Funsoli limafunsidwa pafupipafupi ndi odwala nthawi yokumana ndi endocrinologist. Zachidziwikire, kutopa kumachitika pafupipafupi ndi anthu odwala matenda ashuga, chifukwa ndi chifukwa chodumphadumpha m'magazi a shuga komanso zovuta zina za "shuga".
Mukuyenera kumvetsetsa kuti kutopa wamba kumatha pambuyo pakupumula, pomwe kutopa kwakuthupi sikumatha. Malinga ndi American Diabetes Association, 61% ya anthu omwe ali ndi matenda a shuga 2 amangokhala ndi matendawo chifukwa chodwala. Tiyeni tiyesetse kumvetsetsa zomwe zimayambitsa vutoli ndikupeza zomwe mungachite nanu nokha, komanso zomwe zimafunikira kukaonana ndi dokotala.
Chifukwa chiyani timatopa chifukwa cha matenda ashuga
Zomwe zimayambitsa kutopa kwambiri ndizambiri:
- Amadumphira m'magazi a magazi;
- Zizindikiro zina za matenda ashuga;
- Mavuto a shuga
- Mavuto amisala ndi malingaliro okhudzana ndi matenda a shuga;
- Kulemera kwambiri.
Tiyeni tikambirane zambiri mwazifukwa zilizonse.
Mwazi wa magazi umangotuluka
Matenda a shuga amakhudza momwe thupi limayang'anira ndi kugwiritsa ntchito shuga. Tikamadya, thupi limagawaniza chakudya kukhala shuga wosavuta. Mu matenda ashuga, shuga awa amadziunjikira m'magazi mmalo molowa m'maselo omwe amafunikira shuga kuti apange mphamvu.
Ngati maselo athupi salandira shuga, izi zimafotokozedwa, pakati, mukumva kutopa ndi kufooka. Mankhwala othandizira odwala matenda ashuga, monga insulin ndi metformin, amathandiza kuti shugayu alowe m'maselo ndipo amalepheretsa kudziunjikira m'magazi.
Zotsatira zoyipa za mankhwala a shuga zingakhale shuga ochepa, i.e. hypoglycemia. Ndipo nayenso amachititsa kuti azikhala wotopa, makamaka kwa iwo omwe amadzimva kuti alibe shuga. Kutopa uku kumatha kukhalapobe nthawi yayitali ikadutsa.
Zizindikiro zina za matenda ashuga
Mawonetsero ena a "matenda a shuga" amapangitsanso munthu kuti azikhala wotopa nthawi zonse. Izi zikuphatikiza:
- Kuyamwa mwachangu;
- Kuthetsa ludzu ndi pakamwa pouma;
- Njala yokhazikika;
- Kuchepetsa thupi osafotokoza;
- Kuwona koperewera.
Zokha, siziwonjezera kutopa, koma zimawonjezera kuchepa mphamvu. Ndipo ndizowona kuti m'maganizo ndi m'thupi mumatha munthu. Komanso, izi zimasokoneza kugona, ndikupangitsa kuti mudzuke kangapo usiku, kenako kupita kuchimbudzi kapena kumwa madzi. Kugona kosokonezeka pang'onopang'ono kumasintha kukhala kusowa tulo ndipo kumangowonjezera kutopa.
Matenda a shuga
Mavutowa nthawi zambiri amakula pomwe magazi a shuga amakhazikika nthawi yayitali. Zomwe muyenera kulabadira:
- Mavuto a impso, kuphatikizapo kulephera kwa impso;
- Matenda pafupipafupi;
- Matenda a mtima
- Kuwonongeka kwa mitsempha (neuropathy).
Mavuto onse awiriwa komanso mankhwala omwe amawagwiritsa ntchito ngati mankhwalawa amatha kukulitsa nkhawa.
