Kodi muli ndi matenda a shuga a mtundu wachiwiri? Ngati ndi choncho, mwina mukudziwa momwe zimavutira kukwera kwa shuga m'magazi mwanu mutadya. Nthawi zina, ngakhale titayang'anira zakudya zathu motani komanso kumwa mankhwala ena omwe dokotala wathu watipatsa, zimakhala zovuta kulamulira vutoli. M'nkhaniyi, tikambirana za gulu lapadera la mapiritsi omwe angathandize anthu otere.
Kodi ma Alpha-Glucosidase Inhibitors awa ndi ati?
Mwachidule, awa ndi mtundu wa mankhwala omwe amagwiritsidwa ntchito poletsa matenda a shuga a mtundu wachiwiri. Simungakumbukire dzinalo dokotala wanu akakuuzani, koma pali mankhwala awiri m'gululi: Acarbose (yomwe imagwiritsidwa ntchito kwambiri) ndi Miglitol .
Ntchito yaikulu ya mankhwalawa ndikuletsa kuchuluka kwa shuga m'magazi mwanu kuti kusakwere mwadzidzidzi komanso mwachangu mutatha kudya.
Pali zifukwa zingapo zomwe dokotala wanu angakulangizeni mankhwalawa:
- Ngati mwapezeka ndi matenda a shuga amtundu wachiwiri posachedwapa ndipo vuto lanu lalikulu ndi shuga wambiri m'magazi mutadya.
- Ngati mukumwa kale mankhwala ena a matenda a shuga, koma mukuvutikabe kuwongolera kuchuluka kwa shuga m'magazi mutatha kudya, mutha kuwonjezera izi ngati mankhwala ena.
Chabwino, kodi mankhwalawa amagwira ntchito bwanji mkati mwa thupi?
Izi n'zosavuta kuzimvetsa. Zakudya zokhala ndi sitachi zomwe timadya, monga buledi, mpunga, mbatata, ndi Zakudya zophikidwa, ndi shuga zomwe timawonjezera muzakudya zathu (monga shuga wamba) zimaphikidwa m'matumbo athu kenako zimawonjezeredwa m'magazi athu ngati shuga wamba (shuga).
Mapiritsi awa amagwira ntchito poletsa ntchito ya enzyme yotchedwa alpha-glucosidase m'matumbo mwathu. Enzyme iyi imaswa starch ndi shuga kukhala shuga wosavuta.
Tangoganizani kuti zakudya zokhuthala zomwe mumadya (monga buledi ndi mpunga) ndi sitima yaikulu. Chomwe mankhwalawa amachita ndikuletsa sitimayo kubwera ku siteshoni nthawi imodzi, ndikulola kuti ilowe pang'onopang'ono, pang'onopang'ono. Kenako, shuga amaunjikana m'magazi mwanu.
Izi zimachepetsa kwambiri kuchuluka kwa shuga m'magazi, zomwe zimathandiza kuchepetsa kukwera kwadzidzidzi kwa shuga m'magazi mutadya.
Mankhwalawa nthawi zambiri amatengedwa mukangoluma koyamba chakudya chachikulu. Dokotala wanu nthawi zambiri amakuuzani kuti mumwe katatu patsiku, pa chakudya chilichonse chachikulu zitatu. Kugwiritsa ntchito mankhwalawa kungathandize kuchepetsa A1c yanu, yomwe ndi shuga wamba m'magazi mwa miyezi itatu yapitayi, ndi 0.5% mpaka 0.8% .
Kodi pali zotsatirapo zilizonse pa mankhwalawa?
Monga mankhwala ena aliwonse, mankhwalawa akhoza kukhala ndi zotsatirapo zina. Koma palibe chodetsa nkhawa nacho. Chofunika kwambiri ndikudziwa izi.
Chofunika kwambiri ndichakuti ngati mugwiritsa ntchito Alpha-glucosidase inhibitor yokha, chiopsezo chanu chokhala ndi shuga wotsika m'magazi (hypoglycemia) chimakhala chochepa kwambiri . Komabe, ngati mugwiritsa ntchito mankhwala ena a shuga (monga Metformin, Gliclazide) kapena jakisoni wa insulin pamodzi ndi mankhwalawa, pali mwayi woti shuga m'magazi mwanu atsike. Chifukwa chake, ndikofunikira kulankhula ndi dokotala wanu za izi ndikupempha upangiri.
