Chirwere cheshuga - kana uchirwara

Kumirira kwenguva yakareba kuti uwane kurapwa iwe uchirwara kunogona kutungamira pakurwara zvakanyanya. Paunenge uine chirwere cheshuga, kunonoka mukutarisirwa kunogona kutyisidzira hupenyu. Kunyangwe kutonhora kudiki kunogona kuita kuti chirwere cheshuga chako chiome kudzora. Kusadzora chirwere cheshuga kunogona kutungamira kumatambudziko akakomba ehutano.

Paunenge uchirwara, insulin haishandewo mumasero ako uye neshuga yeropa rako inogona kukwirisa. Izvi zvinogona kuitika kunyangwe iwe uri kutora akajairwa madosi emishonga yako, kusanganisira insulin.

Paunenge uchirwara, nyatsocherechedza zviratidzo zvekunzwa chirwere cheshuga. Izvi ndeizvi:

• Yakawanda shuga yeropa iyo isingazoburuke nekurapwa
• Kusvotwa uye kurutsa
• Shuga yeropa yakadzika isingasimuke mushure mekudya
• Kuvhiringidzika kana shanduko mumaitiro aunowanzoita

Kana uine chimwe chezviratidzo zvekunyevera uye usingakwanise kuzvibata iwe pachako, fonera mupi wako wezvehutano ipapo ipapo. Ita shuwa kuti vemhuri yako vanozivawo zviratidzo zvekuyambira.

Tarisa shuga yako yeropa kakawanda kupfuura zvakajairwa (maawa maviri kusvika mana). Edza kuchengeta shuga yako yeropa pazasi kwe200 mg / dL (11.1 mmol / L). Panogona kunge paine nguva dzaunoda kutarisa shuga yako yeropa paawa yega yega. Nyora pasi ese mashuga eropa rako, nguva yekuyedzwa kwega kwega, nemishonga yawatora.

Kana iwe uine rudzi rwekutanga cheshuga, tarisa ako ketoni ketoni pese paunenge uchiita weti.

Idya zvidiki zvidiki kazhinji. Kunyangwe iwe usiri kudya zvakanyanya, yako shuga yeropa inogona kuramba ichikwira zvakanyanya. Kana iwe ukashandisa insulin, iwe ungatoda imwe yekuwedzera jekiseni majekiseni kana akakwira madosi.

Usaite kurovedza muviri zvine simba kana uchirwara.

Kana iwe ukatora insulin, iwe unofanirwawo kunge uine glucagon emergency emergency kit yakatemwa nachiremba wako. Gara uine kit ichi chiripo.

Inwa zvinwiwa zvakawanda zvisina shuga kuti muviri wako usaome (kupera mvura mumuviri). Imwai angangoita gumi nemaviri 8-ounce (oz) makapu (3 litita) emvura pazuva.

Kunzwa uchirwara kazhinji kunoita kuti usade kudya kana kunwa, izvo, zvinoshamisa kuti, zvinogona kutungamira kune yakakwira ropa shuga.

Mvura yaunogona kunwa kana iwe usina mvura inosanganisira:

• Mvura
• Kirabhu soda
• Kudya soda (zvine caffeine-isina)
• Tomato muto
• Chicken muto

Kana shuga yako yeropa iri pasi pe100 mg / dL (5.5 mmol / L) kana ichidonha nekukurumidza, zvakanaka kuti unwe zvinwiwa zvine shuga mazviri. Edza kutarisa zvazvinoita pashuga yako yeropa nenzira imwecheteyo iwe yaunotarisa kuti zvimwe zvekudya zvinokanganisa sei shuga yako yeropa.

Mvura yaunogona kunwa kana shuga yako yeropa yakadzika inosanganisira:

• Apple muto
• chinwiwa cheranjisi
• Muchero wemazambiringa
• Doro remitambo
• Tea ine huchi
• Lemon-lime zvinwiwa
• Ginger ale

Ukarutsa, usanwa kana kudya chero chinhu kweawa imwe. Zorora, asi usarara nhema. Mushure meawa imwe, tora sips yesoda, senge ginger ale, yega maminetsi gumi. Kana kurutsa kuchiramba kufona kana kuona wako mupi.

Paunenge uine dumbu rakagumbuka, edza kudya chikafu chidiki. Edza makabhohaidhiretsi, akadai se:

• Bagels kana chingwa
• Zviyo zvakabikwa
• Mbatata yakashambadza
• Noodle kana muto wemupunga
• Munyu
• Muchero-wakasanganiswa gelatin
• Vanokanganisa Graham

Zvikafu zvakawanda zvine huwandu hwakaringana hwe makabhohaidhiretsi (anenge magiramu gumi nemashanu) pakudya kwako kwezuva rekurwara. Rangarira, pamazuva ekurwara zvakanaka kuti udye zvimwe chikafu zvaungangodaro usina kudya, kana usingakwanise kudya zvaunogara uchidya. Zvimwe zvekudya zvekuedza ndeizvi:

