Zunthlum i ngaihtuah hian Type 1 leh Type 2 chauh i ngaihtuah mai thei a, kan khawtlang zinga mi tam zawk chuan heng chi hnih lian ber berte hi an hre vek a, an sawi bawk. Mahse, zunthlum chi hrang hrang, heng category pahniha tel chiah lo, tlem a danglam deuh, kan hriat tam loh pawh a awm tih i hria em? MODY leh LADA hi chutiang zunthlum chi hnih hmuh tur awm lo, mahse hriat tur pawimawh tak tak an ni. Hengte hian Type 1 leh Type 2-a mizia thenkhat an nei thei a, mahse anmahni chhinchhiahna leh enkawlna danglam bik an nei a ni. Hemi chungchang hi vawiinah hian awlsam tak leh friendly takin i sawi dawn nia.
MODY hi eng nge a nih kan en hmasa ang u? (Thalai puitlin atanga zunthlum vei) .
A awlsam zawngin sawi ila, MODY hi genetic condition a ni a, chu chuan zunthlum a thlen a ni. Kan taksa hi factory complex tak angin han ngaihtuah teh. He factory hian hna hrang hrang thawh tur instruction (gene) set hrang hrang a nei a. Chuvangin, taksain sugar hmanga a mamawh chakna a siam chhuah theihna tura puitu hormone ``Insulin'' siamtu instruction set-ah hian inthlak danglamna tlemte emaw, tihsual emaw (hei hi gene mutation kan ti a) a awm a nih chuan taksain insulin a siam tha thei lo. Tichuan thisen sugar level a sang chho zel a. MODY hi chutiang dinhmun chu a ni.
A hming ang bawkin (`Maturity-Onset Diabetes of the Young`), he natna hi thalai zingah a lang fo thin a, an tleirawl atanga puitling tleirawl thlengin. Mahse, a tlem hle. Zunthlum vei zinga 5% vel chauhvin MODY an nei.
MODY symptoms te chu engte nge ni?
MODY natna lan chhuah dan hi mi hrang hrangah a inang lo thei a, a chhan chu a natna thlentu gene mutation a zirin a lan chhuah dan hi a inang lo thei a ni.
Mahse a tlangpuiin MODY symptoms hi a na lo hle a, a lo thang zawi zawi bawk. Chuvangin mi tam tak chuan chhan dang avanga thisen test-naah thisen sugar level sang tak a awm tih hriatchhuah chauhvin he natna hi an nei tih an hrechhuak thin.
Mahse symptoms a lo lang a nih chuan diabetes chi dang nen a inang thei.
| A lan chhuah dan tlangpui |
|---|
| A hma aia tuihal zawka inhria. |
| Zun chhuah a ngai fo thin. |
| Mit hmuh a fiah lo. |
| Infection awm fo (a bik takin vun leh zun kawng). |
Engtin nge doctor chuan MODY i nei tih a rinhlelh?
I thisen sugar level a sang tih finfiah a nih hnuah chuan i doctor-in MODY i nei thei tih a rinhlelh chhan engemaw zat a awm.
- Kum naupan lai atang tawhin zunthlum i vei tih hmuhchhuah a ni a .
- Diabetes hi i chhungkaw thlah engemaw zatah a kal zel a (entir nan, i nu/pa, chutiang bawkin i pi/pi te pawhin zunthlum an vei bawk).
- Type 1 emaw Type 2 emaw diabetes (e.g., thau lutuk, thisen sang) symptoms tlangpui i nei lo .
Heng avang hian i doctor chuan MODY i nei nia a rinhlelh chuan i MODY status finfiah nan genetic test neih tir turin a rawt thei che a ni. Hei hi thisen emaw, hmui emaw sample laboratory-a thawn hmanga tih a ni tlangpui.
Chuti a nih chuan LADA chu eng nge ni? (Puitling zingah latent Autoimmune Diabetes) 1. A rilru a hah lutuk chuan a rilru a buai em em a.
