Ukwelashwa Kwesifo Sikashukela Sohlobo 1 Okuthuthukisiwe
Isifo sikashukela sohlobo 1 sidinga ukwelashwa nge-insulin impilo yonke, kodwa izindlela zokwelapha isifo sikashukela sohlobo 1 zanamuhla zikuvumela ukuthi uphile ngokugcwele futhi ngenkuthalo ngenkathi ugcina amazinga kashukela egazini aphilile. Izindlela zanamuhla zokulethwa kwe-insulin, ubuchwepheshe bokuqapha ushukela, kanye namasu okuphatha aphelele zinikeza ukulawula nokuguquguquka okungakaze kubonwe ngaphambili uma kuqhathaniswa neminyaka eyishumi edlule. Ukuqonda izinketho zakho zokwelapha nokuthuthukisa ikhono lokuphatha isifo sikashukela nsuku zonke kukunika amandla okuphishekela imigomo yakho ngaphandle kokuthi isifo sikashukela sivimbe indlela.
KwaMadison Medical, siyaqaphela ukuthi isifo sikashukela sohlobo 1 sithinta zonke izici zokuphila kwakho—sidinga ukuqapha njalo nokwenza izinqumo abantu abaningi abangadingi ukuzicabangela. Ochwepheshe bethu besifo sikashukela sohlobo 1 banikeza ulwazi lwezokwelapha, ukufinyelela ubuchwepheshe, kanye nokusekelwa okuqhubekayo okudingayo ukuze uphathe isifo sikashukela ngokuzethemba ngenkathi ugcina ikhwalithi yokuphila engcono kakhulu.
Ukuqonda Uhlobo 1 sikashukela
Isifo sikashukela sohlobo 1 yisimo sokuzivikela komzimba lapho amasosha omzimba wakho ehlasela ngephutha futhi abhubhise amaseli e-beta akhiqiza i-insulin kuma-pancreas akho. Ngaphandle kwe-insulin, i-glucose ayikwazi ukungena emaseli akho ukuze ithole amandla, okubangela ukuba ushukela wegazi ukhuphuke kakhulu ngendlela eyingozi. Ngokungafani nesifo sikashukela sohlobo 2 esikhula kancane kancane ngenxa yokumelana ne-insulin, uhlobo 1 luvame ukuvela ngokuzumayo—ngokuvamile ezinganeni, entsheni, noma kubantu abadala abasebasha, yize kungenzeka kunoma yimuphi ubudala.
Lesi simo asibangelwa ukudla, indlela yokuphila, noma yini oyenzile noma ongayenzanga. Uma amaseli e-beta esebhujisiwe, awaphinde avuseleleke, okwenza ukwelashwa kokufaka i-insulin kube yinto ebalulekile ukuze usinde. Nakuba lokhu kuzwakala kuthusa, ukwakheka kwe-insulin yesimanje kanye nezinhlelo zokulethwa kuvumela ukulawulwa okuhle kakhulu koshukela egazini uma kusetshenziswa kahle.
Ukuqaphela Izimpawu Zesifo Sikashukela Sohlobo 1
Isifo sikashukela sohlobo 1 sivame ukukhula ngokushesha ngezimpawu ezivelele:
- Ukoma kakhulu kanye nokuchama njalo njengoba umzimba wakho uzama ukuqeda ushukela omningi
- Indlala enkulu naphezu kokudla ngoba amangqamuzana awakwazi ukuthola i-glucose
- Ukwehla kwesisindo okusheshayo nokungachazeki njengoba umzimba wakho uphula imisipha namafutha ukuze uthole amandla
- Ukukhathala okukhulu kanye nobuthakathaka okuthinta ukusebenza kwansuku zonke
- Umbono ofiphele ngenxa yokushintshashintsha koketshezi okuthinta ukuma kwelensi yeso
- Umoya onephunga elimnandi obonisa ukukhiqizwa kwe-ketone
- Isicanucanu, ukuhlanza, kanye nobuhlungu besisu ku-ketoacidosis yesifo sikashukela
Lezi zimpawu zivame ukukhula phakathi kwezinsuku kuya emavikini, zidinga usizo oluphuthumayo lwezokwelapha. I-ketoacidosis yesifo sikashukela—inkinga esongela ukuphila eyenzeka lapho umzimba uphula amafutha ukuze uthole amandla, ikhiqize ama-ketone anobuthi—ingakhula ngokushesha kumuntu onesifo sikashukela sohlobo 1 ongalashwa.
Izinketho Zokwelapha Isifo Sikashukela Sohlobo 1
Izikhungo zokuphatha ezisebenzayo zokushintsha i-insulin zihlanganiswe nokuqapha ngokucophelela:
Izindlela zokujova eziningi zansuku zonke (i-MDI) zisebenzisa i-insulin esebenza isikhathi eside enikeza ukumbozwa okuyisisekelo usuku lonke kanye ne-insulin esebenza ngokushesha ngaphambi kokudla. Le ndlela inikeza ukuguquguquka ngesikhathi sokudla kanye nokuqukethwe ngenkathi igcina ukulawula okuhle lapho imithamo ibalwa kahle.
