Matenda a shuga: zabwino ndi zovuta zake

Mapiritsi a Diabeteson MR ali ndi 60 mg ya glyclazide ndi othandizira (lactose, silicon, hypromellose ndi maltodextrin). Kuchepetsa shuga m'magazi chifukwa chokondoweza kwa gawo lachigawo cha kapamba. Chofunikira cha mankhwalawa ndi kupezeka kwa antioxidant katundu, Imateteza maselo a pancreatic kuti asawonongeke ndi ma molekyulu a okosijeni. Mankhwalawa amathandizira kuti magazi azithamanga komanso kuthamanga kwa magazi m'thupi.

Chizindikiro chogwiritsidwa ntchito ndi mtundu wachiwiri wa matenda ashuga.. Diabetes imayang'anira kutulutsidwa kwa insulin, imapereka chidwi cha kubwera kwa chakudya. Ubwino pakati pa mayendedwe:

• kusankha kwapamwamba kwambiri kwa maselo apakhungu - samapititsa patsogolo myocardial ischemia mosiyana ndi mankhwala ena,
• Kuchita ndi maselo a maselo opanga insulin ndikosintha, chifukwa chake sikosuta,
• Amapangitsa mafuta kukhala m'magazi, amayimitsa matenda a ubongo komanso kuwonda,
• imalepheretsa kuwonongeka kwa ziwiya zazing'ono komanso zazikulu, imalepheretsa kuwona ndi kuwonongeka kwa impso,
• imathandizira kutuluka kwa glucose m'maselo,
• ocheperako zomwe zingayambitse madontho a shuga kuposa anzanga am'magulu ngakhale pamitengo yayitali.

Kuchiza ndi odwala matenda ashuga okha kapena osakanikirana ndi metformin ndi mapiritsi ena atha kukwaniritsa shuga m'magazi pambuyo pa miyezi isanu ndi umodzi mwa 95% ya odwala. Kulekerera kwabwino komanso zochitika zapafupipafupi za hypoglycemia zimadziwika.

Zoyipa:

• lembani matenda a shuga 1 mellitus, ketoacidosis, chikomokere kapena choopseza kukula kwake,
• Kulephera kwa impso ndi chiwindi
• kugwiritsa ntchito miconazole, danazole,
• osavomerezeka mpaka zaka 18, osalolera ku zigawo zikuluzikulu, kutenga pakati ndi mkaka wa m`mawere.

Mosamala okalamba, odwala omwe amadya ndi zakudya zazikulu pakati pazakudya kapena omwe samadya zakudya zoyenera, amamwa mowa.

Njira zogwiritsira ntchito:

• Piritsi la mankhwalawa lingagawidwe m'magulu ofananakoma kutafuna kapena kuphwanya sikofunikira. Mankhwala onse ofunikira (kuyambira 30 mg mpaka 120 mg) amatenga chakudya cham'mawa. Ngati wodwalayo adayiwala kumwa m'mawa, ndiye kuti izi zitha kuchitika mpaka maola 18, ndizoletsedwa kubwereza muyeso tsiku lotsatira.
• Nthawi zambiri, theka la mapiritsi limayikidwa koyamba. Pambuyo masiku 10, shuga wamagazi amawayezera, ngati ndi kotheka onjezerani 30 mg ina. Kukonzanso kwotsatira kwa mankhwalawa kumachitika motsogozedwa ndi hemoglobin ya glycated m'mwezi umodzi. Nthawi iliyonse, mlingo woyambayo umachulukitsidwa osaposa 30 mg mpaka kuchuluka kwa 120 mg.

Anthu odwala matenda ashuga omwe amakhala ndi chakudya chokwanira komanso chokhazikika samakhumudwitsa hypoglycemia, koma kudumpha chakudya kumatha kuyambitsa mavuto. Ngati wodwala satenga chakudya chambiri nthawi imeneyi, ndiye kuti pali mwayi wokhala ndi vuto la hypoglycemic ndi zotsatira zakupha.

Nthawi zambiri, odwala amamva zoyipa kumayambiriro kwa chithandizo chamankhwala, kuti achepetse kusamvana tikulimbikitsidwa kumwa mapiritsi a Diabeteson ndi chakudya.

