Mafi kyawun kwayoyi masu inganci don maganin cututtukan type 2

Magungunan da aka zaɓa da kyau don maganin cututtukan siga na 2 suna taimakawa sosai wajen rage girman sukari da kuma guji rikitarwa mai haɗari.

Godiya ga amfani da magunguna, yana yiwuwa a haɓaka samar da insulin, rage jinkirin sakin glucose a cikin jini, kuma, idan ya cancanta, ƙara haɗarin insulin.

Jiyya

Magunguna don ciwon sukari na 2 zai iya magance matsaloli da yawa:

• Rage juriya na insulin nama;
• Intensify samar insulin;
• Rage sautin glucose da kuma hana shigowa da jini cikin jini;
• Ciki na kwance-dyslipidemia - wannan kalmar tana nufin cin zarafin daidaitowar lemu a cikin jini.

Jiyya yana farawa da magani ɗaya. Bayan haka zaku iya canzawa zuwa hanyoyin kwantar da hankali. Idan ba su ba da sakamakon da ake so ba, likitan na iya ba da shawarar maganin insulin.

Babban rukunan magunguna

Don yin aikin likita ya zama mai tasiri, yana da matukar muhimmanci a bi shawarar rayuwa - bi da abinci na musamman da motsa jiki.

Koyaya, ba duk mutane ne ke iya bin irin waɗannan dokokin na dogon lokaci ba. Saboda amfani da magungunan ƙwayoyi don maganin ciwon sukari na 2 ana amfani dashi sau da yawa.

Dangane da ka'idodin aiki, allunan daga mellitus na sukari sun faɗi cikin rukuni daban-daban:

1. Yana nufin ke kawar da juriya na insulin - wannan rukuni ya hada da thiazolidinediones, biguanides;
2. Stimulants don aikin insulin - waɗannan sun haɗa da glinides da samfurori dauke da sinadarin sulfonylurea;
3. Abubuwan da aka haɗo - incretin mimetics suna cikin wannan rukuni.

Kula da wannan cuta yawanci yana buƙatar amfani da irin waɗannan magunguna:

• Sulfonylurea;
• Alfa glucosidase inhibitors;
• Thiazolidinediones;
• Incretinomimetics;
• Ma'aikatan Prandial;
• Biguanides;
• Insulin

Biguanides

Wannan rukuni ya haɗa da kwayoyi waɗanda suke da metformin mai aiki. A cikin kantin magunguna, zaku iya samun kayan aiki kamar su glucophage da siofor, waɗanda ke ɗauke da wannan sinadari mai aiki.

Wadannan kwayoyin cutar sankarar mahaifa an tsara su ne don rage jurewar jikin mutum da insulin. An samu wannan sakamakon ta hanyoyin masu zuwa:

1. Rage ƙirar glucose daga sunadarai da mai, da kuma a cikin aiki glycogen hanta;
2. Increara ƙwaƙwalwar ƙwayar ƙwayar cuta a cikin tasirin insulin;
3. Gina shagunan glucose a cikin hanta a cikin nau'in glycogen;
4. Rage sukari na jini;
5. Ara yawan abubuwan motsa jiki a cikin gabobin ciki da kyallen takarda.

Irin waɗannan wakilai sukan tsokani halayen da ba a so. Ana lalacewa ta hanyar lalacewar tsarin narkewa. Bayan makonni 2, cututtukan gefe suna ɓacewa, saboda haka ya kamata ku yi haƙuri.

Wadannan magungunan cutar sankara na haifar da halayen masu illa:

• Ciwon ciki
• Amai
• Lationarya ɓarnar;
• Flatulence;
• Karfe dandano na bakin karfe.

Sulfonylurea

Jerin allunan don ciwon sukari na 2 ya haɗa da kwayoyi kamar glycidone, glurenorm, glibenclamide. Ayyukan kudaden sun dogara ne akan ɗaure wa masu karɓar beta-cell. Wannan yana haifar da karuwar samar da insulin.

