A cikin ciwon sukari na mellitus na nau'in na biyu, likita, a matsayin mai mulkin, ya tsara ba kawai abincin warkewa ba, aiki na zahiri, amma har da wakilai na musamman a cikin nau'ikan allunan, wanda ke ba da damar riƙe matakin glucose a cikin jini. An zaɓi magunguna dangane da yanayin janar jikin mai haƙuri, glucose a cikin jini da fitsari, halayen cutar da kasancewar ƙananan cututtuka.
A yau a cikin shagunan ƙwararrun zaku iya samun babban jerin sababbin magunguna waɗanda aka ɗauka don maganin ciwon sukari na 2. A halin yanzu, Wajibi ne a zabi magunguna masu rage sukari kawai bayan tuntuɓar likita, tun da yake ba lallai ba ne kawai yin la'akari da duk abubuwan da ke tattare da cutar, contraindications, har ma da mahimmancin sashi. Yin amfani da shi ba tare da kulawa ba tare da shawarar likita na iya zama cutarwa ga lafiyar ku.
Yana da mahimmanci a la'akari da cewa ba a amfani da magungunan a cikin maganin cututtukan type 1 a cikin yara kuma an zaɓi su daban-daban don ciwon sukari a cikin mata masu juna biyu.
Masu rarraba sukari na tsohuwar da sabon zamani sun kasu kashi uku, sun banbanta cikin tsarin sunadarai da kuma yadda suke shafar jikin.
Maganin Sulfonamide
- Abubuwa masu kama da cutar hypoglycemic a cikin ciwon sukari suna taimakawa sosai don samar da insulin cikin jini.
- Hakanan, wannan magani yana inganta haɓakar ƙwayoyin ƙwayar cuta, wanda ke ba ku damar samun gwargwadon insulin.
- Sulfanilamides yana ƙara yawan masu karɓar insulin akan sel.
- Magungunan sukari na rage sukari suna taimakawa rushewa da rage samuwar glucose a cikin hanta.
Na dogon lokaci, masu ciwon sukari sunyi amfani da kwayoyi na farko. Don yin buƙatar buƙata na yau da kullun na magani, marasa lafiya dole ne su ɗauki daga 0,5 zuwa 2 grams na sulfonamides, wanda shine sashi mai kyau sosai. A yau, an kirkiri magunguna na biyu waɗanda suke da tasiri sosai.
Maganinsu yana da karami sosai, wanda ke haifar da raguwar sakamako masu illa.
A matsayinka na mai mulki, irin wadannan kwayoyi suna da tasiri a jikin mutum na tsawon awanni 6-12. Ana ɗaukar kwamfutar hannu 0.5 kafin ko bayan abinci sau biyu a rana.
A wasu halaye, likita ya ba da umarnin ɗaukar miyagun ƙwayoyi sau uku a rana don cimma raguwar hankali na glucose jini.
Baya ga rage karfin sukari na jini, irin waɗannan magunguna suna da amfani mai amfani ga tasoshin jini, haɓaka kwararar jininsu da hana lalacewar ƙananan tasoshin. Ciki har da allunan don rage sukari na ƙarni na biyu, ana cire su cikin jiki da sauri kuma kar a matsa lamba akan kodan, yana kare gabobin ciki daga haɓakar rikitarwa sakamakon nau'in ciwon sukari na 2 na sukari.
A halin yanzu, magunguna masu rage sukari kamar su sulfonamides suna da nasarorin:
- Wannan magani bazai dace da duk marasa lafiya ba.
- Suna ƙoƙarin kada su rubanya shi ga tsofaffi waɗanda ke sannu a hankali cire magunguna daga jiki. In ba haka ba, miyagun ƙwayoyi na iya tarawa a cikin jikin mutum, wanda yawanci yakan haifar da yanayin hypoglycemic state da coma.
- Sulfanilamides na iya zama mai shan jaraba bayan wani lokaci saboda gaskiyar cewa shekaru biyar bayan amfani da miyagun ƙwayoyi, ƙwaƙwalwar masu karɓar nama zuwa tasirin su yana raguwa. A sakamakon haka, masu karɓar karɓar tasiri.
Haɗe da mummunan fasali na miyagun ƙwayoyi shine gaskiyar cewa sulfonamides ya rage matakin glucose a cikin jini, wanda zai haifar da amsawar hypoglycemic. Wani mummunan nau'in hypoglycemia yana faruwa ne ta hanyar kwayoyi na gungun chlorpropamide da glibenclamide. A saboda wannan dalili, sakin magani da likita dole ne a kiyaye shi sosai kuma ba kai magani ba.
Yana da mahimmanci a tuna cewa yawan yin azumi, yawan shan giya, motsa jiki mai ƙarfi, da asfirin na iya haifar da cutar glycemia. Sabili da haka, kafin fara amfani da miyagun ƙwayoyi, kuna buƙatar tuntuɓi likitanku game da kasancewar contraindications.
