Matenda a shuga kapena mapiritsi

• Osapitilira 5.2-6.0 mmol / l
• Shuga wabwinobwino mukatha kudya - mpaka 11.0 mmol / L
• Ndikofunika kwambiri kuchepetsa shuga kusala kudya mukatha kudya

• Yang'anani mita kuti muone ngati ndi yolondola. Zitapezeka kuti mita yagona - iponyekeni ndikugula ina, yolondola
• Pitani kwa dokotala pafupipafupi, kukayezetsa
• Pezani Kulemala Kwa Insulin Yaulere ndi Ubwino Wina

• Mankhwalawa onse, ndipo muyenera kusiya kumwa
• Maninil, Glidiab, Diabefarm, Diabeteson, Amaril, Glurenorm, NovoNorm, Diaglinid, Starlix
• Fotokozerani magulu a sulfonylureas ndi dongo (meglitinides)
• Yambitsani kapamba kuti apange insulin yambiri

• Izi zimaperekedwa ndi mapiritsi omwe amachepetsa shuga.
• Matendawa adasinthika kukhala matenda amtundu wa 1 shuga
• Thupi silitenga chakudya chifukwa cha zovuta za impso

• Zakudya zamafuta ochepa
• Zakudya zoyenera, monga anthu athanzi
• Zakudya zochepa zama calori, zakudya zamafuta ochepa

• Madzi apampopi abwino
• Khalidwe labwino
• Kunenepa kwambiri komwe kumakula kwa zaka zambiri
• Kudya zakudya zosapatsa thanzi zopatsa mphamvu zambiri
• Zonsezi pamwambapa kupatula madzi abwinowa

• Kuzindikira kwamphamvu kwa khungu ku insulin
• Zowonongeka za insulin chifukwa chosasungidwa mosayenera
• Kukakamizidwa kwa odwala matenda ashuga omwe ali ndi insulin yotsika mtengo

• Phunzirani kusangalala ndi maphunziro akuthupi
• Osamadya zakudya zamafuta - nyama, mazira, batala, khungu la nkhuku
• Sinthani ku chakudya chochepa chamafuta
• Zonsezi pamwambapa kupatula "osadya zakudya zamafuta"

• Khalani ndi polojekiti yoyendetsa magazi kunyumba, kuyeza kuthamanga kwa magazi kamodzi pa sabata
• Miyezi isanu ndi umodzi iliyonse, mumayesedwa kwa cholesterol "chabwino" ndi "yoyipa", triglycerides
• Chitani kafukufuku wa magazi a C-rease protein, homocysteine, fibrinogen, serum ferritin
• Osamadya nyama yofiira, mazira, batala, kuti musakweze cholesterol
• Zonsezi pamwambapa kupatula "osadya nyama yofiira, mazira, batala"

• Werengani mapuloteni othandizira odwala matenda ashuga ovomerezedwa ndi Unduna wa Zaumoyo ndi magazini azachipatala
• Tsatirani mayesero azachipatala a mankhwala atsopano ochepetsa shuga
• Kugwiritsa ntchito zizindikiro za glucometer, pezani njira zotsika za shuga zomwe sizigwiritsa ntchito
• Mankhwala a Zitsamba Za Mitengo Amathandizidwa Kwambiri

Type 1 matenda a shuga a insulin

Mankhwala aliwonse amakhala ndi zoyipa.

Chiwopsezo chokhala ndi zizindikiro zosasangalatsa kumbuyo kwa jakisoni wa insulin kumachulukitsa ndi Mlingo wosankhidwa mosayenera, kuphwanya kosungidwa kwa zinthu.

Wodwala amatha kupeza vuto la hypoglycemia, lipodystrophy, chifuwa, komanso kusowa koonera. Kuti muchepetse mavuto omwe amabwera chifukwa cha insulin, muyenera kudziwa mfundo ndi kutsatira malamulo a mankhwala.

Ndi matenda a shuga 1

Kusinthasintha kwapafupi kwambiri kwa shuga m'magazi kuti pakhale kwachilengedwe pakubadwa ndikotheka kutsatira malamulo ndi mfundo izi:

• Pafupifupi tsiku lililonse azigwirizana ndi masoka omwe amapanga insulin ndi kapamba,
• kagawireni mankhwalawa malinga ndi chiwembuchi: 2/3 m'mawa, nkhomaliro ndi madzulo, 1/3 usiku,
• phatikizani insulin yayifupi ndi yayitali,
• jakisoni amalimbikitsidwa musanadye,
• musagwiritsidwe mankhwala opitilira 16 mankhwala osaneneka.

Ndi matenda a shuga kwa ana

Kuchulukitsa chiyembekezo cha moyo wa mwana, kuti muchepetse zovuta zoyambitsa matendawa, ndikofunikira:

• phatikizani insulin yayifupi ndi mankhwala omwe atenga nthawi yayitali,
• Kodi jakisoni wa mahomoni nthawi yayitali kawiri kapena katatu patsiku,
• Ana opitirira zaka 12 kuti achite zochiritsika zolimba,
• sinthani mlingo ndi gawo,
• ndi chidwi chachikulu, zoyeserera zothetsa banja.

Zimakhala zovuta kwa mwana wodwala matenda ashuga kumaliza dongosolo la sukulu: jakisoni wa mankhwala ayenera kuperekedwa nthawi inayake. Kuti muchepetse chithandizo, kubisa matendawa kwa ana ena, sankhani chithandizo cha pampu. Pampu imangotulutsa timadzi tomwe timalowa m'thupi tikamakula.

Pa nthawi yoyembekezera

Nthawi zambiri, chithandizo cha insulin chimaphatikizapo kugwiritsa ntchito mankhwala 2 okhala ndi mavuto osiyanasiyana nthawi imodzi tsiku lonse. Izi zimapatsa thupi thupi la enzyme yofunikira, chifukwa chomwe ntchito yamakina onse imakhazikitsidwa. Ndondomeko ya chithandizo imasankhidwa paokha. Zingwe zimachitika pogwiritsa ntchito singano yopyapyala kapena pampu yapadera.

Mtundu wachiwiri wa matenda ashuga a mellitus, chithandizo cha insulin sichimalamula nthawi zonse. Choyamba, wodwalayo amatenga mankhwala a antipyretic.

Ngati pakufunika insulin, ndiye kuti imayendetsedwa pang'onopang'ono, pamiyeso yaying'ono. Onetsetsani kuti mukugwiritsa ntchito mtundu woyambira wa basal.

Insulin yokhala ndi matenda a shuga a 2 amatha kutumikiridwa kwakanthawi - ndi matenda komanso musanachite opareshoni. Imagwiritsidwa ntchito nthawi zonse pokhapokha ngati palibe chithandizo chochepetsa shuga ndi mapiritsi.

Mlingo ndi nthawi ya insulin mankhwala zimatsimikiziridwa ndi endocrinologist. Zizindikiro zingaphatikizepo izi:

• Zizindikiro zakuchepa kwa insulini (kuchepa kwambiri kwa thupi, ndi zina).
• kupezeka kwa ma concomitant pathologies,
• matenda a shuga
• kuchuluka kwa matenda osachiritsika,
• matupi awo sagwirizana ndi mapiritsi,
• mimba ndi kuyamwitsa,
• kuchuluka kwambiri kwa shuga m'magazi am'magazi.

Mu matenda a shuga a mtundu wachiwiri, nthawi zambiri zimakhala zokwanira kutsatira zakudya, masewera olimbitsa thupi komanso mapiritsi ochepetsa shuga.

Chithandizo chophatikiza chitha kugwiritsidwa ntchito ngati matenda a shuga (mtundu 1 ndi mtundu 2). Cholinga chachikulu ndikuti tilepheretse zovuta komanso kusintha thanzi la odwala matenda ashuga.

Mu mtundu 2 wa matenda a shuga, ndikofunikira ngati monotherapy sinabweretse zotsatira zomwe zikuyembekezeka. Kwenikweni, kuphatikiza kwapadera kwa mankhwala kumagwiritsidwa ntchito zomwe zimakhudza njira zomwe zimapangidwira kupanga insulini, kuchepetsa shuga komanso kuchuluka kwa chidwi cha zotumphukira mpaka insulin.

Kuphatikiza kopambana kwambiri kwa mankhwala ophatikiza mankhwala:

1. Kukonzekera kwa Sulfonylurea ndi othandizira ochokera pagulu la Biguanide.
2. Zomwe zimachokera ku sulfonylureas ndi gulu la thiazolidinediones.
3. Clinides ndi gulu la thiazolidinediones.
4. Glinides ndi biguanides.
5. Gulu la mapiritsi a Biguanide ndi thiazolidinediones.
6. "Acarbose" ndi mankhwala aliwonse kuchokera ku zotsatizana za kuchepetsa shuga.

Asanapange mankhwala othandizira, endocrinologist imawonjezera muyezo wa mankhwala omwe ali ndi monotherapy. Ngati zotsatira zake ndi ziro, mankhwala ochokera pagulu lina amayamba pang'onopang'ono, koma muyezo.Ngati zotsatirazi zikuyipa, mlingo umakulitsidwa. Nthawi zina kuphatikiza kumakhala ndi mankhwala atatu.

Ndikosatheka kuchira kwathunthu ku matenda ashuga, motero ndikofunikira kulumikizana ndi endocrinologist zizindikilo zoyambirira zikaonekera. Izi zikuthandizani kuti mupeze mankhwala molondola, lekani njira zamatenda ndikuletsa kukula kwa zovuta.

Kodi ndingathe popanda mankhwala?

Mpaka pano, palibe njira zambiri zopangira mankhwala ochizira matenda a shuga omwe ali ndi mapiritsi. Chifukwa chake, kafukufuku wambiri wazokhudza mphamvu ya mankhwalawa pakathupi sikokwanira kuyankha kotsimikizika ku funso ili.

