Zizindikiro zisanu ndi zitatu za matenda amtsogolo
Kuchepa kwa matenda ashuga mtsogolo kumatha kutsimikizika pazinthu zina ndi njira. Amawonetsa kufunikira kwa matendawo. Munthu aliyense amatha kuchita izi payekha, atatsimikizira mawonekedwe ndi zovuta zina zambiri m'moyo wake, zizolowezi zake zoipa ndi zina. Muzovuta kwambiri, ndikulimbikitsidwa kukaonana ndi katswiri wa matenda ashuga.
Zinthu zazikulu
Matenda a shuga ndi matenda omwe anthu ambiri amawona kuti ndi cholowa. Zowonadi, njira yotsogola komanso kapangidwe ka kapamba, komanso mavuto ena, imatha kupatsira munthu. Koma zonsezi ndi gawo limodzi chabe la zinthu zomwe zimalimbikitsidwa kuti muzimvetsera mwachidwi. Polankhula za izi, ziyenera kudziwika kuti ndi kusachita masewera olimbitsa thupi komanso kukhalapo kwa kunenepa kwambiri. Chowonadi ndi chakuti osachepera 85% ya anthu odwala matenda ashuga omwe ali ndi mtundu wachiwiri wa matenda amakumana ndi kunenepa kwambiri. Ndizodziwikanso kuti mafuta omwe amapezeka pamimba amachititsa kuti insulini ikonzedwe, yomwe imakhudzanso mapangidwe a matendawa.
Kuphatikiza apo, kulemera kwambiri kwa thupi, kumakhala kokwanira kwambiri kukana insulini. Zonsezi mwachilengedwe zimakhudza kuwonjezeka kwa shuga m'magazi. Chifukwa chake, kukhala moyo wongokhala ndi kunenepa kwambiri ndi zina mwazomwe zimayambitsa matenda omwe amapezeka.
Polankhula zakuwonetseratu kwa matenda ashuga, munthu sangathandize koma kulabadira zinthu monga kugwiritsa ntchito zakudya zopanda pake. Izi zikutanthauza mayina amafuta komanso okoma omwe munthu amadya nthawi ndi nthawi, komanso kugwiritsa ntchito koloko, chakudya chochuluka.
Tiyeneranso kukumbukira kuti misuzi, mayonesi ndi zinthu zina sizikhala zovulaza mthupi la munthu. Komanso, kuwonjezera pa kuthekera kwa kukhala ndi matenda ashuga, kudya kotereku kumakhudza mapangidwe a mtima ndi matenda a mtima. Popewa izi, ndikulimbikitsidwa kwambiri kudya zakudya zopatsa thanzi m'magawo ang'onoang'ono, muzichita kangapo komanso osapitirira kasanu ndi kamodzi patsiku.
Chinthu chotsatira chomwe chimalimbikitsidwa kulabadira ndicho kupezeka kwa matenda ashuga m'mbale. Pankhani imeneyi, ndikufuna kudziwa kuti:
- ngati m'modzi wa abale, mayi kapena bambo, m'bale, mlongo, wapezeka ndi matenda am'mbuyomu, mwayi woti ungagundane ndi matendawa ukuwonjezeka kwambiri
- matendawa alandidwadi cholowa. Komabe, mulingo wa zoopsa ungathe kuchepetsedwa, koma kuti mukwaniritse izi, muyenera kulimbana ndi kupewa kotere mu moyo wonse.
- pokhapokha kukhala ndi kulemera kwabwinobwino, kukhalabe ndi moyo wathanzi, zitha kulankhula za kuchepetsa tsogolo lanu kuzisonyezo zochepa.
Zosafunikira kwenikweni, akatswiri amatcha kukhalapo kwa mitundu ina yazikhalidwe yomwe ili ndi akazi okha. Kuyankhula za izi, amatenga chidwi ndi machitidwe monga polycystic ovary syndrome - uku ndi kusalinganika kwa mahomoni komwe kumayambitsa vuto mkati mwa msambo. Mndandandawu ndi amayi omwe adabereka ana olemera kuposa kilogalamu zinayi. Kenako, muyenera kulabadira oyimilira achimayi, omwe amadziwika kuti ndi amayi apakati a amayi apakati - gestational. Amakhala ndi matenda ena amtsogolo, ochulukirapo kasanu ndi kawiri.
Komabe, ziyenera kukumbukiridwa kuti, monga momwe zilili m'mavuto ena, munthu amakhala ndi mwayi wochepetsa mwayi wotere. Izi zitha kuchitidwa chifukwa chokwanira zolimbitsa thupi komanso kudya.
Zowonjezera
Kutengera kwa chibadwa cha matenda ashuga kumatha kukakamizidwa chifukwa chogwiritsa ntchito mankhwala ena mosiyanasiyana. Tiyenera kudziwa kuti mankhwala ena amakhala ndi matenda ashuga. Polankhula izi, tcherani khutu ma glucocorticoid mahomoni amtundu wa kupanga, diuretic nyimbo. Osagwiritsanso ntchito pazomwezi ndi thiazide diuretics, mankhwala anticancer ndi antihypertensive mankhwala.
