Odwala ambiri omwe ali ndi matenda opatsirana a shuga amafunitsitsa funso ngati kulumala kumapereka shuga, chifukwa masiku ano palibe mankhwala othandizira kuti athetse matendawa.
Wodwala, akapezeka, ayenera kuphunzira kukhala ndi matendawa moyo wake wonse.
Pathology sikuyenda monga choncho. Chifukwa cha matendawo nthawi yayitali, njira zosiyanasiyana za m'magazi zimayamba kukula m'thupi la wodwalayo, zomwe zimapangitsa kuti pakhale kuwonongeka kwakukulu. Matenda amisala pakuchitika kwa ziwalo zambiri zamkati ndi machitidwe awo amawonekera, ndipo nthawi yayitali ya njira zofunika kwambiri za metabolic zimasokonekera.
Kodi kudwala matenda ashuga kumatha bwanji?
Kupeza kulumala kumatengera kupezeka kwa matenda omwe amayambitsidwa ndi matenda omwe amayambitsidwa ndi matenda a shuga komanso kuuma kwawo. Ngati, potengera komwe kudwala matenda ashuga, munthu ali ndi zosokoneza pakugwira ntchito kwa impso ndi chiwindi, gulu lolemala m'matenda a shuga limadalira kuchuluka kwa ntchito ya ziwalozi.
Pankhani ya momwe mungakhalire ndi matenda opatsirana a shuga, muyenera kukumbukira kuti chisankhochi chimapangidwa ndi mamembala a komiti yapadera. Zikalata za ntchitoyi zimaperekedwa ndi adotolo wachigawo. Kodi wodwala ali ndi vuto la matenda ashuga? Kuti muchite izi, chinthu choyamba chomwe munthu ayenera kufunsa ndi dokotala.
Ndi gulu lolemala liti lomwe limaperekedwa kwa wodwala?
Matenda a shuga komanso kulemala ndizogwirizana kwathunthu, ngati matendawa ali ndi zotsatira zoyipa komanso amakhudza ntchito ya ziwalo.
Chithandizo cha matendawa chimakhazikika pakusungira ntchito zofunika kwambiri zamthupi komanso kuchotsa zizovuta zovuta kwambiri. Poyankha funso lokhudza mtundu wankhanza womwe umakhazikitsidwa mu matenda ashuga, ziyeneranso kudziwikanso kuti magawikawa m'magulu oyenera amatengera kulimba kwa zovuta zomwe zidapangitsa kulumala ndi mtundu wa zovuta.
Matenda ali ndi njira zowunikira, akatswiri amawunika kukula kwa maphunzirowo ndipo amawunikira kuti wodwalayo azitha kugwira ntchito.
Ndikofunika kumvetsetsa kuti ndi mtundu wanji wa shuga womwe ukupita patsogolo mwa wodwala wina.
Kupimidwa kwa zamankhwala ndi chikhalidwe cha anthu odwala matenda ashuga kumawerengera momwe munthu aliri ndi kudziwa kuchuluka kwake komwe kumalandidwa mwayi wogwira ntchito mokwanira komanso kupezera zosowa za thupi zakuthupi, ngakhale atafunikira thandizo lakunja kuti athetse mavuto a tsiku ndi tsiku.
Chovuta kwambiri ndi gulu loyamba la olumala, lomwe limaganizira kulephera kwathunthu kwa munthu kugwira ntchito, akuwonetsa kuti akufuna chisamaliro chakunja. Gulu loyamba la zilema limaperekedwa kwa wodwala omwe ali ndi zovuta zotsatirazi ndi matenda:
- pafupipafupi kukomoka pa maziko a hypoglycemia;
- khungu lonse m'maso onse;
- kulephera kwa mtima (digiri yachitatu);
- encephalopathy;
- neuropathy, yowonetsedwa mu mawonekedwe a kulumala kwamatenda kapena ataxia;
- gangrene wa malekezero, matenda ashuga;
- kulephera kwa aimpso pamalo oyambira amagetsi.
Mndandandawu umaphatikizapo odwala omwe, chifukwa cha kupita patsogolo kwa matenda osokoneza bongo m'thupi, amakhala ndi zovuta zaumoyo, zomwe zimapangitsa kuti wodwalayo asathe kuyima payokha kapena kuchitira kwathunthu zofunika zake zofunika kwambiri. Odwala amafunikira chisamaliro chokhazikika, kuyang'anira ndi kupatsa zosowa zawo ndi boma.
Odwala amayang'aniridwa nthawi zonse ndi chipatala.
Odwala amapitilira mayeso owonjezera komanso kulandira chithandizo cha mankhwala.
Magulu Ovutika ndi Matenda a shuga
Kodi mungapangire bwanji kudwala matenda ashuga?
