Kuvamile ukuzizwa wesaba futhi ukhathazekile kancane uma uthola ukuthi unesifo sikashukela. Kodwa ingxenye engcono kakhulu ukuthi kunezindlela zokwelapha ezingcono ezitholakalayo namuhla kunanini ngaphambili zokukusiza ukuthi uphathe isifo sikashukela sakho futhi uphile impilo enempilo. Ngokubambisana, wena nodokotela wakho nizokwakha uhlelo lokukusiza ukuthi uphathe amazinga akho kashukela egazini futhi nilondoloze isisindo esinempilo.
Ngezinye izikhathi, umuthi owodwa ungase unganeli ukugcina amazinga kashukela egazini lakho ejwayelekile. Ezimweni ezinjalo, udokotela wakho angase angeze eminye imithi. Ake sixoxe ngalezi zindlela zokwelapha ngayinye ngayinye.
Imithi Yomlomo
Iningi labantu abanesifo sikashukela sohlobo lwesibili baqala ukwelashwa ngomuthi obizwa ngokuthi i-Metformin. Lokhu kusebenza kakhulu ngokunciphisa inani likashukela elenziwa yisibindi sakho. I-Metformin futhi isiza imisipha yakho ukuthi imunce kangcono i-hormone i-insulin, okusiza umzimba wakho ukuthi usebenzise ushukela owutholayo.
Lomuthi uvame ukuthathwa kabili ngosuku. Into ebaluleke kakhulu ukuphuza leli philisi kanye nokudla. Lokhu kunganciphisa kakhulu imiphumela emibi njengokuphazamiseka kwesisu, ikakhulukazi isifo sohudo.
Uma i-metformin iyodwa ingalawuli amazinga kashukela egazini lakho, udokotela wakho angase andise umthamo wakho noma afake uhlobo olusha lomuthi. Ake sibheke ukuthi iyini le mithi eminye.
Khumbula, yonke le mithi kufanele isetshenziswe kuphela ngaphansi kweseluleko sikadokotela wakho. Akufanele uyithathe ngoba nje umngane eyisebenzisa, ngoba izimo zomzimba womuntu ngamunye zihlukile.
| Uhlobo lomuthi kanye nencazelo elula | Izibonelo (amagama emikhiqizo) |
|---|---|
| Izithibi ze-Alpha-glucosidase Lokhu kusebenza ngokuvimbela umzimba ekuhlukaniseni ukudla okunesitashi esikudlayo, njengesinkwa namazambane, ngaleyo ndlela kunciphisa ukwanda okungazelelwe koshukela egazini. | I-Acarbose (Precose), i-Miglitol (i-Glyset) |
| Ama-sequestrant e-bile acid Empeleni lena imithi ehlisa i-cholesterol embi (i-LDL cholesterol) emzimbeni. Kodwa futhi kutholakale ukuthi yehlisa amazinga kashukela egazini. Lokhu kungaba okuphephile kubantu abangakwazi ukuthatha eminye imithi yesifo sikashukela ngenxa yesifo sesibindi. | I-Colesevelam (Welchol) |
| Izithibi ze-DPP-4 Lokhu kusiza ukulawula isifo sikashukela ngokunciphisa amazinga kashukela egazini. | I-Alogliptin (Nesina), i-Linagliptin (Tradjenta), i-Saxagliptin (Onglyza), i-Sitagliptin (Januvia) |
| Ama-agonist e-GLP-1 receptor Lokhu kutshela umzimba ukuthi ukhiqize i-insulin eningi. Futhi kunciphisa izinga lokugaya ukudla futhi kukwenze uzizwe usuthi. Ezinye zazo ziyatholakala futhi njengemijovo. | I-Dulaglutide (Trulicity), i-Exenatide (Byetta), i-Liraglutide (Victoza), i-Semaglutide (Ozempic, Rybelsus) |
| I-agonist ye-GIP kanye ne-GLP-1 receptor Lolu uhlobo olusha lomuthi. Lokhu kusiza ukwandisa ukukhiqizwa kwe-insulin kuphela uma amazinga kashukela egazini ephezulu. | I-Tirzepatide (Mounjaro) |
| Ama-Meglitinides Lokhu kusiza umzimba ukuthi ukhiqize i-insulin eningi. Le mithi ivame ukuthathwa ngaphambi kokudla okuyinhloko. | I-Nateglinide (Starlix), i-Repaglinide (Prandin) |
| Izithibi ze-SGLT2 Lolu hlobo lomuthi lukhethekile kakhulu. Lusebenza ngokususa ushukela omningi egazini lakho ngezinso zakho kanye nomchamo. Eminye imithi (njenge-Empagliflozin) nayo iyasiza ekunciphiseni ingozi yokuhlaselwa yinhliziyo kubantu abanesifo senhliziyo. | I-Canagliflozin (Invokana), i-Dapagliflozin (Farxiga), i-Empagliflozin (Jardiance) |
| Ama-Sulfonylurea Lokhu kukhuthaza ama-pancreas akho ukuthi akhiqize i-insulin eningi. | I-Glimepiride (Amaryl), i-Glipizide (Glucotrol), i-Glyburide (i-Diabeta) |
| Ama-Thiazolidinediones (ama-TZD) Lokhu okwenziwa yilokhu kwenza izicubu zemisipha namafutha zisabele kakhudlwana ku-insulin. Okusho ukuthi, zandisa ukusebenza kahle kwe-insulin. | I-Pioglitazone (Actos), i-Rosiglitazone (i-Avandia) |
Ukwelashwa nge-insulini
I-insulin iyi-hormone ebalulekile ekhiqizwa yimizimba yethu esiza ukuhambisa ushukela egazini uye emangqamuzaneni ukuze usetshenziselwe amandla.
