Malangizo onse a kagwiritsidwe ntchito ka odwala matenda ashuga komanso kuwunika kwa odwala matenda ashuga

Pochiza matenda a shuga a mtundu wachiwiri, pali mitundu yambiri yosiyanasiyana, ndipo sizotheka nthawi zonse kupeza mankhwala omwe amathandizira kuthana ndi glycemia 100%. Chifukwa cha mitundu yosiyanasiyana ya mankhwala odwala matenda ashuga, kusokonezeka m'mutu sikungokhala ndi anthu odwala matenda ashuga.

Ngati munazolowera mankhwala a Diabeteson ndi malangizo ake ogwiritsira ntchito, koma osamvetsetsa bwino ngati ndi oyenera kwa inu ndi momwe angasinthidwire ngati mankhwalawo sakuthandiza, ndiye kuti nkhaniyi ndiyofunika nthawi yake.

Diabetes - mankhwala a matenda a shuga a 2

Kwa odwala matenda ashuga, imodzi mwanjira zothanirana ndi matendawa ndi kusintha matenda omwe amatchedwa "shuga kusala". Koma pakutsata kuwerenga kwa glucometer koyenera, zolakwika zambiri zitha kupangidwa, chifukwa cholinga cha mankhwalawo chiyenera kukhala cholondola, ndipo ndizowona makamaka kwa odwala matenda ashuga. Mankhwala atsopano ku French amaperekedwa kwa aliyense - kuchokera othamanga mpaka odwala matenda ashuga, koma ndi osathandiza kwa aliyense.

Kuti mumvetsetse omwe amafunikira, muyenera kudziwa mtundu wa mankhwala omwe ali ndi matenda ashuga komanso pamtundu wa zomwe amapanga. Mankhwalawa amachokera ku mankhwala a sulfanilurea, agwiritsidwa ntchito bwino padziko lonse lapansi kwanthawi yayitali.

Mu bokosi la makatoni, monga pachithunzichi, mutha kuwona miyala yoyera yoyera yokhala ndi zilembo zosindikizidwa "60" ndi "DIA" mbali iliyonse. Kuphatikiza pa gawo lalikulu la gliclazide, Diabeteson ilinso ndi mafilimu: maltodextrin, lactose monohydrate, magnesium stearate, silicon dioxide.

Diabeteson ndi dzina lazamalonda lapadziko lonse lapansi, wopanga ovomerezeka wa mankhwalawo ndi kampani ya ku France ya pharmacological ya ku France.

Wodziwika bwino dzina la mankhwala ndi glyclazide, wotchedwa wophatikiza.

Ndi gliclazide, ma analogi ambiri amitundu yosiyanasiyana amapangidwa, motero muchipatala amatha kupereka, malinga ndi mankhwala omwe amakonda, osati French Diabeteson, koma analogi ina yochokera pa gliclazide, pamtengo wotsika mtengo.

Diabeteson analogues

Alumali moyo wa mankhwala ndi 2 zaka, mtsogolo siabwino mankhwala ndipo ayenera kutaya. Zofunikira zapadera pakasungidwe kake sizofunikira.

M'malo mwa Diabeteson wa mankhwala, mtengo wake womwe umachokera ku ruble 260-320, mankhwala omwe amapezeka ndi mankhwala:

• Diabefarm, RF;
• Gliclad, Slovenia;
• Glidiab wa Russian Federation;
• Diabinax, India;
• Gliclazide, RF;
• Predian, Yugoslavia;
• Diatika, India;
• Glisid, India;
• Glucostabil, RF;
• Glioral, Yugoslavia;
• Reklid, India.

Kuphatikiza pa mankhwalawa, Server amapanganso diabeteson MV. Mankhwala ena onse ndi opangidwa ndi majini, opangawo sanawapange, koma adangopeza ufulu wotulutsa, ndipo umboni wonse umangogwiritsa ntchito mankhwala oyamba a Diabeteson.

