Ngati mukudwalanso matenda a shuga a mtundu wachiwiri, dokotala wanu akhoza kukupatsani mapiritsi opangidwa ndi mankhwala oposa umodzi. Trijardy XR ndi imodzi mwa mapiritsi otere, kuphatikiza kwapadera kwa mankhwala atatu omwe amathandiza kuwongolera matenda a shuga. Chifukwa chake lero, tiyeni tikambirane za mankhwalawa, zomwe amachita, komanso zomwe muyenera kusamala nazo mukamagwiritsira ntchito.
Mwachidule, kodi chimachitika ndi chiyani ndi mankhwalawa?
Pali mitundu itatu ikuluikulu ya mankhwalawa: Empagliflozin, Linagliptin, ndi Metformin . Zonsezi zitatu zimagwira ntchito limodzi kuti zichite zinthu zingapo m'thupi lanu.
- Amachepetsa kuchuluka kwa shuga m'magazi.
- Kwa anthu ena, izi zimathandizanso kuchepetsa chiopsezo cha matenda a mtima ndi sitiroko omwe angachitike chifukwa cha matenda a shuga.
Koma kumbukirani, kumwa mankhwalawa kokha sikokwanira. Zakudya zabwino komanso kuchita masewera olimbitsa thupi ndizofunikira kwambiri pa chithandizochi. Mankhwalawa amaperekedwa kwa odwala matenda a shuga amtundu wachiwiri okha, si oyenera anthu omwe ali ndi matenda a shuga amtundu woyamba.
Zinthu zoti muuze dokotala wanu musanayambe kumwa mankhwala
Dokotala wanu asanakupatseni mankhwala awa, ayenera kudziwa mbiri yanu yonse ya thanzi. Ngati muli ndi vuto lililonse mwa omwe ali pansipa, onetsetsani kuti mwadziwitsa dokotala wanu . Izi ndizofunikira kwambiri pa chitetezo chanu.
| Mtundu wa chidziwitso | Zinthu zomwe muyenera kusamala nazo |
|---|---|
| Matenda omwe alipo | Matenda a impso, matenda a chiwindi, matenda a mtima, kulephera kwa mtima, cholesterol yokwera, kuthamanga kwa magazi, kuchepa kwa magazi m'thupi, kapamba, matenda a mkodzo, matenda a polycystic ovary syndrome (PCOS), matenda a shuga a ketoacidosis. |
| Nkhani zokhudzana ndi moyo | Ngati mumamwa mowa pafupipafupi, mutsatira zakudya zopanda mchere wambiri, simumadya chakudya chokwanira chifukwa cha opaleshoni, matenda, kapena zifukwa zina, kapena ngati thupi lanu lasowa madzi m'thupi. |
| Ziwengo ndi mimba | Ngati muli ndi vuto la mankhwala awa kapena mankhwala ena aliwonse kapena chakudya. Ngati kale munavutika kupuma chifukwa cha kutupa kwa lilime, nkhope, kapena milomo. Ngati muli ndi pakati, mukuyesera kutenga pakati, kapena mukuyamwitsa. |
| Mfundo zina zapadera | Ngati mukumwa mankhwala oyeretsera magazi, mukuvutika kukodza, muli ndi matenda aakulu kapena bala, kapena simunadulidwe. |
Kodi mungagwiritse ntchito bwanji mankhwalawa moyenera?
- Imwani mankhwalawa pamodzi ndi kapu ya madzi.
- Imwani monga momwe dokotala wanu wanenera, panthawi yoyenera. Musamwe mopitirira muyeso womwe dokotala wakuuzani.
- Musaswe, kuphwanya, kapena kutafuna piritsi ili. Mezani lonse. Popeza iyi ndi piritsi ya Extended-Release (XR), idapangidwa kuti itulutse mankhwala m'thupi kwa maola angapo. Ngati muswa, njira imeneyo idzatayika.
