Muli ndi matenda ashuga a 2

Masiku ano, anthu pafupifupi 420 miliyoni padziko lapansi pano ali ndi matenda a shuga. Monga mukudziwa, ndi mitundu iwiri. Matenda a shuga a Type 1 samakhala ocheperako, amakhudza pafupifupi 10% ya anthu onse odwala matenda ashuga, kuphatikiza inenso.

Momwe ndidakhalira wodwala matenda ashuga

Mbiri yanga yakuchipatala idayamba mchaka cha 2013. Ndinali ndi zaka 19 ndipo ndinaphunzira ku yunivesite mchaka changa chachiwiri. Chilimwe chinabwera, ndipo nthawi yonseyo inakwana. Ndinkangoyeserera ndikulemba mayeso, pomwe ndimadzidzimuka ndidayamba kuzindikira kuti ndimamva bwino: ndikumayamwa pakamwa ndi ludzu, kununkhira kwa acetone kuchokera mkamwa, kusokonekera, kukoka pafupipafupi, kutopa kosalekeza komanso kupweteka m'miyendo yanga, komanso maaso anga komanso kukumbukira. Kwa ine, wokhala ndi vuto la "ophunzira wabwino", nthawi yamaphunziroyi nthawi zambiri imakhala yovuta. Mwa izi ndidalongosola za momwe ndiliri ndikuyamba kukonzekera ulendo womwe ukubwera kunyanja, osaganizira kuti ndili pafupi kufa ndi kufa.

Tsiku ndi tsiku, thanzi langa limangokulirakulira, ndipo ndinayamba kuchepa thupi. Nthawi imeneyo sindinkadziwa chilichonse chokhudza matenda ashuga. Nditawerenga pa intaneti kuti zisonyezo zanga zikuwonetsa matendawa, sindinatengepo chidwi ndi nkhaniyi, koma ndidaganiza zopita kuchipatala. Pamenepo, zidapezeka kuti kuchuluka kwa shuga m'magazi mwanga kumangodutsa: 21 mmol / l, ndi liwiro lokwanira 3.3-5,5 mmol / l. Pambuyo pake ndinazindikira kuti ndi chizindikiro choterocho, nditha kugwa nthawi iliyonse, chifukwa chake ndimangokhala mwayi kuti izi sizinachitike.

Masiku onse otsatira, ndimakumbukira kuti zonsezo zinali loto ndipo sizinachitike kwa ine. Zinkawoneka kuti tsopano azindipangitsa kukhala otsalira ndipo zonse zikhala monga kale, koma zowonadi zonse sizinasinthe. Anandiika ku dipatimenti ya chipatala cha a Rocrazan a chipatala cha Ryazan, ndipo ndinawapeza ndipo adandidziwitsa za matendawa. Ndili othokoza kwa madotolo onse pachipatalachi omwe samapereka chithandizo chamankhwala okha, komanso chithandizo cham'malingaliro, komanso odwala omwe amandichitira mokoma mtima, omwe adawafotokozera za moyo wawo omwe ali ndi matenda ashuga, adawafotokozera zomwe akumana nazo ndikuwapatsa chiyembekezo chakutsogolo.

Mwachidule za mtundu wa shuga 1

Type 1abetes mellitus ndi matenda a autoimmune a endocrine system, omwe, chifukwa cha kusachita bwino, maselo apachifwamba amawonekera ndi thupi kuti ndi achilendo ndipo amayamba kuwonongeka ndi iwo. Zikondazo sizingathenso kutulutsa insulini, mahomoni omwe thupi limafunikira kuti asinthe glucose ndi zinthu zina chakudya kuti zikhale mphamvu. Zotsatira zake ndi kuwonjezeka kwa shuga m'magazi - hyperglycemia. Koma zoona zake, sizowopsa kuwonjezera shuga zomwe zimachitika chifukwa cha maziko ake. Kuchuluka kwa shuga kumawononga thupi lonse. Choyamba, ziwiya zazing'onoting'ono, makamaka maso ndi impso, zimavutika, chifukwa cha zomwe wodwalayo amatha kukhala wakhungu ndi kulephera kwa impso. Matenda omwe amatha kukhala ozungulira m'mapazi, omwe nthawi zambiri amachititsa kuti azidulidwa.

Anthu ambiri amavomereza kuti matenda ashuga ndi matenda obadwa nawo. Koma m'banja mwathu, palibe amene amadwala ndi mtundu woyamba wa matenda ashuga - amayi anga, kapena bambo anga. Zina mwazomwe zimayambitsa matenda a shuga a mtundu uwu wa sayansi sizikudziwika mpaka pano. Ndipo zinthu monga kupsinjika ndi kachilombo kavairasi sikuti komwe kumayambitsa matendawa, koma zimangothandiza ngati chitukuko.

