Type 3c Diabetes hi i hria em? A awlsam zawngin sawi ila!

Diabetes i ngaihtuah hian Type 1 emaw Type 2 emaw i ngaihtuah tlangpui a ni lawm ni? Mahse, i hria em, zunthlum chi dang a awm a, chu chu Type 3c Diabetes tih a ni. Hei hi a danglam deuh a, a chhan chu kan pancreas chhiatna nen a inzawm tlat a ni. Hemi chungchang hi i la hre tam lo a ni mai thei. Chuvangin vawiinah hian i hriatthiam theih tur awlsam takin i sawi dawn nia.

Type 3c Diabetes hi eng nge ni?

A awlsam zawngin sawi ila, Type 3c Diabetes hi thil pakhatin i pancreas a tihchhiat a, insulin tih hormone a siam chhuah loh vang a ni. Ngaihtuah teh, pancreas hi taksa peng te tak te, mahse pawimawh tak, pum chunglam a awm a ni. Kan taksaah factory te tak te ang maiin hna a thawk a.

Pancreas hian hna pawimawh pahnih a nei a, chungte chu:

1. Exocrine function: Hei hian kan ei leh in kan chawhpawlh theihna tura puitu enzyme a siam chhuak a. Heng enzyme te tel lo chuan chaw kan ei tha thei lo.

2. Endocrine function: Hei hi kan thisen sugar level control tu hormone pawimawh ber ber, chu chu glucose a ni a, a bik takin insulin leh glucagon te siam chhuahna hmun a ni. Insulin hi thisen a sugar awm chu cell chhunga lut a, chakna siam tura puitu a ni.

Tunah chuan pancreas hi eng emaw vanga a chhiat chuan insulin siamchhuahna hi a tha tawk lo mai thei. Chu chu Type 3c Diabetes a lo awm hun a ni. A pawimawh ber chu a tam zawkah chuan hetiang hian pancreas a chhiat hian ei tur ei tur siamtu enzyme siamchhuahna pawh a tlahniam bawk. Doctor-te chuan he natna hi Exocrine Pancreatic Insufficiency (EPI) tiin an sawi a. Chumi awmzia chu, Type 3c diabetes vei chuan thisen sugar control-naah harsatna a nei thei a, chubakah chaw ei kawngah harsatna a nei thei bawk.

He type 3c diabetes hi hming dang engemaw zatin an ko a, chu chu doctor emaw khawi emaw atang emaw pawhin i hre tawh mai thei:

• Pancreatogenic emaw pancreatogenous emaw zunthlum vei a ni
• Pancreatic diabetes natna a ni
• Pancreatic diabetes natna a ni

Hei hi a buaithlak deuh niin a lang a nih chuan Type 3c Diabetes i vei tih hre reng ang che.

Type 3c Diabetes hi engtiang chiahin nge a awm?

Zirchiangtute chuan zunthlum vei zawng zawng zinga 1% leh 9% inkar chuan type 3c diabetes an nei niin an chhut. Hei hi tam tak angin a lang thei a, mahse a chhan chu mi tam tak, leh a chang chuan doctor-te pawhin type 3c diabetes an hriat loh vang a ni. Chuvang chuan he natna vei te hi type 2 diabetes nei anga hriat sual an ni fo thin a, hei hi zunthlum chi hrang hrang zingah chuan a tam ber a ni.

Type 1, type 2, leh type 3c diabetes hi eng nge an danglamna?

Heng zunthlum chi thum inthlauhna ber chu an lo awm chhan hi a ni. Engtin nge:

• Type 1 Diabetes: Hei hi autoimmune natna a ni . Chu chu kan taksa immune system hian eng emaw chhan hriat loh vangin pancreas chhunga insulin siamtu cell te chu a bei a, a tichhe vek tihna a ni. Kan sipaite ngeiin kan taksa peng pawimawh tak takte an beih ang mai a ni. Type 1 diabetes vei te hian an dam chhungin insulin an ei a ngai a ni.

• Type 2 Diabetes: Hei hi pancreas-in insulin a siam tlem vang emaw, taksa cell-in insulin siam chhuah chu a chhang tha lo vang emaw (hei hi insulin resistance an ti a ni ). Type 2 diabetes vei te hian nunphung thlak danglam emaw, damdawi ei emaw, insulin emaw hmangin an control thei a ni.

