Ukujuluka okubandayo, ukuxhawulana, ukuzizwa ukhathazekile kakhulu, ukuba nesiyezi kancane... Wake wabhekana nanoma yini efana nale ngesifo sikashukela? Lokhu kuvame ukwenzeka lapho amazinga kashukela egazini lakho ehla ngendlela eyingozi. Odokotela babiza lesi simo ngokuthi i-hypoglycemia . Isizathu esiyinhloko esenza lesi simo senzeke kumuntu osebenzisa i-insulin ukuthi ufaka i-insulin eningi kunaleyo ayidingayo.
Abantu abaningi abaphila nesifo sikashukela babhekana nokwehla kwe-hypoglycemia. Kungaba yingozi ngezinye izikhathi. Kodwa izindaba ezinhle ukuthi eziningi zalezi zinkinga ezihlobene ne-insulin zingavinjelwa uma silandela imithetho embalwa elula. Ake sibone ukuthi kanjani.
Ungayithola kanjani i-insulin eningi kakhulu?
Kuneziphambeko ezimbalwa ezincane esingazenza ezingaholela ekutheni i-insulin ibe ningi kakhulu emizimbeni yethu. Lezi zinto zivame ukwenzeka ezimweni ezinjengalezi:
- Ukungaziqondi kahle izilinganiso zesirinji noma i-vial: Lokhu kungenzeka kakhulu uma uqala ukusebenzisa uhlobo olusha lwe-insulin noma uma usebenzisa isirinji esisha.
- Ukusebenzisa uhlobo olungalungile lwe-insulin: Cabanga ukuthi uvame ukuthatha amayunithi angu-30 e-insulin esebenza isikhathi eside kanye namayunithi ayi-10 e-insulin esebenza isikhathi esifushane. Uma amabhodlela amabili ebukeka afana, kungenzeka kakhulu ukuthi uzoshintsha phakathi kwawo ngokushesha.
- Ukuthatha i-insulin ngaphandle kokudla: I-insulin esebenza ngokushesha kanye nesebenza ngokushesha kufanele ithathwe ngaphambi noma ngesikhathi sokudla. Lokhu kungenxa yokuthi amazinga ethu kashukela egazini ayakhuphuka ngemva kokudla. Ngakho-ke uma uthatha lolu hlobo lwe-insulin ngaphandle kokudla, amazinga kashukela egazini lakho angehla kakhulu ngendlela eyingozi.
- Ukujova i-insulin engalweni noma emlenzeni ngaphambi kokuzivocavoca: Ukuzivocavoca umzimba, okungukuthi, ukuzivocavoca, ngokwemvelo kwehlisa amazinga ethu kashukela egazini. Kushintsha nendlela umzimba omunca ngayo i-insulin. Ngakho-ke uma wenza ukuzivocavoca njengokugijima noma ukuhamba, gwema ukufaka i-insulin engalweni noma emlenzeni ozoba matasa kakhulu ngaleso sikhathi. Kunalokho, kungcono ukuyijova endaweni engathinteki kakhulu ukuzivocavoca, njengesisu.
Yiziphi izimpawu ze-insulin eningi kakhulu?
Uma ushukela wakho wegazi wehla (hypoglycemia) ngenxa ye-insulin eningi kakhulu, ungase ube nesinye noma ngaphezulu salezi zimpawu. Kubalulekile ukuzazi lezi zimpawu.
| Isibonakaliso | Incazelo |
|---|---|
| Ukukhathazeka | Ukuzizwa ungenakho ukuthula nokungahlaliseki okungavamile. |
| Ukudideka | Ukungakwazi ukucabanga ngokuthi wenzeni noma ukuthi ukuphi, uzizwa udidekile. |
| Indlala enkulu | Kungazelelwe ngizizwa ngilambile kakhulu. |
| Ukukhathala | Ukuzizwa ungenampilo nokukhathala okukhulu. |
| Ukucasuka | Ukuthukuthela ngaphandle kwesizathu, ukuthukuthela ngokushesha. |
| Ukujuluka | Umzimba uzizwa ubanda futhi ujuluka, isikhumba sizizwa simanzi. |
| Izandla ezithuthumelayo | Ukuqhaqhazela izandla okungalawuleki. |
Uma amazinga kashukela egazini lakho eqhubeka nokwehla, ungase ube nesifo sokuwa noma uquleke . Ngakho-ke kubalulekile ukuqaphela lezi zimpawu bese uthatha isinyathelo ngokushesha.
Yini okufanele uyenze uma uthatha i-insulin eningi kakhulu?
Ungakhathazeki. Isikhathi esiningi sine-insulin eningi kakhulu.Ungayiphatha ekhaya. Uma uphapheme, landela lezi zinyathelo.
