I-Meglitinides yimiyeza yomlomo esetyenziswe kunyango lwe-2 lweswekile . Amachiza kule klasi afaka iPrandin (repaglinide) kunye ne-Starlix (nateglinide).
I-Meglitinides Yenzani
Emzimbeni womntu, i-insulin ikhiqizwa ngamaseli akhethekileyo kwi-pancreas. Ezi zibizwa ngokuba ngamaseli e-beta. Kubantu abanesifo sikashukela se-2, nokuba i-pancreas ayivelisi ngokwaneleyo i-insulin okanye i-insulin yenzayo ayisebenzisi ngokufanelekileyo, eyenza ukuba izinga lokushukela egazini linzima ukulawula.
I-Meglitinides ivuselela iiseli ze-beta ukuba zivelise i-insulin engaphezulu, inceda umzimba ukuba usebenze kakuhle kwi-glucose (iswekile) kunye nokunciphisa izinga lokushukela kwegazi. Eli nqanaba elithile lamachiza lenzelwe ukunceda i-sugar inferior emva kokutya .
I-Meglitinides yile miyeza emfutshane eyenza oko kuthetha ukuba banomngcipheko ophantsi wokuvelisa i-hypoglycemia. Nangona kunjalo, ukuba le nyeza ithathwa ngaphandle kokutya ingabangela ishukela ephantsi yegazi .
Kwakhona, i-meglitinides kufuneka ithathwe malunga nemizuzu eyi-15 ngaphambi kokutya kwaye imiselwe ukuba isetyenziswe kathathu imihla ngemihla ngaphambi kokutya. Ukuba unqumla isidlo, akufanele uwathabathe. Isikhathi sonyango singavumela ukucwangciswa kokutya okuguquguqukayo kuba sele kuthathwa kuphela xa udla.
Yintoni iMeglitinides Musa Ukuyenza
Nangona i-meglitinides inceda ukuvelisa i-insulin engakumbi kwizigulane ezithe zavelisa ezinye kwi-pancreas, aziyikunciphisa ngqo iswekile yegazi. Ngoko ke, i-meglitinides ayifaki indawo ye-insulin kwaye ayifanelekanga kwizigulane ezine-type 1 zeswekile .
I-Meglitinides imele ifakwe ngokubambisana neenguqu zokuphila, ezifana nokutya kunye nokuzilolonga .
Imbali yeMeglitinides
I-Meglitinides ivunyiwe yi-FDA ekwenzeni unyango lwesifo sikashukela ukususela ngo-1997. Ingasetyenziselwa yedwa okanye idibene namanye amayeza. Eli klasi lamachiza linyanzeliswe kakuhle kubantu abadala abafuna uncedo lokunciphisa ixesha lokutya ixesha lokutya.
I-Meglitinides ingaba yindleko .
Izifundo zibonisa ukuba ukuphindaphinda kufaniswa nezinye izilwanyana zomlomo zesifo sikashukela ekunciphiseni ushukela wegazi. I-nateglinide, ngelixa iluncedo, lingaba luncedo kangako ekunciphiseni amazinga eeshukela egazini kunamanye amayeza anesifo sikashukela.
Ngubani ongafanele asebenzise iMeglitinides
Abantu abane-type 1 (i-insulin-dependent-dependent) nesifo sikashukela okanye i-allergistinides ayifanele ayisebenzise. Izigulane okwangoku zihlangabezana noxinzelelo oluthile olubangelwa usulelo, ukulimala, okanye utyando kunokudinga ukuyeka okwesikhashana ukuthatha i-meglitinides.
Ukongeza, i-meglitinides kufuneka ithathwe kuphela ngokutya. Ukuba umntu ulahleka isidlo, kufuneka awise isitifiketi.
Iimpawu eziPhakathi kunye neengozi zeMeglitinides
Ishukela eliphantsi kwegazi (i-hypoglycemia) yindlela eqhelekileyo yecala ye-meglitinides. Iimpawu ze-hypoglycemia zibandakanya ukukrokra, ukukrakra, ukukhawuleza, kunye nokudideka okunokwenzeka.
Omnye ofumana i-hypoglycemia (ushukela wegazi ngaphantsi kwe-70mg / dL) kufuneka asebenzise uhlobo oluthile lwe-glucose, njengama-ounces amane ejusi. Nabani na ofumana iimpawu zesifo sikashukela , kuquka ukudideka okanye ukulahleka kwengqondo, kufuneka afune ingqwalaselo yonyango ngokukhawuleza. I-Meglitinides inokubangela ukuba uzuze umzimba .
Yintoni Endifanele Ndiyazi?
I-Meglitinides inokukwazi ukusebenzisana namanye amayeza.
Kubalulekile ukuba abantu abazithatha bahlaziywe onke amayeza abo awangoku kunye nabanikezeli bokunakekelwa kwempilo kuqala.
Abantu abanesifo sikashukela kufuneka bathethe nabaninikeli babo bezempilo ngaphambi kokuthatha nayiphina imithi okanye amanxeba. Ukuba ungumntu odla ukusila ukudla rhoqo, ke le mayeza ayilungele wena, naye.
> Imithombo:
Bolen, Shari. UkuHlola okuSingqinisisiweyo: UkuPhathelene nokuPhathelene nokuKhuselwa kwemiMiselo yomlomo ngohlobo lwe-2 lwesifo sikashukela seMellitus. Ama-Annal of Medicine Internal 147 (18 Septemba 2007).
Bolen, Shari, et al. Ukusebenza ngokuthelekisana kunye nokukhuselwa kwemithi yomlomo kubantu abadala abanesifo seswekile. I-Arhente yoPhando loPhando neMpilo: iingxelo. 15 Julayi 2007. Isebe lezeMpilo leSebe le-US. 11 Septemba 2007.
UMcCullouch, uDavid K. "I-Sulfonylureas kunye neMeglitinides kwiNyango yeSifo sikashukela iMellitus." UpToDate.com. 2007. UpToDate. 7 Septemba 2007 (ukubhalisa).