Wakamboona, kana kusangana nedambudziko rekudzikira kwemafuta kamwe kamwe mumuviri wako here, kana kuwedzera kwemafuta kusingadiwe mune dzimwe nzvimbo? Izvi dzimwe nguva hazvigoneke kufungidzira. Nhasi tichataura nezvechirwere ichi. Mukurapa, ichi chinonzi Lipodystrophy . Usazvidya moyo, kunyangwe zita racho ringanzwika serisinganzwisisike, ngatitaurei nezvazvo zviri nyore.
Chii chinonzi Lipodystrophy?
Zvichitaurwa zviri nyore, lipodystrophy inyaya yekurasikirwa kwemafuta zvachose kana kuti chikamu, izvo zvatinowanzodaidza kuti "mafuta," mune dzimwe nzvimbo, kana kuungana kwemafuta zvisina kujairika munzvimbo dzakasiyana dzemuviri.
Fungidzira kuti uri kudzikira huremu munzvimbo dzakati dzemuviri wako, dzakadai semaoko nemakumbo, uku uchiwana mafuta akawandisa munzvimbo dzakadai sekumeso nemutsipa. Izvi ndizvo zvinoitika muLipodystrophy. Kune mhando dzakasiyana dzechirwere ichi, dzimwe dzacho dzine majini (kureva, chimwe chinhu chatinozvarwa nacho), nepo dzimwe dzichikura gare gare nekuda kwezvimwe zvirwere. Rudzi rumwe nerumwe runokanganisa vanhu zvakasiyana uye rune zviratidzo zvakasiyana.
Sei mafuta (mafuta) achikosha zvikuru mumuviri wedu?
Zvino ungave uchifunga kuti, "Kana uine mafuta mashoma, zviri nani." Asi kutaura chokwadi, mafuta anoita mabasa mazhinji akakosha mumiviri yedu. Tarisa:
- Kuchengetedza simba: Mumatumbu aya emafuta ndipo panochengetwa macalorie ekuwedzera atinowana kubva muchikafu chatinodya sesimba.
- Dziviriro: Inopa dziviriro yakaita seyekutsvinda kunhengo dzakasiyana dzemuviri wedu.
- Kuchengetedza kudziya: Kunochengetedza kupisa kwemuviri uye kunotidzivirira kubva kuchando chenharaunda.
- Kuburitswa kwemahormone: Mahormone akakosha akati wandei, akadai seleptin, anogadzirwa uye anoburitswa muropa.
- Kudzora kuzvimba: Zvinobatsirawo kudzora kuzvimba mumuviri.
Saka, kana mafuta aya akarasika kana kuiswa zvisina kujairika nekuda kwe lipodystrophy, chitarisiko chedu hachingochinji chete, asi mabasa akakosha emuviri anokanganiswawo. Vanhu vazhinji vane lipodystrophy vari panjodzi yekurwara nezvirwere zvakaita sechirwere cheshuga uye kuva nemazinga asina kujairika e cholesterol muropa.
Pane mhando dze lipodystrophy here?
Ehe, lipodystrophy inogona kukamurwa kuita mhando mbiri huru: majini uye akawanikwa.
Mhando dzeGenetic Lipodystrophy
Izvi zvinogara nhaka, kureva kuti, mhando dzinoitika nekuda kwekuchinja kwemajini.
- Congenital Generalized Lipodystrophy (CGL): Iri ndiro Berardinelli-Seip syndrome.Inozivikanwawo sekuti. Ichi chirwere chisingawanzoitiki. Muizvi, mafuta emuviri anenge apera zvachose kana kuti zvakanyanya. Izvi zvinokonzerwa nekusakwana kwemajini kunowanikwa pakuzvarwa. Chirwere ichi chinogona kuonekwa mukati megore rekutanga rehupenyu.
- Familyal Partial Lipodystrophy (FPLD): Ichi chirwere chinokonzerwawo nemajini. Zvisinei, chinowanzoonekwa gare gare muhupenyu. Muchirwere ichi, mwana anorasikirwa nemafuta kunyanya mumakumbo nemaoko, uye anounganidza mafuta akawanda kumeso nemutsipa.
Mhando dzeAcquired Lipodystrophy
Idzi ndidzo mhando dzinomuka mushure mekuzvarwa kwedu uye munguva yehupenyu hwedu nekuda kwezvikonzero zvakasiyana-siyana.
