Ukulawula udidi lwesibini lweswekile ngaphandle kwe-insulin: Izinto ezi-6 zokwazi

Umxholo

• Indlela yokuphila ibalulekile
• Zininzi iintlobo zonyango lwamayeza ezikhoyo
• Ugqirha wakho unokukunika amanye amayeza atofwayo
• Utyando lokulahleka kobunzima lunokuba lukhetho
• Olunye unyango lunokubangela iziphumo ebezingalindelekanga
• Iimfuno zakho zonyango zingatshintsha
• Ukuthatha

Ngamanye amaxesha, abantu abanesifo seswekile sesi-2 bafuna inaliti ye-insulin ukulawula amanqanaba eswekile yegazi. Kwabanye, chwetheza 2 isifo seswekile sinokulawulwa ngaphandle kwe-insulin. Kuxhomekeka kwimbali yakho yezempilo, ugqirha wakho unokucebisa ukuba ulawule uhlobo lwesifo seswekile ngokudibanisa indlela yokuphila, amayeza omlomo, okanye ezinye iindlela zonyango.

Nazi izinto ezintandathu ekufuneka uzazi ngokulawula uhlobo lweswekile yesibini ngaphandle kwe-insulin.

Indlela yokuphila ibalulekile

Abanye abantu abanesifo seswekile sesi-2 banokulawula iswekile yegazi kunye notshintsho kwindlela yokuphila bodwa. Kodwa nokuba ufuna amayeza, ukhetho olusempilweni lokuphila lubalulekile.

Ukukunceda ukulawula amanqanaba eswekile yegazi, zama uku:

• yitya ukutya okunezondlo
• ufumane ubuncinci imizuzu engama-30 yokuzivocavoca umzimba ngosuku, iintsuku ezintlanu ngeveki
• gqibezela ubuncinci iiseshoni ezimbini zemisebenzi yokuqinisa umsipha ngeveki
• lala ngokwaneleyo

Kuxhomekeke kubunzima bakho obukhoyo kunye nokuphakama, ugqirha wakho unokukukhuthaza ukuba unciphise umzimba. Ugqirha wakho okanye ugqirha wokutya unokukunceda uhlakulele isicwangciso sokulahleka kwesisindo esikhuselekileyo nesisebenzayo.

Ukunciphisa umngcipheko weengxaki kuhlobo lwe-2 yeswekile, kubalulekile ukunqanda icuba. Ukuba uyatshaya, ugqirha wakho unokucebisa ngezixhobo ukukunceda uyeke.

Zininzi iintlobo zonyango lwamayeza ezikhoyo

Ukongeza kutshintsho lwendlela yokuphila, ugqirha wakho unokumisela amayeza omlomo kuhlobo lweswekile 2. Banokukunceda ukunciphisa amanqanaba eswekile yegazi.

Iiklasi ezininzi ezahlukeneyo zonyango lomlomo ziyafumaneka ukunyanga uhlobo lwesifo seswekile, kubandakanya:

• I-alpha-glucosidase inhibitors
• imvuba
• Iingqokelela ze-bile acid
• I-dopamine-2 i-agonists
• I-DPP-4 inhibitors
• sifumana
• I-SGLT2 inhibitors
• isulfonylureas
• Ii-TZD

Kwezinye iimeko, unokufuna ukudibanisa amayeza omlomo. Oku kwaziwa njengonyango oludibeneyo lomlomo. Kuya kufuneka uzame iindidi ezininzi zamayeza ukufumana irejimeni esebenza kuwe.

Ugqirha wakho unokukunika amanye amayeza atofwayo

I-insulini ayisiyiyo kuphela uhlobo lonyango olunokusetyenziselwa ukunyanga uhlobo lwesifo seswekile. Ngamanye amaxesha, ugqirha unokuyalela amanye amayeza anokufakwa inaliti.

Umzekelo, amayeza afana ne-GLP-1 receptor agonists kunye ne-amylin analogue kufuneka atofwe. Ezi ntlobo zamayeza zisebenza ukugcina amanqanaba eglucose egazini kuluhlu oluqhelekileyo, ngakumbi emva kokutya.

