Mutha kudabwa ngati mupitirize mankhwala anu a shuga ndi insulini mukadwala ndipo simunadye. Ndikofunika kupitiliza ndi mankhwala anu ndikudziwa nthawi yoyitanira dokotala wanu kukawona ngati regimen yanu iyenera kusinthidwa.
Pamene akudwala chimfine, chimfine, kapena matenda ena alionse, thupi limayikidwa pansi pa zovuta kwambiri kuti athetse matendawa.
Monga gawo la kumenyana ndi matenda, thupi limatulutsa shuga kwambiri ngati glucagon, mahomoni omwe amachititsa shuga m'magazi.
Kwa odwala matenda a shuga, kagawidwe kowonjezera m'magazi kameneka kangapangitse shuga yapamwamba ya shuga. Choncho, nkofunika kupitiliza kumwa mankhwala opatsirana kawirikawiri (kwa mtundu wa shuga 2) ndi insulini (kwa mtundu wa mtundu kapena mtundu wa shuga) pamene mukudwala komanso nthawi zonse kufufuza shuga la magazi kuti muone ngati insulini ndi yofunikira.
Kodi Mipira ya Shuga Iyenera Koyang'aniridwa Bwanji Panthawi ya Matenda?
Magazi a shuga amagazi amatha kusinthasintha kwambiri panthawi ya matenda, kufunikira kufufuza kawirikawiri tsiku lonse, nthawi zambiri monga ora lililonse.
Pamene shuga ya magazi ili pamwamba - pamwamba pa 300 mg / dL - nkofunikanso kuyang'ana ketoni m'magazi kapena mkodzo, womwe ndi mankhwala omwe amachokera ku thupi pogwiritsa ntchito mafuta monga magetsi. Kukhalapo kwa ketoni kumasonyeza kuti munthu ali ndi matenda a shuga a ketoacidosis (DKA), omwe ndi owopsa kwambiri kumanga thupi la asidi m'thupi chifukwa cha shuga yambiri ya magazi.
Anthu omwe ali ndi matenda a shuga a mtundu wa 2 akhoza kukhala ndi matenda oopsa a hyperosmolar (HHS), omwe ndi moyo wowopsya wofanana ndi DKA, kupatula kuti palibe ketoni. Matendawa ndi omwe amachititsa kuti DKA ndi odwala matenda a shuga amtundu 1 mu 30% mpaka 40% aliwonse ndi HHS omwe ali ndi matenda a shuga amtundu wa 32 mpaka 60%.
Momwe Kuwonongeka kwa Chakudya Chokhudzana ndi Matenda Kumakhudza Mipira ya Shuga
Kawirikawiri thupi limadalira kwambiri chakudya chopatsa shuga ku magazi. Kusadya chakudya kwa nthawi yaitali, makamaka pamene mukupitiriza kuchiza matenda a shuga ndi mankhwala a pakamwa kapena / kapena insulini, kungachititse kuti shuga ya magazi ikhale yochepa (hypoglycemia) yomwe imayambitsa zizindikiro monga palpitations, shakiness, njala, chisokonezo, ngakhale kupsinjika ndi kutentha.
Komabe, panthawi ya matenda kapena nkhawa zina, chitetezo cha thupi chimatulutsa mtundu wa shuga ngati chakudya chamagazi chimakula kwambiri. Ndipotu, maseŵera a shuga, komanso chifukwa cha insulini, amakhala oposa masiku odwala popanda chakudya kusiyana ndi masiku ozoloŵera ndi zakudya zowonongeka.
Ngakhale chakudya cholimba sichingatheke, ndikofunika kuti mukhale ndi madzi okwanira kuti muthetse madzi . Ndizothandiza kumwa madzi omwe ali ndi makapu ndi mchere kuti athe kusunga mphamvu ya electrolyte m'thupi. Kusiyana kwa madzi m'thupi ndi kusagwirizana kwa electrolyte kungapangitse asidi ochuluka m'magazi ndi mazira oopsa a shuga. Kutaya madzi m'thupi kumafuna nthawi zambiri kuchipatala ndi mankhwala opatsirana.
Nanga Bwanji Ngati Simungathe Kudya Chakudya?
Nthawi zina matenda amawombera komanso amalephera kusunga zakudya kapena mankhwala.
