Mukati
Diabetologist: uyo ane chirwere cheshuga wezvehutano
The diabetologist ndiye endocrinologist anonyanya kurapa chirwere cheshuga uye matambudziko ayo. Rini, sei uye kakawanda sei kubvunza chiremba weshuga? Basa rake nderei? Chii chekutarisira mukubvunzana?
Chii chinonzi diabetologist?
The diabetologist ndiye endocrinologist anonyanya kudzidza, kuongororwa, kutarisa uye kurapwa kwechirwere cheshuga uye matambudziko acho. Chiremba wediabetologist anoshanda pamwe nekubatana pamwe chete nemukuru wemurwere. Murapi uyu anoshanda muchipatara kana muprivate practice. Kukurukurirana kunobhadharwa zvizere nekuchengetedzwa kwevanhu kana mari dzayo dzabvumirana.
Ane ruzivo rwakanyanya, chiremba weshuga anopa murwere zvese zvekurapa zvigadziriso maererano nekuzviongorora wega glucose yeropa, marapirwo kana kunyange insulin jekiseni michina. Inoisawo murwere muhutano hwechirwere cheshuga uye inovaendesa kune vakasiyana mazvikokota kana paine matambudziko.
Chii chinonzi chirwere cheshuga?Chirwere cheshuga chirwere chisingaperi chinokanganisa 1 French pa10. Ichi chirwere chinokonzera kuwedzera kweglucose muropa kana hyperglycemia : tinotaura nezvechirwere cheshuga kana shuga yeropa yekutsanya inopfuura 1,26 g / L yeropa (ine kanenge kaviri shuga yeropa cheki). Chirwere cheshuga chinoitika kana rwatata rukasagadzira insulin yakakwana (chirwere cheshuga cherudzi rwekutanga chinonziwo chirwere cheshuga chinotsamira pa insulin) kana kuti muviri paunoshandisa insulini zvakakwana (chirwere cheshuga cherudzi rwechipiri kana chirwere cheshuga chisingaiti insulin). Gestational chirwere cheshuga chinoratidzwa ne hyperglycemia panguva yekuzvitakura. Type 1 chirwere cheshuga chirwere che autoimmune nepo Type 2 chirwere cheshuga chinowanzobatanidzwa nekuremesa uye kugara zvakanyanya. Gestational chirwere cheshuga chinokonzerwa nekuchinja kwehomoni kwakabatana nekuzvitakura izvo zvinowedzera insulin inodiwa nevakadzi vane pamuviri. Kune vamwe, pancreas inobva yatadza kufamba nekusagadzira insulin yakakwana yekudzikamisa shuga yeropa. |
Kushanda pamwe chete nachiremba mukuru
Chirwere cheshuga chirwere chakakomba chisingaperi chinoda kutarisirwa kwakananga. Kana iwe uine kuongororwa kweropa kunoratidza insulin kuramba, prediabetes kana yakaziviswa chirwere cheshuga, chiremba mukuru anogona kukurudzira kuti ubvunze endocrinologist nyanzvi yediabetology: the diabetologist.
Kazhinji, chiremba mukuru uye diabetologist vanochengetedza kuchinjana kuitira kuti vave nechokwadi chehutano uye kuwirirana kwekutevera kwekurapa.
Chiremba mukuru anoziva nhoroondo, mararamiro emurwere pamwe chete nemamiriro ezvinhu ekutanga kwechirwere. Iye ndiye kondakita wekutevera kwekurapa uye anotungamira murwere kuna diabetologist kana kune dzimwe nyanzvi apo mibvunzo yakadzama inopinda. Chiremba mukuru ndiye zvakare anorayira kuongororwa nguva dzose (cholesterol, triglycerides, glycated hemoglobin ...) Kuti atarise kufambira mberi kwemurwere. Chiremba mukuru anowanikwa kumurwere chero nhungamiro kana zano rinokurumidza.