Mitundu yamagetsi imadziwika ndi mtundu wa wodalitsika, nthawi zina izi zimakhudza mphamvu ya mankhwalawa. Mtundu wopanga bajeti kwambiri wa analogue ndi mizu ya India ndi China. Mwa zida zapakhomo zomwe zimagonjetsa bwino malonda a Dialogon, amalemekezedwa ndi Glibiab ndi Gliclazid-Akos.

Momwe mungasinthire shuga

Ngati palibe njira yoyenera pakati pa mayendedwe omwe mungatchule, mutha kusankha:

1. Mankhwala ena ochokera ku kalasi yokonzekera sulfonylurea monga glibenclamide, glycvidone, glimepiride;
2. Mankhwala a gulu lina, koma ndimayendedwe ofanana, monga chizolowezi chatsopano kuchokera mkalasi la dongo;
3. Chida chokhala ndi zotsatira zofananira monga DPP-4 zoletsa - Januvia, Galvus, etc.

Pazifukwa ziti zomwe sizingakhale zofunikira kusankha njira, ndi akatswiri okhanso omwe angasinthe dongosolo la chithandizo. Kudzifufuza komanso kudzidziwitsa za matenda ashuga kumatha kuvulaza!

Maninil kapena Diabeteson - ndibwino bwanji?

Njira zosiyanasiyana zothanirana ndi matenda amtundu wa 2 zimayambitsa chiopsezo cha zovuta zakupha m'njira zosiyanasiyana. Glibenclamide - chinthu chogwira ntchito ku Maninil ndi champhamvu kwambiri kuposa glyclazide - chopangira chachikulu mu Diabeteson. Ngakhale izi zingakhale zopindulitsa mungazipeze ndemanga za akatswiri omwe amasanthula mafunso okhudzana ndi matenda ashuga komanso kuwunika pamabwalo.

Momwe mungagwiritsire ntchito - malangizo

Mankhwala osavuta a Diabeteson MV, omwe amapangidwa pamaziko a hydrophilic matrix, amasiyanitsa kutulutsa kwazomwe zimagwira. Kwa analogue wamba, nthawi ya mayankho a glycoside sichidutsa maola 2 - 3.

Mutatha kugwiritsa ntchito Diabeteson MV, gliclazide imatulutsidwa momwe mungathere pakudya, ndipo nthawi yonseyo, kuchuluka kwa glycemic kumayendetsedwa ndikutulutsa microdoses m'magazi masana.

Analogue yosavuta imapangidwa ndi mlingo wa 80 mg, ndi mphamvu yayitali - 30 ndi 60 mg. Njira yapadera ya Diabeteson MV inathandizira kuchepetsa mlingo wa mankhwalawa, chifukwa chaichi chitha kugwiritsidwa ntchito 1 nthawi / tsiku lokha. Masiku ano, madokotala samakonda kusankha mankhwala osavuta, koma amapezekabe m'mafakisi.

Madokotala amalimbikitsa kuti pakhale mankhwala atsopano omwe ali ndi mphamvu yayitali, popeza imakhala yofewa kwambiri kuposa mankhwala ena a sulfonylurea, chiopsezo cha hypoglycemia ndi chochepa, ndipo zotsatira za piritsi limodzi zimatha tsiku limodzi.

Kwa iwo amaiwala kumwa mapiritsi munthawi yake, kumwa kamodzi ndi mwayi waukulu. Inde, ndipo endocrinologist angakulitse mlingo, kukwaniritsa kuyang'anira kwa glycemia wodwala. Mwachilengedwe, odwala matenda ashuga amalembedwa kuphatikiza ndi zakudya zama carb otsika ndi minofu, popanda zomwe mapiritsi a antidiabetes sangathe.

Matenda a diabeteson

Diabetes ndi m'gulu la mankhwala omwe amalimbikitsa kapamba ndipo, makamaka ma b-cell omwe ali ndi vuto lopanga insulin. Mulingo wazomwe zimapangitsa kuti mankhwalawa akhale osangalatsa ngati mankhwalawa, tikayerekeza Maninil kapena Diabetes, ndiye Maninil ali ndi mphamvu zambiri.