• Type 3c Diabetes: Hei hi pancreas chhiat avanga lo awm a ni. Mahse, he chhiatna hi type 1-a angin autoimmune cause vang a ni lo va, type 3c vei te hian pancreas-in ei tur a ei theihna tura puitu enzyme an tlachham fo bawk. Hetiang chi ah hian pancreas atanga insulin siam chhuah zat hi a inang lo thei hle. Mi thenkhat chuan zunthlum damdawi ei hmangin an thunun thei a, thenkhat erawh chuan insulin an ei a ngai thung.

A danglamna chu i hrethiam em? A bulpui ber chu a chhan a ni.

Type 3c Diabetes natna lan chhuah dan engte nge ni?

Type 3c diabetes symptoms hi zunthlum chi dang nen a inang hle. Chung zingah chuan:

• Tuihal tam lutuk (polydipsia) leh hmui vawt fo thin .
• Zun chhuah fo thin.
• Chauhna, hahna.
• Mit hmuh a fiah lo.
• Sawifiah loha taksa rihna tlahniam.
• Ke ruh leh ke ruh (limbs) emaw, tingling emaw.
• Hliam dam nan hun a duh thin.
• Vun leh/ emaw vagina-a yeast infection awm fo thin.

Heng symptoms bakah hian type 3c diabetes vei te pawhin exocrine pancreatic insufficiency (EPI) symptoms an nei fo thin a, chungte chu:

• Pum na, pum na, leh pum na.
• Ek khal.
• Kawthalo.
• Fatty stools - Hengte hi a tlangpuiin a rawng a dum a, a hriak a, a rimchhia a, tuiah a inphah bawk.
• Chhan awm lova thinrim.

Heng symptoms pakhat emaw a aia tam emaw i neih chuan doctor pan a pawimawh a, ngaihthah chuan natna a tizual thei a ni.

Type 3c Diabetes hi engte nge ni?

Type 3c diabetes hi pancreas-in insulin a siam chhuah theih tawh loh khawpa a chhiat chuan a lo awm thin. He chhiatna hi a hnuaia thil awm dan emaw, thil awmdan emaw engemaw zat avanga lo awm thei a ni. A chhan lian tak tak engemaw zat a awm a:

• Chronic pancreatitis: Hei hi a chhan tam ber a ni.
• Acute pancreatitis: Pancreas-a natna khirh tak, na tak a lo awm nghal.
• Pancreatic cancer natna a ni.
• Hemochromatosis: Iron tam lutuk taksaa a awm khawmna natna a ni.
• Cystic fibrosis: Chhungkaw atanga lo chhuak natna a ni.
• Surgery hmanga pancreas lakchhuah (Pancreatectomy) a ni.

Heng chhan hrang hrangte hi chipchiar deuhin han thlir ila.

Pancreatitis natna rei tak a awm

Hei hi Type 3c Diabetes thlentu ber a ni. Type 3c diabetes vei zawng zawng zinga 79% vel a ni. A awlsam zawngin sawi ila, hun rei tak chhung pancreas a inflamed leh inhliam tawhna condition a ni. Kan taksaa hliam, an pickup reng reng chuan hliam a hnutchhiah ang bawkin, he pancreas-a inflammation kal zel hian scar tissue (fibrosis) a thlen thei a ni. Hun a kal zel a, he scarring hian pancreas hian a hna a thawk tha thei lo a, chu chu enzyme leh hormone siamna a ni a, a bik takin insulin siam a ni. Chronic pancreatitis vei zinga 25% leh 80% inkar chuan Type 3c diabetes an vei thei tih hi han ngaihtuah teh.

Chronic pancreatitis hi chi hnih a awm a, chungte chu:

• Acquired pancreatitis: "Acquired" tih awmzia chu kan pian hnua lo awm tihna a ni. A chhan hrang hrang a nei thei. A chhan langsar ber pahnih chu gallstone leh zu in tam lutuk hi a ni. Mi thenkhat chuan chaw tui tak ei fo te, chaw ei loh te, zu in tam lutuk te hian an pancreas an tichhe thin. Heng thilte hi a kal zel chuan pancreas hi a chak lo thei a ni.
• Hereditary pancreatitis: Hei hi genetic mutations avanga lo awm a ni. Chumi awmzia chu nu leh pa atanga rochun a ni tihna a ni. Heng mite hian an pian tirh atangin heng genetic changes te hi nei mahse, pancreatitis symptom hmasa ber chu tleirawl lai hian a lang thei a ni.

