Mankhwala ochizira matenda ashuga

Kuchiza matenda ashuga ndi njira yovuta kwambiri, imafuna nyonga zambiri komanso kuleza mtima kuchokera kwa wodwala. Amafunikira kutsatira zakudya zochizira, kuwongolera zochitika zolimbitsa thupi, komanso, kumwa mankhwala. Popanda iwo, mwatsoka, sizingatheke kuonetsetsa kuti mulingo wabwinobwino wamagazi. Ndipo zili zokhudzana ndi mankhwala omwe amagwiritsidwa ntchito pa matendawa omwe akambirana tsopano. Koma mndandanda wamapiritsi a shuga, omwe tikambirane pansipa, amaperekedwa pazidziwitso zokhazokha. Simungawatenge popanda kudziwa dokotala, chifukwa izi zimatha kudzetsa mavuto akulu azaumoyo.

Zambiri

Matenda a shuga ndi amitundu yambiri - yoyamba ndi yachiwiri. Ndipo mwachilengedwe, mitundu yosiyanasiyana ya mankhwala imagwiritsidwa ntchito pochiza. Ndi matenda a shuga 1 amtundu, kuperewera kwenikweni kwa insulin kumachitika mthupi, chifukwa choti glucose womwe umalowamo ndi chakudya suwonongeka ndikukhazikika m'magazi.

Koma ndi matenda ashuga amtundu wa 2, insulin imapangidwa ndi kapamba mokwanira, koma maselo amthupi amasiya kuzimva. Zimaperekanso zofananira. Glucose imawonongeka, koma osalowetsedwa m'maselo, motero imayamba kukhazikika m'magazi.

Mukuyankhula za omwe amagwiritsidwa ntchito pochiza matenda ashuga, ziyenera kudziwika nthawi yomweyo kuti ndi DM1, mankhwala omwe ali ndi insulin (jakisoni) amagwiritsidwa ntchito, ndipo ndi DM2, mankhwala omwe amachepetsa shuga yamagazi ndikuwonjezera chidwi cha maselo amthupi amagwiritsidwa ntchito. Ndipo popeza anthu omwe ali ndi matenda amtunduwu amadwala matenda onenepa kwambiri, nthawi zambiri amapatsidwa mankhwala ochepetsa thupi. Amasankhidwa payekha.

Koma popeza anthu odwala matenda ashuga nthawi zambiri amakhala ndi zovuta zina pakadutsa matendawa, mankhwalawo amasinthidwa pafupipafupi ndipo amatha kuphatikizira njira zothandizira dongosolo la mtima, kukhazikitsa njira za metabolic, kuthetsa kutupa, ndi zina zambiri.

Nthawi yomweyo, ziyenera kunenedwa kuti anthu omwe ali ndi matenda a shuga a 2 amatha kupita popanda mankhwala kwa nthawi yayitali. Kuti muthane ndi kuchuluka kwa shuga m'magazi, amangofunikira kuchepetsa kuchuluka kwa chakudya chamafuta ndikuwathandiza kuti azichita masewera olimbitsa thupi.

Mapiritsi a matenda a shuga a 2 amamulembera pokhapokha ngati matendawa ayamba kupita patsogolo, zakudya ndi katundu sizipereka zotsatira zabwino, ndipo pamakhala chiwopsezo chachikulu chokhala ndi matenda ashuga a mtundu woyamba.

Kodi mapiritsi a matenda ashuga amagwira ntchito bwanji?

Mapiritsi onse odwala matenda a shuga ali ndi mphamvu zawo zamankhwala ndipo amawagwiritsa ntchito nthawi zosiyanasiyana (kuyambira maola 10 mpaka 24). Koma ali ndi zochitika wamba - amapereka zotsatira za hypoglycemic ndikuthandizira:

• kutsitsa shuga;
• kukondoweza kwa kapangidwe ka insulin ndi maselo a beta;
• kukulitsa chidwi cha maselo amthupi kupita ku insulin;
• Kuchepetsa shuga.

Mankhwala oyenera amathandizira zotsatira zosasintha.

Zochita za mankhwala omwe amagwiritsidwa ntchito pochiza matenda ashuga zimasiyanasiyana ndipo zimatengera kutalika kwa mankhwala aliwonse komanso kuperewera kwake.

Kuphwanya kwakukulu

Mankhwala, kuphatikizira omwe amafotokozedwera matenda ashuga, ali ndi zotsutsana. Samaphatikizidwa pazamankhwala ambiri pazochitika zotsatirazi:

• odwala matenda ashuga sayanjana ndi zinthu zomwe zimapanga mankhwala osankhidwa;
• wodwala ali ndi machitidwe monga hypoglycemic coma, precoma ndi ketoacidosis;
• wodwala ali ndi hepatic kapena aimpso pathologies;
• mimba yapezeka (ndi mkaka wa m`mawere, mankhwala a shuga nawonso sayenera kumwedwa);
• wodwalayo sanafike zaka 15-18 (ana ali osavomerezeka kuti azimwa mankhwala otere).

Ngati pali contraindication, ndikosatheka kumwa mankhwala a shuga, chifukwa izi zimangokulitsa zinthu zonse

Mosamala, kugwiritsa ntchito mankhwala osokoneza bongo kumagwiritsidwa ntchito mwa anthu:

• kumwa mowa;
• akudwala endocrine pathologies;
• Zaka zake zikupitirira zaka 65.

Kuphatikiza apo, ndikofunikira kutsatira dongosolo la mankhwala lomwe adokotala adapereka ndikutsatira malangizo ake onse. Pa chithandizo, muyenera kudya mwadongosolo komanso moyenera. Kumwa chakudya osavomerezeka kapena kufa ndi njala komanso kuphatikiza mankhwala omwe amachepetsa shuga kungayambitse kukula kwa hypoglycemia (kuchepa kwambiri kwa shuga m'magazi) ndikamayamba kwa hypoglycemic coma.

Mayina a mapiritsi a shuga

Ngati dokotala amakufotokozerani mapiritsi a shuga, ndiye kuti thupi lanu silingayang'anire palokha pakusokoneza ndi kupopera kwa shuga, pamafunika kuthandizidwa. Monga lamulo, kwa odwala matenda ashuga, mankhwala amaikidwa kuti athandizidwe kuchepetsa kuthira kwa shuga ndimakoma am'matumbo kapena kuwonjezera chidwi cha maselo kuti apange insulin.

Matenda a shuga

Ndi chitukuko cha matenda a shuga 1, ma insulin omwe amagwiritsidwa ntchito. Koma kuphatikiza nawo, mankhwala ena angagwiritsidwe ntchito, mwachitsanzo, kuthana ndi matenda oopsa kapena a mtima.

Ndi T2DM, mankhwala amagwiritsidwa ntchito omwe amathandizira shuga m'magazi komanso kupewa kupitilira kwa matendawa komanso kusintha kwake ku T1DM. Ndipo nthawi zambiri, mankhwalawa amagwiritsidwa ntchito pazolinga izi.

Metformin

Zili m'gulu la mankhwala a Biguanides. Ndemanga za izi ndizabwino kwambiri, chifukwa mankhwalawa sakhala ndi vuto la maselo a kapamba ndi insulin kaphatikizidwe, chifukwa chake, chiopsezo cha kuperewera kwa hypoglycemic nthawi yake Metformin imatha kumwa onse pamimba yopanda kanthu ndikatha kudya. Izi zimakhala ndi analogi yotchedwa Glucofage.

Mankhwala ochokera ku SD2 Glucofage

Siofor

Ndiwothandizanso kwambiri pa matenda ashuga, omwe ali ndi zovuta zomwezi monga mankhwala omwe ali pamwambapa. Chofunikira chake chachikulu ndi metformin.

Galvus

Mankhwalawa ali ndi vildagliptin, omwe amathandizira kuyambitsa kupanga kwa insulin ndi kapamba komanso kumapangitsa chidwi cha maselo a beta. Mothandizidwa amachepetsa shuga m'magazi, koma amakhala ndi ma contraindication ambiri komanso ali ndi zovuta zina. Chifukwa chake, malangizo ogwiritsira ntchito chida ichi ayenera kuphunziridwa ndi wodwalayo asanayambe kuphunzitsa. Ndipo ngati zotsatira zoyipa zikuchitika, muyenera kusiya, ndikutsatira ndikusintha ndi mankhwala ena.

Chotsani

Ndi chakudya chamagulu omwe amalimbikitsa kukonzanso maselo owonongeka a pancreatic, potero pang'onopang'ono kubwezeretsa ntchito yake ndikuwonjezera kaphatikizidwe ka insulin mthupi mwachilengedwe.

Forsyga

Mankhwalawa amapereka shuga wowonjezera kuchokera mthupi kudzera mu impso. Zotsatira zake, kuchuluka kwa shuga m'magazi kumapangitsa kuti matenda ashuga akhale bwino, ndipo chiwopsezo cha kukomoka kwa hyperglycemic chimachepa. Itha kugwiritsidwa ntchito pamimba yopanda kanthu ndikatha kudya.

