Ukuxilongwa Kwesifo Sikashukela: Ingabe Kunendaba?

-Delile

• Isifo sikashukela nesisindo
• Thayipha 1
• Thayipha 2
• Izici zobungozi besifo sikashukela sohlobo 2
• Izakhi zofuzo
• Amafutha distukubamba
• Isilinganiso sesinqe ukuya okhalweni
• Uma imiphumela yakho ingu-0.8 noma ngaphezulu, kusho ukuthi unamafutha amaningi we-visceral. Lokhu kungandisa ubungozi besifo sikashukela sohlobo 2.
• I-cholesterol ephezulu
• Isifo sikashukela sokukhulelwa
• Ukubeletha umntwana ongaphezu kwamakhilogremu ayi-9
• Indlela yokuphila yokuhlala phansi
• Imikhuba emibi yokudla
• Ukubhema
• Ukususa inhlamba
• Amathiphu okunciphisa ubungozi
• Okubalulekile

Isifo sikashukela yisimo esidalwa ushukela ophakeme wegazi. Uma unesifo sikashukela, umzimba wakho awusakwazi ukulawula amazinga kashukela egazini ngempumelelo.

Kuyinsumansumane ejwayelekile ukuthi kuphela abantu abakhuluphele ngokweqile abazoba nesifo sikashukela, bobabili uhlobo 1 nohlobo 2. Yize kuyiqiniso ukuthi isisindo kungaba yinto eyodwa ekhulisa ingozi yomuntu yokuba nesifo sikashukela, kuyisiqephu esisodwa nje sesithombe esikhulu.

Abantu bazo zonke izinhlobo nobukhulu - futhi yebo, izinsimbi - bangaba nesifo sikashukela. Izici eziningi ngaphandle kwesisindo zingaba nethonya elinamandla ngokulinganayo engozini yakho yokuthuthukisa isimo, kufaka phakathi:

• izakhi zofuzo
• umlando womndeni
• indlela yokuphila yokuhlala phansi
• imikhuba emibi yokudla

Isifo sikashukela nesisindo

Ake sibuyekeze indima engadlalwa isisindo engozini yohlobo 1 nohlobo 2 sikashukela, kanye nezinto eziningi ezingahlobene nesisindo ezingathinta ubungozi bakho.

Thayipha 1

Uhlobo lwe-1 sikashukela luyisifo esizimele. Kubantu abanesifo sikashukela sohlobo 1, amasosha omzimba ahlasela amangqamuzana e-beta enza i-insulin kumanyikwe. Ama-pancreas ngeke esakwazi ukukhiqiza i-insulin.

I-insulini yihomoni ehambisa ushukela egazini lakho uye kumaseli. Amaseli akho asebenzisa lo shukela njengamandla. Ngaphandle kwe-insulin eyanele, ushukela uyakheka egazini lakho.

Isisindo asiyona ingozi ebangelwa uhlobo lwesifo sikashukela sohlobo 1. Okuwukuphela kwento eyaziwayo engcupheni yesifo sikashukela sohlobo 1 umlando womndeni, noma ufuzo lwakho.

Iningi labantu abanesifo sikashukela sohlobo 1 lisezingeni “elijwayelekile” lenkomba yomzimba (BMI). I-BMI iyindlela yodokotela yokunquma ukuthi ngabe uyisisindo esinempilo sokuphakama kwakho.

Isebenzisa ifomula ukulinganisa amafutha omzimba wakho ngokuya ngobude nesisindo sakho. Inombolo ye-BMI evelayo ikhombisa ukuthi ukuphi esikalini sokukhuluphala ngokweqile ukuze ukhuluphale. I-BMI enempilo iphakathi kuka-18.5 no-24.9.

Uhlobo lwesifo sikashukela sohlobo 1 luvame ukutholakala ezinganeni. Kodwa-ke, ngaphandle kokukhuphuka kwamazinga okukhuluphala ebuntwaneni, ucwaningo lukhombisa ukuthi isisindo asiyona ingozi ebaluleke kakhulu kulolu hlobo lwesifo sikashukela.

Ucwaningo oluthile luthole ukuthi izimo ezikhulayo zohlobo lwesifo sikashukela ezi-2 zihlobene nokwanda kokukhuluphala kwengane, kepha hhayi uhlobo 1.Abbasi A, et al. (2016). Inkomba yomzimba nobuningi bohlobo 1 nohlobo 2 sikashukela ezinganeni nasebekhulile e-UK: isifundo seqembu elibukelayo. INGABE:
doi.org/10.1016/S0140-6736 (16)32252-8

Thayipha 2

Uma une-type 2 yesifo sikashukela, amanyikwe akho eyekile ukukhiqiza i-insulin eyanele, amaseli akho asemelana ne-insulin, noma kokubili. Ngaphezu kwamaphesenti angama-90 amacala esifo sikashukela angama-type 2 diabetes.Amaqiniso esifo sikashukela. (2019).

