Ese uzi Diyabete yo mu bwoko bwa 3c? Reka tubiganireho mu buryo bworoshye!

Iyo utekereje kuri diyabete, ubusanzwe utekereza ku bwoko bwa 1 cyangwa ubwoko bwa 2, sibyo? Ariko wari uzi ko hari ubundi bwoko bwa diyabete, bwitwa Diyabete yo mu bwoko bwa 3c . Ibi bitandukanye gato, kuko bifitanye isano itaziguye no kwangirika kwa pancreas yacu. Wenda ntabwo wumvise byinshi kuri ibi. Reka tubiganireho uyu munsi mu buryo bworoshye ushobora gusobanukirwa.

Diyabete yo mu bwoko bwa 3c ni iki?

Mu magambo make, Diyabete yo mu bwoko bwa 3c ibaho iyo ikintu cyangije pancreas yawe, kikayibuza gukora imisemburo yitwa insuline. Tekereza nawe, pancreas ni urugingo ruto ariko rufite akamaro cyane ruherereye mu nda yo hejuru. Ikora nk'uruganda ruto mu mubiri wacu.

Pancreas ifite imirimo ibiri y'ingenzi:

1. Imikorere y'imisemburo: Ibi bitanga imisemburo idufasha gusya ibiryo turya. Tudafite izi misemburo, ntidushobora gusya ibiryo neza.

2. Imikorere y'imisemburo: Aha niho imisemburo y'ingenzi igenzura urugero rw'isukari mu maraso yacu, ari yo glucose, ikorerwa, cyane cyane insuline na glucagon. Insulini ni yo ifasha isukari iri mu maraso kwinjira mu turemangingo no gukora ingufu.

Noneho, iyo pancreas yangiritse kubera impamvu runaka, umusaruro wa insuline ushobora kudakorwa neza. Ni bwo Diyabete yo mu bwoko bwa 3c igaragara. Ikintu cy'ingenzi ni uko akenshi, iyo pancreas yangiritse gutya, umusaruro wa enzymes zifasha mu gusya ibiryo na wo ugabanuka. Abaganga babyita Exocrine Pancreatic Insufficiency (EPI) . Ibyo bivuze ko umuntu urwaye diyabete yo mu bwoko bwa 3c ashobora kugira ibibazo byo kugenzura isukari mu maraso, ndetse n'ibibazo byo mu igogora.

Iyi diyabete yo mu bwoko bwa 3c yitwa andi mazina menshi, ushobora kuba warumvise kwa muganga cyangwa ahandi hantu:

• Diyabete iterwa n'imisemburo cyangwa iterwa n'imisemburo
• Diyabete yo mu bwoko bwa Pancretique
• Diyabete yo mu bwoko bwa Pancretique

Niba ibi bisa nkaho bigoye, ibuka ko urwaye Diyabete yo mu bwoko bwa 3c.

Diyabete yo mu bwoko bwa 3c ikunze kugaragara gute?

Abashakashatsi bavuga ko hagati ya 1% na 9% by'abantu bose barwaye diyabete bafite diyabete yo mu bwoko bwa 3c. Ibi bishobora gusa nkaho ari byinshi, ariko impamvu ni uko abantu benshi, ndetse rimwe na rimwe n'abaganga, batazi diyabete yo mu bwoko bwa 3c. Kubera iyo mpamvu, abantu bafite iyi ndwara bakunze kwibeshya ko bafite diyabete yo mu bwoko bwa 2, ari na yo ikunze kugaragara cyane muri iyi ndwara.

Ni irihe tandukaniro riri hagati ya diyabete yo mu bwoko bwa 1, 2, na 3c?

Itandukaniro rikomeye riri hagati y’ubu bwoko butatu bwa diyabete ni impamvu ibutera. Reka turebe uburyo:

• Diyabete yo mu bwoko bwa 1: Iyi ni indwara iterwa n’ubwiyongere bw’umubiri . Ni ukuvuga ko ubudahangarwa bw’umubiri wacu, ku mpamvu itazwi, butera kandi bukangiza uturemangingo dukora insuline mu ipanjisi. Ni nk’ingabo zacu zitera ingingo zacu z’ingenzi. Abantu barwaye diyabete yo mu bwoko bwa 1 bagomba gufata insuline ubuzima bwabo bwose.

