Amathiphu okuphatha isifo sikashukela sohlobo lwe-1 ezinganeni

Izindlela ezine zokuthola ukulawula okungcono kwe-insulin ezinganeni

I-Type 1 yesifo sikashukela, uhlobo oluvame kakhulu lwesifo sikashukela ezinganeni, yisimo lapho umzimba ungaphumeleli ukukhiqiza i- insulin . Ihlukaniswa njengesifo esizimele, okusho ukuthi amasosha omzimba, ngenxa yezizathu ezingaziwa, ahlasela amangqamuzana ayo. Endabeni ye-type 1 yesifo sikashukela, yi-cell beta-beta ekhiqiza i-insulini ye- pancreas ehloselwe ukuhlaselwa.

Akukho ukwelashwa kwesifo sikashukela sohlobo 1, futhi imbangela ayesaziwa. Njengalokhu, kuzodingeka ufunde ukuthi ungaphatha kanjani lesi sifo ngokuqapha njalo ushukela wegazi wengane, ukudla nokuzivocavoca okuhambisa ama-insulin injection uma kudingeka.

Ukuqapha i-Blood Glucose

I-insulini iyi-hormone ekhishwa ama-pancreas esiza umzimba ukuwasebenzisa nokugcina ushukela (i-glucose) for fuel. Uma kungenakho i-insulini, i-glucose egazini ingabuthela, ibangele i- hyperglycemia (ushukela ephezulu wegazi). Uma ngakolunye uhlangothi, i-insulin yehla ngokuzumayo, izinga le-glucose lingaphinde lishaye, eliholela ku- hypoglycemia (ushukela wegazi ophansi). Zombini zingabangela izimpawu ezimbi futhi ziholele ekuhluphekeni kwezempilo isikhathi eside.

Ukuze ugweme lokhu, kuzodingeka uhlole i-glucose yegazi yengane yakho ngaphambi kokudla nangesikhathi sokulala. I-American Diabetes Association iphakamisa imingcele elandelayo yabantwana:

Amazinga anconywayo aphakeme kakhulu kunabantu abadala ngoba izingane ezine-sikashukela zengozini enkulu kakhulu ye-hypoglycemia futhi ngokuvamile zidinga le margin eyengeziwe, evikelayo.

Lapho amazinga wokuqapha, kubalulekile ukugcina iphephandaba lokudla, izikhathi zokudla, ukufundwa kwegazi kwegazi, nemisebenzi yomzimba ukuze uthole umuzwa ongcono wezingane eziphezulu kanye nezansi.

Ngale ndlela, ungathola ukulawula ukuvikela i-insulin nokugwema ukugula.

Ukuletha i-insulin

Ngenxa yokuthi umzimba wengane yakho ayikwazi ukukhiqiza i-insulini, kufanele ishintshwe usuku lonke, ngokuvamile ngokujola. Kunezindlela ezintathu ezijwayelekile kulokhu:

• Ingane ingahle ibekwe umthamo ongenqunyelwe we -insulin esebenzayo futhi esebenza ngokushesha . Ngezilinganiso ezihleliwe, ingane kufanele ibe nokudla lapho amazinga e-insulin ephezulu kakhulu. Ukudliwa kufanele kudliwe ngesikhathi esifanayo nsuku zonke ngesilinganiso esifanayo sama-carbohydrate, amafutha namaprotheni.
• Ezinye izingane zingase zizuze ngokuhlanganisa i-insulin esebenza ngokusheshayo enomuntu osebenza isikhathi eside . Lezi zizodinga ukuthi zithathwe ngesikhathi sokudla. Umthamo we-insulin esebenza ngokushesha uzobalwa ngokusekelwe kokuqukethwe kwe-carbohydrate kokudla.
• Ezinye izingane zingase zidingeke ukuba zisebenzise i- insulin pump , idivayisi yezokwelapha ehambisa imithi eqhubeka njalo. I-insulin esebenza ngokushesha iyodingeka futhi ngezidakamizwa ezilungiswa ngokudla kwe-carbohydrate ngayinye.

