Magunguna don rage sukari na jini suna cikin buƙatu kuma sun zama ruwan dare gama duniya. Wannan yanayin yana da alaƙa da gaskiyar cewa ana gano nau'in ciwon sukari na 2 a cikin kashi goma na mazaunan duniya.
Ba a inganta hanyoyin wariyar da za su iya magance wannan cuta ba yadda ya kamata. A cikin waɗannan yanayin, marasa lafiya dole ne a ɗauka koyaushe kuma ɗaukar magunguna don rage sukari da sauri. Wannan a wasu halaye na iya ceton ran mai haƙuri a zahiri a cikin mummunan harin glycemia.
Sanadin Canje-canje a cikin Farin Ruwa
Matsayin sukari na jini na iya yin watsi da dabi'un al'ada saboda dalilai da yawa, babban wanda shine kasancewar nau'in 1 na ciwon sukari na 2 ko a cikin mutum.
Don faɗi daidai, misali, cewa mai haƙuri yana da nau'in ciwon sukari na 2, likita zai buƙaci yayi nazarin gwaje-gwaje, da farko, matakin glucose a cikin jinin mai haƙuri. Saboda wannan, gwaje-gwaje a kan komai a ciki yawanci ana ba su, ban da haka, idan an riga an gano mai haƙuri da ciwon sukari, ana iya auna matakin glucose na jini tare da glucometer na gida.
Idan ya yi ƙasa ko ya yi ƙasa sosai, yana da gaggawa ka ɗauki magunguna da aka tsara don daidaita sukarin jini.
Baya ga ciwon sukari, cututtukan da ake kamuwa da cuta ana kiransu sanadin abin da zai iya haifar da matakan sukari na jini ya tashi, alal misali, zai iya zama cuta mai saurin kamuwa da cuta ko matsananciyar damuwa. Colds, narkewar abinci, zawo da amai na iya shafar canji a wannan alamar. A wannan yanayin, mai haƙuri zai buƙaci ya sha maganin nan da likita ya umarta don dawo da yanayin mai haƙuri zuwa al'ada.
Kari akan haka, tilas ne a kwashe su duk lokacin da ka gyara alamomin masu zuwa na canjin glucose jini:
- kasancewar tsananin ƙishirwa;
- akai-akai da ba tare da rinjayi urination ba;
- sauke cikin ƙarancin gani;
- gajiya da rashin iya tattara hankalin ka.
Shan magunguna wadanda zasu iya ƙaruwa ko akasarin ƙananan sukari na jini ana nunawa idan mutum yana da rauni mai warkarwa. Ga mata, irin wannan alamar alama ce mai wahala. Tare da haɓakar ciwon sukari na yau da kullun ko farawa na matsanancin ƙwayar cutarta, za a iya yin rikodin asarar nauyi mai sauri da ba a bayyana shi ba.
A duk yanayin cutar hawan jini, dole ne a kira motar asibiti cikin gaggawa. Gaskiyar ita ce, mai haƙuri na iya haɓaka rikice-rikice iri daban-daban har ma ya iya zama. Ko da lokacin da kuka sha magani mai mahimmanci kuma sukarinku na jini ya ragu, kuna buƙatar tuntuɓi likita da gaggawa don fara magani tare da ƙwayoyi masu rikitarwa don rage sukarin jini.
Yawan jinin Jiki
Kafin ka fara shan kwayoyin don rage sukarin jini, kana buƙatar tabbatar da ka'idarta domin an zaɓi maganin da yake nuna wannan alamar daidai. A halin yanzu, ana ɗaukar ka'idar a matsayin mai nuna alama ba ta wuce 5.5 mmol / l, wanda aka yi rikodin sa'a daya da sa'o'i biyu bayan cin abinci. Da safe, sai a gyara shi lokacin da yake bincika jini a kan komai a ciki.
Yana da mahimmanci a san cewa akwai jerin abubuwan da ke kunshe da bayani game da wane ne yake nuna alamar glucose na jini shine al'ada ga yara, maza da mata, tsofaffi. A tare da shi kuke buƙatar bincika kafin ku fara shan wannan ko maganin. A saboda wannan, yana da muhimmanci a fahimci dalilin da yasa bincike na gwajin haemoglobin ya zama dole.
Na dabam, yana da mahimmanci a ambaci cewa yanayin sikantaccen nau'in ciwon sukari shine yanayin wanda matakin glucose a cikin jini ya wuce matakin glucose a cikin jini sama da 12-14 mmol / l. A wannan yanayin, ba za a iya rage shi da sauri ba. Komawa ne kawai a cikin sukari na jini zuwa al'ada a cikin wata daya zuwa uku yana inganta yanayin mai haƙuri yayin wannan cutar.
Lokacin shan magunguna masu rage jini, koyaushe yakamata ku tuna cewa wasu abinci suna taimakawa wajen ƙara yawan glucose na jini. Wannan ya shafi farashi ne ga abinci mai ɗauke da ƙwayoyin carbohydrates mai yawa. A lokaci guda, har ma abincin da ake ɗauka da lafiya yana ƙaruwa da sukarin jini tare da abinci mara kyau.
