Njalo ngonyaka, ama-endocrinologists abheka inkinga yokuthi angazinciphisa kanjani izingozi zokuthola ama-concomitant pathologies uma une-Type 1 sikashukela noma uhlobo lwesibili lwesifo. Isifo esinjalo sithinta umzimba, noma ngabe isiguli sineminyaka emingaki.
Imvamisa, uhlobo lwesibili lwesifo luyatholakala - isifo sikashukela esingaxhomekeki ku-insulin, lapho ogulayo engasebenzisi i-insulin therapy, kodwa enamathela ekudleni okuqinile kokulapha. Ngakolunye uhlangothi, abanesifo sikashukela, lapho befunda ngokukhula kokuphazamiseka kwengqondo emzimbeni, bavame ukuzibuza ukuthi bahlala isikhathi eside kangakanani nesifo sikashukela sohlobo 2.
Izazi ze-Endocrinologists azikwazi ukunikeza impendulo eqondile futhi engathandeki kulo mbuzo, ngenxa yazo iziguli ezingakhombisa ukumangala nokungathembi udokotela. Okwamanje, ungaphila impilo ende uma ulandela izincomo zikadokotela wakho, uhlolwa njalo, udla ngendlela efanele futhi uphila impilo esebenzayo.
Bangakanani abanesifo sikashukela?
Ukuthola ukuthi baphila kangakanani nesifo sikashukela, udinga ukubheka uhlobo lwesifo, ubulukhuni bokukhula kwalo, nokuba khona kwezinkinga. Ngokwezibalo ezisemthethweni, abantu abatholakala benesifo sikashukela sohlobo 1 basengozini enkulu yokufa ngaphambi kwesikhathi.
Uma kuqhathaniswa nomuntu ophilile, umphumela obulalayo wenzeka amahlandla ama-2,5 kaningi. Ngakho-ke, ngokuxilongwa kwe-mellitus yesifo sikashukela esincike ku-insulin, umuntu ogula kakhulu unethuba lokuphila aze afike eminyakeni yobudala ephindwe izikhathi eziyi-1.5.
Uma abantu abanesifo sikashukela befunda ngokugula kwabo lapho beneminyaka engu-14 ukuya ku-35, bangaphila ne-insulin iminyaka engafika kwengu-50, noma ngabe balandela ukudla okuqinile kokulapha futhi baphile impilo enempilo. Ingozi yabo yokufa ngaphambi kwesikhathi iphindwe kayishumi uma uyiqhathanisa nabantu abaphilile.
Kunoma yikuphi, odokotela baqinisekisa ukuthi kunezimpendulo ezinhle zombuzo wokuthi "baphila nesifo sikashukela kangakanani." Umuntu angaqhubeka nokuphila njengomuntu ophilile, uma, ngemuva kokuxilongwa wenziwe, uqala ukulandela yonke imithetho edingekayo - ukulayisha umzimba ngokuzivocavoca umzimba, ukulandela ukudla okuyisipesheli, amaphilisi okwehlisa ushukela.
- Inkinga ukuthi akubona bonke abaphethe nge-endocrinologists abaludlulisela kahle imininingwane yokuthi isiguli singazisiza kanjani. Ngenxa yalokhu, inkinga iyanda, futhi isikhathi sokuphila komuntu siyancishiswa.
- Namuhla, ngokuxilongwa kohlobo lokuqala lwesifo sikashukela, umuntu angaphila isikhathi eside kakhulu kuneminyaka engama-50 eyedlule. Kuleyo minyaka, izinga lokufa kwabantu lingaphezulu kwamaphesenti angama-35, okwamanje, izinkomba ezinjalo zehlile zaya kumaphesenti ayi-10. Futhi, isikhathi sokuphila sikhuphuke kaninginingi kuhlobo 2 sikashukela.
- Isimo esifanayo sibangelwa ukuthi umuthi awumi. Abanesifo sikashukela namuhla banethuba lokuthola i-insulin ngokukhululekile ngokukhetha uhlobo oluyilo lwe-hormone. Kunezinhlobo ezintsha zezidakamizwa ezithengiswayo ezisiza ngempumelelo ukulwa nalesi sifo. Ngosizo lwedivaysi elula ephathekayo ye-glucometer, umuntu angenza ngokuzimele ukuhlolwa kwegazi ngamazinga kashukela egazi ekhaya.
Ngokuvamile, uhlobo 1 sikashukela luyatholakala ezinganeni nasebusheni. Ngeshwa, kule minyaka, ingozi yokufa iphezulu kakhulu, ngoba abazali abahlali besithola isifo ngesikhathi. Futhi, ingane ngesinye isikhathi ingalandela ngokuzimela ukudla okuyikho, iqaphe amazinga kashukela egazini. Uma umzuzu obunzima ulahlekile, lesi sifo siba namandla futhi kuqubuka isigaba esibi saso.