Irin waɗannan kwayoyi suna fara amfani dasu da ƙananan sigogi. A cikin mako, ya kamata ku kara ƙarar zuwa adadin da ake buƙata.

Mahimmin halayen halayen irin waɗannan wakilai sun haɗa da masu zuwa:

1. Barazanar hauhawar jini;
2. Rashes a jiki;
3. Cutar narkewar abinci;
4. Itching abin mamaki;
5. Tasirin sakamako a hanta.

Glinids

Wannan rukunin ya ƙunshi magunguna kamar su nau'in kateglinide da repaglinide.

Godiya ga amfanirsu, yana yiwuwa a ƙara adadin insulin da ke shiga cikin jini. Ana samun wannan sakamako ta hanyar ƙarfafa ƙwayoyin kuzari a cikin ƙwayar cuta. Wannan yana ba ku damar sarrafa glycemia na postrandial, ko yawan glucose bayan cin abinci.

Sawarshan

Jerin magungunan ciwon sukari sun hada da pioglitazone da rosiglitazone. Wadannan abubuwa suna ba da gudummawa ga kunnawar masu karɓa a cikin ƙwayoyin tsoka da mai. Sakamakon wannan, ƙwayar insulin yana ƙaruwa, wanda ke taimakawa da sauri don ɗaukar glucose ta ƙoshin mai, tsokoki da hanta.

Duk da kyakkyawan ingancin irin waɗannan kudade, suna da contraindications da yawa. Makullin maɓallin ya ƙunshi halaye masu zuwa:

• Ciki
• Triara sau uku a cikin hanta transminases;
• Nau'in lokaci mai rauni na rashin zuciya 3-4 digiri daidai da NYHA;
• Lactation.

Baranzaman

Wannan rukuni na maganin cututtukan cututtukan ƙwayar cuta ya haɗa da maganin kashewa. Godiya ga amfani dashi, haɓakar insulin yana ƙaruwa. Ana samun wannan ta hanyar ƙara yawan motsawar glucose a cikin jini. Wannan tsari yana tare da rage karfin samar da mai da glucagon.

Bugu da kari, cire kayan abinci daga ciki yayi saurin zama. Wannan yana bawa mai haƙuri jin cikakken tsawon rai. Saboda haka, wannan rukuni na kwayoyi yana da sakamako mai haɗari.

B-glucosidase inhibitors

Babban magani daga wannan rukuni shine acarbose. Maganin ba shine mabudin ciwon sukari ba. Amma yana da fa'ida sosai saboda baya shiga cikin jini kuma baya tasiri ƙirar insulin.

Allunan Allunan don nau'in ciwon sukari na 2 suna shiga gasa tare da carbohydrates, wanda ke shiga jiki tare da abinci.

Magunguna suna ɗaure zuwa enzymes na musamman waɗanda aka samar don rushe carbohydrates. Wannan yana rage rage girman lalacewa da kuma kawar da barazanar mawuyacin canji a cikin sukari bayan cin abinci.

Daidaitattun kudaden

Irin waɗannan magungunan masu ciwon sukari sun hada da amaryl, janumet, glibomet. Wadannan abubuwan suna rage juriya insulin kuma suna kunna samarda insulin.

Amaryl yana ƙarfafa ƙwayarwa da sakin insulin daga cututtukan fata. Tare da taimakonsa, yana yiwuwa a ƙara ji da ƙima da tsokoki ga tasirin insulin.

Ana amfani da glybomet don rashin ingancin abinci da maganin rashin lafiyar jiki. Janumet yana taimakawa sarrafa hypoglycemia, wanda ya sa ya yiwu a guje wa karuwar sukari.

Sabbin magunguna

Sabbin magungunan cututtukan sukari na nau'ikan 2 sun hada da masu hana DPP-4 aiki. Wadannan abubuwa ba su shafar samar da insulin ta hanyar kwayoyin beta. Suna taimakawa kare takamaiman glucan-kamar polypeptide daga ayyukan lalata na enzyme na DPP-4.

