A yau, magani na zamani ya ɓullo da jiyya daban-daban don ciwon sukari. Yin magani na zamani game da ciwon sukari ya ƙunshi yin amfani da hanyoyi da dama, duka magunguna da tasirin motsa jiki akan jikin mai haƙuri tare da ciwon sukari na 2.
Lokacin da aka gano shi a cikin jiki, bayan gano ciwon sukari, an fara amfani da monotherapy, wanda ya ƙunshi bin ingantaccen tsarin abinci. Yayin taron cewa matakan da aka ɗauka na haƙuri tare da ciwon sukari mellitus basu isa ba, to an zaɓi shirye-shiryen likita na musamman kuma an sanya su don karɓar, aikin wanda aka shirya shi don rage yawan sukari a cikin jini.
Wasu magunguna na zamani basa ware yiwuwar cin carbohydrates. Yin amfani da irin wannan kwayoyi don nau'in ciwon sukari na 2 na mellitus yana taimakawa don guje wa ci gaban yanayin rashin ƙarfi a cikin mutane.
An zaɓi magani kuma an tsara tsarin kulawa da haƙuri daidai da halayen mutum na jikin mutum da ke fama da nau'in ciwon sukari na 2 da bayanan da aka samo yayin binciken haƙuri.
Zaɓin magani da manufarta
Hanyar magani na zamani na nau'in ciwon sukari na 2 na ciwon sukari ya ƙunshi yin amfani da hanyoyi da yawa don sarrafa abubuwan glucose a cikin mai haƙuri yayin maganin cutar. Babban mahimman al'amari na farwa shine zaɓi na regimen da magunguna waɗanda ake amfani da su don maganin cututtukan type 2.
Yin magani na zamani na nau'in ciwon sukari na 2 tare da taimakon magunguna ba ya soke buƙatun don aiwatar da shawarwari waɗanda ke da nufin canza salon haƙuri.
Ka'idodin tsarin ilimin abinci sune:
- Yarda da ka'idodin abinci mai narkewa. Ya kamata ku ci sau 6 a rana. Yakamata a ci abinci a kananan rabo, a kiyaye jadawalin abinci iri ɗaya.
- Idan kunada kiba, ana amfani da ƙarancin kalori.
- Ara yawan abincin, wanda yake da yawa a cikin fiber.
- Iyakance yawan cin abinci mai wadatar mai.
- Rage yawan cin abinci na yau da kullun.
- Wani banbanci ga abincin shine shan giya da ke kunshe da barasa.
- Ara yawan abinci mai wadatar abinci a cikin bitamin.
Additionari ga ilimin abinci a cikin maganin cututtukan type 2, ana amfani da ilimin ta jiki sosai. An ba da shawarar motsa jiki don marasa lafiya waɗanda ke da nau'in ciwon sukari na 2 a cikin nau'ikan nau'in tafiya, yin iyo da kekuna.
An zaɓi nau'in aikin jiki da ƙarfinsa daban-daban ga kowane haƙuri wanda ke da nau'in ciwon sukari na 2. Yi la'akari lokacin da zaɓin kaya ɗin yakamata:
- shekarun mai haƙuri;
- janar yanayin mai haƙuri;
- kasancewar rikice-rikice da ƙarin cututtuka;
- ayyukan farko na jiki, da sauransu.
Amfani da wasanni a cikin lura da ciwon sukari yana ba ka damar tasiri sosai gwargwadon ƙwayar cutar glycemia. Nazarin likita ta amfani da hanyoyin zamani na kula da ciwon sukari mellitus yana ba mu damar tabbatarwa tare da amincewa cewa aikin jiki yana ba da gudummawa ga amfani da glucose daga abubuwan da ke tattare da plasma, rage girman hankali, inganta haɓakar lipid a cikin jiki, yana hana ci gaban microangiopathy na ciwon sukari.
Maganin cutar sankara na gargajiya
Kafin sanin yadda sababbin hanyoyin da ake amfani da su wajen maganin nau'in ciwon sukari na 2, yakamata kuyi nazarin yadda ake kula da ciwon sukari na 2 ta amfani da hanyar gargajiya.
Manufar magani tare da hanyar gargajiya ta ƙunshi da farko a saka idanu sosai kan abin da ke cikin sukari a jikin mai haƙuri, la'akari da halayen mutum na jikin mutum da kuma halayen cutar.
Yin amfani da hanyar gargajiya, ana gudanar da magani na cutar bayan duk hanyoyin da aka gudanar sun gano. Bayan samun duk bayanan game da yanayin jikin, likitan da ke halartar ya ba da cikakken magani kuma zaɓi hanyar da ta fi dacewa da haƙuri.
