Xa ugqirha wakho ekuxelela ukuba unesifo seswekile sohlobo lwesibini, umbuzo omkhulu olandelayo ngulo, 'Loluphi unyango olungcono kum?' Iinaliti ze-insulin, iipilisi, kunye nezinye iindlela zonyango... Uyikhetha njani efanelekileyo kuwe? Ungakhathazeki, esi ayisosigqibo ekufuneka usenze wedwa. Wena nogqirha wakho nenza esi sigqibo kunye. Masithethe ngaso ngokulula.
Izinto ekufuneka uziqwalasele xa ukhetha unyango olufanelekileyo kuwe
Ngamafutshane, akukho nyango 'lomlingo' lweswekile olusebenza kuye wonke umntu. Iyeza elisebenza kakuhle komnye umntu lisenokungasebenzi kakuhle komnye. Oku kungenxa yokuba imizimba yethu, indlela esiphila ngayo, kunye neemeko zempilo zahlukile. Ngoko ke, ugqirha wakho ngokuqinisekileyo uya kuziqwalasela ezi zinto xa ekhetha iyeza elilungele wena.
1. Amanqanaba eswekile egazini lakho
Le yeyona nto ibalulekileyo. Ukuba amanqanaba eswekile egazini lakho aphezulu ixesha elide, usengozini enkulu yokufumana iingxaki eziyingozi zeswekile, ezifana neengxaki zamehlo (i-retinopathy), isifo sezintso, kunye nomonakalo wemithambo-luvo (i-neuropathy) . Ukuba amanqanaba eswekile egazini lakho angaphezulu komlinganiselo ocetyiswayo, ugqirha wakho unokugqiba kwelokuba anyuse idosi yamayeza akho angoku okanye ongeze amayeza amatsha kwisicwangciso sakho sonyango.
2. Unexesha elingakanani unesifo seswekile?
Ubude bexesha oye waba nesifo seswekile nalo lubalulekile xa ukhetha unyango. Umzekelo, ukuba ubunesifo seswekile iminyaka engaphezu kwe-10, ezinye iipilisi zeswekile zisenokungasebenzi kakuhle. Kodwa ukuba usandul’ ukufunyanwa unesifo, ugqirha wakho usenokungakuqalisi ngoko nangoko ukusebenzisa i-insulin. Kwakhona, amanye amayeza anokulahlekelwa kancinci kancinci ukusebenza kwawo ngokuhamba kwexesha. Ngoko ke khumbula ukuba isicwangciso sakho sonyango sinokutshintsha ngokuhamba kwexesha.
Ezinye iingxaki zempilo ezinokuhamba nesifo seswekile
Isifo seswekile asisosifo esihlala siza sodwa. Nangona kunjalo, kukho ezinye 'izihlobo' ezihambisana naso. Ezi meko zinokuchaphazela ngqo ulawulo lwakho lweswekile egazini kunye nokukhetha kwakho amayeza.
| Ingxaki Yempilo | Indlela Echaphazela Ngayo Ukhetho Lonyango |
|---|---|
| Ukutyeba kakhulu | Ukwanda kobunzima kwandisa ukunganyangeki kwe-insulin, ngoko ke ugqirha wakho unokuba nomdla wokukhetha amayeza esifo seswekile anokukunceda unciphise umzimba. |
| Igazi elonyukayo | Ukuba nezi meko zombini kunye kwandisa umngcipheko wesifo sentliziyo nesifo sezintso. Amanye amayeza eswekile nawo anefuthe elihle kuxinzelelo lwegazi. |
| I-Cholesterol ephezulu | Isifo seswekile kunye ne-cholesterol ephezulu ziindibaniselwano ezinokubangela isifo sentliziyo, ngoko ke isicwangciso sonyango sigxile ekulawuleni zombini ezi zinto. |
| Isifo sentliziyo | Ukuba sele unesifo sentliziyo, kungcono ukhethe amayeza athile esifo seswekile abonakalisiweyo ukuba akhusela intliziyo (umz., ii-SGLT2 inhibitors, ii-GLP-1 agonists). |
| Isifo sezintso | Amanye amayeza esifo seswekile awalungelanga kakhulu izintso. Ngoko ke ukuba unesifo sezintso, ugqirha wakho uza kukukhetha amayeza akhuselekileyo, alungele izintso. |
| Ukuphelelwa ngamandla kokulala | Le meko yenza kube nzima ukulawula iswekile egazini, ngoko ke kubalulekile ukwazisa ugqirha wakho ngale nto. |
| Uxinzelelo | Impilo yengqondo ichaphazela ngqo ulawulo lwesifo seswekile. Ukudakumba kunokukhokelela ekungathobelini amayeza kakuhle kunye nokulahlekelwa lulawulo lokutya. Ke ngoko, kubalulekile ukuthetha nogqirha wakho ngale nto. |
Kodwa kukho iindaba ezimnandi! Kukho amayeza esifo seswekile anokunceda nakwezinye iingxaki zakho zempilo. Umzekelo, ii-agonists ze-GLP-1Ukuba uthatha uhlobo lwamayeza olubizwa ngokuba yi-class, la mayeza andisa ukuziva ugcwele emva kokutya. Ngoko ke ukuba utyebile kakhulu, oku kunokukunceda unciphise umzimba. Uphando lukwafumanise ukuba la mayeza akhusela kwizifo zentliziyo kunye nesifo sezintso.
