Utholwe nge-Type 1 Diabetes njengomuntu omdala? Awuwedwa

Ukubhekana nesifo sikashukela sohlobo 1 njengomuntu omdala

Kwenzekani uma uthola ukuthi unesifo sikashukela sohlobo 1 njengomuntu omdala? I-LADA - isifo sikashukela esizimele esikudala kubantu abadala, futhi ngezinye izikhathi esibizwa ngokuthi yisifo sikashukela 1.5, singashaya kamuva ekuphileni kunokudabuka kwesifo sikashukela .

Cabanga ukuthi usemashumi amabili, amathathu, noma ama-forties akho noma amahlanu. Uqhubekela phambili endleleni yakho ekhethiwe empilweni, kungakhathaliseki ukuthi umsebenzi owenziwe, ubuhlobo, umshado, izingane noma konke okungenhla.

Ngokuzumayo, ulahlekelwa isisindo, ukoma futhi endlini yokugezela ngaso sonke isikhathi, futhi uzizwa sengathi awunawo amandla. Wena nje usuke ungajabuli.

Uthola ukuthi unesifo sikashukela sika-1, futhi umhlaba wakho uphendukile, okungenani kuze kube yilapho uthola i-hang yokuphatha isifo sikashukela phakathi kwakho konke okumele ukwenze ekuphileni.

Azikho eziningi izinsiza kubantu abadala abahlolwe nge-type 1 yesifo sikashukela. Iningi lezincwadi nokusekela kubheke izingane ngoba ngokuvamile uthayipha ukushaya 1 izingane kanye nentsha. Akukatholakali kakhulu, uthayiphe isifo sikashukela soku-1 esaziwa ngokuthi " i-diabetes yezingane ."

Uzizwa kanjani ukushaywa nesifo esivame ukutholakala ezinganeni? Ama-imeyili namazwana avela kubafundi bakhuluma ngezinye zezinkinga zokubhekana nokuxilongwa okusha kohlobo 1 njengomuntu omdala.

UMariya, ngokuzizwa ehlukaniswa nomuntu omdala oqala ukuguqula isifo sikashukela

Ngitholwe ngine-type 1 yesifo sikashukela ngineminyaka engama-42.

Udokotela wami wayengakaze ahlangane nomuntu omdala ongu-1 ngaphambilini futhi ekhululekile ngokuphelele. Wabeka lochwepheshe futhi wakhuluma naye phambi kwami ​​ngaphambi kokuze angitshele ukuthi uyatholakala yini. Kusukela ngaleso sikhathi ngiye ngilawula ukulawulwa kwesifo sikashukela futhi ngihamba ngezikhathi zokukhungatheka nokuzizwa ngecala uma ngithola iphutha. Ngiphila endaweni encane enyakatho yeWellington eNew Zealand, lapho kungekho khona abahlengikazi basendaweni yesifo sikashukela.

Ukuba yisisebenzi sesikhathi esigcwele ngithola kunzima ukuxhumana nanoma ubani omunye onomhlobo 1 njengoba imihlangano eminingi yesifo sikashukela ihlelwe phakathi nosuku. Ukuhlukaniswa ndawonye.

UJason, lapho enenkinga yokukholelwa ukutholakala kwesifo sikashukela sokuqala sabantu abadala

Ngangitholwa nje ngine-type 1 yesifo sikashukela namuhla. Ngineminyaka engama-32 ubudala futhi anginalo umlando womndeni wesifo sikashukela futhi ngisesimo esihle somzimba esihle. Ngaya kudokotela ngesonto elilodwa elidlule ukuze ngihlale ngisemzimbeni engangihleliwe cishe inyanga ngaphambili. Ngokweqile, ngithathe uhlobo oluthile lomkhuhlane ngosuku ngaphambi kokuqashwa, ngakho-ke lapho ngaya kudokotela ngangiqhuba ukushisa okungaba ngu-100, okwakungaphansi kuka-101.5 ngosuku olwedlule.

Udokotela waphawula i-glucose ephakeme kakhulu emcinini wami, futhi waphonsa ezinye izivivinyo, futhi waphetha ngokuthi ushukela wegazi lami laliphakeme kakhulu, nokuthi ngisifo sikashukela. Wayelokhu ekhuluma ukuthi kwakungavamile kanjani, futhi wayebuza ngokuphindaphindiwe ukuthi ngabe ngiqinisekile ukuthi akukho mlando emndenini wami. "Lokhu kuzovelaphi?" Esho.

Wanginika imishini yokuhlola, kanye ne-insulin futhi wangitshela ukuthi ngigcine irekhodi le-sugar sukari yami futhi ngizinike umjovo ubusuku bonke futhi ngibuyele ngesonto. Ngenza ucwaningo oluthile ezinsukwini ezimbalwa ezilandelayo, futhi ngathola ukuthi phakathi nomkhuhlane, umzimba ngokwemvelo ukhulisa ushukela wegazi .

