Cutar ta LADA nau'in 1 na sikari

LADA - latent autoimmune ciwon sukari a cikin manya. Wannan cuta tana farawa ne daga shekaru 35-65, sau da yawa a shekaru 45-55. Yawan sukari na jini ya hauhawa. Bayyanar cututtuka suna kama da ciwon sukari na 2, saboda haka endocrinologists mafi yawan lokuta ba sa fahimta. A zahiri, LADA shine nau'in ciwon sukari na 1 a cikin nau'i mai sauƙi.

Cutar sankarar LADA tana bukatar kulawa ta musamman. Idan kun kula dashi azaman nau'in ciwon sukari na 2 yawanci ana cutar da shi, to dole ne a tura haƙuri zuwa insulin bayan shekaru 3-4. Cutar ta hanzarta zama mai tsanani. Dole ne a yi allurar insulin. Jinin jini ya tashi a hankali. Tana jin mara kyau koyaushe, rikice-rikice na ciwon sukari suna haɓaka cikin hanzari. Marasa lafiya suna zama nakasassu kuma suna mutuwa.

Mutane da yawa miliyan masu fama da ciwon sukari na 2 suna zaune a cikin ƙasashen da ke magana da Rasha. Daga cikin waɗannan, 6-12% a zahiri suna da LADA, amma basu da masaniya. Amma dole ne a kula da cutar ta LADA daban, in ba haka ba sakamakon zai zama cuta. Sakamakon kamuwa da cuta da kuma maganin wannan nau'in cutar sankara, dubun dubatar mutane suna mutuwa kowace shekara. Dalilin shi ne cewa yawancin endocrinologists ba su san menene LADA ba kwata-kwata. Suna gano cutar sukari nau'in 2 ga duk marasa lafiya a jere kuma suna ba da misali na musamman.

Latent autoimmune ciwon sukari a cikin manya - bari mu kalli menene. Latent yana nufin ɓoye. A farkon cutar, sukari yakan hauhawa. Bayyanar cututtuka masu laushi ne, marasa lafiya sun danganta su da canje-canje da suka shafi shekaru. Saboda wannan, cutar yawanci ana gano latti. Zai iya ci gaba a asirce tsawon shekaru. Ciwon sukari na 2 mai yawanci yana da irin wannan latent ɗin. Autoimmune - sanadin cutar shine kai hari na tsarin rigakafi akan ƙwayoyin beta na ciki. Wannan ya banbanta da nau'in ciwon siga na 2 na LADA, sabili da haka ana buƙatar kulawa dashi daban.

Yadda ake yin cuta

LADA ko nau'in ciwon sukari na 2 - yadda za'a bambance su? Yadda za a gane haƙuri daidai? Yawancin masana ilimin endocrinologists ba sa yin waɗannan tambayoyin saboda ba su zargin kasancewar cutar ta LADA kwata-kwata. Sun tsallake wannan batun a cikin aji a makarantar likita, sannan kuma a ci gaba da karatuttukan ilimi. Idan mutum yana da yawan sukari a tsakani da tsufa, sai ya kamu da cutar kansa ta kansa.

Me yasa yake da mahimmanci a cikin yanayin asibiti don rarrabe tsakanin LADA da nau'in ciwon sukari na 2? Domin ka'idojin magani dole ne su bambanta. A nau'in ciwon sukari na 2, a cikin mafi yawan lokuta, ana ba da allunan rage sukari. Wadannan sune sinadarin sulfonylureas da yumbu. Mafi shahararrun su sune maninyl, glibenclamide, glidiab, diabepharm, diabeton, glyclazide, amaryl, glimepirod, glurenorm, novonorm da sauransu.

Wadannan kwayoyin suna da illa ga marasa lafiya da ke dauke da ciwon sukari na 2, saboda sun “gama” farjin. Karanta labarin game da magungunan masu ciwon sukari don ƙarin bayani. Koyaya, ga marasa lafiya da ciwon sukari na autoimmune LADA sun fi sau 3-4 haɗari. Domin a bangare guda, tsarin garkuwar jiki na kashe kwayoyin cutar kansa, kuma a gefe guda, kwayoyin hana daukar ciki. Sakamakon haka, ƙwayoyin beta suna yanke hanzari. Dole ne a tura mai haƙuri zuwa insulin a cikin manyan allurai bayan shekaru 3-4, mafi kyau, bayan shekaru 5-6. Kuma a can "akwatin akwatin" yana kusa da kusurwa ... Zuwa jihar - ci gaba da tanadi ba cikin biyan fansho ba.

Yadda LADA ya bambanta da nau'in ciwon sukari na 2:

1. A matsayinka na mai mulkin, marasa lafiya ba su da nauyin wuce kima, su jiki ne mai santsi.
2. Mataki na C-peptide a cikin jini an saukar da shi, duka a kan komai a ciki kuma bayan ƙarfafawa tare da glucose.
3. Kwayoyin rigakafi zuwa sel na beta ana gano su a cikin jini (GAD - mafi sau da yawa, ICA - ƙasa da). Wannan alama ce cewa tsarin garkuwar jiki yana kawo cikas ga cututtukan fata.
4. Gwajin ƙwayar cuta na iya nuna hali na kai harin kan sel a kowane lokaci, wannan aiki ne mai tsada, kuma zaka iya yin hakan ba tare da hakan ba.

Babban cutar shine kasancewar ko rashin wuce kima. Idan mara lafiyar na bakin ciki ne (siririn), to tabbas ba shi da ciwon sukari na 2. Hakanan, don yin ƙarfin gwiwa don yin bincike, an aika mai haƙuri don yin gwajin jini don C-peptide. Hakanan zaka iya yin bincike don maganin rigakafi, amma yana da tsada a farashin kuma ba koyaushe ake samu ba. A zahiri, idan mara lafiya shine siriri ko jijiyoyin jiki, to wannan bincike bashi da mahimmanci.

Kamar yadda aka saba, ana bada shawara don yin bincike don maganin rigakafi zuwa ƙwayoyin beta na GAD a cikin marasa lafiya da ke da nau'in ciwon sukari na 2 wanda ke da kiba. Idan aka gano waɗannan ƙwayoyin rigakafin a cikin jini, to kuwa umarnin ya ce - an ƙulla shi don tsara allunan da aka samo daga sulfonylureas da amo. An sanya sunayen waɗannan allunan a sama. Koyaya, a kowane hali, bai kamata ka karɓi su ba, ba tare da la'akari da sakamakon gwaje-gwajen ba. Madadin haka, sarrafa ciwon sukari tare da rage cin abincin carb. Don ƙarin cikakkun bayanai, duba hanyar-mataki-mataki don lura da ciwon sukari na 2. Kwayar cutar ta LADA ta bayyana a kasa.

LADA maganin cutar sankara

Don haka, mun gano cutar, yanzu bari mu gano yanayin rashin magani. Manufar farko ta magance cututtukan LADA ita ce ta kula da samarda insulin. Idan har za a iya cimma wannan burin, to mara lafiyar ya rayu har zuwa tsufa ba tare da rikice-rikice na jijiyoyin jiki da matsaloli marasa mahimmanci. Ana kiyaye ingantaccen samar da ƙwayar sel na insulin, kuma a sauƙaƙe kowane irin ciwon sukari na ci gaba.

Idan mai haƙuri yana da wannan nau'in ciwon sukari, to tsarin rigakafi yana cutar da farji, yana lalata ƙwayoyin beta waɗanda ke samar da insulin. Wannan tsari yana da hankali sosai fiye da nau'in ciwon sukari na al'ada 1. Bayan duk kwayoyin beta sun mutu, cutar ta zama mai tsanani. Sugar “mirgine”, kuna da allurar insulin. Jumps a cikin glucose na jini yaci gaba, allurar insulin bata iya kwantar da ita. Rikice-rikice na ciwon sukari suna haɓaka cikin hanzari, tsammanin rayuwar mai haƙuri yayi ƙasa.

Don kare sel beta daga harin autoimmune, kuna buƙatar fara allurar insulin da wuri-wuri. Mafi kyawun - nan da nan bayan an kamu da cutar. Inje insulin na kare farji daga cututtukan garkuwar jiki. Ana buƙatar su da farko saboda wannan, kuma zuwa ƙarami kaɗan, don daidaita sukari jini.

Algorithm don lura da ciwon sukari LADA:

1. Canja zuwa rage cin abinci na carbohydrate. Wannan ita ce babbar hanyar magance cutar siga. Ba tare da rage cin abinci mai-carbohydrate ba, duk sauran matakan ba zasu taimaka ba.
2. Karanta labarin akan dilcin insulin.
3. Karanta labarai kan kara insulin Lantus, levemir, protafan da lissafin allurai da yawa kafin abinci.
4. Fara allura kaɗan na tsawan insulin, koda kuwa, godiya ne ga abincin maras ƙwayoyi, sukari baya tashi sama da 5.5-6.0 mmol / L akan komai a ciki kuma bayan cin abinci.
5. Allurar insulin zai bukaci ragu. Yana da kyau a yi allurar Levemir, saboda ana iya narkar da shi, amma Lantus - a'a.
6. Dole ne a kara insulin koda kuwa sukari akan komai a ciki kuma bayan cin abinci baya tashi sama da 5.5-6.0 mmol / L. Kuma har ma fiye da haka - idan ta tashi.
7. Yi hankali da lura da yadda sukkar ku take aiki yayin rana. Auna shi da safe akan komai a ciki, kowane lokaci kafin cin abinci, sannan awa 2 bayan cin abinci, da daddare kafin lokacin kwanciya. Sau ɗaya a sati ma a auna a tsakiyar dare.
8. Dangane da sukari, haɓaka ko rage allurai na tsawan insulin. Kuna iya buƙatar saka shi sau 2 a rana.
9. Idan, duk da injections na insulin tsawon lokaci, sukari ya zama mafi girma bayan cin abinci, lallai ne ya kamata a harhaɗa insulin cikin sauri kafin cin abinci.
10. A cikin akwati ba sa shan kwayoyin cutar kankara - sulfonylureas da amo. Sunaye wadanda suka shahara sosai an jera su a sama. Idan endocrinologist yana ƙoƙarin rubuta maka waɗannan magunguna, nuna masa shafin, gudanar da aikin bayani.
11. Kwayoyin Siofor da Glucofage suna da amfani kawai ga masu ciwon sikila. Idan bakada nauyi fiye da kima - kar a kwashe su.
12. Aiki na jiki shine mahimman kayan aiki na kula da ciwon sukari ga marasa lafiya masu kiba. Idan kuna da nauyin jiki na al'ada, to, yi motsa jiki don inganta lafiyar gaba ɗaya.
13. Bai kamata a dame ku ba. Nemo ma'anar rayuwa, sanya kanka wasu maƙasudai. Yi abin da kake so ko abin da kake alfahari da shi. Ana buƙatar tayarda hankali don a ƙara tsawon rayuwa, in ba haka ba babu buƙatar ƙoƙarin shawo kan ciwon sukari.

Babban kayan aiki na sarrafa cutar sankara shine abinci mai karancin carbohydrate. Ilimin Jiki, insulin da kwayoyi - bayan sa. Don ciwon sukari na LADA, kuna buƙatar allurar insulin ta wata hanya. Wannan shine babban bambanci daga lura da ciwon sukari na 2. Inje na kananan allurai insulin ana bukatar ayi dasu, koda sukari kusan al'ada ne.

Fara da injections na kara insulin a cikin kananan allurai. Idan mai haƙuri ya bi tsarin abinci na low-carbohydrate, to ana buƙatar ƙarancin insulin kaɗan, zamu iya faɗi, homeopathic. Haka kuma, marasa lafiya da ke dauke da cutar ta LADA yawanci basa da nauyi mai yawa, kuma mutane masu bakin ciki suna da isasshen karancin insulin. Idan kun bi tsarin kulawa kuma kuyi insulin a cikin ladabi, aikin ƙwayoyin beta na pancreatic zai ci gaba. Godiya ga wannan, zaku sami damar rayuwa kullum har zuwa shekaru 80-90 ko ya fi tsayi - tare da ƙoshin lafiya, ba tare da spikes a cikin sukari da rikicewar jijiyoyin jiki ba.

Allunan masu ciwon sukari, wadanda ke cikin rukunin sulfonylureas da amo, suna cutarwa ga marasa lafiya. Saboda suna zubar da koda, wanda shine dalilin sel sel mutu da sauri. Ga marasa lafiya da ciwon sukari na LADA, sau 3-5 ne mafi hatsari fiye da marasa lafiya da ke fama da ciwon sukari na 2 na yau da kullun. Domin a cikin mutanen da ke da LADA, tsarin rigakafin kansu yana lalata ƙwayoyin beta, magungunan kwayoyi masu cutarwa suna kara yawan hare-hare. A cikin marasa lafiya da ke fama da ciwon sukari na 2, rashin kulawa da kyau 'yana kashe' 'pancreas a cikin shekaru 10-15, kuma a cikin marasa lafiya tare da LADA - yawanci a cikin shekaru 3-4. Duk abin da ciwon sukari kuke da shi - daina magungunan kwayoyi masu cutarwa, bi abincin low-carbohydrate.

