USunil (oneminyaka engu-52 ubudala), usomabhizinisi onesitolo esincane, ufike emtholampilo wami ngoLwesine olwedlule. Ubelokhu ehlushwa yisifo sikashukela sohlobo lwesibili iminyaka emihlanu.
"Dkt. Priya, ngiphuza amaphilisi ami esifo sikashukela njengoba ngitshelwe. Kodwa amazinga ami kashukela ayashintshashintsha njalo. Umbiko wakamuva we-HbA1c ungu-8.2%. Wonke umuntu ungitshela ukuthi ngizivocavoce, kodwa ngisisindo esingamakhilogremu angu-92 futhi nginesifo samathambo . Nginenkinga yokuhamba ngoba imilenze yami iyabuhlungu. Ngingazivocavoca kanjani?" uSunil uchaze ukungabi namandla kwakhe.
Ngachazela uSunil: "Sunil, ukuzivocavoca komuntu onesifo sikashukela kubaluleke kakhulu njengokuphuza amaphilisi. Uma sizivocavoca, ukuzwela kwe-insulin emzimbeni wethu kuyanda. Lokhu kusho ukuthi ngisho nangamazinga aphansi e-insulin ye-hormone, amangqamuzana omzimba angamunca ushukela egazini kalula. Njengesixazululo sobuhlungu bedolo lakho, ungenza izivivinyo ezilula ezingacindezeli amalunga (izivivinyo ezithinta kancane). Namuhla, ake sixoxe ngendlela abantu abanesifo sikashukela njengani abanezinkinga zamalunga noma abakhuluphele abangakhetha ngayo ukuzivocavoca ngokuphephile."
๐จ Amafulegi Abomvu okufanele ayeke ukuzivocavoca ngokushesha
Nakuba ukuzivocavoca kuzuzisa kakhulu abantu abanesifo sikashukela, ukuzivocavoca kufanele kumiswe ngokushesha uma kuvela izimpawu ezilandelayo eziyingozi ngesikhathi sokuzivocavoca:
- Ukuqina okukhulu, ukucindezelwa, noma ubuhlungu phakathi nesifuba (lokhu kungaba uphawu lokuhlaselwa yinhliziyo).
- Ubunzima obukhulu bokuphefumula noma ukuthuthumela okungalawuleki.
- Ukuzungeza, ukuquleka, ukudideka, noma ukubona okufiphele.
- Izimpawu ze-hypoglycemia (ukujuluka ngokweqile, ukuqhaqhazela, indlala, noma ukukhuluma okungaqondakali) okubangelwa ukwehla okusheshayo kwamazinga kashukela egazini.
๐ก Izinyathelo okufanele uzithathe:
Uma kuvela noma yiziphi izimpawu ezingenhla, hlala phansi uphumule ngokushesha. Uma izinga likashukela egazini lakho lingaphansi kuka-70 mg/dL, phuza ngokushesha isipuni sikashukela noma ujusi wezithelo. Uma ubuhlungu besifuba buqhubeka imizuzu engaphezu kwemi-5, hamba uye esibhedlela esiseduze ngokushesha.
Izinzuzo eziyinhloko zokuzivocavoca kubantu abanesifo sikashukela
- Ukulawula ushukela egazini: Ukuzivocavoca kuvuselela imisipha, eshisa ushukela wegazi ngokuqondile ukuze uthole amandla.
- Ukwanda kwesenzo se-insulin: Kusiza ukulawula imithamo yemithi ngokwandisa ukuzwela kwe-insulin emaseli.
- Ukunciphisa ingozi yezinkinga: Ingozi yokuhlaselwa yinhliziyo kanye nesifo sohlangothi incishiswe kakhulu.
- Ukuthethelelwa Kwesifo Sikashukela: Ucwaningo lukhombisile ukuthi ukuvivinya umzimba njalo kanye nokudla njalo ezigabeni zokuqala zesifo kungasiza ekulawuleni ngokuphelele noma ekubuyiseleni isifo sikashukela.
