Indlela Yokuvimbela Isimo Esiphuthumayo
Noma yiluphi uhlobo lokugula, kungakhathaliseki ukuthi lubandayo, umkhuhlane, noma okunye okunye, kugcizelela umzimba. Ngesikhathi umzimba uzama ukulwa nalesi sifo, kukhululwa ama-hormone-ukukhulisa i-glucose njengeglucagon. Ngaphezu kokuphakamisa i-glucose, la mahomoni nawo aphazamisa imiphumela ye-blood-glucose yehlisa i-insulini, okwenza isifo sikashukela sibe nzima ukulawula. Ukuphatha kwakho isifo sikashukela uma ugula kubalulekile.
Uma kungakaphethwe kahle, ushukela ophezulu kakhulu wegazi ngesikhathi sokugula kungaholela esiphuthumayo.
Abantu abanesifo sikashukela sohlobo 1 basengozini enkulu yokwenza isimo esiphuthumayo se-hyperglycemic, okuthiwa i-ketoacidosis. Emazingeni aphakeme le-accumulate ye-asidi ingaba yingozi. Labo abanesifo sikashukela sohlobo lwesibili bangakha isimo esifanayo esibizwa nge- hyperosmolor hyperglycemia nonketotoic coma . Zombili izimo zingasongela ukuphila.
Ukuba nesenzo sokusebenza akukwazi nje ukuvimbela okuphuthumayo, kodwa kungasiza ekunciphiseni ukucindezeleka okunye futhi kukuvumela ukuthi ugxile ekuphumuleni nasekubuyiseni. Uma usuqalile uhlelo, qiniseka ukuthi uyabelana nabathandekayo bakho nabanakekeli.
Uyini Usuku Lwezinsuku Zokugula?
Dala uhlelo lwakho lwezinsuku ezigulayo ngethimba lakho lesifo sikashukela, kuhlanganise nodokotela wakho oyinhloko wokunakekelwa, udokotela we- endocrinologist , u-dietitian, noma uthisha wesifo sikashukela oqinisekisiwe. Uhlelo lwakho kufanele lubandakanye uhlu lwawo wonke amagama odokotela, izinombolo, namakheli wakho.
Uzofuna ukwazi ukuthi ungaxhumana kanjani nodokotela bakho ngesikhathi esiphuthumayo, ikakhulukazi phakathi namahora angaphandle kwehhovisi (isib. Amaholidi, amavikiki).
Ngaphezu kwalokho, faka uhlu lwawo wonke imithi oyithathayo futhi uma uwathatha. Udokotela wakho angakunikeza ngisho nemiyalelo yokuthi ungalungisa kanjani imithi yakho uma ushukela wegazi lakho uphakanyisiwe.
Buyekeza kaningi kangakanani ukuthi kufanele uhlole igazi lakho ngezikhathi zokugula futhi unqume ngeqembu lakho uma kubalulekile ukuxhumana nodokotela wakho.
Hlola i-Blood Your Sugar
Ukulinganisa ushukela wegazi lakho kuyisici esibalulekile ekulawuleni isifo sikashukela sakho, ikakhulukazi uma ugula. Eqinisweni, kungase kudingeke uhlole ushukela wakho wegazi njalo lapho ugula ukuvimbela ushukela wegazi kusuka ku-spiking. Abantu abaningi bazuza ngokulinganisa ushukela wegazi njalo emahoreni amane. Gcina ilogi ye-glucose ukuze ubone ukuthi ushukela wakho uphendula kanjani emithini yakho, ukudla nokuphuza okuphuzwayo. Yenza imithi kanye nokulungiswa kokudla njengoba kudingeka.
Isibonelo, uma udla ukudla okujwayelekile futhi uthatha umthamo wakho ojwayelekile wemithi, futhi ushukela wakho wegazi ungaphezu kwenhloso ongase udinge ukwandisa i-insulin yakho. Uma une ushukela wegazi omkhulu kunama-250-300 mg / dL ekuhloleni okuningi futhi uthathe imithi yakho, kufanele uhlole umchamo wakho ngamaketoni. Ukuqapha amaketoni akho kungasiza ekuvimbeleni i-ketoacidosis.
Kuyini i-Ketones futhi kufanele ngiyihlole nini?
Umzimba usebenzisa i-glucose njengomthombo wayo oyinhloko wamandla. Kodwa, uma kungekho-insulini yokuyikhipha emaseleni, umzimba uguqula ube "yinkinga yamandla" futhi uqala ukwehlisa amafutha emzimbeni ku-ketones njengomthombo owenziwe ngophethiloli.
Amazinga aphezulu amathononi emzimbeni angaba yingozi. Uma ugula, amazinga e-ketone angakhula ngezizathu eziningi-awuzange ujobe i-insulin eyanele, izidingo zakho ze-insulin ziphakeme ngenxa yeshukela ephakeme yegazi, noma awukwazi ukudla ukudla okwanele.
