Nthawi zina shuga m'magazi mwathu amatsika mwadzidzidzi, sichoncho? Koma chifukwa cha matenda enaake apadera, thupi limapanga mahomoni ambiri a insulin, ndipo shuga m'magazi nthawi zonse amakhala otsika kwambiri. M'mawu azachipatala, timatcha izi mosiyana ndi hyperglycemia, yomwe ndi hypoglycemia. Muzochitika zotere, mankhwala apadera omwe madokotala amagwiritsa ntchito amatchedwa diazoxide. Lero, tikambirana za mankhwalawa mwatsatanetsatane komanso mosavuta.
Kodi Diazoxide ndi mankhwala otani?
Mwachidule, Diazoxide ndi mankhwala omwe amalamulira kupanga kwa mahomoni otchedwa insulin ndi kapamba wa thupi lathu. Nthawi zambiri, insulin imalamulira kuchuluka kwa shuga m'magazi potumiza shuga (shuga) kuchokera m'magazi kupita ku maselo. Komabe, anthu ena, makamaka ana aang'ono, akhoza kukhala ndi vuto lotchedwa hyperinsulinism komwe amapanga insulin yochuluka kwambiri. Izi zimapangitsa kuti kuchuluka kwa shuga m'magazi kuchepe kwambiri.
Diazoxide imagwira ntchito poletsa kupanga insulini kosafunikira kumeneku . Izi zimapangitsa kuti shuga m'magazi abwerere mwakale. Nthawi zambiri imabwera ngati madzi (kulowetsedwa m'kamwa). Ku Sri Lanka, nthawi zina imapezeka pansi pa dzina la Proglycem.
Zinthu zomwe muyenera kuuza dokotala wanu musanayambe kumwa mankhwala
Musanapereke mankhwalawa kwa inu kapena mwana wanu, ndikofunikira kudziwitsa dokotala wanu za izi: Izi ndizofunikira kwambiri.
- Ngati muli ndi matenda a shuga .
- Ngati muli ndi matenda a mtima .
- Ngati munali ndi gout kale.
- Ngati muli ndi matenda a impso .
- Ngati muli ndi vuto la diazoxide, mankhwala a sulfa, kapena mankhwala ena aliwonse, chakudya, kapena utoto.
- Ngati muli ndi pakati kapena mukuyembekezera mwana .
- Ngati ndinu mayi woyamwitsa .
Kutengera ndi izi, dokotala adzasankha ngati mankhwalawa ndi oyenera kwa inu kapena ayi, ndipo ngati ndi choncho, momwe mungawaperekere.
Kodi mungagwiritse ntchito bwanji mankhwalawa moyenera?
Popeza ichi ndi mankhwala amadzimadzi, samalani ndi zinthu izi mukamazigwiritsa ntchito.
1. Gwedezani bwino: Gwedezani botolo bwino musanagwiritse ntchito.
2. Muyeso wolondola: Gwiritsani ntchito supuni yapadera yoyezera (supuni yolembedwa) kapena chotsitsa chomwe chimabwera ndi mankhwala. Musagwiritse ntchito supuni zapakhomo kapena supuni za mpunga. Chifukwa sizipereka mlingo weniweni. Zingakhale zoopsa. Ngati mulibe muyeso wotere, funsani dokotala wanu za izi.
3.Pa nthawi yake: Perekani mankhwala pa nthawi yomwe mwapatsidwa komanso nthawi yomwe mwapatsidwa monga mwalangizidwira ndi dokotala. Musapereke mankhwala ochulukirapo kuposa kuchuluka komwe mwapatsidwa.
4. Akapatsidwa ana: Mankhwalawa amaperekedwanso kwa makanda obadwa kumene pazifukwa zinazake zapadera. Koma ayenera kuchitidwa motsogozedwa ndi dokotala wa ana . Chifukwa chake, samalani kwambiri ngati mukupereka mankhwalawa kwa mwana.
Nanga bwanji ngati nditaiwala kumwa mankhwala enaake?
Ngati mwaiwala kumwa mlingo, imwani mwamsanga mukangokumbukira. Komabe, ngati nthawi yanu yotsatira yayandikira, dumphani mlingo womwe mwaphonya ndi kumwa mlingo wotsatira panthawi yomwe mwakonza. Musamwe mlingo wowirikiza kawiri kuti mubwezeretse mlingo womwe mwaiwala.
