Xa ucinga ngesifo seswekile, inaliti ye-insulin ifika engqondweni, akunjalo? Yinyani into yokuba abantu abaninzi basebenzisa i-insulin ukulawula isifo seswekile sabo. Kodwa ubusazi na ukuba kukho amayeza afakwa kwi-insulin, iipilisi zomlomo, kwanemithi ephefumlwayo yokulawula isifo seswekile? La mayeza abizwa ngokuba ngamayeza esifo seswekile angafakwa kwi-insulin. Namhlanje, siza kuthetha ngala mayeza angafakwa kwi-insulin. Makhe sijonge indlela asebenza ngayo, izinto ezilungileyo nezingalunganga, kunye nendlela yokukhetha ekufaneleyo.
Ezi pilisi zisebenza ngeendlela ezahlukeneyo!
Ayizizo zonke iipilisi zeswekile ezisebenza ngendlela efanayo. Ezinye iipilisi zandisa ukuveliswa kwe-insulin emizimbeni yethu. Ezinye zilawula ukufunxwa kweswekile ekutyeni esikutyayo. Kukho olunye uhlobo, olunceda iiseli zomzimba wethu ziphendule ngcono kwi-insulin. Ngoko ke ugqirha wakho uza kuvavanya imeko yakho aze akucebise uhlobo lweyeza okanye iintlobo ezahlukeneyo zamayeza afanelekileyo kuwe.
Ukuze kube lula ukuqonda, makhe sijonge ezi klasi ziphambili zamayeza kunye nendlela ezisebenza ngayo kwitheyibhile efana nale.
| Udidi lweziyobisi | Indlela esebenza ngayo ilula. | Iziphumo ebezingalindelekanga eziqhelekileyo |
|---|---|---|
| IiBiguanides (umz. iMetformin) | Eli lelona yeza lisetyenziswa kakhulu kwisifo seswekile sohlobo lwesibini. Linciphisa ukuveliswa kweswekile sisibindi. Likwanceda iiseli zomzimba ukuba zisebenzise i-insulin. | Ukuphazamiseka kwesisu (isicaphucaphu, ukuhlanza), incasa yesinyithi emlonyeni. |
| IiSulfonylureas (umzekelo, iGlimepiride, iGliclazide) | Ivuselela i-pancreas ukuba ivelise i-insulin engaphezulu. | Amanqanaba aphantsi eswekile egazini (iHypoglycemia), ukudumba kwesisu, ulusu olurhawuzelelayo, ukutyeba. |
| I-Meglitinides (umz. iRepaglinide) | Ezi zikwanyusa imveliso ye-insulin evela kwi-pancreas, kodwa zisebenza ngokukhawuleza kwaye zisebenza ixesha elifutshane. | Amanqanaba eswekile egazini aphantsi, isisu esibuhlungu. |
| Izithinteli ze-DPP-4 (umz. Sitagliptin, Vildagliptin) | Xa amanqanaba eswekile egazini enyuka, amanqanaba e-insulin ayanda. Ikwanceda ekunciphiseni ukuveliswa kweswekile sisibindi. Oku akubangeli ukutyeba . | Iziphumo ebezingalindelekanga zihlala zincinci. Ngamanye amaxesha iintlungu zamalungu kunye nosulelo lomphimbo lunokubakho. |
| Izithinteli ze-SGLT2 (umz. iDapagliflozin, iEmpagliflozin) | Zithintela izintso ekubuyiseleni iswekile emzimbeni, nto leyo evumela ukuba iswekile egqithisileyo ikhutshwe emchameni. Ezi zinokuba luncedo nakubantu abanesifo sentliziyo. | Usulelo lomchamo, usulelo lwemvubelo yesini, ukuquleka. |
| I-Thiazolidinediones (ii-TZD) (umz. iPioglitazone) | Inceda izihlunu kunye nezicubu zamafutha ziphendule ngcono kwi-insulin kwaye inciphisa ukuveliswa kweswekile sisibindi. | Ukugcinwa kolwelo, ukunyuka kobunzima, kunye nomngcipheko wesifo sentliziyo kufuneka kuxoxwe nogqirha wakho. |
| Izithinteli ze-alpha-glucosidase (Umzekelo: i-Acarbose) | Isitatshi kunye neeswekile esizityayo ziyagaywa emathunjini kwaye zifunxwe emzimbeni. | Igesi, iintlungu zesisu, ukudumba. |
Iipilisi eziDibeneyo
Ngamanye amaxesha, amanqanaba eswekile egazini lakho asenokungalawulwa kakuhle ngonyango olunye kuphela. Kwiimeko ezinjalo, ugqirha wakho unokukunika amayeza amabini. Ngaba bekungayi kuba lula ukusela ipilisi enye edibanisa amayeza amabini endaweni yokusela iipilisi ezimbini yonke imihla? Yiloo nto iipilisi ezidibeneyo zisetyenziselwa yona.
