Tangoganizirani ngati mnzanu kapena wachibale wanu, yemwe ali ndi matenda a shuga, mwadzidzidzi atakhala ndi shuga wochepa kwambiri m'magazi ndipo watsala pang'ono kutaya chikumbumtima. Panthawi yotereyi, mungakhale mukuopa ndipo simukudziwa choti muchite, sichoncho? Lero tikulankhula za mankhwala apadera omwe amabwera ngati ufa wa m'mphuno womwe ungagwiritsidwe ntchito pazidzidzidzi zotere zopulumutsa moyo. Izi zili ngati chinthu chomwe chiyenera kukhala mu bokosi lothandizira oyamba.
Mwachidule, kodi mankhwala awa ndi chiyani?
Mankhwalawa amatchedwa glucagon . Amagwiritsidwa ntchito ngati chithandizo chadzidzidzi kwa odwala matenda ashuga pamene shuga m'magazi mwawo watsika kwambiri, kutanthauza kuti hypoglycemia yayikulu . Zili ngati munthu amene amagwira ntchito mosiyana ndi insulin. Ngakhale kuti insulin imachepetsa shuga m'magazi, glucagon imakweza shuga m'magazi.
Kodi chimachitika bwanji? Chiwindi chathu chili ngati malo osungira shuga. Nthawi zambiri, chimasunga shuga kuti chigwiritsidwe ntchito pakafunika kutero. Pamene shuga m'magazi atsika kwambiri, mankhwala a glucagon awa amalowetsedwa m'mphuno, ndipo amatumiza chizindikiro ku chiwindi, nati, "Mwadzidzidzi! Tulutsani shuga wosungidwa mwachangu m'magazi." Kenako, pamene shuga akutuluka m'chiwindi ndikuwonjezeredwa m'magazi, shuga amakwera pang'onopang'ono.
Chofunika: Iyi ndi njira yakanthawi yochepa chabe pakagwa ngozi. Mukapereka mankhwala awa , muyenera kuyimbira ambulansi nthawi yomweyo kapena kupita ndi wodwalayo ku chipatala cha Emergency Treatment Unit (ETU), chifukwa chithandizo china chingafunike.
Mankhwalawa amapezeka kwambiri pamsika wotchedwa BAQSIMI .
Zinthu zoti muuze dokotala wanu musanagwiritse ntchito mankhwalawa
Ngati dokotala wanu akulemberani mankhwala awa kwa inu kapena munthu wina m'banja mwanu, muyenera kuwauza ngati muli ndi vuto lililonse mwa zotsatirazi, chifukwa mphamvu ya mankhwalawa ingasinthe pazochitika zotere.
| Matenda kapena mwayi | N’chifukwa chiyani zimenezo n’zofunika? |
|---|---|
| Matenda a impso | Mavuto ndi ma gland awa amatha kusokoneza ntchito ya mahomoni. |
| Zotupa za Pancreatic | Mitundu ina ya zotupa (monga glucagonoma, insulinoma) imatha kuyankha mosiyana ndi glucagon. |
| Pheochromocytoma | Uwu ndi mtundu wa chotupa chomwe chimapezeka mu adrenal gland, ndipo glucagon ingayambitse kuthamanga kwa magazi kukwera kwambiri. |
| Kudya pang'ono chifukwa cha matenda, opaleshoni, kapena zakudya | Ngati shuga wosungidwa m'thupi (glycogen ya chiwindi) uli wopanda kanthu, shuga wotsala sungakwanire kuti glucagon igwire ntchito. |
| Zakudya zosayenera | Pachifukwa chomwecho chomwe chili pamwambapa, ngati shuga m'thupi ndi wochepa, mphamvu ya mankhwala ikhoza kuchepa. |
| Matenda a glucagon kapena zinthu zina | Ndikofunikira kutidziwitsa ngati muli ndi vuto lililonse la mankhwala, zakudya, zosungira, ndi zina zotero. |
| Ngati muli ndi pakati kapena mukufuna kutenga mimba | Ndikofunikira kulankhula ndi dokotala za zotsatira zomwe zingachitike pa mwana. |
| Ngati ndinu mayi woyamwitsa | Funsani dokotala wanu ngati mankhwalawo apita kwa mwana kudzera mu mkaka wa m'mawere. |
Kodi mumagwiritsa ntchito bwanji izi?
Popeza ichi ndi chinthu chomwe chimagwiritsidwa ntchito pakagwa ngozi, ndikofunikira kwambiri kudziwa bwino zomwe mungachite pakagwa ngozi. Chifukwa chake, ndikofunikira kuphunzitsa osati inu nokha, komanso banja lanu ndi anzanu omwe ali nanu momwe mungagwiritsire ntchito izi pakagwa ngozi .