Mankhwala a Diabeteson MR akhoza kugulidwa pamtengo wa 120 hryvnia kapena ma ruble 320 phukusi lililonse, yokhala ndi miyala 30. Otsutsana nawo athunthu ndi:

• Glidiab MV,
• Gliklada
• Golda MV,
• Gliclazide MR,
• Diabetesalong.

Werengani nkhaniyi

Kapangidwe kake ndi katundu wa mankhwalawa

Mapiritsi a Diabeteson MR ali ndi 60 mg ya glyclazide (chopangira chachikulu) ndi zida zothandizira (lactose, silicon, hypromellose ndi maltodextrin). Mankhwalawa amachokera ku sulfonylurea. Amachepetsa shuga m'magazi ndikulimbikitsa gawo loyambirira la kapamba. Izi zimabweretsa kupangika kwakukulu kwa insulin poyankha kuchuluka kwa shuga, imadutsa m'maselo ndipo imagwiritsidwa ntchito kupanga mphamvu.

Chofunikira cha mankhwalawa ndi kupezeka kwa antioxidant katundu, amateteza maselo a kapamba kuti asawonongeke ndi ma molekyulu a okosijeni. Mankhwalawa amathandizanso kufalikira kwa magazi komanso kuthamanga kwa magazi mthupi.

Ndipo nazi zambiri zamitundu ya matenda ashuga.

Kodi mapiritsi amathandizira ndi shuga

Chizindikiro chogwiritsidwa ntchito ndi mtundu wachiwiri wa matenda ashuga. Ndi matendawa, pali insulin yokwanira panthawi yakudya. Diabetes imawongolera ndendende gawo ili la secretion, imathandizira kuyamwa kwa chakudya chamafuta. Mwa mankhwala onse a gululi, gliclazide ili ndi zabwino zake:

• kusankha kwapamwamba kwambiri kwa maselo apakhungu (makumi maulendo kuchulukirapo kuposa glibenclamide). Izi zikutanthauza kuti sizimalimbikitsa myocardial ischemia, mosiyana ndi mankhwala ena,
• mogwirizana ndi zolandilira za maselo otulutsa insulin zimasinthidwanso. Chifukwa chake, sizikuthera, palibe kukhazikika, palibe chifukwa chowonjezera mlingo,
• chifukwa cha kuchepa kwa insulin yayitali kwa nthawi yayitali kumapangitsa kuti magazi azikhala ndi magazi, kuyimitsa matenda a ubongo komanso kuwonjezeka kwa thupi,
• imalepheretsa kuwonongeka kwa ziwiya zazing'ono komanso zazikulu, imalepheretsa kuwona ndi kuwonongeka kwa impso,
• imathandizira kutuluka kwa glucose m'maselo,
• ocheperako zomwe zingayambitse madontho a shuga kuposa anzanga am'magulu ngakhale pamitengo yayitali.

Kuchiza ndi Diabeteson kokha kapena kuphatikiza ndi metformin ndi mapiritsi ena atha kukwaniritsa shuga ya magazi pambuyo pa miyezi isanu ndi umodzi mwa 95% ya odwala. Nthawi yomweyo, kulekerera kwabwino komanso zochitika zosowa kwambiri za hypoglycemia zimadziwika.

Ngati palibe zabwino zogwirizana ndi maziko akugwiritsa ntchito mankhwalawa, ndiye kuti muyenera kudziwa momwe zakudya ndi kumwa zimayendera malinga ndi malingaliro a endocrinologist. Kukaniza kwa matenda ashuga sikosowa.

Contraindication

Sitikulimbikitsidwa kugwiritsa ntchito mankhwalawa mpaka zaka 18, osalolera pazinthu zilizonse, mimba ndi kuyamwa.komanso matenda ngati awa:

• lembani matenda a shuga 1 mellitus, ketoacidosis, chikomokere kapena chiwopsezo cha kukula kwake (odwala oterewa amafunika insulin),
• Kulephera kwa impso ndi chiwindi
• kugwiritsa ntchito miconazole, danazole.

Mochenjera ndi okalamba, odwala omwe amadya ndi nthawi yayitali pakati pa chakudya kapena omwe samatsatira zakudya zomwe amafuna, amamwa mowa kwambiri. Poyang'aniridwa ndi achipatala komanso poyerekeza ndi kuchuluka kwa shuga, magazi a shuga amagwiritsidwa ntchito ngati wodwala ali ndi:

• kulephera kwa mtima
• mimosokoma
• matenda a mtima
• angina wosakhazikika,
• ntchito yochepa ya chithokomiro, England
• kufunika kogwiritsa ntchito prednisone kapena analogues, mankhwala ena opatsirana,
• ntchito zolimbitsa thupi kwambiri,
• matenda a impso kapena chiwindi,
• matenda, makamaka ndi malungo
• kuvulala kukonzekera kapena kuchitidwa opareshoni.

