Uma unesifo sikashukela, cishe uyazi ukuthi kunzima kangakanani ukuthatha i-insulin nsuku zonke nokuhlola amazinga kashukela egazini lakho ngezikhathi ezahlukene zosuku. Ngezinye izikhathi, konke lokhu kungakhathaza. Kodwa ungakhathazeki, ngoba insimu yokwelashwa kwesifo sikashukela ithuthuka ngokushesha kunalokho esikucabangayo. Ososayensi manje basebenza ukudala i-pancreas yokwenziwa engakwazi ukuzwa amazinga kashukela emizimbeni yethu futhi ikhiphe i-insulin ngokuzenzakalelayo ngokufanele. Okwamanje, imithi emisha namadivayisi e-insulin asevele esisize. Lokhu kwenze ukuphila nesifo sikashukela kwaba lula futhi kuphephe kakhulu.
Into ebalulekile ukuthi akubona bonke abanesifo sikashukela abafanayo. Okusebenza komunye umuntu kungase kungasebenzi komunye. Yingakho kuhle ukuba nezinhlobo ezahlukene zokwelapha. Udokotela wakho angakhetha ukwelashwa okungcono kakhulu kuwe.
Intuthuko yakamuva ekwelashweni kwesifo sikashukela
Ake sibheke ezinye zezindlela zokwelapha zakamuva kanye namadivayisi asetshenziswa emhlabeni wonke awusizo kakhulu ekuphatheni isifo sikashukela. Ezinye zalezi zingase zingatholakali kabanzi eSri Lanka okwamanje, kodwa kuzobaluleka kakhulu ukuthi uqaphele lezi zinguquko.
| Indlela/idivayisi yokwelapha | Kalula nje, kwenzekani ngalokhu? | Izinto ezikhethekile okufanele uzazi |
|---|---|---|
| I-Afrezza (i-insulin inhaler) | Lokhu kufana ne-inhaler esetshenziswa abantu abane-asthma. Esikhundleni sokujova i-insulin, iyithuluzi elikuvumela ukuthi uphefumule umthamo we-insulin. Isetshenziswa kakhulu ukunikeza umzimba umthamo we-insulin osebenza ngokushesha ekuqaleni kokudla . | Lena idivayisi encane kakhulu, ephathekayo. Kodwa-ke, ayifanele abantu ababhemayo noma labo abanezifo zamaphaphu ezifana ne-asthma noma i-emphysema . |
| I-Medtronic MiniMed 640G (Iphampu ye-Insulin ehlakaniphile) | Leli yithuluzi 'elihlakaniphile' elixhumanisa iphampu ye-insulin kanye ne-continuous glucose monitor. Liyeka ngokuzenzakalelayo ukunikeza i-insulin lapho ushukela wakho wegazi uqala ukwehla. Liqala ukunikeza i-insulin lapho izinga lakho likashukela libuyela esimweni esijwayelekile. | Lesi isinyathelo esibalulekile ohambweni lokudala i-pancreas yokwenziwa. Ushukela ophansi egazini, noma i-hypoglycemia , kuyinkinga enkulu, ikakhulukazi kubantu abanesifo sikashukela sohlobo 1. Le divayisi ingaba ukusindisa impilo kulabo abanoshukela ophansi egazini futhi abangaqapheli. |
| I-Lucentis (umuthi wamehlo) | Lona umuthi okhethekile ovunyelwe ukwelapha isimo esibi esibizwa ngokuthi i-diabetic retinopathy, okuwumonakalo emehlweni obangelwa isifo sikashukela. Lesi sifo singagcina siholele ekubeni ubumpumputhe. | Ngaphambilini, lo muthi wawusetshenziselwa esinye isifo samehlo (i-macular edema) kubantu abangenaso isifo sikashukela. Manje ususetshenziswa futhi ukuvikela amehlo abantu abanesifo sikashukela. Lokhu kukhombisa ukuthi kuvela izindlela ezintsha zokuvimbela izinkinga zesifo sikashukela. |
Iyini i-pancreas yokwenziwa?
Umuntu onenkinga yokuphuza i-insulin nokuhlola amazinga kashukela egazini izikhathi eziningana ngosuku angacabanga ukuthi bekuyoba kuhle kangakanani ukube bekukhona ithuluzi elingamenzela konke lokhu. Lelo phupho selizogcwaliseka nge -Artificial Pancreas .
Kalula nje, lena ithuluzi elincane elisebenza njenge-pancreas yangempela emzimbeni wethu.
- Ihlala ikala izinga likashukela egazini lakho (i-glucose).
- Ngokusekelwe kulelo zinga, kunquma ukuthi umzimba udinga i-insulin engakanani.
- Ngemuva kwalokho, inani elidingekayo le-insulin lifakwa emzimbeni ngesikhathi esifanele.
Lokhu kusho ukuthi umuntu onesifo sikashukela akudingeki ahlale ekhathazekile ngamazinga kashukela egazini lakhe. Amanye ama-pancreas okwenziwa athuthukile nawo anephampu yesibili ekhipha i-hormone ebizwa ngokuthi i-glucagon, esetshenziselwa ukuphakamisa amazinga kashukela egazini uma eba phansi kakhulu (i-hypoglycemia enzima).
Kodwa kunenselele enkulu ngalokhu. Okusho ukuthi, empilweni yangempela, okungukuthi, ukuphendula ngokunembile ekushintsheni kwamazinga kashukela lapho sidla, sivivinya umzimba, noma sigula, nokulawula amazinga kashukela ngaphandle kokuthi ehle ngendlela eyingozi.
Cabanga ngakho njengokushayela imoto yomjaho esheshayo, hhayi imoto evamile. Ngisho nephutha elincane lingaholela enkingeni enkulu. Yingakho ososayensi benaka kakhulu ukuvimbela ukwehla okukhulu koshukela egazini lapho bethuthukisa la madivayisi.
Intuthuko eyengeziwe kulindeleke esikhathini esizayo
Ucwaningo alugcini lapho. Ososayensi baphenya ngezinye izinto eziningi.
I-insulin engcono, esebenza isikhathi eside
Kwenziwa ucwaningo olukhulu ukuthuthukisa ama-insulin asebenza ngokuqhubekayo nangokubikezelayo kune-insulin esebenza isikhathi eside yamanje.
Bazama futhi ukwenza i-insulin egxile kakhulu . Okusho ukuthi, inani elincane loketshezi liqukethe i-insulin eningi. Iyini inzuzo yalokhu? Cabanga ngakho, abanye abantu, ikakhulukazi labo abanesifo sikashukela sohlobo lwesibili, badinga amayunithi angaphezu kwe-100 e-insulin ngosuku. Isirinji evamile iphatha amayunithi ayi-100. Bese kufanele bazijove kabili. Uma lokhu kungancishiswa kube umjovo owodwa, kungaba lula kangakanani lokho?
Ucwaningo Lwamaseli Esiqu
Mhlawumbe leli yithemba elikhulu kakhulu lesifo sikashukela. Ososayensi bazama ukusebenzisa amaseli okuqala , uhlobo olukhethekile lweseli olungaba yinoma yiluphi uhlobo lweseli emzimbeni wethu, ukudala amaseli e-pancreatic akhiqiza i-insulin (amaseli e-beta).
Uma lokhu kuphumelela ngempela, okusho ukuthi amangqamuzana akwenza lokhu angakwazi ukuzwa amazinga kashukela emzimbeni futhi akhiqize i-insulin ngendlela efanele wona, bekungeke nje kube ukwelashwa kwesifo sikashukela, kodwa futhi kube yisisombululo esingaletha ikhambi eliphelele . Nakuba lokhu kusesesigabeni socwaningo, ososayensi babona lokhu njengokungelona nje iphupho, kodwa njengento engagcwaliseka.
Umlayezo Wokuya Nawe Ekhaya
- Isayensi yokwelapha isifo sikashukela iyathuthuka usuku nosuku, ngakho-ke ungalokothi ulahle ithemba.
- Ukuphila nesifo sikashukela manje sekuba lula kakhulu ngenxa yemikhiqizo emisha efana ne-insulin inhalers kanye nama-smart pump.
- Wonke umuntu onesifo sikashukela uhlukile. Udokotela wakho kuphela onganquma ukuthi yikuphi ukwelashwa okukulungele. Ngakho-ke khuluma nodokotela wakho mayelana nokwelashwa okusha.
- Izinto ezifana nama-pancreas okwenziwa kanye nocwaningo lwamaseli e-stem zingase zelaphe ngisho nesifo sikashukela esikhathini esizayo. Ngakho-ke yiba nethemba ngekusasa.
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