Kodi anthu ochepa thupi nawonso amadwala matenda a shuga? Tiyeni tikambirane za chiopsezo chapadera (Type 2 Diabetes) chomwe ife anthu aku South Asia tili nacho.

Ambiri a ife timaganiza kuti matenda a shuga amangokhudza anthu onenepa komanso onenepa kwambiri. Koma kodi mumadziwa kuti kwa munthu wina kudziko la South Asia ngati ife, kutanthauza ku Sri Lanka, ngakhale titakhala ochepa thupi kapena onenepa bwino, tili ndi mwayi waukulu wopeza matenda a shuga a mtundu wa 2? Ndipotu, poyerekeza ndi mafuko ena, chiopsezo chathu ndi chachikulu kwambiri kuwirikiza kanayi. Ichi ndi chinthu chomwe chimatidabwitsa kwambiri. Lero, tiyeni tikambirane chifukwa chake izi zimachitika, zomwe tiyenera kudziwa, komanso zomwe tingachite kuti tidziteteze ku vutoli.

N’chifukwa chiyani anthu aku South Asia ngati ife ali pachiwopsezo chachikulu?

Chifukwa chachikulu cha izi ndi momwe thupi lathu limasungira mafuta. Tangoganizirani, mafuta osawoneka amasungidwa mozungulira ziwalo zofunika m'thupi lathu monga chiwindi ndi minofu. Malinga ndi zamankhwala, izi zimatchedwa (Visceral adiposity) . Ichi ndi chinthu chomwe chingachitike kuchokera mkati, ngakhale thupi lathu ndi lochepa thupi ndipo silikuwoneka ngati ilo kuchokera kunja.

Mwachidule, chifukwa cha mafuta ozungulira chiwalochi, mahomoni otchedwa insulin omwe amapangidwa ndi kapamba m'thupi lathu sangagwire ntchito bwino. Ntchito yaikulu ya insulin ndikuthandiza maselo kutenga shuga (shuga) m'magazi ndikusandutsa mphamvu. Chifukwa chake, pamene insulin singagwire ntchito yake bwino chifukwa cha mafuta otere, timatcha insulin kukana . Izi zimapangitsa kuti shuga m'magazi akwere.

Vuto la magawo awiri lomwe tikukumana nalo: kukana ndi kusowa

Monga anthu aku South Asia, nkhaniyi ndi yovuta kwambiri kwa ife pazifukwa ziwiri.

1. Kukana kwa Insulin: Monga ndanenera kale, ngakhale kuti thupi lathu limapanga insulin, siligwira ntchito bwino. Dokotala wina amene analankhula za izi anafotokoza zomwe zinamuchitikira. Pamene anayamba matenda a shuga a mimba panthawi ya mimba, anayenera kubaya insulin yambiri ngakhale kuti anali ndi chiwerengero chabwino cha body mass index (BMI). Izi zikutanthauza kuti ngakhale kuti pali insulin m'thupi, sigwira ntchito bwino, choncho pamafunika insulin yambiri.

2. Kusowa kwa insulin: Vuto lina ndilakuti majini, maselo opanga insulin (maselo a beta) m'chifuwa chathu sagwira ntchito mokwanira. Izi zimatchedwa (kusweka kwa maselo a beta).Ndiko kuti, tikamadya, shuga m'magazi mwathu amakwera. Kenako kapamba amalandira chizindikiro choti apange insulin. Koma chifukwa maselo athu ndi "ofooka" pang'ono, sapanga insulin mpaka shuga m'magazi atakwera kwambiri. Choncho tili ndi vuto la insulin yosagwira ntchito bwino mbali imodzi, komanso vuto la insulin yosagwira ntchito mokwanira mbali inayo.

Kodi ndi zinthu ziti zomwe zingakupangitseni kuyezetsa matenda a shuga?

Monga anthu aku South Asia, tiyenera kusamala ndi zinthu zomwe zimasiyana ndi zinthu zomwe zimafunika poyesa matenda a shuga. Ndikofunikira kwambiri kuti muyesedwe matenda a shuga ngati index yanu ya body mass, kapena BMI, ili pamwamba pa 23. Ngakhale kuti avareji ya chiwerengero cha shuga m'maiko akumadzulo ndi 25, chifukwa cha kusiyana kwa majini athu, tili pachiwopsezo ngakhale titakhala ndi BMI yotsika.

Onani ngati muli ndi chimodzi kapena zingapo mwa zinthu zotsatirazi zomwe zingakubweretsereni chiopsezo.

Kodi mumalankhula bwanji ndi dokotala wanu za izi?

Chofunika kwambiri ndikutengapo gawo ndikukambirana ndi dokotala wanu za izi. Dokotala wanu sangafune kukuyesani matenda a shuga chifukwa ndinu wolemera bwino. Koma mutha kumufotokozera zinthu izi.

Mukapita kukaonana ndi dokotala wanu, nenani mawu ngati akuti, "Dokotala, ngakhale kuti BMI yanga ndi yabwinobwino, ndikudziwa kuti ndine waku South Asia ndipo ndili pachiwopsezo cha matenda ashuga ngakhale nditakhala ndi BMI yotsika. Ndiye kodi mungayang'ane A1c yanga?"

A1c (HbA1c) ndi muyeso wa shuga m'magazi mwanu m'miyezi 2-3 yapitayi. Kuyezetsa kumeneku kungakudziwitseni ngati muli ndi matenda a shuga kapena muli pachiwopsezo chotenga matenda a shuga (prediabetes). Ndikofunikira kuyang'anira thanzi lanu.

Zakudya ndi moyo: Kodi tiyenera kuchita chiyani?

Zakudya zanu ndizofunikira kwambiri pa 70% pochiza matenda a shuga. 30% yotsalayo ndi kuchita masewera olimbitsa thupi.

Chakudya chathu chachikulu ku Sri Lanka nthawi zambiri chimakhala ndi chakudya chambiri (starch). Timadya kwambiri zakudya zopangidwa ndi mpunga, buledi, ndi ufa. Mtundu uliwonse wa chakudya cham'mimba umapangitsa kuti shuga m'magazi akwere. Choncho chomwe tiyenera kuchita ndi kusasiya kudya zakudya zimenezi kotheratu.

• Sinthani momwe mumakonzera mbale yanu ya mpunga: Gawani gawo limodzi mwa magawo anayi a mbale yanu ya mpunga, gawo limodzi mwa magawo anayi a mapuloteni (nsomba, nkhuku, mazira, mphodza, nandolo), ndipo theka lotsalalo likhale la ndiwo zamasamba ndi ndiwo zamasamba.
• Phatikizani zakudya zokhala ndi ulusi wambiri: Zakudya monga tirigu wathunthu, oats, mpunga wofiirira, ndiwo zamasamba, ndi zipatso zimachepetsa liwiro lomwe shuga amawonjezeredwa m'magazi.
• Pewani zakudya zopangidwa ndi shuga ndi zakumwa zotsekemera: Izi zimayambitsa kukwera kwadzidzidzi kwa shuga m'magazi.

Musalole kuti matenda a shuga azilamulira moyo wanu. M'malo mwake, dziphunzitseni nokha za vutoli, funsani dokotala wanu kuti akupatseni upangiri wofunikira, ndipo sinthani moyo wanu.