Ukoma Kwesifo Sikashukela: Isizathu Sokuba Uzizwe Usomile

-Delile

• Isifo sikashukela nokoma
• Izinhlobo zesifo sikashukela
• Ezinye izimpawu zesifo sikashukela
• Ukwelashwa
• Izeluleko zokuphila
• Ukubonana nodokotela nini
• Okubalulekile

Ukoma ngokweqile kuyisici esivelele sesifo sikashukela. Kubizwa nangokuthi i-polydipsia. Ukoma kuxhunyaniswe nolunye uphawu lwesifo sikashukela: ukuchama ngaphezu kokujwayelekile noma i-polyuria.

Kuyinto evamile ukuzwa womile lapho uphelelwe amanzi emzimbeni. Lokhu kungenzeka ngoba:

• awuphuzi amanzi anele
• ujuluka kakhulu
• udle okuthile okunosawoti kakhulu noma okubabayo

Kepha isifo sikashukela esingalawulwa singakwenza uzizwe usomile ngaso sonke isikhathi ngaphandle kwesizathu.

Lo mbhalo ukhuluma ngokuthi kungani uzizwa womile kangaka uma unesifo sikashukela. Siphinde sibheke nendlela yokwelapha ukoma ngokweqile kwesifo sikashukela. Ngokuthola ukwelashwa nokunakekelwa okulungile nsuku zonke, ungavimba noma unciphise lezi zimpawu.

Isifo sikashukela nokoma

Ukoma ngokweqile kungenye yezimpawu zokuqala zokuthi ungaba nesifo sikashukela. Ukoma nokuchama kaningi kubangelwa ushukela omningi egazini lakho.

Uma unesifo sikashukela, umzimba wakho awukwazi ukusebenzisa ushukela ekudleni kahle. Lokhu kubangela ukuthi ushukela uqoqane egazini lakho. Izinga likashukela egazini eliphakeme liphoqa izinso zakho ukuthi zingene ngokweqile ukususa ushukela owengeziwe.

Izinso zidinga ukwenza umchamo owengeziwe ukusiza ukudlulisa ushukela owengeziwe emzimbeni wakho. Kuzofanele uchame kakhulu futhi ube nevolumu ephezulu yomchamo. Lokhu kusebenzisa amanzi amaningi emzimbeni wakho. Amanzi akhishwa ngisho nezicubu zakho ukusiza ukususa ushukela owengeziwe.

Lokhu kungakwenza uzizwe womile kakhulu ngoba ulahlekelwa amanzi amaningi. Ingqondo yakho izokutshela ukuthi uphuze amanzi amaningi ukuze uthole amanzi. Ngokulandelayo, lokhu kudala ukuchama okwengeziwe. Umchamo wesifo sikashukela nomjikelezo wokoma uzoqhubeka uma amazinga kashukela egazini akho engalingani.

Izinhlobo zesifo sikashukela

Kunezinhlobo ezimbili ezinkulu zesifo sikashukela: uhlobo 1 nohlobo 2. Zonke izinhlobo zesifo sikashukela ziyizimo ezingamahlalakhona ezingathinta indlela umzimba wakho osebenzisa ngayo ushukela. Ushukela (i-glucose) ngophethiloli odingwa ngumzimba wakho ukuze usebenze yonke imisebenzi yawo.

Iglucose ekudleni kumele ingene kumaseli akho, lapho ingashiselwa khona amandla. I-hormone insulin iyona kuphela indlela yokufaka i-glucose kumaseli. Ngaphandle kwe-insulin ukuyithutha, ushukela uhlala egazini lakho.

Uhlobo lwe-1 sikashukela yisimo sokuzimela esivimba umzimba wakho ekwenzeni i-insulin. Lolu hlobo lwesifo sikashukela lungenzeka kubantu banoma yibuphi ubudala, kubandakanya nezingane.

Uhlobo lwesibili sikashukela luvame kakhulu kunohlobo 1. Ngokuvamile lwenzeka kubantu abadala. Uma une-type 2 yesifo sikashukela, umzimba wakho usengakwazi ukwenza i-insulin. Kodwa-ke, ungahle ungayenzi i-insulini eyanele, noma umzimba wakho kungenzeka ungakwazi ukuyisebenzisa kahle. Lokhu kubizwa ngokuthi ukumelana ne-insulin.

Ezinye izimpawu zesifo sikashukela

Ukoma ngokweqile nokuchama kaningi kungenzeka kuzo zombili izinhlobo zesifo sikashukela sohlobo 1 nohlobo 2. Ungaba nezinye izimpawu. Zombili izinhlobo zesifo sikashukela zingadala izimpawu ezifanayo uma zingelashwa futhi zingalawulwa, kufaka phakathi:

• umlomo owomile
• ukukhathala nokukhathala
• indlala eyeqile
• izinsini ezibomvu, ezivuvukile, noma ezethenda
• ukuphulukiswa kancane
• ukutheleleka okuvamile
• ukuguquka kwemizwelo
• ukucasuka
• ukuncipha komzimba (ngokuvamile ngohlobo 1)
• ukuba ndikindiki noma ukuncinza ezandleni noma ezinyaweni

Abantu abanesifo sikashukela sohlobo lwesibili kungenzeka bangabi nazimpawu zeminyaka eminingi. Izimpawu zingase zibe mnene futhi ziba zimbi kancane. Uhlobo lwesifo sikashukela sohlobo 1 lubangela izimpawu ngokushesha, kwesinye isikhathi kumaviki ambalwa nje. Izimpawu zingase zibe nzima.

