Ngaba ngequbuliso uziva uqhaqhazela? Ubila, uziva unesizungu, kwaye ulambile kakhulu? Ezi zinokuba ziimpawu zokuba iswekile yakho egazini iphantsi kunempilo. Ngokwezonyango, le meko siyibiza ngokuba yi-hypoglycemia . Oku kuqhelekile kakhulu kubantu abanesifo seswekile. Kodwa ngamanye amaxesha kunokwenzeka nakubantu abangenaso isifo seswekile. Ngoko ke, musa ukoyika. Masithethe ngale nto ngokulula nangokucacileyo.
Ngamafutshane, yintoni i-hypoglycemia?
I-Hypoglycemia kuxa ubungakanani beglucose, okanye iswekile njengoko siqhele ukuyibiza, egazini lakho buhla ngaphantsi kwenqanaba elifunekayo emzimbeni.
- Kubantu abaninzi abanesifo seswekile, inqanaba leswekile egazini elingaphantsi kwe-70 mg/dL (ii-milligrams nge-deciliter) okanye i-3.9 mmol/L (ii-millimoles ngelitha) lithathwa njenge-hypoglycemia.
- Kumntu ongenayo isifo seswekile, i-hypoglycemia idla ngokuchazwa njengenqanaba leswekile egazini elingaphantsi kwama-55 mg/dL (3.1 mmol/L).
Xa le meko isenzeka, kufuneka inyangwe ngoko nangoko ngokutya okanye ukusela into eneswekile okanye iicarbohydrate. Ngamanye amaxesha oku kunokukhokelela kwimeko enzima (i-hypoglycemia enzima). Ukuba oku kuyenzeka, kunokuba yingozi ebomini kwaye kufuna unyango olukhawulezileyo.
Kutheni i-glucose ibaluleke kangaka emizimbeni yethu?
Imizimba yethu ifumana iswekile (iswekile) kwiicarbohydrate esizityayo. Lo ngumthombo ophambili wamandla emizimbeni yethu. Kufana nepetroli emotweni. Ngokukodwa, iswekile ibalulekile ukuze ingqondo yethu isebenze. Ingqondo ifuna ukunikezelwa kweswekile rhoqo.
Ukuba awunaso isifo seswekile, imizimba yethu igcina amanqanaba eswekile egazini ngaphakathi koluhlu oluthile ngokusebenzisa iinkqubo ezahlukeneyo zendalo. Eyona hormone iphambili enceda koku yi -insulin, eveliswa yipancreas. Ihomoni ebizwa ngokuba yiglucagon nayo ibalulekile koku.
Nangona kunjalo, kubantu abanesifo seswekile, le nkqubo ayisebenzi kakuhle. Ngenxa yoko, kufuneka balawule amanqanaba eswekile egazini labo ngokusebenzisa amayeza (umzekelo, i-insulin injections) kunye nokutshintsha indlela yokuphila. Isizathu esiphambili sokuba iswekile yegazi iphantsi kukunyuka kwamanqanaba e-insulin emzimbeni.
Zithini iimpawu zeswekile ephantsi egazini?
Iimpawu ze-hypoglycemia zinokuqala ngequbuliso. Kwaye zinokuhluka kumntu nomntu. Nangona ezi mpawu zinokuba zingathandeki kancinci, zisisilumkiso esihle esisixelela ukuba, "Iswekile yakho iphantsi, yenza into ngokukhawuleza."
| Iimpawu eziSiseko/eziJikelele | Iimpawu ezinzulu (zifuna unyango olukhawulezileyo) |
|---|---|
|
|
Iimpawu eziqatha zibeka ubomi esichengeni. Unyango olukhawulezileyo lubalulekile kwiimeko ezinjalo. Ukuba alunyangwa, i-coma okanye ukufa kunokwenzeka.
Iswekile ephantsi egazini xa ulele (i-Nocturnal Hypoglycemia)
Ngamanye amaxesha, amanqanaba eswekile egazini anokwehla nangona silele. Nazi ezinye zeempawu:
- Ukulwa nokulala
- Ukubila kakhulu kangangokuba amashiti amanzi
- Ukukhwaza ebuthongweni bakho
- Amaphupha amabi
- Ndiziva ndidiniwe kakhulu kwaye ndididekile xa ndivuka kusasa
Ngaba iswekile egazini inokwehla ngaphandle kokubonisa iimpawu? (Ukungazi ngeHypoglycemia)
Ewe, le yimeko eyingozi kancinci. Kwabanye abantu, ingakumbi abantu abanesifo seswekile abanesifo seswekile esiphantsi rhoqo, ngokuhamba kwexesha, amanqanaba eswekile egazini anokwehla ngaphandle kokubonisa zimpawu. Umzimba uyaqhela amanqanaba eswekile egazini aphantsi kwaye uyeke ukunika imiqondiso yesilumkiso. Oku kubizwa ngokuba yi-hypoglycemia awareness .
