Matenda a shuga kapena mapiritsi

• Maninil (1.75, 3.5)
• Glimidstad (1.75, 3.5)

• Maninil (5)
• Glibenclamide (5)

• Glidiab (80)
• Glyclazide-Actos (80)
• Diabefarm (80)
• Dongosolo (80)
• Diabinax (20, 40, 80)

• Diabeteson MV (30, 60)
• Glidiab MV (30)
• Diabefarm MV (30)
• Gliclada (30)
• Diabetesalong (30)
• Glyclazide MV (30)

• Amaryl (1, 2, 3, 4)
• Glemaz (2, 4)
• Glumedex (2)
• Meglimid (1, 2, 3, 4, 6)
• Glimepiride (1, 2, 3, 4)
• Glimepiride-Teva (1, 2, 3, 4)
• Diameride (1, 2, 3, 4)
• Glemauno (1, 2, 3, 4)
• Glimepiride Canon (1, 2, 3, 4)

• NovoNorm (0.5, 1, 2)
• Diagninide (0.5, 1, 2)

• Siofor (500, 850, 1000)
• Glucophage (500, 850, 1000)
• Bagomet (500, 850)
• Gliformin (250, 500, 850, 1000)
• Metfogamma (500, 850, 1000)
• Metformin (500, 850, 1000)
• Metformin Richter (500, 850)
• Metospanin (500)
• NovoFormin (500, 850)
• Fomu (500, 850, 1000)
• Forin Pliva (850, 1000)
• Sofamet (500, 850)
• Langerine (500, 850, 1000)
• Metformin-Teva (500, 850, 1000)
• Nova Met (500, 850, 1000)
• Metformin Canon (500, 850, 1000)

• Glucophage kutalika (500, 750)
• Metadiene (500)
• Diaformin OD (500)
• Metformin MV-Teva (500

• Aktos (15, 30, 45)
• Mdyerekezi (15, 30)
• Pioglar (15, 30, 45)
• Pioglite (15, 30)
• Astrozone (30)
• Amalvia (15, 30)
• Diagnitazone (15, 30, 45)
• Piouno (15, 30, 45)

• Glibomet (2.5 / 400)
• Glucovans (2.5 / 500, 5/500)
• Bagomet Plus (2.5 / 500, 5/500)
• Glucofast (2.5 / 400)
• Gluconorm (2.5 / 400)

Ngati mukufuna insulini, yambani ndi nkhani "Chithandizo cha matenda a shuga ndi insulin. Ndi insulin iti yoti musankhe. " Mtundu wachiwiri wa matenda ashuga, odwala amawopa pachithandizo cha insulin. Chifukwa jakisoni wa insulini amathandizira kuti zikondamoyo zanu "zitheke" ndikuziteteza kuti zisawonongeke komaliza. Mutha kuwerenga zambiri pansipa.

Gome lotsatirali likuthandizani kudziwa zomwe zimapezeka m'magulu osiyanasiyana a mankhwalawa.

Kuyerekeza mphamvu, zabwino ndi zoyipa zamankhwala amakono a shuga

Kugwiritsa ntchito bwino mankhwala a matenda a shuga a 2 - ichi ndiye choyamba, kutsatira mfundo ziwiri zofunika:

• kukana kumwa mapiritsi aliwonse omwe amachititsa kuti insulini isungidwe ndi kapamba (sulfonylureas, meglitinides),
• ngati pali zisonyezo zochizira matenda a shuga ndi insulin, ndiye kuti muyenera kuyambitsa jakisoni mwachangu, osayesa kuisintha ndi mankhwala, zina, zitsamba kapena mankhwala ena wowerengeka.

Ganizirani mfundo izi mwatsatanetsatane, chifukwa ndizofunikira kwambiri.

Ndi mitundu yanji ya mankhwala a shuga omwe samathandiza, koma kuvulaza

Pali mankhwala osokoneza bongo omwe samabweretsa zabwino kwa odwala, koma kuvulaza kosalekeza. Ndipo tsopano mudzazindikira kuti mankhwalawa ndi chiyani. Mankhwala ovuta a shuga ndi mapiritsi omwe amathandizira kapamba kuti apange insulin yambiri. Aperekeni! Amayambitsa kuwonongeka kwakukulu kwa thanzi la odwala matenda ashuga. Mapiritsi omwe amathandizira kupanga insulin ndi kapamba amaphatikiza mankhwala ochokera ku sulfonylurea zotumphukira ndi magulu a meglitinides. Madokotala amakondabe kuwalembera mtundu wachiwiri wa matenda ashuga, koma izi ndi zolakwika komanso zovulaza kwa odwala. Tiyeni tiwone chifukwa.

Mtundu wachiwiri wa matenda ashuga, odwala, monga lamulo, samatulutsanso insulin yocheperako popanda mapiritsi awa, komanso katatu kuposa anthu athanzi. Mutha kutsimikizira kuyesa kwa magazi kwa C-peptide. Vuto lomwe limakhala ndi odwala omwe ali ndi matenda ashuga ndikuwonetsetsa kuti maselo amatha kuchepa mphamvu. Vutoli limatchedwa insulin kukana. Muzochitika zotere, kumwa mapiritsi omwe amathandizira kubisalira kwa insulin ndi kapamba kumakhala kofanana kukwapula kavalo wovutitsidwa, yemwe, ndi mphamvu zake zonse, amakoka ngolo yayikulu. Hatchi yabwinobwino imatha kufa m'misala.

Udindo wa kavalo woyendetsedwa ndi kapamba wako. Ili ndi maselo a beta omwe amapanga insulin. Amagwira ntchito kale ndi katundu wambiri. Mothandizidwa ndi mapiritsi a sulfonylurea zotumphukira kapena meglitinides ", ndiye kuti amafa kwambiri. Zitatha izi, kupanga kwa insulin kumachepa, ndipo mtundu wachiwiri wa matenda ashuga wachiwiri umasanduka mtundu wovuta kwambiri komanso wosachiritsika wodwala wa insulin 1.

Chododometsa china chachikulu cha mapiritsi opanga insulin ndi chakuti amachititsa hypoglycemia. Izi zimachitika ngati wodwala wamwa mapiritsi olakwika kapena waiwala kudya nthawi. Njira zochizira matenda amtundu wa 2 omwe timalimbikitsa kuti tichepetse magazi, pomwe chiopsezo cha hypoglycemia ndi zero.

Kafukufuku wamkulu adawonetsa kuti zochokera ku sulfonylurea zimachulukitsa kufa kwa zifukwa zonse pakati pa odwala omwe amawatenga, kuphatikizapo kufa kwa matenda a mtima ndi khansa. Zimasokoneza kayendedwe ka magazi m'mitsempha ndi m'mitsempha ina, ndikutseka njira za calcium za ATP zomwe zimatsitsimutsa mitsempha yamagazi. Izi sizikutsimikiziridwa kokha chifukwa cha mankhwala aposachedwa a gululi. Koma siziyenera kutengedwa, ngakhale, pazifukwa zomwe tafotokozazi.

