Ngati muli ndi matenda a shuga amtundu wachiwiri, dokotala wanu mwina anakupatsani mankhwala otchedwa Canagliflozin (omwe nthawi zambiri amatchedwa Invokana) kuti akuthandizeni kuwongolera shuga m'magazi mwanu. Uwu ndi mankhwala abwino kwambiri komanso ogwira mtima. Komabe, monga mankhwala ena aliwonse, angayambitse zotsatirapo zina zazing'ono. Zina mwa izo zimakhala zazing'ono ndipo zimatha pakatha masiku ochepa. Komabe, nthawi zina, matenda aakulu amatha kuchitika omwe amafunika chithandizo. Chifukwa chake musadandaule, tikambirana zonse momveka bwino lero.
Kodi mungatani kuti muchepetse zotsatira zoyipa zomwe zimachitika kawirikawiri?
Mankhwalawa angakhudze aliyense mosiyana. Ndipo si zotsatirapo zonse zomwe zimafunika thandizo lachipatala. Ndi bwino kusamala ndi kusintha kulikonse m'thupi lanu mukayamba kumwa mankhwalawa.
Mavuto akuluakulu omwe nthawi zambiri amaoneka ndi matenda a mkodzo, matenda a yisiti, shuga wochepa m'magazi (hypoglycemia), komanso kutaya madzi m'thupi. Tiyeni tiwone momwe tingathanirane ndi chilichonse mwa izi.
Matenda a yisiti
Izi zitha kuchitika m'mimba mwa akazi kapena pa mbolo mwa amuna. Ngati mudadwalapo matenda a yisiti m'malo oberekera kale, muli ndi mwayi woti muwapezenso ndi mankhwalawa.
Azimayi amatha kukhala ndi zizindikiro monga kutuluka magazi m'mimba, fungo losazolowereka, kapena kuyabwa. Amuna, makamaka amuna osadulidwa, amatha kumva kupweteka, kutupa, ndi kutuluka magazi mozungulira mbolo, zomwe zimapangitsa kuti zikhale zovuta kubweza khungu lakunja.
Matenda a yisiti ndi ovuta, koma amatha kuchiritsidwa mwachangu ngati atachiritsidwa panthawi yake. Choncho uzani dokotala wanu mwamsanga mukangoona zizindikiro.
Dokotala wanu nthawi zambiri amakulemberani mankhwala opha mabakiteriya. Izi zitha kukhala mapiritsi, suppository, kapena kirimu. Matendawa ayenera kutha mkati mwa masiku 7-14.
Matenda a mkodzo (UTI)
Ngati muli ndi zizindikiro monga kupweteka kwa chikhodzodzo, magazi mu mkodzo wanu, mkodzo wodzaza ndi mitambo, kuvutika kukodza, kutentha mukamakodza, kukodza pafupipafupi, kapena kupweteka m'munsi mwa msana kapena m'mimba, onetsetsani kuti mwadziwitsa dokotala wanu. Nthawi zina, UTI imatha kukhala matenda a impso (pyelonephritis).
Dokotala adzakupatsani mankhwala opha mabakiteriya. Chitani izi kuti muchire msanga:
- Imwani madzi ambiri.
- Funsani dokotala wanu za mankhwala ochepetsa ululu omwe mungatenge pa ululu.
- Imwani mankhwala opha maantibayotiki monga momwe dokotala wanu wanenera, kwa nthawi yonse. Musalumphe mlingo umodzi kapena kumwa mankhwala ochulukirapo kuposa momwe muyenera kukhalira.
Zinthu zimenezi zithandiza kupewa matenda onse awiri.
| Njira yopewera | Kufotokozera |
|---|---|
| Ukhondo | Gwiritsani ntchito madzi okha kutsuka malo anu oberekera. Pewani sopo wouma, kupopera, ndi kutsuka mano. |
| Kusunga kouma | Sungani malo ouma nthawi zonse. Chinyezi ndi malo abwino kwambiri oti yisiti ndi mabakiteriya zimere. |
| Zovala zamkati | Valani zovala zamkati za thonje zomwe zimapuma bwino komanso zomasuka. |
| Zizolowezi za chimbudzi | Mukamaliza kugwiritsa ntchito chimbudzi, pukutani kuyambira kutsogolo kupita kumbuyo mukamatsuka. Kodzani msanga mukamaliza kugonana. Ndi bwino kusamba kusiyana ndi kukhala mu bafa/bafa kwa nthawi yayitali mukamasamba. |
Shuga wochepa m'magazi (Hypoglycemia)
Ngati mumwa mankhwala a insulin kapena mankhwala ena a shuga (monga glipizide, glyburide) ndi canagliflozin, shuga m'magazi mwanu ukhoza kuchepa kwambiri. Ngati mukumva chizungulire , kugwedezeka, kapena kufooka , izi zitha kukhala zizindikiro za hypoglycemia. Ngati shuga m'magazi mwanu watsika kwambiri, mutha kutaya chikumbumtima.
- Ngati mukukumana ndi zizindikiro izi, yang'anani shuga m'magazi mwanu nthawi yomweyo ndipo imbani dokotala wanu.
