Mu lipoti la mayeso a magazi omwe mudachita posachedwapa, kodi dokotala adakuuzani kuti " shuga wanu ndi wokwera pang'ono, osati matenda a shuga , koma ali pamlingo wa malire"? Kapena kodi mudamvapo china chake chonga chimenecho? Kwenikweni, vuto la 'malire' ili ndi lomwe timalitcha azachipatala kuti ' Prediabetes '. Izi zili ngati chizindikiro chaching'ono chochenjeza chomwe chimabwera patsogolo pa vuto lalikulu la matenda a shuga. Chifukwa chake, tiyeni tikambirane chilichonse mosavuta lero.
Kodi prediabetes ndi chiyani?
Mwachidule, `Prediabetes` ndi gawo lapakati pomwe shuga m'magazi mwanu ndi wokwera kuposa wamba, koma osati wokwera mokwanira kuti utchulidwe kuti matenda a shuga. Zili ngati nyali yachikasu pa nyali ya pamsewu. Si nyali yofiira yoti iyimitse, ndipo si nyali yobiriwira yoti iyime. Koma ndi chenjezo kuti yatsala pang'ono kufiira.
Pafupifupi aliyense amene ali ndi matenda a shuga a mtundu wachiwiri amadutsa mu gawo lotchedwa 'Prediabetes'. Koma choopsa n'chakuti anthu opitilira 80% omwe ali ndi vutoli sadziwa ngakhale kuti ali nalo. Izi zili choncho chifukwa nthawi zambiri silimayambitsa zizindikiro zilizonse.
Koma nkhani yabwino ndi yakuti ngati mutazindikira ndikuchitapo kanthu mukakhala ndi matenda a shuga asanafike, mutha kupewa kapena kuchedwetsa kukula kwa matenda a shuga a mtundu wa 2. Muthanso kupewa mavuto akuluakulu monga matenda a mtima, mavuto a mitsempha yamagazi , komanso kuwonongeka kwa maso ndi impso zanu. Dokotala wanu angatchulenso vutoli kuti Impaired Glucose Tolerance (IGT) kapena Impaired Fasting Glucose (IFG).
Kodi matenda a shuga a prediabetes nawonso ali ndi zizindikiro?
Ngakhale anthu ambiri alibe zizindikiro zilizonse, nthawi zina mungakumane ndi zinthu monga:
- Kumva ludzu kwambiri kuposa masiku onse.
- Kufunika kukodza pafupipafupi.
- Maso anga akuoneka ngati akuona zinthu molakwika pang'ono .
- Kumva kutopa kwambiri kuposa masiku onse.
- Khungu la m'khwapa kapena pakhosi lakhala lakuda komanso lokhuthala .
- Ma tag ang'onoang'ono kwambiri a pakhungu apangidwa m'malo omwewo.
Makhalidwe apadera kwa akazi
Nthawi zina akazi amatha kukhala ndi zizindikiro zina pamodzi ndi vutoli. Mwachitsanzo:
- Matenda a yisiti kapena matenda a mkodzo (UTIs).
- Kusamba kosakhazikika kapena kutuluka magazi ambiri.
- Kuchepa kwa chidwi pa njira yogonana.
- Kuvuta kutenga mimba.
Chifukwa chiyani timadwala matenda a shuga a prediabetes?
Chifukwa chachikulu cha izi ndi vuto lotchedwa `Insulin Resistance`. Tsopano tiyeni tiwone chomwe chili.
Chakudya chomwe timadya, makamaka chakudya chopatsa mphamvu ( starch ), chimawonjezera shuga (glucose) m'magazi athu. Kuti shuga uyu agwiritsidwe ntchito ngati mphamvu ndi maselo a thupi lathu, timafunika hormone yotchedwa `Insulin`. `Insulin` ili ngati kiyi yomwe imatsegula zitseko za maselo ndikulola shuga kulowa.
`Kukana kwa Insulin` kumatanthauza kuti ngakhale thupi lathu limapanga `Insulin`, maselo athu sayankha bwino `Insulin` imeneyo. Zili ngati kiyi singatsegule chitseko. Ndiye chimachitika ndi chiyani? Shuga sangalowe m'maselo ndikudziunjikira m'magazi. Umu ndi momwe `Prediabetes` imachitikira shuga m'magazi akakwera.
Pali zinthu zingapo zomwe zimayambitsa vuto la "insulin resistance":
- Zotsatira za majini kuchokera ku mibadwomibadwo kupita ku mibadwomibadwo .
- Kulemera kwambiri kwa thupi , makamaka mafuta omwe amasonkhana m'mimba.
- Kupsinjika maganizo kwa nthawi yayitali.
- Kusagona mokwanira.
- Osachita masewera olimbitsa thupi .
- Kudya zakudya zokonzedwa kale, zakumwa zotsekemera, ndi zakudya zamafuta kwambiri.
- Matenda ena okhudzana ndi mahomoni monga Polycystic Ovary Syndrome (PCOS).
Kodi mungadziwe bwanji ngati muli ndi prediabetes?
