Ukuba iSifo Soshukela Sokuthi Sithintele Ukulwa Neengcinezelo Zegazi Ephakamileyo
Isifo sikashukela kunye nexinzelelo legazi ziphezulu zizifo ezihlobene. Zenzeka ndawonye ngokuphindaphindiweyo kangangokuthi zithathwa ngokusemthethweni ukuba "zi-comorbidities" (izifo ezinokwenzeka ukuba zikhona kwisigulane esifanayo). Ngelishwa, isifo sikashukela senza ukuba nzima ukunyanga kwengcinezelo yegazi, kwaye ukunyuka kwengcinezelo yegazi kwenza i-diabetes ibe yingozi nakakhulu.
Ngaba isifo sikashukela kunye noxinzelelo lwexinzelelo luhlangene kunye?
Isifo sikashukela kunye nokunyuswa kwengcinezelo yegazi kubakho ukuhlangana kunye ngenxa yokuba babelana ngezici ezithile zomzimba - oko kukuthi, iziphumo ezibangelwa yisifo ngasinye zivame ukwenza esinye isifo senzeke ngakumbi.
Kwimeko yesifo sikashukela kunye negazi eliphezulu, le miphumo ibandakanya:
- Ukwanda kweMfluid Volume - Isifo sikashukela sandisa inani elipheleleyo lomzimba emzimbeni, ovame ukuphakamisa uxinzelelo lwegazi.
- Ukwanda kwe-Arterial Stiffness - Isifo sikashukela sinokunciphisa amandla emithambo yegazi ukuswebisa, ukunyuka kwengcinezelo yegazi.
- Ukuphathwa kakubi kwe-insulin - Ukutshintshwa kwendlela umzimba ovelisa ngayo nokuphatha i-insulin kunokubangela ngokunyuka ukwanda kwegazi.
Nangona ezi zimilo eziqhelekileyo zezinto eziphilayo zichaza ngokucacileyo ukuba kutheni isifo sikashukela kunye nokunyuka kwengcinezelo yegazi zifana neendoda eziqhelekileyo, kwiimeko ezininzi, izifo zombini ziyakwenzeka kunye nje ngenxa yokuba zikwahlula izinto ezifanayo. Ezinye izinto ezibalulekileyo ezibandakanyekayo zengozi zi:
- Umzimba weMzimba - Ukugqithisa kakhulu kunyuse umngcipheko wesifo sikashukela kunye negazi eliphezulu.
- Ukutya -I-fat-fat-fat diet isisitye kunye ne-ushukela ekwaziswayo igalelo ekuphuhliseni iingxaki zesebe ezingakhokelela kokubili isifo sikashukela kunye negazi eliphezulu.
- Izinga lomsebenzi - Iqondo eliphantsi lomsebenzi wenziwa ngumntu ongaphantsi kwe-insulin (engakhokelela kwisifo sikashukela) kwaye inokufaka isandla ekuphuhliseni imithwalo yegazi ekhuni, okwandisa umngcipheko wegazi ophezulu.
Izicwangciso zokukhusela zombini uxinzelelo lwegazi kunye nesifo sikashukela ngokuqhelekileyo kugxininisa kule miba ethile yengozi.
Ziqhele kangakanani ukuba uxinzelelo lwe-Hypertension kubantu abaneSifo sikashukela?
Idatha evela kwelinye uphando olubanzi, olubanzi ngokubhekiselwe kwi-type 1 yeswekile libonisa:
- Iipesenti ezi-5 zezigulane zinomfutho ophezulu wegazi ngaphakathi kweminyaka eyi-10
- Iipesenti ezi-3 zineengcinezelo eziphezulu zegazi kwiminyaka engama-20
- Iipesenti ezingama-70 zinomfutho ophezulu wegazi ngo-40 ubudala
Kwiingcaphephe zesifo sikashukela se-2, idatha ibonise ukuba phantse iipesenti ezingama-75 zezigulane ezineengxaki zeengxaki (ingxaki eqhelekileyo) enegazi eliphezulu. Kulabo abanesifo sikashukela se-2 kodwa akukho zengxaki zeengxaki, isantya sexinzelelo segazi sasingama-40 ekhulwini. Ngokubanzi, xa i-diabetes ihamba kunye nobudala beminyaka yobudala, iipesenti ezingama-35 zabantu bonke abanesifo sikashukela banomfutho ophezulu wegazi.
> Imithombo:
> Epstein, M, Abahlwayi, JR. Isifo seswekile nesifo segazi. Uxinzelelo lwe-1992; 19: 403.
> I-Hypertension in Diabetes Study (HDS): I. Ukuxhaphaka kwentsholongwane ephezulu kwintsholongwane yesibini yesifo sikashukela kunye nokudibanisa nezinto ezinobungozi ngenxa yeengxaki ze-cardiovascular and diabetes. J Hypertens ka-1993; 11: 309.
> Abahlwayi, JR, Epstein, M, Frohlich, ED. Isifo sikashukela, uxinzelelo lwegazi kunye nesifo senhliziyo: ukuhlaziywa. Uxinzelelo lwe-2001; 37: 1053.