Ukuphatha uhlobo lwesibili sikashukela ngaphandle kwe-insulini: Izinto ezi-6 okumele uzazi

-Delile

• Indlela yokuphila ibalulekile
• Izinhlobo eziningi zemithi yomlomo ziyatholakala
• Udokotela wakho angakunikeza eminye imithi ejojoweyo
• Ukuhlinzwa kwesisindo kungaba yindlela
• Ezinye izindlela zokwelapha zingadala imiphumela emibi
• Izidingo zakho zokwelashwa zingashintsha
• Ukuthatha

Kwezinye izimo, abantu abane-type 2 yesifo sikashukela badinga imijovo ye-insulin ukuphatha amazinga abo kashukela egazini. Kwabanye, thayipha isifo sikashukela sesi-2 singaphathwa ngaphandle kwe-insulin. Ngokuya ngomlando wakho wezempilo, udokotela wakho angancoma ukuthi uphathe uhlobo lwesifo sikashukela se-2 ngokuhlanganiswa kwezinguquko zokuphila, imithi yomlomo, noma ezinye izindlela zokwelapha.

Nazi izinto eziyisithupha okudingeka uzazi ngokuphatha uhlobo lwesifo sikashukela ngaphandle kwe-insulin.

Indlela yokuphila ibalulekile

Abanye abantu abanesifo sikashukela sohlobo lwesibili bangalawula ushukela wabo wegazi ngokushintsha kwendlela yokuphila bodwa. Kepha noma ngabe udinga imithi, ukukhetha impilo enempilo kubalulekile.

Ukusiza ukuphatha amazinga kashukela egazini lakho, zama uku:

• udle ukudla okunomsoco
• uthole okungenani imizuzu engama-30 yokuzivocavoca umzimba ngosuku, izinsuku ezinhlanu ngesonto
• qedela okungenani izikhathi ezimbili zemisebenzi yokuqinisa imisipha ngesonto
• lala ngokwanele

Ngokuya ngesisindo sakho samanje nokuphakama kwakho, udokotela wakho angakukhuthaza ukuthi wehlise isisindo. Udokotela wakho noma isazi sokudla angakusiza ukuthi wakhe uhlelo lokulahlekelwa isisindo oluphephile nolusebenzayo.

Ukwehlisa ubungozi bezinkinga ezivela kuhlobo 2 sikashukela, kubalulekile futhi ukugwema ugwayi. Uma ubhema, udokotela wakho angancoma izinsiza zokukusiza uyeke.

Izinhlobo eziningi zemithi yomlomo ziyatholakala

Ngaphezu kokushintsha kwendlela yokuphila, udokotela wakho angahle anikeze imishanguzo yomlomo yesifo sikashukela sohlobo 2. Bangakusiza ukwehlisa amazinga kashukela egazini lakho.

Izigaba eziningi ezahlukahlukene zemithi yomlomo ziyatholakala ukwelapha uhlobo lwesifo sikashukela sohlobo 2, kufaka phakathi:

• i-alpha-glucosidase inhibitors
• bakhulu
• iziqeshana ze-bile acid
• Ama-agonists e-dopamine-2
• Izivimbeli ze-DPP-4
• meglitinides
• I-SGLT2 inhibitors
• sonyusibiyela
• Ama-TZD

Kwezinye izimo, ungadinga inhlanganisela yemithi yomlomo. Lokhu kwaziwa ngokuthi ukwelashwa kokuhlanganiswa komlomo. Ungahle udinge ukuzama izinhlobo eziningana zemithi ukuthola uhlobo olusebenzela wena.

Udokotela wakho angakunikeza eminye imithi ejojoweyo

I-insulini akuyona ukuphela kohlobo lomuthi ojojwayo osetshenziselwa ukwelapha uhlobo lwesifo sikashukela sohlobo 2. Kwezinye izimo, udokotela wakho angase anikeze eminye imithi yokujova.

Isibonelo, imithi efana ne-GLP-1 receptor agonists kanye ne-amylin analogue idinga ukujova. Lezi zinhlobo zemithi zombili zisebenza ukugcina amazinga eglucose egazini lakho ebangeni elijwayelekile, ikakhulukazi ngemuva kokudla.