Ukwelashwa ngephampu ye-insulin kunikeza i-insulin esebenza ngokushesha njalo nge-catheter encane ngaphansi kwesikhumba sakho. Amaphampu anikeza umthamo oqondile, avumela ukulungiswa kwesikhashana kwesilinganiso sokuzivocavoca noma ukugula, futhi aqede isidingo sokujova kaningi nsuku zonke. Abantu abaningi bathola ukuthi amaphampu athuthukisa ikhwalithi yokuphila kanye nokulawula ushukela egazini.
Ama-continuous glucose monitors (CGM) ahlola amazinga kashukela egazini njalo phakathi nosuku nobusuku, ebonisa ukufundwa kwesikhathi sangempela kanye nezitayela ku-receiver noma ku-smartphone. Ama-CGM akuxwayisa ngezinkinga ezinkulu nezimbi ngaphambi kokuba zibe zimbi kakhulu, ahlinzeka ngemininingwane ebalulekile yezinqumo zokulinganisa i-insulin. Ezinye izinhlelo zihlangana namaphampu e-insulin, zidala izinhlelo ze-hybrid closed-loop ezilungisa ngokuzenzakalelayo ukulethwa kwe-insulin ngokusekelwe ekufundweni kwe-glucose.
Ukubala ama-carbohydrate kukuvumela ukuthi uqhathanise imithamo ye-insulin nenani lama-carbohydrate owadlayo. Ukwazi leli khono kunikeza ukuguquguquka kokudla ngenkathi ugcina ukulawula ushukela egazini. Uzofunda ukulinganisa okuqukethwe kwama-carbohydrate ekudleni bese ubala imithamo ye-insulin efanele.
Indlela Esihlonza Ngayo Isifo Sikashukela Sohlobo 1
Ukuxilongwa kuvame ukuhilela ukuhlolwa kwegazi okubonisa amazinga aphezulu kashukela kanye nokuhlolwa kwama-autoantibodies ahlasela amaseli e-pancreatic beta. Ama-autoantibodies avamile afaka phakathi i-GAD, i-IA-2, kanye nama-autoantibodies e-insulin. Ukuhlolwa kwe-C-peptide okulinganisa ukukhiqizwa kwe-insulin emzimbeni wakho kusiza ukuhlukanisa uhlobo 1 nesifo sikashukela sohlobo 2 ezimweni ezingacacile.
Uma sekutholakale ukuthi une-insulin, ukuqapha okuqhubekayo kuhlanganisa ukuhlolwa kwe-A1C njalo ezinyangeni ezi-3 okubonisa isilinganiso sokulawulwa koshukela egazini, ukuhlolwa njalo kwezinkinga, kanye nokulandelela amaphethini akho eglucose nsuku zonke ukuze kuthuthukiswe izindlela zokwelashwa kwe-insulin.
Iziqondiso Zokwelapha Isifo Sikashukela Sohlobo 1 Esizilandelayo
Indlela yethu yokwelapha ihambisana neziqondiso ezisekelwe ebufakazini:
Ukwelashwa Okujulile Nge-Insulin
Ucwaningo lubonisa ngokusobala ukuthi ukuphathwa kwe-insulin okunamandla—ukusebenzisa imijovo eminingi yansuku zonke noma ukwelashwa ngepompo ngokuqapha ushukela wegazi njalo—kunciphisa kakhulu ingozi yezinkinga uma kuqhathaniswa nezindlela ezindala nezingenamsebenzi kakhulu. Sikusiza ukuthi uthuthukise amakhono okulinganisa i-insulin ngokunembile ngokusekelwe emazingeni kashukela egazini, ukudla ama-carbohydrate, kanye nomsebenzi womzimba.
Ukuhlanganiswa Kwezobuchwepheshe
Iziqaphi ze-glucose eziqhubekayo kanye namaphampu e-insulini ahlinzeka ngamathuluzi okufeza ukulawula okungcono ngomzamo omncane. Sikusiza ukuthi ukhethe ubuchwepheshe obufanele ngokusekelwe endleleni yakho yokuphila, okuthandayo, kanye nokumbozwa komshuwalense, bese sikunikeza ukuqeqeshwa kokusetshenziswa okuphumelelayo.
Ukuvimbela Nokuphatha I-Hypoglycemia
Ukuvimbela nokwelapha kahle ushukela wegazi ophansi kubalulekile. Uzofunda ukuqaphela izimpawu zokuxwayisa zakuqala, uhlale uphethe ama-carbohydrate asebenza ngokushesha, futhi uthuthukise amasu okunciphisa ingozi ye-hypoglycemia ngesikhathi sokuzivocavoca nokulala.