Malinga ndi WHO, anthu opitilira mamiliyoni anayi amamwalira ndi matenda ashuga pachaka - pafupifupi ofanana ndi kachilombo ka HIV ndi hepatitis. Osawerengetsera zabwino kwambiri. Ndidakali m'chipatala, ndidaphunzira zambiri zokhudzana ndi matendawa, ndikuwona kukula kwa vutoli, ndipo ndidayamba kukhumudwa. Sindinkafuna kuvomereza matenda anga komanso moyo wanga watsopano, sindinkafuna chilichonse. Ndidakhala pafupifupi chaka ichi, mpaka ndidakumana ndi malo amodzi ochezera kumene anthu masauzande ambiri a matenda ashuga ngati ine amagawana zothandiza wina ndi mzake ndikupeza chithandizo. Kunali komwe ndidakumana ndi anthu abwino kwambiri omwe adandithandiza kupeza mphamvu mwa ine kusangalala ndi moyo, ngakhale ndimadwala. Tsopano ndine membala wamitundu ingapo yayikulu pamasamba ochezera a VKontakte.

Kodi matenda amtundu wa 1 amathandizidwa bwanji?

M'miyezi yoyamba nditapeza matenda anga a shuga, ine ndi makolo anga sitinakhulupirire kuti palibenso njira zina kupatulapo jakisoni wa insulin. Tidayang'ana njira za chithandizo ku Russia ndi kunja. Zotsatira zake, njira yokhayo ndikusintha kwa kapamba ndi maselo a beta. Tidakana mwanjira imeneyi, chifukwa pali chiwopsezo chachikulu cha zovuta mkati ndi pambuyo pa opareshoni, komanso kuthekera kwakukulu kochititsidwa ndi chitetezo cha mthupi. Kuphatikiza apo, patadutsa zaka zingapo atachitidwa opaleshoniyo, ntchito ya kapamba amene adasinthika kupanga insulin imatayika.

Tsoka ilo, masiku ano matenda a shuga a mtundu woyamba ndi osachiritsika, chifukwa tsiku lililonse ndikatha kudya chilichonse komanso usiku ndimayenera kudzipaka ndekha ndi insulin m'mendo ndi m'mimba kuti ndikhale ndi moyo. Palibe njira ina yotuluka. Mwanjira ina, insulin kapena kufa. Kuphatikiza apo, muyezo wama shuga a magazi ndi glucometer ndizovomerezeka - pafupifupi kasanu patsiku. Malinga ndi kuyerekezera kwanga kopitilira muyeso, pazaka zinayi za matenda anga ndidapanga majekiseni zikwi zisanu ndi ziwiri. Izi ndizovuta m'makhalidwe, nthawi ndi nthawi ndimakwiya, ndimakumbukira kusowa thandizo komanso kudzimvera chisoni. Koma nthawi yomweyo, ndikuzindikira kuti si kale kwambiri, kumayambiriro kwa zaka za zana la makumi awiri, pamene insulin inali isanapangidwe, anthu omwe adazindikira izi adangomwalira, ndipo ndinali ndi mwayi, ndimatha kusangalala tsiku lililonse lomwe ndimakhala. Ndikudziwa kuti tsogolo langa limatengera ine, pakulimbikira kwanga pankhondo yolimbana ndi matenda ashuga.

Momwe mungayang'anire shuga lanu lamagazi

Ndimayendetsa shuga ndi glucometer wamba: Ndimabaya chala changa ndi mkanda, ndimayika dontho la magazi pachifuwa chamayeso ndipo ndikatha masekondi angapo ndimalandira zotsatira. Tsopano, kuphatikiza pa ma glucometer achikhalidwe, pali owunika magazi opanda zingwe. Mfundo ya magwiridwe antchito awo ndi motere: sensor yotsekereza madzi imamangirizidwa ndi thupi, ndipo chipangizo chapadera chimawerenga ndikuwonetsa kuwerenga kwake. Sensa imatenga miyezo ya shuga m'magazi mphindi iliyonse, pogwiritsa ntchito singano yopyapyala yomwe imalowa khungu. Ndikukonzekera kukhazikitsa dongosolo lotere zaka zikubwerazi. Zowonjezera zake zokha ndizokwera mtengo kwambiri, chifukwa mwezi uliwonse muyenera kugula zinthu.

Ndinagwiritsa ntchito mafoni nthawi yoyamba, ndikusunga "diary of diabetes" (Ndinalemba kuwerenga kwa shuga kumeneko, Mlingo wa jakisoni, ndikulemba kuchuluka kwa magawo omwe ndinadya), koma ndinazolowera ndikuwongolera popanda iwo. Izi zimathandiziradi kwa oyamba kumene, chifukwa zimathandizira kuyendetsa bwino shuga.

Maganizo olakwika omwe amakhala nawo ndikuti shuga amangotuluka maswiti. Izi sizili choncho. Zakudya zomanga thupi zomwe zimachulukitsa kuchuluka kwa shuga zili mgulu limodzi kapena chinthu china chilichonse, motero ndikofunikira kusungitsa zowerengera zamagulu a mkate (kuchuluka kwa chakudya pamagalamu 100 a chakudya) mukatha kudya, muzindikire kuchuluka kwa mankhwala kuti mupeze kuchuluka kwa insulini. Kuphatikiza apo, zinthu zina zakunja zimathandizanso kuchuluka kwa shuga m'magazi: nyengo, kusowa tulo, masewera olimbitsa thupi, kupsinjika ndi nkhawa. Ichi ndichifukwa chake, ndi matenda monga matenda ashuga, ndikofunikira kutsatira moyo wabwino.

