Izimpawu Ezivame Kakhulu Zesifo Sikashukela Sohlobo 1 ezinganeni

-Delile

• Izimpawu zohlobo 1 ezinganeni
• Izingane
• Ojahidada
• Izingane ezindala nentsha
• Ukuxilongwa
• Ukwelashwa
• I-insulin yansuku zonke
• Ukuphathwa kwe-insulin
• Ukuphathwa kokudla
• Ukuphathwa kwendlela yokuphila
• Amathiphu okubhekana nesimo
• Ukubonana nodokotela nini
• Okubalulekile

Uhlobo lwesifo sikashukela sohlobo 1 yisifo sokuzimela komzimba esidala ukuthi umzimba ubhubhise amaseli ku-pancreas akha i-insulin.

I-insulini yihomoni ekhombisa amangqamuzana akho egazi ukuthi athathe i-glucose, elawula amazinga kashukela egazini. Ngaphandle kwe-insulin eyanele, amazinga kashukela egazi angaphakama ngokwedlulele futhi abangele ukulimala kwesikhathi eside emzimbeni wakho.

Ngokwe-American Diabetes Association, ngo-2012 cishe zingu-18 000 izingane ezitholwe zine-type 1 diabetes.

Izimpawu zohlobo 1 ezinganeni

Izimpawu ezivame kakhulu zesifo sikashukela sohlobo 1 ezinganeni zifaka:

• ukoma okwengeziwe nendlala
• ukuncipha kwesisindo okungaqondakali
• ukuchama kaningi
• ukungaboni kahle

Ezinye izimpawu ezivamile zifaka:

• isicanucanu nokuhlanza
• ubuhlungu besisu
• ukukhathala nobuthakathaka
• umoya othelayo
• ukuphulukiswa kwesilonda esibi

Ngaphezu kwezimpawu ezingenhla, amantombazane amancane nawo angathola ukutheleleka okuphindaphindayo kwemvubelo.

Izingane

Uhlobo lwesifo sikashukela sohlobo 1 kungaba nzima ukuluxilonga ezinganeni nasezinsaneni ngenxa yokungakwazi kwazo ukuxhumana kahle nezimpawu zazo.

Ukushintshwa kwamanabukeni njalo osaneni lwakho kungabonisa ukwanda kokuchama, uphawu lwesifo sikashukela oluvamile.

Kwezinye izingane, ukuqubuka kwe-diaper okuphindaphindiwe okungapheli kungaba enye inkinga yesifo sikashukela sohlobo 1.

Ojahidada

Uma uqaphela ukuthi usana lwakho lumanzisa umbhede, ikakhulukazi ngemuva kokuqeqeshelwa izimbiza, lokhu kungaba uphawu lohlobo 1 lwesifo sikashukela.

Ukulahlekelwa yisisu okungazelelwe enganeni encane nakho kungaba uphawu lwesifo sikashukela esingatholakali futhi kufanele kubhekwane nodokotela wezingane ngokushesha okukhulu.

Izingane ezindala nentsha

Uma ingane yakho endala noma eyeve eshumini nambili isho noma yiziphi izimpawu ezingenhla, kufanele uziyise kudokotela.

Ezinganeni ezindala nasebusheni, ukuguquka kokuziphatha ngokweqile ngaphandle kwezinguquko ezijwayelekile zemizwa kungaba esinye isibonakaliso salesi simo.

Ukuxilongwa

Uhlobo lwe-1 sikashukela luvela kakhulu ebuntwaneni phakathi kweminyaka engu-4 kuya ku-7, no-10 kuya ku-14.

Uma udokotela wakho esola ukuthi ingane yakho ingahle ibe nohlobo 1 lwesifo sikashukela, bangasebenzisa izivivinyo eziningi zokuxilonga ukuqinisekisa.

Izivivinyo zokuthola uhlobo lwesifo sikashukela sohlobo 1 ezinganeni (nakubantu abadala) zifaka:

