Uma unesifo sikashukela, cishe uke wezwa inkulumo ethi "ushukela ophezulu egazini" ngaso sonke isikhathi. Cishe uke wezwa ukuthi kwenzeke kumngane noma esihlotsheni sakho. Kalula nje, yilokhu isayensi yezokwelapha ekubiza ngokuthi i-hyperglycemia. Kusho ukuthi inani le-glucose (ushukela) egazini lakho likhuphuka kakhulu. Lokhu kwenzeka ngoba umzimba wakho awukhiqizi i-hormone insulin kahle noma awukwazi ukusebenzisa i-insulin oyikhiqizayo kahle. Ngakho-ke namuhla, ake sixoxe ngalokhu ngokujulile, ngendlela wonke umuntu angayiqonda.
Kuyini ngempela i-hyperglycemia?
Cabanga ngakho, amangqamuzana emzimbeni wethu afana nezinjini ezincane. Lezi zinjini zidinga amandla, noma uphethiloli, ukuze zisebenze. Lophethiloli yi-glucose, esiyithola ekudleni esikudlayo, ikakhulukazi ekudleni okuqukethe ama-carbohydrate. Kodwa lo glucose awukwazi ukungena ngqo emaseli. Udinga usizo oluvela ku-hormone ebizwa ngokuthi i-insulin. I-insulin ifana nesihluthulelo esivula umnyango weseli.
Umuntu onesifo sikashukela unenkinga ngalesi sihluthulelo (i-insulin). Kungakhathaliseki ukuthi azikho izihluthulelo ezanele (isifo sikashukela sohlobo 1), noma ngabe zikhona izihluthulelo, azilingani kahle nokhiye womnyango (ukumelana ne-insulin, okwenzeka kusifo sikashukela sohlobo 2). Kwenzekani-ke? I-glucose eqongeleleka egazini ayikwazi ukungena emangqamuzaneni futhi iqongeleleka egazini. Lokhu kwanda kwamazinga kashukela egazini kubizwa ngokuthi i-hyperglycemia.
Kunezindlela ezimbili eziyinhloko zokwenza lokhu:
| Uhlobo lwe-hyperglycemia | Kalula nje... |
|---|---|
| Ukuzila Ukudla Okuphezulu Kwegazi | Lokhu kusho ukuthi izinga likashukela egazini lakho liphakeme kune- 130 mg/dL ngemva kokuthi ungadlanga noma uphuze lutho okungenani amahora angu-8. (Uma inani lakho liphakathi kuka-100-125 mg/dL, kubhekwa njenge-prediabetes.) |
| I-Hyperglycemia Yangemva Kokudla | Uma amazinga kashukela egazini ehlolwa emahoreni ama-2 ngemva kokudla, aphakeme kuno -180 mg/dL . Ngisho nangemva kokudla kakhulu, leli nani alivamile ukukhuphuka ngaphezu kuka-140 mg/dL kumuntu onesifo sikashukela. |
Okubaluleke kakhulu, uma lesi simo sivamile noma siqhubeka, singalimaza imizwa yakho, imithambo yegazi, kanye nezitho zangaphakathi. Ngakho-ke, kubaluleke kakhulu ukusixilonga nokuselapha ngokushesha.
Yiziphi izimbangela zamazinga aphezulu kashukela egazini?
Kunezizathu ezahlukahlukene ezenza umuntu onesifo sikashukela abe namazinga aphezulu kashukela egazini.
- Ukukhohlwa noma ukweqa amaphilisi akho e-insulin noma esifo sikashukela anikezwe udokotela ngesikhathi .
- Ukudla ukudla okuqukethe ama-carbohydrate (isitashi) amaningi kune-insulin oyidingayo. Isibonelo, ukudla ilayisi, isinkwa, noma amazambane amaningi kakhulu.
- Ukutheleleka emzimbeni.
- Noma yisiphi esinye isifo noma isimo (isib. umkhuhlane, umkhuhlane).
- Ukucindezeleka okwandayo.
- Ukungawuvivinyi umzimba noma ukungawuvivinyi njalo.
- Ngezinye izikhathi, ukuzivocavoca okunzima kakhulu (ikakhulukazi lapho ushukela egazini usuvele uphezulu futhi amazinga e-insulin ephansi) nakho kungaba yimbangela.
Ingabe abantu abangenaso isifo sikashukela bangaba noshukela ophezulu egazini?
Yebo, ngisho nabantu abangenaso isifo sikashukela ngezinye izikhathi bangaba ne-hyperglycemia.
- I-Cushing's syndrome: Lesi yisimo esingavamile esenzeka lapho umzimba unezinga eliphezulu le-cortisol ye-hormone isikhathi eside.
- Izifo ze-pancreas: Uma kunesifo se-pancreas esikhiqiza i-insulin (i-pancreatitis noma umdlavuza we-pancreas), ukukhiqizwa kwe-insulini kungase kuphazamiseke.
- I-Polycystic Ovary Syndrome (PCOS): Lesi simo, esivame kakhulu kwabesifazane, sibonakala ngokumelana ne-insulin.
- Imithi ethile: Imithi ethile, njenge-steroids, ingakhuphula amazinga kashukela egazini okwesikhashana.
