Iimpawu zokuqala ezili-10 zesifo seswekile kunye nokubonwa nini ngumboneleli wezempilo

Imfundo yezeMpilo

Ngaba uqaphele ukuba unxaniwe kakhulu mva nje-kwaye uya kwigumbi lokuhlambela ungagungqi? Amathuba okwenzekile kuwe ngaxa lithile ngesizathu esithile okanye esinye. Kodwa into ongayiqondiyo kukuba xa ezi mpawu zimbini zinganyangeki, inokuba sisifo seswekile, imeko apho iswekile yegazi lakho ingalawuleki.

Ngaphezulu kwesigidi se-100 saseMelika siphila nesifo seswekile okanye i-prediabetes, ngokwe Amaziko e-U.S. OLawulo noKuthintela izifo (CDC) -kwaye uninzi lwabo alwazi ukuba banalo. Kungenxa yokuba abaninzi baphoswa ziimpawu zokuqala zesifo seswekile, nokuba kungenxa yokuba iimpawu zesifo seswekile zisenokuba buthathaka zingabonakali okanye abazi ukuba bajonge ntoni.

Zeziphi iintlobo ezahlukeneyo zeswekile?

Ngokwesiqhelo, umzimba usebenzisa i-insulin ukunceda iiseli zemisipha kunye nenqatha ukuthatha i-glucose (uhlobo lweswekile) ukuze isetyenziswe njengamandla, utsho UErica Weitzner , MD, ugqirha we-endocrinologist e-Summit Medical Group eNew Jersey. Xa usiba neswekile, umzimba wakho uyeka ukusebenzisa i-insulin ngokufanelekileyo, evumela iswekile ukuba yakhe egazini lakho.

• Uhlobo lwe-1 yeswekile yenzeka xa i-pancreas yakho isilela ukuvelisa i-insulin-amajoni omzimba atshabalalisa iiseli ezivelisayo. Ngaphambili yaziwa ngokuba sisifo seswekile solutsha, inokwenzeka nakweyiphi na iminyaka.
• Uhlobo lwe-2 yeswekile yenzeka xa iiseli zakho zingaphenduli kakuhle kwi-insulin njengoko kufanelekile, kwaye kufuneka i-insulin eyongezelelweyo ukufezekisa umphumo ofanayo nowangaphambili, uGqirha Weitzner uyacacisa. Ichaphazela ikakhulu abantu abadala.
• Isifo seswekile kwenzeka xa amanqanaba eswekile yegazi akho ephezulu kunesiqhelo, kodwa hayi phezulu ngokwaneleyo ukuba ungafunyaniswa unohlobo lweswekile 2.
• Isifo seswekile kwenzeka xa iihomoni zowasetyhini okhulelweyo zichaphazela amandla akhe okuvelisa i-insulin eyaneleyo emzimbeni wakhe. Malunga 7% Abasetyhini baphuhlisa isifo seswekile.

Ezinxulumene: Unyango lwesifo seswekile kunye namayeza

Iimpawu ezili-10 unesifo seswekile

Kukho iimpawu ezili-10 eziphambili zeswekile ngokwe Uphando ngeSwekile yoLutsha isiseko:

1. Ukuchama rhoqo: Xa undwendwela igumbi lokuhlambela rhoqo kunesiqhelo, oko kunokuthetha ukuba izintso zakho zizama ukususa iswekile engaphezulu kwegazi lakho.
2. Ukunxanwa okugqithisileyo: Ulahlekelwa ngamanzi amaninzi xa usebenzisa indlu yangasese ngalo lonke ixesha. Oko kungakhokelela ekuphelisweni kwamanzi emzimbeni kwaye kubangele iimvakalelo zokunxanwa okugqithisileyo, okunokuthi kukhokelele ekuseleni amanzi ngakumbi (kwaye uye kwigumbi lokuhlambela ngakumbi).
3. Umlomo owomileyo okanye ulusu olomileyo: Ukuphelelwa ngamanzi emzimbeni kungenza umlomo wakho ubonakale ngathi uyintlango kwaye ulusu lwakho luzive luqinile okanye lurhawuzelele.
4. Ukukhathala okanye ubuthathaka: Ubuthathaka obugqithisileyo, ukonqena, okanye ukulala kunokuba yimiqondiso yokuba iswekile yegazi lakho ayisebenzi. Oku kunokubangela ukuba ube nesiyezi — okanye ude uphelelwe ngamandla — ukuba iswekile esegazini lakho iba phezulu okanye iphantsi ngendlela eyingozi. Abanye abantu baba buthathaka kangangokuba baphulukane nengqondo kwaye abakwazi ukubuyela ezingqondweni kwakhona. Ngamanye amaxesha kubhekiswa kuyo njenge ikoma seswekile , kwaye inokuba yingxaki esongela ubomi.
5. Ukonyusa ukutya okanye ukuncipha kobunzima: Ukuba umzimba wakho awukwazi ukufumana amandla awaneleyo ekuqhubeni iswekile ekutyeni okutyayo unokuqaphela ukwanda okungaqhelekanga kumnqweno wakho wokutya okanye ngequbuliso nangokwehla kobunzima obungaqondakaliyo.
6. Ukucutha okupholileyo: Amanqanaba eswekile egazi aphezulu anokuqinisa imithambo yakho yegazi, eyenza ukuba kube nzima ukuba igazi lijikeleze umzimba wakho. Ukuhamba gwenxa kuthetha ukuba imikrwelo okanye izilonda ezincinci ziphola kancinci kancinci.
7. Usulelo lwegwele: Ukutya igwele kwiswekile. Xa iswekile eninzi isasazeka emzimbeni wakho, oko kunokubangela ukugqithisa kwemvubelo-yamadoda nabasetyhini.
8. Ubuhlungu okanye ukuphazamiseka kwiziphelo: Ukonakala kwamathambo kwenzeka kwizigulana ezineswekile, ngenxa yeswekile ephezulu yegazi kunye namanqanaba aphezulu amafutha. Oko kunokubangela ukonakala kwentliziyo, okwaziwa njenge isifo sengqondo seswekile . Unokubona ukubetha ezandleni nasezinyaweni. Ukonakala kwamathambo kunokuchaphazela namalungu angaphakathi, anje ngesinyi sakho.
9. Umbono utshintsho: Utshintsho kwimbonakalo yamehlo inokuba sisandulela se isifo wamehlo seswekile . Isifo seswekile esinganyangekiyo, okanye isifo seswekile esingalawulwa kakuhle, singakhokelela kwiingxaki zombono, kwanokuba yimfama.
10. Isiqhamo, okanye umphefumlo onuka kamnandi: Xa umzimba wakho uzama ukuphelisa iswekile engaphezulu, unokwenza umphefumlo wakho unuke kamnandi ngenxa yeetoyiboni eziphezulu.

