Kodi matenda anu a shuga ndi ovuta kuwathetsa? Tiyeni tikambirane za 'Brittle Diabetes'!

Kodi ndinu munthu amene akulandira chithandizo cha matenda a shuga? Ndiye, kodi nthawi zina mumamva ngati shuga m'magazi mwanu watsika mwadzidzidzi moti mumamva ngati mukomoka? Kapena munamvapo ngati kuti wakwera kwambiri? Madokotala amatcha mtundu uwu wa matenda a shuga, womwe ndi wovuta kwambiri kuulamulira komanso wosakhazikika, kuti "Brittle Diabetes." Umatchedwanso "Labile Diabetes." "Brittle" kapena "Labile" onse amatanthauza "kusintha mosavuta" kapena "kusakhazikika."

Mwachidule, kodi 'Brittle Diabetes' ndi chiyani?

Mwachidule, 'Brittle Diabetes' ndi pamene kuchuluka kwa shuga m'magazi mwanu nthawi zambiri kumasintha mofulumira kuchoka pamlingo wotsika kwambiri (womwe timautcha (Hypoglycemia)') kupita pamlingo wapamwamba kwambiri (womwe timautcha (Hyperglycemia)').

Chofunika ndichakuti uwu si mtundu watsopano wa matenda a shuga. Timaona kuti ndi vuto kapena vuto lina la matenda a shuga, lomwe nthawi zambiri limagwirizanitsidwa ndi matenda a shuga a Mtundu 1.

N’chifukwa chiyani izi zikuchitika? Kodi zifukwa zake ndi ziti?

Ndipotu, matenda aliwonse a shuga amatha kukhala osakhazikika ngati sathandizidwa bwino. Chifukwa chake, zimakhala zovuta kuzindikira matenda a 'Brittle Diabetes' molondola. Pakhoza kukhala zifukwa zingapo zomwe shuga m'thupi lanu ingasinthire kwambiri.

Ganizirani ngati zinthu izi zikukukhudzaninso inunso:

• Kudumpha mankhwala ndi mayeso: Kodi mumamwa mankhwala anu monga momwe dokotala wanu wanenera? Kodi mumayesa kuchuluka kwa shuga m'magazi anu kangapo patsiku? Ngati simukutero, izi zitha kukhala chifukwa chachikulu.
• Kupsinjika maganizo kwambiri: Zinthu monga kupsinjika maganizo kwambiri, mkwiyo, ndi chisoni zimakhudza mwachindunji mahomoni m'thupi lathu ndikusokoneza kuchuluka kwa shuga m'thupi.
• Matenda Odya: Zinthu monga kudya mopitirira muyeso, kusadya bwino, kapena kudya mopitirira muyeso nthawi imodzi.
• Mavuto a zakudya: Matumbo satenga bwino michere yomwe ili m'chakudya chomwe mumadya. Zitsanzo za izi ndi monga matenda a Celiac.
• Mavuto a m'mimba: Gastroparesis ndi vuto lomwe kuyenda kwa chakudya kuchokera m'mimba kupita m'matumbo kumakhala kochedwa kwambiri, kapena nthawi zina kumayima. Izi zitha kukhudza kwambiri ntchito ya insulin.
• Kumva bwino kwa insulin: Anthu ena amamva bwino kwambiri ndi insulin, ndipo ngakhale pang'ono chabe kungayambitse kuchepa kwadzidzidzi kwa shuga m'magazi.

Kawirikawiri, chimodzi kapena zingapo mwa zinthuzi zingayambitse vutoli. Nthawi zina, ngakhale madokotala sangapeze chifukwa chenicheni.

Kodi matendawa amapezeka bwanji? Kodi zizindikiro zake ndi ziti?

Zizindikiro zimasiyana malinga ndi kuchuluka kwa shuga m'magazi mwanu kapena ayi. Tiyeni tiwone zizindikirozi padera.

Samalani! Kukwera kwa shuga m'magazi kungakhale koopsa (Ketoacidosis)

Ngati simuchiza shuga wambiri m'magazi mwachangu (hyperglycemia), imatha kukhala vuto loopsa kwambiri lotchedwa ketoacidosis . Apa ndi pamene thupi silingathe kugwiritsa ntchito shuga kuti likhale ndi mphamvu, ndipo limayamba kuyaka mafuta m'malo mwake. Zotsatira zake, mankhwala oopsa otchedwa ketones amasonkhana m'magazi ndi mkodzo. Izi ndi zadzidzidzi zachipatala.

