UKWELASHWA KWE-INSULIN NOKWELASHWA KOKUDLA EKWELAPHENI ISIFO SIKASHUKELA SOHLOBO 1

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Isifo sikashukela yisifo sohlelo lwe-endocrine esidala ukuphazamiseka okuqhubekayo komzimba. Inani leziguli emhlabeni wonke ezihlushwa isifo sikashukela sohlobo 1 lilokhu likhula njalo: odokotela bahlobanisa lesi simo nokushintsha kwendlela yokuphila yomuntu wanamuhla nohlobo lokudla kwakhe.

Isici esibaluleke kakhulu sohlobo 1 sikashukela ukukhula kwayo esemncane, okungaholela ekukhubazekeni, futhi kwesinye isikhathi kufushwe isikhathi sokuphila. Kungakho lesi sifo sidinga ukwelashwa okuphelele futhi cishe okuhlala njalo.

Cabanga izindlela eziphambili zokwelapha isifo sikashukela sohlobo 1:

ukwelashwa kwe-insulin
ukwelashwa kokudla
ukulungiswa kwendlela yokuphila.

Ukwelashwa kwe-insulin

Isici esibaluleke kakhulu se-pathogenesis sohlobo 1 sikashukela ukungabikho ngokuphelele kwe-insulin.

Ngakho-ke, ukusetshenziswa kwamalungiselelo we-insulin kuyingxenye ebaluleke kakhulu futhi eyinhloko yokwelapha.

Ukulungiselela kwe-insulin kunqunywa ngudokotela (isifo sikashukela noma i-endocrinologist) ngendlela yokuthi alingise ukugcinwa kwemvelo kwale-hormone kumuntu onempilo. Ukufeza lo mphumela, izimpumelelo zakamuva ze-pharmacology ziyasetshenziswa - amalungiselelo enzelwe ngofuzo we-insulin "yomuntu".

Kusetshenziswa izidakamizwa ze-insulin:

Isenzo se-Ultrashort;
Isenzo esifushane;
Isenzo esilinganiselwe;
Isenzo eside.

Imithi ibekwe ngokuhlanganiswa okuhlukahlukene, futhi ukubhekisisa nsuku zonke izinga le-glycemia emzimbeni kubalulekile. Odokotela bazama ukuthola "umthamo" wansuku zonke we-insulin bese ngemuva kwalokho basekela umthamo kule nkomba. Kuhlobo lwesifo sikashukela sohlobo 1, imijovo ye-insulin esebenza isikhathi esifushane iyadingeka kakhulu.

Izindlela zokuphatha i-insulin

Kunezindlela eziningi zokukhishwa kwe-insulin vials ukuphathwa kwe-subcutaneous usebenzisa ama-syringes alahlwayo, amapeni wesirinji, aqukethe i-insulin eyenziwe ngomumo yendawo ethile noma izinketho ezihlanganisiwe.

Izinhlobo ezithile zamalungiselelo e-insulin zinconywa ngokushesha ngaphambi kokudla ukuze kufakwe ushukela ngokuphelele ekudleni. Ezinye izinhlobo zezidakamizwa zidluliselwa kwabanesifo sikashukela ngemuva kokudla, ukuvivinya umzimba, noma ngezinye izikhathi ngokuya ngohlobo lokuthuthuka lokwelapha.

Amaphampu we-insulin, amadivaysi akhethekile enzelwe ukusiza inqubo yokwelapha nge-insulin ezigulini ezihlale zidinga imijovo yama-hormone, ziya ngokuya zithandwa. Amaphampu (ubukhulu bawo abukhulu kunesidlali se-MP3 noma iselula) axhumene nomzimba, ahlome ngohlelo lokufakwa futhi kwesinye isikhathi ahlanganiswa ne-glucometer ukuqapha amazinga kashukela.

Ukusetshenziswa kwalawa madivaysi kunikeza iziguli inkululeko yokuhlobene nokudla okwakheke ngokuqinile. Ngaphezu kwalokho, ukusebenzisa i-insulin usebenzisa iphampu kuyinqubo elula futhi engenakho ukuqonda ngaphezu komjovo ojwayelekile.

Isidingo sokuzithiba

Into yokwelashwa ebaluleke kakhulu kanye nesimo esidingekayo sokuvimbela izinkinga zesifo sikashukela ukuziqapha kweziguli phakathi nosuku.

Imbangela ejwayelekile yokuwohloka okungapheli kwesifo sikashukela sohlobo oluyi-1 ukucaciswa kokungagculisi kweziguli ngokweqile noma ukuntuleka kwemali yokusebenzisa kwayo.

Akuzona zonke iziguli eziqonda ukubaluleka kokulinganisa okujwayelekile kwezinga le-glycemic kanye nokulungiswa kwayo ngosizo lwe-insulin therapy.

