Kuyamangalisa kakhulu ukuzwa ukuthi ingane yakho encane inesifo sikashukela. Ngakolunye uhlangothi, uzizwa udabuke ngengane yakho, kanti ngakolunye uhlangothi, unemibuzo eyinkulungwane mayelana nokuthi kuzokwenzekani esikhathini esizayo nokuthi ungazisingatha kanjani lezi zinto. Ikakhulukazi, kuvamile ukuzizwa ukhathazekile ngezinga likashukela egazini lengane yakho. Kodwa ungakhathazeki, awuwedwa kulolu hambo. Ake sixoxe ngalokhu kalula.
Kungani amazinga kashukela ezinganeni ezincane enyuka kakhulu futhi ehla kangaka?
Into yokuqala okufanele uyiqonde ukuthi amazinga kashukela egazini ezingane ezincane, ikakhulukazi izingane ezingaphansi kweminyaka embalwa ubudala, afana ne-roller coaster. Ngezinye izikhathi alungile, ngezinye izikhathi aphezulu kakhulu, futhi ngezinye izikhathi aphansi kakhulu. Lokhu kuyiqiniso. Akekho olindele ukuthi ugcine izinga likashukela lihle ngaso sonke isikhathi. Awukwazi ukwenza lokho.
Umgomo wakho kufanele kube ukusiza umzimba wengane yakho ukuthi ulawule lokho engakwazi ukukwenza yodwa njengamanje, okuwukusiza ukuthi ilawule amazinga ayo kashukela egazini. Hhayi ukukwenza 'ngokuphelele', kodwa 'ukukulawula'. Ukuhlola amazinga kashukela egazini lakho izikhathi eziningana ngosuku kuzokusiza ukuthi wenze lokho okudingeka ukwenze ngaleso sikhathi.
Khumbula, ungabhali izinombolo eziku-glucometer ngokuthi “zinhle” noma “zimbi.” Azifani nama-test scores. Zimane nje ziyizimpawu ezisinika ulwazi. Sisebenzisa lolo lwazi ukuthatha izinyathelo zokugcina ingane yethu iphilile futhi ijabule usuku lonke.
Yiziphi izizathu eziyinhloko zokushintsha kwamazinga kashukela?
Ungase ucabange, "O, kungakhathaliseki ukuthi ngenzani, amazinga kashukela akhe ayaqhubeka enyuka futhi ehla." Kunezizathu eziningana zalokhu. Uma usuziqonda lezi zinto, ngeke ukhathazeke kakhulu ngezinguquko emazingeni akho kashukela.
| Isizathu | Kalula nje... |
|---|---|
| Ukudla | Lokho umntwana akudlayo, ikakhulukazi ama-carbohydrate afana nelayisi, isinkwa, amazambane, nezithelo, kuthinta ngqo amazinga kashukela egazini lakhe. Inani, isikhathi, kanye nohlobo lokudla nakho kubalulekile. Ngezinye izikhathi, ngisho nocezu lwetshokolethi oluyivelakancane lungakhuphula kakhulu amazinga kashukela egazini lakhe. |
| Ukuzivocavoca nokudlala | Uma ingane igijima futhi idlala, umzimba usebenzisa ushukela ukuze unike amandla imisipha yayo. Lokhu kungabangela amazinga aphansi kashukela egazini. Ngakho-ke, kubalulekile ukuhlola amazinga kashukela egazini ngaphambi nangemva kokudlala. |
| Ukukhula komzimba | Izingane ezincane zikhula ngokushesha. Phakathi nalezi zikhukhula zokukhula, izinguquko zamahomoni emzimbeni zenza kudingeke ukuthi i-insulin ishintshe. Lokhu kungabangela nokuthi amazinga kashukela egazini ashintshe. |
| Izifo | Ngisho nomkhuhlane omncane noma umkhuhlane kungabangela amazinga kashukela egazini lengane ukuba akhuphuke kakhulu. Lokhu kungenxa yama-hormone akhiqizwa lapho umzimba ulwa nokutheleleka. Ngezikhathi ezinjengalezi, udinga ukuhlola amazinga kashukela egazini lakho njalo. |
| Ukucindezeleka kanye nemizwa | Njengathi nje, izingane nazo ziyathinteka ukucindezeleka. Kungaba ngenxa yokuhlolwa, noma kungaba ngenxa yokulwa nomngane. Akukhona lokho kuphela, kodwa injabulo yesenzakalo esijabulisayo kakhulu, njengephathi lokuzalwa, ingabangela nokuthi amazinga kashukela egazini akhuphuke. |
| Imithi (i-insulin) | I-insulini umuthi oyinhloko. Inani, isikhathi, kanye nohlobo lwe-insulini enikezwayo kuthinta ngqo amazinga kashukela egazini. Ngezinye izikhathi udokotela wakho uzoshintsha la manani. Kubalulekile ukulandela leyo miyalelo ngqo. |
Kungani kubaluleke kangaka ukuhlola amazinga kashukela egazini lakho njalo?
