Ngaba ngamanye amaxesha uziva udiniwe, uqhaqhazela, ubila, kwaye unesiyezi ngaxeshanye? Usenokuziva uxhalabile kwaye ulambile. Ezi zidla ngokuba ziimpawu eziphambili zeswekile ephantsi egazini, okanye oko sikubiza ngokuba yi-hypoglycemia ngokwezonyango. Oku kuqheleke kakhulu kubantu abanesifo seswekile, kodwa kunokwenzeka nakubantu abangenaso isifo seswekile. Makhe sithethe ngale nto ngokulula namhlanje.
Yintoni i-hypoglycemia?
Ngamafutshane, i-hypoglycemia iyenzeka xa amanqanaba eswekile egazini lakho, okanye i-glucose, ehla ngaphantsi kwenqanaba elifunekayo. Le glucose yeyona fuel iphambili enika amandla emizimbeni yethu, njengepetroli yemoto.
Le meko idla ngokuvela kubantu abanesifo seswekile ngenxa yotshintsho kumayeza, ukutya, okanye umthambo. Kodwa inokwenzeka nakubantu abangenaso isifo seswekile. Ingenzeka ngeendlela ezimbini eziphambili:
- I-hypoglycemia ebangelwa kukusabela komzimba: Oku kwenzeka emva kweeyure ezimbalwa emva kokutya.
- Ukuzila ukutya okubangela i-hypoglycemia: Oku kwenzeka xa ungatyanga ixesha elide. Kunokunxulunyaniswa namayeza athile okanye ezinye iimeko zonyango.
Umahluko phakathi kwe-hypoglycemia kunye ne-hyperglycemia
Nangona la magama mabini evakala efana, intsingiselo yawo yahlukile ngokupheleleyo.
| Imeko | Intsingiselo |
|---|---|
| I-Hypoglycemia | "Hypo" ithetha 'ukwehla'. Ithetha iswekile ephantsi egazini. |
| I-Hyperglycemia | "I-Hyper" ithetha 'ukuphakama'. Ithetha iswekile ephezulu egazini. |
Iswekile incitshiswa kangakanani?
Amanqanaba eswekile egazini alinganiswa ngeemiligrama ngedesilitha nganye (mg/dL). Ngokwesiqhelo, amanqanaba eswekile yomntu ophilileyo akwinqanaba elithile. Nangona kunjalo, ukuba amanqanaba eswekile egazini lakho ehla ngaphantsi kwe-70 mg/dL, kuthathwa njenge-hypoglycemia.
Ukuba oku kuhla ngaphantsi kwe-54 mg/dL,Uxinzelelo oluphezulu lwegazi oluphezulu (hypoglycemia). Usenokuquleka ngeli xesha. Usenokufuna omnye umntu ukuba akunike into efana ne-glucagon njengonyango olungxamisekileyo.
Kutheni iswekile yam egazini yehla ngolu hlobo?
Xa sisitya, ingakumbi xa sitya ukutya okuqulethe iicarbohydrate ezifana nesonka nerayisi, ijika ibe yiglucose emzimbeni wethu ize yongezwe egazini. Kukho umntu onceda iiseli emzimbeni ukuba zisebenzise le glucose njengamandla. Leyo yihormone ebizwa ngokuba yi-insulin . I-insulin yiyo ethatha iglucose egazini ize iyithumele kwiiseli.
Xa amanqanaba eswekile egazini eqala ukwehla, njengaphakathi kokutya, kukhutshwa enye i-hormone. Ibizwa ngokuba yi-glucagon . Iguqula i-glucose egcinwe kwisibindi nakwimisipha yethu (ebizwa ngokuba yi-glycogen) ibuyele kwi-glucose ize iyikhuphe egazini. Le yindlela esigcina ngayo amanqanaba eswekile egazini lethu ezinzile nokuba asityi.
Khawucinge nje, ukuba kukho into engahambi kakuhle kule nkqubo, inqanaba leswekile egazini lakho linokuhla ngequbuliso. Yiyo loo nto i-hypoglycemia ibangelwa kukunganyamezelani kokutya.
Izizathu zokuba abantu abangenaso isifo seswekile babe neswekile ephantsi egazini
Nangona le meko idla ngokunxulunyaniswa nesifo seswekile, inokwenzeka nakubantu abangenaso isifo seswekile. Zininzi izizathu ezibangela oku.
- Amayeza athile: Amanye amayeza, afana ne-quinine, esetyenziselwa i-malaria, anokubangela iswekile ephantsi egazini. Oku kunokwenzeka naxa ngempazamo uthatha amayeza eswekile yomnye umntu.
