Unyaka ngamunye, i-Association ihlose ukuthuthukisa iziqondiso zayo zonyaka ukuze iziguli, abahlinzeki, abahlengikazi, nabakhokhi bakwazi ukuthola imibhalo yokuthembela njengolwazi olunembile kunazo zonke nolwazi olusesikhathini esiphezulu ekunakekeleni ukunakekelwa kwezokuzilawula. Izincomo zezokwelapha ziboniswa ngokusekelwe futhi zibuyekezwa kahle.
Kulabo bantu abanesifo sikashukela, iziqondiso zibalulekile ngoba zisetshenziselwa ukwelashwa kwesifo sikashukela.
Izinguquko kulezi ziqondiso zingathinta uhlelo lwakho lwezokwelapha nokunakekelwa. Nazi ezinye izinguquko ezibaluleke kakhulu kusukela ngo-2016.
Yeka ukusebenzisa iZwi lesifo sikashukela
Kulabo abasebenza emkhakheni wesifo sikashukela, lolu shintsho cishe alulo olusha. I-etiquette efanele ye-diabetes isho ukungabhalisi iziguli. Iziguli azichazwa yisifo sikashukela. Ngakho-ke, akufanele babhekiswe ngokuthi "isifo sikashukela" futhi esikhundleni salokho "abantu noma abantu abanesifo sikashukela." Ngizobheja ukuthi odokotela abaningi kanye nabantu abanesifo sikashukela bagubha lo mqhudelwano. I-ADA ithi igama elithi "isifo sikashukela" ngeke lisetshenziswe lapho libhekisela kubantu abanesifo sikashukela ku "Amazinga Okunakekelwa Kwezokwelapha Esifo Sikashukela." Esikhundleni salokho, i-ADA izoqhubeka ukusebenzisa igama elithi "isifo sikashukela" njengesiphakamiso sezinkinga ezihlobene isifo sikashukela (isibonelo, retinopathy yesifo sikashukela).
Izidingo zokuxilonga
Imikhombandlela endala esetshenziselwa ukusho ukuthi labo bantu abangaphezu kuka-45 abakhuluphele ngokweqile noma abanengcupheni yesifo sikashukela, njengomlando womndeni wesifo sikashukela, kufanele bahlolwe isifo sikashukela.
Manje, iziqondiso zisho ukuthi bonke abadala abaqala eminyakeni engama-45 kufanele bahlolwe ngesifo sikashukela kungakhathaliseki ukuthi isisindo. Ngaphezu kwalokho, ukuhlolwa kwesifo sikashukela kuphakanyiswa futhi ngabantu abadala abangenakuqhathaniswa kwanoma yisiphi ubudala abanesisindo esiphezulu noma abakhuluphele futhi abanesifo esithile sikashukela noma esinye sezifo ezingeziwe.
Lokhu kuyinguquko enkulu ngoba kusho ukuthi singakwazi ukuthola nokuvimbela isifo sikashukela ngokushesha kunangaphambili. Ukutholakala kokuqala kwama-prediabetes noma isifo sikashukela kungavimbela ukuqhubeka kwesifo nokunciphisa ingozi yezinkinga ezingenzeka.
Ukuthuthukiswa kobuchwepheshe
Ukuguqula indlela yokuphila kuyisici esibalulekile ekuvimbeleni nasekwelapha uhlobo lwesifo sikashukela. Ukuthuthukiswa kwezobuchwepheshe kungasiza abantu ukuba bathuthele ngaphezulu, balahlekelwe isisindo futhi bathuthukise imikhuba yabo yokudla. I-ADA iphakamisa ukuthi ukusebenzisa izinhlelo zokusebenza nokuthumela imiyalezo kungasiza ekuthinteni indlela yokuphila yokuguqula ukuvikela isifo sikashukela. Kunezinhlelo zokusebenza eziningi zokuphila ezingasiza ukulandelela ukudla, ukuqina, ishukela yegazi, njll. Izinhlelo zokusebenza zingasetshenziswa njengamathuluzi ashukumisayo ukuze anamathele emigomeni yakho futhi uhlale ekhuthazwa.
Ukuphathwa Kwesisindo kanye nohlobo lwesifo sikashukela
Kulabo bantu abakhuluphele ngokweqile noma abakhuluphele ngezimo zezempilo eziningi, ukuhlinzeka nge-bariatric kungaba yindlela efanele yokulahlekelwa isisindo. Isigaba esisha kulezi ziqondiso sinezincomo ezintsha ezihlobene nokuhlolwa kwesisindo sikashukela kanye nokwelashwa kokuqhathanisa ngokweqile nokukhuluphala. Ngaphezu kokudla nokuzivocavoca, i-Association ixoxa ngokusetshenziswa kwemithi evunyelwe ukuphathwa kakhudlwana kokukhuluphala.
Izifo Zezinhliziyo Nezokuphathwa Kwezingozi
Izinguquko ezinkulu kulezi ziqondiso yindlela yokwelashwa kwesifo senhliziyo nokusetshenziswa kwemithi, njenge-aspirin ne-statin.
Okokuqala, i-Association ishintshe isifo senhliziyo nesifo se-atherosclerotic isifo senhliziyo. I-atherosclerotic yigama elibheke kakhulu elisho ukuthi "ukuqina komzimba."
Ngokusekelwe emihlahlandleleni yobufakazi, i-Association incoma ukuthi odokotela bacabange ukuthi ukwelashwa kwe-aspirin kwabesifazane abaneminyaka engama-50 ngokuphambene nomhlahlandlela oneminyaka engu-60 ubudala. Ngaphezu kwalokho, kunconywa ukuthi usebenzise ama-antiplatelets ezigulini ezineminyaka engama-50 enezici eziningi zobungozi. Okokugcina, imihlahlandlela emisha emithi inikezwa ngokuningiliziwe. Imikhombandlela yamanje iphakamisa ukuthi ukwelashwa kwesimiso kunomuntu onesifo sikashukela.
Ngaphansi
Lezi ziphakathi kwezinye izinguquko ezithile. Izinguquko ezengeziwe zenziwa kungathi izihloko zesifo sikashukela kuhlanganise nesifo sikashukela kulabo asebekhulile, ukuphathwa kwesifo sikashukela ekukhulelwe, ukuphathwa kwesifo sikashukela esibhedlela, izingane kanye nentsha, njll.
Imithombo:
Association of American Diabetes Association. Amazinga Wokunakekelwa Kwezokwelapha Esifo Sikashukela - 2016. Ukunakekelwa Kweshukela. 2016 Jan; 39 I-Suppl 1: S1-112.