Malangizo Pantchito ya Atsala Atsopano Atsopano
Nthawi yowonjezereka mu shuga ndiyabwino kwambiri. Ogwira ntchito zolimbitsa thupi, ntchito zokhudzana ndi zovuta zamavuto, chiwopsezo cha moyo komanso zovuta zovuta zogwira ntchito zimagwiranso ntchito zoletsa. Ngakhale zoletsedwa pantchito, munthu yemwe ali ndi matenda a shuga amatha kupanga ntchito ndi kusankha koyenera mwapadera.
ZOFUNIKA KUDZIWA! Ngakhale odwala matenda ashuga kwambiri amatha kuchiritsidwa kunyumba, popanda opaleshoni kapena zipatala. Ingowerenga zomwe Marina Vladimirovna akunena. werengani zonena zake.
Zambiri za kusankha kwa ntchito
Ndikofunikira kuunikira momwe mungakwaniritsire kuchita izi: osati ntchito iliyonse yomwe imapereka mwayi kuyeza kuchuluka kwa shuga pa nthawi yake kapena kudya pakafunika. Komabe, sikuyenera kubisala pagulu. Pali anthu ambiri omwe ali ndi matenda ashuga, ndipo kulembedwa ntchito kwa munthu amene ali ndi matenda siachilendo. Malangizo posankha ntchito kutengera mtundu wa matenda ashuga:
Shuga amachepetsedwa nthawi yomweyo! Matenda a shuga m'kupita kwa nthawi angayambitse matenda ambiri, monga mavuto amawonedwe, khungu ndi tsitsi, zilonda zam'mimba, zilonda zam'mimba komanso matenda otupa! Anthu amaphunzitsa zinzake zowawa kuti azisintha shuga. werengani.
- Gwirani ntchito ndi matenda amtundu woyamba 1 ayenera kukhala odekha, osasinthasintha makonzedwe ake, osagwiritsa ntchito nthawi yambiri komanso maulendo a bizinesi. Ndikofunika kuti wodwala azikhala ndi nthawi yopumira komanso yopumira. Kupsinjika, kupanga moto, kutentha kwambiri ndi zojambulajambula zimagwera pansi pa contraindication.
- Zofunikira za matenda ashuga a 2 sizowopsa: munthu amaloledwa kugwira ntchito m'malo onse azamalonda ndi sayansi. Miyezo yayikulu ndikusowa kwa kuchuluka kwa thupi ndi kuthekera kudya bwino.
Munthu ayenera kupirira ndi matenda ashuga kwa moyo wake wonse. Ntchito ndi gawo limodzi lake, ndipo kusankha ntchito, muyenera kuwerengera matendawa.
Contraindication
Kwa odwala matenda ashuga, kugwira ntchito mzipinda zokhala ndi kutentha kwakumapeto kumatsutsana. Chiletso chikuphatikiza:
- owaza
- ogulitsa mumsewu
- ogwira ntchito padziko lapansi
- ogwira ntchito ogulitsa
- akatswiri azachipatala
- omanga
- zitsulo
- ogwira ntchito.
Mosasamala mtundu wa shuga, wogwira ntchito sayenera kulimbikira. Makampani ndi ntchito zotsatirazi amagwera pansi pazotsutsana kwambiri:
- umisiri wamakina
- kumanga zombo
- makampani amigodi
- kupanga mafuta ndi gasi,
- kudula mitengo
- makampani amagetsi (gwiritsani ntchito magetsi amagetsi pazida zokweza).
Kuphatikizidwa kwa odwala matenda ashuga mu ntchito izi ndiwofupi ndi kukula kwa kubwezeretsa: odwala sangathe kupirira kupsinjika kwa thupi. Sizoletsedwa kugwira ntchito yoyendetsa shuga. Izi ndizowona makamaka kwa odwala omwe amadalira insulin. Saloledwa kuyendetsa katundu kapena zoyendera pagulu, kugwira ntchito ndi njira zosunthira kutalika. Mutha kupeza ufulu pokhapokha mutatsimikizira chindapusa cha matendawa.
Simungasankhe ntchito yomwe imagwirizanitsidwa ndi chiwopsezo cha moyo ndikufuna kuwongolera chitetezo chawo:
Mikhalidwe yovuta
Anthu odwala matenda ashuga amatsutsana mu zovuta zapadera zomwe zimakhala ndi nkhawa komanso kupsinjika. Kwa iwo, zoletsa zimagwira ntchito zotsatirazi:
- kukonza
- zipatala
- masukulu okhala ndi anthu anzeru
- zipatala zochizira mankhwala, malo,
- malo oncology,
- mabungwe azamisala
- malo okonzera zankhondo kuchokera malo otentha,
- ankhondo
- apolisi
- bailiffs.
Zoopsa
Ntchito zomwe zimagwirizanitsidwa ndi mankhwala oopsa zimawonedwa ngati zowopsa. Popewa mavuto akulu, ndibwino kuti munthu wodwala matenda ashuga asiye izi. Kupanga zitsulo, zopangira, kupangira ma varnish ndi utoto, komanso kugula kwa mankhwala ndizoletsedwa. Popeza mabungwe ambiri ofufuza muma labotale amagwiritsa ntchito SDYaV, ntchito ngati imeneyi iyenera kusiyidwa.
Malangizo
Matenda a shuga ndi ntchito sizisinthana. Ndi kusankha koyenera kwa ntchito zapadera, mutha kupanga bwino ntchito. Anthu odwala matenda ashuga amalangizidwa kuti asamalire izi:
- oyang'anira dongosolo
- Katswiri wazopangira zanyumba
- wogwira ntchito zachipatala
- Mlembi
- wolemba
- mphunzitsi, mphunzitsi wa kuyunivesite,
- Networking (mlangizi wogulitsa pa intaneti, wolemba zolemba, wolemba),
- owerenga mabuku.
Regimen ndi shuga
Zoletsa zingapo izi nthawi zambiri zimagwirizanitsidwa ndendende ndi kulephera kutsatira boma. Ndikofunika kuti wodwala adye nthawi yokwanira, alandire mlingo wa mankhwala kapena apangile jakisoni wa insulin. Ayenera kusintha kagulu ka thupi (mwachitsanzo, mphunzitsi azitha kuphunzitsa phunziroli atayimirira kapena atakhala) ndikusiya ntchito munthawi yopuma mokwanira.
Pa ntchito yosinthana, ndikosavuta kuphwanya machitidwe a kayendetsedwe ka mankhwala, chifukwa, kukonza kwa insulin komwe kumalowa kumafunika. Nthawi yowonjezereka ikhoza kusokoneza thanzi lanu. Mtsogoleri waluso sangasunge katswiri kwa nthawi yayitali pantchito, chifukwa izi ndizodzaza ndi kuchepa kwa ntchito kwa nthawi yayitali.
Kuyenda Kwa Matenda a shuga ndi Kupitilira Nthawi
Pomwe zingatheke, wodwala matenda ashuga ayenera kupewa ntchito. Dokotala aliyense angatsimikizire kuti ngati munthu atula kwambiri chifukwa chogwira ntchito tsiku lalitali, komanso maulendo aku bizinesi, mwayi wokhala ndi zovuta zake umakulirapo. Nthawi yomweyo, kukhala pamalo osazolowereka, wodwala sangathe kudzithandiza pakapita nthawi. Komabe, moyo umakhala ndi malamulo ake. Matenda a shuga ndi matenda odula, munthu amayenera kugwira ntchito kuti alipire ndalama zolipira. Chifukwa chake, anthu omwe amakhala ndi maulendo atchuthi pafupipafupi amafunika kuwona dokotala kuti apangire malingaliro ake moyenera kudziwa kuchuluka kwa insulini pazinthu zachilendo.
Onetsetsani kuti mwadziwitsa dokotala za mtundu wosagwirizana ndi izi: akuphunzitsirani momwe mungapewere kukula kwa hypoglycemia.
Kuchita bizinesi
Ntchito zamalonda zimagwirizanitsidwa ndi kupsinjika ndi neurosis kosalekeza. Anthu odwala matenda ashuga otere ayenera kupewedwa. Ngati ndi kotheka, sinthani bukuli kuti mukambirane. Munthu yemwe wafika pamlingo winawake amatha kuphunzitsa ena momwe angapangire bizinesi yawoyakale kuyambira pachiyambwe. Kuphunzitsa ndi njira yodziwika bwino yotsogola. Ngati ndizosatheka kusiya bizinesi imodzi, ndibwino kusamutsa oyang'anira ntchito yovomerezeka.
Kodi zikuwonekabe zosatheka kuchiritsa matenda ashuga?
Poona kuti mukuwerenga izi tsopano, kupambana polimbana ndi shuga wambiri sikuli kumbali yanu.
Ndipo mudaganizapo kale za chithandizo kuchipatala? Ndizomveka, chifukwa matenda ashuga ndi matenda oopsa, omwe, ngati sanapatsidwe, amatha kufa. Udzu wokhazikika, kukodza mwachangu, masomphenya osalala. Zizindikiro zonsezi mumazidziwa nokha.
Koma kodi ndizotheka kuchitira zomwe zimayambitsa m'malo mothandizira? Timalimbikitsa kuwerenga nkhani yokhudza matenda aposachedwa a shuga. Werengani nkhani >>
Malo antchito anthu odwala matenda ashuga
Kwa anthu omwe ali ndi matenda ashuga, zochitika zokhudzana ndi ntchito zamaganizidwe ndizovomerezeka. Malo ogwirira ntchito ayenera kukwaniritsa zofunika zina - wodwalayo ayenera kuonanso bwino shuga m'magazi, pangani jakisoni wa insulini kapena idyani zokhazikika, ngati pangafunike.
Source Source: BradleyJohnson / CC BY-NC-ND
Ndikofunikanso kuti pali wina yemwe, pakachitika gawo lalikulu la hypoglycemia, angamuthandize. Chifukwa chake, ndikofunikira kudziwitsa abwana anu kuti mumawadziwa.
Malangizo Opewera Kudwala Matenda A shuga:
- akatswiri kuyendetsa: magalimoto, mayendedwe apaulendo, oyendetsa sitimayi (kuphatikiza metro), oyendetsa taxi
- kayendedwe kazinthu zowopsa kapena katundu wamkulu
- ndege zokomera anthu wamba: oyendetsa ndege ndi mainjiniya opanga ndege, oyang'anira oyendetsa ndege, oyendetsa ndege zamagetsi
- boma ndi ntchito zopulumutsa: magulu ankhondo, kutumiza, kuyenda panyanja, moto, ntchito zadzidzidzi, apolisi, chitetezo
- akatswiri oopsa: gwiritsani ntchito miyala yoyala, mumigodi, gwiritsani ntchito makina osunthira, mipando yotentha kwambiri, mabizinesi oyendetsera zitsulo, etc., panjira za njanji, m'tinjira, m'malo okwera (nkhalango, makwawa)
- kuphika, kuphika makeke, ophika mkate
- ntchito mwayekha
Maola ogwira ntchito kwa anthu odwala matenda ashuga
Ndikofunika kuti maola ogwirira ntchito ndi okhazikika, ndiye kuti ndizosavuta kuwongolera shuga. Komabe, ntchito yosinthira kapena dongosolo losasinthika sikuti kuphwanya malamulo kwa odwalawa - munthawi zonsezi mumangofunika kukonzekera chilichonse bwino.
Njira ntchito ya anthu odwala matenda ashuga ziyeneranso kukopa kusankha kwa dokotala mtundu wa insulini, mwachitsanzo, m'malo mwa insulin yapamwamba, mutha kupereka mankhwala a insulin. Chifukwa ma analogu amawongolera moyo, muchepetse chakudya chomwe chimadyedwa popanda chiopsezo chokhala ndi hypoglycemia, kuphatikiza apo, ndizosavuta kugwiritsa ntchito, kuzamwa kwambiri ndipo zitha kutumizidwa nthawi yomweyo musanadye.
Kudya kunja
Odwala omwe ali ndi matenda ashuga nthawi zina amayenera kudya m'chipinda chogwirira ntchito kapena malo ena apafupi - motere, ndikofunikira:
- kuyitanitsa kuphika mbale, yokazinga kapena yophika
- sankhani zakudya
- pewani kudya zakudya zachangu
- Pewani nyama yamafuta ndi yokazinga
- khalani ndi chidwi ndi kapangidwe ka mbale
- kumbukirani chisonyezo cha glycemic
Matenda Aakulu A shuga
Kuntchito, wodwala aliyense yemwe ali ndi matenda ashuga ayenera kukhala ndi zida zawo zoyenera kuperekera matenda ashuga tsiku lililonse - zingwe zoyeserera za glucometer, masingano, glucagon (malo osungira), insulin, mankhwala a shuga (ngati agwiritsidwa ntchito). Mukuyeneranso kukumbukira zokhwasula-khwasula: zidutswa za shuga, maswiti, makeke.
