Chirwere cheshuga chirwere chinowedzera kuUnited States uye kumativi ose enyika. Iyo shuga yakakosha yeropa (glucose) iyo inofanirwa nechirwere cheshuga inokanganisa kukanganisa kunzvimbo dzakawanda dzomuviri, uye inogona kuva nehupenyu-uye nhengo-kutyisidzira zvinetso kana isina kusiyiwa.
Mapepa anonyanya kunetseka nemigumisiro yechirwere cheshuga. Zvinetso zvinokonzera kusanganisira kurasikirwa nemanzwiro, kuderedzwa ropa, uye utachiona hwakanyanya hunoda kupiwa.
Maererano neNational National Diabetes Fact Sheet ya2011, zvinopfuura 60% zvezvisingatambudziki zviduku zvinokanganisa zvinoitika kuvanhu vane chirwere cheshuga.
Mashoko akanaka ndeokuti kurairirwa kwehuga yeropa uye kuchengetedza nguva dzose kunodzivirira kunogona kuderedza zvakanyanya mikana yezvinetso zveshuga . Zvechokwadi, inofungidzirwa kuti kuchengetedza tsoka dzekudzivirira uye kudzidzisa kwevarwere kunogona kuderedza mukana wevanhu wehutachiwana hwechirwere chekugadziriswa kusvika kusvika 85%.
Migumisiro Inogona Kuitika kweShuga Pamakumbo
Maererano neAmerican Diabetes Association, inenge 60% kusvika 70% yevanhu vane chirwere cheshuga vane mamwe maitiro europathy kana kukuvadza kwemitsipa. Nguva yakareba yehuwandu hwehutachiona hweropa hunoguma nekukuvadza kunokonzera mitsipa iyo inowanzoratidza seanonzwa kana motokari yeuropathy.
Neurological
- Sensory neuropathy inoguma nekunzwa kuderera kana kusakanganiswa mumakumbo. Izvi zvinoreva kuti chirwere cheshuga chinogona kuve nekukuvara kwetsoka - sekuvadzwa kubva pakufamba pane chinhu chakakosha - uye haukwanisi kunzwa. Kuziva kweuropathy kunowedzera mukana wehutachiona hwechirwere cheshuga, iyo ronda rinononoka-kuporesa, kana kunyange risina kuporesa, uye rinokanganisa utachiona. Kana isingateereri, chirwere cheshuga chinogona kuwedzera kuburikidza neganda uye zvinyoro zvishoma kumapfupa epasi. Zvimwe zviratidzo zvehutano hwepfungwa zvinosanganisira kurwadziwa nekuputika uye kupisa kana kurira kunonzwa mumakumbo, kazhinji usiku.
- Vamwe vane chirwere cheshuga vanosimudzira motokari , iyo inoratidzika semakumbo netsoka musimba utera uye yakaderera musimba. Motokari yeuropathy inowanikwa apo mishonga inodzora mishonga inokuvara. Izvi zvinogona kukonzera kuoma kufamba uye kutungamirira kuchinjeka mumakumbo maitiro, izvo zvose zvinoratidzira nzvimbo dzetsoka kuwedzera kukakavadzana uye kuoma. Kusagadzikana kwezvigunwe, muenzaniso wetsoka-shanduko kuchinja, kunoita kudzvinyirira zvakanyanya pasi pebhokisi retsoka uye kunowedzera ngozi yezvionda.
Vascular
Yenguva refu yepamusoro-gorosi yeropa inewo matambudziko akaipa pamisara yeropa. Izvi zvinogona kuguma muhutachiona hutachiona hwehutano kana PAD. Apo kusungurudza kwemasayeri anotakura ropa kumakumbo kukanganisa, atherosclerosis inoitika. Atherosclerosis ibwe rinopinza mumuti, zvichiita kuderedza kunoderedza ropa kunopinda kumakumbo. Izvi zvinoderedzwa ropa rinogona kukonzera kunonoka kukuvadzwa kuporesa, marwadzo (kunyanya muzvigunwe) uye kuwedzerwa kowakafa kwekufa kwechifu kana chigumbu . Zviratidzo zvePAD zvinosanganisira ganda rinotonhorera kugunzva uye rakasvibirira muvara, uye kurwadziwa kwemakumbo paunenge uchifamba.
Ganda
Ganda rinokanganisa shuga yakakosha yeropa nenzira dzinoverengeka. Zvimwe zvinetso zveganda, zvakadai semaronda uye kunonoka kuporesa, zvinokonzerwa nekutsvaira kwepfungwa uye kwehutano kunogona kuitika nechirwere cheshuga. Imwe nzira yeuropathy iyo dzimwe nguva inokonzera vanhu vane chirwere cheshuga ndeyekudzivirira kweuropathy, uye inosanganiswa neiyo ganda rinoshanduka:
- Danda rakasviba
- Kukudzwa kwetsoka uye maziso
- Ganda rinonzwa ruchidikanwa kumubata
Nechiito chikuru uye chinogona kuoma chinetso cheganda chinokanganisa vanhu vane chirwere cheshuga chibage kana kuti chisingadi . Kana chirwere cheshuga chakakonzera maonero ekurwadziwa pamusana pekushaya ropa, ipapo dzimwe nzvimbo dzetsoka dzichaona kuwedzererwa.
Iyi nharaunda, kazhinji zvigunwe kana zvigaro, zvinowanzokura zviyo uye mafoni anokwanisa kuve nyore kuva zvipembenene muhutachiona hwechirwere cheshuga.
Dhiyabhorosi tsoka nemakumbo zvinogona kukura blister kana mashizha anokonzera kuputika. Dzimwe nguva ganda uye zvigunwe zvinoputika uye zvinotapira kubuda kwezuva. Vanorwara nechirwere cheshuga vanowanzoita kuti vafunge fungus , chimwe chinokonzera kuputika.
Kuziva zvinogona kuita zvinokonzera chirwere cheshuga zvinogona kutyisa, asi nzira yakanakisisa yekuzvidzivirira ndeyokudzivirira. Apo zvinouya pakudzivirira tsoka dzako, iva nechokwadi chokuti unosanganisira kugara uchishanyira chiremba wako uye chirwere chemapurisa kana iwe uchitambura nechirwere cheshuga.
Sources
Lavery, Lawrence A., David G. Armstrong, Steven A. Vela, Terri L. Quebedeaux, naJohn G. Fleischli. (1998) Zvinyorwa Zvinobatsira Kuongorora Vachiremba paPain High for Diabetes Foot Ulceration. Archives of Internal Medicine. 158: 157-162.
Dhipatimendi reUnited Health Health and Human Services, Centers for Disease Control and Prevention, 2011. National diabetes inoshandura: kuongororwa kwenyika uye ruzivo rwezvechirwere cheshuga uye prediabetes muUnited States, 2011.
American Diabetes Association. Diabetes Statistics-Data kubva muna 2011 National Diabetes Fact Sheet (yakabudiswa Jan. 26, 2011).