Ngakhale titakhala ndi chimfine kapena kutopa pang'ono, timakhala titazolowera kupita kwa dokotala. Tikatero, nthawi zambiri, dokotala amamvetsera zizindikiro zathu, amatifufuza, ndipo amatitumiza ku labu kuti akapeze zambiri. Chifukwa chake, kuyesa zinthu monga magazi ndi mkodzo mwanjira imeneyi kwakhala gawo la moyo wathu wathanzi. Koma kodi mukudziwa kuti ndi kupita patsogolo kwa sayansi, momwe mayeso a labu awa amachitikira komanso momwe timatanthauzira zotsatira zake zikusintha pang'onopang'ono? Lero tikambirana za kusintha kwakukulu komwe kwachitika posachedwapa m'mayeso ena a labu omwe timachita nthawi zonse.
Kuyesa kwa Cholesterol (Maonekedwe a Mafuta) - Kodi ndikufunika kufa ndi njala tsopano?
Tangoganizani kuti muli ndi zaka zoposa 40. Kapena kuti muli ndi kunenepa pang'ono. Ndiye nthawi zambiri dokotala amakulemberani mayeso kuti muwone ngati muli ndi cholesterol yambiri . Timatcha izi kuti 'lipid profile '. Mwachidule, izi zimayang'ana mitundu ya mafuta m'magazi anu.
Mayeso awa akuyang'ana kwambiri zinthu zinayi zazikulu:
- Cholesterol Yonse: Chiwerengero chonse cha cholesterol m'magazi.
- HDL (High-Density Lipoprotein): Tonse timadziwa kuti izi ndi " cholesterol yabwino ". Izi zikachuluka, zimakhala bwino pamtima.
- LDL (Low-Density Lipoprotein): Iyi ndi "cholesterol yoyipa." Kuchuluka kwa izi kumawonjezera chiopsezo cha matenda monga matenda a mtima ndi sitiroko .
- Triglycerides : Uwu ndi mtundu wina wa mafuta omwe amapezeka m'magazi.
Nthawi zonse timadziwa kuti simuyenera kudya kapena kumwa chilichonse kwa maola 8-12 musanachite mayesowa. Madokotala ambiri adalangiza izi chifukwa ankakhulupirira kuti zakudya zomwe timadya zitha kukhudza izi, makamaka triglycerides.
Koma kodi kusintha kwatsopano n’kutani tsopano?
Kafukufuku waposachedwapa wapeza kuti kwa anthu ambiri ,Sikofunikira kusala kudya musanachite mayesowa. Chifukwa zakudya zomwe timadya sizikhudza kwambiri kuchuluka kwa cholesterol (HDL ndi LDL). Komabe, zakudya zina zamafuta ndi shuga zimatha kuwonjezera kuchuluka kwa triglyceride kwakanthawi.
Izi zikutanthauza kuti ngati mutenga mayeso osasala kudya, ndipo zinthu zina zomwe muli nazo zili bwino koma triglycerides yanu ili pamwamba kwambiri, dokotala wanu adzakuuzani kuti mutengenso mayesowo patsiku losala kudya. Izi zikuthandizani kudziwa ngati kuwerengako kuli kokweradi kapena ngati ndi kuwonjezeka kwakanthawi kochepa komwe kumachitika chifukwa cha kudya.
Kotero, nthawi ina dokotala wanu akadzakufunsani kuti mufufuze mafuta m'thupi, mufunseni mwachindunji ngati muyenera kusala kudya kapena ayi. Nthawi zambiri, mudzatha kupewa njala yovutitsayo.
Mayeso ozindikira matenda a shuga
Matenda a shuga ndi matenda ofala kwambiri m'dziko lathu. Pali anthu ambiri omwe ali ndi matenda a shuga asanakwane, kutanthauza kuti ali pachiwopsezo chachikulu chotenga matenda a shuga. Chifukwa chake, ndikofunikira kwambiri kupeza mayeso olondola kuti mudziwe matendawa msanga.
Kale, njira yayikulu yoyezera matenda a shuga inali kuyesa shuga m'magazi mosadya (Fasting Blood Sugar) ndi mayeso oletsa shuga m'kamwa (OGTT) omwe ankachitika maola awiri mutamwa madzi a shuga. Mayeso a OGTT awa ndi ovuta pang'ono. Muyenera kusala kudya usiku wonse, kupita ku labu m'mawa, kumwa chakumwa chotsekemera, ndikudikira kwa maola awiri.
Kodi njira yosavuta ndi iti tsopano? Kuyesa kwa HbA1c!
Masiku ano, chimodzi mwa mayeso ofala kwambiri omwe madokotala amagwiritsa ntchito pozindikira ndi kuchiza matenda a shuga ndi Hemoglobin A1c , kapena HbA1c mwachidule.
