Kodi nthawi zina mumaona kuti kukhala ndi matenda a shuga kumakhala kovuta? Sikophweka kuwongolera kuchuluka kwa shuga m'magazi mwanu tsiku ndi tsiku. Komabe, ndi mankhwala atsopano omwe alipo masiku ano, amatha kuthandizidwa kwambiri. Lero, tikambirana za jakisoni wapadera womwe dokotala wanu angakupatseni kuti akuthandizeni kuwongolera matenda a shuga amtundu wachiwiri.
Mwachidule, kodi mankhwala awa ndi chiyani?
Izi kwenikweni ndi kuphatikiza kwa mankhwala awiri. Ndiko kuti, insulin degludec ndi liraglutide zonse zili mu jakisoni imodzi iyi. Dokotala wanu mwina anakupatsani izi pansi pa dzina la `Xultophy`.
Mwachidule, ntchito yaikulu ya mankhwalawa ndikuchepetsa ndikuwongolera kuchuluka kwa shuga m'magazi mwanu. Ndikofunikira kutsatira zakudya zanu komanso njira zanu zochitira masewera olimbitsa thupi mukamagwiritsa ntchito mankhwalawa. Zotsatira zabwino kwambiri zitha kupezeka ngati zonse zitatuzi ziphatikizidwa.
Zinthu zomwe muyenera kuuza dokotala wanu musanayambe kumwa mankhwalawa
Dokotala wanu asanakupatseni mankhwala awa, ayenera kukhala ndi chithunzi chonse cha thanzi lanu. Chifukwa chake, ngati muli ndi vuto lililonse lomwe latchulidwa pansipa, onetsetsani kuti mwauza dokotala wanu za vutoli. Musabise zinthu izi, chifukwa ndi chitetezo chanu.
| Matenda anu kapena vuto lanu | N’chifukwa chiyani kuli kofunikira kudziwitsa anthu za izi? |
|---|---|
| Ngati kale munali ndi pancreatitis. | Mankhwalawa angawonjezere chiopsezo chakuti vutoli libwererenso. |
| Ngati inu kapena wachibale wanu wapafupi ali ndi khansa ya chithokomiro kapena vuto lotchedwa MEN 2, lomwe limayambitsa zotupa m'matenda a chithokomiro. | Chidziwitsochi n'chofunika kwambiri chifukwa pali chiopsezo chochepa cha khansa ya chithokomiro chogwirizana ndi mankhwalawa. |
| Ngati muli ndi matenda a impso kapena chiwindi. | Ngati chiwalochi sichikugwira ntchito bwino, mlingo wa mankhwalawo ungafunike kusinthidwa. |
| Ngati muli ndi matenda a mtima. | Anthu omwe ali ndi matenda a mtima ayenera kusamala kwambiri akamamwa mankhwalawa. |
| Ngati shuga m'magazi mwanu ndi wochepa (hypoglycemia). | Popeza mankhwalawa amachepetsanso shuga m'magazi, chiopsezocho chingakhale chachikulu kwambiri kwa munthu amene nthawi zambiri amakhala ndi shuga wochepa m'magazi. |
| Ngati muli ndi vuto la kugaya chakudya kapena mavuto am'mimba kapena m'matumbo. | Mankhwalawa angakhudze momwe chakudya chimagayidwira. |
| Ngati muli ndi pakati, mukuyesera kutenga pakati, kapena mukuyamwitsa. | Pazochitika izi, ndikofunikira kufunafuna upangiri wa dokotala pankhani yogwiritsira ntchito mankhwala. |
| Ngati muli ndi vuto la mankhwala ena, chakudya, kapena mankhwala ena. | Ndikofunikira kudziwa izi chifukwa n'zotheka kukhala ndi vuto la ziwengo ndi mankhwalawa. |
Kodi mumagwiritsa ntchito bwanji jakisoni uyu?
Izi ziyenera kubayidwa pansi pa khungu. Nthawi zambiri, pamimba, pantchafu, kapena pa mkono wapamwamba zimagwiritsidwa ntchito pa izi. Dokotala wanu kapena namwino wa matenda ashuga adzakuwonetsani momwe mungabayire izi.
Chofunika kwambiri: Musagwiritse ntchito cholembera chanu cha jakisoni kapena singano ndi wina aliyense. Ngakhale mutasintha singano, musatero. Kuchita zimenezi kungayambitse matenda aakulu kwa inu kapena munthu winayo. Cholembera chimodzi chokha ndi cha munthu m'modzi!