Hanyar warkewar cutar tare da hanyar gargajiya ta ƙunshi amfani da lokaci ɗaya a cikin lura da, alal misali, nau'in ciwon sukari na type 1, abincin abinci na musamman, motsa jiki matsakaici, ƙari, ya kamata ku ɗauki ƙwararrun magani a matsayin wani ɓangare na ilimin insulin.
Babban dalilin da ake amfani da magunguna don ciwon sukari shine don kawar da alamun da ke bayyana lokacin da matakan sukari na jini ya tashi ko kuma lokacin da ya faɗi sosai a ƙasa da yanayin ilimin mutum. Sabbin magungunan da masana magunguna suka kirkira suna ba da damar samun ingantaccen taro na glucose a jikin mai haƙuri lokacin amfani da kwayoyi.
Hanya na gargajiya don lura da ciwon sukari yana buƙatar yin amfani da hanyar gargajiya na dogon lokaci, tsawon lokacin kulawa zai iya ɗaukar shekaru da yawa.
Mafi yawancin nau'in cutar ita ce nau'in ciwon sukari na 2. Hadewar magani don wannan nau'in ciwon siga shima yana buƙatar amfani da dogon lokaci.
Tsawon lokacin jiyya ta hanyar hanyar gargajiya tana tilasta likitoci su fara nemo sabbin hanyoyin magance cututtukan siga da sabbin magunguna don maganin cututtukan type 2, wanda zai gajarta lokacin aikin.
Yin amfani da bayanan da aka samo a cikin karatun zamani, an inganta sabon ra'ayi game da maganin cutar sukari.
Novarfafawa a cikin jiyya lokacin da ake amfani da sababbin hanyoyin shine don canza dabarun yayin jiyya.
Hanyar zamani don magance cututtukan type 2
Binciken zamani ya nuna cewa a cikin maganin nau'in ciwon sukari na 2, lokaci ya yi da za a canza ra'ayi. Babban bambanci wanda ilimin zamani na wani ciwo ya kamanta da na al'ada shine, yin amfani da magunguna na zamani da hanyoyin samun magani, da sauri zai daidaita matakin glycemia a jikin mai haƙuri.
Isra'ila ƙasa ce da ke da ƙwaƙƙwarar magani. Na farko game da sabon hanyar magani ya yi magana da Dokta Shmuel Leviticus wanda ke yin jiyya a asibitin Asoud da ke Isra'ila. Nasarar Isra’ila mai nasara a cikin lura da ciwon sukari mellitus bisa ga sabuwar hanyar da Kwamitin ƙwararrakin Internationalasa na Duniya ya gane game da ganowa da rarrabuwa na ciwon sukari mellitus.
Yin amfani da hanyar gargajiya ta magani idan aka kwatanta da na zamani yana da gagarumar rashi, wanda hakan shine tasirin amfani da hanyar gargajiya na ɗan lokaci ne, lokaci-lokaci ya zama dole a maimaita karatun aikin.
Kwararru a fannin aikin endocrinology sun bambanta manyan matakai uku a cikin lura da ciwon sukari irin na 2, wanda ke samar da wata hanyar zamani don magance rikicewar cututtukan metabolism a jiki.
Yin amfani da metformin ko dimethylbiguanide - magani ne wanda ke rage yawan sukari a jiki.
Ayyukan maganin shine kamar haka:
- Kayan aiki yana samar da raguwa a cikin taro na glucose a cikin jini na jini.
- Asedara ƙwaƙwalwar ƙwayoyin sel a cikin ƙwayoyin insulin-dogara da insulin.
- Bayarwa matakan haɓaka glucose ta sel a ɗakunan jikin mutum.
- Hanzarta aiwatar da iskar shaka mai guba.
- Rage sha na sugars a ciki.
A hade tare da wannan magani, zaku iya amfani da irin wannan hanyar maganin, kamar:
- insulin;
- glitazone;
- shirye-shiryen sulfonylurea.
Ana samun sakamako mai kyau ta hanyar amfani da sabon tsarin kula da magani ta hanyar ƙara yawan ƙwayar magunguna a lokaci zuwa 50-100%
Ka'idojin magani daidai da sabuwar hanyar ba da damar yiwuwar hada magungunan da ke da tasiri iri ɗaya. Kayan aikin likita suna ba ku damar samun sakamako na warkewa a cikin mafi ƙarancin lokacin da zai yiwu.
Sakamakon magungunan da aka yi amfani da shi a cikin magani an yi niyya ya canza, kamar yadda ake gudanar da maganin, yawan insulin da ƙwayar ƙwayar cuta ta haifar, yayin da rage juriya na insulin.
