Umzimba womntu ufumana amandla avela kwi-glucose, ngenxa yokucwangciswa kwe-insulin. Ngenxa yokungabikho kwe-hormone ye-pancreas okanye ukungabikho kokuthinteka kwayo kudala isifo sikashukela. Esi sisifo esibi kakhulu se-endocrine, edibene neengxaki ezinobungozi, kodwa ilawulwa ngempumelelo kwaye iphathwa.
Isifo sikashukela soluhlu lokuqala nolwesibini
Uphuhliso lwonyango olufanelekileyo lusekelwe kwiinkcukacha zokuxilongwa. Kukho isifo sikashukela esinciki-insulini esingaxhomeki kwi-insulin. Isiboniso sokuqala sokubonakalisa i-pathology siphumela xa i-pancreas ivelisa i-hormone encinci okanye imisa ukuveliswa kwayo. Isifo sikashukela sesibini sibonakaliswa ngumoya ophantsi weethambo zomzimba kwi-insulin. I-pancreas ayonakaliswe kule meko kwaye iyakwazi ukuvelisa ukugqithisa okugqithiseleyo kwehomoni.
Isifo sikashukela se-2 - siyabangela
Isifo esicatshangelwayo sisininzi, inxaxheba ephambili ekuphuhliseni kwayo idlalwe yilo lifa. Uphando lwezokwelapha e-US lubonise ukuba uhlobo lweswekile lwesibini ludluliselwa kubantwana abanamathuba angama-40%. Izigulane ezininzi ezivela kwi-pathology zijongene nesinye okanye izihlobo eziseduze, ngokukodwa kunye nomfazi.
Isifo sikashukela se-type 2 sinokufumaneka kwakhona ngenxa yokuphila okungalunganga. Umngcipheko ukwanda malunga nemvelaphi yezinto ezilandelayo:
- ukunyanya ;
- ukuhamba okuphantsi (i-hypodynamia);
- Umxholo ophantsi wefayibha yokutya ekudleni;
- Ukunamathela kwi-gluten-free food in the absence of illness celiac;
- i-carbohydrates ecocekileyo ekudleni;
- ngxinzelelo lwegazi .
Isifo sikashukela se-2 - iimpawu
Umfanekiso wekliniki wesifo awuhlali ungabonakali ixesha elide okanye iimpawu zalo zigqithiseleyo, ngoko abantu bajika kwi-endocrinologist esele ifikelele ekuhambeni kwexesha lokugqibela kwezempilo okanye phambi kweengxaki. Isifo sikashukela sesibini - iimpawu:
- u bunzima;
- ukoma rhoqo (i-polydipsia);
- umlomo owomileyo ;
- umsila okanye ubuthathaka jikelele;
- ukucocwa kwexesha eliqhelekileyo kunye nokugqithisa (polyuria);
- ukucheka kwesikhumba kunye nesini;
- ukuphulukiswa okukhatywayo kwamanxeba.
Isifo sikashukela sinehlobo 2 - ukuxilongwa
Inkcazo ephezulu yokuvavanya ukuqinisekiswa kwesifo esichazwayo kukuba kukho umfanekiso othile weklinikhi, ngakumbi i-polydipsia kunye ne-polyuria, kunye neziphumo zeemvavanyo zelabhoratri. Ukongezelela, ugqirha ubuza ukuba kukho uhlobo lwesibini lwesifo sikashukela kwimbali yentsapho, kubandakanywa nexesha lokunyusa (ukuthwala). Ngokufanayo, ezi zilandelayo ziboniswa:
- ubunzima bomzi;
- nqanaba legazi;
- izifo ezingapheliyo ze-cardiovascular and endocrine system;
- indlela yokuphila ngokuhambelana nokuhamba;
- mi sebenzi yokutya.
Uhlalutyo lwesifo sikashukela solu hlobo 2
Izifundo zeLebhanon zikunqumla ukuxinwa kwe-glucose egazini. Ekubeni kwe-hyperglycemia, uhlobo lwe-2 lweswekile luqinisekiswa - iswekile yegazi (i-venous okanye capillary) ayifanele idlule ngaphezu kwe-6.1 mmol / L ngokuzila ukudla. Kwiplasma, eli nani lifikelela kuma-7 mmol / l. Ukucacisa umphumo kwaye ekugqibeleni uhlolisise uhlobo lwesifo sikashukela se-2, amanyathelo okulawula athatyathwa emva kovavanyo lokunyamezela. Uthelekiso lweedatha ekuhlalutweni kwisisu esingenalutho kunye neeyure ezingama-2 emva kokufakwa kwe-glucose emzimbeni.