Kuntchito, nthawi zina muyenera kuwerengera ndi ntchito yowonjezera yolimbitsa thupi. Pankhaniyi, nthawi zambiri ndikofunikira kuyeza shuga ndikuwongolera mlingo wa insulin. Komanso, zakudya ziyenera kusinthidwa malinga ndi kulimbitsa thupi.
Hypoglycemia kuntchito
Kupsinjika kapena kuchuluka kwa nkhawa kumatha kuyambitsa hypoglycemia. Wodwala wophunzitsidwa bwino, monga lamulo, amadziwa momwe angapewere izi. Komabe, nthawi zina pamachitika izi chikhalidwe cha hypoglycemia woopsa ndi chikumbumtima.
Popeza zimawopseza thanzi komanso ngakhale moyo wa wodwalayo, ndikofunikira kuti pali munthu kuntchito yemwe amadziwa momwe angathandizire wodwalayo: kupereka glucagon, ndipo atabaya jakisoni, ngati wodwalayo asadzayambenso kumva mkati mwa mphindi 10, adzaimbira ambulansi.
Hypoglycemia yayikulu - pansipa 2.2 mmol / L (40 ml / dl) - imafunika kuchipatala msanga.
- kugwedeza kwa minofu
- njala
- kugona ndi kugona
- kubweza kwa kulingalira
- chizungulire
- mantha komanso kuchita ukali
- tulutsa thukuta
- kufooka
- kusokonezeka kwa kukumbukira
- kuwonongeka kwamawonekedwe
- kulephera kudziwa
- kukokana
- hypothermia
- kukopa kwa pakhungu
- kusakhazikika, kunjenjemera
- kugona
- chizungulire
- kuyang'ana mozama
- kugwedeza kwa minofu
- kufooka
- kupweteka kwam'mimba
- kuthamanga kwa mtima
Pangani izi! Munthu wodwala matenda ashuga ngati samva kukoma ndipo akuganiza kuti ndi hypoglycemia, koma osatha kudziwa kuchuluka kwa shuga, ayenera kudya china chake chokoma, monga chidutswa cha chokoleti, kumwa kapu ya madzi kapena tiyi wokoma.
Mavuto ndi ntchito ya anthu odwala matenda ashuga
Ngakhale kuti odwala matenda ashuga amatha kugwira ntchito zambiri, amakhala ndi zovuta kupeza ntchito.
Nawonso, iwo amene amagwira ntchito nthawi zambiri amawopa kuti ataya ntchito chifukwa cha chikhulupiriro chabodza choti nthawi zambiri kulibe ntchito kapena kuchotsera anthu odwala matenda ashuga. Komabe, malinga ndi kafukufuku, kuwongolera shuga koyenera kumatha pafupifupi kuthetsa zovuta zilizonse ndipo kumakupatsani mwayi wokwanira ogwira ntchito.
Mawonekedwe a shuga
Matenda a shuga ndi ntchito amakhala ndi ubale wapakati pa iwo chifukwa cha zoperewera zina zomwe zimakhudzana ndi mkhalidwe waumoyo wodwala.
Choyamba, munthu ayenera kudziwa yemwe sangathe kugwira ntchito ndi matenda ashuga. Ziyenera kunenedwa nthawi yomweyo kuti thupi siliyenera kuyambitsa mavuto owonjezera, kupeza ntchito yovulaza.
Kukhazikitsa kwa ntchito panja, mwachitsanzo, kumatha kuyambitsa kuzizira pafupipafupi m'thupi lofooka, komwe kungasokoneze machitidwe a matenda. Ngati ntchito kwa odwala matenda ashuga imakhudzana ndi kupatsidwa mphamvu yayikulu yolimbitsa thupi, ndiye kuti munthu akhoza kukulitsa zochitika za hypoglycemia.
Gwirani ntchito mlengalenga chifukwa cha kutentha kwambiri m'mlengalenga, kutentha komanso kutentha kwambiri osafunikiranso kwa munthu wodwala matenda ashuga.
Contraindication ndi ntchito m'makampani opanga mankhwala, azachipatala komanso chipatala cha matenda opatsirana.
Mikhalidwe yogwira ntchito yolumikizidwa ndi kugwedezeka kwamphamvu imapangidwanso. Chowonadi ndi chakuti ngakhale mwa munthu wathanzi, mikhalidwe yotereyi pakapita nthawi imatha kubweretsa mawonekedwe owoneka ngati matenda opatsirana, ndipo odwala matenda ashuga, zovuta zotere zimawoneka mwachangu komanso zowonekeratu motsutsana ndi maziko azaumoyo wopanda vuto chifukwa cha kukula kwa matenda ashuga.
Zolemba zowopsa za odwala matenda ashuga
Kwa wodwala yemwe ali ndi matenda ashuga, maupangiri omwe amaphatikizidwa ndi kukhalapo kwa magwero owopsa amakhala otsutsana. Kutengera izi, titha kunena kuti ntchito yamagetsi yama shuga imayimira mndandanda wazoletsedwa.
Anthu oterewa amaletsedwa kugwira ntchito yoyendetsa, yomwe imalumikizidwa ndi kuchitika kwa chiwopsezo cha hypoglycemia poyenda. Izi zitha kubweretsa ngozi. Pazifukwa zomwezo, kugwira ntchito ndi matenda a shuga 1 amapewetsa kasamalidwe ka zovuta ndi misonkhano yayikulu, sitima ndi ndege.
Zolepheretsa mu shuga mellitus zimagwira ntchito pazofunikira zonse zomwe zimafunikira kulumikizidwa, ndipo pamaso pa matenda a shuga pamakhala kuthekera kwakukulu kosokonezeka kosagwirizana ndi mgwirizano komanso kuzindikira chifukwa chakuwukira kwa hypoglycemia.
Odwala matenda ashuga samaloledwa kugwira ntchito zokhudzana:
- ndi makina ovuta
- operekera zotulutsa
- kukhazikitsidwa kwa ntchito zopangira pamtunda
- kugwira ntchito pansi pa madzi.
Pali choletsa kugwira ntchito yoyendetsa thirakitala, wamagetsi, othandizira magetsi
Kuletsa koteroko kumachitika chifukwa chakuti munthu akagwidwa ndi vuto la hypoglycemic sikuti nthawi zonse amatha kupenda bwino momwe zinthu ziliri ndikupanga chisankho choyenera.
Pazifukwa izi, wodwalayo akhoza kukanizidwa kugwira ntchito yochotsa, makamaka ngati ikukhudzana ndi kayendedwe ka ndege.
Ndikosafunanso kuchita nawo ntchito m'mabizinesi okhudzana ndi makampani azakudya, m'misika ndi malo odyera.Madokotala ati matenda ashuga mwa anthu omwe amagwira ntchito m'malo ngati amenewa amatukuka nthawi zambiri kuposa kuchuluka kwa mafakitale ena.
Kufunika kolawa pafupipafupi mukamagwira ntchito mu lesitilanti ndi malo odyera kumafunikira kuti wodwalayo azipanga jakisoni wowonjezera wa insulin ndikuwoneka kuti wanenepa kwambiri.
Gulu lazachipatala limaletsa odwala:
- Ntchito yankhondo.
- Gwirani apolisi.
- Ntchito zogwirira ntchito zamagulu ena.
- M'mabungwe ndi mabungwe popereka nkhawa zapamwamba komanso zamaganizo panthawi yogwira ntchito zovomerezeka kwa wodwala.
Ngati munthu wapezeka ndi matenda a shuga kale akugwira ntchito kapena ntchito pakumuwunika kotsatira, ndiye kuti angathe kusankha ntchito yoyenera pamalo antchito. Malo oterowo akhoza kukhala:
- malo mu dipatimenti yolemba
- udindo wa kazembe
- gwira ntchito m'madipatimenti antchito.
Nthawi zambiri, ogwira ntchito m'magulu othandizira ndi osinthika amasinthidwa kuti azigwira ntchito mosavuta ndikukhalabe akugwira ntchito, popeza ali antchito ofunikira omwe amadziwa ntchitozo kuchokera mkati.
Kodi amalimbikitsa odwala matenda ashuga?
Mukamasankha ntchito yofunikira, ndikofunikira kuyesa moyenera mphamvu za thupi ndi mphamvu zanu. Mukamasankha ntchito, muyenera kukumbukira kuti si onse a iwo omwe amakulolani kuyeza shuga mthupi komanso kudya zakudya munthawi yake.
Malangizo pakusankha ntchito zimadalira mtundu wa matenda komanso kukula kwake.
Professional ntchito kukhalapo kwa matenda a mtundu woyamba ayenera kukhala odekha komanso kukhala ndi ndandanda yolingana kwambiri. Ma ola opitilira ndi maulendo aku bizinesi amalembedwa kwa wodwalayo. Kuti mukhale ndi thanzi labwino pamlingo wotere, ndikofunikira kuti wodwala wotere azitha kudya chakudya chanthawi ndikupuma pantchito. Ndikofunikira kuti wogwira ntchitoyo asadzipendekeze pamavuto, kusintha kwa kutentha ndi kusanja.
Ngati pali matenda a mtundu wachiwiri, zofunikira posankha ntchito sizovuta kwambiri. Wodwala amaloledwa kugwira ntchito pafupifupi m'malo onse opanga ndi sayansi. Mikhalidwe yayikulu pakusankha mtundu wa zochita ndi kusapezeka kwa kupsinjika kwakuthupi ndi kuthekanso kudya mwandalama komanso munthawi yake.
Mukamasankha ntchito, muyenera kukumbukira kuti muyenera kulimbana ndi matendawa pamoyo wanu wonse.
Posankha bwino ntchito, munthu wodwala matenda ashuga amatha ntchito yabwino. Odwala akulangizidwa kuti apereke chidwi ndi izi:
- Woyang'anira makina
- Katswiri pakusintha ndi kusintha kwam'nyumba.
- Wantchito wazachipatala.
- Mlembi
- Zolembalemba.
- Mphunzitsi kapena mphunzitsi pamalo apamwamba.
- Mlangizi wogulitsa kapena wogwira ntchito pa intaneti.
- Wolemba mabuku.
Kuphatikiza apo, munthu yemwe akudwala matenda ashuga amatha kupanga mapangidwe ndi ntchito ina iliyonse yomwe imakupatsani mwayi wokhala ndi moyo wosalira zambiri.
Mavuto ndi ntchito
Malinga ndi ziwerengero zamankhwala, odwala omwe ali ndi matenda a shuga sakonda kuchoka patchuthi chodwala kuposa anzawo. Mwinanso izi zimachitika chifukwa ogwira ntchito otere amalipira chidwi kwambiri ndi thanzi lawo.
Munthu amene akudwala matenda ashuga ayenera kusamala kwambiri ndi thanzi lake, chifukwa kupita patsogolo kwa matenda ashuga kumabweretsa kuwoneka kwa zovuta zingapo mthupi zomwe zimapangitsa kwambiri moyo.
Mavuto omwe amachitika kwambiri mu shuga ndi awa:
- retinopathy komanso matenda a m'matumbo
- matenda ashuga nephropathy,
- matenda ashuga
- zovuta mu ntchito ya mtima ndi mtima dongosolo.
Mavutowa atatha, muyenera kukana kugwira ntchito ndikulembetsa, chifukwa kupitilizabe kuchita zomwezo kungapangitse kuti mukhale ndi kulumala kwathunthu.
Ngati zizindikiro zoyambirira za zovuta za matenda ashuga zizindikirika, wina ayenera kusinthana ndi ntchito yambiri yosamalira.
Mavuto Awa Matenda Akochita Kusowa
Vuto lophatikiza matenda ashuga ndi ntchito ndikuti kuchuluka kwantchito kumachepetsa mphamvu ya mankhwalawa ndipo kungayambitse matenda omwe sanawalipire .. Maphunziro oyenera a odwala matenda ashuga ayenera kuloleza kupuma masana ndipo ngati kuli kotheka, insulin.
Nthawi yomweyo, odwala ambiri angafune kulengeza za matenda ndi chithandizo chawo, popeza pali mantha kuti adzawoneka osayenera pantchitoyi. Malingaliro oterewa akhoza kukhala owopsa, makamaka kwa odwala omwe ali ndi kusinthasintha kwakuthwa m'magazi amwazi, chifukwa angafunikire thandizo la anzawo.
Zovuta kwambiri ndi odwala akakalamba matenda atapezeka. Kuletsa ntchito zokhudzana ndi thanzi laumoyo kumakhalapo ndi ntchito yomwe munapanga kale. Zikatero, munthu ayenera kuganizira zaumoyo ndi kuziyika kaye.
Ogwira ntchito ndi matenda ashuga ayenera kusankhidwa poganizira izi:
- Tsiku logwirira ntchito.
- Kuchepa ma bizinesi pafupipafupi.
- Mtundu woyeserera wa ntchito.
- Zowopsa pantchito zimapatula: zinthu zapoizoni, fumbi.
- Sipangakhale kusuntha kwausiku.
