Naphezu kwazo zonke izingozi nemiphumela emibi, abantu banamuhla akuvamile ukuba banake impilo yabo.
Lokhu kuziphatha kuyingozi enkulu, ngoba ukuthuthukiswa kwesifo esikhohlisayo njengesifo sikashukela akuyona ngaso sonke isikhathi ukuba nezimpawu ezikhulunywayo.
Kwezinye izimo, lokhu kugula kungenzeka kube nesimo esifihliwe. Kwezokwelapha, le ndlela yokusebenza ibizwa ngokuthi yindlela yakamuva yesifo sikashukela.
Lokhu kugula kubhekwa njengokuyingozi kakhulu empilweni yabantu, ngoba izinqubo ezonakalisayo zihlala zingasaziwa isikhathi eside yisiguli. Kungakho kudingekile ukwazi izimpawu zesifo sikashukela esenzeka kwabesifazane ukuze kuvinjelwe imiphumela emibi engaba khona.
Siyini isifo sikashukela se-LADA?
Abanye ochwepheshe babiza isifo sikashukela sangemuva kwesikhashana njengendlela yokuqhubeka kancane kancane ye-endocrine pathology.
Ukucaciswa kwalesi sifo kusho iqembu eliphakathi nendawo phakathi kohlobo 1 nesifo sikashukela sohlobo 2.. Lokhu kuhlukaniswa kuyaqondakala kakhulu, ngoba ukwahlukaniswa ngokuphelele kwezinto ezisetshenziselwa ukufakwa kwempahla kuqala emva kweminyaka engama-40.
Ngenxa yalokhu, i-Symbomatology ifana kakhulu nefomu lesifo eliya nge-insulin. Ukuze uqonde ngokunembile ukuthi siyini isifo sikashukela se-LADA, kubalulekile ukuba unake ukuthi uhlobo lohlobo lwe-autoimmune lwe-pathology lukhubaza ukufa kancane kancane kwamaseli we-beta asebenzayo kumanyikwe.
Ngenxa yalokhu, ukukhiqizwa kwenkimbinkimbi yama-hormone ekugcineni kuyeka ngokuphelele. Ukuphela kwendlela ephumelelayo yokulwa nalokhu kugula kumuntu okhulile i-insulin.
Izimbangela kanye nezinto zobungozi
Isifo sikashukela se-LADA sikhula ngokusemuva kwesizinda se-autoimmune lesakhiwo se-pancreatic.
Kuzo zonke izimbangela zesifo esikhona, okuvame kakhulu yilezi:
- ukuba khona kwama-antibodies emzimbeni, kanye namazinga aphansi we-C-peptide secretion. Yilezi zinto ezimbili ezandisa amathuba okuba nesifo sikashukela;
- ukwephulwa komzimba wemvelo wamaminerali;
- ukungalingani okukhulu kokudla kwemvelo, okuyi-hyperlipidemia. Kwezinye izimo, inqubo ehlukile kungenzeka - dyslipidemia.
Kuze kube manje, odokotela bandise uhlu olutholakalayo lwezinto zobungozi ku-mentitus yesifo sikashukela se-latent.
Ngaphezu kwezici zendabuko, ezinjengokukhuluphala kanye nokuqagela okujwayelekile, i-polycystic ovary emantombazaneni ingangezwa ohlwini. Ngemuva kwezifundo, kwavela ukuthi kulezi ziguli ezihlaselwa yilesi sifo, isifo sikashukela sivela kaningi kathathu kunabesifazane abanempilo. Ngasikhathi sinye, amazinga aphezulu kashukela aqoshwa ngisho nasemantombazaneni amancane.
Ukuthuthukiswa kwalesi sifo kuthinteka ngokuntuleka okungapheli kwe-potassium emzimbeni, okungenzeka kuphambane nesizinda sokungondleki noma ukudla okungalawulwa kwe-diuretics.
Ngakho-ke, kulezo ziguli, ngenxa yesimo sempilo yazo, ziphoqelelwa ukuthatha imishanguzo enjalo, odokotela kufanele banikeze iPanangin noma i-Asparkam. Ngaphezu kwalokho, isifo sikashukela sangemuva kwesinye isikhathi sitholakala kubantu besifazane ngesikhathi sokukhulelwa.
