Ukuba uneDiabetes Mellitus, into enye ugqirha wakho ahlala ekuxelela yona kukuba 'ujonge iswekile yakho egazini'. Kutheni ibaluleke kangaka? Uyenza njani ngokuchanekileyo? Ngamanye amaxesha xa ucinga ngale nto, imibuzo emininzi ifika engqondweni, akunjalo? Ungakhathazeki, siza kuthetha ngayo yonke le nto ngokulula nangokucacileyo namhlanje.
Kutheni ufanele ujonge iswekile yakho yegazi rhoqo?
Ngamafutshane, ukwazi amanqanaba eswekile egazini lakho kufana nokujonga imiqondiso yendlela ngelixa uqhuba. Kukubonisa wena nogqirha wakho indlela efanelekileyo eninokuyithatha ukulawula isifo seswekile.
Ngokulawula ngokufanelekileyo amanqanaba eswekile egazini lakho, ungaphepha iingxaki ezininzi zempilo ezinzulu ezinokuvela kwixesha elizayo ngenxa yesifo seswekile. Cinga ngezinto ezifana nezi:
- Isifo sentliziyo
- Istroke
- Igazi elonyukayo
- I-cholesterol ephezulu
- Ubumfama
- Isifo sezintso
- Iingxaki zolusu
Uphando luye lwabonisa nokuba kwisifo seswekile sohlobo 1 nohlobo 2, ukugcina amanqanaba eswekile egazini kunye namanqanaba e-HbA1c kumanqanaba ekujoliswe kuwo kunokunciphisa kakhulu umngcipheko wezi ngxaki.
Ziziphi iindlela zokuvavanya iswekile egazini?
Kukho iindlela ezahlukeneyo zokulinganisa amanqanaba eswekile egazini. Masijonge nganye nganye ngokulandelana.
1. Uvavanyo lwasekhaya
Iiglukometha
Lo matshini mncinci, ophathwayo osetyenziswa ngabantu abaninzi. Ungalinganisa inqanaba leswekile yakho ngethontsi legazi lakho.
- Uvavanyo lweminwe: Oku kuquka ukuhlaba umnwe wakho ngenaliti encinci, ebukhali (i-lancet) uze ubeke ithontsi legazi kumcu wovavanyo. Emva koko umcu ufakwa kwi-glucometer, ekunika umlinganiselo kwimizuzwana eli-15. Iimitha ezintsha zinokugcina ezi ziphumo kwaye zibonise igrafu yamanqanaba eswekile egazini lakho aqhelekileyo ngokuhamba kwexesha.
- Uvavanyo oluvela kwezinye iindawo: Ezinye iiglucometers ezintsha zikuvumela ukuba uvavanye kwezinye iindawo ngaphandle kwencam yomunwe wakho, njengengalo yakho engentla, ingalo, isiseko sobhontsi wakho, kunye nethanga. Kodwa khumbula, uvavanyo lwencam yomunwe lolona luchanekileyo , ingakumbi xa amanqanaba eswekile egazini lakho etshintsha ngokukhawuleza. Umzekelo, kungcono uvavanye incam yomunwe wakho emva kokutya, ukuzilolonga, okanye ukuba uneempawu ze-hypoglycemia.
Iinkqubo zokubeka iliso kwiGlucose rhoqo (CGM)
Ezi zizixhobo eziphucuke kancinci. Ngamanye amaxesha ziza neempompo ze-insulin. Oku kuyenza le nto kukuba, isoloko ijonga amanqanaba eswekile egazini lakho imini yonke. Kufana nefilimu yeeyure ezingama-24 yamanqanaba eswekile egazini lakho. Oku kukuvumela ukuba ubone iipateni kunye neendlela ezisetyenziswayo kumanqanaba eswekile egazini lakho ngokuhamba kwexesha.
Uvavanyo lwe-HbA1c ekhaya
I-HbA1c luvavanyo nje olunika umbono wenqanaba leswekile egazini lakho eliphakathi kwiinyanga ezi-2-3 ezidlulileyo . Kukho izixhobo zasekhaya ezifumanekayo ezifuna uvavanyo lokuhlaba ngomnwe. Nangona kunjalo, ezi azichanekanga njengeemvavanyo zelebhu. Nangona kunjalo, kwabo bangakwaziyo ukuya kugqirha, oku kunokuba sisixhobo esiluncedo sokufumana umbono ocacileyo wemeko yakho.
2. Uvavanyo lweLebhu
Ugqirha wakho angakuthumela kwezi mvavanyo.
- Uvavanyo lweShukela egazini lokuzila ukutya: Kolu vavanyo, akufuneki utye okanye usele nantoni na kangangeeyure ezisi-8-12. Ilebhu ithatha igazi elincinci elivela kwincam yomunwe wakho okanye kumthambo osengalweni yakho. Umntu ophilileyo kufuneka abe nomlinganiselo ongaphantsi kwe-99 mg/dL. Nantoni na engaphezulu koko inokuba luphawu lwe-prediabetes okanye isifo seswekile.
- Uvavanyo Lokunyamezela Iswekile Yomlomo: Olu vavanyo luvavanya indlela umzimba wakho osabela ngayo kwiswekile. Ugqirha wakho uza kukunika isiselo esineswekile esineegram ezingama-75 zeswekile. Emva koko, inqanaba leswekile yakho egazini liya kulinganiswa emva kweyure enye neeyure ezimbini. Inqanaba elisempilweni lingaphantsi kwe-140 mg/dL emva kweeyure ezimbini.