- Musasiye kumwa mankhwala anu popanda upangiri wa dokotala.
- Mungaone chinthu chonga piritsi lonse likutuluka ndi ndowe zanu. Izi sizachilendo, musadandaule. Ndi chipolopolo chopanda kanthu chomwe chimatsala mankhwala omwe ali mu piritsi atalowa m'thupi lanu.
Nanga bwanji ngati mlingo ukuwonjezeka?
Ngati mukuganiza kuti mwamwa mankhwala ochulukirapo, imbani nthawi yomweyo ku National Poisons Information Centre ku Colombo National Hospital , kapena pitani ku Emergency Treatment Unit (ETU) ya chipatala chapafupi.
Nanga bwanji ngati nditaiwala kumwa mankhwala anga?
Ngati mwaiwala kumwa mlingo, imwani mwamsanga mukangokumbukira. Koma ngati nthawi yanu yotsatira yayandikira, dumphani mlingo womwe mwaphonya ndi kumwa mlingo wotsatira panthawi yomwe mwakonza. Musamwe mlingo umodzi nthawi imodzi.
Mankhwala ena omwe angagwirizane ndi mankhwalawa
Mankhwala ena omwe mukumwa angagwirizane ndi mankhwalawa, choncho uzani dokotala wanu za mankhwala onse omwe mukumwa (kuphatikizapo mavitamini ndi mankhwala azitsamba) .
Samalani kwambiri: Ndikoopsa kwambiri kumwa mankhwalawa ndi mankhwala enaake osiyanitsa mitundu, monga Dofetilide ndi Gatifloxacin, omwe amabayidwa m'thupi musanayesedwe mayeso monga X-ray, CT scans, ndi MRIs.
Mankhwala omwe ali pansipa angagwirizane ndi mankhwalawa, choncho ndikofunikira kudziwitsa dokotala wanu ngati mukumwa chilichonse mwa izi.
| Gulu la mankhwala | Zitsanzo |
|---|---|
| Mankhwala ena a kuthamanga kwa magazi ndi matenda a mtima | Mankhwala ochepetsa kukodza (mankhwala omwe amayambitsa kukodza kwambiri), Digoxin, Ranolazine |
| Mankhwala ena a khunyu | Carbamazepine, Phenobarbital, Phenytoin, Topiramate |
| Mitundu ya mahomoni ndi ma steroid | Estrogen, Progestin, Prednisone, Cortisone, mankhwala a chithokomiro |
| Mankhwala ndi zinthu zina zosiyanasiyana | Mowa, Acetazolamide, Cimetidine, Rifampin, St. John's Wort, mankhwala ena a HIV/Hepatitis, Niacin |
Zinthu zofunika kwambiri kuziganizira mukamamwa mankhwala
- Lactic Acidosis: Mankhwalawa nthawi zina angayambitse kuchuluka kwa asidi m'magazi (lactic acidosis). Ngati mukumva zizindikiro monga nseru, kusanza, kupweteka m'mimba, kutopa kwambiri, kapena kupuma movutikira , siyani kumwa mankhwalawa nthawi yomweyo ndipo lankhulani ndi dokotala wanu.
- Kuyeza kwa HbA1C: Kuti muwone momwe matenda anu a shuga amayendetsedwera bwino, dokotala wanu adzalamula kuti muyesedwe magazi otchedwa HbA1C , omwe amachitidwa miyezi iwiri kapena itatu iliyonse.
- Dziwani kuchuluka kwa shuga m'magazi mwanu: Dziwani zizindikiro za kuchuluka kwa shuga m'magazi kotsika (hypoglycemia) ndi kuchuluka kwa shuga m'magazi. Nthawi zonse khalani ndi china chake pafupi, monga glucose bar, shuga cube, kapena chakumwa chokhala ndi shuga, kuti mumwe nthawi yomweyo shuga m'magazi mwanu akatsika.
- Musamadumphe chakudya: Musamadumphe chakudya. Funsani dokotala wanu za kumwa mowa.
