Ita 1 chirwere cheshuga mellitus - zvose zvaunoda kuziva nezvechirwere

Ita 1 chirwere cheshuga chirwere chisingaperi chisingarwere. Inobatanidzwa nehutachiona hweglucose metabolism. NeCD1 pane kushaya insulini-hormone inotarisira kubatwa kwemashuga nematumbu - uye kuwedzera kwehuwandu hweglucose. Dambudziko rinowedzera nekuda kwekuti kuzvidzivirira nekukanganisa kunotanga kurwisa masero epa beta nekuvaparadza.

Mhando dzechirwere cheshuga mellitus

Mhando dzose dzechirwere zvakafanana, asi dzine kusiyana kukuru. Chirongwa cheshuga cheshuga chinosanganisira kupatsanurana kuva marudzi aya:

• insulin inotenderera;
• insulini-yakasununguka;
• Chirwere cheshuga chinokonzerwa nokudya kwekuwandisa kwezvibereko zvemuviri;
• SD, yakakonzerwa nekuita kwemishonga kana makemikari;
• gestational chirwere cheshuga .

1 chirwere cheshuga cheshuga

Inonziwo inonzi insulin. Rudzi rwechirwere cheshuga mellitus chirwere umo, nokuda kwezvikonzero zvakasiyana-siyana, beta masero anofira pancreas - avo vane basa rokubudisa insulini. Somugumisiro, muviri unoshaikwa kwehomoni. Pane chirwere cheshuga chinotapira chirwere cheshuini apo chirwere chemuviri chetachiona chinotanga kuzvibata zvisina kururama. Izvi zvinogona kukonzerwa nehupenyu hunokonzera. Asi zvakakosha kunzwisisa: iwe haugoni kugara nhaka yechirwere cheshuga, asi chikonzero chekurwara chinoparidzirwa pazera rejeni.

2 rudzi rwechirwere cheshuga mellitus

Kwete-insulini-inobva kune zvakasiyana-siyana zvechirwere, sekutonga, inowanikwa mune vanhu vanopfuura makore makumi matatu nemakumi mana, vachitambura nekurema kwakanyanya. Huru dzavo dzinopa insulini, asi masero emumuviri anoita zvisakarurama kune iyo nemhaka yekuderera kwekunzwa. Iyo yakanyanya kuva rudzi rwechipiri chirwere cheshuga chinowedzera, iyo yakaderera kugadzirwa kwehomoni. Izvi zvinotsanangurwa nechokwadi chokuti huwandu hwehutachiona hunokanganisa masero anounza chinhu.

Zvinokonzera rudzi rwechirwere cheshuga mellitus

Ichi chirwere chinonzi autoimmune, nokuti dambudziko guru iro rinowedzera kukanganisa mubasa rekudzivirirwa. Zvinokonzera chirwere cheshuga mellitus zvinogona kuva nhaka. Asi kunyange kana vabereki vose vanotambura neCD1, mwana anogona kuberekwa zvakakwana. Dzimwe nguva zvinokonzera chirwere cheshuga 1 chinokonzerwa nehutachiwana uye chinokurudzirana nechekumashure:

• chicken pox;
• masero;
• rubella;
• mumps;
• viral hepatitis.

Utachiona hwakawanda hunokanganisa beta masero, asi kakawanda muviri unogona kudzorera zvose. Chero bedzi mumamiriro ezvinhu akaoma, apo nzvimbo dzakawanda dzepascreatic tishu dzinobudisa insulin dzinoparadzwa, kupora hazvibviri. Ikoko kune microorganisms inogadzira mapuroteni akafanana mukugadzirwa uye kurongeka kuva beta masero. Kuvaparadza, hutachiona hunoparadza uye chikamu chepancreas. Uye kunyange kana hutachiona husina kukwana, muviri unoramba uchirwa.

Ita 1 chirwere cheshuga - zviratidzo

Sekutonga, zviratidzo zvechirwere zvakanyanya. Zviratidzo zvechirwere chechirwere cheshuga zvinoratidzika sezvi:

• nyota yakasimba nguva dzose (iwe nguva dzose unoda kunwa, kunyange mushure mekunge uchangobva kunwa girazi remvura);
• akaoma muromo;
• itching;
• kugara uchida kurinate (kusvika kusvika gumi mamita emvura pazuva rimwe rinogona kupiwa kuvarwere);
• kunyanya kupikisa;
• kutsamwa;
• kuora mwoyo;
• kunetseka;
• kukanganisa mafungiro;
• general weak;
• kuoneka kuderera kwezvakanaka;
• kuora kwemaonero.

