Kukhala ndi matenda a shuga nthawi zina kungakhale kovuta, sichoncho? Kumwa mapiritsi angapo patsiku nakonso kumakhala kovuta. Chifukwa chake ngati dokotala wanu wakupatsani mankhwala osakaniza atatuwa, zikutanthauza kuti ntchito yanu yakhala yosavuta kwambiri. Tiyeni tikambirane mwachidule za mankhwalawa, zomwe amagwira ntchito, komanso zomwe muyenera kusamala nazo.
Kodi mankhwalawa ndi chiyani? Kodi amagwira ntchito bwanji pa thupi?
Mwachidule, iyi ndi mankhwala omwe amachiritsa matenda a shuga amtundu wachiwiri. Piritsi ili lili ndi kuphatikiza kwa mankhwala atatu: Empagliflozin, Linagliptin, ndi Metformin.
Chinthu chachikulu pa mankhwalawa ndikuchepetsa kuchuluka kwa shuga m'magazi mwanu. Komanso, mankhwalawa amathandiza kuchepetsa chiopsezo cha matenda a mtima ndi sitiroko omwe angachitike mwa munthu wodwala matenda ashuga. Koma kumbukirani kuti mankhwalawa okha si okwanira. Kuti mupeze zotsatira zoyenera, muyenera kuwongolera zakudya zanu komanso masewera olimbitsa thupi limodzi ndi mankhwalawa.
Ku Sri Lanka, mankhwalawa amatha kuperekedwa pansi pa mayina a makampani monga ``Trijardy XR''.
Zinthu zomwe muyenera kuuza dokotala wanu musanayambe kumwa mankhwalawa
Ndikofunikira kwambiri kuti dokotala wanu adziwe mbiri yanu yonse ya matenda. Ngati muli ndi vuto lililonse mwa lomwe latchulidwa pansipa, onetsetsani kuti mwawauza musanayambe kumwa mankhwalawa.
| Mkhalidwe umene ukukukhudzani | Zifukwa zodziwitsira dokotala |
|---|---|
| Ngati muli ndi matenda a shuga amtundu woyamba | Mankhwalawa si oyenera matenda a shuga amtundu woyamba. |
| Matenda a impso kapena chiwindi | Popeza mankhwala amachotsedwa m'thupi kudzera m'ziwalo izi, ndikofunikira kudziwa ntchito yawo. |
| Matenda a mtima, matenda a mtima, kapena kulephera kwa mtima | Izi ndizofunikira podziwa momwe mankhwalawa adzakhudzire komanso kuchuluka kwake. |
| Ngati mudadwalapo kale matenda a shuga otchedwa Diabetic Ketoacidosis (DKA) | Tiyenera kusamala kuti vutoli lisabwerezenso. |
| Ngati mumamwa mowa nthawi zonse | Kuphatikiza mowa ndi mankhwala awa kungayambitse zotsatirapo zoopsa. |
| Ngati mukukonzekera kuchitidwa opaleshoni kapena kujambulidwa ndi CT/X-ray | Mankhwalawa angafunike kuyimitsidwa kwakanthawi asanayambe komanso atachitika zinthu zotere. |
| Ngati muli ndi matenda opatsirana pafupipafupi m'njira ya mkodzo (UTIs) kapena matenda a yisiti m'mimba | Mankhwalawa angawonjezere pang'ono chiopsezo cha matenda otere. |
| Ngati muli ndi pakati, mukuyesera kutenga pakati, kapena mukuyamwitsa | Pazochitikazi, ndikofunikira kwambiri kulankhula ndi dokotala wanu za zotsatira za mankhwala. |
| Mavuto ena azaumoyo (monga kapamba, kusowa kwa vitamini B12, zilonda za mapazi, mavuto ozungulira magazi) | Kuyenerera kwa mankhwala kuyenera kutsimikiziridwa kutengera thanzi lanu lonse. |
Kodi ndiyenera kugwiritsa ntchito bwanji mankhwalawa?
Izi n'zosavuta kwambiri.
- Mezani piritsi ndi kapu ya madzi .
- Imwani nthawi yomweyo tsiku lililonse, m'mawa ndi chakudya.
- Chofunika kwambiri: Musaswe, kuphwanya, kapena kutafuna piritsi ili. Mezani piritsi lonse.
- Pitirizani kumwa mankhwalawo mpaka dokotala wanu atakuuzani kuti musiye.
Chofunika kudziwa: Mankhwalawa ndi a inu nokha. Musapatse wina aliyense amene ali ndi zizindikiro zomwezo monga inu. Akhoza kukhala oopsa.
Nanga bwanji ngati nditamwa mankhwala ochulukirapo?
Ngati mukuganiza kuti mwamwa mankhwala ambiri kuposa momwe mukuganizira, imbani nthawi yomweyo ku National Poison Information Centre ku Colombo National Hospital . Kapena, pitani ku Emergency Treatment Unit (ETU) ya chipatala chapafupi.
Kodi mungachite chiyani ngati mwaphonya mlingo wa mankhwala?
Ngati mwaphonya mlingo, imwani mwamsanga mukangokumbukira. Komabe, ngati nthawi yatsala pang'ono yoti mutenge mlingo wotsatira, thawani mlingo womwe mwaphonya ndikumwa mlingo wotsatira panthawi yomwe mwakonza. Musamwe milingo iwiri nthawi imodzi.
