Umkhuhlane noma umkhuhlane kungaba buhlungu bangempela kunoma ubani. Uzizwa ukhathele futhi ungafuni ukwenza lutho. Kodwa uma unesifo sikashukela sohlobo 1 noma sohlobo 2, lesi sifo esivamile singaba sibi kakhulu. Ngenxa yezinto ezifana nokutheleleka, ukuphelelwa amanzi emzimbeni, kanye nemithi ethile, kungaba nzima kakhulu ukulawula amazinga kashukela egazini lakho. Kodwa ungakhathazeki, uma ukwazi lokhu futhi uthatha izinyathelo ezidingekayo, ungasiphatha kahle lesi simo.
Kungani amazinga kashukela egazini lami enyuka uma ngigula?
Kalula nje, kusebenza kanje: Uma uthola ukutheleleka njengomkhuhlane, umzimba wakho uqala ukulwa nalesi sifo. Ukuze usize kule mpi, umzimba wakho ukhipha ama-hormone akhethekile. Cabanga ngakho njengebutho eliphuma lizolwa nesifo emzimbeni wakho.
Kodwa lokhu kunomphumela omncane. La ma-hormone avimbela i-insulin yomzimba wethu ukuthi yenze umsebenzi wayo ngendlela efanele. Ngakho-ke umphumela uba ukuthi amazinga kashukela egazini lakho akhuphuke ngokuzumayo.
- Uma amazinga kashukela egazini lomuntu onesifo sikashukela sohlobo 1 engalawuleki, angaba nesimo esiyingozi esibizwa ngokuthi i-ketoacidosis . Lokhu kwenzeka lapho igazi liba ne-asidi kakhulu. Lokhu kungaba yingozi empilweni.
- Umuntu onesifo sikashukela sohlobo lwesibili , ikakhulukazi umuntu omdala, angaba nesifo esibi esibizwa ngokuthi i-diabetic coma uma amazinga kashukela egazini lakhe ekhuphuka kakhulu.
Ngakho-ke, akuwona umqondo omuhle ukungawunaki umkhuhlane umuntu onesifo sikashukela anawo, ucabanga ukuthi kuyinto evamile.
Ungakuvimbela kanjani umkhuhlane kanye nomkhuhlane?
Ukuvimbela kuyindlela engcono kakhulu yokwelapha, ngakho-ke qaphela ngalezi zinto.
- Geza izandla zakho njalo: Kwenze umkhuba wakho nomndeni wakho ukugeza izandla zakho kahle ngensipho namanzi njalo.
- Thola Umjovo Womkhuhlane: Nakuba kungekho muthi wokugomela umkhuhlane ovamile, kukhona umuthi wokugomela umkhuhlane. Ukuthola lo muthi minyaka yonke kuyinto engcono kakhulu ongayenza. Kunconywa kuwo wonke umuntu oneminyaka engaphezu kwezinyanga eziyisithupha ubudala. Ngakho-ke uma ingane yakho inesifo sikashukela, nayo ithole lo muthi wokugomela.
- Khuthaza abanye: Kungumqondo omuhle ukuthola umuthi wokugomela umkhuhlane hhayi wena kuphela, kodwa nomndeni wakho, osebenza nabo, kanye nabangani. Uma bengawutholi, mancane kakhulu amathuba okuthi nawe uwuthole.
USepthemba ubhekwa njengesikhathi esingcono kakhulu sokuthola lo muthi wokugomela, njengoba uhlinzeka ngesivikelo cishe izinyanga eziyisithupha. Kodwa-ke, ungawuthola lo muthi wokugomela nganoma yisiphi isikhathi ngesikhathi somkhuhlane.
Cabanga futhi ngomuthi wokugomela i-pneumonia.
Buza udokotela wakho uma udinga umjovo we-pneumonia. Lo mjovo awugcini nje ngokukuvikela kwi-pneumonia, kodwa futhi nasezifweni ezifana nokutheleleka kwegazi kanye ne-meningitis. Ngokusho kwe-American Diabetes Association, umuntu oyedwa kwabathathu kuphela onesifo sikashukela othole umjovo. Kodwa bewazi ukuthi abantu abanesifo sikashukela banamathuba aphindwe kathathu okufa ngenxa yomkhuhlane kanye ne-pneumonia?
Okudingeka ukwazi ngemithi yomkhuhlane
Enye yezinkinga ezinkulu kumuntu onesifo sikashukela ukuthi eminye imithi yomkhuhlane iqukethe ushukela. Ikakhulukazi amasiraphu okukhwehlela kanye nemithi yoketshezi ingaba noshukela.
- Funda ilebula: Ngaphambi kokuthi uthenge umuthi ekhemisi, funda ilebula ngokucophelela ukuze ubone ukuthi uquketheni.
- Buza udokotela wakho: Into engcono kakhulu nephephile ongayenza ukukhuluma nodokotela wakho umbuze ngemithi engenashukela ekufanele. Bhala phansi amagama emithi oyibuzayo ndawana thize. Kuzokusiza kamuva.
- Qaphela ngomfutho wegazi ophakeme: Uma futhi unomfutho wegazi ophakeme, gwema ukuthatha imithi yomkhuhlane equkethe imithi yokuqeda ukuminyana kwegazi, ngoba ingakhuphula umfutho wegazi wakho kakhulu.
