Kodi ma 3 P a shuga ndi ati?

Zamkati

• Kutanthauzira mosavuta, ma P atatuwa ndi:
• Polydipsia
• Polyuria
• Polyphagia
• Matendawa
• Chidziwitso chokhudza prediabetes
• Chithandizo
• Nthawi yoti muwonane ndi dokotala
• Mfundo yofunika

Mu Meyi 2020, adalimbikitsa kuti ena opanga metformin awonjezere kutulutsa ena mwa mapiritsi awo kumsika waku US. Izi ndichifukwa choti mulingo wosavomerezeka wa khansa yotenga khansa (wothandizira khansa) udapezeka m'mapiritsi ena a metformin. Ngati mukumwa mankhwalawa, itanani woyang'anira zaumoyo wanu. Adzakulangizani ngati mupitiliza kumwa mankhwala anu kapena ngati mukufuna mankhwala atsopano.

Mudamvapo za ma P atatu a matenda ashuga? Nthawi zambiri zimachitika limodzi ndipo ndizizindikiro zitatu za matenda ashuga.

Kutanthauzira mosavuta, ma P atatuwa ndi:

• polydipsia: kuwonjezeka kwa ludzu
• polyuria: kukodza pafupipafupi
• polyphagia: chilakolako chofuna kudya

Tikambirana za ma P atatuwa mwatsatanetsatane, ndikufotokozera momwe amawapezera ndi kuwathandizira komanso nthawi yomwe muyenera kuwona dokotala wanu.

Polydipsia

Polydipsia ndi mawu omwe amagwiritsidwa ntchito pofotokoza ludzu lokwanira. Ngati mukukumana ndi polydipsia, mutha kumva ludzu nthawi zonse kapena mumakhala ndi kamwa yowuma.

Kwa anthu omwe ali ndi matenda ashuga, polydipsia imayamba chifukwa cha kuchuluka kwa magazi m'magazi. Magazi a shuga akafika msinkhu, impso zanu zimatulutsa mkodzo wambiri kuti muchotse shuga mumthupi lanu.

Pakadali pano, chifukwa thupi lanu likutaya madzi, ubongo wanu umakuwuzani kuti mumwe zochulukirapo kuti muthe kusintha zina. Izi zimabweretsa kumverera kwa ludzu lalikulu logwirizana ndi matenda ashuga.

Kukhalabe ndi ludzu kungayambitsenso:

• kusowa kwa madzi m'thupi
• osmotic diuresis, kuwonjezeka kwa kukodza chifukwa cha kuchuluka kwa shuga kulowa m'machubu za impso zomwe sizingabwezeretsedwe, zomwe zimapangitsa kuti madzi achuluke mumachubu
• mavuto azaumoyo, monga psychogenic polydipsia

Polyuria

Polyuria ndi mawu omwe amagwiritsidwa ntchito mukamadutsa mkodzo kuposa momwe umakhalira. Anthu ambiri amatulutsa mkodzo wa 1-2 malita patsiku (1 litre amafanana ndi makapu 4). Anthu omwe ali ndi polyuria amapanga mkodzo wopitilira 3 malita tsiku limodzi.

Magazi a shuga akakhala okwera kwambiri, thupi lanu limayesa kuchotsa shuga wambiri kudzera pokodza. Izi zimathandizanso impso zanu kusefa madzi ochulukirapo, zomwe zimapangitsa kuti pakufunika kukodza kwambiri.

Kupititsa mkodzo wambiri kumatha kuphatikizidwanso ndi zinthu zina kupatula matenda ashuga, kuphatikiza:

• mimba
• matenda a shuga insipidus
• matenda a impso
• kuchuluka kwa calcium, kapena hypercalcemia
• mavuto azaumoyo, monga psychogenic polydipsia
• kumwa mankhwala monga okodzetsa

Polyphagia

Polyphagia imalongosola njala yochulukirapo. Ngakhale tonsefe tikhoza kumva kuwonjezeka kwa njala nthawi zina - monga titachita masewera olimbitsa thupi kapena ngati sitinadye kwakanthawi - nthawi zina zitha kukhala chizindikiro cha vuto.

Mwa anthu omwe ali ndi matenda ashuga, shuga sangathe kulowa m'maselo kuti agwiritse ntchito mphamvu. Izi zitha kukhala chifukwa cha kuchepa kwa insulin kapena insulin kukana. Chifukwa thupi lanu silingasinthe shuga iyi kukhala mphamvu, mudzayamba kumva njala kwambiri.

Njala yokhudzana ndi polyphagia siyimatha mutatha kudya. M'malo mwake, mwa anthu omwe ali ndi matenda ashuga osayang'aniridwa, kudya kwambiri kumangowonjezera kuchuluka kwa magazi m'magazi.

