ISIFO SIKASHUKELA SE-LATENT (PREDIABETES) SIYINDLELA YAKAMUVA YESIFO SIKASHUKELA

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Isifo sikashukela esisezingeni eliphezulu siyindlela yokugcina yalesi sifo.

Igama lenqubo ye-pathological livumelekile impela, ngoba yi-asymptomatic.

Abantu abaphethwe yilesi sifo bazizwa bephilile ngokuphelele, kungatholakala kuphela ngosizo lukhethekile ukuhlolwa kokubekezelelwa kwe-carbohydrate. Njengoba kunesikhombisi esingaphezu kuka-120 mg esiswini esingenalutho kanye no-200 mg ngemuva kokudla kuyimpawu ebonakalisayo yokuthuthuka kwesimo sokugula.

Ngabe isifo sikashukela se-latent (prediabetes) ne-LADA siyinto efanayo?

Uhlobo olunjalo olunjalo aluvamile.

Ifomu elicashilewe elinegama eliphelelwe yisikhathi Isifo sikashukela se-LADA futhi zesimanje - isifo sikashukela.

Isici esahlukile salolu hlobo lwalesi sifo ukufana kwaso ngohlobo lwesifo sikashukela 1. Ukuthuthukiswa kwesifo sikashukela se-LADA kwenzeka kancane futhi kutholakala ezigabeni zokugcina zokuthuthuka njengohlobo lwesifo sikashukela II.

Ngendlela ethile yesifo sikashukela, ukuxhomekeka kwe-insulin kukhula kuphela ngemuva kweminyaka eyi-1-3. Inkambo ehamba kancane yenqubo ye-pathological inika amathuba okuqhubeka kwesifo okukude, futhi, ngenxa yalokho, ukuthi izinkinga ngeke zivele.

Izimbangela zokuvela futhi ubani osengozini?

Ifomu le-latent likhula ngenxa yokuthi umzimba awulondolozi izinga loshukela egazini ezingeni elifanele. Lokhu kungenxa yokuthi ukusabela okujwayelekile kwi-insulin ye-hormone emzimbeni akukhona. Izinga loshukela liphakeme kancane kunokujwayelekile, kepha lokhu akwanele ukuthola isifo sikashukela.

Uma kungekho ukwelashwa, lesi simo sikhula kabuhlungu futhi kuholele ekukhuleni kwesifo sohlobo 2. Ngesikhathi esifanayo, ezinye izinkinga zingenzeka: isifo senhliziyo, i-pathology yemithambo yegazi (enkulu), unhlangothi, ukulimala kohlelo lwezinzwa, ukulimala okubukwayo.

Ochwepheshe abaningi bakholelwa ukuthi ifomu le-latent noma i-LADA-kishukela likhula phambi kwalezi zinto ezandulela ukubekeka phambili:

ukukhuluphala;
iminyaka engaphezu kwengu-45;
umfutho wegazi ophakeme, ngaphezu kwe-140/90;
impilo yokuhlala;
ukumisela ifa.

Kukholakala ukuthi kwabesifazane ngemuva kohlobo lokuthola isifo sikashukela, amathuba okuthola isifo esisezingeni eliphakeme kakhulu.

Izimpawu zesifo sikashukela esisebusweni

Ukuthuthukiswa kwe-prediabetes kwenzeka, njengomthetho, kusukela eminyakeni engama-25.

Esikhathini esiningi, isithombe somtholampilo senqubo ye-pathological asikho ngokuphelele noma sifana nohlobo 2 lwesifo.

I-Latent, esigabeni sokuqala sokuthuthuka inokulawula okugculisayo kwenqubo ye-metabolic. Imiphumela emihle ingatholakala ngokulandela ukudla okujwayelekile noma ngokuthola ukwelashwa okulula okuhlose ukunciphisa inani loshukela emfuleni wegazi.

Isidingo se-insulin sivele phakathi kwezinyanga eziyisithupha kuya kwengu-10 ukusuka ekuqaleni kwezinguquko emzimbeni. Isici esihlukile sesifo sikashukela se-LADA ubukhona egazini lezimpawu zomuntu onesifo sikashukela 1.

Kubantu abadala, i-prediabetes ingahle ihambisane nezimpawu ezithambile zesifo sikashukela sohlobo 2. Ngenxa yokubhujiswa okuhamba kancane kwamaseli we-beta emzimbeni, izimpawu ziyakhathala. Ngaphezu kwalokho, azikho izimpawu ze-polydipsia, isisindo somzimba sehla kakhulu, azikho izimpawu ze-ketoocytosis ne-polyuria.

