Uma udokotela wakho ekutshela ukuthi ingane yakho inesifo sikashukela sohlobo 1 (T1D), cishe unemibuzo eyinkulungwane egijima engqondweni yakho. Kuvamile ukucabanga izinto ezinjengokuthi, "Kungani lokhu kwenzeke enganeni yami?", "Ingabe lesi yisimo sokuphila konke?", "Ngingasisingatha kanjani lesi simo?" Ungakhathazeki. Awuwedwa. Ake sixoxe ngakho konke ngamazwi alula, ukuze ukhululeke.
Kalula nje, siyini isifo sikashukela sohlobo 1 (T1D)?
Esikhathini esidlule, lesi simo sasibizwa ngokuthi 'isifo sikashukela sentsha'. Kalula nje, i-T1D yisimo sokuphila konke okungekho ikhambi laso okwamanje. Uma ingane yakho ine-T1D, ama-pancreas ayo awakwazi ukukhiqiza i-insulin ye-hormone ebalulekile.
Cabanga nge-insulin njengesihluthulelo esivula iminyango yamangqamuzana emizimba yethu. Lesi sihluthulelo, esibizwa ngokuthi i-insulin, sibalulekile ukuze ushukela (i-glucose) esiwuthola ekudleni esikudlayo usuke egazini uye emangqamuzaneni futhi usetshenziswe njengamandla. Ngakho-ke, uma i-insulin ingekho, lo shukela awukwazi ukungena emangqamuzaneni futhi esikhundleni salokho uqongelela egazini. Lokhu kwanda okungalawuleki kwamazinga kashukela egazini kungabangela umonakalo omkhulu ezithweni zethu ezinkulu, njengenhliziyo yethu, izinso, namehlo, ngokuhamba kwesikhathi.
Lokhu kuhlukile kunesifo sikashukela sohlobo 2 (i-T2D). Umuntu one-T2D ukhiqiza i-insulin, kodwa umzimba awukwazi ukuyisebenzisa kahle. Ku-T1D, i-insulin cishe ayikho nhlobo.
Kungani lokhu kwenzeke enganeni yami?
Kungokwemvelo ukuthi lo mbuzo ufike engqondweni yakho. Ochwepheshe bakholelwa ukuthi i-T1D 'iyisifo sokuzivikela komzimba'. Lokhu kusho ukuthi isimiso somzimba sokuzivikela, esivikela imizimba yethu ezifweni, sihlasela futhi sibhubhise amaseli ethu akhiqiza i-insulin ngephutha. Le nqubo ingenzeka ngaphakathi emzimbeni isikhathi eside ngaphambi kokuba ingane ibonise noma yiziphi izimpawu.
Akukacaci kahle ukuthi yini ebangela ukuthi amasosha omzimba aziphathe kabi ngale ndlela.
- Ithonya lezakhi zofuzo: Izakhi zofuzo zingadlala indima. Isibonelo, uma umzali noma umfowabo ene-T1D, ingane inamathuba amancane okuyithola. Kodwa ngokumangazayo, ama-85% ezingane ezine-T1D azinawo umlando womndeni walesi sifo.
- Izici zemvelo: Lokhu kusenza sicabange ukuthi okuthile endaweni ezungezile, mhlawumbe into efana negciwane, kungaba imbangela yale nqubo yokuzivikela komzimba.
Into ebaluleke kakhulu ukukhumbula ukuthi lokhu akulona iphutha lomuntu. Akwenzekanga ngenxa yanoma yini oyenzile noma oyishilo. Futhi ayikho indlela yokuvimbela lokhu.Ngakho-ke, gwema ukuzisola ngokuphelele.
Ziyini izimpawu zesifo sikashukela sohlobo 1?
Izimpawu ze-T1D zingavela ngokuzumayo. Ngezinye izikhathi lezi zimpawu zikhula kancane kancane. Bona ukuthi ingane yakho ibonisa noma yiziphi zalezi zimpawu. Ake sibheke leli shadi ukuze sikusize ukhumbule lezi zimpawu.
| Isibonakaliso | Incazelo elula |
|---|---|
| Ukuzizwa womile ngendlela engavamile | Ushukela ophezulu egazini ubangela ukuthi umzimba ulahlekelwe amanzi amaningi, ngakho-ke uzizwa sengathi ufuna ukuphuza amanzi ngaso sonke isikhathi. |
| Ukuchama njalo | Izinso zizama ukususa ushukela owengeziwe egazini ngomchamo, ngakho-ke kudingeka uchame njalo. |
| Ukuchama Embhedeni | Uma ingane engakaze ibe nomkhuba wokumanzisa umbhede ngaphambili ivele iqale ukumanzisa umbhede ebusuku, kungaba uphawu. |
| Ukuzizwa ukhathele kakhulu | Ingane ihlala izizwa ikhathele futhi ilele ngoba amangqamuzana awatholi ushukela awudingayo ukuze akhiqize amandla. |
| Ukwehlisa isisindo naphezu kokudla kahle | Njengoba ushukela ungasetshenziswa njenge-energy, umzimba uqala ukushisa imisipha namafutha, okuholela ekunciphiseni isisindo. |
| Izinguquko ekuziphatheni nasemizweni | Uma ingane ithukuthela kalula, ingahlaliseki, noma ibonakala idabukile, lokho kungaba uphawu. |
| Iphunga elimnandi lomoya | Uma umzimba ushisa amafutha, kukhiqizwa amakhemikhali abizwa ngokuthi ama-ketone. Uma lawa enqwabelana egazini, umoya wakho unganuka kamnandi futhi ube nezithelo. Lokhu kuyisibonakaliso sesimo esiyingozi. |
Kodwa akuwona wonke umntwana ozobonisa zonke lezi zimpawu. Ngezinye izikhathi, uma ingane isesigabeni sokuqala se-T1D, ingase ingakhombisi nhlobo izimpawu.
