Kunzima Ukulawula Uhlobo Lwe-1 lweSwekile
I-Brittle yeswekile, ebizwa ngokuba yi-labile yesifo sikashukela, ligama elisetyenziselwa ukuchaza uhlobo olunzima lokulawula isifo sikashukela. Abantu abanesifo sikashukela esidla ubomi besifo sikasifo sikashukela banamava amaninzi kumanqanaba eshukela egazi (i-glucose) angakwazi ukuhamba ngokukhawuleza kakhulu (hyperglycemia) ukuya ngaphantsi (u-hypoglycemia) okanye ngokuphambene. .
Ezinye iimeko eziphathelele kwi-Brittle Diabetes
I-Brittle yesifo sikashukela sinokubangelwa ukuxinzezeleka kwengqondo (kuquka ukuxinezeleka nokuxinezeleka), ukuphazamiseka kokutya, iingxaki zokuxhamla esiswini, kubandakanywa nesisu esilumkileyo (gastroparesis), izifo zeCeliac, ukusebenzisana kwezidakamizwa , iingxaki zokuxhatshazwa kwe-insulin, okanye ukungasebenzi kwe-hormonal.
Abantu abanezinga eliphezulu lokushukela egazini banokuba neengxaki kunye ne-thyroid (hypothyroidism) kunye neengxaki ze-adrenal (ukungazi kakuhle kwe-adrenal). Ukunyangwa kwezi meko kunokukhokelela kwisisombululo sesifo sikashukela.
Ukwahluke phakathi kweBrithtle kunye nesifo sikashukela
Amanqanaba eshukela egazini abantu abanesifo sikashukela esomeleleyo sinokutshintsha ngezinye izihlandlo. Nangona kunjalo, ezi ziguquko azikho rhoqo kwaye-ngokungafani nesifo sikashukela-asinakuchaphazela ukukwazi ukwenza imisebenzi eqhelekileyo yokuphila kwansuku zonke.
Ngubani Ofumana I-Brittle Diabetes kwaye Kutheni?
I-Brittle yesifo sikashukela ayiqhelekanga. NgokweSizwe seZiko lezeMpilo (NIH), kuphela inani elincinci labantu abanesifo seswekile bafumana ama-glucose aguquka igazi echazwa ngokuthi "brittle." Kuchaphazela abantu abaxhomekeke ku-3/1000 abantu abanesifo sikashukela, ikakhulukazi abasetyhini abasetyhini, kunye nabasetyhini abangaphezu kwamandla amaninzi kunokuba banokuchaphazeleka. Uninzi lwabantu abanesifo sikashukela esidla isifo sikashukela sinokuba phakathi kweminyaka eyi-15 no-30.
Ukongezelela, abantu abaneengxaki zengqondo, ezifana nokuxinezeleka kunye nokudakumba, basengozini enkulu yokufumana isifo sikashukela. Kwezinye iimeko, ezi ngxaki zengqondo zibakhokelela ekunakekeleni ukunakekelwa kwabo ngesifo sikashukela. Ngokomzekelo, banokuyeka ukugcina ukutya okunempilo okanye abanakho ukulawula iswekile yegazi.
Njengoko ukulawulwa kweshukela kwegazi kuhamba, ukungalingani kwamathambo kuqhubeka kunzima kwaye kudla ngokugqithiseleyo iingxaki zeengqondo, kubangela ukuba umjikelezo wokuphindaphinda wesifo sikashukela.
Esinye isifundo esincinci sibonisa ukuba abantu abanesifo sikashukela abanesifo sikashukela banokumelana nokunyamezela kwe-hormone kunokuba abo abanesifo sikashukela bangabonakali. Olu xhumo lwe-psychological-hormonal lungathonya ukuphuhliswa kwesifo sikashukela.
I-Brittle Diabetes kunye neNtsapho
Umntu onesifo sikashukela esidla ngesifo sikashukela uhlala esibhedlele, ulahlekelwa umsebenzi kwaye ngokusoloko ufanele ahlangabezane neengxaki zengqondo. Zonke ezi zinto zibeka ukongeza uxinzelelo lwemvakalelo kunye nemali kwintsapho.
Yintoni Ongayenza Ukuba Wena okanye Lowo Uthandayo Unayo I-Brittle Diabetes?
