Okudingeka Ukwazi Ngohlobo 1.5 Isifo Sikashukela

-Delile

• Ukubuka konke
• Thayipha izimpawu zesifo sikashukela esingu-1.5
• Thayipha izimbangela zesifo sikashukela esingu-1.5
• Thayipha ukuxilongwa kwesifo sikashukela esingu-1.5
• Thayipha ukwelashwa kwesifo sikashukela esingu-1.5
• Thayipha umbono wesifo sikashukela ongu-1.5
• Thayipha 1.5 isifo sikashukela

Ukubuka konke

Thayipha isifo sikashukela esingu-1.5, esibizwa nangokuthi i-latent autoimmune diabetes kubantu abadala (i-LADA), yisimo esabelana ngezici zombili zesifo sikashukela sohlobo 1 nohlobo 2.

I-LADA itholakala ngesikhathi sokukhula, futhi iqala kancane kancane, njengohlobo lwesifo sikashukela sohlobo 2. Kodwa ngokungafani nohlobo lwesifo sikashukela sohlobo lwe-2, i-LADA isifo esizimele futhi asiguqulwa nezinguquko ekudleni nasendleleni yokuphila.

Amaseli akho e-beta ayayeka ukusebenza ngokushesha okukhulu uma unesifo sikashukela sohlobo 1.5 kunokuthi unohlobo 2. Kulinganiselwa ukuthi kubantu abanesifo sikashukela bane-LADA.

Uhlobo lwesifo sikashukela esingu-1.5 lungabakhona kalula - futhi luvame ukutholwa kabi njengesifo sikashukela sohlobo 2. Uma usebangeni lesisindo esinempilo, ube nendlela yokuphila esebenzayo, futhi utholwe unesifo sikashukela sohlobo 2, kunethuba lokuthi lokho onakho ngempela yi-LADA.

Thayipha izimpawu zesifo sikashukela esingu-1.5

Thayipha izimpawu zesifo sikashukela esingu-1.5 zingacaci ekuqaleni. Zingafaka:

• ukoma njalo
• ukwanda kokuchama, kufaka phakathi nasebusuku
• ukuncipha kwesisindo okungaqondakali
• ukungaboni kahle nokuzwa izinzwa

Uma ishiywe ingalashwa, uhlobo lwe-1.5 sikashukela lungaholela ku-ketoacidosis yesifo sikashukela, okuyisimo lapho umzimba ungakwazi ukusebenzisa ushukela njengophethiloli ngenxa yokungabikho kwe-insulin bese uqala ukushisa amafutha. Lokhu kukhiqiza amaketoni, anobuthi emzimbeni.

Thayipha izimbangela zesifo sikashukela esingu-1.5

Ukuqonda ukuthi yini ebangela uhlobo lwesifo sikashukela sohlobo 1.5, kuyasiza ukuqonda umehluko phakathi kwezinye izinhlobo zesifo sikashukela.

Uhlobo lwesifo sikashukela sohlobo 1 lubhekwa njengesimo sokuzilimaza ngoba kungumphumela wokuthi umzimba wakho ubhubhise amaseli we-beta we-pancreatic. Lawa maseli yiwo asiza umzimba wakho ukwenza i-insulin, i-hormone ekuvumela ukuthi ugcine i-glucose (ushukela) emzimbeni wakho. Abantu abanesifo sikashukela sohlobo 1 badinga ukujova i-insulin emizimbeni yabo ukuze baphile.

Uhlobo lwe-2 sikashukela lubonakala kakhulu ngomzimba wakho omelana nemiphumela ye-insulin. Ukumelana ne-insulin kubangelwa yizici zofuzo nezemvelo, njengokudla okunama-carbohydrate amaningi, ukungasebenzi, nokukhuluphala. Uhlobo lwesifo sikashukela esingu-2 lungalawulwa ngokungenelela kwendlela yokuphila nangemithi yokwelashwa, kepha abaningi bangadinga ne-insulin ukugcina ushukela egazini labo ulawulwa.

Uhlobo lwesifo sikashukela esingu-1.5 lungabangelwa ukulimala okwenziwe kuma-pancreas avela kuma-antibodies ngokumelene namaseli akhiqiza i-insulin. Izici zofuzo nazo zingabandakanyeka, njengomlando womndeni wezimo ezizimele. Lapho amanyikwe elinyazwa ngohlobo lwesifo sikashukela esingu-1.5, umzimba ubulala amaseli e-beta e-pancreatic, njengohlobo lwe-1.

Thayipha ukuxilongwa kwesifo sikashukela esingu-1.5

Uhlobo lwesifo sikashukela sohlobo 1.5 lwenzeka lapho usumdala, yingakho kuvamise ukuthi kwenziwe iphutha ngohlobo lwesifo sikashukela sohlobo 2. Iningi labantu abanalolu hlobo lwesifo sikashukela bangaphezu kweminyaka engama-40, kanti abanye bangasithuthukisa lesi simo ngisho sebeneminyaka engama-70 noma engama-80.

Inqubo yokuthola ukuxilongwa kwe-LADA ingathatha isikhashana. Imvamisa, abantu (nodokotela) bangacabanga ukuthi bane-type 2 yesifo sikashukela ngoba yathuthuka kamuva empilweni.

