Kodi mukulandira chithandizo cha matenda a shuga amtundu wachiwiri? Dokotala wanu mwina anakupatsani mankhwala otchedwa Empagliflozin. Mankhwalawa amadziwika m'dziko lathu ndi dzina loti Jardiance. Chifukwa chake, ndikulankhula za mankhwalawa, zomwe amachita, komanso zomwe muyenera kudziwa mukamawagwiritsa ntchito, m'njira yosavuta komanso yomveka bwino.
Kodi kwenikweni chimachitika ndi mankhwala awa ndi chiyani?
Mwachidule, mankhwalawa amathandiza kuwongolera kuchuluka kwa shuga m'magazi mwanu ngati muli ndi matenda a shuga. Kodi mumadziwa bwanji? Amachita izi popatsa impso zanu chizindikiro choti zitulutse shuga wosafunikira m'thupi mwanu kudzera mu mkodzo wanu. Zili ngati kupangitsa kuti fyuluta ya shuga m'thupi lathu ikhale yogwira ntchito bwino.
Si zokhazo, komanso mankhwalawa ali ndi phindu lina lalikulu. Mankhwalawa amathandizanso kuchepetsa chiopsezo cha matenda a mtima, sitiroko, komanso kugonekedwa m'chipatala chifukwa cha kulephera kwa mtima komwe kungachitike pakapita nthawi kwa anthu omwe ali ndi matenda a shuga.
Koma kumbukirani chinthu chimodzi. Kumwa mankhwalawa kokha sikokwanira. Zakudya zabwino komanso kuchita masewera olimbitsa thupi ndizofunikira kwambiri pa chithandizochi.
Kodi ndi zinthu ziti zomwe muyenera kuuza dokotala musanamwe mankhwala?
Izi ndizofunikira kwambiri. Musanayambe kumwa Empagliflozin, muyenera kuuza dokotala wanu mbiri yanu yonse ya thanzi. Onetsetsani kuti mwamuuza ngati muli ndi vuto lililonse mwa izi.
- Matenda a impso kapena chiwindi: Popeza mankhwalawa amagwirizana mwachindunji ndi impso, ndikofunikira kudziwitsa dokotala ngati muli ndi vuto lililonse la impso. Komanso, muuzeni za vuto lililonse la chiwindi. Ngati mukumwa hemodialysis, muuzeninso zimenezo.
- Matenda ena okhudzana ndi matenda a shuga: Ngati muli ndi matenda a shuga a mtundu woyamba, kapena munali ndi vuto lalikulu lotchedwa Diabetic Ketoacidosis (DKA).
- Kusowa madzi m'thupi kapena kuthamanga kwa magazi: Kambiranani zinthu monga kusowa madzi m'thupi, kudya zakudya zopanda mchere wambiri, komanso kumwa mowa wambiri.
- Matenda: Ngati muli ndi matenda opatsirana m'mitsempha pafupipafupi (UTIs), kapena ngati muli ndi mbiri ya matenda opatsirana m'mimba.
- Matenda ena: Pancreatitis, cholesterol yambiri, potaziyamu wambiri m'magazi, ndi zina zotero.
- Mimba ndi kuyamwitsa: Ngati muli ndi pakati, mukuyesera kutenga pakati, kapena kuyamwitsa, onetsetsani kuti mwadziwitsa dokotala wanu musanayambe kumwa mankhwalawa.
- Opaleshoni: Ngati muli ndi opaleshoni ina iliyonse yomwe ikubwera, chonde itchuleninso.
- Matenda a ziwengo:Musaiwale kutchulapo za ziwengo zilizonse zomwe zingachitike chifukwa cha empagliflozin kapena mankhwala ena aliwonse kapena chakudya.
Kodi ndiyenera kugwiritsa ntchito bwanji mankhwalawa?
Kugwiritsa ntchito izi ndikosavuta kwambiri.
- Mezani piritsi ndi galasi la madzi nthawi yomweyo tsiku lililonse, monga momwe dokotala wanu wanenera.
- Mungathe kumwa izi musanadye kapena mutadya. Palibe vuto.
- Chofunika kwambiri ndikupitiriza kugwiritsa ntchito mpaka dokotala wanu atakuuzani kuti musiye. Musasiye pakati, ngakhale mutamva bwino.
Nanga bwanji ngati ndaphonya mlingo wa mankhwala?
Ngati mwaiwala kumwa mlingo, imwani mwamsanga mukangokumbukira. Komabe, ngati nthawi yanu yotsatira yayandikira, dumphani mlingo womwe mwaphonya ndikumwa mlingo wotsatira panthawi yomwe mwakonza. Musamwe mlingo wowirikiza kawiri.
Nanga bwanji ngati nditamwa mankhwala ochulukirapo?
