Muli ndi matenda a shuga, kotero dokotala wanu mwina anakulemberani jakisoni wotchedwa Insulin Degludec. Mwina mumadziwa ndi dzina lodziwika bwino la Tresiba. Uwu ndi mtundu watsopano wa insulin womwe umagwira ntchito kwa nthawi yayitali, pafupifupi tsiku lonse. Chifukwa chake lero, tiyeni tikambirane zinthu zofunika zomwe muyenera kudziwa pogwiritsa ntchito izi.
Kodi insulin Degludec ndi chiyani kwenikweni?
Mwachidule, Insulin Degludec ndi mankhwala omwe amagwiritsidwa ntchito poletsa matenda a shuga. Ndi insulin yomwe imagwira ntchito kwa nthawi yayitali. Izi zikutanthauza kuti mukabayidwa kamodzi, imatha kusunga kuchuluka kwa insulin kofunikira m'thupi lanu kwa maola angapo. Izi zimachepetsa kuchuluka kwa shuga (shuga) m'magazi mwanu.
Kumbukirani, katemera uyu wokha si wokwanira. Nthawi zambiri, pamodzi ndi chithandizochi , kudya bwino komanso kuchita masewera olimbitsa thupi n'kofunika kwambiri.
Zinthu zoti muuze dokotala wanu musanayambe kumwa mankhwalawa
Musanayambe katemera uyu, ndikofunikira kuuza dokotala wanu za thanzi lanu, chifukwa izi zidzatsimikizira mlingo ndi malangizo omwe mudzapatsidwe.
| Mkhalidwe wanu | N’chifukwa chiyani ndikofunikira kuuza dokotala ? |
|---|---|
| Nthawi zambiri shuga m'magazi amakhala otsika | Mlingo wa insulin ukhoza kuonjezera chiopsezo cha hypoglycemia, kotero muyenera kusamala. |
| Matenda a maso kapena vuto la maso | Kusintha kwa kuchuluka kwa shuga m'thupi kungakhudze matenda ena a maso. |
| Matenda a impso | Impso zikalephera kugwira ntchito bwino, njira yochotsera insulin m'thupi ingasinthe, ndipo mlingo wake ungafunike kusinthidwa. |
| Matenda a chiwindi | Popeza chiwindi chimagwiranso ntchito pa ntchito ya insulin, dokotala ayenera kudziwa izi. |
| Matenda a insulin kapena mankhwala ena kapena zakudya zina | Izi ndizofunikira kwambiri kuti tipewe mavuto aakulu a ziwengo. |
| Ngati muli ndi pakati, mukuyesera kutenga pakati, kapena ndinu mayi woyamwitsa | Kufunika kwa insulin kusintha panthawi ya mimba ndi kuyamwitsa, choncho ndikofunikira kulankhula ndi dokotala wanu za izi. |
Kodi katemerayu amagwiritsidwa ntchito bwanji kwenikweni?
Jakisoni uyu amaperekedwa pansi pa khungu (jakisoni wa subcutaneous). Dokotala wanu kapena namwino wa ku chipatala cha matenda a shuga adzakuwonetsani momwe mungaperekere.
- Gwiritsani ntchito mlingo weniweni. Musamwe mankhwala ochulukirapo kuposa momwe dokotala wanu wanenera.
- Yang'anani mawonekedwe a insulin. Mankhwalawa ayenera kukhala omveka bwino komanso opanda mtundu, ngati madzi. Musagwiritse ntchito ngati ali ndi mitambo, okhuthala, amitundu yosiyanasiyana, kapena ali ndi ziphuphu.
- Musasakanize ndi ma insulin ena. N'koletsedwa kwambiri kusakaniza mtundu uwu wa Insulin Degludec ndi mitundu ina ya insulin mu syringe yomweyo.
- Ngati ndi cholembera cha insulin: Musaiwale kuchotsa chivundikiro chakunja cha singano mu singano musanagwiritse ntchito.