Ngati matenda a shuga a mtundu wa 2 amayang'aniridwa mosamala ndi chakudya chamagulu ochepa, kudya masewera olimbitsa thupi, ndi jakisoni wa insulin ngati pakufunika, maselo owonongeka a beta atha kubwezeretsanso ntchito yawo. Phunzirani ndikutsatira pulogalamu yochizira matenda ashuga amtundu wa 2. Izi ndizabwino koposa kumwa mapiritsi - sulfonylurea derivatives kapena meglitinides, omwe amapha ma cell a beta ndikukulitsa zovuta za odwala matenda ashuga. Sitingathe kulembapo mayina onse a mapiritsiwa pano, chifukwa alipo ambiri.

Izi zikuyenera kuchitika. Werengani malangizo am'mapiritsi a shuga omwe mudawalembera. Ngati zidzachitike kuti ali m'gulu la sulfonylurea zotumphukira kapena meglitinides, musatenge. M'malo mwake, phunzirani ndikutsatira pulogalamu yachiwiri ya matenda ashuga. Palinso mapiritsi ena ophatikiza omwe ali ndi zosakaniza ziwiri zogwira ntchito: a sulfonylurea derivative plus metformin. Ngati mwapatsidwa mwayi wosankha, ndiye kuti sinthani kuchokera ku metformin ya "pure" (Siofor kapena Glyukofazh).

Njira yoyenera yothanirana ndi matenda amtundu wa 2 ndikuyesera kusintha kukhudzidwa kwa maselo kuti apange insulin. Werengani nkhani yathu yokhudza insulin. Imakuuzani momwe mungachitire. Pambuyo pake, simuyenera kulimbikitsa kupanga insulin. Ngati vuto la matenda ashuga silotsogola, ndiye kuti insulin yakeyo ndi yokwanira kukhalabe ndi shuga.

Osayesa kulowetsa jakisoni wa insulin ndi mapiritsi.

Chitani magazi okwanira masiku atatu, makamaka sabata lathunthu. Ngati pafupifupi shuga itatha chakudya itakhala 9 mmol / L kapena kuposa, nthawi yomweyo yambani kuthandizidwa ndi insulin, kuphatikiza zakudya zamagulu ochepa. Chifukwa palibe mankhwala omwe angathandize pano. Choyamba, mothandizidwa ndi jakisoni wa insulini komanso chakudya choyenera, onetsetsani kuti shuga yanu yamagazi ikutsikira pazomwe mukufuna. Ndipo mukaganiziratu momwe mungagwiritsire ntchito mapiritsi kuti muchepetse mlingo wa insulin kapena ngakhale kungoisiya kwathunthu.

Anthu odwala matenda amtundu wa 2 amakonda kuchedwetsa kuyamba kwawo kwa mankhwala a insulin. Zachidziwikire chifukwa cha ichi mudapita patsamba la mankhwala osokoneza bongo, sichoncho? Pazifukwa zina, aliyense amakhulupirira kuti chithandizo cha insulin chitha kunyalanyazidwa mosavomerezeka, ndipo zovuta za shuga zimawopseza wina, koma osati iwo. Ndipo awa ndiopusa kwambiri kwa odwala matenda ashuga. Ngati "chiyembekezo" choterechi afa ndi vuto la mtima, ndiye ndinene kuti anali ndi mwayi. Chifukwa pali zosankha zoyipa:

• Mimbulu ndikuduladula miyendo,
• Khungu
• Imfa yolimbitsa mtima chifukwa cholephera aimpso.

Izi ndi zovuta za matenda ashuga zomwe mdani woipa kwambiri sangafune. Poyerekeza ndi iwo, kufa mwachangu komanso kosavuta kuchokera ku vuto la mtima ndizopambana kwenikweni. Komanso, mdziko lathu, lomwe silimalimbikitsa nzika zake olumala kwambiri.

Chifukwa chake, insulin ndi njira yabwino yothandizira matenda a shuga a 2. Ngati mumamukonda kwambiri, ndiye kuti amakupulumutsirani kwa mnzake wapamtima wazovuta izi. Ngati zikuwoneka kuti insulini singagawidwe, ndiye kuti yambani kubayitsa mwachangu, osataya nthawi. Pakakhala khungu kapena atadula mwendo, munthu wodwala matenda ashuga nthawi zambiri amakhala wolumala. Munthawi imeneyi, amakwanitsa kuganizira mofatsa za momwe anali munthu wopanda tanthauzo pomwe sanayambe jekeseni wa insulin panthawi yake ...

Nthawi zina, kupanga ubwenzi ndi insulin ndikofunikira, komanso mwachangu:

• Pazakudya zamafuta ochepa, shuga m'magazi anu akamaliza kudya amapitilira 9mmol / L ndi pamwamba.
• Kuphatikiza kwa zakudya zamagulu ochepa a carbohydrate, masewera olimbitsa thupi ndi mapiritsi a "kumanja" sikukuthandizira kuchepetsa shuga mukatha kudya m'munsimu 6.0 mmol / L.

Kondani insulini ndi mtima wanu wonse chifukwa ndi bwenzi lanu lalikulu, mpulumutsi ndi chitetezo chanu ku zovuta za matenda ashuga. Muyenera kudziwa luso la jakisoni wopanda ululu, phatikizani insulin mokonzekera nthawi imodzi ndikuchita zina kuti muchepetse mlingo wake. Ngati mungagwiritse ntchito pulogalamu ya chithandizo cha matenda ashuga (ndikofunikira kwambiri kuchita masewera olimbitsa thupi), ndiye kuti mutha kulimbana ndi insulin yaying'ono. Mwakuthekera kwakukulu, mutha kukana jekeseni kwathunthu. Koma izi sizingachitike pokhapokha ngati pali zovuta za matenda ashuga.

Mapiritsi omwe amachititsa chidwi cha maselo ku insulin

Monga momwe mukudziwira, mwa odwala ambiri omwe ali ndi matenda a shuga a 2, kapamba amapanga insulin yokwanira, kapenanso katatu kuposa momwe amafunira. Vuto ndiloti anthuwa amakhala ndi chidwi chochepa cha maselo kuti agwire insulin. Kumbukirani kuti vutoli limatchedwa insulin kukana, i.e., insulin kukana. Pali mitundu ingapo ya mankhwala omwe amathetsa pang'ono. M'mayiko olankhula Chirasha, mankhwalawa awiriwa akupezeka - metformin (mapiritsi a Siofor kapena Glyukofazh) ndi pioglitazone (ogulitsidwa pansi pa mayina Aktos, Pioglar, Diaglitazone).

