Matenda a shuga ndi matenda omwe anthu ambiri m'dera lathu ali nawo masiku ano. Pali njira zosiyanasiyana zochizira matendawa. Mwina dokotala wanu wakuuzaninso kuti mugwiritse ntchito katemera wotchedwa Exenatide wa matenda a shuga a mtundu wachiwiri. Mwina mwalandira katemerayu pansi pa dzina la Bydureon BCise. Lero, tiyeni tikambirane za mankhwalawa, momwe amakhudzira thupi lathu, komanso zomwe muyenera kusamala nazo mukamamugwiritsa ntchito.
Kodi chimachitika ndi chiyani ndi jakisoni wa Exenatide uyu?
Mwachidule, Exenatide ndi mankhwala omwe amathandiza kuchepetsa kuchuluka kwa shuga m'magazi. Izi zimachita zinthu zitatu zazikulu.
1. Amawonjezera kuchuluka kwa insulin: Mankhwalawa amathandiza thupi lanu kupanga mahomoni otchedwa insulin mukamadya. Insulin imathandiza shuga m'magazi kulowa m'maselo a thupi ndikupanga mphamvu. Choncho, kuchuluka kwa shuga m'magazi kumachepa.
2. Amachepetsa kupanga shuga m'chiwindi: Mankhwalawa amathandizanso kuchepetsa kuchuluka kwa shuga komwe chiwindi chathu chimatulutsa.
3. Zimachedwetsa kugaya chakudya: Izi zimachepetsa liwiro limene chakudya chomwe mumadya chimasamuka kuchokera m'mimba kupita m'matumbo. Izi zimathandiza kuchepetsa kukwera kwa shuga m'magazi mwadzidzidzi mutadya.
Koma kumbukirani kuti mankhwalawa okha si okwanira. Zakudya zabwino komanso kuchita masewera olimbitsa thupi ndizofunikira kwambiri pa chithandizochi.
Zinthu zomwe muyenera kuuza dokotala wanu musanayambe kulandira katemera
Musanapatsidwe Exenatide, ndikofunikira kwambiri kuti dokotala wanu adziwe mbiri yanu yonse ya thanzi. Onetsetsani kuti mwawauza za matenda aliwonse omwe ali pansipa.
| Nkhani yomwe muyenera kuifotokoza | N’chifukwa chiyani muyenera kusamala? |
|---|---|
| Ngati inu kapena wina m'banja mwanu adadwala khansa ya chithokomiro kapena khansa ya endocrine glands yotchedwa MEN 2 . | Pali chenjezo lakuti mankhwalawa akhoza kukhala ndi chiopsezo chowonjezeka cha khansa zina za chithokomiro. |
| Ngati kale munali ndi pancreatitis . | Mankhwalawa angapangitse kuti pancreatitis ikule. |
| Ngati muli ndi matenda a impso kapena mukulandira dialysis . | Kutengera ndi momwe impso zimagwirira ntchito, mlingo wa mankhwalawo ungafunike kusinthidwa kapena mankhwala ena angafunike kuperekedwa. |
| Ngati muli ndi vuto lalikulu la m'mimba kapena m'matumbo (monga Gastroparesis). | Chifukwa chakuti mankhwalawa amachepetsa kugaya chakudya, akhoza kuipitsa mkhalidwe womwe ulipo. |
| Ngati muli ndi pakati, mukuyesera kutenga pakati, kapena mukuyamwitsa . | Muyenera kukambirana ndi dokotala wanu za chitetezo cha mankhwalawa panthawi ya mimba ndi kuyamwitsa. |
| Ngati muli ndi vuto la exenatide kapena mankhwala ena aliwonse, chakudya, kapena utoto. | Izi ndizofunikira kwambiri kuti tipewe zotsatirapo zoopsa za ziwengo. |
Kodi katemerayu amagwiritsidwa ntchito bwanji kwenikweni?
Mankhwalawa amabwera mu syringe yodzazidwa kale (autoinjector). Dokotala wanu kapena namwino adzakuwonetsani momwe mungabayire jakisoni pansi pa khungu.
- Imwani pa nthawi yake: Katemerayu ayenera kuperekedwa kamodzi pa sabata . Khalani ndi chizolowezi chomwa tsiku lomwelo komanso nthawi yomweyo sabata iliyonse. Pitirizani kumwa mpaka dokotala wanu atakuuzani kuti musiye.
- Kutaya singano zogwiritsidwa ntchito: Izi ndizofunikira kwambiri. Musataye ma autoinjectors ogwiritsidwa ntchito m'zinyalala. Ayenera kuyikidwa mu chidebe chapadera chopangira zinthu zoyaka. Ngati mulibe, funsani dokotala wanu.
- Werengani malangizo: Nthawi zonse werengani malangizo (MedGuide/MALANGIZO OGWIRITSA NTCHITO) omwe amabwera ndi mankhwala mosamala. Ngati muli ndi mafunso, funsani dokotala wanu.
Zofunika:Singano yoperekedwa kwa inu ndi yanu yokha. Musaigawire ndi wina aliyense. Kuchita zimenezi kungayambitse mavairasi oopsa monga Hepatitis ndi HIV.
Kodi mungachite chiyani ngati mwaphonya mlingo?
Tangoganizani kuti mwayiwala kulandira katemera wanu tsiku la sabata. Musadandaule.