Manje, uma kufanele uthathe umjovo we-insulin, ungalokothi ucabange ukuthi, "O, ngizolahlekelwa ukulawula isifo sami." Akunjalo. Umzimba wawo wonke umuntu uhlukile. Mhlawumbe uma usunesikhathi eside unesifo sikashukela, uma ushukela wakho wegazi uphezulu kakhulu, noma uma unezinye izinkinga zempilo ezenza kube nzima ukulawula ushukela wakho wegazi ngamaphilisi kuphela, udokotela wakho angase akuncome ukuthi usebenzise i-insulin kanye namaphilisi.
Iningi labantu lifaka i-insulini engxenyeni yamafutha ngaphansi kwesikhumba. Udokotela wakho uzonquma ukuthi udinga malini ngosuku.
Kukhona nezinhlobo ezahlukene ze-insulin.
- Ukusebenza ngokushesha: Lokhu kusebenza ngemizuzu embalwa ngemva kokujova futhi kuhlala amahora amaningana.
- Ukusebenza okufushane: Kusebenza zingakapheli isigamu sehora futhi kuhlala amahora angu-3-6.
- Ukusebenza okuphakathi nendawo: Kusebenza emahoreni angu-2-4 futhi kuthathe amahora angu-12-18.
- Isebenza isikhathi eside: Lokhu kusiza ukugcina amazinga kashukela egazini ezinzile usuku lonke.
Ungathola i-insulin ngesirinji, ipeni eligcwaliswe kusengaphambili, noma ithuluzi elincane elifakwe ngaphansi kwesikhumba (iphampu ye-insulin). Udokotela wakho uzokutshela ngqo ukuthi ungakwenza kanjani lokhu.
Ungayisebenzisa kanjani imithi ngendlela efanele?
Lena yingxenye ebaluleke kakhulu.
- Landela imiyalelo kadokotela wakho: Thatha imithi yakho njengoba nje udokotela wakho ekutshelile, ngesikhathi kanye nenani elibekiwe. Eminye imithi kufanele ithathwe nokudla ukuze kuncishiswe imiphumela emibi. Qiniseka ukuthi uyayilandela leyo miyalelo.
- Ukugcina imithi yakho: Udokotela wakho noma usokhemisi uzokweluleka ngendlela yokugcina imithi yakho. Ikakhulukazi izinto ezifana ne-insulin zidinga ukugcinwa ekushiseni okufanele. Lokhu kuzosiza ekulondolozeni ikhwalithi yomuthi.
- Qaphela utshwala:Akukhuthazwa ukuphuza utshwala uma uthatha imithi ethile, njenge-metformin. Abantu abanesifo sikashukela bangase babe nomuzwa omkhulu ngemiphumela yotshwala kuneminye. Ngakho-ke qaphela kakhulu uma uphuza utshwala. Kungcono ukukhuluma nodokotela wakho ngakho.
Umlayezo Wokuya Nawe Ekhaya
- Isifo sikashukela siyisifo esingalawuleki, ngakho-ke ungasesabi kakhulu.
- Sebenzisana nodokotela wakho ukuze wakhe uhlelo lokwelashwa olungcono kakhulu kuwe. Ungesabi ukubuza imibuzo uma unayo.
- Abantu abaningi baqala ukwelashwa ngephilisi elibizwa ngokuthi i-metformin. Ukuliphuza kanye nokudla kunganciphisa imiphumela emibi.
- Ukusebenzisa i-insulin akusho ukuthi isifo sakho asisalawuleki. Kuyindlela yokwelapha edingekayo futhi ephumelela kakhulu.
- Kubaluleke kakhulu ukuphuza imithi oyinikezwe udokotela, ngesikhathi esifanele, ngesilinganiso esifanele, futhi njengoba nje uyitshelwe.
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