Pulogalamu yothandiza ya matenda a shuga a 2 imayamba ndi kadyedwe kochepa kamthupi, komanso masewera olimbitsa thupi mosangalatsa. Izi ndi njira zamphamvu komanso zothandiza kutengera shuga m'magazi. Koma muzovuta, sizothandiza mokwanira, ngati kuti wodwalayo sanasamalire bwino mankhwalawo. Ndipo, kuphatikiza pa iwo, mapiritsi amathandizidwanso omwe amawonjezera chidwi cha maselo kuti agwiritse ntchito insulin. Ngati mugwiritsa ntchito kuphatikiza zakudya zamagulu ochepa a carbohydrate, masewera olimbitsa thupi komanso othandizira insulin, mwayi ndiwakuti mutha kuthana ndi matenda osokoneza bongo popanda kupangira jakisoni. Ndipo ngati mukufunikabe kubaya insulin, ndiye kuti mankhwalawa amakhala ochepa.

Kumbukirani kuti palibe piritsi la shuga lomwe lingalowe m'malo mwa zakudya ndi masewera olimbitsa thupi. Maphunziro akuthupi ndi chisangalalo ndi chida chothandiza kwambiri kukulitsa chidwi cha maselo kuti aphe insulin ndikuwongolera matenda a shuga. Mankhwala ogwira mtima sangafanane nawo. Ndipo makamaka, sizingatheke kupewa zovuta za matenda ashuga ngati simutsatira zakudya zamagulu ochepa.

Siofor (Glucophage) - mankhwala odziwika bwino a matenda a shuga a 2

Mankhwala otchuka a matenda a shuga a mtundu wa 2 ndi metformin, omwe amagulitsidwa monga mapiritsi a Siofor ndi Glyukofazh m'maiko olankhula Chirasha. Werengani nkhani yathu yatsatanetsatane yokhudza mapiritsi awa. Metformin imakulitsa chidwi cha maselo kuti agwiritse ntchito insulin, potero amachepetsa shuga la magazi ndikuthandizira kuchepetsa thupi ndi ma kilogalamu angapo. Imapondanso zochita za ghrelin ya mahomoni motero imathandizira kupewa kudya kwambiri.

Mothandizidwa ndi mankhwalawa, zotsatira za kuyesedwa kwa magazi pazinthu zowopsa zamtima zimasintha. Zimatsimikizidwanso kuti kutenga metformin kumachepetsa chiopsezo cha kufa ndi khansa ndi mtima. Mavuto a shuga amabwera chifukwa glucose owonjezera, yemwe amapezeka m'magazi, amamangiriza mapuloteni osiyanasiyana ndikusokoneza ntchito yawo. Chifukwa chake, metformin imalepheretsa izi, ndipo zimachitika mosasamala kanthu kuti zimapangitsa bwanji kuchepetsa magazi. Zimathandizanso kuthamanga kwa magazi m'matumbo, kumachepetsa kuvundikira komanso kusakhazikika kwa ma capillaries, komanso kumachepetsa chiopsezo cha kukha mwazi m'maso ndi matenda ashuga a retinopathy.

Thiazolidinedione Matenda A shuga

Mankhwala a shuga a m'gulu la thiazolidinedione amalepheretsa kulephera kwa impso, kuwonjezera pazomwe zimapangitsa kuchepetsa magazi. Amaganiza kuti amatseka zochita za majini zomwe zimayambitsa kuphatikizira mafuta mthupi. Chifukwa cha izi, thiazolinediones amathandiza kuchedwetsa kapenanso kulepheretsa chitukuko cha matenda ashuga amtundu wa 2 anthu omwe ali pachiwopsezo chachikulu. Kumbali inayi, zatsimikiziridwa kuti mankhwalawa amawonjezera chiopsezo cha mafupa azimayi pambuyo pochita kusamba.

Thiazolinediones amachititsanso kuti madzi azisungika m'thupi. Izi ndizosavomerezeka kwa odwala omwe ali ndi matenda ashuga omwe ali ndi mtima wofundira, chifukwa matupi awo amakhala atadzaza kale ndimadzi. M'mbuyomu, panali mankhwala awiri ochokera ku gulu la thiazolidinedione: rosiglitazone ndi pioglitazone. Komabe, kugulitsa rosiglitazone kunali koletsedwa pomwe zinagwiritsa ntchito kuti kugwiritsidwa ntchito kwake kumawonjezera chiopsezo cha matenda a mtima, ndipo tsopano pioglitazone yokha ndi yomwe imalamulidwa kwa odwala.

Chifukwa chiyani odwala matenda ashuga amafuna insulin?

Insulin ndi mahomoni omwe amapangidwa kuti azitsatira kuchuluka kwa shuga m'magazi. Ngati pazifukwa zina zimakhala zochepa, matenda a shuga amapangidwa. Mu mtundu wachiwiri wa matenda awa, sizingatheke kulipirira kusowa ndi mapiritsi okha kapena zakudya zoyenera. Pankhaniyi, jakisoni wa insulin ndi mankhwala.

Idapangidwa kuti ibwezeretse magwiridwe antchito a oyang'anira, omwe kapamba wowonongeka sangathenso kupereka. Mothandizidwa ndi zinthu zoipa, chiwalochi chimayamba kuonda ndipo sichingathenso kubereka mahomoni okwanira. Pankhaniyi, wodwalayo amapezeka ndi matenda a shuga 2. Yambitsani kupatuka kotereku:

• Maphunziro osavomerezeka a shuga
• Mafuta ochulukirapo a glucose - pamwambapa 9 mmol / L,
• Kumwa mankhwala ozikidwa ndi sulfonylurea mokulira.

Zisonyezo za insulin

Kukanika kwa pancreatic ndiye chifukwa chachikulu chomwe anthu amakakamizidwa kubaya insulin. Chiwalo ichi cha endocrine ndichofunikira kwambiri pakuwonetsetsa zochita za thupi. Ngati yasiya kugwira ntchito kapena ngati ikuchita pang'ono, kulephera kwina kwa ziwalo zina ndi machitidwe ena kumachitika.

Maselo a beta omwe amayenda ndi kapamba amapangidwa kuti apange insulin yachilengedwe. Mothandizidwa ndi ukalamba kapena matenda ena, amawonongeka ndikufa - sangatulutsenso insulin. Akatswiri amati kwa anthu omwe ali ndi mtundu woyamba wa matenda ashuga pambuyo pa zaka 7-10, pakufunikanso chithandizo chotere.

Zifukwa zazikulu zomwe zimapangira insulin ndi izi:

• Hyperglycemia, momwe shuga m'magazi amakwera kwambiri kuposa 9 mmol / l,
• Cancreaticigue kapena matenda,
• Mimba mwa mkazi yemwe ali ndi matenda ashuga
• Kukakamizidwa kwa mankhwala osokoneza bongo omwe ali ndi mankhwala a sulfonylurea,
• Kuchulukitsa kwa matenda osakhudzana ndi kapamba.