Cabanga nje ukuthi ingane yakho encane ayikakwazi ukukhuluma. Uma izizwa inesiyezi futhi inoshukela ophansi egazini, ngeke ikwazi ukusho ukuthi, "Mama, ngiyagula." Ingase ikhale nje, noma ingase ilale kakhulu kunokujwayelekile. Ngisho noma isikhulile kancane, ingase ingakwazi ukuchaza kahle ukuthi izizwa kanjani.
Yingakho ukuhlolwa njalo kusindisa impilo.
- Ungazi ngaphambi kokuba kuvele izimpawu: Ungathatha isinyathelo uma ubona ukufundwa ku-glucometer yakho ngaphambi kokuba amazinga kashukela wakho abe phezulu noma aphansi ngendlela eyingozi.
- Ukuze sikusize uqonde ukuthi kungani:Ungaqonda ukuthi, "O, akadli ushukela ngoba udlale epaki," noma "Akadli ushukela ngoba udle ucezu lwekhekhe."
- Kulula ngodokotela ukwenza izinqumo: Uma ubheka amazinga kashukela (incwadi yokubhala) oyibhala phansi usuku lonke, kuyasiza udokotela ukuthi enze izinqumo ezifanele ngezinto ezifana nomthamo we-insulin wengane yakho kanye nohlelo lokudla.
Iyini i-Target Range?
Udokotela wakho uzokunikeza uhla oluqondiwe lwamazinga kashukela egazini lengane yakho. Isibonelo, bangase bakutshele ukuthi ugcine ushukela wakho egazini phakathi kwalezi zinombolo ngaphambi kokudla naphakathi kwalezi zinombolo ngemva kokudla.
Lolu hlu oluqondiwe alufani kuwo wonke umntwana. Luyahlukahluka kuye ngobudala bomntwana, izinga lomsebenzi, nezinye izici. Njengoba ingane ikhula, udokotela uzolungisa la mazinga okuqondiwe. Ungalokothi ufake amazinga kashukela avela ku-inthanethi noma komunye umuntu esikhundleni sengane yakho. Landela njalo imiyalelo kadokotela wakho.
Ungasibona kanjani isimo esiphuthumayo?
Kokubili i-hyperglycemia kanye ne-hypoglycemia kungaba yingozi. Kubalulekile ukuqaphela lezi zimpawu.
| Isimo | Izici zezingane ezincane | Okufanele ngikwenze? |
|---|---|---|
| I-Hypoglycemia (ushukela ophansi egazini) | Ukuthuthumela, ukujuluka, ukuphaphatheka, ukucasuka, indlala enkulu, ukudideka, ukulala ngokweqile. Enganeni encane, ukukhala ngeze, ukwenqaba ukuphuza ubisi. | Nika ingane yakho okuthile ukuze ikhuphule ushukela wayo wegazi ngokushesha (amaphilisi e-glucose, isipuni sikashukela, ijusi yezithelo) njengoba kuyalelwe udokotela wakho. Uma ingane yakho iquleka noma inenkinga yokugwinya, yiyise e-Emergency Treatment Unit (ETU) yesibhedlela ngokushesha. |
| Amazinga aphezulu kashukela egazini (i-Hyperglycemia) | Ukuphuza amanzi amaningi, ukuchama njalo (mhlawumbe ukuchama embhedeni), ukukhathala okukhulu, ukubona okufiphele, ubuhlungu besisu, isicanucanu. | Qiniseka ukuthi uphuza amanzi amaningi. Landela uhlelo losuku lokugula olunikezwe udokotela wakho. Uma amazinga kashukela egazini lakho eqhubeka nokuba phezulu kakhulu, shayela udokotela wakho ngokushesha. |
Udokotela owelapha ingane yakho ungumngane wakho omkhulu kulolu hambo. Wena, ingane yakho, nodokotela kudingeka nisebenzisane njengeqembu. Buza imibuzo, khuluma ngokwesaba kwakho, futhi ungafihli lutho. Kulapho-ke kuphela lapho uzokwazi ukubhekana ngempumelelo nale nselele.
Umlayezo Wokuya Nawe Ekhaya
- Kujwayelekile ukuthi izingane ezincane zibe namazinga aphezulu kashukela egazini futhi aphansi. Ungazizwa unecala ngakho.
- Umgomo wakho awukona 'ukuphelela', kodwa 'ukuphatha' isimo sengane.
- Izinombolo eziku-glucometer azizona izinto "ezinhle" noma "ezimbi", zimane nje ziwulwazi oluzokuqondisa.
- Njengoba ingane ingakwazi ukuveza imizwa yayo ngamazwi, kubalulekile ukuhlola amazinga ayo kashukela njalo.
- Qonda ukuthi ukudla, ukuvivinya umzimba, ukugula, ngisho nemizwa kungathinta amazinga kashukela egazini.
- Hlala uxhumana nodokotela wakho njalo. Ungesabi ukubuza noma yimiphi imibuzo. Awuwedwa kule mpi.
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