Ichi ndichifukwa chake sikulimbikitsidwa kuchita zodzipatsa tokha.
1. Mumayenda pang'ono ndipo ndinu onenepa kwambiri
Mwa anthu omwe ali ndi matenda a shuga a 2, opitilira 85% ali ndi vuto la kunenepa kwambiri. Mafuta pamimba (kunenepa kwambiri) nthawi zambiri kumalumikizidwa ndi kutengera kwa munthu ku matenda ashuga. Kuchuluka kwa thupi, kumapangitsa kuti inshuwaransi ikane, zomwe zimapangitsanso kuchuluka kwa shuga m'magazi.
Ngati moyo wanu suyenda bwino, chiopsezo chokhala ndi matenda ashuwere kawiri. Ndipo mosinthanitsa: kukhala ndi moyo wakhama kwambiri kumachepetsa mwayi wa matenda ashuga. Zochita zolimbitsa thupi sizimangochepetsa kukana insulin, komanso zimathandizira kuchepetsa thupi.
2. Kodi mumadya zakudya zopanda pake?
Kuledzera kwa zakudya zotsekemera komanso zamafuta kumachulukitsa mwayi chiyambi cha matenda ashuga. Ngati mumakonda kumwa zakumwa za sodium, idyani zakudya zokazinga, masoseji osokoneza bongo ndipo nthawi zambiri mumadzichitira ndi maswiti, chiopsezo chakuwonjezera kulemera chimawonjezeka, chomwe chimayambitsa matenda a shuga.
Kuphatikiza apo, zakudya zopanda thanzi zimapangitsa kuti magazi azithamanga, magazi a m'magazi, omwe angayambitse matenda amtima. Yesani kudya magawo ang'onoang'ono ndikusintha zakudya zomwe mumakonda ndi zomwe amadya nazo.
3. Achibale anu amapezeka ndi matenda ashuga
Ngati wachibale wanu wapafupi ali ndi mayi kapena bambo, mchimwene kapena mlongo, ndi ena. - Matenda a shuga a Type 2 amapezeka, ndiye kuti mwayi wanu wodwala umakulitsidwa kwambiri.
Inde, matendawa ndi cholowa, ndipo simungathe kusintha majini anu, koma mutha kuchepetsa chiopsezo. Ngati matendawa akuopseza mamembala anu, thandizanani kuti mupewe - idyani moyenera ndikusewera masewera ndi banja lonse.
4. Muli ndi "zovuta za akazi"
Amayi ena ali pachiwopsezo chachikulu chotenga matenda a shuga. Izi zikuphatikiza:
- azimayi omwe ali ndi polycystic ovary syndrome (vuto la mahomoni lomwe limayambitsa vuto la msambo),
- amayi omwe abereka ana osaposa 4 kg,
- azimayi omwe adapezeka kuti ali ndi matenda ashuga (amatha kupezekanso matenda amtundu wa 2 pambuyo pake).
Monga nthawi zina zokusozerani, muli ndi mwayi wochepetsera chiopsezo chifukwa cha zolimbitsa thupi komanso zakudya. Ngati mwapezeka kuti muli ndi matenda a prediabetes, ndiye kuti muyenera kuchepetsa magazi anu.
5. Mwakhala mukumwa mankhwala kwa nthawi yayitali
Mankhwala angapo amakhala ndi matenda ashuga. Awa ndi mahomoni opanga a glucocorticoid, okodzetsa, makamaka thiazide diuretics, mankhwala a anticancer, mankhwala a antihypertensive.
Palibenso chifukwa chodzisinkhira nokha, ndipo pakuchiza matenda ovuta, muyenera kufunsa dokotala wa endocrinologist kapena kuonana ndi dokotala.
Mawu ochepa ponena za matenda
Musanaganize zopewa zomwe zingayambitse matenda ashuga, ziyenera kunenedwa kuti matendawa ali ndi mitundu iwiri, ndipo aliyense wa iwo ali ndi mawonekedwe ake. Matenda a shuga a Type 1 amadziwika ndi kusintha kwamthupi mthupi, momwe zimasokoneza bongo wa carbohydrate zokha, komanso magwiridwe antchito a kapamba. Pazifukwa zina, maselo ake amasiya kutulutsa insulin yokwanira, chifukwa choti shuga, yomwe imalowa m'thupi ndi chakudya, siziwumitsidwa mwa njira za cleavage ndipo, chifukwa chake, singatengeke ndi maselo.
Type 2 shuga mellitus ndi matenda nthawi ya chitukuko chomwe magwiridwe ake a kapamba amasungidwa, koma chifukwa cha vuto la metabolic, maselo amthupi amataya chidwi chawo ndi insulin. Poona izi, shuga amasiya kutumizidwa m'maselo ndikukhazikika m'magazi.
