Kodi mwakhala mukumva ludzu losatha posachedwapa ? Kodi mukufunika kupita kuchimbudzi pafupipafupi? Kodi mukuchepetsa thupi mosayembekezereka? Kapena mukumva dzanzi m'manja ndi m'mapazi anu? Ngati muli ndi zizindikiro izi, dokotala wanu angafune kuti mukayezedwe kuti aone ngati muli ndi matenda a shuga. Ndipotu, anthu ena akhoza kukhala ndi matenda a shuga popanda zizindikiro zilizonse. Choncho lero, tiyeni tikambirane za mayeso a magazi omwe amagwiritsidwa ntchito pozindikira matenda a shuga.
Kodi Shuga wa M'magazi ndi Chiyani?
Mwachidule, Shuga wa m'magazi kapena Shuga wa m'magazi ndiye mafuta akuluakulu omwe amapatsa thupi lathu mphamvu. Ali ngati mafuta a galimoto. Thupi lathu limasintha chakudya chomwe timadya kukhala shuga (shuga), chomwe chimapatsa mphamvu selo lililonse m'thupi. Chiwindi chathu chimapanganso ndikusunga shuga uyu. Tikapanda kudya kwa kanthawi, thupi limayesetsa kusunga shuga wabwinobwino m'magazi pogwiritsa ntchito shuga wosungidwa m'chiwindi.
Tsopano, apa, mahomoni a insulin amagwira ntchito yofunika kwambiri. Tangoganizani kuti maselo m'thupi lathu ali ngati nyumba, ndipo shuga ali ngati phukusi la chakudya lomwe nyumbazo zimafunikira. Insulin ili ngati kiyi yomwe imatsegula chitseko kuti phukusi la chakudyalo lilowe m'nyumba.
Ndiye, chimachitika ndi chiyani ngati thupi lanu silipanga insulin yokwanira, kapena ngati insulin yomwe muli nayo sigwira ntchito bwino (zitseko sizingatseguke)? Zakudya zimenezo (shuga) sizingalowe m'maselo, ndipo zimasonkhana m'mitsempha yamagazi. Ndicho chimene timachitcha shuga wambiri m'magazi (Hyperglycemia) .
Ngati shuga m'magazi mwathu ukhalabe wokwera kwa nthawi yayitali popanda chithandizo, ukhoza kuwononga mitsempha yathu, mitsempha yamagazi, maso, impso, ndi mtima. Ichi ndichifukwa chake ndikofunikira kuzizindikira msanga.
Kodi mayeso akuluakulu a magazi omwe amagwiritsidwa ntchito pozindikira matenda a shuga ndi ati?
Pali mitundu ingapo ya mayeso omwe madokotala amagwiritsa ntchito kuti adziwe ngati muli ndi matenda a shuga. Ena amafuna kuti musala kudya usiku watha, pomwe ena safuna. Dokotala wanu adzasankha mayeso oyenera kwambiri kutengera zizindikiro ndi matenda anu.
1. Kuyesa kwa Glucose ya Plasma Yosala Kudya (FPG)
Iyi ndi mayeso omwe amachitidwa kwambiri.
- Momwe zimachitikira: Simuyenera kudya kapena kumwa chilichonse kwa maola osachepera 8 musanayesedwe (madzi pang'ono ndi abwino). Chifukwa chake mayesowa nthawi zambiri amachitika m'mawa. Chitsanzo chaching'ono cha magazi chimatengedwa kuchokera mumtsempha womwe uli m'dzanja lanu ndikuyesedwa mu labu.
- Tiyeni timvetse zotsatira zake:
- 99 mg/dL kapena kuchepera: Mulingo wabwinobwino
- Ngati pakati pa 100 mg/dL ndi 125 mg/dL:Matenda a shuga asanakwane. Izi zikutanthauza kuti pali vuto lalikulu.
- Ngati 126 mg/dL kapena kupitirira apo (pa masiku awiri osiyana): Apezeka kuti ndi Matenda a Shuga.
2. Kuyesa kwa Glucose wa Plasma Wosakhazikika kapena Wosasinthika
Iyi ndi mayeso achangu omwe amachitidwa mwadzidzidzi kapena kwa munthu amene ali ndi zizindikiro zoopsa.
- Momwe zimachitikira: Simukuyenera kusala kudya pa izi. Kuyezetsa magazi kumatengedwa nthawi iliyonse ya tsiku ndikuyesedwa.
- Tiyeni timvetse zotsatira zake: Ngati shuga m'magazi mwanu ndi 200 mg/dL kapena kupitirira apo , ndipo muli ndi zizindikiro za matenda a shuga, n'zotheka kwambiri kuti muli ndi matenda a shuga. Dokotala wanu adzachita mayeso ena kuti atsimikizire.
3. Mayeso Ololera Shuga Mkamwa (OGTT)
Kuyesaku kumayesa momwe thupi lanu lingalamulire shuga m'magazi. Kumagwiritsidwanso ntchito pozindikira matenda a shuga omwe amabwera chifukwa cha mimba.
- Momwe zimachitikira: Choyamba, magazi amatengedwa ngati munthu wasala kudya. Kenako amapatsidwa chakumwa chokhala ndi shuga. Kenako magazi ena amatengedwanso ngati munthu wasala kudya ola limodzi ndi maola awiri.
- Tiyeni timvetse zotsatira zake: Ngati shuga wanu uli pa 200 mg/dL kapena kupitirira apo patatha maola awiri, ndiye kuti wapezeka ndi matenda a shuga.
4. Kuyesa kwa hemoglobin A1c (HbA1c)
Iyi ndi mayeso ofunikira kwambiri.
