John Myers
Isifo sikashukela sohlobo 2 siqala ngobuqili futhi, uma singelashwa, siholela ezinkingeni ezinkulu. Kodwa ngokudla okufanele nokuzivocavoca umzimba, amazinga kashukela egazini angathuthukiswa kakhulu.
Isifo sikashukela i-mellitus singesinye sezifo ezisakazeke kakhulu emazweni anezimboni. EJalimane kuphela, odokotela belapha abantu ababalelwa ezigidini eziyisishiyagalombili abanesifo sikashukela. Kwenziwa umehluko phakathi kohlobo 1 nohlobo 2, kanti lolu lwakamuva luthathwa njengesifo sokuceba - ngaphezu kwamaphesenti angama-90 abo bonke abanesifo sikashukela baphathwa yiso. Bambalwa kakhulu “abanesifo sikashukela” abahlushwa isifo sikashukela sohlobo loku-1. Nakuba lolu hlobo luvame ukwenzeka ebuntwaneni nasebusheni, ngokuyinhloko abantu abadala abangaphezu kweminyaka engama-40 abatholwa odokotela abanesifo sikashukela sohlobo 2.
Isifo sikashukela sohlobo 2 sikhula kancane kancane
Ngokwezilinganiso zango-2012, amaphesenti angu-7.2 abantu baseJalimane ayazi isifo sikashukela kanti amanye amaphesenti angu-2.1 anesifo sikashukela esingakaziwa. Isifo sikashukela sohlobo 2 ngokuvamile sikhula kancane kancane futhi singahlala singanakwa iminyaka. Yilokho kanye okucashile: umzimba uphawula konke ukudlula ushukela (“inkumbulo kashukela”) futhi ngemva kweminyaka uveza imiphumela, njengokulimala kwezinzwa noma ukuphazamiseka kokujikeleza kwegazi, ikakhulukazi emilenzeni nasezinyaweni ezingezansi. Umphumela wesikhathi eside esatshwayo unyawo lwesifo sikashukela olunezilonda namanxeba angasapholi.
Imbangela: Amanyikwe agcwala kakhulu amacarbohydrates
Ukuthambekela kohlobo 2 lwesifo sikashukela kuwufuzo. Kodwa-ke, akuwona wonke umuntu othambekele kulokhu kuphazamiseka kwe-carbohydrate metabolism empeleni okuthuthukisayo. Lokhu okubizwa ngokuthi i-affluence syndrome kuyisinqumo esinqumayo ngokugqashuka kwalesi sifo: Ukudla kakhulu okuhambisana nokuvivinya umzimba okuncane kakhulu kukhuthaza ukumelana ne-insulin.
Uma unikeza umzimba wakho izingxenye eziningi zama-carbohydrate agayeka kalula, amanyikwe azohlala esebenza njalo. Abantu abamelana ne-insulin bane-insulin eningi egazini kunabantu abanempilo, kodwa umzimba awusakwazi ukuthwala ukugcwala kukashukela esicutshini. Izinga le-insulin elilokhu likhuphuka njalo linomphumela kwenye indawo: umzimba ugcina amafutha - lokhu kuholela ekukhuluphaleni, futhi isifo sikashukela esivame ukuvela noma esihambisana nesifo sikashukela isibindi esinamafutha. Amadiphozithi ayingozi enza ezitsheni. Uma kukhona nokungazivocavoci, okusho ukuthi awukho ushukela osegazini osetshenziswa izicubu njengamandla, khona-ke ukumelana ne-insulin kungathuthuka ngokushesha okukhulu.
Ezimweni ezimbi kakhulu, amanyikwe azogcina eyeka ukusebenza ngokuphelele.
Izimpawu ezingacacisiwe ekuqaleni
Ukungaphatheki kahle okujwayelekile kanye nokukhathala kuyizimpawu zokuqala zokuthi amandla okudla angenisiwe (ama-carbohydrate/ushukela) awafinyeleli emangqamuzaneni omzimba ngenxa yokumelana ne-insulin. Kodwa ubani oyobona udokotela ngokushesha? Amathuba okululama kulesi sigaba (i-prediabetes) asengcono kakhulu. Lapho kutholakala ukuthi “uhlobo 2 lwesifo sikashukela” kwenziwa, kuvame ukuba nomonakalo ovela ohlelweni lwenhliziyo nemithambo yegazi.
Isifo sikashukela saziwa kakhulu njengesifo sikashukela futhi ngenxa yalokho sesivele siqamba uphawu oluyinhloko: ukutholakala kukashukela emchamweni. Uma izinga likashukela egazini liphezulu kakhulu, umzimba ukhipha ushukela ngomchamo. Ezinye izimpawu zesifo sikashukela sohlobo 2 oluthuthukisiwe:
- ukoma
- ukuvuthwa njalo
- Ukwehluleka ukukhula, ukuchama embhedeni, ukwehla kwesisindo (ezinganeni)
- Ukukhathala, ubuthakathaka, isiyezi
- Ukuwohloka kombono, ukushintsha kwamehlo
- isikhumba esomile, ukulunywa
- ukushintshana kokungathandi ukudla kanye neminjunju yendlala
- Ukungabi namandla/ukulahlekelwa libido
- amajaqamba
- izifo zezinzwa
- izilonda ezingapholi kahle, ikakhulukazi ezinyaweni
- isicanucanu, ubuhlungu besisu
- ukutheleleka kwe-urinary tract
- Ukuphazamiseka kokuya esikhathini kwehlisa inzalo kwabesifazane
- Izinguquko zengqondo ezifana nokuziphatha okunolaka
Ukuxilongwa ngokuhlola ushukela wegazi
Okokuqala, ushukela wegazi unqunywa ehhovisi likadokotela. Kwenziwa umehluko phakathi kokuzila ushukela wegazi kanye noshukela wegazi ngezikhathi ezithile. Ushukela wegazi ovamile wokuzila ukudla awukho ngaphezu kwamamiligremu ayi-100 ngedesilitha ngayinye. I-Prediabetes ingaba khona ngezinga likashukela wegazi lokuzila lokufika kuma-milligrams angu-125 ngedesilitha ngayinye. Uma amanani aphezulu kakhulu, kusolakala ukuthi isifo sikashukela i-mellitus. Ngaphezu kwalokho, kwenziwa ukuhlolwa kokubekezelela i-glucose bese kunqunywa lokho okubizwa ngokuthi ushukela wegazi wesikhathi eside: I-glyco-hemoglobin (okungukuthi “saccharified” blood pigment) inikeza ulwazi mayelana nesilinganiso sokugcwala kushukela wegazi kule minyaka eyisishiyagalombili edlule. amasonto ayishumi nambili.
Uma kutholakala isifo sikashukela i-mellitus, i-fundus yeso, umchamo, umfutho wegazi, izinzwa, nezinyawo kufanele kuhlolwe futhi kunqunywe inani le-lipid yegazi nezinso.