Amaril

Amatengera mankhwala ochokera ku gulu la sulfonylurea. Imagwira mosiyanasiyana - imakulitsa chidwi chathupi lathunthu kuti ipangire insulini ndipo imathandizira kugwira ntchito kwa kapamba, kukulitsa kaphatikizidwe ka mahomoni.

Amaryl wa matenda ashuga

Maninil

Chida ichi chimawonjezera kubisika kwa pancreatic insulin. Koma kudya kwake kuyenera kuchitika ndi zosokoneza zazing'ono, chifukwa maselo a ziwalo panthawi ya kayendetsedwe ake amakhala othandiza kwambiri, "atopa" ndipo amawonongeka, zomwe zimawonjezera ngozi zobwera ndi matenda ashuga amtundu woyamba. Komabe, monga momwe amasonyezera, mankhwalawa amathandizira kuchiza matenda a shuga a 2, amachepetsa shuga m'magazi ndikusintha momwe wodwalayo akuwonjezera pakanthawi kochepa.

Diabetes

Mankhwala enanso ochokera ku gulu la sulfonylurea. Ilinso ndi zamankhwala monga Amaryl.

Janumet

Chida chake chimakhudza thupi. Imathandizira kusintha shuga m'magazi, imathandizira kupanga insulin ndi maselo a beta, imathandizira chiwindi.

Glibomet

Chida china chomwe chimakhudza thupi. Kuphatikiza apo Glybomet imakhala ndi vuto la hypoglycemic, imathandizira cholesterol yamagazi, imalepheretsa kuyamwa kwa zovuta zam'mimba zomwe zimapangidwa ndi makoma a matumbo, zimawonjezera ndalama zamagetsi, potero zimathandizira kulimbana ndi kunenepa kwambiri.

England

Zimalimbikitsa kupanga yogwira insulin mthupi, chifukwa pomwe pali kutsekemera kwamphamvu kwa glucose ndikuchotsa owonjezera. Mbali yake ndiyakuti mutha kumwa mankhwalawa nthawi iliyonse masana, mosasamala zakudya.

Kuphatikiza pa mankhwalawa, mankhwala achi China a matenda ashuga tsopano ayamba kugwiritsidwa ntchito mwachangu ngati achire. Mwa iwo, othandiza kwambiri ndi:

• Sanju Tantai. Mankhwala azitsamba apadera omwe amapereka kukonzanso kwa maselo a pancreatic owonongeka ndikuwongolera magwiridwe ake.
• Cordyceps. Chipangizo chovuta kwambiri, chomwe chimangokhala ndi zida za chomera chokha chomwe chimagwira maselo a pancreatic ndi thupi lonse, ndikupatsanso mphamvu.
• Olimba 999. Ichi ndi zinthu zomwe zimathandizira kutsegula kwa kagayidwe kazinthu, kayendedwe ka shuga m'magazi, kuwonjezera mphamvu ya magazi m'thupi, kupewa kulemera.

Mankhwala achi China osokoneza bongo a Cordyceps

Njira zochizira matenda ashuga zimagwiritsidwanso ntchito. Kuchita kwawo kwachilendo ndikuti, mosiyana ndi mankhwala ochiritsira omwe afotokozedwa pamwambapa, mankhwala othandizira ofooka sayambitsa kukwiya, kubwezeretsa njira zachilengedwe mthupi, koma kayendetsedwe kake sikumayenderana ndi zovuta.

Pakati pazithandizo zapakhomo, zotchuka kwambiri ndi:

• Coenzyme compositum. Kuchita kwake ndikufuna kubwezeretsanso dongosolo la endocrine komanso kusintha matenda a shuga m'magazi. Zimapereka zabwino kwambiri ngati wodwala ali ndi matenda a shuga.
• Gepar compositum. Imagwira maselo a chiwindi, amawabwezeretsa ndikusintha magwiridwe antchito. Kuphatikiza apo, Hepar compositum imayendetsa njira za metabolic, kuletsa kukula kwa matenda a cholesterol motsutsana ndi maziko a matenda ashuga.
• Mucosa compositum. Zomwe zimagwira zomwe zimapangika zimathandizira kuthetsa kutupa m'maselo a kapamba ndikutchingira kukula kwa pacreopathy.
• Momordica compositum. Imayendetsa kaphatikizidwe wama mahomoni ndipo imakonzanso kusintha kwa maselo a pancreatic.

Payokha, ndikufuna kunena mawu ochepa onena za chida monga Eberprot-P. Awa ndi mankhwala a ku Cuba omwe amapanga mankhwala. Kulandila kwake kumayikidwa makamaka pamaso pa phazi la matenda ashuga. Amapereka:

• kuchiritsa kwa zilonda zam'mapazi pamapazi;
• mpumulo wa zotupa njira;
• kupewa matenda osokoneza bongo;
• mathamangitsidwe obwezera njira mu thupi.