Ngokuya ngemithi ethile, kungadingeka ukuthi uyijoje nsuku zonke noma ngeviki. Uma udokotela wakho ekunika umuthi ojojwayo, babuze ukuthi uzowuphuza nini futhi kanjani. Bangakusiza ufunde ukuthi ungayifaka kanjani ngokuphepha imithi futhi ulahle izinaliti ezisetshenzisiwe.

Ukuhlinzwa kwesisindo kungaba yindlela

Uma inkomba yomzimba wakho - isilinganiso sesisindo nokuphakama - ihlangabezana nenqubo yokukhuluphala, udokotela wakho angancoma ukuhlinzwa kwesisindo ukusiza ukwelapha uhlobo lwesifo sikashukela sohlobo 2. Le nqubo yaziwa nangokuthi ukuhlinzwa komzimba noma kwe-bariatric. Kungasiza ukuthuthukisa amazinga kashukela egazini lakho futhi kwehlise ubungozi bezinkinga zesifo sikashukela.

Esitatimendeni esihlanganyelwe esikhishwe ngo-2016, izinhlangano eziningi zesifo sikashukela zancoma ukuhlinzwa kwesisindo ukuphatha uhlobo lwesifo sikashukela kubantu abane-BMI engama-40 noma ngaphezulu. Baphinde bancoma ukuhlinzwa kwesisindo kubantu abane-BMI engama-35 kuye kwangama-39 nomlando wokuzama ngempumelelo ukuphatha ushukela wabo wegazi ngendlela yokuphila nangemithi.

Udokotela wakho angakusiza ufunde ukuthi ukuhlinzwa kwesisindo kuyindlela ongakhetha ngayo.

Ezinye izindlela zokwelapha zingadala imiphumela emibi

Izinhlobo ezahlukene zemithi, ukuhlinzwa, nezinye izindlela zokwelapha kungadala imiphumela emibi. Uhlobo nobungozi bemiphumela emibi kuyahlukahluka, kusukela ekwelashweni kuye kolunye.

Ngaphambi kokuba uqale ukuthatha umuthi omusha, khuluma nodokotela wakho ngezinzuzo nezingozi zokuwusebenzisa. Babuze ukuthi ingasebenzisana yini neminye imithi oyisebenzisayo. Kufanele futhi wazise udokotela wakho uma ukhulelwe noma uncelisa, ngoba eminye imithi ayiphephile kubantu abakhulelwe noma abancelisayo abangayisebenzisa.

Ukuhlinzwa nakho kungakubeka engcupheni yemiphumela emibi, njengokutheleleka endaweni yokusika. Ngaphambi kokuhlinzwa, buza udokotela wakho ngezinzuzo nezingozi ezingaba khona. Khuluma nabo ngenqubo yokutakula, kufaka nezinyathelo ongazithatha ukunciphisa ubungozi bezinkinga zokuhlinzwa.

Uma usola ukuthi ube nemiphumela engemihle ekwelashweni, xhumana nodokotela wakho. Bangasiza ukukhomba imbangela yezimpawu zakho. Kwezinye izimo, bangahle balungise uhlelo lwakho lwezokwelapha ukusiza ukukhulula noma ukuvimbela imiphumela emibi.

Izidingo zakho zokwelashwa zingashintsha

Ngokuhamba kwesikhathi, isimo sakho kanye nezidingo zokwelashwa kungashintsha. Uma ukuthole kunzima ukuphatha ushukela wegazi lakho ngokushintsha kwendlela ophila ngayo neminye imishanguzo, udokotela wakho angakunika i-insulin. Ukulandela uhlelo lwabo lwezokwelapha olunconyiwe kungakusiza ukuphatha isimo sakho futhi wehlise ubungozi bezinkinga.

Ukuthatha

Imithi eminingi iyatholakala ngohlobo lwesifo sikashukela sohlobo 2. Uma unemibuzo noma ukukhathazeka ngohlelo lwakho lwamanje lokwelashwa, khuluma nodokotela wakho. Bangakusiza uqonde izinketho zakho futhi wakhe uhlelo olukusebenzelayo.