Matenda a 2 a shuga ndi matenda opita patsogolo. Anthu ambiri omwe ali ndi vuto la matenda posachedwa amapeza kuti chithandizo chamankhwala chokhazikika sichikugwiranso ntchito ngati kale. Izi zikakuchitikirani, inu ndi dokotala muyenera kupanga mapulani atsopano. Tikukuwuzani mwachidule komanso momveka bwino njira zina zomwe zilipo.
Mapiritsi
Pali magawo angapo a mankhwala osagwiritsa ntchito insulin kuti muchepetse shuga ya magazi omwe amakhudza matenda amtundu wa 2 m'njira zosiyanasiyana. Zina mwazo ndizophatikiza, ndipo adotolo atha kulembera angapo aiwo nthawi imodzi. Izi zimatchedwa mankhwala ophatikiza.
Nayi mfundo zazikulu:
- Metforminyomwe imagwira ntchito m'chiwindi chanu
- Thiazolidinediones (kapena Glitazones)zomwe zimapangitsa kuti shuga agwiritsidwe ntchito
- Amayamwaomwe amathandiza kuti kapamba anu apange insulin yambiri
- Zobowola zowumazomwe zimachepetsa kuyamwa kwa thupi lanu shuga
Zingwe
Zomwe sizikonzekera insulin sizili mwa mapiritsi, koma ma jakisoni.
Mankhwalawa ndi amitundu iwiri:
- GLP-1 receptor agonists - Imodzi mw mitundu ya ma insretin omwe amalimbikitsa kupanga kwa insulin komanso imathandizira chiwindi kutulutsa shuga wochepa. Pali mitundu ingapo ya mankhwalawa: ena amayenera kuperekedwa tsiku lililonse, ena amatha sabata.
- Anylin analogzomwe zimachepetsa chimbudzi chanu ndipo potero zimachepetsa shuga. Amapatsidwa chakudya chisanafike.
Mankhwala a insulin
Nthawi zambiri, insulini sinafotokozeredwe mtundu wachiwiri wa matenda ashuga, koma nthawi zina imafunikirabe. Mtundu wa insulini yofunika bwanji zimadalira mkhalidwe wanu.
Magulu akulu:
- Kuchita zinthu mwachangu. Amayamba kugwira ntchito pafupifupi mphindi 30 ndipo amapangidwira kuti azilamulira shuga panthawi yazakudya ndi zosakudya. Palinso ma insulini “othamanga” omwe amayenda mwachangu, koma nthawi yawo ndiyifupi.
- Ma insulini apakatikati: thupi limafunikira nthawi yochulukirapo kuti iwamwe kuposa ma insulini othamanga, koma amagwira ntchito nthawi yayitali. Ma insulini amenewo ndi oyenera kuwongolera shuga usiku komanso pakati pa chakudya.
- Ochita masewera olimbitsa thupi kwa nthawi yayitali amakhala olimbitsa thupi masiku ambiri masana. Amagwira ntchito usiku, pakati pa chakudya komanso mukasala kapena kudumphira chakudya. Nthawi zina, zotsatira zake zimatha kuposa tsiku limodzi.
- Palinso zosakanikirana za kudya mwachangu ndi kuchita insulin zazitali ndipo amatchedwa ... zodabwitsa! - kuphatikiza.
Dokotala wanu adzakuthandizani kusankha mtundu wabwino wa insulin kwa inu, komanso kukuphunzitsani momwe mungapangire jakisoni woyenera.
Zomwe zimagwiritsidwa ntchito jekeseni
Syringendi omwe mungalowe ndi insulin mu:
- Belly
- Thu
- Matako
- Mapewa
Cholembera anagwiritsa ntchito njira yomweyo, koma ndi yosavuta kugwiritsa ntchito kuposa syringe.
Pampu: Ichi ndiye chiwembu chomwe mumanyamula munyumba mwanu kapena thumba lanu pa lamba wanu. Pokhala ndi chubu chopyapyala, chimalumikizidwa ndi singano yomwe imayikidwa mu minofu yofewa ya thupi lanu. Kudzera mu izi, malinga ndi dongosolo lomwe limakonzedwa, mumalandira mlingo wa insulin mwachangu.
Opaleshoni
Inde, inde, pali njira zopangira opaleshoni yamtundu wa 2 shuga. Mwina munamvapo kuti nyenyezi imodzi idataya thupi chifukwa chakufinya m'mimba. Kuchita koteroko kumakhudzana ndi opaleshoni ya bariatric - gawo lamankhwala lomwe limagwira kunenepa kwambiri. Chaposachedwa, njira zopangira opaleshoni izi ziyamba kuvomerezeka kwa odwala omwe ali ndi matenda a shuga a 2 omwe ali onenepa kwambiri. Kuvutitsa m'mimba si chithandizo chamankhwala a matenda a shuga a mtundu wachiwiri. Koma ngati dokotala akukhulupirira kuti index yanu yamphamvu kuposa 35, njirayi ikhoza kukupulumutsirani. Ndikofunikira kudziwa kuti zotsatira za nthawi yayitali za opaleshoni yachiwiriyo sizikudziwika, koma njira yodziwikirayi ikufalikira kwambiri ku West, chifukwa imapangitsa kuchepa kwambiri kwa thupi, komwe kumapangitsa matenda a shuga kukhala osavuta.
Zikondamoyo zopanga
Monga momwe asayansi amakonzera, ichi chizikhala dongosolo limodzi lomwe liziwonetsetsa kuchuluka kwa shuga m'magazi m'njira zosasinthika ndikukujambulani nokha ndi insulin kapena mankhwala ena mukawafuna.
Mtunduwo, wotchedwa system yotsekeka yotseka, wavomerezedwa ndi FDA (bungwe la US Department of Health and Human Services) mu 2016. Amayang'anitsitsa mphindi zisanu zilizonse ndikuvulaza insulin ikafunika.
Kupanga kumeneku kwapangidwira anthu omwe ali ndi matenda amtundu wa 1, koma atha kukhala oyenera kwa odwala omwe ali ndi matenda a shuga a 2.