Pancreatic cancer natna a ni

Diabetes leh pancreatic cancer (a bik takin pancreatic ductal adenocarcinoma an tih chi) te hi inzawmna nghet tak a awm a. Pancreatic cancer vei hmuhchhuah zinga 50% vel chuan zunthlum an vei bawk. Pancreatic cancer avanga tumor awm hian pancreas a tichhe thei a, Type 3c diabetes a thlen thei bawk. Zirchiangtute chuan Type 3c diabetes vei zinga 8% vel chu pancreatic cancer vang niin an chhut.

Hemochromatosis natna (Hemochromatosis) a awm thin

Hei hi iron overload an ti a.Hei hi kan taksain thir a khawlkhawm tam lutuk hi a ni. A tlangpuiin kan intestines hian kan ei leh in atang hian iron kan mamawh zat chauh a hip lut thin. Mahse, hemochromatosis vei te tan chuan taksain iron a hip tam lutuk a, taksa peng hrang hrangah a dah a, a bik takin thinlung, thin leh pancreas-ah te a dah a ni. Pancreas-a iron a punkhawm chuan a chhe thei a, Type 3c Diabetes a thlen thei bawk. Hei hi Type 3c Diabetes vei zawng zawng zinga 7% vel awmna chhan a ni.

Cystic fibrosis (CF) natna a awm thei.

Hei hi rochun natna a ni. Lung leh pancreas ang chi taksa peng hrang hrangah mucus sticky, thick tak tak a awm tir thin. He mucus hian pancreas a ti scar thei a, a tichhia thei bawk. Chumi hnuah chuan pancreas hian insulin a siam tling thei lo va, Type 3c Diabetes a thlen thei a ni. A chang chuan cystic fibrosis vei te hian insulin resistance an nei thei a, type 2 diabetes nen a inang. Hetiang hlauhawmna hi an damloh lai te, steroid an ei lai te, naupai lai te hian a sang hle. Cystic fibrosis (CF) vei puitling zinga 35% aia tam chuan Type 3c diabetes an nei a ni. Hei hi CF-related diabetes (CFRD) an ti bawk. Type 3c diabetes vei zinga 4% vel chu Cystic fibrosis vang a ni.

Pancreatectomy (surgical hmanga pancreas lakchhuah) .

Hei hi surgery hmanga pancreas thenkhat emaw, a zawng zawng emaw lak chhuah a ni. He surgery hi chhan hrang hrang avangin tih theih a ni a, chung zingah chuan pancreatic cancer, pancreatic cysts, emaw, chronic pancreatitis na tak emaw pawh a tel.

Type 3c diabetes hi pancreas lakchhuah a nih chuan a lo awm thei a, a bo thei bawk. Pancreas hmun thenkhat chauh lakchhuah a nih chuan (partial pancreatectomy) insulin siamtu cell thenkhat chu a awm reng a ni. A châng chuan, heng cell la awmte hian thisen sugar level control-na kawngah a pui thei bawk.

Mahse total pancreatectomy i neih chuan a hnuah zunthlum i vei ngei ang, surgeon-in i insulin siamtu cell thenkhat a chhanchhuah theih loh chuan. A châng chuan, surgeon-te chuan heng cell ṭhenkhat hi i liver-ah an dah thei bawk. Hetiang surgery hi type 3c diabetes vei zinga 2% vel a ni.

Engtin nge Type 3c Diabetes hi hmuhchhuah a nih?

Dik tak chuan Doctor tan chuan Type 3c Diabetes hi hriat chian a harsa deuh thei. A chhan chu zunthlum chi khat, a tlangpui emaw, hriat lar tak emaw a nih loh vang a ni. Doctor-te chuan Type 2 Diabetes tiin an ngai sual fo a, a chhan chu Type 2 hi a tam zawk hle. Mahse, pancreas nena inzawm natna (e.g. chronic pancreatitis) i neih tawh chuan Type 3c hi hriat a awlsam deuh.

