Kodi dokotala wanu anakupatsani mankhwala atsopano a matenda anu a shuga amtundu wachiwiri? Mutamva kuti dzina la mankhwalawo ndi Dapagliflozin ndi Saxagliptin (yomwe nthawi zambiri imadziwika ndi dzina la QTERN), kodi munapeza kuti ndi losokoneza pang'ono? Musadandaule. Lero, tikambirana za mankhwala awa mosavuta, ngati kuti mukuuza mnzanu.
Kodi mankhwala awa ndi chiyani? Mwachidule...
Iyi ndi mankhwala omwe amagwiritsidwa ntchito pochiza matenda a shuga amtundu wachiwiri. Ili ndi ntchito ziwiri zazikulu. Choyamba ndi kuthandiza thupi lanu kutulutsa shuga wochuluka (shuga) mumkodzo wanu. China ndi kulimbikitsa kupanga kwa insulin kuchokera ku kapamba wanu, komwe kumathandiza kuwongolera kuchuluka kwa shuga m'magazi.
Taganizirani izi ngati othandizira awiri anzeru olamulira kuchuluka kwa shuga m'thupi lanu. Koma mankhwalawa okha sakwanira. Zakudya zabwino komanso masewera olimbitsa thupi oyenera ndizofunikiranso.
Zinthu zomwe muyenera kuuza dokotala wanu musanayambe kumwa mankhwala
Ndikofunikira kwambiri kuti dokotala wanu adziwe mbiri yonse ya thanzi lanu asanakupatseni mankhwala awa. Onetsetsani kuti mwauza dokotala wanu ngati muli ndi vuto lililonse mwa omwe ali pansipa.
| Mkhalidwe kapena chizolowezi | Kufotokozera |
|---|---|
| Matenda omwe alipo | Khansa ya chikhodzodzo, matenda a mtima, kulephera kwa mtima, matenda a impso, cholesterol yokwera, kuthamanga kwa magazi, kapamba kapena mbiri yake, matenda a shuga amtundu woyamba. |
| Matenda ndi mavuto ena | Ngati muli ndi matenda opatsirana m'mitsempha ya mkodzo pafupipafupi (UTIs), mbiri ya matenda opatsirana a yisiti m'mimba, kuvutika kukodza, kapena matenda otchedwa diabetesic ketoacidosis. |
| Moyo ndi nkhani zina | Ngati thupi lanu latha madzi m'thupi, ngati mukudya zakudya zopanda mchere wambiri, ngati chakudya chanu chachepa chifukwa cha matenda, opaleshoni, kapena zifukwa zina, kapena ngati mumamwa mowa pafupipafupi. |
| Zochitika zapadera | Ngati muli ndi pakati kapena mukufuna kutenga pakati, kapena ngati ndinu mayi woyamwitsa. |
| Matenda a ziwengo | Ngati muli ndi vuto la ziwengo ndi mankhwalawa (dapagliflozin, saxagliptin) kapena mankhwala ena aliwonse, chakudya, kapena utoto. |
Kodi ndiyenera kugwiritsa ntchito bwanji mankhwalawa?
Izi n'zosavuta kwambiri.
- Mezani piritsi ili ndi galasi la madzi.
- Imwani monga momwe dokotala wanu wanenera, panthawi yoyenera. Nthawi zambiri amalangizidwa kuti muimwe m'mawa.
- Ikhoza kumwedwa ndi chakudya kapena ayi.
- Musasiye kumwa mankhwala kapena kusintha mlingo popanda upangiri wa dokotala .
- Ngati mankhwalawa aperekedwa kwa ana, upangiri wapadera wachipatala umafunika.
Kodi mungachite chiyani ngati mlingo wa mankhwala wawonjezeka?
Ngati mukuganiza kuti mwamwa mankhwala ochulukirapo, imbani National Poisons Information Centre ku Colombo National Hospital nthawi yomweyo. Kapena, pitani ku Emergency Department (ETU) ya chipatala chapafupi.
Nanga bwanji ngati nditaiwala kumwa mankhwala anga?
Imwani mlingo womwe mwaphonya nthawi yomweyo mukakumbukira. Komabe, ngati nthawi yanu yotsatira yatsala pang'ono kufika, dumphani mlingo womwe mwaphonya ndi kumwa mlingo wotsatira panthawi yomwe mwakonza. Musamwe milingo iwiri nthawi imodzi kuti mubwezeretse mlingo womwe mwaiwala.
Mankhwala ena omwe angagwirizane ndi mankhwalawa
Ndikofunikira kwambiri kudziwitsa dokotala wanu za mankhwala onse omwe mukumwa. Mankhwala ena angagwirizane ndi mankhwalawa.
Makamaka, onetsetsani kuti mwatchula mankhwala otsatirawa ngati mukuwagwiritsa ntchito:
- Maantibayotiki ena, monga gatifloxacin.
- Mowa
- Mankhwala ena oletsa mavairasi omwe amaperekedwa chifukwa cha HIV kapena Hepatitis.
