Thayipha 2 Isifo Sikashukela: Umhlahlandlela Wodokotela Ekuqokweni Okuhle

-Delile

• Ukulungiselela kanjani
• Ngosuku lokuqokwa kwakho
• Yini ongabelana ngayo nodokotela wakho
• Thembeka futhi woza uzilungiselele ukukhuluma iqiniso, noma ngabe kuyihlazo.
• Ungabi namahloni - udokotela wakho ungumlingani wakho wezempilo futhi angakusiza ngaphezu kokucabanga kwakho.
• Imibuzo ejwayelekile ukubuzwa
• 1. Kusho ukuthini i-A1C?
• 2. Kungani kunendaba i-A1C?
• 3. Kufanele ngihlole nini i-glucose yegazi lami ekhaya?
• 4. Kufanele ibe yini i-A1C ne-glucose yegazi lami?
• 5. Yiziphi ezinye izinhlobo zokuhlolwa okufanele ngibe nazo?
• Uhla lwamagama

Ingabe uzohlolwa nodokotela wakho mayelana nesifo sikashukela sakho? Umhlahlandlela Wethu Wokuqokwa Okuhle uzokusiza ukuthi uzilungiselele, wazi ukuthi uzobuza ini, futhi wazi ukuthi yini ongabelana ngayo ukuze uthole okuhle ekuvakasheni kwakho.

Ukulungiselela kanjani

• Noma ngabe ugcina ithrekhi yeglucose egazini ephepheni noma ngocingo lwakho, letha izinombolo ukukhombisa udokotela wakho. Uma i-glucometer yakho (i-glucose glucose monitor) igcina ukufundwa kwimemori, ungakuletha nakho lokho.
• Uma ulinganisa futhi uqopha umfutho wegazi lakho ekhaya, qiniseka ukuthi uletha lawo marekhodi.
• Letha uhlu olusha, olunembile lwawo wonke amaphilisi owathathayo njengamanje nganoma yisiphi isimo sempilo - hhayi isifo sikashukela kuphela. Lokhu kufaka phakathi imishanguzo yamakhasimende, izithasiselo namakhambi. Uhlu lwamanje lubaluleke kakhulu uma ubona odokotela abaningi abakunikeza umuthi. (Uma ungenaso isikhathi sokuthola uhlu olusha, letha amabhodlela emithi uqobo ekuvakasheni kwakho.)
• Ngaphandle kokuthi utshelwe ngenye indlela, thatha yonke imishanguzo yakho ejwayelekile ngosuku lokuqokwa kwakho.
• Bhala imishanguzo yakho yokugcina nokuhlolwa umdlavuza, ukuze udokotela wakho aqiniseke ukuthi usesikhathini futhi awulahlekelwa yilutho olubalulekile.

Ngosuku lokuqokwa kwakho

• Gqoka izingubo ezizokwenza kube lula ukuthi zihlolwe (ngaphandle uma kungukuqokwa kwe-telehealth, kunjalo). Lokhu kusho ukugqoka okuphezulu ongakususa noma okunemikhono evulekile ongayisonga kalula. Ukuhlola izinyawo zakho yingxenye ebalulekile yokuvakashelwa ngoba isifo sikashukela singadala izinkinga zonyawo. Qiniseka ukuthi ungasusa kalula amasokisi nezicathulo zakho. Ungase futhi ucelwe ukuthi ushintshe ube yingubo.
• Ukuthi kufanele udle noma cha ngaphambi kokuvakasha kwakho kuzoncika ekutheni yiziphi izivivinyo udokotela azozi-oda ngalolo suku (ngaphandle uma kungukuqokwa kwe-telehealth). Ukuhlolwa kwe-A1C nokuningi kwe-cholesterol ngeke kuthikamezwe yilokho okudlayo ngesidlo sasekuseni. Kodwa amazinga eglucose egazi kanye ne-triglyceride akhuphuka ngemuva nje kokudla kwakho. Kodwa-ke, kungahle kungaphephi ukweqa isidlo sasekuseni uma unemithi ethile. Uma ungabaza, shayela ihhovisi likadokotela ngaphambi kokuvakasha kwakho ukuze uqiniseke.
• Uma unomnakekeli obandakanyeka ekunakekelweni kwezempilo kwakho, ukuba nalowo muntu nawe lapho kubekwa isikhathi kungasiza. Bacele ukuthi bakuthathele amanothi, ngoba kungaba nzima ukukhumbula konke okushiwo udokotela wakho.
• Letha uhlu lwemibuzo ofuna ukuyibuza udokotela. Kwesinye isikhathi kulula ukukhohlwa obefuna ukukubuza.

