Izidakamizwa ze-antidiabetic zihlukaniswe ngamaqembu amaningana. Izinhlobo zezidakamizwa zikhethwa yi-endocrinologist ibheka uhlobo nohlobo lwalesi sifo.
Ukwelashwa, imithi enezindleko ezihlukile iyadingeka: ezinye izinto ziyabiza, hhayi wonke amaphilisi angatholakala mahhala ngaphansi kohlelo lukahulumeni.
Intengo yemithi yesifo sikashukela ingulwazi oluwusizo ezihlotsheni zeziguli nasezigulini eziphoqelelwa ukuthi ziqaphele njalo amazinga kashukela wazo.
Amaqembu izidakamizwa ezisetshenziswa ekwelapheni uhlobo lwesifo sikashukela sohlobo 1 nokuthinteka kokusetshenziswa kwazo
Uma ama-pancreas engakhiqizi i-hormone insulin, khona-ke imijovo yansuku zonke kanye namaphilisi kuyadingeka ukugcwalisa ukusilela kwento ebalulekile. Ukweqa umthamo olandelayo kuphumela ekunyukeni okukhulu koshukela wegazi, okungaholela ku-hyperglycemia kanye nemiphumela emibi.
Isiguli sithola nsuku zonke:
- i-insulin emfushane ne-ultrashort ngaphambi nje kokudla ukuvimbela ukugxuma kwezinkomba zeglucose yegazi;
- insulin ephakathi nendawo ende usuku lonke ukuze kulondolozwe ushukela wegazi ofanele.
Uhlobo oluphambili lwezidakamizwa zohlobo lwesifo sikashukela esiwu-1 luyizixazululo zokulimala.
Njengoba kushiwo ngudokotela, isiguli singathola amavithamini, amaphilisi okuqinisa ukungatheleleki, senze izinqubo ezijwayelekile ze-metabolic, zivikele nezinkinga ngegazi, izinso nemithambo yegazi.
Ngohlobo lwesifo oluzimele lwe-insulin, ukukhiqizwa kwehomoni elawula amanani eglucose kuyancishiswa, noma izicubu zingazweli noma zithambekele esenzweni se-insulin. Ukugxila okuyinhloko kohlobo lwesifo sikashukela 2 ekudleni okune-carb ephansi kancane kancane kuqinisa ushukela wegazi.
Ukudla Okuphansi Kwe-Carb
Amathebula abonisa ama-insulin kanye nama-glycemic indices, amayunithi wesinkwa enza lula ukubala kwama-carbohydrate atholwe ngokudla okulandelayo. Izinyathelo ezengeziwe: ukuvivinya umzimba okulinganiselayo, ukunakekelwa kwesikhumba okuphelele, ukuqedwa kovalo, kuhamba emoyeni omusha, kuqinisa ukungatheleleki.
Ngokutholwa kwesifo sekwephuzile, ukuqhubeka kwe-endocrine pathology, ingozi enkulu ye-hyperglycemia, udokotela ngaphezu kwalokho ukhetha amaphilisi ezigaba eziningana. Ngokuya ngesimo sikashukela, uchwepheshe onguchwepheshe uhlanganisa izidakamizwa zezinhlobo ezimbili noma ezintathu.
Ngohlobo 2 sikashukela, izidakamizwa zesimanje zeqembu elilodwa noma amaningi zinqunyelwe:
- ama-biguanides;
- izingoma ezivimbela ukuvela kwe-enzyme dipeptidyl peptidase-4;
- glyphlozlins;
- i-alpha glucosidase inhibitors;
- amalungiselelo e-sulfonylurea;
- zobumba;
- nguyenkungu.
Ifomu lomthamo wesifo sikashukela:
- amaphilisi
- amaphilisi;
- ikhambi lomjovo;
- isichibi se-antidiabetesic;
- ijeli.
Ngefomu lesifo esinzima, umuzwa omude walesi sifo, abanesifo sikashukela abanokumelana ne-insulin njalo abanamathebulethi anele okugcina izinga elifanele likashukela egazini. Ngobungozi obukhulu be-hyperglycemia, i-endocrinologist ikhetha ukwelashwa okuhlanganisa: inhlanganisela yezinto zokuphathwa komlomo kanye nokujova kwe-pancreatic hormone.
Intengo yezidakamizwa zikashukela
Izindleko zezidakamizwa ziyehluka kakhulu, kuncike kumenzi: imikhiqizo yasekhaya noma engeniswayo. Izinto eziningi zenziwa ngesisekelo sento eyodwa esebenzayo, kepha kaningi kunomehluko wokusebenza kahle ngesikhathi sokusebenzisa.