Kuxhomekeke kunyango oluthile, unokufuna ukujova imihla ngemihla okanye ngeveki. Ukuba ugqirha ukumisela iyeza elitofwayo, babuze nini kwaye njani. Banokukunceda ukuba ufunde ngendlela yokufaka inaliti ngokukhuselekileyo kunye nokulahla iinaliti ezisetyenzisiweyo.

Utyando lokulahleka kobunzima lunokuba lukhetho

Ukuba isalathiso sobunzima bomzimba wakho-umlinganiso wobunzima kunye nokuphakama-uhlangabezana neendlela zokutyeba kakhulu, ugqirha wakho unokucebisa utyando lokulahleka kobunzima ukunceda ukuphatha uhlobo lweswekile lwesibini. Le nkqubo ikwabizwa ngokuba kukuqhaqha komzimba okanye utyando lwe-bariatric. Inokukunceda ukuphucula amanqanaba eswekile yegazi kunye nokunciphisa umngcipheko weengxaki zeswekile.

Kwisitetimenti esidibeneyo esikhutshwe ngo-2016, imibutho emininzi yeswekile yacebisa utyando lokulahleka kwesisindo ukuphatha uhlobo lwesibini lweswekile kubantu abane-BMI engama-40 okanye ngaphezulu. Bacebise kananjalo ukuba kwenziwe utyando lokulahleka kwesisindo kubantu abane-BMI yama-35 ukuya kuma-39 kunye nembali yokungazami ukulawula iswekile yegazi labo ngendlela yokuphila kunye namayeza.

Ugqirha wakho unokukunceda ufunde ukuba ngaba utyando lokulahleka kwesisindo lukhetho lwakho.

Olunye unyango lunokubangela iziphumo ebezingalindelekanga

Iindidi ezahlukeneyo zamayeza, utyando, kunye nolunye unyango zinokubangela iziphumo ebezingalindelekanga. Uhlobo kunye nomngcipheko weziphumo ebezingalindelekanga ziyahluka, ukusuka kunyango ukuya kolunye.

Ngaphambi kokuba uqale ukuthatha iyeza elitsha, thetha nogqirha wakho malunga nezibonelelo ezinokubakho kunye neengozi zokuzisebenzisa. Babuze ukuba ingaba inokusebenzisana nawaphi na amanye amayeza okanye izongezo ozithathayo. Kuya kufuneka ukwazise ugqirha wakho ukuba ukhulelwe okanye uyancancisa, kuba amanye amayeza akakhuselekanga ukuba abantu abakhulelweyo okanye abancancisayo basebenzise.

Utyando lunokubeka emngciphekweni weziphumo ebezingalindelekanga, ezinjengokosuleleka kwindawo yokusikwa. Ngaphambi kokuba wenze naluphi na utyando, buza ugqirha wakho malunga nezibonelelo ezinokubakho kunye nobungozi. Thetha nabo malunga nenkqubo yokubuyisela kwimeko yesiqhelo, kubandakanya amanyathelo onokuwathatha ukunciphisa umngcipheko weengxaki zokubuyela emva.

Ukuba ukrokrela ukuba uvelise iziphumo ebezingalindelekanga kunyango, nxibelelana nogqirha wakho. Banokukunceda ukuphawula unobangela weempawu zakho. Ngamanye amaxesha, banokuhlengahlengisa isicwangciso sakho sonyango ukunceda ukunciphisa okanye ukuthintela iziphumo ebezingalindelekanga.

Iimfuno zakho zonyango zingatshintsha

Ngexesha elingaphezulu, imeko yakho kunye neemfuno zonyango zinokutshintsha. Ukuba ukufumene kunzima ukulawula iswekile yegazi lakho ngokutshintsha indlela ophila ngayo kunye namanye amayeza, ugqirha wakho unokumisela i-insulin. Ukulandela isicwangciso sabo sonyango esinconywayo kunokukunceda ulawule imeko yakho kunye nokunciphisa umngcipheko weengxaki.

Ukuthatha

Unyango oluninzi luyafumaneka kuhlobo 2 lweswekile. Ukuba unemibuzo okanye unenkxalabo malunga nesicwangciso sakho sonyango lwangoku, thetha nogqirha wakho. Banokukunceda uqonde ukhetho lwakho kwaye uphuhlise isicwangciso esikusebenzelayo.