Kupsinjika ndi matenda opatsirana kumatha kuyambitsa matenda ashuga mwa mwana

Tonse tikudziwa kuti kupsinjika ndi gawo la moyo. Matenda opsinjika ali ndi mbali zabwino, chifukwa amatilimbikitsa kuchitapo kanthu. Komabe, kupsinjika kwakukulu kumatha kuyambitsa mavuto azaumoyo.

Tonse tikudziwa momwe zimavutira kulera mwana yemwe ali ndi matenda ashuga, kuyambira ndi shuga osasunthika popanda chifukwa chomveka ndikumaliza ndi nkhani za zakudya, kulumikizana ndi ogwira ntchito kusukulu, kusiya nyumba ali ndi thumba lodzaza ndi zida za matenda ashuga, ndipo, zachidziwikire, zoyipa kwambiri, mayeso a shuga magazi nthawi ya 3 am, zomwe zimaletsa kugona!

Ngati mukupanikizika, izi zimakhudzanso mwana wanu, ndikuchepetsa nkhawa zanu kukuthandizani kuti muchepetse matenda anu a shuga. Kumbukirani kuti ngati mudzisamalira nokha, mutha kusamalira bwino mwana wanu.

Malangizo Othandizira Kupsinjika:

Dziwani zomwe mutha kuwongolera ndi zomwe simuyenera

Nthawi zina timakhala ndi nthawi yochulukirapo kuda nkhawa ndikuyesera kuthetsa mavuto omwe sitingathe kuwongolera. Ndikofunikira kupuma ndikuphunzira kuti muwunikire zomwe zikuchitika kuchokera kunja: kodi mukutha kusintha momwe zinthu ziliri kapena zikuchokera m'manja mwanu ndipo mukungoyenera kusiya ndikusintha malingaliro anu kuzomwe zikuchitika. Izi ndizofunikira. Phunzirani zonse zomwe mungathe zokhudza kasamalidwe ka matenda ashuga kuti musinthe zomwe zimafunika kusintha. Koma kumbukiraninso kuti pali zina zambiri zomwe zimakhudza matenda ashuga omwe simungathe kuwathetsa, monga mahormoni, matenda, etc.

Muzipeza nthawi yochitira zinthu zina

Nthawi zambiri ndimamva kuti ndikudzikonda kudzipatula ndekha. Ndimamvanso kuti palibe nthawi yokwanira inemwini. Koma ngati mukuzindikira kuti mukugwira ntchito molimbika ndipo mulibe nthawi ndi "nthawi yanu", izi zakhudza momwe mungayankhire anthu ena m'moyo wanu.

Kukhala mu mkhalidwe wopsinjika, nkhawa, kuda nkhawa, ndi zina zambiri, mutha kukhala osakwiya ndi omwe mumawakonda, kapena mwina simungakhalepo pano ndi pano kuti musangalale ndi nthawiyo, chifukwa malingaliro anu adzakhala kutali, chifukwa muli ndi nkhawa zinthu zina.

Mukakhala ndi nthawi yanu, mutha kusamalira ena. Mutha kujambula fanizo ndi ndege: Choyamba muyenera kuvala chophimba cha okosijeni, kenako mwana. Konzekerani nthawi yokonzekera nokha. Chitha kukhala china chophweka. Sangalalani ndi chikho cha m'mawa m'mawa, sambani moto wotentha, werengani buku lomwe mumakonda, pitani koyenda, kapena muwononge nthawi yatsopano. Muyenera kuti muphunzitse wina za momwe angayang'anire matenda a shuga a mwana wanu, koma m'kupita kwa nthawi izi ndi njira zabwino kwambiri zadzidzidzi!

Kwa ine, mwachitsanzo, njira yabwino yopumulira ndikuyatsa makandulo ndikusamba koyaka.

Idyani zakudya zopatsa thanzi ndikuchepetsa shuga, tiyi kapena khofi.

Idyani pafupipafupi ndipo musaiwale zokhwasula-khwasula. Kudumpha zakudya kumatha kukulitsa nkhawa. Anthu ambiri samadya kalikonse m'mawa, komabe, amayesa zopumira ngati ma granola bar kapena ma smoothies.

Yesani kulingalira, kulingalira, yoga kapena kupuma pang'onopang'ono.

