Tose takambonzwa izwi rekuti 'chirwere cheshuga'. Pamwe mumwe munhu mumhuri mako, shamwari, kana kuti iwe pachako wakakanganiswa nechirwere ichi. Asi waizviziva here kuti chirwere cheshuga hachisi chirwere chimwe chete, asi chine mhando dzakasiyana-siyana? Nhasi, tichataura nezverudzi rumwe nerumwe rwezvirwere izvi, zviratidzo zvaro, uye maitiro ekuzvibata nenzira iri nyore uye yakatwasuka.
Zvichitaurwa zviri nyore, chirwere cheshuga izita rezvirwere zvakasiyana-siyana zvinokanganisa maitiro ekushandura chikafu chatinodya kuita simba. Patinodya chikafu chine makabhohaidhiretsi (starch), muviri wedu unochishandura kuita rudzi rweshuga inonzi glucose woiwedzera muropa. Ipapo pancreas yedu inoburitsa hormone inonzi insulin , iyo inotora glucose iyoyo kubva muropa yoitumira kumasero kuti igadzire simba. Mumunhu ane chirwere cheshuga, maitiro aya e insulin haashande nemazvo. Nekuda kweizvozvo, huwandu hweshuga muropa hunowedzera. Kana izvi zvikasadzorwa, matambudziko makuru ehutano anogona kuitika nekufamba kwenguva.
Prediabetes
Iyi ndiyo nhanho yekuyambira chirwere cheshuga chisati chatanga. Pano, huwandu hweshuga muropa rako hwakwira kupfuura zvakajairika, asi hahuna kukwana kuti uzive chirwere cheshuga zvizere.
Kazhinji, hapana zviratidzo zvinoonekwa panguva ino ye "prediabetes." Ndosaka vanhu vazhinji vasingatombozivi kuti vane chirwere ichi.
Zvisinei, dzimwe nguva unogona kuona ganda richisviba munzvimbo dzakadai semutsipa, muhapwa, uye muzvidya. Kashoma, unogona kuonawo kudzikira kana kuwedzera uremu zvisina tsarukano, kuda kudya zvakanyanya, kuneta, kudikitira, kuona zvisizvo, uye kupora kwemaronda zvishoma nezvishoma.
Kana ukachinja mararamiro ako panguva ino, unogona kudzivirira kana kunonotsa kukura kwechirwere cheshuga chakazara.
- Kurovedza muviri nguva dzose.
- Kudya chikafu chine hutano.
- Kuchengeta huremu hwemuviri hwakakodzera.
- Kugadzirisa kushushikana.
- Dzivisa kusvuta.
Kana zvinhu izvi zvakaoma kuita kana kuti uri panjodzi huru yekubatwa nechirwere cheshuga, chiremba wako anogona kukupa mishonga.
Chirwere cheshuga cherudzi rwekutanga
Izvi zvaimbonzi 'chirwere cheshuga chevana'. Asi ikozvino tava kuziva kuti chinogona kukura chero pazera ripi zvaro. Idambudziko re autoimmune . Zvichitaurwa zviri nyore, chinoitika pano ndechekuti masoja emuviri wedu anorwisa nekuparadza masero anogadzira insulin mupancreas yedu. Ipapo muviri hauchakwanisi kugadzira insulin.
Dambudziko iri harigone kudzivirirwa. Rinowanzo kukonzerwa nezvinhu zvinokonzerwa nemajini.
Zviratidzo zvechirwere cheshuga cherudzi rwekutanga
Zviratidzo zverudzi urwu zvinoonekwa nekukurumidza, mukati memavhiki mashoma.
- Kunzwa nyota yakawandisa uye nzara.
- Kuita weti kakawanda.
- Kuona kusina kujeka.
- Kuneta kwakanyanya.
- Kuderedza uremu pasina chikonzero.
Dzimwe nguva, chiratidzo chekutanga chinogona kunge chiri chirwere cheshuga, izvo zvinogona kukonzera chirwere chakakomba chakadai sekurasikirwa nepfungwa.
| Zviratidzo zvekunyevera zvinoda kurapwa nekukurumidza | |
|---|---|
| Kunhuhwirira kwemuchero pakufema | Kusvotwa nekurutsa |
| Ganda rakaoma kana dzvuku | Kurwadziwa kwedumbu |
| Kuoma kufema | Kuvhiringidzika kana kuoma kuisa pfungwa pachinhu chimwe chete |
Kana iwe kana mwana wako muine chimwe chezviratidzo izvi, enda kuchipatara kuEmergency Department (ETU) nekukasika.
Chirwere cheshuga cherudzi rwekutanga chinogona kukuvadza tsinga dzeropa dzakatetepa mumaziso (diabetic retinopathy), tsinga dzeropa (diabetic neuropathy), uye itsvo (diabetic nephropathy). Izvi zvinowedzerawo njodzi yezvirwere zvemwoyo nestroke.
Kurapa kunosanganisira kupa insulin kunze, uchishandisa mapeni e insulin, mapombi, kana masirinji. Pamusoro pezvo , kuongororwa shuga muropa nguva dzose, kudzora kudya, uye kurovedza muviri zvakakosha.
