Nyaya inowanzotaurwa nevakawanda vedu mazuva ano ndeye 'shuga' kana chirwere cheshuga. Pamwe mumwe munhu mumhuri mako, shamwari kana iwe pachako wakambonzwa nezvechirwere ichi. Kunyangwe munhu wese achitya izvi, hazvisi zvakaoma kuzvidzora uye kuramba uine hutano kana ukaziviswa nezvazvo. Saka chii chaizvo chiri muzinga weshuga muropa (Blood Sugar)? Chii chinoitika kana chikawedzera? Ngatitaurei nezvazvo zviri nyore uye zvakajeka.
Chii chaizvo chinonzi shuga muropa?
Zvichitaurwa zviri nyore, shuga yeropa huwandu hweglucose muropa redu. Glucose iyi inopa simba kumiviri yedu kubva muzvikafu zvatinodya, kunyanya makabhohaidhiretsi. Kungofanana nepeturu yemotokari, glucose iyi inopa masero emuviri wedu simba rekushanda.
Asi kuti glucose iyi ipinde mumasero, muviri wedu unoda 'kiyi' yakakosha. Kiyi iyoyo ihormone inonzi insulin . Iyi inogadzirwa nepancreas yedu. Patinodya, huwandu hweshuga muropa hunokwira. Ipapo pancreas inoburitsa insulin, iyo inovhura 'masuo' emasero uye inobvumira glucose kupinda. Ipapo huwandu hweshuga muropa hunodzokera kune zvakajairika.
Asi maitiro aya haashande zvakanaka kune munhu ane chirwere cheshuga.
- Munhu ane chirwere cheshuga cherudzi rwekutanga anenge arega zvachose kugadzira insulin.
- Mumunhu ane chirwere cheshuga cherudzi rwechipiri , kunyangwe insulin ichigadzirwa mumuviri, masero emuviri haapindure zvakanaka. Zvakafanana nekuva ne 'kiyi' asi 'kiyi' haishande.
Pasinei nerudzi rwechirwere cheshuga, mhedzisiro yacho ndeyekuti huwandu hweshuga muropa hunoramba hwakakwira kwenguva yakareba. Izvi ndizvo zvatinodaidza kuti hyperglycemia . Nekufamba kwenguva, shuga iyi yakawandisa muropa inogona kukuvadza tsinga dzedu netsinga dzeropa, zvichikonzera zvirwere zvakakomba zvakaita sechirwere chemwoyo.
Chii chinonzi chiyero cheshuga cheropa chakajairika?
Mazinga eshuga muropa remunhu ane hutano anowanzova mukati mehuwandu hwakati. Makoshero aya anoyerwa mumamirigiramu pa deciliter (mg/dL).
Chinhu chakakosha ndechekuti izvi zvinongova zviyero zvepakati nepakati. Kana uine chirwere cheshuga, unofanira kutaura nachiremba wako nezvekuti shuga yako yeropa inofanira kunge yakaita sei.
Ngatitsanangurei izvi zvakare mutafura iri pazasi.
| Nguva yekutarisa | Kukosha kwakajairika kumunhu ane hutano (mg/dL) | Chinangwa chemunhu ane chirwere cheshuga (kazhinji) |
|---|---|---|
| Usati wadya (Kutsanya - maawa masere ekutsanya) | Zvishoma pane 100 mg/dL (kazhinji pakati pe72-99) | Pakati pe70 - 130 mg/dL |
| Maawa maviri mushure mekudya kukuru | Zvisingasviki 140 mg/dL | Zvisingasviki 180 mg/dL |
Ndezvipi zviratidzo zveshuga yakakwira muropa?
Zviratidzo zveshuga yakakwira muropa (hyperglycemia) zvinogona kusiyana pakutanga uye pakupera kwechirwere.
| Rudzi rwechiratidzo | Zviratidzo zvinoratidza |
|---|---|
| Zviratidzo Zvekutanga |
|
| Zviratidzo Zvenguva Refu |
|
Prediabetes, zvinoreva kuti kana huwandu hweshuga muropa hwakwira kupfuura zvakajairika asi husina kukwira zvakakwana kuti huonekwe sechirwere cheshuga, kazhinji hapana zviratidzo. Ndosaka zvichikosha kuti ugare uchiongororwa nachiremba.
