Izidakamizwa zokwelapha isifo sikashukela

Ukwelashwa kwesifo sikashukela kuyinqubo eyinkimbinkimbi kakhulu, edinga amandla amaningi nokubekezela esigulini. Udinga ukunamathela njalo ekudleni okwelaphayo, ukulawula ukuzivocavoca umzimba, futhi, futhi, uphuze nemithi. Ngaphandle kwabo, ngeshwa, ngeke kwenzeke isiqiniseko sokwejwayelekile ushukela wegazi. Futhi imayelana nemithi esetshenziselwa lesi sifo esizoxoxa ngakho manje. Kepha uhlu lwamaphilisi kashukela, okuzoxoxwa ngalo ngezansi, wethulwa izinjongo zokwazisa kuphela. Awukwazi ukubathatha ngaphandle kolwazi lukadokotela, ngoba lokhu kungaholela ezinkingeni ezinkulu zempilo.

Imininingwane ejwayelekile

Isifo sikashukela i-mellitus sinezinhlobo eziningana - esokuqala nesesibili. Futhi ngokwemvelo, kusetshenziswa imishanguzo ehluke ngokuphelele ekwelapheni kwabo. Ngohlobo lwesifo sikashukela sohlobo 1, ukuntuleka kwe-insulin okunamandla emzimbeni, ngenxa yalokho i-glucose engena kuyo nokudla akuphuli futhi ihlale egazini.

Kepha ngesifo sikashukela sohlobo 2, i-insulin ikhiqizwa ama-pancreas ngamanani anele, kepha amaseli omzimba alahlekelwa umuzwa wawo kuwo. Iphinde inikeze ukucwazimula okufanayo. IGlucose iphukile, kepha ayigxiliwe emangqamuzaneni, ngakho-ke iqala ukuzinza egazini.

Ekhuluma ngokuthi imuphi umuthi osetshenziselwa ukwelapha isifo sikashukela, kufanele kuqashelwe ngaso leso sikhathi ukuthi nge-DM1, kusetshenziswa izidakamizwa eziqukethe i-insulin (imijovo), futhi nge-DM2, kusetshenziswa umuthi othulula ushukela wegazi futhi ukwandisa ukuzwela kwamaseli omzimba. Futhi njengoba abantu abanalolu hlobo lwesifo sikashukela bevame ukuba nenkinga yokukhuluphala, bavame ukunikezwa imishanguzo yokwehliswa kwesisindo. Zikhethwe ngawodwana.

Kepha njengoba abanesifo sikashukela bevame ukuba nezinye izinkinga zempilo phakathi nalesi sifo, ukwelashwa kuhlale kulungiswa futhi kungahle kufake izindlela ezisekela uhlelo lwe-vascular, activates process metabolic, ukuqeda ukuvuvukala, njll.

Ngasikhathi sinye, kumele kushiwo ukuthi abantu abanesifo sikashukela sohlobo 2 bangahamba ngaphandle kwemithi isikhathi eside. Ukulawula izinga likashukela egazini, nje badinga ukunciphisa inani lama-carbohydrate asetshenziswa futhi banikeze imizimba yabo ukusebenza komzimba okulinganiselayo.

Ithebhulethi yesifo sikashukela sohlobo 2 inqunyelwe kuphela uma lesi sifo siqala ukuthuthuka, ukudla kanye nemithwalo kunganikezi umphumela omuhle, futhi kunezingozi ezinkulu zokuthola isifo sikashukela sohlobo 1.

Asebenza kanjani amaphilisi esifo sikashukela?

Onke amaphilisi esifo sikashukela anezawo izindawo zawo zokwelapha futhi asebenza ngezikhathi ezihlukile (kusuka amahora ayi-10 kuye kwangama-24). Kepha banezenzo ezijwayelekile - banikeza umphumela we-hypoglycemic futhi baneqhaza ku:

• kwehlisa ushukela wegazi;
• ukukhuthaza kokuhlanganiswa kwe-insulin ngamaseli e-beta wamanyikwe;
• ukukhulisa ukuzwela kwamaseli omzimba ku-insulin;
• kunciphisa ukukhishwa koshukela.

