Type 2 matenda a shuga: mndandanda
✓ Nkhani yoyesedwa ndi dokotala
Malinga ndi zotsatira za kafukufuku wamkulu wofalitsa matenda am'madzi ku Russia (NATION), 50% yokha mwa omwe ali ndi matenda a shuga 2 amapezeka. Chifukwa chake, chiwerengero chenicheni cha odwala matenda ashuga ku Russian Federation sichili ochepera anthu 8-9 miliyoni (pafupifupi 6% ya anthu), zomwe zimawopseza chiyembekezo chakutsogolo, popeza gawo lalikulu la odwala silidziwika, chifukwa chake samalandira chithandizo ndipo amakhala chiopsezo chachikulu chotengera misempha. Kukula kotereku kumayenderana ndi kupsinjika, kudya kwambiri komanso kulimbitsa thupi pang'ono. Mu shuga mellitus wa mtundu wachiwiri, odwala sanadalire insulin, ndipo ngati malingaliro ena atsatiridwa, atha kupewa kupitiliza kwa matendawa komanso zovuta zake zambiri. Nthawi zambiri, mankhwalawa amakhala pogwiritsa ntchito mankhwala ena komanso zakudya zoyenera.
Type 2 matenda a shuga: mndandanda
Kukonzeratu komanso zizindikiro
Nthawi zambiri, matenda a shuga a 2 amakhudza magulu otsatirawa a odwala:
- Iwo amene amakhala ndi moyo wokhazikika.
- zaka ≥45 zaka
- akudwala matenda oopsa,
- anthu omwe ali ndi cholowa cha matenda ashuga,
- kuchuluka thupi, kunenepa kwambiri komanso kudya pafupipafupi,
- omwe amakhala ndi mapaundi owonjezereka omwe amawayika pamimba ndi kumtunda,
- Zambiri zam'mimba zamagetsi zomwe zimapezeka mosavuta muzakudya,
- azimayi omwe ali ndi polycystic ovary syndrome,
- odwala matenda amtima.
Type 2 shuga
Kuphatikiza apo, mtundu 2 wa matenda ashuga ukhoza kukayikiridwa mwa iwo omwe ali ndi zizindikiro zotsatirazi:
- kumverera kofooka nthawi zonse ndikufooka,
- kukodza pafupipafupi popanda zifukwa zenizeni
- Khungu
- hypercholesterolemia (HDL ≤0.9 mmol / L ndi / kapena triglycerides ≥2.82 mmol / L,
- kusala kudya kwamatenda glycemia kapena mbiri yolekerera shuga,
- gestational shuga mellitus kapena mbiri yayikulu ya mwana wosabadwayo
- Nthawi zambiri kukwera kapena kuwonjezeka kwa diastolic ndi systolic kukondweretsedwa.
Yang'anani!Ngati muli pachiwopsezo, muyenera kuyang'ana shuga wanu ndikuwunika kunenepa kwambiri. Popewa, ndikofunika kuchita masewera olimbitsa thupi.
Siofor motsutsana ndi matenda amtundu wa 2 shuga
Mankhwalawa amapangidwa ku Germany ndipo ndi amodzi mwa okwera mtengo kwambiri omwe amapezeka mu CIS. Mtengo wapakati wa mankhwala ndi ma ruble 250-500 phukusi lililonse.
Siofor amatanthauza mankhwala omwe amatha kuthana ndi vuto lanjala
Mlingo wa mankhwalawa umayikidwa mosiyanasiyana payekhapayekha. Nthawi zambiri, wodwalayo amalandira chithandizo choyambirira ndi Siofor pa mlingo wa 500 mg, pambuyo pake zinthu zomwe zimasinthidwa zimasinthidwa poganizira momwe wodwalayo alili.
Mankhwalawa amatengedwa kapena atadya. Mapiritsi ayenera kutsukidwa ndi madzi pang'ono oyera. Siofor amatanthauza mankhwala omwe amatha kuthana ndi vuto lanjala, zomwe zimapangitsa kuti achepetse kwambiri katundu pa kapamba.
Yang'anani!Ngati odwala atatha zaka 65 alandila chithandizo, impso zawo ziyenera kuyang'aniridwa pafupipafupi. Ndi mlingo woyenera wa mankhwala, kukula kwa kulephera kwa impso ndikotheka.
Glucophage ndi Glucophage Kutalika kwa Type 2 shuga
Mankhwala Glucofage amatha kuchepetsa kuchepa kwamphamvu kwa chakudya
Mtundu woyamba wa mankhwalawa umatengera mankhwala omwe amachepetsa kwambiri kuyamwa kwa chakudya chamafuta, omwe amakhala ndi phindu pa kapamba. Mlingo wapamwamba wa Glucophage ndi 500 kapena 850 mg yogwira ntchito, yomwe ikuyenera kugwiritsidwa ntchito mpaka katatu patsiku. Tengani mankhwalawo ndi chakudya kapena mukangomaliza kudya.
