Uhlobo Lwesifo Sikashukela Luphathwa Kanjani? Okufanele Ukwazi Uma Usanda Kuhlonza

-Delile

• Ukwehla kwesisindo
• Izinguquko zokudla
• Ukuvivinya umzimba
• Imithi
• Ukuhlolwa kukashukela egazini
• Ukuthatha

Ukubuka konke

Uhlobo lwesifo sikashukela sohlobo lwe-2 yisimo esingalapheki lapho umzimba ungayisebenzisi kahle i-insulin. Lokhu kubangela ukuthi kukhuphuke amazinga kashukela egazini, okungaholela kwezinye izinkinga zempilo.

Uma une-type 2 yesifo sikashukela, udokotela wakho angakunikeza ukwelashwa okukodwa noma ngaphezulu ukusiza ukuphatha amazinga kashukela egazini lakho futhi unciphise ubungozi bezinkinga.

Funda kabanzi ukuze ufunde kabanzi ngezinye zezindlela zokwelashwa nezincomo ezivame kakhulu kubantu abasanda kutholakala ukuthi banesifo sikashukela sohlobo lwesibili.

Ukwehla kwesisindo

Ngokuvamile, iZikhungo Zokulawulwa Kwezifo zichaza ukuba "" njengesisindo esingaphezu kwesibhekwa njengesinempilo ekuphakameni komuntu.

Abantu abaningi abasanda kutholakala benesifo sikashukela sohlobo 2 bakhuluphele ngokweqile. Uma kunjalo, udokotela uvame ukuncoma ukunciphisa umzimba njengesici esisodwa sohlelo lokwelashwa jikelele.

Kubantu abaningi abaphila nohlobo 2 lwesifo sikashukela, ukwehla ngamaphesenti ama-5 kuye kwayi-10 wesisindo somzimba kungasiza ukwehlisa amazinga kashukela egazini. Lokhu-ke, lokhu kunciphisa isidingo semithi yesifo sikashukela, kubika abacwaningi kumagazini i-Diabetes Care.

Ucwaningo luphakamisa ukuthi ukwehlisa isisindo nakho kunganciphisa ubungozi besifo senhliziyo, esivame kakhulu kubantu abanesifo sikashukela sohlobo 2 kunabantu abaningi.

Ukukhuthaza ukulahleka kwesisindo, udokotela wakho angakukhuthaza ukuthi usike amakhalori kusuka ekudleni kwakho nasekudleni kwakho. Bangakweluleka futhi ngokuthi uvivinye umzimba ngokwengeziwe.

Kwezinye izimo, udokotela wakho angancoma ukuhlinzwa kwesisindo. Lokhu kwaziwa nangokuthi ukuhlinzwa komzimba noma kwe-bariatric.

Izinguquko zokudla

Udokotela wakho angancoma ushintsho ekudleni kwakho ukusiza ukuphatha amazinga kashukela egazini nesisindo. Ukudla ukudla okunomsoco obalulekile nakho kubalulekile empilweni yakho yonke.

Ayikho indlela yobukhulu obufanayo yokudla okunempilo nohlobo 2 sikashukela.

Ngokuvamile, i-American Diabetes Association (ADA) incoma ukuthi:

• ukudla izinhlobo ezinhlobonhlobo zokudla okunothile, njengokudla okusanhlamvu, okusanhlamvu, imifino, izithelo, amaprotheni anciphile, namafutha anempilo
• ukubeka ngokulinganayo ukudla kwakho usuku lonke
• ukungakweqi ukudla uma unemishanguzo engadala ukuthi ushukela wegazi wehle kakhulu
• ukungadli kakhulu

Uma udinga usizo lokwenza ushintsho ekudleni kwakho, khuluma nodokotela wakho. Bangakudlulisela kuchwepheshe wezokudla obhalisiwe ongakusiza ukuthi wakhe uhlelo lokudla olunempilo.

Ukuvivinya umzimba

Udokotela wakho angakugqugquzela ukuthi uzivocavoca umzimba ngaphezulu ukusiza ukuphatha amazinga kashukela egazini nesisindo sakho, kanye nobungozi bakho bezinkinga ezivela kuhlobo lwesifo sikashukela sohlobo 2.

