Dokotala wanu akakuuzani kuti muli ndi matenda a shuga a mtundu wa 2, ndi zachilendo kuti mafunso abwere m'maganizo mwanu. 'Ndichite chiyani tsopano?', 'Kodi mankhwalawa ndi oyenera kwa ine?', 'Chidzachitike ndi chiyani pambuyo pake?' Zinthu ngati izi zingabwere m'maganizo mwanu. Chifukwa chake, musazengereze kufunsa dokotala wanu mafunso aliwonse omwe muli nawo okhudza chithandizo chanu, mankhwala anu, kapena moyo wanu. Kufotokozera nkhawa zanu ndi gawo lofunika kwambiri la chithandizo. Lero, tikambirana za mafunso omwe anthu ambiri amakhala nawo okhudza matenda a shuga komanso mayankho osavuta.
Kodi matendawa angachiritsidwe kwathunthu?
Yankho la izi ndi 'ayi' wosavuta. Koma musadandaule. Ngakhale kuti matenda a shuga amtundu wachiwiri sangachiritsidwe kwathunthu, akhoza kuthandizidwa, kapena kubwezeretsedwa ku 'kukhululukidwa'. Mwachidule, pobwezeretsa shuga m'magazi mwanu kukhala bwino, mutha kupewa mavuto ambiri a matenda a shuga. Dokotala wanu akhoza kuchepetsa mankhwala anu kapena kusiya kumwa kwa kanthawi.
Chofunika kwambiri pa izi ndi kusintha kwa moyo.
- Zakudya Zopatsa Thanzi: Pachifukwa ichi, mutha kulankhula ndi dokotala wanu kapena katswiri wazakudya ndikupanga dongosolo la chakudya lomwe likuyenererani.
- Maseŵero Olimbitsa Thupi: Yesetsani kuchita masewera olimbitsa thupi osachepera mphindi 30 masiku ambiri. Ngati simungathe kuchita nthawi yomweyo, yambani pang'ono.
- Kuchepetsa thupi: Ngati muli onenepa kwambiri, ndikofunikira kwambiri kuchepetsa thupi.
Inde, mankhwala omwe dokotala wanu amakulemberani ndi gawo lalikulu la chithandizo chanu. Koma kuti mukhale ndi moyo wathanzi, kudya bwino komanso kuchita masewera olimbitsa thupi kuyenera kukhala patsogolo pa mndandanda wanu. Komanso, kugona mokwanira ndikofunikira. Ngati mumagona maola osakwana 7 patsiku, shuga m'magazi mwanu imatha kukhala yosakwanira.
Kodi dokotala amafufuza chiyani mukapita ku chipatala?
Mukapita ku chipatala cha matenda a shuga, dokotala wanu adzakuyesani mayeso angapo kuti aone ngati matenda anu a shuga akulamuliridwa bwino komanso ngati pali mavuto ena omwe abuka.
| Kodi kuyesedwa/kukuyang'aniridwa chiyani? | N’chifukwa chiyani zimenezo n’zofunika? |
|---|---|
| Mayeso a A1c | Umu ndi momwe mungadziwire bwino momwe kuchuluka kwa shuga m'magazi mwanu kwakhalira koyenera m'miyezi iwiri kapena itatu yapitayi. |
| Kuthamanga kwa Magazi | Kukhala ndi kuthamanga kwa magazi komanso matenda a shuga kumawonjezera chiopsezo cha matenda akuluakulu monga matenda a mtima ndi sitiroko. Chifukwa chake, ndikofunikira kuwongolera izi. |
| Mulingo wa cholesterol | Kulamulira kuthamanga kwa magazi ndi kuchuluka kwa cholesterol kumathandiza kuchepetsa chiopsezo cha matenda a mtima. |
| Kuyezetsa maso | Matenda a shuga amatha kuwononga maso. Matendawa amatchedwa retinopathy . Ngati atapezeka msanga, kutayika kwa maso kumatha kupewedwa. |
| Kuyezetsa mapazi | Matenda a shuga amatha kuwononga mitsempha ya m'mapazi ndikuchepetsa kumva. Zotsatira zake, ngakhale mabala ang'onoang'ono sangadziwike, zomwe zimapangitsa kuti mapazi azitupa zomwe sizichira, matenda, komanso nthawi zina kudulidwa ziwalo. |
Kodi ndiyeneranso kumwa insulin?
Anthu omwe ali ndi matenda a shuga amtundu woyamba ayenera kumwa insulin, koma si aliyense amene ali ndi matenda a shuga amtundu wachiwiri amene amafunika insulin.
