Thaum koj tham txog tus kab mob ntshav qab zib, koj yuav tsum tau hnov txog ob hom, Hom 1 thiab Hom 2, puas yog? Feem ntau ntawm peb xav tias tus kab mob ntshav qab zib hom 1 tsuas yog cuam tshuam rau cov menyuam yaus thiab cov tub ntxhais hluas xwb, thiab Hom 2 tsuas yog cuam tshuam rau cov neeg laus xwb. Tab sis qhov ntawd tsis yog qhov tseeb tag nrho. Tus kab mob ntshav qab zib hom 1 kuj tseem tuaj yeem tshwm sim thaum lawv laus. Qhov no qee zaum cov kws kho mob yuav tsis pom, uas tuaj yeem ua rau qeeb hauv kev kuaj mob kom raug. Yog li hnub no peb yuav tham txog qhov tseem ceeb no.
Kab mob ntshav qab zib hom 1 uas pib kis rau cov neeg laus yog dab tsi?
Hais yooj yim xwb, qhov no zoo ib yam li tus kab mob ntshav qab zib hom 1. Tab sis nws pib thaum laus. Lub txiav yog ib lub cev hauv peb lub cev uas tsim cov tshuaj hormones hu ua insulin. Cov insulin no pab cov hlwb ntawm lub cev nqus cov suab thaj (glucose) hauv cov khoom noj uas peb noj kom muaj zog.
Kab mob ntshav qab zib hom 1 tshwm sim thaum peb lub cev lub cev tiv thaiv kab mob ua yuam kev tawm tsam thiab rhuav tshem cov hlwb uas tsim cov insulin. Qhov no yog ib qho mob autoimmune . Thaum nws tshwm sim rau cov neeg laus, nws yog hu ua Latent Autoimmune Diabetes in Adults (LADA) .
Feem ntau tus mob no pib tom qab hnub nyoog 30 xyoo. Vim tias nws cov tsos mob zoo ib yam li tus kab mob ntshav qab zib hom 2, ntau tus neeg thaum xub thawj raug kuaj mob tsis raug tias yog tus kab mob ntshav qab zib hom 2. Tab sis nws yog ib qho tseem ceeb kom nkag siab txog qhov txawv ntawm ob qho no thiab nrhiav kev kho mob zoo rau koj.
Qhov no puas txawv ntawm Hom 1 uas tshwm sim rau cov menyuam yaus?
Xav txog nws li no: LADA thiab mob ntshav qab zib hom 1 thaum yau zoo li ob tug neeg hauv tib zaj dab neeg. Ob leeg cuam tshuam nrog lub cev tiv thaiv kab mob tawm tsam lub txiav. Tab sis qhov sib txawv tseem ceeb yog qhov ceev uas tus kab mob loj hlob mus.
- Kab mob ntshav qab zib hom 1 rau menyuam yaus: Qhov no tshwm sim sai heev. Cov hlwb hauv lub txiav txiav raug rhuav tshem sai, thiab kev tsim cov tshuaj insulin nres. Yog li ntawd, cov tsos mob tshwm sim sai, thiab yuav tsum pib txhaj tshuaj insulin tam sim ntawd.
- LADA rau cov neeg laus: Qhov no tshwm sim qeeb heev. Cov hlwb hauv lub pancreas raug rhuav tshem maj mam. Yog li ntawd, lub cev tsim qee cov insulin thaum ntxov. Vim li no, nws feem ntau raug yuam kev rau Hom 2. Qee cov kws kho mob kuj hu nws tias "Hom 1.5 ntshav qab zib."
Cov laj thawj rau qhov xwm txheej no yog dab tsi?
Qhov laj thawj tseeb vim li cas peb lub cev tiv thaiv kab mob thiaj tawm tsam lub txiav tseem tsis tau paub meej, tab sis ntseeg tau tias muaj qee yam ua rau muaj qhov no.
- Kev cuam tshuam los ntawm noob caj noob ces: Yog tias koj niam koj txiv muaj ntshav qab zib hom 1, koj kuj muaj feem yuav mob nws ntau dua me ntsis.
