NAU'IN MAGUNGUNAN CIWON SUKARI NA 2 - HANYOYI DA HANYOYIN MAGANI

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Ciwon sukari na II shine mafi yawancin nau'ikan cututtukan metabolism. Akwai magunguna da yawa (a wannan yanayin, allunan) waɗanda likitoci suka tsara don ciwon sukari na II: yana da mahimmanci ga kowane mai ciwon sukari kuma mutum ya ƙaddara wannan cutar don fahimtar su ko aƙalla suna da ra'ayi gaba ɗaya game da irin waɗannan allunan.

Bayanin ciwon sukari gabaɗaya

Jiyya don ciwon sukari tsari ne mai rikitarwa wanda wani lokacin yakan kasance tsawon rayuwarsa.

Mafi nisa nan da nan lokacin da aka gano wannan cuta, likitoci suna ba da magani. A matakin farko, ana aiwatar da tasirin warkewa ta amfani da abinci mai gina jiki, gyaran rayuwa, da sauran hanyoyin. Koyaya, da wuya a kula da cututtukan da ke kamuwa da cuta irin na 2 ana ba da su ta hanyar magani.

Baya ga insulin, ana amfani da rukuni na gaba na ƙwayoyi:

Kwayoyin da ke haɓaka hankalin ƙwayoyin sel zuwa sakamakon insulin;
Pancreatic kara kuzari
Kwayoyin da ke hana shaye-shaye na suga;
Kwayoyin da ke sarrafa ci da shafar wasu bangarorin kwakwalwa;
Sabbin magunguna iri-iri.

Kwayoyin kwalabe na zamani suna iya samun sakamako na warkewa kawai a gaban irin nau'in ciwon sukari na 2.

Kula da nau'in ciwon sukari irin wannan baya rasa nasaba da yawan amfani da kwayoyi banda insulin. A cikin lokuta mafi wuya kawai, ana amfani da allunan kamar Siofor ko Glucofage don ciwon sukari na 1 a cikin marasa lafiya da ke fama da kiba. A kowane hali, shawarar da likitan halartar ya yanke shine batun.

Magunguna waɗanda ke haɓaka hankalin insulin: fasali da kaddarorin

A cikin mafi yawan marasa lafiya da ke fama da ciwon sukari na II, ana amfani da insulin a cikin wadataccen adadin, ko ma fiye da yadda aka saba. Matsalar ita ce ƙarancin ƙwayoyin sel zuwa wannan hormone. Wannan yanayin ana kiransa juriya ta insulin, kuma gyara shi daya ne daga cikin manyan ayyukan shan magani.

Magungunan da suka fi dacewa da shahararrun magunguna don nau'in ciwon sukari na 2 sune allunan da ke haɓaka hankalin insulin na sel.

Irin waɗannan allunan suna wakiltar rukuni na magunguna 2:

karafarinsari,
biguanides.

Kowace rukuni na kwayoyi suna da nasa rahusa da fa'ida, wanda zamu yi la’akari da shi daki-daki.

Sawarshan

Thiazolidinediones suna da sakamako masu warkewa kamar haka:

Rage haɗarin rikitarwa na jijiyoyin jiki;
Rage haɗarin cutar hypoglycemia;
Inganta tsarin jini (musamman, nau'in lipid);
Suna da tasirin kariya akan sel na ƙwayar cuta;
Ana iya amfani dasu don dalilai na kariya daga mutane masu ciwon sukari da kuma rashin haƙuri na glucose.

Rashin kyawun waɗannan magungunan sune:

Rage nauyi;
Kumburi da kafafu;
Riskarin hadarin osteoporosis, kuma saboda haka - fashewar kasusuwa a cikin mata yayin menopause;
Tsarin farko na farko ba tare da bayyanar da sakamako a yayin shan kwayoyin ba;
Babban farashi.

Magunguna na wannan rukuni suna contraindicated ga mutanen da ke da cututtukan hanta, gazawar zuciya da cututtukan zuciya, marasa lafiya da ke da hauka, kazalika da mata masu juna biyu da masu shayarwa. Ba za ku iya haɗuwa da wannan magani tare da insulin ba.

Shahararrun magungunan thiazolidinedione sune:

Pioglar, aka Pioglaraz (Pyoglar) - ƙimar farashi a cikin kantin magani shine 800 rubles;
Actos (Actos) - farashin kusan 650 rubles.

Biguanides

Amfanin magungunan wannan rukunin sune:

Babu sakamako a kan nauyin jiki;
Inganta tsarin jini (saukar da matakan cholesterol);
Rage haɗarin hauhawar jini;
Rage haɗarin bugun zuciya a cikin masu fama da kiba;
Farashin Gaskiya.

Rashin dacewar allunan a cikin wannan rukunin kaɗan.

