Abazali bezingane ezinesifo sikashukela sohlobo 1 bazibuza ukuthi ngabe lokhu kugula okungathi sína kungalawulwa yini ngaphandle kwemijovo ye-insulin yansuku zonke. Umuthi osemthethweni uthi lokhu akunakwenzeka. Isikhathi sokuqothuka kwezingane sisheshe siphele, futhi asisenakukwenza ngaphandle kokuphathwa kwe-insulin yansuku zonke. Kodwa-ke, umkhuba ukhombisile ukuthi ukudla okune-carbohydrate ephansi kwenza ukuthi kudlule isikhathi eside kakhulu. Uma udlulisela ingane kulokhu kudla, khona-ke i-insulin ayikwazi ukumjova iminyaka eminingana, futhi mhlawumbe nayo yonke impilo yakhe kuze kube yilapho esegugile.
Iwebhusayithi yeDiabetes-Med.Com ikhuthaza ukudla okune-carbohydrate ephansi yokulawulwa kohlobo 1 nohlobo 2 sikashukela ezigulini ezikhuluma isiRussia. Lokhu kudla kuvumela abantu abanesifo sikashukela ukugcina ushukela wegazi ojwayelekile, njengakulabo abanempilo. Uma ushintsha ukudla kwengane yakho kusuka ezinsukwini zokuqala zesifo sikashukela sohlobo 1, unganweba i-honeymoon yakho, i-infinitum engahle ibe yimbi. Lokhu okulandelayo yingxoxo nomndeni ohambe ngale ndlela, futhi indodana yabo yaqhubeka isikhathi esingaphezu konyaka ngaphandle kwe-insulin. Odokotela bayavuma ukuthi abakaze babone into enjengayo ngaphambili. Kodwa-ke, abasheshi ukuguqula izindlela zabo zokuphelelwa yisikhathi ekwelashweni kwesifo sikashukela sohlobo 1 ezinganeni.
I-Kirovograd idolobha elisenkabeni ye-Ukraine enabantu ababalelwa ezinkulungwaneni ezingama-250. Umndeni [ususe igama ngesicelo sikaphapha], ohlala kuwo, ekuqaleni kukaDisemba 2013 kwaba khona okubi - indodana eneminyaka eyisithupha ubudala yaqala isifo sikashukela sokuqala. Ekuqaleni kwakukhona konke, njengawo wonke umuntu owayenakho - isimo esingathi sína kwengane, ushukela wegazi 12.7, ukunakekelwa kwezokwelapha okuphuthumayo, futhi lapho esibhedlela, i-hemoglobin ye-glycated yayicishe ibe yi-11%. Odokotela badubula ushukela, banquma imithamo ye-insulin ebekiwe, banikeza incwadi yokuhlolwa eKiev futhi badedelwa ekhaya.
Futhi-ke konke akuhambanga njengawo wonke umuntu. Ngosuku lwesithathu, elulame ukushaqeka kokuqala, inhloko yomndeni yachitha i-Intanethi. Ufunde konke ngokulandelana, kufaka phakathi iwebhusayithi yeDiabetes-Med.Com. Futhi ngosuku olulandelayo ingane yathunyelwa ekudleni okune-carbohydrate ephansi kakhulu. Umphumela wabonakala ngokushesha. Hhayi ukuthi bakwazile ukwenqaba imijovo ye-insulin, kodwa kwavela nesidingo sokuyikhansela. Ngoba lapho ukujova khona i-insulin uma ushukela wegazi ubambe i-4.0-5,5 mmol / l ...
Inhloko yomndeni ithumele umyalezo wokuqala ngosuku lwesithupha, lapho bebevele bezame ukudla okune-carbohydrate ephansi. Sasiqiniseka ukuthi wehlisa ushukela nokuthi odokotela bamelana naye ngokwezigaba. Kumaviki ambalwa alandelayo, uqhubeke nokuthumela imiyalezo ye-peppy. Ukudla okune-carbohydrate ephansi kusiza ngokumangazayo; ingane inoshukela i-4.0-5,5, imijovo ye-insulin ayidingeki. Qhubeka nokudla nomndeni wonke, funda ukupheka izitsha ezahlukahlukene ezimnandi. Umbono ngamakhono engqondo kanye nezimpawu zokuziphatha kodokotela unyakaze kakhulu ...
