Uma ingane noma osemusha eba nesifo sikashukela, khona-ke kunamathuba angaphezu kwama-85% okuthi kuzovela ukuthi abe yisifo sikashukela esincike ku-insulin. Yize kulelikhulu lama-21, isifo sikashukela sohlobo 2 naso “sincane”. Manje izingane ezikhuluphele kusuka eminyakeni eyi-10 ziyagula. Uma ingane iba nesifo sikashukela, khona-ke le yinkinga enkulu yempilo yonke yeziguli ezisencane nabazali bayo. Ngaphambi kokuhlola ukwelashwa kwesifo sikashukela sohlobo 1 ezinganeni, funda isihloko sethu esikhulu esithi, “Isifo Sikashukela Ezinganeni Nentsha.”
Kulesi sihloko, uzofunda konke okudingayo mayelana nokuxilongwa nokwelashwa kwesifo sikashukela sohlobo 1 ezinganeni. Ngaphezu kwalokho, sishicilela eminye imininingwane ebalulekile ngesiRussia okokuqala. Le yindlela yethu "ekhethekile" emangalisayo (ukudla okuphansi kwe-carbohydrate) ukulawula ushukela wegazi kushukela kahle. Manje, abanesifo sikashukela bangagcina amanani aso ajwayelekile, cishe afana nabantu abaphilile.
Okokuqala, udokotela kufanele athole ukuthi hlobo luphi ushukela ingane egula nalo. Lokhu kubizwa ngokuthi ukuxilongwa okuhlukile kohlobo 1 lwesifo sikashukela. Kukhona okunye ukwehluka kwalesi sifo, noma kunjalo.
Izimpawu zohlobo 1 sikashukela ezinganeni
Lo mbuzo uchazwe ngokuningiliziwe esihlokweni esithi “Izimpawu zesifo sikashukela ezinganeni.” Izimpawu ezijwayelekile zesifo sikashukela sohlobo 1 azifani ezinganeni, ezasenkulisa, ezinganeni zesikole samabanga aphansi nasebusheni. Lolu lwazi luwusizo kubazali nakodokotela bezingane. Odokotela bavame “ukubhala” izimpawu zesifo sikashukela sezinye izifo kuze kube yilapho umntwana ewa ekhefini ngenxa kashukela wegazi ophakeme.
Isifo Sikashukela kanye Nezifo Zesibindi
Uhlobo 1 sikashukela yisifo se-autoimmune. Kubangelwa ukwehluleka kwamasosha omzimba. Ngenxa yalokhu kusebenza kahle, amasosha omzimba aqala ukuhlasela futhi abhubhise amaseli we-pancreatic beta akhiqiza i-insulin. Akumangazi ukuthi ezinye izifo ze-autoimmune zivame ukutholakala ezinganeni ezinesifo sikashukela sohlobo 1.
Kaningi, amasosha omzimba enkampani anamaseli e-beta ahlasela i-yegland. Lokhu kubizwa nge- autoimmune thyroiditis. Iningi lezingane ezinesifo sikashukela sohlobo 1 azinazimpawu. Kepha kulezo zinhlanya ezingathandeki, i-autoimmune thyroiditis ibangela ukuncipha komsebenzi we-thyroid. Kunezimo ezimbalwa kakhulu uma yena, kunalokho, ekhulisa ukusebenza kwawo, futhi i-hyperthyroidism yenzeka.
Ingane enesifo sikashukela sohlobo loku-1 kufanele ihlolelwe ama-antibodies egilo. Udinga futhi ukuthi uhlolwe minyaka yonke ukuze ubone ukuthi isifo se-thyroid sivele ngalesi sikhathi. Kulokhu, kwenziwa ukuhlolwa kwegazi kwehomoni evuselela i-thyroid (TSH). Yi-hormone evusa indlala yegilo. Uma izinkinga zitholakala, i-endocrinologist izokunikeza amaphilisi, futhi izothuthukisa kakhulu inhlala-kahle yesifo sikashukela.
Ukwelashwa kwesifo sikashukela sohlobo 1 ezinganeni
Ukwelashwa kwesifo sikashukela sohlobo 1 ezinganeni kuqukethe imisebenzi elandelayo:
- ukuqeqeshwa ekuziqapheleni ngokwakho ushukela wegazi nge-glucometer;
- ukuziqapha njalo ekhaya;
- ukudla;
- imijovo ye-insulin;
- umsebenzi womzimba (ezemidlalo nemidlalo - ukwelashwa ngokomzimba kwesifo sikashukela);
- usizo lwengqondo.
