Uma unesifo sikashukela, ukuhlolwa kwegazi njalo cishe kuyingxenye evamile yempilo yakho. Sihlala siqapha amazinga ethu kashukela egazini. Kodwa bewazi ukuthi ukuhlolwa komchamo wakho kungakutshela okuningi ngempilo yakho, ikakhulukazi impilo yezinso zakho nokuthi amazinga akho kashukela aphezulu yini ngendlela eyingozi? Lokhu kufana nezibonakaliso eziyisixwayiso ezivela emizimbeni yethu. Ngakho-ke namuhla, ake sixoxe ngalezi zivivinyo ezimbili zomchamo ezilula kodwa eziwusizo kakhulu.
Ukuhlolwa kwempilo yezinso
Cishe ingxenye yesithathu yabantu abanesifo sikashukela ekugcineni bazoba nezinkinga zezinso. Kungenye yezinkinga eziyingozi kakhulu zesifo sikashukela. Kodwa izindaba ezinhle ukuthi uma silawula ushukela wegazi kanye nomfutho wegazi wethu kahle kusukela ekuqaleni, futhi uma sithatha imithi enikezwe udokotela wethu ngendlela efanele, singagcina izinso zethu ziphilile.
Ngakho-ke, ukuze kutholakale izimpawu zokuqala zokulimala kwezinso, udokotela wakho angase ancome ukuhlolwa komchamo okukhethekile okubizwa ngokuthi ukuhlolwa kwe-microalbuminuria .
Kalula nje, i-albumin yiprotheni eyinhloko egazini lethu. Izinso eziphilile azikhiphi le phrotheni emchameni. Njengoba nje isihlungi setiye sihlunga itiye, izinso zigcina le phrotheni ebalulekile emzimbeni. Kodwa lapho izinso ziqala ukonakala, njengembobo esihlungini, le phrotheni ye-albumin iqala ukuvuza emchameni. Lokhu kuvuza kwephrotheni encane yilokho okutholakala ngokuhlolwa kwe-``Microalbuminuria``.
Lokhu kubaluleke kakhulu. Ngoba kulesi sikhathi, ungase ungezwa zimpawu. Ungase uzizwe uphilile, ngaphandle kwezinkinga. Kodwa izinso seziqala ukonakala ngaphakathi. Uma ukuqaphela lokhu kusenesikhathi, ungavimba umonakalo ukuthi ungabi mubi kakhulu futhi uholele ekuhlulekeni kwezinso.
Kufanele kwenziwe nini lokhu kuhlolwa?
- Uma usutholakale unesifo sikashukela sohlobo lwesibili , kufanele wenze lokhu kuhlolwa kanye ngonyaka. Lokhu kungenxa yokuthi kusifo sikashukela sohlobo lwesibili, amazinga kashukela egazini kungenzeka ukuthi ayephezulu iminyaka eminingi ngaphambi kokuba lesi sifo sitholakale.
- Uma unesifo sikashukela sohlobo 1 , lokhu kuhlolwa kuvame ukuqala eminyakeni emi-5 ngemuva kokutholakala kwalesi sifo.
| Kwenzekani uma umphumela wokuhlolwa ubonisa ukuthi unegciwane? | |
|---|---|
| Incazelo | Izinso zakho zivuza amaprotheni. Lesi esinye sezibonakaliso zokuqala nezibaluleke kakhulu zokuthi izinso zakho ziyalimala. |
| Dokotela, yiziphi izinyathelo okufanele ngizithathe? |
|
| Izinto ongazenza | Ukwehlisa isisindo esiningi nokuyeka ngokuphelele ukubhema kubalulekile ukuze kuvikelwe izinso. |
Ukuhlolwa okuthi amazinga kashukela aphezulu kakhulu
Lokhu kuhlolwa kubaluleke kakhulu kubantu abanesifo sikashukela sohlobo 1. Udokotela wakho angase akucele ukuthi uhlole umchamo wakho ukuze ubone ukuthi unawo yini ama-ketone .
Cabanga ngakho, amangqamuzana omzimba wethu adinga isihluthulelo esibizwa ngokuthi i-insulin ukuze athole amandla. Kodwa uma i-insulin ingekho eyanele, umzimba kufanele uthole enye indlela yokwenza amandla. Bese umzimba ushisa amafutha agcinwe emzimbeni ukuze enze amandla. Kule nqubo, amakhemikhali abizwa ngokuthi "ama-ketone" akhiqizwa njengomkhiqizo olandelanayo.
