Katundu wamkulu wa ndalama ndi kugula chakudya. Munthu yemwe akudwala matenda ashuga ayenera kutsatira zakudya monga nyama, nsomba, mkaka, ndiwo zamasamba ndi zipatso, zomwe nthawi zambiri amakhala mkate ndi chimanga, zotsutsana kwambiri ndi matendawa. Ponena za gawo la chikhalidwe komanso malingaliro, munthu wodalira insulini ayenera kudziwa zina mwa matendawa ndikukhala ndi maluso angapo kuti amuthandize kuthana ndi zovuta zosokoneza shuga.
- Kuti mumvetsetse kuti shuga ndi chiyani, choyamba muyenera kudziwa zofunika - kumvetsetsa momwe thupi lanu limagwirira ntchito;
- Ngati mukukayikira kuti muli ndi vuto loyenera, dziwitsani zomwe zikuwoneka panthawi yake ndikuwonetsa kuti mwazindikira.
Kukhala kofunikira kuphunzira ku chipatala cha odwala matenda ashuga. Ngati palibe mwayi wobwera kudzaphunzitsidwa, ndiye muyenera kuyankhulana ndi endocrinologist wanu, yemwe anganene za zazikuluzikulu za matenda.
Wodwala matenda ashuga ayenera kudziwa zonse:- za mankhwala ochizira matenda ashuga,
- kusiyana pakati pa mitundu yosiyanasiyana ya insulin, mankhwala ochepetsa shuga, mankhwala omwe amateteza pakachitika matenda opatsirana,
- mavitamini ndi michere.
Njira zosiyanasiyana zogwiritsira ntchito mankhwala a insulin komanso kuchepetsa shuga. Mukabayidwa insulin, kumbukirani mavuto akuchepa kwake kapena kuchepa kwake.
Munthu amene akudwala matendawa ayenera kutsatira zakudya, insulin, komanso kumwa mapiritsi. Chakudyacho chimaphatikizapo kudya mndandanda wokhazikitsidwa mosamalitsa panthawi yodziwika bwino. Ngati wodwalayo ali ndiulendo wautali kapena chochitika china chakunja kwanyumbayo, muyenera kuganizira pasadakhale zomwe adzatenge naye panjira ya nkhomaliro, chakudya cham'mawa komanso chakudya chamadzulo, komwe ndipo akamamwa mapiritsi, adzamwa jakisoni wa insulin.
Munthu wodalira insulin nthawi zonse ayenera kukumbukira kuti:
- Njala ndi mkhalidwe wowopsa kwambiri kwa thupi lake, zomwe zimayambitsa kutsika kwa shuga wamagazi. Munthu wodwala matenda ashuga asamakhale ndi njala;
- Kunenepa kwambiri kungayambitse kuchuluka kwa shuga, komwe ndi kowopsa ngati kusala kudya. Chifukwa chake, ndikofunikira kuwerengera pafupipafupi kuchuluka kwa zakudya zomwe zimadyedwa komanso kuthekera kwawo kwokulitsa mishuga.
Kuchepetsa mishuga ya glucose kapena hypoglycemia ndi njira yomwe imachitika pakapita masekondi. Ngati simukuchita zoyenera, odwala matenda ashuwalawa amatha ndipo amatha kufa kapena kulumala.
Popewa kuti shuga asadutse kwambiri, odwala matenda ashuga ayenera kukhala ndi zakudya zingapo zazing'onozing'ono - shuga (ma 10), tiyi wokoma (0.5 l), apulo (1 - 2), makeke okoma (150 - 200 g), masangweji ndi buledi wa bulauni (1 - 2)
Chakudyacho, chofunikira kwa wodwala yemwe ali ndi mtundu wa shuga wachiwiri, chimakhala chokhwima kwambiri ndipo chimaletsa kugwiritsa ntchito zakudya zambiri, nthawi yomweyo, munthu amene amalandila insulin amatha kudya wathanzi, ngati mukudziwa malamulo angapo.- Wodwala matenda ashuga ayenera kudziwa kuchuluka kwa mafuta, mapuloteni, michere ndi michere yomwe imapanga.
- Ndi zinthu ziti zomwe zimaloledwa ndipo ndizoyendetsedwa, ndipo chifukwa chiyani.