Type 3c Diabetes hriat theih nan doctor-te chuan thil pathum an finfiah a ngai a, chungte chu:

1. Zunthlum i vei tih finfiah.

2. I pancreas a chhiat tawh tih finfiah.

3. Zunthlum chi dang (a bik takin type 1) a awm loh thu finfiah.

Chumi atan chuan doctor-te chuan a hnuaia test hi an order thei ang:

• Chaw nghei thisen glucose test: Hemiah hian test hma darkar riat tal tui lo chu ei leh in tur a ni lo. Results 126 mg/dL aia tam chuan zunthlum a kawk tlangpui.
• A1C test: HbA1C test tia koh bawk, ​​he test hian thla hnih atanga thla thum kalta chhunga i thisen glucose level average a teh thin. Result 6.5% aia tam chuan zunthlum a kawk tlangpui.
• Imaging test: CT scan ang chi test hian doctor chu pancreas chhiatna a hmuh theih nan a pui thei a ni.
• Pancreas thisen test: Heng test te hian pancreas hnathawh dan a enfiah thei a ni. Pancreas atanga digestive enzyme thenkhat siam chhuah level an teh thin. Results a dik lo a nih chuan pancreatic damage confirm turin a pui thei a ni.
• Diabetes autoantibody panel: Hei hi thisen test a ni. Type 1 Diabetes thlentu autoantibodies a awm leh awm loh a enfiah thin. I doctor chuan Type 1 Diabetes i nei lo tih finfiah nan he test hi a order thei ang.

Type 3c Diabetes hi engtin nge enkawl a nih?

Type 3c Diabetes enkawlna chu a chhan bulpui leh pancreas tihchhiat zat (a nih loh leh surgery hmanga lak chhuah zat) a innghat a ni.

Hetiang natna vei te hian zunthlum damdawi (e.g. metformin) leh/ emaw synthetic insulin (injection emaw insulin pump emaw hmangin) an ei tlangpui.

I pancreas a chhiat zual zel chuan hun kal zelah i enkawl dan a danglam thei a ni. Entirnan, a tir lamah chuan damdawi ei hmangin i thisen sugar level i control thei mai thei. Mahse i pancreas-in insulin a siam chhuah zat a tlahniam zauh zauh a, a tawpah chuan i thisen sugar level control nan insulin i ei a ngai mai thei.

Type 3c Diabetes enkawl dan dang pawh a awm a:

• Blood sugar monitoring: Tuna i treatment plan hian engtiang chiahin nge a thawh that tih hriat nan i thisen sugar (glucose) level enfiah fo hi a pawimawh hle. Hei hian nitin – a chang chuan darkar tin pawhin – type 3c diabetes i enkawl theih nan information a pe che a ni. Glucose meter hmangin i thisen sugar i enfiah fo thei a, continuous glucose monitor (CGM) pawh i hmang thei bawk. Nang leh i doctor chuan i tan thisen sugar level engzat nge tha ber tih chu in rel ang.
• Diet: Chaw ei tur ruahmanna siam leh i duh ang eitur hrisel thlan hi zunthlum enkawlna atana thil pawimawh tak a ni. A chhan chu i ei hian i thisen sugar level a nghawng nasa hle a ni. Registered dietitian chuan ei tur ruahmanna tha ber siam turin a pui thei che a ni.
• Exercise: Taksa tihchak hian insulin sensitivity a tipung a (insulin resistance tihziaawmna kawngah pawh a pui bawk), chuvangin zunthlum vei zawng zawng tan exercise hi enkawlna dik tak neihna atana thil pawimawh tak a ni.

Diabetes hi thil buaithlak tak a ni. Chuvangin enkawl tur chuan kawng hrang hrang a ngai a ni. Tin, zunthlum hian mi zawng zawng a nghawng dan a inang lo. Chuvangin, management plan hi mi hrang hrangah a inang lo hle. I enkawlna ruahmanna chu engtiang chiahin nge a thawh tih hriat nân i medical team-te nêna inhmuh fo chuan hlâwkna nasa tak i nei ang.

Type 3c Diabetes hmalam hun chu eng nge ni? (Prognosis) tih a ni.

Type 3c Diabetes vei theihna tur ruahmanna chu thil engemaw zatah a innghat a ni:

• A chhan bulpui (underlying medical condition) chu a ni.
• Hun kal zelah i type 3c diabetes i enkawl that dan leh diabetes care i hmuh theih dan.
• Engtiang chiahin nge underlying condition hi enkawl a nih.
• Diabetes i vei tih hmuhchhuah a nih lai khan i kum/eng chen nge i vei tih.
• Hriselna dang i neih leh neih loh.
• Diabetes complication i nei dawn em tih.

