Kuqhelekile ukuba uzive usoyika kwaye uxhalabile xa ufumanisa ukuba unesifo seswekile. Kodwa eyona nto ilungileyo kukuba kukho unyango olungcono olufumanekayo namhlanje kunangaphambili ukukunceda ulawule isifo sakho seswekile kwaye uphile ubomi obusempilweni. Kunye, wena nogqirha wakho niya kuyila isicwangciso sokukunceda ulawule amanqanaba eglucose egazini lakho kwaye nigcine ubunzima obusempilweni.
Ngamanye amaxesha, iyeza elinye lisenokunganeli ukugcina amazinga eswekile egazini lakho eqhelekile. Kwimeko ezinjalo, ugqirha wakho unokongeza amanye amayeza. Masithethe ngezi ndlela zonyango nganye nganye.
Amayeza Omlomo
Uninzi lwabantu abanesifo seswekile sohlobo lwesibini baqala unyango ngamayeza abizwa ngokuba yiMetformin. Oku kusebenza kakhulu ngokunciphisa inani leswekile eyenziwa sisibindi sakho. IMetformin ikwanceda izihlunu zakho ukuba zifunxe i-hormone ye-insulin ngcono, nto leyo enceda umzimba wakho usebenzise iswekile oyifumanayo.
Eli yeza lidla ngokuthathwa kabini ngemini. Eyona nto ibalulekileyo kukuthatha eli pilisi kunye nokutya. Oku kunokunciphisa kakhulu iziphumo ebezingalindelekanga ezifana nokuphazamiseka kwesisu, ingakumbi urhudo.
Ukuba i-metformin yodwa ayilawuli amanqanaba eswekile egazini lakho, ugqirha wakho unokunyusa idosi yakho okanye wongeze uhlobo olutsha lwamayeza. Makhe sijonge ukuba zeziphi ezinye ezi ziyobisi.
Khumbula, onke la mayeza afanele asetyenziswe kuphela phantsi kwengcebiso kagqirha wakho. Akufuneki uwasebenzise kuba nje umhlobo ewasebenzisa, kuba imeko yomzimba yomntu ngamnye yahlukile.
| Uhlobo lweyeza kunye nenkcazo elula | Imizekelo (amagama eebhrendi) |
|---|---|
| Izithinteli ze-alpha-glucosidase Ezi zisebenza ngokuthintela umzimba ekuqhekezeni ukutya okunesitatshi esikutyayo, okufana nesonka neetapile, ngaloo ndlela kunciphisa ukunyuka kweswekile egazini ngequbuliso. | I-Acarbose (iPrecose), iMiglitol (iGlyset) |
| Izinto ezidibanisa i-bile acid La ngamayeza anciphisa i-cholesterol embi (i-LDL cholesterol) emzimbeni. Kodwa kufunyenwe ukuba anciphisa amanqanaba eswekile egazini. Oku kunokuba kukhuselekile kubantu abangenakuthatha amanye amayeza eswekile ngenxa yesifo sesibindi. | I-Colesevelam (iWelchol) |
| Izithinteli ze-DPP-4 Ezi zinceda ukulawula isifo seswekile ngokunciphisa amanqanaba eswekile egazini. | I-Alogliptin (Nesina), iLinagliptin (Tradjenta), iSaxagliptin (Onglyza), iSitagliptin (Januvia) |
| Ii-agonists ze-GLP-1 receptor Ezi zixelela umzimba ukuba uvelise i-insulin engakumbi. Zikwanciphisa isantya sokugaya ukutya kwaye zikwenze uzive ugcwele. Ezinye zezi zikwafumaneka njengeenaliti. | I-Dulaglutide (iTrulicity), i-Exenatide (iByetta), i-Liraglutide (iVictoza), i-Semaglutide (i-Ozempic, i-Rybelsus) |
| I-agonist ye-GIP kunye ne-GLP-1 receptor Olu luhlobo olutsha lwamayeza. La mayeza anceda ekwandiseni imveliso ye-insulin kuphela xa amazinga eswekile egazini ephezulu. | ITirzepatide (Mounjaro) |
| I-Meglitinides Ezi zinceda umzimba ukuba uvelise i-insulin engakumbi. La mayeza adla ngokuthathwa ngaphambi kokutya okuphambili. | I-Nateglinide (Starlix), iRepaglinide (Prandin) |
| Izithinteli ze-SGLT2 Olu hlobo lwamayeza lukhethekile kakhulu. Lusebenza ngokususa iswekile engaphezulu egazini lakho ngezintso zakho nomchamo. Amanye amayeza (afana ne-Empagliflozin) anceda ekunciphiseni umngcipheko wokuhlaselwa sisifo sentliziyo kubantu abanesifo sentliziyo. | I-Canagliflozin (Invokana), iDapagliflozin (Farxiga), i-Empagliflozin (Jardiance) |
| IiSulfonylureas Ezi zinto zivuselela i-pancreas yakho ukuba ivelise i-insulin engakumbi. | I-Glimepiride (Amaryl), i-Glipizide (Glucotrol), i-Glyburide (isifo seswekile) |
| I-Thiazolidinediones (ii-TZD) Oko kwenziwa zezi zinto kukwenza izihlunu kunye nezicubu zamafutha ziphendule ngakumbi kwi-insulin. Oko kukuthi, zonyusa ukusebenza kwe-insulin. | I-Pioglitazone (Actos), iRosiglitazone (Avandia) |
Unyango lwe-insulin
I-insulin yi-hormone ebalulekileyo eveliswa yimizimba yethu enceda ukuhambisa iswekile egazini iye kwiiseli ukuze isetyenziswe njengombane.