• Diyabete yo mu bwoko bwa 2: Ibi bibaho kubera ko pancreas idakora insuline ihagije, cyangwa se uturemangingo tw'umubiri ntitwitabire insuline ikorwa neza (ibi byitwa insuline resistance ). Abantu barwaye diyabete yo mu bwoko bwa 2 bashobora kugenzura iyo ndwara bakoresheje uburyo bwo guhindura imibereho yabo, imiti ikoreshwa mu kunywa, cyangwa insuline.

• Diyabete yo mu bwoko bwa 3c: Ibi biterwa no kwangirika kwa pancreas. Ariko, uku kwangirika ntiguterwa n'impamvu y'ubwiyongere bw'umubiri nk'uko bimeze mu bwoko bwa 1. Abantu bafite ubwoko bwa 3c bakunze kubura imisemburo ifasha pancreas gusya ibiryo. Muri ubu bwoko, ingano ya insuline ikorwa na pancreas iratandukanye. Hari abantu bashobora kugenzura diyabete yabo bakoresheje imiti ya diyabete yo mu kanwa, mu gihe abandi bagomba gufata insuline.

Urabyumva? Ikintu cy'ingenzi ni impamvu.

Ni ibihe bimenyetso bya Diyabete yo mu bwoko bwa 3c?

Ibimenyetso bya diyabete yo mu bwoko bwa 3c bisa n'iby'ubundi bwoko bwa diyabete. Birimo:

• Inyota ikabije (polydipsia) no kuma mu kanwa.
• Kwihagarika inkari kenshi.
• Umunaniro, umunaniro.
• Kubona nabi.
• Kugabanya ibiro mu buryo budasanzwe.
• Kubabara cyangwa gucika intege mu ngingo.
• Ibikomere bifata igihe kugira ngo bikire.
• Indwara zikunze kugaragara ku ruhu cyangwa mu gitsina.

Uretse ibi bimenyetso, abantu barwaye diyabete yo mu bwoko bwa 3c bakunze kugira ibimenyetso byo kunanirwa kwa pancreatic (EPI) , aribyo:

• Kubabara mu gifu, kubyimba no kubyimba mu nda.
• Kwihagarika impatwe.
• Impiswi.
• Imyanya irimo ibinure - Iyi ikunze kuba ifite ibara ryijimye, ifite amavuta, ifite impumuro mbi, kandi ireremba mu mazi.
• Kuba unanutse nta mpamvu.

Niba ufite kimwe cyangwa byinshi muri ibi bimenyetso, ni ngombwa kubonana na muganga kugira ngo akugire inama, kuko kubyirengagiza bishobora gutuma indwara irushaho kuba mbi.

Ni izihe mpamvu zitera Diyabete yo mu bwoko bwa 3c?

Diyabete yo mu bwoko bwa 3c ibaho iyo pancreas yangiritse ku buryo idashobora gukora insuline. Iyi ndwara ishobora guterwa n'indwara cyangwa ibintu byinshi biyitera. Hari ibintu byinshi by'ingenzi bigira uruhare muri iyi ndwara:

• Pancreatitis idakira: Iyi ni yo mpamvu ikunze kugaragara cyane.
• Pancreatitis ikabije: Kubyimba gukabije kwa pancreas mu buryo butunguranye.
• Kanseri y'impyiko.
• Hemochromatosis: Indwara aho ubutare bwinshi butera mu mubiri.
• Cystic fibrosis: Indwara y'uturemangingo.
• Kubaga gukuraho pancreas (Pancreatectomy).

Reka turebe buri mpamvu muri izi mu buryo burambuye.

