Ungase uzibuze ukuthi uzoqhubeka yini imithi yakho yesifo sikashukela kanye ne-insulin uma ugula futhi ungadli. Kubalulekile ukuqhubeka nemithi yakho futhi wazi ukuthi uzobiza nini udokotela wakho ukubona ukuthi irejista yakho kufanele iguqulwe.
Uma ubhekene nokushisa, umkhuhlane, noma cishe nganoma yisiphi esinye isifo, umzimba ubeka ngaphansi kokucindezeleka okukhulu ngokomzimba emzamweni wokulwa nokutheleleka.
Njengengxenye yenqubo yokulwa nokutheleleka, umzimba uveza i- glucose eyengeziwe ngendlela ye-glucagon, i-hormone ephakamisa amazinga kashukela egazi.
Kulabo abanesifo sikashukela, leli glucose eyengeziwe egazini lingabangela amazinga aphezulu ashukela egazini. Ngakho-ke, kubalulekile ukuthi uqhubeke nokuthatha imithi yokwelashwa ejwayelekile njalo (for type 2 isifo sikashukela) ne-insulini (ngohlobo lwe-1 noma uhlobo lwesifo sikashukela sika-2) uma ugula futhi uhlolisisa amazinga kashukela egazi ukuhlola ukuthi ingabe kune-insulin edingekayo.
Amazinga Okuphuza Igazi Ngegazi Kufanele Ahlolwe Ngakanani Phakathi Nezifo?
Izinga likashukela egazini lingashintsha ngokuphawulekayo ngesikhathi sokugula, kudinga ukuhlola njalo njalo ngosuku, njalo njalo njengehora ngalinye.
Lapho amazinga kashukela egazi ephezulu - ngaphezu kuka 300 mg / dL - kuyadingeka ukuhlola amathoni egazini noma emcimbini, okuwumphumela ovela emzimbeni usebenzisa amafutha njengomthombo wamandla. Ukuba khona kwamaketoni kubonisa i-ketoacidosis yesifo sikashukela (i-DKA), okuyinto eyingozi yokwakha i-asidi emzimbeni ngenxa yeshukela ephezulu yegazi.
Abantu abane-type 2 yesifo sikashukela bangase bahlakulele isimo se-hyperglycemic hyperosmolar (HHS), okuyisimo esisongela ukuphila esifana ne-DKA, ngaphandle kokuthi akukho amathononi akhona. Ukwelashwa yiyona imbangela evamile kakhulu ye-DKA ne-type 1 yesifo sikashukela e-30% kuya kuma-40% wamacala kanye ne-HHS ane-type 2 yesifo sikashukela esesimeni se-32% kuya ku-60%.
Ukuthi Ukulahleka Kokudla Okuhlobene Nezifo Kuthinta Amazinga E-Sugar Blood
Ngokuvamile umzimba uxhomeke kakhulu ekudleni ukuhlinzeka i-glucose egazini legazi. Ukuhamba ngaphandle kokudla isikhathi eside, ikakhulukazi ngenkathi uqhubeka ukwelapha isifo sikashukela ngemithi yomlomo kanye / noma i-insulin, kungaholela ezingeni eliphakeme likashukela egazini (hypoglycemia) okwenza izimpawu ezinjenge-palpitations, shakiness, indlala, ukudideka, ngisho nokuxubana kanye ne-coma.
Kodwa-ke, ngesikhathi sokugula noma ukucindezeleka okunye, isimiso somzimba sokuzivikela komzimba senza ukukhiqizwa kweglucose kungakhathaliseki ukuthi i-glucose yegazi ikhuliswa yini ngokudla. Eqinisweni, amazinga kashukela egazi, ngakho-ke izidingo ze-insulin, zivame ukuphakama ezinsukwini ezigulayo ngaphandle kokudla kunezinsuku ezivamile zokudla okuvamile.
Ngisho noma ukudla okuqinile kungenakulinganiswa, kubalulekile ukulondoloza ukudla okwanele kwamanzi okuvimbela ukungcola . Kuwusizo ukuphuza uketshezi oluqukethe ama-carbohydrate nosawoti ukugcina ibhalansi ye-electrolyte emzimbeni. Ukungafani kahle kwamanzi nokushisa kwamandla kagesi kungaholela ekwenzeni i-asidi ngokweqile egazini elinamazinga aphezulu wegazi glucose. Ukwehla kwamanzi emzimbeni ngokuvamile kudinga ukwelashwa esibhedlela ngeziphuzo ezinamandla.
Kuthiwani Uma Kungenakwenzeka Ukugcina Ukudla Phansi?
Ngezinye izikhathi ukugula kuholela ekufusweni kwesiphithiphithi nokuhluleka ukugcina noma yikuphi ukudla noma imithi phansi.