Wanene ya nuna yana shan magungunan sulfa?
An wajabta magungunan rage sukari na wannan nau'in a cikin halaye masu zuwa:
- A cikin lura da ciwon sukari mellitus na nau'in farko, idan abincin warkewa ba ya ba da damar rage matakin glucose a cikin jini, kuma mara lafiya ba shi da kiba.
- Tare da ciwon sukari na mellitus na nau'in farko, idan mai haƙuri yana da kiba.
- Tare da mellitus na ciwon sukari mara izini na nau'in farko.
- Idan mai haƙuri ba ya jin sakamakon maganin insulin don kamuwa da cutar 1.
A wasu halayen, an tsara maganin sulfonamides a hade tare da insulin. Wannan yana da mahimmanci don inganta tasirin insulin akan jiki kuma fassara fassarar ciwon sukari mara tsari a cikin tsari mai tsayayye.
Za'a iya ɗaukar ƙarni na farko sulfanilamides kafin, lokacin da bayan abinci. A wannan yanayin, an wajabta sashi daban daban. Kafin ka fara shan maganin, kana buƙatar yin nazarin umarnin a hankali.
Suna ɗaukar magunguna masu rage sukari na wannan nau'in tare da tsananin taka tsantsan a cikin sashi mai mahimmanci, tun ɗaukar matakin da ba daidai ba na miyagun ƙwayoyi zai iya haifar da raguwa mai yawa a cikin glucose jini, rashin lafiyan, tashin zuciya, amai, fashewar ciki da hanta, da raguwar adadin leukocytes da haemoglobin.
Biguanide Jiyya
Irin waɗannan magunguna masu rage sukari suna da tasiri daban-daban akan jiki, sakamakon wanda sukari zai iya karɓa da sauri ta hanyar tsokoki. Bayyanar biguanides yana da alaƙa da tasirin masu karɓar sel, wanda ke haɓaka haɓakar insulin kuma yana taimakawa daidaitaccen sukarin jini.
Irin waɗannan magungunan rage sukari suna da fa'idodi masu yawa:
- Rage glucose na jini.
- Rage shan glucose a cikin hanji da fitowar sa daga hanta.
- Magunguna ba sa barin glucose ya samar a cikin hanta.
- Magungunan yana kara yawan masu karɓa waɗanda ke kula da insulin.
- Magunguna na taimaka wa rushewa da ƙone kitsen jiki mara amfani.
- A ƙarƙashin rinjayar miyagun ƙwayoyi, ƙwayoyin jini.
- Abincin mai haƙuri yana raguwa, wanda zai baka damar rasa nauyi.
Biguanides baya tasiri kan samarda insulin, taimakawa wajen amfani da glucose a cikin kyallen, da inganta tasirin insulin da aka gabatar dashi ko kuma wanzu a cikin jiki. Wannan yana haifar da gaskiyar cewa sel ba su cika ajiyar ajiyar su ba.
Saboda daidaituwa na samarda insulin a cikin mara lafiya, an rage yawan ci, wanda yake da matukar amfani ga masu ciwon sukari da wadanda ke kiba ko kuma suna da nauyi a jiki. Sakamakon raguwa a cikin yawan tasirin glucose a cikin hanji, matakin ƙananan gutsutsunan ƙwayar lipid a cikin jini ya zama al'ada, wanda ke hana haɓakar atherosclerosis.
Koyaya, biguanides suna da hasara. Wadannan kwayoyi suna ba da izinin samfuran acid su tara a cikin jiki, wanda ke haifar da hypoxia na nama ko yunwar oxygen.
Ya kamata a yi amfani da miyagun ƙwayoyi a hankali tare da ciwon sukari a cikin tsofaffi da waɗanda suke da cututtukan huhu, hanta da zuciya. In ba haka ba, marasa lafiya na iya fuskantar amai, tashin zuciya, shimfiɗaɗɗen kwance, ciwon ciki, da rashin lafiyan ciki.
An hana Biguanides yin amfani da:
- Marasa lafiya waɗanda suka girmi shekaru 60;
- a gaban kowane nau'in hypoxia;
- idan cuta ta hanta da cututtukan koda;
- a gaban kowane m tiyata, da cututtuka da mai kumburi.
Biguanides an tsara shi ne musamman ga marasa lafiya da ke fama da cututtukan cututtukan type 2 na sukari mellitus, tare da nauyin jiki na al'ada da rashin sha'awar ketoacidosis. Hakanan, ana amfani da waɗannan magungunan don maganin masu ciwon sukari, wanda jikinsa bai yarda da sulfonamides ba ko kuma yana shan wannan magani.
Biguanides, wanda ke da prefix "retard" da sunan, yana shafar jikin mutum fiye da magunguna na al'ada. Kuna buƙatar shan magani kawai bayan cin abinci, mataki mai sauƙi - sau uku a rana, aikin tsawaita - sau biyu a rana, safe da maraice.
