Izimpawu nokwelashwa kwesifo sikashukela sohlobo 2

Isifo sikashukela sohlobo 2 yisifo esivame kakhulu esibangelwa ukuphazamiseka kwe-endocrine. Ukhula ngenxa yokwehla kokuzwela kwama-receptor amaselula kuya kwi-hormone eyenziwe ngama-pancreas.

I-Pathology ayikwazi ukwelashwa futhi idinga ukunamathela impilo yonke ekudleni nasekuphuzeni izidakamizwa ezinciphisa ushukela ukuze kulondolozwe amazinga kashukela egazini ngaphansi kwemingcele eyamukelekayo.

Uhlobo 2 lwesifo sikashukela

Kunezindlela eziningana ze-sah. isifo sikashukela:

1. I-Latent - isimo se-prediabetes kubantu abasengozini yokuthola lesi sifo. Kulesi sigaba, izimpawu zomtholampilo kanye nelabhorethri ze-pathology azikho.
2. Kufihliwe - Izinguquko ezincane kushukela wegazi ziyabonakala. Izimpawu zesifo sikashukela zingaveli, kepha okuqukethwe ushukela we-plasma ngemuva kokudla kwehla kancane kunokujwayelekile.
3. Okucacisiwe - Izimpawu zesifo sikashukela ziyaphawulwa. Izinkomba zikashukela kumchamo nasegazini zidlula isilinganiso esivumelekile.

Lesi sifo singenzeka ngamazinga ahlukahlukene obunzima:

1. Ebangeni 1, izimpawu zesifo sikashukela azibonwa. Ushukela wegazi ukhuphuka kancane, ushukela kumchamo awukho.
2. Ngama-2 degrees okubonakaliswa kwalesi sifo, asevele abonakala kakhulu. Ushukela uyabonakala emchameni, kuthi kuphume ushukela egazini ngaphezu kuka-10 mmol / L.
3. Izinga lesithathu likashukela lilo elibi kakhulu. Amanani we-glucose ku-plasma yegazi nomchamo wedlula izinombolo ezibucayi, kanti nezimpawu zokukhula komqondo we-hyperglycemic ziyabonakala. Kulokhu, izidakamizwa ezinciphisa ushukela kanye nemijovo ye-insulin ziyadingeka.

Noma yiluphi uhlobo lwesifo sikashukela luyingozi ngenxa yezinkinga zalo.

Ukugcwala okukhulu kwe-glucose kwiplasma yegazi kubangela ukulimala kohlelo lwe-vascular kanye nezitho zangaphakathi, okuholela ekuthuthukisweni kwe-pathologies enjalo:

1. Isifo sokuqina kwemithambo yegazi. Ushukela omningi ubangela ushintsho ekwakhekeni nasezakhiweni zegazi nasekwakheni kwamakhemikhali e-cholesterol ezindongeni zemithambo yegazi.
2. I-retinopathy. Ngenxa yokwephulwa kokuhlinzekwa kwegazi, i-edema ye-retinal iyenzeka, futhi nokuhamba kwesikhathi kwayo. Lokhu kuholela ekuthuthukisweni kobumpumputhe.
3. I-Nephropathy. Izinguquko ze-Vascular ziyimbangela yokungondleki okwanele kwezinso, okuphula umsebenzi wazo wokuhlunga nokuhlunga futhi kunomthelela ekwakhekeni kokwehluleka kwezinso.
4. I-Pathology idala ukwehla kwezokuvikela komzimba, okuholele ekuthambekeleni kwezifo ezithathelwanayo.
5. Ukuhamba kwegazi okuhamba kancane kuholela ekubulalekeni kwe-oksijini kwenhliziyo, ubuchopho, kubangele ukulimala kokuphela kwezinzwa kwezicubu. Konke lokhu kuthuthukisa ukuthuthukiswa kwe-ischemia, umfutho wegazi ophakeme, isifo sohlangothi kanye nokushaya kwenhliziyo.
6. Coma. Ukunxeshezelwa okunganele kwamazinga kashukela akhuphukile kuholela ekukhuphuleni kwawo okubukhali nokwenzeka kwengcindezi eyingozi - i-hyperglycemic coma. Kulokhu, ukuntuleka kosizo okufika ngesikhathi kungaholela ekufeni.

