Mapiritsi a shuga

Matenda a shuga amakhalanso amitundu iwiri - yoyamba ndi yachiwiri, ndiye kuti, matenda ashuga, omwe safuna kuyambitsa insulini, komanso kudalira insulini. Chifukwa chake, mapiritsi a shuga amatha kukhala osiyana, kutengera mtundu wa matenda. Pali mankhwala ambiri otere. Kuti zitheke, atha kugawidwa m'magulu otsatirawa:

• mankhwala omwe amalimbikitsa kupanga insulin,
• mankhwala omwe amachititsa chidwi cha zimakhala kuti azichita insulin,
• njira zowongolera mayamwidwe am'mimba m'matumbo ndikuwachotsa m'thupi,
• mankhwala ophatikiza.

Tiyeni tiyesetse kumvetsetsa mankhwala omwe amapezeka kwambiri kwa anthu odwala matenda ashuga.

Zisonyezo zogwiritsa ntchito mapiritsi a antidiabetesic

Pochita padziko lonse lapansi, chisonyezo chachikulu cha kugwiritsidwa ntchito mokakamiza kwa mapiritsi a shuga ndi kuchuluka kwa glycogemoglobin, puloteni inayake yomwe imawonetsa kuchuluka kwa shuga m'magazi nthawi yayitali (mpaka miyezi itatu). Komabe, kusanthula kotereku ndikosowa kwambiri m'dziko lathu. Nthawi zambiri, adotolo amawona kufunika kwa mankhwalawa malinga ndi zotsatira za glucotest, pomwe mulingo wamagazi amawayeza pamimba yopanda kanthu komanso maola awiri atatha kudya.

Nthawi zambiri, mapiritsi amayikidwa pambuyo pazotsatira zoyipa zoyambirira za shuga. Matendawa akamapitilira, chithandizo chamankhwala chimatha kulimbikitsidwa ndi mankhwala ena. Pazifukwa izi, adokotala amapanga mayeso obwereza, omwe amakupatsani mwayi wofufuza kufunika kowonjezereka kwa mankhwala kapena kugwiritsa ntchito mankhwala othandizira. Ngati kuchuluka kwa shuga m'magazi sikungasinthe, ndiye kuti mankhwalawo amathandizanso chimodzimodzi.

Pharmacodynamics ndi pharmacokinetics

Mankhwala aliwonse omwe angagwiritsidwe ntchito pochiza matenda a shuga ali ndi mphamvu zake zapadera zamankhwala.

Zotsatira zazikulu za mankhwala a hypoglycemic ndi zotsatirazi:

• kutsitsa magazi,
• kukondoweza kwa insulin yopanga ma cell a beta,
• kuchuluka kwa zotumphukira zimakhala,
• kuletsa mayamwidwe ndi mpweya wa glucose ndi kuchotsa kwake m'magazi.

Mankhwala a Pharmacokinetic amatha kusiyanasiyana kutengera nthawi yayitali ya mankhwala ena ake. Kuyamwa kwadongosolo kuli pafupifupi 95%. Kutha kwa theka moyo kumatha maola 10 mpaka 24.

Kugwiritsa ntchito mapiritsi a shuga panthawi yomwe muli ndi pakati

Mapiritsi ambiri a shuga amatsutsana panthawi yomwe ali ndi pakati komanso poyamwitsa, chifukwa cha kusowa kwa chidziwitso cha zotsatira za mankhwalawa pamayendedwe a bere komanso molunjika kwa mwana. Ngati matenda akudalira insulin, tikulimbikitsidwa kumwa insulin - chithandizo chokhacho chomwe chimaloledwa panthawi yapakati.

Contraindication

Mapiritsi a shuga samayikidwa:

• ndi chizolowezi chomwa mankhwalawa pazinthu zilizonse za mankhwala osankhidwa,
• pa zovuta za matenda ashuga (ketoacidosis, precoma kapena chikomokere),
• ndi kuphwanya kwambiri chiwindi kapena (ndi) impso,
• pa mimba ndi yoyamwitsa,
• muubwana.

