Ingabe ungumuntu olashelwa isifo sikashukela? Ngakho-ke, ingabe ngezinye izikhathi uzizwa sengathi izinga likashukela egazini lakho lehla ngokuzumayo kangangokuthi uzizwe sengathi uzoquleka? Noma wake wazizwa sengathi liyaphakama kakhulu? Odokotela babiza lolu hlobo lwesifo sikashukela, okunzima kakhulu ukululawula futhi olungazinzile, ngokuthi “i-Brittle Diabetes.” Lubizwa nangokuthi “i-Labile Diabetes.” Igama elithi “Brittle” noma “Labile” zombili zisho “ukushintsha kalula” noma “ukungazinzi.”
Kalula nje, kuyini 'isifo sikashukela esibuhlungu'?
Kalula nje, 'i-Brittle Diabetes' yilapho amazinga kashukela egazini lakho evame ukushintsha ngokushesha kusuka emazingeni aphansi kakhulu (esiwabiza ngokuthi `(Hypoglycemia)') kuya emazingeni aphezulu kakhulu (esiwabiza ngokuthi `(Hyperglycemia)').
Into ebalulekile ukuthi lolu akulona uhlobo olusha lwesifo sikashukela. Silubheka njengenkinga noma isimo esingaphansi kwesifo sikashukela, esivame ukuhlotshaniswa nesifo sikashukela sohlobo 1.
Kungani lokhu kwenzeka? Yiziphi izizathu zalokhu?
Eqinisweni, noma yisiphi isimo sesifo sikashukela singaba sibi uma singaphathwa kahle. Ngakho-ke, kunzima kancane ukuxilonga ngokunembile 'i-Brittle Diabetes'. Kungaba nezizathu eziningana zokuthi amazinga kashukela wakho angashintshashintsha kangaka.
Cabanga ngokuthi lezi zinto ziyakuthinta yini nawe:
- Ukweqa imithi nokuhlolwa: Ingabe imithi yakho uyayiphuza njengoba udokotela wakho ekuyalele? Ingabe uhlola amazinga akho kashukela izikhathi eziningana ngosuku? Uma weqa lokhu, kungaba imbangela enkulu.
- Ukucindezeleka okukhulu: Izinto ezifana nokucindezeleka okukhulu, intukuthelo nokudabuka zithinta ngqo ama-hormone emizimba yethu futhi ziphazamise amazinga kashukela.
- Ukuphazamiseka Kokudla: Izimo ezifana nokudla ngokweqile, ukungadli kahle, noma ukudla kakhulu ngesikhathi esisodwa.
- Izinkinga zokudla okunempilo: Amathumbu awamunci kahle izakhamzimba ekudleni okudlayo. Izibonelo zalokhu zifaka phakathi izimo ezifana neSifo se-Celiac.
- Izinkinga zesisu: I-Gastroparesis yisimo lapho ukunyakaza kokudla kusuka esiswini kuya emathunjini kuhamba kancane kakhulu, noma ngezinye izikhathi kuyeka. Lokhu kungaba nomthelela omkhulu ekusebenzeni kwe-insulin.
- Ukuzwela kwe-insulin: Abanye abantu bazwela kakhulu kwi-insulin, futhi ngisho nenani elincane lingabangela ukwehla okungazelelwe koshukela egazini.
Ngokuvamile, eyodwa noma ngaphezulu yalezi zici ingabangela lokhu. Kwezinye izimo, ngisho nodokotela abakwazi ukuthola imbangela ethile.
Sitholakala kanjani lesi simo? Ziyini izimpawu?
Izimpawu ziyahlukahluka kuye ngokuthi amazinga kashukela egazini lakho aphezulu noma aphansi. Ake sibheke lezi zimpawu ngokwehlukana.
| Uma amazinga kashukela egazini ehla ngokuzumayo (i-Hypoglycemia - ngaphansi kuka-70 mg/dl) | |
|---|---|
| Ukuzizwa sengathi umzimba wakho uyathuthumela | Ukuzizwa ungahlaliseki, ukhathazekile |
| Ukujuluka ngokweqile, ukuzizwa ubanda | Intukuthelo, ukucasuka |
| Ukuphazamiseka kwenkumbulo kanye nokuqonda, ukudideka | Ukushaya kwenhliziyo |
| Isiyezi , i-vertigo | Isicanucanu, ukuhlanza |
| Umbono ofiphele | Ubuthakathaka, ubuthakathaka |
| Ikhanda elibuhlungu kakhulu | Ukuquleka nokungazi lutho |
| Uma amazinga kashukela egazini enyuka ngokuzumayo (i-Hyperglycemia - ngaphezu kuka-200 mg/dl) | |
|---|---|
| Isidingo sokuphuza njalo | Ukoma okungenakubekezeleleka |
| Umbono ofiphele | Ukukhathala okukhulu, ukukhathala |
| Ikhanda elibuhlungu | |
Qaphela! Ushukela ophezulu egazini ungaba yingozi (i-Ketoacidosis)
Uma ungelaphi ushukela ophezulu egazini (i-hyperglycemia) ngokushesha, kungaba yisimo esiyingozi kakhulu esibizwa ngokuthi i-ketoacidosis . Lokhu kwenzeka lapho umzimba ungakwazi ukusebenzisa ushukela ukuze uthole amandla, bese uqala ukushisa amafutha esikhundleni salokho. Ngenxa yalokho, amakhemikhali anobuthi abizwa ngokuthi ama-ketone aqoqana egazini nasemchameni. Lesi yisimo esiphuthumayo sezokwelapha.