1.Uzani aliyense komwe kuli mankhwala anu: Uzani banja lanu komwe kuli mankhwala anu (thumba, kabati).
2. Imbani ogwira ntchito zadzidzidzi nthawi yomweyo mutatha kumwa mankhwala oyamba: Mukayika mankhwalawo m'mphuno, osaganiziranso kalikonse , imbani nthawi yomweyo 1990 ndikupeza ambulansi kapena pitani wodwalayo ku ETU (Emergency Treatment Unit) yapafupi.
3. Mutembenuzire wodwalayo chammbali: Mukamaliza kupereka mankhwala, mutembenuzire mosamala munthu wosadziwa kanthuyo chammbali. Izi zili choncho chifukwa nthawi zina kusanza kumatha kuchitika akachira. Ngati izi zitachitika, izi zithandiza kuti kusanza kutuluke mkamwa popanda kukodwa m'mapapo.
4. Perekani mlingo wina ngati pakufunika kutero: Ngati wodwalayo akadali chikomokere pamene akuyembekezera ambulansi, mlingo wina ungafunike kuperekedwa. Izi ziyenera kuchitika pogwiritsa ntchito chipangizo chatsopano . Chipangizo chomwecho sichingagwiritsidwe ntchito kawiri.
5. Musamusiye munthuyo yekha ngakhale atachira: Khalani ndi wodwalayo mpaka thandizo lachipatala litafika. Ngakhale atachira, musamusiye yekha chifukwa shuga m'magazi mwake angatsikenso.
Werengani ndi kumvetsetsa kabuku ka malangizo komwe kamabwera ndi mankhwala awa mosamala. Ngati pali chilichonse chomwe simukumvetsa, funsani dokotala wanu.
Kodi izi zingaperekedwe kwa ana aang'ono?
Ngakhale kwa ana opitirira chaka chimodzi, madokotala angalimbikitse mankhwalawa nthawi zina zapadera. Koma dokotala wanu yekha ndiye ayenera kusankha izi. Chifukwa chake, ngati mukugwiritsa ntchito mankhwalawa kwa mwana, tsatirani malangizo a dokotalayo ndendende.
Nanga chimachitika ndi chiyani ngati mwamwa mankhwala ochulukirapo?
Uwu ndi mankhwala ochizira mwadzidzidzi kotero mwayi woti izi zichitike ndi wochepa. Komabe, ngati mukuganiza kuti mwamwa mopitirira muyeso mwanjira ina iliyonse, imbani nthawi yomweyo ku National Poisons Information Centre ku Colombo National Hospital . Kapena pitani ku ETU nthawi yomweyo.
Zinthu zofunika kukumbukira mukamagwiritsa ntchito mankhwalawa
Ngati muli ndi matenda a shuga ndipo dokotala wanu wakupatsani mankhwala awa, kumbukirani mfundo izi.
- Muzisunga nthawi zonse: Onetsetsani kuti mwanyamula mankhwala awa m'chikwama chanu kulikonse komwe mukupita. Sitikudziwa nthawi kapena komwe ngozi ingachitike.
- Valani chiphaso cha dokotala: Ndikofunikira kuvala chibangili kapena mkanda wolembedwa kuti muli ndi matenda a shuga. Komanso, sungani khadi m'chikwama chanu ndi mndandanda wa mankhwala anu. Izi zipangitsa kuti munthu wina akuthandizeni kumvetsetsa vuto lanu, ngakhale mutakomoka.
- Chongani tsiku lotha ntchito: Nthawi zonse onani tsiku lotha ntchito la mankhwala. Mankhwala omwe atha ntchito sapereka zotsatira zolondola.
- Dziwani kuchuluka kwa shuga m'magazi mwanu: Dziwani momwe mungayezere kuchuluka kwa shuga m'magazi mwanu. Komanso, dziwani zizindikiro za shuga wotsika m'magazi (hypoglycemia) ndi shuga wambiri m'magazi (hyperglycemia) ndi momwe mungathanirane nazo.
- Sungani chinthu chomwe chimapereka shuga mwachangu pafupi:Nthawi zonse sungani chakudya pafupi chomwe mungadye mukangomva zizindikiro za shuga wotsika m'magazi ( chizungulire , thukuta, kugunda kwa mtima). Mwachitsanzo, glucose toffee, shuga cubes, kapena botolo la chakumwa chotsekemera.
- Uzani ena: Uzani achibale ndi anzanu kuti si bwino kuika chakudya kapena chakumwa mkamwa mukakhala kuti simukudziwa kalikonse kapena muli ndi zizindikiro zoopsa monga khunyu, chifukwa kutero kungayambitse kutsamwa. Auzeni kuti muyenera kupeza thandizo lachipatala nthawi yomweyo mukakhala ndi vutoli ndipo muyenera kupereka glucagon iyi mpaka thandizo lachipatala litafika.