Kuwongolera kulingalira - Iyi ndi njira mukapumira kwambiri ndikudziyerekeza kuti muli kwinakwake pamalo abwino, mwachitsanzo, pagombe. Muyenera kupereka chithunzichi pogwiritsa ntchito mphamvu zanu zonse. Imvani kuti mchenga ukuyenda pakati pa zala zanu, kununkhira madzi amchere, kumva phokoso la mafunde ndi kulira kwa mafunde, kuwona masamba a udzu ndi mafunde ... Ngakhale "tchuthi cham'mutu mwanu" chidzakuthandizani kuti mupumule. Ndili ndi kasitomala yemwe “amasodza” m'mutu mwake.

Kupuma pang'onopang'ono - Iyi ndi njira pomwe, limodzi ndi kupuma kwakukuru, njira yogwiritsa ntchito minofu yolimba imagwiritsidwa ntchito, kenako ndikukhazikika pamalingaliro amtendere omwe amapezeka mwa iwo, omwe amakuthandizani kuwona ngati minofu yanu imakhala yovuta chifukwa chovutikira zomwe mukukumana nazo. Izi zikuthandizani kuti mupumule.

Pali mawu ojambulidwa ambiri omwe angakuthandizeni panjira. Ngati mutchera khutu izi tsiku ndi tsiku, kuwongolera malingaliro anu ndikumapumula kwapang'onopang'ono kungakuthandizeni kuti muchepetse nkhawa.

Ndipo ndimakondadi yoga. Ngakhale ndimamupatsa mphindi 15 zokha patsiku, ndimakhala wodekha. Ndipo mwana wanga wamkazi amakonda masewera a yoga pamiyendo: ndizosangalatsa komanso kosavuta kutembenukira mozungulira ndikuyimirira pamutu panu.

Khalani ndi lamulo lotenga nthawi yopuma masana 4 4 4

Lamuloli limatanthawuza kuti muyenera kuphunzira momwe mungapangire yopuma inayi masana, panthawi yomwe muyenera kupumira m'mimba zanu zinayi. Izi zikuthandizani kuti muchepetse pang'onopang'ono ndikupuma pang'ono kangapo patsiku.

Yesaninso kugwiritsa ntchito njirayi pomwe kuwerenga kwa mita kunali kokulirapo kuposa momwe mumayembekezera. Musaiwale kuti manambala omwe ali pamamita ndi chida chothandizira kuthana ndi matenda ashuga, ndipo samawonetsa konse chomwe chiri "chabwino" ndi "choyipa".

Zochita zolimbitsa thupi

Inde, anthu ambiri sakonda mawu owopsa awa, koma iyi ndi njira yabwino yotsitsira kupsinjika. Kuchita masewera olimbitsa thupi pafupipafupi kungakuthandizeni kuwonjezera chidaliro chanu, chomwe chimakhudzanso momwe mungasamalire mwana wanu wodwala matenda a shuga. Kuchita masewera olimbitsa thupi kumathandizira kuchepetsa kuchuluka kwa cortisol komanso kumathandizira kupanga serotonin. Chifukwa chake, yesetsani kuchita masewera olimbitsa thupi nthawi zonse. Izi zili ndi zabwino zambiri!

Musamale zomwe mumadya.

M'malo mongodziponyera nokha chakudya mukamagwira ntchito, kuyendetsa galimoto, kuonera TV ndi ntchito zina, ingoyang'anani ndi zomwe mumadya ndikusangalala ndi kuluma kulikonse. Kumva kukoma kwa chidutswa chilichonse, kununkhira chakudya chanu. Thungani pang'onopang'ono ndikuyesera kupatula mphindi 20 kuti mudye. Kuyang'ana kwambiri zakumverera kwanu kumakupatsani malingaliro anu kupumula komwe kukufunika, ndikuyang'ana pazomwe mumadya komanso kuchuluka kwa zomwe mungapindule nazo pozindikira kwambiri.

Dziloleni kutikita pang'ono

Ingotengani mphindi zisanu ndikutsukutira kachasu, nkhope, khosi, komanso bwinoko - funsani mnzanuyo za icho kapena nthawi ndi nthawi kuti mulembetse thupi lanu lonse. Mudzadabwa momwe kupumulirako kumakhalira!

Ikani patsogolo mindandanda yanu yochitira nokha

Unikani zofunika kwambiri pamoyo wanu, ikani zodzisamalira pamizere yoyambirira. Zachidziwikire, nthawi zambiri zimakhala zovuta kuzilemba, koma chofunikira ndichakuti pali zinthu zomwe ziyenera kufanana, monga kudzisamalira, kulera ana, kuthana ndi matenda ashuga, ntchito, moyo wa uzimu.

