Uma unesifo sikashukela i-Diabetes Mellitus, into eyodwa udokotela wakho azohlala ekutshela yona ukuthi 'uhlole ushukela wakho egazini'. Kungani kubaluleke kangaka? Ukwenza kanjani ngendlela efanele? Ngezinye izikhathi uma ucabanga ngalokhu, kufika imibuzo eminingi engqondweni, akunjalo? Ungakhathazeki, sizoxoxa ngakho konke lokhu kalula nangokucacile namuhla.
Kungani kufanele uhlole ushukela egazini lakho njalo?
Kalula nje, ukwazi amazinga kashukela egazini lakho kufana nokubuka izimpawu zomgwaqo ngenkathi ushayela. Kukukhombisa wena nodokotela wakho indlela efanele okufanele niyithathe ukuze nilawule isifo sikashukela senu.
Ngokulawula kahle amazinga kashukela egazini lakho, ungagwema izinkinga eziningi zempilo ezingase ziphakame esikhathini esizayo ngenxa yesifo sikashukela. Cabanga ngezinto ezinjengalezi:
- Isifo senhliziyo
- Isifo sohlangothi
- Umfutho wegazi ophakeme
- I-cholesterol ephezulu
- Ubumpumputhe
- Isifo sezinso
- Izinkinga zesikhumba
Ucwaningo luye lwafakazela nokuthi kokubili isifo sikashukela sohlobo 1 nohlobo 2, ukugcina amazinga kashukela egazini kanye namazinga e-HbA1c emazingeni aqondiwe kunganciphisa kakhulu ingozi yalezi zinkinga.
Yiziphi izindlela zokuhlola ushukela egazini?
Kunezindlela eziningana zokukala amazinga kashukela egazini. Ake sibheke ngayinye ngokulandelana.
1. Ukuhlolwa Kwasekhaya
Ama-Glucometer
Lona umshini omncane, ophathekayo osetshenziswa abantu abaningi. Ungalinganisa izinga likashukela wakho ngethonsi legazi lakho.
- Ukuhlolwa kweminwe: Lokhu kuhilela ukuhlaba umunwe wakho ngenaliti encane, ebukhali (i-lancet) bese ubeka ithonsi legazi emgqeni wokuhlola. Lo mugqa ube usufakwa ku-glucometer, okukunikeza ukufundwa ngaphakathi kwemizuzwana eyi-15. Amamitha amasha angagcina le miphumela futhi abonise igrafu yamazinga akho kashukela egazini ajwayelekile ngokuhamba kwesikhathi.
- Ukuhlolwa kwezinye izindawo: Amanye ama-glucometer amasha akuvumela ukuthi uhlole kwezinye izindawo ngaphandle kwesihloko somunwe wakho, njengengalo yakho engenhla, ingalo, isisekelo sesithupha sakho, kanye nethanga. Kodwa khumbula, ukuhlolwa kwesihloko somunwe yikho okunembe kakhulu , ikakhulukazi lapho amazinga kashukela egazini lakho eshintsha ngokushesha. Isibonelo, kungcono ukuhlola isiqu sakho somunwe ngemuva kokudla, ukuzivocavoca, noma uma unezimpawu ze-hypoglycemia.
Izinhlelo Zokuqapha I-glucose Eziqhubekayo (i-CGM)
Lawa amadivayisi athuthuke kancane. Ngezinye izikhathi afika namaphampu e-insulin. Lokhu okwenzayo ukuthi, kuqapha amazinga kashukela egazini lakho njalo usuku lonke. Kufana nefilimu yamahora angama-24 yamazinga kashukela egazini lakho. Lokhu kukuvumela ukuthi ubone amaphethini kanye nezitayela emazingeni kashukela egazini lakho ngokuhamba kwesikhathi.
Ukuhlolwa kwe-HbA1c ekhaya
I-HbA1c imane nje iyisivivinyo esinikeza umbono wezinga lakho likashukela egazini elijwayelekile ezinyangeni ezi-2-3 ezedlule . Kunezikhithi zasekhaya ezitholakalayo ezidinga ukuhlolwa komunwe. Kodwa-ke, lezi azinembile njengezivivinyo zelebhu. Kodwa-ke, kulabo abangakwazi ukuya kudokotela, lokhu kungaba yithuluzi eliwusizo lokuthola umbono oqondile ngesimo sakho.
2. Ukuhlolwa Kwelebhu
Udokotela wakho angakuthumela kulezi zivivinyo.
- Ukuhlolwa Koshukela Ogazini Lokuzila Ukudla: Kulokhu kuhlolwa, akumelwe udle noma uphuze lutho amahora angu-8-12. Ilabhorethri ithatha inani elincane legazi elivela esicongweni somunwe wakho noma emthanjeni osengalweni yakho. Umuntu ophilile kufanele abe nesilinganiso esingaphansi kuka-99 mg/dL. Noma yini ephakeme kunalokho ingaba uphawu lwe-prediabetes noma isifo sikashukela.
- Ukuhlolwa Kokubekezelela I-glucose Yomlomo: Lokhu kuhlola indlela umzimba wakho osabela ngayo kushukela. Udokotela wakho uzokunikeza isiphuzo esinoshukela esiqukethe amagremu angu-75 kashukela. Ngemuva kwalokho, izinga likashukela egazini lakho lizolinganiswa ihora elilodwa namahora amabili kamuva. Izinga elinempilo lingaphansi kuka-140 mg/dL ngemva kwamahora amabili.
