Ukuba unesifo seswekile, uvavanyo lwegazi rhoqo mhlawumbi luyinxalenye eqhelekileyo yobomi bakho. Sihlala sijonga amanqanaba eswekile egazini lethu. Kodwa ubusazi na ukuba uvavanyo lwakho lomchamo lunokukuxelela okuninzi ngempilo yakho, ingakumbi impilo yezintso zakho kunye nokuba amanqanaba eswekile yakho aphezulu na ngokuyingozi? Ezi zifana nemiqondiso yesilumkiso evela emizimbeni yethu. Ke namhlanje, masithethe ngezi vavanyo zimbini zomchamo ezilula kodwa ezibaluleke kakhulu.
Uvavanyo lwempilo yezintso
Malunga nesithathu sabantu abanesifo seswekile ekugqibeleni baya kuba neengxaki zezintso. Le yenye yezona ngxaki ziyingozi zesifo seswekile. Kodwa iindaba ezimnandi zezokuba ukuba silawula iswekile yegazi lethu kunye noxinzelelo lwegazi kakuhle kwasekuqaleni, kwaye ukuba sithatha amayeza anikwe ngugqirha wethu ngokuchanekileyo, sinokugcina izintso zethu ziphilile.
Ngoko ke, ukuze kuchongwe iimpawu zokuqala zomonakalo wezintso, ugqirha wakho unokucebisa uvavanyo lomchamo olukhethekileyo olubizwa ngokuba luvavanyo lwe-microalbuminuria .
Ngamafutshane, i-albumin yeyona protein iphambili egazini lethu. Izintso eziphilileyo aziyikhuphi le protein kumchamo. Kanye njengokuba isihluzi seti sihluza iti, izintso zigcina le protein ixabisekileyo emzimbeni. Kodwa xa izintso ziqala ukonakala, njengomngxuma kwisihluzo, le protein ye-albumin iqala ukuvuza kumchamo. Oku kuvuza kweproteni encinci koko kubonwa luvavanyo lwe-"Microalbuminuria".
Oku kubaluleke kakhulu. Kuba ngeli xesha, usenokungaziva zimpawu. Usenokuziva uphilile, ngaphandle kweengxaki. Kodwa izintso sele ziqala ukonakala ngaphakathi. Ukuba ukuqaphela oku kwangethuba, ungawuthintela umonakalo ukuba ungabi mbi kwaye ukhokelele ekungasebenzini kwezintso.
Olu vavanyo lufanele lwenziwe nini?
- Wakuba ufunyenwe unesifo seswekile sohlobo lwesibini , kufuneka wenze olu vavanyo kube kanye ngonyaka. Oku kungenxa yokuba kwisifo seswekile sohlobo lwesibini, amanqanaba eswekile egazini asenokuba ayenyukile kangangeminyaka ngaphambi kokuba isifo sifunyanwe.
- Ukuba unesifo seswekile sohlobo loku-1 , olu vavanyo ludla ngokuqaliswa emva kweminyaka emi-5 emva kokuba isifo sifunyenwe.
| Kuza kwenzeka ntoni ukuba iziphumo zovavanyo zithi zilungile? | |
|---|---|
| Intsingiselo | Izintso zakho zivuza iproteni. Olu lolunye lweempawu zokuqala nezibalulekileyo zokuba izintso zakho zonakele. |
| Gqirha, ngawaphi amanyathelo endifanele ndiwathathe? |
|
| Izinto onokuzenza | Ukunciphisa umzimba ogqithisileyo kunye nokuyeka ngokupheleleyo ukutshaya kubalulekile ukukhusela izintso. |
Uvavanyo oluthi amanqanaba eswekile aphezulu kakhulu
Olu vavanyo lubaluleke kakhulu kubantu abanesifo seswekile sohlobo 1. Ugqirha wakho angakucela ukuba ujonge umchamo wakho ukuba awunazo na ii-ketones .
Cinga nje, iiseli zomzimba wethu zifuna isitshixo esibizwa ngokuba yi-insulin ukuze zifumane amandla. Kodwa xa i-insulin ingekho ngokwaneleyo, umzimba kufuneka ufumane enye indlela yokwenza amandla. Emva koko umzimba utshisa amafutha agcinwe emzimbeni ukuze enze amandla. Kule nkqubo, iikhemikhali ezibizwa ngokuba yi-"ketones" ziveliswa njengemveliso engasemva.
Nangona ezi ketones zingenabungozi xa zincinci, ziyingozi xa ziqokelelana kakhulu. Xa ziqokelelana egazini, zinokubangela imeko engxamisekileyo esongela ubomi ebizwa ngokuba yiDiabetic Ketoacidosis (DKA) .