Koma ziribe kanthu momwe njira zimakhalira ndi matenda a shuga, zotsatira za matendawa ndi amodzi - kuchuluka kwa glucose m'magazi, komwe kumabweretsa mavuto akulu azaumoyo.
Mavuto ambiri a matendawa ndi awa:
- hyperglycemia - kuchuluka kwa shuga m'magazi kunja kwazonse (kupitirira 7 mmol / l),
- hypoglycemia - kuchepa kwa glucose m'magazi kunja kwazosavuta (pansipa 3.3 mmol / l),
- hyperglycemic chikomokere - kuchuluka kwa shuga pamtunda wa 30 mmol / l,
- hypoglycemic chikomokere - kuchepa kwa shuga m'magazi pansi pa 2.1 mmol / l,
- matenda ashuga - kuchepa kumvetsetsa komwe kumatsika ndikuchepa kwawo,
- matenda ashuga retinopathy - utachepa mawonekedwe owoneka,
- thrombophlebitis - kapangidwe ka zolengeza m'makoma amitsempha yamagazi,
- matenda oopsa - kuthamanga kwa magazi,
- gangrene - necrosis ya zimakhala za m'munsi malekezero a pambuyo pake ndi chotupa,
- stroko ndi myocardial infarction.
Izi sizovuta zonse zomwe zimayamba chifukwa cha kukula kwa shuga kwa munthu wazaka zilizonse. Kuti tipewe matendawa, ndikofunikira kudziwa zomwe zimayambitsa matenda ashuga komanso zomwe kupewa kungatithandizire.
Mtundu woyamba wa matenda ashuga ndi omwe umabweretsa chiopsezo
Mtundu woyamba wa matenda a shuga a mellitus (T1DM) umapezeka kwambiri mwa ana ndi achinyamata azaka za 20-30. Amakhulupirira kuti zomwe zimapangitsa kuti chitukuko chake chikhale:
- chibadwire
- matenda a virus
- kuledzera thupi
- kuperewera kwa zakudya m'thupi
- zopsinjika pafupipafupi.
Kudziletsa
Kumayambiriro kwa T1DM, kudziwiratu kwamtsogolo kumatenga gawo lalikulu. Ngati m'modzi m'banjamo akudwala matendawa, ndiye kuti chiwopsezo cha m'badwo wotsatira chiri pafupifupi 10-20%.
Tiyenera kudziwa kuti pankhaniyi sitikunena za chinthu chokhazikika, koma za kukonzeratu. Ndiye kuti, ngati mayi kapena bambo akudwala matenda amtundu 1, izi sizitanthauza kuti ana awo nawonso adzapezeka ndi matendawa. Izi zikuwonetsa kuti ngati munthu sangachite zodzitetezera ndikukhala ndi moyo wosayenera, ndiye kuti ali ndi chiwopsezo chokhala ndi matenda ashuga pakatha zaka zochepa.
Komabe, pankhaniyi, ziyenera kukumbukiridwa kuti ngati makolo onse ali ndi matenda a shuga nthawi imodzi, ndiye kuti kupezeka kwake kwa mwana wawo kumakulitsidwa kwambiri. Ndipo nthawi zambiri pamachitika izi, matendawa amapezeka mwa ana adakali achichepere, ngakhale sanakhale ndi zizolowezi zoyipa ndipo amakhala moyo wokangalika.
Matenda a virus
Matenda a virus ndi chifukwa china chomwe matenda amtundu wa 1 amatha. Makamaka oopsa pamenepa ndi matenda monga mamps ndi rubella. Kuyambira kalekale, asayansi atsimikizira kuti matendawa amakhudzanso kugwira ntchito kwa kapamba ndipo amawonongera maselo ake, potero amachepetsa insulin m'magazi.
Tiyenera kudziwa kuti izi sizingogwira ntchito kwa ana obadwa kale, komanso kwa iwo omwe akadali m'mimba. Matenda aliwonse omwe amayi omwe ali ndi pakati amatha kukhala nawo angayambitse kukula kwa matenda ashuga a mtundu woyamba mwa mwana wake.
Kuledzera kwamthupi
Anthu ambiri amagwira ntchito m'mafakitale ndi m'makampani omwe amagwiritsidwa ntchito ndi mankhwala, mphamvu zake zimakhudza ntchito ya thupi lonse, kuphatikiza magwiridwe antchito a kapamba.
Chemotherapy, yomwe imagwiritsidwa ntchito pochiza matenda osiyanasiyana a oncological, imathandizanso maselo amthupi, chifukwa chake, machitidwe awo amatithandizanso kangapo kwa matenda amtundu wa 1 mwa anthu.
Kuperewera kwa zakudya m'thupi
Kuperewera kwa zakudya m'thupi ndi chimodzi mwazomwe zimayambitsa matenda a shuga 1. Zakudya za tsiku ndi tsiku zamunthu wamakono zimakhala ndi mafuta ambiri ndi chakudya chamafuta, zomwe zimayika katundu pazinthu zamagaya, kuphatikizapo kapamba. Popita nthawi, maselo ake amawonongeka ndipo kuphatikizira kwa insulin kumavulala.
