Type 2 Shuga: Maupangiri A Dotolo Kusankhidwa Bwino

Zamkati

• Momwe mungakonzekerere
• Patsiku lomwe mwasankhidwa
• Zomwe mungagawe ndi dokotala wanu
• Khalani owona mtima ndipo mubwere okonzeka kunena zoona, ngakhale zitakhala zochititsa manyazi.
• Osachita manyazi - adotolo ndiogwirizana ndi thanzi lanu ndipo amatha kuthandizira zambiri kuposa momwe mukuzindikira.
• Mafunso ofunsidwa kawirikawiri
• 1. Kodi A1C amatanthauza chiyani?
• 2. Chifukwa chiyani A1C ili ndi vuto?
• 3. Kodi ndiziwunika liti shuga wamagazi kunyumba?
• 4. Kodi A1C wanga ndi shuga wamagazi zikhale chiyani?
• 5. Ndi mayeso ena ati omwe ndiyenera kukhala nawo?
• Zakumapeto

Kodi mukapimidwe ndi dokotala wanu za matenda anu ashuga? Upangiri Wathu Wosankhidwa Wabwino udzakuthandizani kukonzekera, kudziwa zomwe mungapemphe, komanso kudziwa zomwe mungapatse kuti mupindule kwambiri ndi ulendo wanu.

Momwe mungakonzekerere

• Kaya mumasunga shuga wamagazi papepala kapena pafoni yanu, tengani manambala kuti muwonetse dokotala wanu. Ngati glucometer yanu (yowunika magazi) imasunga kuwerenga kukumbukira, mutha kubweretsanso.
• Ngati mungayeze ndikulemba kuthamanga kwa magazi kwanu, onetsetsani kuti mwabweretsa zolembedwazo.
• Bweretsani mndandanda wosinthika, wolondola wa mankhwala onse omwe mukumwa pakadali pano pazachipatala zilizonse - osati matenda ashuga okha. Izi zimaphatikizapo mankhwala owonjezera, komanso mankhwala azitsamba. Mndandanda wapano ndi wofunikira kwambiri mukawona madotolo angapo omwe amakupatsani mankhwala. (Ngati mulibe nthawi yoti mupeze mndandanda wosinthika, tengani mabotolo enieni azachipatala mukadzacheza.)
• Pokhapokha mukauzidwa mosiyana, imwani mankhwala anu onse tsiku lomwe mwasankhidwa.
• Lembani katemera wanu wotsiriza komanso kuyezetsa khansa, kuti dokotala wanu athe kutsimikiza kuti mwakhala mukusintha komanso simukusowa chilichonse chofunikira.

Patsiku lomwe mwasankhidwa

• Valani zovala zomwe zingakupangitseni kuyesedwa kosavuta (pokhapokha ngati mwasankha telehealth, inde). Izi zikutanthauza kuvala top yomwe mutha kuchotsa kapena imodzi yokhala ndi manja omasuka omwe mutha kukulunga mosavuta. Kupenda mapazi anu ndi gawo lofunikira paulendowu chifukwa matenda ashuga amatha kubweretsa zovuta zamapazi. Onetsetsani kuti mutha kuchotsa masokosi ndi nsapato zanu mosavuta. Muthanso kufunsidwa kuti musinthe chovala.
• Kaya muyenera kudya musanapite kukadalira mayesero omwe dokotala adzaitanitse tsikulo (pokhapokha mutapatsidwa telehealth). Mayeso a A1C komanso cholesterol ambiri sangakhudzidwe ndi zomwe mumadya pachakudya cham'mawa. Koma magazi m'magazi ndi milingo ya triglyceride imakwera mutangomaliza kudya. Komabe, kungakhale kosavomerezeka kudya chakudya cham'mawa ngati mumamwa mankhwala enaake. Ngati mukukaikira, itanani ofesi ya dokotala musanapite kukaona kuti mutsimikizire.
• Ngati muli ndi womusamalira yemwe akutenga nawo mbali pazachipatala, kukhala ndi munthu amene mudzakhale naye pothandizirako kumatha kukhala kothandiza. Afunseni kuti akulembereni, chifukwa zingakhale zovuta kukumbukira zonse zomwe dokotala wanena.
• Bweretsani mndandanda wa mafunso omwe mukufuna kufunsa adotolo. Nthawi zina zimakhala zosavuta kuiwala zomwe umafuna kufunsa.

