Xa ucinga ngesifo seswekile, mhlawumbi ucinga kuphela ngoHlobo loku-1 noHlobo lwesi-2. Uninzi lwabantu kuluntu lwethu luyazi kwaye luthetha ngezi ntlobo zimbini ziphambili. Kodwa ubusazi na ukuba kukwakho neentlobo zesifo seswekile ezingezizo ezo zididi zimbini, ezahluke kancinci, kwaye esingazivanga kangako ngazo? I-MODY kunye ne-LADA ziintlobo ezimbini zesifo seswekile ezingaqhelekanga, kodwa zibaluleke kakhulu ekufuneka ziqwalaselwe. Ezi zinokuba nezinye zeempawu zoHlobo loku-1 noHlobo lwesi-2, kodwa zineempawu zazo ezizodwa kunye nonyango. Masithethe ngale nto ngokulula nangendlela enobuhlobo namhlanje.
Masiqale sibone ukuba yintoni iMODY? (Isifo seswekile soLutsha esikhula ngokukhawuleza)
Ngamafutshane, iMODY yimeko yemfuza ebangela isifo seswekile. Cinga ngemizimba yethu njengefektri entsonkothileyo. Le fektri ineeseti ezahlukeneyo zemiyalelo (iigenes) zemisebenzi eyahlukeneyo. Ngoko ke, ukuba kukho utshintsho oluncinci okanye impazamo (esiyibiza ngokuba kukuguquka kwemfuza) kwiseti yemiyalelo eyenza ihomoni ethi ``Insulin'', enceda umzimba ukuba usebenzise iswekile ukuvelisa amandla owadingayo, umzimba awukwazi ukwenza i-insulin ngokufanelekileyo. Emva koko inqanaba leswekile egazini liyanyuka. IMODY yimeko enjalo.
Njengoko igama lisitsho (`Isifo Seswekile Sokukhula Nokuqala Kwabantu Abaselula`), esi sifo sidla ngokubonakala kubantu abaselula, ukususela kwiminyaka yabo yokufikisa ukuya kwiminyaka yabo yobutsha. Nangona kunjalo, asiqhelekanga kakhulu. Malunga ne-5% kuphela yabantu abanesifo seswekile abane-MODY.
Zithini iimpawu zeMODY?
Iimpawu zeMODY zinokwahluka kumntu nomntu kuba uhlobo lweempawu luyahluka ngokuxhomekeke kuguquko lwezakhi zofuzo oluyichaphazelayo.
Kodwa ngokubanzi, iimpawu zeMODY azibalulekanga kangako kwaye zikhula kancinci. Yiyo loo nto abantu abaninzi befumanisa ukuba banale meko xa uvavanyo lwegazi ngesizathu esithile lubonisa amanqanaba aphezulu eswekile egazini.
Kodwa ukuba iimpawu ziyavela, zisenokufana nezinye iintlobo zesifo seswekile.
| Iimpawu eziqhelekileyo |
|---|
| Ukuziva unxaniwe ngaphezu kwesiqhelo. |
| Ukufuna ukuchama rhoqo. |
| Umbono ofipheleyo. |
| Usulelo oluqhelekileyo (ingakumbi ulusu kunye nomchamo). |
Ugqirha ukrokrela njani ukuba uneMODY?
Xa sele kuqinisekisiwe ukuba iswekile yakho egazini iphezulu, kukho izizathu ezahlukeneyo zokuba ugqirha wakho acinge ukuba usenokuba neMODY.
- Wafunyaniswa unesifo seswekile usemncinci .
- Isifo seswekile sifumaneka kwizizukulwana ezahlukeneyo zosapho lwakho (umzekelo, umama/utata wakho, kunye nomakhulu/utatomkhulu wakho, nabo babenesifo seswekile).
- Awunazo iimpawu eziqhelekileyo zesifo seswekile sohlobo 1 okanye sohlobo 2 (umz., ukutyeba kakhulu, uxinzelelo lwegazi oluphezulu).
Ukuba ugqirha wakho ukrokrela ukuba uneMODY ngenxa yezi zizathu, angacebisa ukuba wenze uvavanyo lwemfuza ukuqinisekisa imeko yakho yeMODY. Oku kudla ngokwenziwa ngokuthumela isampuli yegazi okanye yamathe kwilebhu.
