U-Asanga (oneminyaka engu-38 ubudala), umphathi wezokumaketha, ufike emtholampilo wami ngoLwesihlanu kusihlwa. Wayekhathazekile kakhulu.
"Dkt. Priya, ngiphuze amathini amabili kabhiya nabangani bami ngoLwesihlanu olwedlule. Cishe ngemva kwemizuzu engama-20 ngiphuze, ngazizwa nginesizungu kakhulu futhi umzimba wami wonke waqala ukuthuthumela. Kanye nalokho, ngajuluka kakhulu. Ngangicabanga ukuthi ukunambitheka okunamandla kotshwala obuvamile. Kodwa angikwazanga ngisho nokuhamba emgwaqweni ngaqala ukuquleka. Lapho ngihlola nge-glucometer umngane wami ayenayo, izinga likashukela egazini lami lase lehle laya ku-55 mg/dL! Nginesifo sikashukela. Kungani lokhu kwenzeke kimi, dokotela?" kubuza u-Asanga.
Ngachazela u-Asanga: "Asanga, ubhekene ne-hypoglycemia , izinga likashukela egazini eliphansi kakhulu. Ngokuvamile, lapho izinga likashukela emzimbeni wethu lehla, isibindi siguqula ushukela ogciniwe, noma i-glycogen, siwubuyisele ku-glucose bese siwukhipha egazini. Kodwa uma uphuza utshwala, isibindi kufanele sibeke phambili umsebenzi wokushisa nokukhulula utshwala, obuwubuthi emzimbeni. Ngaleso sikhathi, isibindi siyeka okwesikhashana ukukhiqiza ushukela. Ngakho-ke, uma umuntu ephuza amaphilisi esifo sikashukela ephuza utshwala esiswini esingenalutho noma engenakho ukudla okwanele, izinga likashukela lizokwehla ngokushesha."
🚨 Amafulegi Abomvu adinga ukunakekelwa kwezokwelapha okusheshayo
Abantu abaningi baphambanisa izimpawu zoshukela ophansi egazini (hypoglycemia) ngemva kokuphuza utshwala nezimpawu zokudakwa okuvamile (isb., ukuzizwa unesizungu). Kodwa-ke, uma kuvela izimpawu ezilandelayo, kuyisimo esiphuthumayo sezokwelapha futhi kufanele selashwe ngokushesha:
- Ukuthuthumela okukhulu komzimba okungalawuleki kanye nokujuluka okubandayo.
- Inkulumo engacacile (ukungacaci kwamagama) kanye nokudideka okukhulu.
- Ukungakwazi ukuhamba, ukubona izinto ezingacacile, kanye nokuquleka.
- Izimpawu ezifana nokulahlekelwa ukwazi noma ukuquleka.
Indlela utshwala obuthinta ngayo abantu abanesifo sikashukela
Ukusetshenziswa kotshwala kuthinta ngqo amazinga kashukela egazini kanye nempilo ngezindlela ezilandelayo:
1. Ukuxhumana okubi kwemithi: Imithi yesifo sikashukela efana ne -sulfonylureas kanye ne-meglitinides ivuselela ama-pancreas ukuthi akhiqize i-insulin eningi. Ukuphuza utshwala ngenkathi uthatha le mithi kungabangela amazinga kashukela egazini ehle ngokushesha.
2. Ukwehla kwe-hypoglycemia okubambezelekile: Kukhona ingozi yokuba namazinga kashukela egazini aphansi phakathi kwemizuzu embalwa kuya emahoreni ayi-12-24 ngemva kokuphuza utshwala. Ikakhulukazi uma uphuza utshwala ebusuku bese ulala, amazinga kashukela egazini lakho angase ehle ngenkathi ulele.
3. Izinkinga ezengeziwe: Ukusebenzisa utshwala njalo kwandisa ingozi yesifo senhliziyo kanye ne-neuropathy, okuyizinkinga eziyinhloko zesifo sikashukela.Isimo siya siba sibi ngokushesha.
