Chizungulire mu shuga: bwanji chizungulire cha matenda ashuga?
Anthu omwe ali ndi matenda ashuga nthawi zambiri amakhala ndi zovuta zina zokhudzana ndi matendawa.
Anthu odwala matenda ashuga a mtundu woyamba komanso wachiwiri nthawi zambiri amakhala ndi chizungulire.
Ndikofunika kumvetsetsa chifukwa chake wodwalayo ali ndi kufooka, chizungulire komanso momwe angapewere izi.
Zomwe zimayambitsa chizungulire
Pakhoza kukhala zifukwa zingapo pazinthu izi:
- Mlingo wa insulin wosawerengeka molondola, popanda odwala a mtundu 1 ndi mtundu wa 2 shuga sangathe.
- Hypoglycemia - imadziwonetsa ndi kutsika kwakang'ono kwa shuga (glucose) m'magazi, chifukwa cha kudya kosakwanira.
- Hypoglycemia imakhalanso chotulukapo chomwa mankhwala ena omwe amagwiritsidwa ntchito pamitundu yonse iwiri ya matenda ashuga.
- Kupitilira kwa glucose kosalekeza ku ubongo kumaonekera ndi ntchito yomveka bwino yachilengedwe chonse. Kuchepa kwa shuga m'magazi kumayambitsa chizungulire komanso kufooka kwathunthu kwa thupi komwe kumayambitsa matenda ashuga.
- Chizungulire mu matenda a shuga amathanso kuyenda ndi kuthamanga kwa magazi, arrhasmia, palpitations, komanso kutopa kwambiri. Zizindikiro izi zikuwonetsa kukhalapo kwa matenda a shuga.
- Hyperglycemia - shuga wambiri. Chifukwa cha kulephera kwa kapamba kuti apange kuchuluka kwabwino kwambiri kwa insulini kapena kusungika kwa jakisoni wa mankhwalawa, kuwonjezeka kwa shuga m'magazi kumatsatiradi. Ndipo izi zimayambitsa kusowa kwa mahomoni.
Hyperglycemia imakhalanso yoopsa chifukwa nthawi zina pamakhala kuchepa kwa madzi m'thupi komanso kusintha kwa matenda a anaerobic.
Kupereka kwa glycogen kumatha, kulumikizana kwa kayendedwe kumasokonezeka, chifukwa chake kufooka ndi chizungulire. Izi zimakhala zowala ndikuwoneka ngati kukokana komanso kupweteka m'misempha, monga lactic acid imadziunjikira.
Zofunika! Zozungulira wodwala wodwala matenda ashuga ayenera kulangizidwa momveka bwino za momwe angachitire ndi zizindikirozi kuti, poyambira chizungulire kapena hypoglycemia, amachotsa mwachangu zomwe zimayambitsa ndikupanga kuchepa kwa shuga.
Pofuna kuti wodwala agwere kapena kufa, jakisoni wa glucagon amagwiritsidwa ntchito.
Ketoacidosis imatha kukhala gawo lina la hyperglycemia. Monga lamulo, zimachitika mwa odwala omwe sawongolera njira ya matenda awo. Ndikusowa kwa glucose, thupi limayamba kuphwanya zomwe limasunga mafuta ndikupanga matupi a ketone mwachangu.
Ndi kuchuluka kwa ketone mthupi, acidity yamagazi imachuluka, zomwe zimatsogolera ku izi:
- kufooka
- nseru
- Fungo la acetone lamkati,
- ludzu
- kugwira ntchito mopitirira muyeso
- kuwonongeka kwamawonekedwe.
Kupatula ketoacidosis, jakisoni wokhazikika wa insulin ndi kubwezeretsanso kwa madzi olimbitsa thupi ndikofunikira. Nthawi zambiri, kuchulukana m'makutu, kufooka kwathunthu, kumapangitsa khungu kumaso kumawonjezera chizungulire.
Iyenera kuwunika makamaka pakukhudzidwa kotere, chifukwa kumatha kudzetsa wodwala matenda ashuga.
Pazizindikiro zoyambirira za ketoacidosis, muyenera kufunsa dokotala, chifukwa kudzipereka kwanu kumatha kubweretsa zotsatirapo zosasangalatsa.
