Kupanikizika kwa kapamba mu shuga: Zizindikiro, magwiridwe antchito, zotsatira

Mtundu woyamba wa matenda a shuga a mellitus (wodalira insulin) ndiye matenda ofala kwambiri padziko lonse lapansi. Malinga ndi ziwerengero zochokera ku World Health Organisation, lero anthu pafupifupi 80 miliyoni ali ndi nthendayi, ndipo pali chizolowezi china choti chizindikiro ichi chiwonjezeke.

Ngakhale kuti madotolo amatha kuthana ndi matenda oterewa pogwiritsa ntchito njira zamankhwala zoyambira bwino, pali zovuta zomwe zimakhudzana ndi kuyambika kwa zovuta za matenda a shuga, ndipo kupatsirana kwa kapamba kungafunike pano. Kuyankhula manambala, odwala matenda a shuga omwe amadalira insulin:

1. khalani akhungu nthawi 25 kuposa ena
2. akudwala kulephera kwa impso nthawi 17
3. amagwidwa ndi gangore kangapo kangapo,
4. kukhala ndi mavuto amtima kawiri kuposa anthu ena.

Kuphatikiza apo, nthawi yayitali yomwe anthu amakhala ndi matenda ashuga ndi pafupifupi yachitatu kwambiri kuposa ya omwe samadalira shuga.

Chithandizo cha Pancreatic

Mukamagwiritsa ntchito mankhwala othandizira, m'malo mwake zotsatira zake sizingakhale za odwala onse, ndipo si aliyense amene angakwanitse kugula mtengo wotere. Izi zitha kufotokozedwa mosavuta chifukwa chakuti mankhwalawa amathandizira komanso mlingo wake woyenera ndizovuta kusankha, makamaka chifukwa ndikofunikira kuti apange payokha.

Madotolo adakankhira kufunafuna njira zatsopano zamankhwala:

• kuopsa kwa matenda ashuga
• chikhalidwe cha matendawo,
• kuvuta kwawongolera zovuta za kagayidwe kazakudya.

Njira zamakono zopewera matendawa ndi monga:

1. njira zamankhwala othandizira,
2. kufalikira kapamba,
3. kupandukira
4. kugawa maselo cell.

Chifukwa chakuti mu shuga mellitus, kusintha kosiyanasiyana kwa metabolic komwe kumachitika chifukwa cha kupundika kwa maselo a beta kumatha kupezeka, chithandizo cha matendawa chimatha chifukwa chakujambulidwa kwa ma islets a Langerhans.

Kuchita opaleshoni yotereku kungathandize kuwongolera kupatuka pazochita za metabolic kapena kukhala chitsimikizo chopewa kukula kwa zovuta zachiwiri zamaphunziro a shuga mellitus, wodalira insulini, ngakhale mtengo wokwera opaleshoni, ndi shuga lingaliro ili ndiloyenera.

Ma cell a Islet sangathe kukhala ndi nthawi yayitali kuti akhale ndi vuto la kusintha kwa kagayidwe kazakudya kwa odwala. Ichi ndichifukwa chake ndibwino kutembenukira ku ziwonetsero zoperekera, zomwe zasungapo ntchito zake mpaka patali. Njira yofananayo imaphatikizapo kupereka zochitika kwa standardoglycemia ndi kutsekeka kwina kwa zoletsa zama metabolic.

Nthawi zina, pamakhala mwayi weniweni woti abwezeretse zovuta za matenda ashuga zomwe zayamba kapena kuziletsa.

Kukwaniritsa zina

Thirani yoyamba ya kapamba inali ntchito yomwe idachitika mu Disembala 1966. Wolandila adakwanitsa kukwaniritsa Normoglycemia komanso kudziyimira pawokha kuchokera ku insulin, koma izi sizipangitsa kuti ayitane opaleshoniyo kuti ikhale yopambana, chifukwa mayiyo adamwalira pambuyo pa miyezi iwiri chifukwa chokana thupi ndi poyizoni wamagazi.