Kwa odwala okalamba, anthu omwe ali ndi vuto la uchidakwa, komanso odwala omwe ali ndi vuto lina la endocrine, mapiritsi a shuga amawayikira mosamala kwambiri ndipo amayang'aniridwa ndi dokotala okha.

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Zotsatira zoyipa

Zotsatira zoyipa za kumwa mapiritsi a shuga zingaphatikizeponso:

• mavuto a dyspeptic (nseru ndi kusanza),
• Hyperhidrosis, "kumata" pakhungu,
• cholestasis, jaundice,
• agranulocytosis,
• hyponatremia,
• matenda a anemic
• zotupa ndi zina zomwe thupi lawo siligwirizana.

Ndi kudya kosavomerezeka kapena kufa ndi njala, hypoglycemia imatha kukhazikika, yomwe imayendetsedwa ndi mutu, kumva mwamphamvu njala, dyspepsia, kusakwiya, chisokonezo, kukula kwa chikomokere, mpaka pakufa kwa wodwala.

Mayina a mapiritsi a shuga

Ngati mankhwala omwe akukulemberani sangapewe, ndiye kuti dokotala angaperekenso mankhwala ochepetsa shuga kwa wodwalayo. Zotsatira zake zimatha kukhala zosiyana - kuchepa kwa mayamwidwe a glucose ndi thupi kapena kuwonjezeka kwamphamvu ya minyewa. Ndikofunika kugwiritsa ntchito mankhwala ngati thupi silitha kuyang'anira kuchuluka kwa shuga m'magazi.

Mapiritsi a matenda amtundu wa 1 shuga amatha kuikidwa kuwonjezera pa chithandizo chachikulu ndi insulin. Kukonzekera kwa insulin kumatha kusiyanasiyana pakukonzekera, mawonekedwe omasulidwa, mulingo wa kuyeretsa komanso chiyambi (nyama ndi insulin ya anthu).

Mapiritsi a matenda a shuga a 2 ndi mankhwala omwe alembedwa pansipa, cholinga chachikulu chomwe ndikulipira kuchuluka kwa shuga m'magazi ndikuchepetsa kukula kwa matendawa. Mankhwala amathandizidwa kupeza njira zochiritsira zosagwiritsidwa ntchito monga kudya komanso kuchita masewera olimbitsa thupi, komanso kuchuluka kwa shuga m'magazi atatu kapena kupitilira apo.

