Ka hortagidda weerarada wadnaha haddii aad qabtid nooca 2aad ee sonkorowga
Haddii aad qabto sonkorowga nooca 2 , hab nololeed caafimaad leh, oo ay ku jiraan cuntada, jimicsiga iyo miisaanka maareyntu waa qayb aad u muhiim ah daaweyntaada. Waxa kale oo laga yaabaa inaad u baahato inaad qaadato daawooyinka afka , hal daroogada ama daroogada isku dhafan. Haddii nooca 2aad ee sonkorowgaaga aan si fiican loo xakameynin daawooyinka afka, waxaad u baahan kartaa inaad qaadato duritaanka insulin.
Ogow Calaamadaha Halista ABC
Dad badan oo qaba sonkorowga nooca 2 waxay sidoo kale leeyihiin dhiig kar iyo kolestarool sare.
Isku dhafka xaaladahani waxay si weyn u kordhinayaan khatarta wadno-xanuunka iyo istaroogga. Ururka wadnaha ee Maraykanka iyo Isku-tagga Wadnaha ee Maraykanku waxay ku talinayaan dadka qaba nooca 2aad ee sonkorowga nooca ay yaqaanaan ABCs :
- "A" ee HgA1c - waa tijaabo dhiig oo muujinaya sida ugu wanaagsan ee sonkorta dhiigaaga loo xakameynayo
- "B" ee cadaadiska dhiigga
- "C" kolestaroolka, gaar ahaan LDL, ama "xun" kolestaroolka
Marka lagu daro daawooyinkaaga sonkorowga (afka iyo / ama insulin), waxaa laga yaabaa inaad u baahan tahay in lagu daaweeyo dhiig kar iyo kolestarool sare. Daaweynta noocan oo kale ah ayaa kaa caawin karta kahortaga ama gaabinta horumarinta cudurka wadnaha, istaroogga, iyo kelyaha.
Laakiin marka hore, qaado Aspirin!
Haddii aad qabto cudurka sonkorowga nooca 2 oo aad ka weyn tahay 30 jir, dhakhtarkaagu wuxuu kugula talin karaa in aad qaadatid asbiriin maalin kasta si loo yareeyo halista wadno-qabadka iyo istaroogga.
Sida laga soo xigtay Ururka Diabetes-ka Mareykanka, Aspirin wuxuu kaa caawin doonaa dhimista khatarta cudurada wadnaha ee dadka qaba cudurka macaanka kaas oo horeyba u dhacay cudurka wadnaha.
Intaa waxaa dheer, aspirin waxay gacan ka geysan kartaa in la yareeyo weerarada wadnaha ee dadka qaba sonkorowga oo leh hal ama dhowr ka mid ah arrimahan khatarta cudurada wadnaha ee soo socda:
- Taariikhda qoyska ee cudurka wadnaha
- Ka weyn da'da 40
- Sigaar cabid
- Cadaadis dhiig oo sarreeya
- Cayilka
- Kolestarool sare
Si kastaba ha ahaatee, qaadashada aspirin ma ahan halis la'aan. Aspirin wuxuu keeni karaa dhiig caloosha iyo mindhicirka.
Kala hadal dhakhtarkaaga ka hor intaadan isticmaalin asbiriin si aad u hubiso in adiga kugu haboon. Dhakhtarkaagu wuxuu kugula talin karaa in aad isticmaasho asbirin -xidid dhexdhexaad ah , kaas oo yareyn kara halista dhiig-baxa.
Daawooyinka lagu Xakameynayo Cadaadiska Dhiig Sarreeya ee Dadka Diabeteska qaba
Dad badan, haddii aaney dadka badankooda qaba sonkorowgu leeyihiin ama waxay yeelan doonaan cadaadis dhiig oo sarreeya.
Sababtoo ah sonkorowga iyo cadaadiska dhiigga ee sareeya ayaa si aad isugu xiran, Ururka Macaanka ee Maraykanku (American Diabetes Association) iyo American Heart Association ayaa xoogga saaraya in xakamaynta cadaadiska dhiiggaagu inuu yahay mid aad u sarreeya sida kontoroolka sonkorta dhiigaaga. Ururadani waxay ku talinayaan in dadka qaba sonkorowga loo daaweeyo daawo haddii dhiigkoodu uu ka sareeyo 130/80 mmHg.
