Isifo sikashukela akuyona nje isifo esingalimaza kakhulu impilo yomuntu.
Uma ungazilandeli izincomo zikadokotela nezinyathelo zokuphepha, kungavela izinkinga ezingaphazamisa indlela ejwayelekile. Ngenxa yabathile babo, isiguli singakhubazeka noma size sife uma odokotela bengamsizi.
Ngabe yini imiphumela yesifo sikashukela?
Izimbangela zezinkinga
Yonke imiphumela engaba khona yesifo sikashukela ingahlukaniswa ekuqaleni, sekwedlule isikhathi futhi ingelapheki. Ukuze uvimbele ukwenzeka kwabo noma unciphise ubungozi obuhambisana nabo, udinga ukwazi ukuthi yini eholela ekuthuthukisweni kwezinkinga.
Isizathu esiyinhloko sokubukeka singabizwa ngokuthi izinga elikhulayo le-glucose egazini likashukela. Emzimbeni onempilo, imikhiqizo yokuwohloka kwayo iyasetshenziswa.
Kepha ngesifo sikashukela, i-metabolism ivame ukuphazamiseka, ngenxa yokuthi lezo zinsalela zibuthana egazini, ziphazamise ukusebenza okujwayelekile kwezitho nezinhlelo. Imvamisa kuthinta nemikhumbi. Ukuhamba kwegazi ngenxa yazo kuyanqotshwa, yingakho izitho ezihlukahlukene zithola ukuntuleka kwezakhi zomzimba. Lapho likhuphuka ushukela, mkhulu umonakalo owenziwe emzimbeni.
Ngokuqhubeka kwesikhathi eside kwalesi sifo, izikebhe ziba mncane futhi ziba brittle. Isimo siba sibi kakhulu ngoba izinguquko ze-pathological nazo zenzeka emithanjeni yezinzwa. Kufanele futhi kwaziwe ukuthi ezigulini ezinesifo sikashukela, i-lipid metabolism nayo iyaphazamiseka, okuholela kokuqukethwe okwengeziwe kwamafutha ne-cholesterol egazini.
Ngamanye amagama, ukwakheka kwezinkinga zesifo sikashukela kungenxa yezinqubo ezidalwa yisifo uqobo. Lapho lesi sifo siveza okukhulu, kuphakama amathuba okukhula ngokushesha kwama-pathologies ahlukahlukene.
Lokhu kungavinjelwa noma kwehliswe ijubane kuphela ngokwelashwa osezingeni eliphakeme, lapho udokotela ebeka yonke inqubo efanelekile, isiguli silandele izincomo zakhe. Uma izinyathelo zokuphepha zephulwa, ingozi yokuthola isifo sikashukela esibi iyanda.
Lokhu kwenzeka lapho isiguli senza lezi zinto ezilandelayo:
- ukwephulwa kokudla;
- ukuntuleka kokulawula izinkomba zoshukela;
- ukwenqaba ukulandela izincomo zokugcina amazinga kashukela;
- ukusetshenziswa kwezinto eziyingozi, imikhuba eyingozi (ukubhema, ukusebenzisa kabi utshwala);
- imikhawulo yokuhamba kanye nokusebenza komzimba.
Kulokhu, kubalulekile ukulandela yonke imiyalo yochwepheshe ukuze ugweme izinguquko ze-pathological. Ungacabangi ukuthi ushintsho lwendlela yokuphila alukwazi ukuthonya isimo.
Kwabesilisa, lesi sifo siyingozi ukwedlula kwabesifazane, ngoba bathambekele ekuthambiseni isisindo. Le nto ingenza isimo sibe sibi kakhulu. Ngaphezu kwalokho, emadodeni, izimpawu zezinkinga zivezwa kancane kunabesifazane, okwenza kube nzima ukuthola inkinga ngesikhathi.
Inkulumo yevidiyo yezimbangela nezimpawu zesifo sikashukela:
Imiphumela yesifo sikashukela
Izinkinga zesifo sikashukela zihlukahlukene kakhulu. Ezinye zazo zibeka ingozi enkulu empilweni nasempilweni yesiguli.
Ngokuvamile phakathi kwabo kubizwa:
- i-retinopathy;
- i-nephropathy;
- i-encephalopathy;
- i-angiopathy;
- i-arthropathy;
- unyawo lwesifo sikashukela, njll.
