Kana uine chirwere cheshuga, pamwe wakanzwa chirevo chekuti "shuga yakakwira muropa" nguva dzese. Pamwe wakanzwa kuti zvakaitika kushamwari kana hama yako. Izvi ndizvo zvinonzi nesainzi yezvekurapa hyperglycemia. Zvinoreva kuti huwandu hweglucose (shuga) muropa rako hunowedzera zvakanyanya. Izvi zvinoitika nekuti muviri wako haugadzi hormone insulin nemazvo kana kuti haugone kushandisa insulin yaunogadzira nemazvo. Saka nhasi, ngatitaurei nezveizvi zvakadzama, nenzira inogona kunzwisiswa nemunhu wese.
Chii chinonzi hyperglycemia chaiyo?
Funga nezvazvo, masero ari mumuviri wedu akafanana nemainjini madiki. Mainjini aya anoda simba, kana kuti mafuta, kuti ashande. Mafuta aya iglucose, yatinowana kubva muchikafu chatinodya, kunyanya kubva muchikafu chine makabhohaidhiretsi. Asi shuga iyi haigone kupinda zvakananga mumasero. Inoda rubatsiro kubva kuhormone inonzi insulin. Insulin yakaita sekiyi inovhura musuwo wesero.
Munhu ane chirwere cheshuga ane dambudziko nekiyi iyi (insulin). Pamwe makiyi haana kukwana (chirwere cheshuga cheType 1), kana kunyangwe paine makiyi, haakwane zvakanaka pakiyi yemusuwo (insulin resistance, iyo inoitika muchirwere cheshuga cheType 2). Chii chinoitika ipapo? Glucose inoungana muropa haigone kupinda mumasero uye inoungana muropa. Kuwedzera uku kwemazinga eshuga muropa kunonzi hyperglycemia.
Kune nzira mbiri huru dzekuita izvi:
| Rudzi rwe hyperglycemia | Zvichitaurwa zviri nyore... |
|---|---|
| Kutsanya Kukwira Kweshuga Yeropa | Izvi zvinoreva kuti huwandu hweshuga muropa rako hwakakwira kupfuura 130 mg/dL mushure mekunge usina kudya kana kunwa chero chinhu kwemaawa masere. (Kana kukosha kwako kuri pakati pe100-125 mg/dL, inoonekwa se prediabetes.) |
| Hyperglycemia mushure mekudya | Kana huwandu hweshuga muropa hukaongororwa maawa maviri mushure mekudya, hunenge hwakwira kupfuura 180 mg/dL . Kunyangwe mushure mekudya zvakawanda, huwandu uhwu hahuwanzokwira kupfuura 140 mg/dL kumunhu asina chirwere cheshuga. |
Chinonyanya kukosha ndechekuti kana chirwere ichi chikaitika kakawanda kana kuti chichienderera mberi, chinogona kukuvadza tsinga dzako, mitsipa yeropa, uye nhengo dzemukati. Saka, zvakakosha kuti uzviongorore uye uzvirape nekukurumidza.
Ndezvipi zvinokonzera kuwanda kweshuga muropa?
Kune zvikonzero zvakasiyana-siyana zvinoita kuti munhu ane chirwere cheshuga ave neshuga yakakwira muropa.
- Kukanganwa kana kupotsa mapiritsi ako e insulin kana eshuga panguva yakatarwa .
- Kudya chikafu chine makabhohaidhiretsi (starch) akawanda kupfuura huwandu hweinsulini yaunoda. Semuenzaniso, kudya mupunga, chingwa, kana mbatatisi zvakawandisa.
- Utachiona mumuviri.
- Chero chimwe chirwere kana mamiriro (semuenzaniso dzihwa, furuwenza).
- Kuwedzera kushushikana .
- Kusaita maekisesaizi kana kusaita maekisesaizi nguva dzose.
- Dzimwe nguva, kuita maekisesaizi akawandisa (kunyanya kana shuga yeropa yatove yakakwira uye huwandu hwe insulin hwakaderera) kunogonawo kuva chikonzero.
Vanhu vasina chirwere cheshuga vanogona here kuva neshuga yakakwira muropa?
Ehe, kunyange vanhu vasina chirwere cheshuga dzimwe nguva vanogona kusangana ne hyperglycemia.
- Cushing's syndrome: Ichi chirwere chisingawanzoitiki chinoitika kana muviri uine huwandu hwakawanda hwehomoni inonzi cortisol kwenguva yakareba.
- Zvirwere zvepancreas: Kana paine chirwere chepancreas chinogadzira insulin (pancreatitis kana kenza yepancreas), kugadzirwa kweinsulin kunogona kukanganiswa.
- Polycystic Ovary Syndrome (PCOS): Chirwere ichi, chinowanzoitika kuvakadzi, chinoratidzwa nekusada insulin.
- Mimwe mishonga: Mimwe mishonga, yakaita semasteroid, inogonawo kuwedzera huwandu hweshuga muropa kwenguva pfupi.
