Unonzwa kuneta nguva dzese here? Une muromo wakaoma here? Kana kuti unoda kuita weti nguva nenguva? Izvi zvinogona kuva zviratidzo zvechirwere cheshuga. Nhasi, tichataura nezvechirwere ichi chinonzi Diabetes Mellitus, icho vanhu vazhinji vanotya, maitiro ekuongorora chirwere ichi, uye maitiro ekurapa nenzira iri nyore yaunogona kunzwisisa.
Ndingaziva sei kana ndine chirwere cheshuga?
Kana uine zvinhu zvinokonzera chirwere cheshuga, kana kuti kana weti yako iine shuga yakawanda, chiremba wako angafungidzira kuti une chirwere cheshuga. Zvichitaurwa zviri nyore, kana hormone insulin inogadzirwa nepancreas mumuviri wedu ikaderera (chirwere cheshuga cheType 1) kana kana muviri usingapindure zvakanaka ne insulin (chirwere cheshuga cheType 2), huwandu hweshuga muropa, kureva shuga muropa, hunowedzera.
Kune bvunzo dzakawanda dzinosimbisa chirwere. Kazhinji, kana chiremba akaona kuti bvunzo imwe chete yakakwira, anorayira kuti bvunzo idzokororwe kuti isimbiswe.
| Zita rebvunzo | Maitiro ekuita | Kufungirwa kwechirwere cheshuga |
|---|---|---|
| Kutsanya Shuga Yeropa (FBS) | Kuongorora huwandu hweshuga muropa mangwanani usati wadya chero chinhu. | Kana 126 mg/dL kana kupfuura. |
| Bvunzo reKushivirira Glucose yeMuromo (OGTT) | Inwa chinwiwa chine shuga uye tarisa shuga yako muropa kwemaminitsi makumi matatu kusvika makumi matanhatu ega ega kwemaawa matatu. | Kana 200 mg/dL kana kupfuura mushure memaawa maviri. |
| Kuongororwa kweHbA1c (Kuongororwa kweA1c) | Kuongororwa kweropa kuri nyore kunoratidza huwandu hweshuga muropa rako mumwedzi miviri kusvika mitatu yapfuura. | Kana 6.5% kana kupfuura. |
Pamusoro pezvo, dzimwe nguva chiremba wako anogonawo kuraira bvunzo inonzi Zinc Transporter 8 Autoantibody (ZnT8Ab). Kuongororwa kweropa uku kunogona kubatsira kuona kana munhu aine chirwere cheshuga cherudzi rwekutanga kana rumwe rudzi. Nekuongorora chirwere ichi nekukurumidza uye nemazvo, kurapwa kwakakodzera kunogona kutanga nekukurumidza.
Ndeipi mishonga yekurapa chirwere cheshuga?
Chirwere cheshuga hachisi chirwere chaunogona kurapa wega. Chirwere ichi chakakomba. Saka, zvakakosha kugadzira hurongwa hwekurapa uchitarisirwa nachiremba.
Chiremba wako achagadzira hurongwa hwekurapa hwakakunakira uye hwaunonzwisisa. Ungangoda rubatsiro rwevamwe nyanzvi dzehutano panguva imwe chete. Semuenzaniso, ungangoda rubatsiro rwechiremba wetsoka, nyanzvi yezvekudya, chiremba wemaziso, uye chiremba we endocrinologist.
Chinhu chikuru chekurapa chirwere cheshuga kusanganisa mishonga, maekisesaizi, uye kudya kuti huwandu hweshuga muropa rako hurambe huri mukati mehuwandu hwakatarwa nachiremba wako. Nekuteerera zvaunodya uye paunodya, unogona kuderedza kukwira kamwe kamwe kwehuwandu hweshuga muropa rako (seesaw effect). Izvi zvinogona kubatsira kuderedza kudiwa kwekugadzirisa mushonga wako, kunyanya huwandu hwe insulin yako, kakawanda sezvinodiwa.