Ezinxulumene: Ngawaphi amanqanaba esiqhelo eswekile yegazi?

Uhlobo lwe-1 yeswekile lunokuvela ngequbuliso ngeentsuku nje ezimbalwa okanye iiveki zeempawu okanye uziva ugula, utshilo uGqirha Weitzner. Ngamanye amaxesha iimpawu zeswekile ziqala ngesiquphe kuDidi 2 lweswekile; kodwa ihlala ihamba kancinci kancinci kancinci kunabanye abantu abaneempawu zeenyanga ngaphambi kokuba bafunyaniswe. Kukwakho neziganeko zesifo seswekile esiyi-pancreatic, esithi ngamanye amaxesha kwenzeka emva kokususwa zepancreas.

Iimpawu zokulumkisa ngesifo seswekile zinokuxhomekeka kuhlobo lwesifo seswekile osakhulayo. Inkqubo ye- Umbutho weSwekile yaseMelika kwaye Umbutho waseMelika wokukhulelwa Nika inkcazo ecacileyo necacileyo yeempawu zeentlobo ezahlukeneyo zesifo seswekile, apha ngezantsi sisishwankathelo esifinyeziweyo.

Uphawu	Uhlobo lwe-1 yeswekile	Uhlobo lwe-2 yeswekile	Isifo seswekile	Isifo seswekile
Ukuchama rhoqo	+	+	+	+
Ukunxanwa okugqithisileyo	+	+	+	+
Umlomo owomileyo okanye ulusu olomileyo	+	+	+	+
Ukudinwa okanye ubuthathaka	+	+	+	+
Ukonyusa ukutya okanye ukuncipha kobunzima obungachazwanga	+	+	+	+
Ukucutha okupholileyo	+	+	+	+
Usulelo lwegwele	+	+
Ubuhlungu okanye ukuphazamiseka kwiziphelo		+	+
Umbono utshintsha	+	+	+	+
Isiqhamo, okanye umphefumlo onuka kamnandi	+	+	+	+

* Ukwehla kwesisindo esingaqondakaliyo kuxhaphake kakhulu uphawu lohlobo 1 lweswekile.

Siva njani isifo seswekile?

Ukongeza kwezi mpawu zingasentla, unokuziva unenkungu okanye ngeklter ngokubanzi ukuba usaphuhlisa isifo seswekile. Amaxesha amaninzi ndifumana izikhalazo zokuba izigulana zam zivakala nje ukuba azikho, uyachaza UPatrick McEneaney , I-DPM, ugqirha weenyawo onomdla okhathalelo lweenyawo zeswekile eChicago kunye ne-CEO ye-Northern Illinois Foot kunye neeNgcali ze-Ankle. Ukuziva ulula, unesiyezi, ubuthathaka, unesicaphucaphu, kwaye unxaniwe kunokukwenza uzive ungaphilanga — kwaye zonke ezi zizimpawu zesifo seswekile.

Ziziphi izinto ezinobungozi zesifo sikashukela?

Ukuba usemngciphekweni omkhulu wesifo seswekile, kuyakufuneka uqaphele ngakumbi malunga neempawu zesifo seswekile.

