Uhlobo lwe-2 yeswekile: Isikhokelo sikaGqirha kuTyumbo oluLungileyo

Umxholo

• Indlela yokulungiselela
• Ngemini yokuqeshwa kwakho
• Yintoni ongabelana ngayo nogqirha wakho
• Thembeka kwaye uze uzilungiselele ukuthetha inyani, nokuba ihlazo.
• Musa ukuba neentloni - ugqirha wakho ungumlingani wakho wezempilo kwaye unokukunceda ngaphezu kokuqonda kwakho.
• Imibuzo ebuzwa qho
• 1. Ithetha ntoni i-A1C?
• 2. Kutheni le nto i-A1C ibalulekile?
• 3. Kufuneka ndiyihlole nini iswekile yegazi lam ekhaya?
• 4. Ifanele ibe yintoni i-A1C kunye neglucose yegazi?
• 5. Zeziphi ezinye iintlobo zovavanyo ekufuneka ndinazo?
• Uluhlu lwamagama

Ngaba uza kuvavanywa nogqirha wakho malunga nesifo seswekile? Isikhokelo sethu soLungiselelo oluLungileyo siya kukunceda ulungiselele, wazi ukuba ubuze ntoni, kwaye wazi ukuba ungabelana ngantoni ukuze ufumane olona tyelelo lwakho.

Indlela yokulungiselela

• Nokuba ugcina umkhondo weswekile yegazi ephepheni okanye kwifowuni yakho, yiza neenombolo ukubonisa ugqirha wakho. Ukuba i-glucometer (esweni iswekile yegazi) igcina ukufundwa kwimemori, unokukuzisa oko.
• Ukuba ulinganisa kwaye urekhoda uxinzelelo lwegazi ekhaya, qiniseka ukuzisa ezo rekhodi.
• Zisa uluhlu oluhlaziyiweyo, oluchanekileyo lwawo onke amayeza owathathayo ngoku kuyo nayiphi na imeko yempilo- hayi isifo seswekile kuphela. Oku kubandakanya amayeza angaphaya kwekhawuntareni, izongezo, kunye namayeza e-herbal. Uluhlu lwangoku lubaluleke ngakumbi ukuba ubona oogqirha abaninzi abakunika amayeza. (Ukuba awunalo ixesha lokufumana uluhlu oluhlaziyiweyo, yiza neebhotile zonyango uqobo kutyelelo lwakho.)
• Ngaphandle kokuba uxelelwe ngenye indlela, thatha onke amayeza akho aqhelekileyo ngosuku lokuqeshwa kwakho.
• Yenza inqaku malunga nezitofu zokugqibela zokugonya kunye nokuhlolwa komhlaza, ukuze ugqirha wakho aqiniseke ukuba usesikhathini kwaye ungaphuthelwa nantoni na ebalulekileyo.

Ngemini yokuqeshwa kwakho

• Gqoka iimpahla eziza kwenza ukuba kube lula ukuvavanywa (ngaphandle kokuba kukuqeshwa kwe-telehealth, kunjalo). Oku kuthetha ukunxiba umphezulu onokuwususa okanye omnye onemikhono evulekileyo onokuyisonga ngokulula. Ukuvavanya iinyawo zakho yinxalenye ebalulekileyo yotyelelo kuba isifo seswekile sinokubangela iingxaki ezinyaweni. Qiniseka ukuba ungazisusa ngokulula iikawusi kunye nezihlangu. Unokucelwa ukuba utshintshe ube yingubo.
• Nokuba ufanele okanye ungatyi ngaphambi kokuba utyelelo lwakho luxhomekeke koluphi uvavanyo ugqirha aya kuku-odola ngalo mhla (ngaphandle kokuba kukuqeshwa kwe-telehealth). I-A1C kunye novavanyo lwe-cholesterol oluninzi aluyi kuchaphazeleka kwinto oyityayo ngesidlo sakusasa. Kodwa i-glucose yegazi kunye namanqanaba e-triglyceride anyuka kungekudala emva kokutya. Nangona kunjalo, kunokuba kungakhuselekanga ukweqa isidlo sakusasa ukuba unamayeza athile. Ukuba uyathandabuza, tsalela umnxeba kwi-ofisi kagqirha phambi kotyelelo lwakho ukuze uqiniseke.
• Ukuba unononophelo obandakanyekayo kukhathalelo lwempilo yakho, ukuba naloo mntu ekumiselweni kunokuba luncedo. Bacele ukuba bakuthathele amanqaku, kuba kunokuba nzima ukukhumbula yonke into ethethwa ngugqirha wakho.
• Yiza noluhlu lwemibuzo ofuna ukuyibuza ugqirha. Ngamanye amaxesha kulula ukulibala into obufuna ukuyibuza.

