Fumana Ngaphambi kokuba Usele nkxalabo
Xa ufumanisa ukuba unesifo sikashukela , kuninzi ukufunda. Ukongeza kwizinto ezisisiseko zokulawula isifo sikashukela kunye nonyango imihla ngemihla, zifunda ukuqonda iimpawu neempawu ezimbini ezichaphazelekayo ngesifo sikashukela: i- hypoglycemia ( isishukela sezantsi ephantsi) kunye ne- hyperglycemia (ishukela ephezulu yegazi). Kubalulekile ukuqonda okokubangela ukuba ushukela wegazi lakho liphezulu okanye uphonsa kakhulu kwaye uqaphele ukuba umzimba wakho uya kuziva ngathi, okanye xa bekwenza.
Ukuqonda ezi zinto kunokukunceda ukukhusela ingxamiseko yonyango.
Iimbangela ze-Hyperglycemia
Abantu abanesifo sikashukela kufuneka bajolise ekukhuseleni izinga eliphezulu lokushukela egazini, echazwe ngokugqithiseleyo okanye elilingana ne-180 mg / dL ezimbini emva kokutya kunye no-130 mg / dL emva kweeyure ezisibhozo ukuya kweyure ngokukhawuleza. Isizathu salesi sizathu kukuba i-sugar suars ephakamileyo ingaphakamisa ingozi yengxaki yesifo sikashukela esizayo, njengeliso, intliziyo, iinjongo kunye nesifo somdla.
Kwaye xa unokuba ushukela wegazi ongekho kwixesha ngezihlandlo, kubaluleke kakhulu ukuba ukwazi ukuqonda iishukela eziphezulu zegazi (ezichazwe ngokugqithiseleyo okanye zilingana nama-250 mg / dL amaxesha alandelelanayo). I-sugar sugars yakho iyakwazi ukuphakama kumazinga anobungozi xa usuqhekeza i-insulin yakho okanye ungathathi okwaneleyo i- insulin (ingakumbi ukuba unesifo sikashukela se- 1 ) okanye xa i-receulin yakho yamkeleki ingasebenzi njengoko ifanelekile (ngohlobo lwe-2).
Ukutya okuninzi i-carbohydrate kunye noxinzelelo kungabangela ukuba ushukela wegazi uphakame.
Naluphina uhlobo lwesifo, nokuba ingaba ngumkhuhlane oqhelekileyo, umkhuhlane, okanye enye into, ubeka uxinzelelo emzimbeni, onokuchaphazela amazinga eshukela egazi. 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 kuba ushukela ophezulu kakhulu wegazi ngexesha lokugula kunokubangela ukongxamiseko. Ukudala isicwangciso sosuku olugulayo kunye nomniki-nkonzo wakho wezempilo , kunokukunceda ukuba uceba kwaye ulungiselele imingeni enxulumene noshukela ngegazi ngexesha lokugula.
Iimpawu ezifuna ukunakwa
Ukuba awuzive ulungile kwaye ucinga ukuba ushukela wegazi lakho liphakanyisiwe, vavanya ukuba uqinisekise. Ukuba igazini lakho legazi liphakanyisiwe kwaye uyayazi umgwebi, kwaye ingumcimbi oqhelekileyo, ingxaki ungayilungisa ngokwakho usebenze kakuhle, uphuze amanzi angaphezulu, kwaye uthathe amayeza akho njengoko kumiselweyo. Ukuba ngakwelinye icala, ishukela lakho legazi liphezulu kakhulu kwaye unayo le mpawu nceda ubize unonophelo lwenkonzo yakho yezempilo kunye / okanye ukuya eklasini yongxamiseko:
- Ukomeleza ukoma
- Ukwanda kwamanzi
- Isihlunu / ukuhlanza
- Ukuhla ukusinda
- Ukuphefumula okufutshane kunye / okanye ukuphefumula ngokukhawuleza
- Intlungu zesisu
- Ukuphefumula okunomsoco
- Ukulahleka kwengqondo
Olunye utywala lwe-Hyperglycemia
Hyperglycemic Hyperosmolor Nonketotic Syndrome
I-hyperglycemic hyperosmolar nonketotic coma (HHNKC) yinkxalabo enzulu kakhulu enokuthi iyenzeka kubantu abanohlobo lwe-1 okanye uhlobo lwesifo sikashukela , kodwa ngokuqhelekileyo kubakho kulabo abangenciki-insulin (uhlobo lwesi-2 lweswekile).
Oku kuchazwa njengentshukela ephezulu yengozi ephezulu> 600 mg / dL. Ngokuqhelekileyo iziswa ngokusuleleka ngusuleleko, njenge-pneumonia okanye ukusuleleka kwe-urinary tract, okanye ukuphathwa kakubi kwesukile yegazi. Ukuba ishiywe ingakhange ilandelwe, inokubangela ukuba i-coma ize ife.
