Ambiri amva za matenda monga matenda a shuga. Amadziwika mu ana, ali ndi mawonekedwe ake, motero njira zochizira matenda amtunduwu zimasiyananso ndizomwe zimalimbikitsidwa ndi odwala ena.
Tiyenera kudziwa kuti pali mitundu isanu ndi umodzi yamitundu iyi ya matenda ashuga. Onsewa ali ndi zizindikiro zosiyanasiyana ndipo ndi osiyanasiyana. Chifukwa chake, kuti mudziwe momwe mungachitire izi kapena mawonekedwe amenewo, muyenera kumvetsetsa zomwe zimadziwika ndi.
Mwachitsanzo, Modi 2 imawoneka ngati mawonekedwe ofatsa kwambiri. Pankhaniyi, palibe mwayi wopeza hyperglycemia yachangu, amadziwikanso kuti 8% yokha mwa odwala onse omwe amatha kudwala ketoacidosis. Zizindikiro zina zomwe zimadziwika ndi matendawa komanso kuzunza odwala ndi matenda awa sikuwonetsedwa nthawi zonse mthupi.
Koma zingakhale momwe zingakhalire, wodwala yemwe ali ndi matendawa amafunikira chithandizo chokhazikika, choncho ayenera kumwa mankhwala a jekeseni nthawi zonse. Ndipo, zomwe ndizosangalatsa kwambiri, palibe chifukwa chowonjezera kuchuluka kwa mankhwalawa.
Anthu okhala kumpoto kwa Europe, komanso aku Britain, Dutch ndi Germany, ali ndi mwayi wokhala ndi Moby-atatu. Chofunikira chake ndikuti amayamba kudziwonetsa akadzakula. Nthawi zambiri, odwala amazindikira zizindikiro zoyambirira mchaka cha khumi cha matenda. Koma imadziwulula mwachangu kwambiri ndipo nthawi zambiri imatsagana ndi zovuta.
Ndizowonekeratu kuti kudziwa mtundu wanji wa matenda omwe wodwala ali nawo, kuwunika kokha komwe kungakuthandizeni.
Tiyenera kudziwa kuti matenda a shuga 1 amapezeka mosavuta .. Mtundu uwu wa matenda umadziwika mu gawo limodzi la odwala onse omwe amadziwika ndi matenda awa. Koma imadziwika ndi zizindikiro zazikulu. Chifukwa chake, pamafunika chithandizo mwachangu ndi kuchipatala kwachangu kwa wodwalayo.
Fomu 4 imadziwonekera makamaka mwa odwala, monga, atatha zaka 17. Komanso, munthu sangakhale chete pankhani yoti shuga modi 5 imafanana kwambiri modi 2.
Palibe chitukuko, pano pokhapokha, mosiyana ndi mawonekedwe achiwiri, matenda ashuga a shuga akhoza kuyamba pano.
Chidule cha kuzindikiritsa kumeneku chikuwonetsa kuti ndi mtundu wokhwima wa shuga womwe umapezeka mwa achinyamata. Kwa nthawi yoyamba mawuwa anayamba kugwiritsidwa ntchito kale mu 1975, amatanthauziridwa ndi ofufuza aku America. Adazindikira matenda osokonekera omwe amapita patsogolo mwa odwala kwambiri, mwa iwo omwe ali ndi cholowa chamatenda.
Ambiri ali ndi chidwi ndi funso loti matenda amtunduwu ndi owopsa bwanji. Choopsa chachikulu ndikuti matendawa amasokoneza ntchito ya ziwalo zina zonse mthupi, zomwe zimakhala zowopsa kwambiri kwa odwala a zaka zazing'ono. Kupatula apo, zimadziwika kuti nthawi yakutha kwa mwana ndikofunikira kwambiri kuwunika momwe ziwalo zake zonse zimagwirira ntchito ndikupewa kukula kwa matenda ena aliwonse.
Inde, matenda ashuga nthawi zambiri amakhala ndi zovuta zama metabolic, zomwe zimatha kuvulaza maziko a mahomoni a wodwala wachichepere. Gulu la odwala lolembetsedwa mwapadera ndi dokotala.
Matendawa amakula chifukwa cha masinthidwe ena omwe amapezeka m'mitundu. Zotsatira zake, zovuta zapakhansa. Kusintha kwamtundu wamtunduwu kumasokoneza njira yodziwitsira matenda. Kuzindikira matenda a shuga a m'mody ndikotheka pogwiritsa ntchito njira yodziwitsa anthu za maselo. Kuti mutsimikizire matendawa, muyenera kuwonetsetsa kuti kusintha kwa majini kwachitika.
