Igama lami nginguHelen Queen. Nginoshukela onesifo esingaphezu kweminyaka engama-20. Ngomjovo wokuqala we-insulin, impilo yami idinga ushintsho olukhulu. Kwakudingeka ukudala iqiniso elisha, kufaka phakathi isidingo sokunciphisa umzimba.
Abantu abanesifo sikashukela abakwazi ukulandela ngokungacabangi izinhlelo ezihlongozwayo nokudla ukuze benze isisindo sibe ngokwejwayelekile. Noma iziphi izinguquko empilweni okufanele sizithathe ngokuqapha.
Isifo sikashukela i-mellitus senza umnikazi waso abe udokotela kuye futhi ahlele impilo yakhe ngokubonisana nochwepheshe. Ngifuna ukuxoxa ngendaba yami yokwehla kwesisindo nokugcina isisindo.
Eminyakeni engu-28, ngatholakala nginesifo sikashukela sohlobo lwe-I. Ngobude obungu-167 cm nesisindo esingama-57 kg ngesikhathi sokuntuleka kwe-insulin (kuze kube yilapho ukwelashwa kuqalile), ngaphelelwa ngama-47 kg. Ngemuva kokuqala kokulawulwa kwe-insulin, ngaqala ukukhuluphala kakhulu. Ngenyanga e-1 ngithole ngo-20 kg! Ngemuva kokuba ngilulame lapho ngishaqeka ngemuva kokuzwa ukuxilongwa, nganquma ukubuyisa isisindo esijwayelekile. Odokotela bathe kuzoba nzima, kepha kungenzeka. Futhi ngaqala ukwenza indlela yokuncipha kwesisindo kuma-insulin, ngixoxa nodokotela wobugqila zonke izinketho ezingaba khona.
Isisekelo sokunciphisa umzimba
Ngemuva kokuqonda izidingo zojovo kanye nohlelo lokudla okunempilo, udokotela nami sanquma ukuthi ngizodinga ushintsho ku:
- Ukudla;
- umthamo nsuku zonke we-insulin;
- Imodi yomjovo.
Ngangena ezincwadini zesayensi, ngathola imininingwane edingekayo, ngathola imvume yokuthola udokotela futhi ngaqala ukuhumusha inhloso.
Ukuqala kuphi?
Ukuze ulahlekelwe ishukela labanesifo sikashukela kufanele:
1. Khipha "ama-carbohydrate asheshayo" - amaswidi, iziphuzo ezinoshukela, amakhekhe namakhekhe. Lesi yisifo sikashukela, ngakho-ke akufanele kube njalo, ngilandela ngqo le mfuneko.
2. Ngakusebenzisa ukudla okungenamsoco (izikhathi ezingama-6-7 ngosuku) ngokudla okungu-3-4 ngosuku. Kancane kancane ngakhipha ibhulakufesi ohlelweni lokudla. Angilambile kuze kube ngu-11-12 a.m. Ngenqabile ibhulakufesi.
3. Okokudla okulula, ngesikhathi samahora aphezulu esenzo se-insulin, esikhundleni samasemishi, ngashiya isinkwa kuphela. Mnyama, mhlawumbe ngezimbewu. Ngangihlala ngicindezelwa ngumbuzo: kungani kufanele ngibe nokudla okungaxutshiwe nge-sandwich, uma kunjalo kulokhu ingxenye ebanzi ye-carbohydrate kuphela? Ngithole ukuthi isakhi “esihlwabusayo” esishidini ngamakhalori ngokweqile angiwadingi. Khipha!
4. Zenzele "izinto ezinhle" ezintsha ngokwakho. Ngithole izitsha ezintsha ezinempilo nemikhiqizo:
- amasaladi kusuka kumifino namaqabunga amasha futhi aphathisiwe;
- amantongomane nembewu;
- inyama enciphile;
- Isinkwa njengomkhiqizo wokudla ozimele.
5. Ngazithanda izinongo: i-turmeric, i-ginger, upelepele omnyama. Benza ngisho nokudla okulula kunambitheke, futhi ngokwabo kunengcebo yezindawo zokwelapha.
6. Ngathandana namanzi. Ungibekele itiye, ikofi, iziphuzo. Ikhofi laliyindebe yasekuseni kuphela, lisiza ukuvuka ngokushesha. Kepha kuphela emva kwemizuzu engama-40 ngaphambili ngiphuza ingilazi yamanzi (le nto yokuqala engena emzimbeni wami ekuseni).
Ukunciphisa umzimba kuqala
Ukwehla kwami kwesisindo okokuqala kwahlangana nokuqala kweLent Orthodox. Nginqume ukuzama ukulandela.
Ekulawulweni kwesifo sikashukela sohlobo I, indima enkulu idlalwa ngokubalwa kwama-carbohydrate ekudleni. Ukunakwa kwesibili kukhokhelwa emafutheni, inani labo kufanele libe lincane. Amaprotheni ahlala edingeka njalo, kepha i-insulin ayibandakanyi ukumuncwa kwayo, inani layo alinakwa.
Ngesikhathi sokuzila kwama-Orthodox, amafutha wezilwane namaprotheni awafakiwe. Zitshintshwa ngokukhululekile izakhi zamakhambi. Ukuze nginciphise isisindo, nginciphise ukudliwa kwezithelo ezinama-calorie aphezulu, ngandisa ingxenye yemifino. Amatafula okunomsoco wemikhiqizo, eyethulwa kuzo zonke izincwadi zesifo sikashukela nakwizindawo ezikhethekile, angisize ukubala inani lamakharubhu adliwayo. Ngabeka isisindo ngenkomishi yokulinganisa (ngaleso sikhathi kwakungekho esikalini sasekhaya, manje kunosizo lwabo).
