Ulutho Lwe-Type 1 Diabetes Kumabantwana? Izimpawu, Izimbangela, & Ukwelashwa

I-Type 1 diabetes ezinganeni yisimo lapho i-pancreas iyeka ukwenza i-insulin, i-hormone esiza umzimba ukusebenzisa ushukela ngamandla. Lokhu kwenzeka lapho i-immune system ihlasela futhi ibhubhise amaseli akha i-insulin ngephutha. Ngokungafani ne-type 2 diabetes, evela kancane kancane, i-type 1 diabetes ivame ukuvela ngokuzumayo futhi idinga ukunakekelwa kwezokwelapha ngokushesha kanye nokuphathwa kwe-insulin okuphila konke.

Iyini i-Type 1 Diabetes?

I-Type 1 diabetes yisimo se-autoimmune esithinta indlela umzimba womntanakho uqapha ngayo ushukela wegazi (glucose). I-pancreas, isicubu esincane ngemuva kwesisu, inamaseli akhethekile okuthiwa ama-beta cells avame ukukhiqiza i-insulin. Ku-type 1 diabetes, i-immune system yomntanakho ihlonza la ma-beta cells njengabaphangi bangaphandle futhi iwabhubhise ngephutha.

Ngaphandle kwe-insulin, i-glucose ayikwazi ukungena emaseleni omntanakho ukunikeza amandla. Esikhundleni salokho, ushukela uyakha egazini, okuholela emazingeni aphezulu kakhulu eshukela egazini. Lesi simo kwakubizwa ngokuthi yi-juvenile diabetes ngoba sivame ukuvela ebuntwaneni, nakuba singavelela kunoma yimuphi ubudala.

I-Type 1 diabetes ihlukile ku-type 2 diabetes, evame kakhulu kubantu abadala futhi ihilela ukungaphathi kahle kwe-insulin kunokuntuleka okuphelele kwe-insulin. Abantwana abane-type 1 diabetes bazodinga ukugonywa kwe-insulin noma ipompo ye-insulin ukuphila kwabo konke ukuze baphile.

Ziyini Izimpawu Ze-Type 1 Diabetes?

Izimpawu ze-type 1 diabetes ezinganeni zivame ukuvela ngokushesha, ngezinye izikhathi ezinsukwini ezimbalwa noma ezemva. Njengomzali, ukuqaphela lezi zibonakaliso zokuqala kungakusiza ukuthola ukunakekelwa kwezokwelapha okudingekayo ngokushesha.

Nawa zimpawu ezivame kakhulu okumele uzibheke:

• Ukuthambisa okukhulu nokuphuma kwesisu njalo: Ingane yakho ingase iphuze amanzi amaningi kakhulu futhi idinge ukuya esikhumulweni njalo, kufaka phakathi ukuthambisa embhedeni ngemva kokuba ifundiswe ukuya esikhumulweni.
• Indlala enkulu: Naphezu kokudla ngokujwayelekile noma ngaphezu kokujwayelekile, ingane yakho ingase izizwe ilangazela njalo.
• Ukulahlekelwa isisindo okungachazeki: Ingane yakho ingase ilahlekelwe isisindo ngokushesha, ngisho noma idla kahle, njengoba umzimba wayo ungakwazi ukusebenzisa i-glucose njengamandla.
• Ukukhathala nobuthakathaka: Ingane yakho ingase ibonakale ikhathele kakhulu, iphephethe, noma ingabi namandla ayo ajwayelekile.
• Ukubona okuphazamisekile: I-glucose ephakeme yegazi ingabangela ukushintsha okwesikhashana ekuboneni, okwenza izinto zibonakale zifiphele noma azicaci.
• Ukuphuma komoya onukayo njengomkhiwane: Iphunga elimnandi, elifana nomkhiwane, emlonyeni wengane yakho lingabonisa inkinga enkulu ebizwa ngokuthi i-diabetic ketoacidosis.
• Ukuphefumula nokugabha: Ingane yakho ingase izizwe isisulu noma igabhe, ikakhulukazi uma i-ketoacidosis iqala.