Elinye lalawa maphuzu liyadingeka ukuze ukwelashwa kwesifo sikashukela sohlobo lw 1 ingane kuphumelele. Zenziwa, ikakhulu, ngesisekelo sokuphuma, i.e ekhaya noma phakathi nosuku lokuqokwa ngudokotela. Uma ingane enesifo sikashukela inezimpawu ezibucayi, lapho-ke kudingeka ilaliswe esibhedlela esibhedlela. Imvamisa, izingane ezinesifo sikashukela sohlobo 1 zilaliswa esibhedlela izikhathi ezimbili ngonyaka.
Umgomo wokwelapha isifo sikashukela sohlobo 1 ezinganeni ukugcina ushukela wegazi usondele ngokwejwayelekile ngangokunokwenzeka. Lokhu kubizwa ngokuthi "ukuthola isinxephezelo sikashukela." Uma isifo sikashukela sinxephezelwa kahle ngokwelashwa, ingane izokwazi ukukhula kahle futhi ikhule, bese kuthi lezo zinkinga zihlehliswe sekwephuze noma zingabonakali nakancane.
Imigomo yokwelapha isifo sikashukela ezinganeni nasentsheni
Yimaphi amanani kashukela egazini okufanele ngihlose kuwo ezinganeni ezinesifo sikashukela sohlobo 1? Ososayensi kanye nodokotela bavumelana ngamabomu ukuthi ukusondelana kwamazinga kashukela egazini kuyagcinwa, kungcono. Ngoba kulokhu, umuntu onesifo sikashukela uphila cishe nomuntu ophilile, futhi akazikhulisi izinkinga ze-vascular.
Inkinga ukuthi ezigulini ezinesifo sikashukela ezithola imijovo ye-insulin, ukusondela kokwejwayelekile ushukela wegazi, kulapho iba nengozi enkulu yokuba ne-hypoglycemia, kubandakanya okukhulu. Lokhu kusebenza kuzo zonke iziguli ezinesifo sikashukela sohlobo 1. Ngaphezu kwalokho, ezinganeni ezinesifo sikashukela, ingozi ye-hypoglycemia iphakeme kakhulu. Ngoba badla ngokungahambisani, futhi nezinga lokuzivocavoca kwengane lingahluka kakhulu ngezinsuku ezahlukene.
Ngokusekelwe kulokhu, kunconyelwa ukuthi ungehlisi ushukela wegazi ezinganeni ezinesifo sikashukela sohlobo 1 ziye kwesejwayelekile, kodwa ukuze usilondoloze ngamanani aphakeme. Akunjalo manje. Ngemuva kokuthi izibalo ziqongelelwe, kwaba sobala ukuthi ukuthuthukiswa kwezinkinga zesifo sikashukela kuyingozi kakhulu kunobungozi be-hypoglycemia. Ngakho-ke, kusukela ngo-2013, i-American Diabetes Association income ukuthi igcinwe i-glycated hemoglobin kuzo zonke izingane ezinesifo sikashukela esingaphansi kuka-7.5%. Amanani ayo aphezulu ayingozi, akafiseleki.
