Yini i-Acarbose: Ukusetshenziswa, Umthamo, Imiphumela Eceleni Nokunye

I-Acarbose iyikhambi elinikezwa ngudokotela elisiza abantu abanesifo sikashukela sohlobo 2 ukulawula amazinga kashukela egazini labo ngemva kokudla. Isebenza ngokwehlisa ukuthi umzimba wakho uwohlisa futhi umunca ngokushesha kangakanani ama-carbohydrate avela ekudleni, okuthintela lezo zikhukhula ezinzima ku-glucose yegazi ezingenzeka ngemva kokudla.

Lo muthi ungowesigaba semithi ebizwa ngokuthi ama-alpha-glucosidase inhibitors. Cabanga ngayo njengesistimu yamabhuleki emnene yenqubo yakho yokugaya ukudla - ayimisi ukumuncwa kwama-carbohydrate ngokuphelele, kodwa yenza ukuthi kwenzeke kancane kancane futhi ngokuqhubekayo.

Yini i-Acarbose Esetshenziselwa Yona?

I-Acarbose ikakhulukazi inikezwa ukusiza abantu abadala abanesifo sikashukela sohlobo 2 ukulawula amazinga kashukela egazini labo. Udokotela wakho angase ancome lo muthi uma ukudla nokuzivivinya kuphela kunganele ukugcina amazinga akho e-glucose ebangeni elinempilo.

Lo muthi ulusizo ikakhulukazi kubantu abahlangabezana nokunyuka okukhulu kukashukela ngemva kokudla. Ivame ukusetshenziswa kanye neminye imithi yesifo sikashukela efana ne-metformin noma i-insulin, idala indlela ebanzi yokuphatha ushukela wegazi.

Abanye odokotela baphinda banikeze i-acarbose ukusiza ukuvimbela isifo sikashukela sohlobo 2 kubantu abane-prediabetes. Kulezi zimo, kungasiza ukunciphisa ukuqhubeka kusuka ku-prediabetes kuya esifweni sikashukela esiphelele ngokuthuthukisa indlela umzimba wakho obhekana ngayo nama-carbohydrate.

Isebenza Kanjani i-Acarbose?

I-Acarbose isebenza ngokuvimba ama-enzyme athile emathunjini akho amancane abizwa ngokuthi ama-alpha-glucosidases. Lawa ma-enzyme anomthwalo wemfanelo wokwehlisa ama-carbohydrate ayinkimbinkimbi noshukela ube ushukela olula ongamuncwa umzimba wakho.

Lapho i-acarbose ivimba lawa ma-enzyme, umzimba wakho umunca ama-carbohydrate kancane kancane futhi ngokuqhubekayo. Lokhu kusho ukuthi esikhundleni sokuthola ukugcwala okungazelelwe kwe-glucose egazini lakho ngemva kokudla, uthola ukwanda okancane, okulawulekayo kwamazinga kashukela egazini.

Kubalulekile ukuqonda ukuthi i-acarbose ithathwa njengomuthi wokwelapha isifo sikashukela olula kuya kwesimaphakathi. Ngokuvamile yehlisa ukukhuphuka kukashukela wegazi ngemva kokudla ngamaphesenti angama-20-30%, okungenza umehluko omkhulu ekuphathweni kwakho isifo sikashukela uma kuhlanganiswe nezinye izindlela zokwelapha.

Kufanele Ngiyithathe Kanjani I-Acarbose?

Kufanele uthathe i-acarbose ngendlela eqondile udokotela wakho ayalela ngayo, ngokuvamile kathathu ngosuku ngomlomo wokuqala wokudla okukhulu ngakunye. Ukuyithatha nokudla kubalulekile ngoba umuthi udinga ukuba khona ohlelweni lwakho lokugaya ukudla lapho ama-carbohydrate efika.

Gwinya ithebhulethi yonke ngamanzi amancane noma uyihlafune ngomlomo wakho wokuqala wokudla. Uma ukhohlwa ukuyithatha ngaphambi kokudla, ungaithatha ngesikhathi sokudla kwakho, kodwa ngeke isebenze kahle uma ulinda uze uqede ukudla.

Udokotela wakho ngokuvamile uzoqala ngomthamo ophansi, ngokuvamile ama-25 mg kathathu ngosuku, futhi awunyuse kancane kancane emasontweni amaningana. Lokhu kwethulwa kancane kancane kusiza uhlelo lwakho lokugaya ukudla ukuthi luvumelane nomuthi futhi kunciphisa amathuba okuthi isisu siphazamiseke.

