Namhlanje siza kuthetha ngesifo esixhaphakileyo kwilizwe lethu nakwihlabathi liphela, kwaye sinokuba sibi kakhulu. Esi sisifo seswekile. Ngokukodwa, sithetha ngesifo seswekile sohlobo lwesibini. Ingxaki enkulu ngale nto kukuba ayinguye wonke umntu onesi sifo owaziyo ngaso. Uphando lubonisa ukuba umntu omnye kwabathathu onesifo seswekile akazi ukuba unaso esi sifo. Khawuthelekelele ukuba sibi kangakanani. Isizathu esiphambili soku kukuba akukho zimpawu zicacileyo kwizigaba zokuqala. Ngoko ke ukuba asilindeli ukuba iimpawu zibonakale, kwaye ukuba sijonga kwaye siqaphele oku kwangethuba, siya kuba nethuba lokuzisindisa kwiingxaki ezininzi ezinkulu ezinokuvela kwixesha elizayo.
Ukuba isifo seswekile asilawulwa, i-hyperglycemia engapheliyo inokubangela umonakalo ohlala ixesha elide emehlweni, ezintso, kwiimithambo-luvo, entliziyweni, nakwimithambo yegazi. Ukongeza, abantu abanesifo seswekile esingafunyaniswanga basengozini enkulu yokuba nestroke, isifo sentliziyo, kunye nesifo semithambo yegazi.
Ngoko ke, ngubani ekufuneka ahlolwe isifo seswekile?
Le yingxaki abantu abaninzi abanayo. Njengoko kucetyisiwe yimibutho yamazwe ngamazwe efana ne-American Diabetes Association, kubaluleke kakhulu ukuba wonke umntu oneminyaka engaphezu kwama-45 ubudala ahlolwe isifo seswekile ubuncinane kanye kwiminyaka emithathu. Oku kubaluleke kakhulu ukuba utyebile okanye utyebile kakhulu.
Nangona kunjalo, ukuba unezinye zezinto ezibangela umngcipheko esizixoxayo ngezantsi, kungcono ukuvavanywa kwangethuba, mhlawumbi rhoqo (umzekelo, qho ngonyaka), kunokulinda ude ube neminyaka engama-45 ubudala.
Kukwacetyiswa ukuba abantu abadala abanoxinzelelo lwegazi oluphezulu okanye i-cholesterol ephezulu bahlolwe isifo seswekile, njengoko ezi meko zinxulumene. Ukufunyaniswa kwangethuba kunye nokulawulwa kwesifo seswekile kunokunciphisa umngcipheko wezifo ezinzima ezifana nesifo sentliziyo.
Ziziphi izinto ezibangela umngcipheko wokuba nesifo seswekile?
"Ngaba ndisemngciphekweni?" usenokuba uyazibuza. Makhe sijonge izinto eziphambili ezibangela umngcipheko. Ukuba enye okanye ezingaphezulu kwezi ziyasebenza kuwe, ngoku lixesha elifanelekileyo lokuqwalasela ukuvavanya isifo seswekile.
| Into Engumngcipheko | Kalula nje... |
|---|---|
| Imbali yosapho | Umama wakho, utata, okanye abantakwenu banesifo seswekile. |
| Ukutyeba kwakho | I-Body Mass Index yakho (BMI) ingama-25 nangaphezulu. (Ungayifumana i-BMI yakho ngokubuza ugqirha wakho.) |
| Ukungazilolongi | Ukuphila ubomi bokuhlala phantsi obungasebenzi kakuhle emzimbeni. |
| I-prediabetes | Kwiimvavanyo zangaphambili, amanqanaba eswekile egazini lokuzila ukutya (i-Impaired Fasting Glucose - IFG) okanye amanqanaba eswekile egazini emva kokusela iswekile (i-Impaired Glucose Tolerance - IGT) ayephezulu kancinci kunesiqhelo. |
| Igazi elonyukayo | Ukuba noxinzelelo lwegazi oluyi-140/90 mmHg okanye ngaphezulu. |
| Amanqanaba e-cholesterol angaqhelekanga | I-cholesterol elungileyo (i-HDL) egazini ingaphantsi kwe-35 mg/dL kwaye/okanye uhlobo lwamafutha olubizwa ngokuba yi-triglyceride lungaphezulu kwe-250 mg/dL. |
| Isifo seswekile ngexesha lokukhulelwa | Ukuba unesifo seswekile sokukhulelwa ngexesha lokukhulelwa, okanye ukuba uzele umntwana onobunzima obungaphezulu kweekhilogram ezili-10 (malunga neekhilogram ezi-4). |
| Imeko ye-PCOS | Ukuba nengxaki yamahomoni ebizwa ngokuba yiPolycystic Ovary Syndrome (PCOS) kubafazi. |
Zeziphi iimvavanyo ezisetyenziswayo ukujonga isifo seswekile?
Kulungile, ngoku ekubeni ugqibe kwelokuba ufuna ukuvavanywa, into elandelayo ekufuneka uyazi kukuba loluphi uhlobo lovavanyo olwenziwayo. Uvavanyo lwegazi olulula olumbini lusetyenziswa kakhulu ukuxilonga isifo seswekile.
