Ezona mpawu ziqhelekileyo kuDidi 1 lweSwekile kuBantwana

Umxholo

• Iimpawu zohlobo 1 kubantwana
• Iintsana
• Abantwana abasakhasayo
• Abantwana abadala kunye nolutsha
• Uxilongo
• Unyango
• I-insulin yemihla ngemihla
• Ulawulo lwe-insulin
• Ulawulo lokutya
• Ulawulo lobomi
• Iingcebiso zokuhlangabezana nazo
• Nini ukubona ugqirha
• Umgca wezantsi

Uhlobo lwe-1 yeswekile sisifo esizenzekelayo esenza ukuba umzimba utshabalalise iiseli zepancreas ezenza i-insulin.

I-insulin yihomoni ebonisa iiseli zakho zegazi ukuba zithathe iswekile, elawula amanqanaba eswekile yegazi. Ngaphandle kwe-insulin eyaneleyo, amanqanaba eswekile yegazi angaphakama kakhulu kwaye abangele ukonakala kwexesha elide emzimbeni wakho.

Ngokwe-American Diabetes Association, ngo-2012 phantse abantwana abayi-18,000 bafunyaniswa benesifo seswekile sokuqala.

Iimpawu zohlobo 1 kubantwana

Iimpawu eziqhelekileyo zohlobo lweswekile 1 ebantwaneni zibandakanya:

• ukwanda kwendlala kunye nendlala
• ukwehla kobunzima obungachazwanga
• ukuchama rhoqo
• ukungaboni kakuhle

Ezinye iimpawu eziqhelekileyo zibandakanya:

• isicaphucaphu nokugabha
• intlungu zesisu
• ukudinwa nokuba buthathaka
• ukuphefumla okunesiqhamo
• ukuphilisa amanxeba

Ukongeza kwiimpawu ezingentla, amantombazana amancinci nawo anokufumana ukosuleleka kwegwele okuphindaphindayo.

Iintsana

Uhlobo lwe-1 yeswekile kunokuba nzima ukulufumanisa kwiintsana nakwimveku ngenxa yokungakwazi kwabo ukunxibelelana kakuhle neempawu zabo.

Ukutshintsha kwe-diaper rhoqo kusana lwakho kunokubonisa ukwanda kokuchama, uphawu lwesifo seswekile.

Kwezinye iintsana, ukuphindaphinda kwe-diaper engapheli kunokuba yinto enye yohlobo lwe-1 yeswekile.

Abantwana abasakhasayo

Ukuba uqaphela ukuba umntwana wakho omncinci umanzisa ibhedi, ngakumbi emva kokuba eqeqeshiwe nge potty, oku kunokuba luphawu lohlobo 1 lweswekile.

Ukuphulukana nokutya ngequbuliso kumntwana omncinci kungangumqondiso wesifo seswekile esingafunyaniswanga kwaye kufuneka kusonjululwe kugqirha wabantwana ngokukhawuleza.

Abantwana abadala kunye nolutsha

Ukuba umntwana wakho omdala okanye okwishumi elivisayo ukhankanye naziphi na iimpawu ezingasentla, kuya kufuneka ubase kwagqirha.

Kubantwana abadala nakwishumi elivisayo, utshintsho olukhulu ekuziphatheni ngaphandle kokutshintsha kwemood rhoqo kunokuba lolunye uphawu lwale meko.

Uxilongo

Uhlobo lwe-1 yeswekile lubonakala ngokuxhaphakileyo ebuntwaneni phakathi kweminyaka emi-4 ukuya kwe-7, kunye neye-10 ukuya kweli-14.

Ukuba ugqirha wakho ukrokrela ukuba umntwana wakho unohlobo lweswekile 1, banokusebenzisa iimvavanyo zokuqonda isifo.

Uvavanyo lokufumanisa uhlobo lweswekile 1 ebantwaneni (nakubantu abadala) lubandakanya:

