Iziguli eziningi ezinesifo sikashukela sezizwile ngomqondo wokwelashwa “wesifo esimnandi” wokuthi uDkt Bernstein athuthukise umhlahlandlela ophelele wokufaka ushukela wegazi ejwayelekile, konke okuchazwe lochwepheshe kungazinciphisa kakhulu izimpawu zalesi sifo futhi kuenze impilo yomguli ibe ejwayelekile.
Kumele kuqashelwe ukuthi eminyakeni engamashumi amathathu edlule, odokotela babenethemba lokuthi lesi sifo sihambisana nezinkinga ezinkulu okunzima ukuzisusa. Futhi kungemva kokuba ososayensi bekwazile ukufakazela iqiniso lokuthi uma isifo sikashukela sibhekelwa njalo amazinga eglucose egazini, lapho-ke ungayenza impilo yakho ibe ejwayelekile futhi uvikele ukuwohloka okukhulu kwempilo yakho.
Ngokuvamile, isisombululo sabanesifo sikashukela esivela kuDkt Bernstein ukuthi umuntu ngamunye kumele azimele alawule izinga likashukela egazini lakhe, futhi uma kunesidingo athathe izinyathelo eziphuthumayo zokunciphisa lona.
Kumele kuqashelwe ukuthi uchwepheshe osanda kuchazwa uqobo uhlushwa yilesi sifo, ngakho-ke, akekho omunye umuntu, ongakhuluma ngokuthi angasinqoba kanjani lesi sifo nokuthi yini esohlwini lwemithi ebalulekile yalesi sifo.
Kuliqiniso, ukuze unqume ngokuqondile ukuthi iyiphi indlela uDkt Bernstein aphakamisela ukulwa nesifo sikashukela, kubalulekile ukuqonda ukuthi yini ngempela imbangela yalesi sifo nokuthi uboniswa basiphi ngempela.
Lochwepheshe wayenesiqiniseko sokuthi ngalesi sifo umuntu angaphila ngokugcwele, kuyilapho impilo izoba ngcono kakhulu kunalabo abangenankinga noshukela ophezulu nhlobo.
Kwakuyini umfutho wokutholwa?
Njengoba kushiwo ngenhla, uDkt Bernstein uqobo wahlaselwa yilesi sifo. Ngaphezu kwalokho, kwakunzima kuye. Wathatha i-insulin njengomjovo, futhi ngamanani amaningi kakhulu. Futhi lapho kunokuhlaselwa kwe-hypoglycemia, khona-ke wakubekezelela kabi kakhulu, kuze kufinyelele engqondweni yakhe. Kulokhu, ukudla kadokotela bekubandakanya ama-carbohydrate kuphela.
Okunye okwakukhona ngesimo sesiguli ukuthi ngesikhathi imuncwa isimo sayo sempilo, okuthe uma kwenzeka ukuhlaselwa, waziphatha kabi, okwabacasula kakhulu abazali bakhe, ngabe sengivuna nezingane zabo.
Kwenye indawo eneminyaka engamashumi amabili nanhlanu, wayesenesifo sohlobo lwe-1 yesifo sikashukela esiqinile kanye nezimpawu eziyinkimbinkimbi zesifo.
Icala lokuqala lokwelashwa kukadokotela lele ngokungazelelwe. Njengoba wazi, wasebenzela inkampani eyayenza imishini yezokwelapha. Le mishini yenzelwe ukuthola ukuthi yini imbangela yokuwohloka komuntu onenkinga yesifo sikashukela. Kuyacaca ukuthi ngesifo sikashukela, isiguli singalahlekelwa nawukhumbula uma impilo yayo isiwohloka kakhulu. Besebenzisa le mishini, odokotela bakwazi ukubona ukuthi yini ebangele ukonakala kwenhlala-utshwala noma ushukela omningi kakhulu.
Ekuqaleni, le divayisi yayisetshenziswa kuphela odokotela ukuze kutholakale izinga likashukela esigulini esithile. Futhi lapho uBernstein embona, wafuna masinyane ukuthola ithuluzi elifanayo elizosetshenziswa yena.
