Ukulungiselela utyando xa unesifo seswekile

Unokufuna utyando ngenxa yesifo seswekile. Okanye, unokufuna utyando ngengxaki yezonyango engahambelani neswekile yakho. Isifo seswekile sinokunyusa umngcipheko weengxaki zakho ngexesha okanye emva kotyando, njenge:

• Usulelo emva kotyando (ngakumbi kwindawo yotyando)
• Ukuphilisa ngokuthe chu
• I-Fluid, i-electrolyte, kunye neengxaki zezintso
• Iingxaki zentliziyo

Sebenza nomboneleli wakho wezempilo ukuba uze nesicwangciso sokuhlinzwa esikhuselekileyo kuwe.

Gxila ngakumbi kulawulo lweswekile yakho ngeentsuku ukuya kwiiveki ngaphambi kotyando.

Umboneleli wakho uya kwenza uvavanyo lonyango kwaye athethe nawe ngempilo yakho.

• Xelela umboneleli wakho ngawo onke amayeza owasebenzisayo.
• Ukuba uthatha i-metformin, thetha nomboneleli wakho malunga nokumisa. Ngamanye amaxesha, kufuneka imiswe iiyure ezingama-48 ngaphambili kunye neeyure ezingama-48 emva kotyando ukunciphisa umngcipheko wengxaki ebizwa ngokuba yi-lactic acidosis.
• Ukuba uthatha ezinye iintlobo zeziyobisi zeswekile, landela imiyalelo yomboneleli wakho ukuba ufuna ukuyeka iyeza ngaphambi kotyando. Amayeza abizwa ngokuba yi-SGLT2 inhibitors (gliflozins) anokunyusa umngcipheko weengxaki zeswekile yegazi enxulumene notyando. Xelela umboneleli wakho ukuba uthatha elinye lala mayeza.
• Ukuba uthatha i-insulin, buza umboneleli wakho ukuba yeyiphi idosi ekufuneka uyithathile ubusuku obungaphambi komhla wotyando lwakho.
• Umboneleli wakho unokuhlangana nomntu otya ukutya, okanye akunike ukutya kunye nesicwangciso somsebenzi ukuzama ukuqinisekisa ukuba iswekile yegazi lakho ilawulwa kakuhle kwiveki eyandulela utyando lwakho.
• Abanye ogqirha baya kulurhoxisa okanye balibazise utyando ukuba iswekile esegazini lakho iphezulu xa ufika esibhedlele ngenxa yotyando lwakho.

Ugqirha luyingozi xa unengxaki yesifo seswekile. Ke thetha nomboneleli wakho malunga nolawulo lweswekile kunye nazo naziphi na iingxaki onazo kwisifo seswekile. Xelela umboneleli wakho malunga nayiphi na ingxaki onayo ngentliziyo yakho, izintso, okanye amehlo, okanye ukuba ulahlekelwe yimvakalelo ezinyaweni zakho. Umboneleli angaqhuba ezinye iimvavanyo ukujonga imeko yezo ngxaki.

Unokwenza ngcono ngokuhlinzwa kwaye uphucule ngokukhawuleza ukuba iswekile yegazi lakho ilawulwa ngexesha lotyando. Ke, ngaphambi koqhaqho, thetha nomboneleli wakho malunga nenqanaba lokujolisa kwiswekile yakho ngeentsuku zangaphambi kokusebenza kwakho.

Ngexesha lotyando, i-insulin inikwa ngugqirha obulala iintlungu. Uya kudibana nalo gqirha ngaphambi kotyando ukuxoxa ngesicwangciso sokulawula iswekile yegazi lakho ngexesha lotyando.

Wena okanye abongikazi bakho kufuneka ujonge iswekile egazini rhoqo. Unokuba nengxaki enkulu yokulawula iswekile yegazi ngenxa yokuba:

• Unengxaki yokutya
• Uyagabha
• Ngaba uxinzelelo emva kotyando
• Azisebenzi kangako kunesiqhelo
• Unentlungu okanye ungonwabi
• Unikwa amayeza anyusa iswekile yegazi lakho

Lindela ukuba ungathatha ixesha elide ukuphilisa ngenxa yeswekile. Zilungiselele ukuhlala esibhedlele ixesha elide ukuba utyandwa kakhulu. Abantu abanesifo seswekile bahlala esibhedlele ixesha elide kunabantu abangenasifo seswekile.

Jonga iimpawu zosulelo, ezinje ngomkhuhlane, okanye ukusikwa okubomvu, kushushu ukubamba, ukudumba, kubuhlungu ngakumbi, okanye kukhuphe.

Thintela izilonda zokulala. Jikeleza ebhedini kwaye uphume ebhedini rhoqo. Ukuba uziva kancinci kwizwane zakho nakuminwe yakho, awunakuziva ukuba ufumana ibhedi ebuhlungu. Qiniseka ukuba uyajikeleza.

Emva kokuphuma esibhedlele, kubalulekile ukuba usebenze kunye neqela lakho lokhathalelo lokuqala ukuqinisekisa ukuba iswekile yegazi lakho iyaqhubeka ilawulwa kakuhle.

Biza ugqirha wakho ukuba:

• Unemibuzo malunga notyando okanye ianesthesia
• Awuqinisekanga ukuba ngawaphi amayeza okanye iidosi zamayeza akho ekufuneka uwathathe okanye uyeke ukuwathatha ngaphambi kotyando
• Ucinga ukuba unesifo

• Iimpawu zeswekile esezantsi yegazi
• Ukujonga eswekile yegazi-Uthotho

Umbutho weSwekile yaseMelika. 15. Ukunyamekela isifo seswekile esibhedlele: imigangatho yokhathalelo lonyango kwisifo seswekile-2019. Unonophelo lweSwekile. 2019; 42 (iSuppl 1): S173-S181. IINKCUKACHA: 30559241 www.ncbi.nlm.nih.gov/pubmed/30559241.

I-Neumayer L, Ghalyaie N. Imigaqo yoqhaqho lokusebenza kunye nokusebenza. Ku: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, ii-eds. Incwadi yeSabiston yoNyango: Isiseko sebhayiloji yoQeqesho lwangoku. Umhla we-20. IPhiladelphia, PA: Elsevier; Ngo-2017: isahluko 10.

• Seswekile
• Ugqirha