Ndinofanira Kushandisa Mapiritsi Echirwere cheshuga kana Insulin?

Zvemukati

• Ndeapi mapiritsi aripo ekurapa chirwere cheshuga?
• Biguanides
• Sulfonylureas
• Meglitinides
• Thiazolidinediones
• Dipeptidyl-peptidase 4 (DPP-4) inhibitors
• Alpha-glucosidase inhibitors
• Sodium-glucose cotransporter-2 (SGLT2) inhibitors
• Insulini inoshandiswa sei kurapa chirwere cheshuga?
• Sirinji
• Peni
• Jet injector
• Insulin infuser kana chiteshi
• Insulin pombi
• Chirwere cheshuga vs. insulin
• Mibvunzo yekubvunza chiremba wako

Muna Chivabvu 2020, iyo yakakurudzirwa kuti vamwe vanogadzira metformin yakawedzerwa kuburitswa vabvise mamwe mapiritsi avo kubva kumusika weU.S. Izvi zvinodaro nekuti mwero usingagamuchirike wecarcinogen inokonzeresa (kenza-inokonzeresa mumiriri) yakawanikwa mune mamwe akawedzeredzwa-kuburitsa metformin mapiritsi. Kana iwe parizvino uchitora mushonga uyu, fonera wako mupi wezvehutano. Ivo vanozopa zano kana iwe uchifanira kuenderera kutora mishonga yako kana kana iwe uchida mushonga mutsva.

Chirwere cheshuga chinokanganisa mashandisiro anoita muviri wako glucose. Kurapa kunoenderana nerudzi rwechirwere cheshuga chauinacho.

Mune mhando 1 chirwere cheshuga, pancreas yako inomira kuburitsa insulin - iyo hormone inobatsira kudzora glucose, kana shuga, muropa rako. Tora 2 chirwere cheshuga chinotanga ne insulin kudzivisa. Pancreas yako haichaburitse insulin yakakwana kana kuti haishandise nemazvo.

Sero rega rega mumuviri wako rinoshandisa glucose yesimba. Kana insulin isiri kuita basa rayo, glucose inovaka muropa rako. Izvi zvinokonzera mamiriro anonzi hyperglycemia. Yakaderera ropa glucose inonzi hypoglycemia. Ose anogona kutungamira kumatambudziko akakomba.

Ndeapi mapiritsi aripo ekurapa chirwere cheshuga?

Mapiritsi akasiyana siyana anogona kurapa chirwere cheshuga, asi haakwanise kubatsira munhu wese. Ivo vanongoshanda chete kana rwatata rako ruchiri kuburitsa imwe insulin, zvinoreva kuti havagone kurapa rudzi rwekutanga chirwere cheshuga. Mapiritsi haashande kune vanhu vane chirwere cheshuga chechipiri kana rwatata rwamira kugadzira insulin.

Vamwe vanhu vane rudzi rwechipiri chirwere cheshuga vanogona kubatsirwa nekushandisa zvese mishonga uye insulin. Mamwe mapiritsi ekurapa chirwere cheshuga anosanganisira:

Biguanides

Metformin (Glucophage, Fortamet, Riomet, Glumetza) iguruuanide. Iyo inoderedza huwandu hweshuga inogadzirwa nechiropa chako uye inowedzera insulin senzwi. Iyo inogona zvakare kuvandudza cholesterol mazinga uye inogona kukubatsira iwe kudzikira huremu hushoma.

Vanhu vanowanzozvitora kaviri pazuva nekudya. Iwe unogona kutora iyo yakawedzeredzwa-kuburitsa vhezheni kamwe pazuva.

Zvimwe zvinokanganisa zvinosanganisira:

• kugumbuka mudumbu
• kusvotwa
• kuzvimba
• gasi
• manyoka
• kurasikirwa kwechinguva kwechinguva

Izvo zvinogona zvakare kukonzera lactic acidosis, inova isingawanzo asi yakakomba.

Taura nachiremba wako kana iwe uchinetseka nezvemhedzisiro kune chero akapihwa mushonga wechirwere cheshuga.

