Ingaba uneswekile eninzi kakhulu kumchamo wakho? (Glycosuria)

Ngaba wakha wacinga ukuba umchamo wakho, oko kukuthi, umchamo, unokukunika izikhokelo malunga neengxaki ezithile emzimbeni wakho? Ewe, yinyani. Ngamanye amaxesha, ngaphandle kokuba siqaphele, utshintsho olwahlukeneyo lwenzeka emzimbeni wethu. Enye into enjalo linqanaba leswekile, oko kukuthi, inqanaba leswekile, kumchamo, elingaphezulu kunesiqhelo. Oku sikubiza ngokwezonyango ngokuba yi-glycosuria . Musa ukoyika kakhulu xa usiva eli gama. Namhlanje, siza kuthetha ngayo yonke into ngendlela elula onokuyiqonda.

Yintoni i-glycosuria?

Ngamafutshane, i-glycosuria iyenzeka xa uneswekile eninzi (i-glucose) kumchamo wakho kunesiqhelo. Kuqhelekile ukuba neswekile encinci kumchamo wakho. Nangona kunjalo, ukuba uvavanyo lomchamo lubonisa ukuba inqanaba leswekile lingaphezulu kwe-0.25 milligrams nge-milliliter (0.25 mg/ml), ke loo nto yimeko ebizwa ngokuba yi-glycosuria.

Ngamanye amaxesha oku kungaba luphawu lwesifo esibizwa ngokuba yi-hyperglycemia , esibizwa ngokuba yi-high glucose glucose. Nangona kunjalo, sinokuvela nakubantu abanamazinga aqhelekileyo okanye aphantsi eswekile egazini. Umzekelo, ukuba izintso zakho azihluzi kakuhle inkunkuma, unokuba ne-glycosuria.

Zithini iimpawu ze-glycosuria?

Ayinguye wonke umntu oneempawu ezicacileyo zesi sifo. Usenokuba naso iminyaka emininzi kodwa ungazazi nokuba unaso. Nangona kunjalo, ekuhambeni kwexesha, ukuba asinyangwa, oku kulandelayo kunokwenzeka:

Iimpawu eziqhelekileyo

• Unxano olukhulu okanye indlala: Ngaba uziva unxaniwe ngalo lonke ixesha? Ngaba uziva ngathi awufumani manzi aneleyo nokuba usela kangakanani na? Okanye ukuba ulambile, kwaye usaziva ulambile emva kokutya, oko kungaba luphawu lwesi sifo.
• Ukuphelelwa ngamanzi emzimbeni: Umzimba ungalahlekelwa ngamanzi amaninzi uze uphelelwe ngamanzi emzimbeni.
• Ukuchama rhoqo kunesiqhelo: Ukuba uziva ufuna ukuchama rhoqo, naleyo yinto ekufuneka uyiqwalasele.

Iimpawu ezihambisana nesifo seswekile

Ukuba i-glycosuria luphawu lwesifo esifana ne -Type 2 Diabetes , unokufumana oku kulandelayo:

• Ukudinwa: Ukuba uhlala uziva udiniwe okanye ulele ngaphandle kwesizathu.
• Ukwehla kobunzima ngendlela engachazekiyo: Ukuba ngequbuliso wehla ubunzima ngaphandle kokutshintsha indlela otya ngayo.
• Utshintsho lombono: Umbono wakho usenokubonakala ungacacanga.
• Ukutshintsha kombala wesikhumba apho ulusu ludibana khona nolusu: Ukuba ulusu lujika lube mnyama okanye lube mdaka kwiindawo ezifana namakhwapha, ngaphakathi kweengqiniba, kunye nemiphetho yentamo.
• Amanxeba athatha ixesha elide ukuphola: Nokuba inxeba elincinci okanye umkrwelo uthatha ixesha elide ukuphola.

Zithini izizathu ze-glycosuria?

