Kunzima Ukulawula Uhlobo Lokushukela Ka-1
I-Brittle yesifo sikashukela, ebizwa nangokuthi i-labile yesifo sikashukela, iyigama elisetshenziselwa ukuchaza uhlobo lwesifo sikashukela sohlobo olunzima. Abantu abanesifo sikashukela abanesifo sikashukela bavame ukubhekana nokujula okukhulu emazingeni kashukela (i-glucose) egazi okungasuka ngokushesha kakhulu (hyperglycemia) kuya phansi kakhulu (hypoglycemia) noma ngokuphambene nalokho. .
Ezinye izimo ezihlobene ne-Brittle Diabetes
I-Brittle isifo sikashukela singabangelwa ukucindezeleka ngokomzwelo (kuhlanganise nokucindezeleka nokucindezeleka), ukuphazamiseka kokudla, izinkinga zokumamathela emathunjini, kuhlanganise nokukhulelwa kwesisu okwephuzile (gastroparesis), izifo ze-Celiac, ukusebenzisana kwezidakamizwa , izinkinga zokufakelwa kwe-insulin, noma ukungasebenzi kahle kwe-hormonal.
Abantu abanezinga eliphansi kakhulu lokushukela egazini bangase babe nezinkinga nge-thyroid (hypothyroidism) kanye nama-adrenal gland (ukungakwazi kahle kwe-adrenal). Ukwelashwa kwale mibandela kungaholela ekuxazululweni kwesifo sikashukela.
Umehluko Phakathi Kwezifo Zesifo Sikashukela Nesiqinile
Amazinga kashukela egazi abantu abanesifo sikashukela esisimeme angashintsha ngezikhathi ezithile. Kodwa-ke, lezi ziguquko azivamile futhi-ngokungafani nesifo sikashukela esiphezulu-asiphazamisi ikhono lokwenza imisebenzi evamile yokuphila kwansuku zonke.
Ubani Othola I-Brittle Diabetes futhi Kungani?
I-Brittle yesifo sikashukela ayifani neze. Ngokusho kweNational Institute of Health (NIH), inani elincane labantu abanesifo sikashukela se-type 1 banesifo segazi segazi njalo esichazwa ngokuthi "brittle." Sithinta cishe abantu abathathu abanesifo sikashukela esiphezulu se-insulin, ikakhulu abesifazane abasha, futhi abesifazane abangaphezu kwenani lokukhuphuka kakhulu bangase bathinteke. Iningi labantu abanesifo sikashukela esine-brittle bavame ukuba phakathi kweminyaka engama-15 no-30.
Ukwengeza, abantu abanezinkinga zengqondo, njengokucindezeleka nokucindezeleka, basengozini enkulu yokubhekana nesifo sikashukela esibulalayo. Kwezinye izimo, lezi zinkinga zengqondo zibaholela ekunakekeleni ukunakekelwa kwesifo sikashukela. Isibonelo, bangase bayeke ukudla okunempilo noma bangase bangaphathi ushukela wabo wegazi.
Njengoba ukulawulwa ushukela egazini kuhamba, ukungalingani kwemithi okuqhubekayo kuyinkimbinkimbi futhi kuqhubekisela phambili ukuhlukumeza izinkinga ezingokwengqondo ezingezansi, okwenza umjikelezo wokuphindaphinda wesifo sikashukela.
Esinye isifundo esincane sabhala ukuthi abantu abanesifo sikashukela abanesifo sikashukela banokuphendula okukhulu kwe-hormonal ekucindezeleni kunelabo abanesifo sikashukela abangenasibindi. Lokhu kuxhumano kwengqondo-hormonal kungathonya ukuthuthukiswa kwesifo sikashukela.
I-Brittle Diabetes noMndeni
Umuntu onesifo sikashukela ovuthayo uvame ukungena esibhedlela, ulahlekelwa umsebenzi futhi uvame ukubhekana nezinkinga ezingokwengqondo. Zonke lezi zici zenza ukucindezeleka ngokomzwelo nangokwezimali kumalungu omndeni.
Yini Ongayenza Uma Wena Noma Umuntu Othandayo Unayo I-Brittle Diabetes?
