Nzira Yokudzivirira Njodzi
Chero hupi hwehutano, kana huri huwandu hwehutano, chirwere, kana chimwe chinhu, unoisa dambudziko pamuviri. Kunyange zvazvo muviri uchiedza kurwisana nechirwere ichi, glucose-kukura mahomoni akaita seglucagon anosunungurwa. Mukuwedzera pakusimudza glucose, aya mahomoni anopindirawo neropa-glucose kuderedza migumisiro ye insulin, kuita kuti chirwere cheshuga chiwedzere kuedza. Iwe unobata sei chirwere cheshuga kana uchirwara zvinokosha.
Kana isina kutarisirwa zvakakodzera, zvakanyanya zvikuru sutu muhutano panguva yekurwara zvinogona kukonzera kukurumidza.
Vanhu vane chirwere cheshuga chechirwere chepabonde vari mukana wekuwedzera wekukuvara kwehuwandu hwehutachiona, hunonzi ketoacidosis. Pamusoro pemazinga aya ino builddup ye acid inogona kuva inotyisa. Avo vane chirwere cheshuga cheshuga 2 vanogona kuve nemamiriro akafanana anonzi hyperosmolor hyperglycemia nonketotoic coma . Zvose zviri zviviri zvinogona kutyisa upenyu.
Kuva nechirongwa chekuita hakugoni kungodzivirira dambudziko, asi kunogonawo kubatsira kuderedza kumwe kudzvinyirira uye kukugonesa kuisa pfungwa pazororo nekudzoka. Kana uchinge waita urongwa, ita nechokwadi kuti ugogovana nawo nevanodiwa nevanochengeta.
Chii Chirongwa Chezuva Rokurwara?
Ita chirwere chako chezuva nezuva neboka rako rechirwere cheshuga, kusanganisira chiremba wako wokutanga, chiremba, chireyi, kana chiremba ane chirwere cheshuga. Chirongwa chako chinofanira kusanganisira runyoro rwemazita ose emakirini ako, nhamba, uye aderesi.
Iwe unoda kuziva kuti ungabata sei vanachiremba vako munguva yekutambudzika, kunyanya munguva yamaawa vari kunze kwehofisi (semuzororo, vhiki dzevhiki).
Mukuwedzera, sanganisira runyora rwemishonga yose yaunotora uye kana iwe uchivatora. Chiremba wako angakwanisa kukupa mirayiridzo yekuti ungashandura sei mishonga yako apo ropa rako soro rinokurudzirwa.
Ongorora kuti unofanirwa sei kuedza ropa rako panguva dzekurwara uye sarudzo neboka rako kana zvakakosha kupinda mukana nachiremba wako.
Tarisa Ropa Rako Sugar
Kuyera shuga yako yeropa chinhu chinokosha mukudzora chirwere chako cheshuga, kunyanya kana uchirwara. Ichokwadi, iwe unogona kuedza kuedza shuga yako yeropa kakawanda kana iwe uchirwara kuti udzivirire ropa rako rega kubva pakuputika. Vanhu vazhinji vanobatsirwa nekuyera shuga yega yega maawa mana. Chengetedza gwaro reglucose kuti uone kuti shuga yako inopindura sei mishonga yako, zvokudya, uye kunwa kunwa. Ita mishonga uye kuchinja kwezvokudya sezvinodiwa.
Semuenzaniso, kana uri kudya kudya kwemazuva ose uye uchitora chirwere chako chechirwere, uye ropa rako sutu riri pamusoro pechinangwa iwe ungada kuwedzera insulini yako. Kana uine shuga yeropa yakawanda kupfuura 250-300 mg / dL pane dzakawanda cheki uye iwe watora mushonga wako, unofanira kutarisa urine wako nokuda kweetoni. Kuongorora ma ketoni yako kunogona kubatsira kudzivirira ketoacidosis pamwe chete.
Chii Chinonzi Ketones uye Ndinofanira Kuchengetedza Rini?
Mumuviri unoshandisa glucose semusimboti wekutanga wemasimba. Asi, kana pasina insulini yekuitakura kubva mumasero, muviri unoshanduka kuva "dambudziko remasimba" uye unotanga kuputsa mafuta mumuviri mumaketoni seimwe nzvimbo inoshandiswa mafuta.
High mazinga eketone mumutumbi anogona kuva chepfu. Paunenge uchirwara, mazinga e ketone anogona kuwedzera nokuda kwezvikonzero zvakawanda-iwe hauna kuisa insulin yakakwana, insulin yako inoda yakakwirira nekuda kwekukura kwemashuga eropa, kana kuti haugone kudya zvokudya zvakakwana.
- Kuti udzivirire chirwere cheshuga ketoacidosis , unofanira kutarisa ketones kana ropa rako soro rinopfuura 250 mg / dL.
