I-CFRD i-Pancreas Isebenza ngokufanelekileyo
Isifo sikashukela sinengxaki eqhelekileyo eqhubekayo ngexesha labantu abaninzi abane- cystic fibrosis (CF). Enyanisweni, abaninzi abantu abadala abahlala neCF banomlinganiselo othile wesifo sikashukela okanye ukunganyanzeliseki kwe-glucose . Isifo sikashukela se-Cystic fibrosis (i-CFRD) yinto ekhethekileyo yesifo sikashukela esinokuphela kwabantu abane-cystic fibrosis. I-CFRD iyafana, kodwa ayifani, isifo sikashukela kubantu abangenayo i-cystic fibrosis.
Ngenxa yoko, unyango lweCFRD alufani nonyango lwezinye iintlobo zesifo sikashukela.
Sibonisa ngokubanzi iSifo sikashukela
Ngokuqhelekileyo, inkqubo yokutya iguqula enye yokutya esiyidlayo kwishukela. Ushukela, obizwa ngokuba yi-glucose, ungena kwigazi. Amanqanaba aphezulu e-glucose egazini enza ukuba i-pancreas idibanise i-hormone ebizwa ngokuba yi- insulin , eyanceda ukuthwala i-glucose egazini ukuya kwiiseli zomzimba. Kubantu abanesifo sikashukela, le nkqubo ayisebenzi kakuhle kwaye i-glucose ihlala egazini. Ukuba ishiywe ingaphendulwanga, isifo sikashukela sinokulimaza ngonaphakade amehlo, izintso, intliziyo kunye nenkqubo yesifo.
Kubantu abangenayo i-cystic fibrosis, kukho iintlobo ezimbini zesifo sikashukela esingapheliyo:
Uhlobo lwe-1 lweswekile: Olu hlobo lwesifo sikashukela, oluvame ukufunyanwa ebuntwaneni, lwenzeka xa i-pancreas ingavelisi ngokwaneleyo i-insulin, imeko eyaziwa njenge-insulin. Ngokungafani nesifo sikashukela se-2, uhlobo lwesifo sikashukela se-1 yisimo esizenzekelayo.
Ngenxa yezi mpawu, uhlobo lwe-1 lwe-diabetes elisetyenziselwa ukuba luthiwa "kuxhomekeke kwi-insulin" okanye "i-juvenile iqala isifo sikashukela." Abantu abanesifo sikashukela se-1 kufuneka bathathe i-insulin shots imihla ngemihla yobomi babo okanye babe nohlobo olusongela ubomi olubizwa ngokuba yi- ketoacidosis .
Uhlobo lwe-2 lweswekile : Olu hlobo lwesifo sikashukela, oludla ngokuba lukhulile, luya kwenzeka xa i-pancreas ivelisa i-insulin eyaneleyo, kodwa umzimba awuphendulanga kakuhle kwi-insulin ngokufanelekileyo, imeko eyaziwa ngokuba yi-insulin ukumelana.
Ngenxa yezi mpawu, Uhlobo lwe-2 lwe-diabetes elisetyenziselwa ukubizwa ngokuthi "umxhomekeke kwi-noninsulin" okanye "isifo sikashukela sabantu abadala." Ekuqaleni, abantu abanentsholongwane yesifo sikashukela badla ngokungafuneki ukuthatha i-insulin shots. Kunoko, bathabatha iipilisi ezinceda imizimba yabo isebenzise i-insulin ebenayo kakade. Nangona kunjalo, abantu abahlala ixesha elide ngokwanelo lwesifo sikashukela ekugqibeleni badinga ukuthatha i-insulin shots.
Indlela i-CRFD eyahlukileyo ngayo
Isifo sikashukela kubantu abane-cystic fibrosis sidibanisa iimpawu zombini uhlobo lwesibini kunye nohlobo lwesibini lweswekile. Ukwakhiwa kwezicaka ezinqamlekileyo kwi-pancreas ekugqibeleni kubonakalisa iiseli ezivelisa ihomoni, kubangele ukungabikho kwe-insulin. Oku kufana nokufana nesifo sikashukela se-type 1, kodwa akuyona into efanayo kuba ayifuni ebuntwaneni, kodwa ekudala, kwaye kubangelwa umonakalo kwi-pancreas esetyenziselwa ukuvelisa i-insulin ngokuqhelekileyo.
Ukongeza kwintlupheko ye-insulin, abantu abane-cystic fibrosis bavame ukuphefumula ngenxa yokunyanzelwa kwe-insulin ngenxa yezi zinto zilandelayo:
- izifo ezingapheliyo;
- Amazinga aphezulu e-cortisol, i-hormone eyenziwa ngumzimba ekuphenduleni uxinzelelo;
- ukuvama rhoqo kwii- corticosteroids , ezinokusetyenziswa kwezidakamizwa ezichasayo ngamanye amaxesha zisetyenziselwa unyango lweemeko zemiphunga ezilingisa isenzo se-cortisol;
Iimpawu
Iimpawu zeCFRD zifana neempawu zezinye iintlobo zesifo sikashukela:
- ukoma okunzulu
- ukuvuthwa rhoqo
- ukhathala ngokweqile
- ukulahleka kwesisindo esingachazwanga
Ingxaki kukuba zonke ezi zibonakaliso zivela kubantu abane-cystic fibrosis, nokuba ngaba abanayo i-CFRD okanye abanayo. Oku kuqhubeka kwenza ukuba iCFRD ibe yinkqubela phambili.
Ukuxilongwa
Ngenxa yokuba iimpawu ze-CRFD zingabonakali kwiinqanaba zokuqala zesi sifo, i-Cystic Fibrosis Foundation incoma rhoqo ukuhlolwa kwesifo sikashukela okungenani kanye ngonyaka ngenxa yezigulane ezi-14 ubudala nangaphezulu. I-CFRD ifunyaniswa yiimvavanyo zegazi ezibona amanqanaba e-glucose egazini.
Unyango
I-CFRD idla ngokuphathwa kunye nenhlanganisela ye-insulin, ukuzivocavoca kunye nokutya. Ukutya kubantu abano-CFRD kwahluke kwidlo yokutya okukhawulelwe ngokukhawuleza ngokubhekiselele kubantu abaneentlobo zesifo sikashukela. Nangona bafumana isifo sikashukela, abantu abane-CF kufuneka balondoloze i-calori ephezulu, ukutya okunamafutha amaninzi kwaye bahlawule ngokulungisa i-insulin. Ukuba unayo i-CFRD, kuya kufuneka usebenze ngokusondeleyo kunye nodokotela wakho kunye nesondlo sokutya ukuze uphuhlise isicwangciso sonyango esisebenza kakuhle kuwe.
Umthombo:
Hardin, D., et al. 2002. "Ukulawula i-Cystic Fibrosis-Related Related Diabetes (CFRD)". Udidi lwesithathu. Foundation Cystic Fibrosis. 04 Oktobha 2008