Dokotala wanu akakuuzani kuti mwana wanu ali ndi matenda a shuga a mtundu woyamba (T1D), mwina mumakhala ndi mafunso ambirimbiri m'maganizo mwanu. Ndizachilendo kuganiza zinthu monga, "N'chifukwa chiyani izi zachitikira mwana wanga?", "Kodi izi zachitika kwa moyo wonse?", "Ndingathane bwanji ndi izi?" Musadandaule. Simuli nokha. Tiyeni tikambirane zonse mwachidule, kuti muchepetse nkhawa.
Mwachidule, kodi matenda a shuga amtundu woyamba (T1D) ndi chiyani?
Kale, vutoli linkatchedwa 'matenda a shuga a achinyamata'. Mwachidule, matenda a T1D ndi matenda omwe amakhalapo kwa moyo wonse omwe pakadali pano palibe mankhwala ake. Ngati mwana wanu ali ndi matenda a T1D, kapamba wake sangathe kupanga insulin yofunikira.
Ganizirani za insulin ngati kiyi yomwe imatsegula zitseko za maselo a thupi lathu. Kiyi iyi, yotchedwa insulin, ndi yofunika kwambiri kuti shuga (shuga) yomwe timapeza kuchokera ku chakudya chomwe timadya isunthike kuchokera m'magazi kupita m'maselo ndikugwiritsidwa ntchito ngati mphamvu. Chifukwa chake, insulin ikasowa, shuga iyi singalowe m'maselo ndipo m'malo mwake imasonkhana m'magazi. Kuwonjezeka kosalamulirika kwa shuga m'magazi kungayambitse kuwonongeka kwakukulu ku ziwalo zathu zazikulu, monga mtima wathu, impso, ndi maso, pakapita nthawi.
Izi ndi zosiyana ndi matenda a shuga amtundu wachiwiri (T2D). Munthu amene ali ndi matenda a shuga amtundu wachiwiri (T2D) amapanga insulin, koma thupi silingathe kuigwiritsa ntchito bwino. Mu matenda a shuga amtundu wachiwiri (T1D), insulin siipezeka konse.
N’chifukwa chiyani izi zinachitikira mwana wanga?
Ndizachibadwa kuti funsoli libwere m'maganizo mwanu. Akatswiri amakhulupirira kuti T1D ndi 'matenda odziteteza okha'. Izi zikutanthauza kuti chitetezo cha mthupi, chomwe chimateteza matupi athu ku matenda, chimaukira ndikuwononga maselo athu omwe amapanga insulin molakwika. Izi zitha kuchitika m'thupi mwana asanawonetse zizindikiro zilizonse.
Sizikudziwikabe bwino chomwe chimayambitsa chitetezo cha mthupi kuchita zinthu molakwika motere.
- Mphamvu ya majini: Majini angathandize. Mwachitsanzo, ngati kholo kapena m'bale wanu ali ndi matenda a T1D, mwana amakhala ndi mwayi wopeza matendawa. Koma modabwitsa, 85% ya ana omwe ali ndi matenda a T1D alibe mbiri ya m'banja lawo ya matendawa.
- Zinthu Zachilengedwe: Izi zimatithandiza kuganiza kuti china chake m'chilengedwe, mwina china chonga kachilombo, chingakhale chomwe chimayambitsa njira yodzitetezera iyi.
Chofunika kwambiri ndi kukumbukira kuti izi si vuto la wina aliyense. Sizinachitika chifukwa cha chilichonse chimene munachita kapena kunena. Ndipo palibe njira yoletsera izi.Choncho, pewani kudziimba mlandu kwathunthu.
Kodi zizindikiro za matenda a shuga amtundu woyamba ndi ziti?
Zizindikiro za matenda a T1D zimatha kuwonekera mwadzidzidzi. Nthawi zina zizindikirozi zimakula pang'onopang'ono. Onani ngati mwana wanu akuwonetsa zizindikiro izi. Tiyeni tiwone tchati ichi kuti chikuthandizeni kukumbukira zizindikirozi.
| Chizindikiro | Kufotokozera kosavuta |
|---|---|
| Kumva ludzu losazolowereka | Shuga wambiri m'magazi amachititsa kuti thupi litaye madzi ambiri, kotero mumadzimva ngati mukufuna kumwa madzi nthawi zonse. |
| Kukodza pafupipafupi | Impso zimayesa kuchotsa shuga wowonjezera m'magazi kudzera mu mkodzo, kotero muyenera kukodza pafupipafupi. |
| Kunyowetsa pabedi | Ngati mwana amene sanakhalepo ndi chizolowezi chonyowetsa bedi mwadzidzidzi ayamba kunyowetsa bedi usiku, izi zitha kukhala chizindikiro. |
| Kumva kutopa kwambiri | Mwanayo nthawi zonse amamva kutopa komanso kugona chifukwa maselo salandira shuga wofunikira kuti apange mphamvu. |
| Kuchepetsa thupi ngakhale mutadya bwino | Popeza shuga singagwiritsidwe ntchito ngati mphamvu, thupi limayamba kuwotcha minofu ndi mafuta, zomwe zimapangitsa kuti thupi lichepe. |
| Kusintha kwa khalidwe ndi maganizo | Ngati mwanayo amakwiya msanga, sakukhazikika, kapena akuoneka wachisoni, chimenecho chingakhale chizindikiro. |
| Fungo la zipatso pamphuno | Thupi likatentha mafuta, mankhwala otchedwa ketones amapangidwa. Izi zikamaunjikana m'magazi, mpweya wanu umatha kununkhiza bwino komanso kukhala ndi zipatso. Ichi ndi chizindikiro cha vuto loopsa. |
Koma si ana onse omwe angasonyeze zizindikiro zonsezi. Nthawi zina, ngati mwana ali kumayambiriro kwa matenda a T1D, sangasonyeze zizindikiro zilizonse.
