Matenda a shuga ndi matenda ofala kwambiri omwe anthu ambiri m'dziko lathu akuvutika nawo. Chifukwa chake dokotala wanu mwina adakulemberani chithandizo cha izi. Ngati mwalandira mapiritsi ophatikiza mankhwala awiri otchedwa Empagliflozin ndi Metformin, nkhaniyi idzakhala yofunika kwambiri kwa inu. Tiyeni tikambirane za mankhwalawa, zomwe amachita, komanso zomwe muyenera kusamala nazo mukamawagwiritsa ntchito.
Kodi kwenikweni chimachitika ndi mankhwala awa ndi chiyani?
Mwachidule, mankhwalawa amagwiritsidwa ntchito pochiza matenda a shuga a mtundu wachiwiri . Mankhwala awiri omwe ali mu mankhwalawa amagwira ntchito limodzi kuti athandize kuwongolera ndikuchepetsa kuchuluka kwa shuga m'magazi (shuga) m'thupi lanu.
Koma kumbukirani chinthu chimodzi. Mankhwala okhawa si okwanira. Kuphatikiza pa izi, kudya moyenera ndi kuchita masewera olimbitsa thupi ndikofunikira. Pokhapokha mutaphatikiza izi zitatuzi, ndi pomwe mungapeze zotsatira zabwino kwambiri.
Zinthu zomwe muyenera kuuza dokotala wanu musanayambe kumwa mankhwala
Ndikofunikira kwambiri kupatsa dokotala wanu kufotokozera kwathunthu mbiri yanu ya thanzi. Chifukwa chidziwitso chimenecho chidzawathandiza kusankha ngati mankhwala awa ndi oyenera kwa inu kapena ngati mlingo wake uyenera kusinthidwa. Ngati muli ndi vuto lililonse pansipa, onetsetsani kuti mwadziwitsa dokotala wanu.
| Matenda kapena chizolowezi | N’chifukwa chiyani chidziwitso chili chofunika? |
|---|---|
| Matenda a impso kapena chiwindi | Popeza mankhwala amachotsedwa m'thupi kudzera m'ziwalo zimenezi, ndikofunikira kudziwa momwe amagwirira ntchito. |
| Matenda a mtima kapena cholesterol yambiri | Izi ziyenera kunenedwa chifukwa zingakhudze matenda a mtima. |
| Kumwa mowa pafupipafupi | Pali chiopsezo cha zotsatirapo zoyipa kwambiri chifukwa cha mowa. |
| Kusowa madzi m'thupi, kusanza, kapena kudya zakudya zopanda mchere wambiri | Kuchepa kwa madzi m'thupi kungayambitse mavuto ndi mankhwalawa. |
| Ngati mudadwalapo matenda a shuga a ketoacidosis kale | Vutoli ndi lalikulu kwambiri. Dokotala ayenera kudziwa za vutoli. |
| Matenda opatsirana pafupipafupi m'mitsempha ya mkodzo kapena matenda a yisiti yoberekera | Mankhwalawa angawonjezere pang'ono chiopsezo chotenga matenda otere. |
| Ngati muli ndi pakati, mukuyesera kutenga pakati, kapena mukuyamwitsa | Mankhwalawa sali oyenera pazochitika izi, ndipo ndikofunikira kufunafuna upangiri wa dokotala. |
| Ngati mukufuna kuchitidwa opaleshoni iliyonse | Mankhwalawa angafunike kuyimitsidwa kwakanthawi musanachite opaleshoni. |
| Ngati muli ndi ziwengo ku mankhwala ena, zakudya, kapena utoto | Ndikofunikira kudziwa za ziwengo zilizonse. |
Kodi mumagwiritsa ntchito bwanji mankhwalawa molondola?
Izi ndizosavuta kwambiri.
- Imwani piritsi ili pamodzi ndi chakudya ndi galasi la madzi. Pewani kumwa muli ndi mimba yopanda kanthu.
- Imwani mankhwala monga momwe dokotala wanenera, panthawi yoyenera.
- Musasiye kumwa mankhwala kapena kuonjezera kapena kuchepetsa mlingo popanda upangiri wa dokotala.
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 panthawi yomwe mwakonza. Musamwe milingo iwiri nthawi imodzi.
Kodi mumatani ngati mumwa mowa wambiri?
Ngati mukuganiza kuti mwamwa mankhwala ochulukirapo, chitanipo kanthu nthawi yomweyo. Musazengereze. Pitani ku Dipatimenti Yoona za Zadzidzidzi ya Chipatala (ETU) yapafupi mwamsanga. Apo ayi, funsani dokotala.Imbani National Poison Information Center ku Colombo National Hospital .
Mankhwala ena omwe angagwirizane ndi mankhwalawa
Ndikofunikira kwambiri kuuza dokotala wanu za mankhwala onse omwe mumamwa, osati omwe dokotala wanu wakupatsani okha, komanso mavitamini, mankhwala azitsamba, ndi zowonjezera zomwe mumamwa. Mankhwala ena amatha kusokoneza izi ndikuyambitsa mavuto.