Hun rei tak chhunga thisen sugar level sang hian harsatna lian tak a thlen thei a, chung zinga tam tak chu tihdanglam theih loh a ni. Zirna engemaw zatah chuan enkawl loh, hun rei tak chhunga thisen sugar sang lutuk hian dam rei zawng a ti tawi a, nunphung a tichhe zawk tih a tarlang .

Mahse, zunthlum vei hian nun hrisel tak i hmang thei tih hriat a pawimawh. A hnuaia tarlan te hi hmalam hun tha zawk neih theihna tur kawng pawimawh tak a ni:

• Nunphung a inthlak danglam thin.
• Exercise neih fo thin.
• Ei leh in lama inthlak danglamna.
• Thisen sugar level enfiah fo thin.

Type 3c Diabetes hian eng harsatna nge a thlen?

Thisen glucose level hi rei tak a san chuan i taksa tissue leh organs te a tichhe thei a ni. Hei hi i taksa tissue thlawptu thisen kalna leh nerve te tihchhiat vang a ni ber.

Cardiovascular (thinlung leh thisen kalna kawng) lama harsatna nei hi zunthlum natnain hun rei tak chhunga harsatna a thlen tam ber a ni. Chung zingah chuan:

• Coronary artery natna (CAD) a ni.
• Lung natna.
• Thai.
• Atherosclerosis natna a ni.

Zunthlum natna dangte chu:

• Nerve tihchhiatna (Neuropathy).
• Kal natna (Nephropathy) a ni.
• Retinopathy a ni.
• Diabetes kaihhnawih ke natna.

Type 3c Diabetes hi ka veng thei ang em?

Type 3c Diabetes venna kawng awmchhun chu a chhan bulpui (underlying conditions) te, a theih chuan ven tum hi a ni. Inherited conditions cystic fibrosis leh hereditary pancreatitis te hi ven theih a ni lo. Mahse, acquired pancreatitis laka invenna tur step i tih theih a awm. Entirnan, zu in tlem leh triglyceride level hrisel tak vawn reng.

Type 3c Diabetes chungchangah hian engtikah nge ka doctor ka hmuh ang?

Pancreas tichhe thei natna, chronic pancreatitis emaw hemochromatosis emaw i neih chuan Type 3c Diabetes vei theihna tur i doctor nen sawiho rawh. Diabetes screening neih reng a rawt mai thei.

Type 3c Diabetes i neih chuan i zunthlum leh a thlentu damdawi lam dinhmun hnuaia awmte enkawl turin i medical team i hmuh fo a ngai ang.

Pancreatic disease avanga zunthlum i vei tih i hriat chuan lungngaihna leh lungngaihna thlentu a ni thei. Type 3c diabetes enkawl nan hian enkawl leh ngaihven reng a ngai a ni. A tir lamah chuan buaithlak tak angin lang mah se, hun kal zelah chuan chu natna enkawl dan hriatthiamna tha zawk i nei ang a, i taksa chu i rilru a hahdam tan ang.

I medical team te hi hmu fo thin ang che. Type 3c Diabetes – leh a chhan bulpui (underlying condition) enkawl hi team hmalakna a ni. I lam hawia medical professional, ṭhiante leh chhungte i mamawh a ni. I mamawh chuan tanpuina dil hlau suh.

A tawp berah chuan hei hi hre reng ang che (Take-Home Message) .

Type 3c Diabetes hi zunthlum chi khat, pancreas chhiat avanga lo awm a ni.Hei hi chronic pancreatitis, pancreatic cancer, leh cystic fibrosis ang chi natna vang a ni thei.

A lan chhuah dan hi zunthlum chi dang nen a inang a, mahse chaw ei lama harsatna (e.g., ekna thau, pum na) a awm thei bawk.

Diagnosis hi a buaithlak deuh thei a, Type 2 Diabetes tia hriat sual a nih fo avangin.

Enkawl dan hi mi hrang hrangah a inang lo va, damdawi, insulin, nunphung thlak danglam leh a chhan bulpui enkawlna te a ni.

I pancreas-ah harsatna i nei a, emaw, zunthlum symptom i nei a nih chuan a rang thei ang bera damdawi lam pan a pawimawh. A hriat hma poh leh a enkawl tha zawk. Lungngai suh, enkawl dan dik leh puihna nen chuan he dinhmun nen hian nun tha tak i hmang thei ang.

` Zunthlum, Type 3c Diabetes, Pancreatitis, Insulin, Thisen Sugar, Pancreatitis, Cystic Fibrosis