Momwe mungadziwire shuga popanda mayeso

Tikukupemphani kuti muwerenge nkhaniyi pamutuwu: "Momwe mungadziwire shuga popanda kuwunika" ndi ndemanga kuchokera kwa akatswiri. Ngati mukufuna kufunsa funso kapena kulemba ndemanga, mutha kuchita izi pansipa, nkhaniyo itatha. Katswiri wathu wamtundu wa endoprinologist adzakuyankhirani.

Kuzindikira koyenera kwa "matenda okoma" kumatheka mothandizidwa ndi unyinji wa mayeso a labotale ndi maphunziro owonjezera. Komabe, odwala nthawi zambiri samakhala ndi mwayi wopita kuchipatala ndi kukapereka magazi kuti adziwe kuchuluka kwa shuga mu seramu. Chifukwa chake, amakhala ndi chidwi ndi momwe angadziwire matenda ashuga popanda mayeso.

Kanema (dinani kusewera).

M'malo mwake, kuchita izi ndi zenizeni. Ndiyenera kunena kuti hyperglycemia yokhazikika ndi mliri wopanda matenda m'zaka za zana la XXI, womwe umafunikira kuti uzindikire komanso kulandira chithandizo nthawi yake. Ichi ndichifukwa chake anthu amafunika kuphunzitsidwa kuti azindikire okha zoyamba za vuto paokha.

Monga matenda aliwonse, "matenda okoma" amakula molingana ndi mawonekedwe ena ake. Chifukwa chake, zizindikilo zina zapadera zimawonekera zomwe zitha kuuza dokotala kapena wodwala za kukhalapo kwa matenda omwe ali ndi 100% molondola.

Kanema (dinani kusewera).

Kuzindikira matenda ashuga popanda kuwunika ndi njira yosavuta, ngati mumvetsetsa momwe kusintha kumachitika mthupi ndi momwe zimawonekera.

Zizindikiro zofunika kwambiri zomwe ziyenera kuchenjeza wodwalayo ndi:

Zizindikirozi ndizofunikira kwambiri kumatenda ndipo amatchedwa "triad" matendawa. Kukhalapo kwa onsewa kungathandizire kudziwa mtundu wa shuga wachiwiri popanda kusanthula ndi 99-100%.

"Matenda okoma" ndi vuto la polymorphic. Anthu osiyanasiyana amatha kukhala ndi njira yosiyana pang'ono. Mulimonsemo, pali zizindikiro zingapo zomwe zimathandizira kuti adziwe kuti ali ndi matendawa.

Izi zikuphatikiza:

Kutopa kwambiri. Chifukwa cha kuchepa mphamvu kwa magetsi komanso kulephera kuikonzanso bwino, bongo lalikulu limagwira ntchito mwamtendere. Ichi ndichifukwa chake wodwala amafuna kugona, amakhala ndi nkhawa osafunikira ndipo amatopa msanga.
Kuchiritsa pang'onopang'ono kwa mabala. Chizindikiro kwambiri. Chifukwa chachikulu ndikuwonongeka kwa mtima. Ma mamolekyulu a glucose amatsogolera kuphipha ndi kupindika kwa mitsempha yaying'ono ya khungu. Ndi zowonongeka zazing'ono pachivundikirocho, sangathenso kuchita mgwirizano motere ndikuyambiranso kukonzanso. Chifukwa chake, kukanda, mabala samachiritsa odwala matenda ashuga kwa nthawi yayitali.
Mavuto ogonana. Cholinga chake ndikugonjetsedwa kwa mitsempha ya mitsempha komanso mitsempha yamagazi. Mwa amuna, potency amavutika. Amalephera kuwongolera, ndipo nthawi zambiri samatha kudziwa zomwe amachita. Amayi amamva youma, ndipo nthawi zina amapweteka pakulimbana ndikuyesera kupewa.
Matenda opatsirana pafupipafupi. Chofala kwambiri ndi furunculosis - zotupa za pakhungu ndi mapangidwe a zotupa zotupa.
Zowonongeka. Ma cellves a retinal omwe ali ndi vuto la hyperglycemia. Pulogalamu yowonera ikukhudzidwa.
Kumva kutopa kwa zala ndi zala. Dystrophy ndi kuwonongeka kwa mathero a mitsempha imayambitsa paresthesia (kugunda, kusintha kwa zomverera). Cholinga chake ndi kuchuluka kwa glucose m'magazi.

Ndi matenda a shuga, pafupifupi mawonekedwe onse amaso amavutika. Chifukwa chake, mawonekedwe amaso a shuga ndi osiyanasiyana. Mulinso:

Zotsatira za "maso anga." Kumayambiriro kwa mankhwala a insulini, kuchepa kwambiri pamlingo wa glycemia mwa odwala ena, diso limayamba kuwona.
mawonekedwe a kusiyidwa kwa eyelidi yapamwamba, kukula kwa strabismus, masomphenya awiri, kuchepa kwa matalikidwe oyenda amaso.
Kusintha kwa ma cornea amaso (zooneka pokhapokha pazida zapadera).
open-angle glaucoma ndi intraocular matenda oopsa.
kuthyola kwa mandala amaso.

Zizindikiro zomwe zili pamwambazi zikuwonetsa kukhalapo kwa matendawa ndi kulondola pafupifupi 100%. Komabe, madokotala onse amavomereza mobwerezabwereza kufunika kwa mayeso ena a labotale.

Athandizira kukhazikitsa zizindikiro monga:

Kutalika kwa matenda
Kuchuluka kwa kuzunza
Malo osungirako
Zowonongeka kwa ziwalo (maso, mitsempha yamagazi, mitsempha, impso, mtima),
Kufunika kwa mankhwala.

Kudziwa momwe mungadziwire matenda osokoneza bongo popanda kuwunika - mutha kufulumizitsa njira yodziwira matendawa ndikuyamba chithandizo cha mankhwala panthawi. Inde, vuto lalikulu ndi chithandizo chamankhwala cha odwala.

"Matenda okoma" atha kutha kuwongoleredwa bwino, ndipo musanayambe kugwiritsa ntchito mankhwalawa (mtundu wachiwiri). Ichi ndichifukwa chake ndikofunikira kuyamba chithandizo cha zovuta za hyperglycemia posachedwa.

Kodi ndingadziwe ngati munthu ali ndi matenda a shuga ndi zizindikiro zake?

