Uma unesifo sikashukela, cishe uyazi kahle ukungakhululeki okungajwayelekile, ukukhathala, kanye nokozela okuzwayo ngemva kokudla ukudla okukhulu. Yilokho esikushoyo engxoxweni yansuku zonke, "Ngizizwa sengathi ngidle ushukela omningi namuhla." Ingabe kuyinto evamile ngempela ukuthi ushukela egazini ukhuphuke ngokuzumayo kanje ngemva kokudla? Ingabe kuyingozi? Asikwazi yini ukukulawula? Kulungile, ake sixoxe ngalokhu ngokucacile nangokulula namuhla.
Buyini ubudlelwano phakathi kokudla noshukela egazini (i-glucose)?
Kalula nje, ngemva kokudla, uhlelo lwethu lokugaya ukudla luhlukanisa ukudla esikudlayo kube amandla. Lawa mandla yilokho esikubiza ngokuthi 'i-glucose' noma 'ushukela'. Lo shukela ungena egazini bese uhamba uye kuwo wonke amaseli emzimbeni ukuze uwanike amandla awadingayo. Ngakho-ke kuyinto evamile ukuthi amazinga kashukela egazini akhuphuke ngezinga elithile ngemva kokudla.
Uma unesifo sikashukela, cishe une-glucometer ekhaya ekuvumela ukuthi uthathe ithonsi legazi emunweni wakho bese uhlola ushukela wakho wegazi. Odokotela bavame ukukweluleka ukuthi uhlole amazinga kashukela egazini lakho ngaphambi kokudla kanye namahora amabili ngemva kokuqala ukudla. Lokhu kuzokunikeza umbono omuhle wokuthi umzimba wakho usabela kanjani ekudleni.
Ngokuvamile, izinga likashukela egazini lomuntu omdala ophilile ngaphambi kokudla kufanele libe phakathi kuka-80-130 mg/dL. Ngemva kwamahora amabili ukudla, kungcono ukuligcina lingaphansi kuka-180 mg/dL.
Kungani kuyingozi ukugxuma ushukela ngemva kokudla?
Odokotela bakubiza lokhu ngokunyuka okungazelelwe koshukela egazini ngemva kokudla 'i-Postprandial Hyperglycemia'. Cabanga ngakho, uma lokhu kwenzeka kanye noma kabili, kungase kungabi yinkinga enkulu. Kodwa ukuba namazinga aphezulu kashukela egazini esikhathini eside futhi njalo akuyona into enhle nhlobo.
Njengokushayela imoto ngesivinini esiphezulu ngaso sonke isikhathi. Ngisho noma kungabangeli izinkinga ngemva kwebanga elifushane, uma uqhubeka nokushayela ngaleyo sivinini, kuzolimaza izingxenye zemoto, njengenjini namathayi. Ngokufanayo, amazinga kashukela aphezulu isikhathi eside alimaza izitho ezibalulekile zomzimba wethu.
Lokhu kungabangela umonakalo omkhulu ezinso zakho, ohlelweni lwezinzwa, emehlweni, kanye nasenhliziyweni . Ngakho-ke, kubaluleke kakhulu ukunakekela lesi simo.
Ngingazi kanjani ukuthi ushukela wami wegazi uphezulu?
Uma izinga likashukela egazini lakho lidlula ku-200 mg/dL, ungase ube nezimpawu zoshukela ophezulu egazini (i-hyperglycemia). Akuwona wonke umuntu ozoba nazo zonke lezi zimpawu, kodwa uma unezinye zazo, kufanele ukhathazeke.
| Isibonakaliso | Indlela ozizwa ngayo |
|---|---|
| Ukoma ngokweqile | Umlomo owomile ozwakala sengathi akwanele kungakhathaliseki ukuthi uphuza amanzi angakanani. |
| Ukuchama njalo | Ukudinga ukuchama kaningi kunokujwayelekile. |
| Ukukhathala/ukukhathala ngokweqile | Ukuzizwa ukhathele kakhulu ngisho nangemva kokulala kahle futhi ungenzi lutho. |
| Umbono ofiphele | Izinto ezazisobala ziba sobala kancane, njengokungathi zisenkungwini . |
| Isicanucanu nokudideka | Ukuzizwa unesicanucanu, udidekile, ungakwazi ukugxila. |
Wenzani uma ushukela wakho ukhuphuka ngokuzumayo?
Uma unezimpawu ezishiwo ngenhla, ungesabi bese uqala uhlole izinga likashukela egazini lakho nge-glucometer yakho. Uma liphezulu, ungalinciphisa kancane izinga likashukela egazini lakho ngokwenza ukuzivocavoca okulula, njengokuhamba ibanga elifushane imizuzu eyi-10-15 .
Kodwa kukhona isixwayiso esibaluleke kakhulu lapha.
