Kuvamile ukuthi sizizwe silambile kancane ngezinye izikhathi. Cabanga ngosuku lapho uvivinye kanzima, noma lapho ukhathele ngemva kosuku olude emsebenzini... Ngaleso sikhathi, cishe ulambile kancane. Kodwa, ingabe uzizwa ulambile kangangokuthi awukwazi ukuyeka ukudla, futhi kungakhathaliseki ukuthi udla okungakanani, uzizwa ufuna ukudla kakhulu? Lokhu akuyona nje indlala. Kwezokwelapha, lokhu sikubiza ngokuthi i-Polyphagia noma i-Hyperphagia.
Kalula nje, lesi akusona isifo, kodwa uphawu lwesifo. Kungase kube nesizathu esifihliwe ngemuva kwalokhu kulamba ngokweqile. Into ekhethekile ukuthi ngezikhathi ezinjalo, ukudla ngendlela evamile akukwenzi ulambe. Kodwa-ke, indlala eyenzeka lapho amazinga kashukela egazini ephansi (i-Hypoglycemia) ivame ukwehla uma udla into emnandi. Ngalesi simo se-Polyphagia, ngezinye izikhathi isisindo somzimba singakhuphuka, futhi ngezinye izikhathi isisindo somzimba singancipha ngendlela engachazeki. Kuncike esimweni sezokwelapha esiyisisekelo esibangela lokhu.
Kungani kukhona indlala enkulu kangaka?
Imbangela eyinhloko nevame kakhulu yalesi simo esibizwa ngokuthi i-polyphagia isifo sikashukela esingatholakali noma esingalawulwa kahle (i-Diabetes Mellitus) . Ake sixoxe ngaso ngokujulile. Ngaphezu kwalokho, kunezinye izimbangela eziningana.
Ukuxhumana phakathi kwesifo sikashukela nendlala enkulu
Isifo sikashukela yisimo lapho imizimba yethu ingakhiqizi i-hormone insulin eyanele, noma ayikwazi ukusebenzisa i-insulin eyikhiqizayo ngendlela efanele. Cabanga nge-insulin njengesihluthulelo esivula umnyango wamaseli emzimbeni wethu. Ukuze ushukela obizwa ngokuthi i-glucose, esiwuthola ekudleni esikudlayo, ungene emaselini njengamandla, sidinga ukusebenzisa lesi sihluthulelo esibizwa ngokuthi i-insulin ukuvula umnyango.
Uma i-insulin ingekho noma ingasebenzi kahle, i-glucose ayikwazi ukungena emangqamuzaneni. Bese iqoqana egazini bese amazinga kashukela egazini (i-Hyperglycemia) enyuka. Njengoba amangqamuzana engenawo amandla, ubuchopho buthola isignali ethi, "Anginawo amandla anele, ngidinga ukudla okwengeziwe." Yingakho umuntu onesifo sikashukela ezizwa elambile kakhulu.
Kunezinhlobo ezintathu eziyinhloko zesifo sikashukela:
- Isifo Sikashukela Sohlobo 1: Lesi yisifo esibangelwa ukuzivikela komzimba. Okwenzekayo lapha ukuthi amasosha omzimba wethu ahlasela futhi abhubhise amangqamuzana akhiqiza i-insulin kuma-pancreas. Ngakho-ke, akukho insulin ekhiqizwayo nhlobo. Njengoba amangqamuzana engenawo amandla, umzimba uqala ukushisa amafutha nemisipha ngokuzumayo ukuze uthole amandla. Lokhu kubangela indlala enkulu kanye nokwehla kwesisindo ngokushesha.
- Isifo Sikashukela Sohlobo 2: Lolu uhlobo oluvame kakhulu. Luvela lapho umzimba ungakhiqizi i-insulin eyanele noma amaseli engaphenduli kahle ku-insulin oyikhiqizayo (ukumelana ne-insulin). I-Polyphagia ingase ingabi nzima njengasesifo sikashukela sohlobo 1.
- Isifo Sikashukela Sokukhulelwa: Ngesikhathi sokukhulelwa, ama-hormone akhishwa yi-placenta andisa ukumelana ne-insulin emzimbeni. Lokhu kungabangela abanye omama ukuba bahlakulele isifo sikashukela okwesikhashana.
Kunezimpawu ezintathu eziyinhloko zesifo sikashukela. Odokotela bazibiza ngokuthi "ama-3P esifo sikashukela." Kubaluleke kakhulu ukukhumbula lezi.
| Uhlamvu "P" | Izimpawu (ngesiSinhala) | Igama lezokwelapha (isiNgisi) |
|---|---|---|
| 1. I-Polphagia | Indlala enkulu | Indlala Enkulu |
| 2. I-Polydipsia | Ukoma ngokweqile | Ukoma Okukhulu |
| 3. I-Polyuria | Ukuchama njalo | Ukuchama Okuvamile |
Uma unazo zonke lezi zimpawu ezintathu, ikakhulukazi kanye nokwehla kwesisindo, bona udokotela ngokushesha okukhulu. Lokhu kungaba yisimo esiphuthumayo.
Ezinye izimo ezihlobene nama-hormone
Ngaphezu kwesifo sikashukela, ezinye izifo ezihlobene nama-hormone zingabangela i-polyphagia.