Koma palibe kafukufuku wofufuza yemwe akusonyeza kuti posankha piritsi la insulin kapena jakisoni ndi ilo, ndikulingalira kuti kusinthira pamapiritsi ndikomveka, chifukwa amathandizika ndi thupi laumunthu ndikuwonongeka pang'ono pa thanzi la anthu kuposa jakisoni Hormone ya shuga.

Kupanga kwa njira yothanirana ndi matenda ashuga kwachitika pazinthu zambiri, zomwe pazifukwa zosiyanasiyana zidatha polephera. Mu matenda a shuga, insulin, yomwe imagwiritsa ntchito jakisoni, nthawi yomweyo imayamba kuchitapo kanthu.

Ndipo ngati musintha mapiritsi pambuyo pa insulini, wodwala amakumana ndi vuto la kuyamwa pang'onopang'ono: kuchuluka kwa shuga kumatsika pang'onopang'ono osati zochuluka. Atachulukitsa mlingo wa insulin maulendo 4 ndikuwaphimba mapiritsi ndi ma membrane apadera (omwe amateteza chinthu chofunikira kuchokera ku mphamvu ya ma enzyme), mkhalidwe wa odwala ambiri umakhala wabwino.

Ndiye kodi ndikotheka kusinthira kumakonzedwe a piritsi omwe ali ndi insulin? Dokotala aliyense angakupatseni yankho logwirizana, ngati muyeza zabwino ndi zowawa, onetsetsani kuchuluka kwa shuga m'magazi ndikuyang'aniridwa ndi katswiri.

Ndi jakisoni wa insulin, kusinthira pamapiritsi kwatha kukhala ndi ambiri odwala matenda ashuga. Kugwiritsa ntchito mapiritsi kumapangitsa kuti muchepetse shuga wamagazi ndikuwusunganso pamlingo womwewo, womwe umakhudza bwino zomwe wodwala amakhala nazo.

Popeza mpaka pano palibe kukonzekera kwakukulu kwa kukonzekera kwa mapiritsi a insulin, nawonso alibe mayina ogulitsa. Dzinali mtundu wa shuga 2 wa mankhwalawa ndi omwe amatchedwa: mapiritsi okhala ndi insulin. Kwa ambiri, nkovuta kwambiri kuwapeza chifukwa cha kuchepa ndi kukwera mitengo. Koma mayiko angapo, kuphatikiza Russia, avomereza kupanga mankhwalawa mwambiri.

Imwani mapiritsi kapena jakisoni a matenda a shuga a 2 - zili kwa wodwala. Ndikofunikira kuyang'anira momwe thupi limayankhira ngati mankhwalawa. Ngati shuga sichikuchepa kapena kulumpha mosalekeza, ndiye kuti malamulo osinthira ku mankhwala atsopano amaphwanyidwa, kapena thupi lisasunthidwe kupita ku chithandizo chamakono. Pankhaniyi, ndikofunikira kukaonana ndi dokotala kuti akonze chithandizo chomwe akuyang'aniridwa.

Makampani ambiri opanga mankhwala amafuna kuti asinthe ma hormone, omwe amangoperekedwa kudzera jakisoni wamkati. Njira yoperekera mankhwalawa ingakhale yabwino komanso yopweteka. Kuyesera kuti apange chida choterechi kunachitika ndi asayansi aku Australia. Afufuza insulin ndi kayendetsedwe kake m'thupi la munthu kwazaka zopitilira khumi. Kuyesera komweku kunachitika ndi asayansi aku Israeli.

Insulin ndi mahomoni okhala ndi mapuloteni omwe amapangidwa ndi kapamba. Ndi kuchepa kwake, glucose samafika m'maselo, zomwe zimapangitsa kuti matupi onse azofunikira m'thupi azigwira ntchito.

Pankhaniyi, matenda a shuga amakula. Zomwe insulin ndi glucose zimalumikizana zinatsimikiziridwa kumbuyo mu 1922 ndi Benting ndi Best. Kuyambira pamenepo, kafukufuku wayamba pa mitundu yonse yoyenera yoperekera insulin ku thupi.

Asayansi aku Russia aku Russian Academy of Science atayamba kupanga mapiritsi mu 90s. Tsopano mankhwalawa adapangidwa ndipo ali ndi dzina "Ransulin".

Zochizira matenda a shuga, mitundu yosiyanasiyana ya jakisoni wa insulin yapangidwa. Koma izi sizili kutali ndi njira yabwino kwambiri yobweretsera thupi.

Njira yosavuta kwa munthu imakhala mapiritsi. Koma vuto linali loti insulini, ikalowa m'mimba mwa munthu, idayetsedwa ndi kuwumbidwa mothandizidwa ndi ma enzyme, chifukwa thupi lake limazindikira ngati chakudya wamba cha mapuloteni, omwe amayenera kupangidwira kukhala ma amino acid.

Chifukwa chake, ntchito yayikulu ya opanga mapangidwe ake inali yoteteza insulini ku michere yokumba kotero kuti pambuyo pake idalowa m'magazi momwe ilili, osati monga tinthu tomwe timasungunuka amino acid.

Popeza njira yolembera jakisoni imadzetsa vuto linalake ndipo imakhala yovuta kwambiri, ofufuza akhala akufunafuna kwanthawi yayitali kuti asinthe momwemo mankhwalawo osapweteka komanso njira yabwino yobweretsera thupi la munthu. Mpaka posachedwapa, zoyesa zonse sizinaphule kanthu.

Pomaliza, zotsatira zabwino zidakwaniritsidwa ndi gulu la asayansi aku Australia omwe adachita izi kwa zaka 10. Posakhalitsa, mwayi unamwetulira komanso ofufuza ochokera ku Israel.

Makampani omwe akhudzidwa popanga mankhwala akhala akuganizira za mtundu wina wamankhwala womwe ungalowe m'thupi la wodwalayo popanda jakisoni.

Chifukwa chake, funso loti ndi liti silabwino.

Kwa nthawi yoyamba, mapiritsi a insulin adayamba kupangidwa ndi asayansi aku Israeli ndi Australia. Anthu omwe adatengapo nawo kafukufukuyu adatsimikizira kuti mapiritsi ndiabwino kwambiri komanso osavuta kuposa majakisoni. Kumwa insulin pakamwa ndikosavuta komanso mwachangu, pomwe magwiridwe antchito samachepetsedwa.

Pakayesedwa nyama, asayansi amakonzekera kupita kukayesa insulin m'mapiritsi, pakati pa anthu. Kenako ayamba kupanga misa. Pakadali pano, Russia ndi India ali okonzeka kwathunthu kuti atulutsidwe mankhwala.

Mapiritsi ali ndi zabwino zambiri:

• ndizosavuta kunyamula
• kumwa piritsi ndikosavuta kuposa kupereka jakisoni,
• Popanda kupweteka.

Matenda a shuga ndi matenda omwe amawonetsedwa m'magazi a shuga ambiri chifukwa chosowa (matenda a shuga 1 kapena kusowa (mtundu 2 shuga) katulutsidwe ka insulin. Insulin ndi mahomoni omwe amawongolera kagayidwe, makamaka, mafuta, komanso mapuloteni ndi mafuta.

Ndi matenda a shuga, kagayidwe kamatupa, motero kuchuluka kwa shuga m'magazi kumawonjezereka, kumayesedwa mkodzo. Matupi a Ketone amawonekera msanga m'magazi - zopangidwa ndi mafuta owonongeka.

Glucose amapezeka m'magazi a munthu akatha kudya. Poyankha kuchuluka kwa shuga, kapamba amatulutsa insulin, yomwe imalowa m'chiwindi kudzera m'mitsempha yamagazi ndi zinthu zam'mimba.

Nayo chiwindi chimawongolera kuchuluka kwa insulini yomwe imafikira ziwalo zina. Munthu wodwala matenda a shuga akapaka jakisoni wa insulin, ndiye kuti insulin yomweyo imalowa m'magazi.

Popanda kuwongolera chiwindi, zomwe zikuwonetsedwa pamavuto osiyanasiyana, mwachitsanzo:

1. matenda a mtima,
2. kukanika kwa ubongo ndi ena.

Anthu ambiri akukayika ngati mapiritsi a insulin angatengedwe. Madokotala amakhulupirira kuti otetezeka kwambiri amatenga mapiritsi a insulini. Kupanga chisankho: jakisoni kapena mapiritsi, ndikofunikira kudziwa kuti kufunika kwa jakisoni tsiku ndi tsiku kumayambitsa kuvutika kwakuthupi ndi kwamalingaliro kwa munthu, makamaka ana.

Wodwala akamamwa mapiritsi a insulin, nthawi yomweyo mankhwalawo amalowa m'chiwindi. Njira zina ndizofanana ndi machitidwe m'thupi la munthu wathanzi.

Zotsatira zoyipa zomwe thanzi limayambitsa mukamamwa insulini zimakhala zochepa.

Pazithandizo zonse za matenda a shuga, ndizovuta kutulutsa chilichonse chofunikira komanso chachiwiri - zonse ndizofunikanso pano: zakudya, mankhwala osokoneza bongo, zolimbitsa thupi. Zachidziwikire, popeza tidazindikira wodwala, choyamba timakambirana zakudya zake - popanda iwo, kuyesa konse kwa madotolo sikungathandize.

Koma uku sikukutha kwa nkhaniyi.Nthawi zambiri, funso la mankhwala othandizira pafupifupi limatuluka nthawi yomweyo.

Chifukwa chake, adotolo amatipatsa mapiritsi ochepetsa shuga kapena insulin. Funso loyamba lomwe wodwalayo amafunsa nthawi zonse limakhala lofanana: ndizotheka kuchita popanda iwo?

Ndizotheka, koma pazotsatira izi ziyenera kukwaniritsidwa.