Izimpawu zesifo sikashukela sasemuva kwabesifazane
Ngaphandle kokudlanga kwalesi sifo, abesifazane abaningi abasazinaki izimpawu zokuqala, yingakho beya esibhedlela besesimweni esithuthukayo.
Ukunganakwa okunjalo emzimbeni wakho kunomthelela omkhulu kulimala kuzo zonke izitho zomzimba. Kubalulekile ukukwazi ukuhlukanisa ngisho ukubonakaliswa okuncane kwesifo sikashukela ukuze uvikele izinkinga ezingaba khona.
Izithombe zomtholampilo ezijwayelekile
Kakade esigabeni sokuqala sentuthuko, isifo sikashukela se-LADA kuzo zonke izinkomba zomtholampilo sifana nesifo sikashukela sohlobo 2:
- ubuthakathaka, kwehlise ukusebenza okuphelele, ukukhathala okwandayo;
- ukuphinda uvame ukutheleleka kwe-abscess kanye nesikhunta;
- ukuphulukiswa okude kwezilonda eziphezulu esikhunjeni;
- ukuchama njalo (i-polyuria).
Isimilo kubantu besifazane
Ukuthuthukiswa okusheshayo kwesifo sikashukela esenzeka kwabesifazane kungabonisa lezi zimpawu ezilandelayo:
- ukomiswa kwesikhumba, imivimbo kanye nokucasulwa obekucasulwa ngamagciwane namagciwane we-pathogenic. Ezingeni elijwayelekile likashukela, la mabhaktheriya ayinangozi ngokuphelele, kodwa ngokwanda kokujikeleza kwegazi ezicutshini. Ngenxa yalokhu, ungqimba oluvikelayo lwe-epidermis luyachithwa;
- ukuphazamiseka kokulala, imibuso enganaki futhi ecindezelayo;
- umlomo owomile nokoma okungapheli. Imvamisa iziguli zivame ukucabanga ukuthi lesi simo senzeka ngenxa yomoya owomile egumbini noma isimo sezulu esishisayo;
- ukwephulwa kwe-microflora yemvelo yesitho sangasese sangasese (candidiasis).
Izindlela Zokuxilonga
Ngokuxilongwa ngokufanele kwezimpawu zomtholampilo ezikhona ezibonisa ukuthi kukhona i-LADA-sikashukela, kusetshenziswa izindlela ezijwayelekile: ukunquma izinga le-glucose egazini, ukubeka isilinganiso esiqondile se-glycated hemoglobin.Ngokuya ngesimo sowesifazane, ochwepheshe bangabeka:
- ukuhlolwa kwama-antigen we-HLA;
- Ukuhlaziywa kwesilinganiso sama-autoantibodies namaseli athile anqunyelwe e-ICA;
- ukuqinisekiswa kwezimpawu zofuzo;
- ucwaningo olunzulu lokusebenzisana kwama-autoantibodies kanye nemithi enezakhi ezisebenzayo ze-hormonal;
- ukutadisha okwenzeka kuma-autoantibodies ajwayelekile ku-glutamate decarboxylase GAD.
Izimiso zokwelashwa
Ukwelashwa okulinganayo kwesifo sikashukela esisebusweni kufanele kwenziwe kuwo wonke amabanga okuthuthuka kwawo. Ngaphandle kwalokho, lesi sifo singangena esimweni esinzima ngokwedlulele, esidala izinkinga ezisongela impilo esigulini.
Ukwelashwa kwendabuko kufanele kufake:
- ukunamathela ekudleni okukhethekile;
- umuthi wamakhambi;
- ukuvivinya umzimba njalo;
- ukuphuza njalo kwemithi ekhethekile;
- ukunciphisa umzimba.
Amavidiyo ahlobene
Izimpawu ezijwayelekile zesifo sikashukela esisekupheleni kwevidiyo:
Ekuphetheni, singaphetha ngokuthi i-LADA-sikashukela asivamile kangako. Ukuxilongwa ngesikhathi nangendlela efanelekile kuzosiza ekugwemeni ukwelashwa okungafanele nemiphumela engenakuphikwa yalesi sifo.
Ngakho-ke, uma kuvela izimpawu zomlingiswa ezibonisa isifo, kuyaphuthuma ukuvakashela udokotela wobugqila noma owelaphi. Kuphela bangakwazi ukuthola imbangela ngqo yempilo engeyinhle.