Miyezi isanu ndi umodzi iliyonse pachaka ndimayesetsa kuyesedwa ndi akatswiri angapo (endocrinologist, nephrologist, cardiologist, ophthalmologist, neurologist), ndimapambana mayeso onse ofunikira. Izi zimathandiza kuwongolera bwino njira ya matenda ashuga komanso kupewa kukula kwa zovuta zake.

Mukumva bwanji pakachitika vuto la hypoglycemia?

Hypoglycemia ndi kuchepa kwa shuga m'magazi m'munsimu 3.5 mmol / L. Mwachizolowezi, izi zimachitika kawiri: ngati pazifukwa zina ndakusowa chakudya kapena ngati mlingo wa insulini udasankhidwa molakwika. Sikovuta kulongosola molondola momwe ndikumvera ndikakhala ndi vuto la hypoglycemia. Ndizovuta komanso chizungulire chofulumira, ngati kuti dziko lapansi likuchoka pansi pa mapazi anu, ndikuponya malungo ndikukumbatira mantha, kugwirana chanza ndi lilime laling'ono. Ngati mulibe chilichonse chokoma, ndiye kuti mumayamba kumvetsetsa zoyipa zomwe zikuchitika kuzungulira. Zochitika zoterezi ndizowopsa chifukwa zitha kuchititsa kuti musamaiwale, komanso kuti mukhale ndi vuto la hypoglycemic lomwe lingadzaphe. Popeza kuti zizindikilo zonsezi zimatha kukhala zovuta kuzimva kudzera mu kugona, miyezi yoyamba ya matenda ndimangowopa kugona osadzuka. Ichi ndichifukwa chake ndikofunikira kumvetsera thupi lanu nthawi zonse ndikuyankha panthawi iliyonse matenda anu.

Momwe moyo wanga wasinthira kuyambira pomwe ndinazindikira

Ngakhale kuti matendawa ndi oyipa, ndimayamika matenda ashuga ponditsegulira moyo wina. Ndili ndi chidwi kwambiri ndi thanzi langa, ndimakhala ndi zochita zambiri ndikudya moyenera. Anthu ambiri mwachilengedwe adasiya moyo wanga, koma tsopano ndimayamika ndi kukonda iwo omwe anali pafupi ndi mphindi yoyamba ndipo akupitilizabe kundithandiza kuthana ndi zovuta zonse.

Matenda a shuga sanandilepheretse kukwatira mosangalala, kuchita chinthu chomwe ndimakonda komanso kuyenda kwambiri, kusangalala ndi zinthu zazing'ono ndikukhala moyo osagonjera munthu wathanzi.

Chinthu chimodzi chomwe ndikudziwa motsimikiza: simusowa kuti musataye mtima komanso kubwerera tsiku lililonse ku funso "Chifukwa chiyani ine"? Muyenera kuganizira ndikuyesera kuti mumvetsetse chifukwa chake izi kapena matenda zimakupatsani. Pali matenda ambiri oyipa, kuvulala, ndi machitidwe omwe amadana ndi kudana, ndipo matenda a shuga sapezeka pamndandandawu.

Zoyenera kuchita kuti uvomereze kuzindikira kwako

Onaninso zonse zomwe zinachitika. Zindikirani kuzindikira komwe mwapatsidwa. Ndipo pamazindikira kuti muyenera kuchita zina. Chidziwitso chofunikira kwambiri chamoyo chilichonse ndikupulumuka mulimonsemo.

Matenda a shuga, monga matenda, ali ponseponse. Malinga ndi malipoti ena, munthu aliyense wokhala padziko lapansi amakhala ndi matenda ashuga.

Mu matenda a shuga, thupi silimamwa kapena silipanga insulin yokwanira. Insulin, timadzi ta pancreatic, timathandiza maselo abwino a shuga. Koma ngati mukudwala, ndiye kuti shuga amasungidwa m'magazi ndipo mulingo wake umakwera.

• Mtundu woyamba wa shuga. Imayambitsa ndikukula mwachangu. Mwanjira imeneyi, thupi limawononga mbali za kapamba zomwe zimatulutsa insulini. Ndikofunikira kupatsa insulin pamodzi ndi chakudya moyo wake wonse.
• Type 2 shuga. Zizindikiro zake ndizosakanikirana. Amayamba pang'onopang'ono. Thupi limatulutsa insulini, koma maselo samayankha kapena sakukwanira.
• Lembani matenda ashuga atatu kapena matenda ashuga. Monga momwe dzinalo likusonyezera, zimachitika mwa amayi nthawi yomwe ali ndi pakati. Mutha kupita ku matenda amtundu uliwonse. Koma zitha zokha.

