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Momwe ndidadziwira matenda a shuga -ndiphunzire kukhala nawo

Momwe ndidadziwira matenda a shuga -ndiphunzire kukhala nawoGulu

Sindinadabwe nditapezeka ndi matenda a shuga a Type 2 zaka 20 zapitazo. Aliyense amene ndimamudziwa kumbali ya abambo anga anali ndi matendawa, ndipo ndinkakwaniritsa zofunikira: ukalamba komanso kunenepa pang'ono.





Chimene chinanditumiza kwa dokotala poyamba chinali matenda a yisiti omwe sakanatha, ndipo pamene kusala kwanga kwa magazi m'magazi kunabwerera pa 280, dokotala wanga nthawi yomweyo anandiika pa mitundu iwiri ya mankhwala kuti ndichepetse magulu a shuga .



Kodi mitundu yosiyanasiyana ya matenda ashuga ndi iti?

Anthu akamanena za matenda a shuga, nthawi zambiri amatanthauza matenda a shuga, atero a Rajnish Jaiswal, MD, wamkulu wothandizira pachipatala ku Metropolitan Hospital Center ku New York City. Inshuwalansi yodalira matenda a shuga (IDDM), kapena mtundu woyamba wa shuga, ndipamene thupi silimatulutsa insulini konse. Ndi matenda osadwala matenda a shuga (NIDDM), kapena mtundu wachiwiri wa shuga - womwe umakhala wofala kwambiri 85% mpaka 90% ya milandu yonse -Imadziwika ndi insulin kukana m'malo moperewera kwa insulin.

Matenda a shuga ali ndi shuga m'magazi apamwamba kuposa owerengeka koma osakwanira kuti athe kupeza matenda ashuga, malinga ndi Bungwe la American Diabetes Association .

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Ngakhale sichidziwika kwenikweni, matenda ashuga omwe amatenga msinkhu amapezeka nthawi yapakati. Ngakhale milingo ya shuga wodwala wodwalayo nthawi zambiri imabwerera mwakale pambuyo pobereka, ndikofunikira kudziwa kuti azimayi omwe ali ndi vuto la matenda ashuga ali pachiwopsezo chachikulu chotenga matenda amtundu wa Type 2 pambuyo pake.

Malinga ndi Malo Othandizira Kuletsa ndi Kupewa Matenda (CDC), zovuta za matenda ashuga zimatha kuphatikizira matenda amtima, matenda amtima, matenda a impso, kuwonongeka kwa mitsempha, kuwonongeka kwa mapazi, mavuto azaumoyo pakamwa, kumva, kusowa kwa masomphenya, komanso mavuto amisala. Mwamwayi, zambiri mwazi zimatha kupewedwa ndi kusintha kwa moyo wabwino (monga kudya bwino komanso kuchita masewera olimbitsa thupi nthawi zonse kuti mukhale wonenepa) komanso mankhwala a shuga monga mankhwala a insulin.

Matenda anga a shuga

Ndingoganiza kuti matenda anga oyamba adatengera msinkhu wanga, mbiri yabanja, komanso mawonekedwe anga. Sindinapeze inshuwaransi panthawiyo , ndipo nthambi ya zaumoyo yakomweko idayezetsa magazi, kenako nkundisamutsira kwa dokotala wakomweko. Mchemwali wanga ali ndi matenda a shuga amtundu wa Type 1 ndipo amavutika kuti magazi ake azikhala ndi shuga wathanzi. Ndinadziwa kuti sindinkafuna kuti ndidziwe matendawa. Ndidatsitsimuka nditatuluka muofesi yolembedwa matenda amtundu wa Type 2.



Ngati munthu ali wowonda bwino komanso wowoneka bwino, koma akuwonetsa zizindikilo zowopsa pakuzindikira (kuchepa kwa madzi m'thupi, kuchepa kwamikodzo, kuchepa kwambiri) wodwalayo nthawi zambiri amayesa kuyezetsa koyambirira, malinga ndi a Stephanie Redmond, Pharm.D., A co -omwe anayambitsa matenda a diabetesdoctor.com.

Komabe, ngati wodwala ndi wonenepa komanso wamkulu, akupitiliza Dr. Redmond, wina atha kungotenga mtundu wachiwiri ndikuwayesa Metformin kapena mankhwala ena am'kamwa kuti muwone ngati akuyankha. Ngati satero, ndiye kuti atha kupemphedwa kuti amalize kuyesa kwina. Ngati wodwala ali wamkulu kuposa 45 wokhala ndi BMI yayikulu, nthawi zambiri timaganiza mtundu wachiwiri ndikuyamba kulandira chithandizo mwachangu. Ndiyo njira yomwe wothandizira zaumoyo wanga adadutsa.

