Yini isifo sikashukela: izimfanelo eziphambili nezindlela zokwelapha lesi sifo

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Isifo sikashukela seLabolo siyindlela eyinkinga kunazo zonke yalesi sifo. Ekuhumusheni, igama elithi "labile" lisho "ukuhambisa".

Ngakho-ke, lesi sifo singabizwa ngokuthi uhlobo oluhlukile lwesifo sikashukela se-classical. Izinguquko emazingeni kashukela kuleli cala kungenzeka kaningi ngosuku.

Yile ndlela esongela ukwephulwa okukhulu. Isiguli sinomsebenzi ongagculisi wesistimu yezinzwa, siba sibi kakhulu isimo semikhumbi, kwezinye izimo - ukhubazeka kwesifo sikashukela. Izinga likashukela eliguquguqukayo emzimbeni liholela emonakalweni wezinso, inhliziyo nokuthuthuka kokuhlaselwa kwe-hypoglycemia.

Kwezinye izimo, kwenzeka ukufa. Ubunzima ekukhetheni umthamo ofanele we-insulin wokuqeda ukubonakaliswa kwalesi sifo galelo ekuthuthukisweni kwe-ketoacidosis. Izinkinga ezihlala zibakhona ziholela kwisidingo sokwelashwa esibhedlela.

Lokhu kuthinta kabi ukusebenza kwesiguli, ubudlelwane nabathandekayo banda kakhulu. Ukuze ulondoloze izinga lokuphila elifanele, ukugwema izinkinga, udinga ukubona lesi sifo ngesikhathi futhi uthathe zonke izinyathelo zokusiqeda.

Izizathu

Ngesihudo sikashukela, ukuqina kuyabonakala kwezinye izimo. Le yinkinga yokusebenza kwengqondo (kunokuba ibe yokomzimba). Ubunzima obukhulu ukuthi izindlela zokwelapha ezingasebenzi zivame ukusetshenziswa.

Ngemuva kwakho konke, imbangela yangempela yalesi simo kunzima ukuyiqonda.Iqembu elikhulu lengozi lenziwa yilezo ziguli ezingalinganisi amazinga kashukela kaningi ngangokunokwenzeka.

Ukuze lesi sifo singaqali ukukhula, kubalulekile ukulandela izincomo ezithile lapho kulawulwa i-insulin, okungukuthi:

  • hlola indawo yokulawulwa kwezidakamizwa ngokucophelela;
  • landela ukudla (ingxenye ebalulekile yokwelashwa okusebenzayo);
  • khipha ukusetshenziswa kwesirinji enamaphutha nezinye izinsimbi ezisezingeni eliphansi;
  • hlola ukusebenza kwamamitha njalo, futhi uqinisekise ukusebenza kwayo nedatha etholwe ngemuva kokuphasa izivivinyo;
  • gcina i-insulin kahle, hlola izinsuku zayo zokuphelelwa yisikhathi (ngemuva kokuphela kosuku olubekiwe, awukwazi ukusebenzisa umuthi).
Izimbangela ezahlukahlukene zingadala ukukhula kwesifo sikashukela sohlobo oluvamile. Njengomthetho, ukugula kuba umphumela wesilinganiso esingalungile sikashukela noma iphutha ngesikhathi sokwelashwa kwesiguli.

Ukunakwa kochwepheshe banamuhla kudonswa ikakhulukazi kulolu hlobo lwezifo. Lokhu kungachazwa yi-prognosis eyinkinga nobunzima bokwelashwa okuqhubekayo.

Izimpawu

Umkhuba wezokwelapha uphakamisa ukuthi isifo sikashukela ezimeni eziningi sihambisana nezimpawu ezilandelayo:

  • ukuthambekela kwe-ketoacidosis;
  • umchamo uqukethe i-acetone;
  • ukuhlaselwa njalo okungabonakali noma ukuhlasela okunamandla kwe-hypoglycemia;
  • isiguli asilahli isisindo ngoshukela omningi;
  • ukuthuthukiswa kwezifo ezithathelwanayo nezinye izifo kuthuthukisa i-carbohydrate metabolism.

Ngaphezu kwalokho, ukuwohloka esimweni sokusebenza kwengqondo kuyabonakala. Iziguli ziziphatha ngokwedelela nangokucasulayo. Ngokuvamile bakhombisa ukungabi nabungane kwabathandekayo, futhi bazizwa bengathandeki. Ukwehla, ukuhlaselwa ulaka, ukunganaki - izici ezijwayelekile zokuziphatha kwabo.

Iziguli lapho sezikhulile zivame ukukhononda lapho zigxila ekuwohlokeni inhlala-kahle, ubunzima ekwenzeni imisebenzi ehlukahlukene. Ubuhlungu bekhanda obukhulu bungaphazamisa isiguli usuku lonke.

Ezisencane, izingane ezihlushwa isifo sikashukela esidala, inzalo olwazini iyanyamalala. Uma ingane inikezwe imithamo ephezulu ye-insulin isikhathi eside (ukugxila okuyinhloko kwenzeka ebusuku), ukulala kwayo kungaphumuli.

Izingane kuleli cala zivame ukukhala noma zikhale ekulaleni kwazo. Ukwazi ukudideka kungavela ngezikhathi zasekuseni.

Ngokuvamile ingane ayikhumbuli ngemicimbi yasebusuku nakancane. Ukukhohlisa, ukuswela inzalo cishe kuyo yonke into kuyabonakala usuku lonke. Kwentsha, isici esiyingqayizivele ubutha, ukuvezwa kokuziphatha kwe-asocial, kanye nokwenqaba ukudla.

