Mapiritsi kapena insulin ya matenda a shuga amtundu wa 2? - Tiyeni tisankhe chomwe chikukuyenererani bwino

Dokotala wanu akakuuzani kuti muli ndi matenda a shuga a mtundu wachiwiri, mwina mwayamba kale kuchita masewera olimbitsa thupi komanso kuwongolera zakudya zanu. Zimenezo ndi zabwino. Koma nthawi zina, zimakhala zovuta kuwongolera kuchuluka kwa shuga m'magazi mwa kukhala ndi moyo wathanzi. Pamenepo ndi pomwe dokotala wanu amakuuzani kuti muyambe kumwa mankhwala.

Pali mitundu iwiri ikuluikulu ya mankhwala a matenda a shuga amtundu wachiwiri: mapiritsi ndi insulin . Zonsezi zimathandiza kuti shuga m'magazi mwanu akhale wabwinobwino. Izi ndizofunikira chifukwa ngati shuga m'magazi mwanu wakwera kwa nthawi yayitali, mumakhala ndi mwayi waukulu wopeza matenda aakulu monga kuwonongeka kwa mitsempha, mavuto a maso, mavuto a impso, ndi matenda a mtima.

Ndiye, ndi mapiritsi ati kapena insulin omwe ndi abwino kwa inu? Musanalankhule ndi dokotala wanu za izi, tiyeni tikambirane mwatsatanetsatane.

Mitundu ya mapiritsi a shuga

Ngati mwangopezeka ndi matenda a shuga amtundu wachiwiri, dokotala wanu mwina angakupatseni mankhwala enaake kaye. Mankhwalawa salowa m'malo mwa insulin ya mahomoni, koma angathandize thupi lanu:

• Pangani insulin yambiri.
• Gwiritsani ntchito bwino kwambiri insulin yopangidwa ndi thupi.
• Kuchepetsa shuga m'magazi.

Mungapatsidwe imodzi mwa mankhwala awa kapena kuphatikiza angapo. Tiyeni tiwone mitundu ikuluikulu ya mankhwala.

Metformin

Mwachidule, iyi ndi mankhwala oyamba omwe madokotala amapereka kwa odwala matenda a shuga amtundu wachiwiri. Amapezeka m'mapiritsi ndi m'madzimadzi. Metformin imagwira ntchito makamaka pochepetsa kuchuluka kwa shuga komwe chiwindi chanu chimapanga komanso pothandiza thupi lanu kugwiritsa ntchito bwino insulin. Muthanso kupatsidwa mankhwala ena a shuga pamodzi ndi mankhwalawo. Mankhwalawa angakuthandizeninso kuchepetsa thupi.

Sulfonylureas

Mankhwalawa amagwira ntchito pothandiza thupi lanu kupanga insulin yambiri. Glimepiride (Amaryl), Glipizide (Glucotrol), ndi Glyburide (DiaBeta) ndi zitsanzo zina za mankhwala amtunduwu. Komabe, amatha kupangitsa kuti munthu anenepe kwambiri komanso kuti shuga m'magazi mwake achepe (hypoglycemia).

Meglitinides

Mankhwalawa amalimbikitsanso kapamba kupanga insulin yambiri. Komabe, amagwira ntchito mofulumira kuposa sulfonylureas, koma amakhala nthawi yayitali. Repaglinide (Prandin) ndi Nateglinide (Starlix) ndi ena mwa mankhwala awa. Zotsatirapo zake zingakhale monga kuchepa kwa shuga m'magazi ndi kunenepa kwambiri.

Thiazolidinediones

Izi zimagwira ntchito popangitsa minofu ya thupi lanu kukhala yomvera kwambiri insulin. Izi zikutanthauza kuti zimathandiza thupi lanu kugwiritsa ntchito insulin moyenera. Rosiglitazone (Avandia) ndi Pioglitazone (Actos) ndi mankhwala a gulu ili. Koma nthawi zambiri amaperekedwa pokhapokha ngati mankhwala ena alephera chifukwa cha chiopsezo cha zotsatirapo zoyipa, monga matenda a mtima ndi kuchepa kwa magazi m'thupi.

Tiyeni tifotokoze mwachidule mitundu iyi ya mankhwala m'njira yosavuta kumva.

Kodi insulin imafunika liti?

Ngati simungathe kuchepetsa shuga m'magazi mwanu ndi mapiritsi okha, dokotala wanu angayambe kumwa insulin. Insulin ndi chinthu chomwe mumalandira ngati jakisoni.

Palinso mitundu yosiyanasiyana ya insulin, yomwe imasiyana malinga ndi nthawi yomwe imagwira ntchito.

• Insulin yogwira ntchito kwa nthawi yayitali: Siimalowa m'magazi mpaka maola ochepa mutalandira jakisoni, koma imasunga shuga m'magazi kwa maola 24. Madokotala nthawi zambiri amalimbikitsa mtundu uwu wa insulin usiku kwa anthu omwe ali ndi matenda a shuga amtundu wachiwiri.
• Insulin yogwira ntchito pakati: Imayambanso kugwira ntchito mkati mwa maola ochepa ndipo imakhalabe yogwira ntchito kwa maola pakati pa 12 ndi 18.
• Insulin yokhazikika kapena "yogwira ntchito kwakanthawi kochepa": Imalowa m'magazi pafupifupi theka la ola mutalandira jakisoni ndipo imagwira ntchito kwa maola atatu mpaka asanu ndi limodzi.
• Insulin yogwira ntchito mwachangu: Imayamba kugwira ntchito nthawi yomweyo itatha jakisoni, koma imagwira ntchito kwa kanthawi kochepa, pafupifupi maola awiri kapena anayi.

Kale, madokotala ankalemba insulin ngati njira yomaliza. Koma tsopano, chifukwa imatha kuwongolera kuchuluka kwa shuga m'magazi mwachangu, pali nthawi zina pomwe insulin imayamba msanga. Zotsatirapo zazikulu za mitundu yonse ya insulin ndi kuchepa kwa shuga m'magazi (hypoglycemia) .

Mafunso oti mufunse dokotala wanu

Chithandizo chabwino kwambiri kwa inu ndi dokotala wanu ndi chisankho chomwe inu ndi dokotala wanu mudzapanga limodzi. Mankhwala aliwonse omwe akulangizidwa, onetsetsani kuti mwafunsa za izi.

• Kodi zotsatirapo zake za mankhwala aliwonse ndi ziti?
• Mitengo yawo ili bwanji?
• Kodi ndiyenera kugwiritsa ntchito bwanji mankhwalawa?
• Kodi mankhwalawa ayenera kusungidwa bwanji?

Komanso, phunzirani momwe mungadziwire ngati shuga m'magazi mwanu ndi wotsika kwambiri (hypoglycemia), ndi zomwe mungachite ngati zitachitika. Izi ndizofunikira kwambiri.