Zvemukati
- Chii chinonzi Type 1 Diabetes (Teen)?
- Zviratidzo zvisingawanzo zve nyota
- Kurera uremu zviratidzo
- Zvinetso zveganda zviratidzo
- Zvimwe zviratidzo zvine ngozi nezviratidzo
- Ketoacidosis Zviratidzo
- Ndeupi musiyano uripo pakati perudzi rwekutanga nerudzi rwechipiri chirwere cheshuga?
- Chii chinokonzera Type 1 Chirwere cheshuga?
- Ndiani anowana type 1 diabetes?
- Tora 1 chirwere cheshuga kuongororwa
- Kuwedzera kweropa
- Kuongorora mashuga eropa
- Kuenderera mberi kweropa glucose kuongorora (CGM)
- Insulin akapfura kurapwa
- Chii chinonzi insulin?
- Insulin mhedzisiro
- Insulin kuvhunduka
- Insulin pombi kurapwa
- Kuyerwa kwemashuga eropa
- Pancreatic islet sero kuisirwa
- Nyora 1 chirwere cheshuga uye kurovedza muviri
- Tora 1 chirwere cheshuga uye chikafu
- Nyora 1 chirwere cheshuga uye nhumbu
- Wechidiki chirwere cheshuga
- Tora 1 chirwere cheshuga kurapwa: Chakagadzirwa pancreas
- Rumwe ruzivo nezve chirwere cheshuga
Chii chinonzi Type 1 Diabetes (Teen)?
Nyora 1 chirwere cheshuga chirwere chisingaperi chinowanzo kutanga muhudiki asi chinogona kukanganisa vanhu vakuru (makore makumi matatu kusvika makumi mana ekuberekwa). Mune mhando 1 chirwere cheshuga, rwatata rwunogadzira insulin shoma. Insulin inobatsira masero mumuviri kushandura shuga kuita simba. Kana chirwatata chisingakwanise kuburitsa insulini yakakwana, shuga inotanga kuwedzera muropa, zvichizoisa kuzvinetso zvinotyisidzira hupenyu. Vanhu vane chirwere cheshuga cheshuga vanofanirwa kutora imwe insulini kwehupenyu hwavo hwese.
Zviratidzo zvisingawanzo zve nyota
Nyota isina kujairika chiratidzo chakakurumbira cherudzi 1 chirwere cheshuga. Mamiriro aya anoita kuti itsvo dzibvise shuga yakawandisa muropa nekubvisa imwe mvura. Mvura inobviswa nekuita weti, izvo zvinokonzera kupera mvura, uye kupera mvura kunokonzera kuti unwe mvura yakawanda.
Kurera uremu zviratidzo
Varwere vane rudzi rwekutanga chirwere cheshuga vanokudziridza kusaziva kurasikirwa uremu uye kuwedzerwa chishuwo sezvo huwandu hweshuga yeropa hunogara hwakakwira uye muviri unopwanya mafuta esimba. Glucose metabolism inokanganisa inoitawo kuti murwere anzwe kushaya simba uye kurara kwenguva yakareba. Kuita weti yakawandisa kunotungamira mukudzikisira huremu nekuti muviri unosiya macalorie mazhinji weti.
Zvinetso zveganda zviratidzo
Iko kukanganiswa kweshuga metabolism mune varwere vane mhando 1 chirwere cheshuga kunotungamira kuchinje cheganda. Nyora 1 vane chirwere cheshuga vari panjodzi huru yekutapukirwa noutachiona. Ropa rakaipa kuyerera kune ganda rinogona zvakare kuitika. Type 1 chirwere cheshuga varwere vanowanzo kutapukirwa nehutachiona hutachiona hunokonzerwa nembiriso Candida albicans. Zvakajairwa mbiriso hutachiona zvinosanganisira tsoka yemumhanyi, kusangana nekutsi kwemukadzi mbiriso hutachiona mumadzimai, jock itch, mhombwe, uye diaper rash muvacheche. Kuputika kwediaper kunokonzerwa nembiriso Candida albicans inogona kupararira kune dzimwe nhengo dzomuviri senge dumbu nemakumbo.