Ngokusho kwe-ADA, iningi labantu abadala abane-type 2 yesifo sikashukela kufanele:

• thola okungenani imizuzu engu-150 yokuvivinya umzimba ngokuqina ngamandla ngamandla ngesonto, usakaze izinsuku eziningi
• qedela izikhathi ezimbili kuya kwezintathu zokuzivocavoca ukumelana noma ukuqeqeshwa kwamandla ngesonto, usakaze ngezinsuku ezingalandelani
• zama ukunciphisa isikhathi osichitha uzibandakanya nokuziphatha okuhleli phansi
• zama ukungahambi ngaphezu kwezinsuku ezimbili zilandelana ngaphandle kokuzivocavoca umzimba

Ngokuya ngempilo yakho, udokotela wakho angakukhuthaza ukuthi usethe izinhloso ezihlukile zomsebenzi womzimba. Kwezinye izimo, bangakweluleka ukuthi ugweme imisebenzi ethile.

Ukukusiza ukuthi wakhe uhlelo lokuzivocavoca oluphephile kuwe, udokotela wakho angakudlulisela kumelaphi womzimba.

Imithi

Ungahle ukwazi ukuphatha ushukela wegazi lakho ngokushintsha kwendlela yokuphila wedwa.

Kepha ngokuhamba kwesikhathi, abantu abaningi abanesifo sikashukela sohlobo 2 badinga imishanguzo ukuphatha lesi simo.

Ngokuya ngomlando wakho wezempilo kanye nezidingo zakho, udokotela wakho angakunikeza okukodwa noma ngaphezulu kokulandelayo:

• imithi yomlomo
• i-insulini, engajova noma ihogelwe
• ezinye izidakamizwa ezinokujova, njenge-GLP-1 receptor agonist noma i-analogue ye-amylin

Ezimweni eziningi, udokotela wakho uzoqala ngokunikeza imithi yomlomo. Ngokuhamba kwesikhathi, kungadingeka ukuthi ungeze i-insulin noma ezinye izidakamizwa ezijojwayo ohlelweni lwakho lokwelashwa.

Ukuze ufunde kabanzi mayelana nezinketho zakho zemithi, khuluma nodokotela wakho. Bangakusiza ukukala izinzuzo nezingozi ezingaba khona zemithi ehlukile.

Ukuhlolwa kukashukela egazini

Inhloso enkulu yokwelashwa kwesifo sikashukela ukugcina amazinga kashukela egazini lakho ebangeni elihlosiwe.

Uma ushukela wegazi lakho wehla kakhulu noma ukhuphuka kakhulu, ungadala izinkinga zempilo.

Ukusiza ukuqapha amazinga kashukela egazini lakho, udokotela wakho uzo-oda ukusebenza kwegazi njalo. Bangasebenzisa isivivinyo esaziwa njengokuhlolwa kwe-A1C ukuhlola amazinga akho kashukela egazini.

Bangase futhi bakweluleke ukuthi uhlole amazinga kashukela egazini lakho njalo ekhaya.

Ukuhlola ushukela wegazi ekhaya, ungabamba umunwe wakho bese uhlola igazi lakho ngesibuko seglucose segazi. Noma, ungatshala imali kumqapha we-glucose oqhubekayo, olandelela ngokuqhubekayo amazinga kashukela egazini lakho usebenzisa inzwa encane efakwe ngaphansi kwesikhumba sakho.

Ukuthatha

Ukuphatha uhlobo lwesifo sikashukela sohlobo 2, udokotela wakho angakukhuthaza ukuthi wenze izinguquko ekudleni kwakho, indlela ozivocavoca ngayo, noma eminye imikhuba yokuphila. Bangase banikeze umuthi owodwa noma ngaphezulu. Bazokucela futhi ukuthi uhlelele ukuhlolwa njalo nokuhlolwa kwegazi.

Uma ubona ushintsho kuzimpawu zakho noma amazinga kashukela egazi, yazisa udokotela wakho. Uhlobo lwesibili sikashukela lungashintsha isikhathi esengeziwe. Udokotela wakho angalungisa uhlelo lwakho lwezokwelapha ukuhlangabezana nezidingo zakho eziguqukayo.