Isifo Sikashukela Sibathinta Kanjani Abesifazane: Izimpawu, Izingozi, Nokuningi

-Delile

• Izimpawu zesifo sikashukela kwabesifazane
• 1.Ukutheleleka kwesilonda sangasese nangomlomo kanye ne-thrush yesitho sangasese sowesifazane
• 2. Ukutheleleka ngomchamo
• 3. Ukungasebenzi ngokocansi kwabesifazane
• 4. I-Polycystic ovary syndrome
• Izimpawu kubo bobabili abesifazane nabesilisa
• Ukukhulelwa nohlobo 1 bese uthayipha 2 sikashukela
• Isifo sikashukela sokukhulelwa
• Izici ezinobungozi besifo sikashukela kwabesifazane
• Ukwelashwa
• Imithi
• Izinguquko zendlela yokuphila
• Amanye amakhambi
• Izinkinga
• Umbono

Isifo sikashukela kwabesifazane

Isifo sikashukela siyiqembu lezifo ezithinta umzimba lapho umuntu enoshukela ophakeme wegazi ngenxa yezinkinga zokulungisa noma ukukhiqiza i-insulin. Isifo sikashukela singathinta abantu banoma ibuphi ubudala, ubuhlanga, noma ubulili. Kungathinta abantu nganoma iyiphi indlela yokuphila.

Phakathi kuka-1971 no-2000, kwehle izinga lokufa kwabantu abanesifo sikashukela, ngokusho kocwaningo olwenziwa ku- Annals of Internal Medicine. Lokhu kwehla kukhombisa intuthuko ekwelashweni kwesifo sikashukela.

Kodwa isifundo sikhombisa nokuthi izinga lokufa kwabantu besifazane abanesifo sikashukela alizange lithuthuke. Ngaphezu kwalokho, umehluko emazingeni okufa phakathi kwabesifazane abanesifo sikashukela nalabo abangazange baphindaphindwe kabili.

Izinga lokufa laliphezulu kwabesifazane, kepha kube nokushintsha ekusatshalalisweni kocansi kohlobo 2 sikashukela okukhombisa amazinga aphezulu emadodeni.

Okutholakele kugcizelela ukuthi isifo sikashukela sibathinta kanjani ngokungafani abesifazane nabesilisa. Izizathu zifaka okulandelayo:

• Abesifazane bavame ukuthola ukwelashwa okuncane kakhulu okunobungozi bezinto ezinobungozi benhliziyo nezimo ezihlobene nesifo sikashukela.
• Ezinye zezinkinga zesifo sikashukela kwabesifazane kunzima kakhulu ukuzithola.
• Abesifazane bavame ukuba nezinhlobo ezahlukene zesifo senhliziyo kunabesilisa.
• AmaHormone nokuvuvukala kusebenza ngokuhlukile kwabesifazane.

Ukusuka ngo-2015 kutholakale ukuthi e-United States abesifazane abayizigidi eziyi-11.7 nabesilisa abayizigidi eziyi-11.3 bathola ukuthi banesifo sikashukela.

Imibiko yomhlaba evela ngonyaka wezi-2014 ngumbuso wokuthi kunabantu abadala abalinganiselwa ezigidini ezingama-422 abaphila nesifo sikashukela, besuka ezigidini eziyi-108 ezibikiwe ngo-1980.

Izimpawu zesifo sikashukela kwabesifazane

Uma ungowesifazane onesifo sikashukela, ungahlangabezana nezimpawu eziningi ezifanayo nezendoda. Kodwa-ke, ezinye izimpawu zihlukile kwabesifazane. Ukuqonda kabanzi ngalezi zimpawu kuzokusiza ukuthi ubone isifo sikashukela futhi uthole ukwelashwa kusenesikhathi.

Izimpawu ezihlukile kwabesifazane zifaka:

1.Ukutheleleka kwesilonda sangasese nangomlomo kanye ne-thrush yesitho sangasese sowesifazane

Ukugcwala kwemvubelo okubangelwe yi- UCandida ukhunta kungadala ukutheleleka kwemvubelo yesitho sangasese sowesifazane, ukutheleleka ngemvubelo yomlomo, kanye ne-thrush yesitho sangasese sowesifazane. Lezi zifo zivame kubantu besifazane.