Zizindikiro za ketoacidosis:

• Fungo la zipatso pamphuno
• Kusanza ndi kusanza
• Kuvuta kupuma
• Kufooka kwakukulu
• Kutaya chidziwitso
• Kuwawa kwam'mimba
• Kugwa mu chikomokere

Ngati muli ndi zizindikiro izi, pitani ku Dipatimenti Yothandiza Anthu Odwala Mwadzidzidzi (ETU) ya chipatala mwamsanga, osazengereza. Uwu ndi matenda oopsa omwe angakhale oopsa kwa moyo.

Ndani amene ali ndi mwayi waukulu wopeza vutoli?

Matenda a shuga otchedwa Brittle si matenda ofala kwambiri. Amakhudza anthu pafupifupi atatu mwa anthu 1,000 omwe ali ndi matenda a shuga omwe amagwiritsa ntchito insulin. Ngakhale kuti angakhudze anthu azaka zilizonse, amapezeka kwambiri mwa akazi kuposa amuna.

Chinthu china chofunika ndichakuti ngati mumakhala ndi vuto la hypoglycemia pafupipafupi, muli pachiwopsezo chachikulu pang'ono. Chifukwa shuga m'magazi mwanu akatsika kwambiri, pakapita nthawi mphamvu ya thupi lanu yozindikira shugayo imachepa. Kenako nthawi iliyonse shuga m'magazi mwanu ikatsika, imatha kuipiraipira, zomwe zimapangitsa kuti mukhale ndi matenda a shuga otchedwa 'brittle diabetes'.

Kodi mumakhala bwanji ndi izi? Kodi mankhwala ake ndi otani?

Vutoli lingasokoneze kwambiri moyo wanu watsiku ndi tsiku. Chifukwa simungathe kuneneratu nthawi yomwe shuga m'magazi mwanu idzatsika kapena kukwera. Mungafunike kupita kuchipatala pafupipafupi, zomwe zingapangitse kuti zikhale zovuta kugwira ntchito kapena kugwira ntchito zapakhomo. Zingakhale zoopsa ngakhale moyo wanu.

Pokuchizani, dokotala wanu adzayamba waganizira kwambiri za zomwe mukufunikira pa shuga m'magazi mwanu. Kenako, adzapanga dongosolo losamalira matenda anu a shuga mosamala. Mwamwayi, ukadaulo watsopano wamakono ndi mankhwala angakuthandizeni kuthana ndi vutoli.

Mungapatsidwe mankhwala monga:

• Chowunikira Chosalekeza cha Shuga (CGM): Ichi ndi chipangizo chaching'ono chokhala ndi sensa yomwe imayikidwa pansi pa khungu kapena pakhungu. Chimayesa shuga m'magazi mwanu nthawi zonse ndipo chimalira alamu ngati chatsika kwambiri kapena chakwera kwambiri.
• Pampu ya insulin: Iyi ndi makina ang'onoang'ono omwe mumavala tsiku lonse. Amangotulutsa insulin yokha m'thupi panthawi yoyenera komanso muyeso woyenera. Izi zimathandiza kuti shuga m'magazi azikhala bwino.
• Opaleshoni Yopatsira Pancreatic Transplant: Iyi ndi opaleshoni yovuta kwambiri. Pa opaleshoniyi, kapamba wathanzi wochokera kwa wopereka wakufayo amaikidwa m'thupi kuti ayambenso kupanga insulin.

Dokotala wanu adzakukonzerani chithandizo chabwino kwambiri. Iye ndiye adzakukonzerani chifukwa cha vuto lanu. Mukangopanga dongosolo la chithandizo, muli ndi udindo waukulu woti chipambane.

• Kuchita masewera olimbitsa thupi nthawi zonse.
• Tsatirani malangizo azakudya omwe mwapatsidwa monga momwe alili.
• Musaphonye nthawi kapena mlingo wa mankhwala.
• Koposa zonse, lankhulani ndi dokotala wanu wa matenda a shuga komanso gulu lachipatala. Pezani chithandizo chamankhwala ndi chamaganizo chomwe mukufuna kuchokera kwa iwo.