Na lefu la tsoekere la morao-rao (prediabetes) le LADA ke ntho e tšoanang?
Mefuta e joalo e ikhethang ha e na seoelo.
Ka mofuta o itseng oa lefu la tsoekere, ho itšetleha ka insulin ho hlaha feela kamora lilemo tse 1-3. Mokhoa oa butle oa ts'ebetso ea methapo ea methapo oa methapo o fana ka menyetla ea hore lefu lena le tsoele pele, 'me ka hona, mathata ao a ke ke a hlaha.
Lisosa tsa ho hlaha mme ke mang ea kotsing?
Ha kalafo e le sieo, boemo bo mpefala 'me bo lebisa ho holiseng lefu la mofuta oa bobeli. Ka nako e ts'oanang, mathata a mang a khonahala: lefu la pelo, methapo ea methapo ea mali (e kholo), stroke, tšenyo ea tsamaiso ea methapo, ho senyeha ha pono.
- ho nona ho feta tekano;
- lilemo tse fetang lilemo tse 45;
- khatello e phahameng ea mali, e fetang 140/90;
- bophelo ba ho lula fatše;
- bokapele ba lefutso.
Ho lumeloa hore ho basali kamora mofuta oa lefu la tsoekere, menyetla ea ho ba le lefu la morao-rao e phahame haholo.
Matšoao a lefu la tsoekere la morao
Tlhokahalo ea insulin e hlaha pakeng tsa likhoeli tse 6 le lilemo tse 10 ho tloha tšimolohong ea liphetoho tsa methapo 'meleng. Karolo e ikhethang ea lefu la tsoekere la LADA ke ho ba teng maling a ba tšoaeang letšoao la lefu la tsoekere la mofuta oa 1.
Boloetse
- bakeng sa matsatsi a 3 pele lijo tsa sampole tsa mali li kenyelletsa lijo tse nang le bonyane 250-300 g ea lik'habohaedreite;
- lijong, mokhoa o tloaelehileng oa liprotheine le mafura o lokela ho ba teng;
- Lihora tse 2 pele ho kenngoa tsoekere, prednisone kapa prednisolone e kenngoa 'meleng ka bongata bo sa feteng 12,5 mg.
Fast glycemia e khethoa ke palo ea lisele tsa beta tse sebetsang. Maemong a fetisang litekanyetso tsa "5.2 mmol / l" ts'ebetsong ea pele le 7mmol / l ka lihora tse 2, re bua ka boteng ba prediabetes.
Mokhoa o mong oa ho fumana lefu la tsoekere la LADA ke Staub-Traugott. Tekanyo ena ea lipatlisiso e na le taba ea hore pele tlhahlobo ea mali mokuli a nka 50 g ea tsoekere, mme kamora nakoana a feta.
Ho batho ba phetseng hantle, glycemia ea mali e fetoha feela ka mor'a ho ja tekanyetso ea pele ea tsoekere, mojaro oa glucose oa bobeli ha o na liphetoho tse boletsoeng. Ka pel'a ho qhoma ka makhetlo a mabeli ho glycemia, lefu la tsoekere la morao-rao le fumanoa. Sena se bakoa ke taba ea hore lisele tsa beta ha li sebetse hantle, ka lebaka leo karabelo e sa lekaneng ea tsoekere e hlaha 'meleng.
Sebopeho sa morao-rao: melaoana ea kalafo le thibelo
Ho bohlokoa haholo ho etsa kalafo ea insulin, e u lumellang ho emisa kholo ea lefu lena nako e telele. Ho lefu la tsoekere la LADA, ho kopantsoe le ho nka li-secretogens tse khothalletsang tokollo ea insulin, kaha sena hamorao se lebisa ho pancreatic depletion le keketseho ea khaello ea insulin.
Kajeno, meriana e latelang e sebelisetsoa kalafo:
- Metformin;
- Acarbose.
Bakeng sa kalafo ka thuso ea meriana ena ho fana ka sephetho se lebelletsoeng, ho khothalletsoa ho li nka lilemo tse 'maloa. Ke ka lebaka leo ho boloka bophelo bo botle e le mokhoa o atlehang ka ho fetisisa oa kalafo ho feta ho etsa kalafo ea lithethefatsi. normalization ea boima ba 'mele le ho netefatsa hore ho ikoetlisa honyenyane ho fokotsa kotsi ea ho eketseha ha mafu ka makhetlo a' maloa.
- Taolo ea tsoekere ea mali - ho theola boima ba 'mele, ho fokotsa ts'ebeliso ea lijo tse mafura.
- Boikoetliso - ts'ebeliso ea tsoekere e le mohloli oa matla le karabelo ketsong ea insulin.
- Tsoelo-pele ea ho shebella - sampole ea mali e tloaelehileng ho khetholla maemo a tsoekere ea mali.
