Abantu abanesifo sikashukela baphoqelelwa ukuthi bahlole njalo impilo yabo, ngoba ukugcwala koshukela egazini kungashintsha nganoma yisiphi isikhathi. Imiphumela ye-hypoglycemia kwesinye isikhathi ayinakuguqulwa, isongele ukoma futhi nokufa komtholampilo.
Uma eminyakeni eyi-10 edlule bekufanele ukuya emtholampilo ukuyothola ushukela wegazi, manje yonke into ilula kakhulu, ungathola lesi sikhombisi ekhaya.
Izindlela zokuzimisela zihlukahlukene, isiguli singazikhethela inketho enhle kakhulu.
Ama-Tester Strips
Ithuluzi elilula kakhulu lokuthola ushukela wegazi imichilo ekhethekile yokuhlola, esetshenziswa cishe yizo zonke iziguli ezinesifo sikashukela. Imichilo yamaphepha ihlanganiswa ngaphambili ngamakhemikhali akhethekile; uma uketshezi lungena, lungashintsha umbala. Lapho ushukela wegazi uphakanyisiwe, onesifo sikashukela ufunda ngalokhu ngombala womucu.
Imvamisa, ushukela osheshayo kumele uhlale uphakathi kuka-3.3 no-5.5 mmol / litre. Ngemuva kokudla, ushukela ukhuphukela ku-9 noma 10 mmol / ilitha. Ngemuva kwesikhathi esithile, izinga le-glycemia libuyele kwangempela.
Sebenzisa imichilo yokuhlola kulula ngokwanele, ngoba lokhu udinga ukulandela imiyalo elula. Ngaphambi kokuhlaziywa, bahlanza izandla zabo ngensipho, bazisule zomile, bazifudumele, ungazithinta bese uthi:
- itafula limbozwe ngethawula lephepha elihlanzekile, i-gauze;
- gqugquzela isandla (ukuhlikihla, ukuxhawula) ukuze igazi liphume kangcono;
- siphathwe nge-antiseptic.
Umunwe kufanele ugwazwe ngenaliti ye-insulin noma ngesikhafu, wehlise isandla sakho phansi, ulinde ukuthi kubonakale amaconsi okuqala egazi. Ngemuva kwalokho, imichilo ithintwa ngomunwe, lokhu kwenziwa ukuze igazi ligubungele ngokuphelele le ndawo nge-reagent. Ngemuva kwenqubo, umunwe wesulwa ngokotini, ngebhandeshi.
Ungahlola umphumela ngemuva kwemizuzwana engama-30-60 ngemuva kokufaka igazi kwi-reagent. Imininingwane eqondile mayelana nalokhu kumele itholakale emiyalweni yokusebenzisa imichilo yokuhlola.
Iqoqo lokuzinquma ushukela wegazi kufanele lifake esikalini sombala, ngalo ungaqhathanisa umphumela. Yehlisa izinga likashukela, igqame umbala webala. Umhlobiso ngamunye unenombolo ethile lapho umphumela uthathile noma yisiphi isikhundla esiphakathi:
- kunezinombolo eziseduze nazo;
- bese unquma ukuthi kusho ukuthini izibalo.
Ukuthola ushukela wegazi nasekhaya kufanele kube yingxenye yempilo uma umuntu enezinkinga ze-glucose.
Ukuba khona kwe-glucose kumchamo
Cishe ngesisekelo esifanayo, kanye nemichilo yokuhlolwa kwegazi, abahloli basebenza ukuthola ukuthi kukhona ushukela kumchamo. Kunganqunywa ukuthi izinga elisegazini lidlula i-10 mmol / lit, lesi simo sibizwa ngokuthi umbundu we-renal.
Lapho ushukela wegazi ukhuphuka isikhathi eside, uhlelo lomchamo alukwazi ukubhekana nalo, umzimba uqala ukulukhipha ngomchamo. Ushukela omningi ku-plasma yegazi, kukhulu ukugxilisaka kwalo umchamo. Ukucwaninga ekhaya kungenziwa izikhathi ezi-2 ngosuku:
- ekuseni ngemuva kokuvuka;
- 2 amahora emva kokudla.
