Abantu abanesifo sikashukela noma ama-prediabetes banomthwalo wokunakekelwa okuningi, okungaba inqubo eyinkimbinkimbi. Kodwa-ke, ukuzinakekela kungenziwa kube lula ngokubeka imigomo yesifo sikashukela emazingeni ashukela egazini, ukulahlekelwa isisindo, ukuvivinya umzimba nokulawula ezinye izingozi zempilo.
Izinjongo ze-Blood Sugar
Isikhungo Sikashukela Samazwe Emhlaba eMinneapolis, Minn., Siphakamisa ukubeka imigomo yokushukela egazini kubantu abane-prediabetes nesifo sikashukela, njengoba kulinganiswa nge-milligrams per deciliter (mg / dL).
Izigaba ezibhekiswe kuzo, okufingqiwe kwiWebhu YesiKhungo sikaHulumeni sikaHulumeni kaZwelonke, kulandelwa kanje:
- Ngaphambi kokudla: 70 mg / dL kuya ku-140 mg / dL
- Amahora amabili emva kokudla: Ngaphansi kuka 160 mg / dL
- Ngesikhathi sokulala: 100 mg / dL kuya ku 160 mg / dL
- I-Hemoglobin level A1c: Ngaphansi kwe-1% ephezulu kunenani le-glucose evamile lebhu
Iphinde ikhombise ukuthi ngaphezu kwengxenye yokuhlolwa kweshukela egazini lomuntu ozimele ephakathi kwebala elibhekisweyo nokuthi akanalo ushukela wegazi ophansi ebusuku noma noma yikuphi okushukela okuphansi kwegazi okudinga ukungenelela.
Kodwa-ke, lezi zinhloso ezijwayelekile zingadinga ukulungiswa ngqo kubantu, kusho uSandra Krafsig, umhlengikazi obhalisiwe, nomfundisi wesifo sikashukela esikhungweni saseMarlborough eMassachusetts. "Imigomo ingase ihluke kuye kwezinye izici eziyingozi, ezifana nobudala, isifo senhliziyo, nezinye izinkinga."
Izinhloso zesisindo
Ukweqisa ngokweqile kuyingozi kakhulu yesifo sikashukela. Ngaphezu kwalokho, isisindo esiningi singenza kube nzima umzimba ukuba usebenzise i-insulin.
Iningi labachwepheshe bezempilo lisikisela ukuthi abantu abanesifo sikashukela bahloswe ngesisindo esinempilo sokuphakama kwawo kanye nohlobo lomzimba. Le namba ivame ukususelwa kumuntu wesikhombi somzimba womuntu (phakathi kuka-18.5 no-24.9 kubhekwa njengempilweni), ububanzi besikhumba (ngaphansi kwamasentimitha angama-40 amadoda, ngaphansi kwama-35 kwabesifazane) nohlaka.
Uma owesifazane ekhulelwe, umhlinzeki wakhe wezezempilo angabeka imihlahlandlela yokuthi kufanele ahlose kangakanani ukuzuza ngesikhathi sokukhulelwa kwakhe, kuye ngokuthi isisindo sakhe sokukhulelwa ngaphambi kokukhulelwa nokuthi ngabe unesifo sikashukela sokubeletha.
Lezi ziqondiso ngokuvamile ziyi:
- Amakhilogremu amathathu kuya kweziyisithupha ezinyangeni zokuqala ezintathu zokukhulelwa
- Phakathi kwesigamu nengxenye eyodwa isonto ngalinye kulezi zinyanga eziyisithupha zokugcina zokukhulelwa
Imigomo Yenhliziyo
I-Institutes of Health kazwelonke ibeka izigaba ezibhekiswe ekucindezelweni kwegazi kanye namazinga e-lipid kusukela ngamunye kulabo abangabangela ingozi yesifo senhliziyo:
- Ukucindezelwa kwegazi: Ngaphansi kuka-130/80
- I-low-density lipoprotein (i-LDL noma i- "cholesterol" embi): Ngaphansi kuka-100 mg / dL;
- I-high-density lipoprotein (i-HDL noma i-"cholesterol" enhle): Inkulu kune-40 mg / dL yamadoda nangaphezulu kuka-50 kwabesifazane
- I-Triglycerides: Ngaphansi kuka-150 mg / dL
Ukufeza Izinhloso Zakho Sikashukela
Ukuhlelwa kwezinhloso kufanele kube umzamo ohlangene phakathi kwesiguli kanye neqembu lakhe lokunakekelwa kwezempilo, ngokusho kukaThesa Garnero, umqeqeshi obhalisiwe obhalisiwe nomfundisi wesifo sikashukela. "Umsebenzi wethu ukulandela i-ajenda yegulane. Yiqiniso, sinayo i-ajenda yethu, kodwa lokho ngeke kwenzeke uma isiguli singakulungele," kusho uGarnero.
