Uri munhu ari kurapwa chirwere cheshuga here? Saka, dzimwe nguva unonzwa here kuti shuga yako yeropa inodzikira zvishoma nezvishoma zvekuti unonzwa sekunge uchapera simba? Kana kuti wakambonzwa sekunge yakwira zvakanyanya? Vanachiremba vanodana rudzi urwu rwechirwere cheshuga, icho chakaoma kudzora uye chisina kugadzikana, kuti "Brittle Diabetes." Chinonziwo "Labile Diabetes." "Brittle" kana "Labile" zvese zvinoreva "kuchinja zviri nyore" kana "kusagadzikana."
Zvichitaurwa zviri nyore, chii chinonzi 'Brittle Diabetes'?
Zvichitaurwa zviri nyore, 'Brittle Diabetes' zvinoreva kuti huwandu hweshuga muropa rako hunowanzo chinja nekukurumidza kubva pahuwandu hwakaderera (hwatinoti `(Hypoglycemia)') kuenda pahuwandu hwakanyanya (hwatinoti `(Hyperglycemia)').
Chinhu chakakosha ndechekuti iyi haisi mhando itsva yechirwere cheshuga. Tinoiona sedambudziko kana kuti chirwere chidiki chechirwere cheshuga, chinowanzobatanidzwa nechirwere cheshuga cherudzi rwekutanga.
Sei izvi zvichiitika? Ndezvipi zvikonzero zveizvi?
Kutaura zvazviri, chero chirwere cheshuga chinogona kusagadzikana kana chikasagadziriswa nemazvo. Saka, zvakaoma kuona chirwere che'Brittle Diabetes' nemazvo. Panogona kunge paine zvikonzero zvakawanda nei huwandu hweshuga yako huchigona kuchinja zvakanyanya.
Funga kuti zvinhu izvi zvinokukanganisawo here:
- Kusashandisa mishonga nekuongororwa: Unotora mishonga yako sezvakarairwa nachiremba wako here? Unoongorora huwandu hweshuga mumuviri wako kakawanda pazuva here? Kana ukasashandisa mishonga iyi, inogona kunge iri chikonzero chikuru.
- Kushushikana kwakanyanya: Zvinhu zvakaita sekushushikana kwakanyanya, hasha, uye kusuruvara zvinokanganisa zvakananga mahormone emuviri wedu uye zvinokanganisa huwandu hweshuga.
- Matambudziko Ekudya: Zvirwere zvakaita sekudya zvakanyanya, kusadya zvakanaka, kana kudya zvakanyanya panguva imwe chete.
- Matambudziko ekudya: Matumbu haanyatso tora zvinovaka muviri zviri muchikafu chaunodya. Mienzaniso yeizvi inosanganisira zvirwere zvakaita seCeliac Disease.
- Matambudziko emudumbu: Gastroparesis chirwere chinokonzerwa nekufamba kwechikafu kubva mudumbu kuenda mudumbu kunonoka, kana dzimwe nguva kumira. Izvi zvinogona kukanganisa mashandiro e insulin.
- Kunzwa kwe insulin: Vamwe vanhu vanonzwa insulin zvakanyanya, uye kunyange shoma inogona kukonzera kudzikira kweshuga muropa kamwe kamwe.
Kazhinji, chimwe chezvinhu izvi kana kupfuura zvinogona kukonzera izvi. Muzvimwe zviitiko, kunyange vanachiremba havakwanise kuwana chikonzero chaicho.
Chirwere ichi chinoonekwa sei? Ndezvipi zviratidzo zvacho?
Zviratidzo zvinosiyana zvichienderana nekuti shuga yako yeropa yakakwira here kana kuti yakaderera. Ngatitarisei zviratidzo izvi zvakasiyana.
| Kana huwandu hweshuga muropa hukadzikira kamwe kamwe (Hypoglycemia - iri pasi pe70 mg/dl) | |
|---|---|
| Kunzwa sekuti muviri wako uri kudedera | Kunzwa kusagadzikana, kunetseka |
| Kudikitira zvakanyanya, kunzwa kutonhora | Hasha, kushatirwa |
| Kukanganisika kwepfungwa nepfungwa, kuvhiringidzika | Kurova kwemoyo |
| Dzungu , vertigo | Kusvotwa, kurutsa |
| Kuona kusina kujeka | Kushaya simba, kushaya simba |
| Musoro wakakomba | Kubatwa nepfungwa uye kusaziva |
| Kana huwandu hweshuga muropa hukakwira kamwe kamwe (Hyperglycemia - inopfuura 200 mg/dl) | |
|---|---|
| Kuda kuita weti kakawanda | Nyota isingatsungiririki |
| Kuona kusina kujeka | Kuneta kwakanyanya, kuneta |
| Musoro | |
Chenjerera! Shuga yakakwira muropa inogona kuva nengozi (Ketoacidosis)
Kana ukasakurumidza kurapa shuga yakakwira muropa (hyperglycemia), inogona kuva chirwere chine njodzi chinonzi ketoacidosis . Apa ndipo apo muviri usingakwanise kushandisa glucose sesimba, wotanga kupisa mafuta panzvimbo pezvo. Nekuda kweizvozvo, makemikari ane chepfu anonzi ketones anoungana muropa nemuweti. Iyi idambudziko rehutano.