Lapho ukutheleleka kukhula endaweni yangasese, izimpawu zifaka:

• ukulunywa
• ubuhlungu
• ukukhishwa kwesitho sangasese sowesifazane
• ucansi olubuhlungu

Ukutheleleka ngemvubelo yomlomo kuvame ukudala ingubo emhlophe olimini nangaphakathi emlonyeni. Izinga eliphakeme le-glucose egazini libangela ukukhula kwefungus.

2. Ukutheleleka ngomchamo

Ingozi yokutheleleka nge-urinary tract (UTI) iphezulu kwabesifazane abanesifo sikashukela. Ama-UTI akhula lapho amabhaktheriya engena emkhakheni wokuchama. Lezi zifo zingadala:

• ukuchama kabuhlungu
• umuzwa ovuthayo
• umchamo onegazi noma onamafu

Kukhona ingozi yokutheleleka kwezinso uma lezi zimpawu zingelashwa.

Ama-UTI ajwayelekile kwabesifazane abanesifo sikashukela ikakhulu ngenxa yokuthi amasosha omzimba abe sengozini ngenxa ye-hyperglycemia.

3. Ukungasebenzi ngokocansi kwabesifazane

I-diabetes neuropathy yenzeka lapho ushukela ophakeme wegazi ulimaza imicu yezinzwa. Lokhu kungadala ukuncinza nokulahlekelwa yimizwa ezingxenyeni ezihlukene zomzimba, kufaka phakathi:

• izandla
• izinyawo
• imilenze

Lesi simo singaphinde sithinte ukuzwa endaweni yangasese futhi sehlise idrayivu yocansi yowesifazane.

4. I-Polycystic ovary syndrome

Lokhu kuphazamiseka kwenzeka lapho umuntu ekhiqiza inani eliphakeme lamahomoni wesilisa futhi ethambekele ekutholeni i-PCOS. Izimpawu ze-polycystic ovary syndrome (i-PCOS) zifaka:

• izikhathi ezingajwayelekile
• ukuzuza kwesisindo
• induna
• ukudana
• ukungazali

I-PCOS nayo ingadala ukumelana nohlobo lwe-insulin okuholela emazingeni aphezulu kashukela egazini futhi kwenyuse ubungozi bokuhlaselwa yisifo sikashukela.

Izimpawu kubo bobabili abesifazane nabesilisa

Bobabili abesilisa nabesifazane bangathola lezi zimpawu ezilandelayo zesifo sikashukela esingatholakali:

• ukoma okwengeziwe nendlala
• ukuchama kaningi
• ukuncipha noma ukuzuza ngaphandle kwesizathu esisobala
• ukukhathala
• ukungaboni kahle
• amanxeba aphola kancane
• isicanucanu
• izifo zesikhumba
• amabala wesikhumba esimnyama ezindaweni zomzimba ezinamakhasethi
• ukucasuka
• umoya onephunga elimnandi, elithelo, noma le-acetone
• ukuncipha komuzwa ezandleni noma ezinyaweni

Kubalulekile ukukhumbula ukuthi abantu abaningi abanesifo sikashukela sohlobo 2 abanazo izimpawu ezibonakalayo.

Ukukhulelwa nohlobo 1 bese uthayipha 2 sikashukela

Abanye besifazane abanesifo sikashukela bayazibuza ukuthi ngabe ukukhulelwa kuphephile yini. Izindaba ezimnandi ukuthi ungakhulelwa okunempilo ngemuva kokutholakala unesifo sikashukela sohlobo 1 noma sohlobo 2. Kodwa kubalulekile ukuphatha isimo sakho ngaphambi nangesikhathi sokukhulelwa ukugwema izinkinga.

Uma uhlela ukukhulelwa, kungcono ukuthi uthole amazinga eglucose egazi asondele ebangeni lakho elihlosiwe ngangokunokwenzeka ngaphambi kokuba ukhulelwe. Izilinganiso zakho eziqondiwe lapho ukhulelwe zingahluka kumabanga lapho ungakhulelwe.

