-Delile
- Siyini isifo sikashukela sohlobo 1 (Intsha)?
- Izimpawu ezingajwayelekile zokoma
- Izimpawu zokwehlisa isisindo
- Izinkinga zezinkinga zesikhumba
- Ezinye izimpawu nezimpawu eziyingozi
- Izimpawu zeKetoacidosis
- Uyini umehluko phakathi kohlobo 1 nohlobo 2 sikashukela?
- Yini Ebangela Uhlobo Lwesifo Sikashukela?
- Ngubani othola isifo sikashukela sohlobo 1?
- Thayipha ukutholakala kwesifo sikashukela sokuqala
- Izingozi zomfutho wegazi ophakeme
- Ukuqapha amazinga kashukela egazini
- Ukuqapha okuqhubekayo kwegazi glucose (CGM)
- Ukwelashwa nge-insulini
- Yenzani i-insulin?
- Imiphumela emibi ye-insulin
- Ukushaqeka kwe-insulini
- Ukwelashwa kwepompo ye-insulin
- Ukulinganisa amazinga kashukela egazini
- Ukufakelwa kweseli kwePancreatic islet
- Thayipha isifo sikashukela sokuqala nokuzivocavoca umzimba
- Thayipha 1 isifo sikashukela nokudla
- Thayipha 1 isifo sikashukela nokukhulelwa
- Isifo sikashukela sentsha
- Thayipha ukwelashwa kwesifo sikashukela sokuqala: amanyikwe wokufakelwa
- Imininingwane eyengeziwe ngesifo sikashukela
Siyini isifo sikashukela sohlobo 1 (Intsha)?

Uhlobo lwesifo sikashukela sohlobo 1 yisifo esingelapheki esivame ukuqala ebuntwaneni kepha singathinta abantu abadala (abaneminyaka engama-30 kuya kwengama-40 ubudala). Kuhlobo lwesifo sikashukela sohlobo 1, amanyikwe akhiqiza i-insulin encane kakhulu. I-insulin isiza amaseli emzimbeni aguqule ushukela ube ngamandla. Lapho amanyikwe engakwazi ukukhiqiza i-insulin eyanele, ushukela uqala ukwakha egazini, okuholela ezinkingeni ezisongela impilo. Abantu abanesifo sikashukela sohlobo 1 kumele bathathe uhlobo oluthile lwe-insulin impilo yabo yonke.
Izimpawu ezingajwayelekile zokoma

Ukoma okungajwayelekile kuyisifo esivame kakhulu sohlobo 1 sikashukela. Lesi simo senza izinso zisuse ushukela omningi egazini ngokususa amanzi amaningi. Amanzi asuswa ngokuchama, okudala ukungabi namanzi, kanti nokoma kukwenza uphuze amanzi amaningi.
Izimpawu zokwehlisa isisindo

Iziguli ezinesifo sikashukela sohlobo 1 ziba nokuncipha kwesisindo okungazelelwe nokwanda kwesifiso sokudla njengoba amazinga kashukela egazi ehlala ephezulu nomzimba wehlisa amafutha ukuze uthole amandla. I-glucose metabolism ephazamisekile nayo ibangela ukuthi isiguli sizizwe singenamandla futhi silele isikhathi eside. Ukuchama ngokweqile nakho kuholela ekwehliseni isisindo ngoba umzimba ushiya amakhalori amaningi emchameni.
Izinkinga zezinkinga zesikhumba

