Kusukela udokotela akutshele ukuthi ingane yakho inesifo sikashukela i-Diabetes Mellitus, ubulokhu uzizwa ucindezelekile kakhulu. "Ikusasa lengane yami lizoba njani?" nokuthi "Ingabe lokhu ngeke kwenzeke ukukulawula?" imibuzo efana nalena kumele ukuthi yayifike engqondweni yakho izikhathi eziyikhulu. Uma uhlaba umunwe wakho omncane izikhathi eziningana ngosuku, uthatha isampula yegazi, bese uhlola izinga likashukela egazini lakho, inhliziyo yakho iyagxumagxuma lapho ukufundwa kushintshashintsha kancane, akunjalo? Siyaqonda kahle lowo muzwa. Kodwa ungakhathazeki, awuwedwa. Silapha ukuzokusiza kulolu hambo futhi sikuchaze kalula.
Kungani kubalulekile ukulawula kahle amazinga kashukela egazini lengane?
Kulula kakhulu. Uma amazinga kashukela egazini lengane enesifo sikashukela elawulwa kahle, leyo ngane izokhula njenganoma yimuphi omunye umntwana onempilo. Lokhu kulawula okufanele kuzonikeza amandla amakhulu okufunda, ukudlala, ukukhula, nokujabulela impilo evamile.
Udokotela wakho uzokunikeza uhla oluqondiwe lwengane yakho. Lokhu akufani kuwo wonke umntwana. Lawa ma-targets ayashintsha ngokweminyaka yengane. Lokhu akulona uhla oluqondiwe lwengane encane, kodwa lomntwana ofunda esikoleni. Lawa ma-targets ayashintsha nalapho efika ebusheni. Ngakho-ke, kubalulekile ukuhlola amazinga kashukela egazini lengane yakho izikhathi eziningana ngosuku. Kulapho kuphela lapho singenza khona izinguquko ezidingekayo futhi siwulethe ezingeni eliqondiwe.
Khumbula, inani eliboniswe ku-glucometer alilona "elihle" noma "elibi." Kufana nemitha kudeshibhodi yemoto. Isinika ulwazi kuphela. Sisebenzisa lolo lwazi ukunquma ukuthi yini okufanele siyenze ukuze sigcine ingane yethu iphilile.
Yiziphi izimbangela zalokhu kwanda noma ukwehla kwamazinga kashukela?
Akekho olindele ukuthi izinga likashukela egazini lengane lihlale lifana ngaso sonke isikhathi. Kufana namagagasi olwandle, liyakhuphuka futhi lehle kancane. Umgomo wethu ukulawula lokhu kuphakama nokwehla ngangokunokwenzeka futhi sikugcine ngaphakathi kobubanzi obuqondiwe. Kunezici eziningana eziyinhloko ezithinta lokhu.
| Isici | Indlela Okuthinta Ngayo |
|---|---|
| Ukudla | Ukudla esikudlayo okuqukethe ama-carbohydrate - izinto ezifana nelayisi, isinkwa, amazambane, ama-noodle, amazambane, izithelo, neziphuzo ezinoshukela - kuyagaywa bese kuguqulwa kube ushukela (ushukela) bese kwengezwa egazini. Lokhu kubangela ukuthi amazinga kashukela egazini akhuphuke ngemva kokudla. Lokhu kunyuka kuyahlukahluka kuye ngohlobo kanye nenani lokudla okudliwayo. |
| Ukuzivocavoca umzimba | Uma ingane idlala, igijima, igxuma, noma idlala imidlalo, umzimba usebenzisa ushukela osegazini ukuze unike amandla imisipha yayo. Yingakho ukuzivocavoca kuvame ukwehlisa amazinga kashukela egazini. Kodwa-ke, ngezinye izikhathi, ngesikhathi sokuzivocavoca okunamandla, amazinga kashukela egazini angakhuphuka okwesikhashana. |
| Ukukhula Nama-hormone | Ngesikhathi sokukhula okusheshayo ezinganeni, ikakhulukazi ngesikhathi sokuthomba, kuba nezinguquko ezinkulu kuma-hormone omzimba. Lawa ma-hormone aphazamisa ukusebenza kwe-insulin, okwenza amazinga kashukela egazini akhuphuke futhi ehle ngendlela engalindelekile ngaphandle kwesizathu esibonakalayo. Lokhu kuvame kakhulu. |
| Ukugula | Noma yikuphi ukugula, kungaba umkhuhlane, umkhuhlane, noma ubuhlungu besisu, kubeka umzimba ngaphansi kokucindezeleka. Ama-hormone akhishwa ngenxa yalokhu kucindezeleka aphakamisa amazinga kashukela egazini. Ngakho-ke, ukulawula amazinga kashukela egazini kungaba nzima kancane ngezinsuku zokugula. |
| Ukucindezeleka | Imizwa engokomzwelo efana nokucindezeleka kokuhlolwa okuzayo, ukudabuka kokulwa nomngane, kanye nokwesaba nakho kungabangela ukuthi umzimba ukhiphe ama-hormone okucindezeleka futhi wandise amazinga kashukela egazini. |
| Imithi | Inani le-insulin, isikhathi sosuku ethathwa ngaso, noma imithi ethile (isib. ama-steroid) ethathwa kwezinye izimo nakho kuthinta ngqo amazinga kashukela egazini. |
Umkhawulo wokuthomba
Ubusha buyisikhathi esinzima kubazali nasezinganeni. Izinguquko zama-hormone emzimbeni zingabangela amazinga kashukela egazini ukuba akhuphuke kakhulu. Ngolunye usuku, amazinga kashukela egazini angalawulwa kahle, kodwa ngosuku olulandelayo, angakhuphuka ngaphandle kwesizathu esibonakalayo.