• Metformin ndi wothandizila wodziwika bwino wa antidiabetic wochokera ku biguanides. Mapiritsi amatha kutsitsa shuga, pamimba yopanda kanthu komanso mukatha kudya. Metformin sikukhudzana ndikupanga insulini, motero, sikuti kumayambitsa chitukuko cha kuperewera kwa hypoglycemic.
• Siofor ndi chida chofanana ndi mankhwala am'mbuyomu, omwe zosakaniza ndi metformin zimagwira.
• Galvus ndi piritsi la DPP-4 inhibitor. Zomwe zimagwiritsidwa ntchito mankhwalawa ndi Vildagliptin. Galvus ndiwowonjezera pulogalamu ya kanyumba kapamba. Pambuyo pakuyitenga, katulutsidwe ka glucagon ngati peptide ndi polypeptide yodalira shuga kuchokera kumimba yamagetsi kupita kumadongosolo ozungulira kumawonjezeka. Nthawi yomweyo, mphamvu zama cell a pancreatic beta zimawonjezeka: izi zimathandizira kuyambitsa kupanga kwa insulin kotengera shuga.
• Kutulutsa (molondola - Dialect) ndizowonjezera zachilengedwe, zomwe zimapangidwa ndi Sylvester Hymn, acid acid yomwe imapanganso maselo owonongeka a pancreatic.
• Glucophage ndi chithunzi chonse cha mankhwala Metformin omwe atchulidwa pamwambapa.
• Forsiga (Dapagliflozin, kapena Forsen) ndi chida chothandiza kuti shuga akhale impso. Chifukwa cha mankhwalawa, shuga wam magazi amatsitsidwa, zonse pamimba yopanda kanthu ndikatha kudya. Kuphatikiza apo, kuchuluka kwa glycogemoglobin kumachepa.
• Amaryl ndi mankhwala ozikidwa pa glimepiride, mankhwala odziwika bwino omwe amachepetsa shuga kuchokera ku gulu lachitatu la sulfonylurea. Amaryl ili ndi zovuta: imapangitsa kupanga ndi kutulutsa insulin, komanso imakulitsa chiwopsezo cha minofu ndi minofu yamafuta.
• Maninyl ndi mankhwala a sulfonamide omwe amachitapo kanthu chifukwa cha glibenclamide yomwe ili mbali yake. Katundu wamkulu wamapiritsi a Maninyl ndiwowonjezera katulutsidwe ka insulin ndi kapamba.
• Diabeteson ndi othandizira odwala matenda a shuga omwe amachokera ku gliclazide, woimira gulu lachiwiri la sulfonylurea. Ili ndi mphamvu yophatikiza, monga Amaril.
• Yanumet (yolakwika - Yanulit) ndi mankhwala ovuta chifukwa cha kuphatikiza kwa metformin ndi sitagliptin. Yanumet ili ndi mphamvu yowonjezera kuchepetsa shuga: imawonjezera kaphatikizidwe ka insulin ndipo imalepheretsa kupanga shuga m'magazi.
• Glibomet ndi mapiritsi a antidiabetes omwe amaphatikiza zochita za metformin ndi glibenclamide. Kuphatikiza pa kuchepa kwa shuga, Glibomet imachepetsa kuchuluka kwa mafuta m'magazi, imathandizira kuwononga mphamvu zama minofu, kutseka kupanga shuga ndi mayamwidwe am'mimba mwa chimbudzi.
• Mapiritsi a shuga a ku China:
  • Sanju tantai ndi mankhwala azitsamba omwe amabwezeretsa ndikulimbikitsa ntchito ya kapamba wowonongeka,
  • Cordyceps - mankhwala ozikidwa pa mycelium omwe amakonzanso minofu ya kapamba ndipo amakhala ndi mphamvu yothandiza,
  • Fitness 999 ndi mankhwala omwe amalimbikitsidwa kuti agwiritse ntchito matenda osokoneza bongo omwe amapezeka motsutsana ndi maziko a kunenepa kwambiri.

Mapiritsi a shuga a homeopathic ndi otchuka kwambiri m'zaka zaposachedwa. Samayambitsa kudalira kwa mankhwala, alibe mavuto, amaloledwa mosavuta ndi odwala ndipo amatha kuphatikizidwa ndi mankhwala ena popanda mavuto.

• Coenzyme compositum - imabwezeretsa mawonekedwe a endocrine, imagwira phazi la matenda ashuga.
• Hepar compositum - imabwezeretsa lipid ndi kagayidwe kazakudya, imasintha ntchito ya chiwindi.
• Mucosa compositum - amachotsa chizindikiro cha njira yotupa mu kapamba, amachepetsa kapamba.
• Momordika compositum - imakhazikitsa mapangidwe a insulini, imabwezeretsa minofu ya kapamba.

Chithandizo cha mankhwalawa tikulimbikitsidwa kuti zibwerezedwe katatu pachaka.

Kuphatikiza pa mapiritsi ochepetsa shuga, mankhwalawa amatha kutumizidwa kuti muchepetse kulemera kwa thupi (ngati kunenepa kwambiri kulipo). Izi ndi mankhwala monga Orlistat kapena Sibutramine. Kupititsa patsogolo kagayidwe kachakudya kagayidwe kake, kugwiritsa ntchito zovuta za vitamini-mineral kumasonyezedwa.

