Type 1 ndi Type 2 Matenda A shuga
Zamkati
- Zithandizo zamtundu wa 1 matenda ashuga
- Zithandizo zamtundu wa 2 shuga
- Mankhwala a shuga amachepetsa thupi?
- Njira zochizira matenda ashuga kunyumba
Chithandizo cha mtundu wa 1 kapena mtundu wachiwiri wa shuga umachitika ndi mankhwala ochepetsa kuchuluka kwa shuga m'magazi, ndi cholinga chosunga magazi m'magazi pafupipafupi momwe angathere, kupewa zovuta zomwe zingachitike chifukwa cha matendawa, monga retinopathy ndi impso kulephera, mwachitsanzo. .
Pofuna kuchiritsa matenda ashuga amtundu woyamba, pamafunika insulini tsiku lililonse. Chithandizo cha matenda a shuga amtundu wachiwiri, makamaka, amachitidwa ndi mankhwala a antidiabetic m'mapiritsi, monga metformin, glimepiride ndi gliclazide, mwachitsanzo, kukhala okwanira nthawi zambiri, kapena kuthandizidwa ndi insulin kungafunikirenso. Kuphatikiza apo, kuzindikira zakumwa zolamulidwa mu shuga ndi mafuta ndikuchita masewera olimbitsa thupi ndikofunikira pazochitika zonse.
Popeza mankhwala oyenera kwambiri kwa munthu aliyense amasiyanasiyana malinga ndi zinthu zingapo, kuphatikiza mtundu wa matenda ashuga, kuopsa kwa matendawa komanso msinkhu wa wodwalayo, chithandizo chikuyenera kutsogozedwa ndi endocrinologist kapena dokotala wamba. Kuti mumvetse bwino zomwe zimasiyanitsa mitundu ya matenda ashuga, onani mawonekedwe ndi kusiyana kwa mitundu ya matenda ashuga.
Zithandizo zamtundu wa 1 matenda ashuga
Monga mtundu uwu wa matenda ashuga, kapamba amalephera kutulutsa insulini kapena amatulutsa pang'ono, cholinga chamankhwala ndikufanizira kupanga kwa hormone iyi, ndiye kuti nthawi ndi kuchuluka kwake malinga ndi zosowa za aliyense munthu, kuteteza kuchuluka kwa magazi m'magazi.
Chifukwa chake, kutsanzira momwe kapamba amathandizira, ndikofunikira kuti munthu yemwe ali ndi matenda a shuga amtundu wa 1 azigwiritsa ntchito mitundu iwiri ya insulin, yomwe ndi:
| Mitundu ya insulini | Mayina achibadwa | Momwe imagwiritsidwira ntchito |
| Kuthamanga kwa insulin | Nthawi zonse, Asparte, Lispro, Glulisina | Kawirikawiri amagwiritsidwa ntchito musanadye kapena mutangodya kuti shuga ayambe kugwiritsidwa ntchito mukatha kudya, kuteteza shuga kuti asapezeke m'magazi. |
| Wosachedwa insulin | NPH, Detemir, Glargina | Nthawi zambiri imagwiritsidwa ntchito 1 kamodzi kapena kawiri patsiku, monga momwe zimakhalira kuyambira maola 12 mpaka 24, pomwe ena amakhala mpaka maola 30, kusunga shuga mosasunthika tsiku lonse. |
Mankhwalawa amapezeka mumsika wamankhwala uliwonse ndipo ambiri amapezeka mumsika wodziwika bwino, wopezeka ndi SUS, malinga ndi zomwe akuchipatala adalemba.
Kuwongolera kugwiritsa ntchito ndikuchepetsa kuchuluka kwa jakisoni, palinso kuphatikiza ndi kukonzekera kwa insulin, komwe kumaphatikiza mitundu iwiri kapena ingapo ya insulin, mwachangu komanso pang'onopang'ono.
Kuphatikiza apo, njira ina ndikugwiritsa ntchito pampu ya insulini, yomwe ndi kachipangizo kakang'ono komwe kamamangiriridwa mthupi, ndipo imatha kupangidwira kuti izitulutsa insulini mwachangu kapena pang'onopang'ono, kutengera zosowa za munthu aliyense.
Pezani zambiri za mitundu yayikulu ya insulini komanso momwe mungagwiritsire ntchito.