Izimbangela zesifo

I-pathogenesis yohlobo lwe-2 yesifo sikashukela ukuncipha kokuzwela kwama-cell receptors ku-insulin. Umzimba awuboni ukushoda kwama-hormone, kepha ukusebenza kwe-insulin kukhubazekile, amangqamuzana akhe awazi futhi awasabeli. Ngakho-ke, ushukela awunakungena ezicutshini, futhi ukugxila kwalo egazini kuyakhuphuka.

Ngokungafani nesifo sikashukela sohlobo 1, isifo sohlobo 2 lwakhiwa kubantu abadala ngemuva kweminyaka engama-35, kodwa futhi aselapheki. Kulesi simo kuphela asikho isidingo sokwelashwa kwe-insulin, futhi izidakamizwa ezokwehlisa ushukela nokudla okuqinile ziyadingeka, ngakho-ke lolu hlobo lwesifo sikashukela lubizwa ngokuthi olunga-insulin-oluthembekile.

I-etiology yesifo sikashukela sohlobo 2 ayikaqondakali ngokuphelele.

Iqembu lengcuphe lifaka abantu abanezinto ezilandelayo phambi kwabo:

• amazinga ahlukahlukene okukhuluphala;
• isiphetho sofuzo;
• ukusetshenziswa kwesikhathi eside kwemithi ethile (ama-diuretics, ama-hormone, ama-corticosteroids);
• izifo ezithathelwanayo;
• isikhathi sokuzala ingane;
• i-pathology yesibindi;
• ukuphazamiseka kwe-endocrine;
• izinga eliphansi lokuzivocavoca komzimba;
• ukuhlukunyezwa kwamaswidi nokudla okuphezulu kuma-carbohydrate asheshayo;
• ukuthambekela kokudla okuphansi kwekhalori;
• izimo ezicindezelayo ezihlala isikhathi eside;
• umlutha wotshwala ne-nicotine;
• umfutho wegazi ophakeme
• ubuhlanga nobulili kubantu besifazane kutholakala ngemithi kaningi kakhulu kunakwabesilisa, nakubamele ubuhlanga obumnyama kakhulu kunaseYurophu.

Izimpawu ze-pathology

Lesi sifo sikhula isikhathi eside ngaphandle kokubonakaliswa kwezimpawu ezibalulekile, esivimbela ukuxilongwa kwe-pathology esigabeni sokuqala sokubumba.

Ngokuzayo, unganaka lezi zibonakaliso ezilandelayo:

• ukomela okungagculisi nokudla okwandayo;
• ukuchama kaningi nokukhipha umthamo omkhulu womchamo;
• ukuqwasha nobuthongo sasemini;
• Ukuphelelwa amandla, ukungaphatheki kahle;
• ukungaboni kahle;
• ukwehla noma ukwanda kwesisindo somzimba;
• ukomisa ulwelwesi lwamafinyila lomlomo wesibeletho nesikhumba;
• umuzwa wokulunywa;
• ukukhuphuka izithukuthuku, ikakhulukazi ebusuku;
• ukuthambekela kwezifo ezithathelwanayo;
• ukubonakala kokuqhuma futhi kunzima ukuphulukisa izilonda zesikhumba;
• izifo zomgogodla womlomo;
• ukushuba kwemilenze;
• ukuqaqamba kwekhanda kanye nenausea.