Tare da yin amfani da tsawan lokaci, akwai rashin jin daɗi daga narkewar hanji da kuma rikicewar hanji. Allunan daga ƙungiyar biguanide suna contraindicated ga mutanen da ke fama da hanta, marasa lafiya tare da shan giya, mata masu juna biyu.

Shahararrun magungunan ƙungiyar biguanide:

Siofor (Siofor) - kimanin farashin 300 p .;
Glucophage (Glucophage) - farashi: daga 130 p .;
Metfogamma (Metfogamma) - daga 130 r.

Pancreatic kara kuzari

Don motsawar insulin tare da β-sel na pancreas, ana amfani da allunan 2 na magungunan likitancin:

abubuwanda aka samo asali,
meglitinides.

Sulfonylureas

Shirye-shiryen Sulfonylurea suna da fa'idodi masu zuwa:

Yi kusan kusan nan da nan bayan aikace-aikacen;
Rage haɗarin rikitarwa na jijiyoyin jiki;
Suna da tasirin kariya akan kodan;
Yi farashi mai sauki.

Wani babban koma-baya game da wannan nau'in magani shine haɓakar juriya, wanda ke rage tasirin magani sosai. Bugu da kari, wasu marassa lafiyar suna samun riba mai yawa Magunguna irin wannan suna contraindicated a cikin koda da hepatic kasawa.

Shahararrun kwayoyi a cikin wannan rukunin sune:

Ciwon sukari (masu ciwon sukari) - farashin 320 p .;
Maninil (Maninil) - farashin 100 p .;
Amaril (Amaril) - 300 p.

Meglitinides

Shirye-shirye na wannan rukuni sun yi daidai a cikin amfaninsu ga abubuwan da suka samo asali na sulfonylurea: suna sarrafa sukari da kyau bayan abinci, suna sauri.

Bugu da kari, Allunan za'a iya amfani da allunan wannan nau'in tare da abincin da bai dace ba.

Rashin daidaituwa ya haɗa da haifar da karuwar ƙwayar nauyi, dogaro da shan ƙwayoyi a kan shan abinci, rashin gwajin asibiti tare da tsawaita amfani da magunguna. Contraindications suna kama da waɗanda suka gabata.

Shahararrun magunguna na wannan nau'in:

Samari (Novonorm) -330 p::
Starlix (Starlix) - 400 r.

Wasu masana ilimin endocrinologists suna adawa da amfani da magungunan da ke shafar cutar tarin fitsari, saboda hakan yana haifar da saurin ragewa ga gabobin jiki. Wannan matsayi yana da dalilai masu ma'ana: tunda nau'in ciwon sukari na II ba ya cikin duk yanayin da ke tattare da rashi na insulin, ƙarancin wannan hormone ba zai inganta yanayin da ƙwayoyin ba sa kamuwa da shi. Koyaya, kalma ta ƙarshe lokacin rubuta magunguna koyaushe ya kasance tare da likitan halartar, wanda yayi ƙoƙarin yin la’akari da duk abubuwan da suka haɗa, har da wanda aka bayyana a sama.

Receptor agonists da alpha glucosidase inhibitors

Wadannan kwayoyi sun kasance sababbi ne (waɗanda aka fara amfani da su a cikin 2000s) kuma har yanzu ba a yi nazarin su ba.

Dalilin yin amfani da su shine rage matakan glucose bayan cin abinci, amma magunguna daga ƙungiyar biguanide suma suna jimrewa da wannan aikin.

Koyaya, lokacin amfani dashi tare da Siofor da Glucofage, magunguna irin su Galvus, Onglisa, Glyukobay da Yanuviya zasu iya haɓaka tasiri na juna. Wasu lokuta likitoci suna ba da kwayoyi na wannan rukuni azaman masu kulawa ga babban aikin magani.

Babban rashin ingancin magunguna na yau da kullun shine babban farashin su. Bugu da kari, wasun su dole ne a shigar dasu jikin.

Janar shawarwari don lura da ciwon sukari na 2

Marasa lafiya da ke ɗauke da nau'in ciwon sukari na II suna jinkirin kula da insulin tare da injections na tsawon lokaci mara iyaka, suna imani da cewa yana yiwuwa a sami magani ba tare da maganin jijiyoyin jiki ba. Wannan ba daidai ba ne halin mutum, wanda zai haifar da ci gaba da rikice-rikice kamar bugun zuciya, ƙafafun ciwon sukari, raguwar hangen nesa, har zuwa makanta.

Sabili da haka, idan likita ya ba da shawarar cewa ku fara maganin insulin, bai kamata ku yi ƙoƙarin gyara yanayin ba ta hanyar ƙara yawan allunan. A cikin maganin cututtukan cututtukan cututtukan ƙwayar cuta, babban abu shine aminci da cikakkiyar aiwatar da shawarar likita.

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