Ukubuyisela Uhlehlisa Isifo Sikashukela Sohlobo 2: Okuvezwa Isayensi Nochwepheshe

Kuthiwani uma isifo sikashukela soHlobo 2 bekungesona isimo sokuphila konke kodwa bekuyinto ebingahlehliswa? Iminyaka eminingi, ukuphatha isifo sikashukela kwakusho ukuthembela emithini, kodwa ucwaningo lwakamuva luyibekela inselele le nkolelo. Ukushintsha kwendlela yokuphila okuhlosiwe, ukuncipha kwesisindo, kanye nokwelashwa okusha kungaphusha isifo sikashukela soHlobo 2 ekwehleni. Lolu shintsho lunikeza ithemba ezigidini zabantu, okufakazela ukuthi ngendlela efanele, ukulawulwa kwesifo sikashukela isikhathi eside kungenzeka. Sikhulume naye UDkt Vrinda Agrawal, Umxhumanisi we-Endocrinology, CARE Hospitals, Banjara Hills, Hyderabad, owachaza intuthuko yakamuva yokuguqulwa kwesifo sikashukela nokuthi zisho ukuthini ngekusasa lokunakekelwa kwezempilo.

"Ukuguqulwa kwesifo sikashukela kusho ukubuyisela amazinga kashukela egazini esimweni esijwayelekile ngaphandle kokudinga imithi, nakuba izinguquko eziqhubekayo zokuphila zibalulekile ekugcineni ukuxolelwa. Ngokungafani nekhambi, okusho ukuthi lesi sifo siphelile ngokuphelele, ukukhululwa kusho ukuthi lesi sifo sisekhona. Nokho, ngokukhululeka, isifo silawulwa futhi amazinga kashukela egazini ajwayelekile ngaphandle kokudinga imithi, "kuchaza uDkt Agrawal. Ukuncipha okukhulu kwesisindo, izinguquko zokudla, kanye nokwelashwa kungaholela ekwehleni kwesifo sikashukela, ikakhulukazi ezigulini ezitholwe phakathi neminyaka emihlanu edlule.

Iqhaza Lezinguquko Zendlela Yokuphila Nokuncipha Kwesisindo

Ukuvinjelwa Kwekhalori kanye Nokungenelela Kwezokudla

Enye yezindlela ezithembisayo kakhulu zokuguqulwa kwesifo sikashukela ilele ekuvinjweni kwekhalori, njengoba kuboniswe kabanzi ku-DiRECT Remission Clinical Trial (DiRECT) eyenziwa e-United Kingdom. Lolu cwaningo oluyingqophamlando lwembula ukuthi abantu abanesifo sikashukela soHlobo 2 abalandela ukudla okunama-kilojoule aphansi kakhulu (800 kcal/ngosuku) izinyanga ezi-3-5 bathole ukuncipha okukhulu kwesisindo, okuholele ekuhlelweni kwabahlanganyeli abacishe babe ngama-46% ngemuva konyaka owodwa kanye nama-36% wezimpawu zeminyaka emibili.

"Indlela yokuguqula okunjalo ihilela ukunciphisa ama-fat deposits aqoqwe esibindini nakuma-pancreas, ukubuyisela amazinga ajwayelekile okukhiqizwa kwe-insulin. Ukuvinjelwa kwamakholori kunganciphisa izakhi zofuzo ezihambisana nokuvuvukala futhi kuguqule izinguquko ze-epigenetic ezihlobene nokukhuluphala, "kusho uDkt Agrawal. Nakuba kudingekile, imingcele enjalo inikeza ithemba lokuthi ukululama okuphelele kushukela kungenzeka ngoshintsho oluqhubekayo lwendlela yokuphila egxile ekudleni nasekulawuleni isisindo.

Ukuzila ukudla okungapheli

"Izinhlelo zokudla ezinqunyelwe isikhathi kanye nokudla okunama-carbohydrate aphansi kubonise imiphumela ekhuthazayo. Lezi zindlela zokudla zisiza ekulawuleni ukuzwela kwe-insulin, ukunciphisa ukugcinwa kwamafutha amaningi, nokuphakamisa izinga likashukela egazini elilinganiselwe, "kwengeza uDkt Agrawal.

Ngokwesivivinyo sango-2022, izithiyo zokuzila ukudla kanye nama-carbohydrate zingehlisa amazinga e-HbA1c, zinciphise ukumelana ne-insulin, futhi zikhuthaze ukuncishiswa kwesisindo okusimeme, izinto ezibangela ukukhululeka kwesifo sikashukela.