Chifukwa cha kusazindikira kwawo, odwala ambiri amayesetsa kuti asayambe mankhwalawa nthawi yayitali. Amakhulupirira kuti iyi ndiye mfundo yoti tisabwerenso, zomwe zikuwonetsa matenda oopsa. Zowonadi, palibe cholakwika ndi jakisoni wotere. Insulin ndi chinthu chomwe chingathandize thupi lanu kugwira ntchito mokwanira, ndipo muyenera kuiwala za matenda anu osachiritsika. Ndi jakisoni wokhazikika, mudzatha kuiwala za mawonekedwe oyipa a shuga 2.

Mitundu ya insulin

Opanga zamankhwala amakono akuyambitsa kuchuluka kwakukulu kwa mankhwalawa kutengera insulin. Hormoneyi imangopangidwira kuti ikhale yothandizira kukonza matenda ashuga. Kamodzi m'magazi, imamanga glucose ndikuchotsa m'thupi.

Mpaka pano, insulini ndi yamtundu uwu:

• Zochita zazifupi - zimachitika nthawi yomweyo,
• Zochita zazifupi - zimasiyana pang'onopang'ono komanso moyenerera,
• Kutalika kwapakatikati - yambani kugwira ntchito patatha maola 1-2 mutatha,
• Kutenga nthawi yayitali - mawonekedwe ofala kwambiri, omwe amathandizira kuti thupi lizigwira ntchito kwa maola 6-8.

Insulin yoyamba idabadwa ndi anthu mu 1978. Apa ndipomwe asayansi aku Britain adakakamiza E. coli kupanga mahomoni awa. Kupanga zochuluka kwa ma ampoules ndi mankhwalawa kunayamba mchaka cha 1982 ndi United States. Mpaka nthawi imeneyo, anthu omwe ali ndi matenda a shuga a 2 adakakamizidwa kubaya jakisoni wa nkhumba. Mankhwalawa nthawi zambiri ankayambitsa mavuto. Masiku ano, insulin yonse inachokera ku zopangidwa, motero mankhwalawa samayambitsa zotsatirapo zilizonse.

Kukhazikitsa Insulin Therapy

Musanapite kwa dokotala kuti apange mtundu wa mankhwala a insulin, muyenera kuchita kafukufuku wokhudza shuga.

Kuti muchite izi, tsiku lililonse kwa sabata muyenera kupereka magazi a shuga.

Mukalandira zotsatira za phunziroli, mutha kupita kwa katswiri. Kuti mupeze zotsatira zowona, musanatenge magazi kwa milungu ingapo, yambani kukhala moyo wabwinoko komanso wolondola.

Ngati, mutatha kudya, kapamba amafuniranso insulin ina, sizingatheke kupewa mankhwala.Madokotala, kuti apange njira yoyenera ndi yothandizila ya insulin, ayankhe mafunso otsatirawa:

1. Ndikufuna jakisoni wa insulin usiku?
2. Ngati ndi kotheka, mlingo amawerengedwa, pambuyo pake mlingo wa tsiku ndi tsiku umasinthidwa.
3. Kodi ndifunika jakisoni wa insulin wa nthawi yayitali m'mawa?
   Kuti achite izi, wodwalayo amayikidwa kuchipatala ndipo amayesedwa. Samamupatsa chakudya cham'mawa komanso nkhomaliro, amaphunzira momwe thupi limachitikira. Pambuyo pake, kwa masiku angapo m'mawa, insulin yokhala ndi nthawi yayitali imabayidwa, ngati kuli koyenera, mlingo umasinthidwa.
4. Ndikufuna jakisoni wa insulin musanadye? Ngati ndi choncho, zisanachitike, zomwe sizofunika.
5. Mlingo woyambira wa insulin yochepa musanadye chakudya.
6. Kuyesera kumachitika kuti muwone kuchuluka kwa insulini yomwe muyenera kubaya musanadye.
7. Wodwalayo amaphunzitsidwa kupatsa insulin okha.

Ndikofunikira kwambiri kuti wothandizidwa azamalonda azithandizira pantchito yopanga insulin.

Kupitilira mankhwala a insulin

Type 2 shuga mellitus ndi matenda opita patsogolo pomwe kulimba kwa ma cell a pancreatic beta amayamba kuchepa. Pamafunika kupitilira kwa mankhwala opangidwira kuti thupi likhale ndi shuga. Ganizirani. Kuti mlingo wa yogwira ntchito uyenera kusinthidwa pafupipafupi - nthawi zambiri umachulukana. Popita nthawi, mufika pa mapiritsi ambiri. Madokotala ambiri sakonda mtundu uwu wa mankhwalawa, chifukwa umabweretsa zovuta zambiri mthupi.

Mlingo wa insulin ukakhala wapamwamba kuposa mapiritsi, dokotala amakusinthirani jakisoni. Kumbukirani kuti uwu ndi mankhwala osachiritsika omwe mudzalandira kwa moyo wanu wonse. Mlingo wa mankhwalawa udzasinthanso, chifukwa thupi limazolowera kusintha.

Chosiyana chokha ndi pamene munthu amatsata zakudya zapadera.

Pankhaniyi, mlingo womwewo wa insulini ungamuthandize kwa zaka zingapo.

Mwachizolowezi, izi zimachitika mwa anthu omwe adapezeka kuti ali ndi matenda opatsirana a shuga koyambirira. Ayeneranso kukhala ndi zochitika zapantchito, ndipo kupanga kwa cell-beta ndikofunikira kwambiri. Ngati munthu wodwala matenda ashuga atha kubwezeretsa kulemera kwake, amadya moyenera, amasewera masewera, amachita zonse zotheka kubwezeretsa thupi - amatha kuchita ndi insulin yaying'ono. Idyani zakudya zabwino ndikukhala ndi moyo wathanzi, ndiye kuti simuyenera kuwonjezera kuchuluka kwa insulini.

Mlingo waukulu wa sulfonylurea

Kubwezeretsa ntchito za kapamba ndi zisumbu zokhala ndi maselo a beta, kukonzekera kwa sulfonylurea ndi mankhwala. Pulogalamu yotere imakwiyitsa gawo la endocrine kuti lipange insulini, chifukwa choti shuga ya m'magazi imasungidwa kwambiri. Izi zimathandiza kukhazikika bwino munthawi zonse mthupi. Nthawi zambiri, mankhwala otsatirawa amaperekedwa chifukwa chaichi:

Mankhwalawa onse ali ndi mphamvu yolimbikitsa ku kapamba. Ndikofunika kwambiri kuyang'anira mlingo womwe adokotala adasankha, chifukwa kugwiritsa ntchito sulfonylurea yochulukirapo kungayambitse kuwonongeka kwa kapamba. Ngati mankhwala a insulin amachitidwa popanda mankhwalawa, ntchito ya pancreatic idzaphimbidwa kwathunthu m'zaka zochepa chabe. Imakhalabe ndi magwiridwe antchito kwa nthawi yayitali, ndiye kuti simukuyenera kuti muwonjezere insulin.

Mankhwala opangidwa kuti azisamalira thupi ndi matenda a shuga a mtundu wachiwiri amathandizira kubwezeretsa kapamba, komanso kuziteteza ku zotsatira zoyipa za zinthu zakunja ndi zamkati.

Achire zotsatira za insulin

Insulin ndi gawo lofunika kwambiri m'moyo wa anthu odwala matenda ashuga a 2. Popanda mahomoni awa, amayamba kuvutika kwambiri, zomwe zimabweretsa hyperglycemia komanso zotsatirapo zowopsa. Madokotala adazindikira kale kuti chithandizo chokwanira cha insulini chimathandizira wodwalayo kuti awonetsere zovuta za matenda ashuga, komanso kuwonjezera moyo wake. Mothandizidwa ndi timadzi timeneti, ndizotheka kubweretsa kuchuluka kwa shuga m'magazi ndi shuga pamlingo woyenera: pamimba yopanda kanthu ndikatha kudya.

Insulin ya odwala matenda ashuga ndi njira yokhayo yowathandizira kuti azimva bwino ndikuiwala za matenda awo. Mankhwala osankhidwa moyenera amatha kuletsa matendawa, komanso kuletsa kukula kwa zovuta zazikulu. Insulin mu Mlingo woyenera sangathe kuvulaza thupi, komabe, ndi bongo wambiri, hypoglycemia ndi hypoglycemic coma ndizotheka, zomwe zimafuna chithandizo chamankhwala mwachangu. Therapy ndi timadzi timeneti timayambitsa zotsatirazi zochizira:

1. Kuchepetsa shuga wamagazi mukatha kudya komanso pamimba yopanda kanthu, pochotsa matenda a hyperglycemia.
2. Kupititsa patsogolo kwa mahomoni mu kapamba poyankha kudya.
3. Kutsika kwa kagayidwe kachakudya, kapena gluconeogeneis. Chifukwa cha izi, shuga amachotsedwa mwachangu kumadera omwe siopatsa mafuta.
4. Lipolysis yafupika mukatha kudya.
5. Mapuloteni achepa achulukitsidwa m'thupi.

Mankhwala odziwika a insulini okwanira amakhudza bwino njira za metabolic mthupi: lipid, chakudya, mapuloteni. Komanso, kutenga insulin kumathandizira kukhazikitsa kuponderezana ndi shuga, ma amino acid ndi lipids.

Kodi mankhwala omwe amachepetsa kukana insulin

Mankhwala a Metformin ndi pioglitazone amathandizira kuti maselo azikhala ndi insulin. Ndipo zilibe kanthu kuti ndi mtundu wanji wa insulini - yomwe kapambayu wapanga, kapena amene wodwalayo adalandira ndi jakisoni. Zotsatira za zomwe mapiritsi amatsutsana ndi insulin kukana, shuga m'magazi omwe ali ndi matenda a 2 amatsika, ndipo gawo labwino ndilakuti palibe zotsatira zoyipa.

Komabe, zopindulitsa za metformin ndi pioglitazone sizimathera pamenepo. Kumbukirani kuti insulini ndiye mahomoni akuluakulu omwe amachititsa kuti mafuta azikhala ochepa komanso kuti muchepetse kunenepa. Wodwala yemwe ali ndi matenda a shuga a mtundu wachiwiri kapena / kapena kunenepa kwambiri akamamwa mapiritsiwo, ndiye kuti insulin yake m'magazi imachepa ndikufikira yachilendo. Chifukwa cha izi, kulemera kowonjezeranso kumayima, ndipo nthawi zambiri kumatha kutaya ma kilogalamu angapo. Ngati matenda a shuga a mtundu 2 sanakulirebe, ndipo muyenera kungoyang'anira kunenepa kwambiri, ndiye kuti metformin nthawi zambiri imayikidwa. Chifukwa ali ndi chiopsezo choyipa, ndipo pioglitazone ali nacho, ngakhale yaying'ono.

Tipereka zitsanzo kuchokera ku zomwe Dr Bernstein adachita. Adali ndi wodwala matenda ashuga amtundu wa 2 komanso onenepa kwambiri. Wodwalayo adafunikira jakisoni 27 wa insulin yayitali usiku umodzi, ngakhale adatsatira zakudya zamafuta ochepa. Adatsatira malangizo omwe adafotokozedwa mu gawo la "Momwe Mungatengere Mlingo Waukulu wa Insulin". Atayamba kumwa glucophage, mlingo wa insulin unachepetsedwa kukhala magawo 20. Izi akadali mlingo waukulu, komabe kuposa 27 mayunitsi.

Momwe mungagwiritsire ntchito mapiritsi awa

Mapiritsi omwe amathandizira chidwi cha maselo kuti apange insulin amayenera kulembedwa kwa odwala omwe ali ndi matenda a shuga 2 ngati sangathe kuchepetsa thupi pazakudya zochepa, komanso makamaka ngati sangathe kuchepetsa shuga m'magazi awo. Werengani malingaliro omwe ali ndi zolinga zoyenera zosamalidwa ndi matenda a shuga. Musanapange regimen ya kumwa mankhwala a shuga, muyenera kumayendetsa shuga kwathunthu kwa masiku 3-7 ndikulemba zotsatira zake. Tikukukumbutsani kuti ngati shuga m'magazi kamodzi chakudya itatha 9,0 mmol / L kapena kuposa, ndiye kuti muyenera kuyambitsa jakisoni mwachangu. Ndipo pokhapokha ganizirani za momwe mungachepetsere mlingo wake ndi mapiritsi.

Mudzaona kuti shuga amawonjezeka kuposa nthawi ina iliyonse, kapena amakwezeka nthawi yonseyo. Kutengera izi, onani nthawi yomwe mukufuna kumwa mapiritsi a shuga. Mwachitsanzo, shuga wanu wamagazi nthawi zonse amakwezedwa m'mawa. Izi zimatchedwa "chodabwitsa cha m'bandakucha." Pankhaniyi, yesani kutenga Glucophage Extended-Night. Yambani ndi mlingo wocheperako ndikuwonjezera pang'onopang'ono. Werengani mwatsatanetsatane "Momwe mungayendetsere zovuta zam'mawa".