- Ezinye iimeko zempilo: Iimeko ezifana nesifo sesibindi esinzima (i-hepatitis enzima, i-cirrhosis), ukungasebenzi kakuhle kwezintso, usulelo olunzima, kunye nesifo sentliziyo zinokuchaphazela amanqanaba eswekile egazini.
- Ukungondleki: Iimeko ezifana ne-anorexia zinokubangela ukuba i-glycogen egciniweyo emzimbeni iphele kwaye iswekile egazini yehle.
- Ukusela utywala kakhulu: Xa usela utywala obuninzi ungatyanga, isibindi asikwazi ukuvelisa i-glucose kwi-glycogen. Oku kubangela ukuba amanqanaba eswekile egazini ehle.
- Eminye imihlaza: Eminye imihlaza yepancreas ibangela ukuba umzimba uvelise i-insulin eninzi kakhulu, nto leyo ebangela ukuba iswekile egazini ingene ngokukhawuleza kwiiseli, nto leyo ebangela ukuba amanqanaba eswekile egazini abe phantsi.
- Iingxaki zehomoni: Ezinye izifo ze-adrenal glands kunye ne-pituitary glands zinokuchaphazela iihomoni ezifana ne-insulin kunye ne-glucagon.
Izizathu zokuba abantu abanesifo seswekile babe neswekile ephantsi egazini
Ukuba unesifo seswekile, umzimba wakho unengxaki yokwenza okanye ukusebenzisa i-insulin. Oku kunyangwa ngeenaliti ze-insulin okanye amanye amayeza. Kodwa ukuba uthatha amayeza akho amaninzi , uyeka ukutya, okanye uzilolonga ngaphezu kwesiqhelo , unokuba sengozini enkulu yokuba nesifo seswekile.Amanqanaba eswekile egazini anokwehla ngequbuliso.
Eyona nto ibalulekileyo kukugcina ulungelelwano olufanelekileyo phakathi kokutya kwakho, ukuzilolonga, kunye namayeza ukuba uthatha amayeza esifo seswekile. Thetha nogqirha wakho ngale nto uze ufumane ukuqonda okufanelekileyo.
Zithini iimpawu zoku?
Xa inqanaba leswekile emzimbeni lihla, umntu ngamnye unokufumana iimpawu ezahlukeneyo. Ezi mpawu ziyahluka ngokuxhomekeke kwinqanaba leswekile elihla ngalo.
| Uhlobo oluneempawu | Iimpawu ezibonisa |
|---|---|
| Iimpawu ezisisiseko/ezithambileyo |
|
| Xa imeko imbi kakhulu (Inzima kakhulu) |
Ukuba iswekile yakho egazini iyehla ebusuku (nocturnal hypoglycemia) , unokufumana iimpawu ezinjengokukhala xa ulele, amaphupha amabi, nokuvuka umanzi kukubila.
Ukungazi ngeHypoglycemia
Le yimeko eyingozi kancinci. Kwabanye abantu, ingakumbi abo bebenesifo seswekile iminyaka engaphezu kwemi-5-10, xa amanqanaba eswekile egazini labo ehla rhoqo, imizimba yabo iyaqhelana nayo. Emva koko, imizimba yabo iyayeka ukunika imiqondiso yokulumkisa efana nokungcangcazela kunye nendlala xa amanqanaba eswekile egazini labo ehla. Oku kubabeka emngciphekweni omkhulu wokufumana imeko enzulu kuba abaqondi ukuba iswekile egazini labo iphantsi.
Kungoko ke, kubaluleke kakhulu kubantu abanesifo seswekile ukuba bajonge rhoqo amanqanaba eswekile yabo.Ngenxa yoku, ngoku kukho izixhobo ezifana neeglucometer, ezithatha ithontsi legazi emnweni zize zilivavanye, kunye ne-'Continuous Glucose Monitor (CGM)' efakwa phantsi kwesikhumba kwaye ihlale ijonga amanqanaba eswekile.
Yintoni omawuyenze ukuba iswekile yakho egazini yehla ngequbuliso?
Kwangoko nje xa uqala ukuziva iimpawu zeswekile ephantsi egazini, kufuneka wenze ngokukhawuleza.
1. Okokuqala, yitya into emnandi: Yitya okanye usele into eza kunyusa iswekile yakho egazini ngokukhawuleza. Iigram ezili-15-20 zeecarbohydrate zanele oku.
