Ngaba nawe uziva udiniwe ngalo lonke ixesha, unxaniwe? Okanye kufuneka uchame rhoqo? Usenokucinga ukuba ezi zizinto eziqhelekileyo. Nangona kunjalo, ezi zinokuba ziimpawu zotshintsho olukhulu oluqhubekayo emzimbeni wethu, oluyi-Type 2 Diabetes. Ungakhathazeki, le yimeko eqhelekileyo phakathi kwethu eSri Lanka. Masithethe ngale nto ngokulula nangendlela enobuhlobo namhlanje.
Ngamafutshane, yintoni isifo seswekile sohlobo lwesibini?
Le yimeko yobomi bonke, kodwa ukuba iphathwa kakuhle, akukho nto inokukuthintela ukuba uphile ubomi obuqhelekileyo nobusempilweni.
Cinga ngale ndlela, kukho i-hormone emzimbeni wethu enceda iiseli ukuguqula iswekile (i-glucose) ekutyeni esikutyayo ibe ngamandla, kwaye ibizwa ngokuba yi-insulin . Le insulin yenziwa sisitho esibizwa ngokuba yi-pancreas. Kwisifo seswekile sohlobo lwesibini, izinto ezimbini eziphambili zenzeka:
1. Ukuxhathisa i-insulin: Nangona umzimba wakho uvelisa i-insulin, iiseli zakho aziphenduli kakuhle kuyo. Kufana nokuba kukho isitshixo, kodwa isitshixo sinamathele emlonyeni wakho. Ngoko ke iswekile egazini lakho ayinakungena kwiiseli zakho ize iqokeleleke egazini lakho.
2. Ukungavelisi i-insulin eyaneleyo: Ekuhambeni kwexesha, olu xhathiso lwe-insulin lubangela ukuba i-pancreas isebenze nzima kwaye ivelise i-insulin engakumbi. Emva kwexesha elithile, i-pancreas "iyadinwa" kwaye ayikwazi ukuvelisa i-insulin eyaneleyo.
Ngaphambili, oku kwakubizwa ngokuba yi-"diabetes yabantu abadala." Kodwa namhlanje, ingakumbi ngenxa yokutyeba kakhulu kwasebuntwaneni, le meko inokwenzeka nakubantu abancinci, kwanabantwana abancinci.
Ngaba nawe unazo ezi mpawu? Jonga.
Iimpawu zesifo seswekile sohlobo lwesibini ngamanye amaxesha azibonakali kangako. Yiyo loo nto abanye abantu bengazi nokuba banesifo seswekile. Ziqaphele ezi mpawu.
| Uphawu | Ingcaciso elula |
|---|---|
| Amanzi amaninzi. | Ukuziva ngathi nokuba usela amanzi angakanani na, akwanelanga. |
| Ukuchama rhoqo | Ukufuna ukuchama rhoqo, ingakumbi ebusuku. |
| Umbono ofipheleyo | Amanqanaba aphezulu eswekile egazini anokuchaphazela ilensi yeliso, nto leyo ebangela ukubona okufiphele okwexeshana. |
| Ukungabi nangqondo kwamalungu | Ukungaziva mnandi okanye ukurhawuzelela ezandleni nasezinyaweni. |
| Ukudinwa rhoqo | Ukuziva udiniwe kwaye ulele ngalo lonke ixesha kuba iiseli azifumani amandla (iswekile) eziwadingayo. |
| Ukuphola kwenxeba okulibazisekileyo | Kwanenxeba elincinci lithatha ixesha elide kunesiqhelo ukuphola. |
| Usulelo oluqhelekileyo | Ingakumbi izifo zemvubelo eziphindaphindayo. |
| Ukunciphisa umzimba ngaphandle kwesizathu | Unciphisa umzimba ngaphandle kokuzama. Oku kunokwenzeka kuba iiseli zakho zitshisa amafutha kunye nemisipha ukuze ufumane amandla. |
Lumka kakhulu: Ukuba uneziqwenga ezimnyama nezithambileyo entanyeni yakho, emakhwapheni, njl.njl., oku kungaba luphawu lokungavumi kwe-insulin. Le meko ibizwa ngokuba yi-'Acanthosis Nigricans'. Ukuba ubona into efana nale, bonana nogqirha wakho ngokukhawuleza.
Ziziphi izizathu kunye nezinto ezibangela umngcipheko wesifo seswekile sohlobo lwesibini?
Akukho sizathu sinye sale nto. Ibangelwa zizinto ezahlukeneyo. Ukuba unezinye zezi zinto zinobungozi, unokuba sengozini enkulu yokuba nesifo seswekile.
