Matenda a shuga ndi kukhumudwa: pali kulumikizana?

Matenda okhumudwa ndi matenda ovuta am'maganizo omwe ali ndi majini, chilengedwe komanso malingaliro. Matenda okhumudwitsa ndi vuto la ubongo. Tekinoloje yolingalira zamaubongo monga maginito a resonance imaging (MRI) yawonetsa kuti ubongo wa anthu omwe ali ndi nkhawa amawoneka osiyana ndi anthu opanda nkhawa. Ziwalo zaubongo zomwe zimakhudzidwa ndikusintha momwe mumaganizira, kuganiza, kugona, kusangalala komanso kuchita zinthu mosiyana. Koma izi sizikuwonetsa zomwe zimayambitsa kukhumudwa. Sangagwiritsidwenso ntchito kuzindikira matenda ovutika maganizo.

Ngati muli ndi matenda amtundu wa 2 kapena matenda amtundu wa 2, ndiye kuti muli ndi chiopsezo chowonjezereka cha kukhumudwa. Ndipo ngati muli ndi nkhawa, mutha kukhala ndi matenda ashuga a 2.

Kafukufuku wazaka zitatu adachitika ku University of Washington (UW), komwe kudakhudza odwala 4154 omwe ali ndi matenda a shuga a 2. Zotsatira zake zinawonetsa kuti anthu omwe anali ndi nkhawa yochepa kapena yayikulu komanso matenda a shuga a 2 amawopsa kwambiri kuposa odwala omwe ali ndi matenda a 2 okha.

“Matenda okhumudwa ndi matenda wamba pakati pa anthu odwala matenda ashuga a 2. Kuchulukana kumeneku kumatha kukhala ndi zotsatirapo zoyipa kwambiri. Ndipo kupsinjika pang'ono komanso kwakukulu kwa anthu odwala matenda ashuga kumayenderana kwambiri ndi kufa kwa anthu ambiri. ”

Nkhani yabwino ndiyakuti onse omwe ali ndi matenda ashuga ndi nkhawa amatha kuthandizidwa mosavomerezeka, kupatula ngati atakhalira limodzi. Ndipo kuyendetsa bwino matenda ena kumathandizanso wina.

Zizindikiro ndi Zizindikiro Za Kukhumudwa

“Zimandivuta kwambiri kudzuka m'mamawa. Ndimangolakalaka kubisala pansi bulangeti osalankhula ndi aliyense. Kutaya kwambiri ndachepa. Palibe chomwe chimandisangalatsa. Sindikufuna kucheza ndi anthu, ndikufuna kukhala ndekha ndi ine. Ndikutopa nthawi zonse, sinditha kugona nthawi yayitali ndipo sindimagona mokwanira usiku. Koma tsopano ndiyenera kupita kuntchito, chifukwa ndiyenera kudyetsa banja langa. Ndikuwona kuti palibe chomwe chitha kusintha, ”ndimalingaliro omwe munthu amakhala ndi nkhawa.

• Chisoni
• Kuda nkhawa
• Kusakwiya
• Kutaya chidwi ndi ntchito zomwe m'makonda kale
• Kuchepetsa kulumikizana ndi anthu, kuletsa chikhalidwe cha anthu
• Kulephera kulolera
• Kusowa tulo (kuvutika kugona)
• Kulakwa kwambiri kapena kudziona ngati wopanda ntchito
• Kutaya mphamvu kapena kutopa
• Kusintha kwa chidwi
• Kuzengereza pang'ono kapena kwakanthawi
• Malingaliro a imfa kapena kudzipha

Kodi matenda ashuga ndi kukhudzana zimagwirizana bwanji?

