Iimpawu zeSwekile ezili-10 abaseTyhini kufuneka bazi ngazo

Umxholo

• Uhlobo lwe-1 lweSifo seSwekile
• Ukwehla kobunzima obumangalisayo
• Ukudinwa Okugqithisileyo
• Amaxesha angaqhelekanga
• Ubonana nini noGqirha
• Xa Iimpawu zeswekile zinokuthetha enye into
• Uhlobo lwe-2 yeempawu zesifo seswekile
• Akukho Mqondiso konke
• PCOS
• Iimpawu zesifo seswekile
• Umntwana Omkhulu Kunoko-Oqhelekileyo
• Ukufumana ubunzima obukhulu
• Iimpawu ze-Pre-Diabetes
• Iglucose yeGazi ePhakamileyo
• Uphengululo lwe

Ngaphezulu kwe-100 yezigidi zabantu baseMelika abaphila nesifo seswekile okanye isifo seswekile, ngokutsho kwengxelo ye-2017 evela kumaziko oLawulo lweZifo noThintelo. Elo linani loyikekayo—yaye phezu kwako nje ubuninzi benkcazelo ephathelele impilo nesondlo, elo nani liyanda. (Idibeneyo: Ngaba ukutya kwe keto kunokunceda kuhlobo 2 lweswekile?)

Nantsi enye into eyoyikisayo: Nokuba ucinga ukuba wenza yonke into ngokufanelekileyo-ukutya ngendlela efanelekileyo, ukuzilolonga -kukho izinto ezithile (njengembali yosapho lwakho) ezinokukubeka emngciphekweni weentlobo ezithile zesifo seswekile.

Nantsi indlela yokuqonda iimpawu zeswekile kwabasetyhini, kubandakanya imiqondiso yohlobo 1, uhlobo 2, kunye neswekile yokukhulelwa, kunye neempawu zangaphambi kweswekile.

Uhlobo lwe-1 lweSifo seSwekile

Uhlobo loku-1 lweswekile lubangelwa yinkqubo ye-autoimmune apho amajoni omzimba ahlasela iiseli ze-beta ze-pancreas, utshilo u-Marilyn Tan, M.D., i-endocrinologist e-Stanford Health Care onebhodi ephindwe kabini eqinisekisiweyo kwi-endocrinology kunye namayeza angaphakathi. Ngenxa yolu hlaselo, i-pancreas yakho ayikwazi ukwenza i-insulin eyaneleyo yomzimba wakho. (I-FYI, nantsi isizathu sokuba i-insulin ibaluleke: yihomoni eqhuba iswekile egazini lakho iye kwiiseli zakho ukuze bakwazi ukusebenzisa amandla kwimisebenzi ebalulekileyo.)

Ukwehla kobunzima obumangalisayo

UGqr. Tan uthi: “Xa oko [umhlaza uhlasela] kusenzeka, iimpawu zibonakala kakuhle, ngokuqhelekileyo emva kweentsuku okanye iiveki ezimbalwa. "Abantu baya kuba nokuncipha okukhulu kwesisindo-ngamanye amaxesha i-10 okanye i-20 pounds-kunye nokunyuka kokoma kunye nokuchama, kwaye ngamanye amaxesha isicaphucaphu."

Ukuphulukana nobunzima ngokungenanjongo kungenxa yeswekile ephezulu yegazi. Xa izintso zingakwazi ukuphinda ziphinde zifake iswekile eyongezelelweyo, kulapho igama eligubungela zonke izifo zeswekile, isifo seswekile, lingena. "Siswekile kumchamo, utshilo uGqirha Tan. Ukuba unesifo seswekile esingafunyaniswanga, umchamo wakho usenokunuka kamnandi, uyongeza.

Ukudinwa Okugqithisileyo

Olunye uphawu lohlobo 1 lweswekile kukudinwa kakhulu, kwaye abanye abantu bafumana umbono wokuphulukana nombono, utshilo uRuchi Bhabhra, MD, Ph.D., ugqirha we-endocrinologist kwi-UC Health kunye nonjingalwazi oncedisayo we-endocrinology kwiYunivesithi yaseCincinnati College of Medicine.

Amaxesha angaqhelekanga

Iimpawu zeswekile kwabasetyhini kuzo zombini iindidi zohlobo lwe-1 kunye nohlobo 2 zibonakalisa ngokufanayo emadodeni. Nangona kunjalo, abasetyhini banophawu olunye olubalulekileyo lokuba amadoda angenalo, kwaye sisilinganiselo esihle sempilo yomzimba wakho uphela: umjikelo wokuya exesheni. Ugqirha Tan uthi: "Abanye abantu basetyhini banamaxesha aqhelekileyo naxa begula, kodwa kumanina amaninzi, amaxesha angaqhelekanga abonisa ukuba kukho undonakele." (Nantsi inkwenkwezi enye yamatye ebaleka iimitha ezili-100 nge-1 yeswekile.)