Ukuphazanyiswa kwe-glucose metabolism ezigulini ezinesifo sikashukela sohlobo 1 kuholela ekuguqukeni kwesikhumba. Uhlobo lwesifo sikashukela sohlobo 1 lusengozini enkulu yokutheleleka ngamagciwane kanye nefungal. Ukugeleza kwegazi okungahambi kahle esikhunjeni nakho kungenzeka. Iziguli zesifo sikashukela sohlobo 1 zivame ukutheleleka ngezifo zefungal ezibangelwa imvubelo iCandida albicans. Ukutheleleka okuvamile kwemvubelo kufaka unyawo lomsubathi, ukutheleleka kwemvubelo yabesifazane kwabesifazane, i-jock itch, i-ringworm, kanye ne-diaper rash ezinganeni. Ukuqhuma kwe-diaper okubangelwa imvubelo i-Candida albicans kungasakazeka kwezinye izingxenye zomzimba njengesisu nemilenze.
Ezinye izimpawu nezimpawu eziyingozi

Iziguli ezinesifo sikashukela sohlobo lwe-1 ezingalashwa zingahlangabezana nezimpawu ezinzima njengokufiphala kwamehlo, ukuba ndikindiki noma ukuhayiza emaphethelweni (ikakhulukazi izinyawo), ukulahlekelwa ukwazi, ukukhathala, ukuphefumula okunomsoco, umlomo owomile, ne-coma yesifo sikashukela. Ngokuphikisana noshukela ophakeme wegazi, abantu abanesifo sikashukela sohlobo 1 kwesinye isikhathi bangathola ushukela ophansi wegazi (hypoglycemia) lapho amazinga kashukela egazi ehla ngokuzumayo.
Ezigulini ezinesifo sikashukela sohlobo 1, ukungazi lutho, ikhoma likashukela, futhi kwezinye izimo i-hypoglycemia yizimo eziphuthumayo zezokwelapha. Abanye abantu abangatholakali bangase bangabi nazimpawu zokuxwayisa, kepha basengaba ne-coma yesifo sikashukela noma i-hypoglycemia.
Izimpawu zeKetoacidosis

Inkinga yesifo sikashukela sohlobo 1 ukuthi amangqamuzana omuntu ancishwa ushukela awudingayo ukuze athole amandla. Ngaphandle kwe-insulin ekhiqizwa amanyikwe, kunzima ukuthi ushukela ungene kumaseli omzimba. Ngenxa yalokho, amangqamuzana omzimba aqala ukushisa amanoni ukuze athole amandla, okudala ukuthi amathokheni akhe egazini. Lezi asidi zingashintsha i-pH yegazi futhi zidale ikhoma elisongela impilo. Lokhu kwaziwa ngokuthi yi-ketoacidosis yesifo sikashukela. I-ketoacidosis yesifo sikashukela yisimo esiphuthumayo sezokwelapha esivame ukudinga ukunakekelwa ngokushesha esibhedlela. Izimpawu zesifo sikashukela ketoacidosis zifaka:
- Isikhumba esigcwele, esishisayo nesomile
- Ukubona okufiphele
- Ukuzwa ukoma nokuchama ngokweqile
- ubuthongo
- Ukushesha, ukuphefumula okujulile
- Iphunga lokuphefumula okunuka kamnandi
- Ukuphelelwa isifiso sokudla, ubuhlungu besisu, nokuhlanza
- ukudideka
Uyini umehluko phakathi kohlobo 1 nohlobo 2 sikashukela?

Uhlobo lwesifo sikashukela sohlobo 1 luqala ebuntwaneni noma ebudaleni obudala, kuyilapho uhlobo lwesifo sikashukela sohlobo 2 luqala lapho usumdala. Ezigulini ezinesifo sikashukela sohlobo 1, amasosha omzimba uqobo ahlasela futhi abhubhise amaseli we-pancreatic akhiqiza i-insulin (amaseli e-beta). Ezigulini ezinesifo sikashukela sohlobo 2, amanyikwe awahlaselwa futhi ngokuvamile akhiqiza i-insulin. Kodwa-ke, iziguli ezinesifo sikashukela sohlobo lwesibili azikwazi ukusebenzisa i-insulin etholakalayo ngempumelelo ngenxa yezizathu ezithile.
Abantu abanesifo sikashukela sohlobo 2 bangaba nezimpawu ezifanayo nezabantu abanesifo sikashukela sohlobo 1, kodwa abantu abanesifo sikashukela sohlobo 1 bavame ukuzwa izimpawu ngokushesha okukhulu. Uhlobo lwesifo sikashukela sohlobo lwe-1 alunakuvinjelwa, kepha uhlobo lwesifo sikashukela olungavinjelwa noma lubambezeleke ngendlela yokuphila enempilo.
Yini Ebangela Uhlobo Lwesifo Sikashukela?

