Ka papa papa ʻana o nā papa no ka maʻi diabetes

ʻAʻole nā ​​mea hou o ka ʻatikala i ka mea hou no ka poʻe i ʻike mua o ka maʻi o ka makahiki XXI, he maʻi maʻi maʻi maʻi, a ʻaʻole kau ʻia kēia pahuhopu. Akā, e lilo loa ia i mea no ka poʻe e makemake i ka ʻike kikoʻī a me ka ʻōnaehana e pili ana i ka maʻi type 2 a pehea e mālama ai.

ʻO kahi pōkole e pili ana i ka maʻi maʻi

E hōʻoluʻolu i ka hoʻomanaʻo, pono hoʻi i ka ʻike ʻana, me ke kūleʻa ʻana o nā kūleʻa, e holo nei ka honua i ʻelua ʻano maʻi maʻi. He aha kā lākou kiʻekiʻe?

Hoʻopili ka mua me ka pancreatic dysfunction, kahi e kāpae nei i ka nui o ka insulin e koi ai, e hoʻoponopono ana i ke kō koko.

I ka lua o nā maʻi o ke kō, ua hana ka pancreas i ka nui o ka insulin, akā ua ʻike ʻole kekahi o nā ʻāpana a me nā ʻili i kēia palapala insulin hoʻoponopono.

A laila ʻo ka mea hilahila "hoʻokumu kīwī" e hoʻomaka e kohi a nui hou aku kēia me kēia hormone, kahi e alakaʻi ai i ka hoʻomaka ʻana o nā cell beta e kuleana ai i kona synt synt.

Mahalo ia i nā ʻokoʻa ʻē aʻe i loaʻa i nā maʻi i ko lākou inoa:

1. ʻO ke ʻano mua he hilinaʻi i ka insulin.
2. ʻO ke ʻano lua he kūʻokoʻa-insulin.

Manaʻo mākou i kēia manawa ua mālamalama nā mea āpau a ʻano kūpono ke hoʻomau i ka pauku hou - ka mālama ʻana i ka maʻi diabetes type 2. Ma ke ala, ʻike ʻia ma ka 90% o nā maʻi me ka maʻi.

ʻO ka hoʻohana ʻia ʻana o nā lāʻau lapaʻau no ka maʻi diabetes type 2

I kēia mau lā, ʻaʻole hiki i ka mālama loea ka maʻi diabetes type 2 ke hoʻopiha pono i ka maʻi. Akā, ʻo kēia, i maopopo iā ʻoe, ʻaʻole ia he pau. ʻO kaʻai ʻana a me ka lawe ʻana i nā lāʻau lapaʻau concomitant e hiki iā ʻoe ke hoʻomau i ka leʻaleʻa o ke ola a ʻaʻole e nalowale ke aniani o kona mau kala.

Ke hoʻomohala nei i kahi hoʻolālā lapaʻau, noʻonoʻo nā kauka i nā hana kūpono i ʻole, me ke kōkua olakino:

1. ʻO ka mua: heʻai haʻahaʻa haʻahaʻa haʻahaʻa.
2. ʻO ka lua: kahiʻai haʻahaʻa ma nā kākāwaʻa + ka hoʻopili ʻana o ka hana kino olakino.
3. ʻO ke kolu: nā lua + mua o nā paila no ka maʻi maʻi, e hoʻoikaika ana i ka ʻike ʻana i nā hua a me ka insulin.
4. ʻEhā: komo i loko o nā hana ʻino, ʻano nui o ka maʻi maʻi. ʻO nā mea ʻelua + insulin injection + drug.

ʻO ka manaʻo o ka mālamaʻana i ka maʻi diabetes 2

ʻO nā lāʻau lapaʻau nui no ka mālama maʻi ʻana

Ke kali nei i kahi loiloi hōʻike kikoʻī o nā lāʻau lapaʻau e pili ana i ka hopena hopena maikaʻi loa i ka mālama ʻana i ka maʻi gula, pono e hoʻomaopopo ʻia he nui ka papa inoa o nā papa no ke ʻano maʻi diabetes type 2 a ua mahele ʻia i kekahi mau mahele.

Hoʻohālikelike lākou i nā kino kahi i kau ʻia ai a ma nā wahi:

• pancreas
• jejunum
• kōpili pili.