- Singano zogwiritsidwa ntchito: Izi ziyenera kutayidwa mosamala kwambiri. Ikani singano zogwiritsidwa ntchito ndi ma syringe m'chidebe chosungiramo zinthu zakuthwa. Musazitaye m'zinyalala. Ngati mulibe, funsani dokotala wanu momwe mungapezere imodzi.
Kodi mungachite chiyani ngati mlingo wa mankhwala wawonjezeka?
Ngati mukuganiza kuti mwamwa mankhwala ochulukirapo, musachite mantha. Imbani nthawi yomweyo ku National Poisons Information Centre ku Colombo National Hospital . Kapena pitani ku Emergency Treatment Unit (ETU) ya chipatala chapafupi.
Nanga bwanji ngati ndaphonya mlingo wa mankhwala?
- Kwa akuluakulu: Ngati mwaphonya mlingo, tengani katemera mwamsanga mukangokumbukira. Koma payenera kukhala kusiyana kwa maola osachepera 8 pakati pa mlingo wanu wotsatira.Musamwe mankhwala awiri nthawi imodzi.
- Kwa ana ndi achinyamata: Dokotala wanu adzakupatsani dongosolo la zomwe mungachite ngati mwaphonya nthawi yokumana ndi dokotala. Tsatirani dongosolo limenelo ndendende.
Zinthu zina zomwe zingagwirizane ndi mankhwalawa
Ndikofunikira kwambiri kuuza dokotala wanu za mankhwala onse omwe mukumwa, osati mankhwala olembedwa ndi dokotala okha, komanso mankhwala ochepetsa ululu, mavitamini, ndi zowonjezera zitsamba zomwe zimaperekedwa kwa dokotala, chifukwa zina mwa izi zingakhudze momwe insulin imagwirira ntchito.
Pansipa pali zina mwa zinthu zimenezi:
- Mowa: Mowa ungayambitse kutsika kapena kukwera kwa shuga m'magazi mosayembekezereka.
- Mankhwala ena a shuga: Chiwopsezo cha shuga wotsika m'magazi (hypoglycemia) chimawonjezeka akamwedwa limodzi ndi mankhwala awa.
- Mankhwala ena othamanga magazi (Beta-blockers): Mankhwalawa amatha kubisa zizindikiro za shuga wochepa m'magazi (monga kugwedezeka, kugunda kwa mtima), kotero mutha kukhala ndi shuga wochepa m'magazi osazindikira.
- Mankhwala ochepetsa ululu (NSAIDs): Mankhwala monga ibuprofen ndi naproxen.
- Ma Steroid: Mankhwala monga Prednisone amatha kuwonjezera shuga m'magazi.
- Mankhwala ena a mphumu, chifuwa, ndi chimfine.
- Kusuta fodya.
Mndandanda uwu sunathe, choncho onetsetsani kuti mwauza dokotala wanu zonse zomwe mukumwa.
Zinthu zofunika kukumbukira mukamamwa mankhwalawa
- Kuyezetsa pafupipafupi: Musaphonye nthawi yokumana ndi dokotala kuchipatala. Ndikofunikira kuyang'anira momwe mukuyendera.
- Kuyeza kwa HbA1C: Uku ndi kuyesa magazi kosavuta komwe kumasonyeza momwe matenda anu a shuga akhalira olamulidwa bwino m'miyezi iwiri kapena itatu yapitayi.
- Kuyeza kuchuluka kwa shuga m'magazi: Phunzirani momwe mungayezere kuchuluka kwa shuga m'magazi anu kunyumba. Dziwani zizindikiro za shuga wotsika m'magazi (hypoglycemia) ndi shuga wambiri m'magazi (hyperglycemia) ndi zomwe mungachite nazo.
- Sungani chinthu chotsekemera pafupi: Nthawi zonse sungani chakudya chofulumira (monga ma cubes a shuga, toffee, mapiritsi a shuga) pafupi ngati mukumva zizindikiro za shuga wotsika m'magazi.
- Musamadumphe chakudya: Idyani panthawi yoyenera.