Ubonana nini noGqirha

Ukuba ufumana ukubakho ngesiquphe kwezi mpawu — ngakumbi ukwehla kobunzima obungacwangciswanga ngabom kunye nokonyuka okunxaniweyo kunye nokuchama (sithetha ukuvuka kahlanu okanye kathandathu ngobusuku ukuze uchame) - kuya kufuneka uhlolwe iswekile yegazi lakho, utshilo uGqirha Bhabhra. Ugqirha wakho unokuqhuba uvavanyo lwegazi olulula okanye uvavanyo lomchamo ukulinganisa iswekile yegazi lakho.

Kwakhona, ukuba unayo nayiphi na imingcipheko kwintsapho yakho, njengesihlobo esisondeleyo esinesifo seswekile se-1, oko kufuneka kwakhona kuphakamise iflegi ebomvu ukuya kugqirha wakho ASAP. UGqr. Bhabhra uthi: “Akufanele uhlale phantsi kwezi mpawu.

Xa Iimpawu zeswekile zinokuthetha enye into

Oko kwathiwa, ngamanye amaxesha iimpawu ezinje ngokunyuka okunxaniweyo kunye nokuchama kunokubangelwa yenye into, njengonyango lwegazi okanye ezinye i-diuretics. Kukho esinye isifo (esingaqhelekanga) esibizwa ngokuba sisifo seswekile insipidus, esingesosifo seswekile kwaphela kodwa sisifo sehomoni, utsho uGqr. Bhabhra. Kubangelwa kukungabikho kwehomoni ebizwa ngokuba yi-ADH enceda ukulawula izintso zakho, ezinokuthi zikhokelele ekwandeni kokoma kunye nokuchama, kunye nokudinwa kokuphelelwa ngamanzi emzimbeni.

Uhlobo lwe-2 yeempawu zesifo seswekile

Uhlobo lwe-2 lweswekile luyenyuka kuye wonke umntu, nkqu nabantwana kunye nabasetyhini abancinci, utshilo uGqirha Tan. Olu hlobo ngoku lubala iipesenti ezingama-90 ukuya kuma-95 zazo zonke izigulo zesifo seswekile.

"Kwixesha elidlulileyo, sasibona ibhinqa eliselula kwishumi elivisayo kwaye sicinga ukuba luhlobo lokuqala," utshilo uGqr.Tan, "kodwa ngenxa yobhubhani wokutyeba, sifumanisa ngakumbi nangakumbi abasetyhini abanesifo seswekile sohlobo lwe-2." Unika ikhredithi ukwanda kokufumaneka kokutya okucutshungulweyo okuthe kratya kunye nendlela yokuphila yokungalali ngokuyinxenye yokunyuka. (I-FYI: Iyure nganye yeTV oyibukeleyo inyusa umngcipheko.)

Akukho Mqondiso konke

Iimpawu zohlobo lwesibini lwesifo seswekile zilukhuni kunodidi 1. Ngexesha umntu efunyaniswa enohlobo lwe-2, kusenokwenzeka ukuba ubenalo kangangexesha elithile-sithetha iminyaka-utsho uGqirha Tan. Kwaye ixesha elininzi, i-asymptomatic kumanqanaba ayo okuqala.

Ngokungafaniyo nohlobo 1 lweswekile, umntu onohlobo lwe-2 uyakwazi ukwenza i-insulin eyoneleyo, kodwa amava e-insulin ukumelana. Oko kuthetha ukuba umzimba wabo awuphenduli kwi-insulin kwaye kufuneka njalo, ngenxa yokutyeba kakhulu okanye ukutyeba kakhulu, ukuhlala phantsi okanye ukuthatha amayeza athile, utshilo uGqirha Tan.

I-Genetics idlala indima enkulu apha, kwakhona, kwaye abantu abanembali yentsapho yohlobo lwe-2 yeswekile basengozini enkulu. Nangona uhlobo lwesi-2 lunxulunyaniswa kakhulu nokutyeba, akuyomfuneko ukuba utyebe kakhulu ukuze ukuphuhlise, utshilo uGqr. 24.9). "Oko kuthetha ukuba nakubunzima obuphantsi bomzimba, umngcipheko wohlobo lweswekile yesi-2 kunye nezinye izifo ze-metabolic iphezulu," utshilo.

PCOS

Abasetyhini nabo banomngcipheko omnye ngakumbi kunamadoda: i-polycystic ovarian syndrome, okanye i-PCOS. Abafazi abazizigidi ezithandathu e-US bane-PCOS, kwaye izifundo zibonisa ukuba ukuba ne-PCOS kukwenza ukuba ube amathuba aphindwe kane okuphuhlisa uhlobo lweswekile yesi-2. Enye into ekubeka emngciphekweni omkhulu yimbali yesifo seswekile sokukhulelwa (ngakumbi kule ingezantsi).

