Hangata lefu la tsoekere ha le hlokomele ho fihlela le fihla boemong bo tsoetseng pele, empa litsebi li lumela hore ho hlahlojoa hang-hang ke habohlokoa ho fana ka phekolo e molemo ka ho fetisisa. Bakeng sa ho thusa ho hlahlojoa ha pejana, bafuputsi ba lefu la tsoekere ba ntse ba batlisisa liphatsa tsa lefutso tse ka hlalosang kotsi ea motho ea ho hlaolela lefu la tsoekere nako e telele pele lefu lena le ntse le tsoela pele. Ntho e 'ngoe e thahasellisang ke karolo ea li-antibodies.
Likokoana-hloko tsa lefu la tsoekere
Li-antibodies ke liprotheine tse khethehileng tse fumanehang maling le libakeng tse ling 'meleng. Li-antibodies li lemoha le ho hlasela lintho tse tsoang linaheng tse ling, tse kang likokoana-hloko le libaktheria. Ka nako e 'ngoe, li-antibodies ha li sebetse hantle ebile li hlasela mekhoa ea' mele. Ha sena se etsahala, li-antibodies tse sebetsang hampe li bitsoa autoantibodies. Hangata, ho bakuli ba nang le lefu la tsoekere la mofuta oa 1, ho hlasela li-autoantibodies le ho senya lisele tsa insletin tse hlahisang islet beta liphakeng. Mofuta ona oa tlhaselo ea 'mele oa ho itšireletsa mafung o ka boela oa hlaha ho bakuli ba nang le lefu la tsoekere la mofuta oa 2, empa ka nako e fokolang.
Bo-rasaense ba fumane li-antibodies tse 'maloa tse bonahalang li amana le tsoelo-pele ea lefu la tsoekere, ho akarelletsa le li-anti-gay (glada) tsa acutamic acid decarboxylase (GADA) le islet cell antibodies (ICA). Li-antibodies tsena li loantša liprotheine tse sa batleheng ka le liseleng tsa beta.
Maemong a mang, batho ba nang le lefu la tsoekere la mofuta oa 1 ba na le li-antibodies tse phahameng ho loantša tlhaselo e ka ntle, hammoho le li-autoantiboes tse hlaselang tsamaiso ea 'mele.
Ho nahanoa hore tlhaselo ea autoantibody e senya sehlekehleke seo li-antibodies li li sireletsang.
Karolo e mashome a robong a metso e mehlano ea bana ba fumanoang ba na le lefu la tsoekere la mofuta oa 1 ba na le likarolo tse phahameng tsa ICA le li-autoantibodies tsa GADA. Ho fihlela ho batho ba etsang 25% ba nang le lefu la tsoekere la mofuta o moholo oa bobeli, ba na le maemo a phahameng a li-autoantibodies tsena.
Li-antibodies ha li hlahlojoa pele
Lipatlisiso tsa morao-rao li bontšitse hore boteng ba li-autoantibodies tsa GADA e ka ba boikutlo bo matla ba ho ipolaea bakeng sa ho qetella hoa lefu la tsoekere la mofuta oa 1. Maemong a mangata, li-autoantibodies li teng pele matšoao a lefu la tsoekere kapa li-prediabetes li kenngoa. Ho sebelisa tlhahlobo ea mali ho hlahloba li-autoantibodies tsena - haholo-holo ho banab'eno ba ba fumanoeng ba e-na le lefu la tsoekere la mofuta oa 1 - ba ka thusa ho tseba hore na motho o teng kotsi ea ho hlaolela lefu la tsoekere le mofuta ofe oa lefu la tsoekere le ka 'nang la hlaha. Ho fumanoa pele ho joalo ho ka etsa hore mehato ea thibelo e thibele ho qala ha lefu lena.
Li-antibodies tse Tsamaisoang ke lefu la tsoekere
Batho ba bangata ba hlahisa lefu la tsoekere la mofuta oa 2 hobane ba le boima bo feteletseng 'me ba phela bophelo bo botle. Leha ho le joalo, ba bang ba batho ba nang le lefu la tsoekere la mofuta oa 2 ba na le li-antibodies le li-autoantibodies tse phahameng kapa tse phahameng ho feta ba nang le lefu la tsoekere la mofuta oa 1. Bakuli ba fumanoeng ba na le lefu la tsoekere la mofuta oa 2 ba ka lakatsa ho etsa liteko tsa mali ho fumana hore na ba na le li-autoantibodies tse teng 'meleng ea bona. Mofuta oa 2 oa diabetics o nang le maemo a phahameng a li-autoantibodies e ka 'na ea e-ba monyetla oa ho hloka insulin nakong e tlang. Tlhahisoleseding ena e ka thusa ho bolela esale pele hore na lefu la bona ke lefe le hore na qetellong ba ka hloka liente tsa insulin ho laola lefu la tsoekere.
Diabetes ea Boemo ba Batho ba baholo ka ho Fetisisa: 'Bohareng ba' Lefu la tsoekere
Batho ba bang ba hlaolela batho ba baholo-ba ts'oaetsoang ke lefu la tsoekere le bonahalang eka ke mofuta oa lefu la tsoekere le ba arabelang meriana ea lefu la tsoekere. Leha ho le joalo, ka mor'a lilemo tse seng kae, meriana ena e felloa ke matla le bakuli ba lokela ho qala ho sebelisa insulin. Mofuta ona oa lefu la tsoekere ka linako tse ling o bitsoa lefu la tsoekere la motho ea nang le lefu la tsoekere (LADA), leo ka linako tse ling hape le bitsoang "ho na le lefu la tsoekere" kapa mofuta oa lefu la tsoekere ka lebaka la lefu la tsoekere pele le fetoha lefu la tsoekere le itšetlehileng ka insulin .
Batho ba nang le LADA ba na le maemo a phahameng a ICA le GADA, hammoho le maemo a phahameng a li-autoantibodies tse sa sebetseng.
Ha nako e ntse e ea, li-autoantibodies li feta li-antibodies, li senya bokhoni ba 'mele ba ho hlahisa insulin. Ha sena se etsahala, mofuta oa lefu la tsoekere oa mofuta oa 2 o fetoha lefu la tsoekere la mofuta oa 1.
Litsebi li lumela hore hobane batho ba nang le LADA ba na le li-antibodies tse sebetsang hantle, matla a 'mele a bona a ho itšireletsa mafung a khona ho thibela li-autoantibose ka katleho le nako e telele ho feta batho ba neng ba fumanoa ba e-na le lefu la tsoekere la mofuta o sa le monyenyane. Leha ho le joalo, ha nako e ntse e ea, li-autoantibodies tsa batho ba nang le LADA li senya bokhoni ba 'mele ba ho hlahisa insulin. Ka hona, ho itšetleha ka insulin ho hōla ka potlako ho mokuli oa LADA ho feta ho motho ea tšoeroeng ke lefu la tsoekere la mofuta oa 2.
Re lokela ho hlokomela hore batho ba bang ba ka 'na ba e-ba le mefuta e' meli ea li-autoantibodies tse sebetsang hampe empa leha ho le joalo ha ho mohla ba hlaolelang mofuta o mong oa lefu la tsoekere. Ho phaella moo, ke habohlokoa ho hopola hore lisosa tsa bohlokoa ka ho fetisisa bakeng sa lefu la tsoekere la mofuta oa 2 - ho ja le boima ba 'mele - ha li kopane le ho se sebetse ha sesole sa' mele, 'me lintlha tsena li ka laoloa ka bophelo bo botle ba bophelo.