Upenyu neChirwere cheshuga Chinoramba Chichivandudza
Nyaya dzinotyisa dzinowanda pamusoro pezvakaipa pane izvo vanhu vane chirwere cheshuga vanogona kutarisira: kutorwa, kupofu uye zvimwe zvinetso zvakakomba. Asi, kuburikidza nekufambira mberi kwehutano hwehuga hwemazuva makumi mana, makore aya apfuura, nyaya idzi dzinogona kuramba dzakadaro-nyaya.
Zvinogona kuti munhu ane chirwere cheshuga nhasi kurarama hupenyu hwakakwana uye hune hutano. Kufambira mberi mukurapa kwakaita kuti kutonga uye kutungamirirwa kwechirwere zvive nyore, uye zvakatora zvakawanda zvekufungidzira kubva mazviri.
Nhoroondo Yekufambira Mberi Inobatsira Varwere Vanorwara neShuga
Chirwere cheshuga chakakonzera kufambira mberi kwakadaro sekukurumidza-kushanda uye kwenguva yakareba insulin, muromo weshuga wevarwere, ropa remasikironi mamita uye insumini pamapu kubatsira varwere vane chirwere cheshuga.
Heino nguva yehumwe humwe hukuru hukuru hwemakumi mana emakore apfuura:
- Muna 1967, chirwere chemalasi chetinopathy chakagadzirwa. Izvi zvakashandura kutarisira kwekudzoka kwemazuva ano - chinetso chechirwere cheshuga chinowanzokonzera bofu. Irosi yakanyatsorongedza zvinokanganisa chikamu chetina uye inobatsira kudzora kunetseka, nokudaro kuponesa munhu.
- Pamberi ra1999, pakange pasina nzira yekuti munhu ane chirwere cheshuga aedze shuga yake yeropa. Zvino iyo Ames Company yakaronga mamita Eyetone. Chigadzirwa chairema mapaundi 3, chaisvika $ 650 uye pakutanga chaive chichiwanika kunechiremba. Gore rakatevera, varwere vaigona kutenga yavo. Ikozvino mamita emagopa eropa rinodhura zvakadhura, kureba kwechiremu uye kuwedzerwa zviri nyore.
- Imakore gumi gare gare, muna 1979, chirwere cheHemoglobin A1C chakagadzirwa. Uyu muedzo wakabvumira vanachiremba nevarwere kuti vaone mazinga ehuga eropa, vachipa kunzwisisa kwakanyatsonzwisisika kwekuti kurapa kwakashanda zvakadini.
- Uyewo muna 1979, yekutanga insulin pombi yakatangwa, asi yakanga isingakanganisi vanhu vakawanda nekuda kwehukuru hwayo, iyo yaida kuti ienderedzwe mumusana. Mazuva ano insulini mapampu inenge akaenzana nekambani yemakadhi.
- Muma1980 nema1990, majini anogadzira maitiro matsva e insulini kuti adzorere iyo yenguruve kana yekodhi ye insulin iyo yaive yakarapwa kusvikira panguva iyoyo. Aya "monocomponent" insulin aifungidzirwa ari akakwirira kupfuura mamwe marudzi apfuura, nokuti ainyanya kutevedzera insulin yevanhu.
- Uyewo muma1980 nema1991, iyo-insulin iyo-shoma yakagadzirwa. Izvi zvinogona kujowa maminitsi gumi nemashanu vasati vadya, kupa avo vakashandisa rusununguko rwakawanda mukugadzirisa kudya kwavo.
- Mumakore ekuma1990, vanhu vane chirwere cheshuga chechipiri vakagadziriswa nemvumo ye metformin, chirwere chinoshandiswa kupora insulini yekudzivirira. Ichi chemishonga ine zvimwe zvinobatsira, zvakadai sehutachiona hwekutapuka kweropa, husingawanzoitiki, uye ichi chinodhaka chinobatsira kudzivirira chirwere chemwoyo. Muzviitiko zvisingaiti, ichi chinodhaka chinogona kukonzera chirwere chakakomba, chinopisa upenyu chinonzi lactic acidosis.
- Pakutanga kwezana remakore rino, insulin itsva, yakareba kwenguva refu yakatumidzwa inonzi glargine . Iyi insulini ine maawa makumi maviri nemaawa matanhatu, asi hapana zvikomo nemipata, zvichiita kuti hutachiwana hwehuga hwakasimba hugoneke kune vamwe.
Kufambira Mberi Mukurwere Cheshuga Kuchengetedzwa neChirwere cheShuga uye Matambudziko Kuedzwa
Zvichida zvakanyanya kukura kwekushuga kwechirwere cheshuga kwemazana makumi emakore apfuura kwaiva chirwere cheshuga chetachiona chetachiona chekutanga chinotanga muna 1983 uye chakapedza makore gumi.
Iyi ndiyo nguva yokutanga iyo vatsvakurudzi vakakwanisa kusimbisa hukama pakati pehutachiwana hwehuga uye nekuvandudzirwa kwechirwere cheshuga. Kuziva izvi kwakagadzira hwaro hwekutsvakurudza kwezvino uye kuenderera mberi kunotsvaga kuwana nzira dzekubatsira kuderedza nhamba yevanhu vane chirwere chinokonzera chirwere cheshuga.
Avo vanofarira kudzidza zvakawanda nezvekufambira mberi kwekutarisira chirwere cheshuga kunogona kuteerera vanhu vane chirwere cheshuga vachitaura nyaya dzavo pawebsite yeDhiabetes Stories, purojekiti ye Great Britain yeOxford Center yeShuga yeHIV, Endocrinology uye Metabolism.
Zvimwe Tariro Nezveramangwana Kubudirira muShuga
Muna 2006, hurumende yeUnited States yakashandisa $ 1.1 mabhiriyoni ekutsvakurudza chirwere cheshuga.
Nheyo uye nheyo dzakadai seJuvenile Diabetes Research Foundation uye American Diabetes Association inopawo mari nemari yekutsvakurudza. Basa iri iye zvino riri munzira rinobata chivimbiso chikuru chekuwana mishonga yakawanda uye inovandudzwa yechirwere.
Nzira dzakananga vatsvakurudzi vari kuongorora zvinosanganisira zvinotevera:
- Kudzivirira, kutanga kuona uye kupindira kwekutanga
- Islet cell transplantation
- Immunology uye immunogenetics kunobatsira mukutaridzika kwengozi uye kunogona kurapwa matsva
- Mishonga mitsva yekudzivirira utachiona uye hutsinye hwemwoyo
- Kuenderera mberi kweguruji mamita kunoderedza kudikanwa kwezvigunwe zvemunwe zvakawanda kuedza shuga dzeropa
- Inogadziriswa glucita mamita pamwe nemapombi
Ramba uchienda kune imwe nguva nekutsvakurudza nekushanyira webhusaiti yeAmerican Diabetes Association, iyo inopa mitsetse yezvino kuongorora pamusoro peshuga uye mamiriro akafanana.
Sources:
"Diabetes Research." EMedTV.com. 2006 Clinaero, Inc. 22 Sept. 2007.
"Chirwere Cheshuga Nhau: Uri Nhau dzeShuga Nemaawa Makumi." Oxford Center yeShuga, Endocrinology & Metabolism. 2005 Oral History of Diabetes. 21 Sept. 2007.
Einhorn, D. "Kufambira mberi muShuga yeMillennium: Insulin Treatment uye Glucose Monitoring." Medscape.com. 2004. Medscape. 21 Sept. 2007. (kubhadhara).
"Nhoroondo yeShuga." 2005. 22 Sept. 2007.
Irbina, I. "Kurwisa Dhiyabhorosi Kutyisidzira Kunobata Budget Inowira." NYtimes.com. 2006. The New York Times. 22 Sept. 2007.
Kalayoglu, M. "Laser Photocoagulation Systems yeDeabetic Retinopathy uye Zvimwe Zvimwe Zvokutenda Zvokutenda." Medcompare.com. 2007. Medcompare. 21 Sept. 2007.
Metformin. Medscape.com. 2007. Medscape. 6 Gumiguru 2007.
Satley, M. "Nhoroondo yeShuga." DiabetesHealth.com. 1996. 21 Sept. 2007.
"Joslin Research Research Sections." Joslin Diabetes Center. 2007. Joslin.org. 22 Sept. 2007.