ʻO kahi hōʻailona hoʻohui a me ke kumu nui o nā lāʻau āpau ka hoʻemi ʻana i ke kō koko koko.

ʻO nā hui nui he:

1. Sulfonylurea. ^ E Ha yM. ʻO kēia pūʻulu, ma muli o ka hoʻouluʻana o ka pancreatic, kōkua i ka hoʻohaʻahaʻa i ka nui o ke kō.
2. Biguanides. ^ E Ha yM. Hoʻokumu ʻia ka mīkini hana i ka hoʻoulu ʻia ʻana o ke kaʻina o ka huki o ka glucose ma ke kāohi ʻana i nā gluconeogenesis.
3. Thiazolidinediones. ^ E Ha yM. Ke lawe nei i kēia mau lāʻau, ua emi mai ka pale ʻana o ka insulin, ʻo ia hoʻi, hoʻomaka ka nui o nā ʻāpana i ka insulin, a laila e hoʻohaʻahaʻa ana i ke kō koko.
4. Nā Kuhi Inoa o Alpha Glucosidase. ^ E Ha yM. Ke hoʻokomo ka ʻōpū i nā palupalu, i ka hōʻemi ʻana o kēia mau lāʻau i ka hana i loko o ka ʻōpū, ka mea, e hoʻēmi ai i ka ʻike o ka glucose.
5. Nā Hoʻopiha. ^ E Ha yM. Ke hoʻoikaika nei lākou i ka hana o nā insulin a, ma muli, e hoʻemi i ke kōhi koko.
6. Nā ʻōwili. ^ E Ha yM. ʻO kahi hui hou o nā lāʻau lapaʻau e hoʻonui ai i ka hana o ka insulin.

Sulfonylureas

Ma ka hana ʻana o ka mālama ʻana i ka maʻi diabetes o ka ʻano ʻelua, nā lāʻau kōlala haʻahaʻa, kahi i hoʻokumu ʻia ma ka sulfonylurea, e hana i kekahi mau ala:

• ho'ēmi i ka heleʻana o glycogen i ke koko;
• hoʻoikaika i ka neʻe ʻana o ka insulin;
• hoʻōla i ka hana o nā pancre β-cell.

Nā inoa o nā lāʻau lapaʻau: Amaryl, Diabeton, Minidiab, Glyurenorm, Maninil, Gliclazide MV.

Nā pono:

1. I nā lāʻau āpau he hopena hypoglycemic nui.
2. ʻO kekahi mau lāʻau (e hōʻike i nā hōʻike) hoʻemi i ka hiki o nā kīʻaha koko.
3. Meana e like me Gliclazide MV - pale ikaika i nā ʻeha.

Loaʻa i nā pono:

1. Aia kekahi pilikia nui o ka hypoglycemia - hāʻule i ke kō ma lalo o ka maʻamau.
2. Ka wikiwiki o ka hoʻomohala ʻana - ʻo ke kū'ē o ke kino i kēia mau lāʻau.
3. Ke hoʻihoʻi nei i ke kaʻina o ka hana o ka insulin, aia ke kiʻekiʻe o ka hoʻoulu ʻana i ka makemake a ma ka hopena o ka hoʻonui ʻana i ke kaumaha o ke kino.

Biguanides

ʻO kēia pūʻulu o nā lāʻau lapaʻau, "ala aʻe" i nā ʻāpana, hoʻoikaika i kā lākou pane i ka ʻike ʻana i kā lākou insulin i hana ai, a e hāhū ana hoʻi i ka pūhaka i ka wa e hoʻoliʻi ai ka glucose.

Nā hōʻike hōʻike ʻino ʻia i hōʻike ʻia ma nā hoʻokolohua lapaʻau e kau ai i kekahi mau palena o nā makahiki ma luna o nā poʻe makua, a me nā poʻe maʻi e loaʻa ana i ka puʻuwai, nā aʻalā, a me nā maʻi ʻeha.

Nā inoa: Metformin, Glucophage, Siofor.

