Ngaba uvavanyo lwakho lwegazi lwakutshanje lubonise ukuba inqanaba leswekile yakho egazini liphezulu kancinci? Kodwa ngaba ugqirha uthe awunaso isifo seswekile okwangoku, kodwa lixesha lokuba ulumke kakhulu? Ukuba ukhe waba namava afanayo, namhlanje siza kuthetha ngesihloko esibaluleke kakhulu kuwe. Elo linqanaba elingaphambi kwesifo seswekile, okanye ngokwezonyango, i-Prediabetes . Oku kufana nesilumkiso, njengesibane esimthubi kwisibane sendlela. Lithuba lokusilumkisa ngaphambi kokuba kwenzeke ingozi.
Ngamafutshane, yintoni i-prediabetes?
Kulula nje. I-prediabetes linqanaba eliphakathi apho amanqanaba eswekile yegazi lakho (i-glucose) ephezulu kunesiqhelo, kodwa engekho phezulu ngokwaneleyo ukuba ibizwe ngokuba sisifo seswekile (uhlobo lwesibini lwesifo seswekile). Asisisifo ngokwaso, kodwa sisilumkiso esinamandla esivela emzimbeni wakho. Ukuba uthatha amanyathelo afanelekileyo ngeli xesha, unokuthintela okanye ulibazise uphuhliso lweswekile epheleleyo. Ezo ziindaba ezimnandi apha.
Ngokwesiqhelo, inqanaba leswekile egazini lomntu ophilileyo kufuneka libe phakathi kwama-70 nama-99 (mg/dL). Nangona kunjalo, umntu onesifo seswekile sangaphambi kokuba afumane isifo unokuba neli xabiso liphakathi kwe-100 ne-125 (mg/dL). Ukuba le meko ayilungiswa, amathuba okuba nesifo seswekile esipheleleyo kwiminyaka eli-10 aphezulu kakhulu.
Zithini iimpawu zesifo seswekile sangaphambi kwexesha? Sixhaphake kangakanani?
Le yinto edida abantu abaninzi. Abantu abaninzi ababonisi zimpawu xa benesifo seswekile sangaphambi kwexesha. Ewe, usenokungaziva ntlungu okanye iintlungu. Ngenxa yale ntelekelelo, abantu abangaphezu kwama-80% kwihlabathi abanesifo seswekile sangaphambi kwexesha abazi.
Kungoko ke kubaluleke kakhulu ukubona ugqirha wosapho lwakho rhoqo uze ufumane uvavanyo lwegazi oluhambelana neminyaka yakho. Kulapho kuphela apho unokuzibona khona ezi meko kwangethuba.
Nangona kunjalo, kunqabile kakhulu, abanye abantu banokubona ezinye zezi mpawu zilandelayo:
- Ulusu kwiindawo ezifana namakhwapha, umva wentamo, nasemacaleni omzimba luba mnyama kwaye lube lukhuni, njengevelvet. Oku kwaziwa ngokwezonyango njenge `(acanthosis nigricans)`.
- Ukubonakala kwamaqhuqhuva amancinci (iithegi zesikhumba) kumphezulu wesikhumba.
- Ekuhambeni kwexesha, utshintsho kwindlela yokubona luyavela. Oku kunokukhokelela kwi-retinopathy enxulumene nesifo seswekile, imeko eyonakalisa amehlo.
Musa ukucinga ukuba, "Andinangxaki." I-prediabetes ifana notshaba oluthuleyo. Ngoko ke ukuba unezinto ezinokubangela umngcipheko, kububulumko ukubona ugqirha uze uvavanywe.
Kutheni sifumana isifo seswekile ngaphambi kokuba siqale? Zithini izinto ezibangela umngcipheko?
Eyona nto ibangela isifo seswekile esingaphambi kokuba siqale kukubaUkunganyamezelani ne-insulin. Oku kungabonakala kunzima kancinci, kodwa ndiza kukuchazela ngokulula.
Cinga ngale ndlela: iiseli emizimbeni yethu zifana nezindlu. Iswekile (iglucose) esiyityayo inika ezi zindlu amandla. Ihomoni i-insulin sisitshixo esivula iingcango zezi zindlu kwaye sivumele iswekile ingene.