Ukuqhathaniswa kokuzivocavoca okulula okufanele abantu abanesifo sikashukela
| Uhlobo lokuzivocavoca | Umthelela emalungeni | Inzuzo eyinhloko yezempilo | Imvamisa enconyiwe |
|---|---|---|---|
| Ukuhamba Ngokushesha | Okumaphakathi | Ukuqinisa uhlelo lwenhliziyo, kunciphisa amanani e-HbA1c. | Izinsuku ezi-5 ngesonto, imizuzu engama-30 ngosuku. |
| Ukuhamba ngebhayisikili okumile | Iphansi kakhulu (Umthelela ophansi) | Ukuqinisa imisipha yamathanga ngaphandle kokucindezela amalunga. | Izinsuku ezi-3-4 ngesonto, imizuzu engama-20-30 isikhathi ngasinye. |
| Ukubhukuda | Iphansi kakhulu (Umthelela ophansi) | Ukwandisa ukusebenza kwemisipha kanye nokuguquguquka komzimba wonke. | Izinsuku ezi-2-3 ngesonto, imizuzu engama-30 isikhathi ngasinye. |
| Amabhande Okuphakamisa Izinsimbi/Okumelana | Ngaphansi | Khulisa imisipha futhi usheshise ukushiswa ushukela. | Izinsuku ezimbili ngesonto (usuku olulodwa lokuphumula). |
| I-Yoga | Kuphansi kakhulu | Ukuphathwa kokucindezeleka, ukwandisa ukuguquguquka nokulinganisela. | Imizuzu eyi-15-20 nsuku zonke. |
Okumele Ukwenze Nokungafanele Ukwenze
| โ๏ธ Izinto okufanele uzenze (Okufanele Uzenze) | โ Okungafanele ukwenze |
|---|---|
| Hlangana neziqondiso ze-American Diabetes Association (ADA) okungenani imizuzu eyi-150 yokuzivocavoca okulingene ngesonto. | Ungalokothi uzivocavoce ungagqokile zicathulo noma ugqoke izicathulo ezingakufaneli kahle uma unezinhlungu ezinyaweni noma une-diabetesic neuropathy. |
| Gwema ingozi ye-hypoglycemia ngokulinganisa amazinga kashukela egazini lakho ngaphambi nangemva kokuqala ukuzivocavoca. | Ungaqali ukuzivocavoca okunamandla ngesikhathi esisodwa. Qala njalo ngokuzifudumeza okuncane kwemizuzu emi-5. |
| Phuza amanzi amancane njalo ukuze uvimbele ukuphelelwa amanzi emzimbeni ngesikhathi uzivocavoca. | Ungaqali ukuzivocavoca uma izinga likashukela egazini lakho lingaphansi kuka-70 mg/dL noma lingaphezu kuka-250 mg/dL. |
โ Eminye imibuzo ongase ube nayo (Imibuzo Ebuzwa Njalo)
Ungakuvimbela kanjani amazinga kashukela egazini aphansi ngendlela eyingozi (i-Hypoglycemia) ngesikhathi sokuzivocavoca? โผ
Uma uthatha i-insulin noma imithi yokwehlisa ushukela egazini, hlola ushukela wakho wegazi ngaphambi kokuzivocavoca. Uma ungaphansi kuka-100 mg/dL, yidla ukudla okulula okuncane okunama-carbohydrate (ubhanana noma amabhisikidi amabili) ngaphambi kokuqala ukuzivocavoca. Njalo phatha amaphilisi e-glucose noma okuthile okumnandi.
Kungani abantu abanesifo sikashukela kufanele baqaphele lapho bezivocavoca? โผ
I-neuropathy yesifo sikashukela ingabangela ubuhlungu ezinyaweni ngenxa yamanxeba noma amabhamuza. Lokhu kungaholela ekuthelelekeni nasezinkingeni ezinkulu, ngakho-ke gqoka izicathulo ezithambile namasokisi aqinile lapho uzivocavoca, futhi uhlole izinyawo zakho nsuku zonke ngemva kokuzivocavoca.
Ingabe ukuvivinya umzimba okwengeziwe kungasiqeda ngokuphelele isifo sikashukela? โผ
Isifo sikashukela sohlobo lwesibili singatholakala kusenesikhathi futhi siphathwe ngokuzivocavoca njalo nokulawula isisindo ukuze amazinga kashukela egazini abuyele esimweni esijwayelekile ngaphandle kwemithi (i-Diabetes Remission). Kodwa-ke, njengoba kungesona isifo esingelapheki ngokuphelele, amazinga kashukela egazini angakhuphuka futhi uma ubuyela endleleni yokuphila yokuhlala phansi.
Abantu abamatasa bangasithola kanjani isikhathi sokuzivocavoca nsuku zonke ?
Uma ungenaso isikhathi sokuzivocavoca imizuzu engama-30 ngesikhathi, ungakuhlukanisa kube yizikhathi ezintathu zemizuzu eyi-10 ngosuku. Ucwaningo lukhombisile ukuthi ukuzivocavoca okufushane kunikeza izinzuzo ezifanayo.
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