Ngakhale izi, zotsatira za zonse zomwe zimadza pambuyo pancreas zinali zopambana. Pakadali pano, kusinthika kwa chinthu chofunikira ichi sikungakhale kotsika chifukwa cha kufalikira kolimba:

Posachedwa, mankhwala atha kupita patsogolo kwambiri m'derali. Pogwiritsa ntchito cyclosporin A (CyA) yokhala ndi ma steroid mu Mlingo wocheperako, kupulumuka kwa odwala ndi zida zometera kunachuluka.

Odwala omwe ali ndi matenda ashuga ali pachiwopsezo chachikulu pakufalikira kwa ziwalo. Pali kuthekera kwakukulu kovutikira komwe kumachitika chifukwa cha chitetezo chathupi komanso chitetezo chathupi. Amatha kuyambitsa kuyimitsidwa kwa chinthu chodalitsidwacho ngakhale kufa.

Chofunikira kwambiri ndichidziwitso kuti pangozi yayikulu ya odwala omwe ali ndi matenda a shuga pakuchita opaleshoni, matendawa sakuwaopseza moyo wawo. Ngati chiwopsezo cha mtima kapena chiwopsezo cha mtima sichingachedwe, ndiye kuti kuzungulira kwa kapamba sikukuchitapo kanthu chifukwa cha thanzi.

Pofuna kuthana ndi vuto la kufalikira kwa ziwalo, choyamba, ndikofunikira:

• sinthani miyezo yodwala yodwala,
• yerekezerani kuchuluka kwa zovuta zachiwiri ndi zoopsa za opaleshoni,
• kuwunika wodwala matenda.

Ngakhale zili choncho, kuphatikizira kwachiphaso ndi nkhani ya munthu kudzisankhira wodwala yemwe ali pachiwopsezo chamatenda a impso. Ambiri mwa anthuwa amakhala ndi zizindikiro za matenda ashuga, mwachitsanzo, nephropathy kapena retinopathy.

Pokhapokha ngati pakuchitika opareshoni, ndimatha kulankhula za mpumulo wa zovuta za matenda ashuga komanso mawonetseredwe a nephropathy. Pankhaniyi, kupatsirana kuyenera kukhala munthawi yomweyo kapena motsatizana. Njira yoyamba imakhudzanso kuchotsa ziwalo kuchokera kwa wopereka m'modzi, ndipo chachiwiri - kupatsirana kwa impso, kenako kapamba.

Nthawi yotsika ya kulephera kwa impso imayamba kukhala mwa iwo omwe amadwala matenda a shuga omwe amadalira insulin zaka 20-30 zapitazo, ndipo pafupifupi odwala ali ndi zaka 25 mpaka 45.

Ndi mtundu wanji wakuzika womwe ndibwino kusankha?

Funso la njira yoyenera yothandizira opaleshoni silinathetsedwe kwina, chifukwa mikangano yokhudza kupatsirana pamodzi kapena kwazomwe zakhala zikuchitika kwanthawi yayitali. Malinga ndi ziwerengero komanso kafukufuku wa zamankhwala, kugwira ntchito kwa chiopsezo cha pancreatic pambuyo pa opaleshoni ndikwabwino kwambiri ngati ndikuwonjezera munthawi yomweyo. Ichi ndichifukwa chochepa kwambiri chomwe chingakanidwe ndi ziwalo. Komabe, ngati tilingalira kuchuluka kwa kupulumuka, ndiye mu nkhani iyi kupatsirana kotsatana kudzachitika, komwe kumatsimikiziridwa ndi kusankha mosamala odwala.

