Izimpawu Nezibonakaliso Zesibili Soshukela
Nakuba abantu abayizigidi ezingu-21 beye bathola ukuthi banesifo sikashukela, kunabantu abangaba ngu-8.1 million abahambahamba nesifo futhi abazi (amaphesenti angu-27.8 abantu abanesifo sikashukela ayitholakali). Izimpawu zesifo sikashukela ziyahlukahluka komuntu ngamunye. Kodwa, ekuqaleni ubabamba, kungcono kakhulu ukunakekelwa kwakho kwezempilo kanye nesifo sikashukela.
Kuyafaneleka ukwazi, nokuhlala ubheka, izimpawu zesifo sikashukela-ikakhulu uma ngabe kukhona okungezansi ezisebenza kakade kuwe.
- Uneminyaka engaphezu kwengu-45
- Uthola ukuthi unesifo sikashukela esandulele
- Ukhuluphele futhi / noma awusebenzi
- Wena u-African American, u-Alaska ozalwa, i-American Indian, i-Asian American, i-Hispanic / Latino, noma iPacific Islander American futhi uhlangabezana nezimpawu ze-atypical
Izimpawu Ezivamile Zesifo Sikashukela
Uma uhlangabezana nanoma yikuphi okulandelayo, kufanele ubonwe udokotela wakho wokunakekela oyinhloko ngokushesha ngangokunokwenzeka.
I-Polyuria (Ukuvota Okudlulele)
I-polyuria ichazwa njengokwanda kwimivuthwandaba yokuchama. Uma unamazinga aphakeme ngokungavamile kwe-ushukela egazini lakho , izinso zakho zidweba emanzini avela emathisini akho ukuze unciphise ushukela, ukuze umzimba wakho ungakuqeda umchamo. Amaseli aphinde aphonse amanzi emanzini ukuze asize ukususa ushukela, futhi izinso azikwazi ukubuyisela kabusha lo mthombo owuketshezi ngesikhathi sokuhlunga, okuholela ekuvuthweni ngokweqile.
Ukuze uhlangabezane nencazelo yemitholampilo ye-polyuria, ukukhishwa komchamo kumuntu omdala kufanele kudlule u-2.5 amalitha ngosuku (okujwayelekile okukhipha umchamo kuyi-1.5 amalitha ngosuku).
Njengoba kunzima kakhulu ukuthi uzilinganise lokhu, mane uqaphele ukuthi uvakashela indlu yokudlela kaningi kunokujwayelekile futhi / uma uhlala lapho isikhathi eside uma wenza.
I-Polydipsia (Ukudlula ngokweqile)
Ukoma ngokweqile ngokuvamile kuhamba ngokuhambisana nokuvuthwa okwandisiwe. Njengoba umzimba wakho udonsa amanzi ngaphandle kwezicubu ukuze unciphise igazi lakho futhi ususe umzimba wakho ushukela ngomchamo, isifiso sokuphuza siphume. Abantu abaningi bachaza lokhu ukoma njengokungapheli. Ukuze uhlale unamanzi, uphuza okuningi ngokweqile. Futhi uma lezo ziqu ziqukethe ishukela elula (i-soda, ikhekhe elimnandi, i-lemonade, noma ijusi, isibonelo) ushukela wakho uzoba phezulu.
Ukukhathala okukhulu
Umzimba wakho unjengemoto-idinga uphethiloli ukusebenza. Umthombo wayo oyinhloko kagesi i-glucose (ushukela), etholakala ekudleni okuqukethe ama-carbohydrate ephukile. I-insulini, i-hormone ekhiqizwa ama-pancreas, ithatha ushukela egazini lakho emasethini akho ukuze uwasebenzise amandla. Kodwa-ke, uma unesifo sikashukela, ama-pancreas akho akwenzi ngokwanele i-insulin noma i-insulin eyenziwa ngumzimba wakho ayisetshenzisiwe ngendlela okufanele iyenze ngayo, ngokuvamile ngoba amangqamuzana angakwazi ukumelana nayo.
Lokhu kubangela ukuthi amangqamuzana akho athathwe ushukela, noma uphethiloli. Umphumela: ukukhathala nokukhathala okukhulu. Lokhu kuvame ukungaqondi kahle njengendlala, futhi abantu badla ngaphezulu.
