Uri munhu ane chirwere cheshuga here, wakura zvishoma? Kana kuti amai vako, baba, ambuya, sekuru vako vane chirwere cheshuga here? Tose tinoziva kukosha kwazvinoita kuchengetedza huwandu hweshuga muropa redu huri mukati mehuwandu hwakakodzera. Asi waizviziva here kuti dzimwe nguva, patinoedza kudzora huwandu hweshuga yedu zvakanyanya, zvinotokuvadza kupfuura kubatsira? Izvi ndizvo zvatiri kutaura nezvazvo nhasi.
Kurapa zvakanyanya kunogona kuuraya
Vanachiremba vanokurudzira kuti vanhu vazhinji vane chirwere cheshuga vagare vaine hutano hweHbA1c (Hemoglobin A1c) test , iyo inoyera huwandu hweshuga muropa mumwedzi mishoma yapfuura. Izvi zvinodaro nekuti huwandu hweshuga muropa hwakakwira kwenguva yakareba, hunozivikanwa sehyperglycemia , hunogona kukuvadza muviri zvikuru. Izvi zvinogona kutungamira kumatambudziko akakomba kwenguva refu akadai sekudzikira kwebasa reuropi, kukuvara kwenhengo dzemukati, uye chirwere chemwoyo.
Asi chinhu chakakosha apa ndechekuti matambudziko aya anowanzo tora makore gumi kana kupfuura kuti aitike. Nguva iyi inogona kureba kupfuura hupenyu hwasara hwemurwere akwegura, kunyanya kana aine zvimwe zvirwere.
Zvisinei, chirwere chinonzi hypoglycemia , chinoita kuti huwandu hweshuga muropa huderere zvakanyanya, chinogona kuva nemigumisiro inokurumidza. Njodzi iyi inowedzera nekukura. Hypoglycemia yakanyanya inogona kutungamira mukudonha kune njodzi, kugara muchipatara, uye kunyange kufa .
Ongororo yakaitwa munguva pfupi yapfuura yakawana kuti chikamu chimwe muzvitatu chevanhu vakuru vaiva nechirwere chehypoglycemia chakakomba vakafa mukati memakore matatu mushure mechiitiko ichi. Izvi zvinoreva kuti hypoglycemia chirwere chine njodzi kupfuura zvatinofunga.
Sei njodzi yekudzikira kweshuga muropa ichikwira nekukura?
Zvichitaurwa zviri nyore, imhaka yekuchinja kwemiviri yedu. Sezvatinokura, metabolism yedu inochinja. Kusakwanisa kwe insulin mumuviri kunogona kuwedzera. Uyewo, masero ari mupancreas anogadzira insulin anogona kusakwanisa kukurumidza kupindura kuchinja kwehuwandu hweshuga muropa.
Ngatitarisei pakudzivirira kudzikira kweshuga
Vanhu vazhinji vane chirwere cheshuga vanokurudzirwa kuchengetedza huwandu hwavo hweA1c huri pasi pe7%. Dzimwe nguva chinangwa ichi hachichinji kunyangwe nezera, mararamiro, uye hutano.
Ngatifungei nezvaTete Kamala. Iye zvino vava nemakore 71 ekuberekwa. Vave nechirwere cheshuga kubvira pavaiva nemakore ekuma40. Vaivawo nezvinangwa izvi zvakasimba. Vaiwanzova nedambudziko rehypoglycemia, kunyanya pakati pehusiku kana mangwanani-ngwanani. Pavakazozviziva, huwandu hweshuga muropa ravo hwakanga hwadzikira zvakanyanya.
"Chaive chiitiko chinotyisa zvikuru," vanodaro Tete Kamala. " Mwoyo wangu wairova nekukurumidza, ndaidikitira, uye ndainzwa dzungu.""
Vakuru vakuru vanowanzo kanganwa zviratidzo izvi zveshuga shoma muropa nekuti zvimwe zvezviratidzo, zvakaita sekuneta, kushatirwa, ganda rakachenuruka, uye musoro, zvinogona kukanganiswa nyore nyore nezvimwe zvirwere kana sekukwegura kwakajairika.
Nzira yekurapa huwandu hweshuga pasina kuwedzera mishonga?
Kunyangwe Kamala akawana mushonga waimukodzera, huwandu hweshuga muropa rake hwakatanga kudzikira kunyangwe izvozvo zvisati zvaitika. Chakavanzika chaive kudya zvakanaka uye kurovedza muviri .