Yini ongabelana ngayo nodokotela wakho

Thembeka futhi woza uzilungiselele ukukhuluma iqiniso, noma ngabe kuyihlazo.

• Ukubika okuthembekile kokuvumelana kwakho kwansuku zonke ekuphuzeni imithi yakho yesifo sikashukela. Kumele bazi ngoba kuzothinta uhlelo lokusebenza. Isibonelo, uma izinombolo zikashukela egazini ziphakeme kakhulu futhi ubungazange uphuze umuthi othile, udokotela wakho udinga ukwazi ngezinselelo ezihilelekile ukuze asize. Kungcono ngokuhamba kwesikhathi ukuthi umane ukhulume iqiniso, noma ngabe kuyaphoxa.
• Umlando wakho ngemithi yangaphambi kwesifo sikashukela. Ukwazi ukuthi imiphi imithi enayo futhi engazange isebenze esikhathini esidlule kuzosiza udokotela wakho ukuthola izinketho ezinhle kakhulu zanamuhla.
• Imikhuba yakho yokudla. Ingabe unenkinga yokuthola ukudla okunomsoco okungeke kuphike i-glucose yegazi lakho? Kuzosiza udokotela wakho aqonde ukuthi imithi yakho isebenza kanjani. Bangakunika iziphakamiso noma badlulisele kusazi sokudla esingasiza.
• Imikhuba yakho yokuzivocavoca umzimba. Usebenza kangakanani nsuku zonke? Ingabe unayo indawo ephephile yokuzivocavoca? Ukuzivocavoca umzimba kungabaluleka njenganoma imuphi umuthi, ngakho-ke yazisa udokotela wakho uma unezinselelo.
• Noma iziphi izimo zezempilo noma izifo ezisanda kwenzeka abangazi ngazo.

Ungabi namahloni - udokotela wakho ungumlingani wakho wezempilo futhi angakusiza ngaphezu kokucabanga kwakho.

• Thembeka ngezinkinga zakho. Wonke umuntu unesipiliyoni esihlukile ngesifo sikashukela. Odokotela ngeke bazi ukuthi ubhekene nani ngaphandle kokuthi usho okuthile.
• Buza ngezinkinga zesifo sikashukela. Uma isifo sikashukela sihlala singalawulwa, singadala izinkinga emehlweni akho, ezinso nasezinzwa. Udokotela wakho angaqiniseka ukuthi uyaziqonda izingozi zakho futhi wenza konke okusemandleni akho.
• Kunocwaningo oluningi oluqhubekayo lokuthi ungaselapha kanjani isifo sikashukela. Buza udokotela wakho uma uthola ukwelashwa okungcono kakhulu. Ngabe ngithola imishanguzo engcono kakhulu yesifo sikashukela kimi? Yimiphi imiphumela emibi engaba khona?
• Umshuwalense awuyivali njalo imithi yakho. Noma ngabe imboziwe, izindleko ezingaphandle kwesikhwama zisephezulu kakhulu kubantu abaningi. Uma unenkinga yokukhokhela imishanguzo yesifo sikashukela, yazisa udokotela wakho. Kukhona amakhuphoni, izinhlelo zosizo lwemithi, nezinye izindlela zokwenza ukuthi zithengeke kakhulu.
• Kulula ukukhungatheka lapho uphila nesimo esingalapheki njengesifo sikashukela. Yize isikhathi sakho esiningi namandla kugxile empilweni yomzimba, ungayinaki impilo yakho yengqondo. Khuluma nodokotela wakho uma ubhekene nokukhathazeka noma ukucindezeleka.

Imibuzo ejwayelekile ukubuzwa

Ngezansi kunemibuzo obekufanele ngabe uyiphendulile. Qiniseka ukuthi uqonda konke okungezansi futhi ungeze ohlwini lwakho lwemibuzo kudokotela wakho uma kukhona okuthile ongaqiniseki ngakho.