Matenda okhumudwa nthawi zambiri amapezeka mwa anthu odwala matenda ashuga monga momwe zimakhalira ndi anthu wamba. Mpaka pano, palibe maphunziro olondola pazotsatira za matenda ashuga kupezeka kwamayiko achisoni, koma titha kuganiza kuti:

• Zovuta pakuwongolera matenda ashuga zimatha kubweretsa kupsinjika ndikuwatsogolera ku zizindikiro za kukhumudwa. Kuwongolera matenda a shuga kumatenga nthawi yochulukirapo, mankhwala osalekeza kapena jakisoni wa insulin, kuyeza shuga pafupipafupi kudzera m'mapiritsi azala, zoletsa zakudya - zonsezi zimatha kuyambitsa chitukuko cha dziko lokhumudwa.
• Matenda a shuga angayambitse zovuta komanso zovuta zaumoyo zomwe zimayambitsa kukhumudwa.
• Kukhumudwa kungayambitse malingaliro osayenera pa moyo wanu, mwachitsanzo, kudya mosayenera, kuletsa kuchita masewera olimbitsa thupi, kusuta fodya komanso kulemera - izi zonse zomwe zatsalidwa ndizoyambitsa matenda a shuga.
• Matenda okhumudwa amakhudza luso lanu kumaliza ntchito, kulankhulana, ndi kuganiza momveka bwino. Izi zitha kusokoneza luso lanu lotha kuwongolera matenda anu a shuga.

Kodi mungalimbane bwanji ndi nkhawa mukakhala ndi matenda ashuga?

1. Kukula kwatsatanetsatane wa kudziletsa. Siyani kuopa matenda anu a shuga, ndibwino kuti mupange mgwirizano nawo ndikuyamba kuwongolera matenda anu. Pangani zakudya, idyani chakudya chopatsa thanzi, yambani kuchepa thupi ngati mukuvutikira. Yang'anirani shuga yanu yamagazi, ngati pali zovuta zina, tengani maphunziro akumwa. Muzichita masewera olimbitsa thupi, ochulukirapo ali ndi mpweya wabwino. Yesetsani kuthandiza anthu ena, kuphatikizapo omwe ali ndi matenda ashuga. Kudziwa kuti mumayang'anira matenda a shuga kumachepetsa kwambiri zizindikiro zanu za kukhumudwa.
2. Psychotherapy ndi upangiri wa psychologist. Ngati ndi kotheka, tengani maphunziro a psychotherapy kuti muthane ndi kukhumudwa. Ngati ndi kotheka, khalani ndi kukambirana kwanu ndi katswiri wazamisala. Maphunziro othandizira ozindikira amakhalanso othandiza, omwe, malinga ndi kafukufuku, adachepetsa kupsinjika kwa maphunziro ndikuwongolera chisamaliro cha matenda a shuga.
3. Kuvomerezedwa kwa antidepressants (mosamalitsa wololedwa ndi dokotala). Ma antidepressants amatha kusintha mkhalidwe wanu wamavuto, koma muyenera kumvetsetsa kuti alinso ndi zovuta zake. Odwala omwe ali ndi matenda ashuga amaletsedwa kusankha mtundu wawo wa mankhwala ochepetsa nkhawa ndipo amwe. Mankhwalawa amayenera kuperekedwa ndi dokotala.

Mitundu ya antidepressants zotchulidwa kupsinjika kwa odwala matenda ashuga

Mitundu ina ya mankhwala ochepetsa nkhawa ndi Kusankha Serotonin Reuptake Inhibitors (SSRIs) - ali ndi zovuta zochepa kusiyana ndi gulu la antidepressants atatu. Zitsanzo za mtundu uwu wa antidepressant: Lexapro (Cipralex), Prozac, Paxil ndi Zoloft (Sertraline). Amagwira ntchito poletsa kubwezeretsanso kwa serotonin mu ubongo.

Mtundu wina wa antidepressant womwe amagwiritsidwa ntchito pochiza matenda ovutika maganizo ndi odwala matenda a shuga ndi Kusankha Serotonin ndi Norepinephrine Reuptake Inhibitors (SSRIs). Mankhwalawa amatchedwanso antidepressants apawiri, amalepheretsa kubwezeretsa kwa serotonin ndi norepinephrine. Ma antidepressants awa akuphatikizapo: Effexor (Venlafaxine), Pristik (Desvenlafaxine), Duloxetine (Symbalta), Milnacipran (Ixel).

