Dokotala wanu akakuuzani kuti muli ndi matenda a shuga a mtundu wachiwiri, mwina mwapatsidwa mankhwala osiyanasiyana kuti muchepetse shuga m'magazi mwanu. Pakati pawo, mwina mwalandira piritsi lomwe lili ndi mankhwala awiri otchedwa Empagliflozin ndi Metformin. Ku Sri Lanka, mankhwalawa amatha kuperekedwa m'mafakitale monga Synjardy XR. Lero, tiyeni tikambirane za mankhwalawa ndi zinthu zomwe muyenera kusamala nazo mukamagwiritsa ntchito, mosavuta komanso momveka bwino.
Kodi kwenikweni chimachitika ndi mankhwala awa ndi chiyani?
Mwachidule, iyi ndi mankhwala omwe amachepetsa shuga (shuga) m'magazi mwanu. Ndi kuphatikiza kwa mitundu iwiri ya mankhwala.
1. Empagliflozin: Izi zimagwira ntchito popangitsa impso zanu kutulutsa shuga wochuluka m'thupi lanu kudzera mu mkodzo wanu.
2. Metformin: Izi zimachepetsa kwambiri kuchuluka kwa shuga komwe kumachokera ku chiwindi chanu, komanso zimathandiza maselo a thupi lanu kuyankha bwino ku insulin.
Chofunika kwambiri ndichakuti mankhwalawa nthawi zambiri amaperekedwa limodzi ndi zakudya zabwino komanso masewera olimbitsa thupi . Kumwa mankhwala okha sikokwanira, muyenera kusintha moyo wanu.
Zinthu zomwe muyenera kuuza dokotala wanu musanayambe kumwa mankhwala
Musanayambe kumwa mankhwalawa, ndikofunikira kwambiri kuuza dokotala wanu za mbiri yanu yonse ya thanzi, makamaka ngati muli ndi vuto lililonse lomwe latchulidwa pansipa.
| Mtundu wa chidziwitso | Kufotokozera |
|---|---|
| Matenda omwe alipo | Matenda a impso, matenda a chiwindi, matenda a mtima, cholesterol yambiri, kuchepa kwa magazi m'thupi (kuchepa kwa magazi), kuthamanga kwa magazi pang'ono, mavuto a kapamba (Pancreatitis), Polycystic Ovary Syndrome (PCOS), Matenda a Shuga a Mtundu 1. |
| Matenda ndi mavuto ena | Ngati muli ndi matenda opatsirana m'mitsempha pafupipafupi (UTIs), mbiri ya matenda opatsirana m'malo oberekera, kuvutika kukodza, matenda oopsa, kapena kuvulala. |
| Moyo ndi zakudya | Ngati mumamwa mowa pafupipafupi, mutsatira zakudya zopanda mchere wambiri, mumadya pang'ono chifukwa cha matenda, opaleshoni, kapena zifukwa zina, mukusanza, kapena mukusowa madzi m'thupi. |
| Zochitika zapadera | Ngati muli ndi pakati kapena mukufuna kutenga mimba, mayi woyamwitsa, mukuchita opaleshoni yomwe ikubwera, kapena muli ndi vuto la ziwengo chifukwa cha mankhwala kapena chakudya chilichonse. |
Kodi mungagwiritse ntchito bwanji mankhwalawa moyenera?
Kumbukirani zinthu izi bwino.
- Imwani mankhwalawa ndi kapu ya madzi.
- Mezani piritsi lonse. Musaliswe, kuliphwanya, kapena kulitafuna. Izi zili choncho chifukwa izi zapangidwira 'Kutulutsidwa Kwambiri', zomwe zikutanthauza kuti mankhwalawo amatuluka m'thupi pakapita nthawi. Ngati muswa piritsi, mankhwalawa amatha kulowa m'thupi nthawi imodzi ndikuyambitsa matenda oopsa.
- Imwani mankhwalawa mukadya .
- Imwani mankhwala monga momwe dokotala wanu wanenera, panthawi yomwe mwapatsidwa. Musasiye kumwa mankhwalawo pazifukwa zilizonse popanda malangizo a dokotala wanu.
Kodi mungachite chiyani ngati mwamwa mankhwala ochulukirapo?
Ngati mukuganiza kuti mwamwa mankhwala ochulukirapo, imbani nthawi yomweyo ku National Poisons Information Centre ku Colombo National Hospital (nambala ya foni 0112686143) kapena pitani ku chipatala chapafupi cha Emergency Treatment Unit (ETU) .
Nanga bwanji ngati ndaphonya mlingo wa mankhwala?
Ngati mwaphonya mlingo, imwani mwamsanga mukangokumbukira. Koma ngati nthawi yanu yotsatira yayandikira, dumphani mlingo womwe mwaphonya ndi kumwa mlingo wanu wotsatira monga momwe munakonzera. 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 angayambitse mavuto akamwedwa pamodzi.
Makamaka, mankhwala ena 'osiyana' omwe amabayidwa m'thupi asanayesedwe mayeso monga X-ray, CT scan, ndi MRI sayenera kumwedwa ndi mankhwalawa. Komanso, musamwe mankhwala otchedwa Dofetilide.