- Momwe zimachitikira: Izi sizimangoyang'ana kuchuluka kwa shuga m'magazi mwanu patsiku limodzi lokha, koma zimayang'ana kuchuluka kwa shuga m'magazi mwanu pa miyezi 2-3 yapitayi . Simukuyenera kusala kudya pa izi.
- Tiyeni timvetse zotsatira zake:
- Ngati ndi yochepera 5.7%: Mulingo wabwinobwino
- Ngati pakati pa 5.7% ndi 6.4%: Prediabetes
- Ngati 6.5% kapena kupitirira apo (pa masiku awiri osiyana): Matenda a shuga
Gome ili m'munsimu limapereka kumvetsetsa bwino kwa mayesowa.
| Dzina la mayeso | Zachizolowezi | Matenda a shuga asanakwane | Matenda a shuga |
|---|---|---|---|
| Kusala Kudya kwa Glucose wa Plasma (FPG) | 99 mg/dL kapena kuchepera | 100 - 125 mg/dL | 126 mg/dL kapena kupitirira apo |
| Mayeso Ololera Shuga Mkamwa (OGTT) - Pambuyo pa maola awiri | 139 mg/dL kapena kuchepera | 140 – 199 mg/dL | 200 mg/dL kapena kupitirira apo |
| Hemoglobin A1c (HbA1c) | Zochepera 5.7% | 5.7% – 6.4% | 6.5% kapena kupitirira apo |
Kodi ana nawonso amadwala matenda a shuga?
Inde, ana nawonso akhoza kudwala matenda a shuga. Pali mitundu iwiri ikuluikulu.
- Matenda a Shuga a Mtundu 1: Apa ndi pamene thupi limasiya kutulutsa insulini kwathunthu. Imatha kufalikira pa msinkhu uliwonse, koma imapezeka kwambiri mwa ana ndi achinyamata. Amafunika jakisoni wa insulin tsiku lililonse kuti apulumuke. Zizindikiro zimabwera mwadzidzidzi (monga ludzu lochuluka, kukodza pafupipafupi, kuchepa thupi, komanso kutopa kwambiri).
- Matenda a Shuga a Mtundu Wachiwiri: Apa ndi pamene thupi limapanga insulin, koma silingathe kuigwiritsa ntchito bwino. Matendawa nthawi zambiri amagwirizanitsidwa ndi kunenepa kwambiri kapena kunenepa kwambiri . Ana ena akhoza kukhala nawo popanda zizindikiro zilizonse. Nthawi zina amapezeka mwangozi poyesa magazi kapena mkodzo pazifukwa zina.
Ngati mukuganiza kuti mwana wanu ali pachiwopsezo cha matenda a shuga, lankhulani ndi dokotala wanu za vutoli. Ngati atapezeka msanga, matenda a shuga angapewedwe mwa kusintha zakudya zanu komanso kuchita masewera olimbitsa thupi.
Kodi muyenera kuchita chiyani mutapezeka ndi matenda a shuga? Kodi muyenera kuchita mantha?
Musachite mantha. Matenda a shuga ndi matenda omwe mungathe kuwasamalira bwino ndikukhala ndi moyo wathanzi. Chofunika kwambiri ndikuwongolera kuchuluka kwa shuga m'magazi mwanu. Nazi zinthu zina zomwe zingakuthandizeni:
1. Zakudya: Idyani zakudya zopatsa thanzi. Pewani zakumwa zokhala ndi shuga (pokhapokha ngati muli ndi zakudya zochepa zama carbohydrate). Phunzirani kuwerengera chakudya cham'mimba ndikudya pang'onopang'ono.
2. Kuchita masewera olimbitsa thupi:Kuchita masewera olimbitsa thupi nthawi zonse kumathandiza kuti thupi lanu lizigwiritsa ntchito bwino insulin. Lankhulani ndi dokotala wanu za dongosolo lochita masewera olimbitsa thupi lomwe lili loyenera kwa inu.
3. Mankhwala: Imwani mankhwala omwe dokotala wakupatsani molondola komanso pa nthawi yake. Ngati pali vuto lililonse, uzani dokotalayo za vutolo.
4. Kupsinjika maganizo: Kupsinjika maganizo kungayambitsenso kuchuluka kwa shuga m'magazi. Choncho khalani bata mumtima mwanu ndipo chitani zinthu zomwe mumakonda.
5. Yesani shuga m'magazi mwanu nthawi zonse: Dokotala wanu adzakuphunzitsani momwe mungayezere shuga m'magazi mwanu kunyumba. Mutha kugwiritsa ntchito choyezera shuga kuti mutenge dontho laling'ono la magazi kuchokera chala chanu ndikuyesa shuga m'magazi mwanu. Izi zidzakuthandizani kudziwa ngati shuga m'magazi mwanu ndi wokwera (hyperglycemia) kapena wochepa (hypoglycemia) ndikukuthandizani kusamalira zakudya zanu ndi mankhwala moyenera.
Uthenga Wopita Nawo Kunyumba
- Dziwani zizindikiro zazikulu za matenda a shuga (ludzu lochuluka, kukodza pafupipafupi, kuchepa thupi).
- Musaope kuyezetsa magazi. Mayeso monga FPG, OGTT, ndi HbA1c angakupatseni kumvetsetsa bwino za matenda anu.
- Ngati mwapezeka ndi matenda a shuga, si chinthu choopa, koma vuto lomwe lingathetsedwe bwino.
- Mungathe kukhala ndi moyo wathanzi mwa kusamalira zakudya zanu, kuchita masewera olimbitsa thupi, kumwa mankhwala, komanso kukhala ndi thanzi labwino la maganizo.
- Ngati pali vuto lililonse kapena kukayikira, funsani upangiri kwa dokotala wanu.











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