- Imwani pa nthawi yake: Imwani mankhwala anu monga momwe dokotala wanu wanenera, panthawi yoyenera. Musadumphe mlingo.
- Tayani singano moyenera: Musataye singano zogwiritsidwa ntchito m'zinyalala. Ziikeni mu chidebe cha sharpe. Ngati mulibe, funsani dokotala wanu za imodzi.
- Werengani kabuku ka malangizo: Mukapatsidwa mankhwala, werengani kabuku ka malangizo (MedGuide/Malangizo ogwiritsira ntchito) komwe kamabwera nako mosamala. Kali ndi mfundo zambiri zofunika.
Kodi mungachite chiyani ngati mwaphonya mlingo?
Si bwino kusiya kumwa mankhwala awa. Lankhulani ndi dokotala pasadakhale za zomwe mungachite ngati mwaphonya kumwa mankhwalawo ndipo konzani dongosolo. Musamwe mankhwala awiri kuti mubwezeretse mlingo womwe mwaiwala.
Kodi ingagwirizane ndi mankhwala ena?
Inde, zingatheke. Mankhwala ena omwe mumamwa amatha kukhudza kuchuluka kwa shuga m'magazi mwanu. Komanso, pali mankhwala ena omwe amabisa zizindikiro za shuga wotsika m'magazi (hypoglycemia). Izi zikutanthauza kuti ngakhale shuga m'magazi mwanu ali otsika, simungazindikire. Ndizoopsa.
Choncho, uzani dokotala wanu za mankhwala onse omwe mumamwa (kuphatikizapo mavitamini ndi mankhwala achikhalidwe) .
| Mtundu wa zotsatira zake | Zitsanzo za mankhwala |
|---|---|
| Mankhwala omwe angakhudze kuchuluka kwa shuga m'magazi | |
| Mowa | Mtundu uliwonse wa mowa. |
| Maantibayotiki ena | Mwachitsanzo, Ciprofloxacin, Levofloxacin. |
| Mankhwala a kuthamanga kwa magazi kapena matenda a mtima | Mankhwala monga Enalapril, Lisinopril, Losartan. |
| Mitundu ya Ma Steroid | Monga Prednisone, Cortisone. |
| Mankhwala ena a shuga, mahomoni | Mahomoni a chithokomiro, mapiritsi oletsa kubereka. |
| Mankhwala omwe angabise zizindikiro za hypoglycemia | |
| Beta-blockers | Monga Atenolol, Metoprolol, Propranolol (nthawi zambiri amalembedwa kuti achepetse kuthamanga kwa magazi kapena kugunda kwa mtima). |
Zinthu zofunika kusamala kwambiri mukamamwa mankhwalawa:
- Dziwani shuga wochepa m'magazi (hypoglycemia): Ichi ndiye chinthu chofunikira kwambiri. Dziwani zizindikiro za shuga wochepa m'magazi (kunjenjemera, thukuta kwambiri, kusakhazikika, kusakhazikika, kukomoka, kugunda kwa mtima mwachangu). Nthawi zonse khalani ndi shuga (ma cubes a shuga, mapiritsi a shuga, toffee) nanu. Ngati mukumva kudwala kwambiri ndikutaya chikumbumtima, uzani abale anu kuti asaike chilichonse mkamwa mwanu. Ngati izi zitachitika, muyenera kupeza thandizo lachipatala nthawi yomweyo.
- Dziwani mulingo wanu wa HbA1C: Dokotala wanu nthawi zonse amafufuza magazi anu a HbA1C. Izi zikusonyeza momwe shuga m'magazi mwanu yakhalira yokhazikika kwa miyezi iwiri kapena itatu.
- Musamadumphe chakudya: Kudya pa nthawi yake n'kofunika kwambiri.
- Valani chiphaso cha zachipatala: Kunyamula chibangili cha chiphaso cha zachipatala kapena khadi lomwe limakuzindikiritsani kuti ndinu wodwala matenda a shuga komanso tsatanetsatane wa mankhwala omwe mumamwa kungakhale kofunikira kwambiri pakagwa ngozi.