Tiyeneranso kudziwa kuti chifukwa cha kuperewera kwa zakudya m'thupi, matenda ashuga amtundu wa 1 amatha kukhala mwa ana azaka za 1-2. Ndipo chifukwa cha izi ndikuyambitsa koyambirira kwa mkaka wa ng'ombe ndi mbewu za chimanga m'zakudya za mwana.
Kupsinjika pafupipafupi
Kupanikizika ndimayambitsa matenda osiyanasiyana, kuphatikizapo T1DM. Ngati munthu akumana ndi zovuta, adrenaline yambiri imapangidwa m'thupi lake, zomwe zimapangitsa kuti shuga agwire mwachangu m'magazi, zomwe zimapangitsa hypoglycemia. Matendawa ndi osakhalitsa, koma ngati zimachitika mwadongosolo, kuopsa kwa matenda a shuga 1 kumawonjezeka kangapo.
Mtundu wachiwiri wa matenda ashuga ndi zomwe zimayambitsa ngozi
Monga tafotokozera pamwambapa, mtundu wa 2 shuga mellitus (T2DM) umayamba chifukwa chakuchepa kwa chidwi cha maselo kupita ku insulin. Izi zitha kuchitika pazifukwa zingapo:
- chibadwire
- zosintha zokhudzana ndi zaka mthupi,
- kunenepa
- matenda ashuga.
Zosintha zokhudzana ndi zaka m'thupi
Madokotala amati T2DM ndi matenda a okalamba, chifukwa ndi omwe amapezeka nthawi zambiri. Chomwe chimapangitsa izi ndizosintha mthupi. Tsoka ilo, ndi ukalamba, mothandizidwa ndi zinthu zamkati ndi zakunja, ziwalo zamkati "zimatopa" ndipo magwiridwe ake ntchito amakhala operewera. Kuphatikiza apo, ndi zaka, anthu ambiri amakumana ndi matenda oopsa, zomwe zimawonjezera chiopsezo chotenga T2DM.
Kunenepa kwambiri ndiye chifukwa chachikulu cha chitukuko cha T2DM mwa okalamba ndi achinyamata. Cholinga cha izi ndi kuchuluka kwambiri kwamafuta m'maselo a thupi, chifukwa chomwe amayamba kupeza mphamvu kuchokera pamenepo, ndipo shuga amakhala wosafunikira kwa iwo. Chifukwa chake, ndi kunenepa kwambiri, maselo amasiya kuyamwa glucose, ndipo amakhazikika m'magazi. Ndipo ngati munthu, pakukula kwambiri kwa thupi, nawonso atakhala ndi moyo wamtopola, izi zimawonjezera mwayi wofanana ndi matenda a shuga a mtundu uliwonse wazaka zilizonse.
Matenda a shuga
Matenda a shuga a Gestational amatchedwanso "matenda ashuga" ndi madokotala, chifukwa amayamba nthawi yomweyo. Kupezeka kwake kumachitika chifukwa cha kusokonekera kwa mahomoni m'thupi ndi zochitika zochulukirapo za kapamba (amayenera kugwira ntchito "ziwiri"). Chifukwa kuchuluka kwazinthu zambiri, zimatopa ndikusiya kutulutsa insulini mokwanira.
Pambuyo pobadwa, matendawa amachoka, koma amasiya chizindikiro chachikulu pa thanzi la mwana. Chifukwa chakuti zikondamoyo za mayi zimaleka kutulutsa insulin mokwanira, zikondamoyo za mwana zimayamba kugwira ntchito mopitilira muyeso, zomwe zimapangitsa kuti maselo ake awonongeke. Kuphatikiza apo, ndi chitukuko cha matenda osokoneza bongo, chiwopsezo cha kunenepa kwambiri kwa mwana wosabadwayo chikuwonjezereka, chomwe chimakulitsanso chiwopsezo cha matenda a shuga a mtundu wachiwiri.
Kupewa
Matenda a shuga ndi matenda omwe atha kupewedwa mosavuta.Kuti tichite izi, ndikwanira mopewa kupewa zomwe zikuphatikiza izi:
- Zakudya zoyenera. Zakudya zaumunthu ziyenera kuphatikizapo mavitamini, michere ndi mapuloteni ambiri. Mafuta ndi chakudya chamagulu amakhalanso ayenera kupezeka m'zakudya, chifukwa popanda iwo thupi silingagwire ntchito bwino, koma modekha. Makamaka wina ayenera kusamala ndi zovuta zam'mimba zopatsa mphamvu komanso mafuta am'mimba, chifukwa ndicho chifukwa chachikulu chakuwonekera kwa kunenepa kwambiri kwa thupi komanso kupititsa patsogolo shuga. Ponena za makanda, makolo ayenera kuonetsetsa kuti zakudya zomwe zapezedwa ndizothandiza mthupi lawo. Ndipo mwezi uti ungaperekedwe kwa mwana, mutha kudziwa kuchokera kwa dokotala.
