Yam 3 Ntshav Qab Zib thiab Alzheimer's Kab Mob: Yam Koj Yuav Tsum Tau Paub

Zoo Siab

• Txoj kev sib txuas ntawm cov ntshav qab zib thiab Alzheimer's
• Cov tshwm sim thiab muaj feem phom sij hom ntshav qab zib hom 3
• Cov tsos mob ntawm tus mob ntshav qab zib hom 3
• Kev kuaj mob ntshav qab zib hom 3
• Kho mob ntshav qab zib hom 3
• Outlook rau hom ntshav qab zib 3
• Tiv thaiv hom mob ntshav qab zib 3

Ntshav Qab Zib Hom 3 yog dab tsi?

Ntshav Qab Zib mellitus (tseem hu ua DM lossis ntshav qab zib kom luv) yog hais txog kev mob nkeeg uas koj lub cev muaj teeb meem hloov qab zib mus rau lub zog. Feem ntau, peb xav txog peb hom mob ntshav qab zib:

• Mob Ntshav Qab Zib 1 (T1DM) yog ib qho mob ntsig txog qhov mob ntev ntev uas koj lub cev endocrine ntawm cov txiav tsis ua cov tshuaj insulin txaus, thiab koj cov piam thaj hauv ntshav yuav nce siab dhau.
• Ntshav Qab Zib Hom 2 (T2DM) yog ib tug mob mus ntev uas koj lub cev tawm tsam insulin, thiab koj cov ntshav qab zib cov ntshav yuav siab dhau vim yog li ntawd.
• Mob Ntshav Qab Zib Gestational (GDM) yog DM uas tshwm sim thaum cev xeeb tub, thiab cov ntshav qab zib cov ntshav yuav dhau heev thaum lub sijhawm no.

Qee cov kev tshawb fawb tshawb fawb tau tshaj tawm tias Alzheimer's kab mob yuav tsum tau cais raws li hom ntshav qab zib, hu ua hom ntshav qab zib 3.

Qhov "ntshav qab zib hom 3" no yog ib lo lus uas tau hais los piav txog lub tswv yim tias Alzheimer tus kab mob, uas ua rau muaj kev dementia, tshwm sim los ntawm hom insulin tsis kam thiab insulin zoo li kev loj hlob tsis ua haujlwm uas tshwm sim tshwj xeeb hauv lub hlwb. Cov.

Qhov xwm txheej no tseem tau siv qee tus los piav qhia txog cov neeg muaj ntshav qab zib hom 2 thiab tseem raug kuaj pom tias muaj Alzheimer tus kab mob dementia. Kev faib hom ntshav qab zib hom 3 yog qhov muaj kev sib cav heev, thiab nws tsis tau txais los ntawm zej zog kev kho mob raws li kev kuaj mob.

Qhov mob “ntshav qab zib hom 3” tsis hais yuav mob tus mob ntshav qab zib hom 3 c ntshav qab zib (tseem hu ua T3cDM, ntshav qab zib pancreatogenic, thiab ntshav qab zib hom 3c).

Qhov txiav ua ke muaj ob qho endocrine thiab exocrine qog, thiab lawv muaj lawv cov haujlwm. Cov tshuaj insulin yog ib qho ntawm cov keeb tshuaj beta-islet hlwb hauv Islets ntawm Langerhans, uas yog endocrine hlab txiav nqaij, tsim thiab ua zais.

Thaum lub exocrine txiav ua mob rau lub cev thiab tom qab ntawd ua rau lwm tus thuam ntawm endocrine txiav uas thaum kawg ua rau DM, qhov no yog T3cDM. Cov kab mob hu ua Exocrine pancreatic uas tuaj yeem ua rau T3cDM suav nrog pathology xws li:

• mob txha taub hau
• cov leeg nqaij hlav
• exocrine pancreatic mob cancer

Kav tsij nyeem kom peb tshawb pom qhov peb paub thiab qhov peb tsis paub txog "ntshav qab zib hom 3" Thiab thov nco ntsoov tias qhov no tsis yog yuav tsis tso siab rau tus mob ntshav qab zib hom 3c.

Txoj kev sib txuas ntawm cov ntshav qab zib thiab Alzheimer's

Raws li lub Mayo Clinic, muaj qhov tsim los txuas ntawm Alzheimer thiab type 2 diabetes. Nws tau hais tias Alzheimer's tej zaum yuav tshwm sim los ntawm insulin tsis kam hauv koj lub hlwb. Qee tus neeg hais tias Alzheimer's tsuas yog "mob ntshav qab zib hauv koj lub hlwb."

Qhov kev thov no muaj qee yam kev tshawb fawb tom qab, tab sis nws yog me ntsis ntawm kev saib xyuas dua.

Sijhawm dhau los, tsis muaj ntshav qab zib tsis kho yuav ua rau koj cov hlab ntshav puas, nrog rau cov hlab ntsha hauv koj lub hlwb. Coob tus neeg uas muaj ntshav qab zib hom 2 tsis paub tias lawv muaj tus mob no, uas tej zaum yuav ncua sijhawm kuaj mob thiab ntsuas tus mob kom tsim nyog.