- Cov kab mob lossis cov yam ntxwv ib puag ncig:Qee cov kab mob viral lossis cov tshuaj lom hauv ib puag ncig tuaj yeem ua rau muaj cov txheej txheem tiv thaiv kab mob no.
- Kev Ua Neej: Tsis zoo li tus kab mob ntshav qab zib hom 1 rau cov menyuam yaus, qee yam kev ua neej kuj tuaj yeem cuam tshuam rau LADA rau cov neeg laus. Piv txwv li, kev rog dhau, tsis tawm dag zog, haus luam yeeb, thiab haus cawv ua rau muaj kev pheej hmoo ntau ntxiv.
Cov tsos mob twg uas tuaj yeem txheeb xyuas tau?
Qee zaum qhov mob no yuav tshwm sim yam tsis muaj tsos mob dab tsi li. Txawm li cas los xij, cov tsos mob feem ntau zoo ib yam li cov mob ntshav qab zib hom 2. Cov no yuav maj mam tshwm sim li ob peb lub hlis.
| Cov tsos mob | Kev piav qhia |
|---|---|
| Kev nqhis dej thiab kev tshaib plab ntau dhau | Tsis txaus siab txawm koj haus dej npaum li cas los yog koj noj zaub mov npaum li cas los xij. |
| Tso zis ntau zaus | Yuav tsum tau tso zis ntau zaus, tshwj xeeb tshaj yog thaum hmo ntuj. |
| qaug zog txawv txawv | Xav tias nkees thiab tsis muaj zog txhua lub sijhawm yam tsis muaj laj thawj. |
| Kev poob phaus sai sai | Poob phaus yam tsis muaj kev hloov pauv ntawm kev noj zaub mov lossis kev tawm dag zog. |
| Pom kev tsis meej | Kev hloov pauv ntawm qhov muag pom kev, tsis pom kev meej. |
| Kev kis kab mob ntau zaus | Cov poj niam feem ntau muaj kab mob poov xab ntawm daim tawv nqaij, txoj hlab zis, lossis qhov chaw mos. |
| Lwm yam nta | Ua pa tsw qab zoo li txiv hmab txiv ntoo, loog ntawm ob txhais ceg, tawv nqaij qhuav thiab khaus. |
Tus kws kho mob nrhiav tau qhov no li cas tiag?
Qee zaum nws yuav nyuaj rau kuaj mob ntshav qab zib hom 1 rau ib tus neeg laus. Qhov no yog vim tias cov tsos mob tshwm sim qeeb qeeb, thiab vim tias nws tuaj yeem tshwm sim rau cov neeg uas muaj qhov hnyav ib txwm uas tsis rog dhau, zoo li ntau tus neeg uas muaj ntshav qab zib hom 2, txawm tias tus kws kho mob yuav tsis paub tias nws yog thaum xub thawj.
Qhov tseem ceeb tshaj plaws yog tias yog koj muaj cov tsos mob ntawm tus kab mob ntshav qab zib, mus ntsib kws kho mob tam sim ntawd thiab ua qhov kev kuaj mob tsim nyog.
Muaj ntau yam kev kuaj mob uas feem ntau siv los kuaj mob ntshav qab zib:
- Kev kuaj ntshav glycated hemoglobin (A1c): Qhov no kuaj xyuas koj cov ntshav qab zib nruab nrab hauv 2-3 lub hlis dhau los.
- Kev kuaj ntshav qab zib thaum yoo mov: Kev kuaj ua thaum sawv ntxov ua ntej noj mov lossis haus dej dab tsi.
- Kev kuaj ntshav qab zib tsis tu ncua: Kev kuaj ua txhua lub sijhawm ntawm ib hnub.
Thaum cov kev kuaj no lees paub tias muaj ntshav qab zib, yuav muaj kev kuaj tshwj xeeb ntxiv los txiav txim seb nws puas yog Hom 1 (LADA) lossis Hom 2.
- Kev Kuaj Antibody: Qhov no kuaj cov ntshav seb puas muaj cov antibody tshwj xeeb (autoantibodies) uas pom muaj nyob rau hauv hom ntshav qab zib 1. Cov no tsis pom muaj nyob rau hauv hom ntshav qab zib 2.