Uma unesifo sikashukela futhi ukhulelwe noma unethemba lokuthi uzokhulelwa, khuluma nodokotela wakho ngezindlela ezinhle zokuphatha impilo yakho neyengane yakho. Isibonelo, amazinga akho kashukela egazini nempilo ejwayelekile kudinga ukulandelelwa ngaphambi nangesikhathi sokukhulelwa kwakho.

Uma ukhulelwe, i-glucose yegazi namaketoni kuhamba nge-placenta kuya enganeni. Izingane zidinga amandla kusuka ku-glucose njengawe. Kodwa izingane zisengozini yokukhubazeka kokuzalwa uma amazinga wakho we-glucose ephakeme kakhulu. Ukudlulisela ushukela ophakeme ezinganeni ezingakazalwa kuzibeka engcupheni yezimo ezibandakanya:

• ukukhubazeka kwengqondo
• ukubambezeleka kwentuthuko
• umfutho wegazi ophakeme

Isifo sikashukela sokukhulelwa

Isifo sikashukela sokukhulelwa siqondene nabesifazane abakhulelwe futhi sihlukile kohlobo 1 kanye nohlobo 2 sikashukela. Isifo sikashukela sokukhulelwa komzimba sivela cishe kumaphesenti ayi-9.2 okukhulelwa.

Amahomoni okukhulelwa aphazamisa indlela i-insulin esebenza ngayo. Lokhu kubangela ukuthi umzimba wenze okuningi ngawo. Kodwa kwabanye besifazane, lokhu namanje akuyona i-insulin eyanele, futhi baba nesifo sikashukela sokukhulelwa.

Isifo sikashukela sokukhulelwa ngokuvamile siqala kamuva lapho ukhulelwe. Kwabesifazane abaningi, isifo sikashukela sokukhulelwa siyaphela ngemuva kokukhulelwa. Uma uke waba nesifo sikashukela sokukhulelwa, ingozi yakho yesifo sikashukela sohlobo 2 iyanda. Udokotela wakho angancoma ukuhlolwa kwesifo sikashukela kanye nama-prediabetes njalo eminyakeni embalwa.

Izici ezinobungozi besifo sikashukela kwabesifazane

NgokweHhovisi Lezempilo Labesifazane (OWH) eMnyangweni Wezempilo wase-U.S. Usengozini yesifo sikashukela sohlobo 2 uma:

• badala kuna-45
• zikhuluphele ngokweqile noma zikhuluphele
• unomlando womndeni wesifo sikashukela (umzali noma ingane yakini)
• bangama-African-American, aboMdabu baseMelika, aboMdabu base-Alaska, abaseSpain, abase-Asia-American, noma abomdabu baseHawaii
• ngibe nengane enesisindo sokuzalwa esingaphezu kwamakhilogremu ayi-9
• ngibe nesifo sikashukela sokukhulelwa
• ube nomfutho wegazi ophakeme
• ube ne-cholesterol ephezulu
• ukuzivocavoca umzimba ngaphansi kwezikhathi ezintathu ngesonto
• unezinye izimo zezempilo ezixhunyaniswe nezinkinga zokusebenzisa i-insulin, njenge-PCOS
• unomlando wesifo senhliziyo noma sohlangothi

Ukwelashwa

Kuzo zonke izigaba zokuphila, imizimba yabesifazane iveza izithiyo zokuphatha isifo sikashukela noshukela wegazi. Izinselelo zingenzeka ngoba:

• Abanye amaphilisi okuvimbela inzalo ingakhuphula ushukela wegazi. Ukuze ugcine izinga eliphakeme le-glucose yegazi, cela udokotela wakho mayelana nokushintshela iphilisi lokulawula ukubeletha eliphansi.
• I-glucose emzimbeni wakho ingadala imvubelo izifo. Lokhu kungenxa yokuthi i-glucose isheshisa ukukhula kwefungus. Kunemithi ethengiswayo kanye nemithi kadokotela yokwelapha ukutheleleka ngemvubelo. Ungakwazi ukugwema ukutheleleka ngemvubelo ngokugcina ukulawula okungcono ushukela wegazi lakho. Thatha i-insulin njengoba kunqunyiwe, uzivocavoca njalo, unciphise ukudla okune-carb, ukhethe ukudla okunama-glycemic amaningi, futhi ubheke ushukela wegazi lakho.