Monga polydipsia ndi polyuria, zinthu zina zimayambitsanso polyphagia. Zitsanzo zina ndi izi:

• chithokomiro chopitilira muyeso, kapena hyperthyroidism
• premenstrual syndrome (PMS)
• nkhawa
• kumwa mankhwala ena, monga corticosteroids

Matendawa

Ma P atatu a matenda a shuga nthawi zambiri, koma osati nthawi zonse, amachitika limodzi. Kuphatikiza apo, nthawi zambiri amakula msanga mu mtundu woyamba wa matenda ashuga komanso pang'onopang'ono pamtundu wachiwiri wa shuga.

Popeza ma P atatuwa ndi chisonyezero chabwino kuti magulu a shuga m'magazi anu akhoza kukhala apamwamba kuposa zachilendo, dokotala akhoza kuwagwiritsa ntchito kuti athandizire kupeza matenda ashuga. Komabe, zizindikiro zina zimatha kuchitika limodzi ndi ma P atatu.

Zizindikirozi ndi monga:

• kumverera kutopa kapena kutopa
• kusawona bwino
• kuonda kosadziwika
• kumva kumva kulasalasa kapena dzanzi m'manja ndi m'mapazi
• kuchira pang'onopang'ono kwa mabala ndi mikwingwirima
• matenda obwerezabwereza

Ngati mukukumana ndi iliyonse ya ma P atatu omwe ali ndi matenda a shuga kapena alibe, dokotala wanu amatha kuyesa kuti adziwe.

Mayeso ndi awa:

• Kuyesa magazi A1C
• kuyesa mayeso a plasma glucose (FPG)
• mayeso a plasma glucose (RPG) mwachisawawa
• Mayeso am'makomedwe am'magazi

Nthawi zonse kumakhala kofunika kukumbukira kuti zinthu zina kupatula matenda ashuga zingayambitsenso chimodzi kapena zingapo za ma P atatu. Ngati mukukumana ndi chimodzi kapena zingapo mwa izi, muyenera kuwona dokotala wanu.

Chidziwitso chokhudza prediabetes

Nanga bwanji ma P ndi ma prediabetes atatu? Prediabetes ndi pamene magazi anu a shuga amakhala apamwamba kuposa momwe ayenera kukhalira, koma osakwera mokwanira kuti adziwe mtundu wa 2 wa shuga.

Ngati muli ndi prediabetes, mwina simudzakhala ndi zizindikilo zowoneka bwino ngati ma P atatu. Chifukwa ma prediabetes atha kupezeka osazindikira, ndikofunikira kuti magazi anu azitsimikiziridwa pafupipafupi ngati muli pachiwopsezo cha mtundu wachiwiri wa shuga.

Chithandizo

Mu matenda ashuga, chifukwa cha ma P atatuwa ndichokwera kuposa magazi wamba a shuga. Mwakutero, kusunga magazi m'magazi oyendetsedwa kungathandize kuyimitsa ma P atatu.

Zitsanzo zina za njira zochitira izi ndi izi:

• kumwa mankhwala a shuga, monga insulin kapena metformin
• kuwunika pafupipafupi zinthu monga kuchuluka kwa magazi m'magazi, kuthamanga kwa magazi, ndi cholesterol
• kutsatira dongosolo labwino la kudya
• kukhala otakataka kwambiri

Pambuyo pozindikira, dokotala wanu adzagwira nanu ntchito kuti mupange dongosolo lamankhwala lomwe likugwirizana ndi vuto lanu. Pofuna kuteteza matenda anu ashuga, gwiritsitsani dongosolo lino momwe mungathere.

Nthawi yoti muwonane ndi dokotala

Ndiye ndi nthawi yanji yomwe muyenera kupanga nthawi yokaonana ndi dokotala wanu kuti mukakambirane chimodzi kapena zingapo za ma P?

Ngati mukukumana ndi kuwonjezeka kwachilendo kwa ludzu, kukodza, kapena kudya komwe kumatenga masiku angapo, muyenera kuwona dokotala wanu. Izi ndizofunikira makamaka ngati mukukumana ndi zoposa zitatu za ma P.

Komanso kumbukirani kuti iliyonse ya ma P atatu iliyonse imatha kuchitika payokha ngati chizindikiro cha zinthu zina kupatula matenda ashuga. Ngati mukukumana ndi zizolowezi zatsopano, zolimbikira, kapena zokhudzana ndi izi, muyenera nthawi zonse kukakumana ndi dokotala wanu kuti athe kukuyesani.

Mfundo yofunika

Ma P atatu a matenda a shuga ndi polydipsia, polyuria, ndi polyphagia. Mawu awa amafanana ndi kuchuluka kwa ludzu, kukodza, ndi kudya, motsatana.

Ma P atatu nthawi zambiri - koma osati nthawi zonse - amachitika limodzi. Ndi chisonyezero chokwera kwambiri kuposa milingo ya shuga m'magazi ndipo ndi zina mwazizindikiro zodziwika bwino za matenda ashuga.

Ngati mukukumana ndi imodzi kapena zingapo mwa ma P atatu, muyenera kukakumana ndi dokotala wanu kuti mukambirane za zomwe mukudziwa.