Ukwelashwa

Uma unesifo sikashukela sohlobo 1, uzodinga ukujova noma ukufaka i-insulin. Ungadinga futhi ukuthatha eminye imithi. Alikho ikhambi lesifo sikashukela sohlobo 1.

Ukwelashwa kohlobo lwesibili sikashukela kufaka nemithi esiza umzimba wakho ukwenza i-insulin eningi noma isebenzise i-insulin kangcono. Ungadinga futhi ukuthatha i-insulin.

Ungakwazi ukulawula uhlobo lwesifo sikashukela sohlobo 2 ngokudla okuqinile nokuzivocavoca umzimba njalo, wedwa. Kodwa-ke, isifo sikashukela yisifo esiqhubekayo, futhi kungadingeka ukuthi uphuze imishanguzo kanye ne-insulin kamuva empilweni.

Ukwelapha isifo sikashukela kusho ukulinganisa amazinga kashukela egazini lakho. Ukulawula isifo sikashukela kugcina amazinga kashukela wakho ezinzile ngangokunokwenzeka. Lokhu kusho ukuthi azihambi phezulu kakhulu noma phansi kakhulu. Ukulinganisa amazinga kashukela egazini kuzosiza ukunciphisa noma ukuvimbela ukoma okweqile.

Ngokuhambisana nokudla okulungile kwansuku zonke nokuzivocavoca umzimba, kungadingeka ukuthi uthathe umuthi owodwa noma ngaphezulu yesifo sikashukela. Kunezinhlobo nezinhlanganisela zezidakamizwa zesifo sikashukela, kufaka phakathi:

• insulini
• ama-biguanides, njenge-metformin
• Izivimbeli ze-DPP-4
• I-SGLT2 inhibitors
• sonyusibiyela
• lindokuhlemthembu
• ama-peptide afana ne-glucagon
• meglitinides
• ama-dopamine agonists
• i-alpha-glucosidase inhibitors

Udokotela wakho angakusiza ukuphatha isifo sikashukela. Qiniseka ukuthi:

• thatha yonke imithi ncamashi njengoba kuchazwe ngudokotela wakho
• thatha i-insulin kanye / noma imithi ngesikhathi esifanele usuku ngalunye
• thola ukuhlolwa kwegazi njalo kwesifo sikashukela
• hlola i-glucose yakho yegazi njalo, ngemitha noma ngeglucose monitor (CGM)
• bheka udokotela wakho ukuze uhlolwe njalo

Izeluleko zokuphila

Kanye nemithi, ushintsho lwendlela yokuphila luyisihluthulelo sokuphatha isifo sikashukela. Ungaphila impilo enempilo, egcwele nesifo sikashukela. Ukuzinakekela kubalulekile njengokunakekelwa udokotela wakho. Lokhu kufaka phakathi uhlelo lokudla nsuku zonke nohlelo lokuzivocavoca. Khuluma nodokotela wakho noma isazi sokudla okunempilo mayelana nohlelo lokudla olungcono kakhulu kuwe.

Izeluleko zokuphila ngesifo sikashukela zifaka:

• qapha amazinga kashukela egazini ngaphambi nangemva kokudla ngakunye nokuqapha ekhaya
• gcina iphephabhuku elinerekhodi lamazinga kashukela wakho wegazi nsuku zonke
• yenza uhlelo lokudla nsuku zonke isonto ngalinye
• udle ukudla okunomsoco, ngokugcizelela izithelo nemifino emisha
• engeza i-fiber eningi ekudleni kwakho
• hlela isikhathi sokuzivocavoca nsuku zonke
• landelela izinyathelo zakho ukuze uqiniseke ukuthi uhamba ngokwanele nsuku zonke
• ujoyine ijimu noma uthole umngani wokuzivocavoca ukuze akushukumise ukuba uzivocavoca umzimba ngokwengeziwe
• landela isisindo sakho futhi unciphise isisindo uma udinga
• qopha noma yiziphi izimpawu onazo

Ukubonana nodokotela nini

Uma womile ngokweqile noma unezinye izimpawu, ungahle ube nesifo sikashukela, noma isifo sikashukela singalawulwa kahle.

Buza udokotela wakho ukuthi akuhlolele isifo sikashukela. Lokhu kufaka ukuhlolwa kwegazi. Kuzofanele uzile ukudla cishe amahora ayi-12 ngaphambi kokuhlolwa. Ngalesi sizathu, kungcono ukuhlela into yakho yokuqala ekuseni.

Okubalulekile

Ukoma ngokweqile kungaba uphawu lwesifo sikashukela. Ukwelapha nokulawula isifo sikashukela kungavimbela noma kunciphise lolu phawu nezinye. Ukuphila nesifo sikashukela kudinga ukunakekelwa okwengeziwe empilweni yakho, ikakhulukazi indlela odla ngayo nsuku zonke nokuzivocavoca umzimba. Ungadinga futhi ukuthatha imithi. Ukugcina isikhathi kubalulekile uma uthatha i-insulin neminye imithi yesifo sikashukela.

Ngokunakekelwa kwezempilo okulungile nezinguquko zendlela ophila ngayo, ungaba nempilo enhle kakhulu kunakuqala noma ngabe unesifo sikashukela. Ungakushayi indiva ukoma ngokweqile noma ezinye izimpawu. Bheka udokotela wakho ukuze akuhlole njalo. Udokotela wakho angashintsha imithi yakho yesifo sikashukela noma ukwelashwa njengoba kudingeka.