Zoyenera kuchitira chizungulire
Ngati chizungulire komanso kufooka kwa wodwala yemwe ali ndi matenda amtundu wa 2 komanso chifukwa chodwala m'magazi a shuga, ziyenera kuchitidwa mwadzidzidzi:
- kudya kapena kumwa china chokoma
- itanani ambulansi nthawi yomweyo
- ikani mafuta ozizira osakanizidwa ndi madzi ndi viniga pamphumi ya wodwalayo,
- ikani wodwalayo pabedi (nthawi zonse pabedi) kapena pansi,
- ikani mankhwala kwa wodwala kuti muchepetse kusasangalala ndi kufooka, nthawi zambiri Cinnarizine kapena Motilium.
Pothana ndi vuto mwadzidzidzi, wodwala yemwe ali ndi matenda oyamba kapena mtundu wachiwiri sangadzindikire kapena adwala.
Kukula kwadzidzidzi m'magazi a shuga ndi chizungulire m'mitundu yonse iwiri ya matenda a shuga kungathe kupewedwa mwa kutsatira kwambiri miyezo yazakudya.
Odwala amaletsedwa kotheratu kumwa mowa uliwonse, khofi ndi tiyi, ndipo kusuta kuyenera kuchotsedwa. Ndikofunika kwambiri kuti muzikhala ndi chakudya chokwanira nthawi zonse komanso kuti musamadzilempetse kwambiri ndi zolimbitsa thupi. Ndizovomerezeka pazinthu zingapo komanso moyang'aniridwa ndi dokotala.
Zochizira komanso zodzitetezera kuchitira chizungulire komanso matenda ashuga ambiri
Choyamba, pankhani ya matenda a shuga a mtundu uliwonse, odwala amafunika kutsatira zakudya zinazake komanso moyo wathanzi, zomwe zimaphatikizapo masewera olimbitsa thupi a matenda a shuga mellitus (chithandizo cha thupi). Komabe, musaiwale za kusungabe madzi osalekeza kuti musathe kuperewera madzi m'thupi.
Izi ndi chiyani? Njira yodulira ma asidi achilengedwe a thupi imachitika chifukwa cha madzi amchere a bicarbonate - chinthu chomwe, monga insulin, chimapangidwa ndi kapamba.
Popeza kupanga bicarbonate kuli malo oyamba m'thupi la munthu, pomwe amathandizidwa ndi odwala omwe ali ndi matenda ashuga (mkati mwa madzi am'mimba), kupanga insulini kumachepa, zomwe zimayambitsa kuchepa kwake. Komabe, munthawi imeneyi, kupezeka kwa shuga mu zakudya kuyenera kuchepetsedwa.
Mfundo yachiwiri ndi ntchito yolumikizana ya glucose ndi madzi. Kuti mumalize shuga mokwanira m'maselo ndi minyewa, sikufunika insulin yokha, komanso kuchuluka kwamadzimadzi ambiri.
Maselo amakhala ndi madzi, kuchuluka kwake komwe kumadyedwa nthawi zambiri popanga michere ya bicarbonate, ndi zotsala pazomwe zimayamwa michere. Chifukwa chake kuperewera kwa insulin ndikupanga thupi.
Pofuna kuti musasokoneze kuchuluka kwa madzi mthupi, muyenera kukumbukira malamulo osavuta:
- M'mawa uliwonse komanso asanadye chakudya, muyenera kumwa 400 ml ya madzi ochepa.
- Zakumwa zoledzeretsa, khofi, tiyi zingasokoneze mkhalidwe wa wodwalayo, motero ayenera kuyikiridwa.
Madzi ochepa okha ndi omwe amakhala ndi phindu lamoyo lonse ndipo amateteza chizungulire komanso kufooka, ngakhale kwa odwala omwe ali ndi matenda amtundu wa 1 komanso a 2.
Chizungulire
Mkulu shuga wambiri, akuwononga dongosolo lamanjenje, amakwiyitsa zimachitika mukulumikizidwa kwa zimakhala zosiyanasiyana. Tizilombo ta m'miyendo ndi ubongo timavutikanso. Zotsatira zake ndi ziti?
Pachifukwachi, kuwonongeka kumachitika ku ziwalo zosiyanasiyana komanso machitidwe awo, kuphatikiza ubongo ndi zida za vetibular. Zotsatira za zovuta zoterezi ndiz chizungulire kwa mwana kapena munthu wamkulu wa matenda ashuga.
