Iswekile-Iimpawu kunye nokuchongwa

Umxholo

• Uphengululo lwe

Iimpawu zesifo sikashukela sohlobo lwe-2

Ngaphezulu kwezigidi ezi-6 zabantu e-United States bane-2 yeswekile kwaye abayazi. Abaninzi abanazo iimpawu okanye iimpawu. Iimpawu zinokuba mnene kakhulu kangangokuba ungaziqapheli. Abanye abantu baneempawu kodwa abasikrokrele isifo seswekile.

Iimpawu zibandakanya:

• ukwanda konxano
• ukwanda kwendlala
• ukudinwa
• ukwanda komchamo, ngakumbi ebusuku
• ukuhla ukusinda
• ukungaboni kakuhle
• izilonda ezingapholiyo

Uninzi lwabantu alufumani ukuba banesifo de babe nesifo seswekile, njengokubona okungacacanga okanye ingxaki yentliziyo. Ukuba ufumanisa kwangethuba ukuba unesifo seswekile, unokufumana unyango ukukhusela umonakalo emzimbeni.

Uxilongo

Nabani na oneminyaka engama-45 ubudala okanye ngaphezulu kufuneka acinge ngokuvavanyelwa isifo seswekile. Ukuba uneminyaka engama-45 okanye ngaphezulu kwaye ukutyeba kakhulu xa kuvavanywa kuyacetyiswa ngamandla. Ukuba ungaphantsi kweminyaka engama-45, utyebe kakhulu, kwaye unomngcipheko omnye okanye ngaphezulu, kuya kufuneka ucinge ngokuvavanywa. Buza ugqirha wakho malunga novavanyo lokuzila ukutya kweglucose okanye uvavanyo lokunyamezela i-glucose yomlomo. Ugqirha wakho uza kukuxelela ukuba uneswekile yegazi eqhelekileyo, isifo seswekile, okanye isifo seswekile.

Ezi mvavanyo zilandelayo zisetyenziselwa ukuxilonga:

• A uvavanyo lweplasma glucose (FPG) ilinganisa i-glucose yegazi kumntu ongakhange atye nantoni na ubuncinane iiyure eziyi-8. Olu vavanyo lusetyenziselwa ukukhangela isifo seswekile kunye nesifo seswekile.
• An Uvavanyo lokunyamezelana ngeswekile yomlomo (OGTT) Ilinganisa i-glucose yegazi emva kokuba umntu azile ukutya ubuncinane kwiiyure ze-8 kunye neeyure ze-2 emva kokuba umntu esele isiselo esiqulethe i-glucose. Olu vavanyo lunokusetyenziselwa ukufumanisa isifo seswekile kunye neswekile.
• A uvavanyo lweplasma glucose olungahleliwe, ekwabizwa ngokuba luvavanyo lweswekile yeglucose, ukulinganisa iswekile yegazi ngaphandle kokujonga ukuba umntu ovavanywayo ugqibele nini ukutya. Olu vavanyo, kunye novavanyo lweempawu, lusetyenziselwa ukuxilonga isifo seswekile kodwa kungekhona i-pre-diabetes.

Iziphumo zovavanyo ezibonisa ukuba umntu onesifo seswekile kufuneka aqinisekiswe kuvavanyo lwesibini ngosuku olwahlukileyo.

Uvavanyo lwe-FPG

Uvavanyo lwe-FPG luvavanyo olukhethiweyo lokuchonga isifo seswekile ngenxa yokulula kunye nexabiso eliphantsi. Nangona kunjalo, iyakuphulukana nesifo seswekile okanye isifo seswekile ngaphambi kokufumana i-OGTT. Uvavanyo lweFPG luthembeke kakhulu xa lwenziwa ekuseni. Abantu abanenqanaba leswekile yokuzila iswekile ye-100 ukuya kwi-125 yeemiligram ngedililitha nganye (mg / dL) banesimo seswekile esibizwa ngokuba yi-glucose ekhawulezileyo yokuzila ukutya (IFG). Ukuba ne-IFG kuthetha ukuba umntu unomngcipheko owongeziweyo wokuphuhlisa uhlobo lwe-2 yeswekile kodwa akakabi nayo. Inqanaba le-126 mg / dL okanye ngaphezulu, liqinisekisiwe ngokuluphinda uvavanyo ngolunye usuku, kuthetha ukuba umntu unesifo seswekile.OGTT

