Puas Yuav Muaj Kev Mob Ntshav Qab Zib Hom 2 hloov mus rau Hom 1?
Zoo Siab
- Hom ntshav qab zib 2 puas tau hloov mus ua hom 1?
- Koj puas tuaj yeem kuaj tsis pom tus mob ntshav qab zib hom 2?
- Cov ntshav qab zib hom mob autoimmune zoo li cas rau cov neeg laus (LADA)?
- Qhov sib txawv ntawm hom ntshav qab zib hom 2 thiab LADA yog dab tsi?
- Dab tsi hauv qab?
Qhov txawv ntawm hom 1 thiab ntshav qab zib hom 2 yog dab tsi?
Ntshav Qab Zib Hom 1 yog kab mob autoimmune. Nws tshwm sim thaum cov insulin-ua cov islet hlwb hauv cov txiav ua tiav tag nrho, yog li lub cev tsis tuaj yeem tsim cov insulin.
Ntawm hom 2 Ntshav Qab Zib, islet cells tseem ua haujlwm tau. Txawm li cas los xij, lub cev tiv thaiv cov tshuaj insulin. Hauv lwm lo lus, lub cev tsis siv cov insulin ntxiv lawm.
Ntshav Qab Zib Hom 1 tam sim no tsawg dua li hom 2. Nws tau muab hu ua cov ntshav qab zib cov menyuam yaus vim tias tus mob feem ntau tau kuaj pom thaum tseem yau.
Ntshav Qab Zib 2 yog feem ntau raug ntsuas rau cov neeg laus, tab sis tam sim no peb pom ntau thiab coob dua cov menyuam yaus tau kuaj pom tus mob no. Nws pom muaj nyob rau hauv cov neeg rog lossis rog dhau.
Hom ntshav qab zib 2 puas tau hloov mus ua hom 1?
Ntshav qab zib Hom 2 tsis tuaj yeem hloov mus rau hom ntshav qab zib hom 1, vim ob qhov xwm txheej no muaj cov laj thawj sib txawv.
Koj puas tuaj yeem kuaj tsis pom tus mob ntshav qab zib hom 2?
Nws yog ib tus neeg uas muaj ntshav qab zib hom 2 tau raug ntsuas tsis raug. Lawv yuav muaj ntau cov tsos mob ntawm tus mob ntshav qab zib hom 2, tab sis qhov tseeb muaj lwm yam mob uas yuav cuam tshuam ntau dua rau hom ntshav qab zib 1. Tus mob no yog hu ua tus kab mob ntshav qab zib tsis txaus ua rau cov neeg laus (LADA).
Cov kws tshawb nrhiav kwv yees tias nyob nruab nrab ntawm 4 mus rau 14 feem pua ntawm cov neeg kuaj mob ntshav qab zib hom 2 tej zaum yuav muaj LADA tiag. Ntau tus kws kho mob tseem tsis tau paub txog tus mob thiab yuav xav tias tus neeg muaj ntshav qab zib hom 2 vim lawv lub hnub nyoog thiab cov tsos mob.
Feem ntau, kev ua txhaum cai yog ua tau vim tias:
- LADA thiab ntshav qab zib hom 2 feem ntau muaj rau cov neeg laus
- cov tsos mob thawj zaug ntawm LADA - xws li nqhis dej ntau dhau, plooj tsis pom kev, thiab ntshav siab cov ntshav qab zib - ntsi xws li cov ntshav qab zib hom 2
- kws kho mob tsis nquag ntsuam xyuas LADA thaum kuaj ntshav qab zib
- thaum pib, txiav ua rau cov neeg nrog LADA tseem tsim qee cov tshuaj insulin
- kev noj zaub mov zoo, kev tawm dag zog, thiab cov tshuaj noj hauv qhov ncauj feem ntau siv los kho tus mob ntshav qab zib hom 2 ua haujlwm zoo rau cov neeg muaj LADA thaum xub thawj
Raws li tam sim no, tseem muaj ntau yam tsis paub meej txog qhov yuav tsum tau txhais LADA qhov tseeb thiab dab tsi ua rau nws tsim kho. Qhov tseeb yog vim li cas ntawm LADA tsis paub meej, tab sis cov kws tshawb nrhiav tau txheeb xyuas qee yam caj ces uas yuav ua tus qauv.
LADA tsuas yog xav tias tsam yog tom qab koj tus kws kho mob paub tias koj tsis teb (lossis tsis teb) zoo rau cov tshuaj mob ntshav qab zib hom 2 hauv qhov ncauj, noj zaub mov, thiab ua kom tawm dag zog.