| Okufanele ngikwenze | Incazelo |
|---|---|
| Uma uqaphile, nansi eminye yemisebenzi okufanele uyenze: | |
| 1. Kala ushukela | Okokuqala, kala izinga likashukela egazini lakho. Ngemuva kwalokho ungathola ukuqonda okucacile ngesimo. |
| 2. Thola ushukela ngokushesha | Yidla/phuza isiphuzo sezithelo esinoshukela (isigamu sendebe), i-toffee, ithebhulethi ye-glucose, noma ijeli ye-glucose ngokushesha. |
| 3. Yidla ukudla | Uma uphuthelwe ukudla, yidla okuthile manje. Ukudla okuthile okunama-carbohydrate angu-15-20 amagremu (isb. ucezu lwesinkwa) kuzokwenza ushukela wakho wegazi ukhuphuke ngokushesha. |
| 4. Phumula | Hlala phansi noma ulale phansi isikhashana bese uphumula. Ungawukhandleli umzimba wakho. |
| 5. Kala ushukela futhi | Hlola ushukela wakho wegazi futhi ngemva kwemizuzu eyi-15-20. Uma usephansi, thatha ushukela owengeziwe (amagremu ayi-15-20 e-glucose) bese udla okunye uma kungenzeka. |
| 6. Hlala ugxile amahora ambalwa | Lalela umzimba wakho emahoreni ambalwa alandelayo. Uma izimpawu zisekhona, hlola ushukela wakho wegazi futhi ngemva kwehora. Uma ushukela wakho wegazi uphansi, qhubeka nokudla okulula. |
| Nini lapho kufanele ufune usizo lwezokwelapha oluphuthumayo: | |
| Yiya esibhedlela ngokushesha. | Uma izinga likashukela egazini lakho lisephansi ngemva kwamahora ama-2 noma izimpawu zakho zingathuthuki, bona udokotela noma uye esibhedlela ngokushesha. |
| Uma uphelelwa amandla... | Uma uquleka, udidekile, noma unesifo sokuwa, umndeni wakho noma abangani bakho kufanele bashayele isevisi ye-ambulensi ka-1990 ngokushesha bakuyise eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze. |
Into eyodwa okufanele uyikhumbule. Uma ushukela wakho wegazi uphansi kakhulu, ungesabi ukuwuphakamisa kancane. Ukuba namazinga aphezulu kashukela egazini isikhathi esithile ngeke kulimaze kakhulu. Kodwa ukuba namazinga aphansi kakhulu kashukela egazini kungaba yingozi kakhulu.
Iseluleko ongasinika umndeni wakho nabangani bakho
Uma ulahlekelwa ingqondo, yibona abazokunakekela. Ngakho-ke banikeze le miyalelo kusenesikhathi.
- Uma ulahlekelwa ingqondo, shayela isevisi ye-ambulensi ka-1990 ngokushesha noma ukuyise esibhedlela esiseduze i-Emergency Treatment Unit (ETU) .
- Khuluma nodokotela wakho ngomjovo obizwa ngokuthi i-glucagon . Lena yi-hormone esebenza ngokumelene ne-insulin. Uma unoshukela wegazi ophansi njalo, buza udokotela wakho ngokuwugcina ekhaya.
- Uma uphapheme ngokwanele ukulandela imiyalelo, cela ukuthi bakunike isiphuzo esimnandi.
- Uma izimpawu zakho zingathuthuki ngemva kwehora elilodwa, mtshele ukuthi afune usizo lwezokwelapha ngokushesha.
Lesi simo singavinjelwa kanjani?
Kunezinto ezimbalwa ezilula ongazenza ukuqinisekisa ukuthi lokhu akwenzeki.
- Gcina isimiso esiqhubekayo: Zijwayeze ukuthatha i-insulin yakho ngesikhathi esifanayo nsuku zonke nokudla ngesikhathi esifanayo. Lokhu kuzokwenza kube lula ngawe ukugcina konke kuhlelekile.
- Ungayeki ukudla: Ngisho noma ungalambile, yidla okuthile okuncane ngesikhathi sokudla. Yidla okuthile okufana nocezu lwesinkwa, ingilazi yobisi, noma ucezu lwesithelo. Ungalokothi uyeke ukudla ngemva kokuthatha i-insulin.
- Lungela:Khumbula ukuthi lesi simo singase sivele ngelinye ilanga. Gcina into efana ne-toffee esikhwameni sakho, emotweni, kanye nasepotimendeni lakho.
- Yazisa abanye: Tshela umndeni wakho nabangane abaseduze ukuthi uziphatha kanjani uma ushukela wakho uphansi egazini. Ngale ndlela, bangathatha isinyathelo ngokushesha, noma ngabe udidekile.
- Gqoka Isongo Sesaziso Sezokwelapha: Sibonisa ukuthi usebenzisa i-insulin. Singasiza ekusindiseni impilo yakho esimweni esiphuthumayo.
Umlayezo Wokuya Nawe Ekhaya
- Ukuthatha i-insulini eningi kakhulu kungabangela ushukela wegazi ophansi kakhulu (hypoglycemia). Qaphela izimpawu ezinjengokuqhaqhazela kwezandla, ukujuluka, kanye nokuba nekhanda elibuthakathaka.
- Uma nje uzizwa izimpawu zoshukela ophansi egazini, yidla ngokushesha okuthile okunoshukela (uswidi, isiphuzo esimnandi) bese uhlola izinga likashukela egazini lakho futhi ngemizuzu eyi-15-20.
- Ungalokothi weqe ukudla ngenkathi uthatha i-insulin. Hlala ubeka okuthile okufana ne-toffee eduze.
- Uma ulahlekelwa ingqondo noma usesimweni esibucayi, yazisa umndeni nabangani kusenesikhathi ukuthi bakuyise e-Emergency Treatment Unit (ETU) yesibhedlela ngokushesha.
- Khuluma nodokotela wakho njalo ngomthamo wakho we-insulin, ukusetshenziswa, nokuthi yini okufanele uyenze esimweni esiphuthumayo.
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