Apo chirwere cheshuga cheshuga chiri kutanga, vatachiona vanoona kuwedzera kwechido. Asi havakwanisi kuwanda. Pane kudaro, mumwedzi isingapfuuri mwedzi, varwere vanodonha kusvika 10-15 kg. Kuvandudzwa kwezvokudya zvishoma nezvishoma kunotsiviwa ne anorexia, iyo inokonzerwa neketoacidosis. Iyo yekupedzisira inoratidzika nekuonekwa kwekunhuhwirira kweAcetone mumuromo. Mamiriro acho anowanikwa nekurwiswa kwezvakaipa, kusuruvara, kushaya mvura, kurwadziwa kwepamuviri.

Kuongororwa kwechirwere cheshuga cheshuga mellitus

Muzviitiko zvakawanda, zvakajeka chaizvo kuziva chinetso. Ichokwadi ndechokuti varwere vakawanda vanouya rubatsiro bedzi apo insulini-inotarirwa nechirwere cheshuga mellitus chirwere 1 yakapinda mune imwe nzvimbo isina hanya, uye zviratidzo zvose zvataurwa zvakajeka. Kana mibvunzo ichiripo, nyanzvi inofanira kutanga kusabvisa zvirwere zvose zvine zviratidzo zvakafanana-zvakadai sechirwere cheshupidus, hyperparathyroidism, kusagadzikana kwechirwere chechirwere, kana psychogenic polydipsia. Kuti uone shuga - vana vechidiki - rudzi rwechirwere cheshuga, zvakakosha kuti uite rutsva rwekuongorora ropa:

• pane shuga ;
• pakurega kutsungirira glucose ;
• pane glycated hemoglobin .

Nzira yekurapa chirwere cheshuga chechirwere chei?

Kubudirira kwerapi kunowanzoenderana nemurwere. Nzira yekuporesa sei chirwere cheshuga cheshuga? Nokuda kweizvi, murwere anoda kuita zviito zvinotevera:

1. Pamberi pekutanga kurapwa, zvese zvinongororwa zvinofanirwa kutorwa.
2. Iwe unoda kutenga glucometer. Chigadzirwa chacho chinofanira kuva chakakwirira, chakarurama uye chinoshanda zvakanaka.
3. Nhamba ye shuga inofanira kuongororwa nguva dzose. Pamigumisiro, tanga diary inokosha.
4. Chirwere cheshuga mellitus type 1 chinogona kurapwa chete nekuteerera kune zvose zvinorayirwa nachiremba.
5. Kuongorora kuchinja kwehuga hwehuga, unofanira kuchinja kudya kwako.

Kana murwere achinyatsotevera mitemo yose, achakurumidza kuona kuchinja kwakanaka. Kuti anzwisise kuti chirwere cheshuga chevana chinorega kufambira mberi nekudzoka, zvinogona kuitika pazvinhu zvakadaro:

1. Nhamba yehuga muropa inodzokera kune yakasikwa.
2. Kuvandudzwa kwezviratidzo muongororo.
3. Chiremera chacho chinowedzerwa (chinoderera kana chinomuka, zvichienderana neunhu humwe hunhu hwehupenyu).
4. Murwere anotanga kunzwa anongwarira.
5. Hakuchina marumusi muropa nekudzvinyirira.
6. Muviri, kune beta masero (unogona kutarisa kuvepo kwavo uchishandisa kuongorora ropa kweC-peptide).

Chiratidzo chekurapa kwechirwere cheshuga mellitus

Sezvo zvisati zvisingakwanisi kubvisa zvachose CD1, kurapa rudzi rwechirwere cheshuga kunoratidza zviratidzo. Kurapa kwakadaro kune chinangwa chekutarisa shuga yepamusoro, kururamisa muviri, kuvhara kuitika kwezvinetso, kupa murwere nemamiriro ezvinhu akasununguka muupenyu nekushanda.

Insulin yechirwere cheshuga

Insulin therapy neCD1 ino ndiyo nzira yakakurumbira yekurapa. Inonyanya kubudirira kuitisa muhurumende yejojo ​​dzakawanda. Nzira yekugadzira insulini , anosarudza nyanzvi. Chisarudzo chinowanzoitwa kubva kune zvirongwa zviviri:

1. Chirongwa chemazuva ano chinosanganisira kuiswa kwejekisi mbiri dzechiito chepakati uye imwe-pfupi pakati pavo. Kugadzirira kwakakonzerwa hafu yenguva isati yasvika. Mambakwedza, anenge 60 kusvika ku70% yehuwandu hwezuva nezuva inofanira kutarisirwa. Iyi chirongwa ichibudirira, asi ine dambudziko - chirwere chetsika chinoda kunyatsoteerera kudya uye nguva dzose yekurovedza muviri.
2. Chirongwa chikuru chinosanganisira kuiswa kwemasikati maviri pazuva re insulin iri mukati uye zvirwere zvitatu zve "gfupi" kugadzirira. Somugumisiro, chido chezuva nezuva chechirwere chekuita kwenguva refu hachina, uye nyore - mamwe.