Mankhwala ena omwe angagwirizane ndi mankhwalawa
Ndikofunikira kwambiri kuuza dokotala wanu za mankhwala onse omwe mukumwa, kuphatikizapo mavitamini, mankhwala azitsamba, ndi zowonjezera. Mankhwala ena amatha kusokonezana ndi mankhwalawa ndikuyambitsa zotsatirapo zake.
| Musamwe mankhwala ndi izi! | |
|---|---|
| Mankhwala ena osiyanitsa mitundu (utoto) omwe amaperekedwa musanagwiritse ntchito CT, MRI, kapena X-ray scans | Popeza izi zingakhudze impso, dokotala wanu angakuuzeni kuti musiye kumwa mankhwalawo kwakanthawi. |
| Samalani kwambiri ngati mukumwa mankhwala awa. |
|---|
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Mankhwala ena, makamaka beta-blockers, amatha kubisa zizindikiro za shuga wotsika m'magazi (hypoglycemia) (monga kugunda kwa mtima kokwera). Chifukwa chake, ndikofunikira kudziwitsa dokotala wanu za mankhwala onse omwe mukumwa.
Zinthu zoti muzisamala nazo mukamamwa mankhwala
Pitani kwa dokotala nthawi zonse.
Dokotala wanu adzakuyang'anani nthawi zonse kuti aone momwe matenda anu a shuga akuyendetsedwera bwino. Adzayitanitsanso kuti muyesedwe magazi otchedwa HbA1C (A1C) . Izi zitha kuwonetsa kuchuluka kwa shuga m'magazi mwanu m'miyezi iwiri kapena itatu yapitayi.
Dziwani kuti shuga m'magazi anu ndi wotsika (hypoglycemia)
Izi ndizofunikira kwambiri. Dziwani zizindikiro za shuga wotsika m'magazi ( chizungulire , thukuta, kugwedezeka, chisokonezo). Nthawi zonse sungani shuga pang'ono, monga maswiti kapena mapiritsi a shuga, pafupi. Ngati mwakomoka chifukwa cha shuga wotsika m'magazi, simungathe kuyika chilichonse mkamwa mwanu, choncho onetsetsani kuti mwauza abale anu ndi anzanu za izi. Ngati izi zitachitika, funani thandizo lachipatala nthawi yomweyo.
Samalani kuti thupi lanu likhale ndi madzi okwanira.
Ndikofunikira kukhala ndi madzi okwanira mukamwa mankhwalawa. Imwani madzi ambiri tsiku lonse. Ngati mukumva zizindikiro monga malungo, kusanza, kapena kutsegula m'mimba, chifukwa izi zingayambitse kutaya madzi m'thupi, uzani dokotala wanu nthawi yomweyo.
Musaope chivundikiro cha mapiritsi.
Mankhwala omwe ali mu piritsili akalowa m'thupi, chivundikiro chakunja sichingasungunuke ndipo chingatuluke mu ndowe. Izi ndi zachilendo. Musadandaule nazo.
Vitamini B12
Kugwiritsa ntchito metformin kwa nthawi yayitali kungayambitse kuchepa pang'ono kwa vitamini B12, kotero dokotala wanu adzayang'aniranso izi.
Zotsatirapo zomwe zingachitike chifukwa cha mankhwala
Monga mankhwala ena aliwonse, mankhwalawa angayambitse mavuto ena mwa anthu ena. Ena ndi oopsa, ena ndi ofala kwambiri.
| Ngati muli ndi zizindikiro izi, pitani kwa dokotala nthawi yomweyo! | |
|---|---|
| Matenda a ziwengo | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo, lilime. |
| Matenda a shuga a ketoacidosis (DKA) | Pakamwa pouma, ludzu lochuluka, kupuma movutikira, kupuma mopanda kukoma, kupweteka m'mimba, kusanza. |
| Pancreatitis | Ululu waukulu m'mimba pamwamba pa mimba womwe umatuluka kumbuyo, ululu womwe umakula kwambiri mutatha kudya, kutentha thupi, kusanza. |
| Matenda a mkodzo (UTI) | Matenda a mkodzo, kukodza pafupipafupi, mkodzo wotuluka magazi, kupweteka kwa msana kapena m'chiuno. |
| Matenda opatsirana pogonana | Kufiira, kutupa, kuyabwa, kupweteka, fungo. |
| Kulephera kwa mtima | Kuvuta kupuma, kutupa kwa akakolo ndi mapazi, kunenepa mwadzidzidzi, kutopa kwambiri. |
| Izi nthawi zambiri sizimakhala zoopsa, koma ngati zikupitirira, uzani dokotala wanu. | |
| Kutsegula m'mimba | Chifuwa, pakhosi |
| Mutu | Zizindikiro zonga kuzizira (kutuluka magazi) |
Uthenga Wopita Nawo Kunyumba
- Mankhwalawa ndi a matenda a shuga a mtundu wachiwiri okha. Ayeneranso kugwiritsidwa ntchito limodzi ndi zakudya komanso masewera olimbitsa thupi.
- Imwani piritsi nthawi yomweyo m'mawa uliwonse, pamodzi ndi chakudya. Musamaswe, kuphwanya, kapena kutafuna piritsi.
- Dziwani zizindikiro za shuga wochepa m'magazi. Nthawi zonse sungani shuga pafupi.
- Sungani madzi okwanira m'thupi lanu, makamaka ngati muli ndi malungo, kusanza, kapena kutsegula m'mimba.
- Onetsetsani kuti mwauza dokotala wanu za mankhwala ena onse omwe mumamwa, matenda anu ena, ndi opaleshoni iliyonse yomwe mukukonzekera.
- Ngati mukumva kupweteka kwambiri m'mimba, kupuma movutikira, kapena kukhala ndi vuto lalikulu la ziwengo, funsani thandizo la dokotala nthawi yomweyo.
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