Izinto eziyi-11 ozozibuza udokotela wakho ngemuva kokuthi uqale ukwelashwa okusha kwesifo sikashukela

-Delile

• Izizathu zokuthi kungani ungadinga ukwelashwa okusha kwesifo sikashukela
• Yini ongayibuza udokotela wakho unyaka wonke wokuqala wokwelashwa kwesifo sikashukela
• 1. Ingabe le miphumela emibi ihlobene nemithi yami?
• 2. Ingabe imiphumela yami engemihle izophela?
• 3. Ngabe amazinga kashukela egazini ami AYALUNGE?
• 4. Kufanele ngihlole kaningi kangakanani amazinga kashukela egazini lami?
• 5. Yiziphi ezinye zezimpawu zokuthi ushukela wami wegazi uphakeme kakhulu noma uphansi kakhulu?
• 6. Ungawahlola amazinga ami e-A1c ukubona ukuthi izinombolo zami sezithuthukile yini?
• 7. Ngabe ngidinga ukulungisa uhlelo lwami lokudla noma lokuvivinya umzimba?
• 8. Ngingahlolwa amazinga ami we-cholesterol nomfutho wegazi?
• 9. Ungazihlola izinyawo zami?
• 10. Ingabe ngiyoke ngikwazi ukuyeka le ndlela yokwelashwa?
• 11. Ngabe kufanele ngihlolwe ukusebenza kwezinso zami?
• Ukuthatha

Ukuqala uhlobo olusha lokwelashwa kwesifo sikashukela kungabonakala kunzima, ikakhulukazi uma ngabe ukwelashwa kwakho kwangaphambilini isikhathi eside. Ukuze uqiniseke ukuthi uthola okuningi ohlelweni lwakho lwezokwelapha olusha, kubalulekile ukuxhumana nethimba lakho lokunakekela isifo sikashukela njalo. Funda ukuze ufunde ukuthi yini ongayilindela uma uqala ukwelashwa okusha nokuthi yini ongayibuza udokotela wakho.

Izizathu zokuthi kungani ungadinga ukwelashwa okusha kwesifo sikashukela

Udokotela wakho kungenzeka ukuthi ushintshe ukwelashwa kwesifo sikashukela ngoba ukwelashwa kwakho kwangaphambilini akusaphethe amazinga kashukela egazini lakho noma umuthi ubangele imiphumela emibi edikibalisayo. Uhlelo lwakho olusha lokwelashwa lungafaka ukufaka umuthi kuhlobo lwakho lwamanje, noma ukumisa umuthi nokuqala okusha. Kungabandakanya nokuguqulwa kokudla nokuvivinya umzimba, noma izinguquko esikhathini noma kokuhlosiwe kokuhlolwa kukashukela egazini lakho.

Uma ukwelashwa kwakho kwamanje kusebenze kahle, noma uma wehlile emzimbeni, udokotela wakho angazama ukumisa imithi yakho ngokuphelele. Akunandaba ukuthi ukwelashwa kwakho okusha kuhilelani, kunemibuzo okufanele uyicabangele.

Yini ongayibuza udokotela wakho unyaka wonke wokuqala wokwelashwa kwesifo sikashukela

Izinsuku zokuqala ezingama-30 zivame ukuba yinselele enkulu ngemuva kokuqala ukwelashwa okusha ngoba umzimba wakho kufanele uvumelane nemithi emisha kanye / noma noshintsho endleleni yokuphila. Nayi eminye imibuzo ongayibuza udokotela wakho hhayi kuphela ezinsukwini ezingama-30 zokuqala zenguquko yokwelashwa, kodwa futhi nangonyaka wokuqala:

1. Ingabe le miphumela emibi ihlobene nemithi yami?

Uma uthatha imishanguzo emisha, ungahle ube nemiphumela engemihle emisha. Ungazizwa unesiyezi noma unezinkinga zokugaya noma ukuqubuka. Udokotela wakho angakusiza ukuthi ubone ukuthi ngabe lokhu kuvela emithini yakho futhi akweluleke ngokuthi ungabaphatha kanjani. Uma uqala emithini engadala ushukela wegazi ophansi, qiniseka ukuthi ubuza iqembu lakho lezempilo ukuthi yiziphi izimpawu okufanele uziqaphele, nokuthi yini okudingeka uyenze uma uhlangabezana namazinga kashukela egazi aphansi.