1. Awa ndi mtundu wofatsa 2 shuga.
2. Zikondazo zimasungidwa ndipo zimakhala ndi malire.
3. Mwazi wa magazi siwokwera kwambiri kuposa wabwinobwino.
4. Kulemera kwa wodwala sikupitirira kuchuluka kwa kunenepa kwambiri.
5. Palibe zovuta za matenda ashuga.
6. Sitikulankhula za mayi wapakati - Pankhaniyi, kuzengereza nkosavomerezeka! Ndipo insulin yokha!
7. Wodwala amakhala ndi zofunika kusintha moyo wake, chifukwa nthawi zambiri zinthu zina zapakhomo zimalepheretsa, mwachitsanzo, kuchita masewera olimbitsa thupi nthawi zonse. Nthawi zina zimakhala zovuta kuti munthu asinthe mtundu wina wa zakudya, ndipo amadziwa kuti sakhala ndi mphamvu zokwanira kuti ataye maswiti kapena zakudya zokhuthala ... Zikatero, ndibwino kuti musayike pachiwopsezo chotenga nthawi. Posachedwa, chithandizo cha mankhwala chimakhala chosalephera, chimangoyambika pakakhala zovuta zazikulu.

Ngati pakadutsa miyezi itatu osagwiritsa ntchito mankhwalawa magazi a glucose sanatsike mwanjira zabwinobwino, ndikofunikira kusinthira kuchipatala champhamvu kwambiri, ndipo akatswiri azamankhwala sangathe popanda iwo pano.

Kodi endocrinologist wamakono ali ndi chiyani mu zida?

Mankhwala amakono komanso odziwika bwino a insulin ndi awa:

• Chichewa. Awa ndi mankhwala abwino kwambiri. Amachepetsa shuga m'mphindi 15. Muli insulin yaumunthu. Sungani shuga wambiri kwa maola atatu,
• Gensulin N. Wogwiritsa ntchito pakati. Amachepetsa shuga pambuyo ola limodzi pakatha maola 20. Malinga ndi malangizo, imakhala ndi zoyipa zochepa.
• Lantus. Uwu ndi mtundu wa mankhwala wokhalitsa. Zovomerezeka kwa maola 40.

Matenda a shuga amtundu woyamba amathandizidwa ndi insulin yokha. Odwala omwe ali ndi mtundu wachiwiri wa matenda angagwiritse ntchito mapiritsi kapena jakisoni.

Fomu ya kapisolo ndizosavuta kugwiritsa ntchito ndipo imapereka kuyang'anira kwa chilengedwe cha glucose. Nthawi yomweyo mapiritsi amakhudza kayendedwe ka chiwindi ndi impso.

Ndi kusankha kolakwika kwa mankhwalawo, pamakhala ngozi yotenga mtima. Zilonda pankhaniyi ndizotetezeka ndipo zimatha 100% kulowa m'malo mwa kapamba.

Matenda a 2 a shuga ndi njira yokhazikika yomwe imayambitsa matenda a metabolic. Mkulu wama glucose m'magazi a munthu amakhala wapamwamba kuposa kale.

Ndikofunikira, mofulumira kuti mupewe kuthana ndi matendawa, muchepetse shuga wamagazi ndikusunga chisonyezo. Dokotala ataganizira zomwe zimayambitsa matendawa, mutha kupita kuchipatala.

M'malo mwa insulin: ma fanizo a anthu pa matenda a shuga

Odwala ambiri omwe ali ndi matenda a shuga amakhala ndi chidwi chofuna kudziwa kuti ndi insulin analogue yomwe imagwiritsidwa ntchito bwino kutsika shuga.

Masiku ano, njira yodalirika yotereyi ndi yotchuka kwambiri. Izi ndichifukwa cha zinthu monga:

1. Insulin ya mafakitale imawonetsa kukhathamiritsa kwambiri.
2. Mankhwalawa ndi otetezeka.
3. Ndiwosavuta kugwiritsa ntchito.

Mankhwala amakono amakulolani kuti musinthe mlingo kutengera kusintha kwa chinsinsi cha mahomoni ndi thupi lenilenilo.

Chofunikira kwambiri ndi funso lomwe limatanthauzira za insulin pochiza matenda a shuga. Odwala ambiri amadziwika posachedwa kapena kuchokera piritsi kupita jekeseni. Chifukwa chake, ndikofunikira kusankha mankhwala amakono komanso othandiza kwambiri a jakisoni.

Kuthanso kwa insulin kwa odwala omwe akutenga kale jakisoni wa mankhwalawa. Nthawi zambiri izi zimachitika ngati chithandizo chikuchitika ndi mankhwala achikale.Chifukwa cha izi, mavuto monga:

• Kuwonongeka kwakuthwa.
• Kuzindikira kwa ziwalo zonse zamkati.
• Amadumphadumpha pafupipafupi m'magazi a shuga, zomwe zimapangitsa kuti pakhale hypoglycemia kapena hyperglycemia.

Koma, zowona, ndi dokotala yekha yemwe amatha kupanga nthawi yokhayo, ayenera kupenda wodwalayo kwathunthu ndikupeza ngati pali zotsutsana ndi analogue inayake ya insulin.

Chimodzi mwazinthu zazikulu pakusankha mitundu ya insulin ndi chinthu monga kuthamanga kwa zotsatira zakepi. Mwachitsanzo, pali ena omwe amachita mwachangu kwambiri ndipo jakisoni amayenera kuchitidwa mphindi makumi atatu kapena makumi anayi asanadye. Koma pali iwo omwe, m'malo mwake, ali ndi mphamvu yayitali kwambiri, nthawi imeneyi imatha kufikira maola khumi ndi awiri. Potsirizira pake, njira iyi ingapangitse kukula kwa hypoglycemia mu shuga mellitus.

Pafupifupi mitundu yonse yamakono ya insulini imagwira ntchito mwachangu. Wotchuka kwambiri ndi insulin yakwathupi, imagwira mphindi imodzi kapena yachisanu pambuyo pa jakisoni.

Mwambiri, ndikofunikira kuwunikira zotsatirazi zabwino za fanizo zamakono:

1. Mayankho osavomerezeka.
2. Mankhwalawa amapezeka pogwiritsa ntchito ukadaulo wamakono wama DNA.
3. Mafuta amakono a insulin ali ndi mankhwala atsopano.

Chifukwa cha zonse zomwe zili pamwambapa, zinali zotheka kukwanitsa bwino bwino pakati pa chiwopsezo chokhala ndi spikes mwadzidzidzi m'magawo a shuga ndikupeza zizindikiro za glycemic.

Mwa mankhwala odziwika amakono atha kudziwika:

• Analog ya ultrashort insulin, yomwe ndi Apidra, Humalog, Novorapid.
• Yaitali - Levemir, Lantus.

Wodwala akakhala ndi vuto lililonse pambuyo pa jakisoni, adokotala akuwonetsa kulowetsanso insulin.

Koma muyenera kuchita izi pokhapokha poyang'aniridwa ndi katswiri ndikuwonetsetsa momwe wodwalayo akusamalirani.

Ichi ndi chimodzi mwazida zotchuka kwambiri - ma analogu a munthu. Kuzindikira kwake kumachitika chifukwa chakuti imatengedwa mwachangu m'magazi a munthu.

Ndizofunikanso kudziwa kuti ngati mutaba jakisoni mwanjira inayake komanso muyezo womwewo, ndiye kuti maola 4 mutatha jakisoni, ndende ya mahomoni amabwereranso ku gawo lake loyambirira. Poyerekeza ndi insulin wamba, nthawi imeneyi imakhala yochepa kwambiri chifukwa nthawi imeneyi imatha pafupifupi maola 6.

China chomwe chalowa m'malo mwa insulin ya anthu ndichakuti chimanenedweratu momwe mungathere, kotero nthawi yosinthira imadutsa popanda zovuta komanso mosavuta. Kutalika kwa mankhwalawa sikukutengera mlingo. M'malo mwake, ngakhale mutachulukitsa mlingo wa mankhwalawa, nthawi yamachitidwe ake imakhala yomweyo. Ndipo izi zimapereka chitsimikizo kuti wodwalayo sanachedwe glycemia.

Makhalidwe onse omwe ali pamwambapa amawapangitsa kukhala ofanana momwe angathere ndi insulin yaumunthu wamba.

Ponena za kusakaniza kwa Humalog 25, ziyenera kudziwika pano kuti izi ndi zosakanikirana za zinthu monga:

1. Unyinji wonenepa wa horosro (75%).
2. Insulin Humalog (25%).

Chifukwa cha gawo loyamba, mankhwalawa amakhala ndi nthawi yambiri yolumikizidwa ndi thupi. Mwa mitundu yonse ya insulin yomwe ilipo ya mahomoni amunthu, imapereka mwayi wambiri kubwereza momwe basal imapangidwira payokha.

Ma mahoni ophatikizika nthawi zambiri amaperekedwa kwa anthu omwe ali ndi vutoli. Mndandandandawu umaphatikizapo odwala omwe ndi okalamba kapena omwe ali ndi vuto la kukumbukira.

Izi ndichifukwa choti timadzi timeneti titha kuthandizira nthawi yomweyo tisanadye, kapena pambuyo pake.

Ngati tizingolankhula za mahomoni oyamba, ndiye momwe zimakhalira mwachilengedwe zimafanana kwambiri ndi Humalog yomwe tafotokozazi. Koma ponena za mitogenic komanso metabolic zochita, ndizofanana ndi insulin yaumunthu.Chifukwa chake, itha kugwiritsidwa ntchito kwanthawi yayitali. Ndikofunika kudziwa kuti imayamba kuchita jakisoni mutayamba kubayidwa.

Monga momwe zimachitikira ndi Humalog, analog iyi ya insulin yamunthu nthawi zambiri imasankhidwa ndi anthu okalamba. Kupatula apo, imatha kumwedwa nthawi isanayambe kapena itatha.

Ponena za Levemir, imakhala ndi nthawi yayitali. Iyenera kugwiritsidwa ntchito kawiri pa tsiku ndipo kenako idzakhala yoyenera kusamala nthawi zonse tsiku lonse.