Kafukufuku awonetsa kuti ma tridclic antidepressants ndi SSRIs amawonjezera mwayi wokhala ndi matenda ashuga. Izi zimadziwika kwambiri pamene ma tridclic antidepressants ndi SSRIs atengedwa limodzi. Zomwe zimapangitsa kuti mankhwalawa awonjezere mwayi wokhala ndi matenda ashuga sizikumveka. Kulemera kwambiri nthawi zambiri kumawonedwa mukamamwa ma tridclic antidepressants, omwe amathanso kukhala othandizira pakukula kwa matenda ashuga.

Zotsatira zoyipa za Mavuto Othandizira Kuthana

Zotsatira zoyipa za ma tridclic antidepressants zimaphatikizapo:

• Kuwona koperewera
• Pakamwa pakamwa
• Chizungulire
• Chisangalalo
• Kulemera
• Kudzimbidwa
• Kuchepetsa mseru
• Kutsegula m'mimba
• Kusowa tulo (kuvutika kugona komanso kugona)
• Mantha
• Mutu
• Zosintha mu zilakolako zogonana komanso kugonana
• Kutopa
• Kuyimba minyewa (kugwedeza)
• Kuchuluka kwa mtima

Zotsatira zoyipa za ma antiidepressants a SSRI ndi:

• Kuchepetsa mseru
• Kutsegula m'mimba
• Mutu
• Chisangalalo
• Mantha
• Zochita usiku
• Chizungulire
• Zosintha mu zilakolako zogonana komanso kugonana

Zotsatira zoyipa za ma SSRIs antidepressants:

• Nusea (makamaka mukamamwa Simbalta)
• Pakamwa pakamwa
• Chizungulire
• Kusowa tulo
• Kugona
• Kudzimbidwa
• Kuchulukitsa kwa magazi (ngati mutatenga Effexor / Venlafaxine)
• Thukuta kwambiri
• Zosintha pakufuna kugonana.

Zotsatira zoyipa za antidepressants zomwe zimadutsa zimadutsa kapena zimatha nthawi. Kuti muchepetse zotsatira zoyipa, dokotala angakupatseni mankhwala pang'ono ndikuwonjezera pang'onopang'ono.

Zotsatira zoyipa zimasiyananso kutengera ndi antidepressant omwe amagwiritsidwa ntchito, si mankhwala aliwonse omwe amayambitsa mavuto onse. Chifukwa chake, atha kukuthandizani kusankha mankhwala ochepetsa nkhawa kwambiri a thupi lanu.

Ngati muli ndi matenda ashuga, yang'anirani bwino zomwe zikuwonetsa kutaya mtima, monga kusiya chidwi ndi zinthu wamba, kumva chisoni kapena kusowa chiyembekezo, komanso mavuto akuthupi osafotokozeredwa, monga kupweteka kumbuyo kapena mutu.

Ngati mukuganiza kuti kuvutika maganizo sikudakuchitikireni, onetsetsani kuti mwawonana ndi dokotala, osadzichitira nokha.

Kuti muthane ndi izi, muyenera kudziwa zinthu 6:

1. Tsopano ndi zaka za zana la 21, anthu ambiri omwe ali ndi matenda ashuga, onsewo mitundu 1 ndi 2, akukhala mosangalala kuyambira pamenepo. Mavuto obwera chifukwa cha matenda ashuga si Zizindikiro za matendawa, motero sikofunikira kuti mukulitse kapena, ngati alipo, pitani patsogolo kwambiri. Ngati mumayang'anitsitsa nokha komanso matenda anu a shuga, kutsatira malingaliro a madokotala, ndiye kuti muli ndi mwayi wabwino kuti zonse zikuyenda bwino ndi inu.

2. Matenda a shuga ndi gawo lofunikira m'moyo wanu, koma sizitanthauza kuti matenda ashuga amayenera kuwongolera moyo wanu.

3. Simunthu woipa chifukwa muli ndi matenda ashuga. Ili si vuto lanu. Ndipo simudzakhala "oyipa" chifukwa simunaphunzitse bwino lero kapena kudya zoposa zomwe munakonzekera kudya.

