Ingaba iswekile yakho egazini iyehla ngequbuliso? Masithethe nge-hypoglycemia!

Ngaba unesifo seswekile? Ukuba kunjalo, ngaba ngamanye amaxesha uvele ubile ngequbuliso, ungcangcazele, kwaye uzive ungakhululekanga? Mhlawumbi uziva ulambile, unesiyezi, okanye isantya sentliziyo yakho siyakhawuleza. Oku sikubiza ngokuba yi-'hypoglycemia' ngokwezonyango. Ngamafutshane, ubungakanani beswekile enokusetyenziselwa ngumzimba wethu njengoko amandla ehla ngequbuliso.

Yintoni i-hypoglycemia?

Cinga ngemizimba yethu njengemoto. Kanye njengokuba imoto ifuna ipetroli ukuze isebenze, umzimba wethu udinga amandla ukuze wenze imisebenzi yemihla ngemihla, njengokucinga, ukuphefumla, ukuhamba, nokubaleka. Umthombo ophambili wamandla emzimbeni wethu yiglucose, okanye 'iswekile'. Xa inqanaba leswekile emzimbeni womntu onesifo seswekile lihla ngequbuliso kakhulu, umzimba ulahlekelwa 'yipetroli' ekufuneka isebenze. Ngokwesiqhelo, ezi mpawu ziqala ukubonakala xa inqanaba leswekile egazini lihla ngaphantsi kwe-70 mg/dL (ii-milligrams nge-deciliter nganye).

Zithini iimpawu ngexesha elinje?

Iimpawu ze-hypoglycemia azifani kuye wonke umntu. Ukuba unesifo seswekile, uya kuqaphela kancinci indlela umzimba wakho osabela ngayo kule meko. Ezi mpawu zinokwahlulwa zibe ngamacandelo amabini: iimpawu zokuqala kunye neempawu eziqatha ngakumbi.

Kutheni iswekile egazini ihla ngolu hlobo?

Zininzi izizathu zoku. Ezona ziphambili ngamayeza esiwasebenzisayo esifo seswekile kunye neendlela esitya ngazo.

Amanye amayeza esifo seswekile

Kubaluleke kakhulu ukubuza ugqirha wakho ukuba amayeza eswekile owasebenzisayo anokubangela ukuba iswekile yegazi ibe phantsi na.

• Unyango lwe-Insulin: I-Insulin yeyona hormone iphambili elawula amanqanaba eswekile egazini. Xa uthatha i-insulin ngaphandle, ngamanye amaxesha ukuba idosi ithathwa iphezulu kunokuba umzimba ufuna, amanqanaba eswekile egazini anokwehla.
• IiSulfonylureas: Ezi luhlobo oluqhelekileyo lwamayeza asetyenziselwa ukunyanga isifo seswekile. Zisebenza ngokuvuselela ipancreas ukuba ivelise i-insulin engaphezulu. Oku ngamanye amaxesha kunokubangela amanqanaba aphantsi eswekile egazini. Eminye imizekelo ibandakanya:
• I-Glimepiride (i-Amaryl)
• I-Glipizide (iGlucotrol)
• I-Glibenclamide (iGlyburide, iMicronase)

Ukongeza, ukuba usela utywala kunye namayeza akho eswekile, okanye ukuba uthatha amanye amayeza afana ne-allopurinol, i-aspirin, okanye i-warfarin, anokusebenzisana kwaye abangele amanqanaba eswekile egazini aphantsi. Ngoko ke, yazisa ugqirha wakho ngawo onke amayeza owasebenzisayo.

Isiphumo sokutya nokusela

Ukuba uthatha iipilisi ze-insulin okanye zeswekile ezingahambelaniyo nobungakanani beecarbohydrate (isitatshi/iswekile) ozityayo, iswekile yakho egazini inokwehla.

• Ukutsiba okanye ukulibazisa ukutya: Ukuba awutyi ngexesha elifanelekileyo emva kokusela amayeza akho, amanqanaba eswekile egazini lakho aya kwehla kuba iswekile encinci ingena emzimbeni wakho.
• Ukutya ukutya okuneswekile eninzi: Ukuba utya ukutya okuninzi okuneswekile eninzi (umz., iziselo ezimnandi, iikeyiki) ngaxeshanye, umzimba wakho uza kuvelisa i-insulin eninzi ngequbuliso. Oku kunokubangela ukuba amanqanaba eswekile egazini lakho ehle ngequbuliso.
• Ukusela utywala ungatyanga: Ukusela utywala ngaphandle kokutya kunokuthintela inkqubo yokuveliswa kweswekile yesibindi kwaye kubangele i-hypoglycemia.
• Ukuzilolonga: Xa uzilolonga, umzimba wakho usebenzisa iswekile ukuze ufumane amandla. Ngoko ke kufuneka ulumke malunga namanqanaba eswekile yakho ngaphambi nasemva kokuzilolonga.

Wenza ntoni xa iswekile yakho egazini iphantsi?

Ukuba ucinga ukuba uneempawu ze-hypoglycemia, ungoyiki kwaye ulandele la manyathelo.

