Isifo sikashukela ezinganeni: izimpawu, ukuxilongwa, ukwelashwa, ukuvikela

Ezimweni eziningi ezinesifo sikashukela, ungagcina ushukela ojwayelekile ngaphandle kwemijovo yansulin nsuku zonke. Thola ukuthi ungayenza kanjani.

Ingane enesifo sikashukela sohlobo 1 igcina ushukela ojwayelekile ngenxa yokulandela ukudla okufanele. Akunasidingo sokujova i-insulin nsuku zonke.

Ama-pancreas, abenziwe buthaka yisifo sikashukela, abakwazi ukubhekana nomthwalo wama-carbohydrate. Ngakho-ke, ushukela uyenyuka. Emva kwezinye izinsuku ezingama-3, umama wengane wayeka ukugcwalisa idayari nokuxhumana ku-Skype. Cishe ayikho into angazigabisa ngayo.

Ukuvimbela

Ayikho i-prophylaxis yesifo sikashukela ezinganeni efakazele ukusebenza ngempumelelo. Namuhla akunakwenzeka ukuvikela lokhu kugula okungathi sína. Akukho ukugoma, amaphilisi, ama-hormone, amavithamini, imikhuleko, imihlatshelo, uzungu, i-homeopathy, njll. Usizo ezinganeni zabazali abanesifo sikashukela sohlobo loku-1, ukuhlolwa ngofuzo kungenziwa ukuthola ingozi. Ungathatha nokuhlolwa kwegazi kuma-antibodies. Kepha noma ama-antibodies etholakala egazini, awukwazi ukwenza lutho ukuvikela lesi sifo.

Uma omunye wabazali, abafowethu noma udadewenu egula isifo sikashukela sohlobo 1 - cabanga ngokushintsha wonke umndeni ekudleni okune-carbohydrate kusengaphambili, ukuze uvikeleke. Lokhu kudla kuvikela amaseli we-beta ekubhujisweni amasosha omzimba. Kungani lokhu kwenzeka namanje akwaziwa. Kepha kunomphumela, njengoba izinkulungwane zabanesifo sikashukela sezikubonile.

Njengamanje, ososayensi basebenza ekwakhiweni kwezindlela ezisebenzayo zokuvimbela isifo sikashukela ezinganeni. Enye indawo ebalulekile - bazama ukugcina bephila beyingxenye yamangqamuzana e-beta ezigulini ezisanda kutholakala. Ukuze wenze lokhu, udinga ukuvikela ngandlela thile amaseli we-beta ekuhlaselweni amasosha omzimba. Uma ingane yakho ihlolwe engozini enkulu yokuhlolwa kwezakhi zofuzo noma inama-antibodies egazini lakhe, ingamenywa ukuthi ibambe iqhaza ezivivinyweni zokwelashwa. Lokhu kufanele kuphathwe ngokucophelela. Ngoba izindlela ezintsha zokwelashwa nokuvimbela ososayensi abahlangabezana nazo zingalimaza kakhulu kunokuba zinhle.

• Indaba yomndeni. Uma ingane inomunye wabazali bayo, abafowabo noma odadewabo onesifo sikashukela esincike ku-insulin, khona-ke usengozini enkulu.
• Isakhi sofuzo. Ukuhlolwa ngofuzo kungenziwa ukuthola ingozi. Kepha le yinqubo ebizayo, futhi okubaluleke - ayinamsebenzi, ngoba azisekho izindlela ezisebenzayo zokuvimbela.

• Ukutheleleka ngegciwane - kuvame ukudala ukuqala kwesifo sikashukela sohlobo 1. Amagciwane ayingozi - Epstein-Barr, Coxsackie, rubella, cytomegalovirus.
• Ukwehla amazinga ka-Vitamin D egazini. Ucwaningo luqinisekisa ukuthi amavithamini D anciphisa amasosha omzimba, anciphise nengozi yesifo sikashukela esincike ku-insulin.
• Ukwethulwa kuqala kobisi lwenkomo ekudleni. Lokhu kucatshangelwa ukwandisa ubungozi besifo sikashukela sohlobo 1.
• Amanzi okuphuza angcoliswe ngama-nitrate.
• Ukuqala kusenesikhathi ukuloba ingane ngemikhiqizo yokusanhlamvu.

Izici ezinobungozi kakhulu zesifo sikashukela sohlobo 1 azikwazi ukuqedwa, kepha ezinye zilawulwa ngabazali. Musa ukushesha ukuqala ingane. Kunconywe ukuthi kuze kube izinyanga eziyisithupha ingane kufanele idle ubisi lwebele kuphela. Ukondla okwenziwe ngamakhemikhali kucatshangelwa ukwandisa ubungozi besifo sikashukela esincike ku-insulin, kepha lokhu akukaze kufakazelwe ngokusemthethweni. Nakekela ukuhlinzeka ngamanzi okuphuza ahlanzekile. Ungazami ukudala indawo oyinyumba ukuvikela ingane yakho kumagciwane - akusizi ngalutho. I-Vitamin D inganikezwa kuphela ngesivumelwano nodokotela, ukweqisa kwayo ngokweqile akulungile.

Ukuxilonga

1. Ngabe ingane inoshukela?
2. Uma i-glucose metabolism ikhubazekile, manje uluhlobo luni lwesifo sikashukela?

Uma abazali noma udokotela eqaphela izimpawu zikashukela ezichazwe ngenhla, khona-ke udinga ukukala ushukela nge-glucometer. Lokhu akudingekile ukukwenza esiswini esingenalutho. Uma ingekho imitha kashukela wekhaya, thatha ukuhlolwa kwegazi elabhoratri likashukela, esiswini esingenalutho noma ngemuva kokudla. Funda ushukela wegazi lakho. Qhathanisa nabo imiphumela yokuhlaziya - futhi konke kuzocaca.
Ngeshwa, ezimweni eziningi, abazali abazinaki lezo zimpawu kuze kube yilapho umntwana efa. Kufika i-ambulensi. Odokotela abaneso eliqeqeshiwe banquma i-ketoacidosis yesifo sikashukela nezindlela zokuvuselela. Futhi-ke kusele kuphela ukunquma ukuthi hlobo luni lwesifo sikashukela. Kulokhu, kuthathwa ukuhlolwa kwegazi kuma-antibodies.

