I-HONEYMOON YOHLOBO 1 SIKASHUKELA EZINGANENI NAKUBANTU ABADALA: UKUTHI UNGOLULA KANJANI NOKUTHI WENZENI

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Ukuxilongwa kwesifo sikashukela i-mellitus 1 degree kudinga ukuqokwa ngokushesha kokulashwa kwe-insulin.

Ngemuva kokuqala kokwelashwa, isiguli siqala isikhathi sokwehla kwezimpawu zesifo, kuyilapho izinga le-glucose egazini liyancipha.

Lesi simo sesifo sikashukela sithola igama elithi "i-honeymoon", kepha alihlangene nomqondo womshado.

Kuyafana nayo kuphela ngesikhathi sesikhathi, ngoba isikhathi esijabulisayo sithatha isiguli isilinganiso esingangenyanga.

Umqondo we-honeymoon ngesifo sikashukela

Uhlobo lwesifo sikashukela sohlobo 1, amaphesenti angamashumi amabili kuphela amaseli we-pancreatic akhiqiza i-insulin ngokuvamile asebenza esigulini.

Ngemuva kokwenza ukuxilonga nokunquma imijovo ye-hormone, ngemuva kwesikhashana isidingo sayo siyancipha.

Isikhathi sokuphuculwa kwesimo sikashukela sibizwa ngokuthi i-honeymoon. Ngesikhathi sokuxolelwa, amangqamuzana asele esitho ayenziwa, ngoba ngemuva kokwelashwa okunamandla umthwalo osebenzayo kuwo wehlisiwe. Bakhiqiza inani elidingekayo le-insulin. Ukwethulwa komthamo owedlule kunciphisa ushukela ngaphansi kokujwayelekile, futhi isiguli sithuthukisa i-hypoglycemia.

Isikhathi sokuxolelwa sihlala inyanga nenyanga. Kancane kancane, i-iron iyaphela, amaseli ayo angabe esakwazi ukusebenza ngesivinini esikhulu futhi akhiqize i-insulin ngenani elifanele. Iholide likashukela sesifo sikashukela selisondele.

Thayipha isifo sikashukela sokuqala esingu-1

Ukuvezwa kwesifo sikashukela sohlobo 1 kutholakala esemncane nasezinganeni. Izinguquko ze-pathological emsebenzini wamanyikwe zenzeka ngenxa yokungasebenzi kahle ekusebenzeni kwawo, okubandakanya ukunciphisa ukukhiqizwa kwe-insulin emzimbeni.

Kumuntu omdala

Ezigulini ezindala, izinhlobo ezimbili zokuxolelwa zihlukaniswa phakathi nesifo:

qeda. Kuvela amaphesenti amabili eziguli. Iziguli ziyeka ukudinga i-insulin ukwelashwa;
ngokwengxenye. Ukufakwa kwesifo sikashukela kusadingeka, kepha umthamo we-hormone uncishiswa kakhulu, kuya kumayunithi angaba ngu-0.4 womuthi ngekhilogremu ngayinye yesisindo sawo.

Ukukhululeka ekuguleni kungukuphendula kwesikhashana kwesitho esithintekile. I-gland ebuthakathaka ayikwazi ukubuyisa ngokuphelele ukugcinwa kwe-insulin, amasosha omzimba aqala ukuhlasela amaseli ayo futhi avimbele ukukhiqizwa kwe-hormone.

Enganeni

Umzimba wengane obuthakathaka ubekezelela lesi sifo sibi ukwedlula abantu abadala, ngoba ukuvikela izivikeli mzimba akakheki ngokuphelele.

Izingane ezigula ngaphambi kweminyaka yobudala emihlanu zisengozini enkulu yokuba neketoacidosis.

Ukuxolelwa ezinganeni kuhlala kukufushane kakhulu kunokuba kunjalo kubantu abadala futhi cishe akunakwenzeka ukwenza ngaphandle kwemijovo ye-insulin.

Ingabe kunohlobo lwesibili lwesifo sikashukela?

I-honeymoon yenzeka kuphela ngesifo sikashukela sohlobo 1.

Lesi sifo siqala ngenxa yokushoda kwe-insulin, ngale ndlela yesifo kuyadingeka ukusifaka.

Ngesikhathi sokuxolelwa, ushukela wegazi uzinza, isiguli sizizwa singcono kakhulu, umthamo we-hormone uyancishiswa. Isifo sikashukela sohlobo lwesibili sehlukile kwesokuqala ngoba ukwelashwa kwe-insulin akudingeki nakho, kwanele ukunamathela ekudleni okune-carb ephansi kanye nezincomo zikadokotela.

Kuthatha isikhathi esingakanani?

Ukuxolelwa kuthatha isilinganiso senyanga eyodwa kuya kweziyisithupha. Kwezinye iziguli, intuthuko ibonwa unyaka noma ngaphezulu.

