Nawe udokotela uke wakunikeza ukuhlolwa kwegazi futhi wakutshela ukuthi "ubuye ekuseni ungadli noma ungaphuzi lutho bese unikeza igazi," akunjalo? Nakuba lokhu kungase kubonakale sengathi kuyinkathazo kwabanye, ukuzila ukudla kubaluleke kakhulu ukuthola imiphumela enembile kakhulu kusukela ekuhlolweni. Kunzima kancane ukungaphuzi ngisho nenkomishi yekhofi noma itiye ekuseni. Kodwa ngalo mhlatshelo omncane, udokotela angathola isithombe esicacile sempilo yakho. Ngakho-ke, ake sixoxe ngakho konke kalula nangokucacile namuhla.
Kusho ukuthini 'ukuzila ukudla' ekuhlolweni kwegazi?
Kalula nje, ukuzila ukudla ukuze kuhlolwe igazi kusho ukungadli noma ukuphuza noma yini ngaphandle kwamanzi amahora angu-8 kuya kwangu-12. Lokhu akubandakanyi ukudla kuphela, kodwa nanoma yisiphi isiphuzo, njengetiye, ikhofi, ubisi, noma iziphuzo zezithelo.
Kukhona nezinye izinto ezimbalwa okufanele uzigweme phakathi nalesi sikhathi.
- Ushingamu
- Ukubhema
- Ukuzivocavoca umzimba
- Eminye imithi namavithamini (kufanele ukhulume nodokotela wakho ngalokhu futhi uthole iseluleko)
Kodwa khumbula, akukho lutho olungalungile ngokuphuza amanzi. Eqinisweni, ukuphuza amanzi amaningi kwenza kube lula kumuntu othatha igazi lakho, njengoba kwenza kube lula ukuthola imithambo yakho.
Kungani kubalulekile ukuzila ukudla ngale ndlela?
Cabanga ngakho, izakhamzimba ezisezintweni esizidlayo nesiziphuzayo, isibonelo, ushukela namafutha, zimuncwa ngqo egazini lethu. Ngemuva kwalokho lokhu kungathinta imiphumela yokuhlolwa kwegazi.
Isibonelo, kwenzekani uma uphuza isiphuzo esinoshukela ngaphambi kokuhlolwa kwe-glucose egazini okuzila ukudla? Izinga likashukela egazini lakho lizobonakala embikweni njengoba liphakeme kakhulu kunalokho eliyikho ngempela. Lokhu kuzovimbela udokotela ekutholeni isithombe esinembile sesimo sakho. Ungase utholakale une-diabetes ngephutha, yize ungenaso.
Ngesikhathi uzila ukudla, udokotela wakho angathola "umphumela oyisisekelo" emzimbeni wakho. Lokhu kusho ukuthi ngaphandle kwanoma yiziphi ithonya langaphandle, umzimba wakho ungabona ukuthi amazinga kashukela egazini lakho kanye ne-cholesterol ajwayelekile kangakanani.
Yikuphi ukuhlolwa kwegazi okufanele kwenziwe ngesikhathi sokuzila ukudla?
Akuzona zonke izivivinyo zegazi ezidinga ukuzila ukudla. Udokotela wakho uzokuchazela lokhu ngokucacile. Ithebula elingezansi libala ezinye zezivivinyo eziyinhloko ezivame ukudinga ukuzila ukudla.
| Igama Lokuhlolwa | Ukuhlolwa kubheka ini? |
|---|---|
| Ukuhlolwa Kweglucose Yegazi Lokuzila Ukudla | Ukuhlola nokuqapha isifo sikashukela. Amazinga kashukela egazini ayalinganiswa. |
| Iphrofayili ye-Lipid | Ukuhlola amazinga amafutha afana ne-cholesterol kanye ne-triglycerides egazini. Amazinga aphezulu alokhu andisa ingozi yesifo senhliziyo kanye nesifo sohlangothi. |
| Iphaneli Ye-Metabolic (Eyisisekelo noma Ephelele) | Amazinga kashukela emzimbeni, ama-electrolyte, ibhalansi yoketshezi, kanye nokusebenza kwezinso kuyahlolwa. Ukuhlolwa okuphelele kuhlola nokusebenza kwesibindi. |
| Ukuhlolwa kwe-Vitamin B12 | Ukulinganisa izinga le-vitamin B12 egazini. Lokhu kusiza ekuboneni izinhlobo ezithile ze-anemia. |
| Ukuhlolwa Kwensimbi | Ukwazi ukuthi amazinga e-iron emzimbeni aphansi noma aphezulu. |
| I-Gamma-glutamyl transferase (GGT) | Ukulinganisa amazinga e-enzyme ye-GGT. Inani eliphezulu lingabonisa isifo sesibindi, izinkinga zenyongo, noma ukusetshenziswa kotshwala ngokweqile. |
| Iphaneli Yomsebenzi Wezinso | Ukuhlola impilo yezinso. |
Ukuhlolwa okukhethekile kwesifo sikashukela
Isifo sikashukela yisifo esivame ukutholakala ngokuhlolwa kokuzila ukudla.
