Type 2 shuga mellitus, mtundu wa matenda a shuga, ndi amodzi mwa matenda osatha odziwika bwino padziko lapansi - ndipo ndizomveka kuti izi zitha kukhala choncho. Zambiri zikusonyeza kuti ku United States kokha, anthu 37.3 miliyoni, kapena 11.3 peresenti ya anthu aku US, ali ndi matenda a shuga, ndipo ambiri mwa anthuwa ali ndi mtundu wa 2.
Mwa anthu omwe ali ndi matenda a shuga, 8.5 miliyoni sadziwa nkomwe kuti ali nawo, ndipo chiŵerengero chowonjezereka cha achinyamata omwe ali ndi matenda a shuga ndi mtundu wachiwiri wa shuga.
Kafukufuku wina anasonyeza kuti kutulukira matenda a shuga koyambirira kungachititse kuti munthu adwale matenda a shuga, kuphatikizapo matenda a mtima ndi mitundu ina ya khansa.
Kaya mwapezeka ndi matenda a shuga amtundu wa 2 kapena muli ndi mbiri yakubanja lanu, matendawa komanso chiopsezo cha zovuta zathanzi zomwe zingabwere nazo zitha kukhala zowopsa. Ndipo ndi kadyedwe kofunikira komanso kusintha kwa moyo, palibe kukayikira kuti matendawa amatha kukhala ovuta kuwaganizira.
Koma kukhala ndi matenda amtundu wa 2 sikuyenera kukhala kowawa. M'malo mwake, mutaphunzitsidwa za matendawa - monga kumvetsetsa momwe kukana insulini kumayambira komanso momwe mungachepetsere, kudziwa momwe mungawonere zizindikiro za matenda a shuga, ndikuphunzira zomwe mungadye - mutha kugwiritsa ntchito zomwe mukufunikira kuti mukhale ndi moyo wosangalala, wathanzi.
Zowonadi, kafukufuku wina akuwonetsa kuti mutha kuyikanso chikhululukiro cha matenda a shuga amtundu wa 2 posintha zakudya zanu komanso moyo wanu. Zina mwazotukuka zosangalatsa ndikugwiritsa ntchito zakudya zamafuta ambiri, zotsika kwambiri za carb ketogenic monga njira yochiritsira yothanirana ndi matenda a shuga a 2, ndemanga imodzi.
Kuphatikiza apo, pali umboni wochulukirapo wosonyeza kuti njira imodzi - opaleshoni ya bariatric - imatha kusintha mtundu wa shuga wa 2 kwathunthu.
M'nkhaniyi, fufuzani zambiri izi ndi zina zambiri. Khalani kumbuyo, pitilizani kuwerenga, ndikukonzekera kuyang'anira mtundu wa 2 shuga.
Zizindikiro ndi Zizindikiro za Type 2 Diabetes
Kumayambiriro kwa matendawa, matenda a shuga amtundu wa 2 nthawi zambiri samawonetsa zizindikiro zilizonse, malinga ndi kafukufuku wam'mbuyomu. Komabe, muyenera kudziwa zizindikiro ndi zizindikiro zoyambirira, monga izi:
Kukodza pafupipafupi komanso ludzu lalikulu
Kuonda mwadzidzidzi kapena mosayembekezereka
Kuwonjezeka kwa njala
Kusawona bwino
Zigamba zakuda zapakhungu (zotchedwa acanthosis nigricans)
Kutopa
Mabala omwe sangachire
Ngati muli ndi chimodzi kapena zingapo zomwe zingayambitse matenda a shuga a 2 ndipo mwawona zizindikiro zonsezi, ndibwino kuti muyimbire dokotala wanu, chifukwa mungakhale ndi matenda a shuga a mtundu wachiwiri.
Zomwe Zimayambitsa ndi Zowopsa za Type 2 Diabetes
Ofufuza sakudziwa chomwe chimayambitsa matenda a shuga a mtundu wa 2, koma amakhulupirira kuti pali zinthu zingapo zomwe zimagwira ntchito. Zinthu zimenezi ndi monga majini ndiponso moyo.
Muzu wa matenda amtundu wa 2 ndi kukana insulini, ndipo musanalandire matenda a shuga amtundu wa 2, mutha kupezeka ndi prediabetes.
Kukaniza kwa insulin
Matenda a shuga a Type 2 amadziwika ndi kuchuluka kwa shuga m'magazi komwe thupi lanu silingathe kutsitsa palokha. Shuga wokwera kwambiri amatchedwa hyperglycemia; hypoglycemia ndi kuchepa kwa shuga m'magazi.
Insulin - mahomoni omwe amalola thupi lanu kuwongolera shuga m'magazi - amapangidwa mu kapamba. Kwenikweni, kukana insulini ndi mkhalidwe womwe maselo amthupi sagwiritsa ntchito bwino insulin. Zotsatira zake, zimatengera insulini yochulukirapo kuposa yanthawi zonse kuti isamutse shuga wamagazi (glucose) m'maselo, kuti agwiritsidwe ntchito nthawi yomweyo ngati mafuta kapena kusungidwa kuti agwiritsidwe ntchito mtsogolo. Kutsika kwa shuga m'maselo kumabweretsa vuto la magwiridwe antchito a cell; Glucose ndiye gwero lamphamvu lamphamvu komanso lopezeka mosavuta m'thupi.