Mitundu iwiri yayikulu ya shuga imayamba mosiyanasiyana. Ngati mtundu woyamba wakula nthawi zambiri umakhala wankhanza, ndipo zizindikiro zowopsa, monga ludzu lowonjezera komanso kukodza mwachangu zimawoneka mosayembekezereka, ndiye kuti mtundu wa 2 wodwala umayamba mwachangu. Poyamba, matenda amtundu wachiwiri sangawoneke, ndipo ndizosatheka kumvetsetsa kuti munthu akudwala. Kapenanso, matendawa amatha kutsatiridwa ndi zizindikiro zapadera:

kutopa kwambiri
kusakhazikika
kusowa tulo
kufooketsa chitetezo chokwanira,
chizungulire
mutu
kumangokhalira kumva njala.

Komabe, wodwalayo nthawi zambiri samvetsa zomwe zikumuchitikira. Ndipo nthawi zambiri amati izi zimachitika chifukwa cha matenda ena, neurosis, ukalamba msanga, etc.

Pomwe mtundu wachiwiri wa matenda ukayamba, zizindikiro za kuwonongeka kwa mtima, impso ndi mitsempha zimakulanso. Izi zitha kufotokozedwa ngati mawonekedwe a zizindikiro monga:

mawonekedwe a zilonda pakhungu.
kufalikira kwa matenda a fungal a pakhungu ndi mano,
kusintha kwanyengo
kupoleka pang'onopang'ono
kuyabwa kwambiri pakhungu, makamaka kumaliseche,
masomphenya osalala
kupweteka m'miyendo, makamaka panthawi yolimbitsa thupi komanso kuyenda.

Mwa amuna, nthawi zambiri pamakhala kuchepa kwa libido, mavuto ndi potency. Akazi amadwala matenda otupa.

Pambuyo pokhapokha patatha kuchitika zizindikiro za matenda a shuga - - kuchuluka kwam ludzu komanso kukodza kwambiri.

Chifukwa chake, nthawi zambiri wodwala amakhala pamavuto. Kodi matenda ashuga ali ndi zizindikiro monga kusakwiya kapena mutu? Ndizosatheka kunena ndendende momwe ndingadziwire matenda ashuga ndi zizindikilo zakunja kumayambiriro. Sizotheka nthawi zonse kudziwa mtundu wa matenda. Popeza zochitika monga, mwachitsanzo, kuyabwa, chizungulire komanso kutopa zimatha kupezeka m'matenda osiyanasiyana, popanda kuchuluka kwa shuga.

Koma pali zinthu zina zomwe zikuthandizira kukula kwa matenda ashuga. Kukhalapo kwawo kuyenera kuchititsa munthu kusamala ndi kuchitapo kanthu kuti adzindikire moyenera. Izi ndi monga:

onenepa kwambiri (kuwerengera kuti kulemera kwanu ndi onenepa kwambiri kapena kupitirira malire a momwe mungakhalire, mutha kugwiritsa ntchito njira yapadera ndi tebulo lomwe limaganizira kutalika ndi chikhalidwe cha munthu),
kusowa kwa masewera olimbitsa thupi
kupezeka kwa abale apamtima omwe akudwala matendawa (kutengera kwa chibadwa cha mtundu 2 kumatsimikiziridwa mwasayansi),
kukhalapo kwa kupsinjika kosalekeza,
zaka zopitilira 50.

Mwa akazi, kupezeka ndi matenda ashuga akakhala pakati ndi njira inanso yowonjezera.

Komabe, njira yokhayo yokhazikika yokhazikika ngati vutoli ndi matenda ashuga kapena china chake ndikuwonetsetsa kuti pali shuga. Pothandizidwa ndi njirayi, kupezeka kwa matendawa kumatsimikiziridwa.

Kunyumba, ndizotheka kuzindikira matenda ashuga motsimikiza kwambiri. Izi zimafuna zida zonyamula zomwe zimazindikira shuga yayikulu yamagazi. Zogulitsazi ndizopezeka pamalonda azamalonda ndipo zitha kugwiritsidwa ntchito kunyumba.

Pali mitundu ingapo ya makina awa:

kuyesedwa kowoneka bwino kowunika shuga,
glucometer
mizere yoyesera yomwe imazindikira kuchuluka kwa shuga mkodzo,
makina onyamula kuti athe kuwunika pa hemoglobin ya glycated.

Pakadali pano, ma glucometer amagwiritsidwa ntchito kwambiri. Izi ndi zida zomwe zimakupatsani mwayi woyesa magazi kunyumba. Wogwiritsa ntchito mita adzazindikira zoyezera mu mphindi imodzi, ndipo nthawi zina masekondi angapo.

Njira yoyezera shuga ndi glucometer ndi yosavuta. Ndikofunikira kuyika chingwe choyesera mu chipangizocho monga momwe mwalangidwira, kenako kuboola chala ndi singano yapadera. Magazi okhala ndi dontho laling'ono amawonjezeredwa kumalo apadera pamtunda woyesera. Ndipo masekondi angapo, zotsatira zake zimawonetsedwa pa bolodi yamagetsi yamagetsi. Zotsatira zitha kusungidwa kukumbukira chida.

Mutha kuyang'ana magazi a shuga ndi chida chotere kangapo patsiku. Chofunika kwambiri ndikuyeza shuga m'magazi anu m'mimba yopanda kanthu. Komabe, mutha kuyeza mulingo wake mukatha kudya, komanso mukatha kudya maola angapo. Kuyesedwa kwa nkhawa kumagwiritsidwanso ntchito - kuyeza shuga maola awiri mutamwa chikho ndi 75 g ya shuga. Kuyeza kumeneku ndikutha kudziwa zonyansa.

Kuyesera mwachangu kumachitika molingana ndi njira yofananira, komabe, zida zamagetsi sizikugwiritsidwa ntchito, ndipo zotsatira zake zimatsimikiziridwa ndikusintha kwa mtundu wa mzere woyezera.

Zida zina zomwe zimagwiritsidwa ntchito pofufuza matenda a shuga ndi zida zoyesera glycated hemoglobin A1c. Mlingo wa hemoglobin wa glycated umawonetsa kuchuluka kwa shuga m'magazi miyezi itatu yapitayo. Zipangizozi ndizokwera mtengo kwambiri kuposa mafuta a shuga. Kuwunikaku sikufuna dontho limodzi lamwazi, koma madontho angapo omwe amasonkhanitsidwa mu pipette.

Anthu ambiri amasamala za funso loti angadziwe bwanji matenda ashuga. Inde, nthawi zina nkhawa zikauma mkamwa. Kudziwa matenda nthawi zina kumakhala kovuta. Choyamba, pali zizindikiro zina zomwe zikuwonetsa kuti munthu akudwala. Mutha kuonanso kuchuluka kwa shuga m'magazi kunyumba, komanso bwino - mu labotale.