Pancreatitis idakira

Iyi ni yo mpamvu ikunze kugaragara ya Diyabete yo mu bwoko bwa 3c. Ifata hafi 79% by'abarwayi bose ba diyabete yo mu bwoko bwa 3c. Muri make, ni indwara aho pancreas imaze igihe kinini ibyimba kandi igakomereka. Nk'uko igikomere ku mubiri wacu gihora gifatwa gisiga inkovu, uku kubyimba gukomeje muri pancreas bishobora gutera inkovu (fibrosis). Uko igihe kigenda gihita, iyi nkovu ibuza pancreas gukora akazi kayo neza, ari ko gukora imisemburo n'imisemburo, cyane cyane insuline. Tekereza ko hagati ya 25% na 80% by'abantu bafite pancreas idakira bashobora kurwara diyabete yo mu bwoko bwa 3c.

Hari ubwoko bubiri bw'ingenzi bwa pancreatitis idakira:

• Pancreatitis iterwa n'indwara ya "acquired pancreatitis": "Acquired" bivuze ko ibaho nyuma yo kuvuka. Ishobora kugira impamvu nyinshi. Impamvu ebyiri zikunze kugaragara ni utubuye mu gahinda no kunywa inzoga nyinshi. Hari abantu bangiza pancreas yabo barya ibiryo biryoshye buri gihe, basibye kurya, cyangwa banywa inzoga nyinshi. Ibi nibikomeza, pancreas ishobora gucika intege.
• Pancreatitis ikomoka ku ruhererekane rw'amaraso: Ibi biterwa n'impinduka mu ngirabuzimafatizo. Ibi bivuze ko ikomoka ku babyeyi. Nubwo aba bantu bagira izi mpinduka mu ngirabuzimafatizo igihe bavuka, ibimenyetso bya mbere bya Pancreatitis bishobora kugaragara mu bwana.

Kanseri y'impyiko

Hari isano ikomeye hagati ya diyabete na kanseri ya pancreas (cyane cyane ubwoko bwitwa pancreas ductal adenocarcinoma). Abantu bagera kuri 50% barwaye kanseri ya pancreas nabo bafite diyabete. Ibibyimba biterwa na kanseri ya pancreas bishobora kwangiza pancreas bigatera diyabete yo mu bwoko bwa 3c. Abashakashatsi bavuga ko abantu bagera kuri 8% barwaye diyabete yo mu bwoko bwa 3c baterwa na kanseri ya pancreas.

Hemochromatose

Ibi byitwa icyuma cyinshi cyane.Iki ni cyo gihe imibiri yacu ibika icyuma gikabije. Ubusanzwe, amara yacu akuramo icyuma gihagije gusa mu byo turya. Ariko, ku bantu bafite hemochromatosis, umubiri ukuramo icyuma gikabije ukagishyira mu ngingo, cyane cyane umutima, umwijima na pancreas. Iyo icyuma cyirundanyije muri pancreas, gishobora kwangirika kigatera Diyabete yo mu bwoko bwa 3c. Iyi ni yo mpamvu itera hafi 7% by'abarwayi bose ba Diyabete yo mu bwoko bwa 3c.

Indwara ya cystic fibrosis (CF)

Iyi ni indwara umuntu avukana. Itera ururenda rufata kandi runini mu ngingo nk'ibihaha na pancreas. Uru rurenda rushobora gukomeretsa no kwangiza pancreas. Ururenda rushobora kutagira insuline ihagije, bigatera Diyabete yo mu bwoko bwa 3c. Hari igihe abantu bafite diyabete yo mu bwoko bwa 2 bashobora kugira ubudahangarwa bwa insuline, kimwe na diyabete yo mu bwoko bwa 2. Ibi byago biba byinshi cyane iyo barwaye, bafata imiti igabanya ubukana bwa steroide, cyangwa batwite. Abantu bakuru barenga 35% bafite diyabete yo mu bwoko bwa 3c. Iyi kandi yitwa diyabete ifitanye isano na CFRD . Ururenda rwa cystic niyo mpamvu itera hafi 4% by'abarwayi ba diyabete yo mu bwoko bwa 3c.

Pancreatectomy (kubaga gukuraho pancreas)

Ubu ni uburyo bwo kubaga kugira ngo hakurweho igice cya pancreas cyangwa yose. Ubu buryo bwo kubaga bushobora gukorwa bitewe n'impamvu zitandukanye, harimo kanseri ya pancreas, cysts za pancreas, cyangwa pancreas idakira cyane.