Ezinye izingane zingase zibe nezinguquko zemoto, zibe nolaka kakhulu noma zibe nobunzima bokuqonda. Lezi zimpawu zenzeka ngoba ubuchopho bomzimba wazo abutholi amandla adingekayo e-glucose.

Yini ebangela i-Type 1 Diabetes?

I-Type 1 diabetes iqala lapho i-immune system yengane yakho yenza iphutha elikhulu. Esikhundleni sokuvikela umzimba kubaphangi ababi njengezifo nezitsha, iphendukela e-pancreas bese ibhubhisa amaseli e-beta akhiqiza i-insulin.

Ososayensi bakholelwa ukuthi izinto eziningi zisebenza ndawonye ukuqalisa le nqubo ye-autoimmune:

• Ukuthambekela ngokuzalwa: Amanye ama-jini enza abanye abantwana babe sengozini enkulu yokuthola isifo sikashukela sohlobo 1, nakuba ukuba nalezi zinhlobo zama-jini akusho ukuthi lesi simo sizophumelela.
• Izici zezimo ezingqongile: Ukutheleleka yi-viral, ikakhulukazi ama-enterovirus nama-coxsackievirus, kungase kuqalise inqubo ye-autoimmune kubantwana abanesizungu ngokuzalwa.
• Izici zezwe: Lesi simo sivame kakhulu ezindaweni ezithile, okubonisa ukuthi izici zezimo ezingqongile njengesimo sezulu, ukudla, noma ukubonisana nezifo ezithile kungase kudlale indima.
• Izindlela zesizini: Amanani okutholakala ehlala ekhuphuka ezinyangeni zokwehla kwelanga nebusika, asekele umbono wokuthi ukutheleleka yi-viral kungase kuqalise lesi simo.

Kubalulekile ukuqonda ukuthi isifo sikashukela sohlobo 1 asibiwa ukudla ushukela kakhulu, ukukhuluphala, noma noma iyiphi into umntanakho noma umndeni wakho eyenze. Lokhu kuyisimo se-autoimmune esiphumelela ngaphandle kokona komuntu ohilelekile.

Nakuba ukuba nelungu lomndeni elinesifo sikashukela sohlobo 1 kukhuphula kancane ingozi, abantwana abaningi abathuthukisa lesi simo abanalo umlando womndeni walo. Ingxenye ye-genetic iyinkimbinkimbi, ihilela ama-jini amaningi angahlanganyela kancane engcupheni iyonke.

Nini Okufanele Ubone Udokotela Ngesifo Sikashukela Sohlobo 1?

Kufanele uxhumane nodokotela womntanakho ngokushesha uma ubona noma iyiphi inhlanganisela yezimpawu zesifo sikashukela ezivamile. Ukuxilongwa kwasekuqaleni nokuphathwa kubalulekile ekuvimbeni izinkinga ezinzima nokusiza umntanakho azizwe ngcono ngokushesha.

Funani ukunakekelwa kwezokwelapha okusheshayo uma umntanakho ebonisa lezi zibonakaliso ze-diabetic ketoacidosis (DKA):

• Umoya onephunga leziqhamo
• Ukuphefumula okusheshayo, okujulile
• Isisu sobuhlungu
• Ukuhlanza nokugabha
• Ukuphefumula okusheshayo, okujulile
• Ulusu oluqabulayo, oluomile
• Ukudideka noma ukukhuluphala ekuhlaleni uphapheme

I-DKA yinkinga eyingozi eyingozi engase ibe khona uma umzimba uqala ukuqothula amanoni ukuze uthole amandla esikhundleni se-glucose. Lo mqondo udala izinto eziyingozi ebizwa ngokuthi ama-ketone aenza igazi libe nomswakama.

Ungalindi ukubona ukuthi izimpawu ziyathuthuka ngokwazo. Izimpawu zosukela oluhlobo lwe-1 ngokuvamile ziyaqhubeka ziba zimbi ngokushesha ngaphandle kokwelashwa, futhi ukunqanyulwa kokuxilongwa kungabangela izinkinga ezinzima noma ngisho nokoma.

