Dambudziko rako rechirwere cheshuga rinonetsa here kudzora? Ngatikurukurei nezve 'Brittle Diabetes'!

Une chirwere cheshuga here? Dzimwe nguva, zvisinei nekuti unoedza sei, tora mishonga yawakanyorerwa nachiremba wako nenguva, uye dzora kudya kwako, huwandu hweshuga muropa rako hunongoerekana hwakwira zvakanyanya kana kuti hwakaderera zvakanyanya? Kana kuti hunongoerekana hwadzikira zvine njodzi here? Izvi zvinokanganisa zuva rako rese uye zvinowanzoda kuti upinzwe muchipatara here? Ipapo ungave uine chirwere chakasiyana icho vanachiremba vanoti "Brittle Diabetes." Usatye paunonzwa izvi. Ngatitaure nezvezvinhu zvese zviri nyore.

Zvichitaurwa zviri nyore, chii chinonzi Brittle Diabetes?

"Brittle Diabetes" haisi mhando itsva yechirwere cheshuga. Haisi kunyange kuongororwa kwepamutemo kwechiremba. Zvichitaurwa zviri nyore, izita rinoshandiswa kutsanangura chirwere cheshuga chakaoma uye chisina kugadzikana chakaoma kudzora. Izwi rekuti "brittle" rinoreva "kuputsika nyore nyore." Uye ndizvo chaizvo zvakaita chirwere ichi. Huwandu hweshuga muropa hunochinja-chinja zvishoma nezvishoma, kamwe kamwe.

Mumamiriro ezvinhu aya, pane zviitiko zveshuga shoma muropa (hypoglycemia) uye shuga yakakwira muropa (hyperglycemia). Izvi zvinogona kukonzera kugara muchipatara nguva nenguva. Dzimwe nguva vanachiremba vanoti izvi "chirwere cheshuga chisina kunaka".

Dambudziko iri rinonyanya kuitika kuvanhu vane chirwere cheshuga cherudzi rwekutanga . Zvisinei, rinogonawo kuitika kuvanhu vane chirwere cheshuga cherudzi rwechipiri, avo vanovimba nemajekiseni e insulin. Kazhinji, chirwere ichi che "brittle diabetes" chinokonzerwa nechimwe chirwere kana dambudziko repfungwa pamusoro pechirwere cheshuga.

Sei chirwere cheshuga chiri chakaoma kudzora? Ndezvipi zvikonzero?

Kudzora huwandu hweshuga muropa inzira yakaoma. Zvinhu zvakawanda zvinokanganisa, kusanganisira chikafu chatinodya, maekisesaizi atinoita, kushushikana, uye shanduko dzemahormone. Vanhu vazhinji vane chirwere cheshuga vanodzidza kudzora zvinhu izvi nekufamba kwenguva. Asi mu "chirwere cheshuga chinorwadza," maitiro aya haagone kufungidzirwa. Ndosaka huwandu hweshuga muropa huchigona kuchinja-chinja kamwe kamwe.

Zvikonzero zvinogona kukamurwa kuita zvikamu zvikuru zvina:

1. Zvimwe zvirwere mumuviri.

2. Matambudziko epfungwa.

3. Kukwegura uye kurasikirwa nendangariro.

4. Matambudziko e insulin uye kuchengetedzeka kwechikafu.

Ngatitarisei chimwe nechimwe cheizvi zvakasiyana.

1. Mamiriro ezvinhu emuviri aripo nguva imwe chete

Zvimwe zvirwere zvinogona kukonzera shanduko mukuita kwemuviri ku insulin (insulin resistance), zvichiita kuti zviome kudzora huwandu hweshuga muropa.

Zvirwere zvinokonzera kuti shuga yeropa ikwire kakawanda:

• Kusawirirana kwemahormone: Zvirwere zvine chekuita nemahormone zvakaita se hyperthyroidism (thyrotoxicosis), acromegaly, uye Cushing syndrome.
• Zvimwe zvirwere zvisingawanzoitiki zvekuzvarwa nazvo (congenital lipodystrophies)
• Utachiona hunopararira mumuviri wese (systemic infection).