Ukuxilonga

Ukuxilonga kuqala ngokuqoqa idatha yempilo yeziguli. Udokotela unesithakazelo kwizikhalazo zesiguli, izindlela ezedlule nezilandelanayo, indlela yokuphila kanye nemikhuba, kanye namacala okuthola isifo sikashukela ezihlotsheni eziseduze. Ukuhlolwa kokubuka isiguli kuyenziwa, ukubalwa kwezinga lokukhuluphala nokukalwa kwengcindezi.

Isinyathelo esilandelayo ukwenza izivivinyo zokuxilonga:

1. Ukuhlaziywa komchamo wokuba khona kwemizimba ye-ketone noshukela. Ezigulini ezinesifo sikashukela, izinga le-glucose ne-acetone kumchamo liyakhuphuka.
2. Amasampula egazi avela emunweni esiswini esingenalutho ukuthola amazinga kashukela we-plasma. Ushukela ekuhlushweni ngenhla kuka-6 mmol / l kubonisa ukukhula kwesifo.
3. Ukuhlolwa kokubekezelela kwe-glucose. Igazi lithathwa kabili. Isikhathi sokuqala ngemuva kokuzila ukudla amahora angama-8, okwesibili ngemuva kwamahora ambalwa isiguli sithathe isixazululo sikashukela. Umphumela wesifundo sesibili, lapho izinkomba zidlula khona ngo-11 mmol / l, okuqinisekisa ukutholakala kwale nkinga.
4. Hlola okuqukethwe kwe-hemoglobin ye-glycosylated.

Izindlela zokwelapha

Izinga eliphansi lalesi sifo livumela ukugcina amanani ayamukelekile eglucose kuphela ngokudla nokwanda komsebenzi wezimoto zesiguli. Ezimweni eziningi, lokhu kwanele.

Uma imiphumela ingenakutholwa noma ukwanda okukhulu kushukela we-plasma kuyabonakala, khona-ke kunikezwa umuthi.

Ukulungiselela

Ukwelapha kuqala ngokusetshenziswa kwesidakamizwa esisodwa, kuthi ngokuzayo, ukwelashwa okuhlanganisiwe kusetshenziswe izidakamizwa eziningana. Kwezinye izimo, baphendukela ekwelashweni kwe-insulin.

Ekwelapheni isifo sikashukela, le mithi elandelayo isetshenziswa kakhulu:

• ama-ejenti agqugquzela i-hormone synthesis (Sitagliptin, Starlix);
• I-Metformin - isidakamizwa esandisa ukuzwela kwama-cell receptors kuma-insulin;
• isakhiwo samavithamini esiqukethe i-ascorbic acid, amavithamini A, E neqembu B;
• izidakamizwa ezinciphisa ushukela (iSiofor, iGlucofage);
• izidakamizwa ezokwehlisa okuqukethwe ushukela kumchamo ne-plasma yegazi, futhi zibuyisele ukuzwela kwama-receptors (Rosiglitazone);
• amalungiselelo e-sulfonylurea (glimepiride, chlorpropamide).

Ukushintsha Ukudla Komsoco

Ukuthola umphumela, iziguli kudingeka zilahle imikhiqizo elandelayo:

• izitsha eziqukethe usawoti omningi, izinongo ezinosawoti nezinongo;
• inyama ebhemayo, ethosiwe kanye nemikhiqizo ekhethiwe;
• imikhiqizo yokubhaka evela kufulawa kakolweni, namakhekhe namaswidi;
• amasoseji kanye ne-pasta kusuka ezinhlotsheni zikakolweni ezithambile;
• izinhlanzi, inyama nemikhiqizo yobisi enamaphesenti amaningi okuqukethwe kwamafutha;
• amasoso abilayo namanoni;
• ilayisi elimhlophe, i-semolina namafutha ezilwane;
• ushukela omnandi, iziphuzo ezihlanganisiwe, ikofi eqinile.