Diyabete yo mu bwoko bwa 3c ishobora kugaragara cyangwa ikabura iyo pancreas ikuweho. Iyo hakuweho igice kimwe cya pancreas (gucibwa igice cya pancreas), hari uturemangingo dutera insuline tugumaho. Hari igihe utu turemangingo dusigaye dushobora gufasha mu kugenzura urugero rw'isukari mu maraso.

Ariko niba warakorewe pancreatectomy burundu, nta kabuza uzarwara diyabete nyuma, keretse niba umuganga ashobora kurokora zimwe mu ngirabuzimafatizo zawe zikora insuline. Hari igihe abaganga bashobora gushyira zimwe muri izi ngirabuzimafatizo mu mwijima wawe. Ubu bwoko bw'ubu butera hafi 2% by'abarwayi ba diyabete yo mu bwoko bwa 3c.

Diyabete yo mu bwoko bwa 3c ipimwa ite?

Mu by’ukuri, bishobora kugora abaganga gupima Diyabete yo mu bwoko bwa 3c. Impamvu ni uko atari ubwoko bwa diyabete busanzwe cyangwa buzwi cyane. Abaganga bakunze kwitiranya na Diyabete yo mu bwoko bwa 2, kuko ubwoko bwa 2 bukunze kugaragara cyane. Ariko, niba usanzwe ufite indwara ifitanye isano na pancreas (urugero: pancreatitis idakira), biroroshye gato gupima ubwoko bwa 3c.

Kugira ngo abaganga bamenye Diyabete yo mu bwoko bwa 3c, bagomba kwemeza ibintu bitatu:

1. Kwemeza ko urwaye diyabete.

2. Kwemeza ko pancreas yawe yangiritse.

3. Kwemeza ko nta bundi bwoko bwa diyabete buhari (cyane cyane ubwoko bwa 1).

Kubera iyo mpamvu, abaganga bashobora gutegeka ibipimo bikurikira:

• Isuzuma rya glucose mu maraso ritabanje kwiyiriza ubusa: Muri ibi, ntushobora kurya cyangwa kunywa ikintu icyo ari cyo cyose uretse amazi nibura amasaha umunani mbere y'isuzuma. Ibisubizo bya 126 mg/dL cyangwa birenga akenshi bigaragaza diyabete.
• Ikizamini cya A1C: Iki kizamini cyiswe kandi ikizamini cya HbA1C, gipima impuzandengo y'isukari mu maraso yawe mu mezi abiri cyangwa atatu ashize. Ikizamini cya 6.5% cyangwa kirenzeho akenshi kigaragaza diyabete.
• Ibizamini byo gupima: Ibizamini nka CT scan bishobora gufasha umuganga kubona ibyangiritse ku ruhu rw'umura.
• Ibipimo by'amaraso ya pancreas: Ibi bizamini bishobora kugenzura imikorere ya pancreas. Bipima urwego rwa enzymes zimwe na zimwe zikorwa na pancreas. Niba ibisubizo bidakunze kugaragara, bishobora gufasha kwemeza ko pancreas yangiritse.
• Agakoresho ko gusuzuma indwara ya diyabete: Iki ni ikizamini cy'amaraso. Gisuzuma niba hari uturemangingo twinshi dutera diyabete yo mu bwoko bwa 1. Muganga wawe ashobora gutegeka iki kizamini kugira ngo yemeze ko udafite diyabete yo mu bwoko bwa 1.

Diyabete yo mu bwoko bwa 3c ivurwa ite?

Uburyo bwo kuvura Diyabete yo mu bwoko bwa 3c buterwa n'indwara yayiteye n'ingano y'ibyangiritse byakorewe ku ipanjisi (cyangwa umubare w'ibyakuweho).

Abantu bafite iyi ndwara bakunze gufata imiti ya diyabete yo mu kanwa (urugero: metformin) cyangwa insuline y’ubukorano (byaba ari mu gutera cyangwa hakoreshejwe ipompo ya insuline).