Isisindo singesinye sezici ezingasiza ekuthuthukiseni uhlobo lwesifo sikashukela sohlobo lwe-2. Kulinganiselwa ukuthi amaphesenti angama-87.5 abantu abadala base-U.S. Abanesifo sikashukela sohlobo 2 bakhuluphele ngokweqile.Umbiko kazwelonke wezibalo zesifo sikashukela, 2017. (2017).

Kodwa-ke, isisindo akusona ukuphela kwesici. Cishe amaphesenti ayi-12.5 abantu abadala base-U.S. Abanesifo sikashukela sohlobo 2 banama-BMIs asezingeni eliphilile noma elejwayelekile.Umbiko kazwelonke wezibalo zesifo sikashukela, 2017. (2017).

Izici zobungozi besifo sikashukela sohlobo 2

Abantu abangathathwa njengabazacile noma aba-skinny bangaba nohlobo 2 lwesifo sikashukela. Izici ezahlukahlukene zinganikela:

Izakhi zofuzo

Umlando womndeni wakho, noma ufuzo lwakho, kungenye yezinto ezibangela ubungozi besifo sikashukela sohlobo 2. Uma unomzali onesifo sikashukela sohlobo 2, ingozi yakho yokuphila ingamaphesenti angama-40. Uma bobabili abazali banesimo, ingozi yakho ingamaphesenti angama-70.UPrasad RB, et al. (2015). Izakhi zofuzo zohlobo lwesibili likashukela-izingibe kanye namathuba. INGABE:
10.3390 / zofuzo6010087

Amafutha distukubamba

Ucwaningo lukhombisa abantu abanesifo sikashukela sohlobo lwe-2 abanesisindo esijwayelekile banamafutha amaningi we-visceral. Lolu uhlobo lwamafutha oluzungeze izitho zesisu.

Ikhipha ama-hormone athinta i-glucose futhi iphazamise imetabolism yamafutha. Amafutha e-visceral angenza iphrofayli ye-metabolic yomuntu onesisindo esijwayelekile ibukeke njengephrofayili yomuntu okhuluphele ngokweqile, noma ngabe ebonakala ezacile.

Unganquma ukuthi uphethe lolu hlobo lwesisindo esiswini sakho. Okokuqala, linganisa ukhalo lwakho ngamasentimitha, bese ulinganisa okhalweni lwakho. Hlukanisa isilinganiso sakho sokhalo ngesilinganiso sakho sezinqulu ukuthola isilinganiso sakho sokhalo ukuya okhalweni.

Isilinganiso sesinqe ukuya okhalweni

Uma imiphumela yakho ingu-0.8 noma ngaphezulu, kusho ukuthi unamafutha amaningi we-visceral. Lokhu kungandisa ubungozi besifo sikashukela sohlobo 2.

I-cholesterol ephezulu

I-cholesterol ephezulu ingathinta noma ngubani. Izakhi zofuzo zakho, hhayi isisindo sakho, ikakhulu zinquma izingqinamba zakho ze-cholesterol.

Ucwaningo oluthile lwathola ukuthi cishe ikota yabantu baseMelika abangakhuluphele ngokweqile banobungozi obuyingozi emzimbeni. Lokhu kufaka amazinga aphezulu e-cholesterol noma umfutho wegazi ophakeme.UWildman RP, et al. (2008). Okukhuluphele ngokweqile nge-cardiometabolic factor factor clustering kanye nesisindo esijwayelekile esinokuhlanganiswa kwengozi ye-cardiometabolic: Ukudlanga kanye nokuhlangana kwama-phenotypes ama-2 phakathi kwabantu base-US (i-NHANES 1999-2004). INGABE:
10.1001 / archinte

Isifo sikashukela sokukhulelwa

Isifo sikashukela sokukhulelwa luhlobo lwesifo sikashukela esithuthukiswa ngabesifazane ngenkathi bekhulelwe. Babengenaso isifo sikashukela ngaphambi kokukhulelwa, kepha kungenzeka ukuthi babene-prediabetes futhi bengasazi.

Leli fomu lesifo sikashukela livame ukucatshangwa njengehlobo lokuqala lohlobo 2 sikashukela. Kwenzeka ngamaphesenti amabili kuya kwayishumi okukhulelwa.Isifo sikashukela sokukhulelwa. (2017).