Koma Lantus, mmalo mwake, amachita mwachangu kwambiri. Komanso, imasungunuka bwino m'malo okhala acidic pang'ono, imasungunuka m'malo osalowerera ndale kwambiri. Mwambiri, kufalitsidwa kwake kumatenga pafupifupi maola makumi awiri ndi anayi. Chifukwa chake, wodwalayo ali ndi mwayi wophatikizira kamodzi patsiku. Ndikofunikira kudziwa kuti imatha kudindidwa m'chigawo chilichonse cha thupi: m'mimba, mkono kapena mwendo. Nthawi yayitali ya kuchitapo kwa mahormoni ndi maora makumi awiri ndi anayi, ndipo okwera amakhala makumi awiri ndi zisanu ndi zinayi.

Lantus ali ndi izi:

1. Tiziwalo zonse zam'mthupi zomwe zimatengera insulin zimayamba kudya shuga bwino.
2. Amachepetsa shuga wamagazi.
3. Imachepetsa njira yogawa mafuta, mapuloteni, kotero chiwopsezo chowonjezera kuchuluka kwa acetone m'magazi ndi mkodzo umachepetsedwa.
4. Imalimbikitsa kagayidwe kake ka minofu yonse mthupi.

Kafukufuku onse akutsimikizira kuti kugwiritsa ntchito mosalekeza malo a insulin yaumunthu kumapangitsa kuti kuthekera kwathunthu kutsanzira kapangidwe kazinthu zachilengedwe izi kamanoni m'thupi.

Pomwe funso lidayamba la zomwe zingalowe m'malo mwa insulin mthupi, chinthu choyamba kuchita ndikuwunika wodwalayo ndikuzindikira zonse zomwe zikuchitika pa matenda a shuga mellitus wodwala wina. Palibe choletsa kusintha wogwirizira yemwe wasankhidwa kale kapena kusinthira jakisoni mutamwa nokha mapiritsi, osayendera dokotala.

Pambuyo pofunsidwa mozama, dokotalayo amatha kupereka chilolezo chake kuti asinthe mankhwalawo kapena kuwapatsa mankhwala kwa nthawi yoyamba.

Musaiwale kuti pogwiritsira ntchito chida china, ndikofunikira kumuwunika wodwalayo pafupipafupi. Izi zikuyenera kuchitika pofuna kudziwa ngati kusintha kwamphamvu kwa thupi la wodwalayo kumachitika ndikumalandira jakisoni, ngati pali matenda ena ophatikizika, komanso ngati pali vuto la hypoglycemia. Kuti atsatire zonsezi, wodwalayo ayenera kupita pafupipafupi kwa endocrinologist wake ndikudziwitsa momwe thanzi lake lilili.

Koma kupatula malangizo onse omwe ali pamwambawa, muyenera kuvomerezabe zakudya zoyenera nthawi zonse. Komanso khalani ndi moyo wathanzi. Kuyenda mokhazikika mumweya watsopano kumapangitsa matendawo kukhala athanzi, komanso kumapangitsanso kupanga kwa insulin kwa thupi la wodwalayo palokha.

Posachedwa, pali maupangiri ambiri posankha zakudya zoyenera komanso zakudya zapadera zomwe zimathandizira kubwezeretsa kapamba ndi kukonza kupanga kwa mahomoni omwe tatchulawa. Koma, zoona, musanayambe kugwiritsa ntchito malangizowo, muyenera kufunsa dokotala. Kanemayo munkhaniyi amafotokoza za insulin.

Anthu omwe ali ndi matenda ashuga nthawi zambiri amasamala kusintha mapiritsi kupita ku insulin jakisoni. Njira yachiwiri nthawi zambiri imaphatikizapo chithandizo cha matenda oopsa kwambiri, motero kufunikira kwamalingaliro ndikofunikira pano. Koma osati kale kwambiri, zidatha kugwiritsa ntchito insulin yopangidwa m'mapiritsi. Koma, funso likadzabuka, posankha insulin kapena mapiritsi, lingaliro limangopangidwa ndi adokotala.

Ngati tizingolankhula zazabwino kuposa mapiritsi kapena insulin, ndiye kuti kugwiritsa ntchito njira yoyamba ndikosavuta. Palibe chifukwa chobweretsa yankho pansi pakhungu nthawi iliyonse, komwe sikumakhala ndi zosangalatsa zilizonse.Chifukwa chake, ngati mungasankhe mapiritsi m'malo mogwiritsa ntchito insulin, ndiye kuti pazoyesa zamankhwala zimapezeka kuti njira yoyamba imasankhidwa nthawi zambiri. Chithandizo chogwiritsira ntchito piritsi ndi chothandiza kwambiri, mchikakamizo chake, kumasulidwa kwa mahomoni ofunikira kumalimbikitsidwa. Njirayi imatha kuphatikiza njira ziwiri pochizira matenda a shuga amitundu yonse.

Zokhudza zabwino ndi zovuta za mapiritsi a insulin

Zakuti chiwindi chimakhudza kwambiri kukonza kwa zinthu zonse zolowa thupi la munthu zimadziwika kwa madokotala nthawi zakale. Kuwongolera kwa chiwindi pamasamba amadzi mu magazi. Koma ngati munthu ali ndi matenda ashuga amtundu wa 2 ndikugwiritsa ntchito jakisoni pochiza, ndiye kuti chiwindi sichingakonzere timadzi tambiri. Izi zimapangitsa kuti pakhale zovuta zingapo zamatendawa. Ntchito yamtima imachepa, mitsempha ya magazi imatsekeka ndikusungidwa, kutayika kwawo. Popewa izi zoyipa, mapiritsi a insulin adapangidwa. Koma kodi pali zabwino pamankhwala ngati amenewa, ndipo ngati alipo, ndi ati? Ayenera kulembedwa:

• munthu samva kupweteka, zomwe zimachitika kawirikawiri pogwiritsa ntchito jakisoni. Ngati tikulankhula za ana, ndiye kuti kwa odwala ochepa izi ndizofunikira kwambiri - jakisoni wokhazikika nthawi zambiri amabweretsa ana ku hysteria,
• mahomoni amakonzedwa mumikhalidwe yomwe imakhala yofanana ndi yachilengedwe. Ngati munthu alibe matenda ashuga, ndiye kuti njira yopangira zinthu imachitika mwachilengedwe. Choyamba, imawoneka m'chiwindi, chifukwa gawo linalake limatumizidwa kumtsinje wamagazi, maselo ofananirako amaperekedwa mwachangu nawo, chifukwa chake, kuchuluka kwa shuga mthupi kumakhala koyenera,
• kuthekera kupitirira mlingo wa mankhwalawa amachepetsedwa kwambiri. Kuchuluka kwa mahomoni a pancreatic omwe amalowa m'magazi amalamulidwa ndi chiwindi. Chiwalochi chimagwira ntchito moyenera, motero, Mlingo wowonjezera umakhala wosowa kwambiri, ndizofunikira kwambiri kwa thupi.

Pali zovuta zina panjira yotsogola iyi. Mukamapangira chithandizo chotere, kapamba wamunthu amakhala pansi pa katundu wambiri, mapiritsiwo amachepetsa. Koma kuthekera kwa makampani amakono azamankhwala ndi kwakuti chida chapangidwa chomwe chimapatsa mpumulo ntchito ya chinthu chofunikira ichi. Ngati mumagwiritsa ntchito ndalama zotere, ndiye kuti kapamba imakhala yovuta kwambiri munthu akangodya. Uku ndikusiyana kwakukulu ndimankhwala ena, mothandizidwa ndi thupi komwe limadzaza kwambiri, zomwe sizimabweretsa chilichonse chabwino.

Ngati pakukhala mankhwalawa ndibwino kumwa, ndipo ndikotheka kusintha mwachangu kuchokera ku insulin kupita pamapiritsi, insulin pamapiritsi, ndiye kuti ziyenera kumveka kuti wogwirizira jekeseni ndiokwera mtengo. Mutha kusinthira ku mapiritsi, mutha kusintha majakisheni ndi mapiritsi, koma mankhwalawa akupezekabe pang'ono pamsika wamakono wamankhwala.

Ndi mankhwala ati a insulin omwe angagwiritsidwe ntchito ayenera kusankha molumikizana ndi adokotala. Ngati nkotheka kugula ma analogi apamwamba a insulin pompopompo, ndiye kuti mutha kusintha kwa iwo.

Chosavomerezeka ndi chobvomerezeka ndimapiritsi

Mpaka pano, makampani opanga mankhwala samatulutsa mankhwala ambiri motsutsana ndi matenda a shuga m'mapiritsi. Chifukwa chake, sitinganene motsimikizika kuti mankhwalawa ophatikizidwa jekeseni achilengedwe ndi otani. Sindikadali nawo kafukufuku wokwanira pamutuwu.

Koma kutengera maphunziro ochepa asayansi mpaka pano, titha kunena kuti kugwiritsa ntchito mapiritsi ndikwabwino.Kulimbikitsidwa kwawo ndi thupi laumunthu kumachitika popanda mavuto, zovuta zoyipa paumoyo wa anthu ndizochepa poyerekeza ndi jakisoni wa mahomoni.

Tiyenera kudziwa kuti njira yothanirana ndi matenda ashuga idapangidwa ndi makampani opanga mankhwala kwa nthawi yayitali, koma zotsatira zake mpaka posachedwapa sizitchedwa zabwino.

Vuto lalikulu linali loti jakisoni, insulini inayamba kuchitapo kanthu nthawi yomweyo, zomwe zimapangitsa kuti ikhale yothandiza. Ngati munthu adamwa mankhwalawa m'mapiritsi, ndiye kuti mphamvu zawo zimachepera, kotero kuti shuga alibe kugwa mwamphamvu osati kwa nthawi yayitali.

Madokotala amakono opanga mapiritsi akukonzekera adayamba kugwiritsa ntchito kuchuluka kwakukulu kwa mahomoni mwa iwo, nawonso adakutidwa ndi mawonekedwe apadera. Kuphatikizika uku kumapangidwa kuti kuteteze ma enzymes am'mimba pazovuta. Zitachitika izi, odwala adayamba kumva bwino.