Zvimwe zviratidzo zvine ngozi nezviratidzo
Varwere vane chirwere chisina kurapwa 1 chirwere cheshuga vanogona kusangana nezviratidzo zvakakomba sekusaona zvakanaka, chiveve kana kugwinha mumativi (kunyanya tsoka), kurasikirwa kwekuziva, kuneta, kufema muchero, muromo wakaoma, uye chirwere cheshuga coma. Kusiyana neshuga yakakwira muropa, vanhu vane chirwere cheshuga cheshuga vanogona kusangana neshuga yeropa yakaderera (hypoglycemia) apo shuga dzeropa dzinongoerekana dzawira pasi.
Mune varwere vane rudzi rwekutanga chirwere cheshuga, kusaziva, chirwere cheshuga, uye mune zvimwe zviitiko hypoglycemia ndezvekurapwa kwekukurumidza. Vamwe vanhu vanoenda vasina kuongororwa vangave vasina zviratidzo zvekunyevera, asi vanogona vachiri kukura chirwere cheshuga coma kana hypoglycemia.
Ketoacidosis Zviratidzo
Dambudziko rerudzi rwe1 chirwere cheshuga ndechekuti maseru emunhu anotorerwa shuga yavanoda kuti vawane simba. Pasina iyo insulin inogadzirwa nerwatata, zvinonetsa kuti shuga ipinde mumasero emuviri. Nekuda kweizvozvo, maseru emuviri anotanga kupisa mafuta kuti awane simba, izvo zvinoita kuti ketoni dziwedzere muropa. Aya maacidi anogona kushandura iyo pH yeropa uye inokonzeresa kuomesa upenyu. Izvi zvinozivikanwa seshuga ketoacidosis. Chirwere cheshuga ketoacidosis chirwere chekukurumidzira icho chinowanzoda kutarisirwa nekukurumidza muchipatara. Zviratidzo zvechirwere cheshuga ketoacidosis zvinosanganisira:
- Yakatsetseka, inopisa, yakaoma ganda
- Kuona kwakashata
- Kunzwa nyota uye kunyanya kuita weti
- hope
- Kurumidza, kufema kwakadzika
- Fruity mweya mweya
- Kurasikirwa nechido, kurwadziwa mumimba, uye kurutsa
- kuvhiringidzika
Ndeupi musiyano uripo pakati perudzi rwekutanga nerudzi rwechipiri chirwere cheshuga?
Type 1 chirwere cheshuga kazhinji inotanga muhucheche kana hujaya hwevakuru, nepo rudzi rwechipiri chirwere cheshuga kazhinji chinotanga mukukura. Mune varwere vane chirwere cheshuga cheshuga, immune system inorwisa uye inoparadza insulin-inogadzira maseru epancreatic (beta maseru). Mune varwere vane rudzi rwechipiri chirwere cheshuga, rwatata harurwiswe uye rinowanzo gadzira insulin. Zvisinei, varwere vane chirwere cheshuga cheshuga havagone kushandisa iyo insulini iripo nezvikonzero zvinoverengeka.
Vanhu vane chirwere cheshuga chechipiri vanogona kunge vaine zviratidzo zvakafanana nevanhu vane chirwere cheshuga chekutanga, asi vanhu vane chirwere cheshuga chekutanga vanowanzoona zviratidzo nekukurumidza. Type 1 cheshuga haigone kudzivirirwa, asi rudzi rwechipiri chirwere cheshuga chinogona kudzivirirwa kana kunonoka kuburikidza nemararamiro ane hutano.
Chii chinokonzera Type 1 Chirwere cheshuga?
Kana immune system ikaparadza beta maseru muchikamu chepancreas, mhando yechirwere cheshuga inokura. Beta maseru mupancreas anogadzira insulin. Vatsvakurudzi havana chokwadi chekuti sei immune system yemunhu ichirwisa maseru ayo anoburitsa insulin. Zvisinei, vatsvakurudzi uye vanachiremba vanofunga kuti hutachiona hunowanikwa uye zvinhu zvakatipoteredza zvinowedzera mukana wekukura kwechirwere cheshuga.
Masayendisiti akaona majini uye majini matunhu anowedzera njodzi yekukura mhando 1 chirwere cheshuga. Zvisinei, handizvo chete zvinokonzera chirwere. Vatsvagiri vanoratidzira kuti zvinokonzeresa zvakatipoteredza senge hutachiona hwehutachiona kana zvingangoita zvine chekuita nezvekudya kana nhumbu zvine chekuita nepamuviri zvinogona zvakare kutora chinzvimbo mukukudziridzwa kwerudzi rwe1 chirwere cheshuga.
