Xa ugqirha wakho ekuxelela ukuba unesifo seswekile sohlobo lwesibini, usenokuziva usoyika kwaye uxhalabile, akunjalo? Kuqhelekile ukuba nemibuzo emininzi efana nokuthi "Andisayi kuphinda ndikwazi ukutya iilekese?" kunye nokuthi "Ngaba kuya kufuneka ndithathe amayeza ubomi bam bonke?" Kodwa ungakhathazeki. Enyanisweni, ukuba ulawula kakuhle, ungaphila ubomi obusempilweni nobuqhelekileyo. Kukho iindlela ezininzi zonyango zoku. Ukutya, umthambo, kunye namayeza asebenzisana ukulawula amanqanaba eglucose egazini lakho.
Namhlanje, masithethe ngeendlela zonyango ezikhoyo zokulawula isifo seswekile.
Zeziphi iipilisi ekufuneka uqale ngazo kuqala?
Rhoqo, xa umntu onesifo seswekile sohlobo lwesibini engakwazi ukulawula amanqanaba eswekile egazini lakhe ngokutya nangokuzilolonga kuphela, ugqirha uya kuqala amqalise ngohlobo oluthile lwamayeza. La mayeza asebenza ngeendlela ezahlukeneyo emzimbeni. Ngamanye amaxesha kusetyenziswa iyeza elinye kuphela, kwaye ngamanye amaxesha amayeza amabini okanye amathathu asetyenziswa kunye. Makhe sijonge iintlobo eziphambili zamayeza asetyenziswayo.
| Udidi lweziyobisi | Indlela esebenza ngayo nento omele uyazi |
|---|---|
| I-Metformin | Eli lelona yeza leswekile lisetyenziswa kakhulu ehlabathini. Lisebenza kakhulu ngokunciphisa ukuveliswa kweswekile sisibindi kwaye lenze kube lula kwiiseli zomzimba ukufunxa iswekile. Lidla ngokuthathwa kabini ngemini xa kutyiwa. Abanye abantu banokuba neengxaki zesisu kunye nokudumba ekuqaleni. |
| IiSulfonylureas Umzekelo: iGlimepiride, iGliclazide | La mayeza asebenza ngokuhambisa umyalezo kwipancreas zethu ukuba ivelise i-insulin engaphezulu kwihomoni. I-insulin yiyo evumela iswekile ukuba ingene kwiiseli zethu. Ezi zithathwa ngaphambi kokutya, kwaye ngamanye amaxesha zinokubangela iswekile ephantsi egazini (hypoglycemia) kunye nokutyeba. |
| Izithinteli ze-DPP-4 Umzekelo: Sitagliptin, Linagliptin | La mayeza asebenza ngokuthintela ukutshatyalaliswa kwehomoni emzimbeni wethu enceda ekuveliseni i-insulin. Ngoko ke loo hormones ihlala isebenza ixesha elide, ilawula amanqanaba eswekile egazini kuphela xa enyuka. Iziphumo ebezingalindelekanga zimbalwa kakhulu. |
| Izithinteli ze-SGLT2 Umzekelo: iDapagliflozin, iEmpagliflozin | Eli liyeza elisebenza ngendlela eyahlukileyo kancinci. Lisebenza kwizintso. Eli yeza linceda ukususa iswekile engaphezulu egazini lethu ngomchamo. Eli yeza linciphisa iswekile egazini kwaye linceda ekunciphiseni ubunzima bomzimba kunye noxinzelelo lwegazi. |
| I-Thiazolidinediones (ii-TZD) Umzekelo: iPioglitazone | Ezi zisebenza ngokunciphisa ukuxhathisa i-insulin kwiiseli zomzimba kunye nokuphucula ukusebenza kwe-insulin. Ezi azifanelekanga kubantu abaneengxaki zentliziyo. Ugqirha wakho uya kugqiba ngale nto. |
Eyona nto ibalulekileyo kukuba ngugqirha wakho kuphela onokumisela amayeza afanelekileyo kunye nomlinganiselo ofanelekileyo kuwe . Iyeza elisetyenziswa ngomnye umntu lisenokungasebenzi kuwe. Ngoko ke, kubalulekile ukulandela imiyalelo kagqirha wakho.
Amayeza Adibeneyo
Ngamanye amaxesha kunzima ukulawula iswekile yegazi ngonyango olunye kuphela. Kwiimeko ezinjalo, ugqirha angakunika amayeza amabini kunye. Ngoku, amayeza amabini anjalo afumaneka kwipilisi enye. Umzekelo, i-metformin kunye ne-sulfonylurea, okanye i-DPP-4 inhibitor, ziza kwipilisi enye. Oku kunokunciphisa inani leepilisi ekufuneka uzithathe ngosuku.
Unyango ngenaliti
Usenokucinga, "Hayi, akukho naliti." Kodwa kwezinye iimeko, ingakumbi xa ungakwazi ukulawula iswekile yakho ngeepilisi, kuya kufuneka usebenzise inaliti. Ezinye zezi zilungile kwintliziyo yakho kwaye zikunceda unciphise umzimba.
- Ii-GLP-1 Receptor Agonists: Ezi zi-injection ezisebenza njengee-hormone. Zivuselela ukuveliswa kwe-insulin kwaye zicothise ukugaya ukutya, zikwenze uzive ugcwele. Zinokukunceda unciphise ubunzima. Ezinye, njengeDulaglutide (Trulicity), kufuneka zitofwe kube kanye ngeveki. Ezinye, njengeLiraglutide (Victoza), kufuneka zitofwe yonke imihla.
