Matenda a shuga amadziwika ndi kusiyanasiyana kwakukulu kwamitundu ya matendawa. Chimodzi mwa izo ndi matenda ashuga a sibatrophic.
Matendawa amasiyana ndi matenda osavuta a shuga omwe ali ndi chithunzi chosiyanasiyana chachipatala. Lipodystrophy mu shuga ndi vuto lowopsa lomwe likufunika kuyang'aniridwa ndi akatswiri.
Kodi matenda ashuga a lipoatrophic ndi chiani?
Ndi mtundu wamavuto amtunduwu, machitidwe amachitika omwe amachititsa kuti wodwala asamapume. Matenda a shuga a Lipoatrophic amadziwika ndi kukana kwambiri kwa thupi kukonzekera insulin komanso kuwonjezeka kwa chiwindi, zomwe nthawi zambiri zimayambitsa cirrhosis ndi matenda ena ake.
Chodziwikiranso ndi kusapezeka kwa matenda a shuga ndi chifuwa chachikulu cha chithokomiro. Mwa makanda, chizindikiro chachikulucho chimatha kukhala adipose minofu ya dystrophy, ndipo matenda a shuga amakula pakapita zaka 10 komanso 15 pambuyo pake.
Gynoid lipodystrophy
Akuluakulu, nawonso, kuyambika kwa matenda ashuga kumakhala koyamba, ndipo lipodystrophy imawoneka patadutsa zaka zingapo atazindikira kuperewera kwa insulin, nthawi zambiri atadwala. Masinthidwe amomwe minofu yam'mimba ya adipose ndi collagen imawululidwira imadziwika.
Nthawi zambiri kukula kwawo kumalumikizidwa ndi kuyambitsa jakisoni wa insulin. Nthawi zina matendawa amakula pakapita nthawi yochepa jakisoni. Ndipo mwa odwala ena, m'malo mwake, amawoneka zaka 5 kapena 10 pambuyo poyambitsa insulin.
Mitundu ya insulin lipodystrophy mu shuga
Zomwe zimapangitsa kuti njirayi ipangike mpaka pano sizikudziwika.Ndi chitsimikizo chokwanira kwambiri, mtundu wa matenda a shugaatrophic amatha kusiyanitsidwa ndi matenda omwe sanalipidwe.
Kusiyana kwakukulu pakati pa mitundu iwiriyi ndi kusowa kwa minyewa yokhala ngati minyewa yoyambilira ndi kusatha kwathunthu kwa thupi kudziunjikira mafuta m'thupi. Mafuta a subcutaneous akupitilirabe ndipo samadzikundikira ngakhale pakhale mafuta ochulukirapo muzakudya za wodwalayo.
Nthawi zambiri, zomwe zimadziwika kuti atrophic lipodystrophy zimayamba. Amadziwika ndi kusowa kwa minofu ya adipose yomwe imayamba m'malo operekera insulin nthawi zonse. Nthawi yomweyo, m'malo opukusira jakisoni, zotupa za khungu zimawonedwanso, zowoneka bwino ndi maso amaliseche.
Mtundu wachiwiri wa atrophy mu matenda ashuga ndi lipohypertrophy. Amayamba chifukwa cha kuchuluka kwamafuta m'magazi a jakisoni. Zotsatira zake, lipomas imapangidwa, yodziwika bwino yotchedwa "wen".
Zomwe zikuluzikulu zimayambira
Zodalirika sizomwe zimayambitsa vutoli. Komabe, akatswiri adziwa zinthu zomwe nthawi zambiri zimayambitsa chitukuko cha matenda awa.
Zomwe zimayambitsa lipodystrophy zimaphatikizapo:
- kuvulala pafupipafupi kwa minofu pa jekeseni;
- thupi lawo siligwirizana minofu mankhwala;
- Kusintha kwa ma Horona wodwala.
Zinthu zomwe zimawonjezera chiopsezo cha matenda opatsirana zimaphatikizaponso kunenepa kwambiri, matenda opatsirana, kuperewera kwa zakudya m'thupi komanso moyo wokhala pansi. Kubayira jakisoni kumathandizanso kuti lipodystrophy.
