Nug tus Kws Tshaj Lij: Siv Cov Tshuaj Tiv Thaiv Rau Cov Ntshav Qab Zib Hom 2

Zoo Siab

• Muaj cov tshuaj siv dab tsi los kho tus mob ntshav qab zib hom 2?
• Puas yog kev txhaj tshuaj ua rau kom yuag poob? Lub cev hnyav dua li cas?
• Cov tshuaj yog tib yam rau cov tshuaj? Kuv puas yuav tswj hwm kev txhaj tshuaj rau kuv tus kheej?
• Puas muaj cov kev mob tshwm sim los ntawm cov tshuaj txhaj uas kuv yuav tsum paub txog?
• Kuv yuav muaj kev hloov pauv dab tsi hauv kev ua neej ntxiv nrog rau kev pib kho?
• Cov tshuaj txhaj ntau npaum li cas tus nqi? Lawv puas muaj nyob rau hauv kev tuav pov hwm?

Muaj cov tshuaj siv dab tsi los kho tus mob ntshav qab zib hom 2?

Glucagon-zoo li peptide-1 receptor agonists (GLP-1 RAs) yog cov tshuaj uas siv los kho cov mob ntshav qab zib hom 2.

Zoo ib yam li insulin, lawv txhaj rau hauv qab daim tawv. GLP-1 RAs feem ntau siv nrog koom nrog lwm cov tshuaj tiv thaiv kabmob ntshav qab zib.

Tam sim no, muaj ob peb GLP-1 RAs ntawm kev ua lag luam uas txawv los ntawm qhov teev caij nyoog thiab lub sijhawm ua. Lawv suav nrog:

• exenatide (Byetta)
• exenatide - ncua kev tso tawm (Bydureon)
• dulaglutide (Lub cev)
• semaglutide (Ozempic) - tseem muaj nyob hauv ntsiav tshuaj daim ntawv (Rybelsus)
• liraglutide (Victoza)
• lixisenatide (Adlyxin)

Pramlintide (Symlin) yog lwm yam tshuaj txhaj pom zoo rau kho mob ntshav qab zib hom 2. Nws tau muab coj los siv ua ke nrog kev txhaj tshuaj insulin sijhawm noj mov. Txawm hais tias siv tsawg dua, nws ua haujlwm zoo ib yam li GLP-1 RAs.

Puas yog kev txhaj tshuaj ua rau kom yuag poob? Lub cev hnyav dua li cas?

Tsis zoo li cov tshuaj insulin thiab lwm cov tshuaj tiv thaiv kab mob ntshav siab, koob tshuaj tsis txhob ua rau kom rog.

Vim tias lawv txo qis qhov qab los noj mov, tej zaum lawv yuav ua rau kom poob phaus ntawm 3.3 phaus (1.5 kg) txog 6.6 phaus (3 kg). Tus nqi ntawm qhov kev poob phaus nyob ntawm ntau yam, xws li:

• kev noj haus
• kev tawm dag zog
• siv lwm yam tshuaj

Vim tias qhov no, GLP-1 RAs zoo haum rau cov neeg uas rog lossis rog dhau. Lawv feem ntau siv ua ke nrog lwm yam tshuaj los yog insulin los txo qhov hnyav.

Cov tshuaj yog tib yam rau cov tshuaj? Kuv puas yuav tswj hwm kev txhaj tshuaj rau kuv tus kheej?

GLP-1 RAs muaj nyob hauv cov xaum npiv uas koj tswj hwm koj tus kheej, hauv txoj kev ib yam nkaus li insulin. Lawv sib txawv los ntawm cov koob tshuaj thiab lub sijhawm ua.

Tam sim no tsis muaj txoj kev sib piv uas qhia pom tias kev xaiv tshuaj muaj feem cuam tshuam rau tus neeg mob lub sij hawm ntev li cas.

Koj tus kws kho mob feem ntau yuav pib koj nrog txoj kev noj tshuaj qis. Qhov no yuav maj mam nce ntxiv raws li qhov kam rau ua thiab cov nyhuv xav tau.

Byetta yog tib tus neeg sawv cev uas yuav tsum tau tswj hwm ib hnub ob zaug. Lwm tus yog cov txhaj tshuaj txhua hnub los yog txhua asthiv.

Puas muaj cov kev mob tshwm sim los ntawm cov tshuaj txhaj uas kuv yuav tsum paub txog?

Kev mob plab hnyuv muaj tshwm sim, xws li xeev siab, ntuav, thiab raws plab, tshwm sim rau ntau tus neeg mob. Xeev siab yuav ua kom tsawg dua sijhawm los yog txo cov koob tshuaj. Nws yuav tshwm sim tsawg dua nrog cov neeg sawv cev hauv lub lis piam.