Lapho amasosha omzimba ebhubhisa amangqamuzana e-beta engxenyeni yamanyikwe, kuba nesifo sikashukela sohlobo 1. Amaseli we-beta emanyikwe enza i-insulin. Abaphenyi abaqiniseki ukuthi kungani amasosha omzimba womuntu ehlasela amaseli awo akhiqiza i-insulin. Kodwa-ke, abacwaningi nabezokwelapha basikisela ukuthi ukuthambekela kofuzo kanye nezimo zemvelo kukhulisa ubungozi bokuthola uhlobo lwesifo sikashukela sohlobo 1.
Ososayensi bathole izakhi zofuzo nezakhi zofuzo ezandisa ubungozi bokuthola uhlobo lwesifo sikashukela sohlobo 1. Kodwa-ke, akuzona kuphela izici ezibangela lesi sifo. Abaphenyi basikisela ukuthi izimbangela zemvelo ezifana nokutheleleka ngegciwane noma okuhlobene nokudla noma okuhlobene nokukhulelwa nakho kungadlala indima ekuthuthukiseni uhlobo lwesifo sikashukela sohlobo 1.
Ngubani othola isifo sikashukela sohlobo 1?

Yize isifo sikashukela sohlobo 1 singakhula nganoma yisiphi isikhathi, cishe izingxenye ezimbili kwezintathu zamacala amasha atholakala kubantu abangaphansi kweminyaka engu-19. Abaphenyi bathole izikhathi ezimbili eziphakeme zokuthuthuka kohlobo lwesifo sikashukela sohlobo 1. Okokuqala kwenzeka ebuntwaneni bese kuthi okwesibili kwenzeke ngesikhathi sokuthomba. Uhlobo lwesifo sikashukela sohlobo 1 luthinta abesilisa nabesifazane ngokulinganayo futhi luvame kakhulu kubantu baseCaucasus kunakwamanye amaqembu ezinhlanga. Umlando womndeni wesifo sikashukela sohlobo 1 uphinde wandise amathuba okuba nesifo sikashukela sohlobo 1.
Thayipha ukutholakala kwesifo sikashukela sokuqala

Ukuhlolwa kwegazi okulula kungakhombisa amazinga kashukela angajwayelekile egazini. Uma umuntu enanoma yiziphi izimpawu zesifo sikashukela, ukuhlolwa kashukela okungenalutho kwegazi noma ngisho nokuhlolwa kashukela egazini kwesinye isikhathi kuyisinyathelo sokuqala sokuxilongwa. Ukuhlolwa kwe-hemoglobin A1c kungakhombisa isilinganiso soshukela wegazi wezinyanga ezimbili kuya kwezi-3 ezedlule. Ezimweni eziningi, lezi zivivinyo ziyaphindwa okungenani ezinsukwini ezimbili ezihlukile. Ezinye izivivinyo ezisetshenzisiwe ukuhlolwa kokubekezelelana kwe-glucose noma ukuhlolwa kwama-antibodies athile egazini.
Izingozi zomfutho wegazi ophakeme

