Ne CFRD yePancreas Quits Kushanda Zvakanaka
Chirwere cheshuga chirwere chinowanzoitika chinowedzera kwenguva yakawanda kuvanhu vakawanda vane cystic fibrosis (CF). Zvechokwadi, vazhinji vakura vanogara neCF vane imwe chirwere cheshuga kana kusagadzikana kweglucose . Chirwere cheshuga cheCystic fibrosis (CFRD) chirwere cheshuga chinokonzerwa nevanhu vane cystic fibrosis chete. CFRD yakafanana, asi kwete zvakafanana, chirwere cheshuga muvanhu vasina cystic fibrosis.
Nokudaro, kurapwa kweCFRD hakuna kufanana nekurapwa kweimwe mhando yehuga yehuga.
Kuratidzwa kwechirwere cheshuga
Kazhinji, chirwere chekudya chinoshandura zvimwe zvezvokudya zvatinodya mune shuga. Iko shuga, inozivikanwa seglucose, inopinda muropa. Kuwedzera kweglucose muropa kunokonzera pancreas kuti ibudise hormone inonzi insulin , iyo inobatsira kutakura glucose kubva muropa kusvika kumasero emuviri. Muvanhu vane chirwere cheshuga, sarudzo iyi haina kushanda zvakanaka uye glucose inoramba iri muropa. Kana isina kusiya, chirwere cheshuga chinogona kukanganisa zvachose maziso, itsvo, mwoyo uye nervous system.
Muvanhu vasina cystic fibrosis, kune marudzi maviri echirwere cheshuga chisingaperi:
Ita 1 chirwere cheshuga: Ichi chirwere cheshuga, icho chinowanzozivikanwa muhuduku, chinoitika apo pancreas haina kubereka insulin yakakwana, chirwere chinonzi insulin inoshaya. Kusiyana nerudzi rwechipiri rwechirwere cheshuga, chirwere cheshuga cheshuga chirwere chekuzvimirira.
Nemhaka yezviitiko izvi, rudzi rwechirwere cheshuga rwakashandiswa kunzi "insulin-dependent" kana kuti "vana vechidiki vose vane chirwere cheshuga." Vanhu vane chirwere cheshuga chechirwere chekutanga vanofanira kutora insulini shots zuva rimwe nerimwe rehupenyu hwavo kana kuti vanogona kuve nemamiriro ezvinhu anotyisa anonzi ketoacidosis .
Rudzi rwechipiri chirwere cheshuga : Rudzi urwu rwechirwere cheshuga, iyo inowanzoongororwa muhukuru, inowanikwa apo pancreas inogadzira insulin yakakwana, asi muviri haubvumiriri ku insulin zvakakodzera, chirwere chinozivikanwa se insulin kushorwa.
Nemhaka yezviitiko izvi, Rudzi rwechipiri rwechirwere cheshuga rinoshandiswa kunzi "noninsulin runovimba" kana kuti "munhu wose ane chirwere cheshuga." Pakutanga, vanhu vane chirwere cheshuga 2 kazhinji havadi kutora insulini shots. Pane kudaro, vanotora mapiritsi anobatsira miviri yavo kushandisa insulini yavanove nayo. Zvisinei, vanhu vanorarama kwenguva yakakwana nerudzi rwechipiri chirwere cheshuga vanozopedzisira vachitora insulini shots.
Nzira yeCrFD yakasiyana sei
Chirwere cheshuga muvanhu vane cystic fibrosis inosanganisira maitiro ezvose zvechipiri uye chirwere chechirwere cheshuga. Kuvaka maitiro akaoma mukati mepancreas pakupedzisira inokuvadza masero ekubudisa-hormone, zvichikonzera kusawirika kwe insulini. Izvi zvinonzwika sorudzi rwechirwere cheshuga, asi hachisi chinhu chimwe chete nokuti hachitanga muhuduku, asi mukukura, uye kunokonzerwa nekuparara kwepascreas yakashandisa kubudisa insulini kazhinji.
Kunze kwekushaya kukwana kwe insulin, vanhu vane cystic fibrosis vanowanzoputika nekusimbiswa kwe insulin nekuda kwezvinotevera:
- chronic infections;
- yakakwirira ye cortisol, hormone iyo muviri unovanza mukupindura kunetseka;
- kazhinji kuratidzwa kwe corticosteroids , iyo inorwisa-zvinokonzera zvinodhaka dzimwe nguva inoshandiswa mukurapa mamiriro emapapu anotevedzera chiito che cortisol ;.
Zviratidzo
Zviratidzo zveCFRD zvakafanana nezviratidzo zvemamwe marudzi evanhu vane chirwere cheshuga:
- nyota yakawandisa
- kugara uchidzoka
- kuneta zvakanyanya
- unxplained weight loss
Dambudziko nderekuti zviratidzo izvi zvose zvinowanzoitika kune vanhu vane cystic fibrosis, kana vane CFRD kana vasina. Izvi zvinoita kuti kuve nekukurumidza kuona CFRD zvakaoma.
Kuziva
Nokuti zviratidzo zveRFF hazvikwanisi kuonekwa mumatangiro epakutanga kwechirwere, Cystic Fibrosis Foundation inorayira nguva dzose kuongorora chirwere cheshuga kamwe chete pagore kuti varwere vose vane makore gumi nemana kana kupfuura. CFRD inorwara neongororo yeropa inoona mazinga eglucose muropa.
Mishonga
CFRD inowanzobatwa nekubatanidzwa kwe insulin, maitiro uye kudya. Zvokudya zvevanhu vane CFRD zvakasiyana nemarori-ezvokudya zvisingabvumirwi zvinowanzopiwa kuvanhu vane mamwe marudzi evanhu vane chirwere cheshuga. Pasinei nechirwere cheshuga, vanhu vane CF vanofanira kuchengetedza ma-calorie, mafura-mafuta uye vanobhadhara nekugadzirisa zvirwere zve insulin. Kana uine CFRD, iwe unoda kushanda pamwe chete nachiremba wako uye nutritionist kuti uwedzere chirongwa chekurapa chinoshanda iwe.
Kunobva:
Hardin, D., uye al. 2002. "Kutarisira Cystic Fibrosis-Related Related Diabetes (CFRD)". 3rd Edition. Cystic Fibrosis Foundation. 04 Gunyana 2008