- Dziwani kuchuluka kwa kufalikira kwa zinthu zosiyanasiyana mpaka glucose,
- Dziwani momwe njira yowonjezerera shuga imatengera mphamvu yazakudya.
- Tsatirani zakudya, muzitha kuphika mbale zokhala ndi zakudya za odwala otere, kudziwa momwe mungagwiritsire ntchito shuga moyenera.
- Kuti mupeze kuwerengera mndandanda wa mkate ndi chinthucho.
Zochita zolimbitsa thupi ziyenera kukhala zopepuka kapena zochepa, osati zolemetsa. Popeza ndizovuta kuyang'anira zochitika zolimbitsa thupi, zakudya ndi kayendetsedwe ka insulin, ndikofunikira kukonza masewera pasadakhale, kaya ndikutsuka nyumba yochepa kapena kusamutsa mipando. Nthawi yomweyo, masewera amatha kubweretsa kuchepa kwa shuga pansipa, motero muyenera kusankha mosamala zolimbitsa thupi.Ndikofunikira kuti odwala matenda ashuga azikhala ndi luso lotha kuwongolera:
- Mitsempha ya mkodzo ndi magazi (kunyumba yokhala ndi glucometer ndi zingwe zoyesa);
- Kulemera Kwambiri - Masikelo apansi ayenera kugulidwa;
- Kuchuluka kwa kuthamanga kwa magazi (makamaka kwa odwala oopsa) - pogwiritsa ntchito tonometer yogulitsidwa mu mankhwala
Mphamvu zakuwerengedwako zikuyenera kulembedwa m'bukhu lapadera.
Kuphatikiza pamadongosolo awa, mukamayang'ana momwe zinthu ziliri m'thupi, zotsatirazi ziyenera kulembedwa.
- Za kutumikiridwa mlingo wa insulin;
- Kapangidwe ndi nthawi ya chakudya, mndandanda wake wa buledi;
- Nthawi ndi kuchuluka kwa mankhwalawa omwe amateteza kumatenda osachiritsika (makamaka matenda a impso, maso ndi miyendo);
- Kusanthula zomwe zimayambitsa ndi nthawi yowonjezereka kwambiri kapena kuchepa kwa shuga.
Munthu yemwe ali ndi matenda ashuga, komanso abale ndi abwenzi ayenera kudziwa njira zoyambira zamankhwala pothana ndi zovuta zomwe sizinachitike. Mwachitsanzo, ndi hypoglycemia, njira yokhayo yoyenera yoperekera munthu kuchoka pakukomoka ndikuthandizira jakisoni wa glucose wa panthawi yake. Achibale a odwala matenda ashuga ayenera kudziwa izi ndikuthanso kupereka thandizo panthawi yoyenera.
Matenda osachiritsika omwe amayambitsidwa ndi maziko a matenda ashuga ayenera kuyang'aniridwa nthawi zonse. Kuti muchite izi, ndikofunikira nthawi zina kuyesedwa ndi akatswiri:
- Ophthalmologist - 1 pachaka, pakalibe kudandaula;
- Podiatrist (katswiri wa mankhwalawa) - 1 nthawi pachaka;
- Opaleshoni ya mtima - 1 nthawi pachaka;
- Neurologist (katswiri wa impso) - monga pakufunika;
- Dermatologist
- Dokotala wamano.
Kuphatikizika konse kwa njira zothandizira kukhazikika kwakanthawi kwamatenda a shuga kumatenga nthawi yambiri kwa wodwala, koma simungathe kuchita popanda iwo. Munthu amene akufuna kukhala ndi moyo wabwinobwino koma osamverera chifukwa cha matenda ake amapeza nthawi ndi njira yokwaniritsira zofunikira zonse.Kuphatikiza apo, njira monga ma insulin, kusanthula shuga, kumwa mapiritsi, ndi kuyeza kuthamanga kwa magazi kumatenga zoposa mphindi 10 patsiku, zomwe sizokwanira kuti thupi likhale labwinobwino, komanso kufunika kokhala ndi zakudya zoyenera sikungathandize kwa munthu wodalira insulin kokha, koma komanso athanzi.
