Mankhwala a antidiabetesic amagawidwa m'magulu angapo. Mitundu ya mankhwalawa imasankhidwa ndi endocrinologist poganizira mtundu ndi mtundu wa matendawa.
Mankhwala, mankhwala omwe ali ndi ndalama zambiri amafunikira: zinthu zina ndiokwera mtengo, si mapiritsi onse omwe angathe kupezeka mwaulere pansi pa pulogalamu ya boma.
Mtengo wa mankhwala a shuga ndi chidziwitso chothandiza kwa achibale komanso odwala omwe amakakamizidwa kuwunika nthawi zonse misempha ya magazi.
Magulu a mankhwala omwe amagwiritsidwa ntchito pochiza matenda amtundu woyamba 1 komanso mtundu wachiwiri wa shuga ndi zovuta zowagwiritsa ntchito
Ngati kapamba satulutsa insulini ya mahomoni, ndiye kuti jakisoni tsiku lililonse komanso kumwa mapiritsi amafunikira kuti mudzaze kuchepa kwa chinthu chofunikira. Kudumpha mlingo wotsatira kumabweretsa kuwonjezeka kwambiri kwa shuga m'magazi, komwe kumatha kuyambitsa hyperglycemia komanso zotsatira zoyipa.
Wodwala amalandira tsiku ndi tsiku:
- yochepa ndi ya ultrashort insulini yochepa musanadye chakudya kuti mupewe kulumpha mu mawonekedwe a shuga;
- sing'anga yayitali komanso yayitali tsiku lonse kuti mukhale shuga wambiri wamwazi.
Njira yayikulu yamankhwala amtundu wa matenda ashuga 1 ndi njira zovomerezeka.
Monga adanenera dokotala, wodwalayo amatha kulandira mavitamini, mapiritsi olimbitsa chitetezo chokwanira, kusintha njira zama metabolic, komanso kupewa mavuto ndi magazi, impso ndi mitsempha yamagazi.
Ndi mtundu wodziyimira pawokha wa insulini, kupanga mahomoni omwe amayang'anira kuchuluka kwa glucose amachepetsedwa, kapena minofu yakeyo imalephera kuzindikira kapena kutengeka mosavuta ndi insulin. Cholinga chachikulu cha matenda ashuga amtundu wa 2 ndichakudya chokhala ndi carb chochepa kwambiri kuti muchepetse shuga.
Zakudya Zochepa-Carb Zakudya
Matebulo omwe akuwonetsa ma insulin ndi ma glycemic indices, magawo a mkate amasavuta kuwerengera kwa chakudya chomwe amalandila ndi chakudya chotsatira. Njira zowonjezera: zolimbitsa thupi zolimbitsa thupi, kusamalira khungu bwino, kuchotsa manjenje, kuyenda mu mpweya wabwino, kulimbitsa chitetezo chokwanira.
Ndi matendawa atazindikira, kupitilira kwa endocrine pathology, chiopsezo chachikulu cha hyperglycemia, adotolo amasankha mapiritsi amitundu yambiri. Kutengera ndi momwe wodwalayo alili, katswiri wodziwika bwino amaphatikiza mankhwala a mitundu iwiri kapena itatu.
Mtundu wachiwiri wa matenda ashuga, mankhwala amakono a gulu limodzi kapena zingapo amaperekedwa:
- biguanides;
- nyimbo zoletsa kaphatikizidwe ka enzyme dipeptidyl peptidase-4;
- glyphlozlins;
- alpha glucosidase zoletsa;
- kukonzekera kwa sulfonylurea;
- dongo;
- kachikachiyama.
Mlingo wa matenda ashuga:
- mapiritsi
- makapisozi;
- yankho la jakisoni;
- chigamba cha antidiabetesic;
- msuzi.
Ndi matenda oopsa, omwe amakhala ndi matendawo kwa nthawi yayitali, odwala matenda ashuga omwe ali ndi insulin kukana samakhala ndi mapiritsi okwanira kukhala ndi shuga wokwanira m'magazi. Pokhala ndi chiopsezo chachikulu cha hyperglycemia, endocrinologist imasankha mankhwala ophatikiza: kuphatikiza kwa zinthu pakamwa ndi jakisoni wa pancreatic hormone.