2. Ingabe imiphumela yami engemihle izophela?

Ezimweni eziningi, imiphumela emibi iba ngcono ngokuhamba kwesikhathi. Kodwa uma zisenamandla ngemuva kosuku lwezinsuku ezingama-30, buza udokotela wakho ukuthi ungalindela ukwenziwa ngcono nini noma nini lapho kufanele ucabangele ezinye izindlela zokwelashwa.

3. Ngabe amazinga kashukela egazini ami AYALUNGE?

Uma ucabanga ukuthi ubheka njalo ushukela wegazi lakho, kufanele wabelane ngemiphumela nodokotela wakho. Buza ukuthi ngabe amazinga kashukela egazi akho lapho kudingeka abe khona phakathi nenyanga yokuqala noma lapho selashwa. Uma amazinga akho engekho kahle, cela udokotela wakho ukuthi yini ongayenza ukuze uzinze.

4. Kufanele ngihlole kaningi kangakanani amazinga kashukela egazini lami?

Lapho uqala ukwelashwa okusha, udokotela wakho angafuna ukuthi uhlole ushukela wegazi kaningi usuku lonke. Ngemuva kwezinsuku ezingama-30, ungakwazi ukubheka okungajwayelekile. Kodwa-ke, uma ushukela wegazi lakho ungalawulwa kahle, kungadingeka ukuthi uqhubeke nokuhlola ushukela wegazi njalo.

5. Yiziphi ezinye zezimpawu zokuthi ushukela wami wegazi uphakeme kakhulu noma uphansi kakhulu?

Eminye imishanguzo yesifo sikashukela iqhuba ushukela wegazi uphansi kakhulu futhi idale i-hypoglycemia. Lokhu kungadala:

• ukushaya kwenhliziyo
• ukukhathazeka
• indlala
• ukujuluka
• ukucasuka
• ukukhathala

I-hypoglycemia engaxazululiwe ingaholela ezinkingeni ezinkulu ezifana ne:

• ukuba budlabha, sengathi udakiwe
• ukudideka
• isithuthwane
• ukulahlekelwa ukwazi

Ushukela wegazi ophakeme ubizwa ngokuthi yi-hyperglycemia. Abantu abaningi abazizwa izimpawu zoshukela ophakeme wegazi, ikakhulukazi uma amazinga kashukela egazi ephakama njalo. Ezinye izimpawu ze-hyperglycemia yilezi:

• ukuchama kaningi
• ukoma okwengeziwe nendlala
• ukungaboni kahle
• ukukhathala
• ukusikeka nezilonda ezingapholi

I-hyperglycemia yesikhathi eside ingaholela ezinkingeni ezingapheli ngokuhamba kwesikhathi, njengeso, imizwa, umthambo wegazi, noma ukulimala kwezinso.

6. Ungawahlola amazinga ami e-A1c ukubona ukuthi izinombolo zami sezithuthukile yini?

Izinga lakho le-A1c liyinkomba ebalulekile yokuthi ushukela wakho wegazi ulawulwa kahle kangakanani. Kukala isilinganiso sakho seglucose egazini esikhathini esiyizinyanga ezimbili noma ezintathu. Ngokuvamile, izinga lakho le-A1c kufanele libe ngamaphesenti ayi-7 noma ngaphansi. Kodwa-ke, udokotela wakho angafuna ukuthi iphansi noma ngaphezulu, kuye ngeminyaka yakho, isimo sempilo yakho, nezinye izinto. Kungumqondo omuhle ukuthi izinga lakho le-A1c lihlolwe ezinyangeni ezintathu ngemuva kokuqala ukwelashwa bese kuthi njalo ezinyangeni eziyisithupha uma usufinyelele umgomo wakho we-A1c.

7. Ngabe ngidinga ukulungisa uhlelo lwami lokudla noma lokuvivinya umzimba?

Kokubili ukudla nokuvivinya umzimba kuthinta amazinga kashukela egazini. Ngakho-ke kufanele ubuze udokotela wakho njalo ezinyangeni eziyisithupha noma kunjalo uma kulungile ukuqhubeka nomzimba wakho wokuzivocavoca wamanje nokudla.

