Kana chiremba wako akakuudza kuti une chirwere cheshuga cheType 2, unganzwa kutya uye kunetseka, handiti? Zvakajairika kuva nemibvunzo yakawanda yakaita sekuti "Handizombokwanisi kudya zvinotapira zvakare here?" uye "Ndichafanira kutora mishonga hupenyu hwangu hwese here?" Asi usazvidya mwoyo. Kutaura zvazviri, kana ukazvibata zvakanaka, unogona kurarama hupenyu hwakanaka uye hwakajairika. Kune nzira dzakawanda dzekurapa izvi. Kudya, kurovedza muviri, uye mishonga zvinoshanda pamwe chete kudzora huwandu hweshuga muropa rako.
Nhasi ngatitaurei nezve nzira dzekurapa dziripo dzekuderedza chirwere cheshuga.
Mapiritsi api ekutanga kutanga nawo?
Kazhinji, kana munhu ane chirwere cheshuga cherudzi rwechipiri asingakwanise kudzora huwandu hweshuga muropa rake kuburikidza nekudya uye kurovedza muviri chete, chiremba anotanga amutanga nerudzi rwemushonga. Izvi zvinoshanda nenzira dzakasiyana mumuviri. Dzimwe nguva mushonga mumwe chete unoshandiswa, uye dzimwe nguva mishonga miviri kana mitatu inoshandiswa pamwe chete. Ngatitarisei mhando huru dzemushonga dzinoshandiswa.
| Rudzi rwemishonga | Mashandiro azvo uye zvekuziva |
|---|---|
| Metformin | Uyu ndiwo mushonga wechirwere cheshuga unoshandiswa zvakanyanya pasi rose. Unoshanda zvakanyanya nekuderedza kugadzirwa kweshuga nechiropa uye kuita kuti zvive nyore kuti masero emuviri atore shuga. Unowanzo torwa kaviri pazuva nechikafu. Vamwe vanhu vanogona kusangana nedambudziko remudumbu uye kuzvimba pakutanga. |
| Sulfonylureas Semuenzaniso: Glimepiride, Gliclazide | Mishonga iyi inoshanda nekupa chiratidzo kune pancreas yedu kuti igadzire insulin yakawanda. Insulin ndiyo inobvumira shuga kupinda mumasero edu. Iyi inotorwa tisati tadya, uye dzimwe nguva inogona kukonzera kuderera kweshuga muropa (hypoglycemia) uye kuwedzera uremu. |
| Zvinodzivisa DPP-4 Semuenzaniso: Sitagliptin, Linagliptin | Mishonga iyi inoshanda nekudzivirira kuparadzwa kwehomoni mumuviri wedu inobatsira kugadzira insulin. Saka mahomoni iwayo anoramba achishanda kwenguva yakareba, achidzora huwandu hweshuga muropa chete kana yakwira. Migumisiro yacho mishoma. |
| Zvidziviriro zveSGLT2 Semuenzaniso: Dapagliflozin, Empagliflozin | Uyu mushonga unoshanda nenzira yakasiyana zvishoma. Unoshanda muitsvo. Mushonga uyu unobatsira kubvisa shuga yakawandisa muropa redu kuburikidza neweti. Izvi zvinoderedza shuga muropa uye zvinobatsirawo kuderedza huremu hwemuviri neBP. |
| Thiazolidinediones (TZDs) Semuenzaniso: Pioglitazone | Izvi zvinoshanda nekuderedza insulin resistance mumasero emuviri uye kuvandudza mashandiro e insulin. Izvi hazvina kukodzera vanhu vane matambudziko emwoyo. Chiremba wako ndiye achasarudza izvi. |
Chinhu chinonyanya kukosha ndechekuti chiremba wako chete ndiye anogona kusarudza mushonga wakakodzera uye mwero wekukupa . Mushonga uri kutorwa nemumwe munhu ungasashanda kwauri. Saka, zvakakosha kutevedzera mirairo yachiremba wako.
Mishonga Yakasanganiswa
Dzimwe nguva zvinonetsa kudzora shuga yeropa nemushonga mumwe chete. Muzviitiko zvakadaro, chiremba anogona kunyora mishonga miviri pamwe chete. Iye zvino, mishonga miviri yakadaro inowanikwa mupiritsi rimwe chete. Semuenzaniso, metformin nesulfonylurea, kana kuti DPP-4 inhibitor, zvinouya mupiritsi rimwe chete. Izvi zvinogona kuderedza huwandu hwemapiritsi aunofanira kunwa pazuva.
Kurapa nejekiseni
Ungafunga kuti, "Aiwa, hapana majekiseni." Asi mune dzimwe nguva, kunyanya kana usingakwanise kudzora shuga yako nemapiritsi, unofanirwa kushandisa majekiseni. Mamwe acho anobatsirawo pamoyo wako uye anokubatsira kuderedza uremu.
- GLP-1 Receptor Agonists: Aya majekiseni anoshanda semahormone. Anokurudzira kugadzirwa kwe insulin uye anononoka kugaya chikafu, zvichiita kuti unzwe wakaguta. Anogonawo kukubatsira kuderedza huremu. Mamwe, seDulaglutide (Trulicity), anofanira kubaiwa kamwe chete pasvondo. Mamwe, seLiraglutide (Victoza), anofanira kubaiwa zuva nezuva.