- Moyo wokangalika. Ngati mumanyalanyaza zamasewera ndikukhala ndi moyo wamtopola, mutha "kupeza" shuga mosavuta. Zochita za anthu zimathandizira kuwotchera msanga kwamafuta ndi kuwononga mphamvu, zomwe zimapangitsa kuchuluka kwa glucose pama cell. Mwa anthu omwe amangokhala, kagayidwe kamachepetsa, chifukwa chomwe chiopsezo chokhala ndi shuga chikuwonjezeka.
- Yang'anirani shuga yanu yamagazi pafupipafupi. Lamuloli limagwira ntchito makamaka kwa iwo omwe ali ndi vuto lobadwa ndi matendawa, komanso anthu omwe ali ndi “zaka 50”. Kuwona kuchuluka kwa shuga m'magazi, sikofunikira kuti mupite kuchipatala nthawi zonse kukayezetsa. Ndikokwanira kungogula glucometer ndikudziyeserera magazi nokha.
Tiyenera kumvetsetsa kuti matenda ashuga ndi matenda omwe sangathe kuchiritsidwa. Ndi chitukuko chake, muyenera kumamwa mankhwala nthawi zonse ndi kubayirira insulin. Chifukwa chake, ngati simukufuna kukhala ndi mantha chifukwa cha thanzi lanu, khalani ndi moyo wathanzi komanso chithandizirani panthawi yake matenda anu. Iyi ndiye njira yokhayo yoletsa kuyambika kwa matenda ashuga ndikukhalanso ndi thanzi lanu kwa zaka zikubwerazi!
Zoyambitsa matenda a shuga
Popewa kukula kwa matenda a shuga ndi chiyembekezo chabwino cha mapikiridwe ake, chisamaliro chapadera chiyenera kulipidwa pazifukwa zomwe zimapangitsa izi.
Zoyambitsa matenda a shuga 1
- Kunenepa kwambiri, kudya kwambiri maswiti.
- Kupsinjika, kutaya mtima, kukhala moyo wongokhala, kuvulala.
- Hypertension, atherosclerosis, pachimake matenda opatsirana (chifuwa chamtundu, tonsillitis, chikuku, kutentha thupi, chimfine.
- Matenda am'mimba (pancreatitis, colitis, cholecystitis), zaka zapenshoni.
- Kupezeka kwa abale omwe amadalira insulin.
Zomwe zimayambitsa matenda a shuga a 2 zimaphatikizaponso:
- Kugwiritsa ntchito nthawi yayitali mahomoni ogonana komanso kugwiritsa ntchito njira za kulera zomwe zimakhala ndi corticotropin, estrogens ndi glucagon.
- Kusintha kwa mahomoni m'thupi chifukwa cha kusintha kwa thupi komanso kubereka.
- Kuchulukitsa uric acid.
- Atherosulinotic mtima zotupa.
- Kulephera kuzungulira kwa pancreatic.
- Mbadwa zaku America, African American, Asia, ndi Spain.
- Khalidweli.
- Kuchuluka kwa thupi kwa wakhanda (woposa 4 kg).
- Kunenepa kwambiri.
- Kupsinjika, matenda, kuvulala.
Zimayambitsa atherosulinosis mu matenda ashuga
Inde, njira zodzitchinjiriza ndizofunikanso, zomwe zimalepheretsa chitukuko cha matenda ashuga komanso momwe zimachitikira atherosulinosis. Zifukwa zazikulu:
- zaka (anthu omwe ali ndi matenda ashuga amakonda kwambiri atherosulinosis adakali achichepere kuposa athanzi),
- jenda (matenda ashuga ndiokhawo omwe matendawa amapezeka chimodzimodzi kwa azimayi ndi abambo),
- ochepa matenda oopsa limodzi ndi matenda ashuga kumachulukitsa matenda a atherosulinosis,
- onenepa kwambiri (nthawi zambiri, kunenepa kumachitika mu mtundu wa 2 odwala matenda ashuga ndipo amagwirizana mwachindunji ndi zomwe zimayambitsa chiopsezo cha atherosermosis, ngakhale ali ndi matenda ashuga),
- zolimbitsa thupi (zolimbitsa thupi kumapangitsa kuti kunenepa kwambiri, kuonjezera ngozi ya kukhala ndi mtima ischemia mu odwala matenda ashuga),
- myocardial infarction (odwala matenda a shuga omwe amapezeka pafupipafupi kuposa anthu athanzi, ndipo amapitilira mawonekedwe owopsa).
