Nthano za shuga ndi zowona zake
Matenda ashuga ndi matenda okhalitsa (thupi) omwe thupi silingathe kuwongolera kuchuluka kwa shuga (shuga) m'magazi. Matenda a shuga ndi matenda ovuta. Ngati muli ndi matenda ashuga, kapena mukudziwa aliyense amene ali nawo, mwina mungakhale ndi mafunso okhudza matendawa. Pali nthano zambiri zotchuka zokhudzana ndi matenda ashuga ndi kasamalidwe kake. Nazi zina zomwe muyenera kudziwa zokhudza matenda ashuga.
Zabodza: M'banja mwathu mulibe munthu yemwe ali ndi matenda a shuga, choncho sindidzadwala.
Zoona: Ndizowona kuti kukhala ndi kholo kapena m'bale wako yemwe ali ndi matenda a shuga kumawonjezera ngozi yakudwala matenda ashuga.M'malo mwake, mbiri ya banja ndiyomwe imayambitsa matenda ashuga amtundu wa 1 komanso matenda ashuga amtundu wa 2. Komabe, anthu ambiri omwe ali ndi matenda a shuga alibe achibale omwe ali ndi matenda a shuga.
Zosankha pamoyo wanu ndi zikhalidwe zina zitha kukulitsa chiopsezo cha mtundu wachiwiri wa matenda ashuga. Izi zikuphatikiza:
- Kukhala wonenepa kwambiri kapena wonenepa kwambiri
- Kukhala ndi prediabetes
- Matenda ovuta a Polycystic
- Matenda a shuga
- Kukhala aku Puerto Rico / Latino American, African American, American Indian, Alaska Native (ena okhala pachilumba cha Pacific ndi Asia America nawonso ali pachiwopsezo)
- Kukhala ndi zaka 45 kapena kupitirira
Mutha kuthandiza kuchepetsa chiopsezo chanu pakukhala onenepa, kuchita masewera olimbitsa thupi masiku ambiri sabata, komanso kudya zakudya zabwino.
Chonama: Ndikhoza kudwala matenda a shuga chifukwa ndinenepa kwambiri.
Zoona: Zowona kuti kunenepa kwambiri kumawonjezera mwayi wanu wokhala ndi matenda ashuga. Komabe, anthu ambiri onenepa kwambiri kapena onenepa samakhala ndi matenda ashuga. Ndipo anthu omwe ndi ochepa thupi kapena onenepa pang'ono amakhala ndi matenda ashuga. Kupambana kwanu ndikutenga njira zochepetsera chiopsezo chanu pogwiritsa ntchito zakudya zopatsa thanzi komanso zolimbitsa thupi kuti muchepetse kunenepa kwambiri.
Bodza: Ndimadya shuga wambiri, choncho ndimada nkhawa kuti ndikadwala matenda a shuga.
Zoona: Kudya shuga sikuyambitsa matenda ashuga. Koma muyenera kuchepetsa maswiti ndi zakumwa zotsekemera.
Ndizosadabwitsa kuti anthu amasokonezeka ngati shuga imayambitsa matenda ashuga. Kusokonezeka kumeneku kumatha kubwera chifukwa choti mukadya chakudya, amasandulika shuga wotchedwa glucose. Glucose, yotchedwanso shuga wamagazi, ndi gwero la mphamvu m'thupi. Insulini imasunthira shuga kuchokera m'magazi kulowa m'maselo kuti ugwiritse ntchito mphamvu. Ndi matenda a shuga, thupi silipanga insulini yokwanira, kapena thupi siligwiritsa ntchito insulini bwino. Zotsatira zake kuti shuga wowonjezerayo amakhala m'magazi, chifukwa chake kuchuluka kwa magazi m'magazi (shuga wamagazi) kumawonjezeka.
Kwa anthu omwe alibe matenda ashuga, vuto lalikulu ndikudya shuga wambiri ndikumwa zakumwa zotsekemera ndikuti zimatha kukupangitsa kukhala wonenepa kwambiri. Ndipo kunenepa kwambiri kumawonjezera chiopsezo cha matenda ashuga.
Zabodza: Ndinauzidwa kuti ndili ndi matenda a shuga, ndiye tsopano ndiyenera kudya chakudya chapadera.
Zoona: Anthu omwe ali ndi matenda a shuga amadya zakudya zomwe anthu amadya. M'malo mwake, bungwe la American Diabetes Association silikulimbikitsanso kuchuluka kwa chakudya, mafuta, kapena mapuloteni kuti adye. Koma akuwonetsa kuti anthu omwe ali ndi matenda ashuga amapeza chakudya chawo kuchokera ku masamba, mbewu zonse, zipatso, ndi nyemba. Pewani zakudya zomwe zili ndi mafuta ambiri, sodium, ndi shuga. Malangizo awa ndi ofanana ndi zomwe aliyense ayenera kudya.
Ngati muli ndi matenda ashuga, gwirani ntchito ndi omwe amakuthandizani kuti mupange dongosolo lakudya lomwe lingakuthandizeni kwambiri ndipo muzitha kutsatira mosasunthika pakapita nthawi. Dongosolo labwino komanso lokwanira lokhala ndi moyo wathanzi lidzakuthandizani kuthana ndi matenda ashuga.
Zabodza: Ndili ndi matenda a shuga, choncho sindingadye maswiti.
