U-Asanga (oneminyaka engama-38 ubudala), umphathi wentengiso, ufike ekliniki yam ngoLwesihlanu ngokuhlwa. Wayexhalabile kakhulu.
"Gqirha Priya, ndisele iikonti ezimbini zebhiya nabahlobo bam ngoLwesihlanu odlulileyo. Emva kwemizuzu engama-20 ndisele, ndaziva ndinesiyezi kakhulu kwaye umzimba wam wonke waqala ukungcangcazela. Kunye noko, ndaqalisa ukubila okubandayo. Ndandicinga ukuba yincasa enamandla yotywala obuqhelekileyo. Kodwa andikwazanga nokuhamba esitalatweni ndaza ndaqalisa ukuquleka. Xa ndajonga ngeglucometer yomhlobo wam, inqanaba leswekile egazini lam lehle laya kwi-55 mg/dL! Ndingumntu onesifo seswekile. Kutheni oku kwenzeke kum, gqirha?" ubuze uAsanga.
Ndimcacisele uAsanga: "Asanga, ujongene ne-hypoglycemia , inqanaba leswekile egazini eliphantsi kakhulu. Ngokwesiqhelo, xa inqanaba leswekile emzimbeni wethu lihla, isibindi siguqula iswekile egciniweyo, okanye i-glycogen, ibuyele kwi-glucose kwaye siyikhuphele egazini. Kodwa xa usela utywala, isibindi kufuneka sibeke phambili umsebenzi wokutshisa nokukhupha utywala, obuyityhefu emzimbeni. Ngelo xesha, isibindi siyeka okwethutyana ukuvelisa iswekile. Ke ngoko, ukuba umntu othatha iipilisi zeswekile usela utywala esiswini esingenanto okanye engenakutya kwaneleyo, inqanaba leswekile yakhe liya kwehla ngokukhawuleza."
🚨 Iiflegi ezibomvu ezifuna unyango olukhawulezileyo
Abantu abaninzi baphazama iimpawu zeswekile ephantsi egazini (hypoglycemia) emva kokusela utywala njengeempawu zokunxila okuqhelekileyo (umz., ukuziva unesizungu). Nangona kunjalo, ukuba ezi mpawu zilandelayo ziyavela, yingxamiseko yezonyango kwaye kufuneka zinyangwe ngoko nangoko:
- Ukungcangcazela okungapheliyo komzimba kunye nokubila okubandayo.
- Intetho engacacanga (ukungacaci kwamagama) kunye nokudideka okukhulu.
- Ukungakwazi ukuhamba, ukubona izinto ezingaqhelekanga, kunye nokuquleka.
- Iimpawu ezifana nokulahlekelwa zingqondo okanye ukuxhuzula.
Indlela utywala obubachaphazela ngayo abantu abanesifo seswekile
Ukusela utywala kuchaphazela ngqo amanqanaba eswekile egazini kunye nempilo ngezi ndlela zilandelayo:
1. Ukudibana kakubi kwamayeza: Amayeza eswekile afana ne -sulfonylureas kunye ne-meglitinides akhuthaza i-pancreas ukuba ivelise i-insulin engaphezulu. Ukusela utywala ngelixa usebenzisa la mayeza kunokubangela ukuba amanqanaba eswekile egazini ehle ngokukhawuleza.
2. I-hypoglycemia ebambezelekayo: Kukho umngcipheko wokuba amanqanaba eswekile egazini aphantsi kwimizuzu embalwa ukuya kwiiyure ezili-12-24 emva kokusela utywala. Ingakumbi ukuba usela utywala ebusuku uze ulale, amanqanaba eswekile egazini lakho anokwehla ngelixa ulele.
3. Iingxaki ezingakumbi: Ukusebenzisa utywala rhoqo kwandisa umngcipheko wesifo sentliziyo kunye ne -neuropathy, iingxaki eziphambili zesifo seswekile.Imeko iya isiba mandundu ngokukhawuleza.
