Unoziva nezvechirwere cheshuga cheType 3c here? Ngatitaurei nezvazvo zviri nyore!

Paunofunga nezvechirwere cheshuga, unowanzo funga nezvechirwere cheType 1 kana Type 2, handiti? Asi waizviziva here kuti kune rumwe rudzi rwechirwere cheshuga, chinonzi Type 3c Diabetes . Izvi zvakasiyana zvishoma, nekuti zvine chekuita nekukuvadzwa kwepancreas yedu. Pamwe hauna kunzwa zvakawanda nezvazvo. Saka ngatitaure nezvazvo nhasi nenzira iri nyore yaunogona kunzwisisa.

Chii chinonzi Type 3c Diabetes?

Zvichitaurwa zviri nyore, chirwere cheshuga cherudzi rwechitatu chinoitika kana chimwe chinhu chikakuvadza pancreas yako, zvichiidzivirira kugadzira hormone inonzi insulin. Funga nezvazvo, pancreas inhengo diki asi inokosha zvikuru iri mudumbu repamusoro. Inoshanda sefekitari diki mumuviri wedu.

Pancreas ine mabasa maviri makuru:

1. Basa reExocrine: Izvi zvinogadzira ma enzymes anotibatsira kugaya chikafu chatinodya. Pasina ma enzymes aya, hatigone kugaya chikafu zvakanaka.

2. Basa reEndocrine: Apa ndipo panogadzirwa mahormone akakosha anodzora huwandu hweshuga muropa redu, kureva glucose, kunyanya insulin neglucagon. Insulin ndiyo inobatsira shuga iri muropa kupinda mumasero uye kugadzira simba.

Zvino, kana pancreas ikakuvara nekuda kwechimwe chikonzero, kugadzirwa kwe insulin kunogona kusaitwa nemazvo. Ndipo panomuka chirwere cheshuga cheType 3c. Chinhu chakakosha ndechekuti kazhinji, pancreas painokuvara seizvi, kugadzirwa kwema enzymes anobatsira kugaya chikafu kunodererawo. Vanachiremba vanodana chirwere ichi kuti Exocrine Pancreatic Insufficiency (EPI) . Izvi zvinoreva kuti, munhu ane chirwere cheshuga cheType 3c anogona kunge aine matambudziko ekudzora shuga yeropa, pamwe nematambudziko ekugaya chikafu.

Chirwere cheshuga cherudzi rwe3c ichi chinodanwa nemamwe mazita akati wandei, ayo ungave wakambonzwa kubva kuna chiremba kana kune imwe nzvimbo:

• Chirwere cheshuga chinonzi Pancreatogenic kana Pancreatogenic Diabetes mellitus
• Chirwere cheshuga chepancreatic
• Chirwere cheshuga chepancreatic

Kana izvi zvichinzwika zvakaoma, ingoyeuka kuti une chirwere cheshuga cheType 3c.

Chirwere cheshuga cheType 3c chakajairika zvakadii?

Vaongorori vanofungidzira kuti pakati pe1% ne9% yevanhu vese vane chirwere cheshuga vane chirwere cheshuga cherudzi rwe3c. Izvi zvingaita sehuwandu hwakawanda, asi chikonzero ndechekuti vanhu vazhinji, uye dzimwe nguva kunyange vanachiremba, havazivi nezvechirwere cheshuga cherudzi rwe3c. Nekuda kweizvozvo, vanhu vane chirwere ichi vanowanzoonekwa zvisirizvo sevanhu vane chirwere cheshuga cherudzi rwechipiri, chinova rudzi rwechirwere cheshuga rwakajairika.

Ndeupi musiyano uripo pakati pechirwere cheshuga cherudzi rwekutanga, rwechipiri, uye rwechitatu?

Musiyano mukuru uripo pakati pemhando nhatu idzi dzechirwere cheshuga ndicho chikonzero chekuvapo kwadzo. Ngatitarisei kuti sei:

• Chirwere cheshuga cherudzi rwekutanga: Ichi chirwere chinokonzerwa ne autoimmune system . Kureva kuti, masoja emuviri wedu, nekuda kwechikonzero chisingazivikanwe, anorwisa nekuparadza masero anogadzira insulin mupancreas. Zvakafanana neuto redu rinorwisa nhengo dzedu dzinokosha. Vanhu vane chirwere cheshuga cherudzi rwekutanga vanofanira kutora insulin kweupenyu hwavo hwese.