Wannan polypeptide yana kunna fitsarin. Wannan yana ba da gudummawa ga ƙarin aikin insulin. Bugu da kari, wannan sinadari yana magance bayyanar glucagon, wanda hakan ya cutar da ayyukan aikin gubar sukari.

Shirye-shirye don nau'in ciwon sukari na 2 na sabon zamani suna da fa'idodi da yawa. Wadannan sun hada da masu zuwa:

1. Rashin yiwuwar haɓakar haɓakar hypoglycemia, tunda magungunan sun daina aiki bayan inganta abubuwan glucose;
2. Cire haɗarin ƙwayar nauyi saboda amfani da allunan;
3. Yiwuwar yin amfani da hadadden kwayoyi tare da kowane kwayoyi - togata shine insulin da kuma maganin tsufa na masu karɓar wannan polypeptide.

Kada a sha irin waɗannan kwayoyi a yanayin rashin aiki na kodan ko hanta. Wannan rukuni ya haɗa da kwayoyi kamar sitagliptin, saxagliptin, vildagliptin.

GLP-1 mai karɓar agonists abubuwa ne na hormonal waɗanda ke kunna aikin insulin kuma suna daidaita tsarin ƙwayoyin da abin ya shafa. Irin wannan magani yana haifar da asarar nauyi a cikin mutane masu kiba.

Irin waɗannan abubuwan ba za'a iya sayan su a cikin kwamfutar hannu ba. An yi su ne kawai ta hanyar hanyoyin magance allura. Wannan rukuni ya haɗa da kwayoyi kamar su victose da bayeta.

Shirye-shiryen ganye

Wasu lokuta masana suna ƙara monotherapy tare da abinci ta amfani da kayan abinci, abubuwan da ake nufi da rage yawan sukari. Wasu marasa lafiya suna ɗaukar su magungunan masu ciwon sukari. Amma wannan ba gaskiya bane, saboda babu wasu kwayoyi waɗanda ke kawar da wannan ilimin gaba ɗaya.

Koyaya, abubuwa masu aiki da kayan halitta wadanda ke dauke da kayan masarufi na zahiri suna taimakawa sosai don samun sakamako na zahiri a cikin maganin cutar. Suna inganta yanayin da ciwon suga.

Ofayan babban wakilan rukuni shine insulin. Wannan magani don ciwon sukari na 2 yana ba ku damar rage adadin glucose saboda raguwa a cikin ƙoshinsa a cikin hanji.

Yin amfani da miyagun ƙwayoyi yana kunna ayyukan ƙwayar cuta na ƙwayar ƙwayar cuta, yana daidaita metabolism kuma yana rage nauyi.

Ana iya amfani da insulin a matsayin matakan kariya ko kuma wani ɓangare na cikakkiyar magani na ciwon sukari. Tare da tsawaita amfani da kayan, yana yiwuwa a cimma daidaitaccen raguwar matakin glycemic.

Bayarda cewa shawarwarin abinci da tsarin yadda ake amfani da miyagun ƙwayoyi ana bin su sosai, zaku iya samun kusanci zuwa sigogin glucose na al'ada kamar yadda zai yiwu.

Siffofin insulin far

Mafi yawan lokuta, kasancewar ciwon sukari na shekaru 5-10 yana buƙatar ba kawai rage cin abinci ba, har ma da amfani da takamaiman magunguna. A irin wannan yanayin, akwai buƙatar buƙatar insulin na wucin gadi ko na dindindin.

Ana iya buƙatar amfani da wannan abun da wuri. Wannan buƙatar ta taso ne idan ba za'a iya daidaita abubuwan da ke cikin sukari ta wasu hanyoyi ba. A baya, an dauki amfanin insulin tare da irin wannan cutar a matsayin matsanancin mataki. A yau, likitoci sun yi imani in ba haka ba.

