Tikudziwa kuti kusuta n'koipa kwa aliyense, koma ndizovuta kwa anthu omwe ali ndi shuga . Kodi zingayambitse matenda a shuga? Pali umboni wakuti kusuta kumayambitsa matenda a shuga ku anthu onse omwe ali ndi shuga komanso osakhulupirira. CDC imati anthu osuta fodya ali ndi 30-40% omwe amatha kukhala ndi matenda a shuga a mtundu wa 2 kusiyana ndi osasuta, ndipo fodya wosuta fodya imabweretsa ngozi.
Mavuto amachititsa kuti mumasuta kwambiri. Osati kokha koma ngati mutasuta, mumakhala ndi zovuta kuti mupeze mlingo wanu wa insulini molondola ndi kulamulira shuga lanu la magazi.
Kusuta Fodya kwa Aliyense
Anthu omwe amasuta fodya, kapena omwe amatha kusuta fodya, amatha kukhala ndi chiopsezo chachikulu cha matenda a mtima, khansara yamapapo, komanso khansa ya mutu ndi khosi kusiyana ndi anthu ambiri. Mavuto okhudzana ndi kusuta amayamba ndi kuthamanga kwa magazi, matenda a mtima, cholesterol, komanso peripheral vascular disease (claudication).
Ngozi za Kusuta Zimadziwika kwa Anthu Amene Ali ndi Matenda a Shuga
Omwe amasuta matenda a shuga amakhala ndi mavuto aakulu, kuphatikizapo matenda a mtima ndi a impso, matenda omwe amachititsa kuti asatengeke, matenda omwe amachititsa kuti munthu akhungu , komanso matenda a ubongo omwe amachititsa kuti asatengeke.
A Nurses 'Health Study, omwe apereka zidziŵitso zambiri zamtengo wapatali pa nkhani za umoyo wa amayi ndi za moyo, adasonyeza kuti amayi omwe ali ndi shuga omwe amasuta ali ndi chiopsezo chachikulu cha imfa poyerekeza ndi amayi a shuga omwe samasuta.
Osuta fodya ali ndi shuga yoopsa kwambiri (shuga wambiri) kusiyana ndi osasuta, ngakhale kukhala odziwunika bwino. Shuga yambiri yamagazi imathandiza kuti pakhale mavuto ena ambiri azaumoyo.
Pazifukwa zabwino, kafukufuku wasonyeza kuti ubwino wathanzi kwa anthu omwe ali ndi shuga amene amasiya kusuta amayamba pomwepo.
Zopindulitsa izi zikupitirira kuwonjezeka ndi kutalika kwa nthawi munthu amakhalabe utsi wopanda. Ponena za kusokonezeka kwa mtima chifukwa cha kusuta, zaka 10 mutatha kusiya, zoopsa zomwe poyamba zimasuta zimakhala zofanana ndi za anthu osasuta.
Kugwirizana pakati pa Kusuta ndi Matenda a shuga
Kusuta kumabweretsa kuwonjezeka kwa albuminuria (mapuloteni a magazi mu mkodzo), zomwe zimayambitsa matenda osokoneza bongo (impso) komanso chiopsezo chachikulu cha matenda a nthendayi omwe amafunikira dialysis, komanso amachepetsa kupulumuka poyerekeza ndi odwala dialysis omwe sali kusuta.
Anthu omwe ali ndi matenda a shuga omwe amasuta amapezeka mochuluka kuposa omwe samasuta kuti adziwe kutaya maganizo (kuwonongeka kwa maso) ndi matenda a ubongo (kuwonongeka kwa mitsempha). Nthenda ya ubongo ingayambitse ngozi yowonongeka, makamaka ku mapazi. Pamene kuvulala kwa phazi kumachitika, kuchiritsidwa kwake kungakhale kovuta ndi kuchepa kwa magazi ndi mpweya wabwino mpaka kumapeto omwe amachokera ku shuga ndi kusuta. Izi zingachititse mabala omwe samachiza, omwe angayambitse matenda. Pa milandu yoopsa kwambiri, matendawa amatha kuwonongeka bwino kapena kutha.
Ngozi za Fodya wosasuta mu shuga
Fodya wopanda fodya imaphatikizapo fodya ndi kutafuna fodya.
Ngakhale kuti kafukufuku sanawonetseke vuto lililonse lomwe liripo pakati pa fodya wosasuta ndi matenda a mtima ndi / kapena shuga, fodya wosuta fodya amadziwika bwino chifukwa cha khansa ya mutu ndi khosi, komanso zilonda zina zosadziwika pakamwa.
Ogwiritsa ntchito fodya osasuta ali ndi matenda aakulu a shuga, ndipo fodya wosuta fodya wakhala akugwiritsidwa ntchito ndi insulini kukana anthu omwe ali ndi shuga. Kuwonjezera pamenepo, chikonga cha fodya chosuta fodya chimayambitsa kukwera kwa magazi, zomwe zimabweretsa chiopsezo chokumana ndi matenda a shuga. Fodya yopanda fodya imayambitsa chiopsezo cha zilonda za m'kamwa ndipo zotsatira zake zimakhala zoopsa.
