Abantu abanesifo sikashukela okanye i-prediabetes banembopheleleko eninzi yokunyamekela kwabo, enokuba yinkqubo enzima. Nangona kunjalo, ukuzinakekela kungenziwa lula ngokubeka iinjongo zesifo sikashukela kumanqanaba eshukela egazi, ukulahleka kwesisindo, ukuzivocavoca kunye nokulawulwa kweminye ingozi yempilo.
Iinjongo zeSety Sugar
I-International Diabetes Centre e-Minneapolis, Minn., Iphakamisa ukubeka iithagethi zeeshukela zegazi kubantu abane-prediabetes nesifo sikashukela, njengoko kulinganiswa nge-milligrams nge-deciliter (mg / dL).
Iithagethi ezijoliswe kuzo, zishwankathelwe kwisiza se-National Guideline Clearinghouse Web site, zilandelayo:
- Ngaphambi kokutya: 70 mg / dL ukuya kuma-140 mg / dL
- Iiyure ezimbini emva kokutya: Ngaphantsi kwama-160 mg / dL
- Kwixesha lokulala: 100 mg / dL ukuya ku-160 mg / dL
- I-Hemoglobin level A1c: Ngaphantsi kwe-1% ephezulu kunexabiso eliqhelekileyo le-glucose
Kwakhona kuphakamisa ukuba ngaphezu kwesigamu somvavanyo weeshukela egazini lomntu ophantsi kweso sifo kunye nokuba akanalo ushukela wegazi ophantsi ebusuku okanye nayiphi na ishukela yegazi ephantsi efuna ukungenelelo.
Nangona kunjalo, iithagethi eziqhelekileyo zingadinga ukuba zilungele ngqo abantu, uthi uSandra Krafsig, umongikazi obhalisiwe, kunye nomfundisi wesifo sikashukela esikwi-Marlborough Hospital eMassachusetts. "Iinjongo zinokuhluka ngokuxhomekeka kwezinye izinto ezinobungozi, ezifana nobudala, isifo senhliziyo kunye nezinye iingxaki."
Ukunyusa Iinjongo
Ukugqithisa kakhulu kuyingozi yeso sikashukela. Ukongezelela, ubunzima obunzima bungenza kube nzima ukuba umzimba usebenzise i-insulin.
Uninzi lwabasebenzi bezempilo lubonisa ukuba abantu abanesifo sikashukela bajolise kwisisindo esinempilo ngokuphakama kwabo kunye nomzimba womzimba. Le nombolo ihlala isekelwe kwisalathisi somzimba womntu (phakathi kwe-18.5 no-24.9 ithathwa njengempilweni), isithintelo sesinqe (ngaphantsi kwama-intshi ama-40 amadoda, ngaphantsi kwama-35 kubafazi) kunye nesakhelo.
Ukuba umfazi ukhulelwe, umniki-nkonzo wakhe wezempilo unokubeka izikhokelo zokuba ubunzima obunjani ukufuna ukufumana xa ekhulelwe, kuxhomekeke kwisisindo sokukhulelwa kwakhe kunye nokuba unesifo sikashukela.
Ezi zikhokelo ngokubanzi zi:
- Iipilisi ezintathu ukuya ezintandathu kwiinyanga ezintathu zokuqala zokukhulelwa
- Phakathi kwesigidi esinye nesigidi nganye ngeveki kwiinyanga ezintandathu zokugqibela zokukhulelwa
Iinjongo zeCardia
Iziko zeSizwe zezeMpilo zikwabeka iindawo ezijoliswe kuzo ezijoliswe kwixinzelelo legazi kunye namanqanaba e-lipid ukususela nganye nganye inokufaka ingozi kwisifo senhliziyo:
- Uxinzelelo lwegazi: ngaphantsi kwama-130/80
- I-lipoprostin ephantsi (i-LDL okanye "i-cholesterol" embi): Ngaphantsi kwama-100 mg / dL;
- I-high-density lipoprotein (i-HDL okanye i-"cholesterol" enhle): Ikhulu kunama-40 mg / dL yamadoda kunye nangaphezulu kwama-50 kubafazi
- I-Triglycerides: Ngaphantsi kwe-150 mg / dL
Ukufezekisa iinjongo zakho zesifo sikashukela
Ukumisela iinjongo kufuneka kube ngumzamo odibeneyo phakathi kwesigulane kunye neqela lakhe lokunakekelwa kwezempilo, ngokutsho kukaThesa Garnero, umqeqeshi ophakamileyo obhalisiweyo kunye nomqeqeshi ogqirha isifo sikashukela. "Umsebenzi wethu kukulandela i-ajenda yegulane. Kakade, sinalo i-ajenda yethu, kodwa loo nto ayiyi kwenza nantoni na ukuba isigulane singayilungele," kusho uGarnero.
