Kodi mayeso anu aposachedwa a magazi awonetsa kuti shuga m'magazi mwanu ndi okwera pang'ono? Koma kodi dokotalayo anati mulibe matenda a shuga, koma ndi nthawi yoti mukhale osamala kwambiri? Ngati mwakumanapo ndi vuto lofananalo, lero tikambirana za nkhani yofunika kwambiri kwa inu. Imeneyo ndi nthawi yomwe matenda a shuga asanafike, kapena pankhani ya zamankhwala, matenda a shuga a Prediabetes akuyamba. Izi zili ngati chenjezo, monga kuwala kwachikasu pa nyali yagalimoto. Ndi mwayi wotichenjeza ngozi isanachitike.
Mwachidule, kodi prediabetes ndi chiyani?
Ndi zophweka. Prediabetes ndi gawo lapakati pomwe shuga m'magazi mwanu (shuga) imakhala yokwera kuposa yachibadwa, koma si yokwera mokwanira kuti itchulidwe kuti matenda a shuga (Type 2 Diabetes). Si matenda okha, koma chizindikiro champhamvu chochenjeza thupi lanu. Ngati muchita zinthu zoyenera panthawiyi, mutha kupewa kapena kuchedwetsa kukula kwa matenda a shuga. Umenewo ndiye uthenga wabwino apa.
Kawirikawiri, shuga m'magazi mwa munthu wathanzi ayenera kukhala pakati pa 70 ndi 99 (mg/dL). Komabe, munthu amene ali ndi matenda a shuga asanakwane akhoza kukhala ndi shuga pakati pa 100 ndi 125 (mg/dL). Ngati vutoli silikuthetsedwa, mwayi wokhala ndi matenda a shuga mkati mwa zaka 10 umakhala waukulu kwambiri.
Kodi zizindikiro za matenda a shuga omwe amayamba msanga ndi ziti? Kodi ndi ofala bwanji?
Ichi ndi chinthu chomwe chimasokoneza anthu ambiri. Anthu ambiri sasonyeza zizindikiro zilizonse akakhala ndi matenda a shuga. Inde, simungamve kupweteka kapena kusasangalala. Chifukwa cha chete ichi, anthu opitilira 80% padziko lonse lapansi omwe ali ndi matenda a shuga sakudziwa.
Ndicho chifukwa chake ndikofunikira kwambiri kuonana ndi dokotala wa banja lanu nthawi zonse ndikuyesedwa magazi mogwirizana ndi msinkhu wanu. Pokhapokha mutazindikira matendawa msanga.
Komabe, nthawi zambiri, anthu ena amatha kuona zizindikiro zotsatirazi:
- Khungu m'malo monga m'khwapa, kumbuyo kwa khosi, ndi m'mbali mwa thupi limakhala lakuda komanso lokhuthala, ngati velvet. Izi zimadziwika ndi madokotala kuti `(acanthosis nigricans)`.
- Kuoneka kwa ziphuphu zazing'ono (zolemba za khungu) pamwamba pa khungu.
- Pakapita nthawi, kusintha kwa masomphenya kumachitika. Izi pambuyo pake zingayambitse matenda a retinopathy okhudzana ndi matenda a shuga, matenda omwe amawononga maso.
Musaganize kuti, "Ndilibe vuto lililonse." Matenda a shuga omwe ali patsogolo pa matenda a shuga ali ngati mdani wosaoneka bwino. Choncho ngati muli ndi zinthu zomwe zingakuike pachiwopsezo, ndi bwino kupita kwa dokotala kukayezetsa.
N’chifukwa chiyani timadwala matenda a shuga asanakwane? Kodi zinthu zomwe zimayambitsa matenda a shuga ndi ziti?
Chifukwa chachikulu cha prediabetes ndiKukana kwa insulin. Izi zingawoneke ngati zovuta pang'ono, koma ndikufotokozerani mwachidule.
Taganizirani izi motere: maselo m'thupi lathu ali ngati nyumba. Shuga (shuga) yomwe timadya imapatsa nyumbazi mphamvu. Homoni ya insulin ndiyo kiyi yomwe imatsegula zitseko za nyumbazi ndikulola shuga kulowa.
Pamene insulin ikulimbana, zimakhala ngati mabowo a makiyi m'zitseko za nyumbazo amatsekedwa ndi dzimbiri. Chifukwa chake, kiyi yotchedwa insulin singathe kutsegula chitseko bwino. Kenako shuga sangalowe m'maselo ndikuyamba kusonkhana m'magazi. Umu ndi momwe shuga m'magazi amakulira.