Yini izimbangela zengozi zosukela oluhlobo lwe-1?

Ukuqonda izimbangela zengozi kungakusiza uhlale ulungile ezimpawu, kodwa khumbula ukuthi abantwana abaningi abathuthukisa ushukela oluhlobo lwe-1 abanazo izimbangela zengozi ezaziwayo. Lesi simo singathinta noma yimuphi umntwana, kungakhathaliseki impilo yakhe, ukudla, noma indlela yokuphila.

Nazi izimbangela zengozi ezaziwayo:

• Umlando womndeni: Ukuba nomzali, umfowethu, noma omunye umuntu osondelene naye onokusukela oluhlobo lwe-1 kukhuphula ingozi, yize iningi lezehlakalo liyenzeka emindenini engenamlando wosukela
• Iminyaka: Ngesikhathi ushukela oluhlobo lwe-1 lungathuthuka kunoma iyiphi iminyaka, ngokuvamile lubonakala phakathi kweminyaka engu-4-14, ngokwanda okukhulu ngesikhathi sokuvuthwa
• Ijubane kanye nesizwe: Lesi simo sivame kakhulu kubantu abavela eYurophu yaseNyakatho nasemazweni akude ne-equator
• Amanye amamaki e-genetic: Ukwahluka okukhethekile kwe-gene okuthiwa ama-HLA types kungandisa ukutholakala, yize ukuhlolwa kwe-genetic akuyona into evamile
• Ezinye izimo ze-autoimmune: Abantwana abanemizimba efana nesifo se-celiac noma isifo se-autoimmune thyroid banengozi encane ephakeme

Ezinye izimbangela zengozi ezingavamile zihlanganisa ukuboshwa nakanye nezifo ze-viral ngesikhathi sokukhulelwa noma ebuntwaneni. Kodwa-ke, le miqondiso isacwaningwa futhi ayimeli izimbangela zengozi ezilawuleka.

Kubalulekile ukukhumbula ukuthi ukuba nezici ezingozi akusho ukuthi ingane yakho izophuka isifo sikashukela sohlobo 1. Abantwana abaningi abanazo izici eziningi ezingozi abaphuli leli gciwane, kanti abanye abangenazo izici ezingozi ebonakalayo bayaphuka.

Ziyini Izingozi Ezingase Zenzeke Ngosifo Sikashukela Sohlobo 1?

Ngokuphathwa okuhle, abantwana abanesifo sikashukela sohlobo 1 bangaphila impilo egcwele, enempilo. Noma kunjalo, ukuqonda izingozi ezingase zenzeke kusiza ukuthi uqaphele izimpawu zexwayiso futhi kugcizelela ukubaluleka kokulawula kahle ushukela egazini.

Izingozi zesikhathi esifushane ezingase zenzeke ngokushesha zihlanganisa:

• I-Diabetic ketoacidosis (DKA): Isimo esingozi empilweni lapho umzimba ukhulula amazinga ayingozi e-ketones, okudinga ukwelashwa okusheshayo kwezimo eziphuthumayo
• Ushukela ophansi kakhulu wegazi (hypoglycemia): Ungabangela ukudideka, ukuhlushwa yizigwegwe, noma ukulahlekelwa uqaphelo uma ungaphathwa ngokushesha
• Ushukela ophezulu wegazi (hyperglycemia): Ungabangela ukuphelelwa amanzi emzimbeni, ukukhathala, nokukhuluphala kwengozi yokutheleleka

Izingozi zesikhathi eside ngokuvamile zenzeka eminyakeni eminingi yesifo sikashukela, ikakhulukazi uma amazinga okushukela egazini engalawulwa kahle:

• Isikhuthazo senhliziyo nezinso: Ushukela ophezulu wegazi isikhathi eside ungalimaza imithambo yegazi, okwandisa ingozi yezinkinga zenhliziyo kamuva ekuphileni
• Ukonakala kwesibindi (diabetic nephropathy): Isistimu yokucwecwa yesibindi ingalimazeka ngamazinga aphezulu okushukela egazini njalo
• Izinkinga zamehlo (diabetic retinopathy): Imithambo yegazi emehlweni ingalimazeka, okungase kuthonye ukubona
• Ukonakala kwama-nerve (diabetic neuropathy): Ushukela ophezulu wegazi ungalimaza ama-nerve, ikakhulukazi ezandleni nasezinzwani
• Ukutholakala kwesikhumba nezinye izifo: Ushukela ophezulu wegazi unganciphisa ikhono lomzimba lokulwa nezifo

Izindaba ezimnandi ukuthi ukugcina izinga lokushukela egazini lihle kunciphisa kakhulu ingozi yalezi zinkinga zesikhathi eside. Abantu abadala abaningi abathuthukise isifo sikashukela sohlobo lwe-1 besebantwaneni baphila impilo engenazinkinga ngenxa yamathuluzi nezinqubo zanamuhla zokuphatha isifo sikashukela.

Utholakala Kanjani Uhlangothi Lwe-1 Lwesifo Sikashukela?

Ukuxilongwa kwesifo sikashukela sohlobo lwe-1 ngokuvamile kuhilela ukuhlolwa kwegazi okuningi okuqapha amazinga okushukela egazini futhi kubukele abaphawuli abathile besimo. Udokotela womntanakho cishe uzoqala ngezivivinyo ezilula futhi angase ayekelele ezinye ukuqinisekisa ukuxilongwa.

Izivivinyo eziyinhloko zokuxilongwa zihlanganisa:

• Ukuhlolwa kokushukela egazini okungahleliwe: Izinga lokushukela egazini elingu-200 mg/dL (11.1 mmol/L) noma ngaphezulu, kanye nezimpawu, kusikisela isifo sikashukela
• Ukuhlolwa kokushukela egazini oluzila ukudla: Izinga elingu-126 mg/dL (7 mmol/L) noma ngaphezulu ngemuva kokuzila ukudla okungenani amahora angu-8 kubonisa isifo sikashukela
• Ukuhlolwa kwe-Hemoglobin A1C: Lolu hlolo lubonisa amazinga okushukela egazini ophakathi kwangaphambili kwezinyanga ezingu-2-3; izinga elingu-6.5% noma ngaphezulu lisikisela isifo sikashukela
• Ukuhlolwa kwe-Autoantibody: Lolu hlolo lwegazi lubukela ama-antibody ahlasela amaseli akhiqiza i-insulin, kusiza ukwahlukanisa uhlobo lwe-1 nohlobo lwe-2 lwesifo sikashukela
• Ukuhlolwa kwe-C-peptide: Lokhu kuqapha ukuthi i-pancreas yomntanakho isakhiqiza kangakanani i-insulin

Udokotela wakho angase futhi ahlole ama-ketone emanzini omzimba womntanakho noma egazini, ikakhulukazi uma izinga lokushukela egazini liphezulu kakhulu. Ukuba khona kwama-ketone kubonisa ukuthi umzimba uqhekeza amanoni ukuze uthole amandla ngoba awukwazi ukusebenzisa i-glucose kahle.

Kwezinye izimo, kungase kudingeke ukuhlolwa okuengeziwe ukuze kuvinjwe ezinye izimo noma ukuhlola izinkinga ezihlobene nesifo sikashukela. Lezi zingase zihlanganise ukuhlolwa kokusebenza kwesibindi, amazinga e-kolesterol, noma ukuhlolwa kokusebenza kwe-thyroid.

Iyini Ukwelashwa Kwesifo Sikashukela SoHlobo Lwe-1?

Ukwelapha isifo sikashukela sohlobo lwe-1 kugxile ekufakeni kabusha i-insulin esingasakwazi ukuyenza i-pancreas yengane yakho. Lokhu kudinga indlela ebanzi efaka ukwelashwa nge-insulin, ukuqapha ushukela wegazi, ukuhlela ukudla, kanye nomsebenzi womzimba ojwayelekile.

