Siyintoni Isifo Seswekile?

Umxholo

• Imingcipheko yomntu onesifo seswekile
• Iimpawu seswekile brittle
• Unyango lwesifo seswekile
• Impompo ye-insulin engaphantsi
• Ukubeka iliso rhoqo kweglucose
• Olunye ukhetho lonyango
• Imbonakalo
• Ukuthintela isifo seswekile
• Thetha nogqirha wakho

Ushwankathelo

Isifo seswekile esibuhlungu sisifo seswekile. Ikwabizwa ngokuba yi-labile diabetes, le meko ibangela ukuguquka okungalindelekanga kumanqanaba eswekile yegazi (iswekile). Ezi nguqu zinokuchaphazela umgangatho wobomi bakho kwaye zikhokelele nasekulalweni esibhedlele.

Enkosi kwinkqubela phambili kulawulo lweswekile, le meko ayiqhelekanga. Nangona kunjalo, isenokwenzeka kubantu abanesifo seswekile. Ngamanye amaxesha, luphawu lokuba iswekile yegazi lakho alilawulwa kakuhle. Eyona ndlela yokuthintela isifo seswekile kukulandela isicwangciso sokunyamekela isifo seswekile esenziwe ngugqirha wakho.

Imingcipheko yomntu onesifo seswekile

Owona mngcipheko mkhulu wesifo seswekile esibuhlungu kukuba nohlobo 1 lweswekile. Isifo seswekile esingapheliyo sinqabile kubantu abanesifo seswekile 2. Abanye oogqirha bayichaza njengengxaki yesifo seswekile, ngelixa abanye beyithatha njengoluhlobo lwesifo seswekile sokuqala.

Uhlobo lwe-1 yeswekile lubonakaliswa ngamanqanaba eswekile egazi athi atshintshe ukusuka phezulu nasezantsi (i-hyperglycemia kunye ne-hypoglycemia). Oku kukhokelela kwisiphumo esiyingozi se "roller coaster". Ukuguquguquka kwamanqanaba eswekile kunokukhawuleza kwaye kungaqikelelwa, kubangele iimpawu ezinkulu.

Ukongeza ekubeni nohlobo 1 lweswekile, umngcipheko weswekile esibuhlungu uphezulu ukuba:

• ngabasetyhini
• ukungalingani kwehomoni
• batyebe kakhulu
• une-hypothyroidism (iihomoni ezisezantsi)
• bakwi-20s okanye 30s yakho
• ube nenqanaba eliphezulu loxinzelelo rhoqo
• uxinezeleko
• unesifo se-gastroparesis okanye isifo se-celiac

Iimpawu seswekile brittle

Iimpawu eziqhelekileyo zamanqanaba asezantsi okanye aphezulu eglucose zizimpawu eziqhelekileyo zesifo seswekile. Abantu abanohlobo 1 okanye uhlobo 2 lweswekile banokufumana ezi mpawu xa amanqanaba eswekile yegazi ecinyiwe. Nangona kunjalo, ngesifo seswekile esibuhlungu, ezi zimpawu zenzeka kwaye zitshintshe rhoqo ngaphandle kwesilumkiso.

Iimpawu zamanqanaba eswekile esezantsi egazi kubandakanya:

• isiyezi
• ubuthathaka
• ukucaphuka
• indlala enkulu
• izandla ezingcangcazelayo
• umbono kabini
• intloko ebuhlungu
• ingxaki yokulala

Iimpawu zamanqanaba aphezulu eswekile yegazi anokubandakanya:

• ubuthathaka
• ukwanda kwenxano kunye nokuchama
• utshintsho lombono njengombono ongenanto
• isikhumba esomileyo

Unyango lwesifo seswekile

Ukulinganisa amanqanaba eswekile yegazi yeyona ndlela iphambili yokulawula le meko. Izixhobo ezinokukunceda ukwenza oku zibandakanya:

Impompo ye-insulin engaphantsi

Eyona njongo iphambili yabantu abanesifo seswekile esibuhlungu kukulinganisa ngcono isixa se-insulin abayifumanayo nokuba bafuna malini ngexesha elinikiweyo. Kulapho kungena khona impompo ye-insulin engaphantsi. Sesona sixhobo sisebenzayo sokulawula isifo seswekile.

Uphatha le mpompo encinci ebhantini okanye epokothweni. Impompo iqhotyoshelwe kumbhobho omncinci weplastiki odityaniswe nenaliti. Ufaka inaliti phantsi kolusu lwakho. Unxiba le nkqubo iiyure ezingama-24 ngosuku, kwaye iyaqhubeka ipompa i-insulin emzimbeni wakho. Inceda ukugcina amanqanaba akho e-insulin azinzile, ethi yona incede ukugcina amanqanaba eglucose kwi-keel engakumbi.