Izimo eziningi zesifo sikashukela sokukhulelwa zixazululwa lapho ukukhulelwa sekuphelile. Kodwa-ke, abesifazane ababenesimo ngesikhathi sokukhulelwa banamathuba aphindwe kalishumi okuba nesifo sikashukela sohlobo 2 eminyakeni eyishumi ngemuva kokukhulelwa kwabo, uma kuqhathaniswa nabesifazane ababengenaso isifo sikashukela sokukhulelwa.UHerath H, et al. (2017). I-Gestational diabetes mellitus kanye nobungozi bohlobo lwesifo sikashukela se-2 eminyakeni eyi-10 ngemuva kokukhulelwa kwenkomba kwabesifazane baseSri Lankan-Isifundo seqembu esivela emphakathini. INGABE:
10.1371 / journal.pone.0179647

Cishe uhhafu wabo bonke abesifazane ababa nesifo sikashukela ngesikhathi sokukhulelwa kamuva bazoba nohlobo 2 lwesifo sikashukela.

Ukubeletha umntwana ongaphezu kwamakhilogremu ayi-9

Abesifazane abanesifo sikashukela sokukhulelwa banamathuba amaningi okuba nezingane ezinkulu kakhulu, ezinesisindo esingamakhilogremu ayisishiyagalolunye noma ngaphezulu. Akukona nje kuphela ukuthi lokhu kungenza ukulethwa kube nzima kakhulu, kepha isifo sikashukela sokukhulelwa naso singakhula sibe uhlobo lwesifo sikashukela sohlobo 2.

Indlela yokuphila yokuhlala phansi

Ukunyakaza kubalulekile empilweni enhle. Ukunganyakazi kungaba nomthelela omkhulu empilweni yakho. Abantu abanezindlela zokuphila ezihleli phansi, noma ngabe banesisindo esingakanani, banengozi ephindwe kabili yokuhlaselwa yisifo sikashukela sohlobo 2 kunabantu abasebenzayo.IBiswas A, et al. (2015). Isikhathi sokuhlala kanye nokuhlangana kwayo nengozi yezifo zezifo, ukufa, nokulaliswa kwabantu abadala: Ukubuyekezwa okuhlelekile nokuhlaziywa kwemeta. INGABE:

Imikhuba emibi yokudla

Ukudla okungekuhle akukhethi kuphela abantu abakhuluphele ngokweqile. Abantu abanesisindo esijwayelekile bangadla ukudla okubabeka engcupheni yesifo sikashukela sohlobo 2.

Ngokusho kocwaningo oluthile, ukudla okunoshukela omkhulu kwandisa amathuba okuba nesifo sikashukela, ngisho nangemva kokubalwa kwesisindo somzimba, ukuzivocavoca umzimba nokudla ikhalori eliphelele.U-Basu S, et al. (2013). Ubudlelwano boshukela ekwandeni kwesifo sikashukela esisezingeni labantu: Ukuhlaziywa kwezomnotho kwedatha ephindaphindekayo yezigaba. INGABE:
10.1371 / journal.pone.0057873

Ushukela utholakala ekudleni okumnandi, kepha okunye okunye ukudla futhi, njengokudla okucutshungulwayo nokugqokwa kwesaladi. Ngisho namasobho asemathinini angaba yimithombo eshushumbisayo yoshukela.

Ukubhema

Ukubhema kwandisa ubungozi bezimo eziningi zezempilo, kufaka phakathi isifo sikashukela. Ucwaningo oluthile lwathola ukuthi abantu ababhema osikilidi abangama-20 noma ngaphezulu nsuku zonke basengozini ephindwe kabili yesifo sikashukela kunabantu abangabhemi, kungakhathalekile isisindo sabo.UManson JE, et al. (2000). Ucwaningo olulindelwe lokubhema ugwayi kanye nesigameko sikashukela phakathi kodokotela besilisa base-US. INGABE:

Ukususa inhlamba

Abantu abanesifo sikashukela, ikakhulukazi abantu abakhuluphele ngokweqile, bavame ukucwaswa nezinganekwane eziyingozi.

Lokhu kungadala izithiyo ekutholeni ukunakekelwa kwezempilo okufanele. Kungavimbela futhi abantu abangahle babe nesifo sikashukela kodwa abanesisindo “esijwayelekile” ekutholeni ukuxilongwa. Bangakholelwa, ngamanga, ukuthi abantu abakhuluphele ngokweqile noma abakhuluphele kuphela abangahlakulela lesi simo.