- Ukuvimbela i- ketoacidosis yesifo sikashukela , kufanele uhlole amathoni uma ushukela wakho wegazi ungaphezu kuka 250 mg / dL.
- Uma unesifo sikashukela sohlobo 1, kungadingeka ukuthi ulinganise i-glucose yegazi namakhethoni omchamo njalo amahora amane.
- Uma une-type 2 yesifo sikashukela, ukuhlola i-glucose yegazi izikhathi ezine ngosuku kungase kwanele. Ungadinga kuphela ukukala amathoni uma i-glucose yegazi yakho ingaphezulu kuka-300.
Yidla futhi uphuze njalo ukuvimbela ukudliwa kwamanzi
Ukuvimbela ukuphela kwamanzi emzimbeni lapho ugula kubalulekile ngoba ukungafiki kahle kwamanzi kanye nokungalingani kwe-electrolyte kungaholela ekwenzeni i-acid engaphezu kwegazi ngezinga eliphakeme lokudla kwegazi. Ukwehla kwamanzi emzimbeni ngokuvamile kudinga ukwelashwa esibhedlela ngeziphuzo ezinamandla. Ukuze ugweme ukuphelelwa amandla kwamanzi, uhlose ukuphuza nokudla ukudla kwakho okuvamile ngangokunokwenzeka. Phuza iziphuzo ezingaphezulu, ezingekho khalori (njengamanzi kanye neseltzer) ukufaka noma yikuphi ukuphuza okwephuzile. Ukwanela okwanele kokungenisa amanzi kungasiza ekuxosheni ushukela owengeziwe (futhi mhlawumbe ngamaketoni) egazini lakho. Ukuphuza ngokusebenzisa utshani noma ukusondla kwi-chips chips kungasiza futhi.
Kodwa-ke, uma ungakwazi ukudla ukudla okuvamile, zama ukudla ukudla okubizayo. Kungase kubonakale kungenakuqhathaniswa nesifo sikashukela esivamile, kodwa ukufaka isinkwa esomile, ama-muffin angamaNgisi, ama-crackers, irayisi, ama-broths, imishayo yamanzi, i-sherbet, i-pudding ne-apple sauce ingasiza ekuqiniseni ushukela egazini lakho.
Uma ungeke ukwazi ukudla, kuzodingeka uphuze iziphuzo eziqukethe amakholori, njengeziphuzo zezemidlalo, i-ginger ale ephuziwe njalo, i-apula ijusi, i-ice elimnandi, njll. Lezi zinhlobo zeziphuzo zingakunika i-glucose ne-electrolytes. Ama-sips amancane, azosisiza ukuthi uhlale u-hydrated futhi ukwandise amathuba okuba ugcine iziphuzo. I-American Diabetes Association iphakamisa ukuthi uhlose ukudla cishe amagremu ama-50 we-carbohydrate njalo emahoreni amathathu kuya kwangu-4. Isibonelo, ama-ounces angu-28 e-Gatorade aqukethe cishe amagremu angu-49 we-carbohydrate, okusho ukuthi uzodingeka uphuze ama-ounces angu-7 njalo ngehora noma ngaphezulu.
Uma ugula kakhulu ukuba udle noma yikuphi ukudla noma isiphuzo futhi ulahlekelwa isisindo, kufanele ubize udokotela wakho.
Thatha Imishanguzo Yakho Sikashukela
Ngenxa yokuthi ngokwemvelo ukugula kukwandisa ushukela wegazi, ukweqa imithi yakho kungabangela ukuba ushukela wegazi ukwandise nakakhulu. Ngaphandle kokuba udokotela wakho aqondiswe ngenye indlela, kubalulekile ukuthatha imithi yakho , i-insulin noma imithi yomlomo, njengokuqondiswa. Ngisho noma uhlanza futhi ungakwazi ukudla, uzodinga ukuthatha imithi yakho. Eqinisweni, abanye abantu abathwala i-insulin bangadinga ukwandisa amanani abo ngesikhathi sokugula. Ngokuqondakalayo lokhu kungase kudideke futhi kube yinto esabekayo. Ngakho-ke, uma uzizwa ungajabule ngokuthatha imithi yakho, shayela udokotela wakho ukuqinisekisa ukuthi amanani akho adinga ukulungiswa.
Qaphela Ngama-Over-the-Counter Medicines
Imithi engaphezu kwemithi iqukethe izithako ezisebenzayo ezingasebenzi ezingenza ushukela wegazi lakho likhuphuke noma lihle. Isibonelo, isiraphu yokukhwehlela ngokuvamile iqukethe ushukela, okuvame ukuphakamisa ushukela wegazi. Ngaphambi kokuthenga noma imuphi umuthi omusha, xoxani ngemiphumela nge-pharmist yakho. Noma kungcono okwamanje, cela udokotela wakho ukuthi afake ukuthi imiphi imithi ephephile nokuthi kufanele uyigweme ohlelweni lwakho lwezinsuku ezigulayo. Uzofuna ukwazi ukuthi yini okufanele uyibheke ukuze ukwazi ukulungele .
