An tsara magungunan masu ciwon sukari lokacin da ba zai yiwu a tsare hoto na cutar tare da canza abinci da motsa jiki na yau da kullun ba. Magungunan da aka tsara an yi niyya don kawar da hoton asibiti na cutar, hana haɓaka rikice-rikice da kuma daidaita daidaituwar glucose a cikin jini.
Tsarin allunan don ciwon sukari
Dalili don lura da ciwon sukari shine babban canji na rayuwar mutum. Abinci mai mahimmanci don asarar nauyi da motsa jiki na yau da kullun, ana buƙatar motsa jiki matsakaici. Lokacin da nauyi asara da wasanni basu isa ba, an wajabta maganin maganin.
An tsara magungunan masu ciwon sukari lokacin da ba zai yiwu a tsare hoton mai cutar ba.
A mafi yawan halaye, nau'in ciwon sukari na 2 na ciwon sukari na buƙatar haɗaɗɗiyar hanyar kula da magani tare da alƙawarin magunguna na ƙungiyoyin warkewa da yawa. Kowannensu yana da yanayin aikinsa da alamomi. Jerin magunguna don kula da ciwon sukari suna da yawa, kawai likitan halartar ne ya zaɓe su, an cire kai-kanka.
Sulfonylurea
Magunguna na wannan rukuni na warkewa suna kunna aikin insulin ta hanji. Na dogon lokaci, an dauke su manyan magunguna a cikin lura da ciwon sukari, suna ba da gudummawa ga raguwar yawan glucose. Babban sinadari mai aiki ga wannan rukunin shine metformin. Kungiyar ta hada da:
- Glycidone;
- Gliclazide;
- Glucophage;
- Glimepiride;
- Glibenclamide (sunan cinikayya Maninil).
Duk da ingancin ƙarfinsa, wannan rukunin yana da ƙarancin buƙata a yau saboda haɗarin haɗarin hypoglycemia da karuwar nauyi. Magani kawai a cikin ƙungiyar da Healthungiyar Lafiya ta Duniya ke ba da shawarar ita ce magani Glibenclamide. Irin wannan sakamako na gefen amfanin ta kamar yadda hypoglycemia ba ya nan.
Magani kawai a cikin ƙungiyar da Healthungiyar Lafiya ta Duniya ke ba da shawarar ita ce magani Glibenclamide.
Meglitinides
Magunguna a cikin wannan rukunin suna kunna samar da insulin. Sakamakon maganin warkewa daga amfanin su yana da alaƙa da farkon sukari: mafi girman shi, mafi girman adadin insulin zai samar da ita. Nagari a lura da ciwon sukari na 2:
- Starlix - umarnin don amfani yana da'awar cewa ya fara aiki 1 sa'a bayan gudanarwa. Babu wasu sakamako masu illa kamar ƙimin nauyi da mummunar tasiri ga ƙodan da hanta. Sashi mutum ne gwargwadon shekarun mai haƙuri, nauyinsa da tsananin matsalar shari'ar.
- Novonorm - dole ne a ɗauka a gaban babban abincin, yawan cin abincin yau da kullun - daga sau 3 zuwa 4. Magungunan yana taimakawa rage yawan sukari a hankali, saboda haka babu haɗarin cututtukan hypoglycemia.
Sashi na mutum ne
Biguanides
A cikin masu ciwon sukari, biguanides yana hana tsarin kwantar da hankali na glucose daga sel hanta, saboda abin da sukari ya fi dacewa kuma yana motsawa ta hanyar kyallen takarda mai lafiya. Contraindications don amfani - mai haƙuri yana da gazawar koda, cututtukan zuciya, wanda zai iya tare da babban yiwuwar haifar da gazawar zuciya, insipidus ciwon sukari (ƙarancin fitsari). Wannan rukunin ya hada da:
- Metformin - yana rage jinkirin glucose a cikin hanji, sashi na mutum, an wajabta shi idan mai haƙuri yana da kiba;
- Siofor - ba da gudummawa ga asarar nauyi: sashi na yau da kullun - 3 g, dole ne a kasu kashi 2-3 a rana;
- Formine - ana amfani da shi a cikin marasa lafiya tare da kiba, yayin al'ada koda da tsarin urinary.
Biguanides na iya haifar da sakamako masu illa kamar tashin zuciya da canji a dandano. A mafi yawan halaye, da masu haƙuri kan yarda da su.
