Kev kho mob ntshav qab zib. Txhua Hais Txog Tshuaj Kho Mob Ntshav Qab Zib

Tom qab kawm cov ntawv no, koj yuav kawm paub yuav ua li cas kho ntshav qab zib hom 2 thiab, muaj qee kis, mob ntshav qab zib hom 1 nrog kev pab los ntawm cov ntsiav tshuaj. Yog tias koj muaj ntshav qab zib, tom qab ntawd koj twb pom ntawm koj tus kheej daim tawv uas cov kws kho mob tseem tsis tuaj yeem khav tau los ntawm qhov ua tiav tiag hauv kev kho mob ntshav qab zib ... tsuas yog cov neeg uas tau mob siab rau kawm peb lub xaib. Tom qab nyeem cov nplooj ntawv no, koj yuav paub ntau ntxiv txog kev siv tshuaj kho ntshav qab zib ntau dua li koj mus koom nrog endocrinologist hauv qhov chaw kho mob. Thiab qhov tseem ceeb tshaj plaws, koj tuaj yeem siv lawv ua haujlwm tau zoo, uas yog, coj cov ntshav qab zib kom rov zoo li qub thiab txhim kho kev noj qab haus huv tag nrho.

Cov tshuaj yog theem thib peb ntawm kev kho mob ntshav qab zib hom 2. Qhov no txhais tau hais tias yog tias thawj ob theem - kev noj zaub mov kom tsis rog thiab noj qab haus huv nrog kev lom zem - tsis pab ua kom cov piam thaj ib txwm nyob hauv ntshav, tom qab ntawd tsuas yog tom qab peb txuas cov ntsiav tshuaj. Thiab yog tias cov tshuaj tsis pab txaus, qib plaub kawg yog kev siv tshuaj insulin. Nyeem ntxiv txog kev kho mob ntshav qab zib hom 2. Hauv qab no koj yuav pom tias qee cov tshuaj ntshav qab zib uas cov kws kho mob nyiam tshaj tawm yog qhov muaj kev phom sij, thiab nws zoo dua yog tias tsis muaj lawv.

Yuav kom cov ntshav qab zib hauv hom 1 thiab ntshav qab zib hom 2 tam sim no, qhov tseem ceeb yog noj tsawg carbohydrates. Nyeem cov npe ntawm cov khoom noj uas txwv tsis pub thiab daim ntawv teev cov khoom noj uas tso cai rau cov zaub mov uas muaj cov zaub mov uas muaj cov zaub mov yug hauv tsev tsawg. Qhov nruab nrab tus neeg noj ib qho nruab nrab ntawm 250-400 grams ntawm carbohydrates txhua hnub. Koj tau txais ib yam muaj sia uas yog caj ces tsis tuaj yeem tiv nrog qhov no. Thiab ntawm no yog qhov tshwm sim - koj tau kis mob ntshav qab zib. Yog tias koj noj tsis ntau tshaj 20-30 grams ntawm cov carbohydrates ib hnub, koj cov piam thaj hauv ntshav yuav zoo li qub thiab koj yuav zoo siab dua. Nws yuav muaj peev xwm ntau ob peb zaug txo cov koob tshuaj rau ntshav qab zib thiab insulin hauv kev txhaj tshuaj. Mob ntshav qab zib, nws yuav zoo rau koj kom koj noj cov protein ntau thiab cov rog ntau, hloov cov khoom noj carbohydrates, nrog rau cov tsiaj rog, uas cov kws kho mob thiab cov ntawv xov xwm nyiam ua rau peb ntshai.

Yog tias koj muaj tus mob neuropathy uas mob ntshav qab zib, tom qab ntawv nyeem kab lus Alpha Lipoic Acid rau Mob ntshav qab zib Neuropathy.

Tom qab tus neeg mob ntshav qab zib hloov mus rau cov khoom noj uas tsis muaj khoom noj kom ntau, ntsiav tshuaj thiab tshuaj insulin feem ntau yuav tsum tau muab tshuaj rau cov neeg uas tub nkeeg mus qoj ib ce. Kuv xav kom koj mloog ib tsab xov xwm hais txog yuav ua li cas txaus siab rau kev kawm paub lub cev. Muaj qhov tshwm sim ntawm 90%, kev kawm txog lub cev yuav pab koj muaj ntshav qab zib hom 2 kom tswj tau cov ntshav qab zib ib txwm tsis muaj ntsiav tshuaj thiab ntau heev yog tias tsis muaj tshuaj insulin.

Yuav kho tus mob ntshav qab zib li cas?

Txog nrab-nrab ntawm 2012, muaj cov hauv qab no pab pawg ntawm cov tshuaj mob ntshav qab zib (lwm yam tshaj li insulin):

• Cov tshuaj uas ua rau kom cov kab mob ua rau lub cev tsis txaus siab.
• Cov tshuaj uas pab txhawb nqa tus txiav kom tsim tau cov insulin ntxiv.
• Cov tshuaj tshiab rau ntshav qab zib txij li ib nrab xyoo 2000s. Qhov no suav nrog cov tshuaj uas ua txhua yam sib txawv, thiab yog li ntawd nws yog qhov nyuaj rau qee yam zoo nkauj ua ke nrog lawv. Cov no yog ob pawg ntawm cov tshuaj uas muaj ntau zuj zus, thiab tej zaum qee qhov ntxiv yuav tshwm sim thaum sijhawm.

Tseem muaj cov ntsiav tshuaj glucobai (acarbose) uas thaiv kev nqus ntawm cov piam thaj hauv lub plab zom mov. Lawv feem ntau ua rau lub plab zom mov, thiab tseem ceeb tshaj, yog tias koj ua raws li cov zaub mov tsis muaj roj, tom qab noj lawv ua rau tsis muaj txiaj ntsig dab tsi. Yog tias koj tsis tuaj yeem ua raws li cov zaub mov tsis muaj roj tsawg, vim tias koj tawg rau hauv cov pob txha caj qaum, ces siv cov tshuaj ntshav qab zib uas pab tswj kev qab los noj mov. Thiab los ntawm glucobaia yuav tsis muaj ntau yam siv. Yog li ntawd, nws kev sib tham ntawm qhov kawg.

Peb rov qhia koj ib zaug ntxiv: cov tshuaj ntsiav tshuaj muaj txiaj ntsig tsuas yog pab tau rau mob ntshav qab zib hom 2 xwb. Ntawm hom 1 mob ntshav qab zib, tsis muaj tshuaj, tsuas yog txhaj tshuaj insulin. Cov lus piav meej. Siofor lossis Glucophage ntsiav tshuaj rau ntshav qab zib hom 1 tuaj yeem sim yog tias tus neeg mob rog, nws lub ntsej muag ntawm tes mus rau insulin tsawg dua, yog li nws raug yuam kom txhaj cov tshuaj insulin ntau dua. Kev teem caij ntawm Siofor lossis Glucofage hauv cov xwm txheej no yuav tsum tham nrog koj tus kws kho mob.

Pawg ntawm cov tshuaj uas normalize ntshav qab zib

Cov ncauj lus kom ntxaws ntawm cov tshuaj rau hom ntshav qab zib hom 2 uas tsis yog tshuaj insulin yog yooj yim nthuav qhia hauv qab no. Thaj, muaj tsis ntau ntawm lawv. Tsis ntev tom ntej no, cov ncauj lus kom ntxaws txog txhua cov tshuaj no yuav tshwm sim hauv peb lub vev xaib.