Kukho izizathu ezintathu eziphambili zoku:

Izizathu eziphambili

1. Umzimba wakho awuvelisi okanye awusebenzisi i-insulin ngokufanelekileyo: I-insulin yi-hormone enceda ukulawula iswekile emizimbeni yethu. Xa kukho ingxaki ngale nto, iswekile egazini iyanda kwaye iswekile inokukhutshwa nakumchamo.

2. Ukufumana iswekile eninzi kakhulu kangangokuba umzimba wakho awukwazi ukuyiphatha ngaxeshanye: Ngamanye amaxesha xa sitya ukutya okuneswekile eninzi ngaxeshanye, umzimba wethu awukwazi ukuyiphatha yonke loo nto.

3. Unesifo sezintso: Ukuba kukho ingxaki ngezintso eziphinda zifunxe iswekile emzimbeni, iswekile iya kukhutshwa emchameni.

Ezinye zeengxaki zempilo ezibangela i-glycosuria

Ngokukodwa, abantu abanezi meko zilandelayo zonyango banokuba ne-glycosuria:

• Uhlobo 1 kunye nohlobo 2 lwesifo seswekile: Kwezi meko, i-pancreas yakho ayivelisi i-insulin eyaneleyo, okanye umzimba wakho awuphenduli ngokufanelekileyo kwi-insulin.
• Isifo Seswekile Sokukhulelwa: Abanye abantu baba namanqanaba aphezulu eswekile egazini (i-hyperglycemia) ngexesha lokukhulelwa. Oku kunokukhokelela kwisifo seswekile sohlobo 1 nohlobo 2, kunye ne-glycosuria.
• Isifo sikaFanconi: Kule meko, izintso zakho zinobunzima bokufunxa izinto ezithile, ezifana nepotassium, iphosphorus, kunye neglucose, emzimbeni wakho. Endaweni yoko, ezi zinto zikhutshwa kumchamo wakho.
• I-Renal Glycosuria: Le yimeko yelifa. Kule meko, i-glucose ikhutshwa kumchamo nangona inqanaba leswekile egazini lakho liqhelekile. Le meko inokwenzeka ukuba utshintsho oluthile lwemfuza lubangela iziphene kwizintso, ingakumbi ezo zichaphazela ukusebenza kweetyhubhu zezintso.

Cinga ngako, ngamanye amaxesha sitya ukutya okumnandi neziselo ezininzi epatini, akunjalo? Ngamaxesha anjalo, inqanaba leswekile kumchamo linokunyuka okwethutyana. Oku kubizwa ngokuba yi-alimentary glycosuria . Ukuba awunaso esinye isifo esichaphazela inqanaba leswekile egazini, oku kuya kubuyela esiqhelweni kwiiyure ezimbalwa. Ngoko ke akukho nto inokubangela ixhala.

Ifunyanwa njani i-glycosuria?

Oogqirha basebenzisa iindlela ezahlukeneyo zokuxilonga le meko:

• Uhlalutyo lomchamo: Oku kuquka ukuthatha isampuli yomchamo kuwe uze uyithumele kwilebhu. Umcu wovavanyo ufakwa kwisampuli kwaye inqanaba leswekile kumchamo wakho liyalinganiswa. Kulula kakhulu.
• Uvavanyo lweglucose egazini: Ugqirha uza kuthatha isampuli yegazi lakho aze ayithumele kwilebhu. Oku kuya kukunceda ubone ukuba uneswekile ephezulu egazini (i-hyperglycemia) kunye ne-glycosuria.
• Uvavanyo lwe-A1C: Olu vavanyo lukwasebenzisa ithontsi elincinci legazi elivela emnweni wakho okanye inani elincinci legazi elivela emthanjeni. Olu vavanyo lubonisa inqanaba lakho eliqhelekileyo leswekile egazini kwiinyanga ezintathu ezidlulileyo.

Iphathwa njani i-glycosuria?

Unyango luxhomekeke kwisizathu semeko. Nje ukuba imeko esisiseko inyangwe, amanqanaba eswekile yomchamo wakho kufuneka abuyele esiqhelweni.

