Odwala ambiri omwe ali ndi matenda a "shuga" ali ndi chidwi ndi funso loti ngati kulumala kwa matenda ashuga amayamba ngati amadalira insulin.
Zotsatira zake, odwala ambiri sangathe kukhala ndi moyo wokhala, makamaka, kugwira ntchito mokwanira komanso kudzisamalira. Pamenepa, boma limapereka mwayi wopereka thandizo la ndalama kwa anthu omwe apezeka ndi izi, komanso kwa iwo omwe adzakhale ndi ntchito yapadera.
Zachidziwikire, gulu lolemala mu matenda osokoneza bongo limaperekedwa pokhapokha, kuphatikiza matenda omwe amayambitsidwa, munthu amakhala ndi zovuta zina zomwe zingayambitse kulumala. Kutengera ndi matenda omwe munthu ali nawo, zikuwonekeratu kuti ali ndi vuto lotani.
Yankho silikhala labwino nthawi zonse, koma ngati matendawo samalola wodwalayo kudzisamalira yekha kapena kukulitsa miyezo yake yamoyo, ndiye kuti ali ndi mwayi wopeza izi.
Kuti awonetsetse momwe munthu alili, amatumizidwa ku ntchito yapadera yomwe imapanga lingaliro loyenera. Ntchito ya wodwala ndikuwunikiridwa mokwanira ndikupeza zikalata, zomwe zimatsimikizira kupezeka kwa matenda omwe ali, chomwe ndi chifukwa chomagawira gulu linalake lolumala.
Kodi kuzindikira kulumala ndikuti?
Nditawunikira zidziwitsozo, zimawonekera ngati kulumala mu shuga kumapereka.
Kuti mumvetsetse pamene kulumala kumaperekedwa, muyenera kudziwa zovuta zomwe zingachitike pakupanga mtundu woyamba wa shuga.
Ndikofunika kudziwa kuti pali mndandanda wina wa matenda omwe amatsatana ndi mtundu wa matenda ashuga a mtundu wa 1, kulumala pankhaniyi kumayikidwa potengera matenda omwe amadziwika ndi wodwala.
Izi zomwe zimapereka ufulu wopunduka ndi:
- hypoglycemic coma yomwe imachitika pafupipafupi;
- khungu lomwe limachitika m'maso onse awiri;
- kulephera kwa mtima mu digiri yachitatu;
- kusintha kosiyanasiyana m'maganizo a wodwalayo, kuphatikizapo encephalopathy;
- ataxia, ziwalo ndi neuropathy;
- gangrene kapena angiopathy a m'munsi ndi kumbuyo miyendo;
- gawo lotsiriza la kulephera kwa impso.
Pafupifupi aliyense wodwala matenda ashuga posachedwa amafunsa funso ngati wodwala amene ali ndi vuto lakelo ali ndi vuto la kulumala, koma ngati aphunzira mosamala malamulo aposachedwa, komanso chidziwitso chomwe chatchulidwa pamwambapa, zimayamba kumveka pomwe munthu angadalire phindu loterolo.
Kudandaula kwamatenda a matenda amtundu woyamba kungakhale munthu amene sangathe kudzipulumutsa. Mwanjira ina, awa ndi anthu omwe amafunikira chisamaliro chokhazikika. Tiyerekeze kuti ndi osayang'ana danga, sangadziyeretse kapena kuchita ntchito zina mwaukhondo.
Uwu ndiye mtundu wovuta kwambiri wa matenda ashuga, momwe wodwala amafunikira chisamaliro chokhazikika, chifukwa chake amatha kudalira kupatsa gulu limodzi la olumala.
Ndi magulu ena opunduka omwe angakhale?
Pali magulu angapo olumala.
Maguluwa amapereka odwala, kutengera mtundu wa ma pathologies omwe adazindikira.
Mwachitsanzo, ngati munthu sanapatsidwe gulu loyamba, ndiye molingana ndi kuphwanya kwa thupi, akhoza kupatsidwa gulu lachiwiri.
Nthawi zambiri, gulu lachiwirili limapezeka kupezeka kwa zinthu monga:
- Kuwona kulibe malire.
- Kulephera kwa impso.
- Matenda amisala omwe amayamba chifukwa cha encephalopathy.
- Neuropathy a digiri yachiwiri.
Zachidziwikire, gulu ili la odwala liyeneranso kuyang'aniridwa ndi katswiri pafupipafupi. Komatu, pankhani iyi, wodwalayo amatha kudzisamalira yekha, chifukwa iye ndi amene ayenera kulandira chithandizo kwa nthawi yonseyi.
Ngakhale amafunikabe kumufufuza pafupipafupi komanso kumwa mankhwala oyenera kuti akhale ndi thanzi labwino kuposa momwe alili.
Chifukwa chaichi, maulendo opita kuzipatala zapadera amayenera kukhala a gulu laanthu olumala. Iliyonse mwa mabungwewa imathandizira pa matenda amtundu wina, chifukwa chake cholinga chake ndikuthandizira thanzi la anthu komanso kupewa kuwonongeka kwake.
Mwa njira, ndikofunikira kuzindikira kuti anthu awa sangakhale nawonso kupeza ntchito iliyonse yomwe angafune, kotero boma lawapatsa gawo logawananira thandizo lina lazachuma.