Nā pono:

1. ʻAʻole lākou e hoʻowalewale i ka hana ʻana o ka nui o ka insulin, akā e hoʻoikaika i ka ʻai hohonu o ka ʻenekema i kūkulu ʻia, ka mea, ʻo ia ka mea e pale ai i ka pancreas mai kahi kaumaha nui.
2. Loaʻa iā lākou kahi hopena maikaʻi e hoʻohālikelike ʻia i ke ala o ka hui sulfonylurea.
3. Mai hōʻino i ka pōloli - he hopena maikaʻi kēia ma ka hoʻolilo ʻana.
4. Ma ke kaʻina o ka lawe ʻana i ka profile lipid (kolamu ma ke koko) hoʻomaikaʻi hou ʻia.
5. Ua hoʻonui nui ʻia ka pilina platelet o ka hemostasis, ke kaʻina o ka hoʻokumu ʻana o nā clots koko i nā moku i hoʻopau ʻia (hoʻōla), hoʻonui maikaʻi ʻia.

Loaʻa i nā pono:

• hiki ke hōʻike ʻia o ka hana ʻeha gastrointestinal;
• ʻaʻole i haʻalele ʻia ka ikehu o ka hana lactic acid - ka lactic acidosis.

Nā wikiō mai Dr. Malysheva:

Itors-glucosidase inhibitors

ʻO nā ʻenemi o nā maʻi hakahaka he mau palakoli, e like me ka sucrose, maltose, ke kō a me nā mea ʻē aʻe, ʻoiai ua maʻalahi lākou e nā onaina, a me ka hopena o ka hōʻeha ma ke kino. I mea e hōʻemi ai i ka momona o ka mea hope a hoʻemi i kāna hana, ua lawe ʻia nā inhibitor α-glucosidase (alpha-glucosidase).

Nā inoa: Acarbose, Miglitol, Diastabol, Glucobay. I nā mākaukau āpau, ʻo ka mea ikaika e acarbose.

Nā pono:

1. ʻOiai e lawe ana i nā inhibitors, ʻaʻole hoʻonui ka nui o ka insulin, ʻo ia hoʻi, ʻaʻohe pilikia o ka hypoglycemia.
2. Hoʻololi ʻo ka Acarbose i ka lawe ʻana o nā palaka, e hana ana i nā kūlana no ka hoʻohaʻahaʻa ʻana i ka nui o nā calorie e hoʻopau ai a ma muli o ke hōʻemi ʻana i ka nui o ka mea maʻi.
3. Kuhi ʻia ka lōʻihi o ka hoʻohana ʻana i ka acarbose e hōʻemi ana i ka mola o ka hoʻomohala ʻana i nā kaʻina atherosclerotic i ka ʻōnaehana cardiovascular.
4. ʻAʻole hoʻopili i nā mea hoʻonani i kēlā me kēia wahi i ke kao a ʻaʻole i pilikia ka paʻakikī.

Loaʻa i nā pono:

1. Ma ke kaʻina o ka hoʻoneʻeneʻe ʻana, ʻaʻole i kūlike kekahi mau huamina i ka hopena o ka enzymatic a me loko o ka ʻolike ʻo ia nā mea hoʻonāukiuki nui o ka hōʻuluʻulu ʻana, hōʻike ʻia ia iho i ka maʻiʻala a me ka huehue.
2. Hoʻohālikelike ʻia me nā biguanides a me sulfonylurea, aia ka acarbose i kahi hopena haʻahaʻa-hoʻohaʻahaʻa haʻahaʻa.

Nā Hoʻopiha

ʻO ka mālama ʻana i nā lāʻau lapaʻau ka mea e pale ai i nā pā paʻakai potassium ATP e pili ana i ka hoʻoponopono ʻana o ka insulin i huna ʻia e nā cell beta, a hoʻēmi i ka hopena o ka hyperglycemia (nui ka nui o ke kō), hiki ke hahai ma hope o ka ʻai ʻana.

Nā inoa: Novonorm, Starlix, Repaglinide, Nateglinide.

Nā pono:

• Loaʻa ka hopena insulinotropic i ka manawa koke - ma hope o 7 mau minuke ma hope o ka ʻai;
• Hoʻihoʻi hou i ka hana mua o ka hana huna o ka insulin ma muli o ka hoʻokomo maʻamau o ka pālolo.
• lāʻau lapaʻau o kēia pūʻulu e hāʻawi i ka maikaʻi loa o ka insulin i waena o nā papa.