Yintoni ongabelana ngayo nogqirha wakho

Thembeka kwaye uze uzilungiselele ukuthetha inyani, nokuba ihlazo.

• Ingxelo ethembekileyo yokuhambelana kwakho kwemihla ngemihla ekuthatheni amayeza akho eswekile. Kufuneka bazi ngoba iyakuchaphazela isicwangciso sokusebenza. Umzekelo, ukuba amanani eglucose aphezulu kakhulu kwaye khange uthathe iyeza elithile, ugqirha wakho kufuneka azi malunga nemiceli mngeni ukuze uncede. Kungcono ekuhambeni kwexesha ukuthetha ngokulula inyani, nokuba inokuba neentloni.
• Imbali yakho ngamayeza eswekile ngaphambili. Ukwazi ukuba yeyiphi na iyeza kwaye khange usebenze ngaphambili kuya kunceda ugqirha wakho abone olona khetho lwanamhlanje.
• Indlela otya ngayo. Ngaba unengxaki ekufumaneni ukutya okunesondlo okungayi kuyigcoba iswekile yegazi lakho? Kuya kunceda ugqirha wakho aqonde ukuba asebenza njani amayeza akho. Banokukunika iingcebiso okanye ugqithisele kugqirha wezokutya onokukunceda.
• Umkhwa wakho wokuzilolonga. Usebenza kangakanani imihla ngemihla? Ngaba unendawo ekhuselekileyo yokwenza umthambo? Ukuzivocavoca umzimba kubalulekile njengoko unokwenza naliphi na iyeza, ngoko ugqirha makazise ukuba unemiceli mngeni.
• Naziphi na iimeko zempilo okanye izigulo zamva nje abanokuthi bangazi ngazo.

Musa ukuba neentloni - ugqirha wakho ungumlingani wakho wezempilo kwaye unokukunceda ngaphezu kokuqonda kwakho.

• Nyaniseka malunga nobunzima bakho. Wonke umntu unamava ahlukileyo kwisifo seswekile. Oogqirha abayi kuyazi into ohamba kuyo ngaphandle kokuba uthethe into.
• Buza malunga neengxaki zesifo seswekile. Ukuba isifo seswekile sihlala singalawuleki, sinokubangela iingxaki emehlweni akho, kwizintso nakwimithambo-luvo. Ugqirha wakho unokuqinisekisa ukuba uyaziqonda iingozi zakho kwaye wenza konke onako.
• Kukho uphando oluninzi oluqhubekayo malunga nendlela yokuphatha isifo sikashukela. Buza ugqirha wakho ukuba ufumana unyango olungcono. Ngaba ndikwinyango yeswekile efanelekileyo kum? Zeziphi iziphumo ezinokubakho?
• I-inshurensi ayisoloko igubungela amayeza akho. Nokuba igqunyiwe, indleko yokuphuma epokothweni isephezulu kakhulu kubantu abaninzi. Ukuba unengxaki yokuhlawula amayeza akho eswekile, yazisa ugqirha wakho. Kukho amatikiti, iinkqubo zoncedo lwamayeza, kunye nezinye iindlela zokwenza ukuba zifikeleleke.
• Kulula ukoyiswa xa uhlala nemeko engapheliyo njengesifo seswekile. Ngelixa ixesha lakho elininzi kunye namandla egxile kwimpilo yomzimba, ungayityesheli impilo yakho yengqondo. Thetha nogqirha wakho ukuba unoxinzelelo okanye uxinzelelo.

Imibuzo ebuzwa qho

Apha ngezantsi kunemibuzo ebekufanele ukuba iphendulwe kakade. Qinisekisa ukuba uyayiqonda yonke into engezantsi kwaye wongeze kuluhlu lwakho lwemibuzo kugqirha wakho ukuba kukho nantoni na ongaqinisekanga ngayo.

