Ukulungiselela ukuhlinzwa uma unesifo sikashukela

Ungadinga ukuhlinzwa ngenkinga yesifo sikashukela. Noma, ungadinga ukuhlinzwa ngenkinga yezokwelapha engahlobene nesifo sikashukela sakho. Isifo sakho sikashukela singakhuphula ubungozi bezinkinga ngesikhathi noma ngemuva kokuhlinzwa, njenge:

• Ukutheleleka ngemuva kokuhlinzwa (ikakhulukazi endaweni yokuhlinzwa)
• Ukuphulukisa kancane
• Izinkinga zamanzi, i-electrolyte, nezinso
• Izinkinga zenhliziyo

Sebenza nomhlinzeki wakho wezokunakekelwa kwempilo ukuze uthole isu lokuhlinzwa eliphephe kakhulu kuwe.

Gxila kakhulu ekulawuleni isifo sakho sikashukela phakathi nezinsuku kuya emavikini ngaphambi kokuhlinzwa.

Umhlinzeki wakho uzokwenza ukuhlolwa kwezokwelapha futhi akhulume nawe ngempilo yakho.

• Tshela umhlinzeki wakho ngayo yonke imithi oyiphuzayo.
• Uma uthatha i-metformin, khuluma nomhlinzeki wakho mayelana nokuyimisa. Kwesinye isikhathi, kufanele kumiswe amahora angama-48 ngaphambi kanye namahora angama-48 ngemuva kokuhlinzwa ukunciphisa ubungozi benkinga ebizwa nge-lactic acidosis.
• Uma uthatha ezinye izinhlobo zezidakamizwa zesifo sikashukela, landela imiyalo yomhlinzeki wakho uma udinga ukumisa umuthi ngaphambi kokuhlinzwa. Imithi ebizwa nge-SGLT2 inhibitors (gliflozins) ingakhuphula ubungozi bezinkinga zikashukela wegazi ezihlobene nokuhlinzwa. Tshela umhlinzeki wakho uma uthatha owodwa wale mithi.
• Uma uthatha i-insulini, buza umhlinzeki wakho ukuthi iyiphi umthamo okufanele uyithathe ebusuku ngaphambi kosuku lokuhlinzwa kwakho.
• Umhlinzeki wakho kungenzeka ukuthi uhlangane nesazi sokudla, noma akunikeze uhlelo oluthile lokudla nomsebenzi ukuze uzame ukuqinisekisa ukuthi ushukela wegazi lakho ulawulwa kahle ngesonto ngaphambi kokuhlinzwa kwakho.
• Abanye odokotela abahlinzayo bazokhansela noma babambezele ukuhlinzwa uma ushukela wegazi lakho uphezulu lapho ufika esibhedlela uzohlinzwa.

Ukuhlinzwa kuyingozi uma unezinkinga zesifo sikashukela. Ngakho-ke khuluma nomhlinzeki wakho mayelana nokulawulwa kwesifo sikashukela kanye nanoma yiziphi izinkinga onazo ezivela kusifo sikashukela. Tshela umhlinzeki wakho nganoma yiziphi izinkinga onazo ngenhliziyo yakho, izinso, noma amehlo, noma uma ulahlekelwe umuzwa ezinyaweni zakho. Umhlinzeki angaqalisa izivivinyo ezithile ukuhlola isimo salezo zinkinga.

Ungenza kangcono ngokuhlinzwa futhi usheshe ube ngcono uma ushukela wegazi lakho ulawulwa ngesikhathi sokuhlinzwa. Ngakho-ke, ngaphambi kokuhlinzwa, khuluma nomhlinzeki wakho ngezinga lesilinganiso segazi lakho egazini phakathi nezinsuku ngaphambi kokuhlinzwa kwakho.

Ngesikhathi sokuhlinzwa, i-insulin inikezwa ngudokotela obulala izinzwa. Uzohlangana nalo dokotela ngaphambi kokuhlinzwa ukuze nixoxe ngohlelo lokulawula ushukela wegazi ngesikhathi sokuhlinzwa.

Wena noma abahlengikazi bakho kufanele nihlole ushukela wegazi kaningi. Ungaba nenkinga enkulu yokulawula ushukela wegazi ngoba wena:

• Unenkinga yokudla
• Ukuhlanza
• Bacindezelekile ngemuva kokuhlinzwa
• Akusebenzi kangako kunokujwayelekile
• Yiba nobuhlungu noma ukungaphatheki kahle
• Unikezwa imithi ekhulisa ushukela wegazi lakho

Lindela ukuthi ungathatha isikhathi esithe xaxa ukuphola ngenxa yesifo sakho sikashukela. Zilungiselele ukuhlala esibhedlela isikhathi eside uma uhlinzwa kakhulu. Abantu abanesifo sikashukela bavame ukuhlala isikhathi eside esibhedlela kunabantu abangenaso isifo sikashukela.

Bheka izimpawu zokutheleleka, njengomkhuhlane, noma ukusikeka okubomvu, okushisayo ukuthinta, ukuvuvukala, okubuhlungu kakhulu, noma ukuphuma.

Vimbela izilonda zokulala. Zulazula embhedeni bese uvuka embhedeni njalo. Uma unomuzwa omncane ezinzwaneni zakho naseminwe, ungahle ungazizwa uma uthola umbhede ubuhlungu. Qiniseka ukuthi uyahambahamba.

Ngemuva kokuphuma esibhedlela, kubalulekile ukuthi usebenzisane nethimba lakho lokunakekela okuyinhloko ukuze uqiniseke ukuthi ushukela wegazi lakho uyaqhubeka nokulawulwa kahle.

Shayela udokotela wakho uma:

• Unemibuzo mayelana nokuhlinzwa noma i-anesthesia
• Awuqinisekile ukuthi imiphi imithi noma imithamo yemithi yakho okufanele uyiphuze noma uyeke ukuyiphuza ngaphambi kokuhlinzwa
• Ucabanga ukuthi unesifo

• Izimpawu zeshukela ezisezingeni eliphansi
• Ukuqapha ushukela wegazi - Uchungechunge

I-American Diabetes Association. 15. Ukunakekelwa yisifo sikashukela esibhedlela: amazinga okunakekelwa kwezokwelapha kwisifo sikashukela - 2019. Ukunakekelwa yisifo sikashukela. I-2019; 42 (Suppl 1): S173-S181. I-PMID: 30559241 www.ncbi.nlm.nih.gov/pubmed/30559241.

I-Neumayer L, Ghalyaie N. Izimiso zokuhlinzwa ngaphambi kokuhlinzwa nokusebenza. Ku: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. ISabiston Incwadi Yokuhlinzwa: Isisekelo Sebhayoloji Sokuzijwayeza Kwamanje Kokuhlinzwa. Umhla ka-20. IPhiladelphia, PA: Elsevier; I-2017: isahluko 10.

• Isifo sikashukela
• Ukuhlinzwa