Riaan Abantu abanesifo sikashukela kanye namazinga aphezulu kashukela egazini babhekene nengozi enkulu kakhulu yokulaliswa esibhedlela ngenxa yokugula okunzima okuvela I-COVID 19ngokokubuyekezwa kwe-International Diabetes Federation (IDF), enekomkhulu eBrussels, eBelgium.
Unyaka nonyaka, umfelandawonye ushicilela i-IDF Diabetes Atlas, efingqa imininingwane yakamuva yokuthi lesi sifo sibathinta kanjani abantu emhlabeni jikelele.
Ohlelweni lwango-2022, abacwaningi bajula ngokujulile kusixhumanisi phakathi kwesifo sikashukela kanye ne-COVID-19, ihlaziya izindatshana eziyi-3,799 nezifundo ezingama-91.
Ukubuyekezwa kutholwe ukuthi “ukulawulwa okungekuhle kwe-glycemic kwakuyisici esiyingozi seziphetho ezingezinhle ze-COVID-19.”
Abantu abanesifo sikashukela, ngamanye amazwi, abangawaphathi kahle amazinga kashukela egazini basengozini enkulu yokuba nezimpawu ezinzima.
Abantu abanesifo sikashukela abangawaphathi kahle amazinga kashukela egazini basengozini enkulu yokuba nezimpawu ezinzima, ngokusho kwe-International Diabetes Federation. (iStock)
“Kube nokwenyuka okungama-35-40% kumathuba okulaliswa esibhedlela i-COVID-19 kanye nokugula okunzima kubantu abadala abanesifo sikashukela kanye namazinga e-hemoglobin A1c ngaphezulu noma alingana no-7% uma kuqhathaniswa nalabo abane-hemoglobin A1c engaphansi kuka-7%,” kuphawula le ncwadi.
Ukuhlolwa kwe-hemoglobin A1C kulinganisa ukuthi ingakanani i-hemoglobin (iphrotheni etholakala kumangqamuzana abomvu egazi) egcwele ushukela; iphesenti eliphezulu libonisa ingozi enkulu yesifo sikashukela.
Kubantu abanesifo sikashukela abalaliswe esibhedlela nge-COVID-19, abanezinga likashukela egazini elingaphezu kuka-10 mmol/L (180 mg/dL) liphindeke kathathu ingozi yezifo ezinzima – okungaholela emiphumeleni efana nokunakekelwa okujulile, ukungena komoya noma ngisho nokufa.
Ngaphezu kwalokho, i-Atlas ibike ukuthi abantu abanesifo sikashukela sohlobo 1 kungenzeka ukuthi babe nezifo ezibucayi noma bafe ngenxa ye-COVID-19 uma kuqhathaniswa nabantu abanesifo sikashukela. uhlobo 2 sikashukela.
I-IDF ibhale ukuthi kunokungqubuzana okuthile kuzo zonke izifundo ezindleleni ezisetshenziswa ukuthola ukuthi iziguli zinesifo sikashukela yini.
Ukuzivikela okubuthakathaka kwandisa ingozi
Njengomqondisi wezokwelapha kanye nodokotela ohlinzayo weCentre for Bariatric Surgery at Southwest General in Cleveland, OhiouDkt. Leslie Pristas welapha iziguli eziningi ezinesifo sikashukela.
Uvumile ukuthi isifo sikashukela siyingozi enkulu ehambisana nesifo esibi kakhulu kanye nengozi enkulu yokufa yi-COVID, ikakhulukazi ngoba amasosha omzimba awakwazi ukulwa nezifo.
Isifo sikashukela siyisici esiyingozi esinamandla esihambisana nesifo esibi kakhulu kanye nengozi ephezulu yokufa yi-COVID-19. (Isithombe se-AP/John Minchillo, Ifayela)
“Isifo sikashukela kanye noshukela ophezulu kuthinta zonke izitho nesistimu emizimbeni yethu, kodwa ikakhulukazi amasosha omzimba,” etshela iFox News Digital.
“Ngesifo sikashukela, abantu banezinga eliphakeme elingapheli lokuvuvukala emzimbeni wonke ekuqaleni, ngakho-ke nini ukutheleleka kwenzekaukusabela kokuvuvukala kwalelo gciwane kungaba kubi nakakhulu.”