Kuliqiniso, ngalesosikhathi ayengekho imitha yeglugose yasekhaya, le divayisi kwakufanele isetshenziswe kuphela ezimweni eziphuthumayo, lapho ihlinzeka ngosizo lokuqala.
Kepha noma kunjalo, le divayisi bekuyimpumelelo kwezokwelapha.
Izici ze-glucometer yokuqala
I-apparatus, eyaqala ukusetshenziswa nguRichard Bernstein, isisindo esingaba khilogremu elilodwa nohhafu futhi ihlaziya okufundwayo kususelwa kumchamo wesiguli. Beyiphakeme impela futhi nezindleko zayo, ifinyelela kuma-dollar angama-600.
Ngemuva kokufunda incwajana yedivaysi, wakwazi ukwenza isiqiniseko sokuthi ikwazi ukubona ukuthi kukhona i-hypoglycemia lapho isencane, ngakho-ke uyakwazi ukuphatha ukuvikela ukuphazamiseka kwengqondo noma okunye ukonakala enhlalakahleni.
Vele, uBernstein uphinde wathenga leyunithi, udokotela waqala ukukala izinga likashukela egazini lakhe cishe amahlandla ayisihlanu ngosuku.
Ngenxa yalokhu, wakwazi ukuqinisekisa ukuthi ushukela emzimbeni wakhe uguqula amapharamitha awo ngesilinganiso esiphakeme kakhulu. Isibonelo, ngesilinganiso esisodwa, izinga likashukela lingahle libe ngu-2.2 mmol / L kuphela, futhi ngokuzayo ligxuma laya kuma-22, ngenkathi isikhathi phakathi kwezilinganiso singaphezu kwamahora ambalwa.
Ukugxuma okunjalo ngamazinga kashukela kuholele emiphumeleni elandelayo emzimbeni:
- ukwanda kwenhlala-kahle;
- ukubukeka kokukhathala okungapheli;
- ukuphazamiseka ngokwengqondo nangokomzwelo komzimba.
Ngemuva kokuthi uBernstein athole ithuba lokukala ushukela njalo, waqala ukujova i-insulin kabili ngosuku, futhi ngaphambi kwalokho wanikezwa umjovo kanye kuphela. Le ndlela iholele ekutheni izinkomba ze-glucose ziqale ukuzinza. Ngemuva kwalokho kwacaca ukuthi yonke imiphumela yesifo sikashukela ayiqhubeki ngokushesha njengakuqala, kepha impilo yabo yaba mbi. Ngaleso sizathu sokugcina kwaba umfutho wokuqhubeka kokufunda ngezimpawu zalesi sifo.
Usosayensi uthathe isinqumo sokubonisana nochwepheshe abaziwayo futhi akakwazi ukuthola, kanti ukuzivocavoca umzimba okuthile kunomthelela omuhle enqubweni yesifo sikashukela.
Akaze ayithole impendulo eqinisekisayo, kepha wakwazi ukuthola esinye isiqiniseko sokuthi uma ulihlola njalo izinga likashukela egazini, ungagwema imiphumela emibi eminingana yesifo.
Udokotela wafinyelela siphi isiphetho?
Kuyiqiniso, ukutholwa kukaDkt Bernstein kungasiza ukuqonda ukuthi ukukala ushukela okusobala nokujwayelekile kungasiza ukugwema ukuwohloka kwangempela enhlalakahleni. Wenza izivivinyo zakhe yedwa kuyena, elinganisa ushukela kuze kube kasishiyagalombili ngosuku, wabona ukuthi angakwazi ukulawula ukugula kwakhe.
Lokhu bekungeke kutholakale ngaphandle kwensiza inkampani ebisebenza kuyo ebiyisungule.
Kubalulekile ukuqaphela ukuthi udokotela akazange athathe nje kuphela izilinganiso, wayiguqula indlela yakhe yokwelashwa, ngenxa yalokho wakwazi ukuphetha ngokuthi ukudla okuthile noma ukuncipha, futhi kwezinye izimo ukwanda kokuqina kwemijovo ye-insulin, kuwuthinta kahle umzimba.
