Tunaayogera ku kika kino eky’enjawulo ekya sukaali ekikula mu bantu abakulu (Latent Autoimmune Diabetes in Adults - LADA)?

Leero tugenda kwogera ku kika kya sukaali eky'enjawulo katono. Oyinza okuba nga towulidde nnyo ku nsonga eyo. Kiyitibwa LADA ekitegeeza Latent Autoimmune Diabetes mu bantu abakulu. Kino kiyinza okuwulikika ng’ekizibu katono, naye ka tukimenye mu kunnyonnyola okwangu ku bigenda mu maaso.

Ddala LADA kye ki?

Mu ngeri ennyangu, mu ssukaali ono ayitibwa LADA, obubonero bw’ekika kya sukaali ekisooka (`Type 1 diabetes`) awamu n’obubonero bw’ekika kya sukaali ekyokubiri (`Type 2 diabetes`) busobola okulabibwa. Eno y’ensonga lwaki abantu abamu era bagiyita `Type 1.5 diabetes` . Okubeera omutuufu, abasawo balowooza nti kino nakyo kiva ku bulema mu baserikale b’omubiri gwaffe (kino kiyitibwa `embeera y’abaserikale b’omubiri`). Wabula, kisinga kuzuulibwa mu bukulu, kwe kugamba, wakati w’emyaka 30 ne 50. Ekirala eky’enjawulo kiri nti, okufaananako `Type 2 diabetes`, nayo yeeyongera mpolampola mu bubonero. Olw’ensonga eno, kitera okuzuulibwa obubi nga `Type 2 diabetes`.

LADA ya bulijjo etya?

Wadde abantu bangi tebawulirangako ku LADA, mu butuufu si ya bulijjo bwetyo. Okunoonyereza kulaga nti wakati wa 4% ne 12% ku bantu abaasooka okuzuulibwa nga balina `Type 2 diabetes` mu butuufu bayinza okuba nga balina LADA. Lowooza, abantu abakulu nga obukadde 530 mu nsi yonna batawaanyizibwa `Type 2 diabetes`. Ekyo kitegeeza nti obukadde n’obukadde bw’abantu bayinza okuba nga balina LADA! N’olwekyo, kikulu nnyo okukimanya ku kino.

Bubonero ki obulaga obulwadde bwa LADA?

Obubonero bwa LADA bufaanagana nnyo n’obw’ebika bya sukaali ebirala. Laba oba bino biwulikika ng’ebimanyiddwa gy’oli:

• Bulijjo okuwulira ennyonta (polydipsia).
• Okwetaaga okufulumya omusulo ennyo.
• Okugejja mu ngeri etayinza kulowoozebwako .
• Okulaba okutali kwa maanyi .
• Okuwulira ng’okooye buli kiseera (obukoowu).
• Olususu olukalu era olusiiwa .

Bw’oba ​​olina ekimu oba ebisingawo ku bubonero buno, kirungi n’ogenda mu basawo amagezi.

Kiki ekivaako LADA?

Abanoonyereza balowooza nti LADA ebaawo kubanga obutoffaali obuziyiza endwadde mu mubiri gwaffe bulumba ne busaanyaawo obutoffaali obukola insulini mu lubuto lwaffe. Nga bw’omanyi, insulini busimu obuyamba obutoffaali bwaffe okutwala ssukaali (glucose) ali mu musaayi gwaffe ne bumukozesa okufuna amaanyi. Kale, insulini bw’etakolebwa bulungi, ssukaali (glucose) azimba mu musaayi. Mu ngeri eno, kifaananako ne sukaali ow’ekika kya 1. Abantu abalina ssukaali ow’ekika kya 1 balina okumira empiso za insulini okusobola okuwangaala. Ssukaali ow’ekika kya 1 atera okuzuulibwa mu buto oba mu myaka gy’obutiini.

Wabula okufaananako ne sukaali ow’ekika eky’okubiri, LADA ezuulibwa ng’omuntu akuze, era obubonero bulabika mpolampola. Kino kiri bwe kityo kubanga olubuto lwo lukendeeza mpolampola okukola insulini. N’olwekyo obubonero buyinza obutalabika mangu. Oyinza obuteetaaga mpiso za insulini okumala emyezi oba emyaka . Eno y’ensonga lwaki abasawo abamu basooka kuteebereza nti alina ssukaali ow’ekika kya 2, so si LADA.

Waliwo ebintu eby’enjawulo ebivaako LADA?

Tewali ‘bivaako’ ntongole ku LADA. Kino kiri bwe kityo kubanga kintu ekitali mu buyinza bwo, ekiva ku baserikale b’omubiri gwo. Oluusi oyinza n’obutamanya nti olina LADA. Kino kiri bwe kityo kubanga olubuto lwo lukyakola insulini emala obutaleeta bubonero.