Kwa zaka zambiri ndakhala ndikuphunzira za zovuta za DIABETES. Zimakhala zowopsa anthu ambiri akamwalira, ndipo makamaka amakhala olumala chifukwa cha matenda ashuga.

Ndithamangira kunena mbiri yabwino - Endocrinological Research Center ya Russia Academy of Medical Science idatha kupanga mankhwala omwe amachiritsiratu matenda ashuga. Pakadali pano, kugwiritsa ntchito bwino kwa mankhwalawa kuyandikira 100%.

Nkhani ina yabwino: Unduna wa Zaumoyo wateteza kukhazikitsidwa kwa pulogalamu yapadera yomwe imalipilira mtengo wonse wa mankhwalawo. Ku Russia ndi mayiko a CIS odwala matenda ashuga kale atha kupeza mankhwala ZAULERE .

Ambiri amva kuti ndi matenda ashuga shuga ambiri. Inde, izi nzoona. Koma sizikhala choncho nthawi zonse ndi insulin.

Mtundu woyamba wa shuga, kapamba amayamba kuzipanga mosakwanira. Zotsatira zake, mahomoni awa samangogwirizana ndi ntchito zawo - samabweretsa mamolekyu a glucose omwe amafunikira kwambiri ku maselo amthupi.

Likukhalira kuti maselo amakhala ndi njala, ndipo m'magazi, m'malo mwake, pali zochulukirapo za zakudya zama cellular. Pang'onopang'ono, motsutsana ndi maziko a hyperglycemia, matenda a shuga amakula. Mothandizidwa ndi jakisoni wa insulin yokumba, ndikofunikira kupatsa maselo maselo.

Koma pali matenda amtundu wa 2. Ndi matenda amtunduwu, kapamba amawoneka kuti akupanga insulin yokwanira. Pokhapokha ziwalo za cell zitasiya kuzindikira wopeza chakudya ndipo osazipititsa timadzi timaselo. Ndipo kachiwiri, shuga ochulukirapo amadziunjikira m'magazi. Ndi mtundu wachiwiri wa matenda ashuga, muyenera kumwa mankhwala apadera kuti muchepetse magazi ndi kupereka shuga ku maselo amanjala.

Chosangalatsa ndichakuti, matenda ashuga amtundu woyamba amapezeka kawirikawiri kwa achinyamata omwe sanakwanitse zaka 30. Koma mtundu wachiwiri wa nthendawu umapezeka kwambiri kwa iwo omwe akuposa 50 ndi akulu. Uku ndi matenda a okalamba.

Palinso boma la prediabetesic pomwe mseru wamagazi ndiwokwera pang'ono. Matenda a shuga samapitilira, koma zina mwazizindikiro zake zilipo. Muzochitika izi, muyenera kudziyang'anitsitsa nokha. Inde, ndipo cheke sichisokoneza. Kupatula apo, zoterezi zimatha kukhala zaka, kenako mawonekedwe owopsa kwambiri a 1 amatha.

Amayi akuyenera kumamvetsera okha, chifukwa shuga imadziwika kwambiri ngati matenda achikazi. Amuna sakonda kudwala, chifukwa mahomoni ogonana achimuna opangidwa ndi matupi awo amasokoneza zovuta za insulin.

Malinga ndi WHO, chaka chilichonse padziko lapansi anthu 2 miliyoni amafa chifukwa cha matenda ashuga komanso zovuta zake. Pokhapokha pakhale thandizo loyenerera la thupi, matenda ashuga amabweretsa mavuto osiyanasiyana, pang'onopang'ono kuwononga thupi la munthu.

Mavuto omwe amakonda kwambiri ndi awa: matenda a shuga a shuga, nephropathy, retinopathy, trophic zilonda zam'mimba, hypoglycemia, ketoacidosis. Matenda a shuga amathanso kuyambitsa kukula kwa zotupa za khansa. Pafupifupi nthawi zonse, wodwala matenda ashuga amwalira, akulimbana ndi matenda opweteka, kapena amasintha kukhala munthu weniweni wolumala.

Kodi anthu odwala matenda ashuga amatani? Endocrinological Research Center ya Russian Academy of Medical Sayansi yakwanitsa kupanga chida chomwe chimachiritsa kwathunthu matenda a shuga.

Dongosolo la Federal "Mtundu Wathanzi" likuchitika, mkati mwanjira yomwe mankhwalawa amaperekedwa kwa aliyense wokhala ku Russian Federation ndi CIS ZAULERE . Kuti mumve zambiri, onani tsamba lovomerezeka la MINZDRAVA.

Pali zizindikiro zina zowoneka bwino zomwe zikusonyeza momwe mungazindikire matenda ashuga. Nayi mndandanda wawo wathunthu:

Kugwiritsa ntchito chimbudzi pafupipafupi (kuti pee).
Kuchepetsa kwambiri kapena kunenepa kwambiri.
Kuyanika kwa mucosa mkamwa.
Kulakalaka kwambiri chakudya.
Kusintha kosaganizira.
Chimfine pafupipafupi komanso matenda a virus.
Mantha.
Zilonda zazitali zosasindikizidwa.
Thupi limakonda kusuntha.
Nthawi zambiri pamakhala zilonda, zolowa pakona pakamwa.

Mwa zina mwazizindikiro, kuchuluka kwamkodzo, komwe kumachoka m'thupi masana, kumakhala kodziwika. Kuphatikiza apo, kulumpha mwadzidzidzi kuyeneranso kukhala kwatcheru.

Nthawi zambiri, kutsimikizira kuti shuga ikupezeka ndikumverera kosalekeza kwa njala. Izi ndichifukwa choti maselo samakhala opanda chakudya. Thupi limayamba kufuna chakudya. Koma zilibe kanthu kuti munthu adya zochuluka motani, sangakhale wokwanira.

Ndili ndi zaka 47, ndinapezeka kuti ndili ndi matenda ashuga a 2. M'masabata angapo ndinapeza pafupifupi 15 kg. Kutopa nthawi zonse, kugona, kumva kufooka, kuwona kunayamba kukhala pansi. Nditakwanitsa zaka 66, ndinali ndikumenya insulin yanga, zonse zinali zoipa kwambiri.

Matendawa adapitilirabe, kukomoka kwakanthawi kunayamba, ambulansi imandibwezera kuchokera kudziko lina. Nthawi zonse ndimaganiza kuti nthawi ino ikhala yomaliza.