Yize kungase kube ukulingana ukweqa imithi yomlomo, kulokhu kubalulekile ukuthi ubathathe ukuba baphathe amazinga aphezulu ashukela egazi okwenzeka ngokwejwayelekile uma egula, futhi enza umthamo we-insulin ngokufanele, ngisho noma ukugula kuvimbela ukudla.
Ngenkathi elwa nokugula, iningi labantu abane-diabetes le-type 1 lizodinga i-insulin ephindaphindiwe eyengeziwe, kanye namazinga ajwayelekile. Ngokufanayo, abantu abanesifo sikashukela sohlobo 2 abaphatha lesi sifo ngokuphelele ngokudla kanye nemithi yomlomo bangadinga i-insulin encane ngesikhathi sokugula ukuphatha amazinga ashukela ephezulu egazi.
Ingabe Imithi Engaphezu Kokuqeda Ukuphepha Iphephile Ukuthatha?
Ngokuvamile lapho abantu begula, bafuna izindlela zokwelapha izimpawu ezihlukahlukene, njengokukhwehlela noma umkhuhlane.
Ngenkathi le mithi engekho emthethweni ingcono kubantu abanesifo sikashukela, kubalulekile ukukhumbula ukuthi bangathinta amazinga kashukela egazi futhi bangase bahlanganyele nemithi yesifo sikashukela . Isibonelo, isiraphu yokukhwehlela ngokuvamile iqukethe ushukela, okuphakamisa ushukela wegazi. Amanye ama-antibiotic angahlanganyela nemithi yesifo sikashukela yomlomo futhi akhiphe amazinga ashukela ephansi egazi.
Kubalulekile ukukhuluma neqembu lokunakekelwa yisifo sikashukela ngaphambi kokuba uthathe noma yimiphi imithi yokwelashwa eyengeziwe noma engekho emthethweni ukuze unqume ukuthi yini, uma ikhona, izinguquko zesimiso soshukela kuyodingeka.
Lapho Kufanele Udokotela Ahlolwe
Ngaphambi kokugula, kuyasiza ukuba ube nokuhlelwa kwe-glucose plan ngezinsuku zokugula. Amacebo angahlukahluka ngokuhamba kwesikhathi, njengoba imithi yesifo sikashukela kanye nezinye izinto ziguquka ngesikhathi sokunakekelwa kwesifo sikashukela. Ngaphezu kwalokho, uhlobo kanye nenani lemithi ephezulu kunayo yonke ingase ihluke ngokushintsha izinhlelo zokuphatha i-glucose. Kungakhathaliseki ukuthi ugula noma kuhle, kubalulekile ukukhuluma neqembu lokunakekelwa yisifo sikashukela ngaphambi kokuba uthathe noma iyiphi imithi noma imishanguzo yegciwane.
Ngesikhathi sokugula, kubalulekile ukwabelana ngolwazi oluhlukahlukene neqembu lokunakekelwa yisifo sikashukela, kufaka phakathi izimpawu - njengesiyaluyalu, ukuhlanza, isifo sohudo, noma umkhuhlane - inani le-insulini elinikeziwe, ukudla kanye nokudla kwamanzi, izinga lokushaya kwenhliziyo, izinga lokuphefumula, futhi isisindo somzimba samanje. Lolu lwazi luzosiza abahlinzeki bezempilo ukuthi banxuse iziguli ukuthi bangaphatha kanjani amazinga azo ushukela wegazi kanye nezinye izimpawu ngesikhathi sokugula ngenhloso yokuvimbela ukuphelelwa amandla kwamanzi nokuthuthukiswa kwe-hyperglycemia eyingozi, i-DKA noma i-HHS.
Imithombo:
Association of American Diabetes Association. "Isitatimende Esikhundleni: Izinkinga Ze-Hyperglycemic Diabetes." Ukunakekelwa yisifo sikashukela (2004) 27 (Isihlomelo 1): S94-S102. 16 Nov. 2007. http://care.diabetesjournals.org/cgi/content/full/27/suppl_1/s94
"Uma Ugula." I-Diabetes.org. Association of American Diabetes Association. 15 Nov. 2007. http://diabetes.org/pre-diabetes/when-you're-sick.jsp
Kitabchi, Abbas E. noHaleh Haerian. "Epidemiology and Pathogenesis of Diabetes Ketoacidosis kanye Hyperosmolar State Hyperglycemic." I-UpToDate.com 2007. I-UpToDate. 16 Novemba 2007 (ukubhalisa).
UMcCulloch, uDavid K. "Izibonelo Ezibonisa Ukuphathwa Kwe-Insulin Ejulile Ezimweni Ezikhethekile." I-UpToDate.com 2007. I-UpToDate. 15 Novemba 2007.