Kodi inunso muli ndi matenda a shuga a mtundu wachiwiri? Tiyeni tikambirane mwachidule.

Kodi mumamvanso kutopa nthawi zonse, ludzu? Kapena mumafunika kukodza pafupipafupi? Mungaganize kuti izi ndi zinthu zachibadwa. Komabe, izi zitha kukhala zizindikiro za kusintha kwakukulu komwe kumachitika m'thupi lathu, komwe ndi matenda a shuga a Type 2. Musadandaule, iyi ndi vuto lofala kwambiri pakati pathu ku Sri Lanka. Tiyeni tikambirane za izi mosavuta komanso mwaubwenzi lero.

Mwachidule, kodi matenda a shuga a mtundu wa 2 ndi chiyani?

Uwu ndi vuto lomwe limakhalapo kwa moyo wonse, koma ngati litasamalidwa bwino, palibe chomwe chingakulepheretseni kukhala ndi moyo wabwinobwino komanso wathanzi.

Taganizirani izi motere, pali mahomoni m'thupi lathu omwe amathandiza maselo kusintha shuga (shuga) mu chakudya chomwe timadya kukhala mphamvu, ndipo amatchedwa insulin . Insulin iyi imapangidwa ndi chiwalo chotchedwa kapamba wathu. Mu matenda a shuga a mtundu wachiwiri, zinthu ziwiri zazikulu zimachitika:

1. Kukana kwa Insulin: Ngakhale thupi lanu limapanga insulin, maselo anu sayankha bwino. Zili ngati pali kiyi, koma kiyiyo yakhazikika mkamwa mwanu. Choncho shuga m'magazi mwanu sangalowe m'maselo anu ndikuwunjikana m'magazi mwanu.

2. Kusapanga insulin yokwanira: Pakapita nthawi, kukana insulini kumeneku kumapangitsa kuti kapamba azigwira ntchito molimbika ndikupanga insulin yochulukirapo. Patapita kanthawi, kapamba "amatopa" ndipo samatha kupanga insulin yokwanira.

Kale, izi zinkatchedwa "shuga ya akuluakulu." Koma masiku ano, makamaka chifukwa cha kunenepa kwambiri kwa ana, vutoli lingachitike mwa achinyamata, ngakhale ana aang'ono.

Kodi inunso muli ndi zizindikiro zimenezi? Onani.

Zizindikiro za matenda a shuga amtundu wachiwiri nthawi zina zimakhala zosaonekera bwino. Ichi ndichifukwa chake anthu ena sadziwa ngakhale kuti ali ndi matenda a shuga. Dziwani zizindikiro izi.

Kodi ndi zinthu ziti zomwe zimayambitsa matenda a shuga a mtundu wa 2 komanso zomwe zimayambitsa matendawa?

Palibe chifukwa chimodzi chokha cha izi. Zimayambitsidwa ndi zinthu zosiyanasiyana. Ngati muli ndi zinthu zingapo zomwe zimayambitsa matendawa, muli ndi mwayi waukulu wopeza matenda a shuga.

Zinthu zomwe simungathe kusintha

• Zaka:Chiwopsezocho chimakhala chachikulu ngati muli ndi zaka zoposa 45.
• Mbiri ya banja: Ngati amayi anu, abambo anu, mchimwene wanu, kapena mlongo wanu ali ndi matenda a shuga, inunso muli pachiwopsezo chachikulu.
• Majini: Zina mwa zinthu zomwe zimayambitsa majini zimatha kusokoneza kupanga ndi kugwira ntchito kwa insulin.

Zinthu zomwe mungasinthe (izi ndi zofunika kwambiri!)

• Kunenepa kwambiri kapena kunenepa kwambiri: Munthu akalemera kwambiri, chiopsezo chake chokhala ndi insulin yokana chimawonjezeka.
• Kusachita masewera olimbitsa thupi: Kusachita masewera olimbitsa thupi kumawonjezera chiopsezo cha matenda a shuga.
• Kuthamanga kwa Magazi Kwambiri: Ngakhale mutagwiritsa ntchito mankhwala, kuthamanga kwa magazi kwambiri ndi chinthu chomwe chingayambitse vutoli.
• Kuchuluka kwa cholesterol: Kuchepa kwa cholesterol "yabwino" (HDL) m'magazi ndi kuchuluka kwa triglycerides.
• Zakudya: Kudya zakudya zokhala ndi shuga wambiri, mafuta, ndi ufa wambiri pafupipafupi.
• Kusuta fodya.
• Kupsinjika maganizo ndi kusowa tulo.

Matenda ena

• Matenda a shuga asanakwane: Matenda omwe shuga m'magazi amakhala okwera kuposa masiku onse, koma osakwera mokwanira kuti awoneke ngati matenda a shuga. Izi zili ngati chenjezo lomaliza.
• Matenda a Shuga a Mimba: Ngati mutakhala ndi matenda a shuga mukakhala ndi pakati, mumakhala pachiwopsezo chachikulu chotenga matenda a shuga a Mtundu 2 pambuyo pake.
• Matenda a Polycystic Ovary Syndrome (PCOS): Matendawa, omwe amapezeka kwambiri pakati pa akazi, amagwirizanitsidwanso ndi kukana insulin.

Kodi matenda a shuga amapezedwa bwanji molondola?

Ngati muli ndi zizindikiro zomwe zili pamwambapa kapena zinthu zomwe zingakuopsezeni, ndi bwino kupita kwa dokotala ndikuyezetsa magazi. Kuyezetsaku nthawi zambiri kumatenga masiku awiri kuti kutsimikizire matendawa.

