Izimpawu Eziyishumi Zesifo Sikashukela Abesifazane Okufanele Bazazi Ngazo

-Delile

• Izimpawu zesifo sikashukela sohlobo loku-1
• Ukwehla Kwesisindo Okumangalisayo
• Ukukhathala Okudlulele
• Izikhathi Ezingajwayelekile
• Nini Ukubona Udokotela
• Lapho Izimpawu Zesifo Sikashukela Kungase Kusho Okuthile Okunye
• Thayipha Izimpawu Zesifo Sikashukela sesi-2
• Azikho Nakancane Izimpawu
• I-PCOS
• Izimpawu zesifo sikashukela sokukhulelwa
• Umntwana Omkhulu Kunokujwayelekile
• Ukuzuza Kwesisindo Kakhulu
• Izimpawu Zesifo Sikashukela
• I-Glucose Ephakeme Yegazi
• Buyekeza kwe-

Abantu abangaphezu kwezigidi eziyi-100 baseMelika baphila nesifo sikashukela noma i-pre-diabetes, ngokusho kombiko wango-2017 ovela kuCenters for Disease Control and Prevention. Leso isibalo esesabekayo — futhi yize kunemininingwane eminingi ngempilo nangokondleka, lelo nani liyakhuphuka. (Okuhlobene: Ingabe i-keto diet ingasiza ngohlobo lwesifo sikashukela sohlobo 2?)

Nakhu okunye okusabisayo: Noma ngabe ucabanga ukuthi wenza konke ngokufanele — ukudla kahle, ukuzivocavoca umzimba — kunezici ezithile (njengomlando womndeni wakho) ezingakusongela engcupheni yezinhlobo ezithile zesifo sikashukela.

Nansi indlela yokubona izimpawu zesifo sikashukela kwabesifazane, okuhlanganisa izimpawu zohlobo 1, uhlobo 2, nesifo sikashukela sokukhulelwa, kanye nezimpawu zangaphambi kwesifo sikashukela.

Izimpawu zesifo sikashukela sohlobo loku-1

Uhlobo lwesifo sikashukela sohlobo 1 lubangelwa inqubo yokuzimela lapho amasosha omzimba ehlasela amaseli we-beta amanyikwe, kusho uMarilyn Tan, MD, isazi se-endocrinologist eStanford Health Care esiqinisekiswe ngamabhodi amabili ku-endocrinology nakwezokwelapha kwangaphakathi. Ngenxa yalokhu kuhlaselwa, amanyikwe akho awakwazi ukwenza insulini eyanele emzimbeni wakho. (FYI, yingakho i-insulini ibalulekile: Iyihomoni ekhipha ushukela egazini lakho iye kumaseli akho ukuze akwazi ukusebenzisa amandla emisebenzini ebalulekile.)

Ukwehla Kwesisindo Okumangalisayo

“Lapho lokho [kuhlasela kwamanyikwe] kwenzeka, izimpawu zibonakala kahle, ngokuvamile phakathi nezinsuku ezimbalwa noma amasonto ambalwa,” kusho uDkt. Tan. "Abantu bayoba nokuncipha okukhulu kwesisindo-ngezinye izikhathi amakhilogremu angu-10 noma angu-20-kanye nokoma okwandayo nokuchama, futhi ngezinye izikhathi isicanucanu."

Ukwehla kwesisindo ngokungenhloso kungenxa kashukela ophakeme wegazi. Lapho izinso zingakwazi ukuphinda zithathe lonke ushukela owengeziwe, kulapho igama elihlanganisa konke lezifo zesifo sikashukela, i-diabetes mellitus, lingena khona. "Ngushukela osemchameni," kusho uDkt Tan. Uyanezela, uma unesifo sikashukela sohlobo loku-1 olungakahlonzwa, umchamo wakho ungase uhogele nokunuka kamnandi.

Ukukhathala Okudlulele

Olunye uphawu lwesifo sikashukela sohlobo loku-1 ukukhathala ngokweqile, futhi abanye abantu baba nokulahlekelwa umbono, kusho u-Ruchi Bhabhra, M.D., Ph.D., i-endocrinologist e-UC Health kanye nomsizi kaprofesa we-endocrinology e-University of Cincinnati College of Medicine.

Izikhathi Ezingajwayelekile

Izimpawu zesifo sikashukela kwabesifazane bazo zombili izinhlobo 1 nohlobo 2 ngokuvamile ziveza okufanayo emadodeni. Kodwa-ke, abesifazane banesibonakaliso esisodwa esibalulekile amadoda angenaso, futhi kuyindlela enhle yempilo yomzimba wakho jikelele: umjikelezo wokuya esikhathini. "Abanye besifazane baba nezikhathi ezijwayelekile noma begula, kepha kwabesifazane abaningi, ukuya esikhathini kungaluphawu lokuthi kukhona okungahambi kahle," kusho uDkt Tan. (Nangu owesifazane oyedwa we-rock star ogijima imijaho engamakhilomitha ayi-100 ene-type 1 yesifo sikashukela.)