Nakuba lawa ma-ketone engenangozi ngamanani amancane, anobuthi uma eqongelela ngamanani amakhulu. Uma eqongelela egazini, angabangela isimo esiphuthumayo esisongela ukuphila esibizwa ngokuthi i-Diabetic Ketoacidosis (DKA) .
Ngakho-ke lokhu kuhlolwa kwe-ketone kuhloselwe ukukunikeza isixwayiso ngaphambi kokuba ufike kuleso simo esiyingozi. Lokhu ukuhlolwa okulula ongakwenza ekhaya. Ungathola imichilo yokuhlola ekhemisi ngokuyicwilisa emchameni wakho, ubukele ukushintsha kombala, bese uqhathanisa imiphumela neshadi lombala elisephaketheni.
Kufanele uhlole nini ama-ketone?
Uma unesifo sikashukela sohlobo 1...
- Uma ugula (njengomkhuhlane noma umkhuhlane) futhi unesicanucanu noma ukuhlanza.
- Uma ukhulelwe .
- Uma izinga likashukela egazini lakho liphakeme kune-300 mg/dL .
- Uma unezimpawu zoshukela ophezulu egazini, njengokoma ngokweqile, ukukhathala ngokweqile, ubuso obubomvu, ingqondo enenkungu, kanye nephunga lezithelo emoyeni wakho.
- Uma udokotela wakho ekucebisa ukuthi wenze kanjalo.
Uma unesifo sikashukela sohlobo lwesibili...
Akuvamile kakhulu ukuthi abantu abanesifo sikashukela sohlobo lwesibili babe namazinga aphezulu ama-ketone, noma ngabe bathatha i-insulin. Kodwa-ke, kungenzeka ezimweni ezimbi kakhulu. Udokotela wakho angase afune ukuhlola:
- Uma unesifo esibi kakhulu futhi unesicanucanu/ukuhlanza okungachazeki.
- Uma izinga likashukela egazini lakho lingaphezu kuka-300 mg/dL futhi liqhubeka nokwenyuka usuku lonke.
Kufanele ushayele udokotela ucingo ngokushesha nini?
Lena yingxenye ebaluleke kakhulu.
Umphumela wokuhlolwa kwe-ketone kufanele uhlale ungemuhle. Uma umphumela ungemuhle, okusho ukuthi ngisho nenani elincane likhona, yazisa udokotela wakho ngokushesha . Ungalibali.
Futhi, uma ushukela wakho wegazi uqhubeka uphezulu, uzwa ubuhlungu besisu, isicanucanu, ukuhlanza, ukuphefumula okusheshayo, iphunga elimnandi emoyeni wakho, noma ukuchama ngokweqile, tshela udokotela wakho ngokushesha.
Esimweni esinjalo, udokotela anganikeza iseluleko esilandelayo:
- Phuza amanzi amaningi kanye noketshezi ukuze wehlise amazinga e-ketone futhi ugcine umzimba wakho unamanzi.
- Qhubeka nokuhlola amazinga kashukela egazini lakho. Uma amazinga kashukela egazini lakho ephezulu, ungase utshelwe ukuthi uthathe umthamo omncane we-insulin esebenza ngokushesha.
- Ungase welulekwe ukuthi uye eMnyangweni Wezimo Eziphuthumayo (i-ETU) wesibhedlela esiseduze ukuze uthole uketshezi olufakwa emthanjeni (usawoti) kanye ne-insulin.
Ekugcineni, bhala phansi imiphumela yalezi zivivinyo zomchamo ozenzayo ekhaya encwadini yamanothi, kanye nosuku nesikhathi. Thatha le ncwadi yamanothi njalo uma ubona udokotela wakho. Izokusiza wena nodokotela wakho ukuthi nithole isithombe esicacile sempilo yenu.
Umlayezo Wokuya Nawe Ekhaya
- Ukuhlolwa kwegazi kanye nokuhlolwa komchamo kubaluleke kakhulu kumuntu onesifo sikashukela.
- Qiniseka ukuthi uthola ukuhlolwa kwe-microalbuminuria, okusetshenziselwa ukuhlola impilo yezinso zakho, okwenziwa minyaka yonke, njengoba kunconywa udokotela wakho.
- Uma ukuhlolwa komchamo kukhomba ukuthi kukhona ama-ketones, kuyisimo esiphuthumayo. Shayela udokotela wakho ngokushesha.
- Ungazivikela izinso zakho ngokulawula amazinga kashukela egazini lakho, umfutho wegazi kanye ne-cholesterol kahle.
- Uma unemibuzo noma unemibuzo mayelana nanoma yimiphi imiphumela yokuhlolwa, khuluma nodokotela wakho ngakho ngokukhululekile.
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