Chilichonse chinasintha mwana wanga wamkazi atandilola kuti ndiwerenge nkhani imodzi pa intaneti. Simungayerekeze m'mene ndimamuyamikirira. Nkhaniyi inandithandiza kuthana ndi matenda ashuga, omwe amati ndi osachiritsika. Zaka 2 zapitazi ndidayamba kusuntha kwambiri, nthawi yamasika ndi chilimwe ndimapita kumayiko tsiku lililonse, ndikumalima tomato ndikugulitsa pamsika. Azakhali anga amadabwa ndimomwe ndimapangira chilichonse, komwe ndimapeza mphamvu zambiri, sakhulupirira kuti ndili ndi zaka 66.

Ndani akufuna kukhala ndi moyo wautali, wamphamvu komanso kuiwalako za matenda oyipawa kwamuyaya, tengani mphindi 5 ndikuwerenga nkhaniyi.

Poyerekeza ndi mbiri yakufa ndi thupi, masomphenyawo amayamba kutsika kwambiri. Kunyalanyaza thanzi lathu kumatha kuyambitsa khungu.Zizindikiro zotere ndi chifukwa chachikulu chopita kuchipatala. Ndikofunikira kuyang'ana, pitani kwa endocrinologist.

Momwe mungadziwire matenda a shuga ngati muli ndi zovuta? Kuzindikira matendawa ndikosavuta ngakhale kunyumba. Ndipo ngati simukuzindikira, ndiye kuti onetsetsani kuti zonse zili zofunikira pankhaniyi ndipo chifukwa chodwaladwala sizowonjezera shuga m'magazi, kuyesa kosavuta kwamapiritsi kungakuthandizeni.

Kuyeza kwa shuga m'magazi kumachitika pogwiritsa ntchito chipangizo chonyamula - glucometer. Zomangira zapadera zoyeserera ndi singano yosabala yoboola chala.

Nkhani za owerenga athu

Matenda a shuga kunyumba. Patha mwezi kuchokera pamene ndayiwala za kudumphira shuga komanso kumwa insulin. O, momwe ine ndimavutikira, kukomoka kosalekeza, kuyimba mwadzidzidzi. Kodi ndakhala ndikuchezera kangapo kwa akatswiri azamankhwala, koma pali chinthu chimodzi chokha chomwe amati: "Imwani insulin." Ndipo tsopano masabata 5 apita, popeza kuchuluka kwa shuga m'magazi ndikwabwinobwino, osati jakisoni imodzi ya insulini ndipo chifukwa chonse cha nkhaniyi. Aliyense amene ali ndi matenda ashuga ayenera kuwerenga!

Kuyesaku kumachitika pamimba yopanda kanthu. Musanayesere kuyeza, sambani m'manja ndi sopo kuti isakhale yodetsedwa. Pogwiritsa ntchito singano, pangani cholembera chala cham'manja, pofinyani madontho ochepa pamunsi ndikuwayika.

Ngati mayesowo adachitika momwe amayembekezeredwa, pamimba yopanda kanthu, 70-130 mg / dl amadziwika ngati chizindikiritso chabwinobwino. Ngati kusanthula kwachitika patatha maola awiri mutatha kudya, chizolowezi chimafika pa 180 mg / dl.

Shuga m'thupi ukhoza kuyesedwa pogwiritsa ntchito zingwe zapadera zoyeserera. Kutulutsa mkodzo watsopano kumatengedwa mumtsuko. Kuyesa kwa mankhwala apamtunda kumeneko. Kuzindikira kumeneku kumagwiritsidwa ntchito kokha ndi kuchuluka kwa glucose m'magazi. Nthawi zina, zimakhala zopanda ntchito.

Pakukayikira kuti kuchuluka kwa shuga ndikokwera pang'ono, ndibwino kugwiritsa ntchito zida zapadera za A1C. Chipangizochi chikuwonetsa kuchuluka kwa hemoglobin ndi shuga m'thupi miyezi 3 yapitayo. Muyezo wa A1C sioposa 5% ya shuga m'magazi. Ngati munthu sakutsimikiza zolondola zowunikira kunyumba, amakumana ndi kukayikira komanso mantha, muyenera kupita kuchipatala.

Kupatula apo, ndizodalirika kwambiri kutembenukira kwa dokotala ndi zodandaula zanu komanso zokayikitsa. Adzakuwuzani momwe mungayang'anire. Nthawi zambiri, mayeso awiri amathandiza kudziwa shuga mthupi. Kuti muchite izi, muyenera kupereka magazi ndi mkodzo ku labotale yachigawo. Mulingo wa shuga wamagazi kuchokera pachala umawonedwa ngati wabwinobwino ngati zizindikiro zake sizidutsa 6.1 mmol / L, mumkodzo - osapitirira 8.3 mmol / L.

Ngati muli ndi zizindikiro monga ludzu losalekeza, kukodza kwambiri, ngati zikuvuta kupuma, odwala nseru, komanso mayeso apakhomo akuwonetsa kuchuluka kwa shuga mthupi, muyenera kupita kwa dokotala.

Kupatula apo, kusalandira chithandizo mwadzidzidzi kumabweretsa zotsatirapo zoyipa. Mkhalidwe wowonjezereka waumoyo ungayambitse vuto la insulin. Itha kutha modabwitsa, kenako zimachitika.

Mtundu woyamba wa shuga, jakisoni wa insulin m'magazi amaperekedwa. Chifukwa chake, ndizotheka kuchepetsa kuchuluka kwa shuga m'magazi, kupatsanso maselo amthupi ndi glucose ofunikira kwambiri.

M'pofunika kutsatira mosamalitsa mavitamini. Kuchokera pachakudya chotsani zakudya zamafuta ambiri, chepetsani kuchuluka kwa chakudya chamafuta. Komanso, zakudya zomwe zimakhala ndi zakudya zokhuthala (mbatata, nthochi) ndi zipatso zotsekemera, zipatso zouma ndizoletsedwa. Ngati mukufunabe maswiti, muyenera kugula confuctery yochokera ku fructose.

Tsiku lililonse muyenera kudya amadyera ambiri, masamba abwino ndi zipatso momwe mungathere. Koma kugula misuzi, sodas zotsekemera, ndi mowa ndizoletsedwa.

Madokotala amalimbikitsa odwala amtundu wa matenda ashuga amodzi kudzikweza okha momwe angathere. Amakhulupirira kuti panthawiyi shuga m'thupi limaphatikizidwa kwambiri, shuga m'magazi amachepetsedwa kwambiri. Kuphatikiza apo, maphunziro akuthupi amathandizira kuti muchepetse kunenepa.

