Uhlobo lweSwekile 2

Ingqwalasela ye-Type 2 yeswekile

Uhlobo lwe-2 lwesifo sikashukela luyisifo esiqhubekayo, esingapheliyo esichaphazelekayo nemingeni yomzimba wakho ngokulawula iswekile yegazi. Ngokuqhelekileyo kudibaniswa nokuvuvukala okuqhelekileyo. I-pancreas yakho ivelisa i-hormone insulin ukuguqula iswekile (i-glucose) kumandla ongayisebenzisa ngokukhawuleza okanye ugcine. Ngohlobo lwe-2 lweswekile, awukwazi ukusebenzisa i-insulin ngokufanelekileyo. Nangona umzimba wakho uvelisa i-hormone, mhlawumbi akukho ngokwaneleyo ukuba uqhubeke ne-glucose kwisistimu yakho, okanye ukuveliswa kwe-insulin akusebenzi kwaye kufanelekile, zombini ephumela amanqanaba eshukela egazi .

Ngoxa le nto inokuvelisa iintlobo ezahlukeneyo zeengxaki, imizamo yokulawula ishukela yegazi inokukunceda ukukhusela. Oku kuncike kakhulu kwiindlela zokuphila eziguqulwayo ezifana nokulahleka kwesisindo, ukuguqulwa kwesondlo, ukusetyenziswa, kwaye kwezinye iimeko, amayeza. Kodwa, ngokuxhomekeka kubudala bakho, ubunzima, izinga leshukela legazi, kwaye ubude kangakanani nesifo sikashukela, ungadingi imithi ngokukhawuleza. Unyango kufuneka ulungelelwe kuwe kwaye, nangona ukufumana ukudibanisa okugqibeleleyo kungathatha ixesha elincinci, kunokukunceda uphile ubomi obunempilo, obuqhelekileyo nesifo sikashukela.

Ziziphi Iingxaki Zolu hlobo 2 I-Diabetes?

Uhlobo lwe-2 lwesifo sikashukela luxhaphake kakhulu labo bafuzuliswa ngokwemizimba kunye nabangaphezu komzimba, bekholisa impilo yokuhlala, banomfutho ophezulu wegazi, kunye / okanye banokuxhatshazwa kwe-insulin ngenxa yobunzima obukhulu. Abantu beentlanga ezithile bafumana isifo sikashukela, nabo. Ezi zibandakanya: ama-Afrika aseMelika, amaMelika aseMexico, amaNdiya aseMerika, amaNdiya aseAhawai, ama-Pacific Islanders, namaAsia aseMerika. Aba bantu banokuthi bangaphezulu ngokweqile kwaye banomfutho ophezulu wegazi, okwandisa umngcipheko wokuba nesifo sikashukela.

Njengoko uneminyaka yobudala, unobungozi obuninzi bokukhula kwesifo sikashukela.

Ukungondleki kakuhle nokubhema kunokuchaphazela umngcipheko wakho.

Ziziphi iingxaki zohlobo lwe-2 lwesifo sikashukela?

Zininzi iingxaki zesifo sikashukela. Ukwazi nokuqonda imiqondiso yezi ngxaki kubalulekile. Ukuba ubanjwe kusasa, ezinye zezi ngxaki zingaphathwa kwaye zithintelwe ekubeni zibi. Indlela efanelekileyo yokukhusela iingxaki zesifo sikashukela kukugcina ushukela wegazi ulawulo olufanelekileyo. Amanqanaba ephakamileyo e-glucose avelisa utshintsho kwimithambo yegazi ngokwawo, kunye neeseli zegazi (ikakhulukazi i-erythrocytes) ezonakalisa ukuhamba kwegazi kwizitho ezahlukahlukeneyo.

Iingxaki zesifo sikashukela ziphulwe zibe ngamaqela amabini: i-microvascular (umonakalo kwimithambo encinci yegazi) kunye ne-macrovascular (umonakalo kwimithambo yegazi enkulu). Ba nga ndakanya:

Ziziphi iimpawu zohlobo lwe-2 lweswekile?

