Zizindikiro zoyambirira za 10 za matenda ashuga komanso nthawi yokawona wothandizira zaumoyo

Maphunziro a Zaumoyo

Kodi mwawona kuti posachedwapa muli ndi ludzu lopitirira — ndikupita ku bafa osayima? Mwayi kuti zakuchitikirani nthawi ina pazifukwa zina. Koma zomwe mwina simukuzindikira ndikuti pamene zizindikilo ziwirizi zikupitilira, zimatha kukhala zizindikilo za matenda ashuga, matenda omwe shuga wamagazi anu satha kuwongolera.

Opitilira 100 miliyoni aku America ali ndi matenda ashuga kapena prediabetes, malinga ndi U.S. Centers for Disease Control and Prevention (CDC) -ndipo ambiri a iwo sakudziwa kuti ali nawo. Ndi chifukwa chakuti ambiri amasowa zizindikiro zoyambirira za matenda ashuga, mwina chifukwa chakuti zizindikiro zoyambirira za matenda ashuga zimatha kukhala zofatsa sizimadziwika kapena sadziwa choti ayang'anire.

Kodi mitundu yosiyanasiyana ya matenda ashuga ndi iti?

Nthawi zambiri, thupi limagwiritsa ntchito insulin kuthandiza minofu ndi mafuta kutenga shuga (mtundu wa shuga) kuti ugwiritse ntchito ngati mphamvu, akuti Erica Weitzner , MD, katswiri wazamaphunziro ku Summit Medical Group ku New Jersey. Mukayamba matenda ashuga, thupi lanu limasiya kugwiritsa ntchito insulini moyenera, zomwe zimapangitsa kuti shuga uzikula m'magazi anu.

• Type 1 shuga zimachitika pamene kapamba wanu walephera kutulutsa insulini — chitetezo cha mthupi chimawononga maselo omwe amapanga. Poyamba ankadziwika kuti matenda a shuga a achinyamata, amatha kuchitika msinkhu uliwonse.
• Type 2 matenda ashuga imachitika pamene maselo anu samayankhanso ku insulini momwe amayenera kukhalira, ndipo insulin yowonjezera imafunikira kuti ichitenso zomwezo poyamba, Dr. Weitzner akufotokoza. Zimakhudza kwambiri achikulire.
• Matenda a shuga imachitika pamene magazi anu ashuga amakhala ochulukirapo kuposa zachilendo, koma osakwanira kuti mupezeke ndi matenda amtundu wa Type 2.
• Matenda a shuga zimachitika mahomoni a mayi wapakati akamakhudza kuthekera kwake kotulutsa insulin yokwanira mthupi lake. Kuzungulira 7% azimayi amadwala matenda ashuga obereka.

ZOKHUDZA: Mankhwala a shuga ndi mankhwala

Zizindikiro za 10 zomwe muli ndi matenda ashuga

Pali zizindikiro khumi zoyambirira za matenda ashuga malinga ndi Kafukufuku wa Ashuga Achinyamata maziko:

1. Kukodza pafupipafupi: Mukamapita ku bafa pafupipafupi kuposa nthawi zonse, zitha kutanthauza kuti impso zanu zikuyesera kuchotsa shuga wochuluka m'magazi anu.
2. Ludzu kwambiri: Mumataya madzi ambiri mukamagwiritsa ntchito chimbudzi nthawi zonse. Izi zitha kubweretsa kuchepa kwa madzi m'thupi ndikuyamba kumva ludzu, lomwe limatha kuyambitsa kumwa madzi ambiri (ndikupita kuchimbudzi kwambiri).
3. Pakamwa pouma kapena khungu louma: Kuperewera kwa madzi m'thupi kumatha kupangitsa pakamwa pako kumveka ngati chipululu ndikupangitsa khungu lanu kumverera molimba kapena kuyabwa.
4. Kutopa kapena kufooka: Kufooka kwakukulu, kutopa, kapena kugona kungakhale zizindikilo zakuti shuga wanu wamagazi watha. Izi zingayambitse chizungulire — kapena ngakhale kukomoka — ngati shuga wako wamagazi ayamba kukhala okwera kwambiri kapena otsika kwambiri. Anthu ena amafooka kwambiri mpaka kutaya chikumbumtima ndipo amalephera kukhalanso ndi chidziwitso. Izi nthawi zina zimatchedwa a chikomokere cha ashuga , ndipo itha kukhala vuto lowononga moyo.
5. Kuchuluka kwa njala kapena kuchepa kosadziwika: Ngati thupi lanu likulephera kupeza mphamvu zokwanira pokonza shuga mu chakudya chomwe mukudya mungaone kuwonjezeka kwachilendo kwa njala yanu kapena ngakhale kuwonda kwadzidzidzi komanso kosadziwika.
6. Kudula pang'onopang'ono: Kuchuluka kwa shuga m'magazi kumatha kuumitsa mitsempha yanu yamagazi, zomwe zimapangitsa kuti magazi azingoyenda mozungulira thupi lanu. Kuyenda kosavomerezeka kumatanthauza kuti mikwingwirima kapena zilonda zazing'ono zimachira pang'onopang'ono.
7. Matenda a yisiti: Yisiti amadyetsa shuga. Mukakhala ndi shuga wambiri m'thupi lanu, zimatha kuyambitsa yisiti yochulukirapo-ya abambo ndi amai.
8. Ululu kapena dzanzi kumapeto: Kuwonongeka kwa mitsempha kumachitika mwa odwala matenda ashuga, chifukwa cha shuga wambiri wamagazi komanso mafuta ambiri. Izi zitha kuyambitsa kuwonongeka kwa mitsempha, yomwe imadziwikanso kuti matenda a shuga . Mutha kuwona kumenyera m'manja ndi m'miyendo. Kuwonongeka kwa mitsempha kumakhudzanso ziwalo zamkati, monga chikhodzodzo.
9. Masomphenya akusintha: Kusintha kwa maso kumatha kukhala koyambirira kwa matenda amaso ashuga . Matenda ashuga osachiritsidwa, kapena matenda osagwidwa bwino ashuga, amatha kubweretsa zovuta m'maso, ngakhale khungu.
10. Zokoma, kapena mpweya wonunkhira bwino: Thupi lanu likamafuna kuchotsa shuga wambiri, limatha kupangitsa mpweya wanu kukhala wonunkhira bwino chifukwa cha ma ketoni apamwamba.