Ndi matenda a shuga a mtundu 2, limodzi ndi kunenepa kulikonse, mankhwalawa sawonetsedwa. Zimawonjezeredwa ku regimen ya chithandizo, pamene zizindikiro zonse zakuchepa kwa gland yogwira ntchito zikuwonekera ndipo kukondoweza ndikofunikira kupititsa patsogolo kupanga kwa insulin.

Mankhwalawa abwezeretsa gawo loyamba la kupanga kwa mahomoni ngati odwala matenda ashuga achepetsa kapena ayi. Kuphatikiza pa cholinga chake chachikulu (kutsitsa glycemia), mankhwalawa ali ndi phindu pa mitsempha yamagazi ndi dongosolo la magazi. Pochepetsa kuphatikizika kwa maselo a m'magazi (kumamatira), kumachepetsa mwayi wamagazi m'mitseto yaying'ono, kumalimbitsa endothelium yawo yamkati, ndikupanga chitetezo cha angioprotective.

Ma algorithm omwe amawonetsedwa ndi mankhwala amatha kuyimilidwa motere:

1. Kukondoweza kwa kapamba kuti apititse magazi kulowa mumagazi;
2. Kutsatira ndikubwezeretsa gawo loyamba la insulin;
3. Kuchepetsa kuphatikiza kwa mapulateleti kuti muchepetse kuwoneka kwa magetsi ang'ono;
4. Pang'ono antioxidant kanthu.

Mlingo umodzi wa mankhwalawo umasunga chofunikira chogwira ntchito ya plasma masana. Mankhwalawa amaphatikizidwa m'chiwindi, impso zake zimachotsedwa (mpaka 1% - momwe zimakhalira kale). Mwa kukula, kusintha kwakukulu pamikhalidwe ya pharmacokinetic sikunalembedwe.

Ubwino ndi kuipa kwa mankhwalawa

Ngati tiyerekeza Diabeteson MV ndi fanizo la gulu la sulfonylurea, ndiye kuti ali patsogolo pawo mwa kuchita bwino.

• Mofulumira amakhazikitsa shuga mafuta;
• Imayambitsa gawo lachiwiri la kupanga insulini, imabwezeretsa msanga nsonga yake poyankha mawonekedwe a shuga;
• Amachepetsa mwayi wamagazi;
• Chiwopsezo cha kukhala ndi hypoglycemia chimatsikira mpaka 7% (kwa ma analogues - ochokera ku sulfanylurea - kuchuluka kwake ndikokwanira kwambiri;
• Malangizo omwe amamwa mankhwalawa ndi 1 r / tsiku. Chifukwa chake, ndikosavuta kwa odwala matenda ashuga kuiwala kutsatira zomwe dokotala wamupatsa;
• Kulemera kumakhazikika - Gliclazide pamapiritsi otulutsidwa otulutsa samathandizira kulemera;
• Ndikosavuta kwa dokotala kusintha mlingo - chiopsezo cha hypoglycemia chochepa;
• Ma mamolekyulu osokoneza bongo amawonetsa katundu wa antioxidant;
• Chiwerengero chochepa cha zoyipa (mpaka 1%).

Pamodzi ndi zabwino zake zosagawika, mankhwalawa ali ndi zovuta zingapo:

1. Mankhwalawa amathandizira kuti ma b-cell apangidwe omwe amapanga insulin;
2. Kwa zaka 2-8 (mwa akazi owonda - mwachangu) mtundu wa 2 shuga umasinthidwa kukhala mtundu 1 wa shuga;
3. Kukana kwa insulin, chomwe chimayambitsa matenda a shuga a 2, mankhwalawa samachotsa, komanso amawonjezera;
4. Kuchepetsa shuga m'magazi sikutsimikizira kuti matenda a shuga atha kuchepera - zoonadi zimatsimikizira maphunziro a mbiri yabwino yapadziko lonse lapansi ADVANCE.

Kuti thupi lisasankhe pakati pazovuta kuchokera ku kapamba kapena mtima, muyenera kulabadira zakudya zamagulu ochepa komanso kuchita masewera olimbitsa thupi mokwanira.

