Izimbangela kanye nemiphumela yokubola kwesifo sikashukela

Isifo sikashukela sibhekwa njengesifo esijwayelekile, esibonakaliswa ukuthathwa kweglucose engalapheki.

Isikhathi senqubo ye-pathological kanye nokungahambisani nerejimeni yokwelashwa kufaka isandla ekuthuthukisweni kwesigaba esinqunyelwe sesifo.

Kulula kakhulu ukuvimbela ukwenzeka kwayo uma wazi ukuthi kuyini, iziphi izindlela zokuvimbela ezingavimba ukwanda kwe-pathology, kanye nezimpawu zokuqala zalesi simo.

Izizathu zesimo

Isifo sikashukela i-mellitus, eqhubeka esigabeni sokubuyiselwa kwemali, sikhombisa ngokuvela kwesimo esikhethekile lapho izinga le-glycemia lingalungiswa.

Imijovo ye-insulin eyenziwe yisiguli, noma amaphilisi athathwe, okuhloswe ngawo ukwehlisa amanani eglucose wegazi, awahambisani nomsebenzi wawo oqondile.

Izizathu zokubuyiselwa kwemali:

1. Ukuhlukumeza. Ukusetshenziswa ngokweqile kwama-carbohydrate kuholela emzimbeni esimweni lapho izidakamizwa zingakwazi ukwenza ngokwejwayelekile izinga le-glycemia. Imithamo yemithi edliwe ezigulini ngesikhathi sokudla okungalawulwa imvamisa ayihambelani nenombolo yamayunithi esinkwa atholakele (1 XE yi-12 g yamakhabhathi). Ngenxa yalokho, izinga le-insulin emzimbeni liyehluleka ukucubungula ushukela ngokweqile, ngakho-ke ukuqina kwalo egazini kukhuphuka kakhulu.
2. Amasu okuphatha angalungile. Imithamo ephansi kakhulu yezidakamizwa ezinciphisa ushukela iholela ekukhuleni okungenakugwenywa kokubola kwesifo.
3. Ukuphazanyiswa kokulashwa kwezidakamizwa, lapho iziguli zikhohlwa ukuthatha umuthi noma zijova insulin ngokweqile, futhi ziyeke ngokuphelele ukuqaphela irejimeni yokwelashwa.
4. Ukusetshenziswa kwezindlela zokunye noma izithasiselo zokudla (izithasiselo zokudla) esikhundleni samalungiselelo emakhemikhali anconywe udokotela.
5. Izifo ezithathelwanayo ezenzeka zisesimweni esibi.
6. Ukuxineka kwengqondo noma ukuhlala njalo kwesiguli ezimweni ezicindezelayo.

Noma yiziphi izizathu ezifakwe kuhlu zingabhebhethekisa lesi sifo futhi zidale izinkinga zempilo.

Izithombe zemitholampilo

Ukwehliswa kwesifo sikashukela kuhambisana nokuboniswa okulandelayo:

1. Umile. Lolu phawu lubhekwa njengolunye lwezimpawu zokuqala zenkinga yesifo esingesihle.
2. Umlomo owomile. Umuntu uqala ukuphuza inani elingajwayelekile lamanzi ngesimo sakhe esivamile.
3. Ukuchama kaningi. Izimpawu kaningi ziwumphumela wokuthatha isamba esikhulu soketshezi.
4. Amandla noma umuzwa okhathazayo wesikhathi esithile endaweni yeminwe.
5. Ukulunywa okukhulungezwa ebusweni besikhumba.
6. Izindawo zokucanuzelelwa kwenhliziyo noma ukugabha, kanye nobuhlungu besisu.
7. I-Tachycardiakwehlisa umfutho wegazi.

Kubalulekile ukuqonda ukuthi zonke lezi zimpawu zenzeka ngokufanayo ezimweni ezingavamile. Ngokuvamile, ukubola kubonakaliswa yizimpawu ezizodwa, okwenza kube nzima ukuthola ukuxilongwa kwaso ekuqaleni.

Izindlela zokuhlola ukubola

• inani le-glucose elisheshayo - ngaphezu kwe-14 mmol / l;
• ukukhishwa ushukela nsuku zonke kudlula i-50 g;
• ketoacidosis ikhona.

Ukuhlolwa kwesifo sikashukela kwenzeka ngokuya ngokuhlaziywa kokuhlolwa kwelebhu. Uma izinkomba zibonakaliswa ukuphambuka okuncane kokujwayelekile, lokhu kukhombisa ukuthuthukiswa kwezinga elithile lalesi sifo njengokuncipha. Ngokudla okulungile kanye nohlobo lokwelashwa, isimo sesiguli siyazinza.

Imiphumela ye-pathology

Iziguli ezinxephezelwa isifo sikashukela, cishe azizizwa zimpawu ezingemnandi zesifo, zisengozini encane yokukhula ngokushesha kwezinkinga.

Indlela ebunjiwe yenqubo ye-pathological ihlala ihambisana nezibonakaliso ezishiwo.

