Isifo sikashukela i-mellitus, ngaphandle kwegama layo elimnandi, aletha umuntu hhayi kuphela i-glucose ngokweqile emzimbeni, kodwa futhi nezinkinga ezengeziwe. Izinguquko ezikhona zingadala impilo yabanesifo sikashukela futhi ziholele ezinqubweni ezingenakuphikwa, kuze kufinyelele nokukhubazeka.
Abantu ababhekene nesifo se-endocrine kufanelekile bazibuze ukuthi ngabe banikeza ukukhubazeka kushukela? Isimo sokukhubazeka kwezinye iziguli sisiza ekuvumelaniseni nsuku zonke nasekutholeni izinzuzo ezibonakalayo nezokwelashwa.
Lesi sihloko sinezinhlangothi ezimbili okumele zaziwe kumuntu onomlando wesifo sikashukela.
Isifo sikashukela sikashukela
Ukukhubazeka ngesifo sikashukela kunika, kepha hhayi wonke umuntu futhi hhayi njalo! Njengoba lesi sifo uqobo sinezindlela ezihlukile zokubonakaliswa, ngakho-ke uhlu lwezinzuzo zabashukela lunqunywa ngezinga lokukhubazeka komuntu.
Akufanelekile ukubheka ukuthi uma ukuhlolwa kwegazi noma okunye ukuhlola kuqinisekisile iqiniso leloveli likashukela, udokotela uzothumela isiguli impela ekuhlolweni kwezokwelapha nakwezenhlalo.
Kwezinye izimo, isifo sikashukela singalawulwa kalula ngamaphilisi, ukudla, ukuvivinya umzimba futhi ngemuva kwesikhashana ukuxilongwa kususwe - ngohlobo 2 lokugula. Isiguli siphila ngokugcwele futhi asidingi ukunakekelwa kwangaphandle. Manje hlobo luni lokukhubazeka olungaba khona?
Uhlobo lokuqala lwesifo sikashukela namuhla lisho uhlobo olungalapheki, kepha aluhlali lumenza umuntu ancike kubantu besithathu.
Abantu abaningi abathembele kwe-insulin baphila impilo ephelele, benza lokho abakuthandayo futhi bazungezwe ukunakekelwa kwabathandekayo babo. Ukukhubazeka, empeleni, akudingekile kubo, kepha amalungelo emijovo kanye nemichilo yokuhlola, ngeke kulimaze.
Uhlangothi lwe-blip lwesifo esimnandi yizona zinkinga ezingekho ngosuku olulodwa, kepha kancane kancane. Ukusebenza okungathí sina ekusebenzeni komzimba kuqhamuka ngenxa yokunganaki kwesiguli kuye noma ngenxa yokukhetha okungalungile kohlelo lokuvuselelwa kukadokotela oholayo, ngokwesibonelo, uhlobo lwe-insulin yesifo sikashukela sohlobo 1.
Eqa emazingeni eglucose noma e-insulin kudala ushintsho ohlelweni lokujikeleza, umsebenzi wezinso, inhliziyo, isimiso sezinzwa esiyindlebe, amehlo nesistimu yemisipha. Isimo singaba sibucayi lapho umuntu onesifo sikashukela ngaphandle kosizo esanda kufa.
Isimo esikhethekile ezinganeni ezitholakala zinesifo sohlobo 1 zisencane. Ngaphandle kokunakwa njalo ngabazali noma ngabagcini, ingane ayikwazi ukuhlala.
Ukuvakashela inkulisa noma isikole kuncike enhlalakahleni yomntwana, kepha ngaphandle kwesimo esikhethekile abaphathi besikhungo semfundo ngeke bakushaye indiva ukungabi bikho futhi nokungahambisani nemigomo.
Izinhlobo Zokukhubazeka Sikashukela
Ukukhubazeka ngomqondo ojwayelekile kuhlukaniswe ngamaqembu ama-3, kungakhathalekile ukuthi umuntu unaso yini isifo sakhe:
- Iqembu lokuqala labelwa kuphela kulezo zimo lapho isiguli singakwazi ukuzinakekela ngesisekelo esithile sezilonda zangaphakathi noma zangaphandle zomzimba. Uma kwenzeka kuhlobo lwe-1 noma uhlobo 2 lwesifo sikashukela, ukwephulwa kokuthathwa koshukela ngamaseli akusona isisekelo sokuhlolwa kwezokwelapha nakwezenhlalo. Izinkinga kuphela ezisukela kushukela omningi futhi okuholela ekushintsheni okukhulu kakhulu okuzoba yisizathu sokucutshungulwa kwecala yikhomishini.