Ukuxilongwa

Akunakwenzeka ukuthola ukuthi kukhona uhlobo lwashukela lokugcina usebenzisa isivivinyo sikashukela esivamile.

Ngalezi zinhloso, isifundo esifundisayo siyadingeka, esenziwa phakathi nokuhlelwa kwezimo ezithile zokudla okunempilo.

Namuhla, inqubo ibizwa i-prednisone glucose umthwalo:

okwezinsuku ezi-3 ngaphambi kokudla kwe-sampling yegazi kufaka phakathi ukudla okuqukethe okungenani ama-250-300 g wama-carbohydrate;
ekudleni, inqubo ejwayelekile yamaprotheni namafutha kufanele ibe ikhona;
2 amahora ngaphambi kokufakwa kwe-glucose, i-prednisone noma i-prednisolone ingeniswa emzimbeni ngesamba esingeqi ku-12,5 mg.

Ukuqina kwe-glycemia kunqunywa inani lamaseli e-beta asebenzayo. Uma weqa amapharamitha we-5.2 mmol / l ekuthatheni kokuqala kanye ne-7 mmol / l emahoreni ama-2, sikhuluma ngokuba khona kwe-prediabetes.

Enye indlela yokuhlonza isifo sikashukela se-LADA IStaub-Traugott. Lesi silinganiso sokucwaninga siqukethe iqiniso lokuthi ngaphambi kokuhlolwa kwegazi isiguli sithatha u-50 g we-glucose, futhi ngemuva kwesikhashana okunye.

Ebantwini abaphilile, i-glycemia yegazi ishintsha kuphela ngemuva kokudla umthamo wokuqala we-glucose, umthwalo weshukela wesibili awunazo izinguquko. Lapho kukhona kuzuba okubili okushiwo ku-glycemia, kutholakala ukuthi kunesifo sikashukela esisebusweni. Lokhu kungenxa yokuthi amaseli we-beta asebenza kahle, ngenxa yalokho impendulo enganele ku-glucose ivela emzimbeni.

Ifomu elishisayo: imigomo yokwelashwa nokuvimbela

Ukwelashwa kwesimo esidala salesi sifo akudingi mzamo omkhulu.

Okokuqala, kufanele unake ukujwayelekile kwesisindo somzimba wesiguli nokunikezwa kwemoto yokusebenza.

Amakilasi emfundo yomzimba afaka isandla ekufakweni kwe-glucose ngamaphesenti angama-20 ngaphezulu emisipha yemisipha. Imisebenzi ewusizo kakhulu ngokomzimba ukubhukuda, ukuhamba nokuhamba ngebhayisikile. Kumele kuqashelwe ukuthi imithwalo eyeqisayo iyaphulwa, ngakho-ke ngokulinganisela, kepha ukuvivinya umzimba njalo kumele kuhleleke. Kwanele ukuzivocavoca, ukubhukuda noma ukuhamba imizuzu engama-30 ngosuku.

Isibonelo esihle kungaba ukwenqaba ilifti noma ukuqala ukuhlanza indlu ngokwakho.

Kubalulekile kakhulu ukwenza i-insulin therapy, ekuvumela ukuthi uyeke ukuthuthukiswa kwalesi sifo isikhathi eside. Esikhathini sikashukela se-LADA, kuhlukaniswa ukuthi kuthathe ama-secretogens akhuthaza ukukhishwa kwe-insulin, ngoba lokhu kuholela ekunciphiseni kwe-pancreatic kanye nokwanda kokushoda kwe-insulin.

Namuhla, le mishanguzo elandelayo isetshenziselwa ukwelashwa:

I-Metformin;
I-Acarbose.

Ukuze uthole ukwelashwa ngosizo lwalemithi ukunikeza umphumela olindelekile, kunconywa ukuwaphuza iminyaka eminingana. Kungakho ukulonda impilo enempilo kuyindlela ephumelela kakhulu yokwelashwa ukwedlula ukwenza izidakamizwa. Ukujwayelekile kwesisindo somzimba nokuqinisekisa ukusebenza okuncane komzimba kunciphisa ingozi yokuqhubeka kwezifo amahlandla amaningi.

Uma kunezici zobungozi zokuqhamuka kohlobo lwashukela olungejwayelekile, kunconywa ukuthatha izinyathelo zokuvikela lesi simo:

Ukulawulwa kweshukela egazini - ukunciphisa isisindo somzimba, ukunciphisa ukusetshenziswa kokudla okunamafutha.
Ukuzivocavoca - ukusetshenziswa kwe-glucose njengomthombo wamandla nokuphendula esenzweni se-insulin.
Ukuqhubeka kokuqapha - amasampula egazi ejwayelekile ukuthola amazinga kashukela.

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