Zotsatira za Mwazi Waukulu wa Magazi pa COPD
Kafukufuku amatiuza kuti pafupifupi 15 peresenti ya odwala onse omwe ali ndi matenda osokoneza bongo kapena a COPD omwe amaloledwa kupita kuchipatala ali ndi matenda a shuga , koma kodi izi zikutanthauza kuti kukhala ndi COPD kumakuika pachiopsezo chachikulu cha shuga? Kapena, kodi kukhalapo kwa zikhalidwezi m'malo mwake kumakhudzana ndi chiopsezo chofanana, monga kusuta ndi kutupa?
Kodi izi zimakhudza bwanji vuto linalake ndi chiyani chomwe mukufuna kudziwa ngati muli ndi COPD ndi shuga?
Kutupa, COPD, ndi shuga
Pali mitundu iŵiri ya kutupa-kovuta komanso kosalekeza. Kutupa kwakukulu ndikumvetsera kwa nthawi yayitali ku chitetezo chadzidzidzi. Ngati mutadula chala chanu, mwachitsanzo, tsiku lotsatira mwina zidzakhala zofiira komanso zotupa. Iyi ndi uthenga wabwino chifukwa zimatanthauza kupweteka kwamtunduwu komwe kwatuluka mkati, kutulutsa mankhwala ochuluka omwe amachititsa kuti asamenyane ndi anthu achilendo omwe angapangidwe mu thupi lanu ndi kudula pa chala chanu. Kuyankha kotupa kumachitika mu magawo osiyanasiyana, ndi zotsatira zomaliza kukhala machiritso (mwa munthu wina wathanzi.)
Kutupa kwanthawi yaitali kumachitika pamene kuvulala sikungatseke ndipo chitetezo cha mthupi chimapitiriza kutulutsa mankhwala opweteka. Nthawi zambiri zimakhala chifukwa cha zinthu zina zomwe zimapangitsa munthu kukhala ndi moyo, nkhawa, kusachita masewera olimbitsa thupi, komanso zakudya zopanda phindu. Izi zimachititsa kuti kutupa kuchitike ngakhale kuti sikofunikira ndipo kungakhale kovulaza.
Zikuwonekeratu kuti kutupa kosatha ndiko chifukwa cha matenda ambiri, kuphatikizapo COPD ndi shuga.
Zimene Kafukufuku Amanena Zokhudza COPD ndi Matenda a Shuga
Ngakhale mutakhala ndi mwayi waukulu wodwala shuga ngati muli ndi COPD, palibe deta yomwe ikuyembekezeredwa kuti anthu omwe ali ndi COPD ali ndi chiopsezo chachikulu cha matenda a shuga.
Ndipotu, nkhani yomwe inafalitsidwa mu nyuzipepala ya Thorax imati pali kuchepa kwa shuga kwa okalamba omwe ali ndi COPD. Ngati shuga ikugwirizana ndi COPD, zotsatira zowopsa kwambiri zimawoneka mwa odwala kwambiri a COPD omwe amasuta ndi omwe ali pakati pa 45-55 omwe sanasute fodya.
Matenda a shuga amaoneka kuti akuipiraipirabe kukula ndi kufalikira kwa COPD. Izi zikhoza kukhala chifukwa matenda a shuga amachulukitsa chiwopsezo ku matenda, monga okhudzidwa ndi kuchuluka kwa COPD.
Zotsatira za Mwazi Waukulu wa Magazi pa COPD
Kafukufuku wasonyeza kuti hyperglycemia (shuga yapamwamba yamagazi) imagwirizanitsidwa ndi kuphulika kwa mapapo. Kafukufuku wina anasonyeza kuti matenda a shuga anali ogwirizana ndi FEV1 ndi FVC, gulu lomwe linaipitsidwa kwambiri ndi kusuta. Phunziro lomweli linapeza kuti kuwonjezeka kwa kudya shuga wa magazi kunkagwirizana ndi kuchepa kwa FEV1.
Chifukwa chiyani shuga ndi shuga yambiri ya magazi imakhudza mapapo? Maulendo omwe angakhalepo ndi awa:
- Kuwonjezeka kwa chiwerengero cha mthupi (BMI)
- Kutaya kwa kupuma kwa mpweya (mphamvu ya mapapo kuti iwonongeke) yogwirizana ndi shuga
- Kuwonongeka kwa dongosolo lamanjenje ( matenda a shuga a m'magazi )
- Zofooka zofooka zofooka
Msuzi wa shuga wambiri umagwirizananso ndi zotsatira zosavuta kuzipatala chifukwa cha kuchulukitsidwa kwa COPD , zomwe zimabweretsa ku chipatala chokwanira komanso kufa msanga.
Kodi Kusuta Kumapangitsa Mmene Matendawa Amakhudzira Matendawa?
