Zingatenge nthawi kuti mumvetse bwino nkhaniyi mutapita kwa dokotala wanu ndikufika kunyumba: Muli ndi matenda a shuga , ndipo tsopano muyenera kuwongolera kuchuluka kwa shuga m'magazi mwanu. Pamene mukuzolowera moyo watsopanowu, tiyeni tiwone zida ndi zinthu zina zomwe zingakuthandizeni kuthana ndi vuto lanu ndikupewa mavuto amtsogolo. Zonsezi zimagwira ntchito yosiyana pakuthana ndi matenda anu a shuga .
Insulin ndi njira zake zoyendetsera
Dokotala wanu angakulangizeni kuti mumwe insulin kuti muchepetse kuchuluka kwa shuga m'magazi mwanu. Mwachidule, insulin ndi mahomoni opangidwa ndi chiwalo m'thupi lathu chotchedwa kapamba. Imathandiza kuti shuga m'zakudya zomwe timadya agwiritsidwe ntchito ngati mphamvu kapena kusungidwa.
Ngati muli ndi matenda a shuga a mtundu woyamba , kapamba wanu wasiya kupanga insulin konse. Koma ngati muli ndi matenda a shuga a mtundu wachiwiri, kapamba wanu akupangabe insulin, koma thupi lanu siligwiritsa ntchito bwino.
Kutengera ndi matenda anu, dokotala wanu angakulembereni mitundu yosiyanasiyana ya insulin. Ina imagwira ntchito mwachangu, pomwe ina imagwira ntchito pang'onopang'ono ndipo imakhala m'magazi kwa nthawi yayitali.
Kawirikawiri, mungafunike kubaya insulin kamodzi kapena kanayi patsiku. Izi zidzatsimikiziridwa ndi dokotala wanu. Pali njira zingapo zochitira izi:
- Silingi: Silingi ingagwiritsidwe ntchito kutulutsa mlingo woyenera wa insulin kuchokera mu botolo ndikuyibaya.
- Cholembera cha Insulin: Ichi n'chosavuta kugwiritsa ntchito. Ma pen ena amabwera atadzazidwa kale ndi insulin, pomwe ena amafuna kuti tiikepo katiriji.
Kodi Pampu ya Insulin ndi chiyani?
Nthawi zina, m'malo momwa jakisoni kangapo patsiku, dokotala wanu angakulangizeni kuti mugwiritse ntchito pampu ya insulin. Izi zimapangitsa kuti insulini ifike m'thupi lanu pang'onopang'ono tsiku lonse. Muyenerabe kuyang'ana shuga m'magazi mwanu, koma anthu ena amapeza kuti zimathandiza kuwongolera kuchuluka kwa shuga m'magazi mwawo.
Pampu iyi ndi yaying'ono kwambiri. Mutha kuisunga mosavuta m'chiuno, mu sokisi, kapena mu zovala zanu zamkati. Imalumikizidwa ndi chubu chopyapyala chotchedwa ``catheter''. Chubu ichi chimayikidwa pansi pa khungu lanu pogwiritsa ntchito singano.
Pampu iyi imatulutsa insulin pang'ono tsiku lonse, monga momwe zakonzedwera malinga ndi zosowa zanu. Komanso, mukamadya chakudya, mutha kudina batani pa pampu kuti mupeze insulin yowonjezera yomwe imafunika kuti mutenthe chakudya chomwe chili mu chakudyacho.
Mayeso a Shuga wa M'magazi
Choyezera shuga m'magazi (kapena glucometer) ndi chipangizo chamagetsi chaching'ono chomwe chimagwiritsidwa ntchito kuwona ngati shuga m'magazi mwanu ndi wokwera kwambiri kapena wotsika kwambiri.
