Sixoxe no-Olga Demicheva, oyilungu le-European Association for the Study of Diabetes, i-endocrinologist eneminyaka engama-30 yamava, kungani ukuqapheliswa kwesifo sikashukela kodokotela kubaluleke kakhulu, ukulimala okungadalwa yizihlobo zakhe ezifisa ukusiza, kanye nemibuzo enzima kakhulu yeziguli. , nombhali wezincwadi ezidumile ngezifo zohlelo lwe-endocrine.
I-Diabeteshelp.i-org: U-Olga Yuryevna, ungenza isithombe sesiguli esimaphakathi nesifo sikashukela?
Olga Demicheva: Isifo sikashukela i-mellitus siya ngokuya sanda, inani leziguli liyakhula. Okokuqala, kusobala, lokhu kusebenza ku-T2DM, kodwa futhi nesigameko se-T1DM sikhuphukile futhi. Ngokuthabisisayo, isifo sikashukela, ngokungafani nezinye izifo ze-endocrine, asinayo indawo yaso ebekiwe, okungukuthi, ubuso. Lokhu kungabantu abahluke kakhulu, bahluke ngokuphelele komunye nomunye. Kwakunjalo futhi kusekhona nanamuhla. Kungakho thina, odokotela, kufanele sibe nokuqwashisa ngesifo sikashukela noma nini lapho iziguli ziza kithi isikhathi sokuqokwa. Ukuhlola ushukela wakho wegazi kulula, kushesha, futhi kushibhile. Izinkinga eziningi zingagwenywa uma isifo sikashukela "sibanjwa" ekuvulekeni, ngaphambi kokuvela kwezinkinga. Manje kuqondwa hhayi kuphela ngodokotela, kodwa futhi neziguli. Ngakho-ke, endaweni yokwamukela abantu kuvame ukuba kube nabantu abahlola ngokuzimela ushukela wegazi futhi bathola ukuthi ingaphezulu kwamanani ajwayelekile.
I-Diabeteshelp.i-org: Ingabe ukhona umehluko ngendlela i-DM 2 eyenzeka ngayo emadodeni nakwabesifazane?
O.D. Akukho mehluko osisekelo enkingeni yesifo sikashukela kubafana namantombazane, emadodeni nakwabesifazane. Kepha kunezici okumele zibhekwe. Isibonelo, ukuguquguquka kweshukela egazini elihambisana nomjikelezo wokuya esikhathini kwabesifazane besikhathi sokuzala. Noma, ngokwesibonelo, ubungozi bokungasebenzi kwe-erectile emadodeni anesifo sikashukela esingalawulwa kahle. Ngaphezu kwalokho, kukhona isifo sikashukela, esenzeka kubantu besifazane kuphela. Ingabe isifo sikashukela sokukhulelwa noma isifo sikashukela esikhulelwe. By endleleni, futhi kwaba ngaphezulu kunangaphambili. Mhlawumbe lokhu kungenxa yokuqwashisa ngokwezokwelapha kanye nokutholwa okusebenzayo kwalesi simo, futhi mhlawumbe nokwanda kokukhuluphala kanye nokwanda kweminyaka yabesifazane abakhulelwe.
I-Diabeteshelp.i-org: U-Olga Yurievna, Usebenze iminyaka eminingi njenge-endocrinologist, yiziphi iziguli eninselele nazo ikakhulukazi futhi ngani?
O.D. Akunzima kimi ukuthi ngisebenze neziguli. Kwesinye isikhathi kuba nzima nezihlobo zabo. I-Hyperopec yabazali noma umlingani onothando angaphula ugqozi lwesiguli ukulandela izincomo zokwelashwa nasendleleni yokuphila, imenza afune ukuketula ukuqokwa kodokotela, alawule ukugula kwakhe kuye kothandekayo wakhe. Lokhu kwenza kube nzima ukufeza impumelelo ekwelashweni.