Umuthi ofanele uqinisekisa imiphumela engaguquki.

Izenzo zemishanguzo esetshenziselwa ukwelapha isifo sikashukela ziyahlukahluka futhi zincike ekunwetshisweni komuthi ngamunye nokutholwa kwawo.

I-contraindication esemqoka

Imithi, kufaka phakathi leyo enqunyelwe ushukela, inokuphambana kwayo. Akafakiwe ekwelashweni okujwayelekile kumacala alandelayo:

• lowo onesifo sikashukela unemizwa engafani nezinto ezakha umuthi okhethiwe;
• isiguli sinezimo ezinjenge-hypoglycemic coma, thoroma ne-ketoacidosis;
• isiguli sinezindlela ezinamandla ze-hepatic or renal pathologies;
• ukukhulelwa kwatholakala (nge-lactation, izidakamizwa zesifo sikashukela nazo akufanele zithathwe);
• isiguli asifikanga eminyakeni eyi-15-18 (izingane azinconywa ukuthatha izidakamizwa ezinjalo).

Lapho kukhona ama-contraindication, akunakwenzeka ukuthatha imishanguzo yesifo sikashukela, ngoba lokhu kuzothusa isimo kuphela

Ngokuqapha, ukwelashwa kwezidakamizwa kusetshenziswa kubantu abathile:

• ukuba umlutha wotshwala;
• ehlushwa i-endocrine pathologies;
• iminyaka yakhe idlula iminyaka engama-65.

Ngaphezu kwalokho, kubalulekile ukulandela uhlelo lwemithi olunqunywe ngudokotela ohambayo futhi ulandele zonke izincomo zakhe. Ngesikhathi sokwelashwa, udinga ukudla ngokuhlelekile nangokufanele. Ukudla ngokungahambisani nokudla noma ukubulawa yindlala kuhlangana nezidakamizwa ezinciphisa ushukela kungavusa ukukhula kwe-hypoglycemia (ukwehla okukhulu kweglucose yegazi) ngokuqala kokulandela kwe-hypoglycemic coma.

Amagama amaphilisi kashukela

Uma udokotela ebeka amaphilisi esifo sikashukela, khona-ke umzimba wakho awusakwazi ukulawula ngokuzimela inqubo yokuqhekeka nokufakwa i-glucose, kudinga ukusekelwa. Njengomthetho, kwabanesifo sikashukela, izidakamizwa zibekiwe ezisiza ukunciphisa ukumuncwa koshukela ezindongeni zamathumbu noma kukhuphule ukuzwela kwamangqamuzana ukungena ku-insulin.

Ukwelashwa Ushukela

Ngokuthuthuka kwesifo sikashukela sohlobo 1, kusetshenziswa imijovo ye-insulin. Kepha ngokuhlanganiswa nazo, ezinye izidakamizwa zingasetshenziswa, ngokwesibonelo, ukulwa ne-hypertension noma izifo zemithambo yegazi.

Nge-T2DM, kusetshenziswa imithi yokusiza ushukela wegazi ngendlela ejwayelekile futhi ivimbele ukuqhubeka kwesifo kanye nokushintshela kwe-T1DM. Futhi kaningi, le mithi elandelayo isetshenziselwa le njongo.

I-Metformin

Ungoweqembu lezemithi lama-Biguanides. Ukubuyekezwa ngakho kuhle kakhulu, ngoba lesi sidakamizwa asinawo umthelela olimazayo kumaseli we-pancreatic kanye nokuhlanganiswa kwe-insulin, ngakho-ke, ubungozi be-hypoglycemic coma ngesikhathi sokuphatha kwawo bancishiswa. I-Metformin ingathathwa zombili esiswini esingenalutho futhi ngokushesha ngemuva kokudla. Lo mkhiqizo une-analogue ebizwa nge-Glucofage.

Umuthi ovela ku-SD2 Glucofage

Siofor

Futhi kuyindlela ephumelela kakhulu yokwelapha isifo sikashukela, enemiphumela efanayo yemithi njengomuthi ongenhla. Isithako saso esisebenzayo yi-metformin.