Umzekelo, amayeza afana ne-metformin ene-Glimepiride, okanye i-metformin ene-Sitagliptin, afika kwipilisi enye. Oku kunciphisa inani leepilisi ekufuneka uzithathe ngosuku, nto leyo eyenza kube lula ukusela amayeza rhoqo.
I-insulin ephefumlayo
Le yinto entsha. Luhlobo lwe-insulin esebenza ngokukhawuleza. Le insulin iza ngohlobo lwe-capsule kwaye iphefumlwa nge-inhaler ekhethekileyo. Idla ngokusetyenziswa ngaphambi kokutya. Oku kuvumela i-insulin ukuba ingene ngokukhawuleza egazini ngemiphunga.
Kodwa khumbula, oku akufanelanga wonke umntu. Ukuba utshaya, okanye unesifo semiphunga esifana ne-asthma okanye i-COPD, oku akufanelanga wena. Kwakhona, akufanelanga ukuthatha indawo ye-insulin esebenza ixesha elide.
Ukhetha njani amayeza afanelekileyo kuwe?
Ngoku usenokuba ucinga, "Wow, njengoko kukho amayeza amaninzi kangaka, ndingayikhetha njani efanelekileyo kum?" Akuyonto omele uyenze wedwa loo nto. Sisigqibo ekufanele usenze kunye nogqirha wakho. Xa usenza esi sigqibo, kufuneka ucinge ngezi zinto:
- Injani inqanaba leswekile egazini lakho? Abanye abantu banokuyilawula kakuhle iswekile yabo egazini ngeyeza elinye. Abanye bafuna amayeza aliqela.
- Zibiza malini ezi mithi? Amanye amayeza amatsha abiza kakhulu. Thetha nogqirha wakho ngale nto.
- Ngaba unezinye iingxaki zempilo? Ukuba unesifo sentliziyo, isifo sezintso, okanye iingxaki zesibindi, amanye amayeza anokuba afanelekileyo kunezinye. Umzekelo, izithinteli ze-SGLT2 zifunyenwe ziluncedo kwezinye izifo zentliziyo.
- Ngaba iziphumo ebezingalindelekanga ziyanyamezeleka? Iyeza elifanayo alichaphazeli wonke umntu ngendlela efanayo. Abanye abantu bafumana izinto ezifana nokuphazamiseka kwesisu kunye nokutyeba. Ukuba uneziphumo ebezingalindelekanga ezinzima ukuzinyamezela, kufuneka uxelele ugqirha wakho ngazo.
Thetha ngokukhululekileyo nogqirha wakho ngayo yonke le nto ukuze nikwazi ukukhetha unyango olusempilweni, olukhuselekileyo nolusebenzayo kuwe.
Umyalezo Wokuya Ekhaya
- Kukho inaliti ze-insulin zesifo seswekile, kunye neepilisi zomlomo kunye namayeza okuphefumla.
- Elinye la mayeza lilawula amanqanaba eswekile emzimbeni ngeendlela ezahlukeneyo.
- Ukukhetha amayeza afanelekileyo kuwe kufuneka kwenziwe ngokubonisana nogqirha wakho, kuthathelwa ingqalelo imeko yakho yempilo, indlela ophila ngayo, kunye nezinye izinto.
- Ungaze uyeke ukuthatha amayeza akho, utshintshe idosi, okanye uqale amayeza amatsha ngaphandle kwengcebiso kagqirha.
- Ukuba ufumana naziphi na iziphumo ebezingalindelekanga ezivela kwiyeza, ungoyiki kwaye wazise ugqirha wakho ngoko nangoko.
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