Tidafunsa Dr. Rizin kuti atiuze za zomwe muyenera kukonzekera mutatha kudziwa za matenda anu, za malingaliro okhudzana ndi matenda ashuga (nthawi zina osagwirizana ndi zenizeni) komanso povomera matenda anu.
Kuzindikira "matenda a shuga" omwe adanenedwa ndi adokotala nthawi zonse kumakhala kogwedeza mwamphamvu kwa wodwalayo, kudabwitsidwa, kudandaula, kuwopa mafunso osadziwika komanso ambiri. Chithunzi cha moyo wamtsogolo chimawoneka chachisoni kwambiri: jakisoni wosatha, zoletsa kwambiri pazakudya zopatsa thanzi komanso zolimbitsa thupi, kulumala ... Kodi ziyembekezo zimakhala zosasangalatsa? Yankho lalitali limapereka Dilyara Ravilevna Rizina, endocrinologist wa MEDSI Clinic mu Khoroshevsky ndima, kwa iye timamuuza mawu.
Pambuyo pakupezeka kwa matenda a shuga mellitus adanenedwa, wodwalayo, monga lamulo, choyamba amadutsa gawo lokana: nthawi zambiri amayamba amakhulupirira kuti ndizotheka kuchira pogwiritsa ntchito njira zina - popanda insulin ndi / kapena mapiritsi. Izi ndizowopsa, chifukwa popanda chithandizo choyenera timaphonya nthawi yofunikira, zovuta zimakhalapo, nthawi zambiri zimakhala zosasintha.
Pambuyo pozindikira, wodwalayo ayenera kumvetsetsa kuti matendawa, ngakhale kuti ndi osachiritsika, amatha kuthandizidwa. Ndi njira yodziwira bwino zaumoyo wanu, sipadzakhala zovuta. Ngati chilichonse chachitika molondola, mutha kusangalala ndi chisangalalo chonse cha moyo, kudya zakudya zosangalatsa, kusewera masewera, kubereka ana, kuyendayenda ndikukhala ndi moyo wokangalika.
Kumayambiriro kwa ulendo wanu, muyenera kulembetsa ku Sukulu ya Matenda a shuga, komwe mukhala ndi mwayi womvetsera pazokambirana, kufunsa mafunso onse osangalatsa, phunzirani luso la jakisoni ndi kudziletsa.
Ndikofunikira kupeza gulu lanu. Onetsetsani kuti mukulumikizana ndi anthu ena omwe ali ndi matenda ashuga, alipo ambiri, ndipo palimodzi ndizosavuta kuthana ndi zovuta.
Ndikofunikira kuyendera endocrinologist yanu munthawi yake. Mukangozindikira, ndibwino kuti muchite izi pafupipafupi, kamodzi pa masabata 1-2. Koma njira ya chithandizo ikasankhidwa, mutha kubwera ku phwando ndi nthawi 1 m'miyezi itatu kuti mukayezetse, ndipo mwina, sinthani mankhwalawo. Ndikofunikanso kuyendera akatswiri ena odziwa ntchito: katswiri wa zam'maso, wamisala, komanso malinga ndi umboni waukatswiri wamtima, kamodzi pachaka. Yamikirani thanzi lanu, isamalire, popewa kukula kwa zovuta.
Kufunika kowunikira shuga watsiku ndi tsiku kudzawonjezedwa m'moyo wanu. Mtundu woyamba wa matenda a shuga 1 komanso nthawi ya kubereka, kuyang'anira pafupipafupi ndikofunikira - kuyambira magawo 4 mpaka 8 patsiku, izi ndizofunikira popanga chisankho pa nthawi ya kuchuluka kwa insulini yoyendetsedwa, ndikuwongolera machitidwe a hypo.
Kwa mankhwala osankhidwa a mtundu 2 a shuga, kuwunika koteroko sikofunikira, ndikokwanira kuyang'anira kuchuluka kwa glucose kokha 1-2 patsiku. Kuchita izi pafupipafupi ndikofunikira pokhapokha ngati kukonzedwa kumakonzedwa kapena ngati pali madandaulo okalamba.