Odwala omwe ali ndi matenda ashuga ayenera kuthandiza dokotala. Komanso, adotoloyo ndiye woyambitsa chisankhochi, chifukwa chofufuza bwino wodwala ndi mbiri yake ya zamankhwala, amapanga chisankho pakufunika kusankha komiti. Malinga ndi zotsatira za ntchitoyi, wodwalayo amapatsidwa gulu linalake lopuwala.
Mukamayankha funso la momwe mungakhalire ndi vuto la matenda ashuga, muyenera kumvetsetsa - choyambirira, muyenera kukayezetsa zonse, kenako mukayendera Commissionyo kuti ikawone ngati ingapatsidwe phindu ili.
Boma limapereka kulumala kwa ana omwe ali ndi matenda ashuga. Potere, mwana akhoza kulimbikitsidwa kuti azitha kusankha njira yakutali yophunzirira malinga ndi maphunziro amasukulu kapena maphunziro ake. Ngati ndi kotheka, thandizani mwana nkhawa. Njira zoperekera ana kulumala sizosiyana kwambiri ndi njira yomwe imagwira ntchito kwa achikulire. Koma munkhaniyi tikukamba kuti mwana amalandila udindo wa munthu wolumala kuyambira ali mwana ndipo atha kutenga maubwino angapo moyo wake wonse.
M'malo mwake amapatsa mwayi gulu lachiwiri?
Dziwani chachikulu chomwe kulumala kwa gulu lachiwiri kwapatsidwa:
- Retinopathy, yomwe ili mosavuta.
- Kulephera kwammbuyo pamasiku oyambira maphunziro.
- Encephalopathy, yomwe idapereka kusintha pang'ono mu psyche.
- Neuropathy a digiri yachiwiri.
Odwala omwe akhazikitsa gululi amayenera kuyang'aniridwa ndi dokotala, koma osati nthawi zonse. Amaganizidwanso kuti gulu ili la odwala limangokhala pantchito pang'ono ndipo likufunika chisamaliro, koma silokwanira.
Gawoli ndilapakatikati pakati pa zovuta kwambiri ndi zomwe ndizosavuta.
Gulu lachitatu lopunduka limayimiranso matenda omwe amakhala ndi matendawa, omwe amakhala ndi zovuta zina.
Momwe mungapezere gulu loyamba lopuwala?
Nkhani yovuta kwambiri yomwe imasangalatsa aliyense yemwe ali ndi matenda ashuga ndi yomwe lamulo limafunikira kuti athe kugawa gulu loyamba la olumala.
Matenda a diabetes a neuropathy a m'munsi am'munsi, chithandizo chomwe sichimapereka zotsatira zomwe zingafunike, atha kukhala chifukwa choika gulu loyamba la olumala.
Koma chifukwa cha izi, wodwala amafunika kumuyesa mayeso. Malinga ndi zotsatira za mayeso, wodwalayo amapatsidwa satifiketi yapadera ya mtundu wokhazikitsidwa, womwe umapereka chidziwitso chomaliza chomupeza.
Ndi gulu lolemala liti lomwe lili loyenera kwa wodwala wina?
Kuti tichite izi, ziyenera kufotokozedwa kuti pamenepa ntchito ya wodwalayo imakumbukiridwa nthawi zonse. Ngati ntchito za munthu zikuphatikiza kulumikizana mwachindunji ndi zida zovuta, ndiye kuti sangathe kugwira ntchito yake.
Zomwezi zimagwiranso ntchito kwa odwala omwe amagwira ntchito ngati oyendetsa mabasi a anthu onse. Pankhaniyi, madokotala amapatsa gulu la olumala kutengera momwe munthu alili, koma akuwapatsa kuti sangathenso kugwira ntchito yake. Lingaliro lotere limalepheretsa wodwalayo kuti azitha kudzithandiza yekha pazinthu zakuthupi, chifukwa chake amapatsidwa chindapusa china, chomwe chimalipidwa kuchokera ku bajeti ya boma.
Kodi malamulo ndi malamulo ake ndi ati?
Zowona kuti ndizotheka kukhala ndi chilema pamaso pa matenda a shuga zimawonetsedwa momveka bwino machitidwe oyendetsera omwe amapangidwa ndi ntchito zamaboma. Wodwala aliyense atha kupeza yankho mu malamulowa kufunsa ngati gulu laperekedwa ngati pali chidziwitso chotsimikizika. Tsopano ndikofunikira kumvetsetsa zomwe zimayenera kuchitidwa kwa wodwala wina kuti am'patse kulumala.
Choyamba, muyenera kumvetsetsa kuti gulu la anthu odwala matenda ashuga limaperekedwa pokhapokha atawunika zonse, potengera zotsatira za kafukufukuyu. Pankhaniyi, kuopsa kwa nthendayi komanso mtundu wa matenda omwe munthu akudwala umawaganizira.
Ndikothekanso kupeza chilema cha gulu lachitatu lomwe lili ndi matenda ashuga komanso matenda oopsa. Makamaka ngati zimalepheretsa munthu kukwaniritsa ntchito yake yapantchito.
