Matenda a shuga ndi mitsempha

Kuwonongeka kwa mitsempha komwe kumachitika mwa anthu omwe ali ndi matenda ashuga kumatchedwa matenda ashuga. Matendawa ndi vuto la matenda ashuga.

Mwa anthu omwe ali ndi matenda ashuga, mitsempha ya thupi imatha kuwonongeka chifukwa chotsika magazi komanso shuga wambiri. Vutoli limakhala lotheka kwambiri ngati kuchuluka kwa shuga m'magazi sikuyendetsedwa bwino pakapita nthawi.

Pafupifupi theka la anthu omwe ali ndi matenda a shuga amadwala mitsempha. Zizindikiro nthawi zambiri sizimayamba mpaka patadutsa zaka zambiri matenda ashuga atapezeka. Anthu ena omwe ali ndi matenda ashuga omwe amakula pang'onopang'ono amakhala ndi kuwonongeka kwamitsempha akamapezeka koyamba.

Anthu omwe ali ndi shuga nawonso ali pachiwopsezo chachikulu cha mavuto ena amitsempha omwe samayambitsidwa ndi matenda awo ashuga. Mavuto ena amitsempha awa sadzakhala ndi zisonyezo zomwezi ndipo apita patsogolo mosiyana ndi kuwonongeka kwa mitsempha yoyambitsidwa ndi matenda ashuga.

Zizindikiro nthawi zambiri zimayamba pang'onopang'ono mzaka zambiri. Mitundu yazizindikiro zomwe muli nazo zimadalira mitsempha yomwe imakhudzidwa.

Mitsempha ya kumapazi ndi miyendo imakhudzidwa nthawi zambiri. Zizindikiro nthawi zambiri zimayambira kumapazi ndi kumapazi, ndipo zimaphatikizapo kuyimba kapena kuwotcha, kapena kupweteka kwambiri. Popita nthawi, kuwonongeka kwa mitsempha kumatha kuchitika zala ndi manja. Pamene kuwonongeka kukukulirakulira, mosakayikira mudzataya kumva zala zanu zakumapazi, mapazi, ndi miyendo. Khungu lako lidzakhalanso dzanzi. Chifukwa cha izi, mutha:

• Osazindikira mukaponda china chakuthwa
• Sindikudziwa kuti muli ndi chithuza kapena kachetechete
• Osazindikira pomwe mapazi kapena manja anu akhudza chinthu chotentha kwambiri kapena chozizira
• Mukhale ndi mapazi owuma kwambiri ndi osweka

Pamene mitsempha yomwe imayendetsa chimbudzi ikukhudzidwa, mutha kukhala ndi vuto lokumba chakudya (gastroparesis). Izi zitha kupangitsa kuti matenda anu ashuga akhale ovuta kuwongolera. Kuwonongeka kwa mitsempha yomwe imayendetsa chimbudzi nthawi zambiri kumachitika mwa anthu omwe ali ndi mitsempha yambiri m'miyendo ndi m'miyendo. Zizindikiro zamavuto chimbudzi ndi monga:

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

Mitsempha ya mtima ndi mitsempha ikawonongeka, mutha:

• Khalani opanda mutu mukayimirira (orthostatic hypotension)
• Khalani ndi kugunda kwamtima mwachangu
• Osazindikira angina, kupweteka pachifuwa komwe kumachenjeza za matenda amtima komanso matenda amtima

Zizindikiro zina za kuwonongeka kwa mitsempha ndi:

• Mavuto azakugonana, omwe amachititsa kuti amuna azikhala osachedwa kukanika komanso kuuma kwa nyini kapena mavuto azimayi.
• Kusakhoza kudziwa pomwe shuga lanu lamagazi latsika kwambiri.
• Mavuto a chikhodzodzo, omwe amachititsa kuti mkodzo uduluke kapena kusakwanitsa kutulutsa chikhodzodzo.
• Kutuluka thukuta kwambiri, ngakhale kutentha kukazizira, mukamapuma, kapena munthawi zina zosazolowereka.
• Mapazi otuluka thukuta kwambiri (kuwonongeka kwa mitsempha koyambirira).