Pakadali pano pali zida zambiri zodziyang'anira nokha, nthawi zambiri izi zimakhala ma glucometer onyamula, ndizosavuta kugwiritsa ntchito, ndizotheka kutenga nanu. Pali ma glucometer omwe amatumizira deta kupita ku smartphone kapena ngakhale yomweyo kwa dokotala, ndikungopanga ma graph osangalatsa, omveka bwino akusintha kwa shuga. Zimatenga mphindi zosakwana 1 kuyeza shuga.
Njira zamakono zowunikira glucose mosadukiza sizimafunanso kuti munthu azilipira tsiku lililonse. Kukhazikitsa kumatenga mphindi imodzi, ndipo akuyenera kusinthidwa nthawi 1 m'masabata awiri.
Komabe, sikokwanira kungoyerekeza kuchuluka kwa shuga, ndikofunikira kulemba chiwerengerochi muzolemba zodziletsa, komanso kusankha pakufunika koyambitsa insulini kapena kumwa zakumwa zotsekemera.
Madokotala akuyembekezeradi kulandira zolemba zanuzi kuchokera kwa inu - izi ndizofunikira pakuganiza pazofunikira pakuwongolera chithandizo.
Muyenera kuwerengera zakudya zanu. Odwala omwe ali ndi mtundu wachiwiri wa matenda a shuga (omwe kale amatchedwa osagwirizana ndi insulin) amalimbikitsidwa pazakudya ndi zomwe zimatchedwa "kuwala kwa traffic traffic" - memo wokhala ndi malangizo posankha.
Zogulitsidwamo zimagawika m'magulu atatu, kutengera kuchuluka kwa shuga m'magazi komanso zimakhudza chitukuko cha insulin (insulin kukana) ndi kulemera. Type 2 shuga mellitus nthawi zambiri (koma osati nthawi zonse!) Pamodzi ndi kunenepa kwambiri, motere ndikofunika kwambiri kuti ayambe kuchepetsa bwino kulemera. Ndi kukula kwa thupi, nthawi zina zimakhala zotheka kukhala ndi shuga m'magazi, ngakhale osamwa mankhwala.
Zizolowezi za chakudya, monga zizolowezi zina, ndizovuta kusintha. Kulimbikitsa kwabwino ndikofunikira pano. Ngati muli ndi matenda a shuga a 2, muyenera kuwonanso zakudyazo. Koma musaganize kuti tsopano muyenera kudya nsapato zokha, bere la nkhuku ndi maapulo obiriwira (modabwitsa, nthano iyi imakhala yofala kwambiri). Ndikofunikira kuyamba kuyendetsa thupi ndikuchotsa zakudya zopanda pake kuchokera mudengu lanu la zakudya, zomwe zimatchedwa zakudya zopanda pake (nthawi zina zimatchedwanso "zopatsa mphamvu"). Izi zimaphatikizapo zakudya zokhala ndi mafuta ambiri komanso shuga (chakudya chofulumira, tchipisi, zakumwa za shuga), komanso fructose, yomwe imapangidwa ngati mankhwala athanzi ndipo imagulitsidwa ngakhale m'madipatimenti a anthu omwe ali ndi matenda ashuga (pakadali pano, kudya fructose kumabweretsa kuwonjezeka kwa visceral (mkati) mafuta ndi kukulira kwa insulin kukaniza, komanso kuchuluka kwa oyimira pakati otupa mthupi). Koma mutapatsidwa chidwi chachikulu chokhala ndi moyo wathanzi, simudzapambana. Kuchokera pazogulitsa zotsalazo mutha kudzipangira nokha chakudya chokoma komanso chosiyanasiyana, chomwe, panjira, chidzakwanira banja lanu lonse.
Ndi matenda a shuga 1 amtundu wa shuga (omwe kale amatchedwa insulin-amadalira), nthawi zambiri simukufunika kudziletsa pakudya kwanu. Ndikofunikira kuti muchotse zakudya zokhala ndi index yayikulu kwambiri ya chakudya kuchokera m'zakudya, chifukwa ngakhale insulini yapanthawi yake singakhale mu nthawi yokweza kuchuluka kwa shuga m'magazi. Kupuma, mutha kupitiliza kudya zakudya zanu zonse zomwe mumakonda ndikugwiritsitsa zakudya zomwe mumadya. Mukungoyenera kudziwa zakudya zamagulu am'madzi ndi zakudya zomwe ali nazo kuti mumvetsetse kuchuluka kwa insulin.