Ngemuva kwezinyanga ezi-3, ngo-Ephreli 2, 2014, kumazwana wokufakwa kwe- “Diabetesic ketoacidosis,” u-Ivan wabhala ukuthi ingane ithole i-acetone kumchamo, ekugxilweni okuphakathi. Kulokhu, azikho izimpawu ze-ketoacidosis, isimo sempilo sijwayelekile. Watshelwa ukuthi uma ulandela ukudla okunama-carbohydrate aphansi, khona-ke lokhu kuvamile, i-acetone yomchamo izoba ngaso sonke isikhathi. Kucatshangwa ukuthi lokhu akunangozi nakancane, ngoba izinso zomuntu zenzelwe isimo esinjalo. Asikho isenzo esidingekayo kuze kube yilapho ushukela wengane evamile.
U-Ivan ukucacisile ukuthi ushukela usemhle kakhulu - i-4.0-5.5, i-hemoglobin ye-glycated yehle yaba ngu-5.5%. Baqala ukumunisela kakhulu umntwana ngoketshezi - kanti i-acetone emchameni iyancipha, futhi kwesinye isikhathi imichilo yokuhlola iyakhombisa ukuthi ayitholakali nhlobo. Odokotela balule ukuthi ukondla izingane ezikhipha umsoco emzimbeni ukuze kususwe i-acetone, kepha abazali ngeke bakwenze lokhu. Ngo-Ephreli 10, 2014, umphathi wesiza wakhuluma nomndeni wakhe [wasusa igama lakhe ngokwesicelo sikapapa] ngeSkype. Ngezansi umbhalo ogciniwe wale ngxoxo. Imininingwane kungenzeka ithakazelise futhi ilusizo kubantu abadala nakubazali bezingane ezinesifo sikashukela sohlobo 1. Kukhona futhi imibono ngezansi kombhalo.
I-acetone kumchamo ngokudla okuphansi kwe-carbohydrate
- Into yokuqala engifuna ukuyibuza. Manje usufundile ukuthi ingane ine-acetone emchameni, futhi ngikubhalela ukuthi isazoqhubeka nokuba njalo. Uzokwenzenjani ngalokhu?
- Singeze amanzi amaningi, ingane yaqala ukuphuza, manje ayikho i-acetone. Namuhla sesiphinde sahlola, kepha asikazi umphumela okwamanje.
- Kuhlolwe kabusha ini? Igazi noma umchamo?
- Ukuhlaziywa kwe-urine kwephrofayili ye-glucosuric.
"Uphinde futhi wahlola lokho?"
- yebo
- Kungani?
- Okokugcina, ukuhlaziya kubonise izinzuzo ezimbili kwezintathu ku-acetone. Bafuna ukuhanjiswa futhi, futhi lokhu sikwenza ukuze singaphikisani nodokotela futhi.
- Ngakho-ke ngemuva kwakho konke, i-acetone kumchamo izoqhubeka nokuba khona, ngikuchazile.
- Manje ingane yaqala ukuphuza uketshezi oluningi, ngamuphekela izithelo eziyisithelo. Ngenxa yalokhu, ayikho i-acetone emchameni, okungenani imichilo yokuhlola ayenzi, yize namanje angazi ukuthi izivivinyo zizokhonjiswa ini.
- Ingabe unayo i-acetone emigqeni yokuhlola?
- Yebo, umucu wokuvivinya awusenzi nakancane. Phambilini, ubesabela okungenani okuncane, umbala opinki opipheme, kepha manje akasabeli nhlobo. Kepha ngiyabona ukuthi lapho nje ingane iphuza iziphuzo ezincane, khona-ke i-acetone ivela kancane. Uphuza uketshezi olwengeziwe - yilokho kuphela, akukho nhlobo i-acetone.
- Futhi kuvela ini i-acetone? Kumucu wokuvivinya noma empilweni?
- Kuphela emgqeni wokuhlola, asisakuboni. Akubonakali maphakathi nasesimeni sempilo yezingane.
- Ngabe uyakuqonda ukuthi i-acetone emigqeni yomchamo wokuhlolwa izodingeka ngaso sonke isikhathi? Futhi kungani ungesabi lokhu?
- Yebo, kunjalo, umzimba uqobo usuvele usushintshele ohlotsheni oluhlukile lokudla.
"Lokhu ngikubhalela kona ... Ngitshele, ingabe odokotela bayibonile le miphumela?"