Bungweli linanena kuti kukana kwa insulini, sikuyamba msanga, ndipo nthawi zambiri, anthu omwe ali ndi vutoli sawonetsa zizindikiro - zomwe zingapangitse kuti kudwalako kukhale kovuta kwambiri.[8]
Pamene thupi limachulukirachulukira kukana insulini, kapamba amayankha potulutsa insulin yowonjezereka. Mlingo wa insulini wokwera kuposa wamba m'mwazi umatchedwa hyperinsulinemia.
Matenda a shuga
Kukana kwa insulini kumapangitsa kuti kapamba wanu azitha kuthamanga kwambiri, ndipo ngakhale atha kuyenderana ndi kuchuluka kwa thupi kwa insulin kwakanthawi, pali malire pakupanga kwa insulini, ndipo pamapeto pake shuga wamagazi anu amakwera - zomwe zimatsogolera ku prediabetes, kalambulabwalo wa matenda a shuga a 2, kapena mtundu wa 2 shuga wokha.
Kuzindikira kwa prediabetes sikukutanthauza kuti mudzakhala ndi matenda amtundu wa 2. Kuzindikira matendawa mwachangu ndikusintha zakudya zanu komanso moyo wanu kungathandize kuti thanzi lanu lisaipire.
Matenda a shuga ndi matenda a shuga a mtundu wa 2 ndi ena mwa matenda omwe afala kwambiri padziko lapansi - akukhudza anthu oposa 100 miliyoni aku America, malinga ndi CDC. Komabe, ofufuza sakudziwabe kuti ndi majini ati omwe amachititsa kuti insulini isakane.
Type 2 Diabetes Risk Factors
Monga tafotokozera, mtundu wa 2 shuga ndi matenda osiyanasiyana. Izi zikutanthauza kuti simungasiye kudya shuga kapena kuyamba kuchita masewera olimbitsa thupi kuti mupewe kukhala ndi vutoli.
Nazi zina mwazinthu zomwe zingakhudze chiopsezo chanu chokhala ndi matenda amtundu wa 2.
Kunenepa Kwambiri Kunenepa kwambiri kapena kunenepa kwambiri kumakuyikani pachiwopsezo chachikulu cha matenda amtundu wa 2. Body mass index (BMI) ndi njira yodziwira ngati ndinu onenepa kapena onenepa kwambiri.
Kusadya bwino Kuchuluka kwa zakudya zosayenera kungapangitse kuti mudwale matenda a shuga a mtundu wachiwiri. Kafukufuku wasonyeza kuti kudya zakudya zokhala ndi zakudya zokhala ndi ma calorie ambiri ndi zakumwa, komanso zakudya zochepa, zokhala ndi michere yambiri, zimatha kukulitsa chiwopsezo cha matenda amtundu wa 2. Zakudya ndi zakumwa zomwe muyenera kuchepetsa zimaphatikizapo mkate woyera, tchipisi, makeke, keke, soda, ndi madzi a zipatso. Zakudya ndi zakumwa zomwe muyenera kuziyika patsogolo zimaphatikizapo zipatso, masamba, mbewu zonse, madzi, ndi tiyi.
Nthawi yochuluka pa TV Kuonera TV kwambiri (ndi kukhala nthawi zambiri) kungakulitse chiopsezo cha kunenepa kwambiri, matenda a shuga a mtundu wa 2, ndi matenda ena.
Kusachita masewera olimbitsa thupi mokwanira Monga momwe mafuta amthupi amagwirira ntchito ndi insulin ndi mahomoni ena kuti akhudze kukula kwa matenda a shuga, momwemonso minofu. Minofu yowonda, yomwe imatha kukulitsidwa kudzera muzochita zolimbitsa thupi komanso kulimbitsa thupi, imathandizira kuteteza thupi ku insulin kukana komanso mtundu wa 2 shuga.
Kugona Kusokonezeka kwa tulo kumatha kusokoneza insulini ndi shuga m'magazi mwa kuwonjezera kuchuluka kwa kapamba. Pakapita nthawi, izi zimatha kuyambitsa matenda amtundu wa 2.
Polycystic ovarian syndrome (PCOS) Malinga ndi kuyerekezera, mayi wopezeka ndi PCOS - vuto la kusalinganika kwa mahomoni - ali ndi chiopsezo chachikulu chokhala ndi matenda a shuga a 2 kuposa anzawo opanda PCOS. Kukana insulini ndi kunenepa kwambiri ndizodziwikiratu pazaumoyo izi.
Kupitilira zaka 45 Mukakula, m'pamenenso mutha kukhala ndi matenda amtundu wa 2. Koma m’zaka zaposachedwapa, chiwerengero chochulukirachulukira cha ana ndi achinyamata apezeka ndi matenda a prediabetes komanso mtundu wachiwiri wa shuga.