4. Ndikofunikira kuwunika moona momwe mukuwongolera momwe matenda a shuga amayendera. Simungathe kuchita chilichonse mwangwiro kuti muchepetse matenda anu a shuga, koma izi sizofunikira Muyerekeze kupita kwanu patsogolo pazotsatira, mwachitsanzo, hemoglobin wa glycated, kuthamanga kwa magazi ndi cholesterol, koma osati ndi zochitika za tsiku ndi tsiku. Kumbukirani kuti ziziwonetsero za mita siziyenera kutengera malingaliro anu ndi ulemu wanu. Mamita anu akhoza kukhala ofunika, koma sizitanthauza "zoyipa" kapena "zabwino." Izi ndi manambala okha, chidziwitso chokha.

5. Onetsetsani kuti muli ndi dongosolo loyenera kuchitapo kanthu. Ngati mungokhala ndi malingaliro osamveka kuti muyenera "kuchita masewera olimbitsa thupi kwambiri" kapena "kuyeza magazi anu pafupipafupi," ndiye kuti simungathe kuchita bwino. Kuti muyambe, sankhani chinthu chimodzi chomwe chingakhale ndi zotsatira zabwino pakuwongolera odwala matenda ashuga. Khalani achindunji. Mwachitsanzo, Kodi muphunzitsa kangati sabata ino? Ndiye kuti, muchita chiyani? Liti? Kangati? Agawe m'magawo, ndipo khazikitsani nthawi iliyonse momwe mungakwaniritsire zotsatirazi. Koma onetsetsani mphamvu zanu. Kungokhala ndi dongosolo lomveka bwino pamaso panu ndi komwe mungathe kuchita bwino.

6. Yesani kupeza chithandizo cha abale kapena abwenzi pakuwongolera matenda anu a shuga. Osadandaula ndi chilichonse. Aphunzitseni, mwachitsanzo, malamulo oletsa kuperewera kwa hypoglycemia, njira ya jekeseni wa glucagon. Komanso muziyesetsa kupita ku masukulu a matenda ashuga komanso kupita kumaphunziro osiyanasiyana a anthu omwe ali ndi matenda ashuga. Mutha kubwera kwa iwo ndi anthu apafupi nanu.

Kafukufuku woyamba

Pazinthu zoyambirira zasayansi zoperekedwa pa nkhaniyi, wolemba adalemba mgwirizano womwe ulipo pakati pa kukhumudwa ndi matenda ashuga. Malingaliro ake, "chisoni ndi chisoni chopitilira" pamapeto pake zidasokoneza kagayidwe kazakudwala komanso zimayambitsa matenda ashuga. Nkhaniyi idatulutsidwa zaka mazana angapo zapitazo, ndipo nthawi yonseyi anthu amakhulupirira kuti wodwala matenda ashuga amasokonezeka chifukwa cha zovuta komanso nkhawa.

Mu 1988, zidawonetsedwa kuti kukhumudwa kumatha kuyenda limodzi ndi kuchepa kwa minyewa kupita ku insulin ya pancreatic, yomwe ndiyofunikira pakukula kwa matenda ashuga. Wolemba wina adafalitsa zomwe adawerengera, pomwe adapatsa odwala omwe ali ndi matenda ashuga omwe ali ndi matenda ashuga. Zinapezeka kuti chithandizo choterechi chimachepetsa kukhumudwa komanso kupweteka komwe kumayamba chifukwa cha neuropathy.

Pafupifupi zaka 10 pambuyo pake, ntchito ina inatuluka. Panthawiyi, wolemba adawona odwala 1715 omwe ali ndi matenda a shuga kwa zaka 13 ndikuwona kuti ndi matenda amtundu wa 2 shuga, chiwopsezo cha kupsinjika mtima ndi chokwanira kuposa mwa anthu athanzi. Deta yake idayamba kuwunikidwa kawiri, ntchito yambiri yosangalatsa idachitika yomwe idapangitsa kukhazikitsa: inde, zowonadi za shuga nthawi zambiri zimatsatiridwa ndi kukhumudwa.