• Ukuzila ukutya kweglucose glucose. Olu vavanyo lwenziwa emva kokuzila ngokukhawuleza ubusuku bonke. Ngexesha lovavanyo, igazi liyatsalwa kwaye amanqanaba eswekile yegazi ayalinganiswa. Ukuba amanqanaba eglucose egazi ayi-126 mg / dL okanye ngaphezulu kwigazi ezimbini ezahlukileyo ezitsalayo, isifo seswekile siyaqinisekiswa.
• Iswekile yeglasma engaqhelekanga. Olu vavanyo aludingi kuzila. Ngexesha lovavanyo, igazi litsalwa ngaxeshanye emini kwaye amanqanaba eglucose egazi ayalinganiswa. Ukuba amanqanaba eglucose egazi angama-200 mg / dL okanye ngaphezulu, kwaye iimpawu zohlobo lweswekile 1 zikhona, isifo seswekile sinokuqinisekiswa.
• Uvavanyo lwe-A1C. Uvavanyo lwe-A1C lilinganisela inani le-hemoglobin egazini egazini, eyi-hemoglobin ene-glucose eqhotyoshelwe kuyo. Kuba ixesha le-hemoglobin lifikelela kwiinyanga ezi-3, olu vavanyo lunokunika ugqirha uluvo lwamanqanaba eswekile yegazi kwisithuba seenyanga ezi-3. Inqanaba le-A1C leepesenti ze-6.5 okanye ngaphezulu libonisa isifo seswekile.
• Islet autoantibodies. Kuhlobo lwe-1 yeswekile, ubukho be-islet autoantibodies bubonisa ukuba umzimba unempendulo yamajoni omzimba kwiiseli zeeslet kwipancreas ezivelisa i-insulin. Ngelixa ezi autoantibodies kunganyanzelekanga ukuba zibangele uhlobo lwe-1 yeswekile, zibonisiwe ukuba ziphawula kakuhle imeko.
• Iiketoni zomchamo. Kwisifo seswekile esingalawulwayo, amanqanaba aphezulu eetoni ezinamaqondo aphezulu eswekile yegazi anokukhokelela kwisifo seswekile, ketoacidosis, esisifo esisongela ubomi. Unokuvavanya amanqanaba e-ketone ekhaya kunye nomtya wokuvavanya umchamo we-ketone. Ukuba uqaphela amanqanaba e-ketone aphezulu kunesiqhelo, lixesha lokuba undwendwele ugqirha.

Unyango

Ukuba ishiywe inganyangwa, uhlobo lwe-1 yeswekile lungakhokelela kwi-hyperglycemia, okanye iswekile ephezulu yegazi, kunye neswekile ketoacidosis. Kubaluleke kakhulu ukuba uhlale ngaphezulu kukhetho lonyango olufumanekayo ukuba umntwana wakho unesifo seswekile sohlobo 1.

I-insulin yemihla ngemihla

I-insulin lunyango oluyimfuneko kuhlobo 1 lweswekile. Kukho iintlobo ezahlukeneyo ze-insulin ezikhoyo, kubandakanya:

• rhoqo, i-insulin emfutshane
• i-insulin esebenza ngokukhawuleza
• i-insulin esebenza kwangoko
• i-insulin esebenza ixesha elide

Ezi ntlobo ze-insulin zahlukile kwindlela ezisebenza ngokukhawuleza ngayo kunye neziphumo zazo ezide. Thetha nogqirha wakho malunga nendibaniselwano efanelekileyo ye-insulin yomntwana wakho.

Ulawulo lwe-insulin

Zimbini iindlela zokufaka i-insulin emzimbeni: inaliti ye-insulin okanye impompo ye-insulin.

Inaliti ye-insulin ilawulwa ngokuthe ngqo phantsi kolusu, amaxesha ngamaxesha ngemini, ukuhlangabezana neemfuno ze-insulin njengoko kufuneka. Impompo ye-insulin ilawula ngokuzenzekelayo ukusebenza kwe-insulin emzimbeni imini yonke.

Ukongeza kulawulo lwe-insulin, ukubeka esweni okuqhubekayo kweglucose (CGM) kunokusetyenziswa ngokwahlukeneyo okanye njengenxalenye yempompo ye-insulin. Nge-CGM, inzwa ephantsi kolusu iyaqhubeka ngokulandelela amanqanaba eglucose ekubekweni esweni. Ithumela izilumkiso xa amanqanaba eswekile yegazi esiba phezulu kakhulu okanye ephantsi kakhulu.

Ulawulo lokutya

Ulawulo lokutya lubaluleke kakhulu kunyango lwe-1 yeswekile.

Iingcebiso zokutya eziqhelekileyo kuhlobo loku-1 lolawulo kukubala i-carbohydrate kunye nexesha lokutya.

Ukubala iicarbohydrate kuyimfuneko ukuze wazi ukuba ingakanani i-insulin ekufuneka ayilawule.

Ixesha lokutya linokunceda ukugcina amanqanaba eswekile esegazini azinze ngaphandle kokuba behle kakhulu okanye baye phezulu kakhulu.

Kubalulekile ukuba wazi ukuba abantu abanesifo seswekile sokuqala banokutya iicarbohydrate. Nangona kunjalo, ugxininiso kufuneka lube kwiicarbohydrate ezintsonkothileyo ezinefayibha eninzi, njengoko ifayibha inciphisa ukufunxwa kweglucose emzimbeni.

Iziqhamo, imifuno, kunye neenkozo ezipheleleyo zizinto ezintle onokukhetha kuzo kwiicarbohydrate.

Ulawulo lobomi

Njengokuba ingekabikho iyeza okwangoku, uhlobo 1 lweswekile yimeko efuna ukubekwa esweni ubomi bonke.

Ukuba umntwana wakho unale meko, qiniseka ukuba uhambelana nalo naluphi na uvavanyo lwegazi kunye nokuchama abanokukufuna.