Zizindikiro za mankhwala

Diabeteson adapangidwira kusintha mawonekedwe a glycemic, kupewa zovuta za shuga, kuchepetsa chiopsezo cha kugunda kwa mtima, stroko, nephropathy, retinopathy. Koma imagwiritsidwanso ntchito ndi osewera kuti kuwonjezera minofu.

Chifukwa chake, kwawonetsedwa:

• Anthu odwala matenda ashuga omwe ali ndi mtundu wachiwiri wa nthendayi yolimbitsa thupi kwambiri kapena mwamphamvu kwambiri komanso popanda kunenepa.
• Ochita masewera olimbitsa thupi kuti apangitse insulini, imathandizira kukula kwa minofu.

Diabeteson sinafotokozeredwe kwa odwala ngati njira yoyambira yamankhwala. Zili zovulanso kwa odwala matenda ashuga okhala ndi kunenepa kwambiri, popeza ali ndi kapamba ndipo motero imagwirira ntchito ndi kuchuluka, ndikupanga mitundu iwiri ya insulin kuti igonjetse shuga. Kuikidwa kwa Diabeteson m'gulu lino la odwala matenda ashuga kumatha kupha munthu chifukwa cha matenda amtima (CVS).

Kafukufuku wozama wachitika pankhaniyi, kutipangitsa kuti tidziwe mgwirizano pakati pa kusankha mankhwalawo chifukwa cha njira yoyambirira yothandizira anthu odwala matenda ashuga a mtundu wa 2 komanso mwayi wakufa. Zotsatira zaperekedwa pansipa.

1. Mwa odzipereka omwe ali ndi matenda a shuga a mtundu wa 2 omwe adalandira zotumphukira za sulufayida, poyerekeza ndi gulu lomwe likuwongolera matendawo, chiopsezo chakufa kwa CVS chinali 2pamwamba, matenda a mtima (CHD) - maulendo 4.6, ngozi ya cerebrovascular (NMC) ) - katatu.
2. Chiwopsezo cha kufa chifukwa cha matenda a mtima, NMC inali yayikulu pagulu lomwe limalandira glycoslide, glycidone ndi glibenclamide kuposa odzipereka omwe amatenga metformin.
3. Mwa odzipereka omwe adalandira gliclazide, poyerekeza ndi gulu lomwe limatenga glibenclamide, kusiyana kwazowopsa kunali kwodziwikiratu: kufa kwathunthu kunali kosakwana 20%, kuchokera ku CVS - ndi 40%, NMC - ndi 40%.

Chifukwa chake, kusankha kwa sulfonylurea derivatives (kuphatikiza Diabeteson) ngati mankhwala a mzere woyamba kumadzetsa chiyembekezo chakufa kawiri m'zaka 5, mwayi wokhala ndi vuto la mtima - nthawi 4,6, stroke - mwa katatu.Ndi mtundu wachiwiri wa matenda ashuga wachiwiri, palibe njira ina yomwe Metformin angagwiritsire ntchito ngati mzere woyamba. Ndi kudya kwa nthawi yayitali (osachepera zaka zitatu) a Diabeteson, chiopsezo chotenga matenda a atherosulinosis amachepetsa kwambiri. M'makonzedwe ena a gulu la sulfonylurea, izi sizimawonedwa. Mwambiri, mphamvu yotsutsana ndi mankhwalawa imaperekedwa ndi mphamvu yake ya antioxidant yomwe imateteza maselo ku oxidation.

Kodi vuto la matenda ashuga a 2 lingabweretse kanema bwanji?

Anthu othamanga odwala matenda ashuga

Mankhwala othandizira odwala matenda a shuga amathandizanso chidwi cha chiwindi, minofu ndi mafuta kuti apatsidwe insulin. Pomanga thupi, imagwiritsidwa ntchito ngati anabolic yamphamvu, yomwe ingagulidwe popanda zovuta ku pharmacy kapena pa intaneti. Anthu odwala matenda ashuga amagwiritsa ntchito Diabeteson kuti ibwezeretse gawo loyamba la kupanga mahomoni ndikupanga gawo lachiwiri la momwe amapangidwira.

