Type 2 shuga - kudzisamalira

Mtundu wachiwiri wa matenda ashuga ndimatenda ataliatali. Ngati muli ndi matenda ashuga amtundu wa 2, insulin yomwe thupi lanu limapanga nthawi zambiri imakhala ndi vuto lotumiza chizindikiritso kumaselo amafuta ndi mafuta. Insulini ndi timadzi timene timapangidwa ndi kapamba kuti tipewe shuga wamagazi. Insulini ya thupi lanu ikapanda kuzindikira bwino, shuga wochokera pachakudya amakhala m'magazi ndipo shuga (glucose) amatha kukwera kwambiri.

Anthu ambiri omwe ali ndi matenda a shuga amtundu wa 2 amakhala onenepa kwambiri akawapeza. Zosintha momwe thupi limasamalirira shuga wamagazi lomwe limayambitsa mtundu wa 2 shuga nthawi zambiri limachitika pang'onopang'ono.

Aliyense amene ali ndi matenda ashuga ayenera kulandira maphunziro ndi chithandizo choyenera cha njira zabwino zothanirana ndi matendawa. Funsani wothandizira zaumoyo wanu kuti mukawone katswiri wodziwa za matenda ashuga komanso maphunziro.

Simungakhale ndi zizindikiro zilizonse. Ngati muli ndi zizindikilo, atha kukhala:

• Njala
• Ludzu
• Kukodza kwambiri, kudzuka pafupipafupi kuposa nthawi zonse usiku kukodza
• Masomphenya owoneka bwino
• Matenda pafupipafupi kapena okhalitsa
• Vuto lokhala ndi erection
• Mavuto amachiritso pakhungu lanu
  
• Ziphuphu zofiira m'magulu ena amthupi lanu
• Kuyika kapena kutaya chidwi m'mapazi anu

Muyenera kuyang'anira bwino shuga wanu wamagazi. Ngati shuga wanu wamagazi samayendetsedwa, mavuto akulu otchedwa zovuta amatha thupi lanu. Zovuta zina zimatha kuchitika pomwepo ndipo zina patadutsa zaka zambiri.

Phunzirani njira zofunikira pakuwongolera matenda ashuga kuti mukhale athanzi momwe mungathere. Kuchita izi kudzakuthandizani kuti mukhale ndi mwayi wokhala ndi zovuta za matenda ashuga momwe zingathere. Zinthu monga:

• Kuyang'ana shuga wamagazi kwanu
• Kusunga zakudya zabwino
• Kukhala wolimbikira

Komanso, onetsetsani kuti mumamwa mankhwala aliwonse kapena insulin monga momwe mwalangizira.

Wopezayo amakuthandizaninso polamula kuyesedwa kwa magazi ndi mayeso ena. Izi zimathandizira kuti shuga ndi magazi anu mulingo aliwonse athanzi. Komanso, tsatirani malangizo a omwe amakupatsani omwe akusungani magazi anu kuti akhale athanzi.

Dokotala wanu angakufunseni kuti mukachezere ena omwe akukuthandizani kuti muchepetse matenda anu ashuga. Othandizira awa ndi awa:

• Kudya
• Wopanga matenda ashuga
• Wophunzitsa za matenda ashuga

Zakudya zokhala ndi shuga ndi chakudya zimatha kukweza shuga wamagazi anu kwambiri. Mowa ndi zakumwa zina zomwe zili ndi shuga zingakulitsenso shuga m'mwazi. Namwino kapena katswiri wazakudya amatha kukuphunzitsani za kusankha zakudya zabwino.

Onetsetsani kuti mukudziwa momwe mungakhalire ndi chakudya chamagulu ndi mapuloteni ndi fiber. Idyani zakudya zopatsa thanzi, zatsopano momwe mungathere. Osadya chakudya chochuluka nthawi imodzi. Izi zimathandiza kuti shuga wanu wamagazi azikhala bwino.

Kusamalira kulemera kwanu ndikusunga zakudya zopatsa thanzi ndikofunikira. Anthu ena omwe ali ndi matenda ashuga amtundu wachiwiri amatha kusiya kumwa mankhwala akachepetsa thupi (ngakhale ali ndi matenda ashuga). Wopereka wanu akhoza kukudziwitsani za kulemera kwanu kwa inu.

