Meglitinides ndi mankhwala apakamwa omwe amachiza mtundu wa shuga 2 . Mankhwala m'kalasi ili ndi Prandin (repaglinide) ndi Starlix (nateglinide).
Kodi Meglitinides Do
Mu thupi laumunthu, insulini imapangidwa ndi maselo apadera mu maphala. Izi zimatchedwa maselo a beta. Kwa anthu omwe ali ndi matenda a shuga a mtundu wa 2, kapangidwe kake kamene sikatulutsa insulini yokwanira kapena insulini ikupanga sichigwiritsidwa ntchito moyenera, zomwe zimachititsa kuti shuga ya magazi ikhale yovuta kwambiri.
Meglitinides amachititsa kuti maselo a beta apange insulini yowonjezera, kumathandiza thupi kuti lizichita bwino shuga (shuga) komanso kuchepetsa shuga. Kalasi yapadera imeneyi ya mankhwala imathandizira kuchepetsa shuga wa magazi pambuyo chakudya .
Meglitinides ndi mankhwala ochepa chabe omwe amatanthauza kuti ali ndi chiopsezo chochepa chotulutsa hypoglycemia. Komabe, ngati mankhwalawa atengedwa popanda chakudya, akhoza kuyambitsa dzuwa .
Komanso, meglitinides iyenera kutengedwa pafupifupi mphindi 15 musanadye chakudya ndipo kawirikawiri amauzidwa kuti azigwiritsidwa ntchito katatu tsiku lililonse asanadye chakudya. Ngati mumadya chakudya, simuyenera kutenga. Nthawi yomwe mankhwalawo amatha amatha kupanga njira zowonongeka zowonongeka chifukwa zimangotengedwa pamene mukudya.
Zimene Meglitinides Simukuchita
Ngakhale meglitinides amathandiza kuti atulinitsi ambiri adziwepo kuti asatuluke m'magazi, samachepetsa mwachindunji shuga ya magazi. Choncho, meglitinides sali m'malo mwa insulini ndipo si oyenera kwa odwala matenda a shuga 1 .
Meglitinides nthawi zonse ayenera kutengedwa mogwirizana ndi kusintha kwa moyo, monga kudya ndi kuchita masewera olimbitsa thupi .
Mbiri ya Meglitinides
Meglitinides yavomerezedwa ndi a FDA kuti azitsatira mtundu wa shuga wa mtundu wa chiyambi kuyambira 1997. Iwo akhoza kugwiritsidwa ntchito okha kapena kuphatikiza ndi mankhwala ena. Gulu ili la mankhwala limalimbikitsidwa bwino ndi okalamba omwe akusowa thandizo lochepetsa nthawi yawo yowonjezera magazi.
Meglitinides ingakhalenso okwera mtengo .
Kafukufuku amasonyeza kuti repaglinide ndi ofanana ndi mankhwala ena opatsirana ndi shuga kuti athetse shuga wa magazi. Nateglinide, ngakhale zothandiza, zingakhale zopanda phindu pa kuchepetsa shuga wa magazi kusiyana ndi mankhwala ena odwala matenda a shuga.
Amene Sagwiritse Ntchito Meglitinides
Anthu omwe ali ndi mtundu wa 1 (insulini wodalira shuga) kapena matendawa kwa meglitinides sayenera kuwagwiritsa ntchito. Odwala omwe akukumana ndi vuto la matenda, kuvulala, kapena opaleshoni angafunikire kuimitsa meglitinides.
Kuwonjezera pamenepo, meglitinides ayenera kutengedwa kokha ndi chakudya. Ngati munthu akusowa chakudya, ayenera kudumpha mlingo.
Zotsatira Zotsatira ndi Ngozi za Meglitinides
Shuga ya m'magazi (hypoglycemia) ndi mbali yowopsa ya meglitinides. Zizindikiro za hypoglycemia zimaphatikizapo kutukuta, kugwedezeka, kumutu, komanso kusokonezeka.
Wina amene ali ndi matenda a hypoglycemia (shuga wa magazi osakwana 70mg / dL) ayenera kudya mtundu wina wa shuga, monga ma ounces a madzi. Aliyense amene akudwala zizindikiro za matenda a shuga , kuphatikizapo chisokonezo kapena kutaya chidziwitso, ayenera kufunafuna chithandizo chamankhwala nthawi yomweyo. Meglitinides imathandizanso kulemera .
Kodi Ndiyenera Kudziwa Zina Ziti?
Meglitinides amatha kugwirizana ndi mankhwala ena.
Ndikofunika kwa anthu omwe amawatenga kuti awerenge mankhwala awo onse omwe alipo ndi odwala awo poyamba.
Anthu omwe ali ndi shuga ayenera kulankhulana ndi ogwira ntchito zaumoyo awo asanayambe kumwa mankhwala owonjezera kapena mankhwala owonjezera. Ngati ndinu munthu amene amadya nthawi zonse, ndiye kuti mankhwalawa si abwino kwa inu, nanunso.
> Zotsatira:
Bolen, Shari. "Kukonzekera Mwatsatanetsatane: Kugwiritsa Ntchito Mofananako ndi Chitetezo cha Mankhwala Ovomerezeka a Mtundu Wachifuwa Shuga." Annals of Internal Medicine 147 (18 Sep. 2007).
Bolen, Shari, et al. "Kufananitsa bwino ndi chitetezo cha mankhwala a pamlomo kwa achikulire omwe ali ndi matenda a shuga a mtundu wa 2." Bungwe la Health Research Research and Quality: Malipoti. 15 Jul 2007. US Department of Health and Human Services. 11 Sep 2007.
McCullouch, David K. "Sulfonylureas ndi Meglitinides mu Chithandizo cha Matenda a Shuga Mellitus." UpToDate.com. 2007. UpToDate. 7 Sep 2007 (kulembetsa).