Kuwonongeka kwa mitsempha ya matenda ashuga - kudzisamalira

Anthu omwe ali ndi matenda ashuga amatha kukhala ndi mavuto amitsempha. Vutoli limadziwika kuti matenda ashuga.

Matenda a shuga amatha kuchitika mukakhala ndi shuga wambiri m'magazi kwanthawi yayitali. Izi zimayambitsa kuwonongeka kwa mitsempha yomwe imapita kwa inu:

• Miyendo
• Zida
• Kugaya chakudya
• Mtima
• Chikhodzodzo

Kuwonongeka kwa mitsempha kumatha kubweretsa mavuto osiyanasiyana mthupi lanu.

Kupindika kapena kuwotcha mapazi ndi miyendo kungakhale chizindikiro choyambirira cha kuwonongeka kwa mitsempha mwa iyo. Malingaliro awa nthawi zambiri amayamba m'manja ndi m'mapazi anu, koma amathanso kuyamba zala ndi manja. Muthanso kukhala ndi zowawa zazikulu kapena zopweteka kapena kungomva kuwawa. Anthu ena atha kukhala ndi thukuta kwambiri kapena mapazi ouma kwambiri chifukwa cha kuwonongeka kwa mitsempha.

Kuwonongeka kwa mitsempha kumatha kukupangitsani kuti musamve bwino m'mapazi ndi m'miyendo. Chifukwa cha izi, mutha:

• Osazindikira mukaponda china chakuthwa
• Sindikudziwa kuti muli ndi chotupa kapena bala laling'ono kumapazi anu
• Osazindikira mukakhudza china chotentha kwambiri kapena chozizira kwambiri
• Khalani otheka kugundana zala zakumapazi kapena mapazi anu motsutsana ndi zinthu
• Khalani ndi ziwalo pamapazi anu kuti ziwonongeke zomwe zingapangitse kuyenda kovuta
• Kukumana ndi kusintha kwaminyewa m'mapazi anu komwe kumatha kuyambitsa kupanikizika kwanu ndi mipira ya mapazi anu
• Khalani otheka kukhala ndi matenda akhungu pamapazi anu komanso kumapazi anu

Anthu omwe ali ndi matenda ashuga atha kukhala ndi vuto kukumba chakudya. Mavutowa amatha kupangitsa matenda anu ashuga kukhala ovuta kuwalamulira. Zizindikiro za vutoli ndi izi:

• Kumva kukhuta mutangodya chakudya chochepa chabe
• Kutentha pa chifuwa ndi kuphulika
• Nseru, kudzimbidwa, kapena kutsegula m'mimba
• Kumeza mavuto
• Kuponyera chakudya chosagayidwa patadutsa maola angapo mutadya

Mavuto okhudzana ndi mtima atha kukhala awa:

• Mutu wopepuka, kapena ngakhale kukomoka, mutakhala pansi kapena kuyimirira
• Kuthamanga kwa mtima mwachangu

Matenda a ubongo amatha "kubisa" angina. Ili ndiye chenjezo pachifuwa cha matenda amtima komanso matenda amtima. Anthu omwe ali ndi matenda ashuga ayenera kuphunzira zizindikiro zina zowachenjeza za matenda a mtima. Ali:

• Kutopa mwadzidzidzi
• Kutuluka thukuta
• Kupuma pang'ono
• Nseru ndi kusanza

Zizindikiro zina za kuwonongeka kwa mitsempha ndi:

• Mavuto azakugonana. Amuna akhoza kukhala ndi mavuto ndi zosokoneza. Azimayi amatha kukhala ndi vuto louma ukazi kapena nyini.
• Kulephera kudziwa kuti shuga yako yamagazi ikagwa kwambiri ("hypoglycemia kusazindikira").
• Mavuto a chikhodzodzo. Mutha kutuluka mkodzo. Simungathe kudziwa kuti chikhodzodzo chanu chadzaza. Anthu ena sangathe kutulutsa chikhodzodzo chawo.
• Kutuluka thukuta kwambiri. Makamaka kutentha kukutentha, mukamapuma, kapena munthawi zina zosazolowereka.

Kuchiza matenda ashuga omwe angadwale kumatha kuthana ndi zovuta zina zamavuto amitsempha. Njira yabwino kwambiri yothetsera vutoli ndikuwongolera shuga wanu wamagazi.

Dokotala wanu akhoza kukupatsani mankhwala othandizira zina mwa zizindikirazi.

• Mankhwala amatha kuthandiza kuchepetsa zizindikilo zopweteka m'mapazi, miyendo, ndi mikono. Nthawi zambiri samabweretsa kutaya mtima. Muyenera kuyesa mankhwala osiyanasiyana kuti mupeze omwe amachepetsa kupweteka kwanu. Mankhwala ena sangakhale othandiza ngati shuga wanu wamagazi akadali wokwera kwambiri.
• Wopereka wanu atha kukupatsani mankhwala kuti akuthandizeni pamavuto akudya chakudya kapena kuyenda matumbo.
• Mankhwala ena amatha kuthandizira pamavuto okweza.

Phunzirani kusamalira mapazi anu. Funsani omwe akukuthandizani:

• Kuti muwone mapazi anu. Mayesowa atha kuvulala pang'ono kapena matenda. Amathanso kuvulaza phazi kuti lisawonjezeke.
• Pafupifupi njira zotetezera mapazi anu ngati khungu lauma kwambiri, monga kugwiritsa ntchito khungu lokhazikika.
• Kukuphunzitsani momwe mungayang'anire zovuta zapansi kunyumba ndi zomwe muyenera kuchita mukawona zovuta.
• Kupangira nsapato ndi masokosi omwe ndi abwino kwa inu.

Matenda a shuga - kudzisamalira

Tsamba la American Diabetes Association. 10. Mavuto a Microvascular ndi chisamaliro cha phazi: miyezo ya chithandizo chamankhwala ashuga-2020. chisamaliro.diabetesjournals.org/content/43/Supplement_1/S135. Idapezeka pa Julayi 11, 2020.

A Brownlee M, Aiello LP, Sun JK, et al. Zovuta za matenda ashuga. Mu: Melmed S, Auchus, RJ, Goldfine AB, Koenig RJ, Rosen CJ, olemba. Buku la Williams la Endocrinology. Wolemba 14th. Philadelphia, PA: Elsevier; 2020: chap 37.

• Matenda a Mitsempha ya Matenda