Manambala ochepa

International Diabetes Federation ikuti chiwerengero cha anthu omwe akudwala matenda ashuga padziko lapansi chawonjezeka kuchoka pa 108 miliyoni mu 1980 kufika pa 422 miliyoni mchaka cha 2014. Munthu watsopano amadwala padziko lapansi masekondi asanu aliwonse.

Hafu ya odwala azaka 20 mpaka 60. Mu 2014, matenda ngati awa ku Russia adachitika kwa odwala pafupifupi 4 miliyoni. Tsopano, molingana ndi deta yosalemba, chiwerengerochi chikuyandikira 11 miliyoni. Oposa 50% odwala sakudziwa kuzindikira kwawo.

Sayansi ikupanga, matekinoloje atsopano azithandizo zamatenda amapangidwa nthawi zonse. Njira zamakono zimaphatikiza kugwiritsa ntchito njira zachikhalidwe ndi mitundu yatsopano ya mankhwala.

Ndipo tsopano za zoyipa

Mtundu wachiwiri wa matenda ashuga. Alibe zovuta zapadera kapena zizindikiro zowoneka. Ndipo ndizowopsa. Matenda a shuga amalimbana kwambiri ndi matenda aliwonse.

Kuwonongeka kwa sitiroko kapena kugunda kwamtima kumawonjezeka kwambiri ngati shuga la magazi sililamulidwa. Kuchokera pamatendawa, ambiri (mpaka 70%) mwa odwala matenda a shuga amamwalira.

Pali zovuta kwambiri za impso. Hafu ya matenda opezeka ndi impso imagwirizanitsidwa ndi matenda a shuga: choyamba, mapuloteni amapezeka mumkodzo, ndiye kuti mkati mwa zaka 3-6 pali kuthekera kwakukulu koyamba kwa matenda a impso.

Kuchuluka kwa shuga m'magazi kungayambitse matenda amkati, ndipo m'zaka zochepa kumaliza khungu. Chisoni chimachepa ndipo zimapweteka miyendo, zomwe zimatsogola, zilonda zam'mimba komanso zilonda zam'mimba.

Mukumva bwanji?

Mukazindikira kuti muli ndi matenda ashuga, inu, monga odwala ena, mudzadutsa magawo angapo ovomereza izi.

1. Osakana. Mukuyesera kubisala kuzowona, kuchokera pazotsatira zoyesa, kuchokera ku chigamulo cha dokotala. Muthamangira kutsimikiza kuti awa ndi mtundu wina wolakwika.
2. Mkwiyo. Ili ndi gawo lotsatira la malingaliro anu. Mumakhala okwiya, madokotala akuwoneka kuti ndinu olakwa, pitani kuchipatala ndi chiyembekezo chakuti matendawo azindikiridwa kuti ndi olakwika. Ena amayamba kupita kwa "ochiritsa" ndi "amatsenga." Izi ndizowopsa. Matenda a shuga, matenda oopsa omwe amatha kuchiritsidwa mothandizidwa ndi akatswiri odziwa ntchito. Kupatula apo, moyo wokhala ndi zoletsa zazing'ono ndiwabwino kwambiri nthawi 100 kuposa wina!
3. Kuphatikiza. Pambuyo pa kukwiya, gawo lokambirana ndi madokotala limayamba - iwo amati, ndikachita zonse zomwe munganene, kodi ndichita ndi matenda ashuga? Tsoka ilo, yankho ndi ayi. Tiyenera kutsatira zamtsogolo ndikupanga dongosolo loti tichitenso zina.
4. Kukhumudwa Kupenda kwa azachipatala kwa odwala matenda ashuga kumatsimikizira kuti amakhala okhumudwa nthawi zambiri kuposa omwe alibe matenda ashuga. Amazunzidwa chifukwa chosokoneza, nthawi zina ngakhale kudzipha, malingaliro amtsogolo.
5. Kuvomereza Inde, muyenera kuyesetsa kuti mufike gawo ili, koma ndilofunika. Mungafunike thandizo la akatswiri. Koma mukamvetsetsa kuti moyo sutha, zangoyambitsa chaputala chatsopano komanso chaputalipa kwambiri.

Chofunika kwambiri

Njira yayikulu yothanirana ndi matenda amtundu wa 2 shuga ndi zakudya. Ngati palibe bungwe la zopatsa thanzi, ndiye kuti zina zonse sizingathandize. Ngati zakudya sizitsatiridwa, ndiye kuti pali zovuta za matenda ashuga.

Cholinga cha chakudyacho ndi kusintha matendawa ndi shuga m'magazi. Azisungireni nthawi yayitali.

Kwa wodwala aliyense, amadya yekha. Zonse zimatengera kunyalanyaza kwa matendawo, malamulo a munthu, msinkhu, pafupipafupi zolimbitsa thupi.