Insulin sensitivity ndi cortisol

Zinangokhala kuti ndidziwe kukula kocheperako - chifukwa. Zaka zisanu ndi zitatu zapitazo, zotsatira za kusanthula kwakukulu meta zidafotokozedwa m'mabuku (atatenga zikalata zochepa za sayansi ndikuyang'ana zinthu zina). Zinapezeka kuti odwala omwe ali ndi nkhawa ali pachiwopsezo cha zovuta za carbohydrate metabolism. Ndipo kuphwanya kumeneku kudalumikizidwa ndi mfundo zingapo zingapo:

• Munthu yemwe ali ndi nkhawa amakhala ndi moyo wongokhala, odwala oterewa amasuta kwambiri, ndipo ena mwachindunji "kupanikizana" zovuta zawo ndi maswiti.
• Zimawonetsedwa kuti adrenal hormone cortisol ndi pro-yotupa ya cytokines (zinthu zomwe zimathandizira kutupa) zimamasulidwa pakukhumudwa. Zochitika izi zitha kuchepetsa chidwi cha maselo ndi minofu kuti insulin.
• Kuchulukitsa kwa cortisol kumapangitsa kunenepa kwambiri ndi kuchuluka kwamafuta akulu pamimba, ndipo kunenepa kotereku kuli kale pachiwopsezo cha matenda a shuga a 2.

Wodwala matenda ashuga, Komabe, ali ndi zifukwa zambiri zopangitsa kuti azikhala ndi nkhawa. Atapezeka kuti ali ndi matenda ashuga, odwala amayenera kuyang'anira kuchuluka kwa shuga m'magazi awo, kusintha zakudya, kumwa mankhwala kapena kumwa insulin panthawi, kuwonjezera masewera olimbitsa thupi, kuchepetsa thupi, komanso nthawi yomweyo kuyendera dokotala kuti awone momwe matendawa akuyendera. Odwala ena amawopa kwambiri zovuta, kuphatikizapo hypoglycemia. Ndipo zonsezi zomwe zimatengedwa pamodzi zimatha kutha kupsinjika. M'modzi mwa olemba vutoli adawonetsa kuti kuvutika maganizo kumakhala kochepa kwambiri kwa odwala omwe ali ndi vuto lachiwiri la matenda ashuga kuposa omwe ali ndi omwe awazindikira.

Kodi zovuta za matenda ashuga zimapangitsa kukhumudwa?

Choyipa chachikulu ndikukula kwa zovuta za shuga. Asayansi atsimikizira kuti kuwonongeka kwa maso, impso, mitsempha ndi ziwiya zazikulu za matenda ashuga kumakhudza kupangika kwa dziko lokhumudwitsa. Kodi izi zimakwaniritsidwa bwanji? Ofufuzawo akuti kuchepa pang'onopang'ono komanso kuchepa kwa zakudya m'thupi la mitsempha yomwe imayambitsidwa ndi ma cytokines amachepetsa kusinthasintha komanso kusinthasintha kwa mitsempha ndipo imatha kukhala chovuta m'mtsogolo. Kuphatikiza apo, zovuta za shuga zimaphatikizidwanso ndi kuwonjezeka kwa kuchuluka kwa mahomoni a cortisol, omwe, monga timakumbukira, amatha kumasulidwa panthawi ya kukhumudwa.

Matenda A shuga, Kukhumudwa, ndi Kupsinjika kwa Odwala Odwala

Pali lingaliro linanso lomwe lakhazikitsidwa lomwe limatha kuphatikiza kupsinjika ndi matenda a shuga a mtundu wachiwiri. Chowonadi ndi chakuti zonsezi zimatha chifukwa cha kupsinjika. Akatswiri osiyanasiyana adanenanso kuti kuperewera kwa mafuta m'thupi kumayenderana ndi kuvulala kwamaganizidwe komwe wodwala anali akadali mwana (mwachitsanzo, ndi kutentha kosakwanira muubwenzi ndi makolo). Kupsinjika kumatha kuyambitsa machitidwe osayenera - kusuta, kumwa mowa mwauchidakwa, kudya zakudya zopanda pake, ndikuchepetsa zochitika m'moyo watsiku ndi tsiku. Kuphatikiza apo, popsinjika, cortisol yomweyo imamasulidwa, yomwe imayambitsa kunenepa kwambiri pamimba ndi minofu kukana insulin. Komabe, lingaliro ili silifotokoza chifukwa chake kuvutika maganizo kuli ofala chimodzimodzi kwa odwala omwe ali ndi matenda amtundu wa 2 komanso a 2.