Mishonga yeShuga
Kurapa Chirwere Cheshuga Cherudzi rwekutanga
Kana uine chirwere cheshuga cheType 1, pancreas yako haichagadziri insulin yaunoda kuti ugadzire simba. Saka unofanira kuwana insulin kubva kune dzimwe nzvimbo, kungave kuburikidza nemajekiseni kana kuti pombi ye insulin . Kunyange zvazvo kuzvibaya jekiseni kungaita sekunotyisa pakutanga, hazvina kuoma sezvaungafunga.
Vamwe vanhu vanoshandisa mudziyo wekombuta unonzi insulin pump, unoburitsa insulin mumuviri panguva yakakodzera uye nehuwandu hwakakodzera.
Kune mhando dzakasiyana dze insulin dziri kushandiswa pari zvino.
| Rudzi rweInsulin | Tsananguro |
|---|---|
| Inoshanda nekukurumidza | Zvinotanga kushanda mumaminitsi mashoma uye zvinogara kwemaawa maviri kusvika mana. |
| Nguva pfupi (Nguva dzose kana kuti pfupi) | Zvinotanga kushanda mumaminitsi makumi matatu uye zvinogara kwemaawa matatu kusvika matanhatu. |
| Kuita zvepakati nepakati | Inoshanda mukati memaawa 1-2 uye inogara kusvika maawa 18. |
| Inoshanda kwenguva refu | Inoshanda mukati memaawa 1-2 uye inogara kwemaawa anopfuura makumi maviri nemana. |
| Inoshanda kwenguva refu kwazvo | Inoshanda mukati memaawa 1-2 uye inogara kusvika maawa 42. |
Kurapa Chirwere Cheshuga Cherudzi rwechipiri
Vamwe vanhu vane chirwere cheshuga cherudzi rwechipiri vanogona kudzora chirwere chavo nekudya zvakanaka uye kurovedza muviri chete. Vamwe vanoda mapiritsi kana jekiseni re insulin. Mishonga iyi inoshanda nenzira dzakasiyana kuti shuga yeropa idzokere payakajairika.
- Mishonga inowedzera kugadzirwa kwe insulin nepancreas: Mienzaniso: glimepiride, glipizide, glyburide.
- Mishonga inoderedza kunyudzwa kweshuga kubva muchikafu: Muenzaniso: acarbose (Precose).
- Mishonga inovandudza mashandisiro anoita muviri insulin: Mienzaniso: pioglitazone (Actos).
- Mishonga inoderedza kugadzirwa kweshuga nechiropa uye inoderedza kuramba insulin: Muenzaniso: metformin (Glucophage). Metformin inobatsirawo kudzora shuga nekuti inobatsira pakuderedza uremu.
- Mishonga inodzivisa kutorwazve kweshuga neitsvo uye inowedzera kubuda kwayo muweti (SGLT2 inhibitors): Mienzaniso: canagliflozin (Invokana), dapagliflozin (Farxiga). Izvi zvine zvimwe zvakanakira zvakaita sekudzikira kwehuremu uye kudzikira kwenjodzi yechirwere chemwoyo.
Chinhu chinonyanya kukosha kutora mushonga waunonyorerwa nachiremba wako, muchiyero chakakodzera, panguva yakakodzera . Usamboshandisa mushonga wemumwe munhu kana kurega kuutora usina kubvunza chiremba.
Chii chinofanira kunge chiri kudya kwechirwere cheshuga?
Kudya kwakaringana kwakakosha kune munhu ane chirwere cheshuga. Saka taura nachiremba wako kana nyanzvi yezvekudya kuti ugadzire hurongwa hwekudya hwakakunakira.
- Kudya nenguva: Kana uine chirwere cheshuga cherudzi rwekutanga, huwandu hweinsulini yaunotora hunoenderana nebasa rako uye kudya kwako. Saka zvaunodya, huwandu hwaunodya, uye nguva yaunodya zvakakosha zvakafanana. Kazhinji zvinokurudzirwa kudya zvekudya zvitatu zvikuru uye zvekudya zvitatu kana zvina.
- Mutemo wendiro: Edza kuzadza hafu yendiro yako nemiriwo isina sitachi yakawanda (semuenzaniso broccoli, makarotsi, magaka, kabichi, madomasi, bhinzi).
