Izimpawu nokwelashwa kwe-fent autoimmune sikashukela fret

Isifo sikashukela mellitus ukungahambi kahle ohlelweni lwe-endocrine olubangelwa ukukhiqizwa kwamanani e-insulin anganele. I-hormone idlala indima ebaluleke kakhulu, ithatha ushukela egazini bese iwudlulisela emangqamuzaneni. Uma kungekho-insulin eyanele emzimbeni noma ingasebenzi, izinga likashukela wegazi liyakhuphuka, elihlobene ngqo nengozi yesifo. Isifo sikashukela se-Lada sivela ngefomu le-latent, ngakho-ke kubalulekile ukukuqaphela kusesekuqaleni.

Incazelo nezimpawu

Isifo sikashukela se-Latent LADA yisifo sikashukela se-autoimmune abantu abadala bohlobo lokuqala, abanikezwe izici zokuziphatha zohlobo lwesibili. Kunzima ukusinquma, ngoba azinazo izimpawu zesifo uqobo, futhi abantu kwesinye isikhathi abazi ukuthi bagula kakhulu.

Ngohlobo 2 sikashukela, izinga likashukela egazini nomchamo luyakhuphuka. Ngesikhundla esifihlekile, kuba nzima ngokwengeziwe, ngoba cishe i-insulin ayikhiqizwa, futhi amangqamuzana e-beta ancishisiwe. Ngakho-ke, umuntu onesifo sikashukela se-latent udinga imijovo ye-insulin, kanye nesifo sikashukela sabakudala.

Izimpawu eziphambili ze-pathology zifaka okulandelayo:

• ukukhathala;
• Isiyezi
• ukukhuphuka kashukela wegazi;
• ukwehla kwesisindo okungazelelwe;
• umuzwa ongapheli wokoma nokuchama kaningi;
• ukubukeka kwe-plaque olimini, ukuphefumula kwe-acetone.

Kodwa-ke, imvamisa i-LADA ayihambisani nanoma yiziphi izimpawu ezibonakalayo. Akukho mehluko okhethekile phakathi kwabesilisa nabesifazane phakathi nalesi sifo. Kepha, ucwaningo lukhombisa ukuthi, isifo sikashukela esenzeka njalo sivame ukwenzeka kwabesifazane abakhulelwe noma esikhathini esithile ngemuva kokubeletha. Abesifazane bagula kaningi kunabesilisa, futhi lokhu ngokuyinhloko kubangelwa ukuzala kwengane.

Kepha noma kunjalo kunezimpawu ezithile. Lokhu kufaka phakathi:

• ukunciphisa isisindo okungafanelekile noma, ngakolunye uhlangothi, inzuzo yesisindo;
• ukomiswa nokulunywa kwesikhumba;
• njalo ubhekene nendlala;
• ukungabi nalutho;
• umuzwa wokubanda.

Imbangela ejwayelekile yesifo sikashukela ukungondleki, yingakho ukuphazamiseka kwe-metabolic, izinkinga zepancreatic. Isisusa sofuzo singavusa futhi ukuvela kwale nkinga. Ukunakekelwa okukhethekile kufanele kuthathwe ngesikhathi sokukhulelwa, ngakho-ke umama okhulelwe kufanele abhaliswe ngokushesha okukhulu.

Izici Zokuxilonga

Ukuze kuhlukaniswe uhlobo lwakamuva lokukhulisa isifo sikashukela kwezinye izigaba zesifo, kubhekelelwa le migomo elandelayo yesifo sikashukela seLada: kudlula ngaphandle kokukhuluphala; ukuhlushwa okuphansi kwe-hormone; ukuba khona kwama-antibodies e-ICA ne-IAA egazini kukhombisa ukwehluleka kwe-autoimmune. Imvamisa, lapho i-prediabetes, noma yiziphi izinguquko ezinkulu zingenzeki. Uma isiguli sikubonile ukoma nokucwilisa isikhumba, ukwanda kwesisindo, udinga ukuxhumana nodokotela we-endocrinologist.

Ekuhambeleni kokuqala, udokotela unquma ukuhlaziywa kwe-ushukela wegazi, kepha kwezinye izimo zomzimba, inkomba kungenzeka ukuthi ayilungile. Hhayi ikakhulukazi ukunquma ukuthuthukiswa kwesifo kanye nemitha ngokuhlolwa okuzimele. Ukuthola umphumela onembe kakhudlwana, igazi lithathwa emthanjeni. Okujwayelekile kubhekwa njengesinkomba kuze kufike ku-6.1, ngaphezulu kwalokhu - lesi sifo siqala. Ezimweni zokungabaza, kuchazwa ukuhlaziywa kwesibili, noma isiguli sihlolwe ukuthi sikhuthazelele ushukela.