Izingxenye eziyinhloko zokwelapha zifaka:

• Ukwelashwa nge-insulin: Ingane yakho izodinga i-insulin yansuku zonke ngokuhlungwa noma ngepompo ye-insulin ukulawula amazinga eshukela egazini
• Ukuqapha ushukela wegazi: Ukuhlola njalo amazinga e-glucose egazini kusiza ukuqondisa ukunikezwa kwe-insulin nokubona izindlela
• Ukubala ama-carbohydrate: Ukufunda ukuhambisana nezinye ze-insulin ngenani lama-carbohydrate ingane yakho ekudla
• Umsebenzi womzimba ojwayelekile: Ukuzivocavoca kusiza umzimba ukusebenzisa i-insulin ngokuphumelelayo futhi kusekela impilo yonke
• Ukuqapha okuqhubekayo kwe-glucose (CGM): Idivayisi elandelela amazinga eshukela egazini usuku lonke nobusuku

I-insulin iza ngezinhlobo ezahlukene ezisebenza ngezikhathi ezahlukene nezikhathi. Abantwana abaningi badinga i-insulin esebenza isikhathi eside ukunikeza ukumbozwa okuyisisekelo ne-insulin esebenza ngokushesha ukumboza ukudla nezidlo.

Iqembu lokunakekela isifo sikashukela sengane yakho lizoqala nawe ukwakha uhlelo lokwelapha oluqondene nomuntu siqu. Leli qembu ngokuvamile lihlanganisa udokotela we-endocrinologist (ochwepheshe besifo sikashukela), umfundisi wesifo sikashukela, isazi sokudla, futhi ngezinye izikhathi umsebenzi wokuxhumana noma i-psychologist.

Amathuluzi okulawula isifo sikashukela esimanje enze ukwelapha kube lula kakhulu futhi kube nemiphumela emihle kunakuqala. Abantwana abaningi basebenzisa izipompo ze-insulin noma ama-monitor e-glucose aqhubekayo okwenza ukulawula isifo sikashukela kube lula futhi kube nemiphumela emihle.

Indlela Yokunikeza Ukwelapha Ekhaya Ngesikhathi Sesifo Sikashukela Sohlobo Lwe-1?

Ukuphatha isifo sikashukela sohlobo 1 somntwana wakho ekhaya kuhilela ukwakha amasiko nokufunda amakhono abe yinto yemvelo ngokuhamba kwesikhathi. Nakuba kungase kubonakale kukhulu ekuqaleni, imindeni eminingi iyalungisa kahle futhi ithola izindlela ezisebenzayo zokufaka ukunakekelwa kwesifo sikashukela empilweni yansuku zonke.

Izici ezibalulekile zokuphatha ekhaya zihlanganisa:

• Ukuqalisa amasiko okudla nokudla okuncane: Isikhathi esiqondile sisiza ukubikezela izidingo ze-insulin nokugcina amazinga e-shukela egazini aqinile
• Ukufunda ukuqaphela izimpawu zeshuga egazini ephansi: Izimpawu ezinjengokuzamazama, ukukhishwa, noma ukushintsha kwesimo sengqondo zidinga ukwelashwa ngokushesha nge-glucose esebenza ngokushesha
• Ukugcina izinto zokusiza eziphuthumayo zitholakala: Amathebulethi e-glucose, amabhokisi ejusi, nama-kits okuphuthumayo e-glucagon kufanele afinyeleleke kalula
• Ukugcina amarekhodi eningiliziwe: Ukulandelela i-shukela egazini, izilinganiso ze-insulin, ukudla, nemisebenzi kusiza ukubona izindlela nokuthuthukisa ukuphathwa
• Ukulungiselela izinsuku zokugula: Ukugula kungathinta i-shukela egazini ngokungalindelekile, kudingeka ukuqapha okuvamile nokwenza izinguquko ze-insulin

Ukuxhumana nesikole somntwana wakho kubalulekile ekuphatheni okuphephile kwesifo sikashukela ngesikhathi sesikole. Abahlengikazi besikole nabafundisi badinga ukuqonda izidingo zomntwana wakho, kufaka phakathi isikhathi sokudla, ukuhlola i-shukela egazini, nezinqubo zokuphuthuma.

