Uma udokotela wakho ekutshela ukuthi unesifo sikashukela sohlobo lwesibili, ungase uzizwe wesaba futhi ukhathazekile, akunjalo? Kuvamile ukuba nemibuzo eminingi efana nokuthi "Ngeke ngiphinde ngikwazi ukudla amaswidi futhi?" kanye nokuthi "Ingabe kuzodingeka ngithathe imithi impilo yami yonke?" Kodwa ungakhathazeki. Eqinisweni, uma uyiphatha kahle, ungaphila impilo enempilo ngokuphelele, evamile. Kunezindlela eziningi zokwelapha lokhu. Ukudla, ukuzivocavoca, kanye nemithi kusebenza ndawonye ukulawula amazinga akho kashukela egazini.
Namuhla, ake sixoxe ngokuthi yiziphi izindlela zokwelapha ezitholakalayo zokulawula isifo sikashukela.
Yimaphi amaphilisi okufanele uqale ngawo kuqala?
Ngokuvamile, lapho umuntu onesifo sikashukela sohlobo lwesibili engakwazi ukulawula amazinga kashukela egazini lakhe ngokudla nokuzivocavoca kuphela, udokotela uzoqala ngokumqala ngohlobo lomuthi. Lokhu kusebenza ngezindlela ezahlukene emzimbeni. Ngezinye izikhathi kusetshenziswa umuthi owodwa kuphela, kanti ngezinye izikhathi kusetshenziswa imithi emibili noma emithathu ndawonye. Ake sibheke izinhlobo eziyinhloko zemithi esetshenziswayo.
| Isigaba sezidakamizwa | Indlela esebenza ngayo nokuthi yini okufanele uyazi |
|---|---|
| I-Metformin | Lona umuthi wesifo sikashukela osetshenziswa kakhulu emhlabeni. Usebenza kakhulu ngokunciphisa ukukhiqizwa kukashukela yisibindi nokwenza kube lula ngamaseli omzimba ukumunca ushukela. Ngokuvamile uthathwa kabili ngosuku ngokudla. Abanye abantu bangase babe nokuphazamiseka kwesisu nokuvuvukala ekuqaleni. |
| Ama-Sulfonylurea Isibonelo: I-Glimepiride, i-Gliclazide | Le mithi isebenza ngokukhombisa ukuthi ama-pancreas ethu akhiqiza i-hormone i-insulin eningi. I-insulini yilokho okuvumela ushukela ukuthi ungene emaseli ethu. Lokhu kuthathwa ngaphambi kokudla, futhi ngezinye izikhathi kungabangela ushukela wegazi ophansi (i-hypoglycemia) kanye nokukhuluphala. |
| Ama-DPP-4 Inhibitors Isibonelo: iSitagliptin, iLinagliptin | Le mithi isebenza ngokuvimbela ukubhujiswa kwehomoni emzimbeni wethu esiza ekukhiqizeni i-insulin. Ngakho lawo mahomoni ahlala esebenza isikhathi eside, elawula amazinga kashukela egazini kuphela uma ekhuphuka. Imiphumela emibi mincane kakhulu. |
| Izithibi ze-SGLT2 Isibonelo: I-Dapagliflozin, i-Empagliflozin | Lo umuthi osebenza ngendlela ehlukile kancane. Usebenza ezinso. Lo muthi usiza ukususa ushukela omningi egazini lethu ngomchamo. Lokhu kunciphisa ushukela egazini futhi kusiza nokunciphisa isisindo somzimba kanye nomfutho wegazi. |
| Ama-Thiazolidinediones (ama-TZD) Isibonelo: i-Pioglitazone | Lokhu kusebenza ngokunciphisa ukumelana ne-insulin emaseli omzimba kanye nokuthuthukisa ukusebenza kwe-insulin. Lokhu akufaneleki kubantu abanezinkinga zenhliziyo. Udokotela wakho uzonquma ngalokhu. |
Into ebaluleke kakhulu ukuthi udokotela wakho kuphela onganquma umuthi ofanele kanye nomthamo wakho . Umuthi othathwa ngomunye umuntu ungase ungakusebenzeli. Ngakho-ke, kubalulekile ukulandela imiyalelo kadokotela wakho.
Imithi Ehlanganisiwe
Ngezinye izikhathi kunzima ukulawula ushukela egazini ngomuthi owodwa nje. Ezimweni ezinjalo, udokotela angase akunike imithi emibili ndawonye. Manje, imithi emibili enjalo iyatholakala ephilisini elifanayo. Isibonelo, i-metformin kanye ne-sulfonylurea, noma i-DPP-4 inhibitor, iza ephilisini elifanayo. Lokhu kunganciphisa inani lamaphilisi okudingeka uwathathe ngosuku.
Ukwelashwa ngomjovo
Ungase ucabange, "Cha, akukho ukujova." Kodwa kwezinye izimo, ikakhulukazi uma ungakwazi ukulawula ushukela wakho ngamaphilisi, kufanele usebenzise imijovo. Ezinye zalezi zilungele inhliziyo yakho futhi zikusiza ukuthi wehlise isisindo.
- Ama-GLP-1 Receptor Agonists: Lawa ama-injection asebenza njengama-hormone. Avuselela ukukhiqizwa kwe-insulin futhi anciphise ijubane lokugaya ukudla, akwenze uzizwe usuthi. Angakusiza futhi ukuthi wehlise isisindo. Amanye, njenge-Dulaglutide (Trulicity), adinga ukujovwa kanye ngesonto. Amanye, njenge-Liraglutide (Victoza), adinga ukujovwa nsuku zonke.