Onani vidiyo yokhudza matenda a Diabeteson:

Momwe mungatengere shuga ndi matenda ashuga

Piritsi la mankhwalawa litha kugawidwa m'magulu ofanana, koma silikulimbikitsidwa kutafuna kapena kuphwanya. Mankhwala onse ofunikira (kuyambira 30 mg mpaka 120 mg) amatengedwa m'mawa. Ngati wodwalayo adayiwala kumwa m'mawa, ndiye kuti izi zitha kuchitika mpaka maola 18, ndizoletsedwa kubwereza muyeso tsiku lotsatira.

Nthawi zambiri, theka la mapiritsi limayikidwa koyamba. Pambuyo masiku 10, shuga wamagazi amawayezera, ngati ndi kotheka onjezerani 30 mg ina. Kukonzanso kwotsatira kwa mankhwalawa kumachitika motsogozedwa ndi hemoglobin ya glycated m'mwezi umodzi. Nthawi iliyonse, mlingo woyambayo umachulukitsidwa osaposa 30 mg mpaka kuchuluka kwa 120 mg.

Ngati mulingo waukuluwu sunatulutse vuto, ndiye kuti mankhwalawo amaphatikizidwa ndi othandizira ena odwala matenda ashuga, kuphatikizapo insulin. Musanakulitse mlingo, tikulimbikitsidwa kuti mupeze kuchuluka kwa zakudya komanso zolimbitsa thupi zomwe zikugwirizana ndi magawo ofunikira.

Zotsatira zoyipa

Gulu la zotumphukira za sulfonylurea ndilothandiza kwambiri, koma chifukwa chakuti zimapangitsa kuti insulini itulutsidwe, chiopsezo cha kutsika kwakuthwa kwa shuga chikadalipo kwambiri. Anthu odwala matenda ashuga omwe amakhala ndi chakudya chokwanira komanso chomwenso nthawi zambiri samakhumudwitsa hypoglycemia, koma zosowa zakudya zimachitika:

• nkhondo
• mutu
• nseru
• kufooka koopsa
• kusokonezeka ndende,
• kukhumudwa
• nkhanza
• chisangalalo
• kusowa tulo
• chizungulire
• kusokonezeka kwa chikumbumtima
• kuyankhula kosayenera
• kugwirana chanza
• kufooka miyendo
• kulephera kuwongolera zomwe mukuchita,
• zamkhutu
• kukokana
• kupuma pafupipafupi komanso mosasinthika
• kukakamizidwa
• thukuta
• khungu lamankhwala
• nkhawa
• pafupipafupi kapena kolimbitsa mtima.

Kukoka kwamphamvu

Ngati wodwala satenga chakudya chambiri nthawi imeneyi, ndiye kuti pali mwayi wokhala ndi vuto la hypoglycemic ndi zotsatira zakupha. Zotsatira zina za mankhwalawa zimaphatikizapo:

• kupweteka m'mimba
• nseru
• kusanza
• kudzimbidwa.

Nthawi zambiri, odwala awo amalandira chithandizo choyambirira, ndipo ndikulimbikitsidwa kumwa mapiritsi a Diabeteson ndi chakudya kuti muchepetse kusamvana..

Nthawi zambiri, kugwiritsa ntchito mankhwalawa kumayambitsa zotsatirazi:

• zotupa pakhungu, kuyabwa, kutupa ndi redness khungu
• kutsika kwa zomwe maselo ofiira am'magazi ndi maselo oyera oyera,
• kuchuluka kwa michere ya chiwindi,
• Kusayenda kwa ndulu.

Mtengo ndi fanizo

Mankhwala a Diabeteson MR atha kugulidwa pamtengo wa 120 hhucnias kapena ma ruble 320 phukusi lomwe lili ndi mapiritsi 30. Otsutsana nawo athunthu ndi:

• Glidiab MV,
• Gliklada
• Golda MV,
• Gliclazide MR,
• Diabetesalong.