Miedzo yekuongorora chirwere cheshuga
Vanachiremba vanoshandisa bvunzo dzakasiyana-siyana kuti vaone kana une chirwere cheshuga kana kuti prediabetes.
| Zita rebvunzo | Tsananguro |
|---|---|
| Kuedza Kuyera Glucose yePlasma Yekutsanya | Huwandu hweshuga muropa hunoongororwa mushure mekutsanya kwemaawa masere. Huwandu hunopfuura 126 mg/dL hunoonekwa sechirwere cheshuga, uye huwandu huri pakati pe100-125 mg/dL hunoonekwa sehusati hwasvika pachirwere cheshuga. |
| Bvunzo reKushivirira Glucose yeMuromo (OGTT) | Mushure mekutsanya kwemaawa masere, mvura ine shuga inopihwa kuti inwe. Mushure memaawa maviri, huwandu hweshuga muropa hunopfuura 200 mg/dL hunoonekwa sechirwere cheshuga, uye huwandu huri pakati pe140-199 mg/dL hunoonekwa sehusati hwasvika pachirwere cheshuga. |
| Bvunzo reA1c | Izvi zvinoyera huwandu hweshuga yako yeropa mumwedzi miviri kusvika mitatu yapfuura. 6.5% kana kupfuura inoonekwa sechirwere cheshuga, nepo 5.7% kusvika 6.4% inoonekwa sechirwere cheshuga chisati chatanga. |
| Kuedzwa kweShuga yeRopa Nekusarongeka | Tarisa huwandu hweshuga muropa rako chero nguva yezuva. Kana shuga yako muropa iri pamusoro pe200 mg/dL uye uine zviratidzo zvechirwere cheshuga, uchaongororwa chirwere cheshuga sezvataurwa pamusoro apa. |
Sei shuga yakakwira muropa iine njodzi?
Kunyange zvazvo glucose iri simba rinokosha kumasero edu padanho rakajairika, painowedzera, inogona kuita semuchetura unoshanda zvishoma nezvishoma.
Kuwanda kweshuga muropa kwenguva yakareba kunogona kukanganisa nhengo dzese dzemuviri wedu.
Kuwanda kweshuga muropa kunoita kuti madziro etsinga dzeropa akombere zvishoma nezvishoma uye aome. Vanachiremba vanodana izvi kuti atherosclerosis . Mitsinga dzeropa dzakakuvara dzinogona kukonzera matambudziko akakomba akadai se:
- Chirwere cheitsvo kana kutadza kushanda zvakanaka kweitsvo , uye dzimwe nguva kunyange dialysis, zvinogona kudiwa.
- Kurohwa
- Kurwiswa kwemoyo
- Kurasikirwa nekuona kana upofu
- Kusasimba kwemuviri uye njodzi yekubatwa nezvirwere kakawanda inowedzera.
- Kusashanda zvakanaka kwenhengo dzesikarudzi
- Kukuvadzwa kwetsinga (Neuropathy) , izvo zvinogona kukonzera kusanzwa, kurwadziwa, kana kurasikirwa nekunzwa mumakumbo, maoko, netsoka.
- Kuderera kweropa rinoyerera kumakumbo netsoka.
- Kunonoka kupora kwemaronda uye, kashoma, kubviswa kwezvikamu zvakaita setsoka.
Kuti udzivise matambudziko akawanda aya, zvakakosha kuti shuga yako yeropa irambe iri padanho repamusoro sezvinobvira , uchitevera mirairo yachiremba wako .
Nzira yekuyera huwandu hweshuga kumba?
Kana chiremba wako akakuongorora kuti une chirwere cheshuga, vanokukurudzira kuti utarise huwandu hweshuga yako yeropa kumba. Izvi zvinosanganisira kushandisa monitor yeglucose yeropa . Izvi zvinoyera huwandu hweshuga yako yeropa nedonhwe diki reropa rinotorwa kubva pamunwe wako.
Kumbira chiremba wako mazano ekushandisa mudziyo uyu. Zvakakoshawo kunyora ruzivo rwacho mubhuku rekunyorera kana muapp mushure mekuongororwa kwega kwega. Edza kunyora zvinotevera:
- Mushonga wawatora uye chiyero chemushonga wacho.
- Wakadya chii, wakadya rini, uye kana waitsanya.
- Kana wakarovedza muviri, tsanangura zvinhu zvakaita sekuti chii uye kuti wakazviita kwenguva yakareba sei.
Ruzivo urwu ruchakubatsira zvikuru iwe nachiremba wako kuti munzwisise kuti kurapwa kwenyu kunobudirira sei.
Mharidzo Yekuenda Nayo Kumba
- Kugara uchitarisa huwandu hweshuga muropa kwakakosha zvikuru mukuderedza chirwere cheshuga.
- Ziva zviratidzo zveshuga yakakwira muropa, zvakaita senyota yakawandisa, kuita weti nguva nenguva, uye kuona zvisizvo.
- Gara uchitevera mirairo yachiremba wako maererano nekuongororwa kwehuwandu hweshuga yako, kutora mishonga, uye kuchinja mararamiro ako.
- Kudya zvine mwero uye kurovedza muviri nguva dzose zvakakosha pakuderedza chirwere cheshuga.
- Usaregeredza zviratidzo chero zvipi zvazvo. Kana uine kusava nechokwadi kana zvinokunetsa, enda kuna chiremba wako nekukasika.
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