Ngohlobo 1 noma isifo sikashukela 2, ukwanda kokushisa komzimba kuvame ukubonwa. Ngokunyuka kwayo okuqinile, ukugcwala kwe-glucose egazini kukhuphuka kakhulu. Ngenxa yalezi zizathu, isiguli uqobo kufanele sithathe isinyathelo kuqala futhi sizame ukukuguqula okuqukethwe ushukela bese kuphela lapho sithola izimbangela zokushisa okuphezulu.
Ukushisa okuphezulu kwabanesifo sikashukela: okufanele ukwenze?
Lapho ukushisa kuphakathi kwama-37,5 no-38,5 degrees, kufanele ulinganise ukugcwala kweglucose egazini. Uma okuqukethwe kwayo kuqale ukwanda, khona-ke isiguli kudingeka senze i-insulin ebizwa ngokuthi "mfushane".
Kulokhu, i-10% eyengeziwe ye-hormone yengezwa kumthamo oyinhloko. Ngesikhathi sokukhula kwayo, ngaphambi kokudla kuyadingeka nokwenza umjovo “omncane” we-insulin, umphumela wawo ozwakala ngemuva kwemizuzu engama-30.
Kepha, uma ngohlobo lwe-2 isifo sikashukela indlela yokuqala yaphenduka ingasebenzi, futhi izinga lokushisa lomzimba lisakhula futhi inkomba yayo isivele ifinyelela kuma-39 degrees, khona-ke elinye i-25% kufanele lingezwe esilinganisweni se-insulin nsuku zonke.
Nakani! Izindlela ze-insulin ezinde nezifushane akufanele zihlanganiswe, ngoba uma izinga lokushisa lenyuka, i-insulin isikhathi eside izolahlekelwa ukusebenza kwayo, ngenxa yalokho okuzokwehla.
I-insulin engasebenzi isikhathi eside ifaka:
- Glargin
- NPH;
- Ithiphu;
- I-Detemir.
Ukudla okwenziwa nsuku zonke kwehomoni kumele kuthathwe njenge-insulin "emfishane". Imijovo kufanele ihlukaniswe ngemithamo elinganayo futhi ibhalwe njalo emahoreni ama-4.
Kodwa-ke, uma ngesifo sikashukela sohlobo 1 nohlobo 2, izinga lokushisa lomzimba likhuphuka ngokuqinile, khona-ke lokhu kungaholela ekubeni khona kwe-acetone egazini. Ukutholwa kwale nto kukhombisa ukuntuleka kwe-insulin egazini.
Ukwehlisa okuqukethwe kwe-acetone, isiguli kufanele masinyane sithole u-20% womthamo wansuku zonke wezokwelapha (cishe amayunithi ayi-8) njenge-insulin emfushane. Uma ngemuva kwamahora ama-3 isimo sakhe singakashintshi, inqubo kufanele iphindwe.
Lapho ukugxila kweglucose kuqala ukuncipha, kuyadingeka ukuthatha enye i-10 mmol / L ye-insulin ne-2-3UE ukufezekisa ukwenzeka kwe-glycemia ngokwejwayelekile.
Nakani! Ngokwezibalo, imfiva ephezulu kushukela ibangela ama-5% kuphela abantu ukuya ekwelashweni esibhedlela. Ngasikhathi sinye, ama-95% asele abhekana nale nkinga uqobo, esebenzisa imijovo emifushane yehomoni.
Ukushisa okuphezulu kubangela
Imvamisa izimbangela zokushisa yilezi:
- inyumoniya
- cystitis
- ukutheleleka nge-staph;
- i-pyelonephritis, metastases ye-septic ezinso;
- thintitha.
Kodwa-ke, akufanele uhlanganyele ekuzihloleni kwesifo, ngoba udokotela kuphela ongathola imbangela yangempela yezinkinga kwisifo sikashukela sezinhlobo ezahlukahlukene.
Ngaphezu kwalokho, uchwepheshe kuphela ozokwazi ukunquma ukwelashwa okusebenzayo okuhambelana nesifo esiyimbangela.
Ukuthi wenzeni ngokushisa komzimba okuphansi kuma-diabetes?
Ngohlobo 2 noma isifo sikashukela esingu-1, inkomba yama-degree angama-35.8-37 ijwayelekile. Ngakho-ke, uma izinga lokushisa lomzimba lilingana nalezi zinhlaka, khona-ke ukuthatha ezinye izinyathelo akukufanele.
Kepha uma inkomba ingaphansi kuka-35.8, ungaqala ukukhathazeka. Into yokuqala okufanele yenziwe ukuthola ukuthi inkomba enjalo iyisici somzimba noma kuwuphawu lwesifo.
Uma ukungahambi kahle emsebenzini womzimba kungakhonjwa, khona-ke izincomo ezilandelayo zezokwelapha zizokwanela:
- ukuvivinya umzimba njalo;
- gqoka izingubo zemvelo ezikhethwe kahle ezifanele isizini;
- ukwamukelwa kweseshini esehlukile;
- ukudla okufanele.
Kwesinye isikhathi ngesifo sikashukela sohlobo 2, izinga lokushisa lomzimba liyancipha uma kwenzeka kwehla izinga le-glycogen elidingekayo ekukhiqizeni ukushisa. Ngemuva kwalokho udinga ukushintsha umthamo we-insulin, uthembele ezelulekweni zezokwelashwa.
Ikuphi ukudla okungcono kakhulu kwabanesifo sikashukela abanomkhuhlane?
Labo bantu abanesifo sikashukela abanomkhuhlane kufanele bashintshe kancane indlela abadla ngayo. Futhi, imenyu idinga ukuhlukahluka ngokudla okune-sodium ne-potassium.
Nakani! Ukugwema ukomisa, odokotela batusa ukuphuza izingilazi zamanzi eziyi-1.5 njalo ngehora.
Futhi, nge-glycemia ephezulu (ngaphezu kwe-13 mmol), awukwazi ukuphuza iziphuzo eziqukethe ama-sweeteners ahlukahlukene. Kungcono ukukhetha:
- isitokwe senkukhu;
- amanzi amaminerali;
- itiye eliluhlaza.
Kodwa-ke, udinga ukwehlukanisa isidlo sibe izingxenye ezincane ezidinga ukudliwa njalo emahoreni ama-4. Futhi lapho izinga lokushisa lomzimba lehla, isiguli singabuya kancane kancane kwindlela ejwayelekile yokudla.
Lapho kungenzeki ngaphandle kokuvakashela udokotela?
Vele, ngokushisa komzimba okuphezulu, umuntu onesifo sikashukela kufanele abonane nodokotela ngokushesha. Kepha labo abakhethe ukuzelapha bangadinga usizo lwezokwelashwa uma kwenzeka:
- ukugabha nokugeleza isikhathi eside (amahora ayisithupha);
- uma isiguli noma abantu abaseduze kwakhe bezwa iphunga le-acetone;
- ngokuphefumula komoya kanye nobuhlungu besifuba obuqhubekayo;
- uma ngemuva kokulinganiswa okuphindwe kathathu kweglucose egazini inkomba yehlisiwe (3,3 mmol) noma i-overestimated (14 mmol);
- uma ngemuva kwezinsuku ezimbalwa kusukela ekuqaleni kwalesi sifo akukho ngcono.