Okay, tunah chuan MODY chungchang hi i hrethiam tawh hle. Tunah chuan he chi dang LADA tih hi han en ila. Mi thenkhat chuan fiamthuin "Type 1.5 diabetes" an ti thin. Chu chu a chhan a awm.
Type 1 diabetes ang bawkin LADA hi autoimmune problem avanga lo awm a ni . A awlsam zawngin kan taksa invenna (immune system) hian kan taksa pancreas-a insulin siamtu cell te chu a rawn bei sual a, a tichhia a ni. Ram venghimtu sipaiten an khawpui ngei an beih sual ang mai a ni.
Hetianga insulin siamtu cell te hi an tihchhiat chuan taksain thisen sugar level a control thei lo. Mahse, hetah hian Type 1 diabetes nena khaikhin chuan a danglamna ber chu he chhiatna hi a thleng zawi hle a ni. Chuvangin thla tam tak, a nih loh leh kum tam tak pawh a la ngai thei a, chu chu symptoms a lo lang a, enkawl a ngai a ni.
LADA natna lan chhuahna chu engte nge ni?
LADA natna lan chhuah dan hi Type 1 leh Type 2 te nen hian a inang hle a, mahse zawi zawiin a lang chhuak thin.
| A lan chhuah dan tlangpui |
|---|
| Tuihalna nasa tak nei leh zun chhuah fo ngai. |
| Ei duhna tha tak nei mahse taksa rihna tihtlem. |
| Mit hmuh a fiah lo. |
| Taksa hahna leh chak lohna nasa tak. |
| Vun vawt leh itchy. |
| Ke ruh leh ke ruh (limbs) ah tingling sensation a awm tih hriat. |
| Hri kai fo thin. |
LADA hi engtin nge hmuhchhuah leh enkawl a nih?
LADA hi kum 30 hnu lamah a intan tlangpui a, hei vang hian doctor te pawhin Type 2 diabetes tiin an ngai sual fo thin. Mahse, Type 2 damdawi hman thin hmanga i dinhmun control loh chuan i doctor chuan LADA a ringhlel mai thei.
LADA i neih leh neih loh finfiah theihna awmchhun chu thisen test hi a ni. Hei hian i thisena antibodies lo awm tawhte chu i pancreas-a insulin siamtu cell-te lakah a enfiah a ni. Chu bakah, i doctor chuan i taksain insulin a siam chhuah zat tehna C-peptide an tih protein level i neih zat enfiah turin test a ti thei bawk.
Enkawlna chungchang sawi dawn chuan a tir lamah chuan zunthlum hi damdawi, ei leh in leh nunphung tihdanglam hmangin a thunun theih a ni.
Mahse hre reng ang che, LADA-ah hian taksa hian insulin siamtu cell te chu a tichhe zauh zauh a, chuvangin engtik lai pawhin i thisen sugar control nan insulin shot i lak a ngai ngei ang.
Take-Home Thuchah a ni
- Zunthlum chungchang kan sawi hian Type 1 leh Type 2 chauh a ni lo va, kan hriat vak loh chi hrang hrang a awm bawk a, MODY leh LADA ang chi, mahse a pawimawh hle.
- MODYZunthlum chi khat a ni a, kum naupan lai atanga lo lang, genetic cause avanga lo awm a ni. A enkawl dan chu a nghawngtu gene-ah a innghat a ni.
- LADA hi zunthlum chi khat a ni a, puitlingah zawi zawiin a lo awm a, Type 1 diabetes nen a inang. Hun a kal zel a, insulin enkawl a ngai dawn a ni.
- Zunthlum i vei a nih chuan, emaw, i chhungte zinga mi tu emaw chuan a vei a, i natna lan chhuah dan emaw, enkawlna i dawn dan emaw chu "a danglam deuh deuh" a nih chuan , heng natna, MODY leh LADA tia koh chungchang hi i doctor nen inbiakna neih hlau suh. Diagnosis dik tak neih hi enkawlna dik tak neih hmasak ber a ni.
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