Matenda a shuga ndi masewera

Matenda a shuga, yowonetsedwa ndi kuchepa kwa inshuwaransi kapena mtheradi, ndi matenda ofala kwambiri. Anthu 347 miliyoni padziko lonse ali ndi matenda ashuga.

Odwala ambiri amatha kuchita masewera olimbitsa thupi mosatekeseka ngakhale masewera apikisano, kuphatikiza pamlingo wokwera. Pofuna kupewa zovuta komanso kukhalabe olimbitsa thupi, kuchuluka kwa shuga m'magazi ndikofunikira. Ndi zovuta monga nephropathy, neuropathy, ndi retinopathy, masewera olimbitsa thupi samalimbikitsidwa, koma olimbitsa thupi ayenera kulimbikitsidwa. Odwala omwe ali ndi matenda a shuga, nthawi zambiri, pamlingo waukulu kuposa omwe ali ndi thanzi labwino, amakhudza thanzi labwino, kulemera kwa thupi, mbiri ya lipid ndi zina zomwe zimayambitsa matenda atherosulinosis. Kutsika kwa glucose wamagazi kumachepetsa chiopsezo cha zovuta za microangiopathic, komanso kufa kwa matenda ashuga ndi kufa kwathunthu (ndi 35%, 25% ndi 7%, motsatana, ndi kuchepa kwa hemoglobin A, s ndi 1%). Chifukwa cha kuchepa kwapakati pa caloric kudya chakudya, kuchita masewera olimbitsa thupi pafupipafupi, chifukwa, kuwonda komanso kukana insulini, msanga womwe umakhala wofanana ndi shuga wamagazi nthawi zambiri umakwaniritsidwa.

Ubwino wamasewera mu shuga ndi osatsutsika, koma zovuta zovuta ndizotheka. Chachikulu ndi kusokonezeka kwa metabolic, makamaka hypoglycemia, yomwe imatha kuchitika pambuyo komanso pambuyo pa masewera olimbitsa thupi, ngati zakudya kapena mlingo wa mankhwalawo sunasinthidwe panthawi. Odwala omwe amalandila insulin kapena sulfonylureas, kusokonezeka kwa metabolic kumakhala kotheka. Hypoglycemia imatha kudziwonekera mosiyanasiyana, koma mawonekedwe kwambiri ndi kupepuka, kufooka, kuwona kwamaso, kupusa, thukuta, nseru, khungu lozizira komanso kupweteka kwa lilime kapena manja. Malangizo popewa hypoglycemia mwa odwala matenda ashuga omwe akhudzidwa ndi masewera alembedwa pansipa:

Kupewa kwa hypoglycemia pophunzitsidwa

• Kuyeza kwa shuga m'magazi musanayambe kuchita masewera olimbitsa thupi komanso pambuyo kuchita masewera olimbitsa thupi
• Kuchita masewera olimbitsa thupi pafupipafupi m'mawa (osagwirizana ndi kusakhazikika) kumathandizira kusintha kwa zakudya ndi zosokoneza Mlingo wa insulin
• Nthawi zonse nyamulani chakudya cham'mimba chambiri kapena glucagon, 1 mg (pa sc kapena intramuscular management)
• Mlingo wa insulin komanso kusintha kwa zakudya
• Malangizo a insulin mankhwala asanafike masewera olimbitsa thupi
  • Musanayambe kuchita masewera olimbitsa thupi, insulini siyenera kulowetsedwa m'manja kapena mwendo, malo abwino kwambiri a jekeseni ndi m'mimba
  • Ndikofunikira kuchepetsa mlingo wa insulin yochepa posankha nthawi yomwe mwaphunzitsidwa: mphindi 90 - ndi 50%, katundu wolemera kwambiri angafune kuchepetsedwa kwakukulu kwa mlingo
  • Mlingo wa sing'anga wochita insulin (insulin NPH) uyenera kuchepetsedwa ndi gawo limodzi mwa magawo atatu
  • Ndikwabwino kugwiritsa ntchito lyspro-insulin (imakhala ndi nthawi yayifupi komanso yayifupi)
  • Mukamagwiritsa ntchito zotayikira, kuchuluka kwa insulini kumachepetsedwa ndi 50% kwa maola 1-3 musanaphunzire komanso kutalika kwamakalasi
  • Ngati zolimbitsa thupi zakonzedwa mukatha kudya, muchepetse insulin yoyenera kudya musanadye ndi 50%
• Kusintha kwa zakudya
  • Chakudya chathunthu maola awiri musanachite masewera olimbitsa thupi
  • Zakudya zoziziritsa kukhosi nthawi yomweyo musanayambe masewera olimbitsa thupi ngati shuga ya magazi ndi zaka 35
  • Mtundu 1 wa shuga wokhazikika> zaka 15
  • Lemberani matenda ashuga a shuga a 2> zaka 10
  • Yotsimikizika IHD
  • Zowopsa zomwe zimayambitsa matenda a atherosulinosis (ochepa matenda oopsa, kusuta, cholowa champhamvu, hyperlipoproteinemia)
  • Microangiopathic zovuta
  • Atherosulinosis ya zotumphukira mitsempha
  • Autonomic Neuropathy

  Vuto lalikulu kwa odwala matenda ashuga, kuwongolera moyo wokangalika, itha kukhala matenda a kumapazi. Sitingokhalira kuganizira zovuta izi, tizingodziwa kuti zimatuluka nthawi zambiri. Chifukwa chake, madotolo, akuwonetsa njira yogwira ntchito kwa odwala omwe ali ndi matenda a shuga, afotokozanso kuti pofuna kupewa matenda ammiyendo, muyenera kuvala nsapato zofewa, zosafinya komanso masokosi opangidwa ndi nsalu yochotsa chinyontho pamasewera ndikusamalira mapazi anu mosamala.

  Sports Zakudya Zopatsa thanzi ndi matenda a shuga |