Kungathatha ixesha ukuziva iindaba emva kokuba udibane nogqirha wakho uze ufike ekhaya: Unesifo seswekile , kwaye ngoku kufuneka ulawule amanqanaba eswekile egazini lakho. Njengoko uqhelana nale ndlela intsha yokuphila, makhe sijonge izixhobo kunye nezinye izinto ezinokukunceda ulawule imeko yakho kwaye uthintele iingxaki ezizayo. Zonke ezi zinto zidlala indima eyahlukileyo ekulawuleni isifo sakho seswekile .
I-insulin kunye neendlela zokusetyenziswa kwayo
Ugqirha wakho unokucebisa ukuba usebenzise i-insulin ukulawula amanqanaba aphezulu eswekile egazini lakho. Ngamafutshane, i-insulin yi-hormone eveliswa sisitho esisemzimbeni wethu esibizwa ngokuba yi-pancreas. Inceda iswekile ekutyeni esikutyayo ukuba isetyenziswe ukuze ifumane amandla okanye igcinwe.
Ukuba unesifo seswekile sohlobo loku-1 , ipancreas yakho ayisayi kuvelisa i-insulin ngokupheleleyo. Kodwa ukuba unesifo seswekile sohlobo lwesibini, ipancreas yakho isayenza i-insulin, kodwa umzimba wakho awuyisebenzisi kakuhle.
Ngokuxhomekeke kwimeko yakho, ugqirha wakho unokukunika iintlobo ezahlukeneyo ze-insulin. Ezinye zisebenza ngokukhawuleza, ngelixa ezinye zisebenza kancinci kwaye zihlala egazini ixesha elide.
Ngokwesiqhelo, kunokufuneka ufake i-insulin kanye ukuya kane ngemini. Oku kuya kugqitywa ngugqirha wakho. Kukho iindlela ezahlukeneyo zokwenza oku:
- Isirinji: Isirinji ingasetyenziselwa ukutsala idosi echanekileyo ye-insulin kwibhotile uze uyifake.
- Ipeni ye-Insulin: Kulula kakhulu ukuyisebenzisa. Ezinye iipeni ziza zizaliswe yi-insulin, ngelixa ezinye zifuna ukuba sifake ikhatriji.
Yintoni i-Insulin Pump?
Ngamanye amaxesha, endaweni yokuthatha inaliti izihlandlo ezininzi ngemini, ugqirha wakho unokucebisa ukuba usebenzise ipompo ye-insulin. Oku kunika i-insulin emzimbeni wakho kancinci kancinci imini yonke. Kusafuneka ujonge iswekile yakho egazini, kodwa abanye abantu bafumanisa ukuba kuyanceda ekulawuleni amanqanaba eswekile egazini labo.
Le pump incinci kakhulu. Ungayigcina lula esinqeni, kwikawusi, okanye kwimpahla yakho yangaphantsi. Iqhagamshelwe kwityhubhu encinci ebizwa ngokuba yi-"catheter". Le tube ifakwa phantsi kwesikhumba sakho ngoncedo lwenaliti.
Le pump ikhupha i-insulin ngeedosi ezincinci imini yonke, njengoko kucwangcisiwe ngokweemfuno zakho. Kwakhona, xa usitya, ungacinezela iqhosha kwipompo ukuze ufumane idosi eyongezelelweyo ye-insulin efunekayo ukutshisa iicarbohydrates kweso sidlo.
Iimitha zeswekile egazini
Isixhobo sokulinganisa iglucose yegazi (okanye iglucometer) sisixhobo esincinci se-elektroniki esisetyenziselwa ukujonga ukuba inqanaba leswekile egazini lakho liphezulu kakhulu okanye liphantsi kakhulu.
Indlela yokusebenzisa oku ilula kakhulu:
1. Okokuqala, hlaba inaliti encinci ebizwa ngokuba yi-"Lancet" encamini yomnwe wakho uze uqokelele ithontsi elincinci legazi.
