Kodi muli ndi matenda a shuga amtundu wachiwiri? Ngati ndi choncho, dokotala wanu mwina anakupatsani mapiritsi osakaniza otchedwa Glipizide ndi Metformin. Uwu ndi mankhwala ofunikira omwe amaperekedwa kwa anthu ambiri omwe ali ndi matenda a shuga m'dziko lathu ndipo amathandiza kuchepetsa kuchuluka kwa shuga m'magazi. Chifukwa chake lero, tiyeni tikambirane za mankhwalawa ndi zinthu zomwe muyenera kusamala nazo mukamaugwiritsa ntchito, m'njira yosavuta yomwe mungamvetse.
Kodi kwenikweni chimachitika ndi mankhwala awa ndi chiyani?
Mwachidule, iyi ndi kuphatikiza kwa mankhwala awiri. Ndiko kuti, ili ndi Glipizide ndi Metformin mu piritsi limodzi. Pamodzi, awiriwa amathandiza kuchepetsa shuga m'thupi lanu m'njira zingapo.
- Glipizide: Iyi ndi mankhwala ochokera m'gulu la mankhwala otchedwa sulfonylureas. Imagwira ntchito polimbikitsa kapamba wanu kuti apange mahomoni ambiri a insulin omwe thupi lanu limafunikira.
- Metformin: Izi zimagwira ntchito makamaka pochepetsa kupanga shuga kosafunikira m'chiwindi chanu. Kuphatikiza apo, zimathandiza maselo a thupi kuyankha bwino ku insulin (kumawonjezera mphamvu ya insulin).
Chofunika kwambiri ndichakuti mankhwalawa okha ndi osakwanira. Zotsatira zabwino kwambiri zitha kupezeka pokhapokha ngati mankhwalawa atengedwa limodzi ndi zakudya zoyenera komanso masewera olimbitsa thupi monga momwe dokotala walangizira .
Zinthu zomwe muyenera kuuza dokotala wanu musanayambe kumwa mankhwala
Ndikofunikira kwambiri kuti dokotala wanu adziwe bwino za thanzi lanu asanakupatseni mankhwala awa. Chifukwa chake, ngati muli ndi vuto lililonse mwa zotsatirazi, onetsetsani kuti mwauza dokotala wanu za vutoli.
| Mkhalidwe wanu kapena chizolowezi chanu | N’chifukwa chiyani muyenera kudziwitsa? |
|---|---|
| Matenda a impso kapena chiwindi | Popeza mankhwalawa amachotsedwa m'thupi kudzera m'ziwalo izi, ngati ntchito yawo yasokonekera, mlingo wa mankhwalawa ungafunike kusinthidwa. |
| Matenda a mtima | Kusamala kwambiri kuyenera kutengedwa mukamagwiritsa ntchito mankhwalawa pa matenda ena a mtima. |
| Chizolowezi chomwa mowa pafupipafupi | Kuphatikiza mowa ndi mankhwalawa kumawonjezera chiopsezo cha matenda oopsa otchedwa lactic acidosis. |
| Matenda a shuga a ketoacidosis | Ichi ndi vuto lalikulu la matenda a shuga, ndipo mankhwalawa si oyenera kugwiritsidwa ntchito. |
| Kuchepa kwa hemoglobin m'magazi (Anemia) | Ndikofunikira kudziwa za kuchepa kwa magazi m'thupi, chifukwa mankhwalawa amatha kukhudza kuyamwa kwa vitamini B12. |
| Kukhala ndi pakati kapena kuyesa kutenga mimba | Mankhwalawa sakuvomerezedwa panthawi ya mimba, ndipo njira zina zochiritsira zimafunika. |
| Kukhala mayi woyamwitsa | Muyenera kukambirana ndi dokotala wanu ngati mankhwalawa angaperekedwe kwa mwana wanu kudzera mu mkaka wa m'mawere. |
| Kusamva bwino kwa mankhwala ena, mankhwala a sulfa, kapena zakudya | Ndikofunikira kwambiri kuti tidziteteze kutiuza za ziwengo zilizonse zomwe muli nazo. |
Kodi ndiyenera kugwiritsa ntchito bwanji mankhwalawa?
Izi n'zosavuta, koma ziyenera kutsatiridwa bwino lomwe.
- Piritsi ili liyenera kumwedwa ndi chakudya . Musalimwe muli ndi mimba yopanda kanthu.
- Mezani piritsi lonse ndi kapu ya madzi.
- Nthawi zonse imwani mlingo womwe dokotala wanu wakupatsani, panthawi yeniyeni yomwe mwapatsidwa. Musasinthe nthawi kapena mlingo momwe mukufunira.
- Ngati muli ndi zaka zoposa 65, dokotala wanu angakupatseni mlingo wocheperako pang'ono.
- Ngati mukuganiza kuti mwamwa mankhwala ochulukirapo mwangozi: Ngati mukuganiza choncho, musazengereze.Pitani nthawi yomweyo ku Dipatimenti Yoona za Zadzidzidzi (ETU) yapafupi kapena imbani National Poisons Information Centre ku Colombo National Hospital .
- Ngati mwaphonya mlingo: Imwani mwamsanga mukangokumbukira. Komabe, ngati nthawi yanu yotsatira yayandikira, dumphani mlingo womwe mwaphonya ndikumwa mlingo wanu wotsatira panthawi yomwe mwakonza. Musamwe kawiri pa chifukwa chilichonse.
Mankhwala ena omwe angagwirizane ndi mankhwalawa
Chenjezo: Ndikoopsa kwambiri kumwa mankhwalawa ndi mitundu ina ya zinthu 'zosiyana' zomwe zimalowetsedwa m'thupi musanayesedwe mayeso monga X-ray, CT scan, MRI, ndi mankhwala a matenda a mtima a Dofetilide. Ngati mukuyenera kuyesedwa kotere, uzani dokotala wanu pasadakhale.