Thanzi lam'maganizo
Kukhala ndi matenda ashuga kumakhudza kwambiri thanzi la munthu m'maganizo. Malinga ndi kafukufuku yemwe adachitika mu 2016, kukhumudwa mwa anthu omwe ali ndi matenda ashuga kumawonjezeka kawiri kawiri kuposa ena. Kupsinjika kumapangitsa kuyendetsa shuga kukhala kovuta, kumakulitsa kugona, ndipo kumayendetsedwa ndi kutopa kwakukulu.
Kuphatikiza pa kukhumudwa, anthu omwe ali ndi matenda ashuga amadziwa nkhawa za thanzi lawo. Ndipo kuda nkhawa kosalekeza kuli chimodzimodzi ndi zovuta zake pakulimbana ndi nkhawa.
Kulemera kwambiri
Anthu ambiri omwe ali ndi matenda a shuga a 2 amakhala ndi mapaundi owonjezera kapena kunenepa kwambiri komwe kumapangitsa kuti omwe akukhala nawo azikhala osamala. Zomwe zimagwirizanitsa kunenepa ndi kutopa:
- Zolakwika pamakhalidwe omwe amatsogolera pakulemera, mwachitsanzo, kusowa kwachangu kapena zakudya zopanda thanzi;
- Kusuntha thupi lonse lolemera kumafuna mphamvu zambiri;
- Mavuto ogona chifukwa cha zovuta zomwe zimakhudzana ndi kunenepa kwambiri, monga kugona ziphuphu (kumangidwa kupuma m'maloto).
Momwe mungathane ndi kutopa kwakuthupi kwa matenda ashuga
Pali njira zingapo zosinthira zomwe zingathandize kulimbana ndi matenda ashuga komanso kutopa:
- Kukwaniritsa kulemera kwabwino (kupindula kapena kutaya ma kilogalamu, kutengera momwe zinthu zilili);
- Kuchita masewera olimbitsa thupi pafupipafupi;
- Zakudya zopatsa thanzi;
- Kuthandizira ukhondo wathanzi, kuphatikiza chizolowezi, kugona mokwanira (maola 7-16) ndi kupumula musanagone usiku;
- Kuwongolera kwam'maganizo ndi kuchepetsa nkhawa;
- Thandizo la abwenzi ndi abale.
Njira yothandiza kwambiri polimbana ndi kutopa kwambiri ndikubwezeretsanso kwa matenda ashuga:
- Kupitiliza kosalekeza kwamagazi a shuga;
- Kugwirizana ndi zakudya zomwe zimaletsa chakudya chamafuta ndi shuga osavuta;
- Kumwa mankhwala onse omwe adokotala adapereka;
- Kuthandiza pa nthawi yake matenda onse othandizira - a mtima, aimpso, kukhumudwa ndi zina zotero.
Zina zomwe zingayambitse kutopa
Pali zifukwa, ndipo sizogwirizana mwachindunji ndi matenda ashuga, mwachitsanzo:
- Matenda owopsa;
- Kupanikizika kopanda shuga;
- Anemia
- Nyamakazi kapena matenda ena oyambitsidwa ndi kutupa;
- Hormonal kusalinganika;
- Kugona tulo;
- Zotsatira zoyipa za mankhwala osokoneza bongo.
Mukaonana ndi dokotala
Mu shuga, ndikofunikira kukaonana ndi dokotala pafupipafupi kuti muwone ndikuwongolera matendawa. Ngati kutopa kumawonekera koyamba kapena kumakulirakulira, pitani kuchipatala kuti mutsimikizire kuti chithandizo chamankhwala sichikudwalitsani komanso kuti mulibe zovuta za matenda ashuga. Ngati kutopa kumayendera limodzi ndi zizindikiro monga kutentha thupi, kuzizira, kapena kudwala kwina, izi zitha kuonetsa kukhalapo kwa matenda mthupi, zomwe zikutanthauza kuti adotolo ayenera kuwonekera!
Mapeto
Kutopa kwakanthawi kumasokoneza moyo, koma zinthu zimatha kusintha kwambiri ngati mungakhalebe ndi shuga pamlingo wazomwe mukufuna ndikusintha moyo malinga ndi malingaliro omwe ali pamwambapa.