Biki ebiyinza okuleeta akabi eri LADA?

LADA erina ekitundu ky’obuzaale eky’amaanyi. Kino kitegeeza nti bazadde bo oba bajjajja bo bwe baba n’embeera eno, otera okubufuna. Waliwo n’obukakafu obulaga nti ensonga z’obutonde n’engeri y’obulamu, gamba ng’omugejjo, biyinza okuyamba okukulaakulanya LADA. Kyokka bino si bye byokka ebivaako embeera eno.

Ebizibu ebiyinza okuva mu LADA

Ekizibu ekisinga okuva mu butajjanjaba bulwadde buno bulungi. Olw’okuba kiringa sukaali ow’ekika kya 2, oyinza obutatandika bujjanjabi bwa insulini amangu ddala nga weetaaga. Kino kyongera obulabe bw'ebizibu by'obulamu ng'ekibumba okwonooneka .

Obulwadde bwa sukaali obukwatagana ne ketoacidosis (DKA) kizibu kya maanyi nnyo, ekiyinza okutta obulamu bwa LADA. Kibaawo ng’ekibumba kyo kitandise okumenya amasavu g’omubiri okufuna amaanyi ng’obutoffaali bwo tebulina glucose (ssukaali mu musaayi) amala okukozesa okufuna amaanyi. Eno mbeera ya bujjanjabi ya mangu.

LADA ezuulibwa etya?

LADA etera okukwata abantu abakulu abaasooka okuzuulibwa nga balina ssukaali ow’ekika eky’okubiri. Wabula bw’oba ​​tosobola kufuga ssukaali mu musaayi gwo ng’okozesa eddagala ly’omu kamwa (nga metformin) n’okukyusa mu bulamu bwo (nga okulya emmere erimu ebiriisa), abasawo bayinza okuteebereza ssukaali ow’ekika kya 1.5 (era amanyiddwa nga LADA).

Omusawo wo asobola okuzuula LADA ng’akozesa okukebera omusaayi okuyitibwa GAD Antibodies Test (`GAD Antibodies Test` - `glutamic acid decarboxylase antibodies`) . Kino kikebera oba waliwo `autoantibodies` ezilumba glutamic acid decarboxylase (`GAD`). Bw’oba ​​olina autoantibodies zino mu musaayi gwo, kitegeeza nti olina obulwadde bw’abaserikale b’omubiri obukosa olubuto lwo. Bw’oba ​​oli muntu mukulu, kisinga kuba LADA.

Omusawo ayinza okulagira okukeberebwa C-peptide.Oyinza n’okulagirwa okukeberebwa. Kino kipima obungi bwa C-peptide bw’eri mu musaayi gwo. C-peptide esobola okubuulira omusawo wo insulini mmeka olubuto lwo lwe lukola.

Bujjanjabi ki obuweebwa LADA?

Okujjanjaba LADA kizibu katono. Mu biseera ebisooka, oyinza okwanukula eddagala lya sukaali eriweebwa mu kamwa. Ziyinza okuyamba okufuga ssukaali mu musaayi gwo okumala akaseera. Naye embeera bwe yeeyongera okwonooneka, engeri omubiri gwo gye gukwatamu eddagala eryo gukendeera. Olwo olina okukyusa n’odda ku mpiso za insulini okusobola okufuga ssukaali mu musaayi. Kubanga olubuto lwo lufiirwa ddala obusobozi bwalwo okukola insulini ku bwalwo. Kino kiyinza okubaawo okumala emyezi oba emyaka.

Tewali bujjanjabi bwe bakkiriziganyizzaako ku LADA. Abakugu abamu balowooza nti kirungi okutandika okujjanjaba n’eddagala lya ‘insulin’ amangu ago. Abalala bayinza okulinda akaseera nga tebannatandika kukuba mpiso za insulini. Omusawo wo y’ajja okusalawo obujjanjabi ki obusinga okukuyamba.

Olw’okuba ddoozi n’omuwendo gwa insulini gw’olina okukyuka, olina okugenda mu maaso n’okulondoola ssukaali mu musaayi gwo.

Omuntu alina LADA ayinza kusuubira ki?

Tewali ddagala liwonya ssukaali ow’ekika kya 1.5. Naye omusawo asobola okukuyamba okufuna obujjanjabi obujja okukuyamba okubuddukanya. Bw’omala okutandika okumira insulini, ojja kusobola okufuga obulungi ssukaali mu musaayi. Bw’oba ​​oddukanya bulungi, osobola okubeera n’obulamu obwa bulijjo.

Omuntu alina LADA awangaala ki?

