Kodi dokotala wanu wakuuzani kuti muli ndi matenda a shuga a mtundu wachiwiri? Ngati ndi choncho, mwina mwapatsidwa mankhwala otchedwa Glipizide. Anthu ambiri m'dziko lathu amagwiritsa ntchito mankhwalawa poletsa matenda awo a shuga. Chifukwa chake, monga munthu amene akumwa mankhwalawa, ndikofunikira kwambiri kuti mudziwe zonse zokhudza mankhwalawa. Lero, tikambirana za mankhwala otchedwa Glipizide, momwe amagwirira ntchito m'thupi, ndi zinthu zomwe muyenera kusamala nazo mukamamwa, zonse m'njira yosavuta, ngati kuti mukulankhula ndi mnzanu.
Kodi Glipizide ndi chiyani? Imagwira ntchito bwanji m'thupi?
Mwachidule, Glipizide ndi mankhwala omwe amagwiritsidwa ntchito pochiza matenda a shuga a mtundu wachiwiri. Amatengedwa ngati piritsi.
Chinthu chachikulu chomwe mankhwalawa amachita mkati mwa thupi ndikulimbikitsa kupanga mahomoni otchedwa insulin kuchokera ku kapamba wanu. Insulin ndiye chinthu chachikulu chomwe chimayang'anira kuchuluka kwa shuga (shuga) m'magazi mwathu. Shuga m'magazi akachuluka, insulin imathandiza kutengera shugayo m'maselo ndikusandutsa mphamvu. Chifukwa chake, mankhwalawa akapanga insulin yambiri, kuchuluka kwa shuga m'magazi kumachepa ndikuwongoleredwa. Komanso, mankhwalawa amathandiza kugwiritsa ntchito insulin m'thupi moyenera. Ponena za zamankhwala, iyi ndi ya gulu la mankhwala otchedwa Sulfonylureas.
Koma kumbukirani bwino izi. Simungathe kuletsa matenda a shuga mwa kumwa mankhwalawa nokha. Kudya bwino komanso kuchita masewera olimbitsa thupi tsiku ndi tsiku ndi zinthu ziwiri zofunika kwambiri pa izi.
Zinthu zomwe muyenera kuuza dokotala wanu musanamwe mankhwalawa
Dokotala wanu asanakupatseni mankhwala awa, ayenera kudziwa mbiri yanu yonse ya matenda. Mankhwalawa sangakhale ogwirizana ndi matenda enaake. Chifukwa chake, ngati muli ndi matenda aliwonse omwe atchulidwa pansipa, onetsetsani kuti mwauza dokotala wanu za mankhwalawa.
| Matenda kapena vuto | N’chifukwa chiyani muyenera kudziwitsa? |
|---|---|
| Matenda a shuga a ketoacidosis | Mankhwalawa si oyenera chifukwa ichi ndi vuto loopsa la matenda a shuga. |
| Kusowa kwa G6PD (kusowa kwa Glucose-6-phosphate dehydrogenase) | Imeneyi ndi matenda a majini omwe amakhudza maselo a magazi. |
| Matenda a mtima, impso, kapena matenda a chiwindi | Ngati ntchito ya ziwalo izi yasokonekera, mphamvu ya mankhwala ingasinthe. |
| Porphyria | Imeneyi ndi matenda osowa magazi. |
| Matenda aakulu kapena kuvulala | Nthawi zina ngati izi, njira zina zingafunike kuti munthu azitha kulamulira kuchuluka kwa shuga m'thupi. |
| Matenda a chithokomiro | Kuchuluka kwa mahomoni a chithokomiro kumakhudza kuchuluka kwa shuga m'magazi. |
| Kutupa kwa glipizide, mankhwala a sulfa, kapena zinthu zina | Popeza mankhwalawa amagwirizananso ndi gulu la sulfa, pali chiopsezo cha zotsatirapo zoyipa. |
| Ngati muli ndi pakati, mukuyesera kutenga pakati, kapena mukuyamwitsa | Pazochitikazi, dokotala ayenera kusankha ngati mankhwalawa ndi oyenera kapena ayi. |
Kodi njira yolondola yopezera mankhwala ndi iti?
Kuti mupindule kwambiri ndi mankhwalawa, ndikofunikira kwambiri kuwagwiritsa ntchito moyenera.
- Mezani piritsi lonseli ndi kapu ya madzi.
- Chofunika kwambiri ndikumwa piritsi ili m'mawa uliwonse ndi chakudya cham'mawa. Musamamwe muli ndi njala.
- Khalani ndi chizolowezi chomwa mankhwala anu nthawi yomweyo tsiku lililonse. Mwanjira imeneyi, simudzayiwala ndipo mankhwalawo adzakhala othandiza kwambiri.
- Musamwe mankhwala opitirira muyeso womwe dokotala wanu wakupatsani.
- Ngati muli ndi zaka zoposa 65, mungamve mphamvu ya mankhwalawa ikukulirakulira pang'ono. Chifukwa chake, dokotala wanu angakulembereni mlingo wocheperako.
Nanga bwanji ngati ndamwa mankhwala ochulukirapo mwangozi?
Izi ndizofunikira kwambiri. Ngati mukuganiza kuti mwamwa mankhwala ochulukirapo, kutanthauza kumwa mankhwala opitirira muyeso, pitani ku Dipatimenti Yoona za Zadzidzidzi (ETU) yapafupi nthawi yomweyo. Kapena, imbani National Poisons Information Centre ku Colombo National Hospital kuti mupeze malangizo.