Uhlobo lwesifo sikashukela sohlobo 1 lulimaza imithambo futhi lubenze bathambekele ekuqineni (i-atherosclerosis), okungaholela ekunyukeni kwegazi eliphezulu nakwezinye izinkinga zenhliziyo. Ngeshwa, ngokuhamba kwesikhathi, amazinga kashukela angatholakali noma aqhubekayo angalimaza uhlelo lwesitho emzimbeni. Iziguli ezinesifo sikashukela sohlobo 1 zisengozini enkulu yezinkinga zokubona, isifo senhliziyo, isifo sohlangothi, ukwehluleka kwezinso, isifo sezinsini, ukulahleka kwamazinyo, nokulimala kwemizwa (ikakhulukazi ezandleni nasezinyaweni). Ezinye izitho nazo zingalimala.
Ukuqapha amazinga kashukela egazini

Ezigulini ezinesifo sikashukela, izinkinga ezingalimaza izitho zingavinjelwa noma zinciphiswe ngokulawula amazinga kashukela egazini. Lokhu kwenziwa ngokuhlaba umunwe wakho nokufaka ithonsi legazi emgqeni wokuhlola. Umucu bese ufakwa kumqapha ofunda izinga le-glucose.Ukuvalwa kwamazinga we-glucose kwenza isiguli sikwazi ukulawula ushukela wegazi ngemithi lapho ushukela uphakeme noma udla ushukela lapho izinga liphansi. Uma umuntu onesifo sikashukela ekwazi ukugcina amazinga kashukela egazini ezindaweni eziseduze noma eziseduze, amathuba okuba nezinkinga anciphise futhi azoba namandla amaningi nezinkinga ezimbalwa ezihlobene nesifo sikashukela.
Ukuqapha okuqhubekayo kwegazi glucose (CGM)

Enye idivayisi elinganisa i-glucose ibizwa ngokuthi uhlelo oluqhubekayo lokuqapha i-glucose (CGM). Lolu hlelo luqukethe inzwa encane ngaphansi kwesikhumba ukuhlola amazinga kashukela egazini. Idlulisa imininingwane iye ocingweni olulinganiswa nomakhalekhukhwini olurekhoda isilinganiso seglucose njalo ngemizuzu emihlanu cishe amahora angama-72. I-CGM manje seyivunyelwe ukusetshenziswa isikhathi eside kwezinye iziguli ezinamamodeli acisha ukungena kwe-insulin lapho amazinga kashukela eqala ukwehla.
Ukwelashwa nge-insulini

Noma ngubani onesifo sikashukela sohlobo 1 udinga ukuthatha i-insulin ukuze umzimba wakhe ukwazi ukucubungula ushukela osegazini. Iningi labantu abanesifo sikashukela sohlobo 1 bathatha i-insulin ngendlela ejojowe ngayo futhi badinga imijovo eminingana usuku ngalunye. Kunezinhlobo ezahlukahlukene ze-insulin.
- I-insulin esebenza ngokushesha iqala ukusebenza ngaphakathi kwemizuzu embalwa futhi ihlala amahora ambalwa.
- I-insulin ejwayelekile noma esebenza okwesikhashana ithatha cishe imizuzu engama-30 ukusebenza futhi ithatha amahora ama-3-6.
- I-insulin esebenza phakathi nendawo ithatha amahora ama-2-4 ukusebenza futhi ihlala amahora afinyelela kwangu-18.
- I-insulin yesikhathi eside ingasebenza usuku lonke.
I-insulin ingafakwa ngenaliti nangesirinji, uhlelo lwe-cartridge, noma ngohlelo lwepeni olugcwaliswe ngaphambili. I-insulin ehogelwayo, amaphampu e-insulin, kanye nedivayisi esebenza ngokushesha ye-insulin nayo ingasetshenziswa. Uma ufaka i-insulin emzimbeni wakho, indawo engcono ongaya kuyo isisu sakho, kodwa izingalo, amathanga nezinqe zakho nakho kuyasebenza.
Yenzani i-insulin?

