Kungase kukuthathe isikhathi ukuzindla izindaba ngemuva kokubona udokotela wakho bese ufika ekhaya: Unesifo sikashukela , futhi manje udinga ukulawula amazinga kashukela egazini lakho. Njengoba uzivumelanisa nale ndlela entsha yokuphila, ake sibheke amathuluzi nezinye izinto ezingakusiza ukuphatha isimo sakho nokuvimbela izinkinga zesikhathi esizayo. Konke lokhu kudlala indima ehlukile ekuphatheni isifo sakho sikashukela .
I-insulin kanye nezindlela zokuphatha
Udokotela wakho angase akuncome ukuthi uthathe i-insulin ukulawula amazinga akho aphezulu kashukela egazini. Kalula nje, i-insulin iyi-hormone ekhiqizwa yisitho emzimbeni wethu esibizwa ngokuthi i-pancreas. Isiza ushukela ekudleni esikudlayo ukuthi usetshenziselwe amandla noma ukugcinwa.
Uma unesifo sikashukela sohlobo 1 , i-pancreas yakho ayisekho nhlobo ekukhiqizeni i-insulin. Kodwa uma unesifo sikashukela sohlobo 2, i-pancreas yakho isakhiqiza i-insulin, kodwa umzimba wakho awusebenzisi kahle.
Kuye ngesimo sakho, udokotela wakho angase akunike izinhlobo ezahlukene ze-insulin. Ezinye zisebenza ngokushesha, kanti ezinye zisebenza kancane futhi zihlala egazini isikhathi eside.
Ngokuvamile, kungadingeka ukuthi ujove i-insulin kanye kuya kane ngosuku. Lokhu kuzonqunywa udokotela wakho. Kunezindlela eziningana zokwenza lokhu:
- Isirinji: Isirinji ingasetshenziswa ukukhipha umthamo ofanele we-insulin ebhodleleni bese uyijova.
- Ipeni le-Insulin: Kulula kakhulu ukulisebenzisa. Amanye amapeni agcwaliswa nge-insulin, kanti amanye adinga ukuthi sifake ikhatriji.
Iyini i-Insulin Pump?
Ngezinye izikhathi, esikhundleni sokuthatha imijovo izikhathi eziningana ngosuku, udokotela wakho angase asikisele ukuthi usebenzise iphampu ye-insulin. Lokhu kuletha i-insulin emzimbeni wakho kancane kancane phakathi nosuku. Kusadingeka uhlole ushukela wakho wegazi, kodwa abanye abantu bathola ukuthi kuyasiza ekulawuleni amazinga abo kashukela egazini.
Le phampu incane kakhulu. Ungayigcina kalula ebhandeni, esokisini, noma ngaphansi kwezingubo zakho zangaphansi. Ixhunywe epayipini elincane elibizwa ngokuthi "i-catheter". Le payipi ifakwa ngaphansi kwesikhumba sakho ngosizo lwenaliti.
Le phampu ikhipha i-insulini ngemithamo emincane usuku lonke, njengoba kuhlelwe ngokwezidingo zakho. Futhi, uma udla ukudla, ungacindezela inkinobho ephampuni ukuze uthole umthamo owengeziwe we-insulini odingekayo ukushisa ama-carbohydrate kulokho kudla.
Amamitha Kashukela Egazini
I-glucometer yegazi (noma i-glucometer) iyithuluzi elincane le-elekthronikhi elisetshenziselwa ukuhlola ukuthi izinga likashukela egazini lakho liphezulu kakhulu noma liphansi kakhulu.
