Chirwere cheshuga chirwere chinowanzotaurwa nezvacho nevanhu vazhinji munharaunda medu nhasi, uye vamwe vanochitya zvishoma. Unofanira kunge wakanzwa izvi zvichitaurwa kakawanda kumba, pakati pehama, uye neshamwari. Saka nhasi, ngatitaurei nezverudzi rwechirwere cheshuga rwakajairika, 'Type 2 Diabetes'. Kana izvi zvikarapwa nemazvo, hachisi chinhu chekutya, yeuka izvozvo kutanga.
Zvichitaurwa zviri nyore, chii chinonzi chirwere cheshuga cherudzi rwechipiri?
Zvakanaka, ngatinzwisise izvi zviri nyore. Chikafu chatinodya chinowedzera shuga (yatinoti "Glucose") muropa redu. Shuga iyi ndiyo inopa muviri wedu simba. Asi tinoda mumwe munhu anotumira shuga iyi mumasero emuviri wedu. Basa iroro rinoitwa nehomoni inonzi "Insulin", iyo inogadzirwa nenhengo inonzi pancreas yedu. Funga nezve insulin sekiyi inovhura masuo emasero edu.
Chimwe chezvinetso zviviri chinoitika muchirwere cheshuga cherudzi rwechipiri.
1. Kusashanda kweInsulin: Dzimwe nguva masero emuviri wedu haapindure zvakanaka kukiyi iyoyo (insulin). Zvinoita seburi rekiyi riri pamusuwo raita ngura. Zvadaro, kunyangwe insulin iripo, masuo emasero haavhurike.
2. Kushaikwa kweinsulini: Nekufamba kwenguva, pancreas yedu inoshanda nesimba kugadzira insulin kuti ikunde kusawirirana uku. Asi mushure mechinguva, inoneta zvakanyanya uye haigone kugadzira insulin yakakwana.
Nekuda kwezvikonzero zviviri izvi, shuga iri muropa haigone kupinda mumasero uye inoungana muropa. Ndosaka tichiti huwandu hweshuga yeropa hwakakwira `(Hyperglycemia) .` Huwandu hweshuga yeropa yemunhu ane hutano hunowanzova pakati pe70-99 mg/dL. Zvisinei, mumunhu ane chirwere cheshuga, kukosha uku kunogona kuva 126 mg/dL kana kutopfuura.
Ndezvipi zviratidzo zvechirwere ichi? Tarisa kana uine izvi zvakare
Chimwe chezvinhu zvinoshamisa nezvechirwere cheshuga cherudzi rwechipiri ndechekuti zviratidzo zvacho zvinowanzoonekwa zvishoma nezvishoma. Saka vamwe vanhu vanogona kusatomboziva kuti vane chirwere cheshuga kwemakore. Asi unofanira kuziva nezvezviratidzo zvinotevera.
| Chiratidzo | Tsananguro iri nyore |
|---|---|
| Nyota kakawanda | Shuga yakawanda muropa inoita kuti itsvo dzishande nesimba. Izvi zvinoita kuti muviri ugare uchinwa mvura yakawanda uye zvinoita kuti unzwe kuda kunwa mvura yakawanda. |
| Kuita weti kakawanda | Unofanira kuita weti nguva nenguva nekuti unonwa mvura yakawandisa uye itsvo dzako dziri kuedza kubvisa shuga yakawandisa mumuviri wako. |
| Kunzwa nzara kupfuura zvakajairika | Nekuti shuga haipinde mumasero, muviri hauwani simba raunoda. Nokudaro, unogara uchitumira mashoko kuuropi uchiti "Ndine nzara." |
| Kunzwa kuneta nguva dzese | Muviri unonzwa usina hupenyu uye wakaneta nekuti masero haakwanise kuwana shuga inogadzira simba. |
| Kunonoka kupora kweronda | Kuwanda kweshuga muropa kunokanganisa kufamba kweropa uye kunokanganisa tsinga, izvo zvinogona kunonotsa kupora kwemaronda. |
| Kunzwa kusanzwa kana kukwenya mumakumbo | Kuwanda kweshuga muropa kunogona kukuvadza tsinga. Izvi tinozvidaidza kuti "Neuropathies". |
| Kuona kusina kujeka | Kuchinja kwehuwandu hweshuga muropa kunogona kukanganisa lenzi yeziso, zvichikonzera kusaona zvakanaka kwenguva pfupi. |
| Kuderedza uremu pasina chikonzero | Kana masero asingakwanise kuwana shuga kuti awane simba, muviri unotanga kupwanya tsandanyama nemafuta kuti uwane simba. |
Kune vakadzi, zvirwere zvemudumbu zvinowanzoonekwa kana kuti zvirwere zvemudumbu (UTIs) zvinogonawo kuva chiratidzo chechirwere cheshuga. Kana uine chimwe chezviratidzo izvi kana kupfuura, zvakakosha kuona chiremba wako nekukasika kuti akupe mazano.
Sei tichibatwa nechirwere cheshuga cherudzi rwechipiri? Ndezvipi zvinhu zvinokonzera njodzi?