- Ngati patatha masiku opitilira atatu kuti mutenge mlingo wotsatira, imwani mlingo womwe mwaphonya mwamsanga mukangokumbukira. Kenako imwani mlingo wotsatira monga mwachizolowezi.
- Komabe, ngati mlingo wanu wotsatira uyenera kuperekedwa mkati mwa tsiku limodzi kapena awiri , musamwe mlingo womwe mwaphonya. Dumphani ndi kumwa mlingo wotsatira tsiku lomwe mwakonza.
- Musamwe mlingo wowirikiza kawiri pazifukwa zilizonse.
Zinthu zina zofunika kuzikumbukira mukamamwa mankhwala
- Mayeso azachipatala: Pitirizani kukaonana ndi dokotala wanu kuti muwone momwe mulili. Muyeneranso kufunsa za mayeso a magazi otchedwa HbA1C (A1C) . Izi zimayesa momwe shuga m'magazi mwanu yakhalira yoyendetsedwa bwino m'miyezi iwiri kapena itatu yapitayi. Dokotala wanu mwina angakulangizeni kuti muchite mayesowa miyezi itatu kapena isanu ndi umodzi iliyonse.
- Kuchuluka kwa shuga m'magazi: Phunzirani momwe mungayesere shuga m'magazi anu kunyumba. Dziwani zizindikiro za shuga wotsika m'magazi (Hypoglycemia) ndi shuga wambiri m'magazi (Hyperglycemia).
- Shuga wochepa m'magazi (Hypoglycemia): Ngati mukumva zizindikiro monga thukuta, kunjenjemera, kugunda kwa mtima mofulumira, njala yoopsa, ndi kusokonezeka, zikutanthauza kuti shuga m'magazi mwanu ndi wochepa. Nthawi zonse sungani mapiritsi monga shuga, toffee, kapena shuga pafupi kuti mugwiritse ntchito pazochitika zotere. Komabe, ngati vutoli ndi lalikulu kwambiri moti lingayambitse chikumbumtima, musamwe chilichonse pakamwa, chifukwa lingayambitse kutsamwa. Pitani kuchipatala nthawi yomweyo.
- Musamadumphe chakudya: Idyani nthawi zonse. Funsani dokotala wanu za mowa.
- ID ya Zachipatala: Kuvala khadi kapena chibangili chosonyeza kuti muli ndi matenda a shuga komanso mankhwala omwe mumamwa kungakhale kofunikira kwambiri pakagwa ngozi.
Zotsatirapo zomwe zingakhalepo chifukwa cha mankhwalawa
Monga mankhwala ena aliwonse, Exenatide ingayambitse zotsatirapo zina. Ndikofunikira kudziwa izi.
| Ngati mukumva zizindikiro izi, uzani dokotala wanu nthawi yomweyo kapena pitani kuchipatala. | |
|---|---|
| Matenda a ziwengo | Kutupa pakhungu, kuyabwa kwambiri, kutupa kwa nkhope, milomo, lilime kapena pakhosi, komanso kuvutika kupuma. |
| Pancreatitis | Ululu wosapiririka m'mimba (makamaka womwe umatuluka kumbuyo), ululu womwe umakula kwambiri mukamadya, kutentha thupi, nseru, ndi kusanza. |
| Zizindikiro za khansa ya chithokomiro | Chotupa chatsopano kapena kutupa pakhosi, vuto kumeza, vuto kupuma, kusintha mawu (phokoso). |
| Kuwonongeka kwa impso | Kuchepa kwa kukodza, kutupa kwa akakolo, manja, kapena mapazi. |
| Mavuto a ndulu | Kupweteka kwambiri kumtunda kwa kumanja kwa m'mimba, nseru, kusanza, malungo. |
| Ngati zizindikiro izi zikupitirira kapena zikukuvutitsani, uzani dokotala wanu. | |
| Malo operekera katemera | Ululu, kufiira, kuyabwa, kapena chotupa chaching'ono. |
| Matenda ena ang'onoang'ono | Kusanza pang'ono, kutsegula m'mimba, kudzimbidwa, mutu. |
Nanga bwanji ngati nditamwa 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 Emergency Treatment Unit (ETU) ya chipatala chapafupi.
Uthenga Wopita Nawo Kunyumba
- Exenatide ndi jakisoni kamodzi pa sabata kwa odwala matenda a shuga amtundu wa 2. Iyenera kugwiritsidwa ntchito limodzi ndi zakudya komanso masewera olimbitsa thupi.
- Musanayambe katemera, uzani dokotala wanu za matenda anu onse (makamaka chithokomiro, kapamba, ndi mavuto a impso).
- Musagawire singano yomwe mwapatsidwa ndi wina aliyense. Tayani singano zomwe mwagwiritsa ntchito mosamala.
- Dziwani zizindikiro za shuga wotsika m'magazi (hypoglycemia). Sungani shuga kapena maswiti pafupi kuti mugwiritse ntchito mukafuna.
- Ngati mukukumana ndi mavuto aakulu monga kupweteka kwambiri m'mimba, kuuma kwa khosi, kapena kupuma movutikira, funsani upangiri wa dokotala nthawi yomweyo.
- Khalani omasuka kukambirana ndi dokotala wanu mafunso kapena nkhawa zilizonse zomwe muli nazo zokhudza mankhwalawa.
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