Indlela yokukhusela iNgxamiseko
Naluphina uhlobo lwesifo, nokuba ingaba ngumkhuhlane oqhelekileyo, umkhuhlane, okanye enye into, ubeka uxinzelelo emzimbeni. Nangona umzimba uzama ukulwa nesifo, i-hormone-raising hormones efana ne-glucagon ikhutshwa. Ukongeza kokunyusa i-glucose, la ma hormone aphazamisa negazi-glucose imiphumo ephantsi ye-insulin, ukwenza isifo sikashukela sibe nzima ukulawula. Indlela olawula ngayo isifo sikashukela xa ugula kubalulekile.
Ukuba ayinakuphathwa ngokuchanekileyo, ushukela ophezulu kakhulu wegazi ngexesha lokugula kunokubangelwa yimeko engxamisekileyo.
Abantu abane-diabetes yohlobo lwe-1 banomngcipheko ophezulu wokuphucula uxinzelelo lwe-hyperglycemic, olubizwa ngokuba yi-ketoacidosis. Kwimilinganiselo ephakamileyo le nxalenye ye-asidi ingaba yingozi. Abo bahlobo lwesibini sikashukela bangahlakulela imeko efana ne- hyperosmolor hyperglycemia nonoteotoic coma . Zombini iimeko zingasongela ubomi.
Ukuba nesicwangciso senzo asikwazi kuphela ukuthintela ingxamiseko, kodwa kunokukunceda ukunciphisa uxinzelelo olongezelelweyo kwaye kukukunceda ugxile ekuphumuleni nasekuphumeni. Emva kokuba usuqulunqe isicwangciso, qiniseka ukuba wabelane ngayo nabathandekayo bakho nabanonophelo.
Yintoni Isicwangciso Sosuku Lokugula?
Yenza isicwangciso sakho seentsuku ezigulayo kunye neqela lakho le-diabetes, kubandakanya ugqirha wakho wokunyamekela, ugqirha we- endocrinologist , i-dietitian, okanye utitshala oqinisekisiwe wesifo sikashukela. Isicwangciso sakho kufuneka sifake uluhlu lwawo onke amagama oogqirha, amanani kunye neeadesi.
Uya kufuna ukwazi indlela yokuqhagamshelana noogqirha bakho ngexesha lexakeka, ingakumbi ngeeyure ezingaphandle kweofisi (umzekelo, ieholide, ngeveki).
Ukongeza, faka uluhlu lwawo onke amayeza owathathayo kwaye xa uwathatha. Ugqirha wakho unokunika nemiyalelo malunga nendlela yokulungisa amayeza akho xa ushukela wegazi uphakanyisiwe.
Hlaziya indlela omele uhlolisise ngayo igazi lakho ngexesha lokugula kwaye ugqibe ngeqela lakho xa kubalulekile ukudibanisa nodokotela wakho.
Hlola i-Blood Blood Sugar
Ukulinganisa ushukela wegazi kuyinto ebalulekileyo ekulawuleni isifo sikashukela, ngakumbi xa ugula. Enyanisweni, unokufuna ukuvavanya ushukela wegazi ngokuphindaphindiweyo xa ugula ukukhusela iishukela zegazi kwi-spiking. Uninzi lwabantu luzuza ngokulinganisa ushukela wegazi emva kweeyure ezine. Gcina ilogi yeglucose ukufumanisa ukuba ushukela lwakho uphendule njani kwiyeza lakho, ukutya kunye nokutya okuselayo. Yenza imithi kunye nokulungiswa kokutya njengoko kuyimfuneko.
Ngokomzekelo, ukuba udla ukutya okuqhelekileyo kwaye uthatha iqondo lakho eliqhelekileyo lemithi, kwaye i-sugar sukari yakho ingentla kwinjongo ungadinga ukwandisa i-insulin yakho. Ukuba uneshukela legazi elingaphaya kwama-250-300 mg / dL ekuhloliseni ezininzi kwaye uthathe amayeza akho, kufuneka uhlole umchamo wakho ngeetoni. Ukujonga i-ketone zakho kunokukunceda ukukhusela i-ketoacidosis ngokunjalo.
Yintoni i-Ketones kwaye kufuneka ndiyihlolisise nini?
Umzimba usebenzisa i-glucose njengomthombo wayo wamandla. Kodwa, xa kungekho-insulini yokuyithumela ngaphandle kweeseli, umzimba uguqula "ingxaki yamandla" kwaye uqala ukuphula amanqabhoko omzimba kwietononi njengomthombo wamanzi.
Amanqanaba aphezulu amathoni emzimbeni anokuba yingozi. Xa ugula, amanqanaba eetonone angakhula ngezizathu ezininzi-awuzange ujobe ngokwaneleyo i-insulin, iimfuno zakho ze-insulin ziphezulu ngenxa yokuphakanyiswa kweeshukela zegazi, okanye awukwazi ukutya ukutya okwaneleyo.
