Kuphephile ukuhlanganisa utshwala ne-insulin?

Imfundo Yezempilo Ukuxuba

Ngisho noma ulawula isifo sikashukela sakho ngama-insulin shots, kungenzeka ukuthi usujwayele ukugwema ushukela nokusika ama-carbs. Kodwa kuthiwani ngotshwala? Ngabe kuphephile ukujabulela iwayini, ubhiya, noma utshwala ngenkathi usebenzisa i-insulin ukuphatha uhlobo lwakho 1 noma uthayiphe isifo sikashukela esingu-2?

Utshwala nesifo sikashukela kungaxubana… kwesinye isikhathi

Kunezici eziningi (ezinquma) ukuphepha kokuphuza utshwala ngenkathi uthatha i-insulin, kusho UKristen Smith, MS, RD , okhulumela i I-Academy Yezokudla Nezokudla . Kungcono ukuxoxa ngokuphuza utshwala nomhlinzeki wakho wezokunakekelwa kwempilo ngendlela ehlukile.

Ezinye zalezi zinto zibandakanya isimo sempilo isiyonke nokuthi unekhono yini ekuphatheni ushukela wegazi lakho, kusho uSmith. Isibonelo, iziguli nazo ezibhekene nomfutho wegazi ophakeme kanye / noma i-cholesterol ephezulu ngokubambisana nesifo sikashukela zingatshelwa ukuthi zicabange kabili ngokuba nalesi siphuzo. Kuyafana nanoma ngubani onesifo sokuxilongwa kwesifo sikashukela noma ngomlando we-pancreatitis. Uma isifo sikashukela silawulwa futhi ungenayo eminye imibandela ehlobene, noma kunjalo, kungenzeka ukuthi udokotela wakho akunike ukukhanya okuluhlaza ukuze uthokozele utshwala ngokulinganisela (okusho UMnyango Wezempilo kanye Nezinsizakalo Zabantu e-U.S kuphuza isiphuzo esisodwa ngosuku kwabesifazane neziphuzo ezimbili ngosuku kwabesilisa).

Ingilazi noma amabili ewayini ngesidlo sakusihlwa njalo ngeke ize idicilele phansi imizamo yomuntu yokulawula isifo sikashukela, kepha iziphuzo eziningi njalo ebusuku ziba enye indaba, kusho uTom Kalista, Pharm.D., Usokhemisi ongumxhumanisi Inhlangano Kazwelonke Yosokhemisi Bomphakathi .

Utshwala, isifo sikashukela, kanye ne-hypoglycemia

Uma unesifo sikashukela futhi ukhetha ukuphuza, kufanele wazi kakhulu ukuthi utshwala bungakuthinta kanjani, kusho yena UJeff Fortner, Pharm.D ., usolwazi osebenza naye Isikole Samakhemikhali sasePacific University e-Forest Grove, e-Oregon, kanye nelungu le-SingleCare Medical Review Board.

Utshwala buyehlisa ushukela egazini.

Umphumela ongaba khona kodwa ongaziwa wokuphuza utshwala obuningi ngokwedlulele [ukuthi] ubangela ukuthi amazinga kashukela egazini ehle isikhathi esithile samahora ambalwa kuze kube usuku lonke, kusho uDkt. Fortner.

Lokhu kusebenza kuwo wonke umuntu, kepha kubaluleke kakhulu kubantu abanesifo sikashukela ngoba ukugcina ushukela egazini kuyisihluthulelo ekuphathweni kwesimo sabo jikelele, kunezela uDkt Kalista.Kubaluleke kakhulu ukuthi sazi ukuthi ushukela wegazi wabo ukuphi ngaphambi [kokuphuza] nokuthi uzokuya kuphi ngenxa yalokho, ngaphandle kokukhohlwa ukuphendula ngokudla, ezinye iziphuzo, noma imishanguzo ezophazamisa noshukela wegazi, usho kanje.

Futhi kuthiwani nge-insulin uqobo? Ngabe kuzoqala ukuxhumana kwezidakamizwa? Cishe cha.

