Momwe mungakulitsire insulin (kapena, mulingo wake), yomwe imapangidwa ndi kapamba m'thupi la munthu? Funso limakonda kuvutitsa anthu omwe ali ndi matenda a shuga 1, momwe kuchuluka kwa timadzi tomwe timapangidwira sikokwanira kuti shuga awonongeke m'magazi. Tsoka ilo, ndizosatheka kusintha kapangidwe kake popanda kuchita jakisoni wa insulin pankhaniyi. Popeza njira yayikulu yochizira matenda a shuga omwe amadalira insulin ndi chithandizo cha jakisoni, njira zonse zowonjezera kupanga insulin yanu ndizogwirizana ndi zida zothandizira.
Kuti muthandizire kugwira ntchito kwa kapamba ndikuwonjezera kuchuluka kwa mahomoni omwe amapanga, mutha kugwiritsa ntchito zakudya. Mankhwala ndi wowerengeka azithandizo amathandizira mwanjira iyi, koma nthawi zambiri amagwiritsidwa ntchito ngati othandizira.
Momwe mungakulitsire chidwi cha minofu?
Nthawi zina ndikofunikira kuwonjezera mulingo wa insulin palokha, ndiko kuti, kumva kwa minyewa kwa iwo. Mu matenda a shuga a mellitus, zosintha zamatenda amtundu wa endocrine ndizotheka, momwe insulin imapangidwira kuchuluka kokwanira, koma kuyankha kwa minofu kumatha kukhala kokwanira. Chifukwa chophwanya izi, glucose sangathe kulowa m'maselo, ndipo thupi limafunafuna insulini yochulukirapo, yomwe imafunika kuti ikasokonekera. Chifukwa cha izi, kapamba wam'madzi watha ndipo pali chiopsezo cha kusintha kwa matenda ashuga amitundu iwiri kukhala mtundu woyamba. Ozungulira ozungulira awa akhoza kuyambitsa kuwonongeka kwakukuru mu thanzi la wodwalayo, kuchuluka kwambiri kwa shuga m'magazi komanso kukula kwa zovuta za matenda ashuga.
Ndizotheka kuchepetsa kukana kwa insulin (i.e., kukana kwa minofu ku timadzi timeneti), chifukwa cha njira zotsatirazi:
- kutsatira zakudya zamafuta ochepa;
- kuchita achire zolimbitsa thupi;
- kumwa mankhwala othandizira;
- Kuchepetsa thupi.
Ndikosavuta kutsatira zakudya zamafuta ochepa, koma ndi izi mutha kupeza zotsatira zabwino - kutaya mapaundi owonjezera, kusintha magwiridwe antchito, kusintha shuga m'magazi ndi kutsika kwa insulin. Ndi endocrinologist wokhayo amene angadziwe kutalika kwa chakudya chokhwima ngati chimenecho, chifukwa chilichonse chimatengera mawonekedwe a thupi la wodwalayo. Nthawi zambiri, zinthu zikayamba kuyenda bwino, wodwalayo amaloledwa kusintha zakudya zina zopatsa thanzi, momwe mumatha kudya zipatso ndi chimanga chokhala ndi index yotsika kapena yapakati.
Kuchita masewera olimbitsa thupi ndi gawo lofunikira la chithandizo chovuta kwambiri cha matenda a shuga, mitundu yoyamba ndi iwiri. Kuchita masewera olimbitsa thupi kuyenera kukhala kosavuta, kosankhidwa, poganizira zaka ndi thupi la wodwalayo. Ndi kuchuluka kwa insulin m'magazi, shuga amachepetsa, ndipo masewera olimbitsa thupi angathandize kwambiri kutero.
Kodi mankhwala angathandize?
Malinga ndi kulosera kwa World Health Organisation (WHO), kuchuluka kwa anthu odwala matenda ashuga kungochuluka chaka chilichonse. Izi ndichifukwa chakumwa shuga wambiri woyengeka, mafuta komanso kusachita masewera olimbitsa thupi. Mtundu woyamba wa matenda a shuga ndi cholowa, chifukwa chake, ngati makolo adapezeka kuti ali ndi vuto la metabolism, mwana amafunika kumuyesa pafupipafupi komanso kuyeserera pafupipafupi kwa endocrinologist.
Tsoka ilo, palibe mankhwala omwe angathandize kuti kapamba azitulutsa insulin mulingo woyenera. Ichi ndichifukwa chake chithandizo chokha cha matenda a shuga 1 chimakhala kudzera mu jakisoni wa insulin wopitilira. Nthawi zina, kuthandizira ziwalo zina ndi matenda a shuga, mankhwala a magulu otsatirawa akhoza kutumikiridwa:
- mankhwala omwe amasintha magazi m'magazi;
- mavitamini ndi michere;
- mankhwala a nootropic (mankhwala opititsa patsogolo ubongo)
- antihypertensive mankhwala (zotchulidwa kuthamanga magazi).
