Ngaba ungumntu onyangwa isifo seswekile? Ngoko ke, ngaba ngamanye amaxesha uziva ngathi iswekile yakho yegazi iyehla ngequbuliso kangangokuba uzive ngathi uza kuphelelwa ngamandla? Okanye wakha waziva ngathi iya iphakama kakhulu? Oogqirha babiza olu hlobo lweswekile, olunzima kakhulu ukululawula kwaye lungazinzi, ngokuthi, "yiBrittle Diabetes." Ikwabizwa ngokuba yi "Labile Diabetes." Igama elithi "Brittle" okanye "Labile" omabini athetha "ukutshintsha lula" okanye "ukungazinzi."
Ngamafutshane, yintoni i-'Brittle Diabetes'?
Ngamafutshane, 'iBrittle Diabetes' kuxa amanqanaba eglucose egazini lakho etshintsha rhoqo ngokukhawuleza ukusuka kumanqanaba aphantsi kakhulu (esiwabiza ngokuba yi-'(Hypoglycemia)') ukuya kumanqanaba aphezulu kakhulu (esiwabiza ngokuba yi-'(Hyperglycemia)').
Into ebalulekileyo kukuba olu ayilohlobo lutsha lwesifo seswekile. Silubona njengengxaki okanye imeko engaphantsi kwesifo seswekile, edla ngokunxulunyaniswa nesifo seswekile sohlobo loku-1.
Kutheni oku kusenzeka? Zithini izizathu zoku?
Enyanisweni, nayiphi na imeko yeswekile inokuba yinto engazinzile ukuba ayiphathwa kakuhle. Ke ngoko, kunzima kancinci ukufumanisa ngokuchanekileyo 'iBrittle Diabetes'. Kunokubakho izizathu ezininzi zokuba amazinga eswekile yakho atshintshe kakhulu.
Cinga ngokuba ezi zinto ziyakuchaphazela na nawe:
- Ukutsiba amayeza novavanyo: Ngaba uwasela amayeza akho njengoko ugqirha wakho ekuyalele? Ngaba ujonga amanqanaba akho eglucose amaxesha amaninzi ngemini? Ukuba uyawatsiba la mayeza, isenokuba yimbangela enkulu.
- Uxinzelelo oluqatha: Izinto ezifana noxinzelelo olugqithisileyo, umsindo, kunye nokudakumba zichaphazela ngqo iihomoni zomzimba wethu kwaye ziphazamisa amanqanaba eswekile.
- Iingxaki zokutya: Iimeko ezifana nokutya kakhulu, ukungatyi kakuhle, okanye ukutya kakhulu ngaxeshanye.
- Iingxaki zesondlo: Amathumbu awafunxi kakuhle izondlo ekutyeni okutyayo. Imizekelo yoku ibandakanya iimeko ezifana nesifo seCeliac.
- Iingxaki zesisu: I-Gastroparesis yimeko apho ukuhamba kokutya ukusuka esiswini ukuya emathunjini kuhamba kancinci kakhulu, okanye ngamanye amaxesha kuyeke. Oku kunokuba nefuthe elikhulu ekusebenzeni kwe-insulin.
- Uvakalelo lwe-insulin: Abanye abantu bayayiva kakhulu i-insulin, kwaye nokuba incinci inokubangela ukwehla ngequbuliso kweswekile egazini.
Amaxesha amaninzi, enye okanye ezingaphezulu kwezi zinto zinokuba negalelo koku. Kwezinye iimeko, noogqirha abakwazi ukufumana unobangela othile.
Ifunyaniswa njani le meko? Zithini iimpawu zayo?
Iimpawu ziyahluka ngokuxhomekeke ekubeni amazinga eswekile egazini lakho aphezulu okanye aphantsi. Makhe sijonge ezi mpawu ngokwahlukeneyo.
| Xa amanqanaba eswekile egazini ehla ngequbuliso (iHypoglycemia - ngaphantsi kwama-70 mg/dl) | |
|---|---|
| Ukuziva ngathi umzimba wakho uyangcangcazela | Ukuziva ungaphumli, uxhalabile |
| Ukubila kakhulu, ukuziva ubanda | Umsindo, ukucaphuka |
| Ukuphazamiseka kwenkumbulo kunye nokuqonda, ukudideka | Ukubetha kwentliziyo |
| Isiyezi , i-vertigo | Isicaphucaphu, ukuhlanza |
| Umbono ofipheleyo | Ubuthathaka, ubuthathaka |
| Intloko ebuhlungu kakhulu | Ukuxhuzula kunye nokungazi nto |
| Xa amanqanaba eswekile egazini enyuka ngequbuliso (i-Hyperglycemia - ngaphezulu kwama-200 mg/dl) | |
|---|---|
| Ukudinga rhoqo ukuchama | Unxano olungenakunyamezeleka |
| Umbono ofipheleyo | Ukudinwa kakhulu, ukudinwa |
| Intloko ebuhlungu | |
Lumka! Iswekile ephezulu egazini inokuba yingozi (iKetoacidosis)
Ukuba awuyinyangi ngokukhawuleza iswekile ephezulu egazini (i-hyperglycemia), ingajika ibe yimeko eyingozi kakhulu ebizwa ngokuba yi-ketoacidosis . Oku kwenzeka xa umzimba ungakwazi ukusebenzisa iswekile ukuze ufumane amandla, uze uqale ukutshisa amafutha endaweni yoko. Ngenxa yoko, iikhemikhali ezinobuthi ezibizwa ngokuba zii-ketones ziyaqokelelana egazini nasemchameni. Le yingxamiseko yezonyango.