Uninzi lwexesha, uhlobo lwe-2 yeswekile lufunyaniswa ngengozi ngovavanyo lwezempilo oluqhelekileyo okanye uvavanyo lonyaka. Nangona kunjalo, unokufumana iimpawu ezifanayo zohlobo loku-1 kunye nohlobo lwesi-2, nangona zivela ngokuthe ngcembe, utsho uGqr. Bhabhra.

Iimpawu zesifo seswekile

Ukuya kuthi ga kwi-10 ekhulwini labo bonke abafazi abakhulelweyo abachatshazelwa sisifo seswekile sokukhulelwa, ngokweCDC. Ngelixa ichaphazela umzimba wakho ngokufanayo kuhlobo lweswekile yesi-2, isifo seswekile sokukhulelwa sisoloko singabonakali, utshilo uGqirha Tan. Kungenxa yoko le nto ii-ob-gyns ziya kwenza iimvavanyo zokunyamezelana ngokweswekile ngokwamanqanaba athile ukuvavanya isifo seswekile.

Umntwana Omkhulu Kunoko-Oqhelekileyo

Ukutshintsha kweHormonal ngexesha lokukhulelwa kunokunyusa ukuxhatshazwa kwe-insulin, okukhokelela kwisifo sikashukela sokukhulelwa. Usana olulinganiselwa kunesiqhelo ludla ngokuba luphawu lwesifo seswekile sokukhulelwa, utshilo uGqirha Tan.

Ngelixa isifo seswekile sesifo seswekile ngokwesiqhelo singeyongozi emntwaneni (nangona usana olusandul 'ukuzalwa lungayinyusa imveliso ye-insulin kwangoko emva kokubeleka, isiphumo sesokwexeshana, utshilo uGqirha Tan), malunga neepesenti ezingama-50 zoomama abanesifo seswekile sokukhulelwa. Iswekile ye-2 kamva, ngokwe-CDC.

Ukufumana ubunzima obukhulu

UGqr. Tan ukwaphawula ukuba ukufumana ubunzima obuphezulu ngokungaqhelekanga ngexesha lokukhulelwa kunokuba lolunye uphawu olulumkisayo. Kuya kufuneka unxibelelane nogqirha wakho ngexesha lokukhulelwa kwakho ukuze uqiniseke ukuba ukuzuza kwakho kobunzima kuluhlu olusempilweni.

Iimpawu ze-Pre-Diabetes

Ukuba ne-pre-diabetes kuthetha nje ukuba amanqanaba eswekile yegazi aphezulu kunesiqhelo. Ihlala ingenazimpawu, utshilo uGqirha Tan, kodwa ifunyanwa kuvavanyo lwegazi. "Ngokwenene, luphawu lokuba usemngciphekweni omkhulu wokuphuhlisa uhlobo lwe-2 yeswekile," utshilo.

Iglucose yeGazi ePhakamileyo

Oogqirha baya kulinganisa iswekile yegazi lakho ukufumanisa ukuba amanqanaba akho anyukile na, utsho uGqr. Bhabhra. Ngokwesiqhelo bakwenza oku ngovavanyo lwe-hemoglobin (okanye i-A1C) eglycated, elinganisa ipesenti yeswekile yegazi eqhotyoshelwe kwi-hemoglobin, iprotein ethwala ioksijini kwiiseli zakho ezibomvu zegazi; okanye ngovavanyo lokutya iswekile yegazi, oluthathwa emva kokuzila ukutya ubusuku bonke. Okokugqibela, nantoni na engaphantsi kwe-100 mg / DL iqhelekile; I-100 ukuya kwi-126 ibonisa i-pre-diabetes; Kwaye nantoni na engaphezu kwe-126 ithetha ukuba unesifo seswekile.

Ukutyeba kakhulu okanye ukutyeba; ukuphila ubomi bokuhlala phantsi; kunye nokutya okuninzi okusulungekisiweyo, okunekhalori ephezulu okanye ukutya okuneswekile eninzi kunokuba yimiba ekuphuhliseni isifo seswekile. Nangona kunjalo kusekho izinto ezingaphaya kolawulo lwakho. "Sibona izigulana ezininzi ezizama konke okusemandleni azo, kodwa azikwazi ukutshintsha imfuza," utshilo uGqirha Tan. "Kukho izinto onokuziguqula kwaye ezinye awukwazi, kodwa zama ukwandisa indlela oguqula ngayo indlela yokuphila ukuthintela uhlobo lweswekile yesi-2."

Uphengululo lwe