Umbuzo wokuthi ngabe isifo sikashukela sohlobo 1 singalapheka yini uvame ukuzwakala kakhulu ezigulini. Impilo ngaphandle kwe-insulin, ngokusho kwama-endocrinologists amaningi, kungenzeka.
Ukwelashwa kwesifo sikashukela sohlobo 1 ngaphandle kwe-insulin kuyathakazelisa ezigulini eziningi ezinalokhu kutholwa. Njengamanje, kukholelwa ukuthi uma kwenzeka isifo sikashukela sohlobo loku-1, ukwelashwa kungenziwa ngosizo lokwelashwa okufanele, kepha ngeke kube khona ukwelashwa okuphelele, ukusetshenziswa kwe-insulin kuphela kungavikela ukwanda kwezinkinga kusuka kushukela.
Enye yezimpawu eziphambili ze-pathology yizinga elikhuphuka njalo leglucose egazini. Kulokhu, i-pancreas ayikwazi ukukhiqiza inani elifunekayo le-insulin, ngenxa yalokho, isiguli sincika emijozeni engapheli yaleli hormone. Yini engavusa ukuthuthukiswa kwalesi sifo futhi kungenzeka ukuthi silaphe ngokuphelele isifo sikashukela esingu-1?
Izimbangela zesifo
Uhlobo lwe-1 isifo sikashukela ngokuvamile senzeka kubantu abasha. Lezi yiziguli ezingaphansi kweminyaka engama-30-35, kanye nezingane.
Ukuthuthukiswa kwe-pathology kwenzeka ngenxa yokungasebenzi kahle ekusebenzeni okuvamile kwamanyikwe.
Njengoba kungumzimba lo obhekele ukwenziwa kwe-insulin yehomoni ngenani ledingekayo kumuntu. Njengomphumela wentuthuko yalesi sifo, amaseli e-beta ayachithwa bese i-insulin ivinjelwe.
Ezinye zezizathu ezinkulu ezingadala ukubonakaliswa kwesifo sikashukela sohlobo 1 yile:
- Isakhi sofuzo noma into eyindlalifa kungavusa ukukhula kwesifo enganeni uma omunye wabazali enalo lolu hlobo lokuxilongwa. Ngenhlanhla, le nto ayiveli kaningi ngokwanele, kepha yandisa ubungozi besifo.
- Ukuxineka kakhulu noma ukuphazamiseka kwemizwelo kwezinye izimo kungasebenza njenge-lever ezothuthukisa ukukhula kwesifo.
- Izifo ezithathelwanayo ezisanda kuvela, ezifaka i-rubella, iminyuzi, ihepatitis noma i-inkukhu. Ukutheleleka kuthinta kabi wonke umzimba womuntu, kepha amanyikwe aqala ukuhlupheka kakhulu. Ngakho-ke, amasosha omzimba womuntu aqala ngokuzimela ukubhubhisa amaseli alesi sitho.
Ngesikhathi sokukhula kwalesi sifo, isiguli asikwazi ukucabanga impilo ngaphandle kokujova i-insulin, ngoba umzimba wayo awunakukhiqiza le hormone.
Izimpawu sici se-pathology
Enye yezimpawu zesifo sikashukela sohlobo 1 ukukhula ngokushesha kwe-pathology.