Izimpawu ziquka:
- kunxanwa okukhulu
- kudideka
- umkhuhlane (ngokuqhelekileyo ngaphezu kwama-degrees ama-Fahrenheit ama-101)
- ubuthathaka okanye ukukhubazeka kwelinye icala lomzimba
Indlela efanelekileyo yokukhusela i-HHNKC kukuba uthathe amayeza akho njengoko uhanjiswe kwaye uhlale uqhagamshelana neqela lakho lokunakekelwa kwezempilo xa ushukela wakho wegazi lihlala njalo> 300 mg / dL.
Diabetes Ketoacidosis
I-Hyperglycemia ingakhokelela kwimeko embi kakhulu, ekubhekiselwe kuyo njenge-ketoacidosis yesifo sikashukela (i-DKA), eyenzeka ngokuqhelekileyo kubantu abanomdla wesifo sikashukela kwaye ngokuqhelekileyo uphawu lokuqala lwesifo sikashukela.
I-DKA ibangelwa xa umzimba unento encinci okanye ingekho i-insulin yokusebenzisa kwaye, ngenxa yoko, iishukela zegazi ziphuma kumazinga anobungozi kwaye igazi liba lukhuni. Umonakalo weselula unokwenzeka kwaye xa uqhubeka uqhubeka, kungabangela ukufa okanye ukufa. I-DKA idinga ukungenelela kwangonyango ngokukhawuleza
Iimbangela ze-Hypoglycemia
I-Hypoglycemia iyenzeka xa ushukela lakho wegazi lihlahla kakhulu (ngokuqhelekileyo lingaphantsi kwe-70 mg / dl), nangona indawo yokupaka ingakwazi ukuhluka kumntu kumntu. Kungenzeka emva kokusela utywala, ukuthatha amayeza amaninzi, ungadli i-carbohydrates ngokwaneleyo, okanye ngexesha okanye emva kweseshoni. I-Hypoglycemia ingaphathwa ekhaya xa iimpawu zingekabi kakhulu kwaye ishukela legazi alizange liwile kakhulu.
Iimpawu ezifuna ukunakwa
Ukuba uqala ukuziva ukhululekile, udidekile, udizzy okanye udidekile, kwaye unayo imitha yakho ekhoyo, uvavanye ushukela wegazi. Ukuba ingaphantsi kwama-70mg / dL ukuyiphatha nge-carbohydrate esebenza ngokukhawuleza, njengama-tablet ye-glucose 3-4, ii-ounces ezine zejusi, i-ounces ezintandathu ze-soda. Phinda uvavanywe ngemizuzu eyi-15 uphinde uphinde unyango xa isetyhi yegazi yakho ingazange ikhuphuke. Ukuba awunayo imitha yakho, kodwa uyazi ukuba iswekile legazi lakho liphantsi, liphathe ngokungakhathaliseki-oku kuya kukunceda ukukhusela ingxamiseko. Ukuba uye waphatha ushukela wegazi, kwaye akunyuka, kwaye uqhubeka unempawu, nceda ubize unonophelo lwenkonzo yakho yezempilo okanye uye kwigumbi loxakeka. Iimpawu zokubheka ziquka:
- Ukuthuthumela okanye ubuthathaka
- Ukungabikho koqhagamshelwano
- Ukulala okanye ukudideka
- Intloko
- Utywala
- Umbono ombini
- Ukuxinwa okanye ukungakwazi
Xa kuziwa kwinkathalo yongxamiseko, sebenzisa le mpawu njengesikhokelo, kodwa uphulaphule isisiseko sakho. Ukuba uvakalelwa kukuba into ephosakeleyo, akusoze kube yinto engalunganga ukubiza umnonophelo wakho wezempilo okanye ukuya kwigumbi elingxamisekileyo.
Ukuba Igazi lakho I-Sugar linomdla wokuwa kakhulu
Ukuba iswekile legazi lakho linomdla wokuba uhlawule kakhulu, ngokukhawuleza, okanye ufikelele kwinqanaba le-hypoglycemia, elichazwe yi-American Association Diabetes Association njengegazi le-glucose ngaphantsi okanye lilingana no-54 mg / dL (3.0 mmol / L), i-glucagon kufuneka imiselwe. I-Glucagon yi-hormone esinceda isibindi sokukhululwa kwesibindi ukuze sikhulise amazinga eshukela egazi. Ikhutshwa nge-injection injection kwaye inokulawulwa ngokwazo. Ngokuqhelekileyo izisa ishukela yegazi ukuya kwizinga elimkelekileyo kwiminyaka engama-15.
Kwiimeko ezigqithiseleyo ezingenakukwazi kwaye ungakwazi ukulawula i-glucagon ngokwakho, omnye umntu uya kufuneka ukuba anike lona, nokuba ngaba ngumntu ophuthumayo okanye umntu ohlala ekhaya. Ukuba uhlala nabanye, kufuneka bazi indlela yokulawula i-glucagon. Okanye ukuba unomntwana onesifo sikashukela sohlobo 1, ootitshala babo mabafundiswe ngokusetyenziswa kweglucagon. Ngokomzekelo, wena wedwa, ugqoke uhlobo oluthile lokuzibonakalisa oluvumela abasebenzi bexakeka kwimeko ukuba unesifo sikashukela, njengesiqhelo sesazisi okanye isibonakaliso esinxibekayo sinokuthetha xa ungakwazi ukuthetha.