Hapana chikonzero chimwe chete chinokonzera chirwere cheshuga. Izvi zvinokonzerwa nezvinhu zvakawanda.
Chinhu chakakosha ndechekuti chirwere cheshuga hachisi mhosva yako. Chinokonzerwa nemaitiro akaomarara emuviri.
Chikonzero chikuru ndechekuti "Insulin Resistance" yatakambotaura nezvayo. Zvinhu zvikuru zvinoikanganisa ndeizvi:
- Majini: Kana amai vako, baba, kana vanun'una vako vaine chirwere cheshuga, uri panjodzi huru yekuchibata. Semuenzaniso, kana mumwe wevabereki vako aine chirwere cheshuga, une mukana we40% wekuchibata. Kana vabereki vese vaine chirwere ichi, nhamba iyoyo inowedzera kusvika 70%. Asi izvi hazvirevi kuti uchachibata zvechokwadi. Zvinongoreva kuti unofanira kungwarira zvishoma.
- Kufuta zvakanyanya uye kufuta: Mafuta emuviri, kunyanya mafuta anoungana mudumbu uye akakomberedza nhengo dzemukati, ndicho chikonzero chikuru chekusada insulin.
- Kusaita maekisesaizi: Kusakwanisa kuita insulin kunowedzerawo kana kurovedza muviri kwaderera.
- Kudya kusina hutano: Kudya chikafu chakabikwa zvakanyanya, chine makabhohaidhiretsi akawanda, uye chine mafuta akawanda akazara injodziwo.
- Zera: Njodzi inowedzera mushure memakore makumi mana nemashanu.
- Zvimwe zvirwere: Vanhu vane zvirwere zvakaita seBP yakakwira, cholesterol yakakwira, chirwere cheshuga chepamuviri, uye polycystic ovarian syndrome (PCOS) vari panjodzi yakakura.
Ndezvipi zvinetso zvinogona kuitika kana chirwere cheshuga chikasadzorwa?
Apa ndipo patinofanira kunyanya kutarisisa. Kunyangwe tichiziva kuti tine chirwere cheshuga, kana chikasadzorwa zvakanaka, nekufamba kwenguva chinogona kukuvadza nhengo dzemuviri wedu dzinonyanya kukosha.
| Sisitimu yemuviri yakanganiswa | Matambudziko anogona kuitika |
|---|---|
| Mwoyo netsinga dzeropa | Chirwere chemwoyo, sitiroko, BP yakakwira. |
| Maziso | Retinopathy, cataract, glaucoma, uye pakupedzisira upofu. |
| Itsvo | Itsvo dzinogona kukuvara uye pakupedzisira dzinotadza kushanda. |
| Sisitimu yetsinga | Kunzwa kusanzwa, kutsva, kurwadziwa kwemakumbo. Dzimwe nguva, kunyange kukuvara kwemakumbo kunogona kusaonekwa. |
| Tsoka | Maronda anogadzirwa netsaona anogona kusarapwa, obatwa nechirwere, uye pakupedzisira oita kuti chikamu chetsoka chidiwe kubviswa. |
Pamusoro pezvo, chirwere chine njodzi chinogona kuitika kamwe kamwe chinonzi `(Hyperosmolar Hyperglycemic State - HHS). Muizvi, huwandu hweshuga muropa hunokwira zvikuru kwemazuva akati wandei, muviri unoshaya mvura yakakwana, uye pfungwa dzinokanganiswa. Iyi injodzi ine njodzi uye inotyisidzira hupenyu. Kana zviratidzo zvakadaro zvikaitika, unofanira kuendeswa kuchipatara cheEmergency Treatment Unit (ETU) nekukasika.
Chiremba anoongorora sei chirwere ichi nemazvo?
Kana uchifungidzira kuti une chirwere cheshuga, chiremba wako achaita bvunzo shoma dzeropa kuti asimbise chirwere ichi.
- Kuyedzwa kweGlucose yePlasma Yekutsanya: Izvi zvinoitwa mangwanani mushure mekunge usina kudya kana kunwa chero chinhu kwemaawa angangoita masere. Kana huwandu hweshuga muropa rako huri 126 mg/dL kana kupfuura, ingave chirwere cheshuga.
- Kuongororwa kweGlucose muPlasma: Izvi zvinogona kuitwa chero nguva yezuva. Kana huwandu hweshuga yako huri 200 mg/dL kana kupfuura, chiratidzo chechirwere cheshuga.
- Kuongororwa kweA1C: Izvi zvinoyera huwandu hweshuga yako yeropa mumwedzi miviri kusvika mitatu yapfuura. Kana huwandu uhwu huri 6.5% kana kupfuura, zvinoratidza chirwere cheshuga.
Kuongororwa uku ndiyo chete nzira yekuziva zvechokwadi kana une chirwere cheshuga kana kuti kwete.
Nzira yekurapa chirwere cheshuga?