Kapena mita ya glucose imawonetsa kuti shuga ya magazi ikwera pambuyo chakudya, mwachitsanzo, pambuyo pa nkhomaliro. Poterepa, tengani Siofor mwachangu 2 maola musanadye. Ngati pali matenda am'mimba kuchokera ku regimen iyi, tengani Siofor ndi chakudya. Komanso gwiritsani ntchito mapiritsi a shuga kuti muthandizire kuthandizira. Ngati magazi a shuga amasungidwa pang'ono kuzungulira nthawi, ndiye kuti mutha kuyesa Mlingo wa 500 kapena 850 mg wa Siofor nthawi iliyonse musanadye, komanso usiku.

Motani ndipo bwanji mutenge metformin ndi pioglitazone palimodzi

Metformin (mapiritsi a Siofor ndi Glucofage) amagwira ntchito, akumachepetsa kukana kwa insulin m'maselo a chiwindi. Zimapangitsanso pang'ono kuyamwa kwa mafuta m'matumbo. Pioglitazone amachita mosiyanasiyana. Zimakhudza minofu ndi adipose minofu, zimakhudza chiwindi mpaka pang'ono. Izi zikutanthauza kuti ngati metformin sikumachepetsa shuga m'magazi, ndiye zomveka kuwonjezera pioglitazone kwa iye, mosemphanitsa.

Chonde dziwani kuti pioglitazone sikuwonetsa zotsatira zake pakuchepetsa shuga lamwazi nthawi yomweyo, koma masabata angapo atayamba kuyambitsa makonzedwe. Mutamwa metformin, tsiku lililonse pioglitazone sayenera kupitirira 30 mg.

Zotsatira zoyipa za Metformin

Mapiritsi a Siofor ndi Glucofage (the yogwiritsira ntchito metformin) kwenikweni samayambitsa zotsatira zoyipa. Komabe, mwa anthu omwe amawatenga, nthawi zambiri amayambitsa kugaya kwamkaka - kutulutsa, mseru, matenda am'mimba. Izi zimachitika ndi odwala osachepera ⅓ omwe amamwa mankhwala a Siofor othamanga.

Anthu amazindikira msanga kuti Siofor amathandizira kuchepetsa thupi ndi ma kilogalamu angapo, ndipo ndi matenda amtundu wa 2 amabweretsa shuga m'magazi pafupi ndi zabwinobwino. Chifukwa cha izi zopindulitsa, ali okonzeka kupirira mavuto ndi m'mimba. Mavutowa amakhala ocheperako ngati mungasinthe kuchokera ku Siofor kupita ku Glucophage kuchitapo kanthu. Komanso, odwala ambiri amawona kuti zovuta zakudya zam'mimba zomwe zimatenga Siofor zimafooka ndi nthawi, thupi likazolowera mankhwalawa. Ndi ochepa okha omwe sangathe kulekerera mankhwalawa konse.

Masiku ano, Metformin ndi mankhwala omwe amakonda kwambiri a anthu ambiri odwala matenda ashuga padziko lonse lapansi. Adakhala ndi wotsogolera - phenformin. Mu 1950s, adazindikira kuti zitha kuyambitsa lactic acidosis, yoopsa, yomwe ikhoza kufa. Mukumwa phenformin, lactic acidosis idapezeka mwa odwala ofooka omwe kale anali ndi vuto la mtima kapena kuwonongeka kwambiri kwa impso. Unduna wa Zaumoyo umachenjeza kuti metformin ikhoza kuyambitsanso lactic acidosis ngati muli ndi vuto la mtima, chiwindi kapena impso. Ngati mavutowa palibe, ndiye kuti chiwopsezo cha lactic acidosis ndi zero.

Zotsatira zoyipa za pioglitazone

Mwa anthu ena, pioglitazone (Actos, Pioglar, Diaglitazone) amachititsa kuti madzi asungidwe. Izi zimawonetsedwa ndi kutupa kwamiyendo ndi kuchepa kwa kuchuluka kwa maselo ofiira am'magazi m'magazi a m'magazi. Komanso, akumwa pioglitazone, wodwalayo amatha kulemera pang'ono. Izi zimachitika chifukwa cha kudzikundikira kwa madzimadzi, koma osati mafuta. Odwala odwala matenda ashuga omwe amatenga pioglitazone komanso nthawi yomweyo amalandira jakisoni wa insulin, chiopsezo cha matenda a mtima chikuwonjezeka. Kwa odwala matenda ashuga, tsiku lililonse pioglitazone sayenera kupitirira 30 mg. Ngati, motsutsana ndi maziko a chithandizo cha insulini ndikumwa mapiritsi awa, muwona kuti miyendo yanu iyamba kutupa, ndiye kusiya kumwa pioglitazone nthawi yomweyo.

Zadziwika m'magazini kuti kutenga pioglitazone kangapo kudapangitsa kuti chiwindi chisasinthidwe. Kumbali ina, mankhwalawa amakulitsa mbiri ya cholesterol, ndiye kuti, amachepetsa kuchuluka kwa cholesterol yoyipa m'magazi ndikuwonjezera kuchuluka kwa cholesterol yabwino. Popeza pioglitazone ikhoza kuyambitsa kusungunuka kwa madzimadzi, sangathe kulembedwa kwa odwala omwe ali ndi vuto lililonse la mtima, matenda a impso kapena m'mapapo.

Mu thupi, pioglitazone imasinthidwa ndi chiwindi. Pachifukwa ichi, enzyme yomweyo imagwiritsidwa ntchito, yomwe imasokoneza mankhwala ena ambiri otchuka. Ngati mumamwa mankhwala angapo nthawi yomweyo kuchita mpikisano womwewo, ndiye kuti kuchuluka kwa mankhwala m'magazi kumatha kuchuluka. Sikoyenera kumwa pioglitazone ngati mukuthandizidwa kale ndi antidepressants, antifungal mankhwala, kapena maantibayotiki ena. Mu malangizo a pioglitazone phunzirani mosamala gawo "Kuyanjana ndi mankhwala ena". Ngati muli ndi mafunso, kambiranani ndi dokotala kapena wafiziki wa mankhwala.

Zoyenera kuchita ngati shuga m'magazi akadali pamwamba

Ngati mapiritsi a shuga amachepetsa shuga m'magazi, koma osakwanira, ndiye kuti izi zitha kukhala chifukwa cha zovuta ndi chakudya chanu. Mwambiri, mumadya michere yambiri kuposa momwe mumayembekezera. Choyamba, muyenera kupenda zakudya zanu mosamala kuti mudziwe komwe zakudya zowonjezera zimalowa. Werengani momwe mungathanirane ndi vuto la kudya zakudya zamafuta komanso momwe mankhwalawo amathandizira kuti muzilakalaka kudya komanso kusamala.

Mwazi wamagazi mwa anthu omwe ali ndi matenda ashuga nawonso umakulitsa matenda kapena kutupa kwaposachedwa. Zomwe zimayambitsa zovuta ndizopangira mano, chimfine, kapena matenda a impso. Kuti mumve zambiri, werengani nkhani yofotokoza kuti, "Chifukwa chiyani shuga amapitiliza kudya zakudya zamafuta ochepa, komanso momwe angazikonzere."

Timalimbikitsa maphunziro azolimbitsa thupi mosangalala ndi matenda amtundu wa 2. Ngati zakudya zamafuta ochepa komanso mapiritsi sizithandiza kwenikweni, ndiye kuti pali chisankho - maphunziro akuthupi kapena jakisoni wa insulin. Komabe, simungathe kuchita chimodzi kapena chimzake, koma musadabwe kuti mudzafuna kudziwa bwino zovuta za matenda ashuga ... Ngati wodwala wodwala matenda ashuga pafupipafupi komanso mwamphamvu amachita maphunziro olimbitsa thupi molingana ndi njira zomwe timalimbikitsa, ndiye kuti mwina ndi 90% angathe kutha kuwongolera bwino shuga popanda jakisoni wa insulin. Ngati mukufunikabe kubaya insulini, zikutanthauza kuti muli kale ndi matenda amtundu 1, osayesa matenda ashuga 2. Mulimonsemo, kudya zakudya zamafuta ochepa komanso kuchita masewera olimbitsa thupi kumathandizira pakulimbana ndi insulin yambiri.

Mankhwala ena omwe amachititsa chidwi cha maselo kuti apange insulin

Kafukufuku wasonyeza kuti vitamini A mu milingo yoposa 25,000 IU patsiku amatsitsa insulin kukana. Akuti ngati vitamini A amatengedwa mopitilira 5,000 IU patsiku, izi zitha kuchititsa kuchepa kwa calcium calcium m'mafupa. Ndipo mulingo wambiri wa Vitamini A amaonedwa kuti ndi woopsa kwambiri. Chifukwa chake, mutha kumwa beta-carotene muyezo wabwino - uwu ndiye "patsogolo", womwe m'thupi la munthu umasandulika kukhala vitamini A pakufunika. Iye si wowopsa.

Kuperewera kwa magnesium m'thupi ndi pafupipafupi komanso chifukwa chachikulu cha insulin. Ku United States, mwa anthu, malo ogulitsa ma magnesium m'thupi amawunikidwa ndi kuwunika kwa maginito a m'magazi ofiira a m'magazi. Timachita mayeso a seramu magnesium, koma sizolondola ndipo motero osathandiza. Kuperewera kwa magnesium kumakhudza osachepera 80% aanthu. Kwa aliyense yemwe ali ndi matenda ashuga, tikulimbikitsani kuti mutenge mapiritsi a magnesium okhala ndi vitamini B6. Pambuyo pa masabata atatu, werengani momwe akukhudzira thanzi lanu komanso kuchuluka kwa insulini. Ngati zotsatira zake zili zabwino, pitilizani. Zindikirani Pakulephera kwa impso, magnesium siyingatengedwe.

Kuperewera kwa thupi kwa thupi ndi thupi kumapangitsa kupangika kwa leptin. Ichi ndi mahomoni omwe amalepheretsa munthu kudya kwambiri ndikusokoneza kulemera.Kuperewera kwa Zinc kumakhalanso ndi vuto lililonse ku chithokomiro cha chithokomiro. Buku la America lonena za chithandizo cha matenda ashuga limalimbikitsa kuyesedwa kwa magazi kwa misempha ya seramu, ndikumatenga zowonjezera ngati zapezeka. M'mayiko olankhula Chirasha, kudziwa ngati muli ndi zinc zokwanira mthupi lanu ndizovuta. Chifukwa chake, timalimbikitsa kuyesera kutenga zowonjezera za zinc, monga ndi magnesium.

Mapiritsi a Zinc kapena makapisozi amayenera kumwedwa kwa mwezi umodzi kuti mumvetsetse zomwe zimachitika. Ndi magnesium, munjira iyi ndikosavuta, chifukwa kayendetsedwe ka kayendetsedwe kake kamawonekera patatha milungu itatu. Kuchokera pakupanga zakudya zama zinc, anthu ambiri amawona kuti misomali ndi tsitsi lawo linayamba kukula bwino. Ngati muli ndi mwayi, ndiye kuti mutha kuchepetsa kuchuluka kwa insulin popanda kuthana ndi vuto la matenda ashuga. Kugwiritsa ntchito zinc kwa thupi, kukufotokozedwa mwatsatanetsatane mu buku la Atkins "Supplements: njira yachilengedwe yopangira mankhwala osokoneza bongo."

Vanadium Sulfate

Palinso chinthu choterocho - vanadium. Ichi ndi chitsulo cholemera. Mchere wake, makamaka vanadium sulfate, umakhala ndi zotsatirazi: zimatsitsa insulin, zimafooketsa chilimbikitso ndipo, mwina, zimagwira m'malo mwa insulin. Iwo ali ndi kuthekera kwamphamvu kotsitsa shuga m'magazi a shuga. Vanadium ikhonza kukhala njira yothandiza yodwala matenda ashuga, koma madokotala amachitapo kanthu mwachidwi, poopa mavuto.

Mchere wa Vanadium umathandizira kutsitsa shuga wamagazi poletsa tyrosine phosphatase enzyme. Ma enzyme amenewa amatenga mbali yofunika kwambiri machitidwe osiyanasiyana mthupi la munthu. Sizinatsimikiziridwe kuti zoletsa za ntchito yake ndizotetezeka ndipo sizikhala ndi zotsatirapo zoyipa zazitali. Mayesero osakanizika a vanadium othandizira mwa anthu sanakhalepo mpaka sabata 3. Ndipo odzipereka omwe ali ofunitsitsa kuchita nawo ziyeso zazitali sangapezeke.

Komabe, vanadium sulfate ndichakudya chowonjezera chomwe chimagulitsidwa ku United States. Kwa zaka zambiri, pakhala palibe zodandaula za zovuta kuchokera kwa iwo omwe amamwa. Dr. Bernstein lero adalimbikitsa kuti asamachiritse matenda ashuga ndi mankhwalawa kufikira chitetezo chake chitatsimikiziridwa. Izi zikugwiranso ntchito m'magulu onse a odwala, kupatula oyendetsa ndege omwe amayendetsa ndege. Alibe chosankha china, chifukwa mwanjira inayake amafunika kuwongolera matenda ashuga, ndipo amaletsedwa kugwiritsa ntchito insulin, powopseza kuti ataya chilolezo choulukira ndege.

Mawu ena owerengeka kwa oyendetsa ndege omwe ali ndi matenda ashuga, koma sayenera kumwa insulini. Choyamba, pitani pachakudya chochepa chamafuta, komanso khalani ndi maphunziro achisangalalo mosangalatsa. Gwiritsani ntchito mankhwala onse "oyenera" a shuga omwe tawalemba pamwambapa, komanso zowonjezera - vitamini A, magnesium, zinki komanso vanadium sulfate. Ndipo pali chida china chodziwika bwino chomwe chingakhale chothandiza kwa inu.

