Zamkatimu
Wokhudzana ndi matenda ashuga: katswiri wazachipatala
Katswiri wa matenda ashuga ndi katswiri wodziwa za matenda a shuga amene amadziwika bwino pochiza matenda ashuga komanso zovuta zake. Liti, bwanji ndipo kangati kukaonana ndi katswiri wa matenda ashuga? Udindo wake ndi uti? Zomwe muyenera kuyembekezera mukafunsira?
Kodi matenda ashuga ndiotani?
Katswiri wa matenda ashuga ndi katswiri wazamaphunziro yemwe amaphunzira, kupeza, kuwunika komanso kuchiza matenda ashuga komanso zovuta zake. Katswiri wa matenda a shuga amagwira ntchito limodzi ndi wodwalayo. Katswiriyu amagwira ntchito kuchipatala kapena mwayekha. Kufunsira kumabwezeredwa kwathunthu ndi chitetezo cha anthu ndalama zake zikavomerezedwa.
Wodziwitsidwa bwino, wodwala matenda ashuga amapatsa wodwalayo zatsopano zamankhwala pokhudzana ndi kudziyang'anira magazi a shuga, mankhwala kapena zida za insulin injector. Zimathandizanso wodwalayo kulumikizana ndi maukonde azachipatala ndikuwongolera kwa akatswiri osiyanasiyana pakagwa zovuta.
Kodi matenda a shuga ndi chiyani?Matenda ashuga ndi matenda osachiritsika omwe amakhudza 1 French pa 10. Vutoli limabweretsa kuchuluka kwa shuga m'magazi kapena hyperglycemia : timakambirana za matenda ashuga mukamadya kwambiri magazi 1,26 g / L yamagazi (osachepera ma shuga awiri m'magazi). Matenda ashuga amapezeka pomwe kapamba samapanga ma insulins okwanira (mtundu wa shuga woyamba womwe umatchedwanso kuti shuga wodalira insulin) kapena thupi likagwiritsa ntchito insulini mosakwanira (mtundu wa 1 shuga kapena matenda osadwala osadwala insulin). Gestational shuga amadziwika ndi hyperglycemia panthawi yapakati. Mtundu woyamba wa matenda ashuga ndimatenda omwe amangodzitchinjiriza pomwe mtundu wa 1 shuga umalumikizidwa ndi kunenepa kwambiri komanso kukhala mopitirira muyeso. Matenda a shuga am'mimba chifukwa cha kusintha kwa mahomoni komwe kumakhudzana ndi pakati komwe kumawonjezera zofunikira za insulini za amayi apakati. Kwa ena, kapamba amalephera kuyenda chifukwa chosatulutsa insulin yokwanira kusungunuka shuga wamagazi. |
Yandikirani mgwirizano ndi asing'anga
Matenda ashuga ndi matenda osachiritsika omwe amafunika kuwongolera mwatsatanetsatane. Ngati mwayezetsa magazi omwe amafotokoza kuti insulini imatha kukana, prediabetes kapena matenda ashuga, dotolo angakulimbikitseni kuti mufunsane ndi katswiri wazamaphunziro yemwe amadziwika bwino ndi odwala matenda ashuga.
Nthawi zambiri, dokotala komanso wodwala matenda ashuga amasinthana pofuna kuwonetsetsa kuti zotsatirazi zikutsatira.
Dokotala wamba amadziwa mbiriyakale, momwe wodwalayo amakhalira komanso momwe amayambirira matendawa. Ndiwowongolera pazotsatira zamankhwala ndikuwongolera wodwalayo kwa ashuga kapena kwa akatswiri ena pakakhala mafunso ozama. Dotoloyu ndi amenenso amakupatsani mayesero nthawi zonse (cholesterol, triglycerides, glycated hemoglobin…) Pofuna kuwunika momwe wodwalayo akupitira patsogolo. Dokotala wamba amapezeka kwa wodwalayo kuti awalangize kapena kuwalangiza mwachangu.
