Indlela yokwazisa iziganeko zohlobo lwe-1 kunye nohlobo lwe-2 lweswekile kwi-Kids
Ngaba unako ukoma okwedlulele komntwana, okanye ezinye iimpawu zibe ngumqondiso wesifo sikashukela? Ziziphi iimpawu ozifunayo ukuze wazi njengomzali kwaye kufuneka ubizele nini unogqirha wezingane?
Isifo sikashukela kubantwana
Abazali bahlala bexhalabele ngesifo sikashukela, kodwa baninzi banenkxalabo malunga nohlobo lwesifo sikashukela-uhlobo oluvakalayo ebuntwaneni kwaye lufuna unyango nge-insulin shots.
Uhlobo lwesifo sikashukela, nangona kunjalo, ngokwenene, luhlobo oluthile oluqhelekileyo lwesifo sikashukela, oluchaphazela iipesenti ezihlanu kuphela zabantu abanesifo. Uhlobo lwe-2 lweswekile, oluye lusetyenziswa ukucingelwa ngokuthi "isifo sikashukela" sabantu abadala. Enyanisweni, ngokunyuka ekutheni ukukhula komntwana-ingozi enkulu kubantwana bezonyango ngoku bajonga ngentsholongwane uhlobo lwesifo sikashukela kwintsholongwane kunye nokuzikhusela.
Iimpawu zeSwekile kwiBantwana
Abazali abaninzi bazisa abantwana babo ukuvavanya isifo sikashukela kuba bahlala bevutha kwaye banxanxwa. Ingxaki kuphela kukuba abantwana abaninzi, ikakhulukazi abaselula kunye nabantwana besikolo sokufunda baya kucela kwaye baphuze i juice nje ngokuba ubavumela ukuba bafumane, nangona bengazange banxanwe. Yaye ukuba bayaphuza i-juice eninzi, baya kuhamba amaninzi.
Yingakho abantwana abaya kubantwana babo kunye nezo zibonakaliso ngokuqhelekileyo abapheli ngesifo sikashukela.
Ezi zibonakaliso zemibuzo yesifo sikashukela sinokukunceda ukuba ugqibe ukuba ngaba ugqirha ungasimfuneko.
Uhlobo I-Diabetes Symptoms
Iimpawu zoluhlobo lwesifo sikashukela, oluvame ukukhula ngexesha elifutshane (iintsuku ukuya kwiiveki) ziquka rhoqo:
- Ukuvuthwa rhoqo (polyuria)
- Ukuba unxaniwe okanye usela kakhulu (i-polydipsia)
Amathuba akhula xa ungeze ezinye iimpawu zesifo sikashukela, njengale:
- Ukutya okuninzi okanye ukulamba kakhulu (i-polyphagia)
- Ukulahleka kwesisindo esingavamile
- Ukukhathala okukhulu
- Ukutshatyalaliswa
- Umbono ongezantsi
Ukulahleka kwesisindo kubaluleke kakhulu uphawu lwebhanki olubomvu lwe-type 1 yeswekile. Ukuba umntwana unempawu zeklasi zesifo sikashukela ezinjengokuvuthwa rhoqo, ukwanda ukoma, kunye nokulahleka kwesisindo, ke umntwana wezingane uza kukhankanya isifo sikashukela nangaphambi kokuba uvavanyo lwe-urinalysis okanye uvavanyo lweshukela lwegazi lugqitywe. Ngakolunye uhlangothi, ukuba umntwana unezinye iimpawu zesifo sikashukela ngaphandle kokulahleka kwesisindo, kubalulekile ukwenza le mvavanyo, kodwa ithuba lokuba isifo sikashukela siya kufumaneka kakhulu. Kukho nawuphi na umlinganiselo, unganqikazi ukubona udokotela wakho wezilwanyana ukuba ucinga ukuba umntwana wakho unakho naziphi iimpawu zesifo sikashukela.
Kwakhona khumbula ukuba xa abantwana behlala bevuthwa kunye nesifo sikashukela, ngokuqhelekileyo kubakho umthamo omkhulu umlambo ngalunye. Abantwana abafanele bavuthwe rhoqo, kodwa balahleke kuphela inani elincinci ngexesha ngalinye, mhlawumbi banesinye isizathu kunesifo sikashukela, ingakumbi ukuba abanayo impawu ye-diabetes. (Kubalulekile ukuba ubone ugqirha wezilwanyana njengeemeko ezifana nokusuleleka kumathambo kungabangela uphawu.)
Uhlobo lweSibini lwesifo sikashukela
Ngelishwa, abantwana abanesifo sikashukela se-2 bangenayo impawu nantoni na, enokubangela ukuba kunzima ukuxilongwa kwangaphambili.
Uninzi lweempawu ze-2 zesifo sikashukela zibonakalisa impawu zexesha elide , ezikhula kancane kancane, emva kweminyaka emininzi yokuba nesifo sikashukela. Le miqondiso kunye neempawu zingabandakanya:
- Iimpawu ze-1 zesifo sikashukela, kuquka ukucoka rhoqo, ukwanda ukoma, ukulahleka kwesisindo, kunye nokulamba kakhulu
- Ukusulela rhoqo
- Umngcipheko wokwanda kweentsholongwane - Ngokomzekelo, ukubamba iipilisi kubonakala lula kakhulu
- Ukunyuka kunye nemivimbo epholisa ngokukhawuleza
- Umbono ogqityiweyo (uphawu olubonakalayo lwe-retinopathy ngenxa yesifo sikashukela)
- Ukukhathala
- Ubungqina okanye ukubetha kwezandla kunye neenyawo (iimpawu zesifo seswekile se-peripheral neuropathy)
Ngenxa yokuba abantwana abanesifo sikashukela se-2 bangenayo nayiphi na impawu zesifo sikashukela, abazali kunye nabazali kufanele bafune ezinye iimpawu kunye nemingcipheko ye-type 2 yeswekile.