ZOKHUDZA: Kodi misinkhu ya shuga wamagazi ndi yotani?

Matenda a shuga amtundu wa 1 amatha kuwoneka modzidzimutsa ndi masiku ochepa kapena milungu ingapo yazizindikiro kapena akumva kudwala, Dr. Weitzner akuti. Nthawi zina zizindikiro za matenda a shuga zimayamba mwadzidzidzi mu mtundu wachiwiri wa shuga; koma nthawi zambiri imayamba pang'onopang'ono ndi anthu ena omwe ali ndi zizindikilo kwa miyezi asanapezeke. Palinso zochitika za matenda a shuga a pancreatic, omwe nthawi zina zimachitika Pambuyo pochotsa kapamba.

Zizindikiro zochenjeza matenda ashuga zimadalira mtundu wa matenda omwe mukukulawo. Pulogalamu ya Bungwe la American Diabetes Association ndipo Mgwirizano wa Amayi Achimereka fotokozani mwatsatanetsatane za zizindikilo zamitundu yosiyanasiyana ya matenda ashuga, pansipa pali chidule.

Chizindikiro	Type 1 shuga	Type 2 matenda ashuga	Matenda a shuga	Matenda a shuga
Kukodza Pafupipafupi	+	+	+	+
Ludzu kwambiri	+	+	+	+
Pakamwa pouma kapena khungu louma	+	+	+	+
Kutopa kapena kufooka	+	+	+	+
Kuchuluka kwa njala kapena kuchepa kosadziwika bwino *	+	+	+	+
Kudula pang'onopang'ono	+	+	+	+
Matenda a yisiti	+	+
Ululu kapena dzanzi kumapeto		+	+
Masomphenya akusintha	+	+	+	+
Zokoma, kapena mpweya wonunkhira bwino	+	+	+	+

* Kuchepetsa thupi mosadziwika bwino nthawi zambiri kumakhala chizindikiro cha Matenda a shuga a mtundu woyamba.

Kodi matenda ashuga osadziwika samva bwanji?

Kuphatikiza pa zizindikiro zomwe zili pamwambapa, mutha kumva kuti mukulephera kapena ngati mulibe kilter ngati mukudwala matenda ashuga. Nthawi zambiri ndimadandaula kuti odwala anga samangomva, akufotokoza Patrick McEneaney , DPM, dokotala wamankhwala wodziwika bwino pa matenda ashuga ku Chicago ndi CEO wa Northern Illinois Foot ndi Ankle Specialists. Kumverera mopepuka, chizungulire, kufooka, kunyansidwa, ndi ludzu kungakupangitseni kumva kuti mulibe thanzi — ndipo izi zonse ndi zizindikiro za matenda a shuga.

Kodi chiopsezo cha matenda ashuga ndi chiani?

Ngati muli pachiwopsezo chachikulu cha matenda ashuga, muyenera kukhala tcheru kwambiri pazizindikiro zoyambirira za matenda ashuga.

Mtundu 1 matenda oopsa ashuga

Malinga ndi CDC , Mbiri ya banja komanso msinkhu wachinyamata zitha kukulitsa chiopsezo cha mtundu woyamba wa matenda ashuga.