Ezinye izinganekwane zingaphazamisa ukunakekelwa okufanele. Isibonelo, enye inkolelo evamile ithi isifo sikashukela siwumphumela wokudla ushukela omningi. Ngenkathi ukudla okunoshukela kungaba yingxenye eyodwa yokudla okungenampilo okwandisa ubungozi besifo sikashukela, akuyona inkinga enkulu.

Ngokufanayo, akubona bonke abantu ababa nesifo sikashukela abakhuluphele ngokweqile noma abakhuluphele ngokweqile. Ikakhulu, abantu abanesifo sikashukela sohlobo 1 bavame ukuba nesisindo esinempilo. Abanye bangaze babe ngaphansi kwesisindo ngoba ukwehlisa isisindo ngokushesha kuyimpawu ejwayelekile yalesi simo.

Enye inganekwane ejwayelekile kodwa eyingozi ukuthi abantu abanesifo sikashukela bazilethela lesi simo. Lokhu futhi kungamanga. Isifo sikashukela sisebenza emindenini. Umlando womndeni walesi simo ungesinye sezici eziyingozi kakhulu.

Ukuqonda isifo sikashukela, kungani kwenzeka, futhi ngubani osemngciphekweni ongakusiza uqonde izinganekwane eziqhubekayo namahemuhemu angavimbela abantu abanalesi simo ukuthi bathole ukunakekelwa okufanele.

Kungakusiza wena - noma ingane, oshade naye, noma omunye othandekayo - ukuthola ukwelashwa okufanele ngokuzayo.

Amathiphu okunciphisa ubungozi

Uma unesici esisodwa noma eziningi zobungozi besifo sikashukela sohlobo 2, ungathatha izinyathelo zokunciphisa amathuba akho okuthuthukisa lesi sifo. Nazi ezinye izinyathelo zokuqalisa:

• Hambisa. Ukuhamba njalo kunempilo, noma ngabe ukhuluphele ngokweqile noma cha. Hlela ukuthola imizuzu engu-150 yokuzivocavoca isonto ngalinye.
• Yidla ukudla okunobuhlakani. Ukudla kokudla okungenamsoco akulungile, noma ngabe uzacile. Ukudla okungenampilo nokudla okunenani elincane lomsoco kungakhuphula ubungozi besifo sikashukela. Hlela ukudla okunezithelo, imifino namantongomane. Ikakhulu, zama ukudla imifino eluhlaza eluhlaza. Ucwaningo lukhombisa ukuthi le mifino inganciphisa ingozi yesifo sikashukela ngamaphesenti ayi-14.UCarter P, et al. (2010). Izithelo nemifino ukudla kanye nezigameko zohlobo lwesifo sikashukela se-2: Ukubuyekezwa okuhlelekile nokuhlaziywa kwe-meta.
• Phuza ngokulinganisela. Abantu abaphuza utshwala obulinganiselayo - obuphakathi kuka-0.5 no-3.5 iziphuzo nsuku zonke - bangaba nengozi engaphansi ngamaphesenti angama-30 yesifo sikashukela uma kuqhathaniswa nabantu abaphuza kakhulu.I-Koppes LL, et al. (2005).Ukuphuza utshwala ngokulinganisela kwehlisa ubungozi besifo sikashukela sohlobo lwe-2: Ukuhlaziywa kwe-meta kokucwaninga okulindelekile kwezifundo.
• Hlola izinombolo zakho ze-metabolic njalo. Uma unomlando womndeni we-cholesterol ephezulu noma umfutho wegazi ophakeme, kuwumqondo omuhle ukuhlola lezi zinombolo nodokotela wakho njalo. Lokhu kungakusiza ukuthi ubambe noma uvikele izingqinamba ezifana nesifo sikashukela noma isifo senhliziyo.
• Yeka ukubhema. Uma uyeka ukubhema, cishe kuletha ubungozi besifo sikashukela emuva kokujwayelekile. Lokhu kuvumela umzimba wakho ukuphatha kangcono amazinga kashukela egazini lakho.

Okubalulekile

Isifo sikashukela singenzeka kubantu bazo zonke izinhlobo nobukhulu. Isisindo siyingcuphe yohlobo lwesifo sikashukela sohlobo 2, kodwa yisiqephu esisodwa nje sephazili uma kukhulunywa ngezici eziyingozi.

Ezinye izici eziyingozi zesifo sikashukela zifaka:

• indlela yokuphila yokuhlala phansi
• isifo sikashukela sokukhulelwa
• cholesterol ephezulu
• amafutha amakhulu esiswini
• ukubhema
• umlando womndeni

Uma ukhathazekile ungahle ube nesifo sikashukela, noma uma unesici esisodwa noma eziningi zengozi, yenza isikhathi sokukhuluma nodokotela wakho.