Created at:1/16/2025
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Type 2 diabetes inoitika kana muviri wako usingakwanisi kushandisa insulin zvakanaka kana usingagadzire zvakakwana. Izvi zvinoita kuti shuga iunganidzwe muropa rako panzvimbo pekushandiswa se simba.
Fungidzira insulin se kiyi inovhura masero ako kuti shuga ipinde uye iite simba muviri wako. Ne type 2 diabetes, kiyi haishande zvakanaka kana kuti hauna makiyi akakwana. Izvi zvinokanganisa mamirioni evanhu pasi rose, asi nhau dzakanaka ndeyekuti zvinogona kudzorwa zvikuru ne nzira yakarurama.
Type 2 diabetes chirwere chenguva refu apo huwandu hweshuga muropa rako hunoramba hwakakwira kupfuura zvakajairwa. Pancreas yako inogadzira insulin, asi masero emuviri wako anoita kuti isashande zvakanaka kana kuti pancreas yako haigadzire yakakwana.
Kusiyana ne type 1 diabetes, iyo inowanzo tanga muhudiki, type 2 inowanzoitika pakukura. Zvisinei, iri kuwedzera kuwanda muvanhu vadukuwo. Chirwere ichi chinokura zvishoma nezvishoma, kazhinji kwemakore, zvinoreva kuti vanhu vazhinji havazivi kuti vane chii pakutanga.
Muviri wako unoda glucose kuti uve nesimba, uye insulin inobatsira kutakura glucose kubva muropa rako kuenda kumasero ako. Kana sisitimu iyi isingashande zvakanaka, glucose inounganidzwa muropa rako, zvichikonzera matambudziko akawanda ehutano kana ikasaratidzwa.
Zviratidzo zve type 2 diabetes zvinowanzoonekwa zvishoma nezvishoma, uye ungasazviziva pakarepo. Vanhu vazhinji vanorarama nechirwere ichi kwemwedzi kana kunyange makore vasati vaziva.
Heano zviratidzo zvakajairika zvaunogona kuona:
Vamwe vanhu vanonzwawo zviratidzo zvisingawanzoitika senge mavara erima eganda akapoteredza mutsipa kana pazasi pemabvi, anonzi acanthosis nigricans. Vamwe vanganzwa kuona kwavo kuchinja kazhinji kana kunzwa kutsamwa zvakanyanya.
Yeuka, kuva nezviratidzo zvimwe chete hazvirevi kuti une chirwere cheshuga. Zvisinei, kana uri kuona zviratidzo zvakawanda izvi, zvinokosha kutaura nachiremba wako kuti aongorore.
Type 2 diabetes inoitika kana muviri wako ukaita kuti insulin isashande zvakanaka kana kuti pancreas yako isingagadzire insulin yakakwana kuti ichengetedze huwandu hweshuga muropa rako hwakanaka. Izvi zvinoitika nekuda kwezvinhu zvakawanda zvinoshanda pamwe chete nekufamba kwenguva.
Zvinhu zvakawanda zvinogona kukonzera type 2 diabetes:
Zvinokonzera zvisingawanzoitika zvinosanganisira mishonga yakaita se steroids kana mishonga yekurapa chirwere chepfungwa, matambudziko ekurara senge sleep apnea, uye kushushikana kwenguva refu kunokanganisa mahomoni ako. Vamwe vanhu vanowanawo chirwere cheshuga mushure me chirwere chepancreas kana kuvhiya.
Zvinokosha kunzwisisa kuti type 2 diabetes haikonzerwe nekudya shuga yakawanda chete. Kunyange zvazvo kudya kunotamba basa, kazhinji inowanzova musanganiswa we genetic predisposition nezvinhu zvemararamiro zvinoita kuti chirwere ichi chiitike.
Unofanira kuona chiremba wako kana uri kuona chero musanganiswa wezviratidzo zve diabetes, kunyanya kana zvichienderera kwemavhiki anopfuura mashoma. Kuziva pakutanga uye kurapwa kunogona kudzivirira matambudziko akakomba.
Rongedza nguva yekuona chiremba pakarepo kana ukaona kuenda kuchimbuzi kazhinji, kunzwa nyota zvakanyanya, kurasikirwa nehuremu pasina chikonzero, kana kuneta kwenguva refu. Izvi kazhinji ndiwo matanho ekutanga anoratidza kuti chimwe chinhu chinoda kutarisirwa.
Unofanirawo kuongororwa kana uine njodzi senge nhoroondo yemhuri ye diabetes, kuva nehuremu hwakawanda, kana kuva nemakore anopfuura 45. Vachiremba vazhinji vanokurudzira kuongororwa nguva dzose kunyangwe usina zviratidzo kana uri panjodzi yakakura.
Tsvaga rubatsiro rwezvokurapa pakarepo kana ukaona zviratidzo zvakakomba senge kusanzwisisa, kuoma kufema, kurutsa kwenguva refu, kana kuverenga kweshuga muropa kwakapfuura 400 mg/dL kana uine glucose meter. Izvi zvinogona kuratidza chirwere chakakomba chinonzi diabetic ketoacidosis.