Mukawona zomwe zili zofunika kwa inu, zidzakhala zosavuta kusiyitsa mndandanda wanu zomwe sizikugwirizana ndi zomwe zili zofunikira m'moyo wanu. Kupeza thandizo kuchokera kunja ndi kupatsa ena ntchito ndikofunikira kwambiri! Lingaliro loti inu ndi inu nokha muyenera kuchita izi sizithandiza kuti muchepetse nkhawa.

Pezani chithandizo

Pezani munthu yemwe mungamukhulupirire ndikugawana ndi malingaliro ndi malingaliro anu. Pezani munthu yemwe angakumvereni osati kukuweruzani. Sakuyenera kuthana ndi mavuto anu, adzangokhala pomwepo osakuuzani: "Tizolowereni." Ngati amadziwa matenda a shuga, zingakhale mwayi wabwino, ngakhale ndikudziwa kuti kupeza munthu wotere sikophweka. Kuyendera gulu lothandizira makolo kwa ana omwe ali ndi matenda ashuga ndi njira yabwino yochotsera nkhawa.

Yesetsani kuchepetsa nkhawa ndipo mudzaona momwe moyo wanu ndi moyo wa mwana wanu zisinthira. Yesetsani kuphatikiza zina mwanjira zili m'moyo wanu watsiku ndi tsiku. Gwiritsani ntchito njira zina komanso, popeza mndandandawo suti wathunthu. Wina angafunikire kuwonjezera njira izi mu diary kapena kuzilemba papepala kuti azilembe. Ndipo musaope kufunafuna chithandizo kuchokera kwa katswiri ngati mukufuna kukakumana ndi munthu wina.

Makolo ayenera kuchenjezedwa kuti mwana amamwa kwambiri, amachepetsa thupi kapena amakonda kupita kuchimbudzi, makamaka usiku.

Matenda a shuga ndi matenda a endocrine-metabolic. Zimakhazikitsidwa ndi kuperewera konse kapena insulin, komwe kumapangitsa kuphwanya mitundu yonse ya kagayidwe.

Etiology. Nthawi zambiri, kukula kwa matendawa kumakonzedweratu ndi chibadwidwe, matenda okhudzana ndiubwana, malingaliro ndi thupi, kusowa kwa zakudya m'thupi.

Matenda a shuga ndi matenda obadwa nawo. Kugawana ndikotheka pamitundu yonse ikuluikulu komanso yowonanso.

Mwa matenda abwana, kukula kwa matenda ashuga kumatha chifukwa cha mumps, chikuku, chikuku, kutentha thupi, chimfine, tonsillitis.

Vuto la m'malingaliro ndi thupi ndilimodzi mwazinthu zomwe zimathandizira kuyambika kwa matenda a shuga, koma, mwachiwonekere, kuvutika m'maganizo kumangokwiyitsa kuwonetsa koyambirira kwa matenda osokoneza bongo, njira yomwe inali yobisika. Ndi kuvulala kwakuthupi ndi kwamaganizidwe, kuchuluka kwa glucose m'magazi (hyperglycemia), mkodzo (glycosuria) umachulukirachulukira, koma matendawa samakula.

Zakudya zopatsa mphamvu zimakhudza mkhalidwe wa chida champhamvu cha kapamba. Tiyenera kudziwa kuti matenda ashuga amayamba ndi munthu yemwe amadya mafuta ambiri. Ndi mafuta, osati chakudya, akapatsidwa mankhwala ambiri omwe angayambitse kuchepa kwa ma cell a b. Ngati ana agwirira ntchito maswiti, izi zimathandizanso kuchuluka kwa ntchito zamagetsi.

Matenda a shuga angawonekere ali ndi zaka zilizonse, koma nthawi zambiri amapezeka ana azaka za 6-8 ndi 11 mpaka 13, chifukwa mu zaka izi ana amakula kwambiri ndipo zida zoyipa za kapamba zimagwira ndi kupsinjika kwakukulu.