Yog li, cov neeg muaj ntshav qab zib hom 2, tshwj xeeb yog cov ntshav qab zib tsis tau kuaj pom, muaj qhov phom sij ntau dua ntawm qhov kev puas tsuaj no.

Mob ntshav qab zib kuj tseem tuaj yeem ua rau tshuaj tsis txaus hauv koj lub hlwb, uas tuaj yeem ua Alzheimer. Tsis tas li, cov ntshav muaj piam thaj hauv ntshav siab yuav ua rau mob o, uas tuaj yeem ua rau lub hlwb hlwb.

Rau cov laj thawj no, mob ntshav qab zib yog suav tias yog kev pheej hmoo rau tus mob hu ua vascular dementia. Vascular dementia yog kev kuaj mob ib leeg nrog cov tsos mob ntawm nws tus kheej, lossis nws tuaj yeem yog cov cim ceeb toom ntawm dab tsi yuav tsim mus rau kev sib tshooj nrog Alzheimer's kab mob.

Kev kawm ntawm txoj kev no tsis meej. Tamsim no, qhov twg tsim tau yog tias muaj qee tus mob Alzheimer thiab lwm yam kabmob uas tsis muaj kev cuam tshuam los tiv thaiv cov tshuaj tiv thaiv insulin.

Cov tshwm sim thiab muaj feem phom sij hom ntshav qab zib hom 3

Raws li kev tshawb nrhiav xyoo 2016, cov neeg uas muaj ntshav qab zib hom 2 tuaj yeem ntau txog 60 feem pua ​​yuav muaj Alzheimer tus kabmob lossis lwm yam kev dementia, xws li vascular dementia.

Qhov no koom tes ntau dua 100,000 tus neeg nyob nrog dementia. Nws pom tias cov poj niam uas muaj ntshav qab zib hom 2 muaj qhov feem ntau ntawm kev txhim kho vascular dementia dua li tus txiv neej.

Qhov txaus ntshai rau cov ntshav qab zib hom 2 suav nrog:

• tsev neeg muaj keeb kwm mob ntshav qab zib
• ntshav siab (tawg)
• muaj rog lossis rog dhau
• tej yam mob zoo, xws li kev nyuaj siab thiab polycystic ovarian syndrome (PCOS)

Cov tsos mob ntawm tus mob ntshav qab zib hom 3

Cov tsos mob ntawm tus mob ntshav qab zib hom 3 tau piav qhia txog cov tsos mob ntawm kev dementia, xws li cov uas pom thaum ntxov Alzheimer tus kab mob.

Raws li Alzheimer's Association, cov tsos mob no suav nrog:

• nco ploj uas cuam tshuam rau kev ua neej nyob niaj hnub thiab kev sib raug zoo
• nyuaj ua tiav cov paub tab
• misplacing yam ntau zaus
• tsis muaj peev xwm txiav txim siab raws li cov ntaub ntawv
• hloov cuj pwm hauv xeeb ceem lossis cwj pwm

Kev kuaj mob ntshav qab zib hom 3

Nws tsis muaj qee qhov kev ntsuas tseeb rau hom ntshav qab zib 3. Alzheimer's kuaj mob raws li:

• lub neurological tshuaj
• keeb kwm kho mob
• neurophysiological kuaj

Koj tus kws kho mob yuav nug ntau cov lus nug txog koj kev muaj mob hauv koj tsev neeg thiab koj cov tsos mob.

Kev tshawb nrhiav duab, xws li MRI thiab CT scan ntawm lub taub hau, yuav muab koj cov kws saib xyuas kev noj qab haus huv los ua kom pom tseeb ntawm koj lub hlwb ua haujlwm. Cerebrospinal kua kuaj kuj tseem tuaj yeem nrhiav cov cim qhia ntawm Alzheimer's.

Yog tias koj muaj cov tsos mob ntawm tus mob ntshav qab zib hom 2 thiab Alzheimer thiab tsis tau kuaj pom tias yog ib qho, koj tus kws kho mob yuav kom kuaj ntshav qab zib thiab kuaj ntshav glycated hemoglobin.

Yog tias koj muaj ntshav qab zib hom 2, nws yog ib qho tseem ceeb uas koj yuav tsum pib kho tam sim. Kev kho ntshav qab zib hom 2 tuaj yeem txo qis rau kev puas tsuaj rau koj lub cev, nrog rau koj lub hlwb, thiab ua kom qeeb ntawm Alzheimer lossis dementia.

Kho mob ntshav qab zib hom 3

Muaj ntau txoj kev kho rau cov neeg uas muaj:

• mob ntshav qab zib hom 2
• ntshav qab zib hom 2
• Alzheimer's

Cov kev hloov hauv lub neej, xws li hloov pauv koj li kev noj haus thiab suav nrog kev tawm dag zog hauv koj lub neej txhua hnub, tej zaum yuav yog ib qho loj ntawm koj txoj kev kho.