- Iipilisi zeglucose ezi-3-4
- Isiqingatha seglasi yesiselo esiswiti (njenge-cola, kungekhona i-diet)
- Isiqingatha seglasi yejusi yeziqhamo
- Icephe leswekile okanye ubusi
- Ezinye izinto ezimnandi ezifana neembotyi zejeli kunye netofi
Kubalulekile: Musa ukutya ukutya okunamafutha amaninzi okanye ifayibha, njengetshokholethi neembotyi, ngeli xesha, kuba kuyalibazisa ukufunxwa kweswekile emzimbeni.
2. Linda imizuzu eli-15: Emva kokutya into emnandi, linda ngomonde imizuzu eli-15.
3. Jonga iswekile yakho yegazi kwakhona: Ukuba unako, jonga iswekile yakho yegazi kwakhona. Ukuba isengaphantsi kwe-70 mg/dL, okanye ukuba usenengxaki, phinda inyathelo loku-1 kwakhona.
4. Ukuba imeko ayiphucuki: Ukuba imeko yakho ayiphucuki nangona kukho la manyathelo, okanye ukuba ubonakalisa iimpawu ezinzulu (ezifana nokudideka), fowunela u-1990 ngokukhawuleza ukuze ufumane i-ambulensi okanye uye kwiSebe lezeMpilo eziNgxamisekileyo lesibhedlele esikufutshane (ETU).
Ukuba umntu uyafa (iHypoglycemia Enkulu)
Ukuba umntu uyawa ngenxa yokwehla okukhulu kwamanqanaba eswekile egazini, yingxamiseko yezonyango.
- Ungaze uzame ukunika umntu ongazi nto ukutya okanye isiselo. Oku kunokubangela ukukrwitshwa.
- Ukuba unyangwa isifo seswekile, ugqirha wakho usenokuba ukunike isixhobo sokujova i-glucagon . Fundisa usapho lwakho nabahlobo bakho indlela yokuyisebenzisa xa kukho imeko engxamisekileyo.
- Ukuba ubona umntu engekho zingqondweni, fowunela i-ambulensi ngokukhawuleza. Bafuna uncedo lwezonyango.
Ingathintelwa njani le meko?
Kukho izinto ezininzi onokuzenza ukulawula nokuthintela i-hypoglycemia.
- Musa ukutsiba izidlo: Yitya izidlo eziphambili ezithathu ngosuku uze utye izidlo ezincinci phakathi kwazo.
- Lumka ngokuzilolonga: Zilolonge isiqingatha seyure okanye iyure emva kokutya. Jonga amanqanaba eswekile egazini lakho ngaphambi nasemva kokuzilolonga.
- Sela amayeza akho kanye njengoko kuyalelwe: Sela amayeza achazwe ngugqirha wakho, ngedosi echanekileyo, ngexesha elifanelekileyo. Jonga kabini idosi.
- Nciphisa utywala:Ukuba usela utywala, nciphisa. Kuphephe ukusela utywala esiswini esingenanto.
- Hlala ulungele: Xa uphuma, phatha into emnandi (iipilisi zeglucose, itofi) ebhegini yakho.
- Yazisa abanye: Yazisa usapho lwakho, abahlobo, kunye nabantu osebenza nabo ukuba unesifo seswekile. Banokukunceda xa kukho imeko engxamisekileyo.
- Bona ugqirha: Ukuba uhlala ubona iimpawu zeswekile ephantsi egazini, nokuba unesifo seswekile okanye awunaso, qiniseka ukuba ubona ugqirha wakho ukuze ufumane unobangela kwaye ufumane unyango olufanelekileyo kunye neengcebiso.
Umyalezo Wokuya Ekhaya
- I-Hypoglycemia linqanaba leswekile egazini eliphantsi kakhulu neliyingozi. Iimpawu eziqhelekileyo ziquka ukungcangcazela , ukubila, isiyezi, kunye nendlala enkulu.
- Nangona oku kuxhaphake kakhulu kubantu abanesifo seswekile, kunokubakho nakubantu abangenaso isifo seswekile ngezizathu ezahlukeneyo.
- Wakuba uzive iimpawu zeswekile ephantsi egazini, yitya into emnandi efunxa iswekile ngokukhawuleza (iipilisi zeswekile, ijusi yeziqhamo, iswekile).
- Ukuba ezi mpawu uhlala uzibona okanye ziba nzima (njengokulahlekelwa yinkumbulo), funa uncedo lwezonyango ngoko nangoko. Kubalulekile ukufumana unobangela nokuwunyanga.
- Eyona ndlela ilungileyo yokuzikhusela kukuthetha rhoqo nogqirha wakho malunga nokutya kwakho, umthambo, kunye namayeza, kunye nokugcina ulawulo olufanelekileyo.
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