Zomwe mungagawe ndi dokotala wanu

Khalani owona mtima ndipo mubwere okonzeka kunena zoona, ngakhale zitakhala zochititsa manyazi.

• Kunena zowona mtima zakusinthasintha kwanu tsiku ndi tsiku pakumwa mankhwala anu ashuga. Ayenera kudziwa chifukwa zingakhudze momwe angachitire. Mwachitsanzo, ngati manambala a shuga m'magazi ndi okwera kwambiri ndipo simunamwe mankhwala ena, dokotala wanu ayenera kudziwa zovuta zomwe zimayambitsa kuti akuthandizeni. Ndibwino kuti pamapeto pake mungonena zoona, ngakhale zitakhala zochititsa manyazi.
• Mbiri yanu ndi mankhwala ashuga am'mbuyomu. Kudziwa kuti mankhwala ali ndi chiyani ndipo sanagwirepo ntchito m'mbuyomu kumathandiza dokotala kudziwa njira zabwino kwambiri masiku ano.
• Zakudya zanu. Kodi mukuvutika kupeza chakudya chopatsa thanzi chomwe sichingakoleze magazi anu? Zithandiza dokotala wanu kumvetsetsa momwe mankhwala anu akugwirira ntchito. Angakupatseni malingaliro kapena kutumizidwa kwa katswiri wazakudya yemwe angakuthandizeni.
• Zizolowezi zanu zolimbitsa thupi. Mukugwira ntchito bwanji tsiku ndi tsiku? Kodi muli ndi malo abwino kuchitirako masewera olimbitsa thupi? Kuchita masewera olimbitsa thupi ndikofunikira monga mankhwala aliwonse, choncho dokotala adziwe ngati mukukumana ndi zovuta.
• Matenda aliwonse kapena matenda aposachedwa omwe sangadziwe.

Osachita manyazi - adotolo ndiogwirizana ndi thanzi lanu ndipo amatha kuthandizira zambiri kuposa momwe mukuzindikira.

• Khalani owona mtima pazovuta zanu. Aliyense ali ndi vuto losiyanasiyana ndi matenda ashuga. Madokotala sangadziwe zomwe mukukumana nazo pokhapokha mutanena kanthu.
• Funsani za zovuta za matenda ashuga. Ngati matenda a shuga amakhalabe osalamulirika, amatha kubweretsa mavuto m'maso mwanu, impso, ndi misempha. Dokotala wanu akhoza kutsimikiza kuti mumvetsetsa zoopsa zanu ndipo akuchita zonse zomwe mungathe.
• Pali kafukufuku wambiri wokhudza momwe angachiritse matenda ashuga. Funsani dokotala ngati mukupeza chithandizo chabwino kwambiri. Kodi ndimamwa mankhwala abwino kwambiri a shuga? Kodi zotsatira zake zingakhale zotani?
• Inshuwalansi sikuti imaphimba mankhwala anu nthawi zonse. Ngakhale ataphimbidwa, mtengo wakunja ndiwokwera kwambiri kwa anthu ambiri. Ngati mukuvutika kulipira mankhwala anu ashuga, auzeni dokotala wanu. Pali makuponi, mapulogalamu othandizira mankhwala, ndi njira zina zowapangitsira kuti azigula.
• Ndikosavuta kuthedwa nzeru mukakhala ndi matenda osadwala ngati matenda ashuga. Ngakhale kuti nthawi yanu yambiri ndi mphamvu zimayang'ana thanzi lanu, osanyalanyaza thanzi lanu lamaganizidwe. Lankhulani ndi dokotala wanu ngati mukukumana ndi nkhawa kapena kukhumudwa.

Mafunso ofunsidwa kawirikawiri

M'munsimu muli mafunso omwe amayenera kuti ayankhidwe kale. Onetsetsani kuti mumvetsetsa zonse zomwe zili pansipa ndikuwonjezera pamndandanda wa mafunso anu kwa dokotala ngati pali chilichonse chomwe simukutsimikiza.

