Namuhla, abantu abaningi basebenzisa izinto zokuhamba zomuntu siqu ukuhamba ngokushesha nangokushesha baye emsebenzini, ngaphandle kwedolobha, emvelweni noma kwenye indawo. Kulokhu, abanye abantu banombuzo wokuthi kungenzeka yini ukuthola ilayisense lokushayela isifo sikashukela nokuthi imoto ivunyelwe nalesi sifo.
Akuyona imfihlo ukuthi amanye amazwe athuthukile afaka i-mellitus yesifo sikashukela enanini lezifo ezinkulu lapho kwenqatshelwe ukushayela izimoto zawo eyedwa. Lokhu kungenxa yokuthi lesi sifo esingathi sína sibekwa ebubini nasengozini kanye nesifo senhliziyo, isithuthwane nezinye izifo ezishubile.
Emthethweni waseRussia, ukushayela imoto ngesifo sikashukela kuvunyelwe, kepha ngaphambi kwalokho, isiguli sihlolwa ngokuphelele yi-endocrinologist, futhi udokotela ekugcineni unquma ukuthi lowo onesifo sikashukela unelungelo lokushayela imoto yini.
Ikhomishini Yezokwelapha
Isazi se-endocrinologist singanquma ukuthi iyayithola yini imvume yokushayela yohlobo 1 nohlobo 2 sikashukela. Naphezu kweqiniso lokuthi uhlobo lwesibili lwesifo lubhekwa njengento elula, isiguli singancishwa nelungelo lokushayela imoto.
Ukuthola ilayisense yokushayela sikashukela, kufanele ubhaliswe nodokotela oyi-endocrinologist. Lo dokotela unomlando ophelele wesifundo saleso sifo, ngakho-ke, angakwazi ukubheka izici zomzimba womuntu ogulayo futhi azi ukuthi kukhula i-pathology engakanani.
Ama-diabetes azobhekelwa ukuthi ayovivinywa ngokuyisipesheli kanye nezinye izivivinyo, futhi ngesisekelo sedatha etholakele, kuzonikezwa isiphetho sokuthi umuntu uyakwazi yini ukushayela imoto ngokuphepha yena nabanye.
- Esikhathini sokuqokwa, i-endocrinologist izothola ukuthi ngabe kukhona izikhalazo ngesimo sempilo. Imvamisa, lapho kufika umuntu onesifo sikashukela ukuthola imvume yokushayela, akakhonondi nganoma yini. Kodwa-ke, kulesi sigaba, ukuhlolwa akupheli.
- Udokotela uhlola ngokuphelele isiguli, ephawula emaphepheni amarekhodi wezokwelapha wonke ama-pathologies akhonjwe futhi ayaziwa ngaphambili. Uma kwenzeka kuba nezinkinga zesifo sikashukela, ukwephula umthetho okutholakele kubuye kubhalwe ekhadini.
- Ngokusekelwe kuyo yonke imininingwane etholakele, ubukhulu besifo bunqunywa. Udokotela ubheka ukuthi umuntu ugule isikhathi esingakanani, ukuthi selashwa kangakanani, noma ngabe kukhona izinkinga nokuthi uqale nini ukuvela.
- Njengomphumela wokuhlolwa kwesiguli, ukutadisha izivivinyo zaselebhu kanye nezifundo, ukubuka idatha yerekhodi lezokwelapha, imvamisa yokwanda kwenqunywa. Ngokulandelayo, udokotela uphetha ngesimo sempilo sesiguli nokuthi angayishayela imoto ngokuzimela.
Ukuthola isithombe esiphelele sesimo sesiguli namuhla, zonke izivivinyo ezidingekayo zibekelwa onesifo sikashukela. Uma kunesidingo, isiguli senza i-cardiogram, i-ultrasound yamanyikwe kanye ne-thyroid gland, kanye nezinye izifundo ezibalulekayo. Ngemuva kokuthola imiphumela yokuhlolwa, i-endocrinologist ingena ngokufanele kwisitifiketi sezokwelashwa.
Isitifiketi esitholiwe, kanye neminye imibhalo yezokwelapha, onesifo sikashukela kuzofanela asethule emaphoyiseni omgwaqo. Lapha, umhloli obhekele ukukhipha ilayisense lokushayela ekugcineni uxazulula inkinga yokuvumela umuntu ukushayela imoto.
Kulokhu, kunengqondo ukuqonda ukuthi ukukhohlisa udokotela futhi ufihle noma yiziphi izimpawu ezinkulu. Ukuthinta kabi isimo sezempilo, akunakwenzeka. Kubalulekile ukuba abanesifo sikashukela bazi ukuthi ukushayela imoto yomuntu ngenkathi uzizwa ungasasebenzi kungaba yingozi enkulu hhayi kumuntu uqobo, kodwa kubo bonke abantu abaseduze naye.
Kuyadingeka ukukhombisa ukwethembana nodokotela kanye nabamele amaphoyisa omgwaqo, futhi futhi ukuze ungazikhohlisi.
Uma kwenzeka ungaboni kahle, ukusabela okuvinjelwe kanye neminye imiphumela emibi yesifo sikashukela, kungcono ukuyeka ukushayela.
Imikhawulo Yomshayeli WeSifo Sikashukela
Abanye abantu bakholelwa ukuthi abanesifo sikashukela nganoma yisiphi isimo abayiniki ilayisense yokushayela, kepha lesi akusona isitatimende seqiniso. Iningi labanesifo sikashukela banelungelo lokushayela imoto lapho bethola imvume edingekayo evela kumakhulu eziphathimandla zezokwelapha nabamele amaphoyisa omgwaqo.
