Kodi Matenda a Shuga ndi Mtundu 1 ndi 2 Wokha? Tiyeni Tikambirane za MODY ndi LADA, Zomwe Sitikuzidziwa! (Mitundu Yosazolowereka ya Matenda a Shuga)

Mukaganizira za matenda a shuga, mwina mumaganizira za matenda a shuga a mtundu woyamba ndi wachiwiri okha. Anthu ambiri m'dera lathu amadziwa ndikulankhula za mitundu iwiri ikuluikulu iyi. Koma kodi mumadziwa kuti palinso mitundu ya matenda a shuga yomwe siili m'magulu awiriwa, yomwe ndi yosiyana pang'ono, ndipo sitinamve zambiri za iwo? MODY ndi LADA ndi mitundu iwiri ya matenda a shuga yosowa kwambiri, koma yofunika kwambiri yoti muidziwe. Izi zitha kukhala ndi zina mwa zizindikiro za matenda a shuga a mtundu woyamba ndi wachiwiri, koma ali ndi zizindikiro zake zapadera komanso mankhwala ake. Tiyeni tikambirane za izi mosavuta komanso mwaubwenzi lero.

Choyamba tiyeni tiwone chomwe MODY ndi chiyani? (Maturity-Onset Diabetes of the Young)

Mwachidule, MODY ndi matenda a majini omwe amayambitsa matenda a shuga. Taganizirani thupi lathu ngati fakitale yovuta. Fakitale iyi ili ndi malangizo osiyanasiyana (majini) a ntchito zosiyanasiyana. Chifukwa chake, ngati pali kusintha pang'ono kapena cholakwika (timatcha izi kuti kusintha kwa majini) mu malangizo omwe amapanga mahomoni otchedwa Insulin'', omwe amathandiza thupi kugwiritsa ntchito shuga kuti lipange mphamvu zomwe limafunikira, thupi silingathe kupanga insulin moyenera. Kenako shuga m'magazi amakwera. MODY ndi vuto lotere.

Monga momwe dzinalo likusonyezera (Maturity-Onset Diabetes of the Young), vutoli nthawi zambiri limapezeka mwa achinyamata, kuyambira ali achinyamata mpaka achikulire. Komabe, ndi losowa kwambiri. Pafupifupi 5% yokha ya anthu omwe ali ndi matenda ashuga ndi omwe ali ndi MODY.

Kodi zizindikiro za MODY ndi ziti?

Zizindikiro za MODY zimatha kusiyana malinga ndi munthu chifukwa mtundu wa zizindikirozo umasiyana malinga ndi kusintha kwa majini komwe kumakhudza.

Koma nthawi zambiri, zizindikiro za MODY zimakhala zochepa kwambiri ndipo zimakula pang'onopang'ono. Ndicho chifukwa chake anthu ambiri amapeza kuti ali ndi vutoli pamene mayeso a magazi pazifukwa zina akuwonetsa kuchuluka kwa shuga m'magazi.

Koma ngati zizindikirozo zioneka, zitha kufanana ndi mitundu ina ya matenda a shuga.

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Kodi dokotala amakayikira bwanji kuti muli ndi MODY?

Mukatsimikizira kuti shuga m'magazi mwanu ndi wokwera, pali zifukwa zingapo zomwe dokotala wanu angakayikire kuti mwina muli ndi MODY.

• Munapezeka ndi matenda a shuga muli aang'ono .
• Matenda a shuga amapezeka m'mibadwo ingapo ya banja lanu (monga amayi/abambo anu, komanso agogo/agogo anu aamuna, nawonso anali ndi matenda a shuga).
• Mulibe zizindikiro za matenda a shuga a Mtundu 1 kapena Mtundu 2 (monga kunenepa kwambiri, kuthamanga kwa magazi).

Ngati dokotala wanu akukayikira kuti muli ndi MODY pazifukwa izi, angakulangizeni kuti muyesedwe majini kuti mutsimikizire momwe mulili MODY. Izi nthawi zambiri zimachitika potumiza chitsanzo cha magazi kapena malovu ku labotale.

Kodi matenda a shuga a LADA (Latent Autoimmune Diabetes) ndi chiyani? (Chifukwa chiyani matenda a shuga a autoimmune mwa akuluakulu)

Chabwino, tsopano mwamvetsa bwino za MODY. Tsopano tiyeni tiwone mtundu wina wotchedwa LADA. Anthu ena amautcha moseka kuti "mtundu wa 1.5 shuga." Pali chifukwa chake.

Monga matenda a shuga amtundu woyamba, LADA imayamba chifukwa cha vuto la chitetezo chamthupi . Mwachidule, chitetezo chamthupi lathu (chitetezo chamthupi) chimaukira ndikuwononga maselo opanga insulin m'thupi lathu. Zili ngati gulu lankhondo lomwe likuteteza dziko lomwe likuukira mzinda wake molakwika.

Maselo omwe amapanga insulin akawonongeka motere, thupi silingathe kuwongolera kuchuluka kwa shuga m'magazi. Komabe, kusiyana kwakukulu pano poyerekeza ndi matenda a shuga a Mtundu 1 ndikuti kuwonongeka kumeneku kumachitika pang'onopang'ono kwambiri. Chifukwa chake zimatha kutenga miyezi, kapena zaka, zizindikiro zisanawonekere ndipo chithandizo chikufunika.

Kodi zizindikiro za LADA ndi ziti?

Zizindikiro za LADA zimafanana kwambiri ndi za mtundu woyamba ndi wachiwiri. Komabe, zimawonekera pang'onopang'ono.

Kodi matenda a LADA amachiritsidwa bwanji komanso amachiritsidwa bwanji?

LADA nthawi zambiri imayamba munthu akakwanitsa zaka 30. Ichi ndichifukwa chake ngakhale madokotala nthawi zina amatha kuiona ngati matenda a shuga a mtundu wa 2. Komabe, ngati vuto lanu silikuthetsedwa ndi mankhwala wamba a mtundu wa 2, dokotala wanu angakayikire LADA.

Njira yokhayo yotsimikizira ngati muli ndi LADA ndi kuyezetsa magazi. Izi zimafufuza ma antibodies m'magazi anu omwe apangidwa motsutsana ndi maselo opanga insulin mu kapamba wanu. Kuphatikiza apo, dokotala wanu angakuwuzeninso kuti muyese kuchuluka kwa puloteni yotchedwa C-peptide, yomwe ndi muyeso wa kuchuluka kwa insulin yomwe thupi lanu limapanga.

Ponena za chithandizo, kumayambiriro kwa matendawa, matenda a shuga amatha kuthetsedwa ndi mankhwala, zakudya, komanso kusintha moyo.

Koma kumbukirani, mu LADA, thupi limawononga pang'onopang'ono maselo omwe amapanga insulin, kotero nthawi ina mudzafunika kutenga jakisoni wa insulin kuti muwongolere shuga m'magazi mwanu.