Yini ama-3 P weSifo Sikashukela?

-Delile

• Kuchazwe kalula, ama-P amathathu yile:
• I-Polydipsia
• I-Polyuria
• I-Polyphagia
• Ukuxilongwa
• Inothi mayelana nama-prediabetes
• Ukwelashwa
• Ukubonana nodokotela nini
• Okubalulekile

NgoMeyi 2020, okunconywayo ukuthi abanye abenzi be-metformin enwetshiwe bakhiphe amanye amaphilisi abo emakethe yase-U.S. Lokhu kungenxa yokuthi izinga elingamukeleki le-carcinogen (i-agent ebangela umdlavuza) itholakale kwamanye amaphilisi e-metformin akhululwa isikhathi eside. Uma okwamanje uthatha lo muthi, shayela umhlinzeki wakho wezokunakekelwa kwempilo. Bazokweluleka ngokuthi ngabe kufanele uqhubeke nokudla imishanguzo yakho noma uma udinga incwadi kadokotela entsha.

Uke wezwa ngama-P amathathu esifo sikashukela? Zivame ukuvela ndawonye futhi zinezimpawu ezintathu zesifo sikashukela ezivame kakhulu.

Kuchazwe kalula, ama-P amathathu yile:

• polydipsia: ukwanda kokoma
• i-polyuria: ukuchama kaningi
• polyphagia: ukwanda kwesifiso sokudla

Sizoxoxa ngama-P amathathu ngokuningiliziwe, sichaze ukuthi batholwa kanjani nokuthi baphathwa kanjani nokuthi kufanele ubone udokotela wakho nini.

I-Polydipsia

I-Polydipsia igama elisetshenziselwa ukuchaza ukoma ngokweqile. Uma uhlangabezana ne-polydipsia, ungazizwa womile ngaso sonke isikhathi noma ube nomlomo owomile ongapheli.

Kubantu abanesifo sikashukela, i-polydipsia ibangelwa ukwanda kwamazinga eglucose egazini. Lapho amazinga kashukela egazi enyuka, izinso zakho zikhiqiza umchamo owengeziwe ngomzamo wokususa i-glucose eyengeziwe emzimbeni wakho.

Okwamanje, ngoba umzimba wakho ulahlekelwa uketshezi, ubuchopho bakho bukutshela ukuthi uphuze okuningi ukuze ungene esikhundleni sako. Lokhu kuholela emuzwa wokoma okukhulu okuhambisana nesifo sikashukela.

Imizwa eqhubekayo yokoma nayo ingabangelwa:

• ukoma komzimba
• i-osmotic diuresis, ukwanda kokuchama ngenxa ye-glucose eyeqile engena kuma-tubules ezinso angenakubuyiselwa kabusha, okuholela ekwandeni kwamanzi kuma-tubules
• izingqinamba zezempilo yengqondo, njenge-psychogenic polydipsia

I-Polyuria

I-Polyuria yigama elisetshenziswayo uma udlulisa umchamo omningi kunokujwayelekile. Iningi labantu likhiqiza cishe amalitha ayi-1-2 omchamo ngosuku (ilitha elilodwa lilingana nezinkomishi ezi-4). Abantu abane-polyuria bakhiqiza ngaphezu kwamalitha amathathu omchamo ngosuku.

Lapho amazinga kashukela egazi ephezulu kakhulu, umzimba wakho uzozama ukukhipha enye i-glucose eyeqile ngokuchama.Lokhu futhi kuholela ekutheni izinso zakho zihlunge amanzi amaningi, okuholela esidingweni esandayo sokuchama.

Ukudlulisa amanani angavamile omchamo nakho kungahlotshaniswa nezinye izinto ngaphandle kwesifo sikashukela, kufaka phakathi:

• ukukhulelwa
• isifo sikashukela insipidus
• isifo sezinso
• amazinga aphezulu e-calcium, noma i-hypercalcemia
• izingqinamba zezempilo yengqondo, njenge-psychogenic polydipsia
• uthatha imishanguzo efana ne-diuretics

I-Polyphagia

IPolyphagia ichaza indlala eyeqile. Yize sonke singase sizwe ukwanda kwesifiso sokudla ezimeni ezithile - njengasemuva kokuvivinya umzimba noma uma singadlanga isikhashana - kwesinye isikhathi kungaba wuphawu lwesimo esiyimbangela.

Kubantu abanesifo sikashukela, i-glucose ayikwazi ukungena kumaseli ukuze isetshenziselwe amandla. Lokhu kungabangelwa amazinga aphansi e-insulin noma ukumelana ne-insulin. Ngoba umzimba wakho awukwazi ukuguqula le glucose ibe amandla, uzoqala ukuzizwa ulambile kakhulu.

Indlala ehambisana ne-polyphagia ayipheli ngemuva kokudla ukudla. Eqinisweni, kubantu abanesifo sikashukela esingalawulwa, ukudla okuningi kuzovele kube nomthelela emazingeni asevele ephezulu eglucose egazini.