Ngokuthola ushukela wegazi, imichilo yokuhlola ayikwazi ukusetshenziselwa iziguli ezinesifo sikashukela sohlobo loku-1, iziguli ezineminyaka yobudala engama-50. Isizathu ukuthi njengoba iminyaka yobudala bomzimba, umkhawulo wezinso ukhuphuka, ushukela kumchamo kungenzeka ungahlali uvela.
Imicu ye-reagent kumele ifakwe ngaphansi noma ihliselwe esitsheni esinomchamo. Lapho kunoketshezi oluningi, kuboniswa ukulinda kancane ukuze kube yingilazi. Kwenqatshelwe ngokuqinile ukuthinta umhloli ngezandla noma ukusula nganoma yini.
Ngemuva kwemizuzu emi-2, kuhlolwa kwenziwa ngokuqhathanisa umphumela okhonjisiwe nesikali sombala.
Ukusetshenziswa kwama-glucometer nezindlela ezihlukile, i-GlucoWatch
Idatha enembile kunazo zonke kushukela wegazi ingatholakala kusetshenziswa idivaysi ekhethekile yeziguli ezinesifo sikashukela - i-glucometer. Ukunquma izinga ushukela usebenzisa idivaysi enjalo kungenzeka ekhaya. Ukuze wenze lokhu, kugwazwa umunwe, kudonswa ithonsi legazi kumhloli, bese kuthi okokugcina kufakwe ku-glucometer.
Imvamisa, amadivaysi anjalo anikeza umphumela ngemuva kwemizuzwana eyi-15, amanye amamodeli wesimanje angagcina imininingwane mayelana nezifundo ezedlule. Kunezinketho eziningi zama-glucometer, angabiza noma amamodeli wesabelomali atholakale ezigulini eziningi.
Amanye amamodeli amadivayisi ayakwazi ukudlulisa imiphumela yokuhlaziywa, akha amagrafu wezinguquko emazingeni kashukela wegazi, anqume inani elisho ukubalwa.
Kungenzeka ukwenza isampula yegazi hhayi kuphela kusuka emunweni, amadivayisi wesimanje kakhulu enza ukuthi kwenzeke ukuhlaziya kusuka ku:
- ingalo
- ehlombe
- okhalweni
- isisekelo sesithupha.
Kuyadingeka ukuthi unake ukuthi izithombana zeminwe ziphenduka kangcono kulo lonke ushintsho, ngenxa yalesi sizathu, le etholwe kuleli sayithi izoba ngumphumela onembe kakhudlwana. Awukwazi ukuthembela kudatha yokuhlaziya evela emunweni kuphela uma kukhona isibonakaliso se-hyperglycemia, izinga le-glucose lishintsha ngokushesha okukhulu. Ushukela wegazi nge-glucometer kufanele ulinganiswe nsuku zonke.
Enye yamadivayisi wesimanje ekunqumeni amazinga kashukela egazini yithuluzi elisebenzayo leGlucoWatch. Ngokubukeka, kufana newashi, kufanele igqoke njalo esandleni. Amazinga kashukela wegazi alinganiswa njalo emahoreni ama-3, nomuntu onesifo sikashukela engenzi lutho. Imitha yeglucose ilinganisa ushukela ngokulingene ngokwanele.
Idivayisi ngokwayo isebenzisa amandla kagesi:
- kuthatha isilinganiso esincane soketshezi esikhunjeni;
- isebenza ngokuzenzakalelayo imininingwane.
Ukusetshenziswa kwale divayisi akukubangeli buhlungu umuntu, noma kunjalo, odokotela abazikhuthazi ngokuphelele ukulahla ukuhlolwa kwegazi kusuka emunweni, bathembele kuphela kuGlucoWatch.
