Ngaba ukrokrela ukuba unesifo seswekile? Masifumanise ngqo ngolu Vavanyo lweGlucose egazini! (Uvavanyo lweGlucose egazini lwesifo seswekile)

Ngaba ukhe waziva unxaniwe kakhulu kutshanje ? Ngaba kufuneka uye kwigumbi lokuhlambela rhoqo? Ngaba ulahlekelwa bubunzima ngokungalindelekanga? Okanye ngaba uziva ungenazimvakalelo ezandleni nasezinyaweni? Ukuba unale mpawu, ugqirha wakho unokufuna ukuba uhlolwe ukuze kubonwe ukuba unesifo seswekile na. Enyanisweni, abanye abantu banokuba nesifo seswekile ngaphandle kokuba nazimpawu. Ngoko ke namhlanje, masithethe ngovavanyo lwegazi olusetyenziselwa ukuxilonga isifo seswekile.

Yintoni iSugar egazini?

Ngamafutshane, iSugar yegazi okanye iGlucose yegazi yeyona fuel iphambili enika umzimba wethu amandla. Ifana nepetroli yemoto. Umzimba wethu uguqula iicarbohydrates ekutyeni esikutyayo zibe yiglucose (iswekile), nto leyo enika amandla kuyo yonke iseli emzimbeni. Isibindi sethu sikwavelisa kwaye sigcine le glucose. Xa singatyi okwethutyana, umzimba uzama ukugcina amanqanaba eswekile yegazi aqhelekileyo ngokusebenzisa iglucose egcinwe esibindini.

Ngoku, apha i-hormone ye -insulin idlala indima ebaluleke kakhulu. Khawuthelekelele ukuba iiseli emizimbeni yethu zifana nezindlu, kwaye i-glucose ifana nephasela lokutya elifunekayo kuloo mizi. I-insulin ifana nesitshixo esivula ucango lokungenisa loo phasela lokutya endlwini.

Ngoko ke, kwenzeka ntoni ukuba umzimba wakho awuvelisi i-insulin eyaneleyo, okanye ukuba i-insulin onayo ayisebenzi kakuhle (iingcango azikwazi ukuvuleka)? Ezo package zokutya (i-glucose) azinakungena kwiiseli, kwaye ziqokelelana kwimithambo yegazi. Yiloo nto siyibiza ngokuba yiswekile ephezulu egazini (i-Hyperglycemia) .

Zeziphi iimvavanyo eziphambili zegazi ezisetyenziselwa ukuxilonga isifo seswekile?

Kukho iintlobo ezahlukeneyo zovavanyo ezisetyenziswa ngoogqirha ukuze bafumanise ukuba unesifo seswekile na. Ezinye zifuna ukuba uzile ukutya ngobusuku bangaphambi kosuku, ngelixa ezinye zingafuni. Ugqirha wakho uya kukhetha uvavanyo olufanelekileyo ngokusekelwe kwiimpawu kunye nemeko yakho.

1. Uvavanyo lweGlucose yePlasma yokuzila ukutya (FPG)

Olu lolona vavanyo lwenziwa rhoqo.

• Indlela ekwenziwa ngayo: Akufanele utye okanye usele nantoni na ubuncinane iiyure ezisi-8 ngaphambi kovavanyo (amanzi amancinci alungile). Ngoko ke olu vavanyo ludla ngokwenziwa kusasa. Isampuli encinci yegazi ithathwa kumthambo osengalweni yakho ize ivavanywe kwilebhu.
• Masiqonde iziphumo:
• 99 mg/dL okanye ngaphantsi: Inqanaba eliqhelekileyo
• Ukuba phakathi kwe-100 mg/dL kunye ne-125 mg/dL:I-Prediabetes. Oko kuthetha imeko enobungozi.
• Ukuba yi-126 mg/dL okanye ngaphezulu (kwiintsuku ezimbini ezahlukeneyo): Kufunyaniswe ukuba uneswekile.

2. Uvavanyo lweGlucose yePlasma oluqhelekileyo okanye olungaqhelekanga

Olu luvavanyo olukhawulezileyo olwenziwa xa kukho imeko engxamisekileyo okanye kumntu oneempawu eziqatha.

• Indlela ekwenziwa ngayo oku: Akunyanzelekanga ukuba uzile ukutya ngenxa yoku. Isampulu yegazi iyathathwa nangaliphi na ixesha losuku ize ivavanywe.
• Masiqonde iziphumo: Ukuba inqanaba leswekile yakho egazini liyi-200 mg/dL okanye ngaphezulu , kwaye uneempawu zeswekile, kusenokwenzeka ukuba unesifo seswekile. Ugqirha wakho uza kwenza olunye uvavanyo ukuqinisekisa.

3. Uvavanyo lokunyamezela iGlucose yomlomo (OGTT)

Olu vavanyo lulinganisa indlela umzimba wakho onokulawula ngayo iswekile egazini. Lukwasetyenziselwa ukubona isifo seswekile sokukhulelwa.

