Uma unesifo sikashukela, ungase ukhathazeke ngokwehla kwamazinga kashukela egazini lakho (okubizwa ngokuthi yi-hypoglycemia ngokwezokwelapha). Lokhu kungenzeka uma uthatha i-insulin eningi kakhulu, ungadli kahle, noma uvivinya umzimba ngaphezu kokujwayelekile. Ngezinye izikhathi, lokhu kungenzeka kungakhathaliseki ukuthi ulawula kahle kangakanani isifo sikashukela sakho. Yingakho kubalulekile ukwazi izimpawu eziyisixwayiso zoshukela ophansi egazini. Kubalulekile ukugcina umndeni wakho nabangani bakho benolwazi ngalokhu, hhayi wena wedwa.
Ushukela uphansi kangakanani ngempela uyingozi?
Iningi labantu liqala ukuzwa izimpawu lapho amazinga kashukela egazini labo ehla afinyelela ku-70 mg/dL (ama-milligram nge-deciliter) noma ngaphansi. Kodwa lokhu akufani kuwo wonke umuntu. Ngezinye izikhathi ungase uzizwe uthuthumela ngisho noma amazinga kashukela egazini lakho ephakeme kancane kunalokho. Kungcono ukukhuluma nodokotela wakho ngokuthi yiliphi izinga likashukela egazini lakho elifanele nokuthi indawo eyingozi iqala kuphi.
Yiziphi lezi zimpawu eziyisixwayiso?
Uma nje izinga likashukela egazini lakho liqala ukwehla ngisho nakancane, ungase uzizwe ukhathazekile, ungaphumuli, futhi uthuthumela. Lokhu kungenxa yokuthi lapho ushukela egazini lakho wehla, umzimba wethu ukhiqiza i-hormone ebizwa ngokuthi i-adrenaline. Yilokhu esikubiza ngokuthi i-hormone "yokulwa noma yokubaleka". Lena yindlela yemvelo yokuzivikela yomzimba.
Ngaphezu kwalezi zimpawu eziyisisekelo, kunezinye izimpawu eziningana ezithambile neziphakathi nendawo. Ake sibone ukuthi ziyini.
| Isibonakaliso | Indlela ozizwa ngayo |
|---|---|
| Ukucasuka | Uthukuthela ngaphandle kwesizathu, futhi ulimala ngisho nangezinto ezincane kakhulu. |
| Ukushaqeka | Kuzwakala sengathi izandla zakho, imilenze, noma umzimba wonke uyathuthumela. |
| Isiyezi(Isiyezi) | Ngizizwa nginesizungu futhi nginenkinga yokuma. |
| Ukushaya kwenhliziyo okusheshayo | Ngizwa inhliziyo yami ishaya ngokushesha. |
| Indlala | Kungazelelwe, uzizwa ulambile kakhulu. |
| Ukukhathala | Ngikhathele kakhulu futhi ngizizwa ngingenampilo. |
| Inkinga yokugxila | Angikwazi ukugxila kulokho engikwenzayo, ikhanda lami lizwakala lididekile. |
| Ukujuluka nokubanda | Ngivele ngijuluke, kodwa umzimba wami uzizwa ubanda. |
| Ubuthakathaka | Ngizizwa sengathi angisenawo amandla emzimbeni wami. |
Uma isimo siba sibi kakhulu...
Uma ungazami ukubuyisela amazinga kashukela egazini lakho ngokushesha nje lapho uqaphela lezi zimpawu zokuqala, izimpawu zakho zingase zibe zimbi kakhulu. Lokhu kusho ukuthi ungase ubhekane nezinto ezifana nalezi:
- Umbono ofiphele: Ukungakwazi ukubona kahle.
- Inkulumo engacacile: Amagama angacacile, ukungingiza.
- Ukuquleka: Kungafika njengokuquleka.
- Ukuquleka: Ungase uphelelwe amandla futhi uwe.
Izimpawu ezingathi sína ezifana nalezi ziyisimo esiyingozi kakhulu esidinga ukwelashwa okuphuthumayo.Ngalesi sikhathi, kufanele uye ngokushesha eMnyangweni Wezimo Eziphuthumayo (i-ETU) oseduze. Kubalulekile ukutshela umndeni wakho, abangani, nalabo osebenza nabo ngalezi zimpawu ezinkulu nokuthi yini okufanele uyenze uma zivela.
Abanye abantu baphinde babe noshukela ophansi egazini ngesikhathi sokulala, okungaholela emaphusheni asabekayo, ukuklabalasa ebuthongweni babo, ukujuluka, noma ukucasuka ngaphandle kwesizathu lapho bevuka ekuseni.
