Isifo sikashukela emakati siyakhula ngenxa yokungasebenzi kahle kwamanyikwe, okuholela ekushwabeni okukhulu kwe-insulin egazini. Izimpawu zesifo zingavela ngesilinganiso esandayo sikashukela egazini lesilwane kanye nokuhluleka komzimba ukuqondisa kabusha ushukela ukuze ukhiqize amandla.
Amakati angagula ngezinhlobo ezahlukahlukene zesifo sikashukela. Ngohlobo lokuqala, amangqamuzana e-beta afa cishe ngokuphelele, okuholela ekungenakwenzeka kokubuyisa ama-pancreas. Isifo sikashukela emakati ohlobo lokuqala sihlakulela kakhulu. Uma kwenzeka isifo sikashukela sohlobo lwesibili, amangqamuzana e-beta angafi futhi angaqhubeka nokusebenza ngokugcwele ngokufihla i-insulin. Okwamanje, inani lamaseli liyancipha, okuholela ekuntuleni kwe-insulin emzimbeni. Okokuqala, isifo sikashukela siyakhula ngenxa yokukhuluphala.
Izimpawu zesifo sikashukela emakati
Lesi sifo se-endocrine sithathwa njengesinye esivame kakhulu phakathi kwezilwane. Izimpawu zokuqala zalesi sifo zingabonakala lapho ikati lineminyaka emihlanu kuya kwayisithupha. Futhi, isifo sikashukela sivame kakhulu kumakati amadala. Kulokhu, amakati kaningi ukwedlula amakati ahlushwa ukuntuleka kwe-insulin.
Yize kunokushoda kolwazi oluqondile mayelana nezibalo zesifo sikashukela, kuyaziwa ukuthi namuhla kunamakati amaningi futhi amaningi ahlaselwa yilesi sifo. Isizathu esiyinhloko salokhu izilwane ezifuyile ngokweqile. Ngokusho kochwepheshe, isilwane esinesisindo sekhilogremu eyodwa nohhafu kunesisindo saso singenye yamakati aqatha.
Ngakho-ke, izilwane ezifuywayo ezinesisindo esingaphezu kwamakhilogremu ayisithupha ngokuzenzakalelayo ziwela ohlwini lwalabo abangaba nesifo sikashukela sohlobo lokuqala noma lwesibili. Lezi zibalo zisebenza kuphela kumakati wesisindo esijwayelekile, ezinye izibalo zezigaba zesisindo zisetshenziselwa izinhlobo ezinkulu.
Izimpawu zesifo sikashukela
Imvamisa, isifo sikashukela emakati singabonwa ukoma okunamandla kwesilwane nokuchama kaningi. Lesi simo siholela ekulahlekelweni kwesisindo kanye nokwanda okubukhali kokudla.
Kaningi, ngenxa yohlobo lokuziphatha kwezilwane ezifuywayo, izinkomba eziphambili zalesi sifo zingavela isikhathi eside, futhi umnikazi akanalo ngisho nenkomba yokuthi isilwane sakhe siyagula. Lokhu kuyiqiniso ikakhulukazi kumakati ahlala emoyeni ovulekile futhi angenza ngokuzimela ngenxa yokuntuleka kwamanzi okuvela kunoma yimiphi imithombo yamanzi. Akulula futhi nokuthola izimpawu zalesi sifo emakati ukuthi adle imikhiqizo yemvelo, lapho athola khona isilinganiso esilinganayo soketshezi.
Uyokhipha nini i-alamu futhi uthintane nodokotela wezilwane:
- Uma ikati lihlangabezana nokuqhekeka, ukoma, futhi lihambe ngokungafanele, zama ukondla lesi silwane njengosizo lokuqala. Uma lokhu kungenzeki, gcoba i-mucosa yomlomo ngesiraphu enoshukela noma isisombululo se-glucose bese uthintana nodokotela.
- Usizo olufanayo kufanele lunikezwe uma amazinga kashukela egazi angaphansi kwe-3 mmol / L.
- Uma ushukela womchamo wehlela ku-zero bese ama-ketones etholakala emchameni, kufanele kwenziwe ukuhlola kwegazi ngoshukela.
- Uma amazinga kashukela noma omchamo wedlula ngemuva kokuhlaziywa, kufanele uthintane nodokotela wezilwane ezinsukwini ezimbili.
Ukuxilongwa kwesifo sikashukela
Uma ubona izimpawu ezisolisayo kwikati, kufanele uthintane nodokotela ngokushesha. Uma ikati lingelashwa isikhathi eside, isilwane singaba nesimo esibi. Ukuvimbela lokhu, udinga ukunaka impilo yezilwane ezifuywayo futhi ubhekele ukuqaphela ukugula kwakhe.
Ukuhlonza nokuvikela ukukhula kwesifo sikashukela, kwenziwa ukuhlola kwegazi nomchamo. Lokhu kuzosiza ukuthola ukuthi ushukela egazini lesilwane uphezulu kangakanani.
Kwezinye izimo, izinga eliphakeme likashukela egazini lingabangelwa yisifo, kodwa ngokuvela kwesikhathi esisodwa, uma isilwane sike sabhekana nengcindezi noma ubuthi obunobuthi emzimbeni. Kulokhu, ukuthola ukuba khona kwesifo sikashukela, ukuhlaziya kwenziwa nsuku zonke isonto.
