Kuongororwa kwawakaitwa ropa rako munguva pfupi yapfuura kwakaratidza here kuti huwandu hweshuga muropa rako hwakakwira zvishoma? Asi chiremba akati hausati wava nechirwere cheshuga, asi inguva yekungwarira zvikuru? Kana wakambosangana nedambudziko rakafanana, nhasi tichataura nezvenyaya yakakosha kwauri. Ndiyo nguva isati yasvika chirwere cheshuga, kana kuti mukurapa, Prediabetes . Izvi zvakafanana nenyevero, sechiedza cheyero parambi remotokari. Inguva yekutizivisa tisati taita tsaona.
Zvichitaurwa zviri nyore, chii chinonzi prediabetes?
Zviri nyore. Prediabetes idanho repakati apo huwandu hweshuga muropa (glucose) huri pamusoro penguva dzose, asi husiri hwakakwira zvekusvika pakunzi chirwere cheshuga (Type 2 Diabetes). Hachisi chirwere pachacho, asi chiratidzo chakasimba chekuyambira kubva mumuviri wako. Kana ukaita matanho akakodzera panguva ino, unogona kudzivirira kana kunonotsa kukura kwechirwere cheshuga chakazara. Ndiwo mashoko akanaka pano.
Kazhinji, huwandu hweshuga muropa remunhu ane hutano hunofanira kuva pakati pe70 ne99 (mg/dL). Zvisinei, munhu ane prediabetes anogona kuva nechiyero ichi pakati pe100 ne125 (mg/dL). Kana chirwere ichi chikasagadziriswa, mikana yekubatwa nechirwere cheshuga chakazara mukati memakore gumi inenge yakakwira zvikuru.
Ndezvipi zviratidzo zve prediabetes? Zvinoitika kakawanda sei?
Ichi ndicho chinhu chinovhiringidza vanhu vazhinji. Vanhu vazhinji havaratidzi zviratidzo kana vaine prediabetes. Ehe, ungasanzwa kusagadzikana kana kurwadziwa. Nekuda kwekunyarara uku, vanhu vanopfuura 80% pasi rose vane prediabetes havazvizivi.
Ndosaka zvichikosha kuona chiremba wemhuri yako nguva dzose uye kuongororwa ropa zvinoenderana nezera rako. Ndipo chete paunogona kuziva zvirwere izvi nekukurumidza.
Zvisinei, kashoma, vamwe vanhu vanogona kuona zvimwe zvezviratidzo zvinotevera:
- Ganda munzvimbo dzakadai semuhapwa, kumashure kwemutsipa, uye kumativi emuviri rinova rakasviba uye gobvu, sevelvet. Izvi zvinozivikanwa se `(acanthosis nigricans)` mune zvokurapa.
- Kuonekwa kwemapundu madiki (mavara eganda) pamusoro peganda.
- Nekufamba kwenguva, kuchinja kwekuona kunoitika. Izvi zvinogona kuzokonzera retinopathy inokonzerwa nechirwere cheshuga, chirwere chinokuvadza maziso.
Usafunge kuti, "Handina matambudziko." Prediabetes yakafanana nemuvengi akanyarara. Saka kana uine zvinhu zvinokonzera njodzi, kuchenjera kuona chiremba woongororwa.
Sei tichiwana prediabetes? Ndezvipi zvinhu zvinokonzera njodzi?
Chikonzero chikuru che prediabetes ndechekutiKusakwanisa kushandisa insulin. Izvi zvingaita sezvakaoma, asi ndichakutsanangurira zviri nyore.
Funga nezvazvo nenzira iyi: masero ari mumiviri yedu akafanana nedzimba. Shuga (glucose) yatinodya inopa dzimba idzi simba. Homoni inonzi insulin ndiyo kiyi inovhura masuo edzimba idzi uye inobvumidza shuga kupinda.
Kana insulin ikaramba kushanda, zvinoita sekunge maburi emakiyi ari mumasuo edzimba idzodzo anovharika nengura. Saka, kiyi inonzi insulin haigone kuvhura musuwo zvakanaka. Shuga haigone kupinda mumasero yotanga kuungana muropa. Aya ndiwo makwiriro anoita huwandu hweshuga muropa.
Kune zvinhu zvakawanda zvinobatsira pakuramba insulin uye kuwedzera njodzi yekuva nechirwere cheshuga chisati chatanga:
- Majini: Kana amai vako, baba vako, kana vanun'una vako vaine chirwere cheshuga, iwe uri panjodzi yekuve nechirwere cheshuga chisati chatanga.
- Kurema kwakanyanya kwemuviri: Kuisa mafuta mumuviri, kunyanya kutenderedza dumbu (dumbu rakabuda) ndicho chikonzero chikuru.
- Kusaita maekisesaizi: Kusaita kuti muviri urambe uchishanda, kugara panzvimbo imwe kwenguva yakareba.
- Kudya zvisina hutano: Kudya zvinotapira, zvine hupfu, mafuta, uye zvakagadziriswa kakawanda.
- Zera: Njodzi inowedzera mushure memakore makumi mana nemashanu.
- Kusvuta.
- Zvimwe zvirwere:
- Kuva nechirwere cheshuga panguva yekuzvitakura (gestational diabetes).
- Polycystic Ovarian Syndrome (PCOS).
- Kusagona kufema zvakanaka kana munhu arara zvisina tsarukano chirwere chinokonzerwa nekungonzwa ngonono.
- Zvimwe zvirwere zvehomoni.
- Kushandisa mimwe mishonga kwenguva refu, yakaita semasteroid.
- Kushushikana uye kushaya hope dzakakwana.
Zvimwe zvezvinhu izvi zvine njodzi (sezera uye majini) hazvigoneki kwatiri. Asi zvimwe zvakawanda (sekudya, kurovedza muviri, uye kusvuta) zvinogona kudzorwa nesu. Kana uine chimwe chezvinhu izvi zvine njodzi, zvakakosha kutaura nachiremba wako nezvekuongororwa chirwere cheshuga chisati chatanga.
Chii chingaitika kana prediabetes ikasabatwa?
Dambudziko guru uye rakakosha re prediabetes nderekuti rinogona kukura kuita Type 2 Diabetes . Chirwere cheshuga chirwere chinokuvadza nhengo dzakawanda dzemuviri wedu kana chikasadzorwa zvakanaka.
Matambudziko enguva refu echirwere cheshuga anosanganisira:
- Kuwanda kwenjodzi yekurwara nemoyo uye sitiroko .
- Kukuvara kwemaziso (chirwere cheshuga-related retinopathy): Nekufamba kwenguva, kuona kunogona kukanganisa uye kutokonzera upofu.
- Kukuvadzwa kweitsvo (chirwere cheshuga chinokonzerwa nechirwere cheshuga): Kunogona kutokonzera kutadza kushanda kweitsvo.
- Kukuvadzwa kwetsinga (neuropathy inokonzerwa nechirwere cheshuga):Kunzwa kusanzwa, kutsva, uye kurwadziwa kwemakumbo zvinogona kuitika, uye kukuvara kunogona kusaonekwa.
Yeuka kuti prediabetes inogona kugadziriswa. Asi kugadzirisa matambudziko echirwere cheshuga kazhinji hazvigoneki. Ndosaka zvichikosha kuziva izvi nekukurumidza uye kutora matanho anodiwa muhupenyu hwako hwese.
Ungaziva sei kana uine prediabetes?
Nzira chete yekuziva chokwadi ndeyekuongororwa ropa. Chiremba wako anowanzo kurudzira bvunzo idzi. Kune mhando mbiri huru dzebvunzo.
1. Kuedza Kutsvaga Glucose yePlasma (FPG) Yekutsanya: Iyi ndiyo bvunzo yatinowanzoita mangwanani, mushure mekusadya chero chinhu (mushure mekutsanya kwemaawa angangoita masere) yekutarisa huwandu hweshuga muropa.
2. Kuongororwa kweA1C: Kuongororwa uku kunogona kuona huwandu hweshuga muropa rako mumwedzi miviri kusvika mitatu yapfuura.
