Embikweni wokuhlolwa kwegazi okwenzile muva nje, ingabe udokotela ukutshelile ukuthi " ushukela wakho uphezulu kancane, awukabi nesifo sikashukela , kodwa usesigabeni somkhawulo"? Noma wake wezwa into efana naleyo? Empeleni, lesi simo 'somkhawulo' yilokho esikubiza ngokuthi ' i-Prediabetes ' ngokwezokwelapha. Lokhu kufana nesibonakaliso esincane sesixwayiso esiza ngaphambi kwenkinga enkulu yesifo sikashukela. Ngakho-ke, ake sixoxe ngakho konke kalula namuhla.
Kuyini i-prediabetes?
Kalula nje, i-'Prediabetes' yisigaba esiphakathi lapho izinga likashukela egazini lakho liphezulu kunokujwayelekile, kodwa lingaphakeme ngokwanele ukuthi libizwe ngesifo sikashukela. Kufana nokukhanya okuphuzi esibanini somgwaqo. Akusilo ukukhanya okubomvu okumele kumiswe, futhi akusilo ukukhanya okuluhlaza okumele kuhambe. Kodwa kuyisixwayiso sokuthi sekuzophenduka kube bomvu.
Cishe wonke umuntu othola isifo sikashukela sohlobo lwesibili udlula esigabeni esibizwa ngokuthi 'i-Prediabetes'. Kodwa into eyesabekayo ukuthi abantu abangaphezu kuka-80% abanalesi simo abazi nokuthi banaso. Lokho kungenxa yokuthi ngokuvamile asibangeli zimpawu.
Kodwa izindaba ezinhle ukuthi uma ubona futhi uthatha isinyathelo uma une-prediabetes, ungavimbela noma ubambezele ukukhula kwesifo sikashukela sohlobo 2. Ungagwema nezinkinga ezinkulu ezifana nesifo senhliziyo, izinkinga zemithambo yegazi , kanye nokulimala kwamehlo nezinso. Udokotela wakho angase futhi abize lesi simo ngokuthi i-Impaired Glucose Tolerance (IGT) noma i-Impaired Fasting Glucose (IFG).
Ingabe abantu abanesifo sikashukela sangaphambi kwesifo sikashukela nabo banezimpawu?
Nakuba abantu abaningi bengenazo izimpawu, ngezinye izikhathi ungase ubhekane nezinto ezifana nalezi:
- Ukuzizwa womile kakhulu kunokujwayelekile.
- Ukudinga ukuchama njalo.
- Umbono wami uzwakala ungacacile .
- Ukuzizwa ukhathele kakhulu kunokujwayelekile.
- Isikhumba esisemakhwapheni noma entanyeni sesiphenduke saba mnyama futhi saba lukhuni .
- Kuye kwavela amathegi amancane kakhulu esikhumba kulezo zindawo ezifanayo.
Izici ezithile kwabesifazane
Ngezinye izikhathi abesifazane bangase babe nezinye izimpawu kanye nalesi simo. Isibonelo:
- Ukutheleleka kwemvubelo okuvamile noma ukutheleleka komgudu womchamo (UTIs).
- Ukuya esikhathini okungajwayelekile noma ukopha kakhulu.
- Ukuncipha kwesithakazelo enkambisweni yocansi.
- Ubunzima bokukhulelwa.
Kungani sithola isifo sikashukela esingakafiki?
Isizathu esiyinhloko salokhu yisimo esibizwa ngokuthi `Ukumelana Ne-Insulin.` Manje ake sibone ukuthi siyini.
Ukudla esikudlayo, ikakhulukazi ama-carbohydrate ( ama-starch ), kunezela ushukela (i-glucose) egazini lethu. Ukuze lo shukela usetshenziswe njengamandla ngamaseli emizimba yethu, kudingeka i-hormone ebizwa ngokuthi i-'Insulin'. I-'Insulin' ifana nesihluthulelo esivula iminyango yamaseli futhi sivumele ushukela ungene.
`Ukumelana ne-Insulin` kusho ukuthi noma umzimba wethu ukhiqiza i-`Insulin`, amangqamuzana ethu awasabeli kahle kuleyo 'Insulin`. Kufana nokuthi isihluthulelo asikwazi ukuvula umnyango. Kwenzekani-ke? Ushukela awukwazi ukungena emaseli futhi uqongeleleke egazini. Yile ndlela `i-Prediabetes` eyenzeka ngayo lapho amazinga kashukela egazini enyuka.
Kunezinto eziningana ezingadala lesi simo 'sokumelana ne-insulin':
- Amathonya ezakhi zofuzo ezizukulwaneni ngezizukulwane .
- Isisindo somzimba esiningi , ikakhulukazi ukuqongelela kwamafutha esiswini.
- Ukucindezeleka kwesikhathi eside.
- Ukungalali ngokwanele.
- Ukungazivocavoci .
- Ukusetshenziswa ngokweqile kokudla okucutshunguliwe, iziphuzo ezinoshukela, kanye nokudla okunamafutha.
- Ezinye izimo ezihlobene nama-hormone njenge-PCOS (i-Polycystic Ovary Syndrome).
Wazi kanjani ukuthi une-prediabetes?