Zvinhu zvakawanda zvinogona kuwedzera mikana yako yekuwana type 2 diabetes. Zvimwe zvaunogona kudzora kuburikidza nekuchinja mararamiro, nepo zvimwe, senge majeni ako, usingakwanisi kuchinja.
Njodzi dzaunogona kukanganisa dzinosanganisira:
Njodzi dzausingakwanisi kuchinja dzinosanganisira:
Kunzwisisa njodzi dzako kunokubatsira iwe nechikurapa chako kugadzira chirongwa chekudzivirira. Kunyangwe kana uine njodzi dzakawanda, kuita shanduko dzehutano hwe mararamiro kunogona kuderedza zvakanyanya mikana yako yekuwana type 2 diabetes.
Type 2 diabetes inogona kukonzera matambudziko ehutano akakomba kana huwandu hweshuga muropa huchiramba hwakakwira kwenguva refu. Zvisinei, kudzora zvakanaka kwe diabetes kunogona kudzivirira kana kunonoka matambudziko mazhinji aya.
Matambudziko akajairika anogona kuitika anosanganisira:
Matambudziko asingawanzoitika asi akakomba anosanganisira diabetic coma kubva pakuwanda kweshuga muropa, kuora mwoyo kwakakomba, uye njodzi yakawedzera yeAlzheimer's disease. Vamwe vanhu vanowanawo gastroparesis, uko mudumbu rinobuda zvishoma nezvishoma.
Nhau inofadza ndeyekuti kuchengetedza kudzora kwakanaka kweshuga muropa kunoderedza zvakanyanya njodzi ye matambudziko aya. Vanhu vazhinji vane diabetes vanorarama hupenyu hwazvo hwese, hune hutano nekudzora chirwere chavo zvakanaka.
Type 2 diabetes inogona kudzivirirwa zvakanyanya kuburikidza nekusarudza mararamiro ehutano. Kunyangwe kana uine njodzi senge nhoroondo yemhuri, unogona kuderedza zvakanyanya mikana yako yekuwana chirwere ichi.
Heano nzira dzakaratidzwa dzekudzivirira type 2 diabetes:
Zvidzidzo zvinoratidza kuti kurasikirwa ne 5-10% yehuremu hwemuviri kunogona kuderedza njodzi yako ye diabetes nehafu. Haufaniri kuita shanduko huru panguva imwe chete. Kushanduka duku, kwenguva dzose mu tsika dzako dzezuva nezuva kunogona kuita musiyano mukuru nekufamba kwenguva.
Vachiremba vanoshandisa bvunzo dzakawanda dzeropa kuti vaone type 2 diabetes. Bvunzo idzi dzinoyerera kuti huwandu hweshuga huri muropa rako uye kuti muviri wako unogadzirisa sei glucose.
Bvunzo dzekuongorora dzakajairika dzinosanganisira:
Chiremba wako anogonawo kutarisa ketones mumukaka wako uye kuita bvunzo dzakawanda kuti adzivise type 1 diabetes kana zvimwe zvirwere. Vanogona kudzokorora bvunzo dzisingawanzoitiki pazuva rakasiyana kuti vabvumikise chirwere chacho.
A1C bvunzo inobatsira zvikuru nekuti haidi kufunga uye inopa mufananidzo wakakura wekudzora kweshuga muropa rako. A1C ye 6.5% kana kupfuura inowanzo ratidza diabetes, nepo 5.7-6.4% inoratidza prediabetes.
Kurapa kwe type 2 diabetes kunotarisa pakuchengetedza huwandu hweshuga muropa rako padyo ne zvakajairwa sezvinobvira. Chirongwa chako chekurapa chichagadzirirwa zvinoenderana nezvinodiwa nemuviri wako, hutano, uye mararamiro.
Kurapa kunowanzo sanganisira:
Vamwe vanhu vangada kuiswa insulin kana mishonga yakawanda isingakwanisi kudzora shuga yavo muropa. Mishonga mitsva senge GLP-1 agonists inogona kubatsira ne kudzora kweshuga muropa uye kudzora huremu.
Chiremba wako acashanda newe kuti agadzire huwandu hweshuga muropa hwakanaka uye agadzirise kurapwa kwako sezvinodiwa. Chinangwa ndechekudzivirira matambudziko nepo uchichengetedza hupenyu hwako hwakanaka.
Kudzorera type 2 diabetes kumba kunosanganisira tsika dzezuva nezuva dzinoita kuti shuga muropa rako ive yakadzikama. Kuenderera mberi mu tsika dzako kunokanganisa zvakanyanya kuti unonzwa sei uye hutano hwako hweramangwana.
Kutarisira kwako kwezuva nezuva kunosanganisira:
Dzidza kuziva zviratidzo zve shuga yakawanda uye shoma muropa kuti ugone kutora matanho nekukurumidza. Chengeta glucose tablets kana makabhohaidhiretsi anoshanda nekukurumidza kana shuga yako muropa ikadonha zvakanyanya.
