Hlala Ngokuqina: Amathiphu Wokuhlala Ufanelekile Nesifo Sikashukela

-Delile

• Ukucatshangelwa lapho uzivocavoca umzimba
• Izingozi zokuzivocavoca ngesifo sikashukela
• Ukuqapha ushukela wegazi ngaphambi kokuzivocavoca
• Ngaphansi kuka-100 mg / dL (5.6 mmol / L)
• Phakathi kuka-100 no-250 mg / dL (5.6 kuye ku-13.9 mmol / L)
• 250 mg / dL (13.9 mmol / L) kuya ku-300 mg / dL (16.7 mmol / L)
• 300 mg / dL (16.7 mmol / L) noma ngaphezulu
• Izimpawu zikashukela wegazi ophansi lapho uzivocavoca umzimba
• Ukuvivinya okunconyelwe abantu abanesifo sikashukela

Isifo sikashukela sikuthinta kanjani ukuzivocavoca umzimba?

Ukuzivocavoca kunezinzuzo eziningi kubo bonke abantu abanesifo sikashukela.

Uma unesifo sikashukela sohlobo 2, ukuzivocavoca umzimba kusiza ekugcineni isisindo esinempilo futhi kunciphise ubungozi besifo senhliziyo. Kungakhuthaza futhi ukulawula kangcono ushukela wegazi nokugeleza kwegazi.

Abantu abanesifo sikashukela sohlobo 1 nabo bangazuza ngokuvivinya umzimba. Kodwa-ke, uma unalolu hlobo lwesifo sikashukela, kufanele ubheke amazinga kashukela egazini lakho eduze. Lokhu kungenxa yokuthi ukuvivinya umzimba kungaholela ku-hypoglycemia. Uma unesifo sikashukela sohlobo lwe-2 kodwa ungayisebenzisi le mithi, kunengozi ephansi kakhulu kashukela osezingeni eliphansi ngokuzivocavoca umzimba.

Kunoma ikuphi, ukuzivocavoca kunenzuzo inqobo nje uma uthatha izinyathelo ezifanele.

Ngenkathi ungahle ungakhuthazwa ukuzivocavoca umzimba noma ungahle ukhathazeke ngamazinga kashukela egazini lakho, ungapheli amandla. Ungathola uhlelo lokuzivocavoca olukusebenzelayo. Udokotela wakho angakusiza ukhethe imisebenzi efanelekile futhi usethe imigomo kashukela wegazi ukuze uqiniseke ukuthi uzivocavoca umzimba ngokuphepha.

Ukucatshangelwa lapho uzivocavoca umzimba

Uma ungazange usebenzise umzimba isikhathi esithile futhi uhlela ukuqala okuthile okunolaka ngaphezu kohlelo lokuhamba ngezinyawo, khuluma nodokotela wakho. Lokhu kubaluleke kakhulu uma unezinkinga ezingapheli noma uma unesifo sikashukela iminyaka engaphezu kwengu-10.

Udokotela wakho angancoma ukuhlolwa kokucindezeleka kokuzivocavoca umzimba ngaphambi kokuqala uhlelo lokuzivocavoca umzimba uma uneminyaka engaphezu kwengu-40 ubudala. Lokhu kuzoqinisekisa ukuthi inhliziyo yakho isesimweni esikahle sokuzivocavoca umzimba ngokuphepha.

Uma uzivocavoca futhi unesifo sikashukela, kubalulekile ukuthi uzilungiselele. Kufanele njalo ufake isongo lesilumkiso sezokwelapha noma okunye ukuhlonza okwenza abantu bazi ukuthi unesifo sikashukela, ikakhulukazi uma unemithi engadala i-hypoglycemia. Kulokhu, kufanele futhi ube nezinye izinto zokuzivikela ukusiza ukukhulisa ushukela wegazi lakho uma kudingeka. Lezi zinto zifaka:

• ama-carbohydrate asebenza ngokushesha njengama-gel noma izithelo
• amaphilisi eglucose
• iziphuzo zezemidlalo eziqukethe ushukela, njengeGatorade noma iPowerade

Ngenkathi wonke umuntu kufanele aphuze njalo uketshezi oluningi lapho esebenza, abantu abanesifo sikashukela kufanele baqaphele ikakhulukazi ukuthola uketshezi olwanele. Ukwehla kwamanzi emzimbeni ngesikhathi sokuzivocavoca umzimba kungaphazamisa amazinga kashukela egazini. Qaphela ukuphuza okungenani ama-ounces angu-8 wamanzi ngaphambi, ngesikhathi nangemva kokuzivocavoca kwakho ukuze uhlale unamanzi.

