Ungayilawula njani iswekile yakho xa umntwana wakho onesifo seswekile egula? (Isifo seswekile) Makhe sithethe ngale nto!

Xa umntwana wakho enesifo seswekile, nokuba ngumkhuhlane omncinci okanye umkhuhlane unokuba ngumthwalo omkhulu, akunjalo? Ngokungafaniyo nesifo esiqhelekileyo, xa umntwana onesifo seswekile egula, amanqanaba eswekile egazini lakhe anokutshintshatshintsha ngequbuliso. Kodwa ungakhathazeki! Ngocwangciso oluncinci kunye neengcebiso ezivela kugqirha wakho, ngokuqinisekileyo ungazilawula kakuhle ezi ntsuku zokugula. Makhe sijonge ezinye zeenkcukacha.

Inqanaba leswekile emzimbeni womntwana litshintsha njani xa egula?

Xa umntwana egula, oko kuthetha ukuba umzimba wakhe uphantsi koxinzelelo olukhulu. Kumntwana onesifo seswekile, olu xinzelelo lunokubangela ukuba amanqanaba eswekile egazini lakhe atshintshe ngendlela engalindelekanga. Ngamanye amaxesha amanqanaba eswekile anokunyuka, kwaye ngamanye amaxesha anokwehla.

Kutheni inqanaba leswekile linyuka ngolu hlobo? (I-Hyperglycemia)

Xa umntwana egula, ngenxa yoxinzelelo, umzimba wakhe uvelisa iihomoni ezithile, ezibizwa ngokuba yi-'stress hormones'. Ezi homoni zibangela ukuba inqanaba leswekile egazini linyuke. Kwakhona, i-insulin umntwana ayithathayo ngeli xesha isenokungasebenzi kakuhle. Ukuchaneka, uvakalelo kwi-insulin luyehla. Emva koko, umntwana usenokufuna i-insulin engaphezulu kunesiqhelo. Nokuba umkhuhlane omncinci okanye umkhuhlane unokubangela le meko, ngoko ke kufuneka uqaphele amanqanaba aphezulu eswekile egazini ('Hyperglycemia').

Ngaba ke, amanqanaba eswekile angcola? (Hypoglycemia)

Ewe, ngokuqinisekileyo. Ezinye izifo zinokubangela ukuba umntwana angabi namdla wokutya, iintlungu zesisu, isicaphucaphu, kunye nokuhlanza. Oku kunokubangela ukuba umntwana atye kancinci okanye angavumi nokutya. Ngoko ke, ukuba umntwana othatha i-insulin akatyi kakhulu njengesiqhelo, amanqanaba eswekile egazini lakhe anokwehla ngequbuliso ('Hypoglycemia'). Ngeli xesha, umntwana uya kufuna i-insulin encinci kunesiqhelo.

Khawucinge nje ukuba umntwana wakho unesifo sesisu, uyahlanza, kwaye akafuni kutya nto. Ukuba umnika umlinganiselo ofanayo we-insulin awudingayo ngaloo mini, amanqanaba eswekile egazini lakhe angase ehle kakhulu ngenxa yokunqongophala kokutya, nto leyo enokuba yingozi.

Singalungiselela njani ngaphambi kokuba umntwana agule?

Kukho intetho ethi "ukulungiselela yeyona ndlela ilungileyo yonyango." Oku kubaluleke kakhulu xa umntwana onesifo seswekile egula. Olu lungiselelo luza kukunceda usebenze ngaphandle kokukhathazeka.

• Yazi isicwangciso sokunyamekela umntwana wakho ngesifo seswekile: Ugqirha wakho usenokuba ukunike "iSicwangciso sokunyamekela isifo seswekile" xa unyanga umntwana wakho ngesifo seswekile. Sinemiyalelo ethile yoko ukwenza "ngeentsuku zokugula." Umzekelo, indlela yokulungisa umthamo wakho we-insulin kunye nendlela yokujonga ii-ketones zakho. Qiniseka ukuba ukufundile kwaye ukuqonde oku ngononophelo.
• Gcina imicu yovavanyo lweglucose kunye ne-ketone eyongezelelweyo:Kuya kufuneka ujonge amanqanaba eswekile yegazi lakho kunye ne-ketone rhoqo ngeentsuku zakho zokugula. Ngoko ke gcina ezinye ii-test strips ekhaya ukuze zingaphelelwa. Akunyanzelekanga ukuba ukhawuleze ngomzuzu wokugqibela.
• Gcina ezi zinto zilungile ekhitshini:
• Ulwelo olungenaswekile: Kubaluleke kakhulu ukuthintela ukuphelelwa ngamanzi emzimbeni xa umntwana wakho egula. Gcina ulwelo oluninzi, olufana namanzi, isuphu yenkukhu (eyenziwe ngaphandle kweoyile), umhluzi wemifuno, iti engenaswekile, kunye nesoda engenaswekile.
• Nika iziselo ezineswekile ukuba iswekile yakho egazini iyehla: Gcina izinto ezifana nesoda eqhelekileyo (equlethe iswekile) kunye nejusi yeziqhamo (entsha ingcono) zilungele ukunikelwa ngokukhawuleza xa iswekile yakho egazini iyehla.
• Iziselo ezikhethekileyo: Ngamanye amaxesha ugqirha wakho unokucebisa iziselo zemidlalo ezifana nePedialyte okanye iGatorade. Ezi zikwanika umzimba iityuwa ezifunekayo.
• Ukutya okulula kwesisu: Gcina ukutya okulula nokucoleka lula esandleni, okufana nee-crackers, isonka, iyogathi kunye ne-porridge.
• Gcina i-thermometer ikufutshane: Oku kubalulekile ukuze ujonge ubushushu bomzimba womntwana wakho rhoqo.