Zinthu zotsatirazi nthawi zambiri zimagwiritsidwa ntchito: nyama yokonda, nsomba, nsomba zam'nyanja, osati zipatso zotsekemera kwambiri, masamba aliwonse (kupatula beets ndi nyemba), mkate wopanda bulauni, ndi zinthu zamkaka zopanda shuga.

Idyani kangapo patsiku, makamaka zisanu kapena zisanu ndi chimodzi, kuti musadzaze kwambiri kapamba.

Inde, matenda a shuga sangathe kuchiritsidwa. Chachikulu ndichakuti mudziwe matendawa panthawi yake. Pambuyo pake, muyenera kusintha moyo wanu. Mwa kuwongolera kuchuluka kwa shuga m'magazi, kugwiritsa ntchito chithandizo choyenera (moyang'aniridwa ndi katswiri), kudya pafupipafupi komanso molondola, mutha kukhala ndi moyo wautali, wokwanira komanso wosangalatsa.

Momwe mungakhalire ndi matenda a shuga ndikukhala olimba komanso athanzi (malangizo kuchokera kuzomwe mwakumana nazo)

Ndatumiza kuyankhulana uku pamalowo, popeza upangiri wofunika kwambiri ndi upangiri kuchokera kwa munthu amene ali ndi vuto linalake ndipo amakhala ndi zothetsera kuti athetse. Sindinakweze chithunzicho kuchokera ku zofuna za Marina Fedorovna, Koma nkhaniyo ndi zonse zomwe zalembedwa ndizachidziwikire zenizeni komanso zotsatira zenizeni. Ndikuganiza kuti anthu ambiri omwe amadziwa mtundu wa matenda ashuga awa akapeza chinthu chamtengo wapatali komanso chofunikira kwa iwo eni. Kapenanso angawonetsetse kuti matendawo sakhala sentensi, ndi gawo latsopano m'moyo.

FUNSO: Tizidziwana kaye kaye. Chonde dziwitseni, ndipo ngati izi sizikukhumudwitsani, ndiuzeni kuti muli ndi zaka zingati?
Yankho: Dzina langa ndi Marina Fedorovna, ndili ndi zaka 72.

FUNSO: Kodi mwakhala mukudwala matenda ashuga kuyambira liti? Ndipo muli ndi matenda ashuga otani?
Yankho: Ndinapezeka ndi matenda a shuga zaka 12 zapitazo. Ndili ndi matenda ashuga a 2.

FUNSO: Ndipo nchiyani chinakupangitsani kuti mupite kukayezetsa shuga? Kodi adakhala ndi zisonyezo zilizonse kapena zidachitika chifukwa chakuchezerani dokotala?
Yankho: Ndinayamba kuda nkhawa ndi kuyabwa kumeneku, ngakhale pambuyo pake kunapezeka kuti izi sizikugwirizana ndi matenda ashuga. Koma ine ndinapita ndi kudandaula kwa kuyabwa kwa endocrinologist. Anandiyesa matenda a shuga ndi glucose.
Kusanthula kwanga koyamba pa 8 am kunali kwachilendo - 5.1. Kuwunikiranso kwachiwiri, nditatha kudya shuga pang'ono ola limodzi, kunali 9. Ndipo maola awiri achitatu chiyeso choyambirira chitawonetsedwa kuti chikuwonetsa kuchepa kwa shuga, ndipo mmalo mwake, ndidayamba kukwawa ndikukhala ndi 12. Ichi chinali chifukwa chondipezera matenda a shuga. Pambuyo pake zidatsimikiziridwa.

FUNSO: Kodi mumawopa kwambiri kuzindikiridwa kwa matenda ashuga?
Yankho: Inde. Miyezi isanu ndi umodzi ndisanadziwe kuti ndili ndi matenda ashuga, ndinapita kuchipatala ndipo ndimadikirira kuti ndikhale ndi dokotala, ndinalankhula ndi mayi wina yemwe anali pafupi nane. Amawoneka wosaposa zaka 40-45, koma anali wakhungu kwathunthu. Monga ananenera, iye anali wakhungu usiku umodzi. Madzulo amawonera TV, ndipo m'mawa adadzuka ndipo sanawone kalikonse, anayesa ngakhale kufa, koma kenako adasintha momwemo ndipo tsopano akukhala motere. Nditamufunsa chomwe chimayambitsa, adayankha kuti izi zinali zotsatira za matenda a shuga. Chifukwa chake nditapezeka ndi izi, ndinali ndi nkhawa kwakanthawi, ndikukumbukira mayi wakhungu uja. Kenako, adayamba kuphunzira zomwe zingachitike ndi momwe angapangire moyo.

