Kushanda Nechirwere Cheshuga 1 Chirwere cheshuga
Ropa 1 chirwere cheshuga "insulin inorwara nechirwere cheshuga." Zvisikwa zvakasikwa zve insulini, zvakagadzirwa mukancreas, zvakakundikana uye zvinoda kuchinjwa nekujaira nguva dzose. Zvikonzero zvekukundikana uku hazvina chokwadi, kunyange mhinduro yekuzvimiririra yakasanganiswa nemagariro ezvisikwa uye zvezvakatipoteredza zvakataurwa. Denda rinogona kufamba mumhuri.
Rudzi rwechirwere cheshuga runowanzoitika muhucheche kana kuti achiri kuyaruka, izvo zvinoreva zita rekare re "vana vechirwere cheshuga." Zvisinei, inogona kuitika kuvanhu vakwegura uye inogona kuzonzi "latent autoimmune chirwere cheshuga kuvanhu vakuru" kana kuti LADA .
Kusiyanisa pakati Pechigarire 1 uye Rudzi rwechipiri
Zvirwere zvose izvi zvinokonzera kuwanda kweglucose muropa, migumisiro yehutano iyo inogona kuva yakakomba kana kuwanda kweshuga (shuga yeropa) yakanyanya kukwirira.
Muchirwere chechipiri chirwere cheshuga, glucose inogona kunge yakakwirira nokuti kunyange zvazvo insulin iripo, haigone kuchengeta glucose zvakanaka mumusumbu uye chiropa. Izvi zvinonzi "insulin kushorwa." Rudzi rwekutanga 1 nguva dzose runokonzerwa nekusava nechirwere chemusikisi.
Rudzi rwechipiri chirwere cheshuga kazhinji chirwere chekuita mararamiro, kunyange zvazvo genetics inogonawo kuita chikamu. Kunyanya kuwandisa uye kusina kukodzera kuchaita kuti iwe uwedzere kuwana rudzi rwechipiri chirwere cheshuga, izvo zvisingawanzoshandurwi.
Nokufamba kwenguva, vanhu vane chirwere chechirwere cheshuga vanogona kurasikirwa nechirwere chekuchengetedza kwepanyama kusvikira pakupedzisira, vangave vachida zvirwere zve insulin sechikwata chekutanga.
Kudzidzira uye Kuwedzera Kurovedzwa kweTsika 1 Chirwere cheshuga
Mune chimwe chikamu chakasiyana, ndakatsanangura maitiro ekudzidzisa maitiro ne cardio uye nezviremba zvevanhu vane chirwere cheshuga chechipiri. Muchikamu chino, ini ndichataura nezvekurovedza muviri kwevanhu vane chirwere cheshuga chechirwere cheshuga. Zvakakosha kuparadzanisa zvinhu zviviri kuitira kuti parege kuva nekuvhiringidzika.
Kuva usina insulin yakasikwa kunokonzera dambudziko nokuti kana iwe ukaiisa panzvimbo iyo nekujowa insulin hauna muviri wekugadzirisa zviratidzo (homeostasis) kuziva kuti zvinoda zvakadini; iwe unofanirwa kuzviita kunze uye kuigadzirisa iwo mamiriro akasiyana-siyana.
Chimwe chezvinhu izvi zvinoshandiswa ndezvipi uye zvakanyanya sei basa rako raunoita. Rudzi rwemhando 1 vanhu vagara vachiziva izvi nokuti vachave vakadzidziswa mumasimba ekushandiswa kwe insulini kubvira pazera remakore, kunyanya maererano nekuita basa. Asi ruzivo urwu runobatsirawo kune vadzidzisi vemafanana avo vanogona kudzidzisa vanhu vane chirwere cheshuga.
Kuwana chirwere che insulin chakashata, kunyanya kutora zvakanyanya, kunogona kukonzera shuga yeropa (glucose) kuti iwedzere, iyo inozivikanwa se hypoglycemia. Chiitiko cheizvi chinowanzozivikanwa se "hypo" uye chinoratidzwa nekushaya simba kana vhiki, kana kunyanya, kusaziva uye coma. Tora vanhu 1 vanochengetedza izvi nekugara vachitakura zvokudya zvinonaka kana zvinwiwa zvinogona kugadzirisa unyengeri nekusimudza shuga yeropa. Kusakwanisa kugadzirisa kuputika kwehuga yeropa kunogona kuva nengozi uye kunyange kuuraya.
Kudzidzira muviri kunogona kuderedza shuga yeropa pasina hutachiona hwekuita. Mumamiriro ezvinhu akadaro, chirwere che insulin, uye zvichida kudya kwekudya, kunoda kugadziriswa kupedza nguva yekushandisa. Uyezve, pfungwa yokuti kurovedza muviri, kunyanya kukwirira-simba, hakufaniri kukurudzirwa kurudzi rwechirwere cheshuga nekuda kwechiitiko ichi, ichiri kubatwa nevamwe vashandi vezvehutano. Kurema kwekudzidzira kunogona kuonekwa sechimiro chepamusoro-simba.
