Kodi dokotala wanu wakupatsani mankhwala osakaniza a Ertugliflozin ndi Metformin kuti muchepetse matenda anu a shuga a mtundu wachiwiri? Ndiye nkhaniyi ndi yofunika kwambiri kwa inu. Mwachidule, mankhwalawa amagwira ntchito pochepetsa shuga m'magazi mwanu (shuga). Komabe, sikokwanira kungomwa mankhwalawa; ndikofunikiranso kuwongolera zakudya zanu ndi masewera olimbitsa thupi. Tiyeni tikambirane za mankhwalawa mwatsatanetsatane.
Zinthu zomwe muyenera kuuza dokotala wanu musanamwe mankhwalawa
Ndikofunikira kwambiri kuti dokotala wanu adziwe bwino za thanzi lanu asanakupatseni mankhwala awa. Ngati muli ndi vuto lililonse mwa zotsatirazi, muyenera kuuza dokotala wanu za vutoli.
| Mkhalidwe wanu | N’chifukwa chiyani muyenera kusamala? |
|---|---|
| Ngati muli ndi pakati, mukuyesera kutenga pakati, kapena ndinu mayi woyamwitsa | Ndikofunikira kulankhula ndi dokotala wanu za izi, chifukwa mankhwalawa sangakhale oyenera pazochitika izi. |
| Matenda a impso kapena chiwindi | Ngati impso kapena chiwindi chanu sichikugwira ntchito bwino, momwe mankhwalawa amakhudzira thupi lanu zingasinthe. |
| Ngati muli ndi matenda a mtima, matenda a mitsempha yamagazi, kapena cholesterol yambiri | Anthu omwe ali ndi mbiri ya matenda a mtima amafunika chisamaliro chapadera. |
| Ngati mumamwa mowa pafupipafupi | Mankhwalawa angayambitse zotsatirapo zoopsa akamwedwa ndi mowa. |
| Ngati mwataya madzi m'thupi, kudya zakudya zopanda mchere wambiri, kapena kudya zakudya zochepa chifukwa cha matenda | Zikatero, dokotala ayenera kudziwa chifukwa madzi m'thupi amasintha. |
| Ngati mudadwalapo matenda a shuga a ketoacidosis (DKA) kale | Ndikofunikira kudziwa za mankhwalawa chifukwa angawonjezere chiopsezo cha DKA. |
| Ngati muli ndi matenda opatsirana m'mitsempha ya mkodzo pafupipafupi kapena matenda a yisiti m'malo oberekera | Mankhwalawa nthawi zina amatha kuwonjezera chiopsezo cha matenda otere. |
| Ngati muli ndi vuto la Ertugliflozin, Metformin kapena mankhwala ena aliwonse kapena chakudya | Kudziwitsa msanga za ziwengo kungathandize kupewa mavuto aakulu. |
Kodi ndimagwiritsa ntchito bwanji mankhwalawa molondola?
Njira yogwiritsira ntchito mankhwalawa ndi yosavuta kwambiri.
- Mezani piritsi ndi kapu ya madzi.
- Ndi bwino kumwa mankhwalawa pamodzi ndi chakudya .
- Imwani mankhwala anu monga momwe dokotala wanu wanenera, panthawi yomwe mwapatsidwa. Musadumphe mlingo kapena kumwa mankhwala ochulukirapo kuposa momwe mwapatsidwa.
- Musasiye kumwa mankhwala mwadzidzidzi popanda upangiri wa dokotala. Kuchita zimenezi kungapangitse kuti shuga m'magazi mwanu ikwere mwadzidzidzi.
Chofunika kwambiri: Ngati mukuganiza kuti mwamwa mankhwala ochulukirapo, imbani nthawi yomweyo ku National Poison Information Centre ku Colombo National Hospital, kapena pitani ku Emergency Treatment Unit (ETU) ya chipatala chapafupi.
Mankhwalawa ndi a inu nokha. Dokotala ndiye wakupatsani mankhwalawo malinga ndi vuto lanu. Choncho, musawapatse wina aliyense.
Kodi mumatani ngati mwaphonya mlingo wa mankhwala?
Ngati mwaiwala kumwa mankhwala, imwani nthawi yomweyo mukakumbukira. Komabe, ngati nthawi yanu yotsatira yayandikira, thawani mlingo womwe mwaphonya ndi kumwa mankhwala ena panthawi yokhazikika. Musamwe mapiritsi awiri nthawi imodzi, ngakhale mutaphonya limodzi.
Ndi mankhwala ena ati omwe angagwirizane ndi mankhwalawa?