Choyambitsa matenda a shuga kwa ana
Ana amapezeka ndi matenda ashuga amtundu woyamba. Zomwe zimayambitsa matenda a shuga kwa ana zimaphatikizapo:
- cholowa
- cholemera kuposa 4 kg pakubadwa,
- wapezeka ndi kunenepa kwambiri, hypothyroidism,
- kufooketsa chitetezo chamthupi
- Matenda a virus, omwe nthawi zambiri amachitika chaka chonse.
Zakudya zabwino
Zakudya za matenda a shuga a mtundu wachiwiri ziyenera kukhala zokwanira ndikuonetsetsa kuti zakudya zonse zofunikira m'thupi zimagwira. Wodwala aliyense amadwala matendawa amayenera kuphunzira kuwerengera magawo a mkate kuti akonzekere bwino zakudya zawo ndikusunga diary ya zakudya mokwanira. Lamulo lalikulu siliyenera kufa ndi njala. Kwa chiwerengero cha akazi, zopatsa mphamvu patsiku ziyenera kukhala osachepera 1200 kcal, komanso kwa olimba mwamphamvu - 400 kcal more. Pamodzi ndi endocrinologist, zakudya za tsiku ndi tsiku zimapangidwa kwa munthu aliyense, poganizira zaka zake, kulemera kwa thupi, jenda komanso ntchito.
Zinthu zomwe siziyenera kuperekedwa kuchakudya:
- zonunkhira, zonunkhira, zonunkhira komanso zamchere,
- kuzifutsa, mafuta,
- kuphika
- maswiti
- wokondedwa
- zipatso zamasamba
- zipatso: ma Persimm, nthochi, mphesa,
- zakumwa zoledzeretsa.
Chakudya chimalimbikitsidwa kuti chizisenda, kuphika kapena kuwiritsa.
Malangizo a madokotala a mankhwala achilengedwe
Madokotala pankhani iyi ya zamankhwala, omwe amathandizira pa matenda ashuga, amafotokoza odwala omwe ali ndi vuto la matenda ashuga a 2 monga kudya kwambiri komanso kunenepa kwambiri, ndiye kuti, ali pachiwopsezo cha matenda ashuga. Zomwe zimayambitsa kunenepa sikuti ndizongowonjezera chakudya chamafuta m'makoma, komanso mafuta ochulukirapo, mapuloteni, omwe amasinthidwa kukhala shuga ndikuwonjezera kumwa. Zakudya zambiri zomwe zimamwa zimatsogolera ku ntchito ya kapamba, ndipo chifukwa chake, sichingagwire bwino ntchito.
Maonekedwe a zakudya
Zakudya zomwe adalimbikitsa mtundu wa shuga wachiwiri ziyenera kukhala zama calorie ochepa. Zokonda ziyenera kuperekedwa ku zinthu zachilengedwe:
- Masamba ophika. Kudya zakudya zosaphika kumawonjezera kupanga kwa insulin komanso kumapangitsa ntchito ya pancreatic.
- Mbewu Yonse Anthu odwala matenda ashuga amafunanso michere yamagetsi yomwe imapangika pang'onopang'ono, yomwe imapezeka m'zinthu zonse za tirigu: oats, mapira, buckwheat.
- Zipatso. Kuti muthe kuchulukitsa fructose, yemwe amapezeka muzatsopano, insulin siyofunikira, motero akuwonetsa matenda.
- Zakudya zomanga thupi. Zinthu zopanga mkaka: tchizi, kefir, yogati.
Matenda a shuga: ziwopsezo ndi kupewa
Mankhwala, pali mawu monga matenda a shuga a latent, amadziwika ndi kusintha kosinthika kwa kagayidwe kazakudya, koma, ndizowopsa. Ndi munthawi imeneyi kuti chithandizo choyenera chitha kupewa matenda.
Pambuyo pakupezeka kwa matenda, odwala amalimbikitsidwa kupita ku masukulu a shuga omwe amaphunzitsa kudziletsa, kupereka malingaliro pazakudya, kupewa zovuta, chithandizo, ndi chidziwitso china chothandiza. Makalasi amaphunzitsidwa ndi akatswiri azachipatala oyenerera.
Ndi chithandizo choyenera komanso kutsatira kwa wodwala malingaliro onse a adokotala, kuchuluka kwa shuga m'magazi kumakhazikika. Zachidziwikire, matenda omwe amadziwika nthawi zambiri samachotsedwa, koma chiwopsezo chokhala ndi zovuta zazikulu chimachepetsedwa, ndipo munthuyo amadzitsogolera.
Udindo wawukulu pokhudzana ndi kupewa matenda ndi zomwe zimayambitsa matenda ashuga zimaseweredwa ndi gawo la malingaliro. Tsoka ilo, si aliyense amene amapezeka kuti athandizidwe ndi akatswiri azamisala chifukwa cha kukwera mtengo kwa ntchito iyi. Zikatero, munthu ayenera kuphunzira kuti asagwere m'mavuto achisoni, kupewa nkhawa komanso kukana thandizo la okondedwa.