Amazinga weglucose okuqondisiwe, kuye ngeminyaka yengane enesifo sikashukela sohlobo 1
| Iqembu lobudala | Izinga lokubuyiswa kwe-carbohydrate metabolism | I-glucose ku-plasma yegazi, mmol / l | I-Glycated hemoglobin HbA1C,% | ||
|---|---|---|---|---|---|
| ngaphambi kokudla | ngemuva kokudla | ngaphambi kokulala / ebusuku | |||
| Preschoolers (iminyaka engu-0-6 ubudala) | Isinxephezelo esihle | 5,5-9,0 | 7,0-12,0 | 6,0-11,0 | 7,5) |
| Isinxephezelo esanelisayo | 9,0-12,0 | 12,0-14,0 | 11,0 | 8,5-9,5 | |
| Isinxephezelo esibi | > 12,0 | > 14,0 | 13,0 | > 9,5 | |
| Izingane zesikole (iminyaka engu-6 kuya kwengu-12 ubudala) | Isinxephezelo esihle | 5,0-8,0 | 6,0-11,0 | 5,5-10,0 | < 8,0 |
| Isinxephezelo esanelisayo | 8,0-10,0 | 11,0-13,0 | 10,0 | 8,0-9,0 | |
| Isinxephezelo esibi | > 10,0 | > 13,0 | 12,0 | > 9,0 | |
| Intsha (iminyaka eyi-13 kuya kwengu-19) | Isinxephezelo esihle | 5,0-7,5 | 5,0-9,0 | 5,0-8,5 | < 7,5 |
| Isinxephezelo esanelisayo | 7,5-9,0 | 9,0-11,0 | 8,5 | 7,5-9,0 | |
| Isinxephezelo esibi | > 9,0 | > 11,0 | 10,0 | > 9,0 | |
Qaphela izinombolo ze-hemoglobin e-glycated kukholamu lokugcina letafula. Lesi yinkomba ekhombisa isilinganiso se-glucose esejwayelekile ezinyangeni ezi-3 ezedlule. Ukuhlolwa kwegazi kwe-hemoglobin ye-glycated kuthathwa njalo ezinyangeni ezimbalwa ukubheka ukuthi isifo sikashukela sesihlawulelwe kahle yini esikhathini esidlule.
Ingabe izingane ezinesifo sikashukela sohlobo 1 zingakwazi ukugcina ushukela ojwayelekile?
Ngolwazi lwakho, amanani ajwayelekile we-glycated hemoglobin egazini labantu abaphilile ngaphandle kokukhulupha yi-4.2% - 4.6%. Kungabonakala kusukela etafuleni elingehla ukuthi umuthi uncoma ukugcina ushukela wegazi ezinganeni ezinesifo sikashukela sohlobo loku-1 okungenani izikhathi eziphindwe kwayi-1,6 kunokujwayelekile. Lokhu kuhlotshaniswa nengozi ekhulayo ye-hypoglycemia kwabashukela abasha.
Indawo yethu yadalwa ngenhloso yokusabalalisa ulwazi lokudla okune-carbohydrate ephansi yohlobo 1 nohlobo 2 lwesifo sikashukela. Ukudla okuvinjelwe ama-carbohydrate ekudleni kuvumela abantu abadala nezingane ezinesifo sikashukela ukuba balondoloze ushukela wegazi cishe ngezinga elilinganayo nelabantu abasempilweni. Ngemininingwane, bheka ngezansi engxenyeni ethi “Ukudla sikashukela sohlobo 1 ezinganeni.”
Umbuzo obaluleke kakhulu: lapho welapha isifo sikashukela sohlobo 1 enganeni, ingabe kufanelekile ukulwela ukwehlisa ushukela wegazi lakhe kube okwejwayelekile? Ababelethi bangakwenza lokhu “ngengozi yabo.” Khumbula ukuthi nesiqephu esisodwa se-hypoglycemia esinamandla singadala ukulimala kwengqondo okungapheli futhi senze ingane ikhubazeke impilo yakhe yonke.
Ngakolunye uhlangothi, ama-carbohydrate amancane adliwe ngumntwana, i-insulin encane azoyidinga. Futhi i-insulin encane, yehlisa ingozi ye-hypoglycemia. Uma ingane iya ekudleni okuphansi kwe-carbohydrate, khona-ke umthamo we-insulin uzoncishiswa kaningana. Zingaba ezingasho lutho ngokoqobo, uma ziqhathaniswa nokuthi injani i-insulin ngaphambili. Kuyavela ukuthi amathuba we-hypoglycemia nawo ancishisiwe kakhulu.
Ngaphezu kwalokho, uma ingane isishintshela ekudleni okune-carbohydrate ngemuva kokuthola isifo sikashukela sohlobo 1, isigaba “se-honeymoon” sizohlala isikhathi eside. Ingatambanuka iminyaka eminingana, futhi uma unenhlanhla ikakhulukazi, bese kuba nokuphila konke. Ngoba umthwalo we-carbohydrate kuma-pancreas uzokwehla, futhi amaseli ayo e-beta ngeke abhujiswe ngokushesha okukhulu.
Isiphetho: uma ingane enesifo sikashukela sohlobo 1, kusukela eminyakeni yobudala "enkulisa", ishintshela ekudleni okuphansi kwe-carbohydrate, khona-ke kukhona izinzuzo ezinkulu. Ushukela wegazi ungagcinwa ngezinga elifanayo njengalabantu abaphilile. Ingozi ye-hypoglycemia ngeke ikhule, kepha yehle, ngoba umthamo we-insulin uzoncishiswa kaningana. Isikhathi sokuqothuka kwezingane sihlala isikhathi eside.