Ndiani anowana type 1 diabetes?
Kunyangwe mhando 1 chirwere cheshuga ichigona kukura chero pazera, kutenderera zvikamu zviviri kubva muzvitatu zvematambudziko matsva anoonekwa mune vanhu vari pasi pezera re19. Vanotsvagurudza vakaratidza mbiri mbiri nguva dzekusimudzira rudzi rwe1 chirwere cheshuga. Chekutanga chinoitika achiri mudiki uye chechipiri chinoitika panguva yekuyaruka. Nyora 1 chirwere cheshuga chinokanganisa varume nevakadzi zvakaenzana uye chinowanikwa zvakanyanya muCaucasians kupfuura mune mamwe madzinza. Nhoroondo yemhuri yerudzi rwe1 chirwere cheshuga inowedzerawo njodzi yako yekukura mhando 1 chirwere cheshuga.
Tora 1 chirwere cheshuga kuongororwa
Ongororo dzakareruka dzeropa dzinogona kuratidza huwandu hweshuga muropa. Kana munhu aine chero zviratidzo zvechirwere cheshuga, bvunzo yeropa isina chinhu kana kunyangwe kuyedzwa kweshuga yeropa kazhinji iri danho rekutanga mukuongororwa. Hemoglobin A1c bvunzo inogona kuratidza huwandu hweshuga yeropa kwemwedzi miviri kusvika mitatu yadarika. Muzviitiko zvakawanda, bvunzo idzi dzinodzokororwa pamazuva maviri akasiyana. Mimwe bvunzo inoshandiswa ndeyeglucose shiviriro bvunzo kana bvunzo yeakasarudzika masoja ekudzivirira muropa.
Kuwedzera kweropa
Nyora 1 chirwere cheshuga chinokuvadza tsinga uye chichiita kuti chinetseke kuomarara (atherosclerosis), izvo zvinogona kukonzera kukwira kweropa uye mamwe matambudziko emwoyo. Nehurombo, nekufamba kwenguva, kusaziva kana kuramba uchinge uine huwandu hwakawanda hweshuga yeropa kunogona kukuvadza nhengo yemuviri mumuviri. Varwere vane rudzi rwekutanga cheshuga vari panjodzi huru yekuona matambudziko, chirwere chemwoyo, sitiroko, itsvo kutadza, chingamu chirwere, kurasikirwa kwezino, uye kukuvara kwetsinga (kunyanya kumaoko netsoka). Dzimwe nhengo dzinogona zvakare kukuvara.
Kuongorora mashuga eropa
Mune varwere vane chirwere cheshuga, matambudziko anogona kukuvadza nhengo anogona kudzivirirwa kana kudzikiswa nekumisikidza mashuga eropa. Izvi zvinoitwa nekupuruzira munwe wako uye nekuisa donhwe reropa pane bvunzo. Iyo tambo inozoiswa pane yekutarisa inoverenga iro glucose level.Vhara kuongorora mashuga eglucose inogonesa murwere kuti agadzirise shuga yavo yeropa nemushonga kana iyo shuga yakakwira kana kumedza shuga kana iyo nhanho yakaderera. Kana munhu ane chirwere cheshuga achikwanisa kuchengeta huwandu hweshuga yeropa padhuze kana padyo nematanho akajairwa, mikana yezvinetso yakadzikiswa uye vanozove nesimba rakawanda uye mashoma matambudziko ane chekuita nechirwere cheshuga.
Kuenderera mberi kweropa glucose kuongorora (CGM)
Imwe michina inoyera glucose inonzi inoramba ichiongorora glucose system (CGM). Iyi sisitimu ine chidiki diki pasi peganda kuti utarise mashuga eropa. Inoendesa ruzivo kune mbozhanhare-yakakura sosi inorekodha avhareji yeglucose level pamaminetsi mashanu pane angangoita maawa makumi manomwe nemaviri. CGM ikozvino yakagamuchirwa kuti ishandiswe kwenguva refu mune vamwe varwere vane mamodheru anodzima insulin infusions kana huwandu hwehuga hwatanga kudonha.
