Thola Amasu Okusiza Odokotela Bakho Ukuhlola Nokuphatha Uhlobo Lwe-Diabetes
Isifo sikashukela siyisifo esithinta cishe abantu abayizigidi ezingu-347 emhlabeni jikelele. I-American Diabetes Association ibika abantu abayizigidi ezingu-29.1 e-United States (9.3%) abanesifo sikashukela (iningi luhlobo lwama-2), izigidi ezingu-86 zinama-prediabetes, kanti abantu abayizigidi ezingu-8.1 bahlala bengatholakali. Emizamweni yokuhlonza futhi uphathe isifo sikashukela sohlobo lwe-2 ngempumelelo, kubalulekile ukuqonda ingozi yakho bese usebenza kahle.
Uma ungumuntu osuvele ephethe isifo sikashukela nsuku zonke, kubaluleke kakhulu ukuthi uqonde ukuthi ungayiphatha kanjani ngoba ubambe iqhaza ebaluleke kakhulu eqenjini lakho lokunakekela impilo. Hlela ukunika udokotela wakho ulwazi oluningi oluchazayo ngangokunokwenzeka, futhi ungabi namahloni ngokubuza imibuzo noma. Eqinisweni, ukubuza imibuzo yilokho okuvame ukuholela odokotela ekutholeni ukuxilongwa futhi kusize ekudaleni uhlelo olulodwa lwalashwa. Ngokuvamile, uhlobo lwesifo sikashukela sohlobo lwe-2 lushiywe lungaphathwa noma luphathwa kabi ngaphandle kwakho ngisho nolwazi. Ukuba nesiguli esinolwazi kungaba lula uma wazi ukuthi yini oyifunayo.
Yazi Izinombolo Zakho
Uma udokotela wakho ethi, "Uneshukela, kodwa ungakhathazeki," ungayiphenduli leyo mpendulo. Bacele ukuthi bafunde kabanzi. Isifo sikashukela singavinjelwa uma sibanjwa kusenesikhathi. Uma unomlando womndeni we-Type 2 sikashukela, uneminyaka engaphezu kwengu-40, ukhuluphele noma unezinye izimo zezempilo ezifana nesifo senhliziyo, udokotela wakho cishe uzogijima uvivinyo olubizwa nge- Hemoglobin A1 C.
Lokhu kuhlolwa kwegazi okusetshenziselwa ukuchaza ukuthi umzimba wakho usebenzisa ushukela. Imiphumela ingasetshenziswa ukukala ukunakekelwa kwesifo sikashukela kanye nokuxilonga isifo sikashukela.
Phakathi nezinyanga ezintathu, ushukela noma i-glucose iyazihlanganisa namaseli abomvu bese kuthi lawo maseli afe. I-A1C isitshengisa isilinganiso seminyaka emithathu yeshukela lakho.
Uma i-A1C yakho ibonisa ububanzi be- prediabetes (5.7-6.4%), ungakwazi ukuvimbela noma ukwandisa isifo sikashukela ngokudla, ukuvivinya umzimba nokulahlekelwa isisindo.
Lokhu kungabalulekile kuwe ukwazi. Uma unesifo sikashukela, nawe ufuna ukwazi i-A1C yakho ngoba izokubonisa, ngokwesilinganiso, lapho ushukela wakho uhlala khona amahora angu-24 ngosuku ezinyangeni ezimbalwa.
Ucwaningo luye lwabonisa ukuthi abantu abanesifo sikashukela bancane amathuba okuthuthukisa izinkinga ezincane ezinhlobonhlobo zamehlo nezinso uma begcina amazinga abo egazi elawulwa yi-glucose. I-American Diabetes Association incoma ukuthi uhlose ukufeza i-A1C ngaphansi kuka-7%, kuyilapho i-American Association of Clinical Endocrinologists ikhombisa u-6.5% noma ngaphansi.
Yazi Imithi Yakho
Ngiyibona njalo - iziguli zine uhlu lwemithi futhi aziqiniseki ukuthi zenzani nokuthi zisebenza kanjani. Lokhu kungaba inkinga ngoba uma imishanguzo ingathathwa ngendlela efanele, ayisebenzisi kangako. Uma uthatha imithi, cela ukufundiswa. Ufuna ukwazi ukuthi imiphi imithi oyithathayo, ukuthi kufanele uthathe kanjani nokuthi yenzani.
Isibonelo, uma usebenzisa imithi efana ne- sulfonylurea (isigaba sesifo sikashukela esitshela ama-pancreas ukwenza i-insulini) futhi uyithathe ngaphandle kokudla, weqa noma wephuze ukudla, ushukela wakho wegazi ungaphonsa noma uhambe kancane.
Kungathatha isikhashana ukuthola ukuthi imuphi uhlobo lwezokwelashwa olungcono kakhulu kuwe, kodwa kunjalo. Unganqikazi ukubuza udokotela wakho noma isazi sikashukela esiqinisekisiwe ukuba achaze imithi yakho kuwe.
Yazi Inethiwekhi Yakho Yabachwepheshe
Ukuphatha ama-aphoyintimenti akho kungadala, kodwa uma ungumuntu onesifo sikashukela, kunezinhlobo ezithile zezokwelapha ezibalulekile ukuba zibe nenethiwekhi yakho. Isibonelo, wonke umuntu otholakala onesifo sikashukela angaphezu kweminyaka engamashumi amathathu kufanele ahlolwe iso elihlotshiswe yi-ophthalmologist kanye ngonyaka. I-dietitian ebhalisiwe, i-RD, ingakusiza ukuthi udale uhlelo lokudla olwenzela izidingo zakho.
Ezinye ochwepheshe ongase udingeke uzibonise zihlanganisa i-podiatrist, i-cardiologist, i-endocrinologist, noma udokotela we-vascular. Khuluma nodokotela wakho uma unenkinga noma udinga usizo ukuthola ochwepheshe.
Yazi Umzimba Wakho
Uma uzizwa ungakhululekile noma ubuhlungu, zama ukuyeka izimpawu. Kubalulekile ukulalela umzimba wakho ukuze uthathe izinyathelo ezidingekayo ukuvimbela noma yiziphi izinkinga ezinkulu. Isifo sikashukela siyisifo esilawulekayo, kodwa uma unganaki izimpawu zezinkinga ezinzima kakhulu zingakhula. Phawula ukusika okungahambi ukuphulukisa, ukuzwa ubuhlungu bomlenze noma ukuvuka phakathi nobusuku ukuze ugijime, uhlolwe udokotela wakho.
Imithombo
Association of American Diabetes Association. Izibalo NgeSifo Sikashukela. http://www.diabetes.org/diabetes-basics/statistics/?referrer=https://www.google.com/
Association of American Diabetes Association. Ukuhlolwa kwe-A1C. Itholakala ku-: http://www.diabetes.org/living-with-diabetes/treatment-and-care/blood-glucose-control/a1c/.
Katznelson L, Atkinson JLD, Cook DM, Ezzat SZ, Hamrahian AH, Miller KK. I-American Association of Endocrinologists yezokwelapha iziqondiso zezokwelapha zokwenza umtholampilo we-diagnostic kanye nokuphathwa kwe-acromegaly-2011. I-Endocrine Practice . 2011; 17 (4). Itholakala ku: https: //www.aace.com/sites/default/files/AcromegalyGuidelines.pdf.
I-National Diabetes Information Clearinghouse. I-DCCT ne-EDIC: Isifundo Sokuvivinya Isifo Sikashukela Nokubhekana Nezinkinga. Itholakala ku-: http: //diabetes.niddk.nih.gov/dm/pubs/control/#DCCT.