Kune rumwe rutivi, chero matambudziko kana kudiwa kwekugadziriswa kwekurapa kunofanirwa kunge kuri nyaya yekubvunzurudza nechirwere cheshuga chinozivisa sarudzo dzake kune mukuru wechiremba. Matambudziko anowanzo kuve akacheka, renal, ocular kana kunyange moyo. Chiremba wediabetologist anogona kufonera imwe nyanzvi kana mubvunzo uchipfuura nzvimbo yake yehunyanzvi.
Sei uchibvunza chiremba wechirwere cheshuga?
Muchiitiko chechirwere cheshuga 1
Muchiitiko chechirwere cheshuga 1 (kana insulin-inotsamira chirwere cheshuga): kuongororwa nachiremba wechirwere cheshuga kwakakosha. Zvechokwadi, nyanzvi iyi inodzidzisa murwere kuwana rusununguko rwake. Murwere anosvika pakuziva rudzi rwe insulini inodiwa, kuongororwa kweyero yayo pamwe nekuwanda uye kuzadziswa kwejekiseni.
Muchiitiko chechirwere cheshuga 2
Kuonana nachiremba wechirwere cheshuga hakuna kukosha. Iyo general practitioner uye endocrinologist vanowanzo kwanisa. Chinangwa chekubvunzurudza ndechekuunganidza mararamiro ane hutano ekudzivirira kutora (kudya kwakaringana ine yakaderera glycemic index, kugara uchisimbisa muviri, nezvimwewo).
Kana kutonga kweaya maparamendi kusina kukwana, chiremba anogona kuraira kurapwa nemuromo: metformin (biguanides), sulfonylureas, glinides, gliptin (kana dipeptidyl-peptinase 4 inhibitors), GLP 1 analogues, intestinal alpha-glucosidase inhibitors, glifozins ye. enzyme iripo muitsvo: SGLT2), insulins.
Zvinokurudzirwa kutanga kurapwa ne metformin (kana kana kusashivirira kana contraindication kwairi, ine sulfonylurea). Muchiitiko chekupokana kune aya mamorekuru, chiremba anowedzera maviri anowirirana anopindirana antidiabetics. Pane dzimwe nguva zvakakosha kupa mushonga wechitatu wemuromo wechirwere cheshuga, kana insulin.
Kangani kubvunza chiremba wako weshuga?
Muchiitiko chechirwere cheshuga 1
Varwere vanofanirwa kuona chiremba weshuga kamwechete pagore. Zvakakodzera, murwere anoshanyira nyanzvi yake ka4 pagore (frequency inoenderana nenhamba yeglycated hemoglobin (HbA1c) bvunzo dzinofanirwa kuitwa gore negore) kuitira kunyatsoongorora kuteedzera kurapwa kwake kwejekiseni.
Muchiitiko chechirwere cheshuga 2
Kubvunzurudzwa kwechiremba wechirwere cheshuga hakukoshese asi kunoramba kuchikurudzirwa zvakanyanya pamwero wekuti kamwechete pagore (uye zvakanaka 4) kuitira kugadzirisa mirairo yekudya uye mabatirwo ekurapa nemuromo.
Ndekupi kubvunzana nediabetologist?
Munguva yekutanga kubvunzana, chiremba weshuga anoita ongororo yekiriniki, kubvunzurudza uye anoverenga magwaro ayo anokurudzirwa kuuya newe:
- tsamba yekutumira kubva kuna chiremba wako mukuru;
- kuongororwa kwechiremba uye zvinyorwa zvinoita kuti nhoroondo yechirwere ichitevedzwe;
- kuongororwa ropa kuchangopfuura.
Pakupera kwekubvunzurudza, chiremba weshuga anogona kugadzirisa kurapwa kwako, kuraira kuongororwa kutsva kunofanirwa kuitwa kana kukuendesa kune imwe nyanzvi kana paine matambudziko.