Ukuphatha i-Low Blood Sugar

Izimpawu ze-hypoglycemia zivame ukungaziwa yizingane ezingaboni ukuthi kwenzekani kubo noma azikwazi ukuchaza ukuthi zizizwa kanjani. Lokhu kufuna ukuthi wena njengomzali, ubukele izimpawu bese uthatha isinyathelo ngokushesha uma kudingeka.

Izimpawu ze-hypoglycemia zizobonakala sengathi i-glucose yegazi iyancipha ngaphansi kwezingu-70 futhi ingabangela izimpawu ezifana nokucasula, ukulala, ubuthakathaka, ukuthuthumela, ukudideka, ukuphathwa ikhanda kanye nokuthola isizungu. Ezimweni ezinzima, umbono ophindwe kabili, ukuxubana, ukuhlanza nokungazi kahle kungenzeka.

Uma kwenzeka ukuhlaselwa kwe-hypoglycemic, ingane yakho isiphuze noma idle inani elimisiwe lokushukela (cishe u-10 kuya kwangu-15 amagremu) ukuphakamisa inani le-glucose ngaphezu kuka-80. Okulandelayo kungasetshenziswa ukufeza lokhu:

• Amaphilisi amabili e-glucose
• I-gel encane ye-gel decorator's
• Izingcezu ezimbili noma ezine ze-candy
• Isiqingatha se-can soda ejwayelekile

• Inkomishi yesigamu sejusi elivuthiwe lesithelo (njenge-orange noma amagilebhisi)
• I-7 kuya ku-10 jelly ubhontshisi
• Izipuni ezimbili kuya kwezibili zobusi

Kungumqondo omuhle ukugcina njalo ukuhlinzekwa okuphuthumayo egumbini legundane lemoto yakho. Uma ingane yakho ingakwazi ukudla noma ukuphuza, ungasebenzisa i- glucagon kit esiphuthumayo kunalokho. I-glucagon iyi-hormone ejojayo esiza ushukela ukukhipha ishukela egazini, ngokuvamile kuvamile amazinga angakapheli isigamu sehora. Ama-glucagon kits angatholakala nge-odokotela evela kudokotela wakho.

Ukudla nokuzivocavoca

Ukuphathwa kokudla kwengane kuyisihluthulelo sokugcina ukulawula okuqinile kwe-insulin. Kuhilela ukulawula okuyingxenye eqondile nokunamathela emanzini amancane ama-carbohydrate, amafutha, kanye namaprotheni ngesidlo ngasinye.

Uma uqala, kuzodingeka ukuthi usebenze nesidlo sokudla esibhalisiwe, isondlo sokudla, noma i- endocrinologist yezingane ukuthuthukisa uhlelo lokudla lwesifo sikashukela . Ngokuhamba kwesikhathi, njengoba uthola ukuthi yini ethinta ushukela wegazi lomntanakho, uzobe uhlakulela umqondo ongokwengeziwe wokuthi amasu okudla asebenza angani.

Umsebenzi wokuzivocavoca nawo usiza ekunciphiseni amazinga e-glucose. Ngakho-ke, izingane ezine-sikashukela kufanele zithole ukuqeqeshwa okuvamile, nsuku zonke, ngaphansi kokuqondiswa ukuqapha kunoma iyiphi ingozi ye-hypoglycemia. Isikole somntwana kanye nabaqeqeshi kufanele futhi bahlolwe ukuze bakwazi ukuphendula ngendlela efanele uma kwenzeka kuhlasela.

Okokugcina, ingane kufanele nayo igqoke uhlobo oluthile lokwehliswa kwezokwelapha, njengesigqebhezana sokuxwayisa imithi noma umgexo .

> Umthombo:

> I-American Diabetes Association. "Izindlela Zokunakekelwa Kwezokwelapha Eyesifo Sikashukela-2016." Ukunakekelwa yisifo sikashukela . 2016; 39 (I-Suppl 1): S1-S106. I-DOI: 10.2337 / dc16-S003.

> Nansel, T .; Iannotti, R .; kanye no-Liu, A. "Umtholampilo-Ukudidiyelwa Kwendlela Yokuziphatha Yezintombi Zentsha Ne-Type 1 Isifo Sikashukela: Isivivinyo Somtholampilo Esingahleliwe." Izingane zokwelapha . 2012; 129 (4): e866-e873. I-DOI: 10.1542 / ama-peds.2011-2858.