I-Metformin
Umthamo: 500, 850 no-1000 mg. Izindleko zokufaka uNombolo 30 no-60 zincike ekuhlolweni kwe-metformin. Intengo isukela kuma-ruble ayi-120 kuya kwangama-260.
Amathebhulethi e-Metformin
I-Yanumet (Yanulit, Yansmed)
Umuthi osuselwa kwinhlanganisela ye-metformin ene-sitagliptin uyabiza: cishe ama-ruble angama-2900 wamathebulethi angama-56. I-analogue kaJanuvius ishibhile izikhathi ezi-2, kepha kunento eyodwa kuphela esebenzayo - i-metformin.
Ukuhamba
Umuthi ophumelelayo wokulwa nesifo sikashukela osuselwa kwe-linagliptin. Izindleko zokupakisha uNo 30 ngama-ruble ayi-1800.
Amaril
Into esebenzayo yi-glimepiride. Intengo ye-Amaril ayixhomeki kuphela kunombolo yamayunithi kwiphakeji, kodwa futhi nasekuqoqweni kwento esebenzayo: 1, 2, 3, 4 mg. Ngamathebhulethi angama-30, kuzodingeka unikeze kusuka kuma-ruble angama-370 kuya kwangama-680, kumathebulethi angama-90 - kusuka kuma-ruble ayi-1290 kuya kwangama-2950.
Izibhebhe ze-Amaryl
I-Glucostab
Abaningi besifo sikashukela bathatha ikhambi le-homeopathic ukuze balondoloze amanani afanele eglucose usuku lonke. I-Glucostab isetshenziselwa uhlobo lwe-endocrine pathology hlobo 1 no-2 njengoba kushiwo ngudokotela.
Umthuthukisi waleli thuluzi ngu-Eduard Aldobaev. E-Russian Federation, ilungelo lobunikazi latholakala ngonyaka we-2010, e-Ukraine - ngonyaka ka-2008. Izindleko ezijwayelekile ngama-ruble angama-600.
Isifo sikashukela
Umuthi osuselwa ku-Glyclazide. Umuthi ukhiqizwa eFrance. Ngokuya ngezinga le-hyperglycemia, umuthi onokuqukethwe okusebenzayo kwe-60 noma 30 mg ungathengwa.
Amaphilisi eDiabeteson
Ngokusebenzisa amaphilisi kuqinisa amazinga kashukela egazini. UDiabeteson uthole izibuyekezo eziningi ezinhle. Iphakethe le-ejenti ye-antidiabetesic No. 30 libiza ama-ruble angama-340.
UDiatrivine
I-Bioadditive inomphumela omuhle ohlelweni lokugaya ukudla, izitho zohlelo lwezitho zofuzo kanye nesimo jikelele sesifo sikashukela. Ngaphezu kwezokwelapha, ungathatha amaphilisi we-Diatrivin enconyweni ye-endocrinologist. Ungaphuza kanjani i-bioadditive? Kubalulekile ukulandela imiyalo, ulungise umthamo wansuku zonke ucubungula ushukela wegazi.
Umuthi uDiatrivin
Ama-Levelkaps ne-Levelkaps Forte
Isidakamizwa sinconywa sikashukela sohlobo 1 (umbhalo oluhlaza okwesibhakabhaka ebhodleleni lepulasitiki) nohlobo 2 (imininingwane ikhonjiswe ngokuluhlaza). Amazinga we-Levelcaps nesigaba se-Forte aqinisekisiwe ukubuyekeza okuhle. Izinzuzo ezibalulekile ziwumphumela oyinkimbinkimbi emzimbeni, ukuqedwa kwe-hyperglycemia, kanye nokwanda kokuzwela kwamangqamuzana eglucose.
I-Nutrien standard
Ukuthuthukiswa kochwepheshe baseRussia, okungezelelwa kokudla. Kumakhemisi, kunezinhlobo ezimbili zeNutren: i-Steril ne-standard ene-fiber yokudla. Isengezo siqukethe amavithamini, amaminerali, izinto ezincane kanye nama-macro, ama-carbohydrate, amafutha, izingxenye zamaprotheni. Amanani: Okujwayelekile - ama-ruble angama-570 (ama-350 g), ama-Steril - ama-ruble angama-380 (ilitha eli-1).
I-Nutrien standard
Inzuzo Yenzuzo
Ngokuphikisana nesizinda sikashukela, ipheshana lomchamo livame ukuhlupheka. Amaconsi e-Urofit avimbela ukwehluleka kwe-renal, athuthukise ukuhamba kwe-tubules ezithweni ezifana nobhontshisi, anciphise ingozi yokuqongelela i-calculi, alkalize umchamo. Izindleko ezijwayelekile zamaconsi e-Urofit ngama-ruble angama-980, umthamo wesidakamizwa ungama-30 ml.
