Ne èle nu ƒom tso suklidɔ ŋu la, ànya se nu tso suklidɔ ƒomevi eve ŋu, Ƒomevi 1 kple Ƒomevi 2, alo? Mía dometɔ akpa gãtɔ susui be ɖeviwo kple sɔhɛ tsitsiwo koe suklidɔ Ƒomevi 1 dzea wo dzi, eye ame tsitsiwo koe dzea suklidɔ Ƒomevi 2 lia dzi. Gake menye nyateƒe bliboe o. Suklidɔ ƒomevi 1 ate ŋu adze ame tsitsi hã dzi. Esia ate ŋu ato ɖɔktawo ŋu ɣeaɖewoɣi, si ate ŋu ana woahe dɔlélea didi nyuie ɖe megbe. Eyata egbea míele nu ƒom tso nyati vevi sia ŋu.
Nukae nye suklidɔ Ƒomevi 1 si dzea egɔme tso ame tsitsiwo gbɔ?
Kpuie ko la, esia sɔ kple suklidɔ Ƒomevi 1. Gake edzea egɔme tso ame tsitsi me. Dɔgbo nye ŋutinu aɖe le míaƒe ŋutilã me si wɔa lãmetsi aɖe si woyɔna be insulin. Insulin sia kpena ɖe ŋutilã ƒe lãmenugbagbeviwo ŋu be woaxɔ sukli (glucose) si le nuɖuɖu si míeɖuna me hena ŋusẽkpɔkpɔ.
Suklidɔ ƒomevi 1 dzɔna ne míaƒe ŋutilã ŋutɔ ƒe dɔlélenutsiŋutete dze lãmenugbagbevi siwo wɔa insulin dzi vodadatɔe hegblẽ wo dome. Esia nye dɔléle si dɔlélenutsiŋutete ŋutɔ wɔna . Ne edze ame tsitsiwo dzi la, woyɔnɛ le atikewɔwɔ me be Latent Autoimmune Diabetes in Adults (LADA) .
Zi geɖe la, nɔnɔme sia dzea egɔme le ƒe 30 xɔxɔ megbe. Gake ele vevie be nàse vovototo si le wo ame evea dome gɔme eye nàkpɔ atike nyuitɔ na wò.
Ðe esia to vovo na Ƒomevi 1 si dzɔna ɖe ɖeviwo dzia?
Bu eŋu ale: LADA kple ɖevime suklidɔ Ƒomevi 1 le abe ame eve siwo le ŋutinya ɖeka me ene. Wo ame evea siaa ku ɖe dɔlélenutsiŋutete si dzea dɔgboa dzi ŋu. Gake vovototo vevitɔe nye alesi dɔlélea le ŋgɔ yim kabakabae.
- Suklidɔ ƒomevi 1 le ɖeviwo me: Esia va doa mo ɖa kabakaba ŋutɔ. Lãmenugbagbevi siwo le dɔgboa me tsrɔ̃na kabakaba, eye insulin wɔwɔ nu tsona. Eyata dzesiawo dzena kaba, eye ele be woadze insulin dodo gɔme enumake.
- LADA si dzea egɔme tso ame tsitsiwo gbɔ: Esia va nɔa blewu ŋutɔ. Lãmenugbagbevi siwo le dɔgboa me la tsrɔ̃na vivivi. Eyata ŋutilãa wɔa insulin aɖewo le eƒe gɔmedzedze. Le susu sia ta la, wobua vodadatɔe zi geɖe be enye Ƒomevi 2. Ðɔkta aɖewo hã yɔnɛ be "suklidɔ Ƒomevi 1.5."
Nukawo gbɔe nɔnɔme sia tso?
Womenya susu si tututu ta mía ŋutɔwo ƒe dɔlélenutsiŋutete dzea dɔgboa dzi haɖe o, gake woxɔe se be nu aɖewo ate ŋu awɔ akpa aɖe.
- Domenyiŋusẽfianu ƒe ŋusẽkpɔɖeamedzi: Ne suklidɔ Ƒomevi 1 le dziwòlawo ŋu la, ke afɔku si le wò hã me be nàxɔe la lolo vie.
- Dɔlékuiwo alo nusiwo le nutoa me:Dɔlékui aɖewo alo aɖi siwo le nutoa me ate ŋu aʋã dɔlélenutsiŋutete ƒe dɔwɔwɔ sia.
