Xa ugqirha wakho ekuxelela ukuba unesifo seswekile sohlobo lwesibini, kuyinto eqhelekileyo ukuba kuvele imibuzo engqondweni. 'Ndingenza ntoni ngoku?', 'Ngaba eli yeza lilungile kum?', 'Kuza kwenzeka ntoni emva koko?' Izinto ezinje zinokufika engqondweni. Ngoko ke, ungaze ungathandabuzi ukubuza ugqirha wakho nayiphi na imibuzo onayo malunga nonyango lwakho, amayeza, okanye indlela ophila ngayo. Ukucacisa iingxaki zakho yinxalenye ebaluleke kakhulu yonyango. Namhlanje, siza kuthetha ngemibuzo eqhelekileyo abantu abaninzi abanayo malunga nesifo seswekile kunye neempendulo ezilula kuyo.
Ngaba esi sifo sinokunyangeka ngokupheleleyo?
Impendulo yale nto ilula, 'hayi'. Kodwa ungakhathazeki. Nangona isifo seswekile sohlobo lwesibini singenakunyangwa ngokupheleleyo, sinokulawulwa, okanye sibuyiselwe 'kwimeko yokuxolelwa'. Ngamafutshane, ngokubuyisela amanqanaba eswekile egazini lakho kwimeko eqhelekileyo, unokuthintela iingxaki ezininzi zesifo seswekile. Ugqirha wakho unokukwazi ukunciphisa amayeza akho okanye ayeke okwethutyana.
Eyona nto iphambili koku kukutshintsha indlela yokuphila.
- Ukutya okunempilo: Ukuze wenze oku, ungathetha nogqirha wakho okanye ingcali yesondlo uze wenze isicwangciso sokutya esikulungeleyo.
- Ukuzilolonga: Zama ukwenza umthambo ophakathi ubuncinane imizuzu engama-30 uninzi lweentsuku. Ukuba awukwazi ukukwenza ngoko nangoko, qala kancinci.
- Ukunciphisa umzimba: Ukuba utyebile kakhulu, kubaluleke kakhulu ukunciphisa umzimba.
Ewe, amayeza anikwa ngugqirha wakho yinxalenye enkulu yonyango lwakho. Kodwa ukuze uphile ubomi obusempilweni, ukutya ukutya okunempilo kunye nokuzilolonga kufuneka kube yinto ephambili kuluhlu lwakho. Kwakhona, ukulala ngokwaneleyo kubalulekile. Ukuba ulala ngaphantsi kweeyure ezisi-7 ngosuku, amanqanaba eswekile egazini lakho anokungalungelelani.
Yintoni ejongwa ngugqirha xa usiya ekliniki?
Xa usiya kwikliniki yesifo seswekile, ugqirha wakho uza kwenza uvavanyo oluninzi ukujonga imeko yakho. Olu vavanyo luza kujonga ukuba isifo sakho seswekile silawulwa kakuhle na kwaye kukho ezinye iingxaki eziye zavela.
| Yintoni evavanywayo/yintoni ejongwayo? | Kutheni oko kubalulekile? |
|---|---|
| Uvavanyo lwe-A1c | Le yindlela onokuthi wazi ngayo ngqo indlela amanqanaba eswekile egazini lakho alawulwa ngayo kwiinyanga ezi-2-3 ezidlulileyo. |
| Ifuthe legazi | Ukuba noxinzelelo lwegazi oluphezulu kunye nesifo seswekile kwandisa umngcipheko wezifo ezinzulu ezifana nesifo sentliziyo kunye nestroke. Ngoko ke, kubalulekile ukulawula eli xabiso. |
| Inqanaba le-cholesterol | Ukulawula uxinzelelo lwegazi kunye namanqanaba e-cholesterol kunceda ukunciphisa umngcipheko wesifo sentliziyo. |
| Ukuhlolwa kwamehlo | Isifo seswekile singonakalisa amehlo. Le meko ibizwa ngokuba yi -retinopathy . Ukuba ifunyenwe kwangethuba, ukulahleka kokubona kunokuthintelwa. |
| Ukuhlolwa kweenyawo | Isifo seswekile singonakalisa imithambo-luvo ezinyaweni kwaye sinciphise iimvakalelo. Ngenxa yoko, namanxeba amancinci asenokungabonakali, nto leyo ekhokelela kwizilonda ezinyaweni ezingapholiyo, usulelo, kwaye ngamanye amaxesha nokunqunyulwa kwesikhumba. |
Ngaba kuya kufuneka ndithathe i-insulin?
