Xa ugqirha wakho ekuxelela ukuba umntwana wakho unesifo seswekile sohlobo loku-1 (T1D), mhlawumbi unemibuzo emininzi engqondweni yakho. Kuqhelekile ukucinga izinto ezinje, "Kutheni oku kwenzeke kumntwana wam?", "Ngaba le yimeko yobomi bonke?", "Ndingamelana njani nale meko?" Ungakhathazeki. Awuwedwa. Masithethe ngayo yonke into ngokulula, ukuze ingqondo yakho ikhululeke.
Ngamafutshane, yintoni isifo seswekile sohlobo loku-1 (T1D)?
Ngaphambili, le meko yayibizwa ngokuba yi-'juvenile diabetes'. Ngamafutshane, i-T1D yimeko ehlala ubomi bonke apho kungekho nyango lwayo okwangoku. Ukuba umntwana wakho une-T1D, i-pancreas yakhe ayikwazi ukuvelisa i-insulin yehomoni ebalulekileyo.
Cinga nge-insulin njengesitshixo esivula iingcango zeeseli zomzimba wethu. Esi sitshixo, esibizwa ngokuba yi-insulin, sibalulekile kwiswekile (iglucose) esiyifumana ekutyeni esikutyayo ukuze isuke egazini iye kwiiseli kwaye isetyenziswe njengamandla. Ngoko ke, xa i-insulin ingekho, le swekile ayinakungena kwiiseli kwaye endaweni yoko iqokelelana egazini. Oku kunyuka okungalawulekiyo kwamanqanaba eswekile egazini kunokubangela umonakalo omkhulu kwizitho zethu eziphambili, njengentliziyo, izintso, namehlo, ngokuhamba kwexesha.
Oku kwahlukile kwisifo seswekile sohlobo lwesibini (i-T2D). Umntu one-T2D uvelisa i-insulin, kodwa umzimba awukwazi ukuyisebenzisa kakuhle. Kwi-T1D, i-insulin ayifumaneki kwaphela.
Kutheni oku kwenzeke kumntwana wam?
Kungokwemvelo ukuba lo mbuzo ufike engqondweni yakho. Iingcali zikholelwa ukuba i-T1D 'yingxaki yokuzikhusela komzimba'. Oku kuthetha ukuba inkqubo yomzimba yokuzikhusela, ekhusela imizimba yethu kwizifo, ihlasela ngempazamo kwaye itshabalalise iiseli zethu ezivelisa i-insulin. Le nkqubo inokwenzeka ngaphakathi emzimbeni ixesha elide ngaphambi kokuba umntwana abonise naziphi na iimpawu.
Akukacaci kakuhle ukuba yintoni ebangela ukuba inkqubo yomzimba yokuzikhusela iziphathe kakubi ngolu hlobo.
- Impembelelo yemfuza: Imfuza inokudlala indima. Umzekelo, ukuba umzali okanye umntakwenu une-T1D, umntwana unethuba elincinci lokuba nayo. Kodwa okumangalisayo kukuba, ama-85% abantwana abane-T1D abanayo imbali yentsapho yesi sifo.
- Izinto ezisingqongileyo: Oku kusenza sicinge ukuba into ethile ekwindalo esingqongileyo, mhlawumbi into efana nentsholongwane, isenokuba yimbangela yale nkqubo yokuzikhusela komzimba.
Eyona nto ibalulekileyo kukukhumbula ukuba oku akulotyala lamntu. Akuzange kwenzeke ngenxa yento oyenzileyo okanye oyithethileyo. Kwaye akukho ndlela yokuthintela oku.Ngoko ke, kuphephe ukuzibeka ityala ngokupheleleyo.
Zithini iimpawu zesifo seswekile sohlobo loku-1?
Iimpawu ze-T1D zinokuvela ngequbuliso. Ngamanye amaxesha ezi mpawu zikhula kancinci kancinci. Jonga ukuba umntwana wakho ubonakalisa naziphi na kwezi mpawu. Makhe sijonge le tshathi ukuze sikuncede ukhumbule ezi mpawu.
| Uphawu | Ingcaciso elula |
|---|---|
| Ukuziva unxaniwe ngokungaqhelekanga | Iswekile ephezulu egazini ibangela ukuba umzimba ulahlekelwe ngamanzi amaninzi, ngoko ke uziva ufuna ukusela amanzi ngalo lonke ixesha. |
| Ukuchama rhoqo | Izintso zizama ukususa iswekile engaphezulu egazini ngomchamo, ngoko ke kufuneka uchame rhoqo. |
| Ukuchama Ebhedini | Ukuba umntwana ongazange abe nomkhwa wokumanzisa ibhedi ngaphambili ngequbuliso uqala ukumanzisa ibhedi ebusuku, oko kungaba luphawu. |
| Ndiziva ndidiniwe kakhulu | Umntwana uhlala ediniwe kwaye elele kuba iiseli azifumani iswekile eziyidingayo ukuvelisa amandla. |
| Ukunciphisa umzimba nangona usitya kakuhle | Ekubeni iswekile ingenakusetyenziselwa amandla, umzimba uqala ukutshisa izihlunu namafutha, nto leyo ebangela ukwehla kobunzima. |
| Utshintsho kwindlela yokuziphatha kunye neemvakalelo | Ukuba umntwana ucaphuka msinya, akahlaliseki, okanye ubonakala edakumbile, oko kungaba luphawu. |
| Ivumba elimnandi leziqhamo emlonyeni | Xa umzimba utshisa amafutha, kuveliswa iikhemikhali ezibizwa ngokuba zii-ketones. Xa ezi zinto ziqokelelana egazini, umoya wakho unokunuka kamnandi kwaye ube nevumba elimnandi. Olu luphawu lwemeko eyingozi. |
Kodwa ayingomntwana wonke oza kubonisa zonke ezi mpawu. Ngamanye amaxesha, ukuba umntwana ukwinqanaba lokuqala le-T1D, usenokungabonakalisi zimpawu konke konke.