• Ukuzila ukudla kwe-plasma glucose. Lokhu kuhlolwa kwenziwa ngemuva kokuzila ukudla ubusuku bonke. Ngesikhathi sokuhlolwa, kudonswa igazi futhi kukalwa namazinga eglucose egazini. Uma amazinga eglucose egazi eyi-126 mg / dL noma ngaphezulu ekudonselweni kwegazi okuhlukile, isifo sikashukela siyaqinisekiswa.
• I-plasma glucose engahleliwe. Lokhu kuhlolwa akudingi ukuzila ukudla. Ngesikhathi sokuhlolwa, igazi likhishwa ngesikhathi esingahleliwe phakathi nosuku namazinga eglucose egazi ayalinganiswa. Uma amazinga eglucose egazi angama-200 mg / dL noma ngaphezulu, futhi izimpawu zesifo sikashukela sohlobo 1 zikhona, isifo sikashukela singaqinisekiswa.
• Ukuhlolwa kwe-A1C. Ukuhlolwa kwe-A1C kukala inani le-hemoglobin eglycated egazini, okuyi-hemoglobin ene-glucose enamathele kuyo. Ngoba isikhathi sempilo ye-hemoglobin cishe siyizinyanga ezi-3, lokhu kuhlolwa kunganikeza udokotela umbono wamazinga kashukela egazini ngokwesilinganiso sezinyanga ezintathu. Izinga le-A1C lamaphesenti angu-6.5 noma ngaphezulu likhombisa isifo sikashukela.
• Ama-autoantibodies e-Islet. Kuhlobo lwesifo sikashukela sohlobo 1, ukutholakala kwama-islet autoantibodies kukhombisa ukuthi umzimba unempendulo yesistimu yomzimba kumaseli we-islet kumanyikwe akhiqiza i-insulin. Yize lawa ma-autoantibodies engabangeli uhlobo lwesifo sikashukela sohlobo 1, akhonjisiwe njengophawu oluhle lwalesi simo.
• Amakhemikhali omchamo. Kwisifo sikashukela esingalawulwa, amazinga aphezulu ama-ketone anamazinga aphezulu eglucose egazi angaholela ku-ketoacidosis yesifo sikashukela, okuyisimo esisongela impilo. Ungahlola amazinga we-ketone ekhaya ngomugqa wokuhlola umchamo we-ketone. Uma ubona amazinga we-ketone ephakeme kunokujwayelekile, sekuyisikhathi sokuvakashela udokotela.

Ukwelashwa

Uma ishiywe ingalashwa, uhlobo lwesifo sikashukela 1 lungaholela ku-hyperglycemia, noma ushukela ophakeme wegazi, kanye ne-ketoacidosis yesifo sikashukela. Kubaluleke kakhulu ukuhlala phezu kwezinketho zokwelashwa ezitholakalayo uma ingane yakho inesifo sikashukela sohlobo 1.

I-insulin yansuku zonke

I-insulin iyindlela yokwelashwa edingekayo kohlobo 1 lwesifo sikashukela. Kunezinhlobo ezimbalwa ezahlukahlukene ze-insulin etholakalayo, kufaka phakathi:

• i-insulin ejwayelekile, esebenza okwesikhashana
• i-insulin esebenza ngokushesha
• i-insulin esebenza ngokushesha
• i-insulin esebenza isikhathi eside

Lezi zinhlobo ze-insulin ziyahlukahluka ekusebenzeni kwazo ngokushesha nokuthi imiphumela yazo ihlala isikhathi esingakanani. Khuluma nodokotela wakho ngenhlanganisela elungile ye-insulin yengane yakho.

Ukuphathwa kwe-insulin

Kunezindlela ezimbili zokufaka i-insulin emzimbeni: imijovo ye-insulin noma iphampu ye-insulin.

Imijovo ye-insulin ifakwa ngqo ngaphansi kwesikhumba, izikhathi eziningi ngosuku, ukuhlangabezana nezidingo ze-insulin lapho kudingeka. Iphampu ye-insulin ilawula ngokuzenzakalela i-insulin esebenza emzimbeni usuku lonke.

Ngaphezu kokuphathwa kwe-insulin, ukuqapha okuqhubekayo kwe-glucose (CGM) kungasetshenziswa ngokwehlukana noma njengengxenye yepompo ye-insulin. Nge-CGM, inzwa engaphansi kwesikhumba iyaqhubeka ilandelela amazinga eglucose egazi okuqapha. Ithumela izexwayiso lapho amazinga kashukela egazi ephezulu kakhulu noma ephansi kakhulu.

Ukuphathwa kokudla

Ukuphathwa kokudla kubaluleke kakhulu ekwelapheni uhlobo lwesifo sikashukela sohlobo 1.

Izincomo zokudla ezivame kakhulu zokuphathwa kohlobo 1 ukubalwa kwe-carbohydrate nesikhathi sokudla.

Ukubala ama-carbohydrate kuyadingeka ukuze wazi ukuthi ingakanani i-insulin okufanele uyiphathe.

Isikhathi sokudla singasiza futhi ukugcina amazinga kashukela egazini azinzile ngaphandle kokuthi ehle kakhulu noma aye phezulu kakhulu.

Kubalulekile ukwazi ukuthi abantu abanesifo sikashukela sohlobo 1 basengadla ama-carbohydrate. Kodwa-ke, ukugxila kufanele kube kuma-carbohydrate ayinkimbinkimbi ane-fiber eningi, ngoba i-fiber ibambezela ukumuncwa kwe-glucose emzimbeni.

Izithelo, imifino, nokusanhlamvu okuphelele yizinketho ezinhle ze-carbohydrate.

Ukuphathwa kwendlela yokuphila

Njengoba ingekho ikhambi okwamanje, thayipha isifo sikashukela sohlobo 1 yisimo esidinga ukuqashwa impilo yonke.

Uma ingane yakho inale nkinga, qiniseka ukuthi uhambisana nanoma yikuphi ukuhlolwa kwegazi nomchamo okudingekayo angakudinga.