Kodi chimachitika ndi chiyani munthu akapezeka ndi matenda? Kuyang'anira tsiku ndi tsiku matenda a shuga
Mukatsimikizira kuti muli ndi matendawa, inu ndi mwana wanu mudzatumizidwa ku gulu la akatswiri azachipatala. Gululi likhoza kuphatikizapo katswiri wa matenda a shuga, mphunzitsi wa matenda a shuga, ndi katswiri wa zakudya. Adzakuuzani zonse zomwe muyenera kudziwa zokhudza ulendowu. Pali zinthu zingapo zofunika zomwe muyenera kuchita tsiku ndi tsiku.
1. Kuyeza kuchuluka kwa shuga m'magazi
Muyenera kuyang'ana shuga m'magazi mwa mwana wanu kangapo patsiku. Izi zimachitika pogwiritsa ntchito chipangizo chaching'ono chotchedwa glucometer. Kuyesaku kumachitika pobaya chala ndi singano yaying'ono ndikuchotsa dontho la magazi. Poyamba, izi zingawoneke zovuta kwa mwana ndi inu, koma pakapita nthawi, zidzakhala gawo la moyo wanu wamba.
2. Kupereka insulin
Popeza thupi silipanga insulin, liyenera kuperekedwa kunja. Insulin singatengedwe ngati piritsi, chifukwa imasweka m'mimba. Chifukwa chake, iyenera kuperekedwa ngati jakisoni . Jakisoni iyi iyenera kuperekedwa kangapo patsiku, nthawi zambiri musanadye. Dokotala ndi ogwira ntchito ya unamwino adzakuuzani momwe mungachitire izi. Tsopano pali ukadaulo wamakono monga mapampu a insulin.
3. Zakudya ndi masewera olimbitsa thupi
Zakudya ndi masewera olimbitsa thupi ndi zinthu ziwiri zofunika kwambiri pakuwongolera matenda a shuga. Mutha kupanga dongosolo labwino polankhula ndi dokotala wanu kapena katswiri wa zakudya zokhudza zakudya zomwe zili zabwino kwa inu, kuchuluka kwa zakudya zomwe muyenera kudya, komanso zomwe muyenera kusamala mukamachita masewera olimbitsa thupi.
Kodi ndi liti pamene muyenera kupeza upangiri wa zachipatala mwadzidzidzi?
Mukakhala ndi matenda a shuga, ndikofunikira kudziwa zadzidzidzi.
- Shuga wochepa m'magazi (Hypoglycemia): Nthawi zina shuga m'magazi amatha kuchepa kwambiri. Ngati mwana wanu ali ndi zizindikiro monga thukuta kwambiri, kugwedezeka, kusokonezeka, komanso kuoneka ngati wotumbululuka, mupatseni chinthu chokhala ndi shuga (mapiritsi a shuga, supuni imodzi ya shuga, kapena chakumwa chotsekemera) nthawi yomweyo. Dokotala wanu adzakufotokozerani izi mwatsatanetsatane.
- Hyperglycemia/DKA: Ngati shuga m'magazi akwera kwambiri , matenda oopsa otchedwa Diabetic Ketoacidosis (DKA) angayambe. Ngati zizindikiro monga kupweteka m'mimba, kusanza, kupuma mofulumira, kugona tulo tofa nato, komanso fungo la zipatso m'mphuno , pitani naye ku Dipatimenti Yodzidzimutsa ya chipatala chapafupi (ETU) mwamsanga.
Uthenga Wopita Nawo Kunyumba
- Ngakhale kuti matenda a shuga amtundu woyamba ndi ovuta, mwana wanu akhoza kukhala ndi moyo wabwino, wathanzi, komanso wosangalala. Simuli nokha.
- Izi si zolakwa za aliyense, choncho pewani kudziimba mlandu.
- Tsatirani malangizo omwe dokotala wanu ndi gulu lachipatala akupatsani ndendende. Musaope kufunsa mafunso aliwonse omwe muli nawo, ngakhale atakhala ang'onoang'ono bwanji.
- Ndikofunikira kuyang'anira shuga m'magazi a mwana nthawi zonse, kupereka insulin panthawi yake, komanso kupereka zakudya zoyenera.
- Fotokozani nkhaniyi kwa mwana wanu m'njira yomwe angamvetse. Ngati mwana wanu ndi wamkulu pang'ono, muphatikizepo pa ntchito yoyang'anira. Izi zithandizanso kuti mwanayo adzidalire.
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