USunil (oneminyaka engama-52 ubudala), usomashishini ophethe ivenkile encinci, uze ekliniki yam ngoLwesine oludlulileyo. Ubenesifo seswekile sohlobo lwesibini kangangeminyaka emihlanu.
"Gqirha Priya, ndithatha iipilisi zam zeswekile njengoko ndixelelwe. Kodwa amanqanaba eswekile yam ayatshintshatshintsha rhoqo. Ingxelo yamva nje ye-HbA1c yi-8.2%. Wonke umntu undixelela ukuba ndizilolonge, kodwa ndinobunzima obuziikhilogram ezingama-92 kwaye ndine -osteoarthritis . Ndinengxaki yokuhamba kuba imilenze yam iyabuhlungu. Ndingazilolonga njani?" uSunil uchaze ukungabi namandla kwakhe.
Ndimcacisele uSunil wathi: "Sunil, ukuzilolonga komntu onesifo seswekile kubaluleke kakhulu njengokusela iipilisi. Xa sizilolonga, uvakalelo lwe-insulin emzimbeni wethu luyanda. Oku kuthetha ukuba nokuba amanqanaba aphantsi e-insulin yehomoni ayanda, iiseli zomzimba zinokufunxa iswekile egazini ngokulula. Njengesisombululo sentlungu yakho edolweni, ungenza izivivinyo ezilula ezingabeki uxinzelelo kumalungu (izivivinyo ezingenampembelelo ingako). Namhlanje, masithethe ngendlela abantu abanesifo seswekile njengani abaneengxaki zamalungu okanye abatyebe kakhulu abanokukhetha ngayo ukuzilolonga ngokukhuselekileyo."
๐จ Iiflegi ezibomvu ekufuneka ziyeke ukuzilolonga ngoko nangoko
Nangona umthambo uluncedo kakhulu kubantu abanesifo seswekile, umthambo kufuneka uyekwe ngoko nangoko ukuba ezi mpawu zilandelayo ziyingozi zibonakala ngexesha lomthambo:
- Ukuqina okukhulu, ukucinezelwa, okanye intlungu embindini wesifuba (oku kungaba luphawu lokuhlaselwa yintliziyo).
- Ubunzima obukhulu bokuphefumla okanye ukungcangcazela okungalawulekiyo.
- Ukuba nesiyezi, ukuquleka, ukudideka, okanye ukubona izinto ezingaqondakaliyo.
- Iimpawu ze-hypoglycemia (ukubila okugqithisileyo, ukungcangcazela, indlala, okanye ukuthetha okungaqondakaliyo) okubangelwa kukwehla ngokukhawuleza kwamanqanaba eswekile egazini.
๐ก Amanyathelo omawuwathathe:
Ukuba kukho naziphi na iimpawu ezingentla, hlala phantsi uphumle ngoko nangoko. Ukuba inqanaba leswekile egazini lakho lingaphantsi kwe-70 mg/dL, sela ngoko nangoko icephe leswekile okanye ijusi yeziqhamo. Ukuba iintlungu zesifuba ziyaqhubeka ngaphezu kwemizuzu emi-5, yiya esibhedlele esikufutshane ngoko nangoko.
Iingenelo eziphambili zokuzilolonga kubantu abanesifo seswekile
- Ukulawula iswekile egazini: Ukuzilolonga kuvuselela izihlunu, ezitshisa iswekile yegazi ngokuthe ngqo ukuze zifumane amandla.
- Ukwanda kwesenzo se-insulin: Inceda ukulawula iidosi zamayeza ngokwandisa uvakalelo lwe-insulin kwiiseli.
- Ukunciphisa umngcipheko weengxaki: Umngcipheko wokuhlaselwa sisifo sentliziyo kunye nesifo sohlangothi uncitshiswe kakhulu.
- Ukukhululwa kwiSifo seswekile: Uphando lubonise ukuba ukuzilolonga rhoqo kunye nokutya rhoqo kwizigaba zokuqala zesifo kunokunceda ekulawuleni ngokupheleleyo okanye ekubuyiseleni isifo seswekile.