Zizindikiro nthawi zambiri zimakhala ndi:
- Kutsika kwamphamvu kwa khungu la kumapazi, komwe kumatchedwa matenda a diabetesic polyneuropathy. Munthu amene ali ndi vuto lotere samamva pansi pa mapazi ake. Kuphwanya kwa chidwi cha kupatsirana kumapangitsa kusintha kwa gait ndikukhazikika m'malo osiyanasiyana poyenda.
- Chofunikanso ndichoti onse odwala matenda ashuga omwe amakhala ndi vuto lodana ndi chizungulire kwa miyezi yopitilira 5 akuvutika chifukwa cha kuwonongeka kwa mawonekedwe. Zowonongeka zam'mbuyo, zomwe zimatchedwa retinopathy, zimapangitsa kukhazikika kukhala kovuta. Munthu amaleka kuwona zinthu zachilengedwe, kuzikulunga ndi kuzikhumudwitsa.
Kuphatikiza apo, madontho akuthwa m'magazi a shuga amathanso kupangitsa nseru, kuwonjezeka kwa kutopa ndi chizungulire.
Vutoli limawonedwa kawirikawiri odwala matenda ashuga, mwachitsanzo, atabayidwa jakisoni wa insulin kapena atachita masewera olimbitsa thupi.
Matenda a shuga
Chizungulire ndi matenda a shuga amathanso kukhala chizindikiro cha vuto lomwe limayamba ndi shuga wambiri. Dongosolo lamanjenje lamkati limagawidwa mu autonomic komanso somatic. Mphamvu yamanjenje imapangitsa munthu kuti azitha kuyang'anira minofu yake.
Dongosolo lodziyimira palokha limatchulidwanso kuti ufulu wambiri. Amayang'anira kuwongolera njira monga kupanga mahomoni, kugunda kwa mtima, kugaya, kupuma, ndi zina zotero. Matendawa monga neuropathy, omwe amapezeka m'magawo asanu ndi awiri aliwonse odwala matenda ashuga, amakhudza magawo oyambilira komanso achiwiri amanjenje.
Zovuta pamalo amtundu wa somatic zimabweretsa zowawa kwambiri, ndipo zimapangitsanso wodwala kulumala, mwachitsanzo, chifukwa cha matenda ampazi. Kuwonongeka kwa dera lodziyang'anira nthawi zambiri kumayambitsa imfa, mwachitsanzo, kuphwanya mzere wamtima kapena kupuma.
Zizindikiro zakuvutikaku mu mwana ndi mukulu zimasiyana kwambiri. Itha kuphatikizapo:
- Kubowoleza, kunenepa kwa miyendo,
- Kutsegula m'mimba
- Kulephera
- Kukoka mwaulere
- Chikhodzodzo chosakwanira
- Kupotokola kwa eyel, minofu mkamwa ndi nkhope,
- Kusuntha kokwanira kwa diso,
- Kumeza kovuta
- Kupweteka kwamankhwala kumakumbukira za kugwedezeka kwa magetsi.
Kodi ndi chifukwa chiyani kudziwa kuyenera chizungulire? Komabe, chizindikiro chachikulu cha neuropathy, kuloleza kuti matendawo apezeke panthawi yake, ndiko chizungulire.
Pankhaniyi, sikofunikira pa matenda a shuga a mtundu 1 kapena a 2.
Zizindikiro za chizungulire
Chizungulire, mutu ukayamba kuzungulira, ndiye chizindikiro chofala kwambiri chomwe odwala matenda ashuga a gulu loyamba ndi lachiwiri amadandaula nacho. Zomwe zimayambitsa vertigo poyamba komanso nthawi zonse zotsatila zimatha kukhala zosiyana kwathunthu, koma nthawi zambiri zimagwirizanitsidwa ndi kusokonezeka kwa zida za vetibular komanso zovuta kuzungulira kwa ubongo.
Dizziness ya matenda a shuga nthawi zambiri imayendera limodzi ndi kusanza, nseru, kapena kufooka kwakukulu. Kuti mumvetse bwino zomwe zili muzochitika zonsezi, wodwalayo ayenera kufunsa uphungu wa wamisala. Monga lamulo, chithandizo chovuta kuchipatala chimakhala ndi ntchito yodziwika, mankhwala, komanso zakudya zamagulu.