Zvirwere zvinokonzera kuti shuga yeropa iderere nguva nenguva:

• Gastroparesis: Iyi inyaya apo chikafu chiri mudumbu chinotumirwa muura zvishoma nezvishoma. Fungidzira uchidya mupunga mangwanani. Kazhinji zvinotora maawa maviri kuti ugaye. Asi nekuda kweizvi, dumbu rako rinoshanda zvishoma nezvishoma. Saka kunyangwe ukabaya insulin usati wadya, chikafu chinogaya uye shuga inowedzerwa muropa mushure memaawa mana kusvika mashanu. Panguva iyi, insulin inogona kushanda uye shuga yako inogona kudzikira zvakanyanya (hypoglycemia). Kana chikafu chikagayiwa, shuga inogona kuwedzera zvakanyanya kamwe kamwe. Unoona here kuti zvakaoma sei kudzora?
• Chirwere cheAddison: Kana chikasarapwa, chirwere ichi chinogonawo kukonzera kudzikira kweshuga muropa nguva nenguva.
• Chirwere cheCeliac: Chirwere ichi chinotadzisa muviri kutora zvinovaka muviri zvakanaka, izvo zvinogona kukonzera kusagadzikana kwemazinga eshuga muropa.

2. Matambudziko epfungwa

Zvatinonzwa mupfungwa dzedu zvinokanganisa miviri yedu zvakananga. Kurarama nechirwere chisingaperi chakadai sechirwere cheshuga ndechimwe chezvinhu zvinotishungurudza zvikuru.

• Kushushikana kwakanyanya, kuzvidya mwoyo, uye kuora mwoyo: Izvi zvinogona kuderedza chido chako uye kugona kwako kudzora chirwere chako cheshuga. Ungakanganwa kutora mishonga yako nenguva uye kuongorora shuga yako yeropa. Kushushikana kunogonawo kuwedzera mahormone anoburitswa nemuviri wako, izvo zvinogona kuwedzera huwandu hweshuga yako yeropa.
• Matambudziko ekudya: Matambudziko akadai seanorexia nebulimia anogona kuita kuti zviome kubata chirwere cheshuga. Diabulimia, chirwere chinoonekwa muvanhu vane chirwere cheshuga cherudzi rwekutanga, chinosanganisira kusvetuka nemaune madhigirii e insulin mukuedza kuderedza huremu. Izvi zvine njodzi zvikuru.
• Kushandisa zvinodhaka nedoro: Zvinokurudzira zvakaita secocaine neopioid zvinowedzera huwandu hweshuga muropa. Doro rinogona kukonzera huwandu hweshuga muropa kudzikira zvine njodzi.

3. Kukwegura uye kurasikirwa nendangariro

Kurapwa kwechirwere cheshuga kunoomeswa nezvirwere zvakaita sedementia, izvo zvinogona kuitika nekukura.

• Ungakanganwa kutora mushonga wako we insulin.
• Unogona kutora mushonga wedouble dose nekukanganisa.
• Mhando dzeinsulini dzinoshanda kwenguva pfupi nedzinoshanda kwenguva refu dzinogona kuvhiringika.
• Midziyo yakaita semapombi e insulin uye ma continuous glucose monitors (CGMs) inogona kusashanda zvakanaka.

4. Matambudziko eInsulin nekuchengetedzwa kwechikafu

Iyi inyaya yemagariro evanhu nehupfumi inokanganisawo vamwe vanhu munyika medu.

• Kudhura kwakanyanya kwe insulin: Nekuda kwekuoma kwekutenga insulin, vamwe vanhu vanoshandisa mushonga mudiki pane wakatarwa. Izvi zvinogona kukonzera huwandu hweshuga muropa hwakakwira zvine njodzi uye zvirwere zvinotyisidzira hupenyu zvakaita seDiabetic Ketoacidosis (DKA) .
• Kusava nechikafu chakawanda: Kusadya nekunwa panguva yakakodzera kunogona kukonzera kuti huwandu hweshuga muropa husagadzikana.

Ndezvipi zviratidzo zvechirwere ichi?

Munhu ane chirwere cheshuga chinopera simba anowanzo sangana nezviratidzo zveshuga shoma muropa (hypoglycemia) uye shuga yakakwira muropa (hyperglycemia).

Ndezvipi zvinetso zvinogona kukonzera izvi?

Kugara uchichinja-chinja huwandu hweshuga muropa hakuna kunaka kumuviri. Izvi zvinogona kukonzera matambudziko kwenguva pfupi uye kwenguva refu.