Ngokuxhomekeke kwimeko yakho, ugqirha wakho unokucebisa enye okanye ezingaphezulu kwezi zilandelayo:

• Yitya imifuno emininzi kunye neenkozo ezipheleleyo: Ifayibha ezinayo inceda ekulawuleni iswekile egazini.
• Yenza umthambo ongakumbi: Kulungile ukwenza umthambo ngosuku.
• Amayeza afana neMetformin: La ngamayeza asetyenziselwa ukunyanga isifo seswekile. Usenokuba ukhe weva ngawo phantsi kwamagama eebhrendi afana neGlucophage®, Glumetza®.
• I-insulin: Abanye abantu abanesifo seswekile kufuneka bathathe inaliti ye-insulin.
• Amanye amayeza: Kukwakho namayeza amatsha afana ne-`Dulaglutide (Trulicity®)` okanye i-`Semaglutide (Ozempic®)`.

Kuza kwenzeka ntoni ukuba ndine-glycosuria?

Ukuba ulandela isicwangciso sonyango njengoko ugqirha wakho ecebisa, ungalindela ukuba imeko yakho iphucuke. Enyanisweni, uninzi lweemeko ze-glycosuria ziya kupheliswa ngokupheleleyo xa imeko engundoqo inyangiwe. Thetha nogqirha wakho malunga nesicwangciso sonyango esifanelekileyo kuwe.

Ngamanye amaxesha, ukuba une-glucosuria ngaphandle kwengxaki enkulu yempilo, usenokungadingi ukwenza nto. Nangona kunjalo, kubalulekile ukubona ugqirha ukuba ubonakalisa iimpawu ezintsha.

Ngaba i-glycosuria ingathintelwa?

Akusoloko kunokwenzeka ukuthintela oku, ingakumbi xa kubangelwa ziimeko zemfuza. Nangona kunjalo, ukuba une-glycosuria ngenxa yesifo seswekile sohlobo lwesibini okanye isifo seswekile sokukhulelwa, kukho izinto onokuzenza ukunciphisa umngcipheko wakho. Nje ukuba wena nogqirha wakho nifumane iindlela zokulawula imeko engaphantsi, amanqanaba eswekile yomchamo wakho kufuneka abuyele kwisiqhelo.

Sifanele sitye ntoni?

Oku kutya akuyi kunyusa amanqanaba eswekile egazini lakho kwaye kunokunceda ukunciphisa umngcipheko we-glycosuria:

• Imifuno eluhlaza: Izinto ezifana nespinatshi, ikale, kunye nemifuno eluhlaza.
• Iyogathi engenanto, engenaswekile.
• Ii-oats ezisikwe ngentsimbi.
• Iicarbohydrate ezipheleleyo: Izinto ezifana nerayisi emdaka, i-oatmeal, isonka esipheleleyo, kunye nepasta.

Zeziphi izinto esifanele siziphephe ukuzitya?

Ukuba unezinga eliphezulu leswekile egazini kunye ne-glycosuria, kungcono ukunciphisa ukutya oku kulandelayo kunye neziselo:

• Iicarbohydrate ezimhlophe ezifana nesonka esimhlophe, irayisi emhlophe, kunye nepasta emhlophe.
• Iziqhamo ezomisiweyo: Ezi zinoshukela omninzi.
• Ukutya okucutshungulweyo: Izinto ezifana neenkozo zesidlo sakusasa ezineswekile kunye nezidlo ezipakishiweyo.
• Inyama elungisiweyo: Izinto ezifana neham, ibhekoni, iisoseji.
• Ukutya okuneswekile eninzi: Ukutya okumnandi okufana neekeyiki, iibhisikithi kunye neelekese.

Udinga nini ukubona ugqirha?