1. Kusho ukuthini i-A1C?

I-A1C ukuhlolwa kwegazi okunikeza ulwazi mayelana nesilinganiso seglucose yegazi lakho ezinyangeni ezi-3 ezedlule. Amanye amagama we-A1C afaka i-hemoglobin A1C, HbA1C, noma i-glycohemoglobin. (I-glucose esegazini lakho inamathela kuprotheni okuthiwa i-hemoglobin.) I-A1C ilinganisa iphesenti lama-molecule e-hemoglobin ane-glucose enamathele kuwo. Yingakho umphumela ubikwa njengephesenti, njengamaphesenti angu-6.8. Ukuphakama kwamazinga kashukela egazini lakho ezinyangeni ezi-3 ezedlule, kuphakamisa i-A1C yakho.

Ungayihlola nganoma yisiphi isikhathi sosuku, noma ngemuva nje kokudla, ngoba izinga lakho le-glucose egazini ngesikhathi sokuhlolwa ngeke libe nomthelela omkhulu ku-A1C. Amanye amahhovisi odokotela akwazi ukukala i-A1C ngomunwe esikhundleni sokudonsa igazi emthanjeni. Izimo ezithile zezokwelapha ngaphandle kwesifo sikashukela zingathinta i-A1C yakho. Khuluma nodokotela wakho ukuze ubone ukuthi unayo yini leyo mibandela.

2. Kungani kunendaba i-A1C?

Kulula ngeziguli nodokotela ukuthi bagxile ku-A1C ngaphandle kokuthatha isikhathi sokukhuluma ngokuthi kungani kubalulekile. Ukuphakama kwe-A1C, kuphakamisa ubungozi bokuba nezinkinga ezithile zesifo sikashukela emehlweni akho, izinso, nezinzwa.

Amehlo: I-retinopathy yisifo se-retina. I-retina ungqimba oluncane ngemuva kwamehlo akho ezwa ukukhanya. I-retinopathy enamandla, engalashwa inganciphisa umbono wakho futhi ibangele nobumpumputhe.

Izinso: I-Nephropathy yisifo sezinso. Izimpawu zifaka amazinga aphezulu amaprotheni emchameni kanye nenqwaba yemikhiqizo kadoti egazini. I-nephropathy enamandla ingaholela ekuhlulekeni kwezinso okufanele ziphathwe nge-dialysis noma ukufakelwa kwezinso.

Imizwa: I-peripheral neuropathy yisifo semithambo ezinyaweni noma ezandleni zakho. Izimpawu zifaka phakathi ukudonsa, "izikhonkwane nezinaliti," ukuba ndikindiki, nobuhlungu.

Izindaba ezinhle ukuthi ukugcina i-glucose yegazi lakho ilawulwa kuzokwehlisa ingozi yokuba nalezi zinkinga.

3. Kufanele ngihlole nini i-glucose yegazi lami ekhaya?

Lokhu kuya ngesimo sakho. Abanye abantu abanesifo sikashukela kudingeka bahlole i-glucose yegazi labo izikhathi eziningana ngosuku, kanti abanye badinga ukuhlola kanye nsuku zonke noma kaningi kaningi.

Uma uhlola ushukela wegazi ekhaya, izikhathi ezithile zokuhlola zinikeza imininingwane ewusizo kakhulu. Ukuhlola i-glucose yegazi ngaphambi nje kokudla kwasekuseni (okungukuthi, esiswini esingenalutho) kuyisilinganiso sansuku zonke esiwusizo sokuthi isifo sakho sikashukela silawulwa kanjani.

Abantu abathatha izinhlobo ezithile ze-insulin bangadinga ukuhlola ushukela wegazi ngaphambi kwakho konke ukudla. Esinye isikhathi esihle sokuhlola amahora angu-1 kuya kwangu-2 ngemuva kokudla. Leyo nombolo ikutshela ukuthi umzimba wakho uphendula kanjani futhi usebenze ukukhuphuka kukashukela wegazi okwenzeka ngemuva kokudla. Ukuhlola i-glucose yegazi ngesikhathi sokulala nakho kuvamile.

