Tare da CFRD da Pancreas Quits aiki da kyau
Ciwon sukari yana da wahala wanda ya saba da lokaci a mutane da yawa tare da cystic fibrosis (CF). A gaskiya ma, mafi yawan mutanen da ke zaune tare da CF suna da wasu ciwon sukari ko glucose rashin haƙuri . Sashin ciwon sukari na filarosis (CFRD) wani nau'i ne na musamman na ciwon sukari da kawai mutane da ke da cystic fibrosis ci gaba. CFRD yana kama da, amma ba daidai ba, masu ciwon sukari a cikin mutanen da ba su da cystic fibrosis.
Sakamakon haka, maganin CFRD ba daidai yake da maganin sauran ciwon sukari ba.
Bayani na Ciwon sukari
Yawanci, tsarin narkewa ya canza wasu daga cikin abincin da muke ci a cikin sukari. Tsari, wanda aka sani da glucose, ya shiga cikin jini. Babban matakan glucose a cikin jini yana haifar da mummunan jiki don ɓoye hormone da ake kira insulin , wanda yana taimakawa wajen ɗaukar glucose daga jini zuwa jikin jikin. A cikin mutanen da ke da ciwon sukari, wannan tsarin ba ya aiki yadda ya kamata kuma glucose ya kasance cikin jini. Idan aka bari ba tare da gurgunta ba, ciwon sukari zai iya haifar da lalacewa na dindindin ga idanu, kodan, zuciya da juyayi.
A cikin mutanen da ba su da cystic fibrosis, akwai nau'i biyu na ciwon sukari na kullum:
Sigar ciwon sukari 1: Irin wannan ciwon sukari, wanda aka saba gano shi a lokacin yaro, yana faruwa a lokacin da pancreas bai samar da isasshen insulin ba, yanayin da aka sani da rashi insulin. Sabanin irin ciwon sukari na iri 2, irin ciwon sukari 1 shine yanayin kai tsaye.
Saboda wadannan halaye, an yi amfani da ciwon sukari guda 1 da ake kira "insulin-dependent" ko "ƙananan ciwon sukari". Mutanen da ke da ciwon sukari iri daya 1 dole ne su dauki allurar insulin a kowace rana ta rayuwarsu ko kuma zasu iya bunkasa yanayin rayuwa mai barazana da ake kira ketoacidosis .
Sigar ciwon sukari 2 : Irin wannan ciwon sukari, wanda yawanci ana bincikar shi a cikin girma, yana faruwa a lokacin da pancreas ya samar da isasshen insulin, amma jiki ba ya amsa insulin sosai, yanayin da ake kira insulin resistance.
Saboda wadannan halaye, yawancin ciwon sukari da aka saba amfani dasu shine "noninsulin dogara" ko "balagar farko na ciwon sukari." Da farko, mutanen da ke fama da ciwon sukari 2 ba su buƙatar ɗaukar insulin. Maimakon haka, sun dauki kwayoyin da ke taimakawa jikinsu suyi amfani da insulin wanda suke da su. Duk da haka, mutanen da suke da tsawon lokaci tare da ciwon sukari na 2 suna da bukatar ɗaukar insulin.
Yadda CRFD Ya Bambanta
Ciwon sukari a cikin mutane tare da cystic fibrosis haɗu da halaye na iri guda 1 da kuma irin 2 ciwon sukari. Gina ɓoyewar ɓoye a cikin pancreas ƙarshe yana lalata kwayoyin halittar hormone, haifar da raunin insulin. Wannan yana kama da ciwon sukari irin na 1, amma ba daidai ba ne saboda ba ya fara tun yana yaro, amma a cikin girma, kuma yana haifar da lalacewar wani abu wanda yayi amfani da ita don samar da insulin kullum.
Baya ga raunin insulin, mutanen da ke da cystic fibrosis sukanyi sanyi tare da insulin resistance saboda wadannan:
- ciwo na kullum;
- ƙananan matakan cortisol, hormone wanda jikin ya ɓoye don mayar da martani ga danniya;
- yawancin hotuna zuwa corticosteroids , waxanda suke da kwayoyi masu kare kumburi a wasu lokuta ana amfani da su a cikin maganin yanayin huhu wanda ya dace da aikin cortisol;
Cutar cututtuka
Alamar cututtuka na CFRD daidai ne da alamar cututtuka ga sauran nau'in ciwon sukari:
- ƙishirwa da ƙishi
- m urination
- matsanancin gajiya
- rashin asarar rashin daidaituwa
Matsalar ita ce duk wadannan bayyanar cututtuka mafi yawa suna faruwa a mutanen da ke da cystic fibrosis, ko suna da CFRD ko a'a. Wannan farfadowa ya sa rikice-rikice na CFRD da wuri.
Sanin asali
Saboda alamun cutar CRFD ba za'a iya lura da su ba a farkon farkon cutar, asusun Cystic Fibrosis ya bada shawarar yin nazari na yau da kullum a kan kowane mutum mai shekaru 14 da haihuwa. CFRD ana bincikar shi da gwajin jini wanda ya gano matakan glucose cikin jini.
Jiyya
Ana kulawa da CFRD tare da haɗakar insulin, motsa jiki da abinci. Abinci ga mutanen da ke tare da CFRD ya bambanta da cin abinci mai rage yawan calories wanda aka ba da umurni ga mutane da sauran irin ciwon sukari. Duk da ciwon sukari, mutane da CF dole su kula da yawan adadin kuzari, kayan abinci mai ƙanshi da kuma biya ta hanyar daidaitawa na asalin insulin. Idan kuna da CFRD, kuna buƙatar yin aiki tare da likitan ku da likitan kwari don bunkasa shirin kulawa wanda ya fi dacewa akan ku.
Source:
Hardin, D., et al. 2002. "Gudanar da Ciwon sukari na Fika da Furosis (CFRD)". 3rd Edition. Foundation na Fibrosis na Cystic. 04 Oktoba 2008