Ngati muli ndi matenda a shuga, mwina mukudziwa momwe zimakhalira zovuta kumwa insulin tsiku lililonse ndikuyang'ana kuchuluka kwa shuga m'magazi mwanu nthawi zosiyanasiyana za tsiku. Nthawi zina, zonsezi zimatha kutopa. Koma musadandaule, chifukwa gawo la chithandizo cha matenda a shuga likupita patsogolo mwachangu kuposa momwe tikuganizira. Asayansi tsopano akugwira ntchito yopanga kapamba wopangidwa womwe ungamve kuchuluka kwa shuga m'thupi lathu ndikutulutsa insulin yokha moyenera. Pakadali pano, mankhwala atsopano ndi zida za insulin zabwera kale kutithandiza. Izi zapangitsa kuti moyo wokhala ndi matenda a shuga ukhale wosavuta komanso wotetezeka.
Chofunika ndichakuti si onse omwe ali ndi matenda a shuga omwe ali ofanana. Chomwe chimagwira ntchito kwa munthu mmodzi sichingagwire ntchito kwa wina. Ndicho chifukwa chake ndibwino kukhala ndi mitundu yosiyanasiyana ya chithandizo. Dokotala wanu akhoza kusankha chithandizo chabwino kwambiri kwa inu.
Kupita patsogolo kwaposachedwa pa chithandizo cha matenda a shuga
Tiyeni tiwone zina mwa njira zamakono zochizira matenda a shuga zomwe zikugwiritsidwa ntchito padziko lonse lapansi zomwe zimathandiza kwambiri pochiza matenda a shuga. Zina mwa izi sizikupezeka ku Sri Lanka pakadali pano, koma ndikofunikira kwambiri kuti mudziwe zomwe zikuchitikazi.
| Njira/chipangizo chochiritsira | Mwachidule, kodi chimachitika ndi chiyani ndi izi? | Zinthu zapadera zoti mudziwe |
|---|---|---|
| Afrezza (insulin inhaler) | Izi zili ngati chopumira chomwe chimagwiritsidwa ntchito ndi anthu omwe ali ndi mphumu. M'malo moika jakisoni wa insulin, ndi chipangizo chomwe chimakupatsani mwayi wopuma mlingo wa insulin. Chimagwiritsidwa ntchito makamaka kupatsa thupi mlingo wa insulin wogwira ntchito mwachangu kumayambiriro kwa chakudya . | Ichi ndi chipangizo chaching'ono kwambiri, chonyamulika. Komabe, sichiyenera anthu osuta fodya kapena omwe ali ndi matenda a m'mapapo monga mphumu kapena emphysema . |
| Medtronic MiniMed 640G (Pumpu ya Insulin Yanzeru) | Ichi ndi chida 'chanzeru' chomwe chimalumikiza pampu ya insulin ndi chowunikira shuga chokhazikika. Chimasiya kupereka insulin yokha shuga ikayamba kutsika m'magazi. Chimayamba kupereka insulin shuga ikabwerera mwakale. | Iyi ndi sitepe yofunika kwambiri paulendo wopanga kapamba wochita kupanga. Kuchepa kwa shuga m'magazi, kapena hypoglycemia , ndi vuto lalikulu, makamaka kwa anthu omwe ali ndi matenda a shuga amtundu woyamba. Chipangizochi chingathandize anthu omwe ali ndi shuga m'magazi ochepa ndipo sadziwa. |
| Lucentis (mankhwala a maso) | Uwu ndi mankhwala apadera ovomerezedwa kuti athetse vuto lalikulu lotchedwa diabetesic retinopathy, lomwe ndi kuwonongeka kwa maso komwe kumachitika chifukwa cha matenda a shuga. Matendawa pamapeto pake angayambitse khungu. | Kale, mankhwalawa ankagwiritsidwa ntchito pa matenda ena a maso (macular edema) mwa anthu omwe alibe matenda a shuga. Tsopano akugwiritsidwanso ntchito kuteteza maso a odwala matenda a shuga. Izi zikusonyeza kuti njira zatsopano zopewera mavuto a shuga zikubwera. |
Kodi kapamba wochita kupanga ndi chiyani?
Munthu amene akuvutika kumwa insulin ndikuwunika shuga m'magazi mwake kangapo patsiku angaganize kuti zingakhale bwino bwanji ngati pangakhale chipangizo chomwe chingamuchitire zonsezi. Maloto amenewo atsala pang'ono kukwaniritsidwa ndi Artificial Pancreas .
