Uma udokotela wakho ekutshela ukuthi unesifo sikashukela sohlobo lwesibili, kuvamile ukuba kuvele imibuzo engqondweni. 'Kufanele ngenzeni manje?', 'Ingabe lo muthi ungifanele?', 'Kuzokwenzekani ngokulandelayo?' Izinto ezinjengalezi zingase zifike engqondweni. Ngakho-ke, ungalokothi unqikaze ukubuza udokotela wakho noma yimiphi imibuzo onayo mayelana nokwelashwa kwakho, imithi, noma indlela yokuphila. Ukucacisa ukukhathazeka kwakho kuyingxenye ebaluleke kakhulu yokwelashwa. Namuhla, sizoxoxa ngemibuzo evamile abantu abaningi abanayo mayelana nesifo sikashukela kanye nezimpendulo ezilula zayo.
Ingabe lesi sifo singalapheka ngokuphelele?
Impendulo yalokhu ingu-'cha' eqondile. Kodwa ungakhathazeki. Nakuba isifo sikashukela sohlobo lwesibili singelapheki ngokuphelele, singalawulwa, noma sibuyiselwe 'ekukhululweni'. Kalula nje, ngokubuyisela amazinga kashukela egazini lakho esimweni esijwayelekile, ungavimbela izinkinga eziningi zesifo sikashukela. Udokotela wakho angase akwazi ukunciphisa imithi yakho noma ayiyeke isikhashana.
Into eyinhloko kulokhu ukushintsha indlela yokuphila.
- Ukudla okunempilo: Ukuze wenze lokhu, ungakhuluma nodokotela wakho noma isazi sokudla bese udala uhlelo lokudla olufanela wena.
- Ukuzivocavoca: Zimisele ukwenza okungenani imizuzu engama-30 yokuzivocavoca okulingene ezinsukwini eziningi. Uma ungakwazi ukukwenza ngokushesha, qala kancane.
- Ukwehlisa isisindo: Uma ukhuluphele kakhulu, kubaluleke kakhulu ukwehlisa isisindo.
Yebo, imithi udokotela wakho ayinikezayo iyingxenye enkulu yokwelashwa kwakho. Kodwa ukuze uphile impilo enempilo, ukudla kahle nokuzivocavoca umzimba kufanele kube yinto ephambili ohlwini lwakho. Futhi, ukulala ngokwanele kubalulekile. Uma ulala ngaphansi kwamahora angu-7 ngosuku, amazinga kashukela egazini lakho angaphazamiseka.
Yini udokotela ayibhekayo uma uya emtholampilo?
Uma uya emtholampilo wesifo sikashukela, udokotela wakho uzokwenza izivivinyo eziningana ukuze aqaphe isimo sakho. Lezi zivivinyo zizohlola ukuthi isifo sakho sikashukela silawulwa kahle yini nokuthi ngabe kunezinye izinkinga ezivele.
| Kuyini okuhlolwayo/yini ebhekwayo? | Kungani lokho kubalulekile? |
|---|---|
| Ukuhlolwa kwe-A1c | Lena yindlela ongazi ngayo ngqo ukuthi amazinga kashukela egazini lakho alawulwe kanjani ezinyangeni ezi-2-3 ezedlule. |
| Ukushaya kwegazi | Ukuba nomfutho wegazi ophezulu kanye nesifo sikashukela kwandisa ingozi yezifo ezingathi sína njengesifo senhliziyo kanye nesifo sohlangothi. Ngakho-ke, kubalulekile ukulawula leli nani. |
| Izinga le-cholesterol | Ukulawula umfutho wegazi kanye namazinga e-cholesterol kusiza ukunciphisa ingozi yesifo senhliziyo. |
| Ukuhlolwa kwamehlo | Isifo sikashukela singalimaza amehlo. Lesi simo sibizwa ngokuthi i-retinopathy . Uma sitholakala kusenesikhathi, ukulahlekelwa umbono kungavinjelwa. |
| Ukuhlolwa kwezinyawo | Isifo sikashukela singalimaza imizwa ezinyaweni futhi sinciphise imizwa. Ngenxa yalokho, ngisho namanxeba amancane angabonakala, okuholela ezilondeni zezinyawo ezingapholi, ukutheleleka, futhi ngezinye izikhathi ngisho nokunqunywa. |
Ingabe kuzodingeka ngithathe i-insulin futhi?
Abantu abanesifo sikashukela sohlobo 1 badinga ngempela ukuthatha i-insulin, kodwa akubona bonke abanesifo sikashukela sohlobo 2 abadinga i-insulin.