Kodwa-ke, abazali abakhetha le ndlela yokwelashwa isifo sikashukela sohlobo 1 enganeni yabo bazibeka engcupheni yabo. Udokotela wakho we-endocrinologist uzokuthatha lokhu “ngenzondo”, ngoba uphikisana nemiyalo yoMnyango Wezempilo, osebenza manje. Sincoma ukuthi uqale uqinisekise ukuthi usebenzisa imitha yeglucose enembile. Ezinsukwini ezimbalwa zokuqala "kwempilo entsha", ukukala ushukela wegazi kaningi, ukuqapha isimo ngokuqhubekayo. Zilungiselele ukumisa i-hypoglycemia nganoma yisiphi isikhathi, kubandakanya ebusuku. Uzobona ukuthi ushukela wegazi enganeni uncika kanjani ekushintsheni kokudla kwakhe, bese ufinyelela iziphetho zakho ngokuthi iliphi isu lokuphatha isifo sikashukela elifaneleka kakhulu.
Ungayifaka kanjani i-insulin ezinganeni ezinesifo sikashukela
Ukuqonda ukuthi uhlobo 1 sikashukela ezinganeni luphathwa kanjani nge-insulin, okokuqala kudingeka ufunde izihloko:
- Ungalinganisa kanjani ushukela wegazi nge-glucometer ngaphandle kobuhlungu;
- Ukubalwa kwe-dose necebo lokuphatha i-insulin;
- Izinhlobo zokwelapha ze-insulin;
- Ungayifaka kanjani i-insulin ukuze ujova kahle imithamo ephansi.
Ezinganeni ezincane, i-insulin emfushane ne-ultrashort yehlisa ushukela wegazi ngokushesha nangamandla ngokuqinile kunasezingane nasebekhulile. Ngokuvamile, omncane emncane, ukhulisa ukuzwela kwakhe ku-insulin. Kunoma ikuphi, kufanele kunqunywe ngokuhlukile kwisiguli ngasinye sohlobo lwe-1 sikashukela. Ungakwenza kanjani lokhu kuchazwe esihlokweni esithi “Dose calculation and Technique for Insulin Administration”, isixhumanisi esinikezwe ngenhla.
Isifo sikashukela se-insulin pump ezinganeni
Eminyakeni yamuva nje, eNtshonalanga kanye nasezweni lethu, izingane eziningi kanye nentsha basebenzisa amaphampu e-insulin ukwelapha ushukela wabo. Lesi yisisetshenziswa esikuvumela ukuthi ukwazi ukusebenzisa ngokuzenzakalela i-insulin ngokushesha okungatheni kwe-insulin encane kakhulu. Ezimweni eziningi, ukushintshela kwiphampu ye-insulin yohlobo 1 sikashukela ezinganeni kungathuthukisa ukulawulwa koshukela egazini kanye nekhwalithi yempilo yengane.
Iphampu ye-insulin isebenza
Izici zokwelashwa kwe-insulin uma ingane yesifo sikashukela ikudla okune-carbohydrate ephansi kancane
Kanye nokudla, kungcono ukusebenzisa hhayi ama-analogia we-ultrashort, kepha i-insulin evamile "emfishane". Esikhathini sokushintsha kusuka ekudleni okujwayelekile kuya ekudleni okuphansi kwe-carbohydrate, kunengozi enkulu ye-hypoglycemia. Lokhu kusho ukuthi udinga ukubhekisisa ushukela wegazi nge-glucometer kuze kube izikhathi ezingama-7-8 ngosuku. Futhi ngokusho kwemiphumela yalezi zilinganiso, yehlisa kakhulu umthamo we-insulin. Kulindelwe ukuthi zizokwehla izikhathi ezingama-2-3 noma ngaphezulu.
Ngokunokwenzeka, ungakwenza kalula ngaphandle kwephampu ye-insulin. Futhi ngenxa yalokho, ungathathi ezinye izingozi zokusebenzisa kwayo. Uzokwazi ukunxephezela kahle ushukela onomthamo ophansi we-insulin, ophethwe ngama-syringes wendabuko noma amapeni we-syringe ezikhuphukeni zamayunithi angama-0.5.
