Isifo sikashukela yisifo esingelapheki okuthi, ngaphandle kokwelashwa okufanele, sibe nzima futhi sibangele izinkinga eziningi. Ikakhulu lesi simo sidinga ukulawulwa ezinganeni.
Ubunzima abukhona kuphela ekukhetheni umthamo we-insulin, kodwa futhi nokuthi ngesikhathi sokulashwa kwe-insulin ingane kumele idle ngemuva kwesikhathi esithile. Ungawenza kanjani umjovo futhi ngemuva kwesikhathi sokudla, isihloko sizotshela.
Kungani kuvela isifo sikashukela?
Iningi labazali ababhekene nenkinga yesifo sikashukela bayazibuza: kungani kwaqhamuka lesi sifo, selapheke ngokuphelele?
Isifo sikashukela sohlobo 1 sivela esemncane, esemncane.
Kukholelwa ukuthi isici esibaluleke kunazo zonke sokukhula kwesifo sikashukela ezinganeni singabazali nezihlobo eziseduze, nazo ezinenkinga enjalo. Ngemuva kwakho konke, lesi sifo sihluma kubantu abazalwa ngofuzo.
Ukubhujiswa kwamaseli we-beta kuma-isanc pancreatic ekuqaleni akubangeli ukwephulwa kwe-metabolism yama-carbohydrate. Kepha kulesi sigaba, ama-autoantibodies ku-insulin ajwayele ukutholakala. Isifo sikashukela se-Autoimmune sikhula ngenxa yokuxineka komoya we-chromosomal.
Indima ebalulekile ekubukekeni kwesifo sikashukela ezinganeni idlalwa ngamagciwane. Bakhiqiza iprotheni efana ne-beta cell protein. Ngenxa yalokho, umzimba uqala ukuphendula, okuholela ekuhlaselweni kwamangqamuzana awo. Futhi, amagciwane angabhubhisa amaseli we-islet.
Izici zokuthuthukiswa kwesifo sikashukela sohlobo lokuqala zifaka:
- imiphumela emibi yezidakamizwa;
- ukuphuza ubuthi bamakhemikhali;
- izimo ezicindezelayo;
- ukungondleki.
Ngakho-ke, uma ingane isengozini, kubalulekile ukuyibheka ngokucophelela ukuze ivikele ukuthuthukiswa kwe-pathology.
Kuyini ukwahluka kwenkambo yesifo enganeni?
Kuzo zonke i-pathologies ezingamahlalakhona, isifo sikashukela ezinganeni sesibili esijwayelekile. Lesi sifo sibangela izinkinga eziningi kakhulu kunabantu abadala.
Ngempela, kunzima ngokwengqondo ngokwengqondo enganeni ene-glucose metabolism disorder ukuzivumelanisa neqembu lontanga. Kunzima kuye ukuqonda ukuthi kungani abanye bavunyelwe ukudla amaswidi, kepha akenzi, kungani imijovo ebuhlungu iyadingeka nsuku zonke.
Umjovo we-insulin
Izingane ezitholakala nesifo sikashukela sohlobo 1 zidinga imijovo ye-insulin yansuku zonke.
Akusizi ngalutho ukuphuza umuthi ngomlomo. Ngoba ama-enzyme esiswini abhubhisa i-insulin.
Ukulungiselela kuza ngezindlela eziningi.
Abanye banciphisa ushukela ngokushesha, kepha bayeke ukusebenza ngemuva kwamahora ama-3-4. Abanye banciphisa ushukela kahle futhi kancane, isikhathi esingaphezu kwamahora ayi-8- 24.
Ukuze ulondoloze isimo esejwayelekile sesifo sikashukela, kubalulekile ukutadisha inani elithile lemininingwane ephathelene nalesi sifo. Ungahlala ujove umthamo ofanayo wezidakamizwa ze-hypoglycemic, kepha ngeke kusebenze kahle ukulawula lesi sifo. Kufanelekile ukuqonda ukuthi ungasibala kanjani isilinganiso esifanele somuthi ngokuya ngomsoco noshukela wegazi.
