Siyini Isifo Sikashukela Esincane?

-Delile

• Izici ezinobungozi besifo sikashukela esibuhlungu
• Izimpawu zesifo sikashukela esibuhlungu
• Ukwelashwa kwesifo sikashukela esibuhlungu
• Iphampu ye-insulin engaphansi
• Ukuqapha okuqhubekayo kweglucose
• Ezinye izindlela zokwelashwa
• Umbono
• Ukuvimbela isifo sikashukela esibuhlungu
• Khuluma nodokotela wakho

Ukubuka konke

Isifo sikashukela iBrittle siyindlela enqala yesifo sikashukela. Lesi sifo sibizwa nangokuthi yi-labile diabetes, lesi simo sidala ukushintshashintsha okungalindelekile emazingeni kashukela egazini (i-glucose). Lokhu kushintshashintsha kungathinta ikhwalithi yakho yokuphila futhi kungaholela nasekubhedlela.

Ngenxa yentuthuko ekuphathweni kwesifo sikashukela, lesi simo asijwayelekile. Kodwa-ke, kungenzeka namanje kubantu abanesifo sikashukela. Kwezinye izimo, kuwuphawu lokuthi ushukela wegazi lakho awuphethwe kahle. Indlela engcono yokuvimbela isifo sikashukela esibuhlungu ukulandela uhlelo lokunakekelwa kwesifo sikashukela olwenziwe udokotela wakho.

Izici ezinobungozi besifo sikashukela esibuhlungu

Isici esikhulu sengozi yesifo sikashukela esibuhlungu sinesifo sikashukela sohlobo 1. Isifo sikashukela i-Brittle sivela ngokungajwayelekile kubantu abane-type 2 diabetes. Abanye odokotela bakubeka njengenkinga yesifo sikashukela, kanti abanye bakubheka njengohlobo oluthile lwesifo sikashukela sohlobo 1.

Uhlobo lwesifo sikashukela sohlobo 1 lubonakala ngamazinga kashukela egazi eguquguqukayo phakathi kokuphansi nokuphansi (i-hyperglycemia ne-hypoglycemia). Lokhu kubangela umphumela oyingozi "we-roller coaster". Ukushintshashintsha kwamazinga kashukela kungashesha futhi kungalindelekile, kubangele izimpawu ezinkulu.

Ngaphezu kokuba nesifo sikashukela sohlobo 1, ingozi yokuba nesifo sikashukela esibuhlungu iphezulu uma:

• ngabesifazane
• ukungalingani kwamahomoni
• zikhuluphele ngokweqile
• une-hypothyroidism (ama-hormone aphansi e-thyroid)
• baseminyakeni yama-20 noma engama-30
• ube nezinga eliphezulu lokucindezeleka njalo
• ube nokudangala
• unesifo se-gastroparesis noma se-celiac

Izimpawu zesifo sikashukela esibuhlungu

Izimpawu ezivamile zamazinga eglucose egazi aphansi noma aphezulu yizinkomba ezijwayelekile zesifo sikashukela esibuhlungu. Abantu abanesifo sikashukela sohlobo 1 noma sohlobo 2 bangathola lezi zimpawu lapho amazinga kashukela egazini evaliwe. Kodwa-ke, ngesifo sikashukela esibuhlungu, lezi zimpawu zenzeka futhi zishintshe njalo futhi ngaphandle kwesixwayiso.

Izimpawu zamazinga kashukela egazi aphansi kakhulu afaka:

• isiyezi
• ubuthakathaka
• ukucasuka
• indlala eyeqile
• izandla eziqhaqhazelayo
• ukubona kabili
• ikhanda elibuhlungu
• inkathazo yokulala

Izimpawu zamazinga aphezulu eglucose angafaka:

• ubuthakathaka
• ukoma okwengeziwe nokuchama
• izinguquko zombono ezinjengokungaboni kahle
• isikhumba esomile

Ukwelashwa kwesifo sikashukela esibuhlungu

Ukulinganisela amazinga kashukela egazini lakho kuyindlela eyinhloko yokuphatha lesi simo. Amathuluzi angakusiza wenze lokhu afaka:

Iphampu ye-insulin engaphansi

Inhloso enkulu yabantu abanesifo sikashukela esibuhlungu ukufanisa kangcono inani le-insulin abayitholayo nokuthi badinga malini ngesikhathi esithile. Yilapho kungena khona ipompo ye-insulin engaphansi kwesikhumba. Ithuluzi eliphumelela kakhulu lokulawula isifo sikashukela esibuhlungu.

Uphatha le mpompo encane ngebhande noma ephaketheni lakho. Iphampu linamathele kushubhu lepulasitiki elincanyana elixhunywe enalithini. Ufaka inaliti ngaphansi kwesikhumba sakho. Ugqoka lolu hlelo amahora angama-24 ngosuku, futhi luqhubeka lufutha i-insulin emzimbeni wakho. Kuyasiza ukugcina amazinga akho e-insulin azinzile, nawo asiza ukugcina amazinga akho e-glucose kwi-keel ethe xaxa.