Buza udokotela wakho mayelana nokusebenzisana kwezidakamizwa lapho uqala ukwelashwa okusha. Okunye ukudla kungasebenzisana nezidakamizwa zesifo sikashukela. Isibonelo, ngokusho kokubuyekezwa kuka-2013, ijusi lamagilebhisi lingasebenzisana nezidakamizwa zesifo sikashukela i-repaglinide (Prandin) ne-saxagliptin (i-Onglyza).

8. Ngingahlolwa amazinga ami we-cholesterol nomfutho wegazi?

Ukugcina amazinga e-lipid egazi anempilo nomfutho wegazi kuyingxenye ebalulekile yanoma yiluphi uhlelo oluhle lokwelashwa kwesifo sikashukela. Ngokwe-American Heart Association, isifo sikashukela sehlisa i-cholesterol enhle (i-HDL) futhi sinyuse i-cholesterol embi (LDL) ne-triglycerides. Umfutho wegazi ophakeme uvamile kubantu abanesifo sikashukela, futhi kungakhuphula ubungozi bezinye izinkinga.

Ukugcina amazinga akho e-cholesterol ehlolwe, udokotela wakho angase anikeze i-statin njengengxenye yokwelashwa kwakho okusha kwesifo sikashukela. Udokotela wakho angangeza nemithi yokuphatha umfutho wegazi. Cela ukuthi amazinga akho e-cholesterol ahlolwe okungenani ezinyangeni ezintathu kuya kweziyisithupha ngemuva kokuqala ukwelashwa ukuze uqiniseke ukuthi zilandelela ngendlela efanele.

Amazinga omfutho wegazi kufanele ahlolwe ekuvakasheni kukadokotela ngamunye.

9. Ungazihlola izinyawo zami?

Isifo sikashukela saziwa ngokulimaza izinyawo buthule uma ushukela wakho wegazi ungalawulwa. Amazinga kashukela aphezulu egazini angaholela ku:

• ukulimala kwemizwa
• ukukhubazeka kwezinyawo
• izilonda ezinyaweni ezingapholi
• ukulimala komthambo wegazi, okuholela ekuhambeni okungafanele kwegazi ezinyaweni zakho

Cela udokotela wakho ukuthi abheke ezinyaweni zakho kukho konke ukuvakasha, futhi ube nokuhlolwa okuphelele kumaki wonyaka owodwa ngemuva kokuqala ukwelashwa okusha ukuze uqiniseke ukuthi izinyawo zakho ziphilile. Uma unezinkinga ezinyaweni noma ukulimala ezinyaweni, thintana nodokotela wakho ngokushesha.

10. Ingabe ngiyoke ngikwazi ukuyeka le ndlela yokwelashwa?

Kwezinye izimo, ukwelashwa kwesifo sikashukela kungaba okwesikhashana. Uma ukuguquka kwendlela yokuphila njengokudla okunempilo, ukuzivocavoca umzimba njalo, nokunciphisa umzimba kuphumelela, ungakwazi ukuyeka ukuphuza noma ukunciphisa eminye imithi.

11. Ngabe kufanele ngihlolwe ukusebenza kwezinso zami?

Ushukela wegazi ongalawulwa kungaholela ekulimaleni kwezinso. Ezinyangeni ezimbalwa ukwelashwa okusha, kuwumqondo omuhle ukuthi udokotela wakho ayalele ukuhlolwa ukuze ahlole amaprotheni emchameni wakho. Uma ukuhlolwa kutholakele, kukhombisa ukuthi umsebenzi wakho wezinso ungahle uthikamezeke futhi ukwelashwa kwakho okusha kungenzeka kungasebenzi kahle.

Ukuthatha

Uhlelo lwakho lokwelashwa kwesifo sikashukela luhlukile kuwe. Akuyona i-static futhi ingashintsha izikhathi eziningi kuyo yonke impilo yakho. Izici ezahlukahlukene zizothonya ukwelashwa kwakho njengezinye izimo zakho zezempilo, izinga lomsebenzi wakho, kanye namandla akho okubekezelela umuthi wakho. Ngakho-ke, kubalulekile ukubuza udokotela wakho noma imiphi imibuzo onayo mayelana nokwelashwa kwakho. Kubalulekile futhi ukuxhumana nodokotela wakho njengoba kuqondisiwe ukuze bakwazi ukuhlola noma yiziphi izimpawu ezintsha noma imiphumela emibi ngokushesha okukhulu.