Amanyathelo okuthatha ukuba amayeza akho eswekile asemlonyeni ayayeka ukusebenza

Umxholo

• Jonga imikhwa yakho yemihla ngemihla
• Yongeza elinye iyeza
• Thatha i-insulin
• Hlala unxibelelana nogqirha wakho

Khumbula ukukhutshwa kwemetformin eyandisiweyo

Ngo-Meyi ka-2020, kucetyiswa ukuba abanye abenzi be-metformin bandise ukukhutshwa kwezinye zeetafile zabo kwintengiso yase-US. Kungenxa yokuba inqanaba elingamkelekanga le-carcinogen enokubakho (iarhente ebangela umhlaza) yafunyanwa kwezinye iipilisi ze-metformin ezandisiweyo. Ukuba ngoku uthatha eli chiza, tsalela umnikezeli wakho wezempilo. Baza kukucebisa malunga nokuba kufuneka uqhubeke na ukuthatha amayeza akho okanye ukuba ufuna iphepha elitsha.

Amayeza omlomo ayasebenza ekwehliseni iswekile yegazi xa ukutya kunye nokuzilolonga kungonelanga ukulawula uhlobo lweswekile yesi-2. Kodwa la machiza awagqibelele- kwaye awasoloko esebenza kwixesha elide. Nokuba uthabathe iyeza lakho njengoko ugqirha wakho ekuyalele, usenokungaziva kakuhle njengoko kufanelekile.

Iziyobisi zeswekile zinakho kwaye zihlala ziyayeka ukusebenza. Phantse i-5 ukuya kwi-10 yepesenti yabantu abanesifo seswekile sesi-2 bayayeka ukuphendula kumayeza abo unyaka nonyaka. Ukuba iyeza lakho leswekile lomlomo alisasebenzi, kuyakufuneka ufumanise ukuba yintoni na ethintelayo ekulawuleni iswekile yegazi lakho. Emva koko kuya kufuneka uphonononge ezinye iindlela.

Jonga imikhwa yakho yemihla ngemihla

Xa iyeza leswekile lomlomo liyekile ukusebenza, yenza idinga nogqirha wakho. Bazofuna ukwazi ukuba ikhona into etshintshileyo kwisiqhelo sakho.

Zininzi izinto ezinokuchaphazela indlela elisebenza ngayo iyeza lakho- umzekelo, ukuzuza ubunzima, utshintsho kwindlela otya ngayo okanye inqanaba lomsebenzi, okanye isigulo esisandula ukwenzeka. Ukwenza iinguqu ezimbalwa kwindlela otya ngayo okanye ukuzilolonga ngakumbi yonke imihla kunokwanela ukufumana iswekile egazini lakho phantsi kolawulo kwakhona.

Kwakhona kunokwenzeka ukuba isifo sakho sikashukela siqhubekile. Iiseli ze-beta kwiipancreas ezivelisa i-insulin zinokungasebenzi ngokuhamba kwexesha. Oku kunokukushiya une-insulin encinci kunye nolawulo oluhlwempuzekileyo lweswekile yegazi.

Ngamanye amaxesha ugqirha wakho usenokungakwazi ukubona ukuba kutheni iyeza lakho liyekile ukusebenza. Ukuba ichiza obulithatha belingasasebenzi, kuya kufuneka ujonge amanye amayeza.

Yongeza elinye iyeza

I-Metformin (iGlucophage) ihlala iyeza lokuqala oza kulithatha ukulawula uhlobo lwe-2 yeswekile. Ukuba iyeka ukusebenza, inyathelo elilandelayo kukongeza ichiza lesibini ngomlomo.

Unamayeza ambalwa eswekile omlomo onokukhetha kuwo, kwaye asebenza ngeendlela ezahlukeneyo.