- Kana uine chirwere cheshuga cheshuga, iwe unogona kuedza kuongorora glucose neropa ketoni maawa mana.
- Kana uine chirwere cheshuga chechipiri, kutarisa glucose yeropa kanomwe pazuva kungave kwakakwana. Iwe unogona kunge uchida kuyera ketoni kana ropa rako glucose rakapfuura 300.
Idya uye Imwa Nguva Dzose Kuti Udzivirire Kuderedza Mvura
Kudzivirira kupererwa nemvura kana uchirwara kunokosha nokuti kushaya mvura uye kusagadzikana kwe electrolyte kunogona kuita kuti kuwedzerwa asidi muropa neropa risina kukwirira. Kunetseka kwemvura kunowanzoda mu-kurapwa muchipatara nemvura inopisa. Kuti udzivise kupera simba, tarisira kunwa uye udye kudya kwako kwakakwana sezvaunokwanisa. Inwa zvinodhaka, zvisina-calori zvinwiwa (zvakadai semvura uye seltzer) kuti uchinje zvinodhaka zvakarasika. Kuwana mvura yakakwana kunogona kubatsirawo pakubvisa shuga yakawanda (uye zvichida ketone) muropa rako. Kunwa kuburikidza negorosi kana kuyamwa pama ice chips kunogona kubatsirawo.
Kana zvakadaro, iwe usingakwanisi kudya kudya kwemazuva ose, edza kudya bland zvokudya. Zvinogona kuonekwa sechinhu chisingaoneki kune chinowanzoita chirwere cheshuga chinodya chirongwa , asi kunyorera mbiriso yakaoma, maChirungu, mazaya, mupunga, mabhuti, mazariro ejisi, sherbet, pudding, uye apulo sauce inogona kubatsira kugadzirisa shuga yako yeropa.
Kana iwe zvachose usingakwanisi kudya, iwe unoda kunwa zvinwiwa zvine makori, zvakadai semidziyo yemitambo, nguva dzose ginger ale inotapira, juice yeapulo, jira rakasvibiswa, nezvimwewo. Izvo zvinwiwa zvinogona kukupa imwe glucose uye electrolytes. Muduku, kazhinji sips ichakubatsira kuti ugare hydrated uye uwedzere mukana wekuti uchengetedze kunwa. IAmerican Diabetes Association inokurudzira iwe chinangwa chokudya anenge 50 gramu e-carbohydrate maawa matatu kusvika mana. Somuenzaniso, maawa 28 eGatorade ane makirogiramu makumi mana emakrohydrate, zvichireva kuti unofanirwa kunwa maawa manomwe paawa imwechete kana kupfuura.
Kana iwe uchingorwara chete kuti urege kudya chero chikafu chero chipi zvacho kana chinwiwa uye iwe uri kurasikirwa, unofanira kudana chiremba wako.
Tora Diabetes Mishonga
Nokuti kurwara zvakasikwa kunowedzera shuga yako yeropa, kubvarura mishonga yako kunogona kuita kuti ropa rako suga riwedzere kana rakakwirira. Kunze kwekutaurirwa zvimwe zvakaitwa nachiremba wako, zvinokosha kutora mushonga wako , insulin kana mushonga wemuromo, sezvinorayirwa. Kunyange kana uri kurutsira uye asingakwanisi kudya, iwe ucharamba uchida kutora mushonga wako. Ichokwadi, vamwe vanhu vanotora insulini vangada kuwedzera maitiro avo munguva dzezvirwere. Zvinonzwisisika izvi zvinogona kuvhiringidza uye kunyange zvinotyisa. Saka, kana iwe uchinetseka nezvekutora mishonga yako, dana chiremba wako kuti aone kana doses rako richida kugadziriswa.
Iva Akangwarira Ne-Over-the-Counter Mishonga
Mishonga yepamusoro-in-counter inoshandiswa uye isingashandisi zvinoshandiswa zvinogona kuita kuti shuga rako reropa rive kumusoro kana pasi. Semuenzaniso, sirafu yekukanganiswa inowanzo ine shuga, iyo inowanzosimudzira shuga yeropa. Usati watenga chero mishonga mitsva, taura nezvemigumisiro newachiremba wako. Kana zviri nani zvakadaro, bvunza chiremba wako kuti aise mishonga ipi yakachengeteka uye yaunofanira kuidzivirira mune yako chirwere chezuva zuva. Iwe unoda kuziva kuti unofanira kutarisa chii kuti iwe ugone kugadzirirwa .
