Matenda a shuga ndi amodzi mwa matenda ofala kwambiri padziko lapansi. Kuwonekera kamodzi, sadzasiya thupi la wodwalayo.
Matendawa amakakamiza wodwalayo kuti aziona kuchuluka kwa shuga moyo wake wonse ndikutsatira malamulo ena angapo kuti asadzetse zovuta zazikulu.
Pali chikhulupiriro champhamvu pagulu kuti kufa ndi matenda ashuga kumachitika kawirikawiri. Kodi wodwala aliyense adzachotsedwa? Mutha kupeza yankho la funso ili pansipa.
Kodi chimachitika ndi chiani ndi matupi amthupi omwe amakhala ndi shuga wambiri nthawi zonse?
Mulingo wokwanira shuga m'magazi odwala matenda ashuga umatsutsa kuchuluka kwa zovuta zosiyanasiyana. Izi zimapangitsa kuledzera kwa thupi, zimakwiyitsa kudzikundikira kwa poizoni. Kutengera izi, ntchito ya ziwalo zonse ikuipiraipira.
Matupi a Ketone ndi acetone amadziunjikira, omwe amayamba ketoacidosis. Matendawa atha kudwala matenda ashuga.
Shuga wambiri amawononga makhoma a capillaries ndi mitsempha yamagazi mumagazi onse. Pankhaniyi, ziwiya zam'magazi komanso zamatumbo zimavutika, ndipo mchitidwewo umasunthira kumadera otsika, omwe amatsogolera phazi la matenda ashuga.
Kuphatikizanso apo, mapangidwe atherosselotic amapezeka m'matumba omwe akukhudzidwa, omwe amachititsa kuti zikhumbo ziwonekere. Zotsatira zake, izi zimatha kudzetsa kupweteka, kugunda kwa mtima, komanso zimapangitsa kuti manja ake achotsedwe.
Kodi ndingafe ndi matenda ashuga?
Pamene insulini idalibe m'mankhwala, kuchuluka kwa anthu odwala matenda ashuga anali okwera kwambiri.Komabe, njira zamakono zochizira matendawa zitha kuchedwetsa kuopsa kwake.
M'malo mwake, sikuti matenda a shuga omwe amatsogolera kuimfa, koma zovuta zomwe zimadzetsa..
Kutengera ndi zomwe tafotokozazi, zotsatira za kuchuluka kwa shuga mthupi mowonjezereka, titha kunena kuti zomwe zili mkati mwake zimatsogolera pakupanga matenda ambiri, pakati pawo omwe angapangitse wodwalayo kufa.
Pofuna kuti asatenge thupi lotere, wodwala matenda ashuga ayenera kuyang'anitsitsa momwe aliri.
Zomwe zimayambitsa matenda pakati pa odwala matenda ashuga
Mtundu 1
Mu mtundu woyamba wa matenda ashuga, zomwe zimayambitsa kufa zimatha kukhala:
- kulephera kwa mtima;
- myocardial infarction - nthawi zambiri chimayambitsa imfa ya munthu wodwala matenda ashuga chifukwa cha kufooka kwamankhwala.
- ischemia;
- nephropathy ndi matenda a impso limodzi ndi kulephera kwa aimpso. Popanda chithandizo, amapha;
- angina pectoris;
- wodwala matenda ashuga.
Mitundu iwiri
Mtundu wachiwiri wa matenda ashuga, zomwe zimayambitsa kufa zimatha kukhala:
- ketoacidosis - amayamba chifukwa cha zovuta za metabolic, zomwe zimapangitsa kuti matupi a ketone apangidwe, ndipo, nawonso, amakhala ndi poizoni pazigawo zomwe pamapeto pake zimabweretsa imfa;
- matenda opatsirana owopsa - Chifukwa cha kufooka kwa matendawa, munthu wodwala matenda ashuga amasavuta kulowa mkatikati. Ndikothekanso kupezeka ndi matendawa ndipo ndi omwe angayambitse imfa;
- kusintha kwa minofu - amapezeka chifukwa cha neuropathy, kumabweretsa kuyambitsa matenda. Imfa pankhaniyi imachitika chifukwa cha zotsatira za mtima;
- matenda ashuga nephropathy - kumabweretsa kulephera kwambiri kwaimpso, nthawi zina, kuchiritsa kumatheka kokha ndikusintha.
Ndi mavuto ati omwe mungafe mwadzidzidzi?
Kumwalira mwadzidzidzi matenda ashuga kungayambitse:
- CHD (matenda a mtima);
- matenda ashuga;
- hyperosmolar boma;
- atherosulinosis ndi ma mtima ena;
- matenda ashuga ketoacidosis;
- kufooka kwamphamvu kwa chitetezo chamthupi, komwe zotupa zilizonse zimapha;
- matenda ashuga nephropathy;
- kulephera kwa mtima.
Zizindikiro ndi matenda omwe sangathe kunyalanyazidwa
Ndi matenda a shuga, hyperosmolar, hypoglycemic kapena hyperglycemic coma zimatha kuchitika. Kunyalanyaza zoyamba za mikhalidwe iyi, wodwala akhoza kufa.