Yog tias koj txaus siab rau cov tshuaj insulin, ces pib ntawm kab lus "Kev kho mob ntshav qab zib nrog insulin. Uas insulin los xaiv. " Ntawm hom 2 Ntshav Qab Zib, cov neeg mob tau ntshai tsis txaus los ntawm cov tshuaj insulin. Vim tias cov tshuaj insulin tuaj yeem pab koj tus txiav ua "so" thiab tiv thaiv nws los ntawm nws qhov kev rhuav tshem zaum kawg. Koj tuaj yeem nyeem ntxiv txog qhov no hauv qab no.

Cov lus hauv qab no yuav pab koj xam seb cov pawg sib txawv ntawm cov tshuaj muaj dab tsi.

Kev sib txuam ua tau zoo, qhov zoo thiab qhov tsis zoo ntawm cov tshuaj ntshav qab zib niaj hnub

Kev siv cov tshuaj ntshav qab zib hom 2 yog, ua ntej txhua yam, kom soj ntsuam ob lub hauv paus ntsiab lus:

• txwv tsis pub noj ib hom tshuaj noj uas txhawb kev zais insulin los ntawm tus mob ua kab mob (sulfonylureas, meglitinides);
• yog tias muaj kev qhia rau kev kho mob ntshav qab zib nrog cov tshuaj insulin, ces koj yuav tsum tau pib txhaj tshuaj insulin tam sim ntawd, thiab tsis txhob sim muab nws hloov nrog cov tshuaj, tshuaj ntxiv, tshuaj ntsuab los yog lwm yam tshuaj ntsuab.

Peb yuav xav txog cov hauv paus ntsiab lus no hauv kev nthuav dav, vim tias lawv yog qhov tseem ceeb heev.

Cov ntshav qab zib hom tshuaj twg tsis muaj txiaj ntsig, tab sis muaj kev phom sij

Muaj tshuaj rau ntshav qab zib uas tsis nqa cov txiaj ntsig rau cov neeg mob, tab sis muaj kev tsim txom tsis tu ncua. Thiab tam sim no koj yuav pom tias cov tshuaj no zoo li cas. Cov tshuaj ntshav qab zib ua rau mob ntshav qab zib yog cov tshuaj uas ua rau lub hnoos qeev tsim cov tshuaj insulin ntxiv. Muab rau lawv! Lawv ua rau muaj kev puas tsuaj rau kev noj qab haus huv ntawm cov neeg mob ntshav qab zib. Cov tshuaj uas txhawb kev tsim cov tshuaj insulin los ntawm tus txiav yog suav cov tshuaj los ntawm sulfonylurea derivatives thiab meglitinides pawg. Cov kws kho mob tseem nyiam sau ntawv rau lawv rau cov ntshav qab zib hom 2, tab sis qhov no tsis ncaj ncees lawm thiab tsim kev puas tsuaj rau cov neeg mob. Saib seb vim li cas.

Hauv hom 2 mob ntshav qab zib, cov neeg mob, raws li txoj cai, kuj tsim cov tshuaj insulin tsawg dua, thiab 2-3 zaug ntau dua, zoo dua li cov neeg noj qab haus huv tsis muaj cov tshuaj no. Koj tuaj yeem lees meej cov kev kuaj ntshav no rau C-peptide. Qhov teeb meem nrog cov neeg mob ntshav qab zib yog tias lawv muaj kev txo qis hlwb los ntawm kev ua haujlwm ntawm insulin. Qhov teeb meem metabolic no yog hu ua insulin tsis kam. Thaum muaj tej qhov xwm txheej zoo li no, kev noj tshuaj uas ntxiv cov tshuaj muaj zog tawm los ntawm cov kua dej los ntawm tus txiav yog tib yam li nplawm tus nplawm, tsav nees, uas, nrog tag nrho nws lub zog, cab lub laub hnyav. Cov tsiaj tsis muaj hmoo tuaj yeem tuag sai hauv cov pob.

Lub luag haujlwm ntawm tus nees uas tau tsav yog koj lub txiav. Nws muaj cov beta hlwb uas tsim cov tshuaj insulin. Lawv twb ua hauj lwm nrog nce load. Nyob rau hauv qhov kev txiav txim ntawm cov ntsiav tshuaj ntawm sulfonylurea derivatives los yog meglitinides lawv "hlawv tawm", uas yog, lawv tuag ntau heev. Tom qab qhov no, tsim tawm los ntawm cov tshuaj insulin tsawg dua, thiab kho tus mob ntshav qab zib hom 2 hloov mus ua ib hom mob ntshav qabzib ntau dua thiab siv tsis tau.

Lwm qhov ua tsis tau zoo ntawm kev tsim cov tshuaj tua kab mob ntshav qab zib yog qhov ua rau lawv ua rau lub cev tsis muaj ntshav qab zib. Qhov no feem ntau tshwm sim yog tias tus neeg mob noj tshuaj tsis raug cai lossis tsis nco qab noj mov raws sijhawm. Cov hau kev ntawm kev kho mob ntshav qab zib hom 2 uas peb pom zoo kom txo cov ntshav qab zib, thaum qhov kev pheej hmoo ntawm hypoglycemia yog xyaum xoom.

Kev tshawb fawb loj tau qhia tias sulfonylurea derivatives ua rau muaj kev tuag ntau los ntawm txhua qhov ua rau ntawm cov neeg mob uas coj lawv, suav nrog kev tuag los ntawm kev mob plawv thiab mob cancer. Lawv cuam tshuam cov ntshav ncig hauv cov hlab ntshav thiab lwm cov hlab ntshav, thaiv ATP-nkag calcium calcium uas ua rau cov leeg ntshav so. Cov nyhuv no tsis yog pov thawj rau cov tshuaj tshiab ntawm pab pawg. Tab sis lawv kuj yuav tsum tsis txhob coj, rau qhov laj thawj uas peb tau piav saum toj no.

Yog tias cov ntshav qab zib hom 2 tau ua tib zoo saib xyuas nrog kev noj zaub mov kom tsawg, ua kom tawm dag zog, thiab txhaj tshuaj insulin yog tias tsim nyog, ua rau puas los yog tsis muaj zog ntawm cov roj ntsha beta tuaj yeem rov qab ua lawv txoj haujlwm. Kawm paub thiab ua raws cov phiaj xwm kho mob ntshav qab zib hom 2 kom zoo. Qhov no zoo tshaj qhov noj tshuaj - sulfonylurea derivatives los yog meglitinides, uas yuav tua cov qe ntshav thiab ua rau cov teeb meem ntshav qab zib ntau dua. Peb tsis tuaj yeem sau tag nrho cov npe ntawm cov tshuaj nyob ntawm no, vim muaj ntau ntau ntawm lawv.