- Sitikulimbikitsidwa kuti tizigwira ntchito mukamasintha kutentha kwambiri.
- Pasakhale kupsinjika kwa chidwi, kupsinjika kwakuthupi ndi kwamaganizidwe.
- Patsiku logwirira ntchito, ziyenera kutheka kuti mupeze insulin, idyani nthawi komanso muyezo kuchuluka kwa shuga m'magazi.
Zomwe amaphunzitsira zimatsutsana mu shuga
Odwala a shuga samalimbikitsidwa kuti azigwira ntchito m'masitolo otentha kapena nthawi yozizira nthawi yozizira, komanso omwe amagwirizana ndi kusintha kwa kutentha kwanthawi zonse, muzojambula.
Ntchito zophatikiza mankhwala oopsa a odwala matenda ashuga ayenera kuloledwa. Zinthu zapaderazi zikuphatikiza kugulidwa kwa mankhwala osakanikirana ndi zinthu zina, kusakanikirana kwa zinthu zopanda pake, ndi makina azitsulo. Kugwira ntchito ndi mankhwala amathanso kukhala m'malo osanthula.
Mikhalidwe yokhala ndi psychophysical katundu wamphamvu imawonedwa ngati yovulaza. Mwachitsanzo, kugwira ntchito ndi akaidi, odwala kwambiri, komanso olumala zimatha kuwononga thanzi la munthu wodwala matenda ashuga.
Ntchito zoterezi zimaphatikizapo ogwiritsa ntchito malo osokoneza bongo ndi khansa, zipatala zamisala yachipatala, akukwera nyumba za ogwira ntchito zankhondo kuchokera malo otentha, madokotala opanga opaleshoni, apolisi, oyang'anira ndende, ndi ankhondo.
Kwa odwala matenda a shuga amawopseza kwambiri kuchita masewera olimbitsa thupi. Mndandanda wazinthu zomwe zili ndi zotsutsana kwathunthu kwa odwala motere zimaphatikizapo:
- Kukhazikitsa, kukonza maukonde opangira magetsi.
- Zomangamanga, zomangamanga.
- Migodi yamalasha ndi kukonza.
- Mafuta, mafakitale amafuta.
- Kudula mitengo.
Amuna sangatenge nawo gawo pantchito izi, ndipo ndizowopsa kwa amayi omwe ali ndi matenda osokoneza bongo, chifukwa kuchuluka kwambiri kumayambitsa kuwonongeka kwa matendawa chifukwa chochepa mphamvu.
Sizoletsedwa kuti matenda ashuga azitha kugwira ntchito zomwe zitha kukhala pachiwopsezo cha moyo, komanso kufunikira kosunga chitetezo chawo: oyendetsa ndege, oyang'anira malire, oyendayenda, okwera mapulaneti.
Odwala omwe ali ndi insulin Therapy sangathe kuyendetsa pagalimoto yayikulu kapena katundu wolemera, amagwira ntchito poyenda, kudula njira komanso kutalika. Chilolezo choyendetsa galimoto chitha kupatsidwa chindapusa chobwereza matenda.
Pankhaniyi, odwala ayenera kukhala okonzekera chitukuko cha mwadzidzidzi cha hypoglycemia.
Kudziwitsa kulumala mu shuga
Kulephera mu shuga kumatengera mtundu wa matendawa, kuuma, kupezeka kwa angiopathy kapena matenda ashuga a polyneuropathy, kusintha kwa masomphenya ndi ntchito ya impso, komanso pafupipafupi zovuta za matenda ashuga monga mawonekedwe a chikomokere.
Matenda ofala a shuga nthawi zambiri samayambitsa kulumala kosatha. Wodwalayo amalimbikitsidwa kuchita masewera olimbitsa thupi ndi thupi, omwe samagwirizanitsidwa ndi kupsinjika kwakukulu. Ma profesiti oterewa kwa azimayi akhoza kukhala: mlembi, wowerenga mabuku, wofufuza, mlangizi, aphunzitsi, abambo amatha kugwira ntchito ku banking, notariari.
Ntchito pantchito zamtunduwu nthawi zambiri imaphatikizapo ntchito yodziwika tsiku lililonse komanso kusakhalapo kwa masinthidwe ausiku, ngati kuli koyenera, izi zitha kuvomerezedwanso mukamalemba ntchito. Ngati ndi kotheka, kusinthana kwakanthawi kantchito ina kungapangidwe ndi komisheni (CWC) kuyesa kulumala kwakanthawi.
Ngati ntchito yodwala matenda ashuga singagwire ntchito yofanana kapena kutsitsa kwakukulu kwa kuchuluka kwa ntchito zingafunike, ndiye lingaliro la gulu lachipatala gulu lachitatu la olumala lingatsimikizidwe. Wodwalayo amaonedwa kuti ndi wathanzi ndipo amalimbikitsidwa ngati amagwira ntchito zolimbitsa thupi.
Ndi kuwonongeka kwa matenda ashuga, wodwalayo amapatsidwa tchuthi chodwala. Kulemala kumatha kuchitika pafupipafupi kumene kumafunikira chithandizo chamankhwala chovala kunja kapena kwina, zovuta posankha chithandizo chamankhwala chothandizira matenda a shuga. Izi zitha kuyambitsa kulumala kosatha kwa odwala matenda ashuga, komanso kufunikira kwakukhazikitsa kulumala kwa gulu lachiwiri.
Matenda abwinobwino a shuga amaphatikizapo kuletsa ntchito. Njira zosamutsira odwala ku gulu lachiwiri lolumala:
- Zowonongeka kapena kuwonongeka kwathunthu kwa mashuga mellitus motsutsana ndi matenda a shuga.
- Kulephera kwamkati ndi kufunika kwa hemodialysis.
- Matenda a shuga a polyneuropathy okhala ndi miyendo.
- Matenda a shuga
- Kusuntha kochepera, kudzichitira nokha ntchito.
Mwakamodzikamodzi, funso loti ngati zingatheke kugwira ntchito ndi ziyeneretso zapamwamba komanso ntchito zaluso mwanzeru zimathetsedwa. Pankhaniyi, njira yabwino kwambiri kwa wodwala imakhala ngati amaloledwa kugwira ntchito m'nyumba kapena m'malo opangidwa mwapadera.
Ngati wodwalayo akusokoneza mwachangu ma cellcirculation ndi mawonekedwe a atherosulinosis, ndiye kuti izi zimabweretsa kutaya kwamuyaya ntchito.
Kuti adziwe gulu lolumala, odwala otere amafufuzidwa mothandizidwa ndi ophthalmologist, dokotala wa opaleshoni, neuropathologist, pambuyo pake digiri ya kulemala imakhazikitsidwa.
Gulu loyamba la olumala limatsimikiza pamaso pa matenda:
- A shuga a retinopathy okhala ndi khungu m'maso onse.
- Matenda a shuga a polyneuropathy okhala ndi miyendo.
- Matenda ashuga cardiomyopathy owonetsedwa a mtima kulephera 3 madigiri.
- Kusokonezeka kwa psyche kapena kuchepa kwa thupi chifukwa cha matenda ashuga a m'mimba.
- Kuyiwala kukumbukira matenda ashuga.
- Gawo lomaliza la aimpso kulephera mu matenda ashuga nephropathy.
- Angapo chikomokere.
Pamaso pa zinthu ngati izi, odwala amalephera kudzisamalira ndipo amafunika thandizo ndi chisamaliro chakunja. Chifukwa chake, akuyenera kupatsidwa woyang'anira pakati pa abale kapena anthu apafupi.Kanema yemwe ali munkhaniyi akuthandizani kusankha ntchito ya matenda ashuga.
Mawonekedwe a shuga
Wodwala akakhala ndi chakudya chokwanira kuti ateteze matendawa, zovuta zokhazokha kuntchito ndizofunikira khalani ndi zofunikira panthawi. Ndizotheka kuchita izi mosazindikira ndi anzanu komanso oyang'anira. Ngati pali chiopsezo cha hypoglycemia, tiyenera kukumbukira kuti zoterezi ndizowopsa kwa wodwalayo komanso, nthawi zina, kwa ena.
Kuphatikiza apo, mavuto azaumoyo adzadziwika posachedwa, kenako kukambirana mosasangalatsa ndi owalemba ntchito ndikosapeweka. Ndipo zoterezi zitha kutha kuchotsedwa ntchito. Chingakhale cholondola kwambiri kuchenjeza za matenda anu ndikuwuzani zovuta zomwe zingayambitse bungwe la ntchito.
Olemba ntchito ambiri sadziwa kuti shuga ndi chiyani, amangomva kuti matendawa amafunika jakisoni wa insulin pafupipafupi. Zotsatira zake, satenga wodwalayo kuti adzagwire ntchito kapena kuchotsedwa ntchito chifukwa chongotipatsanso mphamvu.
Chisankho chantchito
Ndikosavuta kusankha ntchito ya odwala matenda ashuga. Kupatula apo, mndandanda wazinthu zoletsedwa za matendawa ndizochulukirapo. Makamaka mavuto akulu amakhalapo ngati matenda ashuga awonekera mukadzakula, mwa munthu yemwe walandila kale maphunziro aukadaulo.
Komabe, ngati makolowo adasamalira kukula koyenera kwa mwana wawo, ndiye, atakula, adzazindikira kudziwa kwawo komanso luso lawo ngakhale atadwala kwambiri. Chinthu chachikulu chomwe chikufunika pa izi sikuti kungoyang'ana pa ntchito imodzi yokha, gawo la zochitika, koma kukulitsa mwana mokwanira.
Onetsetsani kuti boma lantchito ndi yopuma!
Kulandila bwino kwa shuga kumapangitsa kuti pakhale zovuta zambiri nthawi zambiri kumakuthandizani kuti mukhalebe m'malo anu. Koma muyenera kusintha kwambiri tsiku logwira ntchito.
Kufunika kwa kudya pafupipafupi kwambiri sikungakusangalatseni kwa oyang'anira ngati sakumvetsa zomwe zinayambitsa. Ngati mukufunikira kuyamba kulandira mankhwala a insulin, muyenera kuuza anzanu kuti mankhwalawa akupangiridwa, mwinanso mungalakwitsidwe chifukwa chomwa mankhwala osokoneza bongo.
Ngati pakufunika kupanga jakisoni kuntchito, insulini iyenera kusungidwa ndipo chilichonse chofunikira munjira imeneyi iyenera kukhala mu bokosi lotsekedwa ndi fungulo, makamaka m'malo otetezeka. Kupanda kutero, mabotolo amatha kugwa ndikusweka, ndipo mankhwalawo sangagwiritsidwe ntchito pazolinga zake, kuphatikiza pazosayenera. Mwa njira, kunyamula insulin tsiku ndi tsiku kukagwira ntchito kunyumba siyankho labwino. M'nyengo yozizira, izi zimatha kubweretsa kuwonongeka kwake chifukwa cha chisanu, nthawi yotentha, kutentha, mankhwalawa amathanso kuwonongeka panthawi yoyendera.
Odwala ena omwe ali ndi matenda a shuga safuna kukhala pantchito kuti athe kuyeza kuchuluka kwa shuga m'magazi - amachita manyazi kapena sapeza nthawi ya izi. Izi ndizoyipa kwambiri, chifukwa chidziwitso chofunikira sichitha, zomwe zimapangitsa kuti zikhale zovuta kuthana ndi shuga m'magazi.
Ngati ntchito imalumikizidwa ndi kulimbitsa thupi, munthu ayenera kudya kwambiri. Nthawi zambiri odwala matenda a shuga amawopa "kukonza" magawo a mkate ndipo chifukwa cha izi amakhala operewera, zomwe zimapangitsa kuti pakhale ziwopsezo za hypoglycemia zomwe zimachitika chifukwa chogwiritsa ntchito kwambiri komanso kuperewera kwa matenda m'thupi, zomwe zimayipitsanso thanzi. Kuti mupewe izi, gwiritsani ntchito magome amagetsi pamaudindo osiyanasiyana, omwe amapezeka mosavuta mu buku lililonse lonena za matenda ashuga. Ngati simungathe kupanga nokha zakudya zanu za tsiku ndi tsiku, muyenera kulumikizana ndi dokotala kuti muchite naye.
Maulendo apa bizinesi, ntchito yosinthira ndi nthawi yowonjezera
Ngati akudziwa za matenda anu kuntchito, palibe amene angakhumudwe chifukwa choganiza kuti mnzanu amene ali ndi matenda ashuga asamagwire ntchito nthawi yayitali komanso asapite maulendo aku bizinesi.Ngati ili ndi gawo lofunikira pantchitoyo, ndikofunikira kuganizira zosamukira ku gawo lina kapena kwina. Mwina akatswiri ochita kuyeserera adzafunika, pamenepo, ndikofunikira kuvomereza.