Mukatsatira malangizo onse a dotolo ndikupanga jakisoni wofunikira munthawi yake, mudzatha kukhala ndi moyo zaka zambiri, ndipo mwina mungakhale moyo wanu wonse popanda zovuta. Kuchuluka kwa shuga mthupi kumakhala kolamulidwa nthawi zonse.

Mtundu wachiwiri wa matenda a shuga, jakisoni safunika. Njira yothandizira yamankhwala imayikidwa, kutengera kugwiritsa ntchito mankhwala a hypoglycemic. Chifukwa chake, ndizotheka kuwonjezera chidwi cha masoka a maselo kulowa insulini ndikuchotsa magazi ku shuga wambiri.

Monga matenda a shuga 1, kuyenera kuyang'aniridwa pazomwe mumadya. Ndiko kuti, onani, ngati mulibe kuumiriza, koma kudya. Zatsopano zamasamba ndi zipatso zosaphatikizika ziyenera kukhala patebulo nthawi zonse. Pochulukitsa kwambiri, akuwonetsedwa kugwiritsa ntchito uchi wachilengedwe (osaposa 1-2 tsp patsiku).

Thanzi labwino liyenera kuperekedwa mwachidwi. Shuga ayenera m'malo ndi fructose. Odwala ena amagwiritsa ntchito zotsekemera zakunja ndi zoweta. Izi sizoyenera kuchita. Kugwiritsira ntchito kosalekeza kwa zotsekemera mu chakudya kumabweretsa mavuto ndi machitidwe ena a thupi. Muyenera kudzipatula pakudya mafuta. Ngati saladi zatsopano zimakonzedwa ndi mafuta a masamba, zitsamba ndi zonunkhira ndizophatikiza zothandiza. Amathandizira kugaya mafuta acids mwachangu.

Osavomerezeka khofi wakuda, chokoleti. Ngati ndi kotheka, mankhwalawa ayenera kusinthidwa ndi khofi wa chicory ndi maswiti okhala ndi matenda a shuga. Tsoka ilo, odwala matenda ashuga sangathe kudzitama ndi mavwende, mapichesi, mphesa ndi zipatso zina zokoma. Nthawi yomweyo, ndikofunika kuwonjezera zipatso zamkati muzakudya: sitiroberi zamtchire, nyanja yamchere, cranberries, viburnum. Kuchokera pa zipatso, mandimu, malalanje osapindika, ndi maapulo ziyenera kukondedwa. Zipatso zokhala ndi zipatso ndi zipatso zouma zimaletsedwanso. Koma mutha kudya mtedza wosiyanasiyana. Ma Cashews ndiwofunika makamaka chifukwa cha kuchuluka kwamafuta mkati mwake. Koma mapeyala saloledwa.

Ngati ndi kotheka, muyenera kumwa ma infusions azitsamba ndi tiyi kuchokera ku maluwa a calendula, masamba ndi zipatso za blueberries, chiuno chamadzuka. Kuphatikiza apo, pamaneti omwe amagulitsa mankhwala nthawi zonse pamakhala kugulitsa mitengo yapadera ndi tiyi yamafuta azitsamba omwe amakuthandizani kuti muchepetse shuga.

Madokotala amalimbikitsa odwala omwe ali ndi matenda a shuga a mtundu wachiwiri kuti azichita masewera olimbitsa thupi - kusuntha kwambiri, kusewera masewera. Kuphatikiza apo, chithandizo cha kuseka tsiku ndi tsiku sichimapweteka. Kusangalala bwino, mphamvu zowonjezereka zimachita zodabwitsa.

Ngati muwerenga izi, mutha kuzindikira kuti inu kapena okondedwa anu mukudwala matenda ashuga.

Tinachita kafukufuku, tinaphunzira zambiri zamagulu ndipo makamaka ndinayang'ana njira ndi mankhwala ambiri a shuga. Chigamulochi ndi motere:

Ngati mankhwalawa onse akaperekedwa, zinali zotsatira zosakhalitsa, atangomaliza kudya, matendawa amakula kwambiri.

Chithandizo chokhacho chomwe chapereka zotsatira zabwino ndi Dianormil.

Pakadali pano, awa ndiye mankhwala okhawo omwe amachiritsiratu matenda ashuga. Dianormil adawonetsa chidwi chachikulu magawo a shuga.

Tidafunsa Unduna wa Zaumoyo:

Ndipo kwa owerenga tsamba lathu lino mwayi
khalani ndi dianormil ZAULERE!

Yang'anani! Milandu yogulitsa Dianormil yabodza tsopano.
Mukayika lamulo pogwiritsa ntchito maulalo pamwambapa, mumatsimikiziridwa kuti mudzalandira malonda kuchokera kwa wopanga wamkulu. Kuphatikiza apo, mukamayitanitsa pa tsamba lovomerezeka, mumalandira chitsimikizo cha kubweza (kuphatikizapo ndalama zoyendera) ngati mankhwalawo alibe.

Momwe mungazindikire matenda a shuga: Zizindikiro zoyambira, kuzindikira

Matenda a shuga ndi matenda omwe amatha kukhala obisika, popanda mawonekedwe akunja. Koma njira zamatenda zimadzipangabe. Kodi ndi zochenjeza ziti za matenda ashuga?

Kunyumba, lembani matenda ashuga amtundu woyamba ndi 2 omwe angathe kutsimikiziridwa ngati muli ndi zotsatirazi:

kamwa yowuma, ludzu, chofunikira chakumwa madzi okwanira malita awiri patsiku,
Kuuma ndi kusenda kwa khungu,
njala ndi chilala.
kukodza pafupipafupi, kuwonjezeka kwamkodzo tsiku lililonse mpaka malita 5, nthawi zina mpaka malita 10,
kusinthasintha kwa thupi
kukwiya, kusokoneza tulo, kusokonekera.

Zizindikiro zoyambirira zakukula kwa matendawa zimaphatikizanso kuchepa kwa mawonekedwe owoneka bwino komanso lakuthwa, kulemera m'miyendo ndi kukokana m'matumbo. Wodwala nthawi zambiri amakumana ndi vuto la vertigo, kufooka, ndipo amatopa msanga. Ndi matenda a shuga, kuyabwa kwa khungu ndi perineal mucosa kumadziwika. Matenda opatsirana amatenga chilengedwe chotupa, mabala ndi mafinya onse amachiritsidwa kwa nthawi yayitali. Pali kusatsutsika kopitilira muyeso.

