Ngakhale mutamwa madzi ambiri, osadya chakudya chamchere kwambiri, komanso osachita masewera olimbitsa thupi mokwanira kuti mutulutse thukuta, kodi mumakhalabe ndi ludzu? Kodi nthawi zambiri mumakhala ndi milomo youma komanso yosweka? Ngati ndi choncho, ichi ndi chinthu chomwe muyenera kulankhula ndi dokotala wanu. Izi zili choncho chifukwa ludzu lochuluka ndi pakamwa pouma ndi zizindikiro ziwiri zazikulu za shuga wambiri m'magazi. Mutha kukhala ndi matenda a shuga, koma simukudziwa. Ngati mukumwa kale mankhwala a shuga, mwina nthawi yakwana yoti musinthe njira yanu yochizira pang'ono.
Kodi ludzu lochulukali limachitika bwanji mu matenda a shuga?
Ludzu losalamulirika limeneli lomwe limapezeka ndi matenda a shuga limatchedwa polydipsia . Matendawa amatha kuwoneka m'mitundu yonse iwiri ya matenda a shuga.
Mwachidule, pali mitundu iwiri ikuluikulu ya matenda a shuga.
1. Matenda a shuga: Uwu ndi mtundu wa matenda a shuga omwe tonse timawadziwa kuti ndi "matenda a shuga." Chomwe chimachitika pamenepa ndi chakuti shuga m'magazi mwanu amakwera kwambiri. Palinso mitundu iwiri ya matenda amenewa.
- Matenda a Shuga a Mtundu 1: Uwu ndi matenda omwe amayambitsa chitetezo chamthupi. Izi zikutanthauza kuti chitetezo chathu chamthupi chimawononga maselo omwe ali mu kapamba wathu omwe amapanga insulin. Insulin ndi mahomoni omwe amathandiza shuga m'magazi kulowa m'maselo kuti apange mphamvu.
- Matenda a Shuga a Mtundu Wachiwiri: Izi zimachitika thupi likapanda kupanga insulin yokwanira, kapena insulin yomwe limapanga siligwira ntchito bwino.
2. Matenda a shuga a Insipidus: Matendawa ndi osowa kwambiri. Sakhudzana ndi kuchuluka kwa shuga m'magazi. Amakhudza impso ndi mahomoni omwe amawongolera magwiridwe antchito awo. Izi zimapangitsa kuti thupi lipange mkodzo wochuluka. Kukodza pafupipafupi kumatha kuwononga madzi m'thupi ndikupangitsa ludzu lochuluka.
Kotero mutha kuwona, shuga wambiri m'magazi komanso kukodza pafupipafupi kungayambitse ludzu lalikulu komanso losalekeza.
Ludzu ndi chizindikiro chachikulu cha matenda a shuga!
Ganizirani za insulin ngati kiyi yomwe imathandiza maselo athu kugwiritsa ntchito shuga ngati mafuta kuti apange mphamvu. Tsopano, pamene thupi lanu silikhala ndi kiyi yokwanira ya insulin iyi, kapena pamene sigwira ntchito bwino, shuga yonse yomwe singalowe m'maselo imasonkhana m'magazi.
Pa nthawiyi, ngwazi ziwiri zazikulu m'thupi mwathu zimayamba kugwira ntchito. Amenewo ndi impso zathu.
Chimene impso zimachita ndi kugwira ntchito maola owonjezera kuti zitenge, zisefe, ndikulekanitsa shuga wowonjezerayu ndi magazi. Izi zikutanthauza kuti zimagwira ntchito nthawi yowonjezera.
Izi zikachitika, impso sizingathe kuyamwa shuga wonse wowonjezerawu m'thupi. Kenako, zimayamba kuutulutsa mu mkodzo. Chofunika ndichakuti, shuga uyu samangotuluka wokha. Monga momwe zimakhalira ndi kufinya madzi mu siponji, umakoka madzi m'thupi lathu kenako n’kuutulutsa mu mkodzo. Njira imeneyi ndi imene imapangitsa kuti thupi lithe madzi m'thupi ndipo mukumva ludzu losapiririka.
Kodi izi ndi chifukwa cha matenda a shuga kapena pali chifukwa china?
Ngati simukumva ludzu ngakhale mutamwa mowa wochuluka bwanji, kapena ngati mukukodza mkodzo wochuluka kwambiri patsiku, mwina muli ndi polydipsia. Koma musachite mantha ndipo nthawi yomweyo ganizani kuti muli ndi matenda a shuga. Pali zifukwa zina zomwe zimayambitsa ludzu lochuluka komanso pakamwa pouma.
Matendawa angayambitsidwe ndi mankhwala enaake makamaka.
| Mtundu wa mankhwala | Mabokosi ogwiritsira ntchito |
|---|---|
| Mankhwala oletsa matenda amisala (antipsychotics) | Kwa matenda osiyanasiyana amisala. |
| Mankhwala oletsa kuvutika maganizo | Kwa matenda monga kuvutika maganizo ndi nkhawa. |
| Mankhwala oletsa khunyu (mankhwala a khunyu) | Kwa matenda a khunyu ndi matenda ena amitsempha. |
| Mankhwala a shuga otchedwa SGLT2 inhibitors (mtundu wa mankhwala a shuga) | Izi zingayambitse ludzu chifukwa zimawonjezera kutuluka kwa shuga mu mkodzo. |
| Ma steroids | Amagwiritsidwa ntchito pa matenda ambiri monga ziwengo ndi mphumu. |
Kuphatikiza apo, pakamwa pouma pakhoza kuonedwanso ngati chizindikiro chachikulu cha matenda ena kupatula matenda a shuga.
- Matenda a m'matumbo a malovu
- Matenda a Sjogren
- HIV/AIDS
Zoopsa zonyalanyaza ludzu lochuluka
Ludzu lopitirira muyeso limeneli si vuto lokha. Ngati silinyalanyazidwa, lingayambitse mavuto aakulu azaumoyo.
1. Kusowa madzi m'thupi: Kupitiriza kutaya madzi m'thupi kungayambitse nseru, chizungulire, mutu, komanso kukomoka. Kusowa madzi m'thupi kumachepetsanso kuchuluka kwa mkodzo womwe mumatulutsa. Izi zimalepheretsa thupi kutulutsa shuga wochuluka mu mkodzo. Izi zingayambitse kuchuluka kwa shuga m'magazi kukwera mofulumira komanso mosalamulirika.
2. Kuchuluka kwa shuga m'magazi kosalamulirika: Kaya muli ndi matenda a shuga omwe simunawazindikire kapena matenda a shuga omwe simunawalamulire bwino, kuchuluka kwa shuga m'magazi ndi chiopsezo ku thupi lanu lonse. Kusamalira bwino matenda a shuga kumatanthauza kuchepetsa chiopsezo cha mavuto awa:
| Dongosolo lokhudzidwa | Zovuta zomwe zingatheke |
|---|---|
| Mtima ndi mitsempha ya magazi | Matenda a mtima ndi sitiroko |
| Dongosolo la mitsempha | Kuwonongeka kwa mitsempha (kusanza, kupweteka kwa miyendo) |
| Impso | Matenda a impso |
| Maso | Kulephera kuona bwino (kusaona bwino, kusawona bwino) |
| M'mimba ndi mkodzo | Mavuto okhudzana ndi kugonana komanso chikhodzodzo |
Kodi tichite chiyani ndi ludzu lopitirira muyeso ili?
Ngati ludzu lanu lopitirira muyeso limayamba chifukwa cha matenda a shuga, njira yabwino ndiyo kulithetsa. Izi zimafuna kuti munthu adziwe matendawo komanso njira yoyenera yothandizira. Zonsezi ziyenera kuchitika motsogozedwa ndi dokotala wanu .
- Mankhwala oletsa shuga m'magazi: Ngati muli ndi matenda a shuga amtundu woyamba, muyenera kubaya insulin kangapo patsiku kapena kugwiritsa ntchito pampu ya insulin. Ngati muli ndi matenda a shuga amtundu wachiwiri, mungafunike mankhwala ngati zakudya ndi masewera olimbitsa thupi zokha sizikwanira. Izi zikuphatikizapo mapiritsi monga metformin ndi nthawi zina insulin.
- Opaleshoni: Ngati muli ndi kunenepa kwambiri ndipo muli ndi matenda a shuga amtundu wachiwiri, mungafune kuganizira za opaleshoni yochepetsa thupi. Ingakuthandizeni kuchepetsa thupi kwambiri, kuchepetsa shuga m'magazi mwanu, komanso mwina kusiya kugwiritsa ntchito mankhwala a shuga.
- Kusintha kwa moyo: Kudya zakudya zabwino komanso kuchita masewera olimbitsa thupi tsiku lililonse kungathandize kuchepetsa vuto lililonse la thanzi, kuphatikizapo matenda a shuga. Mutha kupempha thandizo kwa katswiri wa zakudya kuti apange dongosolo la chakudya lomwe limayang'ana kwambiri chakudya cham'mimba. Ngati mumasuta, siyani kusiya kusuta.
Mayankho akanthawi a pakamwa pouma
Pamene mukuyesetsa kuthana ndi matenda anu a shuga, mutha kuyesa zinthu izi kuti mupeze mpumulo ku pakamwa pouma.
- Tafuna chingamu chopanda shuga kapena kuyamwa chinthu chonga chidutswa cha lalanje chopanda shuga. Izi zithandiza kuyambitsa kutulutsa malovu.
- Chepetsani kumwa khofi ndi tiyi (caffeine).
- Musagwiritse ntchito mankhwala otsukira pakamwa omwe ali ndi mowa.
- Imwani madzi pang'ono tsiku lonse.
- Mankhwala ena ogulitsidwa kunja kwa chipatala a chimfine ndi ziwengo (antihistamines, decongestants) amatha kuwononga kwambiri thupi. Pewani kumwa mankhwalawa popanda upangiri wa dokotala.
- Gwiritsani ntchito chotenthetsera mpweya kuti muwonjezere chinyezi mu chipinda chomwe mumagona.
- Pewani kutafuna fodya kapena kusuta fodya kotheratu.
Uthenga Wopita Nawo Kunyumba
- Ludzu lopitirira muyeso komanso pakamwa pouma kungakhale chizindikiro chachikulu cha matenda a shuga omwe sakudziwika.
- Musanyalanyaze zizindikiro izi. Pitani kwa dokotala mwamsanga kuti akupatseni upangiri.
- Chifukwa chachikulu cha ludzu kwa odwala matenda a shuga ndichakuti shuga wowonjezera m'magazi, akatulutsidwa kudzera mu impso mu mkodzo, amachotsanso madzi m'thupi.
- Njira yabwino komanso yokhazikika yothetsera ludzu ili ndikuwongolera bwino matenda anu a shuga motsatira malangizo a dokotala.
- Pothana ndi matenda a shuga, zinthu zosavuta monga kutafuna chingamu chopanda shuga ndi kumwa madzi pang'ono pafupipafupi zingathandize kuchepetsa pakamwa pouma.
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