Zithini ii-3 P's zeSwekile?

Umxholo

• Ukuchazwa ngokulula, ezi P zintathu zezi:
• IPolydipsia
• Polyuria
• Ipolyphagia
• Uxilongo
• Inqaku malunga ne-prediabetes
• Unyango
• Nini ukubona ugqirha
• Umgca wezantsi

Ngo-Meyi ka-2020, kucetyiswa ukuba abanye abenzi be-metformin bandise ukukhutshwa kwezinye zeetafile zabo kwintengiso yase-US. Kungenxa yokuba inqanaba elingamkelekanga le-carcinogen enokubakho (iarhente ebangela umhlaza) yafunyanwa kwezinye iipilisi ze-metformin ezandisiweyo. Ukuba ngoku uthatha eli chiza, tsalela umnikezeli wakho wezempilo. Baza kukucebisa malunga nokuba kufuneka uqhubeke na ukuthatha amayeza akho okanye ukuba ufuna iphepha elitsha.

Ngaba ukhe weva ngee-P ezintathu zeswekile? Zihlala zenzeka kunye kwaye zintathu zeempawu zesifo seswekile.

Ukuchazwa ngokulula, ezi P zintathu zezi:

• polydipsia: ukwanda kwenxano
• polyuria: ukuchama rhoqo
• polyphagia: ukonyuka komnqweno wokutya

Siza kuxoxa ngee-P ezintathu ngokweenkcukacha, sichaza ukuba bafunyaniswa njani kwaye banyangwa njani na xa kufuneka ubonane nogqirha.

IPolydipsia

IPolydipsia ligama elisetyenziselwa ukuchaza unxano olugqithisileyo. Ukuba ufumana i-polydipsia, unokuziva unxaniwe ngalo lonke ixesha okanye unomlomo owomileyo oqhubekayo.

Kubantu abanesifo seswekile, i-polydipsia ibangelwa kukunyuka kweswekile yegazi. Xa amanqanaba eglucose egazi enyuka, izintso zakho zivelisa umchamo omninzi kumzamo wokususa iswekile eyongezelelekileyo emzimbeni wakho.

Okwangoku, ngenxa yokuba umzimba wakho uphulukana neencindi, ingqondo yakho ikuxelela ukuba usele ngakumbi ukuze ubeke endaweni yawo. Oku kukhokelela kukuziva unxano olunzulu olunxulunyaniswa nesifo seswekile.

Ukuqhubeka kokuziva unxano kunokubangelwa:

• ukuphelelwa ngamanzi emzimbeni
• I-osmotic diuresis, ukwanda kokuchama ngenxa yeglucose egqithileyo engena kwimigudu yezintso engenakuphinda ibuye, kukhokelela ekwandeni kwamanzi kwii-tubules
• Imicimbi yezempilo yengqondo, enjenge-psychogenic polydipsia

Polyuria

IPolyuria ligama elisetyenziswayo xa ugqithisa umchamo ngaphezu kwesiqhelo. Uninzi lwabantu luvelisa malunga ne-1-2 yeelitha zomchamo ngosuku (ilitha enye ilingana neekomityi ezi-4). Abantu abane-polyuria bavelisa ngaphezulu kwe-3 yeelitha zomchamo ngosuku.

Xa amanqanaba eglucose egazi ephezulu kakhulu, umzimba wakho uya kuzama ukususa iswekile engaphezulu ngokuchama. Oku kukhokelela kwizintso zakho zokucoca amanzi amaninzi, oko kukhokelela kwisidingo esonyukayo sokuchama.

Ukugqitha umchamo ngokungaqhelekanga kunokudityaniswa nezinye izinto ngaphandle kweswekile, kubandakanya:

• ukukhulelwa
• isifo seswekile insipidus
• isifo sezintso
• amanqanaba aphezulu e-calcium, okanye i-hypercalcemia
• Imicimbi yezempilo yengqondo, enjenge-psychogenic polydipsia
• ukuthatha amayeza anjenge-diuretics

Ipolyphagia

I-Polyphagia ichaza indlala egqithileyo. Nangona sonke sinokuziva sinyuka kumnqweno wokutya kwiimeko ezithile-ezinje emva kokuzilolonga okanye ukuba asityanga ixeshana-ngamanye amaxesha kunokuba luphawu lweemeko ezisisiseko.

Kubantu abanesifo seswekile, iswekile ayinako ukungena kwiiseli ukuba zisetyenziselwe amandla. Oku kunokuba ngenxa yamanqanaba asezantsi e-insulin okanye ukumelana ne-insulin. Ngenxa yokuba umzimba wakho awukwazi ukuguqula le glucose ibe ngamandla, uya kuqala ukuziva ulambile kakhulu.

Indlala ehambelana nepolphagia ayihambi emva kokutya ukutya. Ngapha koko, kubantu abanesifo seswekile esingalawulwayo, ukutya okuninzi kuya kuba negalelo kumanqanaba aphezulu eglucose esegazini.