- Mimba ndi njira zolerera:Mankhwalawa angayambitse ovulation mwa akazi ena ndikuwonjezera mwayi wokhala ndi pakati. Mankhwalawa si oyenera ngati mukufuna kutenga pakati kapena muli ndi pakati. Chifukwa chake, lankhulani ndi dokotala wanu za njira zoyenera zolerera pamene mukumwa mankhwalawa.
- Opaleshoni ndi mayeso: Ngati mukufuna kuchitidwa opaleshoni kapena mayeso monga MRI kapena CT scan, uzani gulu lachipatala pasadakhale kuti mukumwa mankhwala awa. Mungafunike kusiya kumwa mankhwalawo masiku amenewo.
- Kusowa kwa mavitamini: Kugwiritsa ntchito mankhwalawa kwa nthawi yayitali kungachepetse kuchuluka kwa vitamini B12 ndi folic acid. Chifukwa chake, lankhulani ndi dokotala wanu za kudya zakudya zoyenera komanso kumwa mavitamini owonjezera ngati pakufunika kutero.
Zotsatirapo zomwe zingachitike chifukwa cha mankhwala
Monga mankhwala ena aliwonse, mankhwalawa akhoza kukhala ndi zotsatirapo zake. Ena ndi oopsa, ena ndi ofala.
| Kugawa zotsatira zoyipa | |
|---|---|
| 🚨 Zotsatirapo zoyipa zomwe ziyenera kufotokozedwa kwa dokotala nthawi yomweyo | |
| Kusamvana kwa Thupi | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo, lilime, komanso kuvutika kupuma. |
| Matenda a shuga a ketoacidosis (DKA) | Ludzu lochuluka, kukodza pafupipafupi, pakamwa pouma, kupuma movutikira ngati zipatso, kupuma movutikira, kupweteka m'mimba, nseru, kusanza. |
| Kusowa madzi m'thupi | Ludzu lochuluka, pakamwa pouma, chizungulire, mutu, mkodzo wakuda wachikasu/bulauni. |
| Matenda a mkodzo (UTI) | Matenda a mkodzo, kukodza pafupipafupi, mkodzo wodzaza ndi magazi kapena mitambo, kupweteka kwa msana kapena m'chiuno. |
| Zizindikiro zina zazikulu | Kupweteka kwambiri kwa mafupa, zizindikiro za matenda a mtima (kupuma movutikira, kutupa kwa akakolo), kutupa kwa kapamba (kupweteka kwambiri m'mimba), matenda opatsirana m'mimba kapena mozungulira ziwalo zoberekera, zizindikiro za kusowa kwa vitamini B12 (kuzizira m'manja ndi m'mapazi, chizungulire). |
| 🙂 Zotsatirapo zomwe nthawi zambiri sizimakhala zoopsa, koma ziyenera kufotokozedwa kwa dokotala ngati zikupitirira | |
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Uthenga Wopita Nawo Kunyumba
- Imwani mankhwalawa nthawi zonse mukadya chakudya cham'mawa. Mezani piritsi lonse, musaliswe kapena kuliphwanya.
- Onetsetsani kuti mwauza dokotala wanu za mankhwala ena onse omwe mukumwa komanso matenda aliwonse omwe muli nawo.
- Nthawi zonse sungani chinthu china pafupi (monga chigawo cha shuga) kuti mutenge ngati shuga m'magazi mwanu watsika.
- Fufuzani thandizo lachipatala mwamsanga ngati mukuona zizindikiro za mavuto aakulu monga kupuma movutikira, kupweteka kwambiri m'mimba, kapena ludzu lopitirira muyeso.
- Iyi ndi gawo limodzi lofunika kwambiri pa ulendo wanu wothana ndi matenda a shuga. Ndi yothandiza kwambiri ikaphatikizidwa ndi zakudya zoyenera komanso masewera olimbitsa thupi.
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