Cov hauv qab no yuav tsum ua kom tiav. Nyeem cov lus qhia rau cov tshuaj ntshav qab zib koj tau sau tseg. Yog tias nws hloov tawm tias lawv zwm rau chav kawm ntawm sulfonylurea derivatives lossis meglitinides, tsis txhob coj lawv. Hloov chaw, kawm thiab ua raws li hom phiaj xwm ntshav qab zib hom 2. Kuj tseem muaj cov tshuaj sib xyaw uas muaj ob qho khoom xyaw: ib sulfonylurea derivative ntxiv rau metformin. Yog tias koj tau xaiv qhov kev xaiv no, tom qab ntawd hloov ntawm nws mus rau "ntshiab" metformin (Siofor lossis Glyukofazh).

Txoj hauv kev kho mob ntshav qab zib hom 2 yog sim txhawm rau txhim kho cov neeg mob hlwb kom insulin. Nyeem peb cov ntawv ntawm insulin tsis kam. Nws qhia koj yuav ua li cas. Tom qab ntawd, koj tsis tas yuav hnia cov tshuaj insulin ntau lawm. Yog tias cov xwm txheej ntshav qab zib tsis nce siab, ces tus neeg cov kab mob ntshav hauv lub cev yuav txaus kom tswj cov piam thaj hauv ntshav tau.

Tsis txhob sim hloov cov tshuaj insulin los ntawm kev noj tshuaj.

Ua kev tswj ntshav qab zib kom tsawg nyob rau hauv tsawg kawg 3 hnub, thiab zoo dua ib lub lim tiam tag nrho. Yog tias yam tsawg kawg ib zaug qab zib tom qab ib pluas noj tau ua kom tiav li 9 mmol / l lossis siab dua, tam sim ntawd pib kho cov tshuaj insulin, hauv kev sib xyaw nrog kev noj zaub mov kom tsawg. Vim tias tsis muaj tshuaj yuav pab tau rau ntawm no. Ua ntej tshaj plaws, nrog kev pabcuam ntawm kev txhaj tshuaj insulin thiab kev noj zaub mov kom raug, nco ntsoov tias koj cov ntshav qab zib poob rau hauv cov hom phiaj tseem ceeb. Thiab tom qab ntawd koj yuav xav tias yuav siv cov tshuaj kom txo tau cov tshuaj insulin lossis txawm tias nws tso nws tseg.

Tus mob ntshav qab zib hom 2 nyiam ncua mus ib ntus kev pib kho lawv cov tshuaj insulin. Muaj tseeb rau lub hom phiaj no koj tau mus rau nplooj ntawv qhia txog tshuaj kho ntshav qab zib, txoj cai? Rau qee qhov laj thawj, txhua tus ntseeg hais tias kev kho mob insulin tuaj yeem tsis quav ntsej nrog kev zam txim, thiab mob ntshav qab zib cuam tshuam lwm tus neeg, tab sis tsis yog lawv. Thiab qhov no yog tus cwj pwm ruam heev rau tus mob ntshav qab zib. Yog muaj “kev vam meej” tuag ntawm lub plawv nres, Kuv yuav hais tias nws muaj hmoo. Vim tias muaj cov kev xaiv phem:

• Kev deev tes taw thiab caj dab sib cav;
• Qhov muag tsis pom;
• Qhov kev txom nyem tuag los ntawm lub raum tsis ua haujlwm.

Cov no yog cov mob ntshav qab zib uas tus yeeb ncuab phem tshaj plaws yuav tsis xav tau. Muab piv rau lawv, kev tuag sai thiab yooj yim los ntawm kev mob plawv yog qhov kev muaj yeej. Ntxiv mus, hauv peb lub tebchaws, uas tsis txhawb nqa nws cov neeg xiam oob qhab ntau dhau.

Yog li, insulin yog txoj kev kho mob zoo rau hom ntshav qab zib 2. Yog tias koj hlub nws heev, tom qab ntawv nws cawm koj los ntawm ib tus neeg paub ze nrog cov teeb meem saum toj no. Yog tias pom tseeb tias cov tshuaj insulin tsis tuaj yeem siv nrog, tom qab ntawd pib txhaj tshuaj sai dua, tsis txhob nkim sijhawm. Yog tias kev dig muag tshwm sim lossis tom qab hlais tes taw tu ncua, tus mob ntshav qab zib feem ntau muaj ob peb xyoos ntxiv hauv txoj kev tsis taus. Nyob rau lub sijhawm no, nws tswj tau ua tib zoo xav txog qhov nws ruam nws yog dab tsi thaum nws tsis tau txhaj tshuaj insulin raws sijhawm ...

Qee qhov xwm txheej, kev ua phooj ywg nrog insulin yog qhov tseem ceeb, thiab nrawm dua:

• Ntawm kev noj haus kom tsawg cov zaub mov uas koj lub cev, koj cov piam thaj hauv ntshav tom qab noj mov tseem pheej dhia mus txog 9 mmol / L thiab saum toj no.
• Kev sib xyaw ua ke ntawm cov zaub mov uas tsis muaj carbohydrate, kev tawm dag zog thiab cov tshuaj noj kom yog "muaj cai" tsis tuaj yeem txo koj cov piam thaj tom qab noj mov qis dua 6.0 mmol / L.

Hlub insulin nrog tag nrho koj lub siab vim nws yog koj tus phooj ywg zoo, tus cawm seej thiab tus tiv thaiv tiv thaiv mob ntshav qab zib. Nws yog ib qho tsim nyog los txhawm rau cov txheej txheem ntawm cov tshuaj tsis muaj mob, ua siab ntev txhaj tshuaj insulin raws sij hawm thiab tib lub sijhawm nqa cov haujlwm kom nws cov koob tshuaj yuav raug txo kom tsawg. Yog tias koj ua tib zoo siv cov kev kho mob ntshav qab zib (nws yog qhov tseem ceeb tshwj xeeb los ntawm kev tawm dag zog nrog kev lom zem), tom qab ntawd koj tuaj yeem tswj hwm nrog cov tshuaj insulin me me nrog rau qhov muaj feem ntau, koj yuav muaj peev xwm tsis kam txhaj tshuaj tag nrho. Tab sis qhov no tsis tuaj yeem ua rau ntawm tus nqi tsim cov teeb meem ntshav qab zib.

Cov tshuaj uas ua rau kom cov kab mob ua rau lub cev tsis txaus siab

Raws li koj paub, nyob rau hauv feem ntau cov neeg mob uas muaj ntshav qab zib hom 2, tus txiav ua cov insulin txaus, lossis tseem 2-3 npaug ntau dua li ib txwm. Qhov teeb meem yog tias cov neeg no tau txais kev nkag siab qis ntawm cov hlwb mus rau kev ua ntawm cov tshuaj insulin. Nco qab tias qhov teeb meem no yog hu ua insulin tsis kam, i.e., insulin tsis kam. Muaj ntau hom tshuaj uas qee feem daws tau. Hauv cov tebchaws hais lus Lavxias, ob yam tshuaj muaj nyob rau tam sim no - metformin (ntsiav tshuaj Siofor lossis Glyukofazh) thiab pioglitazone (muag hauv qab cov npe Actos, Pioglar, Diaglitazone).