1. Uvavanyo lweGlucose yePlasma yokuzila ukutya (FPG): Olu lolona vavanyo luqhelekileyo. Ukuze wenze oku, kufuneka uzile ukutya ubuncinane iiyure ezisi-8 ungatyi okanye ungaseli nto (amanzi nje alungile) uze emva koko unike isampuli yegazi. Oku kulinganisa ubungakanani beswekile egazini lakho ngelo xesha.
2. Uvavanyo lweHemoglobin A1C (HbA1c): Olu luvavanyo lwegazi. Kodwa into ekhethekileyo ngalo kukuba alulinganisi nje kuphela amanqanaba eswekile egazini lakho ngosuku olunye, kodwa kunoko lulinganisa amanqanaba eswekile egazini lakho aqhelekileyo kwiinyanga ezimbini ukuya kwezintathu ezidlulileyo . Akunyanzelekanga ukuba uzile ukutya kolu vavanyo.
Ugqirha wakho uza kukunika ingcebiso malunga novavanyo olulungele wena kunye nexesha lokulwenza.
Yintoni omawuyenze ukuba iziphumo zovavanyo zithi 'Negative'?
Ukuba iziphumo zovavanyo lwakho zibuya zisithi awunaso isifo seswekile, ezo ziindaba ezimnandi. Oku kuthetha ukuba amanqanaba eswekile egazini lakho okwangoku akwinqanaba eliqhelekileyo. Kodwa akuphelelanga apho.
Kubalulekile ukuphinda uvavanywe, njengoko ugqirha wakho esitsho, mhlawumbi rhoqo emva kweminyaka emithathu. Ngamanye amaxesha, nokuba iziphumo zakho zokuqala zovavanyo azibonisi ukuba unayo, ugqirha wakho unokuyalela ezinye iimvavanyo ukuba ukrokrela ukuba unesifo seswekile okanye isifo seswekile esingaphambi kokuba ukhulelwe ngokusekelwe kwiimpawu zakho okanye ezinye izinto ezinobungozi.
Khumbula, nokuba uvavanyo luthi awunaso isifo seswekile, ungenza okuninzi ukuthintela ukuba singabi naso kwixesha elizayo.
Izinto ezilungileyo koku zezi:
- Ukulawula ubunzima: Ukuba utyebile kakhulu, zama ukunciphisa umzimba.
- Ukutya okunempilo: Yitya ukutya okunamafutha aphantsi, iswekile, nomgubo, kwaye utye imifuno neziqhamo ezininzi.
- Ukuzilolonga imihla ngemihla: Kungaba lula njengokuhamba ubuncinane imizuzu engama-30 ngosuku.
- Ulawulo loxinzelelo lwegazi kunye ne-cholesterol: Ukuba unezi meko, zilawule ngokwemiyalelo kagqirha wakho.
Kuthekani ukuba iziphumo zovavanyo 'zilungile'?
Khawuthelekelele ukuba iziphumo zovavanyo lwakho zibuye 'zilungile'. Oku kuthetha ukuba inqanaba leswekile yakho egazini liphezulu kunenqanaba elithathwa njengesifo seswekile. Ngexesha elinje, musa ukoyika ekuqaleni. Asikokuphela kwehlabathi oku. Oku kuthetha ukuba ngoku lixesha elifanelekileyo lokuba ucinge ngakumbi ngempilo yakho kwaye uyinyamekele.
Ugqirha wakho kusenokufuneka enze ezinye iimvavanyo ezimbalwa ukuqinisekisa ukuxilongwa nge-100%. Ukuba ukuxilongwa kuqinisekisiwe, uya kukunika isicwangciso esicacileyo sokukunceda ulawule amanqanaba eswekile egazini lakho kwaye uthintele iingxaki ezinkulu esizixubushe ngaphambili. Oku kungabandakanya amayeza, ukutya okukhethekileyo, umthambo wemihla ngemihla, kunye notshintsho kwindlela yokuphila . Eyona nto ibalulekileyo kukulandela imiyalelo kagqirha wakho ngokuchanekileyo kwaye uye kwiindibano zakho ngexesha.
Umyalezo Wokuya Ekhaya
- Isifo seswekile sohlobo lwesibini sisifo esingabonisi zimpawu kwasekuqaleni. Kungoko ke, kubaluleke kakhulu ukuvavanya kwangethuba, ngaphandle kokulinda ukuba kuvele iimpawu.
- Ukuba uneminyaka engaphezu kwama-45 ubudala, utyebile kakhulu, unembali yesifo seswekile kusapho lwakho, okanye unezinye izinto ezinokubangela umngcipheko, qiniseka ukuba ubona ugqirha wakho kwaye uvavanyelwe isifo seswekile.
- Uvavanyo lwegazi olulula olusetyenziswa kakhulu kule njongo lubizwa ngokuba yi-Fasting Plasma Glucose (FPG) kunye ne-HbA1c.
- Ukuba ufunyenwe uneswekile, musa ukoyika. Ngonyango olufanelekileyo, ukutya okunempilo, kunye nokuzilolonga rhoqo, ungaphila ubomi obusempilweni nobusebenzayo. Eyona nto ibalulekileyo kukuhlala unxibelelana nogqirha wakho kwaye ulandele iingcebiso zakhe.
💬 Comments (0)
Akukho zimvo zithunyelweyo okwangoku. Faka uluvo lwakho apha okokuqala.
Faka uluvo lwakho