- Iqembu lesibili lokukhubazeka lisho ukuthi ukugula kumuntu akukakafinyeleli iphuzu elibucayi, kusesimweni somngcele futhi kuvimbela isiguli ukuba siphile ngokugcwele. Izinguquko emzimbeni sezivele zafinyelela inani eliphakeme, kepha zingangena ekuxolelweni noma zinganciphisi umuntu ithuba lokuba semphakathini.
- Iqembu lesithathu liqokwa ochwepheshe uma ukugula okuyinhloko yize kunjalo kuholele ekusebenzeni kahle kwezinye izitho, okungaguqula isigqi esivamile sempilo yomuntu. Ukusebenza kahle kuncishisiwe noma isimo sesiguli sidinga eminye imithwalo, ukubuyisa umsebenzi. Izinzuzo zingatholakala kuphela ngombono wochwepheshe.
Imiphi imikhawulo Ethinta Iqembu Lokukhubazeka Lesifo Sikashukela
Ngokukhubazeka kwesifo sikashukela kudingeka ungenise amadokhumenti athile azothinta iqembu lokukhubazeka nezinzuzo. Emlandweni wesiguli ngokufaneleka kokukhubazeka kufanele kube izinkomba ezithile.
Iqembu 1 linikezwa umuntu onesifo sikashukela uma etholakala:
- Ukulahleka okuphelele kombono kuwo womabili amehlo ngenxa yokuphazamiseka kwesistimu yokujikeleza kwegazi okuhambisa izinzwa ze-optic nerve. Isitho esibukwayo sinemikhumbi emincane kakhulu nama-capillary, okuthi, ngaphansi kwethonya ushukela owedlulele, abhujiswe ngokuphelele. Ngaphandle kombono, umuntu ulahlekelwa ngokuphelele ukuma, amandla okusebenza nokuzinakekela.
- Ukuphazamiseka kwezinso lapho uhlelo lomchamo lungakwazi ukwenza umsebenzi wokuhlunga nokukhipha imikhiqizo yokubola. Isiguli senza ukuhlanjululwa kwezinso okungelona (dialysis).
- Ukwehluleka kwenhliziyo oku-3. Imisipha yenhliziyo ingaphansi kwengcindezi enkulu, ingcindezi kunzima ukuqina.
- I-Neuropathy - ukwephulwa kwezimpawu phakathi kwama-neurons wesistimu yezinzwa esezingeni eliphakathi, umuntu angalahlekelwa ukuzwela, ukubekezela kwamaphethelo kwenzeka, ukukhubazeka kungenzeka. Isimo esinjalo siyingozi ekuweni, ukungakwazi komuntu ukuhamba.
- Ukuphazamiseka kwengqondo ngemuva komonakalo ohlelweni oluphambili lwezinzwa, izifunda zobuchopho, lapho onesifo sikashukela ekhombisa ukungahambi kahle kobuchopho ngesikhathi sokuzala.
- Izinguquko zesikhumba eziholela ezinkingeni ngemilenze, kufaka phakathi i-gangrene nokunqunywa.
- Ukomelela okungapheli kwe-glycemic ngemuva ngemuva kwamazinga aphansi kashukela, angakwazi ukunxeshezelwa yi-insulin
Iqembu lesibili lokukhubazeka kwisifo sikashukela lifana kakhulu nenqubo ehlobene neqembu lokuqala. Umehluko kuphela iqiniso lokuthi izinguquko emzimbeni azikafinyeleli ezingeni elibucayi futhi isiguli ngokwengxenye sifuna ukususwa kwabantu besithathu. Ungasebenza kuphela ezimeni ezilungiselelwe ngokukhethekile ngaphandle kokusebenza ngokweqile nokushaqeka kwezinzwa.
Iqembu lama-3 lokukhubazeka kwesifo sikashukela linqunywa uma okuqukethwe ushukela okwandayo noma ukuntuleka kwe-insulin egazini kuholele ezimweni lapho umuntu engakwazi ukwenza umsebenzi wakhe. Izimo ezikhethekile noma ukubuyisa emuva kuyadingeka, kepha ngaphandle kweqembu umsebenzi akakwazi ukuthola inzuzo enjalo.
Ngaphezu kwamaqembu amathathu abakhubazekile abahloliwe, kunesimo esikhethekile salabo abanelungelo lokuthola imihlomulo - lezi yizingane ezincane ezinokuxilongwa kwesifo sikashukela sohlobo 1. Ingane ekhethekile idinga ukunakwa okuningi okuvela kubazali ngoba abakwazi ukunxephezela ushukela ngokuzimela.
Kepha lesi simo singabuyekezwa yikhomishini yokufinyelela eminyakeni eyi-14 yobudala. Ukukhubazeka kungakhanselwa uma kufakazelwa ukuthi ingane ingazinakekela, isidlulile isikole sikashukela futhi iyakwazi nokujova i-insulin.