- Uvavanyo lwe-HbA1c: Lufana novavanyo lwasekhaya, kodwa olu lwenziwa kwilebhu, kusetyenziswa isampuli yegazi elivela kumthambo, ngoko ke luchaneke ngakumbi . Oogqirha badla ngokucebisa olu vavanyo ukuze babone ukuba isifo sakho seswekile silawulwa kakuhle kangakanani.
Ngowuphi umhla ekufuneka uwuhlole iswekile yakho egazini?
Oku kuyahluka ngokwenene kumntu nomntu. Ngokubanzi,
- Ngokukhawuleza nje xa uvuka kusasa
- Ngaphambi kokutya okuphambili
- Iiyure ezi-1-2 emva kokutya okuphambili
- Ngaphambi nasemva kokuzilolonga
- Ngaphambi kokuba ulale
- Ngaphambi kokuba uqhube imoto
- Xa uziva ngathi uneswekile ephantsi egazini (hypoglycemia)
Kucetyiswa ukuba ujonge kwiimeko ezinjalo.
Kodwa, nantsi into ebalulekileyo: Kufuneka uthethe nogqirha wakho malunga namaxesha akulungeleyo kunye nokuba kufuneka uhlole kangaphi ngosuku. Ukuba uyagula, kunokufuneka uhlole rhoqo kunesiqhelo.
Izinto ezinokuchaphazela iziphumo zovavanyo
Ngamanye amaxesha amanqanaba eswekile egazini lakho anokutshintsha ngenxa yezinto ezahlukeneyo.
- Imozulu:Ubushushu okanye ukufuma okugqithisileyo.
- Ukuphakama: Ukuba kwindawo ephakamileyo kakhulu ngaphezu kolwandle.
- Ukuphelelwa ngamanzi emzimbeni: Ukungabikho kwamanzi emzimbeni.
- Ukutya: Iintlobo kunye nobungakanani bokutya okutyayo.
- Uxinzelelo: Izinto ezifana noviwo, ingxaki emsebenzini.
- Isifo: Naluphi na usulelo, olufana nomkhuhlane okanye umkhuhlane.
- Amanye amayeza: Amanye amayeza owasebenzisayo.
- Ukulala: Ukungalali ngokwaneleyo.
Ukuba iziphumo zakho ziyaqhubeka zingaqhelekanga, jonga i-glucometer yakho kunye nemicu yovavanyo.
Ukuqonda Amanani: Amanqanaba e-HbA1c kunye neShukela egazini
Kukho ulwalamano phakathi kwexabiso eliqhelekileyo eliboniswe kwi-glucometer yakho kunye nexabiso le-HbA1c elilinganiswe kwilebhu. I-HbA1c sisilinganiselo esibaluleke kakhulu ekulawuleni isifo seswekile. Le theyibhile ingakunika umbono olungileyo ngayo.
| Inqanaba eliqhelekileyo leswekile egazini (mg/dL) | Ixabiso le-HbA1c elihambelanayo (%) |
|---|---|
| 126 | 6% |
| 154 | 7% |
| 183 | 8% |
| 212 | 9% |
| 240 | 10% |
| 269 | 11% |
| 298 | 12% |
Ndifanele ndimtsalele umnxeba nini ugqirha?
Into yokuqala omawuyenze kukubuza ugqirha wakho ukuba loluphi uluhlu lweswekile egazini olujolise kulo. Kwakhona, yenza isicwangciso esicacileyo sokuba wenze ntoni kwaye ubize nini ukuba amanqanaba eswekile egazini lakho aphakama kakhulu okanye aphantsi kakhulu. Funda iimpawu zeswekile ephezulu nesezantsi egazini. Qaphela ukuba wenze ntoni ukuba ufumana naziphi na iimpawu ngaphandle kokukhathazeka.
Indlela yokujonga iswekile yegazi ngokuchanekileyo ekhaya
Ukuze ufumane iziphumo ezichanekileyo, lumka ngala manqaku.
- Sebenzisa isixhobo ngokwemiyalelo kagqirha wakho.
- Sebenzisa kuphela imicu yokuvavanya ehambelana neglucometer yakho.
- Sebenzisa imicu yovavanyo ngokuchanekileyo, ngaphambi kokuba iphelelwe lixesha.
- Ngaphambi kokuvavanya , hlamba izandla zakho kakuhle ngesepha uze uzomise.
- Soloko ugcina isixhobo sakho sicocekile.
- Nanini na xa usiya kugqirha, thatha i-glucometer yakho ukuze ujonge ukuba isebenza kakuhle na.
Umyalezo Wokuya Ekhaya
- Esinye sezona zixhobo zibalulekileyo zokulawula isifo seswekile nokuthintela iingxaki ezizayo kukuvavanya iswekile yegazi rhoqo.
- Funda indlela yokusebenzisa i-glucometer yasekhaya ngokuchanekileyo. Hlamba kwaye womise izandla zakho kakuhle ngaphambi kokuba uvavanye.
- Xoxa nogqirha wakho ukuba lithini inqanaba leswekile egazini lakho (uluhlu olujoliswe kulo) kunye nokuba kufuneka uvavanye kangaphi ngemini.
- Ukubhala phantsi amanqanaba eswekile egazini lakho, ukutya, kunye nemisebenzi oyenzayo kunokuba luncedo kakhulu kuwe nakugqirha wakho ekuqondeni imeko yakho.
- Ukuba amanqanaba akho eswekile aqhubeka engekho kwinqanaba elimiselweyo okanye ufumana iimpawu ezingaqhelekanga, qhagamshelana nogqirha wakho ngoko nangoko.
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