Ukusebenza Ngesifo Sikashukela Sesibili
Uhlobo lwesifo sikashukela se-1 "yisifo sikashukela esisekelwe ku-insulin." Impahla yemvelo ye-insulin, eyenziwa ngamaphakhesi, ayiphumelele futhi idinga ukushintshwa ngomjovo ovamile. Izizathu zokwehluleka akuqinisekisiwe, nakuba impendulo yokuzimela ngokuhambisana nemithonya yezofuzo kanye nemvelo isikisiwe. Lesi sifo singase sisebenze emindenini.
Uhlobo lwe-1 lwesifo sikashukela luvame ukuvela ebuntwaneni noma eminyakeni eyishumi nambili ubudala, okukhombisa igama elidala elithi "i-diabetes yezingane". Kodwa-ke, kungenzeka kubantu asebekhulile futhi kungabizwa ngokuthi "i-autoimmune yesifo sikashukela esivela kubantu abadala" noma i- LADA .
Umehluko Phakathi kohlobo 1 nohlobo lwesi-2
Zombili izifo zenza iglucose ngokweqile egazini, imiphumela yezempilo engaba yingozi uma inani le-glucose (ushukela wegazi) liphakeme kakhulu.
Ngohlobo lwe-2 lwesifo sikashukela, i- glucose ingase iphakame ngoba nakuba i-insulin ikhona, ayikwazi ukugcina i-glucose ngempumelelo emisipha nasesibindi. Lokhu kubizwa ngokuthi "ukumelana ne-insulin." Uhlobo lwe-1 luhlale luwumphumela wokungenawo i-insulin yemvelo.
Uhlobo lwe-2 lwesifo sikashukela luyisifo sokuphila, nakuba kungenzeka ukuthi i-genetics iyingxenye. Ukuba ngokweqile nokungafaneleki kuzokukwenza uthole amathuba okuthola uhlobo lwesifo sikashukela sohlobo lwesibili, okuyinto engaphenduki kakhulu.
Ngokuhamba kwesikhathi, abantu abane-type 2 yesifo sikashukela bangakwazi ukulahlekelwa yi-insulin yemvelo kuze kube sekugcineni, bangadinga imishanguzo ye-insulin njengohlobo lwe-1s.
Ukuzivocavoca nokuqhathanisa ukuqeqeshwa kwe-Type 1 yesifo sikashukela
Esihlokweni esihlukile, ngachaza ukuqeqeshwa kokuqeqeshwa nge-cardio kanye nezisindo kubantu abane-type 2 yesifo sikashukela. Kulesi sihloko, ngizoxoxa ngokuzivocavoca kwabantu abane-type 1 yesifo sikashukela. Kuyafaneleka ukuhlukanisa lezi ezimbili ukuze kungabikho ukudideka.
Ukungenawo i-insulin yemvelo kuyakha inkinga ngoba uma uyibeka esikhundleni ngokujova i-insulin awunayo indlela yokulungisa imvelo (homeostasis) ukuze ukwazi ukuthi kuyadingeka kangakanani; kufanele usebenze futhi ulungiselele izimo ezihlukahlukene.
Enye yalezi zinguquko yilezi zindlela ozenza ngayo. Iningi labantu aba-1 bayakwazi kakade lokhu ngoba bazobe beqeqeshwe ekusebenziseni kwe-insulin kusukela ebusheni, ikakhulukazi ngokuphathelene nomsebenzi womzimba. Kodwa lolu lwazi lubuye luwusizo kwabaqeqeshi bempilo abafanele ukuqeqesha abantu abanesifo sikashukela.
Ukuthola i-insulin dose okungalungile, ikakhulukazi ukuthatha okuningi, kungabangela ushukela wegazi (i-glucose) ukuba iphinde kakhulu, eyaziwa ngokuthi i-hypoglycemia. Isikhathi salokhu ngokuvamile sibizwa ngokuthi "hypo" futhi sibonakaliswa ngokuzizwa singapheli noma ngesonto, noma nakakhulu nakakhulu, ukungabi nalutho kanye ne-coma. Thayipha abantu abangu-1 balinde ngalokhu ngokuhlala bephethe ukudla okunezinkathazo noma isiphuzo esingahle sikwazi ukulungisa u-hypo ngokuphakamisa ushukela wegazi. Ukwehluleka ukulungisa ushukela wegazi lokunciphisa umzimba kungaba yingozi futhi kubulawe.
Ukuzivocavoca kunganciphisa ushukela wegazi ngaphandle kwe-insulin action. Ezimweni ezinjalo, i-insulin dose, futhi mhlawumbe ukudla okudliwayo, kudinga ukulungiswa ngesikhathi sokuzivocavoca. Ngaphezu kwalokho, umqondo wokuthi ukuvivinya umzimba, ikakhulukazi ukuvivinya umzimba, akufanele kunconywe ngohlobo lwesifo sikashukela sohlobo lwe-1 ngenxa yalengozi, okwamanje kubanjwe ngabasebenzi abathile bezokwelapha. Ukuqeqeshwa kwesisindo kungabonakala njengendlela yokuzivocavoca kakhulu.