Kuika kwa kapamba kuti alepheretse kukula kwa matenda a shuga a mellitus ayenera kuchitidwa koyambirira kwa matendawa. Chifukwa chakuti chisonyezo chachikulu chokomera anthu ena chitha kukhala chiwopsezo chovuta cha zovuta zachiwiri, ndikofunikira kuwonetsa kuneneratu. Yoyamba mwa izi ndi proteinuria. Pakuwoneka kwa proteinuria yokhazikika, ntchito yaimpso imangosachedwa, komabe, njira yofananira imatha kukhala ndi mitengo yosiyanasiyana yotukuka.

Monga lamulo, theka la odwala omwe adapezeka kuti ali ndi gawo loyambirira la proteinuria yokhazikika, patatha zaka pafupifupi 7, kulephera kwa impso, makamaka, kwa siteji yodwala. Ngati munthu akudwala matenda osokoneza bongo opanda proteinuria, zotsatira zakupha ndizotheka kawiri kawiri kuposa mseri, ndiye kuti mwa anthu omwe ali ndi proteinuria chisonyezochi chikuwonjezeka ndi 100 peresenti. Malingana ndi mfundo imodzimodziyo, nephropathy, yomwe ikungopanga, iyenera kuwonedwa ngati kufalitsa koyenera kwa kapamba.

Mu magawo apambuyo pachitukuko cha matenda a shuga, omwe amadalira insulin, kutulutsa kwa chiwalo ndikosayenera. Ngati pali ntchito yaimpso yochepetsedwa kwambiri, ndiye kuti kuchotsa njira ya m'matumbo a ziwalozi kuli kovuta. Pachifukwa ichi, odwala oterewa sangathenso kukhalabe ndi moyo wa nephrotic, womwe umayambitsidwa ndi immunosuppression ya SuA itatha kupatsidwa chiwalo.

Malo otsika omwe angathe kugwira ntchito ya impso ya munthu wodwala matenda ashuga ayenera kuganiziridwa kuti ndiomwe amachititsa kusefedwa kwa 60 ml / mphindi. Ngati chisonyezo chiri pansipa, ndiye kuti titha kulankhula za mwayi wokonzekera kuphatikizika kwa impso ndi kapamba. Ndi kusefukira kwa glomerular kosaposa 60 ml / min, wodwalayo ali ndi mwayi wofunikira wokhala wolimba wamtundu wa impso. Pankhaniyi, kuphatikiza kumodzi kokha kapamba ndikoyenera.

Ntchito Zowonjezera

M'zaka zaposachedwa, kupandukira kwa pancreatic kwakhala kugwiritsidwa ntchito pazovuta za matenda a shuga omwe amadalira insulin. Zikatero, tikulankhula za odwala:

• omwe ali ndi matenda a shuga
• shuga mellitus ndi kusakhalapo kapena kuphwanya kusintha kwa mahomoni a hypoglycemia,
• amene amakana subcutaneous makonzedwe a insulin osiyanasiyana mayamwidwe.

Ngakhale powona kuwopsa kwa zovuta komanso kusapeza bwino komwe kumayambitsa, odwala amatha kukhalabe ndi vuto laimpso ndikuthandizidwa ndi SuA.

Pakadali pano, chithandizo mwanjira imeneyi chachitika kale ndi odwala angapo ochokera pagulu lirilonse lomwe akuwonetsa. Munthawi zonsezi, kusintha kwakukulu kwakanenedwa mu thanzi lawo. Palinso milandu yokhudza kupindikiza kwa kapamba pambuyo pancreatectomy yathunthu yomwe imayambitsidwa ndi chifuwa chachikulu. Ntchito za Exo native ndi endocrine zabwezeretseka.

Iwo omwe adapulumuka pakufalikira kwa kapamba chifukwa cha retinopathy yomwe ikupita patsogolo sanathe kusintha mikhalidwe yawo. Nthawi zina, kusinthanso kunadziwikanso. Ndikofunikira kuwonjezera pankhaniyi kuti kufalikira kwa ziwalo kunachitika motsutsana ndi maziko osintha kwambiri m'thupi. Amakhulupirira kuti kuchitika kwakukulu kungachitike ngati opaleshoni itachitidwa koyambirira kwa maphunziro a shuga, chifukwa, mwachitsanzo, zizindikiro za matenda ashuga za azimayi zimatha kupezeka mosavuta.