- Acquired Generalized Lipodystrophy (AGL): Inozivikanwawo seLawrence syndrome , chirwere ichi chinokonzera kurasikirwa nemafuta, kazhinji pachiso, mumutsipa, mumaoko, nemakumbo. Kurasikirwa nemafuta uku kunogona kuitika nekukurumidza, kwemavhiki mashoma, kana zvishoma nezvishoma kwemwedzi kana makore. Kazhinji kunotanga muhudiki kana kuyaruka, asi kunogona kuitika chero pazera ripi zvaro. Pane zvikonzero zvakawanda zvinogona kukonzera AGL.
- Acquired Partial Lipodystrophy (APL): Inozivikanwawo seBarraquer-Simons syndrome , chirwere ichi chinokonzera kurasikirwa zvishoma nezvishoma kwemafuta kubva pachiso, mumutsipa, mumaoko, uye pachipfuva panguva yehudiki. Vamwe vanhu vanogonawo kuva nemafuta akawandisa munzvimbo dzakadai sedumbu, makumbo, nemagaro. APL inowanzobatanidzwa nematambudziko ekudzivirira muviri .
- Kurapa nemishonga inorwisa mabhakitiriya inoshanda zvakanyanya (HAART)-induced lipodystrophy (LD-HIV): Rudzi urwu rwelipodystrophy runoitika kuvanhu vane hutachiona hweHIV mushure mekunge vawana mushonga unorwisa mabhakitiriya unoshanda zvakanyanya (HAART) unosanganisira mishonga inodzivirira HIV-1 protease . Kuvapo kwechirwere ichi kunoenderana nekusimba uye nguva yekurapwa. Vanhu vane LD-HIV vanowanzo rasikirwa mafuta zvishoma nezvishoma kubva mumaoko avo, makumbo, uye kumeso. Vamwe vanhu vanogonawo kuwedzera mafuta akawandisa kumeso avo, mutsipa, musana wekumusoro, uye chiuno.
- Localized Lipodystrophy: Izvi zvinoitika kana mafuta akarasika munzvimbo diki yemuviri chete. Semuenzaniso, chirwere ichi chinogona kuitika kana mishonga (yakadai se insulin) ikapinzwa munzvimbo imwe chete kakawanda. Inoita kunge kadiki, asi ganda rinoifukidza hariwanzokanganisike.
Lipodystrophy neLipoatrophy zvakafanana here?
Lipodystrophy izwi rinowanzo shandiswa kureva kupararira kwemafuta zvisina kujairika. Rine chekuitawo neLipoatrophy , zvinoreva kurasikirwa nemafuta. Vamwe masayendisiti nevanachiremba vanoshandisa mazwi ese ari maviri kutsanangura mamiriro akafanana. Zvichitaurwa zviri nyore, Lipoatrophy iboka reLipodystrophy.
Ndiani anonyanya kubatwa nechirwere ichi? Chinowanzoitika sei?
Mhando zhinji dze lipodystrophy dzinotanga muhudiki, asi mhando dzinowanikwa dzinogonawo kukura muvanhu vakuru.
Kunze kweHAART-induced lipodystrophy (LD-HIV) , mamwe marudzi eacquired lipodystrophy anowanzo bata vakadzi. Nekuti hutachiona hweHIV hwakajairika muvarume, LD-HIV yakajairikawo muvarume.
Kazhinji, lipodystrophy haiwanzoitiki . Zvisinei, mhando dze lipodystrophy dzinowanikwa (kwehupenyu hwese) dziri kuwanda nekuda kwemigumisiro yemimwe mishonga.
Lipodystrophy inokanganisa sei muviri wangu?
Rudzi rumwe nerumwe rwe lipodystrophy runokanganisa muviri zvakasiyana, asi pane zvinhu zviviri zvikuru zvinowanzoonekwa: kurasikirwa nenyama yemafuta uye kushaikwa kwehomoni inonzi leptin .
Mhedzisiro yekurasikirwa kwemafuta mumuviri
Mafuta edu anoumbwa nemasero anonzi maadipocytes . Sero rega rega remaadipocyte rine madonhwe emafuta angangoita 90%. Maadipocytes aya anochengeta mafuta (triglycerides). Kana masero aya emafuta akakuvara nekuda kwe lipodystrophy, haakwanise kuchengeta mafuta zvakanaka.
