NGABE ISIFO SIKASHUKELA SIYAZUZWA NJENGEFA? - ISIFO SIKASHUKELA

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Ngokwemininingwane yokuqapha yezinhlangano zezempilo zomhlaba wonke, yisifo sikashukela esithola ukuzethemba ngokwengeziwe unyaka nonyaka njengomholi esibalweni sezinhlungu ezingamahlalakhona. Ngeshwa, indima ebalulekile ekusakazeni lesi sifo idlala isici sefa.

Yiziphi izingozi zokuthola isifo "esimnandi" esinjalo ngefa? Futhi kuthiwani uma ingane itholakala nesifo sikashukela?

Izinhlobo zesifo sikashukela

Okokuqala, kufanelekile ukusho i-typology yesifo sikashukela mellitus (DM). Ngakho-ke, ngokuya ngesigaba somhlaba, lesi sifo sihlukaniswe izinhlobo ezimbili:

Kuncike kuma-insulin (uhlobo I sikashukela). Kwenzeka ngokungabikho ngokuphelele kwe-insulin egazini noma ngamaphesenti amancane kakhulu esamba. Iminyaka ephakathi yeziguli yalolu hlobo lwesifo ifinyelela eminyakeni engama-30. Dinga ukuphathwa njalo kwe-insulin ikakhulukazi ngomjovo.
Ukungathembeli kwe-insulin (uhlobo II sikashukela). Ukukhiqizwa kwe-insulin kungaphakathi kwemikhawulo ejwayelekile noma ihaba ngokweqile, noma kunjalo, ukuthathwa njalo kwe-pancreatic hormone akudingeki. Isikhathi esiningi izibonakalisa ngemuva kweminyaka yobudala engama-30.

Kwezinhlobo ezimbili zesifo sikashukela i-mellitus, uhlobo lwe-1 oluvama emvamweni lwamacala ezinganeni.

Heredity kanye namaqembu ayingozi enkulu

Cishe njalo, isakhi sofuzo sidlala indima eqondile ekubonakala kwesifo sikashukela ezinganeni.

Izindlela zamafa ezifo zihlukile kakhulu. Ngakho-ke, ukunqunyelwa kwengane kwisifo sikashukela kusho kuphela ukuthuthukiswa kwalesi sifo ngokuzayo. Ukuqhubeka ngokuthe ngqo kwalesi sifo kuthonywa yizizathu eziningi.

Izici zobungozi ezifaka isandla kwisifo sikashukela zifaka:

ukuzalwa okuvela kumama ogulayo onesifo sikashukela;
ushukela wabazali bobabili;
isisindo somntwana ophakeme;
ukutheleleka njalo kwegciwane;
isifo se-metabolic;
ikhwalithi engeyinhle yokudla;
ukukhuluphala
imvelo ephikisayo;
ukucindezeleka okungapheli.

Kulezi zinhlobo ezimbili zesifo sikashukela, esifihlo kunazo zonke maqondana namafa luhlobo lwesifo sikashukela sokuqala, ngoba singadluliselwa ngesizukulwane. Ngaphezu kwalokho, ukuba khona kwezintambo ezi-2 ezihlotsheni eziseduze (abazala, odadewethu, izingane zakwabo, omalume) kukhulisa kakhulu ukubonakaliswa kwalesi sifo zisencane. Ngakho-ke, ifa likashukela elincike e-insulin ezinganeni nasebusheni liphakeme ngo-5-10% kunelabantu abadala.

Ukucaciswa kokukhulelwa onesifo sikashukela

Izinga lokuxakaxaka kanye nesibopho sokuzalwa kwengane ekutholakaleni isifo sikashukela kukhuphuka kaningi.