Dokotala wanu nthawi zambiri amayamba kaye ayesa kuwongolera kuchuluka kwa shuga m'magazi mwa kudya zakudya zoyenera, kuchita masewera olimbitsa thupi, komanso kuchepetsa thupi. Ngati zimenezo sizikugwira ntchito, mankhwala omwa amaperekedwa. Nthawi zambiri, mankhwala oyamba kuyamba ndi mankhwala otchedwa metformin . Izi zimathandiza thupi lanu kugwiritsa ntchito bwino insulin yomwe lili nayo. Ngati mankhwala awa sakulamulira kuchuluka kwa shuga m'magazi mwanu, dokotala wanu angasankhe kuyamba kumwa mankhwala ena kapena insulin.
Kumbukirani, matenda a shuga ndi matenda omwe amapitirira. Izi zikutanthauza kuti ngakhale simukufunika insulin lero, mungafunikenso mtsogolo. Umenewo ndi mtundu wa matendawa.
Kodi ndingayang'ane bwanji kuchuluka kwa shuga m'thupi langa kunyumba?
Njira yodziwika bwino yochitira izi ndikugwiritsa ntchito choyezera shuga m'magazi. Chomwe muyenera kuchita ndikubaya chala chanu ndi singano yaying'ono, kuyika dontho la magazi pa mzere woyesera, ndikuyika mu choyezera. Izi zidzakuuzani kuchuluka kwa shuga m'magazi anu.
Ngati mukumwa insulin ndipo muli pachiwopsezo chotsika shuga m'magazi, makamaka usiku, dokotala wanu angakulangizeni kuti mugwiritse ntchito chipangizo cha CGM (Continuous Glucose Monitoring) . Izi zimaphatikizapo kuyika sensa pakhungu lanu. Imayesa ndikulemba kuchuluka kwa shuga m'magazi mwanu mphindi zochepa zilizonse tsiku lonse.
Ngati ndiyamba kumwa insulin, kodi ndiyenera kumwa insulin moyo wanga wonse?
Osati nthawi zonse. Nthawi zina insulin imaperekedwa ngati yankho la kanthawi kochepa. Mwachitsanzo, ngati muli ndi pakati kapena kuchipatala chifukwa cha vuto lina ladzidzidzi, dokotala wanu angakupatseni insulin kwakanthawi. Malinga ndi ziwerengero zina, pafupifupi 67% ya anthu omwe amamwa insulin ya matenda a shuga a mtundu wa 2 sadzafunikanso kumwanso.
Kodi impso zanga zidzawonongeka chifukwa cha matenda a shuga ndipo kodi ndifunika dialysis?
Ichi ndi mantha aakulu kwa anthu ambiri. N’zoona kuti matenda a shuga ndi omwe amachititsa kuti munthu adwale matenda a impso. Komabe, pali zinthu zambiri zomwe mungachite kuti mudziteteze.
Kumwa mankhwala anu moyenera ndikusunga shuga m'magazi mwanu moyenerera komanso kuthamanga kwa magazi ndikofunikira kwambiri. Ngakhale mutakhala ndi matenda a impso, ngati muwongolera shuga m'magazi mwanu bwino, mutha kuchepetsa kuwonongeka kwina kwa impso zanu ndi theka. Choncho, musachite mantha, ndipo lamulirani matenda anu.
Uthenga Wopita Nawo Kunyumba
- Ngakhale kuti matenda a shuga a mtundu wachiwiri sangachiritsidwe kwathunthu, amatha kulamulidwa bwino mwa kusintha moyo (zakudya, masewera olimbitsa thupi) ndipo kufunikira kwa mankhwala kungachepe.
- Ndikofunikira kuonana ndi dokotala wanu panthawi yomwe yakonzedwa ndikuyesedwa A1c yanu, kuthamanga kwa magazi, kuchuluka kwa cholesterol, komanso maso ndi mapazi.
- Si aliyense amene ali ndi matenda a shuga amtundu wachiwiri amene amafunika insulin kuyambira pachiyambi. Nthawi zambiri, anthu amayamba ndi mapiritsi.
- Mwa kusunga shuga m'magazi mwanu ndi kuthamanga kwa magazi anu moyenera, mutha kupewa kuwonongeka kwa ziwalo monga impso, mtima, ndi maso.
- Kambiranani momasuka ndi dokotala wanu za mafunso kapena nkhawa zilizonse zomwe muli nazo zokhudza chithandizo chanu kapena mankhwala anu.
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