Isifo sikashukela yisifo esiyingozi. Odokotela bayabetha i-alamu - izingane eziningi zigula ngesifo sikashukela. Esikhathini sokuqala sesifo sikashukela kunzima ukuxilonga. Abazali bavame ukudideka izimpawu zakhe ngezinye izifo futhi ungaphenduki kudokotela ngesikhathi. Ukuxilongwa ngesikhathi esifanele nokwelashwa kwesifo sikashukela ezinganeni kukhulisa kakhulu amathuba okuba nomphumela ophumelelayo. Yiziphi abazali abavame ukukhathazeka?
Ingabe izinsana ziphethwe yisifo sikashukela? Isifo sikashukela sibonakala ngezinga eliphakeme likashukela egazini. Futhi lezi zinkinga zihlobene nokuntuleka noma ukungabi khona okuphelele kwe-insulin. Nakuba i-diabetes mellitus ingatholakaliswa lapho isencane, izingane ezincane ezincane kakhulu ziyisifo sikashukela. Kodwa-ke, asebekhulile izingane, ngokuvamile kutholakala ukuxilongwa okuphawulekayo.
Yiziphi izimpawu abazali okufanele bazikhathalele ngazo? Isibonakaliso esibonakala kakhulu sesifo sikashukela yilapho ingane iqala ukuzwa ukoma ngaso sonke isikhathi. Ngakho-ke, uphuza okuningi. Ngemva kokuphuza indebe yesiphuzo, cishe masinyane ufuna ukuphuza futhi. Umzimba uqala ukukhiqiza umchamo obanzi kakhulu (futhi kaningi) kunokujwayelekile. Uma ingane ithwala i-diapers etholakalayo, umama uyabona ukuthi ayesindayo kakhulu. Esinye isibonakaliso sinciphile emisebenzini. Emaceleni omlomo ngezinye izikhathi kunezinyosi, ezifana nesifo sekhanda elimangalisa kanye nesikhumba samakona omlomo. Lesi sibonakaliso ngezinye izikhathi sidideka nesifo. Ingane ithola ama-antibiotics, okuyiqiniso, akusizi. Nokho, ingane izwa kabi, ukuhlanza kwenzeka. Ngenxa yalokho, izingane zingena esibhedlela ngesimo esibi kakhulu. Uma isifo sikashukela singabonakali ngokuhamba kwesikhathi, singakwazi, ngeshwa, siholele ku-coma.
Iyini imbangela yalesi sifo? Izingane ngokuvamile zihlushwa yi-so-called okuthiwa uhlobo lwe-diabetes, uhlobo lwe-insulini. Lesi yisifo esizimele, esisekelwe ekuphutheni kwesistimu ye-immune system. I-pancreas ngokuvamile iqukethe amaseli e-beta akhiqiza i-insulin. Iphutha le-immune system ukuthi liqala ukuphatha amangqamuzana e-beta njengesitha, ngakho-ke ifuna ukuwabhubhisa. Amaseli e-Beta ayafa, ngakho-ke akunakwenzeka ukukhiqiza i-insulin emzimbeni.
Kungani umuntu edinga i-insulin? I-insulini iyi-hormone ephathekayo ekugcineni izinga lokushukela elivamile legazi. Iphinde ibambe iqhaza elibalulekile ekwakhiweni kwamandla, libandakanya ekusetshenzisweni kwamaprotheni, ama-carbohydrate namafutha. Ukuntuleka okuncane noma ukungabi khona kwe-insulini kuyingozi kakhulu ekuphileni. Ngoba imisipha yomzimba wonke namaseli ayitholi izakhi ezanele.
Ingabe isifo sikashukela singavinjelwa ukudla okunempilo kanye nendlela yokuphila enempilo? Ngeshwa, nge-1 st uhlobo lwesifo sikashukela, okuyinto izingane ezivame ukuhlupheka - cha. Lesi sifo (ngokungafani nohlobo lwesi-2) asihlangene nokuphila nokudla. Lokhu akukona ngenxa yokuthi ingane ibhekene nokukhuluphala noma ukuqina ngokweqile. Futhi ngaphezu kwalokho akuxhomeki enani lamaswidi adliwe. Ososayensi abazi ukuthi kungani ngesinye isikhathi amasosha omzimba wezingane ezincane aqala ukusebenza ngokungalungile. Mhlawumbe lokhu kubangelwa uhlobo oluthile lokutheleleka ngegciwane. Kodwa lokhu kuyi-hypothesis kuphela. Uma uhlobo lokuqala lwesifo sikashukela, abazali abakwazi ukwenza lutho, kodwa emandleni abo ukuvimbela isifo sikashukela sohlobo lwe-2. Ukubukeka kwayo kungathinta kakhulu ukukhuluphala, ukudla okungalungile nokuphila okuhlala phansi. Lokhu kusebenza nakakhulu kubantu abadala, ikakhulukazi labo abanesabelo sokufa.