Xelela ugqirha ukuba uziva into efana nale:

• Iimpawu ze-glycosuria, ezinje ngokudinwa, ukoma kakhulu, kunye nokuchama rhoqo, ziyenzeka.
• Ukuba unesifo seswekile kwaye ubona utshintsho olukhawulezileyo kwiimpawu zakho.

Kunini apho kufuneka uye kwiYunithi yoNyango oluNgxamisekileyo (i-ETU) ?

Iimpawu ze-glucosuria azisoloko zibonakala. Kwaye akunakwenzeka ukwazi ukuba ingakanani iswekile ekwi- urine yakho ngaphandle kovavanyo lomchamo. Nangona kunjalo, iimpawu zeswekile ephezulu egazini (i-hyperglycemia) kulula ukuzibona. Kwaye zinokubonisa ingxaki enkulu ngakumbi .

Ukuba unayo nayiphi na kwezi mpawu, fowunela u-1990 ngoko nangoko okanye uye kwigumbi likaxakeka elikufutshane:

• Ukuba inqanaba leswekile egazini lakho liphezulu kune-250 mg/dL. (Ungathenga isixhobo sokujonga iswekile egazini nakweyiphi na ikhemesti.)
• Ukuba unentlungu ebuhlungu esiswini.
• Ukuba unengxaki yokuhlala uphaphile.
• Ukuba ulusu lomile.
• Ukuba ukubetha kwentliziyo kuyakhawuleza.
• Ukuba ukuphefumla kuyakhawuleza.

Ngaba kuqhelekile ukuba abantu abanesifo seswekile babe ne-glycosuria?

I-Glycosuria inokuba luphawu lwesifo seswekile esinganyangwanga okanye esingalawulwa kakuhle. Nangona kunjalo, wakuba ufumane indlela yokulawula amanqanaba eswekile egazini lakho, iimpawu ze-glycosuria kufuneka ziphele.

I-glucosuria yodwa ayisiyonto yokuxhalaba ngayo. Nangona kunjalo, xa isenzeka kunye neswekile ephezulu egazini, inokuba luphawu lokuba unenye imeko efuna unyango. Ukuba uvavanyo lubonisa ukuba iswekile yomchamo wakho iphezulu, thetha nogqirha wakho malunga nento omawuyenze ngokulandelayo kunye nendlela yokunciphisa iimpawu zakho. Nje ukuba imeko engaphantsi inyangwe, iswekile yomchamo wakho kufuneka ibuyele kwisiqhelo.

Amanqaku abaluleke kakhulu (Umyalezo Wokuya Ekhaya)

Kulungile, ngoko ke, ngokwezinto esithethe ngazo, ezi zezona zinto zibalulekileyo ekufuneka uzikhumbule:

• I-Glycosuria kukubakho kweswekile eninzi (i-glucose) kumchamo.
• Kunokubakho izizathu ezininzi zoku. Izinto ezifana nesifo seswekile, iingxaki zezintso, kwaye ngamanye amaxesha ukutya iicarbohydrate ezininzi ngaxeshanye.
• Iimpawu azibonakali zifana kuye wonke umntu. Khangela izinto ezifana nokunxanwa rhoqo, ukuchama rhoqo, kunye nokudinwa.
• Ungakhathazeki. Ingafunyaniswa kwaye, kwiimeko ezininzi, inyangeke ngokunyanga unobangela oyintloko.
• Ukuba unamathandabuzo okanye iimpawu, qiniseka ukuba ubona ugqirha. Emva koko ungafumana iingcebiso kunye nonyango olufanelekileyo.
• Ukutya okunempilo kunye nendlela yokuphila esebenzayo kunceda ekukhuseleni kwizifo ezininzi.

Khumbula, nguwe ofanele ukuba uqaphela kakhulu impilo yakho. Ukuba uneengxaki, buza, fumana, kwaye ufumane unyango. Emva koko ungahlala usempilweni!

I- Glycosuria, iswekile kumchamo, isifo seswekile, isifo sezintso, i-hyperglycemia, iimpawu, impilo