Magunguna don maganin cututtukan type 2
Mafi yawancin lokuta, ana amfani da maganin ƙwayar cuta bisa ga wata dabara ta zamani a ƙarshen matakan ci gaban nau'in ciwon sukari na 2.
Da farko dai, lokacin da ake rubuta magani, ana tsara magunguna waɗanda ke rage shaye-shaye daga cikin ƙwayar hanji da kuma daidaita tasirin glucose ta hanyar ƙwayoyin hanta da inganta halayyar ƙwayoyin insulin-insulin zuwa insulin.
Magungunan da ake amfani da su don maganin ciwon sukari sun hada da magunguna na rukuni masu zuwa:
- biguanides;
- thiazolidinediones;
- mahadi na sulfanilurea na ƙarni na biyu, da sauransu.
Jiyya tare da magani ya haɗa da shan magunguna kamar:
- Bagomet.
- Metfogama.
- Kayan tsari.
- Diaformin.
- Gliformin.
- Avandiya
- Aktos.
- Mai ciwon sukari MV.
- Glurenorm.
- Maninil.
- Glimax
- Amaril.
- Glimepiride.
- Glybinosis retard.
- Rana
- Starlix.
- Diagninide.
A cikin lokuta masu tsanani na cutar, ana amfani da alpha-glycosidase da fenofibrate inhibitors a cikin tsarin kulawa. Wani likitan endocrinologist ne ya zaɓi maganin don magani wanda ya saba da alamun fasahar cutar a cikin wani haƙuri. Duk wani sabon magani yakamata a rubuta shi ga mara lafiya kawai daga likitan da ke halartar wadanda suka kirkiro tsarin kula da jinya. Endocrinologists na Rasha suna da cikakkiyar fahimta game da sabon hanyar magani.
A cikin ƙasarmu, marasa lafiya suna ƙara fara kula da marasa lafiya bisa ga hanyoyin likitocin Isra'ila, suna watsi da hanyar maganin gargajiya.
Bayyananin rukuni na magungunan da ake amfani da su don kamuwa da cuta
An fara amfani da magungunan ƙungiyar biguanide fiye da shekaru 50 da suka gabata. Rashin ingancin waɗannan magungunan shine babban yiwuwar bayyanarsu ta lactic acidosis. Buformin da phenformin suna cikin wannan rukuni na kwayoyi. Rashin kwayoyi a cikin wannan rukuni ya haifar da cewa an cire su a cikin ƙasashe da yawa daga jerin abubuwan da aka ba da izini. Magunguna kawai wanda aka yarda don amfani dashi a cikin wannan rukuni shine metformin.
Ayyukan kwayoyi ya kasance ne saboda wasu hanyoyin da yawa waɗanda basu da alaƙa da tsarin insulin insulin ta ƙwayoyin beta na ƙwayar cuta. Metformin yana da ikon murƙushe samar da glucose ta ƙwayoyin hanta a gaban insulin. Bugu da ƙari, miyagun ƙwayoyi suna iya rage juriya na insulin jigilar ƙwayoyin yanki na jiki.
Babban aikin aiwatar da sabon ƙarni na sulfonylureas shine ƙarfafa motsawar insulin. Ma'aikatan jinya na wannan rukunin suna aiki akan ƙwayoyin ƙwayar ƙwayar cuta, suna inganta kwarewar bayanan sirrinsu.
A yayin aiwatar da aikin magani, magani tare da sulfonylureas yana farawa da mafi ƙarancin allurai kuma ana ƙaruwa da ƙari tare da ƙarin magani kawai idan ya zama dole.
Sakamakon sakamako na amfani da waɗannan magunguna sune babban yiwuwar ci gaban yanayi na hypoglycemia a jikin mai haƙuri, karuwar nauyi, bayyanar fatar fata, ƙaiƙayi, raunin ƙwayar jijiyoyin ƙwayar cuta, rikicewar tsarin jini, da sauransu.
Thiazolidinediones sune magunguna waɗanda ke cikin sabon rukuni na kwayoyi waɗanda ke ba da raguwa ga yawan sukari a cikin jiki. Magunguna a cikin wannan rukuni suna aiki a matakin mai karɓa. Masu karɓa da suke ganin wannan tasirin yana kan mai da tsoka.
Yin hulɗa da miyagun ƙwayoyi tare da masu karɓa na iya ƙara ƙwarewar ƙwayoyin zuwa insulin. Thiazolidinediones yana samar da raguwa a cikin juriya na insulin, wanda ke ƙara haɓaka matakin amfani da glucose. Waɗannan magungunan suna cikin contraindicated a cikin marasa lafiya waɗanda ke da mummunar bugun zuciya. Bidiyo a cikin wannan labarin zai ci gaba da magana game da magani don ciwon sukari.