Kulesi simo, izinguquko ezilandelayo zenzeka emzimbeni:

• kwakheka ushukela egazini;
• ukwephulwa kwamaprotheni namafutha kuyathuthukiswa;
• ingcindezi ye-osmotic iyanda;
• kukhona ukulahleka kwama-electrolyte kanye nenani lamanzi;
• ukungatheleleki kuyawa.

Imiphumela yenkambo engalawulwa yesifo sikashukela:

• i-retinopathy iyenzeka, ebonakala ngokulimala kwezidumbu ze-retina;
• ukuthuthukiswa kwe-nephropathy yezinso;
• i-dermatosis ivela ngenxa yokulahleka kokuqina kwesikhumba;
• amalunga namathambo kuyathinteka;
• i-osteoporosis ivela;
• ukuphazamiseka kwesistimu yokugaya ukudla kuyabonakala;
• ubungozi bokukhulisa i-hepatosis enamafutha;
• isifo sohudo siyakhula, siba esingalapheki;
• i-neuropathy iyenzeka;
• amahlaya aphuma ku-hyperglycemia;
• kukhula ikati;
• ukuthuthukiswa kwe-ketoocytosis, okungaholela ngisho nasekufeni;
• izilonda ze-trophic ziyavela;
• ukukhuluphala kwe-dysplastic kukhula, kubonakaliswa ngokuqongelela okuningana kwemali emzimbeni ophezulu, kuyilapho imilenze ihlala inciphile.

Ukubuyiselwa kwesifo sikashukela sohlobo 1

Ukushoda kwe-insulin ezigulini ezinesifo sikashukela sohlobo olu-1 kuyalela ekubonakalisweni kwezindawo ezinobuthi ezithinta amangqamuzana obuchopho. Ngaphezu kwalokho, ukuhlanganiswa kwe-hormone kumanyikwe akwanele ukuqinisekisa ukuthi ama-carbohydrate atholakala ekudleni ayachithwa futhi amuncwa ngokuphelele.

Izimpawu zokuncipha kohlobo lwesifo esincike e-insulin:

• ubuthakathaka obujwayelekile;
• ukoma
• ukuguquguquka okusheshayo kwezempilo;
• umlomo owomile
• ukuba khona kwephunga le-acetone;
• fragility yamathambo;
• ukwehla kokungazinzi komzimba.

Ukwelashwa kokubuyiselwa kwemali kufaka phakathi:

• izindlela zokwenza i-glycemia ihlale ngokwejwayelekile;
• ukuqothula ukomisa;
• ukubuyiselwa kwe-acidity yegazi;
• ukulandela inqubo yohlobo lwe-insulin;
• ukuqapha kwe-glycemic;
• ukwenziwa kwezincomo zokudla okunempilo;
• ukuqashwa njalo ngudokotela.

Umphumela oyingozi kakhulu womzimba ukhubazeka sikashukela. Kulesi simo, i-acetone iqongelela ngamanani amakhulu, eyakhiwa ngenxa yokuntuleka kwe-insulin.

Isifo Sikashukela sohlobo 2 esibolile

Isifo sikashukela sohlobo 2, ngokuya ngemiyalelo kadokotela, kulula kakhulu ukusilawula kunendlela yesifo exhomeke ku-insulin. Ngaphandle kwalokhu, ukungazinaki izincomo zomsoco nokwelashwa kungaholela ekunciphisweni kwesifo.

Izinkinga ezijwayelekile zalesi simo:

• i-hypoglycemia (ukwehla okubukhali kwe-glucose);
• i-retinopathy (ukulimala emuva);
• i-polyneuropathy (ukulahleka kwemizwa emilenzeni noma ukuncipha kwengxenye);
• ukwakheka kwezilonda ezilinganiselwe;
• isifo se-periodontal (inqubo yokuvuvukala ezinsini);
• isifo sohlangothi;
• ukushaya kwenhliziyo;
• isifo sezinso.

Ezigulini ezinesifo sikashukela sohlobo 2, kulula kakhulu kwiziguli ukugwema ukubola kwesifo ngokudla okufanele.

Izindlela zokuvimbela

Ungavimbela ukwakhiwa kohlobo lwesifo sikashukela olubolile uma ulandela eminye imithetho:

• qapha njalo izinga le-glycemia, aqophe amanani ayo kudayari;
• landela ukudla;
• Musa ukweqa ukuthatha imishanguzo enqunywe udokotela wakho;
• vakashela udokotela ongafundile ngisho nokuwohloka okuncane;
• zama ukuhlala unethemba;
• dlulela ngenkuthalo futhi wenze imithwalo yemidlalo elinganiselayo, uma kungenzeka;
• ungasebenzisi izithasiselo zokudla njengendlela main yokwelashwa.

Izinto zevidiyo eziphathelene nezimbangela, izinhlobo nokwelashwa kwesifo sikashukela:

Kubalulekile ukuqonda ukuthi ukulandela lezi zincomo kuzosiza isiguli ukuthi sigweme ukuthuthukiswa kwezinkinga eziyingozi empilweni.