- Ukuhlolwa kwe-HbA1c: Kufana nokuhlolwa kwasekhaya, kodwa lokhu kwenziwa elebhu, kusetshenziswa isampula yegazi elivela emthanjeni, ngakho -ke kunembile kakhulu . Odokotela bavame ukuncoma lokhu kuhlolwa ukuze babone ukuthi isifo sakho sikashukela silawulwa kahle kangakanani.
Yisiphi isikhathi sosuku okufanele uhlole ushukela wakho egazini?
Lokhu kuyahlukahluka ngempela kumuntu nomuntu. Ngokuvamile,
- Uma nje uvuka ekuseni
- Ngaphambi kokudla okuyinhloko
- Amahora angu-1-2 ngemva kokudla okuyinhloko
- Ngaphambi nangemva kokuzivocavoca
- Ngaphambi kokulala
- Ngaphambi kokushayela imoto
- Uma uzizwa sengathi ushukela wegazi uphansi (hypoglycemia)
Kunconywa ukuhlola ezimweni ezinjalo.
Kodwa, nansi into ebalulekile: Kufanele ukhulume nodokotela wakho ngezikhathi ezikusebenzela kahle nokuthi kufanele uhlole kangaki ngosuku. Uma ugula, kungadingeka ukuthi uhlole kaningi kunokujwayelekile.
Izinto ezingathinta imiphumela yokuhlolwa
Ngezinye izikhathi amazinga kashukela egazini lakho angashintsha ngenxa yezinto ezihlukahlukene.
- Isimo Sezulu:Ukushisa noma umswakama okweqile.
- Ukuphakama: Ukuba sendaweni ephakeme kakhulu ngaphezu kolwandle.
- Ukuphelelwa amanzi emzimbeni: Ukuntuleka kwamanzi emzimbeni.
- Ukudla: Izinhlobo nobuningi bokudla okudlayo.
- Ukucindezeleka: Izinto ezifana nokuhlolwa, inkinga emsebenzini.
- Ukugula: Noma yikuphi ukutheleleka, njengomkhuhlane noma umkhuhlane.
- Eminye imithi: Eminye imithi oyiphuzayo.
- Ukulala: Ukungalali ngokwanele.
Uma imiphumela yakho iqhubeka nokungajwayelekile, nakekela i-glucometer yakho kanye nemichilo yokuhlola.
Ukuqonda Izinombolo: Amazinga e-HbA1c kanye noshukela egazini
Kukhona ubudlelwano phakathi kwenani elimaphakathi eliboniswe ku-glucometer yakho kanye nenani le-HbA1c elilinganiswe elebhu. I-HbA1c iyisilinganiso esibaluleke kakhulu ekuphathweni kwesifo sikashukela. Leli thebula lingakunikeza umbono omuhle walo.
| Izinga elijwayelekile le-glucose egazini (mg/dL) | Inani elihambisanayo le-HbA1c (%) |
|---|---|
| 126 | 6% |
| 154 | 7% |
| 183 | 8% |
| 212 | 9% |
| 240 | 10% |
| 269 | 11% |
| 298 | 12% |
Kufanele ngimshayele nini udokotela?
Into yokuqala okufanele uyenze ukubuza udokotela wakho ukuthi yiluphi uhlobo loshukela egazini oluqondiwe. Futhi, yenza uhlelo olucacile lokuthi yini okufanele uyenze nokuthi uzoyibiza nini uma amazinga kashukela egazini lakho ekhuphuka kakhulu noma ephansi kakhulu. Funda izimpawu zoshukela wegazi ophezulu nophansi. Qaphela ukuthi yini okufanele uyenze uma uhlangabezana nanoma yiziphi izimpawu ngaphandle kokwethuka.
Indlela yokuhlola ushukela wegazi ngokunembile ekhaya
Ukuze uthole imiphumela enembile kakhulu, qaphela la maphuzu.
- Sebenzisa idivayisi ngokwemiyalelo kadokotela wakho.
- Sebenzisa kuphela imichilo yokuhlola ehambisana ne-glucometer yakho.
- Sebenzisa imichilo yokuhlola ngendlela efanele, ngaphambi kokuba iphelelwe yisikhathi.
- Ngaphambi kokuhlola , geza izandla zakho kahle ngensipho bese uzomisa.
- Gcina idivayisi yakho ihlanzekile njalo.
- Noma nini lapho uya kudokotela, thatha i-glucometer yakho ukuze uhlole ukuthi isebenza kahle yini.
Umlayezo Wokuya Nawe Ekhaya
- Elinye lamathuluzi abaluleke kakhulu okuphatha isifo sikashukela nokuvimbela izinkinga zesikhathi esizayo ukuhlolwa ushukela egazini njalo.
- Funda ukuthi ungayisebenzisa kanjani i-glucometer yakho yasekhaya ngendlela efanele. Geza futhi womise izandla zakho kahle ngaphambi kokuhlola.
- Xoxa nodokotela wakho ukuthi lingakanani izinga likashukela egazini lakho olihlosile (ububanzi obuhlosiwe) nokuthi kufanele uhlole kangaki ngosuku.
- Ukubhala phansi amazinga kashukela egazini lakho, ukudla, kanye nemisebenzi kungaba usizo olukhulu kuwe nakudokotela wakho ekuqondeni isimo sakho.
- Uma amazinga akho kashukela eqhubeka nokuba ngaphandle kwamazinga aqondiwe noma uhlangabezana nezimpawu ezingavamile, xhumana nodokotela wakho ngokushesha.
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