Kuti atsimikizire izi, dokotala wanu mwina angakulangizeni mayeso angapo a magazi. Tebulo ili likuthandizani kumvetsetsa mayesowa ndi zotsatira zake.
| Dzina la Mayeso | Mitundu Yabwinobwino | Mulingo wa shuga woyambirira | Mulingo wa shuga |
|---|---|---|---|
| Shuga wa M'magazi Osala Kusala (FBS) (Mayeso amachitika patatha maola 8 akusala kudya) | Zochepera 100 mg/dL | 100 - 125 mg/dL | 126 mg/dL kapena kupitirira apo |
| Mayeso Oleza Mtima a Shuga (OGTT) (Mayeso achitika maola awiri mutamwa chakumwa cha shuga) | Zochepera 140 mg/dL | 140 - 199 mg/dL | 200 mg/dL kapena kupitirira apo |
| Mayeso a HbA1c (Mayeso omwe akusonyeza kuchuluka kwa shuga m'miyezi iwiri kapena itatu yapitayi) | 5.6% kapena kuchepera | 5.7% - 6.4% | 6.5% kapena kupitirira apo |
Chofunika: Ngati zotsatira za mayeso amodzi mwa awa zikubwera ngati `Prediabetes`, dokotala wanu angakulangizeni mayeso ena kuti atsimikizire.
Kodi tiyenera kuchita chiyani kuti tituluke mu mkhalidwe umenewu?
Nkhani yabwino ndi yakuti matenda a shuga asanakwane ndi vuto lomwe lingathe kuthetsedwa. Kusintha pang'ono pa moyo wanu kungapangitse kusiyana kwakukulu.
1. Zakudya zabwino
Palibe "zakudya" zenizeni pa izi. Koma yesani kuphatikiza kusintha kosavuta kumeneku m'moyo wanu:
- M'malo modya zakudya zopangidwa ndi ufa woyera monga buledi, mpunga, ndi Zakudya zophikidwa mu uvuni, yesani kudya zakudya zopangidwa ndi tirigu wonse monga mpunga wofiirira, buckwheat, oats, ndi mpunga wofiirira .
- Imwani madzi, tiyi, ndi khofi (popanda shuga) m'malo mwa zakumwa zotsekemera ndi madzi a zipatso .
- M'malo mwa nyama yofiira (ng'ombe, nkhumba) ndi nyama zokonzedwa monga soseji , idyani nsomba, nkhuku, mtedza, ndi nyemba .
- M'malo mokazinga kwambiri , phikani/wokazinga kapena wiritsani zakudya.
- Chepetsani kukula kwa gawolo pang'ono ndipo onjezerani ndiwo zamasamba ndi zipatso zambiri.
2. Kuchita masewera olimbitsa thupi nthawi zonse
Mukachita masewera olimbitsa thupi, minofu yanu imafunikira mphamvu. Imagwiritsa ntchito shuga m'magazi mwanu kuti ichite zimenezo. Choncho kuchita masewera olimbitsa thupi kumachepetsa shuga m'magazi mwanu. Osachepera mphindi 150 pa sabataChitani zinthu monga kuyenda mofulumira, kukwera njinga, kapena kusambira (monga mphindi 30 patsiku, masiku 5 pa sabata).
3. Kulamulira kulemera kwa thupi
Ngati muli onenepa kwambiri, kuchepetsa thupi lanu ndi 5% - 10% yokha kungachepetse chiopsezo chanu chokhala ndi matenda a shuga ndi kupitirira 50%.
4. Pewani kusuta fodya ndipo chepetsani kumwa mowa
Kusuta fodya kumawonjezera kukana kwa insulin. Choncho ngati mukusuta, funani thandizo kuti musiye. Ndikofunikanso kuchepetsa kumwa mowa.
5. Kutsatira malangizo a dokotala
Kwa anthu ena, pamodzi ndi kusintha kwa moyo wawo, dokotala wanu angakulangizeni kuyamba kumwa mankhwala monga Metformin (Glucophage). Musayambe kapena kusiya kumwa mankhwala nokha. Nthawi zonse lankhulani ndi dokotala wanu musanapange chisankho chilichonse.
Uthenga Wopita Nawo Kunyumba
- `Prediabetes` ndi chizindikiro chachikulu chomwe chimayambitsa matenda a shuga. Musachitenge mopepuka.
- Uwu ndi vuto lomwe lingachiritsidwe kwathunthu. Muli ndi mwayi woletsa matenda a shuga kuti asakule.
- Mankhwala anu akuluakulu ndi awa: kudya bwino, kuchita masewera olimbitsa thupi, komanso kuchepetsa thupi .
- Ngakhale mutakhala kuti mulibe zizindikiro zilizonse, ngati muli pachiwopsezo cha matenda a shuga (ngati wina m'banja mwanu ali nawo, ngati muli ndi kunenepa kwambiri), yang'anani shuga m'magazi mwanu nthawi zonse.
- Musachite mantha ndi izi. Lankhulani ndi dokotala wanu ndipo yambani kusintha lero. Imeneyi idzakhala ndalama yabwino kwambiri yomwe mungaike pa inu nokha.
Matenda a shuga asanafike, Matenda a shuga, kuchuluka kwa shuga, kukana insulini, shuga m'magazi, HbA1c, zizindikiro za matenda a shuga
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