Masitolo ofunikira azitsulo akuwonetsedwa kuti amachepetsa minyewa. Izi ndizofunikira kwambiri kwa amuna, chifukwa azimayi amapereka chuma chambiri nthawi ya kusamba. Chitani kafukufuku wamagazi a seramu ferritin kuti muwone mulingo wazitsulo. M'mayiko olankhula ku Russia, kusanthula kumeneku kungathe kudutsidwa, mosiyana ndikuwunika kwa magnesium ndi zinc. Ngati kuchuluka kwanu kwazitsulo m'thupi kuli kwapakati, ndiye ndikofunika kuti mukhale wopereka magazi. Muyenera kupereka magazi ochulukidwa kwambiri kotero kuti malo anu azitsulo ali pafupi ndi malire ovomerezeka. Mwina chifukwa cha izi, chidwi cha maselo anu kupita ku insulin chidzakulirakulira. Osatenga oposa 250 mg a vitamini C patsiku, chifukwa Vitamini iyi imakulitsa kuyamwa kwachitsulo ku zakudya.

Mankhwala Atsopano Atsopano

Mankhwala atsopano a shuga ndi ma dipeptyl peptidase-4 zoletsa ndi glucagon-ngati peptide-1 receptor agonists. Mwachidziwitso, amapangidwira kuti muchepetse shuga wamagazi mukatha kudya ndi shuga yachiwiri. Pochita izi, amakhala ndi mphamvu yofooka kwambiri m'magazi a magazi, ofooka kwambiri kuposa metformin (Siofor kapena Glucofage).

Komabe, zotsatira za dipeptyl peptidase-4 zoletsa (Galvus, Januvia ndi Onglisa) pakuchepetsa shuga pambuyo pakudya ndi matenda amtundu wa 2 kungathandizire zotsatira za metformin ndi pioglitazone. Mutha kugwiritsa ntchito imodzi mwazamankhwala ngati chithandizo chachitatu cha matenda ashuga ngati dokotala akufotokozerani, ngati metformin kuphatikiza pioglitazone sizithandiza kwenikweni.

Glucagon-ngati peptide-1 receptor agonists ndi Victoza ndi Baeta. Amakhala osangalatsa kwa ife osati chifukwa amachepetsa shuga pang'ono, koma chifukwa amathandizira kuti azilakalaka kudya, makamaka Viktoza. Awa ndi othandiza kuchiza matenda osokoneza bongo. Onse a Baeta ndi Viktoza sapezekanso m'mapiritsi, koma m'matumba a syringe. Ayenera kukwapulidwa ngati insulin. Potengera momwe majakisoniwa amathandizira, odwala amakhala bwino pakudya chamafuta ochepa, samakhala ndi vuto la kususuka kwambiri. Kuti mumve zambiri, onani nkhani yakuti “Kuchiritsa matenda ashuga kuti muchepetse ludzu lanu.”

Victoza ndi Baeta ndi mankhwala atsopano, okwera mtengo komanso othandizira. Ndipo muyenera kuchita jakisoni, ndipo izi sizosangalatsa aliyense. Koma mankhwalawa amathandizira kwambiri kuyambika kwa kumverera kwodzaza. Mutha kudya mosapumira, ndipo simudzafuna kudya kwambiri. Chifukwa cha izi, chiwongolero cha matenda a shuga chimasintha kwambiri. Ndipo koposa zonse, zonsezi ndizotetezeka, popanda zovuta zapadera. Ubwino wogwiritsa ntchito Victoza kapena Baeta kuti muchepetse kudya kwambiri ndizambiri. Amalipira zovuta zonse zomwe zimakhudzana ndi kugwiritsa ntchito ndalamazi.

Zomwe mapiritsi a shuga amachititsa hypoglycemia

Mapiritsi a shuga omwe amathandizira kapamba kuti apange insulin yambiri nthawi zambiri amayambitsa hypoglycemia. Wodwalayo nthawi zambiri amakumana ndi zovuta zake, ndipo ngati pali vuto lalikulu la hypoglycemia izi zimatha kulemala kapena kufa. Tikukulimbikitsani kuti muleke kumwa mapiritsi omwe amalimbikitsa maselo a beta a kapamba kuti apange insulin. Kuopsa kwa hypoglycemia ndi chimodzi mwazifukwa izi, ngakhale sizofunikira kwambiri, mwatsatanetsatane, onani nkhani pamwambapa.

Mankhwala omwe amachititsa chidwi cha minyewa kuti agwire insulin, chiopsezo cha hypoglycemia chimakhala chovuta, mosiyana ndi mapiritsi omwe amalimbikitsa kapamba. Mankhwala olimbana ndi insulini samakhudza dongosolo la pancreatic lodziyimira pakompyuta. Ngati shuga wa magazi agwa, kapambayu amasiya kudzaza magazi ndi insulin, ndipo sipadzakhala hypoglycemia. Njira yokhayo yoopsa ngati mutamwa mapiritsi omwe amatsitsa insulin, kuphatikiza jakisoni wa insulin. Pankhaniyi, hypoglycemia ndiyotheka.

Kuphatikiza mankhwala a shuga: musagwiritse ntchito!

Makampani opanga mankhwala akutulutsa mankhwala ophatikiza ndi matenda ashuga, kuyesa kupewetsa zomwe anthu omwe akupikisana nawo awateteza, kapena kungokulitsa mzere wawo wamalonda ndikupeza malo ambiri pamafufuzidwe ogulitsa mankhwala. Izi sizimachitika kawirikawiri mcholinga cha odwala, koma ndi cholinga chowonjezera malonda ndi phindu. Kugwiritsa ntchito mapiritsi osakaniza a shuga nthawi zambiri sichikhala chanzeru. Mwanjira yabwino, imakhala yodula kwambiri, ndipo zopweteka kwambiri - ndizovulaza.

Kuphatikiza koopsa ndi komwe kumakhala ndi sulfonylureas. Kumayambiriro kwa nkhaniyi, tafotokoza mwatsatanetsatane chifukwa chake ndikofunikira kumwa mapiritsi a m'gululi. Onetsetsani kuti simumamwa zinthu zovulaza kapamba wanu ngati gawo la mankhwala ophatikizira a shuga. Kuphatikiza kwa metformin ndi DPP-4 inhibitors ndizofala. Zilibe zovulaza, koma zitha kukhala zokwera mtengo. Fananizani mitengo. Zitha kutheka kuti mapiritsi awiri osiyana ndi otsika mtengo kuposa amodzi ophatikizidwa.

Mutha kufunsa mafunso okhudzana ndi mankhwala a shuga mu ndemanga. Oyang'anira tsambalo amawayankha mwachangu.