Abantu abanale meko banamathuba amaninzi okugula kakhulu ngequbuliso. Ukuba oku kuyenzeka kuwe, kubaluleke kakhulu ukuxelela usapho lwakho kunye nabahlobo bakho ngale nto. Ukuze bakwazi ukukunceda xa kukho imeko engxamisekileyo. Kwakhona,
- Ukusebenzisa isixhobo esilinganisa amanqanaba eglucose rhoqo (Continuous Glucose Monitoring - CGM) kunokukunceda wazi xa iswekile yakho yegazi iphantsi.
- Kukwangumbono olungileyo ukujonga iswekile yakho yegazi izihlandlo ezininzi ngemini usebenzisa iglucometer eqhelekileyo.
Zithini izizathu zokuba iswekile yegazi iphantsi?
Izizathu zingahlulwahlulwa zibe ngamaqela amabini: abo banesifo seswekile kunye nabo bangenaso isifo seswekile.
Izizathu zokuba umntu onesifo seswekile abe neswekile ephantsi egazini
Oku kwenzeka xa kukho ukungalingani phakathi kokutya, umthambo, kunye namayeza esifo seswekile.
- Ukugqithisa i-insulin: Ukujova i-insulin engaphezulu kunokuba kuyimfuneko.
- Iimpazamo ngexesha lokusebenzisa amayeza kunye nexesha lokutya: Ukusela i-insulin nokungatyi ixesha elide.
- Ukusela iipilisi zeswekile ezingafanelekanga: Ukusela iipilisi zeswekile ezininzi kakhulu (umz. i-sulfonylureas) kunokubangela ukuba iswekile yegazi ibe sezantsi.
- Ukuzilolonga ngaphezu kwesiqhelo: Ukuzilolonga kakhulu ungatyi ngokwaneleyo ukuze ubuyisele umzimba wakho kwimeko efanelekileyo.
- Ukusela utywala esiswini esingenanto: Ukusela utywala ungatyanga.
- Ukutsiba ukutya: Ukungatyi ngexesha.
Kutheni umntu ongenaso isifo seswekile eneswekile ephantsi egazini?
Oku kunqabile kancinci. Kukho iintlobo ezimbini eziphambili.
1. I-Reactive Hypoglycemia: Oku kwenzeka emva kweeyure ezimbini ukuya kwezine emva kokutya . Ingakumbi xa utya ukutya okune-carbohydrates ezininzi ezifana nerayisi, isonka, kunye neetapile, umzimba ngequbuliso uvelisa i-insulin engaphezulu, nto leyo ehlisa amanqanaba eswekile egazini lakho.
2. Iswekile ephantsi egazini xa uzila ukutya (Ukuzila iHypoglycemia): Oku kunokubangelwa zizinto ezahlukeneyo.
- Ukusetyenziswa kotywala ngokugqithisileyo: Ukusela utywala obuninzi ngaphandle kokutya ngokufanelekileyo kangangeentsuku ezininzi.
- Izifo ezinzulu: Iimeko ezinje ngokungasebenzi kakuhle kwesibindi okanye izintso.
- Iingxaki zehomoni: Iimeko ezinje ngokungasebenzi kakuhle kwe-adrenal.
- Iithumba: Iithumba ezingaqhelekanga kwi-pancreas, ezifana ne-insulinoma, zibangela imveliso engaphezulu kwe-insulin.
Ukuba unale mpawu ungenaso isifo seswekile, ngokuqinisekileyo kuya kufuneka ubone ugqirha ukuze ufumane unobangela.
Yintoni omawuyenze xa iswekile iphantsi? Iindlela zonyango
Eyona nto siyenzayo apha kukubonelela umzimba ngeswekile (iicarbohydrate) ngokukhawuleza.
Kwiimeko eziqhelekileyo, "uMthetho we-15-15"
Le yindlela elula kakhulu, elula ukuyikhumbula.
1. Inyathelo 1: Yitya okanye usele iigram ezili-15 zeecarbohydrate ezisebenza ngokukhawuleza .
2. Inyathelo lesi-2: Linda imizuzu eli-15 .
3. Inyathelo lesi-3: Linganisa kwakhona inqanaba leswekile egazini lakho ngeglucometer yakho.
4. Inyathelo lesi-4: Ukuba inqanaba leswekile lisengaphantsi kwe-70 mg/dL, phinda amanyathelo 1, 2, 3.Yenza oku de amanqanaba akho eswekile abuyele esiqhelweni.
