Ngaba unesifo seswekile, umdala kancinci? Okanye ingaba umama, utata, umakhulu, utatomkhulu unesifo seswekile? Sonke siyazi ukuba kubaluleke kangakanani ukugcina amanqanaba ethu eswekile egazini ekwinqanaba elifanelekileyo. Kodwa ubusazi ukuba ngamanye amaxesha, xa sizama ukulawula amanqanaba ethu eswekile kakhulu, ngokwenene kwenza umonakalo omkhulu kunokuba kulunge? Yile nto sithetha ngayo namhlanje.
Unyango olugqithisileyo lunokuba yingozi
Oogqirha bacebisa ukuba uninzi lwabantu abanesifo seswekile bahlale bevavanyiwe ukuba bahlole i-HbA1c (iHemoglobin A1c) esempilweni, elinganisa amanqanaba aqhelekileyo eswekile egazini kwiinyanga ezimbalwa ezidlulileyo. Oku kungenxa yokuba amanqanaba aphezulu eswekile egazini kwixesha elide, aziwa ngokuba yi- hyperglycemia , anokuba yingozi kakhulu emzimbeni. Oku kunokukhokelela kwiingxaki ezinkulu zexesha elide ezifana nokungasebenzi kakuhle kwengqondo, umonakalo kwizitho zangaphakathi, kunye nesifo sentliziyo.
Kodwa ingongoma ebalulekileyo apha kukuba ezi ngxaki zexesha elide zihlala zithatha iminyaka eli-10 nangaphezulu ukuba zivele. Eli xesha linokuba lide kunexesha eliseleyo lobomi lomguli osele ekhulile, ngakumbi kwezinye izifo.
Nangona kunjalo, imeko ebizwa ngokuba yi -hypoglycemia , ebangela ukuba amanqanaba eswekile egazini ehle kakhulu, inokuba nemiphumo ekhawulezileyo kakhulu. Le ngozi iyanda njengoko iminyaka ikhula. I-hypoglycemia enzima inokukhokelela ekuweni okuyingozi, ukulaliswa esibhedlele, kwanokufa .
Uphononongo lwakutshanje lufumanise ukuba isinye kwisithathu sabantu abadala ababene-hypoglycemia enzima bafa kwiminyaka emithathu emva kwesiganeko. Oku kuthetha ukuba i-hypoglycemia yimeko eyingozi kakhulu kunokuba sicinga.
Kutheni umngcipheko wokuba neswekile ephantsi egazini usanda njengoko abantu bekhula?
Ngamafutshane, kungenxa yotshintsho emizimbeni yethu. Njengoko sikhula, imetabolism yethu iyatshintsha. Ukumelana ne-insulin kunokwanda. Kwakhona, iiseli kwi-pancreas ezivelisa i-insulin zisenokungakwazi ukuphendula ngokukhawuleza kutshintsho kumanqanaba eswekile egazini.
Masigxile ekuthinteleni ukwehla kweswekile
Abantu abaninzi abanesifo seswekile bayacetyiswa ukuba bagcine amanqanaba abo e-A1c engaphantsi kwe-7%. Ngamanye amaxesha le njongo ayitshintshi nokuba sele kudlule iminyaka, indlela yokuphila, kunye neemeko zempilo.
Makhe sicinge ngoAnti Kamala. Ngoku uneminyaka engama-71 ubudala. Ubenesifo seswekile ukusukela oko wayeneminyaka engama-40 ubudala. Wayenazo nezi njongo ziqinileyo. Wayesoloko eneziqendu ze-hypoglycemia, ingakumbi ezinzulwini zobusuku okanye kusasa. Ngexesha awaqonda ngalo, amanqanaba eswekile egazini lakhe ayehlile kakhulu.
"Yayingamava othusayo kakhulu," utshilo u-Anti Kamala. " Intliziyo yam yayibetha ngamandla, ndandibila, kwaye ndandiziva ndinesiyezi.""
Abantu abadala banamathuba amaninzi okungaziboni ezi mpawu zeswekile ephantsi egazini kuba ezinye zeempawu, ezinje ngokudinwa, ukucaphuka, ulusu olungwevu, kunye nentloko ebuhlungu, zinokuphambukiswa ngokulula nezinye izifo okanye njengokwaluphala okuqhelekileyo.
Ungalawula njani amanqanaba eswekile ngaphandle kokunyusa amayeza?
Nangona uKamala wafumana isicwangciso samayeza esimfaneleyo, amanqanaba eswekile egazini lakhe aqala ukulawula nangaphambi koko. Imfihlo yayikukutya kunye nokuzilolonga .
