Nawe ugqirha ukhe wakunika uvavanyo lwegazi waza wakuxelela ukuba "ubuye kusasa ungatyanga okanye ungaseli nto kwaye unike igazi," akunjalo? Nangona oku kungabonakala ngathi kuyinkinga kwabanye, ukuzila ukutya kubaluleke kakhulu ukuze ufumane iziphumo ezichanekileyo kuvavanyo. Kunzima kancinci ukungaseli nekomityi yekofu okanye iti kusasa. Kodwa ngale minikelo incinci, ugqirha unokufumana umfanekiso ocacileyo wempilo yakho. Ngoko ke, masithethe ngayo yonke into ngokulula nangokucacileyo namhlanje.
Kuthetha ukuthini 'ukuzila' xa kusenziwa uvavanyo lwegazi?
Ngamafutshane, ukuzila ukutya ukuze kuhlolwe igazi kuthetha ukungatyi okanye ukusela nantoni na ngaphandle kwamanzi kangangeeyure ezisi-8 ukuya kwezili-12. Oku akubandakanyi ukutya kuphela, kodwa nasiphi na isiselo, esifana neti, ikofu, ubisi, okanye iziselo zeziqhamo.
Kukwakho nezinye izinto ezimbalwa ekufuneka uziphephe ukuzenza ngeli xesha.
- Igum yokuhlafuna
- Ukutshaya
- Ukuzilolonga
- Amanye amayeza kunye neevithamini (kufuneka uthethe nogqirha wakho ngale nto kwaye ufumane ingcebiso)
Kodwa khumbula, akukho nto imbi ngokusela amanzi. Enyanisweni, ukusela amanzi amaninzi kwenza kube lula kumntu othatha igazi lakho, njengoko kwenza kube lula ukufumana imithambo yakho.
Kutheni kubalulekile ukuzila ukutya ngale ndlela?
Cinga nje, izondlo ezikwizinto esizityayo nesiziselayo, umzekelo, iswekile namafutha, zifunxwa ngqo egazini lethu. Emva koko ezi zinto zinokuchaphazela iziphumo zovavanyo lwegazi.
Umzekelo, kwenzeka ntoni ukuba usela isiselo esineswekile ngaphambi kovavanyo lweswekile egazini lokuzila? Inqanaba leswekile yakho egazini liya kuboniswa kwingxelo liphezulu kakhulu kunokuba linjalo ngokwenene. Oku kuya kuthintela ugqirha ekufumaneni umfanekiso ochanekileyo wemeko yakho. Usenokufunyaniswa ngempazamo unesifo seswekile, nangona ungenaso.
Ngethuba uzila ukutya, ugqirha wakho unokufumana "isiphumo esisisiseko" emzimbeni wakho. Oku kuthetha ukuba ngaphandle kwempembelelo yangaphandle, umzimba wakho unokubona ukuba iswekile yegazi lakho kunye namanqanaba e-cholesterol aqhele ukuba njani.
Zeziphi iimvavanyo zegazi ekufuneka zenziwe ngelixa uzila ukutya?
Ayizizo zonke iimvavanyo zegazi ezifuna ukuzila ukutya. Ugqirha wakho uza kukuchazela oku ngokucacileyo. Le theyibhile ingezantsi idwelisa ezinye zezona vavanyo ziphambili ezidla ngokufuna ukuzila ukutya.
| Igama lovavanyo | Uvavanyo lujonge ntoni? |
|---|---|
| Uvavanyo lweGlucose yeGazi lokuzila ukutya | Ukuchonga nokujonga isifo seswekile. Amanqanaba eswekile egazini ayalinganiswa. |
| Iprofayili yeLipid | Ukujonga amanqanaba amafutha egazini, anjenge-cholesterol kunye ne-triglycerides. Amanqanaba aphezulu ala mafutha anyusa umngcipheko wesifo sentliziyo kunye nestroke. |
| Iphaneli yeMetabolic (esisiseko okanye ebanzi) | Amanqanaba eswekile emzimbeni, ii-electrolytes, ibhalansi yolwelo, kunye nokusebenza kwezintso kuyajongwa. Uvavanyo olupheleleyo lukwajonga nokusebenza kwesibindi. |
| Uvavanyo lweVitamin B12 | Ukulinganisa inqanaba levithamini B12 egazini. Oku kunceda ekuchongeni iintlobo ezithile ze-anemia. |
| Uvavanyo lwentsimbi | Ukwazi ukuba amanqanaba e-iron emzimbeni aphantsi okanye aphezulu. |
| I-Gamma-glutamyl transferase (GGT) | Ukulinganisa amanqanaba eeenzyme zeGGT. Ixabiso eliphezulu linokubonisa isifo sesibindi, iingxaki zenyongo, okanye ukusetyenziswa kotywala ngokugqithisileyo. |
| Iphaneli Yomsebenzi Wezintso | Ukujonga impilo yezintso. |
Uvavanyo olukhethekileyo lwesifo seswekile
Isifo seswekile sisifo esidla ngokufunyaniswa ngovavanyo lokuzila ukutya.