Ngati funso lipezeka kuti mukusinthira mapiritsi a insulin, ndiye kuti masikelo amakhala ndi yankho lolondola. Koma nthawi yomweyo, ndikofunikira kuyang'anitsitsa kuchuluka kwa shuga mumtsinje wamagazi ndikupimidwa pafupipafupi.

About mapiritsi okhala ndi insulin

Anthu ambiri odwala matenda ashuga anasangalala kuvomereza kuti zitha kuthandizidwa ndimankhwala osavuta. Chifukwa cha iwo, kuchuluka kwa shuga mumtsinje wamagazi kumatsitsidwa bwino. Itha kusungidwa pamlingo woyenera, kotero wodwalayo amamva bwino nthawi zonse.

Pafakitale yamafakitale, mankhwalawa sakupezeka, kotero sizingatheke kuyankhula za mayina ena a mankhwalawa. Ngati wodwala matenda a shuga a 2 akufuna kugula mankhwalawa, ndiye kuti adzatchedwa - mapiritsi okhala ndi insulin. Apanso, ziyenera kunenedwa za zovuta zina zamtundu wamtunduwu - ndizodula ndipo sizovuta kupeza. Koma pali zomwe zikuchitika - maiko ambiri, kuphatikiza Russia, akukonzekera kupanga mankhwala ogwira ntchito motere m'mafakitale posachedwapa.

Pomaliza, ziyenera kunenedwa kuti posankha mankhwala othandizira odwala matenda ashuga, wodwalayo ayenera kusankha. Koma mukamamwa mankhwala aliwonse, muyenera kuwunika mosamala momwe mankhwalawo amathandizira thupi la munthu. Ngati mutatenga kuchuluka kwa shuga sikusintha kapena kuchuluka kwake sikunakhazikika, ndiye kuti akatswiri salimbikitsa kuchita zoyesazi. Zotsatira zawo zitha kukhala ndi zotsatirapo zoipa. Njira zilizonse zakusankhidwa ndi mankhwala, izi zisanachitike, ndikofunikira kukaonana ndi dokotala, ndi okhawo omwe angathe kuwongolera chithandizo.

Kuchuluka kwa anthu kumapezeka ndi matenda a shuga. Mapiritsi m'malo mwa insulin amachititsa moyo wawo kukhala wosavuta, koma lingaliro ili silikhala labwino nthawi zonse. Mu matenda a shuga, pali njira zingapo zamankhwala zomwe mungalandire. Kwa matenda amtundu 2, mapiritsi amatha kufotokozedwa m'magawo oyambira kuti muchepetse shuga kapena kuthana ndi shuga. Mapiritsi awa ndi mahomoni opanda ufulu. Kwa mtundu 1, njira iyi sigwira ntchito. Ngati chida champhamvu cha pancreatic chatha, wodwalayo amapatsidwa insulin. Pali miyambo yamadzi yokonzekera jakisoni ndi piritsi. Popanga insulini m'mapiritsi, kunali kofunikira kuthetsa vuto la kuyamwa koyenera kwa mahomoni. Onetsetsani kuti kunyowa kwa zinthu sikuchitika m'mimba, pomwe kumang'ambika kukhala ma amino acid, koma m'matumbo aang'ono. Maiko ena ku Europe asintha kale mapiritsi a insulin.

Pochiza matenda a shuga ndi mapiritsi, ndikofunikira kusiyanitsa pakati pa mankhwala omwe amachepetsa shuga ndi insulin yokha pamapiritsi.

Ponena za insulin m'mapiritsi, imakhala yochulukirapo kuposa jakisoni, koma makulidwe ake ali ndi zabwino zingapo:

1. Kuwongolera kwachilengedwe kwachilengedwe. Mwa munthu wathanzi, insulini imapangidwa ndi kapamba mu kuchuluka koyenera kwa kutsekemera kwa shuga. Chiwindi chimayendetsa bwino ndikuchotsa owonjezera. Mukamamwa mapiritsi a mahoni, amamasulidwa kuchokera ku membrane m'mimba yaying'ono ndikuchita molamulidwa ndi chiwindi chimodzimodzi ndi njira zachilengedwe. Akabayidwa, insulini imalowa mwachindunji m'magazi. Ngati mankhwalawa adasankhidwa molakwika, mavuto obwera chifukwa cha mtima, kulakwitsa kwa ubongo, ndi zotsatirapo zina zimatheka.
2. Kugwiritsa ntchito mosavuta. Mapiritsi amatha kuledzera kulikonse, ndi osavuta kusunga ndikuwanyamula, kutenga sikuyambitsa vuto lililonse, mosiyana ndi jakisoni.

Mankhwala ochepetsa shuga sangathe kusinthiratu chithandizo chamankhwala cha mahomoni. Amachita mbali ziwiri: gulu limodzi limathandizira kupanga pancreatic insulin, ndipo enanso amalimbana ndi insulin. Kumwa mankhwalawa kumakupatsani mwayi wochedwetsa kusintha kwa insulini kwazaka zingapo, nthawi zina mpaka 10-15, ndikupanga bwino. Komabe, mankhwalawa ndi oyenera kwa odwala omwe ali ndi matenda amtundu wa 2 mpaka maselo awo a pancreatic beta atha.

Zoyipa za jakisoni wa insulin zimaphatikizira zotsatira zoyipa, kusasangalala chifukwa cha jakisoni, kufunika kotsatira njira zosungira. Ubwino wa chithandizo ndi jakisoni ndi awa:

• kuchitapo kanthu nthawi yomweyo
• kuthekera kosankha mtundu wa insulin yoyenera munthu wina,
• kupezeka.

Kuti zitheke, mitundu ingapo ya zida zopangira jakisoni yapangidwa: ma insulin omwe ali ndi singano zopyapyala, zolembera za syringe ndi mapampu a insulin. Zipangizozi zimakupatsani mwayi wowerengera mankhwala, ngakhale mutayambitsa milingo yaying'ono (0.25). Masingano owoneka bwino amapangitsa kuti jakisoniyo ikhale yopweteka kwambiri momwe mungathere, ma cartridge osinthika mumapampu kapena ma cholembera a syringe amakulolani kuti mupange jakisoni mulimonsemo popanda kukoka mankhwalawo mu syringe.

Kodi ndibwino chiyani kwa matenda ashuga: insulin kapena mapiritsi?

Matenda a shuga amtundu wa 1 amathandizidwa ndi insulin yokha, mtundu wachiwiri umakulolani kuti musankhe mankhwala ena.

Ngati wodwala akufuna kusintha kuchokera ku jakisoni kupita pamapiritsi, ayenera kuyang'aniridwa ndi dokotala nthawi zonse ndikuwonetsetsa kuti ali ndi shuga. Koma ndi shuga wokhazikika, ngati opaleshoni idakonzedwa, kapena ndi matenda oopsa, madokotala amasunthira jekeseni. Mankhwala ochepetsa shuga sangathe kuonedwa ngati cholowa m'malo mwa insulin. Munthawi zonse, kusankha insulini kapena piritsi kuyenera kuganiziridwa ndi dokotala yemwe akuyerekeza zoopsa zomwe zingachitike ndi mapindu ake.

Mapiritsi a shuga - mndandanda wa mankhwala abwino kwambiri

Mapiritsi a shuga amasankhidwa kutengera mtundu wamatenda, omwe amagawidwa m'mitundu iwiri: wodalira insulin komanso osafuna kuyambitsa insulin. Musanayambe chithandizo, werengani kagawidwe ka mankhwala ochepetsa shuga, kapangidwe ka zochita za gulu lililonse ndi contraindication kuti mugwiritse ntchito.

Kumwa mapiritsi ndi gawo limodzi la moyo wa anthu odwala matenda ashuga.

Mfundo za chithandizo cha matenda ashuga ndizosunga shuga pamlingo wa 4.0-5,5 mmol / L. Kuti muchite izi, kuwonjezera pa kutsatira zakudya zamafuta ochepa komanso kuchita masewera olimbitsa thupi pafupipafupi, ndikofunikira kumwa mankhwala oyenera.

Mankhwala ochizira matenda a shuga amagawika m'magulu akulu akulu.

Mankhwalawa odwala matenda ashuga ali ndi vuto la hypoglycemic chifukwa kuwonetsedwa kwa maselo a beta omwe ali ndi vuto lopanga insulin mu kapamba. Njira za gululi zimachepetsa chiwopsezo cha impso ntchito ndi kukula kwa matenda amtima.

Maninil - mapiritsi otsika mtengo a odwala matenda ashuga

Mndandanda wazomwe zimachokera ku sulfonylurea:

Mankhwala a anthu odwala matenda ashuga a gululi ndi ofanana mu njira zochizira zotumphukira zotuluka za sulufayiti ndikuthandizira kupanga insulin. Kuchita kwawo kumatengera shuga.

Novonorm ndiyofunikira pakupanga insulin

Mndandanda wa meglitinides abwino:

Pochiza matenda a shuga omwe amadalira insulin, meglitinides sagwiritsidwa ntchito.

Mankhwala a gululi amateteza kutulutsa shuga kwa chiwindi komanso amathandizira kuti magazi ake azilowa mosavuta.

Mankhwala osokoneza bongo wabwino

Magulu amakulu othandiza kwambiri:

Amadziwikanso ndi zotsatira zomwezo pakathupi monga biguanides. Kusiyana kwakukulu ndikokwera mtengo komanso mndandanda wosangalatsa wazotsatira zoyipa.

Mankhwala okwera mtengo komanso ogwira mtima a shuga

Izi zikuphatikiza:

Thiazolidinediones alibe zotsatira zabwino mankhwalawa a mtundu 1 matenda a shuga.

Mankhwala obwera mwatsopano omwe amathandizira kuwonjezera insulin ndikupanga shuga ku chiwindi.

