Ingabe unesifo sikashukela, usukhulile kancane? Noma ingabe umama wakho, ubaba, ugogo, umkhulu wakho banesifo sikashukela? Sonke siyazi ukuthi kubaluleke kangakanani ukugcina amazinga ethu kashukela egazini esezingeni elifanele. Kodwa bewazi ukuthi ngezinye izikhathi, lapho sizama ukulawula amazinga ethu kashukela kakhulu, empeleni kwenza umonakalo omkhulu kunokuhle? Yilokhu esikhuluma ngakho namuhla.
Ukwelashwa ngokweqile kungaba yingozi
Odokotela batusa ukuthi iningi labantu abanesifo sikashukela lihlale lihlola i-HbA1c (i-Hemoglobin A1c) enempilo, elinganisa amazinga kashukela egazini ajwayelekile ezinyangeni ezimbalwa ezedlule. Lokhu kungenxa yokuthi amazinga kashukela aphezulu egazini isikhathi eside, okwaziwa ngokuthi i-hyperglycemia , angaba yingozi kakhulu emzimbeni. Lokhu kungaholela ezinkingeni ezinkulu zesikhathi eside njengokuncipha kokusebenza kobuchopho, ukulimala kwezitho zangaphakathi, kanye nesifo senhliziyo.
Kodwa iphuzu elibalulekile lapha ukuthi lezi zinkinga zesikhathi eside zivame ukuthatha iminyaka eyi-10 noma ngaphezulu ukuze zikhule. Lesi sikhathi singaba isikhathi eside kunesikhathi sokuphila esisele sesiguli esikhulile, ikakhulukazi nezinye izifo.
Kodwa-ke, isimo esibizwa ngokuthi i-hypoglycemia , esibangela amazinga kashukela egazini ukuba ehle kakhulu, singaba nemiphumela esheshayo kakhulu. Le ngozi iyanda njengoba umuntu ekhula. I-hypoglycemia enkulu ingaholela ekuweni okuyingozi, ukulaliswa esibhedlela, ngisho nokufa .
Ucwaningo lwamuva nje luthole ukuthi ingxenye eyodwa kwezintathu yabantu abadala ababene-hypoglycemia enkulu bafa zingakapheli iminyaka emithathu kusukela kwalesi sigameko. Lokhu kusho ukuthi i-hypoglycemia iyisimo esiyingozi kakhulu kunalokho esikucabangayo.
Kungani ingozi yokuba noshukela ophansi egazini ikhula njengoba umuntu ekhula?
Kalula nje, kungenxa yezinguquko emizimbeni yethu. Njengoba sikhula, indlela esisebenza ngayo iyashintsha. Ukumelana ne-insulin kunganda. Futhi, amaseli e-pancreas akhiqiza i-insulin angase angakwazi ukuphendula ngokushesha ezinguqukweni zamazinga kashukela egazini.
Ake sigxile ekuvimbeleni ukwehla koshukela
Abantu abaningi abanesifo sikashukela belulekwa ukuthi bagcine amazinga abo e-A1c engaphansi kuka-7%. Ngezinye izikhathi lo mgomo awushintshi ngisho noma uneminyaka, indlela yokuphila, kanye nezimo zempilo.
Ake sicabange ngo-Anti Kamala. Manje uneminyaka engu-71 ubudala. Ube nesifo sikashukela kusukela eneminyaka engama-40. Wayenale migomo eqinile. Wayevame ukuba nezigameko ze-hypoglycemia, ikakhulukazi phakathi nobusuku noma ekuseni kakhulu. Ngesikhathi eqaphela, amazinga kashukela egazini lakhe ayesehle kakhulu.
"Kwakuyisenzakalo esesabekayo kakhulu," kusho u-Anti Kamala. " Inhliziyo yami yayishaya ngamandla, ngangijuluka, futhi ngangizizwa ngididekile.""
Abantu abadala banamathuba amaningi okuphuthelwa yilezi zimpawu zoshukela ophansi egazini ngoba ezinye zezimpawu, njengokukhathala, ukucasuka, isikhumba esimpunga, kanye nekhanda elibuhlungu, zingaphanjaniswa kalula nezinye izifo noma njengokuguga okuvamile.
Ungawaphatha kanjani amazinga kashukela ngaphandle kokwandisa imithi?
Ngisho noma uKamala ethole uhlelo lwemithi olumfanele, amazinga kashukela egazini lakhe aqala ukulawula ngisho nangaphambi kwalokho. Imfihlo kwakuwukudla nokuzivocavoca .
Uhlelo lokudla oluqondene nomuntu siqu oluvela kuchwepheshe wezokudla kanye nokuzivocavoca njalo kwamsiza ukuba anciphise isisindo esiningi.
