Abantu abanesifo sikashukela bavame ukuthambekele kwezinye izinkinga ezihambisana nalesi sifo.
Abantu abanesifo sikashukela sohlobo lokuqala nolwesibili bavame ukuba nesiyezi.
Kubalulekile ukuqonda ukuthi kungani isiguli sibuthakathaka, sinesiyezi nokuthi lokhu kuhlaselwa kungavinjelwa kanjani.
Izimbangela zesiyezi
Kungaba nezizathu eziningana zale ndaba:
- Umthamo obalwe ngokungafanele we-insulin, iziguli ezinesifo sikashukela sohlobo 1 nohlobo 2 ongeke ukwazi ukwenza ngaphandle kwawo.
- I-Hypoglycemia - iziveza ngokwehla okukhulu koshukela (ushukela) egazini, ngenxa yokudla okunganele.
- Ngokwezinga elifanayo, i-hypoglycemia ingaba ngumphumela ongemuhle wokuthatha imithi ethile esetshenziselwa zombili izinhlobo zesifo sikashukela.
- Ukugeleza okuqhubekayo kweglucose ebuchosheni kubonakaliswa umsebenzi ocacile futhi ohlelekile womzimba wonke. Ukushoda kukashukela wegazi kuphakamisa isiyezi nobuthakathaka obujwayelekile emzimbeni obuhambisana nesifo sikashukela.
- Isiyezi sikashukela singahambisana nomfutho wegazi ophansi, i-arrhythmias, i-palpitations, kanye nokukhathala okwandayo. Lezi zimpawu zibonisa ukuba khona kwesifo sikashukela sikashukela.
- I-Hyperglycemia - ushukela wegazi ophezulu. Ngenxa yokungakwazi kwama-pancreas ukukhiqiza inani elifanelekile le-insulin noma lokugonywa ukufaka umjovo umuthi, ukwanda kweglucose yegazi kulandela ngokuqinisekile. Futhi lokhu kubangela ukungalingani kwe-hormonal.
I-Hyperglycemia iyingozi futhi ngoba kwezinye izimo kunokuqothuka komzimba kanye nokushintshwa kwe-anaerobic metabolism.
Ukuhlinzekwa kwe-glycogen kuphelile, ukuxhumanisa kokunyakaza kuyaphazamiseka, yingakho buthakathaka nesiyezi. Lokhu kugcwele ukuvela kwamaqhugwane nobuhlungu emisipha, njengoba i-lactic acid inqwabelana kuyo.
Kubalulekile! Indawo ezungezwe yisiguli sikashukela kufanele ifundiswe ngokusobala ukuthi ingabhekana kanjani nezimpawu ezinjalo ukuze, uphawu lokuqala lwesiyezi noma i-hypoglycemia, zisuse ngokushesha imbangela yezimpande futhi zenze ukuntuleka koshukela wegazi.
Ukuze uvimbele isiguli ukuthi siwele ekhefini noma sibulale, kusetshenziswa injekishini ye-glucagon.
I-ketoacidosis ingaba ngesinye isici se-hyperglycemia. Njengomthetho, kwenzeka ezigulini ezingalawuli inkambo yokugula kwazo. Ngokuntuleka kweglucose, umzimba uqala ukudiliza imithombo yawo yamafutha bese ukhiqiza imizimba ye-ketone ngenkuthalo.
Ngokweqile kwe-ketone emzimbeni, ukukhuphuka kwegazi acid, okuholela kuzimpawu ezinjalo:
- ubuthakathaka
- isicanucanu
- iphunga le-acetone elisuka emgodini womlomo;
- ukoma
- ukusebenza ngokweqile;
- ukungaboni kahle
Ukukhuphela ngaphandle i-ketoacidosis, imijovo ejwayelekile ye-insulin nokugcwaliswa kabusha kwemali esele yomzimba iyadingeka. Ezimweni eziningi, ukuqubuka ezindlebeni, ubuthakathaka obujwayelekile, ukufiphala emehlweni kufakwa isiyezi.
Kufanele kubhekwe ikakhulukazi kulokhu kubanjwa, ngoba kungaholela ekhefeni lesifo sikashukela.
