Namuhla sizokhuluma ngesifo esivame kakhulu ezweni lethu nasemhlabeni wonke, futhi esingaba sibi kakhulu. Leso isifo sikashukela. Ikakhulukazi, sikhuluma ngesifo sikashukela sohlobo lwesibili. Inkinga enkulu ngalokhu ukuthi akuwona wonke umuntu onalesi sifo owaziyo ngaso. Ucwaningo lubonisa ukuthi umuntu oyedwa kwabathathu onesifo sikashukela akazi ukuthi unalesi sifo. Cabanga ukuthi sibi kangakanani. Isizathu esiyinhloko salokhu ukuthi azikho izimpawu ezicacile ezigabeni zokuqala. Ngakho-ke uma singalindi ukuthi izimpawu zivele, futhi uma sihlola futhi sikubona kusenesikhathi, sizothola ithuba lokuzisindisa ezinkingeni eziningi ezinkulu ezingase zivele esikhathini esizayo.
Uma isifo sikashukela singalawulwa, i-hyperglycemia engapheli ingabangela umonakalo wesikhathi eside emehlweni, ezinso, ezinzwa, enhliziyweni, nasemithanjeni yegazi. Ngaphezu kwalokho, abantu abanesifo sikashukela esingakahlolwa basengozini enkulu kakhulu yokushaywa unhlangothi, isifo senhliziyo, kanye nesifo semithambo yegazi.
Ngakho-ke, ubani okudingeka ahlolwe isifo sikashukela?
Lena inkinga abantu abaningi abanayo. Njengoba kunconywe yizinhlangano zomhlaba wonke njenge-American Diabetes Association, kubaluleke kakhulu ukuthi wonke umuntu oneminyaka engaphezu kwengu-45 ahlolwe isifo sikashukela okungenani kanye eminyakeni emithathu. Lokhu kubaluleke kakhulu uma ukhuluphele noma ukhuluphele ngokweqile.
Kodwa-ke, uma unezici eziningana zengozi esizixoxa ngezansi, kungcono ukuhlolwa kusenesikhathi, futhi mhlawumbe kaningi (isibonelo, njalo ngonyaka), kunokulinda uze ube neminyaka engu-45.
Kunconywa futhi ukuthi abantu abadala abanomfutho wegazi ophezulu noma i-cholesterol ephezulu bahlolwe isifo sikashukela, njengoba lezi zimo zihlobene. Ukutholwa nokulawulwa kwesifo sikashukela kusenesikhathi kunganciphisa ingozi yezimo ezingathi sína njengesifo senhliziyo.
Yiziphi izinto ezingabangela isifo sikashukela?
"Ingabe ngisengozini?" ungase uzibuze. Ake sibheke izici eziyinhloko eziyingozi. Uma eyodwa noma ngaphezulu yalezi zisebenza kuwe, manje yisikhathi esihle sokucabanga ngokuhlolwa isifo sikashukela.
| Isici Sengozi | Kalula nje... |
|---|---|
| Umlando womndeni | Umama wakho, ubaba, noma abafowenu nodadewenu banesifo sikashukela. |
| Ukwanda kwesisindo | I-Body Mass Index yakho (BMI) ingu-25 noma ngaphezulu. (Ungathola i-BMI yakho ngokubuza udokotela wakho.) |
| Ukuntuleka kokuzilolonga | Ukuphila impilo yokuhlala phansi engadingi ukunyakazisa umzimba. |
| I-Prediabetes | Ekuhlolweni kwangaphambilini, amazinga kashukela egazini okuzila ukudla (Impaired Fasting Glucose - IFG) noma amazinga kashukela egazini ngemva kokuphuza ushukela (Impaired Glucose Tolerance - IGT) ayephezulu kancane kunokuvamile. |
| Umfutho wegazi ophakeme | Ukuba nomfutho wegazi ongu-140/90 mmHg noma ngaphezulu. |
| Amazinga e-cholesterol angajwayelekile | I-cholesterol enhle (i-HDL) egazini ingaphansi kuka-35 mg/dL futhi/noma uhlobo lwamafutha olubizwa ngokuthi i-triglyceride lungaphezu kuka-250 mg/dL. |
| Isifo sikashukela ngesikhathi sokukhulelwa | Ube nesifo sikashukela sokukhulelwa ngesikhathi sokukhulelwa, noma ubelethe umntwana onesisindo esingaphezu kwamakhilogremu angu-10 (cishe amakhilogremu angu-4). |
| Isimo se-PCOS | Ukuba nesifo samahomoni esibizwa ngokuthi i-Polycystic Ovary Syndrome (PCOS) kwabesifazane. |
Yiziphi izivivinyo ezisetshenziswa ukuhlola isifo sikashukela?
Kulungile, njengoba usunqumile ukuthi ufuna ukuhlolwa, into elandelayo okudingeka uyazi ukuthi hlobo luni lokuhlolwa okwenziwayo. Ukuhlolwa kwegazi okulula okubili kusetshenziswa kakhulu ukuxilonga isifo sikashukela.
