Sonke siyazi ukuthi isifo sikashukela sesibe yisifo esivame kakhulu ezweni lakithi. Mhlawumbe othile emndenini wakho, umngane, noma wena ngokwakho unalesi simo. Kodwa kungani isifo sikashukela sohlobo lwesibili sivame kangaka? Namuhla, sizokhuluma nje ngezizathu zangempela ezithinta lokhu kanye nalokho okwenzekayo emizimbeni yethu esingakuqondi.
Kungani sithola isifo sikashukela? Indima ye-insulin
Ukuze siqonde lokhu, ake siqale sibheke ukuthi imizimba yethu isebenza kanjani. Cabanga ukuthi imizimba yethu ifana nemoto. Le moto idinga uphethiloli ukuze isebenze. Ngokufanayo, izigidigidi zamaseli emizimbeni yethu zidinga amandla ukuze zisebenze. La mandla avela kushukela, i-glucose , eyakheka lapho sigaya ukudla esikudlayo. Le glucose itholakala egazini.
Kodwa le glucose ayikwazi ukungena nje emangqamuzaneni. Idinga "ukhiye." Leso sikhiye yi-hormone i -insulin . Le insulin yenziwa yisitho esibizwa ngokuthi i-pancreas esiswini sethu. Uma sidla, izinga le-glucose egazini liyakhuphuka, ngakho-ke i-pancreas ikhiqiza i-insulin bese iyinezela egazini. Le insulin ivula "iminyango" yamaseli bese ivumela i-glucose ukuthi ingene. Ngemuva kwalokho amaseli athola amandla futhi izinga likashukela egazini liyalawulwa.
Ngakho-ke, isifo sikashukela siyakhula uma le nqubo iphambuka. Singenzeka ngezindlela ezintathu eziyinhloko:
1. I-pancreas yakho ayikhiqizi i-insulin eyanele .
2. Ngisho noma i-pancreas ikhiqiza i-insulin, amangqamuzana omzimba awasabeli kahle kuleyo insulin . Kufana nofudu oluvalelwe emnyango yize lunesihluthulelo. Ngokwezokwelapha, lokhu sikubiza ngokuthi ukumelana ne-insulin .
3. Zombili lezi zinto zenzeka ndawonye.
Abantu abanesifo sikashukela sohlobo lwesibili bakhiqiza i-insulin emizimbeni yabo. Kodwa inkinga ukuthi ayanele noma amaseli awakwazi ukuyisebenzisa. Ngenxa yalokho, i-glucose ayikwazi ukungena emaseli futhi iqongelela egazini. Yilokho esikubiza ngokuthi 'ushukela ophezulu egazini'.
Yiziphi izinto eziyinhloko ezibangela ingozi?
Akukhona imbangela eyodwa yesifo sikashukela, kodwa inhlanganisela yezici eziningi. Ake sibheke ukuthi yiziphi eziyinhloko.
Isisindo somzimba kanye nokuntuleka kokuzilolonga
Lesi yisona sizathu esiyinhloko nesivame kakhulu . Ingozi yesifo sikashukela iyanda kakhulu uma isisindo somzimba, ikakhulukazi ngaphezu kwesisindo esifanele sokuphakama. Okuyingozi nakakhulu ukuqongelela kwamafutha esiswini (amafutha esiswini) . Lawa maseli amafutha engeziwe anegalelo ngqo ekuphikisweni kwe-insulin.
Indlela yokuphila yokungenzi lutho, okusho ukuhlala phansi cishe usuku lonke nokungenzi noma yikuphi ukuvivinya umzimba, kwandisa le ngozi nakakhulu. Ukulahlekelwa yisisindo somzimba wakho ngo-5% kuya ku-10% kuphela kunganciphisa kakhulu ingozi yakho yesifo sikashukela.
Imikhuba emibi yokudla
Konke esikudlayo kuthinta amazinga kashukela egazini. Ikakhulukazi,
- Ukudla okunamafutha (isb., ukudla okufushane, i-kottu, ilayisi elithosiwe)
- Iziphuzo ezinoshukela kanye nokudla (amakhekhe, amabhisikidi, i-toffee, iziphuzo ezinoshukela)
- Inyama ecutshunguliwe
- Ukudla ngokweqile ama-carbohydrate agayeka ngokushesha njengesinkwa esimhlophe nelayisi elimhlophe
Imikhuba yokudla efana nale ingaholela ekukhuluphaleni nasekumelaneni ne-insulin.
Umlando womndeni (uhlu lozalo)
Lokhu futhi kuyisici esibaluleke kakhulu. Uma umama wakho, ubaba, umfowenu noma udadewenu enesifo sikashukela, usengozini enkulu yokuba naso kunabanye. Kukhona ukuxhumana kwezakhi zofuzo nalokhu. Kodwa ukuthi othile emndenini wakho unaso akusho ukuthi nakanjani uzosithola. Kodwa kufanele uqaphele kakhulu kunabanye.
Ubudala nohlanga
Ingozi yokuba nesifo sikashukela iyanda kancane kancane ngemva kweminyaka engu-45. Futhi ucwaningo olwenziwe emhlabeni wonke lubonise ukuthi le ngozi iphakeme kwamanye amaqembu ezinhlanga. Isibonelo, thina, esingama-Asia, sisengozini enkulu.