Mwachidule, ichi ndi chipangizo chaching'ono chomwe chimagwira ntchito ngati kapamba weniweni m'thupi lathu.
- Imayesa shuga m'magazi nthawi zonse (shuga m'magazi).
- Kutengera ndi mulingo umenewo, zimatsimikiza kuchuluka kwa insulini yomwe thupi limafunikira.
- Kenako, kuchuluka kwa insulin komwe kumafunikira kumapopedwa m'thupi panthawi yoyenera.
Izi zikutanthauza kuti munthu wodwala matenda a shuga sayenera kuda nkhawa nthawi zonse ndi kuchuluka kwa shuga m'magazi mwake. Ma kapamba ena opanga apamwamba alinso ndi pampu yachiwiri yomwe imatulutsa mahomoni otchedwa glucagon, omwe amagwiritsidwa ntchito kukweza kuchuluka kwa shuga m'magazi ngati atsika kwambiri (hypoglycemia yayikulu).
Koma pali vuto lalikulu ndi izi. Izi zikutanthauza kuti, m'moyo weniweni, ndiko kuti, kuyankha molondola kusintha kwa shuga tikamadya, kuchita masewera olimbitsa thupi, kapena kudwala, ndikuwongolera kuchuluka kwa shuga popanda kutsika kwambiri.
Taganizirani ngati kuyendetsa galimoto yothamanga kwambiri, osati galimoto wamba. Ngakhale kulakwitsa pang'ono kungayambitse vuto lalikulu. Ichi ndichifukwa chake asayansi amasamala kwambiri kuti apewe kutsika kwakukulu kwa shuga m'magazi popanga zida izi.
Zochitika zina zomwe zikuyembekezeredwa mtsogolomu
Kafukufukuyu sakuthera pamenepo. Asayansi akufufuza zinthu zina zambiri.
Insulin yabwino komanso yogwira ntchito nthawi yayitali
Kafukufuku wambiri akuchitika kuti apange ma insulin omwe amagwira ntchito nthawi zonse komanso modziwikiratu kuposa ma insulin omwe akugwira ntchito nthawi yayitali pano.
Akuyeseranso kupanga insulin yochuluka kwambiri . Ndiye kuti, madzi ochepa amakhala ndi insulin yambiri. Kodi ubwino wa izi ndi wotani? Taganizirani izi, anthu ena, makamaka omwe ali ndi matenda a shuga amtundu wa 2, amafunika mayunitsi opitilira 100 a insulin patsiku. Sirinji yachizolowezi imakhala ndi mayunitsi 100. Kenako amafunika kudzibaya jekeseni kawiri. Ngati izi zitha kuchepetsedwa kukhala jekeseni imodzi, kodi zingakhale zosavuta bwanji?
Kafukufuku wa Maselo Oyambira
Mwina ichi ndi chiyembekezo chachikulu cha matenda a shuga. Asayansi akuyesera kugwiritsa ntchito maselo oyambira , mtundu wapadera wa selo womwe ungakhale mtundu uliwonse wa selo m'thupi lathu, kuti apange maselo a pancreatic (maselo a beta) omwe amapanga insulin.
Ngati izi zikuyenda bwinodi, kutanthauza kuti maselo omwe amapanga izi amatha kuzindikira kuchuluka kwa shuga m'thupi ndikupanga insulin moyenera, sizingakhale chithandizo cha matenda ashuga okha, komanso mankhwala athunthu . Ngakhale izi zikadali mu gawo lofufuza, asayansi amaona izi ngati zoposa maloto chabe, ndi chinthu chomwe chingachitikedi.
Uthenga Wopita Nawo Kunyumba
- Sayansi yochiza matenda a shuga ikupita patsogolo tsiku ndi tsiku, choncho musataye mtima.
- Kukhala ndi matenda a shuga tsopano kwayamba kukhala kosavuta chifukwa cha zinthu zatsopano monga insulin inhaler ndi smart pumps.
- Aliyense amene ali ndi matenda a shuga ndi wosiyana. Dokotala wanu yekha ndi amene angasankhe chithandizo chomwe chili chabwino kwa inu. Choncho lankhulani ndi dokotala wanu za mankhwala atsopano.
- Zinthu monga kapamba wochita kupanga ndi kafukufuku wa maselo oyambira zitha kuchiritsa matenda a shuga mtsogolo. Choncho khalani ndi chiyembekezo chamtsogolo.
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