- Ukukhusela i- ketoacidosis yesifo sikashukela , kufuneka uhlolisise i-ketoni ukuba i-sugar sugars yakho ingaphezu kwama-250 mg / dL.
- Ukuba unesifo sikashukela se-1, ungadinga ukulinganisa i-blood glucose kunye ne-urine ketoni nganye iiyure ezine.
- Ukuba unesifo sikashukela se-2, ukujonga i-blood glucose kane ngeentsuku kunganelisekanga. Ungadinga kuphela ukulinganisa i-ketone ukuba igazi lakho liyi-glucose liphezulu kunama-300.
Yidla kwaye uphuze rhoqo ukukhusela ukukhulelwa kwamanzi
Ukuthintela ukungcola kwamanzi xa ugula kubalulekile ngenxa yokungalingani kwamanzi kunye nokungalingani kwe-electrolyte kunokufaka isandla kwi-asidi engaphezu kwegazi kunye namazinga aphezulu e-glucose egazi. Ukudityaniswa kwamanzi kudla ngokufuna ukunyanga-esibhedlele ngamanzi ashushu. Ukuze unqande ukunyuka kwamanzi, jolise ukusela nokutya ukutya okuqhelekileyo njengoko unako. Phuza iziyobisi ezingaphezulu kwee-calorie (ezifana namanzi kunye ne-seltzer) ukutshintsha nayiphi na i-liquids elahlekileyo. Ukutya okwaneleyo kunokuncedisa ukutshiza i-sugar extra (kunye kunye neetone) kwigazi lakho. Ukusela ngotshani okanye ukutshisa kwi-chips chips kunokunceda kwakhona.
Ukuba, nangona kunjalo, awukwazi ukutya ukutya okuqhelekileyo, zama ukutya ukutya kwe-bland. Kungabonakala kungenakuphikisa kwi- diabetes edlayo yokutya , kodwa ukugcoba i-toast eyomileyo, i-English, i-riff, i-riff, i-broth, i-juice bars, i-ribet, i-pudding kunye ne-apple sauce inokunceda ukuzinzisa iswekile yegazi.
Ukuba ungeke uyidle, kuya kufuneka uphuze iziphuzo eziqulethe iikhalori, ezifana neziselo zezemidlalo, i-ginger ale ephucukileyo rhoqo, i-apple juice, iqhwa elikhethiweyo, njl. Ezi ntlobo zokunxila zingakunika i-glucose kunye ne-electrolytes. Amancinci, ama-sips amaninzi aya kukunceda uhlale u-hydrated kwaye ukwandise amathuba okuba ugcine utywala. I-American Diabetes Association ibonisa ukuba ujolise ukutya malunga ne-50 gram ye-carbohydrate zonke iiyure ezintathu ukuya kwezine. Ngokomzekelo, ii-ounces ezingama-28 zeGatorade ziqulethe malunga ne-49 gram ye-carbohydrate, oku kuthetha ukuba kufuneka uphuze malunga nee-ounces nganye ngeyure okanye njalo.
Ukuba ugule kakhulu ukuba ungadli nantoni na ukutya okanye isiselo kwaye ulahlekelwa ngumzimba, kufuneka ubize ugqirha wakho.
Thatha iSifo Soshukela Sakho
Ngenxa yokuba ugula ngokwemvelo ukwandisa ushukela wegazi, ukunqumla iyeza lakho kungabangela ukuba ushukela wegazi lukhule ngakumbi. Ngaphandle kokuba kuthathwe ngenye indlela ugqirha wakho, kubalulekile ukuthatha iyeza lakho , i-insulin okanye imithi yomlomo, njengoko iyalathwayo. Nangona uhlamba kwaye akakwazi ukutya, uya kusadingeka uthathe iyeza lakho. Enyanisweni, abanye abantu abathatha i-insulin bangadinga ukunyusa amaxabiso abo ngexesha lokugula. Ngokuqondakalayo oku kuya kudideka kwaye kukhwankqise. Ngoko ke, ukuba unesidima ngokuthatha iyeza lakho, biza ugqirha wakho ukuba uqinisekise ukuba amayeza akho adinga ukutshintshwa.
Qaphela Ngamayeza amaninzi
Amachiza angaphezulu kwamayeza aqukethe izithako ezisebenzayo ezingenakusebenza ezingenza ishukela legazi lakho likhuphuke okanye lihla. Ngokomzekelo, isiraphu yokukhwehlela iqukethe iswekile, ngokuqhelekileyo iphakamisa iishukela zegazi. Ngaphambi kokuthenga nawaphi na amachiza amatsha, xubusha imiphumo yakho kunye nekhemistiki yakho. Okwangcono okanye kunjalo, cela udokotela wakho ukuba afake amayeza akhuselekileyo kwaye kufuneka uphephe kwisicwangciso sakho somhla wokugula. Uya kufuna ukwazi ukuba uza kujonga ukwenzela ukuba ulungele .