Uko pancreas yawe irushaho kwangirika, uburyo uvura bushobora guhinduka uko igihe kigenda gihita. Urugero, ushobora kubanza kugenzura urugero rw'isukari mu maraso yawe ukoresheje imiti inyobwa. Ariko uko ingano ya insuline pancreas yawe igenda igabanuka buhoro buhoro, ushobora gukenera gufata insuline kugira ngo ugenzure urugero rw'isukari mu maraso yawe.

Hari ubundi buryo bwo kuvura Diyabete yo mu bwoko bwa 3c:

• Gukurikirana isukari mu maraso: Gusuzuma buri gihe urugero rw'isukari mu maraso yawe (glucose) ni ingenzi kugira ngo umenye uburyo gahunda yawe y'ubuvuzi ikora. Ibi biguha amakuru buri munsi - rimwe na rimwe ndetse na buri saha - kugira ngo bigufashe guhangana na diyabete yawe yo mu bwoko bwa 3c. Ushobora gusuzuma isukari mu maraso yawe buri gihe ukoresheje icyuma gipima isukari, cyangwa ushobora gukoresha icyuma gipima isukari (CGM) . Muri kumwe, wowe na muganga wawe muzahitamo urugero rw'isukari mu maraso rukubereye.
• Indyo: Gutegura amafunguro no guhitamo indyo yuzuye ikubereye ni igice cyingenzi cyane mu gucunga diyabete. Kuko ibyo urya bigira ingaruka zikomeye ku rugero rw'isukari mu maraso yawe. Inzobere mu mirire ishobora kugufasha gukora gahunda nziza y'amafunguro.
• Imyitozo ngororamubiri: Imyitozo ngororamubiri yongera ubushobozi bwo kumva insuline (kandi igafasha kugabanya ubushobozi bwo kudakora insuline), bityo imyitozo ngororamubiri ni igice cy'ingenzi mu gucunga neza abantu bose barwaye diyabete.

Diyabete ni indwara igoye. Bityo rero, kugira ngo uyicunge bisaba uburyo butandukanye. Nanone, diyabete igira ingaruka ku bantu bose mu buryo butandukanye. Bityo, gahunda zo kuyicunga ziratandukanye cyane bitewe n'umuntu ku wundi. Uzungukira cyane mu guhura n'itsinda ry'abaganga buri gihe kugira ngo urebe uburyo gahunda yawe yo kuvura ikora.

Ni iki kizaba ku isonga ry'indwara ya diyabete yo mu bwoko bwa 3c? (Ibisobanuro)

Uko diyabete yo mu bwoko bwa 3c ihagaze biterwa n'ibintu byinshi:

• Indwara y'ibanze yateye.
• Uburyo ubasha kwitwara neza mu gihe urwaye diyabete yo mu bwoko bwa 3c ndetse no kubona uburyo bwo kwivuza diyabete.
• Uburyo ikibazo cy’ibanze gifatwa neza.
• Imyaka yawe/igihe wari usanzwe urwaye diyabete igihe bagupimaga.
• Niba ufite izindi ndwara.
• Niba uzagira ibibazo bya diyabete.

Isukari nyinshi mu maraso mu gihe kirekire ishobora gutera ingorane zikomeye, nyinshi muri zo zikaba zidasubirwaho. Ubushakashatsi butandukanye bwagaragaje ko isukari nyinshi mu maraso idavuwe kandi irambye igabanya igihe cyo kubaho kandi ikagabanya ubuzima bwiza .

Ariko, ni ngombwa kumenya ko ushobora kubaho ubuzima bwiza urwaye diyabete. Ibi bikurikira ni ingenzi ku hazaza heza:

• Impinduka mu mibereho.
• Imyitozo ngororamubiri ihoraho.
• Impinduka mu mirire.
• Gukurikirana kenshi urugero rw'isukari mu maraso.

Ni izihe ngorane za Diyabete yo mu bwoko bwa 3c?

Iyo urugero rwa glucose mu maraso rugumye hejuru igihe kirekire, rushobora kwangiza ingingo n'ibice by'umubiri wawe. Ibi biterwa ahanini no kwangirika kw'imitsi n'imitsi bishyigikira ingingo z'umubiri wawe.