I-insulini yihomoni etholakala kumanyikwe evumela ushukela ukungena kumaseli. I-insulin ibuye yehlise inani likashukela egazini. Ngaphandle kwe-insulin, ushukela awukwazi ukungena kumaseli. Lokhu kusho ukuthi amaseli akha imisipha nezinye izicubu awakwazi ukugcina umthombo wawo omkhulu wamandla. Iziguli ezinesifo sikashukela sohlobo 1 zinoshukela egazini lazo, okuholela ezimeni ezisongela impilo.
Imiphumela emibi ye-insulin
- Ushukela wegazi ophansi
- ikhanda
- Izimpawu ezinjengomkhuhlane
- Ukuzuza kwesisindo okokuqala usebenzisa i-insulin
- Izigaxa, izibazi, noma ukuqubuka endaweni yokujova
Ukushaqeka kwe-insulini

Yize i-insulin ingumuthi omuhle wokusiza abantu abanesifo sikashukela, kufanele isetshenziswe ngokucophelela. Uma umuntu ethatha i-insulin eningi kakhulu, amazinga kashukela egazi angahle aye ezingeni eliyingozi. Lesi simo saziwa njengempendulo ye-insulin (ushukela ophansi wegazi kusuka ku-insulin eyeqile).
I-insulin eningi kakhulu ingadala izimpawu ezimnene, ezilinganiselayo, noma ezinzima, kuya ngokuthi ushukela wegazi lomuntu uphansi kangakanani nokuthi ubeside kangakanani egazini. Ezinye izimpawu nezimpawu zoshukela ophansi wegazi kufaka ukukhathala, ukuzamula ngokweqile, ukudideka okuncane, ukwehla kokusebenzisana, ukujuluka, ukudikiza kwemisipha nesikhumba esiphaphathekile. Njengoba lezi zimpawu ziba zimbi, ukuquleka, ukulahlekelwa ukwazi, ngisho nokufa kungenzeka.
Abantu abanesifo sikashukela, ikakhulukazi uhlobo lwesifo sikashukela esingu-1, bayelulekwa ukuba baphathe ama-gramu ayi-15 we-carbohydrate esebenza ngokushesha ngaso sonke isikhathi. Ama-carbohydrate asheshayo ukudla noma iziphuzo eziqukethe ushukela omuncwa ngokushesha umzimba negazi. Izibonelo zifaka uhhafu wenkomishi yejusi yezithelo noma isiphuzo esithambile, okusindisa impilo (amaswidi amancane amahlanu), izipuni ezimbili zomisiwe, inkomishi yobisi noma amaphilisi amathathu kashukela. Lawa ma-carbohydrate angadala izimpendulo ze-insulin eziphakathi nendawo. Ukwenza ukusabela okunzima, umuthi obizwa ngokuthi i-glucagon kufanele ujovwe ngaphansi kwesikhumba yilungu lomndeni noma umngani ojwayele ukwelapha ukusabela okunamandla kwe-insulin futhi umuntu kufanele abonwe ngungoti wezokunakekelwa kwempilo.
Ukwelashwa kwepompo ye-insulin

Yize abantu abaningi befaka i-insulin ngemijovo eminingi ngosuku, abanye abantu bangakwazi ukusebenzisa ipompo ye-insulin. Le mpompo iletha i-insulini ubusuku nemini ngokucindezela i-insulin ngepayipi elincane lingene esikhunjeni somuntu. Iphampu ye-insulin ingahle ihlelelwe ukuletha inani elifanele le-insulin ngomthamo oqhubekayo kanye nokuletha imithamo eyengeziwe ngezikhathi ezithile, ikakhulukazi ngenkathi idla. Abantu abanesifo sikashukela bayakhuthazwa ukuba baxoxe ngobuhle nobubi balolu hlelo lokulethwa kwe-insulin nodokotela wabo.
Ukulinganisa amazinga kashukela egazini

