Mankhwala ochepetsa shuga m'magazi a Type I ndikulemba matenda ashuga a 2

Matenda a shuga ndi matenda osachiritsika omwe amachitika chifukwa cha kusokonekera kwa metabolic m'thupi. Matendawa amathanso kukhudza aliyense wokhala padziko lathuli, mosaganizira jenda ndi zaka. Chaka chilichonse chiwerengero cha odwala matenda a shuga chikuwonjezereka.

Mu shuga, kapamba amachititsa kuti insulini ipangidwe. Kuchepetsa shuga ndikukhazikitsa mkhalidwe, kukonzekera kwa insulin, mwachitsanzo, actrapid, yomwe tikukambirana lero, imayambitsidwa m'thupi la wodwalayo.

Popanda kubayira jakisoni wa insulin nthawi zonse, shuga samayamwa moyenera, amayambitsa kusokonezeka kwamatumbo m'ziwalo zonse za thupi. Kuti Actrapid NM achite bwino, ndikofunikira kutsatira malamulo operekera mankhwala ndikuwonetsetsa kuchuluka kwa shuga m'magazi.

Malinga ndi malangizo ogwiritsira ntchito, Actrapid amagwiritsidwa ntchito pochiza:

1. Matenda a shuga 1 amtundu (odwala amadalira kudya kwambiri insulin mthupi),
2. Matenda a 2 a shuga (omwe amalimbana ndi insulin. Odwala omwe ali ndi matenda amtunduwu nthawi zambiri amagwiritsa ntchito mapiritsi, komabe, ndi kuchuluka kwa matenda ashuga, mankhwalawa amasiya kugwira ntchito, jakisoni wa insulin amagwiritsidwa ntchito kuti achepetse shuga muzochitika zotere).

Amalimbikitsa insulapid insulin panthawi yoyembekezera komanso mkaka wa m'mawere, komanso chitukuko cha matenda omwe amayenda ndi matenda ashuga. Mankhwalawa ali ndi mawonekedwe ofanana, mwachitsanzo, Actrapid MS, Iletin wokhazikika, Betasint ndi ena. Chonde dziwani kuti kusintha kwa analogues kumachitika kokha mu chipatala moyang'aniridwa ndi dokotala ndikuwonetsetsa odwala shuga.

Kuyambitsa Njira

Subcutaneous, mu mnofu ndi mtsempha wama khosi amaloledwa kuloledwa. Ndi subcutaneous makonzedwe, odwala akulangizidwa kuti asankhe ntchafu ya jakisoni, apa ndi pomwe mankhwalawa amatsimikiza pang'onopang'ono komanso moyenera.

Kuphatikiza apo, mutha kugwiritsa ntchito matako, mikono yakutsogolo ndi khoma lakunja kwa m'mimba mwa jakisoni (mukalowetsedwa m'mimba, mphamvu ya mankhwalawa imayamba posachedwa). Musati mupeze jakisoni m'dera limodzi kangapo pamwezi, mankhwalawa angayambitse lipodystrophy.

Seti ya mankhwala mu insulin:

• Musanayambe ndondomekoyi, manja ayenera kusambitsidwa ndikuthira mankhwala,
• Insulin imakulungika mosavuta pakati pa manja (mankhwalawa amayenera kuwunika ngati pali matope ndi zinthu zina zakunja, komanso tsiku lotha ntchito),
• Mpweya umakokedwa mu syringe, singano imayikidwira mu ampoule, mpweya umamasulidwa,
• Mulingo woyenera wa mankhwalawa umakokedwa mu syringe,
• Mphepo yowonjezera kuchokera ku syringe imachotsedwa ndikugunda.

Ngati kuli kofunikira kuwonjezera insulin yayitali ndiutali, algorithm yotsatirayi imachitika:

1. Mpweya umalowetsedwa mu ma ampoules onse awiri (omwe amafupikitsidwa komanso aafupi),
2. Choyamba, insulin yokhala ndi kanthawi kochepa imakokedwa ndi syringe, ndiye kuti imathandizidwa ndi mankhwala okhala ndi nthawi yayitali,
3. Mphepo imachotsedwa pogogoda.