Mune dzimwe nguva Lipodystrophy, mafuta aya anorasika anochengetwa zvisirizvo mune dzimwe nhengo dzemuviri wedu, semuenzaniso, muchiropa, pancreas, kana tsandanyama. Izvi zvinogona kukonzera matambudziko ehutano akadai se:
- Chirwere chechiropa chine mafuta akawanda / hepatic steatosis
- Kusakwanisa insulin uye mazinga e insulin akakwira muropa (hyperinsulinemia)
- Chirwere cheshuga (chirwere cheshuga)
- Kuwedzera kwe triglycerides muropa (hypertriglyceridemia)
- Chipembenene
- Chirwere cheMetabolic
- Chirwere chetsinga yeropa
Asi yeuka, havasi vese vane lipodystrophy vanozosangana nematambudziko aya. Vamwe vanogona kunge vasina kusimba zvakanyanya, nepo vamwe vangave vakanyanya kuoma.
Migumisiro yekushomeka kweLeptin mumuviri
Sezvo vanhu vane lipodystrophy vachirasikirwa nemafuta, vanorasikirwawo nemamwe mahormone, kunyanya hormone inonzi leptin .
Leptin ihormone inogadzirwa nemafuta edu. Inotibatsira kuchengetedza huremu hwemuviri hwakajairwa kwenguva refu. Unoziva here kuti zvinoitwa sei? Nekuita kuti tinzwe takaguta uye tichidzora nzara yedu. Masayendisiti achiri kutsvaga leptin. Vanotenda kuti leptin inokanganisa mashandiro emuviri wedu, mashandiro ehurongwa hwe endocrine , uye mashandiro emuviri wedu .
Vanhu vane lipodystrophy vanogona kuva nekudzikira kwemazinga e leptin, izvo zvinogona kukonzera nzara yakawandisa, kusakwanisa insulin, nezvimwe zvinetso zvehutano.
Ndezvipi zviratidzo zve lipodystrophy?
Nekuti kune mhando dzakawanda dze lipodystrophy, zviratidzo zvacho zvakasiyana-siyana.
Chiratidzo chinonyanya kuzivikanwa kurasikirwa nemafuta kuri pachena uye kunogara kuripo mune dzimwe nzvimbo dzemuviri, nepo panguva imwe chete, kuunganidzwa kwemafuta kusingawanzoitiki kana kusingadiwi mune dzimwe nzvimbo dzemuviri.
Semuenzaniso, vanhu vane acquired partial lipodystrophy (APL) vanorasikirwa nemafuta zvishoma nezvishoma pachiso, mumutsipa, mumaoko, uye pachipfuva vachiri vadiki. Vamwe vanhu vane APL vanogonawo kuwedzera mafuta munzvimbo dzakadai sedumbu, makumbo, nemagaro.
Zvichienderana nerudzi rwe lipodystrophy yaunayo uye zera rako, ungasaona matambudziko makuru ehutano kwemakore. Zvisinei, mhando dzakawanda dze lipodystrophy dzinokonzera cholesterol yakakwira muropa, triglycerides, uye huwandu hweshuga (glucose). Chiremba wako anogona kuona izvi nekuongororwa kweropa nguva dzose, senge lipid panel uye basic metabolic panel .
Mamwe marudzi e lipodystrophy, kunyanya partial lipodystrophy, anogona kuoma kuona. Saka, zvakakosha kuona chiremba kana iwe kana mwana wako mukava nezviratidzo zvitsva kana kana chiratidzo chiripo chikawedzera, zvisinei nechikonzero chacho.
Ndezvipi zvikonzero zve lipodystrophy?
Zvikonzero zve lipodystrophy zvinosiyana zvichienderana nekuti inyaya yemajini here kana kuti inowanikwa.
Zvikonzero zveLipodystrophy yeMajini
Mhando dzemajini dze lipodystrophy - dzinoti congenital generalized lipodystrophy (CGL) uye familial partial lipodystrophy (FPLD) - dzinokonzerwa nemamwe majini ekuchinja .
Kuchinja kwemajini kuchinja kweDNA yedu. Kutevedzana kweDNA yedu ndiko kunopa masero edu ruzivo rwaanoda kuti aite mabasa awo. Saka, kana chikamu cheDNA iyi chisina kukwana kana kuti chakakuvara, tinogona kutanga zviratidzo zvechirwere chemajini.
- Zvikonzero zvekuzvarwa nazvo generalized lipodystrophy (CGL): CGL mhando 1 kusvika 4 dzinokonzerwa nekuchinja kwemajini eAGPAT2, BSCL2, CAV1 , uye CAVIN1 . Majini aya akakosha pakukura nekushanda kwemasero anochengeta mafuta (adipocytes) munyama yedu yemafuta. Kuchinja kwemajini aya kunokanganisa chimiro nekushanda kwemaadipocytes. Mwana ane CGL anogara nhaka kuchinja kwemajini uku kubva kuvabereki vake. Kunyangwe vabereki vese vaine kopi imwe chete yejini rakachinja, kazhinji havaratidzi zviratidzo.