Ukutholakala kwesifo sikashukela kulawulwa kanjani izingane? Kulula kakhulu: umchamo negazi lomntwana zihlaziywa. Ukutholakala ushukela emcimbini kanye negazi eliphakeme legazi lingabonisa isifo sikashukela. Uma udokotela wakho esolwa ngesifo sikashukela, ingane ikhonjelwa ukwelashwa.
Yini okufanele uyenze uma ingane yakho igula? Kungakapheli amasonto amabili ingane yakho izophathwa esibhedlela. Lokhu kuyadingeka ngoba ekuqaleni kudinga ukuhlolwa ngokucophelela ukuthola ukuthi ingakanani insulin edingekayo. Abazali bayofundiswa ukuthi bangalinganisa kanjani izinga lokushukela egazini lomntwana, indlela yokujova i-insulin (uma kudingeka), indlela yokuhlela ukudla. Konke lokhu kubaluleke kakhulu. Ukungahloniphi isimo sengqondo kungabangela u-hypoglycemia, ukulahlekelwa ulwazi.
Kungenzeka yini isifo sikashukela siphulukiswa? Odokotela abakwazi ukwelapha ngokuphelele isifo sikashukela. Kodwa ungayeki! Uma abazali kanye nengane belandela imiyalelo odokotela ngokwethembeka, bese-ke lesi sifo singaphila ngaphandle kwezinkinga. Njengomthetho, izingane ezinjalo ziya esikoleni, zifunde kahle, zingenza umsebenzi osebenzayo. Kodwa-ke, kusobala ukuthi okuningi kumele kushintshe empilweni. Abazali bavame ukuvuma ukuthi emva kokuxilongwa emndenini wabo kuqala impilo ehlukile. Ingane ithola injection izikhathi ezintathu ngosuku ngaphambi kokudla. Kufanele adle ngangokunokwenzeka ukuze izinga lokushukela egazini lwanele. Izikhathi eziningana phakathi nosuku, kubalulekile ukukala izinga leshukela egazini. Konke lokhu kufanele kwenziwe! Ngenxa yokuthi isifo sikashukela esiphathwa kabi eminyakeni embalwa siholela ezinkingeni ezinkulu, ikakhulukazi izinso. Futhi kungase kuholele ekumpumpheni.
Iyini ipompo ye-insulin? Le divayisi ingasiza kakhulu kubantu abanesifo sikashukela. Kulula kakhulu ukuphila kwabo. Ngenxa yepompo, umthamo we-insulin ungahlelwa kahle futhi uhlolwe ngokunembile. Ingane egulayo ngeke iphoqe izikhathi eziningana ngosuku ukuze imnike umthamo we-insulin. Uma usebenzisa i-insulin pump, umjovo wenziwa njalo ngezinsuku ezintathu. Ikhompiyutha ibeka ijubane le-insulini nokudla ukudla. Ngenxa yobuchwepheshe besimanje, ukwelashwa kwezingane kuba lula futhi kuphephile. Noma kunjalo, lokhu akugcini ingane kanye nabazali bokulawula ushukela wegazi kanye nomkhuba wokudla okunempilo.
Lapho uthola futhi uphatha isifo sikashukela ezinganeni, zonke izici zibalulekile. Lona ngumthwalo wemfanelo kanye nokunakekelwa kwabazali, othisha nabaontanga. Lona ikhono labodokotela kanye nemishini yezokwelapha yanamuhla. Lokhu kuqonda kwenkinga yengane. Kodwa isici esibaluleke kunazo zonke, njengoba njalo, uthando nothando olungathandeki. Ezwa ukushisa nokunakwa, ingane izobhekana nazo zonke izilingo, futhi izophila impilo egcwele. Kungenzeka ukuthi maduzane ososayensi bazothola ukuphathwa kwalesi sifo esibi.