Akudingeki uthathe i-acarbose ngamaswidi noma ukudla okuqukethe ama-carbohydrate ambalwa kakhulu. Umuthi unenzuzo enkulu uma udla ukudla okunothile ngesitashi noma ushukela njengesinkwa, i-pasta, ilayisi, noma amaswidi.

Kufanele Ngiyithathe Isikhathi Esingakanani I-Acarbose?

I-Acarbose ngokuvamile iyindlela yokwelapha yesikhathi eside ozoqhubeka uyithatha uma nje isiza ukuphatha isifo sakho sikashukela ngempumelelo. Abantu abaningi abanesifo sikashukela sohlobo 2 badinga ukuthatha imithi yabo ngokuqhubekayo ukuze bagcine ukulawulwa okuhle kukashukela wegazi.

Udokotela wakho uzoqapha inqubekela phambili yakho ngokuhlolwa kwegazi okujwayelekile nokuhlolwa. Bazobheka amazinga akho e-A1C, abonisa ushukela wakho wegazi omaphakathi ezinyangeni ezi-2-3 ezedlule, ukuze banqume ukuthi umuthi usebenza kahle yini kuwe.

Abanye abantu bangase bakwazi ukunciphisa umthamo wabo noma bayeke ukuthatha i-acarbose uma benza izinguquko ezinkulu zokuphila ezithuthukisa ukulawulwa kwesifo sabo sikashukela. Nokho, lesi sinqumo kufanele senziwe ngaso sonke isikhathi ngesiqondiso somhlinzeki wakho wezempilo, hhayi wedwa.

Yiziphi Izimo Ezingezinhle ze-Acarbose?

Imiphumela emibi evame kakhulu ye-acarbose ithinta isimiso sakho sokugaya ukudla, futhi ngokuvamile imnene futhi yesikhashana. Ukuqonda okulindelekile kungakusiza ukuthi uzizwe ulungiseleleke kakhulu futhi ungakhathazeki kakhulu uma lezi zimpawu zenzeka.

Nawa amanye amiphumela emibi yokugaya ukudla ongase uyithole, ikakhulukazi emasontweni akho ambalwa okuqala okwelashwa:

• Igesi nokuqunjelwa
• Ubuhlungu besisu noma ukungakhululeki
• Ukuqunjelwa
• Isicanucanu
• Imisindo yesisu esihlokomayo

Lezi zimpawu zenzeka ngenxa yokuthi ama-carbohydrate angagayeki ahamba phambili ngaphansi kwendlela yakho yokugaya ukudla, lapho amagciwane ewavutshela khona. Izindaba ezinhle ukuthi abantu abaningi bathola ukuthi le miphumela emibi ithuthuka kakhulu ngemva kwamasonto angu-2-4 njengoba umzimba wabo ujwayela imithi.

Imiphumela emibi engavamile kodwa ebucayi ingabandakanya izinkinga zesibindi, nakuba lokhu kungavamile. Udokotela wakho uzoqapha ukusebenza kwesibindi sakho ngezivivinyo zegazi, ikakhulukazi ngonyaka wokuqala wokwelashwa.

Ngokungavamile kakhulu, abanye abantu bangase babe nokusabela komzimba okufana nokuqubuka kwesikhumba, ukuluma, noma ubunzima bokuphefumula. Uma uqaphela noma yiziphi zalezi zimpawu, xhumana nomhlinzeki wakho wezempilo ngokushesha.

Ubani Ongafanele Athole i-Acarbose?

I-Acarbose ayifanele wonke umuntu, futhi udokotela wakho uzocabangela ngokucophelela umlando wakho wezokwelapha ngaphambi kokuyinika. Kunezimo eziningana nezimo lapho lo muthi kungenzeka ungabi yindlela efanele kuwe.

Akufanele uthathe i-acarbose uma unezimo ezithile zokugaya ukudla ezingase zinyanyiswe yimiphumela yomuthi:

• Isifo samathumbu esivuvukalayo njengesifo sikaCrohn noma i-ulcerative colitis
• Ukuvaleka kwamathumbu noma umlando wokuvaleka kwamathumbu
• Isifo esibi sezinso
• Isifo sesibindi noma ama-enzyme esibindi aphakeme
• Uhlobo 1 lukashukela

Udkt wakho uzophinda aqaphele ngokuncoma i-acarbose uma unomlando wezinkinga zokugaya ukudla noma uma uthatha eminye imithi ethile engase ihlangane nayo.

