Kodi dokotala wanu anakupatsani mankhwala atsopano chifukwa muli ndi matenda a shuga a mtundu wachiwiri? Dzina lake mwina ndi kuphatikiza kwa mankhwala awiri otchedwa Empagliflozin ndi Linagliptin. Ku Sri Lanka, mankhwalawa akhoza kukhala pansi pa mayina monga GLYXAMBI. Musachite mantha mukaona mayina awiriwa. Mwachidule, awa ndi mankhwala omwe amathandiza kuchepetsa shuga m'magazi mwanu. Chifukwa chake lero, tiyeni tikambirane za mankhwalawa, zomwe amachita, komanso zomwe muyenera kusamala nazo mukamawagwiritsa ntchito.
Kodi kwenikweni chimachitika ndi mankhwala awa ndi chiyani?
Ndi zophweka kwambiri. Zosakaniza ziwiri zomwe zili mu mankhwalawa zimalamulira kuchuluka kwa shuga m'thupi lanu m'njira ziwiri. Choyamba ndi kupangitsa impso zanu kutulutsa shuga wambiri mu mkodzo wanu. Chinanso ndi kuwonjezera pang'ono ntchito ya mahomoni yomwe imalamulira shuga m'thupi lanu mwachibadwa.
Koma izi si matsenga . Kumwa mankhwalawa kokha sikungathandize. Ndikofunikira kutsatira malangizo a zakudya ndi masewera olimbitsa thupi omwe dokotala wanu wakupatsani. Pokhapokha ngati zonsezi zagwirizana, ndipamene mungapeze zotsatira zabwino kwambiri. Mankhwalawa amaperekedwa kwa anthu omwe ali ndi matenda a shuga a mtundu wa 2 okha. Sikoyenera anthu omwe ali ndi matenda a shuga a mtundu woyamba.
Zinthu zoti muuze dokotala wanu musanayambe kumwa mankhwala
Izi ndizofunikira kwambiri. Dokotala wanu asanakupatseni mankhwala awa, ayenera kukhala ndi chithunzi chonse cha thanzi lanu. Chifukwa chake, ngati muli ndi vuto lililonse lomwe latchulidwa pansipa, onetsetsani kuti mwauza dokotala wanu za vutoli.
| Mkhalidwe umene ukukukhudzani | N’chifukwa chiyani muyenera kuuza dokotala? |
|---|---|
| Matenda a impso kapena chiwindi | Popeza mankhwalawa amachotsedwa m'thupi kudzera mu impso, ndikofunikira kudziwa momwe amagwirira ntchito. |
| Ngati muli ndi vuto la kapamba kapena pancreatitis | Popeza mankhwalawa nthawi zina amatha kukhudza kapamba, ndikofunikira kudziwa mbiri yakale. |
| Ngati muli ndi matenda opatsirana pafupipafupi m'njira ya mkodzo (UTIs) kapena matenda a yisiti m'mimba | Popeza mankhwalawa amawonjezera shuga mu mkodzo, chiopsezo cha matenda chikhoza kuwonjezeka pang'ono. |
| Ngati mudadwalapo matenda a shuga a ketoacidosis (DKA) kale | Mankhwalawa angawonjezere chiopsezo cha DKA, kotero dokotala ayenera kudziwa za izi. |
| Ngati muli ndi pakati, mukuyesera kutenga pakati, kapena mukuyamwitsa | Izi ziyenera kufotokozedwa chifukwa chitetezo cha mankhwalawa sichinadziwike panthawi ya mimba ndi kuyamwitsa. |
| Ngati mumamwa mowa pafupipafupi | Mowa ungakhudze kuchuluka kwa shuga m'magazi ndi momwe mankhwala amagwirira ntchito. |
| Ngati mwachita opaleshoni yokonzedweratu, ngati simukufuna kudya chifukwa cha matenda, kapena ngati mukudya zakudya zopanda mchere wambiri | Zikatero, mlingo wa mankhwala ungafunike kusinthidwa, chifukwa thupi limatha madzi m'thupi kapena kuchuluka kwa shuga m'magazi kungasinthe. |
| Ngati mukumwa mankhwala ena, zowonjezera, kapena mankhwala azitsamba | Uzani dokotala wanu zonse zomwe mukumwa, chifukwa mankhwalawa angagwirizane ndi mankhwala ena. |
Kodi mumagwiritsa ntchito bwanji mankhwalawa?
Imwani monga momwe dokotala wanenera, mu mlingo wovomerezeka, panthawi yovomerezeka.
- Kawirikawiri amati amatengedwa m'mawa .
- Mezani piritsi ndi kapu ya madzi.
- Sizikukhudza ngati mutenga musanadye kapena mutadya. Koma khalani ndi chizolowezi chomwa nthawi yomweyo tsiku lililonse .
- Musasiye kumwa mankhwalawo mpaka dokotala wanu atakuuzani kuti mutero.
- Musamwe mankhwala opitirira mlingo womwe walembedwa.
Kodi mungachite chiyani ngati mwaphonya mlingo wa mankhwala?
Ngati izi zitachitika, musadandaule. Imwani mlingo womwe mwaphonya mwamsanga mukangokumbukira. Komabe, ngati nthawi yanu yotsatira yayandikira, dumphani mlingo womwe mwaphonya ndikumwa mlingo wotsatira panthawi yomwe yakonzedwa. Musamwe milingo iwiri nthawi imodzi .
