Ubomi kunye nesifo sikashukela siyaqhubeka nokuphucula
Amabali ahlaselayo aninzi malunga neyona nto abantu abanesifo sikashukela abanokuyilindela: ukutshutshiswa, ukungaboni kunye nezinye iingxaki ezinzulu. Kodwa, ngenxa yokunyamekela kwinkathalo yesifo sikashukela kwiminyaka engama-40 edlulileyo, la mabali angakwazi ukuhlala nje - amabali.
Kungenzeka ukuba umntu onesifo sikashukela namhlanje aphile ubomi obupheleleyo kunye nobomi. Uphuhliso olwenziwe kunyango luye lwalulawula ukulawula nokuphathwa kwesi sifo, kwaye luye lwaba luninzi lwento yokuqikelela.
Imbali Yentuthuko eyanceda izigulane zokuLawula uGawulayo
Uphando lwesifo sikashukela luye lwaholela ekuqhubekeni okunjengeentlanzi ezisebenza ngokukhawuleza kunye nokuthatha ixesha elide, i-diabetes yomlomo, iimitha ze-glucose zegazi kunye namapompu e-insulin ukunceda izigulane ezine-diabetes management management.
Nantsi ithayimthebhile yezinye iziphumo eziphambili zamashumi amane adlulileyo:
- Ngo-1967, unyango lwe-laser for retinopathy lwaphuhliswa. Oku kwaguqula ukunyamekela kwe- retinopathy - isicholo sesifo sikashukela esinokubangela ukuphunga ngamanye amaxesha. I-laser ijolise ngokuchanekileyo iinxalenye ze-retina kwaye inokunceda ukulawula inkcenkceshelo, oko kusindisa umntu.
- Ngaphambi kowe-1969, kwakungekho ndlela yokuba umntu onesifo sikashukela ahlolisise izinga lakhe leswekile legazi. Emva koko i-Ames Inkampani yenze i-Eyetone imitha. Isixhobo silinganise iipiliyoni ezingama-3, sabiza i-$ 650 kwaye ekuqaleni sasifumaneka kuphela oogqirha. Emva konyaka, izigulane zithengela zona. Ngoku iimitha ze-glucose zegazi zibiza ngexabiso elide, lilula kakhulu kunzima kwaye zifumaneka ngokulula.
- Kwiminyaka elishumi kamva, ngowe-1979, uvavanyo lwe-hemoglobin A1C lwaphuhliswa. Olu vavanyo lwavumela oogqirha kunye nezigulane ukuba zilandele izinga eliphakathi kweeshukela legazi, ukunika ingcaciso ecacileyo malunga nokuba unyango lusebenza njani.
- Kwakhona ngowe-1979, umpompo wokuqala we-insulin wawusungulwa, kodwa kwakungekho nto eyenzekayo kubantu abaninzi ngenxa yobukhulu bawo, okwakudinga ukuba uqhutywe ngapha nangapha. Namhlanje amaphampu ngamapompo aphakathi nobukhulu bekhadi lamakhadi.
- Ngama-1980 kunye nee-1990, iinjineli zezofuzo zenza iindidi ezintsha ze-insulin ukuba zithathe indawo yengulube okanye i-insulin yenkomo eyayiyonyango eliqhelekileyo kude kube ngoko. Ezi "i-monocomponent" i-insulin zazibhekwa njengezona ziphezulu kuneentlobo zangaphambili, kuba zazikwazi ukulinganisa i-insulin yabantu.
- Kwiminyaka ye-1980 kunye neye-1990, i-insulin e-short-acting-short-acting. Ezi zinokuthi zijojowe nje imizuzu engama-15 ngaphambi kokutya, kunika abo babasebenzisa inkululeko enkulu ngexesha lokutya kwabo.
- Ngama-1990, abantu abanesifo sikashukela se-2 bafumana amandla ngokuvunywa kwe-metformin, isilwanyana esisetyenziselwa ukunyanga ukuxhatshazwa kwe-insulin. Esi sidakamizwa sineenzuzo ezongezelelweyo, ezifana nezishukela eziphantsi kwegazi, ezinqabile kakhulu, kwaye le nkunkuma inceda ukukhusela isifo senhliziyo. Kwiimeko ezinqabileyo, le nkunkuma ingabangela imeko ebalulekileyo, esongela ubomi ebizwa ngokuthi i-lactic acidosis.