- I-insulini:Kungase kudingeke usebenzise i-insulini isikhathi esifushane, isibonelo, uma unesifo esibi noma uma uhlinzwa. Futhi, uma inani le-insulini elikhiqizwa ngumzimba wakho lingasanele ngokuhamba kwesikhathi, kuzodingeka uthole i-insulini ngaphandle. Ngokungafani nesikhathi esidlule, manje sekunamapeni e-insulini alula kakhulu ukuwasebenzisa. Udokotela wakho noma umhlengikazi emtholampilo wesifo sikashukela uzokukhombisa ngqo ukuthi ungazijova kanjani.
Okubaluleke kakhulu kunemithi - izinguquko zendlela yokuphila!
Kungakhathaliseki ukuthi uthatha muphi umuthi, izinguquko zendlela yokuphila zibalulekile ukuze uthole imiphumela emihle kakhulu. Lokhu kuyisisekelo sokwelashwa kwesifo sikashukela.
1. Yehlisa isisindo: Ukwehlisa isisindo somzimba wakho ngo-5% kuya ku-10% kungenza umehluko omkhulu. Isibonelo, uma unesisindo esingamakhilogremu angu-175, ukunciphisa amakhilogremu angu-10 kuya ku-18 kuphela kunganciphisa amazinga akho e-A1c (amazinga kashukela egazini ajwayelekile ezinyangeni ezi-3 ezedlule) futhi kunciphise nengozi yakho yesifo senhliziyo. Ungase ukwazi nokunciphisa inani lemithi oyiphuzayo.
2. Ukudla okunempilo: Ayikho into ebizwa ngokuthi "ukudla okunesifo sikashukela." Into ebaluleke kakhulu ukudla ukudla okunempilo. Udinga ukuqaphela ama-carbohydrate, i-fiber, amafutha, nosawoti. Qaphela inani lezinto ezifana nelayisi, isinkwa, namazambane ozidlayo. Into engcono kakhulu ongayenza ukuhlangana nodokotela wakho noma isazi sokudla esibhalisiwe ukuze sakhe uhlelo lokudla olufanela wena.
3. Umsebenzi womzimba (ukuzivocavoca): Uma sizivocavoca, amangqamuzana ethu ayakwazi ukusebenzisa i-insulin. Lokhu kusho ukuthi ushukela osegazini lethu usetshenziselwa amandla. Kungaba lula njengokuhamba ngokushesha imizuzu engama-30 ngosuku noma ukwenza imisebenzi yasekhaya.
4. Lala kahle ebusuku: Ukungalali kahle nakho kuyimbangela yamazinga aphezulu kashukela egazini. Ngakho-ke, ukulala ngokwanele nsuku zonke nakho kuyingxenye yokwelashwa.
Ngakho-ke, ukhetha kanjani ukwelashwa okufanele wena?
Udokotela wakho uzonquma ukuthi iyiphi kulezi zindlela eziningi zokwelapha engcono kakhulu kuwe. Uzokwenza lesi sinqumo ngemva kokucabangela izici eziningana.
- Izinga lakho le-A1c: Uma i-A1c yakho iphakeme kakhulu kunomgomo wakho, kungadingeka uqale into efana ne-insulin ukuze ulawule ushukela wegazi lakho ngokushesha. Uma iphakeme kancane nje, kungadingeka uqale nge-metformin kanye nezinguquko zendlela yokuphila.
- Impilo yakho iyonke: Uma unesifo senhliziyo noma sezinso, ungakhetha nomuthi owusizo kulezo zimo, njengesivimbeli se-SGLT2 noma isivimbeli se-GLP-1.
- Izindleko: Isifo sikashukela yisimo sokuphila konke esidinga ukuphathwa. Ngakho-ke, izindleko zemithi nazo zibalulekile. Eminye imithi ayibizi, kanti eminye ibiza kakhulu. Khuluma nodokotela wakho ngalokhu ngokukhululekile.
- Zikhethele:Uma ungathandi imijovo, ungazama amaphilisi ukuze ubone ukuthi ungakwazi yini ukulawula izimpawu zakho. Uma ungumuntu okhohlwa ukuphuza imithi yakho, umjovo owodwa ngesonto ungase ube lula kakhulu.
Umlayezo Wokuya Nawe Ekhaya
- Isifo sikashukela sohlobo lwesibili akusona isifo okufanele sesatshwe, kodwa yisimo esingaphathwa kahle.
- Isisekelo sokwelashwa ukudla okunempilo, ukuvivinya umzimba, kanye nokulawula isisindo . Imithi yenzelwe ukunikeza ukwesekwa okwengeziwe.
- Udokotela wakho kuphela onganquma imithi engcono kakhulu kanye nohlelo lokwelashwa olufanele wena. Ngakho-ke, hlala uxhumane naye futhi ulandele imiyalelo yakhe ngqo.
- Izinkinga ezibangelwa isifo sikashukela zingavinjelwa ngokuhlola njalo amazinga kashukela egazini, amazinga e-A1c, kanye nokusebenza kwamehlo, unyawo, kanye nezinso.
- Uma unenkinga ngokwelashwa kwakho noma uma ukwelashwa kungabi nemiphumela elindelekile, ungesabi ukukhuluma ngokukhululekile nodokotela wakho ngakho.
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