Izingozi zokuzivocavoca ngesifo sikashukela

Uma uzivocavoca umzimba, umzimba wakho uqala ukusebenzisa ushukela wegazi njengomthombo wamandla. Umzimba wakho ubuye uzwele kakhulu ku-insulin ohlelweni lwakho. Lokhu kuzuzisa ngokuphelele.

Kodwa-ke, le miphumela emibili ingadala ukuthi ushukela wegazi lakho wehlele emazingeni aphansi uma uthatha imithi ethile efana ne-insulin noma i-sulfonylureas. Ngalesi sizathu, kubalulekile ukuqapha ushukela wegazi lakho ngaphambi nangemva kokuzivocavoca uma uthatha le mithi. Thintana nodokotela wakho ngamazinga kashukela afanele ngaphambi nangemva kokuzivocavoca.

Abanye abantu abanesifo sikashukela kungadingeka bagweme ukuzivocavoca kanzima. Lokhu kuyiqiniso uma unezinhlobo ezithile ze-retinopathy yesifo sikashukela, isifo samehlo, umfutho wegazi ophakeme, noma ukukhathazeka ngezinyawo. Ukuzivocavoca okunzima kungakhuphula ubungozi boshukela ophansi wegazi emahoreni amaningi ngemuva kokuzivocavoca.

Abantu abathatha imishanguzo ebabeka engcupheni kashukela osezingeni eliphansi kufanele baqaphele ukuhlola ushukela wegazi isikhathi eside ngemuva kokuzivocavoca kanzima. Hlala ukhuluma nodokotela wakho mayelana nendlela engcono kakhulu enikezwe ukukhathazeka kwakho kwezempilo okuhlukile.

Ukuzivocavoca ngaphandle kungathinta nempendulo yomzimba wakho. Isibonelo, ukushintshashintsha okukhulu kwezinga lokushisa kungathinta amazinga kashukela egazini lakho.

Yini okufanele uyenze uma ushukela wegazi lakho liphansi kakhulu noma liphezulu ngaphambi kokuba uhlose ukuzivocavoca umzimba? Uma amazinga kashukela ephezulu futhi une-type 1 yesifo sikashukela, ungahlolela ama-ketone futhi ugweme ukuzivocavoca umzimba uma ulungele ama-ketone. Uma amazinga kashukela egazini ephansi, kufanele udle okuthile ngaphambi kokuba uqale ukuzivocavoca umzimba.

Khuluma nodokotela wakho ukuze wakhe uhlelo olukusebenzelayo.

Ukuqapha ushukela wegazi ngaphambi kokuzivocavoca

Kufanele uhlole ushukela wegazi lakho cishe imizuzu engama-30 ngaphambi kokuzivocavoca umzimba ukuze uqinisekise ukuthi uphakathi kwebanga eliphephile. Ngenkathi udokotela wakho engabeka imigomo ngayinye nawe, nazi iziqondiso ezijwayelekile:

Ngaphansi kuka-100 mg / dL (5.6 mmol / L)

Uma usebenzisa imishanguzo ekhulisa amazinga e-insulin emzimbeni, yeka ukuzivocavoca uze udle ukudla okulula okune-carbohydrate. Lokhu kufaka izithelo, uhhafu wesangweji le-turkey, noma ama-crackers. Ungase ufise ukuphinda uhlole ushukela wegazi lakho ngaphambi kokuzivocavoca umzimba ukuze uqiniseke ukuthi usezingeni elifanele.