1. Ithetha ntoni i-A1C?

I-A1C luvavanyo lwegazi olunikezela ngolwazi malunga neswekile yeglucose yakho kwiinyanga ezi-3 ezidlulileyo. Amanye amagama e-A1C afaka ihemoglobin A1C, HbA1C, okanye glycohemoglobin. (Iswekile egazini lakho inamathela kwiproteni ebizwa ngokuba yihemoglobin.) I-A1C ilinganisa ipesenti yeemolekyuli zehemoglobin ezineswekile encamathele kuyo. Yiyo loo nto iziphumo zibikwa njengepesenti, ezinje nge-6.8 yepesenti. Amanqanaba aphezulu eswekile yegazi lakho kwiinyanga ezi-3 ezidlulileyo, kokukhona inyusa i-A1C yakho.

Unokuvavanywa ngalo naliphi na ixesha losuku, kwanasemva kokutya, kuba inqanaba lakho leswekile yegazi ngalo mzuzu wovavanyo alinakuba nefuthe elibalulekileyo kwi-A1C. Ezinye iiofisi zogqirha ziyakwazi ukulinganisa i-A1C ngomnwe endaweni yokutsala igazi emthanjeni. Iimeko ezithile zonyango ngaphandle kweswekile zinokuchaphazela i-A1C yakho. Thetha nogqirha wakho ukuze ubone ukuba unayo nayiphi na kwezi meko.

2. Kutheni le nto i-A1C ibalulekile?

Kulula kwizigulana kunye noogqirha ukugxila kwi-A1C ngaphandle kokuthatha ixesha lokuthetha ngokuba kutheni kubalulekile. Ephakamileyo i-A1C, umngcipheko ophakamileyo wokuba neengxaki ezithile zesifo seswekile emehlweni akho, kwizintso nakwiimithambo-luvo.

Amehlo: I-retinopathy sisifo se-retina. Iretina ngumaleko omxinwa ngasemva kwamehlo akho aziva ukukhanya. Ukuqaqanjelwa, ukungaphindi kunyangwe kwakhona kunokunciphisa umbono wakho kwaye kubangele nobumfama.

Izintso: I-Nephropathy sisifo sezintso. Iimpawu zibandakanya amanqanaba aphezulu eprotini kumchamo kunye nokwakhiwa kweemveliso zenkunkuma egazini. I-nephropathy enamandla inokukhokelela kukusilela kwezintso ekufuneka ziphathwe nge-dialysis okanye ukufakelwa kwezintso.

Imithambo-luvo: I-peripheral neuropathy sisifo semithambo yeenyawo zakho okanye ezandleni zakho. Iimpawu zibandakanya ukurhawuzelela, "izikhonkwane neenaliti," ukuba ndindisholo, kunye nentlungu.

Iindaba ezimnandi zezokuba ukugcina iswekile esegazini lakho kuya kulawula umngcipheko wokuba nezi ngxaki.

3. Kufuneka ndiyihlole nini iswekile yegazi lam ekhaya?

Oku kuxhomekeke kwimeko yakho nganye. Abanye abantu abanesifo seswekile kufuneka bajonge i-glucose yegazi amatyeli aliqela ngemini, ngelixa abanye kufuneka bajonge kube kanye yonke imihla okanye nangaphantsi.

Ukuba ujonga iswekile yegazi ekhaya, amaxesha athile okutshekisha abonelela ngolwazi oluluncedo kakhulu. Ukujonga iswekile yegazi kanye phambi kwesidlo sakusasa (okt, esiswini esingenanto) yinto efanelekileyo yemihla ngemihla yokuba isifo sakho seswekile silawulwa njani.

Abantu abathatha iintlobo ezithile ze-insulin banokufuna ukujonga iswekile yegazi ngaphambi kwesidlo ngasinye. Elinye ixesha elifanelekileyo lokujonga ziiyure ezi-1 ukuya kwezi-2 emva kwesidlo. Elo nani likuxelela ngendlela umzimba wakho uphendula ngayo kwaye uqhubekeke nokunyusa iswekile yegazi eyenzeka emva kokutya. Ukujonga iswekile yegazi ngexesha lokulala kuqhelekile.

Okokugqibela, ukuba uziva ugula, licebo elihle ukujonga iswekile yegazi lakho. Ngamanye amaxesha iimpawu zinokubangelwa ngamanqanaba asezantsi kakhulu okanye aphezulu eswekile. Nangona kunjalo, inokusebenza kwelinye icala. Isigulo esisisiseko sinokubangela ukuba iswekile yegazi lakho idubule.