Matambudziko anokonzerwa neshuga shoma muropa

Kana huwandu hweshuga muropa rako hukadzikira nguva nenguva, nekufamba kwenguva, unogona kutanga chirwere chinonzi hypoglycemia unawareness . Apa ndipo apo muviri wako unojaira huwandu hweshuga muropa hushoma uye usingaratidze zviratidzo zvekuderera kweshuga muropa, zvakaita sekubvunda nekudikitira. Izvi zvine njodzi nekuti unogona kurasikirwa nepfungwa kamwe kamwe uye kubatwa nepfari pasina yambiro. Kana zvikasarapwa, zvinogona kutokonzera rufu.

Matambudziko anokonzerwa neshuga yakakwira muropa

Kana huwandu hweshuga muropa hukasadzoreka, chirwere che emergency chinonzi diabetic ketoacidosis (DKA) chinogona kuitika. Izvi zvinogona kuisa hupenyu panjodzi. Zviratidzo zveDKA zvinosanganisira:

• Kusvotwa nekurutsa
• Kushaya mvura mumuviri
• Kurwadziwa kwakanyanya mudumbu
• Kufema kwemichero
• Kufema zvakadzika, nekukurumidza (Kussmaul breathing)
• Kurova kwemoyo
• Kurasikirwa nepfungwa uye kusaziva

Pamusoro pezvo, kuwanda kweshuga muropa kwenguva yakareba kunowedzera njodzi yekuve nematambudziko makuru echirwere cheshuga.

• Kukuvara kwemaziso (Retinopathy)
• Kukuvara kweitsvo (Nephropathy)
• Kukuvadzwa kwetsinga (Neuropathy)
• Chirwere chemwoyo
• Kurohwa

Izvi zvinorapwa sei?

Chinangwa chikuru chekurapa chirwere cheshuga cheBrittle ndechekugadzirisa chikonzero chikuru chekusagadzikana kwehuwandu hweshuga muropa.Kutsvaga nekurapa chikonzero chacho. Semuenzaniso, munhu ane chirwere checeliac anogona kukwanisa kugadzirisa huwandu hweshuga muropa rake kana akatanga kudya chikafu chisina gluten. Kurapa dambudziko rethyroid kunogona kubatsira kudzora chirwere cheshuga.

Paunenge uchirapa chikonzero chechirwere, chiremba wako anogona kukukurudzira kuti uwane mamwe mazano:

• Kushandisa mudziyo weContinuous Glucose Monitoring (CGM): Mudziyo uyu unoramba uchitarisa huwandu hweshuga muropa rako uye unokupa yambiro kana huwandu hweshuga yako hwakakwira kana kuti hwakaderera.
• Tarisa huwandu hweshuga muropa rako nguva nenguva: Chiremba wako anogona kukukumbira kuti utarise huwandu hweshuga muropa rako nekutora donhwe reropa kubva pamunwe wako kakawanda pazuva.
• Kushandisa pombi ye insulin: Izvi zvinopa huwandu hwe insulin hunodiwa nemuviri nemazvo uye nguva dzose.
• Rutsigiro kubva kunyanzvi yehutano hwepfungwa: Zvakakosha kuona mumwe munhu akaita senyanzvi yepfungwa uye kuwana mazano ekugadzirisa zvinhu zvakaita sekushushikana nekuzvidya mwoyo.
• Rubatsiro kubva kumhuri kana mubatsiri wevanoyamwisa: Vanhu vakwegura kana avo vane matambudziko ekurangarira vangada rubatsiro kubva kunhengo yemhuri kuti vape insulin nenguva uye vaongorore shuga yavo muropa.
• Rutsigiro kubva kumushandi wezvemagariro evanhu: Avo vasingakwanise kutenga insulin kana kuti vasina chikafu chakawanda vanogona kuwana rubatsiro rwekuwana mhinduro dzakakodzera.

Muzviitiko zvakakomba, kana pasina imwe nzira yekurapa inogona kudzora dambudziko racho, kuisirwa pancreas kunogona kukurudzirwa.

Paunofanira kutsvaga mazano ekurapa nekukasika

Chirwere cheshuga cheBrittle hachisi chinhu chekutamba nacho. Muzviitiko zvakaita seizvi, zvakakosha kuti munhu aite chimwe chinhu nekukasika.

Kugadzirisa dambudziko iri kunogona kuoma. Ndosaka zvichikosha kuona chiremba wako nguva dzose uye kutaura nezvekuchinja kwehuwandu hweshuga muropa rako. Yeuka, iyi haisi mhosva yako. Nekurapwa kwakakodzera, rubatsiro rwehunyanzvi, uye rutsigiro rwemhuri yako, dambudziko iri rinogona kudzorwa zvakanyanya.