Pa ntchito yosuntha, ndizovuta kupirira regimen ya jakisoni wa insulin. Ndikofunika kudya pafupipafupi nthawi yogona, osayiwala chakudya chomaliza musanagone. Odwala omwe amagwira ntchito mosinthana, ndibwino kugwiritsa ntchito insulin "ultrashort", popeza tulo ndi kugona kwake sikokhazikika, ndipo zimakhala zovuta kwambiri kuzolowera.
Ndondomeko yoyendetsera insulini imakhalabe yofanana: mwachitsanzo, mlingo womwe umaperekedwa asanagone usiku umayikidwa nthawi yogona 9 koloko m'mawa, pomwe wodwala amagona kuti abwere kunyumba kuchokera kuntchito. Inde, kuti mukwaniritse bwino mankhwala osokoneza bongo a insulin panthawi imeneyi, ntchito imeneyi singagwire ntchito, chifukwa nthawi yogona komanso yodzuka imasinthasintha. Chifukwa chake, ntchito zoterezi ziyenera kuonedwa ngati njira yakanthawi kochepa, ndikuyesayesa mwakhama kupeza ina yabwino.
Ngati munthu wawuluka pa ndege, ziyenera kukumbukiridwa kuti pabwalo la ndege, oyang'anira chitetezo atha kufunsa kuti chakudya chikaperekedwa kuti akapita ku kanyumba ka ndege. Ndipo afotokozanso kufunika kokhala ndi syringe naye. Kuti muthane ndi mavutowa, ndikofunikira kutenga satifiketi kuchokera kwa dokotala momwe matenda awonetsedwera, ndipo akunena za kufunika kwa jakisoni wa insulin ndi zakudya zanthawi zonse.
Ngati mungathe kukwera ndege popanda chakudya chanu, ndi nthawi yoti mudye, ndipo simunayambe kupereka zakudya, simuyenera kukhala odekha. Uzani mdindo wamkulu za vutoli. Mwina sangasangalale ndi pempho loti awonjezere gawo, koma angakonde kudyetsa munthu amene wakwerapo kuposa kungomupatsa thandizo mwadzidzidzi paulendo wake.
Nthawi zina pamachitika zinthu ngati olemba anzawo ntchito, omwe akufuna kuti akhale ndi wodziwa ntchito yemwe ali ndi matenda ashuga, amusiya ali pantchito, koma samapereka kukhululuka: wogwira ntchito nthawi yayitali, maulendo aku bizinesi, masinthidwe a usiku - zonse zimayenda chimodzimodzi. Dziwani kuti simungavomereze izi, ngakhale mutakhala ndi mwayi wopindulitsa. Matendawa amagwira ntchito mofulumira kwambiri, ndipo m'nthawi yochepa munthu sangathe kugwira ntchito iliyonse.
Mavuto ndi ntchito yanu
Ndizodabwitsa kuti, malinga ndi kafukufuku wambiri, anthu odwala matenda a shuga sakonda kupita kutchuthi chodwala kuposa anzawo. Mwa njira ina, izi zimachitika chifukwa choganizira kwambiri thanzi lawo - amavala kutengera nyengo, ambiri amasiya kusuta, komanso kudya mokwanira kumachepetsa mavuto ammimba.
Koma nthawi zambiri izi zimachitika chifukwa choopa kuwonetsa abwana kufooka kwake. Kupatula apo, oyang'anira sakukondweretsadi antchito oterowo ndipo akufuna kuti awapeze m'malo mwake. Munthu wodwala matenda a shuga ayenera kusamala mosakayikira: kuyenda koyambirira kwam'mawa mu zovala zopepuka kwambiri kumatha kuchitika osati kuchipatala, komanso kutha kwa ntchito.
Ngati mukukwera zovuta, ndiye kuti wogwira ntchito akuwonongeka kwambiri.
- Ma retinopathy ndi amphaka, othandizira anzawo amakhala ndi shuga. Matenda a shuga, nephropathy, omwe nthawi zambiri amakhala limodzi ndi kukokoloka kwa matenda osatha a chifuwa cha m'mimba, ndimomwe amachititsa ntchito zambiri komanso nthawi yayitali chifukwa chodwala. Kukula kwa phazi la matenda ashuga kumalepheretsa kuyenda kwamphamvu. Zovuta za mtima zimachepetsa kugwira ntchito konse.
Bizinesi yanuyomwe
Ngati munthu ali ndi bizinesi yakeyake komanso abwana ake ndi abwana, zinthu zimasintha kwambiri. Komanso, pali zosintha zabwino komanso zoyipa.
Njira yokhala moyo wamabizinesi ambiri siabwino.Nthawi zambiri amapita kumisonkhano ndi abizinesi, ochita bizinesi omwe amamwa ndikumwa mowa, osamwetsa zakudya, kusuta, kupsinjika pafupipafupi ndi mavuto azachuma komanso mavuto ena, udindo kwa olemba ntchito anzawo - zonsezi zimayambitsa zovuta zina zamagulu abizinesi omwe akudwala matenda ashuga.
Komabe, wochita bizinesi amakhalabe ndi mipata yambiri yolinganiza tsiku lake momwe likufunikira, potengera momwe amalembera matendawa. Ndipo mfundo zokhala ndi moyo wathanzi zikuchulukirachulukira kubizinesi.
Chifukwa chake, miyambo yamaphwando azambiri ndi hoppy opita nawo kumisonkhano yamalonda pang'onopang'ono imakhala chinthu cham'mbuyo. Kuchulukirapo, pamalonda a bizinesi pa tebulo mutha kuwona zakudya zotsika kalori, masamba ndi zipatso. Ndipo malingaliro a ena akutenga gawo laling'onoting'ono pano, poyerekeza gulu lomwe "Kodi mundilemekeza?" Amamveka pang'ono pamaphwando ngati amenewa.
Masiku ano imakhala yapamwamba osasuta, ndipo nawonso abizinesi. Ndipo kukambirana kwa nkhani zamabizinesi mchipinda chosuta kumacheperachepera.
Milandu yomwe abizinesi atayimitsa bizinesi yake chifukwa cha matenda ashuga sichitha. Kupatula apo, anthu omwe amadziwa mawonekedwe a matupi awo komanso amatha kumatha kusintha zochitika zawo zatsiku ndi tsiku nthawi zambiri amasintha bwino ndikusintha bizinesi yawo.
M'masiku ano, ogwirira ntchito nthawi, anthu ambiri amagwira ntchito mosiyanasiyana - usiku, kenako masana, kenako usiku, tsiku lina, nthawi ina ndi yosiyana. Chifukwa chake, boma la kugona ndi kupumula, zochitika zolimbitsa thupi panthawi zosiyanasiyana patsikulo, komanso kudya kwakusintha. Ndipo zonsezi zimakhudza kwambiri kuchuluka kwa shuga m'magazi. Chifukwa chake, ndikofunikira kuti mukhale ndi njira yina yochizira matenda a shuga masiku opumula ndi masiku ogwira ntchito.
Ikuthandizani kuwunika momwe amagwirira ntchito nthawi zosiyanasiyana, mosiyanasiyana - usiku ndi usana - zimakhudza momwe mulili. Ngati simungathe kudzipeza nokha, ndi njira yodziletsa yomwe ingamuthandizireni chithandizo chachipatala kuti ayambitse kusintha komwe kukufunika.
Zachidziwikire, njira yothandizira kukonza mankhwalawa nthawi zosiyanasiyana idzakhala yosiyana pa mitundu 1 ndi 2 shuga.
Mtundu woyamba wa shuga
Ngati mukugwira ntchito molingana ndi dongosolo losakhazikika kapena ngati pali kusintha kosintha usiku mu ntchito yanu, kapena kusintha kwotalikirapo kwa maola opitilira 12, ndiye njira yabwino kwambiri yothandizira bolus ofotokoza insulin (insulini yocheperako kapena yochepa yocheperako pakudya zakudya komanso kukonza shuga ndi magazi a basal insulin) kapena kugwiritsa ntchito pampu ya insulin.
Mukamagwiritsa ntchito mankhwala osakanikirana a insulin (ndiye kuti, pakakhala nthawi yayitali komanso yayitali yochita insulini imodzi - bolus ndi basal), mavuto ena amatuluka ndi nthawi zosiyanasiyana za insulin.
Kusintha kwa usiku
Ngati mumagwira ntchito usiku ndipo ntchito imagwirizana ndi zolimbitsa thupi (mwachitsanzo, mumagwira ntchito ngati woperekera zakudya, namwino kapena wogwira ntchito yopanga zojambula), ndiye kuchepetsa basal insulin, omwe amalowa madzulo, mpaka 30% ya tsiku lililonse la insulin.
Pa chakudya chilichonse choposa 1 XE, tumizani insulin. Ndibwino ngati ndi insulin yocheperapo-yayifupi (NovoRapid, Apidra, Humalog). Kumbukirani kuti m'mawa m'mawa, kusungunuka kwa insulini ndizochepa kuposa madzulo, kumbukirani kuchuluka kwa mphamvu yokhudzana ndi insulini kumayambiriro (kuyambira 1:00 mpaka 3:00) komanso mochedwa (kuyambira 4:00) maola ausiku.
Ngati ntchito usiku imagwira, osafuna kuchita masewera olimbitsa thupi (mwachitsanzo, ndinu othandizira kuyimba foni kwa maola 24, woteteza kapena osatulutsa pabwalo la ndege), simungasinthe mlingo wa insal insulin. Pa chakudya chilichonse, gwiritsani ntchito mafuta a insulini poganizira za chakudya, kuchuluka kwa shuga m'magazi komanso kudziwa mphamvu ya insulin.Pankhaniyi, ndikwabwinonso kugwiritsa ntchito insulini yochepa-pang'onopang'ono ngati simungathe kugwiritsa ntchito mankhwalawa.
Mukamagwiritsa ntchito mankhwala osakanikirana ndi insulin, lowetsani insulin mphindi 15 musanadye chakudya, koma pamlingo wa magawo a 2-4 (malinga ndi kuchuluka kwa shuga). Mukamadya chakudya usiku, gwiritsani ntchito insulin yocheperako, poganizira mkate ndi magazi a m'magazi.
Masana ndi usiku amasintha
- Ngati mukugwira ntchito masana kapena usiku masinthidwe, ndiye kuti dongosolo la insulin limayang'anira lidzakhala losiyana. Mukamagwira ntchito masana, tumizani insulin musanadye, insulin m'mawa komanso 10 koloko insulin ya nthawi yayitali, ndipo m'mawa kapena 22 p.m insulin yayitali. mutasuntha usiku, fufuzani shuga wamagazi anu. Ndi mtengo wotsika (pansipa 6 mmol / l), idyani 1-2 XE ya "" wosakwiya "chakudya - mkate, zipatso zosatsika.
Gwirani ntchito kwa maola 12 kapena kupitirira
- Pankhaniyi, ndibwino kugwiritsa ntchito insulini yochepa kwambiri pakakhala insulini - izi zimachepetsa chiopsezo cha hypoglycemia. Lowani mphindi 15 musanadye chilichonse, mutaganizira magawo a buledi, shuga wamagazi ndi nthawi ya tsiku. Ngati pa nthawi yantchito pali nthawi yochepa kwambiri yowonongera ndipo palibe njira yoyezera kuchuluka kwa glucose musanadye, werengani mlingo wa insulin pa gawo limodzi la mkate ndikulowetsani gawo limodzi poyerekeza ndi kuchuluka kwake. Ngakhale sizolondola kwathunthu, zimathandizanso kupewa hypoglycemia. Kumbukirani kuti kuchita masewera olimbitsa thupi kumachepetsa magazi. Chifukwa chake, ngati ntchito yanu ikukhudzana ndi zochitika zolimbitsa thupi ndipo mumagwira ntchito kwa maola angapo osapumira, hypoglycemia ikhoza kuchitika. Sungani thumba lanu kapena shuga woyengetsa pafupi, mapiritsi / dextrose kapena phukusi la zipatso, siyani hypoglycemia mokwanira komanso nthawi. Ndikwabwino kugwiritsa ntchito insulin yayitali monga insal insulin - majekeseni ochepa amafunika kuchitika kuntchito. Patsiku logwirira ntchito, chepetsani kuchuluka kwa insulin mpaka 30% ya kudya tsiku lililonse ndi ntchito yolimbitsa thupi.
Type 2 shuga
Kuchiza matenda a shuga a mtundu wachiwiri kungakhale kosiyana - chakudya chokhacho, kugwiritsa ntchito mapiritsi osiyanasiyana amachepetsa shuga m'magazi, kuphatikiza kwa iwo ndi insulin, kapena chithandizo chokhacho cha insulin. Kutengera mtundu wa mankhwalawa omwe amagwiritsidwa ntchito, nthawi yogwira ntchito nthawi zosiyanasiyana masana, kuchuluka kwa shuga m'magazi kumathanso kusintha mosiyanasiyana.
Ogwira ntchito yabwino komanso yosayenera?