- Agbenɔnɔ: To vovo na suklidɔ Ƒomevi 1 si le ɖeviwo ŋu la, agbenɔnɔ ƒe nɔnɔme aɖewo ate ŋu akpɔ ŋusẽ ɖe LADA dzi le ame tsitsiwo hã me. Le kpɔɖeŋu me, lolo akpa, kamemademade, atamanono, kple ahanono dzia afɔkua ɖe edzi.
Dzesi kawoe woate ŋu ade dzesii?
Ɣeaɖewoɣi la, nɔnɔme sia ate ŋu anɔ anyi dzesi aɖeke manɔmee. Gake dzesi siwo bɔ wu la sɔ kple suklidɔ Ha 2 lia tɔ. Esiawo ate ŋu adze vivivi le ɣleti geɖe me.
| Dzesi si dzena | Nuɖᴐɖᴐ |
|---|---|
| Tsikɔwuame kple dɔwuame si gbɔ eme | Mase le ɖokuiwò me be yeƒe dzi dze eme eɖanye tsi agbɔsɔsɔme ka kee nèno alo nuɖuɖu ka kee nèɖu o. |
| Aɖuɖɔɖɔɖɔ enuenu | Ehiã be nàɖe aɖuɖɔ enuenu, vevietɔ le zã me. |
| Ðeɖiteameŋu si mebɔ o | Sese le eɖokui me be ɖeɖi te ye ŋu eye yegbɔdzɔ ɣesiaɣi le susu aɖeke manɔmee. |
| Lolo dzi ɖeɖe kpɔtɔ kpata | Lolo dzi ɖeɖe kpɔtɔ tɔtrɔ aɖeke manɔmee le nuɖuɖu alo kamedede me. |
| Nukpɔkpɔ si me mekɔ o | Tɔtrɔ le nukpɔkpɔ me, nukpɔkpɔ nyuie ƒe ŋutetemanɔamesi. |
| Dɔlékuiwo xɔxɔ enuenu | Amɔwɔʋãnu ƒe dɔléle si nɔa nyɔnuwo ƒe ŋutigbalẽ, aɖuɖɔtoe, alo vidzidɔ me enuenu. |
| Nɔnɔme bubuwo | Gbɔgbɔ si me atikutsetsewo le, abɔwo kple afɔwo ƒe ʋuʋu, ŋutigbalẽ si ƒu eye wòʋãna. |
Aleke tututu ɖɔktaa va ke ɖe esia ŋu?
Ate ŋu asesẽ ɣeaɖewoɣi be woakpɔ suklidɔ ƒomevi 1 le ame tsitsi ŋu. Esia le alea elabena dzesiawo dzena vivivi, eye esi wònye be ate ŋu adze le amesiwo ƒe kpekpeme sɔ kple amesiwo melolo akpa o, abe suklidɔ ƒomevi eve le ame geɖe ene ŋu ta la, ɖewohĩ ɖɔkta gɔ̃ hã masusui le gɔmedzedzea me o.
Nu vevitɔe nye be ne suklidɔ ƒe dzesiwo dze le ŋuwò la, yi ɖɔkta gbɔ enumake eye nàwɔ dodokpɔ siwo hiã.
Dodokpɔ geɖe li siwo wozãna zi geɖe tsɔ léa ŋku ɖe suklidɔ ŋu:
- Glycated hemoglobin (A1c) dodokpɔ: Esia léa ŋku ɖe sukli si le ʋu me le mama dedie nu le ɣleti 2-3 siwo va yi me ŋu.
- Suklidɔ dodokpɔ le nutsitsidɔ me: Dodokpɔ si wowɔna le ŋdi me hafi ɖua nu alo ano naneke.
- Suklidɔ dodokpɔ le ʋu me le vome: Dodokpɔ si wowɔna le ŋkekea ƒe ɣeyiɣi ɖesiaɖe me.
Ne dodokpɔ siawo nya ɖo kpe suklidɔ ƒe anyinɔnɔ dzi ko la, wowɔa dodokpɔ tɔxɛ bubuwo tsɔ nyaa nenye be suklidɔ ƒomevi 1 (LADA) alo Ƒomevi 2 ye.
- Dɔlékuiwutikewo Dodokpɔ: Esia doa ʋua kpɔna be dɔlékuiwutike tɔxɛ aɖewo (autoantibodies) siwo wokpɔna le suklidɔ Ƒomevi 1 me la le eme hã. Womekpɔa esiawo le Ƒomevi 2 lia me o.
