UMary Allen
Isifo sikashukela i-mellitus, esaziwa nangokuthi isifo sikashukela, isifo esivame kakhulu emakatini esibangelwa ukuntuleka kwe-insulin. Funda konke mayelana nezimbangela, izimpawu, kanye nokwelashwa kwesifo sikashukela emakatini lapha.
Ngisho nalapho ikati likhotha izidladla zalo ngokujabula ngemva kokudla, izingxenye zokudla zihlukaniswa umzimba. Ushukela ugcina egazini usesimweni seglucose bese usuka lapho uye emangqamuzaneni lapho uguqulwa ube amandla. I-hormone insulin, ekhiqizwa amanyikwe, idlala indima ebalulekile kule nqubo: iqinisekisa ukuthi i-glucose ingamuncwa amaseli.
Ukuntuleka kwe-insulin ngokuphelele noma okuhlobene kuwuphawu lwesifo sikashukela i-mellitus. Lokhu kuphazamiseka kwe-metabolic sekubuye kwaba yisifo esisabalele emakati, futhi njengabantu, uhlobo lwesifo sikashukela sohlobo lwe-II luvame kakhulu: kwenzeka lapho amangqamuzana omzimba engasaphenduli ngokwanele ku-insulin.
Izimpawu Zesifo Sikashukela Emakatini
Iqembu lezingozi lihlanganisa ngaphezu kwawo wonke amakati amadala kanye neziduna, izilwane ezithenwe. Amakati angaphakathi nawo avame ukuthinteka. Ucwaningo lwamakati anempilo lubonise ukuthi ngokunyuka kwesisindo esingama-44%, ukuzwela kwe-insulin kwehle ngo-50% futhi ingozi yesifo sikashukela yanda ngokufanele. Abazalanisi base-Australia naseGreat Britain babika nokuthi amakati aseBurma athambekele kakhulu kusifo sikashukela. Ukuze ugweme ukukhuluphala futhi ngaleyo ndlela uvimbele isifo sikashukela ngangokunokwenzeka futhi ugcine ikati lakho liphilile, ukudla okulinganiselayo nokunempilo kuyadingeka.
Izimpawu eziyinhloko zesifo sikashukela emakatini yilezi:
- ukwanda kwamanzi
- Ukukhipha umchamo omningi
- Ukudlondlobala kokuphakelayo nokuyaca ngasikhathi sinye.
Cishe u-10% wamakati anesifo sikashukela abonisa ukuhamba kwe-plantigrade, lapho ikati libeka khona unyawo lwangemuva lapho lihamba.
Ukuxilongwa Kwesifo Sikashukela Emakati
Udokotela wezilwane kuphela ongakwazi ukuxilonga isifo sikashukela. Ngale njongo, inani le-fructosamine linqunywa ukuhlolwa kwegazi. Leli nani lesikhathi eside alikho ngaphansi kokuguquguquka okuhlobene nengcindezi, njengoba kungaba njalo, isibonelo, lapho kulinganiswa ushukela wegazi. Inani elikhulayo le-fructosamine ekati libonisa ukuba khona kwesifo sikashukela.
Ukwelashwa Kwesifo Sikashukela Emakatini
Ukwelashwa kwesifo sikashukela kuhloswe ngaso sonke isikhathi ukulawula ushukela wegazi ngendlela yokuthi izimpawu zingabe zisavela noma zivele kancane. Lesi simo sibizwa ngokuthi “ukukhululwa”. Ukuze kufezeke, ukwelapha isifo sikashukela kusekelwe ezinsikeni ezimbili:
- umjovo ojwayelekile we-insulin ngokuhlanganiswa nezilawuli zeglucose yegazi
- Ushintsho ekudleni nasendleleni yokuphila
I-insulin ijova ngaphansi kwesikhumba kabili ngosuku. Umgomo uyasebenza: linganisa, yidla, faka umjovo. Lokhu kusho ukuhlola amazinga kashukela egazini ngaphambi komjovo ngamunye futhi uqiniseke ukuthi ikati lidlile ukugwema ingozi ye-hypoglycemia eyingozi. Ukwelashwa kwe-insulin kuqala ngomthamo ophansi, okhushulwa ngawodwana kuze kube yilapho ikati selilungiswe kahle.
Izinguquko Zokudla Ukwelapha Isifo Sikashukela Emakati
Izinguquko zokudla kumakati anesifo sikashukela ngemuva kokulungiswa okufanele zibalulekile. Ukudla okune-carb ephansi kwenza ushukela wegazi ungabi ne-spikeless. Ushukela ofihliwe ohlwini lwezithako kufanele ugwenywe. Ukunciphisa isisindo somzimba kusiza ikati, njengoba kwenza umsebenzi ojwayelekile wokuvivinya umzimba: olunye ucwaningo lwabonisa ukuthi ukudlala okusebenzayo imizuzu eyishumi kwakuphumelela ekuzuzeni ukuncipha njengokunciphisa ama-calories ekudleni.
Ngokuvamile kuthatha izinyanga ezingu-2-3 ngemva kokuqala kokwelashwa kuze kube yilapho izinga likashukela egazini lilawulwa kahle. Ukuhlolwa kokuqala kudokotela wezilwane kufanele kuphindwe ngemva kwesonto elilodwa, amathathu, ayisithupha kuya kwayisishiyagalombili, kanye namasonto ayishumi kuya kwayishumi nambili ngemva kokuxilongwa. Akuwona nje kuphela amaphrofayili kashukela wegazi wansuku zonke alungiselelwe umnikazi okuxoxwe ngawo, kodwa isisindo sekati namazinga e-fructosamine nawo ayahlolwa.
Ungalinganisa kanjani amanani egazi lekati lakho ngendlela efanele!
Ushukela wegazi ulinganiswa nge-glucometer. Lokhu kudinga kuphela iconsi elincane legazi ukuze kukale, elivame ukuthathwa endlebeni. Ukugqugquzela ukugeleza kwegazi, indlebe kufanele ihlinzwe ngobumnene futhi ngaleyo ndlela ifudumale. Imiphumela ibhalwe phansi futhi kuxoxwe ngayo nodokotela wezilwane. Izinga likashukela egazini lingaphansi kokushintshashintsha njalo futhi kufanele lifakwe isikhathi eside.