Maganar ƙarin fam yana da matukar damuwa ga mutanen da ke fama da ciwon sukari. Mutane da yawa sun san cewa ta hanyar rage nauyi, zasu iya inganta yanayin su sosai. Ba tare da taimakon ƙwararrun masani ba, kuma ba kowa ne ke iya ba, yana da wahala a sami ingantaccen tsarin abinci mai inganci don asarar nauyi, don haka mutane suna neman hanyoyi masu sauƙi kuma suna mai da hankali ga magungunan rage cin abinci. A halin yanzu, nishaɗin mai zaman kansa na irin waɗannan magunguna yana da haɗarin kiwon lafiya. Mun nemi ƙwararren masanin ilimin endocrinologist Olga Pavlova yayi magana dalla-dalla game da "magungunan rage cin abinci."
Likita endocrinologist, likitan dabbobi, masanin abinci, mai gina jiki, Olga Mikhailovna Pavlova
An kammala karatun digiri daga Jami'ar Likita ta Novosibirsk (NSMU) tare da digiri a Janar Medicine tare da karramawa
Ta yi digiri tare da karramawa daga zama a makarantar endocrinology a NSMU
Ta yi digiri tare da karramawa daga kwararrun ilimin likitan mata a NSMU.
Ta wuce farfado da kwararru a fannin koyar da motsa jiki a Kwalejin Kayan motsa jiki da Ginin Jiki a Moscow.
Shiga ingantaccen horo game da psychocor gyaran kiba.
Ciwon sukari mellitus wani abu ne wanda ya keta hadarin metabolism, kuma tare da rashi mai narkewa, samun karin nauyi yana da sauki, musamman a gaban juriya na insulin da hyperinsulinemia, wato, tare da nau'in ciwon sukari na 2. Majinyata nau'in 1 na masu cutar siga suna yawan kiba. Tare da ciwon sukari na 1, ana buƙatar maganin insulin na yau da kullun kuma abincin tsallake abinci na iya haifar da hypoglycemia (faɗuwa a cikin sukari na jini), don haka marasa lafiya, suna tsoron wannan yanayin, sau da yawa suna wuce gona da iri, da kuma wuce gona da iri a kan asalin ilimin insulin hanya ce ta kai tsaye zuwa kiba.
Sau da yawa, marasa lafiya masu ciwon sukari mellitus a liyafar sun koka da cewa abubuwan da ake ci da abinci ba su taimaka, kuma suna buƙatar a rubuta “kwayayen abinci”, a lokuta da yawa sun kara da cewa: “Kwayoyin sunada irin wannan kuma (suna), budurwata ta rasa kilo 10-20-30 akan su. ni ma ina so. " Yawancin mutane ba su yin tunani game da gaskiyar cewa kwayoyi don asarar nauyi, musamman magunguna masu karfin gaske, suna da alamomin kansu, contraindications, fasalulluka na aiki da sakamako masu illa, wanda a cikin marasa lafiya da ciwon sukari na iya bayyana sosai, sosai. Wannan kwayar mu'ujiza, wacce budurwar budurwa ta rasa nauyi kuma wacce mai haƙuri take bukata, na iya cutar da mai haƙuri.
A yau zamu tattauna magunguna don asarar nauyi.
Idan muka yi la’akari da matsayin likitanci don magance kiba, to a wannan lokacin ana amfani da rukunin magunguna 4 bisa hukuma don rage nauyin jiki a cikin Tarayyar Rasha. A cikin wannan labarin, ban yi la'akari da kayan abinci da kayan abinci na abinci ba - muna magana ne kawai game da magunguna da aka amince da su tare da ingantaccen sakamako.
MUHIMMIYA! Magunguna don asarar nauyi suna da yawancin contraindications da sakamako masu illa kuma likita ne kawai ke wajabta shi bayan cikakken binciken jikin.
Tun da ciwon sukari na mellitus, ko yana da nau'in ciwon sukari na 1 ko nau'in ciwon sukari na 2, rikice-rikice na iya faruwa daga kodan (mai ciwon sukari nephropathy), tsarin zuciya da jijiyoyin jini (gastrointestinal fili) (autonomic neuropathy), to ya kamata a bincika da hankali sosai kafin rubuta magunguna don rage nauyi. fiye da marasa lafiya ba tare da ciwon sukari ba.