FUNSO: Kodi mumasiyanitsa bwanji pakati pa matenda ashuga amtundu 1 ndi mtundu 2?
Yankho: Matenda a shuga amtundu wa 1 nthawi zambiri amakhala odwala matenda a shuga, i.e. pamafunika kukhazikitsa insulin kuchokera kunja. Nthawi zambiri amadwala kuyambira ali mwana komanso kuyambira ali ana. Matenda a 2 a shuga amapezeka ndi matenda ashuga. Monga lamulo, limadziwonekera lokha lokalamba, kuyambira pafupifupi zaka 50, ngakhale tsopano mtundu wachiwiri wa shuga ndi wocheperapo. Matenda a shuga a Type 2 amakupatsani mwayi wokhala ndi moyo osagwiritsa ntchito mankhwala, koma kungotsatira zakudya, kapena kugwiritsa ntchito mankhwala omwe amakupatsani mwayi kuti muperekenso shuga.

FUNSO: Kodi chinthu choyamba chomwe dokotala akukupatsani, ndi mankhwala ati?

Yankho: Dokotala sanandiyikire mankhwala, adandilimbikitsanso kutsatira zakudya ndikumachita masewera olimbitsa thupi, omwe nthawi zambiri sindimachita. Ndikuganiza kuti ngakhale shuga m'magazi siwambiri, ndiye kuti mutha kunyalanyaza machitidwe, ndipo zakudya sizimatsatiridwa nthawi zonse. Koma sizimapita pachabe. Pang'onopang'ono, ndidayamba kuwona kusintha kwa thanzi langa, zomwe zidawonetsa kuti kusintha kumeneku ndi chifukwa cha "ntchito" ya matenda ashuga.

FUNSO: Ndipo ndi mtundu wanji wa mankhwala omwe mumamwa kawiri kawiri motsutsana ndi matenda a shuga?
Yankho: Sindimamwa mankhwala tsopano. Nditakumana koyamba ndi a endocrinologist, ndinabweretsa zotsatira za kuyesa magazi kwa hemoglobin ya glycated, yomwe inali yangwiro. Ndi pafupipafupi pa 4 mpaka 6.2, ndinali ndi 5.1, motero adotolo adati pakadali pano sipangakhale mankhwala ochepetsa shuga omwe amadziwika kuti ndi otero, chifukwa mwayi waukulu woyambitsa hypoglycemia. Apanso, adalimbikitsa kwambiri kuti muzitsatira zakudya zolimbitsa thupi komanso kuchita masewera olimbitsa thupi.

FUNSO: Kodi mumayang'ana kangati magazi kuti mupeze shuga?
Yankho: Nthawi zambiri, ndimayang'ana shuga m'magazi kawiri pa sabata. Poyamba ndidaliyang'ana kamodzi pamwezi, chifukwa ndidalibe glucometer yanga, ndipo kuchipatalako koposa kamodzi pamwezi sakandibweretsera komweko kuti ndikaunike. Kenako ndidagula glucometer ndipo ndidayamba kuyang'ana pafupipafupi, koma kuphatikiza kawiri pa sabata mtengo wa mizere yoyesera wa glucometer sukulola.

FUNSO: Kodi mumayendera endocrinologist pafupipafupi (osachepera kamodzi pachaka)?
Yankho: Ndimapita kwa dokotala wa endocrinologist osaposa kawiri pachaka, komanso kangapo. Atangopezeka kuti ali ndi matendawa, amachezera kamodzi pamwezi, kenako pocheperapo, ndipo akagula glucometer, sanayambenso kuchezera kawiri pachaka. Pomwe ndimatha kudziletsa matenda ashuga. Kamodzi pachaka ndimakayezetsa ku chipatala, ndipo nthawi yonseyi ndimayesa mayeso amagazi ndi glucometer yanga.

FUNSO: Kodi dotolo yemwe wakupangitsani kudziwa za matenda anu adalankhula nanu za zakudyazo kapena zakudziwitsani kuchokera pa intaneti?
Yankho: Inde, dotolo atangozindikira atandiuza kuti mpaka pano chithandizo changa chomayamwa ndichakudya chokhwima. Ndakhala pachakudya kwa zaka 12 tsopano, ngakhale nthawi zina ndimasweka, makamaka nthawi yotentha, mavwende ndi mphesa zimawonekera. Zachidziwikire, adokotala sangathe kukuwuzani mwatsatanetsatane za chakudyacho mwatsatanetsatane, popeza alibe nthawi yokwanira ku phwando. Adangopereka zoyambira zokha, ndipo ine ndidakwanitsa kuzichita ndekha. Ndinawerenga magawo osiyanasiyana. Nthawi zambiri pa intaneti amapereka chidziwitso chotsutsana ndipo muyenera kusefa nokha, kuti mumve zambiri komanso zopanda pake.

FUNSO: Kodi kadyedwe kanu kamasinthira motani mutazindikira kuti mumapezeka?
Yankho: Asintha kwambiri. Ndinachotsa ku chakudya changa pafupifupi makeke onse okoma, maswiti, zipatso zotsekemera. Koma koposa zonse ndinakhumudwa kuti kunali kofunikira kuchotsa pafupifupi mkate uliwonse, chimanga, pasitala, mbatata kuchokera ku chakudya. Mutha kudya nyama iliyonse komanso pafupifupi chilichonse, koma ndimadya pang'ono. Mafuta sindingathe ngakhale chidutswa chaching'ono, ndimadana nacho. Ndasiya borsch mu zakudya zanga, ndimakonda kwambiri, kokha ndi mbatata zochepa, kabichi momwe mungafunire. Mutha kudya kabichi iliyonse komanso mulimonse. Zomwe ndimachita. M'nyengo yozizira yonse ndimachita kupesa m'magawo ang'onoang'ono, 2-3 kg aliyense.

