Chirwere cheshuga iboka rezvirwere zvinokonzereswa nekuchinja kweropa mumuviri (metabolic diseases), izvo zvinokonzerwa nekusashanda zvakanaka kwe insulin kana kusashanda zvakanaka kwemuviri, kana zvese zviri zviviri. Kusashanda zvakanaka kweropa kwenguva refu muchirwere cheshuga kunotungamira mukukuvadzwa kwenguva refu, kusashanda zvakanaka uye matambudziko asingaperi enhengo dzakasiyana-siyana, kunyanya maziso, itsvo, moyo, mitsipa yeropa netsinga, izvo zvinogona kupararira munhengo dzese dzemuviri, zvichikonzera macroangiopathy uye microangiopathy, zvichikonzera kudzikira kwehupenyu hwevarwere. Matambudziko akanyanya anogona kutyisidzira hupenyu kana akasarapwa nenguva. Chirwere ichi chinogara kwenguva refu uye chakaoma kurapa.
Chirwere cheshuga chiri pedyo zvakadini nesu?
Kuti vanhu vazive nezvechirwere cheshuga, kubvira muna 1991, International Diabetes Federation (IDF) neWorld Health Organization (WHO) vakatara musi wa14 Mbudzi se "Zuva reSainzi reSainzi reUnited Nations".
Zvino chirwere cheshuga zvachiri kuramba chichikura, munhu wese anofanira kungwarira nezvekuvapo kwechirwere cheshuga! Ruzivo rwunoratidza kuti munhu mumwe chete pavanhu gumi muChina ane chirwere cheshuga, izvo zvinoratidza kuti chirwere cheshuga chakakwira sei. Chinonyanya kutyisa ndechekuti kana chirwere cheshuga changotanga, hachigone kurapwa, uye unofanira kurarama mumumvuri wekutonga shuga kweupenyu hwese.
Seimwe yenheyo nhatu dzemabasa ehupenyu hwevanhu, shuga inzvimbo inokosha kwatiri. Kuva nechirwere cheshuga kunokanganisa sei hupenyu hwedu? Tingatonga sei uye tingadzivirira sei?
Ungatonga sei kuti une chirwere cheshuga?
Pakutanga kwechirwere ichi, vanhu vazhinji vaisaziva kuti vairwara nekuti zviratidzo zvacho zvaisaonekwa. Sekureva kwe "Guidelines for the Prevention and Treatment of Type 2 Diabetes in China (2020 Edition)", huwandu hwevanhu vanonyatsoziva nezvechirwere cheshuga muChina i36.5% chete.
Kana uchiwanzova nezviratidzo izvi, zvinokurudzirwa kuti upime shuga muropa. Ngwarira shanduko dzemuviri wako kuti uzive nekukurumidza uye uzvidzore nekukurumidza.
Chirwere cheshuga hachina kuipa, asi matambudziko anokonzerwa nechirwere cheshuga!
Kusadzora chirwere cheshuga zvakanaka kunokonzera kukuvara kukuru.
Varwere vane chirwere cheshuga vanowanzosangana nekuchinja kwemafuta nemapuroteni zvisina kujairika. Kuwanda kweropa mumuviri kwenguva refu kunogona kukonzera nhengo dzakasiyana-siyana, kunyanya maziso, mwoyo, mitsipa yeropa, itsvo netsinga, kana kusashanda zvakanaka kwenhengo, zvichikonzera kuremara kana kufa nguva isati yakwana. Matambudziko anowanzo sangana nechirwere cheshuga anosanganisira sitiroko, myocardial infarction retinopathy, diabetic nephropathy, diabetic foot nezvimwewo.
● Njodzi yekubatwa nezvirwere zvemwoyo netsinga dzeropa muvarwere vane chirwere cheshuga yakapetwa kaviri kusvika kana kupfuura yevanhu vasina chirwere cheshuga vane zera rimwe chete uye murume kana mukadzi, uye zera rekutanga rezvirwere zvemwoyo netsinga dzeropa rinokura uye mamiriro acho akanyanya kuipa.
● Varwere vane chirwere cheshuga vanowanzosangana neBP uye dyslipidemia.
● Chirwere cheshuga chinonzi retinopathy ndicho chinokonzera upofu kuvanhu vakuru.
● Chirwere cheshuga chinonzi nephropathy ndechimwe chezvinhu zvinowanzokonzera kutadza kushanda kweitsvo.
Tsoka rine chirwere cheshuga chakanyanya rinogona kukonzera kuchekwa kwetsoka.
Kudzivirira chirwere cheshuga
●Ita kuti ruzivo rwekudzivirira nekurapa chirwere cheshuga rufadze vanhu vakawanda.
● Ramba uine mararamiro ane hutano nekudya zvine mwero uye kurovedza muviri nguva dzose.
● Vanhu vane hutano hwakanaka vanofanira kuyedzwa shuga yeropa yekutsanya kamwe chete pagore kubva pamakore makumi mana, uye vanhu vane chirwere cheshuga vasati vasvika panguva yekutsanya vanokurudzirwa kuyedzwa shuga yeropa yekutsanya kamwe chete pamwedzi mitanhatu yega yega kana maawa maviri mushure mekudya.
● Kubatsira vanhu vane chirwere cheshuga vasati vasvika nguva yekuzvitakura.
Kuburikidza nekudzora kudya uye kurovedza muviri, huwandu hwemuviri wevanhu vakafuta zvakanyanya uye vakafuta hunosvika kana kusvika pa24, kana kuti huremu hwavo huchadzikira ne7%, izvo zvinogona kuderedza njodzi yechirwere cheshuga kuvanhu vasati vasvika pachirwere cheshuga ne35-58%.
Kurapa kwakakwana kwevarwere vane chirwere cheshuga
Kurapa kwezvekudya zvinovaka muviri, kurovedza muviri, kurapa nezvinodhaka, dzidzo yehutano uye kuongorora shuga muropa ndiwo matanho mashanu akakwana ekurapa chirwere cheshuga.
● Varwere vane chirwere cheshuga vanogona kuderedza njodzi yezvinetso zvechirwere cheshuga nekutora matanho akadai sekuderedza shuga muropa, kuderedza BP, kugadzirisa mafuta muropa uye kudzora huremu, uye kugadzirisa tsika dzakaipa dzekurarama dzakadai sekurega kusvuta, kuderedza doro, kudzora mafuta, kuderedza munyu uye kuwedzera kurovedza muviri.
Kuzvitarisira varwere vane chirwere cheshuga inzira inoshanda yekudzora chirwere cheshuga, uye kuongororwa kweshuga muropa kunofanirwa kuitwa pasi pekutungamirirwa navanachiremba vane hunyanzvi uye/kana vanamukoti.
● Rapa chirwere cheshuga zvine simba, dzora chirwere chacho nguva dzose, nonotsa matambudziko, uye varwere vane chirwere cheshuga vanogona kunakidzwa nehupenyu sevanhuwo zvavo.
Mhinduro yechirwere cheshuga
Tichifunga izvi, kit yekuyedza yeHbA1c yakagadzirwa neHongwei TES inopa mhinduro dzekuongorora, kurapa uye kutarisa chirwere cheshuga:
Kiti yekuongorora hemoglobin yeGlycosylated (HbA1c) (fluorescence immunochromatography)
HbA1c chinhu chakakosha pakutarisa kurongeka kwechirwere cheshuga uye kuongorora njodzi yezvinetso zve microvascular, uye ndiyo chiyero chekuongorora chirwere cheshuga. Kuwanda kwayo kunoratidza huwandu hweshuga muropa mumwedzi miviri kusvika mitatu yapfuura, izvo zvinobatsira kuongorora mhedzisiro yekudzora shuga muvarwere vane chirwere cheshuga. Kutarisa HbA1c kunobatsira kuona matambudziko asingaperi echirwere cheshuga, uye kunogonawo kubatsira kusiyanisa stress hyperglycemia nechirwere cheshuga chepamuviri.
Rudzi rwemuenzaniso: ropa rose
LoD: ≤5%
Nguva yekutumira: Mbudzi-14-2023