Ngati mukuganiza kuti mwamwa mankhwala ambiri kuposa momwe mukuganizira, pitani ku Emergency Treatment Unit (ETU) yapafupi nthawi yomweyo. Kapena imbani National Poisons Information Centre ku Colombo National Hospital kuti mupeze malangizo.
Mankhwalawa aperekedwa kwa inu nokha. Ngakhale kuti ndi mankhwala ofunika kwambiri, musapereke mankhwala anu kwa wina aliyense chifukwa angawavulaze.
Zinthu zofunika kusamala kwambiri mukamamwa mankhwala
Ndibwino kusamala pang'ono za thupi lanu mukumwa mankhwalawa.
- Kuyezetsa magazi: Dokotala wanu mwina angakupatseni mayeso a magazi otchedwa `HbA1C` osachepera miyezi iwiri kapena itatu iliyonse kuti awone momwe shuga m'magazi mwanu akuyendetsedwera. Izi zikuthandizani kuyang'anira momwe chithandizo chanu chikugwirira ntchito.
- Dziwani kuchuluka kwa shuga m'magazi mwanu: Dziwani zizindikiro za shuga wotsika m'magazi (hypoglycemia) ndi shuga wambiri m'magazi (hyperglycemia). Sungani chidutswa cha shuga kapena china chake choti mudye, monga maswiti, ngati shuga m'magazi mwanu atsika.
- Samalani ndi kusowa madzi m'thupi: Ngati mukutsegula m'mimba kwambiri, kusanza, kapena thukuta, mutha kutaya madzi m'thupi lanu. Zikatero, kumwa mankhwalawa kungakhale koopsa pang'ono. Chifukwa chake, funsani dokotala wanu pazochitika zotere.
- Matenda Oopsa (DKA): Nthawi zina, mankhwalawa angayambitse matenda oopsa otchedwa ``Diabetic Ketoacidosis (DKA)``, omwe magazi amakhala ndi asidi wambiri. Ngati mukumva zizindikiro monga nseru, kusanza, kupweteka m'mimba, kutopa kosazolowereka, kupuma movutikira, kapena fungo la zipatso kuchokera mumpweya wanu , siyani kumwa mankhwalawa nthawi yomweyo ndikuitana dokotala wanu.
Kodi zotsatirapo zake zingakhale zotani?
Monga mankhwala ena aliwonse, Empagliflozin ingayambitse mavuto ena mwa anthu ena. Musadandaule, si aliyense amene amadwala matendawa. Koma ndikofunikira kudziwa zizindikiro izi.
| Zotsatirapo zomwe zimafuna chithandizo chamankhwala mwachangu | |
|---|---|
| Zotsatirapo/zizindikiro | Kufotokozera |
| Kusamvana kwa Thupi | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo, lilime kapena pakhosi. |
| Matenda a mkodzo (UTI) | Kupsa mtima pokodza, kukodza pafupipafupi, magazi mu mkodzo, mkodzo wodzaza ndi mitambo, kupweteka m'mimba kapena msana. |
| Matenda a yisiti m'magawo oberekera | Kufiira, kutupa, kupweteka, kuyabwa, fungo, kapena kutuluka kwachilendo m'malo oberekera akazi kapena amuna. |
| Kusowa madzi m'thupi | Ludzu lochuluka, pakamwa pouma, chizungulire, mutu, mkodzo wakuda wachikasu kapena bulauni. |
| Matenda a shuga a ketoacidosis (DKA) | Ludzu lochuluka, kukodza pafupipafupi, pakamwa pouma, kutopa kwambiri, kupuma movutikira, kupweteka m'mimba, kusanza, ndi fungo la zipatso mkamwa. |
| Matenda a mwendo kapena phazi | Ululu watsopano, zilonda, zilonda, kusintha kwa mtundu wa khungu, kapena matenda m'mwendo kapena phazi. |
Ngati muwona chinthu chachilendo chomwe sichili pamndandandawu, lankhulani ndi dokotala wanu za icho.
Uthenga Wopita Nawo Kunyumba
- Empagliflozin ndi mankhwala omwe amagwiritsidwa ntchito pochiza matenda a shuga amtundu wachiwiri komanso kuchepetsa chiopsezo cha matenda a mtima omwe amabwera chifukwa cha matendawa.
- Izi zimagwira ntchito pochotsa shuga wochuluka m'thupi kudzera mu impso ndi mkodzo.
- Musanayambe kumwa mankhwala, uzani dokotala wanu za matenda anu onse ndi mankhwala ena omwe mukumwa.
- Dziwani zotsatirapo zake monga matenda a mkodzo, matenda opatsirana pogonana, komanso kutaya madzi m'thupi.
- Ngati mukumva zizindikiro za DKA monga nseru, kusanza, kapena kupweteka m'mimba, funsani upangiri wa dokotala nthawi yomweyo.
- Mankhwalawa ndi a inu nokha. Musagawane ndi ena. Tsatirani malangizo a dokotala.
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