3. Inqanaba lomsebenzi wakho
Indlela osebenza ngayo emini nayo ibalulekile. Ukuzilolonga kunciphisa amanqanaba eswekile egazini lakho. Nangona oko kuyinto entle, kubalulekile ukuqwalasela oku xa usenza isicwangciso sakho sonyango. Thembeka kugqirha wakho malunga nokuba uhamba kangakanani yonke imihla kunye nokuba usebenza nzima kangakanani emsebenzini. Umlinganiselo wamayeza akho unokufuna ukulungiswa ngokusekelwe kwinqanaba lomsebenzi wakho.
4. Ngaba uyasela utywala?
Ukuba unesiko lokusela utywala, kubalulekile ukwazisa ugqirha wakho ngalo mba. Utywala bunokubangela ukuba amanqanaba eswekile egazini lakho ehle ngendlela eyingozi (i-hypoglycemia) kangangeeyure ezininzi. Oku kunokuchaphazela ukusebenza kakuhle kwe-insulin okanye ezinye iipilisi zeswekile. Ukuba uthanda ukusela ibhiya okanye i-cocktail ngamanye amaxesha, xelela ugqirha wakho ngayo. Uya kuthi ke akucebise nangaziphi na iindlela zokhuseleko ekufuneka uzithathe ukuze uphephe iingxaki ngamayeza akho.
Uyoyika iinaliti? Musa ukuvumela loo nto ibe yingxaki!
Abantu abaninzi bayoyika iinaliti kunye neenaliti. Asinto yokuyifihla, luloyiko oluqhelekileyo abantu abaninzi abanalo. Ukuba unolo loyiko, musa ukulufihla. Ukuba uyoyika ukuzijova, thetha nogqirha wakho ngalo mba. Kuba ukuba awuzithathi amayeza akho ngexesha ngenxa yoloyiko, oku kunokuphazamisa ngokupheleleyo ulawulo lwakho lweswekile egazini.
Ngethamsanqa, ngoku awusadingi kutsala amayeza kwiibhotile usebenzisa isirinji njengoko ubusenza ngaphambili.
- Izixhobo zepeni: Ezi zifana nepeni. Kulula kakhulu ukuzisebenzisa. Ugqirha okanye umongikazi wakho uza kukubonisa indlela yokuzisebenzisa.
- I-insulin efunxwayo: Ezinye iintlobo ze-insulin ngoku ziyafumaneka ngohlobo olunokufunxwa ngempumlo.
Ngoko ke njengoko ubona, zininzi izinto onokukhetha kuzo. Eyona nto ibalulekileyo kukuthetha nogqirha wakho malunga noloyiko lwakho.
Umyalezo Wokuya Ekhaya
- Akukho nyango 'lulungileyo' lwesifo seswekile sohlobo lwesibini. Unyango olulungele wena luya kuxhomekeka kwizinto ezininzi, kuquka imeko yakho yempilo kunye nendlela ophila ngayo.
- Amanqanaba eswekile egazini lakho, ixesha osele uneswekile ngalo, kunye nezinye iimeko zempilo ezinje ngokutyeba kakhulu kunye noxinzelelo lwegazi oluphezulu zonke zibalulekile xa ukhetha unyango.
- Qiniseka ukuba uthetha ngokukhululekileyo nogqirha wakho ngezinto ezifana nemikhwa yakho yokuzilolonga, ukusebenzisa utywala, kunye nokoyika iinaliti.
- Isicwangciso sonyango asisosesigxina. Ugqirha wakho angasitshintsha ngokuhamba kwexesha ngokweemfuno zakho. Ngoko ke hlala ulandela imiyalelo kagqirha wakho.
- Ukuba uyoyika iinaliti, thetha nogqirha wakho ngezinye iindlela, ezifana nezixhobo zokubhala okanye i-insulin ephefumliweyo. Musa ukufihla uloyiko lwakho!
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