Kodwa-ke, umthetho ubeka izimfuno ezikhethekile kubantu abatholakala benesifo sikashukela. Ikakhulu, umuntu onesifo sikashukela unethuba lokuthola ilayisense lokushayela kuphela isigaba isigaba B. Lokho wukuthi, angashayela kuphela izimoto, ngenxa yezithuthuthu, amaloli nezimoto nge-trailer, ilungelo lokushayela alinikeziwe.
Futhi, abantu abatholakala benesifo sikashukela banelungelo lokushayela imoto enesisindo esingeqile kuma-3500 kg. Uma imoto inezitulo ezingaphezu kwesishiyagalombili, imoto enjalo ayimfanele onesifo sikashukela; umthetho wenqabela ukushayela ngezimoto ezinjalo.
- Kunoma ikuphi, lapho unikeza imvume, isimo sempilo esijwayelekile sesiguli siyabhekwa. Odokotela abakhombisi esitifiketini sezokwelapha imvamisa yokuhlaselwa kwe-hypoglycemia kanye nezinga lokuncika kwe-insulin, kepha idokhumenti libonisa imininingwane eqondile yokuthi ukushayela kuyingozi kangakanani kumuntu.
- Ikakhulu, amaphoyisa omgwaqo anikezela ngemininingwane yobunzima benkambo yalesi sifo, kukangaki umuntu onesifo sikashukela elahlekelwa ukuqaphela ngaphandle kwesizathu, kungakanani umsebenzi wokubuka oncishisiwe.
- Ilayisense yokushayela inikezwa iminyaka emithathu sikashukela. Ngemuva kwalokho, umuntu udinga ukuphinda futhi enze ikhomishini yezokwelapha futhi aqinisekise isimo sempilo yakhe.
Uhlelo olunjalo luvumela ukubona ukuthuthukiswa kwezinkinga ngesikhathi futhi kuvikele imiphumela emibi.
Ungaziphatha kanjani ngenkathi ushayela nesifo sikashukela
Uma impilo ivumela, onesifo sikashukela uthola imibhalo yelungelo lokusebenzisa imoto. Ukugwema ukweqisa okungalindelekile endleleni, ngokuxilongwa okufanayo kubalulekile ukulandela imithetho ethile futhi uziphathe ngendlela ethile.
Ukudla okuphakamisa ushukela kufanele kuhlale kumshini. Ukudla okunjalo kungadingeka uma i-hypoglycemia yenzeka ku-mellitus yesifo sikashukela, okungukuthi, lapho amazinga eglucose egazi ehla kakhulu. Uma njengamanje akukho lutho olumnandi ezandleni, umuntu ulahlekelwa ukuqaphela, okubuye kube imbangela yengozi kumgwaqo omkhulu.
Lapho uhamba ohambweni olude, udinga ukunakekela imikhiqizo enokuqukethwe okunoshukela omningi, ukulethwa kwe-insulin, izidakamizwa ezinciphisa ushukela kanye nezinsizakalo zokwazisa umuthi emzimbeni. Lapho usohambweni, kubalulekile ukuthi ungakhohlwa ukubuka irejimeni ekhethekile yokudlela; kudingeka njalo uthathe izilinganiso zamazinga kashukela egazini usebenzisa i-glucometer ephathekayo.
- Uma unezinkinga zokubuka, abanesifo sikashukela kufanele basebenzise izingilazi noma ama-lens othintana nawo. Ngokuhlaselwa ngokushesha kwe-hypoglycemia osheshayo nokungabonakali, kufanele uyeke ukushayela.
- Ukuhlolwa kwegazi ngoshukela kufanele kwenziwe njalo ngehora lapho umuntu eshayela. Uma ushukela wehla ngaphansi kwe-5 mmol / ilitha, ukungena emotweni kuyingozi kakhulu.
- Ngaphambi kokuthi uhambe ohambweni, kufanele ube nokudla okungajwayelekile ukuze ungazizwa ulambile. Usuku olwandulela ungakwazi ukufaka umthamo owedlulele we-insulin, kungcono uma umthamo uthathwa kancane.
- Uma usanda kutholakala ukuthi unesifo sikashukela noma isifo sikashukela sesiguqukele kuhlobo olusha lwe-insulin, kufanele uyeke ukushayela isikhashana. Njengomthetho, ukuzivumelanisa nomzimba kwenzeka kungakapheli izinyanga eziyisithupha, emva kwalokho ungaqhubeka nokushayela.
Lapho uzwa sengathi sekusondele ukuhlaselwa kwe-hypoglycemia noma i-hyperglycemia, kufanele umise imoto ukhanyise isiginali yokumisa eziphuthumayo. Ngemuva kwalokho, zonke izinyathelo ezidingekayo zithathwa ukuqeda ukuhlaselwa.
Umuntu onesifo sikashukela njengamanje unelungelo lokudonsela phezulu eceleni komgwaqo noma kwepaki. Ukulungisa lesi simo, umuntu uthatha i-carbohydrate esheshayo emthanjeni ojwayelekile ukuze ubuyisele i-glycemia.
Ngaphezu kwalokho, kubalulekile ukwenza isiqiniseko sokuthi ukuhlaselwa sekudlulile nokubheka izinkomba zikashukela kusetshenziswa imitha yeglucose yanoma yiluphi uhlobo. Uma kunesidingo, phatha ama-carbohydrate ahamba kancane. Ungaqhubeka nokuhamba kuphela uma onesifo sikashukela ethembile empilweni yakhe.
Ividiyo ekule ndatshana ikhuluma ngemithetho yokuphasa izivivinyo selayisense lokushayela.
