Kodi dokotala wanu wakupatsani mankhwala atsopano a shuga? Ndi dzina lalitali, sichoncho? Ndi kuphatikiza kwa mankhwala awiri otchedwa Ertugliflozin ndi Metformin. Mwina munamvapo za mankhwalawa pansi pa dzina lodziwika bwino la Segluromet. Chifukwa chake, tiyeni tikambirane mwachidule, ngati kuti tikulankhula ndi mnzanu, za mankhwala awa, momwe amagwirira ntchito m'thupi lathu, komanso zomwe tiyenera kudziwa tikamawagwiritsa ntchito.
Mwachidule, kodi mankhwala awa ndi chiyani?
Iyi ndi mankhwala omwe amagwiritsidwa ntchito pochiza
matenda a shuga amtundu wachiwiri . Amaphatikiza mankhwala awiri: Ertugliflozin ndi Metformin. Pamodzi, awiriwa amathandiza kuwongolera kuchuluka kwa shuga m'thupi lanu, kutanthauza kuchuluka kwa shuga m'magazi mwanu. Tangoganizirani kuti Ertugliflozin imagwira ntchito popangitsa impso zanu kutulutsa shuga wochulukirapo mumkodzo mwanu. Metformin imagwira ntchito makamaka pochepetsa kuchuluka kwa shuga komwe chiwindi chanu chimapanga komanso pothandiza maselo a thupi lanu kuyankha bwino insulin. Mwanjira imeneyi, shuga m'magazi mwanu amawongoleredwa m'njira ziwiri.
Koma chinthu chimodzi chiyenera kukumbukiridwa. Kumwa mankhwalawa kokha sikokwanira. Zakudya zabwino komanso kuchita masewera olimbitsa thupi oyenera ndi zina mwazofunikira kwambiri pa chithandizochi. Zotsatira zabwino kwambiri zitha kupezeka pokhapokha ngati mankhwalawa atengedwa limodzi ndi kusintha kwa moyo komwe dokotala wakupatsani.
Zinthu zomwe muyenera kuuza dokotala wanu musanayambe kumwa mankhwalawa
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. Izi ndizofunikira kwambiri pa chitetezo chanu.
| Mtundu wabwino | Kodi muli ndi matenda awa? (Chonde uzani dokotala wanu ) |
|---|
| Matenda okhudzana ndi matenda a shuga | - Kukhala ndi matenda a shuga amtundu woyamba
- Popeza kale ndinali ndi matenda a shuga otchedwa Diabetic Ketoacidosis ( DKA )
- Zilonda za mapazi chifukwa cha matenda a shuga
- Kusintha mlingo wa insulin
- Kudula mwendo kapena gawo lake (kuchotsedwa mwendo kapena gawo lake)
|
| Matenda ena | |
| Moyo ndi nkhani zina | - Kumwa mowa pafupipafupi
- Kusintha kwakukulu pa zakudya (monga kudya pang'ono)
- Kudya zakudya zopanda mchere wambiri
- Kusowa madzi m'thupi
- Kuchepa kwa calcium m'magazi kapena vitamini B
- Kukhala ndi ululu wa mitsempha ndi dzanzi m'miyendo
|
| Mapulani amtsogolo ndi ziwengo | - Akukonzekera kuchitidwa opaleshoni kapena CT/X-ray scan mtsogolomu
- Kuyesa kutenga mimba kapena pakali pano kukhala ndi pakati
- Kuyamwitsa mwana
- Kukhala ndi vuto la Ertugliflozin, Metformin kapena mankhwala ena aliwonse, chakudya, kapena utoto
|
Kodi ndiyenera kugwiritsa ntchito bwanji mankhwalawa?
Njira yogwiritsira ntchito mankhwalawa ndi yosavuta kwambiri.
- Imwani piritsi ili ndi kapu ya madzi .
- Yesani kumwa mankhwalawa nthawi yomweyo tsiku lililonse , monga momwe dokotala wanu wanenera.
- Ndi bwino kumwa mankhwalawa kumayambiriro kwa chakudya .
- Musasiye kumwa mankhwala anu popanda kufunsa dokotala wanu .
Nanga bwanji ngati mwamwa mankhwala ochulukirapo? (Kumwa mankhwala ochulukirapo)
Ngati mukuganiza kuti mwamwa mankhwala ochulukirapo, musachite mantha. Koma musatenge mopepuka.
Pitani nthawi yomweyo ku Dipatimenti Yoona za Zadzidzidzi (ETU) yapafupi kapena imbani
National Poisons Information Centre ku Colombo National Hospital kuti mupeze upangiri.
