Ukuba unesifo seswekile, mhlawumbi uyazi kakuhle intlungu engaqhelekanga, ukudinwa, kunye nokozela okuvayo emva kokutya isidlo esikhulu. Yiloo nto sithetha ngayo kwincoko yemihla ngemihla, "Ndivakalelwa kukuba nditye iswekile eninzi namhlanje." Ngaba kuqhelekile ukuba iswekile egazini inyuke ngequbuliso ngolu hlobo emva kokutya? Ngaba kuyingozi? Asinakukwazi ukuyilawula? Kulungile, masithethe ngale nto ngokucacileyo nangokulula namhlanje.
Yintoni ubudlelwane phakathi kokutya kunye neswekile egazini (iglucose)?
Ngamafutshane, emva kokutya, inkqubo yethu yokugaya ukutya iyawaphula ukutya esikutyayo ibe ngamandla. La mandla yinto esiyibiza ngokuba yi-'glucose' okanye 'iswekile'. Le glucose ingena egazini ize ihambe iye kuzo zonke iiseli emzimbeni ukuze izinike amandla eziwadingayo. Ngoko ke kuqhelekile ukuba amanqanaba eswekile egazini anyuke ukuya kwinqanaba elithile emva kokutya.
Ukuba unesifo seswekile, mhlawumbi unesixhobo sokulinganisa iglucose ekhaya esikuvumela ukuba uthathe ithontsi legazi emnweni wakho kwaye ujonge iswekile yakho yegazi. Oogqirha badla ngokukucebisa ukuba ujonge amanqanaba eswekile yakho yegazi ngaphambi kokutya kunye neeyure ezimbini emva kokuqala ukutya. Oku kuya kukunika umbono olungileyo wendlela umzimba wakho osabela ngayo ekutyeni.
Ngokwesiqhelo, inqanaba leswekile egazini lomntu omdala osempilweni ngaphambi kokutya kufuneka libe phakathi kwe-80-130 mg/dL. Emva kweeyure ezimbini emva kokutya, kungcono ukuyigcina ingaphantsi kwe-180 mg/dL.
Kutheni kuyingozi ukutsiba iswekile emva kokutya?
Oogqirha bakubiza oku ngokunyuka ngequbuliso kweswekile egazini emva kokutya 'i-Postprandial Hyperglycemia'. Cinga ngako, ukuba oku kwenzeka kube kanye okanye kabini, kusenokungabi yingxaki enkulu. Kodwa ukuba namanqanaba aphezulu eswekile egazini kwixesha elide nangokuphindaphindiweyo ayisiyonto ilungileyo konke konke.
Njengokuqhuba imoto ngesantya esiphezulu ngalo lonke ixesha. Nokuba ayibangeli ngxaki emva komgama omfutshane, ukuba uyaqhubeka nokuqhuba ngesantya eso, kuya konakalisa iindawo zemoto, njengenjini kunye namatayara. Ngokufanayo, amanqanaba aphezulu eswekile egazini ixesha elide ayonakalisa amalungu abalulekileyo omzimba wethu.
Oku kunokubangela umonakalo omkhulu kwizintso zakho, kwinkqubo yemithambo-luvo, emehlweni, nasentliziyweni . Ngoko ke, kubaluleke kakhulu ukuyinyamekela le meko.
Ndingazi njani ukuba iswekile yam egazini iphezulu?
Ukuba inqanaba leswekile egazini lakho lidlula i-200 mg/dL, usenokuba neempawu zeswekile ephezulu egazini (i-hyperglycemia). Ayinguye wonke umntu oza kuba nazo zonke ezi mpawu, kodwa ukuba unazo ezininzi, kufuneka ukhathazeke.
| Uphawu | Indlela oziva ngayo |
|---|---|
| Ukoma okugqithisileyo | Umlomo owomileyo ovakala ngathi awanelanga nokuba usela amanzi angakanani na. |
| Ukuchama rhoqo | Ukufuna ukuchama rhoqo kunesiqhelo. |
| Ukudinwa/ukudinwa okugqithisileyo | Ndiziva ndidiniwe kakhulu nangona ndilele kakuhle ndingenzi nto. |
| Umbono ofipheleyo | Izinto ebezikade zicacile ziya zifiphala, ngokungathi zisenkungwini . |
| Isicaphucaphu kunye nokudideka | Ukuziva unesicaphucaphu, udidekile, ungakwazi ukugxila. |
Wenza ntoni ukuba iswekile yakho inyuka ngequbuliso?
Ukuba uneempawu ezikhankanyiweyo apha ngasentla, ungoyiki kwaye qala ujonge inqanaba leswekile egazini lakho usebenzisa i-glucose meter. Ukuba liphezulu, ungalinciphisa kancinci inqanaba leswekile egazini lakho ngokwenza umthambo olula, njengokuhamba imizuzu eli-10-15 .
Kodwa kukho isilumkiso esibaluleke kakhulu apha.
