Dambudziko Kudzora Rudzi Rweshuga
Brittle chirwere cheshuga, chinonziwo labile chirwere cheshuga, izwi rinoshandiswa kurondedzera zvakaoma-kuti-control type 1 chirwere cheshuga. Vanhu vane chirwere chinorwara cheshuga vanowanzoona kuwedzerwa kukuru mumashuga eropa (glucose) iyo inogona kukurumidza kubva kubva kumusoro (hyperglycemia) kusvika pasi (hypoglycemia) kana zvimwewo. .
Mimwe Mamiriro Ezviri NezveBrettle Diabetes
Brittle chirwere cheshuga chinogona kukonzerwa nokushungurudzika mupfungwa (kusanganisira kuora mwoyo uye kushungurudzika), zvinetso zvekudya, zvinetso zvekudzivirira kwemimba, kusanganisira kunonoka kwekudzima mumimba (gastroparesis), chirwere cheCeliac, kupindira kwezvinodhaka , zvinetso zvekuchengetwa kwe insulin, kana kusagadzikana kwehomoni.
Vanhu vane chirwere cheshuga chakanyanya kuderera vanogonawo kuva nezvinetso nehutachiona hwavo (hypothyroidism) uye adrenal glands (adrenal insufficiency). Kurapa kwemamiriro aya kunogona kutungamirira mukugadzirisa kwebrittle chirwere cheshuga.
Kusiyana pakati peBrittle uye Stable Diabetes Yakasimba
Mazinga ehuga evanhu vane chirwere cheshuga chakasimba chinogona kuchinja dzimwe nguva. Zvisinei, kuchinja uku hakusi kuitika uye-kusiyana nehutachiwana hwechirwere cheshuga-hazvina kukwanisa kukwanisa kuita mabasa ezuva nezuva ehupenyu hwezuva nezuva.
Ndiani Anowana Brettle Diabetes uye Nei?
Brittle chirwere cheshuga hachiwanzoitiki. Maererano neNational Institute of Health (NIH), vanhu vashomanana chete vane chirwere cheshuga cheshuga vanowanzosangana neropa rekuisa ropa rinorondedzerwa se "brittle." Rinokanganisa vanenge 3/1000 insulin-vanovimba nevanhu vane chirwere cheshuga, kunyanya vakadzi vaduku, uye vakadzi vane uwandu hwepamusoro vanowanzove vakanganiswa. Vanhu vazhinji vane chirwere cheshuga chinokanganisa chinowanzova pakati pemakore gumi nemashanu.
Uyezve, vanhu vane zvinetso zvepfungwa, zvakadai sekuzvidya mwoyo uye kuora mwoyo, vari pangozi yakanyanya yekuwana chirwere cheshuga chechirwere. Mune zvimwe zviitiko, zvinetso zvepfungwa izvi zvinoita kuti vasaremekedze kuchengetedza kwavo chirwere cheshuga. Somuenzaniso, vanogona kumira kuchengetedza kudya kwakanaka kana kuti havagoni kuchengeta shuga yavo yeropa.
Sezvo chirwere cheshuga cheropa chinowedzera, kusaenzana kwemagetsi kunowedzera kukanganisa uye kunowedzera kuipa zvinetso zvepfungwa zvepfungwa, zvichiita kuti kudzokorora kwe brittle chirwere cheshuga.
Chimwe chidiki chekudzidza chakanyora kuti vanhu vane brittle diabetes vane hukuru hukuru hwekushushikana nekudzvinyirira pane avo vane chirwere cheshuga chisingaiti. Izvi zvinokonzerwa nepfungwa-hurimoni zvinogona kukonzera kukura kwebrittle chirwere cheshuga.
Brittle Diabetes uye Mhuri
Munhu ane brittle chirwere cheshuga kazhinji ari muchipatara, anoshaya basa uye anowanzotarisana nezvinetso zvepfungwa. Zvose izvi zvinowedzera kuwedzerwa mupfungwa uye kushungurudzika kwemari kumhuri.
Chii Chaungaita Kana Iwe Kana Munhu Waunoda Ane Chirwere Cheshuga?