4. Ifanele ibe yintoni i-A1C kunye neglucose yegazi?

Xa abantu benyangwa isifo seswekile ngamayeza, oogqirha abajolisanga kwi "A1C" eqhelekileyo okanye amanani eglucose yegazi. Kubantu abaninzi abanesifo seswekile, iinjongo ze-A1C ezingaphantsi kweepesenti ezisi-7 kufanelekile. Ukuba ne-A1C phantsi kweepesenti ezisi-7 kunciphisa umngcipheko weengxaki zesifo seswekile.

Ukufundwa kweglucose yasekhaya, amanqanaba asempilweni angama-80 ukuya kwi-130 mg / dL ngaphambi kokutya kwaye angaphantsi kwe-180 mg / dL xa kulinganiswa i-1 ukuya kwiiyure ezi-2 emva kokutya. Nangona kunjalo, abanye abantu abadala kunye nabantu abanezifo ezingapheliyo bathambekele kwiziphumo ebezingalindelekanga kumayeza eswekile ukuba idosi iphezulu kakhulu. Kule meko, oogqirha banokucebisa amanqanaba aphezulu ekujoliswe kuwo kwi-A1C kunye neglucose yegazi.

5. Zeziphi ezinye iintlobo zovavanyo ekufuneka ndinazo?

Olona nyango lusemgangathweni lwesifo seswekile alujolisi kumanqanaba eswekile kuphela. Kucetyiswa inani leemvavanyo ukuba zibeke esweni iingxaki zesifo seswekile.

Oku kubandakanya iimviwo zamehlo, iimviwo zonyawo, kunye nokuvavanywa kwelabhoratri yeprotein yomchamo, i-cholesterol kunye nokusebenza kwezintso. Ukulinganisa nokunyanga uxinzelelo lwegazi kukwabalulekile kuba ukudityaniswa kweswekile kunye noxinzelelo oluphezulu lwegazi kuphakamisa umngcipheko wokuba nesifo sentliziyo, ukubetha, okanye isifo sezintso.

Uluhlu lwamagama

I-A1C luvavanyo lwegazi olunikezela ngolwazi malunga neswekile yeglucose yakho kwiinyanga ezi-3 ezidlulileyo. Amanye amagama e-A1C afaka ihemoglobin A1C, HbA1C, okanye glycohemoglobin. (Iswekile egazini lakho inamathela kwiproteni ebizwa ngokuba yihemoglobin.) I-A1C ilinganisa ipesenti yeemolekyuli zehemoglobin ezineswekile encamathele kuyo. Yiyo loo nto iziphumo zibikwa njengepesenti, ezinje nge-6.8 yepesenti. Amanqanaba aphezulu eglucose akho kwiinyanga ezi-3 ezidlulileyo, kokukhona inyusa i-A1C yakho. Unokuvavanywa ngalo naliphi na ixesha losuku, kwanasemva kokutya, kuba inqanaba lakho leswekile yegazi ngalo mzuzu wovavanyo alinakuba nefuthe elibalulekileyo kwi-A1C. Ezinye iiofisi zogqirha ziyakwazi ukulinganisa i-A1C ngomnwe endaweni yokutsala igazi emthanjeni. Iimeko ezithile zonyango ngaphandle kweswekile zinokuchaphazela i-A1C yakho. Thetha nogqirha wakho ukuze ubone ukuba unayo nayiphi na kwezi meko.

Ukujonga kwakhona sisifo se-retina. Ukuqaqanjelwa, ukungaphindi kunyangwe kwakhona kunokunciphisa umbono wakho kwaye kubangele nobumfama.

Iifayile sisifo sezintso. Iimpawu zibandakanya amanqanaba aphezulu eprotini kumchamo kunye nokwakhiwa kweemveliso zenkunkuma egazini. I-nephropathy enamandla inokukhokelela kukusilela kwezintso ekufuneka ziphathwe nge-dialysis okanye ukufakelwa kwezintso.

I-peripheral neuropathy sisifo semithambo ezinyaweni nasezandleni zakho. Iimpawu zibandakanya ukurhawuzelela, "izikhonkwane neenaliti," ukuba ndindisholo, kunye nentlungu.