Ukudla uhlobo 1 sikashukela ezinganeni
Umuthi osemthethweni uncoma ukudla okulinganiselayo kwesifo sikashukela sohlobo 1, lapho ama-carbohydrate enza i-55-60% yokudla kwama-khalori. Ukudla okunjalo kuholela ekushintsheni okukhulu kwamazinga kashukela wegazi ongeke ulawulwe yimijovo ye-insulin. Ngenxa yalokhu, izinkathi zokuphakeme kakhulu kwe-glucose zilandelwa izikhathi zeshukela eliphansi.
“Kuzuba” okubanzi egazini likashukela kwegazi kuholela ekukhuleni kwezinkinga zesifo sikashukela, futhi kubangele neziqephu ze-hypoglycemia. Uma udla ama-carbohydrate amancane, khona-ke lokhu kunciphisa ukuguquguquka kweshukela. Kumuntu ophile kahle kunoma iyiphi iminyaka, izinga elijwayelekile likashukela cishe ngu-4.6 mmol / L.
Uma ukhawulela uhlobo loku-1 sikashukela kuma-carbohydrate ekudleni kwakho futhi usebenzise imithamo emincane, ekhethwe ngokucophelela ye-insulin, ungagcina ushukela wakho usezingeni elifanayo, ngokuphambuka okungabi ngaphezu kwe-0.5 mmol / l kuzo zombili izindlela. Lokhu kuzogwema ngokuphelele izinkinga zesifo sikashukela, kufaka phakathi i-hypoglycemia.
Bona izindatshana ngemininingwane engaphezulu:
- Ama-insulin nama-carbohydrate: iqiniso okudingeka ulazi;
- Indlela enhle yokwehlisa ushukela wegazi futhi ugcine ijwayelekile.
Ingabe ukudla okune-carbohydrate ephansi kungakulimaza ukukhula nokukhula kwengane? Lutho neze. Kukhona uhlu lwama-amino acid (amaprotheni) abalulekile. Kuyadingeka futhi ukudla amafutha emvelo anempilo, ikakhulukazi ama-omega-3 acid acid. Uma umuntu engadli amaprotheni namafutha, uzofa ukukhathala. Kepha ngeke uthole uhlu lwama-carbohydrate abalulekile noma kuphi, ngoba awekho. Ngesikhathi esifanayo, ama-carbohydrate (ngaphandle kwefayibha, i.e. fiber) ayingozi kushukela.
Ingakhula iminyaka emingaki ingane idluliselwe ekudleni okune-carbohydrate yohlobo 1 sikashukela? Ungazama ukwenza lokhu lapho eqala ukudla ukudla okufanayo nabantu abadala. Ngesikhathi sokushintshela ekudleni okusha, udinga ukulungiselela futhi uqinisekise okulandelayo:
- Qonda ukuthi ungayimisa kanjani i-hypoglycemia. Gcina amaswidi ngesandla uma kufanele.
- Esikhathini sokuguquka, udinga ukukala ushukela wegazi nge-glucometer ngaphambi kokudla ngakunye, ihora eli-1 emva kwawo, futhi nasebusuku. Kuvela okungenani izikhathi eziyi-7 ngosuku.
- Ngokwemiphumela yokulawulwa kwe-glucose yegazi - zizwe ukhululekile ukunciphisa umthamo we-insulin. Uzobona ukuthi zingakwazi futhi kufanele zincishiswe kaningana. Ngaphandle kwalokho kuzoba ne-hypoglycemia.
- Ngalesi sikhathi, impilo yengane enesifo sikashukela kufanele ibe nokuzola ngangokunokwenzeka, ngaphandle kwengcindezi nokuzivocavoca umzimba okuqinile. Kuze kube imodi entsha iba umkhuba.
Ungayikholisa kanjani ingane ekudleni
Ungayikholisa kanjani ingane ukuthi ilandele ukudla okunempilo nokwenqaba amaswidi? Lapho ingane enesifo sikashukela sohlobo loku-1 inamathela ekudleni okujwayelekile "okunempilo", iyohlangabezana nezinkinga ezilandelayo:
- ngenxa “yokuxhuma” kushukela wegazi - impilo engeyinhle njalo;
- i-hypoglycemia kwesinye isikhathi iyenzeka;
- izifo ezahlukahlukene ezingalapheki zingakhathaza.