Chipangizocho chikuyenera kugwiritsidwa ntchito ndi omanga thupi okhala ndi ma b-cell athanzi. Mankhwalawa amakhudza kagayidwe ka mafuta, kayendedwe ka magazi, magazi ake, amakhala ndi mphamvu ya antioxidant. Diabetes imasinthidwa kukhala metabolites mu chiwindi, mankhwalawa amasiya thupi kwathunthu.

M'masewera, mankhwalawa amagwiritsidwa ntchito kuthandizira kwambiri anabolism, chifukwa chake, othamanga amawonjezera minofu yambiri.

Ndi mphamvu yake, imatha kufananizidwa ndi insulin poplites. Ndi njira iyi yokwanira kulemera, muyenera kuvomereza mosamala, kudya katatu pa tsiku (mapuloteni, chakudya), kuyang'anira thanzi lanu kuti musaphonye kuyambika kwa zizindikiro za hypoglycemia.

Yambitsani maphunzirowa ndi mapiritsi a Ѕ, pang'onopang'ono muyezo. Imwani piritsi m'mawa ndi chakudya. Njira yovomerezedwa ndi miyezi 1-2, kutengera moyo wabwino ndi zotsatira zake. Mutha kubwereza mchaka chimodzi, ngati mukugwiritsa ntchito Diabeteson pafupipafupi kamodzi pa miyezi isanu ndi umodzi, zovuta zaumoyo sizingalephereke.

Ndi maphunziro achiwiri, mlingo ungathe kuwirikiza kawiri (mpaka mapiritsi 2 / tsiku). Simungatenge odwala matenda ashuga patsambalo la chakudya chamagulu kapena kudya njira zina zowonjezera kulemera. Mankhwalawa amatha maola 10 ndipo amafunika zakudya zopatsa thanzi panthawiyi. Pa chizindikiro choyamba cha hypoglycemia, othamanga ayenera kudya bala kapena maswiti ena.

Pakanema - kugwiritsa ntchito matenda a shuga pofuna kulemera - ndemanga.

Contraindication kuti agwiritse ntchito

Mankhwala onse ali ndi contraindication, musanagwiritse ntchito Diabeteson ndikofunika kulabadira machenjezo awa:

• Mtundu woyamba wa shuga;
• Kuzindikira kwakukulu pazomwe zimapangidwira;
• Ketoacidosis, wodwala matenda ashuga;
• Ana ndi unyamata;
• Mimba ndi yoyamwitsa;
• Njira zazikulu za impso ndi chiwindi;
• Kusalolera payekha kwa mankhwala ozikidwa pa sulfonylurea;
• Kugwiritsa ntchito miconazole munthawi yomweyo.

Kodi kugwiritsidwa ntchito limodzi kwa mankhwalawa kumakhudza bwanji zotsatira za mankhwala? Miconazole imathandizira kuchepetsa kufupika kwa shuga. Ngati simuwongolera mbiri yanu ya glycemic munthawi yake, pamakhala ngozi yoti mukhale ndi hypoglycemia. Ngati palibe njira ina ya miconazole, adokotala ayenera kuchepetsa mlingo wa matenda ashuga.

Mosamala, muyenera kumwa mankhwalawa akaphatikizidwa ndi:

1. Phenylbutazone (butadione);
2. Mankhwala ena a hypoglycemic;
3. Anticoagulants (warfarin);
4. Ndi mowa.

A shuga amatha kuwonjezera kusalolera ku mowa. Izi zimawonetsedwa ndi kupuma movutikira, kupweteka mutu, tachycardia, kukokana kwam'mimba, ndi zovuta zina za dyspeptic. Ngati Diabeteson adayambitsa hypoglycemia, ndiye kuti mowa umapangitsa kuti zizindikirika. Popeza zizindikiro za kuledzera ndizofanana ndi glycemic, mothandizidwa mwadzidzidzi, chiopsezo cha matenda a shuga chikuwonjezereka.