Ukuchonga nokulungisa iingxaki ezisemgangathweni, nokuba ngaba umzimba okanye ngokwengqondo, kubalulekile ekuphatheni isifo sikashukela. Ukuhlolwa kwegazi kunokunceda ukuqonda isizathu sokungazinzi kwe-glucose . Ukuba i- glucose yegazi isabela ngokuqhelekileyo kwisifo sikashukela kwindawo elawulwayo (njengokwisigulane esibhedlele), ngoko umntu kufuneka abheke izizathu ezingqongileyo, ezengqondo okanye zokuziphatha.
Nangona kunokuthi kubekho inkcazo yemvelo yesifo sikashukela, leyo yinto enye yokukwazi ukuziphatha / ukuchazwa kwendalo, kunye nokufumanisa imbangela yengqondo yesifo sikasifo sikashukela sinokuba yinkqubo eninzi kwaye inzima.
Ukuba isizathu sizimisele ukuba yingqondo, unyango lunokubandakanya ukuhlolisisa nokuzama ukunciphisa uxinzelelo lwengxaki yomntu. Kunceda ukubonisana neengcali zengqondo ekuhloliseni nasekuphatheni izi gulane. I-Psychotherapy iboniswe ukuba isebenze ekuphatheni isifo seswekile.
Ngamanye amaxesha izigulane ezinesifo sikashukela ngesifo sikashukela zingadluliselwa kwiqela elikhathazayo le-diabetes okanye isikhungo sokuqalisa ukulawula isifo sikashukela. Ukutshintshela kwiziko elikhethekileyo lesifo sikashukela ngamanye amaxesha kunokunceda ukuphula umjikelezo wesifo sikashukela.
Ukunyangwa kwesifo sikashukela ngesifo esithile sikashukela ngesinye isikhathi sidinga ukuhlala esibhedlele ixesha elide kunye nokubeka iliso olunzulu lokutya, i-glucose kunye ne-insulin.
Ingcaciso Eyona Ngakumbi Unayo Ingcono
Ingcaciso eyongezelelekileyo enokuphathelele ushukela wegazi ulungele ukulawula iyeza zakho kunye nokunciphisa ukujikeleza kwegazi kwi-glucose. Kubantu abaninzi abanesifo sikashukela se-type 1, oku kunokuthetha ukugqoka i-glucose monitor kunye nokusebenzisa ipompo ye-insulin.
Abagadi beglucose abaqhubekayo banokukunceda ukuba uqaphele xa ushukela wakho wegazi lihla okanye uphosa ukuze uthathe amanyathelo afanelekileyo ukuze ufumane ushukela.
Iimpompo ze-Insulin zingenza i-insulin ilandeleke ngakumbi. Zijolise ukugxilisa indlela i-pancreas esebenzayo yokusebenza ngayo: ukuhambisa i-insulin encinci yonke imini ukugubungela isidumbu se-insulin kunye nokuhambisa i-insulin emikhulu xa umntu edla i-carbohydrate yokutya. Ezi mpompo aziwenzili wonke umsebenzi kuwe, kufuneka usenako ukubala inani le-carbohydrates kwaye ulonge ishukela lakho legazi, kodwa xa lisetyenziswe ngokufanelekileyo, kunokusenza sikwazi ukulawula iimfuno ze-insulin ezingcono kuneentsholongwane ze-insulin.
Enye inketho, ukuba ufanelekile, mhlawumbi isettings plant transplantation. Islet transplantation ye-Islet, ngokukodwa i-allo-transplantation, isetyenziselwa ngokukhetha abantu abaninzi abanesifo sikashukela esine-1 abanenkinga enzima kakhulu yokulawula iishukela zabo zegazi okanye abanomdla obunzima bokungazi kakuhle kwe-hypoglycemia. Ukutshintshwa kwenziwa kuphela kwizibhedlele zophando lwezonyango eziye zavunywa yi-FDA.
Imithombo:
> McCulloch, uDavid K. "Umonde weBrittle Diabetes Mellitus." UpToDate.com. 2007. UpToDate. 18 Septemba 2007
> ISiko leSizwe lezeMpilo. I-Brittle yeswekile.
> Isizwe seSizwe seSifo sikashukela kunye neGestive and Kidney Disease. Isitishi sePancreatic Transplantation.
> I-Vantyghem MC, i-Press M. Izicwangciso zolawulo lwe-britlle yeswekile. Ann Endocrinol (Paris). 2006 Sep; 67 (4): 287-96.