Kwingxelo yovavanyo lwegazi olusandula ukwenziwa, ngaba ugqirha ukuxelele ukuba " iswekile yakho iphezulu kancinci, ayikabi sisifo seswekile , kodwa ikwinqanaba elingaphantsi komda"? Okanye ngaba wakha wayiva into enjalo? Enyanisweni, le meko 'engaphantsi komda' yinto esiyibiza ngokuba yi- 'Prediabetes ' ngokwezonyango. Oku kufana nomqondiso omncinci wesilumkiso oza ngaphambi kwengxaki enkulu yeswekile. Ngoko ke, masithethe ngayo yonke into ngokulula namhlanje.
Yintoni i-prediabetes?
Ngamafutshane, i-'Prediabetes' linqanaba eliphakathi apho inqanaba leswekile egazini lakho liphezulu kunesiqhelo, kodwa lingaphakamanga ngokwaneleyo ukuba libizwe ngokuba sisifo seswekile. Kufana nesibane esimthubi kwisibane sendlela. Asisibane esibomvu sokuyeka, kwaye asisibane esiluhlaza sokuyeka. Kodwa sisilumkiso sokuba sele siza kuba bomvu.
Phantse wonke umntu onesifo seswekile sohlobo lwesibini udlula kwinqanaba elibizwa ngokuba yi-'Prediabetes'. Kodwa into eyoyikisayo kukuba abantu abangaphezu kwama-80% abanale meko abazi nokuba banayo. Kungenxa yokuba ayisoloko ibangela naziphi na iimpawu.
Kodwa iindaba ezimnandi zezokuba ukuba uyayibona kwaye uthatha inyathelo xa une-prediabetes, unokuthintela okanye ulibazise uphuhliso lwesifo seswekile sohlobo lwesibini. Ungaphepha neengxaki ezinzulu ezifana nesifo sentliziyo, iingxaki zemithambo yegazi , kunye nomonakalo emehlweni akho nasezintso. Ugqirha wakho angabiza le meko ngokuthi yi-Impaired Glucose Tolerance (IGT) okanye i-Impaired Fasting Glucose (IFG).
Ngaba abantu abanesifo seswekile sangaphambi kwesifo nabo baneempawu?
Nangona uninzi lwabantu lungenazo iimpawu, ngamanye amaxesha unokufumana izinto ezifana nezi:
- Ukuziva unxaniwe ngaphezu kwesiqhelo.
- Ukufuna ukuchama rhoqo.
- Umbono wam ubonakala ungacacanga kancinci .
- Ukuziva udiniwe ngaphezu kwesiqhelo.
- Ulusu olusemakhwapheni okanye entanyeni lujike lwaba mnyama kwaye lujiyile .
- Kuye kwavela amathegi amancinci kakhulu esikhumba kwezo ndawo zifanayo.
Iimpawu ezithile kubafazi
Ngamanye amaxesha abafazi banokufumana ezinye iimpawu kunye nale meko. Umzekelo:
- Usulelo lwe-yeast oluqhelekileyo okanye usulelo lwe-urinary tract (UTIs).
- Ukuya exesheni okungacwangciswanga okanye ukopha kakhulu.
- Ukuncipha komdla kwinkqubo yesondo.
- Ubunzima bokukhulelwa.
Kutheni sifumana isifo seswekile esingaphambi kwexesha?
Isizathu esiphambili sale meko yimeko ebizwa ngokuba yi-'Insulin Resistance.' Ngoku masibone ukuba yintoni.
Ukutya esikutyayo, ingakumbi iicarbohydrate ( izitatshi ), kongeza iswekile (iglucose) egazini lethu. Ukuze le swekile isetyenziswe njengamandla ziiseli zomzimba wethu, kufuneka ihomoni ebizwa ngokuba yi-'Insulin'. I-'Insulin' ifana nesitshixo esivula iingcango zeeseli kwaye sivumele iswekile ingene.
`Ukuxhathisa i-Insulin` kuthetha ukuba nangona umzimba wethu uvelisa i-`Insulin`, iiseli zethu aziphenduli ngokufanelekileyo kuloo 'Insulin`. Kufana nokuba isitshixo asikwazi ukuvula ucango. Kwenzeka ntoni ke ngoko? Iswekile ayinakungena kwiiseli ize iqokeleleke egazini. Le yindlela `i-Prediabetes` eyenzeka ngayo xa amanqanaba eswekile egazini enyuka.
Kukho izinto ezininzi ezinokubangela le meko 'yokuxhathisa i-insulin':
- Iimpembelelo zemfuza kwizizukulwana ngezizukulwana .
- Ubunzima bomzimba obugqithisileyo , ingakumbi ukuqokelelwa kwamafutha esiswini.
- Uxinzelelo lwexesha elide.
- Ukungalali ngokwaneleyo.
- Ukungazilolongi .
- Ukutya kakhulu ukutya okucutshungulwayo, iziselo ezineswekile, kunye nokutya okunamafutha.
- Ezinye izifo ezinxulumene namahomoni ezifana ne-PCOS (i-Polycystic Ovary Syndrome).
Ungazi njani ukuba unesifo seswekile esingaphambi kwexesha?