Kwa anthu omwe amasuta, zotsatira zovuta za matenda a shuga pamapapo zimakhala zazikulu kwambiri. Odwala matenda a shuga omwe amasuta angachepetse zotsatira zokhudzana ndi kusuta mwa kusunga shuga wokwanira wa magazi komanso kuchepetsa mavuto omwe amachititsa kuti pang'onopang'ono kuchepa, monga kusuta kapena kusuta fodya.
Kodi Chingawathandize Bwanji Magazi Anu Shuga ndi COPD?
Ndi chiyani chinanso chimene mungachite kuti muthetse matenda a shuga ndi COPD? Tiyeni tione:
- Choyamba, chokani kusiya kusuta pogwiritsa ntchito mitundu yosiyanasiyana ya kusuta fodya ndi katundu.
- Yambani pulogalamu ya kukonzanso mapulaneti kapena gulu lina lochita masewera olimbitsa thupi, lomwe silidzakuthandizani kotheratu ndi shuga la magazi koma potsogolera zizindikiro za COPD . Udindo wa zochita zochepa mpaka zochepa pazochitika zonsezi sizingatheke. Ngakhale kulima kangapo mlungu uliwonse kumatha kusintha zinthu zonsezi. Izi zikuti, kuchita masewera olimbitsa thupi tsiku ndi tsiku kumalimbikitsa phindu lalikulu.
- Gwiritsani ntchito mankhwala anu olembedwa ndi dokotala wanu, kaya muli ndi shuga, COPD, kapena onse awiri. Kafukufuku amatiuza kuti kudumpha mankhwala (kapena kuthamanga kwapambuyo) kungawathandize kukhala osauka ndi zonsezi. Pezani njira zowonetsetsa kuti simukuphonya mankhwala anu, kaya zikutanthauza kugwiritsa ntchito kalendala kapena mapiritsi. Kuonjezerapo, ngati mtengo uli wovuta, yang'anani mapulogalamu ambiri opindula mankhwala omwe amapereka mankhwala pa mtengo wotsika.
Ndi liti pamene muyenera kuonana ndi dokotala pa shuga?
Ngati muli ndi shuga, onetsetsani kuti mukudziwa zizindikiro za hypoglycemia (shuga wotsika magazi) ndi hyperglycemia. Ngati mutakumana ndi zizindikiro izi, kambiranani ndi wothandizira zaumoyo mwamsanga.
COPD, shuga ndi khansa ya m'mimba
Zikudziwika bwino kuti COPD ndizoopsa payekha pa khansa yamapapo . Komabe, zifukwa zosatsimikizika, zikuganiziridwa kuti pakati pa anthu omwe ali ndi COPD, matenda a shuga a mtundu wa II akhoza kukhala ndi chitetezo chotsutsana ndi chitukuko cha khansa ya m'mapapo, ndi anthu ochepa omwe ali ndi COPD yomwe ilipo ndi matenda a shuga omwe amayamba khansa ya m'mapapo kusiyana ndi omwe ali ndi COPD okha. Izi sizikutanthauza kuti ndibwino kuti mukhale ndi matenda a shuga ngati muli ndi COPD, koma mukhoza kutonthoza kwa omwe akukumana ndi izi.
Pansi pa COPD ndi shuga
Pakalipano, sitikudziwa bwino momwe COPD ndi shuga zimagwirizanirana kapena momwe zimakhudzirana, ngakhale zikuwoneka kuti kutupa ndilo chinthu chachikulu pazochitika zonsezi. Mwamwayi, ndondomeko zomwe zatengedwa kuti mupititse patsogolo COPD yanu zingathandize matenda anu a shuga, komanso mosiyana. Zikutheka kuti izi zowonjezera zowonjezereka zidzathandizanso kuti zinthu zina zikhale zogwirizana ndi kutupa kuchokera ku matenda a mtima kupita ku khansa.
> Zotsatira:
> Glaser, S., Kruger, S., Merkel, M., Bramlage, P., ndi F. Herth. Matenda Ovuta Kulimbana ndi Matenda a Shuga ndi Matenda a Shuga Mellitus: Kusanthula Mwatsatanetsatane za Mabuku. Kupuma . 2015. 89 (3): 253-64.
> Herth, F., Bramlage, P., ndi D Muller-Wieland. Zomwe Zilipo Panopa pa Zopereka za Corticosteroids Zowonongeka kwa Kuopsa Kwambiri kwa Shuga Koyamba ndi Kukula kwa Odwala Amene Ali ndi Matenda Opatsirana Odwala Matenda Opatsirana Odwala. Kupuma . 2015. 89 (1): 66-75.
> Shen, T., Chung, W., Lin, C. ndi al. Kodi Matenda Opatsirana Odwala Matenda Opanda Matenda Aliwonse Kapena Alibe Mtundu Wachiwiri 2 Matenda a shuga Mellitus Amakhudza Vuto la Khansa Yam'mimba? Zotsatira kuchokera ku Phunziro la Ophunzira-Co Based Based Cohort. PLoS One . 2014. 9 (5): e98290.