Kodi mukudziwa za Diabulimia, matenda oopsa omwe amadza ndi matenda a shuga?

Ngati mukukhala ndi matenda a shuga amtundu woyamba, mukudziwa momwe zimakhalira zovuta. Zingamveke ngati nkhondo yokhazikika ndi zakudya, insulin, ndi kuchuluka kwa shuga m'magazi. Koma pamodzi ndi mavutowa, palinso matenda ena akuluakulu omwe angakugwereni ndikuika moyo pachiswe. Lero, tikambirana za matenda ena otere, matenda a diabulimia.

Kodi Diabulimia ndi chiyani kwenikweni?

Mwachidule, Diabulimia ndi matenda omwe munthu amene ali ndi matenda a shuga a mtundu woyamba mwadala satenga insulin yokwanira kapena amamwa insulin yochepa kwambiri kuti achepetse thupi. Madokotala amaona kuti vutoli ndi vuto la kudya.

Mukamva dzina lakuti "diabulimia," anthu ena angaganize kuti vutoli ndi lofanana ndi "bulimia nervosa." Izi zikutanthauza kuti, zimakhala ngati kudya kwambiri kenako n’kusanzanso. Koma si aliyense amene ali ndi diabulimia amene amachita zimenezi. Anthu ena amangochepetsa kugwiritsa ntchito insulin ndipo amatha kusunga njira zina zodyera monga mwachizolowezi. Chifukwa chake, nthawi zina amatchedwa "Eating Disorder in Diabetes Mellitus Type 1 (ED-DMT1)."

Mukachepetsa insulin yanu ndikuchepetsa thupi, mungaganize kuti, "Pomaliza pake ndili ndi mphamvu pa thupi langa." Koma zoona zake n'zakuti, iyi ndi vuto loopsa kwambiri, lomwe lingawononge moyo. Ngati inu kapena munthu amene mumamudziwa ali ndi zizindikirozi, ndikofunikira kufunafuna upangiri wa dokotala nthawi yomweyo.

N’chifukwa chiyani kuchepa thupi kumachitika munthu akataya insulin? Kodi n’koopsa?

Matupi athu amafunikira hormone yotchedwa insulin kuti apeze mphamvu kuchokera ku chakudya chomwe timadya. Insulin ndi yomwe imatenga shuga, kapena shuga, m'magazi mwathu kupita ku maselo a thupi ndikusandutsa mphamvu.

Tangoganizirani, munthu amene ali ndi matenda a shuga a mtundu woyamba sapanga insulin yokwanira m'thupi lake. Kenako munthuyo ayenera kutenga insulin kuchokera kunja. Nanga chimachitika n'chiyani ngati mwachepetsa dala insulin yomwe mumamwa? Maselo a thupi sangathe kugwiritsa ntchito shuga. Kenako thupi limayamba kugwiritsa ntchito njira zina zopezera mphamvu. Ndiye kuti, limayesetsa kusonkhanitsa mphamvu potentha mafuta ndi minofu.

Kaya mudye motani, thupi lanu silingapeze mphamvu kuchokera ku chakudya chimenecho, choncho chomwe chikuchitika ndi chakuti thupi lanu "likuvutika ndi njala." Ichi ndi chomwe chimayambitsa kuchepa thupi.

Koma kuchepetsa thupi mwanjira imeneyi ndi koopsa kwambiri.Choyamba ndi chakuti mankhwala oopsa otchedwa ketones amatha kudziunjikira m'magazi, zomwe zimapangitsa kuti munthu adwale matenda otchedwa "Diabetic Ketoacidosis (DKA). Chinanso n'chakuti ngati insulin si yokwanira, madzi ambiri amatha kutuluka m'thupi, zomwe zimapangitsa kuti munthu asamathenso madzi. Ngakhale kuti kutaya madzi m'thupi kumeneku kungawoneke ngati kukuthandizani kuchepetsa thupi, kumawononganso thupi kwambiri.

Kodi zizindikiro za Diabulimia ndi ziti?

Mu mkhalidwe umenewu, zizindikiro zina zakuthupi, zamaganizo, ndi za khalidwe zingaonekere.

Zizindikiro zakuthupi

• HbA1c value ya 9.0% kapena kupitirira apo: Izi zikusonyeza kuti shuga m'magazi mwanu m'miyezi itatu yapitayi ndi yokwera kwambiri.
• Kuchepetsa thupi popanda chifukwa.
• Chizungulire ndi kukomoka.
• Kusalinganika kwa ma electrolyte m'thupi (sodium, potaziyamu).
• Kumva kutopa komanso kutopa nthawi zonse.
• Kusanza ndi kusanza.
• Ludzu lochuluka pafupipafupi komanso kukodza pafupipafupi.
• Kusakhazikika kwa msambo mwa akazi.
• Kusintha kwa masomphenya, kusawona bwino.

