Uma udokotela wakho ekutshela ukuthi unesifo sikashukela sohlobo 1, ungase uzizwe wesaba futhi ukhathazekile. Lokho kuyinto evamile. Kodwa bewazi ukuthi ngemva kokuxilongwa ukuthi unalesi sifo, abanye abantu babhekana nesikhathi esimnandi lapho izimpawu zabo ziphela futhi amazinga kashukela egazini labo eba lula kakhulu ukuwalawula. Kufana nesigaba se-honeymoon sombhangqwana osanda kushada. Odokotela bethu basibiza ngokuthi 'iSigaba se-Honeymoon'. Kodwa njenge-honeymoon yangempela, lesi 'Sigaba se-Honeymoon' sesifo sikashukela asihlali sihlala isikhathi eside. Kodwa phakathi nalesi sikhathi, uzozizwa ukhululekile kakhulu. Ake sixoxe ngalokhu ngokuningiliziwe.
Iqala kanjani 'isikhathi sokukhawulelwa'?
Kalula nje, isifo sikashukela sohlobo 1 yisimo lapho uhlelo lokuzivikela lomzimba wethu, uhlelo lokuzivikela komzimba, luhlasela khona ngephutha imizimba yethu. Kulokhu, lolo hlelo luhlasela 'amaseli e-beta' kuma-pancreas ethu. Lawa maseli e-beta yiwo enza i-hormone i-insulin, ebalulekile emizimbeni yethu. I-insulin isiza umzimba ukuthi usebenzise ushukela ekudleni esikudlayo njengamandla.
Ngakho-ke, lapho amasosha omzimba ebhubhisa la maseli e-beta, inani le-insulin elikhiqizwa emzimbeni liyancipha. Bese izinga likashukela egazini liyakhuphuka. Yilapho-ke kufanele uthathe i-insulin ngaphandle, kungaba njengomjovo noma ngephampu, ukuze ulawule ushukela wegazi lakho.
Kodwa-ke, kubantu abaningi abanesifo sikashukela sohlobo 1, ngemva kokuba lesi sifo sitholakale futhi ukwelashwa kuqala, amanye amaseli e-beta asele ku-pancreas aphinde aphile. Lawo maseli aqala ngokushesha ukukhiqiza i-insulin ngesikhathi sawo esingcono kakhulu. Inani le-insulin elikhiqizwayo lanele ukulawula ushukela wegazi isikhashana. Yilokho esikubiza ngokuthi 'iSigaba Sokushada' . Phakathi nalesi sikhathi, unganciphisa ngisho nenani le-insulin okudingeka ulithathe.
Iyini imbangela yangempela yalokhu?
Cabanga ngamaseli e-beta kuma-pancreas akho njengefektri encane. Amasosha omzimba ayawahlasela, okwenza iningi lawo lingakwazi ukusebenza. Ngokuvamile, izimpawu ziqala ukuvela lapho kusele ama-30% kuphela ala basebenzi.
Uma utholakala unesifo sikashukela bese uqala ukuthatha i-insulin evela emithonjeni yangaphandle, i-pancreas ithola "ukuphumula" okuncane. Lokhu kusho ukuthi ingcindezi kumaseli e-beta asele iyancipha. Ngenxa yalokhu kuphumula, lawo maseli e-beta asele ayalulama futhi andise okwesikhashana ikhono lawo lokukhiqiza i-insulin. Cishe abantu abangama-60% abanesifo sikashukela sohlobo 1 babhekana nalesi "sikhathi sokuphumula."
Kwenzekani ngesikhathi 'sokuqokwa'?
Phakathi nalesi sikhathi, amazinga kashukela egazini lakho azohlala eqinile. Uzobhekana nokwehla okumbalwa njalo koshukela egazini. Lokhu kungenzeka ngezindlela ezimbili eziyinhloko.
| Isimo | Incazelo Elula |
|---|---|
| Ukuxolelwa Okungaphelele | Lesi yisimo abantu abaningi ababhekana naso. Basadinga i-insulin ukulawula ushukela egazini labo, kodwa incane kakhulu kunomthamo ojwayelekile. |
| Ukuxolelwa Okuphelele | Lesi yisimo esingavamile kakhulu. Njengoba i-pancreas ikhiqiza i-insulin eyanele umzimba, kungenzeka ukuyeka okwesikhashana ukuthatha i-insulin ngokuphelele. |
Lesi sikhathi sihlala isikhathi esingakanani?
'Isikhathi sokuxolelwa' sivame ukuqala cishe ezinyangeni ezintathu ngemuva kokuqala ukwelashwa kwesifo sikashukela. Ukuthi sihlala isikhathi esingakanani kuyahlukahluka kuye ngomuntu nomuntu. Kwabanye, kungaba inyanga nje , kwabanye unyaka noma emibili , futhi akuvamile kakhulu, kungaba iminyaka eyi-10-13 .