- C-peptide Dodokpɔ: C-peptide nye nu bubu si míaƒe ŋutilã wɔna ne ele insulin wɔm. Nu sia ƒe agbɔsɔsɔ si mede o fia be insulin si sɔ gbɔ mele wɔwɔm o. C-peptide ƒe agbɔsɔsɔme medea LADA me o, gake le Ƒomevi 2 me la, ate ŋu anye nusi sɔ alo asɔ gbɔ.
Aleke wowɔa atike nɛ?
Ne wokpɔ be LADA le ŋuwò la, atikewɔwɔ ƒe taɖodzinu vevitɔe nye be wòaɖu sukli ƒe agbɔsɔsɔ le ʋu me dzi eye wòana dɔlélea nagagblẽ ɖe edzi o.
Le gɔmedzedzea me la, ɖewohĩ mahiã be woado insulin na ame o. Woateŋu aɖu dɔlélea dzi to nuɖuɖu nyui, kamedede edziedzi , kple ɖewohĩ suklidɔtikewo (e.g., `Metformin`, `Dipeptidyl peptidase (DPP)`) zazã me .
Gake esi dɔgboa megawɔa dɔ nyuie le ɣeyiɣi aɖe megbe o ta la, insulin zazã ate ŋu ahiã. Ele be nàdzro atikewɔwɔ ƒe ɖoɖo si nyo na wò me kple wò ɖɔkta.
Agbenɔnɔ ƒe tɔtrɔ
- Ne ènoa atama la, dzudzɔ.
- Ne èlolo akpa la, ke ɖe wò lolo dzi kpɔtɔ.
- Kamedede aɖabaƒoƒo 150 ya teti le kwasiɖa me.(Gake ele vevie be nàƒo nu kple wò ɖɔkta hafi adze kamedede gɔme eye nàxɔ aɖaŋuɖoɖo le alesi nàwɔ akpɔ wò ʋumesukli ƒe agbɔsɔsɔ dzi ne èle kame dem ŋu).
- Ƒo nu kple wò ɖɔkta alo nuɖuɖuŋutinunyala tso nuɖuɖu ƒe ɖoɖo si sɔ na suklidɔ ŋu.
Kuxi kawoe ate ŋu ado mo ɖa ne womeɖu wo dzi o?
Abe suklidɔ ƒe nɔnɔme ɖesiaɖe ene la, LADA ate ŋu ahe kuxi sesẽ siwo anɔ anyi ɣeyiɣi didi vɛ ne womekpɔ edzi nyuie o. Gake ɖo ŋku edzi be sukli ƒe agbɔsɔsɔ si le ʋu me dzi kpɔkpɔ nyuie ate ŋu aɖe kuxi siawo ƒe afɔkua dzi akpɔtɔ ŋutɔ.
- Ŋku ƒe kuxiwo (e.g. ŋkudɔ) .
- Ayikudɔléle
- Dzidɔ, ʋusɔgbɔdɔ kple ʋusɔgbɔdɔ
- Lãmetsiŋusẽ ƒe gbegblẽ
- Afɔ ƒe abixɔxɔ kple dɔlékuiwo
Eyata ele vevie ŋutɔ be nàyi ɖɔkta gbɔ ɖe game dzi, ano wò atikewo abe alesi wogblɔe ene, eye nàlé ŋku ɖe sukli ƒe agbɔsɔsɔ si le ʋu me ŋu edziedzi.
Gbedasi si Wotsɔ Yi Aƒeme
- Suklidɔ ƒomevi 1 ate ŋu adze ame tsitsiwo hã dzi. Woyɔa esia koŋ be LADA (Suklidɔ si Woɣla le Ame Tsitsiwo Me).
- Esia tsoa dɔlélenutsiŋutete ƒe kuxi aɖe gbɔ eye wòtsina blewu wu Ƒomevi 1, si dzɔna ɖe ɖeviwo dzi.
- Esi wònye be dzesiawo sɔ kple suklidɔ Ƒomevi 2 ta la, zi geɖe la, womekpɔnɛ le mɔ gbegblẽ nu o.
- Ʋudodokpɔ ate ŋu alé ŋku ɖe sukli ƒe agbɔsɔsɔ kple dɔlékuiwutike tɔxɛwo ŋu be woate ŋu anya dɔlélea nyuie.
- Atikewɔwɔ ate ŋu anye tɔtrɔ le agbenɔnɔ me, atikewo zazã, kple le ɣeyiɣi aɖe megbe la, insulin dodo. Wɔ ɖe wò ɖɔkta ƒe mɔfiamewo dzi ɣesiaɣi.
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