Lefu la tsoekere ke mofuta oa "endocrine" o amanang le "glycemia" e phahameng ka lebaka la ho fokotseha kapa ho fela hoa tlhahiso ea tlhahiso ea "insulin" ea "hormone" ka pancreas.
Boloetse bo na le litlamorao tse ngata tse mpe: ho se sebetse hantle ha masapo, ho pongoa likarolo tse phahameng ka lebaka la nts'etsopele ea lefu la makhopho, ho lahleheloa ke pono.
Ho bohlokoa ho tsebahatsa lefu lena qalong ho thibela kholo ea lefu lena. Ho etsa sena, o hloka ho tseba matšoao a pele a lefu la tsoekere.
Lisosa tsa lefu lena
Karolo e ka sehloohong ho nts'etsopele ea endocrine pathology e bapaloa ke genetics. Hangata lefu la tsoekere le futsitsoe. Ho tsebahala ka liphatsa tsa lefutso tse eketsang hore motho o tloaetse lefu lena. Ka motsoako o itseng oa bona, menyetla ea tlolo ea molao e eketseha haholo.
Mofuta oa pele oa lefu la tsoekere o boetse o hlaha khahlano le semelo sa chefo e bitsoang hoiter, autoimmune thyroiditis, le rheumatoid arthritis. Mofuta oa bobeli oa lefu lena o ts'oaroa ke enterovirus, cytomegalovirus, rubella, Coxsackie le mumps.
Mabaka a kotsi a kenyeletsa:
- khaello ea phepo e nepahetseng (ho lemalla lipompong kapa ka mafura, ho nona haholo);
- mafu a sa foleng a sebete, manyeme;
- botenya
- botsofali;
- polycystic ovary syndrome;
- bophelo bo sa sebetseng;
- atherosulinosis e matla;
- khatello ea maikutlo e sa foleng;
- ho nka li-thiazide diuretics, lihormone tsa steroid, lithibela-pelehi tsa molomo;
- nalane ea khatello ea mali, lefu la pelo, kapa stroke.
Matšoao a pele a lefu la tsoekere la mofuta oa pele mokhahlelong oa pele
Qalong ea nts'etsopele ea endocrine pathology, o ka hlokomela liphetoho tse latelang bophelong bo botle:
- ponahalo ea lenyora le matla. Tšoaetso ea lefu la tsoekere. Ka tsoekere e ngata, mali a ba mangata. Mmele o leka ho hlapolla plasma mme o fana ka sesupo sa hore ho hlokahala hore o noe metsi;
- khafetsa ho ntša. Letšoao le joalo le ka hlaha ka lebaka la bongata bo boholo ba mokelikeli o tahiloeng;
- tahlehelo ea moriri. Metabolism e mpe e ama boemo ba li-curls: likhoele li thatafala, li qala ho hola butle le ho fokola;
- ho otsela Ho hlalosoa ke tlolo ea ts'ebetso ea metabolic. Motho o ikutloa a khathetse khafetsa esita le mots'eare;
- takatso e matla ea lijo. Ke batla haholo liswiti;
- ho fokotsa boima ba 'mele haholo;
- ponahalo ea monko oa acetone;
- pholiso e mpe ea maqeba le litlolo. Le ha likakatso tse nyane li fetoha tse tenya le tse fesheneng;
- ho sitisoa hoa pono. Lero e tlas'a tšusumetso e mpe ea bongata bo bongata ba tsoekere;
- ho ikutloa eka o boima maotong le maotong;
- bokuli ba kelello:
- ho se khonehe.
Matšoao a pele a lefu la tsoekere la 2 ho basali le banna
Lefu la tsoekere la foromo ea bobeli hangata le bitsoa le patehile. E fumanoa khafetsa ho batho ba baholo ba nang le lefutso le botenya bo futsanehileng.
Boloetse bo ka qala ka matšoao a latelang:
- pholiso ea leqeba le futsanehileng;
- letlalo la ho hlohlona;
- botšehali le khaello ea maoto le matsoho khafetsa;
- molomo o omileng o sa feleng.
Ho tseba matšoao a lefu la tsoekere la mofuta oa bobeli, ho nahanisisa ka boiketlo ba hau, ho bonolo ho supa lefu qalong mme o nke mehato ea ho thibela nts'etsopele ea methapo.
Matšoao a kliniki a ho ba le lefu la tsoekere ho ngoana
Ho masea, bana ba banyenyane le bacha ba nang le khaello ea insulin, lefu lena le tsoela pele ka potlako (ka libeke tse 'maloa).