Uma izinga likashukela egazini lakho liphezulu kakhulu, njenge-240 mg/dL, kufanele uhlole umzimba wakho ukuthi awunawo yini ama-ketone ngaphambi kokuzivocavoca. Ama-ketone awuhlobo lwe-asidi olukhiqizwa lapho umzimba ungakwazi ukuthola amandla avela ku-glucose futhi ushisa amafutha ukuze uthole amandla. Uma uvivinya umzimba ngamazinga aphezulu ama-ketone egazini lakho, kungabangela ukuthi ushukela wegazi lakho ukhuphuke kakhulu, okuholela esimweni esisongela impilo esibizwa ngokuthi i-diabetesic ketoacidosis.
Ungahlola amazinga akho e-ketone ekhaya ngemichilo yokuhlola umchamo noma amamitha e-glucose esimanje. Uma uthola ama-ketone, ungavivinyi umzimba nganoma yisiphi isizathu . Kufanele ukhulume nodokotela wakho ngokushesha bese uthola ukwelashwa okudingekayo.
Ngezinye izikhathi, uma amazinga akho kashukela engalawuleki futhi uzizwa ungakhululekile, ungangabazi ukuya e-Emergency Treatment Unit (ETU) yesibhedlela esiseduze. Lapho, uzonikezwa ukwelashwa okudingekayo, njengosawoti kanye ne-insulin, ukulawula isimo.
Ukuvimbela kanjani ukwanda koshukela kanje?
“Ukuvimbela kungcono kunokwelapha,” basho. Ngakho-ke kunezinto eziningana esingazenza ukuvimbela ukwanda koshukela njalo. Ake sixoxe ngezindlela ezintathu eziyinhloko.
1. Thatha umuthi wakho ngendlela efanele, ngesikhathi.
Uma udokotela wakho ekunike imijovo ye-insulin noma amaphilisi esifo sikashukela afana ne-metformin, ungalokothi uwayeke . Kubaluleke kakhulu ukuthatha umthamo ofanele ngesikhathi esifanele. Ngezinye izikhathi umthamo wakho wemithi kungadingeka ushintshwe. Ngakho-ke uma ushukela wakho uhlala uphezulu, khuluma nodokotela wakho ngakho bese ulungisa kabusha uhlelo lwakho lokwelashwa.
2. Qaphela ukudla nokuphuza.
Lokhu kuyinto ebaluleke kakhulu. Kukhona ukudla okubangela ukwanda okungazelelwe kukashukela egazini. Isibonelo, isinkwa, iziphuzo ezinoshukela, namakhekhe. Okunye ukudla (isib. ama-crackers, ilayisi le-bran, nemifino) kubangela ukwanda kancane kukashukela egazini. Lokhu sikubiza ngokuthi i-Glycemic Index (GI). Ukukhetha ukudla okune-GI ephansi kungasiza ekuvimbeleni ukwanda okungazelelwe kukashukela egazini. Buza udokotela wakho noma isazi sokudla okunempilo esibhedlela sikahulumeni ngalokhu.
3. Vivinya umzimba nsuku zonke
Ukuzivocavoca umzimba kungumngane wakho omkhulu uma kukhulunywa ngokulawula isifo sikashukela. Uma uvivinya umzimba, kwenza kube lula ngemisipha yakho ukuthi imunce ushukela egazini lakho. Lokhu kusho ukuthi amazinga kashukela egazini lakho alawulwa ngokwemvelo. Ukuzivocavoca umzimba kukusiza futhi ukulawula isisindo sakho futhi kuthuthukise ukujikeleza kwegazi lakho. Zama ukwenza okuthile njengokuhamba ngokushesha, ukugibela ibhayisikili, noma ukubhukuda okungenani imizuzu engama-30 ngosuku. Kodwa khumbula, ngaphambi kokuba uqale uhlelo olusha lokuzivocavoca, kungumqondo omuhle ukukhuluma nodokotela wakho mayelana nokuthi yikuphi ukuzivocavoca okufanele wena.
Umlayezo Wokuya Nawe Ekhaya
- Ukwanda kwamazinga kashukela egazini ngemva kokudla kuyisimo esivamile esibonakala kubantu abanesifo sikashukela.
- Lokhu kungabangela umonakalo wesikhathi eside emehlweni akho, ezinso, ezinzwa kanye nasenhliziyweni.
- Uma uhlangabezana nezimpawu ezifana nokoma ngokweqile, ukukhathala ngokweqile, kanye nokuchama njalo, kungaba uphawu lwamazinga aphezulu kashukela.
- Uma izinga likashukela egazini lakho liphezulu kakhulu, lingaphezu kuka-240 mg/dL, gwema ukuzivocavoca ngaphandle kokuhlola amazinga akho e-ketone. Lokhu kungaba yingozi.
- Lesi simo singalawulwa kahle ngokuthatha imithi ngesikhathi, ukudla ukudla okuqaphela inkomba ye-glycemic, kanye nokuzivocavoca nsuku zonke.
- Uma unenkinga ngesimo sakho sesifo sikashukela noma uhlelo lokwelashwa, ungalokothi unqikaze ukukhuluma ngokukhululekile nodokotela wakho ngakho.
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