Thayipha 1 Isifo Sikashukela Nezemidlalo
Lezi zinsuku, izingane, intsha, kanye nabantu abadala abanesifo sikashukela sohlobo luka-1 ngokuvamile abadikibala ukwenza imidlalo ngoba izinzuzo zomsebenzi womzimba jikelele ziyaziwa futhi zingase zibe nokuthuthukiswa okuncane emthethonweni weglucose kanye nezidingo ze-insulin ngokuzivocavoca. Abagijimi abaningi bezwe bezwe bane-type 1 yesifo sikashukela. Izibonelo ezivela e-US yiGary Hall Jr ekubhukuda, uJay Cutler NFL (Denver Broncos), uKris Freeman, ukuphumula. E-Australia, uSteve Renouf, umbhoxo kanye noMonique Hanley, ngebhayisikili, yizibonelo.
Iseluleko Sezokwelapha Ngaphambi Kokuqala Umsebenzi Wokwenyama
Bonke abantu abanesifo sikashukela kufanele bathole imvume yokuzivocavoca odokotela babo, ochwepheshe, abanakekeli besifo sikashukela noma othisha.
Abantu abanesifo sikashukela abanesifo se-insulini badinga iseluleko esikhethekile. I-insulin noma imithi yokwelapha kanye nemikhuba yokusetshenziswa kokudla cishe kuzodinga ukuguqulwa.
Izinkinga zesifo sikashukela zingadinga ukucatshangelwa okukhethekile uma kuziwa ekuzivocavoca. Nasi uhlu lwezinye izinkinga ezingavimbela ukuzivocavoca, noma ukunciphisa uhlobo, ubude noma amandla.
- Igazi leglucose elingalawuleki - eliphakeme noma eliphansi
- Ukucindezelwa kwegazi okungalawuleki
- Izimo zenhliziyo ezingaqiniseki
- I-retinopathy (isimo neso somzimba)
- I-peripheral neuropathy (umonakalo wezinzwa emaphethelweni, izilonda ezinyawo njll)
- I-autonomic neuropathy (ukulimala kwamagciwane ezitho zangaphakathi)
- I-Microalbuminuria nephropathy (umsebenzi omncane wezinso)
Isibonelo, abantu abane- retinopathy noma umfutho wegazi ophezulu bangacelwa ukuba bagweme ukunyakaza kwe-valsalva lapho ukuvivinya umzimba kwenziwa ngokukhishwa ngokweqile ngokumelene ne-airway evaliwe futhi kunciphisa ukuphakamisa isisindo. Le nqubo ayidingekile ekuqeqeshweni komzimba kunoma yikuphi.
Abantu abanomonakalo wezinzwa zesifo sikashukela bangacelwa ukuthi banakekele kanjani izinyawo zabo futhi babheke izilonda ezinyaweni kanye nokulimala ngokuzivocavoca - noma banikezwe ngezindlela ezifanele zokuzivocavoca.
Isisindo sokuqeqesha nokuzivocavoca
Qaphela isitatimende esilandelayo esivela ku-American Diabetes Association's Statement Statement on Exercise and Diabetes (Type 1 Diabetes):
Wonke amazinga womsebenzi womzimba, kufaka phakathi imisebenzi yokuzilibazisa, ezemidlalo yokuzilibazisa, nokusebenza kochwepheshe okuncintisana, kungenziwa ngabantu abane-type 1 yesifo sikashukela abangenayo inkinga futhi banokulawulwa okuhle kwegazi glucose.
Uhlelo lweviki, olulungiswe ukuqina komzimba, iminyaka, imigomo, kanye nokuhle kungabonakala njengokulandelayo.
Usuku 1. Ukuqeqeshwa kwe-Aerobic - imizuzu engu-30 kuya ku-45.
Usuku 2. Ukuqeqeshwa kwesisindo - imizuzu engama-45 kuya kwengu-60
Usuku 3. Ukuqeqeshwa kwe-Aerobic njengosuku 1.
Usuku 4. Ukuqeqeshwa kwe-Aerobic njengosuku 1.
Usuku 5. Ukuqeqesha isisindo njengosuku lwe-2.
Usuku 6. Ukuqeqeshwa kwe-Aerobic njengosuku 1.
Usuku 7. Ukuphumula.
Imithombo:
Herbst A, Kordonouri O, Schwab KO, Schmidt F, Holl RW. Umthelela womsebenzi wezinto ezingokoqobo ezenzweni zeengozi ze-cardiovascular Factors ezinganeni ezine-Type 1 yesifo sikashukela: Isifundo Esibucayi Seziguli ezingama-23 251. Ukunakekelwa yisifo sikashukela 2007 Aug; 30 (8): 2098-100.
Waden J, Tikkanen H, Forsblom C, Fagerudd J, Pettersson-Fernholm K, Lakka T, Riska M, Groop PH. Isikhathi Sokuzilibazisa Umsebenzi Wokwenyama Uhlangene Nokulawulwa KwamaGlycemic Empofu ngohlobo 1 Abesifazane abayisifo sikashukela: Isifundo se-FinnDiane. Ukunakekelwa yisifo sikashukela 2005 Apr; 28 (4): 777-82.