Gliptins
Neman rage girman tattarawar glucose a cikin jini. Ana tabbatar da wannan aikin ta hanyar dakatar da samar da sinadarin glucagon wanda sinadarin dake motsa jini. Amfanin wannan rukunin shine rashin haɗarin rikice rikice kamar haɓakar ƙwayar cutar mahaifa. Alamu don amfani:
- farkon cutar sankara;
- rashin haƙuri ko rauni warkewa amsa daga biguanides.
An tsara su tare da wasu magunguna waɗanda ke rage yawan sukari. Shawarar yin amfani da gliptins:
- Januvius;
- Galvus;
- Onglisa.
Wannan rukunin magungunan an yi amfani dashi sosai wajen maganin cututtukan cututtukan cututtukan fata saboda gaskiyar cewa baya tasiri akan nauyin jikin mutum, ƙwayar jijiyoyi da zuciya.
Glinids
Magunguna suna nufin haɓaka tsarin samar da insulin. An sanya shi da haɓaka matakan sukari bayan cin abinci. Suna fara aiki a cikin awa 1 bayan gudanarwa. Kunshe cikin wannan rukunin:
- Sake bugawa;
- Bangaren Kasa.
Rashin daidaituwa - haɗarin haɗarin hypoglycemia, buƙatar ɗaukar kowane lokaci tare da abinci. An ƙayyade glinides a cikin hadaddun magani tare da magunguna dangane da sinadarin metformin.
Alfa Glucosidase Inhibitors
Tasirin kwayoyi a cikin wannan rukunin ya dogara ne da jinkirin saukar da glucose. Sakamakon wannan, an rage girman darajar hyperglycemia bayan cin abinci. Alpha glucosidase inhibitors yana ragewa kuma yana kula da matakan sukari. Nagari don izinin shiga:
- Miglitol;
- Voglibosis;
- Acarbose.
Babu wata haɗarin hauhawar jini, amma sauran alamun cututtuka na iya faruwa: flatulence, zawo. Idan waɗannan alamun suka faru, kuna buƙatar daidaita sashi. Idan wannan bai taimaka ba, ya kamata ka daina shan waɗannan masu hana masu amfani.
Beta glucose inhibitors
Magungunan wannan rukunin, wanda aka wajabta don magance cututtukan type 2, Acarbose (Glucobay). Wannan ba kayan aiki bane mai zaman kansa a cikin aikin likita, amma yana da tasiri sosai. Abubuwan da ke aiki ba su shiga cikin jini kuma ba su shafar samarwa da insulin.
Gangan aikin shine kai tsaye ga carbohydrates wanda ke shiga jiki da abinci. Abubuwan da ke aiki suna aiki tare da enzymes wanda jiki ke samarwa don rushe carbohydrates. Magungunan da aka tsara an rage yawan shan ƙwayoyin carbohydrates, ta haka ke hana karuwar glucose.
Acarbose yana rage rage yawan narkewar carbohydrates, ta yadda zai hana karin yawan glucose.
Inhibitors na Sodium Glucose Cotransporter
Waɗannan sune sababbin magunguna don maganin cututtukan cututtukan cututtukan cututtukan jini. Hanyar tasirin su ga jiki shine ya lalata tsari na sakewa da sukari ta hanyar fitsarin koda, wanda hakan ke fitar da sukari daga jiki tare da fitsari. Sabuwar ƙarni na kwayoyi suna ba da raguwa na dogon lokaci a cikin glucose yayin da ake haɓaka samar da insulin. Wannan rukunin ya hada da:
- Forsyga;
- Invokana;
- Jardins.
Ana iya amfani dasu a cikin haɗin gwiwa tare da wasu magunguna a cikin hadaddun lura da ciwon sukari, babu rikitarwa tare da wannan haɗin.
Ana amfani da allurar rigakafi a dukkan matakai na cutar. Ba zai yiwu a haifar da sakamako masu illa ba, amma ci gaban cututtukan cututtukan cututtukan cututtukan ƙwayar cuta ba a cire su ba, don magani wanda zai zama dole a sha maganin rigakafi.
Sawarshan
Suna taimakawa dakatar da aiwatar da sakin glucose, daidaita da inganta haɓakar sukari ta kyallen takarda. Rashin ƙungiyar magani a cikin lura da ciwon sukari jerin adadi ne na alamun gefen:
- karin nauyi;
- kamshi na kasusuwa na kasusuwa;
- kumburi;
- ci gaban eczema;
- mummunan tasiri akan aikin ƙwayar zuciya da hanta.
Rashin ingancin thiazolidinediones shine cewa suna tsokani ƙimar nauyi.
Rashin ingancin Thiazolidinediones shine suna haifar da kumburi.
Rashin ingancin Niazolidinediones shine cewa suna cutar da mummunan tasiri kan aikin jijiyoyin zuciya.