Isixazululo semijovo uLantus SoloStar
Osokhemisi banikeza ukuxuba okwenziwe ngomumo kwezinhlobo eziningana ze-insulin. Kodwa ama-endocrinologists anolwazi awancomi ukusetshenziswa kwawo. Iziguli zivame ukunqunyelwa i-insulin Protafan yamahhala. Kungcono ukuthi udlulisele ingane kuLantus noma kuLevemir, ebhekwa njengengcono. Okuhle kakhulu namuhla yizinsolo ze-insulin-zinc ne-protamine. Izidakamizwa ezinjengalezi ziphathwa ngokungahambi kahle. Isenzo sihlala amahora angama-18- 24.
Iningi labazali lihlala lizibuza ukuthi ingabe kuyadingeka yini ukuthi kunikezwe imijovo ye-insulin yesifo sikashukela uma ingane isanda kugula, noma kungenzeka ukulawula isimo ngokudla okudlayo. Kwi-Intanethi, kuvame ukukhangiswa ngezindlela zokwelapha eziyisimangaliso ezingasusa ngokuphelele isifo sikashukela. Kepha ngokusemthethweni, isidakamizwa esinjalo asikho. Odokotela baphawula ukuthi akukho ukudla okuluhlaza kokudla, imikhuleko, i-bioenergy, amaphilisi angalapha isifo sohlobo lokuqala.
Ungadla kanjani nge-insulin therapy?
Ukudla okunesifo sikashukela kuncike ngqo ekwelashweni kwe-insulin. Ukwenza irejimeni yokudlela, kubalulekile ukuphendula imibuzo eminingi:
- Uhlobo luni lomuthi we-hypoglycemic usetshenziswayo?
- Uphathwa kangaki umuthi?
- Unikezwa ngasikhathi sini umjovo?
Uma kusetshenziswa i-insulin esebenza ngokufushane, ihanjiswa ngesigamu sehora ngaphambi kokudla. Ukwehla okukhulu kwamazinga kashukela egazini kwenzeka ngemuva kwamahora amathathu. Ngakho-ke, ngalesi sikhathi, ingane kufanele inikezwe ukudla okunama-carbohydrate amaningi. Ngaphandle kwalokho, i-hypoglycemia iqala.
I-insulin yesikhathi esiphakathi nendawo (eside) inciphisa ushukela ngangokunokwenzeka ngemuva kwamahora angama-5-12. Lapha okuningi kuncike kumenzi, impendulo yesiguli kulo muthi, nakwezinye izinto eziningi. Kukhona ne-insulin ye-ultrafast isenzo. Inikezwa imizuzu emihlanu ngaphambi kokudla. Ngemuva kwemizuzu engama-30-60, umuthi wehlisela ngempumelelo amazinga kashukela.
Kukhona i-insulin exubekile. Ithuluzi ngezindlela ezahlukahlukene liqukethe i-insulin esezingeni eliphakathi nendawo nelifushane. Isidakamizwa esinjalo sibangela ukwehla okuphezulu kwe-glucose. Ngonyango lwe-insulin, kusetshenziswa izikimu ezahlukahlukene. Ngokubheka inketho ekhethiwe, imodi yamandla iyakhethwa. Isibonelo, isidakamizwa sikhishwa kabili ngosuku: ekuseni banikeza umjovo we-2/3 womthamo wansuku zonke, futhi kusihlwa - 1/3.
Imodi yamandla ecishe ibe nesekethe efanayo iboniswa ngezansi:
- ibhulakufesi lokuqala. Kuyelulekwa ukwenza okuncane. Ngemuva kwakho konke, lesi sidakamizwa asikazivezwa;
- ibhulakufesi lesibili. Ngemuva kwamahora amane umjovo. Kuyadingeka ukondla ingane ngokuqinile;
- isidlo sasemini - Amahora ama-6 ngemuva komjovo. Ukudla kufanele kube nenhliziyo, kucebile ama-carbohydrate;
- isidlo sakusihlwa. Kungenziwa lula. Njengoba izinga likashukela ngalesi sikhathi lizonyuswa kancane;
- ngobusuku. Kuyadingeka ukondla ingane ngokuqinile, ucabangele umthamo womuthi olungiselelwe kusihlwa.
Lolu hlelo lusiza ukugcina impilo enhle, ukuvikela ukukhula kwe-hypoglycemia. Kodwa kufanelekile kuphela uma umthamo wansuku zonke we-insulin ulincane.