I-East pur
Isixazululo saseShayina esinezisekelo zemvelo. Imiphumela emihle ekwelashweni kohlobo 2 lwe-pathology. Umuthi waseChinese, njengemithi yemvelo yaseKorea yokulungiswa kokuphazamiseka kwe-metabolic, uthole izibuyekezo eziningi ezinhle ezivela kwabanesifo sikashukela.
Amakhandlela wase-East Pur
Ukukhangisa akumele kukholwe kukho konke: umuthi awususiqedi ngokuphelele isifo sikashukela, kepha kukhona ukuthuthuka okukhulu enhlalakahleni, ukuguqulwa kwesimo se-carbohydrate metabolism. Izindleko kufanele zichazwe kuwebhusayithi esemthethweni lapho u-oda umuthi.
Isifo sikashukela
Umkhiqizo woqobo wokuphulukisa yi-gel yasolwandle. Ukwakheka neFucus kumunwa kahle, kwehlisa amazinga kashukela, kuqinisa amasosha omzimba, kuqinise umsoco we-carbohydrate. Ukuthuthukiswa kososayensi abavela kwiRussian Federation kuvunyelwe odokotela bezokwelapha okusemthethweni. Ukupakisha kuthatha izinsuku eziyi-10. Izindleko zomkhiqizo wemvelo nemininingwane enemininingwane nge-Diabetesal gel zikuwebhusayithi esemthethweni yomenzi.
Isifo sikashukela
ILiraglutide
Umuthi ungoweqembu lama -retretins. I-ejenti ephumelelayo ye-antidiabetesic ikhiqizwa e-USA. Umuthi ulungele iziguli ezinenkomba yomzimba omningi, wehlisela isisindo. E-Russia, i-analogue eyodwa yeLiraglutide ivunyelwe - isidakamizwa iVictoza. Intengo emaphakathi ama-ruble ayi-11300.
Ama-analoggues wezidakamizwa ezibiza kakhulu zesifo sikashukela, nokuthi zibiza malini emakhemisi
Izinto eziningi zingengxenye ephakathi neningi yamanani. Azikho izidakamizwa eziningi ezinezindleko ezamukelekayo kanye nezinga eliphansi lemiphumela emibi.Ukusetshenziswa kwenkambo yesikhathi ngezikhathi kwama-ejenti we-hypoglycemic noma ukutholwa njalo kwe-pancreatic hormone neminye imithi kungumthwalo ophakeme wezezimali ezigulini. Ngokushoda kwezimali, kubalulekile ukwazi ukuthi yimaphi amaphilisi angafaka esikhundleni semithi ebizayo.
Ngaphambi kokubonisana nodokotela wakho we-endocrinologist, kwenqatshelwe ukukhansela izidakamizwa ezilwa nesifo sikashukela noma ukufaka uhlobo lomuthi owodwa nge-analogue eshibhile. Futhi, awungeke uguqule uhlobo lomuthi: imijovo ihlala isebenza kakhulu kunamathebulethi, hhayi zonke izinto ngokushesha yehlisa izinga le-glucose emazingeni amukelekile.
Izibhebhe ze-Glucophage
Amakhambi angabizi kakhulu wokuvimbela i-hyperglycemia:
- IGlucophage;
- I-Aktos;
- I-Metformin;
- I-Bagomet;
- I-Diabefarm;
- I-Gliclazide.
Amavidiyo ahlobene
Mayelana nezinhlobo zemithi yesifo sikashukela kule vidiyo:
Kubalulekile ukuqaphela izimpawu zesifo sikashukela ngokuhamba kwesikhathi, thintana nodokotela oyi-endocrinologist. Ngesifo sohlobo 1, kuzofanela uthole imijovo ye-insulin impilo yakho yonke. Kulula ukwelapha i-2 pathology, kepha ukudla kanye nokudla amaphilisi anqunyiwe kuyadingeka.
Intengo yezidakamizwa zesifo sikashukela ihlala inentshisekelo ezigulini: ukwelashwa kusekude, akufanele uphuthe ukuthatha izidakamizwa ezinqunyiwe ze-antidiabetes. Kumakhemisi, kunemithi nezithasiselo zokudla, amakhambi asekhaya aphathelene nezindleko ezihlukile. Ukukhethwa kwezidakamizwa zohlu lokuqala, izinto ezingeziwe, ama-analogues ashibhile kuyavunyelwana ne-endocrinologist.