Loaʻa i nā pono:

• ʻO nā lāʻau lapaʻau, ka hana ma ke kino, ʻaʻole i hoʻonāukiuki i ka hoʻonui ʻana o ka nui o nā maʻi maʻi.
• hoʻomau ka hoʻohana ʻana i kēia mau lāʻau i ka hoʻohui a ma muli o ke ʻano o ka hoʻi ʻana o ko lākou pono.

Nā ʻōwili

E like me ka hoʻokūkū maʻamau, ʻaʻole e kū ka hoʻonui ʻana o ka lāʻau lapaʻau e pale aku i ka maʻi maʻi. I loko o nā makahiki he ʻumi i hala iho nei, ua loaʻa kahi mea hoʻokipa maoli i ka pahu pahu. ʻO nā mea ho'ōla kupaianaha o nā hormones hiki i hiki ke hoʻoikaika i ka hana ʻana o ka insulin - ua loaʻa ka nui o nā hua i ka vitetine.

ʻO ka hiʻona o kā lākou manaʻana ma hope o ka ʻai ʻana i ka mahalo i nā incretins, ʻoi aku ma kahi o 70% o ka insulin i huna ʻia i ke kino. Aʻaʻole naʻe, i nā mea maʻi me ka maʻi maʻamau 2, ke hoʻemi nui nei ka hana o kēia kaʻina hana.

I mea e kōkua ai i ke kino ua hiki mai nā lāʻau lapaʻau hou e hoʻōla i ka hoʻonui ʻana o ka insulin.

Ua hui pū ʻia lākou i ʻelua mau pūʻulu o nā hormone:

1. ʻO nā Agonist o nā glucone like-peptide-1 a GLP-1 paha.
2. ʻO ka syntypose-dependantine insulin e pili ana i ka maʻi a me ka HIP.

ʻO nā hiʻohiʻona o ka incretins:

Ua ʻāpono ʻia ka papa inoa o nā lāʻau lapaʻau ʻē aʻe e ke Keʻena Ola, ʻae ʻia kā lākou lele i Lūkini.

Eia kēia mau lāʻau lapaʻau kaulana loa:

• ʻO ka Exenatide (Baeta) kahi lāʻau lapaʻau mai Kelemānia.
• ʻO Liraglutide kahi pūʻulu lāʻau lapaʻau i ka Denmark.
• ʻO Sitagliptin (Januvia) - hana ʻia e ka hale lāʻau lapaʻau Holani.
• Vildagliptin (Galvus) - hoʻonohonoho Swiss.
• ʻO Saxagliptin kahi lāʻau lapaʻau maʻi ʻAmelika.
• Linagliptin (Transeta) - hana ia ma Kelemānia.
• ʻO ka Liksysenatyd kahi mea lapaʻau Farani.
• ʻO Albiglutide (Tanzeum) kahi lāʻau lapaʻau mai Kelemānia.

Nā kumuhana wikiō mai ke kūkākūkā olakino:

ʻO nā lāʻau ʻē aʻe e hoʻohana ʻia ana e nā maʻi maʻi maʻi

E like me ka ʻōlelo pinepine ʻia, ke mālama ʻia nei ka "kaua" me nā maʻi diabetes type 2 i nā kuhikuhi āpau, ʻaʻole i kaupalena ʻia i ka lāʻau lapaʻau haʻahaʻa.

Hōʻalo i nā hopena ʻaoʻao a no ka hoʻoikaika ikaika ʻana i ka hiki ke hana o ke kino, hoʻohana nā kauka i nā lāʻau lapaʻau no nā ʻano like ʻole.

1. Kāohi koko koko kiʻekiʻe - nā lāʻau antihypertensive.
2. Ka hoʻoikaika ʻana i nā pūlima puʻuwai a me nā kīʻaha koko - cardio a vasotonic.
3. ʻO nā ʻāpana Enzymatic no ka hana kaulike o ka kūnaʻi huehue: probiotics - nā maʻi huakaʻi kūikawā a me ka prebiotics - "meaʻai" no probiotics.
4. Hoʻopilikia a me nā anticonvulsants. Pono kēia mau kālā e pale i ka polyneuropathy - kahi hoʻohui i ka maʻi maʻi.
5. ʻO nā anticoagulants he mau lāʻau lapaʻau e pale i nā hōʻike thrombogenic.
6. E hoʻihoʻi i ka metabolism (hana metabolic), hāʻawi ʻia nā fibrates a me nā statins.

