Chirwere cheshuga chirwere chine njodzi uye chisingaperi umo muviri usingakwanise kushandisa simba kubva muchikafu chatinodya. Chirwere cheshuga chine marudzi matatu; gestational, Type 1, uye Type 2 chirwere cheshuga.
Maererano nekutsvaga, nepo marudzi ose echirwere cheshuga achisiyana, ane zvimwe zvinhu zvakafanana. Shuga necarbohydrates kubva muchikafu chatinodya zvakaputsika kuita glucose iyo inoshanda sehuni yemaseru ese. Nekudaro, kuti muviri utore glucose uye uishandise nemazvo, masero anoda mahormone ari muropa anonzi insulin. Muchirwere cheshuga, muviri unotadza kugadzira insulin yakakwana kana kutadza kushandisa insulin yainoburitsa. Mune zvimwe zviitiko, inogona kuva musanganiswa wezvose.
Masero anotadza kutora glucose nekuti inoramba ichiwanda muropa. Glucose yeropa mumazinga akakwirira inogona kukuvadza tsinga dzeropa mutsinga dzetsinga, moyo, maziso, kana itsvo. Naizvozvo, chirwere cheshuga chikasiyiwa chisina kurapwa, chinogona kukonzera upofu, kukuvara kwetsinga, hosha yeitsvo, hosha yemwoyo, uye sitiroko.
Kusiyanisa Type 1 uye Type 2 chirwere cheshuga
Kusvika pakusiyana, Muzvose zviri zviviri rudzi 1 uye Type 2 chirwere cheshuga, munhu ane mwero usina kujairika weshuga yeropa; zvisinei, izvo zviviri zvakasiyana maererano nekukura uye zvinhu zvinokonzera chirwere cheshuga.
Kusiyana nezvinofungwa nevakawanda, rudzi rwechirwere cheshuga rune munhu kazhinji harunyatsojeka. Semuenzaniso, vanhu vanofungidzira kuti kana munhu akafuta uye akasabaya jekiseni re insulin, saka vane Type 2 chirwere cheshuga. Saizvozvo, zvinotendwa kuti avo vanoonekwa vane Type 1 chirwere cheshuga vachave vasina uremu.
Chokwadi ndechokuti, izvi hazvisi nguva dzose; chinenge chikamu chimwe muzvishanu chevanhu vane Type 2 chirwere cheshuga vane huremu hune hutano pavanoonekwa uye vachivimba ne insulin. Saizvozvo, vanhu vanoonekwa vaine Type 1 chirwere cheshuga vanogona kunge vakafuta zvakare.
Type 1 vs Type 2 chirwere cheshuga
Sezvo marudzi ose echirwere cheshuga asingatarisirwi uye akasiyana, kuziva rudzi rwechirwere cheshuga kunogona kuve kwakaoma. Semuenzaniso, kufungidzira kuti munhu akafuta ane huwandu hweglucose yeropa ane Type 2 chirwere cheshuga chinogona kunge chisina kunaka sezvo izvo zvakakonzeresa chirwere ichi zvingave zvichikonzerwa nerudzi rwe 1 chirwere cheshuga.
Tora 1 Diabetes
Iyo inozivikanwawo se insulin-inotsamira chirwere cheshuga, Type 1 chirwere cheshuga chinowanzotanga paudiki. Icho chiitiko che autoimmune chinoitika kana muviri unogadzira masoja ekudzivirira chirwere kuti arwise pancreas yawo. Sezvo pancreas yakakuvadzwa, haigadziri chero insulin.
Zvinhu zvakawanda zvinogona kukonzera Type 1 chirwere cheshuga. Semuenzaniso, zvinogona kunge zviri nekuda kwemajini. Saizvozvo, zvinogona zvakare kuve nekuda kwekukanganisa masero e beta ari pancreas ane basa rekugadzira insulin.
Chirwere cheshuga chorudzi rwokutanga chine njodzi dzakawanda dzokurapwa, uye dzakawanda dzacho dzinoitika nemhaka yokukuvadzwa kwetsinga dzinopfuura neitsvo, tsinga, uye maziso. Uyezve, vanhu vane Type 1 chirwere cheshuga vari panjodzi yekuwedzera sitiroko uye chirwere chemoyo.
Kurapa kwechirwere cheshuga cherudzi rwekutanga kunosanganisira munhu anopinza insulin munyama ine mafuta kuburikidza neganda. Uyezve, vanhu vane Type 1 chirwere cheshuga vanofanirwawo kuita shanduko huru mumararamiro avo kusanganisira kuronga kudya kwavo nemazvo, kurovedza muviri zuva nezuva, kuongorora huwandu hweshuga yeropa nguva zhinji, uye kutora mishonga pamwe ne insulin nenguva.
