Kuru >> Nharaunda >> Mawaniro andakaita chirwere chakakodzera cheshuga — uye ndakadzidza kurarama nacho

Mawaniro andakaita chirwere chakakodzera cheshuga — uye ndakadzidza kurarama nacho

Nharaunda

Handina kushamisika pandakaonekwa kuti ndine Type 2 chirwere cheshuga makore makumi maviri apfuura. Wese munhu wandaiziva kudivi rababa vangu vemhuri vaive nechirwere ichi, uye ini zvechokwadi ndakasangana nemutowo wemuviri: zera repakati uye kufutisa zvishoma.

Chakanditumira kwachiremba pakutanga kwaive hutachiona hwembiriso hwaisazopera, uye pakatsanya glucose ropa rangu rakadzoka pa280, chiremba wangu akabva andiisa pamhando mbiri dzemishonga yekudzikisa yangu glucose mazinga .

Ndeapi marudzi akasiyana eshuga?

Kana vanhu vachitaura nezvechirwere cheshuga, ivo vanenge vachitaura nezvechirwere cheshuga, anodaro Rajnish Jaiswal, MD, mukuru wezve emergency emergency paMetropolitan Hospital Center muNew York City. Insulin-inotarisana neshuga mellitus (IDDM), kana Type 1 chirwere cheshuga, ndipo kana muviri usinga gadzire chero insulin zvachose. Uye isiri-insulin inotarisana neshuga mellitus (NIDDM), kana Type 2 chirwere cheshuga — inova ndiyo inonyanya kuzivikanwa mhando 85% kusvika 90% yezviitiko zvese -Inoratidzirwa ne insulin kudzivisa pane kushomeka kwe insulin.

Prediabetes ine mashuga eropa akakwirira kupfuura avhareji asi kwete akakwana zvakakwana kuti chirwere cheshuga mellitus kuongororwa, sekureva kwe American Chirwere cheshuga Association .

Kunyange ichizivikanwa zvishoma, gestational chirwere cheshuga chinoitika panguva yekuzvitakura. Nepo murwere ropa rerukosi glucose richiwanzo dzokera pane zvakajairwa mushure mekuzvara, zvakakosha kuti uzive kuti vakadzi vane gestational chirwere cheshuga vari pangozi yakanyanya yekukudziridza Type 2 chirwere cheshuga gare gare muhupenyu.

Zvinoenderana ne Nzvimbo dzekudzivirira nekudzivirira hosha (CDC), chirwere cheshuga chinogona kusanganisira chirwere chemoyo, chirwere chemwoyo, chirwere cheitsvo, kukuvara kwetsinga, kukuvara kwetsoka, matambudziko ehutano hwemuromo, kurasikirwa kwekunzwa, kurasikirwa kwemaonero, uye matambudziko ehutano hwepfungwa. Neraki, mazhinji acho anogona kudzivirirwa neakanaka maratidziro ehupenyu (senge kudya zvine hutano uye kugara uchiita maekisesaizi kuita kuti uremu huve neutano) pamwe nemushonga weshuga senge insulin kurapwa.

Chirwere cheshuga changu

Ini ndinogona kungofungidzira kuti kuongororwa kwangu kwekutanga kwakavakirwa pazera rangu, nhoroondo yemhuri, uye hunhu. Ndakanga ndisina kuvimbiswa panguva iyoyo , uye dhipatimendi rezvehutano remunharaunda rakaita ongororo yeglucose yeropa, ndokundiendesa kune chiremba wemuno. Hanzvadzi yangu ane Type 1 chirwere cheshuga uye anotambura kuti achengete mwero wake weropa glucose wakadzikama. Ndakaziva kuti ndaisada kuti kuongororwa. Ndakazorodzwa pandakabuda muhofisi yakanyorwa netype 2 yeshuga.

Kana munhu akaonda mutete uye achiratidzika kunge ane hutano, asi achiratidza zviratidzo zvakakomba pakuongororwa (kushaya mvura, weti kuwanda, kurasikirwa kwakanyanya uremu) murwere anowanzo pfuura nekuyedza kuongororwa kwekutanga, sekutaura kwaStephanie Redmond, Pharm.D., Mubatanidzwa -muvambi weshugadoctor.com.