Itsva mukurapa rudzi rwechirwere cheshuga

Mishonga inovandudzwa nguva dzose. Nzira dzekurapwa kweCD1 dzirikuvandudzwa zvakare. Masayendisiti eAmerica akagadzira chirongwa chitsva. Kuvonga kwake, kurapwa kwechirwere cheshuga 1 chinogona kuva chinoshanda. Iyo jekisi yakagadzirirwa kuti iwedzere kugadzirwa kwezvirwere. Inodzivisa kubudiswa kwemashoko omusimba. Zvimwe chete, mushonga wacho unogona kuona "masero" eropa uye unotungamirira kurwisa kwekuzvidzivirira pamusoro pavo, panzvimbo pezvinhu zvine utano. Somugumisiro, masero epancreas ane mukana wekuwanazve, uye kuchengetwa kwe insulin yavo mumuviri kunowirirwa.

Kudya kwechirwere cheshuga cheshuga mellitus

Sezvo SD1 ichirwisana nechepamusoro-soro rekurohwa kukuru kwemuviri kuitira kuti ukunde chirwere, mitemo yakawanda inokosha yekudya kudya inofanira kuonekwa:

1. Murwere anofanirwa kuverenga makori muzvigadzirwa.
2. Zvokudya zvinofanira kuva zvakakwirira uye zvepanyama.
3. Chirwere chechirwere cheshuga cheshuga chinofanira kugoverwa kuva 5 kusvika ku6 kugamuchira.
4. Panzvimbo pehuga, unofanira kushandisa sweetener.
5. Iko akawanda emakhahydrates anofanira kuva kwekudya kwemanheru uye kwemasikati.

Apo chirwere ichi chinogona kudyiwa:

• mutsva matsva;
• peji (oatmeal, pearl barley, buckwheat);
• soy milk;
• tofu;
• bezdozhzhevuyu baking;
• miriwo;
• chibereko;
• compotes;
• mineral water;
• tee unsweetened nekofi.

Chirwere cheshuga nechirwere cheshuga cheshuga chinosanganisa:

• doro;
• rinopinza;
• kusvuta;
• soups;
• broths;
• inotapira;
• semi-finished products;
• zvokudya zvinokurumidza;
• nyama;
• hove;
• pasita uye upfu.

Matambudziko ehando 1 chirwere cheshuga mellitus

Chero chirwere chinotyisa nokuda kwezvinetso zvaro. Kana isina kusiya, chirwere cheshuga cheshuga chinogona kutungamirira kune:

• ketoacidosis;
• hypoglycemic coma;
• chirwere cheshuga cheshuga / macroangiopathy - zvinetso zvechirwere cheshuga zvinokonzerwa nehutachiona hwekushaya simba kwemavhinga, kuwedzera kwechigumbuso uye kuwedzerwa ngozi yeprombosis;
• kutanga kukura kwecataract;
• kutaridzika kwekutambudzika muzvibatanidza uye kukanganisa kwekufamba kwavo;
• kukanganisa kuitsvo uye kuonekwa kwemasero eropa mumuguta (uye mumatambudziko akaoma uye kukura kwetsvo kusakona).

Kuberekwa kworudzi rwechirwere cheshuga

Nenguva isipi inoda kujekesa rudzi urwo 1 chirwere cheshuga hachisi kupesana nekuita pamuviri. Asiwo kuronga vana kuvakadzi vane chirwere chakadaro kunofanira kutanga uye kunyatsofungisisa. Zvakanaka kutanga kutanga kudzidziswa kwemwedzi mitanhatu - gore. Mune nguva ino zvakakosha kuwana hutano hwakagadzikana - hutsika hwe normoglycemia - uye urichengetedze pazinga rakakodzera. Izvi zvakakosha kuti pamuviri uite zvakanaka, uye hapana matambudziko.

Pamuviri wose, insulin inoda kuchinja. Kukura kwekutsvaga kune mumwe munhu. Vamwe vakadzi vane pamuviri havaoni kunyange kuchinja. Kazhinji, vanaamai vanouya mune chirwere cheshuga vane chirwere cheshuga vanotambura kubva ku toxicosis nekurutsa. Munguva iyi, unofanirwa kuva wakangwarira, nokuti mushure mejoka, ma carbohydrates haatenderwi zvakanaka.

Pazuva rokuberekwa, zviri nani kuti urege kubudisa insulini yakabva. Kana iwe unogona kuderedza zvikuru kuyerwa. Kupi zvidzidzo - zvakakosha kukurukura nemugumo wenhau. Pakarepo paanenge aberekwa, shuga inogona kukura. Izvi zvinokonzerwa nemufaro mukuru wevakadzi. Mune zvimwe zviitiko, glucose inowira - nekuda kweremoro rinorema. Kubatanidzwa kunobatanidzwawo nekuderera kwehuga, saka usati wapa amai vanofanira kutora chikamu chimwe chezvokudya zve-carbohydrate.