Kodi muli ndi matenda a shuga? Ndiye, mukagona usiku, kodi mumasinthasintha osagona? Kapena mumadzuka mwadzidzidzi mukugona? Kodi mumagona kwambiri masiku ena, ndipo masiku ena, ngakhale mutayesetsa bwanji, simungathe kutseka maso anu? Ngati mukukumana ndi zinthu izi, simuli nokha. Anthu ambiri omwe ali ndi matenda a shuga amavutika ndi mavuto otere a tulo. Mungaganize kuti izi ndi zachilendo. Koma kodi mukudziwa kuti pakhoza kukhala kulumikizana kwakukulu pakati pa matenda a shuga ndi mavuto anu ogona ? Tiyeni tikambirane za izi lero.
N’chifukwa chiyani anthu odwala matenda a shuga amakhala ndi vuto la kugona?
Pali zifukwa zingapo zomwe munthu wodwala matenda a shuga angavutike kugona. Tiyeni timvetse izi mwachidule, chimodzi ndi chimodzi.
| Chifukwa cha vuto la kugona | Mwachidule, ndi chiyani? |
|---|---|
| Kulephera Kugona Bwino | Izi zimachitika pamene minofu ya pakhosi pathu imapumula titagona, kutseka njira yopumira. Kenako kupuma kumasiya kwa masekondi angapo. Izi zimachepetsa mpweya m'magazi, zomwe zimakhudza ubongo ndi mtima. Tangoganizirani, mwamuna wanu amakodola usiku, mwadzidzidzi amasiya kupuma ndipo amadzuka ndi kuyamba. Izi ndi zomwe timatcha Sleep Apnea. Matendawa ndi ofala pakati pa anthu onenepa kwambiri. |
| Kuwonongeka kwa mitsempha m'miyendo (Peripheral Neuropathy) | Matenda a shuga amatha kuwononga mitsempha ya miyendo ndi mapazi anu. Izi zingayambitse dzanzi, kumva kuwawa, ndi kutentha m'miyendo yanu. Kupweteka ndi kusasangalala kumeneku kungapangitse kuti zikhale zovuta kugona bwino usiku. |
| Matenda a Miyendo Yosakhazikika | Apa ndi pamene mukumva ngati miyendo yanu ikuyenda mopanda mphamvu, ngati kuti simungathe kuyisunga chete. Nthawi zina mumamva ngati chinachake chikukukoka mkati mwa miyendo yanu, ngati ululu. Izi zimapangitsa kuti zikhale zovuta kwambiri kugona. |
| Kusintha kwa shuga m'magazi (Hypoglycemia ndi Hyperglycemia) | Kutsika mwadzidzidzi kwa shuga m'magazi (hypoglycemia) komanso kuwonjezeka kwakukulu (hyperglycemia) kungakhudze tulo. Shuga ikakwera, muyenera kukodza pafupipafupi usiku. Izi zimasokoneza tulo tanu. Shuga ikatsika, mutha kutuluka thukuta, kuda nkhawa, komanso kungakudzutseni. |
| Kunenepa kwambiri | Kunenepa kumakhudzana mwachindunji ndi kukokoloka ndi kupuma movutikira, zomwe zonsezi ndi zopinga zazikulu pakugona bwino. |
Kodi mumazindikira bwanji mavuto amenewa okhudza kugona?
Choncho ngati muli ndi vutoli, choyamba muyenera kulankhula ndi dokotala wanu za vutoli. Iye adzakufunsani mafunso angapo okhudza kugona kwanu.
- Kodi mukuvutika kugona usiku?
- Kodi mumadzuka pakati pa tulo tanu?
- Kodi nthawi zambiri mumagona masana?
- Kodi mumakoka mphuno mu tulo? Kodi mumamva ngati mukupuma?
- Kodi muli ndi ululu kapena dzanzi m'miyendo yanu?
- Kodi mumakankha miyendo yanu mukakhala m'tulo? Kodi mumayendayenda?
Kutengera ndi mayankho a mafunso awa, dokotala wanu angakutumizireni kwa katswiri wa kugona ngati pakufunika kutero. Angakupemphaninso kuti muyesedwe tulo tapadera lotchedwa polysomnogram . Izi zimaphatikizapo kukhala usiku wonse kuchipatala, pogwiritsa ntchito makina kuti ayesere momwe mumagona, mafunde a ubongo, kupuma, ndi kugunda kwa mtima. Izi zingathandize kudziwa chomwe chimayambitsa mavuto anu ogona.
Kodi mankhwala otani a matenda a shuga omwe amaperekedwa kwa anthu omwe ali ndi vuto la kugona?
Nkhani yabwino ndi yakuti pali mankhwala ochizira matenda onsewa. Mankhwalawa amadalira matenda omwe muli nawo.
Chofunika kwambiri: Mankhwala aliwonse kapena mankhwala otsatirawa ayenera kugwiritsidwa ntchito pokhapokha ngati dokotala wanu wakupatsani upangiri. Musagwiritse ntchito nokha.