Ukuthelekiswa kwemithambo elula efanelekileyo kubantu abanesifo seswekile
| Uhlobo lokuzilolonga | Impembelelo kumalungu | Inzuzo ephambili yezempilo | Ireyithi ecetyiswayo |
|---|---|---|---|
| Ukuhamba ngokukhawuleza | Iphakathi | Ukuqinisa inkqubo yentliziyo, ukunciphisa amaxabiso e-HbA1c. | Iintsuku ezi-5 ngeveki, imizuzu engama-30 ngosuku. |
| Ukuhamba ngebhayisikile okuzinzileyo | Iphantsi kakhulu (Impembelelo ephantsi) | Ukuqinisa izihlunu zamathanga ngaphandle kokufaka uxinzelelo kumalungu. | Iintsuku ezi-3-4 ngeveki, imizuzu engama-20-30 ngalo lonke ixesha. |
| Ukuqubha | Iphantsi kakhulu (Impembelelo ephantsi) | Ukwandisa ukusebenza kwezihlunu kunye nokuguquguquka komzimba wonke. | Iintsuku ezi-2-3 ngeveki, imizuzu engama-30 ngalo lonke ixesha. |
| Iibhendi zokuphakamisa iintsimbi/zokumelana | Ngaphantsi | Yandisa ubunzima bemisipha kwaye ukhawulezise ukutshiswa kweswekile. | Iintsuku ezi-2 ngeveki (usuku olunye lokuphumla). |
| I-yoga | Isezantsi kakhulu | Ukulawula uxinzelelo, ukwandisa ukuguquguquka kunye nokulinganisela. | Imizuzu eli-15-20 yonke imihla. |
Izinto ekufuneka zenziwe nezo kufuneka zingayenzi
| โ๏ธ Izinto onokuzenza (Zenze) | โ Izinto ongazifuniyo |
|---|---|
| Dibana nezikhokelo ze-American Diabetes Association (ADA) ukuze ufumane ubuncinane imizuzu eli-150 yokuzilolonga okuphakathi ngeveki. | Ungaze uzilolonge unganxibanga zihlangu okanye unxibe izihlangu ezingakufaneliyo ukuba uneengozi ezinyaweni okanye une-diabetes neuropathy. |
| Ziphephe iingozi ze-hypoglycemia ngokulinganisa amanqanaba eswekile egazini lakho ngaphambi nasemva kokuqala umthambo. | Musa ukuqala umthambo onzima ngaxeshanye. Qala ngokuzifudumeza kancinci imizuzu emi-5. |
| Sela amanzi amancinci rhoqo ukuze ungaphelelwa ngamanzi emzimbeni ngelixa uzilolonga. | Musa ukuqala ukwenza umthambo ukuba inqanaba leswekile egazini lakho lingaphantsi kwe-70 mg/dL okanye lingaphezulu kwe-250 mg/dL. |
โ Eminye imibuzo onokuba nayo (FAQ)
Ungayithintela njani i-Hypoglycemia eyingozi kakhulu xa uzilolonga? โผ
Ukuba uthatha amayeza e-insulin okanye awehlisa iswekile egazini, jonga iswekile yakho egazini phambi kokuba uzilolonge. Ukuba ingaphantsi kwe-100 mg/dL, yitya isidlo esincinci esineecarbohydrate (ibhanana okanye iibhisikithi ezi-2) ngaphambi kokuba uqale ukuzilolonga. Soloko uphethe iipilisi zeglucose okanye into emnandi.
Kutheni abantu abanesifo seswekile se-neuropathy kufuneka balumke xa bezilolonga ?
I-neuropathy yesifo seswekile inokubangela iintlungu ezinyaweni ngenxa yamanxeba okanye amadyungudyungu. Oku kunokukhokelela kusulelo kunye neengxaki ezinkulu, ngoko ke nxiba izihlangu ezithambileyo kunye neekawusi eziqinileyo xa uzilolonga, kwaye ujonge iinyawo zakho yonke imihla emva kokuzilolonga.
Ngaba ukuzilolonga ngakumbi kunokunyanga ngokupheleleyo isifo seswekile? โผ
Isifo seswekile sohlobo lwesibini sinokuchongwa kwangethuba size silawulwe ngokuzilolonga rhoqo kunye nokulawula ubunzima ukuze kubuyiselwe amanqanaba eswekile egazini kwimeko eqhelekileyo ngaphandle kwamayeza (iDiabetes Remission). Nangona kunjalo, ekubeni singesiso isifo esinganyangekiyo ngokupheleleyo, amanqanaba eswekile egazini anokunyuka kwakhona ukuba ubuyela kwindlela yokuphila yokuhlala phantsi.
Abantu abaxakekileyo banokulifumana njani ixesha lokuzilolonga imihla ngemihla ?
Ukuba awunalo ixesha lokuzilolonga imizuzu engama-30 ngexesha, ungayahlulahlula ibe ziiseshoni ezintathu zemizuzu eli-10 ngosuku. Uphando lubonise ukuba ukuzilolonga okufutshane kunika inqanaba elifanayo leenzuzo.
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