- Kev Ntsuas C-peptide: C-peptide yog lwm yam khoom uas peb lub cev tsim tawm thaum nws ua insulin. Cov tshuaj no qis txhais tau tias tsis muaj insulin txaus. Cov theem C-peptide qis hauv LADA, tab sis hauv Hom 2, lawv tuaj yeem yog qhov ib txwm lossis siab.
Yuav kho li cas?
Yog tias koj raug kuaj pom tias muaj LADA, lub hom phiaj tseem ceeb ntawm kev kho mob yog tswj koj cov ntshav qab zib thiab qeeb qeeb qhov mob hnyav dua.
Thaum pib mob, tej zaum yuav tsis tas yuav txhaj tshuaj insulin. Tus kab mob no yuav tswj tau los ntawm kev noj zaub mov zoo, kev tawm dag zog tsis tu ncua , thiab tej zaum yuav siv tshuaj kho mob ntshav qab zib (piv txwv li, 'Metformin', 'Dipeptidyl peptidase (DPP)').
Txawm li cas los xij, vim tias lub qog ua haujlwm tsis zoo zuj zus raws sijhawm, kev kho mob insulin yuav tsim nyog. Koj yuav tsum tham nrog koj tus kws kho mob seb txoj kev kho mob twg zoo tshaj plaws rau koj.
Kev hloov pauv hauv txoj kev ua neej
- Yog koj haus luam yeeb, tsum.
- Yog rog dhau, ces txo qhov hnyav.
- Ua si nawv tsawg kawg yog 150 feeb hauv ib lub lim tiam.(Txawm li cas los xij, nws yog ib qho tseem ceeb uas yuav tsum nrog koj tus kws kho mob tham ua ntej pib ua si thiab tau txais cov lus qhia txog yuav ua li cas tswj koj cov ntshav qab zib thaum ua si).
- Tham nrog koj tus kws kho mob lossis tus kws noj haus txog kev npaj zaub mov uas zoo rau tus kab mob ntshav qab zib.
Yog tias tsis tswj tau ces yuav muaj teeb meem dab tsi tshwm sim?
Ib yam li lwm yam mob ntshav qab zib, LADA tuaj yeem ua rau muaj teeb meem loj mus sij hawm ntev yog tias tsis tswj tau zoo. Tab sis nco ntsoov, kev tswj koj cov ntshav qab zib kom zoo tuaj yeem txo qhov kev pheej hmoo ntawm cov teeb meem no.
- Teeb meem qhov muag (piv txwv li glaucoma)
- Kab mob raum
- Kab mob plawv, ntshav siab thiab mob stroke
- Kev puas tsuaj rau cov hlab ntsha
- Kev raug mob ko taw thiab kev kis kab mob
Yog li ntawd, nws yog ib qho tseem ceeb heev uas yuav tsum mus ntsib kws kho mob raws sijhawm, noj koj cov tshuaj raws li tau qhia, thiab kuaj xyuas koj cov ntshav qab zib tsis tu ncua.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Kab mob ntshav qab zib hom 1 kuj tuaj yeem tshwm sim rau cov neeg laus. Nws yog hu ua LADA (Latent Autoimmune Diabetes in Adults).
- Qhov no yog tshwm sim los ntawm teeb meem nrog lub cev tiv thaiv kab mob thiab loj hlob qeeb dua li Hom 1, uas tshwm sim rau cov menyuam yaus.
- Vim tias cov tsos mob zoo ib yam li tus kab mob ntshav qab zib hom 2, feem ntau nws raug kuaj mob tsis raug.
- Cov kev kuaj ntshav tuaj yeem kuaj xyuas cov qib qab zib thiab cov tshuaj tiv thaiv tshwj xeeb kom muab tau qhov kev kuaj mob tseeb.
- Kev kho mob yuav suav nrog kev hloov pauv lub neej, tshuaj, thiab, dhau sijhawm, txhaj tshuaj insulin. Ib txwm ua raws li koj tus kws kho mob cov lus qhia.
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Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus