Mliri wa COVID-19 wakhala nthawi yomwe sitidzaiwala. Aliyense anali ndi mantha. Chifukwa chake, ngati muli ndi matenda osatha monga matenda a shuga, mantha awa mwina amawirikiza kawiri. Ngati munayamba mwadzifunsapo kuti, "Nanga bwanji ndikadwala matendawa?", ndi zachilendo kwambiri. Lero, tikambirana za kulumikizana pakati pa matenda a shuga ndi COVID-19, momwe mungadzitetezere, komanso zomwe mungachite ngati mutadwala.
N’chifukwa chiyani munthu amene ali ndi matenda a shuga ayenera kuda nkhawa kwambiri ndi COVID-19?
Choyamba, mvetsetsani izi. Kukhala ndi matenda a shuga sikukuikani pachiwopsezo chachikulu chotenga COVID-19 kuposa wina aliyense . Komabe, Mulungu asalole, ngati mutatenga kachilomboka, muli pachiwopsezo chachikulu chotenga mavuto kuposa wina aliyense. Chiwopsezochi chimakhala chachikulu makamaka ngati matenda anu a shuga sakulamulidwa bwino, zomwe zikutanthauza kuti shuga m'magazi mwanu amakhala okwera nthawi zonse.
Nanga n’chifukwa chiyani izi zimachitika? Mwachidule, ndi izi. Thupi lathu lili ndi chitetezo chamthupi, timachitcha chitetezo chamthupi. Ili ndi gulu lathu lankhondo lomwe limalimbana ndi majeremusi omwe amayambitsa matenda. Shuga ikapitirira kukhala yokwera m’magazi, ntchito ya chitetezo chamthupi imafooka. Monga momwe gulu lathu lankhondo limafooka ngati sitidya ndi kumwa bwino. Kenako kachilombo monga COVID-19 kakalowa m’thupi, mphamvu ya thupi lathu yolimbana nako imachepa.
Kafukufuku woyambirira adawonetsa kuti pafupifupi 25% ya odwala omwe adagonekedwa m'chipatala ndi COVID-19 anali ndi matenda a shuga. Komanso, anthu omwe ali ndi matenda a shuga anali ndi mwayi waukulu wokhala ndi mavuto akulu ndikumwalira chifukwa cha matendawa. Chiwopsezochi chingakhale chachikulu kwambiri ngati muli ndi matenda ena, monga matenda a mtima kapena matenda a m'mapapo, kuwonjezera pa matenda a shuga.
Ngati mutatenga kachilombo ka COVID-19, muli pachiwopsezo chachikulu chotenga mavuto oopsa chifukwa cha matenda a shuga, monga Diabetic Ketoacidosis (DKA).
DKA ndi vuto ladzidzidzi lomwe limayamba chifukwa cha kuchuluka kwa ma ketone m'magazi. Komanso, anthu ena omwe ali ndi COVID-19 amatha kukhala ndi vuto loopsa la sepsis m'thupi lonse. Pochiza sepsis, madokotala ayenera kuyang'anira kuchuluka kwa madzi ndi ma electrolyte m'thupi lanu. DKA imayambitsa kutayika kwakukulu kwa ma electrolyte, zomwe zimapangitsa kuti sepsis ikhale yovuta kwambiri kuilamulira.
Kodi tiyenera kuchita chiyani kuti tidziteteze ku kachilomboka?
Ndi bwino kukhala otetezeka kusiyana ndi chisoni mukadwala. Njira yabwino yochitira zimenezi ndikutenga katemera wa COVID-19 . Komanso, onetsetsani kuti mwatsatira njira zosavuta izi pa moyo wanu watsiku ndi tsiku.
- Pewani kucheza ndi ena momwe mungathere:Makamaka, yesetsani kupewa kupita ku malo odzaza anthu momwe mungathere. Ngati muyenera kupita, pitirizani mtunda wa pafupifupi mamita 1.5.
- Valani chigoba: Ndikofunikira kuvala chigoba nthawi iliyonse mukatuluka, makamaka ngati simunamalize kulandira katemera wanu.
- Khalani aukhondo: Sambani m'manja mwanu ndi sopo ndi madzi nthawi zonse. Nthawi zonse muzisamba m'manja mwanu bwino ndi sopo mukatuluka kunja, musanadye, musanamwe mankhwala, makamaka musanabaya chala chanu kuti muwone kuchuluka kwa shuga m'magazi mwanu, komanso musanabayire insulin.
- Dziwitsani banja lanu: Kuti mukhale otetezeka, ndikofunikira kuti aliyense m'banja mwanu azisamba m'manja pafupipafupi. Makamaka musanakonze chakudya. Musagawire zinthu zanu monga mbale, makapu, ndi supuni. Ngati wina m'banja mwanu akudwala, musungeni m'chipinda china ngati n'kotheka. Ngati muyenera kukhala m'chipinda chimodzi, ndikofunikira kuti wodwalayo avale chophimba kumaso.
- Chofunika kwambiri - Kuwongolera kuchuluka kwa shuga m'magazi mwanu: Iyi ndi njira yabwino kwambiri yodzitetezera. Imwani mankhwala omwe dokotala wanu wakupatsani pa nthawi yake. Tsatirani zakudya zokhazikika. Kuchita masewera olimbitsa thupi. Mwa kusunga kuchuluka kwa shuga m'magazi mwanu moyenera, mutha kusunga chitetezo chanu chamthupi chili champhamvu.