Ukuthola ukuthi hlobo luni lwesifo sikashukela isiguli esinaso sibizwa ngokwesayensi ukuze senze “ukuxilongwa okuhlukanisa” phakathi kohlobo 1 nesifo sikashukela se-2, kanye nezinye izinhlobo zesifo. Uhlobo II ezinganeni emazweni akhuluma isiRussia aluvamile. Ngokuvamile kutholakala kwintsha eyeqile ngokweqile noma enkuluphele, eneminyaka eyi-12 noma ngaphezulu. Izimpawu zalesi sifo ziyanda kancane kancane. Uhlobo lokuqala oluvame kakhulu ukubangela izimpawu ezibuhlungu ngaso leso sikhathi.

• kuya kumaseli eziqhingi zaseLangerhans;
• glutamate decarboxylase;
• to tyrosine phosphatase;
• ukuze insulin.

Baqinisekisa ukuthi amasosha omzimba ahlasela amaseli we-pancreatic beta. Ngohlobo 2 sikashukela, la ma-antibodies awekho egazini, kepha kuvame ukuba nezinga eliphakeme lokuzila ne-insulin ngemuva kokudla. Futhi, ngohlobo lwesibili, izivivinyo enganeni zibonisa ukumelana ne-insulin, isb., Ukuzwela kwezicubu ezenzweni ze-insulin kuncishisiwe. Ezigulini eziningi ezinesifo sikashukela sohlobo 2, lesi sifo sitholakala ngenxa yokuhlolwa kwegazi nomchamo ngesikhathi sokuhlolwa ngenxa yezinye izinkinga zempilo. Futhi, umthwalo wefa ungaba yisizathu sokuhlolwa (ukuhlolwa kwezokwelashwa) uma umzimba weglucose uphazamiseka kwesinye sezihlobo eziseduze

Cishe i-20% yabasakhulayo abanesifo sikashukela sohlobo 2 bakhala ngokoma kakhulu, ukuchama kaningi, ukunciphisa umzimba. Izikhalazo zabo ziyahambisana nezimpawu ezijwayelekile zesifo sikashukela sohlobo 1. Ukwenza kube lula kodokotela ukuthola ukuthi hlobo luni lwesifo, ithebula elilandelayo lizosiza.

• isisindo somzimba - ukukhuluphala noma cha;
• ama-antibodies egazini;
• umfutho wegazi uphezulu noma uvamile.

Ama-acanthosis nigricans ayizindawo ezikhethekile ezimnyama ezingaba phakathi kweminwe nezinzwane, izinqe, kanye nangemuva kwentamo. Lokhu kuwuphawu lokumelana ne-insulin. I-acanthosis nigricans ibonwa kuma-90% wezingane ezinesifo sikashukela sohlobo 2, futhi akuvamile ukuba nesifo sikashukela sohlobo 1.

Ukwelashwa

Ukwelashwa kwesifo sikashukela ezinganeni kuyisilinganiso sikashukela wegazi kaningana ngosuku, imijovo ye-insulin, ukugcina idayari, ukudla okunempilo nokuvivinya umzimba njalo. Udinga ukulawula lesi sifo nsuku zonke, ngaphandle kwekhefu ngempelasonto, amaholide noma amaholide. Emavikini ambalwa, ingane nabazali bayo bayahlangenwe nakho. Ngemuva kwalokho, zonke izindlela zokwelapha azithathi imizuzu engu-10-15 ngosuku. Futhi sonke isikhathi ungahola indlela yokuphila ejwayelekile.

Thatha iqiniso lokuthi isifo sikashukela esatholakala ebuntwaneni sinaphakade. Kungenzeka ukuthi maduze nje kube khona ukwelashwa okuzokuvumela ukuthi uyeke ukudla kanye nemijovo ye-insulin yansuku zonke. Kepha uma lokhu kwenzeka - akekho owaziyo. Namuhla, ama-charlatans kuphela anganikeza ikhambi lokugcina lengane yakho kwisifo sikashukela. Bayenga abazali ngemali yabo - akukubi kangako. Njengomphumela wokusetshenziswa kwezindlela zokunyanga, inkambo yalesi sifo ezinganeni iba mandundu kakhulu - lokhu kuyinhlekelele yangempela. Kusadingeka siphilele inguquko ekwelashweni kwesifo sikashukela. Futhi kufiselekayo ukuthi kuze kube manje ingane ayizivezi izinkinga ezingenakuphikwa.

Ingane iyakhula futhi ikhule, izimo zempilo yakhe ziyaguquka. Ngakho-ke, ukwelashwa kuvame ukushintshwa, futhi ikakhulukazi, imithamo ye-insulin namamenyu kufanele icaciswe. Uma ingane yakho inesifo sikashukela, zama ukuqonda izindlela zokulwa nalesi sifo esibi kakhulu kune- "average" endocrinologist. Odokotela kufanele bafundise abazali bezingane ezigulayo, kodwa ngokuzijwayeza abakwenzi lokhu. Ngakho-ke funda ngokwakho - funda iwebhusayithi yeDiabetes-Med.Com noma izinsiza zoqobo zolimi lwesiNgisi lukaDkt Bernstein. Bhala imininingwane yansuku zonke kudayari. Ngenxa yalokhu, kungekudala uzoqonda ukuthi ushukela osegazini wengane uziphatha kanjani, usabela kanjani kumijovo ye-insulin, ukudla okuhlukahlukene kanye nokuzivocavoca komzimba.

