Ngaba ugqirha wakho ukuxelele ukuba wenze uvavanyo lweswekile egazini? Okanye uloyiko okanye unomdla wokukwazi oko kuba umntu kusapho lwakho unesifo seswekile? Nokuba siyintoni na isizathu, kubaluleke kakhulu kuthi sonke ukuba siqaphele olu vavanyo lweswekile egazini, oko kukuthi, uvavanyo lweglucose egazini. Ngoko ke namhlanje, siza kuthetha ngayo yonke into ngendlela elula kakhulu, ngendlela onokuyiqonda.
Ngamafutshane, yintoni uvavanyo lweglucose egazini?
Oku kulula kakhulu. Olu vavanyo lulinganisa ubungakanani beglucose, okanye 'iswekile' njengoko sonke sisazi, egazini lakho. Oku kwenziwa ikakhulu ukuze kufunyaniswe ukuba unesifo seswekile okanye akunjalo.
Iglucose yeyona nto iphambili ekunikeni amandla kwiiseli zomzimba wethu. Iveliswa sisibindi sethu, kunye nokutya neziselo eziqulethe iicarbohydrate esizityayo. Le glucose ithwalwa ngegazi ukuya kwiiseli emzimbeni wonke. Ngoko ke, kubaluleke kakhulu ukugcina amanqanaba eswekile egazini lethu ekwinqanaba elifanelekileyo. Eyona hormone iphambili esincedayo ukwenza oku yi-insulin .
Ukuba umzimba womntu uvelisa i-insulin encinci, okanye ukuba umzimba awukwazi ukuyisebenzisa kakuhle i-insulin oyivelisayo, amanqanaba eswekile egazini ayanyuka. Le meko siyibiza ngokuba yi-Hyperglycemia . Olu luphawu oluphambili lwesifo seswekile.
Ziziphi iindlela eziphambili zokwenza olu vavanyo?
Kukho iindlela ezimbini eziphambili zokuvavanya iswekile egazini. Mhlawumbi uzibonile zombini. Makhe sijonge ukuba zeziphi ezi ndlela zimbini.
| Indlela yovavanyo | Kwenzekani? |
|---|---|
| Ukuthabatha ithontsi legazi kwincam yomunwe (Uvavanyo lweGlucose yeGazi leCapillary) | Le yindlela ekhawulezayo kakhulu. Uhlaba incam yeminwe yakho ngenaliti encinci uze uthathe ithontsi legazi, ulibeke kumcu wovavanyo, uze ulifake kwi-glucose meter. Ungabona iziphumo kwimizuzwana embalwa. Kwiintsana ezincinci, oku kwenziwa ngokuthatha ithontsi legazi esithendeni. |
| Uvavanyo lweGlucose yegazi leVenous/Plasma | Oku kuquka ukuthatha igazi elincinci elivela kumthambo osengalweni yakho uze uthumele isampuli kwilebhu. Oku kudla ngokwenziwa kunye nezinye iimvavanyo zegazi (umz., iBasic Metabolic Panel). Kungathatha usuku okanye ezimbini ukuba iziphumo zibuye. Le ndlela ichaneke ngakumbi kunezinye iindlela. |
Ezinye iintlobo ezikhethekileyo zovavanyo
Ukongeza kwezi ndlela zimbini ziphambili, kukho nezinye iimvavanyo ezikhethekileyo.
- Uvavanyo lweswekile egazini lokuzila ukutya: Olu lolona vavanyo luphambili olusetyenziselwa ukufumanisa isifo seswekile. Kufuneka unike igazi emva kokuba ungatyanga okanye ungaseli nto kangangeeyure ezisi-8-12. Ekubeni oko ukutyayo nokuselayo kuchaphazela amanqanaba eswekile egazini lakho, ukwenza uvavanyo ngelixa uzila ukutya kunokukunika umfanekiso ocacileyo wamanqanaba eswekile egazini lakho lokuqala.
- Ukujonga iGlucose ekhaya: Abantu abanesifo seswekile basebenzisa le ndlela ukujonga amanqanaba eswekile egazini labo yonke imihla. Oku kuquka ukusebenzisa isixhobo esifana ne-glucose meter okanye i- continuous glucose monitor (CGM) enamathele eluswini.
Ufuna ukwenza olu vavanyo nini?
Kusenokuba nezizathu ezininzi zokuba ugqirha wakho angacebisa olu vavanyo.
- Njengenxalenye yovavanyo lwezonyango oluqhelekileyo: Ngamanye amaxesha ugqirha uya kukucela ukuba wenze uthotho lweemvavanyo zegazi eziqhelekileyo (umz. iBasic Metabolic Panel - BMP okanye iComprehensive Metabolic Panel - CMP ). Oku kungabandakanya uvavanyo lweglucose.
- Ukuba kukho iimpawu: Ukuba uneempawu zeswekile ephezulu egazini (i-Hyperglycemia) okanye iswekile ephantsi egazini (i-Hypoglycemia). (umz. ukuchama rhoqo, ukoma kakhulu, indlala egqithisileyo, ukwehla kobunzima ngequbuliso, ukubona okufipheleyo, ukudinwa).
- Ngexesha lokukhulelwa: Olu vavanyo lwenzelwa ukujonga isifo seswekile sokukhulelwa, esinokwenzeka ngexesha lokukhulelwa.
- Ukuba usela amayeza athile: Ukuba usela amayeza anokuchaphazela amanqanaba eswekile egazini lakho (umz. ii-corticosteroids ) ixesha elide, ugqirha wakho unokukucela ukuba ujonge amanqanaba eswekile egazini lakho rhoqo.