Imikhiqizo okufanele ibe yisisekelo sokudla:

• irayisi elinsundu, ibhali le-pearl, i-buckwheat, i-durum kakolweni pasta;
• okusanhlamvu okugcwele nesinkwa se-rye;
• amakhambi amasha, imifino nezithelo ezingafakiwe;
• ubisi lwe-skim nemikhiqizo yobisi omuncu;
• ukudla kwasolwandle, izinhlanzi ezinokwehla kanye nemikhiqizo yenyama, inyama yeturkey, inkukhu nomvundla;
• ama-decoctions wezithelo netiye ngaphandle koshukela ongeziwe;
• uwoyela wemifino, amantongomane, ama-legumes namaqanda.

Imigomo elandelayo kufanele ibonwe:

• izitsha ikakhulukazi zibiwe, zidliwe futhi zibhakwe;
• ushukela othathelwe indawo izinhlansi zemvelo;
• Kufanele kube nokudla okumbili kokuthathu nokudla okumbili ngosuku;
• izingxenye kufanele zibe zincane - akufanele udle ngokweqile, kepha akufanele uzizwe ulamba;
• thatha inkimbinkimbi yamavithamini;
• khipha utshwala;
• ungadli amaqanda nezithelo kaningi ukwedlula amahlandla ambalwa ngeviki;
• Ngaphambi kokudla nangemva kokudla, kala ushukela wegazi lakho.

Ukudla izakhamzimba kuzodingeka kulandelwe kuze kube sekupheleni kwempilo. Ngokuhambisana nokuvivinya umzimba okulinganiselayo, ukudla kuyiphuzu elibalulekile ekwelashweni kwesondlo.

Ngenxa yokudla okufanele, unganciphisa isisindo, uguqule umfutho wegazi futhi uvimbele ukwanda okukhulu kwe-glucose. Lokhu kuzogcina lesi sifo silawulwa futhi kuvikeleke nezinkinga.

Izinkulumo zevidiyo zokudla okunomsoco kushukela 2:

Amakhambi esintu

Ama-infusions kanye nama-decoctions wezitshalo zokwelapha angasiza ushukela wegazi ophansi, kepha izindlela zomuthi wendabuko zingasetshenziswa kuphela ngemuva kwesivumelwano nodokotela kanye nokuhlanganiswa nokwelashwa okunqunyelwe kanye nokudla:

1. Peel 30 g we-ginger, cwilisa ihora emanzini abandayo ugaye. Thela ku-250 ml wamanzi abilisiwe bese ume amahora amabili. Hlunga futhi ugceke ngetiye, uphuze ekuseni nakusihlwa.
2. Hlanganisa i-0.5 tsp. iqabunga le-bay, i-turmeric ne-aloe juice. Nikeza ihora lokuma nokudla imizuzu engama-30 ngaphambi kokudla kwasekuseni nangesidlo sasebusuku.
3. Engilazini ezi-4 zamanzi, uthele i-100 g ye-artichoke yaseJapan eyomile. Letha kumathumba bese ubila cishe ihora ngaphezulu kokushisa okuphansi. Thatha ama-50 ml nsuku zonke.
4. Ezinkomishini eziyi-1.5 zamanzi abilisiwe, faka izingcezu eziyi-10 zamaqabunga e-bay. Ngemuva kokubilisa cishe imizuzu engu-7, ubilise amahora amahlanu. Hlunga futhi uhlukanise ngezinyathelo ezintathu. Wonke umuntu uyaphuza phakathi nosuku. Thatha ukuphumula amasonto amabili bese uyaphinda.
5. Gaya i-buckwheat ibe ufulawa kanye nesipuni hlanganisa no-100 ml we-kefir. Asukume ubusuku bonke aphuze ekuseni. Phinda ngaphambi kokulala.
6. Gaya isigamu selamula enkulu nge-celery noma i-parsley izimpande. Ukufihla imizuzu eyi-10 ukusuka esikhathini sokubilisa futhi udle isipuni esikhulu ngaphambi kokudla kwasekuseni, kwasemini kanye nangesidlo sakusihlwa.