- Insulin:Ungangoda kushandisa insulin kwenguva pfupi, semuenzaniso, kana uine chirwere chakakomba kana paunenge uchivhiyiwa. Uyewo, kana huwandu hwe insulin inogadzirwa nemuviri wako hukasakwana nekufamba kwenguva, uchafanirwa kuwana insulin kubva kunze. Kusiyana nekare, ikozvino kune mapeni e insulin ari nyore kushandisa. Chiremba wako kana mukoti kukiriniki yechirwere cheshuga vachakuratidza majekiseni chaiwo ekuzvibaya.
Chinonyanya kukosha kupfuura mishonga - kuchinja mararamiro!
Hazvina mhosva kuti unotora mishonga ipi, kuchinja mararamiro ako kwakakosha kuti uwane mhedzisiro yakanaka. Iyi ndiyo hwaro hwekurapa chirwere cheshuga.
1. Kuderedza huremu: Kuderedza huremu hwemuviri wako ne5% kusvika 10% kunogona kuita mutsauko mukuru. Semuenzaniso, kana uchirema mapaundi 175, kuderedza mapaundi 10 kusvika 18 chete kunogona kuderedza huwandu hweA1c yako (avhareji yehuwandu hweshuga muropa mumwedzi mitatu yapfuura) uye kuderedza njodzi yako yechirwere chemwoyo. Unogonawo kuderedza huwandu hwemishonga yaunotora.
2. Kudya kwakanaka: Hapana chinhu chinonzi "kudya kwechirwere cheshuga." Chinhu chakakosha kudya chikafu chakakwana. Unofanira kungwarira makabhohaidhiretsi, faibha, mafuta, nemunyu. Ngwarira huwandu hwezvinhu zvakaita semupunga, chingwa, nembatatisi zvaunodya. Chinhu chakanakisa kuita kusangana nachiremba wako kana nyanzvi yezvekudya yakanyoreswa kuti ugadzire hurongwa hwekudya hunokunakira.
3. Kurovedza muviri (kurovedza muviri): Patinoita maekisesaizi, masero edu anosvika pakukwanisa kushandisa insulin zviri nyore. Izvi zvinoreva kuti shuga iri muropa redu inoshandiswa kuti tiwane simba. Zvinogona kuva nyore sekufamba nekukurumidza kwemaminitsi makumi matatu pazuva kana kuita mabasa epamba.
4. Rara zvakanaka: Kushaya hope kunokonzerawo huwandu hweshuga muropa. Saka, kurara zvakanaka zuva nezuva kwakaringanawo chikamu chekurapa.
Saka, unosarudza sei kurapwa kwakakunakira?
Chiremba wako ndiye achasarudza kuti ndeipi nzira dzekurapa dzakakunakira. Achaita sarudzo iyi mushure mekufunga nezvezvinhu zvakati wandei.
- A1c level yako: Kana A1c yako yakakwira zvakanyanya kupfuura yawaida, ungangoda kutanga chimwe chinhu chakaita se insulin kuti udzore shuga yako yeropa nekukurumidza. Kana yakakwira zvishoma, ungangoda kutanga ne metformin uye kuchinja mararamiro ako.
- Hutano hwako hwese: Kana uine chirwere chemwoyo kana cheitsvo, ungangodawo kusarudza mushonga wakakodzera iwe, wakadai seSGLT2 inhibitor kana GLP-1 inhibitor.
- Mutengo: Chirwere cheshuga chirwere chehupenyu hwese chinoda kugadziriswa. Saka, mutengo wemishonga unokoshawo. Mimwe mishonga haina mari yakawanda, nepo mimwe inodhura. Taura nachiremba wako nezvazvo pachena.
- Sarudzo yako:Kana usingade jekiseni, unogona kuedza mapiritsi kuti uone kana uchikwanisa kudzora zviratidzo zvako. Kana uri munhu anokanganwa kunwa mushonga wako, jekiseni rimwe chete pasvondo ringave nyore.
Mharidzo Yekuenda Nayo Kumba
- Chirwere cheshuga cherudzi rwechipiri hachisi chirwere chekutyiwa, asi chirwere chinogona kurapwa zvakanaka.
- Hwaro hwekurapa kudya zvine hutano, kurovedza muviri, uye kudzora huremu . Mishonga yakagadzirirwa kupa rutsigiro rwakawedzerwa.
- Chiremba wako chete ndiye anogona kukuudza mushonga wakanakira iwe uye nzira yekurapa nayo. Saka, ramba uchitaurirana naye uye tevera mirairo yake nemazvo.
- Matambudziko anokonzerwa nechirwere cheshuga anogona kudzivirirwa nekugara uchiongorora huwandu hweshuga muropa, huwandu hweA1c, uye mashandiro emaziso, tsoka, uye itsvo.
- Kana uine zvinokunetsa nezvekurapa kwako kana kuti kana kurapwa kwako kusiri kuunza mhedzisiro inotarisirwa, usatya kutaura pachena nachiremba wako nezvazvo.
💬 Comments (0)
Hapana zvakataurwa parizvino. Isa mhinduro yako pano kekutanga.
Wedzera zvaunofunga