Ndingenza ntoni xa umntwana wam egula?

Xa umntwana wakho egula, isikhokelo sakho sokuqala nesibaluleke kakhulu sisicwangciso sokunyamekela umntwana wakho ngesifo seswekile. Landela imiyalelo kagqirha njengoko ibhaliwe. Ukongeza, la macebiso aqhelekileyo aya kukunceda:

• Jonga amanqanaba eswekile egazini lakho rhoqo: Kusenokufuneka ujonge rhoqo kunesiqhelo, mhlawumbi rhoqo emva kweeyure ezi-2-3. Yenza njengoko ugqirha wakho ekuxelela.
• Musa ukuyeka ukunika i-insulin: Oku kubaluleke kakhulu! Nokuba umntwana akatyi, inqanaba leswekile yomzimba lisenokunyuka, ngoko ke i-insulin iyafuneka. Nangona kunjalo, idosi ingadinga ukutshintshwa. Mhlawumbi uyinyuse, mhlawumbi uyinciphise. Thetha nogqirha uze wenze isigqibo. Oogqirha banokucebisa nokuba abantwana abanesifo seswekile sohlobo lwesibini abangayithathiyo i-insulin yonke imihla banikwe i-insulin.
• Jonga ii-ketones: Jonga umchamo okanye igazi lomntwana wakho ukuze ubone ii-ketones. Intlungu yesisu, isicaphucaphu, kunye nokuhlanza kunokuba yingxaki nje yesisu, okanye zinokuba ziimpawu zesimo esiyingozi esibizwa ngokuba yiDiabetic Ketoacidosis (DKA). Yiyo loo nto kubalulekile ukujonga ii-ketones.
• Khuthaza umntwana wakho ukuba asele amanzi amaninzi: Ukuze angaphelelwa ngamanzi emzimbeni, mnike amanzi amaninzi kangangoko kunokwenzeka (angenaswekile). Kungcono ukuba umnike amanzi amancinci rhoqo.
• Lumka xa unika umntwana amayeza: Amanye amayeza okukhwehlela nawomkhuhlane athengiswa ngaphandle kwemvume kagqirha anokuba neswekile. Amanye amayeza anokuchaphazela amanqanaba eswekile egazini. Ngoko ke, buza ugqirha wakho okanye ingcali yezemithi ngaphambi kokuba unike umntwana wakho naliphi na iyeza .Ingaba elo yeza lichaphazela isifo seswekile kwaye ngaba lineswekile?
• Bhala phantsi yonke into: Oku kubaluleke kakhulu. Bhala phantsi iimpawu zomntwana wakho (umkhuhlane, ukukhwehlela, ukuhlanza, njl.njl.), amayeza anikiweyo kunye nemilinganiselo yawo, oko akutyayo nawaselayo, ukwehla kobunzima bomzimba, ukuba unomkhuhlane ongakanani, amanqanaba eswekile egazini, amanqanaba e-ketone, konke oku kunye nexesha elibhaliweyo encwadini. La manqaku aya kuba luncedo kakhulu kugqirha ekumnyangeni.
• Nceda umntwana wakho aphumle ngokwaneleyo: Ukuphumla kubalulekile emzimbeni xa egula. Qinisekisa ukuba umntwana wakho ulala kakuhle kwaye uphumle, endaweni yokuba adlale, abaleke, okanye atsibe.

Udinga nini ukubona ugqirha?