Ukuqapha okuqhubekayo kweglucose

Ukuphathwa kwesifo sikashukela okujwayelekile kubandakanya ukuhlolwa kwegazi lakho njalo ukuze kuhlolwe amazinga akho kashukela, imvamisa izikhathi eziningana ngosuku. Nge-brittle diabetes, lokho kungahle kungabi ngokwanele ukugcina amazinga akho e-glucose elawulwa.

Ngokuqapha okuqhubekayo kwe-glucose (CGM), inzwa ibekwa ngaphansi kwesikhumba sakho. Le nzwa ithola amazinga e-glucose ezicutshini zakho futhi ingakuxwayisa uma la mazinga ephakeme kakhulu noma ephansi kakhulu. Lokhu kukuvumela ukuthi welaphe izingqinamba zoshukela egazini lakho ngokushesha.

Uma ucabanga ukuthi uhlelo lwe-CGM lungakusebenzela kahle, khuluma nodokotela wakho ukuthola okuningi.

Ezinye izindlela zokwelashwa

Isifo sikashukela iBrittle sivame ukuphendula kahle ekuphathweni ngokucophelela. Kodwa-ke, abanye abantu abanalesi sifo basenokushintshashintsha okukhulu koshukela wegazi yize belashwa. Ezimweni ezingavamile, laba bantu bangadinga ukufakelwa kwamanyikwe.

Ama-pancreas akho akhipha i-insulin ekuphenduleni i-glucose egazini lakho. I-insulini iyalela amaseli omzimba wakho ukuthi athathe i-glucose egazini lakho ukuze amaseli akwazi ukuyisebenzisela amandla.

Uma amanyikwe akho engasebenzi kahle, umzimba wakho ngeke ukwazi ukucubungula kahle i-glucose. Ucwaningo olushicilelwe kulo magazini lukhombise ukuthi ukufakelwa kwamanyikwe kunamazinga aphezulu empumelelo ekuphatheni isifo sikashukela esibuhlungu.

Ezinye izindlela zokwelapha ziyathuthuka. Isibonelo, amanyikwe wokufakelwa njengamanje asezivivinyweni zokwelashwa kuphrojekthi yokusebenzisana phakathi kweHarvard School of Applied Engineering kanye neYunivesithi yaseVirginia. Ama-pancre okufakelwayo uhlelo lwezokwelapha olwenza kungadingeki kuwe ukuphatha ngesandla ukuqapha kwakho i-glucose nomjovo we-insulin. Ngo-2016, i-Food and Drug Administration (i-FDA) yagunyaza i- “hybrid closed-loop system” amanyikwe okuhlola okuhlola izinga lakho le-glucose njalo ngemizuzu emihlanu, amahora angama-24 ngosuku, ikunikeze ngokuzenzakalela i-insulin njengoba kudingeka.

Umbono

Isifo sikashukela iBrittle uqobo asibulali, futhi ezimweni eziningi wena nodokotela wakho nikwazi ukusilawula ngempumelelo. Kodwa-ke, ushintsho olunzima kushukela wegazi lungaholela esibhedlela ngenxa yengozi yokuba nekhoma likashukela. Futhi, ngokuhamba kwesikhathi, lesi simo singaholela kwezinye izinkinga, njenge:

• isifo segilo
• Izinkinga zezindlala ze-adrenal
• ukudana
• ukuzuza kwesisindo

Indlela engcono yokugwema lezi zinkinga ukuvimbela isifo sikashukela esibuhlungu.

Ukuvimbela isifo sikashukela esibuhlungu

Yize isifo sikashukela esibuhlungu sinqabile, kusabalulekile ukuthatha izinyathelo zokuzivikela. Lokhu kuyiqiniso ikakhulukazi uma unezici zobungozi ezibalwe ngenhla.

Ukusiza ukuvimbela isifo sikashukela esibuhlungu, udokotela wakho angancoma ukuthi:

• gcina isisindo esinempilo
• bona owelapha ukuphatha ukucindezeleka
• thola imfundo ejwayelekile yesifo sikashukela
• bona i-endocrinologist (udokotela ogxile kusifo sikashukela nokungalingani kwamahomoni)

Khuluma nodokotela wakho

Isifo sikashukela i-Brittle asivamile, kepha uma unesifo sikashukela sohlobo 1, kufanele wazi izimbangela nezimpawu zaso. Kufanele futhi wazi ukuthi ukuqapha nokuphatha amazinga kashukela egazini lakho kuyindlela engcono yokuvimbela zonke izinkinga zesifo sikashukela, kufaka phakathi i-brittle diabetes.

Uma unemibuzo mayelana nokuthi ungasiphatha kanjani isifo sikashukela sakho, khuluma nodokotela wakho. Bangakusiza uqonde kabanzi ngesimo sakho futhi bakweluleke ngokuthi unamathela kanjani ohlelweni lwakho lokunakekelwa. Ukusebenza nodokotela wakho, ungafunda ukuphatha - noma ukuvimbela - isifo sikashukela esibuhlungu.