Thayipha isifo sikashukela sesi-2

Okubalulekile ngohlobo luka-2 lwesifo sikashukela

Uhlobo lwesifo sikashukela 2 luyisifo esiqhubekayo, esingapheliyo esihlobene nezinselele zomzimba wakho ngokushukela kwegazi. Ngokuvame ukuhlotshaniswa nokuvuvukala okujwayelekile. I-pancreas yakho ikhiqiza i-hormone insulin ukuguqula ushukela (i-glucose) emandleni ongayisebenzisa ngokushesha noma ukugcina. Nge-type 2 yesifo sikashukela, awukwazi ukusebenzisa leyo insulini ngendlela efanele. Nakuba umzimba wakho ukhiqiza i-hormone, kungabi khona okwanele ukuhambisana ne-glucose kwisistimu yakho, noma i-insulini eyenziwa ayisebenzi futhi kufanele ibe yikho, kokubili okuholela ekuphakameni amazinga kashukela egazini .

Nakuba lokhu kungaveza izinhlobo ezahlukene zezinkinga, imizamo yokulawula ushukela omuhle ingasiza ekuvimbeleni. Lokhu kuxhomeke kakhulu ekuguqulweni kokuphila okunjengokushiyeka kwesisindo, izinguquko zokudla, ukuzivocavoca futhi, kwezinye izimo, imithi. Kodwa, ngokuya ngobudala bakho, isisindo, izinga leshukela legazi, nokuthi usulele isikhathi esingakanani nesifo sikashukela, ungase ungadingi imithi ngokushesha. Ukwelashwa kufanele kwenziwe ngokuvumelana nawe futhi, nakuba ukuthola inhlanganisela ephelele kungathatha isikhathi esincane, kungakusiza ukuba uphile impilo enempilo, ejwayelekile nesifo sikashukela.

Yini Ebangela Uhlobo Lwe-2 Lokushukela?

Uhlobo lwe-2 lwesifo sikashukela luvame kakhulu kulabo abathintekayo ngokwezakhi zofuzo futhi abakhuluphele ngokweqile, bahola impilo yokuphila, babe nomfutho wegazi ophezulu, futhi / noma banesifo se-insulin ngenxa yesisindo esiningi. Abantu bezizwe ezithile bangase babe nesifo sikashukela, futhi. Lokhu kufaka: Ama-Afrika aseMelika, amaMelika aseMexico, amaNdiya aseMelika, amaNdiya aseMelika, ama-Pacific Islanders nabase-Asia baseMelika. Lezi zindawo cishe ziningi kakhulu futhi zinomfutho wegazi ophakeme, okwandisa ingozi yokuba nesifo sikashukela.

Njengoba usukhulile, usengozini enkulu yokwelapha isifo sikashukela.

Ukudla okungcolile nokubhema nakho kungathinta ingozi yakho.

Yiziphi Izinkinga Zesibili Soshukela?

Kunezinkinga eziningi zesifo sikashukela. Ukukwazi nokuqonda izimpawu zalezi zinkinga kubalulekile. Uma ubanjwe kusenesikhathi, ezinye zalezi zinkinga zingelashwa futhi zivinjelwe ukuba zibi kakhulu. Indlela engcono kakhulu yokuvimbela izinkinga zesifo sikashukela ukugcina ushukela wakho wegazi kahle. Amazinga aphezulu e-glucose enza izinguquko emithanjeni yegazi ngokwabo, kanye nasezindlini zegazi (ngokuyinhloko i-erythrocytes) ezonakalisa ukugeleza kwegazi ezithombeni ezihlukahlukene.

Izinkinga zesifo sikashukela zihlukaniswe zibe izigaba ezimbili: i-microvascular (umonakalo emithonjeni encane yegazi) kanye nemisindo eminingi (umonakalo emithonjeni emikhulu yegazi). Zingafaka:

Ziyini Izimpawu Zesibili Soshukela?

Ngokuvamile abantu abanaso izibonakaliso zesifo sikashukela kuze kube yilapho igazi labo liphezulu kakhulu. Izimpawu zesifo sikashukela zihlanganisa: ukwanda okwandayo, ukwanda kwamanzi, ukwanda kwendlala, ukukhathala ngokweqile, ukuphazamiseka nokumboza emaphethelweni (izandla nezinyawo), ukusika kanye namanxeba aphuza ukuphulukisa, kanye nombono ofanelekile. Abanye abantu baphinde babone ezinye izimpawu ezingavamile ezihlanganisa ukulahlekelwa isisindo, isikhumba esomile esiyinkimbinkimbi, ukwanda kwezifo zesilonda, ukungasebenzi kwe-erectile, kanye ne-acanthosis nigricans (amaqabunga amancane, "ama-velvety" atholakale emaphakathini noma emanzini esikhumba, njengentambo of insulin ukumelana).