Uphando lubonakalisile ukuba i-OGTT inovakalelo ngakumbi kunoluvavanyo lwe-FPG lokuchonga isifo seswekile, kodwa akukho lula ukwenza oko. I-OGTT ifuna ukuzila ukutya ubuncinci iiyure eziyi-8 ngaphambi kovavanyo. Inqanaba le-glucose ye-plasma lilinganiswa ngokukhawuleza ngaphambi nangeeyure ze-2 emva kokuba umntu esele i-liquid equkethe i-75 grams ye-glucose echithwe emanzini. Ukuba inqanaba leswekile yegazi iphakathi kwe-140 kunye ne-199 mg / dL iiyure ezi-2 emva kokusela ulwelo, umntu lowo unesimo seswekile esibizwa ngokuba kukunganyamezelani kweswekile (IGT). Ukuba ne-IGT, njengokuba ne-IFG, kuthetha ukuba umntu unomngcipheko owongeziweyo wokuba nesifo seswekile se-2 kodwa akakabi nayo. Inqanaba le-2 yeyure yeglucose ye-200 mg / dL okanye ngaphezulu, eqinisekisiwe ngokuphinda uvavanyo ngolunye usuku, kuthetha ukuba umntu unesifo seswekile.

Isifo seswekile sokukhulelwa sikwafunyaniswa ngokusekwe kwi-plasma glucose amaxabiso alinganiswe ngexesha le-OGTT, ekhethwayo ngokusebenzisa i-100 grams yeglucose kulwelo kuvavanyo. Amanqanaba eglucose yegazi ajongwa amaxesha amane ngexesha lovavanyo. Ukuba amanqanaba eswekile yegazi angaphezulu kwesiqhelo ubuncinci kabini ngexesha lovavanyo, owasetyhini unesifo seswekile sokukhulelwa.

Uvavanyo lweGlucose yePlasma engaqhelekanga

Inqanaba leswekile, okanye eliqhelekileyo, inqanaba leswekile yegazi engama-200 mg / dL okanye ngaphezulu, kunye nobukho bezi mpawu zilandelayo, kunokuthetha ukuba umntu unesifo seswekile:

• ukwanda kokuchama
• ukwanda kokoma
• ukwehla kobunzima obungachazwanga

Ukuba iziphumo zovavanyo ziqhelekileyo, uvavanyo kufuneka luphindwe ubuncinane rhoqo emva kweminyaka emi-3. Oogqirha banokucebisa ukuvavanywa rhoqo rhoqo kuxhomekeke kwiziphumo zokuqala kunye nenqanaba lomngcipheko. Abantu abaneziphumo zovavanyo zabo ezibonisa ukuba banesifo seswekile, kufuneka ukuba baphinde bahlolwe iswekile egazini kwakhona kwisithuba seminyaka emi-1 ukuya kwemi-2 kwaye bathathe amanyathelo okuthintela uhlobo lweswekile yesi-2.

Xa owasetyhini ekhulelwe, ugqirha uya kuvavanya umngcipheko wakhe wokuba nesifo seswekile sokukhulelwa kutyelelo lwakhe lokuqala lokubeleka kunye nomyalelo wokuvavanya njengoko kuyimfuneko ngexesha lokukhulelwa. Abasetyhini abahlakulela isifo seswekile sokukhulelwa nabo kufuneka benze uvavanyo lokulandelela kwiiveki ezi-6 ukuya kwezi-12 emva kokuba umntwana ezelwe.

Ukusukela ekubeni uhlobo lweswekile lwesibini sele luxhaphake ebantwaneni nakwishumi elivisayo kunangaphambili, abo basemngciphekweni wokuba nesifo seswekile kufuneka bavavanywe qho emva kweminyaka emibini. Uvavanyo kufuneka luqale xa uneminyaka eli-10 okanye xa ufikisa, nokuba yeyiphi eyenzeka kuqala. Isalathiso sobunzima bomzimba (BMI)

I-BMI ngumlinganiso wobunzima bomzimba xa kuthelekiswa nobude obunokukunceda ukuba ubone ukuba ubunzima bakho bukubeka emngciphekweni wesifo seswekile. Qaphela: I-BMI inezithintelo ezithile. Inokuthi igqithise amanqatha omzimba kwiimbaleki kunye nabanye abanokwakheka kwe-muscular kwaye bawajongele phantsi amanqatha omzimba kubantu abadala kunye nabanye abaphulukene nezihlunu.

I-BMI yabantwana kunye nabaselula kufuneka imiselwe ngokusekelwe kwiminyaka yobudala, ubude, ubunzima kunye nesondo. Fumana iBMI yakho apha.

Uphengululo lwe