Waɗannan sun haɗa da shinkafa launin ruwan kasa, gurasar abinci, oatmeal da kowane berries da 'ya'yan itace. Gaskiya ne game da cin abinci a gidajen cin abinci da kuma cafes, inda za'a iya samun irin waɗannan samfurori koyaushe. Ka tuna cewa mutanen da ke da ciwon sukari za su iya cin irin waɗannan abincin da aka ba da izini don abun ciye-ciye kamar naman alade da aka dafa, cuku, ƙwai da kwayoyi. Idan irin wannan abincin ba a hannunshi ba, ya kamata ku ji matsananciyar yunwa na tsawon awanni, saboda idan kun ci sauran jita-jita, zaku iya cimma nasarar cewa matakin glucose a cikin jini ya fara tashi.
Idan mai haƙuri da ciwon sukari yana so ya tabbatar da matakin sukari da ke cikin jini, to tilas ne ya nemi masanin abinci mai gina jiki domin ya samar masa abinci mai kyau. Don haka, zaku iya yin jerin waɗancan abincin waɗanda ba a ba da shawarar ba. Misali, yawanci sun hada da:
- Broths.
- Abincin abinci da soyayyen nama.
- Kayayyaki daga kayan kwastin puff ko muffin.
- Pickles da pickles.
- Rice, taliya, semolina.
Baya ga wannan, abincin da ba a ba da shawarar ba ya haɗa da 'ya'yan itatuwa masu zaki da abin sha.
Amfani da magungunan baka
Yawancin lokaci lura da ciwon sukari yana faruwa ne ta hanyar kawar da mafi kyawun bayyanar cututtukarsa.
Yawancin lokaci, ana amfani da maganin ƙwayar cuta don wannan.
Idan mai haƙuri ya bunkasa yanayin hypoglycemia, ana amfani da magunguna na musamman waɗanda ke haɓaka sukari jini.
Mafi sau da yawa, ana ba da umarnin rage ƙwayar sukari don amfani da marasa lafiya da ke ɗauke da ciwon sukari na 2.
Magungunan ilimin zamani suna samar da rukuni biyu na magunguna waɗanda aka tsara don rage sukari, waɗannan sune:
- Sulfonamides. Abubuwan sunadarin sulfonylurea ne. Tsarin aikinsu yana dogara ne akan kumburin insulin nau'in insulin. A wannan yanayin, ana lalata aikin glucose a cikin hanta, kazalika da samuwar glucagon. Idan kun jera sunayen waɗancan magungunan waɗanda ke rage sukarin jini daga wannan rukunin, to mafi arha kuma mafi araha sune Chloropropamide, kazalika da Carbutamide.
- Biguanides. Wannan shi ne irin nau'ikan kwayoyi na zamani da aka bayyana wanda ke ba ku damar rage sukarin jinin mai haƙuri idan ya tashi. Suna tashe analybic glycolysis kai tsaye, kuma wannan yana ba ku damar ƙara yawan amfani da glucose ta hanyar ƙwayar tsoka. Daga cikin sabon ƙarni na kwayoyi za a iya kira Metmorfin da Silubin.
Na dabam, yana da daraja magana game da wasu magunguna waɗanda zasu iya cimma raguwar sukari jini. Ana amfani dasu da yawa don nau'in ciwon sukari na 2.
Wadannan sun hada da:
- In mun gwada da sabbin magunguna sune masu kula da nau'in cutar glycemia. Yawancin lokaci ana amfani dasu don rage yawan glucose a cikin jinin mai haƙuri a cikin gaggawa. Ba kamar sauran Allunan ba, suna sha da sauri kuma suna da tasiri na rage sukari na ɗan gajeren lokaci. Daga cikinsu akwai Repaglinid da Nateglind.
- Sawarshan. Anyi la'akari dasu nau'ikan biguanides kuma sun sami damar haɓakar hankalin gabobin da ƙirar zuwa glucose.
- Alfa glycoside hanawa. Suna maye gurbin aikin enzymes na halitta wanda ke tattare da rushewar glucose. Sakamakon shaye-shayensu, za a iya cimma raguwar matakan glucose a cikin hanji.
Wadanne magungunan ya kamata a yi amfani dasu a wannan yanayin ko waccan, likitan halartar ya kamata ya yanke shawara. Idan matakin sukari ya faɗi kuma ya kusanci al'ada, zaku iya amfani da magungunan da suka fi taushi ga hanta, a yanayin idan babu raguwar glucose a cikin jini, ana buƙatar amfani da ƙarin ƙwayoyi masu tasiri.
Zai fi kyau kada a jira don gwajin sukari ya faɗi, amma a tuntuɓi likitanku nan da nan don ƙarin magani.