Ungathola kanjani nge-glycemia ngezimpawu
Ungafunga ukuthi ushukela wegazi ophakeme unezimpawu ezithile okudingeka wazi ngazo. Izimpawu zibonisa isifo sikashukela sohlobo lokuqala nolwesibili:
- ukulahleka okubukhali, inzuzo yesisindo;
- Izinkinga zokubuka;
- imisebe yemisipha yamathole;
- isikhumba esomile;
- ukulunywa kwesitho sangasese sangaphandle;
- ukoma okungafani nhlobo nesizinda sokuchama okwandayo.
Uhlobo lokuqala lwesifo sikashukela lungaphakanyiswa yizimpawu ezengeziwe, kungaba ukuhlanza, umuzwa ongapheli wendlala, ukungaxineki ngokweqile, ukukhathala okungapheli. Izingane ezinokuxilongwa okufanayo zivele zivele zichame zichame ngaphansi kwazo embhedeni, futhi ekuqaleni zazingabanga nazinkinga ezinjalo.
Ebukhonweni besifo sikashukela sohlobo 2, ushukela okhuphukayo uboniswa ukubindeka kwamaphethelo aphansi, ukozela, izifo zesikhumba, namanxeba aphola isikhathi eside kakhulu. Ukuxineka kwamazinyo esifo sikashukela kungenzeka ngisho nasephusheni.
Kukhona futhi okubizwa ngokuthi yi-prediabetes state lapho izinga likashukela egazini likhuphuka ngokungenasidingo. Ngalesi sikhathi, isifo sikashukela sasingakakhuli, kodwa izibonakaliso ezithile zaso zase ziqale ukuvela. Kulokhu, umuntu kufanele anake impilo yakhe, enze isivivinyo esinquma izinga le-glycemia.
Isifo sikashukela sihlala iminyaka eminingi, bese kuba yiyona ndlela eyingozi kakhulu yesifo sikashukela - eyokuqala.
Yini enye okudingeka uyazi
Abantu abanesifo sikashukela kumele bathathe isilinganiso soshukela wegazi njalo ngemuva kokulala nakusihlwa. Abantu abathembele kwe-insulin kufanele baqaphele ikakhulukazi mayelana nezilinganiso zanshukela nsuku zonke, kukhona isincomo esifanayo kulabo abathatha izidakamizwa ze-sulfonylurea isikhathi eside.
Ngokuqondile mayelana nokuthi ungawuthola kanjani ushukela, udokotela uzotshela. Kuyiphutha elikhulu ukungazinaki izilinganiso zikashukela wegazi; ekubonakalisweni kokuqala kwe-hypoglycemia, musa ukufuna usizo lodokotela.
Akuyona imfihlo ukuthi ukugxila kwe-glucose kungakhuphuka kakhulu, ngakho-ke lokhu akunakuvunyelwa. Ikakhulu ikakhulukazi ushukela ukhuphuka ngemuva kokudla:
- okumnandi;
- ikhalori ephezulu.
Umsebenzi ongasebenzi, wokuhlala phansi uyakwazi ukukhuphula ushukela, kuyilapho ubuhlakani, kunalokho, kwehlisa ushukela.
Ezinye izinto ezithinta kakhulu izinga le-glycemia kufanele kubizwe ngokuthi isimo sezulu, iminyaka yesiguli, ukuba khona kwezifo ezithathelwanayo, amazinyo anezifo, ukusetshenziswa kwezidakamizwa ezithile, izimo ezicindezelayo, imvamisa yazo, ukulala nokuphaphama.
Njengomthetho, amaconsi kashukela kungenzeka kumuntu ophile ngokuphelele, kepha kulokhu akukho miphumela yempilo. Isifo sikashukela, lezi zinto zizobangela izinkinga ezinkulu, ngakho-ke kufanele ufunde ukuthi unganquma kanjani ushukela wegazi ekhaya. Ngaphandle kwalokho, isiguli sizibeka engozini yokulimaza impilo yaso. Ividiyo ekulesi sihloko izokhombisa ukuthi ungalinganisa kanjani ushukela wegazi.