• Indlela ekwenziwa ngayo oku: Okokuqala, kuthathwa isampuli yegazi elizilileyo. Emva koko unikwa isiselo esineswekile. Emva koko kuthathwa enye isampuli yegazi emva kweyure enye neeyure ezimbini.
• Masiqonde iziphumo: Ukuba inqanaba leswekile yakho liyi-200 mg/dL okanye ngaphezulu emva kweeyure ezimbini, kufunyaniswa ukuba unesifo seswekile.

4. Uvavanyo lweHemoglobin A1c (HbA1c)

Olu luvavanyo olubaluleke kakhulu.

• Indlela ekwenziwa ngayo oku: Oku akujongi nje kuphela amanqanaba eswekile egazini lakho ngosuku olunye. Kujonga amanqanaba eswekile egazini lakho aqhelekileyo kwiinyanga ezi-2-3 ezidlulileyo . Akunyanzelekanga ukuba uzile ukutya ngenxa yoku.
• Masiqonde iziphumo:
• Ukuba ingaphantsi kwe-5.7%: Inqanaba eliqhelekileyo
• Ukuba phakathi kwe-5.7% kunye ne-6.4%: I-Prediabetes
• Ukuba i-6.5% okanye ngaphezulu (ngeentsuku ezimbini ezahlukeneyo): Isifo seswekile

Itheyibhile engezantsi inika ukuqonda okucacileyo kwezi mvavanyo.

Ngaba nabantwana banesifo seswekile?

Ewe, nabantwana banokufumana isifo seswekile. Kukho iintlobo ezimbini eziphambili.

• Uhlobo loku-1 lwesifo seswekile: Kulapho umzimba uyeka ukuvelisa i-insulin ngokupheleleyo. Ingakhula nangaliphi na ixesha, kodwa ixhaphake kakhulu ebantwaneni nakubantu abadala abancinci. Kufuneka bathathe i-insulin injections imihla ngemihla ukuze baphile. Iimpawu zivela ngequbuliso (njengokomela kakhulu, ukuchama rhoqo, ukwehla kobunzima, kunye nokudinwa kakhulu).
• Uhlobo lwesibini lwesifo seswekile: Oku kwenzeka xa umzimba uvelisa i-insulin, kodwa ungakwazi ukuyisebenzisa kakuhle. Le meko idla ngokunxulunyaniswa nokuba nobunzima obukhulu okanye ukutyeba kakhulu . Abanye abantwana banokuba nayo ngaphandle kweempawu. Ngamanye amaxesha ifunyanwa ngengozi ngexesha lovavanyo lwegazi okanye lomchamo olwenziwe ngesinye isizathu.

Ukuba ucinga ukuba umntwana wakho usemngciphekweni wokuba nesifo seswekile, thetha nogqirha wakho ngaso. Ukuba sifunyenwe kwangethuba, isifo seswekile sinokuthintelwa ngokwenza utshintsho kwindlela otya ngayo kunye nendlela oqhele ukuzilolonga ngayo.

Yintoni omawuyenze emva kokuba ufunyaniswe unesifo seswekile? Ngaba kufuneka woyike?

Musa ukoyika. Isifo seswekile sisifo onokuthi usilawule kakuhle kwaye uphile ubomi obusempilweni. Eyona nto ibalulekileyo kukulawula amanqanaba eswekile egazini lakho. Nazi ezinye zezinto ezinokukunceda:

1. Ukutya: Yitya ukutya okunesondlo esifanelekileyo. Ziphephe iziselo ezineswekile (ngaphandle kokuba utya ukutya okune-carb ephantsi). Funda ukubala ii-carbohydrates kwaye utye ngokulinganisela.

2. Uqheliso:Ukuzilolonga rhoqo kuphucula indlela umzimba wakho osebenzisa ngayo i-insulin. Thetha nogqirha wakho malunga nesicwangciso sokuzilolonga esifanelekileyo kuwe.

3. Amayeza: Sela amayeza anikwe ngugqirha ngqo nangexesha elifanelekileyo. Ukuba kukho ingxaki, xelela ugqirha ngayo.

4. Uxinzelelo: Uxinzelelo lunokubangela ukuba amanqanaba eswekile egazini anyuke. Ngoko ke gcina ingqondo yakho izolile kwaye wenze into oyithandayo.

5. Jonga amanqanaba eswekile egazini lakho rhoqo: Ugqirha wakho uza kukufundisa indlela yokujonga amanqanaba eswekile egazini lakho ekhaya. Ungasebenzisa i-glucose meter ukuthabatha ithontsi elincinci legazi emnweni wakho kwaye ujonge iswekile egazini lakho. Oku kuya kukunceda wazi ukuba amanqanaba eswekile egazini lakho aphezulu (hyperglycemia) okanye aphantsi (hypoglycemia) kwaye kukuncede ulawule ukutya kwakho kunye namayeza ngokufanelekileyo.