Galvus ndiyofunikira kuti amasule shuga ku chiwindi

Mndandanda wa glyptins ogwira:

Januvia kuti muchepetse magazi

Othandizira amakono othandizira odwala matenda ashuga amalepheretsa kupanga enzyme yomwe imasungunula michere yambiri, potero imachepetsa kuthana kwa polysaccharides. Ma Inhibitors amadziwika ndi zovuta zochepa komanso amakhala otetezeka kwa thupi.

Izi zikuphatikiza:

Mankhwala omwe ali pamwambawa atha kumwa mankhwala osakanikirana ndi mankhwala a magulu ena ndi insulin.

M'badwo waposachedwa wa mankhwala omwe amachepetsa shuga m'magazi. Mankhwala a gululi amachititsa impso kuti zimveke shuga ndi mkodzo panthawi yomwe kuchuluka kwa shuga m'magazi kumayambira 6 mpaka 8 mmol / l.

Chida chofunikira chochepetsera shuga

Mndandanda wa Glyphlosins Wothandiza:

Mankhwala omwe amaphatikiza metformin ndi glyptins. Mndandanda wa njira zabwino kwambiri zophatikiza mitundu:

Osamwa mankhwala osakanikirana mosafunikira - yesetsani kukonda mitundu yayikulu yakanthawi yayitali.

Kuphatikiza kwa matenda ashuga

Chithandizo cha matenda a shuga 1

Chithandizo cha matenda amtundu 1 sichingori jakisoni wa insulin chabe. Ili ndi dongosolo lovuta, lophatikizika lomwe limaphatikiza mankhwala a pharmacotherapy, zakudya ndi masewera olimbitsa thupi.

Chithandizo cha insulin ndi njira yodziwika kwambiri yochizira matenda ashuga, koma sayansi siyimayima, imayamba ndipo pakali njira zingapo zochizira matenda amitundu 1. Chifukwa, mwachitsanzo, njira yopambana yomwe imagwiritsidwa ntchito osati m'makliniki akunja, komanso mwa mabanja, ndi njira yothandizira ma cell.

Njira zamankhwala zodwala matenda amitundu yoyamba:

• Katemera Kuyesedwa kwa mankhwalawa sikunathebe, koma pali zotsatira zabwino. Katemera wapadera amayambitsa ma T-cell ofooka, omwe amathandizira kubwezeretsa maselo a beta a kapamba omwe amakhudzidwa ndi kuwukira kwa gulu la T-cell. Katemera akuwonetsedwa koyambirira kwa matendawa, koma sanayambikebe pakupanga mitundu yosiyanasiyana. Ofufuzawo akupanga katemera wopewa matenda a shuga, mwatsoka, palibe kusintha kwakukulu mpaka pano.
• Njira ya extracorporeal hemocorrection ndi imodzi mwatsopano kwambiri, koma yopambana kwambiri, ndi kuchepa kwa chidwi pakukonzekera kwa insulin, encephalopathy ndi matenda ena angapo. Njira yokhazikitsidwa ndi autogemia ndiyokhazikika: magazi a wodwalayo amadutsa mu zida momwe muli zosefera zapadera, ndiye kuti zimalemedwa ndi mavitamini, mchere, mankhwala, ndipo ali mawonekedwe oyeretsedwa amalowanso m'mitsempha ya wodwala.
• Kuphatikizika kwa chiwalo. Ngati akuwonetsedwa, maselo a beta, gawo limodzi la kapamba, kapena chiwalo chonsecho amaziika kwa wodwalayo. Kuthana kwa pancreas kwakhala ntchito kwa nthawi yayitali, koma kupatsirana timabwalo ta Lagerhans ndipo maselo okhawo sanalandiridwepo ntchito, koma amapereka zotsatira zabwino.

Mtundu wa 1 wa zakudya za shuga - mndandanda wamlungu

Mukasinthana ndi zakudya zamankhwala, menyu amayenera kuti azikapangidwa sabata limodzi:

• Chakudya chizikhala mosamala pa koloko.
• Chakudya chophwanyika, zakudya 5-6 patsiku.
• Amaloledwa kudya pafupipafupi, koma magawo ake amakhala amodzimodzi, ochepa.
• Onetsetsani kuti mwakhala ndi fiber pamenyu.
• Simungachepetse zopatsa mphamvu popanda umboni wa dokotala.
• Madzi okwanira amafunikira - pafupifupi malita awiri patsiku.

Onani chitsanzo cha menyu apa: http://diabet.biz/pitanie/osnovy/menyu-dlya-diabetikov.html.

Pochizira mafupa, owerenga athu adagwiritsa ntchito DiabeNot bwino. Kuwona kutchuka kwa malonda, tidaganiza zoperekera chidwi chanu.

Kwa odwala matenda a shuga omwe akuwonetsedwa patebulo la manambala 9. Zitsanzo za m'sabata:

• M'mawa 200 g yophika phala yamtundu uliwonse (kupatula semolina ndi mpunga), kagawo ka mkate, 40 g ya tchizi 17% yolimba, tiyi kapena khofi.
• Zakudya. Ma biscuits kapena masikono a mkate, kapu ya tiyi wopanda shuga ndi apulo (1 pc).
• Tsiku. 100 g saladi watsopano wamasamba, mbale ya borsch, 1 cutlets yofunda ndi masamba owerengeka a kabichi wowotchera, kagawo ka mkate.
• Zakudya. 50-70 g kanyumba kopanda mafuta, tchizi chambiri chomwe chimaphika ndi msuzi, 200 ml ya msuzi wa rosehip.
• Madzulo. Chidutswa cha nyama yophika ndi 100 g ya masamba saladi.
• Zakudya. Kapu ya kefir yokhala ndi mafuta ochepa kwambiri.

• M'mawa Buckwheat phala (pafupifupi 200 g), chifuwa cha nkhuku yofewa (kuchuluka komweko voliyumu), tiyi.
• Zakudya. Pafupifupi 150 g ya kanyumba tchizi casserole, 200 ml ya kumwa yogati.
• Tsiku. Msuzi wophika masamba (kabichi, kaloti, katsitsumzukwa, udzu winawake), pollock wothinikizika (pafupifupi 150 g), masamba ophika (200 g), kabichi ndi saladi wa karoti (100 g).
• Madzulo. Cottage tchizi casserole ndi kaloti (200 g), saladi wa zipatso (yemweyo muyeso), zipatso zambiri.
• Zakudya. 200 ml ya kefir kapena yogati.

• M'mawa Rye mkate wowotcha ndi tchizi yofewa yocheperako mafuta, nkhaka ndi saladi wa phwetekere, apulo (1 pc.).
• Zakudya. Souffle kuchokera kanyumba tchizi, tiyi ndi mandimu.
• Tsiku. Mbale ya msuzi wa nsomba, mpunga wokhala ndi masamba (nyemba + za asipara) pafupifupi 200 g, apulo wophika.
• Zakudya. 200 ml ya madzi a apricot.
• Madzulo. Oatmeal ndi zipatso, mawonekedwe owuma zipatso.

• M'mawa Nsomba yophika 50 g, magawo awiri a mkate wakuda, karoti ndi saladi wa apulo (70 g), 20 g tchizi chamafuta ochepa, khofi wopanda shuga (mutha kuwonjezera mkaka).
• Zakudya. Chipatso cha mphesa (1 pc.), 200 ml yophika zipatso zotsekemera popanda shuga.
• Tsiku. Mbale ya nsomba ndi msuzi wamasamba, 150 g ya nkhuku yophika, magawo 100 (100 g), magawo angapo a mkate wa rye, 200 ml ya mandimu popanda shuga wowonjezera.
• Zakudya. Saladi yazipatso (150 g), 200 ml ya madzi amchere.
• Madzulo. 2 nyama patties ndi kuwonjezera kabichi, squash caviar (70 g), magawo awiri a chinangwa mkate, tiyi.
• Zakudya. 200 ml ya mkaka wopanda mafuta.

• Chakudya cham'mawa. Tchizi wopanda mafuta kanyumba (150 g) ndi 200 ml ya bifidoyogurt.
• Zakudya. Mkate wowuma tchizi 17% ndi tiyi wopanda shuga.
• Tsiku. Mbatata yophika ndi masamba saladi, nkhuku yophika (100 g), 100 g a zipatso.
• Zakudya. Gawo laling'ono la dzungu lowotchera, 10 g la nthanga zouma za poppy, 200 ml ya zipatso zouma.
• Madzulo. Nyama yodula cutlet, mbale ya masamba saladi ndi masamba.
• Zakudya. 200 ml mafuta wopanda kefir.

• M'mawa Oatmeal mkaka (150 g), magawo awiri a buledi wonyezimira, karoti ndi saladi wa apulo (70 g), tchizi chochepa mafuta (150 g), khofi wokhala ndi mkaka wopanda shuga.
• Zakudya. Orange (1 pc.), 200 ml ya compote wopanda shuga.
• Tsiku. Mbale ya nsomba ndi msuzi wamasamba, 150 g ya nkhuku yophika, magawo 100 (100 g), magawo angapo a mkate wa rye, 200 ml ya mandimu popanda shuga wowonjezera.
• Zakudya. Apple (1 pc.).
• Madzulo. Ma nyama a nyama otsika (110 g), masamba a masamba (150 g), kabichi schnitzel (200 g), tiyi wopanda shuga.
• Zakudya. 200 ml yogurt yachilengedwe.

• M'mawa Zowonda zazing'ono ndi kirimu wowawasa wokhala ndi mafuta ochepa, khofi.
• Zakudya. 2 rye mkate, mbale ya zipatso zatsopano.
• Tsiku. Mbale yophika ndi buwheat, chifuwa cha nkhuku ndi masamba ophika (100 g iliyonse), msuzi wa kiranberi.
• Madzulo. Oatmeal phala (150 g) ndi masoseji awiri, udzu winawake ndi saladi wa apulo, 200 ml ya madzi a phwetekere.