Poyamba, izi zitha kuwoneka ngati zovuta komanso zolemetsa, koma machitidwe, makamaka masiku ano, pakakhala kuchuluka kwakukulu kosankha foni ya smartphone, sizitenga nthawi yambiri. Sikoyenera kunyamula sikelo zamagetsi ndikusamala mosamala zinthu zonse. Magulu oyesa ndi tanthauzo lomwe tidali nalo: supuni, galasi, kukula ndi nkhonya, ndi kanjedza, ndi zina zambiri. Popita nthawi, inu, mukamayang'ana malonda, simudzakhala oyipa kuposa momwe zimakhalira ndi katswiri wazakudya kuti adziwe kuchuluka kwa chakudya chomwe mumapeza.
Chotsatira ndi kufunika kogwiritsa ntchito mankhwalawa. Muyenera kuwuza endocrinologist wanu wamakhalidwe anu amodzimodzi, ndipo potengera izi, adotolo azikulangizani za mtundu wabwino kwambiri wa mankhwala.
Ngati tikambirana za mtundu wa 2 wa matenda a shuga (omwe kale amatchedwa osagwirizana ndi insulin), nthawi zambiri mankhwalawa amayamba ndi kukonzekera kwa piritsi, omwe amayenera kumwa kamodzi kapena kawiri pa tsiku. Nthawi zina, pakakhala zisonyezo zina, timayamba kulandira chithandizo mwachangu ndi mankhwala omwe angagwiritsidwe ntchito (insulin kapena aGPP1). Koma nthawi zambiri timalankhula za jakisoni imodzi patsiku, mwachitsanzo usiku kapena m'mawa.
Mtundu woyamba wa shuga, njira yokhayo yothandizira ndi insulin.Pali njira zingapo, koma nthawi zambiri ndimankhwala othandizira, mukamaba jakisoni wambiri mpaka kawiri patsiku, komanso kupanga "jabs" ya insulin yochepa musanadye. Izi zitha kuwoneka zovuta kwambiri poyamba, koma ayi! Ma cholembera amakono a syringe ndi zida zabwino kwambiri. Mutha kubayira insulin m'masekondi ochepa, kunyamula nanu, kuyenda popanda zovuta.
Palinso ndi insulin mankhwala. Ndizosavuta kwambiri, sizitanthauza kuti nthawi zonse musamayendetsedwe, komanso matenda ashuga omwe angapangidwe. Mothandizidwa ndi dokotala, mutha kukonza pulogalamu ya insulin mwachangu pazosowa zanu.
Komabe, pampu sichidakhala chida "chotsekedwa", muyenera kuyang'anira mashuga anu ndikutha kuwerengera XE (mkate magawo).
Pamaso pa shuga mellitus, masewera samangoletsedwa kwa inu, komanso akuwonetsedwa! Iyi ndi imodzi mwazithandizo zithandizo lamankhwala, ngakhale sililowa m'malo mwa insulin. Ndi masewera olimbitsa thupi, minofu yathu imatenga shuga ngakhale osatenga nawo gawo la insulin, motero, mukamasewera masewera, kuchuluka kwa glycemia kumapangitsa kuti kubereka, komanso kufunika kwa insulini kumachepa.
Pokambirana kwamseri, odwala amatha kudandaula kuti akukana kuzindikira matenda ake. Anthu amangotopa kufunikira koteteza matenda ashuga: amafuna kusiya - ndipo chilichonse chimachitika. Palibe chifukwa chilichonse chogonjera kufooka kwakanthawi. Ngakhale pakadali pano simukukumana ndi vuto lalikulu la shuga, zovuta zomwe zimayamba msanga, zomwe thanzi lanu likuvutikira posachedwa, ndipo simudzabweza nthawi yotayika. Matenda a shuga amatha kukupangani mphamvu ndikuthandizani kuti mukhale ndi moyo wautali, wachimwemwe! Inde, muyenera kusamala kwambiri za inu nokha, koma chifukwa chakuti mumayang'anira zakudya zanu, masewera olimbitsa thupi, kuyendera madokotala pafupipafupi, mwina zingakupatseni mwayi.
