Ingabe ungumuntu osebenzisa imithi yesifo sikashukela, ikakhulukazi i-insulin? Kufanele ukuthi uke wezwa ngezikhathi lapho izinga likashukela egazini lakho liba phansi kakhulu. Yilokhu esikubiza ngezokwelapha ngokuthi i-hypoglycemia. Abanye abantu bakubiza nangokuthi 'i-insulin shock'. Nakuba empeleni kuyesabeka kancane, uma kuphathwa kahle, akunzima kangako ukuhlala uphephile kule ngozi. Namuhla, sizoxoxa ngokuthi kungani lokhu kwenzeka, ukuthi ungakuvimbela kanjani, nokuthi yini okufanele uyenze esimweni esiphuthumayo.
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Kungani ushukela egazini lethu wehla ngokuzumayo?
Kalula nje, lokhu kwenzeka uma kukhona ukungalingani phakathi kokudla okudlayo, ukuzivocavoca okwenzayo, kanye nemithi yesifo sikashukela oyithathayo (ikakhulukazi i-insulin).
Cabanga ngakho njengesikali. Ngakolunye uhlangothi kukhona i-insulin yakho kanye nemithi (eyehlisa ushukela egazini). Ngakolunye uhlangothi kukhona ukudla okudlayo (okuphakamisa ushukela egazini). Ngisho nalapho uzivocavoca, umzimba wakho usebenzisa ushukela osegazini lakho. Ngakho-ke, uma ungayithathi imithi yakho futhi udle ukudla okufanele, uma uzivocavoca kakhulu kunalokho okufanele, noma uma uthatha imithi yakho ngesikhathi esingafanele, ibhalansi esikalini ingalahleka futhi amazinga kashukela egazini lakho angehla ngendlela eyingozi.
Into eyingozi kakhulu ukuthi ngezinye izikhathi ushukela ophansi egazini ungavela ngaphandle kwezimpawu. Lesi simo sivame kakhulu kubantu asebenesifo sikashukela isikhathi eside noma abanoshukela ophansi egazini njalo. Lokhu sikubiza ngokuthi (Hypoglycemia Unawareness).
Uma ingelashwa, ushukela wegazi ophansi ungabangela ukuba uphelelwe amandla. Ukushaqeka okukhulu kwe-insulin kuyisimo esiphuthumayo sezokwelapha esidinga ukwelashwa ngokushesha.
Yini esingayenza ukuze sivimbele ushukela wegazi ophansi?
Kungcono ukuvimbela ushukela wegazi ophansi kunokuwelapha. Uma ukhuluma nodokotela wakho futhi uqhamuka nohlelo oluhle lokuphatha, ungahlala uphilile. Nazi ezinye izinto ongazenza ukusiza.
Hlola amazinga kashukela wakho njalo.
Indlela engcono kakhulu yokwazi izinga likashukela egazini lakho ngokunembile ukulihlola nge-blood glucose meter. Kwenze njalo njengoba udokotela wakho ekucebisa. Lezi ngokuvamile yizikhathi ezinhle kakhulu zokuhlola.
| Isikhathi sokuhlola | Kungani lokho kubalulekile? |
|---|---|
| Lapho nje ngivuka ekuseni | Ungathola ukuthi amazinga akho kashukela abe kanjani ubusuku bonke. |
| Ngaphambi kokudla okuyinhloko | Lokhu kuzokusiza ukuthi unqume umthamo wakho we-insulin. |
| Amahora ama-2 ngemva kokudla | Ungaqonda ukuthi umzimba wakho usabela kanjani ekudleni okudlile. |
| Ngaphambi kokulala ebusuku | Lokhu kubalulekile ukuvimbela ingozi yokuba noshukela wegazi ophansi ebusuku. |
Uma izinga lakho likashukela lingaphandle kwebanga elibekiwe, yazisa udokotela wakho noma ikliniki yesifo sikashukela ngokushesha .
Qaphela kakhulu lapho uzivocavoca.
Uma usebenza, umzimba wakho usebenzisa ushukela ukuze uthole amandla. Ngakho-ke ukuze ugweme ushukela wegazi ophansi ngesikhathi sokuzivocavoca, udinga:
- Yidla ukudla okulula okuncane (isib. ubhanana, amabhisikidi amabili noma amathathu) ngaphambi kokuzivocavoca.
- Shintsha umthamo wakho we-insulin. Kodwa kufanele ukwenze lokhu kuphela ngemva kokubonisana nodokotela wakho .
Uma uhlola amazinga kashukela egazini lakho ngaphambi, ngesikhathi, nangemva kokuzivocavoca, uzokwazi ngokuqinisekile ukuthi kwehla kangakanani. Khumbula, uma uzivocavoca kanzima kunokuvamile, imiphumela ingahlala amahora angama-24 .
Qaphela imithi nokudla.