Nhau dzakanaka ndedzekuti vanhu vane Type 1 chirwere cheshuga vanogona kunakidzwa nehupenyu hunoshanda uye hurefu kana vakatarisisa glucose yeropa ravo, vachitevera chirongwa chakatemwa chekurapa, uye kuita shanduko dzinodiwa kumararamiro avo.
Tora 2 Diabetes
Chirwere cheshuga cheRudzi rwechipiri chinoonekwa serudzi rwechirwere cheshuga chinonyanyozivikanwa uye ndicho chikonzero che2% yechirwere ichi muvakuru. Kare, rudzi rwechipiri rwaizivikanwa sevanhu vakuru-vanotanga chirwere cheshuga, zvisinei, nekuwedzera kwehuwandu hwevana vakafutisa uye vakafutisa mazuva ano, vechidiki vakawanda vari kukura chirwere cheshuga chechipiri.
Type 2 chirwere cheshuga chinozivikanwawo sechirwere cheshuga chisiri-insulini uye chirwere chakapfava kana chichienzaniswa nerudzi rwekutanga. Zvisineyi, Type 1 chirwere cheshuga chinogonawo kutungamirira kumatambudziko makuru ehutano, kunyanya mutsinga diki dzeropa dzinopfuura nemumaziso, tsinga. , neitsvo uye vane basa rokudzipa zvokudya. Sezvakangoita Type 2 chirwere cheshuga, Type 1 inowedzerawo njodzi yesitiroko uye chirwere chemoyo.
Iyo pancreas, muvanhu vane chirwere cheshuga chechipiri, inobudisa imwe huwandu hwe insulini; zvisinei, huwandu hwacho hunenge husina kukwana kuzadzisa zvinodiwa nemuviri, kana kuti masero anopokana nazvo. Uku kuramba insulini kana kushaikwa kwekunzwa kune insulin hormone kunoitika zvakanyanya mumaseru emhasuru, chiropa, uye mafuta.
Vanhu vakafuta vanodarika 20% yehuremu hwavo hwemuviri zvinoenderana nehuremu hwavo vari panjodzi yakawedzerwa yekuva mubairo wechirwere cheshuga cherudzi rwechipiri pamwe chete nenyaya dzekurapa dzinouya nechirwere chakadaro. Vanhu vakafuta vanowanzo ramba insulin izvo zvinoreva kuti pancreas inofanira kuisa kaviri huwandu hwekuedza, zvirinani, kuburitsa huwandu hwakakwana hwe insulin. Zvisinei, iyo insulin haisati yakwana kudzora shuga yeropa.
Nepo pasina mushonga wechirwere cheshuga, rudzi rwechipiri runogona kudzorwa nerubatsiro rwekurovedza muviri, kudya kunovaka muviri, uye kudzora uremu. Zvisinei, rudzi urwu rwechirwere cheshuga runofambira mberi, uye mishonga inowanzodiwa.
Mishonga yemhando yekutanga uye yerudzi rwechipiri chirwere cheshuga
Iyi inotevera mimwe yemishonga inogona kushandiswa kunyatso kudzora rudzi rwekutanga uye rwechipiri chirwere cheshuga.
Actos (Pioglitazone)
Mushonga wemishonga, Actos inoshandiswa pamwe chete nekurovedza muviri uye kudya kwekuvandudza shuga yeropa yevanhu vanoonekwa vane chirwere cheshuga chechipiri. Uyezve, mabasa inogona zvakare kushandiswa pamwe chete nemimwe mishonga kana insulin; zvisinei, haina kukodzera kurapa rudzi rwekutanga chirwere cheshuga.
Glucophage XR (Metformin XR)
Glucophage XR inogona kushandiswa iri yega kana pamwe chete nemimwe mishonga kana insulin kurapa chirwere cheshuga cherudzi rwechipiri. Inoshandawo pakudzora shuga yeropa.
Zvimwe zvingasarudzwa zvemishonga yechirwere cheshuga inosanganisira Alphatrak meterkit, Avapro (Irbesartan), Glucophage Metformin, Glucotrol XL Glipizide ER, Amaryl (Gliepiride), Janumet, nezvimwe.
Sezvataurwa pamusoro apa, pane misiyano pakutaura nezve Type 1 vs Type 2 chirwere cheshuga. Zvakare, mishonga iripo kune ese ari maviri marudzi anokurudzirwa kuti apinzwe nekuchinja kwemararamiro ekurarama zviri nani.