Chofunika kwambiri: Mankhwalawa ndi a inu nokha. Musapatse wina aliyense mankhwala anu. Angawononge moyo wa munthuyo.
Nanga bwanji ngati nditaiwala kumwa mankhwala anga?
Aliyense amaiwala zinthu. Imwani mankhwala anu nthawi yomweyo mukangokumbukira. Komabe, ngati nthawi yatsala pang'ono yoti mutenge mlingo wotsatira (mwachitsanzo, uli pafupi maola ochepa), dumphani mlingo womwe mwaphonya ndikumwa mlingo wotsatira panthawi yomwe yakonzedwa. Musamwe mlingo umodzi nthawi imodzi (Musamwe mlingo umodzi kawiri).
Ndiyenera kusamala kwambiri ndi chiyani ndikamamwa mankhwala?
Mukamamwa Glipizide, sikokwanira kungomwa mapiritsi okha. Muyeneranso kusamala ndi thupi lanu.
- Kuyeza kwa HbA1C: Dokotala wanu adzayang'ana mayeso anu a HbA1C (A1C) nthawi zonse. Umu ndi momwe mungawonere momwe shuga m'magazi mwanu yakhalira yoyendetsedwa bwino m'miyezi iwiri kapena itatu yapitayi.
- Kuyang'ana kuchuluka kwa shuga m'magazi mwanu: Phunzirani momwe mungayang'anire kuchuluka kwa shuga m'magazi mwanu kunyumba. Dziwani zizindikiro za hypoglycemia ndi hyperglycemia , ndi zomwe mungachite nazo.
- Konzekerani shuga wochepa m'magazi: Nthawi zonse sungani shuga (monga ma cubes a shuga, mapiritsi a shuga, maswiti) pafupi ngati shuga wochepa m'magazi ayamba kuchepa. Idyani pang'ono mukangoyamba kumva zizindikiro za shuga wochepa m'magazi (chizungulire, kunjenjemera, thukuta).
- Zadzidzidzi: Ngati mwataya chikumbumtima kapena mukugwidwa ndi khunyu chifukwa cha shuga wochepa m'magazi, musaike chilichonse pakamwa panu panthawiyo. Mutha kutsamwa. Muyenera kupita kuchipatala nthawi yomweyo.
- Chakudya: Musamadumphe chakudya. Kuchita zimenezi kungapangitse kuti shuga m'magazi mwanu atsike kwambiri.
- Mowa: Funsani dokotala wanu kuti akupatseni upangiri wokhudza kumwa mowa.
- Kuwala kwa Dzuwa: Mankhwalawa angapangitse khungu lanu kukhala losakhudzidwa ndi kuwala kwa dzuwa (photosensitivity). Choncho valani chipewa ndi mafuta oteteza ku dzuwa mukamapita ku dzuwa.
- ID ya Zachipatala: Ndibwino kuvala khadi laling'ono kapena chibangili cholembedwa kuti muli ndi matenda a shuga komanso mankhwala omwe mumamwa. Ndi othandiza kwambiri pakagwa ngozi.
Kodi ndi zotsatirapo zotani zomwe ndingakumane nazo?
Monga mankhwala ena aliwonse, Glipizide imatha kukhala ndi zotsatirapo zazing'ono. Koma si aliyense amene amakumana nazo. Zina mwa izo ndi zazikulu pang'ono. Tiyeni tiwone zomwe zili.
| Zotsatirapo zomwe zimafuna chithandizo chamankhwala mwachangu | Zotsatirapo zomwe nthawi zambiri siziyenera kuda nkhawa nazo, koma ziyenera kufotokozedwa kwa dokotala ngati zikupitirira |
|---|---|
Matenda a ziwengo: kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo, lilime, kuvutika kupuma. | Kutsegula m'mimba |
Shuga wochepa m'magazi (Hypoglycemia): kugwedezeka, kuthamanga kwa mtima, thukuta kwambiri, kuvutika kuyang'ana kwambiri, chizungulire, kugunda kwa mtima mofulumira. | Chizungulire |
Kuchepa kwa magazi m'thupi: Kutopa kosazolowereka, chizungulire, mutu, kupuma movutikira, mkodzo wakuda, khungu kapena maso kukhala achikasu. | Gasi |
Kutsekeka kwa matumbo: Kupweteka m'mimba, kulephera kuchita chimbudzi kapena kutulutsa mpweya, kusowa chilakolako cha chakudya, kusanza. | Kusanza |
Uthenga Wopita Nawo Kunyumba
- Glipizide ndi mankhwala omwe amagwiritsidwa ntchito pochiza matenda a shuga amtundu wachiwiri. Amathandiza powonjezera kupanga kwa insulin m'thupi.
- Imwani mankhwala nthawi yomweyo tsiku lililonse, pamodzi ndi chakudya cham'mawa. Musamadumphe chakudya.
- Dziwani zizindikiro za shuga wotsika m'magazi (hypoglycemia). Sungani shuga (switi, chigawo cha shuga) pafupi ngati pachitika zadzidzidzi.
- Uzani dokotala wanu za mankhwala ena onse omwe mukumwa (kuphatikizapo mavitamini ndi mankhwala achikhalidwe).
- Ngati mwamwa mankhwala ochulukirapo mwangozi, pitani ku Dipatimenti Yothandiza Pangozi (ETU) ya chipatala nthawi yomweyo.
- Ngati muli ndi mafunso okhudza mankhwalawa, kambiranani ndi dokotala wanu.
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