Njenge-polydipsia ne-polyuria, ezinye izinto zingadala ne-polyphagia. Ezinye izibonelo zifaka:

• i-thyroid engasebenzi ngokweqile, noma i-hyperthyroidism
• i-premenstrual syndrome (i-PMS)
• ukucindezeleka
• ukuthatha imithi ethile, njenge-corticosteroids

Ukuxilongwa

Ama-P amathathu esifo sikashukela kaningi, kodwa hhayi njalo, avela ndawonye. Ngokwengeziwe, zivame ukukhula ngokushesha ngohlobo lwesifo sikashukela sohlobo 1 futhi zihambe kancane ngohlobo lwesifo sikashukela sohlobo 2.

Njengoba ama-P amathathu ayinkomba enhle yokuthi amazinga eglucose egazi akho angaphakama kunokujwayelekile, udokotela wakho angakusebenzisa ukusiza ukuxilonga isifo sikashukela. Kodwa-ke, ezinye izimpawu nazo zingavela kanye nama-P amathathu.

Lezi zimpawu zifaka:

• ngizizwe ngikhathele noma ngikhathele
• ukungaboni kahle
• ukuncipha kwesisindo okungaqondakali
• imizwa yokushoshozela noma yokuba ndikindiki ezandleni nasezinyaweni
• ukuphulukiswa kancane kokusikeka nokulimala
• izifo eziphindaphindayo

Uma uhlangabezana nanoma yimaphi ama-P amathathu anezimpawu zesifo sikashukela noma ungenazo, udokotela wakho angenza izivivinyo ukwenza ukuxilongwa.

Ukuhlolwa kufaka:

• Ukuhlolwa kwegazi kwe-A1C
• ukuhlolwa kwe-plasma glucose (FPG)
• ukuhlolwa okungahleliwe kwe-plasma glucose (RPG)
• ukuhlolwa kokubekezelelana kweglucose ngomlomo

Kuhlale kubalulekile ukukhumbula ukuthi ezinye izimo ngaphandle kwesifo sikashukela nazo zingadala i-P eyodwa noma ngaphezulu. Uma uhlangabezana nesisodwa noma eziningi zalezi zimpawu, kufanele ubone udokotela wakho.

Inothi mayelana nama-prediabetes

Kuthiwani ngama-P amathathu nama-prediabetes? I-Prediabetes yilapho amazinga eglucose egazi akho ephakeme kunalokho obekufanele abe yikho, kepha hhayi aphezulu ngokwanele ukuthola uhlobo lwesifo sikashukela sohlobo 2.

Uma une-prediabetes, cishe ngeke uhlangabezane nezimpawu noma izimpawu ezicacile njengama-P amathathu. Ngenxa yokuthi ama-prediabetes angatholakali, kubalulekile ukuthi kuhlolwe amazinga e-glucose egazini lakho njalo uma usengozini yesifo sikashukela sohlobo 2.

Ukwelashwa

Ngokwesifo sikashukela, imbangela yama-P amathathu iphezulu kune-glucose ejwayelekile yegazi. Kanjalo, ukugcina amazinga kashukela egazini ephethwe kungasiza ukumisa ama-P amathathu.

Ezinye izibonelo zezindlela zokwenza lokhu zifaka:

• ukuthatha imishanguzo yesifo sikashukela, njenge-insulin noma i-metformin
• ukuqapha okujwayelekile kwezinto ezinjengamazinga eglucose egazini, umfutho wegazi, kanye ne-cholesterol
• ukulandela uhlelo lokudla olunempilo
• ukusebenza ngokwengeziwe ngokomzimba

Ngemuva kokuxilongwa, udokotela wakho uzosebenzisana nawe ukwenza uhlelo lokwelashwa olulungele isimo sakho. Ukuze ugcine izimpawu zakho zesifo sikashukela zilawulwa, namathela kulolu hlelo ngangokunokwenzeka.

Ukubonana nodokotela nini

Ngakho-ke kufanele wenze nini isikhathi sokubonana nodokotela wakho ukuze nixoxe nge-P eyodwa noma ngaphezulu?

Uma uhlangabezana nokwanda okungavamile kokoma, ukuchama, noma isifiso esihlala isikhathi esiyizinsuku ezimbalwa, kufanele ubone udokotela wakho. Lokhu kubaluleke kakhulu uma uhlangabezana nokungaphezu kweyodwa kwama-P amathathu.

Futhi khumbula ukuthi ngayinye yama-P amathathu ingenzeka ngawodwa njengophawu lwezimo ezingezona isifo sikashukela. Uma uhlangabezana nezimpawu ezintsha, eziphikelelayo, noma eziphathelene, kufanele njalo wenze i-aphoyintimenti nodokotela wakho ukuze bakwazi ukukuhlola.

Okubalulekile

Ama-P amathathu esifo sikashukela yi-polydipsia, i-polyuria, ne-polyphagia. Lawa magama ahambelana nokwanda kokoma, ukuchama, nesifiso sokudla, ngokulandelana.

Ama-P amathathu kaningi - kodwa hhayi njalo - avela ndawonye. Ziyizinkomba eziphakeme kunezinga elijwayelekile le-glucose yegazi futhi ngezinye zezimpawu ezivame kakhulu zesifo sikashukela.

Uma uhlangabezana neyodwa noma ngaphezulu kwama-P amathathu, kufanele wenze i-aphoyintimenti nodokotela wakho ukuxoxa ngezimpawu zakho.