Mukamakonzekera mndandanda wamlungu uliwonse, chinthu chachikulu ndikugwirizana pakamwa ndi nthawi ya jakisoni wa insulin.

Mavitamini a mtundu wa 1 ashuga

Mavitamini omwe ali ndi odwala matenda ashuga - ichi ndiye chithandizo chofunikira mthupi, thandizani chitetezo cha mthupi chomwe chatha.

Mavitamini a shuga a mtundu woyamba:

• Tocopherol kapena Vitamini E - imathandizira kubwezeretsanso kulowetsedwa kwa impso, ndi antioxidant, imasintha magazi.
• Vitamini C kapena ascorbic acid. Imathandizira kulimbitsa chitetezo chokwanira, imalimbitsa mitsempha ya m'magazi, imachepetsa dongosolo la kupangika kwa cataract.
• Retinol kapena Vitamini A - amalimbikitsa kukula kwa maselo, kusintha masomphenya, kumalimbikitsa chitetezo cha mthupi, antioxidant.
• Mavitamini a gulu B azithandiza wodwalayo kuti azisamalira mitsempha, kuchepetsa kukwiya. Zowonetsedwa: B 1 (thiamine), B 6 (pyridoxine), B 12 (cobalamin).
• Biotin kapena Vitamini H - amathandizira kuchepetsa kuchuluka kwa shuga, imawongolera njira zingapo zamagetsi.
• Lipoic acid. Amatchedwa zinthu zokhala ngati vitamini. Imathandizira matenda a metabolism, mafuta.

Munkhani yotsatira, tili mwatsatanetsatane za mavitamini a odwala matenda ashuga.

Maphikidwe a matenda ashuga 1

Pali maphikidwe ambiri a odwala matenda ashuga. Koma pali zinthu zina zomwe ndizothandiza kwambiri, koma momwe mungaphikirere ndi zomwe anthu ochepa amadziwa. Mwachitsanzo - peyala yodothi kapena Yerusalemu artichoke. Kwa munthu wodwala matenda ashuga, izi sizongokhala muzu wamba, koma malo osungira, chifukwa ali ndi inulin - polysaccharide yosungunuka. Yerusalemu artichoke wophika, wowotedwa, wophika. Amapanga khofi, msuzi ndi madzi kuchokera komwe, omwe amatha kudya ndi anthu odwala matenda ashuga.

Edongo Casserole

• machubu angapo a peyala dothi,
• 2 tbsp. l mafuta a masamba
• Makapu 0,5 a mkaka wa skim
• 2 ma PC mazira a nkhuku
• 1-2 tbsp. l kunyenga

1. Kusambitsidwa bwino, kusenda timazirala, kabowo ndi mauna akuluakulu, kenako mopepuka m'mafuta a masamba.
2. Kumenya mazira 2, kuwonjezera theka chikho cha mkaka ofunda ndi 1-2 tbsp. l kunyenga.
3. Mchere, zonunkhira kuti mulawe.
4. Ikani okonzedwa ku Yerusalemu artichoke mu nkhungu, kutsanulira mu mkaka wa mkaka wa dzira ndikuyika kuphika mu uvuni womwe unapangidwa kale mpaka madigiri 180 kwa mphindi 25-30.

Gradi wa Peyala

• 1 pc sing'anga wamkulu
• 1 apulo wokoma ndi wowawasa,
• 100 g sauerkraut ndi kaloti,
• 100 g udzu winawake
• amadyera, mchere, zonunkhira kulawa,
• 2 tbsp. l mpendadzuwa kapena mafuta opaka.

1. Yerusalemu artichoke, pezani apulo pa coarse grater.
2. Chekani bwino udzu winawake.
3. Sakanizani zosakaniza zonse, kuwonjezera zitsamba zosakanizidwa, uzipereka mchere, zonunkhira, nyengo ndi mafuta.

Zikondamoyo za dzuwa

• kaloti wamkulu - 1 pc.,
• dzungu zamkati - 100-150 g,
• Yerusalemu atitchoku tubers - 2-3 ma PC.,
• dzira la nkhuku - 1 pc.,
• anyezi mutu wochepa - 1 pc.,
• ufa - 2-3 tbsp. l (kotheka)
• mchere kulawa
• mafuta owaza.

1. Kaloti a grate, Yerusalemu artichoke, dzungu, anyezi pa chabwino kapena chachikulu (momwe mungafunire) grater, sakanizani.
2. Finyani osakaniza mopepuka, uzipereka mchere, dzira, ufa wosaswa.
3. Knead pa mtanda, monga wamba zikondamoyo.
4. Mwachangu poto.

Kodi matenda ashuga am'modzi angachiritsidwe kwamuyaya?

Mpaka pano, kuchiritsa kwathunthu kwa matenda amtundu wa 1 sikunalembedwe. Chowonadi ndichakuti mdziko lapansi mulibe njira zabwino zoletsa kayendedwe ka autoimmune. Zomwe zikulonjeza zomwe zingathandize wodwalayo kuti achire ndi kupanga kapamba wochita kupanga, mankhwala omwe amatseka njira ya autoimmune ndi njira yokhazikitsira ma isage ndi ma cell a beta mosiyana.

Ndi anthu amtundu woyamba wa diabetes omwe amakhala?

Palibe tanthauzo lenileni la anthu ashuga omwe ali ndi mtundu woyamba amakhala. Chachikulu ndichakuti musakhumudwe, kutsatira chithandizo, kudya ndi kukhala ndi moyo wabwino.

Armen Dzhigarkhanyan, Mikhail Boyarsky, Sylvester Stallone - ali ndi matenda ashuga 1. Ndipo wojambula wotchuka komanso wowoneka bwino dzina lake Faina Ranevskaya adati - "85 ndi matenda a shuga si shuga." Chilichonse chili m'manja mwanu.

Kanema: Zonse Zokhudza Matenda A shuga Aakulu

Kanemayo imafotokoza mwatsatanetsatane za matenda amtundu woyamba: zizindikiro zina (ludzu, zina), zovuta za matenda ndi njira:

Kuzindikira kulikonse komwe sikungachiritsidwe kwathunthu kumveka koopsa, ngati sentensi. Koma ndi matenda ashuga, mutha kukhala moyo wonse, kugwira ntchito, kupanga, kubereka ndi kulera ana. Inde, muyenera kubayira insulin tsiku lililonse, kudzipatula ku zakudya zotsekemera. Kukhala ndi moyo kapena kukhalapo kwa inu kuli ndi inu.

Chikhalidwe cha C-peptide m'thupi

Kuzindikira matenda osokoneza bongo kumafuna maphunziro angapo. Wodwala amayesedwa kuti ayesedwe magazi ndi mkodzo wa shuga, mayeso opsinjika ndi shuga.

Mu shuga mellitus, kutsimikiza kwa C-peptide m'mwazi ndikofunikira.

Zotsatira za kuwunikaku zikuwonetsa ngati hyperglycemia ndi chifukwa cha kuperewera kwathunthu kapena wachibale. Zomwe zimawopseza kuchepa kapena kuchuluka kwa C-peptide, tikambirana pansipa.

C peptide ndi chiyani?

Pali kusanthula komwe kumatha kuwunikira ntchito yaing'onoting'ono ta Langerhans mu kapamba ndikuwonetsa kuchuluka kwa secretion ya mahomoni a hypoglycemic m'thupi. Chizindikiro ichi chimatchedwa cholumikizira peptide kapena C-peptide (C-peptide).

Kasitomala ndi mtundu wanyumba yosungirako mapuloteni okhala ndi mapuloteni. Imasungidwa mu mawonekedwe a proinsulin. Munthu akakweza shuga, proinsulin imagwera mu peptide ndi insulin.

Mwa munthu wathanzi, kuchuluka kwake kuyenera kukhala nthawi zonse 5: 1. Kutsimikiza kwa C-peptide kumawonetsa kuchepa kapena kuwonjezeka kwa kupanga kwa insulin. Poyamba, dokotala amatha kudziwa matenda a shuga, ndipo wachiwiri, insulin.

Kodi kusanthula komwe kumalembedwa kumakhala pati?

Matenda omwe amawunikira:

• lembani 1 ndi matenda ashuga 2
• matenda osiyanasiyana a chiwindi
• ovary polycystic,
• zotupa zapachifuwa,
• opaleshoni ya kapamba
• Cushing's syndrome
• kuwunika chithandizo cha mahomoni a matenda a shuga a 2.

Insulin ndi yofunika kwa anthu. Ichi ndiye mahormoni ophatikizidwa mu kagayidwe kazachilengedwe ndi kupanga mphamvu. Kupenda komwe kumatsimikiza kuchuluka kwa insulini m'magazi sikulondola nthawi zonse.

Zifukwa zake ndi izi:

1. Poyamba, insulin imapangidwa m'matumbo. Munthu akamadzuka shuga, timadzi timalowa mu chiwindi choyamba. Pamenepo, ina yake imakhazikika, pomwe gawo linalo limagwira ntchito yake ndikuchepetsa shuga. Chifukwa chake, posankha kuchuluka kwa insulini, mulingo uwu nthawi zonse uzikhala wocheperako kuposa kapamba wopangidwa ndi kapamba.
2. Popeza kutulutsidwa kwakukulu kwa insulin kumachitika mutatha kudya ma carbohydrate, mulingo wake umakwera pambuyo chakudya.
3. Zolakwika zolakwika zimapezeka ngati wodwala ali ndi matenda a shuga komanso amathandizidwa ndi insulin.

Chifukwa chake, C-peptide sikhala kwina kulikonse ndipo imalowa m'magazi a magazi nthawi yomweyo, chifukwa chake kafukufukuyu akuwonetsa manambala enieni komanso kuchuluka kwake kwa mahomoni omwe amatulutsidwa ndi kapamba. Kuphatikiza apo, phula silimakhudzana ndi zinthu zokhala ndi shuga, ndiye kuti mulingo wake sukulira mutatha kudya.

Kodi kusanthula kumachitika bwanji?