Iningi lezinkinga kanye nezimo zokuncipha okubabazekayo bezingavinjelwa ngokulandela izeluleko zezokwelapha ngokulawulwa kwe-glycemic ekhaya. Ngokwengxenye le nkinga ingaxazululwa ngamaphampu we-insulin. Yize le mishini ibiza kakhulu futhi ingakakutholi ukusetshenziswa kabanzi ezweni lethu, okuhlangenwe nakho kwamanye amazwe kukhombisa ukuthi ingozi yokuthola i-glycemia kanye nezinkinga ezinkulu kakhulu zesifo sikashukela ezigulini ezisebenzisa amaphampu we-insulin sincishisiwe kakhulu.

Ukwelashwa kokudla kohlobo lwesifo sikashukela sohlobo I

Ukudla okunesifo sikashukela sohlobo 1 kungenye yezimo eziphambili zokwelashwa okuphumelelayo kwalesi sifo.

Ukudla kwesiguli kufanele kube nokulinganisela kumakhalori, kanye namaprotheni, amafutha ikakhulukazi ama-carbohydrate. Isici esiyisisekelo sokudla okunesifo sikashukela ukukhipha cishe ngokuphelele ama-carbohydrate angagaya ukudla kusuka kumenyu. Lokhu kufaka ushukela, uju, ufulawa kakolweni wephrimiyamu, i-confectionery noshokoledi. Akudingekile ukwenqaba ngokuphelele amaswidi, kepha ukufaka esikhundleni sikashukela kufanele kusetshenziswe ushukela.

Ukudla okulinganiselayo ngeke kugcine kuphela amandla omuntu onesifo sikashukela, kodwa kunganciphisa kakhulu inani lansuku zonke lezidakamizwa eziqukethe i-insulin.

Imihlahlandlela yokudla eyisisekelo yeziguli zohlobo 1 sikashukela:

Ukudla okwenziwe ngokweqile: Izikhathi ezi-5,6 ngosuku, ukungalambi (lokhu kungavusa ukwehla okubucayi kwamazinga kashukela kanye nemiphumela engeke iguqulwe ebuchosheni);
Kwimikhiqizo ye-carbohydrate, okujwayelekile cishe kungama-65% wevolumu yamandla ephelele yokudla;
Okunconyelwa kakhulu kubantu abanesifo sikashukela kukudla okumunca kancane amathumbu, i.e. ama-carbohydrate ayinkimbinkimbi nemifino ephezulu yefiber;
Amaprotheni ekudleni kwansuku zonke akufanele abe ngaphezu kwama-20%, amafutha - angabi ngaphezu kwe-15%.

Enye inhloso yokwelapha ukudla kwesifo sikashukela sohlobo 1, ngaphezu kokuxhasa i-carbohydrate esele, ukuvikela ukuthuthukiswa kwe ama-microangiopathies - izilonda zemithambo yegazi emicroscopic. Le pathology kungenzeka kakhulu kwabanesifo sikashukela futhi iholele ku-thrombosis, izicubu ze-necrosis kanye nokukhula kwengxaki eyingozi efana nonyawo lwesifo sikashukela.

Njengoba wonke amacala ohlobo lwesifo sikashukela sohlobo lokuqala engumuntu ngamunye, ukuthuthukiswa kokudla esimweni esithile esithile somtholampilo kuwumsebenzi wezokwelapha ochwepheshe.

Isidingo sansuku zonke sama-kilojoule sinqunywa ngobungako bokusebenza ngokomzimba, iminyaka yesiguli, ubulili bakhe nezinye izinto. Okokuqala, inombolo edingekayo yamayunithi esinkwa ibalwa, bese inani le-insulin lisuselwa ekuzwisaneni ngakunye kwe-hormone.

Izinkinga zengqondo ezigulini ezinesifo sikashukela sohlobo lokuqala

Kubantu abasha abakha inqwaba yeziguli ezinesifo sikashukela sohlobo 1, isici sokulashwa kwengqondo singabaluleke kakhulu. Isifo esingalapheki esihilela ukuzihlola nsuku zonke kwamapharamitha we-metabolic kanye nokuncika njalo ekuphathweni kwe-insulin, kungandisa izinkinga ezikhona kwengqondo kanye nokuvela kwama-pathologies amasha.

Ukudana, ukungakhathaleli, nobunzima bokuxhumana nontanga ezinganeni kanye nentsha ene-Type 1 sikashukela kuvame kakhulu ukwedlula kubantu jikelele.

Imvamisa, izinkinga zengqondo ziyimbangela yokuncipha kwemali okungapheli. Ngalesi sizathu, kanye nokwelashwa kokudla kanye nokwelashwa kwe-insulin, iziguli zidinga usizo lochwepheshe kwezengqondo kusuka kudokotela wezengqondo noma kudokotela wezengqondo.

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