Kwenzeka ntoni emva kokuxilongwa? Ulawulo lwemihla ngemihla
Nje ukuba uxilongo luqinisekisiwe, wena nomntwana wakho niza kuthunyelwa kwiqela lezonyango elikhethekileyo. Eli qela linokuquka ingcali yesifo seswekile, umfundisi wesifo seswekile, kunye nengcali yesondlo. Baza kukuxelela yonke into ekufuneka uyazi malunga nolu hambo. Kukho izinto ezimbalwa ezibalulekileyo ekufuneka uzenze imihla ngemihla.
1. Ukulinganisa amanqanaba eswekile egazini
Kuya kufuneka ujonge amanqanaba eswekile egazini lomntwana wakho izihlandlo ezininzi ngemini. Oku kwenziwa kusetyenziswa isixhobo esincinci esibizwa ngokuba yi-glucometer. Uvavanyo lwenziwa ngokuhlaba incam yomnwe ngenaliti encinci uze uthathe ithontsi legazi. Ekuqaleni, oku kunokubonakala kunzima kumntwana nakuwe, kodwa emva kwexesha elithile, kuya kuba yinxalenye eqhelekileyo yobomi bakho.
2. Ukunika i-insulin
Ekubeni umzimba ungavelisi i-insulin, kufuneka inikwe ngaphandle. I-insulin ayinakuthathwa njengepilisi, kuba yaphukile esiswini. Ke ngoko, kufuneka inikwe njengenaliti . Le naliti kufuneka inikwe amaxesha amaninzi ngemini, ngesiqhelo ngaphambi kokutya. Ugqirha kunye nabasebenzi bomongikazi baya kukuxelela ngqo indlela yokwenza oku. Ngoku kukho ubuchwepheshe banamhlanje obufana neepompo ze-insulin.
3. Ukutya kunye nokuzilolonga
Ukutya kunye nokuzilolonga zizinto ezimbini ezibalulekileyo ekulawuleni isifo seswekile. Ungenza isicwangciso esilungileyo ngokuthetha nogqirha wakho okanye ingcali yesondlo malunga nokutya okulungileyo kuwe, ukuba kufuneka utye kangakanani, kunye noko kufuneka ukuqaphele xa uzilolonga.
Ufanele ufune nini ingcebiso yezonyango ezingxamisekileyo?
Xa unesifo seswekile, kubalulekile ukuba uqaphele iimeko ezingxamisekileyo.
- Iswekile ephantsi egazini (iHypoglycemia): Ngamanye amaxesha amanqanaba eswekile egazini anokuba phantsi ngendlela eyingozi. Ukuba umntwana wakho uneempawu ezifana nokubila kakhulu, ukungcangcazela, ukudideka, kunye nokuba mnyama, mnike into eneswekile (iipilisi zeswekile, icephe leswekile, okanye isiselo esimnandi) ngoko nangoko. Ugqirha wakho uza kukuchazela ngokweenkcukacha oku.
- I-Hyperglycemia/DKA: Ukuba amanqanaba eswekile egazini aphezulu kakhulu , imeko eyingozi ebizwa ngokuba yiDiabetic Ketoacidosis (DKA) ingavela. Ukuba kuvela iimpawu ezifana nentlungu yesisu, ukuhlanza, ukuphefumla ngokukhawuleza, ukozela kakhulu, kunye nevumba elimnandi lomphefumlo , mse umntwana kwiSebe lezeMpilo eziNgxamisekileyo (ETU) lesibhedlele esikufutshane ngaphandle kokulibazisa.
Umyalezo Wokuya Ekhaya
- Nangona isifo seswekile sohlobo loku-1 singumceli mngeni, ngolawulo olufanelekileyo, umntwana wakho unokuphila ubomi obonwabisayo, obusempilweni, nobuqhelekileyo. Awuwedwa.
- Oku akulotyala lamntu, ngoko ke kuphephe ukuzibeka ityala.
- Landela imiyalelo enikiweyo ngugqirha wakho kunye neqela lezonyango ngokuchanekileyo. Musa ukoyika ukubuza nayiphi na imibuzo onayo, nokuba mincinci kangakanani na.
- Kubalulekile ukujonga rhoqo amanqanaba eswekile egazini lomntwana, ukunika umntwana i-insulin ngexesha elifanelekileyo, kunye nokubonelela ngokutya okunesondlo.
- Chaza le meko kumntwana wakho ngendlela anokuyiqonda. Ukuba umntwana wakho mdala kancinci, mbandakanye kulawulo. Oku kuya kunceda nokuzithemba komntwana.
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