Kuyafuneka ukuthi ubheke lezi zindlela zokuthola imininingwane ngemininingwane eminingi ukuze ukwazi ukuzivimba noma ukubona ukuthuthukiswa ngendlela esifike ngesikhathi.
I-retinopathy
Le nkinga imvamisa ingumphumela wesifo sikashukela sohlobo 2 oluthuthukisiwe. Isikhathi esithe xaxa kuqale lesi sifo esiyisisekelo, iba yingozi enkulu yokuba ne-retinopathy.
Ukuvela kwayo nokuqhubeka kwayo kungenzeka kuphela uma ngabe yonke imiyalo kadokotela ibonwa. Izinga lengcuphe linqunywa ubukhali besifo sikashukela.
Lokhu kwephulwa kwesinye sezifo zamehlo futhi kuthinta i-retina. Isizathu sokwenzeka kwawo ukulahleka kwe-elasticity emikhunjini, okubangela ukuvuvukala kwamaphuzu esweni.
Njengoba uqhubeka, ama-hemorrhages anjalo aba njalo njalo, ama-edema nama-aneurysms. Umphumela ungaba ukubuyiselwa emuva nokulahleka kombono.
Okuyingozi kakhulu ukushintshashintsha kokufundwa koshukela. Baholela ekukhuleni kwalesi sifo kanye nokwanda kwaso. Ngakho-ke, kubaluleke kakhulu ukulawula inani loshukela bese uzama ukuligcina lilingana. Kulokhu, i-pathology ingahle ibuye.
I-Nephropathy
Lesi sifo senzeka ngenxa yenkambo ende yesifo sikashukela sohlobo 2. Kulokhu, kuvame ukwakhiwa ngaphandle kwezimpawu ezibonakalayo. Kucasulwa ukuphazamiseka kwe-metabolic, ngenxa yokuthi kunezinkinga ngemithambo yegazi, ikakhulukazi emincane.
Ukuqongelela kwama-ion sodium egazini, okuvela ngenxa yokuqukethwe kweglucose ephezulu, kubangela ukubhujiswa kwezicubu zezinso (i-tubules kanye ne-renal glomeruli). Ngokuzayo, lokhu kudalwa kwenhliziyo kukhula kube ukwehluleka kwezinso.
Kumele kuqashelwe ukuthi i-nephropathy iqondwa njengeqembu lonke lokwephulwa komthetho. Bahlanganiswe yisimiso esijwayelekile - izinkinga ngokunikezwa kwegazi ezinso.
Lokhu kufaka phakathi:
- i-pyelonephritis;
- ukwakheka kwama-deposits anamafutha ku-renal tubules;
- isifo sezinzwa se-renal;
- glomerulosclerosis;
- ukubhujiswa kwe-necrotic kwe-tubules yezinso, njll.
I-Nephropathy yisifo esibi kakhulu, lapho iziguli zinikezwa iqembu labakhubazekile.
I-Angiopathy
Le pathology ibuye ibuye ibe ngumphumela wesifo sikashukela sohlobo 2. Ngokuthuthuka kwayo, izindonga zama-capillaries ziba mncane futhi izindonga zemithambo yegazi zonakalisiwe.
Lesi sifo sihlukaniswe ngezinhlobo ezi-2: i-microangiopathy (ukuphazamiseka okuthinta imithambo yezitho zombono nezinso) kanye ne-macroangiopathy (kunezinkinga ngemithambo yenhliziyo nemithambo yemilenze).
I-Microangiopathy ngokuqhubeka okuqhubekayo iholela ezifweni zezinso.
Ekuthuthukisweni kwe-macroangiopathy, izigaba ezi-4 zihlukaniswa:
- Ukuvela kwe-atherosclerosis. Kunzima ukuxilonga ngaphandle kokusetshenziswa kwezinsizakusebenza.
- Ukubonakala kobuhlungu ngenkathi uhamba. Imvamisa, ukungaphatheki kahle kubekwa endaweni emlenzeni noma ethangeni elingaphansi.
- Ukuqinisa izinhlungu emilenzeni. Ziyakwazi ukubonwa lapho uthatha isikhundla enezingqimba.
- Ukwakheka kwezilonda. Izinkinga zabo ziyisiwula. Uma isiguli singanikezwa ukunakekelwa kwezokwelashwa, singafa.
Kulokhu, ku-mellitus yesifo sikashukela, kunconyelwa ukuthi kuhlolwe kaningi ukuthola i-angiopathy kusenesikhathi.