Abesifazane abakhulelwe nabancelisayo ngokuvamile abanconywa i-acarbose, njengoba kungekho ucwaningo olwanele lokuqinisekisa ukuphepha kwayo ngalezi zikhathi. Udkt wakho uzoxoxa ngezindlela eziphephile uma uhlela ukukhulelwa noma ukhulelwe njengamanje.

Amagama Omkhiqizo we-Acarbose

I-Acarbose itholakala ngaphansi kwamagama amaningi omkhiqizo, i-Precose iyona engumkhiqizo owaziwa kakhulu e-United States. Ikhemisi lakho lingase lithwale inguqulo ejwayelekile, equkethe isithako esifanayo esisebenzayo futhi esisebenza ngempumelelo.

Emazweni angaphandle, ungase ubone i-acarbose ithengiswa ngaphansi kwamagama omkhiqizo ahlukene njenge-Glucobay noma i-Prandase. Kungakhathaliseki igama lomkhiqizo, umuthi uqukethe isithako esifanayo esisebenzayo futhi usebenza ngendlela efanayo.

I-Acarbose ejwayelekile ivame ukuba ngentengo ephansi kunezinguqulo zegama lomkhiqizo futhi ithathwa njengephumelela ngendlela efanayo. Umshwalense wakho ungase ukhethe inguqulo ejwayelekile, engasiza ekunciphiseni izindleko zakho eziphuma ephaketheni.

Ezinye izindlela ze-Acarbose

Uma i-acarbose ingasebenzi kahle kuwe noma idala imiphumela eminingi engemihle, udkt wakho unezinye izindlela eziningi zokwelapha okufanele azicabangele. Ukukhetha kuncike esimweni sakho esithile, ezinye izimo zezempilo, nokuthi umzimba wakho usabela kanjani ekwelashweni okuhlukene.

Eminye imithi esiza ukulawula ukukhuphuka kukashukela wegazi ngemva kokudla ihlanganisa i-miglitol, esebenza ngendlela efana ne-acarbose kodwa ingase idale imiphumela emincane yokugaya ukudla kwabanye abantu.

Udktela wakho angase futhi acabangele amakilasi ahlukene emithi yesifo sikashukela afana nama-DPP-4 inhibitors (njenge-sitagliptin) noma ama-GLP-1 receptor agonists (njenge-liraglutide), angasiza ekulawuleni ushukela wegazi ngemva kokudla ngenkathi enikeza ezinye izinzuzo.

I-Metformin isahlala iyindlela yokwelapha yomugqa wokuqala evame ukunqunywa yesifo sikashukela sohlobo 2 futhi ivame ukusetshenziswa ngokuhlangana noma esikhundleni se-acarbose. Ukukhetha okungcono kakhulu kuwe kuncike kuphrofayela yakho yezempilo kanye nemigomo yokwelashwa.

Ingabe i-Acarbose Ingcono Kune-Metformin?

I-Acarbose ne-metformin zisebenza ngezindlela ezihlukene ukusiza ukuphatha isifo sikashukela, ngakho ukuqathanisa akufani nokufanisa ama-apula nama-apula. Yomibili le mithi inamandla ayo futhi ivame ukusetshenziswa ndawonye kunokuba kube ukwelashwa okuncintisanayo.

I-Metformin ngokuvamile ibhekwa njengokwelashwa komugqa wokuqala wesifo sikashukela sohlobo 2 ngoba ifundwe kabanzi futhi inezinzuzo eziqinisekisiwe zempilo yenhliziyo nokuphathwa kwesisindo. Isebenza ngokunciphisa ukukhiqizwa kwe-glucose esibindini sakho futhi ithuthukise ukuzwela kwe-insulin.

I-Acarbose iqondise ngqo ama-spikes kashukela wegazi ngemva kokudla, okwenza kube usizo ikakhulukazi kubantu abanamazinga amahle kashukela wegazi kodwa abahlupheka nge-glucose ephezulu ngemva kokudla. Ivame ukwengezwa ekwelashweni kwe-metformin kunokuyishintsha.

Ukukhetha phakathi kwale mithi kuncike kumaphethini akho athile kashukela wegazi, ukubekezelelana nemiphumela emibi, kanye nemigomo yakho yonke yezempilo. Abantu abaningi bathola ukuthi ukusebenzisa le mithi yomibili ndawonye kunikeza ukulawulwa okungcono kwesifo sikashukela kunanoma iyiphi yodwa.