I-Diabeteshelp.org: Hlobo luni lokusekelwa, ngokubona kwakho, oludingekayo kubazali bezingane ezinesifo sikashukela sohlobo 1 nezingane ngokwazo ezikhathele ngokokuziphatha isidingo sokubheka amazinga ashukela wazo njalo?
O.D. Lapho ingane inesifo sikashukela, kubaluleke kakhulu ukungaguquli lo mcimbi ube usizi lomndeni. Unesifo sikashukela, manje usungaphila ujabule kusukela lapho, cishe impilo efanayo neyabanye abantu. Ukulawula ushukela wegazi esikhathini sethu kuye kwaba lula kakhulu kunaseminyakeni embalwa edlule. Kwavela ama-Glucometer, inzwa yawo efakwe esikhunjeni futhi kungakapheli amasonto amabili ungafunda izinkomba kuwo usebenzisa i-smartphone nganoma yisiphi isikhathi; bese kuzwa inzwa entsha kumaviki ama-2 alandelayo nokunye.
I-Diabeteshelp.org: Kuthiwani uma ingane enesifo sikashukela 1 ingafuni ukuyiyisa enkulisa? Ingabe ikhona i-algorithm yokusebenzisana nohlelo lwemfundo?
O.D. Izingane ezinesifo sikashukela sohlobo loku-1 kudingeka ukuthi zamukelwe ezikhungweni zokunakekela izingane, ezikoleni, nasezigabeni zezemidlalo. Akunakubandlulula okuvumelekile. Uma ukuxabana kwezinhloko zezikhungo zezingane kungaphezu komthetho, kufanele uthinte uMnyango Wezempilo noma Wezemfundo; Ungacela usizo emphakathini wesifunda wabantu abanesifo sikashukela.
I-Diabeteshelp.org: Ungazisiza kanjani izingane ezinesifo sikashukela sohlobo loku-1 zijwayele esikoleni? Yini ongacebisa abazali bakho ukuba bayenze?
O.D. Batali kufanele baphindze nengane yabo imitsetfo layifundza eSikolweni Sikashukela: ungadli indlala; cabanga inani lama-carbohydrate adliwe ngaphambi kokujova i-insulin emfushane; ukunciphisa umthamo we-insulin bese udla ngesikhathi sokuzivocavoca. Into esemqoka ukungabi namahloni ngesifo sakho sikashukela. Vumela othisha nalabo afunda nabo ukuthi bazi ngaye, ukuze basize ngesikhathi uma kunesidingo. Yebo, izingane zasekilasini kufanele zitshelwe ukuthi: "Umngane wakho uVanya unesifo sikashukela. Kufanele wazi ukuthi uma uVanya engazizwa engakhululekile, kufanele umnikeze ujusi omnandi futhi ucele usizo kubantu abadala ngokuphuthumayo." Amandla okunakekela umuntu athuthukisa uzwela kanye nomthwalo wemfanelo ezinganeni, futhi ingane enesifo sikashukela iyozizwa ivikelekile.
I-Diabeteshelp.org: Ngenxa yalomsebenzi, ubuzwa njalo ngokuthile - iziguli, abafundi bezincwadi zakho, abafundi baseDiabetes School. Yimiphi imibuzo ezibuza yona ezigulini eziye yaba nzima kakhulu?
O.D. Imibuzo enzima kakhulu kimi yimibuzo ngokuhlinzekwa kwezidakamizwa: "kungani ungakhi i-insulin?"; "Kungani umuthi wami ojwayelekile washintshwa nohlobo olujwayelekile?" Le yimibuzo okufanele ibhekiswe kubahlinzeki bezempilo, hhayi kumhlinzeki wakho wezokunakekelwa kwempilo. Kepha ukuchaza kanjani lokhu kubantu ngokwesiko abaya kudokotela ukuze bathole usizo nasekuxazululeni izinkinga zempilo? Ngakho-ke ngifuna izixazululo: Ngifunda umthetho, ngiphendukela kubaphathi abaphethe. Lokhu mhlawumbe akulungile, kepha angikwazi ngenye indlela.
