Unokuzibuza ukuba uya kuqhuba njani unyango lwe- diabetes kunye ne-insulin xa ugula kwaye ungadli. Kubalulekile ukuqhubeka kunye namayeza akho kwaye wazi ukuba ubiza nini ugqirha wakho ukuze ubone ukuba irejimeni yakho kufuneka iguqulwe.
Xa ubandezeleka ngenxa yobanda, umkhuhlane, okanye malunga naluphi na olunye ugula, umzimba ubeka phantsi koxinzelelo olunzulu lomzimba kumzamo wokulwa nesifo.
Njengengxenye yenkqubo yokulwa nosuleleko, umzimba uvelisa i- glucose engaphezulu ngendlela ye-glucagon, ihomoni ephakamisa amanqanaba eshukela egazi.
Kwi-diabetes, le glucose eyongezelelweyo egazini ingakhokelela kwizinga eliphezulu lokushukela egazini. Ngako oko kubalulekile ukuba uqhubeke nokuthatha imithi emiselweyo yomlomo (i-type 2 yeswekile) kunye ne-insulin (ngohlobo lwe-1 okanye uhlobo lwesifo sikashukela se-2) xa ugula kwaye uhlolisise rhoqo amanqanaba eshukela egazi ukuvavanya ukuba i-insulin iyimfuneko.
Zingaba Zihlandlo Kangakanani Iingazi Zeshukela Zegazi Ziyakuhlolwa Ngethuba Lokugula?
Iqondo legazi leshukela linokuthi litshintshe ngokuphawulekayo ngexesha lokugula, kufuneke ukuhlolwa rhoqo rhoqo ngemini, rhoqo ngeeyure.
Xa izinga leeshukela legazi liphezulu-ngaphezu kwe-300 mg / dL-kwakhona kuyimfuneko ukujonga ietononi egazini okanye kumchamo, oyinto eyenziwa ngumzimba obangelwa ngumzimba usebenzisa amafutha njengomthombo wamandla. Ukuba khona kweetononi kubonisa i-ketoacidosis yesifo sikashukela (i-DKA), eyona yingozi yokwakhiwa kwe-asidi emzimbeni ngenxa yokushukela kwegazi.
Abantu abanentsholongwane yesifo sikashukela 2 bangakhula imeko ye-hyperosmolar hyperglycemic state (HHS), esimo simo esongela ubomi esifana ne-DKA, ngaphandle kokuba akukho ketoni ekhona. Usulelo luyimbangela eqhelekileyo ye-DKA kunye nohlobo lwe-diabetics ku-30% ukuya kwi-40% yamatyala kunye ne-HHS kunye nohlobo lwesibini lwe-diabetics kwi-32% ukuya kwi-60% yamatyala.
Indlela Ukulahlekelwa Kwamaxabiso Okuhlobene Nezifo ezichaphazelekayo kuchaphazela njani amazinga eShukela eSetyhu
Ngokuqhelekileyo umzimba uncike kakhulu ekutya ukubonelela i-glucose kwigazi. Ukuhamba ngaphandle kokutya ixesha elide, ngokukodwa xa uqhubeka unyanga isifo sikashukela ngemithi yomlomo kunye / okanye i-insulin, kunokukhokelela kwisifo se-ushukela egazini esichengeni (i-hypoglycemia) eyenza iimpawu ezinjengezithotholo, u-shakiness, indlala, ukudideka, kunye nokudibanisa kunye ne-coma.
Nangona kunjalo, ngexesha lokugula okanye ukuxinezeleka, umzimba womzimba udala umlinganiselo we-glucose ukuba ingaba i-blood glucose ikhuliswa ngokutya. Enyanisweni, amanqanaba eshukela egazi, kwaye ngoko ke kufuneka i-insulin imfuno, ziphezulu kwiintsuku ezigulayo ngaphandle kokutya kunemihla ngemihla ngokutya okuqhelekileyo.
Nangona ukutya okuqinileyo kungabonakali, kubalulekile ukugcina ukutya okwaneleyo kokuthintela ukukhulelwa kwamanzi . Kunceda ukusela izixhobo eziqukethe ii-carbohydrates kunye netyuwa ukuze kugcinwe ukulinganisela kwe-electrolyte emzimbeni. Ukungalingani kwamanzi kunye nokungalingani kwe-electrolyte kunokufaka isandla kwi-asidi engaphezu kwegazi kunye namazinga aphezulu e-blood glucose. Ukudityaniswa kwamanzi kudla ngokufuna ukunyanga-esibhedlele ngamanzi ashushu.
Kuthiwani Ukuba Akunakwenzeka Ukugcina Ukutya?