Nangona ngamanye amaxesha unokumnyamekela umntwana wakho ekhaya, ngamanye amaxesha kubalulekile ukubona ugqirha ngoko nangoko. Ukuba unezinye zezi mpawu, fowunela ugqirha wakho ngoko nangoko okanye umse esibhedlele:

• Ukuba umntwana unomdla wokutya, akafuni ukutya okanye ukusela nantoni na.
• Ukuba uhlanza rhoqo okanye urhudo ixesha elingaphezulu kweeyure ezimbini.
• Ukuba inqanaba leswekile egazini lakho liphantsi kakhulu (`iHypoglycemia`) kwaye awukwazi ukuyilawula nokuba yinto eneswekile.

Kubalulekile: Ukuba iswekile yegazi lomntwana wakho iyehla, zama amayeza asekhaya (umz., ukumnika iziselo ezineswekile) ngaphambi kokuba ubize ugqirha wakho okanye uye esibhedlele. Ukuba iswekile yegazi lomntwana wakho ayibuyeli esiqhelweni, fowunela igumbi likaxakeka (eSri Lanka ngo-1990) okanye umse esibhedlele esikufutshane.

• Ukuba inqanaba leswekile egazini lakho lihlala liphezulu (`iHyperglycemia`) kwaye alinciphi nangona unikwa i-insulin ngokwesicwangciso sakho sonyango.
• Ukuba unezinga eliphakathi okanye eliphezulu lee-ketones kumchamo okanye egazini lakho.
• Ukuba ucinga ukuba umntwana wakho uneempawu ze-'DKA (Diabetic Ketoacidosis)' (umz., ukuphefumla ngokukhawuleza, ivumba elimnandi lomphefumlo, ukozela kakhulu, ukudideka).

Ungaze ucinge kabini, ukuba unamathandabuzo amancinci, thetha nogqirha wakho. Leyo yeyona nto ikhuselekileyo onokuyenza.

Yintoni enye ekufuneka siyazi? (Into encinci malunga nokuthintela nayo)

Njengokuba kubalulekile ukunyamekela umntwana wakho xa egula, kubalulekile nokubanceda bahlale besempilweni kangangoko kunokwenzeka.

• Fumana imigonyo yomntwana wakho ngexesha: Fumana yonke imigonyo yomntwana wakho ngexesha, ingakumbi iPneumococcal Conjugate Vaccine (PCV) ye-pneumonia, ishowunti yonyaka yomkhuhlane, kunye negonyo ye-COVID-19 ukuba kufanelekile. Ezi zikhusela umntwana wakho kwizifo ezininzi.
• Fundisa abantwana bakho ukuhlamba izandla zabo rhoqo: Eyona ndlela ilungileyo yokuthintela ukusasazeka kweentsholongwane kukuhlamba izandla zabo ngokufanelekileyo. Qinisekisa ukuba umntwana wakho uhlamba izandla zakhe ngesepha namanzi ngaphambi kokutya, emva kokusebenzisa indlu yangasese, nasemva kokudlala ngaphandle.
• Hlala kude nabantu abagulayo:Izifo ezifana nomkhuhlane kunye nomkhuhlane zisasazeka ngokukhawuleza. Ngoko ke musa ukuthatha umntwana wakho aye kwiindawo apho abantu bagula khona.

Oko kufuneka sikukhumbule kuko konke oku (Umyalezo Wokuya Ekhaya)

Liyinyaniso elokuba kufuneka ulumke ngakumbi xa umntwana wakho onesifo seswekile egula. Kodwa oko akuthethi ukuba awukwazi ukuyilawula. Eyona nto iphambili kukungaxhalabi, kwaye ulungiselele kwangaphambili.

• Qiniseka ukuba uyasazi isicwangciso sokunyamekela umntwana wakho ngesifo seswekile kunye nemithetho yeentsuku zokugula.
• Jonga amanqanaba eswekile kunye nee-ketone egazini lakho rhoqo.
• Ungaze uyeke ukuthatha i-insulin (ngaphandle kwengcebiso kagqirha).
• Nika umntwana ulwelo oluninzi.
• Ukuba unamathandabuzo ngayo nayiphi na into, ungalibazisi ukuthetha nogqirha wakho.

Ngothando lwakho, inkathalo, kunye nolu lwazi, ngokuqinisekileyo unokukwazi ukulawula iintsuku zokugula kakuhle kwaye uncede umntwana wakho aphile ngokukhawuleza. Awuwedwa, kwaye iqela lakho lezonyango lihlala likhona ukukunceda.

Isifo seswekile, abantwana, ukugula, iswekile yegazi, i-insulin, ii-ketones, i-DKA, i-hypoglycemia, i-hyperglycemia, isicwangciso sokhathalelo lweswekile, imithetho yosuku lokugula