Ngoko ke olu vavanyo lwe-ketone lwenzelwe ukukunika isilumkiso ngaphambi kokuba ufikelele kuloo meko iyingozi. Olu luvavanyo olulula onokulwenza ekhaya. Ungafumana imicu yovavanyo kwikhemesti ngokuyintywilisela kumchamo wakho, ubukele utshintsho lombala, kwaye uthelekise iziphumo netshathi yombala ekwipakethi.
Ufanele uvavanye nini ii-ketones?
Ukuba unesifo seswekile sohlobo 1...
- Ukuba uyagula (njengomkhuhlane okanye umkhuhlane) kwaye unesicaphucaphu okanye ukuhlanza.
- Ukuba ukhulelwe .
- Ukuba inqanaba leswekile egazini lakho liphezulu kune-300 mg/dL .
- Ukuba uneempawu zeswekile ephezulu egazini, ezinje ngokunxanwa kakhulu, ukudinwa kakhulu, ubuso oburhawuzelelwe, ingqondo enomngxuma, kunye nevumba leziqhamo emlonyeni wakho.
- Ukuba ugqirha wakho ukucebisa ukuba wenze njalo.
Ukuba unesifo seswekile sohlobo lwesibini...
Kunqabile kakhulu kubantu abanesifo seswekile sohlobo lwesibini ukuba bavelise ii-ketones ezininzi, nokuba bathatha i-insulin. Nangona kunjalo, oku kunokwenzeka kwiimeko ezinzima. Ugqirha wakho unokufuna ukujonga oku kulandelayo:
- Ukuba unesifo esinzima kwaye unesicaphucaphu/ukuhlanza okungachazekiyo.
- Ukuba inqanaba leswekile egazini lakho lingaphezulu kwe-300 mg/dL kwaye liyaqhubeka linyuka imini yonke.
Ufanele ufowunele ugqirha nini ngoko nangoko?
Le yeyona nxalenye ibalulekileyo.
Iziphumo zovavanyo lwe-ketone kufuneka zihlale zi-negative. Ukuba iziphumo zi-positive, oko kuthetha ukuba kukho nenani elincinci, yazisa ugqirha wakho ngoko nangoko . Musa ukulibazisa.
Kwakhona, ukuba iswekile yakho egazini iyaqhubeka nokuba phezulu, ufumana iintlungu zesisu, isicaphucaphu, ukuhlanza, ukuphefumla ngokukhawuleza, ivumba elimnandi emlonyeni wakho, okanye ukuchama kakhulu, xelela ugqirha wakho ngoko nangoko.
Kwimeko enjalo, ugqirha angakunika icebiso elilandelayo:
- Sela amanzi amaninzi kunye nolwelo ukuze wehlise amanqanaba e-ketone kwaye ugcine umzimba wakho unamanzi.
- Qhubeka ujonga amanqanaba eswekile egazini lakho. Ukuba amanqanaba eswekile egazini lakho aphezulu, ungaxelelwa ukuba uthathe idosi encinci ye-insulin esebenza ngokukhawuleza.
- Ungacetyiswa ukuba uye kwiSebe lezeMpilo eziNgxamisekileyo (i-ETU) lesibhedlele esikufutshane ukuze ufumane ulwelo olufakwa kwimithambo yegazi (i-saline) kunye ne-insulin.
Okokugqibela, bhala phantsi iziphumo zolu vavanyo lomchamo olwenzayo ekhaya kwincwadi yamanqaku, kunye nomhla nexesha. Thatha le ncwadi yamanqaku rhoqo xa ubona ugqirha wakho. Iya kukunceda wena nogqirha wakho nibe nomfanekiso ocacileyo wempilo yenu.
Umyalezo Wokuya Ekhaya
- Uvavanyo lwegazi kunye novavanyo lomchamo kubaluleke kakhulu kumntu onesifo seswekile.
- Qiniseka ukuba ufumana uvavanyo lwe-microalbuminuria, olusetyenziselwa ukujonga impilo yezintso zakho, olwenziwa minyaka le, njengoko ugqirha wakho ecebisa.
- Ukuba uvavanyo lomchamo lubonisa ukuba kukho ii-ketones, yingxamiseko. Fowunela ugqirha wakho ngoko nangoko.
- Ungazikhusela izintso zakho ngokulawula amanqanaba eswekile egazini lakho, uxinzelelo lwegazi, kunye ne-cholesterol kakuhle.
- Ukuba unamathandabuzo okanye imibuzo malunga neziphumo zovavanyo, thetha nogqirha wakho ngokukhululekileyo.
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