Anthu odwala matenda ashuga omwe sakudziwa bwino samalimbikitsidwa kuti azidziyambitsa okha Actropide, chifukwa ndiwowopsa woti apange mafuta osakwanira khungu ndikubaya mankhwalawa intramuscularly. Ndizofunikira kudziwa kuti mukamagwiritsa ntchito singano mpaka 4-5 mm, mafutawo ochepa mafuta sanapangike konse.

Sizoletsedwa kupaka mankhwalawa muzinthu zosinthika ndi lipodystrophy, komanso m'malo a hematomas, zisindikizo, zipsera ndi zipsera.

Actropid imatha kuperekedwa pogwiritsa ntchito syringe yachilendo, cholembera kapena pampu yodziwira yokha. Potsirizira pake, mankhwalawo amalowetsedwa mu thupi lokha, mwa zoyambirira ziwiri ndikuyenera kudziwa njira yoyendetsera.

1. Mothandizidwa ndi chala chakumanja ndi cholozera, cholembera chimapangidwa pamalo opangira jakisoni kuti zitsimikizidwe kuti insulini imaperekedwa kwa mafuta, osati minofu (kwa singano mpaka 4-5 mm, mutha kuchita popanda khola),
2. Syringe imayikidwa perpendicular to the fold (kwa singano mpaka 8 mm, ngati kupitirira 8 mm - pakulowa kwa madigiri 45 mpaka khola), ngodya imakanikizidwa njira yonse, ndipo mankhwalawo amalowetsedwa,
3. Wodwalayo amawerengera 10 ndipo amatulutsa singano,
4. Pakumapeto kwa manipulopo, khola lamafuta limamasulidwa, tsamba la jakisoni silipukutidwa.

• Woponya singano wotayika,
• Mankhwalawa amasakanikirana mosavuta, mothandizidwa ndi dispenser 2 magulu a mankhwalawa amasankhidwa, amabweretsedwa mlengalenga,
• Pogwiritsa ntchito kusinthaku, mtengo wa mlingo womwe umafunikira umayikidwa,
• Mafuta omwe amapezeka pakhungu, monga tafotokozera kale.
• Mankhwalawa amayamba ndi kukanikiza piston njira yonse,
• Pambuyo masekondi 10, singano imachotsedwa pakhungu, khola limamasulidwa.

Ngati agwira ntchito mwachidule agwiritsidwa ntchito, sikofunikira kusakaniza musanagwiritse ntchito.

Kupatula kulowetsedwa kosayenera kwa mankhwalawa komanso kuchitika kwa hypoglycemia, komanso hyperglycemia, insulin siyenera kuyikidwa m'malo osagwirizana ndi madokotala omwe sanavomerezane ndi adokotala ayenera kugwiritsidwa ntchito. Kugwiritsa ntchito Actrapid yomwe yatha ntchito sikuletsedwa, mankhwalawa angayambitse insulin.

Kupanga kudzera mu intravenly kapena intramuscularly kumachitika kokha moyang'aniridwa ndi adokotala. Actrapid imalowetsedwa m'thupi theka la ola chakudya chisanachitike, chakudya chimayenera kukhala ndi chakudya chamafuta.

Kodi Actrapid ali bwanji

Insulin Actrapid ndi m'gulu la mankhwala, zomwe zimapangitsa kuti shuga achepetse magazi. Ndi mankhwala osokoneza bongo.

Kuchepetsa shuga kumachitika chifukwa cha:

• Kupititsa patsogolo shuga kwa thupi,
• The activation of lipogenesis ndi glycogeneis,
• Mapuloteni a protein,
• Chiwindi chimayamba kupanga shuga wochepa,
• Glucose imalumikizidwa bwino ndi matupi athupi.

Kukula ndi kufulumira kwa mankhwala a chiwalo kumadalira zinthu zingapo:

1. Mlingo wa kukonzekera kwa insulin,
2. Njira yakayendetsere (syringe, cholembera, pampu ya insulin),
3. Malo osankhidwa pokonzekera mankhwala (m'mimba, pamphumi, ntchafu kapena matako).

Ndi subcutaneous makonzedwe a Actrapid, mankhwalawa amayamba kugwira ntchito patatha mphindi 30, imafika pakulimbikitsidwa kwambiri m'thupi pambuyo pa maola 1-3 kutengera mawonekedwe a wodwala, zotsatira za hypoglycemic zimagwira maola 8.