M'mbuyomu nthawi zakale kwambiri za Soviet (zaka 25 zokha zapitazo), odwala matenda ashuga adalangizidwa kuti asankhe ntchito malo osungirako zakale, malo owerengera mabuku, zowerengera zakafukufuku, kotero kuti sizimagwirizanitsidwa ndi kulimbitsa thupi kwambiri komanso kupsinjika. Masiku ano, odwala matenda ashuga amagwira ntchito zosiyanasiyana.
Matenda a shuga amakhudza munthu aliyense munjira zosiyanasiyananso, kotero aliyense ayenera kuyang'anitsitsa bwino momwe angagwiritsire ntchito inayake. Kuyenerera ndikofunikira kwambiri, komanso njira ya matenda ashuga komanso zovuta za matenda a shuga (mwachitsanzo, kuwonongeka kwa mawonekedwe).
Kumbukirani kuti shuga ndi gawo limodzi lokha lomwe limakupangitsani. Matenda a shuga sikuti nthawi zonse amakhala ndi gawo lowoneka bwino pantchito inayake, monganso mokhudzana ndi mbali zina za moyo.
Chinthu chachikulu ndikuwunika tsiku lililonse matenda ashuga
Mukamagwira ntchito iliyonse, muyenera kupitiliza kudzipenyerera wamagazi, kutsatira zakudya zomwe zaperekedwa ndikumapita kukayezetsa zaumoyo, kotero posankha ntchito inayake, ganizirani ngati mungathe kuchita. Mwachitsanzo, kugwira ntchito pafakitale pamalo omwe sizotheka kubweretsa miyala ya glucometer kapena glucose ndi inu kungakhale chopinga chachikulu kwa odwala ambiri omwe ali ndi matenda ashuga.
Njira yosavuta yothanirana ndi kudziwunikira kwamawonekedwe a shuga, dongosolo lazakudya ndi ntchito zina pochitika kuti nthawi yantchito imakhala yokhazikika. Koma ngati mukufunika kugwira ntchito mpaka mochedwa, kusuntha usiku kapena kumapita maulendo pafupipafupi kuntchito, ndiye kuti matenda ashuga sichingakhale chopinga.Ndikofunikira kuti mupeze chidziwitso chowonjezera ndi luso, ndikugwira ntchito ndi dokotala ndi endocrinologist.
Ntchito yokhudzana ndi makina, zida kapena kuyendetsa
Ndikofunikira kuti shuga mellitus ikhale yolipiridwa bwino, ikhale yokhazikika komanso popanda chiopsezo cha shuga wamagazi ochepa, apo ayi mungadzivulaze nokha komanso thanzi la anthu ena.
- Musanagwire ntchito / kuyendetsa galimoto, onani kuchuluka kwa shuga m'magazi! Ngati shuga wanu wamagazi ndi wotsika kuposa 3.8-4.0 mmol / L, idyani 1215 g yokhala ndi zophatikizika mosavuta (mwachitsanzo, kapu ya ½, maswiti 3-4, mapiritsi atatu a shuga, ½ nthochi). Pangani shuga wanu wamagazi pambuyo mphindi 15. Ngati glucose wanu wamagazi sawuka, idyani kenakonso 12-15 g yamafuta ochita kupukusa chakudya. Bwerezani mpaka misempha ya m'magazi itakwera. Sungani glucose nthawi zonse pamalo osavuta kufikako, koma osati mumtengo wamgalimoto. Ngati simungathe kudziwa glucose wamagazi anu koma mukukumana ndi vuto la hypoglycemia, siyani kugwira ntchito / kuyendetsa ndikudya 12-16 g yamagulu oopsa am'mimba. Nthawi zonse tengani chizindikiritso cha odwala omwe ali ndi matenda ashuga.
Pakufunsidwa pantchito
Pofunsidwa mungathe kukumana ndi anthu omwe sakudziwa chilichonse chokhudza matenda ashuga. Mwinanso achibale kapena anzanu a olemba anzawo ntchito anali ndi matenda a shuga, omwe nthawi zambiri amafunikira kuchipatala. Kukonda kapena malingaliro aumunthu sangasinthidwe munthawi yochepa, ndiye njira yabwino ndiyakuti osandifotokozeranso zambiri zaumoyokuphatikizapo matenda ashuga.
Ngati kuyankhulana musanakumane ndi mafunso omwe mukuyenererana nawo, kuthekera kochita ntchito yomwe mukufuna ndikuchita zonse zofunika kuti muchepetse matenda a shuga (mwachitsanzo, kudziyang'anira nokha kuchuluka kwa shuga m'magazi, kudya mokhazikika, kumwa mankhwala ndi / kapena insulin, etc.), ndiye kuti simuyenera kuyika mwayi pa ngozi osapeza malo.
Anthu amawopa zomwe sadziwa. Wogwiritsa ntchito alibe ufulu wofunsa mafunso okhudza boma. Ngati mafunso ngati awa amafunsidwa, ndipo simukufuna kugwiritsa ntchito ufulu wanu kuti musayankhe, mutha kuyankha, mwachitsanzo, kuti nthawi zonse mumasowa pang'ono chifukwa chodwala, kapena kuti mumasamala zaumoyo wanu, chifukwa chake, samalani mfundo zokhala ndi moyo wathanzi.
Gwiritsani ntchito odwala matenda ashuga: Ndani sangathe kugwira ntchito ya matenda ashuga?
Matenda a shuga kwa bambo ndi mkazi wazaka zakubadwa ndiovuta kupeza ntchito yomwe ingakwaniritse maluso a odwala komanso osagwiritsa ntchito matendawa.
Kanema (dinani kusewera). |
Dokotala wa endocrinologist yemwe amathandizira achinyamata angathandize kusankha ntchito. Komanso, chinthu chachikulu chomwe muyenera kuganizira ndi kupezeka ndi kuopsa kwa zovuta za matenda a shuga, kuchuluka kwa chipukutiridwe, kupezeka kwa matenda opatsirana makamaka makamaka malingaliro a odwala.
Pali zoletsa zina pazantchito zomwe zingasokoneze kuchiza kwa matenda. Kwa odwala onse omwe ali ndi matenda ashuga, kupsinjika kwambiri kwamthupi ndi m'malingaliro kumatsutsana.
Kanema (dinani kusewera). |
Vuto lophatikiza matenda ashuga ndi ntchito ndikuti kuchuluka kwantchito kumachepetsa mphamvu ya mankhwalawa ndipo kungayambitse matenda omwe sanawalipire .. Maphunziro oyenera a odwala matenda ashuga ayenera kuloleza kupuma masana ndipo ngati kuli kotheka, insulin.
Nthawi yomweyo, odwala ambiri angafune kulengeza za matenda ndi chithandizo chawo, popeza pali mantha kuti adzawoneka osayenera pantchitoyi. Malingaliro oterewa akhoza kukhala owopsa, makamaka kwa odwala omwe ali ndi kusinthasintha kwakuthwa m'magazi amwazi, chifukwa angafunikire thandizo la anzawo.
Zovuta kwambiri ndi odwala akakalamba matenda atapezeka. Kuletsa ntchito zokhudzana ndi thanzi laumoyo kumakhalapo ndi ntchito yomwe munapanga kale. Zikatero, munthu ayenera kuganizira zaumoyo ndi kuziyika kaye.
Ogwira ntchito ndi matenda ashuga ayenera kusankhidwa poganizira izi:
- Tsiku logwirira ntchito.
- Kuchepa ma bizinesi pafupipafupi.
- Mtundu woyeserera wa ntchito.
- Zowopsa pantchito zimapatula: zinthu zapoizoni, fumbi.
- Sipangakhale kusuntha kwausiku.
- Sitikulimbikitsidwa kuti tizigwira ntchito mukamasintha kutentha kwambiri.
- Pasakhale kupsinjika kwa chidwi, kupsinjika kwakuthupi ndi kwamaganizidwe.
- Patsiku logwirira ntchito, ziyenera kutheka kuti mupeze insulin, idyani nthawi komanso muyezo kuchuluka kwa shuga m'magazi.
Odwala a shuga samalimbikitsidwa kuti azigwira ntchito m'masitolo otentha kapena nthawi yozizira nthawi yozizira, komanso omwe amagwirizana ndi kusintha kwa kutentha kwanthawi zonse, muzojambula.
Ntchito zophatikiza mankhwala oopsa a odwala matenda ashuga ayenera kuloledwa. Zinthu zapaderazi zikuphatikiza kugulidwa kwa mankhwala osakanikirana ndi zinthu zina, kusakanikirana kwa zinthu zopanda pake, ndi makina azitsulo. Kugwira ntchito ndi mankhwala amathanso kukhala m'malo osanthula.
Mikhalidwe yokhala ndi psychophysical katundu wamphamvu imawonedwa ngati yovulaza. Mwachitsanzo, kugwira ntchito ndi akaidi, odwala kwambiri, komanso olumala zimatha kuwononga thanzi la munthu wodwala matenda ashuga.
Ntchito zoterezi zimaphatikizapo ogwiritsa ntchito malo osokoneza bongo ndi khansa, zipatala zamisala yachipatala, akukwera nyumba za ogwira ntchito zankhondo kuchokera malo otentha, madokotala opanga opaleshoni, apolisi, oyang'anira ndende, ndi ankhondo.
Kwa odwala matenda a shuga amawopseza kwambiri kuchita masewera olimbitsa thupi. Mndandanda wazinthu zomwe zili ndi zotsutsana kwathunthu kwa odwala motere zimaphatikizapo:
- Kukhazikitsa, kukonza maukonde opangira magetsi.
- Zomangamanga, zomangamanga.
- Migodi yamalasha ndi kukonza.
- Mafuta, mafakitale amafuta.
- Kudula mitengo.
Amuna sangatenge nawo gawo pantchito izi, ndipo ndizowopsa kwa amayi omwe ali ndi matenda osokoneza bongo, chifukwa kuchuluka kwambiri kumayambitsa kuwonongeka kwa matendawa chifukwa chochepa mphamvu.
Sizoletsedwa kuti matenda ashuga azitha kugwira ntchito zomwe zitha kukhala pachiwopsezo cha moyo, komanso kufunikira kosunga chitetezo chawo: oyendetsa ndege, oyang'anira malire, oyendayenda, okwera mapulaneti.
Odwala omwe ali ndi insulin Therapy sangathe kuyendetsa pagalimoto yayikulu kapena katundu wolemera, amagwira ntchito poyenda, kudula njira komanso kutalika. Chilolezo choyendetsa galimoto chitha kupatsidwa chindapusa chobwereza matenda.
Pankhaniyi, odwala ayenera kukhala okonzekera chitukuko cha mwadzidzidzi cha hypoglycemia.
Kulephera mu shuga kumatengera mtundu wa matendawa, kuuma, kupezeka kwa angiopathy kapena matenda ashuga a polyneuropathy, kusintha kwa masomphenya ndi ntchito ya impso, komanso pafupipafupi zovuta za matenda ashuga monga mawonekedwe a chikomokere.
Matenda ofala a shuga nthawi zambiri samayambitsa kulumala kosatha. Wodwalayo amalimbikitsidwa kuchita masewera olimbitsa thupi ndi thupi, omwe samagwirizanitsidwa ndi kupsinjika kwakukulu. Ma profesiti oterewa kwa azimayi akhoza kukhala: mlembi, wowerenga mabuku, wofufuza, mlangizi, aphunzitsi, abambo amatha kugwira ntchito ku banking, notariari.
Ntchito pantchito zamtunduwu nthawi zambiri imaphatikizapo ntchito yodziwika tsiku lililonse komanso kusakhalapo kwa masinthidwe ausiku, ngati kuli koyenera, izi zitha kuvomerezedwanso mukamalemba ntchito. Ngati ndi kotheka, kusinthana kwakanthawi kantchito ina kungapangidwe ndi komisheni (CWC) kuyesa kulumala kwakanthawi.
Ngati ntchito yodwala matenda ashuga singagwire ntchito yofanana kapena kutsitsa kwakukulu kwa kuchuluka kwa ntchito zingafunike, ndiye lingaliro la gulu lachipatala gulu lachitatu la olumala lingatsimikizidwe. Wodwalayo amaonedwa kuti ndi wathanzi ndipo amalimbikitsidwa ngati amagwira ntchito zolimbitsa thupi.
Ndi kuwonongeka kwa matenda ashuga, wodwalayo amapatsidwa tchuthi chodwala. Kulemala kumatha kuchitika pafupipafupi kumene kumafunikira chithandizo chamankhwala chovala kunja kapena kwina, zovuta posankha chithandizo chamankhwala chothandizira matenda a shuga. Izi zitha kuyambitsa kulumala kosatha kwa odwala matenda ashuga, komanso kufunikira kwakukhazikitsa kulumala kwa gulu lachiwiri.
Matenda abwinobwino a shuga amaphatikizapo kuletsa ntchito. Njira zosamutsira odwala ku gulu lachiwiri lolumala:
- Zowonongeka kapena kuwonongeka kwathunthu kwa mashuga mellitus motsutsana ndi matenda a shuga.
