- Indlela yokuphila kunye notshintsho lokutya
- Ukuzilolonga
- Amayeza
Asebenza njani la mayeza esifo seswekile?
Ngamafutshane, injongo ephambili yala mayeza kukunciphisa iswekile yakho egazini, okanye "iglucose egazini," ukuya kwinqanaba elisempilweni. Oku kunceda nokulawula ixabiso lakho le-"A1c". Ukuxhathisa i-insulin yimbangela ephambili yesifo seswekile sohlobo lwesibini (kunye nesifo seswekile sokukhulelwa).Imeko ebizwa ngokuba yi-'insulin resistance'. Khawuthelekelele, iiseli emzimbeni wakho (izihlunu zakho, amafutha, kunye neeseli zesibindi) aziphenduli ngokufanelekileyo kwi-hormone ethi 'insulin'. I-insulin yinto eyenziwa yipancreas yakho. Iguqula i-'glucose' yeswekile ekutyeni esikutyayo ibe ngamandla. Le yinkqubo ebalulekileyo kuthi ukuze siphile. Ke, xa une-insulin resistance, ipancreas yakho kufuneka ivelise i-insulin engaphezulu ukulawula amanqanaba eswekile egazini lakho. Nangona kunjalo, xa ipancreas yakho ingakwazi ukwenza i-insulin eyaneleyo, amanqanaba eswekile egazini lakho ayanyuka. Oku sikubiza ngokuba ngamanqanaba aphezulu eswekile egazini 'i-hyperglycemia'. Ukuba oku kuyaqhubeka, kunokubangela iingxaki ezahlukeneyo zempilo. Ukumelana ne-insulin kunzima kancinci. Amayeza eswekile asebenza ngeendlela ezahlukeneyo zokunciphisa iswekile egazini. Amanye amayeza anceda ipancreas yakho ukuba yenze i-insulin engaphezulu. Ukongeza kumayeza, ukuzilolonga kubalulekile ekunciphiseni ngokwemvelo ukuxhathisa i-insulin.Ngawaphi amayeza asetyenziswa ngomlomo kubantu abanesifo seswekile?
Kukho iintlobo ezahlukeneyo zamayeza anceda ukulawula isifo seswekile, kwaye asebenza ngeendlela ezahlukeneyo. Makhe sijonge ukuba zeziphi:| Udidi lweziyobisi | Ingaba isebenza kanjani | Imizekelo |
|---|---|---|
| Izithinteli ze-alpha-glucosidase | Ilawula ukuqhekeka kweekhabhohayidreyithi kunye neswekile emathunjini. | `I-Acarbose`, `I-Miglitol` |
| IiBiguanides | Inciphisa ubungakanani beglucose eveliswa sisibindi, inyusa uvakalelo lwe-insulin. | 'I-Metformin' |
| Izinto ezidibanisa i-bile acid | Nangona inciphisa i-cholesterol, ikwanciphisa namanqanaba eswekile egazini. | `I-Colesevelam` |
| Ii-agonists ze-Dopamine-2 | Ichaphazela ingqondo ukuba inciphise ukuxhathisa i-insulin. | `Bromocriptine` |
| Izithinteli ze-DPP-4 (iiGliptin) | I-hormone ye-GLP-1 igcina iswekile egazini iphantsi kolawulo ngokuyigcina isebenza. | I-Alogliptin, iLinagliptin, iSaxagliptin, iSitagliptin |
| I-Meglitinides (iiGlinides) | Ivuselela i-pancreas kwaye ibangele ukuba ikhuphe i-insulin. | `INateglinide`, `I-Repaglinide` |
| Izithinteli ze-SGLT2 | Iglucose engaphezulu ikhutshwa kumchamo. | ``Canagliflozin'', ``Dapagliflozin'', ``Empagliflozin'' |
| IiSulfonylureas | Ivuselela i-pancreas kwaye ibangele ukuba ikhuphe i-insulin engaphezulu. | ``I-Glimepiride'', ``I-Glipizide'', ``I-Glyburide'' |
| I-Thiazolidinediones (ii-TZD) | Yenza izicubu zibe buthathaka ngakumbi kwi-insulin. | ``Rosiglitazone'', ``Pioglitazone'' |
Zithini iziphumo ebezingalindelekanga zamayeza eswekile?
Njengazo zonke amayeza, amayeza eswekile anokuba nemiphumo emibi. Iyeza ngalinye linokubangela iingxaki ezahlukeneyo. Iziphumo ebezingalindelekanga eziqhelekileyo ziingxaki zesisu (urhudo, ukuqhina, ukudumba). Eyona nto ibalulekileyo kukuxelela ugqirha wakho ngayo nayiphi na imiphumo emibi.Umngcipheko we-hypoglycemia
Amanye amayeza eswekile, ingakumbi lawo abizwa ngokuba yi-'Meglitinides' kunye ne-'Sulfonylureas', anokubangela ukuba amanqanaba eswekile egazini lakho ehle ngequbuliso (i-hypoglycemia). Oku kwenzeka xa iswekile egazini lakho iwela ngaphantsi kwe-70 mg/dL. Le yimeko embi kakhulu.Iimpawu ze-hypoglycemia: ukungcangcazela, ukubila, isiyezi, indlala egqithisileyo, ukungazinzi, kunye nokubetha kwentliziyo ngokukhawuleza. Ukuba ezi mpawu ziyenzeka, yitya into eneswekile okanye iicarbohydrates ngoko nangoko.
Izinto onokuzixoxa nogqirha wakho
- Ukukhulelwa : Ukuba ukhulelwe okanye uceba ukukhulelwa, kubalulekile ukuxoxa ngamayeza akho nogqirha wakho. Uninzi lwamayeza athathwa ngomlomo, ngaphandle kweMetformin , alukhuthazwa ngexesha lokukhulelwa .
- Amanye amayeza: Xelela ugqirha wakho ngawo onke amanye amayeza, iivithamini , kunye nezongezo ozithathayo.
- Iziphumo ebezingalindelekanga: Xelela ugqirha wakho ngazo naziphi na iziphumo ebezingalindelekanga ozifumanayo.
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