Avandia shine wakili mai karfi tare da sakamako na hypoglycemic.
Thiazolidinediones da masu ciwon sukari ke amfani da su:
- Avandia wani wakili ne mai ƙarfin gaske tare da sakamako na hypoglycemic, wanda ke inganta matakan metabolism, yana ƙara haɓakar insulin;
- Actos - yana kara yawan kyallen takarda zuwa insulin, wanda ke rage yawan sukari ta hanyar hanta;
- Astrozone - an wajabta shi ga marasa lafiya da ke da kiba fiye da kima waɗanda ba su da maganin warkewa daga amfani da metformin;
- Piouno - an wajabta shi don ƙurar kiba da rashin haƙuri.
Thiazolidinediones an yi amfani da ko dai kadai a lura da ciwon sukari irin 2 cuta, da kuma a hade tare da sauran magunguna idan da ake bukata.
Baranzaman
Exenatide, Liraglutide nasa ne ga wannan rukunin. Hanyar aikin shine aka hanzarta hanzarta aiwatar da insulin saboda yawan glucose a cikin tsarin jijiyoyin jini. Rage yawan samarda glucagon da kitse, wanda ke rage narkewar abinci. Wannan tasirin magunguna na taimakawa ga tsawan jin daɗin rayuwa da rashin yunwar.
Wataƙila sakamako mai illa shine tashin zuciya. Bayan makonni 1-2 daga farkon jiyya, yawan tashin zuciya yana magance kansu.
Magungunan rigakafi
Cimma maganin cutar hauhawar jini, sanadiyyar yawan ciwon sukari. Magungunan rigakafin ƙwayoyin cuta waɗanda ake amfani da su don maganin hawan jini a cikin masu ciwon sukari:
- kamuwa da cuta;
- alfa-blockers;
- hanawar beta;
- allunan tashar alli;
- matakin tsakiya.
Magungunan rigakafin ƙwayoyi waɗanda ake amfani da su don magance hawan jini a cikin masu ciwon sukari sun haɗa da diuretics.
An zaɓi su daban-daban dangane da halayen jiki da kuma tsananin ciwon sukari. Yana da mahimmanci a zabi irin waɗannan kuɗin don su sami ƙarancin haɗarin rikitarwa. Zai fi dacewa amfani da su a hade tare da magunguna na asali.
Statitis da fibrates
An yi niyyarsu ne ta yadda za a samar da matakin ƙwayar cuta, wanda ke rage haɗarin cututtukan zuciya da na jijiyoyin jini. Taimakawa zuwa ƙananan cholesterol, daidaita ƙididdigar jiki.
Neuroprotectors
A cikin maganin cututtukan cututtukan cututtukan zuciya, neuroprotectors suna da niyyar samar da matakan kariya don hana ci gaban rikitarwa da ke faruwa daga damuwa na rayuwa. Tare da ciwon sukari, likitoci galibi sukan rubuto:
- Benfogammu;
- Milgammu;
- Lirƙirari;
- Oktolipen;
- Tieleptu.
Neuroprotectors suna da aminci kamar yadda zai yiwu ga jiki. Iyakar abin da contraindication zuwa ga amfani shi ne rashin haƙuri na mutum aka gyara. Sakamakon sakamako masu illa sune halayen rashin lafiyan mutum.
Tare da ciwon sukari, likitoci galibi suna ba da Tieolept.
Shirye-shiryen Shuka
Yana nufin tare da kayan haɗin ganye a cikin abun da ke ciki sanannen sananne ne saboda ƙarancin haɗarin sakamako masu illa da tasirin sakamako akan jiki. Ba magunguna bane masu zaman kansu a cikin maganin cutar sankara. Tattaunawa don dacewa da jiyya, manufar sa shine a daidaita yanayin lafiyar gaba ɗaya.
Wannan rukunin ya hada da insulin. Hanyar aikin shine nufin dakatar da aiwatar da yawan aiki na sukari a cikin hanji, ta haka ne rage yawan glucose a cikin jini. A hanya tare da Insulin yana taimakawa wajen daidaita yanayin da aiki na farji.
Wani magani na 1 wanda ya danganci abubuwan da ake amfani da shi na ganye don amfani da tsarin tafiyar da rayuwa a cikin cututtukan fata shine Golubitoks.
Wani magani wanda ya danganci abubuwan ganyayyaki da aka yi amfani da su don tsaftace hanyoyin tafiyar da cutar a cikin suga shine Golubitoks.
Hadin magunguna
Suna da sakamako mai rikitarwa a cikin jiyya na nau'in cututtukan cututtukan cututtukan cuta na 2:
- Amaryl - yana haɓaka aikin samar da insulin, yana ƙaruwa da ƙarancin kyallen takarda mai taushi.