Ngokungafani neminye imithi (njenge benzodiazepines , okuyingozi ukuphuza eceleni kotshwala ngaphansi kwanoma yiziphi izimo), i-insulin notshwala akuhlangani ngqo, kusho uDkt Kalista. Nge-insulin, ukukhathazeka kuphathelene nokuthi umzimba wakho uphatha kanjani i-coaster roller coaster ehlotshaniswa nakho kokubili utshwala nesifo sikashukela. Ngamanye amagama, kubalulekile ukuthi wazi ukuthi ukuphuza utshwala kungadala isiqephu se-hypoglycemic. Abantu abanesifo sikashukela vele engcupheni ye-hypoglycemia ngenxa nje yesimo salesi simo. Njengoba utshwala buhlanganisiwe, ingozi iba nkulu kakhulu-futhi yenza nokwelashwa kwesifo sikashukela kube nzima kakhulu, kusho uDkt Kalista.

Ukudakwa kulingisa i-hypoglycemia.

Ngaphezu kwalokho, izimpawu ze-hypoglycemia-ukudideka, isiyezi, ukucasuka, ikhanda kanye nokukhathala-kufana kakhulu nezimpawu zokudakwa, kusho uSmith noDkt Fortner. Lokhu kungasho inkathazo.

Okukhathaza kakhulu ukuphuza kakhulu [kubantu abanesifo sikashukela] ukuthi ukudakwa ngokweqile kungazifihla izimpawu zikashukela wegazi ophansi kakhulu, okungaholela ezimeni ezisongela impilo, kusho uDkt Fortner.

Ngokuyinhloko, lokhu kusho ukuthi ungahle ungaboni ukuthi udinga i-insulin ngoba ucabanga ukuthi ulungile, udakiwe. Ngokunjalo, ukusebenzisa i-insulin ngenkathi ushukela wegazi lakho uphansi kakhulu nakho kuyinkinga ngoba ushukela wakho wegazi uzovele uqhubeke ukwehla. Into elandelayo uyazi, uku-ambulensi noma igumbi labezimo eziphuthumayo (uSmith ugcizelela ukubaluleka kokufuna ukwelashwa ngezimpawu ze-hyperglycemia enamandla, noma ngabe isimo sibandakanya utshwala noma cha).

Utshwala bonakalisa isibindi sakho.

Ukwengeza ukuhlambalaza ukulimala, uma ubuphuza ngokweqile otshwaleni, isibindi sakho sizobe simatasa kakhulu ukubhekana nalokho ukuze sizikhathaze ngoshukela wegazi lakho, okuzokwengeza ekudidekeni komzimba wakho ngokwenzekayo.

Isibindi sethu sikubeka phambili ukubeka phambili ubuthi ngaphambi kokusebenzisa amandla ukuguqula i-glycogen ibuyele ku-glucose, inqobo nje uma kukhona utshwala bokugaya umzimba, isibindi asenzi kangako ukulawula amazinga kashukela egazini, ngakho-ke ushukela wegazi wehla kuze kube yilapho utshwala ukuphuma egazini, kuchaza uDkt Fortner.

Imihlahlandlela yezokuphepha yokuhlanganisa utshwala nesifo sikashukela

Uma unesifo sikashukela sohlobo 1 noma uthayiphe u-2 futhi udokotela wakho anquma ukuthi ukuphuza ngokulinganisela kulungile kuwe, uDkt Fortner noSmith batusa ukunamathela kulezi ziqondiso ukuze uzigcine uphephile:

1. Ungalokothi uphuze esiswini esingenalutho. Eqinisweni, kungcono ukudla ngenkathi uphuza utshwala ngoba ukudla kubambezela ukumuncwa kotshwala futhi kukhuphula amazinga kashukela egazini.
2. Hlola ushukela wegazi lakho ngaphambi kokuphuza ukuqinisekisa ukuthi ayikaphansi vele. Uma kunjalo, yingenise endaweni ephephile ngaphambi kokudla imbibing.
3. Gwema izixube ezinoshukela, iwayini elimnandi, noma utshwala obuxutshwe nesoda enoshukela noma ujusi. Esikhundleni salokho, hamba uphuze utshwala obuxutshwe nesoda yeklabhu noma amanzi (isiphuzo esithambile sokudla kungalunga, futhi), iwayini elomile, noma ubhiya ophansi we-carb.
4. Thatha ama-sips amancane uphuze kancane. Ngokufanelekile, okunye ukuphuza isiphuzo sakho ngamasiphu wamanzi.
5. Gqoka i-ID yesaziso sokwelashwa lokho kusho ukuthi unesifo sikashukela uma kwenzeka unesiqephu se-hypoglycemic.
6. Mina nform abantu onabo ukuthi unesifo sikashukela ngesizathu esifanayo, ukuze bathole usizo uma kudingeka.