1. Kodi A1C amatanthauza chiyani?

A1C ndiyeso lamagazi lomwe limapereka chidziwitso chokhudza shuga wanu wamagazi m'miyezi itatu yapitayi. Mayina ena a A1C amaphatikizapo hemoglobin A1C, HbA1C, kapena glycohemoglobin. (Glucose m'magazi anu amaphatika ndi puloteni yotchedwa hemoglobin.) A1C imayesa kuchuluka kwa mamolekyulu a hemoglobin omwe amakhala ndi glucose. Ndicho chifukwa chake zotsatira zake zimanenedwa kuti ndi peresenti, monga 6.8 peresenti. Kuchuluka kwa magazi m'magazi anu m'miyezi itatu yapitayi, kumakweza A1C yanu.

Mutha kuyesedwa nthawi iliyonse, ngakhale mutangodya, chifukwa kuchuluka kwa shuga wamagazi anu pakamayesedwa sikungakhudze kwambiri A1C. Maofesi ena a madotolo amatha kuyeza A1C ndi chala m'malo mokoka magazi pamitsempha. Matenda ena kupatula matenda ashuga angakhudze A1C yanu. Lankhulani ndi dokotala wanu kuti muwone ngati muli ndi zina mwazimenezo.

2. Chifukwa chiyani A1C ili ndi vuto?

Ndikosavuta kwa odwala ndi madotolo kuti aziyang'ana pa A1C osatenga nthawi yolankhula zakufunika kwake. Kutalika kwa A1C, kumawonjezera chiopsezo chokhala ndi mavuto ena ashuga m'maso mwanu, impso, ndi mitsempha.

Maso: Retinopathy ndi matenda a diso. Diso lake ndi lochepa kumbuyo kwanu komwe kumatha kumva kuwala. Matenda opatsirana mwamphamvu, osachiritsidwa amatha kuchepetsa masomphenya anu ngakhale kupangitsa khungu.

Impso: Nephropathy ndi matenda a impso. Zizindikiro zimaphatikizapo kuchuluka kwa mapuloteni mumkodzo komanso kuchuluka kwa zinyalala zamagazi. Kuwonongeka kwakukulu kungayambitse impso kulephera zomwe ziyenera kuthandizidwa ndi dialysis kapena impso kumuika.

Mitsempha: Matenda a m'mitsempha ndi matenda amitsempha m'mapazi kapena m'manja mwanu. Zizindikiro zake zimaphatikizapo kulira, "zikhomo ndi singano," dzanzi, ndi kupweteka.

Nkhani yabwino ndiyakuti kusungitsa magazi anu m'magazi kumachepetsa chiopsezo chanu chazovuta izi.

3. Kodi ndiziwunika liti shuga wamagazi kunyumba?

Izi zimadalira mkhalidwe wanu. Anthu ena omwe ali ndi matenda ashuga amafunika kuyang'anitsitsa magazi m'magazi kangapo patsiku, pomwe ena amangofunika kuwunika kamodzi tsiku lililonse kapena kangapo.

Ngati mukuyang'ana magazi m'magazi kunyumba, nthawi zina zowunika zimapereka chidziwitso chofunikira kwambiri. Kuyang'ana shuga wamagazi musanadye chakudya cham'mawa (mwachitsanzo, pamimba yopanda kanthu) ndichinthu chofunikira tsiku ndi tsiku momwe matenda anu ashuga amayendetsedwera.

Anthu omwe amatenga mitundu ina ya insulini angafunike kuyang'ana shuga wamagazi musanadye. Nthawi ina yabwino yowunika ndi 1 mpaka 2 maola mutadya. Nambalayi imakuwuzani momwe thupi lanu likuyankhira ndikusintha kuchuluka kwa magazi m'magazi omwe amapezeka mukamadya. Kuwonanso shuga wamagazi musanagone ndizofala.

