Yog tias koj muaj tus kab mob ntshav qab zib hom 2, tej zaum koj twb noj tshuaj zoo li Metformin lawm. Tab sis koj tus kws kho mob tej zaum yuav tau qhia koj txog ib pawg tshuaj tshiab hu ua SGLT2 inhibitors. Los yog koj tej zaum yuav tau hnov txog lawv. Yog li, SGLT2 inhibitors yog dab tsi? Lawv ua haujlwm li cas tiag? Hauv tsab xov xwm no, peb yuav tham txog lawv yooj yim thiab meej.
Cov tshuaj SGLT2 inhibitors no yog dab tsi?
Hais yooj yim xwb, cov tshuaj SGLT2 inhibitors yog ib hom tshuaj noj uas pab tswj koj cov ntshav qab zib. Qhov zoo txog lawv yog tias lawv ua haujlwm txawv me ntsis ntawm lwm cov tshuaj kho mob ntshav qab zib.
Xav txog nws, peb lub raum yog ib lub tshuab lim dej zoo heev. Thaum ntxuav peb cov ntshav, lub raum lim qee cov suab thaj (glucose) hauv peb cov ntshav mus rau hauv peb cov zis. Txawm li cas los xij, peb lub raum muaj cov protein hu ua Sodium-glucose cotransporter 2 , lossis luv luv SGLT2 . Zoo li tus neeg zov qhov rooj, cov protein SGLT2 no ntes feem ntau ntawm cov suab thaj uas mus rau hauv cov zis thiab muab nws rov qab rau hauv cov ntshav.
Tam sim no koj puas nkag siab? Ib tug neeg uas muaj ntshav qab zib twb muaj ntshav qab zib ntau lawm. Yog li ntawd, cov tshuaj SGLT2 inhibitors no ua dab tsi yog lawv tua qhov gatekeeper, uas yog SGLT2 protein, me ntsis. Ces nws tsis tuaj yeem coj cov qab zib rov qab thiab ntxiv rau hauv cov ntshav. Yog li ntawd, cov qab zib ntau dhau raug tso tawm ntawm lub cev hauv cov zis . Qhov no yog li cas cov tshuaj no txo koj cov ntshav qab zib.
Hom tshuaj no tshwj xeeb vim nws txo cov piam thaj hauv cov ntshav hauv ib txoj kev sib txawv, yam tsis cuam tshuam ncaj qha rau cov tshuaj insulin.
Cov tshuaj SGLT2 inhibitors feem ntau siv hauv Sri Lanka thiab txawv teb chaws yog dab tsi?
Muaj ntau hom tshuaj hauv pawg no. Lawv txhua tus ua tib yam. Feem ntau lawv noj ib zaug ib hnub, ua ntej noj mov thawj zaug ntawm hnub. Koj tus kws kho mob yuav soj ntsuam koj tus mob thiab sau cov tshuaj uas tsim nyog tshaj plaws.
| Lub npe dav dav ntawm cov tshuaj | Lub npe lag luam feem ntau siv |
|---|---|
| Canagliflozin | Invokana |
| Dapagliflozin | Farxiga |
| Empagliflozin | Jardiance |
| Ertugliflozin | Steglatro |
| Bexagliflozin | Brenzavy |
Leej twg thiaj tsim nyog siv cov tshuaj no?
Qhov no yog ib lo lus nug tseem ceeb heev. Cov tshuaj SGLT2 inhibitors tsis yog thawj cov tshuaj uas kws kho mob yuav sau rau cov neeg mob ntshav qab zib hom 2.
Feem ntau, tus kws kho mob yuav xub qhia kom hloov pauv txoj kev ua neej , xws li kev tswj kev noj zaub mov thiab kev tawm dag zog, thiab tom qab ntawd pib noj tshuaj xws li Metformin.
Koj tus kws kho mob yuav xav txog kev siv SGLT2 inhibitor hauv cov xwm txheej hauv qab no:
- Koj twb noj ntau yam tshuaj lawm, tab sis koj cov ntshav qab zib tseem tsis tau tswj tau zoo .
- Yog koj muaj ib qho laj thawj kho mob uas ua rau koj tsis tuaj yeem noj lwm yam tshuaj kho mob ntshav qab zib.
- Yog tias koj muaj kev pheej hmoo ntawm cov ntshav qab zib qis heev (hypoglycemia).
- Yog tias koj xav tau kom poob phaus lossis txo koj cov ntshav siab.
Leej twg yuav tsum tsis txhob noj cov tshuaj no?
Cov tshuaj no tsis haum rau txhua tus.
- Cov tshuaj no tsis tau pom zoo rau cov neeg uas muaj ntshav qab zib hom 1 .
- Cov no tsis pom zoo rau cov neeg uas tau muaj teeb meem loj ntawm tus kab mob ntshav qab zib hu ua diabetic ketoacidosis .
- Cov tshuaj no yuav tsis muaj txiaj ntsig ntau rau ib tus neeg uas twb muaj kab mob raum hnyav lawm.
- Yog koj cev xeeb tub, tab tom sim cev xeeb tub, lossis pub niam mis, koj yuav tsum nrog koj tus kws kho mob tham txog kev siv cov tshuaj no. Tsis muaj ntaub ntawv txaus txog nws txoj kev nyab xeeb rau lub sijhawm no. Yog li ntawd, tsis txhob pib lossis tsum noj cov tshuaj no yam tsis tau sab laj nrog kws kho mob.