Isicwangciso sokutya esenziwe ngumntu ngamnye esivela kwingcali yokutya efanelekileyo kunye nokuzilolonga rhoqo kwamnceda ukuba anciphise umzimba kakhulu.
Akukho sicwangciso sokutya esifanelekileyo kuzo zonke iintlobo. Ingcali yesondlo iya kuqwalasela indlela ophila ngayo, iingxelo zelebhu, nezinto ozithandayo nongazithandiyo ukuze yenze isicwangciso esilungele wena.
Xa sizilolonga, izihlunu zethu ziyaqina. Okukhona sinobunzima bemisipha, kokukhona imetabolism yethu ikhawuleza, nto leyo eya kusinceda silawule amanqanaba eswekile egazini. Ke ngoko, nangona sikhula, singakwazi ukugcina indlela yokuphila esempilweni kwaye silawule imizimba yethu.
Ukwala indlela 'yokulinganisa ubungakanani obunye'
Ngenxa yezi zibakala, nemibutho emikhulu yezonyango efana ne-American Diabetes Association isandula ukuhlaziya iingcebiso zayo zabantu abadala. Ngoko ke, iingcebiso zabo zezi zilandelayo:
| Imeko yempilo yesigulana esikhulileyo | Ithagethi ecetyiswayo ye-A1c |
|---|---|
| Abantu abadala abasempilweni nabakhutheleyo | Ngaphantsi kwe- 7.5% |
| Abantu abanezinye izifo kwaye abasempilweni ephakathi | Ngaphantsi kwe -8.0% |
| Abantu abanezifo ezininzi, impilo embi, okanye ubomi obulinganiselweyo | Iinjongo ze-A1c akufuneki zithembelwe zodwa. Injongo ephambili yonyango kufuneka ibe kukunciphisa iimpawu nokuphucula umgangatho wobomi besigulana. |
Khawuthelekelele, umzekelo, indoda eneminyaka engama-86 ubudala egama linguSiripala. I-A1c yakhe yayingaphezulu kancinci kwi-7. Nangona ugqirha wayefuna ukumnika amayeza, abo bamnyamekelayo bagqibe ekubeni batshintshe indlela atya ngayo baze bamse ukuhambahamba imihla ngemihla. Okumangalisayo kukuba, amanqanaba akhe eswekile egazini abuyele esiqhelweni ngaphandle kotshintsho olukhulu.
Njengoko sikhula, xa siceba unyango, kubalulekile ukubeka phambili intuthuzelo yesigulana kunolawulo olungqongqo.
Thetha ngokwakho.
Ekugqibeleni, eyona nto ibalulekileyo kukuba ngumqhubi wempilo yakho. Masikhumbule ibali likaKamala Aunty. Kwiminyaka embalwa eyadlulayo, wabuza ugqirha wakhe nge- 'Continuous Glucose Monitor (CGM)' , eyayiza kumvumela ukuba ajonge amanqanaba eswekile yakhe ngexesha langempela ngaphandle kokumchukumisa ngomnwe. Kodwa ugqirha akazange ayikhuthaze loo nto.
“Ngoko ke nditshintshe oogqirha,” utshilo uKamala. Ngoku ekubeni ene-CGM, angenza utshintsho olufunekayo ngokukhawuleza, kwaye amanqanaba akhe eswekile azinzile ngoku.
"Fumana ugqirha oqondayo ukuba umzimba wakho uziva njani."
Ukuba uvakalelwa kukuba ugqirha wakho akakumameli, ungoyiki ukubona ugqirha owahlukileyo. Okusebenzayo kumntu omnye kusenokungasebenzi kuye wonke umntu. Wonke umntu kufuneka athethe nogqirha wakhe aze enze isicwangciso sonyango esimlungeleyo, indlela yakhe yokuphila, kunye neenjongo zakhe zempilo.
Umyalezo Wokuya Ekhaya
- Kwabantu abadala abanesifo seswekile, iswekile ephantsi egazini (hypoglycemia) inokuba yingozi kakhulu kuneswekile ephezulu egazini (hyperglycemia).
- Ayingabo bonke abantu abadala abanesifo seswekile ekufuneka bagcine iithagethi ezingqongqo ze-A1c (<7%). Kunokuba yingozi.
- Isicwangciso sonyango akufuneki sibe "silingana sonke." Kufuneka senzelwe wena ngokukodwa, ngokusekwe kwiminyaka yakho, impilo yakho iyonke, kunye nendlela ophila ngayo.
- Ukutya kunye nokuzilolonga zizixhobo ezimbini ezinamandla ezingafaniyo nezinye xa kujongwa amayeza.
- Thetha ngokukhululekileyo nogqirha wakho malunga neenjongo zakho zempilo, izinto ezikuxhalabisayo, kunye nezimvo zakho. Zithethelele.
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