Abantu abaningi ezweni lethu banesifo esibizwa ngokuthi i-Diabetes. Mhlawumbe wena, ilungu lomndeni, noma umngane unalesi simo. Ukuphila nesifo sikashukela kuyinselele, kodwa uma usilawula kahle, ungaphila impilo evamile. Kodwa-ke, uma singasilawuli kahle, okungukuthi, uma izinga likashukela egazini lihlala liphezulu, kungabangela umonakalo ongacabangeki ezithweni zomzimba wethu. Namuhla sikhuluma ngezinkinga ezibangelwa isifo sikashukela. Ukuqaphela lokhu kuzoba usizo olukhulu ekuzivikeleni.
Isifo Senhliziyo Nokushaywa Yisifo Sohlangothi
Enye yezinkinga ezivame kakhulu neziyingozi zesifo sikashukela yisifo senhliziyo. Lapho amazinga kashukela egazini enyuka, izindonga zemithambo yethu yegazi ziyalimala, bese i-cholesterol namafutha kuqala ukuqongelela ngaphakathi kuyo. Lokhu kubangela ukuthi imithambo yegazi inciphe, kunciphisa ukugeleza kwegazi enhliziyweni. Lena imbangela eyinhloko yokuhlaselwa yinhliziyo.
Kunjalo nangesimo esibizwa ngokuthi i-stroke . Lesi simo senzeka lapho umthambo wegazi othwala igazi ebuchosheni uvaleka noma uqhuma. Le ngozi iphezulu kakhulu kumuntu onesifo sikashukela.
Udokotela wakho uzohlola lezi zinto:
Lezi zivivinyo zenziwa cishe njalo uma uya kudokotela.
- Umfutho Wegazi : Umfutho wakho wegazi ulinganiswa nge-cuff ezungeze ingalo yakho. Kubalulekile ukuwugcina ungaphansi kuka-130/80 mmHg.
- Ukuhlolwa kwegazi : Kuthathwa inani elincane legazi ukuze kuhlolwe amazinga akho e-cholesterol embi ( i-LDL cholesterol) kanye ne -triglycerides .
- Ukuhlolwa kwe-ECG : Ukuhlolwa kwe-ECG (i-Electrocardiogram) kuzokwenziwa ngesikhathi sokuqala sokuhlolwa ukuze kuhlolwe ukusebenza kwenhliziyo yakho futhi kugcinwe irekhodi layo.
Into ebaluleke kakhulu ukukhuluma nodokotela wakho ngezinto ezikubangela ubungozi , njengomlando womndeni wesifo senhliziyo nokuthi uyabhema yini. Lezi zingozi zingancishiswa kakhulu ngezinto ezifana nokwehlisa isisindo , ukuzivocavoca umzimba kanye nokunciphisa ukucindezeleka .
Uma ubona izimpawu zesifo sohlangothi , kufanele uye esibhedlela ngokushesha.Uma uzwa izimpawu ezifana nokuba ndikindiki okungazelelwe kolunye uhlangothi lobuso noma lomzimba wakho, ubunzima bokukhuluma, ubunzima bokubona emehlweni womabili, noma isiyezi, hamba ngokushesha eMnyangweni Wezimo Eziphuthumayo (ETU) .
Ukulimala kwezinso (i-Diabetic Nephropathy)
Izinso ziyizihlungi emizimbeni yethu. Zihlunga imikhiqizo engcolile egazini. Kodwa-ke, lapho amazinga kashukela egazini ehlala ephezulu isikhathi eside, imithambo yegazi ebucayi ezinso iyalimala. Lokhu kubizwa ngokuthi i-Diabetic Nephropathy .
Ezigabeni zokuqala, azikho izimpawu, kodwa kancane kancane ukusebenza kwezinso kuyehla, futhi ekugcineni izinso zingase zingasebenzi ngokuphelele.
Ngakho-ke, kubalulekile ukuthi wonke umuntu onesifo sikashukela ahlolwe izinso okungenani kanye ngonyaka .