Chiremba ndiye achasarudza kuti uri kupi zvichibva pane zvabuda muongororo idzi.
| Bvunzo | Hutano hwakanaka | Nhamba ye prediabetes | Nhamba yechirwere cheshuga |
|---|---|---|---|
| Kutsanya Glucose yePlasma (FPG) | 99 mg/dL kana pasi | 100 - 125 mg/dL | 126 mg/dL kana kupfuura |
| Bvunzo reA1C | 5.7% kana pasi | 5.7% - 6.4% | 6.5% kana kupfuura |
Mashoko akanakisa! Prediabetes inogona kugadziriswa. Sei?
Ehe, aya ndiwo mashoko akanakisa auchazombonzwa. Prediabetes haisi mutongo wekupedzisira wekuti uchava nechirwere cheshuga. Nekugara uine mararamiro ane hutano, unogona kuchinja zvachose chirwere ichi uye kudzosa huwandu hweshuga muropa rako pahwakajairika.
Izvi hazvifanirwe kunge zviri nyaya hombe. Unogona kutanga nekuchinja kudiki. Pane zvinhu zvitatu zvikuru zvekutarisa pazviri.
| Chiito | Sei izvozvo zvichikosha? | Nzira iri nyore yekutanga nayo |
|---|---|---|
| 1. Kuderedza uremu | Kurema kwakanyanya, kunyanya mafuta mudumbu, ndicho chikonzero chikuru chekusada insulin. Kudzikira huremu kunyangwe hushoma kunowedzera kunzwa kwemuviri ku insulin. | Vavarira kudzikisa huremu hwako ne5% - 7%. Semuenzaniso, kana uchirema 80 kg, kudzikisa 4-6 kg chete kuchaita mutsauko mukuru. |
| 2. Rovedza muviri nguva dzose | Paunoita maekisesaizi, tsandanyama dzako dzinoshandisa shuga iri muropa rako kuti dzipe simba. Izvi zvinoderedza huwandu hweshuga muropa rako. | Famba nekukurumidza kusvika wabuda ziya, mazuva mashanu pasvondo, kwemaminitsi makumi matatu pazuva. Kana uine usimbe hwekufamba, kutamba, kuchovha bhasikoro, kushambira, kuita chero chaunoda. |
| 3. Kudya kwakanaka | Zvatinodya zvinokanganisa zvakananga huwandu hweshuga muropa redu. Kuchinja kudya kunovaka muviri kunogona kubatsira kudzora huwandu hweshuga muropa. | Pane kuti unwe tii nezvinwiwa zvine shuga, inwa chimwe chinhu chakadai semvura, mvura yekokonati, kana kuti belimal. Deredza kudya zvine sitachi senge mupunga, chingwa, nemanoodles, uye isa mimwe miriwo, miriwo, michero, nzungu, nehove mukudya kwako. |
Kuwedzera kune izvi, zvimwe zvinhu zvaunogona kuita:
- Kana uri munhu anoputa fodya, edza kurega kuputa fodya .
- Tsvaga nzira dzekuderedza kushushikana . Zvinhu zvakaita sekufungisisa uye kuteerera mimhanzi zvinogona kubatsira.
- Wana hope dzakakwana . Unoda maawa manomwe kusvika masere ekurara zvakanaka pazuva.
- Kana uine zvimwe zvirwere, zvakaita seBP yakakwira kana cholesterol, zvidzore zvakanaka zvichienderana nemirairo yachiremba wako.
Pane mushonga we prediabetes here?
Kazhinji, nzira yakanakisisa yekugadzirisa prediabetes ndeyekuchinja mararamiro atakataura kare. Zvisinei, mune dzimwe nguva, sepaya paunenge uri panjodzi huru yekubatwa nechirwere cheshuga uye huwandu hweshuga muropa rako huchinetsa kudzora nekuchinja mararamiro chete, chiremba wako anogona kukukurudzira kuti utange kutora mishonga.