Ua hui ʻia

Ma nā ʻāpana o ka ʻatikala, kahi i noʻonoʻo ʻia ai nā hui lāʻau lapaʻau nui, ua hōʻike ʻia i kekahi manawa ke hoʻohana wale aku i nā lāʻau lapaʻau (mono) i nā lāʻau lapaʻau o ka ʻano like ʻole.

Ua ʻepekema nā kānaka ʻepekema ʻo ka maikaʻi o ka hui pū ʻana i nā lāʻau lapaʻau. Hoʻoholo kēia hoʻoholo iā mākou e hoʻonui ai i ka hopena therapeutic ma ka hana ʻana i nā ʻano ʻano like ʻole o ke kino, me ka hoʻemi ʻana i nā hopena ʻaoʻao.

Hiki ke ʻike ʻia nā hiʻohiʻona o ia hui ʻano kū maikaʻi i ka papaʻaina:

ʻO nā lāʻau lapaʻau no nā maʻi maʻi ʻelemakule

No ka mālama ponoʻana o ka maʻi maʻi ma nā maʻi a me nā poʻe maʻi ʻōpiopio, ʻo ka hoʻohui i ka hopena lāʻau i ka maʻi, pono ia e hoʻohui i ʻelua papahana hoʻoikaika hoʻāla.

1. Ka hōʻole ʻia o ka meaʻai junk.
2. ʻO ka hoʻokomoʻana i ka hana kino kūpono hiki i ka hana o kēlā me kēia lā.

Eia kekahi, ʻo kēia mau hui o nā lāʻau lapaʻau e hoʻohana ʻia no ka mālama paʻakikī.

1. Biguanides: Siofor, Metfogamma, Glucofage, Avandamet, Bagomet.
2. Nā hua hua o ka sulfonylureas: Glyclazide, Glimepiride, Glycvidone, GITS Glipizide.
3. ʻO nā Gliptins: Sitagliptin, Vildagliptin, Saxagliptin.
4. Nā mea paʻa o ka glucosidase Alpha: Diastabol, Glucobay.
5. Insulin

ʻO ka lāʻau antihypertensive

ʻO nā lāʻau lapaʻau e hoʻohaʻahaʻa i ke kahe koko he laina lōʻihi loa i waena o nā "hoahānau" āpau o kahi ʻohana nui.

He arertial hypertension (AH) he mea hoʻopiʻi mea maʻi mellitus. Hōʻike pinepine, loaʻa nā hōʻailona ma mua o ke kiʻi o ke kiʻi i nā maʻi i lalo.

ʻO ka papa inoa o nā lāʻau lapaʻau me nā hana antihypertensive he ākea loa, akā ʻaʻole naʻe i nā mea āpau ke koi i ke kūlana o nā mea kōkua i ka mālama ʻana i ka maʻi type 2 - pili kēia i nā hopena hopena.

ʻOkoʻa ka ʻepekema ʻekepili ʻelima mau hui nui o ka lāʻau antihypertensive:

1. Diuretics Nā diopetics Loop a me thiazides: Indapamide, Ipothiazide, Chlortalidone, Edekrin, Lasix. Hiki i nā lāʻau lapaʻau o kēia pūʻulu ke hoʻohaʻahaʻa i ke koko, akā ʻaʻole hoʻokele i nā pilina kumu.
2. ʻAno ʻokoʻa nā kaʻo ʻehu o Angiotensin II: ʻO Losartan, Mikardis - i ka hana he like lākou i nā inhibitor ACE, akā maikaʻi loa lākou i ʻae ʻia e nā maʻi.
3. Kalihikoli Nifedipine, Verapamil, hoʻonui i ka lumen o nā kīʻaha koko, e hōʻemi i ka hopena o ka albuminuria - ka hoʻokuʻu i ka momona o ka nui o ka pūpū.
4. ʻO Angiotensin-hoʻololi i ka ʻimi ʻana o Enzyme (ʻāmaʻomaʻo ACE): ʻO Enalapril, Captopril - pale i nā kīʻaha puʻuwai a me ke koko, e hāʻawi ana i ka hopena nephroprotective.
5. Nā poloka Beta: ʻO Nebilet, Carvedol - he hopena i loko o nā kōpona pili i loko o ka puʻuwai a me nā pūpū.