• Chirwere cheshuga cherudzi rwechipiri: Izvi zvinoitika nekuti pancreas haigadzi insulin yakakwana, kana kuti masero emuviri haapindure zvakanaka ku insulin inogadzirwa (izvi zvinonzi insulin resistance ). Vanhu vane chirwere cheshuga cherudzi rwechipiri vanogona kudzora chirwere ichi nekuchinja mararamiro avo, mishonga inonwiwa, kana insulin.

• Chirwere cheshuga cherudzi rwechitatu: Izvi zvinokonzerwa nekukuvara kwepancreas. Zvisinei, kukuvara uku hakukonzerwi nechikonzero che autoimmune sezvakaita chirwere cherudzi rwekutanga. Vanhu vane chirwere cherudzi rwechitatu vanowanzo shaya ma enzyme anobatsira pancreas kugaya chikafu. Murudzi urwu, huwandu hwe insulin inogadzirwa nepancreas hunogona kusiyana. Vamwe vanhu vanogona kudzora chirwere cheshuga chavo nemishonga yekudya yediabetes, vamwe vachitora insulin.

Unonzwisisa musiyano here? Chinhu chikuru ndicho chikonzero.

Ndezvipi zviratidzo zvechirwere cheshuga cheType 3c?

Zviratidzo zvechirwere cheshuga cherudzi rwechitatu zvakafanana nezvemamwe marudzi echirwere cheshuga. Zvinosanganisira:

• Nyota yakawandisa (polydipsia) uye muromo wakaoma.
• Kuita weti kakawanda.
• Kuneta, kuneta.
• Kuona kusina kujeka.
• Kudzikira uremu kusingatsananguriki.
• Kunzwa kusanzwa kana kukwenya mumakumbo.
• Maronda anotora nguva kuti apore.
• Kurwara kweganda uye/kana nhengo yemukadzi kakawanda.

Kuwedzera kune zviratidzo izvi, vanhu vane chirwere cheshuga cherudzi rwechitatu vanowanzoonawo zviratidzo zve exocrine pancreatic insufficiency (EPI) , zvinoti:

• Kurwadziwa kwemudumbu, kuzvimba, uye kufashaira kwemuviri.
• Kuzvimba.
• Manyoka.
• Tsvina ine mafuta - Idzi dzinowanzova neruvara rwakachenuruka, dzine mafuta, dzine hwema hwakaipa, uye dzinoyangarara mumvura.
• Kuonda pasina chikonzero.

Kana uine chimwe chezviratidzo izvi kana kupfuura, zvakakosha kuti uone chiremba kuti akupe mazano, sezvo kusazviteerera kunogona kuwedzera dambudziko racho.

Ndezvipi zvikonzero zvechirwere cheshuga cherudzi rwechitatu (Type 3c Diabetes)?

Chirwere cheshuga cherudzi rwechitatu chinoitika kana pancreas ikakuvara kusvika pakutadza kugadzira insulin. Kukuvara uku kunogona kukonzerwa nemamiriro ezvinhu akasiyana-siyana. Pane zvinhu zvakawanda zvinokonzera izvi:

• Chirwere chepancreatitis chisingaperi: Ichi ndicho chikonzero chinowanzoitika.
• Pancreatitis: Kuzvimba kwakakomba kwepancreas kamwe kamwe.
• Kenza yepancreatic.
• Hemochromatosis: Chirwere umo iron yakawandisa inoungana mumuviri.
• Cystic fibrosis: Chirwere chemajini.
• Kuvhiyiwa kubviswa kwepancreas (Pancreatectomy).

Ngatitarisei chimwe nechimwe chezvikonzero izvi zvakadzama.