- Kulephera kwamkati ndi kufunika kwa hemodialysis.
- Matenda a shuga a polyneuropathy okhala ndi miyendo.
- Matenda a shuga
- Kusuntha kochepera, kudzichitira nokha ntchito.
Mwakamodzikamodzi, funso loti ngati zingatheke kugwira ntchito ndi ziyeneretso zapamwamba komanso ntchito zaluso mwanzeru zimathetsedwa. Pankhaniyi, njira yabwino kwambiri kwa wodwala imakhala ngati amaloledwa kugwira ntchito m'nyumba kapena m'malo opangidwa mwapadera.
Ngati wodwalayo akusokoneza mwachangu ma cellcirculation ndi mawonekedwe a atherosulinosis, ndiye kuti izi zimabweretsa kutaya kwamuyaya ntchito.
Kuti adziwe gulu lolumala, odwala otere amafufuzidwa mothandizidwa ndi ophthalmologist, dokotala wa opaleshoni, neuropathologist, pambuyo pake digiri ya kulemala imakhazikitsidwa.
Gulu loyamba la olumala limatsimikiza pamaso pa matenda:
- A shuga a retinopathy okhala ndi khungu m'maso onse.
- Matenda a shuga a polyneuropathy okhala ndi miyendo.
- Matenda ashuga cardiomyopathy owonetsedwa a mtima kulephera 3 madigiri.
- Kusokonezeka kwa psyche kapena kuchepa kwa thupi chifukwa cha matenda ashuga a m'mimba.
- Kuyiwala kukumbukira matenda ashuga.
- Gawo lomaliza la aimpso kulephera mu matenda ashuga nephropathy.
- Angapo chikomokere.
Pamaso pa zinthu ngati izi, odwala amalephera kudzisamalira ndipo amafunika thandizo ndi chisamaliro chakunja. Chifukwa chake, akuyenera kupatsidwa woyang'anira pakati pa abale kapena anthu apafupi. Kanema yemwe ali munkhaniyi akuthandizani kusankha ntchito ya matenda ashuga.
Gwiritsani ntchito odwala omwe ali ndi matenda ashuga: malangizo ndi contraindication
Matenda a shuga amadziwika ndi zovuta zazikulu, makamaka ngati munthu wakhala akudwala matenda a endocrine kwazaka zambiri. Zotsatira zake, funso limadzuka: kodi ndi mitundu yanji ya ntchito zomwe zimawonetsedwa kwa anthu odwala matenda ashuga? Mwanjira ina, ndi mtundu wanji wa ntchito womwe mungapeze ntchito popanda kuwopa thanzi lanu komanso moyo wa iwo omwe akuzungulirani?
Onse omwe ali ndi matenda ashuga omwe ali ndi vuto lochepetsetsa la matendawa amaonedwa kuti ndi athanzi, kotero ngati mungathe kudzisamalira, ingoyendani ndi miyendo yanu, ndiye kuti muyenera kupeza ntchito yoyenera.
Ntchito yotere kwa odwala matenda ashuga sayenera kukhala yovulaza komanso yotopetsa kwa munthu.Chotsatira, mupeza zoletsa kuntchito, kuphwanya malamulo, komanso malingaliro ena othandiza mukamayang'ana ntchito kwa anthu omwe ali ndi matenda owopsa.
Kukula kofatsa ndi gawo loyamba la kukula kwa matenda ashuga, kotero munthu akadali wathanzi. Palibe zovuta zilizonse, kuchuluka kwa shuga m'magazi kumayendetsedwa mosavuta, mitsempha yamagazi sinawonongeke ndipo ntchito za ziwalo zazikulu sizisokonezeka. Komanso, digiri yofatsa ikhoza kukhala yodziwika kwa anthu omwe ali ndi mtundu wachiwiri wa matenda.
Mitundu yotsatirayi ikuyimitsidwa pamilandu iyi:
- Kulimbikira ntchito. Mwachitsanzo, anthu odwala matenda ashuga saloledwa kugwira ntchito ngati onyamula katundu, ogwira ntchito m'migodi, kuti azigwira ntchito mosinthana ndi usiku.
- Munthu akakhala kuti athane ndi ziphe zama mankhwala ndi mafakitale.
- Kwa odwala matenda ashuga, maulendo azamalonda samaperekedwa, osavomerezeka popanda wodwalayo.
- Sitikulimbikitsidwa kuti mupeze ntchito yowonjezera kapena yodzaza, yomwe ingatopetse kwambiri odwala matenda ashuga.
ZOFUNIKIRA: Mapulogalamu olondola omwe ali ndi magawo azovuta awa ndi: ogulitsa, aphunzitsi, a zamankhwala, mlembi-wothandizira, ndi ena.
Kukula kwakanthawi kumadziwika kale ndi zovuta zina zambiri, chifukwa mitundu yambiri ya ntchito imaphatikizidwa kwa odwala matenda ashuga. Ndikofunikanso kusiya ntchito ngati izi chifukwa choti izi zitha kuchititsa ngozi.
Mwachitsanzo, kugwira ntchito ngati woyendetsa minibus kapena mayendedwe ena wamba, wogwira ntchito mu shopu yotentha amalephera chifukwa kuyimitsidwa kwawo kosayembekezereka kungayambitse imfa ya anthu ambiri. Ndipo kutha kwa ntchito kumatha kuchitika chifukwa cha kuchuluka kwadzidzidzi m'magazi a shuga, hypoglycemia, ndi zizindikiro zina zomwe zimakumana ndi matenda osokoneza bongo a endocrine.
Mitundu yotsatirayi ndiyotsutsana:
- Ntchito yokhudza kulimbitsa thupi kapena ntchito zamaganizo. Izi zitha kuphatikizapo ntchito zamtundu uliwonse komwe mukukumana ndi mavuto amanjenje.
- Gwirani ntchito yoyendetsa shuga. Nthawi zambiri, mutha kuyendetsa galimoto yanu, koma kugwira ntchito yoyendetsa galimoto kumatanthauza kuyika moyo wanu pangozi, komanso miyoyo ya omwe akuzungulirani, chifukwa chake muyenera kusiya zochitika ngati izi.
- Ndi kusakhazikika kwenikweni, anthu ambiri amakhala ndi mavuto ena ndi zotengera zam'munsi, chifukwa chomwe odwala matenda ashuga sangakhale kumapazi kwa nthawi yayitali. Zotsatira zake, ntchito yolumikizidwa ndi maimidwe ataliatali imasemphana, mwachitsanzo, ntchito ya chitetezo mmalo ogulitsira kapena wogulitsa zinthu zazing'ono mumsewu.
- Osavomerezedwa ntchito momwe mudzasokoneza masomphenya anu tsiku lonse. Nthawi zambiri iyi ndi ntchito ya muofesi pomwe wogwira ntchito amayenera kukhala tsiku lonse pamaso pa kompyuta.
ZOFUNIKIRA: Ngati muli ndi matenda ashuga, ndiye kuti khalani ndi cholinga - kupeza ntchito yoyenera komanso yolipira bwino yomwe singawononge thanzi lanu. Ngakhale mutapeza ntchito yokhala ndi ndalama zambiri, koma mukumvetsetsa kuti izi zidzaipitsa thanzi lanu, muyenera kusiya njirayi. Kumbukirani kuti matenda ashuga sangathe nthabwala. Ngakhale anthu athanzi labwino atenga zovuta zazikulu chifukwa cha mitundu ina ya ntchito, ndiye kuti wodwala yemwe ali ndi matenda osokoneza bongo amatha kuyika moyo wake pachiwopsezo.
Ndiye ndi mtundu wanji wa ntchito kuti muziyang'ana ngati pali zotsutsana zambiri? Ambiri omwe ali ndi matenda ashuga ali ndi chidwi ndifunsoli, yomwe nthawi yakwanafunafuna ntchito, tsopano mupeza yankho mwatsatanetsatane.
Pulogalamu zotsatirazi zikulimbikitsidwa:
- mphunzitsi kusukulu kapena pasukulu,
- Mlangizi
- dotolo (makamaka chipatala chapadera),
- Teleradiomaster, Katswiri Wokonza Makompyuta,
- Secretary Secretary
- gwira ntchito pa intaneti (olemba, olemba, kugulitsa zinthu kudzera malo ogulitsira pa intaneti, ndi zina).
Cofunika: Komabe ngakhale muzochita zonsezi, odwala matenda ashuga ayenera kukumbukira zina. Mwachitsanzo, simuyenera kukhala ndi nthawi yayitali pamaso pa kompyuta yomwe imawonongeratu maso anu, muyenera kukana kusintha ntchito, chifukwa chomwe njira yolembera jakisoni wa insulin ikuphwanyidwa, muyenera kudzipangira nthawi yopuma pantchito.
Ndipo pamapeto pake, muyenera kuzolowerana ndi malangizo othandiza momwe ntchito yanu ndi kupuma zimakhalira. Kumbukiraninso kuti zoletsa kugwira ntchito ndi anthu odwala matenda ashuga sizomwe munthu amafuna kapena zomwe amalonda abwera nazo kuti asakulembe ntchito.
Izi zoletsa zimakupatsani mwayi kuti mupulumutse thanzi lanu, kupewa zomwe zikuchitika ndikukutetezani inu ndi omwe okuzungulirani pazangozi za mafakitale.
- Osaiwalanso kubweretsa insulin kapena mapiritsi anu kuti azigwira ntchito. Khalani omasuka kubaya nokha paliponse pomwe muli.
- Osabisala kwa omwe mumagwira nawo ntchito kuti muli ndi matenda ashuga. Afotokozereni zoyenera kuchita ndi kupumula kwa hyperglycemia kapena hypoglycemia.
- Ngati muli ndi matenda ashuga kuyambira ubwana, ndiye kuti musankhe ntchito yomwe singakhale ndi zotsutsana ndi matendawa. Kuphatikiza apo, mumakhala ndi mapindu apadera mukamakhala mukulemba mayeso ku yunivesite komanso mukamafunsira ntchito.
- Ufulu wa Anthu odwala matenda ashuga: Ana ndi makolo, Muli Mitundu Yotani?
Chiwerengero cha odwala omwe ali ndi matenda owopsa monga matenda a shuga, chaka chilichonse.
Chilolezo cha Woyendetsa Kuti Aziperekenso shuga: Zizindikiro Zofunikira ndi Zofunikira
Masiku ano, anthu ambiri amagula magalimoto omwe amaloleza kuti afike pamalowo mwachangu.
Kusanthula kwa shuga kwaulesi pa Helix stock
Helix Laborator akukonzekera kuti: “Muziyang'anira kuchuluka kwa thanzi lanu ndi shuga.
Nthawi yowonjezereka mu shuga ndiyabwino kwambiri. Ogwira ntchito zolimbitsa thupi, ntchito zokhudzana ndi zovuta zamavuto, chiwopsezo cha moyo komanso zovuta zovuta zogwira ntchito zimagwiranso ntchito zoletsa. Ngakhale zoletsedwa pantchito, munthu yemwe ali ndi matenda a shuga amatha kupanga ntchito ndi kusankha koyenera mwapadera.
Ndikofunikira kuunikira momwe mungakwaniritsire kuchita izi: osati ntchito iliyonse yomwe imapereka mwayi kuyeza kuchuluka kwa shuga pa nthawi yake kapena kudya pakafunika. Komabe, sikuyenera kubisala pagulu. Pali anthu ambiri omwe ali ndi matenda ashuga, ndipo kulembedwa ntchito kwa munthu amene ali ndi matenda siachilendo. Malangizo posankha ntchito kutengera mtundu wa matenda ashuga:
- Gwirani ntchito ndi matenda amtundu woyamba 1 ayenera kukhala odekha, osasinthasintha makonzedwe ake, osagwiritsa ntchito nthawi yambiri komanso maulendo a bizinesi. Ndikofunika kuti wodwala azikhala ndi nthawi yopumira komanso yopumira. Kupsinjika, kupanga moto, kutentha kwambiri ndi zojambulajambula zimagwera pansi pa contraindication.
- Zofunikira za matenda ashuga a 2 sizowopsa: munthu amaloledwa kugwira ntchito m'malo onse azamalonda ndi sayansi. Miyezo yayikulu ndikusowa kwa kuchuluka kwa thupi ndi kuthekera kudya bwino.
Munthu ayenera kupirira ndi matenda ashuga kwa moyo wake wonse. Ntchito ndi gawo limodzi lake, ndipo kusankha ntchito, muyenera kuwerengera matendawa.
Kwa odwala matenda ashuga, kugwira ntchito mzipinda zokhala ndi kutentha kwakumapeto kumatsutsana. Chiletso chikuphatikiza:
- owaza
- ogulitsa mumsewu
- ogwira ntchito padziko lapansi
- ogwira ntchito ogulitsa
- akatswiri azachipatala
- omanga
- zitsulo
- ogwira ntchito.