Isiphetho besimi kanjena:
- Igramu eyodwa yama-carbohydrate adliwayo inyusa amazinga kashukela ngo-0.28 mmol / L.
- Ukufaka iyunithi elilodwa le-insulin kwehlisa le nkomba ngo-0.83 mmol / L.
Konke lokhu kuhlola kuholele ekutheni ngemuva konyaka akwazi ukwenza isiqiniseko sokuthi phakathi nosuku ushukela esegazini lakhe uhlala phakathi kwemikhawulo ejwayelekile futhi uzinzile.
Le ndlela isize udokotela ukuba anqobe zonke izimpawu ezingezinhle ezikhona kushukela.
Udokotela wezwa lezi zinguquko ezilandelayo:
- ukukhathala okungapheli kudlulile;
- amazinga e-cholesterol awile;
- ukuphazamiseka kwemizwelo kushabalele;
- ubungozi bokuthola izifo zenhliziyo nezinye izifo ezingamahlalakhona kwehlile.
Uma uzijwayela ngencwadi eyabhalwa ngudokotela le ngokuningiliziwe, kuba sobala ukuthi lapho eseneminyaka engu-74 impilo yakhe ibingcono kakhulu kunangaphambili njengoba eqale ukwenza lezi zifundo futhi eshintsha indlela yokwelashwa.
Futhi ungcono kakhulu kunontanga yakhe, abangahlushwa yilesi sifo nakancane.
Ungawulawula kanjani ushukela wakho?
Kuyacaca ukuthi ngemuva kwalezi zivivinyo ezingenhla zinikeze umphumela omuhle, uBernstein wanquma ukuhambisa lolu lwazi kwabanye abantu.
Ubhale izindatshana nezincwadi eziningi, kepha umphakathi wezwe awuzange uwuthathe kahle lolu lwazi. Isizathu salokhu iqiniso lokuthi uma uhlola njalo ushukela ngemitha kashukela wekhaya, ungaphila nesifo sikashukela ngaphandle kwehhovisi likadokotela laphakade. Ngokufanelekile, odokotela abalamukelanga kakhulu lolu lwazi.
Wonke umuntu uyazi ukuthi ukudla okune-carb ongaphakeme kungasiza kakhulu ekwelashweni kwesifo sikashukela, kodwa odokotela abavela emhlabeni wonke abasheshi ukwamukela ngokusemthethweni lokhu kwelashwa kwalesi sifo. Kwenzeka into efanayo nangokutholwa, okuchazwe ngenhla.
Kodwa ngisho noDkt Bernstein wafika esiphethweni sokuthi uma uhlola njalo ushukela wegazi futhi udla ngokwendlela yokudla ekhethekile nenani eliphansi lama-carbohydrate, ungakugwema ukuvela okungazelelwe kushukela. Ngakho-ke, awunakukhathazeka ngokuvela kwemiphumela eyinkimbinkimbi yokuqhubeka kwesifo futhi uphile nokuxilongwa okunjalo.
Ngaphambi kokuba imitha kashukela wegazi ekhaya iqale ukusetshenziswa kahle, kwadlula iminyaka ethile. Abaphenyi benze uchungechunge olusemthethweni lokuhlaziya, futhi ngemuva kwalapho sebethole esiphethweni sokuthi ukutholakala okuchazwe ngenhla kuyasiza ngempela ukunqoba imiphumela eyinkimbinkimbi yesifo “sikashukela”.
Iyiphi inqubo kaDkt Bernstein?
Ngemuva kokuthi uDkt Bernshtay esebonile ukuthi ngeke akwazi ukuthola ukwamukelwa kwendlela yakhe yokusebenza, wanquma ukufundela njengodokotela uqobo futhi wafakazela umhlaba ukuthi isifo sikashukela siyelapheka futhi, ngakolunye uhlangothi, ungaphila nalesi sifo.
