Arthritis Amakhudza Za theka la Anthu Odwala Matenda a Shuga
Nyamakazi imakhudza anthu pafupifupi 50% a shuga . Anthu omwe ali ndi shuga amakhala ndi chiopsezo kawiri kaamba ka nyamakazi poyerekeza ndi omwe alibe shuga. Izi ndi ziwerengero zazikulu chifukwa nyamakazi ikhoza kukhala cholepheretsa kuchita masewera olimbitsa thupi omwe angathe kupindulitsa zonsezi. Malingana ndi Centers for Disease Control and Prevention (CDC), pafupifupi gawo limodzi mwa atatu mwa onse omwe ali ndi matenda a shuga ndi shuga kawirikawiri kapena samachita masewera olimbitsa thupi.
Komanso, akuluakulu omwe ali ndi zikhalidwe zonsezi anali 30% owonjezera kuti sangathe kugwira ntchito kuposa omwe ali ndi shuga okha.
Matenda a Matenda a Nyamakazi, Matenda a Osteoarthritis, ndi Matenda a Shuga
Matenda a nyamakazi ndi osteoarthritis onsewa amagwirizana ndi matenda a shuga, koma m'njira zosiyanasiyana:
- Mtundu wa shuga woyamba (womwe umatchedwanso kuti mwana wa shuga) umatchulidwa kuti ndi matenda okhaokha , monga matenda a nyamakazi. Kwa odwala omwe ali ndi matenda a shuga a mtundu wa 1, thupi limapha shuga ndipo sizingathe kupanga insulini yokwanira. Mu mitsempha ya nyamakazi, nyamakazi ya synovial (mwachitsanzo, kuikapo ziwalo) - ndipo nthawi zina, ziwalo - zimayesedwa ndi thupi. Matenda a nyamakazi ndi matenda a systemic . Zizindikiro zotupa zimakwera kwambiri kwa odwala omwe ali ndi matenda a shuga a mtundu wa 1, komanso odwala matenda a nyamakazi.
- Pali mgwirizano pakati pa mafupa a osteoarthritis ndi mtundu wa shuga 2 (wotchedwanso munthu wamkulu wamkulu wa shuga). Malinga ndi bungwe la American Diabetes Association, mtundu wa shuga 2 ndi mtundu wambiri wa matendawa. Ndi mtundu wa shuga wachiwiri, thupi siligwiritsa ntchito insulini moyenera - yotchedwa insulini kukana. Poyamba, ziphuphu zimapereka insulini yowonjezera kuti ikhale yowonjezera. Potsirizira pake, ziphuphu sizingathe kupanga insulini yokwanira kuti zikhale ndi magawo abwino a shuga. Zowonongeka m'magulu awiri a osteoarthritis ndi mtundu wa shuga 2? Kunenepa kwambiri. Monga momwe kunenepa kwambiri ndi kunenepa kwambiri zimadziwika kuti zimadula malipiro, zimadwalanso ziwalo. Mphukira imakakamizika kubweretsa insulini yochulukirapo kuti iwononge shuga wambiri. Mankhwala opweteka amatulutsidwa ndi maselo olemera. Panthawi inayake, thupi silingathe kulamulira zomwe sizili bwino.
Zotsatira za kafukufuku zanena kuti kutupa ndi kuteteza insulini zimagwirizana kapena zokhudzana - ndipo zonsezi zimagwirizanitsidwa ndi matenda a mtima, nayonso. Mankhwala omwe amagwiritsidwa ntchito kuchepetsa kutupa, monga DMARD (matenda osinthira anti-rheumatic drugs) ndi TNF blockers , angachepetse chiopsezo cha mtundu wa shuga wa mtundu 2 kwa anthu omwe ali ndi nyamakazi.
Kuwonjezera maphunziro akufunika.
Kafukufuku, wofalitsidwa mu Chithandizo cha Clinical and Experimental Rheumatology mu Januari-February 2015, adafufuza zotsatira za maphunziro khumi ndi atatu omwe anawongolera. Chotsatira cha kufotokozera mchere ndikuti nyamakazi ya nyamakazi imapangitsa chiopsezo cha mtundu wa 1 ndi mtundu wa shuga 2. Apanso, pali kufufuza kochuluka.
Zimene Mukuyenera Kuchita
Mwachiwonekere, kuti muteteze zikhalidwe ziwirizi, kukhala ndi kulemera kwanu n'kofunikira, monga momwe ntchito yowonongeka nthawi zonse. Kuchita masewera olimbitsa thupi kumathandizira kuti thupi likhale lothandizira komanso limapangitsa kuti pakhale kulekerera. CDC imalimbikitsa kuti anthu omwe ali ndi zikhalidwe zonsezi ayenera kutenga nawo mbali pulogalamu ya maphunziro oyendetsa okha ndi mapulogalamu ochita masewera olimbitsa thupi. Lembani mutu wanu wa Arthritis Foundation kuti muwone zomwe zili m'deralo.
Zotsatira:
Chifuwa chachikulu ndi Osteoarthritis ndi shuga. Arthritis Foundation. Inapezeka pa 7/9/2015.
http://www.arthritis.org/living-with-arthritis/comorbidities/diabetes-and-arthritis/rheumatoid-arthritis-vs-osteoarthritis-diabetes.php
Chiyanjano pakati pa matenda ochiza matenda a antirheumatic ndi matenda a shuga kwa odwala nyamakazi ndi psoriasis. Solomon DH. JAMA. 2011 Jun 22; 305 (24): 2525-31.
http://www.ncbi.nlm.nih.gov/pubmed/21693740
Kuopsa kwa shuga pakati pa odwala matenda a nyamakazi, nyamakazi ya psoriatic ndi psoriasis. Solomon DH. Annals wa Rheumatic Diseases. 2010; 69: 2114-2117.
http://ard.bmj.com/content/69/12/2114.abstract
Matenda a shuga amachititsa kuti pakhale matenda a nyamakazi. Jiang P. Clinical ndi Experimental Rheumatology. 2015 (Vol.33).
http://www.clinexprheumatol.org/abstract.asp?a=8171
Arthritis ndi Shuga. Maofesi a Kuletsa ndi Kuteteza Matenda. October 23, 2013.
http://www.cdc.gov/arthritis/data_statistics/comorbidities-diabetes.htm