- Chenjerera makabhohaidhiretsi: Kuziva kuti unoda makabhohaidhiretsi mangani uye kuti uri kudya zvakawanda sei kwakakosha zvikuru pakuderedza shuga muropa. Sarudza zviyo zvese (semuenzaniso, mupunga webrown, mupunga webrown, oats, bhari).
- Mafuta nemapuroteni: Deredza mafuta akazara. Bvisa mafuta etrans zvachose. Sarudza nyama dzisina mafuta akawanda, hove, nzungu, uye zvigadzirwa zvemukaka zvisina mafuta akawanda.
Kukosha kwekurovedza muviri
Kurovedza muviri ndeimwe nzira inokosha yekurapa chirwere cheshuga. Asi unofanira kutaura nachiremba wako usati watanga chero chirongwa chekurovedza muviri . Kurovedza muviri kunovandudza mashandisiro anoita muviri wako insulin uye kunogona kuderedza huwandu hweshuga muropa.
- Chenjerera hypoglycemia: Tarisa huwandu hweshuga muropa rako kweinenge hafu yeawa usati waita maekisesaizi uye idya chikafu chidiki chine makabhohaidhiretsi kana zvichidikanwa. Kana ukaona zviratidzo zveshuga yakaderera muropa (dzungu, kudikitira, kudedera) paunenge uchiekisesaizi, rega kuita maekisesaizi wobva wadya chimwe chinhu chinotapira (semuenzaniso chipunu cheshuga, glucose).
- Unofanira kuita maekisesaizi akawanda sei?: Zvinokurudzirwa kuita maekisesaizi ane mwero angangoita 150 , akadai sekufamba nekukurumidza, pasvondo. Tanga zvishoma nezvishoma wowedzera nguva zvishoma nezvishoma.
Kuchinja mararamiro aya kunofanirwa kuitwa.
Dzivisa kusvuta.
Rega tsika iyi nhasi. Kana ukasvuta, zvichave zvakaoma kudzora huwandu hweshuga muropa rako. Uye njodzi yako yekuve nematambudziko anokonzerwa nechirwere cheshuga (chirwere chemwoyo, chirwere cheitsvo, kukuvara kwetsinga, upofu) yakakwira zvikuru.
Deredza doro.
Kana ukanwa mapiritsi e insulin kana mamwe mapiritsi echirwere cheshuga, kunwa doro kunogona kukonzera kuti huwandu hweshuga muropa rako hudzikire zvine njodzi. Izvi zvinokonzerwa nekuti kana ukanwa doro, chiropa chako chinenge chichishanda kubvisa doro pane kudzora shuga muropa rako.
Deredza kushushikana.
Kushushikana kunogona kukwidza huwandu hweshuga muropa rako, saka tsvaga nzira dzekuzorora. Zvinhu zvakaita sekufungisisa, yoga, uye kupedza nguva neshamwari zvinogona kubatsira.
Chengeta mazino ako nematadza ako.
Chirwere cheshuga chinogona kuwedzera njodzi yekubatwa nechirwere chemazino, saka geza mazino ako zvakanaka zuva nezuva.
Mharidzo Yekuenda Nayo Kumba
- Kunyange hazvo chirwere cheshuga chiri chirwere chakakomba, kana chikarapwa nemazvo, zvinokwanisika kurarama hupenyu hwakajairika.
- Tevedzera hurongwa hwekurapa hwachiremba wako nemazvo. Usambofa wakachinja kana kurega mishonga yako wega.
- Zvinhu zvitatu zvakakosha pakurapa chirwere cheshuga , kurovedza muviri, uye kushandisa mishonga .
- Zvakakosha zvikuru kugara uchiongorora huwandu hweshuga muropa rako.
- Rega zvachose tsika dzinokuvadza dzakadai sekusvuta fodya uye kunwa doro zvakanyanya.
- Iva nechokwadi chekubvunza chiremba wako usati washandisa chero imwe nzira yekurapa kana imwe yekuwedzera.
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