- I-Hyperthyroidism: Kulesi simo, i-thyroid gland ikhiqiza i-thyroid hormone eningi kakhulu. Lawa ma-hormone alawula i-metabolism yomzimba wethu, okuyisilinganiso esishisa ngaso amandla. Lapho ama-hormone enyuka, injini yomzimba isebenza ngokushesha, futhi izinga lokushiswa kwama-calories liyanda kakhulu. Lokhu kungaholela ekulambeni njalo nasekunciphiseni isisindo.
- I-Premenstrual Syndrome (PMS):Lesi simo singase senzeke isonto noma amabili ngaphambi kokuba owesifazane aqale ukuya esikhathini. Izinguquko emazingeni e-estrogen ne-progesterone emzimbeni kanye nokwehla kwe-serotonin ye-neurotransmitter kungabangela indlala enkulu phakathi nalesi sikhathi.
- I-Insulinoma: Lolu uhlobo lwesimila olungavamile kakhulu. Lukhula emaseli akhiqiza i-insulin e-pancreas. Lesi simila sibangela ukukhishwa kwe-insulin ngokweqile, okuholela emazingeni aphansi kakhulu kashukela egazini (hypoglycemia). Esinye sezimpawu eziyinhloko zalokhu indlala enkulu.
Izimo zempilo yengqondo
I-Polyphagia ingabangelwa nayizimo ezithile zengqondo.
- Ukucindezeleka Okungavamile: Lolu uhlobo lokucindezeleka olubonakala ngokuthanda ukudla ngokweqile kanye nokwanda kwesisindo, kunokuba kube ukulahlekelwa yisifiso sokudla njengasekucindezelekeni okuvamile.
- Ukucindezeleka: Uma sicindezelekile, imizimba yethu ikhiqiza i-hormone ebizwa ngokuthi i-cortisol. Le hormone ingakhuphula amazinga kashukela egazini futhi ibangele indlala.
- Ukukhathazeka: Ukukhathazeka kungabangela nokuthi amazinga e-cortisol akhuphuke, okuholela ekulambeni okukhulu. Ngezinye izikhathi lokhu kuyimpendulo engokomzwelo. Uma ungakwazi ukubhekana nemizwa efana nokudabuka noma ukukhathazeka, ukudla kungaba yindlela yokubhekana nesimo.
Yini engenziwa ukwelapha lokhu?
I-Polyphagia iphathwa ngokuhlonza nokwelapha isimo esiyisisekelo esiyimbangela. Uma imbangela isilashiwe, le ndlala eningi ivame ukuphela.
Ngokwesibonelo:
- Isifo sikashukela sohlobo 1 sidinga imijovo ye-insulin impilo yonke.
- I-Hyperthyroidism ingadinga imithi, ukwelashwa nge-iodine enemisebe, noma ukuhlinzwa .
- Uma lesi simo sibangelwa umuthi othile, udokotela wakho uzonquma ukushintsha umuthi noma ukulungisa umthamo.
Into ebaluleke kakhulu ukubonana nodokotela ukuze uthole ukuxilongwa okunembile, kunokuzama ukuzelapha.
Kufanele uye nini kudokotela?
I-Polyphagia imvamisa iyisibonakaliso sesimo sezokwelapha esidinga ukunakekelwa kwezokwelapha, ngakho-ke uma ulambile njalo futhi ungalawuleki, kungcono ukubona udokotela ukuze akunike iseluleko.
Naka ngokukhethekile!
Uma wena noma ingane yakho ninezimpawu ezifana nendlala enkulu (i-polyphagia), ukoma ngokweqile (i-polydipsia), ukuchama njalo (i-polyuria), kanye nokwehla kwesisindo ngokushesha,Yiya emnyangweni wezimo eziphuthumayo esibhedlela esiseduze (i-ETU). Lokhu kungaba izimpawu zesifo sikashukela sohlobo 1 esingalashwanga. Uma singelashwa ngokushesha, singaholela enkingeni esongela ukuphila ebizwa ngokuthi i-diabetic ketoacidosis (DKA).
Indlala engapheli engapheli ngisho nangemva kokudla akuyona into okufanele uyithathe kalula. Uma ubona ushintsho olusheshayo ekudleni kwakho noma kwengane yakho, ungesabi futhi ubone udokotela. Uzokwazi ukwenza izivivinyo ezidingekayo futhi athole imbangela eqondile.
Umlayezo Wokuya Nawe Ekhaya
- I-Polyphagia akuyona nje indlala evamile. Iyindlala engalawuleki, engavamile, nedlulele.
- Lokhu kungaba uphawu lwesifo esithile, ikakhulukazi isifo sikashukela.
- Indlala eningi, ukoma ngokweqile, kanye nokuchama njalo ("3 Ps") yizimpawu eziyisixwayiso eziyinhloko zesifo sikashukela.
- Uma lezi zimpawu zihambisana nokwehla kwesisindo, kungaba yisimo esiphuthumayo, ngakho-ke bonana nodokotela ngokushesha noma uye e-Emergency Treatment Unit (ETU) yesibhedlela.
- Ungazinaki izimpawu ezinjengalezi. Ukuxilongwa nokwelashwa okufanele kungavimbela izinkinga ezinkulu.

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