UGalvus

Lo muthi uqukethe i-vildagliptin, esiza ukwenza kusebenze ukukhiqizwa kwe-insulin ngamanyikwe futhi ikhulisa ukuzwela kwamaseli we-beta. Ngempumelelo kwehlisa ushukela wegazi, kepha ine-contraindication eminingi futhi inemiphumela emibi. Ngakho-ke, imiyalo yokusetshenziswa kwaleli thuluzi kufanele ifundwe yisiguli ngaphambi kokuqala ukwenza ukwelashwa. Futhi uma imiphumela emibi ivela, udinga ukukhansela, kulandelwe ngokufaka omunye umuthi.

Ukuxhuma

Kuyisengezo sokudla esisebenzayo esikhuthaza ukukhula kabusha kwamaseli we-pancreatic owonakalisiwe, ngaleyo ndlela kancane kancane kubuyiselwe emsebenzini wawo futhi kwandise nokwakheka kwe-insulin emzimbeni ngendlela yemvelo.

I-Forsyga

Lesi sidakamizwa sihlinzeka nge-excretion eyenziwe ngoshukela evela emzimbeni ngokusebenzisa izinso. Ngenxa yalokhu, amazinga kashukela egazi enza ngokwejwayelekile, isimo esivamile sesifo sikashukela siyathuthuka, futhi izingozi ze-hyperglycemic coma ziyancishiswa. Ingasetshenziswa kokubili esiswini esingenalutho nangemva kokudla.

Amaril

Kubhekiselwa ezidakamizweni ezivela eqenjini le-sulfonylurea. Isebenza ngezinkomba eziningana - yandisa ukuzwela kwezicubu zomzimba ukungena ku-insulin futhi ithuthukisa ukusebenza kwamanyikwe, ikhulisa ukwakheka kwamahomoni.

I-Amaryl yesifo sikashukela

Maninil

Leli thuluzi linikeza ukucasha okukhulayo kwe-insulin ye-pancreatic. Kepha ukuphuza kwayo kufanele kwenzeke ngeziphazamiso ezincane, ngoba amangqamuzana esitho ngesikhathi sokuphatha kwawo asebenza kakhulu, "aphelelwa amandla" futhi alimale, okunyusa ubungozi bokuba nesifo sikashukela sohlobo 1. Kodwa-ke, njengoba umkhuba ukhombisa, lo muthi othize usiza ukwelapha isifo sikashukela sohlobo 2, kwehlisa ushukela wegazi ngempumelelo futhi sibeke esimeni isimo sesiguli ngemuva kokunyuka okubukhali kuso ngesikhathi esifushane.

Isifo sikashukela

Omunye umuthi ovela eqenjini le-sulfonylurea. Inemiphumela efanayo yemithi efana ne-Amaryl.

Janumet

Ithuluzi linomphumela oyinkimbinkimbi emzimbeni. Isiza ngokwejwayelekile amazinga eglucose egazini, ivuselela ukukhiqizwa kwe-insulin ngamaseli e-beta, isekela umsebenzi wesibindi.

I-Glibomet

Elinye ithuluzi elinomthelela oyinkimbinkimbi emzimbeni. Ngaphezu kweqiniso lokuthi i-Glybomet inomphumela wehlisela ushukela, isiza ukwehlisa i-cholesterol yegazi, ivimba ukumunwa kwama-carbohydrate afakwa kalula yizindonga zamathumbu, ikhuphule ukusetshenziswa kwamandla, ngaleyo ndlela isize ukulwa nokukhuluphala.

England

Ikhuthaza ukukhiqizwa okusebenzayo kwe-insulin emzimbeni, ngenxa yokuthi kukhona ukuqhekeka okusebenzayo kwe-glucose nokususwa kwehaba layo ngokweqile. Isici saso ukuthi ungaphuza umuthi nganoma yisiphi isikhathi sosuku, noma ngabe ungadla kangakanani.