Mwachidule, izi zimayesa kuchuluka kwa shuga (shuga) komwe kumalumikizidwa ndi puloteni yotchedwa hemoglobin m'maselo ofiira a magazi. Popeza maselo ofiira amagazi amakhala ndi moyo wa masiku pafupifupi 90-120, mayesowa angakupatseni lingaliro labwino la kuchuluka kwa shuga m'magazi mwanu m'miyezi 2-3 yapitayi . Simuyenera kukhala ndi njala ya izi, ndipo zitha kuchitika nthawi iliyonse ya tsiku.
Koma palinso "koma" kakang'ono pa izi...
Ngakhale kuti mayeso a `HbA1c` ndi osavuta komanso odalirika, posachedwapa apezeka kuti zotsatira zake sizingakhale zolondola 100% kwa anthu omwe ali ndi matenda enaake. Izi zitha kukhala zoona makamaka kwa anthu omwe ali ndi matenda omwe amakhudza maselo ofiira amagazi .
Mwachitsanzo:
- Kuchepa kwa magazi m'thupi: Matenda ofala kwambiri pakati pa akazi m'dziko lathu. Mu mitundu ina ya kuchepa kwa magazi m'thupi, `HbA1c` ingawoneke yokwera kapena yotsika kuposa momwe ilili.
- Matenda a Sickle Cell:Mu matenda a majini ngati awa, kuchuluka kwa HbA1c kumatha kusinthanso chifukwa cha kusintha kwa maselo ofiira a magazi.
Izi sizikutanthauza kuti mayeso a `HbA1c` si abwino. Komabe, si bwino kuyika zisankho zanu pa nambala imodzi yokha pa lipoti lanu la labu. Makamaka ngati mtengo wanu wa `HbA1c` uli pakati pa kuchuluka kwa shuga wabwinobwino ndi kuchuluka kwa shuga, dokotala wanu adzaganizira matenda ena, monga kuchepa kwa magazi m'thupi, ndipo angakulangizeni mayeso ena, monga kuchuluka kwa shuga m'magazi osadya, ngati pakufunika kutero.
Kusanthula mkodzo - Kodi aliyense ayenera kuchita izi chaka chilichonse?
Anthu ambiri azolowera kuyezetsa mkodzo wonse (kusanthula mkodzo) kamodzi pachaka. Tinkaganiza kuti izi zingathandize kudziwa ngati impso zikugwira ntchito bwino komanso ngati impsozo zikugwira ntchito bwino.
Koma tsopano zinthu zasintha!
Malangizo azaumoyo odziwika padziko lonse lapansi tsopano akulangiza kuti palibe phindu lalikulu poyesa mkodzo ngati njira yosavuta yodziwira ngati palibe zizindikiro zilizonse . M'malo mwake, ndikokwanira kuchita mayesowa pokhapokha ngati pali zizindikiro zilizonse.
| Mwayi | Zomwe zikulangizidwa pakadali pano |
|---|---|
| Ngati muli ndi zizindikiro za mkodzo: (monga matenda a mkodzo, kupweteka, kukodza pafupipafupi, fungo loipa) | Ndikofunikira kwambiri kuchita kafukufuku wa mkodzo. |
| Monga njira yodziwira thanzi nthawi zonse , popanda zizindikiro zilizonse | Kuyezetsa mkodzo nthawi zambiri sikofunikira. |
| Ngati ndinu mayi woyembekezera | Kuyezetsa mkodzo pafupipafupi n'kofunikira ngati gawo la mayeso achizolowezi panthawi ya mimba. |
Ndiye mumayesa bwanji momwe impso zimagwirira ntchito?
Madokotala tsopano amadalira kwambiri mayeso a magazi kuti aone momwe impso zikugwira ntchito. Amatchedwa `eGFR (estimated Glomerular Filtration Rate)`. Izi nthawi zambiri zimakhala gawo la phukusi loyesera magazi la `Basic Metabolic Panel` lomwe timachita. Izi zimapereka lingaliro lolondola la momwe impso zimagwirira ntchito kuposa mayeso a mkodzo.
Uthenga Wopita Nawo Kunyumba
- Cholesterol (Lipid Profile): Nthawi zambiri, simuyenera kusala kudya poyesa uku. Komabe, funsani dokotala wanu kuti akupatseni upangiri.
- Matenda a Shuga (HbA1c): Iyi ndi mayeso abwino omwe amakuuzani za kuchuluka kwa shuga m'magazi mwanu m'miyezi 2-3 yapitayi. Komabe, zotsatira zake zimatha kusiyana pang'ono ndi matenda monga kuchepa kwa magazi m'thupi.
- Kusanthula mkodzo: Ngati mulibe zizindikiro (pokhapokha ngati muli ndi pakati), palibe chifukwa chochita mayesowa. Kuyesa magazi kwa eGFR ndikolondola kwambiri poyesa momwe impso zimagwirira ntchito.
- Chofunika kwambiri: Musachite mantha kapena kupanga zisankho kutengera manambala omwe ali mu lipoti lanu la labu. Dokotala wanu yekha, amene amadziwa mbiri yanu yonse ya thanzi, ndi amene angamvetse tanthauzo lake. Nthawi zonse kambiranani zotsatira za mayeso anu ndi dokotala wanu.
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