Pali zinthu zingapo zomwe zimapangitsa kuti insulin isagwire bwino ntchito komanso zomwe zimayambitsa matenda a shuga m'thupi:
- Majini: Ngati amayi anu, abambo anu, kapena abale anu ali ndi matenda a shuga, inunso muli pachiwopsezo chotenga matenda a shuga asanakwane.
- Kulemera kwambiri kwa thupi: Kuchuluka kwa mafuta m'thupi, makamaka kuzungulira mimba (mimba yotuluka) ndi chifukwa chachikulu.
- Kusachita masewera olimbitsa thupi: Kusapangitsa thupi kukhala logwira ntchito, kukhala pamalo amodzi kwa nthawi yayitali.
- Kudya zakudya zosapatsa thanzi: Kudya zakudya zotsekemera, ufa, mafuta, ndi zokonzedwa pafupipafupi.
- Zaka: Chiwopsezo chimawonjezeka munthu akakwanitsa zaka 45.
- Kusuta fodya.
- Matenda ena:
- Kukhala ndi matenda a shuga panthawi ya mimba (matenda a shuga a m'mimba).
- Matenda a Polycystic Ovarian Syndrome (PCOS).
- Matenda oletsa kupuma movutikira (obstructive sleep apnea) ndi matenda okhudzana ndi kukodola.
- Matenda ena a mahomoni.
- Kugwiritsa ntchito mankhwala enaake kwa nthawi yayitali, monga ma steroids.
- Kupsinjika maganizo ndi kusowa tulo tokwanira.
Zina mwa zinthu zoopsazi (monga ukalamba ndi majini) sitingathe kuzilamulira. Koma zina zambiri (monga zakudya, masewera olimbitsa thupi, ndi kusuta) zili ndi mphamvu zathu. Ngati muli ndi zina mwa zinthu zoopsazi, ndikofunika kulankhula ndi dokotala wanu za kuyezetsa matenda a shuga asanakwane.
Kodi chingachitike n’chiyani ngati matenda a prediabetes sakuthandizidwa?
Vuto lalikulu komanso lofunika kwambiri la matenda a shuga asanakwane ndilakuti limatha kukhala matenda a shuga a mtundu wa 2. Matenda a shuga ndi matenda omwe, ngati sakulamuliridwa bwino, amatha kuwononga ziwalo zambiri m'thupi lathu.
Mavuto a nthawi yayitali a matenda a shuga ndi awa:
- Kuwonjezeka kwa chiopsezo cha matenda a mtima ndi sitiroko .
- Kuwonongeka kwa maso (retinopathy yokhudzana ndi matenda a shuga): Pakapita nthawi, masomphenya amatha kusokonekera ndipo amathanso kuchititsa khungu.
- Kuwonongeka kwa impso (nephropathy yokhudzana ndi matenda a shuga): Kungayambitsenso kulephera kwa impso.
- Kuwonongeka kwa mitsempha (neuropathy yokhudzana ndi matenda a shuga):Kusanza, kupsa, ndi kupweteka kwa miyendo kungachitike, ndipo kuvulala kungaonekere.
Kumbukirani, matenda a shuga asanakwane akhoza kuthetsedwa. Koma kuthetsa mavuto a matenda a shuga nthawi zambiri n'kosatheka. Ndicho chifukwa chake ndikofunikira kudziwa izi msanga ndikuchitapo kanthu pa moyo wanu wonse.
Kodi mungadziwe bwanji ngati muli ndi prediabetes?
Njira yokhayo yodziwira bwino ndi kuyezetsa magazi. Dokotala wanu nthawi zambiri amalangiza mayeso awa. Pali mitundu iwiri ikuluikulu ya mayeso.
1. Kuyesa kwa Glucose wa Plasma (FPG) Kusala Kudya: Iyi ndi njira yomwe nthawi zambiri timachita m'mawa, titadya chilichonse (titasala kudya kwa maola pafupifupi 8) kuti tiwone kuchuluka kwa shuga m'magazi.
2. Kuyesa kwa A1C: Kuyesa kumeneku kungakuthandizeni kudziwa kuchuluka kwa shuga m'magazi mwanu m'miyezi iwiri kapena itatu yapitayi.
