Type 1 vs Type 2 Diabetes Mellitus
Hom 1 thiab Hom 2 Mob ntshav qab zib yog ob hom ntshav qab zib. Mob ntshav qab zib mellitus yog ib yam mob uas cov ntshav qabzib nce siab tshaj qhov qub thiab qhov kev ua ntawm cov tshuaj insulin raug thaiv. Hauv hom 1 mob ntshav qab zib mellitus, muaj tag nrho cov tshuaj insulin tsis txaus. Hauv hom 2 mob ntshav qab zib mellitus, cov tshuaj insulin nyob ntawd tab sis cov receptor rau insulin tsis ua haujlwm zoo.
Mob ntshav qab zib mellitus yog ib yam kab mob uas xav tau kev saib xyuas tas mus li thiab tsis muaj kev kho mob meej los kho cov ntshav qab zib. Mob ntshav qab zib mellitus yog ib yam mob uas cov ntshav qabzib nce siab tshaj qhov qub. Thaum cov ntshav qabzib nce hauv cov ntshav, cov tshuaj hormone INSULIN yuav tso tawm los ntawm cov txiav. Insulin deficiency lossis tsis ua haujlwm ntawm receptor los teb rau cov tshuaj insulin kom raug hu ua insulin resistance.
Yog lub cev tsis muaj insulin (kev ua tsis tiav ntawm beta hlwb hauv pancreas- qhov twg insulin tsim tawm) ces tus mob ntshav qab zib mellitus yog hu ua hom 1 mob ntshav qab zib mellitus (lub npe ua ntej yog insulin dependent diabetes mellitus). Cov neeg mob no yog nyob ntawm cov tshuaj insulin uas tau muab los ntawm kev txhaj tshuaj lossis insulin cwj mem. Hom mob ntshav qab zib no feem ntau pib thaum ntxov ntawm ib tus neeg lub neej; Cov menyuam yaus thiab cov hluas raug cuam tshuam los ntawm hom 1 insulin. Yog tias lawv tsis tau txais cov tshuaj insulin, cov ntshav qabzib nce siab (hyperglycemia) thiab lawv yuav tuag ntawm tus kab mob hu ua mob ntshav qab zib keto acidosis. Nov yog qhov xwm txheej ceev.
Y Piv nrog rau hom 1, hom 2 mob ntshav qab zib mellitus cov neeg mob muaj cov tshuaj insulin, tab sis insulin tsis tuaj yeem ua thiab txhawb nqa nws lub receptor. Feem ntau tom qab 40 xyoo, tshwj xeeb tshaj yog cov neeg rog rog lossis siab BMI (lub cev qhov hnyav) yuav tsim cov tshuaj insulin thiab hom 2 mob ntshav qab zib mellitus. Feem ntau, hom 2 mob ntshav qab zib mellitus muaj keeb kwm ntawm tsev neeg muaj zog. Yog tias koj txiv, niam lossis cov nus muag muaj hom 2 mob ntshav qab zib mellitus, ces muaj feem yuav muaj ntshav qab zib mellitus. Tab sis nws tsis txhais hais tias koj yuav kis tus kab mob rau tej yam. Cov neeg mob ntshav qab zib hom 2 feem ntau kho nrog qhov ncauj hypoglycemic tshuaj (cov ntsiav tshuaj noj hauv qhov ncauj kom txo cov piam thaj hauv koj cov ntshav) qee cov tshuaj no yuav txo qis qhov tsis kam ntawm receptor (ex Metformin) qee qhov yuav ua rau cov tshuaj insulin ntau ntxiv.
Ob hom neeg mob ntshav qab zib yuav tsum tswj kev noj zaub mov kom ntshav qab zib. Lawv raug txhawb kom ua ib ce tsis tu ncua. Lawv yuav tsum kuaj EYE (Retinopathy) raum (nephropathy) thiab cov hlab ntsha (neuropathy). Cov neeg mob ntshav qab zib muaj kev pheej hmoo siab ntawm kev tsim hyperlipidemia thiab kab mob plawv. Ob hom neeg mob ntshav qab zib yuav raug kev txom nyem nrog kev tiv thaiv qis (tiv thaiv cov kab mob microbes) thiab kho qhov txhab tsis zoo yog tias lawv tsis tswj cov ntshav qab zib kom zoo.
Hauv cov ntsiab lus ntshav qab zib mellitus yog qhov xwm txheej uas qhov kev ua ntawm insulin raug thaiv. Hauv hom 1 muaj tag nrho qhov tsis txaus ntawm insulin. Hauv hom 2, insulin nyob ntawd tab sis tus receptor rau insulin tsis ua haujlwm zoo.
Ob hom neeg mob ntshav qab zib yuav tsum tswj kev noj zaub mov kom ntshav qab zib. Lawv raug txhawb kom ua ib ce tsis tu ncua. Lawv yuav tsum kuaj EYE (Retinopathy) raum (nephropathy) thiab cov hlab ntsha (neuropathy). Cov neeg mob ntshav qab zib muaj kev pheej hmoo siab ntawm kev tsim hyperlipidemia thiab kab mob plawv. Ob hom neeg mob ntshav qab zib yuav raug kev txom nyem nrog kev tiv thaiv qis (tiv thaiv cov kab mob microbes) thiab kho qhov txhab tsis zoo yog tias lawv tsis tswj cov ntshav qab zib kom zoo.
Hauv cov ntsiab lus mob ntshav qab zib mellitus yog qhov xwm txheej uas qhov kev ua ntawm insulin raug thaiv. Hauv hom 1 muaj tag nrho qhov tsis txaus ntawm insulin. Hauv hom 2, insulin nyob ntawd tab sis tus receptor rau insulin tsis ua haujlwm zoo.