Kumbali inayi, zovuta zilizonse kapena zosowa zosintha zamankhwala ziyenera kukhala zokambirana ndi ashuga omwe amadziwitsa zosankha zawo kwa dotolo. Zovuta nthawi zambiri zimakhala zopindika, impso, ocular kapena mtima. Katswiri wa matenda ashuga amatha kuyimbira katswiri wina akafunsa funso kupitirira gawo lake laukadaulo.
N 'chifukwa chiyani kufunsa katswiri wa matenda ashuga?
Ngati mutakhala ndi matenda a shuga a mtundu woyamba
Pakakhala mtundu wa 1 matenda ashuga (kapena matenda a shuga omwe amadalira insulin): kuwunika ndi wodwala matenda ashuga ndikofunikira. Zowonadi, katswiriyu amaphunzitsa wodwalayo kuti azitha kudziyimira pawokha. Wodwala amafika podziwa mtundu wa insulini wofunikira, kuwunika kwa kuchuluka kwake komanso kuchuluka kwake ndikuzindikira kwa jakisoni.
Ngati mutakhala ndi matenda a shuga a mtundu woyamba
Kufunsira kwa odwala matenda ashuga sikofunikira. Dokotala wamba komanso endocrinologist nthawi zambiri amakhala oyenerera. Cholinga cha zokambiranazi ndikutenga njira zodzitetezera kuti zitsatire (chakudya chamagulu ochepa chokhala ndi glycemic index, kuchita masewera olimbitsa thupi pafupipafupi, ndi zina zambiri).
Ngati kuwongolera magawowa sikukwanira, adokotala amatha kupereka mankhwala pakamwa: metformin (biguanides), sulfonylureas, glinides, gliptins (kapena dipeptidyl-peptinase 4 inhibitors), mafananidwe a GLP 1, matumbo a alpha-glucosidase inhibitors, glifozins (inhibitors of Enzyme yomwe ilipo mu impso: SGLT2), insulins.
Ndibwino kuti muyambe kulandira mankhwala ndi metformin (kapena ngati mukusalolera kapena kutsutsana nawo, ndi sulphonylurea). Kukanika kulimbana ndi mamolekyuluwa, adokotala amawonjezera ma antidiabetics awiri othandizira. Nthawi zina kumakhala kofunika kupereka kachilombo kachitatu ka matenda ashuga, kapena insulin.
Kangati kukaonana ndi katswiri wanu wa matenda ashuga?
Ngati mutakhala ndi matenda a shuga a mtundu woyamba
Odwala ayenera kukaonana ndi odwala matenda ashuga kamodzi pachaka. Momwemo, wodwalayo amapita kukaonana ndi akatswiri ake kanayi pachaka (pafupipafupi kofanana ndi kuchuluka kwa mayeso a glycated hemoglobin (HbA4c) omwe amayenera kuchitika chaka chilichonse) kuti awunikire mosamalitsa chithandizo chake cha jakisoni.
Ngati mutakhala ndi matenda a shuga a mtundu woyamba
Kufunsira kwa katswiri wa matenda ashuga sikofunikira koma kumalimbikitsidwabe mwamphamvu kamodzi pachaka (komanso 4) kuti musinthe malangizo azakudya ndi kasamalidwe ka mankhwala am'kamwa.
Zili bwanji kukambirana ndi katswiri wa matenda ashuga?
Pakufunsana koyamba, wodwala matenda ashuga amafufuza zamankhwala, kuyankhulana ndikuwerenga zikalata zomwe tikulimbikitsidwa kuti mubwere nazo:
- kalata yotumiza kuchokera kwa dokotala wanu;
- mayeso azachipatala ndi zolemba zomwe zikuthandizira kuti mbiri yakale ya matenda iwonekere;
- kuyesa magazi kwatsopano.
Kumapeto kwa kufunsa, wodwala matenda ashuga amatha kusintha chithandizo chanu, angakupatseni mayeso atsopano kapena angakutumizireni kwa katswiri wina pakagwa zovuta.