Zithandizo zamtundu wa 2 shuga
Mankhwala omwe amagwiritsidwa ntchito kwambiri a matenda a shuga amtundu wa 2 ndi ma hypoglycemic kapena antifabeti amkamwa, omwe amatha kumwa okha kapena kuphatikiza, kuti athane ndi milingo ya shuga. Zitsanzo zina ndi izi:
| Mndandanda wa mankhwala | Kalasi yothandizira | Momwe imagwirira ntchito | Zotsatira zoyipa kwambiri |
| Metformin | Zambiri | Amachepetsa kupanga shuga ndi chiwindi, bwino ntchito shuga ndi thupi | Matenda ndi kutsegula m'mimba |
Glibenclamide, Glimepiride, Glipizide, Gliclazide | Sulphonylureas | Zimalimbikitsa komanso zimawonjezera kupanga insulin ndi kapamba | Hypoglycemia, kunenepa |
Acarbose, Miglitol | Alpha-glycosidase inhibitors | Amachepetsa mayamwidwe a shuga kuchokera m'matumbo ndi chakudya | Kuchuluka kwa mpweya wamatumbo, kutsegula m'mimba |
| Rosiglitazone, Pioglitazone | Anayankha | Bwino ntchito shuga ndi thupi | Kunenepa, kutupa, kukulitsa mtima kulephera |
Kunja, Liraglutide | GLP-1 agonists | Kuchulukitsa kutulutsa kwa insulin, kutsitsa shuga, kumawonjezera kukhuta komanso kumathandizira kuchepa kwa thupi | Nsautso, kuchepa kwa njala |
Saxagliptin, Sitagliptin, Linagliptin | Zoletsa DPP-4 | Amachepetsa shuga mukatha kudya, kuwonjezera kuchuluka kwa insulin | Nseru |
Dapagliflozin, Empagliflozin, Canagliflozin | SGLT2 choletsa | Imawonjezera kuthetsedwa kwa shuga mu mkodzo ndipo imathandizira kuwonda | Chiwopsezo chachikulu chotenga matenda amkodzo |
Mankhwala aposachedwa kwambiri, monga Exenatide, Liraglutide, Glyptines ndi Glyphozins, sanapezeke kudzera pagulu la anthu, komabe, mankhwala enawa amatha kupezeka kwaulere m'masitolo.
Nthawi yomwe shuga ndiwokwera kwambiri, kapena mapiritsi a mapiritsi sakugwiranso ntchito, adokotala amatha kuphatikizira jakisoni wa insulini. Komabe, pofuna kuchiza matenda a shuga amtundu wa 2, kuwonjezera pa kugwiritsa ntchito mankhwala, ndikofunikira kuti muchepetse shuga molumikizana ndi zakudya zomwe zimayang'aniridwa ndi chakudya, mafuta ndi mchere, kuphatikiza pa masewera olimbitsa thupi. Onani momwe chakudya cha shuga chiyenera kukhalira.
Mankhwala a shuga amachepetsa thupi?
Mankhwala a shuga sayenera kugwiritsidwa ntchito ndi anthu omwe akufuna kuonda koma omwe alibe matenda ashuga, chifukwa ndi owopsa ku thanzi. Mankhwala omwe amagwiritsidwa ntchito poletsa shuga wamagazi, ngati munthu akudwala matenda ashuga, amakhala ndi vuto lochepetsa thupi, chifukwa ndikamayang'anira magawidwe am'magazi munthu samva njala, ndipo ndikosavuta kutsatira njira yochepetsera thupi.
Komabe, kugwiritsa ntchito ma hypoglycemic agents sikuyenera kuchitidwa ndi anthu athanzi, omwe m'malo mwake ayenera kusankha kugwiritsa ntchito zakudya, timadziti ndi tiyi zomwe zimathandiza kuchepetsa shuga m'magazi mwachilengedwe, monga sinamoni, ufa wochokera pakhungu lazakudya za zipatso ndi utoto wonyezimira. , Mwachitsanzo.
Njira zochizira matenda ashuga kunyumba
Zithandizo zachilengedwe za matenda ashuga ndi njira zabwino zothandizira mankhwala ndi mankhwala, chifukwa ali ndi zinthu zomwe zimathandiza kuchepetsa magazi m'magazi. Ma tiyi ena omwe amagwira ntchitoyi ndi ma gorse, sinamoni kapena tiyi wa tchire, mwachitsanzo. Onani maphikidwe a tiyi a shuga.
Njira ina yabwino yothetsera mavuto kunyumba ndikugwiritsa ntchito ufa wosalala wa zipatso, chifukwa umakhala ndi pectin, ulusi womwe umathandizira kuchepetsa magazi m'magazi. Kuphatikiza apo, wowonjezera magazi m'magazi ndi São Caetano vwende, yomwe imatha kudyedwa mwachilengedwe kapena monga madzi, mwachitsanzo.
Pochiza matenda ashuga ndikofunikira kuti musadye zakudya zokhala ndi shuga kapena chakudya chambiri, monga ma jellies, makeke kapena mbatata. Mwinanso, zakudya zokhala ndi michere yambiri monga masamba, maapulo, fulakesi, mkate wambewu wonse ndi timadziti tachilengedwe ziyenera kudyedwa. Onani zipatso zomwe zimalimbikitsa anthu omwe ali ndi matenda ashuga.
Onaninso zomwe mungachite, zomwe zafotokozedwa muvidiyo yotsatirayi:
Zolemba Zatsopano
Majeremusi ndi Ukhondo
