Kuwongolera shuga kumwazi ndikofunikira kwambiri kwa anthu omwe ali ndi matenda ashuga. Kumwa mankhwala apadera, kudya, komanso moyo wathanzi kumathandizira kuti shuga azikhala pamlingo wovomerezeka.
Komabe, nthawi zambiri odwala matenda ashuga amakakamizidwa kumwa mankhwala ena. Kupatula apo, matendawa amabweretsa zovuta zambiri zomwe zimafuna chithandizo chokwanira chamankhwala.
Nthawi yomweyo, ndikofunikira kuyandikira kugwiritsa ntchito mankhwalawa mosamala kwambiri, chifukwa pakati pawo pakhoza kukhala mankhwala omwe amawonjezera shuga wamagazi, chifukwa chake, ndi osayenera komanso osavomerezeka kwa odwala matenda ashuga. Chifukwa chake, ndimankhwala ati omwe amawonjezera shuga?
Kodi odwala matenda ashuga amatenga chiyani?
Ndi mitundu yanji ya mankhwala omwe nthawi zambiri amakakamizidwa kutenga odwala omwe ali ndi matenda a shuga? Choyamba, awa ndi mankhwala osiyanasiyana omwe amagwiritsidwa ntchito pochiza matenda amtima.
Ndi mtima wamadongosolo a matenda ashuga omwe nthawi zambiri amakhudzidwa ndi zovuta zomwe zimayambitsa kukula kwa ma pathologies omwe angapangitse kuti wodwalayo afe.
Hypertension ndi matenda ofala kwambiri okhudzana ndi matenda ashuga. Chifukwa chake, odwala matenda ashuga ambiri amakakamizidwa kugwiritsa ntchito antihypertensive mankhwala. Kuphatikiza apo, kusintha kwa minyewa yothandizirana ndi matenda a shuga kumakhala kowopsa. Motere, odwala matenda ashuga akuwonetsedwa kugwiritsa ntchito mankhwala omwe amalimbitsa makhoma amitsempha yamagazi ndikuthandizira kuti magazi azithamanga.
Pomaliza, zotsatira za matenda ashuga zimatha kuchepa mu chitetezo chathupi komanso matenda. Izi zimapangitsa kuti odwala azigwiritsa ntchito antibacterial mankhwala omwe amathandiza thupi lochepa polimbana ndi tizilombo toyambitsa matenda.
M'magulu aliwonse omwe ali pamwambawa pali mankhwala omwe amatha, pansi pazinthu zina, kuwonjezera kuchuluka kwa shuga m'magazi.
Ndipo ngati ili siliri vuto kwa munthu wamba, ndiye kuti kwa odwala matenda ashuga zotere zimabweretsa zotsatira zoyipa, mpaka kufa ndi kufa.
Komabe, kusinthasintha pang'ono m'magazi a shuga kumakhudzanso kwambiri mkhalidwe wa odwala ndipo kumafunikira chidwi kwambiri. Ndi magometi ati omwe amagwiritsidwa ntchito kuchulukitsa shuga wamagazi ndi omwe angayambitse mavuto?
Mankhwala a antihypertensive
Ngati wodwala ali ndi matenda ashuga, osavomerezeka kugwiritsa ntchito mankhwalawa omwe amalimbikitsa shuga:
- beta blockers;
- diuretics a gulu la thiazide;
- nthawi yayitali kashiamu njira blockers.
Kusankha beta-blockers kwambiri amachititsa kagayidwe kachakudya. Kuchita kwawo kumawonjezera kuchuluka kwa shuga, komanso kumakhudza kagayidwe ka lipid ndipo kumathandizira kukulitsa kuchuluka kwa cholesterol m'magazi.
Zotsatira zoyipa za mitundu ina ya ma beta-blockers zimagwirizanitsidwa ndi kusakwanira kwa heterogeneity ya zinthu zomwe zili momwemo. Mwachidule, mankhwalawa amakhudza magulu onse a beta receptors mosasamala. Chifukwa cha beta-awiri blockade a adrenoreceptors, chamoyo chimachitika, chokhala ndi zosafunika ntchito ya ziwalo zina zamkati ndi tiziwalo timene timatulutsa.
Kusankha kwa beta-blockers kungalepheretse gawo loyamba la insulin kupanga ndi ma cell a pancreatic beta. Kuchokera pamenepa, kuchuluka kwa glucose wosagonjetseka kumatha kuwonjezeka kwambiri.
Choyipa china cholemera ndi kuwonda, zomwe zimanenedwa nthawi zambiri omwe amakhala akugwiritsa ntchito mankhwala osokoneza bongo a gululi. Izi zimachitika chifukwa chakuchepa kwa kuchuluka kwa kagayidwe kachakudya, kuchepa kwa mphamvu ya chakudya, komanso kuphwanya kwa matenthedwe ndi mpweya m'thupi.
Kuwonjezeka kwa kulemera kwa thupi kumabweretsa kuti munthu amafunikira kuchuluka kwa insulini yamoyo wabwinobwino.
Ma diuretics a gulu la thiazide, pokhala okhuthala mwamphamvu, amatsuka zinthu zosiyanasiyana. Zotsatira zamachitidwe awo zimakhazikitsidwa ndi kuchepa kwakukulu kwamisodium chifukwa chokodza mosalekeza komanso kuchepa kwathunthu kwamadzi amthupi. Komabe, okongoletsa oterewa alibe ntchito.