Kodi mapiritsi a matenda oopsa mu shuga ndi ati?

Kwa odwala matenda ashuga, nthawi zina zimakhala zovuta kusankha mankhwalawa: njira zoperewera za metabolic komanso kulephera kumwa mankhwala omwe amakhala ndi zotsekemera kumachepetsa kusankha kwa mankhwala. Mapiritsi oopsa a shuga ayenera kukwaniritsa izi:

• khazikitsani magazi bwino,
• khalani ndi zovuta zochepa,
• musakhudze kuchuluka kwa shuga m'magazi,
• osakhudza kuchuluka kwa cholesterol,
• osalemetsa dongosolo la mtima.

Mlingo wocheperako wokhala ndi matenda oopsa, thiazide diuretics (hydrochlorothiazide, indapamide) angathe kutengedwa. Mankhwalawa samakhudza kuchuluka kwa glucose ndipo satenga mbali iliyonse "okhudzana" ndi cholesterol. Ma diuretics monga potaziyamu-osasamala ndi osmotic othandizira - spironolactone, mannitol amaletsedwa kwa odwala matenda ashuga.

Kugwiritsa ntchito ma beta-blockers amtima, monga Nebivolol, Nebilet, kumaloledwa.

Nthawi zambiri, odwala matenda a shuga omwe ali ndi kuthamanga kwa magazi amapatsidwa mankhwala ochepetsa ACE. Mankhwalawa pawokha amatha kuwonjezera kukhudzika kwa minofu kuti apange insulin ndipo atha kukhala ngati kupewa matenda a shuga a 2.

Kodi mungasankhe bwanji mapiritsi a kwamikodzo a shuga?

Mapiritsi omwe amalembedwa kuti amkodze incinuence ndi mankhwala a nootropic, ma adaptogens, ndi antidepressants. Mankhwalawa amatchulidwa kokha ndi katswiri wazachipatala. Dzitengeni nokha popanda mankhwala a dokotala omwe akuphwanya.

Nthawi zambiri wodwala yemwe ali ndi matenda a shuga komanso kwamikodzo, mankhwala a Minirin ndi omwe amawerengedwa - ichi ndi mankhwala piritsi lotengera desmopressin. Minirin amachepetsa kufunda kwamkodzo ndipo amagwiritsidwa ntchito bwino mwa odwala ndi ana achikulire kuyambira zaka 5.

Kodi ndingamwe mapiritsi osuta a shuga?

Mapiritsi omwe amathandizira kuti athetse chizolowezi cha nikotini amakhalapo pachomera komanso pamapangidwe opangira. Mwa mankhwala omwe amadziwika kwambiri monga Tabex, Lobelin, Citizen, Gamibazin ndi mankhwala ena omwe amalepheretsa munthu kusowa kwa chikonga.

Kuvomereza kapena kusamwa mapiritsi osuta nthawi yomweyo monga chithandizo cha matenda ashuga, dokotala ayenera kusankha. Mpaka pano, palibe chidziwitso chokwanira pakugwiritsa ntchito mankhwalawa odwala matenda ashuga, chifukwa akatswiri ambiri amalimbikitsa kuti musawamwe.

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Mlingo ndi makonzedwe a mapiritsi a shuga

Mlingo wa mankhwalawa amawerengedwa ndi endocrinologist, ndikupanga njira yochiritsira munthu payekha. Chiwembuchi chimatengera:

• kuchuluka kwa shuga ndi glycogemoglobin m'magazi,
• pamaso pa matenda ena m'thupi,
• kuyambira wazaka zodwala
• kuchokera machitidwe a impso ndi chiwindi cha wodwala.

Wodwala akaphonya mankhwalawa mwangozi, ndiye kuti sayenera kumwa limodzi ndi mlingo wotsatira, koma pitilizani chithandizo monga mwa nthawi zonse.

Ngati chithandizo chokwanira chomwe chimakhala ndi mapiritsi sichimabweretsa zotsatira zoyenera, ndiye kuti muyenera kusintha kuti mupeze insulin.

Zizindikiro zosokoneza bongo

Ndi mankhwala osokoneza bongo, hypoglycemia nthawi zambiri imayamba.

Ngati zizindikiro za hypoglycemia zili zolimbitsa, onjezani kudya zakudya zamagulu ochepa ndikuchepetsa mapiritsi a mapiritsi. Kuyang'anira wodwala kwamuyaya kumakhazikitsidwa mpaka mkhalidwe utakhazikika.

Ndi hypoglycemia wolimba yemwe ali ndi vuto losazindikira kapena minyewa yam'mitsempha, wodwalayo amapaka jekeseni wa shuga m'mitsempha. Njira zopulumutsira madzi zimachitika masiku osachepera awiri.

Kutsegula vuto la bongo kumatha.

Kuchita ndi mankhwala ena

Mapiritsi a shuga sayenera kuphatikizidwa:

• ndi miconazole ndi phenylbutazole (chiopsezo chotenga chikumbumtima cha hypoglycemic chikukula),
• ndi Mowa
• Mlingo waukulu wa antipsychotic ndi anticoagulants.

Pofuna kupewa kuyanjana ndi mankhwala, kugwiritsa ntchito mankhwala aliwonse kuyenera kuyanjanitsidwa ndi dokotala.

Zosungirako ndi moyo wa alumali

Zomwe zimasungidwa bwino piritsi la shuga ndi kulephera kwawo kwa ana. Kutentha kosungirako - chipinda.

Moyo wa alumali umatsimikiziridwa pa mankhwala aliwonse payokha ndipo nthawi zambiri amakhala zaka zitatu.

Ndikosatheka kuyankha mosakayikira funso lazomwe zingakhale mapiritsi abwino kwambiri a shuga. Zonse zimatengera kuchuluka kwa matendawa, zakudya, moyo, ndi zina zambiri. Chowonadi ndi chimodzi: mapiritsi apadziko lonse a shuga alibe. Chithandizo chimasankhidwa nthawi zonse payekha, kutengera zotsatira za mayeso ndi maphunziro. Ndipo ngati chithandizo choterechi chimathandizidwa ndikutsatira zakudya ndikukhalanso ndi moyo wathanzi, ndiye kuti mutha kusintha kwambiri mkhalidwewo mwinanso kukwaniritsa kuchepa kwamlingo wama glucose mpaka misinkhu yokhazikika.

Mapiritsi a chifuwa cha matenda ashuga: ndi ati amene ali otetezeka?

Kukonzekera kwazomwe zimapangidwira kutsokomola mu mawonekedwe a madzi ndi mankhwala zimaphatikizidwa kwa odwala matenda ashuga, chifukwa ali ndi shuga ndi zina zowonjezera zakumwa. Shuga ndi ena okometsa ena amachititsa kuchuluka kwa shuga m'magazi, ndipo mowa umakulitsa ntchito ya pancreatic yomwe yayamba kale. Chifukwa chake, posankha mankhwala, muyenera kuyang'anira kwambiri mankhwala osokoneza, ndipo nthawi yomweyo muphunzire mosamala mawonekedwe ake.

Monga lamulo, lozenges, monga lozenges, zokhala ndi shuga kwambiri, motero sizili zoyenera kwa odwala matenda ashuga.

Njira yotulukiratu ndi mankhwala othandizira pakamwa komanso mankhwala azitsamba. Zosankha zoyenera ndi mankhwala oyembekezera (lazolvan, ambroxol). Komabe, kumwa awa kapena mapiritsi ena aliwonse a shuga ayenera kuvomerezedwa ndi omwe amakuthandizani pazaumoyo.