Obulamu bwo businziira ku bintu ebiwerako. Okubeera ne sukaali ow’ekika kya 1.5 tekitegeeza nti kikukendeeza ku bulamu bwo. Naye bw’oba ​​olina LADA era nga tosobola kufuga glucose, oba mu bulabe bw’okufuna ebizibu by’obulamu ebiyinza okukendeeza ku bulamu bwo. Ensonga enkulu lwaki kino kibaawo eri nti ssukaali omungi okumala ebbanga eddene asobola okuvaako ebizibu ng’endwadde z’omutima . Bino bisobola okukosa obulamu bwo. Eno y’ensonga lwaki okufuga ssukaali mu musaayi kikulu nnyo.

LADA esobola okuziyizibwa?

Tewali ngeri yonna gye tuyinza kuziyiza ssukaali wa LADA. Because you can't control or prevent the autoimmune condition that causes it , okuzuula amangu n'okujjanjaba y'engeri ezisinga okuziyiza ebizibu ebiva mu mbeera eno.

Nnyinza ntya okwerabirira nga nnina LADA?

Engeri esinga okwerabirira kwe kufuga ssukaali mu musaayi. Ssukaali wa LADA atera okuzuulibwa mu bukyamu. Kiyinza okukunyiiza ng’olowooza nti buli kimu okikola bulungi, naye nga ssukaali mu musaayi akyali muzibu okufuga. Bw’oba ​​ozuuliddwa nti olina obulwadde bwa LADA, goberera enteekateeka y’obujjanjabi omusawo gy’akuwa ddala.. Kakasa nti okuuma enteekateeka zo zonna ez’okugoberera. Ku ssaawa zino, omusawo asobola okukebera olubuto lwo n’obulamu bwo okutwalira awamu. Era basobola okutereeza obungi bwa insulini gy’olina.

Ddi lw’osaanidde okulaba omusawo?

Bw’oba ​​olina obubonero bwa sukaali, gamba ng’ennyonta esukkiridde n’okufuka ennyo, laba omusawo mu bwangu. Tewerabira okugabana ebyafaayo byo byonna eby’obulamu n’omusawo wo.

Okusingira ddala, bw’oba ​​ozuuliddwa n’obulwadde bwa `Type 2 diabetes` era ng’obubonero bwo tebutereera oluvannyuma lw’okujjanjabwa, saba omusawo akukebere `Type 1.5 diabetes` (LADA).

Ssukaali ow’ekika kya 1.5 oba LADA, mbeera etera okuzuulibwa obubi. Alina obubonero bwa sukaali ow’ekika kya 1 n’eky’okubiri. Wabula obubonero butera okulaga nti olina obulwadde bwa ssukaali obw’ekika kya 2. Kale kiyinza okukunyiiza n’okubutabula okukimanya nti olina obulwadde bwa sukaali obw’ekika kino. Oyinza okutandika okumira eddagala ly’omu kamwa, naye ssukaali mu musaayi akyali mungi. Oba obujjanjabi bwo buyinza okukola okumala akaseera, naye oluvannyuma ne bulekera awo okukola. Abasawo bo bajja kukuyamba okufuna engeri esinga obulungi ey’okufuga ssukaali mu musaayi gwo n’okukuuma obulamu bwo okutwalira awamu. Totya kubuuza bibuuzo ku ngeri gy’ozudde obulwadde n’enteekateeka y’obujjanjabi.

Bintu ki ebisinga obukulu bye tuyinza okutwala awaka okuva mu kitundu kino?

LADA kika kya ssukaali eky’enjawulo ekibeerawo mu bantu abakulu era kirina obubonero bwa sukaali byombi `Type 1` ne `Type 2`. Oluusi kiyinza okuzuulibwa obubi nga `Type 2`.

• Obubonero buno mulimu ennyonta esukkiridde, okufulumya omusulo ennyo, okugejja n’okukoowa.
• Kino kiva ku mbeera y’abaserikale b’omubiri, era kiyinza n’okuba n’ekitundu ky’obuzaale.
• Singa tebazuulibwa bulungi era ne bajjanjabwa mangu, ebizibu ng’ekibumba okwonooneka ne DKA bisobola okubaawo.
• Kino kizuulibwa ddala nga kiyita mu kigezo kya GAD Antibodies Test.
• Wadde ng’eddagala ly’omu kamwa lisooka kuweebwa ng’obujjanjabi, ekiseera bwe kigenda kiyitawo empiso za insulini zeetaagisa.
• Bw’oba ​​ozuuliddwa obulwadde bwa sukaali obw’ekika kya 2 ate ng’obujjanjabi bwo tebufuga, yogerako n’omusawo wo ku LADA. Toyimiriza oba okukyusa obujjanjabi bwo ku bubwo. Bulijjo goberera ebiragiro by’omusawo.

` LADA, ssukaali, sukaali atandikira mu bantu abakulu, sukaali ow’ekika kya 1.5, sukaali ow’abaserikale b’omubiri, insulini, ssukaali mu musaayi