Kuvaka network yekutsigira yemhuri, shamwari, uye vanopa hutano kunokubatsira kuramba uine simba uye kuita basa rako. Funga nezvekubatana nechikwata chekutsigira diabetes kana nharaunda yepa internet kuti uwane kukurudzirwa kwakawanda.
Kugadzirira nguva dzako dzekuona chiremba dze diabetes kunokubatsira kuti uwane zvakanyanya kubva panguva yako nechikwata chako chehutano. Kugadzirira kwakanaka kunotungamira pakurapa kwakanaka uye kunokubatsira kunzwa uine chivimbo pamusoro pekudzora chirwere chako.
Usati waenda kuona chiremba:
Funga nezvezvinangwa zvako uye zvaunoda kuita nekudzora kwako kwe diabetes. Iva wakavimbika nezvinetso zvaunotarisana nazvo nekudya, kurovedza muviri, kana kutora mishonga.
Usazengurire kubvunza mibvunzo nezve chero chinhu chisinganzwisisiki. Chikwata chako chehutano chiripo kukubatsira kubudirira, uye hapana mubvunzo uri mudiki kana usina musoro.
Type 2 diabetes chirwere chinogona kudzorwa icho mamirioni evanhu anorarama nacho zvakanaka. Kunyangwe zvichida kutarisirwa kwenguva dzose uye kuchinja mararamiro, unogona kuchengetedza hutano hwakanaka uye kudzivirira matambudziko nekutarisira kwakanaka.
Chinhu chinonyanya kukosha chekuyeuka ndechekuti une simba rakakura pakudzora zvaunowana ne diabetes. Tsika dzezuva nezuva dzakafanana nekudya zvakanaka, kuramba uchiita kurovedza muviri, kutora mishonga sezvakarayirwa, uye kuongorora shuga yako muropa zvinoita musiyano mukuru.
Shanda pedyo nechikwata chako chehutano kuti ugadzire chirongwa chekudzora chinokwana hupenyu hwako nezvinangwa. Nenhanho yakarurama, unogona kuramba uchiita zvinhu zvaunofarira nepo uchichengetedza diabetes yako yakadzorwa zvakanaka.
Yeuka kuti kudzora diabetes ndiyo marathon, kwete sprint. Iva nemoyo murefu newe sezvaunodzidza uye unochinja kune tsika itsva. Matanho maduku, anogara achienderera mberi anotungamira kuhutano hwakanaka nerugare rwepfungwa nekufamba kwenguva.
Type 2 diabetes haigone kupora, asi inogona kupinda mu remission uko huwandu hweshuga muropa hunodzoka kuzvakajairwa pasina mishonga. Izvi zvinowanzoitika nekurasikirwa nehuremu zvakanyanya, kuchinja kudya, uye kuwedzera kurovedza muviri. Zvisinei, kukosha kwe diabetes kunoramba kuripo, saka kuchengetedza kuchinja uku kwe mararamiro kunokosha kudzivirira kuti kudzoka.
Haufaniri kudzivisa zvekudya zvese, asi deredza shuga yakasvibiswa, zvekudya zvakagadzirwa, chingwa chena, zvinwiwa zvine shuga, uye zvekudya zvine mafuta akawanda. Tarisa pakudzora chikamu chekudya uye nguva panzvimbo pekudzivisa zvakakwana. Shanda ne registered dietitian kuti ugadzire chirongwa chekudya chinosanganisira zvekudya zvaunofarira nepo uchichengetedza shuga yako muropa zvakanaka.
Kuongorora kweshuga muropa kunowanzoenderana nechirongwa chako chekurapa uye kuti diabetes yako yakadzorwa zvakanaka sei. Vamwe vanhu vanoongorora kamwe chete pazuva, vamwe vasati vadya chimwe nechimwe uye panguva yekurara. Chiremba wako achakurudzira chirongwa chakakodzera mishonga yako, A1C levels, nezvinodiwa nemuviri wako. Kuongorora kazhinji kunogona kudiwa pakutanga mishonga mitsva kana panguva yerwere.
Kurovedza muviri hakuna kuchengeteka chete asi kunokurudzirwa zvikuru kune vanhu vane type 2 diabetes. Kurovedza muviri kunobatsira kuderedza shuga muropa, kunowedzera insulin sensitivity, uye kunopa zvimwe zvikomborero zvehutano. Tanga zvishoma nezvishoma kana uri mutsva pakurovedza muviri uye bvunza chiremba wako nezve chero matanho ekudzivirira. Ongorora shuga yako muropa usati waita uye mushure mekurovedza muviri kusvikira wazonzwisisa kuti mabasa akasiyana anokukanganisa sei.
Hongu, kushushikana kunogona kukanganisa zvakanyanya huwandu hweshuga muropa nekukonzera kuburitswa kwema hormone senge cortisol uye adrenaline. Kushushikana kwenguva refu kunogona kuita kuti diabetes ive yakaoma kudzora uye kunogona kukonzera insulin resistance. Kudzora kushushikana kuburikidza nematekiniki ekutandara, kurovedza muviri nguva dzose, kurara zvakakwana, uye kutsvaga rubatsiro kana zvichidiwa chikamu chakakosha chekutarisira diabetes.