Xa ugqirha wakho ekuxelela ukuba unesifo seswekile sohlobo loku-1, usenokuziva usoyika kwaye uxhalabile. Yinto eqhelekileyo leyo. Kodwa ubusazi na ukuba emva kokuba ufunyaniswe ukuba unesi sifo, abanye abantu bafumana ixesha elimnandi xa iimpawu zabo ziphela kwaye amanqanaba eswekile egazini labo eba lula kakhulu ukuwalawula. Kufana nesigaba se-honeymoon kwisibini esisandula ukutshata. Oogqirha bethu basibiza ngokuba 'yiSigaba se-Honeymoon'. Kodwa njenge-honeymoon yokwenyani, esi 'Sigaba se-Honeymoon' sesifo seswekile asihlali sihlala ixesha elide. Kodwa ngeli xesha, uya kuziva ukhululekile kakhulu. Makhe sithethe ngale nto ngokweenkcukacha.
Iqala njani 'ixesha lokuncitshiswa'?
Ngamafutshane, uhlobo loku-1 lwesifo seswekile yimeko apho inkqubo yokuzikhusela yomzimba wethu, inkqubo yokuzikhusela, ihlasela ngempazamo imizimba yethu. Kwimeko enjalo, loo nkqubo ihlasela 'iiseli ze-beta' kwi-pancreas yethu. Ezi seli ze-beta zezona zenza i-hormone insulin, ebaluleke kakhulu emzimbeni wethu. I-insulin inceda umzimba usebenzise iswekile ekutyeni esikutyayo njengamandla.
Ngoko ke, xa inkqubo yomzimba yokuzikhusela itshabalalisa ezi seli ze-beta, ubungakanani be-insulin eveliswa emzimbeni buyancipha. Emva koko amanqanaba eswekile egazini ayaphakama. Kulapho ke kufuneka uthathe i-insulin ngaphandle, nokuba ngenaliti okanye ngepompo, ukuze ulawule iswekile yakho egazini.
Nangona kunjalo, kubantu abaninzi abanesifo seswekile sohlobo loku-1, emva kokuba isifo sifunyenwe kwaye unyango luqalile, ezinye zeeseli ze-beta eziseleyo kwi-pancreas ziyaphila kwakhona. Ezo seli ziqala ukuvelisa i-insulin ngoko nangoko. Ubungakanani be-insulin evelisiweyo banele ukulawula iswekile yegazi okwethutyana. Yiloo nto siyibiza ngokuba yi-'Honeymoon Phase' . Ngeli xesha, unganciphisa nobungakanani be-insulin ekufuneka uyithathe.
Yintoni isizathu sokwenene soku?
Cinga ngee-beta cells kwi-pancreas yakho njengomzi-mveliso omncinci. Inkqubo yomzimba yokuzikhusela iyawahlasela, ishiya uninzi lwawo lungakwazi ukusebenza. Ngokwesiqhelo, iimpawu ziqala ukubonakala xa kushiyeke ama-30% kuphela aba basebenzi.
Xa ufunyaniswa ukuba unesifo seswekile kwaye uqala ukuthatha i-insulin evela kwimithombo yangaphandle, i-pancreas ifumana "ukuphumla" okuncinci. Oku kuthetha ukuba uxinzelelo kwiiseli ze-beta ezisele luyancitshiswa. Ngenxa yoku kuphumla, ezo seli ze-beta ezisele ziyaphila kwaye zonyusa okwethutyana amandla azo okuvelisa i-insulin. Malunga nama-60% abantu abanesifo seswekile sohlobo loku-1 bafumana eli "xesha lokuphumla."
Kwenzeka ntoni ngexesha 'lokuphumla'?
Ngeli xesha, amanqanaba eswekile egazini lakho aya kuzinza ngakumbi. Uza kuba nokuhla okuncinci rhoqo kweswekile egazini. Oku kunokwenzeka ngeendlela ezimbini eziphambili.
| Imeko | Intsingiselo Elula |
|---|---|
| Uxolelo oluyinxenye | Le yimeko abantu abaninzi abahlangabezana nayo. Basadinga i-insulin ukulawula iswekile egazini labo, kodwa incinci kakhulu kunedosi eqhelekileyo. |
| Uxolelo olupheleleyo | Le yimeko engaqhelekanga kakhulu. Ekubeni ipancreas ivelisa i-insulin eyaneleyo emzimbeni, kunokwenzeka ukuba uyeke okwethutyana ukuthatha i-insulin. |
Lihlala ixesha elingakanani eli xesha?
Ixesha 'lokuxolelwa' lidla ngokuqala malunga neenyanga ezi-3 emva kokuba uqalile unyango lwesifo seswekile. Ixesha elithathayo liyahluka kumntu nomntu. Kwabanye, linokuba yinyanga nje , kwabanye unyaka okanye emibini , kwaye kunqabile kakhulu ukuba libe lide njengeminyaka eli-10-13 .
Njengoko inkqubo yomzimba yokuzikhusela iqhubeka nokuhlasela, ii-beta cells eziseleyo ziyatshatyalaliswa kancinci kancinci. Emva koko ubungakanani be-insulin eveliswa yi-pancreas buyancipha kwakhona. Xa kuba nzima ukulawula iswekile egazini lakho, ugqirha wakho uya kukucebisa ukuba wonyuse idosi ye-insulin kwakhona.
Yintoni omele uyenze ngexesha 'lokuvalwa'?
Le yeyona nto ibalulekileyo.
Eli 'xesha lokuxolelwa' alithethi ukuba isifo sakho seswekile siphelile ngokupheleleyo, kwaye alithethi nokuba awuzange ube naso isifo seswekile.
Nokuba amanqanaba eswekile egazini lakho aqhelekile, umzimba wakho uyayidinga i-insulin. Kwaye i-pancreas yakho isenokungakwazi ukuyifikelela ngokupheleleyo loo mfuno. Ngenxa yokuba kunzima ukuqikelela ukuba ingakanani i-insulin eya kuveliswa yi-pancreas yakho ngeli xesha, amanqanaba eswekile egazini lakho anokutshintshatshintsha ngendlela engalindelekanga.
Ngoko ke, kubalulekile ukuba ujonge amanqanaba eswekile egazini lakho izihlandlo ezininzi ngemini.Ugqirha wakho uza kukuxelela ukuba kufuneka uvavanye kangaphi. Uza kukuxelela nendlela yokulungisa umthamo wakho we-insulin ngokusekelwe kumanqanaba eswekile egazini lakho, ukutya kwakho, kunye nokuzilolonga kwakho. Ungaze uyeke ukuthatha i-insulin ngaphandle kokubuza ugqirha wakho.
Ngaba eli xesha liza kuyichaphazela impilo yexesha elizayo?
Ewe, ngokuqinisekileyo. Ixesha 'lokuzila ukutya okukhawulezileyo' yindlela entle yokulawula amanqanaba eswekile egazini kwixesha elifutshane. Linokunciphisa nomngcipheko weengxaki zeswekile kwixesha elizayo. Iingxaki eziphambili ziquka:
- I-Diabetic retinopathy - umonakalo kwimithambo yegazi esweni.
- I-Diabetic nephropathy - umonakalo kwizintso.
- I-neuropathy yesifo seswekile - umonakalo kwimithambo-luvo.
Ngaba 'ixesha lokuncitshiswa' lingolulwa?
Kukho uphando ngezinto ezininzi ezinokunceda ukwandisa eli xesha kancinci.
Ukuzilolonga rhoqo kunokunceda. Olunye uphando lufumanise ukuba abantu abenza umthambo emva kokuba befunyaniswe benale sifo babenexesha 'lokusinda' elide ngokuphindwe kahlanu kunabo bangazange benze njalo.
Kwakhona, nangona kukho ingcamango yokuba ivithamin D inokunciphisa umonakalo kwi-pancreas, oku akukaqinisekiswa ngokupheleleyo.
Ithemba elikhulu koogqirha noososayensi kukuba ngenye imini bafumane unyango olunokuthintela inkqubo yomzimba yokuzikhusela ekuhlaseleni ipancreas. Uvavanyo lwezonyango sele luqalile.
Umyalezo Wokuya Ekhaya
- 'Isigaba seHoneymoon' lixesha lexeshana emva kokufunyaniswa kwesifo seswekile sohlobo loku-1, apho ukulawula iswekile egazini kulula khona. Oku akuyondlela yokuphelisa esi sifo.
- Ngeli xesha, iimfuno zakho ze-insulin zinokuncipha, kodwa kubalulekile ukujonga amanqanaba eswekile egazini lakho rhoqo .
- Landela imiyalelo kagqirha wakho rhoqo malunga nomthamo wakho we-insulin, ukutya, kunye nokuzilolonga.
- Eli 'xesha lokuthintela' linokunciphisa umngcipheko weengxaki zesifo seswekile kwixesha elizayo, nto leyo eluncedo kwimpilo yakho yexesha elide.
- Eli 'xesha lokuxolelwa' ekugqibeleni liza kuphela. Liyinxalenye yendalo yesi sifo. Ngoko ke musa ukudimazeka, kwaye usebenzisane nogqirha wakho ukuze niphinde nihlole isicwangciso sakho sonyango.
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