Nthawi zambiri ndi matenda ashuga, thupi limagwiritsidwanso ntchito ku ma pathologies ena a endocrine ndi mtima dongosolo. Chifukwa chake, kupewa ndi kuchiza matenda awa ndikofunikira monga kuwongolera shuga.
Matenda a shuga a shuga, paliponse, amapindulitsa kwambiri thupi lonse. Zakudya, zakudya zopatsa thanzi, kuchita masewera olimbitsa thupi pafupipafupi, kuwongolera kunenepa - izi ndi njira zodzitetezera zomwe zimalimbikitsidwa minyewa, minyewa ndi matenda ena.
Kuyanjana kwambiri komanso kumvetsetsana pakati pa wodwalayo ndi dotolo, komanso kudziletsa komanso kulimbikitsidwa kwa wodwalayo ndichinsinsi chake. Kugwirizana pafupipafupi komanso kukhazikitsa malangizo a dokotala kumathandizira kukhazikika kwa shuga, kutanthauza kukwaniritsa cholinga chamankhwala.
Chifukwa chake, ndi zovuta zomwe zilipo chifukwa cha matenda a shuga mellitus, ndikofunikira kuyang'anira shuga m'magazi ndikusintha mayeso a kulekerera zakudya, komanso musaiwale za kupewa kwa matendawa.
Zizindikiro zazikulu zakutsogolo kwa matenda ashuga
Khalidwe lakale la matenda ashuga ndi chibadwa chambiri.
Chofunika kwambiri ndi mtundu wa matenda, ndiko kuti, mtundu wa matenda ashuga, omwe pakali pano alipo awiri:
- wodwala insulin kapena mtundu 1 shuga (kumachitika chifukwa cha kuchepa kapena kutsekeka kwathunthu kwa insulin kaphatikizidwe ndi pancreatic gland),
- osadalira insulini kapena matenda a shuga a 2 (chomwe chimayambitsa matendawa ndi kusakhazikika kwa insulin ya thupi, yomwe imatha kupangika mwambiri).
Kuti mwana alandire matenda ashuga amtundu woyamba kuchokera kwa makolo ake, matendawa ayenera kupezeka mwa onse akuluakulu.
Pankhaniyi, chiopsezo chowonongeka m'thupi la mwana chili pafupifupi 80%. Ngati wonyamula matendawa ndi mayi kapena bambo okha, ndiye kuti mwayi wokhala ndi matenda ovuta kwambiri mwa ana awo sioposa 10%. Ponena za matenda a shuga a mtundu wachiwiri, zinthu apa zikuipiraipira.
Kusiyanitsa kwa matendawa kumadziwika ndi gawo lalikulu la zochita za cholowa. Malinga ndi ziwerengero, chiopsezo chofalitsa mtundu wa 2 hyperglycemia kuchokera kwa kholo limodzi kupita kwa ana awo ndi 85%.
Ngati nthendayi yakhudza onse mayi ndi abambo a mwana, ndiye kuti chizindikirochi chikuwonjezeka, chimakhala chosafunikira kuti angapewe matenda a shuga.
Nkhani yakubadwa kwamatenda amtunduwu imayeneranso kuyang'aniridwa mosamala pakakonzekera kubereka.
Chowonadi ndi chakuti pakadali pano palibe njira yolondola yomwe ingalolere kubadwa komanso kuletsa mothandizidwa ndi chithandizo cha chitukuko cha matenda osokoneza bongo kwa mwana wosabadwa.
Kulemera kwambiri
Pakati pazinthu zakunja zomwe zimayambitsa matendawa odwala, kunenepa kwambiri kapena chizolowezi chowonjezera thupi zimatenga malo oyamba.
Akatswiri akutsimikizira kuti pafupifupi anthu 8 mwa 10 onenepa kwambiri amapezeka kuti ali ndi vuto la glucose kapena lotchedwa prediabetes.
Makamaka pazifukwa izi ziyenera kuperekedwa kwa anthu omwe akuvutika chifukwa cha kuchuluka kwa mafuta m'mimba ndi m'chiuno.
Chakudya chopweteketsa
Zatsimikiziridwa kuti kudya moipa kumatha kupangitsa munthu kukhala ndi zizindikiro za matenda ashuga.
Chifukwa chake, anthu omwe nthawi zambiri amakhala ndi zokhwasula mwanjira yodya zakudya zachangu, monga maswiti ambiri, sadziikira okha msuzi, komanso ali enieni a zakudya zokhazika ndi zakumwa zoziziritsa kukhosi, ali ndi mwayi aliyense payekha kuti aphunzire momwe matenda a shuga amawonekera.
Kuphatikiza pa matenda ashuga, kuperewera kwa zakudya m'thupi ndi chimodzi mwazifukwa zazikulu zomwe zimapangira njira zotsatirazi zam'thupi:
"Nkhani za azimayi"
Ali pachiwopsezo cha kukhala ndi hyperglycemia ndi oyimilira achikazi omwe ali ndi mbiri ya pathologies a kubereka, makamaka:
- kusalinganika kwa mahomoni (dysmenorrhea, pathological menopause),
- scleropolycystic ovary syndrome,
- matenda a shuga gestational, pamene hyperglycemia imatsimikiziridwa pokhapokha pakati,
- kubadwa kwa mwana wolemera oposa 4 kg.