Zimatchulidwa bwino kuti anthu omwe ali ndi shuga amakhala pachiopsezo chotenga kachilombo kawirikawiri, ndipo chisoni chachikulu chimapangitsa kuti pakhale ngozi.
Thandizo kwa Osuta Fodya Amene Akufuna Kusiya
Phunziro limodzi la anthu odwala matenda a shuga omwe amasuta fodya anapeza kuti kusuta fodya kumapeto kwa anthu omwe amatha kusuta fodya ndi maofesiwa kunachititsa kuti kusuta fodya kukhale 17%, kupitirira kusiyana kwa kutha kwachisamaliro popanda kusamalira ana.
Kupita "kutentha kozizira," mwa kuyankhula kwina, kusuta fodya tsiku lomwelo, kawirikawiri amalangizidwa pang'onopang'ono kudula nambala ya fodya kusuta patsiku. Nthawi zambiri anthu amakhala ndi zizindikiro zambiri za kuchotsa njere ndi kupopera pang'ono, zomwe nthawi zina zimawabweretsa.
Zotsatira ndi Njira Zina Zogwiritsira Ntchito
Kusuta ndiko khalidwe labwino chifukwa ndiloledzera. Anthu omwe amasuta angapeze kuti kugwiritsa ntchito mankhwala a chikonga m'malo mwake - monga chigamba, chingamu, lozenges, nasal spray kapena inhaler - angawathandize kuthana ndi makhalidwe osuta fodya popanda zotsatira za kuchotsa njoka. Pomwe khalidwe la kusuta limayendetsedwa, anthu amatha kulekerera zotsatira zosiya kubwerera kusiya ndudu.
Njira zina zamagetsi zomwe zingathandize osuta zimasiya Zyban (bupropion) ndi Chantix (varenicline). Poyamba ankagulitsidwa ngati wodwala matenda, Zyban anapeza kuti amathandiza anthu osuta fodya kuyesa kusiya. Ili ndi mawonekedwe omasulidwa olamulidwa ndipo tsopano akugulitsidwa makamaka kwa kusuta fodya.
Chantix imatseka nicotine receptors mu mitsempha ya mitsempha ndipo yatsimikiziridwa kuthandiza anthu kusiya kusuta. Ndikoyenera kuti odwala atenge chantix kwa milungu ingapo asanasiye fodya, poganiza kuti sadzaphonya chikonga, pokhala ndi ovomerezeka a nicotine mu dongosolo la mitsempha atatsekedwa kwa kanthawi.
Panthawiyi, mankhwala ena kuphatikizapo mankhwala odana ndi anti-seizure akufufuzidwa, koma pali deta pang'ono kapena ayi kuti athe kuthandizira kuthandizira kusuta fodya. Pakalipano, makampani opanga mankhwala akuyesetsa kupanga mankhwala atsopano othandiza omwe akufuna kusiya kusuta.
Mankhwalawa amagwiritsidwa ntchito kwambiri kuti athetse kusuta fodya. Ngakhale kuti maphunzirowa sapereka umboni wakuti njirazi zimathandizira anthu kusiya kusuta pa se, akatswiri amakhulupirira kuti iwo omwe amayesa mankhwalawa angapereke ndalama zambiri kuti asiye kusuta fodya. Choncho, njirazi zingakhale zolimbikitsa.
Zoopsa za kugwiritsira ntchito fodya m'njira iliyonse zakhazikitsidwa bwino. Kaya mukudwala matenda a shuga kapena ayi, kusiya kusuta ndiko kusintha kwa moyo kuti mukhale ndi thanzi labwino.
Zotsatira:
Dipatimenti ya Zaumoyo ya Ukhondo ku United States. Zotsatira Zaumoyo za Kusuta-Zaka 50 Zapita patsogolo: Lipoti la Dokotala Wamkulu. Atlanta: US Department of Health and Human Services, Maofesi a Kuletsa ndi Kuteteza Matenda, National Center for Preventional Disease Prevention and Health Promotion, Office of Smoking and Health, 2014.
Dipatimenti ya Zaumoyo ya Ukhondo ku United States. Lipoti la Doctor General. Momwe Utsi wa Fodya Amayambitsa Matenda: Kodi Umatanthauza Chiyani? Atlanta: US Department of Health and Human Services, Zomwe Zilikulu Zokhudza Kuletsa ndi Kupewa Matenda, National Center for Prevention and Prevention of Health, Office of Smoking and Health, 2010.
Östenson CG, Hilding A, Grill V, Efendic S. "Kugwiritsa ntchito kwambiri fodya wosasuta (" snus ") kunaneneratu kuwonjezera chiopsezo cha mtundu wa shuga wa shuga m'zaka 10 zomwe angaphunzire za amuna a ku Sweden apakatikati." Scand J Zaumoyo Zamtundu. 2012 Dec; 40 (8): 730-7. lembani: 10.1177 / 1403494812459814. Epub 2012 Oct 31.