Uma ubhekene nanoma iyiphi yalezi zimpawu, ungazibazi. Yenza i-aphoyintimenti ukuze ubone udokotela wakho. Isifo sikashukela sangaphambilini sibanjwe, kungenzeka ukuthi ungakwazi ukuvimbela izinkinga.

Uhlobo Lwesifo Sikashukela Siyatholakala Kanjani?

Ukuxilongwa kwesifo sikashukela kungenziwa ngokusebenzisa ukuhlolwa kwegazi okuhlukahlukene.

Uma usengozini enkulu yesifo sikashukela, unayo izibonakaliso zesifo sikashukela, noma unesifo sikashukela esingaba nesifo sikashukela (isibonakaliso esikhulu esiyisixwayiso sesifo sikashukela), udokotela wakho uzohlola ukuhlola ukuthi unesifo sikashukela. Udokotela wakho angabuye ahlole ukuthi unesifo sikashukela uma uneminyaka engaphezu kwengu-45, unomlando womndeni wesifo, ukhuluphele kakhulu, noma uma usengozini enkulu ngenxa yesizathu esithile. Izivivinyo ezisetshenziselwa ukuhlola isifo sikashukela ziyizivivinyo ezifanayo ezisetshenziselwa ukuhlola isandulela-sikashukela.

Ukuzila ukudla kweshukela egazi: Lokhu kuhlolwa kuhlola ushukela wegazi lakho uma ungadli okungenani amahora angu-8. Ishukela egazini legazi elingaphezu kuka-126 lingabonisa ukuthi uyashukela isifo sikashukela. Udokotela wakho uzophinde ahlole lokhu ukuze anqume ukuthi unesifo sikashukela.

Isivivinyo sokubekezelelana kwe-glucose: Lokhu kuhlolwa okuhlola ukuthi usabela kanjani ushukela. Uyonikezwa isampula ushukela (ama-75 amagremu ngaphezu kwamahora amabili). Uma ushukela wegazi lakho lingaphezulu kwehlongo ngemuva kwalesi sikhathi, ungase utholakale unesifo sikashukela.

I-Hemoglobin A1c: Lolu luhlolo luhlola ushukela lwegazi lakho phakathi nezinyanga ezintathu.

Uma ushukela wegazi lakho lingaphezulu kwamaphesenti angu-6.5, ungase ucatshangwe unesifo sikashukela.

Ukuhlolwa kokushukela okungahleliwe kwegazi: Udokotela wakho angenza lokhu kuhlolwa uma ubona izimpawu zesifo sikashukela-ukwandisa ukoma, ukukhathala, ukwanda kwamanzi. Uma ushukela wegazi lakho lingaphezu kuka 200mg / dL, ungase uthathwe unesifo sikashukela.

Uma ungenayo izimpawu futhi noma yikuphi kwalokhu kuhlola kulungile, i-American Diabetes Association incoma ukuba isampula yegazi entsha ikhishwe ukuze kuqinisekiswe ukuxilongwa.

Ngingakugwema Kanjani Uhlobo Lwe-2 Lokushukela?

Ngenkathi ungeke ukwazi ukuguqula ukukhula, umlando wakho womndeni, noma ubuhlanga, ungasebenzisa izindlela zokunciphisa isisindo sakho nesisindo somzimba, ukwandise umsebenzi wakho, futhi unciphise ukucindezelwa kwegazi.

Ukudla ukudla okunomsoco okunamathelefriji, imifino engekho-starchy, amaprotheni aphilile, namafutha enempilo angakusiza ekufikeni kwesisindo somzimba wakho futhi unciphise ubukhulu bomzimba nobukhulu bomzimba wakho (BMI). Ukunciphisa ukudla kwakho iziphuzo ezinomsoco (ama-juice, ama-sodas) yindlela elula yokulahlekelwa isisindo nokunciphisa ushukela wegazi. Uma ungumuntu onomfutho wegazi ophezulu futhi usawoti ozwelayo, uhlose ukunciphisa ukudla kwakho kwe-sodium; ungafaki usawoti ekudleni kwakho, funda amalebula wephakheji we-sodium eyengeziwe, futhi unciphise ukudla kwakho okusheshayo uphinde uphume. Ungadli ekudleni. Esikhundleni salokho, ulungise indlela yokudla okunempilo, oyothola isikhathi eside.