Le ndlela yiyona enembile kunazo zonke ekuxilongeni izifo. Kwenziwa ngezigaba ezi-3. Ngosuku lokuqala, igazi linikelwa kusuka emunweni, isiguli siphuza u-75 g we-glucose. Kuthathwe ikhefu lehora elilodwa, kuthathwe igazi futhi. Isifundo siqhubeka futhi ngemuva kwehora. Imiphumela iqhathaniswa bese kudonswa isiphetho ngokuphendula komzimba kushukela ozayo. Ukubona lesi sifo, isiguli sinikezwa umthwalo we-prednisone-glucose, okubandakanya izinqubo ezilandelayo:

1. Izinsuku ezintathu, isiguli sidla ukudla okuqukethe okungenani ama-300 g wama-carbohydrate.
2. Imenyu kufanele ibe nenani lamaprotheni namafutha adingwa ngumuntu onempilo.
3. 2 amahora ngaphambi kokudla ushukela, i-prednisolone iyalawulwa.
4. Igazi lithathwa esiswini esingenalutho ngemuva kwamahora ama-2. Uma izinga likhuphuka, kutholakala ukuthi isifo sikashukela esisetshenzisiwe siqinisekisiwe.

Ucwaningo lokuxilonga lungenziwa futhi kusetshenziswa iSaub-Traugott test. Kuqukethe ukuthi isiguli siphuza i-50 g ye-glucose, kuhlolwe igazi, ngemuva kwesikhashana isiguli sinikezwe omunye umthamo womuthi. Ebantwini abaphilile, ukwanda ushukela kwenzeka kuphela emva komthamo wokuqala, futhi ezigulini ezinesifo sikashukela, ushukela uyatholakala ngemuva komuthi womabili.

Ukwelashwa Okushukela Kwesifo Sikashukela

Ishukela likashukela liba kancane futhi lihlale lingabonakali isikhathi eside. Isimo sengqondo sokuthambisa kwizimpawu zayo zokuqala singadala ifomu elivulekile lesifo kanye nezinkinga ezahlukahlukene. Indlela yokwelapha ifaka okulandelayo:

• ukusebenza komzimba;
• ukudla okuqinile;
• ukunciphisa umzimba;
• ukuthatha umuthi nokulungiselela amakhambi.

Ukuqaliswa kwezincomo ezintathu zokuqala kubaluleke kakhulu, ngoba ngaphandle kwabo, ukwelashwa ngezidakamizwa kungahudula isikhathi eside futhi akunakwenzeka ukuthi kuholele ekululameni ngokuphelele. Ngokuqondene nokuzivocavoca umzimba, kufanele kwenzeke futhi kusatshalaliswe ngokulinganayo ngosuku ngalunye lwesonto. Kuyasiza kakhulu ukubhukuda, ukuhamba ngebhayisikile nokuhamba nje. Cishe imizuzu engama-30 ngosuku kuzokwanela. Ngesikhathi sokuzivocavoca umzimba, ushukela ushiswa amahlandla angama-20 kunokuphila kokuhlala phansi.

Ukwelashwa kwe-mellitus yesifo sikashukela se-latent ngeke kuphumelele uma kungalandelwa imithetho yokudla. Udinga ukudla okuncane, kepha kaningi (izikhathi ezingama-5-6 ngosuku), khawulela ingxenye yesinkwa ekudleni kwakusihlwa, yenqaba okunosawoti, okunamafutha, okunoshukela, okuthosiwe kanye nezinongo, okuvela kuyo yonke im marinade nemikhiqizo eseqediwe.

Qiniseka ukuthi unemifino nezithelo ezingafakwanga, amantongomane, ubhontshisi, ushizi wekhotishi onamafutha amancane ne-kefir ekudleni. Kungcono ukuthi udle izinhlanzi eziningi kanye nokudla kwasolwandle, u-celery nesibindi. Kulokhu, udinga ukuphuza inani elifanele lamanzi.

Akufanele wenqabe itiye, ikhofi neziphuzo zotshwala nakancane, kepha ukuhlukunyezwa kungaholela ekuwohlokeni kwenhlala-kahle. Ukuze ama-pancreas aqale ukukhiqiza i-insulin ejwayelekile futhi, imithamo emincane yazo zonke iziguli inqunywe imijovo ye-insulin. Inqubo yokwelashwa kufanele ibe ephelele. Izidakamizwa ezifana I-Acarbose noma iMetformin ingamisa ukuthuthukiswa kwalesi sifokepha udinga ukuzithatha nsuku zonke izinyanga eziningana noma iminyaka.

Ukusetshenziswa kwama-decoctions amakhambi okwelapha kungalungisa ngokuphelele ukwelashwa: lawa amaqabunga aluhlaza okwesibhakabhaka, izimpande ze-dandelion, amaqabunga obhontshisi, imbewu yefilakisi. Uma uhlobo lokugcina lwesifo sikashukela lutholakala ngendlela yesikhathi futhi ukwelashwa okufanele kuqalile, khona-ke lesi sifo siselashwa ngokuphelele.

Ukubuyekezwa kweziguli mayelana nomuthi uDeveenot