Kodi mulinso ndi matenda a shuga a mtundu wachiwiri? Ngati ndi choncho, dokotala wanu mwina anakupatsani mankhwala otchedwa Dapagliflozin. Anthu ambiri m'dziko lathu amagwiritsa ntchito mankhwalawa poletsa matenda awo a shuga. Chifukwa chake, lero tikambirana momveka bwino za mankhwalawa, momwe amagwirira ntchito m'thupi lathu, komanso zomwe tiyenera kusamala nazo kwambiri.
Kodi kwenikweni chimachitika ndi mankhwala awa ndi chiyani?
Mwachidule, mankhwalawa amagwira ntchito kudzera mu impso zanu. Izi zikutanthauza kuti, amathandiza impso zanu kuchotsa shuga wochuluka (shuga) m'magazi mwanu kudzera mu mkodzo wanu. Umu ndi momwe amagwirira ntchito pochepetsa shuga m'magazi ndikulamulira matenda a shuga.
Koma si zokhazo. Mankhwalawa amathandizanso kuchepetsa chiopsezo cha matenda a mtima, sitiroko, matenda a impso, komanso kugonekedwa m'chipatala chifukwa cha matenda a mtima mwa anthu omwe ali ndi matenda a shuga amtundu wa 2. Ichi ndichifukwa chake madokotala nthawi zambiri amawalimbikitsa. Kumbukirani, ndikofunikiranso kutsatira zakudya zoyenera komanso kuchita masewera olimbitsa thupi mukamamwa mankhwalawa.
Zinthu zomwe muyenera kuuza dokotala musanamwe Dapagliflozin
Musanayambe kumwa mankhwalawa, ndikofunikira kwambiri kudziwitsa dokotala wanu za thanzi lanu lonse. Chifukwa mankhwalawa sangakhale oyenera anthu ena. Onetsetsani kuti mwauza dokotala wanu ngati muli ndi vuto lililonse mwa awa:
- Ngati muli kale ndi matenda a impso kapena mukulandira chithandizo cha dialysis .
- Ngati kale munali ndi vuto lalikulu lotchedwa Diabetic Ketoacidosis (DKA) .
- Ngati muli ndi matenda opatsirana m'mitsempha ya mkodzo pafupipafupi kapena matenda a yisiti m'mimba.
- Ngati muli ndi kuthamanga kwa magazi kotsika.
- Ngati muli ndi pakati kapena mukuyembekezera kutenga pakati.
- Ngati ndinu mayi amene akuyamwitsa mwana .
- Ngati kale munali ndi vuto monga pancreatitis.
- Ngati mukutsatira zakudya zopanda mchere wambiri .
- Ngati chakudya chanu chachepa chifukwa cha opaleshoni, matenda, kapena chifukwa china.
- Ngati mumakonda kumwa mowa pafupipafupi .
- Ngati muli ndi vuto la ziwengo chifukwa cha dapagliflozin kapena mankhwala ena aliwonse kapena chakudya.
Ndikofunikira kwambiri kuti mukhale otetezeka kupereka uthengawu kwa dokotala. Choncho muuzeni zonse popanda kubisa chilichonse.
Kodi ndimagwiritsa ntchito bwanji mankhwalawa molondola?
Imwani piritsi ili ndi madzi. Imwani ndi kapu ya madzi. Imwani monga momwe dokotala wanenera, nthawi yomweyo tsiku lililonse .Ndi bwino kumwa mankhwalawa musanayambe kapena mutadya. Mutha kumwa musanayambe kapena mutadya. Ngati nthawi zina mukumva kukhumudwa, ndi bwino kumwa mankhwalawa pamodzi ndi chakudya. Muyenera kupitiriza kumwa mankhwalawa mpaka dokotala wanu atakuuzani kuti musiye.
Kodi mungachite chiyani ngati mwaphonya mlingo wa mankhwala?
Ngati mwaiwala kumwa mlingo, imwani mwamsanga mukangokumbukira. Komabe, ngati nthawi yatsala pang'ono kuti mutenge mlingo wotsatira (monga, uli pafupi maola ochepa), dumphani mlingo womwe mwaphonya ndikumwa mlingo wotsatira panthawi yomwe mwakonza. Musamwe mlingo wowirikiza kawiri. Ngati izi zitachitika, lankhulani ndi dokotala wanu.
Nanga bwanji ngati nditamwa mankhwala ochulukirapo?