Ibibazo by'umutima n'imitsi (umutima n'imitsi ijyana amaraso) ni byo bibazo bikunze kugaragara mu gihe kirekire bya diyabete. Muri byo harimo:

• Indwara y'imitsi itera umutima (CAD).
• Indwara y'umutima.
• Indwara yo mu bwonko (stroke).
• Ateriosclerosis.

Izindi ngorane za diyabete zirimo:

• Kwangirika kw'imitsi (Neuropathy).
• Indwara y'impyiko (Nephropathy).
• Indwara ya retinopathy.
• Indwara z'ibirenge ziterwa na diyabete.

Ese nshobora kwirinda Diyabete yo mu bwoko bwa 3c?

Uburyo bwonyine bwo kwirinda Diyabete yo mu bwoko bwa 3c ni ukugerageza gukumira indwara ziyitera, niba bishoboka. Indwara zarazwe nka cystic fibrosis na pancreatitis y’uruhererekane ntizishobora kwirindwa. Ariko, hari intambwe ushobora gufata kugira ngo wirinde pancreatitis yabonetse. Urugero, kugabanya inzoga no kugumana urugero rwiza rwa triglyceride.

Ni ryari nkwiye kujya kwa muganga wanjye ku bijyanye na Diyabete yo mu bwoko bwa 3c?

Niba ufite indwara ifata pancreas, nka pancreatitis idakira cyangwa hemochromatosis, ganira na muganga wawe ku byago byawe byo kurwara Diyabete yo mu bwoko bwa 3c. Ashobora kukugira inama yo gupima diyabete buri gihe.

Niba urwaye Diyabete yo mu bwoko bwa 3c, uzakenera kujya kwa muganga buri gihe kugira ngo umenye diyabete yawe ndetse n'indwara yayiteye.

Kumenya ko urwaye diyabete bitewe n'indwara ya pancreas bishobora gutera agahinda no kwiheba. Kurwanya diyabete yo mu bwoko bwa 3c bisaba kwitabwaho no kwitabwaho buri gihe. Nubwo bishobora kugaragara nk'ibirenze ubushobozi bwawe mu ntangiriro, uko igihe kigenda gihita uzasobanukirwa neza uburyo bwo guhangana n'iyi ndwara no gutangira kumva umubiri wawe umeze neza.

Menya neza ko ujya ubonana n'itsinda ry'abaganga bawe buri gihe. Kuvura Diyabete yo mu bwoko bwa 3c - n'indwara nyamukuru yayiteye - ni imbaraga z'ikipe. Ukeneye abaganga b'inzobere, inshuti, n'umuryango ku ruhande rwawe. Ntutinye kubasaba ubufasha niba ubukeneye.

Amaherezo, ibuka ibi (Ubutumwa bwo kujyana mu rugo)

Diyabete yo mu bwoko bwa 3c ni ubwoko bwa diyabete budakunze kugaragara buterwa no kwangirika kwa pancreas.Ibi bishobora guterwa n'indwara nka pancreatitis idakira, kanseri ya pancreas, na cystic fibrosis.

Ibimenyetso bisa n'ibindi bwoko bwa diyabete, ariko ibibazo byo mu gifu (urugero: amacandwe afite amavuta, ububabare mu nda) nabyo bishobora kubaho.

Gusuzuma indwara bishobora kugorana gato, kuko akenshi bifatwa nk'indwara ya diyabete yo mu bwoko bwa 2.

Uburyo bwo kuvura buratandukanye bitewe n'umuntu kandi burimo imiti, insuline, guhindura imibereho, no kuvura impamvu nyamukuru.

Niba ufite ikibazo cya pancreas yawe, cyangwa ugaragaza ibimenyetso bya diyabete, ni ngombwa gushaka inama kwa muganga vuba bishoboka. Uko kigaragara hakiri kare, ni ko gishobora gukemurwa neza. Ntugahangayike, iyo ufashwe neza kandi ugahabwa ubufasha, ushobora kubaho ubuzima bwiza ufite iki kibazo.

Diyabete , Diyabete yo mu bwoko bwa 3c, Pancreatitis, Insulin, Isukari yo mu maraso, Pancreatitis, Cystic Fibrosis