Ngemuva kwalokho waqhubeka nocwaningo lwakhe, ngenxa yalokho okwaziwa ukuthi lapho kukhona uhlobo lwe-1 mellitus yesifo sikashukela, kwakungadingekile ukwandisa inani lamafutha okudla adliwayo ukuze athole isisindo. Kepha i-block ilusizo kakhulu kuleli cala, noma kunjalo, kuzodingeka futhi ikhulise ukusetshenziswa kwe-insulin.
Ukufakazile ukuthi noma yisiphi isiguli esithembela i-insulin singazidla ngokuphephile amafutha, aqukethe ekudleni okungenama-carbohydrate amaningi futhi asidingi ukuthatha noma yiluphi uhlobo lwamafutha. Kepha uwoyela wezinhlanzi ushukela uzoba wusizo kakhulu.
Kubalulekile futhi ukuqaphela ukuthi ukudla kufanele kufakwe isidlo noma ukubilisiwe, kungcono ukukhipha ukudla okuthosiwe ekudleni kwakho.
Ukuthola isiphetho kuyo yonke imininingwane engenhla, kuyacaca ukuthi ngesifo sikashukela sohlobo lokuqala noma lwesibili, kubalulekile kakhulu ukubheka njalo ushukela egazini lakho, kanye nokudla ngakwesokudla.
Namuhla, udokotela we-endocrinologist uhlala enquma ukuthi isiguli sakhe sidla ini ngokukhethekile. Kuliqiniso, ukudla okune-carb engakaqashelwa odokotela, kepha sesivele sazi ngokuqinisekile ukuthi awukwazi ukudla ukudla okuthosiwe, okunamafutha kakhulu.
Kubalulekile ukuqaphela ukuthi namuhla odokotela nabo bacabanga ukuthi isiguli singazishintsha ngokuzimele isibalo samayunithi e-insulin ayithathayo.
Vele, lokhu kungenzeka kuphela uma ulinganisa kahle isilinganiso sikashukela egazini lakho futhi uqonda ukuthi sashintsha kanjani ngemuva kokudla noma, ngakolunye uhlangothi, esiswini esingenalutho.
Izeluleko ezibalulekile zokukhetha nokusebenzisa imitha kashukela egazini nokudla
Njengoba sesijwayelene nolwazi oluchazwe ngenhla, kuyacaca ukuthi namuhla kunezindlela eziningi zokuzwa ukuthi unesifo sikashukela futhi ungazizwa unemiphumela emibi yesifo.
Isinyathelo sokuqala ukunakekela ukuthenga ithuluzi elikhethekile elibizwa nge-glucometer.
Ngaphambi kokuthenga le divayisi, kufanele uthintane nodokotela wakho. Uzokwazisa idivaysi efanele kakhulu isiguli esithile kususelwa kuhlobo lwesifo sikashukela ahlangabezana nalo, kanye nobudala bakhe nezinye izici. Futhi, udokotela uzokutshela ukuthi usebenzise imitha kanjani.
Kubalulekile ukufunda ukuthi ungayisebenzisa kanjani le mitha, ukukala kangaki. Kubalulekile futhi ukuthi uqiniseke ukuthi ekhaya kuhlala kunenamba eyanele yemichilo yokuhlola nezinye izinto ezidliwayo.
Kubalulekile ukuqonda ukuthi kufanele wenzeni uma izinga likashukela likhuphuke kakhulu noma, ngakolunye uhlangothi, lehle kakhulu. Kulokhu, udokotela uchaza ukuthi yiliphi i-insulin elilungele kakhulu esigulini esithile esimweni esithile.
Ngokuqondene nokudla, lapha kuze kube manje odokotela abakukhuthazi ukushintshela kuphela ekudleni okune-carb ephansi, bacebisa nje ukuthi banciphise ukudla okungenamafutha nokudla okuthosiwe.
Kodwa-ke, ukubuyekezwa okuningi okuhle okushiywe yiziguli ezahlukahlukene kusikisela ukuthi ukusetshenziswa kokudla okune-carb encane kungasiza ekuxazululeni izinkinga ezinoshukela omningi futhi kubuyisele impilo yesiguli.
UDkt Bernstein uzokhuluma ngamazinga ajwayelekile kashukela wegazi kuvidiyo ekulesi sihloko.