FUNSO: Kodi ndi chiyani chomwe wakana mpaka kalekale? Kapena kodi palibe zakudya zoterezi ndipo nonse mumadya pang'ono?
Yankho: Ndinakana maswiti nthawi yomweyo komanso kwamuyaya. Nthawi yomweyo kunali kovuta kupita kusitolo ya maswiti ndikuyenda kudutsa maswiti, koma sizikuyambitsa mayanjano aliwonse osasangalatsa kwa ine ndipo palibe chifukwa chofuna kudya phukusi limodzi. Nthawi zina ndimadya keke kakang'ono kwambiri, kamene ndimaphikira banja langa.

Sindingakane kwathu maapulo, mapichesi ndi ma apricots, koma ndimadya pang'ono. Zomwe ndimadya kwambiri ndi raspberries ndi sitiroberi. Ambiri ndi lingaliro lachibale, koma poyerekeza ndi zipatso zina zimakhala zambiri. Ndimadya nthawi yachilimwe patsiku mu mtsuko wa theka-lita.

FUNSO: Kodi chovuta kwambiri ndi chiyani pazinthu za matenda ashuga zomwe mumakumana nacho?
Yankho: Zovulaza kwambiri sizikhala. Zonse zimatengera momwe mumatha kudya chakudya chamagulu amoto, chifukwa popanga mphamvu mthupi, zimafunikira kuti ubongo, mtima ugwire ntchito, maso kuti aziwoneka. Muyenera kukhala opanga mu chakudya chanu. Mwachitsanzo, mumalakalaka kwambiri kudya china chokoma, chidutswa cha keke, ngakhale yaying'ono. Mumadya ndipo pambuyo pa mphindi 15 keke ya mkate ija imazimiririka, ngati kuti simunadye. Koma ngati sanadye, ndiye kuti palibe zotsatirapo zake, ngati atero, ndiye pang'ono koma adabweretsa zovuta za matenda ashuga. Ndikwabwino kudya chakudya chopatsa thanzi chomwe chimapatsa thanzi koma nthawi yomweyo sichimavulaza. Mutha kuwerenga za zakudya zamtunduwu pa intaneti. Pali chakudya chamagulu omwe ali ndi digestibility yofulumira komanso wodekha. Yesani kutsatira pang'onopang'ono. Mutha kuwerengera izi mwatsatanetsatane muzinthu zabwino zomwe mumazikhulupirira.

FUNSO: Kodi mudakhalapo ndi nthawi yoipa m'magazi anu ndipo mumachita chiyani?
Yankho: Inde. Aliyense wodwala matenda ashuga amadziwa kuopsa kwa hypoglycemia. Apa ndipamene shuga ya magazi imagwera ndipo zotulukapo zake zimakhala zosasangalatsa, mpaka kukomoka kwa matenda ashuga. Muyenera kudziwa izi ndikunyamula shuga nthawi zonse nanu kuti muime izi. Ndidasinthanso kwambiri pazomwe zikuwonetsa kuti shuga m'magazi ndipo pambuyo pa maola 2 ndi 4 sizinakhale zovomerezeka kwa odwala matenda ashuga. Ngakhale m'mawa pamimba yopanda kanthu, shuga anali ndi zaka 12. Awa anali zotsatira za kudya kosasamala. Pambuyo pa izi, ndimakhala masiku angapo pachakudya chokhazikika komanso kuyang'anira shuga.

FUNSO: Kodi mukuganiza kuti chinali chifukwa chiyani izi zidapangitsa?
Yankho: Ndimangoganiza za thanzi langa, moyo wanga, komanso chisamaliro cha shuga. Munthu amene wapezeka ndi matenda ashuga ayenera kudziwa kuti akuwathandizanso, matenda a bronchitis, chimfine, matenda osiyanasiyana, ndi zina zotere. Matenda a shuga amakupangitsani kusintha moyo wanu, zakudya zanu kenako ndikuchepetsa mavuto. Ndinawerengapo zolemba zingapo zasayansi yazachipatala yemwe amadzidwalitsa yekha, kunena kwake, ndikudziyesa, kenako ndidawafotokozera zonse odwala omwe ali ndi matenda ashuga. Nditatenga zothandiza kwambiri kuchokera m'nkhaniyi. Chifukwa chake adalemba kuti ngati wodwala matenda ashuga amawonera chilichonse kuti chiphuphu chake chili pa mayeso a 6.5-7 pamimba yopanda kanthu, ndiye kuti zinthu zomwe ziwalo zake zimakhala zokwanira zaka 25-30 chiyambireni matendawa. Ndipo ngati muphwanya, ndiye kuti zocheperako zimachepetsedwa. Izi, zachidziwikire, zimatengera mkhalidwe wamkati wamkati panthawi ya matendawa komanso zinthu zina zambiri.