- Ngati mutakhala pansi kapena mukugona, imirirani pang'onopang'ono. Ngati mudzuka mwadzidzidzi, mungamve chizungulire ndikugwa.
- Kuti muwonjezere shuga m'magazi mwanu mwachangu , imwani madzi a zipatso, toffee wotsekemera, madzi otsekemera, kapena idyani mapiritsi a shuga.
- Ngati n'kovuta kudya kapena kumwa, mungafunike jakisoni wa glucagon. Dokotala akhoza kukupatsani mankhwala oterewa ndikusunga kunyumba. Phunzitsani banja lanu momwe mungagwiritsire ntchito pakagwa ngozi.
- Mukadya chinthu chotsekemera, pumulani pang'ono ndikuyang'ananso shuga m'magazi mwanu. Shuga ikabwerera mwakale, idyani chakudya chochepa kapena chokhwasula-khwasula kuti mupewe shuga wochepa m'magazi.
Kusowa madzi m'thupi
Canagliflozin imagwira ntchito pochotsa shuga wochuluka m'thupi lanu kudzera mu mkodzo wanu. Komabe, ingayambitsenso thupi lanu kutaya madzi ambiri. Izi zingakupangitseni kumva ludzu kwambiri, chizungulire, komanso kufooka .
Ngati mukudya zakudya zopanda mchere wambiri kapena mukumwa mankhwala ochepetsa kuthamanga kwa magazi, muli pachiwopsezo chachikulu cha kutaya madzi m'thupi. Samalani kwambiri masiku otentha komanso mukamachita masewera olimbitsa thupi, chifukwa mumataya madzi ambiri chifukwa cha thukuta.
Njira yabwino yopewera izi ndikumwa madzi ndi zakumwa zambiri. Ngati pakufunika, mutha kumwanso chakumwa chokhala ndi ma electrolyte ngati dokotala wanu wakupatsani upangiri. Ngati kutaya madzi m'thupi kwakula kwambiri, pitani ku chipatala cha Emergency Treatment Unit (ETU) nthawi yomweyo.
Zotsatira zina zofala
Kuwonjezera pa izi, palinso zotsatirapo zina zazing'ono zomwe zingachitike. Ngati izi zikukuvutitsani kapena sizikuchira pakapita nthawi, lankhulani ndi dokotala wanu. Iye akhoza kusintha mlingo wa mankhwala anu.
| Zotsatira zoyipa |
|---|
| Kudzaza mimba |
| Mavuto a m'mimba |
| Chilakolako cha chakudya |
| Kusanza kapena kusanza |
| Kutupa kwa zala kapena mapazi |
| Kufooka kapena kutopa |
| Kulemera |
Zotsatirapo zoyipa zomwe muyenera kuzidziwa
Izi sizipezeka kawirikawiri, koma ndikofunikira kwambiri kuzidziwa.
- Mavuto a mtima: kupuma movutikira, kugunda kwa mtima mofulumira kapena kosakhazikika, kutaya chidziwitso.
- Matenda oopsa a ziwengo (Anaphylaxis kapena Angioedema): Kutupa kwambiri kapena kuyabwa kwambiri pankhope, m'maso, milomo, lilime, pakhosi, m'manja, m'mapazi, ndi zina zotero.
- Kusweka kwa mafupa: Mankhwalawa angawonjezere pang'ono chiopsezo cha kusweka kwa mafupa.
- Fournier's gangrene: Ichi ndi kachilombo kosowa kwambiri koma koopsa ka bakiteriya komwe kamawononga minofu yomwe ili pansi pa khungu kuzungulira malo oberekera ndi anus (necrotizing fasciitis). Ngati muwona zizindikiro zilizonse za ululu, kutupa, kapena kufiira m'derali , pitani kuchipatala mwamsanga.
- Zizindikiro zina zazikulu: kuvutika kulankhula, kufooka, kuvutika kuyenda, thukuta kwambiri, kutentha thupi, kunjenjemera, kapena kugwidwa ndi khunyu.
Ngati muwona zizindikiro zazikulu izi, imbani dokotala wanu nthawi yomweyo kapena pitani ku Dipatimenti Yothandiza Pangozi (ETU) ya chipatala chapafupi.
Uthenga Wopita Nawo Kunyumba
- Canagliflozin ndi mankhwala abwino kwambiri a matenda a shuga, koma ndikofunikira kudziwa zotsatira zake.
- Matenda a yisiti ndi matenda a mkodzo ndi omwe amapezeka kwambiri. Ngati muwona zizindikiro zilizonse, uzani dokotala wanu nthawi yomweyo.
- Dziwani zizindikiro za shuga wotsika m'magazi (hypoglycemia). Ndi bwino kusunga chinthu chotsekemera pafupi.
- Zotsatirapo zoyipa (monga mavuto a mtima, ziwengo zoopsa, Fournier's gangrene) sizichitika kawirikawiri. Koma ngati mukukumana ndi chilichonse mwa izi, funsani upangiri wa dokotala nthawi yomweyo .
- Kambiranani momasuka ndi dokotala wanu za malingaliro aliwonse achilendo kapena osasangalatsa omwe mungakhale nawo. Iye akhoza kusintha mlingo kapena kupereka njira ina yothetsera vutoli.
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