- Yini?
- Ukuhlaziywa kwe-urine kwe-acetone.
- Waba yini omncane?
- Cha, ukuthi ukhona nhlobo.
- Ngokweqiniso, udokotela akazange akhathazeke ngalokhu, ngoba i-glucose yayingenamchamo. Kubo, lokhu akusaseyona inkomba yesifo sikashukela, ngoba asikho ushukela. Uthi, bathi, ukulungiswa komsoco, kungafakwa inyama, inhlanzi, udle iphalishi. Ngicabanga - yebo, nakanjani ...
"Ngabe uyaqonda ukuthi awudingi ukushintshela okusanhlamvu?"
- Yebo, asizukuya.
"Ngicabanga ukuthi bazoyifaka yini i-carbohydrate enganeni esikoleni ukuze i-acetone inyamalale." Kuzoba nabo. Nginovalo lokuthi lokhu kungenzeka.
- [Umama] Sizoya kuphela esikoleni ngoSepthemba. NgoSepthemba ngithatha iholide futhi bazoba semsebenzini inyanga yonke, ngivumelana nothisha. Ngicabanga ukuthi uthisha akayena udokotela, kwanele.
- Linda. Uthisha akanendaba. Ingane yakho ayifaki i-insulin, okungukuthi, uthisha akanazo izinkinga. Ingane izodla ushizi wayo wezinyama ngaphandle kwama-carbohydrate, uthisha uyisibani esikhanyayo. Kepha ake sithi kukhona umhlengikazi ehhovisi. Ubona ukuthi ingane ine-acetone emchameni wayo. Yize kukhona i-acetone encane futhi ingane ingezwa lutho, umhlengikazi uzoba ne-Reflex - anikeze ushukela ukuze le acetone ingekho.
- [Ubaba] Futhi uzobona kanjani?
- [Umama] Ngifuna ukubheka umphumela wokuhlaziywa esidlule namuhla. Mhlawumbe ngeke sikhombise i-acetone nhlobo. Ngemuva kwalokho, lapho bekucela ukuthi unikele umchamo kuphrofayili ye-glucosuric, sizoyinikela, kepha ngalolu suku sizoyinisela ingane ngetshezi ngesihle.
- Ekuhlaziyeni kwakho umchamo we-acetone, kwakukhona ama-ploses amabili kwezintathu. Lapho-ke kungahle kube khona okukodwa, kepha kungahle kube ...
- Kulungile, ngoba udokotela ngalokhu akazange aveze ukukhathazeka nakancane. Uthe ukulungisa ukudla, kepha ikakhulukazi ngalokhu akuzange kube buhlungu.
- Ukunikeze izeluleko ezibekwe emiyalweni yakhe: uma kukhona i-acetone - nikeza ama-carbohydrate. Ngeke ukwenze lokhu, futhi ubonge uNkulunkulu. Kepha omunye umuntu onenhloso enhle kakhulu uzothatha ingane yakho ayise esikoleni bese ethi, yithi, udle uswidi, amakhukhi noma okunye ukuze uthole le acetone. Lokhu kuyingozi.
- [Umama] Ngokuvamile, ukuba neqiniso, ngesaba kakhulu isikole, ngoba yingane, futhi ngeke ihlukaniswe ....
- Yini ngempela?
- Ukuthi angadla okuthile okungahambi kahle kwenye indawo. Sibe nesikhathi esisodwa lapho sasidla, sakwazi ngisho nokuntshontsha ekhaya. Ngemuva kwalokho saqala ukuphambukisela imenyu, samnika ama-walnuts, futhi ngandlela-thile wehlisa umoya.
- Kwakuyini lokhu? Uyifakile nini insulin, noma kamuva, washintsha nini ekudleni okuphansi kwe-carbohydrate?
- Sasiba ne-insulin izinsuku ezintathu kuphela. Siye esibhedlela ngoDisemba 2, sanikezwa insulin kusukela ngosuku lokuqala, samjova i-insulin kabili, ngaya esibhedlela naye ekudleni kwasemini. Ingane ngokushesha izizwa imbi, ukusabela kwe-insulin kunenkani.
"Ubenoshukela omningi nje, i-insulin ihlangana ngani nakho ..."