Zotsatira zoyipa

Mukamasintha ku Actrapid mu odwala kwa masiku angapo (kapena masabata, kutengera mawonekedwe a wodwalayo), kutupa kwa malekezero ndi mavuto omveka bwino amawonedwa.

Zotsatira zina zoyipa zalembedwa ndi:

• Mankhwala osokoneza bongo pambuyo popereka mankhwalawa, kapena kudya zakudya,
• Kuchita masewera olimbitsa thupi mopitirira malire
• Kuyambitsa insulin yambiri nthawi yomweyo.

Zotsatira zoyipa kwambiri ndizo hypoglycemia. Ngati wodwalayo ali ndi khungu lotumbululuka, kusakwiya kwambiri komanso kumva kuti ali ndi njala, chisokonezo, kunjenjemera komanso kutuluka thukuta kumawonedwa, shuga ya m'magazi ikhoza kutsika pansi pazovomerezeka.

Pa kuwonetsedwa koyamba kwa zisonyezo, ndikofunikira kuyeza shuga ndikudya mosavuta kugaya chakudya m'magazi, ngati mutayika, glucose amaphatikizidwa ndi intramuscularly kwa wodwalayo.

Nthawi zina, Actrapid insulin imatha kuyambitsa thupi lomwe siligwirizana:

• Maonekedwe a jekeseni wamkwiyo, kufiyira, kutupira kwapweteka,
• Kusanza ndi kusanza
• Zovuta zopumira
• Tachycardia
• Chizungulire.

Ngati wodwala samatsatira malamulo a jakisoni m'malo osiyanasiyana, lipodystrophy imayamba.
Odwala omwe hypoglycemia imawonedwa mosalekeza, ndikofunikira kufunsa dokotala kuti musinthe Mlingo womwe umaperekedwa.

Malangizo apadera

Nthawi zambiri, hypoglycemia imayamba chifukwa cha kuchuluka kwa mankhwala, komanso pazifukwa zina zingapo:

1. Kusintha kwa mankhwalawo kukhala kwa analog popanda kuwongoleredwa ndi dokotala,
2. Zakudya zosakwanira
3. Kubweza
4. Kuchita masewera olimbitsa thupi mopitirira muyeso kapena kulimbitsa thupi,
5. Kusintha kwa malo a jakisoni.

Wodwala akayamba kugwiritsa ntchito mankhwalawo osakwanira kapena kudumpha mawu oyamba, amakhala ndi vuto la hyperglycemia (ketoacidosis), lomwe silikhala loopsa kwambiri, ndipo lingayambitse kudwala.

• Kumva ludzu ndi njala
• Kuchepa kwa khungu,
• Kukodza pafupipafupi
• Kununkhira kwa acetone kuchokera mkamwa
• Kuchepetsa mseru

Gwiritsani ntchito pa nthawi yoyembekezera

Chithandizo cha Actrapid chololedwa ngati wodwala ali ndi pakati. Nthawi yonseyi, ndikofunikira kuti mulamulire kuchuluka kwa shuga ndikusintha mlingo. Chifukwa chake, mkati mwa trimester yoyamba, kufunika kwa mankhwalawa kumachepa, panthawi yachiwiri ndi yachitatu - motsutsana, imawonjezeka.

Pambuyo pobereka, kufunikira kwa insulin kumabwezeretsedwera pamlingo womwe unali usanakhale ndi pakati.

Panthawi ya mkaka wa m'mawere, kuchepetsa mankhwala kungakhale kofunikira. Wodwala amafunika kuwunika mosamala kuchuluka kwa shuga kuti magazi asatayike panthawi yomwe kufunika kwa mankhwala kumakhazikika.

Kugula ndi kusunga

Mutha kugula Actrapid mu mankhwala monga mankhwala a dokotala.

Ndikofunika kusunga mankhwalawo mufiriji pa kutentha kwa madigiri 2 mpaka 7 Celsius. Musalole kuti chochitikacho chiwonekere kutentha kwawokha kapena dzuwa. Mukazizira, Actrapid amataya mawonekedwe ake ochepetsa shuga.

Pamaso jakisoni, wodwalayo ayenera kudziwa nthawi yomwe mankhwalawo atha, kugwiritsa ntchito insulin yomwe idatha ntchito sikuloledwa. Onetsetsani kuti mwatsimikiza kapena mulibe kanthu ndi Actrapid wamayendedwe osakanikirana ndi ena.

