Zvakajairika kuti unzwe kutya uye kunetseka kana ukaona kuti une chirwere cheshuga. Asi chinhu chakanakisa ndechekuti kune mishonga iri nani iripo nhasi kupfuura kare kuti ikubatsire kudzora chirwere chako cheshuga uye kurarama hupenyu hwakanaka. Pamwe chete, iwe nachiremba wako muchagadzira hurongwa hwekukubatsira kudzora huwandu hweshuga muropa rako uye kuchengetedza huremu hwakanaka.
Dzimwe nguva, mushonga mumwe chete ungasakwana kuti shuga yeropa rako irambe yakaenzana. Muzviitiko zvakadaro, chiremba wako anogona kuwedzera mimwe mishonga. Ngatitaurei nezvemishonga iyi imwe neimwe.
Mishonga yemuromo
Vanhu vazhinji vane chirwere cheshuga cherudzi rwechipiri vanotanga kurapwa nemushonga unonzi Metformin. Izvi zvinonyanya kushanda nekuderedza huwandu hweshuga inogadzirwa nechiropa chako. Metformin inobatsirawo tsandanyama dzako kunwisa hormone ye insulin zviri nani, iyo inobatsira muviri wako kushandisa shuga yaunogamuchira.
Mushonga uyu unowanzo torwa kaviri pazuva. Chinhu chakakosha ndechekutora piritsi iri pamwe chete nechikafu. Izvi zvinogona kuderedza zvakanyanya migumisiro yakadai sekurwadziwa kwemudumbu, kunyanya manyoka.
Kana metformin yoga isingadzore huwandu hweshuga muropa rako, chiremba wako anogona kuwedzera mushonga wako kana kuwedzera mhando itsva yemushonga. Ngatitarisei mimwe mishonga iyi.
Yeukai kuti mishonga iyi yese inofanira kushandiswa chete kana chiremba wenyu akuudzai. Hamufaniri kungoitora nekuti shamwari yenyu iri kuishandisa, nekuti mamiriro emuviri wemunhu wese akasiyana.
| Rudzi rwemushonga uye tsananguro iri nyore | Mienzaniso (mazita emhando) |
|---|---|
| Inhibitors dzeAlpha-glucosidase Izvi zvinoshanda nekumisa muviri kuti usadye chikafu chine starch chatinodya, chakadai sechingwa nembatatisi, nokudaro zvichideredza kukwira kweshuga muropa kamwe kamwe. | Acarbose (Precose), Miglitol (Glyset) |
| Zvinosanganisa bile acid Iyi mishonga inoderedza cholesterol yakaipa (LDL cholesterol) mumuviri. Asi zvakaonekwawo kuti inoderedza huwandu hweshuga muropa. Izvi zvinogona kunge zvakachengeteka kune vanhu vasingakwanise kutora mimwe mishonga yeshuga nekuda kwechirwere chechiropa. | Colesevelam (Welchol) |
| Zvinodzivisa DPP-4 Izvi zvinobatsira kudzora chirwere cheshuga nekuderedza huwandu hweshuga muropa. | Alogliptin (Nesina), Linagliptin (Tradjenta), Saxagliptin (Onglyza), Sitagliptin (Januvia) |
| Maagonist eGLP-1 receptor Izvi zvinoudza muviri kuti ugadzire insulin yakawanda. Zvinoderedzawo kugaya chikafu uye zvinoita kuti unzwe wakaguta. Zvimwe zvacho zvinowanikwawo sejekiseni. | Dulaglutide (Trulicity), Exenatide (Byetta), Liraglutide (Victoza), Semaglutide (Ozempic, Rybelsus) |
| GIP uye GLP-1 receptor agonist Uyu mushonga mutsva. Uyu unobatsira kuwedzera kugadzirwa kwe insulin chete kana huwandu hweshuga muropa hwakwira. | Tirzepatide (Mounjaro) |
| Meglitinides Izvi zvinobatsira muviri kugadzira insulin yakawanda. Mishonga iyi inowanzo torwa usati wadya. | Nateglinide (Starlix), Repaglinide (Prandin) |
| Zvinodzivisa SGLT2 Rudzi urwu rwemushonga rwakakosha zvikuru. Unoshanda nekubvisa shuga yakawandisa muropa rako kuburikidza neitsvo dzako nemuweti. Mimwe mishonga (seEmpagliflozin) inobatsirawo kuderedza njodzi yekurwara nemwoyo kune vanhu vane chirwere chemwoyo. | Canagliflozin (Invokana), Dapagliflozin (Farxiga), Empagliflozin (Jardiance) |
| Sulfonylureas Izvi zvinokurudzira pancreas yako kuti igadzire insulin yakawanda. | Glimepiride (Amaryl), Glipizide (Glucotrol), Glyburide (Diabeta) |
| Thiazolidinediones (TZDs) Izvi zvinoita kuti tsandanyama nemafuta zvinzwe zviri nani ku insulin. Izvi zvinoreva kuti zvinowedzera kushanda kwe insulin. | Pioglitazone (Actos), Rosiglitazone (Avandia) |
Kurapa ne insulin
Insulin ihormone inokosha inogadzirwa nemiviri yedu inobatsira kufambisa shuga muropa kuenda mumasero kuti ishandiswe sesimba.