Ngaphezu kwale mishanguzo, izidakamizwa zaseChinese zesifo sikashukela muva nje seziqale ukusetshenziswa ngenkuthalo njengezokwelapha. Phakathi kwazo, okuphumelela kakhulu yilezi:

• Sanju Tantai. Umuthi we-herbal oyingqayizivele ohlinzeka kabusha kwamaseli we-pancreatic owonakele futhi uthuthukisa ukusebenza kwawo.
• Cordyceps. Umkhiqizo oyinkimbinkimbi, oqukethe kuphela izakhi zezitshalo ezisebenza kumaseli we-pancreatic nawo wonke umzimba uwonke, unikeza umphumela oqinisayo ojwayelekile.
• Ukuqina 999. Lo mkhiqizo uqukethe izinto ezifaka isandla ekusebenzeni kwezinqubo ze-metabolic, i-normalization kashukela wegazi, zenyusa ukujikeleza kwamandla emzimbeni, zivimbele ukuqina kwesisindo.

Isidakamizwa saseChinese sikashukela i-Cordyceps

Amakhambi asekhaya wesifo sikashukela nawo asetshenziswa kaningi. Isimo sabo esiyingqayizivele ukuthi, ngokungafani nemithi ejwayelekile eye yachazwa ngaphezulu, amakhambi we-homeopathic awadali umlutha, abuyisele izinqubo zemvelo emzimbeni, kepha ukuphatha kwawo akuhambelani nemiphumela emibi.

Phakathi kwezixazululo zasekhaya, ezithandwa kakhulu yilezi:

• I-coenzyme compositum. Isenzo saso sihlose ukubuyisela esimeni uhlelo lwe-endocrine kanye nokwenza amazinga kashukela egazini abe ngokwejwayelekile. Inikeza umphumela omuhle kakhulu uma isiguli sine-neuropathy yesifo sikashukela.
• I-gepar compositum. Isebenza kumaseli wesibindi, iwabuyisele futhi ithuthukise ukusebenza kwesitho. Ngaphezu kwalokho, i-Hepar compositum isebenzisa izinqubo ze-metabolic, ukuvimbela ukukhula kwesifo se-cholesterol ngokumelene nesizinda sikashukela.
• Mucosa compositum. Izakhi ezisebenzayo ezakha ukwakheka kwazo zisiza ukukhulula ukuvuvukala kumaseli wamanyikwe futhi kuvikele ukukhula kwe-pacreopathy.
• I-Momordica compositum. Isebenza ngokusetshenziswa kwama-hormone futhi inomphumela wokuvuselela kumaseli we-pancreatic.

Ngokwehlukana, ngingathanda ukusho amagama ambalwa mayelana nethuluzi elinjenge-Eberprot-P. Lesi sidakamizwa saseCuba esenza i-Splash kwezokwelapha. Ukwemukelwa kwawo kubekelwa ikakhulu lapho kukhona unyawo lwesifo sikashukela. Inika:

• ukuphulukiswa kwamanxeba okulimala ezinyaweni;
• ukukhululeka kwezinqubo zokuvuvukala;
• ukuvimbela i-gangrene;
• ukushesha kwezinqubo zokuvuselela umzimba emzimbeni.

Isidakamizwa i-Eberprot-P

Futhi njengoba kuboniswa izifundo eziningi zemitholampilo, ukusetshenziswa kwe-Eberprot-P kugwema ukungenelela kokuhlinzwa ukuze kudaleke izicubu ezithambile, kanye nokunqunywa komlenze.

Ukuhlukaniswa kwezidakamizwa ezisetshenziselwa ukwelapha isifo sikashukela kukhulu kakhulu. Futhi ukuyicabanga, kufanele futhi kuqapheleke imali enikela ngokusebenza kwesisindo esisebenzayo. Zisetshenziswa kuphela uma isifo sikashukela sohlobo 2 sihambisana nokukhuluphala. Lokhu kufaka iSibutramine ne-Orlistat. Noma kunjalo, ukusetshenziswa kwabo kufanele kwenziwe ngokuhlanganiswa nama-multivitamin agents.

Ngokuthuthukiswa kwe-neuropathy yesifo sikashukela, kunconywa i-lipoic acid. Inikeza ukuhlelwa kwensiza yohlelo lwezinzwa kanye nokwenza ngcono kokuqhutshwa kwezinzwa. Kodwa-ke, izidakamizwa ezisebenzisa i-lipoic acid zinemiphumela emibi eminingana (isiyezi, isifo sohudo, ukugoba, ikhanda, njll.). Kufanele athathwe ngokucophelela.