Ndipo pali zambiri popewa zovuta za matenda ashuga.

Diabetes imapangidwa kuti muchepetse magazi. Amalandira kwa odwala omwe amadziwika kuti ali ndi mtundu wa matenda a shuga 2 chifukwa cha chithandizo cha nthawi yayitali. Ili ndi katundu wa antioxidant, imalepheretsa kupindika kwamitsempha yamagazi, kusintha magazi ndikuyenda kwam'magazi. Kugwiritsa ntchito palokha pakokha palokha komanso kuphatikiza ndimankhwala ena opatsirana.

Contraindered mu ana, pakati ndi kuyamwitsa. Sichimayambitsa hypoglycemia, koma ngati muphwanya mayendedwe okondweretsa, zimatha kuyambitsa zovuta.

A shuga ndi kugwira ntchito kwake

Diabeteson MV ali m'gulu la othandizira pakamwa. Wopangira mankhwalawa ali ku France, koma mapiritsi opangidwa ku Germany ndi Russia amapezeka nthawi zambiri kukagulitsidwa. Zopangidwa ku Russia zopangidwa ndi Serdix sizimasiyana pakapangidwe ndi mlingo wake kuchokera kuzinthu zakunja. Makapisozi osintha osinthika amakhala ndi 60 kapena 30 mg ya glyclazide (wothandizira wa hypoglycemic, yemwe amapezeka kuchokera ku mibadwo ya 2 sulfonylurea).

Kapangidwe kake kamakhala ndizinthu zingapo zothandiza:

Mankhwalawa amadziwika kuti ndi abwino kuposa ma analogu ambiri, chifukwa amasiyana ndi kukhalapo kwa mphete ya N-yokhala ndi zomangira zapadera mu molekyulu. Pambuyo pa utsogoleri, mphamvu yake yayikulu imawonedwa pambuyo pa maola 6-12, koma zoyambirira zimawonekera pafupifupi nthawi yomweyo.

Zotsatira zazikulu ndi kuchepa kwa shuga wamagazi.

Ntchito ya mankhwalawa imagwiridwa chifukwa cha zotsatira zabwino za kagayidwe kazakudya, polimbikitsa kutulutsa kwa insulin m'maselo a kapamba. Komanso, mankhwala omwe ali mu shuga 2 amathandizanso kuti magazi aziyenda bwino m'magazi, potero amathandizira kukhazikika kwake. Diabeteson amachepetsa chiopsezo cha mtima chotupa, kuchepetsa kuphatikizika kwa mapulosi othandiza kupeza zinthu.

Zizindikiro ndi contraindication

Kuchiza ndi mankhwalawa kumachitika malinga ndi chisonyezo chimodzi chokha. A shuga ayenera kumwedwa ngati matenda a shuga 2 ngati njira zotsatirazi pokonzanso shuga m'magazi ndizochepa:

• Zakudya zokhala ndi shuga wochepetsedwa komanso kuwerengera mosamalitsa kwa chakudya chamagulu (buledi),
• masewera olimbitsa thupi
• zakudya komanso njira zina zochepetsera thupi.

Ngati njirazi zimakulolani kuti mukhale ndi kuchuluka kwa glucose, palibe chifukwa chomwa mankhwalawo. Pali ma contraindication angapo omwe amayenera kuyang'aniridwa mosamalitsa. Simungathe kumwa mankhwalawa mtundu 1 wa shuga, pomwe wodwalayo amadalira kuchuluka kwa glucose pakupanga insulin. Mwa zoletsa izi ndi:

• matenda ashuga ketoacidosis,

Diabetes ndi mankhwala osokoneza bongo kwa achikulire okha, ana osaposa zaka 18 sayenera kumwa (kuphatikiza, matenda a shuga a 2 samakhala nawo ngati ali mwana). Ndikosatheka kuchita mankhwala pogwiritsa ntchito mankhwala antifungal Miconazole, komanso ndi gawo lapamwamba la chiwindi ndi impso. Potsirizira pake, odwala ayenera kusinthana ndi makonzedwe a insulin.

Chifukwa cha kupezeka kwa lactose, ndizoletsedwa kumwa mankhwalawa ndi chibadwa cha lactose, kuperewera kwa lactase, malabsorption syndrome wa galactose ndi glucose. Amatenga makapisozi mosamala kwambiri ndi hypothyroidism, matenda akulu a mtima, kulephera kwa mtima, komanso kudya moyenera.