Mlingo woyenera wa munthu wodwala matenda ashuga ndi kapu ya vinyo wofiyira wofunikayo. Ndipo ngati pali kusankha, ndibwino osamwa konse mowa.

Zotsatira zoyipa

Choyipa chachikulu ndi hypoglycemia - kutsika kwa shuga m'munsi mwa chandamale, limodzi ndi zizindikiro zotsatirazi:

• Mutu ndi kusokonezeka kwa mgwirizano;
• Njala yosalamulirika;
• Matenda a Dyspeptic;
• Kutha;
• Chisangalalo chosinthana ndi mantha;
• Kuletsa, kulephera kulolera;
• Kusokonezeka kwa kalankhulidwe ndi kuwonongeka kwa mawonekedwe;
• Kudziletsa, kudziletsa;
• Kukhumudwitsa.

Kuphatikiza pa hypoglycemia, palinso zovuta zina:

1. Thupi lawo siligwirizana;
2. Kuphwanya kwam'mimba chakudya;
3. Zolakwika mu magazi (magazi m'thupi, kuchepa kwa maselo oyera);
4. Kukula kwa michere ya chiwindi AST ndi ALT.

Zotsatira zonse zimasinthidwa ndikudutsa popanda chithandizo chamankhwala atachotsedwa kwa odwala matenda ashuga. Ngati mankhwalawa mankhwala m'malo mwa antidiabetesic wothandizila, ndiye kuti mkati mwa masiku 10 ndikofunikira kuti azilamulira glycemia kuti tipewe kuwopsa kwa hypoglycemia.

Posankha Diabeteson, adotolo ayenera kudziwitsa wodwalayo za zoyipa zomwe zingachitike ndi zizindikiro za bongo.

Dongosolo la matenda ashuga ndi dongosolo

Pamaukonde a mankhwala, mankhwalawa amaperekedwa m'mitundu iwiri:

• A shuga ndi mlingo wa 80 mg;
• Diabeteson MV wolemera 30 ndi 60 mg.

Kwa odwala matenda ashuga wamba, chizolowezi choyambira ndi 80 mg / tsiku .. Pakapita nthawi, amawonjezeredwa kukhala zidutswa 2-3 patsiku, ndikuzigawa muyezo waukulu. Zolemba malire patsiku, mutha kumwa mapiritsi 4.

Kwa a Diabeteson osinthika, gawo loyambira ndi 30 mg / tsiku ngati kuli koyenera, mlingo umasinthidwa bwino. Diabeteson MV imadyedwa 1 r. / Day., Upamwamba - mpaka 120 mg. Ngakhale mlingo waukulu ndi womwe umayesedwa, uyenera kumwedwa nthawi ina m'mawa.

Monga mankhwala ena onse a kalfanilurea, Diabeteson amayenera kuledzera theka la ola musanadye. Kumwa pa nthawi yofanana ndi malangizo, odwala matenda ashuga amalola kumwa mankhwalawo ndikuwonetsa ntchito yake ndi supuni yoyamba ya chakudya.

Mphamvu ya mlingo wosankhidwa imatha kuwunika kunyumba, ndi glucometer.

Yang'anani momwe imagwirira ntchito musanadye komanso mutatha kudya (pambuyo maola 2). Mlingo woyenera amawerengedwa payekhapayekha: malinga ndi mbiri ya glycemic ndi mayeso a labotale a glycosylated hemoglobin HbA1C. Mutha kuphatikiza kugwiritsa ntchito Diabeteson ndi antidiabetic agents ndi njira ina yochitirapo kanthu.

Bongo

Popeza kulandira chithandizo ndi matenda ashuga ndiwowopsa pakukula kwa hypoglycemia, mlingo wowonjezera wa mankhwalawo umakulitsa Zizindikiro zake kangapo.

