Ukuba unesifo seswekile, mhlawumbi udla ngokubuzwa, "Ngaba ukhe wayijonga iswekile yakho yegazi?" Nangona ngamanye amaxesha ingavakala ngathi yingxaki, eneneni yenye yezona zinto zibalulekileyo ekulawuleni isifo sakho seswekile. Njengedeshibhodi yemoto, ikubonisa okwenzekayo emzimbeni wakho. Ukujonga rhoqo amanqanaba eswekile yakho yegazi kunokukunceda wena nogqirha wakho niqonde ukuba isicwangciso sakho sonyango sisebenza kakuhle kangakanani.
Kutheni kufuneka ndijonge iswekile yam yegazi rhoqo?
Cinga ngenqanaba leswekile egazini lakho njenge "khadi lengxelo" yokuba ulawula kakuhle kangakanani isifo sakho seswekile. Yindlela ekuphela kwayo yokwazi ukuba amanqanaba eswekile egazini lakho atshintsha njani ngezinto ezinje ngokutya okutyayo, umthambo owenzayo, amayeza owasebenzisayo, kunye noxinzelelo oluphantsi kwalo. Oku kubaluleke kakhulu ukuba usebenzisa i-insulin.
Amanqanaba eswekile egazini anokutshintshatshintsha ngenxa yezinto ezahlukeneyo ebomini bethu. Ezinye izinto esinokuzilawula ngamava. Kodwa ezinye izinto kunzima kakhulu ukuzilawula. Yiyo loo nto kubalulekile ukujonga iswekile yakho yegazi rhoqo, njengoko ugqirha wakho esitsho.
Khangela, izinto ezinje ngezi zihlala zibangela ukunyuka kweswekile egazini lakho:
- Ukutya ukutya okuneekhabhohayidreyithi: Xa usitya ukutya okunesitatshi okufana nerayisi, isonka, kunye neetapile.
- Ukutsiba okanye ukungasebenzisi amayeza eswekile okanye i-insulin eyaneleyo: Ukungasebenzisi amayeza ngexesha elifanelekileyo.
- Ukungazilolongi: Xa umzimba ungazilolongi kangako kunesiqhelo.
- Amayeza athile: Ingakumbi xa usebenzisa ii-steroids (ii-corticosteroids).
- Ukugula, utyando, okanye uxinzelelo: Ngamaxesha anje, amanqanaba eswekile ayanyuka ngenxa yotshintsho lweehomoni emzimbeni.
- Isiganeko sikaDawn: Le yinto engaqhelekanga kancinci. Ibizwa ngokuba lutshintsho lwendalo lweehomoni emizimbeni yethu olubangela ukuba amanqanaba eswekile egazini lethu anyuke kusasa.
- Ukutshaya.
- Ukuphelelwa ngamanzi emzimbeni.
- Ukufikisa: Le meko inokubonwa ngotshintsho lweehomoni kubantwana abancinci.
Kwakhona, izinto ezinje zinokubangela ukuba iswekile yakho egazini yehle :
- Ukutsiba ukutya.
- Ukusela amayeza amaninzi okanye i-insulin xa unesifo seswekile.
- Ukuzilolonga: Ukuzilolonga kudla ngokunciphisa amanqanaba eswekile egazini.
Ngamanye amaxesha, iswekile yakho egazini inokunyuka okanye ihle . Kuxhomekeke emzimbeni wakho nakwezinye izinto.
- Ukuya exesheni kwabasetyhini.
- Ubudlelwane phakathi kokutya kunye namayeza/amaxesha okufumana i-insulin.
- Ukusela utywala.
- Amayeza asetyenziswa kwezinye izifo.
Xa ucinga ngako konke oku, mhlawumbi uyaqonda ukuba kubaluleke kangakanani ukujonga iswekile yakho yegazi rhoqo. Yindlela ekuphela kwayo yokwazi ngqo ukuba amanqanaba eswekile yakho egazini atshintsha njani.