• Imwe hafu kapu (120 milliliters, mL) apuro muto
• Imwe hafu mukombe (120 mL) chinwiwa chinwiwa nguva dzose (chisiri-chikafu, caffeine yemahara)
• Chibereko chimwe-chakapisa chando pop (tsvimbo imwe)
• Makandi mashanu madiki akaomarara
• Chidimbu chimwe chechigunwe chakaoma
• Imwe hafu kapu (120 mL) yakabikwa zviyo
• Vatanhatu vemunyu
• Imwe hafu kapu (120 mL) yogati yechando
• Mukombe mumwe (240 mL) mutambo wemitambo
• Imwe hafu kapu (120 mL) yenguva dzose ice cream (kana usiri kukanda kumusoro)
• Imwe kota mukombe (60 mL) sherbet
• Imwe kota mukombe (60 mL) yakajairwa pudding (kana usiri kukanda kumusoro)
• Imwe hafu mukombe (120 mL) yenguva dzose michero-yakasanganiswa gelatin
• Imwe kapu (240 mL) yogati (isina kugwamba), isina shuga kana pachena
• Milkshake inogadzirwa nehafu mukombe (120 mL) mukaka wakakora-mafuta uye imwe kota mukombe (60 mL) ice cream yakasanganiswa mu blender (kana usiri kukanda kumusoro)

Paunenge uchirwara, unofanirwa kuedza kudya zvakaenzana makabhohaidhiretsi aunowanzoita. Kana zvichibvira, tevera zvaunogara uchidya. Kana iwe uchinetseka kumedza, idya zvinyoro nyoro.

Kana iwe watotora insulin yako uye uchirwara kuenda mudumbu rako, inwa zvinwiwa zvakakwana neakaenzana macarhydrate aunowanzo dya. Kana iwe usingakwanise kuchengeta chikafu kana zvinwiwa pasi, enda kuimba yekukurumidzira kunorapwa. Iwe unogashira intravenous (IV) zvinwiwa.

Kana iwe uine fivha kana fivha, taura nemupi wako.

Kazhinji yenguva, iwe unofanirwa kutora mishonga yako yese sezvaunowanzoita. Usasvetuke kana kuwedzeredza pane chero mushonga kunze kwekunge mupi wako akakuudza kuti uite.

Kana iwe usingakwanise kudya yako yakajairwa huwandu hwe makabhohaidhiretsi, fonera mupi wako. Iwe ungangoda kuita shanduko mune yako insulin dosi kana muyero yemapiritsi ako eshuga kana mamwe majekiseni. Iwe unogona zvakare kuda kuita izvi kana kurwara kwako kuri kuita kuti shuga yako yeropa ive pamusoro kupfuura zvakajairwa.

Kuva anorwara kunowedzera njodzi yekukurumidzira kwakanyanya kunoonekwa nechirwere cheshuga.

Fonera mupiki wako kana iwe uine:

• Ropa shuga inopfuura 240 mg / dL (13.3 mmol / L) kweinopfuura zuva rimwe
• Maketeteni akaenzana-kusvika-makuru nemuedzo wako weti
• Kurutsa kana kuita manyoka kwemaawa anodarika mana
• Chero kurwadziwa kwakanyanya kana kurwadziwa pachipfuva
• Fivha ye100 ° F (37.7 ° C) kana yakakwira
• Dambudziko rekufambisa maoko kana makumbo
• Chiono, kutaura, kana kuenzanisa matambudziko
• Kuvhiringidzika kana nyowani ndangariro matambudziko

Kana mupi wako akasafona zvekare ipapo, ungangoda kuenda kukamuri ye emergency. Izvi zvinonyanya kukosha kana uri kurutsa kana kuita manyoka kwemaawa anodarika mana.

Kurwara-zuva manejimendi - chirwere cheshuga; Chirwere cheshuga - kurwara kwezuva manejimendi; Insulin kuramba - kurwara kwezuva manejimendi; Ketoacidosis - kurwara kwezuva manejimendi; Hyperglycemic hyperosmolar syndrome - yekurwara zuva manejimendi

• Thermometer tembiricha
• Zviratidzo zvinotonhora

American Chirwere cheshuga Association. 4.Yakakwana yekurapa kuongororwa uye kuongororwa kwe comorbidities: zviyero zvekurapwa mune cheshuga-2020. Chirwere cheshuga. 2020; 43 (Suppl 1): S37-S47. PMID: 31862747 pubmed.ncbi.nlm.nih.gov/31862747/.

Atkinson MA, Mcgill DE, Dassau E, Laffel L. Type 1 chirwere cheshuga mellitus. Mune: Melmed S, Auchus RJ, Goldfine AB, Koenig RJ, Rosen CJ, eds. Williams Chinyorwa cheEndocrinology. 14th ed. Philadelphia, PA: Elsevier; 2020: chitsiko 36.

Nzvimbo dzekuchengetedza Dziviriro uye Kudzivirira webhusaiti. Chirwere cheshuga: kubata mazuva anorwara. www.cdc.gov/diabetes/managing/flu-sick-days.html. Yakagadziridzwa Kurume 31, 2020. Yakasvika muna Chikunguru 9, 2020.

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