Zizindikiro za Kukhumudwa

• Matenda okhumudwa masiku ambiri.
• Kupanda kusangalala / kukondweretsedwa mu zochitika zamtundu uliwonse masana.
• Kuchulukitsa kapena kuchepa kwa chilimbikitso kapena kulemera.
• Kusokonezeka kwa kugona - kugona kwambiri kapena kusowa tulo (kusowa tulo).
• Psychomotor mukubwadamuka - kumverera kwa nkhawa kapena kusokonezeka (mwachitsanzo, kupindika manja pafupipafupi, kusefedwa, kunjenjemera kwa miyendo, kuyenda kwamanjenje ndi zina zotero) kapena kuletsa kwa psychomotor - kusuntha pang'ono, kulankhula pang'onopang'ono ndi zina.
• Kupanda mphamvu, kumva kuti watopa.
• Kudzimva wopanda pake kapena kudziimba mlandu.
• Kulephera kulolera.
• Maganizo obwereza kapena okufa.

Ngati zambiri mwazizindikirozi zilipo mosalekeza kwa milungu iwiri, wodwalayo amapezeka kuti ali ndi nkhawa.

Zotsatira za kupsinjika kwa shuga

Ndi kukhumudwa, wodwala matenda a shuga ndikovuta kuti akwaniritse komanso zovuta zimachitika kawirikawiri. Umoyo wa wodwala ndipo, kwakukulu, chikhumbo chofuna chithandizo amachepetsedwa. Chosangalatsa ndichakuti kuphatikiza kwa matenda onse awiriwa kumabweretsa chiwonjezeko cha ndalama zothandizira kuchipatala.

Chifukwa chake, kupsinjika mtima nthawi zambiri kumayenderana ndi matenda a shuga. Komabe, masiku ano kupsinjika kwa wodwala matenda ashuga kumawerengedwa ngati yankho labwino pakupezeka kuti ali ndi matenda aakulu, ndipo zizindikiro za kukhumudwa sizimafunikira. Njira zophunzirira kupsinjika kwa odwala omwe ali ndi matenda a shuga komanso zatsopano, maphunziro owonjezera amafunikira, chifukwa, ngakhale kuchuluka kwa zofalitsa pa ubale pakati pa kukhumudwa ndi matenda ashuga, mbali zambiri za njirayi sizidziwikabe bwinobwino.

Pakadali pano, akuyerekezeredwa kuti mwa ana obadwa lero, chiopsezo cha matenda ashuga m'moyo chimaposa 35%. Chifukwa chake, ndikofunikira kwambiri kudziwa momwe matendawa amakhudzana ndi kukhumudwa, ndikupanga njira zochizira odwala omwe ali ndi ma pathologies onse awiri.

Zomwe Zimayambitsa Matenda a shuga ndi Kukhumudwa

Kukhumudwa ndi zotsatira za kupatuka pakugwira ntchito kwa ubongo. Ubwenzi wamalingaliro osavomerezeka, monga chisoni kapena chisoni, ndi chitukuko cha matenda ashuga umadziwika. Matenda a shuga amatha pambuyo pokumana ndi vuto lamphamvu kapena locheperachepera, ngakhale izi sizikudziwika nthawi zonse chifukwa chakuti mtundu wa 2 matenda a shuga nthawi zambiri sudzadziwika kwa zaka zambiri. Matenda okhumudwa amathanso kuchitika chifukwa cha zovuta zina za mu metabolism.

Zokhudza chikhalidwe: Mavuto omwe anthu amakumana nawo pazachuma, monga maphunziro ochepa, zochitika zovuta m'moyo komanso kusowa kwa chithandizo chachuma, ndizomwe zimayambitsa kukhumudwa komanso matenda ashuga.

Zakudya zoyipa za fetal nthawi ya mayi akapakati: kuperewera kwa thupi kwa mayi panthawi yapakati kungayambitse kukula kwa fetal. Izi zimatha kuyambitsa matenda osokoneza bongo a shuga kapena matenda ashuga pambuyo pake. Momwemonso, makanda ochepera msambo amakhala pachiwopsezo chotenga matenda a msambo asanabadwe kapena ukalamba.