Xa kuvela ukuxhathisa i-insulin, kuba ngathi imingxuma yezitshixo kwiingcango zezo zindlu ivalekile ngumhlwa. Ngoko ke, isitshixo esibizwa ngokuba yi-insulin asikwazi ukuvula ucango kakuhle. Emva koko iswekile ayikwazi ukungena kwiiseli ize iqale ukuqokelelana egazini. Le yindlela amanqanaba eswekile egazini anyuka ngayo.
Kukho izinto ezininzi ezibangela ukunganyangeki kwe-insulin kwaye zonyusa umngcipheko we-prediabetes:
- I-genetics: Ukuba umama wakho, utata, okanye abantakwenu banesifo seswekile, nawe usengozini yokuba nesifo seswekile esingaphambi kokuba sivele.
- Ubunzima bomzimba obugqithisileyo: Ukugcwala kwamafutha, ingakumbi ejikeleze isisu (isisu esivele ngaphandle) yimbangela enkulu.
- Ukungazilolongi: Ukungawugcini umzimba usebenza, ukuhlala kwindawo enye ixesha elide.
- Imikhwa yokutya engafanelekanga: Ukutya rhoqo ukutya okunencasa, okune-flour, okunamafutha, kunye nokutya okucutshungulweyo.
- Ubudala: Umngcipheko uyanda emva kweminyaka engama-45.
- Ukutshaya.
- Ezinye iimeko zonyango:
- Ukuba nesifo seswekile ngexesha lokukhulelwa (isifo seswekile sokukhulelwa).
- I-Polycystic Ovarian Syndrome (PCOS).
- I-Obstructive sleep apnea yimeko enxulumene nokurhona.
- Ezinye iingxaki ze-hormone.
- Ukusetyenziswa ixesha elide kwamayeza athile, anjengee-steroids.
- Uxinzelelo kunye nokungalali ngokwaneleyo.
Ezinye zezi zinto zinobungozi (ezifana nobudala kunye nemfuza) zingaphaya kwamandla ethu. Kodwa ezinye ezininzi (ezifana nokutya, ukuzilolonga, kunye nokutshaya) ziphantsi kolawulo lwethu. Ukuba unayo nayiphi na kwezi zinto zinobungozi, kubalulekile ukuthetha nogqirha wakho malunga nokuvavanya isifo seswekile sangaphambi kwexesha.
Yintoni enokwenzeka ukuba isifo seswekile esingaphambi kwesifo asinyangwa?
Eyona ngxaki inkulu neyona ibalulekileyo yesifo seswekile sangaphambi kokuba sivele kukuba sinokukhula sibe sisifo seswekile sohlobo lwesibini . Isifo seswekile sisifo esithi, ukuba asilawulwa kakuhle, singonakalisa amalungu amaninzi emzimbeni wethu.
Iingxaki zexesha elide zesifo seswekile ziquka:
- Umngcipheko okhulayo wokuhlaselwa sisifo sentliziyo kunye nestroke .
- Ukonakala kwamehlo (i-retinopathy enxulumene nesifo seswekile): Ekuhambeni kwexesha, ukubona kunokuphazamiseka kuze kukhokelele ekubeni yimfama.
- Ukonakala kwezintso (i-nephropathy enxulumene nesifo seswekile): Kunokubangela nokuba izintso zingaphumeleli.
- Ukonakala kwemithambo-luvo (i-neuropathy enxulumene nesifo seswekile):Kunokubakho ukungaziva mnandi, ukutsha, kunye nentlungu emalungeni, kwaye ukwenzakala kusenokungabonakali.
Khumbula, isifo seswekile singatshintshwa. Kodwa ukuphelisa iingxaki zesifo seswekile akunakwenzeka. Yiyo loo nto kubalulekile ukukwazi oku kwangethuba kwaye uthathe amanyathelo afunekayo ebomini bakho bonke.
Ungazi njani ukuba unesifo seswekile esingaphambi kwexesha?
Eyona ndlela yokwazi ngokuqinisekileyo kukwenza uvavanyo lwegazi. Ugqirha wakho uhlala ecebisa olu vavanyo. Kukho iintlobo ezimbini eziphambili zovavanyo.
1. Uvavanyo lweGlucose yePlasma yokuzila ukutya (FPG): Olu luvavanyo esilusebenzisa rhoqo kusasa, emva kokungatyi nto (emva kokuzila ukutya kangangeeyure ezisi-8) ukujonga amanqanaba eswekile egazini.
2. Uvavanyo lwe-A1C: Olu vavanyo lunokumisela umgangatho weswekile yakho egazini kwiinyanga ezimbini ukuya kwezintathu ezidlulileyo.
