Ake sixoxe nje ngezinhlobo zesifo sikashukela (i-Diabetes Mellitus)

Sonke sizwile igama elithi 'isifo sikashukela'. Mhlawumbe othile emndenini wakho, umngane, noma ngisho nawe uqobo uyathinteka yilesi simo. Kodwa bewazi ukuthi isifo sikashukela asisona isifo esisodwa nje kuphela, kodwa sinezinhlobo eziningana ezahlukene? Namuhla, sizoxoxa ngohlobo ngalunye lwalezi zinhlobo, izimpawu zazo, nokuthi singazilawula kanjani ngendlela elula neqondile.

Kalula nje, isifo sikashukela yigama elivamile lezifo eziningana ezithinta inqubo yokuguqula ukudla esikudlayo kube amandla. Uma sidla ukudla okuqukethe ama-carbohydrate (ama-starches), umzimba wethu uyakuguqula kube uhlobo lukashukela olubizwa ngokuthi i-glucose bese ulufaka egazini. Ngemuva kwalokho ama-pancreas ethu akhiqiza i-hormone ebizwa ngokuthi i-insulin , ethatha leyo glucose egazini bese iyithumela emaseli ukuze ikhiqize amandla. Kumuntu onesifo sikashukela, le nqubo ye-insulin ayisebenzi kahle. Ngenxa yalokho, amazinga kashukela egazini ayanda. Uma lokhu kungalawulwa, izinkinga ezinkulu zempilo zingavela ngokuhamba kwesikhathi.

I-Prediabetes

Lesi yisigaba sesixwayiso ngaphambi kokuba isifo sikashukela siqale. Lapha, amazinga kashukela egazini lakho aphezulu kunokuvamile, kodwa awaphezulu ngokwanele ukuxilonga isifo sikashukela ngokuphelele.

Kodwa-ke, ngezinye izikhathi ungase uqaphele ubumnyama besikhumba ezindaweni ezifana nentamo, emakhwapheni, nasezimbotsheni. Akuvamile ukuthi uqaphele nokwehla noma ukwanda kwesisindo okungachazeki, isifiso sokudla ngokweqile, ukukhathala, ukujuluka, ukubona okufiphele, kanye nokuphola kancane kwamanxeba.

Uma ushintsha indlela yakho yokuphila kulesi sigaba, ungavimbela noma ubambezele ukukhula kwesifo sikashukela esiphelele.

• Ukuzivocavoca njalo.
• Ukudla ukudla okunempilo.
• Ukugcina isisindo somzimba esifanele.
• Ukuphathwa kokucindezeleka.
• Gwema ukubhema.

Uma lezi zinto kunzima ukuzenza noma uma usengozini enkulu yokuba nesifo sikashukela, udokotela wakho angase akunike imithi.

Isifo Sikashukela Sohlobo 1

Lokhu kwakubizwa ngokuthi 'isifo sikashukela sentsha'. Kodwa manje sesiyazi ukuthi singakhula nganoma yisiphi isikhathi. Kuyisimo sokuzivikela komzimba . Kalula nje, okwenzekayo lapha ukuthi amasosha omzimba wethu ahlasela futhi abhubhise amangqamuzana akhiqiza i-insulin kuma-pancreas ethu. Khona-ke umzimba awusakwazi ukukhiqiza i-insulin.

Lesi simo asinakuvinjelwa. Sivame ukubangelwa izici zofuzo.

Izimpawu Zesifo Sikashukela Sohlobo 1

Lezi zinhlobo zezimpawu zibonakala ngokushesha kakhulu, phakathi namasonto ambalwa.

• Ukuzwa ukoma ngokweqile kanye nendlala.
• Ukuchama njalo.
• Umbono ofiphele.
• Ukukhathala okukhulu.
• Ukwehlisa isisindo ngaphandle kwesizathu.

Ngezinye izikhathi, uphawu lokuqala lungaba yi-diabetic coma, okungaholela esimweni esibucayi kakhulu njengokulahlekelwa ukwazi.

Uma wena noma ingane yakho ninezinye zalezi zimpawu, iya eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela ngokushesha.

Isifo sikashukela sohlobo 1 singalimaza imithambo yegazi ebucayi emehlweni (i-diabetic retinopathy), imizwa (i-diabetic neuropathy), kanye nezinso (i-diabetic nephropathy). Futhi kwandisa ingozi yesifo senhliziyo kanye nesifo sohlangothi.

