Kuyendetsa Mosamala ndi Matenda A shuga A Type 1: Malangizo Omwe Amapulumutsa Moyo Wanu Osangokhala Inu
Nthawi ina ndikulankhula ndi mnzake, ali ndi matenda a shuga 1, ndidamva kwa iye kuti, "Tikuyitanirani nthawi yanji", tidapangana, ndipo funso langa kodi mukuyendetsa galimoto? Adayankha inde, koma zili bwanji?
Ndipo ndidadzifunsa ngati mutha kuyendetsa galimoto ndi wodwala matenda ashuga?
Kodi pali ngozi yotani yoyendetsa galimoto kwa munthu yemwe ali ndi matendawa? Lingaliro langa ndikuti pali chiopsezo chimodzi chokha, ndicho kuthekera kwa kutayika kwa chiwongolero pakuyenda kuchokera ku hypoglycemia. Ine.e. zomwe zimachitika ngati mutha kuwongolera bwino matenda anu a shuga, ndiye kuti mutha kuyendetsa galimoto. Mwachilengedwe, sipayenera kukhala zovuta zina zomwe zimachitika m'matenda a shuga - kuwonongeka kowonekera, kutayika kwa miyendo.
Komabe, wodwala matenda ashuga ali ndi udindo waukulu kuposa oyendetsa ena ngati akufuna kuyendetsa galimoto, chifukwa chake malamulo angapo osavuta ayenera kusamalidwa
Ziwerengero za Madalaivala a shuga
Chimodzi mwaziphunzitso zazikulu kwambiri zoyendetsa bwino matenda ashuga zidachitika mu 2003 ndi akatswiri ochokera ku Yunivesite ya Virginia. Pafupifupi madalaivala 1000 omwe ali ndi matenda ashuga ochokera ku America ndi ku Europe adachitapo kanthu, omwe amayankha mafunso kuchokera pa mafunso osadziwika. Zinapezeka kuti anthu odwala matenda ashuga a 2 anali ndi ngozi zambiri panjira zosiyanasiyana kuposa omwe ali ndi matenda a shuga a 2 (ngakhale akumalandira insulin).
Phunziroli linapezanso kuti insulini siyikhudza kuyendetsa galimoto, ndipo shuga ochepa magazi inde, popeza nthawi zambiri zosasangalatsa pamsewu zimalumikizana naye kapena ndi hypoglycemia. Kuphatikiza apo, zinadziwika kuti anthu omwe ali ndi mapampu a insulin sakhala ndi ngozi zambiri kuposa omwe adalowetsa insulin mosalekeza.
Asayansi apeza kuti kuchuluka kwakukulu kwa ngozi kunachitika madalaivala ataphonya kapena kunyalanyaza kufunika koyezera kuchuluka kwa shuga asanayende.
Malangizo 5 opangira kuyendetsa bwino
Ndikofunikira kuti muziwongolera mkhalidwe wanu, makamaka ngati mukufuna kukhala pampando woyendetsa kwa nthawi yayitali.
- Yang'anani shuga yanu yamagazi Nthawi zonse muziyang'ana kuchuluka kwa shuga musanayende. Ngati muli ndi ochepera 4.4 mmol / L, idyani kena kokhala ndi 15 g yamafuta. Yembekezani osachepera mphindi 15 ndikuyambiranso.
- Tengani mita panjira Ngati muli paulendo wautali, mtengani mita. Ndiye mutha kudziyang'ana nokha panjira. Koma osazisiyira m'galimoto kwa nthawi yayitali, popeza kutentha kwambiri kapena kutentha kwambiri kungawononge ndikupangitsa kuwerenga kuti kusatsimikizike.
- Funsani katswiri wamaso Onetsetsani kuti mukuwona maso anu pafupipafupi. Izi ndizofunikira kwa anthu odwala matenda ashuga omwe amayendetsa.
- Tengani zodyera limodzi. Bwerani ndi kena kake nthawi zonse. Izi zikuyenera kukhala zokhwasula-khazikika zamafuta, ngati shuga atha kwambiri. Suzi wokoma, mipiringidzo, msuzi, mapiritsi a shuga ndi oyenera.
- Bweretsani zonena za matenda anu Pakachitika ngozi kapena zina sizinachitike mwadzidzidzi, opulumutsa ayenera kudziwa kuti muli ndi matenda ashuga kuti muthane ndi vuto lanu. Kuopa kutaya pepala? Tsopano pogulitsa pali zibangili zapadera, mphete zazikulu ndi zolembera, ena amapanga ma tattoo mchiuno.
Zoyenera kuchita panjira
Nayi mndandanda wazomverera zomwe ziyenera kukuchenjezani ngati mukupita, chifukwa zingasonyeze kutsika kwambiri kwa shuga. Tinaona kuti china chake sichili bwino - nthawi yomweyo chasweka ndi paki!
- Chizungulire
- Mutu
- kuuma
- Njala
- Zowonongeka
- Zofooka
- Kusakwiya
- Kulephera kuyang'ana
- Khwangwala
- Kugona
- Kutukwana
Ngati shuga agwa, idyani zokhazokha osayendayenda mpaka mkhalidwe wanu ukhale wolimba ndipo shuga yanu yabwerera mwachizolowezi!