Ukulawulwa kweshukela

Udinga ukukala ushukela okungenani izikhathi ezi-4 ngosuku, noma kaningi kakhulu. Lokhu kusho ukuthi kwesinye isikhathi kufanele ubhoboze iminwe yakho bese usebenzisa imali ebalulekile kumachilo wokuhlola wemitha. Okokuqala, funda ukuthi ungayihlola kanjani imitha yakho ngokunemba. Ngemuva kwalokho qiniseka ukuthi ithuluzi lakho linembile. Musa ukusebenzisa i-glucometer eqambe amanga, noma ngabe imivimbo yokuhlola ishibhile, ngoba lokhu kuzokwenza konke ukwelashwa kungasebenzi. Musa ukonga kwimichilo yokuhlola, ngakho-ke akudingeki ukuthi uye ekwelashweni kwezinkinga.

Kufanele wazi ukuthi ngaphezu kwama-glucometer, kukhona amadivaysi okubhekwa ngokuqhubekayo kwe-glucose. Zigqokwa ibhande njengepompo le-insulin. Isiguli sikashukela sihlala nomshini onjalo. Inaliti ifakwa ngokuqhubekayo emzimbeni. Inzwa ikala ushukela wegazi njalo ngemizuzu embalwa futhi idlulise idatha ukuze uyihlele. Amadivayisi wokuqapha okuqhubekayo kwe-glucose anikeza iphutha elikhulu. Ngakho-ke, azinconywa ukusetshenziswa uma uzama ukulawula lesi sifo kahle enganeni. Amamitha kashukela egazi elijwayelekile anembe kakhudlwana.

Izilinganiso zikashukela ezijwayelekile yiyona kuphela indlela ephumelelayo yokulawula ushukela ezinganeni. Bhala phansi kudayari isikhathi sokulinganiswa ngakunye, umphumela owutholile kanye nezimo ezihambisana nakho - ukuthi udlani, malini nokuthi uluhlobo luni lwe-insulin olwalwenzekile, kwakunjani umsebenzi womzimba, izifo ezithathelwanayo, nengcindezi.

Ungasebenzisi ulwazi olugcinwe kwimemori yemitha, ngoba izimo ezihambisanayo aziqoshwa lapho. Gcina idayari, ungabi lazy! Zama ukuthatha igazi ukuthola izilinganiso hhayi kwiminwe, kodwa kusuka kwezinye izindawo esikhunjeni.

Idivaysi yokuqapha ngokuqhubekayo ushukela ngokuhlanganiswa nephampu ye-insulin - izofana ne-pancreas yokufakelwa. Manje amadivaysi anjalo ayakhiwa, kepha awakangeneli kumkhuba owandile. Bhalisela i-Diabetes-Med.Com e-mail ukuze uqhubeke nezindaba. Musa ukubamba ungene kumadivayisi amasha, imithi, izinhlobo ze-insulin, lapho nje zivela emakethe. Linda okungenani iminyaka engama-2-3 kuze kube lapho ihlolwa ngumphakathi obanzi wesifo sikashukela. Musa ukwenza ingane yakho into yokuhlolwa okungathandeki.

Imijovo ye-Insulin

Noma ngubani onesifo sikashukela sohlobo 1 udinga imijovo ye-insulin ukuvikela ukufa. Ngeshwa, uma uthatha i-insulin ngomlomo, ama-enzyme asesiswini ayayibhubhisa. Ngakho-ke, okuwukuphela kwendlela yokuphatha ephumelelayo ngokusebenzisa umjovo. Ezinye izinhlobo zikashukela zehlisa ushukela ngokushesha, kepha ziyeke ukusebenza ngemuva kwamahora ambalwa. Abanye basebenza kahle amahora angama-8- 24.

Ukwelapha isifo sikashukela nge-insulin yingcebo yolwazi. Uzodinga ukufunda izindatshana ngokucophelela izinsuku eziningana ukuze uzitholele. Ungawujova umthamo ofanayo we-insulin ngaso sonke isikhathi, kodwa lokhu akukuvumeli ukuthi usilawule kahle lesi sifo. Udinga ukufunda ukubala umthamo ofanele ngaphambi komjovo ngamunye ngokusho kwezinkomba zoshukela wegazi nokudla. Kunezingxube ezenziwe ngomumo zezinhlobo ezahlukene ze-insulin. UDkt Bernstein akancomi ukusetshenziswa kwabo. Futhi, uma unikezwe i-Protafan insulin mahhala, kungcono ukushintshela kuyo uye e-Levemir noma kuLantus.

I-Insulin Syringes, I-Syringe Pens, ne-Pumps

Imvamisa, ama-syringes akhethekile noma amapeni wesirinji asetshenziselwa imijovo ye-insulin. Ama-insulin ama-insulin anenaliti ezikhethekile ezacile ukuze umjovo ungabangeli buhlungu. Ipeni lesirinji lifana nepeni le-ballpoint ejwayelekile, kuphela ikheji layo ligcwele i-insulin, hhayi uyinki. Uma udlulisele ingane yakho ekudleni okuphansi kwe-carbohydrate, ungayifaki ngepeni le-insulin. Ngisho neyunithi elilodwa le-insulin lingaba phezulu kakhulu. I-insulin izodinga ukuthi ihlanjululwe. Yikhiphe epeni ungene ethangini lokuthambisa, bese ufaka i-insulini ehlanganisiwe nesirinji.

Iphampu ye-insulin iyithuluzi elilingana neselula. Empompini kunesigcini esine-insulin kanye nomshini wokulawula ngogesi. Ishubhu esobala ivela kuyo, ephela ngenaliti. Idivayisi igqoke phezu kwebhande, inaliti igxunyekwe ngaphansi kwesikhumba esiswini futhi isilungisiwe. Iphampu lenzelwe ukuletha i-insulin kaningi ezingxenyeni ezincane ezilungele isiguli. ENtshonalanga, amaphampu e-insulin ajwayele ukusetshenziswa ukulawula isifo sikashukela ezinganeni. Noma kunjalo, la madivayisi abiza kakhulu. Uma kuqhathaniswa nesirinji evamile, zinokubi okunye. Funda isihloko esithi "I-Insulin Pump: Okuhle Nezinzuzo" ngemininingwane engaphezulu.