Ziva Nguva Yokudana Dhigirii Wako
Iwe haufaniri kudana chiremba wako nguva dzose paunorwara. Kunyange zvakadaro, American Diabetes Association uye CDC, inokurudzira kuti mudane chiremba wenyu nokuda kwezvikonzero zvinotevera:
- Iwe haugone kudya uye hauna kukwanisa kuchengeta zvokudya pasi kwemaawa matanhatu
- Iwe wakanga uri kurwara kana uine fivhiri kwemazuva mashomanana uye hauna kuve nani
- Iwe une fivhiri ye 101 kana kupfuura
- Iwe une hove kana kurutsira
- Simba rako rega rega riri <60mg
- Simba rako rega rega => 240mg / dL rekuongorora kakawanda kunyange iwe wakatora mushonga wako
- Iwe unotora mapiritsi emuromo kune chirwere cheshuga uye ropa rako rinokwira kusvika kumazana makumi maviri nemaviri asati adya uye unogara ikoko kwemaawa anopfuura makumi maviri nemaviri
- Iwe une ketoni inokwidzika kana yakakura mumuviri wako (izvi zvinowedzera dambudziko rako rekukura ketoacidosis)
- Iwe une zviratidzo zve ketoacidosis kana kupera simba: mweya wako unonzwa uchitema, chifuva chako chinorwadza, unotambudzika kufema, miromo yako yakaoma uye inoputika
- Iwe unorasikirwa ne5 lbs kana kupfuura
- Iwe uri kurara kana usingazivi kuti ungazvichengeta sei
Ziva Apo Inenge Yakaitika
Kana iwe uri mutarisiri wemwana kana munhu akwegura ane chirwere cheshuga, zvakakosha zvikuru kuti iwe uzive zviratidzo nezviratidzo zvechirwere cheshuga ketoacidosis, kunyanya kana asingakwanise kutaura manzwiro ake kana zvido zvake zvakajeka. Mimwe yeiyi inogona kuvhiringidzwa nekunzwa kurwara, asi zvakakosha kuti uzvizive zvakadaro.
Zviratidzo zvekutanga zvinosanganisira:
- Kunzwa kuneta kana kuneta
- Nyota yakanyanyisa uye / kana kunyanya kudhonza
- Zviratidzo zvekushaya mvura yakadai semuromo wakaoma
Zviratidzo zvinotevera zvinosanganisira:
- Kuonda
- Nausea / kurutsa
- Marwadzo emudumbu
- Chipfuva chepfu
- Kusanganiswa
- Kukurumidza, kudzika, kufema kunetseka (kupumha kweKussmaul)
- Kupisa kunopisa fruity
- Fever
- Kusanzwisisa
Kana ukacherechedza chimwe chezviratidzo izvi, unoda kutarisa ketoni uye unomuidza chiremba wake pakarepo.
Kupfeka Chirapa Chako Chirapa
Kana iwe uchifanira kutumirwa kunzvimbo yekukurumidzira, iwe unofanirwa kunge uchipfeka Chirwere cheshuga chako kuitira kuti vashandi vagone kukuzivisa iwe somunhu ane chirwere cheshuga. Kana usina chikwangwani, ita kuti iwe kana vaunoda vataurirane navanachiremba nevashandi, uchivaudza kuti une chirwere cheshuga uye kuisa mishonga yemishonga yaunotora.
Kana iwe usina chirwere chechiremba uye uri kutsvaga chimwe chinhu chinonakidza, chengeta Lauren's Hope Medical ID Jewelry.
Shoko Rinobva
Kurapa kunogona kuwedzera ropa rako rega nekuwedzera glucose-kukura mahomoni uye kudzivisa kushuga kweglucose-kuderedza simba. Asi, izvi hazvirevi kuti iwe unorwara zvokuti haugone kuchengeta shuga yako yeropa zvakachengeteka uye zvinobudirira. Kuva nechirwere chezuva rinorwara kunogona kukubatsira kuti uise pfungwa pane kuporesa, uchidzivirira chirwere cheshuga chinokurumidza. Kusanganisira mashoko akadai sai, mazita echiremba, nhamba, uye ruzivo rwekukurukura panguva dzemaawa dzinokosha zvikuru. Uyezve, iwe unoda kuziva kuti iwe unofanirwa kuedza sei zvirwere zveropa rako, zvii zvekudya nezvinwiwa zvaunofanira kupedza, apo iwe unofanira kuedza ma ketoni, uye kuti ungaziva sei dambudziko rehutachiona hwehutachiona. Kutora matanho aya musati mava kurwara kuchaita kuti iwe uise pfungwa dzako pakuwana hutano pasina kunyanya kuwedzeresa pamusoro pehutachiwana hwako.
> Sources:
> American Diabetes Association. Paunenge Uchirwara.
> Chirongwa Chekuchengetedza Zvirwere uye Kudzivirira. Ramba Wakanaka MuFlu Mwaka.