Ndezvipi zviratidzo zveshuga yakakwira muropa?
Zviratidzo zvehyperglycemia zvinogona kusiyana pakutanga uye sezvo chirwere ichi chichienderera mberi. Zvakakosha kuziva izvi.
| Zviratidzo zvepakutanga | Zviratidzo zvinoonekwa kwenguva yakareba |
|---|---|
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Dambudziko: Chirwere cheshuga Ketoacidosis (DKA)
Ichi chinhu chinofanira kungwarira zvikuru. Kana hyperglycemia ikaramba isina kuongororwa, kunyanya kuvanhu vane chirwere cheshuga cheType 1, inogona kutungamira kuchirwere chine njodzi, chinouraya chinonzi Diabetic Ketoacidosis (DKA).
Zvichitaurwa zviri nyore, kana masero asingakwanise kuwana glucose, muviri unotanga kupisa mafuta kuti uwane simba. Maitiro aya anogadzira makemikari anonzi "ketones." Kana ma ketone aya akaungana muropa, ropa rinova acidic. Izvi zvine njodzi huru.
Zviratidzo zvechirwere cheDKA:
- Kusvotwa nekurutsa
- Kupera mvura mumuviri zvakanyanya
- Marwadzo emudumbu
- Kuoma kufema
- Kunhuhwirira kwemuchero pakufema
- Kurova kwemoyo
- Kuvhiringidzika uye kurasikirwa nepfungwa (coma)
Kana iwe kana mumwe munhu waunoziva aine zviratidzo izvi, unofanira kuenda kuEmergency Treatment Unit (ETU) yechipatara nekukasika. Uku kukurumidzira kwekurapa.
Tingadzora sei uye tingadzivirira sei mamiriro ezvinhu aya?
Kana uine chirwere cheshuga uye uri kutanga kuona zviratidzo zvataurwa pamusoro apa, tanga watarisa huwandu hweshuga muropa rako. Wobva wataura nachiremba wako. Anogona kukupa mazano akadai seaya:
1. Inwa mvura yakawanda: Kunwa mvura kunobatsira kubvisa shuga yakawandisa mumuviri kuburikidza neweti. Izvi zvinogonawo kudzivirira kupera mvura mumuviri.
2. Kurovedza muviri: Kurovedza muviri kunogona kubatsira kuderedza huwandu hweshuga muropa. Asi hechino chinhu chakakosha chekurangarira. Kana huwandu hweshuga muropa rako hwatove hwakakwira uye uine ketones muweti yako (kunyanya kune chirwere cheshuga cherudzi rwekutanga), kurovedza muviri kunogona kuita kuti zvinhu zviwedzere kuipa.Saka, iva nechokwadi chekutsvaga mazano kubva kuna chiremba wako nezve maekisesaizi.
3. Chinja maitiro ako ekudya: Ungangoda kuchinja huwandu uye rudzi rwemakabhohaidhiretsi mukudya kwako. Unogona kutsvaga mazano kubva kune nyanzvi yezvekudya kuti uwane izvi.
4. Kuchinja Mishonga: Usambofa wakachinja mhando, mwero, kana nguva yemishonga yako usati watanga wabvunza chiremba wako. Kana zvichidikanwa, chiremba wako ndiye achaita shanduko yacho ega.
Chinhu chakanakisa chekuita ndechekudzivirira chirwere ichi kuti chisaitike. Izvi zvinoda kutevedzera hurongwa hwako hwekutarisira chirwere cheshuga nemazvo.
- Inwa mishonga yawakanyorerwa nachiremba nenguva.
- Tevedzera hurongwa hwekudya hwakatarwa.
- Rovedza muviri nguva dzose.
- Tarisa huwandu hweshuga muropa rako nguva nenguva.
- Zvakakosha kupfeka chitupa chekurapwa kuitira kuti vamwe vazive kuti une chirwere cheshuga kana pakaitika emergency.
Mharidzo Yekuenda Nayo Kumba
- Kuwanda kweshuga mumuviri (hyperglycemia) chirwere chinowanzoitika kuvanhu vane chirwere cheshuga.
- Ziva zviratidzo zvepakutanga zvakaita senyota yenguva dzose, kuita weti nguva dzose, kuneta, uye kuona zvisipo.
- Unogona kudzora dambudziko iri nekunyatsotevedzera kudya, kurovedza muviri, uye chirongwa chemishonga chakapihwa nachiremba wako.
- Kana ukaona zviratidzo zvakakomba zvakaita sekurutsa, kurwadziwa mudumbu, uye kunhuwa kwemuchero mumuromo mako, enda kuchipatara kuEmergency Department (ETU) nekukasika, sezvo ichigona kunge chiri emergency inonzi (DKA) .
- Usambofa wakachinja mushonga wako usina kupiwa mazano nachiremba. Kana uine zvinokunetsa, taura nachiremba wako.
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