Kwa odwala matenda ashuga, ndikofunikira kumvetsetsa komwe angagwire, komanso zomwe ayenera kutaya.
Atalandira kulumala, njira yodwalayo ili motere:
- Choyamba, ayenera kulumikizana ndi dokotala.
- Pambuyo pake, pimani nokha.
- Pezani mayendedwe opereka lamulo.
- Malizitsani maphunziro onse omwe amalimbikitsidwa ndi mamembala.
Nthawi zambiri, odwala amakhala ndi nkhawa ndi mndandanda wa mayeso ofunikira kuti apeze gulu lolumala la matenda ashuga a 2. Mndandanda wa mayeso ofunikira amatha kusiyanasiyana pakati pa odwala osiyanasiyana ndipo zimatengera mtundu wa matenda komanso zovuta zina. Maphunzirowa adagwiritsa ntchito ultrasound, tomography, x-ray ndi njira zina zofufuzira. Ndikofunikanso kuyesa kupsinjika kwa glucose, kusanthula konseko kwamkodzo ndi magazi, kufufuza kwathunthu kuchokera kwa dokotala.
Nthawi zina pamachitika zinthu zomwe gulu lolumala lisinthidwa kapena kuchotsedwapo nthawi yonse. Izi zitha kuchitika ngati munthu wagawika gulu loyamba, ndipo pakapita nthawi thanzi lake likuyenda bwino, amasinthidwa kukhala gulu la olumala kupita ku gulu lina, lopepuka. Palinso vuto linalo, pomwe vuto la munthu limangokulirakulira, ndipo amafunika chisamaliro chokwanira kuchokera kwa munthu wina.
Kutengera izi, titha kunena kuti pali njira imodzi yopezera zabwino, zomwe zimayendetsedwa ndi milandu yapadera yalamulo. Pakhoza kukhala zochitika zina mukafuna kupereka zikalata zochulukirapo, zomwe zimaphatikizapo umboni wowonjezera wa thanzi lanu.
Kodi ndikofunika kukumbukira chiyani popeza matenda ashuga?
Wodwala aliyense amene wakumana ndi vuto la matenda ashuga ayenera kumvetsetsa ngati ali woyenera kulumala, choti achite kuti alandire.
Izi zikugwiranso ntchito kwa makolo a ana omwe ali ndi matenda amtundu wa endocrine awa, ayenera kumvetsetsa ngati ana awo ali ndi mwayi wopindula.
Kuti mumvetsetse bwino lomwe ndi gulu lolemala lomwe lidayikidwa kuti pakhale matenda enaake, muyenera kufunsa kaye dokotala.
Katswiriyu adzaunikira zonse zotsatira za phunzirolo, ndipo ngati kuli koyenera, afotokozere zowonjezera, ndipo chifukwa chake, funsani gulu lomwe wodwalayo angadalire.
Kuyankha funso loti mwina ndizotheka kukhala ndi chilema pamaso pa anthu odwala matenda ashuga kapena ayi, yankho silikhala lomveka. Mutha kupeza zabwinozi, pokhapokha ngati pali chidziwitso choyenera.
Koma nthawi zina pamachitika madokotala amakana wodwala molowera ku ITU. Poterepa, ali ndi ufulu kuyankhula payekhapayekha mamembala a komitiyi ndikupempha kuti apatsidwe matenda olemala a mtundu wa 2 kapena mtundu wa matenda ashuga 1, omwe amakhala ndi matenda osiyanasiyana osachiritsika.
Koma monga choncho, sapereka phindu. Kuti muchite izi, perekani zikalata zotsatirazi:
- mawu olembedwa m'malo mwa wodwala;
- chilolezo kapena satifiketi yoperekedwa ndi adotolo wachigawo kapena khothi ngati akufuna kulandira chithandizo chokha;
- Kutuluka kuchipatala kapena khadi yakutuluka;
- chizindikiritso chofunikira - pasipoti;
- zikalata zotsimikizira maphunziro a odwala;
- mbiri yakulemba ntchito ngati munthu akuchita ntchito;
- mikhalidwe kuchokera kumalo ophunzirira, zikafika pa matenda a shuga kwa ana;
- ngati kudandaula kubwerezedwa, ndikofunikira kupereka chikalata chotsimikizira kuti walandira chilema cham'mbuyomu (khadi yokonzanso kapena satifiketi yolumala).
Boma limapereka zopindulitsa zingapo kwa anthu olumala a magulu osiyanasiyana. Zina mwazinthuzi ndi mwayi wolipira ndalama ndi maulere opita ku Sanatorium. Mutha kupezanso mita kwaulere. Chifukwa chake, izi zimathandiza kwambiri moyo wa anthu omwe alandidwa chifukwa chamatenda a shuga.
Zambiri pazabwino za odwala matenda ashuga zimaperekedwa mu kanema munkhaniyi.