Inkambo yengxenye yokuxoshwa nesikhathi sayo kuncike kulezi zinto ezilandelayo:

ubulili besiguli. Isikhathi sokuxolelwa sihlala isikhathi eside emadodeni;
ubunzima ngezimo ze-ketoacidosis nezinye izinguquko ze-metabolic. Izinkinga ezimbalwa ezavela nalesi sifo, isikhathi eside ukuxolelwa sihlala sikashukela;
izinga le-secretion. Izinga liphezulu, isikhathi eside kakhulu sokuxolelwa;
ukuxilongwa kusenesikhathi nokwelashwa okufika ngesikhathi. Ukwelashwa kwe-insulin, okunqunywe ekuqaleni kwalesi sifo, kungandisa isikhathi sokuxolelwa.

Ukukhululeka kwalesi simo kubhekwa iziguli eziningi njengokululama ngokuphelele. Kepha ngemuva kwalesi sikhathi, lesi sifo siyabuya futhi siqhubeka ngaphandle kokwelashwa okufanele.

Ungayandisa kanjani isikhathi sokuxolelwa?

Ungalula i-honeymoon ngokuya ngezincomo zezokwelapha:

Ukulawulwa kwenhliziyo eyodwa;
ukuqinisa ukungatheleleki;
ukugwema ukubanda nokubanda kwezifo ezingamahlalakhona;
ukwelashwa okufika ngesikhathi ngendlela yemijovo ye-inulin;
ukunamathela ekudleni ngokufakwa kwama-carbohydrate agaya kalula ekudleni kanye nokufakwa ngaphandle kokudla okwandisa ushukela wegazi.

Isifo sikashukela kufanele sidle ukudla okuncane usuku lonke. Inani lokudla - izikhathi ezi-5-6. Lapho udla ngokweqile, umthwalo esihlokweni esigulisiwe ukhuphuka kakhulu. Kunconywa ukulandela ukudla kwamaprotheni. Ukwehluleka ukuhambisana nalezi zinyathelo kuzosiza ekuqinisekiseni ukuthi amaseli anempilo awakwazi ukukhiqiza inani elifanele le-insulin.

Uma udokotela ebeke i-hormone yokwelashwa, akunakwenzeka ukukukhansela ngaphandle kwezincomo zakhe ngisho nokuthuthuka enhlalakahleni.

Izindlela zokwelapha ezinye, ezethembisa ukwelapha izifo ngesikhathi esifushane, azisebenzi. Cishe akunakwenzeka ukuqeda lesi sifo ngokuphelele.

Uma kunesikhathi sokuxolelwa kwesifo sikashukela, kufanele usebenzise lesi sikhathi sokuphuma phakathi nesifo ukuze unciphise inani lemijovo futhi unikeze umzimba nethuba lokulwa nawe. Ukwelashwa kwangaphambilini kuqalile, isikhathi eside sokuxolelwa sisazoba.

Imaphi amaphutha okufanele agwenywe?

Iphutha elikhulu elenziwa yisifo sikashukela lapho bezizwa bengcono ukwenqaba ngokuphelele ukwelashwa kwe-insulin.

Abanye bakholelwa ukuthi kwakungekho kugula nakancane, futhi ukuxilongwa kwakuyiphutha lezokwelapha.

I-honeymoon izophela, futhi kanye nalokhu, isiguli siba sibi kakhulu, kuze kube lapho kukhula ikoma lesifo sikashukela, imiphumela yalokho ingaba lusizi.

Kunezindlela zesifo lapho, esikhundleni somjovo we-insulin, isiguli sidinga ukwethulwa kwezidakamizwa ze-sulfonamide. Isifo sikashukela singabangelwa ukuguquka kwezakhi zofuzo kuma-beta-cell receptors.

Ukuqinisekisa ukutholwa, kutholakala isifo esikhethekile sokuxilonga, ngokusho kwemiphumela udokotela anquma ukuyiphindisela ekwelashweni kwe-hormonal nezinye izidakamizwa.

Amavidiyo ahlobene

Imibono echaza i-honeymoon yohlobo 1 sikashukela:

Ngokuxilongwa okufika ngesikhathi, abanesifo sikashukela bangathola ukuthuthuka esimweni esejwayelekile nesithombe somtholampilo walesi sifo. Le nkathi ibizwa ngokuthi "i-honeymoon." Ngasikhathi sinye, izinga likashukela wegazi lenziwa labajwayelekile, imithamo ye-insulin ingancishiswa kakhulu. Isikhathi sokuxolelwa kuncike eminyakeni yobudala, ubulili kanye nesimo sesiguli.

Kuhlala kusuka enyangeni eyodwa kuya onyakeni. Kubonakala esigulini ukuthi useluleme ngokugcwele. Uma ukwelashwa kwe-hormone kumisiwe ngokuphelele, lesi sifo sizothuthuka ngokushesha. Ngakho-ke, udokotela wehlisa kuphela umthamo, futhi zonke ezinye izincomo zakhe eziphathelene nokudla kanye nokuqapha inhlala-kahle kufanele zibhekwe.

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