Ngalesi sikhathi, ngangiqala ukubuza ukuxilongwa!

UChris, ekukhuleni nasekulawuleni kwesifo sikashukela:

Ngineminyaka engu-32 ubudala. Ngatholakala ukuthi ngine-type 1.5 yesifo sikashukela cishe eminyakeni emithathu edlule, ngemva kokuhlolwa kwegazi okungavamile kulandela isiqephu se- bronchitis lapho ngiphathwa khona nge- prednisone . Umbono wami wahamba ngokukhululekile, ngaqala ukulahlekelwa isisindo ... omile futhi wazi yonke indaba. Kuze kube manje, ngiphathe kahle kahle, nginciphisa kakhulu imithi yami yomlomo ngokudla nokuzivocavoca.

Ngineminyaka ephezulu futhi ihlehla eminyakeni embalwa edlule. Ngangizonda i-endo doc yami, ngakho ngisanda kunquma ukumisa kuye futhi ngibuye ngiye ekunakekeleni kwami ​​okuyinhloko.

Ngatshelwa ukuthi umuthi wami wesifo sikashukela wawungavamile, kodwa ngalesi sikhathi ngiyazi kahle ukuthi ngiyiphi indlela yokwelapha engiyidingayo ukuze ngigcine i- A1C yami phansi. Ukwesaba kwami ​​okukhulu kuhamba phansi futhi kufanele uhambe nge-insulin. Amalume ami amabili ashonela intsha egcwele ukuqhuma 1 abayitholile njengabantwana. Leli qiniso alincane ukungiduduza, kodwa ngizama ukugcina isimo sengqondo esihle nokuphila okungenakucindezeleka.

UDanielle, ukuxilongwa okwesabekayo, enquma ukugqoka i-insulin pump

Ngingowesifazane oneminyaka engu-35, ngathola ukuthi ngoJuni ka-2000 ngineminyaka engu-27 ubudala. Nginezibonakaliso eziningi ze-telltale: ukulahlekelwa isisindo, ukoma, ukusebenzisa indlu yokugezela ubusuku bonke, isidingo sokulala, umbono onqabile kanye namahhashi amabi amahhashi amathole ami ebusuku. Ngangisendleleni yebhizinisi eya ku-DC ngo-Mashi futhi ngithola umkhuhlane obandayo / umkhuhlane ... emva kwalokho ngangisebenza amahora amaningi futhi ngithi ngizizwa ngimangalisa lokho.

Ekupheleni kukaMeyi, ngaqala ukuthola isikhathi sami kabili ngenyanga futhi ekugcineni ngaya odokotela. Wangibiza ngalolo suku emsebenzini futhi wangitshela ukuba ngifike kudokotela wami oyinhloko ngokushesha. Emva kokuqinisekisa ushukela wegazi ngo-520 futhi ngiqinisekisa ukuthi anginalo i- ketoacidosis , bangivumela ngihlale ekhaya kunokungibheka esibhedlela. Ngosuku olulandelayo ngahlangana ne- endocrinologist kanti konke okunye umlando. Ngiphila endaweni yaseBoston futhi ngibusiswe ngabanye odokotela abakhulu kakhulu nezinsiza zezokwelapha emhlabeni. Kusukela ngo-2000, ngaphansi kweso eliqaphile leqembu lochwepheshe ngangibeletha abafana abanempilo enhle ngo-2002 no-2004.

Ngenze isinqumo sokugqoka ipompo ye-insulin ngonyaka ka-2003 ngoba ngangingafuni izinaliti zizungeze indlu nezingane ezincane. Iseluleko sami esingcono ... Nginezinkampani ... thola udokotela othembelayo. Uma iseluleko singazizwanga kahle, thola enye. Thatha zonke izeluleko ezingaceliwe nge-okusanhlamvu kasawoti. Ngiye ngaba nabantu abayiziwula ngikhuluma izinto ezimbi kimi.

Izimpompo ze-insulini ziyamangalisa futhi zizoguqula impilo yakho. I-carb count futhi isebenza kahle kimi. Ukukhathazeka kwami ​​... ukuzivocavoca! Ishukela lami legazi liyehla ngokushesha kangangokuba ngivame ukugwema "ukusebenza ngaphandle." Ngiyahamba ngiyahamba ngizama ukuhamba ngangokunokwenzeka kodwa ngezinye izikhathi ngizizwa nginqobile. Futhi, kunzima ukuchazela othandekayo wakho lokho okubhekana nakho. Ngesinye isikhathi umyeni wami uyangicasula lapho nginomdlavuza we-insulin ngoba ngiyekehlisa phansi kakhulu. Kuyakhathaza ukuthi unesibopho sonke isikhathi.

