Me kōrero tātou mō tēnei momo mate huka motuhake e puta ana i roto i ngā pakeke (Latent Autoimmune Diabetes in Adults - LADA)?

I tēnei rā ka kōrero tātou mō tētahi momo mate huka rerekē. Kāore pea koe i rongo nui mōna. Ko tōna ingoa ko LADA, arā, ko te Latent Autoimmune Diabetes in Adults. Tērā pea he ahua uaua tēnei, engari me wehewehe kia mārama ai te āhua o te mate.

He aha rawa te LADA?

I roto i tēnei mate huka e kiia nei ko te LADA, ka kitea ngā tohu o te momo mate huka tuatahi ('Te mate huka momo 1') me ngā tohu o te momo mate huka tuarua ('Te mate huka momo 2'). Koia te take e kīia ai e ētahi ko te 'Te mate huka momo 1.5 '. Hei whakamārama, e whakapono ana ngā tākuta he hapa anō hoki tēnei i roto i te pūnaha ārai mate o tō tātou tinana (e kiia ana tēnei he 'mate pūnaha ārai mate'). Heoi, ka kitea te nuinga i te pakeketanga, arā, i waenga i te 30 me te 50 tau te pakeke. Ko tētahi atu āhuatanga motuhake, pērā i te 'Te mate huka momo 2', ka piki haere hoki ngā tohu. Nā tēnei take, he maha ngā wā ka hē te tautuhi ko te 'Te mate huka momo 2'.

He pēhea te noa o te LADA?

Ahakoa he tokomaha te hunga kāore anō kia rongo i te LADA, ehara i te mea onge. Kua whakaatuhia e ngā rangahau kei waenganui i te 4% me te 12% o te hunga i kitea tuatahitia he 'mate huka momo 2' kei a rātou pea te LADA. Whakaarohia, tata ki te 530 miriona ngā pakeke puta noa i te ao e pāngia ana e te 'mate huka momo 2'. Ko te tikanga tera pea he miriona tāngata kei a rātou te LADA! Nō reira, he mea tino nui kia mōhio ki tēnei.

He aha ngā tohu o te LADA?

He tino rite ngā tohu o te mate huka LADA ki ērā o ētahi atu momo mate huka. Tirohia mēnā e mōhio ana koe ki ēnei:

• Te matewai tonu (polydipsia).
• Te hiahia kia mimi pinepine.
• Te whakahekenga taumaha e kore e taea te whakaaro.
• Te tirohanga pōuri .
• Te ngenge tonu.
• Kiri maroke, kiri mākūkū .

Mena kei a koe tētahi, ētahi rānei o ēnei tohu, he pai ake te rapu tohutohu hauora.

He aha ngā take o te LADA?

E whakaaro ana ngā kairangahau ka puta te LADA nā te mea ka whakaekea e ngā paturopi o tō tātou tinana ngā pūtau whakaputa insulin i roto i tō tātou repeure, ka whakangaromia hoki. E mōhio ana koe, ko te insulin he homoni e āwhina ana i ō tātou pūtau ki te tango i te huka (glucose) i roto i ō tātou toto, ka whakamahia hei pūngao. Nō reira, ina kore e tika te whakaputa o te insulin, ka nui haere te huka (glucose) i roto i te toto. Pēnei, he rite ki te mate huka Momo 1. Me werohia te insulin e te hunga whai mate huka Momo 1 kia ora ai. He maha ngā wā ka kitea te mate huka Momo 1 i te tamarikitanga, i te taiohitanga rānei.

Heoi, pērā i te mate huka momo 2, ka kitea te mate LADA i te pakeketanga, ā, ka puta mārire ngā tohu. Nā te mea ka whakaiti mārire te hanga insulin e tō repe taiaki. Nō reira, kāore pea ngā tohu e puta tonu mai. Kāore pea koe e hiahia ki ngā werohanga insulin mō ngā marama, mō ngā tau rānei . Koia te take i te tīmatanga ka whakapae ētahi tākuta he mate huka momo 2 koe, ehara i te mate LADA.

He aha ngā mea motuhake hei whakaoho i te LADA?

Kāore he 'pūtake' motuhake mō te mate LADA. Nā te mea he mea kāore e taea e koe te whakahaere, nā tō pūnaha ārai mate. I ētahi wā, kāore pea koe e mōhio kei a koe te mate LADA. Nā te mea kei te whakaputa tonu tō repe taiaki i te nui o te insulin kia kore ai e puta ngā tohu.

He aha ngā āhuatanga mōrearea mō te LADA?