Isifo sohlobo 2 luvame ukutholakala kubantu abadala, ngokuqala kokuguga.
Ingozi yokufa ngaphambi kwesikhathi ingakhuphuka uma umuntu evame ukubhema futhi aphuze utshwala.
Uyini umehluko phakathi kohlobo lokuqala nesibili lwesifo sikashukela
Ngaphambi kokubuza umbuzo ukuthi ungaphila isikhathi esingakanani ngokuxilongwa kwesifo sikashukela, kuyasiza ukuqonda umehluko omkhulu phakathi kokwelashwa nokondleka kohlobo lwesifo sokuqala nolwesibili. Lesi sifo kunoma yisiphi isigaba aselapheki, udinga ukusijwayela, kepha impilo iyaqhubeka, uma ubheka inkinga ngendlela ehlukile futhi uvuselela imikhuba yakho.
Lapho isifo sithinta izingane nentsha, abazali abakwazi ukunaka ngaso sonke isikhathi lesi sifo. Ngalesi sikhathi, kubalulekile ukubhekisisa izinga le-glucose esegazini, ukhethe ngokucophelela ukudla okudliwayo. Uma lesi sifo sikhula, izinguquko zithinta izitho zangaphakathi nomzimba wonke. Amaseli weBeta aqala ukuwohloka kumanyikwe, yingakho i-insulin ingakhuli ngokuphelele.
Ebudaleni, ukubekezelela okuthiwa yi-glucose kuba khona, ngenxa yokuthi amaseli we-pancreas awayiboni i-insulin, ngenxa yalokho, amazinga kashukela wegazi ayenyuka. Ukuze ubhekane nalesi simo, kubalulekile ukuthi ungakhohlwa ukudla kahle, ukuya ejimini, uvame ukuthatha uhambo emoyeni, unikeze ukubhema notshwala.
- Ngakho-ke, umuntu onesifo sikashukela udinga ukwamukela ukugula kwakhe ukuze azisize abuyele empilweni egcwele.
- Isilinganiso nsuku zonke sikashukela wegazi kufanele sibe umkhuba.
- Uma kwenzeka unesifo sikashukela esincike ku-insulin, kunconywa ukuthenga ipeni elikhethekile lesirinji, ongalifaka ngayo imijovo kunoma iyiphi indawo elula.
Yini enquma isikhathi sokuphila esikhathini sikashukela
Akukho-endocrinologist ongabeka usuku oluqondile lokufa kwesiguli, ngoba akukaziwa ukuthi lesi sifo sizoqhubeka kanjani. Ngakho-ke, kunzima kakhulu ukusho ukuthi bangaki abantu abatholakala benesifo sikashukela abaphila. Uma umuntu efuna ukwandisa inani lezinsuku zakhe futhi aphile unyaka owodwa, udinga ukunaka ngokukhethekile izinto eziletha ukufa.
Kuyadingeka ukuthatha imishanguzo ebekwe udokotela ngaso sonke isikhathi, uthola umuthi wamakhambi kanye nezinye izindlela zokwelapha ezingejwayelekile. Uma ungalandeli izincomo zabodokotela, usuku lokugcina lwesifo sikashukela ngohlobo lwesifo sokuqala lungaqala eminyakeni engama-40-50. Imbangela ejwayelekile yokufa kwangaphambi kwesikhathi ukukhula kokuhluleka kwe-renal okungamahlalakhona.
Bangaki abantu abangaphila nalesi sifo inkomba yomuntu ngamunye. Umuntu angakwazi ukubona isikhathi esibucayi bese eyeka ukuthuthukiswa kwe-pathology, uma ulinganisa izinga le-glucose egazini nge-glucometer, futhi uhlolwa nomchamo ushukela.
- Isikhathi sokuphila kwabashukela sincishiswa ngokuyinhloko ngenxa yezinguquko ezingezinhle emzimbeni, ezibangela amazinga kashukela egazi aphakeme. Kumele kuqondwe ukuthi ku-23, inqubo yokuguga kancane kancane nokungavikeleki iqala. Lesi sifo sinomthelela ekwandiseni okukhulu kwezinqubo ezibhubhisayo kumaseli nokuvuselelwa kwamangqamuzana.
- Izinguquko ezingeke ziguqulwe kwisifo sikashukela zivame ukuqala eminyakeni engama-23-25, lapho ubunzima be-atherosulinosis bukhula. Lokhu-ke kukhulisa ubungozi bokuhlaselwa yisifo sohlangothi kanye ne-gangrene. Ukwephulwa okunjalo kungavinjelwa ngokubheka ngokucophelela ukusebenza kokuhlolwa kwegazi nomchamo.
