Kana uine chirwere cheshuga cheType 2, pamwe watove kutora mishonga yakaita seMetformin. Asi chiremba wako angangodaro akakuudza nezvemhando itsva yemishonga inonzi SGLT2 inhibitors. Kana kuti wakanzwa nezvayo. Saka, chii chinonzi SGLT2 inhibitors? Inoshanda sei chaizvo? Muchinyorwa chino, tichataura nezvayo zviri nyore uye nemazvo.
Ndezvipi izvi zvinonzi SGLT2 Inhibitors?
Zvichitaurwa zviri nyore, mishonga inodzivirira chirwere cheSGLT2 imhando yemapiritsi anonwiwa anobatsira kudzora huwandu hweshuga muropa rako. Chinhu chikuru ndechekuti anoshanda zvakasiyana zvishoma nemimwe mishonga yeshuga.
Funga nezvazvo, itsvo dzedu inzira inoshamisa yekusefa. Pakuchenesa ropa redu, itsvo dzinosefa imwe shuga (glucose) iri muropa redu dzichiiisa muweti yedu. Zvisinei, itsvo dzedu dzine puroteni inonzi Sodium-glucose cotransporter 2 , kana kuti SGLT2 muchidimbu. Kufanana nemuchengeti wegedhi, iyi puroteni yeSGLT2 inotora shuga yakawanda inopinda muweti yoidzosera muropa.
Wanzwisisa here? Munhu ane chirwere cheshuga atova neshuga yakakwira muropa. Saka zvinoitwa neSGLT2 inhibitors idzi ndezvekuti dzinodzima muchengeti wegedhi, puroteni yeSGLT2, zvishoma. Ipapo haigone kudzosa shuga yacho yoiwedzera muropa. Nekuda kweizvozvo, shuga yakawandisa inoburitswa mumuviri muweti . Iyi ndiyo nzira iyo mishonga iyi inoderedza nayo huwandu hweshuga muropa rako.
Rudzi urwu rwemushonga rwakasiyana nekuti runoderedza shuga muropa nenzira yakasiyana, pasina kukanganisa zvakananga hormone ye insulin.
Ndezvipi zvinonyanya kushandiswa muSri Lanka nekune dzimwe nyika?
Kune mhando dzakasiyana dzemishonga muboka iri. Dzese dzinoita zvakafanana. Dzinowanzo torwa kamwe chete pazuva, usati wadya kekutanga pazuva. Chiremba wako achaongorora mamiriro ako uye achakupa mushonga wakakodzera.
| Zita remushonga uyu | Zita rekambani rinonyanya kushandiswa |
|---|---|
| Canagliflozin | Invokana |
| Dapagliflozin | Farxiga |
| Empagliflozin | Jardiance |
| Ertugliflozin | Steglatro |
| Bexagliflozin | Brenzavvy |
Ndiani akakodzera kushandisa mushonga uyu?
Uyu mubvunzo unokosha zvikuru. Mishonga inodzivirira chirwere cheshuga cherudzi rwechipiri (SGLT2 inhibitors) haisi mushonga wekutanga wakapihwa nachiremba.
Kazhinji, chiremba anotanga akurudzira shanduko dzemararamiro , dzakadai sekudzora kudya uye kurovedza muviri, uye ozotanga kushandisa mushonga wakaita seMetformin.
Chiremba wako anogona kufunga nezvekushandisa SGLT2 inhibitor mumamiriro ezvinhu anotevera:
- Watove kutora mishonga yakati wandei, asi shuga yako yeropa haisati yanyatso gadziriswa .
- Kana uine chikonzero chekurapa chinoita kuti usakwanise kunwa mimwe mishonga yechirwere cheshuga.
- Kana uri panjodzi yekuderera kweshuga muropa (hypoglycemia).
- Kana uchida kuderedza huremu kana kuderedza BP yako.
Ndiani asingafaniri kutora mushonga uyu?
Rudzi urwu rwemushonga haruna kukodzera munhu wese.
- Mushonga uyu haubvumidzwe kuvanhu vane chirwere cheshuga cherudzi rwekutanga .
- Izvi hazvikurudzirwi kuvanhu vakambosangana nedambudziko guru rechirwere cheshuga rinonzi diabetic ketoacidosis .
- Mushonga uyu hauzobatsiri zvakanyanya kune munhu anototambura nechirwere cheitsvo chakakomba .