Ngakhale zingakhale zopweteka kupumula mankhwala olankhula, pakakhala izi, ndikofunika kuti azitenga shuga yapamwamba ya magazi imene imachitika pakadwala, komanso kuti imwanire insulini momwemo, ngakhale matenda ataletsa kudya.
Pamene akulimbana ndi matenda, anthu ambiri omwe ali ndi matenda a shuga amtundu wa 1 amafunika insulini yowonjezereka, pamodzi ndi mlingo womwewo. Mofananamo, anthu omwe ali ndi matenda a shuga a mtundu wa 2 omwe amachiza matendawa mwa kudya ndi kumwa mankhwala am'thupi angafunike insulini yochepa nthawi yomwe akudwala matenda a shuga.
Kodi Ndibwino Kuti Mutha Kugwiritsa Ntchito Mankhwala Osokoneza Bongo?
Kawirikawiri pamene anthu akudwala, amayang'ana mankhwala ochizira matenda osiyanasiyana, monga chifuwa kapena malungo.
Ngakhale mankhwalawa osakonzekera ndi abwino kwa anthu omwe ali ndi shuga, nkofunika kukumbukira kuti akhoza kuthandizira shuga ya magazi ndipo akhoza kuthandizana ndi mankhwala a shuga . Mwachitsanzo, madzi a chifuwa amakhala ndi shuga, zomwe zimayambitsa dzuwa. Maantibayotiki ena amatha kuyanjana ndi mankhwala a shuga a m'kamwa ndipo amachititsa kuti shuga amachepetsa m'magazi.
Ndikofunika kulankhula ndi gulu la chisamaliro cha shuga musanayambe mankhwala ena owonjezera kapena mankhwala osapatsirana kuti mudziwe ngati, ngati zilipo, kusintha kwa matenda a shuga kudzakhala kofunikira.
Pamene Udokotala Ayenera Kufunsidwa
Asanayambe matenda, ndizothandiza kuti pakhale ndondomeko yoyendetsa kagawo m'malo mwa masiku odwala. Zolingazo zimasiyana mochedwa, monga matenda a shuga ndi zinthu zina kusintha pamene akudwala matenda a shuga. Kuonjezera apo, mtundu ndi kuchuluka kwa mankhwala owonjezera omwe amatha kusintha amasiyana ndi kusintha kayendedwe ka kayendedwe ka shuga. Kaya ali odwala kapena bwino, nthawi zonse ndi kofunika kulankhula ndi gulu la chisamaliro cha shuga musanayambe mankhwala alionse kapena mankhwala owonjezera kapena mankhwala owonjezera.
Pa nthawi ya matenda, nkofunika kufotokozera zosiyana siyana ndi gulu la chisamaliro cha shuga, kuphatikizapo zizindikiro - monga kunyozetsa, kusanza, kutsekula m'mimba, kapena malungo - kuchuluka kwa insulini, chakudya ndi madzi, kudya kwa mtima, kupuma kwa mpweya, ndi zolemera thupi tsopano. Izi zimathandiza othandizira azaumoyo kulangiza odwala momwe angagwiritsire ntchito shuga zawo zamagazi ndi zizindikiro zina panthawi ya matenda ndi cholinga choletsa kutaya madzi m'thupi ndi chitukuko choopsa cha hyperglycemia, DKA, kapena HHS.
Zotsatira:
Association of American Diabetes Association. "Lembani Chidziwitso: Hyperglycemic Crisis in Shuga." Chisamaliro cha shuga (2004) 27 (Suppl 1): S94-S102. 16 Nov. 2007. http://care.diabetesjournals.org/cgi/content/full/27/suppl_1/s94
"Pamene Mudwala." Diabetes.org. Association of American Diabetes Association. 15 Nov. 2007. http://diabetes.org/pre-diabetes/when-you're-sick.jsp
Kitabchi, Abbas E. ndi Haleh Haerian. "Epidemiology ndi Pathogenesis ya matenda a shuga Ketoacidosis ndi Hyperosmolar Hyperglycemic State." UpToDate.com 2007. UpToDate. 16 Nov. 2007 (kulembetsa).
McCulloch, David K. "Zitsanzo Zophatikiza Mankhwala Opatsirana Mwachangu M'malo Ovuta Kwambiri." UpToDate.com 2007. UpToDate. 15 Nov. 2007.