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Isifo Sikashukela Nezokwelapha - Yiziphi Izingozi Ezengeziwe Engibhekana nazo?Izingozi Zokuhlinzwa
Ngaphandle kwezinhlekelele ezijwayelekile zokuhlinzwa , abahukela ngesifo sikashukela babhekana nezingozi ezengeziwe uma benenqubo yokuhlinza. Lezi zingozi zikhuphuka uma unesifo sikashukela isikhathi eside, njalo uneshukela ephezulu yegazi, noma uma unesibindi (kunzima ukulawula izinga lakho lokushukela ngesifo sikashukela). Iziguli eziye zabhekana nezinkinga ezinkulu ezivela kusifo sikashukela, njenge-neuropathy noma zidinga ukuxoshwa nazo zikhona engozini enkulu.
Izifo Zabantu Abayisifo Sikashukela Ngaphambi Kokuhlinzwa:
- I-hyperglycemia (i-glucose ephezulu yegazi) noma i-hypoglycemia (i-lower blood glucose)
- Ukuphulukiswa okulimazayo okulimazayo, ukuphulukiswa okulimazayo, isikhumba esibuthakathaka kanye nezicubu endaweni yokuhlinzwa
- Ukutheleleka , kufaka phakathi ukutheleleka kwesilonda, i-pneumonia, ukutheleleka kwe-urinary tract noma sepsis
- I-Hyperglycemic Hyperosmolar Nonketotic Syndrome (HHNK)
- I-Diabetes Ketoacidosis (DKA)
- Ukungalingani kwe-Electrolyte-Isimo lapho amazinga e-electrolyte (i-sodium, i-potassium) ephakama noma ewa ngokuphawulekayo, okungabangela izinkinga ezinkulu ngenhliziyo namazinga omzimba womzimba.
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Indlela Yokuthuthukisa Ukuhlinzwa Kwakho Imiphumela njengesifo sikashukela - Thuthukisa Izinto Zakho ZengoziYiziphi izifo zesifo sikashukela ezingakwenza ukuze ube ngumngane wokuhlinzeka ongcono
Kungcono ukulawulwa kwakho kwesifo sikashukela, kungcono amathuba akho okuba nomphumela wokuhlinzeka omuhle kakhulu. Ukugcina i-glucose yegazi lakho ngaphakathi kwemingcele udokotela wakho uncoma ukuthi ukhiye. Ukondla okuphezulu, okubandakanya amaprotheni aphezulu, kubalulekile. Amaprotheni ayingxenye ebalulekile ekwenzeni ukuphulukisa futhi angasiza ekwenzeni ukuphulukiswa kwenxeba esheshayo, izicubu ezinamandla endaweni yokuhlinzeka kanye nekhono elikhulayo lokulwa nokucindezeleka kokuhlinzwa.
Uma ungakabonakali kakade kodwa uyakwazi, ungase ufune ukuqala uhlelo lokuzivocavoca ngemuva kokuhlola nodokotela wakho. Ukwenza umzimba wakho uqine kakhulu kuzokusiza ukuthi ubekezelele ukuhlinzwa kwakho nokubuyiswa kwakho.
Zama ukuthi ungakhathazeki ngokweqile ngokuhlinzwa kwakho. Uma uzizwa ucindezelekile ngokuhlinzwa kwakho, Ukubhekana nokukhathazeka okukhathazayo nokukhathazeka kungasiza. Kubalulekile ukugcina ukucindezeleka okungenani ngoba kokubili ukucindezeleka ngokomzimba (ukuhlinzwa) kanye nokucindezeleka ngokomzwelo (ukukhathazeka, ukukhathazeka) kungasebenza ngokumelene nawe ngokuphakamisa amazinga egazi lakho.
Uma uphuza noma ubhema, yisikhathi sokuyeka. Ukuqeda utshwala kuzokusiza ukulawula kangcono i-blood glucose yakho nokuyeka ukubhema kuzokusiza ukuthi ubuyele ekuphefumuleni ngaphandle kwe-oxygen noma i-ventilator ngokushesha.
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Ukuphatha Isifo Sikashukela - Yini Ongayilindela Esibhedlela Sakho HlalaYini Ongayilindela Ngesikhathi Isibhedlela Sakho Hlala
Indlela ophethwe ngayo isifo sikashukela ekhaya ingase ihluke kakhulu endleleni ephathwa ngayo esibhedlela. Esinye isibonelo esihle ukusetshenziswa kwe-insulini evamile enikezwe yi-IV, kunezinye izinhlobo ezikhona. Odokotela abaningi, ikakhulukazi ngesikhathi sokuhlinzwa okuzungezile, ngeke bafune imithi yomlomo noma izinhlobo zokugcina i-insulin. I-insulin ejwayelekile isebenza esikhathini esifushane, ivumela abasebenzi ukuba babe nomqondo ongcono kakhulu wezinga lakho le-glucose. Lokhu kuvumela ukuba baphathe amazinga aphakeme, noma amazinga aphansi ngokushesha. Kwezinye izimo, ukuhlolwa kwegazi kwegazi kuyokwenziwa njalo njalo ngamahora amabili, ngokuhlinzekwa kwezidakamizwa okuhlinzekwa njengoba kunesidingo.