Tora 1 Chirwere Cheshuga neMutambo
Mazuva ano, vana, vechidiki, uye vakuru vane chirwere cheshuga chechirwere cheshuga kazhinji havanzwisisiki kuita mitambo nokuti zvinobatsira zvekuita muviri kwehutano hwakanaka zvinonyatsozivikanwa uye kunogonawo kuve nekunyatsogadziriswa kweglucose mutemo uye insulin zvinoda kuita basa. Vatambi vakawanda vepasi rese vane chirwere cheshuga cheshuga. Mienzaniso inobva kuU.S. ndiGary Hall Jr mukushambira, Jay Cutler NFL (Denver Broncos), Kris Freeman, kuchikepe. MuAustralia, Steve Renouf, rugby uye Monique Hanley, mabhasikoro, mienzaniso.
Mazano Okurapa Usati Watanga Basa Rokuita
Vanhu vose vane chirwere cheshuga vanofanira kuwana ruzivo rwekuvhidzira kubva kuvanachiremba vavo, nyanzvi, vatarisi vekurwara cheshuga kana vadzidzisi.
Vanhu vane chirwere cheshuga vanochengetedza insulin vanoda mazano akasiyana. Insulin kana mishonga yemishonga uye tsika dzinoshandiswa pakudya zvinogona kunge zvichida kuchinjwa.
Chirwere chechirwere cheshuga chinogona kudikanwa zvakanakira kana zvasvika pakuita basa. Heino urongwa hwezvimwe zvinetso zvinogona kudzivirira kudzidzira, kana kugadzirisa rudzi, nguva kana simba.
- Kusachengetedzwa kwemashuga eropa-yakakwirira kana yakadzika
- Kusadzora kutenderera kweropa
- Mwoyo usina kusimba mamiriro ezvinhu
- Retinopathy (maziso uye maziso aripo)
- Peripheral neuropathy (mhirizhonga yakaipa kumigumo, tsoka dzezvipembenene nezvimwewo)
- Autonomic neuropathy (nharo kukuvadza nhengo dzomukati)
- Microalbuminuria nephropathy
Somuenzaniso, vanhu vane retinopathy kana kuwedzerwa kwepamusoro kweropa vanogona kukurudzirwa kuti vadzivise kushandiswa kwevalsalva umo basa rekuvhima rinoshandiswa nekudzimisa zvakasimba pamusoro pemhepo yakavharwa uye kuomesa kusimudza mutoro. Iyi nzira haina kudiwa mukurovedza muviri mune chero zviitiko.
Vanhu vane chirwere chinokonzera chirwere cheshuga vanogona kurairwa maitiro ekutarisira tsoka dzavo uye kutarisa makumbo etsoka uye kukuvadza nemishonga-kana kurairwa pamusoro pemhando dzakakodzera dzekurovedza muviri.
Kudzidzisa Kukura uye Kuita Basa Rokuita
Cherechedza chirevo chinotevera kubva kuAmerican Diabetes Association Position Statement pamusoro pekudzidzira muviri uye chirwere cheshuga (Type 1 Chirwere cheshuga):
Zvikamu zvose zvekuita basa, kusanganisira mitambo yekushambadzira, mitambo yekuvaraidza, uye kukwikwidzika kwenyanzvi kubudirira, inogona kuitwa nevanhu vane chirwere cheshuga chechirwere chisina matambudziko uye vari muropa rakanaka rekuisa glucose.
Purogiramu yevhiki nevhiki, kugadziriswa kwehutano hwakange huripo, makore, zvinangwa, uye zviri nyore zvinogona kutarisa sezvinotevera.
Zuva 1. Kudzidziswa kweAerobic - Maminitsi makumi matatu nemakumi matatu nemashanu.
Zuva 2. Kurema kudzidzisa - Maminitsi makumi mashanu nemakumi matanhatu
Zuva 3. Kudzidziswa kweAerobic sezuva rekutanga.
Zuva 4. Kudzidziswa kweAerobic sezuva rekutanga.
Zuva 5. Uremu hwekudzidzira sezuva repiri.
Zuva 6. Kudzidziswa kweAerobic sezuva 1.
Zuva 7. Zororo.
Sources:
Herbst A, Kordonouri O, Schwab KO, Schmidt F, Holl RW. Kukanganisa kweChiratidzo Chepanyama Pamusoro Chepfungwa Zvinokonzera Njodzi Muvana Nechirwere Cheshuga Chirwere Cheshuga: A Multicenter Chidzidzo chevarwere 23 251. Diabetes Care 2007 Aug; 30 (8): 2098-100.
Waden J, Tikkanen H, Forsblom C, Fagerudd J, Pettersson-Fernholm K, Lakka T, Riska M, Groop PH. Nguva Yokuzorora Basa Rinoitwa Pamwe Chete Rinosanganiswa Nekusawirirana kweGlycemic Control muTsika 1 Chikadzi Cheshuga Chidzidzo cheFinDiane. Diabetes Care 2005 Apr; 28 (4): 777-82.