Chachikulu contraindication kuti ziwalo kumuika

Cholepheretsa chachikulu pakuchita opaleshoni ndiyomwe imakhala ndi zotupa pamene zilonda zam'mimba zilipo mu thupi zomwe sizingatheke kukonza komanso psychoses. Matenda aliwonse omwe ali pachimake ayenera kuti adachotsedwa ntchito isanachitike. Izi zikugwirizana ndi milandu pomwe matendawa amayambitsidwa osati ndi matenda a shuga okha, komanso tikulankhula za matenda omwe ali ndi matenda opatsirana.

Zikondamoyo sizikugwira ntchito: zotsatira zake

Ngati chiwalo sichingagwire bwino ntchito chifukwa cha matenda, zotsatirapo zake zimakhala zoopsa kwambiri, mpaka kufika poti ndikhala wolumala. Mwambiri, pali mwayi woti muphedwe. Pofuna kupewa zoterezi zisakuyenda bwino, kupatsirana kapamba kumachitika chifukwa cha matenda ashuga, kapamba ndi matenda ena akuluakulu.

Opaleshoni yake ndi yovuta kwambiri, chifukwa chake sapezeka kuchipatala chilichonse. Zimafunikira zida zamakono kwambiri, ndipo adotolo ayenera kukhala oyenerera kwambiri.

Ntchito: pati ndipo motani?

Zaka makumi angapo zapitazo, kupatsirana kwa ma pancreatic ku Russia kunachitika muzipatala zochepa kwambiri - mutha kudalira zala za dzanja limodzi. Awa anali mayesero oyesera omwe adatheketsa kuti akwaniritse zidziwitso, koma popanda kugwiritsa ntchito bwino dongosolo komanso chitukuko cha maziko a malingaliro ndi othandiza.

Chidziwitso chofunikira kwambiri komanso chofunikira chokhudza kuphatikiza ma cell a islet chinapezedwa munthawi ya kafukufuku ndi zoyesa zomwe zinachitika mu zipatala zabwino kwambiri zaku America ndi ku Europe. Ndikofunikira kuzindikira momwe madotolo aku Israeli akuwathandizira pantchitoyi. Ziwerengero zimati m'nthawi yathu ino, kuchuluka kwa opaleshoni ndi pafupifupi milandu chikwi chimodzi pachaka. Opaleshoni yopanda matenda a shuga imapezeka ku Russia komanso m'maiko ena a CIS.

Zizindikiro zakuchita opareshoni

Mu shuga mellitus, kupatsirana kwa kapamba kumachitika kokha mwa chilolezo cha adokotala, omwe m'mbuyomu amatenga mayeso a wodwala kuti adziwe mawonekedwe a matenda. Asanalowererepo, ndikofunikira kumayesedwa kwathunthu kuti opereshoniyo isachititse ngoziyo. Tiyenera kumvetsetsa kuti nthawi zina njira zotere sizikugwiranso ntchito. China chake chimatengera zosokonekera za matenda, koma zambiri zimatsimikiziridwa ndi zaka, zikhalidwe.

Asanaikidwe kwa kapamba, ma labotale, kuwunika koyamba kumachitika. Wodwalayo amapita kukaonana ndi gastroenterologist, akatswiri othandizira, komanso amakambirana ndi madokotala omwe ali ndi malo ochepa. Malingaliro a cardiologist, mano ndizofunikira, azimayi ayenera kudutsa wazachipatala.

Kukonzekera opareshoni: chiyani komanso momwe mungapezere?