A baya can, mutane da yawa waɗanda suka sha magunguna kuma suka bi abincin suna da matakin glycemic ɗin. A lokacin amfani da insulin, sun haɓaka rikitarwa masu haɗari.

A yau, wannan abu shine ɗayan ingantattun magunguna masu rage sukari. Daga wasu magunguna, yana bambanta kawai a cikin mafi girman hanyar sarrafawa da tsada mai yawa.

Daga cikin duk marasa lafiya da ke fama da ciwon sukari na 2, kusan kashi 30-40% na mutane suna buƙatar maganin insulin. Ya kamata yanke shawara don amfani da wannan ƙwayar ta hanyar likitancin endocrinologist kawai bayan cikakken bincike game da duk alamomi da iyakantattun iyakoki.

Sabili da haka, yana da mahimmanci a farkon alamun ciwon sukari don tuntuɓi likita kuma fara magani don ciwon sukari. Mai da hankali sosai yakamata ya zama waɗancan mutanen da suke da dabi'ar halittar jini, da ke fama da kiba ko cututtukan cututtukan fata.

Matsalar mabuɗan waɗanda ke haifar da cututtukan hypoglycemic na iya haifar da nau'in ciwon sukari na 2 shine haɗarin hypoglycemia idan matakan glucose suna kusa da al'ada. Sabili da haka, an wajabta wasu mutane don kula da yawan sukari a babban matakin - 5-10 mmol / l.

Siffofin kulawa da tsofaffi marasa lafiya

Farji da cutar a wannan zamani yana da alaƙa da matsaloli masu wahala:

1. Pathology yana tare da wasu cututtukan da ke haɗuwa da tsufa;
2. Matsalar kayan 'yan fansho na hana cikakken magani;
3. Bayyanar bayyanar cututtukan cututtukan cututtukan ƙwayar cuta sau da yawa suna kuskure ga wasu cututtuka;
4. Sau da yawa ana gano cutar a cikin manyan lokuta.

Domin kada ku rasa farkon ci gaban ilimin cuta, riga daga shekaru 45-55 ya zama dole don tsara gudummawar jini don sukari. Wannan cutar tana haifar da haɗari ga lafiyar, saboda tana iya haifar da cututtuka na zuciya, kodan, da hanta.

Siffofin magani da yiwu sakamakon ciwon sukari

Idan baku zaɓi zaɓin magunguna masu rage ƙwayar sukari ba ga masu ciwon sukari na 2, to akwai haɗarin mummunan sakamako. Sabili da haka, duk alamun bayyanar cututtuka ya tilasta mutum ya nemi likita.

Bayan nazarin hoton asibiti, ƙwararren likita zai zaɓi abubuwan da ake buƙata don tantance abubuwan da ke cikin sukari. Mafi sauki daga waɗannan shine gwajin jini da aka ɗauka daga jijiya ko yatsa.

Lokacin da yake tabbatar da kamuwa da cutar, ƙwararren likita ya haɗu da tsarin kulawar tiyata wanda ya haɗa da waɗannan abubuwa:

• Tsarin glycemic system;
• Rayuwa mai aiki;
• Yarda da abinci na musamman;
• Amfani da magunguna.

Idan baku zabi ingantattun magunguna don ciwon sukari na 2 ba, to akwai haɗarin mummunar sakamako:

1. Cikakkar ƙungiyar renal;
2. Ci gaban cututtukan fata na mahaifa - rashi ne na gani saboda kumburin retina;
3. Ciwon sukari na cutar kansa;
4. Gangrene - a cikin wannan halin akwai haɗarin asarar hannu;
5. Glycemic coma;
6. Bugun jini;
7. Ajiyar zuciya.

Magungunan da aka zaɓi da kyau don maganin cututtukan type 2 na iya haifar da kyakkyawan sakamako da inganta yanayin haƙuri.