Zizindikiro za hyperosmolar coma:
- ludzu lalikulu;
- kufooka kwa minofu;
- kukodza pafupipafupi;
- kuwonda;
- youma mucous nembanemba;
- kuphwanya kwakuthwa;
- kupuma msanga;
- kuchepa kwa ana;
- kusokonezeka kwa mtima;
- kusowa kwa tendon Reflex;
- minofu hypertonicity;
- chikumbumtima.
Zizindikiro za hypoglycemic coma:
- mutu ndi kufooka;
- kupuma movutikira
- tachycardia;
- njala yayikulu;
- chinyezi kumapazi ndi manja;
- kutsekeka kwa khungu;
- kuwonongeka kwamawonekedwe.
Zizindikiro za hyperglycemic chikomokomo:
- nseru
- kuyabwa
- kutopa;
- kusanza
- ludzu
- kufooka wamba.
Zizindikiro zotsatirazi zikuyenera kuchenjezanso odwala matenda ashuga:
- kuwonda kwambiri (kuposa 5% ya zoyambirira pamwezi);
- kukodza pafupipafupi;
- kuwonongeka kwamawonekedwe;
- kuchuluka kwanjala;
- kutopa kosalekeza ndi khungu;
- ludzu lalikulu;
- kununkhira kwa acetone kuchokera mkamwa;
- kuthamanga ndi dzanzi la miyendo;
- kuchiritsa kwa bala
Ziwerengero zakufa kwa anthu odwala matenda ashuga
Kutengera ndi kuchuluka kwa kafukufuku pa imfa za anthu odwala matenda ashuga, zidatsimikizika kuti azimayi ndi omwe angathe kutenga izi kuposa abambo.Kuthekera kopambana kwambiri kwaimfa, kuwerengera 65%, kumakhala mwa anthu odwala matenda ashuga a 2 omwe ali ndi zovuta zamtima.
Ndipo ndi matenda amtundu wa 1 shuga, pankhaniyi, chiwerengero cha anthu omwalira ndi 35%.
Komabe, vuto lalikulu la anthu odwala matenda ashuga siliri mumtima, koma pamaso pa matendawa, mwayi wakufa ndi vuto la mtima ndi wokwera katatu koposa kuposa mwa munthu wathanzi.
Kupewa kwa Matenda Awo Asempha Aakulu
Odwala omwe ali ndi matenda a shuga nthawi zambiri amafunsa ngati zingatheke kufa ndi vutoli. Kuthekera kwa chotulukapo chotere kulipo, komabe, osati kuchokera ku matenda omwewo, koma pazotsatira zake, ngati simukugwirizana ndi chithandizo.
Kuonjezera moyo kumafunikira kulimbikira kwa wodwalayo kuti matendawo asapereke zovuta zilizonse zakufa mthupi.
Pofuna kutalikitsa moyo ndi kukhalapo kwa matenda ashuga, zinthu zingapo ziyenera kuonedwa:
- kuyang'anira shuga;
- kupewa zochitika zosiyanasiyana zopsinja, chifukwa zimakhala chifukwa cha kupanikizika kwa mitsempha;
- samalira zakudya ndi zochitika za tsiku ndi tsiku;
- Osamamwa mankhwala omwe dokotala sanakulamulire.
Mulimonsemo, ngakhale mutakumana ndi dokotala woopsa kwambiri, simuyenera kusiya ndikuganiza kuti palibe njira yopulumukira.
Wodwala amatha kuwonjezera moyo wake posankha chithandizo choyenera komanso kusintha moyo wake. Kuti muchite izi, muyenera:
- chakudya. Ndime iyi ikusonyeza kusapezeka kwa zakudya zamafuta, osuta, amchere komanso okometsedwa ndi zina zamphamvu zonunkhira, muyenera kusiyiratu kugwiritsa ntchito maswiti. Zakudyazo siziyenera kuyamba ndipo pamapeto pake zimatha sabata limodzi, ziyenera kukhala zowonjezereka kwa odwala omwe akufuna kuwonjezera moyo wawo;
- olimbitsa thupi. Moyo wamasewera a odwala matenda ashuga sayenera kukhala wokonzanso. Kusewera masewera ndikofunikira kuti pakhale bwino wodwalayo;
- kuti mupeze mpumulo wamatenda awo, kumbukirani kuti kupumula munthawi imeneyi ndikunyalanyaza kugwiritsa ntchito mankhwalawa kumatha kuyambitsa zovuta komanso kumakulitsa mkhalidwe wa wodwalayo;
- pewani zizolowezi zoipa monga mowa ndi kusuta.
Makanema okhudzana nawo
Zomwe zimayambitsa kufa mu shuga mu kanema:
Odwala omwe ali ndi matenda ashuga sadzalandira moyo wawo chifukwa cha kuwazindikira kwawo. Mavuto omwe matendawa amatulutsa ungayambitse matendawa, koma ndi chithandizo choyenera komanso kupewa zoterezi zingathe kupewedwa. Zonse zimatengera wodwala iyemwini, pakumvera kwake ndi malingaliro onse a moyo.