Ezinye izimo zempilo ezihlobene nesifo sikashukela
Kunezifo ezithile ezingaholela kushukela. Uma unesinye noma ngaphezulu kwalezi, kuwukuhlakanipha ukukhuluma nodokotela bese uhlolwa isifo sikashukela.
| Isimo sempilo/isici esiyingozi | Incazelo elula |
|---|---|
| Umfutho Wegazi Ophakeme | Kukhona ukuxhumana okuqinile phakathi komfutho wegazi ophakeme nesifo sikashukela. |
| Izinga lamafutha egazini (i-Cholesterol) | Ukwehla kwamazinga e-cholesterol enhle (i-HDL) egazini kanye nokwanda kohlobo lwamafutha olubizwa ngokuthi ama-triglycerides. |
| I-Polycystic ovary syndrome (i-PCOS) | Lesi yisimo samahomoni esithinta abesifazane. Abantu abaningi abane-PCOS nabo banokumelana ne-insulin. |
| Isifo Sikashukela Sokukhulelwa | Isifo sikashukela sokukhulelwa uhlobo lwesifo sikashukela oluvela kuphela ngesikhathi sokukhulelwa futhi lunyamalale ngemva kokubeletha. Abantu abanalesi simo basengozini enkulu yokuthola isifo sikashukela sohlobo 2 kamuva ekuphileni. |
| I-Prediabetes | Isimo lapho amazinga kashukela egazini ephakeme kunokuvamile, kodwa engekho phezulu ngokwanele ukuthi angabhekwa njengesifo sikashukela. Lokhu kufana nesixwayiso. |
Ezinye izizathu
- Ukubhema: Abantu ababhema ugwayi basengozini enkulu yokuhlaselwa yisifo sikashukela ngo-30%-40% kunalabo abangabhemi.
- Izinkinga zokulala: Ukungalali ngokwanele kunciphisa ukusebenza kwamahomoni omzimba kanye nokuzwela kwe-insulin.
- Imithi ethile: Eminye imithi yokucindezeleka kwegazi okuphezulu, ukugula kwengqondo, kanye ne-cholesterol (isb., ama-steroid, amanye ama-diuretic) ingakhuphula amazinga kashukela egazini uma isetshenziswa isikhathi eside. Kodwa-ke, ungayeki ukuthatha imithi udokotela wakho ayinikezile ngenxa yalokhu. Uma unenkinga, khuluma nodokotela wakho.
Wazi kanjani ukuthi unesifo sikashukela?
Udokotela uvame ukuqinisekisa ukuthi unesifo sikashukela ngokubheka imiphumela yokuhlolwa kwegazi. Ukuxilongwa kwenziwa ngesinye noma ngaphezulu kwalokhu.
- Ushukela Ogazini Ozila Ukudla (FBS): Lokhu kuhlolwa kwenziwa ngemva kokuzila ukudla okungenani amahora angu-8-10 futhi inani lingu-126 mg/dL noma ngaphezulu.
- Ukuhlolwa kwe-HbA1c: Lokhu kulinganisa izinga lakho elijwayelekile likashukela egazini ezinyangeni ezi-2-3 ezedlule. Uma inani lingu-6.5% noma ngaphezulu.
- I-OGTT (Ukuhlolwa Kokubekezelela I-glucose Yomlomo): Uma izinga likashukela egazini lingu-200 mg/dL noma ngaphezulu emahoreni amabili ngemuva kokuphuza isisombululo se-glucose.
Ngokuvamile, udokotela akaxilongi isifo ngokuhlolwa okukodwa nje, kodwa uqinisekisa lokhu ngokusihlola kabusha ngolunye usuku.
Into ebaluleke kakhulu ukungesabi uma unesinye noma ngaphezulu salezi zinto eziyingozi. Akusho ukuthi unesifo sikashukela, kodwa kusho ukuthi sekuyisikhathi sokunakekela indlela yakho yokuphila.
Umlayezo Wokuya Nawe Ekhaya
- Izimbangela eziyinhloko zesifo sikashukela sohlobo lwesibili isisindo somzimba esiningi (ikakhulukazi amafutha esiswini) kanye nokuntuleka kokuzilolonga . Lezi yizinto esingazishintsha.
- Uma othile emndenini wakho enesifo sikashukela, kudingeka uqaphele kakhulu kunabanye.
- Ezinye izimo zezokwelapha, njengomfutho wegazi ophezulu kanye ne-cholesterol, zandisa ingozi yesifo sikashukela. Ngakho-ke, kubalulekile ukulawula lezo zimo kahle.
- Ukudla okunempilo, ukuzivocavoca nsuku zonke, kanye nokugcina isisindo esinempilo sobude bakho kuyizindlela ezinhle kakhulu zokuzivikela kusifo sikashukela.
- Uma unenkinga noma unezinto ezibangela isifo sikashukela, khuluma nodokotela wakho ngakho ngokukhululekile bese uthola iseluleko nokuhlolwa okudingekayo. Uma sitholakala kusenesikhathi, kuba lula kakhulu ukusilawula.
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