Izimpawu zalolu hlobo lwalesi sifo ziboniswa ngesimo sezimpawu ezilandelayo:
- ukoma kumhlukumeza njalo umuntu, futhi naphezu kokudla okungamanzi okukhulu (kuze kufike kumalitha amahlanu ngosuku), akunakwenzeka ukucima
- ngenxa yokuphelelwa ngamandla komzimba, ukuphuma kokuchama okuvamisile, okukhulunywa ngakho ebusukuꓼ
- Naphezu kokudla okuningi kanye nokuzivocavoca okuphansi komzimba, umzimba ukhathele futhi umuntu uqala ukwehlisa isisindo ngokushesha futhi ngokushesha, kanti ukwehla kwesisindo kwezinye izimo kungafinyelela amakhilogremu ayishumi ngenyangaꓼ
- Ubuhlungu bemisipha, Ukuncibilika kumatholeꓼ
- ukuba khona kwezinkinga ngesikhumba, amathumba amancane noma okunye ukuqubuka esikhunjeni kungenzeka. Ngaphezu kwalokho, noma yimaphi amanxeba nokuhlukumezeka kuphulukisa isikhathi eside nobunzima
- kukhona ubuthakathaka obujwayelekile emzimbeni, umuntu uhambisana nomuzwa ongapheli wokukhathala, ukukhubazeka kwenkumbulo nokungakwazi ukugxila. Ngasikhathi sinye, impumuzo ayilethi ukuphumula okuhle nokulalaꓼ
- ukugula kakhulu kwekhanda nesiyezi kungahambisana nesiguliꓼ
Ngaphezu kwalokho, iphunga elingathandeki le-acetone kushukela likwazi ukuqhamuka emgodini womlomo.
Ngabe isebenza kanjani imishanguzo?
Ukwelashwa kwesifo sikashukela sohlobo 1 akunakwenzeka ngaphandle kokusetshenziswa kwemithi ekhethekile. Ukukhetha kanye nemithamo yemithi yenziwa udokotela ohambela isiguli, kucatshangelwa ubunzima bezithombe zomtholampilo kanye nezimpawu zomzimba ngamunye.
Kumele kukhunjulwe ukuthi ukufakwa kwezidakamizwa ngama-analogues noma ukusetshenziswa kwezindlela zazo zokuqeda lesi sifo, njenganoma yikuphi okunye ukuzelapha, kwenqatshelwe ngokuphelele.
Akunakwenzeka ukuthi ucabange ukwelashwa ngezidakamizwa okungabandakanya ukwelashwa kwesifo sikashukela ngaphandle kwe-insulin. Iziguli ezinalokhu kutholwa ziba ngokuya ngemijovo enjalo ukuze zikwazi ukuphila ngendlela ejwayelekile.
Ungaselapha kanjani isifo sikashukela sohlobo 1 nokuthi yimiphi imithi esetshenziswayo? Ukwelashwa kwe-insulin kungafaka la maqembu alandelayo ama-hormone alawulwa:
- I-insulin emfishane ne-ultrashort. Umphumela womjovo wokujova ubonakala ngokushesha okukhulu, ngenkathi unesikhathi esifushane somsebenzi. Enye yezidakamizwa kuleli qembu yi-Actrapid yezidakamizwa, eqala ukusebenza futhi yehlise ushukela wegazi imizuzu engamashumi amabili ngemuva komjovo. Umphumela wayo ungahlala amahora amabili kuya kwamane.
- I-hormone yokuvezwa okuphakathi isetshenziswa ekwelashweni, ngoba inamandla okunciphisa ukufakwa kwe-insulin egazini lomuntu. Ummeleli waleli qembu lezidakamizwa yiProtafan NM, umphumela oqala ukubonakala ngemuva kwamahora amabili ngemuva komjovo futhi uhlala emzimbeni amanye amahora ayisishiyagalombili kuya kwayishumi.
- I-insulin esebenza isikhathi eside ihlala isebenza isikhathi esingamahora angamashumi amathathu kuya kwayisithupha. Umuthi ophathisiwe uqala ukusebenza cishe amahora ayishumi kuya kwayishumi nambili ngemuva komjovo.
Ukuze welaphe isifo sikashukela sohlobo 1, udinga ukujova i-insulin njalo. Uhlobo lokwelashwa olwakhiwe kahle, imithamo edingekayo nesikhathi somjovo kuzosiza ukugcina amazinga kashukela egazini angaphansi kwemingcele eyamukelekayo.
Usizo lokuqala, oluzonciphisa ngokushesha ushukela wegazi, lususelwa ekujovweni ngokuqondile kwe-insulin. Njengomthetho, izidakamizwa zaleli qembu zine-ultrashort nemiphumela ephezulu, isetshenziswa njengosizo lokuqala. Ngasikhathi sinye, kumuntu ngamunye, kulungiselelwa okokwelashwa ngakunye.