Ziyini izimpawu zoshukela ophezulu egazini?
Izimpawu ze-hyperglycemia zingahluka ezigabeni zokuqala kanye njengoba isimo siqhubeka. Kubalulekile ukuqaphela lokhu.
| Izimpawu zokuqala | Izimpawu ezenzeka isikhathi eside |
|---|---|
|
|
Isimo Esiphuthumayo: I-Diabetic Ketoacidosis (DKA)
Lokhu kuyinto okufanele uyiqaphele kakhulu. Uma i-hyperglycemia iqhubeka ingalawulwa, ikakhulukazi kubantu abanesifo sikashukela sohlobo 1, ingaholela esimweni esiyingozi nesisongela ukuphila esibizwa ngokuthi i-Diabetic Ketoacidosis (DKA).
Kalula nje, lapho amangqamuzana engakwazi ukuthola i-glucose, umzimba uqala ukushisa amafutha ukuze uthole amandla. Le nqubo ikhiqiza amakhemikhali abizwa ngokuthi “ama-ketone.” Lapho la ma-ketone eqoqana egazini, igazi liba ne-asidi. Lokhu kuyingozi kakhulu.
Izimpawu zesimo se-DKA:
- Isicanucanu nokuhlanza
- Ukuphelelwa amanzi emzimbeni okukhulu
- Isisu esibuhlungu
- Ubunzima bokuphefumula
- Iphunga elinjengezithelo emoyeni
- Ukushaya kwenhliziyo
- Ukudideka nokulahlekelwa ukwazi (i-coma)
Uma wena noma othile omaziyo enalezi zimpawu, kufanele uye e-Emergency Treatment Unit (ETU) yesibhedlela ngokushesha. Lesi yisimo esiphuthumayo sezokwelapha.
Silawula futhi sivimbele kanjani lesi simo?
Uma unesifo sikashukela futhi ubona izimpawu zokuqala ezishiwo ngenhla, qala uhlole amazinga kashukela egazini lakho. Bese ukhuluma nodokotela wakho. Angase akunike iseluleko esinjengalesi:
1. Phuza amanzi amaningi: Ukuphuza amanzi kusiza ekukhipheni ushukela omningi emzimbeni ngomchamo. Kungavimbela nokuphelelwa ngamanzi emzimbeni.
2. Ukuzivocavoca: Ukuzivocavoca kungasiza ekwehliseni amazinga kashukela egazini. Kodwa nansi into ebalulekile okufanele uyikhumbule. Uma amazinga kashukela egazini lakho esephezulu kakade futhi une-ketones emchameni wakho (ikakhulukazi kusifo sikashukela sohlobo 1), ukuzivocavoca kungenza izinto zibe zimbi kakhulu.Ngakho-ke, qiniseka ukuthi ucela iseluleko kudokotela wakho mayelana nendlela yokuzivocavoca.
3. Shintsha imikhuba yakho yokudla: Kungase kudingeke ushintshe inani nohlobo lwama-carbohydrate ekudleni kwakho. Ungacela iseluleko kuchwepheshe wezokudla ngalokhu.
4. Ukushintsha Imithi: Ungalokothi ushintshe uhlobo, umthamo, noma isikhathi semithi yakho ngaphandle kokubonisana nodokotela wakho kuqala. Uma kudingeka, udokotela wakho uzokwenza izinguquko ngokwakhe.
Into engcono kakhulu ongayenza ukuvimbela lesi simo ukuthi singenzeki. Lokhu kudinga ukulandela uhlelo lwakho lokuphatha isifo sikashukela ngqo.
- Thatha imithi oyinikezwe udokotela ngesikhathi.
- Landela uhlelo lokudla olubekiwe.
- Vivinya umzimba njalo.
- Hlola amazinga kashukela egazini lakho njalo.
- Kubaluleke kakhulu ukugqoka umazisi wezokwelapha ukuze abanye bazi ukuthi unesifo sikashukela uma kwenzeka isimo esiphuthumayo.
Umlayezo Wokuya Nawe Ekhaya
- I-Hyperglycemia iyizinga likashukela egazini eliphakeme ngokungavamile. Lesi yisimo esivame ukwenzeka kubantu abanesifo sikashukela.
- Qaphela izimpawu zokuqala ezifana nokoma njalo, ukuchama njalo, ukukhathala, kanye nokungaboni kahle.
- Ungalawula lesi simo ngokulandela ngokuqinile ukudla, ukuzivocavoca, kanye nohlelo lwemithi olunikezwe udokotela wakho.
- Uma uba nezimpawu ezinzima njengokuhlanza, izinhlungu zesisu, kanye nephunga elimnandi lokuphefumula, iya eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela ngokushesha, ngoba kungaba yisimo esiphuthumayo esibizwa ngokuthi (DKA) .
- Ungalokothi ushintshe imithi yakho ngaphandle kweseluleko sikadokotela. Uma unenkinga, khuluma nodokotela wakho.
💬 Comments (0)
Awekho amazwana athunyelwe okwamanje. Faka amazwana akho lapha okokuqala ngqa.
Engeza amazwana akho