Nanga bwanji ngati nditamwa mankhwala ochulukirapo?
Ngati mukuganiza kuti mwamwa mankhwala ochulukirapo kuposa momwe muyenera kukhalira, pitani ku Dipatimenti Yoona Zadzidzidzi (ETU) yapafupi nthawi yomweyo. Kapena, imbani National Poisons Information Centre ku Colombo National Hospital kuti mupeze malangizo. Mankhwalawa ndi a inu nokha. Musagawane ndi ena.
Zinthu zoti muzisamala nazo mukamamwa mankhwala
Chofunika kwambiri ndi kusamala thupi lanu. Ngati muwona zizindikiro zatsopano, musamazinyalanyaze.
- Kuyeza Shuga M'magazi: Phunzirani momwe mungayezere shuga m'magazi anu kunyumba. Dziwani zizindikiro za shuga wotsika m'magazi (Hypoglycemia) ndi shuga wambiri m'magazi (Hyperglycemia) ndi momwe mungathanirane nazo.
- Ngati shuga m'magazi mwanu watsika: Ngati mukumva zizindikiro monga thukuta, kugwedezeka, njala yayikulu, kapena chizungulire, chikhoza kukhala chizindikiro chakuti shuga m'magazi mwanu watsika. Nthawi zonse sungani chinthu monga thireyi ya shuga, piritsi la shuga, kapena tofi pafupi kuti mugwiritse ntchito pazochitika zotere.
- Kuyezetsa kwa HbA1C: Dokotala wanu adzayesa shuga m'magazi mwanu miyezi iwiri kapena itatu iliyonse. Izi zikusonyeza momwe shuga m'magazi mwanu yakhalira yolamulidwa bwino m'miyezi ingapo yapitayi.
- Musamadumphe chakudya: Kudya panthawi yoyenera n'kofunika kwambiri.
- ID ya Zachipatala: Kuvala khadi kapena chibangili chosonyeza kuti muli ndi matenda a shuga ndipo mitundu ndi milingo ya mankhwala omwe mumamwa kungakhale kothandiza kwambiri pakagwa ngozi.
Kodi zotsatirapo zake zingakhale zotani chifukwa cha mankhwalawo?
Monga mankhwala ena aliwonse, izi zingayambitse zotsatirapo zina mwa anthu ena. Si aliyense amene amalandira. Koma ndikofunikira kuzidziwa.
| Zotsatira zoyipa | Kufotokozera ndi choti muchite |
|---|---|
| Zotsatirapo zoyipa zomwe ziyenera kufotokozedwa kwa dokotala wanu nthawi yomweyo | |
| Matenda a shuga a Ketone (DKA) | Ludzu lochuluka, kukodza pafupipafupi, pakamwa pouma, kupuma movutikira, kupweteka m'mimba, nseru, kusanza, mpweya wonunkha ngati zipatso. Izi ndi zadzidzidzi, funsani upangiri wa dokotala nthawi yomweyo. |
| Matenda a ziwengo | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo kapena lilime, komanso kuvutika kupuma. |
| Matenda a mkodzo (UTI) | Matenda a mkodzo, kukodza pafupipafupi, magazi mu mkodzo, kupweteka kwa msana kapena m'chiuno. |
| Kusowa madzi m'thupi | Ludzu lochuluka, pakamwa pouma, chizungulire, mutu, mkodzo wakuda wachikasu/bulauni. |
| Pancreatitis | Kupweteka kwambiri m'mimba (makamaka komwe kumatuluka kumbuyo), kutentha thupi, nseru, kusanza. |
| Zizindikiro za Kulephera kwa Mtima | Kuvuta kupuma, kutupa kwa akakolo, mapazi, kapena manja, kunenepa mwadzidzidzi, kutopa kosazolowereka. |
| Zotsatirapo zomwe nthawi zambiri sizili zoopsa, koma ziyenera kufotokozedwa kwa dokotala ngati zikupitirira | |
| Chifuwa | Kutsokomola ngati chimfine. |
| Kutsegula m'mimba | Kutupa m'mimba. |
| Zizindikiro zofanana ndi kuzizira | Mphuno yotuluka madzi, pakhosi lopweteka. |
Uthenga Wopita Nawo Kunyumba
- Nthawi zonse imwani mankhwalawa monga momwe dokotala wanu wanenera, mu mlingo woyenera.
- Onetsetsani kuti mwauza dokotala wanu za matenda ena aliwonse omwe muli nawo, ziwengo, ndi mankhwala ena onse omwe mumamwa.
- Dziwani zizindikiro za shuga wochepa m'magazi (chizungulire, thukuta) komanso shuga wochuluka m'magazi (ludzu lopitirira muyeso).
- Fufuzani thandizo lachipatala mwamsanga ngati zizindikiro za zotsatirapo zoyipa monga DKA zachitika.
- Pewani kusiya kumwa mankhwala kapena kusintha mlingo popanda malangizo a dokotala.
- Kuyezetsa matenda nthawi zonse (makamaka HbA1C) ndi upangiri wa dokotala ndizofunikira kwambiri kuti muzitha kusamalira bwino matenda anu a shuga.
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