Ungawulawula kanjani ushukela wakho uma ingane yakho enesifo sikashukela igula? (Isifo Sikashukela) Ake sixoxe ngalokhu!

Uma ingane yakho inesifo sikashukela, ngisho nomkhuhlane omncane noma umkhuhlane kungaba umthwalo omkhulu, akunjalo? Ngokungafani nesifo esivamile, lapho ingane enesifo sikashukela igula, amazinga ayo kashukela egazini angashintsha ngokuzumayo. Kodwa ungakhathazeki! Ngokuhlela okuncane kanye neseluleko esivela kudokotela wakho, ungakwazi ngempela ukuphatha lezi zinsuku zokugula kahle. Ake sibheke eminye yemininingwane.

Izinga likashukela emzimbeni wengane lishintsha kanjani uma igula?

Uma ingane igula, kusho ukuthi umzimba wayo ungaphansi kokucindezeleka okukhulu. Kumntwana onesifo sikashukela, lokhu kucindezeleka kungabangela amazinga kashukela egazini lakhe ukuba ashintshe ngendlela engalindelekile. Ngezinye izikhathi amazinga kashukela angakhuphuka, kanti ngezinye izikhathi angase ehle.

Kungani izinga likashukela likhuphuka kanje? (I-Hyperglycemia)

Uma ingane igula, ngenxa yokucindezeleka, umzimba wayo ukhiqiza ama-hormone athile amaningi, abizwa ngokuthi 'ama-hormone okucindezeleka'. Lawa ma-hormone abangela ukuba izinga likashukela egazini likhuphuke. Futhi, i-insulini ethathwa yingane ngalesi sikhathi ingase ingasebenzi kahle. Ukukhuluma iqiniso, ukuzwela i-insulini kuyehla. Ngemuva kwalokho, ingane ingadinga i-insulini eningi kunokujwayelekile. Ngisho nomkhuhlane omncane noma umkhuhlane kungabangela lesi simo, ngakho-ke udinga ukuqaphela amazinga aphezulu kashukela egazini ('i-Hyperglycemia').

Khona-ke, ingabe amazinga kashukela angehla? (I-Hypoglycemia)

Yebo, impela. Ezinye izifo zingabangela ingane ukuba ilahlekelwe yisifiso sokudla, ubuhlungu besisu, isicanucanu, nokuhlanza. Lokhu kungabangela ingane ukuba idle kancane noma yenqabe ukudla. Ngakho-ke, uma ingane ethatha i-insulin ingadli kakhulu njengokujwayelekile, amazinga ayo kashukela egazini angehla ngokuzumayo ('Hypoglycemia'). Ngalesi sikhathi, ingane izodinga i-insulin encane kunokujwayelekile.

Cabanga ngengane yakho ihlushwa yisisu, ihlanza, futhi ayidli lutho. Uma uyinika inani elifanayo le-insulin elidingayo ngosuku, amazinga ayo kashukela egazini angase ehle kakhulu ngenxa yokuntuleka kokudla, okungaba yingozi.

Singalungiselela kanjani ngaphambi kokuba ingane igule?

Kukhona isisho esithi "ukulungiselela umuthi ongcono kakhulu." Lokhu kubaluleke kakhulu nalapho ingane enesifo sikashukela igula. Lokhu kulungiselela kuzokusiza ukuthi usebenze ngaphandle kokwesaba.

• Yazi uhlelo lokunakekela ingane yakho ngesifo sikashukela: Udokotela wakho kungenzeka ukuthi ukunike "uhlelo lokunakekela isifo sikashukela" lapho welapha ingane yakho ngesifo sikashukela. Lunemiyalelo ethile yokuthi yini okufanele uyenze "ngezinsuku zokugula." Isibonelo, indlela yokulungisa umthamo wakho we-insulin kanye nendlela yokuhlola ama-ketone akho. Qiniseka ukuthi ufunda futhi uyakuqonda lokhu ngokucophelela.
• Gcina imichilo yokuhlola i-glucose ne-ketone eyengeziwe:Kuzodingeka uhlole amazinga kashukela egazini lakho kanye ne-ketone kaningi phakathi nezinsuku zakho zokugula. Ngakho-ke gcina eminye imichilo yokuhlola ekhaya ukuze ungaphelelwa yisikhathi. Akudingeki uphuthume ngomzuzu wokugcina.
• Gcina lezi zinto zilungile ekhishini:
• Uketshezi olungenashukela: Kubaluleke kakhulu ukuvimbela ukuphelelwa amanzi emzimbeni uma ingane yakho igula. Gcina uketshezi oluningi, njengamanzi, isobho lenkukhu (elenziwe ngaphandle kwamafutha), umhluzi wemifino, itiye elingenashukela, kanye nesoda engenashukela.
• Nikeza iziphuzo ezinoshukela uma izinga likashukela egazini lakho lehla: Gcina izinto ezifana nesoda ejwayelekile (equkethe ushukela) kanye nejusi yezithelo (okusha kungcono) zilungele ukukunikeza ngokushesha uma kwenzeka ushukela egazini lakho wehla.
• Iziphuzo ezikhethekile: Ngezinye izikhathi udokotela wakho angase ancome iziphuzo zemidlalo ezifana nePedialyte noma iGatorade. Lezi ziphinde zinikeze umzimba usawoti odingekayo.
• Ukudla okulula kwesisu: Gcina ukudla okulula nokugayeka kalula eduze, njengama-crackers, isinkwa, i-yogurt, kanye nephalishi.
• Gcina i-thermometer iseduze: Lokhu kubalulekile ekuhloleni njalo izinga lokushisa lomzimba wengane yakho.