Tej yam tshwm sim tsis zoo li cas?
Ib yam li lwm yam tshuaj, cov tshuaj no tuaj yeem ua rau muaj qee qhov kev mob tshwm sim. Txawm li cas los xij, tsis yog txhua tus neeg tau txais lawv. Thiab feem ntau ntawm lawv tuaj yeem tswj tau.
| Cov teebmeem sab nraud | Kev piav qhia thiab yam yuav tsum paub |
|---|---|
| Tso zis ntau zaus thiab nqhis dej | Vim tias cov suab thaj raug tso tawm hauv cov zis, koj yuav tsum tau tso zis ntau zaus thoob plaws hnub thiab hmo ntuj. Qhov no kuj tseem yuav ua rau koj nqhis dej ntau ntxiv. Haus dej ntau. |
| Kab mob ntawm txoj hlab zis thiab qhov chaw mos | Cov suab thaj hauv cov zis ua rau muaj kev pheej hmoo ntawm cov poov xab thiab cov kab mob bacterial. Qhia rau koj tus kws kho mob yog tias koj muaj cov tsos mob xws li khaus, o, lossis mob hauv qhov chaw mos. |
| Kev poob phaus | Tej zaum koj yuav poob phaus vim tias cov suab thaj (calories) raug tso tawm hauv cov zis. Qhov no yog qhov zoo rau qee tus neeg. |
| Ntshav siab qis thiab lub cev qhuav dej | Qee zaum, thaum cov kua dej tawm ntawm lub cev, cov ntshav siab tuaj yeem poob qis, uas tuaj yeem ua rau koj nkees thiab kiv taub hau. |
| Ib qho teeb meem loj heev uas yuav tsum tau kev saib xyuas tam sim ntawd | |
| Kab mob ntshav qab zib ketoacidosis (DKA) | Qhov no yog ib qho mob uas tsis tshua muaj tab sis txaus ntshai heev . Lub cev hlawv cov rog es tsis yog qab zib, tsim cov kua qaub hu ua ketones. Yog tias koj muaj cov tsos mob xws li xeev siab, ntuav, mob plab hnyav, qaug zog heev, thiab ua pa nyuaj, qhia rau koj tus kws kho mob tam sim ntawd lossis mus rau chav kho mob ceev hauv tsev kho mob ze tshaj plaws (ETU). |
Tsis yog rau tus kab mob ntshav qab zib xwb, tseem muaj lwm yam txiaj ntsig!
Txawm hais tias cov tshuaj no tau tsim los kho tus kab mob ntshav qab zib, kev tshawb fawb tau pom tias nws muaj ntau lwm yam txiaj ntsig zoo kawg.
1. Tiv thaiv lub raum: Cov tshuaj no tuaj yeem txo qhov kev puas tsuaj rau lub raum uas tshwm sim los ntawm ntshav qab zib thiab tswj kev nce qib ntawm cov kab mob raum ntev.
2. Txo qhov kev pheej hmoo ntawm kev mob plawv thiab kev tuag los ntawm kev mob plawv: Qee cov tshuaj SGLT2 inhibitors tau pom tias txo qhov kev pheej hmoo ntawm kev pw hauv tsev kho mob thiab kev tuag, tshwj xeeb tshaj yog thaum muab rau cov neeg mob uas muaj mob plawv tsis ua haujlwm.
3. Txo qhov kev pheej hmoo ntawm kev mob plawv nres thiab mob hlwb: Qee qhov kev tshawb fawb tau qhia tias cov no kuj pab txo qhov kev pheej hmoo ntawm kev mob plawv nres thiab mob hlwb.
Vim li no, cov kws kho mob qee zaum yuav sau cov tshuaj no rau cov neeg uas tsis muaj ntshav qab zib tab sis muaj kab mob raum lossis kab mob plawv.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Cov tshuaj SGLT2 inhibitors yog ib pawg tshuaj tshiab uas siv los kho tus kab mob ntshav qab zib hom 2.
- Cov no ua haujlwm los ntawm kev tiv thaiv lub raum kom tsis txhob nqus cov suab thaj rov qab rau hauv cov ntshav thiab tso tawm hauv cov zis.
- Feem ntau cov tshuaj no tsis yog thawj cov tshuaj uas muab rau tus mob ntshav qab zib. Koj tus kws kho mob yuav pom zoo kom siv cov no thaum koj cov ntshav qab zib tsis raug tswj los ntawm lwm yam kev kho mob.
- Ntxiv rau kev tswj tus kab mob ntshav qab zib, lawv kuj muaj peev xwm zoo kawg nkaus los tiv thaiv lub raum thiab txo qhov kev pheej hmoo ntawm kab mob plawv.
- Ib yam li lwm yam tshuaj, tej zaum yuav muaj tej yam tsis zoo tshwm sim. Tham nrog koj tus kws kho mob txog tej kev hloov uas koj ntsib.
- Tsuas yog koj tus kws kho mob thiaj li txiav txim siab tau seb cov tshuaj no puas yog rau koj, yog li nco ntsoov tham txog qhov no nrog nws.
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Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus