Ndi CFRD Pancreas Anasiya Ntchito Yoyenera
Matenda a shuga ndi ovuta kwambiri omwe amayamba nthawi zambiri anthu ambiri okhala ndi cystic fibrosis (CF). Ndipotu, anthu ambiri achikulire omwe ali ndi CF ali ndi matenda enaake a shuga kapena kusagwirizana kwa shuga . Matenda a shuga a Cystic fibrosis (CFRD) ndi mtundu wapadera wa shuga umene anthu okhawo ali ndi cystic fibrosis amakula. CFRD ndi ofanana ndi, koma si ofanana ndi, shuga kwa anthu omwe alibe cystic fibrosis.
Chifukwa chake, chithandizo cha CFRD sichilimodzi ndi mankhwala ena a shuga.
Chidule cha shuga
Kawirikawiri, dongosolo lakumadya limatembenuza zina mwa zakudya zomwe timadya mu shuga. Shuga, yotchedwa shuga, imalowa magazi. Mankhwala a shuga m'magazi amachititsa kuti ziphuphu zithe kusokoneza mahomoni otchedwa insulini , omwe amathandiza kutulutsa shuga ku magazi kupita ku maselo a thupi. Kwa anthu omwe ali ndi shuga, dongosolo lino siligwira bwino ndipo shuga imakhalabe mwazi. Ngati satayidwa, matenda a shuga angayambitse maso, impso, mtima ndi mantha.
Kwa anthu omwe alibe cystic fibrosis, pali mitundu iwiri ya matenda a shuga:
Mtundu wa shuga 1: Mtundu uwu wa shuga, womwe nthawi zambiri umapezeka muunyamata, umachitika pamene mphukira siimatulutsa insulini yokwanira, matenda omwe amadziwika kuti kusowa kwa insulini. Mosiyana ndi matenda a shuga a mtundu wa 2, mtundu wa shuga wa mtundu wa 1 ndizokhaokha.
Chifukwa cha zizindikiro zimenezi, mtundu wa shuga 1 umatchedwa "insulini-wodalira" kapena "ana amayamba shuga." Anthu omwe ali ndi matenda a shuga a mtundu wa 1 ayenera kutenga insulini shots tsiku lililonse la moyo wawo kapena akhoza kukhala ndi moyo woopsa wotchedwa ketoacidosis .
Mtundu wa shuga wa mtundu 2 : Mtundu uwu wa shuga, womwe nthawi zambiri umapezeka kuti uli wamkulu, umachitika pamene pancreas imatulutsa insulini yokwanira, koma thupi silinayankhe insulini moyenera, chidziwitso chotchedwa insulin kukana.
Chifukwa cha zizindikirozi, mtundu wa shuga wa mtundu 2 umatchedwa "wodalirika wosatetezedwa" kapena "wobadwa ndi matenda a shuga." Poyamba, anthu omwe ali ndi matenda a shuga a mtundu wa 2 nthawi zambiri sasowa kutenga insulini. Mmalo mwake, amamwa mapiritsi omwe amathandiza matupi awo kugwiritsa ntchito insulini yomwe ali nayo kale. Komabe, anthu omwe amakhala ndi nthawi yaitali ndi matenda a shuga a mtundu wa 2 amatha kukhala ndi insulini.
Momwe CRFD Imasiyanirana
Matenda a shuga kwa anthu omwe ali ndi cystic fibrosis akuphatikiza zizindikiro za mtundu wa mtundu umodzi ndi mtundu wa shuga. Kumanga mpweya wambiri m'matendawa pamapeto pake kumawononga maselo opanga mahomoni, omwe amachititsa kuti insulini isalephereke. Izi zimawoneka ngati matenda a shuga a mtundu wa 1, koma sizinthu zofanana chifukwa sizimayambira muubwana, koma ali wamkulu, ndipo zimayambitsidwa ndi kuwonongeka kwa kapangidwe kamene kamakhala kamene kamatulutsa insulini.
Kuphatikiza pa kusowa kwa insulini, anthu omwe ali ndi cystic fibrosis nthawi zambiri amadwala matenda a insulini chifukwa cha zotsatirazi:
- matenda aakulu;
- mitsempha yambiri ya cortisol, hormone imene thupi limabisa pofuna kuthana ndi nkhawa;
- Kaŵirikaŵiri amapezeka ndi corticosteroids , zomwe zimatsutsana ndi zotupa mankhwala nthawi zina amagwiritsidwa ntchito pochiza mapapo omwe amatsanzira cortisol ;.
Zizindikiro
Zizindikiro za CFRD ziri zofanana ndi zizindikiro za mitundu ina ya shuga:
- ludzu lalikulu
- kukodza nthawi zambiri
- kutopa kwambiri
- osadziwika bwino
Vuto ndiloti zizindikiro zonsezi zimapezeka mwa anthu omwe ali ndi cystic fibrosis, kaya ali ndi CFRD kapena ayi. Izi zimachititsa kuti CFRD ikhale yovuta kwambiri.
Kudziwa
Chifukwa chakuti zizindikiro za CRFD sizingatheke kumayambiriro kwa matendawa, Cystic Fibrosis Foundation imalimbikitsa nthawi zonse kuyesa matenda a shuga kamodzi pachaka kwa odwala onse a zaka 14 kapena kuposa. CFRD imapezeka ndi mayesero a magazi omwe amazindikira kuchuluka kwa shuga m'magazi.
Kuchiza
CFRD nthawi zambiri imachiritsidwa ndi kuphatikiza insulini, masewera olimbitsa thupi komanso zakudya. Zakudya za anthu omwe ali ndi CFRD ndi zosiyana ndi zakudya zowonjezera kalori zomwe zimaperekedwa kwa anthu omwe ali ndi matenda ena a shuga. Ngakhale kuti ali ndi matenda a shuga, anthu omwe ali ndi CF ayenera kukhala ndi zakudya zamtengo wapatali, komanso amathandiza kuti asamakhale ndi mankhwala oyenera. Ngati muli ndi CFRD, muyenera kugwira ntchito mwakhama ndi dokotala wanu ndi zakudya zowonjezera kuti mupange ndondomeko ya mankhwala yomwe imakupindulitsani.
Chitsime:
Hardin, D., et al. 2002. "Kuthetsa matenda a shuga a Cystic Fibrosis (CFRD)". Gulu lachitatu. Cystic Fibrosis Foundation. 04 October 2008