Makamaka, kulowa mu kuchotsera kwa mowa kumayambitsa kuwonongeka kwa ma microscopic ndipo kumathandizira kukulitsa kwa matenda. Pali malingaliro akuti kukula kwa lipodystrophy kumakhudzidwanso ndi mayankho a chitetezo cha m'thupi mwa thupi pakupereka insulin yachilendo kwa iyo.
Mwina ndi chifukwa chokhacho chomwe thupi la "lachilendo" limachita kukakamiza.
Kuphatikiza apo, chitetezo chaumunthu chimatha kuyankha ku gawo la insulin lomwe limalowa mu mafuta osunthika a mafuta monga antigen achilendo.
Mukuwonongeka kwake, minofu ya lipoid imavulazidwanso.
Zizindikiro zambiri za anthu odwala matenda ashuga
Ndikofunikira kuzindikira lipodystrophy munthawi yake ndikupempha thandizo munthawi yake.
Pakukula kwa matenda am'mitsempha, zizindikiro monga kufupika ndi kuwonda kwa khungu m'malo omwe nthawi zambiri zimayambitsa jakisoni ndizikhalidwe.
Poterepa, ndizotheka kuzindikira bwino lomwe malire a dera lomwe lakhudzidwalo. Popita nthawi, chidwi cha malo amtunduwu pakhungu lililonse kuvulala kumawonjezereka. Ngakhale mabala ang'onoang'ono komanso zipsera zimachiritsa bwino, zilonda zam'maso zimatha kukhazikika, komanso zimayamba kukhala zilonda zikapanda kuchiritsidwa.
Nthawi zina, minyewa ya adipose imayamba patali kwambiri ndi malo omwe amapangira jakisoni. Izi zimapangitsa kuti azindikire zovuta nthawi yoyambayo ndipo zimachitika makamaka kwa akazi.
Zochizira
Ngati wapeza lipodystrophy, njira zingapo zimagwiritsidwa ntchito pochotsa zomwe zimayambitsa matenda ndikuchepetsa mavuto ake.
Choyamba, kubwezeretsa insulin kukonzekera kumachitika. Otetezeka kwambiri ndimayendedwe a monoinsulin.
Malinga ndi malipoti ena, mahomoni opangidwa ndi tiziwiti ta ng'ombe nthawi zambiri amayambitsa ma pathologies m'thupi. Electrophoresis yamadera omwe akhudzidwa, ntchito ndi parafini, inductometry imachitika. Njira yokwanira ndi akupanga mankhwala a omwe akhudzidwa.
Kusintha kumafikira minofu yakuya ndikuthandizira kufalikira kwa magazi ndi kagayidwe. Komanso, zotsatira zina zimadza ndi kugwiritsa ntchito mafuta am'deralo okhala ndi kukonzekera kwa mahomoni.
Kufunika kosintha malo a jekeseni a insulin
Ndipo pochiza matenda, komanso kupewa, ndikofunikira kuperekera mankhwala omwe ali ndi insulin.Ndikofunikira kusintha mawebusayiti enanso. Nthawi yomweyo, jakisoni sangachitike mopitilira kamodzi pa miyezi iwiri.
Kutentha kwa mankhwalawo ndikofunikanso. Ndikofunika kugwiritsa ntchito insulin, yotentha mpaka madigiri 36. Ndizovomerezeka kugwiritsa ntchito mankhwalawo kutentha pang'ono, koma osazizira.
Mankhwalawa amayenera kuperekedwa pang'onopang'ono komanso mozama. Njira yabwino yothetsera ndikugula pampu ya insulin kapena ma jakisoni apadera owumba. Ndikofunikira kusintha singano musanadwe jekeseni iliyonse.
Kupewa kupewa matenda ashuga
Kuphatikiza pa njira zomwe tafotokozazi, malamulo ena akuyenera kutsatidwanso kupewa mavuto.
Kusunga madzi oyenera ndikofunikira.
Ndikofunika kudya mpaka malita atatu amadzimadzi (kuphatikiza maphunziro oyamba), ndikupereka makonda kumadzi achilengedwe komanso abwino.
Makanema okhudzana nawo
Amayambitsa ndi kuchiza lipodystrophy mu matenda a shuga:
Kutsatira malamulowa, komanso kutsata insulini yoyenera, kumalepheretsa zovuta monga dystrophy ya adipose minofu, osagwiritsa ntchito zovuta komanso zowawa