Ungathatha izinyathelo ukuvimbela noma ukubambezela isifo sikashukela, ugweme izinkinga, futhi uphathe izimpawu.

Imithi

Kunemithi ongayithatha ukuphatha izimpawu nobunzima besifo sikashukela. Izigaba eziningi ezintsha zemithi yesifo sikashukela ziyatholakala, kepha imishanguzo ejwayelekile kakhulu yokuqala ihlanganisa:

• ukwelashwa kwe-insulin kubo bonke abantu abanesifo sikashukela sohlobo 1
• metformin (Glucophage), enciphisa ushukela wegazi

Izinguquko zendlela yokuphila

Izinguquko zokuphila zingasiza ukuphatha isifo sikashukela. Lokhu kufaka phakathi:

• ukuzivocavoca umzimba nokugcina isisindo esinempilo
• ukugwema ukubhema osikilidi
• ukudla ukudla okugxile kwizithelo, imifino, nezinhlamvu ezigcwele
• ukuqapha ushukela wegazi lakho

Amanye amakhambi

Abesifazane abanesifo sikashukela bangazama ezinye izindlela zokwelapha ukuphatha izimpawu zabo. Lokhu kufaka phakathi:

• ukuthatha izithako ezifana ne-chromium noma i-magnesium
• ukudla i-broccoli eyengeziwe, i-buckwheat, i-sage, i-peas, nembewu ye-fenugreek
• ukuthatha izithako zezitshalo

Khumbula ukubonisana nodokotela wakho ngaphambi kokuzama noma yiziphi izindlela ezintsha zokwelashwa. Noma kungokwemvelo, bangaphazamisa ukwelashwa kwamanje noma imishanguzo.

Izinkinga

Izinkinga ezahlukahlukene zivame ukubangelwa yisifo sikashukela. Ezinye zezinkinga abesifazane abanesifo sikashukela okufanele bazi zihlanganisa:

• Izinkinga zokudla. Olunye ucwaningo lubonisa ukuthi ukuphazamiseka kokudla kuvame kakhulu kwabesifazane abanesifo sikashukela.
• Isifo senhliziyo. Abesifazane abaningi abanesifo sikashukela sohlobo lwe-2 sebevele benesifo senhliziyo lapho betholakala (ngisho nabesifazane abasebasha).
• Izimo zesikhumba. Lokhu kufaka phakathi ukutheleleka kwamagciwane noma ukhunta.
• Ukulimala kwemizwa. Lokhu kungaholela ebuhlungwini, ukusakazeka okungahambi kahle, noma ukulahlekelwa umuzwa ezingalweni ezithintekile.
• Ukulimala kweso. Lesi sibonakaliso singaholela ekungaboni.
• Ukulimala kwezinyawo. Uma ungelashwa ngokushesha, lokhu kungaholela ekunqunyweni.

Umbono

Alikho ikhambi lesifo sikashukela. Uma usutholakele, ungaphatha kuphela izimpawu zakho.

Kutholakale ukuthi abesifazane abanesifo sikashukela basengozini yokufa ngamaphesenti angama-40 ngenxa yalesi sifo.

Ucwaningo luphinde lwathola ukuthi labo abanesifo sikashukela sohlobo 1 banamathuba amafushane okuphila kunabantu abaningi. Abantu abanesifo sikashukela sohlobo 1 bangabona isikhathi sabo sokuphila sehliswa ngeminyaka engama-20, kanti labo abanesifo sikashukela sohlobo lwesibili bangasibona sehliswa ngeminyaka eyishumi.

Imithi ehlukahlukene, ukuguqulwa kwendlela yokuphila, namakhambi ahlukile kungasiza ukuphatha izimpawu nokuthuthukisa impilo yonke. Xhumana nodokotela wakho ngaphambi kokuqala noma yikuphi ukwelashwa okusha, noma ngabe ucabanga ukuthi kuphephile.

Funda le ndatshana ngeSpanishi.