Qhov kev kho mob tau zoo rau tus mob ntshav qab zib hom 2 pib nrog kev noj haus cov zaub mov kom tsawg, nrog rau kev tawm dag zog lub cev nrog kev lom zem. Cov no yog cov haib thiab cov txhais tau tias ua kom normal ntshav qab zib. Tab sis nyob rau hauv kev nyuaj, lawv tsis tau pab txaus, zoo li yog cov neeg mob ntshav qab zib tsis tau ua tib zoo saib xyuas cov kev coj noj coj ua. Tom qab ntawd, ntxiv rau lawv, ntsiav tshuaj kuj tau sau tseg tias ua rau muaj kev cuam tshuam ntawm cov hlwb ntau rau cov kev ua haujlwm ntawm insulin. Yog tias koj siv kev sib xyaw ua ke ntawm cov zaub mov muaj protein tsawg, kev tawm dag zog thiab tshuaj tua kab mob tiv thaiv insulin, qhov yuav muaj feem yog koj yuav tswj tau ntshav qab zib kom tau zoo yam tsis tas txhaj tshuaj insulin. Thiab yog tias koj tseem yuav tsum txhaj tshuaj insulin, tom qab ntawd cov tshuaj yuav me me.

Nco ntsoov tias tsis muaj ntshav qab zib hauv ncoo tuaj yeem hloov qhov kev noj zaub mov zoo thiab tawm dag zog. Kev tawm dag zog lub cev nrog kev lom zem yog qhov cuab yeej siv tau zoo los ua kom lub hlwb nkag mus rau cov tshuaj insulin thiab tswj ntshav qab zib. Cov tshuaj ua hauj lwm zoo tsis tuaj yeem piv nrog nws. Thiab tseem ntau tshaj ntawd, nws yuav tsis muaj peev xwm kom zam kev mob ntshav qab zib yog tias koj tsis ua raws li cov zaub mov uas muaj protein tsawg.

Siofor (Glucophage) - ib hom tshuaj muaj npe rau ntshav qab zib hom 2

Ib hom tshuaj uas nrov rau cov ntshav qab zib hom 2 yog metformin, uas yog muag hauv cov ntsiav tshuaj Siofor thiab Glucofage hauv cov tebchaws Lavxias. Nyeem peb cov ncauj lus kom ntxaws txog cov tshuaj no. Metformin tsub kom lub hlwb nkag siab ntau dua rau kev ua haujlwm ntawm insulin, yog li txo qis ntshav qab zib thiab pab kom poob phaus ntau phaus. Nws tseem inhibits qhov kev txiav txim ntawm hormone ghrelin thiab yog li pab cuam tshuam kom tsis txhob noj ntau dhau.

Hauv qab ntawm cov tshuaj no, cov txiaj ntsig ntawm kev kuaj ntshav rau cov kab mob plawv tau zoo dua. Nws tseem muaj pov thawj ntxiv tias kev noj cov tshuaj metformin txo txoj kev pheej hmoo ntawm kev tuag los ntawm mob qog nqaij hlav thiab mob plawv. Teeb meem ntawm ntshav qab zib tshwm sim vim tias cov piam thaj ntau nyob hauv cov ntshav khi rau cov protein sib txawv thiab cuam tshuam lawv cov haujlwm. Yog li, metformin thaiv qhov kev khi no, thiab qhov no tshwm sim tsis hais nws cov nyhuv tseem ceeb ntawm kev txo cov ntshav qab zib. Nws kuj tseem txhim kho cov ntshav kev nyob hauv cov hlab ntsha, txo qis capillary permeability thiab fragility, thiab txo qhov kev pheej hmoo ntawm cov qhov muag ntshav hauv ntshav qab zib retinopathy.

Ntsiav Tshuaj Ntshav Qab Zib Thiazolidinedione

Cov tshuaj ntshav qab zib los ntawm cov pab pawg thiazolidinedione tiv thaiv kev txhim kho lub raum tsis ua haujlwm, ntxiv rau nws cov txiaj ntsig ntawm kev txo cov ntshav qab zib. Nws xav tias lawv thaiv qhov kev ua ntawm cov noob uas ua lub luag haujlwm rau kev txuam nrog cov rog hauv lub cev. Vim qhov no, thiazolinediones pab ncua lossis tiv thaiv kev loj hlob ntawm hom 2 ntshav qab zib hauv cov neeg muaj kev pheej hmoo siab. Ntawm qhov tod tes, nws tau ua pov thawj tias cov tshuaj no ua rau muaj kev pheej hmoo ntawm txha caj qaum rau cov poj niam tom qab lawm.

Thiazolinediones kuj ua rau kom cov kua dej tsis ntws tawm hauv lub cev. Qhov no tsis tuaj yeem lees txais rau cov neeg mob ntshav qab zib nrog mob plawv tsis txaus, vim tias lawv lub cev twb dhau mus ua kua dej lawm. Yav dhau los, muaj ob lub tshuaj los ntawm thiazolidinedione pawg: rosiglitazone thiab pioglitazone. Txawm li cas los xij, qhov muag ntawm rosiglitazone raug txwv thaum nws muab tawm tias kev noj nws nce qhov kev pheej hmoo ntawm lub plawv nres, thiab tam sim no tsuas yog pioglitazone raug tshuaj rau cov neeg mob.

Yuav siv li cas cov tshuaj uas txo cov tshuaj insulin

Cov tshuaj Metformin thiab pioglitazone ua rau muaj kev cuam tshuam ntau ntxiv ntawm cov hlwb rau cov tshuaj insulin. Thiab nws tsis muaj teeb meem zoo li cas ntawm insulin nws yog - ib qho uas tus txiav tau nce, los yog ib qho uas tus neeg mob ntshav qab zib tau txais nrog kev txhaj tshuaj. Raws li qhov txiaj ntsig ntawm kev txiav txim ntawm cov ntsiav tshuaj tawm tsam insulin tsis kam, cov ntshav qab zib hauv cov neeg mob ntshav qab zib hom 2 tsawg zuj zus, thiab qhov zoo tshaj yog tsis muaj kev phiv tshuaj.

Txawm li cas los xij, cov txiaj ntsig zoo ntawm metformin thiab pioglitazone tsis xaus rau ntawd. Nco qab tias cov kua dej yog cov tshuaj hormones tseem ceeb uas pab txhawb kev ua kom rog thiab tiv thaiv kev poob phaus. Thaum tus neeg mob ntshav qab zib hom 2 thiab / lossis rog dhau yuav noj cov tshuaj no, ces nws cov ntshav insulin concentration tsawg zuj zus thiab mus tsis tau. Ua tsaug rau qhov no, tsawg kawg ntxiv qhov hnyav nce, thiab feem ntau nws muaj peev xwm plam ob peb phaus. Yog tias hom ntshav qab zib hom 2 tseem tsis tau tsim, thiab koj tsuas yog xav tswj hwm kev rog, ces metformin feem ntau yog kho mob. Vim tias nws muaj kev pheej hmoo xoom txog cov kev mob tshwm sim, thiab pioglitazone muaj nws, txawm hais tias ib qho me me.

