Mukaganizira za matenda a shuga, jakisoni wa insulin umabwera m'maganizo mwanga, sichoncho? Zoona, anthu ambiri amagwiritsa ntchito insulin kuti achepetse matenda awo a shuga. Koma kodi mumadziwa kuti palinso mankhwala obayidwa jakisoni, mapiritsi omwa, komanso mankhwala opumira kuti achepetse matenda a shuga? Mankhwalawa amatchedwa mankhwala a shuga osabayidwa jakisoni. Lero, tikambirana za mankhwala osabayidwa jakisoni awa. Tiyeni tiwone momwe amagwirira ntchito, zabwino ndi zoyipa zake, komanso momwe mungasankhire yomwe ikuyenererani.
Mapiritsi awa amagwira ntchito m'njira zosiyanasiyana!
Si mapiritsi onse a shuga omwe amagwira ntchito mofanana. Mapiritsi ena amawonjezera kupanga insulin m'matupi athu. Ena amalamulira kuyamwa kwa shuga kuchokera muzakudya zomwe timadya. Palinso mtundu wina, womwe umathandiza maselo a thupi lathu kuyankha bwino insulin. Chifukwa chake dokotala wanu adzawunika momwe mulili ndikupangira mtundu wa mankhwala kapena mitundu ingapo ya mankhwala omwe ali oyenera kwa inu.
Kuti zikhale zosavuta kumvetsetsa, tiyeni tiwone magulu akuluakulu a mankhwala osokoneza bongo awa ndi momwe amagwirira ntchito patebulo ngati ili.
| Gulu la Mankhwala Osokoneza Bongo | Momwe imagwirira ntchito ndi yosavuta. | Zotsatira zoyipa zofala |
|---|---|---|
| Biguanides (monga Metformin) | Imeneyi ndi mankhwala omwe amaperekedwa kwambiri kwa odwala matenda a shuga a mtundu wachiwiri. Amachepetsa kupanga shuga m'chiwindi. Amathandizanso maselo a thupi kugwiritsa ntchito insulin. | Kusokonezeka m'mimba (nseru, kusanza), kukoma kwachitsulo mkamwa. |
| Sulfonylureas (mwachitsanzo, Glimepiride, Gliclazide) | Zimathandiza kuti kapamba apange insulin yambiri. | Kuchepa kwa shuga m'magazi (Hypoglycemia), kusokonezeka m'mimba, kuyabwa kwa khungu, ndi kunenepa kwambiri. |
| Meglitinides (monga Repaglinide) | Izi zimawonjezeranso kupanga insulin kuchokera ku kapamba, koma zimagwira ntchito mwachangu komanso kwa nthawi yochepa. | Shuga m'magazi achepa, kusokonezeka m'mimba. |
| Zoletsa za DPP-4 (mwachitsanzo, Sitagliptin, Vildagliptin) | Shuga ikakwera m'magazi, insulin imawonjezeka. Zimathandizanso kuchepetsa kupanga shuga m'chiwindi. Izi sizimapangitsa kuti munthu anenepe kwambiri . | Zotsatirapo zake nthawi zambiri zimakhala zochepa. Nthawi zina kupweteka kwa mafupa ndi matenda a pakhosi kumatha kuchitika. |
| Zoletsa za SGLT2 (monga Dapagliflozin, Empagliflozin) | Zimaletsa impso kuyamwa shuga m'thupi, zomwe zimapangitsa kuti shuga wochuluka utuluke mu mkodzo. Izi zingathandizenso anthu omwe ali ndi matenda a mtima. | Matenda a mkodzo, matenda a yisiti m'mimba, kukomoka. |
| Thiazolidinediones (TZDs) (monga Pioglitazone) | Zimathandiza minofu ndi mafuta kuti zigwirizane bwino ndi insulin komanso zimachepetsa kupanga shuga m'chiwindi. | Kusunga madzi m'thupi, kuwonjezeka kwa thupi, komanso chiopsezo cha matenda a mtima ziyenera kufotokozedwa ndi dokotala wanu. |
| Alpha-glucosidase inhibitors (Mwachitsanzo: Acarbose) | Wowuma ndi shuga zomwe timadya zimaphikidwa m'matumbo ndipo zimalowa m'thupi. | Kupweteka m'mimba, mpweya, kutupa. |
Mapiritsi Osakaniza
Nthawi zina, kuchuluka kwa shuga m'magazi mwanu sikungayende bwino ndi mankhwala amodzi okha. Pazochitika zotere, dokotala wanu angakupatseni mankhwala awiri. Kodi sizingakhale zosavuta kumwa piritsi limodzi lophatikiza mankhwala awiri m'malo momwa mapiritsi awiri tsiku lililonse? Ndicho chifukwa chake mapiritsi ophatikiza amagwiritsidwa ntchito.