Chirwere chepancreatitis chisingaperi

Ichi ndicho chikonzero chinowanzo konzera chirwere cheType 3c Diabetes. Chinokonzera vanhu vanosvika 79% yezvirwere zveType 3c. Zvichitaurwa zviri nyore, chirwere ichi chinowanzo konzera kuti pancreas irambe ichizvimba uye ichikuvara kwenguva yakareba. Kungofanana neronda riri mumuviri wedu rinogara richitorwa richisiya vanga, kuzvimba uku kuri kuitika mupancreas kunogona kukonzera mavanga (fibrosis). Nekufamba kwenguva, mavanga aya anodzivirira pancreas kuti isaite basa rayo nemazvo, iro riri rekugadzira ma enzymes nemahormone, kunyanya insulin. Funga kuti vanhu vari pakati pe25% ne80% vane pancreatitis isingaperi vanogona kurwara nechirwere cheshuga cheType 3c.

Kune mhando mbiri huru dzechirwere chepancreatitis chisingaperi:

• Chirwere chepancreatitis chinowaniswa: "Chinowanikwa" zvinoreva kuti chinoitika mushure mekuzvarwa kwedu. Chinogona kuva nezvikonzero zvakasiyana-siyana. Zvikonzero zviviri zvinonyanya kuitika matombo emunduru uye kushandisa doro zvakanyanya. Vamwe vanhu vanokuvadza pancreatitis yavo nekudya zvekudya zvine munyu nguva dzose, kusadya, kana kunwa doro rakawandisa. Kana zvinhu izvi zvikaramba zviripo, pancreatitis inogona kushaya simba.
• Chirwere chepancreatitis chinoberekwa nevabereki: Izvi zvinokonzerwa nekuchinja kwemajini. Izvi zvinoreva kuti chinotorwa kubva kuvabereki. Kunyangwe vanhu ava vaine shanduko idzi dzemajini pakuzvarwa, zviratidzo zvekutanga zvechirwere chepancreatitis zvinogona kuonekwa pazera rekuyaruka.

Kenza yepancreatic

Pane hukama hwakasimba pakati pechirwere cheshuga nekenza yepancreas (kunyanya rudzi runonzi pancreatic ductal adenocarcinoma). Vanhu vanosvika 50% vanoonekwa vaine kenza yepancreas vanewo chirwere cheshuga. Mamota anokonzerwa nekenza yepancreas anogona kukuvadza pancreas uye kutungamira kuchirwere cheshuga cheType 3c. Vaongorori vanofungidzira kuti vanhu vanosvika 8% vane chirwere cheshuga cheType 3c vanokonzerwa nekenza yepancreas.

Hemochromatosis

Izvi zvinonzi simbi yakawandisa.Apa ndipo apo miviri yedu inochengeta iron yakawandisa. Kazhinji, ura hwedu hunongotora iron yatinoda kubva muchikafu chatinodya. Zvisinei, kune vanhu vane hemochromatosis, muviri unotora iron yakawandisa woiisa munhengo dzemuviri, kunyanya moyo, chiropa, nepancreas. Kana iron ikaungana mupancreas, inogona kukuvara uye inotungamira kuType 3c Diabetes. Ichi ndicho chikonzero cheinenge 7% yezvirwere zvese zveType 3c Diabetes.

Cystic fibrosis (CF)

Ichi chirwere chinogara nhaka. Chinokonzera kuti madzihwa anonamira, akakora aunganidzike munhengo dzakadai semapapu nepancreas. Madzihwa aya anogona kukuvadza pancreas. Madzihwa haagone kugadzira insulin yakakwana, zvichikonzera chirwere cheshuga cheType 3c. Dzimwe nguva vanhu vane cystic fibrosis vanogona kuva ne insulin resistance, yakafanana nechirwere cheshuga cheType 2. Njodzi iyi inonyanya kukwira kana vachirwara, vachitora steroid, kana panguva yekuzvitakura. Vanhu vanopfuura 35% vane cystic fibrosis (CF) vane chirwere cheshuga cheType 3c. Ichi chinonziwo CF-related diabetes (CFRD) . Cystic fibrosis ndiyo inokonzera vanhu vanosvika 4% vane chirwere cheshuga cheType 3c.

Pancreatectomy (kuvhiyiwa kubviswa kwepancreas)

Uku kuvhiyiwa kunobviswa chikamu chepancreas kana kuti pancreas yese. Kuvhiyiwa uku kunogona kuitwa nezvikonzero zvakasiyana-siyana, zvinosanganisira kenza yepancreas, pancreatic cysts, kana pancreatitis isingaperi.