Zizindikiro zamaganizo ndi khalidwe

• Kusowa nthawi yokumana ndi dokotala chifukwa cha matenda a shuga.
• Kuopa kuchepa kwa shuga m'magazi (hypoglycemia) chifukwa choti muyenera kudya.
• Kuopa "kunenepa mukatenga insulin."
• Kusamalira matenda a shuga kumamveka ngati katundu wolemera komanso kupsinjika maganizo (kuvutika ndi matenda a shuga komanso kutopa kwambiri).
• Kusamwa mankhwala a insulin nthawi zonse kapena kuwamwa mochedwa.
• Mkwiyo wadzidzidzi, kusintha kwa maganizo pafupipafupi.
• Kubisa zinsinsi kwa ena za momwe mumathandizira matenda anu a shuga.
• Kupezeka pafupipafupi kwa matenda ashuga a ketoacidosis (DKA) kapena kuyandikira.
• Kusapereka insulin yofunikira (bolus) pa chakudya kapena kuipereka yochepa kwambiri.

Ngati inu kapena munthu amene mumamudziwa ali ndi chimodzi mwa zizindikirozi, ndikofunikira kufunafuna upangiri wa dokotala nthawi yomweyo. Kafukufuku wina adapeza kuti matenda a diabulimia amakhudza munthu m'modzi mwa akuluakulu 11 omwe ali ndi matenda a shuga amtundu woyamba. Izi zikutanthauza kuti akhoza kukhala ofala kwambiri kuposa momwe timaganizira.

Kodi ndi zinthu ziti zomwe zimayambitsa matenda a Diabulimia?

Palibe chifukwa chimodzi chokha chomwe chimayambitsa matenda a diabulimia. Matenda odya ngati awa ndi ovuta kwambiri. Amatha kuyambitsidwa ndi kuphatikiza kwa mavuto a thupi, chikhalidwe, komanso thanzi la maganizo.

Kupsinjika maganizo komwe kumachitika chifukwa chothana ndi matenda a shuga kungakhalenso chifukwa chake. Taganizirani izi:

• Kuganizira nthawi zonse za chakudya, makamaka kuwerengera chakudya cham'mimba.
• Ndikofunikira kuwerenga mosamala zilembo za zakudya.
• Ndikofunikira kulemba ndi kuyang'anira nthawi zonse zinthu monga kuchuluka kwa shuga m'magazi, kuchuluka kwa HbA1c, ndi kulemera kwa thupi.

Pamodzi ndi zinthu izi, zinthu zina zingapo zingathandize pakukula kwa diabulimia:

• Chikhumbo champhamvu chofuna kuchepetsa thupi.
• Mavuto a chithunzi cha thupi.
• Matenda a shuga.
• M'zikhalidwe zina, thupi "lochepa" limaonedwa ngati lokongola.
• Kumva ngati alibe chithandizo.
• Mavuto amisala, makamaka kuvutika maganizo ndi nkhawa.
• Shuga ikatsika m'magazi, muyenera kudya.
• Kukakamizidwa ndi anzawo.
• Ngati munakhalapo ndi vuto la kudya kale.
• Zochitika zoopsa m'moyo.
• Chikhumbo chofuna kulamulira china chake m'moyo.
• Kulemera kwa thupi pambuyo pa matenda a shuga kumayamba kupezeka ndipo chithandizo chimayamba.

Ngati inu kapena munthu amene muli naye pafupi ali ndi zizindikiro zimenezi, ndikofunika kwambiri kufunafuna thandizo.

Kodi ndi mavuto otani omwe angabwere chifukwa cha izi?

Matenda a diabulimia angayambitse mavuto aakulu azaumoyo nthawi yochepa komanso yayitali.

Mavuto a kanthawi kochepa

Zambiri mwa izi zimachitika chifukwa cha kuchuluka kwa shuga m'magazi nthawi zonse.

• Matenda a shuga otchedwa Diabetic Ketoacidosis (DKA): Izi zitha kupha munthu.
• Kutaya madzi m'thupi kwambiri.
• Kuchira kwa bala mochedwa.
• Matenda a bakiteriya monga Staph.
• Matenda a yisiti ndi matenda a mkodzo (UTIs).
• Kufooka kwa minofu.

Mavuto a nthawi yayitali

Izi ndi zovuta zomwe zimachitika chifukwa cha matenda a shuga, koma zimatha kuchitika mwachangu komanso moopsa kwa anthu omwe ali ndi matenda a shuga.