Mwachitsanzo, mankhwala monga metformin yokhala ndi Glimepiride, kapena metformin yokhala ndi Sitagliptin, amapezeka mu piritsi lomwelo. Izi zimachepetsa kuchuluka kwa mapiritsi omwe muyenera kumwa patsiku, zomwe zimapangitsa kuti zikhale zosavuta kumwa mankhwalawa nthawi ndi nthawi.
Insulin Yopumira
Ichi ndi chinthu chatsopano. Ndi mtundu wa insulin womwe umagwira ntchito mwachangu. Insulin iyi imabwera ngati kapisozi ndipo imapumidwa kudzera mu inhaler yapadera. Nthawi zambiri imagwiritsidwa ntchito musanadye. Izi zimathandiza kuti insulin ilowe mwachangu m'magazi kudzera m'mapapo.
Koma kumbukirani, izi si za aliyense. Ngati ndinu wosuta fodya, kapena muli ndi matenda a m'mapapo monga mphumu kapena COPD, izi si za inu. Komanso, sizingalowe m'malo mwa insulin yogwira ntchito nthawi yayitali.
Kodi mumasankha bwanji mankhwala oyenera kwa inu?
Tsopano mwina mukuganiza kuti, "Wow, ndi mankhwala ambiri omwe alipo, ndingasankhe bwanji yoyenera ine?" Si chisankho chomwe muyenera kupanga nokha. Ndi chisankho chomwe inu ndi dokotala wanu muyenera kupanga limodzi. Mukapanga chisankho ichi, muyenera kuganizira zinthu izi:
- Kodi shuga m'magazi mwanu ndi wotani? Anthu ena amatha kuchepetsa shuga m'magazi mwa kugwiritsa ntchito mankhwala amodzi okha. Ena amafunika mankhwala angapo.
- Kodi mankhwala awa ndi okwera mtengo bwanji? Mankhwala ena atsopano ndi okwera mtengo pang'ono. Lankhulani ndi dokotala wanu za izi.
- Kodi muli ndi matenda ena? Ngati muli ndi matenda a mtima, impso, kapena vuto la chiwindi, mankhwala ena akhoza kukhala oyenera kuposa ena. Mwachitsanzo, zoletsa za SGLT2 zapezeka kuti ndi zothandiza pa matenda ena a mtima.
- Kodi zotsatira zake ndi zovomerezeka? Mankhwala omwewo sakhudza aliyense mofanana. Anthu ena amakumana ndi zinthu monga kusokonezeka m'mimba ndi kunenepa kwambiri. Ngati muli ndi zotsatirapo zomwe zimakhala zovuta kuzipirira, muyenera kuuza dokotala wanu za izi.
Kambiranani momasuka ndi dokotala wanu za zonsezi kuti pamodzi mutha kusankha chithandizo chathanzi, chotetezeka, komanso chothandiza kwambiri kwa inu.
Uthenga Wopita Nawo Kunyumba
- Pali jakisoni wa insulin wa matenda a shuga, komanso mapiritsi omwa ndi mankhwala opumira.
- Mankhwala aliwonsewa amawongolera kuchuluka kwa shuga m'thupi m'njira zosiyanasiyana.
- Kusankha mankhwala omwe ali abwino kwa inu kuyenera kuchitika pokambirana ndi dokotala wanu, poganizira za thanzi lanu, moyo wanu, ndi zina.
- Musasiye kumwa mankhwala anu, kusintha mlingo, kapena kuyamba mankhwala atsopano popanda upangiri wa dokotala.
- Ngati mukukumana ndi zotsatirapo zilizonse chifukwa cha mankhwala, musachite mantha ndipo dziwitsani dokotala wanu nthawi yomweyo.
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