- Kuchinja mararamiro uye kudya
- Kurovedza muviri
- Mishonga
Mishonga iyi yechirwere cheshuga inoshanda sei chaizvo?
Zvichitaurwa zviri nyore, chinangwa chikuru chemishonga iyi yese ndechekuderedza shuga yako yeropa, kana kuti "glucose yeropa," kusvika padanho rakanaka. Izvi zvinobatsirawo kudzora kukosha kwe "A1c" yako. Kusakwanisa kushandisa insulin ndicho chikonzero chikuru chechirwere cheshuga cherudzi rwechipiri (uye chirwere cheshuga chepamuviri).Chirwere chinonzi `insulin resistance`. Fungidzira, masero ari mumuviri wako (tsandanyama dzako, mafuta, uye masero echiropa) haapindure zvakanaka kuhormone `insulin`. Insulin chinhu chinogadzirwa nepancreas yako. Inoshandura shuga `glucose` kubva muchikafu chatinodya kuita simba. Iyi inzira inokosha kuti tirarame. Saka, kana uine insulin resistance, pancreas yako inofanira kugadzira insulin yakawanda kudzora huwandu hweshuga muropa rako. Zvisinei, kana pancreas yako isingakwanise kugadzira insulin yakakwana, huwandu hweshuga muropa rako hunokwira. Izvi ndizvo zvatinodaidza kuti huwandu hweshuga muropa hwakakwira `hyperglycemia`. Kana izvi zvikaramba zvichiitika, zvinogona kukonzera matambudziko akasiyana-siyana ehutano. Kuramba insulin kwakaoma zvishoma. Mishonga yeshuga inoshanda nenzira dzakasiyana kuderedza shuga muropa. Mimwe mishonga inobatsira pancreas yako kugadzira insulin yakawanda. Kuwedzera kumishonga, kurovedza muviri kwakakoshawo kuderedza insulin resistance.Ndeipi mishonga inonwiwa yechirwere cheshuga?
Kune mhando dzakasiyana dzemishonga dzinobatsira kudzora chirwere cheshuga, uye dzinoshanda nenzira dzakasiyana. Ngationei kuti ndedzipi:| Rudzi rwemishonga | Mashandiro azvinoita | Mienzaniso |
|---|---|---|
| Inhibitors dzeAlpha-glucosidase | Inodzora kuputsika kwemakabhohaidhiretsi neshuga mudumbu. | `Acarbose`, `Miglitol` |
| MaBiguanides | Inoderedza huwandu hweshuga inogadzirwa nechiropa, inowedzera kunzwa kwe insulin. | `Metformin` |
| Zvinosanganisa bile acid | Kunyange zvazvo ichideredza cholesterol, inoderedzawo huwandu hweshuga muropa. | `Colesevelam` |
| Dopamine-2 agonists | Inobatsira uropi kuderedza insulin resistance. | 'Bromocriptine' |
| DPP-4 inhibitors (Gliptins) | Homoni yeGLP-1 inochengetedza shuga muropa nekuiita kuti irambe ichishanda. | Alogliptin, Linagliptin, Saxagliptin, Sitagliptin |
| Meglitinides (Glinides) | Inosimudzira pancreas uye inoita kuti iburitse insulin. | `Nateglinide`, `Repaglinide` |
| Zvinodzivisa SGLT2 | Glucose yakawandisa inoburitswa muweti. | ``Canagliflozin'', ``Dapagliflozin'', ``Empagliflozin'' |
| Sulfonylureas | Inosimudzira pancreas uye inoita kuti iburitse insulin yakawanda. | "Glimepiride", "Glipizide", "Glyburide" |
| Thiazolidinediones (TZDs) | Zvinoita kuti matishu emuviri anzwe zviri nani ku insulin. | "Rosiglitazone", "Pioglitazone" |
Migumisiro yemishonga yechirwere cheshuga ndeipi?
Kufanana nemishonga yese, mishonga yechirwere cheshuga inogona kuva nemigumisiro yakaipa. Mushonga wega wega unogona kukonzera matambudziko akasiyana. Migumisiro yakaipa inowanzova matambudziko emudumbu (manyoka, kuvimbiwa, kuzvimba). Chinhu chakakosha ndechekuudza chiremba wako nezvemigumisiro yakaipa.Njodzi yehypoglycemia
Mimwe mishonga yechirwere cheshuga, kunyanya iyo inonzi `Meglitinides` ne `Sulfonylureas`, inogona kukonzera kudzikira kwemazinga eshuga muropa rako kamwe kamwe (hypoglycemia). Izvi zvinoitika kana shuga yako muropa yadzikira pasi pe70 mg/dL. Ichi chirwere chakakomba.Zviratidzo zvehypoglycemia: kudedera, kudikitira, dzungu, nzara yakanyanya, kushaya zororo, uye kurova kwemoyo nekukurumidza. Kana zviratidzo izvi zvikaitika, idya chimwe chinhu chine shuga kana makabhohaidhiretsi nekukasika.
Zvinhu zvekukurukura nachiremba wako
- Kubata Pamuviri : Kana uine pamuviri kana kuti uchironga kubata pamuviri, zvakakosha kukurukura mishonga yako nachiremba wako. Mishonga yakawanda inonwiwa, kunze kweMetformin , haikurudzirwi panguva yekuzvitakura .
- Mimwe mishonga: Udza chiremba wako nezvemimwe mishonga yese, mavhitamini , uye zvimwe zvinovaka muviri zvauri kutora.
- Migumisiro: Udza chiremba wako nezvemigumisiro ipi zvayo yaunosangana nayo.
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