Pakati chizungulire, wodwalayo akuwoneka kuti zinthu zomwe zikumuzungulira zikuyenda mozungulira, wokonzeka kuzungulira, kapena malingaliro abodza akuti akutumphukira adalengedwa. Bwanji osasokoneza chizungulire chenicheni mu matenda ashuga omwe ali ndi zizindikilo zosiyana ndi zachilendozo? Mwachitsanzo, monga:
- Chophimba kapena maso opunduka
- Kumva kukomoka kapena kusakhalitsa kwakanthawi kochepa,
- Kuyenda kosakhazikika, kusakhazikika,
- Kulimbitsa kufooka, nseru, chisokonezo ndi kusakhazikika mumiyendo.
Zizindikiro zomwe zatchulidwa zingakhale zizindikiro za mtundu 1 kapena 2 za matenda ashuga, koma nthawi zambiri sizigwirizana ndi chizungulire ndipo osazitsogolera.
Chifukwa chake, ndikofunikira kumvetsetsa bwino momwe boma la chizungulire limadziwonekera, momwe lingachitire nawo, momwe mungapangire chithandizo.
Kodi kukonzekeretsa moyo wodwala?
Ngati chizungulire chakhala gawo lofunika kwambiri m'moyo wa wodwala yemwe ali ndi matenda osokoneza bongo, chisamaliro chikuyenera kuthandizidwa ndikuwonetsetsa kuti pakadutsa moyo satsogolera kugwa ndi kuvulala. Gulu lachiwopsezo chapadera limaphatikizapo ana, zomwe zimapangitsa kuti malamulo amenewa azikhala ovomerezeka m'nyumba yomwe mwanayo amakhala.
Kuteteza nyumba yanu, komanso malo anu antchito, tikulimbikitsidwa kutsatira mfundo zazikulu zingapo:
- Pamwamba pamipanda pamafunika kukhomedwa ndi kapeti ofewa kuti pasapezeke zochulukirapo komanso zomata.
- Chingwe chapadera cha anti-slip rab chiziwikiridwa pansi mpaka pogona. Alumali pomwe zida zonse za bafa zizisungidwa ziyenera kukhala komwe mungafikeko mosavuta popanda kuyesetsa kwambiri.
- Ngati malo osambira aikamo m'malo osambira, mpando ndi manja ayenera kuyikidwamo.
- Ngati pali nsapato mkati mwam'nyumba, ndikofunikira kuwukhazikitsa mbali zonse ziwiri ndi mkondo, womwe wodwala matenda ashuga ayenera kuugwira, ngakhale atakhala wamkulu.
- Munthu amene amakhala ndi matenda ashuga sayenera kudzuka modzidzimutsa. Asanafike kumapazi ake, amayenera kukhala m'mphepete mwa bedi kwa mphindi zingapo.
- Muyeneranso kuyesa kupewa ntchito iliyonse yomwe imafuna kuti kontrakitalirayo azilamulira momveka bwino momwe thupi limakhalira m'malo kapena kusamalana. Kuluka mutu kumatha kuyambitsa kuvulala koopsa, monga kuyenda njinga.
Chifukwa chiyani izi ndizofunikira? Kuwona malamulo onse omwe ali pamwambapa, mutha kuphunzira kukhala ndi chizungulire chosatha, ngakhale zitakhala kuti sizikuchitika tsiku limodzi, koma 5 kapena kuposerapo. Kuti muchepetse kuwonetsa chizindikiro, muyenera kuchita mwapadera.
Chizindikiro cha masewera olimbitsa thupi ndikufunika kuti musunthire mwachangu kuti zida zamakono zithandizire. Mwachitsanzo, kuchokera pamalo apamwamba, wodwalayo ayenera kukweza thupi mwachangu ndikutembenukira kumanja, pomwe mutu umayang'ana patsogolo pake kamodzi. Kenako gonani mwachangu ndi kubwereza zolimbitsa thupi, koma ndi mbali yakumanzere. Pazonse, njira ziwiri ndizofunikira kupanga. Komabe, ndikofunikira kumvetsetsa momwe zochita zolimbitsa thupi zimakhudzira shuga.
Mu kanema munkhaniyi, dokotala Myasnikov afotokoza momwe chizungulire ndi matenda ashuga zimalumikizirana, komanso malo ena osasangalatsa.