Wodwala akayamba kunenepa kwambiri chifukwa cha matenda osokoneza bongo, kapena ngati sangathe kuchepetsa thupi kudzera pakudya komanso masewera olimbitsa thupi, dokotalayo angakulimbikitseni kuyamwa kwa mankhwala opangidwa ndi metmorphine. Mankhwala odziwika kwambiri omwe ali ndi chinthu ichi pakuphatikizika ndi Glucophage ndi Siofor. Iwo samachulukitsa kuchuluka kwa insulini yomwe imapangidwa, koma amathandizira kuchuluka kwa insulini ya bioavaible ku proinsulin (mawonekedwe ake ogwirizana, momwe mahomoni awa sangakhudze kagayidwe). Asanakhazikitsidwe, odwala nthawi zonse amayesedwa, popeza pakugwiritsa ntchito mankhwalawa payenera kukhala ndi zisonyezo.
Zithandizo za anthu
Mtundu woyamba wa matenda ashuga, chithandizo cha wowerengeka sichitha kulowa m'malo mwa zakudya ndi mankhwala a insulin. Koma atakambirana ndi dokotala, amatha kugwiritsidwa ntchito pokhalitsa thupi ndikupititsa patsogolo insulin. Ndikosatheka kugwiritsa ntchito mankhwala omwe si a chikhalidwe popanda kufunsa katswiri - kudzichiritsa nokha kwa odwala matenda ashuga kumayesedwa, chifukwa zitsamba ndi mankhwala ena amakhala ndi vuto.
Ndi shuga wambiri komanso insulin yokwanira yopanga, njira zina zamankhwala zimagwiritsa ntchito njira izi:
- decoction a chimanga stigmas (1 tbsp. l. zopangira pa 500 ml ya madzi otentha, kumwa pambuyo chakudya, 50 ml 2-3 tsiku);
- kulowetsedwa kwa verbena (1 tbsp. l. zitsamba mu kapu ya madzi otentha, tengani 30 ml 4 pa tsiku);
- kulowetsedwa kwa rosehip (1 tbsp. l. zipatso pa 200 ml ya madzi otentha, kumwa 100 - 200 ml katatu patsiku popanda kuwonjezera shuga kapena m'malo mwake).
Mankhwala omwewo angagwiritsidwe ntchito ngati adjunctive mankhwala a shuga insipidus. Matenda a shuga ndi matenda amtundu wa endocrine omwe samagwirizanitsidwa ndi kupanga kwa insulin. Poyamba, imadziwonetsera ndi zofananira kwambiri: wodwalayo amamwa madzi ambiri chifukwa cha ludzu losasunthika, ndipo amayamba kuda nkhawa kukokana pafupipafupi. Koma mosiyana ndi matenda ashuga, kuchuluka kwa shuga m'magazi pankhaniyi kumakwera. Mukamayang'ana mkodzo mwa odwala, kuchepa kwa kutsika kwake kumatsimikizika, ndipo mulingo wa uric acid ukuwonjezeka m'magazi.
Popeza matenda a impso ndi endocrine gland (pituitary gland) amadwala matenda a shuga, njira zochizira wowerengeka sizingakhale chithandizo chokhacho. Ili ndi matenda achilengedwe omwe amafunikira kuwunikiridwa kwathunthu, kuwunika kwa wodwala ndi chithandizo chokwanira chachipatala.
Kusanthula kuti mudziwe kuchuluka kwa insulini m'magazi a wodwala sikumafotokozedwa pafupipafupi monga muyezo wa shuga. Chowonadi ndi chakuti kuchuluka kwa mahomoni awa pawokha sikofunikira makamaka mu pulogalamu ya matenda. Kutengera mtundu wamatenda, kupezeka kapena kusapezeka kwa zovuta, zaka komanso thupi la wodwalayo, nthawi zambiri zitha kuganiziridwa popanda kusanthula kuti insulini imakwezedwa kapena kutsitsidwa. Ndikosatheka kuonjezera ku miyezo yolimbitsa thupi ndi mankhwala, motero chithandizo cha matenda amtundu wa 1 chimachepetsa kukhala ndi mankhwala a insulin komanso zakudya zoyenera, ndipo ndi mtundu wachiwiri wa matenda awa, wodwalayo amalimbikitsidwa kuti azitsatira zakudya zosamalitsa komanso azichita masewera olimbitsa thupi mokhazikika.