Actrapid amagwiritsidwa ntchito ndi odwala onse amtundu 1 ndi mtundu 2 shuga. Kugwiritsa ntchito moyenera komanso kutsatira mlingo womwe dokotala akuwonetsa, sizimayambitsa kukula kwa zoyipa mthupi.

Kumbukirani kuti matenda ashuga amayenera kuthandizidwa mokwanira: kuwonjezera pa jakisoni wa tsiku ndi tsiku wa mankhwala, muyenera kudya zakudya zina, kuyang'anira zochitika zolimbitsa thupi osati kuwonetsa thupi pamavuto.

Ma insulini osiyanasiyana ...

Monga tanena kale nthawi yatha, ndi matenda a shuga 1, kapamba satulutsa insulini konse, chifukwa chake amayenera kuperekedwa kuchokera kunja.

Poyamba, odwala adafunsidwa kuti apetse jakisoni ndi ma syringe ena, komabe, izi zinkakhala ndi zovuta zingapo. Choyamba, minofu yodumphira pansi imaberekera mwachangu kwambiri pamalo a jekeseni. Ndizoseketsa kuchita jakisoni 4-6 tsiku lililonse!

Kachiwiri, masamba omwe anali jekeseni nthawi zambiri amawathandizira. Ndipo izi sizikutanthauza kuti jakisoni weniweniyo ndi njira yosasangalatsa kwambiri.

Masiku ano, njira zikupangidwira kuti insulin isatenge jakisoni. Koma kuti muthane ndi vutoli, muyenera kudziwa momwe mungatetezere mamolekyulu a insulini kuchokera kumalo otetezeka a m'mimba, omwe ali okonzeka kugawa molekyulu iliyonse yomwe imagwera gawo lake.

Kalanga ine, izi zikuchitika sizikwaniritsidwa, motero kwa odwala omwe ali ndi matenda amtundu wa I, pali njira yokhayo yopulumutsira: kupitiliza jakisoni wa tsiku lililonse wokonzekera insulin.

Tikambirana mwatsatanetsatane momwe insulin imodzi imasiyanirana ndi inzake, komanso zomwe zimachitika.

Pali njira zingapo zophatikizira insulin: choyambirira, kuchokera pachiyambi (chotengera, kuphatikizanso kwa anthu, kapangidwe kake, ndi zina zotere), pofika nthawi (yochepa, yapakati komanso yayitali).

Kwa inu ndi ine, gulu lomaliza lomwe liperekedwa pagome ndilofunika kwambiri.

Gulu la insulin kutalika kwa nthawi ya zochita

Zowonekera pakadutsa mphindi 30.

Zochita pazofunikira pambuyo pa maola 1-4

Kutenga maola 5-8.

Kukhazikika kwa zochita mu maola 1.5-2

Zolemba malire pambuyo maola 4-10.

Kutenga maola 18-24.

Kukhazikika kwa zochita mu maola 3-5.

Zolemba malire pambuyo maola 8-28

Nthawi yayitali 26-25.

Humulin pafupipafupi

Levemir

Mankhwalawa amtundu wa shuga wodwala matenda a shuga ndimagawo awiri: chithandizo choyambirira (chotsimikiziridwa ndi endocrinologist): iyi ndi mankhwala omwe amapatsidwa insulin nthawi yayitali kapena yayitali.

Mankhwala oterewa amafananizira masoka a insulin, omwe amawongolera njira zachilengedwe za kagayidwe kazakudya.

Gawo lachiwiri la mankhwalawa ndikukonzanso kwa glucose mutatha kudya, zokhwasula-khwasula, etc.

Chowonadi ndi chakuti ngati wodwala yemwe ali ndi matenda a shuga 1 amalolera kuti amwe mankhwala otsekemera kapena chakudya china chilichonse chomwe amakhala ndi chakudya, ndiye kuti shuga wamagazi ayamba kuchuluka, ndipo insulini "yofunika" siyingakhale yokwanira kugwiritsira ntchito shuga wambiri.

Izi zidzatsogolera kukulira kwa hyperglycemia, komwe kukakhala kuti ma insulin ayipereka kumapangitsa kudwala komanso kufa kwa wodwalayo.