Kwenzekani ngemva kokuxilongwa? Ukuphathwa kwansuku zonke
Uma ukuxilongwa sekuqinisekisiwe, wena nomntwana wakho nizothunyelwa eqenjini lezokwelapha elikhethekile. Leli qembu lingafaka phakathi uchwepheshe wesifo sikashukela, umfundisi wesifo sikashukela, kanye nochwepheshe wezokudla. Bazokutshela konke okudingeka ukwazi ngalolu hambo. Kunezinto ezimbalwa ezibalulekile okudingeka uzenze nsuku zonke.
1. Ukulinganisa amazinga kashukela egazini
Kuzodingeka uhlole amazinga kashukela egazini lengane yakho izikhathi eziningana ngosuku. Lokhu kwenziwa kusetshenziswa idivayisi encane ebizwa ngokuthi i-glucometer. Ukuhlolwa kwenziwa ngokuhlaba isihloko somunwe ngenaliti encane bese uthatha ithonsi legazi. Ekuqaleni, lokhu kungase kubonakale kunzima kokubili enganeni nakuwe, kodwa ngemva kwesikhashana, kuzoba yingxenye evamile yempilo yakho.
2. Ukunikeza i-insulini
Njengoba umzimba ungakhiqizi i-insulin, kumele inikezwe ngaphandle. I-insulin ayikwazi ukuthathwa njengephilisi, ngoba iphukile esiswini. Ngakho-ke, kumele inikezwe njengomjovo . Lo mjovo kumele unikezwe izikhathi eziningana ngosuku, ngokuvamile ngaphambi kokudla. Udokotela kanye nabasebenzi abahlengikazi bazokutshela ngqo ukuthi ungakwenza kanjani lokhu. Manje sekukhona ubuchwepheshe besimanje njengephampu ye-insulin.
3. Ukudla kanye nokuzivocavoca
Ukudla kanye nokuzivocavoca umzimba kuyizingxenye ezimbili ezibaluleke kakhulu zokuphathwa kwesifo sikashukela. Ungenza uhlelo oluhle ngokukhuluma nodokotela wakho noma isazi sokudla mayelana nokuthi yikuphi ukudla okuhle kuwe, ukuthi kufanele ukudle okungakanani, nokuthi yini okufanele uyiqaphele lapho uzivocavoca.
Kufanele usifune nini iseluleko sezokwelapha esiphuthumayo?
Uma uphila nesifo sikashukela, kubalulekile ukuqaphela izimo eziphuthumayo.
- Ushukela ophansi egazini (Hypoglycemia): Ngezinye izikhathi amazinga kashukela egazini angaba phansi ngendlela eyingozi. Uma ingane yakho inezimpawu ezifana nokujuluka ngokweqile, ukuthuthumela, ukudideka, kanye nokuphaphatheka, yinike okuthile okunoshukela (amaphilisi kashukela, isipuni sikashukela, noma isiphuzo esimnandi) ngokushesha. Udokotela wakho uzokuchazela lokhu ngokuningiliziwe.
- I-Hyperglycemia/DKA: Uma amazinga kashukela egazini eba phezulu kakhulu , kungavela isimo esiyingozi esibizwa ngokuthi i-Diabetic Ketoacidosis (DKA). Uma kuvela izimpawu ezifana nobuhlungu besisu, ukuhlanza, ukuphefumula ngokushesha, ukozela ngokweqile, kanye nephunga elimnandi lokuphefumula , thatha ingane uyise eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze ngokushesha.
Umlayezo Wokuya Nawe Ekhaya
- Nakuba isifo sikashukela sohlobo 1 siyinselele, ngokuphathwa kahle, ingane yakho ingaphila impilo ejabulisayo, enempilo, nejwayelekile. Awuwedwa.
- Lokhu akulona iphutha lomuntu, ngakho gwema ukuzisola.
- Landela imiyalelo enikezwe udokotela wakho kanye nethimba lezokwelapha ngqo. Ungesabi ukubuza noma yimiphi imibuzo onayo, kungakhathaliseki ukuthi mincane kangakanani.
- Kubalulekile ukuqapha njalo amazinga kashukela egazini lengane, ukunikeza i-insulin ngesikhathi, nokuhlinzeka ngokudla okulinganiselayo.
- Chaza lesi simo enganeni yakho ngendlela engayiqonda. Uma ingane yakho isikhulile kancane, yibandakanye ekuphathweni. Lokhu kuzosiza nokuzethemba kwengane.
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