- Ukuhlolwa komchamo : Umchamo wakho uzohlolwa ukuthi awunayo yini iphrotheni ebizwa ngokuthi i-albumin. Ngokuvamile, le phrotheni ayikhishwa emchameni. Kodwa-ke, lapho izinso zonakele, le phrotheni iqoqana emchameni.
- Ukuhlolwa kwegazi: Kuzokwenziwa ukuhlolwa kwegazi ukuhlola izinga lakho le-creatinine kanye ne-GFR (Izinga Lokuhlunga le-Glomerular). Kalula nje, i-GFR iyisilinganiso sokuthi izinso zakho zihlunga kahle kangakanani imikhiqizo engcolile.
Ukulimala kwemizwa (i-Diabetic Neuropathy)
Lokhu futhi kuyinkinga evamile kakhulu yesifo sikashukela. Amazinga aphezulu kashukela egazini alimaza imizwa emzimbeni wethu. Lokhu kubizwa ngokuthi i-diabetic neuropathy . Kuthinta kakhulu imizwa ezandleni nasezinyaweni.
Ingabe unazo lezi zimpawu?
- Izandla nezinyawo ziyathuthumela.
- Izinyawo zami zizwa sengathi ziyasha.
- Ngezinye izikhathi kuba nokungezwani komzimba.
Ingozi enkulu yalokhu ukuthi ngeke ukwazi ukuzwa lutho ezinyaweni zakho. Cabanga nje, unenxeba elincane onyaweni lwakho, noma iva elibhajwe kulo, kodwa kuthiwani uma ungalizwa? Lokho kulimala okuncane kungakhula, kutheleleke, futhi mhlawumbe kuholele esidingweni sokunqunywa konyawo lwakho.
Ngakho-ke, hlola izinyawo zakho njalo ebusuku ngaphambi kokulala . Hlola ukubomvu, ukuvuvukala, izilonda , noma isikhumba esiqhekekile. Uma ubona noma yikuphi kwalokhu, tshela udokotela wakho ngokushesha.
Udokotela wakho uzohlola nezinyawo zakho okungenani kanye ngonyaka. Bangase bathinte unyawo lwakho ngento efana nentambo ye-nylon noma iphini elincane ukuze babone ukuthi uyakwazi yini ukuluzwa. Uma ungakwazi ukuluzwa, kungaba uphawu lokulimala kwemizwa.
Imiphumela ekubukeni kwamehlo (i-Diabetic Retinopathy)
Isifo sikashukela singalimaza namehlo. Ushukela ophezulu egazini ulimaza imithambo yegazi ethambile ehambisa igazi ku-retina ngemuva kweso. Lokhu kubizwa ngokuthi i-diabetic retinopathy . Uma ingelashwa, ingaholela ebumpumputheni.
Ngakho-ke, kubalulekile ukuthi wonke umuntu onesifo sikashukela abonane nodokotela wamehlo okungenani kanye ngonyaka ukuze ahlolwe amehlo akhe.
- Ukuhlolwa kwamehlo: Udokotela uzofaka amaconsi esweni lakho ukuze avule imbobo. Ngemuva kwalokho, bazosebenzisa ilensi ekhethekile ukuhlola ingemuva leso lakho, i-retina , ukuze babone ukuthi kukhona yini umonakalo.
- Umbono wakho uzoba mfushane futhi uzwele ekukhanyeni amahora ambalwa ngemva kwalokhu kuhlolwa. Ngakho-ke kungumqondo omuhle ukuletha izibuko zelanga bese ucela omunye umuntu akushayele .
Abantu abanesifo sikashukela sohlobo 1 kufanele baqale lokhu kuhlolwa zingakapheli iminyaka emi-3-5 bexilongiwe. Abantu abanesifo sikashukela sohlobo 2 kufanele bahlolwe amehlo abo okokuqala ngokushesha nje lapho bexilongiwe.
Ezinye izinkinga ezivamile
Ngaphezu kwezinkinga ezinkulu ezishiwo ngenhla, kungavela ezinye izinkinga eziningi.
- Izinkinga zokugaya ukudla (i-Gastroparesis): Ukulimala kwemizwa esiswini kubangela ukuthi isisu siphume kancane kancane. Lokhu kubangela izimpawu ezifana nokuqunjelwa kanye nesicanucanu. Ukuqinisekisa lokhu, kungadingeka ukuhlolwa okufana ne -endoscopy .