Mbiri ya banja ili ndi gawo lalikulu; ngati makolo anu kapena anthu ena am'banja mwanu ali ndi matenda ashuga, muli pachiwopsezo chachikulu chotenga matenda a shuga, akufotokoza Dr. Weitzner.

Mtundu wa matenda ashuga omwe ali pachiwopsezo chachiwiri

Mutha kukhala pachiwopsezo chachikulu chotukuka Type 2 matenda ashuga ngati:

• Ndi onenepa kwambiri kapena onenepa kwambiri
• Ali ndi zaka 45 kapena kupitilira apo
• Khalani ndi mbiri ya banja ya matenda ashuga, matenda amtima, kapena sitiroko
• Khalani ndi kuthamanga kwa magazi kapena kutsika kwa HDL, kapena cholesterol yabwino
• Khalani moyo wopanda ntchito
• Anapezedwa kale ndi matenda ashuga, matenda ovutika maganizo, kapena polycystic ovary syndrome (POC)
• Unabereka mwana wolemera mapaundi asanu ndi anayi kapena kupitilira apo.

Ngati ndinu wakuda, Puerto Rico, Native American, Latino, kapena Asia, muli pachiwopsezo chachikulu cha matenda ashuga amtundu wa 2 komanso matenda ashuga. Zomwe zimayambitsa matenda ashuga nzofanana ndi zomwe zimayambitsa matenda ashuga amtundu wachiwiri.

Zomwe zimayambitsa matenda ashuga

Malinga ndi Chipatala cha Mayo , muli pachiwopsezo chachikulu chotenga matenda ashuga ngati:

• Ndi akulu kuposa 25
• Khalani ndi mbiriyakale yabanja ya Type 2 matenda ashuga
• Khalani ndi mbiri yaumwini ndi matenda ashuga
• Anali onenepa kwambiri asanatenge mimba

Nthawi yoti muwone katswiri wazachipatala

Ndibwino kuti mupite kwa omwe amakupatsani chithandizo choyambirira ngati muli ndi zizindikiro zoyambirira za matenda ashuga.

Ngati mukukayikira kuti muli ndi matenda ashuga, gawo loyamba lingakhale kukakumana ndi dokotala wanu wamkulu, monga dokotala wanu, internist kapena dokotala wa ana, akuti Soma Mandal , MD, wa Summit Medical Group ku Berkeley Heights, New Jersey. Amakambirana nanu za zomwe muli nazo, kukambirana mbiri yakuchipatala yanu, komanso momwe moyo wanu ulili.

Ndikofunika kudziwa kuti: Ngati wina wakhala akuwonjezeka ndi ludzu ndikukodza, kenaka amayamba kunyansidwa ndi kusanza, angafunike kupita kuchipatala chifukwa shuga wambiri atha kukhala wowopsa, akutero Dr. Weitzner.

Matenda a shuga komanso gawo loyambilira la matenda ashuga amtundu wa 2 amathandizidwa ndi omwe amakuthandizani, atero Dr. Mukakhala ndi pakati, kapena nthawi zina, kuyesa matenda a shuga kungaphatikizepo kumwa chakumwa chokoma kwambiri ndikuwunika shuga wanu musanamwe ndi kangapo mukamamwa, akufotokoza.

Ngati mwapezeka kuti muli ndi matenda ashuga, pali akatswiri osiyanasiyana omwe mungawaone, kuphatikiza endocrinologist, wothandizira zaumoyo yemwe amachita bwino kwambiri pochiza matenda ashuga.

Muthanso kuwona dokotala wamankhwala, yemwe amadziwikanso kuti dokotala wamiyendo, chifukwa kusamalira phazi ndikofunikira kwa aliyense amene amapezeka ndi matenda ashuga. Kusamalidwa kumapazi komanso kuyezetsa magazi kumatha kuthandizira kupewa ndi kuchiza zilonda (zotupa zotseguka) kumapazi-chimodzi mwazovuta zodziwika bwino za matenda ashuga, komanso mavuto owopsa monga matenda amitsempha.

Kapenanso, mungayendere katswiri wa maso, yemwenso amadziwika kuti dokotala wamaso. Matenda a shuga ndimavuto omwe odwala ena omwe ali ndi matenda ashuga amatha kuwona, pomwe mitsempha yaying'ono yamagazi imawonongeka ndipo imatha kuwonetsa masomphenya ndipo pamapeto pake amawonongeka. Aliyense amene ali ndi matenda ashuga amayenera kukaonana ndi dokotala wa maso chaka chilichonse.

Ngati mukukumana ndi zizindikilo, musayembekezere kuchezeredwa kwanu kwapachaka — imbani foni kwa omwe amakuthandizani nthawi yomweyo.