Ingabe indodakazi noma indodana yakho enesifo sikashukela sohlobo 1 isinciphile isisindo ngokuzumayo? Ingabe icabanga kakhulu ngokudla, ukuma komzimba, kanye nesisindo? Ngezinye izikhathi ungamangala ukuthola ukuthi ayithathi imijovo yayo ye-insulin. Lokhu akuyona ihlaya, kuyisimo esiyingozi kakhulu esingathinta impilo yakho. Ngokwezokwelapha, lokhu sikubiza ngokuthi i-Diabulimia . Nakuba igama lingase lizwakale lingavamile, kumelwe siqonde ubucayi balokhu. Ngakho-ke, ake sixoxe ngakho ngokuningiliziwe.
Iyini i-Diabulimia kalula?
Igama elithi 'diabulimia' lakhiwa ngokuhlanganisa amagama amabili: isifo sikashukela , okusho isifo sikashukela , kanye ne -bulimia .
- Njengoba wazi , isifo sikashukela yisifo esithinta indlela umzimba wethu olawula ngayo ushukela. Ikakhulukazi ku-Type 1 Diabetes, umzimba awukwazi ukukhiqiza i-hormone insulin.
- I-Bulimia yisifo sokudla lapho umuntu edla khona ukudla okuningi ngesikhathi esisodwa bese ehlanza ukudla ngokuhlanza noma ngezinye izindlela, esaba ukukhuluphala.
Usuyaqonda yini ukuthi kuhlobene kanjani manje? Kalula nje, i-diabulimia yilapho umuntu onesifo sikashukela sohlobo 1 egwema ngamabomu ukuthatha imijovo yakhe ye-insulin edingekayo ukuze anciphise isisindo.
Nakuba lokhu kungakabi sezingeni elisemthethweni njengesifo sengqondo, umonakalo okungawubangela ukhulu kakhulu.
Ubani osengozini enkulu yalesi simo esiyingozi?
Lesi simo sivame kakhulu kwabesifazane namantombazane amancane. Eqinisweni, abesifazane abanesifo sikashukela sohlobo 1 banamathuba aphindwe kabili okuba nesifo sokudla. Izifundo zibonisa ukuthi cishe u-30% wentsha enesifo sikashukela inciphisa noma iyayeka ukuthatha i-insulin ukuze inciphise isisindo .
Kunzima ukukhomba imbangela eyodwa yalezi zinhlobo zezimo zengqondo. Kungase kuthonywe umlando womndeni walezi zimo. Futhi, izici ezifana nokucindezeleka komndeni kanye nokuhlukumezeka nakho kungaba nomthelela kulokhu.
Ikakhulukazi lapho besebancane, abantu baba nomuzwa omkhulu ngesimo somzimba wabo kanye nalokho abangani babo abakucabangayo. Ukucabanga njalo ngokudla kanye nesisindo ngenxa yesifo sikashukela nakho kungaba nomthelela kulesi simo.
Kwenzekani emzimbeni uma i-insulin imiswa? Kuyingozi kangakanani lokhu?
Cabanga nje, umuntu onesifo sikashukela sohlobo 1 akakhiqizi i-insulini emzimbeni wakhe nhlobo. Ngakho-ke kubalulekile ukuthatha i-insulini ngaphandle. I-insulini ifana nesihluthulelo esivula umnyango wamaseli emzimbeni wethu. Uma lesi sihluthulelo sikhona kuphela lapho ushukela (i-glucose) egazini ungangena khona emaselini bese uguqulwa ube amandla.
Uma umuntu engayithathi ngamabomu i-insulin,
1. Amazinga kashukela egazini akhuphuka ngendlela engalawuleki.
2. Njengoba amangqamuzana engakwazi ukuthwala ushukela, lo shukela omningi uqala ukukhishwa emchameni. Njengoba amanzi nawo ekhishwa kanye noshukela, isisindo somzimba sehla ngokushesha.
3. Yilokhu laba bantu abakuthembayo, ukwehlisa isisindo. Kodwa abakuboni ukubhujiswa okuhambisana nakho. Lapho ushukela ungasatholakali ukuze uthole amandla, umzimba uqala ukushisa amafutha awo. Kule nqubo, kukhiqizwa amakhemikhali anobuthi abizwa ngokuthi ' ama-ketone ' emzimbeni.
4. Uma la ma-ketone enqwabelana, igazi liba ne-asidi kakhulu, okuholela esimweni esingaba yingozi esibizwa ngokuthi i-Diabetic Ketoacidosis (DKA) . Lesi yisimo esiphuthumayo sezokwelapha. Kungaholela ekutheni umuntu awele kwi-coma noma ngisho nokufa.
Izingozi zesikhashana nezesikhathi eside zalesi simo ziyingozi kakhulu.
| Izinkinga ezinkulu ezingaba khona ngenxa ye-diabulimia | |
|---|---|
| Ushukela ophezulu egazini | Ushukela emchameni |
| I-Diabetic Ketoacidosis (DKA) | Ukuphelelwa amanzi emzimbeni |
| Ukulahlekelwa yimisipha | I-cholesterol ephezulu |
| Ukutheleleka njalo kwamagciwane kanye nemvubelo | Umjikelezo wokuya esikhathini ongavamile noma omisiwe |
| Ukulimala kwemithambo yegazi emehlweni (i-Retinopathy) - kungaholela ekungaboni. | Ukulimala kwemizwa - ukungazweli emilenzeni |
| Ukuqina kwezindonga zemithambo yegazi (i-atherosclerosis) | Isifo sesibindi |
| Isifo sohlangothi | I-Coma Nokufa |
Khumbula, izinkinga zokudla zinezinga eliphezulu kakhulu lokufa kuzo zonke izifo zengqondo. Izifundo zithole ukuthi abesifazane abangayithathi i-insulin ukuze banciphise isisindo bafa eminyakeni engaba yi-10 ngaphambi kwabesifazane abanesifo sikashukela.