Sulfonylureas

Sulfonylureas mishonga yekumhanyisa-inobatsira iyo inobatsira iyo pancreas kuburitsa insulin mushure mekudya. Zvinosanganisira:

• glimepiride (Amaryl)
• glyburide (Diabeta, Glynase PresTabs)
• glipizide (Glucotrol)

Vanhu vanowanzo tora mishonga iyi kamwe pazuva nekudya.

Zvimwe zvinokanganisa zvinosanganisira:

• kusvotwa
• manyoka
• musoro
• dzungu
• kugumbuka
• yakaderera ropa glucose
• kugumbuka mudumbu
• kuputika kweganda
• kurema kuwedzera

Meglitinides

Repaglinide (Prandin) uye Nateglinide (Starlix) ndiwo meglitinides. Meglitinides inokurumidza kukurudzira pancreas kuburitsa insulin mushure mekudya. Iwe unofanirwa kugara uchitora repaglinide nechikafu.

Zvimwe zvinokanganisa zvinosanganisira:

• yakaderera ropa glucose
• kusvotwa
• kurutsa
• musoro
• kurema kuwedzera

Thiazolidinediones

Rosiglitazone (Avandia) uye pioglitazone (Actos) ndiwo thiazolidinediones. Inotorwa panguva imwe chete zuva rega rega, vanoita kuti muviri wako unyanye insulin. Inogona zvakare kuwedzera yako HDL (yakanaka) cholesterol.

Zvimwe zvinokanganisa zvinosanganisira:

• musoro
• kurwadziwa kwemhasuru
• huro inorwadza
• kuchengetwa kwemvura
• kuzvimba
• kutsemuka

Iyi mishonga inowedzera njodzi yako yekurwadziwa kwemoyo kana kukundikana kwemoyo, kunyanya kana iwe uchitova panjodzi.

Dipeptidyl-peptidase 4 (DPP-4) inhibitors

DPP-4 inhibitors inobatsira kudzikamisa insulin mwero uye kudzikisa kuwanda kwakaita glucose muviri wako. Vanhu vanovatora kamwe pazuva.

Zvinosanganisira:

• linagliptin (Chiedza)
• saxagliptin (Onglyza)
• sitagliptin (Januvia)
• alogliptin (Nesina)

Zvimwe zvinokanganisa zvinosanganisira:

• huro inorwadza
• mhino yakakora
• musoro
• chirwere chepamusoro chekufema
• kugumbuka mudumbu
• manyoka

Alpha-glucosidase inhibitors

Acarbose (Precose) uye miglitol (Glyset) ndeye alpha-glucosidase inhibitors. Ivo vanononoka kuputsika kwemakabohydrate muropa. Vanhu vanovatora pakutanga kwekudya.

Zvimwe zvinokanganisa zvinosanganisira:

• kugumbuka mudumbu
• gasi
• manyoka
• marwadzo emudumbu

Sodium-glucose cotransporter-2 (SGLT2) inhibitors

SGLT2 inhibitors inoshanda nekumisa itsvo kubva mukutorazve glucose. Ivo vanogona zvakare kubatsira kudzikisa BP uye kukubatsira iwe kurasikirwa uremu.

Mimwe yemishonga iyi inosanganiswa kuita piritsi rimwe chete.

Izvi zvinosanganisira:

• canagliflozin (Invokana)
• dapagliflozin (Farxiga)
• empagliflozin (Jardiance)
• chirozvaiz (Steglatro)

Zvimwe zvinogona kuitika zvinogona kusanganisira:

• Urinary turakiti hutachiona
• mbiriso zvirwere
• nyota
• musoro
• huro inorwadza

Insulini inoshandiswa sei kurapa chirwere cheshuga?

Iwe unoda insulin kuti urarame. Kana uine chirwere cheshuga cheshuga, uchafanira kutora insulin mazuva ese. Iwe zvakare unofanirwa kuitora kana iwe uine type 2 chirwere cheshuga uye muviri wako hauburitse zvakakwana wega.

