Mankhwala othandiza odwala matenda ashuga: mndandanda, malangizo ogwiritsira ntchito ndi kuwunika

Matenda a shuga tsopano akukhudza anthu ochulukirachulukira. Onse akulu ndi ana amavutika ndi vutoli. Nthawi zambiri, matendawa ndi osachiritsika ndipo amafunika kuperekedwa kwa mankhwala apadera kwa nthawi yonse. Pali mitundu yosiyanasiyana ya matenda ashuga, amagwira m'njira zosiyanasiyana ndipo nthawi zambiri amayambitsa mavuto. Chifukwa chake, ndikofunikira kumwa okhawo omwe adokotala adanenera.

Mitundu ya matenda ashuga

Pali mitundu iwiri yamatenda. Onsewa amadziwika ndi shuga yayikulu yamagazi, yomwe imachitika pazifukwa zosiyanasiyana. Ndi matenda a shuga amtundu 1, omwe amatchedwanso insulin, thupi silipanga mwaokha mahomoni ofunikira awa. Izi ndichifukwa cha kuwonongeka kwa maselo a pancreatic. Ndipo chithandizo chachikulu cha mtundu wa wodwalayo wa shuga ndi insulin.

Ngati ntchito za kapamba sizilemala, koma pazifukwa zina zimatulutsa timadzi tating'onoting'ono, kapena ngati maselo amthupi sangathe kutero, mtundu wa matenda a shuga amayamba. Amadziwikanso kuti insulin-Independent. Pankhaniyi, kuchuluka kwa shuga kumatha kukwera chifukwa cha kuchuluka kwa chakudya chamagulu, kusokonezeka kwa metabolic. Nthawi zambiri, munthu akamakhala ndi matenda a shuga a 2, amakhala wonenepa kwambiri. Chifukwa chake, tikulimbikitsidwa kuchepetsa kuchepa kwa chakudya chamafuta, makamaka zinthu za ufa, maswiti ndi wowuma. Koma, kuwonjezera pa chakudya, kugwiritsa ntchito mankhwala osokoneza bongo ndikofunikanso. Pali mitundu yosiyanasiyana ya matenda a shuga a 2, amaikidwa ndi dokotala kutengera mtundu wa matendawa.

Insulin-wodwala matenda a shuga:

Palibe mankhwala ochiritsira matendawa. Mankhwala othandizira amangofunikira. Chifukwa chiyani mankhwalawa samathandizira? Mwa munthu wathanzi, kapamba amatulutsa mahomoni a insulin, omwe amafunikira kagayidwe kabwinobwino. Amatulutsidwa m'magazi pomwe munthu akadya, zomwe zimapangitsa kuti kuchuluka kwake kwa glucose kukwere. Ndipo insulin imalitulutsa kuchokera ku magazi kupita ku maselo ndi minyewa. Ngati shuga ndi wochuluka, timadzi timeneti timathandizira pakupanga malo ake m'chiwindi, komanso kuphatikizidwa kwamafuta kwambiri.

Mu insellusus yodalira shuga, kutulutsa kwa insulin ndi kapamba kumasokoneza. Chifukwa chake, shuga wamagazi amakwera, omwe ndi owopsa kwambiri. Vutoli limayambitsa minyewa ya minyewa, kukula kwa impso ndi mtima, kupangika kwa magazi ndi mavuto ena. Chifukwa chake, odwala omwe ali ndi matenda ashuga ayenera kuwonetsetsa kuti insulini ikubwera kuchokera kunja. Ili ndi yankho ku funso lomwe amamwa mankhwala a shuga 1. Ndi mankhwala molondola a insulin, kuphatikiza kwa mankhwala owonjezera nthawi zambiri sikufunika.

Zokhudza kugwiritsa ntchito insulin

Hormoni iyi imasweka mwachangu m'mimba, kotero singathe kumwa mapiritsi. Njira yokhayo yobayira insulin mthupi ndi syringe kapena pampu yapadera mwachindunji m'magazi. Mankhwalawa amalowetsedwa mwachangu ngati adayikika mu khola lamkati pamimba kapena kumtunda kwa phewa. Tsamba lomwe silothandiza kwenikweni ndi ntchafu kapena matako. Ndikofunikira nthawi zonse kubayira mankhwala pamalo omwewo. Kuphatikiza apo, pali zina mwazinthu zothandizira odwala omwe ali ndi matenda a shuga omwe amadalira insulin. Kuzindikiritsa kwa mahomoni kumadalira kuchuluka kwa zomwe wodwala amayenda, zomwe amadya, komanso zaka zake. Kutengera izi, mitundu yosiyanasiyana ya mankhwalawa imaperekedwa ndipo mlingo umasankhidwa. Kodi pali mitundu yotani ya mahomoni iyi?