Dokotala adzasankha komwe muli kutengera zotsatira za mayesowa.
| Mayeso | Mulingo wathanzi | Mulingo wa shuga woyambirira | Mulingo wa shuga |
|---|---|---|---|
| Kusala Kudya kwa Glucose wa Plasma (FPG) | 99 mg/dL kapena kuchepera | 100 - 125 mg/dL | 126 mg/dL kapena kupitirira apo |
| Mayeso a A1C | 5.7% kapena kuchepera | 5.7% - 6.4% | 6.5% kapena kupitirira apo |
Nkhani yabwino kwambiri! Matenda a shuga a prediabetes amatha kuthetsedwa. Kodi angatani?
Inde, iyi ndi nkhani yabwino kwambiri yomwe mungamvepo. Prediabetes si chigamulo chomaliza chakuti mudzakhala ndi matenda a shuga. Mwa kukhala ndi moyo wathanzi, mutha kusintha vutoli ndikubwezeretsa shuga m'magazi mwanu kukhala wabwinobwino.
Izi siziyenera kukhala nkhani yaikulu. Mutha kuyamba ndi kusintha pang'ono. Pali zinthu zitatu zazikulu zomwe muyenera kuziganizira.
| Zochita | N’chifukwa chiyani zimenezo n’zofunika? | Njira yosavuta yoyambira |
|---|---|---|
| 1. Kuchepetsa thupi | Kulemera kwambiri, makamaka mafuta m'mimba, ndi chifukwa chachikulu chomwe chimayambitsa kukana kwa insulin. Kuchepetsa ngakhale pang'ono thupi kumawonjezera chidwi cha insulin m'thupi. | Yesetsani kuchepetsa 5% - 7% ya kulemera kwanu konse. Mwachitsanzo, ngati mukulemera makilogalamu 80, kutaya makilogalamu 4-6 okha kungapangitse kusiyana kwakukulu. |
| 2. Kuchita masewera olimbitsa thupi nthawi zonse | Mukachita masewera olimbitsa thupi, minofu yanu imagwiritsa ntchito shuga m'magazi mwanu kuti ipeze mphamvu. Izi mwachibadwa zimachepetsa shuga m'magazi mwanu. | Yendani mwachangu mpaka mutatuluka thukuta, masiku 5 pa sabata, kwa mphindi zosachepera 30 patsiku. Ngati ndinu waulesi kwambiri poyenda, kuvina, kukwera njinga, kusambira, kuchita chilichonse chomwe mukufuna. |
| 3. Zakudya zabwino | Zimene timadya zimakhudza mwachindunji kuchuluka kwa shuga m'magazi mwathu. Kusintha kudya zakudya zopatsa thanzi kungathandize kuchepetsa kuchuluka kwa shuga m'magazi. | M'malo mwa tiyi ndi zakumwa zotsekemera, imwani madzi monga madzi, madzi a kokonati, kapena belimal. Chepetsani zakudya zokhala ndi sitachi monga mpunga, buledi, ndi Zakudyazi, ndipo onjezerani ndiwo zamasamba, zitsamba, zipatso, mtedza, ndi nsomba muzakudya zanu. |
Kuwonjezera pa izi, palinso zina zomwe mungachite:
- Ngati ndinu wosuta fodya, yesani kusiya kusuta .
- Pezani njira zochepetsera nkhawa . Zinthu monga kusinkhasinkha ndi kumvetsera nyimbo zingathandize.
- Gonani mokwanira . Mufunika kugona bwino kwa maola 7-8 patsiku.
- Ngati muli ndi matenda ena, monga kuthamanga kwa magazi kapena cholesterol, samalani bwino malinga ndi malangizo a dokotala wanu.
Kodi pali mankhwala aliwonse a prediabetes?
Nthawi zambiri, njira yabwino kwambiri yothanirana ndi matenda a shuga ndikusintha moyo wathu monga momwe tafotokozera kale. Komabe, nthawi zina, monga pamene muli pachiwopsezo chachikulu chotenga matenda a shuga ndipo kuchuluka kwa shuga m'magazi mwanu n'kovuta kuwongolera ndi kusintha moyo wanu kokha, dokotala wanu angakulangizeni kuti muyambe kumwa mankhwala.
Mankhwala omwe amagwiritsidwa ntchito kwambiri pa izi ndi `(metformin)` ndi `(acarbose)`. Komabe, izi zimatsimikiziridwa ndi dokotala amene amakuyesani.