Ukwelashwa mahhala kwe-insulin

Ukwelapha izingane ngaphandle kwe-insulin kusihloko esithandwa kakhulu ngabazali abanengane yabo esanda kugula. Ngabe isifo sikashukela esingu-1 singalashwa ngaphandle kwe-insulin? Amahemuhemu athi umuthi kudala wasungulwa ozokwelapha isifo sikashukela ezinganeni nakubantu abadala kuze kube phakade. Iningi labazali bezingane ezigulayo likholelwa emibonweni yokubopha uzungu. Bakholelwa ukuthi iziphathimandla ziyalazi ikhambi lesimangaliso sikashukela we-autoimmune, kodwa zifihle.

Ngokusemthethweni, ikhambi lomlingo alikabikho. Awekho amaphilisi, ukuhlinzwa, imithandazo, ukudla okuluhlaza, i-bioenergy, noma ezinye izindlela zokwelapha zenza ukuthi abantu abanesifo sikashukela benqabe imijovo ye-insulin. Kodwa-ke, uma usidlulisela isiguli ngokushesha ekudleni okune-carbohydrate ephansi, khona-ke isikhathi saso sokwakheka kwezingane singandiswa kakhulu - izinyanga eziningi, iminyaka eminingana, kanye nakuthi ngokwempilo.

UCharlatans uthembisa ukwelapha isifo sikashukela enganeni ngaphandle kwe-insulin

Ukuze ingane enesifo sikashukela sohlobo 1 ingaphila kahle noshukela wegazi ojwayelekile ngaphandle kwemijovo yansuku zonke, kufanele inamathele ngokuqinile ekudleni okune-carbohydrate ephansi. Ngokucabanga okukhulu, lokhu kudla kuzogcina ushukela uzinzile kungabi ngaphezulu kuka-4-5,5 mmol / L. Kodwa-ke, ukudla kufanele kubhekwe ngokuqinile. Awusoze udle izithelo, futhi ngisho nokunye, okunye ukudla okungavunyelwe. Lokhu kunzima kaningi esigulini nakwamanye amalungu omndeni.

Ukudla okune-carbohydrate ephansi kakukweneli ukwenqaba imijovo ye-insulin ezinganeni nakubantu abadala asebevele benomlando omude wohlobo lwesifo sikashukela 1 futhi kamuva abafunda ngale ndlela yokwelashwa. Ezigulini ezinjalo, kwehlisa umthamo wansuku zonke we-insulin ngezikhathi ezi-2-7, kuqinise ushukela wegazi futhi ngaleyo ndlela kuthuthukise inkambo yesifo. Uma isifo sikashukela siqhubeka nokudla okune-carbohydrate ngokushesha ngemuva kokuqala kwesifo, khona-ke i-honeymoon yakhe ihlala izinyanga eziningi, iminyaka eminingana, noma ngisho nempilo yonke. Kunoma yikuphi, udinga ukukala ushukela izikhathi eziningana nsuku zonke. Kuzofanela nokuthi ufake umjovo we-insulin ngesikhathi somkhuhlane kanye nezinye izifo ezithathelwanayo.

Umsebenzi womzimba

Wonke umuntu udinga ukuvivinya umzimba njalo. Izingane ezinesifo sikashukela - ngisho nangaphezulu. Ukuzivocavoca kuphatha isifo sikashukela sohlobo 2, kepha akuqedi imbangela yesifo sohlobo 1. Ungazami ukumisa ukuhlaselwa kwe-autoimmune kumaseli we-pancreatic beta ngomsebenzi womzimba. Kodwa-ke, imfundo yezomzimba ithuthukisa ikhwalithi yempilo. Izifundo zomdanso kanye nohlobo oluthile lwezemidlalo luzohlomula. Zama ukuzijwayeza naye.

Kubantu abanesifo sikashukela sohlobo olubi, ukusebenza ngokomzimba kunomphumela oyinkimbinkimbi kushukela wegazi. Imvamisa kuyayehlisa, futhi umphumela ungazwakala emahoreni ayi-12 ukuya kweyi-10 ngemuva kokuqeda kokusebenza. Kodwa-ke, kwesinye isikhathi ukusebenza komzimba okubukhali kwandisa ushukela. Kunzima ukuzivumelanisa nalokhu. Lapho udlala ezemidlalo, udinga ukukala ushukela nge-glucometer kaningi kunokujwayelekile. Noma kunjalo, imfundo yokuvivinya umzimba iletha izinzuzo eziningi ngaphezu kokuhlupheka. Ngaphezu kwalokho, uma kungenzeka ukulawula ushukela enganeni kahle ngokudla okune-carbohydrate ephansi, ngokuvamile ngaphandle kwemijovo ye-insulin noma ngemithamo yayo ephansi.

Amakhono wabazali

Abazali bezingane abanesifo sikashukela banesibopho saso. Ukunakekela kudinga isikhathi esiningi nomzamo. Ukuqeqesha umuntu kusuka ngaphandle ukuba akungenele esikhundleni akunakuphumelela. Ngakho-ke, omunye wabazali kungadingeka abe nezingane ngaso sonke isikhathi.

Uhlu lwamakhono abazali okudingeka bawafunde:

• Khomba izimpawu bese uthatha izinyathelo eziphuthumayo zezinkinga ezinzima: i-hypoglycemia, ushukela ophakeme kakhulu, i-ketoacidosis;
• Kala ushukela wegazi nge-glucometer;
• Bala umthamo ofanele we-insulin, kuya ngokusebenza koshukela;
• Ukunikeza imijovo ye-insulin ngaphandle kobuhlungu;
• Yondla ukudla okufanele, mkhuthaze ukuba alandele isidlo;
• Gcina umsebenzi wokuzivocavoca, uhlanganyele ngokuhlanganyela emfundweni yomzimba;
• Yakha ubudlelwano nothisha bezikole nokuphatha;
• Yenza kahle esibhedlela lapho ulashwa isifo sikashukela noma ezinye izifo.