Patsani dokotala wanu mndandanda wa mankhwala onse omwe mumamwa. Imeneyo ndiyo njira yotetezeka kwambiri yochitira izi. Mankhwala ena a chifuwa ndi chimfine omwe amaperekedwa ku ofesi ya dokotala angakhale ndi shuga ndi mowa, zomwe zingakhudzenso kuchuluka kwa shuga m'magazi mwanu.
Zinthu zomwe muyenera kusamala nazo kwambiri mukamamwa mankhwala
- Lactic Acidosis: Ili ndi vuto losowa koma loopsa. Ngati mukumva nseru, kusanza, kupweteka m'mimba, kutopa kwambiri, kapena kupuma movutikira , siyani kumwa mankhwala nthawi yomweyo ndipo imbani dokotala wanu.
- Matenda a shuga otchedwa Diabetic Ketoacidosis (DKA): Uwu ndi matenda ena oopsa. Ngati mukumva zizindikiro monga pakamwa pouma, ludzu lopitirira muyeso, kukodza pafupipafupi, kupuma movutikira, komanso kupuma movutikira, pitani kuchipatala nthawi yomweyo.
- Kuyezetsa magazi kwa HbA1C: Kuyezetsa magazi kumeneku, komwe kumayesa kuchuluka kwa shuga m'magazi mwanu m'miyezi 2-3 yapitayi, kuyenera kuchitika panthawi yomwe yakonzedwa monga momwe dokotala wanu wanenera.
- Kuyeza kuchuluka kwa shuga m'magazi: Dziwani zizindikiro za shuga wotsika m'magazi (hypoglycemia) ndi shuga wambiri m'magazi (hyperglycemia). Sungani chakudya china, monga chidebe cha shuga kapena piritsi la shuga, ngati shuga m'magazi mwanu atsika.
- Opaleshoni ndi mayeso: Ngati mukufuna kuchitidwa opaleshoni, MRI, kapena CT scan, uzani gulu lachipatala pasadakhale kuti mukumwa mankhwala awa. Mungafunike kusiya kumwa mankhwalawo musanachite opaleshoni .
- Mimba: Mankhwalawa angakulitse chiopsezo chanu chokhala ndi pakati. Chifukwa chake, lankhulani ndi dokotala wanu za kugwiritsa ntchito njira zoyenera zolerera. Uzani dokotala wanu nthawi yomweyo ngati mutenga pakati kapena mukuganiza kuti muli ndi pakati.
- Kusowa kwa mavitamini: Kugwiritsa ntchito mankhwalawa kwa nthawi yayitali kungayambitse kuchepa kwa vitamini B12 ndi folic acid. Chifukwa chake, lankhulani ndi dokotala wanu za kudya zakudya zoyenera komanso kumwa mavitamini owonjezera ngati pakufunika.
Kodi zotsatirapo zake zingakhale zotani?
Monga mankhwala ena aliwonse, mankhwalawa akhoza kukhala ndi zotsatirapo zake. Tiyeni tiwagaŵanitse m'magulu awiri.
| Ngati mukukumana ndi zizindikiro izi, uzani dokotala wanu nthawi yomweyo. | |
|---|---|
| Ziwengo zoopsa | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo, lilime kapena pakhosi. |
| Zizindikiro za Lactic Acidosis kapena DKA | Kupweteka m'mimba, kuvutika kupuma, kutopa kwambiri, nseru, kusanza. |
| Matenda | Matenda a mkodzo (UTI), kukodza pafupipafupi, kufiira, kutupa, kuyabwa, kupweteka, ndi fungo m'malo obisika kapena ozungulira. |
| Zizindikiro zina zazikulu | Zizindikiro za kutaya madzi m'thupi (pakamwa pouma, ludzu lochuluka, mkodzo wakuda), zizindikiro za kusowa kwa vitamini B12 (kuzizira m'manja ndi m'mapazi, chizungulire, kufooka kwa minofu). |
| Izi nthawi zambiri sizimakhala zoopsa, koma ngati zikupitirira, uzani dokotala wanu. | |
| Mavuto a m'mimba | Kutsegula m'mimba, kudzimbidwa, nseru. |
| Matenda ena ang'onoang'ono | Mutu , kukoma kwachitsulo mkamwa. |
Kodi mumasunga bwanji mankhwala kukhala otetezeka?
- Sungani pamalo omwe ana ndi ziweto sangafikire.
- Sungani kutentha kwa chipinda (pakati pa madigiri 15-30 Celsius).
- Tayani mankhwala omwe atha ntchito popanda kuwagwiritsa ntchito.
Uthenga Wopita Nawo Kunyumba
- Nthawi zonse imwani mankhwalawa monga momwe dokotala wanu wanenera, mu mlingo woyenera komanso panthawi yoyenera.
- Musaswe, kuphwanya, kapena kutafuna piritsi pazifukwa zilizonse. Mezani lonse.
- Uzani dokotala wanu za mankhwala ena onse, mavitamini, ndi zowonjezera zomwe mukumwa.
- Dziwani zizindikiro za zotsatirapo zoyipa monga lactic acidosis, ndipo funsani upangiri wa dokotala nthawi yomweyo ngati mukukumana ndi chilichonse mwa izi.
- Yang'anani shuga m'magazi mwanu nthawi zonse ndipo dokotala wanu achite mayeso, monga HbA1c, panthawi yake.
- Ngati muli ndi nkhawa kapena kukayikira kulikonse, chonde kambiranani ndi dokotala wanu.
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