Misalin rayuwa

Mace, shekara 66, tsayi 162 cm, nauyi 54-56 kg. Ciwon sukari shekaru 13, cututtukan cututtukan cututtukan cututtukan fata - shekaru 6. Wasu lokuta sukari na jini ya kai mm 11 /ol / L. Koyaya, har sai da na zama sane da rukunin gidan yanar gizon masu cutar -Med.Com, ban bi yadda yake canzawa ba yayin rana. Gunaguni na ciwon sukari mai ciwon sukari - ƙafafu suna ƙonewa, sannan ana jin sanyi. Kuriyya ba shi da kyau - mahaifina yana da ciwon sukari da kuma ƙashin ƙafafun ƙafa da rauni. Kafin canzawa zuwa sabon magani, mara lafiya ya dauki Siofor 1000 sau 2 a rana, haka kuma Tiogamma. Insulin bai yi allura ba.

Cututtukan cututtukan ƙwayar cuta ta autoimmune shine rauni na glandar thyroid saboda gaskiyar cewa an cutar da ita ta rigakafi. Don magance wannan matsalar, endocrinologists ya ba da umarnin L-thyroxine. Mai haƙuri yana ɗaukar shi, saboda wanda hodar iblis ɗin thyroid a cikin jini al'ada ce. Idan autoimmune thyroiditis an haɗu da ciwon sukari, to tabbas yana da nau'in ciwon sukari na 1. Hakanan halaye ne cewa mara lafiya ba shi da kiba. Koyaya, da yawa daga cikin masana halittun endocrinologists da kansu sun kamu da ciwon sukari irin na 2. An sanya shi don ɗaukar Siofor kuma yana bin tsarin rage kalori. Daya daga cikin likitocin da basu ji dadi ba sun ce hakan zai taimaka wajen dakile matsaloli tare da glandar thyroid idan har ka cire kwamfutar a gidan.

Daga mawallafin shafin yanar gizon na Ciwon -Med.Com, mara lafiyar ta gano cewa a zahiri tana da cutar ta LADA nau'in 1 a cikin tsari mai sauƙi, kuma tana buƙatar canza magani. A gefe guda, yana da mummunar cewa an bi da ita ba daidai ba har tsawon shekaru 13, sabili da haka cutar ciwon sukari ta sami ci gaba. A gefe guda, ta yi sa'a mai ban mamaki cewa ba su ba da kwayoyi waɗanda ke motsa samar da insulin ta hanji ba. In ba haka ba, yau da ba zai sami sauƙi da sauƙi ba. Allunan na cutarwa suna “gama” fitsari tsawon shekaru 3-4, bayan haka ciwon sukari yayi tsanani.

Sakamakon sauye-sauye zuwa tsarin abinci mai-carbohydrate, sukari mai haƙuri ya ragu sosai. Da safe akan komai a ciki, kuma bayan karin kumallo da abincin rana, ya zama 4.7-5.2 mmol / l. Bayan abincin dare, da misalin karfe 9 na safe - 7-9 mmol / l. A shafin, mara lafiya ya karanta cewa lallai ne ya kamata su ci abincin dare da wuri, 5 hours kafin lokacin bacci, kuma an jinkirta abincin dare don awanni 18-19. Saboda wannan, sukari da maraice bayan cin abinci kuma kafin zuwa gado ya faɗi zuwa 6.0-6.5 mmol / L. A cewar mara lafiyar, yin biyayya ga tsarin karancin carbohydrate ya fi sauki fiye da matsananciyar yunwa a kan karancin kalori wanda likitoci suka wajabta mata.

An soke karbar Siofor saboda babu ma'ana ga masu karamin karfi da marasa lafiya daga gareshi. Mai haƙuri ya daɗe yana shirin fara allurar insulin, amma bai san yadda ake yin shi daidai ba. Dangane da sakamako na kulawa da sukari a hankali, ya juya cewa a cikin rana yana yin al'ada, kuma yakan tashi ne kawai da yamma, bayan 17.00. Wannan ba al'ada bane, saboda yawancin masu ciwon sukari suna da manyan matsaloli tare da sukari da safe akan komai a ciki.