- Umngcipheko wesifo seswekile: Ukuba unezinto ezinokubangela isifo seswekile (umz., imbali yosapho, ukutyeba kakhulu), ugqirha wakho unokucebisa olu vavanyo nokuba uneminyaka emingaphi na. Ngokuqhelekileyo kucetyiswa ukuba nabani na oneminyaka engaphezu kwama-35 ubudala afumane olu vavanyo rhoqo.
Ulungiselela njani ngaphambi kovavanyo?
Ukuba wenza uvavanyo lweglucose egazini lokuzila ukutya, akufanele utye okanye usele nantoni na kangangeeyure ezisi-8 ukuya kwezili-12 ngaphambi kovavanyo. Nangona kunjalo, kulungile ukusela amanzi.
Eyona nto ibalulekileyo kukulandela imiyalelo oyinikwe ngugqirha wakho okanye elebhu ngokuchanekileyo. Kusenokubakho eminye imiyalelo ekhethekileyo yovavanyo lwakho, ngoko buza ngayo.
Zithini ixabiso elikwingxelo?
Kulungile, ngoku masibone ukuba iziphumo zolu vavanyo zithini. La maxabiso adla ngokulinganiswa ngeemiligrama ngedesilitha nganye (mg/dL).
| Inqanaba leswekile egazini lokuzila ukutya (mg/dL) | Intsingiselo |
|---|---|
| 70 - 99 mg/dL | Uluhlu Oluqhelekileyo: Olu luhlu oluqhelekileyo olusempilweni kumntu ongenaso isifo seswekile. |
| 100 - 125 mg/dL | I-Prediabetes: Olu luphawu lwesilumkiso! Amanqanaba eswekile egazini lakho aphezulu kunesiqhelo, kodwa akaphezulu ngokwaneleyo ukuba angathathwa njengesifo seswekile. Le meko inokuguqulwa ngokutshintsha indlela yokuphila. |
| 126 mg/dL okanye ngaphezulu | Isifo seswekile: Ukuba izinga leswekile egazini lakho lokuzila ukutya liphezulu kuneli xabiso izihlandlo ezingaphezu kwesinye, usenokuba nesifo seswekile. Ugqirha wakho unokuyalela olunye uvavanyo, olufana ne-A1c, ukuqinisekisa oku. |
| Iswekile ephantsi egazini (iHypoglycemia) | |
| 70 mg/dL okanye ngaphantsi | Iswekile Ephantsi: Le yimeko efuna ingqalelo. Oku kuxhaphake kakhulu kubantu abanesifo seswekile. Ukuba umntu ongenaso isifo seswekile unale nqanaba, kufuneka kufunyanwe unobangela. |
Ngaba zikho ezinye izizathu zokutshintsha kweswekile egazini ngaphandle kweswekile?
Ewe. Nangona isifo seswekile sisona sibangela siphambili, ezinye izinto zinokubangela ukuba amanqanaba eswekile egazini anyuke okanye ehle.
Ezinye izizathu zokuba nezinga eliphezulu leswekile:
- Iingxaki ze-adrenal gland (umz. i-Cushing Syndrome )
- Iingxaki zePancreatitis (umz., iPancreatitis )
- I-Hyperthyroidism
- Uxinzelelo olukhulu lwengqondo okanye lomzimba, njengotyando okanye ingozi enkulu
- Amayeza athile, ingakumbi ii-corticosteroids
Ezinye izizathu zokuba amanqanaba eswekile egazini aphantsi:
- Isifo sesibindi okanye sezintso
- I-Hypothyroidism
- Iingxaki ze-adrenal gland ezifana nesifo sika-Addison
- Ukusetyenziswa kotywala ngokugqithisileyo
- Izimila ezingaqhelekanga ezifana ne -insulinoma
Khumbula, ungoyiki ukucinga ukuba unesifo ngenxa nje yokuba iziphumo zovavanyo olunye zitshintsha. Ugqirha wakho akayi kwenza isigqibo ngokusekelwe kuvavanyo olunye kuphela. Uza kuqwalasela iimpawu zakho, ezinye iziphumo zovavanyo, kunye nembali yakho yonke yempilo ukuze afikelele kwisigqibo.
Ngoko ke ukuba unemibuzo okanye iinkxalabo malunga nengxelo yakho, nceda ungayigcini kuwe kwaye uthethe ngokukhululekileyo nogqirha wakho. Uza kukuchazela yonke into.
Umyalezo Wokuya Ekhaya
- Uvavanyo lweGlucose egazini luvavanyo olulula lwegazi olusetyenziselwa ukuxilonga isifo seswekile.
- Ukuba uvavanywa ngokuzila ukutya, kubalulekile ukuba ungatyi okanye ungaseli kangangeeyure ezisi-8 ukuya kwezili-12, njengoko ugqirha wakho eyalele.
- Musa ukoyika isiphumo esinye esingaqhelekanga. Ugqirha uqwalasela izinto ezininzi xa efumanisa ukuba kukho isifo.
- Ukuba inqanaba leswekile egazini lakho likwinqanaba 'le-prediabetes', luphawu olulumkisayo. Lingabuyiselwa kwimeko yesiqhelo ngokutya okufanelekileyo kunye nokuzilolonga.
- Ungaze ungathandabuzi ukuxoxa nogqirha wakho ngayo nayiphi na inkxalabo onayo malunga neziphumo zovavanyo lwakho kunye nemeko yakho yempilo.
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