Nini Ukubona Udokotela

Uma uhlangabezana nokuqala okungazelelwe kwalezi zimpawu — ikakhulukazi ukwehla kwesisindo ungahlosile nokwanda kokoma nokuchama (sikhuluma ukuvuka kahlanu noma kayisithupha ngobusuku ukuze uchame) - kufanele uhlolwe ushukela wegazi lakho, kusho uDkt Bhabhra. Udokotela wakho angaqhuba ukuhlolwa kwegazi okulula noma ukuhlolwa komchamo ukukala ushukela wegazi lakho.

Futhi, uma unezici eziyingozi emndenini wakho, njengesihlobo esiseduze esinesifo sikashukela sohlobo 1, lokho kufanele futhi kuphakamise ifulegi elibomvu ukuze ufike kudokotela wakho ASAP. "Akufanele uhlale kulezi zimpawu," kusho uDkt. Bhabhra.

Lapho Izimpawu Zesifo Sikashukela Kungase Kusho Okuthile Okunye

Lokho kusho ukuthi, kwesinye isikhathi izimpawu ezinjengokoma okuthe xaxa nokwanda kokuchama zingabangelwa enye into, njengemithi yomfutho wegazi noma eminye imishukela. Kunesinye isifo (esingajwayelekile) esibizwa ngesifo sikashukela insipidus, okungesona isifo sikashukela nhlobo kodwa ukuphazamiseka kwamahomoni, kusho uDkt Bhabhra. Kubangelwa ukuntuleka kwehomoni ebizwa nge-ADH esiza ukulawula izinso zakho, nakho okungaholela ekwandeni kokoma nokuchama, kanye nokukhathala okuphelelwa amanzi emzimbeni.

Thayipha Izimpawu Zesifo Sikashukela sesi-2

Isifo sikashukela sohlobo 2 siyanda kuwo wonke umuntu, ngisho nezingane nabesifazane abasebasha, kusho uDkt. Tan. Lolu hlobo manje selubalelwa kumaphesenti angama-90 kuye kwangama-95 abo bonke abatholakala benesifo sikashukela.

"Esikhathini esedlule, sasibona intokazi esencane futhi sicabange ukuthi kwakuwuhlobo lokuqala," kusho uDkt.Tan, "kodwa ngenxa yobhadane lokukhuluphala ngokweqile, siya ngokuya sixilonga abesifazane abasebasha abanesifo sikashukela sohlobo 2." Uncoma ukwanda kokutholakala kokudla okugayiwe kanye nempilo yokunganyakazi eyandayo ngenxa yalokhu kukhuphuka. (FYI: Njalo ngehora le-TV oyibukayo kwandisa ubungozi bakho.)

Azikho Nakancane Izimpawu

Izimpawu zesifo sikashukela sohlobo lwe-2 ziba nzima ngokwedlula uhlobo 1. Ngesikhathi umuntu etholakala enohlobo lwe-2, kungenzeka ukuthi ubesenaso isikhathi esithile — sikhuluma iminyaka — kusho uDkt Tan. Futhi isikhathi esiningi, i-asymptomatic ezigabeni zayo zokuqala.

Ngokungafani nesifo sikashukela sohlobo 1, umuntu onesifo sikashukela sohlobo 2 uyakwazi ukwenza i-insulin eyanele, kodwa uhlangabezana nokungazweli kwe-insulin. Lokho kusho ukuthi umzimba wabo awusabeli ku-insulin njengoba kudingeka, ngenxa yokukhuluphala ngokweqile noma ukukhuluphala ngokweqile, ukuphila ngendlela enganyakazi noma ukuphuza imithi ethile, kusho uDkt. Tan.

Izakhi zofuzo zidlala indima enkulu lapha, futhi, futhi abantu abanomlando womndeni wohlobo 2 sikashukela basengozini enkulu. Yize uhlobo lwesibili luhlobene kakhulu nokukhuluphala ngokweqile, akudingeki ukuthi ukhuluphele ukuze ulukhulise, kusho uDkt Tan. 24.9). “Lokho kusho ukuthi ngisho nangesisindo somzimba esiphansi, ubungozi babo bohlobo 2 lwesifo sikashukela nezinye izifo ze-metabolic buphezulu,” uyaphawula.