Ngaphezu kwalokho, kusetshenziswa imithi yomlomo esiza amazinga aphansi kashukela.
Ukudla okunempilo njengenye yezingxenye zokwelapha eziyinkimbinkimbi
Ungaselapha kanjani isifo sikashukela ngokudla? Kumele kuqashelwe ukuthi ukunamathela ekunakekelweni kokudla akunamandla okuqeda ngokuphelele ukugula, kepha kuzogwema ukwanda okungazelelwe kushukela wegazi kanye nezinkinga ezingenzeka. Ngaphezu kwalokho, ukwelashwa okuyinkimbinkimbi kususelwa ekunamatheleni kokuphoqelelwa kokudla okuqinile, okufanele kukhuliswe uchwepheshe wezokwelapha.
Enye yezindlela zokudla okunesifo sikashukela ukuthi ukudeda emaqenjini athile ukudla akudingekile ukunciphisa isisindo ngokweqile, kepha ukunciphisa umkhawulo wokudla ushukela emzimbeni.
Imenyu yansuku zonke kufanele ivele esimweni esivamile sesiguli nesisindo somzimba wayo. Ngakho-ke, kuyadingeka ukukhipha ekudleni wonke ama-carbohydrate angagayeka kalula, ushukela, ukudla okunamafutha.
Ngokwezinga elikhulu, kuyadingeka ukusebenzisa imifino emisha, amakhambi noma ukudla okune-fiber fiber yezitshalo nefayibha. Isisekelo sokudla kufanele sakhiwe ngokudla okunenkomba ephansi ye-glycemic, ngoba ayifaki sandla ekwandeni kweglucose. Kubalulekile futhi ukuqonda ukuthi akukho ukudla okufana nalokhu nokudla okwehlisa ushukela wegazi ngokuqondile.
Ngomenyu yokudla eyenziwe kahle, kungavela izinzuzo ezilandelayo zokudla okunempilo:
- amazinga eglucose ejwayelekile, gxuma ngokushesha kungazelelweꓼ
- kuholela isidingo sokunciphisa imithamo ye-insulinꓼ
- I-hypoglycemia kungenzeka ingenzeki isikhathi eside ngokubheka njalo komsoco ofanele
- isimo esivamile sesiguli siyathuthukaꓼ
Ngaphezu kwalokho, ukudla njalo kungenza kancane kancane izinkinga zesifo esivele ekuqaleni.
Ukuhlelwa ngokwejwayelekile kwamazinga kashukela ngokwelashwa ngokomzimba nangokusebenza komzimba
Indlela yokuphila esebenzayo kanye nokuzivocavoca okwenziwa njalo emzimbeni ngo-mellitus wesifo sikashukela ngeke kuthinte kuphela ukwamukeleka kokujwayelekile kwamazinga kashukela wegazi, ukuthuthukisa ukuhamba kwegazi, kepha futhi kuholele ekwandeni kokuzwela kwezicubu kwe-insulin.
Kunombono wokuthi ukuvivinya umzimba okuhlala njalo, kukhethwe kahle kusiza iziguli eziningi ukuthi zilulame sikashukela. Eqinisweni, ngenxa yokuzivocavoca umzimba ungakugwema ukuthuthuka kwalesi sifo futhi unciphise ubungozi bezinkinga ezahlukahlukene. Ukuthola umphumela omuhle, kufanele uhambisane nokudla okufanele ngaphambi nangemva kokuqeqeshwa, bese ulandela zonke izincomo zikadokotela wakho.
Inketho enhle yabantu abanesifo sikashukela ukwethulwa kokuhamba njalo imizuzu engama-20-30. Ngaphezu kwalokho, ungagijima, kepha ngamanani alinganayo nemithwalo.
Kufakazelwe ngokwesayensi ukuthi lapho umuntu ehamba kakhulu, ama-carbohydrate amaningi asha kusuka ezithanjeni zomzimba. Enye yezindlela ezidumile, ngenxa yokuthi kungenzeka ukwelapha lesi sifo, ukuzivocavoca komzimba, okwakhiwa nguBoris Zherlygin. Le ndlela isuselwa ekusetshenzisweni kokuzivocavoca okuthile komzimba ngokuhambisana nokudla okuthuthukile.