Izinyathelo okufanele zithathwe uma kwenzeka ingozi (Umthetho we-15)
Uma izinga likashukela egazini lakho lehla ngaphansi kuka-70 mg/dL ngemva kokuphuza utshwala, thatha izinyathelo ezilandelayo ngokushesha:
1. Nikeza umzimba amagremu angu-15 kashukela ngokushesha: amaphilisi e-glucose angu-3-4, uhhafu wendebe yejusi yezithelo, noma isipuni sikashukela esincibilikisiwe emanzini bese uphuza.
2. Linda imizuzu eyi-15: Linda imizuzu eyi-15 ungadli lutho bese ulinganisa ushukela egazini lakho futhi.
3. Uma izinga likashukela lingaphansi kuka-70 mg/dL: Nikeza amagremu angu-15 kashukela futhi bese ulinganisa izinga likashukela ngemizuzu engu-15 elandelayo.
4. ⚠️ Okubalulekile: Uma isiguli singazi lutho noma sinenkinga yokugwinya, ungasiniki lutho ngomlomo bese usiyisa esibhedlela ngokushesha. Imijovo ye-glucagon, enikezwa ukuphakamisa amazinga kashukela egazini ngemva kokuphuza utshwala, ngeke isebenze (ngoba isibindi simatasa sisusa utshwala).
Okumele Ukwenze Nokungafanele Ukwenze
| ✔️ Izinto okufanele uzenze (Okufanele Uzenze) | ❌ Okungafanele ukwenze |
|---|---|
| Qiniseka ukuthi uhlola amazinga kashukela egazini lakho ngaphambi nangemva kokuphuza utshwala. | Ungalokothi uphuze utshwala esiswini esingenalutho. Yidla ukudla okunama-carbohydrate ngenkathi uphuza utshwala. |
| Uma uphuza utshwala, sebenzisa i-soda, amanzi, noma izixubi zokudla ezingenashukela. | Gwema ukuphuza iziphuzo ezinoshukela, njenge-soda, iwayini elimnandi, noma ubhiya. |
| Gqoka ikhadi noma isongo elibonisa ukuthi unesifo sikashukela. | Ungaphuzi utshwala ebusuku, hlola amazinga kashukela egazini lakho, bese ulala ungadli ukudla okulula okwengeziwe. |
❓ Eminye imibuzo ongase ube nayo (Imibuzo Ebuzwa Njalo)
Uyini umkhawulo wotshwala ophezulu kumuntu onesifo sikashukela?▼
Imikhawulo enempilo iwukuphuza isiphuzo esisodwa (iyunithi eli-1) ngosuku kwabesifazane abanesifo sikashukela kanye neziphuzo ezimbili (amayunithi ama-2) ngosuku kwabesilisa. Utshwala akufanele budlule amayunithi ayi-14 ngesonto futhi kubalulekile ukuba nezinsuku eziningana zokungabi notshwala ngesonto.
Ingabe ukuphuza ubhiya kuyawanyusa amazinga kashukela egazini ?
Njengoba ubhiya unama-carbohydrate amaningi, ekuqaleni ungakhuphula amazinga kashukela egazini. Kodwa njengoba umzimba uqala ukugaya utshwala (ikakhulukazi ngemva kwamahora ambalwa), amazinga kashukela egazini aqala ukwehla ngokushesha.
Ngingaphuza utshwala ngenkathi ngithatha i-metformin? ▼
Ukuphuza utshwala obuningi ngesikhathi usebenzisa i-metformin kungaba yingozi kakhulu. Kungaholela esimweni esingavamile kodwa esibulalayo esibizwa ngokuthi i-lactic acidosis, okuyiqoqo lama-asidi ayingozi emzimbeni.
Ungakuvimbela kanjani ukwehla kwe-hypoglycemia ebusuku? ▼
Qiniseka ukuthi uhlola amazinga kashukela egazini lakho nge-glucose meter ngaphambi kokulala ngemva kokuphuza utshwala. Ngisho noma kuyinto evamile, yidla ukudla okulula okuqukethe ama-carbohydrate ashisa kancane, njenge-sandwich noma i-oats, ngaphambi kokulala.
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