Chirwere cheshuga uye Dementia
Kubatana kuri pachena; vanhu vane chirwere chechirwere cheshuga 2 vane ngozi yakawandisa yekukura kwechirwere cheAlzheimer uye mamwe marudzi ehutano hwemangwana. Mukati, kune hukama hwakadaro pakati pezvirwere zviviri izvo Alzheimer yave yakanzi "Type 3 Diabetes " nevamwe.
Zvisinei, tsvakurudzo yechangopfuura inoratidza kuti panogona kunge pane chimwe chinhu chatingaita pamusoro pengozi iyi.
Kwemakore anoverengeka, vatsvakurudzi vave vachiedza kuvepo kwekuti insulin zvinodhaka zvinogona kubatsira mukurapa chirwere cheAlzheimer . Somuenzaniso, kumwe kuongorora kwakawana kusangana pakati pehutano ne insulin senitizer zvinodhaka uye nharaunda yakaderera yevanhu vane chirwere cheshuga.
Chidzidzo
Chimwe chezvidzidzo zvechangobva kuitika pakupararira kwechirwere cheshuga uye chirwere chemangwana chinotarisa pane zvingaita kuti kuderedze njodzi yekudzivirira chirwere chemangwana, kunze kwekurapwa kwemamiriro acho mushure mokunge ichisvika.
Vatsvakurudzi muGermany vakarongedza ruzivo rwehutano hwehutano pavane 145,928 varwere vanopfuura makore makumi matanhatu nemakore ekuma 2004- 2010. Vakarongedza vanhu mumapoka akasiyana:
- Kusabatwa nechirwere cheshuga
- Chirwere cheshuga chisina kurapwa nemishonga pioglitazone
- Kuongororwa kwechirwere cheshuga kunobatwa nemishonga pioglitazone yepasi pei 8 makarita
- Kuongororwa kwechirwere cheshuga kwakabatwa nemishonga pioglitazone yepamusoro pepfumbamwe makarita
Zvadaro vakafananidza chiyero chekutsvaga kwemtementia mune imwe neimwe yemapoka aya.
Migumisiro
Mushure mokunge dhesi yacho yakanyorwa, mitsara inotevera yakawanikwa:
1) Sezvakatarisirwa kubva pakutsvakurudza kwakapfuura, dambudziko guru rekushaya mungozo kune vanhu vane chirwere cheshuga rakasimbiswa, uye 23% yakawedzera ngozi kana yakaenzaniswa nevaya vasina chirwere cheshuga.
2) Vanhu vane chirwere cheshuga avo vaibatwa ne pioglitazone kwemapfumbamwe emagarenda emakirani vakave nehuwandu hwekudzivirira chirwere chemagumisiro.
3) Kutaura zvazviri, dambudziko ravo rekushaya mungozo raive pasi pevaya vasina chirwere cheshuga- ne 47%. Mune mamwe mazwi, vanhu vane chirwere chekugara kwenguva refu che pioglitazone vaiva nehafu inotengesa demoenti kana vachienzaniswa nevanhu vasina chirwere cheshuga.
4) Avo vane nguva shomanana yekurapa pioglitazone (pasi pepasi pevane calendari) vakaratidza dambudziko rakaenzana rekushaya mungozo kana vachienzaniswa nevanhu vasina chirwere cheshuga.
5) Metformin, imwe mishonga inorayirwa kuporesa chirwere cheshuga, yakawanikwa zvakare kuderedza dambudziko rekuora mwoyo kwemazuva ano, asi kusvika pamwero muduku.
Ichi chigumisiro chinonakidza chinoratidza kuti kushandisa pioglitazone kunogona kuderedza dambudziko rinotevera revanhu vane chirwere cheshuga. Chidzidzo chakanyatsogadzirirwa kugadzirisa kuti mishonga inonyanya kupa iyo kubatsirwa ikozvino inodiwa. Nenzira yekuti, zvidzidzo zvakaita seyizvi zvinokurudzira hutsvakurudzo huzhinji pamusoro pehukama hwehutachiwana hwehutachiwana hwehutano hwemhuka.
Zvimwe pamusoro pePioglitazone
Pioglitazone (zita rokuti Actos) imishonga mukirasi re thiazolidinediones . Inorayirwa kurapa chirwere cheshuga nekuvandudza kunzwa kwe insulin.
Kunyange zvazvo migumisiro yeyikudzidza ichikurudzira zvikuru, pane zvimwe zvinonetsa zvinoshandiswa nekushandiswa kwechirwere ichi zvinosanganisira congestive moyo kusakundikana , zvinetso zveropa, kenza yemukaka uye kuwedzerwa kwengozi yemapfupa akaputsika.
Kutsvakurudza kuripo
Kutsvakurudza kwakawanda kuri kuitwa pamusoro pekushandisa kwemishonga iyi kurapwa nekudzivirira demoenti. Enda kuUnited Clinical Trials kuti uone kuongororwa kwekliniki inoenderera mberi inobatanidza kusanganisira pioglitazone.
Sources:
Annals of Neurology. 2015 Mbudzi 14. Migumisiro yemishonga inonzi pioglitazone pamagariro evanhu vane chirwere chemangara. http://www.ncbi.nlm.nih.gov/pubmed/25974006
Deutsches Zentrum for Neurodegenerative Erkrankungen eV German Centre yeNeurodegenerative Diseases mukati meHelholholtz Association. Chirwere cheshuga chinoderedza dambudziko rekushaya mungozi. Yakasvika pana June 25, 2015.https: //www.dzne.de/en/about-us/public-relations/meldungen/2015/press-release-no-8.html
National Institutes of Health. US National Library of Medicine. Medline Plus. Pioglitazone. February 15, 2014. http://www.nlm.nih.gov/medlineplus/druginfo/meds/a699016.html