogis (Ukubingelela kuyiLanga tata), Ukuzivocavoca Strelnikova.

Ngaphambi kokuma ngendlela ethile noma ithuluzi elithile, kuyadingeka ukubonana nodokotela oyi-endocrinologist. Uchwepheshe oqinisekisiwe nonolwazi kuphela ongaguqula irejimithi yokwelashwa emisiwe ngemuva kwendawo yokusetshenziswa kwezindlela ezingezona zenkambiso yokwelapha ngezimpawu ezicacile zokwenza ngcono.

Umphumela omkhulu kakhulu ekuqaleni kwesifo, ngesimo esincane somkhondo waso, okusetshenziselwa ukuvikela abantu abasengozini. Umphumela owutho awunakubekwa emsebenzini wokumisa ikhefu. Iqhubeka ngokunamathela njalo ekudleni okunengqondo, igcina isisindo esijwayelekile, kanye nokuzivocavoca komzimba.

Izindlela okuthiwa zingezona ezendabuko zokwelapha isifo sikashukela, ngokuhlangana nezikhulu, zisiza ukuthuthukisa isimo sesiguli ngo-25-30%. Kepha akuzona esikhundleni sangempela se-insulin neminye imithi yokwehlisa ushukela.

Izingane nabantu abasha badinga ukunakwa okukhethekile: uma kwenzeka isifo sithatha isikhathi esingaphansi konyaka, ukwelashwa kuvame ukuletha ukuthuthukiswa kwesikhashana kwesimo sempilo. Kwabanye nakwisiguli uqobo, kungaqondwa ngokungafanele njengekhambi eliphelele. Ukukhanselwa kwezidakamizwa ezinciphisa ushukela noma ukuncishiswa okuzimele komthamo wazo kuholela ekwakhiweni kwezinkinga. Kuqhubeka ukuqina okwengeziwe kwesifo ngalesi sifo.

Izimpumelelo ze-pharmacology, imishini yezokwelapha kanye nokufundisa iziguli izindlela zokulungisa i-glycemia kushukela sikumvumela ukuba ahole impilo yomuntu ocishe ajwayelekile

Ukwenza ngcono ukwelashwa kwe-insulin

Imvamisa, isifo eside sesifo sikashukela kubantu sohlobo lwesibili sibeka udokotela umbuzo nesineke ngokushintshela ekwelashweni kwe-insulin. Lokhu kwenzeka lapho izidakamizwa ezisela ushukela ngendlela yamaphilisi zingahambisani nemisebenzi yazo. Ngaso leso sikhathi, izinga le-glycemia lihlala liphezulu (ngaphezu kwama-7-8 mmol / l esiswini esingenalutho kanye namahora ayi-10-12 mmol / l 2 ngemuva kokudla).

Kuze kube manje, isigaba "sokuzwa okunethemba" sifaka imininingwane ekwakhiweni kwe-insulin yomlomo. Ubulukhuni bokwenza isidakamizwa esinjalo kulele ekutheni i-hormone inemvelo yamaprotheni. Isakhiwo saso siyabhujiswa lapho sidlula emgudwini wesisu. Kudingeka isembozo se-insulin, siyivumele ukuba iqhubeke kuze kube ngumzuzu ofanele.

Idivayisi ephathekayo ebizwa ngokuthi yiphampu ye-insulin ithola ukusetshenziswa. Ibuyisela endaweni yesirinji kanye ne-glucometer (into yokulinganisa ushukela wegazi). Inzwa inamathiselwe emzimbeni womuntu phezu kwebhande. Esiswini, udonga olungaphandle lwesisu lucekeceke futhi imijovo ibuhlungu kancanyana. Ngokwenza i-pununch, insiza ithatha ukubalwa kwegazi okwamanje. "Ukugcwalisa" nge-elekthronikhi kukuvumela ukuthi ucubungule imininingwane, futhi kwenziwa umjovo owanele we-insulin.

Ukuphazamiseka kuhlobene nokugqokwa ngokucophelela kwepompo, ukufakwa esikhundleni sezinto ezidliwayo ngaso (amabhethri, imikhono ye-insulin, izinaliti). Ebusuku noma ngenkathi uthatha izinqubo zamanzi, idivaysi iyasuswa. Inzuzo yayo eyinhloko ukuthi kungenzeka ukugwema ukweqa ngemuva kwesizinda se-glycemic.

Lokhu kusho ukuthi isiguli sinamathuba amaningi okugwema izinkinga eziyingozi zesifo sikashukela sekwephuzile:

• ukulahleka kombono;
• i-gangrene yemilenze;
• izifo zemithambo yenhliziyo, izinso.

Ukudala iphampu ye-insulin kuyindlela yokuguqula isifo sikashukela. Idivayisi igwema i-hypoglycemia. Izimpawu zakudala zesimo esibulalayo (ukujuluka, ukuthuthumela kwesandla, ubuthakathaka, isiyezi) zingahunyushwa ngendlela engeyiyo isiguli nendawo ahlala kuyo, noma ziphoswe ngenxa yezizathu ezahlukahlukene.

Sekungamashumi eminyaka, ososayensi bezokwelapha basebenze ukuxazulula izinkinga ezihambisana nesifo sikashukela.

Ukubaluleka okuyinhloko kwephampu ye-insulin kuhlala emandleni okugcina impilo esezingeni elifanele kubantu abakhuthele abazibandakanye nezenzo ezinkulu, abesifazane abakhulelwe abafuna ukuba nengane ephilile.

Ukuqala kokusetshenziswa kobuchwepheshe beseli ekwelapheni i-endocrine gland ekhungathekile. Ukuhlolwa okuhleliwe kuyaqhubeka ukudala:

• ukuhluka komzimba kokufakwa kwezicubu ngamaseli we-beta angasebenzi;
• ama-pancreas wokufakelwa;
• imitha kashukela kashukela angahlaseli ohlaziya igazi ngaphandle kokubhoboza isikhumba kanye ne-capillary.

Ukuhlobana kwesifo sikashukela phakathi kwezifo zanamuhla akupheleli ekuzuzweni kochwepheshe. Amaphesenti amakhulu empumelelo ekulweni nalesi sifo ngokuziphatha kwesiguli uqobo, ukwenqaba kwakhe imikhuba emibi, ikakhulukazi ukubhema. Imikhumbi ebhemayo 'iphindwe kathathu' yizinto eziyingozi, ugwayi, ushukela ne-cholesterol. Ngakho-ke, izinkinga ezifika sekwephuzile ziqala ngesivinini esisheshayo.

Akunakwenzeka ukuthi unamathele ekudleni okukhethekile kwabashukela ngaphandle kokuqonda izisekelo zalo. Isiguli noma imvelo yaso kufanele sazi:

• "Okusheshayo" kanye "kancane" carbohydrate;
• amayunithi esinkwa (XE);
• inkomba ye-glycemic yemikhiqizo (GI).

Ukudla kulungiswa ngendlela ekhethekile, ukuthosa okunamandla, ukubilisa nokugaya (iziphuzo zezithelo, amazambane abunjiwe, isemolina) kuyagwenywa. Ulwazi lwesifo sikashukela likuvumela ukuthi usebenzise izinhlobo ezahlukahlukene zokudla ekudleni kwakho. Ukudla njengabantu abajwayelekile, abanesifo sikashukela abanesizathu esincane sokuzisola ngempilo yabo elahlekile, ukugcina isimo sabo semizwelo sisezingeni elifanele.