- [Umama] Yebo, saba nokuhlolwa kwegazi okusheshayo ke emtholampilo, ushukela wayengu-12,7 ngombono wami, Ngabe sengondla ingane ekhaya nge-pilaf futhi namanje ngahamba no-pilaf esibhedlela. Ngenxa yalokho, ushukela wagxumela ku-18.
- [Ubaba] Ngabe sengifunda ngicabanga - kwenzeka kanjani? Kungani ushukela 12 waba ngu-18?
- [Umama] Ngoba udle pilaf futhi vele sesifikile esibhedlela noshukela 18.
"Ngakho-ke, naphezu kwe-acetone, uyaqhubeka nokudla okuphansi kwe-carb?"
- Impela.
- Futhi odokotela abasebenzeki ngokukhethekile ukususa le acetone?
- Cha, udokotela wakhombisa ukungasebenzi.
Thayipha isifo sikashukela esingu-1 ezinganeni singalawulwa ngaphandle kwemijovo yansuku zonke ye-insulin, uma ushintshela ekudleni okune-carbohydrate kusuka ezinsukwini zokuqala zalesi sifo. Manje le nqubo itholakala ngokuphelele ngesiRussia, mahhala.
Ukudla kwengane enesifo sikashukela sohlobo 1 enkulisa kanye nesikole
- Okusho ukuthi, awukayanga esikoleni okwamanje, kepha hamba kuphela, kunjalo?
- Yebo, kuze kube manje sesilungiselela kuphela, futhi sinokulawulwa konke.
- Futhi kuya enkulisa?
- Ukusuka enkulisa ngokushesha samthatha.
- Lapho nje konke sekuqale?
- Yebo, sayithatha masinyane; akazange aye ngosuku enkulisa.
- Kungani?
- Ngoba bathi: ukudla okunikezwa enkulisa kulungele izingane ezinoshukela. Asivumi. Ayifaneleki nhlobo. Ngisho esibhedlela - ithebula le-9 - sinika i-compote noshukela.
- Lokho wukuthi, enkulisa ngeke uvume ukondliwa okudingayo?
- Cha, kunjalo, ukhuluma ngani ... Ngipheka ingane nsuku zonke ...
"Futhi-ke kufanele umgcine ekhaya?"
- Yebo, sigcina ekhaya, umkhulu ubambisene umshado, futhi ingane ihlala nathi ngokuphelele, sayithatha kuye enkulisa.
Yehlisa ushukela ube okwejwayelekile ngokwethu, bese kuba ngabangane
- Lokhu kudla kwakho - kusebenza kakhulu ... Umsebenzi wami unesifo sikashukela sohlobo 2. Nokho, yena akazange angilalele ekuqaleni. Uthi singaba ne-buckwheat, njll. Badla i-buckwheat - noshukela emva kwayo 22. Manje sebekudliwe ngokuphelele i-carbohydrate, futhi akakaze abe noshukela. Ekuqaleni wangibiza kakhulu. Umyeni wakhe uthathiwe, bathi, bazishayele ucingo, babheke ukuthi ngingathola leyo mikhiqizo noma le mikhiqizo. Ungilalele, manje manje badla ngokuphelele ngendlela ingane yethu edla ngayo.
"Ubanikeze ikheli lesiza?"
- Abanayo i-intanethi
- Yebo, ngiyabona.
"Abathuthukile kangako." Bahlela, vele, kepha laba ngabantu beminyaka yokuthatha umhlalaphansi, ngakho-ke akunakwenzeka. Kepha okungenani bangilalela futhi bayeka ngokuphelele ukudla okunconyelwa odokotela. Manje usenoshukela ongu-4-5, futhi lokhu kwenzeka ngendoda endala.
- Okusho ukuthi, awunasizungu ngokuphila, ngabe uyeluleka nabangane?
"Ngiyazama, kepha abantu abakulaleli ngempela."
"Ungakhathazeki ngalokhu." Kungani ukhathazekile ngabo? Uzikhathaza wena ...
"Siyakwenza lokho." Ngokuvamile sinomqondo wesiphetho. Sinomngani - thayipha isifo sikashukela kusukela ebuntwaneni. Angazi ukuthi ungasondela kanjani kuye usho lokho. Udla yonke into ngokulandelana, futhi akagcini nje ngokudla ... Akunakwenzeka ukuchaza kumuntu, yize ehlala ene-hypoglycemia futhi siyayibona.
"Umtshelile?"
- Cha, angikushongo okwamanje; okungenzeka, akunamsebenzi.