UDavid Spero, umongikazi obhalisiwe kunye nomlobi "Isifo sikashukela: I-Crisis-coated-Cated", uyavuma. Uthi kukulungele ukuba umntu aqale ngeenguqu ezincinci ezingaba ngamanyathelo ekufezekiseni injongo yakhe.
"Khetha into ofuna ukuyenza kunye nento enokuyenza," kusho uSpero.
"Qala ngeenguqu ezincinci kwaye wakha."
Ukwacetyiswa ukuba abantu abanesifo sikashukela bazimisela ukufikelela kwiinjongo zabo. Ngaphambi kokubeka iithagethi, kufuneka bazibuze ukuba baqinisekile kangakanani ukuba banokuzifezekisa.
"Ungaphinda ufune ukubhala izizathu zokubangela ukuba utshintsho lubalulekile kuwe," kusho uSpero. "Bhala uluhlu olunokuthi lufike endleleni yakho kwaye ufike ngeendlela zokwenza unqobe." Ucebisa ukuba inkxaso evela kwintsapho, umhlobo okanye omnye umntu onesifo sikashukela unokuba luncedo.
U-Spero uthi enye yeendlela eziphambili zokufezekisa iinjongo kukuqala ngenguqu. Utshintshile into ebomini eyonakalisa wena, "utshilo.
Kungenzeka ukuba kusasa kusini okanye ukungabikho komsebenzi. "Kungakhathaliseki ukuba utshintsho oluncinane luphi, utshintsho oluyimpumelelo lwakwenza ukuzithemba kwakho kwaye lenze utshintsho olulandelayo lulula."
I-Garnero ngumkholi oqinileyo kwiinkohlakalo zokunceda ukufezekisa iinjongo. Wayebizwa ngokuba ngu-titshala wesifo sikashukela sonyaka ngo-2004 ngu-American American Diabetes Association, kunye nomsebenzi wakhe omningi usetyenziso lweethathu. Uthi, "Esi sisifo esibi," ushoyo. "Amaphesenti angamashumi asibhozo anesithandathu ekulawuleni isifo sikashukela kukunyamekela." Oku kwandisa uxinzelelo kunye nokuxininisa kukuphazamisa iishukela zegazi. Kodwa ukuba uyakhumbula ukuhleka, unokunciphisa uxinzelelo. "
Imithombo:
UClarke, 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. Inkqubo yeMfundo kaZwelonke yeTyhukela, Ukuguqula indlela yeSifo sikashukela. Uncedo lweSwekile. 24 (2001): 617-618.
Isiko soTyhukela kaZwelonke. "Thayipha izikhokelo ze-2 zoKhuseleko lweSwekile." I-Minneapolis: I-International Diabetes Center, 2003.
Krafsig, uSandra. Udliwano lwe-imeyile. 29 Agasti 2007.
"Yintoni endiyenzayo ukuba ndiyenze xa ndifumana isifo sikashukela?" ISikole kaZwelonke seMpilo yabantwana kunye nophuhliso lwabantu. 16 Agasti 2006. amaZiko eZiko lezeMpilo.
Spero, uDavid. Udliwano lwe-imeyile. 22 uAgasti 2007.
"Yintoni isifo sikashukela." I-National Clearinghouse yoLwazi lweSizwe. Oktobha 2006. Isiko seSizwe seSifo sikashukela kunye neeNtsholongwane zeNtsholongwane. 1 Septemba 2007.