Kuchita opaleshoni yochepetsa thupi kungakhale kosankha ngati muli onenepa kwambiri ndipo matenda anu ashuga samayang'aniridwa. Dokotala wanu akhoza kukuwuzani zambiri za izi.

Kuchita masewera olimbitsa thupi nthawi zonse ndibwino kwa anthu omwe ali ndi matenda ashuga. Amachepetsa shuga m'magazi. Chitani masewera olimbitsa thupi:

• Bwino magazi
• Amachepetsa kuthamanga kwa magazi

Zimathandiza kuwotcha mafuta owonjezera kuti muchepetse kunenepa kwanu. Kuchita masewera olimbitsa thupi kumatha kukuthandizaninso kuthana ndi kupsinjika komanso kusintha malingaliro anu.

Yesani kuyenda, kuthamanga, kapena kupalasa njinga kwa mphindi 30 mpaka 60 tsiku lililonse. Sankhani zochitika zomwe mumakonda ndipo mumakonda kutsatira. Bweretsani chakudya kapena msuzi ngati shuga wamagazi anu atatsika kwambiri. Imwani madzi owonjezera. Yesetsani kupewa kukhala mphindi zopitilira 30 nthawi iliyonse.

Valani chibangili cha ID cha shuga. Ngati mwadzidzidzi, anthu amadziwa kuti muli ndi matenda ashuga ndipo amatha kukuthandizani kuti mupeze chithandizo choyenera.

Nthawi zonse funsani omwe akukuthandizani musanayambe kuchita masewera olimbitsa thupi. Wothandizira anu akhoza kukuthandizani kusankha pulogalamu yochita masewera olimbitsa thupi yomwe ingakhale yotetezeka kwa inu.

Mutha kufunsidwa kuti muyang'ane shuga wanu wamagazi kunyumba. Izi zikuwuzani inu ndi omwe amakupatsani momwe zakudya zanu, masewera olimbitsa thupi, komanso mankhwala anu zikugwirira ntchito. Chida chomwe chimatchedwa mita ya glucose chimatha kupatsa kuwerengera shuga m'magazi okha.

Dokotala, namwino, kapena wophunzitsa za matenda a shuga angakuthandizeni kukhazikitsa dongosolo loyeserera kunyumba. Dokotala wanu adzakuthandizani kukhazikitsa zolinga zanu shuga.

• Anthu ambiri omwe ali ndi matenda a shuga amtundu wa 2 amafunika kuwunika shuga wawo kamodzi kapena kawiri patsiku. Anthu ena amafunika kuwunika pafupipafupi.
• Ngati shuga m'magazi anu akuyendetsa bwino, mungafunike kuwunika shuga wanu kangapo pa sabata.

Zifukwa zofunikira kwambiri zowunika shuga wanu wamagazi ndi izi:

• Onetsetsani ngati mankhwala a shuga omwe mukumwa ali ndi chiopsezo choyambitsa shuga wotsika magazi (hypoglycemia).
• Gwiritsani ntchito nambala ya shuga m'magazi kuti musinthe kuchuluka kwa insulini kapena mankhwala ena omwe mukumwa.
• Gwiritsani ntchito nambala ya shuga kuti ikuthandizireni kupanga zakudya zabwino komanso zosankha kuti muchepetse shuga wanu wamagazi.

Ngati kudya ndi kuchita masewera olimbitsa thupi sikokwanira, mungafunike kumwa mankhwala. Zithandizira kuti shuga wamagazi anu azikhala bwino.

Pali mankhwala ambiri a shuga omwe amagwira ntchito munjira zosiyanasiyana kuti muchepetse shuga wanu wamagazi. Anthu ambiri omwe ali ndi matenda a shuga amtundu wachiwiri amafunika kumwa mankhwala opitilira umodzi kuti asagwiritse ntchito shuga. Mutha kumwa mankhwala pakamwa kapena ngati kuwombera (jekeseni). Mankhwala ena a shuga sangakhale otetezeka ngati muli ndi pakati. Chifukwa chake, lankhulani ndi dokotala wanu za mankhwala anu ngati mukuganiza zokhala ndi pakati.