Batsoali ba lokela ho ngolla ngoana oa bona ho ngaka haeba a e-na le matšoao a latelang:
- ho rota khafetsa, haholo bosiu;
- lenyora
- takatso e matla ea lipompong;
- ho fokotsa boima ba 'mele ka tšohanyetso;
- ho senyeha ha bophelo bo botle ka mor'a ho ja;
- monko oa acetone o tsoang mokokotlong oa molomo;
- ho ruruha ho feteletseng;
- lethargy.
Ho bonolo ho utloisisa hore lesea le na le lefu la tsoekere. Ntho ea bohlokoa ha se ho koala mahlo a hau mabapi le liphetoho tse hlahileng 'meleng, empa ke ho ea tleliniking.
Lipontšo tsa mantlha tsa lefu la tsoekere nakong ea kemolo
Basali ba bang ba ba le matšoao a lefu la tsoekere nakong ea pelehi. Boloetse bona bo hlaha ka lebaka la 'nete ea hore' meleng oa moimana ho na le liphetoho tse kholo, mojaro ho manyeme oa eketseha.
Lipontšo tse latelang ke tšobotsi:
- ho eketseha ha molumo oa moriti oa letsatsi le letsatsi;
- lenyora
- khafetsa ho ntša metsi khafetsa;
- ho fokotsa matla a ho sebetsa;
- takatso e matla ea lijo;
- likhoele tsa letlalo la fungal;
- ho hlohlona ka har'a perineum;
- ho se khonehe;
- bohloko sebakeng sa pelo, mesifa ea namane;
- migraine
Ho sekaseka le mekhoa e meng ea ho hlahloba
Mekhoa ea laboratori le ea lisebelisoa e sebelisoa ho fumana lefu la tsoekere. Ea pele e kenyelletsa:
- teko ea mamello ea glucose;
- boithuto bo akaretsang ba moroto;
- glycated hemoglobin;
- tshekatsheko ya plasma ya glucose.
Ho fumana glucose ea mali ke tlhahlobo e tloaelehileng ka ho fetisisa. E etse ka mpeng e se nang letho.
E lekola khatello ea tsoekere ho plasma. Letšoao le tloaelehileng le fapana ho tloha 3,3 ho isa ho 5.5 mmol / L. Haeba sephetho se phahame ho feta se tloaelehileng, joale ho etsoa tlhahlobo ea mamello ea tsoekere: fa mokuli khalase ea metsi a monate 'me ka mor'a lihora tse peli u hlahlobe se tsoekere.
Tlhahlobo ea hemoglobin ea glycated e u lumella ho fumana lefu lena qalong ea kholo. E senola mofuta o khethehileng oa lisele tse khubelu tsa mali, tse amanang ka thata le limolek'hule tsa tsoekere.
Tlhahlobo ea moroto e sebelisoa ho netefatsa tšoaetso le ho tseba hore na lefu lena le atile hakae.
Ea mekhoa ea bohlokoa e sebelisitsoeng:
- Ultrasound ea litho tsa ka mpeng;
- electrocardiography;
- tlhatlhobo ea fundus.
Joang ho phekola lefu lena?
Ho thata ho phekola lefu la tsoekere ka botlalo. Empa hoa khonahala ho boloka boemo ba bophelo bo botle ka har'a meeli e tloaelehileng, ho thibela le ho thibela nts'etsopele ea mathata. Phekolo e etsoa ho sebelisoa meriana, litlolo tsa setso le kalafo ea ho ja.
Meriana
Haeba lefu lena la kalafo ea methapo le sa phekoloe, motho eo o tla mpefala letsatsi le leng le le leng, a ka ba le lefu la tsoekere a ba a shoa.
Bakeng sa ho tlosa matšoao a hyperglycemia le ho tsitsisa tsoekere ka tekanyo e tloaelehileng, ho sebelisoa litlhare tse latelang:
- e etsang hore lisele tsa 'mele li angoe habonolo ke insulin (thiazolidinediones: Pioglitazone, Avandia, biguanides: Glucofage, Siofor le Metformin);
- e susumetsang manyeme ho hlahisa insulin e eketsehileng (meglitinides Nateglinide le Repaglinide, sulfonylurea Glycvidone, Glyclazide le Glipizide);
- le ts'ebetso ea "incretin" ("glucagon-like peptide-1" receptor agonists: Exenatide, Lyraglutide, DPP-4 inhibitors: Sitagliptin le Vildagliptin);
- ho thibela ho kenngoa ha tsoekere ka har'a tšilo ea lijo (alpha-glucosidase inhibitors: acarbose).
