Dr Numonov || Tibbiy blog | United States America (US)

Create: 2025-03-04 Update: 2025-04-05 18:41:04

QANDLI DIABET 2-TIP

Qandli diabet 2-tip - Surunkali metabolik kasallik bo'lib , organizm insulinga nisbatan sezuvchanligini yo'qotadi. ( rezistentlik )
Oshqozon osti bezi yetarlicha ishlab chiqaradi lekin hujayralar normal qabul qilolmaydi.

Sabablari :
➖ Genetik moyillik
➖ Ortiqcha vazn
➖ Kamharakat turmush tarzi
➖ Notog'ri ovqatlanish
➖ Surunkali stress
➖ Uyqusizlik

Belgilari :
➖ Ko'p va tez siyish
➖ Kuchli chanqash
➖ Ochlik xissi
➖ Charchoq va zaiflik
➖ Teri qurishi va qichishishi
➖ Yaralarning uzoq bitishi
➖ Ko'rish xiralashishi
➖ Qo'l va oyoq uyishishi
➖ Ortiqcha vazn yoki vazn yo'qotish

Tashxislash :
1. Qonda shakar darajasi
Normal 3,9-5,5 mmol/l ( och qoringa )
Prediabet 5,6-6,9 mmol/l
Diabet > 7,0 mmol/l ( och qoringa )
Diabet > 11,1 mmol/l ( to'q qoringa )

2. Glikozillangan gemoglobin ( HbA1c )
Normal < 5,7%
Prediabet - 5,7-6,4%
Diabet > 6,5%

3. Oral glukozaga chidamlilik ( OGTT )
2 soatdan keyin > 11,1 mmol/l bo'lsa diabet.

DAVOLASH :

1. Insulin sezgirligini oshiruvchi dorilar
➖ Metformin - ( 500-2000 mg )
Kuniga 1-2 marta

➖ Pioglitazone - ( 15-45 mg )
Kuniga 1 marta

2. Oshqozon osti bezida insulin ishlab chiqarishni oshiruvchi dorilar
➖ Glibenklamid - ( 2,5-10 mg )
kuniga 1-2 marta
➖ Glipizid - ( 2,5-20 mg )
kuniga 1 marta
➖ Glimeprid - ( 1-8 mg )
kuniga 1 marta
➖ Gliklazid - ( 30-120 mg )
kuniga 1 martab

3. GLP-1 agonistlari va DPP-4 ingibitorlari
➖ Sitagliptin - ( 50-100 mg )
kuniga 1 marta
➖ Vildagliptin - ( 50 mg )
kuniga 1-2 marta
➖ Saxagliptin - ( 2,5-5 mg )
kuniga 1 marta
➖ Linagliptin - ( 5 mg )
kuniga 1 marta

4. Glukoza chiqishini kamaytiruvchi dorilar ( SGLT-2 ingibitorlari )
➖ Dapagliflozin - ( 10 mg )
kuniga 1 marta
➖ Empagliflozin - ( 10-25 mg )
kuniga 1 marta
➖ Kanagliflozin - ( 100-300 mg )
kuniga 1 marta

Og'ir holatlarda Insulin terapiyasi.

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Dr Numonov || Tibbiy blog

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QANDLI DIABET 2-TIP

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