He kaha te āhuatanga ira o te LADA. Ko te tikanga, mēnā kei ō mātua, kei ō koroua rānei te mate, ka nui ake te tūponotanga ka pāngia koe e tēnei mate. He taunakitanga anō hoki kei reira ko ngā āhuatanga taiao me ngā āhuatanga o te noho, pērā i te momona, ka whai wāhi pea ki te whanaketanga o te LADA. Heoi, ehara i te mea koinei anake ngā take.

Ngā raruraru pea o te LADA

Ko te raruraru nui rawa atu ko te kore e rongoatia tika tēnei mate. Nā te mea he rite ki te mate huka momo 2, kāore pea koe e tīmata i te maimoatanga insulin i te wā e tika ana. Ka piki ake te mōrearea o ngā raruraru hauora pēnei i te kino o te whatukuhu .

Ko te ketoacidosis e pā ana ki te mate huka (DKA) he raruraru tino kino, he raruraru pea mōrearea ki te ora o te LADA. Ka puta tēnei ina tīmata tō ate ki te wawahi i te ngako tinana hei pūngao ina kore e nui te huka toto (huka toto) o ō pūtau hei whakamahi mō te pūngao. He āhuatanga ohorere hauora tēnei.

Me pēhea te tautuhi i te LADA?

Ko te LADA te tikanga ka pā ki ngā pakeke i kitea tuatahitia he mate huka momo 2. Heoi, ki te kore e taea e koe te whakahaere i ō taumata huka toto mā te whakamahi i ngā rongoā ā-waha (pērā i te metformin) me ngā huringa āhua noho (pērā i te kai i tētahi kai totika), ka whakapae pea ngā tākuta kei a koe te mate huka momo 1.5 (e mōhiotia ana ko te LADA).

Ka taea e tō tākuta te tātaritanga i te LADA mā te whakamātautau toto e kiia nei ko te GAD Antibodies Test (`GAD Antibodies Test` - `glutamic acid decarboxylase antibodies`) . Mā tēnei ka tirohia mēnā kei te kitea ngā `autoantibodies` e whakaeke ana i te glutamic acid decarboxylase (`GAD`). Mena kei roto i ō toto ēnei autoantibodies, ko te tikanga he mate pūnaha ārai mate tōu e pā ana ki tō repeure. Mena he pakeke koe, ko te LADA pea.

Ka taea e te tākuta te tono i tētahi whakamātautau mō te C-peptide.Tērā pea ka tohua he whakamātautau māu. Mā tēnei ka ine i te nui o te C-peptide i roto i tō toto. Ka taea e te C-peptide te whakaatu ki tō tākuta te nui o te insulin e hangaia ana e tō repeure.

He aha ngā maimoatanga mō te LADA?

He uaua ake te rongoā i te LADA. I ngā wāhanga tōmua, ka taea e koe te whakamahi i ngā rongoā mate huka ā-waha. Ka taea e ēnei te āwhina i te whakahaere i ō taumata huka toto mō te wā poto. Engari i te kino haere o te āhua, ka heke te urupare a tō tinana ki aua rongoā. Kātahi ka huri koe ki ngā werohanga insulin hei whakahaere i tō huka toto. Nā te mea ka ngaro katoa te kaha o tō repe taiaki ki te whakaputa insulin i a ia anō. Ka taea tēnei te tupu i roto i ngā marama, i ngā tau rānei.

Kāore he maimoatanga kua whakaaetia mō te LADA. E whakapono ana ētahi tohunga he pai ake te tīmata tonu i te maimoatanga me te insulin. Ko ētahi pea ka tatari mō tētahi wā i mua i te tīmatanga o ngā werohanga insulin. Mā tō tākuta e whakatau ko tēhea maimoatanga te mea pai mōu.

Nā te mea ka rerekē pea te horopeta me te nui o te insulin e hiahiatia ana e koe, me aroturuki tonu e koe ngā taumata huka toto.

He aha ngā mea ka taea e te tangata whai LADA te tumanako?

Kāore he rongoā mō te mate huka momo 1.5. Engari ka taea e tō tākuta te āwhina i a koe ki te kimi maimoatanga hei āwhina i a koe ki te whakahaere i tōna mate. Kia tīmata koe ki te tango i te insulin, ka taea e koe te whakahaere pai ake i ō taumata huka toto. Mā te whakahaere tika, ka taea e koe te noho i te oranga noa.

He aha te roanga o te oranga o te tangata whai LADA?