Ukwelashwa kwesifo sikashukela
Uma uqala ukwelashwa ngesikhathi bese ulandela zonke izincomo ezibekwe udokotela wezilwane, ukuthuthukiswa ushukela kungagwenywa. Umnikazi udinga ukulungiswa ngeqiniso lokuthi kuzodingeka akhombise ukubekezela okuningi namandla okuphulukisa isilwane.
Isinyathelo sokuqala ukususa okungavusa ukukhula kwesifo. Ngakho-ke, kwezinye izimo, isifo sikashukela singadala imishanguzo ethile enikezwa ikati isikhathi eside. Kufanele futhi ukhathazeke ngesisindo sesilwane futhi, uma kunesidingo, wenze yonke imizamo ukunciphisa isisindo somzimba wekati.
Amakati we-Plump adinga ukulandela indlela ekhethekile yokudla. Lokhu, kubiza kakhulu, okusezingeni eliphakeme, okunamaprotheni amaningi, okuphansi kwe-carbohydrate. Inani elincane lama-carbohydrate lisiza ushukela wegazi ophansi. Ukudla okufanele kufanele kugweme ukwelashwa okuyinkimbinkimbi ngesifo esithambile.
Ukudla okhethwe kahle kuzosiza ukulawula izinga le-glucose egazini lesilwane. Ikati kufanele lidliwe kaningi, kepha izingxenye ezincane. Ukwehla kwesisindo kumakati agcwele nokugcina isisindo somzimba esivamile kusiza ekugwemeni ukweqa okungazelelwe kanye nokwehla ushukela emzimbeni. Kubalulekile ukubheka okujwayelekile lapho usuthisa isilwane futhi unikeze ukudla ngezikhathi ezithile ezichazwe ngokuqinile. Kulokhu, kufanele ube nokudla njalo ngomaki ukuze ugweme ukweqa ukondla.
Ezimweni ezimbi kakhulu, ikati linikezwa umuthi kanye nokufakwa kwe-insulin egazini. Ukuze ukhethe umthamo ofanele we-hormone, kufanele uthintane nodokotela wezilwane. Ukwelashwa kwe-insulin kuvame ukwenziwa kabili ngosuku izinsuku eziningana noma amasonto, kuye ngezinga lesifo. Kuyadingeka ukulandela ngokuqinile imiyalo kadokotela futhi ungeqi umthamo obekiwe.
Ukulawula kanjani ukwelashwa
Ukuze uhlole ukuthi kusebenza kangakanani ukwelashwa, udokotela wenza ngezikhathi ezithile ukuhlolwa kwegazi nomchamo. Ngokusekelwe emiphumeleni, udokotela wezilwane ushintsha umthamo we-insulin noma umuthi.
Ukuze umphathi we-grabber abe nemininingwane ephelele mayelana nenkambo yokwelashwa, abanikazi bayalulekwa ukuthi bagcine amarekhodi lapho yonke imininingwane ibhaliwe khona:
- I-insulin inikezwa ngasiphi isikhathi?
- Malini i-insulin?
- Ikati liphuze ngamahora amangaki?
- Inani lamanzi owaphuzayo?
- Isisindo somzimba wekati nsuku zonke?
Ngaphezu kwedatha ekuhlolweni kwegazi, udinga ukulandelela ukusebenza kwezivivinyo zomchamo wekati. Le mininingwane izosiza ukulungisa umthamo odingekayo we-insulin olawulwa futhi uthole ukuthi kusebenza kangakanani ukwelashwa. kuzodingeka isimo esifanayo uma, isibonelo, i-pancreatitis yekati itholakala.
Ukuthola idatha eqondile, umchamo othathwe ekuseni nasebusuku amahora uyadingeka. Ungathatha umchamo wesilwane nganoma iyiphi indlela elula. Ikulungele ikakhulukazi lokhu amathayela asendlini yangasese ngaphandle kwesihluzi esine-kabhizi. Futhi, esikhundleni se-filler, i-gravel ingasetshenziswa, engatholi umchamo, ngenxa yalokho uketshezi lugelezela phansi threyi, ukusuka lapho lungathathwa khona ukuze luhlaziywe.
Uma lezi zindlela zingasizi, ikati libekwa i-catheter ye-urogenital ukukhipha inani elidingekayo lomchamo. Noma kunjalo, le ndlela ayilungele wonke umuntu, ngoba umchamo kufanele uthathwe kaningi ngosuku, futhi ukufakwa kwe-catheter kudinga ukuphathwa kwangaphambi kokuhlinzwa. Kungalimaza ne-ureter.
Njengoba amazinga kashukela nomchamo azoshintsha nsuku zonke, kuzodingeka usizo oluhlala njalo oluvela kubadokotela bezilwane.
Ukweqiwa kwe-insulin egazini
Ukweqiwa kwe-insulin egazini kungadalwa umthamo ongafanele wokuphathwa kwehomoni. Lokhu kungaholela ekunciphiseni okukhulu koshukela wegazi emakati, okungadala i-hypoglycemia. Kulokhu, kuyadingeka ukukhetha ngokucophelela umthamo womuthi futhi uhlale uthintana nodokotela bezilwane lapho wenza ukwelashwa.
Emazingeni aphansi kashukela egazini, ikati lingase livilive, imvamisa isilwane sine-gait engavikelekile, imvamisa evamile, ukwethuka kanye nesimo esibuthakathaka. Uma kutholakala izimpawu ezifanayo, kuyadingeka ukufuna usizo kudokotela wezilwane. Uma isilwane sinezinga eliphansi le-hypoglycemia, ungasiza isilwane ngokuthela isisombululo sikashukela noma uju esivalweni sezipuni esisodwa emlonyeni wekati.