Chirwere cheshuga cherudzi rwechitatu (Type 3c diabetes) chinogona kutanga kana kunyangarika kana pancreas yabviswa. Kana chikamu chepancreas chikabviswa chete (partial pancreatectomy), mamwe masero anogadzira insulin anoramba aripo. Dzimwe nguva, masero aya asara anogona kubatsira kudzora huwandu hweshuga muropa.

Asi kana ukabviswa pancreatectomy zvachose, uchazowana chirwere cheshuga gare gare, kunze kwekunge chiremba achikwanisa kuchengetedza mamwe masero ako anogadzira insulin. Dzimwe nguva, vanachiremba vanogona kuisa mamwe masero aya muchiropa chako. Rudzi urwu rwekuvhiya runokonzera inenge 2% yezvirwere zvechirwere cheshuga cherudzi rwe3c.

Chirwere cheshuga cherudzi rwechitatu (Type 3c Diabetes) chinoonekwa sei?

Kutaura zvazviri, zvinogona kuomera vanachiremba kuti vaongorore chirwere cheType 3c Diabetes. Chikonzero cheizvi ndechekuti hachisi chirwere cheType 3c chinowanzoonekwa kana kuti chinozivikanwa zvakanyanya. Vanachiremba vanowanzochifungidzira kuti ndicho chirwere cheType 2 Diabetes, nekuti Type 2 inonyanya kuwanikwa. Zvisinei, kana uine chirwere chine chekuita nepancreas (semuenzaniso chronic pancreatitis), zviri nyore kuona chirwere cheType 3c.

Kuti vaongorore chirwere cheshuga cherudzi rwechitatu, vanachiremba vanofanira kusimbisa zvinhu zvitatu:

1. Kusimbisa kuti une chirwere cheshuga.

2. Kusimbisa kuti pancreas yako yakakuvara.

3. Kusimbisa kusavapo kwemamwe marudzi echirwere cheshuga (kunyanya rudzi rwekutanga).

Kuti izvi zviitike, vanachiremba vanogona kuraira bvunzo dzinotevera:

• Kuongororwa kweshuga yeropa nekutsanya: Muizvi, haugone kudya kana kunwa chero chinhu kunze kwemvura kwemaawa masere usati waongororwa. Mhedzisiro ye126 mg/dL kana kupfuura inowanzoratidza chirwere cheshuga.
• Kuongororwa kweA1C: Kunonziwo bvunzo yeHbA1C, bvunzo iyi inoyera huwandu hweshuga muropa rako mumwedzi miviri kusvika mitatu yapfuura. Mhedzisiro ye6.5% kana kupfuura inowanzoratidza chirwere cheshuga.
• Kuongororwa kwemifananidzo: Kuongororwa kwakadai seCT scan kunogona kubatsira chiremba kuona kukuvara kwepancreas.
• Kuongororwa kweropa repancreas: Kuongororwa uku kunogona kutarisa mashandiro epancreas. Kunoyera huwandu hwemamwe ma enzymes ekugaya anogadzirwa nepancreas. Kana mhedzisiro yacho isina kujairika, zvinogona kubatsira kusimbisa kukuvara kwepancreas.
• Panel ye autoantibodies yechirwere cheshuga: Iyi bvunzo yeropa. Inotarisa kuvapo kwe autoantibodies dzinokonzera chirwere cheshuga cherudzi rwekutanga. Chiremba wako anogona kuraira bvunzo iyi kusimbisa kuti hauna chirwere cheshuga cherudzi rwekutanga.

Chirwere cheshuga cherudzi rwechitatu (Type 3c Diabetes) chinorapwa sei?

Kurapwa kwechirwere cheshuga cherudzi rwechitatu kunoenderana nechirwere chakakonzera chirwere ichi uye kuti pancreas yakakuvara zvakadii (kana kuti yakabviswa zvakadii nekuvhiyiwa).

Vanhu vane chirwere ichi vanowanzo tora mishonga yekurapa chirwere cheshuga (semuenzaniso metformin) uye/kana insulin yakagadzirwa (ingave nejekiseni kana ne insulin pump).

Sezvo pancreas yako ichiwedzera kukuvara, kurapwa kwako kunogona kuchinja nekufamba kwenguva. Semuenzaniso, unogona kutanga wakwanisa kudzora huwandu hweshuga muropa rako nemishonga inonwiwa. Asi sezvo huwandu hweinsulini inoburitswa nepancreas yako huchidzikira zvishoma nezvishoma, ungangozofanira kutora insulin kudzora huwandu hweshuga muropa rako.