Mitundu: zambiri zofufuzira zikusonyeza kuti pakati pa anthu omwe achibale awo omwe ali ndi mavuto amisala, monga kupsinjika kapena psychosis, pali chiwopsezo chachikulu cha matenda ashuga.

Ma hormone owongolera: nkhawa zambiri zimatsogolera pakupanga kwa mahomoni olimbana ndi zinthu monga adrenaline, glucagon, glucocorticoids, komanso kukula kwa mahomoni. Ma mahormoni amenewa salola kuti insulin ikhale ndi shuga wachilengedwe, zomwe zimapangitsa kuti magazi azikula.

Zotsatira za kukhumudwa ndi matenda ashuga wina ndi mnzake

Kwa odwala omwe ali ndi nkhawa, zingakhale zovuta kudziwa zizindikiro za matenda ashuga. Chifukwa cha mkhalidwe wamaganizidwe awo, amanyalanyaza thanzi lawo. Amatha kusowa chilimbikitso kapena mphamvu yodzisamalira. Odwala omwe ali ndi nkhawa amatha kuvutika kuganiza komanso kulumikizana. Amakhala ozikayikira, amavutika ndi kusintha kwadzidzidzi. Zimakhala zovuta kuti achite ntchito zosavuta. Nthawi zambiri amatha kunyalanyaza kusankha madokotala. Amatha kudya kwambiri, kulemera, kupewa kuchita masewera olimbitsa thupi, ngakhale kuyamba kusuta, kumwa mowa kapena kugwiritsa ntchito mankhwala osokoneza bongo. Zonsezi zimabweretsa kuyendetsa molakwika kwa zizindikiro za matenda ashuga.
Zotsatira zake, odwala amatenga zovuta zazing'ono, monga mavuto a impso, mavuto ammaso, komanso neuropathy.

Zapezeka kuti anthu omwe ali ndi nkhawa komanso matenda ashuga ali ndi chiopsezo chowonjezereka cha matenda amtima, monga kugunda kwamtima, kukwapula, kapena magazi osayenda m'miyendo. Mavutowa amatha kupangitsa kuti kukhumudwa kuvutike. Mwachitsanzo, kupweteka kwambiri sikuti kumangochititsa kuti munthu akhale ndi nkhawa, koma kuvutikako, kungakulitse kupweteka kwanthawi yayitali. Mofananamo, ngati wodwala wovutika mtima wadwala matenda a mtima kapena matenda opha ziwalo chifukwa cha matenda ashuga, kuchira kumayamba pang'onopang'ono, kumene kumangokulitsa kuvutika maganizo.

Zakudya Zoyenera:

Chifukwa cha kupatula zakudya zamafuta owonjezera bwino okhala ndi mafuta ochulukirapo kuchokera muzakudya, mapangidwe a ma free radicals m'thupi amachepa. Zatsimikiziridwa kuti ma free radicals amathandizira kuti pakhale kukhumudwa. Chifukwa cha zakudya zopatsa thanzi, zopatsa thanzi zama antioxidants, kupsinjika mtima kumatha kuchepetsedwa. Zakudya zoyenera zimagwiranso ntchito kwambiri pakuwongolera magazi.

Kugona bwino:

Kugona mokwanira kumathandiza wodwalayo kuti azimva kupumula komanso kukhala wamphamvu. Kukhala ndi malingaliro abwino kumachepetsa chidwi chofuna kudya ndipo kumathandizanso kukhazikika m'magazi. Kugona mokwanira kumathandizanso kuchepetsa kupsinjika, komwe kumachepetsa mavuto a mahomoni olimbana, potero kumachepetsa kuchuluka kwa shuga m'magazi.

Matenda a kulemera:

Kwa odwala onenepa kwambiri, kuchita masewera olimbitsa thupi pafupipafupi komanso kudya mokwanira kumathandizira kuchepetsa kunenepa komanso kuwonjezera mphamvu ya insulin, yomwe imalola kuwongolera bwino kwamagazi a shuga. Kafukufuku awonetsa kuti kulera kunenepa kwambiri kumathandizanso kwa odwala omwe ali ndi nkhawa.