Pathogenesis. Ntchito yayikulu pakukula kwa shuga imaseweredwa ndi insulin kuchepa, momwe mitundu yonse ya metabolism m'thupi imasokonezeka. Zomwe zimasinthazi ndikugwiritsa ntchito chakudya chokwanira cha ma carbohydrate ndimisempha, zomwe zimapangitsa kuti magazi azikhala ndi magazi (hyperglycemia). Kuchuluka kwa glucose kwa nthawi yayitali m'magazi, komwe kumapitilira kuchuluka kwa mayamwidwe amkati mwa impso, kumapangitsa kuti chiwonetsero cha glucose chiwonjezeke. Pansi pa izi, mphamvu za thupi zimaperekedwa ndi kuphatikiza mafuta. Matani samatha kuthira mafuta acids omwe amalowa mthupi lambiri. Chifukwa chake, zinthu zosapanga-oxidised mafuta metabolism zimadzaza - matupi a ketone (b-hydroxybutyric ndi acetoacetic acid, acetone). Umu ndi momwe ketoacidosis wodziwika wa kuwonongeka kwa matenda ashuga amakulira. Kuphatikiza apo, glycosuria imayambitsa polyuria. Pa gramu iliyonse ya shuga, 2040 ml yamadzimadzi imamasulidwa, ndipo nthawi yomweyo, kutayika kwa sodium ndi potaziyamu kumachulukanso.

Ketoacidosis, exicosis, dyslelectrolisemia, kukulitsa zovuta za metabolic, zomwe zimapangitsa kuti insulin ikwaniritse.

Chipatala Ana, matenda a shuga amakula mwadzidzidzi. Posakhalitsa, zizindikiro zonse zimawonekera: polydipsia, polyuria, polyphagia, kuchepa thupi, kuuma komanso kuyabwa kwa pakhungu ndi mucous membrane, hyperglycemia, glycosuria. Izi ndizosiyana ndi matenda akuluakulu a shuga, omwe matendawa amakula pang'onopang'ono.

Munthawi yoyambirira ya matendawa ana, ludzu silinafotokozedwe bwino, koma limakulirakulira, polyuria ndi bedwetting limakulika. Polyphagy mu shuga imawonetsedwa ngati chiwonjezero chakuthwa, komanso kuchuluka kwa chakudya. Ngakhale izi, kuchepa thupi kumadziwika, komwe kukuyenda bwino.

Chizindikiro chachikulu cha matenda ashuga ndi glycosuria. Mu mkodzo wa tsiku ndi tsiku wa odwala, shuga osiyanasiyana amatha kupezeka - kuchokera kumayendedwe osiyanasiyana mpaka magalamu makumi angapo. Mafuta ake amkodzo tsiku lonse amakhala osagwirizana, choncho tikulimbikitsidwa kupenda mbiri ya glycosuric tsiku ndi tsiku. Mkodzo umasonkhanitsidwa maola angapo: kuyambira 9 mpaka 14, kuyambira 14 mpaka 19, kuyambira 19 mpaka 23, kuyambira 23 mpaka 6, kuyambira 6 mpaka 9 maola. Gawo lililonse la mkodzo, kuchuluka kwathunthu, kuchuluka kwa shuga, ndiye kuchuluka kwa shuga m'magalamu omwe amatsanulidwa ndi gawo lililonse amatsimikiza. Izi ndizofunikira kukhazikitsa mlingo wa insulin. Kufufuza kumatha ndi kuwerengera kwamkodzo tsiku ndi tsiku ndi mkodzo wa tsiku ndi tsiku.

Hyperglycemia ndi chimodzi mwazizindikiro zazikulu za matenda ashuga. Mwa ana odwala, kuchuluka kwa glucose othamanga kwamagazi kumaposa 5.6 mmol / L, ndipo ndi kukula kwa chikomokere kapena mkhalidwe wokongola umakwera mpaka 22-30 mmol / L. Kuti mupeze molondola mkhalidwe wa metabolism wa carbohydrate mu shuga, ndikofunikira kudziwa kusinthasintha kwa kuchuluka kwa glucose m'magazi tsiku lonse (kumanga kupindika kwa glycemic tsiku lililonse).

Kwa matenda a shuga a mellitus, kuwonjezeka kwa magazi a matupi a ketone mpaka 860-1377 μmol / L ndi khalidwe.

Ndi ketonemia, fungo la acetone kuchokera mkamwa limakonda kuwonekera, acetone imapezeka mkodzo. Komabe, zomwe zili m'matupi a ketone zimatha kukula ndi njala, matenda opatsirana komanso matenda ena.