Ngamanye amaxesha ukugula kubangela isicupunu kunye nokungakwazi ukugcina ukutya okanye amayeza.
Ngelixa kunokuba lunokuzama ukunyathela imithi yonyango, kulo mzekelo, kubalulekile ukuthatha ukuba baphathe amazinga aphezulu ashukela egazini ayenzekayo xa egula, kunye nokuthatha i-insulin ngokufanelekileyo, nokuba ukugula kukuvimbela ukutya.
Nangona ekulweni nokugula, abaninzi abantu abanesifo sikashukela se-1 baya kufuna i-insulin ekwixesha elincinci, kunye namayeza aqhelekileyo. Ngokufanayo, abantu abanesifo sikashukela se-2 abaphethe isifo ngokupheleleyo ngokutya kunye nemithi yomlomo bangadinga i-insulin ekwixesha elifutshane ngexesha lokugula ukunyanga amanqanaba aphezulu ashukela.
Ngaba i-Over-Counter-Counter Medication Safe to Take?
Ngokuqhelekileyo xa abantu begula, bafuna izilungiso zokuphatha iimpawu ezahlukahlukeneyo, ezifana nokukhwehlela okanye umkhuhlane.
Nangona la mayeza angabonwanga ngolo hlobo ayilungele abantu abanesifo sikashukela, kubalulekile ukuba bakhumbule ukuba banokuchaphazela amazinga eshukela egazi kwaye banakho ukusebenzisana nesifo sikashukela . Ngokomzekelo, isiraphu yokukhwehlela iqukethe iswekile, ephakamisa iishukela zegazi. Ezinye iziza-antibiotics zingakwazi ukusebenzisana nemithi yesifo sikashukela yomlomo kwaye kubangele amanqanaba egazini ephantsi.
Kubalulekile ukuthetha neqela lokunyamekela isifo sikashukela ngaphambi kokuba uthathe nayiphi na imithi yonyango okanye ingeyona ingcaciso engagqirwanga ukucacisa ukuba yintoni na, ukuba ikhona, utshintsho kwi-regimen yesifo sikashukela kuya kufuneka.
Xa kufuneka ugqirha uxoxwe
Ngaphambi kokugula, kunceda ukuba ube necebo lokulawula i-glucose endaweni yeentsuku zokugula. Izicwangciso ziyahlukahluka ngexesha elide, njengoko unyango lwesifo sikashukela kunye nezinye izinto ziguquka ngexesha lokunyamekela isifo sikashukela. Ukongezelela, uhlobo kunye nemali yamachiza angaphezulu kwee-counter ingahluka ngokutshintsha izicwangciso zokulawula i-glucose. Kungakhathaliseki ukuba uyagula okanye ulungile, kubalulekile ukuba uthethe iqela lokunyamekela isifo sikashukela ngaphambi kokuthatha nayiphi na i-counter-counter-or counter or medication.
Ngexesha lokugula, kubalulekile ukwabelana ngolwazi oluhlukeneyo kunye neqela lokunyamekela isifo sikashukela, kuquka iimpawu - ezifana nesicathulo, ukuhlanza, isifo sohudo, okanye umkhuhlane - inani le-insulin enikeziweyo, ukutya kunye nokudla kwamanzi, intlawulo yenhliziyo, izinga lokuphefumla, kunye ubunzima bomzimba ngoku. Olu lwazi luya kunceda ababoneleli bezempilo becebisa izigulane ngendlela yokuphatha amanqanaba eeshukela egazi kunye nezinye iimpawu ngexesha lokugula ngenjongo yokuthintela ukungcola kwamanzi kunye nophuhliso lwe-hyperglycemia eyingozi, i-DKA, okanye i-HHS.
Imithombo:
Umbutho weSwekile waseMelika. "Isikhundla sesitatimende: Iingxaki ze-Hyperglycemic Diabetes." Uncedo lweSwekile (2004) 27 (iSiza 1): S94-S102. 16 Novemba 2007. http://care.diabetesjournals.org/cgi/content/full/27/suppl_1/s94
"Xa Ugula." Diabetes.org. Umbutho weSwekile waseMelika. 15 Novemba 2007. http://diabetes.org/pre-diabetes/when-you-sick.jsp
Kitabchi, Abbas E. kunye noHaleh Haerian. "Epidemiology kunye nePathogenesis ye-Diabetic Ketoacidosis kunye ne-Hyperosmolar Hyperglycemic State." UpToDate.com 2007. UpToDate. 16 Novemba 2007 (ubhaliso).
UMcCulloch, uDavid K. "Iziganeko Zemizekelo Yonyango Enamandla E-Insulin Kwiimeko Ezikhethekileyo." UpToDate.com 2007. UpToDate. 15 Novemba 2007.