We wi yɛri di wɔd ‘dayabitis’, wi kin tink bɔt shuga sik, nɔto so? Bɔt yu no se tu sik dɛn de we dɛn kɔl ‘dayabitis’ we nɔ gɛt natin fɔ du wit dɛnsɛf? Na dɛn tu pipul ya nem nɔmɔ fiba. Di sayn dɛm, di tin dɛm wae kin mek pɔrsin gɛt dis sik, ɛn di tritmɛnt wae dɛn kin trit kin difrɛn atɔl. Bikɔs ɔf dis, sɔntɛnde, dɛn tu nem ya kin kɔnfyus. So tide, lɛ wi tɔk bɔt dɛn tu sik ya fɔ difrɛns dɛn fayn fayn wan ɛn no dɛn.
Fɔ tɔk am simpul wan, wetin difrɛn bitwin dɛn tu sik ya?
Pan ɔl we dɛn tu sik ya gɛt di sem nem, di we aw dɛn kin afɛkt di bɔdi difrɛn atɔl. Lɛ wi si aw.
Dayabitis Mɛlitɔs - Dayabitis Mɛlitɔs
Wi ɔl no dis sik as ‘dayabitis’ ɔr ‘shuga sik’. Fɔ mɛn pipul dɛn, wi kin kɔl am Dayabitis Mɛlitɔs . pan dis kכndyushכn, di כmon insulin we wi pankrias de mek nכ de inof כ di bכdi in sεl dεm nכ de ansa am fayn. di men wok we insulin de du na fכ go insay di shuga we na glukכs frכm di it we wi de it, insay di sεl dεm fכ εnεji. So we insulin stɔp fɔ wok fayn, di shuga na di blɔd kin go ɔp bad bad wan.
Dayabitis Insipidus - Di Dayabitis wae bɔrku pipul nɔr no bɔt
Dis na wan sik wae nɔr kin bɔrku pasmak wae bɔrku pipul nɔr dɔn yɛri bɔt. I nɔ gɛt natin fɔ du wit dayabitis. Dayabitis Insipidus na wan we we wi nɔ kin kɔntrol we wi kin gɛt bɔku bɔku urine we de kɔmɔt na wi kidni. Nɔmal wan, pɔsin we gɛt wɛlbɔdi kin pul lɛk 1-2 lita urine pan wan de, we pɔsin we gɛt dis sik kin pul 3 to 20 lita insay wan de. Imajin da kayn mɔni de! Bɔku pan dis na wata. So i nɔ sɔprayz fɔ no se we bɔku bɔku wata kɔmɔt na di bɔdi, pɔsin kin tɔsti pasmak. Dis kin kam bikɔs ɔf prɔblɛm wit wan ɔmon we dɛn kɔl vasopressin, we di bren kin pul.
Di sem tin ɛn difrɛns pan di sayn dɛm
Di rizin fɔ di kɔnfyushɔn na bikɔs sɔm pan di sayn dɛm fɔ dɛn tu sik ya kin fiba. Bɔt di tin dɛn we kin mek pɔsin gɛt dɛn sik dɛn de rili difrɛn. Lɛ wi ɔndastand dat frɔm dis tebul.
| Di sayn we de sho se di sik de | Dayabitis Mɛlitɔs | Dayabitis we nɔ gɛt wan sik |
|---|---|---|
| Fɔ tɔsti pasmak | Di glukɔs (shuga) we de na di blɔd kin bɔku. di bכdi de aks fכ mכr wata fכ fכs dis shuga we pasmak tru di urine. | Bikɔs di wata we pasmak kin kɔmɔt na di bɔdi tru di urine, di bɔdi kin nid wata ɔltɛm fɔ mek i nɔ gɛt wata. |
| Taya pasmak | We di blɔd shuga bɔku ɔ smɔl, di bɔdi nɔ kin ebul fɔ mek di ɛnaji we i nid, ɛn dis kin mek yu fil taya. | Di wata we de kɔmɔt na yu bɔdi we yu de pis pasmak ɛn we yu nɔ gɛt ilɛktrɔlayt lɛk sɔdiɔm ɛn potashɔm frɔm di bɔdi, dat kin mek yu taya pasmak. |
| Di vishɔn we nɔ klia | If yu blɔd shuga bɔku, dat kin afɛkt di lens na di yay ɛn mek yu nɔ si fayn fɔ sɔm tɛm. | If yu nɔ gɛt wata na yu bɔdi fɔ lɔng tɛm, dat kin mek yu yay dray ɛn i kin afɛkt di we aw yu de si. |
De tin wae impɔtant pas ɔl na fɔ no udat na de kɔz if yu gɛt dɛn tu sayn ya. Yu fɔ rili go to dɔktɔ fɔ dat.
Aw yu kin no difrɛns ɛn no dɛn tu sik ya?
Dɔktɔ kin yuz difrɛn tɛst dɛn fɔ no difrɛns ɛn no bɔt dɛn tu sik ya.
Fɔ no if pɔsin gɛt Dayabitis:
Bɔku men blɔd tɛst dɛn de fɔ no dis.
- Fasting Blood Sugar (FBS): Na blɔd tɛst we dɛn kin du afta dɛn dɔn fast fɔ at le 8 awa.