I-Polyphasia (Ukulamba ngokweqile)
Ukulamba ngokweqile kuyahambisana nokukhathala kanye nendlala yeselula. Ngenxa yokuthi amangqamuzana aphikisana ne-insulini yomzimba, i-glucose ihlala egazini. Amaseli ahluleka ukuthola ukufinyelela kwe-glucose, engabangela ama-hormone elambile atshela ubuchopho ukuthi ulambile. Ukudla ngokweqile kungabangela izinto ukuba ziqhubeke ngokubangela ukuba ushukela wegazi ukwandise.
I-neuropathy
Ubumbulu, ukubetha, noma "izikhonkwane nezinaliti" emaphethelweni kuthiwa yi-neuropathy. I-neuropathy ngokuvamile isifo esibonakala kancane kancane ngokuhamba kwesikhathi njengoba ushukela ngokweqile kulimaza izinzwa. Ukugcina ushukela wegazi ngaphakathi kwezinga elijwayelekile kungasiza ekuvimbeleni umonakalo owengeziwe futhi unciphise izimpawu. Abantu abanezimpawu ezinzima bangathola imithi.
Ukwehla kanye ne-Bruises Okuncane Ukuphulukisa
Uma igazi likhuni noshukela, izinzwa kanye nokujikeleza kungathinteka.
Kudingeka ukujikeleza okwanele ukuphulukisa. Ukusabalalisa okubi kungenza kube nzima ukuba igazi lifinyelele ezindaweni ezithintekayo, kunciphisa inqubo yokuphulukisa. Uma uqaphele ukuthi unesike noma usimaze okuncane kakhulu ukuhamba, lokhu kungase kube uphawu lweshukela ephezulu yegazi.
Umbono ogqamile
Umbono ophuphuthekile ungabuka ushukela wegazi ophakeme. Ngokufanayo, uketshezi olukhishwa kusuka kumaseli ukuya egazini ukuze kuhlanjululwe ushukela nakho lungasuswa emalenzeni akho amehlo. Uma i-lens iso liba lomsindo, iso alikwazi ukugxila, okwenza kube nombono ongenangqondo. Kubalulekile ukuthi bonke abantu abathintekayo abanesifo sikashukela sohlobo lwe-2 banesisindo sokuhlolisisa amehlo ngokushesha ngemva kokuxilongwa . Ukulimala iso kungase kwenzeke ngaphambi kokuba kutholakale ukuthi isifo sikashukela siyatholakala.
Izimpawu Ezijwayelekile Ezivamile Zesifo Sikashukela
Lezi zimpawu azitholakali yibo bonke abanesifo sikashukela, kodwa bangakwazi ukusho lesi sifo futhi kufanele baqaphele lokhu:
- Ukulahlekelwa isisindo (ngokuvamile okuhlotshaniswa nesifo sikashukela sohlobo 1, kodwa kungenzeka ngohlobo lwesifo sikashukela sohlobo 2)
- Ukungasebenzi kwe-Erectile (ngemva kweminyaka eminingi ushukela ophezulu)
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Yimiphi Imithwalo Eyenza Amagciwane Okudlalwa Esifo Sikashukela?
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Kungani Kubaluleke Kakhulu Ukukhukhula Uma Unesifo Sikashukela
- Omile, isikhumba esilula
- Ukutheleleka okuvamile, okufana nesifo semvubelo kwabesifazane
- I-Acanthosis nigricans: Isikhumba sesikhumba esimnyama, esithi "i-velvety" singabonakala emigqumeni, ukuvuthwa, neminyango yentamo, nangaphezu kwamalungu eminwe nezinzwane. Kuwuphawu lwe-insulini ephezulu futhi kubonakala ngokuvamile ema-Afrika aseMelika.
- Ukuthukuthela
- Umlomo omile (isibonakaliso sokungcola amanzi okungabangela ukukhula kokuvuthwa)
Isifo sikashukela sitholwa kanjani?
Ukuhlolwa okufanayo okusetshenziselwa ukukrini futhi kuhlolwe isifo sikashukela kusetshenziselwa ukuthola abantu abane-pre-diabetes. Kunezindlela ezimbalwa zokuthola. Udokotela wakho angakhetha ukwenza izinhlobo ezihlukahlukene zokuhlolwa kwegazi , kuye ngokuthi ngabe unayo yini izimpawu noma cha. Kungakhathaliseki ukuthi usencane noma usengozini enkulu yesifo sikashukela, udokotela wakho uzosebenzisa lezi zivivinyo ezifanayo:
- Ukuhlolwa kwe-glucose okungahleliwe (uma unesifo)
- Ukuzila ukudla kwe-glucose (ukuhlolwa okwenziwe uma ungakadli okungenani amahora angu-8)
- Ukuhlolwa kwe-glucose ukubekezelelana kwamahora amabili
- Ukuhlolwa kwe-Hemoglobin a1c (isilinganiso seminyaka emithathu yeshukela lakho legazi)
Ngesinye isikhathi abantu ababonanga izibonakaliso zesifo sikashukela kanti ukuxilongwa kungenziwa ngenxa yokuthi udokotela uyasolisa lesi sifo, kodwa ngenxa yokuhlolwa kwesimiso.
Ngomuntu ongenayo izimpawu okufanele acatshangelwe ukuthi unesifo sikashukela sohlobo lwesibili, kufanele:
- Yiba noshukela wegazi lokuzila ukudla (akukho ukudla okudliwe amahora ayisishiyagalombili) ngaphezulu noma okulingana no-126 mg / dL
- Yiba ne-ushukela wegazi we-200mg / dL ngemuva kwamahora amabili ngesikhathi sokuhlolwa kwe-glucose ukubekezelelana usebenzisa i-75 g yesisombululo se-glucose
- Yiba ne-hemoglobin A1c yamaphesenti angu-6.5 noma ngaphezulu
Kumuntu ophethe izifo zesifo sikashukela sohlobo lwesibili, angaba nomunye wemiphumela yokuhlolwa engenhla noma ushukela wegazi ongahleliwe we-200mg / dL noma ngaphezulu.
Ngokwe-American Diabetes 2016 Clinical Guidelines, ngaphandle uma isiguli sibhekene nezimpawu, ukuhlolwa kufanele kuphinde kusetshenziswe ngokusebenzisa isampula yegazi elisha ukuqinisekisa ukuxilongwa.
Uma Usanda Kubonwa Ngesifo Sikashukela
Uma usuvele uthola ukuthi unesifo sikashukela, kuvamile ukuzwa ukwesaba, ukudideka, nokucindezeleka. Kunezinkolelo eziningi kakhulu lapho mayelana nesifo sikashukela, okuyinto engenza kube nzima ukubhekana nobunzima. Zama ukungalaleli izinto abanye abantu okufanele bathi, njengokuthi, awukwazi neze ukudla ama-carbohydrate futhi. Kunalokho, funda.
Xoxa nodokotela wakho mayelana nokuxhuma nomfundisi wesifo sikashukela oqinisekisiwe futhi othola isifo sikashukela semfundo yokuzilawula . Ukufunda ukuthi yini okumele uyidle, ukuthi imithi yakho yenzani, nokuthi ungahlola kanjani ushukela wakho wegazi kukhona ezinye zezinto lezi zinsiza ezingasiza ngazo. Othisha bangaphinde baqede amanga, badale izinhlelo zokudla, baqondane nabanye odokotela abaqokwe wena, futhi ulalele izidingo zakho. Baqeqeshwe ukufundisa ngokusebenzisa indlela yokugulisa isiguli. Bangabameli bakho abanesifo sikashukela. Buza udokotela wakho namhlanje noma uye kwi-American Association of Diabetes Educators kuwebhusayithi ukuthola umuntu oseduze nawe. Qinisekisa ukushayela inkampani yakho yomshuwalense ukubona ukuthi lezi zinsizakalo zihlanganisiwe, futhi.
Uma Uke Wahlala Nesifo Sikashukela Ngesikhathi Esithile
Sinikeza idos ekhethekile yokuphatha isimo sakho, ngoba akulula ngaso sonke isikhathi. Uma unesifo sikashukela isikhathi eside, kuvamile ukushisa ngezinye izikhathi. Ungase ukhathele ngemisebenzi yakho yansuku zonke, njengokubala ama-carbohydrate noma ukukala ushukela wegazi lakho. Hlala kumuntu othandekayo noma umngane ukusekela, noma ucabangele ukukhuluma nomunye umuntu onesifo sikashukela onganikeza, mhlawumbe, indlebe yokuqonda noma imibono engakusiza.