Izimpawu ze-Ketoacidosis:
- Iphunga elinjengezithelo emoyeni
- Isicanucanu nokuhlanza
- Ubunzima bokuphefumula
- Ubuthakathaka obukhulu
- Ukulahlekelwa ingqondo
- Isisu esibuhlungu
- Ukuwela e-coma
Uma unezinye zalezi zimpawu, hamba uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela ngokushesha, ngaphandle kokulibala. Lesi yisimo esibucayi esingaba yingozi ngisho nokuphila.
Ubani onamathuba amaningi okuthola lesi simo?
Isifo sikashukela esibizwa ngokuthi yi-brittle diabetes asivamile kakhulu. Sithinta abantu abangaba ngu-3 kwabayi-1,000 abanesifo sikashukela abasebenzisa i-insulin. Nakuba singathinta abantu banoma yibuphi ubudala, sivame kakhulu kwabesifazane kunabesilisa.
Enye into ebalulekile ukuthi uma uvame ukuba nezigameko ze-hypoglycemia, usengozini enkulu kancane. Ngoba uma ushukela wakho wegazi wehla kakhulu, ngokuhamba kwesikhathi ikhono lomzimba wakho lokuwubona liyancipha. Khona-ke isikhathi ngasinye lapho ushukela wakho wegazi wehla, ungaba mubi kakhulu, okuholela 'kusifo sikashukela esibi'.
Uphila kanjani nalokhu? Yiziphi izindlela zokwelapha?
Lesi simo singaphazamisa impilo yakho yansuku zonke. Ngoba awukwazi ukubikezela ukuthi ushukela wakho wegazi uzokwehla noma uzokhuphuka nini. Kungase kudingeke uye esibhedlela njalo, okungenza kube nzima ukusebenza noma ukwenza imisebenzi yasekhaya. Kungaba yingozi ngisho nokuphila.
Lapho ekwelapheni, udokotela wakho uzoqala ngokugxila ezidingweni zakho ezisheshayo zamazinga kashukela egazini lakho. Ngemuva kwalokho, bazokwakha uhlelo lokuphatha isifo sikashukela sakho eduze. Ngenhlanhla, ubuchwepheshe obusha banamuhla kanye nokwelashwa kungakusiza ukuphatha lesi simo.
Unganikezwa imithi yokwelapha efana nalokhu:
- I-Continuous Glucose Monitor (CGM): Lena idivayisi encane enenzwa efakwa ngaphansi noma phezu kwesikhumba. Ihlala ikala izinga likashukela egazini lakho futhi ikhala i-alamu uma liba phansi noma liphezulu ngendlela eyingozi.
- Iphampu ye-insulin: Lona futhi umshini omncane owugqoka usuku lonke. Ukhipha ngokuzenzakalelayo i-insulin emzimbeni ngesikhathi esifanele nangenani elifanele. Lokhu kusiza ukugcina amazinga kashukela egazini ezinzile.
- Ukuhlinzwa Kokufakelwa Kwe-Pancreatic: Lokhu kuyindlela eyinkimbinkimbi kakhulu yokuhlinzwa. Kulokhu, i-pancreas enempilo evela kumuntu oshonile ifakwa emzimbeni ukuze iphinde ivuselele ukukhiqizwa kwe-insulin.
Udokotela wakho uzonquma ukwelashwa okungcono kakhulu kuwe. Uzonquma imbangela yesimo sakho. Uma usunohlelo lokwelashwa, unomthwalo wemfanelo omkhulu wokulwenza luphumelele.
- Vivinya umzimba njalo.
- Landela iseluleko sokudla esinikezwe wena njengoba sinjalo.
- Ungalokothi uphuthelwe izikhathi noma imithamo yemithi.
- Ngaphezu kwakho konke, hlala uxhumane nodokotela wakho wesifo sikashukela kanye nethimba lezokwelapha. Thola ukwesekwa kwezokwelapha nokwemizwa okudingayo kubo.
Umlayezo Wokuya Nawe Ekhaya
- 'Isifo Sikashukela Esibuhlungu' akulona uhlobo olusha lwesifo sikashukela, kuyisimo esingazinzile esenza kube nzima ukulawula isifo sikashukela.
- Qaphela izimpawu zoshukela ophansi egazini (hypoglycemia) kanye noshukela ophezulu egazini (hyperglycemia).
- I-Ketoacidosis, isimo esibangelwa ushukela ophezulu egazini, iyingozi kakhulu. Uma ubona noma yiziphi izimpawu zayo, hamba uye e-Emergency Treatment Unit (ETU) esibhedlela ngokushesha.
- Namuhla, kunezindlela zobuchwepheshe zesimanje ezifana ne-'CGM' kanye ne-'Insulin Pump' zokuphatha lesi simo.
- Kubaluleke kakhulu ukuhlala uxhumana nodokotela wakho njalo futhi ulandele imiyalelo yakhe ngqo.
💬 Comments (0)
Awekho amazwana athunyelwe okwamanje. Faka amazwana akho lapha okokuqala ngqa.
Engeza amazwana akho