Zovuta. Vuto lalikulu kwambiri la matenda ashuga ndi matenda ashuga, kapena matenda a m'magazi, omwe amayamba chifukwa chodziwitsidwa ndi zizindikiro zoyambirira za matendawa. Pankhaniyi, pakatha milungu kapena miyezi ingapo, komanso ndimatenda opatsirana, ngakhale patadutsa masiku angapo, acidosis ndi chikomokere zimayamba. Muubwana, kukomoka kwa matenda ashuga kumakhala kofala kwambiri ndipo kumabwera mwachangu. Kuchulukitsa kwa mkodzo, kuchepa thupi komanso kuchepa thupi, kununkhira kwa acetone mumlengalenga komwe kumatsirizika, thanzi loperewera, kusanza, ludzu, kuperewera ndi kugona. Ndikudwala matenda ashuga, chikumbumtima sichimafa nthawi yomweyo: poyamba kutha mphamvu mwapang'onopang'ono kumayamba, kugona mokwanira komanso wodwala amayamba kuzindikira.

Coma ndi chiopsezo cha moyo chomwe chitha kupewedwa poyambira chithandizo chanthawi yake. Kuphatikiza apo, pali ngozi yakutali, koma yayandikira, yomwe pamapeto pake imagwetsa moyo wa wodwalayo, - kusintha kwa matenda ashuga m'mitsempha yamagazi.

Ngati khansa ya matenda ashuga itayang'aniridwa molakwika, ndiye kuti ngati muli ndi insulin kwambiri, shuga wa magazi amachepa kwambiri (hypoglycemia).

Hypoglycemia imadziwika ndi nthawi yoyamba, yovuta ya shuga ndi zakudya zinazake komanso mankhwala a insulin, kuchuluka kwa insulin, pambuyo panjala kapena kuchita masewera olimbitsa thupi. Zizindikiro zoyambirira zake ndi khungu lotuwa, ulesi, chizungulire, thukuta, kunjenjemera, chikumbumtima chosavomerezeka ndi kukokana. Zizindikiro zofunika zomwe zimasiyanitsa hypoglycemia ku hyperglycemic coma ndi: kupuma movutikira, khungu lonyowa, khungu lotupa, kukhathamika kwa minofu, kutsekemera kwa magazi. Kutalika kwa nthawi yayitali, komwe kumachitika mobwerezabwereza kumatha kuwononga ubongo.

Chithandizo. Mankhwalawa odwala omwe ali ndi matenda a shuga, ofunika kwambiri ndi awa: 1) zakudya zoyenera, 2) insulin, 3) kutsatira njira zaukhondo.

Pazakudya, muyezo wa mapuloteni, mafuta ndi chakudya uyenera kukhala 1: 0, 75: 3.5, motero. M'pofunika kuchepetsa kugwiritsa ntchito shuga ndi maswiti ena 30-30 g patsiku.

Zakudya zopatsa thanzi za ana odwala ziyenera kuphatikizapo tchizi, oatmeal ndi ufa, mutton wamafuta ochepa, ndiye kuti, zinthu zomwe ziyenera kukhala ndi kuthekera kochotsa mafuta ku chiwindi, kupewa kulowa kwake kwamafuta.

Muyenera kudyetsa mwana kasanu: kadzutsa, nkhomaliro, chakudya chamadzulo, chakudya chamadzulo ndi zina zowonjezera 3 pambuyo povomerezeka ndi insulin, ndiko kuti, kadzutsa kachiwiri.

Mosiyana ndi odwala achikulire, kudya kokha sikokwanira. Zochizira matenda a shuga kwa mwana, kukonzekera kwa insulin kuyenera kuyikidwa. Kukonzekera kwa insulin kumagwiritsidwa ntchito nthawi yayitali komanso kuchita bwino nthawi yayitali masana (insulin B, suinsulin, kuyimitsidwa kwa insulin ya jekeseni), etc. Ndikulimbikitsidwa kuti mankhwalawa ayambike pokonzekera insulin pang'ono. (suinsulin).