Paula, ngokungaqondakali kahle nokungaqondi kahle:

Ngingowesifazane oneminyaka engu-59 ubudala futhi ngangizibuza ukuthi ngabe nginesifo sikashukela iminyaka yini kuze kube sekugcineni ngitholwa ukuthi nginoThi 1 amasonto amane adlule. Ngiye ngaphila kakhulu kulezi zinyanga zokugcina engingakaze ngicabange ukuthi kuzokwenzeka kimi.

Lesi yisifo enginaso noma sonke esinakho, hhayi ukugula. Ukuze abe nochwepheshe bezokwelapha abangazi futhi abangakwazi ukuthola ukuthi yini esesabekayo ngokwesabekayo kimi. Nginakho, noma okungenani ngizizwa ngikhululekile, i-endo enhle ethi uthi ubone inani labantu abadala base-1 abadala. Ngisemgodini we " honeymoon " manje futhi ngingathemba ukuthi uzohlala isikhathi eside. Isinyathelo esilandelayo emva kokushona kwesondlo sengiyesaba ngesilinganiso esithile. Isikhathi sizokutshela. Nginingi kakhulu njengawe, akukho ulwazi oluningi lwabantu abadala basehlobo oludala.

UJeanne, ngokuba esaba ngekusasa:

Njengabaningi benu, nginenkinga ngezinyathelo ezilandelayo. Ngineminyaka engu-46, ngiyasebenza kakhulu, ngihlale ngizivocavoca kakhulu (angikaze ngidlulele ngokweqile). Ishukela lami eliphakeme egazini libhekene nokuhlolwa okungahleliwe kwezempilo emsebenzini. I-PA yenza umuthi womunwe futhi yathi, "Kufanele ngempela ubize udokotela wakho." Ngangingazi kahle ukuthi wayekhuluma ngani-akazange azizwe kabi ngomzuzu owodwa noma abe nezimpawu ezivamile. Angizange ngibe nokugxila empilweni yami yonke, futhi manje sengibhekene nokugula okungapheli okuguqula impilo.

Ngiyaqhubeka ngicabanga ukuthi babheka umsebenzi wegazi lomunye umuntu. Udokotela wami wokunakekelwa okuyinhloko ekuqaleni wangiphenya ngoluhlobo lwama-1 kodwa wayefuna kuqinisekiswe ngokusebenzisa i-endo, okwenzekile. Ngisanda kuqalisa imithi ebizwa nge-Actos futhi anginalwazi ukuthi yini engingayilindela. I-endo ithi ibanjwe ekuqaleni (Ngiyazi ukuthi anginaso iminyaka emibili edlule ngokomzimba).

Umlingani wami oneminyaka eyisithupha uzama ukusekela, kodwa akwazi ngempela ukuthi benzeni. Ulokhu engitshela ukuthi uyazi "abantu abaningi" abanesifo sikashukela nokuthi ngizoba "kuhle." Ngilinga kanzima ukungathathi intukuthelo yami nokukhungatheka kuye. Ngiphinde ngitholwa ukuthi nginesifo se- hypothyroidism futhi ngisemunye iphilisi ngalokho.

Ngizizwa ngilahlekile okwamanje futhi ngiyesaba kakhulu ngekusasa lami. Lapho ngiya ehhovisi le-endo Ngingezungezwe abantu ababukeka besabekayo futhi begula, futhi angifuni ukuphela kanjalo. Ngiyaqiniseka ukuthi lokhu kuyinto evamile - ukushuswa nokwesaba kungakhubaza. Ukufunda kuyisihluthulelo sokondliwa okuhle, kodwa manje ngifuna nje impilo yami endala emuva.

Jill, ngokuthola ngephutha ukuthi yi-type 2 yesifo sikashukela

Ngitholwe ukuthi ngingu-Type 2 wesifo sikashukela eminyakeni eyishumi edlule ngineminyaka engama-23, ngemuva kokuba umzala wami onomhlobo 1 ahlolwe ushukela wami ngenkathi sisekamu futhi bekuyi-513. Angisoze ngikhohlwa lelo suku noma lelo nani uma nje ngiphila . Ngaya odokotela ngokushesha nje lapho ngifika ekhaya. Kwakuyisivunguvungu sokuqokwa nokuhlolwa. Ngabekwa kuzo zonke izinhlobo ezahlukene zemithi yomlomo (Avandia, Metformin ... ..) futhi bazosebenza isikhashana, khona-ke umshuwalense wami uzongishintsha futhi ngizodinga ukuqala nodokotela omusha.