Isifo sikashukela
Ngenxa yokuphazamiseka kuyi-microcirculation yegazi, izicubu zomzimba zingenawo umsoco. Umphumela uwukulimala kwemithambo yegazi nezinzwa.
Uma izilonda zithinta imilenze ephansi, isifo esifana nonyawo lwesifo sikashukela singakhula. Ukuthi le ndlela yokubuka umzimba ibukeka kanjani, ungathola ngokubheka isithombe.
Kuqala ngokugabha kanye nomuzwa ovuthayo omncane emilenzeni, kodwa bese kuvela izimpawu ezinjengokuthi:
- ubuthakathaka
- ubuhlungu obukhulu;
- umuzwa wokuqina;
- ukuncipha kokuzwa.
Noma yikuphi ukutheleleka ngale pathology kungadala ukusakazeka okusheshayo kwe-pathogenic microflora, yingakho ezinye izitho nazo zisengozini.
Ukuthuthukiswa konyawo lwesifo sikashukela kuhamba ngezigaba ezi-3:
- Ukuvela kwe-polyneuropathy. Kulokhu, ukuphela kwezinzwa emilenzeni kulimele.
- Isigaba se-Ischemic. Kubonakala njengokuphazamiseka kwemithambo yegazi, ngenxa yokuthi izicubu zintula umsoco.
- Isigaba esixubekile. Kubhekwa njengento ebucayi kakhulu, ngoba ngobukhona bayo kunobunzima bokuphela kwezinzwa zombili nokunikezwa kwegazi. Ngenxa yalokho, i-gangrene ingakhula.
Ukuvela okunokwenzeka kakhulu kwe-pathology enjalo ezigulini ezinesifo sikashukela okungenani iminyaka eyi-10. Kufanele bakhethe izicathulo ezisezingeni eliphakeme futhi bavikele ukwakheka kokuqhekeka nezimbila ezinyaweni.
Encephalopathy
Lokhu kubizwa ukwehlulwa kwezakhi zobuchopho.
Kubangelwa ukuphambuka okunjengokuthi:
- i-hypoxia;
- ukunganele kwegazi;
- ukucekelwa phansi kwamangqamuzana obuchopho.
Konke lokhu kungabonakala ku-mellitus yesifo sikashukela, yingakho ukuqapha kubalulekile. Esigabeni sokuqala sokuthuthuka, i-encephalopathy kunzima ukuyithola ngoba azikho izimpawu. Lokhu kusho ukuthi akwamukeleki ukweqa izivivinyo ezihleliwe ngudokotela bese wenqaba ukuhlolwa.
Lapho isifo siqala ukuthuthuka, izimpawu ezinjengokuthi:
- ukukhathala;
- Ukukhathazeka
- ukuqwasha
- ukuphathwa ikhanda (ukuthambekela kokuzikhulisa);
- ukugxila enkingeni;
- ukungaboni kahle
- izinkinga zokuxhumana.
Esikhathini esizayo, isiguli kungenzeka sikhubazeke imemori, sifebe, sidideke kungenzeka. Ngokuhamba kwesikhathi, umuntu ulahlekelwa yikhono lokuzondla ngokwezidingo zabo, abe ongakwazi ukusiza futhi oncike kwabanye. Kukhona nengozi yokuhlaselwa yisifo sohlangothi noma i-necrosis yezakhi zomqondo ngamunye.
I-Arthropathy
Lesi sifo sakha ngemuva kweminyaka engaba ngu-5 yokuphila nesifo sikashukela. Kwenzeka kubantu beminyaka ehlukene, ngisho nakubantu abasha. Ukuvela kwayo kungenxa yesifo sikashukela sikashukela.
Inkinga ukuphazamiseka kwamajoyinti, okubangelwa ukushoda kukasawoti we-calcium.
Isibonakaliso esiyinhloko se-arthropathy Ubuhlungu obukhulu lapho uhamba. Ngenxa yazo, kunzima esigulini ukubhekana nemisebenzi yansuku zonke. Ezimweni ezinzima, isiguli siphulukana namandla okusebenza.
Ngokuvamile, i-arthropathy ithinta amalunga alandelayo:
- edolweni
- iqakala;
- metatarsophalangeal.
Kusendaweni yabo lapho kubuhlungu kakhulu obukhulu. Lesi sifo singahambisana nomkhuhlane, kanye nokuthuthukiswa kwe-edema ezindaweni ezithintekile. Nge-arthropathy, kunethuba lokushintshwa kwama-hormone emzimbeni, okungadala ubunzima bezempilo.