Izinkinga ezinkulu zesifo sikashukela sohlobo 1 ezinganeni zikashukela (i-hyperglycemia, i-ketoacidosis), ushukela ophansi (hypoglycemia) kanye nokuphelelwa ngamandla komzimba. Enganeni ngayinye, izimpawu zokuphazamiseka okubangelwa kakhulu ziveza ngezindlela ezihlukile. Ezinye izingane ziba ezibulalayo, ezinye ziyacasuka, zibe nomunyu futhi zibe nolaka. Yiziphi izimpawu ezejwayelekile zengane - abazali kufanele bazi, nawo wonke umuntu akhuluma naye phakathi nosuku, ikakhulukazi abasebenzi besikole.

Isikhathi Sokuqothula (Ukuxoshwa)

Lapho isiguli esinesifo sikashukela sohlobo 1 siqala ukuthola imijovo ye-insulin, lapho-ke isimo sayo sezempilo siba ngcono kakhulu ngemuva kwezinsuku noma amasonto ambalwa. Lokhu kubizwa ngokuthi isikhathi se-honeymoon. Ngalesi sikhathi, izinga likashukela egazini lingajwayelekile ngokwejwayelekile kangangokuba isidingo se-insulin siyanyamalala ngokuphelele. Ushukela wegazi ugcinwa uvamile ngokujwayelekile ngaphandle kwemijovo ye-insulin. Odokotela bahlala bexwayisa izingane nabazali bazo ukuthi isikhathi sezithandani asikho isikhathi eside. I-honeymoon akusho ukuthi isifo sikashukela selaphekile. Lesi sifo sancipha okwesikhashana.

Uma, ngemuva kokuxilongwa, ingane isishintshela ngokushesha ekudleni okuphansi kwe-carbohydrate, khona-ke isigaba se-honeymoon sizohlala isikhathi eside. Ingatamba iminyaka eminingana. Ngokwe-theory, i-honeymoon inganwetshwa impilo yonke.

Ingane yesifo sikashukela esikoleni

Njengomthetho, emazweni akhuluma isiRussia, izingane ezinesifo sikashukela ziya esikoleni esivamile. Lokhu kungaba yinkinga kubona, nakulabo abasondelene nabo. Bazali kufanele nikhumbule ukuthi:

• othisha cishe abafundile ngesifo sikashukela;
• Izinkinga zakho ezikhethekile, ukubeka ngokubumnene, abanasithakazelo kakhulu;
• ngakolunye uhlangothi, uma kwenzeka into embi enganeni, abasebenzi besikole banesibopho, ngisho nesigebengu.

Uma ukhetha isikole esijwayelekile, futhi usebenzise indlela “yeklabishi nokunamathela” kubasebenzi baso, khona-ke abazali kungenzeka bakwazi ukuqinisekisa ukuthi konke kuvamile ngengane yesifo sikashukela esikoleni. Kepha ukwenza lokhu, kuzofanela uzame, bese ngaso sonke isikhathi ukulawula isimo, ungasivumeli ukuba sidlule.

Bazali kudingeka baxoxe ngesimo leso kusenesikhathi nothisha wekilasi, uthishanhloko, ngisho nabo bonke othisha abafundisa ingane yabo. Uthisha wezemfundo yomzimba kanye nomqeqeshi wesigaba sezemidlalo ufanele ukunakwa ngokukhethekile uma uya kula makilasi.

Ukudla okunempilo kanye nemijovo ye-insulin

Indaba ebalulekile ngukudla komsoco endaweni yokudlela yesikole, kanye nemijovo ye-insulin ngaphambi kokudla. Abasebenzi beCanteen kufanele bazi ukuthi hlobo luni lokudla ingane yakho okungakunikeza nokuthi yikuphi okungenakukwazi ukukuthola. Into esemqoka ukuthi yena uqobo kumele azi futhi azizwe "esikhunjeni sakhe" ukuthi ilimaza kanjani imikhiqizo enqatshelwe kuye.

Yenza uhlelo oluphuthumayo lwengane yakho esikoleni, kanye nasendleleni eya nokubuya esikoleni. Kuthiwani uma isikhwama sokudla sivalwe ekilasini? Yini okufanele yenziwe uma ofunda nabo behleka? Ungene endaweni ephakeme? Ulahle ukhiye wakho efulethini?

Kubalulekile ukuthi ingane ithole izintshisekelo kuyo. Zama ukuthuthukisa amakhono akhe. Kuyinto engathandeki ukwenqabela ingane ukuthi idlale ezemidlalo, ivakashele ama-safari, ama-mugs, njll. Kulesi simo ngasinye, kufanele ibe nohlelo lokuthi ingavikela kanjani i-hypoglycemia noma isheshe imise izimpawu zayo.

Izimo eziphuthumayo zesikole

Musa ukuncika kakhulu kothisha nomhlengikazi wesikole. Ingane eneminyaka yobudala yesikole kufanele iqeqeshelwe ukuzinakekela. Wena naye kufanele nicabange ezimweni ezahlukahlukene kusengaphambili futhi nithuthukise uhlelo oluzokwenza. Ngaso leso sikhathi, umsebenzi oyinhloko ukumisa i-hypoglycemia ngesikhathi, uma kwenzeka, ukuvikela ukulahlekelwa ukwazi.

Izingane ezinesifo sikashukela kufanele ngaso sonke isikhathi zibe nezingcezu ezimbalwa zikashukela noma ezinye amaswidi adonswa ngokushesha. Iziphuzo ezimnandi nazo ziyafaneleka. Lapho ingane iya esikoleni, amaswidi kufanele abe emaphaketheni ejantshi, ijazi, umfaniswano wesikole, nenye ingxenye yephothifoliyo.