- Khalani ndi madzi okwanira m'thupi: Kusowa madzi m'thupi kungakhale koopsa mukamamwa mankhwalawa. Choncho imwani madzi ambiri. Ngati mukumva zizindikiro monga malungo, kusanza, kapena kutsegula m'mimba, imbani dokotala nthawi yomweyo.
Chizindikiro cha chenjezo: Ngati mukumva chotupa kapena kutupa pakhosi panu mukumwa mankhwalawa, ngati mawu anu asintha (kutulutsa mawu osamveka bwino) ndipo akupitirira, ngati mukuvutika kumeza, kapena ngati mukuvutika kupuma, pitani kwa dokotala nthawi yomweyo.
Kodi zotsatirapo zake zingakhale zotani?
Monga mankhwala ena onse, mankhwalawa akhoza kukhala ndi zotsatirapo zake. Ena ndi oopsa, ena ndi ofala. Chofunika kwambiri ndikudziwa izi ndikuchitapo kanthu mwachangu ngati pakufunika kutero.
| Zotsatirapo zoyipa zomwe zimafuna chithandizo chamankhwala mwachangu | |
|---|---|
| Matenda a ziwengo | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo, lilime, kuvutika kupuma kapena kumeza. |
| Pancreatitis | Kupweteka kwambiri m'mimba komwe kumamveka ngati kukupita kumbuyo, kusanza, ndi kutentha thupi. |
| Kutsika kwa shuga m'magazi (hypoglycemia) kwakukulu (shuga wotsika m'magazi) | Kugwedezeka kwambiri, kutaya chidziwitso, kukomoka, kuvutika kulankhula. |
| Kuvulala kwa impso | Kuchepa kwa mkodzo, kutupa kwa miyendo ndi akakolo. |
| Zizindikiro za khansa ya chithokomiro | Chotupa chatsopano pakhosi, kuvutika kumeza, kusintha mawu. |
| Zotsatirapo zomwe nthawi zambiri sizili zoopsa, koma ziyenera kufotokozedwa kwa dokotala wanu ngati zikupitirira | |
| Kusokonezeka m'mimba, nseru | Kutupa, kusowa chilakolako |
| Mutu | Kupweteka pakhosi, mphuno yotuluka madzi |
Mndandandawu sungakhale ndi zotsatirapo zonse zomwe zingachitike. Ngati mukukumana ndi zizindikiro zachilendo, chonde uzani dokotala wanu.
Nanga bwanji ngati nditamwa mankhwala ochulukirapo?
Ngati mukuganiza kuti mwamwa mankhwala ambiri kuposa momwe mukuganizira, imbani nthawi yomweyo ku National Poisons Information Centre ku National Hospital ku Colombo, kapena pitani ku Emergency Department (ETU) ya chipatala chapafupi.
Kodi mankhwalawo angasungidwe bwanji?
- Mapani osatsegulidwa: Sungani izi pakhomo la firiji. Musazisunge mufiriji.
- Cholembera chomwe chimagwiritsidwa ntchito: Chikalatacho chikagwiritsidwa ntchito, chikhoza kusungidwa kutentha kwa chipinda (pansi pa madigiri 30 Celsius) kapena mufiriji kwa masiku 21. Tayani cholembera chilichonse chotsala patatha masiku 21.
- Musamaike mufiriji. Musagwiritse ntchito mankhwala ngati azizira.
- Sungani kutali ndi dzuwa lachindunji komanso kutentha kwambiri.
Uthenga Wopita Nawo Kunyumba
- Mankhwalawa ndi osakaniza insulin ndi mankhwala ena a shuga. Amathandiza kuwongolera matenda a shuga amtundu wachiwiri.
- Musanayambe kumwa mankhwala, muyenera kuuza dokotala wanu mbiri yanu yonse ya thanzi lanu, makamaka ngati munakhalapo ndi kapamba kapena mbiri ya banja lanu ya khansa ya chithokomiro.
- Musagawire wina aliyense cholembera chanu cha jakisoni.
- Dziwani zizindikiro za shuga wotsika m'magazi (hypoglycemia). Nthawi zonse nyamulani shuga.
- Ngati muwona chotupa chatsopano pakhosi panu, kusintha kwa mawu anu, kapena kuvutika kumeza, musachitenge mopepuka ndipo pitani kwa dokotala nthawi yomweyo.
- Ngati muli ndi mafunso okhudza mankhwalawa, funsani dokotala wanu.
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