"Ungakhathazeki ngabo bonke." Ngubani ofuna - uyathola. Useshe kakhulu. Ake ungitshele? Iti unomngani wohlobo lwesifo sikashukela sohlobo 2. Ingabe uyena kuphela?
- Lona umuntu esimaziyo, futhi kusekhona intombazane esihlangane nayo esibhedlela. Ngifuna ukummemela ekhaya lami futhi ngikhombise konke. Kuze kube manje usekhulume kuphela, futhi unamathela kakhulu ekudleni okune-carbohydrate ephansi kakhulu.
"Abanayo i-Intanethi?"
- Yebo, abanayo ikhompyutha, ungena evela ocingweni. Ngibe nokuxhumana nesibhedlela, lapho siseKiev, ngahlangana nomama wasuka eLutsk. Ungicele nemininingwane.
Ungayiqeqesha kanjani ingane yakho ekudleni
- Umyeni wakuthola khona lapho, ngosuku lokuqala. Siye esibhedlela ngoMsombuluko, kwathi uma kuphela isonto sase siqale ukwenqaba i-insulin. Isikhathi sokuqala benqaba, ngoba lapho kufanele bafake khona i-insulin uma ingane inoshukela 3.9?
- [Ubaba] Bamphathisa i-borsch ngeklabishi, base befaka i-insulin, njengoba kulindelwe ngamazinga ezokwelapha, futhi ingane yaqala i-hypoglycemia. Kuze kufike lapho sathola ukuthi sinoshukela ongu-2.8 ngokuya nge-glucometer, okuthi kuyadlula.
- [Umama] Ingane yayisesimweni esibi kakhulu, ngangesaba kakhulu.
"Bengifuna ukubuza: ungithole kanjani-ke?" Yimuphi umbuzo, awukhumbuli?
- [UPapa] angikhumbuli, bengibheka yonke into ngokulandelana, bengipheqa i-Intanethi ngokugcwele emehlweni ami. Wahlala izinsuku ezintathu, efunda konke.
- [Umama] Njengoba sikutholile, manje awukhumbuli, ngoba ngaleso sikhathi asikwazanga nokucabanga, kodwa sakhala kuphela.
- Ubunenhlanhla ngempela, ngoba isiza asisanawo amandla, kunzima ukusithola. Ingane yakho izoziphatha kanjani esikoleni? Lapho, uyoba nenkululeko ethe xaxa kunamanje, nezilingo zizovela. Ngakolunye uhlangothi, omunye wabantu abadala uzozama ukumondla ukuze kungabikho i-acetone. Ngakolunye uhlangothi, ingane izozama okuthile ngokwakhe. Ucabanga ukuthi uzoziphatha kanjani?
- Siyethemba impela kuye, ngoba uzimisele futhi azimele. Ekuqaleni, wonke umuntu wayekujabulela ukukhuthazela kwakhe. Ezinye izingane zasekamelweni lesibhedlela zazidla ama-apula, ubhanana, amaswidi, futhi nje wayehlala lapho, wahamba ngebhizinisi lakhe futhi akazange asabele. Noma ukudla esibhedlela bekukubi kakhulu kunasekhaya.
"Ingabe wenqaba ngokuzithandela zonke lezi zinto ezinhle, noma wamphoqa?"
-Iqhaza lidlalwe iqiniso lokuthi wayegula kakhulu nge-insulin. Wakhumbula lesi simo isikhathi eside futhi wavuma konke, uma nje engeke afakwe i-insulin. Ngisho namanje wakhwela ngaphansi kwetafula, ezwa igama elithi "insulin." Ukuze ube muhle ngaphandle kwe-insulin, udinga ukuzibamba. Uyazi ukuthi uyakudinga. Ukudla okufanele - lokhu kungokwakhe, hhayi ubaba noma mina, kanye nokuzivocavoca umzimba.
- Kuzoba mnandi ukukubukela ekwindla, ukuthi konke kuhamba kanjani ngokwengeziwe, lapho eyothola inkululeko esikoleni ngokulandela umsoco.
"Sizozibonela thina futhi sikunikeze ithuba lokusibheka."
Ngabe abazali bezingane ezinesifo sikashukela bangahlangana kanjani nodokotela
"Ngabe ubatshele odokotela okuthile ngalo lonke leli khishi?"