Lijo tsa batho ba nang le lefu la tsoekere
Boemong ba prediabetes, ka linako tse ling ho lekane ho ntlafatsa phepo e le ho qoba nts'etsopele ea methapo.
Bakeng sa thibelo le kalafo ea mofuta ofe kapa ofe oa lefu la tsoekere, o hloka ho latela lijo tse khethehileng.
Lenaneo la phepo e nepahetseng le lokela ho etsoa ke ngaka, kamora ho ithuta liphetho tsa tlhahlobo, ho nahana ka boima ba 'mele, mokhoa oa bophelo, bong, lilemo tsa mokuli. Palo e tloaelehileng ea mafura, liprotheine, lik'habohaedreite, lik'hilojule, lintho tsa tlhahlobo le livithamini li baloa.
Lisebelisoa li lokela ho ba le lihlahisoa tsa lebese le nama, litholoana le meroho. Ha ho fumanoa hore o na le lefu la tsoekere, tsoekere e qheletsoe ka thoko ho lijo. E lumelloa ho ja lijo-thollo (li-buckwheat, oat, harese le mabele), linaoa, liapole, likharenate, li-blueberries, lipapetla le linate tsa phaene, bohobe bo sootho, sonobolomo kapa botoro.
Kofi, chokolete, muffin, nama e tsubiloeng, confectionery, asene, lijana tse nokiloeng ka linoko, libanana, pepere, morara le mosetareta li hanetsoe.
Litlhare tsa setso
Ho na le litlolo tse fapaneng tsa meriana ea setso ea lefu la tsoekere. E sebetsang ka ho fetisisa ho tsona:
- celery le lemone. Grind motso oa celery ka bongata ba ligrama tse 500 le Lemons tse tšeletseng. Pheha motsoako ona lihora tse 'maloa le sehatsetsi. Nka halofo ea hora pele ho lijo tsa hoseng ho khabisoa ka khaba sehlopheng sa lilemo tse peli;
- Lemon le konofolo le parsley. Kopanya zest ea lemone (ligrama tse 100) le motso oa parsley o khethiloeng (ligrama tse 300) le konofolo (ligrama tse 300). Beha libeke tse peli sebakeng se pholileng. Nka makhetlo a mararo ka letsatsi pele u ja tee;
- sefate sa linden. Ho khothalletsoa ho etsa brew le ho nosetsa motsoako oa lipalesa tsa linden sebakeng sa tee;
- mahe le lemone. Senya lero ho tsoa ho lemone le le leng ebe u eketsa lehe le tala ho lona. E bolelang ho nooa matsatsi a mararo ka hora pele ho lijo.
Na hoa khoneha ho qoba lefu lena qalong ea kholo ea lona?
Haeba motho a fumane 'muso oa lefu la tsoekere, lefu lena le ka qojoa ka ho latela tsela eo a jang ka eona le ka ho boloka bophelo bo mafolofolo.Sena se netefatsoa ke bo-rasaense ba lipatlisiso. Ho ile ha etsoa liteko tsa DPP.
Bakuli ba fumanoeng ba e-na le lefu la tsoekere ba ile ba nka karolo ho lona. Tlas'a tlhokomelo ea morupeli ea phetseng hantle le litsebi tsa phepo e nepahetseng, batho ba phetse lilemo tse 'ne.
Ka lebaka leo, ho ile ha fumaneha hore motho e mong le e mong o na le kotsi e tlase ea 58% ea ho ba le lefu la tsoekere. Hang ha tlhahlobo e felile, litho tsa sehlopha li ile tsa emisa ho ja hantle le ho bapala lipapali. Kamora lilemo tse 'maloa, likotsi tsa tšitiso ea endocrine li ile tsa khutla.
Livideo tse amanang
Mabapi le matšoao a pele a lefu la tsoekere videong:
Kahoo, palo ea batho ba nang le lefu la tsoekere le batho ba nang le mathata a lefu lena e ntse e eketseha ka sekhahla. Sena ke hobane bakuli ba retelehela ho ngaka e seng e ntse e le maemong a tebileng.
Ho bohlokoa ho ela hloko bophelo ba hau bo botle le ho tseba matšoao a lefu la tsoekere. Ke feela kalafo le lijo tse qalileng ka nako tse tla thusa ho qoba nts'etsopele ea methapo, litlamorao tsa eona.