Iimpawu zeKetoacidosis:
- Ivumba leziqhamo emlonyeni
- Isicaphucaphu nokuhlanza
- Ubunzima bokuphefumla
- Ubuthathaka obukhulu
- Ukulahlekelwa yingqondo
- Isisu esibuhlungu
- Ukuwela kwi-coma
Ukuba unayo nayiphi na kwezi mpawu, yiya kwiSebe lezeMpilo eziNgxamisekileyo (ETU) esibhedlele ngoko nangoko, ngaphandle kokulibazisa. Le yimeko embi kakhulu enokuba yingozi nakubomi.
Ngubani onokuba nethuba elikhulu lokufumana le meko?
Isifo seswekile esibizwa ngokuba yiBrittle asiyonto ixhaphakileyo. Sichaphazela abantu abamalunga nabathathu kwi-1,000 abanesifo seswekile abasebenzisa i-insulin. Nangona sinokuchaphazela abantu bayo nayiphi na iminyaka, sixhaphake kancinci kubasetyhini kunamadoda.
Enye into ebalulekileyo kukuba ukuba une-hypoglycemia rhoqo, usemngciphekweni omkhulu kancinci. Kuba xa iswekile yakho yegazi iwela phantsi kakhulu, ngokuhamba kwexesha amandla omzimba wakho okuyibona ayehla. Emva koko, ixesha ngalinye iswekile yakho yegazi iyehla, inokuba mandundu, nto leyo ekhokelela 'kwisifo seswekile esincinci'.
Uphila njani nale nto? Zithini iindlela zonyango?
Le meko inokuphazamisa ubomi bakho bemihla ngemihla. Kuba awukwazi ukuqikelela ukuba iswekile yakho yegazi iya kwehla okanye inyuke nini. Kusenokufuneka uye esibhedlele rhoqo, nto leyo enokwenza kube nzima ukusebenza okanye ukwenza imisebenzi yasekhaya. Inokuba yingozi nakubomi.
Xa ekunyangela, ugqirha wakho uza kuqala agxile kwiimfuno zakho ezikhawulezileyo zamanqanaba eswekile egazini lakho. Emva koko, uza kwenza isicwangciso sokulawula ngokusondeleyo isifo sakho seswekile. Ngethamsanqa, ubuchwepheshe obutsha kunye nonyango lwanamhlanje lunokukunceda ulawule esi sifo.
Unganikwa unyango olufana nolu:
- I-Continuous Glucose Monitor (CGM): Esi sisixhobo esincinci esine-sensor ebekwe phantsi okanye phezu kwesikhumba. Sihlala silinganisa inqanaba leswekile egazini lakho kwaye sikhale i-alamu ukuba ihla okanye iphezulu ngendlela eyingozi.
- Ipompo ye-insulin: Le ikwangumatshini omncinci owunxiba imini yonke. Ikhupha i-insulin ngokuzenzekelayo emzimbeni ngexesha elifanelekileyo nangomlinganiselo ofanelekileyo. Oku kunceda ukugcina amanqanaba eswekile egazini ezinzile.
- Utyando Lokufakelwa I-Pancreatic: Olu lutyando oluntsonkothileyo kakhulu. Kule meko, i-pancreas ephilileyo evela kumntu oswelekileyo ifakwa emzimbeni ukuze iphinde ivuselele ukuveliswa kwe-insulin.
Ugqirha wakho uza kumisela unyango olulungele wena. Nguye oza kumisela unobangela wemeko yakho. Wakuba unesicwangciso sonyango, unoxanduva olukhulu lokwenza ukuba luphumelele.
- Zilolonge rhoqo.
- Landela icebiso lesondlo olinikwayo njengoko linjalo.
- Ungaze uphoswe lixesha okanye idosi yamayeza.
- Ngaphezu kwako konke, hlala unxibelelana nogqirha wakho wesifo seswekile kunye neqela lezonyango. Fumana inkxaso yezonyango neyeemvakalelo oyifunayo kubo.
Umyalezo Wokuya Ekhaya
- 'Isifo seswekile esibizwa ngokuba yi-'Brittle Diabetes'' asilohlobo lutsha lwesifo seswekile, sisifo esingazinzanga esenza kube nzima ukulawula isifo seswekile.
- Qaphela iimpawu zeswekile ephantsi egazini (hypoglycemia) kunye neswekile ephezulu egazini (hyperglycemia).
- I-Ketoacidosis, imeko ebangelwa kukunyuka kweswekile egazini, iyingozi kakhulu. Ukuba ubona naziphi na iimpawu zayo, yiya kwiYunithi yoNyango oluNgxamisekileyo (ETU) yesibhedlele ngoko nangoko.
- Namhlanje, kukho izixhobo zobuchwepheshe zanamhlanje ezifana ne-'CGM' kunye ne-'Insulin Pump' yokulawula le meko.
- Kubaluleke kakhulu ukuhlala unxibelelana rhoqo nogqirha wakho kwaye ulandele imiyalelo yakhe ngokuchanekileyo.
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