Thayipha izixazululo Zesifo Sikashukela Zohlobo 1 kanye nohlobo 2
-Delile
- Amakhambi ohlobo 1 sikashukela
- Izindlela zokwelapha zesifo sikashukela sohlobo 2
- Umuthi wesifo sikashukela wehlisa isisindo?
- Amakhambi asekhaya esifo sikashukela
Ukwelashwa kohlobo 1 noma lwesifo sikashukela sohlobo 2 kwenziwa ngemithi yokulawula amazinga kashukela egazini, ngenhloso yokugcina ushukela wegazi usondele kokujwayelekile ngangokunokwenzeka, ukuvimbela izinkinga ezingaba khona zalesi sifo, njenge-retinopathy kanye nokwehluleka kwezinso, isibonelo. .
Ukwelapha isifo sikashukela sohlobo 1, kudingeka i-insulin yansuku zonke. Ukwelashwa kohlobo lwesifo sikashukela sohlobo 2, ngokuvamile, kwenziwa ngemithi elwa nesifo sikashukela emathebhulethi, njenge-metformin, i-glimepiride ne-gliclazide, ngokwesibonelo, ukwanela ezimweni eziningi, noma usizo lwe-insulin lungadingeka. Ngaphezu kwalokho, ukugcwaliseka kokudla okulawulwayo kushukela namafutha kanye nokuzijwayeza ukuzivocavoca kubalulekile kuzo zonke izimo.
Njengoba umuthi ofanele kakhulu umuntu ngamunye uhluka ngokuya ngezici eziningana, kufaka phakathi uhlobo lwesifo sikashukela, ubucayi besifo nobudala besiguli, ukwelashwa kufanele kuqondiswe ngudokotela we-endocrinologist noma udokotela ojwayelekile. Ukuze uqonde kangcono ukuthi yini ehlukanisa izinhlobo zesifo sikashukela, bona ukuthi yiziphi izici nokwehluka kwezinhlobo zesifo sikashukela.
Amakhambi ohlobo 1 sikashukela
Njengakulesi sifo sikashukela, amanyikwe awakwazi ukukhiqiza i-insulin noma asikhiqize ngamanani amancane, inhloso yokwelashwa ukulingisa ukukhiqizwa kwemvelo kwaleli hormone, okungukuthi, ngezikhathi ezifanayo namanani ngokwezidingo zomuntu ngamunye umuntu, ukuvimbela ukwanda kweglucose yegazi.
Ngakho-ke, ukulingisa isenzo samanyikwe, kuyadingeka ukuthi umuntu onesifo sikashukela sohlobo 1 asebenzise okungenani izinhlobo ezimbili ze-insulin, okuyilezi:
| Izinhlobo ze-insulin | Amagama ejwayelekile | Isetshenziswa kanjani |
| I-insulin esebenza ngokushesha | Okuvamile, i-Asparte, iLispro, iGlulisina | Imvamisa isetshenziswa ngaphambi kokudla noma ngemuva nje kokudla ukugcina amazinga e-glucose elawulwa ngemuva kokudla, ukuvimbela i-glucose ekuqongeleleni egazini. |
| I-insulin encane | I-NPH, iDememir, iGlargina | Imvamisa isetshenziswa i-1 kuphela izikhathi ezi-2 ngosuku, njengoba isenzo sayo sithatha kusuka emahoreni ayi-12 kuye kwangama-24, amanye afinyelela emahoreni angama-30, agcina amazinga kashukela ezinzile usuku lonke. |
Le mithi ingatholakala kunoma yiliphi ikhemisi futhi iningi liyatholakala ekhemisi elidumile, ngokutholwa yi-SUS, ngokusho kwemithi kadokotela.
Ukwenza lula isicelo nokunciphisa inani lokujova, kukhona nezinhlanganisela namalungiselelo e-insulin, ahlanganisa izinhlobo ezi-2 noma ngaphezulu ze-insulin, esheshayo neshesha.
Ngaphezu kwalokho, ongakhetha kukho ukusetshenziswa kwepompo ye-insulin, okuyithuluzi elincane elinamathele emzimbeni, futhi elingahlelelwa ukukhipha i-insulin ngokushesha noma kancane, ngokuya ngezidingo zomuntu ngamunye.
Thola imininingwane eminingi mayelana nokuthi yiziphi izinhlobo eziyinhloko ze-insulin nokuthi ungayisebenzisa kanjani.