Kudya kwa maola 8 musanatenge magazi kuyenera kukhala kopepuka, osati kokhala ndi zakudya zamafuta.

Ma algorithm ofufuza:

1. Wodwalayo amabwera pamimba yopanda kanthu m'chipinda choperekera magazi.
2. Namwino amatenga magazi a venous kwa iye.
3. Mwazi umayikidwa mu chubu chapadera. Nthawi zina imakhala ndi gelisi yapadera kuti magazi asatenthe.
4. Kenako chubu chimayikidwa mu centrifuge. Izi ndizofunikira kuti mulekanitse plasma.
5. Kenako magaziwo amaikidwa mu mufiriji ndipo adakhazikika mpaka -20 madigiri.
6. Pambuyo pake, kuchuluka kwa peptide kwa insulin m'magazi kumatsimikizika.

Wodwala akakaikiridwa kuti ali ndi matenda ashuga, amapatsidwa mayeso opsinjika. Amakhala mukuyambitsa glucagon wosakhazikika kapena kuyamwa kwa shuga. Ndiye pali muyeso wa shuga wa magazi.

Kodi chimachitika ndi chiyani?

Phunziroli likuwonetsa kapamba, kotero lamulo lalikulu ndikusunga chakudya.

Malangizo apamwamba a odwala omwe amapereka magazi ku C-peptide:

• Maola 8 mwachangu musanapereke magazi,
• mutha kumwa madzi osakhala ndi kaboni,
• Simungamwe mowa masiku ochepa phunzirolo lisanachitike,
• chepetsani kupsinjika kwamthupi ndi m'malingaliro,
• musasute maola atatu musanayambe kuphunzira.

Mwambo kwa amuna ndi akazi ndi ofanana ndipo umachokera pa 0,9 mpaka 7, 1 μg / L. Zotsatira ndizoyimira zaka komanso jenda.Tiyenera kukumbukira kuti m'malo olembetsa osiyanasiyana zotsatira za chizolowezi zimasiyana, chifukwa chake, malingaliro ofunika akuyenera kukumbukiridwa. Izi ndizapakatikati pa labotale ndipo zimakhazikitsidwa atatha kupimidwa anthu athanzi.

Phunziro la kanema pazomwe zimayambitsa matenda ashuga:

Kodi mulingo pansipa ndi wabwinobwino liti?

Ngati mulingo wa peptide ndi wochepa, ndipo shuga, m'malo mwake, ndiwambiri, ichi ndi chizindikiro cha matenda ashuga. Ngati wodwala ali wang'ono komanso osanenepa, amapezeka kuti ali ndi matenda a shuga a mtundu woyamba. Odwala okalamba omwe ali ndi vuto la kunenepa kwambiri amakhala ndi matenda a shuga a 2 komanso njira yowonongeka. Pankhaniyi, wodwalayo ayenera kuwonetsedwa jakisoni wa insulin. Kuphatikiza apo, wodwalayo amafunika kumuwunikira kowonjezereka.

• kusanthula kwa ndalama
• kudziwa momwe zombo zimakhalira ndi zotumphukira zam'munsi,
• mtima wa chiwindi ndi impso ntchito.

Ziwalo izi ndi "chandamale" ndipo zimavutika makamaka ndi kuchuluka kwa shuga m'magazi. Ngati wodwala atatha kumufunsa mavuto ali ndi ziwalo izi, ndiye kuti akufunika kubwezeretsa mwachangu kuchuluka kwa shuga komanso chithandizo chowonjezera cha ziwalo zomwe zakhudzidwa.

Kuchepetsa kwa peptide kumachitika nawonso:

• Pambuyo pochita opaleshoni yochotsa gawo limodzi la kapamba,
• hypoglycemia yokumba, ndiye kuti, kuchepa kwa shuga m'magazi komwe kunayambitsidwa ndi jakisoni wa insulin.

Kodi mulingo wapamwamba kwambiri umakhala wofanana ndi uti?

Zotsatira za kusanthula kamodzi sizingakhale zokwanira, kotero wodwalayo amapatsidwa kuwunika kwinanso kuti athe kudziwa kuchuluka kwa shuga m'magazi.

Ngati C-peptide imakwezedwa ndipo palibe shuga, ndiye kuti wodwalayo amapezeka ndi insulin kapena prediabetes.

Pankhaniyi, wodwala safunikanso jakisoni wa insulin, koma amafunika kusintha moyo wake mwachangu. Pewani zizolowezi zoyipa, yambani kusewera masewera ndikudya moyenera.

Milingo yokwezeka ya C-peptide ndi glucose imawonetsa kukhalapo kwa matenda ashuga 2. Kutengera ndi kuopsa kwa matendawa, mapiritsi kapena jakisoni wa insulin atha kupatsidwa kwa munthuyo. Homoni imayikidwa nthawi yayitali, 1 - 2 pa tsiku. Ngati zonse zofunika zimawonedwa, wodwalayo amatha kupewa jakisoni ndikungokhala pamapiritsi.

Kuphatikiza apo, kuwonjezereka kwa C-peptide ndikotheka ndi:

• insulinoma - chotupa cha kapamba yemwe amapanga insulin yambiri,
• insulin kukaniza - mkhalidwe momwe minofu yaumunthu imatha kutaya chidwi ndi insulin,
• polycystic ovary - matenda achikazi ophatikizidwa ndi zovuta za mahomoni,
• aakulu aimpso kulephera - mwina zobisika zovuta za shuga.

Kutsimikiza kwa C-peptide m'magazi ndikofunikira popenda matenda a shuga ndi zina. Kuzindikiritsa munthawi yake matendawa ndikuthandizira matendawa kumathandiza kukhala ndi thanzi komanso moyo wautali.

Insulin kapena mapiritsi - ndibwino kwa matenda ashuga?

Mankhwalawa amtundu wa shuga 1 a matenda a shuga, insulin imagwiritsidwa ntchito, mankhwalawa amtundu wa 2 a mawonekedwe osavuta amachokera pakumwa mankhwala kuti achulukitse shuga.

Ubwino wa mapiritsi poyerekeza ndi jakisoni:

• kugwiritsa ntchito mosavuta komanso posungira,
• kusapeza bwino pakalandilidwa,
• kuyang'anira kwachilengedwe kwachilengedwe.

Ubwino wa jakisoni wa insulin ndi njira yothanirana mwachangu komanso kuthekera kosankha mtundu wabwino kwambiri wa insulin kwa wodwala.

Jakisoni wa insulin amagwiritsidwa ntchito ndi odwala omwe ali ndi mtundu wa 2 shuga mellitus ngati mankhwala osokoneza bongo sawapereka bwino ndipo atatha kudya glucose amakwera mpaka 9 mmol / L.

Jakisoni wa insulin amagwiritsidwa ntchito pokhapokha ngati mapiritsi sathandizira

“Kwa zaka zitatu ndakhala ndikudwala matenda ashuga. Kuthetsa shuga m'magazi, kuphatikiza jakisoni wa insulin, ndimatenga mapiritsi a Metformin. Kwa ine, iyi ndi njira yabwino kwambiri yothandizira odwala matenda ashuga pamtengo wotsika mtengo.Mnzake amamwa mankhwalawa kuntchito kuti azichiritsa matenda a shuga a 2 ndipo ndiwosangalala. ”

“Ndili ndi matenda ashuga a 2, omwe ndimawagwiritsa ntchito kwa zaka zingapo ndi mankhwala a Januvia, komanso a Glucobaya. Poyamba, mapiritsiwa andithandiza, koma posachedwa matenda anga adakulirakulira. Ndidasintha insulin - index ya shuga idatsikira ku 6 mmol / l. Ndimasangalalanso kudya ndikupita nawo kumasewera. ”

"Malinga ndi zotsatira za mayeso, adotolo adawulula kuti ndili ndi shuga wambiri. Chithandizocho chinali monga zakudya, masewera, ndi Miglitol. Ndakhala ndikumwa mankhwalawa kwa miyezi iwiri tsopano - kuchuluka kwa shuga kwayamba kuchita bwino, thanzi langa lonse layamba. Mapiritsi abwino, koma okwera mtengo kwa ine. ”

Kuphatikiza kwa zakudya zama carb ochepa komanso masewera olimbitsa thupi kumathandizira kukhazikika kwa shuga m'magazi a 2 a shuga.

Pakakhala zovuta, perekani zomwe zimaphatikizidwa ndi mankhwala omwe amaphatikiza metformin - amalimbitsa shuga wambiri ndi zovuta zina. Mlingo komanso kuchuluka kwa jakisoni wa insulin kwa matenda amtundu wa 1 amawerengedwa ndi dokotala, kutengera mawonekedwe a wodwala.

Voterani nkhaniyi

(2 mitengo, pafupifupi 5,00 pa 5)

1. 
   Matenda a matenda othandizira odwala. - M: MEDpress-dziwitsani, 2005. - 704 p.
2. 
   Chithandizo Cha Mkati cha Tinsley R. Harrison. M'mavoliyumu 7. Bukhu la 6. Matenda a Endocrine ndi Matenda a Metabolic, Zochita, Makampani a McGraw-Hill, Inc. - M., 2016 .-- 416 p.
3. 
   Pewani matenda ashuga. - M: Owerenga Digest Publishing House, 2005. - 256 p.

Ndiloleni ndidziwitse. Dzina langa ndi Elena. Ndakhala ndikugwira ntchito ya endocrinologist kwa zaka zoposa 10. Ndikukhulupirira kuti pakadali pano ndili katswiri pantchito yanga ndipo ndikufuna kuthandiza alendo onse omwe amapezeka pamalowo kuti athetse zovuta osati ntchito. Zinthu zonse za tsambalo amazisonkhanitsa ndikuzikonza mosamala kuti athe kufotokoza zambiri zofunikira. Musanagwiritse ntchito zomwe zikufotokozedwa pa webusaitiyi, kufunsana ndi akatswiri ndizofunikira nthawi zonse.