Ingabe futhi womile kaningi kunokujwayelekile kulezi zinsuku? Kungakhathaliseki ukuthi udla malini, indlala yakho ayinciphi? Noma uzizwa ukhathele kakhulu usuku lonke ngaphandle kwesizathu? Sivame ukucabanga ngalezi zinto njengezivamile futhi asizinaki kakhulu. Kodwa-ke, lezi zingaba izimpawu ezibalulekile imizimba yethu esinika zona. Ukuze kube sobala, lezi zimpawu zingavela lapho isifo sikashukela (i-Prediabetes) noma isifo sikashukela sohlobo lwesibili siqala. Ngakho-ke, kubaluleke kakhulu ukuthi impilo yakho yesikhathi esizayo ikwazi lokhu futhi, uma kudingeka, ubone udokotela ngokushesha okukhulu bese uqala ukwelashwa.
Qaphela lezi zimpawu zesifo sikashukela
Kalula nje, i-hormone i-insulin ibalulekile ekulawuleni amazinga kashukela egazini emizimbeni yethu. Kusifo sikashukela, umzimba ukhiqiza i-insulin encane noma awukwazi ukusebenzisa i-insulin oyikhiqizayo kahle. Lokhu kubangela ukuthi amazinga kashukela egazini akhuphuke kancane kancane. Yilapho umzimba uzama ukusitshela ukuthi kunenkinga ngaphakathi ngezimpawu ezahlukahlukene.
Ezinye zalezi zimpawu zivele ngokushesha, kanti ezinye zivele kamuva. Ake sibheke kabanzi ukuthi ziyini lezi.
| Isibonakaliso | Kusho ukuthini lokhu? |
|---|---|
| Izimpawu ezingase zivele kuqala | |
| Ukuchama njalo | Izinso zizama ukususa ushukela omningi egazini ngomchamo, ngakho-ke kudingeka uchame kaningi kunokujwayelekile. |
| Ukuzizwa womile kakhulu kunokujwayelekile | Ukuchama njalo kubangela ukuthi umzimba ulahlekelwe amanzi amaningi. Yilokhu okwenza uzizwe womile ngaso sonke isikhathi. |
| Ukwehlisa isisindo ngaphandle kwesizathu | Njengoba amangqamuzana omzimba engakwazi ukuthola amandla kushukela, umzimba uqala ukuphula amafutha nemisipha ukuze uthole amandla. Yingakho wehlisa isisindo ngisho noma udla kahle. |
| Ukukhathala | Ngenxa yokuthi amangqamuzana awatholi amandla (ushukela) awadingayo, azizwa ekhathele kakhulu ngisho nangemva kokusebenza kancane. |
| Umbono ofiphele | Amazinga aphezulu kashukela egazini angathinta ilensi yeso, okubangela ukufiphala kwesikhashana kombono. |
| Ezinye izici | Abanye abantu bangase babe nekhanda elibuhlungu, ubunzima bokuphefumula, izinhlungu zesisu, isicanucanu, kanye nokuhlanza. |
| Izimpawu ezingase zivele ngokuhamba kwesikhathi | |
| Ukuba ndikindiki noma ubuhlungu ezithweni | Ukuba noshukela omningi egazini lakho isikhathi eside kungalimaza imizwa yakho, kubangele ukuqaqamba, izinzipho nezinaliti, noma ubuhlungu ezithweni zakho. |
| Ukupholisa amanxeba okulibaziseka | Isifo sikashukela siyaphazamisa ukujikeleza kwegazi, yingakho ngisho nesilonda esincane sithatha isikhathi eside ukuphola. |
| Ukutheleleka okuvamile | Ukutheleleka ngamagciwane noma ngesikhunta kwesikhumba, indlela yomchamo, noma izinsini kungavela kaningi. |
Kodwa khumbula nalokhu. Abanye abantu bangase bangabi nazimpawu yize amazinga abo kashukela egazini ephezulu. Yingakho kubaluleke kakhulu ukuhlolwa njalo kwezokwelapha uma unezici eziyingozi zesifo sikashukela (isib. umlando womndeni, ukukhuluphala), noma ngabe awunazo izimpawu.