Ukubeka iliso rhoqo kweglucose

Ulawulo lwesifo seswekile lubandakanya ukuvavanywa kwegazi lakho rhoqo ukujonga amanqanaba eglucose, amaxesha ngamaxesha ngemini. Ngesifo sikashukela esibuhlungu, esingenakuthi sanele ngokwaneleyo ukugcina amanqanaba e-glucose ephantsi kolawulo.

Ngokubeka esweni okuqhubekayo kweglucose (CGM), inzwa ibekwa phantsi kolusu lwakho. Esi sivamvo sihlala sifumanisa amanqanaba eglucose kwizicwili zakho kwaye sinokukwazisa xa la manqanaba ephezulu kakhulu okanye asezantsi kakhulu. Oku kukuvumela ukuba uphathe imiba yeswekile yegazi ngoko nangoko.

Ukuba ucinga ukuba inkqubo ye-CGM inokukusebenzela, thetha nogqirha wakho ukuze ufumane okungakumbi.

Olunye ukhetho lonyango

Isifo seswekile esingapheliyo sisoloko siphendula ngokuqinisekileyo kulawulo ngononophelo. Nangona kunjalo, abanye abantu abanemeko banesifo sokutshintsha kweswekile egazini ngaphandle konyango. Kwiimeko ezinqabileyo, aba bantu banokufuna ukufakelwa kwepancreas.

I-pancreas yakho ikhupha i-insulin ekuphenduleni i-glucose kwigazi lakho. I-insulin iyalela iiseli zomzimba wakho ukuba zithathe iswekile egazini lakho ukuze iiseli zikwazi ukuyisebenzisa ukuze zisebenzise amandla.

Ukuba i-pancreas yakho ayisebenzi kakuhle, umzimba wakho awuyi kukwazi ukuqhuba i-glucose ngokufanelekileyo. Uphononongo olupapashwe kwiphephancwadi lubonise ukuba ukufakelwa kwepancreas kunamazinga aphezulu empumelelo ekulawuleni isifo seswekile.

Olunye unyango luyakhula. Umzekelo, ipancreas eyenziweyo okwangoku ikwiimvavanyo zeklinikhi kwiprojekthi yokusebenzisana phakathi kweHarvard School of Applied Engineering kunye neDyunivesithi yaseVirginia. Iipancreas ezingezizo yinkqubo yezonyango eyenza ukuba kungafuneki kuwe ukulawula ngesandla ukubek'esweni iswekile kunye nenaliti ye-insulin. Ngo-2016, uLawulo lwezoKutya kunye noLawulo lweziyobisi (i-FDA) lwamkele "inkqubo ye-hybride evaliweyo" yenyango yokuhlola evavanya inqanaba lakho le-glucose qho emva kwemizuzu emihlanu, iiyure ezingama-24 ngosuku, ikunika i-insulin ngokuzenzekelayo xa kufuneka.

Imbonakalo

Isifo seswekile esingapheliyo ngokwaso asibulali, kwaye kwiimeko ezininzi wena kunye nogqirha wakho ungayilawula ngempumelelo. Nangona kunjalo, utshintsho olukhulu kwiswekile yegazi lunokukhokelela esibhedlele ngenxa yomngcipheko wesifo seswekile.Ngokuhamba kwexesha, le meko inokukhokelela kwezinye iingxaki, ezinje:

• isifo se-thyroid
• iingxaki ze-adrenal gland
• ukudakumba
• ukutyeba kwakho

Eyona ndlela yokuthintela ezi ngxaki kukuthintela isifo seswekile.

Ukuthintela isifo seswekile

Nangona isifo seswekile esibuhlungu sinqabile, kubalulekile ukuthatha amanyathelo othintelo. Oku kuyinyani ngakumbi ukuba unayo nayiphi na imeko yomngcipheko odweliswe apha ngasentla.

Ukukunceda ukukhusela isifo seswekile, ugqirha unokucebisa ukuba:

• gcina ubunzima obusempilweni
• jonga i-Therapist yokulawula uxinzelelo
• ukufumana imfundo yeswekile ngokubanzi
• bona i-endocrinologist (ugqirha ogxile kwisifo seswekile kunye nokungalingani kwehomoni)

Thetha nogqirha wakho

Isifo seswekile esingaqhelekanga asiqhelekanga, kodwa ukuba une-1 yeswekile, kuya kufuneka uyazi izizathu kunye neempawu zayo. Kuya kufuneka uyazi ukuba ukubeka esweni kunye nokulawula amanqanaba eswekile yegazi yeyona ndlela yokuthintela zonke iingxaki zesifo seswekile, kubandakanya neswekile.

Ukuba unemibuzo malunga nendlela yokulawula isifo sakho seswekile, thetha nogqirha wakho. Banokukunceda uqonde ngakumbi ngemeko yakho kwaye bakucebise ngendlela onamathela ngayo kwisicwangciso sakho sokhathalelo. Ukusebenza nogqirha wakho, unokufunda ukulawula-okanye ukuthintela-isifo seswekile esibuhlungu.