Ngasikhathi sinye, uma umuntu onesifo sikashukela enamathela ngokucophelela ekudleni okunama-carbohydrate aphansi, khona-ke ngemuva kwezinsuku ezimbalwa uthola izinzuzo ezinkulu:
- ushukela wegazi uvamile ngokujwayelekile, futhi ngenxa yalokhu, isimo sezempilo siyathuthuka, amandla abe maningi;
- ingozi ye-hypoglycemia iphansi kakhulu;
- Izinkinga eziningi zempilo ezingapheli ziyancipha.
Vumela ingane ukuba ibone “esikhunjeni sayo” ukuthi izizwa ihluke kangakanani uma ilandela umbuso futhi ihlukunyezwa. Futhi-ke uzoba nesisusa esingokwemvelo sokulawula ushukela wakhe futhi amelane nesilingo sokudla "okunqatshelwe" ukudla, ikakhulukazi lapho nabangane.
Izingane eziningi nabantu abadala abanesifo sikashukela sohlobo 1 abazi ukuthi bangazizwa kahle kanjani ekudleni okune-carbohydrate ephansi. Sebejwayele futhi babuyisana ukuthi banokuhlala bekhathala nokugula. Bayoba abalandeli abaningi abaphikelelayo bokudla okuphansi kwe-carbohydrate ngokushesha nje lapho bezama futhi bezwa imiphumela emihle yale ndlela.
Izimpendulo Kubazali Ababuzwa Njalo
I-Glycated hemoglobin ikhula ngoba akunakwenzeka ukusinxephezela kahle isifo sikashukela ngenkathi ukudla kuhleli “kusesilinganisweni,” okungukuthi, kugcwele ama-carbohydrate. Akunandaba ukuthi uwala ngokucophelela amayunithi wesinkwa, kuzoba nokusetshenziswa okuncane. Shintshela ekudleni okuphansi kwe-carbohydrate okushunyayelwa yisayithi lethu. Funda izingxoxo nabazali bezingane ezineminyaka engu-6 ezinesifo sikashukela sohlobo 1 abaye bathola ukuxolelwa ngokuphelele futhi bagxumela i-insulin. Angethembisi ukuthi uzokwenza okufanayo, ngoba ngokushesha baqala ukuphathwa ngendlela efanele, futhi abalindanga unyaka wonke. Kodwa kunoma yikuphi, isinxephezelo sikashukela sizothuthuka.
Ingane iyakhula futhi ikhule hhayi kahle, kepha ngokungahambi kahle. Lapho kunokukhula okusheshayo, isidingo se-insulin sanda kakhulu, ngoba isizinda se-hormonal siyashintsha. Mhlawumbe manje ususigaba esilandelayo sokukhula okusebenzayo sebephelile, ngakho-ke isidingo se-insulin siyawa. Yebo, ehlobo insulin iyadingeka kancane ngoba ifudumele. Le miphumela iyagcwala. Cishe awunalutho ongazikhathaza ngalo. Qikelela ushukela ngokucophelela, uzibhekele ngokwako ukuqapha ushukela egazini. Uma uqaphela ukuthi i-insulin ayibhekene nesinxephezelo sikashukela, khona-ke yandisa umthamo wayo. Funda lapha mayelana nokushiyeka kwepompo le-insulin kuqhathaniswa nesirinji yakudala enhle.
Ngicabanga ukuthi ungamvimba "ezonweni", hhayi ekudleni nje ... Isikhathi sobusha siyaqala, izingxabano ezejwayelekile nabazali, umzabalazo wenkululeko, njll. Ngeke ube nethuba lokunqaba konke. Zama ukuncenga esikhundleni salokho. Khombisa izibonelo zeziguli ezinesifo sikashukela sohlobo 1 lwabantu abadala abahlupheka ngenxa yezinkinga futhi baphenduke ukuthi babeyizidididi ezinjalo ezinganeni zabo. Kepha vumelani. Kulesi simo, awukwazi ukuthonya ngempela. Zama ukwamukela ngokuhlakanipha. Zitholele inja bese uphazanyiswa yiyo. Ngaphezu amahlaya.