Imalipira ngati pali gulu lolemala loyenerera.
Gulu lachitatu la olumala limapatsidwa milandu iti?
Kutengera zomwe zanenedwa pamwambapa, zinaonekeratu kuti matenda amtundu wa 1 shuga amatha kuyambitsa zovuta kwambiri mthupi. Palibe chosiyana ndi chophimba chakuti odwala omwe ali ndi vutoli adakhazikitsidwa gulu lachitatu lazolumala.
Nthawi zambiri izi zimachitika adotolo akakonza njira yovuta ya matendawa. Kuwonongeka kwa thupi sikovuta kwambiri, komabe, motsutsana ndi maziko a matenda ashuga, matenda ovuta kwambiri apezeka, mutha kuyesa kukayezetsa ndi kupeza gulu lachitatu lolemala.
Muyenera kumvetsetsa kuti gulu liti lazolowera lomwe lidzapatsidwa kwa iye zimatengera thandizo la ndalama la wodwala. Mwa njira, kuti gulu ili la nzika liyenera kupereka chidziwitso cha ndalama kwa olamulira omwe akukhudzidwa, ndi chifukwa chake kuti penshoni yolipira yonse imakhazikitsidwa.
Kuti mumvetsetse bwino zovuta zonse za matenda ashuga, muyenera kumvetsetsa bwino zomwe zimapezeka nthawi zambiri ndi zomwe mungazigwiritse ntchito molondola.
Kuti muthane ndi mavuto onsewa, muyenera kufunsa dokotala amene akupatseni njira yoyenera yozindikirira ndipo ngati kuli koyenera, pitani kwa wodwalayo kuti amupimitsenso komanso kuti akalandire chithandizo chapadera.
Kodi ndikofunika kukumbukira chiyani mukamafunsira za kulumala?
Chifukwa chake, pofotokoza mwachidule momwe munthu angakhalire ndi vuto la matenda ashuga, zinaonekeratu kuti izi zitha kuchitika pokhapokha ngati pakufunika kudziwa zoyenera kutsimikizira zomwe zalembedwa.
Choyamba, ngati wodwalayo ayamba kumva kuwonongeka kwa thanzi lake, ayenera kufunsa dokotala. Dotoloyo akuwonetsa kuyesedwa kowonjezereka, pamaziko a mawu omaliza okhudza gulu lolumala lomwe loyamba, lachiwiri kapena lachitatu limaperekedwa kwa wodwala.
Ndizodziwikiratu kuti zitatha izi, madokotala amakupangira mtundu wa chithandizo, amalimbikitsa kuti mugwiritse ntchito mankhwala oyenera mu mlingo woyenera, ndipo, inde, mumasewera.
Mwachidule, palibe amene anganene kuti kulumala kulibe kanthu, chifukwa mudzayesedwa mayeso ambiri ndikuwonetsa kwa madotolo kuti wodwala wina ali ndi zovuta zaumoyo zomwe zimamulepheretsa kukhala ndi moyo wonse.
Muyeneranso kuyeza kuchuluka kwa shuga m'magazi anu, ndikudziwa zomwe zingatsutse munthu uyu, zomwe zingaphonye.
Ponena zamasewera, zimadziwika kuti masewera olimbitsa thupi, yoga kwa odwala matenda ashuga, kusambira ndi zochitika zina ndi zabwino kwambiri.
Koma ndikwabwino kusiya kwambiri.
Momwe mungayang'anire matenda ake?
Tsopano zikuwonekeratu kuti kulumala kwa mtundu woyamba wa shuga kumakhazikitsidwa pokhapokha wodwalayo atakayezetsa ndi katswiri ndipo atayendera bungwe lapadera lomwe limapanga chisankho chomaliza pankhaniyi.
Anthu olumala a magulu osiyanasiyana amatha kudalira kuchotsera kwapadera. Zachidziwikire, koposa zonse zimadziwika mu odwala omwe ali ndi matenda a shuga a mtundu woyamba. Nthawi zambiri amakhala ndi mavuto.
Ngati munthu aganiza zofunsa izi payekha, ndiye kuti zomwe akuchitazi zikuwoneka ngati:
- Pitani ku GP kapena endocrinologist wakomweko;
- amakumana ndi matenda a matenda a shuga, omwe amalembedwa ndi dokotala;
- pezani mayendedwe opita ku ITU.
Koyamba kulandira izi, njirayi ingaoneke ngati yovuta, ngakhale ndiyosavuta.
Inde, kuti muchite zonse bwino, ndikulimbikitsidwa kufunsa opezeka ku endocrinologist za izi kenako kuthana ndi zolemba.
Nthawi zambiri pamakhala zochitika ngati poyamba munthu ankapatsidwa gawo limodzi la olumala, kenako lina. Zikakhala choncho, ziyenera kumvetsedwa kuti wodwala aliyense amapita kukayezetsa pafupipafupi. Ngati pali zovuta pakapita nthawi yamatendawa ndikukula kwa matenda a concomitant, ndizotheka kupeza gulu la olumala.
Mukalandira kulumala, mutha kulembetsa zolemba izi ndikufunsira thandizo la ndalama.
Ndiubwino wotani womwe katswiri wa matenda ashuga anganene m'vidiyoyi munkhaniyi.