Udokotela usithola kanjani isifo sikashukela?
Uma ukhuluma ngalezi zimpawu, udokotela wakho angase asole ukuthi unesifo sikashukela. Kodwa-ke, akunakwenzeka ukuqinisekisa ngokuphelele ukuthi unesifo sikashukela ngokubheka nje izimpawu. Ukuze wazi ngokuqinisekile, kuzodingeka wenze ukuhlolwa kwegazi .
Lezi yizivivinyo zegazi eziyinhloko ezenzelwa lokho.
| Igama Lokuhlolwa | Ubonani kulokhu? |
|---|---|
| Ukuhlolwa kwe-HbA1c (ukuhlolwa kwe-A1c) | Lokhu kufana nekhadi lombiko lezinyanga ezintathu lamazinga kashukela egazini lakho. Kubonisa ukuthi amazinga kashukela egazini lakho abe njani ezinyangeni ezimbili kuya kwezintathu ezedlule. Lokhu ukuhlolwa okubaluleke kakhulu ekuxilongeni nasekulawuleni isifo sikashukela. |
| Ukuhlolwa kwe-Fasting Plasma Glucose (FPG) | Kulokhu, akumelwe udle noma uphuze lutho ngaphandle kwamanzi okungenani amahora angu-8 ngaphambi kokuhlolwa. Ngemuva kwalokho, kuthathwa igazi bese kulinganiswa izinga likashukela ngaleso sikhathi. |
| Ukuhlolwa Kwe-glucose Okungahleliwe | Lokhu kuhilela ukuthatha igazi nganoma yisiphi isikhathi sosuku ukuze uhlole izinga likashukela egazini lakho. Akudingeki uzile ukudla kusengaphambili. Odokotela basebenzisa lokhu kuhlola uma bedinga ukuhlola ngokushesha umuntu onezimpawu ezinzima zesifo sikashukela. |
Ngokusekelwe emiphumeleni yalokhu kuhlolwa kwegazi, udokotela wakho anganquma ukuthi unesifo sikashukela, isifo sikashukela sangaphambi kwesifo sikashukela, noma isifo sikashukela sokukhulelwa. Uma ukhulelwe, banganquma nokuthi unesifo sikashukela sokukhulelwa.
Unesibopho ngempilo yakho.
Khumbula lokhu. Lapho wenza izinqumo mayelana nempilo yakho, uyilungu elibaluleke kakhulu eqenjini lakho lokunakekelwa. Udokotela wakho, abahlengikazi, nabanye bakhona ukukusiza, kodwa uyazi umzimba wakho nokuthi uzizwa kanjani kangcono.
Ngakho-ke,
- Khuluma nodokotela wakho ngokukhululekile ngezimpawu zakho ngaphandle kokufihla lutho.
- Ngitshele ngesimo sakho sengqondo, ukwesaba kwakho, nezinto ezibalulekile kuwe.
- Uma unemibuzo mayelana nokwelashwa, buza.
Kungaleso sikhathi kuphela lapho udokotela wakho angakutholela khona uhlelo lokwelashwa olungcono kakhulu. Isifo sikashukela yisimo esingalawulwa futhi silawulwe ukuze uphile impilo enempilo. Isinyathelo sokuqala ukuhlonza lesi sifo ngendlela efanele, ukuqonda imithwalo yakho yemfanelo, nokufuna ukwelashwa.
Umlayezo Wokuya Nawe Ekhaya
- Ukuzizwa womile kakhulu, ulambile, ukhathele, futhi uchama kaningi kunokujwayelekile kungaba izimpawu zokuqala zesifo sikashukela. Ungakushayi indiva lokhu njengezinto ezivamile.
- Uma unesinye noma ngaphezulu salezi zimpawu, bona udokotela wakho ngokushesha.
- Ukuhlolwa kwegazi okufana ne-HbA1c kuphela okungaqinisekisa ukuthi unesifo sikashukela noma cha.
- Ungumuntu obaluleke kakhulu eqenjini lakho lezokunakekelwa kwempilo. Khuluma ngokukhululekile nodokotela wakho ngemizwa yakho futhi ube ngumhlanganyeli okhuthele ekwelashweni kwakho.
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