I-Hyperglycemia iyaqinisekiswa ukuba, emva kwemizuzu engama-120, izinga leshukela:
- ngaphezu kwe-10 mmol / l kwi-blood sugar e-11.1 mmol / l;
- ngaphezulu kwe-11,1 mmol / l kwi-plasma enegazi kunye ne-12,2 mmol / l yegazi le-capillary.
Ukongeza, ungasebenzisa amacandelo okuhlola okukhethekileyo ukucacisa ubukho be-glucose kumchamo. Emva kokucwiliswa kwecandelo elinjalo ngama-reagents kwi-biological fluid, kufuneka ulinde malunga ne-1 minute kwaye uvavanye umphumo. Ukuba ingxube yeshukela emcini ihlala kwimida eqhelekileyo, umbala we-strip ayitshintshi. Ngenxa yokwanda kwe-glucose, ifowuni ifakwe kwi-hue emnyama.
Unyango lwe-2 wesifo sikashukela
Ulwaphulo lweengxaki ezinikeziweyo luhlala luqala ngeengcebiso malunga nokuqulunqwa kokutya kunye nokumiselwa komzimba ngokomzimba kunye nokusetyenziswa komzimba. Ngokuqhelekileyo le miqathango inokwanela ukuyeka ukuqhubela phambili kwentsholongwane kunye nokulawula ngempumelelo uhlobo lwesifo sikashukela-unyango kunye nokutya kunye nokutya kunceda ukuzinzisa i-carbohydrates metabolism nokunciphisa ukutyhulwa kwe-glucose kwiishubhu zesibindi. Ngophuhliso olukhawulezayo lwesifo kunye nobukho beengxaki, amayeza akhethekileyo anqunywe.
Izidakamizwa zokunciphisa ushukela ngohlobo lwesibini sikashukela - uludwe
Ukunciphisa uxinzelelo lwe-glucose egazini lunokuba ngamaqela amagosa e-pharmacological. Iipilisi ezivela kwi-type 2 yeswekile, ezinika ukunciphisa kwinqanaba leshukela, kukho iintlobo ezi-3:
- i-sensitizers (biguanides, thiazolidinediones) - ukunciphisa ukunyanzelwa kwe-insulin;
- i-glucose-likesimilation blockers-inqanda ukutshatyalaliswa kwayo emathunjini;
- udongwe kunye ne-prandial regulators of glycemia - khuthaza umveliso we-insulin.
Ukulungiselela uhlobo lwesifo sikashukela, okwandisa ukukhutshwa kwamathambo kwi-hormone ye-pancreas:
- Metformin ;
- Gliket;
- Rosiglitazone;
- Bagomet;
- Eminyuli;
- Siofor;
- Langerin;
- Insufor;
- I-Panfor;
- Tefor nabanye.
Amachiza aphazamisa ukungena kwe-glucose:
- Guarem;
- Acarbose;
- Glukobay;
- Voxid;
- Glinose kunye neempawu.
Isifo sikashukela se-type 2 siphathwa ngoncedo lwezinto ezikhuthazayo zeemveliso ze-insulin:
- Amaryl;
- Maninil;
- Isifo sikashukela MW;
- Starlix;
- Glimepiride;
- Novonorm nabanye.
Ngabe i-insulin enqunywe yintoni uhlobo lwesifo sikashukela?
Ukulawulwa komsebenzi we-hormone ye-pancreas okanye i-analogues ifumaneka ukuba ukutya, ukulinganiswa kwesisindo, ukuzivocavoca kunye nokutya kwezidakamizwa ezingazenzisi kukunceda ukulawula i-glycemia. I-insulin kwisihlobo sesi-2 sikashukela sinqunywe kwiimeko ezigqithiseleyo nakubakho boboniso:
- izinga leshukela legazi kwisisu esingenanto esingaphezu kwe-15 mmol / l;
- ukungenelela okukhulu;
- ketosis;
- Ukulahleka kwesisindo esiphuthumayo;
- ukuxhatshazwa komzimba ;
- izifo ezithathelwanayo, ezihamba kunye nokuhlaziywa kweenkqubo ze-carbohydrate metabolism;
- ukuhlasela kwentliziyo;
- ukungabi nakubangelwa yimichiza yokunciphisa ushukela;
- i ngqumbo;
- ukubetha;
- izigaba ezinobungozi eziyingozi.