Ugqirha uza kugqiba ukuba ukuphi ngokusekwe kwiziphumo zezi mvavanyo.
| Uvavanyo | Inqanaba elisempilweni | Inqanaba le-prediabetes | Inqanaba leswekile |
|---|---|---|---|
| Ukuzila iGlucose yePlasma (FPG) | 99 mg/dL okanye ngaphantsi | 100 - 125 mg/dL | 126 mg/dL okanye ngaphezulu |
| Uvavanyo lwe-A1C | 5.7% okanye ngaphantsi | 5.7% - 6.4% | 6.5% nangaphezulu |
Iindaba ezimnandi kakhulu! I-prediabetes inokuguqulwa. Njani?
Ewe, le yeyona ndaba ilungileyo oza kukhe wayiva. I-prediabetes ayisosigqibo sokugqibela sokuba uza kuba nesifo seswekile. Ngokuthatha indlela yokuphila enempilo, ungayiguqula ngokupheleleyo le meko kwaye ubuyisele amanqanaba eswekile egazini lakho kwimeko eqhelekileyo.
Oku akufuneki kube yinto enkulu. Ungaqala ngotshintsho oluncinci. Kukho izinto ezintathu eziphambili ekufuneka ugxile kuzo.
| Isenzo | Kutheni oko kubalulekile? | Indlela elula yokuqalisa |
|---|---|---|
| 1. Ukunciphisa umzimba | Ubunzima obugqithisileyo, ingakumbi amafutha esiswini, yeyona nto ibangela ukunganyangeki kwe-insulin. Ukulahlekelwa nobunzima obuncinci kwandisa uvakalelo lomzimba kwi-insulin. | Injongo yokunciphisa ubunzima bakho nge-5% - 7%. Umzekelo, ukuba ubunzima bakho buyi-80 kg, ukunciphisa ubunzima obuyi-4-6 kg kuphela kuya kwenza umahluko omkhulu. |
| 2. Zilolonge rhoqo | Xa uzilolonga, izihlunu zakho zisebenzisa iswekile esegazini lakho ukuze zifumane amandla. Oku ngokwemvelo kunciphisa amanqanaba eswekile egazini lakho. | Hamba ngokukhawuleza ude ubile, iintsuku ezi-5 ngeveki, ubuncinane imizuzu engama-30 ngosuku. Ukuba uyonqena ukuhamba, ukudanisa, ukukhwela ibhayisekile, ukudada, ukwenza nantoni na oyithandayo. |
| 3. Ukutya okunempilo | Oko sikutyayo kuchaphazela ngqo amanqanaba ethu eswekile egazini. Ukutshintshela ekutyeni okunesondlo kunokunceda ekulawuleni amanqanaba eswekile egazini. | Endaweni yeti neziselo ezineswekile, sela into efana namanzi, amanzi ekhokhonathi, okanye i-belimal. Nciphisa ukutya okunesitatshi okufana nerayisi, isonka, kunye neenoodles, kwaye faka imifuno, imifuno, iziqhamo, amantongomane kunye nentlanzi ekutyeni kwakho. |
Ukongeza kwezi zinto, ezinye izinto onokuzenza:
- Ukuba ungumntu otshayayo, zama ukuyeka ukutshaya .
- Fumana iindlela zokunciphisa uxinzelelo . Izinto ezifana nokucamngca kunye nokumamela umculo zinokunceda.
- Lala ngokwaneleyo . Udinga iiyure ezisi-7-8 zokulala kakuhle ngosuku.
- Ukuba unezinye izifo, ezinje ngoxinzelelo lwegazi oluphezulu okanye i-cholesterol, zilawule kakuhle ngokwemiyalelo kagqirha wakho.
Ngaba ikho na iyeza le-prediabetes?
Kwiimeko ezininzi, eyona ndlela ilungileyo yokulawula isifo seswekile ngaphambi kokuba siqale kukwenza utshintsho kwindlela esiphila ngayo esithethe ngayo ngaphambili. Nangona kunjalo, kwezinye iimeko, njengaxa usemngciphekweni omkhulu wokuba nesifo seswekile kwaye amanqanaba eswekile egazini lakho kunzima ukuwalawula ngokutshintsha indlela ophila ngayo kuphela, ugqirha wakho unokucebisa ukuba uqale ukuthatha amayeza.
Amayeza asetyenziswa kakhulu koku yi-`(metformin)` kunye ne-`(acarbose)`. Nangona kunjalo, oku kumiselwa kuphela ngugqirha okuxilongayo.