Malamulo a odwala matenda ashuga akamayendetsa.
- Payenera kukhala ndi kayendetsedwe kabwino ka shuga. Ndikofunika kukhala ndi njira yowunikira, ngati mulibe ndipo shugayo ndi yotsika mokwanira, ndiye chanzeru kudya zakudya zamagulu ena owonjezera.
- Ngati mukumva bwino, musayendetse.
- Yang'anirani kuchuluka kwa momwe mudabayira insulin isanayambike ulendowu, mudadya kwambiri kuposa masiku onse, mwachitsanzo, kuti muchepetse kulumpha kwa glucose, ndiye kuti muyenera kupewa kuyenda.
- Sungani mafuta osavuta kudya ndipo mukupangiratu kuuza anzanu omwe akukhala ndi komwe akupezeka (izi ndi zabwino, ndikwabwino ngati mnzanu mnzanu amadziwa bwino kapena wachibale, koma ngati simukudziwa, anthu ena sathanso kukuuzani zambiri za iwo eni, ngakhale moyo wawo utengera izi) kapena moyo wa ena - mwina udzanyamula ...).
- Kuti muthane ndi shuga, ndikofunikira kusiya - ndikofunikira kuchita izi popita.
- Ndipo tsatirani malamulo apamsewu, pangani njira yoyambirira, kupewa magawo owopsa komanso ovuta, osapitilira liwiro, osapitirira mwachangu.
Kufunso la mnzanga, mudapeza bwanji chilolezo chotsogolera kuti muyendetse galimoto, adayankha - mophweka. Sindinauze aliyense kuti ndikudwala. Ndinalandila m'chipinda chobisalira, ndinatsegula gulu B lokha, ndipo pano akatswiri okhawo ndi ochiritsira ndi maso omwe adatsalira kwa madokotala.
Yendetsani galimotoyi moyenera komanso mosatetezeka, osati nokha, komanso kwa ena!
Zowonera kumbuyo
Pafupifupi woyendetsa aliyense amadziwa kale mawu oti "wakhungu" - iyi ndi gawo la msewu womwe simukuwona pagalasi lanu loyang'ana kumbuyo. Akatswiri amakono amagwiritsa ntchito madola mamiliyoni kuti akonzekeretse galimoto ndi makina apadera omwe amadziwitsa dalaivala ngati ayamba kutembenuka kapena kusunthika pamene galimoto ina ili pamalo ake akhungu. Koma, zoona, zonse ndizosavuta - muyenera kungokonza magalasi oyang'ana kumbuyo. Onetsetsani kuti galimoto yanu siyikuwoneka konse ayi, koma magalimoto omwe amatsalira pagalasi lanu lalikulu amapezekanso pamagalasi am'mbali. Ndizo zonse, palibe mawanga akhungu ndi kufunika kwa matekinoloje mamiliyoni angapo.
"Ndakalamba kwambiri ndende ya matenda ashuga"
Bregmann akuti koyambirira adaganiza kuti kugwira nawo ntchito m'misasa ya matenda ashuga lingakhale lingaliro labwino. Koma izi zidakhala zovutirapo, chifukwa misasa nthawi zambiri imakhala m'malo akutali komwe kulibe "msewu" kapena malo akulu okwanira oimika magalimoto pamayendedwe amtunduwu. Izi zikutanthauza kuti amayenera kusamutsa achinyamata kupita ku sukulu ina kuti ayendetse sukulu yoyendetsa.
Zidakhalanso zovuta kuti Check B4U Drive, mwa kapangidwe kake, ndi pulogalamu yaying'ono, yolumikizana kwambiri yomwe nthawi zambiri simaphatikizapo achinyamata opitilira 15 nthawi imodzi. Ndiye, mafunso pazomwe mungachite ndi achinyamata onse a D-Camp pomwe gulu laling'ono limapita kukatenga nawo gawo pa Check B4U Dr?
"Ana awa amamva mauthenga (oyendetsa bwino) mauthenga osiyana ndi anthu ena kuposa amayi ndi abambo. Ndipo akumira. " Mkulu wazamalonda Tom Bregmann akupanga sukulu yapadera yoyendetsa achinyamata omwe ali ndi matenda ashuga
Gululi lidaganizirananso zogwira ntchito ndi masukulu oyendetsa omwe alipo, koma izi zidapangitsanso kusakhutira, chifukwa masukulu oyendetsa bwino amakhala ndi chidwi chokhacho kuti shuga ndi gawo lachitatu la maphunziro awo - pomwe T1D ili pakatikati pa pulogalamu ya No Limit.
Panalinso zovuta ndi zolimbikitsa pakati pa achinyamata.