- HbA1c test: Dis de gi yu aidia bɔt yu avrej blɔd shuga lɛvɛl fɔ di pas 2-3 mɔnt. Dis nɔ nid fɔ fast.
Bay di rizɔlt fɔ dɛn tɛst ya, yu dɔktɔ go no if yu gɛt dayabitis ɔ yu gɛt prɛdiabɛtis.
Fɔ no if yu gɛt Dayabitis Insipidus:
Dis kin kɔmplikt smɔl fɔ no bɔt dis. Dɛn kin du bɔku tɛst dɛn fɔ du dat.
- Blɔd tɛst: Dis de tɛst yu blɔd sodium lɛvɛl, nɔto di shuga lɛvɛl. If yu nɔ gɛt wata na yu bɔdi, dat kin mek yu gɛt mɔ sodium.
- Urinalysis: Dis de tεst aw yu urine kכnsantreyt כ dil/wata. Dɛn kin aks yu bak fɔ gɛda 24 awa urine ɛn mɛzhɔ di urine we yu de mek.
- Fluid Deprivɛshɔn Tɛst: .Dis na spɛshal tɛst. Yu dɔktɔ go tɛl yu fɔ stɔp fɔ drink wata fɔ sɔm tɛm. Dɔn, dɛn go chɛk yu wet, yu blɔd prɛshɔn, ɛn yu urine volyum ɛvri awa fɔ sɔm awa. Bɔku tɛm, dɛn kin du dis na ɔspitul.
- MRI skan: MRI nɔ kin no fɔ tru if yu gɛt dis sik. Bɔt i kin chɛk fɔ ɛni prɔblɛm (lɛk tumɔs ɔ infɛkshɔn) na di pituitary gland ɔ di haypothalamus na di bren we kin de mek i gɛt am.
Wetin na di tritmɛnt dɛn we yu kin gɛt?
Di gud nyus na dat, pan ɔl we nɔbɔdi nɔ go ebul fɔ mɛn ɛni wan pan dɛn sik ya, dɛn kin ebul fɔ kɔntrol dɛn fayn fayn wan ɛn liv nɔmal layf.
Tritmɛnt fɔ Dayabitis Mɛlitɔs
Ilɛksɛf yu gɛt Tayp 1 ɔ Tayp 2 dayabitis, di men gol fɔ tritmɛnt na fɔ kɔntrol di shuga na yu blɔd.
- Mɛrɛsin: Insulin injɛkshɔn ɔ ɔda pils dɛn we yu dɔktɔ gi yu.
- Di we aw yu de liv yu layf: I impɔtant fɔ fala di we aw yu de it fayn , ɛksesaiz ɔltɛm , ɛn kɔntrol yu bɔdi wet, kɔlɔstrel, ɛn blɔd prɛshɔn.
- Fɔ chɛk-ap ɔltɛm: I rili impɔtant fɔ go to yu dɔktɔ ɛn chɛk-ap ɔltɛm.
Tritmɛnt fɔ Dayabitis Insipidus
Di tritmɛnt dipen pan us kayn Dayabitis Insipidus yu gɛt.
- Sεntri DI: Dis kin kכz fכ di dכn we di כmon we dεn de prodyuz di כmon Vasopressin na di bren. Di tritmɛnt fɔ dis na wan ɔmon we dɛn mek lɛk da ɔmon de, we dɛn kɔl Desmopressin . I kin kam as sprɛy na yu nos, pil, ɔ injɛkshɔn.
- Nephrogenic DI: Insay dis kes, di bren de mek di ɔmon, bɔt di kidni dɛn nɔ de ansa am. Dɛn kin gi mɛrɛsin lɛk diuretics fɔ kɔntrol di sik dɛn.
- Dipsogenic DI: Dis na prɔblɛm wit di pat na di bren we de kɔntrol tɔsti, so yu nɔ de fil tɔsti pan ɔl we yu de lɔs wata. Pan ɔl we no patikyula tritmɛnt nɔ de fɔ dis, dɔktɔ dɛn kin se yu fɔ tɔsti bay we yu de sok ays kiub ɔ sɔl kandy.
- Gestational DI: Dis na kכndyushכn we kin apin we uman bεlε. Bɔku tɛm i kin go kpatakpata afta dɛn dɔn bɔn di pikin.
Mɛsej we dɛn kin kɛr go na os
- Dayabitis Mɛlitɔs ɛn Dayabitis Insipidus na tu sik dɛn we rili difrɛn, pan ɔl we dɛn gɛt di sem nem.
- Mɛlitɔs na sik we gɛt fɔ du wit ay blɔd shuga (glukɔs). Insipidus na ɔmon prɔblɛm we gɛt fɔ du wit wata we de lɔs pasmak frɔm di kidni.
- Pan ɔl we di sayn dɛm lɛk fɔ tɔsti pasmak ɛn fɔ pis pasmak kin kɔmɔn fɔ ɔl tu di sik dɛm, di tin dɛm wae kin mek yu gɛt dis sik difrɛn.
- If yu gɛt sayn dɛn lɛk dis, nɔr disayd fɔ du sɔntin bay we yu gɛs, bɔt fɔ tru, go to dɔktɔ ɛn gɛt di rayt diagnosis.
- Dɛn tu sik ya kin fayn fɔ kɔntrol ɛn liv wɛl bɔdi layf if dɛn trit dɛn fayn ɛn chenj dɛn layf.
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