Ukubila okubandayo, ukuxhawula izandla, ukuziva uxhalabile kakhulu, ukuba nesiyezi kancinci... Ngaba wakha wahlangabezana nento efana nale ngesifo seswekile? Oku kwenzeka rhoqo xa amanqanaba eswekile egazini lakho ehla ngendlela eyingozi. Oogqirha bayibiza le meko ngokuba yi-hypoglycemia . Isizathu esiphambili sokuba le meko yenzeke kumntu osebenzisa i-insulin kukuba ufaka i-insulin engaphezulu kunaleyo ayidingayo.
Abantu abaninzi abanesifo seswekile bafumana i-hypoglycemia. Inokuba yingozi ngamanye amaxesha. Kodwa iindaba ezimnandi zezokuba uninzi lwezi ngxaki ezinxulumene ne-insulin zinokuthintelwa ukuba silandela imithetho embalwa elula. Makhe sibone ukuba njani.
Ungayifumana njani i-insulin eninzi kakhulu?
Kukho iimpazamo ezimbalwa ezincinci esinokuzenza ezinokukhokelela ekubeni i-insulin ibe ninzi kakhulu emizimbeni yethu. Ezi zinto zihlala zenzeka kwiimeko ezifana nezi:
- Ukungaziqondi kakuhle izilinganiso ezikwisirinji okanye kwibhotile: Oku kunokwenzeka xa uqala ukusebenzisa uhlobo olutsha lwe-insulin okanye xa usebenzisa isirinji entsha.
- Ukusebenzisa uhlobo olungalunganga lwe-insulin: Khawuthelekelele ukuba uhlala uthatha iiyunithi ezingama-30 ze-insulin esebenza ixesha elide kunye neeyunithi ezili-10 ze-insulin esebenza ixesha elifutshane. Ukuba iibhotile ezimbini zifana, kunokwenzeka ukuba utshintshe phakathi kwezi zimbini ngokukhawuleza.
- Ukusela i-insulin ngaphandle kokutya: Ii-insulin ezisebenza ngokukhawuleza nezisebenza ngokukhawuleza kufuneka zithathwe ngaphambi okanye ngexesha lokutya. Oku kungenxa yokuba amanqanaba eswekile egazini lethu ayanyuka emva kokutya. Ngoko ke ukuba uthatha olu hlobo lwe-insulin ngaphandle kokutya, amanqanaba eswekile egazini lakho anokwehla ngendlela eyingozi.
- Ukujova i-insulin engalweni okanye emlenzeni ngaphambi kokuzilolonga: Ukuzilolonga, oko kukuthi, ukuzilolonga, ngokwemvelo kunciphisa amanqanaba eswekile egazini. Kukwatshintsha nendlela umzimba ofunxa ngayo i-insulin. Ngoko ke ukuba wenza umthambo ofana nokubaleka okanye ukuhamba, kuphephe ukufaka i-insulin engalweni okanye emlenzeni oza kusebenza kakhulu ngelo xesha. Endaweni yoko, kungcono ukuyijova kwindawo engachaphazeleki kakhulu ngumthambo, njengesisu.
Zithini iimpawu zokuba ne-insulin eninzi kakhulu?
Xa iswekile yakho egazini iyehla (hypoglycemia) ngenxa ye-insulin eninzi kakhulu, unokufumana enye okanye ngaphezulu kwezi mpawu. Kubalulekile ukuba uzazi ezi mpawu.
| Uphawu | Inkcazo |
|---|---|
| Ixhala | Ukuziva ungonwabanga kwaye ungazoli ngendlela engaqhelekanga. |
| Ukudideka | Ukungakwazi ukucinga ngento omawuyenze okanye apho ukhoyo, uzive udidekile. |
| Indlala enkulu | Ngequbuliso ndaziva ndilambile ngendlela enganyamezelekiyo. |
| Ukudinwa | Ukuziva ungenabomi kwaye udinwe kakhulu. |
| Ukucaphuka | Ukucaphuka ngaphandle kwesizathu, ukucaphuka ngokukhawuleza. |
| Ukubila | Umzimba uziva ubanda kwaye ubila, ulusu luziva lufumile. |
| Izandla ezingcangcazelayo | Ukungcangcazela izandla ngendlela engalawulekiyo. |
Ukuba amanqanaba eswekile egazini lakho ayaqhubeka ehla, usenokuba nesifo sokuxhuzula okanye ude uphelelwe ngamandla . Ngoko ke kubalulekile ukuqaphela ezi mpawu uze wenze ngokukhawuleza.
Yintoni omawuyenze ukuba uthatha i-insulin eninzi kakhulu?
Ungakhathazeki. Uninzi lweemeko zokusebenzisa i-insulin ngokugqithisileyo zibangelwaUngayilawula ekhaya. Ukuba uphaphile engqondweni, landela la manyathelo.
| Kwenziwe ntoni | Inkcazo |
|---|---|
| Ukuba unengqondo, nazi ezinye izinto ekufuneka uzenze: | |
| 1. Linganisa iswekile | Okokuqala, linganisa inqanaba leswekile egazini lakho. Emva koko ungayiqonda kakuhle imeko. |
| 2. Fumana iswekile ngokukhawuleza | Yitya/sela isiselo seziqhamo esineswekile (isiqingatha sekomityi), itofi, ithebhulethi yeglucose, okanye ijeli yeglucose ngoko nangoko. |
| 3. Yitya isidlo | Ukuba uphoswe kukutya, yitya into ethile ngoku. Ukutya into ene-15-20 grams yeecarbohydrate (umz. isilayi sesonka) kuya kubangela ukuba iswekile yakho yegazi inyuke ngokukhawuleza. |
| 4. Phumla | Hlala phantsi okanye ulale phantsi okwethutyana uze uphumle. Musa ukuwenza nzima umzimba wakho. |
| 5. Linganisa iswekile kwakhona | Jonga iswekile yakho egazini kwakhona emva kwemizuzu eli-15-20. Ukuba isesezantsi, thatha iswekile engaphezulu (iigremu ezili-15-20 zeglucose) uze utye enye into ukuba kunokwenzeka. |
| 6. Hlala ugxile iiyure ezimbalwa | Mamela umzimba wakho kwiiyure ezimbalwa ezizayo. Ukuba iimpawu zisekhona, jonga iswekile yakho yegazi kwakhona emva kweyure. Ukuba iswekile yakho yegazi iphantsi, qhubeka nokutya ukutya okulula. |
| Ufanele ufune nini uncedo lwezonyango olungxamisekileyo: | |
| Yiya esibhedlele ngoko nangoko. | Ukuba inqanaba leswekile egazini lakho lisephantsi emva kweeyure ezi-2 okanye iimpawu zakho aziphucuki, bona ugqirha okanye uye esibhedlele ngoko nangoko. |
| Ukuba uyafa isiqaqa... | Ukuba uphelelwa zingqondo, udidekile, okanye unesithuthwane, usapho lwakho okanye abahlobo bakho kufuneka batsalele umnxeba inkonzo ye-ambulensi ka-1990 ngoko nangoko bakuse kwiSebe lezeMpilo eziNgxamisekileyo (ETU) elikufutshane. |
Into enye ekufuneka uyikhumbule. Xa iswekile yakho egazini iphantsi kakhulu, ungoyiki ukuyinyusa kancinci. Ukuba neswekile ephezulu egazini okwethutyana akuyi kwenza monakalo mkhulu. Kodwa ukuba neswekile ephantsi kakhulu egazini kunokuba yingozi kakhulu.
Icebiso onokulinika usapho lwakho nabahlobo bakho
Ukuba ulahlekelwa zingqondo, ngabo abaza kukunyamekela. Ngoko ke banike le miyalelo kwangaphambili.
- Ukuba ulahlekelwa zingqondo, fowunela inkonzo ye-ambulensi ka-1990 ngoko nangoko okanye ukuse kwisibhedlele esikufutshane neYunithi yoNyango oluNgxamisekileyo (ETU) .
- Thetha nogqirha wakho malunga nenaliti ebizwa ngokuba yiglucagon . Le yihormone esebenza ngokuchasene ne-insulin. Ukuba uneswekile ephantsi egazini rhoqo, buza ugqirha wakho malunga nokuyigcina ekhaya.
- Ukuba uphaphile ngokwaneleyo ukuba ulandele imiyalelo, bacele ukuba bakunike isiselo esimnandi.
- Ukuba iimpawu zakho aziphucuki emva kweyure, mcebise ukuba afune uncedo lwezonyango ngokukhawuleza.
Ingathintelwa njani le meko?
Kukho izinto ezimbalwa ezilula onokuzenza ukuqinisekisa ukuba oku akwenzeki.
- Gcina ishedyuli engaguquguqukiyo: Ziqhelise ukuthatha i-insulin yakho ngexesha elifanayo yonke imihla kwaye utye ngexesha elifanayo. Oku kuya kwenza kube lula kuwe ukugcina yonke into ihlelekile.
- Musa ukutsiba ukutya: Nokuba awulambanga, yitya into encinci ngexesha lokutya. Yitya into efana neqhekeza lesonka, iglasi yobisi, okanye iqhekeza lesiqhamo. Ungaze utsibe ukutya emva kokuthatha i-insulin.
- Lungela:Khumbula ukuba le meko ingavela ngenye imini. Gcina into efana netofi ebhegini yakho, emotweni, nakwisutikheyisi.
- Yazisa abanye: Xelela usapho lwakho kunye nabahlobo abasondeleyo indlela oziphatha ngayo xa uneswekile ephantsi egazini. Ngale ndlela, banokuthatha amanyathelo ngokukhawuleza, nokuba udidekile.
- Nxiba isongo sesilumkiso sezonyango: Sibonisa ukuba usebenzisa i-insulin. Sinokukunceda usindise ubomi bakho xa kukho imeko engxamisekileyo.
Umyalezo Wokuya Ekhaya
- Ukusela i-insulin eninzi kunokubangela iswekile yegazi ephantsi kakhulu (hypoglycemia). Lumka iimpawu ezinje ngokungcangcazela kwezandla, ukubila, kunye nokuba nentloko ebuhlungu.
- Wakuba uzive iimpawu zeswekile ephantsi egazini, yitya ngoko nangoko into eneswekile (ilekese, isiselo esimnandi) kwaye ujonge kwakhona inqanaba leswekile egazini lakho kwimizuzu eli-15-20.
- Ungaze ulibale ukutya xa usela i-insulin. Gcina into efana netofi kufutshane.
- Ukuba ulahlekelwa zingqondo okanye ukwimeko emaxongo, xelela usapho kunye nabahlobo kwangaphambili ukuba bakuse kwiYunithi yoNyango oluNgxamisekileyo (ETU) yesibhedlele ngoko nangoko.
- Soloko uthetha nogqirha wakho malunga nomthamo we-insulin yakho, indlela oyisebenzisa ngayo, kunye nento omawuyenze xa kukho imeko engxamisekileyo.
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