Zomwe zimayambitsa chizungulire mu shuga
Matenda a shuga amayambitsa zovuta zambiri pakugwira ntchito kwamkati mwa munthu, ndipo kuchuluka kwa shuga kosatha sikungakhale popanda zotsatira kwa nthawi yayitali. Chizindikiro chodziwika bwino kwa odwala onse ndi chizungulire ndi matenda a shuga 2. Ndikosavuta kupewa maonekedwe ake, koma kudziwa zomwe zimachitika, mutha kuyesetsa kupewa. Mwa zina zazikulu zoyambitsa chizungulire, ziyenera kudziwika:
- Mlingo wosankhidwa molakwika wa insulin, womwe umafunika pa matenda a mtundu woyamba, ndipo nthawi zina, jakisoni uyenera kuperekedwa kwa anthu omwe ali ndi mtundu wachiwiri wa matenda a shuga.
- hypoglycemia yomwe imachitika ndikuyambitsa kuchuluka kwa mankhwala a insulin kapena hypoglycemic, komanso zakudya zosakwanira.
- dontho / kuchuluka kwa kuthamanga kwa magazi chifukwa cha kuwonongeka kwa mtima,
- neuropathy chifukwa cha kuwonongeka kwa ma neuron,
- hyperglycemia - chifukwa cha kuperewera kwa insulin, kuchuluka kwa shuga m'magazi kumakhala kochuluka, mahomoni osokonezeka amasokonezeka, thupi limasowa madzi ndikuyenda kwake kwa anaerobic metabolism.
Kulephera kuwongolera matendawa kumatha kubweretsa ketoacidosis, chizindikiro chachikulu chomwe ndi fungo losakanikirana la acetone kuchokera mkamwa mwa wodwalayo. Chizungulire nthawi zambiri limodzi ndi kufooka kwambiri, khungu mumaso ndi kusokonezeka kwa chikumbumtima. Pachizindikiro choyamba cha ketoacidosis, ambulansi imayenera kuyitanidwa nthawi yomweyo.
Momwe mungathandizire munthu asanafike madokotala?
Chizungulire chifukwa cha kutsika kwa shuga m'magazi chitha kuzindikirika ndikumva njala, kufooka, kugona, kukomoka, kuwona kawiri, kupha mphamvu pang'onopang'ono. Pankhaniyi, wodwalayo ayenera kudya kapena kumwa kena lokoma. Ngati vuto silikuyenda bwino, mutu umapitiliza kupindika, kusanza mseru kapena kusanza - kulimbikitsidwa kuyitanitsa ambulansi, chifukwa chizungulire cha matenda ashuga chimatha kuwonetsa kuwonongeka kwakatundu kwamanjenje.
Ndi chizungulire chifukwa cha hyperglycemia, zizindikiro zotsatirazi zimawonekera:
- kukodza pafupipafupi komanso kopatsa chidwi,
- kamwa yowuma
- ludzu losalekeza
- kufooka, kulephera kukhazikika.
Hyperglycemia ndi chikhalidwe chowopsa chomwe chimafuna kulowererapo kwa akatswiri.Kuperewera kwa chithandizo chachipatala kumayambitsa kuphwanya kwamphamvu kwa kagayidwe kamchere wamadzi ndipo nthawi zambiri kumatha kuphwanya kwa hyperosmolar. Kuthandizidwa ndi izi kumathekera kokha kuchipatala.
Hyperglycemia ndi hypoglycemia zimatha kuchitika motsutsana ndi maziko osowa chithandizo, ngati zakudya sizitsatiridwa
Kodi kudya ndi shuga?
Zakudya zoyenera za anthu odwala matenda amtundu uliwonse ndi imodzi mwazinsinsi zothandizira kuti azichita tsiku ndi tsiku komanso kupewa kuti pakhale zovuta zingapo. Kuphatikiza apo, matenda a shuga a 2, kapena omwe amadalira insulin, amafunikira njira yosamalitsa posankha zinthu, popeza kuchuluka kwa shuga sikungakonzedwe ndi jakisoni wa insulin. Pafupifupi zinthu zonse zomwe zimakhala pamtundu wa odwala matenda ashuga zimagawika m'magulu atatu:
- Gulu loyamba limaphatikizapo zinthu zomwe zimaloledwa kuti zidyedwe mopanda malire. Izi zikuphatikiza - tomato, nkhaka, kabichi, sipinachi, zukini, kaloti, biringanya. Pafupifupi zakumwa zonse ndizololedwa - chikhalidwe chachikulu ndikuti mulibe shuga yachilengedwe.
- Gulu lachiwiri lili ndi zinthu zomwe zimafunikira malire m'njira zina. Izi zimaphatikizapo nyama ndi nkhuku, nsomba, mkaka wokhala ndi mafuta opitilira 2%, soseji, mazira, zipatso ndi mbatata.