Don daidaita sukari maraice, mun fara da allura na 1 IU na karin insulin a 11 da safe. Zai yuwu a zana kashi na 1 PIECE a cikin sirinji kawai tare da karkatar da ± 0.5 PIECES ta wata fuska ko wata. A cikin sirinji zai kasance 0-1-1.5 BUDE na insulin. Don daidai gwargwado, kuna buƙatar tsarma insulin. An zabi Levemir saboda Lantus bai yarda da gurbata shi ba. Mai haƙuri yana maganin insulin sau 10. A cikin tsabtataccen abinci, tana zubar da BIYU 90 na salin jiki ko ruwa don yin allura da kuma 10 LABARAI na Levemir. Don samun kashi na 1 PINCE na insulin, kuna buƙatar allurar 10 GUDA 10 na wannan cakuda. Kuna iya adana shi a cikin firiji na tsawon kwanaki 3, saboda haka mafi yawan maganin yana ɓata.

Bayan kwanaki 5 na wannan tsarin, mai haƙuri ya ba da rahoton cewa sukari maraice ya inganta, amma bayan cin abinci, har yanzu ya tashi zuwa 6.2 mmol / L. Babu wani yanki na rashin karfin jini. Halin da kafafu yake da alama ya sami sauki, amma tana son kawar da jijiyoyin zuciya. Don yin wannan, yana da kyau a ci gaba da sukari bayan duk abinci babu sama da 5.2-5.5 mmol / L. Mun yanke shawarar kara yawan insulin zuwa 1.5 PIECES da kuma jinkirta lokacin allura daga awanni 11 zuwa 13. A lokacin wannan rubutun, mai haƙuri yana cikin wannan yanayin. Rahotanni sun ce sukari bayan an gama cin abincin dare ba ya wuce 5.7 mmol / L.

Furtherarin shirin shine ƙoƙari don canzawa zuwa insulin marasa insulin. Da farko gwada 1 rabe na Levemire, sannan nan da nan raka'a 2. Saboda kashi 1.5 E baya aiki cikin sirinji. Idan insuluted insulin yayi aiki da kullun, yana da kyau a zauna a kai. A cikin wannan yanayin, yana yiwuwa a yi amfani da insulin ba tare da sharar gida ba kuma ba buƙatar buƙatar tinker tare da dilution. Kuna iya zuwa Lantus, wanda yafi sauƙin samu. Don sayan Levemir, mai haƙuri dole ne ya tafi jamhuriyar makwabta ... Koyaya, idan matakan sukari suka karu akan insulin ɗin da aka lalace, to lallai ku dawo da sukari mai narkewa.

Ganowa da lura da ciwon sukari LADA - yanke shawara:

1. Dubban marasa lafiya na LADA suna mutuwa kowace shekara saboda kuskuren kamuwa da cutar sankarar type 2 kuma ana yi musu ba daidai ba.
2. Idan mutum bashi da nauyi mai yawa, to babu shakka bashi da ciwon sukari na 2!
3. A cikin marasa lafiya da ke dauke da ciwon sukari na 2, matakin C-peptide a cikin jini al'ada ne ko kuma ya haɓaka, kuma a cikin marasa lafiya da LADA, ya fi ƙanƙanci.
4. Gwajin jini don rigakafin kwayoyin beta shine ƙarin hanya don yanke hukunci daidai da nau'in ciwon sukari. Yana da kyau a yi shi idan mara lafiyar ya kasance kiba.
5. Diabeton, manninil, glibenclamide, glidiab, diabepharm, glyclazide, amaryl, glimepirod, glurenorm, novonorm - allunan cutarwa ga nau'in ciwon sukari na 2. Kar ku dauke su!
6. Ga marasa lafiya da ke fama da cutar sankara, magungunan LADA, waɗanda aka jera a sama, suna da haɗari musamman.
7. Abincin carbohydrate mai rauni shine babban magani ga kowane mai ciwon sukari.
8. Ana buƙatar ƙananan allurai insulin don magance nau'in 1 LADA ciwon sukari.
9. Komai girman karancin wadannan allurai, suna bukatar a ladabtar dasu da ladabi, kar su ji kunya daga allura.