Ndikofunikira kwambiri kudziwitsa dokotala wanu za mankhwala onse omwe mukumwa, kuphatikizapo mavitamini ndi mankhwala achikhalidwe, chifukwa mankhwala ena amatha kusokoneza izi.
| Kuyanjana kwa Mankhwala | |
|---|---|
| Mankhwala omwe sayenera kumwedwa ndi mankhwalawa | |
| Mitundu ina ya mankhwala osiyanitsa zinthu ndi mankhwala otchedwa Dofetilide amabayidwa m'thupi asanayesedwe mayeso monga X-ray, CT scans, ndi MRIs. | |
| Mankhwala ena omwe angagwirizane ndi mankhwalawa (dziwitsani dokotala) | |
| Mowa | Mankhwala ena ochizira kuthamanga kwa magazi |
| Mankhwala ochepetsa mphamvu ya mkodzo | Mitundu ya ma steroid (Prednisone, Cortisone) |
| Mankhwala a mahomoni a chithokomiro | Mankhwala ena oletsa mavairasi omwe amaperekedwa chifukwa cha HIV kapena Hepatitis |
| Mankhwala monga Isoniazid, Cimetidine, Digoxin, ndi Ranolazine | Mankhwala ena monga Topiramate, Zonisamide |
Mndandandawu sunathe, choncho uzani dokotala wanu za mankhwala onse omwe mukumwa.
Zinthu zofunika kukumbukira mukamamwa mankhwala
- Kuyezetsa kwa HbA1C: Lankhulani ndi dokotala wanu za kuyezetsa magazi kumeneku (HbA1C) komwe kumachitika miyezi iwiri kapena itatu iliyonse kuti muwone momwe matenda anu a shuga amalamuliridwira.
- Yang'anirani kuchuluka kwa shuga m'magazi mwanu: Phunzirani momwe mungayezere kuchuluka kwa shuga m'magazi mwanu kunyumba. Dziwani zizindikiro za hypoglycemia ndi hyperglycemia. Nthawi zonse sungani shuga pang'ono, maswiti, kapena piritsi la shuga pafupi ngati shuga m'magazi mwanu atsika.
- Zotsatirapo zoyipa: Mankhwalawa nthawi zambiri sangayambitse matenda oopsa otchedwa lactic acidosis, omwe ndi kuchuluka kwa asidi m'magazi. Ngati mukumva zizindikiro monga nseru, kusanza, kupweteka m'mimba, kutopa kwambiri, kapena kupuma movutikira , siyani kumwa mankhwalawa nthawi yomweyo ndipo imbani dokotala wanu.
- Maopaleshoni ndi mayeso: Ngati mukufuna kuchitidwa opaleshoni, MRI, kapena CT scan, uzani gulu lachipatala pasadakhale kuti mukumwa mankhwala awa. Mungafunike kusiya kumwa mankhwalawo kwa masiku angapo.
- Vitamini B12: 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 ndi zotsatirapo zotani zomwe ndingakumane nazo?
Monga mankhwala ena aliwonse, mankhwalawa angayambitse zotsatirapo zina.
| Zotsatirapo zoyipa zomwe ziyenera kufotokozedwa kwa dokotala nthawi yomweyo | |
|---|---|
| Kusamvana kwa Thupi | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo, lilime kapena pakhosi. |
| Matenda a shuga a ketoacidosis (DKA) | Pakamwa pouma, ludzu lochuluka, kukodza pafupipafupi, kupuma movutikira ngati zipatso, kupuma movutikira, kupweteka m'mimba, nseru, kusanza. |
| Matenda a mkodzo (UTI) | Kupsa mtima pokodza, kukodza pafupipafupi, mkodzo wodzaza ndi mitambo kapena magazi, kupweteka kwa msana kapena m'chiuno. |
| Matenda a yisiti m'dera loberekera | Kufiira, kutupa, kupweteka, kuyabwa, fungo loipa, kutuluka magazi kwambiri. |
| Matenda a mwendo kapena phazi | Ululu watsopano, zilonda, kusintha kwa mtundu wa khungu, kapena matenda. |
| Kusowa madzi m'thupi | Ludzu lochuluka, pakamwa pouma, kukomoka, mkodzo wakuda wachikasu kapena bulauni. |
| Zinthu zomwe nthawi zambiri sizili zazikulu, koma ziyenera kufotokozedwa kwa dokotala ngati zikupitirira | |
| Gasi | Kutsegula m'mimba |
| Kusanza | Kukoma kwachitsulo mkamwa |
| Mutu | |
Uthenga Wopita Nawo Kunyumba
- Nthawi zonse imwani mankhwalawa pamodzi ndi chakudya monga momwe dokotala wanu wanenera.
- Uzani dokotala wanu za mankhwala ena onse omwe mukumwa.
- Ngati mukumva zizindikiro monga nseru, kusanza, kupweteka m'mimba, kutopa kwambiri, kapena kupuma movutikira, funsani dokotala nthawi yomweyo.
- Musasiye kumwa mankhwala kapena kusintha mlingo popanda upangiri wa dokotala.
- Nthawi zonse sungani chinthu chokhala ndi shuga (monga maswiti) pafupi kuti mudye nthawi yomweyo ngati shuga m'magazi mwanu watsika.
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