Yekukurumidza- kana yakareba-inoshanda insulin inowanikwa. Zvichida iwe uchazoda ese maviri marudzi kuti uchengete yako glucose yeropa iri pasi pesimba.

Iwe unogona kutora insulin nenzira dzinoverengeka:

Sirinji

Iwe unogona kutora jekiseni uchishandisa yakajairwa tsono uye sirinji nekukanda iyo insulini mukati mejekiseni. Ipapo, iwe unojova iyo chete pasi peganda rako, uchitenderera saiti nguva imwe neimwe.

Peni

Insulin mapeni anove ari nyore kupfuurisa pane tsono yenguva dzose. Ivo vakafemerwa uye havarwadzire kushandisa kupfuura tsono yenguva dzose.

Jet injector

Iyo insulin jet injector inoita kunge peni. Inotumira pfapfaidzo ye insulin muganda rako uchishandisa yakanyanya-kumanikidza mweya pachinzvimbo chetsono.

Insulin infuser kana chiteshi

Iyo insulini infuser kana chiteshi ipu diki chubhu iyo iwe yaunoisa chete pasi peganda rako, yakachengetwa munzvimbo ine yekunamatira kana yekupfeka, uko kwainogona kugara kwemazuva mashoma. Iyo yakanaka imwe sarudzo kana iwe uchida kudzivisa tsono. Unobaya jekiseni muhubhu pachinzvimbo chekunanga mukati meganda rako.

Insulin pombi

Iyo insulin pombi idiki, isingaremi chishandiso chaunopfeka pabhanhire rako kana kutakura muhomwe yako. Iyo insulini iri muhombodo inopinda mumuviri wako kuburikidza nekatsono kadiki pasi peganda rako. Iwe unogona kuironga kuti uburitse insulin kuvhiya kana yakadzikama muyero mukati mezuva rese.

Chirwere cheshuga vs. insulin

Kazhinji haisi nyaya yemapiritsi kana insulin. Chiremba wako achaita kurudziro zvichibva parudzi rwechirwere cheshuga chauinacho, wakave nacho kwenguva yakareba sei, uye kuti insulini yakawanda sei yauri kuita zvakasikwa.

Mapiritsi anogona kunge ari nyore kutora kupfuura insulin, asi mhando imwe neimwe inouya nemhedzisiro. Zvinogona kutora muedzo mudiki uye kukanganisa kuti uwane iyo inoshanda zvakanyanya kwauri. Mapiritsi anogona kumira kushanda kunyangwe anga achishanda kwenguva yakati.

Kana iwe ukatanga nemapiritsi chete uye yako mhando 2 chirwere cheshuga ichiwedzera, ungangoda kushandisa insulin zvakare.

Insulin inewo njodzi. Kunyanyisa kana kushoma kunogona kukonzera matambudziko akakomba. Iwe unofanirwa kudzidza kudzidza kuongorora chirwere cheshuga uye kugadzirisa sezvazvinodiwa.

Mibvunzo yekubvunza chiremba wako

Kana iwe uine rudzi rwekutanga cheshuga kana kana iwe uchifanira kutora insulin, iwe unotoziva iwe uchafanirwa kuongorora ako eropa glucose mazinga nokungwarira uye kugadzirisa yako insulin zvinoenderana.

Kumbira chiremba wako pamusoro penzira dzakasiyana siyana dzekuendesa insulin uye uve nechokwadi chekuzivisa mabundu, mapundu, uye mapundu paganda rako kuna chiremba wako.

Kana chiremba wako achinyora piritsi, heino mibvunzo mishoma iwe yaungade kubvunza:

• Chii chiri chinangwa chemushonga uyu?
• Ndinofanira kuichengeta sei?
• Ndinofanira kuitora sei?
• Ndeapi angangove mhedzisiro uye chii chingaitwe nezvawo?
• Ndinofanira kutarisa kangani glucose mazinga angu?
• Ndichaziva sei kuti mushonga urikushanda?

Iyi mishonga inofanirwa kuve chikamu chehurongwa hwese hwekurapa hunosanganisira kurovedza muviri uye nekungwarira sarudzo dzekudya.