Anthu ambiri m'dziko lathu ali ndi matenda otchedwa Diabetes. Mwina inu, wachibale wanu, kapena mnzanu muli ndi vutoli. Kukhala ndi matenda a shuga ndi vuto lalikulu, koma ngati muwalamulira bwino, mutha kukhala ndi moyo wabwinobwino. Komabe, ngati sitiwalamulira bwino, ndiko kuti, ngati shuga m'magazi nthawi zonse imakhala yokwera, ingayambitse kuwonongeka kosayerekezeka kwa ziwalo m'thupi lathu. Lero tikulankhula za mavuto omwe amabwera chifukwa cha matenda a shuga. Kudziwa izi kudzakuthandizani kwambiri kuti mudziteteze.
Matenda a Mtima ndi Stroke
Chimodzi mwa mavuto ofala komanso oopsa a matenda a shuga ndi matenda a mtima. Shuga ikachuluka m'magazi, makoma a mitsempha yathu yamagazi amawonongeka, ndipo cholesterol ndi mafuta zimayamba kusonkhana mkati mwake. Izi zimapangitsa kuti mitsempha yamagazi ichepetse, zomwe zimachepetsa kuyenda kwa magazi kupita kumtima. Ichi ndiye chifukwa chachikulu cha matenda a mtima.
N’chimodzimodzinso ndi matenda otchedwa sitiroko . Matendawa amapezeka pamene mtsempha wamagazi womwe umanyamula magazi kupita ku ubongo watsekeka kapena kuphulika. Chiwopsezochi chimakhala chachikulu kwambiri kwa munthu amene ali ndi matenda a shuga.
Dokotala wanu adzafufuza zinthu izi:
Mayeso amenewa amachitika nthawi iliyonse mukapita kukaonana ndi dokotala.
- Kuthamanga kwa Magazi : Kuthamanga kwa magazi anu kumayesedwa ndi chikwama chozungulira mkono wanu. Ndikofunikira kuti kukhale kosakwana 130/80 mmHg.
- Kuyezetsa magazi : Magazi ochepa amatengedwa kuti awone kuchuluka kwa cholesterol yoyipa ( LDL cholesterol) ndi triglycerides m'magazi anu.
- Kuyesa kwa ECG : Kuyesa kwa ECG (Electrocardiogram) kudzachitika pa nthawi yoyamba yokumana ndi dokotala kuti muwone momwe mtima wanu umagwirira ntchito ndikulemba zomwe zikuchitika.
Chofunika kwambiri ndikulankhula ndi dokotala wanu za zinthu zomwe zingakubweretsereni chiopsezo , monga mbiri ya banja lanu ya matenda a mtima komanso ngati mumasuta fodya . Zoopsazi zitha kuchepetsedwa kwambiri ndi zinthu monga kuchepetsa thupi , kuchita masewera olimbitsa thupi, komanso kuchepetsa nkhawa .
Ngati mukuona zizindikiro za sitiroko , muyenera kupita kuchipatala nthawi yomweyo.Ngati mukumva zizindikiro monga dzanzi ladzidzidzi mbali imodzi ya nkhope kapena thupi lanu, kuvutika kulankhula, kuvutika kuona m'maso onse awiri, kapena chizungulire, pitani ku Dipatimenti Yothandiza Padzidzidzi (ETU) nthawi yomweyo.
Kuwonongeka kwa impso (Diabetic Nephropathy)
Impso ndi zosefera m'thupi lathu. Zimasefa zinyalala kuchokera m'magazi. Komabe, shuga ikapitirira kuchuluka kwa nthawi yayitali, mitsempha yamagazi yofooka mu impso imawonongeka. Izi zimatchedwa Diabetic Nephropathy .
Poyamba, palibe zizindikiro, koma pang'onopang'ono ntchito ya impso imachepa, ndipo pamapeto pake impso zimatha kulephera kugwira ntchito kwathunthu.
Choncho, ndikofunikira kuti aliyense amene ali ndi matenda a shuga ayesedwe impso kamodzi pachaka .
- Kuyesa mkodzo : Mkodzo wanu udzafufuzidwa ngati muli ndi puloteni yotchedwa albumin. Kawirikawiri, puloteni iyi siituluka mu mkodzo. Komabe, impso zikawonongeka, puloteni iyi imasonkhana mu mkodzo.
- Kuyezetsa magazi: Kuyezetsa magazi kudzachitika kuti muwone kuchuluka kwa creatinine ndi GFR (Glomerular Filtration Rate). Mwachidule, GFR ndi muyeso wa momwe impso zanu zimasefera zinyalala.
Kuwonongeka kwa mitsempha (Diabetic Neuropathy)
Ichi ndi vuto lofala kwambiri la matenda a shuga. Kuchuluka kwa shuga m'magazi kumawononga mitsempha m'thupi lathu. Izi zimatchedwa matenda a shuga . Zimakhudza kwambiri mitsempha m'manja ndi m'mapazi.
Kodi muli ndi makhalidwe amenewa?
- Manja ndi mapazi akunjenjemera.
- Mapazi anga akumva ngati akuyaka.
- Nthawi zina pamakhala dzanzi.
Choopsa chachikulu cha izi ndichakuti simudzatha kumva chilichonse m'mapazi anu. Tangoganizirani, muli ndi bala laling'ono pa phazi lanu, kapena munga womwe walowa, koma bwanji ngati simukumva? Lobala laling'ono limenelo likhoza kukula, kutenga matenda, ndipo mwina lingapangitse kuti phazi lanu lifunike kudula.
Choncho, yang'anani mapazi anu usiku uliwonse musanagone . Yang'anani ngati pali kufiira, kutupa, zilonda , kapena khungu losweka. Ngati muwona chilichonse mwa izi, uzani dokotala wanu nthawi yomweyo.
Dokotala wanu adzayesanso mapazi anu kamodzi pachaka. Angagogode phazi lanu ndi chinthu ngati chingwe cha nayiloni kapena pini yaying'ono kuti aone ngati mungathe kuchimva. Ngati simungathe kuchimva, chikhoza kukhala chizindikiro cha kuwonongeka kwa mitsempha.
Zotsatira pa maso (Diabetic Retinopathy)
Matenda a shuga angawonongenso maso. Shuga wambiri m'magazi amawononga mitsempha yofewa yamagazi yomwe imapereka magazi ku retina kumbuyo kwa diso. Izi zimatchedwa diabetesic retinopathy . Ngati sanalandire chithandizo, zingayambitse khungu.
Choncho, ndikofunikira kuti aliyense amene ali ndi matenda a shuga apite kwa dokotala wa maso kamodzi pachaka kuti akayezedwe maso ake.
- Kuyezetsa maso: Dokotala adzaika madontho m'diso lanu kuti atambasule diso. Kenako, adzagwiritsa ntchito lenzi yapadera kuti aone kumbuyo kwa diso lanu, retina , kuti awone ngati pali kuwonongeka kulikonse.
- Maso anu sadzawoneka bwino ndipo adzakhala osavuta kuwaona kwa maola angapo mutamaliza mayesowa. Choncho ndi bwino kubweretsa magalasi a dzuwa ndikuuza wina kuti akuyendetseni .
Anthu omwe ali ndi matenda a shuga amtundu woyamba ayenera kuyamba kuyezetsa maso awo pasanathe zaka 3-5 kuchokera pamene apezeka ndi matendawa. Anthu omwe ali ndi matenda a shuga amtundu wachiwiri ayenera kuyezetsa maso awo koyamba akangopezeka ndi matendawa.
Mavuto ena ofala
Kuwonjezera pa mavuto akuluakulu omwe atchulidwa pamwambapa, mavuto ena ambiri angabuke.
- Mavuto a m'mimba (Gastroparesis): Kuwonongeka kwa mitsempha m'mimba kumapangitsa kuti m'mimba mutuluke madzi pang'onopang'ono. Izi zimayambitsa zizindikiro monga kutupa ndi nseru. Kuti zitsimikizire izi, mayeso monga endoscopy angafunike.
- Kulephera Kugonana: Matenda a shuga amawonjezera chiopsezo cha kulephera kugonana mwa amuna. Ndikofunikira kulankhula ndi dokotala wanu za izi popanda kuchita manyazi. Zitha kuchiritsidwa ndi kusintha moyo ndi mankhwala.
- Mavuto a pakhungu ndi matenda: Shuga ikachuluka m'magazi, malo abwino oti mabakiteriya ndi bowa azikula amapangidwa. Zimachepetsanso mphamvu ya thupi yochiritsa mabala. Izi zingayambitse matenda a pakhungu pafupipafupi, matenda a mkodzo, komanso matenda a chiseyeye.
- Mavuto azaumoyo wa mano: Anthu omwe ali ndi matenda a shuga ali pachiwopsezo chachikulu cha matenda a chiseyeye (gingivitis), kuwola kwa mano, komanso kutaya mano. Chifukwa chake, ndikofunikira kutsuka mano tsiku lililonse ndikuwonana ndi dokotala wa mano nthawi zonse.
Mayeso omwe muyenera kuchita
Kuti mupewe mavuto, ndikofunikira kudziwa momwe matenda anu a shuga amalamuliridwira bwino. Mayeso awa amathandiza pa izi.
| Dzina la mayeso | Kufotokozera kosavuta |
|---|---|
| Kuyezetsa magazi kwa A1c | Izi zimakupatsani lingaliro la kuchuluka kwa shuga m'magazi mwanu m'miyezi itatu yapitayi . Muyenera kuchita izi osachepera kawiri pachaka. |
| Mayeso a Ketone | Maselo a thupi akapanda shuga wokwanira, amawotcha mafuta kuti apeze mphamvu. Mankhwala omwe amapangidwa amatchedwa ma ketone, omwe amawunikidwa mu mkodzo. Kuchuluka kwa ma ketone kungayambitse DKA (Diabetic Ketoacidosis), vuto loopsa. |
| Mayeso a Chithokomiro | Pali mgwirizano pakati pa matenda a shuga ndi hypothyroidism, kotero mayesowa ayenera kuchitidwa motsatira upangiri wa dokotala. |
Matenda a shuga ndi chinthu chomwe chiyenera kuthandizidwa bwino. Musachite mantha. Ngati mutsatira malangizo a dokotala wanu mosamala, kumwa mankhwala anu pa nthawi yake, kulamulira zakudya zanu, komanso kuchita masewera olimbitsa thupi, mutha kudziteteza ku mavuto ambiri omwe atchulidwa pamwambapa.
Uthenga Wopita Nawo Kunyumba
- Ngati matenda a shuga sakulamuliridwa, angakhudze pafupifupi chiwalo chilichonse m'thupi lanu, kuphatikizapo mtima wanu, impso, maso, ndi mitsempha.
- Pitani kwa dokotala wanu nthawi yake ndipo muyeze kuthamanga kwa magazi anu, cholesterol yanu, ndi kuchuluka kwa A1c.
- Onetsetsani kuti mwaonana ndi dokotala wa maso kamodzi pachaka kuti akakufufuzeni maso anu.
- Yang'anani mapazi anu tsiku lililonse ngati muli ndi mabala, ming'alu, kapena zinthu zina zolakwika.
- Kupewa kusuta fodya, kudya zakudya zabwino, komanso kuchita masewera olimbitsa thupi nthawi zonse kungachepetse kwambiri chiopsezo cha mavuto.
- Ngati muwona zizindikiro zachilendo (monga kupweteka pachifuwa, dzanzi, kusintha kwa masomphenya), dziwitsani dokotala wanu nthawi yomweyo.
Matenda a Shuga, Mavuto a Shuga, Matenda a Mtima, Matenda a Impso, Kuwonongeka kwa Mitsempha, Kulamulira Matenda a Shuga
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