- Khadi Lozindikiritsa: Kuvala khadi kapena chibangili chosonyeza kuti muli ndi matenda a shuga komanso mtundu ndi mlingo wa insulin yomwe mumamwa ndikofunikira kwambiri pakagwa ngozi.
Chofunika kwambiri: Musagwiritse ntchito cholembera chanu cha insulin kapena katiriji ndi wina aliyense . Ngakhale mutasintha singano, pali chiopsezo chachikulu chofalitsa matenda oopsa monga Hepatitis kapena HIV.
Kodi zotsatirapo zake zingakhale zotani?
Monga mankhwala ena aliwonse, izi zingayambitse zotsatirapo zina mwa anthu ena.
| Mitundu ya zotsatirapo zoyipa | |
|---|---|
| Zinthu zoti muuze dokotala wanu nthawi yomweyo | |
| Matenda a ziwengo | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo, lilime kapena pakhosi. |
| Shuga wochepa m'magazi (Hypoglycemia) | Kunjenjemera, kutuluka thukuta, kumva mantha, kumva kuzizira, chizungulire, kugunda kwa mtima mofulumira. |
| Mulingo wochepa wa potaziyamu | Kupweteka kapena kuuma kwa minofu, kufooka kosazolowereka, kugunda kwa mtima kosasinthasintha. |
| Zinthu zoti muuze dokotala wanu ngati nthawi zambiri sizili zoopsa, koma zikupitirira | |
| Lipodystrophy | Kukhuthala kwa minofu pansi pa khungu kapena zipsera pamalo obayira jakisoni. (Kuti mupewe izi, sinthani malo obayira jakisoni pafupipafupi.) |
| Zosintha pamalo opangira jakisoni | Ululu, kufiira, kapena kutupa pang'ono. |
| Kulemera | Anthu ena amatha kunenepa pang'ono akayamba kugwiritsa ntchito insulin. |
Kodi mungasunge bwanji mankhwala?
Insulini ndi mankhwala omwe ayenera kusungidwa bwino, apo ayi angataye mphamvu zake.
Mabotolo ndi Mapeni Osatsegulidwa
- Njira yabwino: Sungani pa shelufu ya mkati mwa firiji, osati pakhomo, pamalo otentha pakati pa madigiri 2 ndi 8 Celsius.
- Njira ina: Mungathenso kusunga kutentha kwa chipinda (pansi pa madigiri 30 Celsius).
- Musaike mufiriji. Musagwiritse ntchito insulin yozizira.
- Tayani pambuyo pa tsiku lotha ntchito.
Mabotolo ndi Mapeni Ogwiritsidwa Ntchito
- Mukhoza kusunga botolo kapena cholembera chomwe mwayamba kugwiritsa ntchito mufiriji kapena kutentha kwa chipinda (pansi pa madigiri 30 Celsius).
- Chofunika kwambiri: Iyenera kutayidwa mkati mwa masiku 56 (masabata 8) kuchokera pamene yagwiritsidwa ntchito koyamba. Zilibe kanthu ngati pali insulin yotsala mkati, ingotayirani.
- Sungani kutali ndi dzuwa lachindunji komanso kutentha kwambiri.
Uthenga Wopita Nawo Kunyumba
- Insulin Degludec ndi insulin yomwe imagwira ntchito nthawi yayitali. Musayisakanize ndi mitundu ina ya insulin mu syringe yomweyo.
- Onetsetsani nthawi zonse kuti yankho la insulin lili loyera komanso lopanda utoto musanagwiritse ntchito.
- Dziwani zizindikiro za shuga wotsika m'magazi (hypoglycemia) ndipo nthawi zonse sungani chinthu chotsekemera pafupi.
- Musagawire ena cholembera chanu cha insulin kapena singano.
- Sungani insulin moyenera. Itayeni patatha masiku 56 mutagwiritsa ntchito.
- Ngati muli ndi nkhawa kapena mafunso okhudza mankhwalawa, lankhulani ndi dokotala wanu.











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