Kodi ndinu munthu amene mumagwiritsa ntchito mankhwala a shuga, makamaka insulin? Ndiye muyenera kuti munamvapo za nthawi zomwe shuga m'magazi mwanu amatsika kwambiri. Izi ndi zomwe madokotala amati hypoglycemia. Anthu ena amatchanso 'insulin shock'. Ngakhale kuti ndizowopsa pang'ono, ngati zitachitidwa bwino, sizovuta kwambiri kukhala otetezeka ku chiopsezochi. Lero, tikambirana chifukwa chake izi zimachitika, momwe tingapewere, komanso zomwe mungachite pakagwa ngozi.
N’chifukwa chiyani shuga m’magazi mwathu imatsika mwadzidzidzi?
Mwachidule, izi zimachitika pamene pali kusalingana pakati pa chakudya chomwe mumadya, masewera olimbitsa thupi omwe mumachita, ndi mankhwala a shuga omwe mumamwa (makamaka insulin).
Taganizirani ngati sikelo. Kumbali imodzi kuli insulin yanu ndi mankhwala (omwe amachepetsa shuga m'magazi). Kumbali inayo kuli chakudya chomwe mumadya (chomwe chimakweza shuga m'magazi). Ngakhale mukuchita masewera olimbitsa thupi, thupi lanu limawononga shuga m'magazi mwanu. Chifukwa chake, ngati simumwa mankhwala anu ndikudya zakudya zoyenera, ngati mukuchita masewera olimbitsa thupi mopitirira muyeso, kapena ngati mumwa mankhwala anu panthawi yolakwika, mulingo woyenera pa sikelo ukhoza kutayika ndipo shuga m'magazi mwanu ukhoza kutsika kwambiri.
Choopsa kwambiri n'chakuti nthawi zina shuga wochepa m'magazi ukhoza kuchitika popanda zizindikiro zilizonse. Vutoli limapezeka kwambiri kwa anthu omwe akhala ndi matenda a shuga kwa nthawi yayitali kapena omwe amakhala ndi shuga wochepa m'magazi pafupipafupi. Timatcha izi `(Hypoglycemia Unawareness)`.
Ngati simulandira chithandizo, shuga wochepa m'magazi angayambitse kukomoka. Kugwedezeka kwambiri kwa insulin ndi vuto lachipatala lomwe limafuna chithandizo chadzidzidzi.
Kodi tingatani kuti tipewe kutsika kwa shuga m'magazi?
Ndi bwino kupewa shuga wochepa m'magazi kusiyana ndi kuchiza. Ngati mutalankhula ndi dokotala wanu ndikupeza njira yabwino yothanirana ndi matenda, mutha kukhala ndi thanzi labwino. Nazi zina zomwe mungachite kuti muthandize.
Yang'anani kuchuluka kwa shuga m'thupi lanu nthawi zonse.
Njira yabwino yodziwira kuchuluka kwa shuga m'magazi mwanu molondola ndi kuyesa ndi chipangizo choyezera shuga m'magazi. Chitani izi nthawi zonse monga momwe dokotala wanu akulangizirani. Nthawi zambiri nthawi imeneyi ndi nthawi yabwino yoyezera shuga.
| Nthawi yoti mufufuze | N’chifukwa chiyani zimenezo n’zofunika? |
|---|---|
| Nditangodzuka m'mawa | Mukhoza kudziwa momwe shuga wanu unalili usiku wonse. |
| Musanadye chakudya chachikulu | Izi zikuthandizani kudziwa mlingo wa insulin yanu. |
| Maola awiri mutatha kudya | Mukhoza kumvetsa momwe thupi lanu limayankhira chakudya chomwe munadya. |
| Musanagone usiku | Izi ndizofunikira kuti tipewe chiopsezo cha shuga wotsika m'magazi usiku. |
Ngati shuga wanu uli kunja kwa mlingo womwe mukufuna, dziwitsani dokotala wanu kapena chipatala cha matenda a shuga nthawi yomweyo .
Samalani kwambiri mukamachita masewera olimbitsa thupi.
Mukakhala ndi zochita masewera olimbitsa thupi, thupi lanu limagwiritsa ntchito shuga kuti likhale ndi mphamvu. Choncho kuti mupewe shuga wochepa m'magazi mukamachita masewera olimbitsa thupi, muyenera kuchita izi:
- Idyani pang'ono (monga nthochi, mabisiketi awiri kapena atatu) musanayambe kuchita masewera olimbitsa thupi.
- Sinthani mlingo wanu wa insulin. Koma muyenera kuchita izi pokhapokha mutakambirana ndi dokotala wanu .
Ngati muyang'ana kuchuluka kwa shuga m'magazi mwanu musanayambe, panthawi, komanso mutatha kuchita masewera olimbitsa thupi, mudzadziwa bwino kuchuluka kwa shuga komwe kukutsika. Kumbukirani, ngati muchita masewera olimbitsa thupi ovuta kuposa momwe mumachitira nthawi zonse, zotsatira zake zimatha kukhala mpaka maola 24 .
Samalani ndi mankhwala ndi chakudya.