UDavid Spero, nomhlengikazi obhalisiwe kanye nomlobi we-"Diabetes: Crisis-coated-Cated," uyavuma. Uthi kungcono ukuthi umuntu aqale ngezinguquko ezincane ezingaba yizinyathelo zokufinyelela imigomo yakhe yonke.
"Khetha into ofuna ukuyenza nento ongenza kahle," kusho uSpero.
"Qala ngezinguquko ezincane futhi wakhe."
Uphinde ucacise ukuthi abantu abanesifo sikashukela bazibeka bona bafinyelele imigomo yabo. Ngaphambi kokubeka inhloso, kufanele bazibuze ukuthi baqiniseka kanjani ukuthi bangawufinyelela.
"Ungase futhi ufune ukubhala izizathu zokuthi kungani ukwenza ushintsho kubalulekile kuwe," kusho uSpero. "Faka uhlu lwezivimbelo ezingase zifinyelele endleleni yakho futhi ufike ngezindlela zokuthi ungabanqoba kanjani." Usikisela ukuthi ukusekelwa komndeni, umngane noma omunye umuntu onesifo sikashukela kungasiza.
U-Spero uthi enye yezindlela ezinkulu zokufeza imigomo ukuqala ngokushintsha. "Shintsha okuthile ekuphileni okukulimazayo," usho kanje.
Kungaba ngalolo suku ekuseni noma ukungabi nokusebenza komzimba. "Kungakhathaliseki ukuthi ushintsho oluncane kangakanani, noma yikuphi ukuguqulwa okuphumelelayo kwakha ukuzethemba kwakho futhi kwenza ushintsho olulandelayo lube lula."
I-Garnero iyinkolelo eqinile kumakhono amahlaya okusiza ukufeza imigomo. Wayebizwa ngokuthi uthisha wesifo sikashukela ngonyaka ka-2004 yi-American American Diabetes Association, futhi umsebenzi wakhe omningi unjengokudwetshwa kwezithombe. "Lesi yisifo esibi kakhulu," esho. "Amaphesenti angamashumi ayisishiyagalolunye nesishiyagalolunye ekulawuleni isifo sikashukela ukuzinakekela. Lokhu kwandisa ukucindezeleka nokucindezeleka okuphazamisa ushukela wegazi. Kodwa uma ukhumbule ukuhleka, unganciphisa ukucindezeleka."
Imithombo:
U-Clarke, MD, uCharles M., uJudith E. Fradkin, MD, uRoland G. Hiss, MD, uRodney A. Lorenz, MD, uFrank Vinicor, MD, MPH5 no-Elizabeth Warren-Boulton, RN, MSN. "Uhlelo lukazwelonke lukazwelonke lwesifo sikashukela, Ukuguqula Indlela Yesifo Sikashukela Kuthathwa." Ukunakekelwa yisifo sikashukela. 24 (2001): 617-618.
Isikhungo Sikashukela Emhlabeni Wonke. "Thayipha izinkombandlela zokuziphatha zohlobo lwe-Diabetes 2." I-Minneapolis: Isikhungo Sikashukela Emhlabeni Wonke, 2003.
Krafsig, uSandra. Ingxoxo ye-imeyili. 29 Aug. 2007.
"Yini Engingayenza Uma Nginezifo Zesifo Sikashukela?" I-National Institute of Health and Child Development. 16 Aug. 2006. Izikhungo zezempilo zikazwelonke.
Spero, David. Ingxoxo ye-imeyili. 22 Aug 2007.
"Yisiphi Isifo Sikashukela." I-National Diabetes Information Clearinghouse. Okthoba 2006. Isikhungo Sesizwe Sesifo Sikashukela Nesifo Sezinyosi kanye Nezinso. 1 Septhemba 2007.