• Matenda a mtima.
• Kuwonongeka kwa mitsempha m'maso (Retinopathy) - Izi zingayambitsenso khungu.
• Kuwonongeka kwa mitsempha m'miyendo (Neuropathy) - Izi zingayambitse dzanzi, ululu, komanso kutayika kwa kumverera ngakhale mutavulala.
• Gastroparesis - Kuchedwa kwa kugaya chakudya.
• Matenda a impso - Izi zingayambitse kulephera kwa impso komanso kufunikira kwa dialysis.
• Matenda a chiwindi.

Mavuto amenewa angayambitse kugonekedwa m'chipatala pafupipafupi komanso imfa isanakwane.

Kodi madokotala amazindikira bwanji vutoli?

Matenda obwera chifukwa cha kudya nthawi zambiri amakhala ovuta kuwazindikira chifukwa nthawi zambiri amakhala obisika. Anthu ambiri omwe ali ndi matendawa samabwera kudzafuna chithandizo. Izi zitha kukhala zoona makamaka kwa anthu omwe ali ndi matenda a shuga. Anthu omwe ali ndi matenda a shuga nthawi zambiri amaopa kuti madokotala kapena abale awo angawadzudzule chifukwa chosasamalira bwino matenda awo a shuga.

Chifukwa cha izi, anthu ambiri omwe ali ndi matenda a diabulimia sapezeka ndi matendawa.

Ngati munthu amene ali pafupi nanu ali ndi HbA1c ya 9.0% kapena kupitirira apo, kapena ngati nthawi zambiri amakumana ndi DKA popanda chifukwa china chilichonse, mungaganize kuti ali ndi matenda a diabulimia.

Popeza n'zovuta kudziwa chomwe chimayambitsa shuga wambiri m'magazi, nthawi zambiri, kuti ena adziwe za vutoli, munthuyo ayenera kuvomereza kuti akuchepetsa kugwiritsa ntchito insulin mwadala.

Kodi Diabulimia imachiritsidwa bwanji? (Chithandizo)

Zolinga zazikulu za chithandizo cha diabulimia ndi izi:

• Kugwiritsa ntchito insulin moyenera.
• Kusamalira kuchuluka kwa shuga m'magazi ndi kulemera kwa thupi mwanjira yoyenera.
• Kupewa mavuto a matenda a shuga a nthawi yochepa komanso yayitali.
• Kuchiza mavuto amisala omwe amayambitsa matenda a diabulimia.

Kuphatikiza kwa mankhwala otsatirawa nthawi zambiri kumagwiritsidwa ntchito pa izi:

• Kuwunika kwachipatala ndi/kapena kugonekedwa m'chipatala: Ngati muli ndi vuto ngati DKA, muyenera kugonekedwa m'chipatala ndikulandira chithandizo. Pa milandu yoopsa, kugonekedwa m'chipatala kungakhale kofunikira kuti insulin isaletsedwe komanso kuti muyang'anire matenda ena okhudzana ndi kudya. Madokotala angakulimbikitseninso mayeso kuti muwone ngati pali zovuta.
• Chithandizo cha maganizo (kulankhula ndi dokotala): Izi zimakuthandizani kusintha maganizo ndi machitidwe ovuta. Anthu omwe ali ndi matenda a shuga ali ndi mwayi wochuluka wopeza kuvutika maganizo kawiri kapena katatu ndipo ali ndi mwayi wochuluka wopeza nkhawa ndi 20%. Chithandizo cha maganizo chingathandize kuthetsa mavutowa. Komanso, kulankhula za momwe mukumvera pankhani ya matenda a shuga kungathandize kuchepetsa kutopa ndi matenda a shuga.
• Maphunziro okhudza zakudya ndi/kapena matenda a shuga: Kumvetsetsa bwino matenda a shuga kungakuthandizeni kukhala ndi chidaliro chothana ndi matendawa. Mutha kugwira ntchito ndi Katswiri Wovomerezeka wa Chisamaliro cha Matenda a Shuga (CDCES) kuti mudziwe za biology ya matenda a shuga ndi njira zowongolera. Maphunziro okhudza zakudya angakuthandizeni kusintha zikhulupiriro zoipa zokhudza zakudya zina (monga "chakudya chopatsa thanzi ndi choipa") ndi njira zina zodyera zosayenera.
• Mankhwala oletsa kuvutika maganizo ndi nkhawa: Ngati pakufunika kutero, dokotala angakupatseni mankhwala ochizira vutoli.

Popeza diabulimia ndi matenda omwe ali ndi mbali zonse ziwiri zakuthupi komanso zamaganizo, chithandizo chimafuna thandizo la ogwira ntchito zosiyanasiyana zachipatala. Mwachitsanzo:

• Akatswiri Ovomerezeka Othandiza ndi Kuphunzitsa Matenda a Shuga (CDCES).
• Madokotala a Endocrinologists - Madokotala omwe ali akatswiri pa mahomoni.
• Akatswiri a zamaganizo.
• Akatswiri Olembetsa Zakudya.