Mosasamala mtundu wa shuga, wogwira ntchito sayenera kulimbikira. Makampani ndi ntchito zotsatirazi amagwera pansi pazotsutsana kwambiri:
- umisiri wamakina
- kumanga zombo
- makampani amigodi
- kupanga mafuta ndi gasi,
- kudula mitengo
- makampani amagetsi (gwiritsani ntchito magetsi amagetsi pazida zokweza).
Odwala omwe ali ndi matenda ashuga sangathe kupirira zolimbitsa thupi.
Kuphatikizidwa kwa odwala matenda ashuga mu ntchito izi ndiwofupi ndi kukula kwa kubwezeretsa: odwala sangathe kupirira kupsinjika kwa thupi. Sizoletsedwa kugwira ntchito yoyendetsa shuga. Izi ndizowona makamaka kwa odwala omwe amadalira insulin. Saloledwa kuyendetsa katundu kapena zoyendera pagulu, kugwira ntchito ndi njira zosunthira kutalika. Mutha kupeza ufulu pokhapokha mutatsimikizira chindapusa cha matendawa.
Simungasankhe ntchito yomwe imagwirizanitsidwa ndi chiwopsezo cha moyo ndikufuna kuwongolera chitetezo chawo:
Anthu odwala matenda ashuga amatsutsana mu zovuta zapadera zomwe zimakhala ndi nkhawa komanso kupsinjika. Kwa iwo, zoletsa zimagwira ntchito zotsatirazi:
- kukonza
- zipatala
- masukulu okhala ndi anthu anzeru
- zipatala zochizira mankhwala, malo,
- malo oncology,
- mabungwe azamisala
- malo okonzera zankhondo kuchokera malo otentha,
- ankhondo
- apolisi
- bailiffs.
Bweretsani ku zomwe zalembedwa
Ntchito zomwe zimagwirizanitsidwa ndi mankhwala oopsa zimawonedwa ngati zowopsa. Popewa mavuto akulu, ndibwino kuti munthu wodwala matenda ashuga asiye izi. Kupanga zitsulo, zopangira, kupangira ma varnish ndi utoto, komanso kugula kwa mankhwala ndizoletsedwa. Popeza mabungwe ambiri ofufuza muma labotale amagwiritsa ntchito SDYaV, ntchito ngati imeneyi iyenera kusiyidwa.
Matenda a shuga ndi ntchito sizisinthana. Ndi kusankha koyenera kwa ntchito zapadera, mutha kupanga bwino ntchito. Anthu odwala matenda ashuga amalangizidwa kuti asamalire izi:
- oyang'anira dongosolo
- Katswiri wazopangira zanyumba
- wogwira ntchito zachipatala
- Mlembi
- wolemba
- mphunzitsi, mphunzitsi wa kuyunivesite,
- Networking (mlangizi wogulitsa pa intaneti, wolemba zolemba, wolemba),
- owerenga mabuku.
Bweretsani ku zomwe zalembedwa
Zoletsa zingapo izi nthawi zambiri zimagwirizanitsidwa ndendende ndi kulephera kutsatira boma. Ndikofunika kuti wodwala adye nthawi yokwanira, alandire mlingo wa mankhwala kapena apangile jakisoni wa insulin. Ayenera kusintha kagulu ka thupi (mwachitsanzo, mphunzitsi azitha kuphunzitsa phunziroli atayimirira kapena atakhala) ndikusiya ntchito munthawi yopuma mokwanira.
Pa ntchito yosinthana, ndikosavuta kuphwanya machitidwe a kayendetsedwe ka mankhwala, chifukwa, kukonza kwa insulin komwe kumalowa kumafunika. Nthawi yowonjezereka ikhoza kusokoneza thanzi lanu. Mtsogoleri waluso sangasunge katswiri kwa nthawi yayitali pantchito, chifukwa izi ndizodzaza ndi kuchepa kwa ntchito kwa nthawi yayitali.
Pomwe zingatheke, wodwala matenda ashuga ayenera kupewa ntchito. Dokotala aliyense angatsimikizire kuti ngati munthu atula kwambiri chifukwa chogwira ntchito tsiku lalitali, komanso maulendo aku bizinesi, mwayi wokhala ndi zovuta zake umakulirapo. Nthawi yomweyo, kukhala pamalo osazolowereka, wodwala sangathe kudzithandiza pakapita nthawi. Komabe, moyo umakhala ndi malamulo ake. Matenda a shuga ndi matenda odula, munthu amayenera kugwira ntchito kuti alipire ndalama zolipira. Chifukwa chake, anthu omwe amakhala ndi maulendo atchuthi pafupipafupi amafunika kuwona dokotala kuti apangire malingaliro ake moyenera kudziwa kuchuluka kwa insulini pazinthu zachilendo.
Onetsetsani kuti mwadziwitsa dokotala za mtundu wosagwirizana ndi izi: akuphunzitsirani momwe mungapewere kukula kwa hypoglycemia.
Ntchito zamalonda zimagwirizanitsidwa ndi kupsinjika ndi neurosis kosalekeza. Anthu odwala matenda ashuga otere ayenera kupewedwa. Ngati ndi kotheka, sinthani bukuli kuti mukambirane. Munthu yemwe wafika pamlingo winawake amatha kuphunzitsa ena momwe angapangire bizinesi yawoyakale kuyambira pachiyambwe. Kuphunzitsa ndi njira yodziwika bwino yotsogola. Ngati ndizosatheka kusiya bizinesi imodzi, ndibwino kusamutsa oyang'anira ntchito yovomerezeka.
Poopa kukana ntchito kapena kuopa kuchotsedwa ntchito, anthu ambiri amabisa mabwana awo mavuto awo azaumoyo.Izi zimachitika ndi matenda ashuga. Komabe, matendawa sioyenera kuchita.
Wodwala akakhala ndi chakudya chokwanira kuti athe kuthana ndi matendawa, vuto lokhalo lomwe lingakhalepo ndi chofunikira kukhala ndi kuluma pa nthawi. Ndizotheka kuchita izi mosazindikira ndi anzanu komanso oyang'anira. Ngati pali chiopsezo cha hypoglycemia, tiyenera kukumbukira kuti zoterezi ndizowopsa kwa wodwalayo komanso, nthawi zina, kwa ena.
Kuphatikiza apo, mavuto azaumoyo adzadziwika posachedwa, kenako kukambirana mosasangalatsa ndi owalemba ntchito ndikosapeweka. Ndipo zoterezi zitha kutha kuchotsedwa ntchito. Chingakhale cholondola kwambiri kuchenjeza za matenda anu ndikuwuzani zovuta zomwe zingayambitse bungwe la ntchito.
Olemba ntchito ambiri sadziwa kuti shuga ndi chiyani, amangomva kuti matendawa amafunika jakisoni wa insulin pafupipafupi. Zotsatira zake, satenga wodwalayo kuti adzagwire ntchito kapena kuchotsedwa ntchito chifukwa chongotipatsanso mphamvu.
Ndikosavuta kusankha ntchito ya odwala matenda ashuga. Kupatula apo, mndandanda wazinthu zoletsedwa za matendawa ndizochulukirapo. Makamaka mavuto akulu amakhalapo ngati matenda ashuga awonekera mukadzakula, mwa munthu yemwe walandila kale maphunziro aukadaulo.
Komabe, ngati makolowo adasamalira kukula koyenera kwa mwana wawo, ndiye, atakula, adzazindikira kudziwa kwawo komanso luso lawo ngakhale atadwala kwambiri. Chinthu chachikulu chomwe chikufunika pa izi sikuti kungoyang'ana pa ntchito imodzi yokha, gawo la zochitika, koma kukulitsa mwana mokwanira.
Posankha ntchito, tiyenera kukumbukira kuti shuga payokha ndiyoyesa kwambiri pa thanzi. Ndipo chifukwa chake, simukuyenera kudzipangira nokha zovuta, ndikupanganso ntchito ndi malo oopsa.
Mwachitsanzo, kugwira ntchito mumlengalenga kumabweretsa munthu wosazindikira kwambiri kuzizira pafupipafupi, komwe kumapangitsanso matenda ashuga. Ngati, kuwonjezera apo, ntchito ikalumikizidwa ndi zochitika zolimbitsa thupi, ndiye kuti zochitika za hypoglycemia zimakulanso.
Gwiritsani ntchito fumbi, malo okhala, komanso kutentha kwambiri, mwachitsanzo, m'mabuku otentha, ndiyenso kusankha koyipa. Ndikosayenera kwambiri kugwira ntchito mumakampani azachipatala kapena azachipatala, kuchipatala cha matenda opatsirana.
Magulu ophatikizika ndi magwiridwe antchito okhala ndi kugwedezeka kwamphamvu. Vuto lovulaza munthu wathanzi kwakanthawi limapweteketsa matenda osautsa - matenda opatsirana, ndipo pamaso pa matenda ashuga zovuta zoyipa zimagwira mwamphamvu komanso molimbika.
Ntchito zomwe zimagwirizanitsidwa ndi zoopsa zowonjezereka ndizotsutsana. Anthu omwe ali ndi matenda ashuga saloledwa kugwira ntchito ngati madalaivala - hypoglycemia yomwe dalaivala ali nayo poyendetsa galimoto imatha kubweretsa ngozi yayikulu. Pazifukwa zomwezo, kuwongolera kwa magawo ndi maginito opangira zovuta (matakitala, zokumba, ma cranes, ndi zina), masitima apamtunda ndi ndege samayikidwa.
Chifukwa cha chiwopsezo cholumikizana mosayembekezereka komanso kusokonezeka kwa chikumbumtima komwe hypoglycemia ingayambitse, odwala matenda ashuga samaloledwa kugwira ntchito pazida zamakina, m'mashopu otentha, pafupi ndi wotumiza, kupita kumalo okwera ndi ntchito zam'madzi, etc. Izi ndichifukwa choti munthu akaukira munthu sangathe kusankha mwachangu msanga. Pazifukwa zomwezo, wodwala yemwe ali ndi matenda ashuga sangalembedwe ndi wogulitsa, makamaka wowongolera wamagalimoto.
Ntchito m'makampani ogulitsa zakudya, malo odyera komanso odyera ndizosafunanso: zomwe akatswiri adziwa kuti kuchuluka kwa anthu omwe amagwira ntchito m'malo ngati amenewa kumakhala kochulukirapo kuposa kuchuluka kwa mafakitale ena.Ndipo kwa iwo omwe ali ndi matenda ashuga kale, kulawa pafupipafupi kwa zinthu kumabweretsa kufunikira kowonjezera jakisoni wa insulin, komanso kumayambitsa kuwoneka kwa mapaundi owonjezera.
Kugwira ntchito yankhondo, apolisi, ndi zida zina zankhondo kumapangidwanso pokhudzana ndi kupsinjika kwa thupi ndi malingaliro. Sizingatheke konse kupyola ntchito yachipatala yodziwitsa kuyenerera kwa ntchito. Ngati matenda ashuga apezeka mwa munthu yemwe ali kale kale ndi ntchitoyi, amatha kusankha ntchito m'magulu amisili omwewo ndi magawo a Unduna wa Zapakatikati: ma alembi, akatswiri, ogwira ntchito zothandizira anthu amafunikira magawo awa. Ogwira ntchito omwe amadziwa ntchito kuchokera mkatimo amayamikiridwa kwambiri m'malo amenewo.
Kulandila bwino kwa shuga kumapangitsa kuti pakhale zovuta zambiri nthawi zambiri kumakuthandizani kuti mukhalebe m'malo anu. Koma muyenera kusintha kwambiri tsiku logwira ntchito.
Kufunika kwa kudya pafupipafupi kwambiri sikungakusangalatseni kwa oyang'anira ngati sakumvetsa zomwe zinayambitsa. Ngati mukufunikira kuyamba kulandira mankhwala a insulin, muyenera kuuza anzanu kuti mankhwalawa akupangiridwa, mwinanso mungalakwitsidwe chifukwa chomwa mankhwala osokoneza bongo.
Ngati pakufunika kupanga jakisoni kuntchito, insulini iyenera kusungidwa ndipo chilichonse chofunikira munjira imeneyi iyenera kukhala mu bokosi lotsekedwa ndi fungulo, makamaka m'malo otetezeka. Kupanda kutero, mabotolo amatha kugwa ndikusweka, ndipo mankhwalawo sangagwiritsidwe ntchito pazolinga zake, kuphatikiza pazosayenera. Mwa njira, kunyamula insulin tsiku ndi tsiku kukagwira ntchito kunyumba siyankho labwino. M'nyengo yozizira, izi zimatha kubweretsa kuwonongeka kwake chifukwa cha chisanu, nthawi yotentha, kutentha, mankhwalawa amathanso kuwonongeka panthawi yoyendera.