Yini okufanele ngiyenze uma ingane yami igula?

Uma ingane yakho igula, umhlahlandlela wakho wokuqala nobaluleke kakhulu uhlelo lokunakekela isifo sikashukela sengane yakho. Landela imiyalelo kadokotela njengoba ibhaliwe. Ngaphezu kwalokho, lawa macebiso ajwayelekile azokusiza futhi:

• Hlola amazinga kashukela egazini lakho njalo: Kungase kudingeke ukuthi uhlole kaningi kunokujwayelekile, mhlawumbe njalo emahoreni angu-2-3. Yenza njengoba udokotela wakho ekutshela.
• Ungayeki ukunikeza i-insulin: Lokhu kubaluleke kakhulu! Ngisho noma ingane ingadli, izinga likashukela lomzimba lingakhuphuka, ngakho-ke i-insulin iyadingeka. Kodwa-ke, umthamo ungadinga ukushintshwa. Mhlawumbe ungawukhuphula, mhlawumbe uwunciphise. Khuluma nodokotela bese unquma. Odokotela bangase batuse nokuthi izingane ezinesifo sikashukela sohlobo 2 zingayithathi i-insulin nsuku zonke zinikezwe i-insulin.
• Hlola ama-ketone: Hlola umchamo noma igazi lengane yakho ukuze ubone ama-ketone. Ubuhlungu besisu, isicanucanu, nokuhlanza kungaba ukuphazamiseka kwesisu okulula, noma kungaba izimpawu zesimo esiyingozi esibizwa ngokuthi i-Diabetic Ketoacidosis (DKA). Yingakho kubalulekile ukuhlola ama-ketone.
• Khuthaza ingane yakho ukuthi iphuze uketshezi: Ukuze uvimbele ukuphelelwa amanzi emzimbeni, nikeza ingane yakho uketshezi oluningi ngangokunokwenzeka (ngaphandle koshukela). Kungcono ukuyinika isilinganiso esincane njalo.
• Qaphela lapho unikeza umuthi: Eminye imithi yokukhwehlela ethengiswa ngaphandle kwemithi kadokotela kanye nemithi yomkhuhlane ingase ibe noshukela. Eminye imithi ingathinta amazinga kashukela egazini. Ngakho-ke, buza usokhemisi wakho noma udokotela ngaphambi kokunikeza ingane yakho umuthi .Ingabe lowo muthi uyasithinta isifo sikashukela futhi ingabe uqukethe ushukela?
• Bhala phansi konke: Lokhu kubaluleke kakhulu. Bhala phansi izimpawu zengane yakho (umkhuhlane, ukukhwehlela, ukuhlanza, njll.), imithi enikezwayo kanye nemithamo yayo, ukuthi idlani futhi iphuzani, ukwehla kwesisindo, ukuthi inomkhuhlane ongakanani, amazinga kashukela egazini, amazinga e-ketone, konke lokhu kanye nesikhathi encwadini. Lawa manothi azosiza kakhulu udokotela ekwelapheni.
• Siza ingane yakho ukuthi iphumule ngokwanele: Ukuphumula kubalulekile emzimbeni uma igula. Qiniseka ukuthi ingane yakho ilele kahle futhi iphumule, kunokuba uyivumele idlale, igijime, noma igxume.

Kunini lapho udinga ukubonana nodokotela?