- I-insulin:Kusenokufuneka usebenzise i-insulin okwethutyana, umzekelo, xa unesifo esibi okanye xa utyando. Kwakhona, ukuba ubungakanani be-insulin eveliswa ngumzimba wakho abanelanga ngokuhamba kwexesha, kuya kufuneka ufumane i-insulin ngaphandle. Ngokungafaniyo nexesha elidlulileyo, ngoku kukho iipeni ze-insulin ezilula kakhulu ukuzisebenzisa. Ugqirha wakho okanye umongikazi kwikliniki yesifo seswekile uza kukubonisa indlela yokuzitofa.
Okubaluleke ngakumbi kunonyango - utshintsho kwindlela yokuphila!
Nokuba usebenzisa amayeza anjani na, utshintsho kwindlela ophila ngayo lubalulekile ukuze ufumane iziphumo ezilungileyo. Esi sisiseko sonyango lwesifo seswekile.
1. Ukunciphisa umzimba: Ukunciphisa umzimba nge-5% ukuya kwi-10% kunokwenza umahluko omkhulu. Umzekelo, ukuba ubunzima bakho buziikhilogram ezili-175, ukunciphisa umzimba ngeekhilogram ezili-10 ukuya kwezili-18 kuphela kunokunciphisa amanqanaba akho e-A1c (amanqanaba eswekile egazini aqhelekileyo kwiinyanga ezi-3 ezidlulileyo) kwaye kunciphise umngcipheko wakho wesifo sentliziyo. Usenokukwazi nokunciphisa inani lamayeza owaselayo.
2. Ukutya okunempilo: Akukho nto ibizwa ngokuba "kukutya okunesifo seswekile." Eyona nto ibalulekileyo kukutya ukutya okunesondlo. Kufuneka ulumke malunga neecarbohydrate, ifayibha, amafutha kunye netyuwa. Lumka malunga nobungakanani bezinto ezifana nerayisi, isonka kunye neetapile ozityayo. Eyona nto ingcono onokuyenza kukudibana nogqirha wakho okanye ingcali yokutya ebhalisiweyo ukuze wenze isicwangciso sokutya esikufaneleyo.
3. Umsebenzi womzimba (ukuzilolonga): Xa sizilolonga, iiseli zethu ziya zikwazi ngakumbi ukusebenzisa i-insulin. Oku kuthetha ukuba iswekile esegazini lethu isetyenziselwa amandla. Kungaba lula njengokuhamba ngokukhawuleza imizuzu engama-30 ngosuku okanye ukwenza imisebenzi yasekhaya.
4. Lala kakuhle ebusuku: Ukungalali kakuhle nako kukwangunobangela wamanqanaba aphezulu eswekile egazini. Ngoko ke, ukulala ngokwaneleyo yonke imihla kukwayinxalenye yonyango.
Ngoko ke, ulukhetha njani unyango olukufaneleyo?
Ugqirha wakho uza kugqiba ukuba loluphi unyango olulungele wena kwezi ndlela zininzi. Uza kwenza esi sigqibo emva kokuqwalasela izinto ezininzi.
- Inqanaba lakho le-A1c: Ukuba i-A1c yakho iphezulu kakhulu kunoko ubujolise kuko, kunokufuneka uqale into efana ne-insulin ukulawula iswekile yakho yegazi ngokukhawuleza. Ukuba iphezulu kancinci, kunokufuneka uqale nge-metformin kunye notshintsho kwindlela yokuphila.
- Impilo yakho iyonke: Ukuba unesifo sentliziyo okanye isifo sezintso, ungakhetha amayeza afanelekileyo kuwe, njenge-SGLT2 inhibitor okanye i-GLP-1 inhibitor.
- Ixabiso: Isifo seswekile sisifo esihlala ixesha elide ekufuneka silawulwe. Ke ngoko, ixabiso lamayeza nalo libalulekile. Amanye amayeza angabizi kakhulu, ngelixa amanye ebiza kakhulu. Thetha nogqirha wakho ngale nto ngokukhululekileyo.
- Ukhetho lwakho:Ukuba awuyithandi inaliti, ungazama iipilisi ukuze ubone ukuba ungakwazi na ukulawula iimpawu zakho. Ukuba ungumntu olibeleyo ukuthatha amayeza akho, inaliti enye ngeveki inokuba lula ngakumbi.
Umyalezo Wokuya Ekhaya
- Isifo seswekile sohlobo lwesibini asisosifo esoyikwayo, kodwa sisifo esinokulawulwa kakuhle.
- Isiseko sonyango kukutya okunempilo, umthambo, kunye nokulawula ubunzima . Amayeza enzelwe ukunika inkxaso eyongezelelweyo.
- Ngugqirha wakho kuphela onokumisela amayeza afanelekileyo kunye nesicwangciso sonyango esifanelekileyo kuwe. Ngoko ke, hlala unxibelelana naye kwaye ulandele imiyalelo yakhe ngokuchanekileyo.
- Iingxaki ezibangelwa sisifo seswekile zinokuthintelwa ngokujonga rhoqo amanqanaba eswekile egazini, amanqanaba e-A1c, kunye nokusebenza kwamehlo, unyawo, kunye nezintso.
- Ukuba unenkxalabo malunga nonyango lwakho okanye ukuba unyango aluvelisi ziphumo zilindelekileyo, ungoyiki ukuthetha ngokukhululekileyo nogqirha wakho ngaloo nto.
💬 Comments (0)
Akukho zimvo zithunyelweyo okwangoku. Faka uluvo lwakho apha okokuqala.
Faka uluvo lwakho