Insulin-yochitika kwa nthawi yayitali - imagwiritsa ntchito shuga tsiku lonse. Chitsanzo chochititsa chidwi ndi mankhwala a Glargin. Amakhala ndi shuga wamagazi nthawi zonse ndipo amatumizidwa kawiri pa tsiku.
Insulin yokhala ndi nthawi yochepa imapangidwa kuchokera ku mahomoni amunthu pogwiritsa ntchito mabakiteriya apadera. Awa ndi mankhwalawa "Humodar" ndi "Actrapid". Zochita zawo zimayamba pambuyo pa theka la ola, motero tikulimbikitsidwa kuti muwabweretse musanadye.
Ultrashort insulin imayendetsedwa pambuyo chakudya. Imayamba kuchita mphindi 5-10, koma zotsatira zake sizikupitilira ola limodzi, chifukwa chake, imagwiritsidwa ntchito limodzi ndi mitundu ina ya insulin. Mankhwalawa ali ndi kuchitapo kanthu mwachangu: Humalog ndi Apidra.

Mellitus wosadalira insulin: mankhwala

Kukonzekera mankhwalawa a matenda a shuga a mtundu wachiwiri ndikosiyanasiyana. Matenda amtunduwu amapezeka pazifukwa zosiyanasiyana: chifukwa cha kuperewera kwa zakudya m'thupi, moyo wokhazikika, kapena kunenepa kwambiri. Mafuta owonjezera m'magazi omwe ali ndi matendawa amatha kuchepetsedwa m'njira zingapo. Poyamba, kusintha kwa moyo wanu komanso zakudya zina ndizokwanira. Ndiye mankhwala ndi ofunika. Pali mankhwala osokoneza bongo:

insulin yolimbikitsa othandizira, mwachitsanzo, sulfonylureas kapena dongo,
zikutanthauza kusintha insulin komanso minofu kukhudzika kwa izo, awa ndi Biguanides ndi thiazolidinediones,
mankhwala omwe amalepheretsa kuyamwa kwa shuga,
magulu atsopano a mankhwala amathandizira kuchepetsa kulakalaka komanso kuchepa thupi.

Mankhwala omwe amathandizira thupi kupanga insulin pawokha

Mankhwala osokoneza bongo a shuga amadziwika mu magawo oyambirira a chithandizo cha matenda. Ngati kuchuluka kwa shuga m'magazi kumangokulitsidwa pang'ono, zolimbitsa chitetezo cha insulin zimayikidwa. Ndiwakanthawi kochepa - meglitinides ndi sulfonylurea zotumphukira, zomwe zimakhala ndi phindu lokhalitsa. Ambiri a iwo amayambitsa mavuto ambiri, mwachitsanzo, hypoglycemia, mutu, tachycardia. Mankhwala obwera kumene okha, Maninil ndi Altar, alibe zoperewera. Komabe, madokotala nthawi zambiri amakupatsani mankhwala omwe amadziwa bwino komanso omwe amayesedwa nthawi yayitali: Diabetes, Glidiab, Amaril, Glyurenorm, Movogleken, Starlix ndi ena. Amatengedwa katatu patsiku, kutengera nthawi yochitapo kanthu.

Mankhwala omwe amasintha mayamwidwe a insulin

Ngati thupi lipanga kuchuluka kokwanira kwa timadzi timeneti, koma kuchuluka kwa glucose ndikokwera, mankhwala ena amawaikira. Nthawi zambiri awa amakhala a biguanides, omwe amasintha kuyamwa kwa insulin ndi maselo. Amathandizira kuchepetsa kulakalaka, amachepetsa kupanga shuga ndi chiwindi ndi mayamwidwe ake m'matumbo. Biguanides omwe amakonda kwambiri ndi Siofor, Glucofage, Bagomet, Metformin ndi ena. The thiazolidinediones amakhala ndi zotulukapo zofanana ndi minofu yomwe imawonjezera kukhudzika kwawo kwa insulin: Actos, Pioglar, Diaglitazone, Amalvia ndi ena.

Kodi pali mankhwala ena ati a shuga?

Magulu ena a mankhwala nthawi zambiri amathandizira odwala matenda ashuga. Amawonekera posachedwa, koma atsimikizira kale kugwiriridwa kwawo.