Kodi tingakonzekere bwanji pasadakhale ngati tadwala?
Ndikofunikira kwambiri kukhala ndi zinthu zomwe tikufunikira pasadakhale ngati tingadwale mwadzidzidzi ndipo tiyenera kukhala patokha, kapena ngati sitingathe kutuluka. Konzani zinthuzi mokwanira kwa milungu iwiri.
| Zokonzekera | Kufotokozera ndi zitsanzo |
|---|---|
| Zakudya | Zakudya zopatsa thanzi (monga ma cranberry crackers, supu ya noodles kapena ndiwo zamasamba, applesauce yosatsekemera). |
| Ngati shuga m'magazi atsika (hypoglycemia) | Ngati shuga m'magazi mwanu atsika mwadzidzidzi, imwani chakudya chosavuta (monga uchi, shuga, chakumwa chotsekemera, madzi a zipatso, toffee). |
| Mankhwala ndi zipangizo zachipatala | Konzani mankhwala anu a insulin ndi mankhwala ena a shuga pasadakhale, momwe mungathere. Sungani glucagon ndi ketone strips owonjezera. |
| Manambala ofunikira a foni | Sungani manambala a foni a dokotala wanu, banja lanu, ndi kampani ya inshuwalansi yazaumoyo pamalo osavuta kufikako. |
Lankhulani ndi dokotala wanu ndipo pangani dongosolo la tsiku lodwala. Funsani za zinthu izi:
- Kodi ndiyenera kuyeza kangati shuga m'magazi mwanga ndi kuchuluka kwa ketone m'magazi mwanga ndikadwala?
- Kodi ndiyenera kusintha mlingo wa mankhwala anga a shuga ndikadwala, ndipo ngati ndi choncho, ndingachite bwanji?
- Kodi mankhwala otetezeka a chimfine ndi chifuwa ndi ati?
Kodi mumatani ngati mukumva kudwala?
Ngati mwayamba kudwala, khalani panyumba . Yang'anani kuchuluka kwa shuga m'magazi mwanu pafupipafupi kuposa masiku onse. Matenda monga COVID-19 angayambitse kulephera kudya ndikuchepetsa kuchuluka kwa chakudya chomwe mumadya ndi kumwa. Izi zitha kukhudza kuchuluka kwa shuga m'magazi mwanu.
Mukadwala, thupi lanu limafuna madzi ambiri kuposa masiku onse. Sungani botolo la madzi pafupi ndipo imwani pang'ono pafupipafupi.
Mankhwala ena odziwika bwino omwe amaperekedwa mu kauntala (a malungo, chifuwa, ndi chimfine) angakhudze kuchuluka kwa shuga m'magazi mwanu. Choncho musayese mankhwala atsopano popanda kufunsa dokotala wanu kaye.
Mwachitsanzo, kumwa aspirin kapena ibuprofen wambiri kungayambitse kutsika kwa shuga m'magazi mwanu. Kumwa paracetamol (Panadol) wambiri kungayambitse kutsika kwa shuga m'magazi mwanu ngati mugwiritsa ntchito chowunikira shuga chokhazikika (CGM). Mankhwala ambiri otsukira chifuwa amakhala ndi shuga wambiri, zomwe zingayambitse kukwera kwa shuga m'magazi mwanu.
Kodi ndi liti pamene muyenera kupeza upangiri wa zachipatala mwadzidzidzi?
Ngati mukupeza zizindikiro za COVID-19, monga chifuwa chouma, malungo, kapena kupuma movutikira, imbani dokotala nthawi yomweyo. Khalani okonzeka kupereka shuga ndi ketone zomwe mwapeza mukayimba foni.
Ngati muli ndi zizindikiro zotsatirazi, funsani upangiri wa dokotala nthawi yomweyo. Ngati kuli kofunikira, pitani ku Emergency Treatment Unit (ETU) ya chipatala chapafupi.
- Ma ketone anu ndi ochepa kapena okwera .
- Zizindikiro za `DKA` (kutopa kwambiri, kupweteka kwa thupi, kusanza, kupweteka m'mimba) zimachitika.
- Kuvuta kwambiri kupuma .
Mliriwu ndi vuto kwa aliyense. Koma ndi chidziwitso choyenera, kasamalidwe kabwino, komanso kukonzekera bwino, inunso mutha kuthana ndi vutoli ndi matenda a shuga. Musachite mantha, khalani odziwa zambiri, ndipo khalani otetezeka.
Uthenga Wopita Nawo Kunyumba
- Ngakhale kukhala ndi matenda a shuga sikuwonjezera chiopsezo chotenga COVID-19, chiopsezo cha mavuto chimakhala chachikulu ngati mutatenga matendawa.
- Chitetezo chabwino kwambiri chomwe mungatenge ndikutenga katemera ndikusunga shuga m'magazi mwanu moyenera.
- Konzani "ndondomeko ya tsiku lodwala" yothanirana ndi mavuto adzidzidzi. Sungani chakudya chofunikira, mankhwala, ndi manambala a foni a dokotala pafupi.
- Ngati mukudwala, yang'anani shuga m'magazi mwanu pafupipafupi, imwani madzi ambiri, ndipo musamwe mankhwala atsopano popanda kufunsa dokotala wanu.
- Fufuzani thandizo lachipatala mwamsanga ngati mukuvutika kupuma, kuchuluka kwa ketone m'magazi, kapena zizindikiro za DKA.











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