Mwa anthu ena, zizindikilo zomveka zimathandiza kuzindikira matenda ashuga, mwa ena, Zizindikiro zimakhala zopanda pake. Zonse zimatengera kuchuluka kwa shuga, kutalika kwa matendawo komanso machitidwe a thupi la wodwalayo.

Matendawa akamakula, nseru komanso kusanza, kuwonongeka kwa masamba miyendo, kukula kwa tsitsi lakumaso, komanso maonekedwe a kakulidwe kakang'ono pachikasu kumatha kuwonetsa vuto.

Mwa amuna, magawo oyambirira a shuga, kuchepa kwa libido, kusowa kwa erectile, kusabereka kumadziwika. Zotsatira za kukodza pafupipafupi zimatha kukhala balanoposthitis - kutupa kwa khungu.

Amayi amamva kuchepa kwa chilakolako chogonana, amatha kukhala ndi nthawi yosakhazikika, kuuma komanso kuyabwa kwa ziwalo za m'mimba, ziwalo, kummimba.

Matenda a shuga ndi matenda ofala kwambiri, koma sianthu onse omwe ali ndi lingaliro lakelo. Magulu omwe ali pachiwopsezo cha matenda amtundu 1 ndi 2 amasiyana.

Matenda a shuga a mtundu woyamba ndi matenda omwe achinyamata ambiri azaka zosakwana 18 amafika. Zikondamoyo sizitulutsa insulin yokwanira, ndipo wodwala amafunikira kuchokera kunja. Chiwopsezo chotenga matendawa nchokwera pamaso pa zinthu izi:

chibadwa
chikuku, matumbu, matenda opatsirana oyambitsidwa ndi mavava a Coxsackie, Epstein-Barr, cytomegalovirus,
kusintha koyambirira kuchokera pakamayamwa kupita kwa makanda ochepera,
kuchuluka kwa poizoni wama mankhwala ndi mankhwala (maantibayotiki ena, ma poizoni, ma penti ndi zida zomanga) pama cell a pancreatic,
kukhalapo kwa abale apamtima odwala matenda a shuga.

Matenda a 2 a shuga ndi matenda osachiritsika omwe amakhala ndi anthu opitirira 45 omwe ali onenepa kwambiri ndipo amakhala moyo wongokhala. Chiwopsezo chimakhala chachikulu kwambiri pazinthu izi:

lembani matenda ashuga 2 mwa achibale,
kusowa kochita masewera olimbitsa thupi, kuthamanga kwa magazi pamwamba pa 140/90 mm RT. Art.
prediabetes (kudya glycemia kapena kulolera kwa glucose),
Matenda a shuga, kubadwa kwa mwana wolemera makilogalamu opitilira anayi, kudzipatula mwa apo ndi apo kapena kubereka mwana m'mbiri.
mulingo wa triglycerides ndiwokwera kuposa 2.82 mmol / l, mulingo wa cholesterol wapamwamba kwambiri umakhala wotsika kuposa 0.9 mmol / l,
polycystic ovary syndrome,
matenda amtima.

Pamaso pa chiopsezo chimodzi kapena zingapo, ndikofunikira kuyang'anitsitsa mkhalidwe waumoyo ndikuchita mayeso pafupipafupi.

Matenda a shuga a Mtundu 1 (amadalira insulin) amawonekera kwambiri mwa odwala osakwana zaka 40. Mawonekedwe ake ndiwakuthwa komanso mwadzidzidzi, omwe amathandiza kuzindikira matenda ashuga koyambirira. Nthawi zina kuwonekera kwa matendawa kumayamba kukhala ketoacidosis mwadzidzidzi, yomwe nthawi zina imabweretsa kukomoka.

Koma nthawi zambiri chithunzichi chimatsogozedwa ndi zizindikiro zakusiyanasiyana. Wodwala amafunikira chakudya chochuluka, amadya kwambiri, koma osalemera komanso amachepetsa thupi. Izi zimachitika chifukwa cha kuchepa kwa glucose. Kuonda kwambiri ndi chimodzi mwazizindikiro za matenda omwe amadalira insulin. Munthu wodwala matenda ashuga amatha kulemera mpaka 10-15 makilogalamu kulemera m'miyezi iwiri.

Nthawi yomweyo, kukodza usiku ndi kuchuluka kwa mkodzo tsiku lililonse kumachitika pafupipafupi. Vutoli limachitika chifukwa cha kuchuluka kwa magazi a mkodzo, omwe amayamba chifukwa cha kuchuluka kwa shuga mumkodzo.

Wodwala amakhala ndi ludzu pafupipafupi, kufunikira kwamadzi tsiku ndi tsiku kumatha kufika mpaka malita asanu. Mwanjira imeneyi, thupi limapanga kuchepa kwa madzi komwe kumayamba chifukwa kukodza mopitilira muyeso. Chifukwa china chowonjezera ludzu ndikukwiyitsidwa kwa osmoreceptors mu hypothalamus.

Wodwala amakhala ndi mpweya woipa, womwe umapereka ma acetone, ndipo mkodzo umanunkhira zowola. Zodabwitsazi zimachitika pamene thupi limasinthira kuchokera ku chakudya chamafuta kupita njira yamafuta yopanga mphamvu chifukwa cha kufooka kwa glucose m'maselo. Matupi a Ketone, omwe amapangidwa mwanjira iyi, amayambitsa zizindikiro za poizoni - kupweteka kwam'mimba, nseru, kusanza. Kupita patsogolo kwa ketoacidosis kumabweretsa kuperewera kwa matenda ashuga.

Matenda a metabolism amabweretsa kufooka ndi kutopa, kuchuluka kwa zopangidwa ndi poizoni. Kuphatikiza apo, mawonekedwe a wodwalayo amayamba kuwonongeka, khungu limayamba kuyakuka, khungu limayamba kutuluka, mabala osapola komanso zilonda, tsitsi limagwa kwambiri. Chizindikiro china chosakhudzana ndi matenda a shuga 1 chingapezeke ngati zaka za wodwalayo - mpaka zaka 40.

Matenda a 2 a shuga ndi amtundu wa anthu azaka zapakati. Pafupifupi 90% ya odwala omwe adapezeka kuti ali ndi mtundu wachiwiri wa shuga ndi onenepa kwambiri, ndipo mafuta akulu am'mthupi amadziunjikira pamimba. Maselo akuluakulu osagwirizana ndi insulini amapezeka m'dera lino, pomwe adipocytes amamvera kwambiri insulin m'dera la ntchafu.