Ayikho uhlelo lokudla olufanela wonke umuntu. Uchwepheshe wezokudla uzocabangela indlela yakho yokuphila, imibiko yelabhorethri, kanye nezinto ozithandayo nongazithandi ukuze akhe uhlelo oluqondene nawe ngqo.
Uma sizivocavoca, imisipha yethu iba namandla. Uma sinemisipha eminingi, kulapho i-metabolism yethu izoshesha khona, okuzosisiza silawule amazinga ethu kashukela egazini. Ngakho-ke, ngisho noma siguga, singalondoloza indlela yokuphila enempilo futhi silawule imizimba yethu.
Ukwenqaba indlela 'yosayizi owodwa ofanelana nakho konke'
Ngenxa yala maqiniso, ngisho nezinhlangano ezinkulu zezokwelapha njenge-American Diabetes Association zisanda kuvuselela izincomo zazo zabantu abadala. Ngakho-ke, izincomo zazo yilezi ezilandelayo:
| Isimo sempilo sesiguli esikhulile | Inhloso ye-A1c enconyiwe |
|---|---|
| Abantu abadala abaphilile nabakhuthele | Ngaphansi kuka- 7.5% |
| Abantu abanezinye izifo futhi abanempilo emaphakathi | Ngaphansi kuka- 8.0% |
| Abantu abanezifo eziningi, impilo embi, noma isikhathi sokuphila esilinganiselwe | Izinhloso ze-A1c akufanele zithenjwe zodwa. Umgomo oyinhloko wokwelashwa kufanele kube ukunciphisa izimpawu nokuthuthukisa ikhwalithi yokuphila kwesiguli. |
Ngokwesibonelo, cabanga ngendoda eneminyaka engu-86 ubudala egama linguSiripala. I-A1c yakhe yayingaphezudlwana kweminyaka engu-7. Nakuba udokotela wayefuna ukumnika imithi, abanakekeli bakhe banquma ukushintsha ukudla kwakhe futhi bamyise ohambweni olufushane nsuku zonke. Okumangalisayo ukuthi amazinga kashukela egazini lakhe abuyele esimweni esijwayelekile ngaphandle kokushintsha okukhulu.
Njengoba sikhula, lapho sihlela ukwelashwa, kubalulekile ukubeka phambili induduzo yesiguli kunokulawula okuqinile.
Khuluma wena.
Ekugcineni, into ebaluleke kakhulu ukuba umshayeli wemoto ohlola impilo yakho. Ake sikhumbule indaba kaKamala Aunty. Eminyakeni embalwa edlule, wabuza udokotela wakhe nge- 'Continuous Glucose Monitor (CGM)' , eyayizomvumela ukuthi ahlole amazinga akhe kashukela ngesikhathi sangempela ngaphandle kokumthinta ngomunwe. Kodwa udokotela akakukhuthazanga lokho.
"Ngakho-ke ngishintshe odokotela," kusho uKamala. Manje njengoba esene-CGM, angenza izinguquko ezidingekayo ngokushesha, futhi amazinga akhe kashukela asezinzile manje.
"Thola udokotela oqondayo ukuthi umzimba wakho uzizwa kanjani."
Uma unomuzwa wokuthi udokotela wakho akakulaleli, ungesabi ukubona udokotela ohlukile. Okusebenza kumuntu oyedwa kungase kungasebenzi kuwo wonke umuntu. Wonke umuntu kufanele akhulume nodokotela wakhe futhi akhe uhlelo lokwelashwa olusebenzela yena, indlela yakhe yokuphila, kanye nemigomo yakhe yezempilo.
Umlayezo Wokuya Nawe Ekhaya
- Kwabantu abadala abanesifo sikashukela, ushukela ophansi egazini (i-hypoglycemia) ungaba ngokushesha futhi ube yingozi kakhulu kunoshukela ophezulu egazini (i-hyperglycemia).
- Akubona bonke abantu abadala abanesifo sikashukela okudingeka bagcine imigomo eqinile ye-A1c (<7%). Kungaba yingozi.
- Uhlelo lokwelashwa akufanele lube "usayizi owodwa olufanela wonke umuntu." Kufanele lwenzelwe wena ngqo, ngokusekelwe eminyakeni yakho, impilo yakho iyonke, kanye nendlela yakho yokuphila.
- Ukudla kanye nokuzivocavoca umzimba kuyizinto ezimbili ezinamandla kakhulu ezingafani neze nodokotela.
- Khuluma nodokotela wakho ngokukhululekile ngemigomo yakho yezempilo, izinto ezikukhathazayo, kanye nemibono yakho. Zimele wena.
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