Zotsatira zoyipa zomwe zingachitike

Ndikofunika kwambiri kumwa mankhwalawo moyenera, osasiyidwa ndikuzunzidwa, izi zimachepetsa chiopsezo cha mavuto. Diabeteson amatha kupangitsa hypoglycemia - kutsika kwa shuga m'magazi. Izi zimachitika chifukwa chogwira ntchito nthawi yayitali chifukwa chosinthika kumasulidwa kwa odwala omwe amadya zakudya zosasinthika.

Kudumpha chakudya kumakhala koopsa kwa munthu wodwala matenda ashuga.

Ndi hypoglycemia, wodwalayo amatchula zingapo zosasangalatsa. Izi zimaphatikizapo njala yayikulu, kusanza ndi mseru, kupweteka mutu, kukwiya, kufooka, kukokana. Kutengera kutsika kwa kutsika kwa shuga, zizindikilo zazikulu zimatha kuoneka:

• chisokonezo ndi kukomoka,
• malankhulidwe olakwika, masomphenya,

Zotsatira zakufa ndizotheka popanda thandizo la panthawi yake. Mwa zina zoyipa zomwe zimachitika pakumwa mankhwalawa, kutsekula m'mimba, kudzimbidwa, kupweteka kwam'mimba zimadziwika. Ndikwabwino kumwa mankhwalawa m'mawa, ndikudya, zomwe zingakuthandizeni kuthana ndi izi. Thupi lawo siligwirizana limatheka, koma ndizosowa. Mwazinthu zina, kuphwanya kapangidwe ka magazi kulembedwa, amasinthidwa.

Mawonekedwe a phwando

Kudya sikukuthamanga kuthamanga ndi kuchuluka kwa mayamwidwe a glycazide, chifukwa chake mutha kumwa diabeteson osakhalapo ndi zovuta zam'mimba musanadye. Ndikokwanira kumwa kumwa kamodzi / tsiku, makamaka m'mawa. Nthawi zambiri, 30-120 mg wa mankhwalawa amaperekedwa tsiku lililonse, pomwe 60 mg imakupatsani mwayi wothandizira yogwira ntchito kwa maola 24.

Chipewa chimamezedwa popanda kutafuna, kutsegula, kukukuta.

Sizoletsedwa kumwa mankhwala owonjezera ngati adaphonya. Chithandizo chidzafunika kupitilizidwa tsiku lotsatira.

Analogi ndi zidziwitso zina

Mtengo wa mapiritsi 30 a mankhwalawa ndi ma ruble 340. Mwa analogues pali mankhwala angapo omwe ali ndi vuto lomweli, komanso othandizira ena a hypoglycemic:

Mankhwala	Kupanga	Mtengo, ma ruble
Glidiab	Gliclazide	140
Diabefarm	Gliclazide	150
Gliclazide	Gliclazide	150
Maninil	Glibenclamide	130
Metglib	Glibenclamide, metformin	220
Glucophage	Metformin	120

Ndi chitukuko cha hypoglycemia, muyenera kufunafuna thandizo mwachangu, odwala ambiri amafunikira kulowetsedwa kwa dextrose kapena glucose. Kwa odwala omwe samadya chakudya cham'mawa, mankhwalawa sangadziwe. Poyerekeza ndi momwe zimakhalira pakudya sizoletsedwa kuti muchepetse chakudya, muzichita zakudya zochepa. Mukamwa mowa, mukuphunzitsa kwambiri, chiopsezo cha hypoglycemia ndichopitirira.

Zotsatira za pharmacological

Mankhwala a Diabeteson ndi makampani opanga mankhwala ochokera ku Germany, Russia, France.Amapangidwa momwe amapangira mapiritsi okhala ndi chipolopolo choyera. Mu paketi imodzi amakhala ndi zidutswa 30.

Diabetes imaphatikizidwa ndi gulu la othandizira a hypoglycemic omwe amachokera ku sulfonylurea. Amachokera ku chinthu gliclazide, chomwe chimatha kukhudza kupanga kwa insulin. Piritsi lililonse limakhala ndi 30 kapena 60 mg ya gliclazide. Imayamba kupangidwa mkati mwa maola 24 mankhwala atalowa m'thupi.