Ukuxhashazwa kwezingane ngaphezu kontanga obuthakathaka futhi olungavikeleki kuyinkinga. Izingane ezinesifo sikashukela zisengozini yokuba ne-hypoglycemia enzima ngenxa yokuxineka, ukulwa, futhi uma ofunda nabo befihla isikhwama semibhalo esine-amaswidi agodliwe. Kubalulekile ukuba abazali baqiniseke ukuthi uthisha wemfundo yezingane yabo uyanele.

Ingane kufanele iqonde kahle ukuthi ngezimpawu zokuqala ze-hypoglycemia, kudingeka ithole futhi idle noma iphuze okuthile okumnandi. Lokhu kumele kwenziwe ngokushesha, khona kanye ngesikhathi sesifundo. Kumele aqiniseke ukuthi uthisha ngeke amjezise ngalokhu, futhi abafundi afunda nabo ngeke bahleke.

Izingane ezinoshukela omningi wegazi zivame ukuba nesifiso sokuchama, futhi ngenxa yalokho zivame ukucela indlu yangasese ekilasini. Abazali kumele baqiniseke ukuthi othisha bazobona lesi simo ngokujwayelekile nangokuthula bathule ingane. Futhi uma kunokuhlekwa kusuka kwabafundi ekilasini, khona-ke kuyamiswa.

Lesi isikhathi esihle sokukhumbuza futhi: Ukudla okune-carbohydrate ephansi kusiza ukugcina ushukela wegazi ojwayelekile onesifo sikashukela, futhi kunciphise ukugqama kokuguquguquka kwawo.Ama-carbohydrate amancane ingane enesifo sikashukela ayoba nayo, izinkinga ezimbalwa ayoba nazo. Kubandakanya, asikho isidingo sokuvame ukugijimela ethoyilethi ekilasini. Mhlawumbe uzokwazi ukukwenza ngaphandle kwemijovo ye-insulin, ngaphandle kwalapho kubanda.

Izinkinga zesifo sikashukela ezinganeni

Isifo sikashukela yisifo esiyingozi ngenxa yezinkinga zaso. Izinkinga nge-glucose metabolism ziphazamisa ukusebenza cishe kwazo zonke izinhlelo emzimbeni. Okokuqala, inhliziyo nemithambo yegazi eyondlayo, kanye nohlelo lwezinzwa, amehlo nezinso, kulimele. Uma isifo sikashukela singalawulwa kahle, khona-ke ukukhula nokukhula kwengane kuvinjelwe, i-IQ yayo iyancipha.

Izinkinga zesifo sohlobo loku-1 ziba khona uma ushukela wegazi uphakama ngokuqinile noma ugxuma ubuyela emuva naphambili. Nalu uhlu olufushane lazo:

• Isifo senhliziyo. Ingozi ye-angina pectoris (ubuhlungu besifuba) ikhudlwana kaningi, ngisho nasezinganeni. Emncane, i-atherossteosis, ukushaya kwenhliziyo, unhlangothi, kanye nomfutho wegazi ophakeme kungenzeka.
• I-Neuropathy - ukulimala kohlelo lwezinzwa. Ukwehla ushukela wegazi kuphazamisa ukusebenza kwezinzwa, ikakhulukazi emilenzeni. Lokhu kungadala ukudinwa, izinhlungu, noma okuphambene nalokho, ukulahleka kokuzwa ezinyaweni.
• I-Nephropathy ilimaza izinso. Kukhona ama-glomeruli ezinso ahlunga imfucuza egazini. I-LED yonakalisa lezi zinto zokuhlunga. Ngokuhamba kwesikhathi, ukwehluleka kwezinso kungaqhamuka, kudayilize noma ukufakelwa kwezinso kuzodingeka. Lokhu akwenzeki ebuntwaneni nasebusheni, kodwa sekuvele lapho eneminyaka engama-20 kuya kwengama-30 kungenzeka.
• I-retinopathy iyinkimbinkimbi yombono. Ukulimala emithanjeni yegazi ekhulisa amehlo kungenzeka. Lokhu kubangela ukuchitheka kwamehlo, ingozi eyengeziwe yama-cataralog kanye ne-glaucoma. Ezimweni ezinzima, abanesifo sikashukela baba izimpumputhe.
• Izinkinga zomlenze. Kukhona ukuphazamiseka kokuzwa kwezinzwa ezinyaweni, kanye nokuwohloka kokujikeleza kwegazi emilenzeni. Ngenxa yalokhu, noma yimuphi umonakalo emilenzeni awuphulukisi kahle. Uma banegciwane, lingadala i-gangrene, futhi kuzodingeka banqunywe. Ebusheni nasebusheni, lokhu ngokuvamile akwenzeki, kepha ukushuba ezinyaweni - kuyenzeka.
• Isimo esibi sesikhumba. Ezigulini, isikhumba sengozini yamagciwane kanye nesikhunta. Kungakhenketha futhi kukhanye.
• I-Osteoporosis Amaminerali ahlanzwa amathambo. Amathambo abuthakathaka angadala izinkinga ngisho nasebusheni nasebusheni. I-Osteoporosis ebudaleni kungenzeka kakhulu.

1. Uma isifo sikashukela silawulwa ngokucophelela, izinkinga azikhuli;
2. Ukugcina ushukela wegazi kuvamile kulula uma ulandela ukudla okune-carbohydrate ephansi.

Izinkinga ze-vascular (sekwephuzile) zesifo sikashukela ezinganeni azivamile. Ngoba abanaso isikhathi sokukhula esikhathini esifushane sezifo. Noma kunjalo, ingane enesifo sikashukela sohlobo 1 noma uhlobo 2 idinga ukuhlolwa minyaka yonke - ukubheka ukuthi izinso zayo zisebenza kanjani futhi uma kukhona ubunzima obubonayo.