Ukusebenzisa njalo, cishe imizuzu engama-30 ngosuku noma imizuzu eyi-150 ngesonto, kungasiza ekunciphiseni isisindo sakho nomfutho wegazi. Ekugcineni, uma ubhema, uhlose ukuyeka. Ukubhema kungakwandisa ingozi yokushaya isifo , ukucindezelwa kwegazi, nokushaya kwenhliziyo, nokuyeka ukunciphisa ingozi yesifo sikashukela.

Ngingawulondoloza Kanjani Isifo Soshukela?

Izindaba ezinhle ukuthi uma unesifo sikashukela, unokulawula okuningi ekulawuleni isifo sakho. Nakuba kungaba nzima ukuphatha isifo nsuku zonke, izinsiza kanye nokusekelwa kwabantu abanesifo sikashukela akupheli. Kubalulekile ukuba uthole imfundo eningi ngangokunokwenzeka ukuze ukwazi ukusebenzisa ngokunenzuzo lonke ulwazi oluhle olukhona lapho (futhi ukhula lubi).

Ungavumeli abanye bakwenze bakuzwe sengathi ukuxilongwa kwesifo sikashukela kusho ukuthi uzobhujiswa.

Kulabo Abasanda Kuxilongwa Ne-Diabetes

Amathiphu angenhla abalulekile kuwe. Kodwa kubalulekile ukuthi uzinike isikhathi sokubhekana nokuxilongwa futhi uzibophezele ekwenzeni izinguquko zokuphila ezizokuzuzisa phakade. Izindaba ezinhle yisifo sikashukela yisifo esilawulekayo; ingxenye enzima ukuthi kufanele ucabange ngalo nsuku zonke. Cabanga ukuthola ukwesekwa-umuntu ongakhuluma ngawo ngezinkinga zakho-kube ngumngane, omunye umuntu onesifo sikashukela, noma othandekayo. Lokhu kungase kubonakale kuyincithakalo, kodwa ngempela kungakusiza ukulawula isifo sikashukela ukuze singakulawuli. Ezinye izinyathelo ezilandelayo ezingakusiza ukuba uhambe endleleni efanele kulesi sigaba sokuqala ohambweni lwakho:

Izwi elivela

Isifo sikashukela yisimiso esingapheli okumelwe siphathwe nsuku zonke, kodwa siyaphathwa. Ungaphila impilo ende, enempilo enesifo sikashukela uma ulungisa indlela yokuphila enempilo. Ngokukhetha ukudla ukudla okunempilo, ukuzivocavoca njalo, nokuyeka ukubhema , nokubona odokotela bakho njalo, uzothuthukisa amandla, uzizwe ungcono, mhlawumbe uzizwe ukhululekile.

Abantu abaningi abanesifo sikashukela baneminye imibandela efana ne-apnea yokulala , i-cholesterol ephakeme, ne-high blood pressure. Uma sebashintsha indlela yabo yokuphila, eziningi zalezi ezinye izimpawu zithuthukisa noma ziyahamba. Usihlalo somshayeli. Unamandla okulawula isifo sikashukela.

Futhi uhambe kalula kuwe: Ngezinye izikhathi ungenza konke ngokuphelele futhi ushukela wakho wegazi uqala ukukhuphuka. Ngenxa yokuthi isifo sikashukela siyisifo esiqhubekayo, umzimba wakho uyeka kancane kancane ukwenza i-insulin ngokuhamba kwesikhathi. Uma unesifo sikashukela isikhathi eside kakhulu, zama ukudumazeka uma udokotela wakho ekwandisa imithi yakho noma ekhuluma nge-insulin nawe. Qhubeka ukwenza konke ongakwenza ukuze uthuthukise impilo yakho.

> Imithombo:

> I-American Diabetes Association, i-American Association of Diabetes Educators, ne-American Academy of Nutrition and Dietetics. Isifo sikashukela Ukuziphathisa ukufundisa Imfundo nokusekela ngohlobo lwe-2 lwesifo sikashukela 2015. https://www.diabeteseducator.org/docs/default-source/practice/practice-resources/position-statements/dsme_joint_position_statement_2015.pdf?svvrsn=0

> I-American Diabetes Association. Amazinga Wokunakekelwa Kwezokwelapha 2016. http://care.diabetesjournals.org/content/39/Supplement_1