Ukuba inqanaba leswekile egazini lakho liphezulu kakhulu, njenge-240 mg/dL, kufuneka ujonge umzimba wakho ukuba awunazo na ii-ketones ngaphambi kokuba uzilolonge. Ii-ketones luhlobo lwe-asidi eveliswa xa umzimba ungakwazi ukufumana amandla kwi-glucose kwaye utshisa amafutha ukuze ufumane amandla. Ukuba uzilolonga ngamanqanaba aphezulu ee-ketones egazini lakho, kunokubangela ukuba iswekile yegazi lakho inyuke ngakumbi, nto leyo ekhokelela kwimeko esongela ubomi ebizwa ngokuba yi-diabetesic ketoacidosis.
Ungajonga amanqanaba akho e-ketone ekhaya usebenzisa imicu yovavanyo lomchamo okanye ezinye iimitha zeglucose zanamhlanje. Ukuba ubona ii-ketones, musa ukuzilolonga nangasiphi na isizathu . Kuya kufuneka uthethe nogqirha wakho ngoko nangoko uze ufumane unyango olufunekayo.
Ngamanye amaxesha, ukuba amanqanaba akho eswekile awalawuleki kwaye uzive ungakhululekanga, ungathandabuzi ukuya kwiYunithi yoNyango oluNgxamisekileyo (ETU) yesibhedlele esikufutshane. Apho, uya kunikwa unyango olufunekayo, olufana ne-saline kunye ne-insulin, ukulawula imeko.
Ukuthintela njani ukunyuka kweswekile ngolu hlobo?
Bathi, “Ukuthintela kungcono kunokunyanga.” Ngoko ke kukho izinto ezininzi esinokuzenza ukuthintela ukunyuka rhoqo kweswekile. Makhe sithethe ngeendlela ezintathu eziphambili.
1. Sela amayeza akho ngokuchanekileyo, ngexesha elifanelekileyo.
Ukuba ugqirha wakho ukunike inaliti ye-insulin okanye iipilisi zeswekile ezifana ne-metformin, ungaze uzityeshele . Kubaluleke kakhulu ukuthatha idosi efanelekileyo ngexesha elifanelekileyo. Ngamanye amaxesha idosi yakho yamayeza inokufuneka itshintshwe. Ngoko ke ukuba iswekile yakho ihlala iphezulu, thetha nogqirha wakho ngayo kwaye ulungise kwakhona isicwangciso sakho sonyango.
2. Lumka ngokutya nokusela.
Le yeyona nto ibalulekileyo. Kukho ukutya okubangela ukunyuka ngequbuliso kweswekile egazini. Umzekelo, isonka, iziselo ezineswekile, kunye neekeyiki. Okunye ukutya (umz., iicrackers, irayisi yebran, kunye nemifuno) kubangela ukunyuka kancinci kweswekile egazini. Oku sikubiza ngokuba yiGlycemic Index (GI). Ukukhetha ukutya okune-GI ephantsi kunokunceda ukuthintela ukunyuka ngequbuliso kweswekile egazini. Buza ugqirha wakho okanye ingcali yesondlo kwisibhedlele sikarhulumente ngale nto.
3. Zilolonge yonke imihla
Ukuzilolonga ngumhlobo wakho osenyongweni xa kufikwa ekulawuleni isifo seswekile. Xa uzilolonga, kwenza kube lula ukuba izihlunu zakho zifunxe iglucose (iswekile) egazini lakho. Oku kuthetha ukuba amanqanaba eswekile egazini lakho alawulwa ngokwendalo. Ukuzilolonga kukwakunceda ukulawula ubunzima bakho kunye nokuphucula ukujikeleza kwegazi lakho. Zama ukwenza into efana nokuhamba ngokukhawuleza, ukukhwela ibhayisekile, okanye ukudada ubuncinane imizuzu engama-30 ngosuku. Kodwa khumbula, ngaphambi kokuba uqale inkqubo entsha yokuzilolonga, licebo elihle ukuthetha nogqirha wakho malunga nokuba zeziphi izilolonga ezifanelekileyo kuwe.
Umyalezo Wokuya Ekhaya
- Ukunyuka kwamanqanaba eswekile egazini emva kokutya yimeko eqhelekileyo ebonwa kubantu abanesifo seswekile.
- Oku kunokubangela umonakalo ohlala ixesha elide emehlweni akho, kwizintso, kwimithambo-luvo nakwintliziyo.
- Ukuba ufumana iimpawu ezinje ngokunxanwa kakhulu, ukudinwa kakhulu, kunye nokuchama rhoqo, oko kusenokuba luphawu lwamanqanaba aphezulu eswekile.
- Ukuba iswekile yakho egazini iphezulu kakhulu, ingaphezulu kwe-240 mg/dL, kuphephe ukuzilolonga ngaphandle kokujonga amanqanaba akho e-ketone. Kunokuba yingozi.
- Le meko ingalawulwa kakuhle ngokuthatha amayeza ngexesha, ukutya ukutya okuqaphela i-glycemic index, kunye nokuzilolonga yonke imihla.
- Ukuba unenkxalabo malunga nesifo sakho seswekile okanye isicwangciso sonyango, ungaze ungathandabuzi ukuthetha ngokukhululekileyo nogqirha wakho ngaso.
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