Nekudaro, kana murwere akafutisa uye ari munhu mukuru, anoenderera mberi Dr. Redmond, mumwe anogona kungotora Rudzi rwechipiri otanga avaedza Metformin kana mimwe mishonga yemumuromo kuti uone kana vachipindura. Kana vakasadaro, vanobva vakumbirwa kuti vapedzise kuyedza. Kana murwere akura kupfuura makumi mana neshanu ane yakakwira BMI, isu tinowanzo fungidzira Type 2 uye tinotanga kurapwa nekukurumidza. Ndiyo nzira iyo mupi wangu wehutano wehutano akaenda.

RELATED: Chirwere cheshuga nemishonga

Kurapa chirwere cheshuga

Vaya vane Type 2 chirwere cheshuga vachiri kuburitsa insulin, saka vanonyorerwa mapiritsi, uye dzimwe nguva insulin kudzikisa shuga. Kudya uye kurovedza muviri zvinowanzoita chikamu chakakura pakurapa kwavo, Dr. Jaiswal anodaro.

Sezvo vanachiremba vakandiudza kuti ndine Type 2 chirwere cheshuga, maitiro angu ekutanga ekurapa airatidzira izvo. Ini ndakatemerwa mushonga wemumuromo wekutarisa shuga yeropa, asi haina kumbobvira yashanda zvakanaka zvakakwana kuti ndiwane nhamba dzangu kwadzinofanira kuve. Iniwo ndaishandisa musanganiswa webasal / bolus (yakareba-inoshanda) insulin uye yekudya-nguva (yekukurumidza-kuita) insulin.

Kudya kwagara kuri chikamu chakaomesesa kubata murwendo rwangu nechirwere cheshuga mellitus. Ini ndanyanya kupinda mumateat pane masalads. Asi, nekufamba kwenguva, ndakadzidza kuti mwero ndiyo kiyi yesarudzo dzangu dzekudya. Ini handiite tsika yenguva dzose yekudya zviwitsi, asi ndinopota ndichinakirwa neice cream. Neraki, ndinonakidzwa nekufamba uye ndinozviita mazuva ese.

Pakupedzisira, ndakaramba kunwa mapiritsi. Ndakanga ndaedza mhando dzinoverengeka, uye dzaive dzisiri kudzora mamiriro angu. Pasina kutaura, zvakakonzera zvisingafadzi mhedzisirosekuwedzera uremu uye nenyaya dzemudumbu.

Gore rapera,Ndakagashira C-peptide bvunzo inoyera insulin mupancreas. Muedzo wangu wakadzoka usina, uye ndakazoona kuti ndanga ndiine Type 1 yeshuga nguva dzese.Vanhu vane Type 1 cheshuga vanoda kugara vachirova insulin, anodaro Dr. Jaiswal. Yakatsanangura kuti sei ini kazhinji ndainzwa zvirinani pakutora insulin chete.

Kutendeseka, kunyangwe ndaitya kuongororwa uku, ndinofara kuve munzira chaiyo yekurapwa. Kushushikana kwekuyedza mishonga mitsva kwanga kusiri kundinakira, uye ndaigara ndichiwana mapaundi mashanu kusvika kumanomwe pandakachinja mishonga.

RELATED: Inodhura zvakadii insulin?

Kurarama nechirwere cheshuga

Chinhu chimwe chinomboshayikwa ndechekuti chirwere cheshuga, kunyangwe chirwere chekurapa, chinogona kuve nemhedzisiro mupfungwa, anotsanangura Dr. Chinogona kunge chiri chirwere chakakura uye chinogona kukonzera kushushikana, kushushikana, kushushikana. Kugovera manzwiro aya nachiremba vako kunobatsira uye kutaura kuvapi vezano, vashandi vezvemagariro, uye mhuri zvakare chikamu chakakosha chehurongwa hwekurapa. Mune mamwe mazwi, usaedze kuenda wega. Tsvaga rutsigiro kubva kuchikwata chako chekuchengetedza hutano, shamwari, uye kunyangwe mapoka ekutsigira. Aya mamiriro angangove newe kwehupenyu hwese, uye ivo vanogona kukubatsira iwe kana nguva dzakaoma.

Hapana anoziva muviri wako zvirinani kupfuura iwe. Kana usiri kugadzikana nehutano hwako hwechirwere cheshuga, ita hurukuro yakatendeseka nemupi wako wezvehutano. Uye, tora zano kubva kwandiri nyaya: Ita shuwa kuti unoziva zvechokwadi kuti ndechipi chirwere cheshuga mellitus chauinacho cheakanakisa kwenguva refu cheshuga manejimendi.