Kuronga kudya kwaakaita nemunhu ane ruzivo rwezvekudya uye kurovedza muviri nguva dzose kwakamubatsira kuderedza huremu hwakawanda.
Hapana chirongwa chekudya chinokwana zvese. Nyanzvi yezvekudya ichafunga nezvemararamiro ako, mishumo yekurabhoritari, uye zvaunofarira nezvausingade kuti igadzire chirongwa chakanangana newe.
Patinoita maekisesaizi, tsandanyama dzedu dzinosimba. Tsandanyama dzatinowana dzakawanda, ndipo patinokurumidza kushandisa simba redu mumuviri, izvo zvichatibatsira kudzora huwandu hweshuga muropa redu. Nokudaro, kunyangwe tichikura, tinogona kuchengetedza mararamiro ane hutano uye kudzora muviri wedu.
Kuramba nzira yekuti 'saizi imwe chete inokodzera zvese'
Nekuda kweizvi, kunyange masangano makuru ekurapa akaita seAmerican Diabetes Association achangobva kugadzirisa mazano avo ekubatsira vanhu vakuru. Saka, mazano avo ndeaya anotevera:
| Hutano hwemurwere akwegura | Chinangwa chinokurudzirwa cheA1c |
|---|---|
| Vakuru vane hutano hwakanaka uye vanoshanda nesimba | Zvisingasviki 7.5% |
| Vanhu vane zvimwe zvirwere uye vane hutano huri pakati nepakati | Zvisingasviki 8.0% |
| Vanhu vane zvirwere zvakasiyana-siyana, hutano husina kunaka, kana kuti vane makore mashoma ekurarama | Zvinangwa zveA1c hazvifanirwe kuvimbwa nazvo chete. Chinangwa chikuru chekurapa chinofanira kunge chiri chekuderedza zviratidzo uye kuvandudza hupenyu hwemurwere. |
Fungidzira, semuenzaniso, murume ane makore 86 okuberekwa anonzi Siripala. A1c yake yakanga yapfuura makore manomwe. Kunyange zvazvo chiremba aida kumupa mishonga, vatarisiri vake vakasarudza kuchinja kudya kwake uye kumuendesa kunofamba-famba mazuva ese. Zvinoshamisa kuti huwandu hweshuga muropa rake hwakadzokera pahwakajairika pasina shanduko huru.
Sezvatinokura, patinoronga kurapwa, zvakakosha kuti tiise nyaradzo yemurwere panzvimbo pekumudzora zvakanyanya.
Taura wega.
Pakupedzisira, chinhu chinonyanya kukosha ndechekuva mutyairi wehutano hwako. Ngatiyeukei nyaya yaKamala Aunty. Makore mashoma apfuura, akabvunza chiremba wake nezve `Continuous Glucose Monitor (CGM)` , iyo yaizomubvumira kutarisa huwandu hweshuga yake panguva chaiyo pasina kumubaya nemunwe. Asi chiremba haana kubvumirana nazvo.
"Saka ndakachinja vanachiremba," anodaro Kamala. Zvino zvaava neCGM, anogona kuita shanduko dzinodiwa nekukurumidza, uye huwandu hweshuga yake hwagadzikana iye zvino.
"Tsvaga chiremba anonzwisisa zviri kunzwikwa nemuviri wako."
Kana uchifunga kuti chiremba wako haasi kukuteerera, usatya kuona chiremba akasiyana. Zvinoshanda kune mumwe munhu zvinogona kusashanda kune wese munhu. Munhu wese anofanira kutaura nachiremba wake uye kugadzira hurongwa hwekurapa hunomushandira, mararamiro ake, uye zvinangwa zvehutano hwake.
Mharidzo Yekuenda Nayo Kumba
- Kune vanhu vakuru vane chirwere cheshuga, shuga shoma muropa (hypoglycemia) inogona kuva nengozi uye nekukurumidza kupfuura shuga yakawanda muropa (hyperglycemia).
- Havasi vese vakuru vane chirwere cheshuga vanofanira kuchengetedza zvinangwa zvakasimba zveA1c (<7%). Izvi zvinogona kuva nengozi.
- Chirongwa chekurapa hachifanirwe kunge "chinokwana zvese." Chinofanira kugadzirirwa iwe pachako, zvichienderana nezera rako, hutano hwako hwese, uye mararamiro ako.
- Kudya zvakanaka uye kurovedza muviri zvishandiso zviviri zvine simba zvisingaenzaniswi pakurapa.
- Taura pachena nachiremba wako nezvezvinangwa zvako zvehutano, zvinokunetsa, uye mafungiro ako. Zvimiririre wega.
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