- Zvikonzero zveFamilial Partial Lipodystrophy (FPLD): Kuchinja kwemajini akasiyana-siyana kunogona kukonzera FPLD. Chinonyanya kuzivikanwa iLMNA.Kuchinja kwejini kunonzi LMNA. Jini reLMNA nemamwe majini anobatanidzwa muFPLD anorayira maadipocytes kuchengetedza mafuta uye kugadzira mapuroteni akasiyana-siyana akakosha pakuchengetwa kwemafuta. Kana kuchinja kukaitika mune chero yemajini aya, kukura, chimiro, kana mashandiro emaadipocytes zvinokanganiswa zvakanyanya. Zviitiko zvakawanda zveFPLD zvinogara nhaka mu autosomal dominant pattern . Izvi zvinoreva kuti kuva nekopi imwe chete yejini rakachinja musero rega rega zvakakwana kukonzera chirwere ichi. Dzimwe nguva, munhu ane FPLD anogara nhaka kuchinja kubva kune mumwe wevabereki vake vakabatwa. Mune zvimwe zviitiko, zvinokonzerwa nekuchinja kutsva, kwakasarudzika mujini, uye zvinogona kuitika kunyangwe pasina munhu mumhuri akamborwara nechirwere ichi.
Zvikonzero zveAcquired Lipodystrophy
Acquired lipodystrophy inogona kukonzerwa nemishonga, autoimmune reactions , kana zvimwe zvikonzero zvisingazivikanwe . Kunyangwe pasina hwaro hwakananga hwemajini hweacquired lipodystrophy, vamwe vaongorori vanotenda kuti vamwe vanhu vanogona kunge vaine fungidziro yemajini yekuva acquired lipodystrophy.
- Zvikonzero zveAcquired Generalized Lipodystrophy (AGL): AGL inogona kuitika mushure mehutachiona kana mushure mechirwere cheimmune system. Utachiona hwakabatana neAGL hunosanganisira:
- Chickenpox (Chickenpox / varicella)
- Gwirikwiti
- Kukosora kwechikosoro (pertussis)
- Diphtheria
- Chirwere chemabayo
- Osteomyelitis
- Mononucleosis (Mononucleosis / mono)
Hazvina chokwadi kuti uchava nechirwere cheAGL nekuda kwekunge uine hutachiona uhwu.
Zvirwere zve autoimmune zvine chekuita neAGL zvinosanganisira:
- Autoimmune thyroiditis
- Chiropa chinozvirwisa mumuviri
- Dermatomyositis yevana
- Arthritis ine rheumatoid
- Chirwere cheSjogren
- Kupererwa neropa kweropa kwemuviri kunodzivirira zvirwere
Kana uine zvirwere izvi zvemuviri, hazvigone kutaurwa kuti zvechokwadi uchava neAGL.
Kazhinji, chikonzero cheAGL hachigone kuzivikanwa (idiopathic).
- Zvikonzero zveAcquired Partial Lipodystrophy (APL): Masayendisiti anotenda kuti APL inokonzerwa nekuti masoja edu emuviri anoparadza masero emafuta nemaune. Vanhu vanopfuura 80% vane APL vane Complement 3 muropa ravo.Pane puroteni shoma inonzi complement factor. Puroteni iyi inowanzo batsira mukuita kwemasoja edu ekudzivirira muviri. Vanhu vane APL vanowanzova neautoantibody inonzi complement 3-nephritic factor muropa ravo. Autoantibody ipuroteni iri mumasoja ekudzivirira muviri inorwisa nekukuvadza nhengo dzine hutano.
- Zvikonzero zvekurapa nemishonga inorwisa utachiona (HAART)-induced lipodystrophy (LD-HIV): Masayendisiti haasati aziva kuti sei HAART, ine mishonga inodzivirira HIV-1 protease, ichikonzera lipodystrophy.
Mashoko akanaka ndeekuti vanhu vazhinji vanotanga kurapwa neHIV izvozvi havafanirwe kunetseka zvakanyanya nezve lipodystrophy, sezvo mishonga mitsva yeHIV ichiita kuti chirwere ichi chisanyanya kuitika.
Ungaziva sei kana uine lipodystrophy?