Kusanthula pamwambapa kuwonetsa kuti ndi uti mwa mitundu isanu ndi itatu yomwe wasintha, ndipo mwina angatsimikizire kuti onse anasintha. Zotsatira izi, poyerekeza ndi zomwe zikuwonetsa ndi zina ndi zina zamankhwala, zithandiza kupanga njira yabwino yochizira.
Monga tafotokozera pamwambapa, ndizovuta kwambiri kuzindikira zizindikiro za modi-2. Izi ndichifukwa choti mu mawonekedwe awa amakhala kuti palibe. Kuzindikira kwaukazitape kokha ndi komwe kungathandize pano.
Koma nthawi zina, pamakhala chithunzi china cha matenda osokoneza bongo, omwe angathandize kudziwa matendawa. Izi ndi:
- Kuchotsedwa kumatenga nthawi yoposa chaka chimodzi. Palibe nthawi iliyonse yobwezera (chotchedwa chikondwerero).
- Palibe matenda ashuga a ketoacidosis.
- Maselo omwe amachititsa kuti insulini ipange bwino ntchito zawo (izi zitha kutsimikiziridwa ndi kusanthula, komwe kukuwonetsa kuchuluka kwa C-peptide m'magazi).
- Ngati mutayambitsa insulini yocheperako, ndiye kuti chiwongola dzanja chabwino chidziwika.
- Glycated hemoglobin pamlingo wa eyiti.
- Palibe ma antibodies omwe amapezeka mu insulin beta cell.
Modi-2 kapena mtundu wina uliwonse wa matenda ashuweli ndi owopsa chifukwa ndizosatheka kudziwa nthawi. Nthawi zambiri zimatsimikiziridwa pokhapokha pachitika kafukufuku komanso ngati wodwalayo ali ndi abale ake omwe nawonso amadwala matenda ashuga. Zimatsimikiziridwa ngati mwana wapezeka ndi mtundu wachiwiri wa matenda ashuga asanakwane zaka makumi awiri ndi zisanu, koma alibe zizindikiro za kunenepa kwambiri.
Muyenera kumvetsetsa kuti matenda osokoneza bongo a mobi-shuga sawonetseredwa mwanjira iliyonse, chifukwa chake zimakhala zovuta kudziwa momwe angayambire.
Ngati makolo akukayikira pang'ono za thanzi la mwana wawo komanso chizindikiro chimodzi chodwala chawululika, ndibwino kumamuyeza nthawi yomweyo ngati mukupima matendawa.
Zikuwonekeratu kuti chithandizo chimatengera mtundu wa chitukuko cha matendawa. Monga matenda a matenda a shuga a mtundu 2, chakudya choyenera komanso chokwanira nthawi zambiri chimakhala chokwanira, komanso monga matenda a metabolism.
Muyenera kusamalira kukhalapo kwa zolimbitsa thupi zokwanira. Mwa njira, zolimbitsa bwino ntchito zolimbitsa thupi zitha kukhala chithandizo chothandiza kwambiri.
Zimatsimikiziridwa kuti pamlingo wina wa matenda ashuga, maphunziro olimbitsa thupi amathandizira kupukusa kapamba. Izi makamaka modi-2. Koma, zoona, wophatikizidwa ndi njira zina zamankhwala, sizokhazo zomwe madokotala amalimbikitsa. Thandizo labwino:
- Yoga odwala matenda ashuga kapena masewera ena olimbitsa thupi.
- Kuphatikizidwa muzakudya zomwe zimathandizira kuchepetsa shuga.
- Kumwa mankhwala apadera omwe amachepetsa shuga.
- Kuchotsera ku chakudya cha yokazinga, mafuta kapena zakudya zonunkhira kwambiri.
- Kuchepetsa kumwa.
- Mankhwala ena wowerengeka (infusions kapena decoctions aomera achomera).
Ndi mtundu uliwonse wa matenda ashuga, ndikofunikira kupenda wodwalayo panthawi yake. Odwala oterowo amayendera pafupipafupi endocrinologist ndipo amalembetsa naye, makamaka ngati mwanayo ali ndi matendawa.
Nthawi zina pamakhala kuchuluka kwa shuga ndikomwe dokotala amaletsa kugwiritsidwa ntchito kwa mankhwala aliwonse, izi zimachitika mwanjira yachiwiri. Nthawi zambiri izi zimachitika mwa achinyamata, koma zitatha izi amayenera kupita pafupipafupi kwa endocrinologist ndikupita kukayezetsa mosiyana kuti adziwe zonse zomwe zingachitike ndikuwonetsetsa kuti palibe kubwereranso. Kanemayo munkhaniyi apitiliza kuphunzira za Moby Diabetes.