Mainungiyoyin manyan magunguna huɗu don asarar nauyi
1. Magungunan kwayoyi na tsakiya - sibutramine (Sunayen cinikin Symxin, Goldline).
Hanyar aiwatar da maganin: zaɓi na hana serotonin da norepinephrine reuptake, a cikin wani ɓangaren dopamine a cikin kwakwalwa. Godiya ga wannan, jin katangar yunwar an toshe shi, thermogenesis (asarar zafi) yana ƙaruwa, sha'awar ya bayyana don motsawa cikin aiki - muna gudu zuwa horo tare da nishaɗi.
- Hakanan kwayoyi suna shafar asalin tunanin mutum: galibi yawanci ana samun ci gaba cikin yanayi, yawan karfin gwiwa. Wasu marasa lafiya suna da tsokanar zalunci, ma'anar tsoro.
- Yawancin lokaci ana lura da tashin hankali na bacci: mutum baya son yin bacci, baya iya yin bacci na dogon lokaci, kuma yana farkawa da sassafe.
- Sibutramine yana da contraindications da yawa. (dysfunction na zuciya, hanta, tsarin juyayi) da yawa sakamako masu illa, saboda haka ana daukar shi ne kawai a karkashin kulawar likita. Aka saya da takardar sayan magani
- A cikin ciwon sukari mellitus, sibutramine na iya ba da gudummawa ga abin da ya faru na hypoglycemia (ƙarancin sukari na jini) saboda karuwa a cikin haɓaka metabolism da haɓaka a cikin aiki na jiki, sabili da haka, lokacin amfani da miyagun ƙwayoyi, ƙarin sarrafa glycemic akai-akai kuma, ba shakka, gyaran hypoglycemic therapy tare da endocrinologist ana buƙatar.
2. Masu hana Lipase - orlistat (sunayen cinikin Listat, Xenical).
Hanyar aiwatar da maganin: m tarewa na enzymes wanda ke narke kitsen mai a cikin jijiyar ciki. Sakamakon haka, wani ɓangare na mai (kusan 30%, har zuwa iyakar 50%) ba a ɗauka, amma yana fitowa da feces, bi da bi, muna rasa nauyi kuma matakan cholesterol ɗinmu yana raguwa.
- Babban gefen sakamako mai yiwu sako-sako ne. Idan muka wuce kitsen mai, kitse ba ta cikawa ba, ba shakka, za a sami zawo. Dangane da cutar gudawa, Na fi son leafa, saboda yana da stool stabilizer - abu shine gum larabawa, don haka bayyanar da ɓacin randa lokacin amfani da leafa ba shi da matsala.
- An bayar da maganin ne ta hanyar likita, an sayar da shi ba tare da takardar sayan magani ba.
- A cikin ciwon sukari mellitus, magungunan suna da ban sha'awa daidai saboda ikonta na rage cholesterol na jini (tun lokacin da marasa lafiya da masu ciwon sukari ke fama da tashe tashen hankula), da kuma saboda aikinsu mai laushi (yana aiki a cikin lumen na gastrointestinal fili ba tare da tasirin tsari ba) tasirin kai tsaye) a jikin jijiyoyin jini, kodan, zuciya, watau mafi aminci).
Za a iya amfani da daskararren maganin lipase don kamuwa da cutar siga da nau'in 1 da 2.
3. Analogs na GLP-1 (glucagon-kamar peptide-1) - liraglutide (sunayen kasuwanci Saksenda - magani ne wanda aka yiwa rajista don maganin kiba, da Victoza - guda liraglutide yayi rajista don lura da ciwon sukari na mellitus type 2).
Hanyar aiwatar da maganin: liraglutide - analog na hormones na hanjin mu wanda yake faruwa (analog na GLP 1), wanda ake samarwa bayan cin abinci da toshe abinci (galibi bayan su ba ma son cin kitse da abinci mai daɗi), har da fitar da sukarin jini da haɓaka metabolism.
- A kan wannan magani, marasa lafiya suna jin cikakke, an katange sha'awar su mai da mai daɗi.
- Magungunan yana taimakawa rage nauyin jiki saboda yawan kitse na ciki, shine, mun rasa nauyi sosai a cikin kugu. Bayan amfani da miyagun ƙwayoyi, adadi ya juya ya zama kyakkyawa.
- Magungunan suna aiki akan kowane nauyi - aƙalla kilogram 120, aƙalla 62 - a kowane yanayi, idan ka zaɓi madaidaicin kashi kuma ka daidaita abincin kaɗan, sakamako zai faranta maka.