Kodi mungachite chiyani ngati mwamwa mopitirira muyeso?
Ngati mukuganiza kuti mwamwa mankhwala ambiri kuposa momwe munaganizira, musazengereze.
Imbani nthawi yomweyo ku National Poisons Information Centre ku Colombo National Hospital . Kapena pitani ku chipatala chapafupi cha Emergency Treatment Unit (ETU) mwachangu momwe mungathere. Chitani izi ngati zadzidzidzi.
Kodi zotsatirapo zake zingakhale zotani?
Monga mankhwala ena aliwonse, Diazoxide ingayambitse zotsatira zina zoyipa. Zina mwa izi ndi zazikulu, pomwe zina ndizofala. Gome ili pansipa likuwonetsa bwino izi.
| Zotsatira zoyipa | Kufotokozera |
|---|---|
| Zotsatirapo zoyipa zomwe ziyenera kufotokozedwa kwa dokotala wanu nthawi yomweyo | |
| Matenda a ziwengo | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo kapena lilime. |
| Kusintha kwa masomphenya | Kuwona molakwika, kusintha kwa malingaliro. |
| Kupweteka pachifuwa, kusintha kwa kugunda kwa mtima | Kumva ngati mtima wanu ukugunda mofulumira kapena mosinthasintha, kupweteka pachifuwa. |
| Kusintha kwa mkodzo ndi ludzu lochuluka | Mkodzo wakuda kapena wamtambo, kuchepa kwa mkodzo, ludzu lochuluka, komanso fungo la zipatso pamphuno. |
| Kutupa thupi kapena kunenepa | Kutupa kosazolowereka kwa thupi, makamaka miyendo, kapena kunenepa mwadzidzidzi. |
| Zizindikiro zina zazikulu | Chizungulire, kugwa, kuvulala kapena kutuluka magazi kosazolowereka, kugwedezeka kosazolowereka kwa maso kapena pakamwa, kutopa kwambiri. |
| Zotsatirapo zomwe nthawi zambiri sizili zoopsa, koma ziyenera kufotokozedwa kwa dokotala ngati zikupitirira | |
| Kukula kwa tsitsi kosazolowereka | Kumera kwa tsitsi kosazolowereka pa thupi, makamaka pankhope ndi miyendo ya atsikana ndi akazi (hirsutism). |
| Mavuto a m'mimba | Kusowa chilakolako cha chakudya, nseru, kusanza, kutsegula m'mimba, kusintha kwa kukoma. |
| Mutu | Mutu. |
Kuyanjana ndi mankhwala ena
Mankhwala ena omwe mukumwa angagwirizane ndi Diazoxide, makamaka:
- Mankhwala ochepetsa mphamvu ya mkodzo
- Mankhwala a kuthamanga kwa magazi
- Mankhwala a khunyu monga Phenytoin
- Mankhwala ochepetsa magazi monga Warfarin
Choncho, perekani dokotala wanu mndandanda wathunthu wa mankhwala onse omwe mukumwa (kuphatikizapo mavitamini, mankhwala ogulitsidwa kunja kwa chipatala, ndi zowonjezera).
Uthenga Wopita Nawo Kunyumba
- Diazoxide ndi mankhwala omwe amagwiritsidwa ntchito pochiza matenda enaake omwe shuga m'magazi amatsika kwambiri. Gwiritsani ntchito izi pokhapokha ngati mwalangizidwa ndi dokotala.
- Mukamapereka mankhwala, gwiritsani ntchito supuni yapadera yoyezera kapena chotsukira chomwe chimabwera nacho. Pewani kugwiritsa ntchito supuni zapakhomo.
- Musanayambe kumwa mankhwala, uzani dokotala wanu za matenda anu onse komanso mankhwala ena onse omwe mukumwa.
- Ngati mukukumana ndi mavuto ena aakulu monga kupweteka pachifuwa, kuvutika kupuma, kapena kutupa thupi, pitani kwa dokotala nthawi yomweyo.
- Kumwa mankhwala ochulukirapo ndi vuto ladzidzidzi. Imbani National Poisons Information Center nthawi yomweyo kapena pitani ku chipatala chapafupi cha Emergency Department (ETU).
- Sungani mankhwalawa pamalo omwe ana sangafikire, kutali ndi kuwala, komanso kutentha kwa chipinda.
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