- Ukungasebenzi Kahle Kwesidoda: Isifo sikashukela sandisa ingozi yokungasebenzi kahle kwesidoda kwabesilisa. Kubalulekile ukukhuluma nodokotela wakho ngalokhu ngaphandle kokuzizwa unamahloni. Kungelashwa ngokushintsha indlela yokuphila kanye nemithi.
- Izinkinga zesikhumba kanye nokutheleleka: Lapho amazinga kashukela egazini enyuka, kwakheka indawo enhle yokukhula kwamagciwane kanye nesikhunta. Kuphinde kunciphise ikhono lomzimba lokuphulukisa amanxeba. Lokhu kungaholela ekuthelelekeni kwesikhumba njalo, ukutheleleka komgudu womchamo, kanye nesifo sezinsini.
- Izinkinga zempilo yamazinyo: Abantu abanesifo sikashukela basengozini enkulu yokuba nesifo sezinsini (gingivitis), ukubola kwamazinyo, kanye nokulahlekelwa amazinyo. Ngakho-ke, kubalulekile ukuxubha nokusonta nsuku zonke kanye nokubona udokotela wamazinyo njalo.
Izivivinyo okufanele uzithathe
Ukuze uvimbele izinkinga, kubalulekile ukwazi ukuthi isifo sakho sikashukela silawulwa kahle kangakanani. Lokhu kuhlolwa kuyasiza ngalokho.
| Igama lokuhlolwa | Incazelo elula |
|---|---|
| Ukuhlolwa kwegazi kwe-A1c | Lokhu kukunikeza umbono wamazinga akho ajwayelekile kashukela egazini ezinyangeni ezi-3 ezedlule . Kufanele ukwenze lokhu okungenani kabili ngonyaka. |
| Ukuhlolwa kwe-Ketone | Uma amangqamuzana omzimba engenawo ushukela owanele, ashisa amafutha ukuze athole amandla. Amakhemikhali akhiqizwayo abizwa ngokuthi ama-ketone, ahlolwa emchameni. Amazinga aphezulu e-ketone angaholela ku -DKA (Diabetic Ketoacidosis), isimo esiyingozi. |
| Ukuhlolwa kwe-thyroid | Kukhona ukuxhumana phakathi kwesifo sikashukela kanye ne-hypothyroidism, ngakho-ke lokhu kuhlolwa kufanele kwenziwe ngeseluleko sikadokotela. |
Isifo sikashukela siyinto edinga ukuphathwa kahle. Ungesabi. Uma ulandela imiyalelo kadokotela wakho ngokucophelela, uphuza imithi yakho ngesikhathi, ulawula ukudla kwakho, futhi uvivinya umzimba, ungazivikela ezinkingeni eziningi ezibalwe ngenhla.
Umlayezo Wokuya Nawe Ekhaya
- Uma isifo sikashukela singalawulwa, singathinta cishe zonke izitho zomzimba wakho, okuhlanganisa inhliziyo yakho, izinso, amehlo kanye nemizwa.
- Vakashela udokotela wakho ngesikhathi bese uhlola umfutho wegazi lakho, i-cholesterol, kanye namazinga e-A1c.
- Qiniseka ukuthi ubona udokotela wamehlo okungenani kanye ngonyaka ukuze ahlolwe amehlo akho.
- Hlola izinyawo zakho nsuku zonke ukuze ubone amanxeba, imifantu, noma ezinye izinkinga.
- Ukugwema ukubhema, ukudla ukudla okunempilo, nokuzivocavoca njalo kunganciphisa kakhulu ingozi yezinkinga.
- Uma ubona noma yiziphi izimpawu ezingavamile (isib. ubuhlungu besifuba, ukungazweli, izinguquko embonweni), yazisa udokotela wakho ngokushesha.
Isifo Sikashukela, Izinkinga Zesifo Sikashukela, Isifo Senhliziyo, Isifo Sezinso, Ukulimala Kwezinzwa, Ukulawulwa Kwesifo Sikashukela
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