Uhlobo lwe-1 lwesifo seswekile

Ngokwe- i-CDC , Imbali yosapho kunye nokuba mncinci kunokwandisa umngcipheko kuhlobo 1 lweswekile.

Imbali yosapho idlala indima enkulu; Ukuba abazali bakho okanye abanye abantu kusapho lwakho banesifo seswekile, unengozi enkulu yokuba nesifo seswekile, ucacisa uGqirha Weitzner.

Uhlobo lwe-2 lwesifo seswekile

Unokuba semngciphekweni omkhulu wokukhula Uhlobo lwe-2 yeswekile ukuba u:

• Batyebe kakhulu okanye batyebe kakhulu
• Ngaba uneminyaka engama-45 ubudala okanye ngaphezulu
• Unembali yosapho yeswekile, isifo sentliziyo, okanye ukubetha
• Unxinzelelo lwegazi oluphezulu okanye amanqanaba asezantsi e-HDL, okanye i-cholesterol elungileyo
• Phila ubomi bokungasebenzi
• Ngaphambili babesifumene isifo seswekile, uxinzelelo, okanye isifo se-ovary syndrome (POC)
• Wazala umntwana owayenobunzima obuziikhilogram ezilithoba nangaphezulu.

Ukuba umnyama, i-Hispanic, i-Native American, i-Latino, okanye i-Asiya, usengozini ephezulu yohlobo lwe-2 yeswekile kunye neswekile yokukhulelwa. Imiba yomngcipheko wesifo seswekile iyafana nemeko yomngcipheko kuhlobo 2 lweswekile.

Iimpawu zomngcipheko wesifo seswekile

Ngoku ka Ikliniki yaseMayo , usemngciphekweni omkhulu wokufumana isifo seswekile xa u:

• Badala kuna-25
• Unembali yosapho yesifo seswekile sesi-2
• Unembali yobuqu neswekile
• Babetyebe kakhulu ngaphambi kokukhulelwa

Nini ukubona ingcali kwezempilo yeswekile

Ngumbono olungileyo ukuya kumboneleli wakho wokhathalelo oluphambili ukuba unayo nayiphi na imiqondiso yesilumkiso kwangoko yeswekile.

Ukuba ukrokrela ukuba unesifo seswekile, inyathelo lokuqala iya kuba kukubonana nodokotela wakho ophambili, njengengcali yosapho, ugqirha okanye ugqirha wabantwana, uthi Soma Mandal , MD, yeQela leQela lezoNyango eBerkeley Heights, eNew Jersey. Bangathetha nawe malunga neempawu onazo, baxoxe ngembali yosapho lwakho, kunye nendlela ophila ngayo.

Kubalulekile ukuba uqaphele: Ukuba umntu ebenokonyuka unxano kunye nokuchama, emva koko avele isicaphucaphu kunye nokugabha, kungafuneka aye esibhedlele kuba iswekile ephezulu kakhulu inokuba yingozi, utshilo uGqirha Weitzner.

Isifo seswekile kunye nenqanaba lokuqala lohlobo 2 lwesifo seswekile ilawulwa ngumboneleli wakho wokuqala, utshilo uGqirha Weitzner, kodwa baya kukuthumela kuvavanyo lweswekile, olubandakanya uvavanyo lwegazi olwenziwa kabini ukuqinisekisa iziphumo. Ngexesha lokukhulelwa, okanye ngamanye amaxesha, ukuvavanyelwa isifo seswekile kunokubandakanya ukusela into emnandi kakhulu kwaye ujonge iswekile yegazi ngaphambi kokuba uyisele kunye namaxesha ambalwa emva kokuba uyisele, uyacacisa.

Ukuba ufunyaniswe unesifo seswekile, kukho iingcali ezahlukeneyo onokuzibona, kubandakanya i-endocrinologist, umboneleli wezempilo ojolise kunyango lweswekile.

Unokubona ugqirha weenyawo, okwabizwa ngokuba ngugqirha onyawo, kuba ukhathalelo lweenyawo lubalulekile kuye nawuphi na umntu onesifo seswekile. Ukunyanyekelwa kweenyawo nokuxilongwa kunokunceda ekuthinteleni nasekunyangeni izilonda (izilonda ezivulekileyo) ezinyaweni — enye yezona ngxaki zixhaphakileyo zesifo seswekile, kunye neminye imiba emandundu njenge-neuropathy.

Okanye, ungandwendwela ugqirha wamehlo, okwaziwa ngokuba ngugqirha wamehlo. Ukujonga kwakhona isifo seswekile yimeko yokuba ezinye izigulana ezinesifo seswekile zinokuhlangabezana nazo, apho imithambo yegazi encinci yonakele kwaye inokuthi ikhokelele ekungaboni kakuhle kwaye ekugqibeleni ilahleko yombono. Nabani na onesifo seswekile kufuneka abone ugqirha wamehlo minyaka le.

Ukuba ufumana iimpawu, sukulinda utyelelo lwakho lonyaka-fowunela umboneleli wakho wezempilo kwangoko.