- Glibomet - ana amfani dashi a cikin hadaddun hanyoyin kwantar da hankali a lokuta inda abinci da wasanni basa taimakawa wajen daidaita yawan sukari a cikin jini.
- Yanumet - yana ba da gudummawa ga ingantaccen raguwa a cikin taro na glucose, yana hana ci gaban hypoglycemia.
Magunguna tare da haɗakar rawar aiki suna taimakawa dakatar da haɓaka ƙafar masu ciwon sukari, rikitarwa wanda yawanci yakan faru a cikin masu ciwon sukari.
Sabbin magunguna
Wakilan masu ciwon sukari na sabon ƙarni - masu hana DPP-4 hanawa. Ba su tasiri kan samar da insulin ta hanyar ƙwayoyin beta, amma a lokaci guda suna da tasirin kariya akan glupe polypeptide, wanda yake mahimmanci ga aiki na yau da kullun. Sabbin magunguna:
- Baeta;
- Victoza;
- Sitagliptin;
- Karshen.
Amfaninsu shine cewa za'a iya haɗasu lafiya tare da wasu magunguna, saboda suna hana zubewar jini a cikin kwatsam.
Mafi mashahuri magungunan rage sukari
A cikin lura da ciwon sukari tare da manufar rage alamu na glucose, shahararrun sune:
- Amaryl (sulfonylureas);
- Jardins (inhibitors na glucose cotransporter);
- Galvus (inhibitor na DPP-4, sabon ƙarni);
- Janavia (sabuwar tsara, DPP-4 inhibitor);
- Maninyl (sulfonylureas);
- Victose (glucagon-like peptide receptor agonist);
- Ciwon sukari (sulfonylureas).
Waɗannan magungunan suna ba da tasirin warkewa mafi inganci kuma suna da ƙarancin haɗarin haɓaka sakamako masu illa.
Wanne ya fi kyau - insulin ko kwaya?
Zai yi wuya a ba da amsar rashin daidaituwa, wanda ya fi dacewa ga masu ciwon sukari - injections insulin ko shan magunguna. Mafi yawa ya dogara da tsananin cutar da yanayin jikin mutum. Amfanin insulin shine cewa wannan hanyar daidaita matakan glucose ya dace da duk masu ciwon sukari, kuma yana bada sakamako mai sauri.
Rashin kwayoyin hana daukar ciki - suna buƙatar zaɓar su. Magungunan da ba shi da lafiya ga masu ciwon sukari ɗaya, a wata, yana haifar da sakamako masu illa da yawa. Kowane ƙwayar halitta tana amsawa daban ga wakili guda ɗaya a cikin kwamfutar hannu, don haka matakin maganin warkewa yana iya bambanta.
Tare da wannan, allunan suna da fa'idodi masu yawa. Sun fi sauƙin ɗauka fiye da bayar da allura a kai a kai. Amfanin shine cewa allunan suna ba da sakamako mai ƙarfi, wanda zai taimaka mafi kyawun alamun glucose.
Abinda zaba - magani na kwamfutar hannu ko insulin, kawai likitan halartar ya yanke shawara.
Nasiha
Oleg, dan shekara 54, Moscow: “Na zauna akan insulin na tsawon shekaru, naji tsoron canzawa zuwa magungunan, saboda likitan ya ce zai iya zama da wahala a same su. Bana son bata lokaci, ina fargabar cewa maganin ba zai yi aiki ba, kuma yanayin na zai karu. Amma ya yanke shawara akan kwayoyin magani kuma yana da sa'a. Magungunan farko da aka zaɓa Amaril ya taimaka wajen daidaita sukari da kuma kawar da dogaro da allurar insulin. "
Olga, mai shekara 61, Ryazan: "Na dauki Acarbose na dogon lokaci kuma na gamsu da shi. Ba ya haifar da mummunan sakamako, yana da sauƙin haƙuri. Ya dace cewa ya kamata a ɗauki allunan tare da abinci, wanda ke nufin cewa yiwuwar za a rasa liyafar ta ƙanana. nau'i na Allunan don sauƙi na amfani ba za a iya kwatanta su da buƙatar yin allura ba. "
Dina, ɗan shekara 41, Orenburg: “Ba zan iya riƙe madaidata daidai da abincina ba, saboda sau da yawa na tsallake abinci saboda aiki a wurin aiki. Bana son bayar da allura. Likita ya ba da allunan Miglitol. akwai tsalle-tsalle, yanayin gaba daya ya inganta. "