Ungesabi noma usole ingane yakho ngalesi sikhathi. Ungalimazi ingane yakho ngokubuza imibuzo efana nokuthi, "Ingabe kukhona okuthuthile?" Lokhu akulona iphutha lakho noma lengane yakho. Lokhu kubangelwa ngokuphelele ama-hormone . Into engcono kakhulu ongayenza ukukhuluma nodokotela wakho njalo kuze kube yilapho lesi sikhathi sidlula bese ulungisa i-insulin yakho nokudla njengoba kudingeka.
Ungamsiza kanjani ingane yakho ukuba ihambe yodwa kulolu hambo?
Umgomo wethu omkhulu ukunika ingane yakho amandla okuphatha isifo sikashukela sayo yodwa. Lokhu akuyona into engenziwa ngobusuku obubodwa. Kodwa kungaqala ngezinyathelo ezincane kusukela esemncane.
- Gqugquzela imikhuba emihle: Khuthaza ingane yakho ukuthi ihlole amazinga ayo kashukela egazini ngesikhathi, ithathe i-insulin, bese idla.
- Dumisani umzamo: Ngemva kokuba ingane yakho ihlole amazinga ayo kashukela egazini, kungakhathaliseki ukuthi umphumela uba yini, yidumiseni ngokuhlola. Yithi, "Ngiyabonga, ndodana/ndodakazi yami, ngokuhlola ushukela wakho wegazi ngesikhathi."
- Ungasoli: Ungasoli noma uthethise ingane yakho uma amazinga ayo kashukela egazini edlula izinga layo. Ukwenza kanjalo kungayenza yesabe ukuhlola amazinga ayo kashukela egazini, noma ungase ulingeke ukukufihla uma uthola ukufundwa okungalungile. Lokhu kuyingozi kakhulu.
- Ukusekela: Uma amazinga kashukela egazini lengane yakho esephelile, yisekele ngokuthi, "Kulungile, ake sithole ukuthi kungani lokhu kwenzeke. Ake silungise lokhu." Menze azizwe sengathi akayedwa.
Ngezinye izikhathi, wena noma ingane yakho anikwazi ukubona izimpawu ze-hypoglycemia noma i-hyperglycemia. Ngakho-ke, ukuhlola amazinga kashukela egazini lakho njalo, noma ngabe awunazo izimpawu, kuyindlela engcono kakhulu newukuphela kwayo yokuvimbela izimo eziyingozi. Hlala uthintana nodokotela wakho futhi ubuze ukuthi unemibuzo yini.
Umlayezo Wokuya Nawe Ekhaya
- Ukulawula kahle amazinga kashukela egazini lomntwana onesifo sikashukela kubalulekile ekukhuleni okunempilo kwalowo mntwana.
- Amazinga kashukela egazini aqondiwe ayahlukahluka kuye ngeminyaka yengane nendlela yokuphila, ngakho khuluma nodokotela wakho ngakho.
- Ukudla, ukuvivinya umzimba, ukugula, ukucindezeleka, kanye nezinguquko zama-hormone (ikakhulukazi ngesikhathi sokuthomba) kuthinta ngqo amazinga kashukela.
- Ungalebuli inani eliboniswe ku-glucometer ngokuthi “kuhle” noma “kubi.” Kumane nje kunolwazi oludingekayo ukuze uphathe impilo yengane yakho.
- Uma amazinga kashukela egazini lengane yakho edlula izinga layo, ungayisoli, kodwa msize aqonde isizathu bese ebuyela endleleni efanele. Ncoma njalo imizamo yengane yakho.
- Ngisho noma ungenazo izimpawu, kubalulekile ukuhlola ushukela egazini lakho njalo. Xhumana nodokotela wakho uma unenkinga.
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