Ziziphi iindlela zokujonga iswekile yegazi ekhaya?
Ungayijonga iswekile yakho egazini ekhaya ngeendlela ezimbini eziphambili.
1. Ukusebenzisa i-glucose meter kunye nemicu yovavanyo: Oku kubizwa ngokuba "kukujonga iminwe." Le ndlela ibandakanya ukuhlaba umnwe wakho ngenaliti uze uthathe ithontsi legazi.
2. Ukusebenzisa iContinuous Glucose Monitor (CGM): Le yindlela entsha yokujonga amanqanaba eswekile iiyure ezingama-24 ngosuku ngesensa encinci efakwe phantsi kolusu.
Nokuba ukhetha enye okanye zombini ezi ndlela yinto ekufuneka uyixoxe nogqirha wakho. Kukho izinto ezininzi ezichaphazela oku. Umzekelo, ixabiso lezixhobo, uhlobo lwesifo seswekile onaso, kunye nokuba ugqirha wakho ucebisa kangaphi ukuba ujonge iswekile yakho egazini.
Iimitha zeglucose kunye nemicu yovavanyo
Le yindlela yendabuko esiyaziyo nesiyisebenzisayo sonke. Uhlaba inaliti encinci ebizwa ngokuba yi-lancet uze uthathe ithontsi legazi. Emva koko, ubeke elo thontsi legazi kumcu wovavanyo kwi-glucose meter. Kwimizuzwana embalwa, ixabiso leswekile yakho yegazi liboniswa kwisikrini se-meter.
Ngenxa yokuba le ndlela inika kuphela ixabiso ngexesha lokuhlolwa, abanye abantu, ingakumbi abo bathatha i-insulin, kufuneka bahlolwe ngale ndlela izihlandlo ezininzi ngemini.
I-CGM (I-Continuous Glucose Monitor)
Le yiteknoloji entsha. Kufana nokuncamathisela isensa encinci emzimbeni wakho nokujonga amanqanaba eswekile egazini lakho iiyure ezingama-24 ngosuku. Oku kukuvumela ukuba ubone indlela amanqanaba eswekile egazini lakho atshintsha ngayo imini yonke kwigrafu.
Kodwa khumbula, nokuba le teknoloji ilunge kangakanani na, ngamanye amaxesha inokwenza uphononongo olungachanekanga. Ukuba uziva ngathi uneempawu zeswekile ephantsi egazini, kodwa i-CGM yakho ibonisa uphononongo oluqhelekileyo, qiniseka ukuba uthatha umnwe wakho kwaye uphinde ujonge ngemitha eqhelekileyo.
Inkqubo echanekileyo yokujonga iswekile egazini
Xa ujonga iswekile yakho egazini nge-glucose meter, landela la manyathelo ngokubanzi.
1. Okokuqala, hlamba izandla zakho kakuhle ngesepha namanzi. Ukuba iminwe yakho ingcolile ngamaqhekeza okutya, iziphumo zisenokungachaneki. Sula iminwe yakho ngesepha namanzi okanye nge-alcohol wipe.
2. Faka umcu wovavanyo kwimitha.
3. Hlaba icala lomnwe wakho ngesixhobo se-lancet.Ayibuhlungu kangako xa uyijova ecaleni kunaphakathi.
4. Cinezela ithontsi legazi liye kwincam yomcu wovavanyo. Imitha iza kutsala ngokuzenzekelayo inani legazi elifunekayo.
5. Isiphumo siza kuvela kwisikrini kwimizuzwana embalwa.
Yonke imitha yeglucose inokwahluka kancinci, ngoko ke funda incwadi yemiyalelo eza nemitha yakho ngononophelo. Kwakhona, bhala phantsi ukufundwa kweswekile yegazi lakho kwincwadi okanye kwi-app efowunini yakho. Ungalibali ukuyiphatha le ncwadi xa usiya kugqirha wakho.