FUNSO: Kodi mumasewera masewera kapena mumachita masewera olimbitsa thupi?
Yankho: Mwakutero, sindimachita masewera. Koma ndidazindikira kuti kuti muthane ndi shuga wambiri, mumangofunika kuchita masewera olimbitsa thupi. Kuchita masewera olimbitsa thupi, kwenikweni, osati kungokhala ndi manja pang'ono, kumawotcha shuga yamagazi kwambiri motero kumathandiza kwambiri kulipirira matenda a shuga. Mwana wanga wamkazi wandigulira njinga yochita masewera olimbitsa thupi ndipo tsopano ndikutumiza pang'ono kuti magazi a shuga atatha kudya asakwere kwambiri, ndipo ngati atatero, ndiye kuti atsitseni.

FUNSO: Kodi mumamva bwanji ngati zolimbitsa thupi zikukukhudzani shuga m'magazi anu?
Yankho: Inde masewera olimbitsa thupi amathandiza.

FUNSO: Kodi mukuganiza bwanji za zotsekemera?
Yankho: Kutsekemera ndi zinthu zoopsa. Potsimikiza kwanga kwakukulu pakalipano, ndi omwe amapangitsa kuchuluka kwa shuga. Chifukwa chiyani tsopano? Inde, chifukwa tsopano pafupifupi maswiti onse, kupatula, mwina, owonjezera kalasi, opangidwa pama confectioneries athu, ali ndi shuga m'malo mwa shuga pamapangidwe awo. Ndipo 90% ya anthu samadya maswiti ndi maswiti ena "owonjezera" chifukwa chotsika mtengo. Makamaka kugwiritsa ntchito zotsekemera kumanyozedwa ndi opanga mitundu yonse yamadzi okoma. Ndipo anawo adagula madzi okoma m'chilimwe zochuluka. Chimachitika ndi chiani munthu akamadya zopangira izi? Ubongo umayankha ku kutsekemera mkamwa ndikutumiza lamulo ku kapamba kuti apange gawo la insulini kuti atulutse mwayi wopezeka m'magazi kenako ndikuyika. Koma palibe shuga. Ndipo zotsekera shuga mthupi sizigwira ntchito ngati shuga. Uku ndikuma, kumangokonda pakamwa panu.

Ngati mumadya maswiti amenewa kamodzi kapena kawiri, ndiye kuti palibe vuto. Ndipo ngati mumawagwiritsa ntchito pafupipafupi, komanso kugwiritsa ntchito shuga m'malo mwa ma confectioners, izi zimachitika mosalekeza, ndiye kuti padzakhala malamulo abodza ambiri opanga insulini, omwe angayambitse kuti insulini sidzayankhanso moyenera. Momwe amachitira ndi nkhani ina. Ndipo zonsezi zimayambitsa matenda a shuga. Nditazindikira kuti ndili ndi matenda ashuga, ndidasankha kusintha shuga ndi maswiti ena m'malo mwa shuga. Koma kenako ndidazindikira kuti ndikupanga matenda a shuga kwambiri, ndikuthandizira kufupikitsa moyo wanga.

FUNSO: Kodi mungalangize chiyani kwa munthu yemwe wangopezeka ndi matenda a shuga?
Yankho: Chinthu chachikulu sikuti kuchita mantha. Kwa munthu, akadzaphunzira za matenda ake, amakhalanso ndi moyo wina. Ndipo iyenera kuvomerezedwa, kuzolowera ndi kukhala ndi moyo wonse. Palibe vuto musanyalanyaze zomwe dokotala wanena. Kupatula apo, anthu omwe ali ndi matenda ena amakhala, omwe amafunanso mtundu wina woletsa pazakudya, machitidwe ndikukhala okalamba. Zachidziwikire. Ndipo kulangizidwa m'machitidwe a shuga kumakupatsani mwayi wokhala ndi moyo wabwino mpaka ukalamba. Monga momwe mungathere muyenera kuphunzira za matendawa, komanso kuchokera kwa anthu odziwa bwino komanso odziwa, madokotala, kenako inunso kuti mudutse zomwe mukudziwa ndikuwona zonse zomwe zimawerengedwa pa intaneti kapena wina adauzidwa, adalangizidwa.
Ndipo ndikulangizani kwathunthu aliyense kuti ayang'ane magazi kuti akhale ndi shuga m'magazi kamodzi pachaka. Kenako ziwonekera kumayambiriro kwa matenda, ndipo zimakhala zosavuta kulimbana nazo ndikukhala ndi moyo ndi matenda ashuga, omwe adachita kale zovuta zambiri mthupi, kukhala ndi moyo kumakhala kovuta kwambiri.

Gawani "Momwe mungakhalire ndi matenda a shuga ndikukhala olimba komanso athanzi (malingaliro kuchokera pazomwe mwakumana nazo)"