Tora 1 uye Type 2 Chirwere cheshuga Mishonga
Zvemukati
- Mishonga yemhando 1 chirwere cheshuga
- Mishonga yerudzi rwechipiri chirwere cheshuga
- Chirwere cheshuga chinoderedza uremu?
- Mishonga yekumba yechirwere cheshuga
Kurapa kwerudzi rwekutanga kana rudzi rwechipiri chirwere cheshuga kunoitwa nemishonga yekudzora huwandu hweshuga yeropa, nechinangwa chekuchengeta shuga yeropa padhuze nepakajairika sezvinobvira, kudzivirira kunetsekana kwechirwere ichi, senge retinopathy uye itsvo kutadza, semuenzaniso. .
Kuti ubate chirwere cheshuga cheshuga, insulin yezuva nezuva inodiwa. Kurapa kwerudzi rwechipiri chirwere cheshuga, kazhinji, kunoitwa nemishonga inorwisa chirwere cheshuga mumapiritsi, senge metformin, glimepiride uye gliclazide, semuenzaniso, kukwana muzviitiko zvakawanda, kana rubatsiro rwe insulin inogona kudikanwa. Uye zvakare, kuzadzikiswa kwechikafu chinodzorwa mushuga nemafuta uye tsika yekurovedza yakakosha mune zvese zviitiko.
Sezvo mushonga wakakodzera kwazvo kumunhu wega wega uchisiyana zvichienderana nezvinhu zvinoverengeka, kusanganisira rudzi rwechirwere cheshuga, kuomarara kwechirwere uye zera remurwere, kurapwa kunofanirwa kutungamirirwa nachiremba wemagariro kana chiremba mukuru. Kuti unzwisise zvirinani zvinosiyanisa marudzi eshuga, ona kuti ndeapi maitiro uye mutsauko wemhando dzeshuga.
Mishonga yemhando 1 chirwere cheshuga
Sezvazviri murudzi urwu rwechirwere cheshuga, rwatata harugone kuburitsa insulin kana kuburitsa muhuwandu hushoma, chinangwa chekurapa ndechekuenzanisa kugadzirwa kwechisikirwo kwehomoni iyi, ndiko kuti, panguva dzakaenzana uye huwandu zvichienderana nezvinodiwa neimwe neimwe. munhu, kudzivirira kuwedzerwa kweropa glucose.
Nekudaro, kutevedzera zvinoitwa nepancreas, zvakafanira kuti munhu ane chirwere cheshuga cherudzi rwekutanga ashandise angangoita maviri marudzi e insulini, ayo ari:
| Mhando dze insulin | Mazita ekuzvarwa nawo | Iyo inoshandiswa sei |
| Kurumidza-kuita insulin | Nguva dzose, Asparte, Lispro, Glulisina | Inowanzo shandiswa usati wadya kana mushure mekudya chete kuti uchengetedze mazinga eglucose akagadziriswa mushure mekudya, kudzivirira glucose kubva mukuungana muropa. |
| Inononoka insulin | NPH, Detemir, Glargina | Iyo inowanzo shandiswa chete 1 kusvika 2 nguva pazuva, sezvo chiito chayo chinotora kubva kuma12 kusvika kumaawa makumi maviri nemana, vamwe vachisvika kusvika kumaawa makumi matatu, vachichengeta huwandu hweshuga hwakadzikama zuva rese. |
Iyi mishonga inogona kuwanikwa mune chero chemishonga uye mazhinji aripo mune inozivikanwa pharmacy, ine mukana weSUS, sekureva kwechiremba mushonga.
Kugonesa kunyorera uye kudzikisa huwandu hwejekiseni, kune zvakare kusanganiswa ne insulin kugadzirira, iyo inosanganisa 2 kana anopfuura marudzi e insulin, nekukurumidza uye kunonoka kuita.
Uye zvakare, sarudzo ndeyokushandisa iyo insulin pombi, chinova chinhu chidiki chinonamirwa nemuviri, uye chinogona kugadzirirwa kuburitsa insulin nekukurumidza kana zvishoma nezvishoma, zvinoenderana nezvinodiwa nemunhu mumwe nemumwe.
Tsvaga rumwe ruzivo nezve izvo chaizvo mhando dze insulin uye maitiro ekushandisa.