Uzinyamekela njani xa uphila ne-prediabetes?
Kuqhelekile ukuba novalo noloyiko xa ufumanisa ukuba unesifo seswekile esingaphambi kokuba ukhulelwe. Kodwa khumbula, eli lithuba lokutshintsha ubomi bakho bube ngcono.
- Zifundise: Funda ngesifo seswekile sangaphambi kwexesha kunye nokutya okunempilo kwimithombo ethembekileyo. Musa ukoyika ukubuza imibuzo kugqirha wakho.
- Xelela usapho lwakho nabahlobo bakho ngale nto: Baxelele ngotshintsho olwenzayo. Emva koko banokukunceda.
- Cinga nangempilo yakho yengqondo: Ukwenza olu tshintsho kunokuba nzima ngamanye amaxesha. Ukuba uziva uxinezelekile, thetha ngako.
- Ukutshintsha imikhwa kunzima: Awunakutshintsha yonke into ngobusuku obunye. Qala kancinci. Zibekele usukelo olunye ngexesha.
- Awuyi kuba ngumntu ogqibeleleyo ngokupheleleyo yonke imihla: Ngezinye iintsuku awuyi kukwazi ukuzilolonga, ngezinye iintsuku awuyi kukwazi ukulawula indlela otya ngayo. Yinto eqhelekileyo leyo. Ungakhathazeki ngayo, zama kwakhona ngosuku olulandelayo. Into ebalulekileyo kukungabi ngumntu ogqibeleleyo, kodwa kukuzama.
- Yiba nobubele kuwe: Ukuba usenengxaki yokulawula amanqanaba eswekile egazini lakho emva kokwenza konke oku, musa ukuziva ngathi yimpazamo yakho. Isifo seswekile sisifo esintsonkothileyo. Thetha nogqirha wakho ukuze ugqibe ngento omawuyenze ngokulandelayo.
Thetha nogqirha wakho.
Ukuba une-prediabetes okanye usemngciphekweni wokuba nayo, kubalulekile ukubona ugqirha wakho rhoqo ukuze akunike iingcebiso. Ungakufumanisa kuluncedo ukubuza ugqirha wakho imibuzo efana nale:
1. Ndingawunciphisa njani umngcipheko wokuba nesifo seswekile sangaphambi kokuba ndibe nesifo seswekile?
2. Zithini iimpawu zesifo seswekile?
3. Yintoni ubunzima obusempilweni obufunekayo kubude bam?
4. Zeziphi iindlela ezilungileyo zokunciphisa umzimba?
5. Ndingenza umthambo ongakanani? Luhlobo luni lomthambo olulungele mna?
6. Zeziphi iinguqu ekufuneka ndizenze kwindlela enditya ngayo?
7. Ngaba kufuneka ndiye kwingcali yesondlo?
8. Ngaba kukho amaqela okanye iinkqubo endinokuzibandakanya nazo ukuze ndifumane uncedo?
Xa kufikwa kwi-prediabetes, ulwazi ngamandla . Ukwazi ukuba unayo le meko kwaye unokwenza ntoni ukuyitshintsha yinxalenye yaloo mandla. Akunyanzelekanga ukuba uhambe wedwa kolu hambo. Ugqirha wakho kunye neqela lakho lezempilo bahlala bekulungele ukukunceda.
Umyalezo Wokuya Ekhaya
- I-prediabetes ibangela ukuba umntu abe nesifo seswekile. Sisilumkiso, asisosigqibo sokugqibela.
- Ixesha elininzi, akukho zimpawu. Ngoko ke, ukuba unezinto ezinokubangela umngcipheko, kubalulekile ukuba uhlolwe rhoqo ngugqirha.
- I-prediabetes inokupheliswa ngokupheleleyo ngokutya okunempilo, ukuzilolonga rhoqo, kunye nokulawula ubunzima.
- Ukungayinaki le silumkiso kunokukhokelela kwiingxaki ezinkulu ezifana nesifo seswekile sohlobo lwesibini kunye nesifo sentliziyo kunye nesifo sezintso.
- Thetha ngokukhululekileyo nogqirha wakho. Fumana ulwalathiso nenkxaso oyifunayo kolu hambo.
💬 Comments (0)
Akukho zimvo zithunyelweyo okwangoku. Faka uluvo lwakho apha okokuqala.
Faka uluvo lwakho