Kuphatikiza pa gliclazide, kapangidwe ka mankhwalawa akuphatikizapo:

• Carbohydrate - lactose monohydrate,
• Carbohydrate - Maltodextrin
• Mapuloteni - Hypromellose,
• Magnesium
• Silika

Kodi diabetesone imawoneka bwanji

Ponseponse, mapindu a kumwa mankhwalawa kwa odwala matenda ashuga ndi awa:

• Maselo a pancreatic amayamba kupanga insulin,
• Nthawi yomwe pakati pakudya ndi kupanga insulini imakhala yochepa
• Amachepetsa shuga
• Ngozi ya thrombosis yafupika,
• Poizoni amachotsedwa m'thupi. Izi zimathandizidwa ndi silicon dioxide yomwe imapangidwa, yomwe imakhala ngati enterosorbent.

99% ya zigawo zikuluzikulu za mankhwalawa zimapukusidwa kudzera mu ntchito ya impso ndi chiwindi mu mawonekedwe a metabolites. 1% yotsalayi imachotsedwa ndi mkodzo.

Mitundu iti ya matenda ashuga

Mapiritsi a matenda ashuga amawonetsedwa kwa odwala omwe ali ndi matenda a shuga a 2 m'malo omwe shuga sangasinthidwe pogwiritsa ntchito njira zofatsa monga kudya komanso kuchita masewera olimbitsa thupi.

Kuphatikiza apo, mankhwalawa atha kugwiritsidwa ntchito ngati njira yodzitetezera kuti muchepetse ngozi za zovuta za matenda a shuga:

• Kuchepa kwa impso,
• Zowonongeka kumbuyo
• Macrovascular abnormalities mu mawonekedwe a myocardial infarction ndi stroke.

Mtundu 1 wa shuga, mankhwalawa sagwiritsidwa ntchito.

Momwe mungagwiritsire ntchito mankhwalawa

Momwe mungatenge matenda a shuga, komanso pamankhwala omwe angamwe, angamuwuzeni adokotala. Kuti muchite izi, ayenera kuganizira za zaka komanso momwe munthu wodwalayo alili, komanso momwe matendawo aliri. Mlingo wamba, malinga ndi malangizo a boma, ndi:

• Anthu osakwana zaka 65: 30 mg. Ngati ndi kotheka, ngati shuga azikhala wambiri, mlingowo ungathe kuwonjezeka mpaka 60 kapena 120 mg patsiku,
• Anthu oposa zaka 65: 30 mg. Ngati ndi kotheka, mlingo ukuwonjezeka mpaka 60 kapena 90 mg.

Kuchulukitsa kwa mankhwalawa ndikofunikira pokhapokha povomerezana ndi adokotala ndipo makamaka osapitirira mwezi umodzi kuyambira chiyambi cha mankhwala. Nthawi zina, kuchuluka kwa mankhwalawa kumaloledwa pambuyo masiku 14 kuchokera pamene ayamba kulandira chithandizo, ngati pakufunikira kwambiri.

Odwala ena amanyalanyaza gawo la malangizo a momwe angatengere Diabeteson, koma sizinathandize. Kuti mapiritsi akhale ndi zotsatira zabwino, ayenera kumezedwa lonse, kutsukidwa ndi madzi pang'ono. Ndikofunika kuchita m'mawa mukamadya. Kudya kamodzi tsiku lililonse ndikosavuta, koma ngati zachitika kuti wodwalayo atayiwala kumwa piritsi, musamuwonjezere mlingo wotsatira, sizofunikira.

Ndikofunika kumvetsetsa kuti kugwiritsa ntchito Diabeteson sikungakhale ndi zotsatirapo zabwino ngati wodwala samatsata zakudya zomwe wapatsidwa komanso malingaliro a dokotala ena panthawi ya chithandizo.

Malangizo owonjezereka otenga matenda a shuga

Pofuna kuchepetsa chiwopsezo cha mavuto chifukwa chakugwiritsidwa ntchito ndi odwala matenda ashuga, wodwalayo ayenera kulabadira malangizo angapo. Amatanthawuza okha:

• Kuwunikira pafupipafupi shuga
• Kukana kudya kwambiri, kutanthauza kumva kuti ndi njala,
• Kutsatira zakudya
• Kudya zakudya zabwino, zopatsa thanzi
• Kuchita masewera olimbitsa thupi, kuchuluka kwake komwe kumayenera kufanana ndi kuchuluka kwa chakudya chamafuta.