- Pa Matenda a Apnea Ogona: Kuchepetsa thupi n'kofunika kwambiri. Kuphatikiza apo, dokotala wanu angakulangizeni kugwiritsa ntchito makina otchedwa CPAP (Continuous Positive Airway Pressure) . Izi zimaphatikizapo kugona ndi chigoba chaching'ono pamphuno ndi pakamwa panu. Kuthamanga kwa mpweya kuchokera ku makinawo kumathandiza kuti mpweya wanu ukhale wotseguka, kuti musamapanikizidwe.
- Ululu wa Neuropathy wa Peripheral:Pali njira zosiyanasiyana zochiritsira, kuyambira mankhwala ochepetsa ululu wamba (monga Aspirin ndi Ibuprofen) mpaka mankhwala omwe amagwiritsidwa ntchito makamaka pochiza ululu wa mitsempha (monga Gabapentin ndi Pregabalin).
- Pa Matenda a Miyendo Yosakhazikika: Palinso mankhwala enaake a izi. Nthawi zina, ngati chitsulo m'thupi chili chochepa, mungapatsidwe mapiritsi achitsulo.
- Pa vuto la kusowa tulo: Mankhwala a nthawi yochepa (monga `Diphenhydramine`), mapiritsi ogonetsa olembedwa ndi dokotala (monga `Zolpidem`, `Eszopiclone`), ndi mankhwala ena oletsa kuvutika maganizo amagwiritsidwa ntchito pa mlingo wochepa ngati mankhwala ochiritsira kusowa tulo.
Zinthu zomwe mungachite nokha kuti mugone bwino
Kuwonjezera pa mankhwala, kusintha pang'ono kwa moyo wanu kungathandize kwambiri kuti mugone bwino.
- Yesetsani kuchita zinthu zolimbitsa thupi: Chitani zinthu monga kuchita masewera olimbitsa thupi popuma, kusinkhasinkha, ndi zina zotero musanagone. Mvetserani nyimbo zolimbitsa thupi.
- Maseŵera Olimbitsa Thupi: Kuchita maseŵera olimbitsa thupi tsiku lililonse kungakuthandizeni kugona bwino, koma pewani kuchita maseŵera olimbitsa thupi maola angapo musanagone.
- Pewani zinthu izi madzulo: Pewani kugwiritsa ntchito zinthu monga khofi, tiyi (caffeine), mowa, ndi ndudu (nicotine) madzulo.
- Musagone masana: Yesetsani kuchepetsa kugona masana momwe mungathere. Kuchita zimenezi kungapangitse kuti zikhale zovuta kugona usiku.
- Gwiritsani ntchito bedi lanu pazinthu izi zokha: Muyenera kugwiritsa ntchito bedi lanu pogona ndi kuchita zogonana zokha. Siyani kuonera TV, kuwerenga mabuku, kapena kuyang'ana foni yanu mutakhala pabedi. Kenako ubongo wanu udzazindikira kuti bedi ndi malo ogona.
- Ngati simungathe kugona: M'malo mongodzigudubuza pabedi, dzukani, pitani kuchipinda china, ndipo chitani zinazake zopumulitsa (monga kuwerenga buku). Mukayamba kugona, bwererani kukagona.
- CBT: Chithandizo cha Maganizo Okhudza Maganizo (CBT) ndi njira yothandiza kwambiri, yopanda mankhwala yochiritsira kusowa tulo. Imafuna kulankhula ndi mlangizi kuti akuthandizeni kusintha maganizo ndi zizolowezi zomwe zimasokoneza tulo lanu.
Kodi kusagona mokwanira kungayambitse matenda a shuga?
Inde. Izi zimagwiranso ntchito mosiyana. Kusagona mokwanira kwa nthawi yayitali, komwe kumadziwikanso kuti kusagona mokwanira , kungayambitse kukana kwa insulin, zomwe zimawonjezera chiopsezo chotenga matenda a shuga.
Mwachidule, kugona kumakhudza mwachindunji mahomoni omwe amalamulira njala ndi chilakolako chathu. Mwachitsanzo , leptin.Tengani mahomoni otchedwa. Tikasowa tulo, mahomoni awa amachepa, ndipo timakhala ndi chilakolako chofuna kudya chakudya cham'thupi, kutanthauza chakudya chokhala ndi sitachi (monga mpunga, buledi, maswiti). Izi zingayambitse kunenepa kwambiri komanso matenda a shuga.
Uthenga Wopita Nawo Kunyumba
- Pali mgwirizano wamphamvu pakati pa matenda a shuga ndi mavuto ogona, choncho musanyalanyaze mavuto anu ogona.
- Kambiranani momasuka ndi dokotala wanu za mavuto aliwonse omwe mukukumana nawo, monga kukodola usiku, kupuma movutikira mukamagona, kupweteka kwa miyendo, komanso kusowa tulo.
- Pali mankhwala othandiza kwambiri pa matenda ambiriwa, monga makina a CPAP ndi mankhwala.
- Mukhoza kusintha kwambiri mwa kuchita masewera olimbitsa thupi, kudya zakudya zabwino, komanso kuchita zinthu zoyera bwino pogona.
- Pewani kudzipatsa mankhwala chifukwa cha tulo kapena zizindikiro zina popanda upangiri wa dokotala. Zingakhale zoopsa.
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