- Ekuqaleni kweli nkulungwane, i-insulin entsha eyenziwa ixesha elide yabizwa ngokuthi i- glargine . Le insulini inomsebenzi weeyure ezingama-24, kodwa akukho ziqithi kunye neendlambo, okwenza ulawulo oluninzi olusishukela egazini lunokwenzeka kwabanye.
Uphuhliso lweSifo sikashukela kwiCandelo loLawulo lweSifo sikashukela kunye noLuhlu lweZingxaki
Mhlawumbi enkulu yophuhliso lwesifo sikashukela kwiminyaka emininzi edluleyo yayisisigxina soLawulo lweNtsholongwane kaGawulayo kunye neengxaki eziqala ngowe-1983 kwaye zadlulayo iminyaka eyi-10.
Kwakuyixesha lokuqala abaphandi abanako ukuqinisekisa ulwalamano phakathi kwamanqanaba eshukela legazi kunye nophuhliso lweengxaki zesifo sikashukela. Oku kuqondwa kuye kwakha isiseko sophando olukhoyo kunye oluqhubekayo olujoliswe ekufumaneni iindlela zokuncedisa ukunciphisa inani labantu abanobunzima be-diabetes.
Abo banomdla wokufunda ngakumbi malunga nenkqubela phambili yokunyamekela isifo sikashukela banokuphulaphula abantu abanesifo sikashukela baxelele amabali abo kwiwebhusayithi yeendaba zeSifo seSabetes, iprojekthi ye-Great Britain ye-Oxford Centre yeSifo sikashukela, i-Endocrinology kunye ne-Metabolism.
Ithemba Elongezelelweyo Ngexesha Elizayo Kwi-Diabetes
Ngo-2006, urhulumente wase-US wasebenzisa i-1.1 1.1 yezigidi ze-diabetes zophando.
Imibutho kunye neziseko ezifana ne-Juvenile Research Diabetes Foundation kunye ne-American Diabetes Association nazo zizinike imali kunye nezibonelelo zophando. Umsebenzi okwangoku uhamba nesithembiso esikhulu sokufumanisa unyango olutsha kunye nophuculo olwenziwe ngolu hlobo.
Amacandelo athile abaphandi abahlolayo abandakanya oku kulandelayo:
- Ukuthintela, ukufumanisa kwangaphambili kunye nokungenelela kwangaphambili
- Islet cell transplantation
- I-Immunology kunye ne-immunogenetics ekuncedeni ukuchonga ingozi kunye nokunyanga okutsha
- Iinkonzo ezintsha zokuthintela umonakalo we-vascular and cardiac
- I-glucose yamitha eqhubekayo ukunciphisa isidingo sokuba amaninzi amanqatha amanyathelo ukuvavanya amazinga eshukela egazi
- Iimitha ze-glucose ezifakelwayo kunye neepompo ezifakekayo
Qhubeka uphendla ngokutsha ngophando ngokuvakashela i-website ye-American Diabetes Association, enika iishwankathelo zophando lwangoku kwi-diabetes kunye neemeko ezihambelanayo.
Imithombo:
"Uphando lweSwekile." IMedTV.com. 2006, Clinaero, Inc. 22 Septemba 2007.
Iindaba ZeSwekile: IiNdaba Zobuntu Zesifo Sikashukela Ngokudlulileyo Kweminyaka. "I-Oxford Centre yeSifo sikashukela, i-Endocrinology ne-Metabolism. 2005 Imbali yomlomo weSifo sikashukela. 21 Septemba 2007.
Einhorn, D. "Intuthuko kwiSifo sikashukela seMillennium: Ukwelashwa kwe-insulin kunye nokuGada kweGlucose." Medscape.com. 2004. iMedscape. 21 Septemba 2007. (ubhaliso).
"Imbali yesifo sikashukela." 2005. 22 Septemba 2007.
Irbina, I. "Ukunyuka kwesifo sikashukela seNtsholongwane kubandakanya uhlahlo lwabiwo-mali." NYtimes.com. 2006. I-New York Times. 22 Septemba 2007.
I-Kalayoglu, M. "I-Laser Photocoagulation Systems kwi-Retinopathy ye-Diabetes kunye nezinye izifo ezibangelwa yi-Retinal Disorders." Medcompare.com. 2007. Cinga. 21 Septemba 2007.
Metformin. Medscape.com. 2007. iMedscape. 6 Oktobha 2007.
Satley, M. "Imbali yesifo sikashukela." I-DiabetesHealth.com. 1996. 21 Septemba 2007.
"Izigaba zoPhando zeJoslin." I-Joslin Diabetes Centre. 2007. Joslin.org. 22 Septemba 2007.