1. Ukuhlolwa kwe-Fasting Plasma Glucose (FPG): Lokhu kuhlolwa okuvamile kakhulu. Kulokhu, kufanele uzile ukudla okungenani amahora angu-8 ngaphandle kokudla noma ukuphuza noma yini (amanzi nje alungile) bese unikeza isampula yegazi. Lokhu kulinganisa inani likashukela egazini lakho ngaleso sikhathi.
2. Ukuhlolwa kwe-Hemoglobin A1C (HbA1c): Lokhu futhi ukuhlolwa kwegazi. Kodwa into ekhethekile ngalokhu ukuthi akugcini nje ngokukala amazinga kashukela egazini lakho ngosuku olulodwa, kodwa kunalokho isilinganiso samazinga kashukela egazini ezinyangeni ezimbili kuya kwezintathu ezedlule . Akudingeki uzile ukudla kulokhu kuhlolwa.
Udokotela wakho uzokweluleka ngokuthi yikuphi ukuhlolwa okukulungele nokuthi kufanele kwenziwe nini.
Yini okufanele uyenze uma umphumela wokuhlolwa 'ungemuhle'?
Uma imiphumela yokuhlolwa kwakho ibuya ingenayo imiphumela yesifo sikashukela, lezo izindaba ezinhle. Kusho ukuthi amazinga kashukela egazini lakho okwamanje angaphakathi kwesilinganiso esijwayelekile. Kodwa akusikho konke lokho.
Kubalulekile ukuhlolwa futhi, njengoba udokotela wakho esho, mhlawumbe njalo eminyakeni emithathu. Ngezinye izikhathi, noma ngabe imiphumela yakho yokuqala yokuhlolwa ingenayo imiphumela emihle, udokotela wakho angase acele ukuhlolwa okwengeziwe uma esola ukuthi unesifo sikashukela noma isifo sikashukela esingaphambi kwesikhathi ngokusekelwe ezimpawini zakho noma kwezinye izinto eziyingozi.
Khumbula, noma ngabe uhlolwe watholakala ungenayo isifo sikashukela, ungenza okuningi ukuvimbela ukuthi singabi naso esikhathini esizayo.
Izinto ezinhle kakhulu kulokhu yilezi:
- Ukulawula isisindo: Uma ukhuluphele ngokweqile, zama ukunciphisa isisindo.
- Ukudla okunempilo: Yidla ukudla okunamafutha amancane, ushukela, nofulawa, kanye nemifino nezithelo eziningi.
- Ukuvivinya umzimba nsuku zonke: Kungaba lula njengokuhamba okungenani imizuzu engama-30 ngosuku.
- Ukulawulwa komfutho wegazi kanye ne-cholesterol: Uma unalezi zimo, zilawule ngokwemiyalelo kadokotela wakho.
Kuthiwani uma umphumela wokuhlolwa 'ubonisa ukuthi uphilile'?
Cabanga ukuthi imiphumela yakho yokuhlolwa ibuye 'ibonakala ilungile'. Lokhu kusho ukuthi izinga likashukela egazini lakho liphakeme kunezinga elibhekwa njengesifo sikashukela. Ngesikhathi esinjengalesi, ungesabi ekuqaleni. Lokhu akusikho ukuphela komhlaba. Lokhu kusho ukuthi manje yisikhathi esihle sokuba ucabange kakhulu ngempilo yakho futhi uyinakekele.
Udokotela wakho kungadingeka enze ezinye izivivinyo ezimbalwa ukuqinisekisa ukuxilongwa okungu-100%. Uma ukuxilongwa kuqinisekisiwe, uzokunikeza uhlelo olucacile lokukusiza ukulawula amazinga kashukela egazini lakho nokuvimbela izinkinga ezinkulu esixoxe ngazo ekuqaleni. Lokhu kungafaka phakathi imithi, ukudla okukhethekile, ukuzivocavoca nsuku zonke, kanye nokushintsha indlela yokuphila . Into ebaluleke kakhulu ukulandela imiyalelo kadokotela wakho ngqo futhi ube khona ngesikhathi sokuqokwa kwakho.
Umlayezo Wokuya Nawe Ekhaya
- Isifo sikashukela sohlobo lwesibili yisifo esingabonakali esingabonakali izimpawu ezigabeni zokuqala. Ngakho-ke, kubaluleke kakhulu ukuhlolwa kusenesikhathi, ngaphandle kokulinda ukuthi kuvele izimpawu.
- Uma uneminyaka engaphezu kwengu-45 ubudala, ukhuluphele ngokweqile, unomlando womndeni wesifo sikashukela, noma unezinye izici eziyingozi, qiniseka ukuthi ubona udokotela wakho bese uhlolwa isifo sikashukela.
- Ukuhlolwa kwegazi okulula okubizwa ngokuthi i-Fasting Plasma Glucose (FPG) kanye ne-HbA1c yizona zindlela ezisetshenziswa kakhulu zokuhlola igazi ngale njongo.
- Uma kutholakala ukuthi unesifo sikashukela, ungesabi. Ngokunakekelwa okufanele kwezokwelapha, ukudla okunempilo, kanye nokuzivocavoca njalo, ungaphila impilo enempilo nesebenzayo. Into ebaluleke kakhulu ukuxhumana nodokotela wakho nokulandela iseluleko sakhe.
💬 Comments (0)
No comments yet. Be the first to share your thoughts here.
Add Your Comment