Uma kuvela izinkinga, odokotela banquma imishanguzo bese benza nezinqubo ezahlukahlukene. Ngokwezinga elithile, konke lokhu kusiza ukubambezela ukuwohloka kwempilo. Kepha isilinganiso esihle kakhulu sokwelapha nokuvikela izingqinamba ukufinyelela nokugcina ushukela wegazi ojwayelekile.

Linganisa ushukela wakho kaningi nge-glucometer - futhi uqiniseke ukuthi ukudla okune-carbohydrate eningi kuyasiza, kepha olinganiselayo alwenzi.

Azikho ezinye izindlela ezinganikeza ikota eyodwa yemiphumela umphumela weglucose onamanani ajwayelekile. Uma isiguli sikwazi ukuphatha ushukela wegazi lakhe eduze kwesejwayelekile, izinkinga eziningi zikashukela ziyanyamalala. Noma kulimala kakhulu izinso nemithambo yegazi yamehlo kuyadlula.

Uma abazali nengane uqobo benesifiso sokuvimbela izinkinga, bazozama ukuthola isinxephezelo esihle ngalesi sifo. Indlela enhle yokwenza lokhu ukudla izakhamzimba ezinciphile ezinoshukela. Kufanele adle ukudla okugcwele amaprotheni, amafutha emvelo anempilo kanye nefayibha.

Ukuvakashela kwe-Ophthalmologist minyaka yonke

Ngokushesha nje lapho sekutholakele ukuxilongwa kwezifo, ingane kufanele iyiswe kudokotela wezifo zamehlo ukuze ayohlolwa. Ngokuzayo, isikhathi sesifo sikashukela esivela eminyakeni emi-2 kuya kwemi-5, udinga ukuthi uhlolwe ngudokotela wezifo zamehlo unyaka nonyaka, kusukela eminyakeni eyi-11. Ngokuhlala kwesifo seminyaka engu-5 noma ngaphezulu - ukuhlolwa konyaka yi-ophthalmologist, kusuka eminyakeni eyi-9. Kuyelulekwa ukukwenza hhayi emtholampilo, kepha esikhungweni sezokwelapha esikhethekile sabanesifo sikashukela.

Ngabe udokotela wamehlo unaka ini lapho ehlola izingane ezinesifo sikashukela:

• uhlola izinkophe kanye neso;
• visiometry;
• izinga lokucindezelwa kwe-intraocular - kunqunywa kanye ngonyaka kwiziguli ezinesifo sikashukela iminyaka eyi-10 noma ngaphezulu;
• iqhuba i-biomicroscopy yeso elingaphandle.

• ilensi kanye ne-vitreous biomicroscopy isebenzisa isibani se-slit;
• i-ophthalmoscopy eqondile futhi eqondile yenziwa - ngokulandelanayo ukusuka enkabeni kuya kwengozi eyeqisayo, kubo bonke ama-meridians;
• hlola ngokucophelela i-optic disc nesifunda se-macular;
• ukuhlola umzimba we-vitreous kanye ne-retina esinyeni se-slit kusetshenziswa ilensi enamaglasi amathathu we-Goldman;
• thatha isithombe esikhwameni usebenzisa ikhamera ejwayelekile noma ikhamera engeyona eyami; Rekhoda imininingwane etholakele ngesimo se-elekthronikhi.

Izindlela ezibucayi kakhulu zokuxilonga i-retinopathy (ukulimala kwamehlo kwesifo sikashukela) ukuthathwa kwezithombe kwe-stereoscopic fundus kanye ne-fluorescein angiography. Ngokusekelwe emiphumeleni yokuhlolwa, udokotela angahle anikeze inqubo inqubo ye-panretinal laser Photocoagulation. Ezigulini eziningi, le nqubo inciphisa ukulahleka kombono ngama-50%.

Izinkinga Zesifo Sikashukela Sezinso

Ukuze kutholakale umphumela ezinso ngesikhathi, isiguli kudingeka sithathe ukuhlolwa kwegazi njalo nge-creatinine nomchamo wamaprotheni. Uma kuvela amaprotheni kumchamo, kusho ukuthi umsebenzi wokuhlunga wezinso usuwomile. Okokuqala, i-albhamuin ivela kumchamo, bese kuba nama-molecule wamanye amaprotheni, amakhulu ngosayizi. Uma kungekho-protein kumchamo, kuhle.

Ngokuhlala kwezifo iminyaka emi-2-5 - ukuhlolwa komchamo kwe-albhamuinuria, ingane kumele ithathwe minyaka yonke, kusukela eminyakeni eyi-11. Uma isifo sikashukela sithatha iminyaka emi-5 noma ngaphezulu - kusukela eminyakeni engu-9. I-Albumin kumchamo ingavela hhayi nje ngenxa yokulimala kwezinso sikashukela, kodwa futhi nezinye izizathu, ikakhulukazi, ngemuva kokuzivocavoca umzimba.

Izinsuku ezingama-2-3 ngaphambi kokulethwa kokuhlolwa komchamo kwe-albhamuinuria, awukwazi ukudlala imidlalo. Ukuze uthole eminye imikhawulo, hlola udokotela wakho nelabhorethri lapho uzohlolwa khona.

I-Creatinine uhlobo lodoti olususwa yizinso egazini. Uma izinso zisebenza kahle, khona-ke izinga le-creatinine egazini likhuphuka. Okubalulekile akuyona inkomba ye-creatinine isethi ngayinye, kodwa isilinganiso sokuhlunga kwe-glomerular yezinso. Ukuyibala, udinga ukwazi imiphumela yokuhlolwa kwegazi kwe-creatinine, futhi futhi unake ubulili nobudala besiguli. Okokubala usebenzisa okokubala okukhethekile okutholakalayo kwi-Intanethi.