2. Beka ithontsi legazi kwindawo echaziweyo kumgca wovavanyo (iDiabetic Test Strip).
3. Emva koko faka umcu kwimitha, kwaye kwimizuzwana embalwa inqanaba leswekile yakho egazini liya kuvela kwiscreen.
Kubaluleke kakhulu ukubhala phantsi ezi ziphumo kwincwadi. Oku kuya kunceda ugqirha wakho aqinisekise ukuba isicwangciso sakho sonyango siyasebenza. Ugqirha wakho uya kukuxelela ukuba kufuneka ujonge iswekile yakho yegazi kangaphi. Ingakumbi ukuba uziva uqhaqhazela, uxhalabile, unesiyezi, unesifuba esibuhlungu, ubila, uziva ulambile kakhulu, okanye ulele, ezi zinokuba ziimpawu zeswekile ephantsi egazini (hypoglycemia). Qiniseka ukuba ujonga iswekile yakho yegazi ngamaxesha anjalo.
I-Continuous Glucose Monitor (CGM)
Esi sesinye isixhobo esiphucukileyo. Silinganisa ngokuzenzekelayo amanqanaba eswekile egazini lakho rhoqo ngemizuzu embalwa, iiyure ezingama-24 ngosuku. Oku kukuvumela ukuba wazi kwangaphambili ukuba amanqanaba eswekile egazini lakho aphezulu kakhulu okanye aphantsi kakhulu.
Isixhobo sokuvavanya esincinci esifakwe phantsi kwesikhumba sithumela idatha kwisixhobo esisesihlahleni sakho okanye kwifowuni yakho. Le datha ingasetyenziselwa ukulandelela iipateni kunye neendlela ezisetyenziswa kumanqanaba eswekile egazini lakho. Olu lwazi lunokukunceda wena nogqirha wakho niphuhlise isicwangciso sonyango esingcono.
Kodwa khumbula, nokuba une-CGM, kusafuneka uthathe igazi emnweni wakho nge-glucometer eqhelekileyo amaxesha amaninzi ngemini ukuqinisekisa ukuchaneka kwayo. Kwakhona kufuneka utshintshe i-sensor phantsi kwesikhumba rhoqo emva kweentsuku ezi-3-7.
Iintambo zovavanyo lweKetone
Xa umzimba wakho ungenayo i-insulin eyaneleyo yokusebenzisa iswekile, uqala ukutshisa amafutha ukuze ufumane amandla. Le nkqubo ivelisa izinto ezibizwa ngokuba zii-ketones . Amanqanaba aphezulu ee-ketones kumchamo wakho luphawu oluyingozi lokuba isifo sakho seswekile asilawuleki .
Ugqirha wakho unokucebisa uvavanyo lwe-ketone ukuba uneempawu ezilandelayo:
- Ukuba inqanaba leswekile yakho egazini liyi-240 mg/dL okanye ngaphezulu
- Ukuba uziva ugula okanye udiniwe ngalo lonke ixesha
- Ukuba unomlomo owomileyo kwaye uziva unxaniwe ngalo lonke ixesha
- Ukuba uziva udidekile
- Ukuba unengxaki yokuphefumla
Ukuze wenze olu vavanyo ekhaya, qokelela umchamo kwikomityi ecocekileyo uze uwuthi tyumze umchamo ogqithisileyo kuwo. Vuthulula umchamo ogqithisileyo uze ulinde umchamo utshintshe umbala ngokwemiyalelo. Emva koko, thelekisa umbala womchamo netshathi yombala ekwikhithi. Ukuba amanqanaba akho e-ketone aphakathi okanye aphezulu, bona ugqirha wakho ngoko nangoko. Ukuba kuyimfuneko, yiya kwiSebe lezeMpilo eziNgxamisekileyo lesibhedlele esikufutshane (ETU).