Thayipha ukwelashwa kwesifo sikashukela okungu-2, njenge-metformin, kungasebenza ukuphatha izimpawu zohlobo lwesifo sikashukela esingu-1.5 kuze kube yilapho amanyikwe akho eyeka ukwenza i-insulin. Yilapho abantu abaningi bethola khona ukuthi babebhekene ne-LADA ngaso sonke isikhathi. Imvamisa, ukuqhubeka kokudinga i-insulin kushesha kakhulu kunohlobo lwesifo sikashukela sohlobo lwesibili, futhi impendulo emithini yokwehlisa amazinga kashukela egazini (imishanguzo yomlomo ye-hypoglycemic) ayisihle.

Abantu abanesifo sikashukela sohlobo 1.5 bavame ukuhlangabezana nalezi zindlela ezilandelayo:

• Abakhuluphele.
• Bangaphezu kweminyaka engama-30 ngesikhathi sokuxilongwa.
• Abakwazanga ukuphatha izimpawu zabo zesifo sikashukela ngemithi yomlomo noma ngezindlela zokuphila nezinguquko zokudla.

Ukuhlolwa kokuthola noma yiluphi uhlobo lwesifo sikashukela kufaka:

• isivivinyo sokuzila ukudla kwe-plasma glucose, esenziwe ekudwebeni kwegazi okwenziwa ngemuva kokuthi uzile ukudla amahora ayisishiyagalombili
• ukuhlolwa kokubekezelelana kwe-glucose ngomlomo, okwenziwe ekudwebeni kwegazi okwenziwe ngemuva kokuthi uzile ukudla amahora ayisishiyagalombili, amahora amabili ngemuva kokudla isiphuzo esinoshukela omningi
• ukuhlolwa okungahleliwe kwe-plasma glucose, okwenziwe ekudwebeni kwegazi okuhlola ushukela wegazi lakho ngaphandle kokubheka ukuthi ugcine nini ukudla

Igazi lakho lingabuye lihlolwe ngama-antibodies athile akhona lapho uhlobo lwesifo sikashukela onalo lubangelwa ukusabela okuzenzakalelayo emzimbeni wakho.

Thayipha ukwelashwa kwesifo sikashukela esingu-1.5

Thayipha imiphumela yesifo sikashukela engu-1.5 emzimbeni wakho ongakhiqizi i-insulin eyanele. Kepha njengoba ukuqala kwayo kuhamba kancane, imishanguzo yomlomo elapha uhlobo lwesifo sikashukela esingu-2 ingasebenza, okungenani ekuqaleni, ukuyelapha.

Abantu abanesifo sikashukela sohlobo 1.5 bangahlolwa batholakale benalo okungenani elinye lama-antibody abantu abanesifo sikashukela sohlobo 1 abavame ukuba nalo. Njengoba umzimba wakho unciphisa ukukhiqizwa kwawo kwe-insulin, uzodinga i-insulin njengengxenye yokwelashwa kwakho. Abantu abane-LADA bavame ukudinga ukuxilongwa kwe-insulin.

Ukwelashwa kwe-insulin kuyindlela yokwelashwa ekhethwayo yohlobo lwesifo sikashukela esingu-1.5. Kunezinhlobo eziningi ezahlukene zemithi ye-insulin kanye ne-insulin. Umthamo we-insulin oyidingayo ungahluka nsuku zonke, ngakho-ke ukuqapha amazinga akho e-glucose ngokuhlola ushukela wegazi njalo kubalulekile.

Thayipha umbono wesifo sikashukela ongu-1.5

Isikhathi sokuphila sabantu abane-LADA siyefana nabantu abanezinye izinhlobo zesifo sikashukela. Ushukela ophakeme wegazi isikhathi esingapheli ungaholela ezinkingeni zesifo sikashukela, ezinjengesifo sezinso, izinkinga zenhliziyo, isifo samehlo, kanye neuropathy, okungathikameza ukubikezelwa. Kepha ngokulawulwa kahle kukashukela egazini, eziningi zalezi zinkinga zingavinjelwa.

Esikhathini esedlule, abantu abanesifo sikashukela sohlobo 1 babeneminyaka efushane yokuphila. Kodwa izindlela zokwelapha zesifo sikashukela ezithuthukisiwe ziyashintsha lezo zibalo. Ngokulawulwa kahle kukashukela egazini, isikhathi esijwayelekile sokuphila kungenzeka.

uzwe ukuthi ukwelashwa nge-insulin zisuka nje ukuxilongwa kungasiza ekulondolozeni ukusebenza kweseli lakho le-beta. Uma lokho kuyiqiniso, ukuthola ukuxilongwa okulungile ngokushesha okukhulu kubaluleke kakhulu.

Ngokuya ngezinkinga ezingathinta umbono, isifo se-thyroid sikubantu abane-LADA kunabantu abane-type 2 yesifo sikashukela. Abantu abanesifo sikashukela esingalawulwa kahle bavame ukuphola kancane emanxebeni futhi maningi amathuba okuthi batheleleke ngezifo.

Thayipha 1.5 isifo sikashukela

Okwamanje ayikho indlela yokuvimbela isifo sikashukela sohlobo 1.5. Njengesifo sikashukela sohlobo 1, kunezici zofuzo ezidlalayo ekuqhubekeni kwalesi simo. Ukuphathwa kusenesikhathi, ukuxilongwa okulungile kanye nokuphathwa kwezimpawu kuyindlela engcono yokugwema izinkinga ezivela kuhlobo 1.5 sikashukela.