- Mankhwala monga ketoconazole ndi itraconazole, omwe amagwiritsidwa ntchito pochiza matenda a bowa.
- Lithiamu
- Ma steroid monga prednisone ndi cortisone.
- Mankhwala otchedwa Sulfonylureas, monga glimepiride, glipizide, ndi glyburide, ndi omwe amagwiritsidwa ntchito pochiza matenda a shuga.
- Mankhwala a matenda a chithokomiro.
Kumbukirani kuti mndandandawu sunathe. Uzani dokotala wanu za mavitamini, mankhwala azitsamba, kapena zowonjezera zomwe mukumwa.
Zinthu zoti muzisamala nazo mukamamwa mankhwala
Muyenera kusamalira thanzi lanu pang'ono mukamamwa mankhwalawa.
1. Kupimidwa kuchipatala nthawi zonse: Pitani kuzipatala monga momwe dokotala wanu wanenera. Dokotala wanu angakupatseni mayeso a magazi otchedwa HbA1C miyezi iwiri kapena itatu iliyonse kuti muwone ngati shuga m'magazi mwanu akuyendetsedwa bwino.
2. Phunzirani kuyeza shuga m'magazi mwanu: Phunzirani momwe mungayezere shuga m'magazi mwanu kunyumba. Dziwani bwino zizindikiro za hypoglycemia ndi hyperglycemia komanso momwe mungathanirane nazo.
3. Sungani shuga pafupi ngati pachitika ngozi: Nthawi zonse sungani chakudya china, monga chigawo cha shuga, piritsi la shuga, kapena tofi, pafupi ngati shuga wanu watsika mwadzidzidzi.
4. Musamalumphe chakudya: Musamalumphe chakudya chachikulu pazifukwa zilizonse. Funsani dokotala wanu za kumwa mowa.
5. Valani chiphaso cha dokotala: Kuvala khadi kapena chibangili chosonyeza kuti muli ndi matenda a shuga komanso mitundu ndi milingo ya mankhwala omwe mumamwa kungakhale kofunikira kwambiri pakagwa ngozi.
Zotsatirapo zoyipa za mankhwalawa
Monga mankhwala ena aliwonse, mankhwalawa angayambitse zotsatirapo zina mwa anthu ena. Ngakhale kuti zambiri mwa izi ndi zazing'ono, pali zinthu zina zomwe tiyenera kusamala nazo kwambiri.
| Zotsatira zoyipa | Kufotokozera ndi choti muchite |
|---|---|
| Matenda aakulu omwe amafunika chithandizo chamankhwala mwachangu | |
| Matenda Oopsa a Thupi | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo, lilime kapena pakhosi. |
| Matenda a shuga a ketoacidosis (DKA) | Ludzu lochuluka, kukodza pafupipafupi, pakamwa pouma, kupuma movutikira ngati zipatso, kupuma movutikira, kupweteka m'mimba, nseru, kusanza. |
| Zizindikiro za Kulephera kwa Mtima | Kuvuta kupuma, kutupa kwa akakolo, mapazi, kapena manja, kunenepa mwadzidzidzi, kutopa kwambiri. |
| Pancreatitis | Kupweteka kwambiri m'mimba (komwe kumafika kumbuyo), kupweteka komwe kumawonjezeka mukadya kapena mukakhudza, kutentha thupi, nseru, ndi kusanza. |
| Matenda a mkodzo (UTI) | Matenda a mkodzo, kukodza pafupipafupi, mkodzo wodzaza ndi magazi kapena mitambo, kupweteka kwa msana kapena m'chiuno. |
| Matenda opatsirana pogonana | Kufiira, kutupa, kupweteka, kuyabwa, fungo loipa, kutuluka magazi kwambiri. |
| Matenda omwe nthawi zambiri si aakulu, koma ayenera kufotokozedwa kwa dokotala ngati akupitirira | |
| Matenda ena ang'onoang'ono | Kutsegula m'mimba, mutu, mphuno yotsekeka kapena yodzaza, pakhosi lopweteka. |
Uthenga Wopita Nawo Kunyumba
- Mankhwalawa ndi mankhwala ofunikira omwe amathandiza kuchepetsa matenda anu a shuga. Nthawi zonse imwani monga momwe dokotala wanu wanenera , panthawi yoyenera.
- Musanayambe kumwa mankhwala, uzani dokotala wanu za matenda anu onse komanso mankhwala ena onse omwe mukumwa.
- Dziwani zizindikiro za shuga wochepa m'magazi (chizungulire, thukuta, njala yochuluka) komanso shuga wochuluka m'magazi (ludzu lochuluka, kukodza pafupipafupi).
- Ngati mukukumana ndi mavuto ena aakulu monga ziwengo, kupuma movutikira, kapena kupweteka kwambiri m'mimba , funsani dokotala nthawi yomweyo.
- Mankhwalawa ndi gawo limodzi chabe la dongosolo lanu lothana ndi matenda a shuga. Onetsetsani kuti mukudya bwino komanso kuchita masewera olimbitsa thupi.
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