Izinto ongenakuzitshintsha
- Ubudala:Umngcipheko uphezulu ukuba uneminyaka engaphezu kwama-45 ubudala.
- Imbali yosapho: Ukuba umama wakho, utata, umnakwenu, okanye udadewenu unesifo seswekile, nawe usengozini enkulu.
- Iijini: Ezinye iimpembelelo zejini zinokuphazamisa imveliso kunye nokusebenza kwe-insulin.
Izinto onokuzitshintsha (ezi zezona zibalulekileyo!)
- Ukutyeba kakhulu okanye ukutyeba kakhulu: Okukhona umzimba wakho utyeba kakhulu, kokukhona umngcipheko wakho wokuba ne-insulin resistance uphezulu.
- Ukungazilolongi: Ukungazilolongi umzimba kunegalelo kwisifo seswekile.
- Uxinzelelo Lwegazi Oluphezulu: Nokuba ulawulwa ngamayeza, uxinzelelo lwegazi oluphezulu luyinto enobungozi.
- Amanqanaba e-cholesterol: Ukwehla kwamanqanaba e-cholesterol "elungileyo" (i-HDL) egazini kunye nokwanda kwamanqanaba e-triglycerides.
- Ukutya: Ukutya rhoqo ukutya okuneswekile eninzi, ioyile, kunye nomgubo.
- Ukutshaya.
- Uxinzelelo kunye nokungalali ngokwaneleyo.
Ezinye iimeko zempilo
- I-Prediabetes: Imeko apho amanqanaba eswekile egazini ephezulu kunesiqhelo, kodwa engekho phezulu ngokwaneleyo ukuba ithathwe njengesifo seswekile. Oku kufana nesilumkiso sokugqibela.
- Isifo Seswekile Sokukhulelwa: Ukuba unesifo seswekile ngexesha lokukhulelwa, usengozini enkulu yokuba nesifo seswekile sohlobo lwesibini kamva.
- I-Polycystic Ovary Syndrome (PCOS): Le meko, eqhelekileyo phakathi kwabasetyhini, ikwanxulunyaniswa nokunganyamezelani ne-insulin.
Isifo seswekile sichongwa njani ngokuchanekileyo?
Ukuba uneempawu okanye izinto ezinobungozi ezichazwe apha ngasentla, kungcono ukubona ugqirha uze uhlolwe igazi. Uvavanyo ludla ngokuthatha iintsuku ezimbini ukuqinisekisa ukuba unesifo.
- Uvavanyo lwe-A1c: Olu luvavanyo olulinganisa amanqanaba akho eswekile egazini kwiinyanga ezi-2-3 ezidlulileyo. Olu lolona vavanyo lusetyenziswa kakhulu.
- Ukuzila iGlucose yePlasma (FPG): Olu luvavanyo lwegazi olwenziwa emva kokuzila ukutya (ukungatyi nto kangangeeyure ezisi-8, ukusela amanzi kuphela).
- Uvavanyo Lokunyamezela Iswekile Yomlomo (OGTT): Kolu vavanyo, igazi liqala lithathwe xa uzila ukutya, emva koko kunikwe isiselo esineswekile, kwaye igazi lithathwe kwakhona emva kweeyure ezimbini ukuze kubonwe indlela umzimba osabela ngayo kwiswekile.
Unyango kunye noLawulo: Le yindlela esisoyisa ngayo oku!
Ukulawula isifo seswekile sohlobo lwesibini kukudibanisa utshintsho kwindlela yokuphila, kwaye ukuba kuyimfuneko, amayeza.
1. Utshintsho kwindlela yokuphila (le sisiseko!)
Usenokukwazi ukulawula amanqanaba eswekile egazini lakho ngaphandle kwamayeza, ngokwenza utshintsho kwindlela ophila ngayo.
- Ukutya okunempilo:
- Nciphisa iikhalori:Lawula ubungakanani bokutya okutyayo. Yenza isitya sethu serayisi sibe sincinci kancinci uze usizalise ngemifuno, imifuno, kunye neziqhamo.
- Nciphisa iilekese nomgubo: Nciphisa izinto ezifana neswekile, iziselo ezineswekile, iikeyiki, iibhisikithi kunye nesonka kangangoko unako.
- Ukutya okutyebileyo kwi-fiber: Yitya iziqhamo, imifuno, ukutya okuziinkozo, ii-oats kunye namandongomane amaninzi.
- Umthambo:
- Yenza into efana nokuhamba ngokukhawuleza, ukukhwela ibhayisekile, okanye ukudada ubuncinane imizuzu engama-30 ngosuku.
- Ukongeza koku, kungangcono ukuba ungongeza iintsuku ezimbalwa ngeveki zokuzivocavoca umzimba okwakha amandla njengeyoga kunye nokuphakamisa iintsimbi.