Uma uthola ukuthi uyisidumbu esincane futhi ungasebenzisa inkambo yokuvuselela emndenini noma noma yini enye ehlobene nesifo sikashukela, cabanga ngokubhalisela iklasi yebalazwe yengxoxo yesifo sikashukela . Lezi zifundo ziyindlela enhle yokufunda kabusha izingxenye ezisemqoka zesifo sikashukela ekuhlelweni kweqembu. Uma unolwazi olwanele futhi esikhundleni salokho ufuna izindlela zokwenza impilo yakho ibe lula, hlola ezinye izinhlelo zokusebenza , izinsiza zokudla , noma abadlali bezimoto ezingakusiza uhlale uhamba futhi upheke ukudla okunempilo. Ukugcina umsebenzi omuhle kuwufanele, ngoba kungasiza ekuvimbeleni izinkinga.
Uma, ngakolunye uhlangothi, usuqala ukuthuthukisa izinkinga noma imithi yakho yemithi ishintshile ngenxa yokuthi ushukela wegazi lakho luya phezulu, khumbula ukuthi isifo sikashukela yisifo esiqhubekayo-futhi ngezinye izikhathi lezi zinto zivele zenzeke ngaphandle kwethonya ezenzweni zakho. Njengoba ukhula, amaseli e-beta ema-pancrea akhathala futhi ayeke ukusebenza. Uma unesifo sikashukela iminyaka engu-20 futhi manje udinga ukuqala i-insulin, isibonelo, akusho ukuthi uhlulekile. Kusho nje ukuthi umzimba wakho udinga usizo. Qinisekisa ukuthi uyaqhubeka nokuthola imfundo nokuthi uyaqhubeka nokuba nomuntu oncike lapho udinga, futhi ugcine imigqa yokuxhumana ivulekile nodokotela wakho. Ngempela kungenza umehluko.
Izwi elivela
Ukuthola ukuthi unesifo sikashukela kungasabeka, kodwa izindaba ezinhle ukuthi, nakuba kuyisifo okufanele usebenze nsuku zonke, kuyinto ephathekayo. Uma uhlangabezana nanoma yiziphi izimpawu ezingenhla, ikakhulukazi uma ungumuntu osemngciphekweni omkhulu, kufanele uhlangane nodokotela wakho wokunakekela oyinhloko ukuze uhlolwe. Ukutholwa kwesifo sokushukela kwangaphambili kwenzelwa, cishe ungathola ukulawulwa kwesifo sikashukela nokuvimbela izinkinga.
Futhi khumbula ukuthi ungavumeli abanye bakwesabise ukuthi ucabange okubi kakhulu . Ukufunda kuzokusiza ukuba uqonde ukuthi isifo sikashukela, ngenkathi sína, akusona ukuphela kwezwe. Kubantu abathile, ukuguqulwa kokuphila okunjengokwehla kwesisindo, ukudla okunempilo, nokuzivocavoca kungathola ngempela ushukela wegazi ngaphansi kwesifo sikashukela. Ungakwazi ukulawula isifo sakho sikashukela futhi ungakuvumeli ukuba sikulawule.
> Imithombo:
> I-American Diabetes Association. Izimpawu zesifo sikashukela. http://www.diabetes.org/diabetes-basics/symptoms/
> Journal of Clinical and Applied Research and Education - Isifo Sikashukela. Amazinga okunakekelwa kwezokwelapha ngesifo sikashukela, 2016. 2016; (39): s13-s22.
> Amasevisi Okulawula Nokuvimbela Izifo. National Diabetes Statistics Report, 2014. http://www.cdc.gov/diabetes/pubs/statsreport14/national-diabetes-report-web.pdf
> I-National Diabetes Information Clearing House. Ngisengozini ye-diabetes ye-type 2. http://diabetes.niddk.nih.gov/dm/pubs/riskfortype2/#7
> US Library of Medicine. I-National Institute of Health. Ama-Acanthosis aseNigeria. http://www.nlm.nih.gov/medlineplus/ency/article/000852.htm