Popeza mapiritsiwa amayenera kumwedwa kangapo patsiku, chiopsezo cha zotsatirapo zake chimakula kwambiri, chomwe odwala ambiri sakonda. Kuti achepetse kupsa mtima kwa mankhwalawa pathupi, mawonekedwe a Glucophage adasintha. Njira yotalikilapo yamankhwala imakuthandizani kuti mumwe mankhwalawa kamodzi kokha patsiku.
Mbali ya Glucofage Long ndikutulutsa pang'onopang'ono, komwe kumaletsa kulumpha kwamphamvu mu metformin m'magazi a madzi am'magazi.
Yang'anani!Mukamagwiritsa ntchito mankhwala a Glucofage, kotala la odwala limatha kukhala ndi zizindikiro zosasangalatsa mu mawonekedwe a matumbo colic, kusanza komanso kulawa kwamphamvu kwamkamwa. Ndi zotsatirazi zoyipa, muyenera kusiya mankhwalawo ndikuthandizira mankhwala.
Mankhwala a Type II a shuga
Mankhwalawa ndi a gulu la a GLP-1 receptor agonists. Amagwiritsidwa ntchito ngati syringe yopangidwa mwapadera, yomwe ndi yabwino kupereka jakisoni ngakhale kunyumba. Baeta ili ndi mahomoni apadera omwe ali ofanana ndendende ndi zomwe chakudya chamagaya chimapanga chakudya chikalowa. Kuphatikiza apo, pali kukondoweza pa kapamba, chifukwa chomwe amayamba kupanga insulin mwachangu. Jakisoni amayenera kupanga ola limodzi asanadye. Mtengo wa mankhwalawa umasiyanasiyana 4800 mpaka 6000 rubles.
Imapezekanso mu syringe, koma chifukwa cha formula yowonjezera imakhala ndi mphamvu yayitali mthupi lonse. Izi zimakuthandizani kuti mupeze jakisoni kamodzi patsiku, komanso ola limodzi musanadye. Mtengo wapakati wa Victoza ndi ma ruble 9500. Mankhwala ayenera kuvomerezedwa mufiriji yokha. Ndikofunikanso kuyambitsa nthawi yomweyo, zomwe zimakupatsani mwayi wothandizira ntchito yam'mimba komanso kapamba.
Mankhwala amapezeka piritsi. Mtengo wapakati wa phukusi limodzi ndi ma ruble 1700. Mutha kumwa Januvia mosasamala za chakudya, koma ndikofunikira kuchita izi pafupipafupi. Mlingo wapamwamba wa mankhwalawa ndi 100 mg yogwira ntchito kamodzi patsiku. Kuchiza ndi mankhwalawa kumatha kuchitika ngati mankhwala okhawo omwe athetse ziwopsezo za matenda ashuga, komanso kuphatikiza ndi mankhwala ena.
Mankhwala ndi a mankhwala a gulu la zoletsa DPP-4. Tikaledzera monga zovuta, odwala ena nthawi zina amakhala ndi mtundu woyamba wa matenda a shuga, omwe amakakamiza odwala kumwa insulin nthawi zonse akangodya. Onglisa amagwiritsidwa ntchito ngati monotherapy komanso kuphatikiza pamodzi. Ndi mitundu iwiri ya chithandizo, mlingo wa mankhwalawa ndi 5 mg yogwira ntchito kamodzi patsiku.
Zotsatira zakugwiritsa ntchito mapiritsi a Galvus zimapitirira kwa tsiku limodzi
Mankhwalawa amakhalanso a gulu la DPP-4 zoletsa. Gwiritsani ntchito Galvus kamodzi pa tsiku. Mlingo woyenera wa mankhwalawa ndi 50 mg yogwira ntchito, mosasamala kanthu za kudya. Mphamvu ya kugwiritsa ntchito mapiritsi imapitirira tsiku lonse, zomwe zimachepetsa mphamvu ya mankhwalawa thupi lonse. Mtengo wamba wa Galvus ndi ma ruble 900. Monga momwe anachitira Onglisa, kukula kwa matenda ashuga amtundu 1 ali m'gulu la zovuta zomwe zimagwiritsidwa ntchito ndi mankhwalawa.
Yang'anani!Mankhwalawa amalimbikitsa zotsatira zamankhwala ndi Siofor ndi Glucofage. Koma kufunikira kwa kugwiritsidwa ntchito kwawo kuyenera kufotokozedwa mu chilichonse.
Mankhwala othandizira chidwi cha maselo ku insulin
Mankhwala amapezeka mu mawonekedwe a mapiritsi mu 15 mpaka 40 mg yogwira ntchito. Ndondomeko komanso mlingo wa wodwala aliyense amasankhidwa payekhapayekha poganizira shuga m'magazi a m'magazi. Nthawi zambiri, chithandizo chimayamba ndi mlingo wa 15 mg, kenako lingaliro lingachitike pakufunika kokulirapo kwa Actos. Mapiritsi ndi oletsedwa kugawana ndi kutafuna. Mtengo wapakati wa mankhwala ndi ma ruble 3000.