Nov yog qee qhov lus qhia kho ntxiv:

Yog tias koj nyob nrog rog dhau, sim poob 5 mus rau 7 feem pua ​​ntawm koj lub cev loj, raws li Mayo Clinic. Qhov no tuaj yeem pab ua kom tsis txhob muaj khoom hauv nrog vim muaj ntshav qab zib thiab tuaj yeem tiv thaiv kev mob ua ntej ntawm DM2 rau DM2.

Kev noj zaub mov kom muaj roj tsawg thiab muaj txiv hmab txiv ntoo thiab zaub tuaj yeem pab txhim kho cov tsos mob tshwm sim.

Yog tias koj haus luam yeeb, kev txiav luam yeeb yuav tsum pom zoo vim tias nws tseem tuaj yeem pab tswj hwm koj tus mob.

Yog tias koj muaj ob yam ntshav qab zib hom 2 thiab Alzheimer's, kev kho mob rau koj hom ntshav qab zib hom 2 yog qhov tseem ceeb los pab ua rau kom qhov kev dementia qeeb.

Metformin thiab cov tshuaj insulin yog cov tshuaj tiv thaiv ntshav qab zib uas txo cov kev pheej hmoo ntawm kev tsim muaj ntshav qab zib los ntawm lub hlwb, raws li kev tshawb pom xyoo 2014.

Muaj cov tshuaj kws kho mob txhawm rau kho cov kev puas siab ntsws Alzheimer's dementia, tab sis tsis paub meej txog seb lawv puas muaj kev cuam tshuam rau cov tsos mob tshwm sim ntawm Alzheimer's.

Acetylcholinesterase inhibitors zoo li donepezil (Aricept), galantamine (Razadyne), lossis rivastigmine (Exelon) tuaj yeem raug kho los txhim kho txoj kev uas koj lub cev lub cev sib txuas lus nrog ib leeg.

Memantine (Namenda), tus NMDA-receptor antagonist, kuj tseem tuaj yeem pab txo cov tsos mob thiab qeeb qhov mob ntawm Alzheimer's.

Lwm cov tsos mob ntawm Alzheimer thiab lwm yam dementia, zoo li hloov pauv siab ntsws thiab kev nyuaj siab, yuav kho nrog cov tshuaj psychotropic. Cov tshuaj tiv thaiv kev ntxhov siab thiab tshuaj tiv thaiv ntxhov siab yog ib feem ntawm kev kho mob hauv qee kis.

Qee tus neeg yuav xav tau koob tshuaj tiv thaiv kev kho mob me ntsis tom qab lub sijhawm ua cov txheej txheem dementia.

Outlook rau hom ntshav qab zib 3

Ntshav qab zib Hom 3 yog txoj kev piav qhia Alzheimer tus mob uas yog los ntawm insulin tsis kam hauv lub hlwb. Yog li, koj txoj kev pom yuav txawv raws ntau yam, nrog rau koj txoj kev kho mob ntshav qab zib thiab qhov hnyav ntawm koj lub dementia.

Yog tias koj tuaj yeem kho koj cov ntshav qab zib nrog kev noj haus, kev tawm dag zog, thiab kev noj tshuaj, cov kws tshawb nrhiav uas txhawb nqa tus mob ntshav qab zib hom 3 qhia tias koj tuaj yeem ua rau qeeb qeeb ntawm Alzheimer lossis vascular dementia, tab sis cov pov thawj tsis meej.

Koj txoj kev xam pom kuj yuav sib txawv raws li qhov koj pom muaj sai sai thiab koj tus kws kho mob xav li cas txog koj kis tshwj xeeb. Thaum pib kho mob sai, nws yuav zoo dua li koj txoj kev pom.

Raws li Mayo Clinic, lub neej nyob nruab nrab ntawm tus neeg mob Alzheimer yog thaj tsam li 3 txog 11 xyoos txij li lawv tau kuaj pom. Tab sis qee cov neeg mob Alzheimer's tuaj yeem nyob ntev txog 20 xyoo tom qab kuaj mob.

Tiv thaiv hom mob ntshav qab zib 3

Yog tias koj twb muaj ntshav qab zib hom 2 lawm, nws muaj cov hau kev uas koj tuaj yeem tswj hwm nws tau zoo dua thiab txo qis kev pheej hmoo los tsim muaj ntshav qab zib hom 3.

Nov yog qee cov pov thawj txheej txheem rau kev tswj hwm tus mob ntshav qab zib hom 2 thiab kev ua kom nruab nrog cev tsawg kawg:

• Sim ua kom ib ce muaj plaub zaug nyob rau ib as thiv li 30 feeb nyob rau ib hnub.
• Sim noj cov zaub mov zoo uas tsis muaj roj txaus, nplua nuj protein ntau, thiab muaj fiber ntau.
• Saib xyuas koj cov ntshav qab zib kom zoo raws li koj tus kws kho mob pom zoo.
• Noj tshuaj kom raws sijhawm thiab nrog sijhawm.
• Saib xyuas koj cov qib roj cholesterol.
• Tswj koj qhov hnyav kom tsis muaj mob.