Kufanele futhi ukhuthaze ukuvivinya umzimba njalo, okungasiza ekugcineni amazinga kashukela egazini ezinzile.

Kubalulekile futhi ukwazi ushukela wegazi wabo ngaphambi, ngesikhathi, nangemva kokuzivocavoca umzimba ukuze uqiniseke ukuthi awubi phansi kakhulu.

Amathiphu okubhekana nesimo

Ukuthola ukuxilongwa kohlobo 1 sikashukela kungaba yisikhathi esesabekayo kubo bobabili umzali nengane. Ukufinyelela ohlelweni lokusekelwa kungakusiza ukuthi ufunde izindlela zokubhekana nezempilo ezinempilo nezinye iziphakamiso zendlela yokuphatha lesi simo.

Ukuthola ukwesekwa okwengeziwe, abazali bangafinyelela ku:

• Ochwepheshe bezempilo yengqondo. Kungakhathaza ngokomzimba nangokomzwelo ukuhambisana nokwelashwa kohlobo lwesifo sikashukela sohlobo 1, ikakhulukazi njengomzali enganeni encane enalesi sifo. Ochwepheshe bezempilo yengqondo banganikeza isitolo esinempilo sokucindezeleka, ukukhathazeka neminye imizwa engahle ivele nokuba umzali wengane enohlobo 1.
• Abasebenzi bezenhlalakahle. Ukuphatha ukuvakashelwa odokotela, ukugcwaliswa kokugcwaliswa kwemithi kadokotela, nokunakekelwa kwansuku zonke okudingekayo kohlobo 1 sikashukela kungazizwa kukhungathekisa. Abasebenzi bezenhlalakahle bangasiza ukuxhuma abazali ngezinsizakusebenza ezingenza ukunakekelwa kwezokwelapha kohlobo lwesifo sikashukela kube lula.
• Abafundisa ngesifo sikashukela. Abafundisi besifo sikashukela bangabasebenzi bezempilo abagxile emfundweni yesifo sikashukela, kusuka ezincomweni zokudla kuya ekuphathweni kwezifo zansuku zonke nokuningi. Ukuxhuma nabafundisi besifo sikashukela kungasiza ukugcina abazali bazi ngezincomo nocwaningo lwalesi simo.

Ukuze uthole ukwesekwa okwengeziwe ngemuva kokuxilongwa, ingane yakho ingazuza ngokufinyelela ku:

• Abeluleki besikole. Abeluleki besikole bayihlelo elihle lokusekela izingane ezineminyaka isesikoleni, ikakhulukazi lezo ezibhekana nezimo zezempilo. Ezinye izikole zize zinikeze nokwelulekwa ngamaqembu, ngakho-ke hlola isikole sengane yakho ukuze ubone ukuthi yiziphi izinhlobo zezikhathi zamaqembu ezinikezayo.
• Amaqembu okusekela. Ngaphandle kwesikole, kunamaqembu okusekela wena nengane yakho eningawahlanganyela ndawonye mathupha noma online. Izingane ezinesifo sikashukela ziyinhlangano engenzi nzuzo enikeza imininingwane ngamakamu, izingqungquthela, neminye imicimbi ehlobene nesifo sikashukela engasiza ingane yakho.
• Ukungenelela kwangaphambi kwesikhathi. kukhombisile ukuthi kubantu abadala abanesifo sikashukela sohlobo 1, ukuxhaswa ngokomzwelo kungasiza ekuthuthukiseni amazinga e-A1C jikelele kanye nokuphathwa kwalesi simo. Kubalulekile ukubhekana nanoma yiziphi izinkinga zempilo yengqondo kusenesikhathi ezingase zihambisane nesifo sikashukela sengane yakho, njengokucindezeleka nokukhathazeka.

Ukubonana nodokotela nini

Uma ucabanga ukuthi ingane yakho ingaba nezimpawu zesifo sikashukela sohlobo 1, hlela i-aphoyintimenti nodokotela wokuhlola. Bazobuyekeza umlando wezempilo wengane yakho futhi basebenzise ezinye zezivivinyo zokuxilonga ezishiwo ngenhla ukuthola ukuthi ingane yakho inesifo sikashukela sohlobo 1.

Isifo sikashukela esingalawulwa singalimaza izitho futhi siholele ezinkingeni ezengeziwe, ngakho-ke kubalulekile ukuthola ukuxilongwa ngokushesha okukhulu.

Okubalulekile

Uhlobo lwe-1 sikashukela yisimo sokuzimela esivame ukuvela ebuntwaneni.

Izimpawu zesifo sikashukela sohlobo 1 ezinganeni zingafaka ukwanda kwendlala nokoma, ukwanda kokuchama, ukuphefumula okunuka izithelo, nokuningi.

Yize lungekho ikhambi lohlobo 1 lwesifo sikashukela, lingaphathwa nge-insulin, ukuphathwa kokudla, kanye nezinguquko zendlela yokuphila.

Uma ubona izinhlobo eziningana zesifo sikashukela enganeni yakho, hlela i-aphoyintimenti nodokotela ngokushesha okukhulu.