Zotsatira zoyipa zomwe zimafala kwambiri ndi mavuto ena a m'mimba. Pofuna kupewa izi, dokotala wanu adzayamba kumwa mankhwala ochepa kwambiri ndikuwonjezera mlingo pang'onopang'ono.
| Zotsatira zoyipa | Kufotokozera kosavuta |
|---|---|
| Mpweya wotuluka m'mimba/kutulutsa mpweya | Zakudya zokhala ndi sitachi zingayambitse mpweya kusonkhana m'matumbo chifukwa kugaya chakudya kumachedwa. |
| Kutsegula m'mimba | Matenda omwe angachitike chifukwa cha chakudya chosagayidwa chomwe chimatsala m'matumbo. |
| Kupweteka m'mimba / kupweteka m'mimba | Kusasangalala kumeneku kungachitike mpaka thupi litazolowera mankhwalawo. |
Nkhani yabwino ndi yakuti zambiri mwa zotsatirazi zimatha zokha patatha milungu ingapo pamene thupi lanu likuzolowera mankhwalawo. Komabe, ngati kusasangalala kumeneku kukupitirira kapena kukhala kwakukulu, onetsetsani kuti mwadziwitsa dokotala wanu.
Ndani amene sali woyenera kumwa mankhwalawa?
Mankhwalawa si oyenera aliyense. Anthu ena omwe ali ndi matenda enaake angakumane ndi mavuto ndi mankhwalawa. Chifukwa chake, ndikofunikira kwambiri kuuza dokotala wanu mbiri yonse ya thanzi lanu.
| Mkhalidwe wa thanzi | N’chifukwa chiyani mankhwalawa sali oyenera? |
|---|---|
| Kawirikawiri, gulu ili la mankhwala siliyenera kugwiritsidwa ntchito pa: | |
| Matenda a m'mimba otupa - mwachitsanzo Ulcerative Colitis kapena Matenda a Crohn | Matendawa amatha kukhala ovuta kwambiri. |
| Kutsekeka kwa matumbo | Matendawa akhoza kuipiraipira chifukwa cha ntchito ya mankhwala. |
| Matenda ena am'mimba omwe amapezeka m'matumbo | Mavuto omwe alipo okhudzana ndi kugaya chakudya angakule kwambiri. |
| Ketoacidosis ya Matenda a Shuga | Ichi ndi vuto loopsa la matenda a shuga. Mankhwalawa si oyenera kugwiritsidwa ntchito. |
| Acarbose si yoyenera makamaka pamene: | |
| Chilonda m'matumbo anu akuluakulu | Kuchira kwa bala kungachedwe kapena vutoli lingaipireipire. |
| Matenda a chiwindi (cirrhosis) | Izi sizikulimbikitsidwa chifukwa zingakhudze momwe chiwindi chimagwira ntchito. |
Kuphatikiza apo, mankhwalawa nthawi zambiri savomerezeka kwa amayi apakati ndi amayi oyamwitsa. Ndikofunikira kudziwitsa dokotala wanu ngati mukukonzekera kutenga pakati kapena muli kale ndi pakati.
Uthenga Wopita Nawo Kunyumba
- Mankhwala oletsa alpha-glucosidase ndi mtundu wa mankhwala omwe amagwiritsidwa ntchito pochepetsa kuchuluka kwa shuga m'magazi mwa anthu omwe ali ndi matenda a shuga a mtundu wachiwiri, makamaka akadya.
- Mankhwalawa amagwira ntchito pochepetsa kuyamwa kwa starch ndi shuga zomwe mumadya m'magazi mwanu m'matumbo anu.
- Zotsatirapo zoyipa kwambiri ndi kudzimbidwa ndi kutsegula m'mimba, komwe nthawi zambiri kumatha kokha mkati mwa milungu ingapo.
- Mankhwalawa ayenera kumwedwa nthawi zonse akangoluma koyamba chakudya chachikulu, monga momwe dokotala wanenera.
- Ngati muli ndi mavuto ena azaumoyo, monga matenda am'mimba kapena matenda a chiwindi, musamwe mankhwalawa popanda upangiri wa dokotala.
- Ndikofunikira kulankhula momasuka ndi dokotala wanu za matenda anu onse komanso mankhwala ena aliwonse omwe mukumwa. Izi ndizofunikira kuti mukhale otetezeka.
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