URuwan (oneminyaka engama-45 ubudala), injineli yesoftware, ufike ekliniki yam ngoLwesithathu oludlulileyo kusasa. Uhlale esitulweni sakhe, ebonakala exhalabile kwaye engenakuzinceda.
"Gqirha Priya, bendisoloko ndinxaniwe kakhulu kutshanje. Nangona ndisela iilitha ezi-5-6 zamanzi ngosuku, unxano lwam alupheli. Kwakhona, kufuneka ndiye kwindlu yangasese rhoqo emva kwemizuzu engama-30-45. Kufuneka ndivuke izihlandlo ezi-5-6 ebusuku ukuze ndiye kwindlu yangasese. Ukongeza, nokuba nditya kangakanani na, indlala yam ayipheli. Ndiziva ndilambile kakhulu. Kodwa nangona konke oku, ubunzima bam buye behla malunga neekhilogram ezi-4 kwinyanga ephelileyo," uRuwan uchaze ukungakhululeki kwakhe.
Ndijonge ingxelo yovavanyo lweswekile egazini likaRuwan ndaza ndachaza: "Ruwan, iswekile yakho yegazi yokuzila ukutya inyukile yaya kwi-280 mg/dL. Iimpawu ozichazayo zezo isayensi yezonyango ezizibiza ngokuba yi- 3 Ps yesifo seswekile . Nazi:
1. I-Polyuria: Ukuchama rhoqo.
2. I-Polydipsia: Ukuziva unxaniwe kakhulu.
3. I-Polyphagia: Ukuziva ulambile kakhulu.
"Namhlanje, masithethe nje ngesizathu sokuba ezi mpawu zintathu zivele ngenxa yeswekile ephezulu emzimbeni wakho kunye nendlela yokuziphepha."
🚨 Iiflegi ezibomvu ezifuna unyango olukhawulezileyo
Xa kukho i-3 Ps yesifo seswekile, ingakumbi kwizigulane ezine-Type 1 Diabetes, amanqanaba aphezulu eswekile egazini angalawulekiyo anokubangela imeko esongela ubomi ebizwa ngokuba yiDiabetic Ketoacidosis (DKA) . Ukuba ufumana ezi mpawu zilandelayo, kufuneka uye ngokukhawuleza kwicandelo likaxakeka lesibhedlele esikufutshane nawe:
- Ivumba elifana neleziqhamo okanye ivumba elifana nele-acetone emlonyeni (ivumba lomoya wefruity).
- Ukuphefumla okukhawulezayo nokunzulu okuqhubekayo (ukuphefumla kukaKussmaul).
- Isicaphucaphu nokuhlanza kunye neentlungu eziqatha esiswini.
- Ukozela kakhulu, ukozela, ukudideka, okanye ukulahlekelwa zingqondo.
- Amanqanaba eswekile egazini angaphezu kwe-250 mg/dL kunye nokuba khona kwee-ketones kumchamo.
Imvelaphi yesayensi emva kwe-3 Ps yesifo seswekile
Ezi mpawu zintathu zibangelwa yimisebenzi yomzimba enxulumeneyo:
1. I-Polyuria - ukuchama rhoqo
Xa inqanaba leswekile egazini lidlula i-180 mg/dL (Umda Wezintso), izintso azikwazi ukuyifunxa yonke iswekile egazini. Iswekile egqithisileyo emva koko ikhutshwa kumchamo. Xa iswekile ikhutshwa, ikwatsala amanzi amaninzi emzimbeni iye kuwo ngenxa yoxinzelelo lwe-osmotic. Le nkqubo ibizwa ngokuba yi -Osmotic Diuresis . Ngenxa yoko, isigulana siyachama rhoqo nangobuninzi.
2. I-Polydipsia - Unxano olugqithisileyo
Xa amanzi amaninzi elahleka emzimbeni ngenxa ye-polyuria, iiseli zomzimba ziyaphelelwa ngamanzi emzimbeni. Iziko lokunxanela elisebuchotsheni (iHypothalamus) liyakhuthazwa, nto leyo ebangela ukunxanela okugqithisileyo ukugcina ulungelelwano lwamanzi emzimbeni. Nokuba usela amanzi angakanani na, olu nxanela alupheli de inqanaba leswekile egazini lakho lehle.
3. I-Polyphagia - Indlala egqithisileyo
Kumzimba ophilileyo, i-hormone i-insulin ibalulekile ukuze i-glucose ingene kwiiseli kwaye ivelise amandla. Nangona kunjalo, kwisifo seswekile, ngenxa yokungabikho kwe-insulin okanye ukuxhathisa i-insulin, i-glucose ayinakungena kwiiseli. Ngenxa yoko, nangona kukho iswekile eninzi egazini, iiseli zihlala zilambile. Ingqondo ihlala ifumana umyalezo othi "amandla aneleyo", ngoko ke isigulane silamba kakhulu. Ekubeni iiseli zingafumani amandla, umzimba uqala ukuqhekeza amafutha kunye nezihlunu, nto leyo ekhokelela ekunciphiseni ubunzima.
