Mapiritsi a shuga amachepetsa shuga

Kwa matenda osiyanasiyana, mankhwalawa amagwiritsidwa ntchito kuti achepetse magazi. Mankhwalawa aliwonse ayenera kuperekedwa ndi adokotala, chifukwa ndikofunikira kuganizira zonse za matenda a munthu.

Matenda a shuga

Pali mtundu wina wa matenda ashuga omwe umayamba wotalikirapo ndi zizindikiro zaposachedwa. Ndi mawonekedwe oyamba a matendawa, njira zingapo zimayikidwa zomwe ziyenera kuchitidwa ndi wodwala:

• kusintha kwa zakudya zoyenera;
• zolimbitsa zolimbitsa thupi zimagwiritsidwa ntchito;
• wodwalayo ayenera kukhala ndi moyo wathanzi;
• Njira yochizira ndi mankhwala imayamba.

Mu matenda ashuga, mankhwala onse omwe munthu amamwa amawerengedwa mwachindunji ndi adotolo, omwe samangopangitsanso wodwalayo, komanso amathandizira odwala komanso kuwunika.

M'magulu osiyanasiyana a matenda ashuga, mankhwala osiyanasiyana amagwiritsidwa ntchito, pomwe zinthu zingapo zimayang'aniridwa:

• Mankhwala angapo sangathe kugwiritsidwa ntchito limodzi;
• mankhwala osowa kwambiri kapena mapiritsi a shuga a 2 kuti muchepetse shuga wamagazi angagulidwe ku pharmacy popanda mankhwala a dokotala
• ngati kuli kotheka, wazachipani amafotokoza njira yothandizira momwe mankhwalawo amathandizira pakapita kanthawi, pomwe sipamayenera kugwiritsidwa ntchito palimodzi mankhwalawa, chifukwa izi zingayambitse kuchepa kwa shuga;
• Mankhwala ali ndi njira yosiyanasiyana malinga ndi zotsatira za thupi.

Chifukwa chake, popanda kuperekedwa ndi katswiri, mankhwala aliwonse sangatengedwe, chifukwa izi zimabweretsa kuyipa mu thanzi. Matenda a shuga a Mtundu Wachiwiri, chifukwa cha mawonekedwe ake komanso kakulidwe kake, amafunika kuwunika mwapadera mankhwala.

Malamulo Ovomerezeka

Mankhwala aliwonse omwe ali ndi shuga wambiri ali ndi kapangidwe kapadera:

• madongosolo onse amapangidwa ndi adokotala, omwe wodwala amayang'aniridwa. Katswiri yekha ndi amene angayang'ane mawonekedwe onse amthupi ndi odwala;
• Mlingo wokhazikitsidwa umayesedwa ndi katswiri yemwe amapereka mankhwala amtundu wina;
• Palibe chifukwa choti mutenge mankhwala mukamayeserera kapena kusemphana ndi zochitika za tsiku ndi tsiku, ndiye kuti, mankhwala omwe ali ndi nthawi itatu patsiku lililonse sayenera kumwa kamodzi kokha patsiku ndi kumwa kwathunthu tsiku lililonse;
• Zotsatira zoyipa zilizonse kapena zovuta zina, muyenera kudziwitsa dokotala nthawi yomweyo.

Mkulu shuga ndi mankhwala osokoneza bongo kuti muchepetse ndizofunikira mwapadera zomwe zotsatira zoyipa zimalephereka. Ichi ndichifukwa chake mankhwala amatha kusankhidwa payekha.

Magulu a mankhwala osokoneza bongo

Mndandanda wamankhwala omwe amachepetsa shuga amatha kugawidwa m'magulu atatu molingana ndi momwe thupi la wodwalayo limakhudzira. Gawo lirilonse liri ndi mawonekedwe ake, pomwe mulinso zovuta zingapo komanso mtundu wina wogwirizana.

Pali magulu atatu onse:

• gulu loyambalo limaphatikizapo gulu la mankhwala omwe amathandizira kukulitsa kupanga kwa insulin ndi kapamba;
• gulu la mankhwala omwe amachititsa kuti insulin ichuluke;
• gulu lachitatu limaphatikizapo mankhwala angapo omwe amachepetsa mayamwidwe amthupi pamene akudutsa m'matumbo.

Zambiri za gulu loyamba:

• Zomwe mankhwala amapereka kwa wodwala zimasankhidwa ndi adokotala, chifukwa momwe mankhwalawa amachitikira amodzi ndi amodzi;
• Mankhwala aliwonse omwe ali mgululi amakhala ndi nthawi yodziwika, chifukwa chake, mlingo ndi nthawi yolandila siziyenera kuphwanyidwa;
• gulu loyamba la mankhwala limagwirizana kwambiri;
• kuphatikiza kotheka ndi mankhwala a magulu ena;
• zimatha kuyambitsa mavuto, kuphatikiza pakukula kwa matenda a sekondale.

Kwa anthu omwe ali ndi matenda okhudzana ndi shuga, mayina a mankhwala a shuga a magazi ayenera kukumbukira. Nthawi zambiri, akatswiri amachititsa maphunziro a Amarin, Diabeteson, Novonorm.

Gawo lachiwiri limaphatikizapo zabwino zomwe zimachitika chifukwa cha mankhwala omwe ali ndi chidwi chokulitsa kukana kwa insulin. Gawoli lilinso ndi magawo osiyanasiyana othandiza kusiyanitsa:

• kuchuluka kwa kusokonezeka kwa glucose kumakwera;
• zoyipa ndizochepa;
• ikhoza kugwiritsidwa ntchito ndi kunenepa kwambiri;
• choyenera mtundu wa 2 shuga;
• khalani ndi mgwirizano wabwino ndi gulu loyamba, kuphatikiza apo, insulin ikhoza kugwiritsidwa ntchito ndi iwo pazovuta;
• Ndi zovuta chithandizo, dzuwa limakula.

Gulu lachiwiri limagwiritsidwa ntchito pochiza nthawi zambiri, kuphatikiza apo, mankhwalawa, mwachitsanzo, Siofor, amagwiritsidwa ntchito pamaso pa mtundu wamtundu wa shuga.

Gulu lachitatu lili ndi mankhwala omwe amawongolera shuga. Ndiye kuti, mulingo womwe umasungidwa pomwe shuga sakwera. Zinthu:

• Nthawi zambiri chithandizo chimachitika ndi Glucobay;
• pali zotsatira zoyipa zingapo zomwe zimawoneka ndi kumwa kwambiri mafuta;
• Nthawi zambiri zimawonekera kupanga njira zamagetsi ndikupanga matenda am'mimba.

Gawo lililonse la mankhwala limatha kukhala losagwirizana kwa wodwala.

Zochitika zaposachedwa

Ndi chitukuko cha mankhwala, pakhala njira yopangira mankhwala ochizira matenda ashuga, omwe amapitilira magulu am'magulu am'mbuyomu molingana ndi momwe amagwirira ntchito. Zida za zida zaposachedwa ndizosiyanasiyana:

• pali mankhwala amtundu wamadzimadzi omwe amaphatikizidwa. Kuphatikiza apo, pali mapiritsi;
• kutsegulira kumachitika kokha ndi kuchuluka kwa shuga;
• pali mgwirizano ndi mankhwala amtundu uliwonse;
• kuphatikiza ndi insulin.

Ngati mankhwala a shuga a magazi agwiritsidwa ntchito, ndiye kuti dzina ndi mawonekedwe a makonzedwe amayenera kuwongoleredwa kwathunthu ndi dokotala. Izi ndichifukwa choti popereka mankhwala, dokotala yemwe akupezekapo amawonetsa mwatsatanetsatane momwe amwe mankhwalawo, ndiye kuti, ali m'madzi kapena mapiritsi. Kuphatikiza apo, mankhwala ambiri amatha kusiyanasiyana ndi zilembo ziwiri zokha, ngati mukukayika, muyenera kudziwa dzina lenileni la dokotala kuchokera kwa dokotala. Zonsezi zimachitika chifukwa cha kutsutsana, onse komanso amodzi.

Contraindication

Mankhwala omwe amachepetsa shuga, ndili ndi zotsutsana zingapo, ndiye kuti, pakakhala kuphwanya lamulo lililonse, mankhwala nthawi zambiri saikidwa mankhwala. Zoyipa:

• thupi lawo siligwirizana ndi chilichonse cha mankhwala;
• ngati pali vuto lalikulu, mwachitsanzo, chikomokere;
• ngati ntchito ya impso kapena chiwindi ikuphwanya kwambiri;
• mimba komanso yoyamwitsa;
• ubwana;
• ngati munthu ali ndi zaka zopitilira makumi asanu ndi limodzi kapena akumwa mowa, ndiye kuti mankhwalawa amatengedwa moyang'aniridwa ndi katswiri;
• kusokonezeka kwa endocrine ndikofunikanso kuwongolera.

Kuphatikiza pa contraindication, pali zingapo zoyipa zomwe zimatha kukhala payekha.

Pamaso pa chilichonse chosokoneza makonzedwe a mankhwalawa, muyenera kulankhulana ndi katswiri kuti apatsenso mtundu wina wa mankhwalawo kapena kuti muthane ndi mankhwalawo.

Ndemanga za Katswiri