Makamaka, mankhwala ena otsutsana omwe amalowetsedwa m'thupi musanayesedwe mayeso monga X-ray, CT scans, ndi MRIs sayenera kumwedwa ndi mankhwalawa. Komanso, musamwe mankhwala a dofetilide.
Kuphatikiza apo, mankhwala ena ambiri, monga a kuthamanga kwa magazi, matenda a mtima, kachilombo ka HIV, mahomoni, ndi ma steroids, amatha kusokoneza izi. Chifukwa chake, ndi bwino kupatsa dokotala wanu mndandanda wa mankhwala onse omwe mukumwa.
Zinthu zoti muzisamala nazo mukamamwa mankhwala
Ndibwino kusamala pang'ono thupi lanu mukamamwa mankhwalawa.
- Kuchuluka kwa shuga m'magazi: Phunzirani momwe mungayezere kuchuluka kwa shuga m'magazi mwanu. Dziwani zizindikiro za shuga wotsika m'magazi (hypoglycemia) ndi shuga wambiri m'magazi (hyperglycemia). Sungani chidebe cha shuga kapena maswiti pafupi kuti mugwiritse ntchito ngati mukuwona zizindikiro za shuga wotsika m'magazi.
- Kuyezetsa kwa HbA1C: Dokotala wanu adzakufunsani kuti muyezetse magazi otchedwa HbA1C miyezi itatu kapena isanu ndi umodzi iliyonse. Izi zingakuthandizeni kuona momwe shuga m'magazi mwanu yakhalira yolamulidwa m'miyezi iwiri kapena itatu yapitayi.
- Musamadumphe chakudya: Idyani panthawi yoyenera.
- Matenda aakulu: Ngakhale kuti ndi osowa, mankhwalawa angayambitse matenda aakulu otchedwa lactic acidosis, omwe amachititsa kuti asidi m'magazi aziwonjezeka. Ngati mukumva nseru, kusanza, kupweteka m'mimba, kutopa kwambiri, kapena kupuma movutikira , siyani kumwa mankhwalawa nthawi yomweyo ndipo imbani dokotala wanu.
- Vitamini B12 ndi Folic Acid: Kumwa mankhwalawa kwa nthawi yayitali kungachepetse kuchuluka kwa vitamini B12 ndi folic acid m'thupi. Chifukwa chake, onetsetsani kuti mwadya zakudya zopatsa thanzi. Ngati pakufunika kutero, dokotala wanu adzakupatsani mankhwala owonjezera a vitamini.
- ID ya Zachipatala: Ngati muvala khadi kapena chibangili cholembedwa kuti muli ndi matenda a shuga komanso mankhwala omwe mumamwa, chingakhale chothandiza kwambiri pakagwa ngozi.
Zotsatirapo zomwe zingatheke
Monga mankhwala ena aliwonse, mankhwalawa akhoza kukhala ndi zotsatirapo zina. Zina ndi zoopsa, zina ndi zofala. Ndikofunikira kudziwa izi.
| Zizindikiro zomwe ziyenera kufotokozedwa kwa dokotala nthawi yomweyo | |
|---|---|
| Matenda a ziwengo | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo, lilime kapena pakhosi. |
| Matenda a shuga a ketoacidosis (DKA) | Ludzu lochuluka, kukodza pafupipafupi, pakamwa pouma, kupuma movutikira ngati zipatso, kupuma movutikira, kupweteka m'mimba, nseru, kusanza. |
| Lactic acidosis (Lactic acid yambiri) | Kupweteka kwa minofu kapena kupweteka m'mimba, kupweteka m'mimba, kuvutika kupuma, kutopa kwambiri. |
| Matenda a mkodzo (UTI) | Kupsa kwambiri pokodza, kukodza pafupipafupi, magazi kapena mkodzo wakuda, kupweteka m'mimba kapena msana. |
| Matenda opatsirana pogonana | Kufiira, kutupa, kupweteka, kuyabwa, fungo, kapena kutuluka magazi kwambiri. |
| Zizindikiro zomwe nthawi zambiri siziyenera kuda nkhawa nazo, koma ziyenera kufotokozedwa kwa dokotala ngati zikupitirira | |
| Kutsegula m'mimba | Kutupa m'mimba |
| Gasi | Kudzaza mimba |
| Mutu | Mutu |
| Kukoma kwachitsulo mkamwa | Kukoma ngati chitsulo mkamwa |
| Kusanza | Kumva ngati kusanza |
Uthenga Wopita Nawo Kunyumba
- Nthawi zonse imwani mankhwalawa monga momwe dokotala wanu wanenera, mukadya.
- Uzani dokotala wanu za mankhwala ena onse omwe mumamwa komanso matenda ena onse omwe muli nawo.
- Dziwani zizindikiro za zotsatirapo zoyipa (monga kupuma movutikira, kupweteka kwambiri m'mimba, kusanza) ndipo funsani upangiri wa dokotala nthawi yomweyo ngati chilichonse mwa izi chichitika.
- Mankhwalawa ndi a inu nokha. Musagawane ndi ena.
- Musasiye kumwa mankhwala kapena kusintha mlingo popanda upangiri wa dokotala. Lankhulani ndi dokotala wanu ngati muli ndi nkhawa iliyonse.
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