I-PCOS

Abesifazane futhi banengozi eyodwa eyengeziwe kunamadoda: i-polycystic ovarian syndrome, noma i-PCOS. Abesifazane abangaba yizigidi eziyisithupha e-US bane-PCOS, futhi ucwaningo lubonisa ukuthi ukuba ne-PCOS kukwenza ube namathuba aphindwe kane okuba nesifo sikashukela sohlobo 2. Esinye isici esikubeka engcupheni enkulu umlando wesifo sikashukela sokukhulelwa (okuningi kulokho okungezansi).

Isikhathi esiningi, thayipha isifo sikashukela sohlobo lwe-2 sitholwa ngengozi ngokuhlolwa kwezempilo okuvamile noma ukuhlolwa kwonyaka. Kodwa-ke, ungathola izimpawu ezifanayo zohlobo 1 nohlobo 2, yize zivela kancane kancane, kusho uDkt Bhabhra.

Izimpawu zesifo sikashukela sokukhulelwa

Amaphesenti angaba ngu-10 kubo bonke abesifazane abakhulelwe abahlushwa isifo sikashukela sokukhulelwa, ngokusho kwe-CDC. Ngenkathi sithinta umzimba wakho ngokufanayo ukuthayipha isifo sikashukela sesi-2, isifo sikashukela sokukhulelwa sivame ukungabonakali, kusho uDkt Tan. Kungakho ama-ob-gyns azokwenza izivivinyo zokubekezelela ushukela ezigabeni ezithile ezigabeni ezithile ukuhlola isifo sikashukela sokukhulelwa.

Umntwana Omkhulu Kunokujwayelekile

Izinguquko zeHormonal kukho konke ukukhulelwa zingakhuphula ukumelana ne-insulin, okuholele kusifo sikashukela sokukhulelwa. Ingane enesisindo esikhudlwana kunokujwayelekile ivame ukuba uphawu lwesifo sikashukela sokukhulelwa, kusho uDkt. Tan.

Nakuba isifo sikashukela sokukhulelwa singeyona ingozi enganeni (nakuba usana lungase lukhulise ukukhiqizwa kwalo kwe-insulin ngokushesha ngemva kokubeletha, umphumela ungowesikhashana, kusho uDkt. Tan), cishe amaphesenti angu-50 omama abanesifo sikashukela sokukhulelwa bayaqhubeka nokuhlakulela uhlobo lwesifo sikashukela. 2 isifo sikashukela kamuva, ngokusho kwe-CDC.

Ukuzuza Kwesisindo Kakhulu

UDkt Tan uphawula nokuthi ukuthola isisindo esiphakeme ngokungavamile ngesikhathi sokukhulelwa kungaba esinye isibonakaliso sesixwayiso. Kufanele uxhumane nodokotela wakho phakathi nokukhulelwa kwakho ukuze uqiniseke ukuthi isisindo sakho singaphakathi kwebanga elinempilo.

Izimpawu Zesifo Sikashukela

Ukuba ne-pre-diabetes kumane kusho ukuthi amazinga kashukela egazini akho aphezulu kunokujwayelekile. Ngokuvamile ayinazo izimpawu, kusho uDkt. Tan, kodwa itholakala ngokuhlolwa kwegazi. "Ngempela, ikakhulukazi kuyinkomba yokuthi usengozini enkulu yokuhlaselwa yisifo sikashukela sohlobo lwe-2," esho.

I-Glucose Ephakeme Yegazi

Odokotela bazokala i-glucose yakho ukuze bathole ukuthi amazinga akho aphakeme yini, kusho uDkt. Bhabhra. Imvamisa bakwenza lokhu ngokuhlolwa kwe-hemoglobin (noma i-A1C) ene-glycated, elinganisa iphesenti likashukela wegazi onamathiselwe ku-hemoglobin, iphrotheni ethwala umoya-mpilo kumaseli akho abomvu egazi; noma ngokuhlolwa koshukela wegazi osheshayo, othathwa ngemuva kokuzila ukudla ubusuku bonke. Kokugcina, noma yini engaphansi kwe-100 mg/DL ijwayelekile; U-100 kuya ku-126 ukhombisa isifo sikashukela esandulela isifo sikashukela; futhi noma yini engaphezu kuka-126 kusho ukuthi unesifo sikashukela.

Ukhuluphele ngokweqile noma ukhuluphele; ukuphila impilo yokuhlala phansi; nokudla okuningi okucolisisiwe, okunekhalori ephezulu noma ukudla okunoshukela omningi kungaba yizici ekuthuthukiseni isifo sikashukela. Kodwa-ke kusekhona izinto ezingaphezu kwamandla akho. "Sibona iziguli eziningi ezizama konke okusemandleni azo, kepha azikwazi ukushintsha ufuzo," kusho uDkt Tan. "Kunezinto ongaziguqula futhi ezinye ungakwazi, kepha zama ukukhulisa indlela oguqula ngayo indlela yakho yokuvikela isifo sikashukela sohlobo lwe-2."

Buyekeza kwe-