- Ukuhla ukusinda:
- Nokuba ulahlekelwe yi-5% ukuya kwi-7% yobunzima bomzimba wakho kunokuba nefuthe elihle kakhulu kumanqanaba eswekile egazini, i-cholesterol, kunye noxinzelelo lwegazi.
2. Amayeza
Ukuba utshintsho kwindlela ophila ngayo lodwa alunakulawula amanqanaba eswekile egazini lakho, ugqirha wakho uya kukunika amayeza.
Kubalulekile: Kukho iintlobo ezininzi zamayeza esifo seswekile. Ngugqirha wakho kuphela onokumisela amayeza afanelekileyo okanye indibaniselwano yamayeza afanelekileyo kuwe. Kuphephe ukusebenzisa amayeza omnye umntu okanye ukuyeka amayeza akho wedwa.
Amanye amayeza asetyenziswa rhoqo:
- I-Metformin: Eli liyeza lokuqala elinikwa umntu. Linciphisa ukuveliswa kweswekile sisibindi kwaye linceda umzimba ukuba uphendule ngcono kwi-insulin.
- IiSulfonylureas: Ezi zinceda umzimba ukuba uvelise i-insulin engakumbi.
- Izithinteli ze-DPP-4, izithinteli ze-SGLT2, ii-agonists ze-GLP-1 receptor: La ngamayeza amatsha kwaye anceda ukulawula amanqanaba eswekile egazini ngeendlela ezahlukeneyo.
- I-Insulin: Kwezinye iimeko, xa amanye amayeza enganelanga, kufuneka i-insulin injection. Oku akupheleli kwisifo seswekile, kodwa linyathelo elinye nje lokulawula isifo seswekile.
Masithintele iingxaki ezibangelwa sisifo seswekile.
Kutheni sisebenza nzima kangaka ukulawula isifo seswekile? Kuba amanqanaba aphezulu eswekile egazini ixesha elide anokonakalisa amalungu abalulekileyo emzimbeni wethu.
- Intliziyo nemithambo yegazi: Umngcipheko wokuhlaselwa sisifo sentliziyo kunye nesifo sohlangothi uphindaphindeka kabini.
- Izintso: Kukho umngcipheko wokonakala kwezintso nokungaphumeleli kwazo.
- Amehlo: Imithambo yegazi emehlweni ingonakala kwaye ikhokelele ekulahlekelweni kokubona (iDiabetic Retinopathy).
- Iimithambo-luvo: Ukonakala kwemithambo-luvo kunokubangela ukulahlekelwa zimvakalelo kwimilenze kunye neengxaki zokugaya ukutya (i-Diabetic Neuropathy).
- Iinyawo: Ngenxa yokuncipha kokujikeleza kwegazi kunye nomonakalo wemithambo-luvo, kukho ithuba elikhulu lokuba amanxeba ezinyaweni angapholi kwaye anokosulelwa.
Musa ukoyika nantoni na kwezi zinto. Ukuba ulawula kakuhle isifo sakho seswekile, unokuthintela uninzi lwezi ngxaki. Nazi ezinye zezinto onokuzenza:
- Ukuthatha amayeza ngexesha elifanelekileyo.
- Ukugcina ukutya okunempilo.
- Ukuzilolonga rhoqo.
- Jonga rhoqo amanqanaba eswekile egazini lakho njengoko ugqirha wakho eyalele.
- Jonga amehlo akho, izintso kunye neenyawo zakho rhoqo njengoko ugqirha wakho ekuyalele.
Umyalezo Wokuya Ekhaya
- Isifo seswekile sohlobo lwesibini asiyonto yokoyika, kodwa yimeko enokulawulwa kakuhle.
- Indlela ophila ngayo, ingakumbi ukutya okutyayo kunye nokuzilolonga , zezona zixhobo ziphambili kweli dabi.
- Musa ukuzityeshela iimpawu. Ukuba unamathandabuzo, bonana nogqirha wakho ngoko nangoko.
- Sela amayeza akho kanye njengoko ugqirha wakho ekuyalele, ngexesha elifanelekileyo. Ungaze uwatshintshe okanye uwayeke ngokwakho.
- Ukuphila nesifo seswekile kunokuba nzima ngokweemvakalelo ngamanye amaxesha. Cela uncedo ukuba uyalufuna, awuwedwa. Xa ulawula kakuhle, ungaphila ubomi obupheleleyo nobonwabisayo.
💬 Comments (0)
Akukho zimvo zithunyelweyo okwangoku. Faka uluvo lwakho apha okokuqala.
Faka uluvo lwakho