Ukhubazeka kutholakala kanjani kushukela
Ukuqonda ukuthi isifo sikashukela kufanele sabelwe ukukhubazeka, isiguli kufanele sigcwalise izinyathelo eziningana:
- Thintana nodokotela wakho wendawo lapho uhlala khona futhi uthole izinkomba zokuhlolwa okukhethekile. Uhlu lokuhlolwa lukhona ukwabela noma yiliphi iqembu lokukhubazeka.
- Udokotela wenza kuphela ukuhlolwa kokuqala futhi anqume ukuthi angamnika yini umuntu onesifo sikashukela lapho eyohlolwa udokotela nezenhlalo.
- Ngemuva kokuqinisekisa iqiniso lokuthuthuka kwezinkinga ngokumelene nesizinda sesifo sikashukela, kubalulekile ukuqoqa imibhalo futhi uyihambise kochwepheshe ukuze icutshungulwe. Uhlu lwamaphepha luncike eminyakeni yobudala umuntu ofaka isicelo sokukhubazeka, isimo sakhe senhlalo (ingane yesikole, umfundi, isisebenzi, impesheni) nemiphumela yocwaningo.
- Imibhalo eqoqwe idluliselwa kochwepheshe abafunda umlando wezokwelapha namanye amaphepha ngokuningile futhi bakhiphe umbono omuhle noma owenqabayo.
Kepha ungacabangi ukuthi uma uthole ukukhubazeka, ungakhohlwa ngamaphepha. Noma yiziphi izinzuzo zinemikhawulo yesikhathi futhi ukuze zongezwe kuzodingeka ukuthi ziphinde zihambe ngochungechunge lwezivivinyo, ziqoqe iphakethe lemibhalo bese ziludlulisela kwikhomishini. Iqembu lingaguqulwa noma lihoxiswe ngokuphelele uma kukhona ushintsho olusezingeni elifanele noma elibi.
Yini enikeza isimo "sokukhubazeka" kwabanesifo sikashukela
Isimo sezezimali sabantu abaningi abanesifo sikashukela kuluhlu lwamanani aphakathi. Kudingeka imali enkulu ukuze kuqashwe ushukela kanye nokwelashwa okuqhubekayo, ikakhulukazi isifo sikashukela sohlobo 1. Ngakho-ke, ngaphandle kokuxhaswa kombuso, abathumbi besi sifo esimnandi ngeke bakwazi ukuphuma embuthanweni onesihluku.
Uma kutholakala isifo sikashukela sohlobo 2, ukwelashwa kuvame ukuvela kokudla okufanele.
Izinzuzo zinganikezwa kuphela kwezidakamizwa ezinciphisa ushukela zohlu oluthile. Ngaphandle kwalokho, impilo yomuntu onesifo sikashukela ayihlukile empilweni yabantu abaphilile. Ngakho-ke, ukuthembela ukukhubazeka kulesi simo akusifanele.
Uhlobo 1 lwesifo sikashukela lolunye udaba, kepha kukhona okuhlukile. Ukuxhaswa okuyisisekelo kunikezwa izingane ezincane:
- Impesheni, ngoba omunye wabazali kumele abe wengane ngaso sonke isikhathi futhi angakwazi ukuya emsebenzini.
- Ama-Quotas wokuhlolwa nokwelashwa ezikhungweni ezikhethekile, ama-sanatoriums.
- Izicathulo zamahhala zamathambo ukukhipha izinguquko ezinyaweni ezivame ukwenzeka kubantu abanesifo sikashukela.
- Izinzuzo zezinsizakalo.
- Amathuba wemfundo yamahhala emanyuvesi.
- Ukwabiwa komhlaba wokwakhiwa ngakunye.
- Ukuthola imishini ekhethekile ukulawula izinga ushukela kanye nokujwayelekile kwalo (imichilo yokuhlola, isirinji, izinaliti, i-insulin).
Ezinye izinzuzo zincike esifundeni lapho kuhlala khona umuntu onesifo sikashukela, ngakho-ke kudingeka ufunde imininingwane ngokuningiliziwe ngecala lakho.
Ekuphetheni
Kunokukhubazeka isifo sikashukela, kepha hhayi kuzo zonke izimo zokuthola ukugula. Le nqubo idinga ukuzikhandla okuningi kanye namaphepha. Kwesinye isikhathi isikhathi esibalulekile siyalahleka lapho uhlala eduze nehhovisi elilandelayo, elingasetshenziswa ekutholeni ekwelashweni nasekuphileni okugcwele.
Kufanele silwele ukubuyisela ushukela wethu kokujwayelekile futhi singalethi isimo esimweni esibucayi lapho ngisho nokukhubazeka kungazukubelula impilo. Kepha kunoma yikuphi, kumele wazi amalungelo akho futhi uthole lokho okufunwa ngumthetho.