Cov ntshav qab zib hom mob autoimmune zoo li cas rau cov neeg laus (LADA)?
Ntau tus kws kho mob txiav txim siab LADA cov qauv mob ntshav qab zib hom 1 vim tias nws kuj yog ib yam kabmob ua haujlwm autoimmune.
Xws li ntshav qab zib hom 1, cov islet hlwb nyob rau hauv tus txiav txim siab ntawm cov neeg uas muaj LADA raug rhuav tshem. Txawm li cas los xij, tus txheej txheem no tshwm sim ntau qeeb. Thaum nws pib, nws tuaj yeem siv sij hawm ntau lub hlis txog ntau xyoo rau qhov txiav ua kom tsis txhob muaj peev xwm ua cov tshuaj insulin.
Lwm tus kws tshaj lij xav txog LADA nyob rau ntawm hom 1 thiab hom 2 thiab tseem hu nws ua ntshav qab zib "hom 1.5". Cov kws tshawb nrhiav no ntseeg hais tias mob ntshav qab zib tuaj yeem tshwm sim raws ib qhov dhau los.
Cov kws tshawb nrhiav tseem tabtom xav paub cov ntsiab lus, tab sis feem ntau, LADA paub rau:
- kev loj hlob hauv kev laus
- muaj kev qeeb qeeb ntawm qhov pib dua li hom ntshav qab zib 1
- feem ntau tshwm sim rau cov neeg uas tsis rog dhau heev
- feem ntau tshwm sim rau cov neeg uas tsis muaj lwm yam teeb meem ntawm metabolic, xws li ntshav siab thiab triglycerides siab
- ua rau muaj kev sim zoo rau cov tshuaj tiv thaiv tawm tsam cov islet hlwb
Cov tsos mob ntawm LADA zoo ib yam li cov mob ntshav qab zib hom 2, suav nrog:
- nqhis dej ntau dhau
- ntev mus tso zis
- qhov muag plooj
- theem siab ntawm cov piam thaj hauv cov ntshav
- theem siab zoo hauv cov piam thaj hauv cov zis
- daim tawv nqaij qhuav
- nkees
- tingling hauv txhais tes lossis taw
- zis zais thiab tawv nqaij ua paug
Ntxiv rau, cov phiaj xwm kho mob rau LADA thiab ntshav qab zib hom 2 zoo sib xws thaum xub thawj. Xws li kev kho mob:
- cov khoom noj kom zoo
- kev tawm dag zog
- hnyav tswj
- cov tshuaj tiv thaiv ntshav qab zib
- insulin hloov txoj kev kho
- saib xyuas koj hemoglobin A1c (HbA1c) qib
Qhov sib txawv ntawm hom ntshav qab zib hom 2 thiab LADA yog dab tsi?
Tsis zoo li cov neeg muaj ntshav qab zib hom 2 uas yuav tsis xav tau insulin thiab leej twg tuaj yeem hloov lawv cov ntshav qab zib nrog kev hloov pauv hauv lub neej thiab poob phaus, cov neeg mob LADA tsis tuaj yeem hloov lawv tus mob.
Yog tias koj muaj LADA, thaum kawg koj yuav tsum siv tshuaj insulin kom nyob zoo.
Dab tsi hauv qab?
Yog tias koj nyuam qhuav raug kuaj mob ntshav qab zib hom 2, nkag siab hais tias koj tus mob yav tom ntej yuav tsis hloov mus ua hom ntshav qab zib 1. Txawm li cas los xij, nws muaj feem me me uas koj hom ntshav qab zib hom 2 yog LADA, lossis hom 1.5 ntshav qab zib.
Qhov no yog qhov tseeb tshwj xeeb yog tias koj yog lub cev nyhav los yog koj muaj tsev neeg muaj keeb kwm kab mob autoimmune, xws li ntshav qab zib hom 1 lossis mob caj dab (RA).
Nws yog ib qho tseem ceeb rau kev kuaj mob LADA kom raug vim tias koj yuav tsum tau pib txhaj tshuaj insulin ntxov kom tswj tau koj tus mob. Qhov ua tsis yog yuav ua rau ntxhov siab thiab yuav tsis meej pem. Yog tias koj muaj kev txhawj xeeb txog koj kev kuaj ntshav qab zib hom 2, mus ntsib koj tus kws kho mob.
Tib txoj kev los kuaj mob LADA tsuas yog kuaj sim cov tshuaj tiv thaiv uas ua rau muaj kev tiv thaiv kabmob tsis sib luag ntawm koj cov islet. Koj tus kws kho mob yuav xaj kuaj ntshav kuaj GAD kom paub tseeb seb koj puas muaj tus mob no.