Zimapezeka kwa anthu ambiri, zomwe zimagulitsidwa pamtengo phukusi la ma ruble 100-300. Mankhwalawa amayenera kumwa mwachangu ndi chakudya kapena pambuyo pake. Mlingo woyamba wa yogwira mankhwala ndi 0,5 mg kawiri tsiku lililonse. Amaloledwa kutenga mlingo woyambirira wa 0,87 mg wa formin, koma kamodzi patsiku. Pambuyo pa izi, mlingo wa sabata iliyonse umakulitsidwa pang'onopang'ono mpaka ufikire 2-3 g. Ndi zoletsedwa mwamphamvu kupyola muyeso wa chinthu chogwira mu magalamu atatu.
Mtengo wapakati wa mankhwala ndi ma ruble 700. Glucobay mwanjira ya mapiritsi amapangidwa. Mlingo wachitatu wa mankhwalawa amaloledwa tsiku lililonse. Mlingo umasankhidwa mwa aliyense payekha, poganizira kuyezetsa magazi. Pankhaniyi, ikhoza kukhala 50 kapena 100 mg ya chinthu chachikulu. Tengani Glucobai ndi chakudya choyambirira. Mankhwala amakhalabe ndi ntchito kwa maola asanu ndi atatu.
Mankhwalawa adapezeka posachedwa m'mashelefu apabizinesi ndipo sanalandirebe kufalitsa kokwanira. Kumayambiriro kwa mankhwalawa, odwala amalimbikitsidwa kumwa piouno kamodzi pa tsiku Mlingo wa 15 mg yogwira ntchito. Pang'onopang'ono, mlingo wa mankhwalawa ukhoza kuwonjezeka mpaka kufika pa 45 mg pa nthawi. Muyenera kumwa piritsi nthawi yayikulu chakudya nthawi yomweyo. Mtengo wapakati wa mankhwala ndi ma ruble 700.
Kanema - Momwe mungasungire chithandizo. Matenda a shuga
Zotsatira zazikulu mukamagwiritsa ntchito mankhwalawa zimatheka pothandizira odwala omwe ali ndi matenda osokoneza bongo omwe ali ndi kunenepa kwambiri. Mutha kutenga Astrozone osasamala chakudya. Mlingo woyambirira wa mankhwalawa ndi 15 kapena 30 mg yogwira ntchito. Ngati ndi kotheka komanso kusathandiza kwa mankhwalawa, dokotala angaganize kuwonjezera mlingo wa tsiku lililonse mpaka 45 mg. Mukamagwiritsa ntchito Astrozone mu zochitika zosowa kwambiri, odwala amapanga zotsatira zoyipa mwanjira yowonjezera kuchuluka kwa thupi.
Yang'anani!Gululi la mankhwalawa lingathenso kutumikiridwa pophatikiza chithandizo cha Siofor ndi Glucofage, koma ndikofunikira kumuwunika wodwalayo momwe angathere kuti muchepetse zovuta.
Mndandanda wathunthu wa mankhwala
| Mankhwala | Chithunzi | Pangani miligiramu | Chiwerengero cha tsiku lililonse | Kutalika kwazinthu |
|---|---|---|---|---|
| Maninil |  | 1,75-3,75 | Nthawi ziwiri | Tsiku |
| Glibenclamide |  | 5 | Mpaka nthawi ziwiri | Tsiku |
| Diabefarm |  | 80 | Mpaka nthawi ziwiri | Maola 16-24 |
| Diabinax |  | 20-80 | Mpaka nthawi ziwiri | Maola 16-24 |
| Diabeteson MV |  | 30-60 | Tsiku ndi tsiku | Tsiku |
| Diabetesalong |  | 30 | Tsiku ndi tsiku | Tsiku |
| Amaril |  | 1-4 | Tsiku ndi tsiku | Tsiku |
| Glemauno |  | 1-4 | Tsiku ndi tsiku | Tsiku |
| Meglimide |  | 1-6 | Tsiku ndi tsiku | Tsiku |
| Movoglechen |  | 5 | Mpaka nthawi ziwiri | Maola 16-24 |
| Starlix |  | 60-180 | Mpaka kanayi | Osapitirira 4 maola |
| Novonorm |  | 0,5-2 | Mpaka kanayi | Osapitirira 4 maola
Mukapanga matenda a mtundu wa 2 matenda a shuga, muyenera kuyamba kulimbana ndi matenda, kukulitsa zakudya zanu. Njira zoterezi zimachepetsa thupi, zomwe zimachepetsa katundu pa zikondamoyo, zimakulitsa chidwi cha zolandirira insulin. Nthawi zambiri, izi zimatha kusintha mkhalidwe wa wodwalayo, kupewa zovuta za matenda ashuga, komanso kupewa kutulutsa gawo lodalira insulin.
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