Musanapange kufalikira kwa kapamba, muyenera kupeza chithunzi chonse cholakwika m'thupi la wodwalayo. Ultrasound imabwera ndikupulumutsa. Onani momwe magazi amayendera, m'mimba. Munthu payekhapayokha amatha kusankha kuti aziyang'anira matupi ena.

Kuti muwone momwe thupi limakhalira, mkodzo, kuyezetsa magazi, kuphatikizapo serological, biochemical, zimatengedwa, gulu la magazi limatchulidwa. Ndikofunikira kutenga ECG ndi chifuwa x-ray. Atangotsala pang'ono kupanikizika, kuchuluka kwa matupi a omwe amapereka ndi omwe akuwululira kuwululidwa.

Opaleshoni komanso matenda ashuga

Malinga ndi zomwe zikuwonetsa, amatha kuchita zina ndi zina kapenanso kupezeka ndi matenda ashuga a sekondale. Matendawa amakwiya ndi zinthu zosiyanasiyana, koma oyambitsa ambiri:

• kapamba
• oncology
• hemochromatosis,
• Cushing's syndrome.

Zimachitika kuti ntchito ya pancreatic imakhudzidwa chifukwa cha minofu necrosis. Zitha kuyambitsa kutupa, kutupa. Komabe, amasinthana modabwitsa. Cholinga chake sichingokhala chovuta chaukadaulo, komanso chifukwa mtengo wa kapamba wamafuta a shuga ndiwokwera kwambiri.

Ndipo liti?

Panali zochitika zambiri pamene odwala omwe ali ndi ndalama zofunika, sanathe opareshoni. Chifukwa chake ndi kutsutsana. Mwachitsanzo, kupatsirana sikungachitike mwa mtundu wina wa mtima ischemia, atherosulinosis, komanso mtima wamtima. Mwa odwala ena, matenda ashuga amayambitsa zovuta zomwe sizingasinthe zomwe zimalepheretsa kusintha kwa magazi.

Simungathe kufalitsa kapamba ngati munthu wadwala mankhwala osokoneza bongo kapena mowa, ngati Edzi wapezeka. Matenda angapo amisala amapangidwanso m'magulu opangira opaleshoni.

Thirani: chimachitika ndi chiyani?

Ngakhale njirayi ndiyachichepere, mitundu ingapo ya kusindikiza imadziwika. Nthawi zina, kufalitsa chiwalo kumakhala kofunikira kwathunthu, koma nthawi zina kumakhala kokwanira kusunthira mchira kapena chinthu china cha thupi la gland. Nthawi zina, kupatsirana movutikira kumachitika pamene, kuwonjezera pa kapamba, kulowererako kumachitika pa duodenum. Odwala angapo amafunikira maselo a beta omwe chikhalidwe chawo chimalowetsedwa m'mitsempha (islets of Langerhans). Mtundu wosankhidwa moyenera ndi kuperekedwa kwamitundu yonse kumapereka mwayi waukulu wobwezeretsanso ntchito zonse za pancreatic.

Kusankha koyenera mwanjira inayake kumapangidwa mwa kusanthula ndikuwerenga mosamala zotsatira zake. Zambiri zimatengera kuchuluka kwa gland yomwe yadwala kale matenda ashuga, ndipo china chake chimadziwika ndi thupi laumunthu lonse.

Kodi zikuyenda bwanji?

Kuika kumayamba ndi gawo lokonzekera. General opaleshoni amafunikira. Nthawi zina zovuta, opareshoni imachedwa kwa nthawi yayitali, koma zimatengera ziyeneretso za dokotala wochita opaleshoniyo komanso ntchito yoyanjanitsidwa ndi gulu la opaleshoni. Milandu yovuta kwambiri ndi pamene opaleshoni ikufunika mwachangu.

