Kodi dokotala wanu wakuuzani kuti muyese shuga m'magazi? Kapena mukuopa pang'ono kapena mukufuna kudziwa zambiri za izi chifukwa wina m'banja mwanu ali ndi matenda a shuga? Kaya chifukwa chake ndi chiyani, ndikofunikira kwambiri kuti tonsefe tidziwe za mayeso a shuga m'magazi awa, omwe ndi mayeso a shuga m'magazi. Chifukwa chake lero, tikambirana za chilichonse m'njira yosavuta, m'njira yomwe mungamvetse.
Mwachidule, kodi mayeso a shuga m'magazi ndi chiyani?
Izi ndi zosavuta kwambiri. Kuyesa kumeneku kumayesa kuchuluka kwa shuga m'magazi mwanu, kapena 'shuga' monga momwe tonse tikudziwira. Izi zimachitika makamaka kuti mudziwe ngati muli ndi matenda otchedwa matenda a shuga kapena ayi.
Shuga ndiye gwero lalikulu la mphamvu m'maselo a thupi lathu. Amapangidwa ndi chiwindi chathu, komanso ndi zakudya ndi zakumwa zomwe timadya zomwe zili ndi chakudya cham'thupi. Shuga uyu amatengedwa kudzera m'magazi kupita ku maselo m'thupi lonse. Chifukwa chake, ndikofunikira kwambiri kuti shuga m'magazi mwathu akhale ndi thanzi labwino. Homoni yayikulu yomwe imatithandiza kuchita izi ndi insulin .
Ngati thupi la munthu lipanga insulin yochepa, kapena ngati thupi silingagwiritse ntchito bwino insulin yomwe limapanga, shuga m'magazi amakwera. Matendawa timawatcha kuti Hyperglycemia . Ichi nthawi zambiri chimakhala chizindikiro chachikulu cha matenda a shuga.
Kodi njira zazikulu zochitira mayesowa ndi ziti?
Pali njira ziwiri zazikulu zoyezera shuga m'magazi. Mwina mwaona zonse ziwiri. Tiyeni tiwone njira ziwirizi.
| Njira yoyesera | Chikuchitika ndi chiyani? |
|---|---|
| Kutenga dontho la magazi kuchokera ku chala (Kuyesa Shuga wa M'magazi a Capillary) | Iyi ndi njira yachangu kwambiri. Mumabaya chala chanu ndi singano yaying'ono ndikutenga dontho la magazi, kuliyika pa mzere woyesera, ndikuliyika mu glucometer. Mutha kuwona zotsatira zake pakangopita masekondi ochepa. Kwa makanda aang'ono, izi zimachitika potenga dontho la magazi kuchokera pachidendene. |
| Kuyesa kwa Shuga wa M'magazi a Venous/Plasma | Izi zimaphatikizapo kutenga magazi pang'ono kuchokera mumtsempha womwe uli m'dzanja lanu ndikutumiza chitsanzocho ku labu. Izi nthawi zambiri zimachitika limodzi ndi mayeso ena a magazi (monga Basic Metabolic Panel). Zingatenge tsiku limodzi kapena awiri kuti zotsatira zibwerere. Njira iyi ndi yolondola kwambiri kuposa njira zina. |
Mitundu ina yapadera ya mayeso
Kuwonjezera pa njira ziwiri zazikuluzi, palinso mayeso ena apadera.
- Kuyesa Shuga M'magazi Osala Kusala: Iyi ndiye njira yayikulu yodziwira matenda a shuga. Muyenera kupereka magazi mutatha kudya kapena kumwa chilichonse kwa maola pafupifupi 8-12. Popeza zomwe mumadya ndi kumwa zimakhudza kuchuluka kwa shuga m'magazi mwanu, kutenga mayesowo mukusala kungakuthandizeni kudziwa bwino kuchuluka kwa shuga m'magazi mwanu.
- Kuwunika Shuga Kunyumba: Anthu odwala matenda a shuga amagwiritsa ntchito njira iyi powunika kuchuluka kwa shuga m'magazi mwawo tsiku lililonse. Izi zimaphatikizapo kugwiritsa ntchito chipangizo monga choyezera shuga kapena choyezera shuga chokhazikika (CGM) chomwe chimalumikizidwa pakhungu.
Kodi mukufuna kuchita mayeso awa liti?
Pakhoza kukhala zifukwa zingapo zomwe dokotala wanu angakulimbikitseni mayesowa.
- Monga gawo la kafukufuku wamankhwala wamba: Nthawi zina dokotala angakupempheni kuti muyesedwe magazi nthawi zonse (monga Basic Metabolic Panel - BMP kapena Comprehensive Metabolic Panel - CMP ). Izi zitha kuphatikizapo mayeso a shuga.
- Ngati zizindikiro zachitika: Ngati muli ndi zizindikiro za shuga wambiri m'magazi (Hyperglycemia) kapena shuga wotsika m'magazi (Hypoglycemia). (monga kukodza pafupipafupi, ludzu lochuluka, njala yochuluka, kuchepa thupi mwadzidzidzi, kusawona bwino, kutopa).
- Pa nthawi ya mimba: Kuyezetsa kumeneku kumachitika pofuna kuona ngati pali matenda a shuga omwe amabwera chifukwa cha mimba, omwe angachitike pa nthawi ya mimba.