"Mukuphatikiza achinyamata amtundu wa 1 omwe ali ndi zaka 15, 16 kapena 17, ndipo malingaliro awo ndi akuti:" Sitipitanso ku ndende za matenda ashuga, izi ndi za ana ang'ono, "akutero a Bregmann," komabe akhoza kudzipatula ( amakhala ndi mtundu 1 akadali wachinyamata), motero tikufuna kuti abwere ku pulogalamuyi kuti adziwe ena ndikupanga abwenzi atsopano. "
Bregmann adalankhula makamaka za m'misasa yake yaying'ono kwa zaka zambiri, izi zidachitika makamaka ngati wotchi - achinyamata sakonda, amakakamizidwa kukaona makolo awo. Koma chakumapeto, adakumana ndi abwenzi atsopano ndipo adakondwera ndi izi.
Penyani kusuntha, osati zizindikilo
Madalaivala ambiri amalephera kuyendetsa bwino kwambiri kuchuluka kwamagalimoto, chifukwa amayang'anitsitsa kwathu chizindikiro cha pamsewu ndi zomwe akuyenera kuchita malinga ndi zizindikirazi. Zotsatira zake, zinthu pamsewu zimangoyipa kwambiri ndipo chitetezo chimavutika. Choyambirira chomwe muyenera kuyang'ana pamsewu ndi galimoto ina ndi momwe ikuyendera, chifukwa ngati mutagundana, sichikhala chizindikiro ndi chikwangwani, koma ndi galimoto yomwe imayendanso mumsewu. Gwiritsani ntchito zizindikiro ngati zing'onozing'ono pongoyenda, osati monga chitsogozo chachikulu komanso chokhacho.
Nyimbo zimasokoneza
Galimoto iliyonse imagulitsidwa ndi nyimbo yomwe anthu amakonda kuigwiritsa ntchito kusangalala ndiulendo wawo. Koma kodi ndikoyenera kumvera nyimbo ndikamayendetsa? Kafukufuku akuwonetsa kuti nyimbo zomwe zikuphatikizidwa zimapatsa mphamvu woyendetsa, zomwe zimawoneka ngati chizindikiro chabwino. Koma kwenikweni, sichoncho, chifukwa kudekha uku kumachitika chifukwa choti dalaivala amayang'ana kwambiri pamsewu. Chifukwa chake, atha kukhala pachiwopsezo cha pamsewu kuposa omwe samamvetsera nyimbo ndipo amakhala wolunjika pakuyendetsa. Kuphatikizanso apo, ngati mumvera nyimbo pamtunda wamtunda kwambiri, monga techno, ndiye kuti mwayi wolowa mwangozi ukuwonjezeka pafupifupi kawiri.
Madalaivala ambiri amayatsa nyali zawo pokhapokha kunja kukuda. Kafukufuku akuwonetsa, komabe, kuti kuwunika kotsogola kumakupatsani mwayi wochepetsa ngozi zapamsewu woposa anthu 30 peresenti. M'mayiko ena otukuka, monga Canada kapena Sweden, magalimoto onse atsopano amakhala ndi mawonekedwe omwe amayatsa magetsi magetsi akangoyambira ndipo samawalola kuti azimitsidwa. Pakadali pano, mchitidwewu sunafalikire padziko lonse lapansi, chifukwa chake tikuyembekeza kuti njirayi idagwiritsidwanso ntchito konsekonse, chifukwa imapangitsa kuti misewu ikhale yotetezeka kwambiri.
Akumenyedwa m'manja
Pafupifupi palibe amene amadziwa kuti kugwiritsa ntchito dzanja lamanja ndikofunikira kwambiri. Ndipo chachilendo pano ndikuti ngati simugwiritsa ntchito kwa nthawi yayitali, imatha kusiya kugwira ntchito, zomwe zimabweretsa zotsatira zosasangalatsa mukasankha kuigwiritsa ntchito. Galimoto silingayankhe ndipo ikhoza kungoyendetsa bizinesi yake mukachokapo kwa mphindi imodzi, yokhazikika m'malo osayerekezeka. Chifukwa chake, muyenera kugwiritsa ntchito dzanja lanu nthawi zonse mukayimilira pamsewu, womwe ndi wosagwirizana pang'ono. Kupanda kutero, mutha kukhala pachiwopsezo chotsalira mulibe galimoto.
Kutsekeka kwa brake si njira yabwino
Munthu amakhala ndi lingaliro lakuti kwa madalaivala ambiri kumenyedwa ndi njira yothetsera mavuto onse omwe akudza. Ndipo izi ndizowopsa kwambiri, chifukwa inu, mwina mukamakwera kapena nthawi ina iliyonse mwadzidzidzi pamsewu, choyambirira chidakhala chikhumbo chakanikizira pansi zigawo pansi. Uku ndikudzipulumutsa wekha, zomwe ndi zolakwika kwambiri - chifukwa ngati liwiro lanu lathothoka kapena galimoto yanu ikalowa m'matumba, kumenya kwambiri kungangokulitsa vutolo.
Muyenera kudziwa zomwe zikuchitika pamsewu, makamaka zomwe zikuchitika ndi galimoto yanu. Ndipo mutha kuthetsa ngakhale zovuta kwambiri. Osangokakamira zophwanyaphwanya pamwayi uliwonse, kumbukirani malangizo omwe atsala, ndipo mudzachepetsa kwambiri mwayi wolowa mumsewu.