Raws li koj paub, cov rog ntau dua uas ib tug neeg muaj, qhov muaj zog ntau zog tiv thaiv insulin thiab ntau dua qhov yuav tsum tau txhaj ntawm cov tshuaj insulin koj yuav tsum tso ntshav qab zib. Kev noj tshuaj uas ua rau muaj kev nkag siab ntawm cov hlwb ntau rau kev ua haujlwm ntawm insulin, ua rau nws muaj peev xwm txo qis cov tshuaj insulin. Ntxiv mus, cov nyhuv no tau tshwm sim hauv cov neeg mob tsis tsuas yog mob ntshav qab zib hom 2, tab sis kuj mob ntshav qab zib hom 1. Kev rog dhau thiab insulin kuj yog kev taw qhia los ntawm cov metformin (Siofor lossis Glucofage) kuj tseem pom zoo rau cov neeg mob ntshav qab zib hom 1 txo qis tshuaj insulin. Saib ntxiv: "Yuav ua li cas thiaj li yuag poob uas noj zaub mov muaj roj tsawg."

Peb muab ib qho piv txwv los ntawm kev coj ua ntawm Dr. Bernstein. Nws muaj ib tug neeg mob nrog Mob Hnyav Siab Hom 2 thiab ntshav hnyav dhau los. Tus neeg mob no yuav tsum tau txhaj 27 qhov txuas ntxiv ntawm insulin thaum hmo ntuj, txawm tias nws tau ua raws li kev noj zaub mov kom tsawg-carbohydrate. Nws tau ua raws li cov lus qhia uas tau piav qhia hauv kem “Yuav Ua Li Cas Muab Yeeb Yam Tshuaj Tua Kab Ntau”. Tom qab nws pib noj cov tshuaj glucophage, qhov koob tshuaj insulin txo rau 20 qhab nia. Qhov no tseem yog qhov siab tshaj, tab sis tseem zoo dua 27 units.

Yuav siv cov tshuaj no li cas

Cov ntsiav tshuaj uas ua rau muaj kev cuam tshuam ntawm cov hlwb ua rau cov tshuaj insulin yuav tsum tau ua rau cov neeg mob ntshav qab zib hom 2 yog tias lawv yuag tsis tuaj yeem noj cov zaub mov muaj protein tsawg, thiab ntau heev dua yog tias lawv tsis tuaj yeem txo lawv cov ntshav qab zib kom qis. Nyeem cov hom phiaj uas tsim nyog rau kev saib xyuas ntshav qab zib yuav tsum yog. Ua ntej ua ib txoj cai tswj kom noj tshuaj mob ntshav qab zib, koj yuav tsum ua tiav tag nrho cov ntshav qab zib kom tswj tau 3-7 hnub thiab sau nws cov txiaj ntsig. Peb nco koj tias yog tias cov piam thaj hauv ntshav tsawg kawg ib zaug tom qab noj mov yog 9.0 mmol / L lossis siab dua, tom qab ntawd koj yuav tsum pib txhaj tshuaj insulin tam sim ntawd. Thiab tsuas yog tom qab ntawd xav txog yuav ua li cas los txo nws cov ntau npaum li cas nrog cov ntsiav tshuaj.

Koj yuav pom tias cov piam thaj hauv ntshav nce siab dua ib txwm ntawm qee lub sijhawm, lossis nws ua rau kom siab nyob ib puag ncig. Nyob ntawm qhov no, txiav txim siab lub sijhawm koj yuav tsum noj tshuaj mob ntshav qab zib. Piv txwv li, koj cov ntshav qab zib ib txwm nce nyob rau yav sawv ntxov. Qhov no hu ua "tshwm sim thaum sawv ntxov." Hauv qhov no, sim noj ncua ntev-ntev glucophage. Pib nrog qhov tsawg kawg kev txaws thiab maj mam nce nws. Nyeem cov lus kom ntxaws ntxiv “Yuav ua li cas tswj tau qhov tshwm sim thaum sawv ntxov”.

Los yog qhov ntsuas ntshav muaj ntshav qab zib yuav qhia tias cov ntshav qab zib nce siab tom qab noj mov, piv txwv li, tom qab noj hmo. Hauv qhov no, noj Siofor ua yeeb yam nrawm 2 teev ua ntej noj mov no. Yog tias muaj mob raws plab los ntawm cov txheej txheem no, noj Siofor nrog zaub mov. Kuj tseem siv tshuaj noj ntshav qab zib kom pab tswj tau koj lub siab. Yog tias cov piam thaj hauv ntshav khaws cia me ntsis kom zoo nyob ib ncig ntawm lub moos, tom qab ntawd koj tuaj yeem sim cov koob tshuaj 500 lossis 850 mg ntawm Siofor txhua lub sijhawm ua ntej noj mov, zoo li thaum tsaus ntuj.

Yuav ua li cas thiab vim li cas coj metformin thiab pioglitazone ua ke

Metformin (ntsiav tshuaj Siofor thiab Glucofage) nqa tawm nws qhov kev nqis tes ua, txo qis thaum tsis txhob muaj cov tshuaj insulin hauv cov qog hlwb. Nws kuj tseem me ntsis cuam tshuam qhov kev nqus ntawm carbohydrates hauv txoj hnyuv. Pioglitazone nyias ua nyias. Nws cuam tshuam cov leeg thiab cov nplais adipose, cuam tshuam rau daim siab ua ib tus neeg tsawg dua. Qhov no txhais tau hais tias yog tias cov metformin tsis txaus cov ntshav qab zib kom tsawg, tom qab ntawv nws ua rau nkag mus ntxiv pioglitazone rau nws, thiab rov ua dua.

Thov nco ntsoov tias pioglitazone tsis qhia nws cov nyhuv ntawm txo cov ntshav qab zib tam sim ntawd, tab sis ob peb lub lis piam tom qab pib ua haujlwm. Thaum noj cov tshuaj metformin, koob tshuaj pioglitazone ib hnub yuav tsum tsis pub tshaj 30 mg.

Qhov tsis zoo ntawm cov tshuaj uas txo cov tshuaj insulin

Tshuaj tua kab mob uas ua rau muaj qhov tsis hnov ​​mob ntawm cov hlwb rau insulin yog ib qho zoo tshaj plaws rau peb los tswj ntshav qab zib. Txawm li cas los xij, lawv kuj muaj lawv qhov tsis zoo.

Sab Tshuaj Los Ntawm Metformin

Ntsiav tshuaj Siofor thiab Glucofage (cov tshuaj ua ke ua metformin) siv tsis ua kev phiv tshuaj txaus ntshai. Txawm li cas los xij, hauv cov neeg uas coj lawv, lawv feem ntau ua rau lub plab zom mov - tsam plab, xeev siab, raws plab. Qhov no tshwm sim nrog tsawg kawg ⅓ cov neeg mob uas siv cov tshuaj Siofor ua yeeb yam sai.

Cov neeg pom sai sai tias Siofor pab kom poob phaus ntau phaus, thiab nrog ntshav qab zib hom 2 nws coj cov ntshav qab zib kom qis dua qhov qub. Txog qhov tau txais txiaj ntsig zoo li no, lawv npaj txhij los daws cov teeb meem nrog txoj hnyuv txoj hnyuv. Cov teeb meem no tau ua ntau tsawg dua yog tias koj hloov ntawm Siofor mus rau Glucophage lub sijhawm ntev. Tsis tas li, feem coob ntawm cov neeg mob pom tias kev mob plab zom mov los ntawm kev noj Siofor tsis muaj zog nrog lub sijhawm, thaum lub cev tau siv tshuaj. Tsuas yog tsawg tus neeg thiaj tsis tuaj yeem tiv taus cov tshuaj no txhua lub sijhawm.