- Thatha umthamo ofanele womuthi: Ungathathi i-insulin engaphezu kwalokho okuyalelwe. Futhi ungayithathi ngesikhathi esingafanele. Imijovo ye-insulin kufanele inikezwe ungqimba olunamafutha ngaphansi kwesikhumba. Uma uyijova ngephutha emisipheni, i-insulin ingamuncwa ngokushesha kakhulu futhi ushukela egazini lakho ungehla kakhulu.
- Ungayeki ukudla: Yidla ukudla kwakho okuyinhloko kanye nokudla okulula ngezikhathi ezifanele.
- Yiba nohlelo lwezinsuku zokugula: Ngisho noma ungazizwa kahle noma ungahlanzi, ungayeki imithi oyinikezwe udokotela. Zama ukudla noma ukuphuza okuthile okuhambisana nayo. Uma ungakwazi ukudla noma ukuphuza noma yini, shayela udokotela wakho ngokushesha.
- Qaphela utshwala:Utshwala bungenza kube nzima ukulawula amazinga kashukela egazini lakho. Futhi, ungase ungaziboni izimpawu zoshukela ophansi egazini uma udakiwe. Uma uphuza utshwala, ungalokothi uphuze isisu esingenalutho . Buphuze kanye nokudla kuphela.
- Amanzi ashisayo kanye ne-insulin: Ungagezi noma ugeze ngamanzi ashisayo ngemva kokusebenzisa i-insulin. Ukushisa kungavula imithambo yegazi futhi kubangele ukuthi i-insulin imuncwe ngokushesha. Linda okungenani ihora nesigamu ngaphambi kokugeza.
Singaluthola yini usizo kubuchwepheshe besimanje?
- I-CGM (I-Continuous Glucose Monitor): Lena inzwa encane efakwa ngaphansi kwesikhumba. Ingaqapha amazinga kashukela egazini lakho njalo futhi ikuxwayise uma ephansi. Lokhu kuwusizo kakhulu kubantu abangakhombisi izimpawu (ukungazi nge-hypoglycemia).
- Iphampu Ye-Insulin: Lena idivayisi encane exhunywe emzimbeni. Ingaletha inani elidingekayo le-insulin emzimbeni kancane kancane phakathi nosuku.
Unganquma ukuthi lezi zikufanele yini ngokukhuluma nodokotela wakho.
Indlela lesi simo esithinta ngayo izingane ezincane
Kubaluleke kakhulu ukuvimbela amazinga aphansi kashukela egazini ezinganeni ezincane. Ubuchopho bengane bukhula ngokushesha eminyakeni yokuqala emine yokuphila. Ushukela wegazi ophansi kakhulu phakathi nalesi sikhathi ungalimaza ukukhula kobuchopho.
Uma izinsana noma izingane ezincane zinoshukela wegazi ophansi, zingase zikhale futhi zixakeke kakhulu kunokujwayelekile . Uma sezikhulile kancane, kufanele uzifundise izimpawu zokuqala zoshukela wegazi ophansi.
- Ukushaqeka
- Ukujuluka
- Ukuzizwa sengathi inhliziyo yakho ishaya ngokushesha
Ukukusiza ukuthi uzazi - Ukubaluleka kwe-ID Yezokwelapha
Uma wena noma ingane yakho nisengozini yokuhlaselwa yi-hypoglycemia njalo, kubaluleke kakhulu ukugqoka isongo noma umgexo wezokwelapha .
Cabanga nje ulahlekelwa ingqondo ngokuzumayo endleleni futhi ube noshukela wegazi ophansi. Akekho owaziyo ukuthi ungubani noma ukuthi unesifo sini. Kodwa uma unesongo esibhalwe ukuthi 'Nginesifo Sikashukela' esihlakaleni sakho, umuntu ongakusiza angasibona ngokushesha bese ekuyisa e-Emergency Treatment Unit (ETU) yesibhedlela.
Lesi sici siyatholakala nakumafoni amanje. Ungasisetha ukuze ulwazi lwakho lwezokwelapha (i-Medical ID) lubukwe ngisho noma ifoni ikhiyiwe. Kuma-iPhone, lokhu kungenziwa kusukela esigabeni esithi "i-Medical ID" sohlelo lokusebenza lwezeMpilo, kanye nakumafoni e-Android, kusukela kuzilungiselelo.
Umlayezo Wokuya Nawe Ekhaya
- Hlola amazinga kashukela egazini lakho njalo njengoba udokotela wakho ekutshelile.
- Gcina ibhalansi enhle phakathi kokudla okudlayo, ukuzivocavoca okwenzayo, kanye nemithi oyiphuzayo.
- Hlala uqaphele izimpawu zokuqala zokwehla kukashukela egazini (ukuthuthumela, ukujuluka, ukushaya kwenhliziyo okusheshayo).
- Hlala ugcina okuthile okumnandi (amaphilisi e-glucose, iphakethe likashukela, ucezu lwe-toffee) eduze uma kwenzeka isimo esiphuthumayo.
- Uma unenkinga ngesifo sakho sikashukela, khuluma nodokotela wakho ngaphandle kokungabaza.
- Ukugqoka i-ID yesexwayiso sezokwelapha kungasiza ekusindiseni impilo yakho esimweni esiphuthumayo.
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