Yin amfani da ilimin insulin
Tare da ƙara yawan sukari da ciwon sukari na nau'in farko, har ma da lokacin da sauran hanyoyin magance cututtukan sukari na nau'in na biyu sunyi ƙasa, ana amfani da maganin insulin. Yana da sauri yana haifar da raguwa a cikin sukari na jini kuma a lokuta da yawa shine ainihin mahimmanci kuma hanya mai mahimmanci na maganin cututtukan cututtukan cututtukan zuciya. Shine wanda ke taimaka wajan kawar da mafi munanan alamun cutar wannan cuta.
Yawancin lokuta ana amfani da magunguna na sukari na sukari a haɗe tare da abubuwan da suke da ɗan gajeru, matsakaici, da daɗewa lokacin ɗaukar abin da ake buƙata. Wannan ilimin yana hanzarta saukar da sukari na jini tare da sikari mai laushi ko matsakaici.
Duk mai haƙuri da wannan cuta yana buƙatar sanin cewa akwai hanyoyi da yawa don gabatar da magani a cikin jiki. Daga cikin su, ana ɗaukar sirinji wani classic. An kirkiro wannan hanyar maganin magunguna a farkon farkon ci gaban insulin far. A halin yanzu ba a amfani da wannan hanyar a cikin ƙasashe masu tasowa, don haka idan kuna son sanin yadda ake rage sukarin jini, dole ne kuyi nazarin wasu, ƙarin hanyoyin zamani da ake amfani da su a cikin Amurka, EU da yanzu a Rasha.
Ofayan waɗannan hanyoyin shine amfani da sirinji - alkalami. Ana amfani dashi koyaushe lokacin da ake buƙatar saurin matakin glucose a cikin jinin mai haƙuri. Yawancin lokaci a wannan yanayin, ana gabatar da magunguna da aka sayar a ƙarƙashin samfuran Rinsulin R, Biogulin R, Actrapid. Wani alkalami mai narkewa yana ƙaura da wani sirinji na al'ada a cikin Rasha.
Yawancin marasa lafiya waɗanda suka san yadda za su rage sukarin jini ba su san ta hanyar gargajiya ba cewa yanzu ana iya yin wannan tare da famfon na insulin. Gaskiyar ita ce an sanya shi a jikin mai haƙuri, kuma tare da madaidaicin adadin da aka ƙayyade, yana sake wadatar da wadatar insulin a jikinsa, ta haka ne yake nuna ƙwayar cutar kansa. Zai dace a lura cewa akwai madaidaiciya masu iyakancewa game da amfani da wannan hanyar, saboda ilimin likitanci na mai haƙuri, don haka za'a iya amfani da famfon a cikin kwata na duk marasa lafiya.
Akwai sauran hanyoyi na zamani na gudanar da insulin, alal misali, amfani da fata ta musamman.
Mai yiwuwa contraindications da sakamako masu illa
Kusan duk wani magani wanda yake sauke sukari jini, alal misali, thyroxine, yana da nasa sakamako da kuma contraindications. Gaskiyar ita ce cewa zasu iya haifar da raguwa a cikin glucose a cikin jinin mai haƙuri a ƙasa da al'ada.
Wannan sabon abu ana kiran shi hypoglycemia. A sakamakon haka, mai haƙuri na iya jin rauni, bugun kirji, gumi mai yawa, tsananin farin ciki, har ma da asarar hankali. Musamman lokuta masu rikitarwa ana nuna su ta hanyar bayyanar cutar sankarau sakamakon karancin abinci mai gina jiki da ke shiga kwakwalwar mai haƙuri.
Bugu da kari, akwai magungunan hana daukar ciki kai tsaye don amfani da magunguna masu rage sukari. Wannan shi ne:
- lokacin daukar ciki da bayan haihuwa;
- lokacin da ake bukata;
- kasancewar cututtukan koda da na hanta;
- digo mai tsayi a cikin nauyin jiki.
Hakanan yana da mahimmanci a ambaci ciwo na malabsorption da maldigestion. Gaskiyar ita ce cewa faruwarsu mai yiwuwa ne tare da haɓakar cututtukan hanji na wucin gadi, sakamakon abin da ke haifar da rikicewar abubuwan gina jiki a cikin haƙuri. Idan ana amfani da magunguna masu rage sukari a wannan lokacin, hypoglycemia na iya ƙaruwa. Bugu da kari, irin waɗannan magunguna dole ne a ɗauka tare da taka tsantsan a ƙarƙashin rage matsin lamba. Haƙiƙar ita ce cewa za'a iya samun sakamako mai raguwa a bangon shan magunguna waɗanda ke rage glucose.
A kowane hali, kuna buƙatar yin nazarin halayensa a hankali kafin ɗaukar wani magani. Idan umarnin sun nuna cewa ba za ku iya amfani da shi ba tare da haɗin gwiwa tare da wasu magunguna, dole ne a bi umarnin sosai. In ba haka ba, yanayin haƙuri ba kawai ba zai inganta ba, amma yana iya ƙaruwa sosai.
An bayyana magungunan rage sukari a cikin daki-daki a cikin bidiyo a wannan labarin.