Ngati mukuganiza kuti mwamwa mankhwala ochulukirapo, musachite mantha ndipo imbani National Poisons Information Centre ku Colombo National Hospital mwachangu. Kapena pitani ku Emergency Treatment Unit (ETU) ya chipatala chapafupi.
Zinthu zomwe tiyenera kusamala nazo tikamamwa mankhwalawa
Muyenera kusamala nthawi zonse za thanzi lanu mukamagwiritsa ntchito mankhwalawa.
- Kupimidwa kuchipatala nthawi zonse: Pitani kuzipatala nthawi zomwe zakonzedwa monga momwe dokotala wanu wanenera ndipo fufuzani momwe mulili.
- Kuyeza kwa HbA1C: Kuti aone momwe matenda anu a shuga akuyendetsedwera bwino, dokotala wanu adzakuyezani magazi otchedwa HbA1C . Izi zimayesa momwe shuga m'magazi mwanu yayendetsedwera bwino m'miyezi iwiri kapena itatu yapitayi.
- Kuyeza Shuga M'magazi: Phunzirani momwe mungayesere shuga m'magazi anu kunyumba. Dziwani zizindikiro za shuga wotsika m'magazi (hypoglycemia) ndi shuga wambiri m'magazi (hyperglycemia).
- Ngati muli ndi shuga wochepa m'magazi: Ngati mukuona zizindikiro za shuga wochepa m'magazi (kutuluka thukuta, kugwedezeka, njala yambiri, chizungulire), sungani china chake pafupi, monga shuga, piritsi la shuga, kapena maswiti.
- Samalani ndi kusowa madzi m'thupi: Mankhwalawa angayambitse kutaya madzi m'thupi lanu chifukwa amatulutsa shuga mumkodzo wanu. Uzani dokotala wanu ngati muli ndi kutsegula m'mimba kwambiri, kusanza, kapena thukuta kwambiri. Imwani madzi ambiri tsiku lonse.
Zotsatirapo zoyipa komanso zoopsa zomwe zingakhalepo
Ngakhale kuti dapagliflozin nthawi zambiri ndi mankhwala otetezeka, nthawi zina angayambitse zotsatirapo zoyipa. Ngati mukukumana ndi zizindikiro zotsatirazi, siyani kumwa mankhwalawa nthawi yomweyo ndipo pitani kuchipatala.
| Zoopsa/zotsatira zake | Zinthu zofunika kuzisamala |
|---|---|
| Matenda a shuga a ketoacidosis (DKA) | Kusanza, kusanza, kupweteka m'mimba, kutopa kwambiri, kupuma movutikira, fungo loipa la mpweya wotuluka m'mphuno. |
| Kusowa madzi m'thupi | Ludzu lochuluka, pakamwa pouma, chizungulire, mutu, mkodzo wakuda wachikasu/bulauni. |
| Matenda a mkodzo (UTI) | Matenda a mkodzo, kukodza pafupipafupi, mkodzo wokhala ndi magazi kapena mitambo, kupweteka m'munsi mwa msana kapena m'mimba. |
| Matenda a yisiti m'mabanja | Kufiira, kutupa, kupweteka, kuyabwa, fungo, ndi kutuluka kwa chinthu chokhuthala. |
| Matenda a ziwengo | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo, lilime kapena pakhosi. |
| Fournier's Gangrene (matenda oopsa) | Kufiira, kutupa, kupweteka kwambiri, kapena kupweteka m'dera la pakati pa ziwalo zoberekera ndi thako. Imeneyi ndi vuto losowa kwambiri koma loopsa. |
Uthenga Wopita Nawo Kunyumba
- Nthawi zonse imwani mapiritsi a Dapagliflozin monga momwe dokotala wanu wanenera, panthawi yoyenera.
- Musanayambe kumwa mankhwala, uzani dokotala wanu za matenda anu onse ndi mankhwala ena omwe mukumwa.
- Ngati mukumva zizindikiro za DKA monga nseru, kusanza, kupweteka m'mimba, komanso kupuma movutikira, funsani upangiri wa dokotala nthawi yomweyo.
- Imwani madzi ambiri kuti mupewe kutaya madzi m'thupi. Dziwani zizindikiro za kutaya madzi m'thupi.
- Mankhwala awa ndi a inu nokha. Musagawire mankhwala anu ndi ena.
- Ngati muli ndi mafunso kapena nkhawa, musaganize chilichonse ndipo lankhulani ndi dokotala wanu.
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