Kukhona isivivinyo esibizwa ngeHemoglobin A1c Blood Test esisetshenziselwa ukuthola ukuthi umuntu uwalawula kahle kangakanani amazinga kashukela egazini lakhe. Lokhu kuhlolwa kwenziwa ehhovisi likadokotela wakho futhi kukala ukuthi ushukela wakho wegazi uhlolwe kahle kangakanani esikhathini esiyizinyanga ezimbili kuya kwezi-3. Uma imiphumela ikhombisa ukungalawulwa kahle koshukela wegazi (amazinga aphezulu we-A1c), kuphakamisa ukuthi ukwelashwa kwe-insulin yomuntu, imikhuba yokudla, kanye / noma umsebenzi womzimba uyashintshwa ukwehlisa amazinga kashukela egazini abe ngamazinga ajwayelekile.
Ukufakelwa kweseli kwePancreatic islet

Abanye abantu abanesifo sikashukela bayahluleka ukwelashwa nge-insulin futhi bangaphendula nge-insulin ejojowe. Laba bantu bangaba ngabamele lokho abanye odokotela abakuthatha njengokuhlola. Inqubo ukudluliswa kwamaseli akhiqiza i-insulin enempilo esuka kumnikeli kuya kumanyikwe wesiguli one-type 1 diabetes. Yize kunezinzuzo kule nqubo, kukhona ukungalungi, kufaka phakathi izidakamizwa ezinemiphumela emibi kakhulu okufanele isetshenziselwe ukuvimbela ukwenqatshwa kwamaseli abanikeli, kanye nethuba lokuthi amangqamuzana atshalwe kabusha azosebenza iminyaka embalwa kuphela.
Thayipha isifo sikashukela sokuqala nokuzivocavoca umzimba

Abantu abanesifo sikashukela sohlobo 1 bayazuza ngokuzivocavoca umzimba, kepha kumele bathathe izinyathelo zokuvimbela ukwehla okungazelelwe kwe-glucose yegazi. Abantu abanesifo sikashukela kufanele bahlole amazinga kashukela egazini ngaphambi kokuzivocavoca futhi bangadinga ukudla okulula ngaphambi kokuzivocavoca noma ngesikhathi sokuzivocavoca. Kungadingeka ukuthi balungise umthamo wabo we-insulin ngaphambi kokuzivocavoca ukuze baqiniseke ukuthi bahlala ebangeni elijwayelekile likashukela egazini. Abantu abanesifo sikashukela sohlobo 1 bangadinga futhi ukuhlola umchamo wabo ngamaketoni. Ama-ketone akhombisa ukuthi ushukela wegazi lakho uphakeme kakhulu. Imisebenzi eyedlulele kufanele igwenywe uma kutholwa amaketoni noma uma amazinga kashukela egazi aphezulu noma ephansi ngaphambi kokuzivocavoca.
Thayipha 1 isifo sikashukela nokudla

Abantu abanesifo sikashukela sohlobo 1, njengawo wonke umuntu, kumele badle ukudla okunomsoco. Lokhu kuzosiza ukwelashwa kwakho kwe-insulin futhi kunciphise ubungozi bezinkinga zesifo sikashukela. Ayikho into efana "nokudla kwesifo sikashukela". Ngisho nomuntu onesifo sikashukela sohlobo 1 angadla amaswidi uma nje kuyingxenye yokudla okunomsoco. Lokhu akusho ukuthi bangadla okuthile ngaso sonke isikhathi, kodwa ukuthi badinga ukubheka ukuthi amaswidi azongena kanjani ekudleni kwabo okulinganiselayo. Uhlobo lwesifo sikashukela sohlobo 1 kufanele futhi lubheke ukuthi ama-carbohydrate akhuphula amazinga kashukela egazini ngokushesha kakhulu kunokunye ukudla. Ukudla okunama-carbohydrate amancane kepha kune-calcium eningi, i-potassium, i-fiber, i-magnesium, namanye amavithamini kuhle kakhulu kubantu abanesifo sikashukela. Lapho uhlela ukudla kwakho, gcina imihlahlandlela elandelayo engqondweni:
- Yidla amafutha angenampilo
- Thola i-fiber eyanele
- Landelela ukusetshenziswa kwe-carbohydrate
- Landelela ama-carbohydrate ekudleni okungenashukela
Thayipha 1 isifo sikashukela nokukhulelwa