Chofunika kwambiri: Mankhwalawa aperekedwa kwa inu nokha. Musagawane ndi wina aliyense pazifukwa zilizonse.
Kodi mungachite chiyani ngati mwaphonya mlingo wa mankhwala?
Tonsefe nthawi zina timaiwala kumwa mankhwala athu. Ngati zimenezo zitachitika, imwani mlingo womwe mwaphonya mwamsanga mukakumbukira. Komabe, ngati nthawi yatsala pang'ono yoti mutenge mlingo wotsatira ikafika, thawani mlingo womwe mwaphonya ndikumwa mlingo wanu wotsatira panthawi yomwe yakonzedwa.
Musamwe milingo iwiri nthawi imodzi. Mankhwala ena omwe angagwirizane ndi mankhwalawa
Si mankhwala onse omwe mumamwa omwe amagwira ntchito bwino ndi mankhwalawa. Mankhwala ena amatha kusokoneza momwe mankhwalawa amagwirira ntchito. Chifukwa chake, ndikofunikira kwambiri kuuza dokotala wanu za mankhwala onse, mavitamini, komanso mankhwala azitsamba omwe mukumwa.
Zinthu zomwe simuyenera kumwa ndi mankhwalawa
Mankhwalawa angagwirizane ndi
zinthu zina zosiyanitsa (zopaka utoto) zomwe zimalowetsedwa m'thupi, makamaka ngati mukufuna kujambulidwa ndi CT scan, MRI scan, kapena X-ray. Chifukwa chake, muyenera kuuza ogwira ntchito zachipatala kuti mukumwa mankhwalawa musanayesedwe.
Mankhwala ena omwe angagwirizane
Mankhwala omwe ali pansipa angagwirizane ndi Ertugliflozin/Metformin.
- Acetazolamide
- Cimetidine
- Dolutegravir
- Lithiamu
- Ranolazine
- Topiramate
- Vandetanib
- Zonisamide
- Dichlorphenamide
- Mowa
Mankhwala omwe angakhudze kuchuluka kwa shuga m'magazi
Mankhwala ena amatha kusintha kuchuluka kwa shuga m'magazi mwanu (kuwawonjezera kapena kuwachepetsa). Komanso, mankhwala ena amatha kubisa zizindikiro za shuga wotsika m'magazi (hypoglycemia), zomwe zikutanthauza kuti sitikuzindikira. Izi zitha kukhala zoopsa pang'ono. Chifukwa chake ngati mukumwa mankhwalawa, dokotala wanu adzakuuzani kuti muyang'ane kuchuluka kwa shuga m'magazi mwanu nthawi zonse.
| Mtundu wa zotsatira zake | Zitsanzo za mankhwala |
|---|
| Mankhwala omwe angakhudze kuchuluka kwa shuga m'magazi | - Mankhwala ena othamanga magazi (monga benazepril, lisinopril, losartan)
- Mankhwala ochepetsa mphamvu ya okodzetsa (monga hydrochlorothiazide)
- Ma steroid (monga prednisone, cortisone)
- Mitundu ya mahomoni (estrogen, progestin, testosterone)
- Mahomoni a chithokomiro
- Maantibayotiki ena ndi mankhwala a matenda amisala
|
| Mankhwala omwe angabise zizindikiro za hypoglycemia | - Beta-blockers (monga atenolol, metoprolol, propranolol)
- Clonidine, Guanethidine, Reserpine
|
Zinthu zoti muzisamala nazo mukamamwa mankhwala
Muyeneranso kusamala pang'ono mukamamwa mankhwalawa.
- Kaonaneni ndi dokotala wanu panthawi yomwe mwakonza. Ndikofunikira kuyang'anira momwe mukuyendera ndikupeza mayeso ofunikira. Dokotalayo adzayang'anira HbA1C yanu (kuyeza komwe kumasonyeza kuchuluka kwa shuga m'magazi mwa miyezi 2-3 yapitayi).
- Dziwani zizindikiro za shuga wotsika m'magazi (hypoglycemia). Khalani okonzeka ndi zizindikiro monga thukuta, kugwedezeka, njala yambiri, komanso kugunda kwa mtima mofulumira. Nthawi zonse tengani piritsi la shuga kapena paketi ya shuga.
- Pewani kutaya madzi m'thupi . Imwani madzi ambiri. Ngati muli ndi malungo, kusanza, kapena kutsegula m'mimba, samalani kwambiri ndipo uzani dokotala wanu chifukwa madzi ambiri akutuluka m'thupi.