Mankhwala Eberprot-P

Ndipo monga zikuwonetseredwa ndi maphunziro angapo azachipatala, kugwiritsidwa ntchito kwa Eberprot-P kumapewetsa kuchitapo kanthu kuti mupeze minofu yofewa, komanso kudulira mwendo.

Gulu la mankhwala omwe amagwiritsidwa ntchito ngati mankhwala ochizira matenda a shuga ndilabwino kwambiri. Ndipo polingalira, ziyenera kuzindikiranso ndalama zomwe zimapereka kuchepa thupi. Amagwiritsidwa ntchito pokhapokha ngati matenda a shuga a mtundu wa 2 aphatikizidwa ndi kunenepa kwambiri. Izi zikuphatikizapo Sibutramine ndi Orlistat. Komabe, kugwiritsa ntchito kwawo kuyenera kuchitika palimodzi ndi ma multivitamin othandizira.

Ndi chitukuko cha matenda ashuga a m'mimba, lipoic acid tikulimbikitsidwa. Imaperekanso kukula kwa mitsempha ndi kukonza kwa kapangidwe kazomwe zimapangitsa mitsempha. Komabe, mankhwala a mankhwala a lipoic acid amakhala ndi zovuta zingapo (chizungulire, kutsekula m'mimba, kukokana, mutu, ndi zina zambiri). Ayenera kumwedwa mosamala kwambiri.

Zofunika! Kuti apatse thupi lawo kuchuluka kofunikira kwa lipoic acid ndikuletsa kukula kwa matenda a shuga, odwala matenda ashuga amalimbikitsidwa kuti adye zambiri ku Yerusalemu artichoke. Kuphatikiza pa lipoic acid, ilinso ndi zinthu zina zomwe zimaletsa kupitilira kwa shuga.

Lipoic acid - njira yabwino kwambiri yopeweretsera zovuta mu T2DM

Ndikofunikira kudziwa!

Kulandila mankhwala omwe ali pamwambawa kuyenera kuchitika mosamalitsa malinga ndi chiwembu chomwe adokotala adapereka. Palibe chifukwa muyenera kuti palokha muwonjezere kuchuluka kwake. Monga tafotokozera pamwambapa, kusala kudya, ngakhale ndikanthawi kochepa, kumatha kutsitsa kwambiri shuga wamagazi ndikutukuka kwa hypoglycemic coma. Aliyense ayenera kudziwa za zizindikiro za vutoli, chifukwa ngati simuyimitsa poyamba, izi zingayambitse mavuto akulu.

Chifukwa chake, hypoglycemic coma, yomwe imayambitsidwa ndi mankhwala osokoneza bongo a shuga, imadziwonetsa pazotsatira zotsatirazi:

• kukodza pafupipafupi;
• thukuta;
• kukoka kwamtima;
• kutsitsa magazi;
• kutsekeka kwa khungu;
• mwendo kukokana;
• kumva kwamphamvu kwa njala;
• kudziwa zolakwika.

Zizindikiro zomwe zingawonetse kukula kwa chikumbumtima cha hypoglycemic

Ndi isanayambike hypoglycemic chikomokere, odwala matenda ashuga sangathe kupitiliza kumwa mankhwalawa. Potere, thandizo limakhala mu zakudya zomwe zimakhala ndi zopatsa mphamvu m'mimba, zomwe zimapezeka mu chokoleti, shuga, ophika buledi, ndi zina zambiri.

Kuphatikiza apo, simungathe kuphatikiza kugwiritsa ntchito mankhwala ochizira matenda a shuga ndi mankhwalawa:

• miconazole ndi phenylbutazole, popeza akaphatikizidwa, ziwopsezo za kukhala ndi vuto la hypoglycemic zimachulukana kangapo;
• kukonzekera kokhala ndi ethyl mowa;
• antipsychotic ndi anticoagulants mu waukulu waukulu.

Mapiritsi othandizira odwala matenda ashuga

Tsoka ilo, kuwonjezera pamenepa kuti odwala matenda ashuga amayenera kuyang'anira kuchuluka kwa shuga m'magazi awo, nthawi zambiri amayenera kuthana ndi matenda oopsa. Izi ndichifukwa choti ndi shuga wowonjezereka m'magazi, vuto la mitsempha imachitika m'thupi.

