Kodi inunso mukulandira chithandizo cha matenda a shuga a mtundu wachiwiri? Ngati ndi choncho, dokotala wanu mwina anakupatsani piritsi lophatikiza mankhwala awiri. Chimodzi mwa zinthu zimenezi ndi Dapagliflozin ndi Metformin. Mwina mumachidziwa ndi dzina lodziwika bwino monga Xigduo XR. Popeza ichi ndi mankhwala apadera, ndikofunikira kudziwa zambiri za icho. Chifukwa chake, tiyeni tikambirane za chilichonse m'njira yosavuta komanso yochezeka lero.
Kodi kwenikweni chimachitika ndi mankhwala awa ndi chiyani?
Mwachidule, zinthu ziwiri zomwe zili mu mankhwalawa, Dapagliflozin ndi Metformin, zimagwira ntchito limodzi kuti zithandize kuwongolera kuchuluka kwa shuga m'magazi mwanu. Zimachita izi m'njira zingapo. Choyamba ndi kupangitsa impso zanu kutulutsa shuga wambiri kudzera mu mkodzo wanu. China ndi kuchepetsa kuchuluka kwa shuga komwe chiwindi chanu chimapanga komanso kuthandiza maselo a thupi lanu kuyankha bwino ku insulin.
Koma mankhwalawa okha si okwanira. Mukhoza kupeza zotsatira zabwino kwambiri mukamwa mankhwalawa pamodzi ndi kudya bwino komanso kuchita masewera olimbitsa thupi. Zili ngati masewera a timu. Inu, dokotala, mankhwala awa, ndi moyo wanu muyenera kugwirira ntchito limodzi.
Zinthu zomwe muyenera kuuza dokotala wanu musanayambe kumwa mankhwala
Izi ndizofunikira kwambiri. Musanayambe kumwa mankhwalawa, muyenera kudziwitsa dokotala wanu za thanzi lanu lonse. Makamaka ngati muli ndi vuto lililonse mwa zotsatirazi, onetsetsani kuti mwawauza za vutoli.
| Matenda kapena chizolowezi | Chifukwa chiyani muyenera kuuza dokotala ? |
|---|---|
| Matenda a impso kapena chiwindi | Mankhwalawa amachotsedwa m'thupi kudzera mu impso, kotero ngati pali mavuto ndi ziwalo izi, mlingo wa mankhwalawo ungafunike kusinthidwa. |
| Matenda a mtima kapena kuthamanga kwa magazi | Mankhwalawa angathandize kuchepetsa kuthamanga kwa magazi. |
| Ngati muli ndi kapamba | Mankhwalawa angawonjezere chiopsezo chakuti vutoli libwererenso. |
| Ngati mumamwa mowa pafupipafupi | Kuphatikiza mowa ndi Metformin kungayambitse vuto loopsa lotchedwa lactic acidosis. |
| Ngati mwachepetsa kudya chifukwa cha kusowa madzi m'thupi kapena matenda/opaleshoni | Thupi likapanda madzi okwanira m'thupi, chiopsezo cha zotsatirapo zake chimawonjezeka. |
| Ngati muli ndi matenda opatsirana m'mitsempha ya mkodzo pafupipafupi kapena matenda a yisiti m'malo oberekera | Mankhwalawa amawonjezera chiopsezo chotenga matendawa chifukwa amawonjezera shuga m'mkodzo. |
| Ngati muli ndi matenda a shuga amtundu woyamba | Mankhwalawa amalimbikitsidwa kokha kwa odwala matenda a shuga amtundu wachiwiri. |
| Ngati muli ndi pakati, mukuyesera kutenga pakati, kapena mukuyamwitsa | Pazochitikazi, mankhwalawa si oyenera. Chifukwa chake, muyenera kulankhula ndi dokotala wanu ndi kuganizira njira ina. |
| Ngati muli ndi ziwengo ku mankhwala ena, zakudya, kapena zinthu zina | Mungakhale ndi vuto la ziwengo ku chinthu chomwe chili mu mankhwala. |
Kodi ndimagwiritsa ntchito bwanji mankhwalawa molondola?
- Imwani ndi kapu ya madzi: Ndikofunikira kumwa mankhwalawa nthawi yomweyo tsiku lililonse, monga momwe dokotala wanu wanenera.
- Mezani piritsi: Ili ndi piritsi lopangidwa mwapadera (Extended-Release). Izi zikutanthauza kuti mankhwalawo amatuluka m'thupi pang'onopang'ono. Choncho musaswe, kuphwanya, kapena kutafuna piritsilo. Mezani lonse.
- Imwani ndi chakudya: Ndi bwino kumwa izi ndi chakudya kuti muchepetse chiopsezo cha kuvutika m'mimba.
- Musasiye: Pitirizani kumwa mankhwala bola ngati dokotala wanu wakuuzani. Musasiye kumwa mankhwalawo mopanda chifukwa.
Nanga bwanji ngati ndaphonya mlingo wa mankhwala?
Inde, zitha kuchitika. Imwani mlingo womwe mwaphonya nthawi yomweyo mukakumbukira. Koma ngati nthawi yanu yotsatira yayandikira, dumphani mlingo womwe mwaphonya ndikumwa piritsi lotsatira panthawi yomwe yakonzedwa. Musamwe mlingo wowirikiza kawiri.
Mankhwala ena omwe sagwirizana ndi mankhwalawa (Kuyanjana)
Ndikofunikira kwambiri kuuza dokotala wanu za mankhwala onse omwe mukumwa (kuphatikizapo mavitamini ndi mankhwala achikhalidwe), chifukwa mankhwala ena amatha kusokonezana ndi awa.
| Musamwe mankhwala ndi izi! | |
|---|---|
| Mitundu ina ya kusiyana kwa zinthu imaperekedwa mayeso asanayesedwe monga X-ray, CT scans, ndi MRIs. | Mankhwala otchedwa Dofetilide. |
| Izi zingagwirizane - uzani dokotala wanu. | |
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Mndandandawu sunathe, choncho ndibwino kuuza dokotala wanu zonse zomwe mumamwa.