- Imwani mankhwala oyenera: Musamwe insulin yochulukirapo kuposa momwe mwalangizidwira. Ndipo musamwe panthawi yolakwika. Jakisoni wa insulin ayenera kuperekedwa mu mafuta omwe ali pansi pa khungu. Ngati mwangozi muwalowetsa mu minofu, insulin imatha kuyamwa mwachangu kwambiri ndipo shuga m'magazi mwanu imatha kuchepa kwambiri.
- Musamadumphe chakudya: Idyani chakudya chanu chachikulu ndi zokhwasula-khwasula panthawi yoyenera.
- Khalani ndi dongosolo la masiku omwe mukudwala: Ngakhale mutakhala kuti simukumva bwino kapena simukusanza, musalumphe mankhwala omwe mwapatsidwa. Yesani kudya kapena kumwa china chake pamodzi ndi mankhwalawo. Ngati simungathe kudya kapena kumwa chilichonse, imbani dokotala nthawi yomweyo.
- Samalani ndi mowa:Mowa ungapangitse kuti zikhale zovuta kulamulira kuchuluka kwa shuga m'magazi mwanu. Komanso, simungazindikire zizindikiro za shuga wotsika m'magazi mukamwa mowa. Ngati mumwa mowa, musamwe muli ndi njala . Imwani pamodzi ndi chakudya chokha.
- Madzi otentha ndi insulin: Musamasambe kapena kusamba ndi madzi otentha mutamwa insulin. Kutenthako kumatha kukulitsa mitsempha yamagazi ndikupangitsa kuti insulin ilowe mwachangu. Dikirani osachepera ola limodzi ndi theka musanasambe.
Kodi tingapeze thandizo kuchokera ku ukadaulo wamakono?
- CGM (Continuous Glucose Monitor): Ichi ndi kachipangizo kakang'ono kamene kamayikidwa pansi pa khungu. Kangathe kuyang'anira shuga m'magazi mwanu nthawi zonse ndikukudziwitsani ngati ali otsika. Izi ndizothandiza kwambiri kwa anthu omwe sasonyeza zizindikiro (hypoglycemia).
- Pumpu ya Insulin: Ichi ndi chipangizo chaching'ono chomwe chimalumikizidwa ndi thupi. Chimatha kupereka insulin yofunikira m'thupi pang'onopang'ono tsiku lonse.
Mukhoza kusankha ngati izi zikuyenererani mwa kulankhula ndi dokotala wanu.
Mmene vutoli limakhudzira ana aang'ono
Ndikofunikira kwambiri kupewa shuga wochepa m'magazi mwa ana aang'ono. Ubongo wa mwana umakula mofulumira pazaka 4 zoyambirira za moyo wake. Shuga wochepa kwambiri m'magazi panthawiyi ukhoza kuwononga kukula kwa ubongo.
Ngati makanda kapena ana aang'ono ali ndi shuga wochepa m'magazi, amatha kulira ndikuyamba kukwiya kwambiri kuposa masiku onse . Ngati akukula pang'ono, muyenera kuwaphunzitsa zizindikiro zoyambirira za shuga wochepa m'magazi.
- Kugwedezeka
- Kutuluka thukuta
- Kumva ngati mtima wako ukugunda mofulumira
Kukuthandizani kuzindikira nokha - Kufunika kwa ID ya Zachipatala
Ngati inu kapena mwana wanu muli pachiwopsezo cha hypoglycemia pafupipafupi, ndikofunikira kwambiri kuvala chibangili cha dokotala kapena mkanda .
Tangoganizani mwataya mwadzidzidzi chidziwitso paulendo ndipo shuga m'magazi mwachepa. Palibe amene akudziwa kuti ndinu ndani kapena matenda omwe muli nawo. Koma ngati muli ndi chibangili cholembedwa kuti 'Ndili ndi Matenda a Shuga' padzanja lanu, munthu amene angakuthandizeni angazindikire msanga ndikukutengerani ku Chipatala cha Emergency Treatment Unit (ETU).
Mbali imeneyi imapezekanso pa mafoni a m'manja omwe alipo. Mutha kuyiyika kuti chidziwitso chanu chachipatala (Medical ID) chiwonekere ngakhale foni itatsekedwa. Pa ma iPhone, izi zitha kuchitika kuchokera ku gawo la "Medical ID" la pulogalamu ya Health, komanso pa mafoni a Android, kuchokera ku Zikhazikiko.
Uthenga Wopita Nawo Kunyumba
- Yang'anani shuga m'magazi mwanu nthawi zonse monga momwe dokotala wanu wanenera.
- Sungani bwino chakudya chomwe mumadya, masewera olimbitsa thupi omwe mumachita, komanso mankhwala omwe mumamwa.
- Nthawi zonse dziwani zizindikiro zoyambirira za shuga wotsika m'magazi (kugwedezeka, thukuta, kugunda kwa mtima mofulumira).
- Nthawi zonse sungani chinthu chotsekemera (mapiritsi a shuga, paketi ya shuga, chidutswa cha tofe) pafupi ngati pachitika ngozi.
- Ngati muli ndi nkhawa iliyonse yokhudza matenda anu a shuga, nthawi zonse lankhulani ndi dokotala wanu mosazengereza.
- Kuvala chiphaso cha dokotala kungakuthandizeni kupulumutsa moyo wanu pakagwa ngozi.
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