Abesifazane abanesifo sikashukela sohlobo 1 kumele batshele odokotela babo uma behlela ukukhulelwa. Ukulawulwa kabi koshukela wegazi kungaholela ezinkingeni ezifana nezinkinga zokuzalwa. Ukuhlela kusenesikhathi ukulawula amazinga kashukela egazini kungehlisa ubungozi bokukhulelwa yizisu kanye nezinkinga zokuzalwa. Ngesikhathi sokukhulelwa, kubalulekile ukuthi uhlale uhlolwa ushukela egazini futhi ugcine izinga le-A1c lingaphansi kuka-7%. Ukulawulwa kahle kukashukela egazini kunganciphisa ezinye izinkinga ngesikhathi sokukhulelwa, njengokucindezelwa kwegazi noma ukulimala kwe-retina kumama.
IPreeclampsia yisimo esithinta abesifazane abakhulelwe abano-18-30% abanesifo sikashukela. I-Preeclampsia ikhula ngemuva komaki wamaviki angama-20 futhi ibonakala ngomfutho wegazi ophakeme namaprotheni emchameni. Kubalulekile ukwelapha i-preeclampsia. Uma ishiywe ingalashwa, lokhu kungalimaza ingane futhi kubeke nomama engcupheni yokushaywa unhlangothi nokuquleka. Lapho nje ingane izelwe futhi nomama encelisa ibele, kubalulekile ukuthi ahlole amazinga eglucose njalo.
Isifo sikashukela sentsha

E-United States, zingu-13,000 izingane ezitholwa zinesifo sikashukela sohlobo 1 unyaka nonyaka. Ukuhlonza isifo sikashukela ezinganeni yisimo esiguqula impilo njengoba sithinta umndeni wonke. Abazali kumele basize izingane ukuthi zibheke ushukela wegazi futhi zihlelele ukudla komndeni okulungele ingane enesifo sikashukela namanye amalungu omndeni. Ukweqiwa kwe-insulini kufanele kuhlolwe futhi kuhlolwe amazinga kashukela egazini ngabanakekeli bengane.
Isifo sikashukela ebuntwaneni yinkinga yamahora angama-24 edinga ukucatshangelwa lapho ingane ifunda isikole futhi ibamba iqhaza emisebenzini yangaphandle. Abazali nezingane zabo kumele bathathe izinyathelo zokuthola ukwelashwa nge-insulin noma ngabe ingane isesikoleni. Lawa malungiselelo adinga ukuhlelwa kusenesikhathi njengoba kungewona wonke amazwe noma isikole esingabamba iqhaza ekunakekelweni kwezingane ngendlela efanayo.
Thayipha ukwelashwa kwesifo sikashukela sokuqala: amanyikwe wokufakelwa

Abaphenyi bazama ukwenza amanyikwe okufakelwa. Le divayisi iyinhlanganisela yepompo ye-insulin kanye nohlelo lokuqapha ushukela oluqhubekayo olulawulwa uhlelo lwekhompyutha. Inhloso yohlelo ukukhipha i-insulin ekuphenduleni amazinga kashukela egazini nokunciphisa ukukhishwa kwe-insulin lapho amazinga kashukela egazi ehla. Igoli yidivayisi elingisa ukusebenza kwamanyikwe ajwayelekile. Eminye imizamo yokuqala yemishini yokuhlola iphakamisa ukuthi le mishini ingatholakala esikhathini esizayo.
Imininingwane eyengeziwe ngesifo sikashukela
Ngeminye imininingwane ngesifo sikashukela, sicela ubheke okulandelayo:
- I-American Diabetes Association
- Isifo Sikashukela Research Institute
- Isikhungo Sikazwelonke Sesifo Sikashukela kanye Nezifo Zokugaya Nezinso