He maha ngā āhuatanga e whakawhirinaki ana tō roanga o te ora. Kāore te mate huka momo 1.5 e whakapoto i tō roanga o te ora mēnā he mate huka momo 1.5 tō mate. Engari ki te mea he mate huka LADA tōu, ā, kāore e taea e koe te whakahaere i ō taumata huka, kei te tūpono koe ki ngā raruraru hauora ka whakapoto i tō roanga o te ora. Ko te take matua mō tēnei ko te nui o te huka toto ka arahi pea ki ngā raruraru pēnei i te mate ngakau . Ka pā pea ēnei ki tō roanga o te ora. Koia te mea he mea nui te whakahaere i te huka toto.

Ka taea te ārai i te LADA?

Kāore he huarahi hei ārai i te mate huka LADA. Nā te mea kāore e taea te whakahaere, te ārai rānei i te mate pūnaha ārai mate e puta ai , ko te tātaritanga me te maimoatanga wawe ngā huarahi pai hei ārai i ngā raruraru o tēnei mate.

Me pēhea taku tiaki i ahau anō mēnā kei a au te mate LADA?

Ko te huarahi pai ki te tiaki i a koe anō ko te whakahaere i ō taumata huka toto. He maha ngā wā ka hē te tātaritanga o te mate huka LADA. Ka taea te whakarihariha ina whakaaro koe kei te tika āu mahi katoa, engari he uaua tonu te whakahaere i ō taumata huka toto. Mena kua tātaritatia koe he LADA, me whai i te mahere maimoatanga a tō tākuta.Kia mau ki ō wā tirotiro katoa. I ēnei wā tirotiro, ka taea e tō tākuta te tirotiro i tō repe taiaki me tō hauora whānui. Ka taea hoki e ia te whakarerekē i te nui o te insulin e hiahiatia ana e koe.

Āhea koe me toro atu ki te tākuta?

Mena kei a koe ngā tohu o te mate huka, pērā i te nui o te matewai me te mimi pinepine, me toro atu ki te tākuta tonu. Kaua e wareware ki te whakapuaki i tō hītori hauora katoa ki tō tākuta.

Ina koa, ki te mea kua tāpaetia koe kei te mate koe i te 'mate huka momo 2', ā, kāore ō tohu e pai ake i muri i te maimoatanga, tonoa tō tākuta kia whakamātauria koe mō te 'mate huka momo 1.5' (LADA).

Ko te mate huka momo 1.5, arā, ko te LADA, he mate e hē ana te tātaritanga. He rite ngā tohu ki te mate huka momo 1 me te mate huka momo 2. Heoi, he maha ngā tohu e tohu ana ki te mate huka momo 2. Nō reira, ka taea te whakarihariha me te whakapoauau ki te mōhio kei a koe tēnei momo mate huka. Tērā pea ka tīmata koe ki te tango rongoā ā-waha, engari kei te teitei tonu ō taumata huka toto. Tērā pea ka whai hua tō maimoatanga mō tētahi wā, engari ka mutu te mahi. Mā ō tākuta koe e āwhina ki te kimi i te huarahi pai hei whakahaere i ō taumata huka toto me te pupuri i tō hauora whānui. Kaua e wehi ki te pātai mō tō tātaritanga me tō mahere maimoatanga.

He aha ngā mea tino nui ka taea e tātou te kawe mai i tēnei tuhinga ki te kāinga?

He momo mate huka motuhake te LADA e pā ana ki ngā pakeke, ā, he tohu ōna e rite ana ki te mate huka 'Momo 1' me te 'Momo 2'. I ētahi wā ka hē te tautuhi he 'Momo 2'.

• Ko ngā tohu ko te matewai nui, te mimi pinepine, te hekenga taumaha, me te ngenge.
• Ka puta mai tēnei i te mate pūnaha ārai mate, ā, tera pea he āhuatanga ira anō hoki.
• Ki te kore e tika te tātaritanga me te rongoā wawe, ka puta pea ngā raruraru pēnei i te kino o te whatukuhu me te DKA.
• Ka taea te tautuhi i tēnei mā te whakamātautau paturopi GAD.
• Ahakoa ka hoatuhia he rongoā ā-waha i te tīmatanga hei rongoā, i te roanga o te wā ka hiahiatia ngā werohanga insulin.
• Mena kua tāpaetia koe kei te mate huka momo 2, ā, kāore tō maimoatanga e whakahaere i tēnei mate, kōrero ki tō tākuta mō te LADA. Kaua rawa e mutu, e whakarerekē rānei i tō maimoatanga. Me whai tonu i ngā tohutohu a tō tākuta.

` LADA, mate huka, mate huka pakeke, mate huka momo 1.5, mate huka ā-tinana, insulin, huka toto