Njenge-polydipsia kunye ne-polyuria, ezinye izinto zinokubangela i-polyphagia nayo. Eminye imizekelo ibandakanya:

• idlala lengqula, okanye hyperthyroidism
• i-premenstrual syndrome (PMS)
• uxinzelelo
• ukuthatha amayeza athile, njenge-corticosteroids

Uxilongo

Ii-P ezintathu zesifo seswekile zihlala, kodwa kungekho rhoqo, zenzeka kunye. Ukongeza, zihlala zikhula ngokukhawuleza kuhlobo lweswekile 1 kwaye ngokuthe chu kuhlobo lwe-2 yeswekile.

Kuba ii-P's ezintathu zibonakalisa ukuba amanqanaba eglucose egazini akho angaphezulu kunesiqhelo, ugqirha wakho angazisebenzisa ukunceda ukufumanisa isifo seswekile. Nangona kunjalo, ezinye iimpawu zinokubakho kunye nee-P's ezintathu.

Ezi mpawu zibandakanya:

• Ndiziva ndidiniwe okanye ndidiniwe
• ukungaboni kakuhle
• ukwehla kobunzima obungachazwanga
• Ukuziva urhawuzelela okanye ubundindisholo ezandleni nasezinyaweni
• ukuphilisa kancinci ukusika kunye nemivimbo
• Izifo eziphindaphindayo

Ukuba ufumana enye ye-P ezintathu kunye okanye ngaphandle kwezinye iimpawu zesifo seswekile, ugqirha wakho angenza iimvavanyo zokufumanisa isifo.

Uvavanyo lubandakanya:

• Uvavanyo lwegazi lwe-A1C
• uvavanyo lweplasma glucose (FPG)
• Uvavanyo lwe-plasma glucose (RPG)
• uvavanyo lokunyamezelana ngeswekile yomlomo

Kuhlala kubalulekile ukukhumbula ukuba ezinye iimeko ngaphandle kweswekile zinokubangela enye okanye nangaphezulu kwee-P ezintathu. Ukuba ufumana enye okanye ngaphezulu kwezi mpawu, kufuneka ubone ugqirha wakho.

Inqaku malunga ne-prediabetes

Uthini malunga neeP ezintathu kunye nee-prediabetes? I-Prediabetes kuxa amanqanaba eglucose egazi akho ephezulu kunokuba kufanelekile, kodwa hayi phezulu ngokwaneleyo ukufumanisa isifo seswekile sesi-2.

Ukuba unesifo seswekile, ngekhe ubenempawu ezicacileyo okanye iimpawu ezifana nee-P's ezintathu. Ngenxa yokuba ii-prediabetes zinokungabonakali, kubalulekile ukuba kuvavanywe rhoqo iswekile yegazi lakho ukuba usemngciphekweni wohlobo lweswekile yesi-2.

Unyango

Kwi-diabetes, imbangela yee-P ezintathu ziphezulu kune-glucose yegazi eqhelekileyo. Kananjalo, ukugcina amanqanaba eglucose egazini kulawulwa kunokunceda ukumisa ii-P ezintathu.

Eminye imizekelo yeendlela zokwenza oku zibandakanya:

• ukuthatha amayeza eswekile, njenge-insulin okanye i-metformin
• Ukubeka iliso rhoqo kwezinto ezinje ngamanqanaba eglucose egazini, uxinzelelo lwegazi, kunye necholesterol
• ukulandela isicwangciso sokutya esifanelekileyo
• ukusebenza ngakumbi ngokwasemzimbeni

Ukulandela ukuxilongwa, ugqirha wakho uya kusebenza nawe ukuphuhlisa isicwangciso sonyango esilungele imeko yakho. Ukuze ugcine iimpawu zesifo seswekile zilawulwa, bambelela kwesi sicwangciso kangangoko kunokwenzeka.

Nini ukubona ugqirha

Ke kuya kufuneka nini ukuba wenze idinga nogqirha wakho ukuxoxa enye okanye nangaphezulu kwezi zintathu?

Ukuba ufumana ukonyuka okungaqhelekanga kunxano, ukuchama, okanye ukuthanda ukutya okuhlala ngaphezulu kweentsuku ezininzi, kuya kufuneka ubone ugqirha wakho. Oku kubaluleke ngakumbi ukuba ufumana ngaphezulu kwesinye seP ezintathu.

Kwakhona khumbula ukuba nganye yee-P ezintathu inokwenzeka ngokukodwa njengophawu lweemeko ngaphandle kweswekile. Ukuba ufumana iimpawu ezintsha, ezingapheliyo, okanye ezimalunga noku, kuya kufuneka usoloko usenza idinga nogqirha wakho ukuze bakwazi ukukuvavanya.

Umgca wezantsi

Ii-P ezintathu zesifo seswekile yi-polydipsia, i-polyuria, kunye ne-polyphagia. La magama ahambelana nokunyuka kunxano, ukuchama, kunye nokutya, ngokwahlukeneyo.

Ii-P ezintathu zihlala-kodwa kungekho rhoqo-zenzeka kunye. Zizibonakaliso eziphakamileyo kunezinga eliqhelekileyo le-glucose yegazi kwaye ezinye zeempawu eziqhelekileyo zesifo sikashukela.

Ukuba ufumana enye okanye ngaphezulu kwee-P ezintathu, kuya kufuneka wenze idinga nogqirha wakho ukuxoxa ngeempawu zakho.