Kodi mwayi wochira ku vutoli ndi wotani? (Zomwe zingachitike ndi matenda a shuga)

Chiyembekezo cha munthu amene ali ndi matenda a diabulimia chimadalira zinthu zingapo:

• Kodi vuto la diabulimia lakhalapo kwa nthawi yayitali bwanji?
• Kodi insulin imachepetsedwa kangati komanso nthawi zingati.
• Kaya pali makhalidwe ena osayenera kudya.
• Mtundu wa chithandizo chomwe mumalandira komanso kudzipereka kwanu ku chithandizocho.

Matenda a diabulimia amatha kukulirakulira ngati sanalandire chithandizo. Mukalandira thandizo mwachangu, zotsatira zake zimakhala zabwino. Koma nthawi zambiri, anthu omwe ali ndi matenda a diabulimia saulula kuti akuyesera kuchepetsa insulin yawo mwadala. Angakane chithandizo kapena kusatsatira dongosolo la chithandizo.

Matenda a Diabulimia ndi matenda odya omwe angakhale oopsa kwambiri komanso oopsa ngati sachiritsidwa. Ngakhale kuti anthu omwe ali ndi matenda a shuga amakhala ndi moyo wautali pang'ono kuposa anthu ambiri, anthu omwe ali ndi matenda a diabulimia ali pachiwopsezo chachikulu chomwalira msanga kuposa omwe ali ndi matenda a shuga okha.

Koma nkhani yabwino ndi yakuti matenda a diabulimia ndi matenda ochiritsika. Chithandizo cha okondedwa chingathandize kwambiri munthu amene ali ndi vutoli kuti apitirize kulandira chithandizo.

Ngati muli ndi Diabulimia, mumadzisamalira bwanji? / Kodi mungapeze bwanji thandizo?

Izi zitha kukhala zovuta komanso zoopsa kunena, koma ngati muli ndi matenda a diabulimia, ndikofunikira kwambiri kuuza wina za izi.

Ngati mwapezeka kale ndi matenda a diabulimia, khalani odzipereka ku dongosolo lanu la chithandizo:

• Imwani mlingo wa insulin womwe mwapatsidwa pa nthawi yake.
• Ngati muli ndi mankhwala ena olembedwa ndi dokotala, amwe moyenera.
• Ngati mukulandira chithandizo cha kulankhula, pitani kwa dokotala wanu nthawi zonse.
• Pemphani thandizo kuchokera kwa achibale ndi abwenzi.
• Ganizirani kulowa m'magulu othandizira anthu omwe ali ndi matenda a shuga ndi/kapena matenda a diabulimia.
• Pewani zinthu zomwe zingayambitse machitidwe a diabulimia (monga malo ochezera a pa Intaneti).
• Pitani kwa dokotala nthawi zonse.
• Dzichitireni chifundo. Ganizirani za inu nokha.

Matenda a shuga amtundu woyamba ndi ovuta, ovuta kuwathetsa, ndipo nthawi zina amakuvutitsani. Koma dziwani kuti simuli nokha - aliyense amene ali ndi matenda a shuga amakhala ndi zabwino ndi zovuta m'moyo. Koma matenda a diabulimia ndi matenda oopsa omwe angakhale ndi zotsatirapo zoopsa pa thanzi. Gawo loyamba loti musiye chizolowezi choipachi ndikukhala ndi moyo wathanzi ndikupempha thandizo. Madokotala ndi okondedwa anu ali pano kuti akuthandizeni.

Mfundo zazifupi zoti muzikumbukire

Chabwino, nazi zina mwa zinthu zofunika kwambiri zomwe muyenera kukumbukira kuchokera pa zomwe takambirana:

• Diabulimia ndi matenda oopsa omwe munthu amene ali ndi matenda a shuga a mtundu woyamba amaletsa kugwiritsa ntchito insulin mwadala kuti achepetse thupi.
• Izi zingayambitse mavuto aakulu, omwe angawononge moyo, a nthawi yochepa komanso a nthawi yayitali.
• Ndikofunikira kwambiri kuzindikira msanga ndikulandira chithandizo chokwanira chomwe chimakhudza mbali zachipatala, zamaganizo, komanso zakudya.
• Chithandizo cha achibale ndi abwenzi n'chofunika kwambiri paulendowu.
• Ngati muli ndi vuto ngati ili, musaope kupempha thandizo. Simuli nokha.

Diabulimia , Matenda a Shuga, Matenda a Shuga a Mtundu 1, Insulini, Matenda Odya, Matenda Odya, Kuchepetsa Thupi, Thanzi la Maganizo