- Gulu lotsirizali nthawi zambiri silabwino pakudya kwa munthu wodwala matenda ashuga. Mulinso mafuta amtundu wa nyama / nsomba, mafuta anyama ndi nyama zosuta, margarine, zakudya zam'chitini, mtedza, njere, chokoleti ndi kupanikizana, mphesa ndi nthochi, zakumwa zoledzeretsa.
Mu shuga, maswiti okhala ndi shuga ndi oletsedwa.
Kodi mungapewe bwanji chizungulire?
Monga lamulo, kupezeka kwa chizungulire kungathe kupewedwa mwa kusamala mosamala ndikuwongolera nthawi yonse ya matenda. Odwala ena omwe amatsatira mosamalitsa malangizo a madokotala mwina sazindikira kuti kudwala matenda a shuga kumachitika. Kufunika kofunikira kwambiri kwa munthu sikuti ndi mankhwala, koma kudya mwamphamvu komanso kuchita masewera olimbitsa thupi mosalekeza. Kuphatikiza apo, odwala matenda amtundu uliwonse a shuga amafunikira kuwunika shuga wawo wamagazi nthawi zonse. Chifukwa cha mayendedwe amakono a shuga, izi zitha kuchitika mphindi zochepa.
Pambuyo povomereza matendawa, dotolo amakupangira chithandizo - nthawi zambiri zimakhala payekha, ndikofunikira kuti asasinthe pawokha pazomwe mungagwiritse ntchito. Izi ndizowona makamaka kwa kuchuluka kwa mankhwala a insulin kapena hypoglycemic - izi ndizovala ndi kukula kwa vuto la hyper- kapena hypoglycemic. Chofunika kwambiri ndikudya ndi kuchita masewera olimbitsa thupi nthawi zonse. Ayenera kukhala oyenera malinga ndi zaka za wodwalayo komanso momwe zinthu zilili. Chifukwa chake, matenda ashuga ndi chizungulire sikuti nthawi zonse amayenderana.
Kusankhidwa kwa mlingo wa insulin kumachitika malinga ndi kuchuluka kwa shuga m'magazi
Ngati, ngakhale mutalandira chithandizo chambiri, momwe wodwalayo alili kale sizabwino, pali kusintha kosinthika kwa kuthamanga kwa magazi, chizungulire, mseru ndi kufooka, muyenera kuonananso ndi dokotala. Mungafunike kuunikanso dongosolo lanu la chithandizo kapena kusintha momwe mulili pano.
Chithandizo - chachitali komanso mosalekeza
Pakadali pano, palibe njira zabwino zochizira matenda ashuga zomwe zidapangidwa. Mpaka pano, ndi chisonyezo, ndipo cholinga chake ndikuchotsa zizindikiro za matendawa popanda kuthetsa zomwe zimayambitsa zokha. Pali njira zochizira matenda amtundu wa 1 shuga poika ma isanger a Langerhans, koma ntchito zotere ndi zovuta komanso zotsika mtengo. Ntchito zazikulu pochiza matendawa ndi:
- kukonzanso mwachangu kwa kuphwanya kagayidwe kazakudya,
- kuchuluka kwa kulemera kwa thupi,
- kuphunzitsa munthu kuti azikhala ndi matenda otere,
- kupewa komanso kuperekera nthawi yake chithandizo cha zovuta.
Mfundo yoti shuga ndi chizungulire nthawi zambiri "zimayenda kumapazi" zimachitika makamaka chifukwa cha kuperewera kwa chakudya m'thupi. Imalipidwa m'njira ziwiri - chakudya cholimba ndikuwonetsetsa kuti insulin iperekedwa kunja, ndikubayidwa nthawi zonse.
Sungani jakisoni
Munthu amaphunzitsidwa malamulo owonera payekha kuchuluka kwa shuga m'magazi, kudziwitsidwa za zomwe amalimbikitsa, zomwe zimayambitsidwa ndi glucometer omwe alipo. Ndikofunikira kutsatira mosamalitsa malangizo onse a dokotala. Ngati izi sizingachitike, kukula kwa zovuta za matenda ashuga sikungapeweke, zomwe zingayambitse zotsatira zoyipa kwambiri - kuchokera pakufunika kuti muchepetse miyendo mpaka matenda amisala komanso khungu.