Abantu abanesifo seswekile sohlobo loku-1 ngokuqinisekileyo kufuneka bathathe i-insulin, kodwa ayinguye wonke umntu onesifo seswekile sohlobo lwesibini ofuna i-insulin.
Ugqirha wakho uhlala ezama kuqala ukulawula amanqanaba eswekile egazini lakho ngokutya, ukuzilolonga, kunye nokulawula ubunzima. Ukuba oko akusebenzi, amayeza omlomo aya kuqaliswa. Amaxesha amaninzi, amayeza okuqala aqalwa liyeza elibizwa ngokuba yi -metformin . Oku kunceda umzimba wakho usebenzise i-insulin enayo ngempumelelo. Ukuba la mayeza awalawuli amanqanaba eswekile egazini lakho, ugqirha wakho unokugqiba ekubeni akuqalise ngamanye amayeza okanye i-insulin.
Khumbula, isifo seswekile sisifo esiqhubekekayo. Oku kuthetha ukuba nokuba awuyidingi i-insulin namhlanje, usenokuyidinga kwixesha elizayo. Yiyo loo nto isifo sinjalo.
Ndingawujonga njani umgangatho weswekile yam ekhaya?
Eyona ndlela iqhelekileyo yokwenza oku kukusebenzisa i-blood glucose meter. Okufuneka ukwenze kukuhlaba umnwe wakho ngenaliti encinci, ubeke ithontsi legazi kumcu wovavanyo, uze ulifake kwi-meter. Oku kuya kukuxelela ubungakanani beswekile egazini lakho.
Ukuba uthatha i-insulin kwaye usengozini yokuba neswekile ephantsi egazini, ingakumbi ebusuku, ugqirha wakho unokucebisa ukuba usebenzise isixhobo se-CGM (Continuous Glucose Monitoring) . Oku kubandakanya ukuncamathisela i-sensor eluswini lwakho. Ilinganisa kwaye irekhode amanqanaba eswekile egazini lakho rhoqo ngemizuzu embalwa imini yonke.
Ukuba ndiqala ukusebenzisa i-insulin, ngaba kuya kufuneka ndiyithathe ubomi bam bonke?
Akunjalo rhoqo. Ngamanye amaxesha i-insulin inikwa njengesisombululo sexeshana. Umzekelo, ukuba ukhulelwe okanye ulaliswe esibhedlele ngenxa yengxaki ethile, ugqirha wakho angakuqalisa ukusebenzisa i-insulin okwethutyana. Ngokwezinye iingqikelelo, malunga nama-67% abantu abasebenzisa i-insulin yesifo seswekile sohlobo lwesibini abasayi kuphinda bafune ukuyithatha kwakhona.
Ngaba izintso zam ziyawohloka ngenxa yesifo seswekile kwaye kufuneka ndiye kwi-dialysis?
Olu loyikiso olukhulu kubantu abaninzi. Liyinyaniso elokuba isifo seswekile sisona sibangela umngcipheko omkhulu wesifo sezintso. Nangona kunjalo, zininzi izinto onokuzenza ukuze uzikhusele.
Ukusela amayeza akho ngokufanelekileyo nokulawula iswekile yegazi kunye noxinzelelo lwegazi yeyona nto ibalulekileyo. Nokuba unesifo sezintso esikwinqanaba lokuqala, ukuba ulawula iswekile yegazi kunye noxinzelelo lwegazi kakuhle, unganciphisa umonakalo ongakumbi kwizintso zakho ngesiqingatha. Ngoko ke, musa ukoyika, kwaye lawula isifo sakho.
Umyalezo Wokuya Ekhaya
- Nangona isifo seswekile sohlobo lwesibini singenakunyangwa ngokupheleleyo, sinokulawulwa kakuhle ngokutshintsha indlela yokuphila (ukutya, umthambo) kwaye imfuneko yamayeza inokuncipha.
- Kubalulekile ukubona ugqirha wakho ngexesha elicwangcisiweyo kwaye uhlolwe i-A1c yakho, uxinzelelo lwegazi, amanqanaba e-cholesterol, kunye namehlo neenyawo.
- Ayingabo bonke abantu abanesifo seswekile sohlobo lwesibini abadinga i-insulin kwasekuqaleni. Ngokuqhelekileyo, abantu baqala ngeepilisi.
- Ngokugcina amanqanaba eswekile egazini lakho kunye noxinzelelo lwegazi lulawulwa kakuhle, unokuthintela ukonakala kwamalungu omzimba afana nezintso, intliziyo kunye namehlo.
- Thetha ngokukhululekileyo nogqirha wakho malunga nemibuzo okanye iinkxalabo onazo malunga nonyango okanye amayeza akho.
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