Kuyaqapheleka ukuthi ukuthinteka ngesifo sikashukela namuhla kuyinkinga evamile kakhulu futhi kudinga ukunakekelwa okufanele kowesifazane uqobo nodokotela bakhe (i-endocrinologist, i-obstetrician-gynecologist). Ngemuva kwakho konke, ukubonakaliswa okuncane kakhulu kokunganakwa kule ndaba kugcwele ukwephulwa okungathi sína kokubili ngesikhathi sokukhulelwa kanye nasekukhuleni kwengane. Ngakho-ke, ukuze kube nokuzala okuhle nokuzalwa kwengane enempilo, abazali abanesifo sikashukela kufanele ngokucophelela futhi kusengaphambili balungiselele umcimbi onjalo.

Ukuqaliswa kwezincomo ezilula kuzosiza ukunciphisa kakhulu ubungozi obukhona bokukhulelwa abanesifo sikashukela futhi kufake isandla enkambweni evamile yokuzalwa kwengane. Imisebenzi eyinhloko yesifo sikashukela kwabesifazane yile:

ukuqiniswa nokulawulwa okuqinile kwamazinga kashukela wegazi kungakapheli izinyanga eziyisithupha ngaphambi kokukhulelwa kwengane nangesikhathi sokukhulelwa - isilinganiso se-insulin kufanele sibe ngu-3.3-5,5 mmol / l esiswini esingenalutho kanye <7.8 mmol / l ngemuva kokudla;
ukunamathela ekudleni komuntu ngamunye, ekudleni nasekuzivocavoca;
ukulaliswa esibhedlela ngezikhathi ezithile kokuhlolwa kwezokwelapha kwesimo sempilo yowesifazane okhulelwe kanye ne-fetus;
ukwelashwa ngaphambi kokuqanjwa kwezifo ezikhona;
ukwenqaba ngesikhathi sokukhulelwa kusuka ezidakamizweni ezinciphisa ushukela nokushintshwa ku-insulin, noma ngabe uluhlobo luni lwesifo sikashukela;
ukuqapha njalo ngudokotela we-endocrinologist kanye ne-gynecologist.

Ngokuya ngalezi zeluleko, amathuba okuba nengane ephilile ngokuphelele makhulu impela. Kodwa-ke, umama wesikhathi esizayo kufanele akhumbule njalo ubungozi obonakalayo bokucacisa isimo sengane sesifo sikashukela uma ezakhele yena, umyeni wakhe noma umbuthano womndeni wakubo.

Ungayichazela kanjani ingane ngalesi sifo?

Uma iqiniso elingathandeki lesifo sengane nesifo sikashukela lenzekile, isenzo sokuqala sabazali esiyingxoxo esichazayo nengane.

Kubaluleke kakhulu njengamanje ukutshela ingane ngalesi sifo nokulinganiselwa kwaso ngendlela yokuphila evamile ngalesi sikhathi. Kufanele kukhunjulwe ukuthi izingane ngaleso sikhathi zithola ukucindezeleka okungokomzwelo okunamandla kakhulu kunabazali bazo. Ngakho-ke, umuntu akufanele enze isimo sabo sibe sibi kakhulu, eveza ngazo zonke izindlela ukukhathazeka kwabo nokwesaba okuhlukahlukene mayelana nokuxilongwa ngokuziphatha kwabo.

Ukuze ingane ibone kahle imininingwane efanele ngokugula kwayo futhi ivume ukufeza ngonembeza yonke imigomo "yombuso okhethekile", kufinyelela emjovo we-insulin nsuku zonke, kuyadingeka ukudala isimo senduduzo engokomzwelo ephezulu kuye, lapho ezizwa esekelwa ngokuphelele, eqonda futhi ethembekile ngokuphelele kulabo abasondele kuye abantu.

Ungesabi ukukhuluma ngokungagxili nengane yakho ngalesi sifo futhi uphendule imibuzo enomdla kuyo. Ngakho-ke awugcini ngokusondela enganeni yakho, kodwa futhi ufundise kuye umthwalo wemfanelo ngempilo yakho nokuphila okuqhubekayo.

Khumbula ukuthi uma ubheka irejimeni yesifo sikashukela efanelekile futhi ayinzima, noma unesifo sikashukela, ungaphila impilo ephelele nethokozisayo.

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