Kancane kancane nginciphisa ukudliwa nsuku zonke kwama-carbohydrate, nginciphise inani le-insulin elilawulwa amayunithi ama-2-4 ngosuku.
Ngeqiniso, kwakunzima kakhulu. Kepha lobu bekungobunzima bengqondo obuhambisana nokushiya indawo yokududuza ukudla ukuze kufinyelelwe inhloso.
Umphumela wawungijabulisa. Kumaviki awu-7 wokuzila, ngilahlekelwe ngama-12 kg!
Imenyu yami ye-lenten ifakiwe:
- imifino ebilisiwe noma ebhakwe;
- ubhontshisi;
- amantongomane nembewu;
- ukolweni ohlumile;
- imikhiqizo ye-soya;
- imifino;
- imifino eqandisiwe;
- Isinkwa.
Ngemuva kokuphela kokuthunyelwe, ngabona ukuthi uhlelo lwami olusha lokudla nokwelashwa kwe-insulin lwalungiphethe kahle. Bengihlala nabo, nginciphisa umthamo we-insulin nsuku zonke futhi ngifunde ukuwuphatha. Kepha ngingumuntu kwesinye isikhathi ozivumela ikhekhe. Ebusika, ngifaka ama-2-3 kg, engifuna ukulahlekelwa yihlobo. Ngakho-ke, ngiyaqhubeka nokusebenzisa isistimu yokudla okungenamsoco futhi ngifuna amathuba amasha okulungiswa kwesisindo.
Izindlela Zokulahlekelwa Isisindo ezingamukeleki
"Ukomiswa komzimba", ukudla okungenama-carbohydrate, nokuzila ukudla kwabanesifo sikashukela sekudumile kakhulu. Akunandaba noma sizama kangakanani ukunciphisa ukungena kwe-carbohydrate, ngeke sikwazi ukuhlala ngaphandle kwabo - i-insulin iyabopha. Akunakwenzeka futhi ukwenqaba i-insulin ngesikhathi sokudla: umzimba uyawadinga la mahomoni. Zonke izindlela zokunciphisa isisindo sikashukela kufanele zisuselwe:
- ukunciphisa amakhalori;
- amathuba akhulayo okuwasebenzisa.
Umsebenzi womzimba
Impumelelo yami ekwehliseni isisindo sokuqala sikashukela bekungeke kwenzeke ngaphandle kokuqina komzimba. Ngaya ejimini yemakilasi e-Pilates yamaqembu wabantu abajwayelekile. Okwahlukanisayo kubo ukuthi ngangihlala ngiphuza nebhodlela likashukela omnandi nami uma kwenzeka ngihlaselwa yi-hypoglycemia (akukaze kube lula, kepha lo mshuwalense uhlala unami).
Ngazijwayeza izikhathi ezi-2-3 ngesonto. Ngemuva kwenyanga, ngabona ushintsho lokuqala oluhle. Amaphayilethi angisizile ukuqinisa izicubu zami futhi ngiqinisa umzimba wami ngaphandle kokuxineka, ukushukuma komzimba. Ngihlanganyela kulo kuze kube namuhla, ngishintshana nokuhamba.
Namuhla kunezindlela ezilula kakhulu, kepha ezisebenzayo zokuzivocavoca umzimba - ukuzivocavoca okuyizimbaxa. Zilungele impela isifo sikashukela. Manje ngizijwayeza ekhaya.
Isikhumbuzi sokunciphisa umzimbax abanesifo sikashukela
Noma ngubani othatha isinqumo sokushintsha isisindo kufanele akhumbule lokhu okubalulekile: onesifo sikashukela kufanele ngaso sonke isikhathi alawule impilo yakhe ukuze agweme ukuhlaselwa yingozi kwe-hypoglycemia. Izinguquko ezihlaselayo ekuziphatheni kokudla kanye nokusebenza komzimba, lokhu kulawula kufanele kuqiniswe:
1. Ukuqala kwazo zonke izinguquko, ukushintshashintsha kwezimpawu ezibukhali enhlalakahleni kanye nezinkomba zokuhlaziya kumele kuxoxwe ngaso nomuntu ohambela i-endocrinologist.
2. Ukuqapha okuqhubekayo koshukela wegazi nge-glucometer yomuntu siqu. Esontweni lokuqala lezinguquko, kufanele kwenziwe ukuhlolwa kwegazi:
- esiswini esingenalutho ekuseni;
- ngaphambi kokulawulwa ngakunye kwe-insulin;
- ngaphambi kokudla ngakunye namahora ama-2 emva kwawo;
- ngaphambi kokulala.
Imininingwane yokuhlaziya izosiza ukulungisa inani le-insulin nama-carbohydrate asetshenzisiwe. Izinkomba ezisungulwe ezimeni ezintsha zokudla kanye nokuzivocavoca komzimba, ungbuyela kulayini wakho wesikhombisi wendabuko.
3. Njalo ube nama-carbohydrate asheshayo (ushukela omnandi, ushukela, uju) ukumisa ukuhlaselwa okungenzeka kwe-hypoglycemia.
4. Usebenzisa imichilo yokuhlola, yenza isivivinyo somchamo sokuba khona kwemizimba ye-ketone (acetone). Uma kukhona abatholakala, yazisa udokotela ngesenzo.
Udokotela wami wokuqala owangazisa umhlaba wokuphila nesifo sikashukela, wathi UKUZEZA ISIZA KUNGAKHONA ISIFO, kodwa ISIPHILA.
Ngokwami, ngathatha lokhu njengesiqubulo sempilo, futhi ngadala indlela yami yokuphila ngendlela engifuna ngayo. Bengihlala kusukela lapho.