Ngoko ke yintoni i-LADA? (Isifo seswekile esizenzekelayo kubantu abadala)
Kulungile, ngoku uyiqonda kakuhle iMODY. Ngoku makhe sijonge olu hlobo lubizwa ngokuba yiLADA. Abanye abantu bahlekisa ngokuyibiza ngokuba yi "Type 1.5 diabetes." Kukho isizathu soko.
Njengesifo seswekile sohlobo 1, i-LADA ibangelwa yingxaki yokuzikhusela komzimba . Ngamafutshane, inkqubo yokuzikhusela yomzimba wethu (inkqubo yokuzikhusela yomzimba) ihlasela ngempazamo kwaye itshabalalise iiseli ezivelisa i-insulin kwipancreas yethu. Kufana nomkhosi okhusela ilizwe elihlasela ngempazamo isixeko salo.
Xa iiseli ezenza i-insulin zitshatyalaliswa ngale ndlela, umzimba awukwazi ukulawula amanqanaba eswekile egazini. Nangona kunjalo, umahluko ophambili apha xa uthelekiswa nesifo seswekile sohlobo loku-1 kukuba oku kutshatyalaliswa kwenzeka kancinci kakhulu. Ngoko ke kungathatha iinyanga, okanye iminyaka, ngaphambi kokuba kuvele iimpawu kwaye kufuneka unyango.
Zithini iimpawu ze-LADA?
Iimpawu ze-LADA zifana kakhulu nezo zohlobo 1 kunye nohlobo 2. Nangona kunjalo, zibonakala kancinci kancinci.
| Iimpawu eziqhelekileyo |
|---|
| Ukuziva unxaniwe kakhulu kwaye ufuna ukuchama rhoqo. |
| Ukunciphisa umzimba nangona unomdla wokutya. |
| Umbono ofipheleyo. |
| Ukudinwa kakhulu kunye nobuthathaka emzimbeni. |
| Ulusu olomileyo nolurhawuzelayo. |
| Ukuva ukurhawuzelela kwamalungu omzimba. |
| Usulelo oluqhelekileyo. |
Ifunyanwa njani kwaye inyangwa njani i-LADA?
I-LADA idla ngokuqala emva kweminyaka engama-30. Yiyo loo nto oogqirha ngamanye amaxesha benokuyiphambanisa nesifo seswekile sohlobo lwesibini. Nangona kunjalo, ukuba imeko yakho ayilawulwa ngamayeza aqhelekileyo ohlobo lwesibini, ugqirha wakho unokurhanela i-LADA.
Eyona ndlela yokuqinisekisa ukuba une-LADA kukuvavanya igazi. Oku kuhlola ii-antibodies egazini lakho eziveliswe ngokuchasene neeseli ezivelisa i-insulin kwi-pancreas yakho. Ukongeza, ugqirha wakho unokuyalela uvavanyo lokujonga amanqanaba eproteni yakho ebizwa ngokuba yi -C-peptide, eliyindlela yokulinganisa ukuba umzimba wakho uvelisa i-insulin engakanani.
Xa kufikwa kunyango, isifo seswekile sinokulawulwa kwasekuqaleni ngamayeza, ukutya, kunye notshintsho kwindlela yokuphila.
Kodwa khumbula, kwi-LADA, umzimba utshabalalisa kancinci kancinci iiseli ezenza i-insulin, ngoko ke ngaxa lithile kuya kufuneka uthathe i-insulin shots ukuze ulawule iswekile yakho egazini.
Umyalezo Wokuya Ekhaya
- Xa sithetha ngesifo seswekile, asisoloko sithetha ngesifo sohlobo 1 nohlobo 2 kuphela. Kukwakho neentlobo esingazaziyo kangako, ezifana neMODY kunye neLADA, kodwa zibalulekile.
- I-MODYLuhlobo lwesifo seswekile esibonakala sisebancinci kwaye sibangelwa yimfuza. Unyango lwaso luxhomekeke kwimfuza esichaphazelayo.
- I-LADA luhlobo lwesifo seswekile esikhula kancinci xa umntu emdala, sifana nesifo seswekile sohlobo 1. Ekuhambeni kwexesha, siya kufuna unyango lwe-insulin.
- Ukuba unesifo seswekile, okanye umntu kusapho lwakho unayo, kwaye iimpawu zakho okanye impendulo yakho kunyango ibonakala "yahlukile kancinci," ungoyiki ukuthetha nogqirha wakho ngezi meko, ezibizwa ngokuba yiMODY kunye neLADA. Ukufumana uxilongo olufanelekileyo linyathelo lokuqala lokufumana unyango olufanelekileyo.
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