Ngenxa yesifo sikashukela, ukwalaliswa esibhedlela, ukuhlaselwa njalo, iziguli zinokuphazamiseka empilweni yomndeni, emsebenzini, nasezikoleni. Ngakho-ke, kubaluleke kakhulu ukuthi udokotela olapha kanye nesiguli uqobo sibekezele. Akunconyelwe ukuya kuma ngokweqile, sebenzisa izindlela zokwelashwa ezingasebenzi.

Kuyadingeka futhi ukuthi unake konke ukuguquka komzimba, zama ukuthola amaphutha asivele enziwe ekuqedeni lesi sifo, ukwakha uhlobo olusebenza kahle nolulungele ukwelashwa. Ngasikhathi sinye, odokotela abanolwazi bayabheka ukuthi iziguli ezikhulile zivame ukuguquguquka kweglycemia kakhulu kunasebancane.

Ukwelashwa

Ukukhetha irejimeni yokwelashwa efanelekile, udinga ukuqinisekisa ukugxuma kumazinga kashukela. Kulokhu, ukuhlolwa koshukela wegazi nsuku zonke.

Ukunciphisa umthamo we-insulin, kusetshenziswa izindlela ezimbili: okusheshayo (kuthatha izinsuku eziyi-10-15) futhi kuhamba kancane (izinyanga ezi-2).

Njengomthetho, akuvamile ukuba kunciphise inkambo yesifo sikashukela ngokunciphisa umthamo we-insulin. Ukwenza kube ngokwejwayelekile i-carbohydrate metabolism, iziguli kudingeka zishintshe indlela ezidla ngayo. Ukusetshenziswa kwama-carbohydrate ayinkimbinkimbi kuleli cala kuncishiswa kube okungenani. Ngenxa yalokhu, le nkomba izohambisana nesimo esamukelwa ngokuvamile.

Ngaphezu kwalokho, izinyathelo ezinjalo kufanele zithathwe ukukhipha ushintsho olungazelelwe kushukela wegazi:

  • bambelela kwimodi yomsebenzi onconyiwe;
  • ukukala amazinga kashukela ebusuku, ntambama (njalo emahoreni ama-4);
  • phatha i-insulin, enesenzo esifushane, okungenani izikhathi ezi-5 ngaphambi kokudla okuyinhloko;
  • qapha impilo yensiza yokulinganisa amazinga kashukela, ahlole isimo samathuluzi wezempilo anempilo enzelwe ukwethulwa kwe-insulin.

Isimo seSomoji

Ukubonakaliswa kwesilwelwe kwalesi sifo kufana kakhulu nale nto eyatholwa nguM. Somoji ngonyaka we-1939.

Ngaleyo minyaka, ngenxa yokusabela okungalungile kwabasebenzi bokusebenza kokungasebenzi kahle kwezinhlelo zokulawula izimoto ezindizeni, izimo eziphuthumayo zavama kakhulu.

Odokotela baqhathanisa lokhu nokubonakaliswa lapho isiguli siqala ukusabela ukwethuka ukwehlisa ushukela wegazi. Kodwa-ke, akasoli ukuthi lokhu kusabela kuyaqondakala. Kucasulwa umthamo owengeziwe we-insulin, owethulwa.

Ucwaningo luye lwabonisa ukuthi lapho izinga ushukela lisondela umkhawulo ophansi, isibindi sisebenzisa i-glycogen etholakalayo. I-glucose yakhiwa ngesikhathi sezinqubo ze-metabolic. Ngokuvumelana nalokho, esigulini selivele selizuze izinga elijwayelekile le-glycemia.

Uma i-glucose yehla ebusuku (ezimweni eziningi), isiguli sisephusheni futhi asizwa lutho. Uzwa isicanucanu, ikhanda elinzima, ubheka ushukela bese uphawula ukuthi izinga lakhe liphezulu kakhulu. Lesi simo siyaqondakala, ngoba isibindi senze umsebenzi waso.

Akuqondakali ngokuphelele, udokotela uvame ukunquma umthamo omkhulu we-insulin.

Ukuziphatha kwakhe kuyefana nezenzo zabashayeli bezindiza ababengenakho ukuzethemba ku-automation. Umphumela wezenzo ezinjalo, njengoba wazi, udabukisa kakhulu.

Kwezinye izimo zomtholampilo, kwanele ukwenza isiqiniseko sokuthi isifo sikashukela esihlukile singafani nhlobo komphumela weSomoji. Ukuze ulondoloze lesi simo, kubalulekile ukubheka amazinga kashukela wegazi izinsuku eziyisikhombisa.

Izilinganiso zithathwa njalo emahoreni ama-4 (futhi nasebusuku). Ngemiphumela udinga ukubona udokotela. Ngokusekelwe kula manothi, uzokhetha umthamo ofanele kakhulu we-insulin wokujova.

Amavidiyo ahlobene

Izici eziyinhloko zesifo sikashukela esisetshenzisiwe kuvidiyo:

Iziguli ezitholakala zinesifo sikashukela esisetshenziselwa ukuhlaselwa imijovo zingapheli. I-insulin iqinisa isimo se-subjective. Kodwa-ke, umzimba uthola ngokuzenzakalelayo isibonakaliso mayelana nokwehla komkhiqizo wama-hormone.

Ngakho-ke, umsebenzi wakhe wemvelo uvinjelwe. Ama-insulin atrophies cell esikhundleni sokwenza umsebenzi wawo usebenze. Ngakho-ke, odokotela bayavuma ukuthi ezimweni ezinjalo kuyadingeka ukuthonya imbangela yalesi sifo, hhayi umphumela waso.

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