Matenda a shuga

Anthu omwe akudwala matendawa amadzimva athanzi, amatha kuzindikirika mothandizidwa ndi apadera chakudya chololera chololera. Chizindikiro cha zoposa 120 mg pamimba yopanda kanthu ndi 200 mg mutatha kudya ndi chizindikiro cha kukula kwa matendawa.

Kodi matenda ashuga a latent (prediabetes) ndi LADA ndi zofanana?

Mtundu woterewu ndi wosowa kwambiri.

Mbali yodziwika bwino yamatenda amtunduwu ndi yofanana ndi matenda amtundu wa shuga. Kukula kwa matenda a shuga a LADA kumachitika pang'onopang'ono ndipo amadziwika m'magawo omaliza a matenda a mtundu II shuga.

Ndi mtundu wina wa matenda ashuga, kudalira insulin kumachitika pokhapokha zaka 1-3. Pang'onopang'ono njira ya pathological imapatsanso mwayi woti matendawo apitirire, ndipo, chifukwa chake, zovutazi sizingachitike.

Zomwe zimachitika ndipo ndi ndani amene ali pachiwopsezo?

Popanda chithandizo, matendawo amawonjezeka ndipo amatsogolera pakukula kwa matenda amtundu 2. Nthawi yomweyo, zovuta zina ndizotheka: matenda a mtima, matenda amitsempha yamagazi (yayikulu), sitiroko, kuwonongeka kwa mitsempha, kuwonongeka kwa mawonekedwe.

Zizindikiro za matenda am'mbuyomu

Latent, mu gawo loyambirira la chitukuko ali ndi zowongoletsa zokwanira kuzungulira kagayidwe kachakudya. Zotsatira zabwino zitha kuchitika chifukwa chotsatira zakudya wamba kapena kulandira chithandizo chophweka chofuna kuchepetsa kuchuluka kwa shuga mumtsinje wamagazi.

Kufunika kwa insulini kumawonekera pakati pa miyezi isanu ndi umodzi ndi zaka 10 kuchokera pachiwonetsero cha kusintha kwamatenda m'thupi. Mbali yodziwika bwino ya matenda a shuga a LADA ndi kupezeka kwa magazi a anthu amtundu wa matenda ashuga a mtundu woyamba.

Kuzindikira

Pazifukwa izi, kafukufuku wothandiza amafunikira, womwe umachitika pokonzekera zakudya zina.

Kuthamanga kwa glycemia kumadziwika ndi kuchuluka kwa maselo a beta. Pakuchulukitsa magawo a 5.2 mmol / l poyambira koyamba ndi 7 mmol / l mu maola 2, tikulankhula za kukhalapo kwa prediabetes.

Njira ina yodziwira matenda a shuga a LADA ndi Staub-Traugott. Kufufuza kumeneku kumachitika chifukwa chakuti magazi asanayesedwe wodwalayo amatenga 50 g shuga, ndipo patapita kanthawi ena.

Mwa anthu athanzi, magazi a glycemia amasintha atangomaliza kudya koyamba shuga, gawo lachiwiri la glucose silinasinthe. Pamaso pa kudumpha awiri komwe kumatchedwa glycemia, matenda am'mbuyomu amadziwika. Izi ndichifukwa choti ma cell a beta amagwira bwino ntchito, chifukwa choti yankho losakwanira la glucose limawonekera m'thupi.

Fomu labala: mfundo zamankhwala ndi kupewa

Makalasi ophunzitsa zolimbitsa thupi amathandizira kuti khungu la glucose lizipezeka ndi 20% yochulukirapo m'misempha. Zochita zofunikira kwambiri zolimbitsa thupi ndizo kusambira, kuyenda ndi kupalasa njinga. Tizindikire kuti katundu wambiri amatsutsana, motero amakhala olimbitsa thupi, koma ayenera kuchita zinthu zolimbitsa thupi nthawi zonse. Ndikokwanira kuchita masewera olimbitsa thupi, kusambira kapena kuyenda kwa mphindi 30 patsiku.

Ndikofunika kwambiri kuchita insulin, yomwe imakuthandizani kuti muchepetse kukula kwa matendawo kwa nthawi yayitali. Mu matenda a shuga a LADA, amatsutsana ndi kutenga ma secretojeni omwe amathandizira kutulutsa kwa insulin, chifukwa pambuyo pake izi zimabweretsa kufooka kwa pancreatic komanso kuwonjezeka kwa insulin.

Masiku ano, mankhwala otsatirawa amagwiritsidwa ntchito pochiza:

• Metformin;
• Acarbose.

Pofuna kulandira chithandizo mothandizidwa ndi mankhwalawa kuti mupereke zotsatira zomwe zikuyembekezeka, ndikulimbikitsidwa kuti muwatenge zaka zingapo. Ichi ndichifukwa chake kukhalabe ndi moyo wathanzi ndi njira yovomerezeka kuposa kuchitira mankhwala. kuchuluka kwa kulemera kwa thupi ndikuonetsetsa kuti zolimbitsa thupi zolimbitsa thupi zimachepetsa chiopsezo cha kupitilirabe matenda kangapo.