- Ungabaniki abantwana abancane: Kungakhathaliseki ukuthi banesifo sikashukela noma cha, ungabaniki izingane ezingaphansi kweminyaka emibili imithi yomkhuhlane noma yomkhuhlane ngaphandle kweseluleko sikadokotela ngenxa yengozi yemiphumela emibi kakhulu.
Ake senze uhlelo losuku lokugula.
Noma ubani angathola umkhuhlane noma umkhuhlane nganoma yisiphi isikhathi. Ngakho-ke kuwukuhlakanipha ukulungiselela. Khuluma nodokotela wakho, umhlengikazi, noma umfundisi wesifo sikashukela ukuze wakhe uhlelo olufanele wena. Iseluleko esivamile sihlanganisa ukwenza izinto ezinjengalezi:
1. Hlola amazinga kashukela egazini lakho njalo: Udokotela wakho angancoma ukuthi uhlole amazinga kashukela egazini lakho okungenani njalo emahoreni ama-4 . Uma amazinga kashukela egazini lakho engekho ngaphakathi kobubanzi obuqondiwe, udokotela wakho angancoma ukuthi ushintshe uhlelo lwakho lokuphatha isifo sikashukela ngokufanele. Uma amazinga kashukela egazini lakho ephezulu kakhulu, udokotela wakho angancoma ukuthi wandise umthamo wakho we-insulin.
2. Hlola ama-Ketone: Uma izinga likashukela egazini lakho lingaphezu kuka -240 mg/dL , hlola umchamo wakho ukuze ubone ama-ketone. Uma une-ketone, shayela udokotela wakho ngokushesha.
3. Hlola izinga lokushisa lomzimba wakho: Hlola izinga lokushisa lomzimba wakho njalo.
4. Ukudla Neziphuzo:Uma ugula, ungase ungazizwa sengathi ufuna ukudla. Kodwa kubalulekile ukuzama ukudla nokuphuza okuthile. Uma ungadli, amazinga kashukela egazini lakho angase ehle kakhulu. Uma unomkhuhlane, ukuhlanza, noma isifo sohudo, phuza okungenani ingilazi yoketshezi njalo ngehora uvukile. Amanzi, umhluzi, kanye nojusi wewolintshi kuhle.
5. Ungayeki ukuthatha i-insulin/imithi: Qhubeka uthatha i-insulin yakho noma eminye imithi yesifo sikashukela njengoba uyalelwe, ngaphandle kokuthi udokotela wakho akutshele ukuthi ungayisebenzisi.
Isikhathi sokubona udokotela ngokushesha
Uma wena noma ingane yakho enesifo sikashukela ninezimpawu zomkhuhlane, shayela udokotela wakho ngokushesha ukuze uqale ukwelashwa ukuze uvimbele izinkinga ezinkulu. Qaphela kakhulu izimpawu ezikuthebula elingezansi.
| Nini lapho kufanele uthole iseluleko sezokwelapha | |
|---|---|
| Kwabantu abadala | |
| Izimpawu | Uma izimpawu zinzima noma zihlala izinsuku eziningana. |
| Ubunzima bokuphefumula | Uma uzizwa unenkinga yokuphefumula. |
| Izinga likashukela egazini | Uma izinga likashukela liqhubeka nokuba ngaphezu kuka -180 mg/dL noma ngaphansi kuka -70 mg/dL . |
| Ukuhlanza/uhudo | Uma ungakwazi ukuyeka ukudla noma ukuphuza, noma uma uhlanza noma uhudo oluqhubekayo. |
| Imfiva | Uma umkhuhlane uphakeme kuno- 101°F (38.3°C) noma uma umkhuhlane ungehli. |
| Kwabantwana abancane | |
| Ubunzima bokuphefumula | Uma unenkinga yokuphefumula noma izindebe zakho ziphenduka zibe luhlaza okwesibhakabhaka. |
| Ukwenqaba ukudla/ukuphuza | Uma ingane yenqaba ukudla noma ukuphuza. |
| Imfiva | Uma umkhuhlane ungaphezu kuka- 102°F (38.9°C) (kumntwana ongaphansi kwezinyanga ezimbili ubudala, noma yimuphi umkhuhlane). |
| Ezinye izici | Ubuhlungu bendlebe, ukulala okungajwayelekile noma ukucasuka, ukuba kubi kakhulu kwezimpawu. |
Umlayezo Wokuya Nawe Ekhaya
- Uma unesifo sikashukela, ungawunaki ngisho nomkhuhlane ovamile. Ungaphazamisa amazinga kashukela egazini lakho.
- Thola umjovo womkhuhlane minyaka yonke. Khuthaza umndeni wakho ukuba wenze okufanayo.
- Yenza uhlelo losuku lokugula nodokotela wakho kusenesikhathi.
- Hlola amazinga kashukela egazini lakho njalo uma ugula. Uma ushukela egazini lakho ungaphezu kuka-240 mg/dL, hlola ama-ketone.
- Gwema ukuthatha imithi, ikakhulukazi ama-syrup okukhwehlela aqukethe ushukela, ngaphandle kweseluleko sikadokotela. Buza udokotela wakho ngemithi ephephile.
- Uma ubona izimpawu eziyisixwayiso ezifana nobunzima bokuphefumula, umkhuhlane ophakeme, noma amazinga kashukela angalawuleki, funa iseluleko sezokwelapha ngokushesha.
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