Ukuhlolwa Okuphelele Kwezinkinga
Ukuhlolwa njalo kwesifo samehlo esinesifo sikashukela, izinkinga zezinso, ukulimala kwemizwa, kanye nezinkinga zenhliziyo kuvumela ukungenelela kusenesikhathi lapho ukwelashwa kusebenza kahle kakhulu.
Isikhathi Sokuthola Ukwelashwa Kwesifo Sikashukela Sohlobo 1
Funa ukuhlolwa okusheshayo uma uhlangabezana nezimpawu ezibonisa isifo sikashukela—ikakhulukazi ukoma okukhulu, ukuchama njalo, ukwehla kwesisindo ngokushesha, noma izimpawu ze-ketoacidosis njengokucasuka, ukuhlanza, ubuhlungu besisu, kanye nephunga lokuphefumula elifana nezithelo. Uma sekutholakale ukuthi unaso lesi sifo, ukuvakashelwa njalo ochwepheshe njalo ezinyangeni ezi-3 kuvumela ukuthuthukiswa kokwelashwa kanye nokuhlolwa kwezinkinga.
Izimpawu Zesexwayiso Ezidinga Ukunakekelwa Okuphuthumayo
Funa ukunakekelwa okuphuthumayo uma ubhekene nokwehla okukhulu kwe-hypoglycemia okubangelwa ukudideka, ukulahlekelwa ukwazi, noma ukuquleka, izimpawu ze-ketoacidosis yesifo sikashukela, ubuhlungu besifuba, ubunzima bokuphefumula, noma ukungakwazi ukuphuza ukudla noma uketshezi ngenxa yokugula.
Ukubaluleka Kokunakekelwa Kohlobo Olukhethekile 1
Isifo sikashukela sohlobo 1 sidinga ubuchwepheshe obukhethekile. Odokotela be-endocrinologists abagxile kwisifo sikashukela sohlobo 1 bayaqonda izici zokuphathwa kwe-insulin okunamandla, ubuchwepheshe obuthuthukisiwe, kanye nokuvimbela izinkinga. Bahlala benolwazi ngezinketho zokwelapha ezishintsha ngokushesha futhi bangaxazulula izimo eziyinkimbinkimbi odokotela abavamile abangase bangazihlangabezani nazo njalo.
Okufanele Ukulindele Ngesikhathi Sokwelashwa
Ukuvakasha kokuqala ngemva kokuxilongwa kugxila emfundweni ejulile—ukukufundisa ukuphathwa kwe-insulin, ukuqapha ushukela egazini, ukubala ama-carbohydrate, ukuqaphela nokwelapha i-hypoglycemia, ukuphathwa kosuku lokugula, kanye nokulungisa indlela yokuphila. Ukuvakasha okulandelayo njalo ezinyangeni ezi-3 buyekeza idatha yakho ye-glucose, lungisa izindlela zokusebenzisa i-insulin, uhlole izinkinga, futhi ubhekane nezinselele.
Njengoba uthola ulwazi, ukuphathwa kwesifo sikashukela nsuku zonke kuba lula kakhulu. Iningi labantu lihlanganisa ngempumelelo ukwelashwa nge-insulin kanye nokuqapha emisebenzini yabo, okubavumela ukuba baphile ngokugcwele ngaphandle kokuphazamiseka okuqhubekayo.
Ukuphila Kahle Nohlobo 1 Lwesifo Sikashukela
Nakuba isifo sikashukela soHlobo 1 sidinga ukunakekelwa njalo, akudingeki sikuchaze noma sikubeke imingcele. Ngokwelashwa okufanele, abantu abanesifo sikashukela soHlobo 1 baphishekela noma yimuphi umsebenzi, badlale imidlalo yokuncintisana, bahambe kakhulu, futhi balondoloze impilo enhle. Uzothuthukisa ukuqina, amakhono okuxazulula izinkinga, kanye nolwazi oluzokusiza kakhulu ngale kokuphathwa kwesifo sikashukela.
Isihluthulelo ukugcina ukwelashwa okuqhubekayo, ukuhlala uxhumene nethimba lakho lezempilo, ukwamukela ubuchwepheshe obutholakalayo, kanye nokwenqaba ukuvumela isifo sikashukela sikuvimbele ekufezeni imigomo yakho.
Bukela ukuze ufunde kabanzi
Kungani iMadison Medical
Ithuba lethu elilodwa lokuthola ukwelashwa ngokomzimba okuhlanganisiwe, ukunakekelwa kwe-chiropractic, kanye nezinsizakalo eziyinhloko konke kungaphansi kophahla olulodwa. Sinikeza ithimba eliwine imiklomelo elihlanganisa ulwazi olubanzi nokuqeqeshwa okuqhubekayo kumasu nobuchwepheshe bamuva bokwelapha. Ukucaca kokumbozwa komshuwalense kusukela ekubonisaneni kwakho kokuqala kukusiza ukuthi uqonde izinzuzo nezindleko kusenesikhathi.