Odokotela Besifo Sikashukela

-Delile

• Izinhlobo zodokotela
• Udokotela wokunakekelwa okuyisisekelo
• Isazi se-endocrinologist
• Udokotela wamehlo
• Isazi sefilosofi
• Udokotela wezinyawo
• Umqeqeshi womzimba noma i-physiologist yokuzivocavoca
• I-Dietitian
• Ilungiselela ukuvakasha kwakho kokuqala
• Izinsizakusebenza zokubhekana nokwesekwa

Odokotela abelapha isifo sikashukela

Ochwepheshe bezempilo abahlukahlukene balapha isifo sikashukela. Isinyathelo sokuqala esihle ukukhuluma nodokotela wakho wokunakekelwa okuyisisekelo ngokuhlola uma usengozini yesifo sikashukela noma uma uqala ukuhlangabezana nezimpawu ezihambisana nalesi sifo. Ngenkathi ungahle usebenze nodokotela wakho wokunakekela okuyinhloko ukuphatha isifo sakho sikashukela, kungenzeka futhi ukuthembela komunye udokotela noma uchwepheshe ukuqapha isimo sakho.

Funda ukuze ufunde ngodokotela abahlukene kanye nochwepheshe abangasiza ezinhlelweni ezahlukahlukene zokuxilongwa nokunakekelwa kwesifo sikashukela.

Izinhlobo zodokotela

Udokotela wokunakekelwa okuyisisekelo

Udokotela wakho oyinhloko angakuqapha isifo sikashukela lapho uhlolwa njalo. Udokotela wakho angenza ukuhlolwa kwegazi ukuze ahlole isifo, kuye ngezimpawu zakho noma izici zobungozi. Uma unesifo sikashukela, udokotela wakho angakunikeza imithi futhi alawule isimo sakho. Bangase futhi bakudlulisele kuchwepheshe ukuze asize ukuqapha ukwelashwa kwakho. Kungenzeka ukuthi udokotela wakho wokunakekelwa okuyisisekelo azoba yingxenye yeqembu labasebenzi bezempilo abazosebenza nawe.

Isazi se-endocrinologist

Isifo sikashukela yisifo samanyikwe, okuyingxenye yohlelo lwe-endocrine. Isazi se-endocrinologist nguchwepheshe oxilonga, alaphe futhi aphathe izifo ze-pancreatic. Abantu abanesifo sikashukela sohlobo 1 bavame ukunakekelwa ngudokotela we-endocrinologist ukubasiza ukuphatha uhlelo lwabo lokwelashwa. Kwesinye isikhathi, abantu abanesifo sikashukela sohlobo lwe-2 bangadinga nodokotela we-endocrinologist uma benenkinga yokuthola amazinga e-glucose egazi abo ngaphansi kolawulo.

Udokotela wamehlo

Abantu abaningi abanesifo sikashukela babhekana nezinkinga ngamehlo abo ngokuhamba kwesikhathi. Lokhu kungafaka:

• ngamehlo
• i-glaucoma
• i-retinopathy yesifo sikashukela, noma ukulimala kwe-retina
• i-edema yesifo sikashukela

Kufanele uvakashele njalo udokotela wamehlo, udokotela wamehlo noma udokotela wamehlo, ukubheka lezi zimo ezingaba zimbi kakhulu. Ngokwemihlahlandlela evela ku-American Diabetes Association, abantu abanesifo sikashukela sohlobo 1 kufanele bahlolwe unyaka nonyaka ngeminyaka emihlanu ngemuva kokuxilongwa. Abantu abanesifo sikashukela sohlobo lwe-2 kufanele babe nalokhu kuhlolisiswa kwamehlo okuphelele minyaka yonke okuqala lapho kutholakala ukuxilongwa.

Isazi sefilosofi

Abantu abanesifo sikashukela basengozini enkulu yesifo sezinso ngokuhamba kwesikhathi. I-nephrologist ngudokotela ogxile ekwelapheni isifo sezinso. Udokotela wakho wokunakekela oyinhloko angenza isivivinyo saminyaka yonke esinconyiwe ukukhomba isifo sezinso ngokushesha okukhulu, kepha bangakudlulisela kudokotela wezingane lapho kudingeka. I-nephrologist ingakusiza ukuphatha isifo sezinso. Bangakwazi futhi ukuphatha i-dialysis, ukwelashwa okudingekayo lapho izinso zakho zingasebenzi kahle.

Abantu abanesifo sikashukela sohlobo 1 kufanele bahlolwe amaprotheni ngonyaka kanye nesilinganiso sokuhlunga se-glomerular isilinganiso seminyaka emihlanu ngemuva kokuxilongwa. Abantu abanesifo sikashukela sohlobo lwe-2 nanoma ngubani onomfutho wegazi ophakeme kufanele abe nale protein yomchamo kanye nokuhlolwa kwesilinganiso sokuhlunga se-glomular kulinganiselwa minyaka yonke ekuqaleni kokuxilongwa.