Indlela yokusebenzisa lokhu ilula kakhulu:
1. Okokuqala, hlaba umunwe wakho ngenaliti encane ebizwa ngokuthi "i-Lancet" bese uqoqa ithonsi elincane legazi.
2. Beka ithonsi legazi endaweni ekhethiwe emgqeni wokuhlola (i-Diabetic Test Strip).
3. Bese ufaka umucu kumitha, futhi ngemizuzwana embalwa izinga likashukela egazini lakho lizovela esikrinini.
Kubaluleke kakhulu ukubhala phansi le miphumela encwadini. Lokhu kuzosiza udokotela wakho ukuqinisekisa ukuthi uhlelo lwakho lokwelashwa luyasebenza. Udokotela wakho uzokutshela ukuthi udinga ukuhlola kangaki ushukela wakho wegazi. Ikakhulukazi uma uzizwa uqhaqhazela, ukhathazekile, udidekile, unesifuba esishaya ngamandla, ujuluka, uzizwa ulambile kakhulu, noma ulele, lokhu kungaba izimpawu zoshukela ophansi egazini (hypoglycemia). Qiniseka ukuthi uhlola ushukela wakho wegazi ngezikhathi ezinjalo.
I-Glucose Monitor Eqhubekayo (CGM)
Lena enye idivayisi ethuthukisiwe. Ilinganisa ngokuzenzakalelayo amazinga kashukela egazini lakho njalo ngemizuzu embalwa, amahora angama-24 ngosuku. Lokhu kukuvumela ukuthi wazi kusengaphambili ukuthi amazinga kashukela egazini lakho aphezulu kakhulu noma aphansi kakhulu.
Inzwa encane efakwe ngaphansi kwesikhumba ithumela idatha kudivayisi esihlakaleni sakho noma efonini yakho. Le datha ingasetshenziswa ukulandelela amaphethini kanye nezitayela zamazinga kashukela egazini lakho. Lolu lwazi lungakusiza wena nodokotela wakho ukuthi nithuthukise uhlelo lokwelapha olungcono kakhulu.
Kodwa khumbula, ngisho noma une-CGM, kusadingeka ukuthi ukhiphe igazi emunweni wakho nge-glucometer evamile izikhathi eziningana ngosuku ukuqinisekisa ukunemba kwayo. Udinga futhi ukushintsha inzwa ngaphansi kwesikhumba njalo ezinsukwini ezingu-3-7.
Imichilo Yokuhlola i-Ketone
Uma umzimba wakho ungenayo i-insulin eyanele yokusebenzisa ushukela, uqala ukushisa amafutha ukuze uthole amandla. Le nqubo ikhiqiza izinto ezibizwa ngokuthi ama-ketone . Amazinga aphezulu ama-ketone emchameni wakho ayisibonakaliso esiyingozi sokuthi isifo sakho sikashukela asisalawuleki .
Udokotela wakho angancoma ukuhlolwa kwe-ketone uma unezimpawu ezilandelayo:
- Uma izinga likashukela egazini lakho lingu-240 mg/dL noma ngaphezulu
- Uma uzizwa ugula noma ukhathele ngaso sonke isikhathi
- Uma unomlomo owomile futhi uzizwa womile ngaso sonke isikhathi
- Uma uzizwa udidekile
- Uma unenkinga yokuphefumula
Ukuze wenze lokhu kuhlola ekhaya, qoqa umchamo enkomishini ehlanzekile bese ucwilisa umucu wokuhlola kuwo. Vuthulula noma yimuphi umchamo owengeziwe bese ulinda umucu ushintshe umbala ngokwemiyalelo. Bese uqhathanisa umbala womucu neshadi lombala elisekhithini. Uma amazinga akho e-ketone emaphakathi noma aphezulu, bona udokotela wakho ngokushesha. Uma kudingeka, iya eMnyangweni Wezimo Eziphuthumayo wesibhedlela esiseduze (i-ETU).