- Uzani dokotala wanu kuti mukumwa mankhwalawa musanachite opaleshoni kapena kujambulidwa . Adzakuuzani nthawi yoti musiye kumwa mankhwalawa komanso nthawi yoti muyambenso kumwa mankhwalawa.
- Samalani ndi vitamini B12. Kumwa mankhwalawa kwa nthawi yayitali kungayambitse kuchepa kwa vitamini B12. Lankhulani ndi dokotala wanu za izi.
- Kuvala chibangili cha dokotala kapena khadi lomwe limakudziwitsani kuti ndinu wodwala matenda a shuga kungakhale kothandiza kwambiri pakagwa ngozi.
Kodi zotsatirapo zake zingakhale zotani chifukwa cha mankhwalawo?
Monga mankhwala ena aliwonse, mankhwalawa angayambitse zotsatirapo zina mwa anthu ena, koma si aliyense amene amalandira. Samalani ndi zizindikiro zomwe zili pansipa.
Zotsatirapo zomwe ziyenera kufotokozedwa kwa dokotala wanu nthawi yomweyo: Zotsatirapo zomwe nthawi zambiri sizimakhala zoopsa, koma ziyenera kufotokozedwa
kwa dokotala wanu ngati zikupitirira.
| Zotsatira zoyipa | Kufotokozera ndi zizindikiro |
|---|
| 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, kupuma mopanda kukoma, kupweteka m'mimba, kusanza. |
| Kusowa madzi m'thupi | Ludzu lochuluka, pakamwa pouma, kukomoka, mkodzo wakuda wachikasu kapena bulauni. |
| Lactic acidosis (mlingo waukulu wa lactic acid) | Kupweteka kwa minofu, kupweteka m'mimba, kuvutika kupuma, kutopa kwambiri. |
| Matenda | Matenda a mkodzo (UTI) - kutupa kwa mkodzo, kukodza pafupipafupi, kupweteka m'mimba. Matenda a yisiti m'malo oberekera - kuyabwa, kufiira, kutupa. Matenda oopsa m'malo oberekera kuyambira kumaliseche kupita ku anus. |
| Kusowa kwa Vitamini B12 | Kupweteka miyendo, dzanzi, kufooka kwa minofu, chizungulire, kusokonezeka. |
| Mavuto a m'mimba | Kutsegula m'mimba, mpweya, nseru, kusanza, kupweteka m'mimba. |
| Zina | Mutu. |
Kodi ndiyenera kusunga bwanji mankhwalawo? Kodi ndiyenera kutaya bwanji?
- Sungani mankhwalawa pamalo omwe ana ndi ziweto sangafikire .
- Sungani kutentha kwa chipinda (pakati pa madigiri 20-25 Celsius).
- Musagwiritse ntchito mankhwala otha ntchito. Tayani bwino.
- Njira yabwino kwambiri yochotsera mankhwala ndikuwapereka ku pulogalamu yobwezera mankhwala yomwe imayendetsedwa ndi pharmacy kapena chipatala.
- Ngati sizingatheke, tulutsani mankhwalawo m'chidebecho, sakanizani ndi zinthu monga khofi wogwiritsidwa ntchito kale, dothi, kapena zinyalala za amphaka, muyike m'thumba lotsekedwa bwino, ndikutaya m'zinyalala. Musawatulutse m'chimbudzi.
Uthenga Wopita Nawo Kunyumba
- Mankhwalawa ndi othandiza pochepetsa matenda a shuga. Kudya bwino komanso kuchita masewera olimbitsa thupi n'kofunika kwambiri.
- Uzani dokotala wanu za mankhwala ena onse omwe mukumwa komanso matenda aliwonse omwe muli nawo.
- Dziwani zizindikiro za shuga wotsika m'magazi (hypoglycemia) ndi kusowa madzi m'thupi.
- Ngati mukuyamba matenda a mkodzo, matenda opatsirana pogonana, kapena zotsatirapo zina zoopsa, pitani kwa dokotala nthawi yomweyo.
- Musasiye kugwiritsa ntchito mankhwalawa popanda upangiri wa dokotala.
- Ngati muli ndi nkhawa iliyonse yokhudza chithandizo chanu cha matenda a shuga, musaope kulankhula ndi dokotala wanu.
Matenda a shuga, Ertugliflozin, Metformin, Segluromet, matenda a shuga amtundu wachiwiri, shuga m'magazi, kuwongolera shuga
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