Amanyathelo ekufuneka athathwe xa kukho ingozi (uMthetho we-15)
Ukuba inqanaba leswekile egazini lakho lehla ngaphantsi kwe-70 mg/dL emva kokusela utywala, thatha la manyathelo alandelayo ngoko nangoko:
1. Nika umzimba iigram ezili-15 zeswekile ngoko nangoko: iipilisi zeglucose ezi-3-4, isiqingatha sekomityi yejusi yeziqhamo, okanye icephe leswekile enyibilikiswe emanzini uze usele.
2. Linda imizuzu eli-15: Linda imizuzu eli-15 ungatyi nto uze ulinganise iswekile yakho egazini kwakhona.
3. Ukuba inqanaba leswekile lisengaphantsi kwe-70 mg/dL: Nika i-15 grams yeswekile kwakhona uze ulinganise inqanaba leswekile kwimizuzu eli-15 elandelayo.
4. ⚠️ Kubalulekile: Ukuba isigulana asizi nto okanye sinengxaki yokuginya, musa ukunika umntu into ngomlomo uze usise esibhedlele ngoko nangoko. Iinaliti zeglucagon, ezinikwa ukunyusa amanqanaba eswekile egazini emva kokusela utywala, azizukusebenza (kuba isibindi sixakekile sisusa utywala).
Izinto ekufuneka zenziwe nezo kufuneka zingayenzi
| ✔️ Izinto onokuzenza (Zenze) | ❌ Izinto ongazifuniyo |
|---|---|
| Qiniseka ukuba ujonga amanqanaba eswekile egazini lakho ngaphambi nasemva kokusela utywala. | Ungaze usele utywala ungatyanga. Yitya isidlo esineecarbohydrates ngelixa usela utywala. |
| Xa usela utywala, sebenzisa i-soda, amanzi, okanye izixhobo zokuxuba ukutya ezingenaswekile. | Kuphephe ukusela iziselo ezineswekile, ezifana nesoda, iwayini emnandi, okanye ibhiya. |
| Nxiba ikhadi okanye isongo esibonisa ukuba unesifo seswekile. | Musa ukusela utywala ebusuku, jonga amanqanaba eswekile egazini lakho, uze ulale ungatyanga snack eyongezelelweyo. |
❓ Eminye imibuzo onokuba nayo (FAQ)
Ithini imida yotywala ephezulu kumntu onesifo seswekile?▼
Imida enempilo yesiselo esinye (iyunithi e-1) ngosuku kubafazi abanesifo seswekile kunye neziselo ezimbini (iiyunithi ezi-2) ngosuku kumadoda. Utywala akufuneki budlule kwiiyunithi ezili-14 ngeveki kwaye kubalulekile ukuba neentsuku ezininzi ungabi natywala ngeveki.
Ngaba ukusela ibhiya kuyawanyusa amanqanaba eswekile egazini ?
Ekubeni ibhiya ineecarbohydrate ezininzi, ekuqaleni inokunyusa amanqanaba eswekile egazini. Kodwa njengoko umzimba uqala ukunyibilikisa utywala (ingakumbi emva kweeyure ezimbalwa), amanqanaba eswekile egazini aqala ukwehla ngokukhawuleza.
Ngaba ndingakwazi ukusela utywala ngelixa ndisebenzisa i-metformin ?
Ukusela utywala kakhulu ngelixa usebenzisa i-metformin kunokuba yingozi kakhulu. Kungakhokelela kwimeko engaqhelekanga kodwa ebulalayo ebizwa ngokuba yi-lactic acidosis, eqokelelana ngee-asidi eziyingozi emzimbeni.
Ungayithintela njani i-hypoglycemia yasebusuku? ▼
Qiniseka ukuba ujonga inqanaba leswekile egazini lakho nge-glucose meter ngaphambi kokuba ulale emva kokusela utywala. Nokuba kuyinto eqhelekileyo, yitya ukutya okune-carbohydrate ezitsha kancinci, njengesandwich okanye i-oats, ngaphambi kokuba ulale.
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