Ezimpawu zokuqala ze-ketoacidosis, kufanele uthintane nodokotela ngokushesha, ngoba ukuzelapha kungaholela emiphumeleni engathandeki.
Izindlela ezidingekayo zesiyezi
Uma isiyezi nobuthakathaka besiguli esinohlobo 1 no-2 sikashukela kubangelwa ukwehla okukhulu kweglucose yegazi, kumele kuthathwe izinyathelo eziphuthumayo:
- udle noma uphuze okuthile okumnandi;
- shayela i-ambulensi ngokushesha;
- faka i-compress ebandayo emiswe ngamanzi noviniga ebunzini lesiguli;
- beka isiguli embhedeni (ngaso sonke isikhathi embhedeni) noma phansi;
- faka izidakamizwa esigulini ukuze unciphise ukungakhululeki nobuthakathaka, imvamisa i-Cinnarizine noma iMotilium.
Endabeni yosizo olungakenzeki, isiguli esinohlobo 1 noma isifo sikashukela sesibili siyohluleka ukuqaphela noma siwele enkingeni.
Ukwanda okungazelelwe ku-glucose egazini nesiyezi kuzo zombili izinhlobo zikashukela kungavinjelwa ngokunamathela ngokuqinile ezindinganisweni zokudla.
Iziguli zenqatshelwe ngokuphelele ukuthi zidle noma ibuphi utshwala, ikhofi netiye, nokubhema kufanele kuqedwe. Kubaluleke kakhulu ukubheka ukudla okuhlala njalo hhayi ukuzilayisha ngokweqile ngokuzivocavoca umzimba. Zivumelekile ngamanani athile futhi ngaphansi kokuqondisa kukadokotela.
Izindlela zokwelapha zokuvimbela isiyezi nesifo sikashukela sisonke
Okokuqala, uma kwenzeka isifo sikashukela sanoma yiluphi uhlobo, iziguli kudingeka ukuba zinamathele ekudleni okuthile nasendleleni yokuphila enempilo, okubandakanya ukwelashwa kokuzivocavoca ngokwesifo sikashukela i-mellitus (ukwelashwa ngokomzimba). Kodwa-ke, ungakhohlwa ngokugcina ibhalansi yamanzi eqhubekayo ukuze ungafakwa amanzi emzimbeni.
Lokhu kwenzelwa ini? Inqubo yokuhlehlisa ama-asidi wemvelo womzimba yenziwa ngenxa yesisombululo esinamanzi se-bicarbonate - into leyo efana ne-insulin, ekhiqizwa ngamanyikwe.
Njengoba ukukhiqizwa kwe-bicarbonate kusendaweni yokuqala emzimbeni womuntu, lapho kudalulwa ezigulini ezinesifo sikashukela (ngesikhathi sokuphelelwa ngamanzi emzimbeni), ukukhiqizwa kwe-insulin kuyehla, okuholela ekusweleni kwayo. Kodwa-ke, kulesi simo, ukuba khona kweshukela ekudleni kufanele kuncishiswe.
Iphuzu lesibili kungumsebenzi ohlanganisiwe we-glucose namanzi. Ukungena okwanele koshukela kumaseli nezicubu, akubalulekile kuphela i-insulin, kodwa futhi nenani elifanele loketshezi.
Amaseli ahlanganiswa kakhulu namanzi, ingxenye yalokho ngenkathi kudliwa kuchithwa ekukhiqizeni i-bicarbonate, kanye nezinsalela ekufakweni kwezakhi zomzimba. Ngakho-ke ukuntuleka kokukhiqizwa kwe-insulin nokwamukelwa kwayo ngumzimba.
Ukuze ungaphazamisi imali esele emzimbeni, kufanele ukhumbule imithetho elula:
- Njalo ekuseni nangaphambi kokudla, udinga ukuphuza ama-400 ml wethafa elincane elisamanzi.
- Uphuzo oludakayo, ikofi, itiye kungasithinta kabi isimo sesiguli, ngakho-ke kumele singafakwa eceleni.
Amanzi asobala kuphela azokuba nomphumela omuhle emzimbeni wonke futhi avikele isiyezi nobuthakathaka, ngisho nasezigulini ezinesifo sikashukela sohlobo 1 nohlobo 2.