"Abafuni ngisho nokulalela." E-Kiev, ngabhala kancane, kepha ngasheshe ngabona ukuthi akunakwenzeka ukusho lokhu nhlobo. Bangitshele lokhu: uma umkhiqizo unyusa ushukela enganeni, khona-ke akufanele wenqabe lo mkhiqizo nganoma iyiphi indlela. Thaya insulin engaphezulu, kepha yondla ingane.
- Kungani?
- [Umama] Angiqondi.
- [Ubaba] Udadewethu ungudokotela wezingane uqobo, umuthi, futhi nakhu lapho besiqalekisa ngolaka ezinsukwini zokuqala. Uveze ukuthi kungekudala sizoshintsha i-insulin. Sisikhuthaze ngomqondo wokuthi bathi unengane yesifo sikashukela futhi unendlela eyodwa - yokuthola i-insulin.
- Ngandlela thile, uqinisile, kungenzeka ngemuva kwesikhathi, kepha sethemba okungcono kakhulu. Umbuzo obalulekile: ingabe uzokondla ingane yakho ngemikhiqizo engekho emthethweni ngokuzenzela kwayo? Akudingeki ukhathazeke ngalokho akucindezela ngakho, kepha ngesimo lapho eyondla khona ingane uqobo.
- Lokhu ngeke kwenzeke, ngoba bahlala kwesinye isimo.
- Bakutshele ukuthi uthathe izivivinyo futhi ubakhombise udokotela kaningi, akunjalo?
- Kanye ngenyanga, iya kudokotela futhi uthathe i-hemoglobin ye-glycated njalo ezinyangeni ezi-3.
- Ingabe uya kudokotela ngaphandle kokuhlolwa? Vele uhambe futhi konke?
"Yebo, ukuhamba nje."
"Futhi kwenzekani lapho?"
- Kwenzekani - kulalele, kubukeka, kubuziwe. Udlani? Ngabe uzizwa kanjani Ngabe ugijimela ethoyilethi ebusuku? Ngabe ufuna amanzi? Awuzizwa yini kabi? Ingane ihlala futhi ingazi ukuthi izothini ngamanzi, ngoba ngokuhlukile ngiyiphoqa ukuba iphuze. Ukudla kwamaprotheni - kusho ukuthi udinga uketshezi oluningi. Futhi manje akazi ukuthi athini. Ukusho ukuthi angiphuzi noma ukusho ukuthi ngiphuza kakhulu yiphi impendulo eyiyo? Ngiyifundisa - ndodana, usho njengoba injalo. Futhi mayelana nokuthi ngimondla kanjani ... Babuza ukuthi umondleni? Ngiyaphendula - ngondla wonke umuntu: amasobho, ama-borscht, imifino ...
- Wenze kahle. Okusho ukuthi, kungcono ukungagxili ngale khishini lonke, akunjalo?
- Cha, abafuni ngisho nokulalela noma yini. Umyeni wami izinsuku zokuqala zahlanya ngokuphelele. Ngemuva kwakho konke, udokotela kumele abe nokucabanga okuguquguqukayo, kepha akukho lutho. Angikwazi ukukholisa udadewethu uqobo. Kepha umphumela oyinhloko kithina. NgoDisemba nyakenye, i-hemoglobin ye-glycated yengane yayingu-9.8%, yabe isidlula ngoMashi - kwavela ukuthi iba ngu-5.5%.
Ukuhlolwa nokukhubazeka kwesifo sikashukela sohlobo 1
"Ngeke usaya esibhedlela esibhedlela manje, akunjalo?"
- UNope.
- Kuyacaca ukuthi awuyidingi. Umbuzo uwukuthi, ingabe odokotela bakuphoqa ukuthi ngezikhathi ezithile uye esibhedlela noma cha?
- Bangakwazi nje ukuphoqa labo abakhubazekile. Abazange basinike ukukhubazeka, ngakho-ke abakwazi ukusiphoqa ukuthi siye esibhedlela. Ngasiphi isisekelo?
- Ukukhubazeka kunikezwa kuphela labo abanemiphumela. Hhayi nje thayipha isifo sikashukela esingu-1, kodwa nezinkinga.
- Cha, bawunika masinyane wonke umuntu olimaza i-insulin.
"Ngomusa kakhulu ..."