Ngoku, ukuba kufuneka uthathe inaliti ye-insulin, ungaze ucinge ukuba, "Owu, ndiza kulahlekelwa kulawulo lwesifo sam." Akunjalo. Umzimba womntu wonke wahlukile. Mhlawumbi ukuba ubunesifo seswekile ixesha elide, ukuba iswekile yakho yegazi iphezulu kakhulu, okanye ukuba unezinye iingxaki zempilo ezenza kube nzima ukulawula iswekile yakho yegazi ngeepilisi zodwa, ugqirha wakho unokucebisa ukuba usebenzise i-insulin kunye neepilisi.
Uninzi lwabantu lufaka i-insulin kwi-fatty layer engaphantsi kolusu. Ugqirha wakho uya kugqiba ukuba ufuna malini ngosuku.
Kukwakho neentlobo ezahlukeneyo ze-insulin.
- Isebenza ngokukhawuleza: Ezi zisebenza kwimizuzu embalwa emva kokutofwa kwaye zihlala iiyure ezininzi.
- Isebenza ngokufutshane: Isebenza kwisithuba sesiqingatha seyure kwaye ihlala iiyure ezi-3-6.
- Ukusebenza okuphakathi: Kusebenza emva kweeyure ezi-2-4 kwaye kuhlala iiyure ezili-12-18.
- Isebenza ixesha elide: Ezi zinceda ukugcina amanqanaba eswekile egazini ezinzile imini yonke.
Ungayifumana i-insulin ngesirinji, ipeni ezaliswe kwangaphambili, okanye isixhobo esincinci esifakwe phantsi kwesikhumba (ipompo ye-insulin). Ugqirha wakho uza kukuxelela ngqo indlela yokwenza oku.
Indlela yokusebenzisa amayeza ngokuchanekileyo?
Le yeyona nxalenye ibalulekileyo.
- Landela imiyalelo kagqirha wakho: Sela amayeza akho kanye njengoko ugqirha wakho ekuxelela, ngexesha nangobungakanani obumiselweyo. Amanye amayeza kufuneka athathwe kunye nokutya ukunciphisa iziphumo ebezingalindelekanga. Qiniseka ukuba uyayilandela loo miyalelo.
- Ukugcina amayeza akho: Ugqirha wakho okanye ingcali yezemithi iza kukunika iingcebiso malunga nendlela yokugcina amayeza akho. Ingakumbi izinto ezifana ne-insulin kufuneka zigcinwe kubushushu obufanelekileyo. Oku kuya kunceda ukugcina umgangatho wamayeza.
- Lumka ngotywala:Akukhuthazwa ukusela utywala xa usebenzisa amayeza athile, afana ne-metformin. Abantu abanesifo seswekile banokuba novelwano ngakumbi kwimiphumo yotywala kunabanye. Ngoko ke lumka kakhulu xa usela utywala. Kungcono ukuthetha nogqirha wakho ngalo mba.
Umyalezo Wokuya Ekhaya
- Isifo seswekile sisifo esilawulekayo, ngoko ke musa ukusoyika kakhulu.
- Sebenzisana nogqirha wakho ukuze uyile isicwangciso sonyango esifanelekileyo kuwe. Musa ukoyika ukubuza imibuzo ukuba unayo.
- Abantu abaninzi baqala unyango ngepilisi ebizwa ngokuba yi-metformin. Ukuyithatha kunye nokutya kunokunciphisa iziphumo ebezingalindelekanga.
- Ukusebenzisa i-insulin akuthethi ukuba isifo sakho asilawuleki. Lunyango oluyimfuneko nolusebenzayo kakhulu.
- Kubaluleke kakhulu ukusela amayeza achazwe ngugqirha, ngexesha elifanelekileyo, kwidosi efanelekileyo, nanjengoko kuchazwe ngugqirha.
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