Ngokuhamba kwesikhathi, njengoba isimiso somzimba sokuzivikela siqhubeka nokuhlasela, amaseli e-beta asele ayabhujiswa kancane kancane. Bese inani le-insulin elikhiqizwa yi-pancreas liyancipha futhi. Uma kuba nzima ukulawula ushukela wegazi lakho, udokotela wakho uzokweluleka ukuthi wandise umthamo we-insulin futhi.
Yini okufanele uyenze ngesikhathi 'sokuvalwa'?
Lena yinto ebaluleke kakhulu.
Lesi 'sikhathi sokuxolelwa' asisho ukuthi isifo sakho sikashukela seselaphekile ngokuphelele, futhi asisho ukuthi awukaze ube nesifo sikashukela.
Ngisho noma amazinga kashukela egazini lakho ejwayelekile, umzimba wakho udinga i-insulin. Futhi ama-pancreas akho angase angakwazi ukuhlangabezana ngokugcwele naleso sidingo. Ngenxa yokuthi kunzima ukubikezela ukuthi ingakanani i-insulini eyokhiqizwa ama-pancreas akho phakathi nalesi sikhathi, amazinga kashukela egazini lakho angashintshashintsha ngendlela engalindelekile.
Ngakho-ke, kubalulekile ukuthi uhlole amazinga kashukela egazini lakho izikhathi eziningana ngosuku.Udokotela wakho uzokutshela ukuthi kufanele uhlolwe kangaki. Uzokutshela nokuthi ungawulungisa kanjani umthamo wakho we-insulin ngokusekelwe emazingeni kashukela egazini lakho, ekudleni kwakho, kanye nokuzivocavoca kwakho. Ungalokothi uyeke ukuthatha i-insulin ngaphandle kokubuza udokotela wakho.
Ingabe lesi sikhathi sizothinta impilo yesikhathi esizayo?
Yebo, impela. Isikhathi 'sokuzila ukudla ngezikhathi ezithile' siyindlela enhle yokulawula amazinga kashukela egazini esikhathini esifushane. Kunganciphisa nengozi yezinkinga zesifo sikashukela esikhathini esizayo. Izinkinga eziyinhloko zifaka:
- I-retinopathy yesifo sikashukela - ukulimala kwemithambo yegazi esweni.
- I-Diabetic nephropathy - ukulimala kwezinso.
- I-neuropathy yesifo sikashukela - ukulimala kwemizwa.
Ingabe 'isikhathi sokukhawulelwa' singandiswa?
Kukhona ucwaningo ngezinto eziningana ezingasiza ukwandisa lesi sikhathi isikhathi eside.
Ukuvivinya umzimba njalo kungasiza. Ucwaningo olulodwa luthole ukuthi abantu abavivinya umzimba ngemva kokuxilongwa ukuthi banalesi sifo babenesikhathi sokusinda esiphindwe kahlanu kunalabo abangazange basisebenzise.
Futhi, yize kukhona umbono wokuthi i-vitamin D inganciphisa umonakalo kuma-pancreas, lokhu akukafakazelwa ngokugcwele.
Ithemba elikhulu kodokotela nososayensi ukuthi ngelinye ilanga bathole ukwelashwa okungavimba amasosha omzimba ekuhlaseleni i-pancreas. Izivivinyo zemitholampilo seziqalile kakade.
Umlayezo Wokuya Nawe Ekhaya
- 'Isigaba Sosuku Lomshado' yisikhathi sesikhashana ngemva kokuxilongwa kwesifo sikashukela sohlobo 1, lapho ukulawula ushukela egazini kuba lula khona. Lokhu akulona ikhambi lalesi sifo.
- Phakathi nalesi sikhathi, izidingo zakho ze-insulin zingase zinciphe, kodwa kubalulekile ukuhlola amazinga kashukela egazini lakho njalo .
- Landela njalo imiyalelo kadokotela wakho mayelana nomthamo wakho we-insulin, ukudla okudlayo kanye nokuzivocavoca.
- Lesi 'sikhathi sokuvinjelwa' singanciphisa ingozi yezinkinga zesifo sikashukela zesikhathi esizayo, okuzuzisa impilo yakho yesikhathi eside.
- Lesi 'sikhathi sokukhululwa' sizophela ekugcineni. Siyingxenye yenkambo yemvelo yalesi sifo. Ngakho-ke ungapheli amandla, bese usebenzisana nodokotela wakho ukuze nihlole kabusha uhlelo lwenu lokwelashwa.
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