Ezinye iimeko zempilo ezinxulumene ne-3 Ps
| Uphawu | Ezinye izizathu ngaphandle kwesifo seswekile |
|---|---|
| I-Polyuria | Isifo seswekile i-Insipidus (enye ingxaki yamahomoni apho izintso zingakwaziyo ukulawula amanzi), ukusetyenziswa kwe-diuretics, ukusela i-caffeine egqithisileyo okanye utywala. |
| I-Polydipsia | I-Psychogenic polydipsia, ebangelwa luxinzelelo, yimeko apho amanqanaba e-calcium emzimbeni aphezulu. |
| I-Polyphagia | I-Hyperthyroidism, ukudakumba, kunye namayeza athile e-steroid. |
Izinto ekufuneka zenziwe nezo kufuneka zingayenzi
| ✔️ Izinto onokuzenza (Zenze) | ❌ Izinto ongazifuniyo |
|---|---|
| Ukuba kukho ezi mpawu zintathu, yenza uvavanyo lwegazi lwe-Fasting Blood Sugar (FBS) kunye ne-HbA1c ngoko nangoko. | Ungaze usele iijusi zeziqhamo ezineswekile, iziselo ezibandayo, okanye iziselo ezineswekile ukuze uthomalalise unxano lwakho. Oku kunokunyusa amanqanaba eswekile egazini lakho kwaye kubulale. |
| Sela amanzi acocekileyo kuphela nanini na xa uziva unxaniwe. | Musa ukuqala ukuthatha iipilisi zesifo seswekile (umz. i-metformin) ngokwakho ngaphandle kwengcebiso kagqirha. |
| Yongeza imifuno eluhlaza etyebileyo kwi-fiber kunye neenkozo zebran ekutyeni kwakho kwemihla ngemihla. | Kuphephe ukuxhalaba nokuyeka ngokupheleleyo ukutya kwangoko xa kuvela iimpawu. Oku kunokubangela ukuba amanqanaba eswekile egazini ehle ngendlela eyingozi (hypoglycemia). |
❓ Eminye imibuzo onokuba nayo (FAQ)
Ezi mpawu zahluke njani phakathi kwesifo seswekile sohlobo 1 kunye nesohlobo 2 ?
Kwisifo seswekile sohlobo loku-1, umzimba uyeka ukuvelisa i-insulin ngokupheleleyo, ngoko ke iimpawu ze-3 Ps zinokuba nzima kakhulu kwiiveki ezimbalwa. Nangona kunjalo, ekubeni isifo seswekile sohlobo lwesibini sikhula kancinci kwiminyaka emininzi, ezi mpawu zisenokungabonakali kwizigaba zokuqala.
Ngaba ezi mpawu ziyenzeka ngexesha lesigaba sangaphambi kwesifo seswekile ?
Hayi, ngokwesiqhelo, akukho zimpawu zibonakalayo ngexesha lesigaba sangaphambi kwesifo seswekile, njengoko amanqanaba eswekile egazini enganyuki ukuya kwinqanaba apho iimpawu ze-3 Ps zenzeka khona (ngaphezulu koMda weNtsona). Inokuchongwa kuphela ngovavanyo lwegazi.
Ngaba iimpawu ze-3 Ps ziyaphela xa isifo seswekile silawulwa? ▼
Ewe, xa amanqanaba eswekile egazini egcinwa ngaphakathi komlinganiselo oqhelekileyo (ngaphantsi kwe-140 mg/dL) ngonyango kunye notshintsho lwendlela yokuphila, izintso ziyayeka ukukhupha iswekile kwaye inkqubo ye-osmotic diuresis iyayeka. Unxano, ukuchama rhoqo, kunye nendlala egqithisileyo kuyaphiliswa ngokupheleleyo.
Ngaba ezi mpawu zinokwenzeka kwisifo seswekile sokukhulelwa? ▼
Ewe, isifo seswekile sinokuvela ngenxa yotshintsho lweehomoni ngexesha lokukhulelwa (isifo seswekile sokukhulelwa), esinokubangela ukuchama rhoqo kunye nokunxanwa kakhulu. Umama okhulelweyo ngokuqinisekileyo kufuneka enze uvavanyo lwe-OGTT phakathi kweeveki ezingama-24 ukuya kwezingama-28.
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