Isifo sikashukela kufanele ngaso sonke isikhathi silandele umbuso othile, le mithetho kufanele ikhunjulwe nomaphi lapho umuntu ekhona - ekhaya, emsebenzini, ephathini, ohambweni. Imithi, i-insulin, i-glucometer kufanele ihlale inesiguli.
Kuyadingeka ukugwema izimo ezicindezelayo, okuhlangenwe nakho kwengqondo ngangokunokwenzeka. Futhi, ungesabi, lokhu kukhulisa isimo kuphela, kwephula imizwa yomoya, kuholele kumonakalo ohlelweni lwezinzwa nakuzo zonke izinhlobo zezinkinga ezinkulu.
Uma udokotela ekutholile lesi sifo, kuyadingeka ukwamukela iqiniso lokuthi umzimba awukwazi ukukhiqiza ngokuphelele i-insulin, futhi uqaphele ukuthi impilo manje izoba nesheduli ehlukile. Umgomo oyinhloko womuntu manje ukufunda ukulandela umbuso othile futhi ngasikhathi sinye uqhubeke uzizwe njengomuntu ophilile. Iminyaka yokuphila kuphela ingandiswa isikhathi sokusebenza kwengqondo.
Ukulibazisa usuku lokugcina ngangokunokwenzeka, abanesifo sikashukela kufanele banamathele emithethweni ethile eqinile:
- Nsuku zonke, linganisa ushukela wegazi usebenzisa i-electrochemical glucometer;
- Ungakhohlwa ngokulinganisa umfutho wegazi;
- Ngokuhamba kwesikhathi, thatha imishanguzo ebekiwe ebekwe udokotela oholayo;
- Khetha ngokucophelela ukudla okulandelayo bese ulandela irejimeni yokudlela;
- Njalo ulayishe umzimba ngokuzivocavoca;
- Zama ukugwema izimo ezicindezelayo kanye nokuhlangenwe nakho kwengqondo;
- Ukwazi ukuhlela kahle inqubo yakho yansuku zonke.
Uma ulandela le mithetho, isikhathi sokuphila singakhushulwa kakhulu, futhi umuntu onesifo sikashukela akesabi ukuthi uzokufa kungekudala.
Isifo sikashukela - isifo esibulalayo
Akuyona imfihlo ukuthi ushukela wanoma yiluphi uhlobo uthathwa njengesifo esibulalayo. Inqubo ye-pathological ukuthi amaseli we-pancreas amisa ukukhiqizwa kwe-insulin noma akhiqize inani elinganele le-insulin. Okwamanje, yi-insulin esiza ukuletha i-glucose kumaseli ukuze idle futhi isebenze ngokujwayelekile.
Lapho kuqala ukugula okungathi sína, ushukela uqala ukunqwabelana ngenani elikhulu egazini, kuyilapho kungangeni amangqamuzana futhi kungazondli. Kulokhu, amangqamuzana ancishisiwe azama ukuthola ushukela oshiyekile ezicutshini ezinempilo, ngenxa yokuthi umzimba uphela kancane kancane bese ubhujiswa.
Esikhathini sikashukela, uhlelo lwenhliziyo, izicubu ezibukwayo, uhlelo lwe-endocrine lube buthaka kwasekuqaleni, umsebenzi wesibindi, izinso nenhliziyo kuya ngokuba kubi. Uma lesi sifo singanakwa futhi singelashwa, umzimba uyathinteka ngokushesha futhi kakhulu, zonke izitho zangaphakathi ziyathinteka.
Ngenxa yalokhu, abanesifo sikashukela baphila okuncane kakhulu kunabantu abaphilile. Uhlobo lwe-1 nohlobo 2 lwe-mellitus yesifo sikashukela kuholela ezinkingeni ezinzima ezenzeka uma amazinga eglucose engalawulwa futhi ukunamathela ngokuqinile ezincomeni zezokwelapha kushiywa. Ngakho-ke, ababaningi abanesifo sikashukela abangaphenduki abaphila iminyaka eyi-50.
Ukwandisa isikhathi sempilo sabashukela abancike ku-insulin, ungasebenzisa i-insulin. Kepha indlela ephumelela kunazo zonke yokulwa nalesi sifo ukwenza ukuvimbela ngokuphelele isifo sikashukela nokudla kusukela ekuqaleni. Ukuvinjwa kwesibili kuqukethe umzabalazo wesikhathi esizayo kanye nezinkinga ezingaba khona ezinesifo sikashukela.
Isikhathi sokuphila nesifo sikashukela sichazwe kuvidiyo kule ndatshana.