Kana uine zviratidzo zve lipodystrophy, chiremba wako achaita bvunzo yemuviri, obvunza nezvenhoroondo yako yezvekurapa uye nhoroondo yemhuri yako yezvekurapa, uye obva araira mimwe miedzo yekusimbisa chirwere uye kuona kana paine zvimwe zvinokonzera zviratidzo zvako.
Ndezvipi zvidzidzo zvinoshandiswa kuongorora lipodystrophy?
Chiremba wako anogona kukuraira bvunzo dzinoverengeka kuti aongorore lipodystrophy uye/kana kuti aone kana paine zvimwe zvinokonzera zviratidzo zvako. Izvi zvinosanganisira:
- Kuongororwa kweMRI yemuviri wese (Magnetic Resonance Imaging): MRI inoshandisa magineti makuru, mafungu eredhiyo, nekombiyuta kugadzira mifananidzo yakadzama yenhengo dzemuviri wako nezvimwe zvinhu zviri mukati memuviri wako. Chiremba wako anogona kuraira bvunzo iyi kuti aongorore kuumbwa uye kupararira kwemafuta mumuviri wako.
- Panel Yemuviri Yakakwana: Iyi bvunzo yeropa inoyera zvinhu gumi nemana zvakasiyana muropa rako. Inopa ruzivo rwakakosha nezve kuenzana kwemakemikari mumuviri wako uye metabolism. Chiremba achanyatsoongorora huwandu hweshuga muropa rako (glucose) uye ma enzymes echiropa .
- Lipid Panel: Iyi iongororo yeropa zvakare. Inoyera huwandu hwemafuta anonzi lipids muropa rako. Iyi bvunzo inowanzo sanganisira zviyero zvina zvecholesterol uye chiyero chetriglyceride. Lipodystrophy inowanzo kukonzera huwandu hwecholesterol husina kujairika.
- Kuongororwa kweLeptin: Izvi zvinoyera huwandu hweleptin muropa rako. Kana uine lipodystrophy uye huwandu hweleptin yako hwakaderera pane zvakajairwa, izvi zvinogona kukupa pfungwa yekuti muviri wako uchapindura sei kurapwa kweleptin.
- Kuongororwa Kwemajini: Kana chiremba wako achifungidzira kuti une chimiro cheLipodystrophy chakagarwa nhaka (chemajini), vanogona kukurudzira kuongororwa kwemajini kuti vasimbise chirwere chacho.
- Kuongororwa kweitsvo:Izvi zvinosanganisira kubvisa sampuli yenyama yeitsvo nekuvhiyiwa uye kuiongorora uchishandisa maikorosikopu. Chiremba wako anogona kuraira bvunzo iyi kuti aone kana itsvo dzako dzakakanganiswa ne lipodystrophy.
Ndezvipi zvirongwa zvekurapa lipodystrophy?
Kurapwa uye kurapwa kwe lipodystrophy zvinoenderana nerudzi rwechirwere chaunacho, uye kana uine zvimwe zvirwere zvine chekuita nacho, zvakaita sechirwere cheshuga kana cholesterol yakawanda.
Mishonga inowanzoshandiswa yekurapa lipodystrophy ndeiyi:
- Mushonga wekutsiva Leptin: Chiremba wako anogona kukupa rudzi rwehomoni inonzi metreleptin yakagadzirwa. Vanhu vane lipodystrophy vanowanzova nekushomeka kweleptin. Homoni iyi inobatsira kudzora mashandiro emuviri uye inogonawo kuderedza huwandu hwakawanda hwecholesterol netriglyceride.
- Kurapa chirwere cheshuga nekusagona kwe insulin: Kana uine kusagona kwe insulin uye/kana chirwere cheshuga nekuda kwe lipodystrophy, chiremba wako anogona kukupa mishonga yekunwa yakadai se pioglitazone, metformin, sulfonylureas , kana thiazolidinediones yekurapa chirwere ichi. Vamwe vanhu vane lipodystrophy vangangodawo kutora synthetic insulin kurapa chirwere chavo cheshuga. Ungangodawo kutarisa huwandu hweshuga yako yeropa nguva nenguva kumba uchishandisa glucometer .
- Kudzora huwandu hwe triglyceride necholesterol: Mishonga inonwiwa yambotaurwa kare inobatsira kurapa chirwere cheshuga inogona kubatsira kudzora huwandu hwe cholesterol. Chiremba wako anogonawo kunyora ma statins , akadai se rosuvastatin ne pravastatin . Vanhu vane huwandu hwakawanda hwe triglyceride vangangoda kutora mamwe ma supplements e fibroic acid derivatives kana n-3 polyunsaturated fatty acids , akadai seaya anowanikwa mumafuta ehove.
