Shin latent diabetes (ciwon suga) da LADA iri ɗaya ne?
Irin wannan takamaiman nau'in halitta mai saukin ganewa ce.
Tare da takamaiman nau'in ciwon sukari, dogaron insulin yana tasowa ne kawai bayan shekaru 1-3. A hankali jinkirin aiwatar da tsarin ya ba da dama ga ci gaba mai yaduwar cutar, kuma, a saboda haka, cewa rikice-rikice ba zai ci gaba ba.
Sanadin faruwa kuma wanene ke haɗarin?
Idan babu magani, yanayin ya tsananta kuma yakan kai ga ci gaba da cutar nau'in 2. A lokaci guda, sauran rikice-rikice suna yiwuwa: cututtukan zuciya, ilimin halittar jini na jijiyoyin jini (babba), bugun jini, lalacewar tsarin juyayi, raunin gani.
- kiba;
- shekaru sama da 45;
- hawan jini, sama da 140/90;
- salon tsinkaye;
- dabi'ar gado.
An yi imani da cewa a cikin mata bayan kamuwa da wani nau'in cutar sankarar mama, da alama yiwuwar samun cutar sankomawa ya fi ta yawa.
Bayyanar cututtukan cututtukan sukari
Bukatar insulin ya bayyana tsakanin watanni 6 zuwa 10 daga farawar canje-canje na cututtukan jini a jikin mutum. Shahararren fasalin ciwon sukari na LADA shine kasancewar a cikin jinin alamomin halayyar nau'in ciwon sukari na 1.
Ciwon ciki
- na kwanaki 3 kafin abinci samfurin jini ya haɗa da abincin da ya ƙunshi akalla 250-300 g na carbohydrates;
- A abinci, yakamata a samar da sunadarai da kitsen al'ada;
- 2 sa'o'i kafin gabatarwar glucose, prednisone ko prednisolone an shigar dashi cikin jiki a cikin adadin da bai wuce 12.5 mg ba.
Glycemia na azumi yana ƙaddara ta yawan adadin ƙwayoyin beta masu aiki. Idan ya wuce sigogi na 5.2 mmol / l a cikin farkon farawa da 7 mmol / l a cikin sa'o'i 2, muna magana ne game da kasancewar ciwon suga.
Wata hanyar da za a bi don gano cutar ta LADA ita ce Staub-Traugott. Wannan ma'aunin bincike ya ƙunshi gaskiyar cewa kafin gwajin jini mai haƙuri ya ɗauki 50 g na glucose, kuma bayan ɗan lokaci kaɗan.
A cikin mutane masu lafiya, glycemia na jini yakan canza kawai bayan cinye farkon farkon glucose, nauyin glucose na sakandare bashi da alamun canje-canje. A gaban biyu yi tsalle-tsalle a cikin glycemia, ana fama da cutar sankarar mahaifa. Wannan ya faru ne saboda gaskiyar cewa sel beta suna aiki mara kyau, sakamakon abin da ba a amsa ba ga glucose ya bayyana a jiki.
Tsarin Latent: ka'idodin magani da rigakafin
Yana da matukar muhimmanci a aiwatar da ilimin insulin, wanda zai baka damar dakatar da ci gaban cutar a cikin dogon lokaci. A cikin cututtukan LADA, an contraindicated don ɗaukar asirin da ke motsa ƙaddamar da insulin, saboda wannan daga baya yana haifar da raguwar cututtukan fata da haɓaka rashi na insulin.
A yau, ana amfani da magunguna masu zuwa don magani:
- Metformin;
- Acarbose.
Don neman magani tare da taimakon waɗannan magunguna don ba da sakamakon da ake tsammanin, ana ba da shawarar shan su shekaru. Abin da ya sa ci gaba da rayuwa ingantacciyar hanyar rayuwa ita ce hanya mafi inganci ta magani fiye da gudanar da magunguna. daidaituwar nauyin jiki da tabbatar da ƙarancin aikin jiki yana rage haɗarin ci gaba da cututtuka ta hanyar sau da yawa.
- Gudanar da sukari na jini - rage nauyin jiki, iyakance amfani da abinci mai ƙima.
- Motsa jiki - yin amfani da glucose a matsayin tushen kuzari da kuma martani ga aikin insulin.
- Kulawa da ci gaba - Nazarin jini na yau da kullun don sanin matakan glucose na jini.