Chifukwa chake, adotolo samangopereka insulin "yoyambira" komanso "yayifupi" - kukonza milingo ya shuga pano ndi pano. Monga tikuwonera patebulopo, ndi kayendetsedwe ka subcutaneous, imayamba kuchita pakatha mphindi 30.

Ndipo wodwalayo amasankha kuchuluka kwa mapiritsi a insulin achidule, potengera kuwerenga kwa glucometer. Amaphunzitsidwa izi pasukulu ya shuga.

Njira yosinthira ya mankhwala a insulin, osawerengera mavuto omwe njira ya makonzedwe ikuyendera, kuthekera kwa bongo.

Mlingo wamba wa insulin womwe umayendetsedwa tsiku lililonse ungakhale wa 0,5 mpaka 0,5 ml. Izi ndi ziwerengero zochepa, ndipo mukamagwiritsa ntchito njira zoyendetsera makina (ndi syringe yapamwamba), ndizosavuta kutayitsa zowonjezera, zomwe zingayambitse hypoglycemia ndi zotsatirapo zonse zotsatira.

Popewa mavuto amenewa, anayamba kupanga zida zamagetsi. Izi zimaphatikizapo mapampu a insulini ndi zolembera zodziwika bwino za ma syringe.

Mu cholembera, syrage imayikidwa ndikutembenuza mutu, pomwe kuchuluka kwa zinthu zomwe zimalowetsedwe pakubaya kumayikidwa pa kuyimba. Ziwerengero zake ndi zazikulu, chifukwa Ana ndi okalamba onse amagwiritsa ntchito cholembera.

Komabe, makina otere samateteza ku mankhwala osokoneza bongo (wina adatembenuka pang'ono, sanapange chithunzi, etc.).

Chifukwa chake, masiku ano omwe amatchedwa insulin pumps amagwiritsidwa ntchito. Titha kunena kuti mini-kompyuta yomwe imatsutsana ndi ntchito ya kapamba wabwino. Pampu ya insulini imayeza kukula kwa peger ndipo ili ndi magawo angapo. Ili ndi pampu yoperekera insulini, dongosolo loyendetsera, chosungira m'malo mwa insulin, mabatire osinthika.

Khola la pulasitiki limayikidwa pansi pa khungu m'malo omwewo omwe amapezeka ndi insulin nthawi zambiri (m'mimba, m'chiuno, matako, mapewa). Dongosolo lokha limazindikira kuchuluka kwa shuga m'magazi masana, ndipo limadzivulaza insulin panthawi yoyenera. Chifukwa chake, kuchuluka kwa jakisoni ndizambiri nthawi zambiri. Sikoyenera kudula chala chanu 5-6 patsiku kuti mudziwe shuga ndi malo ena a insulin.

Mankhwala ochepetsa shuga mu mtundu II matenda ashuga

Mtundu Wachiwiri wa matenda osokoneza bongo a mellitus (DM II) nthawi zambiri ndi zotsatira zachindunji za moyo ndi zakudya.

Ndikukumbukira imodzi mwa malangizo oyipa:

"Wina akakukhumudwitsa, umupatse maswiti, kenanso wina, mpaka atayamba kudwala matenda ashuga."

Ndikukumbusani kuti zakudya zamafuta zikafika m'matumbo, insulini imapangidwa, zomwe zimapangitsa kuti khoma la cell lipitikenso shuga.

Ndi kukondoweza kosalekeza kwa ma insulin receptors, ena a iwo amasiya kuyankha insulin. Kuleza mtima kumayamba, ndiye kuti, insulin insensitivity, yomwe imakulitsidwa ndi mafuta amkati, omwe amalepheretsa shuga kulowa cell.

Pothandizira kwotsatira kwa ma cell receptor, pamafunika insulin yambiri.Posakhalitsa, kuchuluka kwa insulin yomwe thupi limatulutsa kumakhala kosakwanira kutsegula njira izi.

Glucose imadziunjikira m'magazi, osalowa m'maselo. Umu ndi momwe mtundu wachiwiri wa shuga amakulira.

Njirayi ndi yayitali ndipo imatengera chakudya cha anthu.

Chifukwa chake mawu akuti: "Kukumba dzenje."