• I-Sulfonylureas efana ne-glyburide (Glynase PresTab), i-glimeperide (i-Amaryl), kunye ne-glipizide (iGlucotrol) evuselela i-pancreas yakho ukuba ivelise i-insulin engaphezulu emva kokutya.
• I-Meglitinides efana ne-repaglinide (Prandin) ibangela i-pancreas yakho ukuba ikhuphe i-insulin emva kwesidlo.
• I-Glucagon-efana ne-peptide-1 (GLP-1) ye-receptor agonists enjenge-exenatide (Byetta) kunye ne-liratuglide (i-Victoza) ekhuthaza ukukhutshwa kwe-insulin, ukunciphisa ukukhutshwa kweglucagon, kunye nokucothisa ukuphuma kwesisu sakho.
• I-SGLT2 inhibitors empagliflozin (Jardiance), canagliflozin (Invokana), kunye nedapaglifozin (Farxiga) iswekile esezantsi yegazi ngokwenza izintso zakho zikhuphe iswekile eninzi kumchamo wakho.
• I-Dipeptidyl peptidase-4 (DPP-4) inhibitors efana ne-sitagliptin (Januvia), linagliptin (Tradjenta), kunye ne-saxagliptin (i-Onglyza) evuselela ukukhutshwa kwe-insulin kunye nokunciphisa ukukhutshwa kwe-glucagon.
• I-Thiazolidinediones efana ne-pioglitazone (Actos) inceda umzimba wakho uphendule ngcono kwi-insulin kwaye wenze iswekile encinci.
• I-Alpha-glucosidase-acarbose kunye ne-miglitol inciphisa ukufunxeka kweswekile.

Unokufuna ngaphezulu kwelinye lala mayeza ukufezekisa ulawulo lweswekile yegazi elungileyo. Ezinye iipilisi zidibanisa amayeza amabini eswekile kwelinye, njenge-glipizide kunye ne-metformin (Metaglip), kunye ne-saxagliptin kunye ne-metformin (Kombiglyze). Ukuthatha ipilisi enye kwenza ukuba kube lula ukuthatha iidosi kwaye kunciphise amathuba okuba ulibale ukuthatha amayeza akho.

Thatha i-insulin

Olunye ukhetho kukudibanisa i-insulin kwichiza leswekile yomlomo okanye utshintshele kwi-insulin. Ugqirha wakho unokucebisa unyango lwe-insulin ukuba inqanaba lakho le-A1C- elibonisa ukulawulwa kweswekile egazini kwiinyanga ezimbini ukuya kwezintathu- kukude kakhulu kwinjongo yakho okanye uneempawu zeswekile yegazi ephezulu, njengokunxanwa okanye ukudinwa.

Ukuthatha i-insulin kuyakunika ikhefu ekuthiwa usebenze kakhulu. Inokukunceda ukulawula iswekile yegazi ngokukhawuleza, kwaye kufuneka ikuncede uzive ungcono.

I-insulini iza ngeendlela ezininzi ezahlulahlulwe ngokusekwe kwizinto ezinje ngokuba basebenza ngokukhawuleza kangakanani, ixesha labo eliphakamileyo, kunye nokuba bahlala ixesha elingakanani. Iindidi zokwenza ngokukhawuleza ziqala ukusebenza ngokukhawuleza emva kwesidlo kwaye zihlala zihlala malunga neeyure ezimbini ukuya kwezine. Iindidi ezisebenza ixesha elide zihlala zithathwa kanye ngemini kwaye zisetyenziselwa ukulawula iswekile yegazi phakathi kokutya okanye ubusuku bonke.

Hlala unxibelelana nogqirha wakho

Ukutshintshela kumayeza amatsha akuyi kulungisa amanqanaba eswekile yegazi ngoko nangoko. Kuya kufuneka ukuba uthabathe idosi okanye uzame amachiza ambalwa ngaphambi kokuba ulawule isifo seswekile.

Uya kubona ugqirha wakho kube kanye rhoqo kwiinyanga ezintathu ukuya ngaphezulu kweswekile yegazi kunye namanqanaba e-A1C. Olu tyelelo luya kunceda ugqirha wakho ukuba aqonde ukuba amayeza akho omlomo alawula iswekile esegazini lakho. Ukuba akunjalo, kuya kufuneka wongeze elinye iyeza kunyango lwakho okanye utshintshe amayeza akho.