Ukungazi nge-Hypoglycemia (ushukela wegazi ophansi kodwa kungekho zimpawu)
Lokhu kuyinto okufanele siyazi nakanjani. Abanye abantu ababonisi zimpawu noma ushukela wabo wegazi uphansi. Lokhu sikubiza ngokuthi `(Hypoglycemia Unawareness)`. Uma unoshukela wegazi ophansi njalo, ngokuhamba kwesikhathi umzimba wakho uqala ukungazinaki lezi zimpawu eziyisixwayiso. Okusho ukuthi, umzimba uyajwayela lesi simo. Uma usunesikhathi eside unesifo sikashukela, noma uma ungumuntu olawula ushukela wakho wegazi ngokuqinile, lesi simo singenzeka kakhulu.
`Ukungazi Nge-Hypoglycemia` kuyisimo esiyingozi kakhulu. Ngoba ungalahlekelwa ingqondo ngokuzumayo ngaphandle kwesixwayiso. Uma unalesi simo, kubalulekile ukuhlola amazinga kashukela egazini lakho njalo. `I-Continuous Glucose Monitor` eqapha amazinga kashukela wakho usuku lonke ingaba usizo kakhulu kubantu abanjalo. Le divayisi ikunikeza i-alamu lapho amazinga kashukela wakho ehla.
Ungaqeqesha nomzimba wakho ukuthi uqaphele lezi zimpawu zikashukela wegazi ophansi futhi. Udokotela wakho uzokufundisa ukuthi ungakwenza kanjani lokho.
Okufanele ukwenze ngokushesha uma ushukela wakho wegazi wehla
Lena yingxenye ebaluleke kakhulu. Uma nje uzizwa izimpawu zoshukela wegazi ophansi, ungasebenzisa "umthetho we-15-15" ukuze ubuyisele ngokushesha amazinga kashukela egazini lakho.
1. Yidla amagremu angu-15 ama-carbohydrate: Ukuze wenze lokhu, ungathatha amathebhu e-glucose, ingxenye yengilazi yejusi yezithelo, ama-raisin ambalwa, ubhontshisi omncane we-jelly, noma izipuni ezintathu zikashukela ezincibilikisiwe emanzini. Izinto ezifana noshokoledi ne-ayisikhilimu azilungile okwamanje. Ngenxa yokuthi ziqukethe amafutha, ushukela uthatha isikhathi eside ukumuncwa ngumzimba. Sifuna okuthile okuzokhuphula amazinga ethu kashukela ngokushesha.
2. Linda imizuzu eyi-15: Linda ngesineke imizuzu eyi-15 ngemva kokudla.
3. Hlola ushukela wakho wegazi futhi: Hlola ushukela wakho wegazi nge-glucometer yakho. Uma kusengaphansi kuka-70 mg/dL, thatha amanye amagremu angu-15 ama-carbohydrate.
Kodwa khumbula into eyodwa. Ungadli kakhulu ngesikhathi esisodwa. Uma wenza kanjalo, amazinga akho kashukela angakhuphuka ngokuzumayo. Ngakho-ke, qhubeka udla amagremu angu-15 ngesikhathi kuze kube yilapho amazinga akho kashukela ebuyela esimweni esijwayelekile.
Uma ushukela wakho wegazi uphansi kakhulu, noma uma umthetho we-15-15 ungasebenzi, ungadinga umjovo noma i-spray yamakhala ye-hormone ebizwa ngokuthi i-glucagon. Lokhu kusebenza ngokunyusa amazinga kashukela egazini lakho ngokushesha okukhulu. Buza udokotela wakho ukuthi kufanele yini ugcine i-glucagon rescue kit nawe. Kubalulekile futhi ukufundisa umndeni wakho nabangani bakho ukuthi bayisebenzise kanjani uma kwenzeka ulahlekelwa ingqondo.
Njalo uma ushukela wegazi uphansi, ikakhulukazi uma uba mubi kakhulu, tshela udokotela wakho ngakho. Angakunikeza iseluleko futhi enze noma yiziphi izinguquko ezidingekayo ekwelashweni kwakho ukuze kuvinjelwe lokhu ukuthi kuphinde kwenzeke.
Umlayezo Wokuya Nawe Ekhaya
- Thola izimpawu zomzimba wakho zokuthi ushukela wegazi uphansi (njengokuqhaqhazela, ukujuluka, kanye nesiyezi ).
- Yazisa umndeni wakho nabangane abaseduze ngalezi zimpawu nokuthi yini okufanele uyenze uma zivela.
- Landela "umthetho we-15-15" ngokushesha nje lapho ubona izimpawu zokuqala zoshukela wegazi ophansi.
- Xoxa nodokotela wakho ukuthi udinga yini ikhithi yokusiza i-glucagon ukuze uyisebenzise uma kwenzeka i-hypoglycemia enkulu.
- Yazisa udokotela wakho nganoma yiziphi izimo zokwehla koshukela egazini, ikakhulukazi izimo ezinzima kakhulu.
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