ʻO nā statins a me nā Fibrates

He mea paʻakikī paha ke kumu o kēia pūʻulu, no ka mea he mea kūpono ia i ka hakakā me nā loiloi atherosclerotic vascular.

Ka hoʻoponopono o nā statins i ke kaʻina o ka hoʻomohala o ke kolamu, kū'ē i nā hiʻohiʻona pākia ma nā paia o nā kīʻaha koko.

ʻO ka papa inoa o nā lāʻau lapaʻau mai ka pūʻulu o nā statins:

• Pitavastatin;
• Simvastatin;
• Lovastatin;
• Pravastatin;
• Osuvastatin;
• Fluvastatin;
• Atorvastatin.

Hoʻopili nā Fibrates i ka pale ʻana i ke kāpili ʻana o ka triglycerides - kūmole i loko o ke akeʻa a hoʻoneʻe iā lākou mai ke koko.

E pili ana kēia:

• Lipanor;
• Lipantyl;
• Lopid
• Atromide;
• Atromidine;
• Bezamidine;
• Miskleron;
• Gavilon;
• Tricor
• Normolite;
• Lipantyl;
• Bezalip.

Nā wikiō mai Dr. Malysheva:

Neuroprotectors

ʻO ka hopohopo o ka "maʻi ʻoliʻoli", e like me ke kākā ʻia i kāhea ʻia, i hōʻike ʻia i nā ʻano he nui. I kekahi mau manawa, ʻaʻole hiki i kā mākou ʻenehana ke pale aku iā ia.

ʻO kāna mauʻeha a me kona kaumaha e hōʻike nei i nā hōʻike hōʻike:

• neʻe weli;
• encephalopathy maʻi maʻi.
• symmetric distal polyneuropathy;
• neuropathy diabetic;
• polyneuropathy autonomic;
• maʻiila maʻi diabetes;
• cranial neuropathy;
• neuropathy wāwae maʻi maʻi.

No laila, ʻo ke kumu nui o ka neuroprotectors ke kauʻana i ka metabolism o ka lolo (metabolism) a me ka hoʻolako nui o ka ikehu o kāna mau cell.

ʻO ia nā neuroprotectors nā mea kōkua pono o ka lolo i kona hoʻopiʻi ʻana i nā ʻano hōʻike like ʻole, kahi i komo ai nā ʻano diabetes mellitus type 2.

Wahi a nā wahi noi, ua māhele ʻia ka pūʻulu neuroprotective i ʻelima mau pūʻulu.

1. Nā lāʻau lapaʻau koko: Tiklid, Sinkumar, Clopidogrel, Phenylin, Clopidogrel, Warfarin.
2. Nootropic: Piracetam, Cerebrolysin, Semax. Picamilon, Ceraxon.
3. Antioxidants: Corvitin, Quercetin, Glycine, Flacumin, Niacin, Glutamine, Complat
4. Nā lāʻau lapaʻau o ka hana hui pū ʻana: Thiocetam, Fezam.
5. Adaptogens: tincture o Eleutherococcus, ka wai hoʻohuihui wai lāila, tincture o ka nui i ka lāʻau nui a ka nui magnolia Kina.

ʻO ka maʻi diabetes type 2 kahi maʻi nui e hoʻololi nui i ke ʻano holoʻokoʻa o kahi kanaka. Eia naʻe, mai hopohopo.

Lawe mākou i kahi easel i loko o kā mākou mau lima a i waihoʻoluʻu iā ia me nā kala kukui i kēlā me kēia lā i hōʻea, e kau ana i ʻekolu ʻaoʻao nui e like me ke kumu o ka palette: haʻahaʻa momona maikaʻi, ʻoluʻolu ke kino pilikino a me nā lāʻau lapaʻau paʻakikī.

E manaʻoʻiʻo iaʻu, he mea kupaianaha loa ke kiʻi.