Ufanele uyihlole nini iswekile yakho egazini?
Ugqirha wakho uya kugqiba ukuba kufuneka uyihlole kangaphi kwaye ngaliphi ixesha losuku iswekile yakho yegazi. Iyahluka kumntu nomntu. Nangona kunjalo, kubalulekile ukujonga iswekile yakho yegazi nanini na xa uziva iimpawu zeswekile ephantsi okanye ephezulu egazini.
Le theyibhile ingezantsi iza kukunceda uqonde ukubaluleka kokujonga iswekile yakho egazini ngamaxesha ahlukeneyo emini.
| Lixesha lokujonga | Yintoni enokufundwa kuyo? |
|---|---|
| Ngokukhawuleza xa uvuka kusasa (ngaphambi kokutya) | Oku kubizwa ngokuba yi-"Fasting Glucose." Oku kungakunika umbono olungileyo wokuba amanqanaba eswekile egazini lakho ayenjani ubusuku bonke. |
| Ngaphambi kokutya okuphambili | Oku kuya kukunceda ucwangcise ukutya kwakho kwaye umisele ukuba kufuneka uthathe i-insulin engakanani na ukuba uyayithatha. |
| Iiyure ezi-2 emva kokutya | Ungayibona ngqo indlela ukutya okutyileyo okuchaphazele ngayo amanqanaba eswekile egazini lakho. Oku kubalulekile ukuze uthathe isigqibo sokuba ngaba kufuneka utshintshe amayeza akho/umthamo we-insulin. |
| Ngaphambi nasemva kokuzilolonga | Qonda impembelelo yokuzilolonga kumanqanaba eswekile egazini. Nangona ukuzilolonga kudla ngokunciphisa iswekile egazini, ngamanye amaxesha kunokuyonyusa. |
| Ngaphambi kokulala ebusuku | Oku kunceda ekuthinteleni amanqanaba eswekile egazini aphantsi ngendlela eyingozi xa ulele. Kwakhona, ukuya ebhedini unezinga leswekile egazini eliphezulu kuyingozi kwimpilo yakho ekuhambeni kwexesha. |
Zithetha ukuthini ezi nombolo?
Inqanaba lakho leswekile egazini elisempilweni (uluhlu olujoliswe kulo) yinto eyahlukileyo kuwe. Kufuneka igqitywe ngokuthetha nogqirha wakho. Kuxhomekeke kwizinto ezininzi, njengobudala bakho, ixesha osele uneswekile ngalo, kunye nokuba unezinye izifo.
Nangona kunjalo, ezi zilandelayo ziimpawu eziqhelekileyo ezicetyiswa yi-American Diabetes Association kubantu abadala abangakhulelwanga:
- Ngaphambi kokutya: Phakathi kwama-80 - 130 mg/dL.
- Emva kweyure e-1-2 emva kokutya: Ngaphantsi kwe-180 mg/dL.
Ukuba inqanaba leswekile egazini lakho liyehla (iHypoglycemia)
Le meko idla ngokuvela xa amanqanaba eswekile egazini ehla ngaphantsi kwe-70 mg/dL. Oku kunokuba yingozi, ngoko ke kubalulekile ukuthatha amanyathelo ngokukhawuleza xa uqaphela iimpawu.
| Iimpawu zeswekile ephantsi egazini (iHypoglycemia) | |
|---|---|
| - Ukuziva udiniwe, udiniwe | - Ukuziva ngathi umzimba wakho uyangcangcazela |
| - Ukuziva unesizungu | - Ukubila kancinci |
| - Indlala enkulu | - Ukubetha kwentliziyo ngokukhawuleza |
| - Ukuziva usoyika, ungakhululekanga | - Ukuba nomsindo |
Ukuba unezi mpawu, yitya ngoko nangoko into eneswekile encinci (umz. i-glucose toffee, ibhanana, ijusi yeziqhamo). Ukuba iswekile yakho yegazi yehla kakhulu, ungade ulahlekelwe zingqondo. Le yimeko engxamisekileyo.