Zeziphi ukutya eziqulethe iigram ezili-15 zeecarbohydrate?
- Iipilisi zeglucose ezi-3-4
- Isiqingatha seglasi (1/2 indebe) yejusi yeziqhamo emuncu okanye isiselo esithambileyo
- Icephe leswekile, ubusi, okanye isiraphu yemaple
- Isiqingatha sebhanana encinci
Unyango kwiimeko ezinzima (iHypoglycemia Eqatha)
Ukuba umntu uneswekile ephantsi egazini kwaye udidekile, akakwazi ukuthetha, okanye akazi nto , ungaze umnike ukutya okanye isezo ngomlomo! Ukwenza njalo kunokubangela ukuba alale kwindawo yomoya.
1. Inaliti yeGlucagon: Kubantu abanesifo seswekile, ugqirha wakho usenokuba ubhale inaliti yeglucagon kwiimeko ezingxamisekileyo. Qinisekisa ukuba usapho lwakho luyayazi indlela yokuyisebenzisa.
2. Yiya esibhedlele ngoko nangoko!: Ukuba awunayo i-glucagon okanye awazi ukuba uyisebenzisa njani, fowunela inkonzo ye-ambulensi ka-1990 ngoko nangoko okanye umse loo mntu kwiYunithi yoNyango oluNgxamisekileyo (ETU) yesibhedlele esikufutshane.
3. Jikela isigulane ecaleni: Isigulane sinokuhlanza emva kokuba sibuyele ezingqondweni. Ngoko ke, jika isigulane siye ecaleni ukuze singabi namdla.
Yintoni enokwenziwa ukuthintela le meko?
Kunokuba nzima kumntu onesifo seswekile ukuthintela ngokupheleleyo oku, kodwa kunokwenzeka ukunciphisa ukwenzeka kwesi sifo.
- Landela icebiso lezonyango: Sela amayeza achazwe ngugqirha wakho ngokuchanekileyo nangexesha elifanelekileyo.
- Lumka malunga nokutya kunye nokuzilolonga: Musa ukutsiba ukutya. Ukuba uqhelisela umzimba, thetha nogqirha wakho ngaloo nto kwaye wenze utshintsho kwindlela otya ngayo ukuba kuyimfuneko.
- Jonga amanqanaba eswekile egazini lakho rhoqo: Kubaluleke kakhulu ukujonga amanqanaba eswekile egazini lakho ngaphambi nasemva kokutya, ngaphambi nasemva kokuzilolonga, nangaphambi kokulala.
- Gcina ingxelo: Ngalo lonke ixesha uneswekile ephantsi egazini, bhala phantsi ixesha, inqanaba leswekile yakho egazini, into obuyitya ngaphambili, kunye nokuba ubuzilolonga na. Oku kuya kunceda ugqirha wakho ukuba akwenzele isicwangciso sonyango.
Eyona nto ibalulekileyo kukunika ingqalelo emzimbeni wakho. Yenza ngokukhawuleza xa uziva iimpawu zokuqala zeswekile ephantsi egazini.
Umyalezo Wokuya Ekhaya
- I-Hypoglycemia yimeko apho amanqanaba eswekile egazini ehla kakhulu. Oku kunokuba yingozi ukuba akunyangwa.
- Lumkela iimpawu ezifana nokungcangcazela, ukubila, ukudideka, kunye nendlala enkulu.
- Soloko ugcina into ethile kuwe, njengeepilisi zeglucose, ipakethi yeswekile, okanye ibhokisi encinci yejusi yeziqhamo.
- Kwiimeko eziqhelekileyo, sebenzisa "umthetho we-15-15": thatha iigram ezili-15 zeglucose, linda imizuzu eli-15, uze ujonge iswekile yakho yegazi kwakhona.
- Ukuba umntu akakho zingqondweni, musa ukumnika nantoni na ngomlomo. Fowunela i-ambulensi ngoko nangoko okanye umse kwiSebe lezeMpilo eziNgxamisekileyo (ETU) elikufutshane.
- Ukuba uhlala ufumana iswekile ephantsi egazini okanye uneempawu zeswekile ephantsi egazini ngaphandle kwesifo seswekile, qiniseka ukuba ubona ugqirha wakho.











💬 Comments (0)
Akukho zimvo zithunyelweyo okwangoku. Faka uluvo lwakho apha okokuqala.
Faka uluvo lwakho