Ezi zingabandakanya ukugqithisa kakhulu, nokuba ne-acanthosis nigricans (indawo yesikhumba ebumnyama-ngokuqhelekileyo emva kwentamo yomntwana) okanye i-striae (amanqaku atyunayo), kunye nembali yentsapho enobomi be-diabetes ye-2. La bantwana abanobungozi basemgangathweni baze bahlolwe rhoqo ngesifo sikashukela, kubandakanywa uvavanyo lwe-hemoglobin A1C, uvavanyo olunika ukufundwa kwesilinganiso seeshukela ngegazi kwixesha leveki ukuya kwiinyanga.
Izifo kuBantwana abanesifo sikashukela
Abantwana abanesifo sikashukela se-1 nabo banokuba neempawu zentsholongwane, njengentsholongwane, ukukhwehlela, ukuhlanza, okanye umqala, ngenxa yokuba isifo sisifo esichukumisa ukuxilongwa.
Usulelo alubangela ukuba umntwana abe nesifo sikashukela, kodwa ngaphambi kokusuleleka-kungakhathaliseki ukuba ngumkhuhlane, isisu somhlaza okanye isifo sesisu-umntwana usenokukwazi ukusela amanzi amaninzi ukuze aqhubeke nokuchama, kodwa uwa emva emva kokugula. Oku kungakhokelela ekudambiseni amandla kunye nokugqithisa iimpawu, kwanokuqhubela phambili kwisifo sikashukela se-ketoacidosis, esinokuba yimeko engxamisekileyo yonyango.
Ulwazi olongezelelweyo malunga nolwazi lwesifo sikashukela
Kubalulekile ukwazi indlela yokubona iimpawu zesifo sikashukela njengoko abantwana abane-diabetes type 1 banokuphela kwisifo sikashukela xa ukuxilongwa kukulibaziseka kakhulu. Ngelishwa, ezinye iimpawu, ezifana nokunxanxwa kunye nokuvuthwa okuninzi, iimpawu ezingezizo eziqhelekileyo ezingabantwana abaninzi.
Ukongeza kokwazi iimpawu zesifo sikashukela, abazali kufuneka bazi ukuba:
- Phantse iipesenti ezili-10 zabantwana abanesifo sikashukela banokufakela i-1 diabetes.
- Iminyaka yobudala yokufunyaniswa ngesifo sikashukela se-1 iphakathi kweminyaka emihlanu neminyaka eyisixhenxe kwaye kwakhona kwakhona ekuqaleni kobuntwaba.
- Nangona i-genetics ingumngcipheko wokuphuhlisa uhlobo lwesifo sikashukela, njengokuba umngcipheko malunga neepesenti ezimbini ukuba unina womntwana unesifo seswekile nesineesenti ezisixhenxe ukuba uyise unesifo sikashukela, iipesenti ezingama-85 zezingane (ininzi) kunye nohlobo lwe-1 lweswekile akukho nentsapho yembali yesifo sikashukela.
- Ukulahleka kwesisindo kubantwana abanesifo sikashukela se-1 sinokubangelwa ukuphelelwa amandla kwamanzi (ukulahleka kwamanzi ngokucoca amaninzi) okanye ukulahlekelwa kwamathambo omzimba (ukulahleka kweekhalori kwishukela ekwandiseni umchamo womntwana) okanye kokubili.
- Uninzi lwabantwana abanesifo sikashukela se-2 banembali yentsapho yohlobo lwe-2 lweswekile.
- Ukukhwela ushukela akusiyo impawu yesifo sikashukela. Enyanisweni, abantwana abaneesifo seswekile baneshukela egazini labo.
- Ukusulelwa rhoqo kunye nokuqhawula kunye nokutyumla okupilise kancinci akuqhelekanga iimpawu zokuqala zesifo sikashukela, kodwa kunoko kunokuthi zibe neempawu zolu hlobo lwesifo sikashukela ukuba ukuvuthwa rhoqo, ukwanda ukoma, ukulahleka kwesisindo, kunye nokulala okukhulu kunakho.
Ngaphantsi kweMpawu zeSifo sikashukela kubantwana
Ukuba umntwana wakho ubonisa naziphi na iimpawu ezikhankanywe ngasentla, kubalulekile ukuthetha nodokotela wakho. Uninzi lwale mpawu, nangona ingahambelani nesifo sikashukela, kufuneka iqwalaselwe yidokotela wezilwanyana njengoko inokubangela ezinye iimeko zonyango ezibalulekileyo ngokunjalo. Njengesikhumbuzi sokugqibela, kubalulekile ukuba uqaphele ukuba abantwana ababona "nje abantu abadala" kwaye bahlala bephethe iimpawu ezikhethekileyo eziphathelene nokugula. Ukuba uvakalelwa nantoni na engalungile kumntwana wakho, nangona ungeke ukwazi ukuchaza ngokuchanekileyo ukuba yiyiphi into, kholosa isiza sakho njengomzali kwaye ubize okanye wenze i-aphoyintimenti ukuze ubone ugqirha wezilwanyana.
Imithombo
- UKliegman, uRobert M., uBonita Stanton, uSt Geme III uJoseph W., uNine Felice. Schor, uRichard E. Behrman, kunye noWaldo E. Nelson. Ncwadana yeeNzululwazi. 20 Edition. Philadelphia, PA: Elsevier, 2015. Print.
- Pociot, F., kunye no-A. Lernmark. Izinto Zeengcipheko Ze-Genetic ze-Type 1 Diabetes. Lancet . 2016. 387 (10035): 2331-9.