Momwe mungagwiritsire ntchito izi ndi zosavuta kwambiri:
1. Choyamba, bayani chala chanu ndi singano yaying'ono yotchedwa "Lancet" ndikusonkhanitsa dontho laling'ono la magazi.
2. Ikani dontho la magazi pamalo osankhidwa pa mzere woyesera (Diabetic Test Strip).
3. Kenako ikani mzerewo mu mita, ndipo mkati mwa masekondi ochepa shuga wanu m'magazi udzawonekera pazenera.
Ndikofunikira kwambiri kulemba zotsatirazi m'buku. Izi zithandiza dokotala wanu kuonetsetsa kuti dongosolo lanu la chithandizo likugwira ntchito. Dokotala wanu adzakuuzani kangati komwe muyenera kuyeza shuga m'magazi mwanu. Makamaka ngati mukumva kunjenjemera, kuda nkhawa, chizungulire, chifuwa chanu chikugunda, thukuta, kumva njala kwambiri, kapena kugona, izi zitha kukhala zizindikiro za shuga wotsika m'magazi (hypoglycemia). Onetsetsani kuti mwayezetsa shuga m'magazi mwanu nthawi ngati zimenezi.
Chowunikira Chosalekeza cha Shuga (CGM)
Ichi ndi chipangizo china chapamwamba. Chimadziyeza chokha kuchuluka kwa shuga m'magazi mwanu mphindi zochepa zilizonse, maola 24 patsiku. Izi zimakupatsani mwayi wodziwa pasadakhale ngati kuchuluka kwa shuga m'magazi mwanu kuli kokwera kwambiri kapena kotsika kwambiri.
Kachipangizo kakang'ono kamene kamayikidwa pansi pa khungu kamatumiza deta ku chipangizo chomwe chili padzanja lanu kapena pafoni yanu. Deta iyi ingagwiritsidwe ntchito kutsata machitidwe ndi momwe shuga m'magazi mwanu imayendera. Izi zingakuthandizeni inu ndi dokotala wanu kupanga njira yabwino kwambiri yothandizira.
Koma kumbukirani, ngakhale mutakhala ndi CGM, muyenerabe kutenga magazi kuchokera chala chanu ndi glucometer yokhazikika kangapo patsiku kuti muwonetsetse kuti ndi yolondola. Muyeneranso kusintha sensa pansi pa khungu masiku atatu kapena asanu ndi awiri aliwonse.
Mayeso a Ketone
Thupi lanu likapanda insulin yokwanira yogwiritsira ntchito shuga, limayamba kuwotcha mafuta kuti likhale ndi mphamvu. Izi zimapanga zinthu zotchedwa ketones . Kuchuluka kwa ketones mu mkodzo wanu ndi chizindikiro choopsa chakuti matenda anu a shuga sakutha .
Dokotala wanu angakulangizeni mayeso a ketone ngati muli ndi zizindikiro zotsatirazi:
- Ngati shuga m'magazi mwanu ndi 240 mg/dL kapena kupitirira apo
- Ngati mukumva kudwala kapena kutopa nthawi zonse
- Ngati muli ndi pakamwa pouma ndipo nthawi zonse mukumva ludzu
- Ngati mukumva kusokonezeka
- Ngati mukuvutika kupuma
Kuti muchite mayesowa kunyumba, sonkhanitsani mkodzo mu kapu yoyera ndikuviika mzere woyeserawo. Sakanizani mkodzo wochulukirapo ndikudikirira kuti mzerewo usinthe mtundu malinga ndi malangizo. Kenako, yerekezerani mtundu wa mzerewo ndi tchati cha mitundu chomwe chili pa kit. Ngati kuchuluka kwa ketone m'magazi anu kuli pang'ono kapena kokwera, onani dokotala nthawi yomweyo. Ngati kuli kofunikira, pitani ku Dipatimenti Yothandizira Zadzidzidzi ya chipatala chapafupi (ETU).