Kuphatikiza apo, mankhwala ena ambiri amatha kuyanjana ndi mankhwalawa. Mwachitsanzo:
- Aspirin ndi mankhwala ena ochepetsa ululu (NSAIDs)
- Mankhwala ena a kuthamanga kwa magazi ndi matenda a mtima
- Mankhwala ochepetsa mphamvu ya madzi m'thupi (kapena 'mapiritsi a madzi')
- Mitundu ya Ma Steroid
- Mitundu ya mahomoni, kuphatikizapo mapiritsi oletsa kubereka
- Mankhwala ena ophera fungicides ndi maantibayotiki
- Mankhwala ena a matenda amisala (MAOIs)
- Mankhwala a matenda a chithokomiro
Mndandandawu sunathe. Choncho perekani dokotala wanu mndandanda womveka bwino wa mankhwala onse, mavitamini, mankhwala azitsamba, ndi zowonjezera zomwe mumamwa. Komanso, muwauze ngati mumasuta kapena kumwa mowa.
Zinthu zomwe muyenera kuziganizira mukamamwa mankhwala
- Kuyezetsa magazi nthawi zonse: Pitani kuzipatala nthawi zomwe dokotala wanu wakupatsani ndipo muyeze momwe mulili. Kuyezetsa magazi kotchedwa HbA1C kudzachitika miyezi itatu kapena isanu ndi umodzi iliyonse kuti muwone momwe shuga wanu ukuyendetsedwera.
- Phunzirani kuyesa shuga m'magazi mwanu: Phunzirani momwe mungagwiritsire ntchito glucometer kunyumba. Dziwani zizindikiro za hypoglycemia ndi hyperglycemia, komanso zomwe mungachite ngati zitachitika.
- Sungani shuga pafupi: Nthawi zonse sungani chinthu monga chigawo cha shuga, tofi, kapena piritsi la shuga m'thumba lanu kapena m'thumba lanu ngati shuga wanu watsika mwadzidzidzi.
- Musamadumphe chakudya: Idyani panthawi yoyenera. Kudumpha chakudya kungayambitse kuchepa kwa shuga m'magazi mwanu moopsa.
- Samalani ndi kuwala kwa dzuwa: Mankhwalawa angapangitse khungu lanu kukhala losakhudzidwa ndi kuwala kwa dzuwa (photosensitivity). Choncho gwiritsani ntchito mafuta oteteza ku dzuwa , valani zovala zophimba thupi lanu, ndipo valani chipewa mukapita ku dzuwa.
- Samalani ndi mavitamini: Kugwiritsa ntchito mankhwalawa kwa nthawi yayitali kungayambitse kuchepa kwa vitamini B12 ndi folic acid mwa anthu ena. Chifukwa chake, ndikofunikira kudya zakudya zopatsa thanzi komanso, ngati kuli kofunikira, kumwa mavitamini monga momwe dokotala wanu wanenera.
Kodi zotsatirapo zake zingakhale zotani?
Monga mankhwala ena aliwonse, mankhwalawa angayambitse mavuto ena mwa anthu ena. Ena ndi oopsa, ena ndi ofala kwambiri.
| Mtundu wa zotsatira zoyipa | Makhalidwe ndi zochita |
|---|---|
| Zotsatirapo zoyipa zomwe ziyenera kufotokozedwa kwa dokotala nthawi yomweyo | |
| Matenda a ziwengo | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo, lilime, kapena pakhosi. Chithandizo chachangu chikufunika. |
| Lactic acidosis (mlingo waukulu wa lactic acid) | Kupweteka kwa minofu, kupweteka m'mimba, kupuma movutikira, kutopa kwambiri. Izi ndi zadzidzidzi ndipo zimafuna kugonekedwa kuchipatala nthawi yomweyo. |
| Kuchepa kwa magazi m'thupi | Kufooka kosazolowereka, chizungulire, kupuma movutikira, mkodzo wakuda, khungu kapena maso kukhala achikasu. |
| Zizindikiro za kusowa kwa vitamini B12 | Kupweteka miyendo, dzanzi, kufooka kwa minofu, chizungulire, kuiwala zinthu. |
| Zotsatirapo zomwe nthawi zambiri sizili zoopsa, koma ziyenera kufotokozedwa kwa dokotala ngati zikupitirira | |
| Kusokonezeka m'mimba, nseru | Izi nthawi zambiri zimachepa mukatenga mankhwala pamodzi ndi chakudya. |
| Kutsegula m'mimba | Izi zitha kuchitika mukangoyamba kumwa mankhwalawo. Ngati apitirira, uzani dokotala wanu. |
Uthenga Wopita Nawo Kunyumba
- Mankhwalawa ndi othandiza pochepetsa matenda a shuga. Kudya bwino komanso kuchita masewera olimbitsa thupi n'kofunika kwambiri.
- Kumbukirani kumwa mankhwalawo mukadya, nthawi yomweyo tsiku lililonse.
- Dziwani zizindikiro za hypoglycemia (chizungulire, thukuta, kuthamanga kwa mtima). Nthawi zonse khalani ndi shuga kapena maswiti pafupi.
- Musaiwale kuuza dokotala wanu za mankhwala ena aliwonse omwe mukumwa, makamaka mankhwala ochepetsa ululu.
- Ngati mwamwa mankhwala ochulukirapo mwangozi kapena mukukumana ndi zotsatirapo zoyipa, pitani ku ETU nthawi yomweyo.
- Mankhwala awa ndi a inu nokha. Musapatse ena mankhwala anu.
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