Zviratidzo zveKetoacidosis:
- Kunhuhwirira kwemuchero pakufema
- Kusvotwa nekurutsa
- Kuoma kufema
- Kushaya simba kwakanyanya
- Kurasikirwa nepfungwa
- Marwadzo emudumbu
- Kuwira mukoma
Kana uine chimwe chezviratidzo izvi, enda kuchipatara kuEmergency Department (ETU) nekukasika, pasina kunonoka. Ichi chirwere chakakomba chinogona kutoisa hupenyu panjodzi.
Ndiani ane mukana mukuru wekuwana chirwere ichi?
Chirwere cheshuga chinokonzerwa nehutachiona hwemudumbu hachisi chirwere chinowanzoitika. Chinobata vanhu vanosvika vatatu pavanhu chiuru vane chirwere cheshuga vanoshandisa insulin. Kunyangwe chichigona kubata vanhu vezera ripi zvaro, chinowanzoitika zvishoma kuvakadzi kupfuura varume.
Chimwe chinhu chakakosha ndechekuti kana ukagara uchirwara nehypoglycemia, unenge uri panjodzi yakakura zvishoma. Nekuti kana shuga yako yeropa yadzikira zvakanyanya, nekufamba kwenguva kugona kwemuviri wako kuiona kunodzikira. Zvadaro nguva imwe neimwe shuga yako yeropa inodzikira, inogona kuwedzera kuipa, zvichikonzera 'chirwere cheshuga chisina kunaka'.
Unogara sei neizvi? Mishonga yacho ndeipi?
Dambudziko iri rinogona kukanganisa hupenyu hwako hwezuva nezuva. Nekuti haugone kufanotaura kuti shuga yako yeropa ichadzikira kana kukwira riini. Ungafanira kuenda kuchipatara nguva nenguva, izvo zvinogona kukuomera kushanda kana kuita mabasa epamba. Zvinogona kutoisa hupenyu panjodzi.
Pakurapwa kwako, chiremba wako anotanga atarisa pane zvaunoda kuti uzive nezvehuwandu hweshuga yako muropa. Zvadaro, vachagadzira hurongwa hwekutarisira chirwere chako cheshuga zviri pedyo. Nerombo rakanaka, tekinoroji itsva yemazuva ano uye marapirwo zvinogona kukubatsira kugadzirisa chirwere ichi.
Unogona kunyorerwa mishonga yakaita se:
- Chinochengetedza Glucose Monitor (CGM): Ichi chishandiso chidiki chine sensor inoiswa pasi peganda kana paganda. Chinogara chichiyera huwandu hweshuga muropa rako uye chinoridza alarm kana ikaderera zvakanyanya kana kuti yakakwira.
- Pombi ye insulin: Uyu muchina mudiki waunopfeka mukati mezuva. Unoburitsa insulin mumuviri wega panguva yakakodzera uye nehuwandu hwakakodzera. Izvi zvinobatsira kuchengetedza huwandu hweshuga muropa hwakagadzikana.
- Kuvhiyiwa kwePancreatic Transplant: Uku kuvhiyiwa kwakaoma zvikuru. Mukuita izvi, pancreas ine hutano inobva kumunhu akafa inoiswa mumuviri kuti iwedzere kugadzirwa kweinsulin.
Chiremba wako ndiye achasarudza mushonga wakanakira iwe. Iye ndiye achasarudza chikonzero chechirwere chako. Kana wangove nehurongwa hwekurapa, une basa guru rekuita kuti hubudirire.
- Rovedza muviri nguva dzose.
- Tevedzera mazano ezvekudya anopiwa kwauri sezvaari chaizvo.
- Usambofa wakarasikirwa nenguva yemishonga kana madosi.
- Pamusoro pezvose, ramba uchitaurirana nachiremba wako wechirwere cheshuga nechikwata chevanachiremba. Wana rubatsiro rwezvekurapa nerwepfungwa rwaunoda kubva kwavari.
Mharidzo Yekuenda Nayo Kumba
- 'Brittle Diabetes' haisi mhando itsva yechirwere cheshuga, idambudziko risingachinji rinoita kuti chirwere cheshuga chiome kudzora.
- Ziva zviratidzo zveshuga shoma muropa (hypoglycemia) uye shuga yakakwira muropa (hyperglycemia).
- Ketoacidosis, chirwere chinokonzerwa neshuga yakakwira muropa, chine njodzi huru. Kana ukaona chimwe chezviratidzo zvacho, enda kuchipatara cheEmergency Treatment Unit (ETU) nekukasika.
- Nhasi uno, kune michina yemazuva ano yakaita se 'CGM' ne 'Insulin Pump' yekugadzirisa dambudziko iri.
- Zvakakosha kugara uchitaurirana nachiremba wako uye kutevedzera mirairo yake nemazvo.
💬 Comments (0)
Hapana zvakataurwa parizvino. Isa mhinduro yako pano kekutanga.
Wedzera zvaunofunga