Mtengo wa mankhwala osokoneza bongo
Mtengo wa mankhwalawa umasiyana kwambiri, zimatengera wopanga: zogulitsa zapakhomo kapena zakunja. Zinthu zambiri zimapangidwa pamtundu wa chinthu chimodzi chogwira ntchito, koma nthawi zambiri pamakhala kusiyanasiyana pakugwiritsa ntchito.
Metformin
Mlingo: 500, 850 ndi 1000 mg. Mtengo wopakidwa No. 30 ndi 60 zimatengera kuchuluka kwa metformin. Mtengo wake umachokera ku ruble 120 mpaka 260.
Mapiritsi a Metformin
Yanumet (Yanulit, Yansmed)
Mankhwala ofanana ndi kuphatikiza kwa metformin ndi sitagliptin ndi okwera mtengo: pafupifupi ma ruble 2900 a mapiritsi a 56. Analogue ya Januvius ndiotchipa kuwirikiza kawiri, koma pali chinthu chimodzi chogwira - metformin.
Maulendo
Mankhwala othandizira odwala omwe ali ndi vuto linalellin. Mtengo wanyamula No. 30 ndi 1800 rubles.
Amaril
Zomwe zimagwira ndi glimepiride. Mtengo wa Amaril umatengera osati kuchuluka kwa zigawo za phukusili, komanso kuchuluka kwa zomwe zimagwira: 1, 2, 3, 4 mg. Pamapiritsi 30, muyenera kupatsa kuchokera ma ruble 370 mpaka 680, mapiritsi 90 - kuchokera 1290 mpaka 2950 rubles.
Mapiritsi a Amaryl
Glucostab
Anthu ambiri odwala matenda ashuga amatenga mankhwala ofooketsa tizilombo toyambitsa matenda tsiku lililonse. Glucostab imagwiritsidwa ntchito pa endocrine pathology mtundu 1 ndi 2 monga adanenera dokotala.
Wopanga chida ichi ndi Eduard Aldobaev. Ku Russian Federation, patent idapezeka mu 2010, ku Ukraine - mu 2008. Mtengo wapakati ndi ma ruble 600.
Diabetes
Mankhwala okhala ndi glyclazide. Mankhwalawa amapangidwa ku France. Kutengera mlingo wa hyperglycemia, mankhwala omwe ali ndi mphamvu yogwira 60 kapena 30 mg angagulidwe.
Mapiritsi a shuga
Kugwiritsa ntchito mapiritsi kukhazikika m'magazi a shuga. Diabeteson adalandira ndemanga zambiri zabwino. Phukusi la antidiabetesic agent No. 30 limawononga 340 rubles.
Diatrivine
Bioadditive imathandizira kugaya chakudya, ziwalo za genitourinary system, komanso chikhalidwe cha anthu odwala matenda ashuga. Kuphatikiza pa mankhwala, mutha kutenga makapisozi a Diatrivin pakulimbikitsidwa kwa endocrinologist. Momwe mungamwe bioadditive? Ndikofunikira kutsatira malangizo, Sinthani mlingo wa tsiku ndi tsiku womwe umaganizira shuga.
Mankhwala Diatrivin
Ma Levelkaps ndi Levelkaps Forte
Mankhwala tikulimbikitsidwa mtundu 1 shuga (lemba la buluu pa botolo la pulasitiki) ndi mtundu 2 (chidziwitso chikusonyeza). Levelcaps ndi gulu la Forte ndizowunikira zabwino. Ubwino wofunikira ndimakonzedwe owopsa mthupi, kuchotsedwa kwa hyperglycemia, komanso kuwonjezeka kwamphamvu yamaselo kuti glucose.
Muyezo wa Nutrien
Kukula kwa akatswiri aku Russia, chakudya chowonjezera. M'mafakitala, pali mitundu iwiri ya Nutren: Steril ndi Standard ndi fiber fiber. Zowonjezerazo zimakhala ndi mavitamini, michere, michere yama micro, michere yambiri, mafuta, mapuloteni. Mitengo: Muyezo - ma ruble 570 (350 g), Steril - 380 ma ruble (1 lita).
Muyezo wa Nutrien
Ubwino Forte
Poyerekeza ndi matenda ashuga, kwamikodzo thirakiti nthawi zambiri limavutika. Kuthothoka kwa phindu kumateteza kulephera kwa impso, kukonza njira yodutsamo tinthu tofanana ndi nyemba, kuchepetsa chiopsezo chokhala ndi calculi, alkalize mkojo. Mtengo wapakati wa madontho a Urofit ndi ma ruble 980, kuchuluka kwa mankhwalawa ndi 30 ml.