Kuya kufuneka ukhuthaze ukwenziwa komzimba rhoqo, okunokunceda ukugcina amanqanaba eswekile yegazi ezinzile.

Kwakhona kubalulekile ukuba uqaphele iswekile yegazi labo ngaphambi, ngexesha, nasemva kokuzilolonga ukuze uqiniseke ukuba alihambi kakhulu.

Iingcebiso zokuhlangabezana nazo

Ukufumana isifo kuhlobo 1 lweswekile kunokuba lixesha eloyikisayo kubo bobabini abazali nomntwana. Ukufikelela kwinkqubo yenkxaso kunokukunceda ufunde iindlela zokuphelisa impilo kunye nezinye iingcebiso malunga nendlela yokulawula le meko.

Ukufumana inkxaso eyongezelelweyo, abazali banokufikelela kwezi:

• Iingcali zempilo yengqondo. Kungadinisa ngokwasemzimbeni nangokomzwelo ukugcina up kunye nonyango lwesifo seswekile sokuqala, ngakumbi njengomzali kumntwana omncinci onesi sifo. Iingcali zempilo yengqondo zinokubonelela ngendawo esempilweni yoxinzelelo, unxunguphalo, kunye nezinye iimvakalelo ezinokuthi zibe kunye nokuba ngumzali womntwana onohlobo 1.
• Oonontlalontle. Ukulawula ukutyelelwa ngoogqirha, ukugcwaliswa kwakhona kokuyalelwa, kunye nokhathalelo lwemihla ngemihla olufunekayo kuhlobo 1 lweswekile inokuziva ingaphaya. Oonontlalontle banokunceda ukunxibelelana nabazali ngezixhobo ezinokwenza ukuba uhlobo lwesibini lwesifo seswekile lube lula.
• Abahlohli beswekile. Abahlohli besifo seswekile ngoochwephesha abaziingcali kwimfundo yeswekile, ukusuka kwizindululo malunga nokutya ukuya kulawulo lwezifo zemihla ngemihla nangaphezulu. Ukunxibelelana nabahlohli abanesifo seswekile kunokunceda ukugcina abazali benolwazi malunga nengcebiso kunye nophando ngale meko.

Ukufumana inkxaso eyongezelelweyo emva kokuxilongwa, umntwana wakho unokufumana inzuzo ngokufikelela ku:

• Abacebisi besikolo. Abacebisi besikolo yinkqubo enkulu yokuxhasa abantwana abakubudala bokuhamba isikolo, ngakumbi abo bajongana neemeko zonyango. Ezinye izikolo zide zibonelele ngokucebisa ngamaqela, ke jonga kwisikolo somntwana wakho ukuze ubone ukuba zeziphi iintlobo zeeseshoni zeqela abazinikelayo.
• Amaqela enkxaso. Ngaphandle kwesikolo, kukho amaqela enkxaso onokuthi wena kunye nomntwana wakho nibe nakho ukubakho kunye buqu okanye kwi-Intanethi. Abantwana abanesifo seswekile ngumbutho ongajonganga kwenza nzuzo onika ulwazi kwiinkampu, iinkomfa, kunye nezinye iziganeko ezinxulumene neswekile ezinokunceda umntwana wakho.
• Ungenelelo lwakwangoko. ibonakalisile ukuba kubantu abadala abanesifo seswekile 1, inkxaso yeemvakalelo inokunceda ekuphuculeni amanqanaba e-A1C kunye nolawulo lwemeko. Kubalulekile ukujongana nayo nayiphi na imiba yezempilo yengqondo kwangethuba enokuhamba nesifo seswekile somntwana wakho, njengoxinzelelo kunye noxinzelelo.

Nini ukubona ugqirha

Ukuba ucinga ukuba umntwana wakho unokuba neempawu zohlobo lweswekile 1, cwangcisa ixesha lokudibana nogqirha kuvavanyo. Baza kujonga imbali yezempilo yomntwana wakho kwaye basebenzise ezinye zeemvavanyo zokuchonga ezichazwe apha ngasentla ukumisela ukuba umntwana wakho unesifo seswekile sohlobo 1.

Isifo seswekile esingalawulwayo singonakalisa amalungu kwaye sikhokelele kubunzima obungaphaya, ke kubalulekile ukuba ufumane uxilongo ngokukhawuleza.

Umgca wezantsi

Uhlobo lwe-1 yeswekile yimeko yokuzimela yomzimba exhaphake kakhulu ebuntwaneni.

Iimpawu zohlobo lweswekile 1 ebantwaneni zinokubandakanya indlala kunye nokunxanwa, ukwanda komchamo, ukuphefumla okunuka iziqhamo, nokunye okuninzi.

Nangona lungekho unyango lwe-1 yeswekile, inokulawulwa nge-insulin, ulawulo lokutya, kunye notshintsho kwindlela yokuphila.

Ukuba uqaphela iintlobo ezininzi zesifo seswekile kumntwana wakho, cwangcisa ixesha lokudibana nogqirha ngokukhawuleza.