Ngokuqhelekileyo abantu abanaso iimpawu zesifo sikashukela ade igazi labo liphezulu. Iimpawu zesifo sikashukela ziquka: ukwanda okunxaniweyo, ukunyuka kwamanzi, ukunyuka kwindlala, ukuxhalaba okukhulu, ukuphazamiseka nokugubungela emacaleni (izandla neenyawo), ukusika kunye namanxeba aphuza ukuphulukisa, kunye nemibono ephazamisayo. Abanye abantu bafumana ezinye iimpawu eziqhelekileyo eziquka ukulahleka kwesisindo, isikhumba esomileyo esinyayo, ukwanda kwezifo zesantya, ukunyuka kwe-erectile, kunye ne-acanthosis yase-nigricans (ezinobunzima, "iindawo ezinobungqina" ezifunyenwe kwiintlobo okanye zikhuni zesikhumba, ezifana nentamo, ebonisa yokukhuseleka kwe-insulin).

Ukuba ufumene nayiphi na le mpawu, ungawahoywa. Yenza isiganeko sokubona ugqirha wakho. Isifo sikashukela esidlulileyo sibanjwe, kunokwenzeka ukuba unokuthintela iingxaki.

Uhlobo lweSibini lwesifo sikashukela lufunyenwe njani?

Ukuxilongwa kwesifo sikashukela sinokusetyenziswa ngokusebenzisa iimvavanyo ezahlukeneyo zegazi.

Ukuba unomngcipheko ophezulu wesifo sikashukela, unempawu zesifo sikashukela, okanye unesifo sikashukela (isilumkiso esisilumkiso sesifo sikashukela), ugqirha uya kuhlola ukuze ubone ukuba unesifo sikashukela. Ugqirha wakho unokujonga kwakhona ukuba unesifo sikashukela ukuba uneminyaka engaphezu kwe-45 ubudala, unokufumana imbali yentsapho yesifo, ukhuluphele, okanye ukuba unobungozi obungakumbi ngesinye isizathu. Iimvavanyo ezisetyenziselwa ukuhlola isifo sikashukela zifana neemvavanyo ezifanayo ukuhlola isifo seswekile.

Ukuzila ukutya kweeshukela egazini: Olu vavanyo luhlola isetyhu egazini lakho xa ungadli ubuncinane kwiiyure ezisibhozo. I-sweety blood sugar fasting above 126 ingabonakalisa isifo sikashukela. Ugqirha wakho uza kuphinda ahlolisise oku ukuqinisekisa ukuba unesifo sikashukela.

Uvavanyo lokunyamezela kwe-glucose: Olu luvavanyo oluhlola indlela ophendula ngayo ushukela. Uya kunikwa isampula yentshukela (75 amagremu phezu kweeyure ezimbini). Ukuba isetyhu egazini lakho liphezulu ngentloko emva kwelo xesha, unokuthi ufumane ukuba unesifo sikashukela.

I-Hemoglobin A1c: Olu vavanyo luhlola ishukela legazi kwiinyanga ezintathu.

Ukuba isetyhu egazini yakho ingaphezulu kwama-6.5 ekhulwini, unokucingelwa ukuba unesifo sikashukela.

Uvavanyo lokushukela ngegazi: Ugqirha wakho unokukwenza lo vavanyo xa ufumana iimpawu zesifo sikashukela-ukwandisa ukoma, ukukhathala, ukwanda kwamanzi. Ukuba isetyhu egazini lakho lingaphezu kwama-200mg / dL, unokucingelwa ukuba unesifo sikashukela.

Ukuba awunayo impawu kwaye nayiphi na le mvavanyo ilungile, i-American Diabetes Association iyacebisa ukuba isampula yegazi isetyenziswe ukuba iqinisekise ukuxilongwa.

Ndingayigwema njani i-2 ye-Diabetes?

Nangona ungeke uguqulwe ukukhula, imbali yakho yentsapho, okanye ubuhlanga, ungasebenzisa iindlela zokunciphisa ubunzima bakho kunye nokwakheka kwinqeni, ukwandise umsebenzi wakho, kwaye unciphise uxinzelelo lwegazi.

Ukutya ukutya okunokulinganisela okucebileyo kwifiber, imifuno engekho-starchy, iprotheni ephilileyo, kunye namafutha enempilo kunokukunceda ukufikelela kwisisindo sakho kunye nokunciphisa ubukhulu bakho obukhulu kunye nesicathulo somzimba (BMI). Ukunciphisa ukungenisa kwakho iziphuzo ezinomsoco (i-juices, sodas) yindlela elula yokunciphisa umzimba kunye nokunciphisa ushukela wegazi. Ukuba unomntu ophethe uxinzelelo lwegazi kwaye unetyuwa, uhlose ukunciphisa ukutya kwakho kwe-sodium; ungangenisi ityuwa ekudleni kwakho, funda iilebhu zephakeji ze-sodium eyongeziweyo, kwaye unciphise ukutya kwakho ngokukhawuleza kwaye uphume. Musa ukutya. Endaweni yoko, qhelanisa indlela yokutya enempilo, enokuyonwabela ixesha elide.