Phakathi kuka-100 no-250 mg / dL (5.6 kuye ku-13.9 mmol / L)

Lolu hlu lukashukela lwegazi luyamukeleka lapho uqala ukuzivocavoca umzimba.

250 mg / dL (13.9 mmol / L) kuya ku-300 mg / dL (16.7 mmol / L)

Leli zinga likashukela egazini lingakhombisa ukuba khona kwe-ketosis, ngakho-ke qiniseka ukuthi ubheka ama-ketone. Uma bekhona, ungazivocavoci kuze kwehle amazinga kashukela egazini lakho. Lokhu ngokuvamile kuyinkinga yabantu abanesifo sikashukela sohlobo 1.

300 mg / dL (16.7 mmol / L) noma ngaphezulu

Leli zinga le-hyperglycemia lingathuthuka ngokushesha libe yi-ketosis kubantu abanesifo sikashukela sohlobo 1. Lokhu kungabhebhetheka ngokuzivocavoca kubantu abanesifo sikashukela sohlobo 1 abangenayo i-insulin.

Abantu abanesifo sikashukela sohlobo lwe-2 abavamile ukuba nokuntuleka okukhulu kwe-insulin. Azidingi ukuhlehlisa ukuzivocavoca umzimba ngenxa yeglucose ephezulu yegazi, inqobo nje uma zizizwa kahle futhi zikhumbula ukuhlala zinamanzi.

Izimpawu zikashukela wegazi ophansi lapho uzivocavoca umzimba

Ukubona i-hypoglycemia ngesikhathi sokuzivocavoca kungaba nzima. Ngokwemvelo, ukuzivocavoca kubeka ingcindezi emzimbeni wakho ongalingisa ushukela wegazi ophansi. Ungathola nezimpawu ezihlukile, njengokushintsha okubukwayo okungavamile, lapho ushukela wegazi lakho wehla.

Izibonelo zezimpawu ze-hypoglycemia ezibangelwa ukuvivinya umzimba kulabo abanesifo sikashukela zifaka:

• ukucasuka
• ukukhathala okungazelelwe
• ukujuluka ngokweqile
• ukudonsa ezandleni noma olimini lwakho
• ukuthuthumela noma ukuthuthumela izandla

Uma uhlangabezana nalezi zimpawu, hlola ushukela wegazi bese uphumula umzuzwana.Yidla noma uphuze i-carbohydrate esebenza ngokushesha ukusiza ukukhuphula amazinga kashukela egazini lakho.

Ukuvivinya okunconyelwe abantu abanesifo sikashukela

I-American Academy of Family Physicians incoma ukubonisana nodokotela wakho lapho kunqunywa uhlobo lokuzivocavoca okungcono kakhulu kuwe, ngenxa yesimo sakho sempilo jikelele. Indawo enhle yokuqala uhlobo oluthile lokuzivocavoca umzimba okuncane, okuphonsela inselelo amaphaphu akho nenhliziyo ukuwaqinisa. Ezinye izibonelo zifaka ukuhamba, ukudansa, ukugijima, noma ukuthatha isigaba se-aerobics.

Kodwa-ke, uma izinyawo zakho zonakaliswe yi-diabetes neuropathy, ungahle uthande ukucabanga ngokuzivocavoca okukugcina ungekho ezinyaweni zakho. Lokhu kuzovimbela ukulimala noma ukulimala okuningi. Lezi zivivinyo zihlanganisa ukugibela ibhayisikili, ukugwedla, noma ukubhukuda. Ngaso sonke isikhathi gqoka izicathulo ezikahle, ezikulingana kahle ezihambisana namasokisi aphefumulekayo ukugwema ukucasuka.

Okokugcina, ungacabangi ukuthi kufanele ube ngumgijimi we-marathon. Esikhundleni salokho, zama ukuqala ngokuvivinya umzimba ngokunyusa imizuzu emi-5 kuye kwengu-10. Ngemuva kwalokho sebenza kuze kube yimizuzu engama-30 yokuzivocavoca izinsuku eziningi zesonto.