Niaj hnub no, Metformin yog cov tshuaj nyiam tshaj plaws ntawm ntau pua txhiab tus neeg mob ntshav qab zib thoob ntiaj teb. Nws muaj tus thawj ntawm - phenformin. Xyoo 1950, lawv tau tshawb pom tias nws tuaj yeem ua rau lactic acidosis, txaus ntshai, muaj feem ua rau tuag taus. Thaum noj phenformin, lactic acidosis tau tshwm sim hauv cov neeg mob debilitated uas twb muaj lub plawv tsis ua haujlwm lossis lub raum tsis ua haujlwm lawm. Lub Tsev Haujlwm Saib Xyuas Kev Noj Qab Haus Huv ceeb toom tias metformin tseem tuaj yeem ua rau cov kab mob lactic acidosis yog tias koj muaj lub plawv tsis ua haujlwm, mob rau daim siab lossis raum. Yog tias cov teeb meem no tsis tuaj, ces qhov kev pheej hmoo ntawm cov kab mob lactic acidosis yog xyaum ua xoom.

Phiv los ntawm pioglitazone

Hauv qee cov tib neeg, pioglitazone (Actos, Pioglar, Diaglitazone) ua rau cov kua dej cia. Qhov no yog ua pov thawj los ntawm kev o ntawm cov ceg thiab ib qho kev txo qis hauv kev saib xyuas ntawm cov ntshav liab hauv cov ntshav. Tsis tas li, thaum noj cov tshuaj pioglitazone, tus neeg mob yuav hnyav me ntsis. Qhov no yog vim muaj kev txuam nrog cov kua, tab sis tsis rog. Hauv cov neeg mob ntshav qab zib uas noj pioglitazone thiab ib txhij txhaj tshuaj insulin, ib qho kev pheej hmoo ntawm lub plawv yuav nce ntxiv. Txog cov mob ntshav qab zib no, kev noj cov tshuaj pioglitazone ib hnub yuav tsum tsis pub tshaj 30 mg.Yog tias, tawm tsam cov keeb kwm ntawm kev kho mob insulin thiab kev noj cov tshuaj no, koj pom tias koj txhais ceg pib o, ces tsum tsis txhob noj pioglitazone tam sim ntawd.

Nws tau tshaj tawm nyob rau hauv cov ntawv xov xwm hais tias noj pioglitazone ntau zaus ua rau lub siab rov ua haujlwm. Ntawm qhov tod tes, cov tshuaj no txhim kho cov teeb meem roj (cholesterol), qhov ntawd yog, nws txo qis cov roj (cholesterol) phem hauv cov ntshav thiab nce cov qib roj cholesterol siab. Txij li cov pioglitazone tuaj yeem ua rau kom cov kua dej tsis txaus, nws tsis tuaj yeem hais rau cov neeg mob uas muaj lub plawv tsis ua haujlwm ntev, lub raum lossis mob ntsws.

Hauv lub cev, pioglitazone yog nruab nrab los ntawm lub siab. Rau qhov no, tib yam enzyme siv, uas neutralizes ntau lwm cov tshuaj nrov. Yog tias koj noj ntau cov tshuaj tib lub sijhawm sib tw rau tib qho enzyme, ces cov qib tshuaj hauv cov ntshav tuaj yeem ua rau muaj kev phom sij ntau ntxiv. Nws tsis nquahu kom noj cov tshuaj pioglitazone yog tias koj twb tau txais tshuaj kho mob, tshuaj tiv thaiv kabmob, lossis qee yam tshuaj tua kabmob. Hauv cov lus qhia rau pioglitazone ua tib zoo kawm ntu "Sib cuam tshuam nrog lwm yam tshuaj". Yog tias koj muaj lus nug, tham nrog koj tus kws kho mob lossis kws muag tshuaj ntawm lub tsev muag tshuaj.

Yuav ua li cas yog tias cov piam thaj hauv ntshav tseem nyob siab

Yog tias cov tshuaj ntshav qab zib kom txo cov ntshav qab zib, tab sis tsis txaus, ces qhov no tuaj yeem yog vim muaj teeb meem nrog koj cov zaub mov noj. Feem ntau cov yuav, koj noj ntau carbohydrates tshaj qhov koj xav tau. Ua ntej tshaj, koj yuav tsum ua tib zoo soj ntsuam koj cov zaub mov kom thiaj li paub qhov twg cov carbohydrates ntxiv kom poob rau hauv nws. Nyeem yuav ua li cas kho kev muaj yees thiab muaj yam tshuaj twg yuav pab tswj tau koj qab los noj mov kom zoo thiab ua hauj lwm zoo.

Ntshav qab zib nyob rau hauv cov neeg mob ntshav qab zib kuj ua rau muaj kev kis tus kab mob los yog mob ua paug. Cov teeb meem feem ntau ua teeb meem yog cov kaus hniav kho mob, ua khaub thuas, lossis muaj mob rau hauv lub raum. Yog xav paub ntau ntxiv, nyeem kab lus “Vim li cas cov piam thaj tsis muaj qab zib tuaj yeem ua kom cov zaub mov tsis muaj ntsev ntau, thiab yuav kho li cas.”

Peb pom zoo ua kev tawm dag zog lub cev nrog kev lom zem hauv ntshav qab zib hom 2. Yog tias kev noj zaub mov kom tsis txhob rog thiab cov ntsiav tshuaj pab tsis tau txaus, ces tseem tshuav ib qho kev xaiv - kev kawm txog lub cev lossis txhaj tshuaj insulin. Txawm li cas los xij, koj tsis tuaj yeem ua ib qho lossis lwm qhov, tab sis tom qab ntawd tsis txhob xav tsis thoob tias koj yuav xav paub kom ze rau cov kev mob ntshav qab zib ... Yog tias cov neeg mob ntshav qab zib tsis tu ncua thiab nquag siv lub cev kev kawm raws li cov qauv uas peb pom zoo, tom qab ntawd muaj 90% qhov tseeb nws yuav muaj peev xwm tswj tau zoo mob ntshav qab zib yam tsis muaj insulin los. Yog tias koj tseem yuav tsum txhaj tshuaj insulin, nws txhais tau hais tias koj twb muaj ntshav qab zib hom 1, thiab tsis yog hom ntshav qab zib 2. Txawm li cas los xij, kev noj zaub mov kom tsawg thiab ua kom ib ce muaj zog yuav pab kom tau cov tshuaj insulin tsawg kawg.

Cov tshuaj ntxiv uas ua rau muaj kev cuam tshuam ntawm cov hlwb rau cov tshuaj insulin

Cov kev tshawb fawb pom tau tias cov vitamin A hauv kev siv ntau dua 25,000 IU ib hnub txo qis dua cov tshuaj insulin. Nws kwv yees hais tias yog noj tshuaj vitamin A ntau dhau 5,000 IU nyob rau ib hnub, qhov no yuav ua rau muaj kev txo cov calcium hauv cov pob txha. Thiab kev noj tshuaj vitamin A ntau yog xam tias yog muaj tshuaj lom ntau. Yog li, koj tuaj yeem siv tshuaj beta-carotene hauv cov koob tshuaj me ntsis - qhov no yog "kev tuaj yeem", uas nyob hauv tib neeg lub cev hloov mus rau hauv cov vitamin A raws li xav tau. Nws yog twv yuav raug hu tsis txaus ntshai.

