Ngabe isifo sikashukela sizithinta kanjani izinso?

Isifo sikashukela yisimo esenzeka ngenxa yokwanda kweglucose/ushukela egazini. Imbangela eyinhloko yalokhu ukunqwabelana kweglucose egazini engafinyeleli kumaseli omzimba ngenxa yokuntuleka noma ukusetshenziswa kancane kwe-insulin.

Izinhlobo ezintathu zesifo sikashukela esivamile

Kunezinhlobo ezintathu zesifo sikashukela ezivamile,

Isifo sikashukela sohlobo loku-1 kwenzeka lapho amasosha omzimba ehlasela futhi ebhubhisa amaseli e-pancreatic, ngaleyo ndlela enze umzimba ungakwazi ukukhiqiza i-insulin. Lolu hlobo lwesifo sikashukela lungenzeka kunoma iyiphi iminyaka, nakuba luvame ukutholakala ezinganeni nakubantu abadala. Ukudla kwe-insulin kuyadingeka iziguli nsuku zonke ukuze ziphile.

Isifo sikashukela sohlobo 2 siwumphumela wokungasebenzi kahle kwe-insulin emzimbeni. Lesi sifo siwuhlobo oluvame ukutholakala, olubonakala kakhulu kubantu abaneminyaka ephakathi kanye nabadala, nakuba singenzeka kusukela ebuntwaneni.

Isifo Sikashukela Somzimba itholakala kuphela kwabesifazane ngesikhathi sokukhulelwa okungase kuthuthuke babe nesifo sikashukela sohlobo 2 kamuva ekuphileni. Lolu hlobo lwesifo sikashukela luvame ukuncipha ngemva kokuba umama ekhulelwe ingane yakhe. Kungakhathaliseki ukuthi hlobo luni lwesifo sikashukela, izinga eliphezulu likashukela egazini lingaholela ezinkingeni ezingxenyeni ezihlukahlukene zomzimba. Enye yezinkinga ezivelele zezempilo ezingavela ngenxa yesifo sikashukela isifo sezinso. Eqinisweni, isifo sikashukela siyimbangela ehamba phambili yesifo sezinso, kangangokuthi umuntu oyedwa kwabathathu abadala abanesifo sikashukela unesifo sezinso.

Ingabe isifo sikashukela singasibangela isifo sezinso?

Yebo, isifo sikashukela siyakwazi ukubangela isifo sezinso, esaziwa ngokuthi yi-diabetesic nephropathy. Amazinga kashukela aphezulu esikhathi eside angalimaza izinso, okungagcina kubangele izinkinga zezinso futhi, ezimweni ezimbi kakhulu, ukwehluleka kwezinso. Ukunciphisa ingozi yesifo sezinso, isifo sikashukela kufanele silawulwe ngendlela efanele.

Ngabe isifo sikashukela siholela kanjani esifweni sezinso?

Kukhona ukuxhumana phakathi kwesifo sikashukela nesifo sezinso okufanele ukuqaphele. Isifo sikashukela singaholela kancane kancane esifweni sezinso lapho sidala umonakalo,

• Imithambo yegazi - Amazinga aphezulu kashukela angase avale imithambo yegazi futhi ayenze ibe mincane. Lokhu kubangela izithiyo ezingxenyeni zokuhlunga zezinso ezihlanganisa le mithambo yegazi. Ukwengeza, uhlobo lweprotheni olubizwa ngokuthi i-albumin luyakwazi ukudlula lezi zihlungi futhi lugcine lungena emchamweni lapho kungafanele lube khona. Konke lokhu kubangela ukuphazamiseka ohlelweni lokuhluza izinso futhi ngokunwetshwa kulimaza izinso.
• Umgudu womchamo - Ukukhula kwamagciwane emgudwini womchamo kusheshiswa amazinga aphezulu kashukela egazini. Lawa magciwane uma ehlala emchameni angase abangele izifo zomgudu womchamo kanye nezifo esinyeni, okungenzeka kamuva zidlulele ezinso.
• Imizwa - Ukugcwala esinyeni kungazwakala kuphela lapho izinzwa emzimbeni zidlulisela umyalezo ebuchosheni. Nokho, lezi zinzwa zingase zilimale ngenxa yesifo sikashukela. Lokhu kungabangela ukungazi ukuthi isinye sigcwele nini futhi kanjani. Ukucindezelwa isikhathi eside kwesinye esigcwele kungase kubangele ukulimala ezinso.