I-Diabeteshelp.I-org: Futhi iyiphi ejabulisa kunazo zonke?
O.D. Ngenkathi ngiqala ukusebenza njengodokotela, ngahola ukubonisana ngemuva komsebenzi omkhulu emnyangweni wokuthola usizo wezempilo emtholampilo wethu. Isiguli esithile singibuza: "Dokotela, yimalini imali yakho?" Ngamangala ngokomqondo ukuthi lo mfokazi uyakwazi kanjani ukuzala kwenja yami. Hhayi, ngiphendula: "Mnyama futhi ungowesilisa wesilisa." Futhi ungibuka ngamehlo ayindilinga, akaqondi ukuthi ngiqonde ukuthini. Kuyavela ukuthi bengicabanga ukuthi ngithatha imali yokubonisana.
I-Diabeteshelp.org: Yimiphi imibono evamile eyiphutha oke wabhekana nayo?
O.D. Ah, miningi imibono eyiphutha! Omunye uqiniseka ukuthi isifo sikashukela sivela ekudleni ushukela. Omunye ucabanga ukuthi ukusebenzisa i-insulin kufana nesigwebo sentambo. Omunye uqinisekile ukuthi ngesifo sikashukela, udinga ukudla kuphela iphalishi le-buckwheat. Konke lokhu, iqiniso, akulona iqiniso. Encwadini yami ekhuluma ngesifo sikashukela, isahluko sonke sinikezelwe kulesi sihloko.
I-Diabeteshelp.org: Kukhulunywa ngezincwadi! U-Olga Yuryevna, ngicela usitshele ukuthi yini eyenze ukuthi uqale ukubhala izindatshana nezincwadi zabantu abajwayelekile, hhayi ozakwabo bezokwelapha?
O.D. Abantu abavamile yiziguli zethu nabathandekayo babo. Kungenxa yabo ukuthi thina, odokotela, sisebenze futhi sifunde impilo yethu yonke. Kuyadingeka impela ukukhuluma neziguli, ukuphendula imibuzo yazo, ukufundisa, nokwazisa. Abantu basheshe bakhohlwe ezinye izeluleko nezeluleko ezivela kodokotela. Kepha lapho la macebiso eqoqwe encwadini eyodwa, ayohlala esesondele.
I-Diabeteshelp.org: Ngabe uhlela ukubhala okuthile ngabalaleli bezingane?
O.D. Ezinganeni, ngiphupha ngolunye usuku ngibhale inganekwane ezinkondlweni zohlobo lwesifo sikashukela sokuqala. Ungaphila kanjani nalesi sifo ngokufanele futhi kahle. Uhlobo lomhlahlandlela wencwadi yamahlaya. Ngezithombe nemithetho evumelana kahle nesigqi. Ngolunye usuku, uma isikhathi sivuma ...
I-Diabeteshelp.I-org: Encwadini yakho entsha, ukhuluma nge "sakhi yemfuzo" evela kokhokho ngendlela ye-hyperinsulinism engapheli kanye nokumelana ne-insulin. Ungayilahla kanjani wena?
O.D. Ngiphatha lesi "sipho" nsuku zonke: Ngizama ukuhambisa okuningi hhayi ukudla ngokweqile. Ngaphandle kwalokho, lesi sipho, esifihlwe ezinhlotsheni zami, sizophuma sibonakale kuwo wonke umuntu. Igama lakhe ukukhuluphala.
I-Diabeteshelp.org: Ngabe ufundisani uqobo esikoleni sikashukela esikufundisayo? Ngubani ongangena kulesi Sikole?
O.D. Imfundo yeziguli, njenganoma iyiphi imfundo, ihlala iyindlela enezindlela ezimbili. Akubona abafundi kuphela abafunda, kepha nothisha. Ngineziguli zami eWessel Clinics, ngisebenza eSikoleni Soshukela, eTiroshkoly, kanye nasezinhlolweni ze-School of Combating Obesity. Ukuze ube ngumfundi wami, ukuba nesineke kwami kwanele.