Ukuba amanqanaba eswekile egazini ayanda (i-Hyperglycemia)
Le meko idla ngokuvela xa amanqanaba eswekile egazini edlula i-180 mg/dL. Nangona kunjalo, abantu abaninzi baqala ukuba neempawu xa bedlula i-250 mg/dL.
| Iimpawu zeswekile ephezulu egazini (i-Hyperglycemia) | |
|---|---|
| - Unxano olugqithisileyo kunye nendlala | - Ukuchama rhoqo |
| - Intloko ebuhlungu | - Umbono ofipheleyo |
| - Ukucaphuka, ukungazinzi | - Ukudinwa kakhulu |
Ukuba usebenzisa i-insulin, kufuneka uthathe idosi ye-insulin njengoko ugqirha wakho ekuyalele. Ngamanye amaxesha, ukuba iimpawu ezifana nokuhlanza kunye nokudinwa kakhulu zihamba neswekile ephezulu yegazi, inokuba yimeko eyingozi ebizwa ngokuba yiDiabetic Ketoacidosis (DKA). Ukuba oku kuyenzeka, tsalela umnxeba ugqirha wakho ngoko nangoko okanye uye kwiSebe lezeMpilo eziNgxamisekileyo (ETU) lesibhedlele esikufutshane.
Ubunzima obubangelwa koku kunye nezisombululo zabo
Nangona kukho iingenelo ezininzi zokujonga iswekile egazini, kunokubangela ukungonwabi kwabanye abantu.
- Ukuqaqamba kweminwe: Ukuqaqamba kweminwe kunokwenzeka xa uhlaba umnwe wakho ngokuphindaphindiweyo. Ukusombulula oku, hlaba umnwe wakho ecaleni endaweni yokuhlaba embindini. Kwakhona, musa ukusebenzisa i-lancet (inaliti) efanayo ngokuphindaphindiweyo, kodwa sebenzisa entsha rhoqo.
- Ixabiso: Ixabiso lee-test strips kunye neenkqubo ze-CGM zinokuba nzima kwabanye abantu ukuzithenga. Thetha nogqirha wakho ngale nto. Usenokukwazi ukukunika iingcebiso ngeendlela zokunciphisa iindleko.
- Impembelelo yengqondo: Kuqhelekile ukuba uzive ulusizi, unomsindo, okanye uphoxekile xa ubona amanqanaba eswekile egazini lakho ngezinye iintsuku.
Eyona nto ibalulekileyo ekufuneka uyikhumbule yile: Amaxabiso eswekile egazini ayilophawu olunikiweyo, kwaye ayilotyala lakho. Ngamanani nje. Yidatha nje yokukunceda uqonde indlela esebenza ngayo isicwangciso sakho sonyango. Musa ukukhathazeka kakhulu ngale nto. Ukuba uziva uxinezelekile kangako, thetha nogqirha wakho ngayo.
Umyalezo Wokuya Ekhaya
- Ukujonga iswekile yakho yegazi rhoqo sesinye sezona zixhobo zinamandla onazo zokulawula isifo seswekile.
- Buza ugqirha wakho malunga nenqanaba leswekile egazini ekujoliswe kulo (uluhlu ekujoliswe kulo) olulungele wena.
- Qaphela iimpawu zamanqanaba asezantsi eswekile egazini (iHypoglycemia) kunye namanqanaba aphezulu eswekile egazini (iHyperglycemia).
- Ixabiso leswekile egazini yidatha nje yokukunceda ucwangcise unyango lwakho. Musa ukwenza izigqibo ezimbi ngawe ngokusekelwe kuzo.
- Thetha ngokukhululekileyo nogqirha wakho malunga namanqanaba eswekile egazini lakho kunye nendlela oziva ngayo. Ukho ukukunceda.
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