Ngati mankhwala sakukuthandizani kuti muchepetse shuga wamagazi, mungafunike kumwa insulin. Insulini iyenera kubayidwa pansi pa khungu. Mukalandira maphunziro apadera kuti muphunzire kudzipatsa jekeseni. Anthu ambiri amawona kuti jakisoni wa insulin ndiosavuta kuposa momwe amaganizira.

Anthu omwe ali ndi matenda ashuga ali ndi mwayi wambiri wopita kuthamanga kwa magazi komanso cholesterol. Mutha kufunsidwa kuti mutenge mankhwala kuti muteteze kapena kuchiza izi. Mankhwala atha kuphatikizira:

• ACE inhibitor kapena mankhwala ena otchedwa ARB a kuthamanga kwa magazi kapena mavuto a impso.
• Mankhwala otchedwa statin kuti mafuta anu azitsika kwambiri.
• Aspirin kuti mtima wanu ukhale wathanzi.

Osasuta kapena kugwiritsa ntchito ndudu za e-fodya. Kusuta kumawonjeza matenda ashuga. Ngati mumasuta, gwirani ntchito ndi omwe akukuthandizani kuti mupeze njira yosiya.

Matenda ashuga amatha kuyambitsa mavuto amiyendo. Mutha kupeza zilonda kapena matenda. Kuti mapazi anu akhale athanzi:

• Onetsetsani ndikusamalira mapazi anu tsiku lililonse.
• Onetsetsani kuti mwavala masokosi ndi nsapato zabwino. Onetsetsani nsapato zanu ndi masokosi tsiku lililonse kuti muwone ngati pali malo alionse omwe angayambitse zilonda kapena zilonda.

Ngati muli ndi matenda ashuga, muyenera kuwona omwe amakupatsani miyezi itatu iliyonse, kapena nthawi zambiri monga mwalangizidwa. Pa maulendo awa, omwe amakupatsani akhoza:

• Funsani za kuchuluka kwa shuga m'magazi anu (nthawi zonse tengani mita yanu ngati mukuyang'ana shuga kunyumba)
• Onani kuthamanga kwa magazi anu
• Fufuzani kumverera kwa mapazi anu
• Chongani khungu ndi mafupa a mapazi anu ndi miyendo
• Fufuzani kumbuyo kwa maso anu

Wothandizira anu amayitanitsanso kuyesa magazi ndi mkodzo kuti mutsimikizire kuti:

• Impso zikugwira ntchito bwino (chaka chilichonse)
• Mafuta a cholesterol ndi triglyceride amakhala athanzi (chaka chilichonse)
• Mulingo wa A1C uli m'malo abwino kwa inu (miyezi isanu ndi umodzi iliyonse ngati matenda anu ashuga amayendetsedwa bwino kapena miyezi itatu iliyonse ngati sichoncho)

Lankhulani ndi omwe amakupatsani za katemera aliyense amene mungafune, monga chimfine chaka chilichonse ndi chiwindi cha B ndi kuwombera chibayo.

Pitani kwa dokotala wamazinyo miyezi isanu ndi umodzi iliyonse. Komanso, onani dokotala wanu wamaso kamodzi pachaka, kapena nthawi zambiri monga mwalangizidwa.

Type 2 shuga - kuyang'anira

• Chibangili chodziwitsa zamankhwala
• Sinthani shuga wanu wamagazi

Bungwe la American Diabetes Association. 5. Kuwongolera Kusintha kwa Khalidwe ndi Moyo Wabwino Kupititsa Patsogolo Zotsatira Zaumoyo: Miyezo Ya Chithandizo Cha Zamankhwala mu Matenda A shuga-2020. Chisamaliro cha shuga. 2020; 43 (Suppl 1): S48-S65. PMID: 31862748 pubed.ncbi.nlm.nih.gov/31862748/.

Bungwe la American Diabetes Association. 11. Mavuto a Microvascular ndi Kusamalira Mapazi: Miyezo Yachipatala mu Shuga-2020. Chisamaliro cha shuga. 2020; 43 (Suppl 1): S135-S151. PMID: 31862754 pubed.ncbi.nlm.nih.gov/31862754/.

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.

Chinsinsi MC, Ahmann AJ. Mankhwala amtundu wa 2 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 35.

• Matenda a shuga 2
• Matenda a shuga mwa ana ndi achinyamata