- Kuvhiyiwa kwekunaka uye nzira dzekurapa: Vanhu vane lipodystrophy munzvimbo dzinonyanya kubatwa neganda, dzakadai sekumeso, chipfuva, uye nhengo dzesikarudzi, vanogona kuvhiyiwa kwekunaka kuti vawedzere chitarisiko chavo uye vazvivimbe. Vanachiremba vepurasitiki vanogona kuita autologous adipose tissue transplantation, kugadzirazve kumeso vachishandisa free flaps, uye silicone kana zvimwe zvinoiswa. Vanogona zvakare kushandisa liposuction kana nzira dzekubvisa mafuta kuti vabvise mafuta asingadiwe munzvimbo dzakadai sechirebvu kana kumashure kwemutsipa (zvinowanzonzi "buffalo hump" ).
Masayendisiti achiri neruzivo rwakawanda nezvekurapa uye kugadzirisa lipodystrophy. Sezvavanodzidza zvakawanda nezvekuoma kwemaitiro ekugaya chikafu, dzimwe nzira dzekurapa dzinogona kuwanikwa.
Ko lipodystrophy inogona kudzivirirwa here?
Kazhinji, lipodystrophy haigoni kudzivirirwa.
Maitiro emafuta emuviri e lipodystrophy haagoni kudzivirirwa, sezvo ari mugumisiro wekuchinja kwemajini kwakagara nhaka. Kana uchironga kuva nevana, nzwisisa njodzi yekuva nemwana ane chirwere chemajini uye taura nachiremba wako nezvekuongororwa kwemajini.
Kuwanikwa kwemafuta mumuviri kunowanzokonzerwa nehutachiona kana chirwere chemuviri chekudzivirira muviri. Kunyange hazvo zvimwe zvirwere zvakaita sechicken pox nekukosora, zvichigona kudzivirirwa nekubaiwa majekiseni, zvimwe zvirwere zvemuviri pamwe nezvirwere zvemuviri zvekudzivirira muviri zvine chekuita nekuwaniswa mafuta mumuviri hazvigone kudzivirirwa.
Chii chinonzi fungidziro ye lipodystrophy?
Maonero e lipodystrophy anonyanya kuenderana nerudzi rwe lipodystrophy yaunayo, uye kana uine zvimwe zvirwere kana matambudziko anoenderana nazvo, zvakaita sechirwere cheshuga, chiropa kana matambudziko eitsvo.
Kugadziriswa kwenzvimbo dzine mafuta mashoma nenzvimbo dzine mafuta akawandisa kunobatsira kuvandudza hupenyu hwevanhu vane lipodystrophy.
Kana iwe kana mwana wako mukaonekwa kuti mune lipodystrophy, taurai nachiremba wenyu nezvezvamunotarisira uye kuti mungagadzirisa sei dambudziko racho.
Unofanira kuona chiremba rini nezve lipodystrophy?
Kana mukaona kuti mafuta emuviri wenyu kana emwana wenyu ari kuramba achiderera munzvimbo dzakatarwa, kana kuti mafuta ari kuwedzera munzvimbo dzakatarwa, taurai nachiremba wenyu.
Kana iwe kana mwana wako mukaonekwa kuti mune Lipodystrophy, munofanira kusangana nechikwata chenyu chekurapa nguva nenguva kuti muve nechokwadi chekuti kurapwa kwenyu kuri kushanda zvakanaka kwamuri.
Pakupedzisira, zvinhu zvekurangarira
Lipodystrophy chirwere chisingawanzoitiki asi chakakomba. Kunyange hazvo pasina mushonga, mamwe marapirwo anogona kubatsira kudzora zviratidzo zvayo nezvimwe zvirwere zvine chekuita nayo, zvakaita sechirwere cheshuga uye huwandu husina kujairika hwecholesterol.
Kurapwa kunosiyana zvikuru kubva pamunhu nemunhu. Saka, timu yako yezvekurapa ichashanda newe kugadzira hurongwa hwakakunakira. Usatya kubvunza chiremba wako mibvunzo. Varipo kuti vakubatsire. Ruzivo urwu ruchakubatsira zvechokwadi kurarama hupenyu hwakanaka!
lipodystrophy, mafuta, leptin, majini, acquired , chirwere cheshuga, cholesterol, triglyceride, HIV, zvirwere zve metabolic











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