Mmodzi mwa ogwira nawo ntchito (osati m'modzi, koma osachepera awiri kapena atatu) akuyenera kufotokozeredwa momwe hypoglycemia imadziwonetsera yokha komanso momwe angaperekere thandizo loyamba pankhaniyi. Onetsetsani kuti chipinda chomwe mumagwira chimakhala ndi ketulo kapena kozizira, madzi akumwa ndi shuga.
Odwala ena omwe ali ndi matenda a shuga safuna kukhala pantchito kuti athe kuyeza kuchuluka kwa shuga m'magazi - amachita manyazi kapena sapeza nthawi ya izi. Izi ndizoyipa kwambiri, chifukwa chidziwitso chofunikira sichitha, zomwe zimapangitsa kuti zikhale zovuta kuthana ndi shuga m'magazi.
Ngati ntchito imalumikizidwa ndi kulimbitsa thupi, munthu ayenera kudya kwambiri. Nthawi zambiri odwala matenda a shuga amawopa "kukonza" magawo a mkate ndipo chifukwa cha izi amakhala operewera, zomwe zimapangitsa kuti pakhale ziwopsezo za hypoglycemia zomwe zimachitika chifukwa chogwiritsa ntchito kwambiri komanso kuperewera kwa matenda m'thupi, zomwe zimayipitsanso thanzi. Kuti mupewe izi, gwiritsani ntchito magome amagetsi pamaudindo osiyanasiyana, omwe amapezeka mosavuta mu buku lililonse lonena za matenda ashuga. Ngati simungathe kupanga nokha zakudya zanu za tsiku ndi tsiku, muyenera kulumikizana ndi dokotala kuti muchite naye.
Mfundo zabwino pofotokozera anzanu:
- Mpata wolandira thandizo lawo ngati muli ndi hypoglycemia (muziganizira ngati izi zingakuchitikireni, ndipo ngati ndi choncho, kangati). Mutha kupempha chilolezo kwa abwana anu kapena oyang'anira kuti akupuma mosakonzekera kuti muyeze shuga wamagazi anu kapena kudya, ngati kuli kofunikira. Mukhala ndi mwayi wokumana / kusinthana malingaliro ndi odwala ena omwe ali ndi matenda ashuga omwe amagwira nanu ntchito. Mutha kuchita zinthu zofunikira kwambiri kuti muchepetse matenda ashuga osabisala anzanu osawanamiza. Kumbukirani kuti anthu amatha kuwona zinthu zina zokhudzana ndi kayendedwe ka matenda a shuga ndikupanga cholakwika chakuganiza kuti muyenera kubisa zinthu zina zochititsa manyazi (mwachitsanzo, kuti mumagwiritsa ntchito mankhwala osokoneza bongo).
Zoyipa zenizeni:
- Mwa kudziwitsa aliyense za matenda anu, mumawulula za inu, ndipo mwina mumakhala ndi tsankho kuntchito.
M'malo mwake, inu nokha, popeza mwawonetsa kuchita bwino kwambiri, zotsatira zabwino, maluso, luso, inunso monga mnzake wothandizana naye, kufunitsitsa kuthandizana komanso kudziletsa, mutha kuthandiza gulu kuthana ndi tsankho lokhudza odwala omwe ali ndi matenda ashuga komanso kuchepetsa tsankho. Palibe zochitika zamaphunziro zamankhwala, zophunzitsa ndi zolemba zam'magazini zitha kukhala zowoneka komanso zothandiza.
Mpaka pano, zovuta zakufunsira ntchito ndi matenda ashuga zimagwirizanitsidwa makamaka ndi makampani azinsinsi, momwe eni ake amayesera kukhazikitsa malamulo olemba ntchito ganyu mwakufuna kwake. Komabe, pali nambala ya ntchito yomwe mutu wa bizinesi iliyonse iyenera kuchita. Chifukwa chake, ngati motsogozedwa ndi malamulo, mutha kuteteza ufulu wanu.
Ndikofunikira kuti anthu odwala matenda ashuga adziwe ufulu wawo pazantchito. Kuphatikiza apo, adotolo omwe amapezekapo amatha kuthandizira pazinthu izi, omwe sayenera kungochiritsa, komanso kupereka mitundu yonse ya chithandizo mukamafunsira ntchito. Dotolo ayenera kuchenjeza wodwalayo za zomwe akupanga pakusankha ntchito yamatenda, komanso zovuta za matenda ashuga.
Wodwala m'modzi amatha kupatsidwa njira zambiri posankha ntchito, popeza adwala matenda a shuga kwa nthawi yayitali, ndipo wodwala wina yemwe ali ndi zovuta zingapo komanso zovuta, matenda a shuga amatha kusankhidwa kokha ndi mtundu winawake, wokhala ndi zovuta zina. Ngakhale kuti kufunafuna ntchito yotere kumatha kutenga nthawi yambiri, chinthu chachikulu ndikuti ntchito yosankhidwa ya matenda ashuga singawononge thanzi.
Ngakhale pali zovuta zina pakusankha ntchito, pakati pa akatswiri ambiri pali omwe amatsutsana kwathunthu ndi matenda osokoneza bongo, ngakhale atakhala a mtundu wanji.
Milandu yokwanira yogwira ntchito ndi matenda ashuga imaphatikizapo:
- ntchito zokhudzana ndi mankhwala kapena zinthu zina zomwe zingakhudze khungu, zimagwira pakhungu la munthu wosagwira ntchito masiku osafunikira, zomwe zimafunikira chidwi chochulukirapo: woyendetsa, wamagetsi, woyendetsa ndege, etc., amagwira ntchito pazinthu zosintha kwambiri kutentha: m'masitolo otentha komanso ozizira, ntchito yolumikizidwa ndi kulephera kutsatira zakudya, kupumula.
Kulemala
Njira yayitali, yodwala matenda a shuga imasiya chidwi chachikulu pamavuto a odwala, makamaka ntchito. Wopezeka endocrinologist amatenga gawo lalikulu pakuwona ntchito yomwe wodwala angagwire, makamaka wachinyamata, kusankha ntchito. Kuphatikiza apo, mitundu ya matendawa, kupezeka kwake komanso kuopsa kwa matenda ashuga a shuga, zovuta ndi zovuta zokhudzana ndi matenda ndizofunikira.
Pali malangizo apadera amitundu yonse ya matenda ashuga. Pafupifupi odwala onse kugwira ntchito molimbika kumatsutsanazokhudzana ndi kupsinjika kwa mumtima ndi kwakuthupi. Odwala a shuga amatsutsana pogwira ntchito m'masitolo otentha, nthawi yozizira kwambiri, komanso kutentha kosinthika, ntchito yokhudza mankhwala kapena makina, zosakhumudwitsa pakhungu ndi mucous nembanemba. Maphunziro ogwirizana ndi chiopsezo chowonjezeka pamoyo kapena kufunikira kosungirako chitetezo chawo (woyendetsa ndege, woyang'anira malire, wodziyendetsa pamoto, wozimitsa moto, wokwera, ndi zina zotere) ndiosayenera kwa odwala matenda a shuga.
Odwala omwe amalandila insulin sangakhale oyendetsa magalimoto wamba kapena onyamula katundu ambiri, amagwira ntchito poyenda, kudula njira, kutalika.Ufulu woyendetsa magalimoto achinsinsi kwa odwala omwe ali ndi shuga okhazikika omwe amalipirira popanda vuto la hypoglycemia akhoza kupatsidwa payekhapayekha, malinga ndi momwe odwala angamvetsetsere kufunikira kochizira matenda awo (WHO Expert Committee on Diabetes, 1981).
Kuphatikiza pa ziletso izi, anthu omwe amafunikira chithandizo cha insulin amalekanitsidwa ndi ma profesiti okhudzana ndi maola olemba ntchito osagwirizana, maulendo aku bizinesi. Odwala achichepere sayenera kusankha mafotokozedwe omwe amasokoneza kudya kwamphamvu (kuphika, kuphika makeke).
Makamaka mosamala komanso payekhapayekha, aliyense ayenera kuwunika mwayi womwe ungasinthe ntchito yomwe yayamba chifukwa cha anthu omwe adwala kale atakula kale. Muzochitika izi, choyambirira, thanzi la wodwalayo komanso momwe zimulolere kukhalabe ndi chiphuphu chokwanira cha shuga kwa zaka zambiri ziyenera kukumbukiridwa.
Palinso mbali ina yamakhalidwe abwinopo yovuta. Odwala ena, makamaka achichepere, amafuna kuti azisunga matenda awo mwachinsinsi. Pothana ndi psyche ya odwala, adotolo ayenera kuyang'anira chinsinsi chachipatala. Nthawi yomweyo, amayenera kutsimikizira wodwalayo kupanda pake komanso kuvulaza lingaliro lotere la matenda ake. Izi ndizofunikira kwambiri kwa odwala omwe ali ndi matenda osokoneza bongo omwe angafunike thandizo kunja, chifukwa chake, zingakhale zofunikira kulangiza anzanu mu malamulo oyambira chisamaliro chadzidzidzi cha matenda otere.
Mukamaganiza za kulemala, mtundu wa matenda ashuga, kupezeka kwa matenda ashuga angioneuropathies ndi matenda ena okhudzana nawo amakumbukiridwa. Matenda ofala a shuga nthawi zambiri sindiwo omwe amayambitsa kulumala kosatha. Wodwalayo atha kugwira ntchito zamaganizidwe komanso zolimbitsa thupi, osagwirizana ndi kupsinjika kwakukulu. Zoletsa zina pantchito mwanjira yokhazikitsa tsiku logwirira ntchito mwachisawawa, kupatula masiku osinthana, kusinthitsa kwakanthawi kantchito ina ikhoza kukhazikitsidwa ndi CWC.
Odwala omwe ali ndi shuga wambiri wodwala, makamaka ndi kuwonjezera kwa angiopathies, mphamvu yogwira ntchito nthawi zambiri imachepetsedwa. Chifukwa chake, ayenera kulimbikitsa kugwira ntchito ndi kupsinjika kwakuthupi ndi mwamalingaliro, popanda kusintha kosuntha usiku, maulendo abizinesi, ndi zina zochulukitsa ntchito. Kuleza kumagwira ntchito pa mitundu yonse ya ntchito yomwe imafuna chisamaliro chokhazikika, makamaka kwa odwala omwe amalandira insulin (kuthekera kwa hypoglycemia). Ndikofunikira kuonetsetsa kuti jakisoni wa insulini komanso kutsatira zakudya muzinthu zamafakitale.
Mukasamukira kuntchito yokhala ndi ziyeneretso zochepa kapena kuchepetsedwa kwakukulu kwa kuchuluka kwa ntchito yopanga, odwala amatsimikiza kukhala ndi kulumala kwa gulu la III. Kutha kugwirira ntchito kwa anthu omwe ali ndi ntchito yamaganizidwe komanso yopepuka kumakhala kosungidwa, zoletsa zina zofunikira zitha kukhazikitsidwa ndi lingaliro la bungwe lachipatala la VKK.
Ndi kuwonongeka kwa matenda ashuga, wodwalayo amapatsidwa satifiketi yakudwala. Zinthu zoterezi, zomwe zimachitika kawirikawiri komanso zosakwaniritsidwa, zimatha kuyambitsa kulumala kwa odwala komanso kufunika kokhazikitsa kulumala kwa gulu lachiwiri.
Kuchepetsa kwakukulu kwa kulumala komwe kumachitika mwa odwala omwe ali ndi matenda ashuga kwambiri kumachitika osati chifukwa chophwanya mitundu yonse ya kagayidwe, komanso chifukwa cha kuphatikiza ndi kupita patsogolo kwamphamvu kwa matenda a angio-neuropathies ndi matenda ena. Kupatula pokhapokha, zikafika pantchito yoyenera, yaluntha, odwala sangathe kuchitira antchito nthawi zonse ntchito. Anthu ena atha kugwira ntchito zina zapadera kapena kunyumba.Kuchepetsa kwa mphamvu yogwira ntchito ndi kuchepetsa ziyeneretso ndi kuchuluka kwa ntchito yolumikizana ndi izi kumagwira ntchito ngati kukhazikitsidwa kwa kulumala kwa VTEC wa gulu lachitatu. Ngati ndizosatheka kuchita ntchito zamwadzidzidzi chifukwa cha kusokonezeka kwakukulu kwa microcirculation ndi metabolism kudziwa kulumala kwa gulu lachiwiri.
Kupita patsogolo kwapang'onopang'ono kwa microangiopathies (nephropathy, retinopathy), atherosulinosis kungayambitse kuchepa kwa masomphenya, kulephera kwambiri kwa impso, kugunda kwa mtima, sitiroko, gangrene, ndiko kuti, kupindika kokhazikika komanso kosatha ndikusamutsa kulumala II ndi ine. Kuyesedwa kwa odwala omwe ali ndi vuto la kuwonongeka chifukwa cha matenda ashuga retinopathy kapena matenda ashuga amachitika pambuyo pokambirana ndi katswiri wa maso.