Ukulawulwa kwesikhathi eside

Isifo sikashukela enganeni yisifo esibi esingalapheki. Izinyathelo zokulawula i-glucose metabolism zidinga ukulungiswa nsuku zonke, ngaphandle kokuphazamiseka. Hlela iqiniso lokuthi lokhu kuzoba impilo yonke. Izindlela zokwelapha eziphambili zesifo sikashukela sohlobo 1 zizovela kungekudala, kodwa lapho lokho kwenzeka, akekho owaziyo. Imisebenzi yokulawula isifo sikashukela yansuku zonke iyasifanele isikhathi, umzamo nemali. Ngoba banciphisa ubungozi bokuthi kube nezinkinga ezinzima futhi ezingalapheki cishe kube yi-zero. Ingane izokhula futhi ikhule ngokujwayelekile, njengontanga yayo enempilo.

• Mkhuthaze ukuthi alawule ushukela wakhe yedwa, futhi anganciki kubazali bakhe.
• Xoxa nengane yakho ngokubaluleka kokunamathela nsuku zonke.
• Isiguli kufanele sifunde ukukala ushukela wegazi lakhe, ukubala umthamo we-insulin bese unikeza imijovo.
• Siza ukulandela ukudla, nqoba isilingo sokudla ukudla okwenqatshelwe.
• Vivinya umzimba ndawonye, ​​beka isibonelo esihle.

Uma ingane ithola imijovo ye-insulin, kungakuhle ukuthi ifake isongo lokuhlonza. Esimweni esibucayi, lokhu kuzokwenza lula umsebenzi wodokotela futhi kwandise namathuba wokuthi konke kuzophela ngenjabulo. Funda kabanzi esihlokweni esithi “Usizo lokuqala lwekhithi yoshukela. Okudingayo ukuthi ube ekhaya nokuba nawe. "

Izinkinga zengqondo, ukuthi ungazixazulula kanjani

Isifo sikashukela sithinta kakhulu isimo somzwelo, ngokuqondile nangokungaqondile. Ushukela wegazi ophansi ubanga ukungahambi kahle, uvalo, ulaka. Abazali nabanye abantu abasondelene nesifo sikashukela badinga ukwazi ukuthi benzeni kuleli cala. Funda i-athikili "I-Hypoglycemia - Izimpawu, Ukuvimbela kanye Nokwelashwa." Khumbula ukuthi isiguli asinayo inhloso embi. Msize amise ukuhlaselwa kwe-hypoglycemia - futhi uzobuyela esimweni sakhe esejwayelekile.

Izingane zikhathazeka kakhulu lapho lesi sifo sizibeka eceleni kwabangane baso. Kungcono ukuthi ingane esikoleni ilinganise ushukela wayo futhi ifake i-insulin kude emehlweni abafundi ofunda nabo. Njengoba ezodla ngendlela ehlukile kulabo abaseduze kwakhe, kunoma yisiphi isimo uzoheha ukunakwa. Kepha lokhu akunakwenzeka ukukugwema. Uma udla ukudla okujwayelekile, lapho-ke izinkinga ziyakhula ngokungananazi. Imiphumela yokuhlola izoqala ukuwohloka lapho isanda kuthomba, futhi izimpawu zizobonakala ngesikhathi lapho abantu abaphilile beqala imindeni. Ukudla okunama-carbohydrate amaningi kumele kulandelwe ngentshiseko efanayo lapho amaSulumane namaJuda ama-Orthodox enqaba ingulube.

Intsha inezinkinga ezikhethekile zengqondo. Imvamisa bazama ukufihlela ukugula kwabo kubangane nezintombi. Amantombazane anciphisa imithamo yabo ye-insulin ukuze wehlise isisindo, naphezu kweqiniso lokuthi ushukela wabo uyakhuphuka. Uma osemusha engaqondi ukuthi kungani kudingeka alandele indlela yokudla, uyodla ngasese ukudla okwenqatshelwe.

Kuyingozi kakhulu uma ingane ivukela abazali bayo, yephula umbuso ngokungafanele, ingafaki i-insulin, ingalingani ushukela, njll. Lokhu kungaholela emiphumeleni engenakuphikwa, icekele phansi imiphumela yeminyaka eminingi yokwelashwa eye yenziwa kusukela isencane.

Abazali abakwazi ukuqiniseka ngezinkinga zobusha, ezibalwe ngenhla. Imithombo esemthethweni yeluleka abazali ukuthi bakhulume nodokotela wengqondo uma bebona ukuthi ingane yabo eyeve eshumini elinambili inezinkinga - ukusebenza kwesikole kwehlile, ilala kabi, ilahlekelwa isisindo, ibukeka icindezelekile, njll .Kwenziwa lokho, umuntu wangaphandle akunakwenzeka ukuthi asize . Uma ingane yakho inesifo sikashukela, zama ukuthola izingane eziningi. Zinake futhi, hhayi nje ilungu lomndeni eligulayo.

Iziphetho

Yazi ukuthi isimo okuso sibi. Alikho iphilisi lomlingo elingalapha isifo sikashukela sohlobo 1 elikhona. Ukulimala kwe-glucose okhubazekile kungathinta kabi amakhono engqondo nempilo yengane, kumenze akhubazeke. Kodwa-ke, ukudla okune-carbohydrate ephansi kanye nemijovo yemithamo ephansi ye-insulin ivumela ukulawula okuhle kwesifo.

Izingane okudla kwazo okulinganiselwe kuma-carbohydrate akhula ngokujwayelekile, njengontanga yabo abanempilo. Ngoba ama-carbohydrate awabambi iqhaza ezinqubweni zokukhula nentuthuko. Funda ukugcina ushukela ojwayelekile ozinzile - futhi izinkinga ziyaqinisekiswa ukukudlula. Ngokusebenzisa kwakho sekuvele kukhona imali eyanele yokufeza le nhloso. Akunasidingo sephampu se-insulin noma ngomunye umshini obizayo. Into esemqoka oyidingayo isiyalo. Funda izindaba zabantu abalawula lesi sifo ezinganeni zabo kuwebhusayithi yeDiabetes-Med.Com futhi uthathe isibonelo kubo.