Mavuto oterewa ndi chifukwa chabwino cholumikizirana ndi endocrinologist ndikupanga mayeso nthawi ndi nthawi kuti muchepetse shuga lanu lamagazi.
Kumwa mankhwala
Udindo wofunikira pakukula kwa matendawa ndi mankhwala, pakati pazotsatira zomwe zimachitika chifukwa cha kukondoweza kwa kulolerana kwa shuga.
Chifukwa chake, anthu omwe ali ndi chibadwa chokhala ndi matenda a matenda ashuga sayenera kudzipatsa mankhwala aliwonse, koma amakumana ndi madotolo pafupipafupi ndi izi.
Pakati pa mankhwala a diabetogenic, akatswiri amalabadira mwapadera:
- thiazide okodzeya,
- kuthamanga kwa magazi kumachepetsa mankhwala
- glucocorticosteroids,
- mankhwala antitumor.
Zinthu zovuta
Kupsinjika pafupipafupi nthawi zambiri kumayambitsa matenda ashuga.
Anthu omwe ali ndi gawo losasunthika lamalingaliro ayenera kukumbukira izi ndikuchita zonse zotheka kuonetsetsa kuti zochitika zopsinjika zimawagwera nthawi zonse.
Nthawi zina oterewa odwala matenda ashuga amalangizidwa kudya mankhwala azitsamba ndi mphamvu yosinkhira, monga decoction wa chamomile, timbewu tonunkhira kapena ndimu.
Zakumwa zoledzeretsa
Kuledzera kwa mowa si njira yabwino yomwe imakhudzira thanzi la munthu komanso magwiridwe ake a ziwalo zamkati.
Monga mukudziwa, chiwindi ndi kapamba zimakhudzidwa makamaka ndi milingo yayikulu ya mowa.
Chifukwa cha kuledzera, ma cell a chiwindi amataya insulin, ndipo mapangidwe a pancreatic amakana kupanga mahomoni enaake. Zinthu zonsezi zimabweretsa kuchuluka kwa shuga m'magazi komanso kukula kwa shuga kwa odwala omwe amamwa mowa kwambiri.
Mawonekedwe azaka
Ndi ukalamba, thupi laumunthu "limatopa", chifukwa chake satha kugwira ntchito mwamphamvu monga ubwana.
Kusintha kokhudzana ndi ukalamba kumapangitsa kuperewera kwa mahomoni, kusokonekera kwa kagayidwe kachakudya ndi kusintha kwamphamvu kwa ziwalo zophatikiza michere.
Okalamba ali ndi chiwopsezo chambiri chotenga matendawa poyerekeza ndi achinyamata. Chifukwa chake, ayenera kuyang'anitsitsa thanzi lawo ndikupita kukayezetsa kuchipatala.
Njira Zochepetsera Ziwopsezo za shuga
Ngakhale ndizosatheka kuthetsa chibadwa chomwe chimayambitsa matenda ashuga, ndizotheka kuti munthu achepetse chiopsezo chotenga matenda motsogozedwa ndi zifukwa zakunja. Kodi achite chiyani pamenepa?
Kwa odwala omwe amakonda kugwiritsa ntchito hyperglycemia, madokotala amalangiza:
- kuwunika kunenepa komanso kupewa kunenepa pogwiritsa ntchito kunenepa.
- idyani pomwe
- khalani ndi moyo wamakono
- kukana zakudya zopanda pake, mowa komanso kugwiritsa ntchito poizoni wina.
- Osakhala amantha ndipo pewani zovuta.
- yang'anirani zaumoyo wanu ndikuyesedwa pafupipafupi kupezeka kwa matendawa.
- Imwani mankhwalawa ndikumwa okha ndikulola kwa ogwira ntchito yazaumoyo,
- kulimbitsa chitetezo chathupi, chomwe chingapewe kuwoneka ngati matenda opatsirana ndi kupsinjika kowonjezereka kwamankhwala amkati.
Makanema okhudzana nawo
About genetics of shuga ndi kunenepa kwambiri mu kanema:
Njira zonsezi sizimangolepheretsa kukula kwa matenda ashuga mwa anthu omwe ali ndi chiyembekezo cha momwe angapangire matenda, komanso zimathandizira kwambiri thanzi lawo, kuyeretsa thupi la poizoni, komanso kupewa kusokonezeka kwakukulu pakugwira ntchito kwa ziwalo zamkati ndi machitidwe.
- Imakhazikika pamisempha ya shuga kwa nthawi yayitali
- Imabwezeretsa kapangidwe ka insulin
Phunzirani zambiri. Osati mankhwala. ->