Ukwakha indawo yasekhaya enesekelo kusho ukuhilela yonke imindeni ekuqondeni isifo sikashukela. Abazalwane namalungu omndeni kufanele bazi amaqiniso ayisisekelo ngesimo nokuthi bangasiza kanjani ngezikhathi zokuphuthuma.

Kufanele Uzilungiselele Kanjani Ukuya Udokotela?

Ukulungiselela izivivinyo zesifo sikashukela somntwana wakho kusiza ukuqinisekisa ukuthi uthola inzuzo enkulu ngesikhathi sakho neqembu lokunakekelwa kwezempilo. Ukulungiselela okuhle kuholela ezingxoxweni eziphumelelayo nasezinqumweni ezingcono zokuphathwa kwesifo sikashukela.

Ngaphambi kokubonisana, butha ulwazi olulandelayo:

• Imibhalo yeswekile yegazi: Letha ukufunda kwakamuva kweswekile yegazi, kufaka phakathi izinsuku, amahora, nanoma yimiphi imibhalo mayelana nezindlela ezingavamile
• Amarekhodi e-insulin: Bhala phansi amazinga e-insulin, izinhlobo, nesikhathi, kufaka phakathi noma yimaphi amazinga aphuthelwe noma ukulungiswa okwenzile
• Uhlu lwemithi yamanje: Faka zonke izidakamizwa ezinconywe, imithi yokuthengwa ngaphandle kwesikripthi, amavithamini, kanye nezinye izinto ezengeziwe
• Imibuzo nezinkathazo: Bhala phansi imibuzo ethile mayelana nokuphathwa, izinkinga zesikole, imisebenzi, noma noma yiziphi izinkinga ozibonile
• Imicimbi yakamuva: Qaphela noma yiziphi izifo, izinguquko zesheduli, noma izimo ezingavamile ezazihlukanisa ukulawulwa kweswekile yegazi

Lungiselela ingane yakho ngokubonisana ngalokho okuzokwenzeka futhi uyikhuthaze ukuba ibuze imibuzo yayo. Njengoba izingane zikhula, kufanele zithathe umthwalo wemfanelo wokukhulumisana neqembu labo lokunakekelwa kwezempilo.

Cabanga ngokuletha incwadi yokubhala phansi ulwazi olubalulekile, imiyalo emisha, noma izimpendulo zemibuzo yakho. Ukuphathwa kweswekile kuhilela imininingwane eminingi, futhi kulula ukukhohlwa amaphuzu abalulekile axoxwe ngesikhathi sokubonisana.

Iyini i-Key Takeaway Mayelana Neswekile I-Type 1?

Iswekile i-type 1 ezinganeni yisimo esinzima kodwa esilawuleka esidinga ukunakekelwa kwansuku zonke. Nakuba ukuxilongwa kungase kuzwakale kukhulu ekuqaleni, izingane ezineswekile i-type 1 zingabamba iqhaza kuyo yonke imisebenzi evamile yobunye babantwana futhi zikhule zibe nabuphila obuphelele, obuphilile.

Into ebaluleke kakhulu okumele uyikhumbule ukuthi iswekile i-type 1 akuyona iphutha lomuntu. Kuyisimo sokuhlukanisa komzimba esikhula ngokuhlanganiswa kwezinto zofuzo nezimo zokuphila ngaphandle kokulawulwa komuntu. Ngokwelashwa okufanele nokwesekwa, ingane yakho ingaphumelela naphezu kokuba neswekile.

Impumelelo ekuphatheni isifo sikashukela sohlobo lwe-1 ivela ekwakheni imikhuba emihle yansuku zonke, ukusebenzisana eduze neqembu lakho lokunakekelwa kwezempilo, nokugcina umbono omuhle. Ubuchwepheshe buyaqhubeka nokuthuthukisa izinketho zokuphatha isifo sikashukela, okwenza lesi simo sibe lula ukuphatha kunangaphambili.