Zvakanaka, tasvika pachikamu chakakosha. Chirwere cheshuga chirwere icho, kunyange hacho chisingarapiki, chinogona kudzorwa zvakanaka uye chinogona kudzorwa kuti chirarame hupenyu hwakanaka pasina matambudziko . Zvakafanana nemutambo wechikwata. Iwe, chiremba wako, nyanzvi yezvekudya, nemhuri yako munofanira kushanda pamwe chete kuti muite izvi.
Pane zvinhu zvikuru zvitatu:
1. Kuchinja mararamiro (kudya uye kurovedza muviri)
2. Mishonga (mishonga)
3. Kutarisa huwandu hweshuga kumba
1. Kuchinja kwemararamiro
Iyi ndiyo hwaro hwekurapa. Zvakaoma kudzora izvi nemishonga chete.
- Kudya: Usatya kutaura kuti "kudya," izvi hazvirevi kungodya chikafu chisina kunaka, chisina kunaka. Taura nachiremba wako kana nyanzvi yezvekudya kuti ugadzire kudya kwakaringana kwakakunakira. Kazhinji, zvakanaka kuisa miriwo isina sitachi, chikafu chine fiber yakawanda, mapuroteni asina mafuta akawanda (hove, huku), uye mafuta akanaka (avocado, nzungu) mukudya kwako.
- Kurovedza muviri: Kunyangwe kurovedza muviri kuri nyore sekufamba nekukurumidza kwemaminitsi makumi matatu pazuva, mazuva mashanu pasvondo, kunogona kuita zvinoshamisa pakuderedza huwandu hweshuga muropa rako. Patinoita maekisesaizi, masero edu anotanga kunzwa insulin zvakanyanya.
2. Mishonga (mishonga)
Vamwe vanhu vanoomerwa nekudzora huwandu hweshuga muropa ravo kunyangwe mushure mekuchinja mararamiro avo. Ndipo apo chiremba anovanyorera mishonga.
- Mishonga Inonwiwa: Mishonga inowanzo nyorwa nachiremba, yakaita seMetformin, inoshanda kuderedza insulin resistance mumuviri uye kudzora kugadzirwa kweshuga nechiropa.
- Majekiseni eInsulin: Kugadzirwa kweinsulini kwevamwe vanhu kunoderera zvakanyanya nekufamba kwenguva. Zvadaro vanofanira kutora insulin kunze kwemuviri nenzira yejekiseni. Kutanga insulin hazvirevi kuti chirwere chako chakakomba. Inzira inoshanda zvikuru yekudzora shuga.
3. Kutarisa huwandu hweshuga kumba
Zvakakosha zvikuru kuyedza huwandu hweshuga muropa rako kumba uchishandisa glucometer, sezvinokurudzirwa nachiremba wako. Izvi zvichakubatsira kunzwisisa kuti chikafu chaunodya, maekisesaizi aunoita, uye mishonga yaunotora zvinokanganisa sei huwandu hweshuga muropa rako.
Chirwere cheshuga chinogona kurapwa zvachose here?
Uyu mubvunzo unobvunzwa nevanhu vazhinji. Mhinduro pfupi ndeyekuti "kwete." Chirwere cheshuga cherudzi rwechipiri chirwere chisingaperi. Izvi zvinoreva kuti chinhu chinoramba chiripo muhupenyu hwedu hwese.
Asi kunyange hazvo isingarapike, inogona kudzoserwa mu "remission," zvichireva kuti hapana zviratidzo uye huwandu hweshuga muropa rako huri mukati memiganhu yakajairika pasina mishonga. Vamwe vanhu vanogona kuita izvi, kunyanya kuburikidza nekudzikira uremu uye kuchinja mararamiro zvakanyanya. Asi hazvisi zvevanhu vese. Zvakare, kana ukadzokera kune tsika dzako dzekare, huwandu hweshuga muropa rako hunogona kukwira zvakare.
Saka chinhu chakanakisa chekuita kudzidza kurarama nacho, pane kuedza kuchirapa.
Mharidzo Yekuenda Nayo Kumba
- Chirwere cheshuga cherudzi rwechipiri chinoitika kana muviri wako usingakwanise kushandisa insulin nemazvo. Hachisi chinhu chekutya, asi chinhu chinogona kutarisirwa zvakanaka.
- Zviratidzo zvakaita senyota yenguva dzose, kuita weti nguva nenguva, uye kuneta zvinogona kuoneka zvishoma nezvishoma. Saka teerera muviri wako.
- Kutungamira ibasa rechikwata. Iwe, chiremba wako, nemhuri yako munofanira kushanda pamwe chete.
- Kudya zvakanaka uye kurovedza muviri nguva dzose ndizvo zvinhu zvinokosha pakurapa. Mishonga ndeimwe nzira yekuwedzera rubatsiro.
- Nekuona chiremba wako nenguva uye kuongororwa maziso ako, itsvo, netsoka, unogona kudzivirira matambudziko akakomba.
- Rwendo urwu rwunotora hupenyu hwese, asi kana ukanyatsotarisirwa zvakanaka, hapana chinokutadzisa kurarama hupenyu hwakazara, hune hutano, uye hunofadza.
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