Kumayambiriro kwa matendawa, kuphatikiza kwa insulini ndi kapamba kumakulirakulira, koma matendawa akamakula, malowo amatha, kuperewera kwa insulini kumayamba. Wodwala amatha kunyalanyaza zizindikiro zakunja za vutoli, nati kufooka ndi kutopa chifukwa cha kusintha kwokhudzana ndi ukalamba. Zizindikiro za matenda amtundu wa 2 zimayenda pang'onopang'ono, zimafufutidwa, zimavuta kwambiri kuzizindikira. Chifukwa chake, kudzipangira matenda ashuga sichinthu chovuta. Monga lamulo, amapezeka mwamwayi wodwala akabwera kudzadwala matenda ena.

Matenda a shuga a Type 2 amatha kumayikiridwa kumayambiriro chifukwa cha ludzu lodziwika bwino (kufunika kwake kumafikira malita 4-5 patsiku), koma ngati munthu wamkulu akamadzimva kuti ali ndi ludzu, ndiye kuti mwa okalamba chidwi chake chimayamba kuzimiririka. Nthawi yomweyo, kukodza, makamaka usiku, kukuchulukirachulukira. Kulemera kwa thupi kukukulira pang'onopang'ono.

Wodwalayo amakhala ndi chilakolako chokwanira kwambiri chotsindika maswiti. Amaphatikizidwanso ndi kufooka, kugona, kutopa, khungu loyang'ana, kuphatikizapo perineum. Pamene matenda ashuga a m'mimba amayamba, paresthesia ndi dzanzi lakumapeto kumadziwika. Kuwonongeka kwa mtima kumabweretsa kuchepa kwa tsitsi, kupweteka ndi kutopa m'miyendo poyenda, magazi osayenda bwino m'miyendo.

Kubwezeretsa pang'onopang'ono pakhungu kumatsogolera ku candidiasis, mabala osachiritsika. Stomatitis, matenda a periodontal amatha. Mafuta ambiri a glucose amakhumudwitsa kukula kwa retinopathy ndi matenda amkati, ngakhale ndi mtundu wachiwiri wa matenda ashuga, kuwona kumatsika pambuyo pake kuposa ndi matenda a shuga 1.

Matenda a 2 a shuga amawonekanso kwa achinyamata. Ndipo kusintha kwa pamenepa pankhaniyi kumatha kuthandizira kuwonda komanso kuwonda kwambiri. Chifukwa chake, dokotala amayenera kufunsidwa kuti awone ngati pali zifukwa zokayikitsa.

Chovuta pakuwona ana m'matendawa ndikuti ana sangathe kufotokoza zizindikiro zake. Makolo ayenera kukhala osamala ngati mwana amakonda kuyamwa ndikupempha chimbudzi, komanso ngati kulemera kwake kumasintha kwambiri.

Pazizindikiro zoyambirira za ketoacidosis, pitani kuchipatala mwachangu. Pakumva ululu wam'mimba, kusanza kapena mseru, chizungulire kapena chizindikiro cha khungu lowuma, kupuma pafupipafupi ndi kununkhira kwa acetone, ulesi, kugona, kuyitanira ambulansi.

Kuti mutsimikizire kapena kukana zokayikira za shuga kunyumba, mutha kugwiritsa ntchito glucometer kapena A1C kit. Zipangizozi zimalola akatswiri kudziwa kuchuluka kwa shuga m'magazi kwa mphindi zochepa popanda akatswiri. Muthanso kugwiritsa ntchito poyesa kuti mupeze kuchuluka kwa shuga mkodzo. Zida zonsezi zitha kugulidwa ku pharmacy popanda mankhwala. Mosasamala kanthu za zotsatira zoyeserera, musadzilimbikitse ndipo ngati mukumva kuti mulibe mtima, musazengereze kukaonana ndi dokotala.

Thupi, kukodza kochulukirapo, kufooka, khungu lowuma komanso kusinthasintha kwa thupi ndizo chizindikiro chachikulu cha mtundu 1 ndi matenda ashuga 2. Zikaonekera, muyenera kufunafuna chithandizo chamankhwala. Kuti adziwitse matenda, adotolo adzalembera mayeso okhudzana ndi glucose, kuyezetsa magazi ambiri kwa shuga, kuyezetsa magazi a hemoglobin, insulin ndi C-peptide, kuyesa kwa mkodzo kwa matupi a ketone ndi shuga, komanso maphunziro ena ofunikira, kutengera zotsatira zomwe mankhwalawo adzalembedwe.

Fadeeva, Matenda a Anastasia. Kupewa, chithandizo, zakudya / Anastasia Fadeeva. - M: Buku la Demand, 2011. - 176 c.
Endocrinology. Kuwongolera Kwa Madokotala, Medical News Agency - M., 2013. - 782 c.
Matenda endocrinology. - M: Mankhwala, 1991. - 512 p.

Ndiloleni ndidziwitse. Dzina langa ndi Elena. Ndakhala ndikugwira ntchito ya endocrinologist kwa zaka zoposa 10. Ndikukhulupirira kuti pakadali pano ndili katswiri pantchito yanga ndipo ndikufuna kuthandiza alendo onse omwe amapezeka pamalowo kuti athetse zovuta osati ntchito. Zinthu zonse za tsambalo amazisonkhanitsa ndikuzikonza mosamala kuti athe kufotokoza zambiri zofunikira. Musanagwiritse ntchito zomwe zikufotokozedwa pa webusayiti, kukambirana ndi akatswiri ndizofunikira nthawi zonse.

Kodi matenda ndi chiyani?

Ambiri amva kuti ndi matenda ashuga shuga ambiri. Inde, izi nzoona. Koma sizikhala choncho nthawi zonse ndi insulin.

Samalani

Kodi anthu odwala matenda ashuga amatani? Endocrinological Research Center ya Russian Academy of Medical Sayansi yakwanitsa kupanga chida chomwe chimachiritsa kwathunthu matenda a shuga.

Pulogalamu ya Federal "Health Health Nation" ikuchitika, mkati mwanjira yomwe mankhwalawa amaperekedwa kwa aliyense wokhala ku Russian Federation ndi CIS ZAULERE . Kuti mumve zambiri, onani tsamba lovomerezeka la MINZDRAVA.