Izinga lakho le-glucose lingagcinwa efasiteleni elincane kakhulu ngesikhathi sokuhlala esibhedlela. Lokhu kungenxa yokuthi ucwaningo luye lwabonisa ukuthi amazinga wegazi we-glucose alawulwa kangcono, ukuphulukiswa ngokushesha. Uma uzoba nokudla ngesikhathi uhlala esibhedlela ungalindela ukuthola ukudla okuyisifo sikashukela, oklanyelwe ngqo abantu abanesifo sikashukela ngabasebenzi bokudla.
Uma unokuhlinzwa okwelashwa noma kufanele ubike ukuhlinzwa kwakho ngalolo suku, cabanga ngokuletha imitha yakho ye-glucose. Uma ukuhlinzwa kubambezelekile nganoma yisiphi isizathu, uzokwazi ukuhlola izinga lakho le-glucose njengoba kudingeka futhi wazise abasebenzi ngendlela efanele.
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Imibuzo Ebalulekile Yabantu Abayisifo Sikashukela Ngama-Diabetes Kufanele Bayibuze Abahlinzayo BaboXoxa nodokotela wakho wesifo NgokweSifo Sikashukela: Imibuzo Okumele Uyicele
- Ngubani ozophatha isifo sikashukela ngesikhathi sokuhlala esibhedlela, udokotela ohlinzayo, udokotela wami we-endocrinologist, udokotela wami womndeni, esibhedlela?
- Ngubani ozophatha isifo sikashukela ngesikhathi sokuhlinzwa? ("Akudingekile" ngempela ayiyona impendulo eyamukelekile ngaphandle kokuthi ukuhlinzwa kwakho kuzoba okusheshayo. Ngesikhathi sokuhlinzwa umhlinzeki we-anesthesia angakunika i-insulin noma i-glucose njengoba kudingeka ukuze ugcine izinga lakho lokugcoba igazi ngaphakathi kwezinga elimamukelekayo, ngokucela udokotela ohlinzayo.)
- Ingabe kufanele ngithathe i-insulin yami ekuseni kokuhlinzwa?
- Ingabe kufanele ngithathe isilinganiso sami sobusuku lwe-insulini?
- Yini ongathanda ukuba ngiyenze uma ngineziqephu ze-glucose ephezulu yegazi ekuseni kokuhlinzwa?
- Kufanele ngithole nini isidlo sami sokugcina / uketshezi ngaphambi kokuhlinzwa?
- Uma ushukela wegazi lami liphansi, ngingenzani ngalokhu okungeke kube nzima ukuhlinzwa kwami?
- Ingabe imithi yesifo sikashukela kufanele isetshenziswe noma ithathwe?
Imibuzo Yokubuza Udokotela Ohlinzayo Ngaphambi Kokuhlinzwa
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Isifo Sikashukela Nokuhlinzwa -Izibonakaliso Zesifo Emva KokuhlinzwaIsifo Sikashukela Ngemuva Kokuhlinzwa
Ngemuva kokuhlinzwa, isidingo sokudla okuphezulu kwekhwalithi nokulawula okuqinile kwe-glycemic kuyaqhubeka. Ukudla okunomsoco kuzonikeza izakhiwo zokwakha nokuphulukisa kwezinga elivamile elizokhuthaza ukubuyela ngokushesha empilweni. Ukulawulwa kwamandla amazinga e-glucose kungase kube nezinsuku zokuphunga noma ngisho namaviki okuphumula ngesikhathi kuqhathaniswa nezikhathi zokutakula ne-glucose ephakeme yegazi.
Uma ukuhlinzwa sekuphelile futhi ungena esigabeni sakho sokutakula , kuzodingeka uhlolisise izibonakaliso zokutheleleka kwilonda lakho lokuphulukisa, ngaphezu kokuhlola okujwayelekile (njengokuhlola izinyawo zakho ngezinkinga). Uma une-neuropathy, khumbula ukuthi angeke uzizwe ubuhlungu kuze kube yilapho isifo sifakwe kahle. Ungase uthande ukuthatha ukushisa kwakho njalo njengenye indlela yokuthola ukutheleleka.
Izimpawu zesifo sofuba zihlanganisa:
- Amanzi angcolile noma angcolile
- Ifila enkulu kunezingu-101
- I-incision izwa ishisa ekuthinteni noma inomsindo obomvu
- Ubuhlungu obuzungeze ukuqubuka okuqhubekayo kunokuba ngcono
- Ukuvuvukala noma ukuqina kwesayithi lokuhlunga
Izwi elivela
Kungenzeka ukuthi isiguli esinesifo sikashukela sibe nokuhlinzwa okuphephile nokungahleleki okulandelwa ukutakula okusheshayo. Isifo sikashukela esilawulwa kahle kangcono kakhulu ukuholela ezinkingeni kunesifo sikashukela esingalawulwa kahle, okwenza umzamo owengeziwe wokugcina amazinga e-glucose emgqeni kuwufanelekile umzamo.
Imithombo:
> Ukwengamela Isifo Sikashukela Mellitus Esigulini Sabantu Abahlinzayo Samukeli Dagogo-Jack, MD, FRCP no K. George MM Alberti, DPhil, PRCP. 2002. http://spectrum.diabetesjournals.org/cgi/content/full/15/1/44
> Vimbela isifo sikashukela: Gcina isikhumba sakho nezinyawo zakho impilo. I-National Diabetes Information Clearinghouse. May 2008. http://diabetes.niddk.nih.gov/dm/pubs/complications_feet/index.htm