Ukubona nokulungisa izimpikiswano eziyinhloko, kungaba physiologic noma kwengqondo, kubalulekile ekwelapheni isifo sikashukela esibulalayo. Ukuhlolwa kwegazi kungasiza ekutholeni imbangela yokungaqiniseki kwe-glucose . Uma i- glucose yegazi isabela ngokujwayelekile kwisidakamizwa sikashukela endaweni elawulwayo (njengesiguli esibhedlela), khona-ke umuntu kufanele abheke izimbangela zezemvelo, ezingokwengqondo noma zokuziphatha.
Nakuba kungase kube incazelo yezinto eziphilayo zesifo sikashukela, lokhu kungenye yezincazelo zokuziphatha / ezemvelo, nokuhlola ukuthi imbangela yengqondo yesifo sikashukela singabhekana nenqubo ende futhi inselele.
Uma imbangela inqunywa ukuba ingokwengqondo, ukwelashwa kungahle kuhilele ukuhlola nokuzama ukunciphisa ukucindezeleka kwesimo somuntu. Kuyasiza ukuxhumana nochwepheshe wezezingqondo ekuhloleni nasekuphatheni lezi ziguli. I-Psychotherapy iboniswe ukuthi iyasebenza ekwelapheni isifo sikashukela esibulalayo.
Iziguli ezinesifo sikashukela ngesifo sikashukela ngezinye izikhathi zidinga ukudluliselwa eqenjini lokunakekela isifo sikashukela ehlukile noma isikhungo sokuqala okusha ukulawula isifo sikashukela. Ukushintshela esikhungweni se-diabetes esikhethekile ngezinye izikhathi kungasiza ukuphula umjikelezo wesifo sikashukela.
Ukwelapha isifo sikashukela esibuhlungu ngezinye izikhathi kudinga ukuhlala esibhedlela isikhathi eside amasonto ambalwa ngokuqapha okukhulu kokudla, i-glucose ne-insulin.
Ulwazi Olubanzi Unayo Engcono
Ulwazi oluthe xaxa onalo mayelana noshukela wegazi lakho lungcono ukuphatha imithi yakho futhi unciphise imvamisa yezimoto zegazi glucose. Kubantu abaningi abanesifo sikashukela se-type 1, lokhu kungase kusho ukugqoka i-glucose eqhubekayo nokuqapha i-insulin pump.
Abaqaphi beglucose abaqhubekayo bangakusiza ukuthi ubone ukuthi ushukela wakho wegazi ushiywe yini noma ugaxekile ukuze uthathe izinyathelo ezidingekayo ukuze uthole ushukela wakho olawulwayo.
Amapompo e-insulini angenza i-insulin dosing ingacacile kakhulu. Bahlose ukugxilisa ukuthi ama-pancreas asebenzayo asebenza kanjani: ukuletha insulin encane usuku lonke ukumboza izidingo zomzimba ze-insulin nokuletha ama-doses amaningi kakhulu e-insulini lapho umuntu efaka ama-carbohydrates ukudla. Lezi zimpompi azikwenzi wonke umsebenzi kuwe, kufanele usakwazi ukubala inani le-carbohydrate futhi uqaphele ushukela wegazi lakho, kodwa uma zisetshenziswe kahle zingasenza sikwazi ukuphatha izidakamizwa ze-insulin ezingcono kunamajovo e-insulin.
Enye indlela, uma ufaneleka, mhlawumbe islet cell plant transplantation. Ukufakelwa kwe-Islet cell, ikakhulukazi i-allo-transplantation, okwamanje isetshenziselwa abantu abakhethiwe kakhulu abanesifo sikashukela sohlobo 1 abanenkinga enzima kakhulu yokuphatha ushukela wabo wegazi noma abanenkinga enkulu yokungaziwa kwe-hypoglycemia. Ukuguqulwa kwenziwa kuphela kwizibhedlela zokwenza ucwaningo eziye zavunyelwa yi-FDA.
Imithombo:
> McCulloch, uDavid K. "Isiguli esinesibindi se-Brittle Diabetes Mellitus." UpToDate.com. 2007. UpToDate. 18 Septhemba 2007
> I-National Institute of Health. I-Brittle yesifo sikashukela.
> Isikhungo Sikazwelonke Sesifo Sikashukela Nesifo Sezinyosi Nezinso. I-Plantation Islet Transplantation.
> I-Vantyghem MC, iMicrosoft M. Management amasu e-britlle diabetes. U-Ann Endocrinol (Paris). 2006 Sep; 67 (4): 287-96.