Izinga le-insulin egazini ligxuma kakhulu. Bheka ukusabalala kwezimo - cishe izikhathi eziyishumi. Ngakho-ke, ukuhlolwa kwegazi kwe-insulin akudlali indima ekhethekile ekuhlolweni. Ingane yakho, ngeshwa, inesifo sikashukela sohlobo lwe-100%. Ngokushesha qala ukunxephezela lesi sifo ngamijovo we-insulin nokudla okuphansi kwe-carbohydrate. Odokotela bangakhipha isikhathi, kepha akusizi izintshisekelo zakho. Ngokuhamba kwesikhathi uqala ukwelashwa okujwayelekile, kuzoba nzima ngokwengeziwe ukuphumelela. Ukukhetha i-insulin nokulandela ukudla okuqinile akuyona into emnandi eyanele. Kepha ebusheni, ngeke ufune ukuba ongabonakali ngenxa yezinkinga zesifo sikashukela. Ngakho-ke ungabi livila, kepha uphathwe ngokucophelela.
Ukuthola isinxephezelo esifanele kuyisifiso esivamile sabazali abasanda kuthola isifo sikashukela sohlobo 1 ezinganeni zabo. Kuwo wonke amanye amasayithi uzoqinisekiswa ukuthi lokhu akunakwenzeka, futhi kudingeka ubekezelele ama-surges ushukela. Kepha nginezindaba ezithile ezinhle kuwe. Funda izingxoxo nabazali bengane eneminyaka eyisithupha ubudala abanesifo sikashukela sohlobo lwe-1 abaye bathola ukuxolelwa okuphelele. Ingane yabo inoshukela wegazi ojwayelekile, ngokuvamile ngaphandle kwemijovo ye-insulin, ngenxa yokudla okuphansi kwe-carbohydrate. Ngokwesifo sikashukela sohlobo loku-1, kunenkathi ye-honeymoon. Uma ungavumeli ama-carbohydrate ukuthi alayishe ama-pancreas, khona-ke ungawelula iminyaka eminingana, noma ngisho nempilo yonke.
Okufanele ukwenze - okokuqala, udinga ukushintshela ekudleni okune-carbohydrate ephansi kakhulu. Ukuthola uhlu oluphelele lokudla okuvunyelwe nokungavunyelwe, bheka imihlahlandlela yokudla. Ukukhuphela ngaphandle ufulawa, amaswidi namazambane ekudleni kuyisilinganiso sesigamu, esanele. Funda ngokuthi isikhathi saliphi isikhathi sokukhulelwa sikashukela sohlobo 1. Mhlawumbe ngosizo lokudla okuphansi kwe-carbohydrate uzokwazi ukukunweba iminyaka eminingana, noma impilo yonke. Nansi ingxoxo nabazali bengane eneminyaka eyisithupha abayenze. Bakhipha i-insulin ngokuphelele futhi bagcina ushukela ojwayelekile, njengabantu abanempilo. Ingane yabo yayingayithandi kakhulu i-insulin kangangokuba yayikulungele ukulandela indlela yokudla, uma nje kungekho imijovo. Angethembisi ukuthi uzothola impumelelo efanayo. Kodwa kunoma yikuphi, ukudla okuphansi kwe-carbohydrate kuyitshe lokunakekelwa kwesifo sikashukela.
Thayipha isifo sikashukela esingu-1 ezinganeni: okutholakele
Ababelethi kufanele bazi ukuthi ingane enesifo sikashukela sohlobo 1 eneminyaka engu-12, noma ngaphezulu, ayizukunikeza isibalo mayelana nokukhula kwezinkinga zemithambo yegazi. Ukusongelwa kwalezi zinkinga zesikhathi eside ngeke kumphoqe ukuthi alawule kakhulu isifo sakhe sikashukela. Ingane inentshisekelo kuphela kumanje, futhi esemncane lokhu kuyinto ejwayelekile. Qiniseka ukuthi ufunda i-athikili yethu eyinhloko, Isifo Sikashukela Ezinganeni Nentsha.
Ngakho-ke, uthole ukuthi yini izici zesifo sikashukela sohlobo 1 ezinganeni. Izingane ezinjalo zidinga ukuhlolwa njalo ukuthi ngabe indlala yegilo yakho isebenza kahle yini. Ezinganeni eziningi ezinesifo sikashukela sohlobo 1, ukusebenzisa iphampu ye-insulin kusiza ukulawula kangcono ushukela wegazi. Kepha uma ingane inamathela ekudleni okuphansi kwe-carbohydrate, khona-ke kungenzeka kakhulu ukuthi ukwazi ukulondolozela ushukela ojwayelekile ngosizo lwamasiko we-insulin yendabuko.