Kwesinye isikhathi izidakamizwa ezinciphisa ushukela ziphiwa amahlandla ayisihlanu: i-insulin esetshenzisanayo - ngaphambi kokudla kwasekuseni nesikhathi sokulala, kanye nokuthatha isikhathi esifushane - ngaphambi kokudla okuyinhloko.
Ukudla kufanele kuhlelwe ngale ndlela elandelayo:
- ibhulakufesi lokuqala
- ibhulakufesi lesibili;
- isidlo sasemini
- itiye ntambama
- isidlo sokuqala;
- isidlo sesibili.
Ukudla okulula kufanele kube ngesikhathi sesinyathelo esiphezulu se-insulin efushane.
Akunconyelwe ukusebenzisa imikhiqizo enenkomba ephansi kakhulu noma ephezulu ye-hypoglycemic. Kubalulekile ukuqonda ukuthi inhlanzi, inyama, amaqanda, ushizi, amasoseji nokunye ukudla okufanayo ngaphandle kwama-carbohydrate akuvimbeli ukuthuthukiswa kwe-hypoglycemia. Ukudla ngakunye kufanele kufake cishe amagremu ama-80 ama-carbohydrate.
Kunezici ezithile zokwelashwa kwe-insulin enganeni. Ngakho-ke, ezinganeni zivame ukukhetha irejimeni ephindwe kabili noma kathathu yokulawulwa kwe-insulin. Ukwehlisa inani lemijovo elincane, sebenzisa inhlanganisela yezidakamizwa zesenzo esiphakathi nesimfishane. Umuzwa we-insulin ezinganeni uphakeme kancane kunabantu abadala.
Ngakho-ke, kubalulekile ukwenza ngokuqinile ukulungiswa okuningana komthamo we-hypoglycemic.
Kuvunyelwe ukushintsha umthamo ebangeni ukusuka kumayunithi ama-1 kuye kwayi-2. Ukuhlola ushintsho, kuyadingeka ukuqapha isimo sengane izinsuku eziningana.
Ngosuku lunye, ukulungisa umthamo wakusihlwa nowasekuseni akunconywa. Kanye nokudla, odokotela bavame ukunquma i-pancreatin, i-lipocaine, inkimbinkimbi yamavithamini. Ezigabeni zokuqala, izidakamizwa ze-sulfa zivame ukubekwa. Isibonelo, cyclamide, bukarban, chlorpropamide. Zonke lezi zimali zinika amandla futhi ziqinisa umzimba wezingane obuthakathaka.
Izinkinga ezingaba khona
Imijovo ye-Insulin nokudla komsoco amaphuzu abalulekile kumfundi. Abazali kufanele baxwayise i-canteen ukuthi ingane inesifo sikashukela futhi idinga ukunikezwa ukudla okuthile.
Kuyadingeka ukuxazulula kusengaphambili ngokuphathwa kwezikole izindaba ezilandelayo:
- Ingane izoyenza kuphi imijovo ye-insulin: ehhovisi lomhlengikazi noma ekilasini?
- Kuthiwani uma ihhovisi lomhlengikazi livaliwe?
- Ngubani ozokwazi ukulandela umkhondo wokuthi umntwana wethula ini?
Kuyasiza ukudweba nengane yakho uhlelo lokusebenza uma kwenzeka izimo ezingalindelekile esikoleni noma indlela eya kuzo.
Ukwenza isibonelo, kuthiwani uma iskhwama sokudla sivaliwe ekilasini? Noma okufanele ukwenze uma ukhiye wendlu ulahlekile? Esimweni ngasinye, ingane kufanele yazi ngokucacile ukuthi ingamisa ngokushesha kanjani izimpawu ze-hypoglycemia nokuthi ungakuvimbela kanjani ukwenzeka kwayo.
Amavidiyo ahlobene
Izinhlobo ze-insulin, kuya ngejubane nesikhathi esenziwa ngalo:
Ngakho-ke, izingane zivame ukutholwa isifo sikashukela sohlobo 1. Lesi sifo akunakwenzeka ngokuphelele ukusinqoba. Izinkinga ezibucayi zingaqhamuka ngaphandle kohlobo lokudla olukhethwe kahle kanye nokudla. Ngakho-ke, udinga ukwazi izici ze-insulin esetshenzisiwe, lapho udinga ukondla ingane ngemuva kwemijovo, nokuthi yikuphi ukudla okufanelekile ukunikela ngakho.