- Ngati mukumwa mankhwala enaake: Ngati mukumwa mankhwala omwe angakhudze kuchuluka kwa shuga m'magazi mwanu (monga corticosteroids ) kwa nthawi yayitali, dokotala wanu angakupempheni kuti muyang'ane kuchuluka kwa shuga m'magazi mwanu nthawi zonse.
- Chiwopsezo cha matenda a shuga: Ngati muli ndi zinthu zomwe zingakuchititseni kudwala matenda a shuga (monga mbiri ya banja lanu, kunenepa kwambiri), dokotala wanu angakulangizeni mayesowa mosasamala kanthu za msinkhu wanu. Nthawi zambiri amalangizidwa kuti aliyense wazaka zoposa 35 ayesedwe mayesowa nthawi zonse.
Kodi mumakonzekera bwanji mayeso asanayambe?
Ngati mukuchita mayeso a shuga m'magazi osadya, simuyenera kudya kapena kumwa chilichonse kwa maola 8 mpaka 12 musanayese mayesowo. Komabe, palibe vuto kumwa madzi.
Chofunika kwambiri ndikutsatira malangizo omwe dokotala wanu kapena labotale yanu wakupatsani molondola. Pakhoza kukhala malangizo ena apadera oti muyesedwe, choncho funsani za iwo.
Kodi mfundo zomwe zili mu lipotilo zimatiuza chiyani?
Chabwino, tsopano tiyeni tiwone zomwe zotsatira za mayesowa zikunena. Ma qualities awa nthawi zambiri amayesedwa mu ma milligrams pa deciliter (mg/dL).
| Kusala kudya shuga m'magazi (mg/dL) | Tanthauzo |
|---|---|
| 70 - 99 mg/dL | Mlingo Wabwinobwino: Uwu ndi muyezo wabwinobwino kwa munthu wopanda matenda a shuga. |
| 100 - 125 mg/dL | Matenda a shuga asanakwane: Ichi ndi chizindikiro chochenjeza! Shuga m'magazi mwanu ndi wokwera kuposa momwe mumakhalira, koma si wokwera mokwanira kuti muganizidwe kuti ndi matenda a shuga. Matendawa amatha kuthetsedwa ndi kusintha kwa moyo wanu. |
| 126 mg/dL kapena kupitirira apo | Matenda a Shuga: Ngati shuga m'magazi mwanu akusala kudya ndi wokwera kuposa mtengo uwu kangapo, mwina muli ndi matenda a shuga. Dokotala wanu angakupatseni mayeso ena, monga A1c, kuti atsimikizire izi. |
| Shuga wochepa m'magazi (Hypoglycemia) | |
| 70 mg/dL kapena kuchepera | Shuga Wochepa M'magazi: Ili ndi vuto lomwe limafunika chisamaliro. Izi zimachitika kwambiri kwa anthu omwe ali ndi matenda a shuga. Ngati munthu wopanda matenda a shuga ali ndi mulingo uwu, ndiye kuti chifukwa chake chiyenera kufufuzidwa. |
Kodi pali zifukwa zina zomwe zimayambitsa kusintha kwa shuga m'magazi kupatula matenda a shuga?
Inde. Ngakhale kuti matenda a shuga ndiye chifukwa chachikulu, zinthu zina zingayambitsenso kuti shuga m'magazi akwere kapena kutsika.
Zifukwa zina zomwe zimapangitsa kuti shuga azikhala wambiri:
- Mavuto a adrenal gland (monga Cushing Syndrome )
- Mavuto a kapamba (monga kapamba )
- Hyperthyroidism
- Kupsinjika maganizo kapena thupi kwambiri, monga opaleshoni kapena ngozi yaikulu
- Mankhwala ena, makamaka corticosteroids
Zifukwa zina zomwe zimapangitsa kuti shuga m'magazi achepe:
- Matenda a chiwindi kapena impso
- Hypothyroidism
- Matenda a adrenal gland monga matenda a Addison
- Kugwiritsa ntchito mowa mopitirira muyeso
- Zotupa zosazolowereka monga insulinoma
Kumbukirani, musaope kuganiza kuti muli ndi matenda chifukwa chakuti zotsatira za mayeso amodzi zasintha. Dokotala wanu sadzapanga chisankho kutengera mayeso amodzi okha. Adzaganizira zizindikiro zanu, zotsatira zina za mayeso, ndi mbiri yanu yonse ya thanzi kuti akwaniritse zomwe mukufuna.
Choncho ngati muli ndi mafunso kapena nkhawa zokhudzana ndi lipoti lanu, chonde musazisunge nokha ndipo lankhulani momasuka ndi dokotala wanu. Iye adzakufotokozerani zonse.
Uthenga Wopita Nawo Kunyumba
- Kuyesa kwa shuga m'magazi ndi njira yosavuta yoyezera shuga m'magazi yomwe imagwiritsidwa ntchito makamaka pozindikira matenda a shuga.
- Ngati mukuyesedwa kusala kudya, ndikofunikira kuti musamadye kapena kumwa kwa maola pafupifupi 8-12, monga momwe dokotala wanu wanenera.
- Musachite mantha ndi zotsatirapo zosazolowereka. Dokotala amaganizira zinthu zingapo akamafufuza matenda.
- Ngati shuga m'magazi mwanu muli mu gawo la 'prediabetes', ndi chizindikiro chochenjeza. Mutha kubwerera mwakale mwa kudya bwino komanso kuchita masewera olimbitsa thupi.
- Musazengereze kukambirana ndi dokotala wanu nkhawa zilizonse zomwe muli nazo zokhudza zotsatira za mayeso anu komanso thanzi lanu.
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