Ingabe zikhona izinto eziyingozi ezingase zandise amathuba okuba nesifo sezinso ezinesifo sikashukela?

Amathuba okuba nesifo sezinso ezinesifo sikashukela alingana ngqo nesikhathi umuntu anesifo sikashukela. Ngaphandle kwalokhu, kunezinye izici eziyingozi ezingathonya amathuba okuba nesifo sezinso sikashukela:

• Ukubhema
• Indlela yokuphila yokungasebenzi/ yokunganyakazi
• Ukukhuluphala
• Isifo senhliziyo
• Ukudla usawoti omningi
• Umlando womndeni wokuhluleka kwezinso.

Ingabe izinkinga ezimbi kakhulu zingavela ezinso?

Abantu abanesifo sikashukela soHlobo loku-1 noma lwe-2 bangase babe nenkinga enkulu kakhulu ehlobene nezinso eyaziwa ngokuthi i-diabetesic nephropathy. Lesi simo siphazamisa ikhono lenso lokukhipha udoti oqinile noketshezi emzimbeni. Ezinye izimpawu nezimpawu zihlanganisa:

• Ukuba khona kwamaprotheni emchameni
• Ukwanda kwesifiso sokuchama
• Ukubhebhetheka kwamazinga omfutho wegazi
• Ukuvuvukala ezinyaweni, ezandleni, emaqakaleni, noma emehlweni
• Nausea, ukuhlanza
• Ukulahlekelwa kwesifiso
• Ukunwaya okuqhubekayo
• Ukukhathala, ukukhathala, nokukhathala
• Ukuphelelwa umoya
• Ukudideka, ubunzima bokugxila
• Ukuncipha kwesidingo somuthi we-insulin/ushukela.

Ungawubona kanjani umonakalo ezinso obangelwa isifo sikashukela?

Kukhona ukuhlolwa okuningana, okuqondile okwenziwa ngaphambi kokuxilongwa isifo sezinso sikashukela. Ezinhlanu ezigqamile yilezi: Ukuhlolwa kwegazi kuqapha ukusebenza kwezinso ukuze kutholwe ukuthi zisebenza kahle kangakanani nangempumelelo Ukuhlolwa komchamo kuthola ukuthi akhona yini amaprotheni amaningi emchameni. Amazinga aphezulu amaprotheni angase abonise ukulimala/ukulimala ezinso Ukuhlolwa kwezithombe kuhlaziya ukwakheka kwezinso nobukhulu. Ngokuvamile kwandulela ukuhlolwa kwe-CT kanye nokuhlolwa kwe-MRI ukuze kutholwe ukusebenza kahle kokujikeleza kwegazi ngaphakathi kwezinso. Ukuhlolwa kokusebenza kwezinso kwenziwa ukuze kuhlolwe izinga lokuhlunga, amandla, kanye nekhono lezinso. Ukuhlolwa kwezinso kungase kunconywe uma kudingeka isampula yezicubu zezinso ukuze kuqhutshekwe nokuhlolwa kwezinso. Yenza ukuhlolwa okuphelele ngokomzimba ngosizo lwe-nephrologist yakho e-Hyderabad ukuze uqonde isimo sempilo yakho.

Ungakuvimbela kanjani ukulimala okwengeziwe ezinso ngenkathi unesifo sikashukela?

Ukufuna usizo lochwepheshe ku-a uchwepheshe wezinso eHyderabad kufanele ihambisane nemizamo yakho yokuphila ngendlela enempilo. Ezinye izinqumo ezihlakaniphile ongazenza zimi kanje:

• Nciphisa ukudla kwamaprotheni - Amaprotheni ayingxenye ebalulekile yokudla kwansuku zonke. Nokho, okuningi kungaba kubi ezinso. Ukunciphisa ukudla kwamaprotheni kunganciphisa ukulimala kwezinso. Xhumana nochwepheshe wakho wezokudla noma isazi sezifo ukwenza isu elikufanela kangcono kanye nezinso zakho.
• Hlala usebenza - Ukuzivocavoca kubalulekile ekusebenzeni kwezinso kanye nempilo yonke. Khomba imizuzu engama-30-60 yokuzivivinya nsuku zonke.
• Bhala kahle - Qiniseka ukuthi uthola amahora angu-7 kuya kwangu-8 okulala njalo ebusuku.
• Thatha imithi ebekiwe - Qinisekisa ukuthi udla imithi engaguquki enqunywe udokotela wakho ukuze ulawule umfutho wegazi kanye noshukela wegazi.