Izindlela zokwelapha zesifo sikashukela sohlobo 2
Izindlela ezisetshenziswa kakhulu zohlobo lwesifo sikashukela sohlobo lwesibili yi-hypoglycemic noma i-antidiabetics yomlomo, engathathwa yodwa noma ihlanganiswe, ukulawula amazinga kashukela egazini. Ezinye izibonelo zifaka:
| Uhlu lwemithi | Isigaba sokwelashwa | Isebenza kanjani | Imiphumela emibi ejwayelekile |
| I-Metformin | Ama-Biguanides | Kunciphisa ukukhiqizwa kwe-glucose ngesibindi, kuthuthukisa ukusetshenziswa kweglucose ngumzimba | Ukugula nohudo |
IGlibenclamide, iGlimepiride, iGlipizide, iGliclazide | I-Sulphonylureas | Kushukumisa futhi kukhulise ukukhiqizwa kwe-insulin amanyikwe | I-Hypoglycemia, ukuzuza kwesisindo |
I-Acarbose, iMiglitol | I-alpha-glycosidase inhibitors | Kunciphisa ukumuncwa kweglucose ekudleni ngamathumbu | Ukwandisa igesi lamathumbu, isifo sohudo |
| IRosiglitazone, iPioglitazone | Abongile | Ithuthukisa ukusetshenziswa kweglucose ngumzimba | Ukuzuza kwesisindo, ukuvuvukala, ukuwohloka kwenhliziyo |
I-Exenatide, iLiraglutide | I-GLP-1 agonists | Kwandisa ukukhishwa kwe-insulin, kwehlisa i-glucose, kwandise ukusutha futhi kusize ekunciphiseni isisindo | Ukucanuzela kwenhliziyo, ukuncipha kwesifiso sokudla |
I-Saxagliptin, iSitagliptin, iLinagliptin | Izivimbeli ze-DPP-4 | Kunciphisa i-glucose ngemuva kokudla, kwandise ukukhiqizwa kwe-insulin | Isicanucanu |
Dapagliflozin, Empagliflozin, eKhanagliflozin | SGLT2 inhibitor | Kwandisa ukuqedwa kwe-glucose emchameni futhi kusize ekunciphiseni isisindo | Ingcuphe ephezulu yokutheleleka ngomgudu womchamo |
Izidakamizwa zakamuva kakhulu, njenge-Exenatide, Liraglutide, Glyptines kanye neGlyphozins, azikatholakali ngenethiwekhi yomphakathi, noma kunjalo, ezinye izidakamizwa zingatholakala mahhala emakhemisi.
Ezimweni lapho i-glucose iphezulu kakhulu, noma lapho amaphilisi amaphilisi engasasebenzi, udokotela angafaka imijovo ye-insulin ekwelashweni. Kodwa-ke, ukwelapha uhlobo lwesifo sikashukela sohlobo 2, ngaphezu kokusetshenziswa kwemithi, kubalulekile ukulawula ushukela ngokuhlangana nokudla okulawulwayo kuma-carbohydrate, amafutha nosawoti, ngaphezu kokuzivocavoca umzimba. Bona ukuthi ukudla okunesifo sikashukela kufanele kube kanjani.
Umuthi wesifo sikashukela wehlisa isisindo?
Imithi yesifo sikashukela akumele isetshenziswe ngabantu abafuna ukwehlisa isisindo kodwa abangenaso isifo sikashukela, ngoba siyingozi empilweni. Izidakamizwa ezisetshenziselwa ukulawula ushukela wegazi, esimweni sikashukela, zinomphumela wokwehlisa isisindo, ngoba ngokulawula kangcono izinga likashukela egazini umuntu uzizwa elambile kancane, futhi kulula ukulandela indlela yokunciphisa isisindo.
Kodwa-ke, ukusetshenziswa kwama-hypoglycemic agents akumele kwenziwe ngabantu abaphilile, okufanele bakhethe ukusebenzisa ukudla, amajusi kanye netiye ezisiza ukulawula ushukela wegazi ngendlela engokwemvelo, njengesinamoni, ufulawa ovela esikhunjeni sezithelo zesifiso kanye nefilakisi. , Ngokwesibonelo.
Amakhambi asekhaya esifo sikashukela
Izindlela zemvelo zesifo sikashukela ziyizindlela ezinhle zokugcwalisa ukwelashwa ngemithi, ngoba zinezinto ezisiza ukunciphisa i-glucose yegazi. Amanye ama-teas analo msebenzi yi-gorse, isinamoni noma ama-sage teas, isibonelo. Bheka ukuthi iziphi izindlela zokupheka zetiye yesifo sikashukela.
Elinye ikhambi lasekhaya elihle ukusetshenziswa kofulawa wesikhumba sesithelo sesifiso, njengoba uqukethe i-pectin, i-fiber esebenza ukwehlisa ushukela wegazi. Ngaphezu kwalokho, omunye umlawuli we-glucose egazini yi-São Caetano melon, engadliwa ngendlela yayo yemvelo noma njengejusi, isibonelo.
Ekwelapheni isifo sikashukela kubalulekile ukungadli ukudla okunesamba esikhulu sikashukela noma ama-carbohydrate, njengamajeli, amakhukhi noma amazambane. Ngenye indlela, ukudla okune-fiber enjengemifino, ama-apula, ifilakisi, isinkwa sokudla okusanhlamvu kanye namajusi wemvelo kufanele kudliwe. Bona ukuthi iziphi izithelo ezinconywayo kubantu abanesifo sikashukela.
Bheka futhi nokuzivocavoca ongakwenza, okuchazwe kuvidiyo elandelayo:
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