ZOKHUDZA: Mankhwala a shuga ndi mankhwala



Kuchiza matenda anga ashuga

Omwe ali ndi matenda a shuga amtundu wa 2 amapangabe insulin, motero amapatsidwa mankhwala, ndipo nthawi zina insulin kuti achepetse shuga. Kudya ndi kuchita masewera olimbitsa thupi nthawi zambiri kumawathandiza kwambiri, Dr. Jaiswal akuti.

Popeza madokotala anandiuza kuti ndili ndi matenda a shuga a mtundu wachiwiri, njira yanga yoyamba yothandizira imawonetsa izi. Anandipatsa mankhwala akumwa othandiza kuchepetsa shuga m'magazi, koma sizinagwire ntchito mokwanira kuti manambala anga akwaniritsidwe. Ndinagwiritsanso ntchito insulini ya basal / bolus (yotenga nthawi yayitali) insulini komanso nthawi yakudya (mwachangu) insulin.



Zakudya nthawi zonse zimakhala gawo lovuta kwambiri kuthana ndiulendo wanga wamatenda a shuga. Ndimakonda kwambiri mbatata kuposa masaladi. Koma, popita nthawi, ndaphunzira kuti kudziletsa ndichofunikira pakusankha kwanga chakudya. Sindimakhala ndi chizolowezi chodya maswiti, koma nthawi zina ndimakonda ayisikilimu wambiri. Mwamwayi, ndimakonda kuyenda ndipo ndimatero tsiku lililonse.

Patapita nthawi, ndinakana kumwa mapiritsi. Ndinayesa mitundu ingapo, ndipo sanali kulamulira mkhalidwe wanga. Osanenapo, adayambitsa zovuta zina zoyipamonga kunenepa komanso mavuto am'mimba.



Chaka chatha,Ndidalandira mayeso a C-peptide omwe amayesa insulin m'mapiko. Kuyezetsa kwanga kunabweranso ndili wopanda vuto, ndipo ndinazindikira kuti ndakhala ndikudwala matenda a shuga a mtundu woyamba nthawi yonseyi.Anthu omwe ali ndi matenda a shuga amtundu wa 1 amafunika kuwombera insulini pafupipafupi, atero Dr. Jaiswal. Idafotokoza chifukwa chomwe ndimamvera bwino ndikamamwa insulin.

Kunena zowona, ngakhale ndimachita mantha ndi matendawa, ndine wokondwa kuti ndili pa njira yoyenera ndi chithandizo. Kupsinjika kwa kuyesa mankhwala atsopano sikunali kwabwino kwa ine, ndipo nthawi zonse ndinkapeza mapaundi asanu mpaka asanu ndikasintha mankhwala.



ZOKHUDZA: Kodi insulin imawononga ndalama zingati?

Kukhala ndi matenda ashuga

Chimodzi mwazinthu zomwe nthawi zina zimasowa ndikuti matenda ashuga, ngakhale ali matenda, amathanso kukhala ndi mavuto m'maganizo, akufotokoza Dr. Jaiswal. Kungakhale matenda osaneneka ndipo kungayambitse kupsinjika, kukhumudwa, nkhawa. Kugawana zakukhosi kwanu ndi madotolo ndikothandiza ndipo kuyankhula ndi aphungu, ogwira nawo ntchito, komanso mabanja ndichinthu chofunikira kwambiri pakapangidwe kake. Mwanjira ina, musayese kupita nokha. Funsani thandizo kuchokera ku gulu lanu lachipatala, abwenzi, komanso magulu othandizira. Vutoli limakhala nanu kwa moyo wanu wonse, ndipo atha kukuthandizani nthawi zikakhala zovuta.

Palibe amene amadziwa thupi lanu kuposa inu. Ngati simuli omasuka ndi chisamaliro chomwe muli nacho pakadali pano, kambiranani moona mtima ndi omwe amakuthandizani pa zaumoyo. Ndipo, tengani nsonga kuchokera m'nkhani yanga: Onetsetsani kuti mukudziwa motsimikiza mtundu wa matenda ashuga omwe muli nawo pakuthandizira kwambiri kwa matenda ashuga kwakanthawi.