Ezinye izinto ezibalulekileyo kunye nokulungiselela imeko kaxakeka
Xa ulawula isifo seswekile, kubalulekile ukuba nezinye izinto ezimbalwa uzigcine kuwe. Makhe sijonge ukuba zeziphi ezo zinto zikule theyibhile.
| Isidingo | Izinto ekufuneka zihlale zikufutshane |
|---|---|
| I-Hypoglycemia | Into yokunyusa iswekile yakho yegazi ngokukhawuleza, njengeepilisi zeglucose, iityhubhu zeswekile, itofi, ibhotile yejusi yeziqhamo. Inaliti yeglucagon (ngokwengcebiso kagqirha) onokuyifumana ukuba ulahlekelwa yingqondo. Zigcine kwiindawo ezahlukeneyo, njengakwibhegi yakho, emotweni, nakwidrowa yeofisi. |
| Ukukhusela ulusu neenyawo | Isepha ethambileyo, isithambisi solusu, izinto zokucoca inxeba (igauze ecocekileyo, iteyiphu yephepha), izikrweqe zeenzipho, kunye nesipili sokujonga iinyawo imihla ngemihla ukuba azinazo na izilonda kunye namadyungudyungu. Ukuba kukho umonakalo wemithambo-luvo, iikawusi ezifakwe umthungo. |
| Kwimpilo yomlomo | Ibhrashi yamazinyo ethambileyo, intlama yamazinyo equlethe i-fluoride, kunye ne-dental floss yokucoca phakathi kwamazinyo. |
| Ngexesha likaxakeka | Isongo okanye ikhadi elichaza ukuba unesifo seswekile (i-Medical Alert ID). Inombolo yefowuni yomntu onokufowunela xa kukho imeko engxamisekileyo. Isixhobo esingxamisekileyo esiquka amayeza eswekile anokuthatha ubuncinane iintsuku ezisi-7, i-insulin, imicu yovavanyo, iibhetri, njl.njl. |
Ngaba kulula kuthi ukufumana zonke ezi zixhobo eSri Lanka?
Ezinye zezixhobo eziphambili esithethe ngazo, umzekelo, iimpompo ze-insulin kunye nezixhobo ze-CGM, azixhaphakanga kakhulu eSri Lanka. Kwaye zibiza kakhulu.
Iiglucometer, iitest strips, ii-lancets, kunye neentlobo ezahlukeneyo ze-insulin zihlala zifumaneka lula kwiikhemesti kwilizwe lethu. Nangona kunjalo, kunokubakho ubunzima ekufumaneni izixhobo zobuchwepheshe obuphambili.
Ngoko ke, musa ukudimazeka zizinto ezisetyenziswa ngabanye abantu. Eyona nto ibalulekileyo kukuthetha nogqirha wakho uze ugqibe ukuba loluphi uhlobo lonyango kunye nezixhobo ezifanelekileyo nezifanelekileyo kuwe, ngokusekwe kwimeko yakho yezemali, indlela ophila ngayo, kunye nohlobo lwesifo sakho.
Umyalezo Wokuya Ekhaya
- Ukulawula isifo seswekile luhambo olunzima, kwaye ukuba nezixhobo ezifanelekileyo kunye nezinto ezifanelekileyo kubalulekile ukuze olo hambo lube lula.
- Jonga amanqanaba eswekile egazini lakho rhoqo njengoko ugqirha wakho ekuxelele. Bhala phantsi iziphumo.
- Qaphela iimpawu zeswekile ephantsi egazini (hypoglycemia). Hlala ugcina into enokunyusa iswekile yakho yegazi ngokukhawuleza (iipilisi zeswekile, iityhubhu zeswekile) kufutshane xa kunokwenzeka loo meko.
- Hlala ulungele imeko engxamisekileyo. Phatha ikhadi lesazisi seswekile kunye nesixhobo sokubonelela ngeenkonzo ezingxamisekileyo.
- Thetha ngokukhululekileyo nogqirha wakho malunga nokuba zeziphi iindlela zonyango ezifanelekileyo nezifikelelekayo kuwe.
Isifo seswekile, izixhobo zeswekile, i-insulin, i-glucometer, iswekile yegazi, i-hypoglycemia, ulawulo lweswekile
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