Si loo caawiyo maareynta cadaadiska dhiiggaaga, dhakhtarkaagu wuxuu kuu qori karaa anjiotensin-converting enzyme (ACE) inhibitor ah. Daawooyinkani waxay yareeyaan cadaadiska dhiiggaaga waxayna caawiyaan yareynta culeyska wadnahaaga. Ka-hortagayaasha ACE waxay kaa caawin karaan dhimista halista wadnahaaga, istaroogga, iyo geerida wakhtiga dhimashada.
Dhakhtarkaagu wuxuu kugula talin karaa inaad qaadato xanuunka ACE xitaa haddii aadan haysan dhiig karka. Ka-hortagayaasha ACE waxay kaa caawin karaan kahortaga ama dib u dhigista dhibaatooyinka cudurka macaanka sida kalyaha, boogaha cagaha, iyo dhaawaca indhaha.
Tusaalooyinka ka hortagga ACE waxaa ka mid ah: (daawooyinkan sida caadiga ah ayaa lagu qoraa nooca guud )
- Benazepril (Lotensin)
- Captopril (Capoten)
- Enalapril (Vasotec)
- Fosinopril (Monopril)
- Lisinopril (Prinivil ama Zestil)
- Quinapril (Accupril)
- Ramipril (Altace)
- Perindopril (Aceon)
- Trandolapril (Mavik)
Haddii daaweentaada ACE aysan kaa caawineynin inaad cadaadiska dhiiggaaga ka yaraatid 130/80 mmHg, dhakhtarkaagu wuxuu sidoo kale u qori karaa thiazide ama diuretiko isku mid ah sida chlorothiazide (Diuril), hydrochlorothiazide (Hydrodiuril ama Esidrix), indapamide (Lozol), iyo methyclothiazide (Enduron).
Haddii aad leedahay saameynaha ka imanaya ACE inhibitor, sida qufaca (taas oo saamaysa ilaa boqolkiiba 10 dadka qaata ACE inhibitor) ama fal-celin xasaasiyadeed, dhakhtarkaagu wuxuu kuu qori karaa nooc kale oo dawo ah - angiotensin reseptor blocker (ARB ) - si loo xakameeyo cadaadiska dhiiggaaga.
Tusaalooyinka ARBs waxaa ka mid ah: (daawooyinkan looma heli karo version guud ahaan)
- Atacand (candesartan)
- Avapro (irbesartan)
- Cozaar (casartan)
- Diovan (valsartan)
- Micardis (telmisartan)
- Teveten (eprosartan)
Qaar badan oo ka mid ah xanuunka ACE iyo ARBs ayaa la heli karaa iyada oo la raaciyo durayo.
Daawooyinka lagu Xakameynayo Xaddiga Xanuunka sare iyo Sonkorowga
Haddii aad qabtid sonkorow, qaadashada daawada statin si aad hoos ugu dhigto kolesteroolkaaga waxay yarayn kartaa khatarta cudurka wadnaha. Xaqiiqdii, shinniintu waxay yarayn karaan khatarta wadno-qabadka wadnaha iyo istaroogga by qiyaastii boqolkiiba 30 dadka qaba sonkorowga, xitaa kuwa aan haysan heer xun "xun" (LDL) heerarka kolestaroolka ama jirada wadnaha jira.
Hadafka cholesterol, sida laga soo xigtay Ururka Diabetes-ka Maraykanka, waa heerka LDL ee ka hooseeya 100 mg / dl ama heerka kolestaroolka LDL ee ka hooseeya 70 mg / dl dadka qaba cudurka macaanka khatarta sare ee cudurrada wadnaha.
Tusaalooyinka daawooyinka statin waxaa ka mid ah:
- Crestor (rosuvastatin)
- Lescol (fluvastatin)
- Lipitor (atorvastatin)
- Mevacor (lovastatin)
- Pravachol (pravastatin)
- Zocor (simvastatin)
Xigasho:
Ururka Diabetes-ka Maraykanka. "Heerarka Daryeelka Caafimaadka ee Diabetes 2008" " Diabetes Care 2008 2008 31: S5-S11.