Ezinye izinto ezibalulekile kanye nokulungiselela izimo eziphuthumayo
Uma uphatha isifo sikashukela, kubalulekile ukugcina ezinye izinto ezimbalwa nawe. Ake sibheke ukuthi yiziphi lezo zinto ezikuleli thebula.
| Isidingo | Izinto okufanele uzigcine ziseduze |
|---|---|
| I-Hypoglycemia | Okuthile okungakhuphula ushukela wegazi lakho ngokushesha, njengamaphilisi e-glucose, ama-sugar cubes, i-toffee, ibhodlela lejusi yezithelo. Umjovo we-glucagon (ngokweseluleko sikadokotela) ongakunikeza uma ulahlekelwa ingqondo. Gcina lokhu ezindaweni eziningana, njengasesikhwameni sakho, emotweni, nasedroweni lehhovisi. |
| Ukuvikela isikhumba nezinyawo | Insipho ethambile, isithambisi sesikhumba, izinto zokuhlanza inxeba (i-gauze engcolile, i-paper tape), iziqeshana zezinzipho, kanye nesibuko sokuhlola izinyawo nsuku zonke ukuthi azinazo yini izilonda nama-blister. Uma kukhona umonakalo wezinzwa, amasokisi angenamthungo, anezindwangu. |
| Ngempilo yomlomo | Ibhulashi lamazinyo elithambile, umuthi wokuxubha one-fluoride, kanye ne-dental floss yokuhlanza phakathi kwamazinyo. |
| Uma kunesimo esiphuthumayo | Isongo noma ikhadi elisho ukuthi unesifo sikashukela (i-Medical Alert ID). Inombolo yocingo yomuntu ongashayela ucingo uma kwenzeka isimo esiphuthumayo. Ikhithi yezimo eziphuthumayo equkethe okungenani imithi yesifo sikashukela yezinsuku ezingu-7, i-insulin, imichilo yokuhlola, amabhethri, njll. |
Kulula yini kithi ukuthola wonke lawa madivayisi eSri Lanka?
Amanye amadivayisi athuthukile esikhulume ngawo, isibonelo, amaphampu e-insulin namadivayisi e-CGM, awavamile kakhulu eSri Lanka. Futhi ayabiza kakhulu.
Ama-glucometer, ama-test strips, ama-lancet, kanye nezinhlobo ezahlukene ze-insulin ngokuvamile kutholakala kalula emakhemisi ezweni lethu. Kodwa-ke, kungase kube nobunzima ekutholeni imishini yobuchwepheshe ethuthukisiwe.
Ngakho-ke, ungadikibali ngalokho abanye abakusebenzisayo. Into ebaluleke kakhulu ukukhuluma nodokotela wakho bese unquma ukuthi iyiphi indlela yokwelapha kanye nemishini efaneleka kakhulu kuwe, ngokusekelwe esimweni sakho sezezimali, indlela yokuphila, kanye nohlobo lokugula kwakho.
Umlayezo Wokuya Nawe Ekhaya
- Ukuphatha isifo sikashukela kuwuhambo, futhi ukuba namathuluzi nezinto ezifanele kubalulekile ukuze lolo hambo lube lula.
- Hlola amazinga kashukela egazini lakho njalo njengoba utshelwe udokotela wakho. Bhala phansi imiphumela.
- Qaphela izimpawu zoshukela ophansi egazini (hypoglycemia). Hlala ugcina okuthile okungakhuphula ushukela wegazi lakho ngokushesha (amaphilisi eglucose, ama-cubes kashukela) eduze uma kwenzeka isimo esinjalo.
- Hlala ulungele isimo esiphuthumayo. Phatha ikhadi lokukhomba isifo sikashukela kanye nekhithi yokuhlinzeka ngezimo eziphuthumayo.
- Khuluma nodokotela wakho ngokukhululekile ngokuthi yiziphi izindlela zokwelapha ezifanele kakhulu futhi ezingabizi kakhulu kuwe.
Isifo sikashukela, imishini yesifo sikashukela, i-insulin, i-glucometer, ushukela wegazi, i-hypoglycemia, ukuphathwa kwesifo sikashukela
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