DIABETES
MELLITUS –KISUKARI.
Diabetes mellitus
has now become a most feared disease in urban areas, and this has largely
attributed by dramatic changes in life styles of people.
It’s most
feared as it has no definitive treatment, use you acquire the condition, the
hope remains in palliatives, which do nothing than controlling blood sugar, so
as to halt the speed of progression of disease into devastating complications.
Having diagnosed
with diabetes mellitus, and especially when it reaches the criteria of using medications,
it mean nothing but to spend entire life in medications! This has psychological
and economic implications.
There are
two types of DM,typeI and DM typeII. Here
I will focus on DMII as it occurs in adults and there are some measures to take,
for the sake of being on safe side.
KISUKARI NI
NINI?
Mtu anapokua na kisukari maana yake ni kwamba
sukari kwenye damu ni nyingi kuliko kiwango cha kawaida.
Kwa hali ya
kawaida sukari yapaswa kua katika vipimo
vya 3.5mmol/L mpaka 11.10mmol/L endapo ikiwa zaidi 11.1mmol/L,hili ni tatizo.
Dalili nyingine za kisukari ni pamoja na
·
Kiu
ya maji ya mara kwa mara-polydispia (kawaida mtu hunywa maji lita 2 kwa siku)
·
Hamu
kubwa ya chakula/kula sana-polyphagia
·
Kukojoa
mara kwa mara-polyuria (kwa usiku kuamka zaidi ya mara tatu ajiri ya kukojoa)
·
Kupungua
uzito-weight loss
·
Kupoteza
nguvu ya macho-blurred vision
·
Kupata
maambukizi ya fangasi mdomoni,vidoleni na sehemu za siri.-candindiasis
Ukiona dalili
hizi ni heri kuwahi mapema kituo cha afya au hospitali na kucheki sukari.au
kama una glucometer nyumbani check
MADHARA YA
KISUKARI NI NINI?
impotence-ndoa hatarini |
· Kupata
shinikizo la damu/high blood pressure
·
Waweza
kupata kiharusi (stroke)
·
Kupoteza
nguvu ya macho/upofu
·
Figo
kupata madhara,isipo tibiwa figo hufa kabisa
·
Kupoteza
nguvu za kiume/hamu ya tendo la ndoa
·
Kupata
ganzi miguuni na mikoni
·
Vidonda
visivyo pona/vidonda ndugu ambavyo hupelekea miguu/mguu kutatwa (amputation)
KISUKARI HUPATIKANA VIPI
Munganiko wa vitu viwili kwa pamoja (synergism) hupelekea mtu kupata
kisukari.
1. Urithi wa chembechembe toka wa kizazi
(genetic predisposition from 1st degree relatives)
·
Kama
kuna ndugu yako wa karibu kwa damu au mzazi mwenye tatizo la sukari,uwezekano
unakua mkubwa nawe kupata-1st degree relative
2. Mazingira ya maisha (life style).
·
Uzito
usioendana na kimo/urefu-BMI.Normal range 18-25 calculated by =weight in
kg/height in meter squre. Tumia hata simu yako kama ni adroid.
au waist circumfarence zaidi ya 88cm kwa wanawake na 102cm kwa wanaume
·
Maisha
ya kukaa kaa pasipo mazoezi (sedentary
life style)
·
Pombe/ulevi
·
Matibabu
yaambatanayo na vidonge Fulani (thiazides,beta blockers,anti psychotic,statins
etc)
·
Mimba
Muunganiko wa sababu za
mwanzo na hizi za pili hupelekea kongosho kushindwa kuzalishaa vichocheo insulin au mwili kushindwa kurespond kwa vichocheo hivyo hata kama vina zalishwa. Hivyo mtu kupata kisukari.
Hapa hatuwezi kujikinga
na sababu zilizopo katika kundi la 1,ila tunaweza kuziepuka hizo katika kundi
la2.
NANI ANATAKIWA KWENDA KU
SCREEN AJIRI YA KISUKARI?
kipimo cha sukari |
ü Mwenye umri wa miaka 45
ü Mjamzito
ü Mwenye pressure zaidi ya 140/90
ü Mwenye BMI zaidi ya 30
ü Mwenye ndugu wa karibu,ambae ana
kisukari
ü Mwenye maradhi ya ovaries
TUNAJIKINGA VIPI NA
KISUKARI?
·
Mazoezi
ya mapangilio-regular exercise
·
Chakula
chenye mpangilio-health diet
·
Kupunguza
uzito kulingana na vimo vyetu
·
Kupunguza
pombe/au kuacha kabisa.
***************************************************
Weka maoni
yako.
use =once
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