Insulin akapfura kurapwa
Chero ani ane chirwere cheshuga cheshuga anoda kutora insulin kuitira kuti muviri wake ugadzire shuga iri muropa. Vazhinji vanhu vane chirwere cheshuga cheshuga vanotora insulin mujekiseni uye vanoda majekiseni akawanda zuva rega rega. Kune mhando dzakasiyana dze insulin.
- Fast-inoshanda insulin inotanga kushanda mukati memaminetsi mashoma uye inogara kwemaawa mashoma.
- Yakajairwa kana ipfupi-inoshanda insulin inotora maminetsi makumi matatu kuti ishande uye inotora maawa matatu kusvika matanhatu.
- Iyo yepakati-inoshanda insulini inotora maawa maviri kusvika mana kushanda uye inogara kusvika maawa gumi nemasere.
- Yenguva refu-insulin inogona kushanda kwezuva rose.
Insulini inogona kuiswa jekiseni netsono uye sirinji, katuriji system, kana pre-yakazara peni system. Inhaled insulin, insulin mapombi, uye inokurumidza-inoshanda insulin chishandiso inogona zvakare kushandiswa. Paunopinza insulin mumuviri wako, nzvimbo yakanakisa yekuenda idumbu rako, asi maoko, zvidya, uye magaro zvinoshandawo.
Chii chinonzi insulin?
Insulin ihormoni inowanikwa mupancreas inobvumira shuga kupinda mumasero. Insulin inoderedzawo huwandu hweshuga muropa. Pasina insulin, shuga haigone kupinda mumasero. Izvi zvinoreva kuti maseru anoumba mhasuru uye mamwe maturusi haakwanise kutsigira sosi yavo huru yesimba. Varwere vane Type 1 cheshuga vane shuga muropa ravo, izvo zvinotungamira kune anotyisidzira hupenyu mamiriro.
Insulin mhedzisiro
- Shuga shoma yeropa
- musoro
- Zviratidzo zvakaita sefuru
- Kurema kuwana nguva yekutanga paunoshandisa insulin
- Mapundu, mavanga, kana kukurumidza panzvimbo yejekiseni
Insulin kuvhunduka
Kunyangwe insulin iri mushonga unoshamisa kubatsira vanhu vane chirwere cheshuga, inofanira kushandiswa zvine hungwaru. Kana munhu achitora insulin yakawandisa, huwandu hweshuga yeropa hunogona kudonhera pamatanho ane njodzi. Aya mamiriro anozivikanwa seye insulin mhinduro (yakaderera ropa shuga kubva kune yakawandisa insulin).
Yakawandisa insulin inogona kukonzera zvinyoro, zvine mwero, kana zvakakomba zviratidzo, zvinoenderana nekuti yakadzika zvakadii uye yakareba sei shuga yeropa muropa. Zvimwe zviratidzo nezviratidzo zveshuga yakadzika muropa zvinosanganisira kuneta, kuwaridza kuwanda, kuvhiringidzika kushoma, kudzikira kwekubatana, kudikitira, kutswinya kwemhasuru, uye ganda rakachenuruka. Sezvo izvi zviratidzo zvinowedzera, kubata, kurasikirwa kwekuziva, uye kunyangwe kufa kunogona kuitika.
Vanhu vane chirwere cheshuga, kunyanya rudzi rwe 1 chirwere cheshuga, vanokurudzirwa kutakura kwakatenderedza magiramu gumi nemashanu eakakurumidza-kuita makabhohaidhiretsi nguva dzese. Kurumidza makabhohaidhiretsi chikafu kana zvinwiwa zvine glucose inokurumidza kupinzwa nemuviri neropa. Mienzaniso inosanganisira hafu yekapu yemuto wemichero kana chinwiwa chinotapira, zvishanu zvinoponesa (zvidiki zviwitsi), maaspuni maviri emazambiringa akaomeswa, kapu yemukaka kana mahwendefa eglucose matatu. Aya makabhohaidhiretsi anogona kukonzera manyoro kusvika pakuenzanisa insulin mhinduro. Nekuda kwekuita kwakakomba, mushonga unonzi glucagon unofanirwa kuiswa jekiseni pasi peganda nenhengo yemhuri kana shamwari inoziva nekurapa zvakakomba insulin uye munhu wacho anofanira kuonekwa nachiremba.