Qee cov ntawv ceeb toom txuas cov mob pancreatitis nrog GLP-1 RAs, tab sis tsis muaj ntaub ntawv txaus los tsim kev sib raug zoo. Kev tshawb nrhiav tau tshawb txog lwm qhov kev pheej hmoo uas cuam tshuam rau ntawm tus txiav, xws li mob qog nqaij hlav, tab sis tsis muaj pov thawj txaus.

Qee qhov GLP-1 RAs tuaj yeem ua rau cov tawv nqaij hauv cheeb tsam ntawm qhov chaw txhaj tshuaj. Qee cov neeg siv tshuaj exenatide (Bydureon, Byetta) tau tshaj tawm txog cov phiv no.

Kev muaj ntshav qab zib tsawg yuav tshwm sim nrog GLP-1 RAs thaum siv ib leeg. Txawm li cas los xij, ntxiv rau lawv rau kev kho mob insulin-tuaj yeem ua rau muaj kev pheej hmoo.

Hauv cov kev tshawb fawb nqaj, muaj qhov nce ntxiv hauv cov hlav qog thaib medullary. Ib qho zoo li no tseem tsis tau pom muaj hauv tib neeg.

Kuv yuav muaj kev hloov pauv dab tsi hauv kev ua neej ntxiv nrog rau kev pib kho?

Kev pauv hloov hauv lub neej rau cov neeg muaj ntshav qab zib hom 2 tuaj yeem muaj:

• hloov kho kev noj haus
• poob ntawm 5 mus rau 10 feem pua ​​ntawm lub cev hnyav, rau cov neeg uas muaj rog lossis rog dhau
• qoj ib ce tawm mus li 150 feeb hauv ib lis piam
• kuaj xyuas tus kheej ntawm cov ntshav qab zib
• txo kev haus cawv rau ib tug haus dej haus ib hnub rau cov neeg laus cov poj niam thiab ob khob dej haus ib hnub rau cov txiv neej laus
• tsis txhob haus luam yeeb lossis txiav luam yeeb

Cov ntshav qab zib hom txheej txheem feem ntau yog siv los muab kev taw qhia txog phiaj xwm kev noj mov thiab kev pab rau pom.

Kev mus ntsib cov kws qhia noj zaub mov kom zoo yuav pab koj txoj kev noj zaub mov zoo. Tus kws qhia kev noj zaub mov tuaj yeem qhia cov phiaj xwm khoom noj khoom haus ib tus kheej uas teev cia rau koj cov xwm txheej tshwj xeeb thiab nyiam.

Feem ntau, txo koj cov kev ua kom yuag zom zaws yog tsim nyog txhawm rau txhim kho kev tswj ntshav qab zib.

Xaiv cov carbs uas yog:

• as-tuab
• siab hauv fiber ntau
• kev ua kom tsawg kawg nkaus

Hloov cov dej qab zib uas muaj suab thaj nrog dej.

Txuas ntxiv, noj zaub mov ntau nyob rau hauv monounsaturated thiab polyunsaturated rog yuav ua rau kev txhim kho cov metabolism hauv cov piam thaj thiab txo qis kev mob plawv.

Cov tshuaj txhaj ntau npaum li cas tus nqi? Lawv puas muaj nyob rau hauv kev tuav pov hwm?

Injectable GLP-1 RAs thiab pramlintide (Symlin) yog kim. Tsis muaj cov kev xaiv dav dav tam sim no. Cov nqe lag luam wholesale nqi raws li hauv qab no:

• Exenatide: $ 840
• Dulaglutide: $ 911
• Semaglutide: $ 927
• Liraglutide: $ 1,106
• Lixisenatide: $ 744
• Pramlintide: $ 2,623

Cov no muaj nrog ntau lub chaw fajseeb khomob. tab sis cov cai tswjfwm kev cai, kev tsis suav, kev tseev kom ua rau kev kho cov kauj ruam, thiab kev tso cai ua ntej sib txawv.

Nws yog ib qho tseem ceeb kom koj paub zoo txog ntawm koj hom phiaj siv tshuaj siv tshuaj.

Dr. Maria S. Prelipcean yog ib tug kws kho mob tshwj xeeb hauv endocrinology thiab ntshav qab zib. Tam sim no nws ua haujlwm nyob Southview Medical Group hauv Birmingham, Alabama. Dr. Prelipcean yog ib tug kawm tiav Carol Davila Tsev Kawm Ntawv Kho Mob hauv Bucharest, Romania. Nws ua tiav nws kev kawm tshuaj sab hauv ntawm University of Illinois thiab Northwestern University hauv Chicago thiab nws qhov kev kawm txog endocrinology hauv University of Alabama hauv Birmingham. Prelipcean tau rov qab hu ua Birmingham Top Doctor thiab yog tus khub ntawm American College ntawm Endocrinology. Hauv nws lub sijhawm muaj kev ywj pheej, nws nyiam nyeem ntawv, mus ncig, thiab siv sijhawm nrog nws tsev neeg.