- Njengoba iKiev ingazange ibeke i-insulin kithi, asinakho ukukhubazeka. UKnut uthe: ingane enjalo ukuthi kuyihawu ukumnikeza i-insulin. Basibuka isonto lonke. Sasingenayo i-insulin mahhala ekudleni okunotha okune-carbohydrate. Kepha noma kunjalo, udokotela uthi akakwazanga ukuthola ukuthi yisiphi isikhathi sosuku lokugcona kwe-insulin encane.
- Ukukhubazeka ngokuvamile kuyinto enhle, bekungeke kulimaze ukuba nakho.
- Yebo, nathi sicabange ngakho.
"Ngakho-ke ukhulume nabo lapho."
- Ngokuya kudokotela wethu?
- Yebo, yebo. Akekho osho ukuthi ingane idinga ukuhlela ukugxuma kushukela ukunquma i-insulin, nokunye. Kepha ukuvuma - kungaba kuhle kuwe, ngoba kunikeza inani elifanele lezinzuzo. Bengicabanga ukuthi ukukhubazeka kunikezwa kuphela labo abanemiphumela yesifo sikashukela. Futhi uma uthi banikeza wonke umuntu ngokulandelana ...
"Yebo, bayinike khona lapho, futhi bebezokwenzela." Ukube besingazange siye eKiev, ngabe sikhubazekile. Manje bengingeke ngiye eKiev, ngazi engikwaziyo manje. Ngenxa yokungondleki esibhedlela, saba nesonto elinzima.
Ukulawula isifo sikashukela sohlobo loku-1 enganeni ngaphandle kwemijovo yansuku zonke yangempela. Kepha udinga ukulandela umbuso ngokuqinile. Ngeshwa, izimo zokuphila azinegalelo kulokhu.
Ukuzivocavoca uhlobo 1 sikashukela ezinganeni
-Siphumelele isivivinyo se-GAD antibody test eKiev [lokhu kungumaka wokubhujiswa kwe-autoimmune amaseli we-pancreatic beta, akhona ezigulini eziningi ezinesifo sikashukela sohlobo 1]. Futhi ngonyaka sihlela ukukuphinda futhi lokhu kuhlaziya.
- Kungani?
- Okokuqala, sizonikela nge-C-peptide. Uma kuvela ukuthi iphakeme kunamanje, kuzoba nengqondo ukubheka ama-antibodies futhi - kuningi, kuncane noma inani elifanayo elisele.
"Uyazi, manje akukho okungenziwa ukubathonya." Asazi ukuthi kungani beqhamuka. Kungaba uhlobo oluthile lwamagciwane noma ukungabekezelelani kwe-gluten. Uyazi ukuthi yini i-gluten?
- Yebo, yebo.
- UGluteni yiprotheni etholakala kukolweni nokunye okusanhlamvu. Kunokusikisela ukuthi abanesifo sikashukela abakakubekezeleli, futhi lokhu kubangela ukuhlaselwa kwamasosha omzimba kumanyikwe.
- [Ubaba] Nginenye imininingwane. Okungukuthi, ukuthi ukusabela akwenzeki ku-gluten, kodwa ku-casein - iprotheni yobisi lwenkomo.
- Yebo, kanti namaphrotheni obisi nawo akhona, lesi sihloko senombolo 2 ngemuva kwengilazi. Okusho ukuthi, ngokweqiniso, ungahlanganisa ukudla okune-carbohydrate okuphansi nokudla okungenayo i-gluten-and-casein enganeni. Kepha yonke le mibono isabhalwa nge-pitchfork.
"Kodwa ungazama."
"Yebo, kepha kunama-hemorrhoids amaningi." Uma namanje wenqaba ushizi, khona-ke ukudla kuzoba nzima ngokwengeziwe ukukulandela.
- Asizenqabeli ushizi. Senza izivivinyo zomzimba. Umlobi uZakharov ubhala ukuthi uma isilinganiso soshukela wegazi nsuku zonke singaphansi kuka-8.0, khona-ke ungasebenza nomuntu. Cindezela ukuhlaselwa kwe-autoimmune ngokuzivocavoca kwe-aerobic - futhi amaseli we-beta aqala ukukhula futhi. Manje sengifaka nokuzivocavoca ngokuphefumula eStrelnikova. Babulala amasosha omzimba alimazayo.