Ukusebenzisa rhoqo, malunga nemizuzu engama-30 ngosuku okanye 150 imizuzu ngeveki, kunokukunceda ukunciphisa ubunzima bakho kunye noxinzelelo lwegazi. Ekugqibeleni, ukuba ubhema, jolise ukuyeka. Ukubhema kunokunyusa umngcipheko we-stroke , uxinzelelo lwegazi, nokuhlaselwa kwentliziyo, kwaye ukuyeka ukunciphisa ingozi yesifo sikashukela.

Ndingayisebenzisa Njani Isifo Soshukela?

Iindaba ezilungileyo kukuba ukuba unesifo sikashukela, unomlinganiselo omkhulu wokulawula ukugula kwesifo sakho. Nangona kunzima ukulawula isifo imihla ngemihla, izixhobo kunye nenkxaso kubantu abanesifo sikashukela asipheli. Kubalulekile ukuba ufumane imfundo eninzi ngangokunokwenzeka ukuze usebenzise lonke ulwazi olulungileyo olukhoyo apho (kwaye ukhula lukhulu).

Musa ukuvumela abanye ukuba bakuvumele ukuba uzive ngathi ukuxilongwa kwesifo sikashukela kuthetha ukuba uya kulahlwa.

Kulabo baqeshwe ngokutsha ngesifo sikashukela

Ezi ngcebiso zilapha zibalulekile kuwe. Kodwa kubalulekile ukuzivumela ixesha lokujamelana nokuxilongwa kwaye uzibophelele ekwenzeni utshintsho lwezinto zokuphila oluya kukunceda ngonaphakade. Iindaba ezilungileyo yi-diabetes isifo esilawulekayo; Inxalenye elukhuni kukuba kufuneka ucinge ngayo yonke imihla. Cinga ukufumana inkxaso-umntu onokuthetha naye malunga neengxaki zakho-kuba ngumhlobo, omnye umntu onesifo sikashukela, okanye othandekayo. Oku kungabonakala kuyincinci, kodwa ngokwenene kunokukunceda ukuba uthathe ulawulo lwesifo sikashukela ukuze singakulawuli. Amanye amanyathelo alandelayo anokukunceda ukuba ufike kumzila ochanekileyo kule nqanaba lokuqala kwindlela ohamba ngayo:

ILizwi

Isifo sikashukela sisifo esingapheliyo esimele silawulwe imihla ngemihla, kodwa silawulwa. Ungaphila ubomi obude, obunempilo kunye nesifo sikashukela xa ulungisa indlela yokuphila enempilo. Ngokukhetha ukutya ukutya okunempilo, ukuzivocavoca rhoqo, nokuyeka ukutshaya , nokubona oogqirha bakho rhoqo, uya kwandisa amandla akho, uzive ungcono, mhlawumbi uzive ukhulu.

Abantu abaninzi abanesifo sikashukela baneminye imiqathango efana ne-apnea yokulala , i-cholesterol ephezulu, kunye negazi eliphezulu. Emva kokuba batshintshe indlela yabo yokuphila, ezininzi zezinye iimpawu ziphucula okanye zihambe. Uhlala kwisihlalo somqhubi. Unako ukulawula isifo sikashukela.

Uze uyeke lula kuwe: Ngezinye ixesha unokwenza konke ngokugqibeleleyo kwaye ushukela wakho wegazi uqala ukunyuka. Ngenxa yokuba isifo sikashukela sisifo esiqhubekayo, umzimba wakho uyeka ngokukhawuleza ukwenza i-insulin ngokuhamba kwesikhathi. Ukuba unesifo sikashukela ixesha elide, zama ukuphazamiseka ukuba ugqirha wakho ukwandisa iyeza lakho okanye uxoxise i-insulin nawe. Qhubeka ukwenza okusemandleni akho ukuphucula impilo yakho.

> Imithombo:

> Umbutho waseMelika waseSyibetes, i-American Association yeSifo seSwekile, kunye ne-American Academy of Food and Dietetics. Isifo sikashukela Ukuzilawula ngokuzimeleyo Imfundo kunye neNkxaso kwi-Type 2 yesifo 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. Imigangatho yoNonophelo lwezoNyango 2016. http://care.diabetesjournals.org/content/39/Supplement_1