Unyango lwe-Type 2 yesifo sikashukela kunye neziNyango zoLuntu
I-Phytotherapy, eyenziwa ngokufanayo kunye nokusetyenziswa kwamachiza, kuphucula iinkqubo ze-metabolic, iyanciphisa ukutyunjwa kwe-glucose egazini kunye nokwandisa ukukhutshwa komzimba kwi-insulin. Ngokuqhelekileyo kucetyiswa ukuba itiye inikwe isifo seswekile sesibini. Amaqabunga asomileyo, iimpawu kunye neentyantyambo zokupopola kufuneka zihlanjululwe ngamanzi abilayo (iiyure eziyi-2-3 ze-spoonful of materials raw for 500 ml yamanzi). Isiselo esilungileyo sisetyenziselwa iikhoyi ukuya kumahlanu ngosuku.
Iziyobisi zohlobo lwe-2 lweswekile ukusuka kwiDandelion
Izithako:
- utshani kunye neengcambu zesityalo (kwifom eyomileyo) - 6-10 g;
- Amanzi ayi 180-210 ml.
Ukulungiselela, sebenzisa :
- Thela impahla eluhlaza ngamanzi atshisayo kwaye ubilise imizuzu eyi-10.
- Ukumisela isisombululo sesigxina seyure.
- Nciphisa umhluzi.
- Phuza 1 tbsp. isipuni kathathu ngosuku.
I-tincture emithathu
Izithako:
- i-anyanisi - 25 g;
- Amaqabunga ama-walnut aphuhliweyo - 25 g;
- ingca yeengca - 20-25 g;
- vodka - 450 ml.
Ukulungiselela, sebenzisa :
- Hlukanisa umthamo we-vodka kwiingxenye ezilinganayo ze-150 ml.
- Gxininisa kuyo i-anyanisi enemihlaba (iintsuku ezingama-5 ebumnyameni).
- Ngeveki, bamba endaweni emnyama amaqabunga ama-walnut, agcwele 150 ml ye-vodka.
- Ngexesha leveki, ngokunjalo, gxininisa ingca yengca.
- Gxininisa zonke izisombululo.
- Hlanganisa i-liquids efunyenweyo: 150 ml anyanisi, i-60 ml nut kunye no-40 ml we-herbal tincture.
- Thatha 1 tbsp. isipuni ngaphambi kokulala kunye nemizuzu engama-20 ngaphambi kokutya kwasekuseni.
Umxube wokwelapha wesifo sikashukela
Izithako:
- ipey peel - 100 g;
- I-garlic ekhethiweyo - 300 g;
- iingcambu okanye amaqabunga eparsley - 300 g.
Ukulungiselela, sebenzisa :
- Dlula kwi-grinder yezinto zonke izithako okanye ugaye kwi-blender.
- Ukunika i-gruel iiveki ezimbini kwiqrijini.
- Ngesithathu ngosuku lokutya umxube we-tsp i-half-hour ngaphambi kwesidlo. Ungayiphuza ngamanzi okanye itiye yemifuno.
Ukunyuswa kwama-cinnamon
Izithako:
- ubusi - 0.5 tsp okanye ngaphantsi;
- i powinoni powder - 1 ithisipuni;
- Amanzi angama 180-220 ml.
Ukulungiselela, sebenzisa :
- Thela umhlaba isinamon ngamanzi abilayo.
- Ukugxininisa kuthetha 30 imizuzu.
- Yongeza inyosi kumanzi kwaye ugxobhoze ide ichithwe ngokupheleleyo.
- Faka iyeza kule friji 3 iiyure.
- Phuza isigamu sesisombululo isigqibo seyure ngaphambi kokutya kwasekuseni, kunye ntsalela - ngaphambi kokulala.
Uhlobo lwe-2 lwe-diabetes mellitus lufanelekile ukuba unyango lwejusi. Ukunciphisa ukutyunjwa kwe-glucose egazini kunceda ukusetyenziswa rhoqo ngokutsha kwimifuno elandelayo:
- iikaroti;
- Iqhuma iBrussels;
- Ubhontshisi obuluhlaza (i-asparagus);
- isaladi yeqabunga;
- isilimo.