Mukayesa kudzipha kapena mwangozi mwangozi, muyenera:

1. Kutumphuka kwa m'mimba;
2. Glycemia amawongolera mphindi 10 zilizonse;
3. Ngati glucometer ili pansipa (5.5 mmol / L), imwani zakumwa zotsekemera popanda zotsekemera zokuzira;
4. Kuwunika momwe mankhwalawa amathandizira - pazotheka kwake konse (maola 24).

Chithandizo chachikulu cha matenda a shuga a mtundu wachiwiri

Diabeteson nthawi zambiri sagwiritsidwa ntchito ngati mankhwala amodzi, komanso mankhwala ovuta. Zimagwirizana ndi othandizira onse odwala matenda ashuga, kupatula mankhwala a sulfonylurea kalasi (ali ndi njira yofananira), komanso chatsopano: imathandizanso kuphatikiza kwa mahomoni, koma mosiyana.

Diabeteson amagwira ntchito bwino molumikizana ndi Metformin. Motere, opanga aku Russia adapanganso mankhwala ophatikizira a Glimecomb, momwe amapangira 40 g ya glycoslazide ndi 500 mg ya metformin.

Kugwiritsa ntchito mankhwalawa kumadziwika ndi kuwonjezeka kwabwino kwa kutsata (wodwala matenda ashuga amawerengera njira yolembetsera mankhwala). Glimecomb imatengedwa m'mawa ndi madzulo nthawi yomweyo isanayambe kapena itatha chakudya. Zotsatira zoyipa za mankhwalawa zimapezekanso kwa metformin ndi gliclazide.

Kuyanjana kwa mankhwala osokoneza bongo

Pali mankhwala ambiri omwe amawonjezera chiopsezo cha hypoglycemia akagwiritsidwa ntchito limodzi ndi Diabeteson. Dokotala amayenera kusamala makamaka popereka acarbose, metformin, thiazolidatediones, DPP-4 inhibitors, agPists a GLP-1, komanso insulin ndi Diabeteson.

Mankhwala ambiri omwe amathandizidwa kwa odwala matenda oopsa amathanso kulimbikitsa matenda a shuga. Dokotala ayenera kukumbukira za β-blockers, ACE inhibitors ndi Mao, fluconazole, sulfonamides, histamine H2-receptor blockers, clarithromycin.

Mndandanda wathunthu wa mankhwala omwe amathandizira kapena kufooketsa ntchito ya kapangidwe kake kameneka amatha kupezeka mumayendedwe oyambira. Ngakhale asanalembetse matenda a shuga, ndikofunikira kuti wodwala matenda ashuga azidziwitse dokotala za mankhwala, zowonjezera zakudya, mankhwala azitsamba omwe amamwa.

Zomwe anthu odwala matenda ashuga amaganiza za matenda ashuga

Ndemanga za anthu odwala matenda ashuga zimaphatikizidwa za Diabetes: zimathandiza kuchepetsa shuga, koma ambiri sakanapewa. Mapiritsi osintha-glyclazide osinthika amaloledwa mosavuta. Zotsatira zoyipa zimawonedwa nthawi zambiri mwa anthu odwala matenda ashuga omwe amatenga shuga kwa zaka zingapo.

Ngati a Diabetes sanathandize

Diabeteson akapanda kugwira ntchito zake, malinga ndi endocrinologists, izi zitha kukhala pazifukwa zosiyanasiyana:

1. Kulephera kutsatira mfundo za zakudya zamafuta ochepa, ntchito zolimbitsa thupi zosakwanira;
2. Mlingo wosankhidwa wosankhidwa wa mankhwala;
3. Kubowola kwambiri kwa matenda ashuga, ofuna kusintha kwa njira zochizira;
4. Mankhwala osokoneza bongo;
5. Kulephera kutsatira mankhwalawa;
6. Thupi siliganizira gliclazide.

Ndikofunikira kukumbukira kuti odwala matenda ashuga amawerengeka pagulu la odwala matenda ashuga. Chifukwa chake, musanamwe mankhwala, ndikofunikira kuti muwerenge malangizo ndi nkhaniyi kuti mutsimikizire kuti nthawi yake yoyenera ndi yolondola. Zambiri paz mawonekedwe

A shuga amawonera kanema