Magnesium deficiency nyob rau hauv lub cev yog qhov nquag nquag thiab ua kom muaj cov tshuaj insulin. Hauv Tebchaws Meskas, hauv tib neeg, cov khw muag khoom noj khoom haus magnesium hauv lub cev tau tshawb xyuas los ntawm kev txheeb xyuas cov qib magnesium nyob hauv cov ntshav liab. Peb ua qhov kev kuaj ntshav ntshav ntshiab, tab sis nws tsis raug thiab yog li tsis muaj qab hau. Magnesium tsis muaj kev cuam tshuam tsawg kawg 80% ntawm cov neeg. Rau txhua tus neeg muaj ntshav qab zib, peb xav kom koj sim noj cov tshuaj magnesium nrog vitamin B6. Tom qab 3 lub lis piam, ntsuas cov nyhuv uas lawv muaj rau koj qhov kev noj qab nyob zoo thiab noj tshuaj ntawm cov tshuaj insulin. Yog hais tias cov nyhuv yog qhov zoo, txuas ntxiv mus. Lus khaws xav Hauv raum tsis ua haujlwm, cov tshuaj magnesium tsis tuaj yeem noj.

Zinc deficiency nyob rau hauv lub cev cuam tshuam leptin ntau lawm. Qhov no yog qhov tshuaj hormones uas tiv thaiv ib tus neeg los ntawm kev ua haujlwm thiab cuam tshuam nrog kev nce phaus. Zinc deficiency kuj muaj cov kab mob tsis zoo rau cov thyroid caj pas. Phau ntawv Asmeskas txog kev kho mob ntshav qab zib pom zoo kom kuaj ntshav rau ntshiab zinc, thiab tom qab ntawd noj tshuaj yog tias pom qhov tsis txaus. Hauv cov tebchaws Lavxias hais lus, nrhiav pom yog tias koj muaj zinc txaus hauv koj lub cev tsis muaj teebmeem. Yog li no, peb xav kom cia li sim noj cov tshuaj zinc, ib yam li nrog magnesium.

Cov tshuaj pleev Zinc lossis cov tshuaj ntsiav yuav tsum tau noj tsawg kawg 1 hlis txhawm rau kom nkag siab qhov dab tsi muaj txiaj ntsig ntawm lawv. Nrog cov magnesium, hauv qhov kev txiav txim siab no nws yooj yim dua, vim tias cov nyhuv ntawm nws txoj kev tswj hwm tshwm tom qab 3 lub lis piam. Los ntawm kev noj cov tshuaj zinc, feem ntau ntawm cov neeg pom tias lawv cov rau tes thiab plaub hau pib zoo dua. Yog tias koj muaj hmoo, tom qab ntawd koj tuaj yeem txo qhov tshuaj ntawm cov tshuaj insulin yam tsis muaj kev cuam tshuam txog kev tswj ntshav qab zib. Dab tsi yog kev siv zinc rau lub cev, tau piav qhia txhua yam hauv phau ntawv Atkins "Cov Tshuaj: ib qho kev xaiv los ntawm cov tshuaj."

Vanadium Sulfate

Kuj tseem muaj cov tshuaj xws li - vanadium. Qhov no yog hlau hnyav. Nws cov ntsev, tshwj xeeb vanadium sulfate, muaj cov ntsiab lus hauv qab no: lawv txo qis cov kua dej tsis kam, ua kom tsis muaj zog thiab, tej zaum, txawm tias ua los hloov cov insulin. Lawv yeej muaj lub peev xwm los txo cov ntshav qab zib hauv ntshav qab zib. Vanadium tuaj yeem ua kom zoo rau cov ntshav qab zib, tab sis cov kws kho mob kho nws nrog kev txhawj xeeb zoo, ntshai tsam phiv.

Vanadium cov ntsev ua rau lawv muaj txiaj ntsig rau kev txo cov ntshav qab zib los ntawm kev tsim cov enzyme tyrosine phosphatase. Qhov enzyme no yog lub luag haujlwm tseem ceeb hauv ntau cov txheej txheem sib txawv hauv tib neeg lub cev. Nws tseem tsis tau muaj pov thawj tias qhov inhibition ntawm nws cov kev ua yog nyab xeeb thiab tsis muaj kev mob tshwm sim ntev lub sij hawm. Kev sim ua haujlwm ntawm cov tshuaj vanadium hauv tib neeg tsis tau siv sijhawm ntev dua 3 lub lis piam. Thiab cov neeg ua haujlwm pab dawb uas txaus siab koom nrog cov kev sim ntev ntev tsis tuaj yeem pom.

Txawm li cas los xij, vanadium sulfate yog kev noj haus ntxiv uas yog muag tau dav hauv Asmeskas. Tau ntau xyoo, tsis muaj kev yws yws txog cov kev mob tshwm sim los ntawm cov neeg uas tau noj. Dr. Bernstein hnub no pom zoo kom tsis txhob kho cov ntshav qab zib nrog cov tshuaj no kom txog thaum nws muaj kev nyab xeeb. Qhov no siv rau txhua pawg neeg mob, tshwj tsis yog kev sim ntawm cov lag luam airlines. Lawv tsis muaj lwm txoj kev xaiv, vim tias qee qhov lawv yuav tsum tswj ntshav qab zib, thiab lawv raug txwv tsis pub siv cov tshuaj insulin, nyob rau hauv kev hem thawj ntawm kev poob daim ntawv tso cai los ya dav hlau.

Ob peb lo lus ntxiv rau tus kws sim ntshav qab zib, tab sis lawv yuav tsum tsis txhob noj tshuaj insulin. Ua ntej tshaj, mus rau kev noj haus kom tsawg-carbohydrate cov zaub mov, thiab kuj mob siab rau kev tawm dag zog lub cev nrog kev txaus siab. Siv tag nrho cov tshuaj "mob ntshav qab zib" uas peb tau teev saum toj saud hauv tsab xov xwm, nrog rau cov tshuaj ntxiv - vitamin A, magnesium, zinc thiab txawm tias vanadium sulfate. Thiab tseem muaj lwm qhov paub me me uas yuav pab tau koj.

Cov khw muag khoom hlau tseem ceeb hauv lub cev tau qhia txog cov ntaub so ntswg qis dua mus rau insulin. Qhov no muaj tseeb tshwj xeeb tshaj yog rau cov txiv neej, vim tias cov poj niam muab cov hlau ntau dhau thaum coj khaub ncaws. Ua ntsuas ntshav ntsuas cov tshuaj ferritin los txiav txim siab koj cov qib hlau. Hauv cov tebchaws hais lus Lavxias, txoj kev tsom xam no tuaj yeem dhau, tsis zoo li kev txheeb xyuas rau cov ntsiab lus ntawm magnesium thiab zinc. Yog tias koj cov hmoov nplej hauv lub cev ntau dua li qhov nruab nrab, ces nws raug nquahu los ua cov ntshav. Koj yuav tsum tso ntshav pub ntau dhau thiaj ua rau koj cov khw muag hlau ze ze rau qhov kev txwv qis. Tej zaum vim qhov no, qhov rhiab ntawm koj lub hlwb rau cov tshuaj insulin yuav nce siab. Tsis txhob noj ntau dua 250 mg ntawm cov vitamin C nyob rau ib hnub, vim tias cov vitamin no ua rau kom nqus hlau ntau dua ntawm cov zaub mov.