Kune dzimwe nzira dzekurapa chirwere cheshuga cheType 3c:

• Kuongororwa kweshuga muropa: Kugara uchiongorora huwandu hweshuga muropa rako (glucose) kwakakosha kuti uzive kuti chirongwa chako chekurapa chiri kushanda sei. Izvi zvinokupa ruzivo zuva nezuva - dzimwe nguva kunyange awa yega yega - kuti zvikubatsire kudzora chirwere cheshuga chako cherudzi rwechitatu. Unogona kutarisa shuga yako muropa nguva dzose uchishandisa glucometer, kana kuti unogona kushandisa continuous glucose monitor (CGM) . Pamwe chete, iwe nachiremba wako muchasarudza kuti huwandu hweshuga muropa hwakakunakirai.
• Kudya: Kuronga kudya uye kusarudza kudya kune hutano kwakakodzera iwe chinhu chakakosha pakurapa chirwere cheshuga. Nekuti zvaunodya zvine simba guru pahuwandu hweshuga muropa rako. Nyanzvi yezvekudya yakanyoreswa inogona kukubatsira kugadzira hurongwa hwekudya hwakanakisa.
• Kurovedza muviri: Kurovedza muviri kunowedzera kunzwa kwe insulin (uye kunobatsira kuderedza kuramba insulin), saka kurovedza muviri chinhu chakakosha pakutarisira zvakanaka munhu wese ane chirwere cheshuga.

Chirwere cheshuga chirwere chakaoma kunzwisisa. Saka chinoda nzira dzakasiyana dzekuchigadzirisa. Zvakare, chirwere cheshuga chinokanganisa munhu wese zvakasiyana. Saka, zvirongwa zvekutarisira zvinosiyana zvikuru kubva kumunhu kusvika kumunhu. Uchabatsirwa zvikuru nekusangana nechikwata chako chekurapa nguva nenguva kuti uone kuti chirongwa chako chekurapa chiri kushanda zvakanaka sei.

Chii chichaitika mune ramangwana rechirwere cheshuga cherudzi rwe3c? (Kufungidzira)

Maonero echirwere cheshuga cheType 3c anoenderana nezvinhu zvakawanda:

• Dambudziko guru rehutano rakakonzera izvi.
• Kugona kwaunoita kubata chirwere chako cheshuga cherudzi rwe3c nekufamba kwenguva uye mukana wako wekuwana rubatsiro rwechirwere cheshuga.
• Kuti chirwere chiripo chinorapwa zvakanaka sei.
• Zera rako/nguva yawakanga uine chirwere cheshuga pawakaongororwa kuti une chirwere ichi.
• Kana uine zvimwe zvirwere.
• Kana uchava nematambudziko echirwere cheshuga.

Kuwanda kweshuga muropa kwenguva yakareba kunogona kukonzera matambudziko akakomba, mazhinji acho asingadzoreki. Ongororo dzinoverengeka dzakaratidza kuti huwandu hweshuga muropa hwakakwira kwenguva refu husingarapike hunoderedza makore ekurarama uye hunoita kuti hupenyu huve husina kunaka .

Zvisinei, zvakakosha kuziva kuti unogona kurarama hupenyu hwakanaka uine chirwere cheshuga. Izvi zvinotevera ndizvo zvakakosha kuti uve neramangwana riri nani:

• Kuchinja mararamiro.
• Kurovedza muviri nguva dzose.
• Kuchinja kwekudya.
• Kugara uchitarisa huwandu hweshuga muropa.

Ndezvipi zvinetso zvechirwere cheshuga cherudzi rwechitatu (Type 3c Diabetes)?

Kana huwandu hweshuga muropa hukaramba hwakakwira kwenguva yakareba, hunogona kukuvadza nhengo dzemuviri wako. Izvi zvinonyanya kukonzerwa nekukuvara kwetsinga dzeropa netsinga dzinotsigira nhengo dzemuviri wako.