Zoona: Maswiti ali ndi shuga wamba, omwe amachulukitsa kuchuluka kwa shuga m'magazi anu kuposa zakudya zina. Koma alibe malire kwa anthu omwe ali ndi matenda ashuga, bola mukawakonzera. Ndibwino kusunga maswiti pazochitika zapadera kapena ngati chithandizo. Mutha kudya shuga pang'ono m'malo mwazakudya zina zomwe nthawi zambiri zimadyedwa. Ngati mutenga insulini wothandizirayo akhoza kukuphunzitsani kumwa kwambiri kuposa momwe mumadyera maswiti.
Zabodza: Dokotala wanga anandipatsa mankhwala a insulin. Izi zikutanthauza kuti sindikugwira ntchito yabwino yosamalira shuga wanga wamagazi.
Zoona: Anthu omwe ali ndi matenda a shuga amtundu woyamba ayenera kugwiritsa ntchito insulini chifukwa matupi awo satulutsanso mahomoni ofunikirawa. Mtundu wa 2 shuga umapita patsogolo, zomwe zikutanthauza kuti thupi limapangitsa kuti insulini ichepe pakapita nthawi. Chifukwa chake pakapita nthawi, kuchita masewera olimbitsa thupi, kusintha zakudya, komanso mankhwala akumwa sizingakhale zokwanira kuti shuga wanu wamagazi azitha kuyendetsa bwino. Kenako muyenera kugwiritsa ntchito insulini kuti shuga wamagazi azikhala bwino.
Zabodza: Si bwino kuchita masewera olimbitsa thupi ndi matenda a shuga.
Zoona: Kuchita masewera olimbitsa thupi nthawi zonse ndi gawo lofunikira pakuchepetsa matenda ashuga. Kuchita masewera olimbitsa thupi kumathandizira kukulitsa chidwi cha thupi lanu ku insulin. Zitha kuthandizanso kutsitsa A1C yanu, mayeso omwe amathandiza kudziwa momwe matenda anu ashuga amayendera.
Cholinga chabwino ndikukhala osachepera mphindi 150 pasabata zolimbitsa thupi molimba ngati kuyenda mwachangu. Phatikizani magawo awiri pamlungu ophunzitsira mphamvu ngati gawo lanu lochita masewera olimbitsa thupi. Ngati simunachite masewera olimbitsa thupi kwakanthawi, kuyenda ndi njira yabwino yopezera thanzi lanu pang'onopang'ono.
Lankhulani ndi omwe akukuthandizani kuti muwonetsetse kuti pulogalamu yanu yochita masewera olimbitsa thupi ndiyabwino kwa inu. Kutengera ndi matenda anu a shuga, muyenera kupewa ndikuwunika mavuto omwe muli nawo ndi maso, mtima, ndi mapazi. Komanso, phunzirani momwe mungamwe mankhwala anu mukamachita masewera olimbitsa thupi kapena momwe mungasinthire kuchuluka kwa mankhwala popewa shuga wotsika magazi.
Bodza: Ndili ndi matenda a shuga amene amachokera m'malire a dziko, choncho sindikusowa kuti ndikhale ndi nkhawa.
Zoona:Ma Prediabetes ndi mawu omwe amagwiritsidwa ntchito kwa iwo omwe magawo awo ashuga yamagazi mulibe matenda ashuga koma amakhala okwera kwambiri kuti angatchulidwe kuti ali abwinobwino. Ma Prediabetes amatanthauza kuti muli pachiwopsezo chachikulu chotenga matenda ashuga mzaka 10. Mutha kutsitsa shuga m'magazi anu pang'ono pochepetsa thupi lanu komanso kuchita masewera olimbitsa thupi mphindi 150 pasabata.
Lankhulani ndi omwe akukuthandizani za chiopsezo chanu cha matenda ashuga komanso zomwe mungachite kuti muchepetse chiopsezo chanu.
Bodza: Nditha kusiya kumwa mankhwala ashuga shuga yanga itayamba kugwidwa.
Zoona: Anthu ena omwe ali ndi matenda ashuga amtundu wa 2, amatha kuchepetsa shuga wamagazi popanda mankhwala pochepetsa thupi, kudya chakudya chopatsa thanzi, komanso kuchita masewera olimbitsa thupi pafupipafupi. Koma matenda ashuga ndi omwe amapita patali, ndipo pakapita nthawi, ngakhale mutachita zonse zomwe mungathe kuti mukhale athanzi, mungafunike mankhwala kuti shuga wanu wamagazi azikhala momwe mulili.
Matenda a shuga - nthano wamba ndi zowona; Zikhulupiriro zowonjezera shuga m'magazi komanso zowona
Bungwe la American Diabetes Association. Miyezo Yachipatala mu Matenda A shuga - 2018. Chisamaliro cha shuga. 2018; 41 (Suppl 1).
Kliegman RM, Stanton BF, St Geme JW, Schor NF. Matenda a shuga. Mu: Kliegman RM, Stanton BF, St Geme JW, Schor NF, olemba. Nelson Textbook of Pediatrics. Wolemba 12. Philadelphia, PA: Elsevier; 2016: chap 589.
Marion J, Franz MS. Thandizo la matenda ashuga: Kuchita bwino, ma macronutrients, momwe amadyera komanso kuwongolera kunenepa. Ndine J Med Sci. 2016; 351 (4): 374-379. PMID: 27079343 www.ncbi.nlm.nih.gov/pubmed/27079343.
Waller DG, Sampson AP. Matenda a shuga. Mu: Waller DG, Sampson AP, eds. Medical Pharmacology & Therapeutics. 5th ed. Philadelphia, PA: Elsevier; 2018: mutu 40.
- Matenda a shuga