Kho Ntshav Qab Zib Tshiab

Cov tshuaj ntshav qab zib tshiab yog dipeptyl peptidase-4 inhibitors thiab glucagon-zoo li peptide-1 receptor agonists. Raws li txoj kev xav, lawv raug tsim los txo cov ntshav qab zib tom qab noj nrog ntshav qab zib hom 2. Hauv kev xyaum, lawv muaj qhov ua rau lub zog ntawm cov ntshav qab zib, ntau qhov tsis muaj zog tshaj li metformin (Siofor lossis Glucofage).

Txawm li cas los xij, qhov cuam tshuam ntawm dipeptyl peptidase-4 inhibitors (Galvus, Januvia thiab Onglisa) hauv kev txo qis ntshav qab zib tom qab noj nrog hom 2 ntshav qab zib tuaj yeem ua tiav cov teebmeem ntawm metformin thiab pioglitazone. Koj tuaj yeem siv ib qho ntawm cov tshuaj no ua koj thib peb ntawm kev siv tshuaj kho ntshav qab zib yog tias koj tus kws kho mob tau sau, yog tias metformin ntxiv pioglitazone tsis pab txaus.

Glucagon-zoo li peptide-1 receptor agonists yog Victoza thiab Baeta. Lawv nthuav rau peb tsis yog vim tias lawv txo suab thaj me ntsis, tab sis vim tias lawv pab tswj kev qab los noj mov, tshwj xeeb tshaj yog Viktoza. Cov no yog kev kho zoo rau kev quav luam yeeb carbohydrate. Ob leeg Baeta thiab Viktoza tsis muaj nyob hauv daim ntawv ntawm cov ntsiav tshuaj, tab sis nyob rau hauv cov raj muaj koob. Lawv yuav tsum tau muab pricked li insulin. Tawm tsam tom qab ntawm cov kev txhaj tshuaj no, cov neeg mob tau zoo rau ntawm kev noj zaub mov kom tsawg nrog cov cev nqaij daim tawv, lawv tsis tshua muaj kev txhaws ntawm gluttony. Yog xav paub ntxiv, saib kab lus hais txog “Cov Tshuaj Kho Mob Ntshav Qab Zib Los Tiv Thaiv Cov Nqaij.”

Victoza thiab Baeta yog cov tshiab, kim, uas yog cov tswv lag luam tshuaj. Thiab koj yuav tsum tau hno tshuaj, thiab qhov no tsis yog ib qho haum rau leej twg. Tab sis cov tshuaj no zoo leeb qhov pib ntawm kev xav ntawm tag nrho. Koj tuaj yeem noj ntau yam hauv qhov nruab nrab, thiab koj yuav tsis muaj qhov nqhis rau ntau dhau. Ua tsaug rau qhov no, kev tswj ntshav qab zib yuav txhim kho ntau. Thiab tseem ceeb tshaj, txhua qhov no muaj kev nyab xeeb, tsis muaj kev phiv tshwj xeeb. Cov txiaj ntsig ntawm kev siv Victoza lossis Baeta tswj hwm kev coj noj coj ua yog qhov loj heev. Nws them nyiaj rau txhua qhov tsis yooj yim cuam tshuam nrog kev siv cov nyiaj no.

Cov tshuaj ntshav qab zib ua rau ntshav qab zib tsawg

Cov tshuaj ntshav qab zib uas ua rau lub cev ua kab mob ntshav siab yuav tsim cov tshuaj insulin ntau dua tuaj yeem ua rau lub qog ntshav qab zib. Tus neeg mob feem ntau yuav tsum tau ntsib nws cov kev tsis txaus siab, thiab yog tias qhov mob ntshav nce siab ntau qhov no tuaj yeem ua rau muaj mob xiam oob qhab lossis tuag taus. Peb pom zoo kom koj tsum tsis noj tshuaj uas ua rau cov hlwb beta ua cov kua txiav kom tsim tawm cov kua dej. Txoj kev pheej hmoo ntawm ntshav qog ntshav yog ib qho laj thawj rau qhov no, txawm hais tias tsis yog lub ntsiab; rau cov ntsiab lus, saib kab lus saum toj no.

Hauv cov tshuaj uas ua rau muaj kev cuam tshuam ntau dua ntawm cov nqaij mos ua rau kev ua ntawm cov tshuaj insulin, qhov kev pheej hmoo ntawm hypoglycemia yog yuav luag tsis tau xoom, nyob rau hauv kev sib piv rau cov ntsiav tshuaj uas txhawb tus txiav. Cov tshuaj tawm tsam cov tshuaj insulin tsis cuam tshuam rau pancreatic tus kheej kev tswj tus kheej. Yog tias cov ntshav qab zib poob qis, tus txiav yuav txiav tsis txhob ua rau cov ntshav muaj insulin, thiab yuav tsis muaj ntshav qab zib tsawg. Qhov kev xaiv txaus ntshai tshaj plaws yog tias koj noj tshuaj uas txo cov tshuaj insulin, ntxiv rau cov tshuaj insulin. Hauv qhov no, hypoglycemia yog ua tau.

Cov tshuaj tiv thaiv ntshav qab zib ua ke: tsis txhob siv lawv!

Cov tuam txhab kws kho mob tau tshaj tawm cov tshuaj kho mob ntshav qab zib hauv kev sim ua dhau ntawm daim ntawv ntiag tug uas lawv cov neeg sib tw tau tiv thaiv, lossis tsuas yog nthuav lawv cov khoom lag luam thiab muaj ntau qhov chaw ntawm lub chaw muag tshuaj. Tag nrho cov no tsis tshua muaj ua nyob rau hauv kev txaus siab ntawm cov neeg mob, tab sis tsuas yog nrog lub hom phiaj ntawm kev muag khoom thiab tau paj ntxiv. Kev siv cov tshuaj sib xyaw rau kev kho ntshav qab zib feem ntau tsis tau yauv. Hauv qhov xwm txheej zoo tshaj plaws, nws yuav kim heev, thiab qhov phem tshaj - nws tseem muaj kev phom sij thiab.

Cov phom sij ua ke yog cov uas muaj sulfonylureas. Thaum pib ntawm tsab xov xwm, peb tau piav qhia hauv kev piav qhia yog vim li cas nws yuav tsum tsis kam noj tshuaj uas yog ntawm pab pawg no. Nco ntsoov tias koj tsis txhob noj cov tshuaj cuam tshuam rau koj tus txiav ua ib feem ntawm kev sib xyaw tshuaj rau ntshav qab zib. Kev sib xyaw ua ke ntawm metformin nrog DPP-4 inhibitors kuj tseem muaj. Lawv yuav tsis ua mob, tab sis tuaj yeem tsis kim. Sib piv cov nqi. Nws tuaj yeem hloov tawm tias ob daim sib cais sib txawv yog pheej yig tshaj li ib qho sib xyaw.

Koj tuaj yeem nug cov lus nug txog cov tshuaj kho ntshav qab zib hauv cov lus. Tus xaib ntawm cov xaib sai sai teb rau lawv.