Kuziva nekugadzirisa zvinokonzera zvinetso, kana physiologic kana mupfungwa, zvinokosha pakurapa chirwere chinorwara cheshuga. Kuyera ropa kunogona kubatsira kuziva chikonzero chekusagadzikana kweglucose . Kana ropa regizi rinopindura nenzira yakajairika nechirwere cheshuga mune imwe nzvimbo yakarongeka (yakadai semuongorori wepachipatara), zvino munhu anofanira kutarisa zvinokonzera zvakatipoteredza, zvepfungwa kana zvekuita.
Nepo pangave nekutsanangurwa kwepanyama kwebrittle chirwere cheshuga, iyo ndiyo imwe chete yezvingaita zvekuita / kufanirwa kwezvakatipoteredza, uye kuziva kuti chikonzero chepfungwa chinokonzera brittle chirwere cheshuga chinogona kuva nguva yakareba uye yakaoma.
Kana icho chikonzero chichigadzirirwa kuva mupfungwa, kurapwa kunogona kusanganisira kuongorora uye kuedza kuderedza kushungurudzika kwemamiriro emunhu. Zvinobatsira kutsvaga chiremba wepfungwa panyaya yekuongorora nekurapa varwere ava. Psychotherapy yakaratidza kuti inoshanda mukurapa brittle chirwere cheshuga.
Varwere vane brittle chirwere cheshuga dzimwe nguva vanofanira kuendeswa kune rimwe divi rekuchengetedza chirwere cheshuga kana chinzvimbo chekutanga kutanga kugadzirisa chirwere cheshuga. Kuchinja kune imwe nzvimbo yechirwere cheshuga chinogona kubatsira dzimwe nguva kubvisa chirwere cheshuga cheshuga.
Kurapa brittle chirwere cheshuga dzimwe nguva kunoda kugara kwenguva refu kuchipatara kwemavhiki mashomanana nekuongororwa kwakasimba kwezvokudya, glucose uye insulin.
Zvimwe Zveruzivo Iwe Une Izvo Zviri nani
Izvo ruzivo rwehuwandu hwaunayo maererano neropa rako sukari zviri nani iwe unogona kutarisa mishonga yako uye kuderedza kuwandisa kweropa glucose excursions. Kune vanhu vazhinji vane chirwere cheshuga chechirwere, izvi zvinogona kureva kupfekedza kuongorora glucose nekuenderera mberi uye kushandisa insulini pombi.
Kuenderera mberi kwekutarisa glucose kunogona kukubatsira kuziva kana shuga yako yeropa ichidonha kana kupinza kuitira kuti unogona kutora matanho anodiwa kuti uwedzere shuga.
Insulini mapampu anogona kuita insulin dosing yakajeka. Vanotarisa kufungidzira kushanda kwepancreas zvinoshanda zvakadini: kuunza shoma shomanana zuva rega roga kuti rifukidze miviri ye 'inoda insulini uye kuunza dutu guru re insulini apo munhu ari kudya goroidhadhi yezvokudya. Aya mapampu haaiti basa rose kwauri, unofanira kunge uchikwanisa kuverenga gorofuhydrate uye kuongorora shuga yako yeropa, asi kana yakashandiswa zvakanaka inogona kuita kuti tikwanise kutarisira insulin zvinodarika zviri nani pane insulin injections.
Imwe nzira, kana iwe akakodzera, zvichida islet cell transplantation. Islet cell transplantation, kunyanya allo-transplantation, ikozvino inoshandiswa pane kunyanya kusarudzwa kwevanhu vane chirwere cheshuga chechirwere cheshuga vane nguva yakaoma zvikuru kuchengeta ropa ravo rega kana kuti vane chirwere chakaipa chekunyengedza kwehugoglycemia. Kuputika kunongowanikwa muzvipatara zvekuongorora zvipatara izvo zvakagamuchirwa neDFA.
Sources:
> McCulloch, David K. "Murwere ane Brittle Diabetes Mellitus." UpToDate.com. 2007. UpToDate. 18 Sep 2007
> National Institute of Health. Brittle chirwere cheshuga.
> National Institute of Diabetes and Digestive and Kidney Disease. Pancreatic Islet Transplantation.
> Vantyghem MC, Press M. Management mazano eBritney diabetes. Ann Endocrinol (Paris). 2006 Sep; 67 (4): 287-96.