Zvino, kana uchifanira kubayiwa jekiseni re insulin, usambofunga kuti, "Aa, ndicharasikirwa nekutonga kwechirwere changu." Hazvisi izvo. Muviri wemunhu wese wakasiyana. Pamwe kana wave uine chirwere cheshuga kwenguva yakareba, kana shuga yako yeropa yakakwira zvakanyanya, kana kana uine mamwe matambudziko ehutano anoita kuti zviomere kudzora shuga yako yeropa nemapiritsi chete, chiremba wako anogona kukukurudzira kuti ushandise insulin pamwe chete nemapiritsi.
Vanhu vazhinji vanobaya insulin muchikamu chine mafuta chiri pasi peganda. Chiremba wako ndiye achasarudza kuti unoda yakawanda sei pazuva.
Kunewo mhando dzakasiyana dze insulin.
- Inoshanda nekukurumidza: Idzi dzinoshanda mukati memaminitsi mashoma mushure mekubayiwa jekiseni uye dzinogara kwemaawa akati wandei.
- Kushanda kwenguva pfupi: Kunoshanda mukati mehafu yeawa uye kunotora maawa 3-6.
- Inoshanda pakati nepakati: Inoshanda mumaawa maviri kusvika mana uye inogara kwemaawa gumi nemaviri kusvika gumi nemasere.
- Inoshanda kwenguva refu: Izvi zvinobatsira kuchengetedza huwandu hweshuga muropa hwakagadzikana mukati mezuva rose.
Unogona kuwana insulin uchishandisa sirinji, peni yakazadzwa kare, kana kamuchina kadiki kanoiswa pasi peganda (insulin pump). Chiremba wako achakuudza maitirwo chaiwo ekuita izvi.
Nzira yekushandisa mushonga nemazvo sei?
Ichi ndicho chikamu chakakosha.
- Tevedzera mirairo yachiremba wako: Inwa mushonga wako sezvawaudzwa nachiremba wako, panguva uye nehuwandu hwawakanyorerwa. Mimwe mishonga inofanira kutorwa pamwe chete nechikafu kuderedza migumisiro yakaipa. Iva nechokwadi chekutevedzera mirairo iyoyo.
- Kuchengeta mishonga yako: Chiremba wako kana wemishonga achakupa mazano ekuchengetedza mishonga yako. Kunyanya zvinhu zvakaita se insulin zvinoda kuchengetwa patembiricha yakakodzera. Izvi zvichabatsira kuchengetedza mhando yemishonga.
- Chenjerera nedoro:Kunwa doro hakukurudzirwi kana uchitora mimwe mishonga, yakaita semetformin. Vanhu vane chirwere cheshuga vanogona kunge vachinyanya kukanganiswa nedoro kupfuura mimwe. Saka chenjerera kana uchinwa doro. Zvakanaka kutaura nachiremba wako nezvazvo.
Mharidzo Yekuenda Nayo Kumba
- Chirwere cheshuga chirwere chinorapika, saka usanyanya kutya.
- Shanda nachiremba wako kuti mugadzire hurongwa hwakanakisisa hwekurapa kwako. Usatya kubvunza mibvunzo kana uine.
- Vanhu vazhinji vanotanga kurapwa nepiritsi rinonzi metformin. Kunwa pamwe chete nechikafu kunogona kuderedza migumisiro yakaipa.
- Kushandisa insulin hazvirevi kuti chirwere chako hachichadzoreki. Inzira yekurapa inodiwa uye inoshanda zvikuru.
- Zvakakosha zvikuru kutora mushonga wakanyorerwa nachiremba, panguva yakakodzera, muchiyero chakakodzera, uye sezvakarairwa chaizvo.
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