Ngaba intombi okanye unyana wakho onesifo seswekile sohlobo loku-1 ulahlekelwe bubunzima ngequbuliso? Ngaba ucinga kakhulu ngokutya, imo yomzimba, kunye nobunzima? Ngamanye amaxesha ungamangaliswa kukufumanisa ukuba akayithathi inaliti yakhe ye-insulin. Oku akusiyonto ihlekisayo, yimeko eyingozi kakhulu enokuchaphazela ubomi bakho. Ngokwezonyango, sibiza oku ngokuba yiDiabulimia . Nangona igama lisenokuvakala lingaqhelekanga, kufuneka siqonde ubunzulu bale nto. Ngoko ke, masithethe ngayo ngokweenkcukacha.
Yintoni iDiabulimia ngokulula?
Igama elithi 'diabulimia' lenziwa ngokudibanisa amagama amabini: isifo seswekile , esithetha isifo seswekile , kunye ne -bulimia .
- Njengoko usazi , isifo seswekile sisifo esichaphazela indlela umzimba wethu olawula ngayo iswekile. Ingakumbi kwisifo seswekile sohlobo loku-1, umzimba awukwazi ukuvelisa i-hormone ye-insulin.
- I-Bulimia sisifo sokutya apho umntu etya ukutya okuninzi ngaxeshanye aze ahlanze ukutya ngokuhlanza okanye ngenye indlela, esoyika ukutyeba.
Ngaba uyayiqonda indlela edibene ngayo ngoku? Ngamafutshane, i-diabulimia ibangelwa kukuba umntu onesifo seswekile sohlobo loku-1 uphepha ngabom ukuthatha inaliti ye-insulin ukuze anciphise umzimba.
Nangona oku kungekachazwa ngokusemthethweni njengesifo sengqondo, umonakalo okunokuwubangela mkhulu kakhulu.
Ngubani osengozini enkulu kule meko iyingozi?
Le meko ixhaphake kakhulu kubasetyhini nakumantombazana amancinci. Enyanisweni, abafazi abanesifo seswekile sohlobo loku-1 banamathuba aphindwe kabini okuba nesifo sokutya. Izifundo zibonisa ukuba malunga nama-30% abantu abaselula abanesifo seswekile banciphisa okanye bayeke ukuthatha i-insulin bezama ukunciphisa umzimba .
Kunzima ukuchonga unobangela omnye wezi ntlobo zezi meko zengqondo. Isenokuchatshazelwa yimbali yosapho enazo ezi meko. Kwakhona, izinto ezinje ngoxinzelelo losapho kunye nokwenzakala kakhulu nazo zinokuba negalelo koku.
Ingakumbi xa besebancinci, abantu baba nomdla kakhulu kwimilo yomzimba wabo kunye noko abahlobo babo bakucingayo. Ukusoloko ucinga ngokutya kunye nobunzima ngenxa yesifo seswekile nako kunokubangela esi sifo.
Kwenzeka ntoni emzimbeni xa i-insulin iyekwa? Ingakanani ingxaki le nto?
Khawucinge nje, umntu onesifo seswekile sohlobo loku-1 akayivelisi i-insulin emzimbeni wakhe konke konke. Ngoko ke kubalulekile ukuthatha i-insulin ngaphandle. I-insulin ifana nesitshixo esivula ucango oluya kwiiseli emzimbeni wethu. Kuphela xa esi sitshixo sikhona apho iswekile (i-glucose) egazini ingangena kwiiseli ize iguqulwe ibe ngamandla.
Ukuba umntu akasebenzisi i-insulin ngabom,
1. Amanqanaba eswekile egazini anyuka ngendlela engalawulekiyo.
2. Ekubeni iiseli zingenakukwazi ukuthwala iswekile, le swekile igqithisileyo iqala ukukhutshwa kumchamo. Ekubeni amanzi ekhutshwa kunye neswekile, ubunzima bomzimba buyehla ngokukhawuleza.
3. Yile nto aba bantu banethemba layo, ukwehlisa umzimba. Kodwa abawuboni umonakalo oza nayo. Xa iswekile ingasafumaneki ukuze inike amandla, umzimba uqala ukutshisa amafutha awo. Kule nkqubo, iikhemikhali ezinobuthi ezibizwa ngokuba yi - 'ketones ' ziyaveliswa emzimbeni.
4. Xa ezi ketones ziqokelelana, igazi liba ne-asidi eninzi, nto leyo ekhokelela kwimeko enokuba yingozi ebizwa ngokuba yiDiabetic Ketoacidosis (DKA) . Le yingxamiseko yezonyango. Ingakhokelela ekubeni umntu awele kwi-coma okanye afe.
Iingozi zexesha elifutshane nezexesha elide zale meko ziyingozi kakhulu.
| Iingxaki ezinzulu ezinokwenzeka ngenxa ye-diabulimia | |
|---|---|
| Iswekile ephezulu egazini | Iswekile kumchamo |
| I-Diabetic Ketoacidosis (DKA) | Ukuphelelwa ngamanzi emzimbeni |
| Ukulahlekelwa yimisipha | I-cholesterol ephezulu |
| Usulelo oluqhelekileyo lweebhaktheriya kunye negwele | Umjikelo wokuya esikhathini ongaqhelekanga okanye oyekileyo |
| Ukonakala kwemithambo yegazi emehlweni (i-Retinopathy) - kunokukhokelela ekubeni ube yimfama. | Ukonakala kwemithambo-luvo - ukungakhululeki kwamalungu |
| Ukuqina kweendonga zemithambo yegazi (i-atherosclerosis) | Isifo sesibindi |
| Istroke | I-Coma kunye nokufa |
Khumbula, iingxaki zokutya ziphezulu kakhulu kunezinye izifo zengqondo. Izifundo zifumanise ukuba abafazi abangayithathiyo i-insulin ukuze banciphise umzimba bafa kwiminyaka eli-10 ngaphambi kwabasetyhini abanesifo seswekile.
Ziziphi iimpawu ezinokubona le meko?
Ukuba ukrokrela ukuba kukho umntu obandakanyeka kule ndlela iyingozi yokuziphatha, lumka ezi mpawu. Uphawu oluphambili kukunciphisa umzimba ngendlela engachazekiyo. Ukongeza, ungazibona ezi zinto:
| Iimpawu ezilumkiso zeDiabulimia | |
|---|---|
| Ndiziva ndidiniwe ngalo lonke ixesha | Ndihlala ndiziva ndinxaniwe kakhulu |
| Ukuthetha okanye ukucinga kakhulu ngobunzima bomzimba okanye ukuma kwawo | Ukutya kakhulu (ingakumbi izinto ezimnandi) |
| Ingxelo yovavanyo lwe-HbA1c, ayihambelani namanqanaba eswekile egazini lasekhaya | Ukutsiba amadinga kagqirha |
| Ukusebenza ngasese malunga namanqanaba eswekile, ukutya i-insulin, kunye nokutya | Ukungazinzi, ukudakumba, okanye umsindo oqhelekileyo |
| Ukuzilolonga kakhulu | Ukuphefumla okuneziqhamo (uphawu lokwanda kwee-ketones) |
| Ukulahleka kweenwele kunye nolusu olomileyo | Ukufikisa okulibazisekileyo kubantu abancinci |
Ndingenza ntoni ukuba mna okanye umntu endimaziyo unengxaki yesi sifo?
Le yeyona nto ibalulekileyo. I-Diabulimia sisifo sengqondo. Ngoko ke, uncedo lobuchwephesha luyafuneka ngokuqinisekileyo ukuze woyise esi sifo. Ukuba ubona ezi mpawu kuwe okanye kumntu omaziyo, nceda ungaze uzityeshele. Funa ingcebiso kagqirha ngoko nangoko.
Into yokuqala omawuyenze kukuthetha nogqirha wakho weswekile (i-Endocrinologist). Unolwazi ngale meko kwaye angakuthumela kwezinye iingcali ukuba kuyimfuneko. Oku kudla ngokwenziwa liqela. Eli qela lingabandakanya:
- Ingcali ye-Endocrinologist
- Umcebisi wesifo seswekile
- Ingcali yesondlo
- Umcebisi wezempilo yengqondo okanye ingcali yezengqondo
Unyango aluzisi ziphumo ngobusuku obunye. Luthatha ixesha. Kodwa ngenkxaso efanelekileyo, ukuchacha ngokuqinisekileyo kunokwenzeka. Ezinye zeendlela zonyango eziphambili zezi:
Unyango lokuziphatha ngokwengqondo (i-CBT)
Ngamafutshane, oku kuquka ukuchonga iingcinga zethu ezingalunganga nezigqwethekileyo (umz., "Ndityebile," "Kulungile ukungayisebenzisi i-insulin ukuze wehlise umzimba"), sizitshintshe, size ngaloo ndlela sitshintshe iindlela zethu zokuziphatha eziyingozi.
Unyango lweQela
Xa uthetha nabanye abantu abajongene neengxaki ezifanayo, uziva ngathi awuwedwa. Oku kunceda kakhulu ukufunda kumava abanye nokuxhasana.
Unyango Olusekelwe Kusapho (FBT)
Le yindlela esebenzayo kakhulu, ingakumbi ukuba umntwana omncinci unengxaki yesi sifo. Apha, lonke usapho lubandakanyeka kwinkqubo yonyango. Oku kunceda abazali ukuba bamqonde umntwana kwaye kunike umntwana inkxaso efanelekileyo.
Umyalezo Wokuya Ekhaya
- I-Diabulimia yimeko eyingozi kakhulu apho umntu onesifo seswekile sohlobo loku-1 engayithathi ngabom i-insulin ukuze anciphise umzimba.
- Ukutsiba i-insulin kunokukhokelela kwiingxaki ezibulalayo ezifana ne-diabetesic ketoacidosis (DKA), ubumfama, umonakalo wemithambo-luvo, isifo sohlangothi, kunye nokufa.
- Ukuba ubona iimpawu ezifana nokwehla kobunzima ngendlela engachazekiyo, iingcinga ezigqithisileyo malunga nokutya kunye nobunzima, okanye ukuziphatha okufihlakeleyo, musa ukuzityeshela. Kusenokuba kukukhalela uncedo.
- Oku akuyonto inokulawulwa ngamandla engqondo, kodwa sisifo sengqondo esifuna uncedo lwezonyango oluyingcali.
- Ukuba wena okanye umntu omaziyo unengxaki yesi sifo, thetha nogqirha wakho ngoko nangoko uze ufumane unyango oluyimfuneko. Akunyanzelekanga ukuba ulwe lo mlo wedwa.
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