Apanso, chikumbutso: Ngakhale wodwalayo atachira n’kuyamba kulankhula bwino atapatsidwa mankhwala awa, ayenerabe kupita kuchipatala nthawi yomweyo. Izi zili choncho chifukwa zotsatira za glucagon zimakhala zakanthawi kochepa. Pakangopita maola ochepa, shuga m’magazi akhoza kutsikanso moopsa.
Munthuyo akangochira ndipo atatha kumeza bwino, mupatseni chakudya kapena chakumwa chokhala ndi chakudya chopatsa mphamvu kuti shuga m'magazi asatsike kwambiri. Mwachitsanzo, mungamupatse mpunga, chidutswa cha buledi, biscuit, kapena galasi la madzi a zipatso.
Kodi zotsatirapo zake zingakhale zotani?
Monga mankhwala ena aliwonse, mankhwalawa angayambitse zotsatira zina zoyipa, koma nthawi zambiri sizimakhala zoopsa poyerekeza ndi zabwino zomwe amapereka.
| Mtundu wa zotsatira zoyipa | Kufotokozera |
|---|---|
| Zotsatirapo zoyipa zomwe ziyenera kufotokozedwa kwa dokotala wanu kapena ETU nthawi yomweyo | |
| Matenda a ziwengo | Zizindikiro zake ndi monga kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo, lilime kapena pakhosi, komanso kuvutika kupuma. Izi ndi zadzidzidzi zoopsa. |
| Zotsatirapo zomwe nthawi zambiri sizili zoopsa, koma ziyenera kufotokozedwa kwa dokotala ngati zikupitirira | |
| Mutu | Mutu wofala kwambiri mukatha kugwiritsa ntchito mankhwala. |
| Kusanza ndi kusanza | Ichi ndi vuto lomwe lingachitikire anthu ambiri. Ichi ndichifukwa chake ndikofunikira kutembenuza wodwalayo kuti akhale wolunjika. |
| Kusasangalala ndi mphuno | Zinthu monga kuuma, kutupa, mphuno yotuluka madzi , kapena kutsekeka kwa mphuno mkati mwa mphuno. |
Mndandandawu sukuphatikizapo zotsatirapo zonse zomwe zingachitike. Ngati mukukumana ndi vuto lililonse lachilendo, lankhulani ndi dokotala wanu.
Kodi mumasunga bwanji mankhwalawa kukhala otetezeka?
- Sungani kutali ndi ana: Sungani pamalo otetezeka omwe ana aang'ono ndi ziweto sangafikire.
- Sungani kutentha kwa chipinda: Sungani kutentha kwa chipinda pansi pa madigiri 30 Celsius (86 Fahrenheit). Tetezani ku kutentha kwakukulu kapena kuzizira kwambiri.
- Sungani mu phukusi loyambirira: Sungani mankhwalawo mu pulasitiki (shrink wrap) yomwe adalowamo mpaka mutakonzeka kugwiritsa ntchito. Ngati atatsegulidwa, ubwino wa mankhwalawo ukhoza kuchepa.
- Kugwiritsa ntchito kamodzi: Chubu chilichonse chili ndi mlingo umodzi wokha. Sichingagwiritsidwenso ntchito.
Nkhaniyi ikufotokoza mwachidule za ufa wa glucagon m'mphuno. Ngati muli ndi mafunso ena, chonde lankhulani ndi dokotala wanu kuti mudziwe zambiri.
Uthenga Wopita Nawo Kunyumba
- Ufa wa m'mphuno wa Glucagon ndi chithandizo chadzidzidzi chopulumutsa moyo chomwe chimaperekedwa kwa odwala matenda ashuga pamene shuga m'magazi mwawo watsika kwambiri (hypoglycemia yayikulu).
- Ngati mwapatsidwa mankhwala awa, phunzitsani banja lanu ndi okondedwa anu momwe angagwiritsire ntchito mankhwalawa musanafike nthawi yadzidzidzi.
- Atangomaliza kugwiritsa ntchito mankhwalawo, ngakhale wodwalayo atachira, ambulansi iyenera kuyimbidwa kapena wodwalayo ayenera kutengedwera ku Chipatala cha Emergency Treatment Unit (ETU) .
- Wodwala akangozindikira bwino ndipo atatha kumeza bwino, mupatseni chakudya chokhala ndi chakudya cham'thupi (monga buledi, mabisiketi) kuti shuga m'magazi asatsikenso.
- Nthawi zonse tengani mankhwala awa ndipo nthawi zonse onani tsiku lotha ntchito.
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