Udokotela wezinyawo

Izifo zemithambo yegazi ezivimbela ukugeleza kwegazi ziye emithanjeni yegazi emincane zivamile uma unesifo sikashukela. Ukulimala kwemithambo yegazi kungenzeka futhi ngesifo sikashukela esihlala isikhathi eside. Njengoba ukuvinjelwa kwegazi nokulimala kwemizwa kungathinta izinyawo ikakhulukazi, kufanele uvakashele njalo udokotela wezifo zezinyawo. Ngesifo sikashukela, ungahle ube nekhono elincishisiwe lokupholisa amabhamuza nokusikeka, ngisho nokuncane. Udokotela ohamba ngezinyawo angaqapha izinyawo zakho nganoma yikuphi ukutheleleka okungathi sína okungaholela ekulimaleni nasekunqunyweni. Lokhu kuvakasha akwenzi indawo yokuhlolwa unyawo nsuku zonke okwenzayo wena ngokwakho.

Abantu abanesifo sikashukela sohlobo 1 kufanele bavakashele i-podiatrist ukuze bayohlolwa unyaka nonyaka ukuqala ngezinyawo eminyakeni emihlanu ngemuva kokuxilongwa. Abantu abanesifo sikashukela sohlobo lwe-2 kufanele babe nalokhu kuhlolwa kwezinyawo minyaka yonke lapho kutholakala ukuxilongwa. Lokhu kuhlolwa kufanele kufake phakathi ukuhlolwa kwe-monofilament kanye ne-pinprick, izinga lokushisa, noma ukuhlolwa kokuzwa ukudlidliza.

Umqeqeshi womzimba noma i-physiologist yokuzivocavoca

Kubalulekile ukuhlala usebenza futhi uvivinye umzimba ngokwanele ukuphatha amazinga kashukela egazini lakho nokugcina isisindo esinempilo nemithambo yegazi enempilo. Ukuthola usizo kochwepheshe kungakusiza ukuthi uthole okuningi kunqubo yakho yokuzivocavoca futhi kukushukumisele ukuba unamathele kuyo.

I-Dietitian

Ukudla kwakho kudlala indima ebaluleke kakhulu ekuphatheni isifo sikashukela. Yinto abantu abaningi abanesifo sikashukela abathi kunzima kakhulu ukuba bayiqonde futhi bayiphathe. Uma unenkinga yokuthola ukudla okufanele okusiza ukulawula ushukela wegazi lakho, thola usizo lodokotela wezokudla obhalisiwe. Bangakusiza ukuthi wakhe uhlelo lokudla olufanele izidingo zakho ezithile.

Ilungiselela ukuvakasha kwakho kokuqala

Akunandaba ukuthi yimuphi udokotela noma uchwepheshe wezokunakekelwa kwempilo obona kuqala, kubalulekile ukuthi uzilungiselele. Ngaleyo ndlela, ungasisebenzisa ngokunenzuzo isikhathi sakho lapho. Shayela phambili ubone ukuthi kukhona yini okudingeka ukwenze ukuzilungiselela, njengokuzila ukudla ukuhlolwa kwegazi. Yenza uhlu lwazo zonke izimpawu zakho kanye nanoma imiphi imithi oyiphuzayo. Bhala phansi noma yimiphi imibuzo onayo ngaphambi kokuqokwa kwakho. Nayi imibuzo eyisampula ukuze uqalise:

• Yikuphi ukuhlolwa engizokudinga ukuhlola isifo sikashukela?
• Uzokwazi kanjani ukuthi hlobo luni lwesifo sikashukela enginalo?
• Uhlobo luni lomuthi engizoludinga?
• Kubiza malini ukwelashwa?
• Yini engingayenza ukulawula isifo sami sikashukela?

Izinsizakusebenza zokubhekana nokwesekwa

Alikho ikhambi lesifo sikashukela. Ukuphatha lesi sifo kuwumzamo wokuphila konke. Ngaphezu kokusebenzisana nodokotela bakho ukuxhumanisa ukwelashwa, ukujoyina iqembu lokusekelwa kungakusiza ukubhekana kangcono nesifo sikashukela. Izinhlangano eziningi zikazwelonke zinikeza umphakathi oku-inthanethi, kanye nolwazi ngamaqembu nezinhlelo ezahlukahlukene ezitholakala emadolobheni ezweni lonke. Nazi izinsiza ezimbalwa zewebhu ongazihlola:

• I-American Diabetes Association
• National Institute of Diabetes and Digestive and Kidney Diseases
• Uhlelo Lukazwelonke Lokufunda Ngesifo Sikashukela

Udokotela wakho futhi angakwazi ukuhlinzeka ngezinsiza zamaqembu okusekela nezinhlangano endaweni yangakini.