Ukwelashwa kuhilela ukunikeza i-insulin ngaphandle, kusetshenziswa amapeni e-insulin, amaphampu, noma amasirinji. Ngaphezu kwalokho , ukuhlolwa ushukela egazini njalo, ukulawula ukudla, kanye nokuzivocavoca kubalulekile.

Isifo Sikashukela Sohlobo 2

Lolu uhlobo oluvame kakhulu, oluthinta cishe abantu abangu-90% abanesifo sikashukela. Sasibizwa ngokuthi 'isifo sikashukela sabantu abadala'. Kodwa namuhla sivame nakwabasha nezingane. Ukukhuluphala ngokweqile kuyimbangela enkulu.

Okwenzekayo lapha ukuthi ukukhiqizwa kwe-insulin emzimbeni kwehla, noma amaseli omzimba awasabeli kahle ku-insulin ekhiqizwayo (`Ukumelana ne-Insulin`). Lokhu kubangela ukuthi ama-pancreas asebenze kanzima futhi akhiqize i-insulin eningi. Kodwa ngokuhamba kwesikhathi, lokho akwanele futhi amazinga kashukela egazini ayakhuphuka.

Izimpawu zesifo sikashukela sohlobo lwesibili zikhula kancane. Zingase zingabonisi zimpawu iminyaka eminingi. Yingakho abantu abaningi betholakala benaso uma befuna ukwelashwa kwesinye isimo.

Ukuze ulawule lolu hlobo, ukugcina isisindo esinempilo, ukudla ukudla okunempilo, kanye nokuzivocavoca umzimba kubalulekile. Abanye abantu kungadingeka baphuze imithi noma imijovo ye-insulin. Konke lokhu kunqunywa udokotela wakho.

Isifo Sikashukela Sokukhulelwa

Abanye omama bangase babe nesifo sikashukela sesikhashana ngenxa yezinguquko zamahomoni emizimbeni yabo ngesikhathi sokukhulelwa. Lokhu kubizwa ngokuthi "isifo sikashukela sokukhulelwa." Ngokuvamile sitholakala ngokuhlolwa okwenziwa esigabeni esiphakathi noma sekwephuzile sokukhulelwa.

Esikhathini esiningi, azikho izimpawu ezinkulu. Kungase kube nezimpawu ezincane njengokoma okukhulu kanye nokuchama njalo. Into ebaluleke kakhulu ukuthi lesi simo siphele ngemva kokuzalwa komntwana.

Ingozi inkulu kakhulu enganeni esesiswini kunakumama. Lapho izinga likashukela egazini likamama likhuphuka, lidlulela enganeni nge-placenta. Lokhu kungathinta ukukhula komntwana. Ingane ingase ikhuluphale kakhulu, ibe nobunzima bokuphefumula lapho izalwa, futhi ibe sengozini enkulu yokuthola isifo sikashukela noma ukukhuluphala esikhathini esizayo. Ngakho-ke, kubaluleke kakhulu ukulawula isifo sikashukela kahle ngesikhathi sokukhulelwa.

Ezinye izinhlobo ezingavamile zesifo sikashukela

Ngaphezu kwezinhlobo ezintathu eziyinhloko ezingenhla, kunezinye izinhlobo eziningana ezingavamile zesifo sikashukela.

Isifo Sikashukela Esibangelwa Yi-Monogenic

Kubangelwa ushintsho ku-gene eyodwa. Kungazuzwa njengefa. Ngokuvamile, isifo sikashukela sitholakala ebuntwaneni noma ebusheni futhi asibonisi izimpawu zohlobo 1 noma uhlobo 2, ngakho odokotela bayasola lokhu.

Isifo Sikashukela Sesibili

Lokhu kungabangelwa esinye isimo sezokwelapha esiyisisekelo noma umuthi owuthathayo. Isibonelo:

• Izifo ezihlobene nama-hormone (i-Cushing's syndrome, i-Acromegaly)
• Izifo ze-pancreas
• I-Cystic Fibrosis (CF)
• "I-Polycystic Ovarian Syndrome" (i-PCOS)
• Ukusetshenziswa isikhathi eside kwemithi ethile yama-steroid.

Kulezi zimo, isifo sikashukela singalawulwa nalapho isimo esiyisisekelo selashwa.