Isifo Sikashukela - Izimpawu Nokuxilongwa

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Izimpawu zesifo sikashukela sohlobo 2

Abantu abangaphezu kwezigidi ezingu-6 e-United States banesifo sikashukela sohlobo 2 futhi abasazi. Abaningi abanazo izimpawu noma izimpawu. Izimpawu nazo zingaba mnene kangangoba ungaze ungaziboni. Abanye abantu banezimpawu kepha abasoli isifo sikashukela.

Izimpawu zifaka:

• ukoma okwandisiwe
• ukwanda kwendlala
• ukukhathala
• ukwanda kokuchama, ikakhulukazi ebusuku
• ukulahlekelwa isisindo
• ukubona okufiphele
• izilonda ezingapholi

Abantu abaningi abatholi ukuthi banesifo kuze kube banezinkinga zesifo sikashukela, njengokufiphala kwamehlo noma inkinga yenhliziyo. Uma uthola kusenesikhathi ukuthi unesifo sikashukela, ungathola ukwelashwa ukuze uvimbele ukulimala emzimbeni.

Ukuxilongwa

Noma ngubani oneminyaka engama-45 noma ngaphezulu kufanele acabangele ukuhlolelwa isifo sikashukela. Uma uneminyaka engu-45 noma ngaphezulu futhi ukhuluphele ngokweqile ukuhlolwa kuyanconywa kakhulu. Uma ungaphansi kweminyaka engama-45, ukhuluphele ngokweqile, futhi unesici esisodwa noma ngaphezulu engcupheni, kufanele ucabangele ukuyohlolwa. Buza udokotela wakho ukuhlolwa okusheshayo kweglucose yegazi noma ukuhlolwa komlomo kokubekezela i-glucose. Udokotela wakho uzokutshela uma une-glucose ejwayelekile yegazi, isifo sikashukela esandulele, noma isifo sikashukela.

Ukuhlolwa okulandelayo kusetshenziselwa ukuxilonga:

• A ukuhlolwa kwe-plasma glucose (FPG) kukala ushukela wegazi kumuntu ongadlanga lutho okungenani amahora ayi-8. Lokhu kuhlola kusetshenziselwa ukuthola isifo sikashukela kanye nesandulela-sikashukela.
• An ukuhlolwa kokubekezelela i-glucose ngomlomo (OGTT) ikala ushukela wegazi ngemva kokuba umuntu ezile ukudla okungenani amahora angu-8 namahora ama-2 ngemva kokuba umuntu ephuze isiphuzo esine-glucose. Lokhu kuhlolwa kungasetshenziselwa ukuxilonga isifo sikashukela kanye nesandulela-sikashukela.
• A ukuhlolwa okungahleliwe kwe-plasma glucose, ebizwa nangokuthi ukuhlolwa kwe-plasma glucose okungajwayelekile, kukala ushukela egazini ngaphandle kokubheka ukuthi umuntu obehlolwa wagcina nini ukudla. Lokhu kuhlolwa, kanye nokuhlolwa kwezimpawu, kusetshenziselwa ukuxilonga isifo sikashukela kodwa hhayi isifo sikashukela.

Imiphumela yokuhlolwa ekhombisa ukuthi umuntu unesifo sikashukela kufanele iqinisekiswe ngokuhlolwa kwesibili ngosuku oluhlukile.

Ukuhlolwa kwe-FPG

Ukuhlolwa kwe-FPG ukuhlolwa okuncanyelwayo kokuthola isifo sikashukela ngenxa yokuba lula kwaso nezindleko eziphansi. Kodwa-ke, izophuthelwa isifo sikashukela noma isifo sikashukela esandulele esitholakala nge-OGTT. Ukuhlolwa kwe-FPG kuthembeke kakhulu lapho kwenziwa ekuseni. Abantu abanezinga le-glucose lokuzila ukudla elingama-milligram ayi-100 kuye kwayi-125 nge-deciliter ngayinye (mg / dL) banefomu lesandulela-sikashukela esibizwa ngokuthi yi-glucose engadli kahle yokuzila ukudla (IFG). Ukuba ne-IFG kusho ukuthi umuntu unengozi eyengeziwe yokuhlaselwa yisifo sikashukela sohlobo lwesibili kodwa okwamanje akanaso. Izinga elingu-126 mg / dL noma ngaphezulu, eliqinisekiswe ngokuphinda isivivinyo ngolunye usuku, lisho ukuthi umuntu unesifo sikashukela.I-OGTT