Pomaliza, ngati mukudwala, ndibwino kuti muyang'ane magazi anu m'magazi. Nthawi zina zizindikiro zimayambitsidwa ndi kutsika kwambiri kwa shuga kapena shuga wambiri. Komabe, itha kugwiranso ntchito mbali ina. Matenda omwe amachititsa kuti magazi m'magazi anu aziwombera.

4. Kodi A1C wanga ndi shuga wamagazi zikhale chiyani?

Anthu akamachiritsidwa matenda ashuga ndi mankhwala, madokotala samangokhala ndi "zachilendo" A1C kapena manambala a shuga m'magazi. Kwa anthu ambiri omwe ali ndi matenda ashuga, cholinga cha A1C chochepera pa 7% ndichoyenera. Kukhala ndi A1C pansi pa 7 peresenti kumachepetsa chiopsezo chanu cha matenda ashuga.

Powerengera magazi m'magazi, magulu athanzi ndi 80 mpaka 130 mg / dL musanadye komanso ochepera 180 mg / dL mukayesedwa 1 mpaka 2 maola mutadya. Komabe, achikulire ena komanso anthu omwe ali ndi matenda osachiritsika amakhala ndi zovuta zoyipa zochokera ku mankhwala ashuga ngati mlingowu ndiwokwera kwambiri. M'mikhalidwe imeneyi, madokotala amalimbikitsa milingo yayikulu ya A1C ndi magazi m'magazi.

5. Ndi mayeso ena ati omwe ndiyenera kukhala nawo?

Chisamaliro chabwino cha matenda a shuga sichimangoganizira za milingo ya shuga. Mayesero angapo amalimbikitsidwa kuwunika zovuta za matenda ashuga.

Izi zikuphatikiza mayeso am'maso, mayeso a phazi, ndi kuyesa kwa labu kwa mapuloteni amkodzo, cholesterol, ndi ntchito ya impso. Kuyeza ndi kuchiza kuthamanga kwa magazi ndikofunikanso chifukwa kuphatikiza kwa matenda ashuga komanso kuthamanga kwa magazi kumawonjezera chiopsezo chodwala matenda a mtima, sitiroko, kapena matenda a impso.

Zakumapeto

A1C ndi kuyesa magazi komwe kumakupatsirani chidziwitso chokhudza kuchuluka kwa magazi m'magazi m'miyezi itatu yapitayi. Mayina ena a A1C amaphatikizapo hemoglobin A1C, HbA1C, kapena glycohemoglobin. (Glucose m'magazi anu amadziphatikiza ndi puloteni yotchedwa hemoglobin.) A1C imayesa kuchuluka kwa mamolekyulu a hemoglobin omwe amaphatikana ndi shuga. Ndicho chifukwa chake zotsatira zake zimanenedwa kuti ndi peresenti, monga 6.8 peresenti. Kuchuluka kwa magazi m'magazi anu m'miyezi itatu yapitayi, kumakweza A1C yanu. Mutha kuyesedwa nthawi iliyonse, ngakhale mutangodya, chifukwa kuchuluka kwa shuga wamagazi anu pakamayesedwa sikungakhudze kwambiri A1C. Maofesi ena a madotolo amatha kuyeza A1C ndi chala m'malo mokoka magazi pamitsempha. Matenda ena kupatula matenda ashuga angakhudze A1C yanu. Lankhulani ndi dokotala wanu kuti muwone ngati muli ndi zina mwazimenezo.

Matenda a retinopathy ndi matenda a diso. Matenda opatsirana mwamphamvu, osachiritsidwa amatha kuchepetsa masomphenya anu ngakhale kupangitsa khungu.

Chisokonezo Matenda a impso. Zizindikiro zimaphatikizapo kuchuluka kwa mapuloteni mumkodzo komanso kuchuluka kwa zinyalala zamagazi. Kuwonongeka kwakukulu kungayambitse impso kulephera zomwe ziyenera kuthandizidwa ndi dialysis kapena impso kumuika.

Matenda a m'mitsempha Matenda am'mapazi anu kapena mmanja mwanu. Zizindikiro zake zimaphatikizapo kulira, "zikhomo ndi singano," dzanzi, ndi kupweteka.