Wannan nau'in magani ya haɗa da kwayoyi irin su adebit da glyformin. Hakanan, waɗannan mutane masu amfani da lafiya suna amfani da su don rage yawan nauyin jikin mutum.
Magungunan da ke katsewa tare da ɗaukar glucose a cikin hanji
A yau, irin waɗannan magungunan ba su yaɗu ba a cikin Rasha, saboda suna da babban farashi. A halin yanzu, kasashen waje, wadannan kwayoyi sun shahara sosai tsakanin masu ciwon sukari saboda yawan ingancinsu. Mafi shahararren shine glucobai na magani na warkewa.
Glucobai ko acarbose, yana ba ku damar rage yawan aiwatar da sha na glucose a cikin hanji da shigar ta cikin jini. Wannan yana taimakawa rage matakan sukari a cikin kowane nau'in ciwon sukari. Hakanan, wannan magani yana rage adadin triglycerides a cikin jini, wanda ke haɓaka dogaro da insulin a cikin marasa lafiya da ke da nau'in ciwon sukari na 2 na sukari, wanda yawanci yakan haifar da atherosclerosis.
Mafi sau da yawa, ana sanya glucobai don nau'in ciwon sukari na 2 a matsayin babba ko ƙarin magani a hade tare da sulfonamides. A cikin nau'in 1 na ciwon sukari, ana amfani da wannan magani a cikin haɗin gwiwa tare da gabatarwar insulin a cikin jiki. A wannan yanayin, ana rage yawan sashin insulin.
Tun da wannan magani ba ya haifar da amsawar hypoglycemic, glucobai ana yin shi sau da yawa ga tsofaffi. A halin yanzu, miyagun ƙwayoyi na iya samun sakamako masu illa, irin su barcin da zazzabi.
Bai kamata masu fama da cutar Glucobai su ɗauki shekaru 18, tare da cututtukan cututtukan hanji, yayin daukar ciki ko shayarwa ba. Haɗe da miyagun ƙwayoyi ba da shawarar don amfani cikin gastroparesis lalacewa ta hanyar neuropathy masu ciwon sukari.
Ana aiwatar da magani na miyagun ƙwayoyi a farkon farkon 0.05 grams sau uku a rana. Idan ya cancanta, kashi a hankali ya kara zuwa 0.1, 0.2 ko 0.3 grams sau uku a rana. Yawancin magani ba da shawarar ba. Ya kamata a ƙara yawan sashi a hankali, a cikin jerin guda ɗaya zuwa sati biyu.
Ana ɗaukar Glucobay musamman kafin abinci ba tare da taunawa ba. Ya kamata a wanke magungunan da ruwa kaɗan. Ayyukan miyagun ƙwayoyi yana farawa nan da nan bayan ya shiga ciki.
Yadda ake shan magunguna masu rage sukari
Ana ɗaukar magani kamar Manilin don ciwon sukari rabin sa'a kafin cin abinci. Ana ɗaukar Glucobai kafin abinci, ana iya cin shi tare da abincin farko. Idan mara lafiya ya manta da shan maganin kafin abinci, ana ba shi izinin shan maganin bayan abinci, amma ba sai bayan minti 15 ba.
A kowane hali, lokacin da mai haƙuri ya manta da shan magungunan rage ƙwayar sukari, an hana shi ƙara yawan magunguna a nan gaba. Kuna buƙatar sha kawai kashi na maganin da likitanku ya umarta.
Shan magunguna masu rage sukari yayin daukar ciki
A lokacin daukar ciki, yin amfani da magunguna masu rage karfin sukari ya saba, tunda zasu iya shiga cikin mahaifa zuwa tayi kuma suna da mummunan tasiri kan ci gaban da ba a haifa ba. Saboda wannan, ciwon sukari a cikin mata masu ciki ana bi da shi ta hanyar gudanar da insulin da kuma amfani da abincin warkewa.
Idan mace tana da nau'in ciwon sukari na 2 kuma a baya an magance ta da magungunan hana haihuwa, sannu a hankali za a canza ta zuwa insulin. A lokaci guda, likita yana gudanar da saurin duba mara lafiya; ana yin gwajin jini da fitsari a kai a kai. An wajabta insulin a cikin wannan sashi wanda aka sha magunguna masu rage sukari.
Koyaya, babban magani shine da farko don tsara abincin da kuma daidaita menu.
Mace mai ciki da aka gano tare da ciwon sukari ya kamata ba cinye fiye da 35 Kcal a kilo kilogram na nauyi kowace rana. Yawan adadin furotin a kowace kilogram na nauyi na iya zama har zuwa gram biyu, carbohydrates - gram 200-240. Kayan mai - 60-70 grams.
Wajibi ne a bar ƙwayar da ƙwayar carbohydrates cikin hanzari, wanda ya haɗa samfuran gari, semolina, confectionery, Sweets. Madadin haka, kuna buƙatar cin abincin da ke ɗauke da bitamin na ƙungiyoyi A, B, C, D, E, ma'adanai da firam na shuka.