Imibuzo Evame Ukubuzwa Mayelana ne-Acarbose

Q1. Ingabe i-Acarbose Iphephile Kubantu Abanesifo Senhliziyo?

Yebo, i-acarbose ngokuvamile ibhekwa njengephephile kubantu abanesifo senhliziyo futhi ingase inikeze ezinye izinzuzo zenhliziyo nemithambo yegazi. Ngokungafani neminye imithi yesifo sikashukela, i-acarbose ngokuvamile ayibangeli ukuzuza isisindo noma ukwandisa ingozi yezinkinga zenhliziyo.

Ezinye izifundo zikhomba ukuthi i-acarbose ingasiza ekunciphiseni ingozi yezinkinga zesifo senhliziyo ngokuthuthukisa ukulawulwa kukashukela wegazi nokunciphisa ukuvuvukala. Kodwa-ke, kufanele njalo uxoxe ngesimo senhliziyo yakho nodokotela wakho ngaphambi kokuqala noma yimuphi umuthi omusha.

Q2. Kufanele Ngenzeni Uma Ngisebenzisa I-Acarbose Eningi Ngengozi?

Uma ngengozi uthatha i-acarbose eningi kunaleyo ebekiwe, cishe uzobhekana nemiphumela emibi yokugaya ukudla eyengeziwe efana negesi, ukuqunjelwa, nohudo. Umuthi ngokuvamile awubangeli ushukela wegazi ophansi ngokuzimela.

Xhumana nodokotela wakho noma usokhemisi ukuze uthole isiqondiso, ikakhulukazi uma uzizwa ungaphilile noma unokuhlangenwe nakho kwezimpawu ezinzima zokugaya ukudla. Phuza uketshezi oluningi futhi ugweme ukudla okunama-carbohydrate amaningi kuze kube yilapho izimpawu zinyamalala.

Q3. Kufanele Ngenzeni Uma Ngiphuthelwa Umthamo We-Acarbose?

Uma ukhohlwa ukuthatha i-acarbose ngaphambi noma ngesikhathi sokudla, weqa lowo mthamo bese uthatha umthamo wakho olandelayo ohleliwe ngokudla kwakho okulandelayo. Ungathathi umthamo ophindwe kabili ukuze ulungise lowo ophuthelwe.

Njengoba i-acarbose isebenza ngokuqondile kuma-carbohydrate owadlayo ngaleso sikhathi, ukuyithatha ngemva kwamahora okudla ngeke kunikeze noma yiziphi izinzuzo. Vele uqhubeke nohlelo lwakho olujwayelekile futhi uzame ukusetha izikhumbuzi zokukusiza ukuthi ukhumbule imithamo yesikhathi esizayo.

Q4. Ngingayeka Nini Ukuthatha I-Acarbose?

Kufanele uyeke kuphela ukuthatha i-acarbose ngaphansi kokuqondisa kukadokotela wakho. Ukuyeka kungazelelwe ngeke kubangele izimpawu zokuhoxisa eziyingozi, kodwa amazinga akho kashukela egazi angase akhuphuke, ikakhulukazi ngemva kokudla.

Udokotela wakho angase acabangele ukunciphisa noma ukuyeka i-acarbose uma isifo sakho sikashukela silawulwa kahle ngezinguquko zokuphila, uma uhlangabezana nemiphumela emibi engabekezeleleki, noma uma eminye imithi inikeza imiphumela engcono. Ungalokothi uyeke ukuthatha imithi yesifo sikashukela ebekiwe ngaphandle kokuqondiswa kwezokwelapha.

Q5. Ngingakwazi Ukuphuza Utywala Ngenkathi Ngithatha I-Acarbose?

Ukusetshenziswa kotshwala okulinganiselwe kuvamile ukwamukeleka ngenkathi uthatha i-acarbose, kodwa kufanele uxoxe ngalokhu nodokotela wakho. Utshwala bungathinta amazinga kashukela egazini futhi bungakhuphula ingozi yemiphumela emibi yokugaya ukudla.

Qaphela ukuthi uma uphuza utshwala futhi uhlangabezana noshukela ophansi egazini, uzodinga ukuwulapha ngamaphilisi e-glucose noma i-gel kunoshukela ojwayelekile noma iziphuzo ezinoshukela, ngoba i-acarbose ingaphazamisa ukuthi umzimba wakho umunca ngokushesha kangakanani ushukela ojwayelekile.