Okokugcina, uma uzizwa ugula, kuwumqondo omuhle ukuhlola i-glucose yegazi lakho. Kwesinye isikhathi izimpawu zingadalwa amazinga eglucose aphansi kakhulu noma aphezulu. Noma kunjalo, ingasebenza futhi kolunye uhlangothi. Ukugula okuyimbangela kungadala ukuthi i-glucose yegazi lakho iqhume.

4. Kufanele ibe yini i-A1C ne-glucose yegazi lami?

Lapho abantu belashelwa isifo sikashukela ngemithi, odokotela abahlosile “izinombolo ezijwayelekile” ze-A1C noma ezinoshukela wegazi. Kubantu abaningi abanesifo sikashukela, umgomo we-A1C ongaphansi kwamaphesenti ayi-7 ufanelekile. Ukuba ne-A1C ngaphansi kwamaphesenti ayi-7 kwehlisa ubungozi bezinkinga zesifo sikashukela.

Ngokufundwa kweglucose yasekhaya, amabanga aphilile angama-80 kuya ku-130 mg / dL ngaphambi kokudla nangaphansi kuka-180 mg / dL uma kulinganiswa ihora eli-1 kuye kwele-2 ngemuva kokudla. Kodwa-ke, abanye abantu abadala asebekhulile nabantu abanezifo ezingamahlalakhona bathambekele kwimiphumela emibi evela emithini yokwelapha isifo sikashukela uma umthamo uphezulu kakhulu. Kulezi zimo, odokotela bangancoma amabanga aphezulu wokukhomba we-A1C ne-glucose yegazi.

5. Yiziphi ezinye izinhlobo zokuhlolwa okufanele ngibe nazo?

Ukunakekelwa okuhle kwesifo sikashukela akugxili kuphela kumazinga e-glucose. Kunconywa ukuhlolwa okuningi ukuqapha izinkinga zesifo sikashukela.

Lokhu kufaka izivivinyo zamehlo, izivivinyo zonyawo, kanye nokuhlolwa kwebhu ngamaprotheni omchamo, i-cholesterol nokusebenza kwezinso. Ukukala nokwelapha umfutho wegazi nakho kubalulekile ngoba ukuhlanganiswa kwesifo sikashukela nomfutho wegazi ophakeme kuphakamisa ubungozi bokuhlaselwa yisifo senhliziyo, isifo sohlangothi noma isifo sezinso.

Uhla lwamagama

I-A1C ukuhlolwa kwegazi okunikeza ulwazi mayelana nesilinganiso seglucose yegazi lakho ezinyangeni ezi-3 ezedlule. Amanye amagama we-A1C afaka i-hemoglobin A1C, HbA1C, noma i-glycohemoglobin. (I-glucose esegazini lakho inamathela kuprotheni okuthiwa i-hemoglobin.) I-A1C ilinganisa iphesenti lama-molecule e-hemoglobin ane-glucose enamathele kuwo. Yingakho umphumela ubikwa njengephesenti, njengamaphesenti angu-6.8. Ukuphakama kwamazinga kashukela egazini lakho ezinyangeni ezi-3 ezedlule, kuphakamisa i-A1C yakho. Ungayihlola nganoma yisiphi isikhathi sosuku, noma ngemuva nje kokudla, ngoba izinga lakho le-glucose egazini ngesikhathi sokuhlolwa ngeke libe nomthelela omkhulu ku-A1C. Amanye amahhovisi odokotela akwazi ukukala i-A1C ngomunwe esikhundleni sokudonsa igazi emthanjeni. Izimo ezithile zezokwelapha ngaphandle kwesifo sikashukela zingathinta i-A1C yakho. Khuluma nodokotela wakho ukuze ubone ukuthi unayo yini leyo mibandela.

I-retinopathy yisifo se-retina. I-retinopathy enamandla, engalashwa inganciphisa umbono wakho futhi ibangele nobumpumputhe.

I-Nephropathy yisifo sezinso. Izimpawu zifaka amazinga aphezulu amaprotheni emchameni kanye nenqwaba yemikhiqizo kadoti egazini. I-nephropathy enamandla ingaholela ekuhlulekeni kwezinso okufanele ziphathwe nge-dialysis noma ukufakelwa kwezinso.

I-peripheral neuropathy yisifo semithambo ezinyaweni noma ezandleni zakho. Izimpawu zifaka phakathi ukudonsa, "izikhonkwane nezinaliti," ukuba ndikindiki, nobuhlungu.