Insulin pombi kurapwa
Kunyangwe vanhu vazhinji vachipa insulin kuburikidza nemajekiseni akawanda pazuva, vamwe vanhu vanogona kushandisa insulin pombi. Iyi pombi inounza insulin kutenderera nguva nekusundira insulin kuburikidza netubhu tudete mukati meganda remunhu. Iyo insulin pombi inogona kuve yakarongedzwa kuti ibudise chaiwo iwo huwandu hweiyo insulini mune inoenderera muyero pamwe nekuendesa mamwe madhizai panguva yakatarwa nguva, kazhinji kazhinji panguva yekudya. Vanhu vane chirwere cheshuga vanokurudzirwa kuti vakurukure zvayakanakira nezvayakaipira iyi insulin kuendesa system nachiremba wavo.
Kuyerwa kwemashuga eropa
Pane bvunzo inonzi Hemoglobin A1c Ropa Bvunzo iyo inoshandiswa kuona kuti munhu ari kunyatsogadzirisa sei shuga yavo yeropa. Muedzo uyu unoitwa muhofisi yechiremba wako uye unoyera kuti shuga yako yeropa yakaongororwa sei kwenguva yemwedzi miviri kusvika mitatu. Kana zvabuda zvichiratidza kushomeka kweshuga muropa (yakakwira A1c mazinga), inoratidza kuti insulin kurapwa munhu, tsika dzekudya, uye / kana chiitiko chemuviri chiri kuchinjwa kudzikisa huwandu hweshuga yeropa kusvika pamwero wakajairika.
Pancreatic islet sero kuisirwa
Vamwe vanhu vane chirwere cheshuga vanokundikana insulin kurapwa uye vanogona kupindura kune jekiseni insulin. Vanhu ava vanogona kunge vachikwikwidza kune izvo vamwe varapi vanofunga zvekuyedza. Maitiro acho kuchinjisa kwemaseru ane hutano-anogadzira maseru kubva kune anopa kune pancreas yemurwere ane Type 1 chirwere cheshuga. Kunyange paine zvakanakira maitiro aya, pane zvinokuvadza, zvinosanganisira zvinodhaka zvine mhedzisiro zvakakomba izvo zvinofanirwa kushandiswa kudzivirira kurambwa kwemasero evanopa, uye mukana wekuti maseru akaiswazve achashanda chete kwemakore mashoma.
Nyora 1 chirwere cheshuga uye kurovedza muviri
Vanhu vane chirwere cheshuga cheshuga vanobatsirwa nekurovedza muviri, asi vanofanirwa kutora matanho ekudzivirira kamwe kamwe muropa reropa. Vanorwara neshuga vanofanirwa kutarisa huwandu hweshuga yeropa usati waita maekisesaizi uye vangangoda kunwa chikafu usati waita kana panguva yekurovedza muviri. Ivo vangangoda kugadzirisa yavo insulin muyero pamberi pekurovedza muviri kuti vave nechokwadi chekuti vanogara mukati meyakajairika shuga yeropa renji. Vanhu vane chirwere cheshuga 1 vanogona zvakare kuyedza weti yavo ketoni. Ketoni inoratidza kuti shuga yako yeropa yakanyanyisa. Zviitwa zvekuwandisa zvinofanirwa kudzivirirwa kana maketone akaonekwa kana kana huwandu hweshuga yeropa yako hwakakwira kana hwakaderera pamberi pebasa.