Ucwaningo lubonise ukuthi i-OGTT izwela kakhulu kunokuhlolwa kwe-FPG kokuhlonza isifo sikashukela, kodwa akulula ukuyisebenzisa. I-OGTT idinga ukuzila ukudla okungenani amahora angu-8 ngaphambi kokuhlolwa. Izinga le-glucose glucose lilinganiswa ngokushesha ngaphambi nangamahora amabili ngemuva kokuba umuntu ephuze uketshezi oluqukethe amagremu angama-75 eshukela ancibilikiswe emanzini. Uma izinga le-glucose egazini liphakathi kuka-140 no-199 mg / dL amahora amabili ngemuva kokuphuza uketshezi, lo muntu unohlobo lwesifo sikashukela esandulele esibizwa ngokuthi ukubekezelelana kwe-glucose okhubazekile (IGT). Ukuba ne-IGT, njengokuthola i-IFG, kusho ukuthi umuntu unengozi eyengeziwe yokuthola uhlobo lwesifo sikashukela sohlobo lwesibili kodwa okwamanje akanaso. Izinga le-glucose lamahora amabili le-200 mg / dL noma ngaphezulu, eliqinisekiswe ngokuphinda isivivinyo ngolunye usuku, lisho ukuthi umuntu unesifo sikashukela.

Isifo sikashukela sokukhulelwa komzimba sibuye sitholwe ngokususelwa kumanani we-plasma glucose alinganiswa ngesikhathi se-OGTT, okungcono ngokusebenzisa amagremu ayi-100 eglucose kuketshezi esivivinyweni. Izinga likashukela egazini lihlolwa izikhathi ezine ngesikhathi sokuhlolwa. Uma amazinga kashukela egazi angaphezulu kokujwayelekile okungenani kabili ngesikhathi sokuhlolwa, owesifazane unesifo sikashukela sokukhulelwa.

Ukuhlolwa Okungahleliwe Kwe-Plasma Glucose

Izinga likashukela wegazi elingahleliwe, noma elingajwayelekile elingu-200 mg/dL noma ngaphezulu, kanye nokuba khona kwezimpawu ezilandelayo, kungasho ukuthi umuntu unesifo sikashukela:

• ukwanda kokuchama
• ukwanda kokoma
• ukwehla kwesisindo esingaqondakali

Uma imiphumela yokuhlola ijwayelekile, ukuhlolwa kufanele kuphindwe okungenani njalo eminyakeni emithathu. Odokotela bangase batuse ukuhlolwa okuvamile kuye ngemiphumela yokuqala nesimo sobungozi. Abantu imiphumela yabo yokuhlolwa ekhombisa ukuthi bane-pre-diabetes kufanele bahlolwe i-glucose yegazi futhi eminyakeni eyi-1 kuye kwengu-2 bese bethatha izinyathelo zokuvimbela uhlobo lwesifo sikashukela sohlobo lwe-2.

Lapho owesifazane ekhulelwe, udokotela uzohlola ubungozi bakhe bokuthola isifo sikashukela sokukhulelwa ekuvakasheni kwakhe kokuqala kokubeletha bese eyalela ukuhlolwa njengoba kudingeka ngesikhathi sokukhulelwa. Abesifazane ababa nesifo sikashukela sokukhulelwa kufanele futhi bahlolwe ngokulandela ngemuva kwamasonto ayisithupha kuya kwayi-12 umntwana ezelwe.

Njengoba uhlobo lwesibili sikashukela seluvame kakhulu ezinganeni nasebusheni kunangesikhathi esedlule, labo abasengozini enkulu yokuthola isifo sikashukela kufanele bahlolwe njalo eminyakeni emibili. Ukuhlolwa kufanele kuqale lapho uneminyaka eyi-10 noma lapho usuthomba, kuye ngokuthi yikuphi okuvela kuqala. I-Body Mass Index (BMI)

I-BMI yisilinganiso sesisindo somzimba esihlobene nobude obungakusiza unqume ukuthi isisindo sakho sikubeka engcupheni yesifo sikashukela. Ukuqaphela: I-BMI inokulinganiselwa okuthile. Kungase kudlule amafutha omzimba kubasubathi nabanye abanokwakheka kwemisipha futhi babukele phansi amafutha omzimba kubantu abadala asebekhulile nabanye abalahlekelwe imisipha.

I-BMI yezingane nentsha kufanele inqunywe ngokusekelwe eminyakeni yobudala, ubude, isisindo, kanye nobulili. Thola i-BMI yakho lapha.

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