Ichi ndichifukwa chake odwala omwe amapezeka ndi mtundu wachiwiri wa shuga amalimbikitsidwa kudya.

Ndi zakudya zoyenera komanso kuchepetsa kudya zamagulu ochulukirapo, kuchuluka kwa shuga komanso kudziwa kwanu insulin kumabwezeretseka.

Tsoka ilo, malingaliro osavuta kwambiri ndiye ovuta kwambiri.

Ndikukumbukira pulofesa wina-endocrinologist akuwerenga momwe, m'mawa kuzungulira, adafunsa wodwalayo funso, kuti, bwanji shuga limakwera kwambiri m'mawa? Mwina anadya kena koletsedwa?

Wodwalayo, mwachilengedwe, anakana chilichonse: samadya mkate, ndipo palibe maswiti.

Pambuyo pake, ndikasanthula mausiku, agogo anga adapeza mtsuko wa uchi, womwe adawonjeza tiyi, kuwalimbikitsa kuti sangakhale opanda maswiti.

Apa zofuna za munthu sizikugwiranso ntchito. Ndili ndi matenda ashuga, ndimafunitsitsa kudya ndipo makamaka ndimangokoma! Ndipo izi ndizomveka. Panthawi yakusowa kwa glucose (ndipo mukukumbukira kuti ngakhale ili mthupi, ilowa m'maselo, kuphatikiza ubongo), ubongo umayamba kugwira ntchito pakatikati pa njala, ndipo munthu amakhala wokonzeka kudya ng'ombe pamalingaliro ake enieni.

Pazida zamankhwala odwala matenda amtundu II, pali njira zingapo:

• Yambitsani katulutsidwe ka insulini mpaka mulingo wokwanira shuga,
• Chepetsani kuyamwa kwa matumbo m'matumbo,
• Kuchulukitsa chidwi cha glucose sensulin inseptors.

Chifukwa chake, mankhwala onse ochepetsa shuga mu mtundu II matenda a shuga amatha kugawidwa m'magulu atatuwa.

Gulu 1. Kulimbikitsa othandizira a insulin receptors

Mkati mwake, malinga ndi kapangidwe ka mankhwala, amagawika m'magulu awiri - Biguanides ndi glitazone.

Biguanides akuphatikizapo Siofor, Glucofage, Bagomet (yogwira pophika Metformin).

Zomwe zimachokera ku Glitazone zimaphatikizapo Amalvia, Pioglar (Pioglitazone), Avandia (Rosiglitazon).

Mankhwalawa amalimbikitsa kugwiritsidwa ntchito kwa glucose ndi minofu ya minofu, ndikuletsa kusungidwa kwake monga glycogen.

Glitazone zotumphukira zimalepheretsanso shuga mu chiwindi.

Metformin imaphatikizidwa ndi mankhwala ena, mwachitsanzo ndi sibutramine - mankhwala a kunenepa kwambiri, glibenclamide - mankhwala omwe amalimbikitsa kupanga insulin.

Gulu 2. Mankhwala am'mimba

Njira yachiwiri yochepetsera shuga ndikuchepetsa mphamvu yake m'matumbo.

Pazomwezi, mankhwalawa Glucobai (Akaraboza) amagwiritsidwa ntchito, omwe amalepheretsa zochita za enzyme α-glucosidase, zomwe zimaphwanya shuga ndi chakudya chamaguluu. Izi zimatsogolera kuti amalowa m'matumbo akulu, pomwe amakhala gawo lama michere a bacteria komwe amakhala.

Chifukwa chake zotsatira zoyipa za mankhwalawa: flatulence ndi kutsekula m'mimba, monga mabakiteriya amaswa shuga kuti apange mpweya ndi lactic acid, womwe umakwiyitsa khoma lamatumbo.

Gulu lachitatu. Zothandizira insulin

Zambiri, pali magulu awiri a mankhwala omwe ali ndi izi. Mankhwala a gulu loyamba amathandizira kubisika kwa insulin, mosasamala kanthu za kupezeka kwa chakudya ndi shuga. Chifukwa chake, ngati simugwiritsa ntchito mosayenera kapena kumwa mankhwala molakwika, munthu amatha kumamva njala nthawi zambiri chifukwa cha hypoglycemia. Gululi limaphatikizapo Maninyl (glibenclamide), Diabeteson (glyclazide), Amaryl (glimepiride).