Pakuthana, ziwalo zimapezeka kwa anthu omwe anamwalira posachedwa. Opereka ayenera kukhala achichepere, chokhacho chovomerezeka chaimfa ndi ubongo. Mutha kutenga chitsulo kuchokera mthupi la munthu yemwe sanakhalepo wazaka zopitilira 55, wathanzi pa nthawi yomwalira. Sizovomerezeka kutenga chiwalo ngati mkati mwa moyo woperekayo akudwala mitundu ya atherosulinosis, matenda ashuga. Komanso, zinthu zakuthira sizingatheke ngati kachilombo kagwera matenda m'mimba mwa operekayo, zimadziwika kuti kapamba amavulazidwa, kupunduka.

Zinthu Zogwira Ntchito

Kupeza ziwalo, amachotsa chiwindi, matumbo, kenako ndikutchingira zinthu zofunika, ndikusunga minofu ina. Madokotala amagwiritsa ntchito zinthu zapadera "DuPont", "Vispan". Chiwalo ndi yankho zimayikidwa mu chidebe chachipatala ndikusungidwa pamoto wochepa kwambiri. Nthawi yogwiritsira ntchito ndi maola 30.

Mwa odwala omwe ali ndi matenda ashuga, chikhazikitso chabwino kwambiri kwa iwo omwe amasinthika impso ndi kapamba. Zowona, ndizokwera mtengo komanso nthawi yambiri. Pamaso pa opareshoni, kuwunika kumagwirizanitsidwa, kuonetsetsa kuti zingatheke bwanji kuti minofu ya wopikirayo idayikiridwe kwa wolandirayo. Mukamasankha minyewa yosagwirizana, pali kuthekera kwakukulu kokana, komwe kungayambitse zotsatira zoyipa mpaka kufa.

Mabungwe komanso zachuma

Njira yabwino ndiyo kukonzekereratu kusanja kwanu pasadakhale. Ngati mukukonzekera ntchito yodzidzimutsa, mwayi wamavuto ndi ambiri, chifukwa sizingatheke kukonzekera wodwala, zida, ziwalo kuti ziwonjezeke.

Munjira zambiri, mbali zovuta zakuchitiratu chithandizo chamankhwala zimachepetsedwa ngati muli ndi bajeti yayikulu. Izi zimakuthandizani kuti mutembenukire kwa akatswiri odziwa ntchito zamankhwala, odziwa bwino ntchito, komanso kuti mudzitsimikizire kuti mudzikonzanso. Njira yabwino yothetsera vutoli ndi kugwiritsidwa ntchito ndi malo ena apadera othandizira minofu. Pazaka zingapo zapitazi, malo ngati amenewa amatsegulidwa ku Russia ndi mayiko a CIS. Mwachikhalidwe, mulingo wapamwamba kwambiri mu maopareshoni omwe amachitika ku America, Israel, Europe.

Kubwezeretsa, kudwala

Njira yobwezeretsanso pambuyo pakuchita opaleshoni ina iliyonse kumatenga nthawi yayitali, kapamba ndiwosiyana ndi izi. Pakupanga opaleshoni ya matenda opatsirana a shuga, vuto losauka la thupi ndi chinthu chinanso chomwe chimachedwetsa kukonzanso. Wodwalayo adapangidwira njira yothandizira mankhwalawa, kuphatikizapo mankhwala omwe amakhudzanso chitetezo chamthupi, komanso mankhwala angapo osagwirizana ndi zizindikiro, zosankhidwa poganizira mawonekedwe a nkhani inayake. Madokotala amasankha mankhwala kuti asasokoneze gawo kuti lizike mizu. Pambuyo kanthawi kuchipatala, maphunziro okonzanso amakhalanso kunyumba.

Ziwerengero zimati kuchuluka kwazaka 2 zapulumuka zikufika pa 83%. Zotsatira zake zimadalira mkhalidwe wa chiwalo chogalitsidwacho, zaka, thanzi la opereka asanamwalire, komanso kuchuluka kwa kufanana kwa minofu. Mkhalidwe wa hemodynamic umakhala ndi mphamvu, ndiye kuti, zamkati, kupanikizika, hemoglobin ndi zizindikiro zina.