Tora 1 chirwere cheshuga uye chikafu
Vanhu vane Type 1 chirwere cheshuga, sevamwe vese, vanofanirwa kudya zvine hutano. Izvi zvinobatsira yako insulin kurapwa uye kudzikisa njodzi yeshuga yematambudziko. Hakuna chinhu chinonzi "chirwere cheshuga". Kunyangwe munhu ane type 1 chirwere cheshuga anogona kudya zviwitsi chero bedzi chiri chikamu chekudya kwakaringana. Izvi hazvireve kuti vanogona kudya chimwe chinhu nguva dzese, asi kuti vanofanirwa kufunga kuti zvihwitsi zvinokwana sei mukudya kwavo kwakaringana. Type 1 diabetics inofanirwa zvakare kufunga kuti makabhohaidhiretsi anokwidza mashuga eropa nekukurumidza kupfuura chero chimwe chikafu. Chikafu chakaderera mumakabhohydrate asi chakakwira calcium, potasium, fiber, magnesium, uye mamwe mavitamini akakosha kune vane chirwere cheshuga. Paunenge uchironga zvekudya zvako, chengeta zvinotevera nhungamiro mupfungwa:
- Idya mafuta mashoma asina hutano
- Wana fiber yakakwana
- Tevedza kunwa kabohydrate
- Tevedzera makabhohaidhiretsi mune zvekudya zvisina shuga
Nyora 1 chirwere cheshuga uye nhumbu
Vakadzi vane chirwere cheshuga cheshuga vanofanirwa kutaurira vanachiremba kana vari kuronga kubata pamuviri. Kudzora kwakashata kweshuga yeropa kunogona kutungamira kumatambudziko akadai sekuremara kwekuberekwa. Kuronga kutanga kudzora huwandu hweshuga yeropa kunogona kudzikisa njodzi yekuparara uye hurema hwekuzvara. Panguva yekuzvitakura, zvakakosha kuti ugare uine bvunzo dzeshuga muropa uye chengeta iyo A1c pazasi pe7%. Kudzora kwakanaka kweshuga muropa kunogona kudzikisira kumwe kunetseka panguva yekuzvitakura, sekukwira kweropa kana kukuvara kwetsinga muna amai.
Preeclampsia mamiriro anobata 18-30% yevakadzi vane nhumbu vane chirwere cheshuga. Preeclampsia inokura mushure memakumi maviri evhiki mucherechedzo uye inozivikanwa neakakwira BP uye mapuroteni mumuguta. Izvo zvakakosha kurapa preeclampsia. Kana ikasarapwa, izvi zvinogona kukuvadza mwana uye kuisa amai panjodzi yekurohwa uye kubatwa. Kana mwana achinge azvarwa uye amai vachiyamwisa, zvakakosha kuti agare achiongorora mazinga eglucose nguva nenguva.
Wechidiki chirwere cheshuga
MuUnited States, vana zviuru gumi nezvitatu vanoonekwa vaine chirwere cheshuga cheshuga gore rega. Kuongorora chirwere cheshuga muvana imamiriro ekuchinja hupenyu sezvo kuchikanganisa mhuri yese. Vabereki vanofanirwa kubatsira vana kuongorora shuga yeropa uye kuronga zvekudya zvemhuri zvinoenderana nemwana ane chirwere cheshuga nedzimwe nhengo dzemhuri. Insulin doses inofanirwa kuongororwa uye mashuga eropa anotariswa nevanochengeta mwana.
Yehucheche chirwere cheshuga idambudziko remaawa makumi maviri nemana rinofanirwa kutariswa kana mwana achienda kuchikoro uye achitora chikamu mune zvekunze zviitiko. Vabereki nevana vavo vanofanirwa kutora matanho ekugamuchira kurapwa kwe insulin kunyangwe mwana ari kuchikoro. Idzi gadziriro dzinoda kurongwa pachine nguva sezvo isiri nyika dzese kana chikoro chinogona kutora chikamu mukuchengetwa kwevana nenzira imwecheteyo.
Tora 1 chirwere cheshuga kurapwa: Chakagadzirwa pancreas
Vatsvagiri vari kuyedza kugadzira pancreas. Ichi chishandiso mubatanidzwa we insulin pombi uye inoramba ichiita glucose yekuongorora system inodzorwa necomputer program. Chinangwa chehurongwa ndechekusunungura insulin mukupindurwa neshuga yeropa uye kudzikisa kuburitswa kwe insulin kana shuga dzeropa dzadzika. Chinangwa chishandiso chinoteedzera mashandiro epancreas yakajairika. Kumwe kuedza kwekutanga pamidziyo yekuyedza kunoratidza kuti michina iyi inogona kuwanikwa mune ramangwana.
Rumwe ruzivo nezve chirwere cheshuga
Kuti uwane rumwe ruzivo nezve chirwere cheshuga, ndapota ona zvinotevera:
- American Chirwere cheshuga Association
- Chirwere cheshuga Research Institute Foundation
- Sangano reNational Institute for Diabetes uye Digestive uye Kidney Zvirwere