- Kana uine pamuviri, uchiedza kuva nepamuviri, kana kuyamwisa, unofanira kutaura nachiremba wako nezvekushandisa mushonga uyu. Hapana ruzivo rwakakwana pamusoro pekuchengetedzeka kwawo panguva ino. Saka, usatange kana kurega kutora mushonga uyu usina kubvunza chiremba.
Ndezvipi zvingakonzera migumisiro yakaipa?
Kufanana nemushonga upi zvawo, mushonga uyu unogona kukonzera mamwe matambudziko. Zvisinei, havasi vese vanowana. Uye mazhinji acho anogona kudzorwa.
| Mhedzisiro yedivi | Tsananguro uye zvekuziva |
|---|---|
| Kuita weti kakawanda uye nyota | Nekuti shuga inobuda muweti, ungangoda kuita weti kakawanda masikati neusiku. Izvi zvinogonawo kuwedzera nyota yako. Inwa mvura yakawanda. |
| Utachiona hwemunzira yeweti uye hwepanhengo dzesikarudzi | Shuga iri muweti inowedzera njodzi yekubikira uye hutachiona hwebhakitiriya. Udza chiremba wako kana ukaona zviratidzo zvakaita sekukwenya, kuzvimba, kana kurwadziwa munzvimbo yesikarudzi. |
| Kuderedza huremu | Unogona kudzikira huremu nekuti shuga (macalorie) anobuda muweti. Izvi zvinobatsira vamwe vanhu. |
| Kuderera kweropa uye kupera mvura mumuviri | Dzimwe nguva, mvura inobuda mumuviri, BP inogona kudzikira, izvo zvinogona kuita kuti unzwe kuneta uye dzungu. |
| Mhedzisiro yakakomba inoda kutarisirwa nekukurumidza | |
| Chirwere cheshuga chinonzi Ketoacidosis (DKA) | Ichi chirwere chisingawanzoitiki asi chine njodzi zvikuru . Muviri unopisa mafuta panzvimbo peshuga, zvichiburitsa maasidhi anonzi maketone. Kana ukaona zviratidzo zvakaita sekusvotwa, kurutsa, kurwadziwa mudumbu zvakanyanya, kuneta kwakanyanya, uye kuoma kufema, taurira chiremba wako nekukasika kana kuenda kuchipatara chiri pedyo nekukurumidzira (ETU). |
Kwete kune chirwere cheshuga chete, kune zvimwe zvakanakira!
Kunyangwe mushonga uyu wakagadzirwa pakutanga kurapa chirwere cheshuga, tsvakiridzo yakawana kuti une zvimwe zvakanakira zvinoshamisa.
1. Kudzivirira itsvo: Mishonga iyi inogona kuderedza kukuvara kweitsvo kunokonzerwa nechirwere cheshuga uye kudzora kufambira mberi kwechirwere cheitsvo chisingaperi.
2. Kuderedza njodzi yekurwara nemoyo nekufa nekuda kwekurohwa nemoyo: Mamwe mishonga inodzivirira SGLT2 yakaratidzwa kuti inoderedza njodzi yekuiswa muchipatara nekufa, kunyanya kana ikapihwa varwere vane chirwere chemwoyo.
3. Kuderedza njodzi yekubatwa nechirwere chemwoyo nestroke: Dzimwe ongororo dzakaratidza kuti izvi zvinobatsirawo mukuderedza njodzi yekubatwa nechirwere chemwoyo nestroke.
Nekuda kwezvikonzero izvi, vanachiremba dzimwe nguva vanogona kupa mushonga uyu kuvanhu vasina chirwere cheshuga asi vane chirwere cheitsvo kana chemwoyo.
Mharidzo Yekuenda Nayo Kumba
- Mishonga inodzivirira chirwere cheshuga cherudzi rwechipiri inonzi SGLT2 imhando itsva yemishonga inonwiwa.
- Izvi zvinoshanda nekumisa itsvo kuti dzisadzorere shuga muropa uye dzoiburitsa muweti.
- Iyi haisi mishonga yekutanga inopihwa yechirwere cheshuga. Chiremba wako anogona kukukurudzira kana shuga yeropa rako isingadzoreki nemishonga yakasiyana.
- Pamusoro pekudzora chirwere cheshuga, vanewo kugona kunoshamisa kwekudzivirira itsvo nekuderedza njodzi yezvirwere zvemwoyo.
- Sezvinongoita chero mushonga, panogona kuva nemigumisiro yakaipa. Taura nachiremba wako nezvekuchinja kupi zvako kwaunosangana nako.
- Chiremba wako chete ndiye anogona kusarudza kana mushonga uyu wakakunakira, saka iva nechokwadi chekukurukura naye nezvazvo.
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