Nthawi zonse yang'anani shuga yanu yamagazi kuti muchepetse mavuto.

Ngati wodwalayo ayenera kulumikizidwa ndi zina zilizonse, dokotala yemwe akuyenera kuunikayo afotokozere.

Wodwalayo amalangizidwanso kuti asiyire kumwa mowa pakumwa mankhwala. Kupanda kutero, Diabeteson imatha kuwonjezera zizindikiritso za mowa, monga: kupweteka mutu, chizungulire, kukoka mwachangu, kupweteka m'mimba. Choopseza chowonjezereka ndichakuti boma la kuledzera limatha kukhala ndi zofanana ndi hypoglycemia, zomwe zingasokoneze wodwalayo ndikumulepheretsa kupeza chithandizo chamankhwala panthawi.

Kuchita ndi mankhwala ena

Ndikofunika kulabadira kuti mankhwalawa Diabeteson mu mapiritsi sangathe kumwa limodzi ndi mankhwala antifungal Miconazole. Izi ndichifukwa choti zigawo zomwe zimapanga Miconazole zimatha kutsitsa magazi. Zotsatira zake, wodwala amatha kukhala ndi hypoglycemia. Ngati sizotheka kusokoneza mankhwala a antifungal, dokotala atha kuyang'ananso muyezo wa a Diabetes pakuyambitsa kuchepetsa.

Mankhwala ayenera kugwiritsidwanso ntchito mosamala kwambiri ngati wodwala wayamba kale:

• Mankhwala a Hypoglycemic malinga ndi insulin, fluconazole, Captopril. M'modzi mwa iwo ndi Phenylbuzaton. Zimathandizira kuchepetsedwa kwa shuga m'magazi, zomwe zingayambitse hypoglycemia,
• Mankhwala okhala ndi Mowa mu kapangidwe kake. Izi zimathandizanso kukhala ndi vuto lochepetsa shuga, lomwe muzovuta kwambiri lingayambitse kudwala.
• Mankhwala omwe amagwira ntchito yowonjezera kuchuluka kwa shuga m'magazi: Danazole, Chlorpromazine, Ritodrin,
• Mankhwala kuchokera pagulu la anticoagulants, mwachitsanzo, warfarin.

Wodwalayo ayeneranso kudziwitsa dokotala wake za kumwa mankhwala ena, mavitamini, zakudya zowonjezera, ngati zilipo. Muyenera kusintha mankhwalawo.

Zotsatira zoyipa

Mapiritsi a diabetes ndi otchuka kwambiri pochiza matenda amishuga a 2. Koma pazotsatira zawo zonse zabwino, nthawi zina amatha kubweretsa zovuta. Chachikulu ndi chitukuko cha hypoglycemia wodwala. Kuzindikira kumeneku ndi chinthu chodabwitsa kwambiri pamene shuga ya munthu wodwala matenda ashuga itsika kwambiri. Ndi hypoglycemia, wodwalayo amatha kuzindikira mawonekedwe a monga:

• Mutu wapafupipafupi
• Chizungulire
• Kutopa ndi kutopa,
• Kuchepetsa mseru
• Zovuta,
• Kumva njala mosalekeza
• Kuzunzika Kwambiri,
• Zowonongeka ndi kuwonongeka kwa kulankhula,
• Kulephera kudziletsa
• Kukhumudwitsa
• Kuchulukitsa kwa kuyipa ndi kuwonongeka kwamanjenje.

Kupweteka pafupipafupi komanso chizungulire kumachitika chifukwa cha matenda ashuga.

Ngati hypoglycemia yapezeka mwa mawonekedwe ofatsa, ndizotheka kuthetsa izo mwa kudya zakudya zomwe zili ndi chakudya chamagulu ambiri. Muzochitika zazikulu kwambiri, pamene matenda a matenda akachuluka, wodwala amagonekedwa m'chipatala.

Koma izi sizokhazo zomwe zingachitike. Potengera zakumwa za matenda ashuga, zinthu zosasangalatsa monga:

• Thupi lawo siligwirizana. Nthawi zambiri, zimawonetsedwa ngati kufiira komanso zotupa pakhungu,
• Kuphwanya kwam'mimba,
• Zizindikiro za kuchepa magazi. Izi zitha kuwonetsedwa ndi zotsatira za kuyezetsa magazi a labotale,
• Kuwonjezeka kwa kuchuluka kwa ma enzymes a chiwindi omwe amapangidwa.