Izifo eziKhuselekileyo zingakhokelela kwiSifo soTyhukela
Abantu abanesifo sikashukela bavame ukuxhomekeka kwiintsholongwane kwaye xa bengakhange baphathwe ngokukhawuleza, iintsholongwane zingabangela iingxaki ezinzima zesifo sikashukela. Izifo ziyakutshintsha ukuvelisa i-hormone okanye indlela umzimba uphatha ngayo kumayeza e-diabetes. Ngenxa yoko, ukuphuma kwegazi ushukela, ukwandisa umngcipheko we-ketoacidosis.
Kubantu abanesifo sikashukela esingalawulwa kakubi, izifo zesikhumba okanye ukulimala kwenyawo, kunokukhokelela kwizilonda ezinokunyusa umngcipheko wokutshitshiswa.
Ngomzekelo unalo uhlobo oluthile lokusuleleka, kubalulekile ukubiza iqela lakho lononophelo lwempilo ngokukhawuleza ukuze ulawule ngokukhawuleza. Uya kufuna ukwazi indlela yokulawula isifo sikashukela ngelixa umzimba wakho uphantsi kwengcinezelo. Ungadinga ukuthatha amayeza amaninzi ngeli xesha.
Ungayilungiselela njani isifo sikashukela esiphuthumayo?
Indlela efanelekileyo yokucwangcisa imeko engxamisekileyo kukuba ube nesicwangciso seentsuku ezigulayo / isicwangciso esiphuthumayo. Yakha enye neqela lakho lezonyango, gcina ikopi yakho ekhaya kwaye uhambise ikopi kunye nawe xa uphuma. Kulo cwangciso, qiniseka ukuba luquka, uluhlu lwawo onke amayeza akho, oogqirha, kunye neenombolo zabo zokunxibelelana. Kufuneka uhlale unxiba uhlobo lokuchongwa kwezokwelapha, naye.
Okokugqibela, qiniseka ukuba uthwale i-carbohydrates esebenza ngokukhawuleza (iipilisi ze-glucose, ijusi yamasila), ukutya okutyalwa okunye (ukutya okutya okusanhlamvu, i-nut, i-fat fat, i-snack bar, izithelo ezitsha) , i-blood sugar glucose kunye namayeza akho kunye nawe.
Iyiphi indlela engcono yokukhusela iimeko eziphuthumayo ukuvela kwinto?
Ukusebenzisa isifo sikashukela esihle ukulawula ubomi yindlela efanelekileyo yokukhusela ukukhawuleza ukuba kwenzeke. Oku kuquka ukutya ukutya okunempilo, ukuguqula i-carbohydrates, ukuthatha amayeza akho njengoko kumiselweyo, ukuvavanya iswekile yegazi rhoqo, ukufumana imirhumo yokuzilolonga rhoqo, ukugcina oogqirha abaqeshwe rhoqo, nokuphepha ukuziphatha okuyingozi, njengokusetyenziswa kotywala kakhulu. Ngamanye amaxesha, nangona kunjalo, unokwenza konke ngokuchanekileyo kwaye kunjalo, ufumana iishukela zegazi eziphakamileyo okanye eziphantsi kakhulu. Kulo mzekelo, indlela efanelekileyo yokukhusela ingxamiseko kukuqhagamshelana nomqeqeshi wakho wezempilo unyango okanye ukuya kwigumbi elingxamisekileyo. Kuhlala kukulungele ukuba uqaphele ngaphezu kokuphepha okanye ukungahoyi iimpawu ezingavamile.
ILizwi
Xa unesifo sikashukela, kubalulekile ukwazi ukuba yimaphi iimpawu ezimele zijonge ukukhusela ingxamiseko yonyango. Ininzi yexesha, iimeko eziphuthumayo zibangelwa sisiphumo sephepha eliphezulu okanye eliphantsi kakhulu. Ukuthintela ukukhawuleza ngokwenza isifo esihle sikashukela kukubaluleka kubaluleke kakhulu, nangona ngamanye amaxesha le ntlobo yeziganeko zingaphantsi kolawulo lwakho. Yingakho ukucwangcisa phambili kwaye uzifundise kunye namalungu entsapho kubaluleke kakhulu.
Imithombo:
> I-American Diabetes Association. ImiGangatho yoLondolozo lwezoNyango kwiSwekile-2017. 2017 Jan; 40 Isondlo 1: S1-S132.
> I-American Diabetes Association. I-Hyperglycemia (i-High Blood Sugar). http://www.diabetes.org/living-with-diabetes/treatment-and-care/blood-glucose-control/hyperglycemia.html
> I-American Diabetes Association. I-Hypoglycemia (I-Low Blood Sugar). http://www.diabetes.org/living-with-diabetes/treatment-and-care/blood-glucose-control/hypoglycemia-low-blood.html