Mankhwala "Glucobay" amalepheretsa kuyamwa kwa glucose m'matumbo, chifukwa chomwe mulingo wake m'magazi umachepa.
Mankhwala osakanikirana "Glucovans" amaphatikiza njira zingapo zoyambitsa thupi.
Mapiritsi a "Januvia" amagwiritsidwa ntchito popanga mankhwala ochepetsa shuga.
Mankhwala "Trazhenta" ali ndi zinthu zomwe zimawononga ma enzyme omwe amasunga shuga wambiri.

Zakudya zowonjezera zakudya

M'magawo oyamba a shuga omwe amadalira insulin, kuchuluka kwa mankhwala omwe amawononga m'mimba amatha kuchepetsedwa. Mankhwalawa amathandizidwa ndi zakudya zapadera komanso zamagulu a mankhwala azitsamba ndi zina zowonjezera zamankhwala. Njira izi sizingathe mmalo mwa chithandizo chamankhwala chokhazikitsidwa ndi dokotala, mutha kungowonjezera.

BAA "Insulin" imasintha kagayidwe, imalimbikitsa kapamba ndipo imachepetsa mayamwidwe a glucose.
Mankhwala opangidwa ku Japan "Tuoti" amathandizira kuchepetsa shuga ndikufalitsa matenda a metabolism
Mankhwala ozikidwa pazitsamba zamagulu azitsamba "Glucberry" samangoyendetsa shuga wamagazi, komanso amachepetsa thupi, komanso amalepheretsa kukula kwa zovuta za matenda ashuga.

Zolemba za mtundu wa 2 shuga

Mankhwalawa amapezeka pamapiritsi. Zambiri zimayambitsa mavuto:

kunenepa
kutupa
fragility
kukanika kwa mtima,
nseru ndi m'mimba zopweteka
chiwopsezo cha kukhala ndi hypoglycemia.

Kuphatikiza apo, mankhwala ochokera m'magulu osiyanasiyana amakhudza thupi mosiyanasiyana. Chifukwa chake, wodwalayo sangathe kusankha mtundu wa mankhwala omwe amayenera kumwa. Ndi dokotala yekhayo amene angadziwe momwe mungachepetse shuga wanu. Ngati pali zizindikiro za kagwiritsidwe ntchito ka insulini, ndiye kuti ndibwino kusinthira kwa iyo mwachangu, osayesa kusintha magome ochepetsa shuga.

Ndi mankhwala ena ati omwe mungalandire odwala matenda ashuga?

Wodwala wotere sayenera kuwunika zakudya zokha. Ndikofunikira kuphunzira mosamalitsa malangizo a mankhwala aliwonse, ngakhale chimfine kapena mutu. Ambiri a iwo amatsutsana mu shuga. Mankhwala onse sayenera kukhudzana ndi shuga komanso akhale ndi zovuta zochepa.

Kodi ndingamwe mankhwala ati a shuga? Ovomerezeka ndi Indapamide, Torasemide, Mannitol, Diacarb, Amlodipine, Verapramil, Rasilez.
Ma pinkiller ambiri komanso mankhwala osokoneza bongo omwe amalimbana ndi kutupa amaloledwa kukhala ndi shuga, chifukwa sizikhudza shuga wamagazi: Aspirin, Ibuprofen, Citramon ndi ena.
Pakazizira, madzi a shuga omwe amagwiritsidwa ntchito ndi shuga ndi lozenges wa resorption ayenera kupewedwa. Sinupret ndi Bronchipret amaloledwa.

Umboni Wodwala wa Mankhwala A shuga

Masiku ano, matenda a shuga akuwonjezerekanso kwa anthu. Ndi mankhwala ati omwe amatchuka kwambiri ndi matendawa amatha kupezeka pakuwunika kwa odwala. Chithandizo chogwira mtima kwambiri ndi Glucofage, yomwe, kuphatikiza kuchepetsa shuga, imathandizira kuchepetsa thupi komanso kupewa ngozi yamavuto. Nthawi zambiri omwe amagwiritsidwa ntchito ndi Siofor ndi Maninil. Kukonzekera kwazitsamba komwe kwatuluka posachedwa kwadzetsa malingaliro ambiri abwino, omwe amathandiza kupititsa patsogolo shuga komanso kusintha thanzi lathunthu. Izi ndi "Dialect", "Music Diabetes", "Shuga", "Yanumet" ndi ena. Ubwino wawo umaphatikizapo kuti alibe contraindication ndi zoyipa. Koma iwo, monga zowonjezera zonse za biologically, zitha kugwiritsidwa ntchito pokhapokha ngati dokotala akuvomera.