Kodi mumasamalira bwanji thupi lanu mukakhala ndi matenda a shuga?
Ndizachibadwa kumva mantha pang'ono komanso mantha mukazindikira kuti muli ndi matenda a shuga omwe asanafike nthawi yobereka. Koma kumbukirani, uwu ndi mwayi wosintha moyo wanu kukhala wabwino.
- Dziphunzitseni nokha: Werengani za matenda a shuga asanakwane komanso kudya zakudya zabwino kuchokera ku magwero odalirika. Musaope kufunsa dokotala wanu mafunso.
- Uzani achibale anu ndi anzanu za izi: Auzeni za kusintha komwe mukupanga. Kenako angakuthandizeni.
- Ganiziraninso za thanzi lanu la maganizo: Kusintha kumeneku nthawi zina kungakhale kovuta. Ngati mukumva kuti mwatopa, kambiranani za vutoli.
- Kusintha zizolowezi n'kovuta: Simungasinthe chilichonse mwadzidzidzi. Yambani pang'ono. Khalani ndi cholinga chimodzi panthawi.
- Simudzakhala wangwiro 100% tsiku lililonse: Masiku ena simudzatha kuchita masewera olimbitsa thupi, masiku ena simudzatha kuwongolera kudya kwanu. Zimenezo ndi zachilendo. Musadandaule nazo, yesaninso tsiku lotsatira. Chofunika sikukhala wangwiro, koma kuyesa.
- Dzichitireni chifundo: Ngati mukuvutikabe kuchepetsa shuga m'magazi mwanu mutachita zonsezi, musaganize kuti ndi vuto lanu. Matenda a shuga ndi vuto lovuta. Lankhulani ndi dokotala wanu kuti musankhe choti muchite kenako.
Lankhulani ndi dokotala wanu.
Ngati muli ndi matenda a shuga omwe ali patsogolo pa nthawi ya matenda kapena muli pachiopsezo chotenga matendawa, ndikofunika kupita kwa dokotala nthawi zonse kuti akupatseni malangizo. Mungapeze kuti ndi bwino kufunsa dokotala wanu mafunso monga awa:
1. Kodi ndingachepetse bwanji chiopsezo cha matenda a shuga komanso matenda a shuga?
2. Kodi zizindikiro za matenda a shuga ndi ziti?
3. Kodi kulemera koyenera kwa kutalika kwanga n'chiyani?
4. Kodi njira zabwino kwambiri zochepetsera thupi ndi ziti?
5. Kodi ndiyenera kuchita masewera olimbitsa thupi otani? Ndi masewera olimbitsa thupi otani omwe ndi abwino kwa ine?
6. Ndi kusintha kotani komwe ndiyenera kusintha pa zakudya zanga?
7. Kodi ndiyenera kupita kwa katswiri wa zakudya?
8. Kodi pali magulu kapena mapulogalamu aliwonse omwe ndingalowe nawo kuti ndipeze thandizo?
Ponena za matenda a shuga omwe ali ndi shuga wochepa, kudziwa bwino ndi mphamvu . Kudziwa ngati muli ndi vutoli komanso zomwe mungachite kuti musinthe ndi gawo la mphamvuyo. Simuyenera kudutsa ulendowu nokha. Dokotala wanu ndi gulu lanu lazaumoyo nthawi zonse amakhalapo kuti akuthandizeni.
Uthenga Wopita Nawo Kunyumba
- Matenda a shuga a prediabetes ndi chizindikiro chachikasu chomwe chimayambitsa matenda a shuga. Ndi chenjezo, osati chigamulo chomaliza.
- Nthawi zambiri, palibe zizindikiro. Chifukwa chake, ngati muli ndi zinthu zomwe zingakuike pachiwopsezo, ndikofunikira kupita kukayezetsa kuchipatala nthawi zonse.
- Matenda a shuga omwe ali mu prediabetes amatha kuthetsedwa kwathunthu ndi zakudya zabwino, kuchita masewera olimbitsa thupi nthawi zonse, komanso kuchepetsa thupi.
- Kunyalanyaza chenjezoli kungayambitse mavuto aakulu monga matenda a shuga amtundu wachiwiri ndi matenda a mtima ndi impso.
- Kambiranani momasuka ndi dokotala wanu. Pezani malangizo ndi chithandizo chomwe mukufuna paulendowu.

💬 Comments (0)
No comments yet. Be the first to share your thoughts here.
Add Your Comment