Kubalulekile! Ukuhlinzeka imizimba yabo ngenani elidingekayo le-lipoic acid futhi kuvimbele ukuthuthukiswa kwe-neuropathy yesifo sikashukela, abanesifo sikashukela bayanconywa ukuba badle i-artichoke eminingi yaseJerusalema. Ngaphezu kwe-lipoic acid, iqukethe nezinye izinto ezivimbela ukuqhubeka kwesifo sikashukela.

I-Lipoic acid - indlela engcono kakhulu yokuvimbela izinkinga ku-T2DM

Kubalulekile ukwazi!

Ukwemukelwa kwale mishanguzo engenhla kufanele kwenzeke ngokuqinile ngokohlelo olunqunywe ngudokotela. Akunjalo uma kufanele wandise ngokuzimela umthamo wabo. Njengoba kushiwo ngenhla, ukuzila ukudla, noma kuyinto yesikhashana, kungaholela ekwehlekeni okukhulu koshukela wegazi kanye nokuthuthukiswa kwe-hypoglycemic coma. Wonke umuntu kufanele azi ngezimpawu zalesi simo, ngoba uma ungasimisi ekuqaleni, lokhu kungaholela ezinkingeni ezinkulu.

Ngakho-ke, i-hypoglycemic coma, ebangelwa yidakamizwa eyeqile yesifo sikashukela, izibonakalisa kulezi zimpawu ezilandelayo:

• ukuchama njalo;
• ukukhuphuka kokujuluka;
• ukuzindla kwenhliziyo;
• ukwehlisa umfutho wegazi;
• indlala yesikhumba;
• imilenze emincane;
• umuzwa onamandla wendlala;
• ukwazi okufiphele.

Izimpawu ezingakhombisa ukuthuthukiswa kwe-hypoglycemic coma

Ngokuqala kwe-hypoglycemic coma, abanesifo sikashukela abakwazi ukuqhubeka nokuthatha izidakamizwa ezingenhla. Kulokhu, usizo luqukethe ekudleni ukudla okuqukethe kalula ama-carbohydrate angamakhompiyutha, atholakala ku-chocolate, ushukela, imikhiqizo yebhikawozi, njll.

Ngaphezu kwalokho, awukwazi ukuhlanganisa ukusetshenziswa kwezidakamizwa ekwelapheni isifo sikashukela nemithi enjalo:

• i-miconazole ne-phenylbutazole, kusukela lapho kuthathwa ndawonye, ​​izingozi zokukhula komqondo we-hypoglycemic zikhuphuka kaningana;
• amalungiselelo aqukethe i-ethyl alcohol;
• ama-antipsychotic nama-anticoagulants kumthamo omkhulu.

Amaphilisi we-hypertension kashukela

Ngeshwa, ngaphezu kweqiniso lokuthi abanesifo sikashukela kufanele bahlole njalo ushukela wegazi labo, ngokuvamile futhi kufanele babhekane nomfutho wegazi ophakeme. Lokhu kungenxa yokuthi ngoshukela owandayo egazini, ukuphazamiseka kwemithambo kwenzeka emzimbeni.

Izindonga zemithambo yegazi kanye nama-capillaries alahlekelwa ithoni yawo, ukuqina kwawo kuyanda, iba ntekenteke futhi ibe sengozini yomonakalo.Ngaphezu kwalokho, okuqukethwe kwe-glucose okwandayo kuholela ekunyukeni kwe-cholesterol, ngenxa yalokho ama-cholesterol plaques aqala ukufakwa emithanjeni, ukuvimbela ukuhamba kwegazi okujwayelekile. Ezindaweni ezithile zemithambo yegazi, igazi liqala ukuqongelela, izindonga zazo ziyanda, umfutho wegazi uyenyuka.