Udokotela wakho ngokuvamile uzoqala azame ukulawula amazinga kashukela egazini lakho ngokudla, ukuzivocavoca, kanye nokulawula isisindo. Uma lokho kungasebenzi, kuzoqalwa imithi yomlomo. Ngokuvamile, umuthi wokuqala ozoqalwa umuthi obizwa ngokuthi i-metformin . Lokhu kusiza umzimba wakho ukuthi usebenzise i-insulin onayo ngempumelelo enkulu. Uma le mithi ingalawuli amazinga kashukela egazini lakho, udokotela wakho angase anqume ukukuqala ngeminye imithi noma i-insulin.
Khumbula, isifo sikashukela siyisifo esiqhubekayo. Lokhu kusho ukuthi noma ungayidingi i-insulin namuhla, ungase uyidinge esikhathini esizayo. Yileyo ndlela lesi sifo esiba ngayo.
Ngingahlola kanjani izinga likashukela wami ekhaya?
Indlela evame kakhulu yokwenza lokhu ukusebenzisa i-blood glucose meter. Okumele ukwenze nje ukubhoboza umunwe wakho ngenaliti encane, ubeke ithonsi legazi emgqeni wokuhlola, bese ulifaka ku-meter. Lokhu kuzokutshela inani likashukela egazini lakho.
Uma uthatha i-insulin futhi usengozini yokuba noshukela wegazi ophansi, ikakhulukazi ebusuku, udokotela wakho angase akuncome ukuthi usebenzise idivayisi ye -CGM (Continuous Glucose Monitoring) . Lokhu kuhilela ukunamathisela inzwa esikhumbeni sakho. Ilinganisa futhi iqophe amazinga kashukela egazini lakho njalo ngemizuzu embalwa phakathi nosuku.
Uma ngiqala ukuthatha i-insulin, ingabe kuzodingeka ngiyithathe impilo yami yonke?
Akunjalo ngaso sonke isikhathi. Ngezinye izikhathi i-insulin inikezwa njengesixazululo sesikhashana. Isibonelo, uma ukhulelwe noma ulaliswe esibhedlela ngenxa yesimo esiphuthumayo, udokotela wakho angase akuqalise i-insulin okwesikhashana. Ngokwezinye izilinganiso, cishe abantu abangu-67% abathatha i-insulin yesifo sikashukela sohlobo 2 ngeke baphinde badinge ukuyithatha futhi.
Ingabe izinso zami zizonakala ngenxa yesifo sikashukela bese kudingeka ukuthi ngihlinzwe nge-dialysis?
Lokhu kwesaba okukhulu kubantu abaningi. Kuyiqiniso ukuthi isifo sikashukela siyimbangela enkulu yesifo sezinso. Kodwa-ke, kunezinto eziningi ongazenza ukuze uzivikele.
Ukuthatha imithi yakho ngendlela efanele nokulawula ushukela wegazi lakho kanye nomfutho wegazi kuyinto ebaluleke kakhulu. Ngisho noma unesifo sezinso esisesigabeni sokuqala, uma ulawula ushukela wegazi lakho kanye nomfutho wegazi kahle, unganciphisa umonakalo owengeziwe ezinso zakho cishe ngesigamu. Ngakho-ke, ungesabi, futhi ulawule isifo sakho.
Umlayezo Wokuya Nawe Ekhaya
- Nakuba isifo sikashukela sohlobo lwesibili singelapheki ngokuphelele, singalawulwa kahle ngokushintsha indlela yokuphila (ukudla, ukuvivinya umzimba) futhi isidingo semithi singancishiswa.
- Kubalulekile ukubona udokotela wakho ngesikhathi esihleliwe bese uhlolwa i-A1c yakho, umfutho wegazi, amazinga e-cholesterol, kanye namehlo nezinyawo.
- Akuwona wonke umuntu onesifo sikashukela sohlobo lwesibili odinga i-insulin kusukela ekuqaleni. Ngokuvamile, abantu baqala ngamaphilisi.
- Ngokugcina amazinga kashukela egazini lakho kanye nomfutho wegazi kulawulwa kahle, ungavimbela ukulimala kwezitho zomzimba njengezinso, inhliziyo kanye namehlo.
- Khuluma nodokotela wakho ngokukhululekile nganoma yimiphi imibuzo noma ukukhathazeka onakho mayelana nokwelashwa noma imithi yakho.
💬 Comments (0)
Awekho amazwana athunyelwe okwamanje. Faka amazwana akho lapha okokuqala ngqa.
Engeza amazwana akho