Mishonga inonyanya kushandiswa pakurapa uku ndeye `(metformin)` uye `(acarbose)`. Zvisinei, izvi zvinongoonekwa nachiremba anokuongorora.
Unozvitarisira sei kana uchirarama ne prediabetes?
Zvakajairika kuti unzwe kutya uye kutya kana ukaona kuti une prediabetes. Asi yeuka, uyu mukana wekushandura hupenyu hwako kuti huve nani.
- Zvidzidzise: Verenga nezve prediabetes uye kudya zvine hutano kubva kunzvimbo dzinovimbwa nadzo. Usatya kubvunza chiremba wako mibvunzo.
- Udza mhuri yako neshamwari nezveizvi: Vaudze nezvekuchinja kwauri kuita. Ipapo vanogona kukubatsira.
- Fungawo nezvehutano hwepfungwa dzako: Kuchinja uku kunogona kuoma dzimwe nguva. Kana uchinzwa kuremerwa, taura nezvazvo.
- Kuchinja maitiro kwakaoma: Haugone kuchinja zvinhu zvese neusiku humwe chete. Tanga nechinhu chidiki. Isa chinangwa chimwe panguva.
- Hauzove wakakwana zvizere zuva rega rega: Mamwe mazuva hauzokwanisi kuita maekisesaizi, mamwe mazuva hauzokwanisi kudzora kudya kwako. Izvozvo zvakajairika. Usazvidya mwoyo nazvo, ingoedza zvakare mangwana acho. Chinhu chakakosha hakusi kuva wakakwana, asi kuedza.
- Zviitire mutsa: Kana uchiri kunetseka kudzora huwandu hweshuga muropa rako mushure mekuita zvese izvi, usafunge kuti imhosva yako. Chirwere cheshuga chirwere chakaoma. Taura nachiremba wako kuti usarudze zvekuita zvinotevera.
Taura nachiremba wako.
Kana uine prediabetes kana kuti uri panjodzi yekubatwa nayo, zvakakosha kuti ugare uchiona chiremba wako kuti akupe mazano. Ungawana zvichibatsira kubvunza chiremba wako mibvunzo yakaita seiyi:
1. Ndingaderedza sei njodzi yangu yekubatwa nechirwere cheshuga chisati chatanga uye chirwere cheshuga?
2. Ndezvipi zviratidzo zvechirwere cheshuga?
3. Chii chinonzi huremu hwakanaka pahurefu hwangu?
4. Ndedzipi nzira dzakanakisisa dzekuderedza uremu?
5. Ndinofanira kuita maekisesaizi akawanda sei? Nderupi rudzi rwemaekisesaizi rwakandinakira?
6. Ndedzipi shanduko dzandinofanira kuita mukudya kwangu?
7. Ndinofanira kuona nyanzvi yezvekudya here?
8. Pane mapoka kana mapurogiramu andingapinda nawo kuti ndiwane rubatsiro here?
Kana zvasvika pakuva nechirwere cheshuga chisati chatanga, ruzivo isimba . Kuziva kana uine chirwere ichi uye zvaunogona kuita kuti uchinje chikamu chesimba iroro. Haufanire kufamba rwendo urwu uri wega. Chiremba wako nechikwata chako chehutano vanogara varipo kuti vakubatsire.
Mharidzo Yekuenda Nayo Kumba
- Prediabetes idambudziko rinoita kuti munhu awane chirwere cheshuga. Inyevero, kwete mutongo wekupedzisira.
- Kazhinji, hapana zviratidzo. Saka, kana uine zvinhu zvinogona kukonzera njodzi, zvakakosha kuti ugare uchiongororwa nachiremba.
- Prediabetes inogona kudzorwa zvachose nekudya zvine hutano, kurovedza muviri nguva dzose, uye kudzora huremu.
- Kusateerera yambiro iyi kunogona kukonzera matambudziko akakomba akadai sechirwere cheshuga cherudzi rwechipiri uye chirwere chemwoyo nechirwere cheitsvo.
- Taura pachena nachiremba wako. Wana gwara nerutsigiro rwaunoda parwendo urwu.
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