Pezani Malangizo Othandizira Madokotala Anu Kufufuza ndi Kutenga Mtundu Wachiwiri wa shuga
Matenda a shuga ndi matenda omwe amakhudza pafupifupi anthu 347 miliyoni padziko lonse lapansi. Bungwe la American Diabetes Association linalengeza kuti anthu okwana 29.1 miliyoni ku United States (9.3%) ali ndi shuga (ambiri amakhala mtundu wa 2), 86 miliyoni ali ndi matenda a shuga, ndipo anthu okwana 8.1 miliyoni salinso osadziwika. Poyesera kupeza ndi kuchiza matenda a shuga a mtundu wa 2 moyenera, nkofunika kumvetsetsa chiwopsezo chanu ndi kukhala wogwira mtima.
Ngati ndinu munthu amene ali ndi matenda a shuga tsiku ndi tsiku, ndikofunika kwambiri kuti mumvetse momwe mungayendetsere chifukwa ndinu ofunika kwambiri pa gulu lanu la chisamaliro. Ganizirani kupereka dokotala wanu zambiri zomwe zingatheke, ndipo musachite manyazi pofunsa mafunso. Kwenikweni, kufunsa mafunso ndi zomwe nthawi zambiri zimatsogolera madokotala kuti apeze matendawa ndi kuwathandiza pakupanga ndondomeko yothandizira. Kawirikawiri, mtundu wa shuga wa mtundu wa 2 sunayankhidwe kapena umasamalidwa bwino popanda iwe ngakhale kudziwa. Kukhala wodwala wodziwa bwino kungakhale kophweka ngati mukudziwa zomwe mukuyang'ana.
Dziwani Numeri Yanu
Ngati adokotala akuti, "Muli ndi shuga, koma musadandaule," musayankhe yankho limenelo. Afunseni kuti afotokoze zambiri. Matenda a shuga akhoza kutetezedwa ngati agwidwa msanga. Ngati muli ndi mbiri ya banja la mtundu wa shuga wa mtundu wa 2, ali ndi zaka zoposa 40, ali ochepa kwambiri kapena ali ndi matenda ena monga matenda a mtima, dokotala wanu akhoza kuyesa mayeso otchedwa Hemoglobin A1 C.
Uku ndi kuyezetsa magazi komwe kumagwiritsidwa ntchito kutanthauzira momwe thupi lanu likugwiritsira ntchito shuga. Zotsatirazi zingagwiritsidwe ntchito poyeza shuga komanso kusamalitsa shuga.
Kwa miyezi itatu, shuga kapena shuga zimadzigwirizanitsa ndi maselo ofiira a magazi ndipo maselowo amafa. A1C imatiwonetsa usana wa miyezi itatu ya shuga.
Ngati A1C yanu ikuwonetseratu mtundu wa prediabetes (5.7-6.4%), mukhoza kuteteza kapena kuchepetsa shuga ndi zakudya, zolimbitsa thupi, ndi kuchepa kwa thupi.
Izi zingakhale zovuta kwambiri kuti mudziwe. Ngati muli ndi matenda a shuga, inunso mukufuna kudziwa A1C yanu chifukwa idzawonetsani, pafupifupi, kuti shuga yanu ili ndi maola 24 pa tsiku pa miyezi ingapo.
Kafukufuku wasonyeza kuti anthu omwe ali ndi matenda a shuga sangakhale ndi zovuta zazing'ono za maso ndi impso ngati amasunga magulu awo a shuga. Bungwe la American Diabetes Association limalimbikitsa kuti mupite kukwaniritsa A1C zosakwana 7%, pamene American Association of Clinical Endocrinologists ikusonyeza 6.5% kapena m'munsi.
Dziwani Mankhwala Anu
Ndimaziwona mobwerezabwereza - odwala ali ndi mndandanda wa mankhwala ndipo samadziwa zomwe amachita komanso momwe amagwirira ntchito. Izi zingakhale zovuta chifukwa ngati mankhwala samatengedwa molondola, sagwira ntchito. Ngati mukumwa mankhwala, funsani ophunzira. Mukufuna kudziwa zomwe mukuzitenga, momwe mukuyenera kuwatengera ndi zomwe akuchita.
Mwachitsanzo, ngati mukugwiritsa ntchito mankhwala monga sulfonylurea (kalasi ya matenda a shuga amene amauza kuti mapasitasi apange insulini) ndipo mutenge popanda kudya, pewani kapena kuchepetsa chakudya, shuga wanu wamagazi akhoza kutsika kapena kupita pansi.
Zingatenge nthawi kuti muzindikire kuti njira yabwino yachipatala ndi yani, koma izi ndi zabwino. Musazengereze kufunsa dokotala wanu kapena Wodziwika kuti Diabetes Educator kuti afotokozereni mankhwala anu kwa inu.
Dziwani Malo Anu Othandiza
Kusamalira udindo wanu kungakhale kovuta, koma ngati muli ndi matenda a shuga, pali mitundu yina ya akatswiri azachipatala omwe ndi ofunika kukhala nawo mu intaneti. Mwachitsanzo, aliyense amene ali ndi matenda a shuga opitirira zaka makumi atatu ayenera kukhala ndi kuyesedwa maso kwa maso ndi ophthalmologist kamodzi pachaka. A dietitian olembedwera, RD, angakuthandizeni kupanga mapulani ndondomeko imene ikuthandizani zosowa zanu.
Othandizira ena omwe mungafunike kuwawona akuphatikizapo podiatrist, cardiologist, endocrinologist, kapena dokotala wamkulu. Lembani dokotala wanu ngati muli ndi vuto lililonse kapena mukufuna kuthandizidwa kupeza katswiri.
Dziwani Thupi Lanu
Ngati mukuvutika kapena kupweteka, yesetsani kusiya zizindikiro. Ndikofunika kumvetsera thupi lanu kuti mutenge zofunikira kuti muteteze nkhani zazikulu. Matenda a shuga ndi matenda otheka, koma ngati mumanyalanyaza zizindikiro za mavuto aakulu kwambiri angayambe. Tawonani kudula komwe sikuli kuchiritsa, kumakhala ndi ululu wa m'mapazi kapena kudzuka pakati pa usiku kuti ugwire, kuyesedwa ndi dokotala wanu.
Zotsatira
Association of American Diabetes Association. Ziwerengero Zokhudza Shuga. http://www.diabetes.org/diabetes-basics/statistics/?referrer=https://www.google.com/
Association of American Diabetes Association. A1C yeseso. Ipezeka pa: http://www.diabetes.org/living-with-diabetes/treatment-and-care/blood-glucose-control/a1c/.
Katznelson L, Atkinson JLD, Cook DM, Ezzat SZ, Hamrahian AH, Miller KK. Msonkhano wa America wa Clinic Endocrinologists malangizo a zachipatala kuti azitha kuchipatala ndi matenda a acromgaly-2011. Chitetezo cha Endocrine . 2011; 17 (4). Ipezeka pa: https: //www.aace.com/sites/default/files/AcromegalyGuidelines.pdf.
National Clearinghouse Clearinghouse. DCCT ndi EDIC: Kuteteza kwa shuga ndi Zovuta Kuyesa ndi Kuphunzira Phunziro. Ipezeka pa: http: //diabetes.niddk.nih.gov/dm/pubs/control/#DCCT.