• Kuyesa kwa A1c: Kuyeza kumeneku kumayesa kuchuluka kwa shuga m'magazi mwanu m'miyezi iwiri kapena itatu yapitayi. Uku ndiye kuyesa komwe kumagwiritsidwa ntchito kwambiri.
• Kusala Kudya Glucose wa Plasma (FPG): Uku ndi kuyezetsa magazi komwe kumachitika munthu atasala kudya (osadya chilichonse kwa maola pafupifupi 8, kumwa madzi okha).
• Mayeso Ololera Shuga M'kamwa (OGTT): Mu mayesowa, magazi amatengedwa kaye akusala kudya, kenako amapatsidwa chakumwa chokhala ndi shuga, ndipo magazi amatengedwanso patatha maola awiri kuti awone momwe thupi limayankhira shuga.

Chithandizo ndi Kasamalidwe: Umu ndi momwe timagonjetsera izi!

Kusamalira matenda a shuga a mtundu wachiwiri ndi kuphatikiza kusintha kwa moyo, komanso, ngati kuli kofunikira, mankhwala.

1. Kusintha kwa moyo (izi ndiye maziko!)

Mungathe kuchepetsa shuga m'magazi mwa kusintha moyo wanu popanda mankhwala.

• Zakudya Zopatsa Thanzi:
• Chepetsani ma calories:Muziyang'anira kuchuluka kwa chakudya chomwe mumadya. Pangani mbale yathu ya mpunga kukhala yocheperako pang'ono ndipo mudzazemo ndiwo zamasamba, zitsamba, ndi zipatso.
• Chepetsani maswiti ndi ufa: Chepetsani zinthu monga shuga, zakumwa zotsekemera, makeke, mabisiketi, ndi buledi momwe mungathere.
• Zakudya zokhala ndi ulusi wambiri: Idyani zipatso zambiri, ndiwo zamasamba, tirigu wonse, oats, ndi mtedza.
• Kuchita masewera olimbitsa thupi:
• Chitani zinthu monga kuyenda mofulumira, kukwera njinga, kapena kusambira kwa mphindi zosachepera 30 patsiku.
• Kuonjezera apo, zingakhale bwino ngati mungathe kuwonjezera masiku angapo pa sabata masewera olimbitsa thupi monga yoga ndi kunyamula zolemera.
• Kuchepetsa thupi:
• Ngakhale kutaya 5% - 7% ya kulemera kwa thupi lanu kungathandize kwambiri pa kuchuluka kwa shuga m'magazi, cholesterol, ndi kuthamanga kwa magazi.

2. Mankhwala

Ngati kusintha moyo kokha sikungathe kulamulira kuchuluka kwa shuga m'magazi mwanu, dokotala wanu adzakupatsani mankhwala.

Mankhwala ena omwe amagwiritsidwa ntchito kwambiri:

• Metformin: Iyi nthawi zambiri imakhala mankhwala oyamba kuperekedwa. Amachepetsa kupanga shuga m'chiwindi ndipo amathandiza thupi kuyankha bwino ku insulin.
• Sulfonylureas: Izi zimathandiza thupi kupanga insulin yambiri.
• Mankhwala oletsa DPP-4, oletsa SGLT2, oletsa GLP-1 receptor agonists: Awa ndi mankhwala atsopano ndipo amathandiza kuwongolera kuchuluka kwa shuga m'magazi m'njira zosiyanasiyana.
• Insulin: Nthawi zina, pamene mankhwala ena sakwanira, jakisoni wa insulin angafunike. Iyi si mapeto a matenda a shuga, koma ndi sitepe ina yowongolera matendawo.

Tiyeni tipewe mavuto omwe amabwera chifukwa cha matenda a shuga.

N’chifukwa chiyani timagwira ntchito molimbika chonchi kuti tichepetse matenda a shuga? Chifukwa shuga wambiri m’magazi kwa nthawi yayitali ukhoza kuwononga ziwalo zofunika m’thupi lathu.

• Mtima ndi mitsempha ya magazi: Chiwopsezo cha matenda a mtima ndi sitiroko chimawonjezeka kawiri.
• Impso: Pali chiopsezo cha kuwonongeka ndi kulephera kwa impso.
• Maso: Mitsempha yamagazi m'maso imatha kuwonongeka ndipo ingayambitse kutayika kwa masomphenya (Diabetic Retinopathy).
• Mitsempha: Kuwonongeka kwa mitsempha kungayambitse kutaya kumva m'miyendo ndi mavuto a m'mimba (Diabetic Neuropathy).
• Mapazi: Chifukwa cha kuchepa kwa magazi ndi kuwonongeka kwa mitsempha, pali mwayi waukulu kuti mabala a mapazi sachira ndipo akhoza kutenga matenda.

Musachite mantha ndi chilichonse mwa izi. Ngati muwongolera bwino matenda anu a shuga, mutha kupewa mavuto ambiriwa. Nazi zina zomwe mungachite:

• Kumwa mankhwala pa nthawi yake.
• Kudya zakudya zabwino.
• Kuchita masewera olimbitsa thupi nthawi zonse.
• Yesani shuga m'magazi mwanu nthawi zonse monga momwe dokotala wanu wanenera.
• Yesani maso anu, impso, ndi mapazi anu nthawi zonse monga momwe dokotala wanu walangizira.

Matenda a shuga, Mtundu wachiwiri wa shuga, shuga, shuga m'magazi, insulin, zizindikiro za matenda a shuga, chithandizo cha matenda a shuga, Metformin, Sri Lanka, zakudya, masewera olimbitsa thupi