Yiziphi izimpawu ezingabona lesi simo?
Uma usola ukuthi othile wenza lokhu kuziphatha okuyingozi, qaphela lezi zimpawu. Uphawu oluyinhloko ukwehlisa isisindo ngendlela engachazeki. Ngaphezu kwalokho, ungase ubone lezi zinto:
| Izimpawu eziyisixwayiso ze-Diabulimia | |
|---|---|
| Ukuzizwa ukhathele ngaso sonke isikhathi | Ukuzizwa unomile kakhulu njalo |
| Ukukhuluma noma ukucabanga kakhulu ngesisindo somzimba noma ukuma kwawo | Ukudla ngokweqile (ikakhulukazi izinto ezimnandi) |
| Umbiko wokuhlolwa kwe-HbA1c, awuhambisani namazinga kashukela egazini lasekhaya | Ukweqa ama-aphoyintimenti kadokotela |
| Ukusebenza ngasese ngamazinga kashukela, ukudla i-insulin, kanye nokudla | Ukungahlaliseki, ukucindezeleka, noma intukuthelo evame ukwenzeka |
| Ukuvivinya umzimba ngokweqile | Ukuphefumula okunezithelo (uphawu lokwanda kwama-ketones) |
| Ukulahlekelwa izinwele kanye nesikhumba esomile | Ukuphuza isikhathi sokuthomba kubantu abasha |
Yini okufanele ngiyenze uma mina noma othile engimaziyo ehlushwa yilesi simo?
Lena into ebaluleke kakhulu. I-Diabulimia yisifo sengqondo. Ngakho-ke, usizo lochwepheshe luyadingeka ngempela ukuze lunqotshwe. Uma ubona lezi zimpawu kuwe noma kothile omaziyo, sicela ungakuzibi. Funa iseluleko sezokwelapha ngokushesha.
Into yokuqala okufanele uyenze ukukhuluma nodokotela wakho wesifo sikashukela (i-Endocrinologist). Unolwazi ngalesi simo futhi angakudlulisela kwabanye ochwepheshe uma kudingeka. Lokhu kuvame ukwenziwa yithimba. Leli thimba lingafaka:
- Udokotela we-Endocrinologist
- Umeluleki wesifo sikashukela
- Isazi sokudla okunempilo
- umeluleki wezempilo yengqondo noma isazi sokusebenza kwengqondo
Ukwelashwa akulethi imiphumela ngobusuku obubodwa. Kuthatha isikhathi. Kodwa ngokusekelwa okufanele, ukululama kungenzeka nakanjani. Ezinye zezindlela zokwelapha eziyinhloko yilezi:
Ukwelashwa Kokuziphatha Kokuqonda (i-CBT)
Kalula nje, lokhu kuhilela ukuhlonza imicabango yethu engalungile nephambene (isib., "Ngikhuluphele," "Kulungile ukungasebenzisi i-insulin ukuze wehlise isisindo"), ukuyishintsha, ngaleyo ndlela sishintshe izindlela zethu zokuziphatha eziyingozi.
Ukwelashwa Kweqembu
Uma ukhuluma nabanye abantu ababhekene nezinkinga ezifanayo, uzizwa sengathi awuwedwa. Lokhu kusiza kakhulu ukufunda kokuhlangenwe nakho kwabanye nokusekelana.
Ukwelashwa Okusekelwe Emndenini (FBT)
Lena indlela ephumelela kakhulu, ikakhulukazi uma ingane encane ihlushwa yilesi simo. Lapha, wonke umndeni uhilelekile enkambisweni yokwelashwa. Lokhu kusiza abazali ukuba baqonde ingane futhi banikeze ingane ukwesekwa okufanele.
Umlayezo Wokuya Nawe Ekhaya
- I-Diabulimia yisimo esiyingozi kakhulu lapho umuntu onesifo sikashukela sohlobo 1 engayithathi ngamabomu i-insulin ukuze ehlise isisindo.
- Ukweqa i-insulin kungaholela ezinkingeni ezibulalayo njenge-diabetesic ketoacidosis (DKA), ubumpumputhe, ukulimala kwemizwa, isifo sohlangothi, kanye nokufa.
- Uma ubona izimpawu ezifana nokwehla kwesisindo okungachazeki, imicabango ejulile ngokudla nesisindo, noma ukuziphatha okuyimfihlo, ungazinaki. Kungaba ukukhala kosizo.
- Lokhu akuyona into engalawulwa ngamandla engqondo, kodwa ukugula kwengqondo okudinga usizo lochwepheshe bezokwelapha.
- Uma wena noma othile omaziyo ehlushwa yilesi simo, khuluma nodokotela wakho ngokushesha bese ucela ukwelashwa okudingekayo. Akudingeki ulwe le mpi wedwa.
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