Mfundo zapadera zomwe muyenera kuzidziwa mukamamwa mankhwala
- Kuyezetsa magazi pafupipafupi: Dokotala wanu adzakuyezetsani pafupipafupi. Kuyezetsa magazi kotchedwa HbA1C kumachitika kamodzi pa miyezi iwiri kapena itatu iliyonse. Kumayesa momwe shuga m'magazi mwanu akuyendetsedwera bwino.
- Shuga wochepa m'magazi (Hypoglycemia):Mukamamwa mankhwalawa, makamaka ngati mukumwa limodzi ndi mankhwala ena a shuga monga insulin, shuga m'magazi mwanu akhoza kutsika mwadzidzidzi. Ngati mukumva zizindikiro monga thukuta, kugwedezeka, njala yambiri, kuvutika kuganizira bwino, kapena kukomoka, izi zitha kukhala chizindikiro cha shuga wotsika m'magazi. Nthawi zonse sungani piritsi la shuga, toffee, kapena glucose pafupi kuti mudziwe ngati izi zitachitika.
- Shuga wambiri m'magazi ndi DKA: Nthawi zina, monga momwe zimakhalira ndi matenda, kuchuluka kwa shuga m'magazi mwanu kumatha kupitirira muyeso. Ngati mukumva zizindikiro monga ludzu lopitirira muyeso, kukodza pafupipafupi, pakamwa pouma, kupuma mopanda kukoma, kupweteka m'mimba, ndi nseru, izi zitha kukhala zizindikiro za matenda oopsa otchedwa Diabetic Ketoacidosis (DKA) . Ngati izi zitachitika, muyenera kupita kuchipatala mwachangu.
- Opaleshoni ndi ma scan: Ngati mukufuna kuchitidwa opaleshoni, MRI, kapena CT scan, uzani gulu lachipatala pasadakhale kuti mukumwa mankhwala awa. Mungafunike kusiya kumwa mankhwala masiku angapo opaleshoni isanachitike.
- Chophimba cha piritsi: Nthawi zina chophimba chosasungunuka cha mankhwalawa, piritsi lokha, chingatuluke ndi ndowe zanu. Izi ndi zachilendo, musadandaule nazo. Mankhwalawa alowa m'thupi.
- Vitamini B12 ndi folic acid: Kugwiritsa ntchito metformin kwa nthawi yayitali kungayambitse kuchepa kwa vitamini B12. Lankhulani ndi dokotala wanu za izi ndipo muyezedwe ngati pakufunika kutero.
Zotsatirapo zomwe zingatheke
Monga mankhwala ena aliwonse, mankhwalawa akhoza kukhala ndi zotsatirapo zake. Ena ndi oopsa, ena ndi ofala.
| Zizindikiro zomwe zimafuna kuti muuze dokotala wanu nthawi yomweyo kapena pitani ku ETU | |
|---|---|
| Kusamva bwino kwa thupi | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo, lilime kapena pakhosi. |
| Zizindikiro za Lactic Acidosis | Kupweteka kwa minofu kapena kupweteka, kupweteka m'mimba, kuvutika kupuma, kutopa kwambiri. Izi ndi zadzidzidzi zoopsa kwambiri. |
| Zizindikiro za matenda a shuga a Ketoacidosis (DKA) | Ludzu lochuluka, kukodza pafupipafupi, pakamwa pouma, kupuma mopanda kukoma, kupuma movutikira, kupweteka m'mimba, nseru/kusanza. |
| Matenda a mkodzo (UTI) | Matenda a mkodzo, kukodza pafupipafupi, magazi mu mkodzo, kupweteka kwa msana kapena m'chiuno. |
| Matenda m'dera la maliseche | Kufiira, kutupa, kupweteka, kuyabwa, fungo, kapena kutuluka kwa madzi kosazolowereka m'malo oberekera kapena ozungulira. |
| Kusowa madzi m'thupi | Ludzu lochuluka, pakamwa pouma, kukomoka, mkodzo wakuda. |
| Kawirikawiri si nkhani yaikulu, koma ngati ikupitirira, uzani dokotala wanu. | |
| Kutsegula m'mimba | Kusanza/kutuluka nseru |
| Mutu | Zizindikiro zonga chimfine (chimfine) |
Ngati mukuganiza kuti mwamwa mankhwala opitirira muyeso, pitani ku Dipatimenti Yoona za Zadzidzidzi (ETU) yapafupi nanu nthawi yomweyo. Kapena imbani National Poisons Information Centre ku Colombo National Hospital.
Uthenga Wopita Nawo Kunyumba
- Musanayambe kumwa mankhwalawa, uzani dokotala wanu za matenda anu onse komanso mankhwala ena onse omwe mukumwa.
- Mezani piritsi lonse ndi madzi osasweka, kuphwanya, kapena kutafuna.
- Dziwani zizindikiro za hypoglycemia ndi DKA, zomwe zingachitike ngati shuga m'magazi ali pamwamba kwambiri. Ndikofunikira kudziwa chochita pazochitika zotere.
- Pewani kumwa mowa. Uzani madokotala anu kuti mukumwa mankhwalawa musanachite opaleshoni kapena kujambulidwa.
- Ngati mukukumana ndi zotsatirapo zoyipa kapena mukukayikira, funsani dokotala wanu nthawi yomweyo kapena pitani ku Dipatimenti Yodzidzimutsa (ETU).
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