Ukuqinisekisa lokhu, udokotela wakho cishe uzoncoma ukuhlolwa kwegazi okuningana. Leli thebula lizokusiza ukuthi uqonde lokhu kuhlolwa kanye nemiphumela yako.
| Igama Lokuhlolwa | Ibanga Elijwayelekile | Izinga le-prediabetes | Izinga lesifo sikashukela |
|---|---|---|---|
| Ukuzila Ukudla Ushukela Egazini (FBS) (Ukuhlolwa kwenziwa ngemva kwamahora angu-8 okuzila ukudla) | Ngaphansi kuka-100 mg/dL | 100 - 125 mg/dL | 126 mg/dL noma ngaphezulu |
| Ukuhlolwa Kokubekezelela I-glucose Yomlomo (OGTT) (Ukuhlolwa kwenziwe emahoreni ama-2 ngemuva kokuphuza isiphuzo se-glucose) | Ngaphansi kuka-140 mg/dL | 140 - 199 mg/dL | 200 mg/dL noma ngaphezulu |
| Ukuhlolwa kwe-HbA1c (Ukuhlolwa okukhombisa amazinga kashukela ajwayelekile ezinyangeni ezi-2-3 ezedlule) | 5.6% noma ngaphansi | 5.7% - 6.4% | 6.5% noma ngaphezulu |
Okubalulekile: Uma imiphumela yokuhlolwa okukodwa kwalokhu ibuya njenge-'Prediabetes', udokotela wakho angase ancome okunye ukuhlolwa ukuze akuqinisekise.
Yini okufanele siyenze ukuze siphume kulesi simo?
Izindaba ezinhle ukuthi i-prediabetes iyisimo esilungisekayo. Ukwenza izinguquko ezincane endleleni yakho yokuphila kungenza umehluko omkhulu.
1. Ukudla okunempilo
Akukho "ukudla" okuqondile kwalokhu. Kodwa zama ukufaka lezi zinguquko ezilula empilweni yakho:
- Esikhundleni sokudla ukudla okwenziwe ngofulawa omhlophe njengesinkwa , ilayisi, nama-noodle, zama ukudla ukudla okwenziwe ngokusanhlamvu okuphelele njengelayisi elinsundu, i-buckwheat, i-oats, nelayisi elinsundu .
- Phuza amanzi, itiye, nekhofi (ngaphandle koshukela) esikhundleni seziphuzo ezimnandi namajusi ezithelo .
- Esikhundleni senyama ebomvu (inyama yenkomo, ingulube) kanye nenyama ecutshunguliwe efana namasoseji , yidla inhlanzi, inkukhu, amantongomane kanye nemifino .
- Esikhundleni sokuthosa ngokujulile , bhaka/rosa noma ubilise ukudla.
- Nciphisa usayizi wesabelo kancane bese ufaka imifino nezithelo ezengeziwe kuso.
2. Vivinya umzimba njalo
Uma uzivocavoca, imisipha yakho idinga amandla. Isebenzisa ushukela egazini lakho ukuze yenze lokho. Ngakho-ke ukuzivocavoca kwehlisa amazinga kashukela egazini lakho. Okungenani imizuzu eyi-150 ngesontoYenza okuthile njengokuhamba ngokushesha, ukugibela ibhayisikili, noma ukubhukuda (isib., imizuzu engama-30 ngosuku, izinsuku ezi-5 ngesonto).
3. Ukulawula isisindo somzimba
Uma ukhuluphele ngokweqile, ukwehlisa isisindo somzimba wakho ngo-5% - 10% kuphela kunganciphisa ingozi yakho yokuthola isifo sikashukela ngamaphesenti angaphezu kuka-50.
4. Gwema ukubhema futhi ulawule ukusetshenziswa kotshwala
Ukubhema kwenza ukumelana ne-insulin kube kubi kakhulu. Ngakho-ke uma ubhema, funa usizo lokuyeka. Kubalulekile futhi ukunciphisa ukuphuza kwakho utshwala.
5. Ukulandela iseluleko sezokwelapha
Kwabanye abantu, kanye nokushintsha kwendlela yokuphila, udokotela wakho angase ancome ukuqala umuthi ofana neMetformin (Glucophage). Ungalokothi uqale noma uyeke ukuthatha umuthi wedwa. Khuluma njalo nodokotela wakho ngaphambi kokwenza noma yiziphi izinqumo.
Umlayezo Wokuya Nawe Ekhaya
- I-'Prediabetes' iyisibonakaliso esiyisixwayiso esingathi sína esingaphambi kwesifo sikashukela. Ungasithathi kalula.
- Lesi yisimo esicishe siguqulwe ngokuphelele. Usenethuba lokuvimbela isifo sikashukela ukuthi singabi khona.
- Imithi yakho eyinhloko yile: ukudla okuhle, ukuvivinya umzimba, kanye nokulawula isisindo .
- Ngisho noma ungenazo izimpawu, uma usengozini yokuba nesifo sikashukela (uma othile emndenini wakho enaso, uma ukhuluphele ngokweqile), hlola amazinga kashukela egazini lakho njalo.
- Ungesabi lokhu. Khuluma nodokotela wakho bese uqala ukwenza izinguquko namuhla. Kuzoba yindlela engcono kakhulu yokutshala imali ongayenza kuwe.
I-Prediabetes, Isifo Sikashukela, Izinga Likashukela, Ukumelana Ne-Insulin, Ushukela Egazini, I-HbA1c, Izimpawu Zesifo Sikashukela
💬 Comments (0)
Awekho amazwana athunyelwe okwamanje. Faka amazwana akho lapha okokuqala ngqa.
Engeza amazwana akho