Wothandizira zaumoyo adzayesa. Mayeso atha kupeza kuti muli ndi izi:

• Palibe malingaliro kapena malingaliro ofooka mu akakolo
• Kutaya kumverera kumapazi (izi zimayang'aniridwa ndi chida chonga burashi chotchedwa monofilament)
• Zosintha pakhungu, kuphatikiza khungu louma, tsitsi, komanso misomali yolimba kapena yotuwa
• Kutayika kwakutha kuzindikira kusuntha kwamalumikizidwe anu (chidziwitso)
• Kutayika kwakutha kuzindikira kugwedera mu foloko yokonzekera
• Kutaya kuthekera kwakumva kutentha kapena kuzizira
  
• Kutaya magazi mukamaimirira mutakhala kapena kugona pansi

Mayeso omwe atha kulamulidwa ndi awa:

• Electromyogram (EMG), kujambula kwamagetsi paminyewa
• Mayeso a kuthamanga kwamitsempha (NCV), kujambula kwa liwiro komwe kumayendera kuyenda minyewa
• Kafukufuku wokhetsa m'mimba kuti awone momwe chakudya chimachokera m'mimba ndikulowa m'matumbo ang'onoang'ono
• Pendeketsani kuphunzira patebulo kuti muwone ngati dongosolo lamanjenje likuyendetsa bwino kuthamanga kwa magazi

Tsatirani malangizo a omwe amakupatsani momwe mungachepetsere kuwonongeka kwa mitsempha ya ashuga.

Sungani mlingo wa shuga (glucose) wamagazi mwanu:

• Kudya zakudya zabwino
• Kuchita masewera olimbitsa thupi nthawi zonse
• Kuyang'ana shuga wanu wamagazi nthawi zonse monga mwalangizidwa ndikusunga manambala anu kuti mudziwe mitundu yazakudya ndi zochitika zomwe zimakhudza kuchuluka kwa shuga m'magazi anu
• Kutenga mankhwala akumwa kapena obayidwa monga momwe woperekayo walangizira

Pofuna kuthana ndi vuto la kuwonongeka kwa mitsempha, omwe amakupatsani akhoza kukupatsirani mankhwala ochizira:

• Kupweteka kumapazi, miyendo, kapena mikono
• Nseru, kusanza, kapena mavuto ena chimbudzi
• Mavuto a chikhodzodzo
• Mavuto okonzekera kapena kuwuma kwa ukazi

Ngati mwapatsidwa mankhwala azizindikiro za kuwonongeka kwa mitsempha, dziwani izi:

• Mankhwalawa nthawi zambiri sagwira ntchito ngati shuga wamagazi nthawi zambiri amakhala okwera.
• Mukayamba mankhwalawa, auzeni omwe akukuthandizani ngati kupweteka kwa mitsempha sikukuyenda bwino.

Mukawonongeka mitsempha pamapazi anu, kumverera kwa mapazi anu kumatha kuchepetsedwa. Simungamve ngakhale pang'ono. Zotsatira zake, mapazi anu sangachiritse bwino ngati avulala. Kusamalira mapazi anu kumathandiza kuti mavuto ang'onoang'ono asakule kwambiri mpaka mutha kupita kuchipatala.

Kusamalira mapazi anu kumaphatikizapo:

• Kuyang'ana mapazi anu tsiku lililonse
• Kupima mayeso nthawi iliyonse mukawona omwe akukuthandizani
• Kuvala masokosi ndi nsapato zoyenera (funsani omwe akukuthandizani za izi)

Zinthu zambiri zingakuthandizeni kumvetsetsa zambiri za matenda ashuga. Muthanso kuphunzira njira zothanirana ndi matenda ashuga amisempha

Chithandizo chimachepetsa ululu ndikuwongolera zina.

Mavuto ena omwe angakhalepo ndi awa:

• Chikhodzodzo kapena matenda a impso
• Zilonda zam'mapazi ashuga
• Kuwonongeka kwamitsempha komwe kumabisa zizindikiro za kupweteka pachifuwa (angina) komwe kumachenjeza za matenda amtima komanso matenda amtima
• Kutaya chala, phazi, kapena mwendo podulidwa, nthawi zambiri chifukwa cha matenda omwe ali ndi mafupa omwe sachira

Itanani omwe akukuthandizani ngati mukukumana ndi vuto lililonse la matenda ashuga.

Matenda a shuga; Matenda a shuga - matenda a ubongo; Matenda a shuga - zotumphukira za m'mitsempha

• Matenda a shuga - zilonda za kumapazi
• Lembani 2 matenda ashuga - zomwe mungafunse dokotala wanu

• Matenda a shuga ndi mitsempha
• Central dongosolo lamanjenje ndi zotumphukira zamanjenje

Bungwe la American Diabetes Association. 11. Mavuto a Microvascular ndi chisamaliro cha phazi: miyezo ya chithandizo chamankhwala ashuga - 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.