Umsebenzi womzimba

Kuyasiza ukuthuthukisa ukuzwela kwe-insulin kanye ne-glucose metabolism. Kokubili ukuzivocavoca kwe-aerobic, isibonelo, ukuhamba ushesha, ukugibela ibhayisikili nokubhukuda, nokuziqeqeshela amandla, okufana nokuphakamisa i-dumbbell nokunyakaza kwesisindo somzimba, kwengeza ekwengameleni ushukela osegazini onenzuzo eyengeziwe. Ngokocwaningo lwango-2019, u-23% wabahlanganyeli bathole ukuxolelwa okuyingxenye noma okuphelele ngemva kokungenelela kwendlela yokuphila okusekelwe ekuzivivinyeni kwezinyanga eziyi-12.

Izindlela Zokwelashwa Ezisafufusa Zokuxolelwa Kwesifo Sikashukela

Ukuhlinzwa bariatric

"Izinqubo, ezifana ne-gastric bypass kanye ne-sleeve gastrectomy ziye zavela njengenye yezindlela zokungenelela ezinomthelela kakhulu ekukhululweni kwesifo sikashukela, ikakhulukazi kulabo abane-BMI engaphezu kuka-30. Ukuhlinzwa akugcini nje ukusiza ukulahlekelwa kwamafutha abalulekile kodwa futhi kuthuthukisa ukukhishwa kwe-insulin nokucutshungulwa kwe-glucose," kusho uDkt Agrawal. Izivivinyo zemitholampilo zikhombisa ngaphezulu kwe-80% yeziguli ezinesifo sikashukela eziya ekudambiseni ngemuva kokuhlinzwa, nezinzuzo ezigcinwa isikhathi eside, ngokusho kwe-Indian Journal of Endocrinology and Metabolism.

Umuthi Omusha

Imithi emisha, efana ne-semaglutide ne-empagliflozin, ibonise isithembiso ekusizeni abantu ukuba balahlekelwe isisindo futhi balawule amazinga abo kashukela egazini. "Le mithi ayigcini nje ngokukwehlisa izinga likashukela egazini, kodwa isiza nasekulawuleni indlala, ukushisa amafutha, nokwenza ngcono impilo yenhliziyo. Yize ingelona ikhambi lesifo sikashukela, abacwaningi bacabanga ukuthi ingakwazi ukusiza abantu ukuthi bakhululeke isikhathi eside kulesi sifo," kuchaza uDkt Agrawal.

Umuthi Owenziwe Ngokwakho kanye ne-Gut Microbiota

I-gut microbiota ivele njengesidlali esibalulekile enhlalakahleni ye-metabolic. Ukuguqulwa kwama-microorganisms amathumbu kuthonya ukumelana ne-insulin nokuvuvukala. Amakhambi esikhathi esizayo angase ahilele ukungenelela okuhlosiwe kwe-microbiome, okufana nama-probiotics, ama-prebiotics, kanye nokufakelwa kwe-faecal microbiota ukuze kubuyiselwe ibhalansi ye-metabolic kanye nokusiza ukukhulula isifo sikashukela.

Izinselele kanye Neziqondiso Zesikhathi esizayo

"Nakuba kube nentuthuko ezindleleni zokubuyisela emuva isifo sikashukela, izithiyo ezimbalwa zisaphakama. Ukugcina ukunciphisa umzimba okuphawulekayo kanye nokuguqulwa kwendlela yokuphila esikhathini eside akuyona into elula, edinga ukusekelwa kokuziphatha, isiqondiso sabaqeqeshi, nokubandakanyeka ezinhlelweni zomphakathi ukuze kuqiniswe ukuxolelwa, "kuqokomisa uDkt Agrawal.

Akuwona wonke umuntu onesifo sikashukela obona ukukhululeka ngokungenelela okufanayo; amapulani okwelashwa komuntu siqu abalulekile ekwandiseni imiphumela. Ngaphezu kwalokho, iziguli eziningi nabahlinzeki bezokunakekelwa kwempilo bahlala benganakile ukuthi kungenzeka ukuthi isifo sikashukela sohlobo 2 singahlehliswa. Imfundo ebanzi, imikhankaso yokusabalalisa ukuqwashisa, nokushintshwa kwenqubomgomo kusadingeka ukuze kuqinisekiswe ukuthi la masu okuxosha afinyeleleka kabanzi.

Ngaphansi

UDkt Agrawal waphetha, "Ucwaningo olusha ngesifo sikashukela soHlobo 2 lubonisa ukuthi kungenzeka ukuhlehlisa isimo, kunokuba usilawule nje. Lokhu singakwenza ngokunciphisa isisindo, ukudla okunempilo, ukuvivinya umzimba, nokwelashwa. Njengabasebenzi bezempilo, kuwumsebenzi wethu ukufundisa nokunika iziguli amandla ngolwazi namathuluzi eziwadingayo ukuze zilawule impilo yazo. Ngokuhlanganisa izinguquko zendlela yokuphila kanye nentuthuko yezempilo, wonke umuntu uthinta intuthuko yezempilo kanye nentuthuko yezempilo."

Isixhumanisi Esiyisethenjwa

https://www.onlymyhealth.com/reversing-type-2-diabetes-through-lifestyle-changes-weight-loss-and-newer-medical-treatments-12977825524