- Magungunan yana da ƙarfi, amma yana da tsada kuma yana da contraindications, manyan sune kasancewa masu ciwon ƙwayar ƙwayar ƙwayar cuta ta katako, ƙwallafa hanta da gazawar hanta.
- Babban sakamako na gefen shine ƙaramar jin tashin zuciya. Idan, a bangon shan liraglutide, kun ci kitse ko mai daɗi, musamman da yamma, zaku iya jin ciwo sosai, har ma da amai. Wasu marasa lafiya suna son wannan tasirin - sun yi amai har sau uku, Bana son in karya abincin nan gaba.
- An bayar da maganin ne ta hanyar likita, an sayar da shi ba tare da takardar sayan magani ba. Likita ne kadai aka zaba maganin - yana da matukar wahala ka zabi satin.
- Lokacin shan miyagun ƙwayoyi, ana kula da yanayin hanta, kodan da sauran sigogi a kai a kai (kamar yadda likita ya umarta, yakamata a yi amfani da gwajin ƙwayoyin cuta na asibiti a lokaci-lokaci), tunda maganin yana da ƙarfi.
- Ga marasa lafiya da ke fama da ciwon sukari, Lyraglutide da maganin ta analogues suna da ban sha'awa sakamakon cewa tasirinsu a kan matakin glycemia (sukari jini) ana nunawa gwargwadon nauyi. Sabili da haka, wannan magani shine ɗayan magungunan da aka fi so a cikin marasa lafiya da ke dauke da ciwon sukari na 2. Tare da nau'in ciwon sukari na 1 baya amfani!
4. Sau da yawa a cikin maganin kiba, idan yana tare da juriya na insulin, wanda shine kawai irin nau'in ciwon sukari na 2, ana amfani da magani metformin (sunayen kasuwanci Siofor, Glucofage).
Ana lura da juriya na insulin a cikin kashi 80-90% na masu fama da kiba, sabili da haka, ana amfani da wannan maganin sau da yawa a cikin lura da kiba koda a cikin marasa lafiya ba tare da ciwon sukari ba.
Hanyar aiwatar da metformin: sensara yawan ji na ƙwarai zuwa insulin, haɓaka metabolism da daidaituwa na microbiota (microflora a cikin ƙwayar gastrointestinal). Saboda wannan, nauyin jiki yana raguwa kaɗan kuma sukari yana daidaita. Idan sukari jini ya kasance al'ada, ba zai canza ba. Idan sukari sun daukaka, zasu fadi kadan.
- Babban contraindications don ɗaukar metformin suna rage hanta, koda, anemia, da mummunan ciwon zuciya.
- Sakamakon babban sakamako shine barcin katako a cikin kwanakin farko kuma, tare da tsawan lokacin amfani, rashi ne na bitamin B (idan muka sha metformin na dogon lokaci, muna amfani da bitamin B sau 2 a shekara).
- An bayar da maganin ne ta hanyar likita, an sayar da shi ba tare da takardar sayan magani ba.
Ana iya amfani da waɗannan magungunan gabaɗaya kuma a hade tare da juna da kuma tare da wasu gungun magunguna (don maganin ciwon sukari, don inganta aikin hanta, kodan, da ganye).
Ana samun ingantaccen haɗuwa tare da haɗuwa da kwayoyi don rage nauyi tare da detox, sihiri, magunguna don inganta aikin hanta.
Wadanne magunguna za a zaba don asarar nauyi a cikin T1DM, kuma wanne don T2DM?
Tare da nau'in ciwon sukari na 1 magungunan tsakiya da na lipase masu hanawa sun fi so. Ba'a amfani da Metformin don ciwon sukari 1, tun ɗayan manyan ayyukansa shine magance juriya na insulin, kuma yana da wuya ga ciwon sukari 1. Ana amfani da analogs na GLP 1 tare da ciwon sukari 1.
Tare da DM 2 Analogues na GLP 1 da metformin sun fi dacewa (tunda muna aiki da juriya na insulin da nauyi). Amma tsakiya kwayoyi masu amfani da lipase blockers suma suna iya amfani da su, shine, tare da nau'in ciwon sukari na 2 akwai karin zabi na kwayoyi.
Duk haɗuwa da kwayoyi da likita ya zaɓa bayan cikakken jarrabawa!
⠀⠀⠀⠀⠀
Kiwon lafiya, kyakkyawa da farin ciki a gareku!