Ngesinye isikhathi ngaphuma ngokuphelele kunoma yimiphi imithi yonke, ngoba ngangingakwazi ukukhokhela izindleko zabo. Ngaphelelwa ukulahlekelwa ngamapounds angama-50-60 ngaphezu kwezinyanga ezingu-7. Ngangibheka kakhulu, ngicabanga nje ukuthi kungenxa yokuthi ngangiphandle kokusebenzisa okuningi (ngisanda kuqala ukuthatha umyeni wami manje), ngibheke lokho engikudlile. Ngabe sengishintsha imisebenzi futhi manje nginomshuwalense omkhulu futhi ngathola udokotela we-Endo ukuthi ngikhululekile kakhulu.

Ngagcinwa ngokuphelele kwi-insulin futhi ngathola isisindo sami futhi emuva kwalokho! Bangitshela ukuthi nginesifo sikashukela 1.5 ....... Ngiyadideka kakhulu ngalokhu! Kulokhu kube umzabalazo kimi ukwamukela ukuthi kudingeka ngishintshe indlela yami yokuphila, ngenxa yalesi sifo.

Ngisanda kufakazela konke futhi ngizama kanzima ukuhlala ithrekhi! Ngiqala ipompo yami ye- insulin ngokushesha, angikwazi ukujabula kakhulu! Ngeke ngisazozidela mina 4-6 shots ngosuku. Nginombuzo ...... Ingabe omunye umuntu ukhona nganoma yini enjengale?

UKaren, ngenxa yokungabi nolwazi lwabanye emphakathini wezokwelapha:

Ngineminyaka engu-48 ubudala futhi ngitholwa ukuthi ngine-type 1.5 yesifo sikashukela. Angisoze ngikhohlwa usuku ngoba kwakuyiminyaka yami yomshado. Ngangifuna ukuhlolwa ngoba ngase ngilahlekelwe ngamakhilogremu angu-20 emavikini amathathu. Ngacabanga ukuthi i-thyroid yami yayisenza nje noma into ethile. Ngangazi ukuthi amazinga ami okucindezeleka ayesebenza emsebenzini, futhi ngase ngisebenzisa okuningi. Ngangigqoke usayizi 4 futhi ngizizwa nginakekele kahle ngakho. Ngisho umuntu ophethe i- hypothyroidism eyayibukele yonke ikhalori iminyaka, lokhu kwakungcono kakhulu.

Udokotela womndeni wami wangena ngemuva kokuhlolwa kwegazi wangitshela ukuthi ngisifo sikashukela. Ngacabanga ukuthi wayehleka. Uthi i-A1C yami yayingaphezu kuka-15 futhi izinga lami lokudla ushukela egazini laliba ngu-450. Nganginjengathi, "Ngakho-ke, kusho ukuthini lokho?" Ngangesimweni sokuthuthumela. Ngemuva kwezinsuku ezine esibhedlela kanye nomhlangano mayelana nabahlengikazi abangu-12 nomqeqeshi wesifo sikashukela, bonke bathi, "Uncane kakhulu ukuthi unesifo sikashukela. Uqinisekile ukuthi ulapha ngenxa yesifo sikashukela? "Ngangikhululeka ngokungabi nolwazi lokuthi abahlengikazi besibhedlela bazi ngesifo sikashukela.

Umsizi wesifo sikashukela / wokudla wangena ekamelweni lami ngezidlo ezingu-3 noma ezine ezilungiselelwe. Lapho engibona, wathi wayengakwazi ngempela ukuthi angitshelani. Angikwazi ukukholelwa. Ngashiya esibhedlela ngekithi yokuqalisa i- insulin kanye nemibuzo eminingi. Udokotela wami womndeni uthatha amathani amathimba ane-type 2 yesifo sikashukela, kodwa wayevame ukukhathazeka ngokungiphatha ngalokho ayecabanga ukuthi uhlobo lwe-diabetes 1.5. Uthe abantu abaningi babengakaze bazwe ngakho futhi kwakungcono kumphakathi wezokwelapha. Odokotela abaningi, uthe, bakholelwa ukuthi uhlobo lwelebula 1 lungasetshenziswa kuphela ezinganeni noma kubantu abaye bakuthola kusukela ebuntwaneni. Uhlobo lwesibili lungowomunye umuntu.

Yebo, angizange ngifanele kunoma yisiphi isigaba. Ungithumelele kumgogodlogist. Kwakunqunywa ukuthi nginguhlobo 1 / 1.5. Ngisadingeka ngishintshe i-insulin futhi kwakudingeka ngikhulise amanani amaningi izikhathi eziningi. Ngithatha cishe u-6 kuya ku-8 ukudubula ngosuku ... Ngithukuthele kakhulu, ngithukuthele futhi ngicindezelekile ngakho konke lokhu. Ngisho ... impilo yami yayihamba kahle nje. Manje - bam, udonga lwezitini.

Siyabonga kubo bonke abafundi ababambe iqhaza kulesi sihloko. Okuhamba phambili kunenhlanhla nempilo enhle kuwe.