Zizindikiro zoyipa za matendawa

Pali zizindikiro zina zowoneka bwino zomwe zikusonyeza momwe mungazindikire matenda ashuga. Nayi mndandanda wawo wathunthu:

Kugwiritsa ntchito chimbudzi pafupipafupi (kuti pee).
Kuchepetsa kwambiri kapena kunenepa kwambiri.
Kuyanika kwa mucosa mkamwa.
Kulakalaka kwambiri chakudya.
Kusintha kosaganizira.
Chimfine pafupipafupi komanso matenda a virus.
Mantha.
Zilonda zazitali zosasindikizidwa.
Thupi limakonda kusuntha.
Nthawi zambiri pamakhala zilonda, zolowa pakona pakamwa.

Mwa zina mwazizindikiro, kuchuluka kwamkodzo, komwe kumachoka m'thupi masana, kumakhala kodziwika. Kuphatikiza apo, kulumpha mwadzidzidzi kuyeneranso kukhala kwatcheru.

Owerenga athu amalemba

Ndili ndi zaka 47, anandipeza ndi matenda a shuga a 2. M'masabata angapo ndinapeza pafupifupi 15 kg. Kutopa nthawi zonse, kugona, kumva kufooka, kuwona kunayamba kukhala pansi. Nditakwanitsa zaka 66, ndinali ndikumenya insulin yanga, zonse zinali zoipa kwambiri.

Matendawa adapitilirabe, kukomoka kwakanthawi kunayamba, ambulansi imandibwezera kuchokera kudziko lina. Nthawi zonse ndimaganiza kuti nthawi ino ikhala yomaliza.

Chilichonse chinasintha mwana wanga wamkazi atandilola kuti ndiwerenge nkhani imodzi pa intaneti. Simungayerekeze m'mene ndimamuyamikirira. Nkhaniyi inandithandiza kuthana ndi matenda ashuga, omwe amati ndi osachiritsika. Zaka 2 zapitazi ndidayamba kusuntha kwambiri, nthawi yamasika ndi chilimwe ndimapita kumayiko tsiku lililonse, timakhala ndi moyo wachangu ndi amuna anga, timayenda maulendo ataliatali. Aliyense amadabwitsidwa ndimomwe ndimakwanitsira chilichonse, komwe ndimatha mphamvu zambiri, sakhulupirira kuti ndili ndi zaka 66 zakubadwa.

Ndani akufuna kukhala ndi moyo wautali, wamphamvu komanso kuiwalako za matenda oyipawa kwamuyaya, tengani mphindi 5 ndikuwerenga nkhaniyi.

Poyerekeza ndi mbiri yakufa ndi thupi, masomphenyawo amayamba kutsika kwambiri. Kunyalanyaza thanzi lathu kumatha kuyambitsa khungu. Zizindikiro zotere ndi chifukwa chachikulu chopita kuchipatala. Ndikofunikira kuyang'ana, pitani kwa endocrinologist.

Mayeso apanyumba

Kuyeza kwa shuga m'magazi kumachitika pogwiritsa ntchito chipangizo chonyamula - glucometer. Zomangira zapadera zoyeserera ndi singano yosabala yoboola chala.

Nkhani za owerenga athu

Matenda a shuga kunyumba. Patha mwezi kuchokera pamene ndayiwala za kudumphira shuga komanso kumwa insulin. O, momwe ine ndimavutikira, kukomoka kosalekeza, kuyimba mwadzidzidzi. Kodi ndapita kangati kwa endocrinologists, koma amangonena chinthu chimodzi - "Tengani insulin." Ndipo tsopano masabata 5 apita, popeza kuchuluka kwa shuga m'magazi ndikwabwinobwino, osati jakisoni imodzi ya insulini ndipo chifukwa chonse cha nkhaniyi. Aliyense amene ali ndi matenda ashuga ayenera kuwerenga!

Shuga m'thupi ukhoza kuyesedwa pogwiritsa ntchito zingwe zapadera zoyeserera. Kutulutsa mkodzo watsopano kumatengedwa mumtsuko. Kuyesa kwa mankhwala apamtunda kumeneko. Kuzindikira kumeneku kumagwiritsidwa ntchito kokha ndi kuchuluka kwa glucose m'magazi. Nthawi zina, zimakhala zopanda ntchito.

Maulendo oyenera achipatala

Ngati muli ndi zizindikiro monga ludzu losalekeza, kukodza kwambiri, ngati zikuvuta kupuma, odwala nseru, komanso mayeso apakhomo akuwonetsa kuchuluka kwa shuga mthupi, muyenera kupita kwa dokotala.

Kupatula apo, kusalandira chithandizo mwadzidzidzi kumabweretsa zotsatirapo zoyipa. Mkhalidwe wowonjezereka waumoyo ungayambitse vuto la insulin. Itha kutha modabwitsa, kenako zimachitika.

Njira zanthawi ndi zochizira

Mtundu woyamba wa shuga, jakisoni wa insulin m'magazi amaperekedwa. Chifukwa chake, ndizotheka kuchepetsa kuchuluka kwa shuga m'magazi, kupatsanso maselo amthupi ndi glucose ofunikira kwambiri.

Tsiku lililonse muyenera kudya amadyera ambiri, masamba abwino ndi zipatso momwe mungathere. Koma kugula misuzi, sodas zotsekemera, ndi mowa ndizoletsedwa.

Fotokozani

Ngati muwerenga izi, mutha kuzindikira kuti inu kapena okondedwa anu mukudwala matenda ashuga.

Tinachita kafukufuku, tinaphunzira zambiri zamagulu ndipo makamaka ndinayang'ana njira ndi mankhwala ambiri a shuga. Chigamulochi ndi motere:

Ngati mankhwalawa onse akaperekedwa, zinali zotsatira zosakhalitsa, atangomaliza kudya, matendawa amakula kwambiri.

Mankhwala okhawo omwe adapereka chofunikira ndi kusiyana.

Pakadali pano, awa ndiye mankhwala okhawo omwe amachiritsiratu matenda ashuga. Makamaka machitidwe amphamvu a Kusiyanitsa adawonetsa koyambirira kwa matenda ashuga.

Tidafunsa Unduna wa Zaumoyo:

Ndipo kwa owerenga tsamba lathu lino mwayi
khalani ndi kusiyana ZAULERE!

Yang'anani! Milandu yogulitsa mankhwalawa yabodza Kusiyanako kwakhala komweko.
Mukayika lamulo pogwiritsa ntchito maulalo pamwambapa, mumatsimikiziridwa kuti mudzalandira malonda kuchokera kwa wopanga wamkulu. Kuphatikiza apo, mukamayitanitsa pa tsamba lovomerezeka, mumalandira chitsimikizo cha kubweza (kuphatikizapo ndalama zoyendera) ngati mankhwalawo alibe.