Makoma amitsempha yamagazi ndi ma capillaries amataya kamvekedwe, kupendekera kwawo kumawonjezeka, amakhala osalimba komanso osavuta kuwonongeka.Kuphatikiza apo, kuchuluka kwa glucose kumabweretsa kuchuluka kwa cholesterol, chifukwa chomwe cholesterol mapepala amayamba kuyikiridwa m'mitsempha, kupewa magazi enieni. M'madera ena amitsempha yamagazi, magazi amayamba kudziunjikira, makoma awo amawonjezereka, kuthamanga kwa magazi kumakwera.

Ndipo zonse zingakhale bwino, koma ndizovuta kusankha mankhwala azolowera kuthamanga kwa magazi mu shuga, chifukwa ambiri amakhala ndi shuga omwe amatsutsana ndi matenda a shuga a mtundu wachiwiri. Kuphatikiza apo, pali vuto la metabolism, lomwe limaperekanso zovuta mukamamwa mankhwalawa. Chifukwa chake, posankha mankhwala opanikiza, muyenera kusamala kwambiri. Ayenera kutsatira malamulo awa:

• kuchepetsa kuthamanga kwa magazi munthawi yochepa;
• alibe zoyipa;
• osakhudzidwa ndi shuga wamagazi;
• osathandizira ku cholesterol;
• Osatulutsa katundu wamphamvu pamtima.

Koma mankhwala osokoneza bongo a potaziyamu komanso osmotic a shuga sangathe kugwiritsidwa ntchito, chifukwa angayambitse kukomoka kwa hyperglycemic coma. Monga lamulo, kukonzekera koteroko kumakhala ndi zinthu monga mannitol ndi spironolactone.

Ndi kuwonjezeka kowopsa kwa kuthamanga kwa magazi, odwala matenda ashuga amaloledwa kutenga matenda a beta-blockers. Sizikhudzanso kuchuluka kwa shuga ndi cholesterol m'magazi, komanso sizimapangitsa kuti matendawa azikula. Pakati pa mankhwalawa, othandiza kwambiri ndi Nebilet ndi Nebivolol.

Mankhwala othandiza kuphatikiza matenda ashuga

Kuphatikiza apo, pali mankhwala okhudzana ndi ACE inhibitors, omwe amathandizanso pakuchulukitsa kwa magazi. Kulandila kwawo kumaloledwa chifukwa cha matenda osokoneza bongo, koma mlingo wawo uyenera kuperekedwa palokha.

Mapiritsi a urinary incontinence a shuga

Kusagwirizana ndi mnzake wa matenda ashuga. Ndipo pochiza matenda, mankhwala a nootropic ndi adaptogenic action amagwiritsidwa ntchito. Nthawi zambiri, mikhalidwe yotere, antidepressant imagwiritsidwa ntchito, koma imayikidwa chifukwa cha zamankhwala. Kugwiritsidwa ntchito kwawo kosayenera sikungangoyambitsa kukhudzika kwa kudalira kwa mankhwala, komanso mawonekedwe a mavuto akulu azaumoyo.

Ndi matenda a kwamikodzo osakhazikika, odwala matenda ashuga nthawi zambiri amapatsidwa mankhwala monga Minirin. Amapangidwa ngati mapiritsi ndipo amapangidwa pamaziko a desmopressin. Kugwiritsidwa ntchito kwake kumapereka kuchepa kwa pafupipafupi kukodza ndipo kungagwiritsidwe ntchito onse kuchiza akulu ndi ana opitilira zaka 5.

Mapiritsi a chifuwa a shuga

Anthu odwala matenda ashuga, ngati anthu wamba, nthawi zambiri amadwala. Ndipo nthawi zambiri matendawa amakhala ndi chifuwa champhamvu. Ndipo pochiritsira, mankhwala osiyanasiyana amagwiritsidwanso ntchito, koma osatinjira. Chifukwa, mwachitsanzo, ndizoletsedwa kwa anthu odwala matenda ashuga kumwa mankhwalawa ngati madzi kapena madzi am'mimba, chifukwa amakhala ndi shuga ndi zakumwa zambiri, zomwe zimatha kuyipitsa mkhalidwe wawo.

Pachifukwa ichi, mapiritsi okha omwe amapezeka piritsi ndiwo amaloledwa kuchiritsa chifuwa. Osati zomwe zimafunikira kumizidwa, koma zomwe zimatengedwa pakamwa, zimatsukidwa ndi madzi ambiri.

Ndalama monga Lazolvan ndi Ambroxol. Ndizotetezedwa kwambiri kwa odwala matenda ashuga, popeza zimakhala ndizomera zokha. Mafuta ndi ma mowa osakhala mwa iwo mulibe. Koma kulandira ndalama izi kuyenera kuchitika pokhapokha atakambirana ndi adokotala.