Izi zikutanthauza kuti zinthu zofunika kuti zizigwira ntchito bwino komanso kusamalira homeostasis zimatsukidwanso. Makamaka, kukondoweza kwa diuresis kumabweretsa kutsika kwa kuchuluka kwa chromium m'thupi. Kuchepa kwa chinthu ichi chotsogolera kumapangitsa kuti maselo azikhala osokoneza bongo komanso kuchepa kwa insulin.
Otsutsa a calcium opitilira muyeso amathandizanso shuga m'magayidwe a shuga.
Zowona, zotere zimachitika pokhapokha atamwa mokwanira ndipo ndi chifukwa cha mapangidwe a zochita za gululi.
Chowonadi ndi chakuti mankhwalawa amalepheretsa kulowa kwa calcium ion kulowa m'maselo a kapamba. Chifukwa cha izi, ntchito zawo zimachepa, ndipo kupanga insulin kumatha kuchepetsedwa kwambiri.
Maselo othandizira komanso antibacterial
Mankhwalawa amagwiritsidwa ntchito popewa kuwonongeka m'mitsempha yamagazi omwe angayambitse kutsekeka kwa magazi ndi kufunikira kwa kuchitapo kanthu opaleshoni. Komabe, odwala matenda ashuga ayenera kusamala ndi mankhwala omwe ali ndi mahomoni angapo.
Ngati kapangidwe kake ka mankhwalawa akuphatikizanso cortisol, glucagon kapena chinthu china chofanana - kayendetsedwe ka odwala matenda ashuga sikotetezeka.
Chowonadi ndi chakuti mahormoni amatha kuchepetsa kupanga insulin, kuletsa kapamba. Nthawi zambiri, izi zimapangitsa kuti maselo azikhala ndi mphamvu, koma kwa anthu omwe ali ndi matenda ashuga, zotere zimatha kukhala zowopsa kwambiri.
Mwachitsanzo, glucagon ya mahomoni m'thupi lathanzi imapangidwa ngati kuchepa kwakukulu kwa shuga m'matumbo a shuga. Hormone iyi imagwira ntchito m'maselo a chiwindi, chifukwa cha zomwe glycogen yomwe imadziphatikizira imasinthidwa ndi glucose ndikutulutsa m'magazi. Chifukwa chake, kudya mankhwala osokoneza bongo pafupipafupi, komwe kumaphatikizira mankhwalawa, kumathandizira kuwonjezeka kwa ndende ya glucose.
Aspirin Angayambitse Kuchulukitsa kwa Magazi
Anthu odwala matenda ashuga sayenera kuyeserera kumwa mahomoni a corticosteroid ndi zinthu zina zomwe zimachepetsa kupanga insulin. Komabe, pomwe matenda a shuga a 2 adapezeka, ndipo kapamba adaletsanso kutulutsa insulin, kumwa mankhwalawa atha kukhala oyenera - sizingakhudze kuchuluka kwa shuga m'magazi.
Kusamala kumafunika kumwa mankhwala oletsa kutupa. Mankhwala osokoneza bongo monga Aspirin, Diclofenac, ndi Analgin angapangitse kuchuluka kwa shuga. Osagwiritsa ntchito mankhwala a Doxycycline.
Mankhwala ena
Awa ndi mankhwala akuluakulu omwe saloledwa kugwiritsa ntchito pamaso pa matenda ashuga. Kuphatikiza apo, mankhwala ena ofala amatha kukhala osokoneza thupi la odwala matenda ashuga.Makamaka, mapiritsi ogona a barbiturates, ma tridclic antidepressants, kukonzekera kwa nikotini sayenera kugwiritsidwa ntchito.
Muchepetse kugwiritsa ntchito ma sympathomimetics ndi mahomoni okula. Zingakhale zovulaza kumwa Isoniazid, mankhwala a chifuwa chachikulu.
Ndikofunika kulabadira okonda kulandira mankhwala osiyanasiyana. Nthawi zambiri, kapangidwe kake ka mankhwala kamaphatikizidwa ndi glucose - monga wosefera komanso choletsa zochita. Ndikwabwino kusinthitsa mankhwalawa ndi ma analogu osakhala ndi zinthu zovulaza odwala matenda ashuga.
Makanema okhudzana nawo
Mutha kudziwa kuti ndi mankhwala ati omwe amaloledwa kumwa ngati mukukumana ndi mavuto kuchokera pa kanema:
Mndandandawu suti wathunthu, pali mitundu ingapo ya mankhwala, kugwiritsa ntchito komwe sikofunika kapena kunyozedwa mwachindunji pamaso pa mtundu uliwonse wa matenda ashuga. Kugwiritsa ntchito mankhwala aliwonse kuyenera kuvomerezedwa ndi katswiri - izi zikuthandizira kupewa kuchuluka kwa shuga wamagazi ndi mavuto ena azaumoyo mwa anthu omwe ali ndi matenda ashuga. Koma ngati mukufuna mankhwala kuti muchepetse magazi, ndiye kuti amawagwiritsa ntchito, m'malo mwake, akuwonetsedwa.