Ukuqinisekisa oku, ugqirha wakho usenokucebisa uvavanyo lwegazi oluninzi. Olu luhlu luza kukunceda uqonde olu vavanyo kunye neziphumo zalo.
| Igama lovavanyo | Uluhlu oluQhelekileyo | Inqanaba le-prediabetes | Inqanaba leswekile |
|---|---|---|---|
| Ukuzila Iswekile Egazini (FBS) (Uvavanyo lwenziwa emva kweeyure ezisi-8 zokuzila ukutya) | Ngaphantsi kwe-100 mg/dL | 100 - 125 mg/dL | 126 mg/dL okanye ngaphezulu |
| Uvavanyo lokunyamezela iGlucose yomlomo (OGTT) (Uvavanyo lwenziwe emva kweeyure ezi-2 emva kokusela isiselo seglucose) | Ngaphantsi kwe-140 mg/dL | 140 - 199 mg/dL | 200 mg/dL okanye ngaphezulu |
| Uvavanyo lwe-HbA1c (Uvavanyo olubonisa amanqanaba eswekile aphakathi kwiinyanga ezi-2-3 ezidlulileyo) | 5.6% okanye ngaphantsi | 5.7% - 6.4% | 6.5% nangaphezulu |
Kubalulekile: Ukuba iziphumo zolunye lwezi vavanyo zibuya njenge-'Prediabetes', ugqirha wakho unokucebisa olunye uvavanyo ukuqinisekisa oko.
Yintoni esifanele siyenze ukuze siphume kule meko?
Iindaba ezimnandi zezokuba isifo seswekile esingaphambi kwesifo sisifo esingapheliyo. Ukwenza utshintsho oluncinci kwindlela ophila ngayo kunokwenza umahluko omkhulu.
1. Ukutya okunempilo
Akukho "kutya" okuthe ngqo koku. Kodwa zama ukufaka ezi nguqu zilula ebomini bakho:
- Endaweni yokutya ukutya okwenziwe ngomgubo omhlophe njengesonka , irayisi, kunye neenoodles, zama ukutya ukutya okwenziwe ngeenkozo ezipheleleyo ezifana nerayisi emdaka, i-buckwheat, i-oats, kunye nerayisi emdaka .
- Sela amanzi, iti, kunye nekofu (ngaphandle kweswekile) endaweni yeziselo ezimnandi kunye neejusi zeziqhamo .
- Endaweni yenyama ebomvu (inyama yenkomo, inyama yehagu) kunye nenyama ecutshungulweyo efana neesoseji , yitya intlanzi, inkukhu, amantongomane kunye nemifuno .
- Endaweni yokuqhotsa nzulu , bhaka/rosta okanye ubilise ukutya.
- Nciphisa ubungakanani besabelo kancinci uze wongeze imifuno neziqhamo ezingaphezulu kuso.
2. Zilolonge rhoqo
Xa uzilolonga, izihlunu zakho zifuna amandla. Zisebenzisa iswekile egazini lakho ukuze zenze loo nto. Ngoko ke ukuzilolonga kunciphisa amanqanaba eswekile egazini lakho. Ubuncinane imizuzu eli-150 ngevekiYenza into efana nokuhamba ngokukhawuleza, ukukhwela ibhayisekile, okanye ukudada (umz., imizuzu engama-30 ngosuku, iintsuku ezi-5 ngeveki).
3. Ukulawula ubunzima bomzimba
Ukuba utyebile kakhulu, ukunciphisa umzimba wakho nge-5% ukuya kwi-10% kuphela kunokunciphisa umngcipheko wakho wokuba nesifo seswekile ngaphezulu kwama-50%.
4. Kuphephe ukutshaya kwaye ulawule ukusetyenziswa kotywala
Ukutshaya kuyawenza mandundu amandla okuxhathisa i-insulin. Ngoko ke ukuba uyatshaya, funa uncedo lokuyeka. Kubalulekile nokunciphisa utywala obuselayo.
5. Ukulandela iingcebiso zonyango
Kwabanye abantu, kunye notshintsho kwindlela abaphila ngayo, ugqirha wakho unokucebisa ukuba baqale amayeza afana neMetformin (Glucophage). Ungaze uqale okanye uyeke ukuwasela amayeza wedwa. Soloko uthetha nogqirha wakho ngaphambi kokuba wenze naziphi na izigqibo.
Umyalezo Wokuya Ekhaya
- `I-Prediabetes` luphawu olubalulekileyo olubonisa isilumkiso ngaphambi kokuba umntu abe nesifo seswekile. Musa ukuyithatha lula loo nto.
- Le yimeko ephantse itshintshe ngokupheleleyo. Usenethuba lokuthintela ukuba isifo seswekile singabikho.
- Amayeza akho aphambili ngala: ukutya okunempilo, ukuzilolonga, kunye nokulawula ubunzima .
- Nokuba awunazo iimpawu, ukuba usemngciphekweni wokuba nesifo seswekile (ukuba kukho umntu kusapho lwakho onaso, ukuba utyebile kakhulu), jonga amanqanaba eswekile egazini lakho rhoqo.
- Musa ukoyika oku. Thetha nogqirha wakho uze uqale ukwenza utshintsho namhlanje. Olu lutyalo-mali oluhle kakhulu onokulwenza kuwe.
I-Prediabetes, Isifo seswekile, Inqanaba leswekile, Ukumelana ne-insulin, Iswekile egazini, i-HbA1c, Iimpawu zesifo seswekile
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