Mishonga yerudzi rwechipiri chirwere cheshuga
Mishonga yakanyanya kushandiswa yerudzi rwechipiri chirwere cheshuga ndeye hypoglycemic kana yemuromo antidiabetics, iyo inogona kutorwa yega kana kusanganiswa, kuitira kudzora huwandu hweshuga yeropa. Mimwe mienzaniso inosanganisira:
| Chinyorwa chemishonga | Kurapa kirasi | Inoshanda sei | Mhedzisiro inowanzoitika |
| Metformin | Biguanides | Inoderedza kugadzirwa kweglucose nechiropa, inovandudza kushandiswa kweglucose nemuviri | Kurwara nemanyoka |
Glibenclamide, Glimepiride, Glipizide, Gliclazide | Sulphonylureas | Inokurudzira uye inowedzera kugadzirwa kwe insulin nepancreas | Hypoglycemia, kuwedzera uremu |
Acarbose, Miglitol | Alpha-glycosidase inhibitors | Inoderedza kunwa kweglucose kubva muzvokudya neura | Kuwedzera kwemukati gasi, manyoka |
| Rosiglitazone, Pioglitazone | Thiazolidinediones | Inovandudza kushandiswa kweglucose nemuviri | Kurera huremu, kuzvimba, kuwedzera kukundikana kwemoyo |
Kunze, Liraglutide | GLP-1 agonist | Inowedzera insulin kuburitswa, inoderedza glucose, inowedzera kuguta uye inofambisa uremu | Nausea, kuderera kwechido |
Saxagliptin, Sitagliptin, Linagliptin | DPP-4 inhibitors | Inoderedza glucose mushure mekudya, kuwedzera insulin kugadzirwa | Nausea |
Dapagliflozin, Empagliflozin, Canagliflozin | SGLT2 inhibitor | Inowedzera kubviswa kweglucose mumurini uye inobatsira kuonda | Ngozi yakakwira yehutachiona hutachiona hutachiona |
Mishonga ichangoburwa, yakadai seEexenatide, Liraglutide, Glyptines neGlyphozins, haisati yawanikwa kuburikidza neruzhinji network, zvisinei, mimwe mishonga inogona kuwanikwa mahara muma pharmacy.
Mune zviitiko apo glucose yakanyanya kukwirira, kana kana mapiritsi mapiritsi asisiri kushanda, chiremba anogona kusanganisira jekiseni re insulin mukurapa. Nekudaro, kuitira kurapa rudzi rwechipiri chirwere cheshuga, pamusoro pekushandisa mishonga, zvakakosha kudzora shuga mukubatana nechikafu chinodzorwa mumakabhohaidhiretsi, mafuta uye munyu, pamusoro pekurovedza muviri. Ona kuti kudya kweshuga kunofanira kunge kwakaita sei.
Chirwere cheshuga chinoderedza uremu?
Chirwere cheshuga hachifanirwe kushandiswa nevanhu vanoda kudzikira asi vasina chirwere cheshuga, nekuti zvine njodzi kuhutano. Iyo mishonga inoshandiswa kudzora glucose yeropa, mune chirwere cheshuga, ine simba rekudzikira uremu, nekuti nekudzora kuri nani kweshuga yeropa munhu anonzwa kushaya nzara, uye zviri nyore kutevera kudya kwekurema.
Nekudaro, kushandiswa kwema hypoglycemic vamiririri hakufanirwe kuitwa nevanhu vane hutano, avo vanofanirwa kusarudza kushandisa zvekudya, majusi nematei ayo anobatsira kudzora shuga yeropa nenzira yechisikigo, senge sinamoni, furawa kubva kune unoshuva michero peel uye flaxseed. , Semuyenzaniso.
Mishonga yekumba yechirwere cheshuga
Mishonga yakasikwa yechirwere cheshuga inzira huru dzekurapa kurapwa nemishonga, sezvo iine zvinhu zvinobatsira kudzikisa shuga yeropa. Mimwe tii ine basa iri gorse, sinamoni kana tii teki, semuenzaniso. Tarisa uone kuti ndeapi mabikirwo echirwere cheshuga.
Mumwe mushonga mukuru wepamba kushandiswa kweshuwo yemichero peel furawa, sezvo iine pectin, faibha inoshanda kudzora shuga yeropa. Uye zvakare, imwe yeropa glucose inodzora ndiyo São Caetano vise, iyo inogona kudyiwa muchimiro chayo kana sejusi, semuenzaniso.
Mukurapa chirwere cheshuga zvakakosha kusadya chikafu chine huwandu hwakawanda hweshuga kana makabhohaidhiretsi, akadai sejellies, makuki kana mbatatisi. Neimwe nzira, chikafu chine fibre yakadai semuriwo, maapuro, muflakisi, chingwa chezviyo chakazara nemajusi echisikigo anofanirwa kudyiwa. Ona kuti ndeapi michero inokurudzirwa mune vanhu vane chirwere cheshuga.
Onawo zviitwa zvaungaite, zvinotsanangurwa muvhidhiyo inotevera:
Yakakurumbira
Chikafu cheMediterranean Chinoitika Pamuviri Utano Chinogona Kukubatsira Kuti Urarame Nguva Yakareba