Khumbula ukuthi awuwedwa kule ndlela. Amaqembu asekelayo esi-Diabetes, imiphakathi e-inthanethi, namaqembu okunakekelwa kwezempilo ayakuthola wena nengane yakho ukunqoba izinselele nokujabulela impumelelo endleleni.

Imibuzo Evame Ukubuzwa Mayelana Nesifo Sikashukela Sohlobo Lwe-1

Ingabe isifo sikashukela sohlobo lwe-1 singathintelwa?

Okwamanje, ayikho indlela eyiqiniso yokuvimbela isifo sikashukela sohlobo lwe-1. Njengoba kuyisimo sokuhlupheka komzimba esibangelwa ukuxubana kwezinto ezivela ezifundweni nasezindaweni ezingqongile, amasu okuvimbela asebenza kakhulu esifweni sikashukela sohlobo lwe-2 (njengokudla nokuzivocavoca) awasebenzi esifweni sikashukela sohlobo lwe-1. Abacwaningi bacwaninga izindlela zokuvimbela, kodwa azikho ezitholakalayo okwamanje zokusetshenziswa yibo bonke.

Ingane yami enesifo sikashukela sohlobo lwe-1 iyokwazi ukudlala imidlalo?

Yebo! Izingane ezinesifo sikashukela sohlobo lwe-1 zingabamba iqhaza kuwo wonke umdlalo kanye nemisebenzi yomzimba ngenhlelo efanele nokulawulwa kweswekile legazi. Abaningi abadlali abangochwepheshe banesifo sikashukela sohlobo lwe-1. Okubalulekile ukufunda ukuthi ukuzivocavoca kuchaphaza kanjani amazinga eswekile legazi nokulinganisa i-insulin nokudla ngokufanele. Iqembu lakho lokunakekelwa kwesifo sikashukela lingakusiza ukwakha amasu okubamba iqhaza emidlalweni ngokuphepha.

Ingane yami kufanele ihlole kangakanani iswekile legazi?

Izingane eziningi ezinesifo sikashukela sohlobo lwe-1 kudingeka zihlale zihlola iswekile legazi okungenani izikhathi ezine ngosuku: ngaphambi kwesidlo ngasinye nangaphambi kokulala. Kungenzeka kudingeke ukuhlola okwengeziwe ngaphambi nangemuva kokuzivocavoca, lapho uzizwa ungaphili kahle, noma uma kuvela izimpawu zeswekile legazi eliphezulu noma eliphansi. Amasiko okuqapha i-glucose ngokuqhubekayo anganciphisa inani lemivivolo yeminwe edingekayo ngenkathi enikeza ulwazi oluphelele ngeswekile legazi.

Ingane yami ingadla ushukela namaswidi enesifo sikashukela sohlobo lwe-1?

Yebo, abantwana abane-type 1 diabetes bangadla amaswidi nezinto ezimnandi njengengxenye yokudla okulondolozwe kahle. Ukuqonda ukubala ama-carbohydrate nokupha ama-insulin afanele ukuhlanganisa zonke izibiliboko, kuhlanganise ne-dessert kubalulekile. Akukho ukudla okuphelele okuvinjelwe, kodwa ukulinganisela nokuphathwa kahle kwe-insulin kubalulekile ekuqondiseni kahle i-shuga legazi.

Kufanele ngenzeni uma i-shuga legazi lengane yami iphansi kakhulu?

Ngokuhla kwe-shuga legazi okulinganiselwe (ngokuvamile ngaphansi kuka-70 mg/dL), nikeza ingane yakho amagremu angu-15 e-carbohydrate esebenza ngokushesha njenge-glucose tablets, ijusi, noma i-soda evamile. Linda imizuzu engu-15, bese uhlola kabusha i-shuga legazi. Uma isaphansi, phinda ukwelashwa. Uma i-shuga legazi ibuyele esimeni, nikeza ukudla okunamaprotheni nama-carbohydrate. Ngokuhla okukhulu kwe-shuga legazi lapho ingane yakho ingazi lutho noma ineziboshwa, sebenzisa imithi yokuphuthuma kwe-glucagon bese ubiza u-911 ngokushesha.