Gulu lachiwiri ndi fanizo la mahomoni am'mimba. Amakhala ndi zotsitsimutsa pokhapokha shuga atayamba kutuluka kuchokera m'matumbo.

Izi zikuphatikizapo Bayeta (exenatide), Victoza (liraglutide), Januvia (sidagliptin), Galvus (vildagliptin).

Timaliza kucheza ndi mankhwala ochepetsa shuga, ndipo monga homuweki, ndikukulimbikitsani kuti muganize ndikuyankha mafunso:

1. Kodi othandizira pakamwa hypoglycemic angagwiritsidwe ntchito pochiza matenda amtundu wa I?
2. Ndi mtundu wanji wa matenda a shuga omwe amaba?
3. Chifukwa chiyani amalimbikitsidwa kwa odwala matenda ashuga kuti azinyamula maswiti kapena chidutswa cha shuga?
4. Kodi matenda ashuga amtundu wachi II amalembedwa liti?

Ndipo pomaliza, ndikufuna kunena mawu ochepa okhudza matenda ashuga apadera. Malinga ndi chithunzichi, chikufanana ndi SD I ndi SD II.

Amaphatikizidwa ndi kuvulala, matenda otupa a kapamba, ntchito pa iye.

Monga mukukumbukira, mumaselo a β-cell a kapamba omwe insulin imapangidwa. Kutengera mtundu wa kuwonongeka kwa chiwalochi, kuchepa kwa insulini kwamitundu yosiyanasiyana kuyang'aniridwa.

Ngati munthu akudwala pancreatitis yayitali, ndiye kuti zikuwonekeratu kuti kuchuluka kwa insulini yomwe imapangidwa ndi thupi lino kuchepetsedwa, pomwe kuchotsedwa kwathunthu (kapena necrosis yake), kutchulidwa kuchepa kwa insulin ndipo, chifukwa chake, hyperglycemia idzawonedwa. Chithandizo cha zinthu zotere zimachitika molingana ndi magwiridwe antchito a kapamba.

Zonsezi ndi zanga.

Monga nthawi zonse, zapamwamba! Chilichonse ndichachidziwikire komanso zomveka.

Mutha kusiya mafunso anu, ndemanga pansipa m'bokosi la ndemanga.

Ndipo, zachidziwikire, tikuyembekezera mayankho anu ku mafunso omwe Anton adafunsa.

Tikuwonaninso patsamba la mankhwala pa blog!

Ndi chikondi kwa inu, Anton Zatrutin ndi Marina Kuznetsova

P.S. Ngati mukufuna kupitiriza zolemba zatsopano ndikukonzekera ma shiti achinyengo pantchito, lembani nkhani. Fomu lolembetsa ili pansi pa nkhani iliyonse ndi kumanja kwa tsamba.

Ngati china chake chalakwika, onani malangizo onse apa.

P.P.S. Axamwali, nthawi zina makalata ochokera kwa ine amagwera spam. Umu ndi momwe mapulogalamu amakalata amagwirira ntchito: amasefa zosafunikira, ndipo ndizofunikira kwambiri. Chifukwa chake.

Ngati mwasiya kulandira maimelo mwadzidzidzi kuchokera kwa ine, yang'anani mufoda ya "spam", tsegulani mndandanda uliwonse wa "Pharmacy ya anthu" ndikudina "batani la spam".

Khalani ndi sabata labwino logwira ntchito komanso malonda okwera! 🙂

Owerenga okondedwa!

Ngati mumakonda nkhaniyo, ngati mukufuna kufunsa, kuwonjezera, kugawana zinzeru, mutha kuchita mu fomu yapadera pansipa.

Basi chonde musakhale chete! Ndemanga zanu ndizomwe zimakusunthirani inu.

Ndingakhale wokondwa kwambiri ngati mungagawire kulumikizana ndi nkhaniyi ndi anzanu komanso anzanu pa intaneti.

Ingodinani mabatani ochezera. maukonde omwe muli nawo.

Kudina mabatani kumacheza. Ma Networks amawonjezera cheke, ndalama, malipiro, kutsika shuga, kukakamizidwa, cholesterol, amathandizanso osteochondrosis, phazi lathyathyathya, zotupa!