Ngemisebenzi ehlukahlukene yomzimba, kunconywa futhi ukuhlola ngezikhathi ezithile izinga likashukela wegazi.
Ukusetshenziswa kwemithi yendabuko
Njengama-adjuvants azosiza ukuthuthukisa isimo sesiguli, izindlela zokupheka zemithi yendabuko yesifo sikashukela, ezingasetshenziswa ekhaya, zingenziwa.
Usebenzisa indlela eyodwa noma eziningi, kufanele uqale uzixhumanise nodokotela wakho. Ngaphezu kwalokho, ukusetshenziswa kwama-decoction okwelapha noma ezinye izindlela akusho ukuthi kuyadingeka ngokuphelele ukulahla i-insulin, ngoba lezo zenzo zingaholela ekufeni.
Ekhaya, lokhu kudla okulandelayo nezindlela zokupheka ezisuselwa kuzo zingaba abasizi ekwenzeni amazinga kashukela egazi abe ngokwejwayelekile:
- Imbewu yefilakisi, lapho ungalungisa khona isilinganiso. Kukholelwa ukuthi lesi silinganiso sithuthukisa ukusetshenziswa kwe-glucose esibindini futhi kuvumele okuqukethwe kwe-insulin ku-plasma yegazi. Ukuze ulungiselele isiphuzo sokwelapha, udinga amagremu angama-50 amaqabunga ama-aluhlaza okwesibhakabhaka omisiwe namagremu angama-20 wembewu yefilakisi. Thela izakhi ezilungisiwe ngelitha elilodwa lamanzi abilayo bese usonga ithawula elifudumele lokugcizelela (cishe amahora amahlanu). Thatha isigamu sengilazi ngaphambi kokudla ngakunye amasonto amabili.
- Ukwenza i-decoction yamaqabunga aluhlaza okwesibhakabhaka, okusiza ukubuyisa amazinga kashukela abuyele kokujwayelekile. Ukuze ulungiselele isiphuzo esinjalo, udinga ukuthatha isipuni samaqabunga e-blueberry oqoshiwe bese uthele ingilazi yamanzi abilayo, akuyeke. Kuyadingeka ukuthatha umuthi onjalo engxenyeni yengilazi enesigamu sehora ngaphambi kwesidlo esikhulu. Indlela yesibili yokusebenzisa ama-blueberries ukwenza i-compote kusuka kumajikijolo ngokwawo. Ngasikhathi sinye, kufanele kukhunjulwe ukuthi isiphuzo sokuphulukisa siyoba kuphela lapho kungekho ushukela kulo.
- Izithelo zomlotha osentabeni omnyama nazo zinomphumela omuhle ekunciphiseni ushukela wegazi. Kulezi amajikijolo, ungenza itiye futhi uthathe phakathi nosuku.
- Enye yezindlela eziphumelela kakhulu yisinqumo se-oats. Ukulungiswa kwesiphuzo esinjalo sokwelapha ukuthi udinga ingilazi yama-oats cishe izingilazi eziyisithupha zamanzi abilayo. Bilisa izakhi ngaphezulu kokushisa okuphansi amahora amaningi, kupholile futhi kuhoxe. Thatha umuthi engilazini yengilazi ngaphambi kokudla main.
Kufanele kukhunjulwe ukuthi ukwelapha isifo esisodwa kungalimaza ezinye izitho nezinhlelo zomzimba. Ngakho-ke, kuyadingeka ukukhetha ngokucophelela umuthi wendabuko, ubheka umphumela wawo emzimbeni womuntu. Umsizi nomeluleki ongcono kakhulu ekwelashweni okuyinkimbinkimbi kwesifo sikashukela kufanele abe udokotela ogulayo. Ividiyo ekulesi sihloko izokutshela nje ukuthi ungayenza kanjani ngaphandle kwesifo sikashukela.