- Konke lokhu kubhaliwe nge-pitchfork emanzini. Uma umuntu ethola indlela yokwelapha isifo sikashukela sohlobo 1, uzokwamukela uMklomelo kaNobel ngokushesha. Siyazi nakanjani ukuthi ukudla okuphansi kwe-carbohydrate kwehlisa ushukela. Kepha luvelaphi uhlobo lweshukela 1 - asinalwazi. Kwenziwa ukuqagela nje okuthile. Uvivinya izivivinyo, kepha ungabi namathemba aphezulu ngalokhu.
- Uma sigcina ukudla okune-carbohydrate ephansi, singadla ngale ndlela impilo yethu yonke.
- Yebo, kufanele kuhlale kunjalo, lapho konke kwenziwa. Udinga nje ukuchazela ingane ukuthi kungani kungafanele udle ukudla okwenqatshelwe. Lapho nje usudla i-bun ethile, isirinji le-insulin lilele eceleni kwethu.
- Yebo, yonke into isesiqandisini sethu.
- Well, kuhle. Ngiyabonga ngokufuna ukwazi kuwe manje, ngifundile. Angicabangi ukuthi abakho abanesifo sikashukela banesimo esibi se-Intanethi eKirovograd.
- Yebo, abangane bethu abanayo, kwenzeka.
"... ngakho kunzima kakhulu kimi ukuya kubo." Siyabonga ngengxoxo, izosiza kakhulu isiza. Sisazokhulumisana futhi sibhalelane, akekho olahlekile.
"Futhi ngiyabonga."
- Sicela ungahlukani nezithelo zezithelo, nazo zinama-carbohydrate, zinikeze kangcono itiye le-herbal.
- Sonke siyahlola, ushukela awukhuphuki.
- Okusuka kwizithelo namajikijolo, ama-carbohydrate ayagaywa futhi ancibilike emanzini. Isalayisha i-pancreas, noma ngabe isasebenza.
- Kuhle, ngiyabonga.
- Ngiyabonga, mhlawumbe ingxoxo yethu yanamuhla - kuzoba yibhomu lolwazi.
Iziphetho
Ngakho-ke, ingane nezihlobo zayo baphila isikhathi esimnandi somshado, benoshukela ojwayelekile ngokuphelele futhi akukho imijovo ye-insulin nhlobo. Abazali bathi ayikho yezingane ezinesifo sikashukela sohlobo 1 ezazilele nengane yazo esibhedlela engenalutho olunje. Bonke abantu abasha abanesifo sikashukela badla ngendlela ejwayelekile, futhi akekho noyedwa owakwazi ukuyeka ukujova i-insulin, yize izincwadi ziphawula ukuthi lokhu kwenzeka kaningi ngesikhathi sokudana.
Umndeni [ususe igama ngesicelo sikaphapha] ujabule kakhulu ngemiphumela yokudla kwe-carbohydrate ephansi. Yize kunokwesaba kwe-acetone emchameni, ngeke ziguqule amaqhinga okwelashwa.
UDkt Bernstein uphakamisa ukuthi ukusebenzisa ukudla okune-carbohydrate engaphezulu kungandisa isikhathi sezithandani ngaphandle kokujova i-insulin yesifo sikashukela sohlobo 1 amashumishumi eminyaka, noma ngisho nempilo yonke. Asithembe ukuthi lokhu kuyenzeka. Siyaqhubeka nokubheka isimo.
Inhloko yomndeni izama ukuzama ukwelashwa nge-Type 1 sikashukela ngokuzivocavoca. Ngiyakungabaza lokhu. Akekho umuntu okwazile ukufakazela ukuthi noma yimuphi umsebenzi ngokomzimba uvimba ukuhlaselwa kwe-autoimmune kumaseli we-pancreatic beta. Uma umuntu ephumelela ngokungazelelwe, ngicabanga ukuthi umklomelo kaNobel uqinisekisiwe kumuntu onjalo. Kunoma ikuphi, into esemqoka ukuthi ingane ingehli ekudleni okune-carbohydrate ephansi, esesivele sazi ngokuqinisekile ukuthi iyasiza. Ngale ndlela, ukuqala isikole kuyingozi enkulu. Ekwindla, ngizozama ukuxhumana nomndeni wami futhi ukuthola ukuthi bazophila kanjani. Uma ufuna ukubhalisela izindaba nge-e-mail, bhala amazwana kulokhu noma enye incwadi, ngizokwengeza ikheli lakho ohlwini lokuposa.