Mwachizolowezi, tsiku lililonse mlingo wa insulin yochepa umagawidwa pawiri, kapena kuposa apo, womwe umachitika mphindi 20-30 asanadye. Kufunika kwa insulin m'masiku otsatirawa, komanso Mlingo wa tsiku ndi tsiku, zimatengera kuchuluka kwa shuga mumkodzo ndi magazi. Mu theka loyamba la tsiku, ndikofunikira kuti mupereke mankhwala ambiri a insulin tsiku lililonse. Ngati pakufunika jakisoni wa usiku kapena wamadzulo, kuchuluka kwa insulin sikuyenera kupitilira 10% tsiku lililonse. Pa mankhwala a insulin, ana omwe ali ndi matenda osokoneza bongo sayenera kukwaniritsa mkhalidwe wa aglycosuria (kusowa kwa glucose mu mkodzo), ndikokwanira ngati mpaka 5-10% ya kuchuluka kwa glucose amamuthira mkodzo patsiku.

Ukraine ndi mayiko omwe ali ndi vuto lalikulu kwambiri la matenda ashuga mellitus (DM). Pafupifupi UNIAN inanena za ana endocrinologist a Institute of Endocrinology and Metabolism Natalia SPRINCHUK.

Malinga ndi iye, kufala kwa matenda ashuga ku Ukraine kwakhala mliri.

"Zambiri za 2007 zikuwonetsa kuti dziko lathu lili ndi milandu 23-24 pa anthu zana limodzi. Nthawi yomweyo, chiwerengero chawo chikukula chaka chilichonse ku Ukraine, pafupi ndi dziko lonse lapansi. Pali ana opitilira 70,000 odwala matenda ashuga chaka chilichonse, "N. SPRINCHUK anatero.

Adanenanso kuti matenda ashuga ndi matenda oopsa komanso ovuta, makamaka kwa ana.

“Ana odwala matenda ashuga amakhala ndi zizindikiro zosonyeza kuti amadwala. Chachilendo chake ndikuti amatha kuyenda “pansi pa chigoba” cham'mimba, matenda opatsirana, matenda a adenovirus. Ngati makolo si madotolo, mwina sizingawonekere kuti izi ndi umboni wa kukhalapo kwa matenda oopsa ngati matenda ashuga, "adatero ana endocrinologist.

Adanenanso kuti zidziwitso za matenda ashuga mwa ana zimachuluka mwachangu, makamaka ngati ali ndi matenda ashuga a ketoacidosis (omwe nthawi zambiri amasokonezedwa ndi chimfine. Malinga ndi iye, ndendende pachifukwa ichi, ana 10 adamwalira ku Ukraine chaka chatha ndi matenda a shuga.

"Ana 98% omwe ali ndi matenda ashuga ali ndi mtundu woyamba wa matenda ashuga: kapamba akapanda kusungitsa insulin ndipo ngati ana ali ndi vuto la ketoacidosis nthawi yayitali, izi zitha kubweretsa vuto lalikulu, kulandira chithandizo chachikulu," adatero N. SPRINCHUK.

Chifukwa chake, akukhulupirira, chithandizo chamankhwala chikuyenera kupereka mayeso osati onse, komanso kuyezetsa magazi kwa shuga. Chifukwa chake, zovuta za matenda a shuga zitha kupewedwa, adokotala adatsimikiza.

N. SPRINCHUK ikuumirira kuti mwana ayenera kuchita kusanthula kangapo pachaka.

“Makolo ayenera kuchenjezedwa kuti mwana wawo amamwa kwambiri, amachepetsa thupi, kapena amakonda kupita kuchimbudzi, makamaka usiku. Ndikofunikanso kuyezetsa magazi nthawi zonse mwana akamadwala matenda opatsirana (rubella, chikuku, ndi zina), chibayo, chimfine kapena kupsinjika - izi ndi zinthu zomwe zimayambitsa matenda ashuga, "adatero.

Dokotala wodziwa za matenda adokotala ananena kuti mwana akapezeka ndi matenda ashuga, amakhala ndi mwayi womuteteza ku zovuta za matenda ashuga.

“Matendawa ndi oopsa osati ndi jakisoni tsiku ndi tsiku, koma chifukwa cha zovuta zake zomwe zimapangitsa kuvulala, kulemala komanso kufa wakhanda msanga. Matenda a shuga si matenda, koma moyo. Ndikofunikira kudziwa ngati ndili ndi vuto kuti ndiyambe kulandira chithandizo munthawi yake, "adatero N. SPRINCHUK.

Ponena za kuperekedwa kwa ana aku Ukraine omwe ali ndi matenda a shuga ndi insulin ndi glucometer, adati palibe zovuta pano, odwala onse amapatsidwa mankhwala onsewa.