- Uvavanyo lweGlucose yeGazi lokuzila ukutya: Oku kuquka ukuzila ukutya iiyure ezisi-8 uze emva koko unikele ngegazi. Oku kudla ngokwenziwa kusasa. Ukuba inqanaba leswekile yakho liyi-126 mg/dL okanye ngaphezulu, luphawu lwesifo seswekile. Ukuba lingaphantsi kwe-100 mg/dL, linqanaba elisempilweni.
- Uvavanyo Lokunyamezela Iswekile Yomlomo (OGTT):Olu luvavanyo lokufumanisa isifo seswekile. Emva kokuba uzilile iiyure ezisi-8, kuthathwa isampuli yegazi. Emva koko unikwa isiselo esineswekile uze ulinde iiyure ezimbini. Emva kweeyure ezimbini, kuthathwa enye isampuli yegazi ize ivavanywe. Ukuba inqanaba leswekile liyi-200 mg/dL okanye ngaphezulu, kuyaqinisekiswa ukuba unesifo seswekile. Ukuba liphakathi kwe-140-199 mg/dL, yimeko ye-prediabetes.
- Uvavanyo lokungazili ukutya: Uvavanyo olufana novavanyo lweGlucose yeGazi oluNgacwangciswanga (olunokwenziwa nangaliphi na ixesha) kunye novavanyo lwe-A1c (olulinganisa amanqanaba eswekile egazini aphakathi kwiinyanga ezi-2-3 ezidlulileyo, ukuze ukutya kungachaphazeleki) alufuni kuzila ukutya.
Wenza ntoni ukuba ulibele ukuzila ukutya?
Sonke siyazenza iimpazamo. Ukuba ngempazamo utye into ethile okanye usele into ethile, ungakhathazeki. Eyona nto ibalulekileyo kukunyaniseka kwigosa elikuloo nyango kunye nogqirha wakho.
Musa ukuyifihla loo nto. Kuba ukuba uhlalutya iziphumo ngokusekelwe kulwazi olungachanekanga, ungafikelela kwisigqibo esingalunganga malunga nempilo yakho. Mhlawumbi ugqirha uza kukuxelela ukuba uze kuvavanywa ngenye imini. Leyo yeyona nto ichanekileyo nekhuselekileyo onokuyenza.
Ukuzila kwakho ukutya kuphelile xa uvavanyo lugqityiwe. Ngoko ke, licebo elihle ukuzisa ukutya okuncinci (njengebhisikithi) kunye nento yokusela elabhoratri ukuze ukwazi ukutya kwaye ufumane amandla emva nje kokunikela ngegazi lakho.
Iimeko ezikhethekileyo kunye neengozi
Ngexesha lokukhulelwa
Ezinye iimvavanyo zegazi zifuna ukuzila ukutya ngexesha lokukhulelwa, ingakumbi kwisifo seswekile sokukhulelwa. Oku kudla ngokukhuselekile, kodwa ukuba unemibuzo okanye unenkxalabo malunga noku, qiniseka ukuba uthetha nogqirha wakho.
Iingozi zokuzila ukutya
Nangona ukuzila ukutya kukhuselekile ngokubanzi, abanye abantu banokufumana iziphumo ebezingalindelekanga ezincinci. Ingakumbi kubantu abanesifo seswekile, ukuzila ukutya kunokubangela iswekile ephantsi egazini (i-hypoglycemia) enokubangela isiyezi, ukudinwa, kunye nokulahlekelwa zingqondo. Ukuba unesifo seswekile, gcina iswiti, ijusi, okanye ithebhulethi yeglucose nawe xa usiya kuvavanyo. Yithathe kwangoko emva kokuba uvavanyo luphelile.
Okubaluleke kakhulu: Ukuba usela amayeza esifo seswekile, buza ugqirha wakho ngosuku olungaphambi kovavanyo, "Ndifanele ndisele amayeza am ngaphambi kovavanyo okanye ndingawasebenzisi?" uze ulandele imiyalelo yakhe ngokuchanekileyo.
Umyalezo Wokuya Ekhaya
- Landela imiyalelo kagqirha wakho ngokuchanekileyo. Ukuba awuqinisekanga malunga nokuba kufuneka uzile ukutya ixesha elingakanani okanye kufuneka uzile ixesha elingakanani, cela kwakhona ukuqinisekisa.
- Ukuzila ukutya kuthetha ukungatyi okanye ukusela nantoni na ngaphandle kwamanzi kangangeeyure ezisi-8-12.
- Ungasela amanzi acocekileyo amaninzi. Oku kwenza kube lula ukutsala igazi.
- Ukuba ngempazamo utye okanye usele into ethile, ungabi neentloni okanye woyike ukuxelela ugqirha okanye abasebenzi belebhu.
- Thabatha ukutya okulula kunye nesiselo emva kokuba ugqibile ukunikela ngegazi.
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