Chirwere cheshuga cherudzi rwechipiri
Rudzi urwu ndirwo rwakanyanya kuwanda, rwunobata vanhu vanosvika 90% vane chirwere cheshuga. Chaimbonzi 'chirwere cheshuga chevakuru'. Asi nhasi uno chakajairikawo pakati pevechidiki nevana. Kufutisa ndicho chikonzero chikuru.
Chinoitika apa ndechekuti kugadzirwa kwe insulin mumuviri kunoderera, kana kuti masero emuviri haapindure zvakanaka kune insulin inogadzirwa (`Insulin Resistance`). Izvi zvinoita kuti pancreas ishande nesimba uye igadzire insulin yakawanda. Asi nekufamba kwenguva, izvozvo hazvina kukwana uye huwandu hweshuga muropa hunokwira.
Zviratidzo zvechirwere cheshuga cherudzi rwechipiri zvinokura zvishoma nezvishoma. Zvingasaratidza zviratidzo kwemakore. Ndosaka vanhu vazhinji vachionekwa vaine chirwere ichi pavanotsvaga kurapwa kwechimwe chirwere.
Kuti udzore rudzi urwu rwechirwere, kuchengetedza huremu hwakanaka, kudya chikafu chine hutano, uye kurovedza muviri zvakakosha. Vamwe vanhu vangangodawo kutora mishonga kana majekiseni e insulin. Izvi zvese zvinosarudzwa nachiremba wako.
Chirwere cheshuga chepamuviri
Vamwe vanaamai vanogona kubatwa nechirwere cheshuga kwenguva pfupi nekuda kwekuchinja kwemahormone mumiviri yavo panguva yekuzvitakura. Izvi zvinonzi "gestational diabetes." Kazhinji kacho chinoonekwa kuburikidza nekuongororwa kunoitwa pakati kana kuti pakupera kwekuzvitakura.
Kazhinji, hapana zviratidzo zvikuru. Panogona kunge paine zvimwe zviratidzo zvisina kunyanya kuoma zvakaita sekuwedzera nyota uye kuita weti kakawanda. Chinhu chakakosha ndechekuti chirwere ichi chipere mushure mekunge mwana aberekwa.
Zvisinei, amai vane chirwere ichi vari panjodzi huru yekubatwa nechirwere cheshuga cherudzi rwechipiri mune ramangwana kupfuura vamwe. Nokudaro, kunyangwe mushure mekubereka mwana, vanofanira kutarisira hutano hwavo muhupenyu hwavo hwese.
Njodzi yacho yakakura kumwana ari mudumbu kupfuura kuna amai. Kana huwandu hweshuga muropa raamai hukawedzera, hunoendawo kumwana kuburikidza neplacenta. Izvi zvinogona kukanganisa kukura kwemwana. Mwana anogona kuwedzera uremu, kunetseka kufema pakuzvarwa, uye kuva panjodzi yakakura yekurwara nechirwere cheshuga kana kufuta mune ramangwana. Saka, zvakakosha kudzora chirwere cheshuga zvakanaka panguva yekuzvitakura.
Dzimwe mhando dzechirwere cheshuga dzisingawanzoitiki
Kuwedzera kune marudzi matatu makuru ari pamusoro apa, kune mamwe marudzi akawanda asingawanzoitiki echirwere cheshuga.
Chirwere cheshuga chinonzi Monogenic
Izvi zvinokonzerwa nekuchinja kwemajini rimwe chete. Zvinogona kugarwa nhaka. Kazhinji, chirwere cheshuga chinowanikwa muhudiki kana kuyaruka uye hachiratidzi zviratidzo zveType 1 kana Type 2, saka vanachiremba vanofungidzira izvi.
Chirwere cheshuga chechipiri
Izvi zvinogona kukonzerwa nechimwe chirwere chiripo kana mushonga wauri kutora. Semuenzaniso:
- Zvirwere zvine chekuita nemahormone (Cushing's syndrome, Acromegaly)
- Zvirwere zvepancreas
- Cystic Fibrosis (CF)
- "Polycystic Ovarian Syndrome" (PCOS)
- Kushandisa mimwe mishonga ye steroid kwenguva refu.
Muzviitiko izvi, chirwere cheshuga chinogonawo kudzorwa kana chirwere chacho chikarapwa.
Mharidzo Yekuenda Nayo Kumba
- Chirwere cheshuga hachisi chirwere chimwe chete. Kune mhando dzakasiyana-siyana dzinosiyana muzvikonzero zvadzo uye nzira dzekurapa nadzo.
- Chirwere cheshuga cherudzi rwekutanga chirwere apo muviri unomira zvachose kugadzira insulin. Izvi zvinoda kubaiwa jekiseni re insulin.
- Chirwere cheshuga cherudzi rwechipiri ndicho chinonyanya kuwanda. Chinoitika kana muviri usingagadzi insulin yakakwana kana kuti muviri usingapindure insulin. Chinogona kudzorwa nekuchinja mararamiro uye mishonga.
- Kunyangwe chirwere cheshuga chepamuviri chinopera mushure mekuzvarwa kwemwana, pane mukana wekuva nechirwere cheshuga cherudzi rwechipiri mune ramangwana.
- Kana uine zviratidzo zvechirwere cheshuga kana kuti uchifunga kuti ungangove uri panjodzi, usapedza nguva uye enda kuna chiremba wako kuti akupe mazano. Kana ukabatwa zvakanaka, unogona kurarama hupenyu hune hutano uye hurefu nechirwere cheshuga.
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