1. Jonga inqanaba leswekile egazini lakho ngoko nangoko: Ukuba kunokwenzeka, jonga inqanaba leswekile egazini lakho ngeglucometer yakho. Ukuba lingaphantsi kwe-70 mg/dL, thatha inyathelo ngoko nangoko.

2. Landela umthetho 'we-15-15':

• Inyathelo 1: Yitya okanye usele malunga ne-15 grams yeecarbohydrates ezisebenza ngokukhawuleza.
• Iipilisi zeglucose ezi-3-4
• Iitofi ezimnandi ezi-4-6 (azinaswekile)
• Isiqingatha sekomityi yejusi yeziqhamo (ayinaswekile)
• Ikomityi e-1 yobisi olunongwe ngeswekile
• 1/2 indebe yesiselo esithambileyo esineswekile
• Icephe lobusi (eli lifunxwa ngokukhawuleza egazini xa libekwe phantsi kolwimi)
• Inyathelo lesi-2: Linda imizuzu eli-15.
• Inyathelo lesi-3: Jonga iswekile yakho yegazi kwakhona. Ukuba isengaphantsi kwe-70 mg/dL, yitya iigram ezili-15 zokutya okudweliswe apha ngasentla kwakhona.

3. Nje ukuba amanqanaba eswekile egazini lakho abuyele esiqhelweni: Nje ukuba amanqanaba eswekile egazini lakho abuyele esiqhelweni, yitya isidlo esincinci esineeproteni kunye neecarbohydrate ezintsonkothileyo (umz., ibhisikithi ye-cream cracker enetshizi) ukuze ugcine amanqanaba eswekile egazini lakho ezinzile.

Kuthekani ukuba umntu ulahlekelwa zingqondo?

Kwezinye iimeko ezinzima, i-hypoglycemia inokubangela ukulahlekelwa zingqondo. Le yimeko engxamisekileyo.

• Ungaze unike umntu ongazi nto ukutya okanye isiselo ngomlomo. Ukwenza njalo kunokubangela ukuba ihlale kwindawo yomoya kwaye yenze imeko ibe mandundu.
• Fowunela i-ambulensi ngoko nangoko okanye umse loo mntu kwiYunithi yoNyango oluNgxamisekileyo (ETU) yesibhedlele esikufutshane.
• Ukuba ugqirha wakho ukucebisile ukuba usebenzise inaliti ebizwa ngokuba yiglucagon, kubaluleke kakhulu ukuba ufundise usapho lwakho kunye nabahlobo indlela yokuyisebenzisa xa kukho imeko engxamisekileyo. IGlucagon yihormone enyusa ngokukhawuleza amanqanaba eswekile egazini.

Lumka xa uqhuba!

Ukuqhuba uneswekile ephantsi egazini kuyingozi kakhulu . Ukuba ufumana iimpawu ze-hypoglycemia ngelixa uqhuba, yima imoto ngoko nangoko kwindawo ekhuselekileyo endleleni. Emva koko jonga iswekile yakho yegazi, utye into emnandi, ulinde imizuzu eli-15, ujonge kwakhona, kwaye uqhube kwakhona kuphela xa iswekile yakho yegazi ibuyele esiqhelweni. Soloko ugcina incasa emnandi (itofi, iswekile) emotweni yakho xa kukho iimeko ezingxamisekileyo.

Indlela yokuthintela i-hypoglycemia?

• Landela isicwangciso sokutya osinikwe ngugqirha wakho okanye yingcali yesondlo ngokuchanekileyo.
• Yitya izidlo zakho ezintathu eziphambili ngamaxesha aqhelekileyo. Musa ukuvumela isithuba esiphakathi kwezidlo sidlule iiyure ezi-4-5.
• Ukuba ulolonga umzimba, kwenze emva kwesiqingatha seyure okanye iyure emva kokutya. Jonga amanqanaba eswekile egazini lakho ngaphambi nasemva kololonga umzimba.
• Ngaphambi kokuba usebenzise amayeza, qinisekisa ukuba uthatha amayeza achanekileyo kunye nedosi echanekileyo .
• Ukuba usela utywala, nciphisa. Kuphephe ukusela utywala esiswini esingenanto.
• Buza ugqirha wakho malunga namanqanaba aphezulu amayeza owasebenzisayo.
• Jonga amanqanaba eswekile egazini lakho rhoqo njengoko ugqirha wakho ekuyalele.
• Ukunxiba ikhadi lesazisi okanye isongo esichaza ukuba unesifo seswekile kunokuba yinto ebalulekileyo kakhulu xa kukho imeko engxamisekileyo.

Ukuba amanqanaba eswekile egazini lakho aphantsi izihlandlo ezininzi ngeveki ngaphandle kwesizathu esicacileyo, thetha nogqirha wakho ngaloo nto. Gcina irekhodi yexesha, umhla, kunye nento obuyenza ngelo xesha. Oku kuya kunceda ugqirha wakho ukuba abone indlela ethile aze enze naluphi na utshintsho olufunekayo kunyango lwakho.