Matambudziko emwoyo netsinga dzeropa ndiwo matambudziko anowanzoitika kwenguva refu echirwere cheshuga. Anosanganisira:

• Chirwere chemwoyo (CAD).
• Kumira kurova kwemoyo.
• Kurohwa nechirwere.
• Kuora kweropa.

Mamwe matambudziko echirwere cheshuga anosanganisira:

• Kukuvadzwa kwetsinga (Neuropathy).
• Chirwere cheitsvo (Nephropathy).
• Retinopathy.
• Matambudziko etsoka ane chekuita nechirwere cheshuga.

Ndinogona here kudzivirira chirwere cheshuga cherudzi rwechitatu?

Nzira chete yekudzivirira chirwere cheshuga cheType 3c ndeyekuedza kudzivirira zvirwere zvinokonzera chirwere ichi, kana zvichibvira. Zvirwere zvekuzvarwa nazvo zvakaita se cystic fibrosis uye hereditary pancreatitis hazvigone kudzivirirwa. Zvisinei, kune matanho aunogona kutora kudzivirira acquired pancreatitis. Semuenzaniso, kuderedza kunwa doro uye kuchengetedza triglycerides ine hutano.

Ndirini pandinofanira kuona chiremba wangu nezvechirwere cheshuga cheType 3c?

Kana uine chirwere chinokanganisa pancreatitis, chakadai sechirwere chepancreatitis chisingaperi kana hemochromatosis, taura nachiremba wako nezvenjodzi yako yekubatwa nechirwere cheshuga cheType 3c. Angangokurudzira kuongororwa chirwere cheshuga nguva nenguva.

Kana uine chirwere cheshuga cheType 3c, uchafanira kuonana nechikwata chako chekurapa nguva nenguva kuti ugadzirise chirwere chako cheshuga pamwe chete nechirwere chakakonzera chirwere chacho.

Kuziva kuti une chirwere cheshuga nekuda kwechirwere chepancreas kunogona kukonzera kusuruvara nekuora mwoyo. Kurapa chirwere cheshuga cherudzi rwechitatu kunoda kutarisirwa nguva dzose. Kunyangwe zvingaita sekunge zvinokunetsa pakutanga, nekufamba kwenguva uchanzwisisa zviri nani kugadzirisa chirwere ichi uye wotanga kunzwa zviri nani nezvemuviri wako.

Iva nechokwadi chekuti unoona timu yako yezvekurapa nguva dzose. Kutarisira chirwere cheshuga cherudzi rwechitatu - uye chirwere chakakonzera - kushanda pamwe chete. Unoda nyanzvi dzezvekurapa, shamwari, nemhuri dziri kudivi rako. Usatya kuvakumbira rubatsiro kana uchida rubatsiro.

Chekupedzisira, yeuka izvi (Mharidzo Yekuenda Kumba)

Chirwere cheshuga cherudzi rwechitatu (Type 3c Diabetes) chirwere cheshuga chisingawanzoitiki chinokonzerwa nekukuvara kwepancreas.Izvi zvinogona kukonzerwa nematambudziko akadai sechirwere chepancreatitis chisingaperi, kenza yepancreas, uye cystic fibrosis.

Zviratidzo zvakafanana nezvimwe zvirwere zvechirwere cheshuga, asi matambudziko ekugaya chikafu (semuenzaniso, tsvina ine mafuta, kurwadziwa mudumbu) anogonawo kuitika.

Kuongororwa kwechirwere ichi kunogona kuoma zvishoma, sezvo kuchiwanzoonekwa sechirwere cheshuga cherudzi rwechipiri.

Nzira dzekurapa dzinosiyana kubva pamunhu kuenda kumunhu uye dzinosanganisira mishonga, insulin, shanduko dzemararamiro, uye kurapa chikonzero chacho.

Kana uine dambudziko nepancreas yako, kana kuti uri kuratidza zviratidzo zvechirwere cheshuga, zvakakosha kutsvaga mazano echiremba nekukurumidza. Kana rikaonekwa nekukurumidza, rinogona kugadziriswa zviri nani. Usazvidya mwoyo, nekutarisira kwakanaka uye rutsigiro, unogona kurarama hupenyu hwakanaka nechirwere ichi.

Chirwere cheshuga , Type 3c Diabetes, Pancreatitis, Insulin, Shuga muRopa, Pancreatitis, Cystic Fibrosis