Ukuqonda izinhlobo zesifo sikashukela
Isifo sikashukela sohlobo 2 siyindlela ejwayelekile kakhulu, ethinta abantu baseMelika abangaphezu kwezigidi ezingama-37 (nge-CDC ngayinye). I-American Diabetes Association ichaza isifo sikashukela sohlobo 2 njengesimo lapho umzimba ungasebenzisi i-insulin ngendlela efanele.
“Isifo sikashukela kanye noshukela ophezulu kuthinta zonke izitho nesistimu emizimbeni yethu, kodwa ikakhulukazi amasosha omzimba.”
Kwezinye izimo, uhlelo lokudla okunempilo nokuzivocavoca lungagcina ushukela wegazi usezingeni elinempilo, kodwa abanye abantu bangase badinge imithi noma i-insulin.
Ngesifo sikashukela sohlobo loku-1, umzimba awenzi i-insulin eyanele ukuhambisa ushukela wegazi kumaseli, ngakho uyaqhubeka nokunqwabelana egazini.
Balinganiselwa ku-5-10% kuphela abantu abanesifo sikashukela abanohlobo loku-1, kusho i-CDC. Ukwelashwa kubandakanya ukulandela impilo enempilo uhlelo lokudla kanye nokuzivocavoca umzimbaukuqapha amazinga kashukela egazini kanye nokuthatha i-insulin njalo.
Ukunciphisa ingozi
Ukugcina ushukela usemazingeni afanele kubalulekile ekuvimbeleni ukulaliswa esibhedlela noma ukufa ngenxa ye-COVID.
“Lokhu kungenziwa ngokudla, kodwa futhi kunemithi eminingi ewusizo ngempela etholakalayo,” kusho uDkt Pristas. “Uma isifo sikashukela siphethwe kahle, singasiza ngandlela thize, kodwa ingozi iyonke isephezulu kunomuntu ongenaso isifo sikashukela.”
Ukugcina ushukela usemazingeni afanele kubalulekile ekuvimbeleni ukulaliswa esibhedlela noma ukufa ngenxa ye-COVID. (iStock)
Imithi elwa namagciwane ingasiza futhi ukuthuthukisa imiphumela ye-COVID kubantu abanesifo sikashukela.
UDkt. Joseph Iser, isikhulu sezempilo esisanda kuthatha umhlalaphansi saseSouthern Nevada Health District futhi oyilungu le-American College of Preventive Medicine’s Board of Regents, watusa ukucela udokotela ukuba anikeze umuthi ongaqeda izinkinga ezinkulu.
CHOFOZA LAPHA UKUZE Ubhalisele IPHEPHA LETHU LEZEMPILO
UDkt. Iser, onesifo sikashukela sohlobo 2 ngokwakhe, uhlolwe ukuthi une-COVID ezinyangeni ezimbalwa ezedlule.
Wathatha i isidakamizwa esilwa namagciwane, i-Paxlovidukusiza ukuvimbela ukuqhubeka kwesifo.
Imithi elwa namagciwane ingasiza futhi ukuthuthukisa imiphumela ye-COVID kubantu abanesifo sikashukela.
“[The medication] kwangisiza kakhulu ukuqinisa amasosha omzimba wami, ”utshele iFox News Digital.
“Angizange ngibe nazo izimpawu ezibalulekile, futhi izimpawu enganginazo zaphela ngemva kwamahora angu-24 okuqala. Ngabe sengitholakala ngingenayo ezinsukwini ezinhlanu, okuyinto enhle kakhulu.”
CHOFOZA LAPHA UKUZE UTHOLA UHLELO LOKUSEBENZA IZINDABA
I-COVID nesifo sikashukela kuxhunywe nangezinye izindlela, futhi.
Ucwaningo luthole ukuthi abantu abathola i-COVID basengozini enkulu yokuba nesifo sikashukela.
Ucwaningo olushicilelwe ephephabhukwini i-Lancet Diabetes & Endocrinology ngoMashi 2022 luveze ukuthi abantu abahlolelwa leli gciwane cishe bangama-40% amathuba okuthi batholakale benesifo sikashukela ungakapheli unyaka owodwa, uma kuqhathaniswa nabantu abangenayo i-COVID.