Njira zina zochizira

M'zaka zaposachedwa, chiphunzitso cha kuthekera kwa kupatsika kwa michere kuchokera kwa opatsa amoyo chakhala chikuchitika. Zomwe amachitapo opaleshoni yotere ndizochepa kwambiri, koma zotsatira zomwe zikupezeka zikuwonetsa kuti njirayi ndiyabwino kwambiri. Odwala amakhala ndi chiwopsezo cha chaka ndi chaka cha 68%, komanso kupulumuka kwa zaka khumi 38%.

Njira ina ndikukhazikitsa maselo a beta m'mitsempha, ndiye kuti, ma langer a Langerhans. Ukadaulo uwu sadziwika pang'ono, umafunika kukonzanso. Ubwino wake waukulu ndiwowononga pang'ono, koma machitidwe, ndi luso laukadaulo lomwe likupezeka, kukhazikitsa kwa kulowererako kumakhala kovuta. Wopereka m'modzi akhoza kukhala gwero la maselo ochepa.

Njira yosinthira maselo omwe amachokera ku mluza imawoneka yolimbikitsa. Mwina, mluza umakhala wokwanira pa masabata 16-20. Mfundo iyi ikupangika. Ndizodziwika kale kuti zitsamba zimakula nthawi yayitali, zimatulutsa insulini mu voliyumu yomwe imafunidwa ndi thupi. Inde, izi sizichitika nthawi yomweyo, koma nthawi ya kukula ndiyochepa.

Matenda a shuga: mawonekedwe a matendawa

Mtundu woyamba wa shuga umayambitsidwa ndi kulephera kwa kapamba kuti apange insulin. Ichi ndichifukwa cha njira zowonongeka mu tiziwalo tathupi ndipo zimabweretsa kulephera kwathunthu. Matekinoloje amakono kwambiri amakupatsani mwayi wowunika magazi ndi kubayira insulin, yomwe imapangitsa moyo wa odwala kukhala wosavuta poyerekeza ndi njira ziti zomwe zingabwezeretse insulin zaka khumi zapitazo. Komabe, matendawa amakhudzana ndi zovuta zambiri, amafunikira kudziyang'anira nokha ndikuwunika magazi pafupipafupi.

Kuti achepetse vutoli, wodwalayo ayenera kuwunika zakudya, makamaka kuchuluka kwa chakudya chambiri. Ndikofunikanso kuwunika mtundu wa lipid metabolism, onani kukakamiza tsiku lililonse. Wodwala matenda ashuga nthawi zonse amakhala pansi pa "lupanga la domoklovy" la hypoglycemia, omwe kuzunza kwake ndiwopseza. Amadziwika kuti ku Russia osachepera 300,000 odwala ali ndi matenda amtundu 1, ndipo kuchuluka kwa odwala ku America kwakhala kupitirira miliyoni.

Kubweza: zonse zidayamba bwanji?

Pancreas yoyamba kudulidwa mu 1967. Kuyambira pamenepo mpaka lero, kuchuluka kwa kupulumuka mothandizidwa ndi maopaleshoni oterowo kumakhala kotsika kwambiri, ngakhale kumakhala bwino patapita zaka. Chimodzi mwazinthu zabwino zomwe zidachitika m'derali ndikugwiritsa ntchito mankhwala a immunosuppression, omwe amachepetsa pafupipafupi kukanidwa kwa minofu. Pafupifupi chida chofunikira kwambiri cha madokotala kuti akane chiwalo chomwe chadulidwa ndi anti-lymphocyte serum, mphamvu yake yomwe yatsimikiziridwa. Njira zina zidapangidwanso zomwe zimayenera kupereka zotsatira zabwino, komabe mpaka pano palibe chidziwitso cholondola.