East pur
Mankhwala achi China okhala ndi maziko achilengedwe. Zotsatira zabwino pa matenda a 2 mtundu. Mankhwala achi China, monga mankhwala achilengedwe aku Korea pakuwongolera matenda a metabolic, alandila ndemanga zambiri kuchokera kwa odwala matenda ashuga.
Makapulogalamu Oyera a East
Kutsatsa sikuyenera kukhulupirira chilichonse: mankhwalawa samachotsa matenda ashuga kwathunthu, koma pali kusintha kwakukulu pakukhalanso bwino, matenda a metabolism a carbohydrate. Mtengo wake uyenera kufotokozedwa patsamba la boma mukamayitanitsa mankhwalawo.
Matenda a shuga
Zomwe zimachiritsa poyambirira ndi gelisi yamunyanja. Kuphatikizika ndi Fucus kumayamwa bwino, kumachepetsa shuga, kumalimbitsa chitetezo cha mthupi, kumalimbikitsa kagayidwe kazachilengedwe. Kukula kwa asayansi ochokera ku Russian Federation kuvomerezedwa ndi madokotala azachipatala. Katemera amatenga masiku 10. Mtengo wa chinthu chachilengedwe komanso zambiri mwatsatanetsatane pa diabetes shuga zimapezeka patsamba lovomerezeka la wopanga.
Matenda a shuga
Liraglutide
Mankhwalawa ndi a gulu la ma protein. Wothandizira antidiabetesic amapangidwa ku USA. Mankhwalawa ndi oyenera kwa odwala omwe ali ndi index yayikulu yamadzimadzi, amachepetsa thupi. Ku Russia, analogi imodzi ya Liraglutide imaloledwa - mankhwala Victoza. Mtengo wapakati ndi ma ruble 11300.
Mndandanda wamankhwala amtengo wapatali a antiidiabetes, komanso mtengo wake m'mafakisi
Zambiri mwa zinthuzo ndizogawo lamkati komanso lamtengo wokwera. Palibe mankhwala ambiri okhala ndi mtengo wovomerezeka komanso mavuto ochepa.Kugwiritsa ntchito nthawi ndi nthawi kwa othandizira a hypoglycemic kapena kulandira pafupipafupi mahomoni a pancreatic ndi mankhwala ena ndizovuta zazikulu kwa odwala. Ndi kuperewera kwa ndalama, ndikofunikira kudziwa kuti ndi mapiritsi ati omwe amathanso kusintha mankhwala okwera mtengo.
Musanaonane ndi endocrinologist wanu, ndizoletsedwa kuletsa mankhwala osokoneza bongo kapena kusintha mtundu umodzi wa mankhwala wokhala ndi mtengo wotsika mtengo. Komanso, simungasinthe mawonekedwe a mankhwalawa: jakisoni nthawi zonse amagwira bwino kuposa mapiritsi, sizinthu zonse zomwe zimatsitsa msanga glucose pamiyeso yovomerezeka.
Mapiritsi a Glucophage
Mitengo yotsika mtengo yoletsa matenda a hyperglycemia:
- Glucophage;
- Aktos;
- Metformin;
- Bagomet;
- Diabefarm;
- Gliclazide.
Makanema okhudzana nawo
About mitundu ya mankhwala a shuga mu kanema:
Ndikofunika kuzindikira zizindikiro za matenda ashuga munthawi yake, kukaonana ndi endocrinologist. Ndi matenda amtundu 1, muyenera kulandira jakisoni wa insulin moyo wanu wonse. Ndiosavuta kuchiza matenda amtundu wa 2, koma kudya zakudya komanso kumwa mapiritsi ndi kofunikira.
Mtengo wa mankhwala a shuga umakhala wokondweretsa kwambiri kwa odwala: mankhwalawa ndiwotalikirapo, simuyenera kuphonya kumwa mankhwala opatsirana odwala matenda ashuga. M'mafakitala, mumakhala mankhwala ndi zowonjezera zowonjezera zakudya, mankhwala othandizira achifwamba a mtengo osiyanasiyana. Kusankhidwa kwa mankhwala a mzere woyamba, zinthu zowonjezera, analogi zotsika mtengo zimagwirizana ndi endocrinologist.