Zotsatira zonse zoyipa zitha kuchotsedwa pakukweza Diabeteson. Pankhaniyi, dokotala adzasankha mankhwala ena.

Bongo

Ngati mankhwala osokoneza bongo apezeka, wodwalayo ayenera kupatsidwa thandizo. Muli zinthu izi:

• Zaphulika zam'mimba
• Kuyendetsa magazi shuga,
• Glucose thandizo ndi mankhwala kapena tiyi wokoma.

Mkhalidwe wa wodwala uyenera kuyang'aniridwa kwa maola 24. Umu ndi momwe mphamvu ya mankhwalawa imatha.

Ngati wodwalayo pazifukwa zina sangathe kutenga matenda a shuga, atha kufananizidwa. Zina mwazomwe zimatha kusiyanitsidwa:

• Metformin. Sizoyambitsa hyperglycemia,
• Maninil. Ili ndi zovuta zambiri,
• Siofor. Kuphatikiza pa kuchepetsa magazi, kumachepetsa kulakalaka wodwala,
• Glucophage. Zimathandizira kupewa zovuta za matenda ashuga,
• Glucovans. Maziko a mankhwalawa alibe chinthu chimodzi chogwira ntchito, koma ziwiri nthawi imodzi: metformin ndi glibenclamide,
• Amaril. Nthawi zambiri zimayambitsa zovuta mu mawonekedwe a kusokonezeka kwamatumbo ndi hyperglycemia,
• Glibomet. Kuphatikizikako kumaphatikizanso zinthu ziwiri zogwira ntchito. Sizoletsedwa kugwiritsa ntchito mtundu wa 1 odwala matenda ashuga.

Uwu si mndandanda wonse wazomwe zitha kusintha Diabeteson ndi matenda ashuga. Amaloledwa kusankha:

• Mankhwalawa akuchokera ku kalasi la sulfonylurea,
• DPP-4 zoletsa.

Kuphatikiza pa mankhwala, wodwala amatha kupempha thandizo kuchokera ku mankhwala achikhalidwe, koma nthawi zambiri amakhala ngati chowonjezera osati chothandizira chachikulu. Potere, wodwalayo atenge mankhwala azitsamba, omwe amathandiza kuchepetsa kuchuluka kwa shuga m'magazi. Nthawi zambiri, ndalama ngati izi zimaphatikizapo:

• Sage
• Fennel
• Masamba a Blueberry
• Masamba a mabulosi akutchire
• Dandelion
• Burdock
• Muzu wa licorice.

Ngati mankhwala azitsamba otere amayenera kuledzera tsiku lililonse katatu patsiku. Kuphatikiza pa ntchito yayikulu yochepetsera shuga, imathanso kukhudza chitetezo chamthupi cha wodwalayo.

Ubwino ndi zoyipa

Kutengera ndi zomwe takambirana pamwambapa, ndizotheka kufupikitsa mwachidule, monga maubwino komanso kuipa kwa mankhwalawa. Ubwino wake ungaphatikizeponso:

• Kutsika msanga kwa shuga m'magazi
• Mwayi wawung'ono wazotsatira zoyipa. Malinga ndi data, zodabwitsa za hypoglycemia zimangokhala peresenti ya 7%,
• Mlingo woyenera, womwe umatanthawuza kugwiritsa ntchito kamodzi patsiku,
• Kuchepetsa chiopsezo cha kuwundana magazi
• Kupezeka kwa antioxidant zotsatira,
• Palibe chiopsezo cholemera.

Mwa zina mwa odwala matenda ashuga akhoza kudziwika:

• Mankhwalawa alibe mphamvu pazomwe zimayambitsa matenda ashuga,
• Kukula kotheka kwa matenda ashuga amtundu woyamba. Izi zimachitika mkati mwa zaka 3-8,
• Mwa anthu omwe ali osakwanira thupi, chiwopsezo cha kupitirira kwazomwe zimadalira matenda a insulin zimatha,
• Chiwopsezo cha kufa kwa matenda ashuga sichimachepetsedwa.

Kupenda zabwino ndi zovuta zonse za mankhwalawo nthawi iliyonse ndikuwona kufunika kwake kungakhale kokha pazotsatira za mayeso a wodwala.