I-DM 2 ezinganeni

Phambilini, uhlobo 2 lwesifo sikashukela lwaluyisifo sabadala, kepha manje isifo se-pathology siyanda ukutholakala ebuntwaneni.

Abazali kufanele banakisise inhlala-kahle yengane futhi babonane nodokotela ngokushesha uma kubonakaliswa izimpawu ezilandelayo:

• ukunxenxa njalo ukuphuza nokuhambela njalo ukuya endlini encane;
• ukuphazamiseka kokulala kanye nemizwa;
• ukuphefumula kwenhliziyo;
• ukukhuphuka kokujuluka;
• izifo zamazinyo kanye nokukhubazeka okubukwayo;
• ukwehla kwesisindo okungazelelwe noma inzuzo yesisindo;
• ukudinwa nokukindla emilenzeni;
• ukubonakala kokulunywa;
• ubuthakathaka obujwayelekile nokukhathala.

Izimbangela zesifo sikashukela ebuntwaneni zifaka:

• ukondla okwenziwe ngobuciko;
• izinkinga zokudla;
• isakhi sofuzo;
• izinga eliphansi lokuzivocavoca komzimba;
• isifo sikashukela sokukhulelwa kumama ngesikhathi sokukhulelwa;
• ukukhuluphala
• izifo ezithathelwanayo kanye ne-viral.

Ukwelashwa kwalesi sifo ezinganeni kususelwa ekusetshenzisweni kwezidakamizwa ezinciphisa ushukela, ukukhulisa umzimba ngokomzimba kanye noshintsho ekudleni ngaphandle kokudla okune-carbohydrate ephezulu kakhulu namaswidi.

Ukusuka ezindleleni zabantu, ungazama izindlela ezilandelayo:

• 1 tbsp. l hlanganisa uviniga we-apple cider ku-250 ml wamanzi bese unikeza ingane isiphuzo esingu-50 ml kumasiphu ambalwa;
• chitha ikota yesipuni sikasawoti ku-250 ml wobisi olufudumele bese unikeza ingane zonke izinsuku;
• fafaza ujusi ovela ezinhlamvwini ezisetshenziswe i-artodoke yase-Jerusalem bese uthatha u-100 ml ekuseni, ntambama nakusihlwa amasonto amane.

Ividiyo evela kudokotela wezingane odumile uKomarovsky ngokugula koshukela ezinganeni:

Ukuvimbela

Ezimweni eziningi, ukukhula kwesifo kungavinjelwa ngokulandela indlela yokuphila enempilo.

Kufanelekile ukubheka imigomo eminingana:

• yabela nsuku zonke isikhathi sokuhamba amabanga amade noma imidlalo;
• lawula isisindo sakho, uvikele ukubukeka kwamaphawundi angeziwe;
• bambelela kokudla okufanele, uthathe ukudla izikhathi ezi-5 ngosuku ngezingxenye ezincane, kunciphisa ukusetshenziswa koshukela nokudla okune-carbohydrate esheshayo;
• ungakhohlwa ngamanzi ahlanzekile - phuza okungenani izingilazi ezi-6 nsuku zonke;
• khuphula ukungatheleleki ngokuthatha ama-vitamin complexes;
• yeka utshwala kanye nomlutha we-nicotine;
• Musa ukuzindla, uthathe imishanguzo kuphela njengoba uyalelwe udokotela;
• njalo ezinyangeni ezi-6 ukuthi bahlolwe;
• uma kutholakala izimpawu ezethusayo, ngaphandle kokulibala, thintana nodokotela.

Izindlela zokuvimbela ezingavimba ukuthuthukiswa kwesifo sikashukela azidingi izindleko futhi azibangeli ubunzima. Futhi njengoba wazi, lesi sifo kulula ukusivimbela kunokwelapha. Ngakho-ke, kufanele uthathe impilo yakho ngokungathí sina futhi uvikele ukuvela kwesifo esibi.