Zina zofunika komanso kukonzekera zadzidzidzi
Pothana ndi matenda a shuga, ndikofunikira kukhala ndi zinthu zina zingapo. Tiyeni tiwone zomwe zili mu tebulo ili.
| Kufunika | Zinthu zoti mukhale pafupi nazo |
|---|---|
| Kuchepa kwa shuga m'magazi | Chinthu chokweza shuga m'magazi mwanu mwachangu, monga mapiritsi a shuga, ma cubes a shuga, toffee, botolo la madzi a zipatso. Jakisoni wa glucagon (potsatira upangiri wa dokotala) woti mupereke ngati mutataya chikumbumtima. Sungani izi m'malo angapo, monga m'chikwama chanu, m'galimoto, ndi m'kabati ya ofesi. |
| Kuteteza khungu ndi mapazi | Sopo wofewa, mafuta odzola pakhungu, zinthu zotsukira bala (gauze wosabala, tepi ya pepala), zodulira misomali, ndi galasi loyang'ana mapazi tsiku lililonse ngati pali mabala ndi matuza. Ngati pali kuwonongeka kwa mitsempha, masokosi osalala komanso opindika. |
| Za thanzi la pakamwa | Burashi ya mano yofewa, mankhwala otsukira mano okhala ndi fluoride, ndi ulusi wa mano wotsukira pakati pa mano. |
| Pakachitika ngozi | Chibangili kapena khadi losonyeza kuti muli ndi matenda a shuga (Chizindikiro cha Zachipatala). Nambala ya foni yoti munthu ayimbire ngati pachitika ngozi. Chida chothandizira pa ngozi chomwe chili ndi mankhwala a matenda a shuga osapitirira masiku 7, insulin, mipiringidzo yoyesera, mabatire, ndi zina zotero. |
Kodi n'zosavuta kuti tipeze zipangizo zonsezi ku Sri Lanka?
Zipangizo zina zapamwamba zomwe takambirana, mwachitsanzo mapampu a insulin ndi zida za CGM, sizofala kwambiri ku Sri Lanka. Ndipo ndizokwera mtengo kwambiri.
Ma glucometer, ma test strips, ma lancet, ndi mitundu yosiyanasiyana ya insulin nthawi zambiri amapezeka mosavuta m'ma pharmacy mdziko lathu. Komabe, pakhoza kukhala zovuta zina pakupeza zida zamakono zamakono.
Choncho, musataye mtima ndi zomwe ena akugwiritsa ntchito. Chofunika kwambiri ndikulankhula ndi dokotala wanu kuti musankhe njira ndi zida zoyenera komanso zoyenera kwa inu, kutengera momwe mulili pazachuma, moyo wanu, komanso mtundu wa matenda anu.
Uthenga Wopita Nawo Kunyumba
- Kusamalira matenda a shuga ndi ulendo, ndipo kukhala ndi zida ndi zinthu zoyenera ndikofunikira kuti ulendowo ukhale wosavuta.
- Yang'anani shuga m'magazi mwanu nthawi zonse monga momwe dokotala wanu wanenera. Lembani zotsatira zake.
- Dziwani zizindikiro za shuga wotsika m'magazi (hypoglycemia). Nthawi zonse sungani chinthu chomwe chingakweze shuga m'magazi mwanu mwachangu (mapiritsi a shuga, ma cubes a shuga) pafupi ngati zinthu zotere zachitika.
- Khalani okonzeka nthawi zonse pa nthawi yadzidzidzi. Tengani khadi lodziwitsa matenda a shuga ndi zida zoperekera chithandizo chadzidzidzi.
- Kambiranani momasuka ndi dokotala wanu za njira zochiritsira zomwe zili zoyenera komanso zotsika mtengo kwa inu.
Matenda a shuga, zida za matenda a shuga, insulin, glucometer, shuga m'magazi, hypoglycemia, kasamalidwe ka matenda a shuga
💬 Comments (0)
Palibe ndemanga zomwe zatumizidwa pano. Onjezani ndemanga yanu pano koyamba.
Onjezani ndemanga yanu