Yazi ixesha ukubiza uDokotela wakho
Akunakufuneka ubizele ugqirha wakho rhoqo xa ugula. Nangona kunjalo, uMbutho we-Diabetes waseMelika kunye neCDC, uncoma ukuba udane nodokotela wakho ngezi zizathu zilandelayo:
- Awunako ukutya kwaye awukwazanga ukugcina ukutya phantsi kweeyure ezingama-6
- Ugule okanye unomkhuhlane ngaphezu kweentsuku ezimbalwa kwaye awukuphucula
- Unomkhuhlane we-101 okanye ngaphezulu
- Unesifo sohudo okanye uhlamba
- Igazi legazi lakho liyi <60mg
- Igazini lakho legazi liyi-240mg / dL yokuhlola ezininzi ngaphandle kokuba uthathe iyeza lakho
- Uthabatha iipilisi zomlomo zesifo sikashukela kunye negazi lakho lezinga le-glucose likhuphukela ngaphezu kwama-240 ngaphambi kokutya kwaye uhlala khona malunga neeyure ezingama-24
- Unamethoneli amodareyitha okanye amaninzi kumchamo wakho (oku kwandisa ingozi yakho yokuphuhlisa i-ketoacidosis)
- Unempawu ze-ketoacidosis okanye ukuphelelwa yinyama: ukuphefumula kwakho kukufumba, isifuba sakho sibuhlungu, unenkathazo yokuphefumula, imilomo yakho iyomile kwaye iyaphuka
- Ulahlekelwa ngu-5 lbs okanye ngaphezulu
- Ulele okanye awuqinisekanga ukuba unokuzinyamekela njani
Yazi Xa Kuyingozi
Ukuba ungumkhathaleli womntu okanye umntu osebekhulile onesifo sikashukela, kubaluleke kakhulu ukuba uyazi iimpawu neempawu zesifo sikashukela se-ketoacidosis, ngakumbi ukuba akakwazi ukuvakalisa iimvakalelo zakhe okanye iimfuno zakhe ngokucacileyo. Ezinye zazo zidideka ngokuziva ugule, kodwa kubalulekile ukuba uqaphele njalo.
Impawu zo kuqala ziquka:
- Ndiziva ndidiniwe okanye ndithintekile
- Ukomeleza ngokweqile kunye / okanye ukucola ngokweqile
- Iimpawu zokungcoliswa kwamanzi njengomlomo owomileyo
Impawu kamva ziquka:
- Ukuhla ukusinda
- Isihlunu / ukuhlanza
- Intlungu zesisu
- Iintlungu zesifuba
- Ukudideka
- Ukuphefumula okukrakra, ukujula, ukuphefumula (Kussmaul's breathings)
- Umphunga ovuthayo
- Fever
- Ukungaqondi
Ukuba uyaphawula nayiphi na le miqondiso, uya kufuna ukujonga iietoni kwaye ubize ugqirha wakhe ngokukhawuleza.
Gqoka i-ID yakho yezoNyango
Ukuba kufuneka uthunyelwe kwigumbi elingxamisekileyo, kufuneka uguze i-ID yesifo sikashukela ukuze abasebenzi bakwazi ukukuchonga njengomntu onesifo sikashukela. Ukuba awunayo i-ID, qiniseka ukuba wena okanye abathandekayo bakho banxibelelana namagqirha kunye nabasebenzi, ubaxwayisa ukuba unesifo sikashukela kwaye ubhala uluphi unyango oluthathayo.
Ukuba awunayo i-ID yezobugqirha kwaye ukhangele into ethile ephathekayo, khangela i-ID ye-ID yezoNyango zeLayren's Hope.
ILizwi
Ukugula kunokunyusa isiphumo segazi ngokunyusa i-hormone yokunyusa i-glucose nokuvimbela i-insulin ye-glucose. Kodwa, oko akuthethi nje ngokuba ugula ukuba awukwazi ukulawula ushukela wegazi ngokukhuselekileyo nangempumelelo. Ukuba nesicwangciso sosuku olugulayo kunokukunceda ugxile ekuphulukisweni, ngelixa ukhusela isifo sikashukela esiphuthumayo. Kubandakanywa ulwazi olunjengalelo, amagama ogqirha, amanani kunye nolwazi lokuqhagamshelana phakathi neeyure ezibaluleke kakhulu. Ukongezelela, uya kufuna ukwazi ukuba kufuneka uvavanye kangakanani ukuba ushukela wegazi lakho, ziphi ukutya kunye neziphuzo omele uzidle, xa ufanele uvavanyo lweetonone, nendlela yokuchonga ukuxakeka koxinzelelo lwe-hyperglycemic. Ukuthatha ezi ziqulatho ngaphambi kokuba ugula kuya kukukunceda ukuba ugxilise ekufumaneni impilo ngaphandle kokugqithisileyo ngesifo sikashukela.
> Imithombo:
> I-American Diabetes Association. Xa Ugula.
> Isiko soLawulo lweZifo kunye nokuVikela. Hlala kakuhle kwixesha leFlu.