- Ukuhlolwa Kweglucose Egazini Lokuzila Ukudla: Lokhu kuhilela ukuzila ukudla amahora angu-8 bese unikela ngegazi. Ngokuvamile kwenziwa ekuseni. Uma izinga lakho likashukela lingu-126 mg/dL noma ngaphezulu, kuyisibonakaliso sesifo sikashukela. Uma lingaphansi kuka-100 mg/dL, kuyizinga elinempilo.
- Ukuhlolwa Kokubekezelela I-glucose Yomlomo (OGTT):Lokhu futhi kuyindlela yokuhlola isifo sikashukela. Ngemva kokuzila ukudla amahora angu-8, kuthathwa isampula yegazi. Bese unikezwa isiphuzo esinoshukela bese ulinda amahora amabili. Ngemva kwamahora amabili, kuthathwa elinye isampula yegazi bese lihlolwa. Uma izinga likashukela lingu-200 mg/dL noma ngaphezulu, kuyaqinisekiswa ukuthi unesifo sikashukela. Uma liphakathi kuka-140-199 mg/dL, kuyisimo se-prediabetes.
- Ukuhlolwa okungezona ukuzila ukudla: Ukuhlolwa okufana ne -Random Blood Glucose Test (okungenziwa nganoma yisiphi isikhathi) kanye nokuhlolwa kwe-A1c (okukala amazinga kashukela egazini ajwayelekile ezinyangeni ezi-2-3 ezedlule, ngakho-ke ukudla akuthinteki) akudingi ukuzila ukudla.
Wenzani uma ukhohlwa ukuzila ukudla?
Sonke siyawenza amaphutha. Uma udla okuthile noma uphuza okuthile ngephutha, ungakhathazeki. Into ebaluleke kakhulu ukwethembeka esikhulwini esikhipha igazi kanye nodokotela wakho.
Ungakufihli. Ngoba uma uhlaziya imiphumela ngokusekelwe olwazini olungalungile, ungase ufinyelele esiphethweni esingalungile ngempilo yakho. Mhlawumbe udokotela uzokutshela ukuthi uze uzohlolwa ngolunye usuku. Leyo yinto enembile nephephile kakhulu ongayenza.
Ukuzila kwakho kuyaphela uma ukuhlolwa sekuqediwe. Ngakho-ke kungumqondo omuhle ukuletha ukudla okulula okuncane (njengebhisikidi) kanye nokuthile ongakuphuza nawe elabhorethri ukuze ukwazi ukudla futhi uthole amandla ngokushesha ngemva kokunikela ngegazi lakho.
Izimo ezikhethekile kanye nezingozi
Ngesikhathi Sokukhulelwa
Ukuhlolwa kwegazi okunye kudinga ukuzila ukudla ngesikhathi sokukhulelwa, ikakhulukazi isifo sikashukela sokukhulelwa. Lokhu kuvame ukuphephile, kodwa uma unemibuzo noma ukukhathazeka ngalokhu, qiniseka ukuthi ukhuluma nodokotela wakho.
Izingozi zokuzila ukudla
Nakuba ukuzila ukudla ngokuvamile kuphephile, abanye abantu bangase babe nemiphumela emibi emincane. Ikakhulukazi kubantu abanesifo sikashukela, ukuzila ukudla kungabangela ushukela wegazi ophansi (i-hypoglycemia) okungabangela isiyezi, ukukhathala, nokulahlekelwa ukwazi. Uma unesifo sikashukela, gcina i-candy bar, ijusi, noma ithebhulethi ye-glucose nawe uma uya esivivinyweni. Yithathe ngokushesha nje lapho isivivinyo sesiphelile.
Okubaluleke kakhulu: Uma uphuza imithi yesifo sikashukela, buza udokotela wakho ngosuku olwandulela ukuhlolwa, "Ingabe kufanele ngithathe imithi yami ngaphambi kokuhlolwa noma cha?" bese ulandela imiyalelo yakhe ngqo.
Umlayezo Wokuya Nawe Ekhaya
- Landela imiyalelo kadokotela wakho ngqo. Uma ungaqiniseki ngokuthi kufanele uzile ukudla isikhathi esingakanani noma ukuthi kufanele uzile ukudla isikhathi esingakanani, cela futhi ukuqinisekisa.
- Ukuzila ukudla kusho ukungadli noma ukuphuza noma yini ngaphandle kwamanzi amahora angu-8-12.
- Ungaphuza amanzi ahlanzekile amaningi. Kwenza kube lula ukukhipha igazi.
- Uma udla noma uphuza okuthile ngephutha, ungabi namahloni noma wesabe ukutshela udokotela noma abasebenzi belebhu.
- Thatha ukudla okulula kanye nesiphuzo nawe uma usuqedile ukunikela ngegazi.
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