Nakuba ngezinye izikhathi ungakwazi ukunakekela ingane yakho ekhaya, ngezinye izikhathi kubalulekile ukubona udokotela ngokushesha. Uma unezinye zalezi zimpawu, shayela udokotela wakho ngokushesha noma uyise esibhedlela:

• Uma ingane ifuna ukudla, ayifuni ukudla noma ukuphuza lutho.
• Uma uhlanza njalo noma uhudo isikhathi esingaphezu kwamahora amabili.
• Uma izinga likashukela egazini lakho liphansi kakhulu (`i-Hypoglycemia`) futhi awukwazi ukulilawula ngisho nento equkethe ushukela.

Okubalulekile: Uma ushukela wegazi wengane yakho wehla, zama izindlela zokwelapha zasekhaya (isib. ukunikeza iziphuzo ezinoshukela) ngaphambi kokubiza udokotela wakho noma ukuya esibhedlela. Uma ushukela wegazi wengane yakho ungabuyeli esimweni esijwayelekile, shayela i-emergency room (eSri Lanka ngo-1990) noma uyise ingane yakho esibhedlela esiseduze.

• Uma izinga likashukela egazini lakho lihlala liphezulu (`i-Hyperglycemia`) futhi lingehli naphezu kokunikezwa kwe-insulin ngokohlelo lwakho lokunakekelwa.
• Uma unezinga eliphakathi noma eliphezulu lama-ketone emchameni noma egazini lakho.
• Uma ucabanga ukuthi ingane yakho inezimpawu ze-'DKA (Diabetic Ketoacidosis)' (isib. ukuphefumula okusheshayo, iphunga lokuphefumula elinjengezithelo, ukozela ngokweqile, ukudideka).

Ungalokothi ucabange kabili, uma unokungabaza okuncane, khuluma nodokotela wakho. Yilokho okuphephile kakhulu ongakwenza.

Yini enye okudingeka siyazi? (Okuncane ngokuvimbela futhi)

Njengoba nje kubalulekile ukunakekela ingane yakho uma igula, kubalulekile futhi ukuyisiza ukuthi ihlale iphilile ngangokunokwenzeka.

• Thola imijovo yengane yakho ngesikhathi: Thola yonke imijovo yengane yakho ngesikhathi, ikakhulukazi i-Pneumococcal Conjugate Vaccine (PCV) ye-pneumonia, umjovo womkhuhlane waminyaka yonke, kanye nomjovo we-COVID-19 uma kufanelekile. Lokhu kuvikela ingane yakho ezifweni eziningi.
• Fundisa izingane zakho ukugeza izandla zazo njalo: Indlela engcono kakhulu yokuvimbela ukusabalala kwamagciwane ukugeza izandla zazo ngendlela efanele. Qiniseka ukuthi ingane yakho igeza izandla zayo ngensipho namanzi ngaphambi kokudla, ngemva kokusebenzisa indlu yangasese, nangemva kokudlala ngaphandle.
• Hlala kude nabantu abagulayo:Izifo ezifana nomkhuhlane kanye ne-flu zisakazeka ngokushesha kakhulu. Ngakho-ke gwema ukuyisa ingane yakho ezindaweni lapho abantu begula khona.

Okudingeka sikukhumbule kukho konke lokhu (Umyalezo Wokuya Ekhaya)

Kuyiqiniso ukuthi udinga ukuqaphela kakhudlwana uma ingane yakho enesifo sikashukela igula. Kodwa lokho akusho ukuthi awukwazi ukusilawula. Into eyinhloko ukungesabi, futhi ulungiselele kusenesikhathi.

• Qiniseka ukuthi uyazi uhlelo lokunakekela ingane yakho ngesifo sikashukela kanye nemithetho yezinsuku zokugula.
• Hlola amazinga kashukela egazini lakho kanye ne-ketone njalo.
• Ungalokothi uyeke ukuthatha i-insulin (ngaphandle kweseluleko sikadokotela).
• Nika ingane uketshezi oluningi.
• Uma unokungabaza nganoma yini, ungalibali ukukhuluma nodokotela wakho.

Ngothando lwakho, ukunakekelwa, kanye nalolu lwazi, ungakwazi ukuphatha kahle izinsuku zokugula futhi usize ingane yakho ilulame ngokushesha. Awuwedwa, futhi ithimba lakho lezokwelapha lihlala likhona ukukusiza.

Isifo sikashukela, izingane, ukugula, ushukela wegazi, i-insulin, ama-ketone, i-DKA, i-hypoglycemia, i-hyperglycemia, uhlelo lokunakekelwa kwesifo sikashukela, imithetho yosuku lokugula