Yazi Nini Ukubiza Udokotela Wakho
Awudingi ukubiza udokotela wakho njalo lapho ugula. Noma kunjalo, i-American Diabetes Association kanye ne-CDC, sincoma ukuthi ushayele udokotela wakho ngezizathu ezilandelayo:
- Awunakudla futhi awukwazanga ukugcina ukudla phansi kwamahora angaphezu kwangu-6
- Ube ugula noma usuphethwe umkhuhlane isikhathi esingaphezu kwezinsuku ezimbalwa futhi awuphuluki
- Unomkhuhlane ka-101 noma ngaphezulu
- Unesifo sohudo noma uhlanza
- Ishukela lakho legazi lingu <60mg
- Ishukela lakho legazi lingu> 240mg / dL ngokuhlola okuningi nakuba uthathe imithi yakho
- Uthatha amaphilisi omlomo wesifo sakho sikashukela kanye nezinga lakho legazi le-glucose likhuphukela ezingaphezu kuka-240 ngaphambi kokudla futhi uhlala lapho amahora angaba ngu-24
- Unamethoni amancane noma amancane emvini wakho (lokhu kwandisa ingozi yakho yokuthuthukisa i-ketoacidosis)
- Unayo izimpawu ze-ketoacidosis noma ukuphelelwa amandla kwamanzi: umoya wakho uphefumula, isifuba sakho sibuhlungu, unenkinga yokuphefumula, izindebe zakho zomile futhi zinyamalale
- Ulahlekelwa ama-5 lbs noma ngaphezulu
- Ulele noma ungaqiniseki ukuthi ungayinakekela kanjani
Yazi Uma Kuyisimo Esiphuthumayo
Uma ungumnakekeli wengane noma umuntu osekhulile onesifo sikashukela, kubaluleke kakhulu ukuthi wazi izibonakaliso nezimpawu zesifo sikashukela, ikakhulukazi uma engakwazi ukuveza imizwa yakhe noma izidingo zakhe ngokucacile. Ezinye zazo zingase zidideke ngokuzwa nje ugula, kodwa kubalulekile ukuba wazi noma kunjalo.
Izimpawu zokuqala zifaka:
- Ukuzwa ukhathele noma ukhathele
- Ukoma ngokweqile kanye / noma ukuchama okugqamile
- Izimpawu zokuphelelwa amanzi emzimbeni njengomlomo owomile
Izimpawu kamuva zifaka:
- Ukulahlekelwa kwesisindo
- Nausea / ukuhlanza
- Ubuhlungu besisu
- Ubuhlungu besifuba
- Ukudideka
- Ukuphefumula okusheshayo, okujulile, okuphefumulayo (ukuphefumula kwe-Kussmaul)
- Ukuphuza okumnandi
- Fever
- Ukungaboni
Uma ubona noma iyiphi yalezi zibonakaliso, uzofuna ukuhlola amathoni bese ushayele udokotela wakhe ngokushesha.
Gqoka ID yakho yezokwelapha
Uma kufanele uthunyelwe ekamelweni eliphuthumayo, kufanele ugqoke ID yakho yesifo sikashukela ukuze abasebenzi bakwazi ukukukhomba njengomuntu onesifo sikashukela. Uma ungenayo i-ID, qiniseka ukuthi wena noma othandekayo bakho baxhumana nodokotela nabasebenzi, ubaxwayisa ukuthi unesifo sikashukela futhi ubhala ukuthi yimiphi imithi oyithathayo.
Uma ungenayo i-ID yezokwelapha futhi ufuna okuthile okuthakazelisayo, bheka i-Lauren's Hope Medical ID Jewelry.
Izwi elivela
Ukugula kungakwandisa ushukela wegazi ngokukhulisa ama-hormone ekukhuliseni i-glucose nokuvimbela umphumela we-glucose-ukwehla kwe-insulini. Kodwa, lokho akusho nje ukuthi ugula ukuthi awukwazi ukuphatha ushukela wegazi ngokuphepha nangempumelelo. Ukuhlela usuku lokugula kungakusiza ukuba ugxile ekuphulukeleni, ngenkathi uvikela isifo sikashukela esiphuthumayo. Kubandakanya ulwazi olunjengokuthi, amagama odokotela, izinombolo, nolwazi lokuxhumana phakathi kwamahora kubalulekile kakhulu. Ukwengeza, uzofuna ukwazi ukuthi kufanele uvivinye kangakanani uketshezi wakho wegazi, yikuphi ukudla nokuphuza okumelwe ukwenze, uma kufanele uhlole amathononi, nokuthi ubona kanjani ukuphuthumayo kwe-hyperglycemic. Ukuthatha lezi zinyathelo ngaphambi kokuba ugula kuzokusiza ukuthi ugxile ekutholeni impilo ngaphandle kokondla kakhulu ngesifo sikashukela.
> Imithombo:
> I-American Diabetes Association. Uma Ugula.
> Isikhungo Sokulawula Nokuvimbela Izifo. Hlala kahle ku-Flu Season.