Futhi konke kuzolunga, kepha kunzima kakhulu ukukhetha umuthi wokujwayeleka kwengcindezi yegazi kushukela, ngoba iningi lawo liqukethe ushukela ocwatshwe ngohlobo 2 sikashukela. Futhi, kukhona i-metabolism engasebenzi kahle, enikeza nezinkinga lapho uthatha izidakamizwa ezinjalo. Ngakho-ke, lapho ukhetha umuthi wokucindezela, kufanele uqaphele kakhulu. Kumele bathobele le mithetho elandelayo:

• ukunciphisa umfutho wegazi ngesikhathi esifushane;
• awunemiphumela emibi;
• awunawo nomthelela ushukela wegazi;
• ungafaki sandla ku-cholesterol;
• Musa ukufaka umthwalo oqinile ohlelweni lwethambo nenhliziyo.

Kepha izidakamizwa ezisebenzisa i-potassium-sparing kanye ne-osmotic zesifo sikashukela azinakuthathwa, ngoba zingavusa ukuvela kwe-hyperglycemic coma. Njengomthetho, amalungiselelo anjalo aqukethe izinto ezifana ne-mannitol ne-spironolactone.

Ngokukhuphuka okukhulu kwengcindezi yegazi, abanesifo sikashukela bavunyelwe ukuthatha i-beta-blockers ye-cardioselective Akuthinti nezinga le-glucose ne-cholesterol esegazini, futhi futhi akukucasisi ukuqhubeka kwesifo. Phakathi kwale mithi, esebenza kakhulu yiNebilet neNebivolol.

Umuthi osebenzayo we-hypertension kushukela

Ngaphezu kwalokho, kunezidakamizwa ezihlobene ne-ACE inhibitors, nazo ezifaka umthelela ekujuleni kokucindezela kwegazi. Ukwemukelwa kwabo kuvunyelwe sikashukela, kepha umthamo wabo kufanele unqunywe ngokuqondile.

I-Urinary incontinence tablet yesifo sikashukela

I-Incontinence kungenye indlela exoxisana nesifo sikashukela. Futhi ekwelapheni lokhu kugula, kusetshenziswa imithi yesenzo se-nootropic ne-adtogenic. Imvamisa, ezimweni ezinjalo, ama-antidepressant asetshenziswa, kepha anqunyelwe ngokuqinile ngenxa yezizathu zokwelashwa. Ukusetshenziswa kwabo ngokungafanele ngeke kuvuse kuphela ukuvela kokuxhomekeka kwezidakamizwa, kodwa futhi nokubonakala kwezinkinga ezinkulu zempilo.

Ngokungasebenzi kahle komchamo, abantu abanesifo sikashukela bavame ukunikezwa umuthi onjengeMinirin. Kukhiqizwa ngesimo samathebulethi futhi kwenziwa ngesisekelo se-desmopressin. Ukusetshenziswa kwaso kuhlinzeka ukwehla kwemvamisa yokuchama futhi kungasetjenziswa zombili ekwelashweni kwabantu abadala nezingane ezineminyaka engaphezu kwengu-5.

Amacwecwe ekhwehlela kashukela

Abantu abanesifo sikashukela, njengabantu abavamile, bavame ukugula. Futhi kaningi lezi zifo zihambisana nokukhwehlela okuqinile. Futhi ekwelashweni kwayo, izidakamizwa ezahlukahlukene nazo ziyasetshenziswa, kodwa hhayi nganoma iyiphi indlela. Ngakho-ke, ngokwesibonelo, kwenqatshelwe ngokuphelele ukuthi abanesifo sikashukela basebenzise imishanguzo yama-syrups noma ama -xube, ngoba aqukethe ushukela omningi kanye nama-alcohols, angalimaza kakhulu isimo sabo.

Ngalesi sizathu, amaphilisi kuphela amafomu ethebhulethi avunyelwe ukwelapha ukukhwehlela. Kepha hhayi lezo ezidinga ukungenwa, kepha lezo ezithathwa ngomlomo, zigezwa ngamanzi amaningi.

Izimali ezinje zifaka uLazolvan ne-Ambroxol. Ziphephe kakhulu kwabanesifo sikashukela, ngoba ziqukethe kuphela izakhi zezitshalo. Ama-ripars kanye nama-alcohols awekho kuzo. Kodwa ukwamukelwa kwalezi zimali kufanele kwenzeke kuphela ngemuva kokubonisana nodokotela ngaphambili.