Isifo sikashukela se-2 - esitsha kunyango
Ukuphulukana kwiindlela zokwelapha kunye nokukhuselwa kwezilwanyana ezibhekiselele kumbuzo akuzange kwenzeke okwamanje. Iqela laososayensi baseSweden lifumana unyango olutsha uhlobo lwesifo sikashukela esinokusetyenziswa kweziyobisi enegama elikhoyo 2H10. Isenzo saso sijolise ekukhuseleni ukuqokelela kwamafutha kwizakhiwo ze-muscle, kuquka nentliziyo. Ngenxa yoko, ukukhutshwa kwamathambo kuya kwanda i-insulin, kwaye izinga le-glucose egazini liqhelekile. Iimpawu zeekhemikhali ze-ejenti 2H10 kunye nemiphumo yaso engaphantsi ziphandwayo eSweden nase-Australia.
Uhlobo lwesifo sikashukela 2 - ukutya kunye nesondlo
Ukwakhiwa okuchanekileyo kokutya kuthethwa ngenye yeengongoma eziphambili zonyango. Ukutya kwesifo sikashukela se-2 kudinga ukutya rhoqo, ukhetho olungcono luyi-6 ukutya ngosuku. Ukuba kukho ukukhuluphala, ukutya kunye nomxholo wekhalori ophantsi kunconywa. Kubasetyhini, imali yabo yemihla ngemihla iphela kwi-1000-1200, amadoda-1200-1600. Lawa amanani alinganisiweyo, ikhalori ngqo ibalwa ngudokotela oya kwiinkcukacha ngokuphila, imoto kunye neempawu zomzimba zomntu othile.
Uhlobo lwe-2 lweswekile - into engadliyo?
Ukususela ekudleni kwesigulane kufuneka kususwe ngokupheleleyo ukutya okubangela ukunyuka okuthe kratya kwegazi. Ukutya okunesifo sikashukela se-2 kubandakanya ukunciphisa okanye ukuyeka utywala. Utywala ngumthombo weekhalori ezingenanto "ezingenalutho" kwaye zikhuthaza isisindo sokwanda kobunzima. Xa unyangwa ngamachiza anciphisa ushukela, utywala lunokubangela ukuba i-hypoglycemia ibe nzima.
Isifo sikashukela kwisihlobo sesibini singabandakanyi:
- izithelo ezomileyo;
- tshokoleta;
- ushukela;
- jam;
- ice cream;
- kvass;
- macaroni;
- nawuphi na umququ owenziwe ngomgubo omhlophe;
- semolina; semolina;
- iidiliya;
- ibhanana.
Yintoni ongayidla ngohlobo lwesibini lweswekile?
I-effect ye-hypoglycemic ye-fiber yemifuno iye yabonakaliswa, ngoko ke, ukukhethwa okuphezulu kufuneka kunikezelwe kuyo ekudleni. Isifo sikashukela kwisigaba sesi-2 soshukela siquka ezi zinto zilandelayo:
- zonke iintlobo zeentlanzi kunye nenyama, kubandakanywa iintlobo ezinamafutha;
- nayiphi na imifuno, iitapile, iifolo ezihlaza kunye neembotyi zokusanhlamvu - kuninzi elincinci;
- maqanda;
- siqhamo;
- amakhowe;
- ubisi kunye nemveliso yobisi olunomuncu;
- ubumnyama, isonka esipheleleyo sesonka, i-pastry ene-bran;
- amajikijolo;
- izithelo ze citrus;
- ioyile yemifino (ingancinci);
- amantongomane.
Iingxaki zohlobo lwe-2 lweswekile
Ukuba ukutya kunye neengcebiso zonyango azihlonitshwayo, kwaye ukungabikho kwonyango olwaneleyo, umngcipheko wokuphuhliswa kweempembelelo ezisongela ubomi uphezulu. Isifo sikashukela se-type 2 (sihlawuliswe) sikhokelela ekuphazanyisweni okukhulu kwe-cardiovascular, musculoskeletal and central system. Inkqubela yokugula idala ukukhubazeka kweentso, isibindi kunye nomgudu wokutya. Isifo sikashukela esingaxhomeki kwi-insulin sineengxaki ezinjalo:
- i-arthropathy - intlungu edibeneyo, ukunciphisa ukuhamba kwabo;
- i-polyneuropathy - paresis, ukukhubazeka, i-polyneuritis;
- i-micro- and macroangiopathy - i-atherosclerosis, i-thrombosis, i-fragility yemithambo yegazi;
- i-nephropathy - glomerulosclerosis, ukungabi namandla okwenyama;
- i-encephalopathy - ukudakumba, ukuxiliswa kwenkqubo ye-nervous central;
- i-ophthalmopathy - i-cataract, umonakalo we-retinal;
- isifo sesifo sesifo sikashukela - izilonda emilenzeni, i-gangrene.